Hoʻohui ka maʻi Diell mellitus me ka nele o ka insulin a i ʻole ka nalowale o ka mea i nānā. ʻO ka hōʻailona nui o ka maʻi hānai he hyperglycemia.
ʻO ka Hyperglycemia he hoʻonui i ka glucose o ke koko. No ka hōʻoluʻolu, hoʻololi pinepine ka inoa i ka huaʻōlelo "koko koko." No laila, ʻo ka gula a me nā glucose i loko o ke koko nā mea like a aʻaʻohe like ma waena o lāua.
Mai ka nui o nā mea kaola ʻana, he kō ka kō, a me ka glucose i loaʻa ʻole, no ka mea, ʻaʻole hiki ke hoʻohana ʻia ka hilo i loko o kona ʻano. Me ka maʻi maʻamau, ka maikaʻi a me ka manaʻolana o ke ola o nā mea maʻi e hilinaʻi ana i ka pae o ka glucose (gula) i ke koko.
ʻO ka Sugar a me ka glucose - kahi hana i ka mea pono a me ka metabolism
ʻO ka Sugar, ka mea i loaʻa ma ka nalo, nā ʻoni, nā maple gula, nā lāʻau pāmaʻi, sorghum i kapa ʻia he kōpala. ʻO ka Sucrose i loko o kahi mau palupalu e wāwahi ʻia i ka glucose a me ka fructose. Hoʻopili ʻia ʻo Fructose i nā pūleʻa iho a hoʻohana, a no ka hoʻohana ʻana i nā kūlohelohe, pono ai nā sela i ka insulin.
Ua hōʻike ʻia nā haʻawina o kēia mau lā i ka nui o ka ʻai ʻana me nā kalapona maʻalahi, ka mea e loaʻa ai ka glucose, ka fructose, sucrose, lactose, e alakaʻi ana i nā maʻi metabola koʻikoʻi:
- Atherosclerosis
- ʻO ka maʻi mellitus, me nā hoʻopiʻi ʻana i ka hoʻowalewale i ka ʻōnaehana o ka pīpī, nā pili koko, nā ʻōpū, ka pohō a me ka hoʻoweliweli hoʻōla.
- ʻO ka maʻi ʻeha Coronary, myocardial infarction.
- Hypertension.
- ʻO ka ulia o ka cerebrovascular, stroke.
- Nā ʻilima
- Hoʻopilikiaʻia nā'ōpala o ka ate.
Hoʻokomo pono i nā loiloi ma kahi koi paʻa o ke kōpaʻa no ka poʻe kahiko e pilikia ana i ka momona a me ka hypertension arterial. ʻO ka mau kalana i loaʻa mai nā cereals unrefined, nā hua, nā mea kanu a me nā legumes, ʻaʻole i kau i kahi pōʻino o ke kino, ʻoiai ke kō a me ka fructose i loko o ia mea ʻaʻole e hoʻonā i ka nui o ke kō.
Eia kekahi, ʻo ka fiber a me pectin i loko o nā huahana kūlohelohe e hānai i ka kolamu a me ka glucose i ke kino. No laila, mālama ka kino i kahi e loaʻa ai nā calorie e pono ai. ʻO ka huakaʻi nui nā koho maikaʻi loa he koho maikaʻi ʻole loa.
ʻO ka Glucose no nā hui ka mea e hoʻolako i ka ikehu i hua ʻia i loko o nā pūleʻa i ka wā o ka hōʻoki maʻi.
ʻO nā kumuwaiwai glucose e starch a sucrose mai ka meaʻai, me nā hale kūʻai glycogen i loko o ka ate; hiki ke hana ʻia mai ka lactate a me nā amino amino i loko o ke kino.
Pūkahu koko
ʻO ka ʻaila kākāluō i loko o ke kino, a no laila ua pae ʻia ka nui o ka glucose, e nā hormones like:
- ʻO Insulin - i hana ʻia i loko o nā poli beta o ka pancreas. Hōʻike haʻahaʻa glucose.
- Glucagon - ua hoʻohuihui ʻia ma nā ʻāpana alpha o nā pancreas. Hoʻonui i ka glucose i ke koko, ke kumu o ka wehe ʻana o ka glycogen i loko o ka ate.
- Hoʻokumu ʻia kahi Somatotropin i loko o ka limu o ka limuitary gland, he contra-hormonal (hana i ke kūlike i ka insulin).
- ʻO ka thyroxine a me ka triiodothyronine - nā hormone thyroid, e hoʻoulu i ka hōʻea o ka glucose i loko o ka ate, pale i kona hōʻuluʻulu ʻana i ka ʻāʻī a me nā aʻai, hoʻonui i nā cell uptake a me ka hoʻohana ʻana i ka glucose.
- Hoʻokumu ʻia ka Cortisol a me ka adrenaline i loko o ka cortical layer o nā wahī adrenal i pane ai i nā kūlana koʻikoʻi no ke kino, e hoʻonui ana i ke kaʻe o ka nui o ke koko.
No ka hoʻoholoʻana i ke kō koko, ua hoʻomaʻamaʻa ʻia kahi ʻōpū ʻole a i ʻole ka hoʻāʻo ʻana i ke koko capillary. Hōʻike ʻia ia ʻano hoʻohālikelike: no ka maʻi hoʻōki, ʻaihue, hana ʻole o ka thyroid gland, pituitary gland, liver and adrenal glands.
Hoʻonohonoho ʻia ka glucose o ke koko (kaʻaina) e loiloi i ka mālama ʻana me ka insulin a me nā haʻahaʻa hoʻohiolo ʻana i ke kōpaʻa inā nā hōʻailona e like me:
- Ka nui makewai
- Hoʻoweliweli ʻia o ka pōloli, i mālama pū ʻia e ka ʻehaʻeha, mau ʻīwī, nā lima wī.
- Hoʻonui ka nui o ka urine.
- Nāwaliwali loa.
- ʻO ka momona kaumaha a me ka momona.
- Me ka hopena o nā maʻi maʻamau pinepine.
ʻO ke kumu o ke kino he pae i mmol / l mai ka 4.1 a i ka 5.9 (e like me ka hoʻoholo ʻana e ka ʻano glucose glucose) no nā kāne a me nā wahine he 14 a 60 mau makahiki. I nā hui ʻelemakule, ʻoi aku ke kiʻekiʻe o ka hōʻailona, no nā keiki mai 3 mau wiki a 14 mau makahiki, e ʻike ʻia ana ka pae mai 3.3 a 5.6 mmol / l ka hana maʻamau.
Inā kiʻekiʻe aʻe ka waiwai o kēia kuhikuhi, pono paha kahi hōʻailona o ka maʻi maʻi i ka mua. I mea e hōʻoia pono ai i nā maʻi, pono ʻoe e hana i kahi noiʻi o ka hemoglobin glycated, kahi hōʻike hoʻoliʻelemakule a hala, hoʻōla i ka wai paʻakai.
Hoʻopili i nā maʻi mellitus maʻi maʻamau, ma kahi hōʻailona o ke kekona, hiki ke hoʻōla i ke kō me nā maʻi like ʻole.
- ʻO ka papa pancreatitis a me ka pancreatic tumors.
- ʻO nā maʻi o nā hui endocrine: pituitary, thyroid a me nā pelu adrenal.
- I ka manawa o kahi o kahi moka.
- Me ka infarction myocardial.
- Me ka nephritis mau a me nā maʻi hepatitis.
Hiki ke hopena i ka hopena o ka hoʻopaʻa ʻana: ke kaumaha a me ke kaumaha ʻana, ka uahi ʻana, ka lawe ʻana i nā diuretics, nā hormones, beta-blockers, caffeine.
Hoʻemi kēia kuʻina me ka overdose o ka insulin a me nā lāʻau lapaʻau ʻē aʻe no ka maʻi maʻi, ka pōloli, ka ʻaloʻawa me ka arsenic a me ka waiʻona, ka nui o ka hoʻōho kino, a me ka lawe ʻana i nā steroid anabolic. Hoʻopilikia ka hypoglycemia (hoʻohaʻahaʻa i ke koko koko) me ka cirrhosis, nā maʻi ʻōpū a me nā pilikia o ka hormonal.
Hiki ke hoʻonui ʻia ka pae o ka glucose i ke koko i ka wā hāpai a hiki i ka hānau ʻana. ʻO kēia ma muli o ka emi ʻana o ka hoʻonaninaniʻana i ka insulin ma lalo o ka mana o kahi hoʻololi hormonal background. I ka mea e hoʻomau ka nui o ka honu i ke kō, e hoʻonui ai i kēia i ka hōʻālo o ke aʻalopiko, nā maʻi hemahema, a me ka pathology renal.
Inā ʻoe e ana i ke kaila o ke koko i hoʻokahi manawa, ʻaʻole hiki ke manaʻo mau ʻia ka hopena. Hōʻike ka haʻawina like ʻole i ke kūlana o kēia manawa o ke kino, hiki ke hoʻopilikia i ka ʻai ʻana i ka meaʻai, ke kaumaha a me ka mālama ʻana i ka lāʻau lapaʻau. No ka loiloi piha i ka metabolism, ʻo ka hoʻāʻo ʻia ʻana:
- Hoʻolahalaha ʻaila (me ke ʻano).
- ʻO ka ʻike o ka hemoglobin glycated.
Pono ka hoʻoliʻi hoʻoliʻi glucose e hoʻāʻo ai pehea ka pane o ke kino i ka hoʻokomo o ka glucose. Hoʻohana ʻia ʻo ia e hōʻike i ka maʻi diabetes, hopohopo i ka maʻi maʻamau me ke koko koko maʻamau, a hōʻike i ka maʻi diabetes i nā wahine hāpai, ʻoiai inā ʻaʻole i piʻi ka nui o ke kō koko ma mua o ka wā hapai.
Ua hōʻike ʻia ka haʻawina ma ka haʻalele ʻana o nā maʻi ʻeha, nā hana maikaʻi, nā lāʻau lapaʻau e pili ana i nā pae kō i hoʻopau ʻia e hoʻopau ʻia i ʻekolu mau lā ma mua o ka hoʻokolohua (me ka ʻae ʻole o ke kauka ke komo ʻana). Pono e nānā i nā hoʻoponopono inu maʻamau, ʻaʻole e hoʻololi i kaʻai, ʻaina ʻia ka wai ʻona i kēlā me kēia lā. Hoʻomaopopo ʻia ka ʻai ʻana he 14 mau hola ma mua o ka hoʻoili ʻana.
Hōʻike ʻia kahi hōʻike koko no ke kō me ka ukana no ka poʻe maʻi:
- Me nā hōʻike o ka atherosclerosis.
- Me ka ulu mau o ka kahe koko.
- I ka hihia o ka nui o ke kaumaha kino nui.
- Inā loaʻa ka ʻohana pili i ka maʻi maʻi.
- ʻO ka maʻi me ka gout.
- Me ka maʻi maʻi hepatitis.
- ʻO nā mea maʻi me ka maʻi metabolic.
- Me ka neuropathy o kahi kumu i ʻike ʻole ʻia
- ʻO nā mea maʻi i lawe i ka estrogens, nā adrenal hormones, a me ka diuretics no ka manawa lōʻihi.
Inā he mau hapaha nā wahine i ka wā hāpai, hānau mua, kahi pēpē i ke kaupaona ʻoi aku ma mua o ka 4,5 kg a i hānau ʻia me nā malformations, a laila pono e hoʻomaʻamaʻa ʻia kahi hoʻohaʻahaʻa glucose. Ua kuhikuhi ʻia kēia ʻano loiloi ma ka hihia o kahi hapai make, maʻi maʻi gestational, polycystic ovary.
No ka laʻana, ua hoʻohālikelike ʻia ka mea maʻi i ka pae glucose a hāʻawi ʻia e like me ka ukana o ka hāmeatino e inu i ka 75 g o ka glucose i hoʻoheheʻe ʻia i ka wai. A laila, ma hope o hoʻokahi hola a me ʻelua mau hola, hana hou ke ana.
ʻImi ʻia nā hopena o ke kaila ʻana penei:
- ʻO ka maʻamau, ma hope o 2 mau hola, ua hoʻemi ʻia ka glucose koko (gula) ma mua o 7.8 mmol / L.
- E piʻi i ka 11,1 - ka maʻi maʻamau.
- ʻOi aku ka 11.1 - maʻi diabetes.
ʻO kekahi hōʻailona hōʻailona maʻi kūpono ʻo ia ka hoʻoholo ʻana o ka pae o ka hemoglobin glycated.
Hōʻike ʻia ka Glycosylated hemoglobin i loko o ke kino ma hope o ka hoʻopili ʻana o ka glucose i loko o ke koko me ka hemoglobin i loko o nā kōpona koko ʻulaʻula. Hoʻopili hou aʻe ka glucose i ke koko, ʻoi aʻe ka ʻano o ka hemoglobin hou. ʻO nā pūhaka koko hoʻoneʻe (nā kōpela koko he kuleana no ke neʻe o ka oxygen) e ola i nā lā 120, no laila ke hōʻike nei kēia loiloi i ka pae glucose kiʻekiʻe ma mua o 3 mau mahina ma mua.
ʻAʻole pono ia hōʻike like i ka hoʻomākaukau kūikawā: pono e hana ʻia ka hoʻokolohua ma luna o kahi ʻōpū ʻole, i ka hebedoma mua i hala ʻole he neʻe koko a me ke koko nui.
Me ke kōkua o ka loiloi hemoglobin glycated, ka nānā pono ʻana o ka make ʻana o ka maʻi o nā lāʻau no nā mea maʻi me ka maʻi maʻi, e kōkua ana i ke ʻike ʻana i nā pupu i ka nui o ke kōpaʻa i hikiʻole ke hoʻokaʻawale me kahi ana loiloi koko.
Hoʻonohonoho ʻia ka glycated hemoglobin i ka hapa helu o ka huina o ka hemoglobin i loko o ke koko. ʻO ka maʻamau maʻamau no kēia hōʻailona mai ka 4.5 a 6.5 pakeneka.
Inā hāpai ʻia ka kiʻekiʻe, a laila he hōʻailona maʻi me ka maʻi mellitus o ka maʻi mellitus a i ʻole ka mea i pale i ka pale. Hiki ke loaʻa nā kūleʻa kiʻekiʻe me ka splenectomy, ka liʻiliʻi o ka hao.
Hoʻopau iā Glycated hemoglobin:
- me ka haʻahaʻa haʻahaʻa (hypoglycemia);
- kahe ʻana paha a i ke kahe ʻana ke koko, ka nui o ka hoʻokahe nui i ke koko; glycated hemoglobin assay
- me ka anemia hemolytic.
No ka mālamaʻana i ka maʻi mellitus o ka maʻi 'aʻai ʻole i ke kala ʻana i nā mea kalaiwa, he mea nui ka mālama ʻana i ke kō koko koko, ʻoiai ka mālama ʻana o ka maʻi, ka nui o ka hoʻomohala ʻana o nā hoʻopiʻi ʻana, a me nā ola o nā maʻi e hilinaʻi nei.
Hāʻawi ʻia ka ʻikepili e pili ana i ke kōpaʻa koko koko i ke wikiō ma kēia ʻatikala.
