ʻO nā lāʻau lapaʻau maikaʻi loa no nā maʻi maʻi type 2 he ʻano kōkua o ke aupuni. ʻO kahi maʻi maʻi mellitus he maʻi kūmole, ka holomua o nā kumu no nā hoʻopiʻi like ʻole. Hiki paha i kēia mauʻike līlū, gangrene, ate, ʻōpū a me nā hopena ʻē aʻe.
I kēlā mau kūlana, pono e hāʻawi kekahi i nā maʻi maʻi i kā lākou mau hana pono. ʻO ka mea mua, pili kēia i nā hana e koi ai i ka piʻi ʻana o ka makaʻala nui, no ka laʻana, ke kalai ʻana i nā kaʻa a i ʻole hoʻi i ka mālama ʻana i nā mea paʻakikī.
Eia kekahi, ʻo ka mālama ʻana i ka maʻi maʻi i kēia manawa e koi ai i kahi hōʻai kālā kālā nui ma ka ʻaoʻao o ka mea maʻi. He kiʻekiʻe ke kumukūʻai o nā lāʻau he nui, a ʻaʻole hiki i nā mea āpau ke kūʻai iā lākou. No kēia mea, hāʻawi ka moku'āina i nā pōmaikaʻi - ke kōkua kaiāulu, nā maʻi hōʻemi a me nā lāʻau lapaʻau (ʻokoʻa ʻole ka uku).
Nā hui pū ma kahi maʻi maʻi
ʻO ka mea mua, pono ʻoe e ʻike i kahi hui maʻi o kahi kanaka me ka maʻi diabetes. Mahalo i nā hopena o ka hōʻike, hiki ke ʻike ʻia ma nā pūʻulu helu 1, 2 a i ʻole 3.
Hoʻokomo pū ka pūʻulu hui i kēlā mau mea maʻi i nā mea i hōʻemi kino i ka hana o ke ala ʻike, ua kū mai ka gangrene, aia kahi hopena o ka trombosis a me ka coma pinepine. ʻAʻole hiki i kēlā mau maʻi ke hana me ka ʻole o ka mālama ʻana i waho, ua paʻakikī iā lākou ke lawelawe iā lākou iho.
Hoʻomaopopo ka lua o nā pūnāwai i kūkulu ʻia no ka hiki ʻole o ka pilikia ʻole, ka pilikia noʻonoʻo ma ka hope o ka maʻi maʻi a me ka neuropathy diabetes. I kēia hihia, hoʻomohala kanaka i nā hopena koʻikoʻi o ka maʻi, akā hiki iā lākou ke hana me ke kōkua ʻole o kekahi.
Ua manaʻo ʻia ke kolu o nā kolu no nā mea maʻi a pau i hōʻike ʻia me ka maʻi maʻi type 1 a i ʻole type 2.
Aia kēia mau kānaka e loaʻa i nā lāʻau lapaʻau manuahi ʻole loa a me nā penikala no ka poʻe maʻi. Eia kekahi, hiki i nā mea maʻi maʻi 1 ke hiki ʻole ke lawelawe na lākou iho hiki ke hāʻawi ʻia me nā mea e pono ai ka hale a me nā lako e halihali ʻia.
Hiki iā ʻoe ke aʻo hou e pili ana i nā ʻoni ʻē aʻe o nā pono pono ma lalo.
He pono ka pono i ka maʻi diabetes
Nui nā poʻe me ka "maʻi aloha" makemake i ka nīnau, he lāʻau lapaʻau manuahi ka ʻoiaʻiʻo a i ʻole kahi hoax? Ma ka ʻike ʻole, he oiaio kēia. Hāʻawi ʻia i kahi maʻi maʻi me nā ʻano maʻi like ʻole.
Eia kekahi, ʻo nā mea maʻi i hōʻoia i ka maʻi kīnā e loaʻa ana i kahi uku olakino piha piha. ʻO kēia ke aha e hāʻawi i nā mea maʻi i ka manawa hoʻokahi i kēlā me kēia 3 mau makahiki e hoʻomaha ai ka maluhia i ka ʻupena.
Hāʻawi ʻia nā lawelawe makemake ʻano ʻē aʻe i nā maʻi me ka maʻi mellitus, i pili ʻia i kāna ʻano.
No laila, no ka laʻana, me ka papa ʻano type 1 hiki i nā mea maʻi ke loaʻa:
- ʻĀina a me nā kaha ʻeha;
- hale hana i loko o kahi keʻena lapaʻau no ka hoʻokolokolo (inā pono);
- kahi mea e hoʻoholo ai i ka glycemia a me kāna mea lako (3 mau kānana hōʻike ma ka lā).
ʻO ka manawa pinepine, ʻo kahi insulin e hilinaʻi nei i ka maʻi maʻi maʻi e alakaʻi i ka pilikia o ka mea maʻi. I nā kūlana like, hāʻawi ʻia ʻo ia i ke manawa e loaʻa ai ka lāʻau lapaʻau kūʻai nui ʻaʻole i hoʻokomo ʻia i ka papa inoa o nā lāʻau lapaʻau. Eia nō naʻe, hāʻawi iā lākou i kuhikuhi e like me ke kauka ʻana e ke kauka. Pono e hoʻomaopopo ʻia ua hoʻokuʻu ʻia nā lāʻau i hōʻailona ʻia "Urgent" i loko o nā lā he 10, a me nā lāʻau lapaʻau psychotropic - no 2 mau pule.
Me nā maʻi diabetes type 2, e loaʻa nā mea maʻi e uku no ka manuahi:
- Hōʻike ʻia nā lāʻau lapaʻau Hypoglycemic (nā dosages e ke kauka, ʻo ka hopena o ke kau lāʻau i holo i hoʻokahi mahina 1 mahina).
- Glucometer a me nā kānana hōʻike no ia (a ʻekolu mau ʻāpana i kēlā me kēia lā) i nā mea maʻi e koi ai i ka ʻohi ʻana i ka insulin.
- Loaʻa wale nō nā kānana hōʻike (i nā mea maʻi me nā maʻi maʻi type 2 ʻaʻole pono pono i nā inikini insulin, me kaʻole o nā mea maʻi me ka ʻike haʻahaʻa.
Loaʻa i nā wahine i ka wā hāpai a me nā keiki (a ʻo 18 a mau makahiki) ke kūʻai wale aku i nā lāʻau a me nā inikini wale nō, akā he mea manuahi no nā ana ʻana no ke ana ʻana i ka kō a me nā penikala ʻiwipuhi.
Eia kekahi, hiki ke hoʻomaha i nā keiki no ka manuahi ma ka hale keʻena, ʻo ia hoʻi ka huakaʻi ʻo ia iho e ka mokuʻāina.
Ka papa inoa o nā lāʻau lapaʻau hypoglycemic manuahi
No ka poʻe maʻi me ka maʻi diabetes, ua hāʻawi ʻia kahi papa inoa o nā lāʻau lapaʻau manuahi he nui no ka 2017. No ka mea e hoʻomanaʻo hou ʻia ka hiki iā ʻoe ke kiʻi iā lākou i kahi lāʻau lapaʻau wale nō ma o ka laʻa mai ka endocrinologist.
Inā ua kauka ke kauka i nā lāʻau lapaʻau maʻi, pono ʻoe e ʻike inā aia lākou i ka papa inoa o nā lāʻau lapaʻau e makemake ai. Pono ʻoe e nīnau i kāu kauka i kahi lapaʻau hou.
I ka hihia o ka hōʻole ʻana e hāʻawi i kahi laikini, pono ka mea maʻi e hoʻopiʻi i ke poʻo o ka ʻāpana a i ʻole ke poʻo poʻo poʻo o ka haukapila.
No laila, he aha nā lāʻau lapaʻau i hiki ke hāʻawi ʻia no ka manuahi? Aia ka papa inoa i ka hoʻohana ʻana o ia mau lāʻau hypoglycemic:
- Acarbose (ma nā papa);
- Glibenclamide;
- Glycidone;
- Hoʻolaha
- Glibenclamide + Metformin;
- Glimepiride;
- Nā papa Glyclazide (hana loli);
- Glipizide;
- Metformin;
- Rosiglitazone;
- Hoʻokomo ʻo.
ʻO ka poʻe maʻi e hoʻomanawanui ana mai ka mua a me kekahi manawa o ke ʻano maʻi maʻi lua i hāʻawi ʻia i nā lāʻau e pili ana i ka insulin. Hāʻawi i ka laweʻana i nā insulin like ʻole:
- I ke ʻano o kahi hopena no ka hoʻokele subutanutan - glargine, detemir a me ke kanaka biphasic.
- I nā ampoule no ka inikua - lispro, aspart, soluble kanaka.
- I ke ʻano o ka hoʻokuʻu ana no ka injections, aspart ʻo biphasic a me isofran.
Hoʻopiliʻia kēia mau pono no nā lāʻau lapaʻau no nā maʻi maʻi, hiki ke hāʻawi pū ʻia kekahi 100g o ka ethanol a me nā syringes me nā pulupulu. Eia nō naʻe, ʻaʻole hiki iā ʻoe ke kiʻi i kahi papa kuhikuhi ʻokoʻa mai kahi endocrinologist me ka ʻole o nā palapala i hala iho nei:
- koi ʻai;
- nā leka
- ka helu ʻina o ka pilikino pilikino ponoʻī (SNILS);
- palapala hōʻoia mai ka Pension Fund;
Eia kekahi, pono e hāʻawi i kahi kulekele mālama olakino.
Kahi papa inoa o nā lāʻau lapaʻau e makemake ʻia
Hāʻawi ʻia nā lāʻau lapaʻau ʻaʻole wale nō e hoʻohaʻahaʻa i nā kukuna glucose, akā no nā maʻi ʻē aʻe e pili ana i ka maʻi diabetes.
Me nā pathologies ate, ua loaʻa i ka mea pōmaikaʻi ka loaʻa o ka phospholipids a me ka glycyrrhizic acid i nā capsules, a me ke lyophilisate hoʻi i loko o ka ʻano o ka hopena no ka hoʻonāukiuki ʻana i loko o kahi vein.
Hiki i nā maʻi hānai i nā lāʻau lapaʻau e kōkua i ka hoʻomaikaʻi ʻana i ka hoʻoweliweli ʻana, ʻo ka mea nui i nā enzymatic. ʻO kēia ke pancreatin i nā capsules a me nā papa.
Eia kekahi, no nā mea maʻi me ka maʻa ʻano type type 1 a me ke ʻano 2 "ʻokoʻa ʻia nā kauka ʻona."
- Ka nui o nā huaora, a me kā lākou pākuhi: alfacalcidol, retinol, calcitriol, colecalciferol, ascorbic acid, pyridoxine, thiamine, calcium gluconate, potassium a me ka magnesium asparaginate. A pū kekahi mau momona o Doppelherz no nā maʻi maʻi.
- Ka nui o nā lāʻau lapaʻau i hoʻohana ʻia no nā pono o ka metabola nā maʻi, e komo pū ana me ka hoʻomākaukau ʻana i ka enzyme a me nā waikawa amino: ademetionint, agalsidase alpha, agalsidase beta, velaglucerase alpha, idursulfase, imiglucerase, miglustat, nitizinone, thioctic acid a me nitizinone.
- ʻO ka nui o nā lāʻau antithrombotic: warfarin, sodium enoxaparin, he sodium heparin, clopidogrel, alteplase, prourokinase, recombinant protein, rivaroxaban a me dabigatran etexilate.
No ka poʻe maʻi me ka maʻi diabetes, ua hoʻolako ʻia nā lāʻau lapaʻau no ka mālama ʻana i nā papa maʻi cardiac. No ka laʻana, digoxin i loko o nā ampoules no ka hoʻonāukiuki i loko o kahi vein a i nā papa. Hāʻawi i ka hoʻokuʻu ʻia mai o nā lāʻau anti-rheumatic e like me ka procainamide a me ka lappaconitine hydrobromide.
Ka hui o nā vasolidator no ka mālama ʻana i nā maʻi naʻau e loaʻa i ka isosorbide dinitrate, isosorbide mononitrate a me nitroglycerin.
Hoʻokuʻu manuahi i ke kūʻai aku i ia lāʻau lapaʻau no ke kaomi: methyldopa, clonidine, moxonidine, urapidil, bosentan, a me ka diuretics, pū kekahi me hydrochlorothiazide, indapamide, hydrochlorothiazide, furosemide a spironolactone.
ʻO ka loaʻa ʻana o nā lāʻau lapaʻau a me ka hōʻole ʻana o nā huaʻōlelo makemake loa
Hiki iā ʻoe ke loaʻa nā lāʻau lapaʻau no ka maʻi maʻi i nā ʻōlelo maikaʻi i loko o kahi lāʻau lapaʻau kūikawā kūikawā. Pono ka mea lapaʻau e hāʻawi i ka lāʻau lapaʻau i ka nui i hōʻike ʻia e ka mea hele ma ke ʻano aʻoaʻo.
Hoʻomaʻama pinepine, ua hoʻonohonoho ʻia ke ala i kuhikuhi ʻia no kahi papa o ka malama 1 mahina, i kekahi manawa ʻoi aku ka liʻiliʻi. Ma hope o ka hoʻopau ʻana i ke ʻano o ka mālama ʻana, pono e ʻike ka mea maʻi i ke kauka e loiloi i ka hopena o ke ʻano o ka hōʻola ʻana. I kēia hihia, hiki iā ia ke kuhikuhi i ke ʻano o nā hōʻike a hōʻike hou i ka lāʻau lapaʻau.
Hiki i kahi mea maʻi kīnā i ke kīpē ʻana mai kahi pānaʻi piha piha pono ola. Ua kuhi kēia i ka hōʻole ʻana o kahi tikiki i kahi ʻāpana. I kēia hihia, hāʻawi ʻia ʻo ia me ka uku kālā. Akā ʻaʻole hiki ke uku ʻia me ka uku o ka palapala ʻae, no laila, ʻaʻole ia he mau manaʻo. Pono ʻoe e noʻonoʻo no ka noho ʻana o ʻelua pule ma kahi keʻena ma 15,000 rubles, akā ʻoi aku ka uku kālā ma mua o kēia helu. Hoʻokuʻu pinepine ʻia wale nō inā ʻaʻole hiki i kekahi mau kumu ke hele i ka wā hoʻomaha.
Eia nō naʻe, no ka hōʻole ʻana i kahi pōpilikia pili pono, e loaʻa ana i nā mea pōmaikaʻi ka loaʻa ʻana o nā lāʻau lapaʻau, nā ʻāpana hana ana a me nā syringes no ka manuahi.
Hoʻomaopopo ʻia ka maʻi homaʻi he "maʻi" no ka makahiki 21. Ke hoʻonui nei ka nui o ka maʻi o ka maʻi i kēlā me kēia makahiki. Hiki i kēia maʻi ke ulu wikiwiki, hiki i ka poʻe ke hana i ke ʻano maʻamau. Loaʻa ʻia nā pono no kahi keiki maʻi kīnā me nā maʻi maʻi type 1.
ʻO ke moku'āina, no kona ʻaoʻao, e kōkua i nā mea maʻi me kēia maʻi. Hāʻawi ia i kekahi mau lāʻau lapaʻau, penikala kīnā ʻole a me nā kōkua kaiāulu manuahi ʻole. No ka mea he nui ke koʻikoʻi o ka mālama maʻi, ʻaʻole ʻoe e hōʻole i kēlā kōkua.
ʻO ke wikiō ma kēia ʻatikala e kamaʻilio e pili ana i nā pōmaikaʻi kānāwai o kēlā me kēia ʻano maʻi maʻi.
