ʻO ka maʻi maʻi kekahi o nā maʻi koʻikoʻi koʻikoʻi e pili pono i nā kānaka o kēlā me kēia makahiki. He mea maikaʻi loa ia ʻaʻole hiki ke hoʻopau ʻia ka maʻi diabetes i ka 100%, akā hiki ke ʻānai loa ia i kahi manawa lōʻihi. No laila, pono ʻoe e ʻike i kahi kauka e hoʻopili ai.
Hiki i kahi kauka, ʻo ke kauka a i ʻole ka mea lapaʻau ke ʻike i nā pilikia o ka hōʻola kino o ka neʻe, ka hopena o nā hōʻike glucose i lawa ʻia no kēia. Ma ke ʻano he kānāwai, ʻike ʻia ka maʻi diabetes ma ka ulia, i ka wā o ka hōʻike ʻana i ka lāʻau lapaʻau maʻamau a i ʻole no nā hōʻailona ʻano.
ʻAʻole lapaʻau ka mea lapaʻau i ka hyperglycemia, i mea e pale i ka maʻi, pono ʻoe e hoʻopili i kekahi kauka hou. ʻO ke kauka e pili ana i kēia pilikia ua kapa ʻia he endocrinologist. ʻO kāna ʻoihana ʻokoʻa e loaʻa ai i ka hoʻokele maʻi maʻi. Hāʻawi ke kauka i ke kauka i nā hoʻokolohua hoʻoliʻi, e like me kā lākou hopena, e nānā i ka hōʻeha o ka pathology, e hōʻike ana i kahi ala kūpono o ka mālama ʻana a me ka meaʻai.
Inā he pilikia mai nā kino a me nā ʻōnaehana, hōʻike ʻia ka mea maʻi e nīnau aku i nā kauka hou: cardiologist, ophthalmologist, hōʻea o ka vascular, neurologist. Mai ko lākou hopena, ua hoʻoholo ka mea maʻi endocrinologist e koho i nā kālā hou.
Hoʻololi ʻia ke kauka ʻaʻole wale i ka mālama ʻana i ka maʻi maʻi diabetes, akā pū kekahi nō hoʻi me nā kūlana pathological ʻē aʻe.
- ʻopi momona
- hoʻōla
- holoihana;
- osteoporosis;
- oncological a me nā maʻi thyroid ʻē aʻe;
- maʻiʻo hypothyroidism.
ʻAʻole hiki i kahi endocrinologist wale nō ke hana me ka nui o nā maʻi, no laila ua hoʻokaʻawale ʻia ka endocrinology i loko o nā ʻike loea. Hoʻopau i kahi lapaʻau endocrinologist-lapaʻau maʻi mellitus, a me kāna hoʻopiʻiʻana i ka hoʻohālikelike ʻia o gangrene, ʻōpala, a inā pono, e hoʻokō ʻia i ka hana hoʻokō.
Ke nānā nei ka endocrinologist-geneticist i ka moʻomeheu, no ka laʻana, ka maʻi diabetes, ka ulu nui a i ʻole ka liʻiliʻi. Hoʻokomo ʻia nā kauka i pili i ka maʻi wahine, ka nānā ʻana a me ka mālama ʻana i nā maʻi thyroid i kapa ʻia he endocrinologist-gynecologist, a me ka endocrinologist e pili ana i ka pediatric.
Mahalo i ka ʻāpana i loko o nā ʻike loea, hiki nō ke komo i loko o nā kumu o ka maʻi, i ʻoi ʻia o ka ʻike i kēia ʻike. Hiki iā ʻoe ke ʻike i ka mea e mālama ai ke kauka i ka maʻi maʻi ma ka lāʻau o ke kikowaena a i ʻole ma kāu GP.
ʻO nā kumu no ke kipa ʻana i kahi endocrinologist
Pono ke kamaʻilio e nīnau aku i kahi endocrinologist i kāna manawa i loaʻa ai nā hōʻailona: ka makewai mau ʻole, ka hōʻeha ʻana o ka ʻili, hoʻololi koke i ke kaupaona ʻana, ʻo nā palia pinepine o nā membipes kūloko, nāwaliwali o ka māhuahua, ka hoʻonui nui ʻana.
Ke hōʻike ʻia nei kekahi mau hōʻailona ma ka maka e pili ana i ka hiki ʻana o ka maʻi mellitus o ka maʻi maʻamau, ʻoi aku ka 2 mau ʻano. ʻO ka endocrinologist wale nō e hiki ke hōʻole a hōʻoia paha i ka maʻi maʻi.
ʻO ka maʻamau, e kipa i kēia kauka, e kūkākūkā mua me kahi mea lapaʻau, kahi kauka apana. Inā alakaʻi ʻo ia no ka hāʻawi koko, e hōʻike ka hōʻike ʻana i ka hoʻonui a hōʻemi paha i ka glycemia, i ukali ʻia e kahi loea i ka endocrinologist e mālama nei i kēia pilikia.
Ma ka papa ʻaina o kēlā me kēia ʻano, ua hoʻopaʻa inoa ʻia ka mea maʻi, a laila hoʻoholo ke kauka i ke ʻano o ka maʻi, koho i nā lāʻau lapaʻau, ʻike i nā pathology concomitant, e kuhikuhi ana i nā lāʻau lapaʻau mālama, mālama i ka nānā ʻana a me ke ʻano o ka mea maʻi.
Inā makemake ka mea maʻi maʻi e ola ola piha, pono ʻo ia e hoʻomaʻamaʻa pinepine i nā ʻano pale aku me ka hāʻawi ʻana i ke koko no ke kō.
Pehea e mālama ʻia ai ka maʻi maʻi
E haʻi aku ke kauka iā ʻoe he ʻelua o ka maʻi o ka maʻi - ka mua a me ka lua, ka ʻokoʻa i ka intake insulin. ʻO ka maʻi o ka lua o ka maʻalahi ke hoʻomau i ka hele ʻana, ua manaʻo ʻia he kūʻokoʻa o ka insulin hormone. ʻAʻole hiki ke hoʻōla ʻia ka maʻi, hiki ke mālama maikaʻi a hiki i kona hōʻemi ʻana i nā hopena o nā ʻōpiopio.
ʻO ke ʻano nui o ka hoʻopau ʻana i ke kuʻuna ke kai, kahi mea e hāʻawi ai no ka hōʻole ʻia o nā pā aniani, ka momona, ke kō a me ka momona. Kuhi ʻia i kēia ʻōlelo, ua mau nā hōʻailona glycemia i loko o nā palena ʻae ʻia. Kūleʻa kekahi ʻoma maʻi maʻi i ka hāʻawi ʻana i nā makemake:
- ʻai momona, iʻa;
- nā mea kanu, nā hua;
- nā huahana paʻakai.
Inā hāʻawi ʻole nā meaʻai i ka hopena, e hōʻike ʻia ia e lawe i nā lāʻau lapaʻau e kōkua i ka hoʻokele ʻana i ke kiʻekiʻe o ka glycemia, kākoʻo i ka maʻi maʻi. Pono ka lāʻau lapaʻau e mālama ai i ka maʻi ʻaʻole pili i nā lāʻau lapaʻau i hōʻike ʻia.
He mea nui loa ia e nānā pono i kāu olakino a lawe i nā hoʻokolohua i kahi manawa kūpono, nā maʻi maʻi maʻi maʻamau e hoʻonohonoho i kahi lā no ka kipa aʻe e ʻike iā lākou ma mua. Mahalo i kou kau ʻana i nā ʻōlelo a ke kauka, hiki ke hoʻomaopopo i nā loli iki o ke kino i ka manawa, ʻano no ka maʻi diabetes type 1. Kōkua nā hualoaʻa no ke koho i nā ʻenehana o ka mālama ʻana, e hoʻololi i ka nui o nā lāʻau lapaʻau i kuhikuhi mua ʻia.
Ua ʻōlelo aku nā poʻe maʻi maʻi, me ke ʻano like me nā maʻi maʻi mua, he mea nui nō hoʻi ka meaʻai, akā ʻaʻole ia e kōkua i ke ʻano maʻamau i ke ʻano. No kēia kumu, aia kahi koi nui e hoʻoiho i ka insulin, pono ke kauka kauka i kāna hana a me ka nui o ka hoʻokele. Inā ʻaʻole maikaʻi ka mea maʻi ma hope o kaunteka, hiki i ke ʻano o ke ʻano lāʻau lapaʻau hou.
ʻO wai lā ka kauka nāna e mālama i ka maʻi diabetes? Hana pū kekahi endocrinologist i kēia. Pili nā kumu o ka maʻi me ka hoʻoilina hoʻoilina. Inā ua maʻi kekahi o nā mākua me ka maʻi maʻi:
- ua hoʻopaʻa inoa ʻia ke keiki me ka endocrinologist;
- inā ua ʻike ʻia ka hyperglycemia, lawe koke ka mālama ʻana.
Pono ʻoe e ʻike he mea nui o ka mālama ʻana i ka maʻi diabetes i nā keiki he hoʻokō kūpono loa i nā koho. Hoʻokumu ka pathology i nā keiki i nā manawa he wikiwiki ma mua o nā pākeke, kahi haʻi maʻi e haʻi ʻia iā ʻoe e pili ana i kēia.
Me ke ala kūpono, e hoʻi koke ke keiki i kahi ola piha.
ʻO nā ʻōlelo ʻōlelo maʻamau no ka mālama ʻana i ka maʻi diabetes o ka ʻano mua a me ka lua: ka meaʻai, ka hoʻomaʻemaʻe pilikino, ka hana o waho, kahi ʻano e hoʻonui ai i ka pale ʻana, ka hele ʻana ma ke alanui, ka immunotherapy, ka lawe ʻana i nā mea paʻakikī o ka insulin.
I nā makahiki i hala iho nei, uaʻike ka hōʻikeʻike i nā lāʻau lapaʻau, ua nui aku nā mea hou aku o nā lāʻau:
- kōkua e mālama i ke kino;
- pale i ka wā o nā hoʻopiʻi o ka maʻi.
Malia paha o ka hoʻohana ʻana i kēlā me ia ʻano hana kupanaha i mea ola maoli no ka mea maʻi inā he maʻi maʻi kona. ʻO ka kauka nāna e mālama ai iā ʻoe e hilinaʻi nei i ke ʻano o ka maʻi i loko o ke kino.
Inā lawe ʻole ka mea maʻi i ka lāʻau lapaʻau i ʻōlelo ʻia ai, haʻalele ʻo ia i ka ʻōlelo a ke kauka, ʻano nui kona ʻano, hele aku ke maʻi ma o kahi maʻi koʻikoʻi.
Nā hopena hāhā paha
I ke kauka ʻana o kahi kauka i ka lāʻau lapaʻau, a laila pono lākou e lawe. Kōkua kēia i ka hōʻalo ʻana i nā hopena maikaʻi ʻole. ʻO ka maʻamau pinepine ia he nīnau o ka hōʻemi ʻana i ka maikaʻi o ka ʻike, gangrene, coma maʻi maʻi, lactic acidosis, ka luku ʻana i nā kahe koko, nā ʻōpio trophic, ka hopena ʻole, ke akeʻa arterial, nā pilikia āpau, nā pilikia o ka naʻau.
ʻO nā maʻi hoʻohālikelike e hoʻomāhuahua hou i ka maikaʻi o kahi maʻi maʻi, me ka hoʻomaʻemaʻe ʻole ʻana, ʻike ʻia ka pono no ka hōʻiliʻili o ka hōʻemi, hiki paha i ka mea make. E like me nā maʻi ʻē aʻe, ʻoi aku ka maʻi diabetes ma mua o ka mālama ʻana iā ia no ka lōʻihi. No laila, e kamaʻilio i ke kauka ma ka lohi i kahi kānalua o ka maʻi.
ʻO Dr. Bernstein e kamaʻilio e pili ana i ka mālama ʻana i nā maʻi maʻi ʻoiai maʻi ma ka wikiō ma kēia ʻatikala.
