Ma ke ʻano he 2 diabetes mellitus, he mea nui loa ia e ʻike pehea ka maʻi o nā maʻi peripheral ma ke ʻano o ka hormone; no kēia, ua hoʻoholo ʻia nā glucose a me ka insulin ma hope o ka hoʻomaʻamaʻa, ʻo ke ʻano ma hope o 2 mau hola.
ʻAe ʻia kēia ʻano aʻo ʻana i ke wā kamaliʻi (mai nā makahiki 14) a me nā pākeke, nā ʻōpio a ʻo nā wahine hāpai a ʻoi aku ka lōʻihi.
Ke lilo nei i ka hana hoʻokalakala maʻalahi, hoʻoliʻi ka hoʻokaʻawale glucose e hiki ai iā ʻoe ke hoʻoholo pololei i ke kiʻekiʻe o ke kō a me ke kō i loko o ke koko. Pehea e lawe ʻia ai a he aha nā ʻano o ka insulin maʻamau ma hope o ka ʻai ʻana? E maopopo iā kākou.
I ka manawa hea e koi ʻia ai iaʻu?
No ka mea he maʻi maʻi ka maʻi maʻamau, hōʻike ʻo ʻĀ iā i nā hōʻike no ka glucose a me ka insulin ma ka liʻiliʻi ʻelua ʻelua i ka makahiki.
ʻO kēlā mau hanana e mālama i kahi kanaka mai nā hopena koʻikoʻi o kahi "maʻi ʻoluʻolu", i kekahi manawa e holo wikiwiki ana me ka ʻole o nā hōʻailona i haʻi ʻia.
ʻOiai, ʻo kaʻoiaʻiʻo, ʻo ke kiʻi ʻo ka maʻi lapaʻau o ka maʻi diabetes. ʻO nā hōʻailona nui o ka maʻi ka polyuria a me ka makewai hiki ʻole ke hoʻohālikelike.
Hoʻopili ʻia kēia mau kaʻina ala ʻelua e ka piʻi nui o ka ukana ma luna o nā keiki, ka mea e kānana i ke koko, e hoʻokuʻu ana i ke kino mai nā ʻano mea huʻala āpau, e komo pū ana me ka nui o ka glucose.
Aia kekahi mau hōʻailona hōʻailona e hōʻike ana i ke kūkulu ʻia ʻana o ka maʻi o ka maʻi maʻi, ʻoiai ʻaʻole e haʻi ʻia, ʻo ia mau hōʻailona:
- Kaumaha wikiwiki;
- ka ʻike mau ʻana o ka pōloli ʻana;
- ka malo maloʻo
- ʻānō a i ʻole nā ʻūhā o nā wāwae;
- hōʻeha a me ka ʻeha;
- hoʻoweliweli ʻia ʻana o ka ʻōpū (nausea, ka luaʻi, ka ʻōpū ʻana o ka ʻulaʻawa);
- nā hanaʻino o ka ʻike ʻike;
- hoʻonui i ke koko;
- ua hōʻemi ʻia ka nānā ʻana;
- luhi a me ka huhū;
- nā pilikia pili kino;
- i nā kāne - kūlohelohe kāne.
Inā hōʻike ʻia kēlā mau hōʻailona i ka makaʻala, pono e nīnau koke kekahi i kahi kauka. I ka manawa mua, kuhikuhi pinepine ka mea hana i ke ala e hōʻike ai i ke ʻano o ka glucose. Inā hōʻike nā hopena i ke kūkulu ʻana o kahi kūlana prediabetic, kuhikuhi ke kauka i ka mea maʻi e hoʻomaʻamaʻa i kahi hōʻike hoʻokō.
ʻO ia ka noiʻi ʻana e kōkua ai i ke koho ʻana i ka pae o ka ʻaihue o ka glucose.
Nā ʻōmai a me nā contraindications no ke aʻo ʻana
Kōkua kahi hoʻāʻo kaumaha e hoʻoholo i ka hana o ke pancreas. ʻO ka manaʻo maoli o ka nānāʻana, e mālama ʻia kekahi nui o ka glucose i ka mea maʻi, a ma hope o ʻelua mau hola, lawe lākou i ke koko no kāna noiʻi hou aku. Aia kekahi mau beta beta i ka pancreas kahi kuleana no ka hana ʻana o nā insulin. Ma ka maʻi mellitus, pili ke 80-90% o kēia mau sela.
Aia kekahi ʻano ʻelua o ia mau noiʻi - intravenous a waha a i ʻole ka waha. Hoʻohana pinepine ʻia ka ʻaoʻao mua. Mālama wale ʻia kēia ʻano hana o ka glucose i ka mea hiki ʻole i ka mea maʻi iā ia ke inu i ka wai momona. ʻO ka laʻana, ʻo ka wā hāpai a ʻo ka gastrointestinal hōʻeha. ʻO ke ʻano ʻelua o ka hoʻopaʻa ʻana, pono e inu ka mea maʻi i ka wai momona. Ma ke kānāwai, 100 mg ka meli i hoʻohemo ʻia ma 300 ml wai.
He aha nā ala āpau e hiki ai i ke kauka ke kuhikuhi i kahi hoʻokolohua kū i ka glucose? ʻAʻole liʻiliʻi ka papa inoa o kā lākou papa inoa.
Hoʻopili ʻia ka nānā ʻana me ka ukana.
- ʻAno maʻi type 2.
- ʻAno maʻi type 1.
- ʻO ka maʻi maʻi gestational.
- ʻO ka maʻi metabolic.
- ʻO ka'āina Prediabetic.
- Nā ʻilima.
- Nā ʻāpana hana pancreatic a me ka adrenal gland.
- Hōʻeha i ka nui o nā aʻala a i ʻole pituitary gland.
- Nui nā ʻōpiopio endocrine.
- Hoʻopiʻi i nā glucose o ka hoʻomanawanui.
Eia nō naʻe, aia kekahi mau contraindications kahi e hoʻihoʻi ʻia ai ke ʻano o kēia aʻo ʻana no kekahi manawa. E pili ana kēia:
- hana hoʻoweliweli ma ke kino;
- malekema holomua;
- ʻO nā maʻi a me ka maʻi peptic;
- nā pilikia me ka ʻai ʻana ma hope o ka hōʻeha ʻana i ka ʻōpū;
- ʻeha hōʻeha o ka hemorrhagic koʻikoʻi;
- ka ʻā ʻana o ka ʻōpū a i ʻole ka hōʻā ʻana o ka naʻau;
- ka hoʻohana ʻana o nā mea hoʻohālikelike;
- ka hoʻomohala ʻana o ka acromegaly a i ʻole hyperthyroidism;
- komo i ka acetosolamide, thiazides, phenytoin;
- ka hoʻohana ʻana o corticosteroids a me nā steroid;
Eia kekahi, pono e hoʻopiʻi ka noiʻi ʻana ma mua o ka nele o ka magnesium a me ka calcium ma ke kino.
Ka hoʻomākaukau no ka ʻike
I mea e loaʻa ai nā hopena pono, pono ʻoe e ʻike pehea e hoʻomākaukau ai no ka hāʻawi ʻana i ke koko no ke kō. ʻO ka mea mua, ma kahi o 3-4 mau lā ma mua o ka hoʻokolokolo me ka ukana o ka glucose, ʻaʻole pono ʻoe e hōʻole i nā meaʻai i nā mea kākoi. Inā haʻalele ka mea maʻi i ka meaʻai, ʻaʻole kēia e hoʻopilikia i ka hopena o kāna loiloi, e hōʻike ana i nā pae haʻahaʻa o ka glucose a me ka insulin. No laila, ʻaʻole ʻoe hiki ke hopohopo inā aia kekahi huahana i ka mea he 150g a i ʻole nā mea ʻami.
ʻO ka lua, ma mua o ka lawe ʻana i ke koko no nā lā ʻekolu a i ʻole ʻekolu mau mea e pāpā ʻia i nā lāʻau lapaʻau. Hoʻopili kēia ma ka contraceptives waha, glucocorticosteroids, a me ka diuret thiazide. A 15 mau hola ma mua o ka hoʻāʻo ʻana me ka ukana ua papa ʻia ia e inu i ka waiʻona a me ka meaʻai.
Eia kekahi, ʻo ka pono o ka mālama pono o ka mea maʻi e pili ana i ka hilinaʻi o nā hopena. Inā hana kekahi i ka hana kino olakino i ka lā ma mua o ke kaomi ʻana, hiki paha ke hopena ʻole nā hopena o ka noiʻi. No laila, ma mua o ka lawe ʻana i ke koko, pono pono ka mea maʻi e hiamoe maikaʻi ka pō. Inā hoʻoholo ka mea maʻi ma hope o ka lohi ʻana o ka pō, ʻoi aku ka maikaʻi o ke kau ʻana i kēia hanana.
ʻAʻole hiki iā mākou e poina e pili ana i ke kūlana psycho-emotional: pili ke kaumaha i ke kaʻina metabolic i loko o ke kino.
ʻO ka wehe ʻana o nā hualoaʻa noiʻi
Ma hope o ka loaʻa ʻana o ke kauka i nā hopena hōʻike me ka ukana ma kona mau lima, hiki iā ia ke hana i kahi maʻi kūpono i ka mea hoʻomanawanui.
I kekahi mau hihia, inā kānalua ka loea, alakaʻi ʻo ia i ka mea maʻi no ka loiloi hou.
Mai ka makahiki 1999, ua hoʻokau ʻo WHO i kekahi mau kuhikuhi o ka hōʻike ʻana i ka glucose.
Pili nā waiwai ma lalo nei i ka pili koko kokoʻelima a hōʻike i nā kumukūʻai glucose i nā ʻano like ʻole.
| Ma kahi ʻōpū | Ma hope o ke inu ʻana i ka wai me ke kō | |
| Kāne lāʻau | mai 3.5 a hiki i 5.5 mmol / l | malalo o 7.5 mmol / l |
| Kauka maʻi maʻi | mai 5.6 a 6.0 mmol / l | mai 7.6 a 10.9 mmol / l |
| Naʻi maʻi mellitus | oi aku mamua 6.1 mmol / l | oi aku mamua o 11.0 mmol / l |
E pili ana i nā kuhikuhi maʻamau o ka glucose i ke koko venous, ʻokoʻa lākou ma mua o nā helu i luna aʻe.
Hāʻawi ka papa mahele i nā hōʻailona.
| Ma kahi ʻōpū | Ma hope o ke inu ʻana i ka wai me ke kō | |
| Kāne lāʻau | mai 3.5 a hiki i 5.5 mmol / l | malalo o 7.8 mmol / l |
| Kauka maʻi maʻi | mai 5.6 a 6.0 mmol / l | mai 7.8 a 11.0 mmol / l |
| Naʻi maʻi mellitus | oi aku mamua 6.1 mmol / l | oi aku mamua o 11.1 mmol / l |
He aha ke ʻano o ka insulin ma mua a ma hope o ka hoʻomaʻamaʻa ʻana. Pono e hānā i nā mea hoʻohālike e loli iki paha i ka mea nona ka maʻi maʻi e hana nei ma kēia kula. Eia naʻe, ʻo nā mea maʻamau maʻamau e hōʻike ana i nā mea āpau me ka neʻe ʻana o ka mea kalapoka i kahi kanaka aia kahi:
- Insulin ma mua o ka hoʻouka ʻana: 3-17 μIU / ml.
- Insulin ma hope o ka hoʻomaʻamaʻa (ma hope o 2 mau hola): 17.8-173 μMU / ml.
Loaʻa he 9 mai nā mea maʻi he 10 e ʻike e pili ana i ka maʻi mellitus maʻi maʻi hāʻule i loko o ka panopō. Akā, ʻaʻole hiki iā ʻoe ke huhū. Ke kū mau nei ka lāʻau lapaʻau hou a ke hoʻomohala nei i kēia mau ala hou e pili ana i kēia maʻi. ʻO nā mea nui o ka hoʻihoʻi kūʻokoʻa e kū nei:
- insulin hana a me ka hoʻohana ʻana i nā lāʻau lapaʻau;
- ke kiai mau ana o ka glycemia;
- ka hānai ʻana i ke ʻano ikaika, ʻo ia hoʻi, ke ʻano hana no ka maʻi maʻi o kekahi ʻano;
- ka mālama ʻana i nā meaʻai kūpono.
ʻO ka laʻana o ka hoʻohaʻahaʻa glucose ka ʻike kūpono kūpono e kōkua ai i ka hoʻoholo ʻana ʻaʻole wale ka maikaʻi o ka glucose, akā no ka insulin a me ka ʻole o ka hana ʻana. Inā hahai nā lula a pau, e loaʻa ka mea maʻi i nā hopena hilinaʻi loa.
ʻO ka wikiō ma kēia ʻatikala e wehewehe pehea e hoʻomākaukau ai no ka ʻike.
