Aneane aneane āpau i kēlā me kēia maʻi i loaʻa i ka maʻi hānai e pili ana i nā pōmaikaʻi o nā pōmaikaʻi no nā maʻi maʻi maʻi pili i kēia makahiki. He mea nui e hoʻomanaʻo e hiki ke hoʻololi ʻia ka papa inoa o nā pono o nā mea maʻi i kēlā me kēia makahiki, no laila ʻoi aku ka maikaʻi o ka nānā pinepine ʻana i kēlā mau loli a wehewehe pono i ka mea e pono ai nā poʻe maʻi me ka maʻi maʻi i ka manawa.
ʻO ka mea hoʻohālike, ua ʻike ʻia aia he kōkua no nā poʻe maʻi me ka maʻi maʻi mai ka moku'āina i ke ʻano o ka hiki ke kūʻai i kekahi mau lāʻau lapaʻau no ka manuahi. Eia kekahi, hiki ke kiʻi ʻia i nā lāʻau lapaʻau kūikawā, a me ka hoʻonaʻauao olakino ma kāu endocrinologist o ka'āina.
Ma ke ala, ʻike pololei kēia mau poʻe loea i hiki ke wehewehe pono i ka mea e pono ai ka mea maʻi i hāʻawi ʻia me ka maʻi maʻi i kēia makahiki.
Ua pili ʻia kahi papahana kōkua aupuni me ka mea he nui nā mea maʻi e loaʻa ana i ka maʻi "gula" i kaupalena ʻia a ʻaʻole hiki ke loaʻa kahi hana ma muli o kā lākou contraindications i kēia hana. ʻO ka mea hoʻohālike, inā mākou e kamaʻilio e pili ana i nā mea halihali pili i ka lehulehu a i ʻole kēlā poʻe e hana me nā mea paʻakikī, ʻaʻole hiki iā lākou ke ʻae ʻia e hana i ia ʻano hana. No laila, i kēia hihia, ʻike ka ʻike no ka pōmaikaʻi o ka maʻi diabetes i kahi ʻano e kōkua ai i kekahi kanaka e hānai iā ia iho a me nā lālā ʻē aʻe o kona ʻohana.
He mea nui e hoʻomaopopo, hiki ke hāʻawi ʻia nā pōmaikaʻi o nā poʻe maʻi me ka maʻi mellitus ma ka ʻatikala, a me nā lāʻau kūikawā a i ʻole nā mea kūikawā ʻē aʻe.
He aha nā lāʻau lapaʻau e hiki iaʻu ke loaʻa?
ʻOiaʻiʻo, inā e kamaʻilio mākou e pili ana i nā pōmaikaʻi o nā poʻe maʻi me nā maʻi diabetes type 2 e makemake nui loa i nā poʻe maʻi i hoʻohālikelike ʻia i kēlā ʻano maʻi, a laila e nīnau kēia i nā lāʻau lapaʻau e hiki i kahi kanaka ke loaʻa manu ʻole. Ma hope o nā mea a pau, ʻike ʻia kahi maʻi e kū i ke lua o ka papa, e like me ka lula a me ka mea mua, pono e uku ʻia no ka hoʻohana maʻamau ʻana i nā lāʻau lapaʻau kūikawā.
I ka nānāʻana i kēia, ua hoʻokumu ke aupuni i nā pono kūikawā no nā maʻi maʻi type 2 i ka 2019. ʻO kēia mau lāʻau lapaʻau haʻahaʻa kūikawā e loaʻa ai kahi mea e like me ka metformin.
ʻO ka pinepine pinepine ka mea i kapa ʻia kēia lāʻau lapaʻau ʻo Siofor, akā aia nō kekahi mau lāʻau ʻē aʻe i hāʻawi ʻia i nā maʻi no ka manuahi. ʻO ke ʻano o nā pōmaikaʻi i hāʻawi ʻia i nā maʻi maʻi āpau 2 i kēia manawa, ʻoi aku ka maikaʻi o ke nānā pū ʻana me kāu kauka. Hiki iā ia ke hāʻawi i kahi papa kikoʻī o nā lāʻau lapaʻau i loaʻa i ka hale kūʻai lapaʻau manuahi.
I mea e loaʻa maoli ai nā pōmaikaʻi inā inā ʻoe i kahi maʻi o nā maʻi mellitus, pono ʻoe e lawe i kahi lāʻau lapaʻau mai kāu kauka. Aia ma kahi o kēlā lāʻau lapaʻau e kau ʻia ai i kahi mea maʻi maʻi kūikawā, e kākau ke kauka i kahi papa inoa o nā lāʻau lapaʻau i hiki iā ia ke loaʻa i ka hale kūʻai lapaʻau manuahi.
E pili ana i nā pōmaikaʻi o nā mea maʻi me nā maʻi maʻi type 1, pono hoʻi e kuhi e hiki i nā mea maʻi ke manaʻo e loaʻa kekahi lāʻau lapaʻau me ka manuahi ʻole. I kēia:
- insulin a me nā syringes kahi e lawelawe ʻia ai;
- nā palapala hōʻike no kahi glucometer ma ka pae o ʻekolu ʻāpana i kēlā me kēia lā;
- e hana ana i nā sanatoriums o ka ʻāina;
- hale hoʻokipa maʻamau inā pono.
Aia nā kuleana o ka mea maʻi me ka maʻi mellitus no kēlā me kēia ʻano maʻi o kahi maʻi maʻi he maʻi maʻi, e hiki nō iā ia ke hilinaʻi i nā lāʻau lapaʻau manuahi i lawe ʻia e kākoʻo i kona ola.
E pili ana i ka maʻi āpau
ʻO ka mea maʻi e ʻeha nei i kēia maʻi e hoʻomaopopo pono i nā hihia i manaʻo ʻia e hiki ke pale ʻia. Ma ke ala, eia ʻoe pono e hoʻomaopopo pono i ka pehea e loaʻa ai ke kūlana a ma kahi e hele mua ai.
ʻO ka mea mua pono e hoʻomanaʻo ʻoe ka pili me kēia maʻi maʻi. A he mau ʻano like like paha hiki ke hōʻemi nui i ka pae o ka hana a ke kanaka, a, ʻoiaʻiʻo, e hoʻololi maoli i kona ʻano maʻamau o ke ola. No ka mea, inā he maʻi ua hōʻeha i kahi limu ma muli o ka hōʻemi ʻana o ka maʻi, a laila hiki iā ia ke helu nui i nā pōmaikaʻi no ka maʻi maʻi, ʻo ia ka loaʻa ʻana o kekahi ʻano o nā maʻi āpau.
ʻO kahi maʻi e hiki ke hōʻeha i kahi pōʻino i ka maikaʻi a me ka palena o kahi kanaka ma nā ʻano o ke neʻe a i ʻole ka hiki ke hana holoʻokoʻa i hiki i ke kīnā. Ma kēia hihia, hoʻouna ʻia ka mea maʻi i kahi komisina kūikawā, kahi e hoʻoholo ai i ka pono kūpono o ke koho ʻana i kahi pūʻulu kīnā kūpono.
He mea nui ia e hoʻomaopopo i kēia manawa aia kēia manawa ʻaʻole wale nō i loko o ka poʻe i loaʻa i ka maʻi maʻi mua, akā nō hoʻi i nā maʻi maʻi maʻi āpau 2.
Ma keʻano holoʻokoʻa, no nā maʻi me ka diabetes mellitus type 2 a i ʻole ka mea mua loa, a me nā mea maʻi āpau ʻē aʻe, aia ʻekolu mau wahi o nā maʻi.
ʻO ka mea mua e pili ana i ka hāʻawi hona o ka mea maʻi a hōʻike ʻo ia i ke maʻi maʻi a, ʻo nā hopena pinepine, ʻaʻole hiki iā ia ke mālama pono iā ia iho.
Hiki i ka hui ʻelua ke hōʻike i ka loli ʻana ke loli inā hele kekahi i nā ʻōlelo aʻoaʻo a nā kauka.
Ua manaʻo ʻia ʻo ke kolu ka hana. Ma kēia hihia, ua ʻōlelo ʻia ka mea maʻi e pili ana i ka hana a me kekahi mau kīpē, akā me kēia maʻi, i ka nui, hiki iā ia ke noho maluhia. I kēia hihia, ʻaʻole mea koʻikoʻi he mea nui paha e hoʻokō ʻia ai ka hoʻokolokolo no ka maʻi type 2 a i ʻole ka mea mua.
ʻAe, a, ʻoiaʻiʻo hoʻi, me kēia mau pūʻulu a pau, hiki i nā mea maʻi ke hilinaʻi ma luna o nā lāʻau hōʻeha.
Eia hou wau, makemake wau e hoʻomaopopo i ke kuleana o nā maʻi maʻi i nā manawa āpau e hoʻomaʻamaʻa mau ʻia me kāu kauka.
He aha nā maʻi e hōʻoia ai iā ʻoe?
Ua ʻōlelo ʻia ma luna nei nā mea e kau ʻia ai kahi hui kīnā kūikawā i ka mea maʻi. Eia naʻe naʻe, pono e kamaʻilio hou i ka mea kikoʻī e pili ana i ka maʻi kikoʻī e hōʻike ana i hiki i ka mea maʻi ke koi i kahi hui kīnā kūikawā.
No laila, me ka type 2 diabetes mellitus a i ʻole ka mea mua, hiki i ka mea maʻi ke manaʻo e loaʻa ka pūʻulu mua o nā maʻi i loaʻa inā he mau maʻi koʻikoʻi ma muli o ka maʻi maʻi. No ka laʻana, he nui nā maʻi maʻi i Lūkini, ua hāʻule nui kā lākou nānā i ka maʻi, ua loaʻa pū kekahi nui o nā maʻi me ka wāwae maʻi a me ka gangrene, e ulu wikiwiki nei, me ka coma pinepine a me nā kiʻekiʻe kiʻekiʻe o ka hoʻomohala ʻana i ka thrombosis.
Eia nō kekahi, me ka maʻi type o 1 a i ʻole type 2, e koho ʻia ka mea maʻi i kahi lua ʻē aʻe. Hōʻike pinepine ʻia kēia i nā hihia i ka ulu ʻana o ka mea maʻi i ka hiki ʻole o ka pale, ʻo ke kumu o ka maʻi holomua. Hiki ke hoʻolako ʻia kēia hui i ka poʻe i loaʻa i ka neuropathy a me nā pilikia noʻonoʻo, e ulu pū kekahi i ke ʻano o ka maʻi maʻi.
Aia ka papa inoa o nā lāʻau lapaʻau manuahi no kēlā mau mea maʻi e komo i kēlā mau lāʻau a lākou e lawe ai e mālama i ka maʻi kūmākena i lawe ʻia e ka maʻi "gula".
Hāʻawi ʻia ke kolu o ka hui i ka mea āpau i nā maʻi āpau. ʻO ka manaʻo o kahi pūʻulu maʻi āpau i loaʻa i ka mea maʻi.
Ma keʻano holoʻokoʻa, pono e ʻōlelo ʻia ʻaʻohe mau maʻi e maʻi me ka maʻi ʻole o ka maʻi maʻamau.
Aia nā kuleana a me nā pono
Inā mākou e kamaʻilio e pili ana i nā mea e pono ai ka hāʻawi ʻana i nā maʻi maʻi maʻi maʻi, a laila, ʻo ka mea mua loa, he ʻōpala kēia.
Hāʻawi ʻia ka uku uku ma ke kumu maʻamau a ua uku ʻia i ka mea maʻi i kēlā me kēia mahina.
Eia kekahi, hiki i kekahi ke kūʻai i ka electrometer monochemical ma ke kumu kūʻai. ʻO ia ke kumu no ka loaʻa ʻana o nā mea kōkua a pau, he mea hiki iā lākou ke hoʻokele me ka haʻalulu.
Eia kekahi, hiki i nā mea maʻi ke loaʻa nā mea kūikawā no ka manuahi, ʻo ia hoʻi:
- mea hale e kōkua ai i kahi kanaka e lawelawe iā ia iho, inā ʻaʻole hiki iā ia ke hana hou i kēia;
- kanalima pākēnē hōʻaiʻē ma ke kumukūʻai utility;
- laka holo, kopa a me na mea e ae.
No ka loaʻa o kēia mau pōmaikaʻi, pono lākou e hoʻokaʻa i ke kikowaena o ke kikowaena no ke kōkua a me ke kauka. ʻO nā lako āpau i hāʻawi ʻia me nā hana hoʻokipa a me ka lawe ʻana, a kākau ʻia e like me kēia.
Eia kekahi, hiki i kekahi ke hoʻohana i ko lākou kuleana no ka mālama lapaʻau ʻana. Pono e hoʻokuʻu ʻia kēia mau tiketi ma ka lālā territorial o ka Pūnaewele Hoʻonaʻauao Social.
Pono e hoʻomaopopo ʻia nā pono no nā maʻi e pili ana i ka maʻi type 1, a me nā pōmaikaʻi no nā mea maʻi me ka maʻi diabetes type 2 e hāʻawi ʻia i ka mea maʻi ʻole. A he mea ʻole ia he mea i kona palapala i ka sanatorium a i ʻole ka pauna o nā lāʻau lapaʻau.
ʻOiaʻiʻo, ʻaʻole nā mea maʻi a pau me ke ʻano like me kēia pōmaikaʻi. Ma muli o kēia ʻike ʻole ʻo ia i ʻike i kona mau kuleana.
Pehea e loaʻa ai ka lāʻau lapaʻau?
ʻO ka mea e pili ana i ke ʻano o ka pōmaikaʻi i loaʻa e kekahi kanaka, ke kīkē nei ke kānāwai e hoʻopili ʻo ia i ke kumuhana pili me nā palapala i hōʻoia i kona ʻimi ʻana. Ma keʻano kikoʻī, ʻo kēia kahi passport a me kahi palapala i hoʻopuka ʻia e ka Pension Fund kahi e hāʻawi ʻia nei me ka lāʻau lapaʻau manuahi a i ʻole nā mea ʻē aʻe.
Akā nō, i mea e kiʻi i nā paila manuahi ʻole, pono ʻoe e lawe mua i kahi lāʻau lapaʻau mai kāu kauka. Pono pono ʻoe e loaʻa kahi kulekele lapaʻau me ʻoe.
Pono nā mea maʻi a pau e loaʻa i kahi kulekele lapaʻau a loaʻa kahi palapala no ka kuleana e loaʻa ai i nā lāʻau lapaʻau me ka manuahi. E ʻike pono i nā wahi i hoʻokuʻu ʻia ai kēia mau palapala, pono nā maʻi me ka maʻi diabetes e hoʻopili i ko lākou kauka a me ka Pension Fund.
Ua maopopo loa ia me kēia maʻi e loaʻa ai i kahi pilikia i kahi neʻe kūʻokoʻa i kēia mau hoʻonohonoho āpau. No ka hana i kēia, aia nā limahana limahana kūikawā e lawelawe ai i ka poʻe maʻi. Hiki iā lākou ke hoʻokō i nā ʻōlelo aʻo a pau o ka mea maʻi a hoʻokaʻawale iā ia nā mea e pono ai i nā luna kūpono.
Ua ʻōlelo ʻia ma luna nei ua hoʻokuʻu ʻia ka lāʻau ponoʻī i kahi lāʻau lapaʻau. Hiki iā ʻoe ke ʻike i ka papa inoa o nā lāʻau lapaʻau e lawelawe pū ana ma kēia papahana, me ka loaʻa hoʻi i ka lāʻau lapaʻau pono e pono ai i kāu endocrinologist o ka'āina. Eia nō kekahi, pono e kauka ke kauka i nā lāʻau lapaʻau e pono ai e mālama i nā maʻi hoʻohui, ke ʻole, he nūkau loa lākou ma ka papa inoa o nā lāʻau lapaʻau manuahi.
Ma muli o nā mea i hōʻike mua ʻia nei, ʻike ʻia kēlā me kēia ka maʻi i kēlā me nā ʻano maʻi maʻi āpau e hiki ke lanakila i nā nui o nā pono e kākoʻo ʻia ana ma ka pae aupuni.
He aha nā pōmaikaʻi i kau ʻia i ka maʻi maʻi maʻi e haʻi i ka loea i ke wikiō ma kēia ʻatikala.
