Ua kamaʻilio mākou me Olga Demicheva, kahi lālā o ka Hui Pūʻulu Hui PūʻIa no ka hoʻopaʻa ʻia ʻana o ka Diabetes, he endocrinologist me 30 makahiki o ke ʻano he kumu, no ke aha ka mea nui o ka alakaʻi ʻana o nā kauka he mea nui loa, ka pōʻino a kona mau ʻohana e manaʻo makemake i ke kōkua, a me nā nīnau paʻakikī loa o nā mea maʻi ke kumu. , a me ka mea kākau o nā puke kaulana e pili ana i nā maʻi o ka pūnaehana endocrine.
Na maʻi Diabethelp.org: Olga Yuryevna, hiki iā ʻoe ke hana i kahi kiʻi o kahi maʻi maʻi maʻamau me ka maʻi maʻi?
Olga Mauman: Hoʻonui hou ʻo ka maʻi mellitus i ka mea nui, e nui ana ka nui o nā mea maʻi. ʻO ka mea mua, eia nō kēia pili i ka T2DM, akā ua hoʻonui pū ka mea iʻike pū ʻia ʻo T1DM. ʻO ka mea mahalo, ʻaʻole i like me nā maʻi endocrine ʻē aʻe, ʻaʻole ia e haʻi ai i ka habitus, ʻo ia hoʻi ka maka. He poʻe ʻokoʻa like kēia i kēlā me kēia. No laila ua mua a noho i kēia lā. ʻO ia ke kumu he mau kauka, e ʻoluʻolu i ka maʻi maʻi i nā manawa e hele mai nā maʻi iā mākou no kahi koho. ʻO ka nānā ʻana i kāu glucose koko he maʻalahi, wikiwiki, maʻalahi. Hiki ke pale ʻia nā pilikia he nui inā "hopu" ʻo ia i ka wehe ʻana, ma mua o ka hōʻeha ʻana o nā hoʻopiʻi. I kēia manawa, ʻaʻole ia e hoʻomaopopo ʻia e nā kauka wale nō, akā nā mea maʻi. No laila, ma ka hoʻokipa ʻana, he nui nā kānaka i nānā kūʻokoʻa i ke kahe o ke koko a loaʻa i kēlā me ke kiʻekiʻe.
Na maʻi Diabethelp.org: Aia paha kaʻokoʻa ma ke ala ʻo DM 2 e hele ai i nā kāne a me nā wahine?
O.D .:. ʻAʻohe mea nui i hoʻololi i ka papa o ka maʻi maʻi i nā keikikāne a me nā kaikamahine, nā kāne a me nā wahine. Akā aia nā hiʻohiʻona e pono e noʻonoʻo ʻia. No ka mea la hana, ka fluctuations i loko o ke koko glucose e pili ana me ka menstrual a me nā kāne o ka wā hānau. A i ʻole, no ka laʻana, ka hopena o ka erectile dysfunction i loko o nā kāne me ka maʻi maʻi maʻa mau. Eia kekahi, aia ma ka maʻi maʻi, e kū wale nō i nā wahine. He maʻi gestational a ʻo ka maʻi maʻi paha. Ma ke ala, ua lilo hou ia i mua o ka wā ma mua. ʻO kēia paha ma muli o ke ala olakino a me ka hana ikaika o kēia ʻano, a me ka piʻi pū ʻana o ka momona a me ka piʻi ʻana o ka makahiki o nā wahine hāpai.
Na maʻi Diabethelp.org: Olga Yurievna, Ua hana ʻoe ma ka mea he endocrinologist no nā makahiki he nui, ʻo wai nā mea maʻi e hoʻokūkū nui nei ʻoe a no ke aha?
O.D .:. ʻAʻole paʻakikī ia iaʻu e hana me nā maʻi. ʻO kekahi manawa paʻakikī i kā lākou mau ʻohana. ʻO Hyperopec ma ka ʻaoʻao o kahi makua a i ʻole kekahi hoa aloha aloha hiki ke hōʻole i ka manaʻo a ka mea maʻi e hahai i nā ʻōlelo hāpai e pili ana i ka mālama ʻana a me ke ʻano hana, hoʻolilo ʻo ia iā ia e hoʻōki i ke kauka ʻana o nā kauka, e hoʻololi kaohi ʻana i kona maʻi pono ʻole i kāna mea aloha. ʻO kēia mea paʻakikī i ka hoʻokō ʻana i ka kūleʻa i ka mālama ʻana.
Na maʻi Diabethelp.org: He aha ke ʻano o ke kākoʻo, i kou manaʻo, e pono ai no nā mākua o nā keiki me ka maʻi ʻano type 1 a me nā keiki pono ʻole lākou ka ʻuhane o ka pono e kiaʻi mau i kā lākou hānai gula?
O.D .:. I kahi maʻi o kahi keiki maʻi, koʻikoʻi loa ia ʻaʻole e hoʻohuli i kēia hanana i kahi ulia ʻohana. Me ka maʻi maʻi, hiki i kēia manawa ke noho hauʻoli a pau, ma kahi o ke ola e like me nā poʻe ʻē aʻe. ʻO ka mālama ʻana i ke kō koko i ko mākou manawa e lilo i maʻalahi ma mua o nā makahiki i hala. Hōʻike nā Glucometer, ka sensor o ka mea i hoʻopili ʻia i ka ʻili a i loko o 2 mau wiki hiki iā ʻoe ke heluhelu i nā hōʻailona mai ka hoʻohana ʻana i kahi kelepona i kēlā me kēia manawa; a laila hoʻonā ʻia kahi sensor hou no nā wiki aʻe 2 e hiki mai ana.
Na maʻi Diabethelp.org: Pehea inā ʻaʻole makemake ke keiki me ka maʻi ʻaʻai 1 e lawe i ke ʻano kula? Aia paha kekahi algorithm e launa ai me ka ʻōnaehana hoʻonaʻauao?
O.D .:. E koi ʻia nā keiki me ka maʻi type 1 e hōʻoia ʻia i nā wahi mālama keiki, nā kula, a me nā ʻāpana haʻuki. ʻAʻole ʻae ʻia ka ʻae ʻole. Inā ʻaʻole ʻoi aku ka hewa o nā poʻo o nā keiki o nā keiki o ke kula ma luna o ke ʻano o ke kānāwai. Hiki iā ʻoe ke noi aku no ke kōkua ʻana i ke kaiāulu āpau o ka poʻe me ka maʻi maʻi.
Na maʻi Diabethelp.org: Pehea e kōkua ai i nā keiki me ka maʻi type type 1 i ke kula? He aha nā hana āu e makemake ai e hana i kou mau mākua?
O.D .:. Pono nā mākua e ʻōlelo pū me kā lākou keiki i nā lula a lākou e aʻo nei i ke Kula Diabetes: mai pololi lākou; e noʻonoʻo i ka nui o nā karoli i ʻai ʻia ma mua o ke kaha ʻana i ka insulin like pōkole; hoʻemi i ka nui o ka insulin a ʻai i ka manawa me ka hoʻomaʻamaʻa. ʻO ka mea nui, ʻaʻole ia e hilahila e pili ana i kou maʻi maʻi. E ʻike nā kumu a me nā hoa aʻo e pili ana iā ia, i mea e kōkua ai i ka manawa inā pono. ʻAe, pono e ʻōlelo ʻia nā keiki i loko o ka papa: "Ua make kou hoaaloha ʻo Vanya. Pono ʻoe e ʻike inā ʻike ʻole ʻo Vanya, pono ʻoe e hāʻawi iā ia i ka wai momona a e noi koke i kahi kōkua mai nā pākeke." Hiki i ka mālama ʻana i kekahi ke kūkulu i ka naʻauʻai a me ke kuleana i nā keiki, a ʻo ke keiki me ka maʻi maʻi ʻoiaʻiʻo e pale ʻia.
Na maʻi Diabethelp.org: No ka ʻoihana, ke nīnau pinepine nei ʻoe e pili ana i kekahi mea - nā mea maʻi, nā mea heluhelu o kāu mau puke, nā haumāna ma ke Kula Diabetes. ʻO kahi o nā nīnau i nīnau aku ai i nā mea maʻi i mea paʻakikī loa?
O.D .:. ʻO nā nīnau ka mea paʻakikī loa iaʻu e pili ana i ka hāʻawi ʻana i nā lāʻau lapaʻau: "no ke aha e hāʻawi ʻole ai i ka insulin?"; "No ke aha i lawe pinepine ʻia ai kaʻu lāʻau lapaʻau maʻamau me kahi limulu?" Kēia mau nīnau e nīnau ʻia i nā mea mālama olakino, ʻaʻole ia i kāu olakino olakino. Akā pehea e wehewehe ai i kēia i nā poʻe e hele maʻamau i ke kauka no ke kōkua a no ka hoʻoponopono ʻana i nā pilikia olakino? No laila ke ʻimi nei au i nā hoʻonā: e aʻo ana wau i ke kānāwai, huli wau i nā mana hoʻoponopono. ʻAʻole hewa paha kēia, akā, ʻaʻole hiki iaʻu ke hiki i kahi ʻē.
Na maʻi Diabethelp.org: A ʻo wai ka mea e launa ʻole ai?
O.D .:. I ka wā i hoʻomaka ai wau e hana ma ke kauka, he alakaʻi i ka kūkākūkā ma hope o ka hana nui i ka keʻena outpatient o ko mākou wahi kipa. Ua nīnau mai kekahi mea maʻi iaʻu: "Kauka, heaha kāu uku?" Ua maʻaupō wau i ka ʻike o kēia malihini i ka ʻano o kaʻu ʻīlio. ʻĀ, e pane wau: "ʻeleʻele a male tan male." A ke nānā nei ʻo ia iaʻu me nā maka puni, ʻaʻole maopopo i ka mea aʻu e manaʻo ai. Ka mea i manaʻo ua lawe wau i ka uku kūkā.
Na maʻi Diabethelp.org: He aha nā kuhi hewa maʻamau āu i ʻike ai i ke ʻano?
O.D .:. ʻAe, nui nā manaʻo kuhi hewa ʻole! Ua kūʻiʻo kekahi i ka ulu ʻana o ka maʻi maʻi mai ka ʻai ʻana i ke kō. Ke manaʻo nei kekahi, ʻo ka lawelawe ʻana i ka insulin e like me kahi mea make. Ke kūʻiʻo nei kekahi iā ʻoe me ka maʻi maʻi maʻi, e pono ʻoe e ʻai wale i ka pā o ka buckwheat. ʻAʻole kūpono kēia mau mea a pau. Ma kaʻu puke i ka maʻi hānai, kahi kumuhana āpau i kēia kumuhana.
Na maʻi Diabethelp.org: Ke kamaʻilio nei nā puke! ʻO Olga Yuryevna, e ʻoluʻolu e haʻi iā mākou i ka mea i noi ai iā ʻoe e hoʻomaka i ka kākau ʻana i nā ʻatikala a me nā puke no nā poʻe maʻamau, ʻaʻole nā limahana lapaʻau?
O.D .:. ʻO nā poʻe maʻamau e ko mākou poʻe maʻi a me kā lākou mea aloha. No kā lākou makemake nō mākou nā kauka, nā mākaʻikaʻi a hana hoʻi i ko mākou mau ola a pau. Pono loa e kamaʻilio me nā maʻi, pane i kā lākou mau nīnau, hoʻonaʻauao iā lākou, a ʻike. Ua poina koke nā kānaka i kekahi mau ʻōlelo aʻoaʻo a me nā ʻōlelo aʻo mai nā kauka. Akā ke ʻohi ʻia nei kēia mau ʻōlelo i loko o ka puke hoʻokahi, e kau mau ʻia.
Na maʻi Diabethelp.org: Hoʻolālā āu e kākau i kahi mea no ka poʻe keiki kamaliʻi?
O.D .:. No nā keiki, manaʻo wau i kekahi lā e kākau i kahi moʻolelo maluhia i loko o nā poʻomanaʻo e pili ana i ka maʻi maʻamau 1. Pehea e ola pono ai me kēia maʻi. A ʻano puke alakaʻi comic. Me nā kiʻi a me nā kānāwai rhyming kūpono. I kekahi lā, inā ʻae ka manawa ...
Na maʻi Diabethelp.org: I kāu puke hou, ke kamaʻilio nei ʻoe e pili ana i kahi "ʻano genetic" mai nā kūpuna i loko o ke ʻano o ka hyperinsulinism kūhā a me ka kūʻē o ka insulin. Pehea ʻoe e hoʻokau kino ai iā ia?
O.D .:. Hoʻohana wau i kēia "makana" i kēlā me kēia lā: hoʻāʻo wau e neʻe hou aku ʻaʻole nui. Inā ʻaʻole kēia, ʻo kēia makana i hūnā ʻia i loko o kaʻu mau gen, e puʻe a lilo i ʻike nā poʻe a pau loa. ʻO konaʻano hanohano.
Na maʻi Diabethelp.org: He aha kāu e aʻo pilikino ai i ke kula Diabetes āu e aʻo aku ai? ʻO wai e hiki ke hele i kēia Kula?
O.D .:. ʻO ka hoʻonaʻau ahonui, e like me kekahi hoʻonaʻauao mau, ʻelua mau ʻano hana ʻelua. ʻAʻole nā haumāna wale nō ke aʻo, akā ʻo ke kumu. Me kaʻu mau mea maʻi ma Wessell Clinics, hana wau i ke Kula ʻo Diabetes, Tiroshkoly, a me ke kula o nā mea hakakā ʻana i nā papahana ʻeha. I mea lilo i kaʻu haumāna, ua lawa koʻu ahonui.
