I kēia manawa, ʻo ka "maʻi maʻi" kekahi o nā pilikia nui o ke kanaka. Eia kekahi, ulu pinepine ka maʻi mellitus o ka lā 2 (non-insulin-dependant) e ulu aʻike pinepine i ka pae mua o ka maʻi (insulin-dependant).
Wahi a ka RDA, i Ianuali 1, 2016, ma kahi o 415 miliona mau kānaka a puni ka honua i waena o 20 a 79 he maʻi diabetes, ʻo 90% ka lua o ka ʻano.
He aha nā kumu kumu o kēia ʻano? Pehea e hōʻoluʻolu ai iā ʻoe iho a me kāu mea aloha mai i ke ʻano maʻi type 2? E hoʻāʻo e pane i kēia mau nīnau.
Nā kumu kumu o ka maʻi mellitus 2 degere
ʻO ka Diabetes mellitus ka hui o nā pathologies o nā kumu endocrine. Hōʻike ʻia kēia maʻi e ka pau a ʻāpana ʻole e hana i kahi hoʻoneʻe ʻana o ka hoʻoneʻe ʻana i ka hoʻokaʻina o ka glucose i ka koko - insulin.
Hōʻike pinepine ʻia ka maʻi diabetes i ka makahiki 2 ma ke ʻano he 40-45 mau makahiki. Ma muli o kahi kuhi hewaʻole i ka ʻōnaehana pale, hoʻomaka ke kino e pane ʻokoʻa i ka insulin i hana ʻia. Ke kapa ʻia kēia kaʻina hana he kū i ka insulin. Ke lōʻihi i ka manawa, e hōʻiliʻili ka nui o nā glucose i ke koko, ʻaʻole hana hou. ʻAʻole like me nā maʻi maʻi type 1, ka mea e pono ai ke ʻano o ka insulin, me ka diabetes mellitus type 2 i kahi ʻano maʻalahi, hiki iā ʻoe ke hana me nā lāʻau lapaʻau.
No laila, he aha nā kumu o kēia maʻi? I kēia lā, ʻaʻole hiki i nā ʻepekema a me nā kauka ke hāʻawi i kahi pane pololei i kēia nīnau. Ma nā noiʻi he nui, ua hāʻawi ʻia kahi nui o nā mea i hoʻonui i ka hopena o ka maʻi diabetes 2. I waena o lākou:
- Henereri predisposition. ʻO ka loaʻa ʻana o nā hoahānau me kahi maʻi like me ka hoʻonui nui ʻana i ka manawa e hoʻomōhala ai ka maʻi.
- Kāhea. Ua noi ʻia e nā kānakaʻepekema ʻepekema ʻo ka lāhui Negroid ka 30% ʻoi aku ka hopena o ka maʻi maʻi.
- Nā ʻilima Ke kaupaona ʻana me ka "momona maikaʻi" hoʻomau me kēlā me kēia. Inā ʻoi aku ka nui o ka paona kino kino mau manawa, ʻo ka piʻi ʻana o ka hopena no ka hoʻomohala ʻana i ka maʻi endocrine.
- ʻO ke kāne o kēlā kanaka. Ua mālama ʻia ʻia ke ʻano maʻamau o nā maʻi diabetes mellitus i loko o nā kāne ma mua o nā kāne.
- ʻO ka paleʻai hormonal. ʻO nā pae hormonal i hoʻololi ʻia i ka wā kamaliola ma 30% o nā hihia ke alakaʻi i kahi kūlana o ka hyperglycemia. Manaʻo kekahi poʻe ʻepekema ʻo ka piʻi ʻana o ka glucose i ka wā o ka wā ʻōpiopio e pili ana me ka hormone ulu.
- Kahawai I kēia manawa, lawe nā loli i ka ʻōnaehana o ka hormonal o ka makuahine manaʻolana. Eia kekahi, he hiki ke hoʻomohala ʻia ka maʻi maʻi gestational, kahi, ma ke ʻano kānāwai, e hala ma hope o ka hānau keiki. Eia naʻe, me ka mālama kūpono ʻana, hele ka maʻi gestational i loko o ka maʻi mellitus o ka lua.
Aia kekahi mau mea ʻē aʻe, ma waena o kahi ola kino ʻole, pili ʻole ka puhoi.
Pehea e hoʻomaopopo ai i ka maʻi maʻi?
He lua maoli ka maʻi ʻuhane o ka maʻi diabetes. ʻO ka maʻi no kekahi mau makahiki ke hiki i loko o kahi ʻano latin a ʻaʻole hoʻi e pōʻino i ka mea, akā ke kau nei i loko.
Hoʻomaʻamaʻa i ka manawa maʻamau o ka maʻi diabetes type 2 hiki ke hoʻopakele i ka mea maʻi mai ka lāʻau lapaʻau a me nā hōʻeha koʻikoʻi o ka maʻi - retinopathy, wāwae maʻi, nephropathy a me nā mea'ē aʻe.
He aha nā hōʻailona o ka maʻi type 2? ʻO nā hōʻailona ʻelua ʻelua ka polyuria (wikiwiki ka urination) a me ka makewai hiki ʻole ke hoʻohālikelike. Makemake kekahi kanaka i ka inu ʻokoʻa a hele i ka hoʻomaha hoʻomaha e hōʻoluʻolu i ka pono no ka hoʻonui ʻana o nā poholiki. E like me kāu e ʻike ai, kānana kēia mea i ke koko a hoʻoneʻe i nā mea o nā mea laʻa mai ke kino, i ka nui o ka glucose. No kēia, pono nā lolo i ka wai o ko lākou nele, no laila e hoʻomaka lākou e huki mai nā kiko. No laila, e hoʻopiʻi ka mea maʻi i ka makewai a me ka urination pinepine.
ʻO nā poʻo o ka hōʻeha a me ka maʻi kaumaha nā hōʻailona maʻamau o ka maʻi maʻi. Hōʻike lākou ma muli o ka "starness" o nā aʻa o ka lolo. ʻO ke kupa he kumu o ka ikehu nā pūpū a me nā ʻāpana o ke kino holoʻokoʻa, akā no ka mea i hōʻiliʻili ai i loko o ke koko, ʻaʻole e loaʻa nā kola. Hoʻomaka ke kino e ʻimi i nā kumuwaiwai ʻē aʻe o ke ikehu, no ka laʻana, he mau momona momona. Ke hoʻokaʻawale nei, hoʻokuʻu ʻia nā toxins i kapa ʻia nā "ketone kino". Hoʻopili lākou i ke kino holoʻokoʻa, ʻoi loa ka lolo. I ke hopena o kā lākou hopena pathogenic, ua maʻi pinepine ʻia ka maʻi diabetes a ʻeha ʻole paha.
Hoʻopili nā maʻi diabetes mellitus i nā mea āpau o nā kino i loko, no laila, he kiʻi ākea ākea. ʻO nā hōʻailona e haʻi ʻia nei o kēia maʻi.
- Kaumaha wikiwiki;
- koko koko kiʻekiʻe
- ʻōpiki o ke kīhaka haʻahaʻa a ma luna;
- pau ka hele ʻana o ke kikoo ʻike;
- ke ʻano o nā ʻūhā ma nā wāwae;
- hoʻōla lōʻihi;
- hoʻonui nui momona;
- na kaupalena haehae;
- ho'ēmi i ka makee, i hōʻike ʻia e nā anuanu pinepine;
- nā pilikia pili kino (ma nā kāne a me nā wahine);
- nāwaliwali mau, lethargy, hiamoe maikaʻi.
ʻOiai inā ʻaʻole ʻoe e ʻike i nā hōʻailona āpau o ka maʻi maʻi, akā he hapa wale nō o lākou, pono ʻoe e ʻimi i ke kōkua o kahi endocrinologist. ʻO ke kauka, ke nānā pono i ka mea maʻi, hiki iā ia ke kuhikuhi iā ia e lawe i ka hoʻoliʻu gula.
Wahi a nā hopena o ke aʻo ʻana, hana maikaʻi ke loea i kahi maʻi maʻi.
ʻO ka hoʻomohala ʻana o ka maʻi hānā 2 degere
Nui nā ala no ka wehe ʻana i kēia maʻi. Loaʻa i kēlā me kēia me kona mau pono maikaʻi a me nā hemahema, akā i ka manawa e koho ai i kahi ʻano, pono e mālama i nā mea ʻelua, e like me ka wikiwiki o ka hoʻopaʻa ʻana a me ka pololei o nā hopena.
ʻO ka mea maʻamau he hōʻike koko capillary. Kūpono ʻia ke koko koko i ka ʻōpū ʻole i ke kakahiaka. Aia kekahi mau kānāwai no ka hoʻomākaukau ʻana no ia ʻano hoʻohālike. I ka lā ma mua, ʻaʻole hiki iā ʻoe ke hana nui iā ʻoe iho me ka hana pilikino a ʻai i nā mea momona. Eia kekahi, inā ua loaʻa ka maʻi a me ka maʻi paha ka maʻi, ma hope o ka luhi ʻana o ka pō, e hoʻopiʻi ʻo ia i ka hōʻike i kahi lā ʻē aʻe e pale i nā hopena o ka hoʻopaʻa ʻana. ʻO kahi pae wai maʻamau ma waena o 3.3 a me 5.5 mmol / L. Hōʻike i nā mea kukuna glucose ma luna o 6.1 mmol / L e hōʻike ana i ka maʻi hyperglycemia mākaʻikaʻi, ma ia ʻano ke kauka nei ke kauka i kahi hōʻike hoʻomanawanui glucose.
Ke lawe ʻia kahi hōʻike hoʻoliʻi glucose, mālama ʻia ka mea maʻi i ka ʻōpū ʻole. A laila ua hāʻawi ʻia i kahi inu o ka wai momona (wai - 300 ml, kōpī - 100 mg). Hoʻonohonoho ʻia ke kōpila koko i kēlā me kēia 30 mau minuke no ʻelua mau hola. ʻO kahi hōʻailona maʻamau ka glucose o ka glucose a hiki i ka 7.8 mmol / L. Inā hōʻike nā hopena hōʻike i kahi waiwai o mua o 11 mmol / l, hōʻike kēia i ka hoʻomohala ʻana o ka maʻi diabetes.
ʻO kahi hōʻike koko no ka glycogemoglobin hāʻawi i kahi manawa e hoʻoholo ai i ka nui o ka maʻi. Hoʻopau ʻia ia no kahi lōʻihi (ma kahi o 2-3 mau mahina).
I kekahi manawa i hoʻopaʻa ʻia nā urine no acetone a me ke kō i loko. ʻAʻole pono ke kanaka olakino e like me kēlā me ka wai. No laila, ʻo ko lākou heleʻana i ka urine e kuhikuhi paha i ka maʻi maʻi type 2.
Ma nā ʻōlelo o ka paʻakikī, ʻokoʻa ka ʻekolu o nā maʻi o ka maʻi type like 2:
- E hele ana ke ʻano maʻalahi ʻole me nā hōʻailona ʻike o ka maʻi maʻi. Hoʻopili maikaʻiʻia ka Sugar - ʻaʻole iʻoi aku ma mua o 10 mmol / l.
- Hōʻike ʻia ka waena waena me ka loaʻa ʻana o nā hōʻailona o ka maʻi maʻi, ka nui o ka glucose ma mua o 10 mmol / L, a me ka mua o ke kō i loko o ka urine.
- Kūlana kūpono - kahi kūlana i ʻike ʻia ai nā hōʻailona, nā hoʻopiʻi o ka maʻi maʻi, ua nui ka maʻi o ka mea maʻi i ka hāʻule ʻana i loko o kahi piko. I kēia hihia, pono nui ka ʻomo ʻana i ka insulin.
Eia kekahi, ʻekolu mau pae o ka holomua o ka maʻi - prediabetes, latent a na ka maʻi diabetes.
ʻO ka mālama ʻana o kēlā me kēia meʻe ka pae.
ʻAno maʻi type 2
I kēia lā, ʻaʻohe "magic pills" e ho'ōla i kēia maʻi. ʻO ke kaʻina o ka maʻi maʻi he lōʻihi lōʻihi ka mea e pono ai ka nānā a me ke ahonui. ʻAʻole hiki ke hoʻōla pono, akā hiki ke hoʻomau i ka nui o ke kōpaʻa a kāpae i nā hōʻailona o ka maʻi maʻi.
Ka hopena o ka "maʻi maikaʻi" i ka pono o ka ʻai, ka hoʻomaʻamaʻa ʻana, ka lāʻau lapaʻau a me ka mālama pinepine ʻana i ka glycemia. E haʻi mākou i nā kikoʻī hou aku e pili ana i kēlā me kēia mahele o ke ʻano o ka mālama ʻana i ka maʻi.
Hoʻopau i kahiʻai maʻi. Pono ka maʻi hānai e hoʻokaʻawale loa i nā mea kālai ʻia a me nā meaʻai momona i ka meaʻai. E poina e ka mea maʻi i kēia mau huahana:
- nā hua momona - nā hua waina, nā hua liʻiliʻi, nā mango, nā lau a me nā mea ʻē aʻe;
- iʻa momona a me nā iʻa - puaʻa, ʻiʻo turkey, herring, salmon, trout a me nā mea hou aku;
- nā ʻaʻala - brown, sweets, pastries, wai momona, pōpō;
- nā huahana dairy me ka nui o kahi mahele momona o nā momona;
- nā meaʻai iʻa ʻia.
Ma kahi o ka mea maʻi, pono keʻai i nā huaʻai a me nā hua like ʻole (raspberries, blackberries, melons), nā mea kanu (kukama, kamato) a me nā mea kanu. Pono e hoʻokaʻawale ka ʻai i nā manawa 4-6, ʻoi aku ka mea maʻi e ʻai i ka meaʻai i loko o nā wahi liʻiliʻi, akā ʻoi aku ka pinepine.
I mea e mālama ai i nā glucose maʻamau, pono ʻoe e kāohi i kou momona. Hoʻomaopopo ʻia nā maʻi diabetes e hoʻomaʻamaʻa i ka lapaʻau kino. ʻO kēia hiki ke ʻauʻau, ka holo, nā hāmeʻa, yoga, Pilates, etc. Inā ʻaʻole hiki iā ʻoe ke hana i nā haʻuki i nā manawa āpau, pono ʻoe e hele ma kahi o 30 mau minuke i ka lā.
Pono e hoʻolilo ʻia ma kahi pae maʻalahi o ka maʻi, ke pāʻani nei i ka haʻuki a me ka mālama ʻana i ka ʻai kaulike, hiki iā ʻoe ke kāohi i ka pae o ka glucose me nā lāʻau ʻole.
Eia nō naʻe, me ka hoʻomohala ʻana o ka maʻi maʻi, i ka wā e ʻike ʻia ai nā hōʻailona he nui, a hemo ka pancreas, ʻaʻohe ala e hele ai me ka lāʻau ʻole. ʻAʻole hiki ke komo i ka lāʻau ponoʻī me kahi maʻi like ʻole, pono ia e kūkā me kāu kauka.
ʻO ke kumu o ke kuʻina he hypoglycemic lāʻau no ka maʻi maʻi. I kēia manawa, aia nā nui o nā lāʻau lapaʻau e hoʻohaʻahaʻa i nā haʻahaʻa o nā kō, nā mea kaulana loa e Metformin, Glucobai, Januvia, Siofor, Diabeton a me nā mea ʻē aʻe.
Ka, ʻoiaʻiʻo, ʻaʻole pono mākou e poina e pili ana i ka loiloi mau o ka ʻike koko koko.
Ma ka maʻi diabetes type 2, ua ʻōlelo ʻia nā mea maʻi e nānā i ka glycemia me kahi glucometer a ʻekolu ʻekolu o ka lā.
Nā hopena o loko no ka maʻi maʻi
ʻAʻole hiki i nā lāʻau lapaʻau ke ola olakino holoʻokoʻa, akā me ka hoʻohui pū me ka lāʻau lapaʻau e hoʻomaikaʻi i ke kūlana olakino. Aia nā hōʻola o nā kānaka e hiki ke hoʻohaʻahaʻa i ke kō koko, a ʻo nā mea hoʻi e hoʻonui i nā pale o ke kino.
No laila, pehea e mālama ai i ka maʻi maʻi me nā hoʻolaʻa lapaʻau lāʻau lapaʻau? Hoʻokele nā kūpuna no mākou i ke ʻano kūʻokoʻa e kōkua ai i ka hakakā ʻana i kēia maʻi. Eia kekahi o lākou:
- ʻO nā decocere o nā lau pīpī, nā ʻōpala a me nā lingonberries e hoʻomaikaʻi i ke hana o ke pancreas, i hoʻohemo ʻia ma muli o ka hoʻomau o ka maʻi.
- ʻO nā decoction o ka juniper, nā bean, nā lāʻau lapaʻau, nā lau a me ka pakiaka dandelion, ka mulberry keʻokeʻo, me ka waiʻomo sauerkraut hoʻi e kōkua i ka hoʻemi ʻana i ka hoʻoliʻi kōpona a hoʻopau i nā hōʻailona o ka maʻi maʻi.
- Tincture o nā walnuts, aniani a me nā lau o ka cuff i hoʻopiʻi pono ʻia ka pae o ka glycemia a hoʻonui i ka pale o ke kanaka.
- Hoʻoulu ka hoʻomaikaʻi ʻana i ke olakino wahine me ka maʻi diabetes type 2 i kahi decoction o nā ʻāpana lilac.
Pono e hoʻomanaʻo ʻia nā mea e pale aku ai i ka maʻi, ʻo ia hoʻi: hōʻole i ka waiʻona a me ka ulaula, ka hakakā ʻana ma luna o ka momona, ke pale ʻana i ka hopohopo ikaika. No laila, hiki i kahi kanaka ke hōʻemi i ka hopena e hoʻomohala i kēia maʻi.
I ka ʻike ʻana i ke kumu o ka maʻi diabetes, e maopopo koke no ke kumu o ka ikaika ʻole o ka lāʻau lapaʻau i ka hakakā ʻana i kēia maʻi. Eia nō naʻe, ʻaʻohe mea ola e hōʻoluʻolu loa i ke ʻano maʻi type 2. Eia nō naʻe, hiki ke hoʻomau ʻia ka holomua o ka maʻi ma ka hoʻopili ʻana i kahi nohona hana, ke ʻano hoʻokaʻina kūlike no ka maʻi mellitus, pili pono i nā ʻōlelo a ke kauka a pau no ka mālama olakino, a me ka hoʻohana ʻana hoʻi i nā kūlohelohe o ka lāʻau kūlohelohe me ka pololei.
E pili ana i ka maʻi diabetes a me nā hiʻohiʻona o kēia maʻi e haʻi i ka wikiō ma kēia ʻatikala.
