Dielles mellitus a me kona ʻano
I ka wā mua, hiki ke hoʻoholo e hoʻohana i ka hoʻohana ʻana i nā lāʻau i ke kala e hoʻohaʻahaʻa i ke kō, no ka mea ʻo ka ʻimi ʻana o ka insulin he ʻano paʻakikī. Hoʻoweliweli ka pau ʻole o ka injections a kumu i nā pilikia lehulehu i nā maʻi.
Ke manaʻo nei ua loaʻa i kāu kauka ke maʻi maʻi II. I kona ʻike ʻana i nā hopena hoʻokolohua, ua kuhikuhi ʻo ia i ka ʻai no ʻoe, me ka laahi a i ʻole ka haʻahaʻa o kekahi lāʻau lapaʻau e like me ka maʻi maʻi. Loaʻa paha ka lawa ʻana o ka mea ʻai hoʻokahi.
I nā kūlana ʻē aʻe, inā he nui kou kaumaha, makemake wale ʻoe e kaupaona. Me ka maʻi type II, ʻaʻole pono e lawe i nā lāʻau lapaʻau, hiki iā ʻoe ke pili i kahi meaʻai haʻahaʻa a me ke kaumaha. ʻAʻole he hana maʻalahi ka hakakā o ka momona akā ʻo ka hakakā ʻana kēia kaua ke aloha ʻoe i kou olakino.
Inā i hoʻohālikelike ʻia nā lāʻau
- E hahai ana ʻo Kaʻai. Pono e hōʻoia i kēia ma ka nānā ʻana. Inā hewa koke nā hōʻike hōʻike - hoʻonui ke kauka i ka nui o ka lāʻau lapaʻau. Ma hope o kēlā, pono wale ʻoe e hahai i kahi papaʻai a ʻaʻole ikaika i ka hoʻoikaika kino. ʻAʻole hoʻomohala ka ʻōpiopio e like me ka hyperglycemia, kūpaʻa kou kūlana, hiki i nā hōʻeha ke kūpaʻa e like me ka makahiki. ʻAʻole e make.
- ʻAʻole loa i nalowale nā hōʻailona, ʻoiai me ka hoʻomaha o ke kūlana. Ke hopohopo nei nō ʻoe no ka nāwaliwali, waha maloʻo, etc. ʻO ka ʻokoʻa loa, ua kuhikuhi nā kauka i kahi lāʻau nāwaliwali. Ua hōʻike ʻia ʻoe i ka lāʻau ikaika e like me ka mannyla. (Inā e uhai ʻoe i ka meaʻai, a laila hopena ka hopena o ka lālau hōʻona i ke kō a emi aku nalo.
- No kahi manawa āu e uku ai i ka maʻi diabetes, akā ua huli ʻo ia i kuhikuhi ʻia e ka lāʻau palupalu. Ma hope o kekahi mau mahina a i ʻole mau makahiki, e hoʻomaka ʻoe e lawe i ka nui loa iā ʻoe no ka pono. Hoʻole loa ia ke hoʻonui kūʻokoʻa i ka nui o ka lāʻau lapaʻau a ʻaʻohe kumu. E hōʻeha wale ka lāʻau iā ʻoe a i ʻole nā hopena hopena. ʻAʻole pane kou kino i ka lāʻau lapaʻau ma muli o ka hoʻohui. A i ʻole e holo nei kou maʻi. I kēia kūlana, pono ʻoe e ʻike maka i kahi kauka.
- Lawe ʻoe i ka lāʻau ikaika a hōʻoluʻolu ʻoe. Akā pilikia hou kou kūlana a hōʻeha hou ʻoe. ʻAʻole kōkua ke manin ka lāʻau lapaʻau ikaika iā ʻoe. ʻAʻole pono e hoʻonui i kahi hopena! ʻO ka wikiwiki e hoʻohuli i ka hoʻomehana insulin. E hoʻomaka ana ua hoʻomaka mua ʻoe i ka hyperglycemia - makeʻe kou mau wāwae, hoʻomaka ʻoe e ʻike maikaʻi. ʻO ka mea nui, ʻaʻole ia e kānalua. E pili ana kou ala i ke kauka e ʻike ai i ka mea i loaʻa: he type II maʻi ʻoe, a i ʻole ʻōmaʻomaʻo i ka maʻi diabetes. I ka hihia mua, ʻaʻohe hana ʻo PSM, a pōpilikia kāu pancreas. Kōku ʻia ʻia e hele i ka haukapila.
- Inā e hōʻike ʻoe i ka maʻa maʻi type ʻole, ʻaʻohe wahi e hele ai, a pono ʻoe e hoʻololi i ka insulin. Ma kekahi ʻano kumu'ē aʻe, e manaʻo nō ʻoe i ka make wikiwiki mai kahi maʻi maʻi maʻi, a i ʻole nā hopena hoʻopiʻi e pepehi iā ʻoe a ma hope koke iho. Hiki iā ʻoe ke kiʻi i ka maʻi cardiovascular, i ka ulu nui a i ʻole ka pau ʻana o ka ʻike, maka a wīwī. Maʻa ka make mai ka nephropathy; ʻoi aku ka paʻakikī ma mua o ka hōʻeha a me ka puʻuwai ʻeha. No laila, e hoʻololi koke i nā inikini insulin. Me kahi moena gula kiʻekiʻe, hoʻomohala nui nā hoʻopiʻi (5-7 mau makahiki).
- Hōʻike ka hōʻike hōʻike loaʻa ʻana he lāʻau II maʻi ʻoe, a ʻo nā lāʻau ikaika loa ʻaʻole hoʻi i kōkua. Nui nā hoʻonā i ka pilikia:
- ka hope hope o ke kauʻana i ka insulin he therapy PSM (hoʻomākaukau ʻo sulfonylurea) a me kahi lāʻau lapaʻau biguanide;
- nā lāʻau lapaʻau hypoglycemic a me ka hoʻomehanaʻana o ka insulin. I ke kakahiaka - nā papa, i ke ahiahi - ka insulin (10-20 UNITS);
- ka hōʻole ʻana i nā papa i ke aloha ʻana i ka insulin no ka manawa hoʻokahi i ʻelua. I kēia manawa, hiki i ka pancreas ke "hoʻomaha", a he mea hoʻi paha ʻoe e hoʻi i ka lawe ʻana i nā lāʻau lapaʻau, e haʻalele ana i ka insulin.
Loaʻa nā hopena o ke kinina wai kōkō
Ua hoʻomaʻamaʻa ʻoe iā ʻoe iho me kekahi o nā kūlana e pili ana i ka holomua maʻi ʻana. ʻAʻole maʻalahi ke ʻano no ka maʻi maʻi II. ʻOi ka hoʻopiʻi ʻia ʻana o ka maʻi type II ma mua o ka maʻi type ʻoiaʻiʻo he hewa ʻole. ʻAʻole pono e poina iā mākou e pili ana i ka hyper- a me ka hypoglycemia a me nā hoʻopiʻi kūlohelohe. Ua hiki i kēia ke alakaʻi i nā hopena ponoʻole.
ʻAʻole ke ʻano he make he make i ka maʻi diabetes II II inā hōʻike ia iā ia iho ma kahi ʻano haʻahaʻa ma hope o ka hiki ʻana aku i kanaono mau makahiki. Me kahi kūlana paʻa o ka mea maʻi, ka mālama ʻana a me ka hoʻohaʻahaʻa ʻana, ʻo ka hoʻohana ʻana i nā mea kanu a me ka lāʻau hoʻoliʻi haʻahaʻa, ʻoi aku ka maʻi.
- Inā lawe ʻoe i nā lāʻau lapaʻau e hoʻonā ai i ka insulin, hypoglycemia, kahi ʻano kūka i ke ʻano o ka ʻano a me ka palahalaha, a me ka ʻeha. ʻO ka maʻi hōʻeha a me nā pilikia o ka ʻeha gastrointestinal, loli ʻole i ka hoʻololi ʻana i ke koko a me nā pilikia ʻē aʻe i hoʻoholo ʻia.
- ʻO ka hoʻohana ʻana i nā biguanides, ʻoiai inā he contraindications a ke ahonui i kēia hui o nā lāʻau, ua hōʻino ʻia me nā hopena like ʻole. ʻO kekahi o lākou e alakaʻi i ka lactic acidosis (coma me ka nui o nā kiko o ka waikawa lactic i loko o ke koko, me kahi hopena hopena o ka make). ʻO nā kumumanaʻo ka lawe ʻana i ka biguanides ka mea huaka a me ka hemahema o ka ate, ka mea hoʻohui i ka waiʻona a i ʻole ka waiʻona, nā maʻi o ka ʻōnaehana cardiovascular.
Pono e nānā pono i kekahi helu o nā contraindications no ka lawe ʻana i nā lawehala hypoglycemic, i ka wā hiki ʻole ke hoʻohana ʻole ʻia ka hoʻohana ʻana i kēia mau lāʻau. ʻO kaʻoiaʻiʻo, ʻo ka contraindication koʻikoʻi e ʻano type i ka maʻi diabetes. ʻO ka hoʻomaʻamaʻa ʻana ʻoe iā ʻoe iho me kēia mau hanana e like pū nō. Ke hoʻokaʻawale nei ʻo ka maʻi II a me ka maʻi ʻeha a me nā hōʻeha, a me nā hihia e koi ana i ka hōʻemi ʻana i nā mea maʻi, ʻaʻole pono nā lawehana hypoglycemic.
Inā ʻoe e pili ana i ka hypersensitivity i nā lāʻau lapaʻau o kekahi pūʻulu, pono hoʻi ʻoe e hōʻole ma ka lawe iā lākou. Ma ka hihia o ka hypoglycemia i hoʻoulu ʻia e ka maʻi a me nā maʻi o ka puʻuwai a me nā ʻōpū, ʻoi maikaʻi ke lawe i ka hōʻemi: ʻoi aku ka maikaʻi o ka hoʻohana ʻana i ka lāʻau o ka insulin. Hoʻohana ʻia ka Insulin i nā āpau āpau a loaʻa i ka maʻi contraindications. I ka hihia o ka hapai, hoʻohuli ʻia nā wahine i ka hauola ʻana i ka insulin, a e hoʻohana ʻia paha ka insulin i ka wā o ka mea maʻi i hoʻohana ʻia nā maʻi paʻakikī.
