Kūpono i nā makahiki 18: waiwai ʻoluʻolu

ʻO ka glycemia ka ʻikeʻana o ke kō i loko o ke kino o ke kanaka. Kālai ʻia kāna mea i ka hana o nā kaʻina metabolic, ka nui o ka meaʻai i hoʻopau ʻia, ka hana o nā ʻiʻo a me nā ʻōnaehana.

ʻO Monosaccharide (glucose) kahi "wahie" e kōkua i ka hana kūloko. Loaʻa i kahi mea ʻāpana wale nō ka meaʻai, ʻaʻohe ʻano kumu ʻē aʻe. Me kahi hemahema, pilikia ka lolo.

ʻO ke kumu o ke kō koko koko i nā makahiki he 19 ua like ia me ka makua. ʻAʻole e hoʻemi i nā haʻahaʻa ma lalo o nā ʻāpana he 3.5, akā ʻaʻole i emi iho ma mua o 5.5 mau ʻāpana. Inā hōʻike kekahi mau hōʻike i kahi kihue, pono nō ka lawaiʻa kūpono.

ʻO ka maʻi Hyperglycemic a me ka hypoglycemic pilikia i ke ola olakino a me ke ola. Hōʻike nā ʻano like ʻole i loko o ke kino, e hoʻonāukiuki i nā maʻi maʻi, a hoʻoliʻiliʻi i ka maikaʻi o ke ola.

ʻO ke kaulike o ka paila kōpili ma ka makahiki 19

I mea e maopopo loa ai i ka holo ʻana o nā pilikia nui, pono ʻoe e ʻike i ke ʻano o ke kō i loko o ke kō a me nā kāne. Mālama ʻia ka palena ʻokoʻa e ka insulin hormone. Hoʻopili ʻia kēia mea me ka hoʻohana ʻana i ka pancreas.

I ka liʻiliʻi a ʻike paha ka hāmeʻa a i ʻole nā ​​'ike o ka kiko "kiko," he nui i ka nui o ka hōʻailona, ​​ke ala i nā ʻōmole like ʻole. I nā makahiki 19, ʻo ke kumu ke kīlei maikaʻi ʻole.

I kēia honua o kēia manawa, aneane nā huahana meaʻai a pau, nā mea kanu, nā mālama, nā ʻono, a me nā mea e hoʻopilikia ai i ke kino. Hoʻonui loa ke kūlana i ka ulaula, nā kūlana kaumaha.

ʻO ka lilo ʻana i mea momona ko kekahi mea ulu. ʻO kaʻai kūponoʻole i ka 18-19 mau makahiki e alakaʻi i ka momona, kēlā me kēia, ke emi nei ka maʻi o ka pilina ma ke koko i ka koko. Wahi a ka ʻike i hāʻawi ʻia e ka World Health Organization, nā ʻanā maʻamau e like me kēia:

• ʻO nā makahiki o ke keiki mai nā lā ʻelua a i hoʻokahi mahina - nā helu ʻoluʻa mai 2.8 a 4.4 mmol / l.
• Hoʻomaka mai hoʻokahi mahina a hiki i ka makahiki 14, hōʻike ʻia ke ʻano hoʻohālikelike e ka 3.3 a i 5.5 mau kikowaena.
• Mai 14 mau makahiki a 19 mau makahiki, a no nā pakeke, ua like nā mea like - he 3.5-5.5 mau ʻāpana.

Ke hoʻohālikelike ʻia ka hilo ma ka ʻumikūmāiwa he ʻumikūmākahi, 6.0 mau kikowaena, a laila, he kūlana hyperglycemic kēia. Inā loaʻa ka mea e hōʻemi i nā kikowaena 3.2 a i ʻole e emi mai, he kūlana hypoglycemic nei. ʻO ke ʻano o ka makahiki, e hoʻoweliweli kēia mau ʻano ʻelua i ke olakino; Ke ʻae ʻole nei kēia i kēlā me kēia hewahewa, me nā mea i hoʻohuli ʻole ʻia.

Hoʻololi i nā waiwai o ke koko o ka capillary (lawe ʻia ka waiola ololi mai ka manamana lima) a me ke koko venous (i lawe ʻia mai i kahi vein). ʻO ka mea maʻamau, ka hopena maʻamau i 12% kiʻekiʻe. Hoʻohālikelike ʻia me kahi hōʻike koko mai kahi manamana lima ma mua o ka ʻai ʻana.

Eia kekahi, inā ʻo ka loiloi mua i hōʻike i kahi kinaʻe, no ka laʻana, o nā ʻāpana he 3.0, a laila pono ke kamaʻilio e pili ana i ka hypoglycemia. I mea e hōʻoia ai i ka hopena, ua kauoha ʻia kahi hoʻokele mau.

Inā hāpai ke kaikamahine he 19 a mau makahiki, a laila nona kāna kuhi gula a hiki i ka 6,3 mau ʻāpana. Ma luna o kēia alapine, mālama hoʻomau mau ʻia, koi ʻia kekahi noiʻi hou.

Nā hōʻike maʻi o ka glucose kiʻekiʻe

ʻO kahi maʻi ʻo mellitus ka maʻi maʻi me ka hoʻōho o ka glucose i ʻole ke ea. Hōʻike ʻia i kēlā me kēia maʻi i nā maʻi o nā makahiki like ʻole. ʻO ka maʻamau, ua hoʻoholo nā keikikāne ʻōpio a me nā kaikamahine i like ʻole ke ʻano o ka maʻi maʻi.

I ka nui o nā makahiki ma mua, i ka hapanui o nā maʻi, ua ʻike ʻia kahi maʻi ʻano 2. Hiki i ka holomua ke ʻano no nā makahiki he mau, a pinepine i ka wā e hoʻokau ai i ka maʻi, ua loaʻa i ka mea maʻi nā pilikia āpau me nā kīʻaha koko, nā hana o ka pūnaehana nūnū waena, etc.

Hiki ke hoʻoholo ʻia ka hoʻonui ʻana i ka glucose i ka hoʻohana ʻana o kahi glucometer ma ka home. E hāʻawi kēia mea hana kūikawā i ka hopena kūpono i nā minuke. Akā kōkua pū kekahi mau hōʻike olakino e kānalua i ka maʻi:

1. ʻO ka lethargy mau loa, luhi ma muli o ka nele o ka hana kino.
2. Hoʻonui ka momona, aʻo ke emi ʻana o ke kaumaha o ke kino.
3. Puʻuwai maloʻo, inu nui mau ka make ʻana. ʻAʻole hoʻomaha ka intake i ka wai i ka maʻi.
4. ʻO nā huakaʻi hele pinepine i ka lua, ka hoʻokaʻawale kope o ka urine.
5. ʻO ka huehue, nā ʻūhā, nā ʻōpū, a me nā mea i kū ʻia ma ka ʻili.
6. Ke kuʻi nei i ka ʻōpū.
7. ʻO ka hoʻemi ʻana i ke kūlana palekana, hōʻemi i ka hana.
8. ʻO nā ʻohi pinepine pinepine a me ka hanu, ka maʻi kūlohelohe, etc.

Hōʻike kēia mau hōʻailona i ka hiki ʻana o ka maʻi diabetes. Pono e noʻonoʻo ʻia ʻaʻole lākou i ʻike ʻia me ka like ʻole o ka poʻe maʻi a hiki wale i ka 2-3 o nā hōʻailona lapaʻau i kūkā ʻia ma luna.

I ka pilikia ma nā mea maʻi i loaʻa ka mōʻaukala o ka naʻau a me ka hana ʻana o ka maʻi lōlō, ka momona a me ke kaumaha. ʻO kekahi kumu nui i loko o ka hoʻomohala ʻana o ka maʻi he predisposition hoʻoilina. Inā loaʻa i ka maʻi lolo ko ka ʻohana 1, a laila pono e nānā pono kekahi i kā lākou olakino, hāʻawi ʻia i ke koko no ka glucose.

I ka wā hāpai, he mea koʻikoʻi loa ia e kiʻi i ke kumu e alakaʻi ana i ka moku hyperglycemic, no ka mea, aia kahi pālua ʻelua - no ka makuahine a me ke keiki. Hoʻomaʻamaʻa i ka makahiki 19, ua ʻike ʻia kahi emi o ka glucose. Inā ʻaʻole ʻoe e hoʻihoʻi i ka kaulike i ka manawa, alakaʻi kēia i ka luhi a me ka coma ma hope iho.

ʻO ka pathogenesis o ke kō haʻahaʻa haʻahaʻa ma muli o ka wā hoʻomaha ma waena o kaʻai, ka hoʻoikaika kino kino, ka wikiwiki, etc.

ʻImi noiʻi maʻi

No ka loaʻa ʻana o ke ʻano maʻi o ka maʻi maʻi, hoʻokahi aʻo noi ʻana i ke kaola o ke ʻano o ke aniani mai ka manamana lima ʻaʻole lawa. Pono ia e hana i kekahi mau loiloi e hoʻopili ai i kahi kiʻi holoʻokoʻa.

Hiki paha i kāu kauka ke hoʻoholo i ka hoʻoholo ʻana o ka ʻae ʻana i ka monosaccharide. Ka pōkole puʻupuʻu: lawe lākou i ke koko mai kahi manamana lima, a laila hāʻawi i ka mea maʻi i ke kīpē i loko o ke ʻano o ka glucose (hōloʻe i ka wai, pono ʻoe e inu), ma hope o kahi hana he ʻano ʻokoʻa koko.

ʻO ka loiloi o nā hualoaʻa ma hope o ka kau ʻana o ka glucose.

• Inā ʻaʻohe pilikia o ke olakino, a laila ma muli o 7.8 mau ʻāpana.
• ʻO Prediabetes (ʻaʻole naʻe kēia maʻi maʻi o ka maʻi, akā i ka mua o nā mea predisposing, he maʻi maʻi e ulu ana) - ke ʻano o ka nui o 7.8-11.1 mau ʻina.
• Patula - ma luna o 11.1 mau ʻāpana.

A laila pono no ka hoʻoholo ʻana i ka hana o nā pūkū o ka paʻū i ka hana. No ka hana i kēia, pono ʻoe e helu i nā kumu ʻelua. ʻO ka mea mua he waiwai hyperglycemic, hōʻike ia i ka hoʻohālikelike o ka glucose i kahi ʻōpū ʻole a ma hope o ka hoʻomaʻamaʻa. ʻAʻole pono nā waiwai o ke kūlana ma kahi o ka 1,7 mau ʻāpana. ʻO ka hōʻailona ʻelua he kiʻi hypoglycemic, ʻaʻole i kiʻekiʻe aʻe ma mua o 1.3 mau ʻāpana. Hoʻoholo ʻia ia e ka glucose ma hope o ka hoʻouka ʻana i nā hopena ma mua o ka ʻai ʻana.

I ka loaʻaʻana o nā hopena kanalua, hiki i kahi loiloi no ka hemoglobin glycated ke kuhikuhi ʻia aku he ʻano loiloi hou. ʻO nā pono ona hiki ke hāʻawi i kahi kanaka i ke koko ma hope o ka ʻai ʻana, i ke ahiahi a i ke kakahiaka paha, ʻo ia hoʻi, i kēlā me kēia manawa. ʻAʻole hilinaʻi nā hopena i nā lāʻau i lawe ʻia, nā kaumaha, nā maʻi maʻi, ka mōʻaukala.

ʻO ka ʻike o ka hemoglobin glycated:

ʻO Glycated hemoglobin ka haʻawina kūpono loa i nā mea a pau o ka lāʻau lapaʻau o kēia wā. Eia nō naʻe ua loaʻa nā hemahema. ʻO ka mea mua, ʻo ia ke kumukūʻai. Inā pilikia nā pilikia thyroid gland, hiki paha i kahi hopena maikaʻi ʻole paha. Me ka hemoglobin haʻahaʻa, aia kahi hopena o kahi hopena kuhi.

ʻO ke kō koko koko kumu maoli ke kī nui o nā hana āpau a me nā ʻōnaehana. I ka hihia o ka hoʻopihapiha, pono e ʻimi i nā kumu a hoʻohemo iā lākou.

Hōʻike ka helu o ke kō koko koko i loko o ke wikiō ma kēia ʻatikala.