ʻIke kēlā me kēia kanaka e kōkua i ka heluhelu ʻana i kēia ʻatikala e pili ana i nā hōʻailona o ka maʻi maʻi. He mea nui ʻole ia e haʻa i nā hōʻike mua o ka maʻi diabetes i loko ou iho, kāu kāne, kahi kanaka makua a i ʻole ke keiki. No ka mea inā hoʻomaka ka mālama ʻana i ka manawa, hiki ke mālama i nā hoʻopiʻi ʻana, e hoʻolōʻihi i ke ola o kahi maʻi maʻi, e mālama i ka manawa, ka hoʻoikaika a me nā kālā.
E kūkākūkā mākou i nā hōʻailona maʻamau o ke maʻi maʻi, a me kekahi mau ʻōmapa mua o ke koko koko kiʻekiʻe ma nā kāne makua a me nā wahine a me nā keiki. ʻAʻole hiki i nā poʻe he nui ke hoʻoholo e kipa i ke kauka no kahi lōʻihi ke nānā lākou i nā hōʻailona o ka maʻi maʻi. Akā ʻo ka lōʻihi e lōʻihi kou manawa ma ia ʻano, ʻoi aku ka nui o ka manawa.
ʻO nā hōʻailona mua o ka maʻi maʻi
Inā loaʻa kahi kanaka i ka maʻi diabetes type 1, no laila e loli nui kona ʻano (i loko o kekahi mau lā) a nui. Nānā ʻia:
- mahuahua ka makewai: inu ke kanaka i ka 3-5 lita o ka wai i kēlā me kēia lā;
- i ka ea lewa - ka ʻono o ka acetone;
- i ka mea maʻi ua make mau kaʻai, ʻai nui ʻo ia, akā ma ka manawa hoʻokahi e hoʻomau nā loko o nā hōʻemi momona;
- hana pinepine ai a me ka hoʻopunipuni (i kapa ʻia kēia o polyuria), ʻoi loa ka pō;
- nalowale o ka ʻike (diabetes coma)
ʻAʻole paʻakikī ke ʻike i nā hōʻailona o ka maʻi type 1 i ka mea ʻē aʻe a me ka mea hoʻomanawanui iā ia iho. Me nā poʻe e hoʻomohala i ke ʻano type type 2, he ʻano ʻē. Hiki iā lākou ke lōʻihi no kahi mau makahiki he mau makahiki, ʻaʻole e ʻike i kekahi pilikia kūikawā me ko lākou olakino. No ka mea e ulu mau nei kēia maʻi. A eia kekahi he mea nui ʻole e poina i nā hōʻailona mua o ka maʻi maʻi. ʻO kēia kahi nīnau e pili pono ai kahi kanaka e mālama pono i kona olakino.
ʻO nā hōʻailona o ka maʻi maʻi maʻi 2
ʻOi aku ka pilikia o kēia ʻano maʻi maʻi no ka poʻe ʻōpio ma mua o nā kānaka ʻōpio. Hoʻokumu ʻia ka maʻi nui i kekahi manawa, i mau makahiki, a e ulu mālie kona mau hōʻailona. Hoʻomaʻamaʻa mau ke kanaka i ka ʻeha, hoʻōla mālie ka hōʻeha ʻana o kona ʻili. Ua nāwaliwali ka ʻike ʻike.
ʻO ka maʻamau, ʻo nā pilikia i kākau ʻia ma luna nei e "hoʻopili ʻia" i kahi kūlohelohe o ke olakino me ka nui o ka makahiki. Heʻuʻuku kekahi mau mea maʻi e ʻike pono i kēia mau hōʻailona o ka maʻi maʻi, a e nīnau aku i ke kauka i ka manawa. I ka hapanui pinepine, ʻike ʻia ka maʻi maʻamau i ka maʻi maʻamau a i ʻole e hele ai i ka wā kauka no nā maʻi ʻē aʻe.
Nā hōʻailona o ka maʻi maʻi type 2:
- nā hōʻailona maʻamau o ka olakino maikaʻi: ka hānai, nā pilikia ʻike, nā hoʻomanaʻo maikaʻi no nā hanana i hala;
- ʻāʻī pilikia: hōʻeha, nā puʻupuʻu pinepine, nā hōʻeha a me nā mea hōʻeha ʻaʻole i mālama maikaʻi;
- i nā mea waena waena - make wai ʻole, a hiki i ka 3-5 lita o ka wai i kēlā me kēia lā;
- i ka elemakule, make wai ʻole ka makewai, a me ka maʻi me ka maʻi diabetes;
- ua komo pinepine ka mea maʻi i ka loko i ka pō (!);
- ʻūhā ma nā wāwae a me nā wāwae, ʻāʻī a nānā hoʻi i nā wāwae, ʻeha inā hele;
- ke emi nei ka mea maʻi me ka ʻole o kaʻai a me ka hoʻoikaika - he mau hōʻailona kēia o ka pae hope o ke ʻano maʻi type 2 - ua makemake koke i nā inikini insulin.
Hoʻomaka ka type 2 ma ke 50% o nā mea maʻi me ka ʻole o nā hōʻailona waho. Hoʻomaʻamaʻa pinepine ʻia ʻo ia, ʻoiai ke ulu ʻana ka maka, ʻikea nā palaka, hōʻeha kekahi puʻuwai puʻuwai, e kū mai ana ka pilikia.
Inā kaupaona kou momona, a me ka luhi hoʻi, nā maʻi hōʻeha a maluhia, ua hāʻule nā maka, ʻike nui nā hoʻomanaʻo - mai hopohopo e nānā i kāu kō koko. Lawe i kahi hōʻike koko no ka hemoglobin glycated. Inā e hoʻokiʻekiʻe - pono ʻoe e mālama ʻia. ʻAʻole ʻoe e pili i ka mālama ʻana i ka maʻi diabetes - e make koke ʻoe, akā ma mua o kou hiki ʻana nō ʻoe i ka manawa e hōʻeha ai i kona hōʻeha koʻikoʻi (nā makapō, nā hōʻoloʻi o ka maʻi, ʻōpū a me nā gangrene ma nā wāwae, ka hōʻeha, ka puʻuwai.
ʻO nā hōʻailona kūikawā o ka maʻi maʻi i nā wahine a me nā kāne
ʻO kahi hōʻailona maʻamau o ka maʻi maʻamau i nā wahine he mau maʻi ʻo nā vaginal. Ke hoʻohilahila mau nei ka thrush, kahi paʻakikī ke mālama. Inā loaʻa iā ʻoe kēia pilikia, e kiʻi i kahi kaila koko no ka huka. He mea maikaʻi loa ia ke ʻike ʻia i ka ʻoihana i ka mea a glycated hemoglobin āu e loaʻa.
I nā kāne, nā pilikia me ka potency (palu palupalu a paʻa ʻole paha) e hōʻike nei nō ka nui o ka nui o ka maʻi o ka maʻi maʻi, a i ʻole hele ʻia kēia maʻi koʻikoʻi. No ka mea me ka maʻi maʻi maʻi maʻi, e pili ana nā kīʻaha e hoʻopiha i ka penis me ke koko, a me nā ʻiʻo ka poʻe e hoʻomalu i kēia kaʻina hana.
ʻO ka mea mua, pono ke kāne e ʻike i nā mea e pohō ai kona mau wahi i ka moena. No ka mea, ʻo ka "psychological" impotence hele pinepine i ka manawa pinepine ma mua o ka "kino". Manaʻo mākou iā ʻoe e heluhelu i ka ʻatikala "Pehea e mālama ai i nā pilikia me ka maʻi kāne o ka maʻi diabetes." Inā ʻike ʻaʻole ʻaʻole ka palupalu o kou mana wale nō, akā ʻo kou ola holoʻokoʻa hoʻi, ke hāpai nei mākou i ka hele ʻana i ke ʻano koko no ka hemoglobin glycated.
Inā he index glycated hemoglobin mai 5.7% a 6,4%, loaʻa iā ʻoe ka hopena o ka lolo, i.e. prediabetes. ʻO ka wā kūpono e hana ai i ka "maʻi holoʻokoʻa" ʻaʻole ulu. ʻO ka palena palena o ka palena o ka hemoglobin glycated no nā kāne a me nā wahine he 5.7%. Akā - ʻoluʻolu! - Ke paipai ikaika nei mākou e mālama i kou olakino, ʻoiai inā kēia helu he 4.9% a kiʻekiʻe paha.
ʻO nā hōʻailona o ka maʻi maʻi i nā keiki
E nānā inā loaʻa i kēia mau maʻi hōʻeha kā ke keiki:
- make wai nui (ua kapa ʻia kēia he polydipsia);
- nā hoʻomaka ʻana o ka urinary ma ka pō, ʻoiai ʻaʻole ia ma mua;
- hopohopo kau ke keiki i ka paona;
- utuka
- ua huhū ke keiki, hāʻule ke hana o ke kula;
- ua ʻōlelo pinepine ʻia ka maʻi ʻili - nā ʻala, ka bale, a pēlā .;
- i nā kaikamāhine i ka wā kamaha - candidiasis vaginal (thrush).
Lawe pinepine nā mākua i nā hōʻailona o ka maʻi diabetes i nā keiki he mau hōʻailona o nā maʻi ʻē aʻe: ke anu a me nā pilikia pāpaʻi ʻole paha. No laila, ʻaʻole hiki i ka manawa maʻamau ka maʻi maʻamau i ka maʻi maʻamau i kahi keiki ma ka manawa koke a hoʻomaka koke i ka mālama ʻana i mea e pale ai i ka hoʻomohala ʻana i ka coma maʻi maʻi.
ʻO nā mea hou (ikaika) nā hōʻailona o ka maʻi maʻi i nā keiki:
- huʻi pinepine
- make wai nui, ʻike ʻia ka ʻili maloʻo, a ma ka manawa like, hoʻomau pinepine ke keiki i nā ʻalo;
- ka hoʻolilo ʻana o ka paona "e like me i loko o ka hale hoʻokele", nā hōʻailona waho o ka dystrophy;
- He hanu ʻē aʻe ke keiki - ka lole, ka loaʻa ʻole, a me ka hanu hohonu a me ka hoʻoulu hou ʻana - ua kapa ʻia kēia ʻuhane o Kussmaul;
- i ka ea lewa - ka ʻono o ka acetone;
- ka hilo ʻana o ka ʻike: lethargy, disorientation in space, emi iki - i ka nalowale o ka ʻike ma muli o ka coma;
- haʻalulu ka hopena: pinepine pulse, limu polu.
Inā loaʻa ke maʻi maʻi o ke keiki, a laila huli pinepine ia i ka maʻi type o ka maʻi maʻamau 1, a hoʻomohala koke kāna mau hōʻailona. ʻOiai mai ka hoʻomaka ʻana o ka makahiki XXI, he ʻōpio ʻōpio nō hoʻi ke ʻano o ka maʻi ʻōpio 2. Ua loaʻa kahi mau manawa i nā keiki o 10 mau makahiki o ka nui o nā pōkole i hoʻomohala i kēia ʻano maʻi maʻi.
Hoʻomaopopo ka ʻike ʻana i nā hōʻailona o ka maʻi maʻi i nā pēpē no ka hiki ʻole ke ʻōlelo mau. E like me ke kānāwai, i ka wā kamaliʻi, ua hoʻoholo ʻia ka maʻi diabetes i ka wā he lethargic (precomatous state) a hāʻule paha i loko o kahi coma. E hopohopo nā mākua a hoʻopili aku i kahi kauka inā ʻaʻole ka lemu o ka pēpē i ka manawa. No ka mea hiki ke lilo i hōʻailona o ka maʻi maʻi.
Manaʻo mākou i kahi ʻatikala e pili ana i nā hōʻailona maʻi maʻi. Ua wehewehe ʻo ia i nā kumu kumu e loaʻa ai i nā maʻi kekahi, a he aha nā mea e pono ai ke hana. No ke aha i ho'ōla ai nā maʻi diabetes i ka maʻi diabetes a e hoʻokau i ka hopohopo i nā wahine? ʻAuhea mai ke ʻano o ka huehue o ka acetone e hanu ai? He aha nā kumu i hoʻonui nui ʻia i ka make a me ka maʻi diabetes? Hāʻawi ka ʻatikala i nā pane kikoʻī i kēia mau nīnau a me ka nīnau.