ʻO nā maʻi mellitus diabetes i nā wā'ōpiopio he mau hiʻohiʻona e pili ana i nā loli o ka hormonal. Hoʻoulu ka ulu a me ka puberty me ka hoʻonui ʻia ʻana o ka ulu ulu ʻana a me nā hormones sex, ka mea e hana nei ma ke ʻano kūlike e pili ana i ka insulin.
Pākuʻi i ka maʻi ʻōpiopio me ka hoʻohaʻahaʻa ʻana i nā hāpoki a me nā momona momona i ka insulin. ʻO ke kū'ē o ka physiological insulin i kēia wā o ke au'ōmaʻomaʻo, e hoʻopiʻi i ka hiki ke hoʻopiʻi i ka maʻi diabetes a alakaʻi i nā pupu i ke kōhi koko.
ʻO nā kaikamahine i hala he 15 mau makahiki ke nānā pono i ka helehelena, a me ke kaʻi ʻana o ka insulin e hele pū ʻia me ka piʻi ʻana o ke kaumaha o ke kino, no laila ua maʻemaʻe lākou i nā mea kauʻai a me ka hoʻouka pinepine ʻana o ka hypoglycemia.
Nā hiʻohiʻona o ka maʻi diabetes i ka wā'ōpiopio
ʻO ka ulu ʻana o ka maʻi diabetes i ka wā ʻōpio ua hui pinepine ʻia me ka luku autoimmune i nā pū me nā pancreatic. He hopena kēia i nā keiki a ko nā mākua pili ʻole he maʻi diabetes. ʻO ke kao ʻana o nā ʻano maʻi i hoʻopili ʻia me ka maʻi maʻi maʻi, ʻaʻole ia he manaʻo e maʻi ke keiki.
I mea e loaʻa i kahi ʻōpio ke kūkulu i ka maʻi diabetes, pono ʻoe i kahi mea e hoʻonāukiuki i ka hōʻino o ka cell a me ka hoʻāla ʻana o nā antibodies e kū kūʻē i kou ʻano iho pancreatic. ʻO ka mīkini hana hoʻohālikelike o ka maʻi ʻokoʻa o nā maʻi ʻaʻai e lilo i nā maʻi, ke kaumaha, nā mea ʻona, nā lāʻau lapaʻau, ulaula, ma ke keiki kāne a me nā kaikamahine.
Hōʻike ka maʻi diabetes type 1 me ka nele o ka hana insulin a me kona mau ʻike i ka wā o ka aneane kokoke kokoke i kahi kikowaena beta i waiho i ka pancreas. No laila, pēpē ʻia kēlā mau keiki mai nā lā mua a a ke kau ʻia nei ma ka inika ola o ka insulin. I ka hihia o ka hōʻino ʻana i ka lāʻau lapaʻau, hiki i ke keiki ke hāʻule i loko o kahi maʻi maʻi maʻi maʻi.
I nā makahiki he 15 i hala iho nei, ua hoʻonui ʻia ka piʻi ʻana o ka maʻi type 2 ma waena o nā ʻōpio. Ma muli o kēia mahuahua o ka nui o nā keiki me ka obesity a me ka hana kino haʻahaʻa. Ke alakaʻi nei ka mea kaumaha ma ka nui o ka pale ʻana i ka insulin, he ʻano no 13-15 mau makahiki o ke ola a, ma mua o kahi predisposition genetic, hoʻonāukiuki i ka maʻi diabetes.
Me ke ʻano o ka maʻi ʻelua, ua loli nā loli like i loko o ke kino:
- Ua nui ka Insulin, i ka mua ma mua o ka maʻamau.
- ʻAʻole hiki ke hoʻopoina ka ʻona o nā naʻau, nā wahī pona, a me nā kiko o ka adipose e hoʻokahe i ka glucose mai ke koko, me ka mea ʻaʻole i pane mai nā mea nānā aku i ka insulin.
- Hoʻomaka ka puʻu i ka hemo ʻana o ka glycogen a me ka hoʻokumuʻana o ka glucose mai nā waikawa amino a me nā momona.
- I nā māi a me nā puʻuwai, ua hoʻemi ʻia ka nui o ka glycogen.
- Hoʻonui ka pae o ka kolamu koko.
Aia nō kekahi ʻano kūikawā o ka maʻi (MODY) i ʻike ʻia nā hōʻailona o ka maʻi maʻi i ka wā ʻōpio me ka pale ʻana i ka insulin a me ka mumū autoimmune.
ʻO ka maʻi, e like me ke kānāwai, he hōʻemi iki ʻia i nā hana cell beta, ʻaʻohe ʻano o ka ketoacidosis, ke kino o ke kino eʻai a hōʻemi paha. Kūkā pinepine ia mau maʻi ʻōpiopio ma waena o nā makahiki he 15 a me 21.
Nā hōʻailona o ka maʻi ʻōpiopio
Hoʻomaʻamaʻa pinepine ka ʻoma o ka maʻi maʻi i ka wā ʻōpio i ka holomua. Hoʻohui ʻia nā hōʻailona nui me ke kiʻekiʻe o ka glucose i ke koko: make wai ikaika, ʻaʻole e lilo i liʻiliʻi ma hope o ka lawe ʻana i ke ʻano nui o nā kahe. Hoʻonui ka mola nui a me ka nui o ka urination, me ka pō.
Ke hoʻonui nui ʻana i ka hopena o ka urine a me ka nui o ka pono no ke kahe i ka ʻoi i ke kahe osmotic o ke koko i loaʻa e ka hyperglycemia. ʻO ka lilo ʻana o ka momona o ka maʻi type kīpē ma muli o ka nalowale ʻana i ka nui o ka wai a me nā haʻalulu mai ka meaʻai, ʻaʻole hiki ke ke kino i ka pau ʻana o ka insulin.
ʻO nā hōʻailona maʻamau o ka maʻi maʻi i nā kaikamāhine ʻōpio ke neʻe ʻole a he nele paha ka hakakā ʻana, a hiki iā ia ke alakaʻi i ka infertility ma muli o ka nele o ka ovulation. Me ka type 2 diabetes mellitus, ulu pinepine ka polycystic ovary me ka hoʻohaʻahaʻa ʻana i nā kiko o nā wahine sex sex i loko o ke koko.
Nā hōʻailona ʻōpiopio o ka maʻi maʻi i nā kaikamahine e pili ana i 15 makahiki.
- ʻO ka palupalu, nā hana hana haʻahaʻa.
- ʻO nā hiʻohiʻona ākea i ka hopena o ke aʻalolo, irritability a me ka waimaka.
- Hoʻopiʻi i ke kaumaha, luhi.
- ʻO nā maʻi o ka ʻili: furunculosis, huehue, neurodermatitis, nā maʻi maʻi fungal.
- ʻO Candidiasis o nā membous mucous i ka pūpū me ka waha waha.
- Hoʻohui nui i ka ʻili, ʻo ia hoʻi i ka perineum.
- ʻO nā maʻi lohi mau pinepine.
Hōʻike pinepine ʻia nā maʻi mellitus me nā hōʻailona o ka maʻi vascular, aʻo ka mea maʻi maʻi maʻi maʻi he nui ka nui o ke koko, ke koko kiʻekiʻe, ke kolamu, dyslipidemia, nephropathy a me ka pīhoihoi microcirculation ma nā haʻahaʻa haʻahaʻa, nā kiki a me ka manaʻo ʻana i ka makaʻu i nā wāwae.
ʻO nā hōʻailona o ka maʻi diabetes i ka wā'ōpiopio me ka hopena o ka maʻi o ka maʻi e pili me ka hōʻiliʻili o nā kino ketone i loko o ke koko. Hana ʻia kēia inā ua nui loa ka mana o ke kō koko koko, a ʻike ke kino i kahi pau ʻole o ke kūleʻa hoʻonaninani, kahi e hoʻāʻo e hana ʻia e ka hoʻokumu ʻana o nā ketones.
ʻO nā hōʻailona mua o ka ketoacidosis hiki ke noho maʻi a me ka ʻeha o ka ʻōpū, a laila hoʻohāʻili a hoʻonui hou ʻia ka nāwaliwali, ʻano nui me ka hanu pinepine ʻana, ka ʻoni o ka acetone i ka lewa hau e hui pū aku. ʻO ka ketoacidosis holomua e alakaʻi i ka nalowale o ka hoʻomaopopo a me ka coma.
ʻO nā kumu o ke ketoacidosis i ka wā'ōpiopio ka nui o ka pono no ka insulin e kū i ke kaʻe o ka fluctuations ma ke ʻano o ka hormonal, ka hoʻohui ʻana o nā maʻi ʻeha a i ʻole nā hanana hou, e hoʻokau hou i ka mālama ʻana i ka ʻai a me ke kaʻina ʻana i ka hoʻokele insulin, nā hopena kaumaha.
Nā hiʻohiʻona o ka mālamaʻike i nā ʻōpio me ka maʻi maʻi
ʻO ka hoʻonāukiuki ʻana i nā ʻōlelo a ke kauka, ka hōʻole ʻana o ka inikini o ka insulin a me ka hoʻohana ʻana i nā huahana i pāpā ʻia, ʻoi pū kekahi me ka wai ʻalani a me ka ulaula hoʻi ka hana ʻana o ka maʻi mellitus i ka wā ʻōpio ʻoi aku ka paʻakikī o ka loaʻa ʻole o ka rula hormonal i nā kaʻina hana kūloko.
ʻO ka maʻamau ka ka wā'ōpiopio i ka hoʻonuiʻana i ka glycemia i ke kakahiaka nui - ke ʻano kiʻekiʻe o ke ʻano o ke kakahiaka kakahiaka. ʻO ke kumu o kēia neʻe ke hoʻokuʻu i nā hormones contra-hormonal - cortisol, ulu aitua, nā hormone thyroid-hoʻoikaika.
ʻO ka maʻa maʻamau, ke hoʻopiʻi ʻia nei ke ʻano kiʻekiʻe o nā hormone e ka hoʻonui ʻia ʻana o ka hūpī o ka insulin, akā, ʻaʻole kēia i kūpono i nā maʻi ʻōpiopio i ka wā ʻōpiopio.
Ma ka manawa mai ka 13 a 15 mau makahiki, ʻoi aku ka pono o ka insulin eʻoi aku ma mua o 1 papa no ka 1 kg o ka paona o ke kino i kēlā me kēia lā. I kēia hihia, hoʻomohala ʻia kahi maʻi Somoji - ua loaʻa ka maʻi nui o ka insulin. Inā ʻaʻole i loaʻa ka kuhi gula koko, a laila pane ke kino i ka hypoglycemia ma ke ʻano he kaumaha loa, e hoʻoulu ana i nā kuhi adrenal a me ka hoʻokuʻu ʻana o glucagon i loko o ke koko.
ʻO nā hōʻailona o ka insulin overdose:
- Nā ʻano heleuli o nā ʻano a me nā loli.
- ʻO ka palupalu koke a me ke poʻo hōʻemi, e hoʻohemo ma hope o ka ʻai ʻana i nā meaʻai momona.
- ʻO ka pōkole ʻike maka pōkole.
- Hoʻopau i ka hana noʻonoʻo a me ka pili kino.
- ʻO ka moe kupaianaha me nā moeʻuhane pōkoki.
- ʻO ka luhi a me ka mauu ma hope o ka hiamoe.
- Ke mau nei ka ʻano mau ʻole o ka pōloli ʻana
ʻO kahi hōʻailona maikaʻi loa o ka maʻi Somogy kahi mea hoʻomaikaʻi ma mua o ka maʻi i kahi maʻi viral a i pana pū kekahi i ka insulin.
ʻO ke kumu no ka olakino maʻi ma ka maʻi diabetes he nui hoʻi ka lawa o ka insulin, kahi e mālama mau ai ka hyperglycemia i ke koko, ka maikaʻi o ka wā ʻōpiopio ma ka ulu ʻana mai nā hoa kīwē, ʻaʻohe ʻano hoʻouka o ka hypoglycemia, ke kiʻekiʻe o ka hemoglobin glycated, a inā ke ʻano o ka nui o ka insulin e hoʻomaʻamaʻa ʻia, ʻoluʻolu ke ʻano o ka mea maʻi.
Pono e hoʻomanaʻo nā kaikamahine i ka glycemia i kekahi mau lā ma mua o ke kāne a hiki i nā lā mua o menstruation ke kiʻekiʻe, no laila pono ʻoe e hoʻololi i ka hopena o ka lua o ka lōʻihi o ka hana a me ka insulin hana pōkole pono.
ʻO ka pale ʻana i nā hoʻopiʻi o ka maʻi diabetes i nā ʻōpio
Ma ke ʻano o ka papa maʻi o ka maʻi maʻi i ka wā ʻōpiopio e hiki ke alakaʻi i ka hoʻomaka ʻana o nā hopena o ka maʻi maʻi, nā pilikia me ka hoʻonaʻauao, ka hoʻomohala kino a me ka puberty.
No laila, i kēia manawa, mālama ka mau maʻi glycemic kokoke i ka pili o ka mea maʻamau ke kumu nui o ka ʻoihana. No kēia hana, ke kau 'ia ai ka hana' ana i ka insulin ma ke ʻano he hoʻonui ';
Hiki iā ia ke hoʻomalu i ka papa o ka maʻi maʻamau i ka wā o ka wā ma ke ʻano wili o ka mālama ʻana i ka glycemia i ka lā a me ka ʻae ʻana i nā rula o ka papaʻai. Pono e noʻonoʻo i ka insulin e alakaʻi ai i ka hoʻonui ʻana i ke kaumaha o ke kino, no laila, pono ʻoe e helu i kēlā me kēia lā ʻaʻole i ka nui o nā hāmeʻe, akā hiki nō hoʻi ke kālai ʻia o ka calorie.
Ke lawe ʻia nei ka mālama ʻana i ka insulin i nā wā ʻōpio, pono e mālama ʻia nā lula ma lalo nei:
- Ka nānā ponoʻī ʻana i ka glycemia a me ka hoʻoponopono ʻana o ka insulin i ka wā e loli ai kaʻai a i ka ʻano kino.
- ʻO nā kipa maʻamau e ka endocrinologist, neurologist a me optometrist, a inā pono, he gynecologist, ʻoihana lapaʻau a me nephrologist. ʻO nā kūkākūkā TB i hoʻokahi manawa i ka makahiki.
- ʻO ka hoʻokolohua o ka hemoglobin glycated ma kahi o ka 1 manawa i kēlā me kēia hapaha, ʻo ECG i hoʻokahi manawa i ʻeono mau mahina.
- I ka hoʻonui ʻia ʻana o ka inane no ka inikini no ka maʻi lēʻaleʻa, a i loko nō hoʻi i nā kaikamahine i kekahi mau lā ma mua o ka loaʻa ʻana o ka menstruation.
- Ma kahi o hoʻokahi makahiki, ke hōʻike ʻia ke mālama prophylactic i loko o ka hale hoʻomaha me ka koho ʻana i kahi hapa o ka insulin.
ʻO ka hoʻokomo ʻana i ka hana pilikino i ka diabetes mellitus i loko o ka lā kākena ʻoihana ʻaʻole wale nō e kōkua i ka hōʻemi ʻana i ka hopena o ka insulin e hoʻohana ʻia e hoʻoponopono i ka hyperglycemia, akā ke hoʻonui pū nei ka pane i ka poʻe receptors i loaʻa i loko o ka ate, nā mākia a me ka momona momona.
Eia kekahi, hoʻomaʻamaʻa mau haʻuki maʻamau i ka ʻōnaehana cardiovascular a me ka muscular, e hoʻonui ana i ka ahonui a me ka hana ʻana, a hiki hoʻi iā lākou ke hoʻonui i ke ʻano, e hoʻomaikaʻi i ka hoʻokuʻu ʻana o nā endorphins (hōʻoluʻolu i nā hormones) i loko o ke koko. Loaʻa maoli nō kēia i nā ukana dosed maʻamau, mau ma kahi o 40 mau minuke i hoʻokahi lā.
ʻO ka wikiō ma kēia ʻatikala e kikoʻī ana i nā ʻano o ka maʻi maʻi i ka wā ʻōpio.
