ʻO ka Glucose kahi pūnaehana olakino holoʻokoʻa e pono ai no ka hana piha o nā ʻiʻo a pau a me nā kiko, me ka puʻu. ʻO ka hoʻohemo ʻana i ke kō mai ka waiwai maʻamau e hiki ke alakaʻi i ka hoʻopōʻino ʻana i nā kaona āpau.
Pono i ka pae o ke kō i loko o ke koko, inā paha ka glucose, pono e hoʻoponopono ʻia ke kumu kumu nui loa i nā ʻāpana āpau a me nā kiko, akā ʻaʻole pono i loko o ka pā.
I ka wā e kue ʻole i ka metabolism o ke kō i loko o ke kino, hiki ke hōʻike ʻia e kahi kūlana hyperglycemic (kiʻekiʻe i ke kōpaʻa kiʻekiʻe) a i ʻole a hypoglycemic state (haʻahaʻa ka palena koko).
Nui nā poʻe maʻi e makemake nui ana, he koko koko 5 - he nui a liʻiliʻi paha? E pane i kēia nīnau koi, pono e noʻonoʻo i nā ʻōmole maʻamau, a hiki i nā hopena kūpono.
ʻO ka mea i manaʻo ʻia ʻo ke ʻano maʻamau?
ʻO ke kanaka olakino maikaʻi ʻole ʻaʻohe moʻolelo o nā maʻi kō iʻa he koko koko ma ka pae o 3.3 a i 5.5 mau kikowaena (ma kahi ʻōpū ʻole). I kahi kūlana i ʻike ʻole ai ka glucose i ka pae liʻiliʻi, hoʻomaka ka pae ʻana i ke kōpaʻa i loko o ke kino akā e ala mau.
E like me ka mea i ʻōlelo ʻia ma luna nei, ʻo ka glucose ka mea e pono ai ke kumuwaiwai honua e pono ai no ka hana piha o nā kinamu āpau.
I ka mea maʻi me ka maʻi like ʻole, ʻaʻole hana ka pancreas i kahi hormone. Me ka 2 o nā kulekele lua, ua huna ʻia e ka mea kūloko i ka nui o ka nui o ka hormone, akā ua pau nā ʻōwili palalike o ke kino i ka ʻike ʻana, ma kēlā me kēia, ʻaʻole hiki ke hoʻomaopopo piha iā ia.
I ka manawa e "pololi" ana nā lula, ʻaʻole ka loaʻa i ka nui o ka ikehu, e loli pū ka maikaʻi o ke kanaka. ʻO ka mea maʻi ua nāwaliwali ikaika, palaualelo, wikiwiki ʻo ia e luhi, nele ka maʻi.
I ka huli ʻana, hoʻāʻo ke kino e hoʻokuʻu kūʻokoʻa i ka nui o ke kō, ma ke ʻano he hoʻomaka nui ka hana ʻana o nā keiki ma ke ʻano he hopena, ma muli o ka mea e hoʻomaka pinepine ai ka mea maʻi i ka lua kahe.
Ma nā hana lapaʻau, he mea maʻamau no ka hoʻokaʻawale ʻana i nā huaʻōlelo pili i lalo o ke kōhi koko.
- I ka emi ʻana o ke kō koko koko ma o 3.3 mau pūʻulu, ʻike ʻia kahi kūlana hypoglycemic.
- Aia ka pae o ke kōpaʻa ma ke kino o ke kanaka mai ka 3.3 a hiki i 5.5 mau pūʻulu no ka ʻōpū o ka hapa, a hiki hoʻi i ka 7,8 ma hope o ka pāʻina, a laila he mau maʻi maʻamau kēia.
- I ka ʻike pinepine ʻia o ka glucose i loko o ke kino ma luna o kahi ʻōpū ʻokoʻa ma mua o 5.5 mau māka ma luna o ka ʻōpū ʻole, a ʻoi aku hoʻi ma mua o 7.8 mau pūʻulu ma hope o kahi kīʻaha, he ʻano hyperglycemic kēia.
I kahi kūlana e lawe ʻia ai ka hoʻopiʻi ʻana i ke koko mai kahi vein, ʻike ʻia nā hopena he ʻokoʻa ka maʻamau, ʻo ka ʻano o ka 4.4 a i 6.1 mau pūʻulu. I ka hihia a ʻokoʻa ke kuhikuhi ʻana mai ka 5.6 a i nā papa 6,6, hiki ai ke kānalua i ke kuʻi ʻana i ke kō.
No laila, hiki iā mākou ke hoʻopau i ka hokeʻo 5 kahi hōʻailona maʻamau o ka neʻe o ka glucose i loko o ke kino o ke kanaka. Inā loaʻa ka pae kō i ke kō ma loko o kahi ʻōpū ma mua o 6.7 mau ʻina, a laila hiki iā ʻoe ke kānalua i ka hele ʻana o kahi maʻi "ʻono".
Hoʻoulu huapalapala
He kiʻekiʻe ka glucose o ka Hyperglycemia ma ke kahe o ke aniani (ke koko). I kekahi mau kūlana, he maʻamau ka kūlana o ka hyperglycemic, a ma kēia hihia hiki iā mākou ke kamaʻilio e pili ana i kekahi o nā hana "adaptive" o ke kino kanaka, i ka manawa e koi ʻia ai ka nui o ka glucose.
No ka laʻana, me ka hoʻonui ʻana i ka hana kino, hōʻeha nui, makaʻu, hoʻomālikelike. A ke nānā ʻia nei ka nui o ka hilo me ka manawa pōkole no ka manawa pōkole, no ka manawa, ua kau ʻia kēia kūlana ma luna o nā lohi i ke kino.
Ke hana ke nānā ʻia nei kahi hilahui kiʻekiʻe ma mua o ka manawa lōʻihi, ʻoiai ka nui o ka hoʻokuʻuʻana o ka glucose i loko o ka uila circulate ka nui o kēlā me kēia manawa e hoʻomaʻamaʻa ʻia ai ke kino e pehu ai, ʻo ia ka hopena o ka hoʻopiʻi endocrine system.
Hōʻike ʻia ke kūlana hypoglycemic e ke kiʻi kauka ma lalo nei:
- Ke makemake mau nei e inu, wikiwiki a hoʻomau i ka urination. ʻO ka hoʻonuiʻana o ka gravity kikoʻai i ka lā.
- Hoʻomaʻamaʻa ka maloʻo ʻana i ka puʻu waha, ʻike ʻia o ka ʻili.
- ʻO ka nānā ʻana o ka ʻike, nāwaliwali, nā luhi a me ka lethargy.
- ʻO ka lilo o ka paona, a ʻo ka papaʻaʻai mau nō ia.
- ʻAʻole lapaʻau nā ʻōpio a me nā kāwika no ka manawa lōʻihi.
- Ke nānā pinepine ʻia nei nā polu a me nā maʻi ʻaihue, kahi paʻakikī i ka hoʻomaʻamaʻa ʻana ma o ka hōʻola ʻana i ka lāʻau lapaʻau.
- Loaʻa i kahi kūlana olakino.
ʻAi iki kahi liʻiliʻi o ka hoʻonui ʻana i ke kō i ka lolo, ʻaʻohe hopena i loko o ke kino o ke kanaka, ke ahonui wale ka make nui a me ka urination pinepine.
Ma kahi kūlana koʻikoʻi o ka hyperglycemic, ke hoʻopilikia nei nā hōʻailona, ua maʻi ka mea maʻi a me ka luaʻi, lilo ia i ka ʻalopona a me nā mea i haki ʻia, ʻaʻole i haʻalele ʻia ka ʻike ʻole.
Ke kūpaʻa ka gula, a laila hiki iā mākou ke kamaʻilio e pili ana i ka pākaukau. I kahi kūlana kahi i hoʻonui aku ai nā mea hōʻike i ka 5,5 mau kikina ma luna o ka ʻōpū ʻole, a laila ʻike ʻia kēia hyperglycemia, a me kahi maʻi "ʻoluʻolu".
ʻO ka haʻahaʻa haʻahaʻa
ʻO kahi kūlana hypoglycemic kahi i emi iho i ka kaʻe o ka glucose i ke kino o ke kanaka. Pono e hoʻomanaʻo ʻia he haʻahaʻa loa ka hoʻohaʻa ʻana i ke kō ma mua o ka mokuahi hyperglycemic.
E like me ke kānāwai, ua hoʻemi ʻia ke kōʻai ma muli o ka palaka, i ka wā e kau nui ai nā lako insular o ka pancreas. I nā huaʻōlelo ʻē aʻe, ua hoʻihoʻi kahi kanaka i ka nui o nā meaʻai momona.
I ka huli, e hana nā pancreas me ke kaumaha loa, ma muli o kēia, he nui ka nui o ka hormone ke kūkulu ʻia, a hoʻohuihue ʻia nā gula a pau ma ka pae ʻai. A ke alakaʻi nei kēia kaʻina i ka ʻoiaʻiʻo he hapa ka glucose.
Hiki ke nānā ʻia ka emi ʻana o ke kō ʻana o ka kō ma muli o nā kumu:
- ʻO nā kuʻuna o ka pancreas, ka mea i hoʻopili ʻia me ka ulu o kāna mau lālā palupalu, a me nā pū kekahi i kuleana no ka hoʻouka ʻana o ka hormone.
- ʻO ke ʻano o ka Tumor a ka pancreas.
- ʻO ka palola palū polū ka hopena, ma muli o ka huina o ke kūlohelohe o ka glycogen
- ʻO ke kuʻuna o nā keiki a me nā kūloko adrenal.
ʻAʻole hele ke kahe ʻana o ke kō koko koko me ka loaʻa ʻole o ka pā, a ma kahi huli aʻe e hōʻike ʻia ai e kekahi kiʻi haukapila. E like me ke kānāwai, hōʻike ʻia kahi haʻahaʻa haʻahaʻa ma o ka nāwaliwali loa, ʻoi loa ka hoʻohālikelike, nā haʻalulu o nā palahalaha.
Eia kekahi, he nui ka puʻuwai e hoʻonui i ka puʻuwai, he hopohopo ʻole o ka make, ka nui o ka huhū a me ka excitability, ka maʻi noʻonoʻo, kahi ʻike pōloli.
Me ka emi nui o ka kō, ua ʻike ʻia ka nalowale o ka ʻike ʻole ʻia, a ua kapa ʻia kēia ʻano inoa he coma hypoglycemic i ka maʻi diabetes mellitus.
ʻIke i ka hoʻokaʻawale honua glucose
E like me ka mea i ʻike ʻia, ka glucose o nā ʻelima elima he hōʻailona maʻamau. Akā i kekahi mau kūlana, hiki ke hoʻokaʻawale i nā ʻōnaʻi o ke kō, ma muli o ke ʻano e hōʻike aku ai ke kauka i ka hana hoʻokolohua no ka hōʻole i ke kō.
ʻO ka hoʻohaʻahaʻa kākā ke hana kūpono a maikaʻi i ka hana e hiki ai iā ʻoe ke loaʻa ka hewa a me ka hūnā ʻia o nā pakanā o nā hana hoʻoneʻe. Eia kekahi, hiki ke hoʻohana pono e hoʻokumu i nā ʻano ʻano meʻīwī o ke kō.
Hoʻolālā ʻia kekahi i nā hihia kahi i loaʻa ai nā hopena dubious o nā hoʻāʻo glucose koko maʻamau.
Ke hōʻike ʻia nei kēia hoʻokolohua no ka mahele inoa o nā maʻi:
- No nā poʻe ʻaʻole i loaʻa nā hōʻailona o ke kō nui o ke kō i loko o ke kino, akā ʻike pinepine ʻia i ka glucose i loko o ka urine.
- No nā mea maʻi me ka ʻole o nā hōʻailona lapaʻau o ka maʻi, akā me nā hōʻailona e hoʻonui i ka neʻe o ka maʻamau o ka urine i kēlā me kēia lā. I ka manawa like, ʻike ʻia nā hōʻailona maʻamau o ke kō ma ka ʻōpū ʻole.
- ʻO ke hoʻonui ʻana o ka kao o ka glucose i loko o ke kino ma nā wahine i ka wā hāpai.
- I nā maʻi me nā maʻi o ka maʻi maʻi, akā me nā pae maʻamau o ke kō i loko o ke koko, me ka waiho ʻia ʻana o ka urine.
- ʻO ka poʻe e loaʻa ka predisposition genetic i ka maʻi, akā ʻaʻohe hōʻailona o ka hoʻonui ʻana o ka glucose i loko o ke kino.
- ʻO nā wahine i ka wā hāpai ke loaʻa ma mua o 17 kilokileka, aʻo ka pēpē me ke kaupaona ʻana, ʻoi aku ka nui o ka 4.5 kilograms.
E hana i kēia hoʻokolohua, lawe mua ka mea maʻi i ke koko no ka kō (ma ka ʻōpū ʻole), a ma hope o ka hāʻawi ʻana iā lākou i ka 75 o ka glucose, nā hoʻoheheʻe ʻia ma kahi wai mahana. Hoʻoholo ʻia ka hoʻokaʻawale ʻana o ke ahonui ma hope o 60 a me 120 mau minuke.
ʻO Glycated hemoglobin a me kāna mau hōʻailona
ʻO ka hōʻike ʻana o ka hemoglobin glycable he mea hilinaʻi pono o ka hoʻāʻo ʻana ka nui o ke kōkōlima. Hoʻoholo ʻia kēia hōʻailona i ka mahele pakeneka, a ʻo kona mau hōʻailona maʻamau ka ʻona no nā kamaliʻi ʻōpio a me nā pākeke.
ʻO ka glycated hemoglobin kahi hōʻailona biochemical e hōʻike ana i ka puna ʻai kō i ke kōkeke ma loko o ke kanaka i kahi lōʻihi lōʻihi (a hiki i 90 lā).
Inā he hōʻike koko maʻalahi e ʻike iā ʻoe i nā hopena o ka glucose i ka manawa o ka aʻo ʻana, a laila e ʻae ʻia nā hōʻailona hemoglobin e ʻike i nā hualoaʻa o ka meli no kekahi manawa, kahi e hiki ai iā ʻoe ke hoʻoholo i ka nui o ka loli.
Pono e hoʻomanaʻo i ka pae o ka hemoglobin glycated ʻaʻole i hilinaʻi i ka manawa manawa o ka lā, ka hana kino kino o ka mea maʻi, nā meaʻai a me nā lāʻau lapaʻau, nā ʻano pilikino o ka mea maʻi, a me nā mea ʻē aʻe.
Loaʻa nā pono o kēia noiʻi ʻana i nā wahi aʻe:
- Hiki ke hāʻawi ʻia ke koko i kēlā me kēia manawa, ʻaʻole pono ma ka ʻōpū ʻole.
- Ka kiʻekiʻe a me ka pololei o ke kaʻina.
- ʻAʻole pono e inu i ka glucose, kali iki i kekahi mau hola.
- ʻAʻole ka hoka ʻia o ka hopena hōʻike ʻana i nā kumu nui i hōʻike ʻia ma luna nei.
Eia nō hoʻi, ma o kēia noiʻi nei, hiki iā ʻoe ke hoʻoholo inā hiki i ka lāʻau maʻi maʻi ke mālama i kona koko ma nā mahina ʻekolu i hala, a i ʻole ke koi ʻia ka lāʻau lapaʻau i kekahi.
ʻOiai he nui nā pono o ka hoʻopaʻa ʻana, loaʻa pū kekahi ʻia.
- ʻĀina noiʻi.
- Inā loaʻa i ka mea maʻi ka haʻahaʻa hormone thyroid haʻahaʻa, a laila hiki ke loaʻa ka hopena maikaʻi ʻole.
- ʻO ka wehe ʻana o nā hopena inā he haʻahaʻa ka hemoglobin a i ʻole ka liʻiliʻi o ka hao.
- ʻAʻole hana kekahi mau lapaʻau i kēlā hoʻokolohua.
Inā hōʻike ka hopena o ka hōʻike ʻana, ʻo 5.7% o ka hemoglobin glycated, a laila e hōʻemi ʻia ka nui o ka hoʻomohala ʻana i kahi palaka kōloli a i ʻole. Me ka ʻano iki o nā hōʻailona mai ka 5.7 a i 6%, hiki iā mākou ke ʻōlelo, ʻaʻohe mea maʻi maʻi, akā he kiʻekiʻe nō ka hopena.
Inā ʻokoʻa nā hōʻailona mai ka 6.1 a hiki i ka 6.4%, a laila hiki iā mākou ke kamaʻilio e pili ana i ke kūlana prediabetic a me ka kiʻekiʻe o ka hoʻomohala ʻana i nā pathology. I kahi hopena ma mua o 6.5%, ua loaʻa kahi maʻi maʻi "maʻi momona", a ua ʻōlelo ʻia nā hana diagnostic ʻē aʻe.
ʻAno a me Kahiki
Inā mākou e kamaʻilio e pili ana i nā kumukūʻai glucose maʻamau i ka manawa o ka hānau ʻana o ke keiki, a laila ʻokoʻa nā ʻano o nā kumu o nā wahine mai 3.3 a 6.6 mau pūʻulu. I nā wiki 28, ua ʻōlelo ʻia ka wahine e lawe i ka hoʻāʻo.
Kuhi ʻia ke ʻano o ka hopena i ka wā ma hope o ka lawe ʻana he 50 mauʻu o ka glucose, ʻaʻole eʻoi aku nā hōʻailona ma mua o 7.8 mau ʻāpana. Inā ʻoi aku ka hopena o ka hōʻike ʻana i kēia helu, a laila e ʻōlelo ʻia ka wahine e hoʻomaʻamaʻa i kahi hōʻike ʻekolu hola me 100 mau glucose o ka glucose.
Inā loaʻa kahi maʻi maʻi maʻi wahine hāpai, a laila loaʻa nā hopena o ke noiʻina i nā kiʻi aʻe:
- ʻO ke kōpaʻa koko kō ma hope o 60 mau minuke ma hope o ka hoʻomaʻamaʻa ʻia e like me kahi hōʻailona ma mua o 10.5 mau ʻāpana.
- ʻO ka hoʻoliʻi o ka glucose ma hope o ka minuke 120 ma mua o 9.2 mau ʻāpana.
- ʻEkolu mau hola ma hope mai, ʻoi aku ma mua o 8 mau papa.
Ua hoʻomaka mua kekahi ʻano o ka wahine kūpono i ka ulu ʻana i ka maʻi diabetes. Mālama i nā wahine i hānau mua ma hope o 30 mau makahiki o kona makahiki. A ʻo kēlā mau wahine i loaʻa i nā predisposition hoʻoilina maikaʻi.
I kekahi mau kūlana, hiki i ka hoʻokaʻawaleʻana o kaʻukala ma muli o nā maʻi like ʻole i hōʻike ʻole i ko lākou ulu ʻana. Eia kekahi, hiki ke hoʻōla i ke kō ma muli o ka loaʻa nui o ka paona i ka wā e lawe ai i ka pēpē.
Pēlā, i mea e hoʻoponopono ai i ka metabolism o nā palama i ke kino o ke kanaka, ma ka liʻiliʻi he ʻelua mau hōʻailona: ʻo ka hopena o kahi noiʻi ma kahi ʻōpū ʻole a me ka glucose i loko o ke kino 120 mau minuke ma hope o ka hoʻomaʻamaʻa. A ʻo ka hana hope loa ʻo ka hemoglobin glycated, kahi e hiki ai i ke kauka ke hoʻokū i ka hōʻike hope loa. E ʻōlelo kekahi e pili ana i kā mākou waiwai e pili ana i ka mea e pono ai ke ʻano o ka hemoglobin glycated i loko o ke koko. A ʻo ke wikiō ma kēia ʻatikala e kamaʻilio e pili ana i nā hōʻailona hilo i nā maʻi maʻi maʻi.
