Ke kani nei nā kauka i ka lapalapa: ʻo ke kaila maʻi ke kumu nui a ka make ma 2030. ʻO ka harbinger kona prediabetes, ka nui o ke kahe o ke koko i ka manawa e nui ana a nui i mua o ke ʻano maʻamau.
He mamao loa ke ʻano o ke ola o ke ao nei: ua kū mākou i ka hele ʻana, e pāʻani ana i ka hāmeʻa, a ma kahi o ke olakino olakino ua ʻuʻuku mākou i ka meaʻai wikiwiki. Hōʻike maikaʻi kēia mau mea āpau i ko mākou olakino.
Me nā prediabetes, nā hana kīnā o ka pancreas, ʻaʻole hiki ke hana hou i ka nui o ka insulin. Me ka kipa manawa e hiki ai i ke kauka a me ka hahai ʻana i kāna mau ʻōlelo hāpai a pau, hiki ke pale ʻia nā hoʻopiʻi.
He aha ka prediabetes?
ʻO ka maʻi prediabetes kahi kūlana e hōʻemi ai ka hoʻohaʻahaʻa glucose. ʻO ia, ʻo ke kō e hiki mai ana me ka meaʻai ʻaʻole hiki ke eli pono ʻia. I ka hopena, ʻaʻole i hana ʻia ka hormone hoʻohaʻahaʻa i ka pancreas ma nā nui i koi ʻia.
Inā ua hōʻike ka mea maʻi i kahi ʻāina prediabetic, ʻoi ka nui o kona manawa e ulu ai ke ʻano type type 2. Akā, mai makaʻu koke i ka panic. Hiki ke mālama ʻia kēia ʻano inā hana ka mea maʻi i nā hana e hana ai. No ka hana ʻana i kēia, pono ʻoe e alakaʻi i kahi ʻano hana ola, e hahai i ka meaʻai kūikawā a lawe i ka lāʻau hypoglycemic.
Ke waiho nei ka mea maʻi i kahi hoʻāʻo gula, me ka prediabetes, nā hopena o ke aʻo ʻana mai nā waiwai mai 5.5 a 6.9 mmol / L. I kēia hihia, ʻo ka maʻamau i loko o ka mea olakino a hiki i ka 5.5 mmol / L, a ʻo ke kumu o ka maʻi maʻi ma mua o ka 7 mmol / L.
Eia kekahi, ʻaʻole kahi ʻike loiloi hoʻokahi o ka hoʻomohala ʻana o ka prediabetes a i ʻole ka maʻi diabetes. No ka hoʻomaopopo ʻana i kēlā mau holomua koʻikoʻi, aʻo nā loiloi i ka neʻe o ka glucose e hana i nā manawa he nui.
Ke lawe nei i ke koko mai ka manamana lima e ana i ke kiʻekiʻe o ka kō, ua nui nā mea nui i ka hana nui. Hiki ke leʻaleʻa kēia, ka meaʻai i ʻai ʻia a i ʻole ka wai i inu i ke kakahiaka, i ke kino kino, ke lawe ʻana i nā lāʻau lapaʻau a me nā mea ʻē aʻe.
Ma lalo e hiki iā ʻoe ke hoʻomālamalama iā ʻoe iho me ka ʻikepili i ka papaʻaina, ka mea e hōʻike ana i nā ʻōmaʻomaʻo nui o ka pae o ka glucose a me ka nui o nā ʻina no kahi kūlana waena a me ka maʻi mellitus.
Nā poʻe hōʻikeʻike | Norm no ka prediabetes | He ʻano maʻamau no ka maʻi maʻi maʻi maʻi |
Hoʻopuka wikiwiki | 5.5 a i 6.9 mmol / L | mai 7 mmol / l a kiʻekiʻe |
Glucose 2 mau hola ma hope o ka ʻaina | mai 7.8 a 11 mmol / l | mai 11.1 mmol / l a kiʻekiʻe |
Hemoglobin Glycated (HbA1c) | mai 5.7 a 6.5% | mai 6.5% a kiʻekiʻe |
Inā nui nā manawa hōʻike i kahi ʻōpū ʻole i hōʻike i nā waiwai nui loa, a laila kuhikuhi ke kauka no kahi hōʻike hou no ka hemoglobin glycated.
Lā lōʻihi loa kēia noiʻi (ma kahi o ʻekolu mahina), akā hōʻike ia i nā kiʻekiʻe ma ke kōpaʻa maʻamau a kōkua i ke ana pono i ka maʻi maʻamau.
Nā hōʻailona a me nā hōʻailona o ka prediabetes
ʻO ka hōʻailona koʻikoʻi, ʻoi aku ka nui o ke kō, hiki ke ʻike ʻia e ka hele ʻana. ʻO nā hana nui e hōʻike ai i ka hoʻomaʻamaʻa koko o ka wai kūlohelohe, ka hoʻāʻo ʻia ka hoʻokaʻomaʻi o ka glucose o ka waha a me ka hoʻāʻo ʻia o ka venous no ka hemoglobin glycosylated.
I kaʻoiaʻiʻo, ʻaʻohe hōʻailona hōʻailona o kahi kūlana prediabetic.
ʻAʻole manaʻo ka nui o nā poʻe he koko kiʻekiʻe koko i ka prediabetes no ka manawa lōʻihi.
Eia nō naʻe, ʻo ka mea e pono ai ʻoe e makaʻala koke i ka maloʻo i ka maloʻo, ka makewai mau ʻana a me ka koi pinepine ʻana i ka kīpē "ʻuʻuku".
ʻO nā hōʻailona koʻikoʻi ka:
- ua hōʻemi ʻo ia i ka ʻike;
- ka manaʻo o ka pōloli;
- hiamoe maikaʻi;
- mea momona
- huhū;
- lie kanikela
- nahoa
- ka kaumaha kaumaha kaumaha.
Loaʻa i kekahi poʻe ka hoʻomohala i ka prediabetes a me ka type 2 diabetes i ka mea ʻē aʻe. Hoʻokomo ka hui pilikia:
- ʻO ka poʻe me kahi predisposition hoʻoilina.
- ʻO nā kānaka keu.
- ʻO nā kānaka mai 40-45 mau makahiki a keu aku.
- ʻO nā wahine i hānau i kahi keiki ke kaupaʻa ʻia ma mua o 4 kg a ua loaʻa ka maʻi maʻi gestational.
- ʻO nā wahine me nā polycystic ovary.
- Poʻe e alakaʻi nei i kahi ʻano maʻalahi.
ʻO nā hiʻohiʻona o ka mālamaʻana i nā prediabetes
ʻAʻole maikaʻi ka ʻike ʻo ka prediabetes a hiki ke waiho ʻia a hiki ke kala ʻia ʻole. ʻO ka haʻalele ʻana i kou olakino hiki ke alakaʻi i nā hopena koʻikoʻi a hikiʻole i ke ʻano.
Akā ka poʻe e hahai i nā kuhikuhi a pau a kā lākou kauka i nā wanana maikaʻi.
Hoʻonohonoho ka loea i kahi lāʻau lapaʻau lāʻau pilikino no ka mea maʻi, me ka noʻonoʻo ʻana i nā ʻano o kona ʻano olakino.
ʻO nā lula ʻānela e pono e mālama ʻia i ka wā e hoʻomohala ai i ka prediabetes, me ke pale ʻana,
- mea ʻai kūikawā;
- ke ʻano hana;
- kaohi koko kōpili me ka glucometer;
- lawe i nā lāʻau lapaʻau.
Pono e hoʻomaopopo ʻia ma o ka hoʻokō ʻana i kēlā me kēia lula i ka hui pū ʻana me nā mea ʻē aʻe e hiki i nā hopena maoli ke loaʻa i loko o ka hopena o ka glucose koko a hiki i ka 5.5 mmol / L. ʻO ka poʻe maʻi e lawe wale nei i nā lāʻau hypoglycemic ʻaʻole hiki ke hoʻokō i ka hoʻoemi i ke kō a hoʻohemo i nā hōʻailona o ka prediabetes. Ka ʻai momona, nā meaʻai momona, nā pāʻaiona, inu i nā wai momona, nā mea maʻi e hana hewa a hoʻonui i nā kiʻekiʻe o ka glycemia.
He mea nui loa ia i ka mālama ʻana i nā ʻōlelo prediabetic e nalowale i ke kaumaha. No laila, hiki i ka mea maʻi ke helu i ka emi o ka pae glucose a me ka hoʻomaikaʻi nui ʻana o ke kino.
Inā pilikia kahi kanaka i ka hoʻomohala ʻana i ka prediabetes a me ka maʻi diabetes type 2, pono nō ia e mālama pono i kēia mau kānāwai.
ʻO ka mālamaʻai i ka mālamaʻana i nā prediabetes
ʻO Diet kekahi o nā mea nui o ka hoʻihoʻi maikaʻi ʻana i nā maʻi ʻaʻole wale mai ka prediabetes, akā ʻo nā maʻi like ʻole like ʻole hoʻi.
He mea nui ia e lawe i ka meaʻai i nā wahi liʻiliʻi, akā maʻamau - a hiki i ka 6 manawa i ka lā. Pono ka mea maʻi i hōʻike ʻia i ka prediabetes e kipa i kahi mea ʻai e hoʻomaikaʻi ai i kahi hoʻolālā meaʻai pilikino. No laila, hiki i ka mea maʻi ke hiki ke hoʻohaʻahaʻa wale i nā haʻahaʻa gula, e poina i nā mea hoʻonāukiuki, akā e hoʻolalelale loa i nā paona keu.
ʻO ka ʻai ʻana me kēlā maʻi luhi ka pili i ka hoʻopoina piha ʻana i nā momona.
Akā i ka papaʻai o nā mea maʻi e hiki ke komo i loko o nā huahana:
- ʻAiʻaka (coarse a rye) paha.
- Ka momona-lactic acid acid huahana (ʻaina kīkē, ʻona kaʻaʻai, ka ʻinaka i kā ʻia, kefir).
- ʻO ka ʻiʻo momona a me ka iʻa (ka ʻai pīpī, moa, moa, hake a me nā mea ʻē aʻe).
- Nā huaʻai i kākuhi ʻole ʻia (lemon, ʻona, pomelo, plum, cherry sour, grapefruit, peach).
- Nā mea kanu (kāpeti, kāloti, kaʻaila, paukena, kukama, greens).
- ʻOat, ʻohi a ka ʻōpala.
- Nā huahana paʻakai.
Ke lapaʻau lāʻau no ka prediabetes
I kēia manawa, ʻoi aku ka nui o nā endocrinologists e kuhikuhi iā Metformin 850 a i 1000 paha i nā poʻe maʻi.ʻO ia kahi mākoki hypoglycemic hiki ke hoʻemi i ka nui o ka glucose i hoʻokaʻina i ka ate a hoʻopau i ke kūpaʻa glucose. Eia kekahi, hiki i nā mea maʻi a me nā mea maʻi me ke kūlana waena e hoʻopaʻapaʻa me ka lawe ʻana o Metformin i mea e hōʻemi ai i ka momona o ke kino. ʻO kaʻoiaʻiʻo, hiki ke loaʻa i kēia hopena ma ke nānā ʻana i kahi meaʻai a me ke ʻano hana.
I ka makahiki 2006, ua ʻike ʻia ʻo Metformin e ka International Diabetes Federation. Ua ʻike ʻia ka lāʻau lapaʻau ka mea kūpono a ua ʻōlelo ʻia no ka mālama mua ʻana o ka prediabetes a me ka maʻi diabetes type 2. Wahi a nā helu, ua hōʻemi ʻo Metformin i ka hopena o ka hoʻomohala ʻana i ka maʻi diabetes, kona hopena koʻikoʻi a me ka make ma ka make ma kahi o 30%. ʻAʻole hiki i ka hoʻokolohua Insulin a me ka hoʻomākaukau ʻana o ka sulfonylurea i kahi hopena maikaʻi loa.
I ka honua, ua makemake nui kēia mea lawelawe hypoglycemic. No laila, ʻaʻole ia he mea kupanaha i ka mākeke lāʻau Lūkini ma laila he nui nā lāʻau lapaʻau e pili ana i ka metformin kūlohelohe, e like me, Glucofage, Glycomet, Metformin-BMS, Metfogamma a me nā mea ʻē aʻe.
Me ka hoʻohana kūpono a me ka hoʻokō pono ʻana i nā hala, ʻike pinepine ʻole ka lāʻau lapaʻau i nā hopena ʻino. Eia nō naʻe, aia ʻo Metformin i kekahi mau contraindications:
- hapai a me ka umauma;
- ka ʻana ʻole o kēlā me kēia ʻāpana;
- lactic acidosis a me ka'āina precomatose;
- hoʻoweliweli kaʻaila;
- lāleʻa hemahema;
- hepatic / renal / adrenal insufficiency;
- hele wāwae
- mahele maʻi wāwae;
- nā huehue a me nā hypoxia.
I ka hoʻomaka o ka pena, lawe nā mea maʻi i ka 1000 mg o ka lāʻau i kēlā me kēia lā, inu nui ka wai. Pehea ka lōʻihi e lawe ai au i ka metformin? Hoʻohana ʻia ka lāʻau lapaʻau me kahi iniha o 1000 mg no 1 a 2 mau pule. A laila hoʻonui ʻia ka ʻāpana. Eia naʻe, e kūkākūkā kēia mau mea āpau me kahi loea. Ke pāpā ʻia nei ka lāʻau lapaʻau ponoʻī.
ʻO ka nui loa o ka lāʻau i ka 3000 mg i kēlā me kēia lā. Manaʻo nā kauka he nui i ka hoʻomaka ʻana o ka mālama ʻana e hoʻokaʻawale i ka nui i loko o nā 2-3, i hiki i ke kino ke hoʻololi maʻamau i ka hana o ka lāʻau.
ʻOiai e hoʻohana ke kino iā Metformin, hiki i ka mea maʻi ke hoʻopiʻi i ka huhū o ka hoʻoweliweli, akā he ʻano maʻamau kēia e hele ana ma luna o kāna iho ma hope o 1-2 mau pule.
ʻO ka lāʻau lapaʻau kuʻuna i ka hakakā me nā prediabetes
ʻAʻole hiki ke hōʻola hou i nā ʻano lapaʻau hou e hoʻōla i ka prediabetes, akā, ʻoiaʻiʻo, e kōkua lākou i ka hōʻemi ʻana i ke kō a me ka hoʻoikaika i nā pale o ke kino.
ʻO ka pōmaikaʻi o nā lāʻau lapaʻau kūlohelohe ma luna o nā lāʻau lapaʻau ka mea ʻaʻole lākou e hopena i nā hopena ʻaoʻao. ʻO ka manawa wale nō ka hypersensitivity o ka mea maʻi i kekahi mau mea o ka mea kanu.
I ka hui pū ʻana me nā lāʻau lapaʻau, hiki i nā hōʻola kanaka ke kōkua koke i ka maʻi o ka maʻi.
Loaʻa nā waiwai hoʻohaʻahaʻa i ka loea e nā mea kanu:
- ʻOmaina Goatberry.
- Nā lau walnut
- Pākuʻi Puke.
- ʻO nā Blueberries a me nā blueberries i ka mellitus maʻi o nā ʻano.
- Lingonberry.
- Rowan hua.
- Kāʻei
- Kahiki.
- ʻO nā aʻa o ka dandelion.
Kūkulu ʻia kēlā mau lāʻau lapaʻau i ke ʻano o decoction, infusions, teas a tinctures. Hiki ke loaʻa i nā puke no ka hoʻomākaukau ʻana i nā lāʻau kūlohelohe i ka Pūnaewele. Eia kekahi, hiki ke kūʻai ʻia nā hōʻiliʻili phyto i mākaukau ma ka hale kūʻai. ʻO ka mea i kaulana loa ʻo Arfazetin, Vitaflor, Stevia a me nā mea ʻē aʻe.
He mau lāʻau lapaʻau a me nā mea kanu nā mea waiwai e pono ai no ka mea i nāwaliwali nāwaliwali i kahi maʻi maʻi o prediabetes. No ka mālamaʻana i ka maʻi kūpono:
- nā huaʻa o ka viburnum;
- nā huaʻili rosehip;
- yarrow;
- W John wort
- lau lau.
Ke hoʻohana nei i ka hui pū ʻana o nā lāʻau lapaʻau a me nā kūmole hanana, hiki iā ʻoe ke hāʻawi iā ʻoe iho me nā ʻōmaʻomaʻo maʻamau o ke kō. Ma ka nānā ʻana i ka meaʻai kūpono a me ka pāʻani ʻana i ka haʻuki, e hoʻopau ka mea maʻi i nā hōʻailona o ka prediabetes. No laila, hiki i kekahi ke ʻōlelo ʻole i ka maʻi maʻi a hauʻoli i ka ola ʻoi aku me ka ʻole e noʻonoʻo i kāna mau ʻōlelo.
ʻO ke wikiō ma kēia ʻatikala e wehewehe ana i nā ala e hiki ai ke hoʻohana ʻia no ka lanakila ʻana i ka prediabetes.