ʻO ke ʻano o ke koko koko i ka wā ʻōpio he 13 mau makahiki he 3.3-5.5 mmol / l, me kēia mau ʻōmaʻomaʻo he hiki ke hana pono i nā kino kūloko, ulu, a me ke kūkulu ʻana i ke kino.
ʻO ka mea kūʻokoʻa o ke kino i ka wā ʻōpiopio ka hoʻonui ʻia ʻana o ka hoʻoulu ʻana i nā hormone ulu a me ka fluctuations hormone wahine, ʻo kēia manawa ke manaʻo nei he manawa hoʻololi kahi mai ka wā kamaliʻi a hiki i ka wā ʻelemakule, no laila, ke ʻike nei nā kumukūʻai metabolic i ka loli nui.
No kahi keiki i hoʻomaka mua ʻia i ka maʻi maʻi maʻi, ʻo ka makahiki o 13 a 16 makahiki ka mea nui loa. Inā ʻaʻole ʻike ka maʻi ma ka manawa a ʻaʻole hoʻomaka ka mālama ʻana, a laila hiki i ka maʻi maʻi i hoʻomaka me ka hoʻomohala ʻana i ka ketoacidosis a hiki i kahi coma.
Pehea e mālama ai ke kino i ka glucose koko?
Hoʻomaopopo ka kino olakino i ka hakahaka i nā pae glucose ma hope o ke kau ʻana i ka meaʻai, ʻoi aku ka momona o nā mea kalaiʻa māmā - ke kō, nā hua, nā hua ʻai, ka meli, ke kakano a me nā huahana berena. I kēia hihia, ala nui ka glycemia, inā loaʻa nā huahana i ke kō (cereals, nā ʻuala) a i ʻole ka lau o nā mea kanu (mea kanu, bran), a laila māhuahua ka nui o ke kō o ke koko.
I kekahi hihia, ma hope o ka hana o nā kinina ʻalopona, ua hoʻohuli ʻia nā kākoli āpau i ka glucose, ke komo nei i ke kahe o ko lākou mau ʻai. A laila, ma lalo o ka mana o ka insulin hormone o ka pancreatic, hoʻoneʻe nā ʻona i ka glucose mai ke koko a hoʻohana i ka ʻai no ka ikehu.
ʻO ka nui e pono ai e mālama i ka hana i kēia manawa mālama ʻia i ke ʻano o ka glycogen i loko o nā puʻupaʻa a me nā ʻōpū. Pau ke kino i kēia mālama i waena o nā meaʻai. Me ka nele o ka glucose i loko o ke koko, hiki i ka ate ke hoʻohālikelike mai ia i nā ʻaina amino a me nā momona.
Hoʻomoe ka ʻōnaehana metabolic āpau e ka ʻōnaehana hormonal. ʻO ka hopena nui o ka hypoglycemic e like me ka insulin, a me nā hormone hou mai nā kelena adrenal, nā kaila thyroid, nā pituitary e hoʻonui iā ia.
Ua kapa ʻia lākou he contrainsular. Ua komo kēia mau huakaʻi:
- Ka ulu ulu ʻana - ke ulu māla.
- Adrenaline, crenisol adrenal.
- ʻO nā hormones thyroid - thyroxine, triiodothyronine.
- ʻO ka Glucagon Alpha Pancreatic
Ma muli o ka hoʻonui nui o ka hormone stress a me ka ulu ulu ʻana, ʻo ka ʻōpio ʻoʻelemakule mellitus kekahi o nā ʻano paʻakikī loa loa o ka maʻi e mālama ai.
ʻO kēia ke kumu o ka hoʻolālā ʻana o ka hoʻāla kino o ka insulin ma lalo o ka mana o ka endocrine gland hyperfunction a me nā hiʻohiʻona noʻonoʻo o ka mea maʻi 13-16 makahiki.
ʻO wai e pono i kahi hoʻoliʻoli koko?
Hōʻike ʻia kahi hōʻike toto no ke kō (glucose) inā loaʻa kahi predisposition no ka maʻi mellitus maʻi i hoʻopili ʻia i loko o ka hale hoʻohaʻomaʻi (chromosome) a hoʻopuka ʻia mai nā pili pili kokoke i kēia pilikia.
I ka manawa pinepine, i ka wā ʻōpiopio, ua hōʻike ʻia kahi maʻi o ka maʻi type o ka maʻi type 1. ʻO ka paʻakikī o ka nānāʻana i ka manawa kūpono o ka maʻi e waiho ana i ka ʻoiaʻiʻo o kona hoʻomohala ʻana i nā pae mua i mea paʻakikī ke hoʻoholo i nā hōʻailona maʻi a me nā loiloi.
Mālama ʻia ka paʻakai koko i loko o kahi keiki e like me ka hana ʻana i nā pū beta i loko o ka pancreas. Ma hope o ka 90-95% wale nō o lākou e luku ʻia e kahi kaʻina ʻanā a autoimmune, ʻike ʻia nā hōʻailona maʻamau. E pili ana kēia:
- Ua nui ka makewai a nui ka makemake.
- ʻO ka hoʻoluhi ʻana i ʻike ʻole ʻia.
- Pahu a me ka luhi.
- Ka nui o nā urine.
- Hoʻopili i ka ʻili, ʻo ia hoʻi i ka perineum.
- ʻO nā maʻi lohi mau pinepine.
- ʻO ka furunculosis mau a me ka pulupū pustular ma luna o ka ʻili.
- Hoʻolaha ka ʻike.
- Pāʻeha
ʻOiai inā aia kekahi o kēia mau hōʻailona, pono e nānā ʻia ka ʻōpio no ka maʻi maʻi. Inā nānā ʻole ʻia kēia mau ʻōuli, e holo koke ka maʻi a hui pū nā mea kikoʻī o ka ketoacidosis: nausea, ʻeha o ka ʻōpū, pinepine a me ka huhū huhū, ka hoka o ka acetone mai ka waha.
He mea make nui nā kino ketone i nā pehu o ka lolo, no laila, i ka lā, hiki ke nānā ʻia.
A ke hopena, kūkulu ka kime ketoacidotic, e pono ai kahi resuscitation koke.
Pehea e lilo ai i kahi hoʻokolihua koko no ke kō?
I kiʻi i nā hopena kūpono, pono ʻoe e hoʻomākaukau no ka aʻo ʻana. No ka hana ʻana i kēia, ma nā lā 2-3 pono ʻoe e hōʻemi i ka nui o nā meaʻai momona a me nā momona, kāpae i ka hoʻokomo i nā mea inu wai. I ka lā o ka hoʻokolohua, ʻaʻole hiki iā ʻoe ke ulaula, inu i ke kofe a kī ʻole paha, e ʻaina kakahiaka. ʻOi aku ka maikaʻi e hele mai i ke kikowaena i ke kakahiaka, ma mua o kou hiki ke inu i kahi wai maʻemaʻe.
Inā i kuhikuhi ʻia nā lāʻau, ʻoi aku ka lāʻau lapaʻau hormonal, painkillers a i ʻole ka pili ʻana i ka ʻōnaehana o ka nupepa, a laila ma mua o ke aʻo ʻana, pono ʻoe e nīnau i kāu kauka e pili ana i ka loaʻa ʻana o lākou, no ka mea aia paha ka ʻikepili. Hiki ke hoʻokuʻu paha i ka Diagnosis ma ke kiʻekiʻe kiʻekiʻe o ke kino, ma hope o nā hōʻeha a ʻā ʻia paha.
Hana ʻia ka loiloi o ka ʻikepili e kekahi loea. ʻO ke ʻano o ke kō koko koko i nā keiki e kū pono ana i nā makahiki: no ka pēpē hoʻokahi makahiki ʻoi ka haʻahaʻa ma mua o kahi'ōpiopio. ʻO ka maʻi ʻana o ka physiological i loko o ka glycemia i mmol / l i nā keiki i kūpono i kēlā mau kuhikuhi: a hiki i ka makahiki o 2.8-4.4; mai kahi makahiki a 14 makahiki - 3.3-5.5. Hiki ke noʻonoʻo ʻia nā mea hoʻohālikelike mai ka maʻamau.
- I ka 3.3 - nā haʻahaʻa koko haʻahaʻa (hypoglycemia).
- Mai 5.5 a 6.1 - kahi predisposition no ka maʻi maʻamau, ka maʻi diabetes.
- Mai 6.1 - maʻi diabetes.
ʻO ka maʻamau, ʻaʻole i hōʻike ʻia ka hopena o ke ana o ke kō, ua hoʻāʻo ʻia ka loiloi ma kahi o hoʻokahi manawa. Inā loaʻa i kahi maʻi mellitus o ka latent maʻi - aia kekahi mau hōʻailona o ka maʻi, akā he ʻano maʻamau ka glycemia, ʻike ʻia ka hyperglycemia ma lalo o 6.1 mmol / l, a laila ua kau ʻia nā keiki like me kahi hōʻike me ka ukana glucose.
ʻAʻole pono ka hoʻāʻo ʻana i ka glucose i ka hoʻomākaukau kūikawā, pono e hoʻoliʻoli ʻoli a ke hoʻololi ʻana i ka meaʻai a me ka noho ʻana ma mua o ka hana ʻana. Hāʻawi hoʻi ʻo ia i kahi ʻōpū ʻole. No ke ana ʻelua o Glycemia - ke kau mua o ke kōpaʻa ma hope o kahi hoʻomaha no 10 mau hola i loko o ka ʻaina meaʻai, a me ka lua o ka mau manawa 2 ma hope o ka mea maʻi e inu ai i kahi hopena me 75 g o ka glucose.
Ua hōʻoia ʻia ka hoʻomake ʻana o ka maʻi maʻi inā inā heʻoi aʻe o ke kō me ka wikiwiki wikiwiki (ma luna o 7 mmol / L), hyperglycemia ma luna o 11.1 mmol / L ma hope o ka ʻike ʻana i ka hana. Inā pono, e hāʻawi ʻia kahi ʻōpio i kahi noiʻi hou: ka nānā ʻana i ka urine no ka kō, nā hoʻoholo ʻana i nā kino ketone no ke koko a me ka wai, a hoʻopaʻa ʻia i ke ʻano o ka hemoglobin glycated, ka nānā ʻana biochemical.
ʻO nā kumu o ke kō koko koko hikiʻole
Hiki i kahi ʻōpiopio ke helu haʻahaʻa haʻahaʻa no nā maʻi o ka ʻōpū a me nā puʻuwai, malabsorption o nā mea kanu, nā maʻiʻeha kuʻeha lōʻihi, ke ʻano o ka ate a me nā ʻōpū, nā makeʻe, nā ʻeha ʻole traumatic utak, a me nā ʻōnaehana.
Hiki ke ʻano o nā hōʻailona o ka hoʻohaʻahaʻa i ka kō: nā māhuahua, hoʻonui ʻia ka pōloli, ka huhū, ka waimaka, nā ʻūhū lima, nāwaliwali. Me nā hōʻeha nui, hiki i ka kaʻahele a me ka hoʻomohala ʻana i kahi coma. ʻO ke kumu kumu maʻamau o ka maʻi hypoglycemia he overdose o ka lāʻau hypoglycemic.
Ma keʻano o ke kō koko nui maʻamau kahi hōʻailona o ka maʻi maʻi. Eia kekahi, hiki ke lilo i kahi hōʻailona o ka hana nui loa o ka momona thyroid a i nā aniani glandsal, nā maʻi o ka pituitary, ke aʻa a me ka pancreatitis kūlohelohe, ka lawe ʻana i nā lāʻau lapaʻau e pili ana i nā kūmole, nā lāʻau anti-inflammatory non-steroidal, diuretics a me antihypertensives.
ʻO ka lōʻihi a me ka hyperglycemia koʻikoʻi e alakaʻi i kēlā mau pilikia.
- ʻO ka piko Hyperosmolar.
- Ketoacidosis ma ka maʻi diabetes.
- Polyneuropathy.
- ʻO ka hoʻopauʻana o ke kahe koko ma muli o ka luku ʻana i ka pā vascular.
- ʻO ka luku ʻana i nā kiko o ke keiki me ka hoʻomohala ʻana i ka hiki ʻole o ka hana ʻole a me ka hana ʻole.
- Hoʻopau ʻia ka ʻike maka ʻia no ka pathology o ka retina.
Ma muli o ke kino o kahi ʻōpiopio e pili nui ana i ka huki ʻana i ke kō koko, me ka mālama ʻole ʻia no ke kumu o ka hōʻeuʻeu ʻana o ka nui o ke kō, ua nui kēia mau maʻi ma hope o ka hoʻomohala kino a me ka noʻonoʻo, hiki paha i nā kaikamahine ke ʻōpala o ka pōʻai. Hoʻomaʻa pinepine nā keiki i nā maʻi maʻi a me ka maʻi.
No laila, he mea nui ia e hoʻomaka i ka mālama ʻana me ka insulin a i ʻole nā peni i ka manawa kūpono e hoʻohaʻahaʻa i ke kō, nā meaʻai a me nā hana kino, ka mālama pinepine ʻana i ka glycemia a me ka metabolism.
ʻO nā mea ʻokoʻa o ka glucose koko he mau maʻamau ke haʻi i ka wikiō ma kēia ʻatikala.
