No ka poʻe me ka maʻi diabetes type 2, he nui ka nui o ka glucose i loko o ke kino. ʻO ke kumu nui o ke kōpaʻa hiki ke alakaʻi i ka pohō, maikaʻi, a me ka hoʻomohala ʻana o nā ʻōnaehana lehulehu.
Pono ke ʻano o ke kō i loko o kahi maʻi maʻi maʻi 2 no nā mākaukau "olakino", ʻo ia hoʻi kēlā mau helu i loaʻa i kahi kanaka olakino maikaʻi. No ka mea mai ka maʻamau 3.3 a i 5.5 mau kikowaena, a laila pono e hoʻokaʻawale kēlā me kēia maʻi maʻi no kēia mau hiʻohiʻona.
Hiki ke loaʻa ka hopena o ka glucose i ka hopena o nā hoʻopiʻi like ʻole i loko o ke kino, e komo pū me nā mea i hoʻohuli ʻole ʻia. No kēia kumu, pono e nānā kuʻuna i nā maʻi i kā lākou pathology, e hoʻokō me nā ʻōlelo a ke kauka a pau, pili pono i nā meaʻai a me nā meaʻai.
No laila, pono ʻoe e noʻonoʻo i nā hōʻailona o ke kō e pono ai ma ka ʻōpū ʻole, ʻo ia hoʻi, ma kahi ʻōpū ʻole, a ma hope o ka ʻai? He aha ka ʻokoʻa ma waena o ke ʻano maʻi maʻi mua a me ke ʻano maʻi ʻelua? A pehea e hoʻoholike ai i ke kō koko koko?
ʻAno maʻi type 2: ke koko koko ma mua o ka ʻai ʻana
Ke ulu nei ka mea maʻi i ka maʻi diabetes type 2, makemake ʻia kāna mau glucose e hoʻonui. E kū'ē i ka hope o kahi o ka mea e pau ai ka make, ka haunaele o ka hana o nā ʻōpū a me nā ʻōnaehana, kahi e alakaʻi ai i nā ʻōmole like ʻole.
Inā loaʻa i ka mea maʻi ka maʻi āpau 2, a laila ʻo ia e hakakā no nā kuhikuhi o ka hilahila i loaʻa i ka poʻe olakino maikaʻi. ʻO ka mea pōʻino, i ka hoʻomaʻamaʻa ʻana, ʻo ka loaʻa ʻana o ia mau helu he mea paʻakikī loa, no laila, ʻoi aku ka nui o ka glucose i ʻae ʻia no kahi maʻi maʻi maʻi.
Akā naʻe, ʻaʻole kēia ka manaʻo o ka laha ma waena o nā waihona kālā he nui ka mea nui, ʻo ka mea, ua ʻae ʻia ma mua o ka palena o ke kiʻekiʻe o ke kanaka kino e 0.3-0.6 mau unahi, akā ʻaʻohe mea hou aʻe.
He aha ke ʻano o ke kō koko no ka maʻi ma ka maʻi maʻi āpau i hoʻoholo ʻia hoʻokahi, a hoʻoholo wale ʻia ke kauka. I nā huaʻōlelo ʻē aʻe, a laila e loaʻa i kēlā me kēia maʻi i ko lākou kiʻekiʻe i pae.
Ke hoʻoholo nei i ka pae i kau ʻia, e noʻonoʻo ke kauka i nā kuhi aʻe:
- Uku kālaʻa.
- ʻO ka nui o ka maʻi.
- Ka ʻike ʻana o ka maʻi.
- Nā pūʻulu o ka mea maʻi.
- Nā maʻi hoʻohālikelike.
Aia e ʻike ʻia e uku iki ʻia nā kumukūʻai maʻamau no kahi ʻelemakule ke hoʻohālikelike ʻia me nā poʻe ʻōpio. No laila, inā he 60 makahiki a ʻoi paha ka mea maʻi, a laila e pae ana kona pae i kona ʻano makahiki, ʻaʻohe mea ʻē aʻe.
ʻO ka Sugar me nā maʻi type 2 (ma kahi ʻōpū ʻole), e like me ka mea i ʻōlelo ʻia ma luna nei, pono i nā hōʻailona maʻamau o ke kanaka olakino, a ʻokoʻa hoʻi ka 3.3 a i 5.5 mau kikowaena. Akā, pinepine ia mea paʻakikī ke hōʻemi i ka glucose a hiki i ka palena o luna o ka maʻamau, no laila, no ka maʻi maʻi maʻi maʻi gula, e loaʻa ʻia ke kō i loko o ke kino i loko o nā hui 6.1-6.2.
Pono e hoʻomaopopo ʻia me ka pathology o ka lua o ka ʻano, nā hōʻailona o ka ʻona o ka hilo ma mua o ka ʻai e pilikia ʻia e kekahi mau maʻi o ka pēpē o ka gastrointestinal, ma muli o ia ʻano i kū mai ai ka maʻi hōʻalu o ka glucose.
Sugar ma hope o ka ʻai ʻana
Inā loaʻa i ka mea maʻi ka maʻi āpau 1 a i ʻole type 2 paha, a laila e ʻāpono ʻo ia i kona kōʻai wikiwiki no nā kūlana i ʻāpono ʻia no ke kanaka olakino. ʻO kahiʻokoʻa wale nō kēlā mau kūlana i ka wā i hoʻoholo mua ai ke kauka i ka pae i kau ʻia ma kekahi kiʻi lāʻau lapaʻau.
I ke ʻano maʻi diabetes 2, ke kuhi o ke kō ma ke koko ma hope o ka ʻai ʻana eʻoi aku ka kiʻekiʻe ma mua o ka lawe ʻana o ka ʻai i ke ʻano. Ka hoʻohālikelike ʻana o nā ʻōuli ma ke ʻano o nā huahana meaʻai, ʻo ka nui o nā huamina i loaʻa me ia i loko o ke kino.
ʻO ka paona nui o ka glucose i ke kino o ke kanaka ma hope o ka ʻai ʻana i ka meaʻai e mālama ʻia ma hope o ka hapalua hola a i hoʻokahi hola paha. No ka laʻana, ma ke kanaka olakino, hiki i ke kanaka ke hiki i nā ʻāpana he 10.0-12.0, a ma ka maʻi maʻi, hiki i kekahi mau manawa ke kiʻekiʻe.
I ke kanaka olakino maikaʻi, hoʻonui ka nui o ke kōpaʻa ma hope o ka ʻai ʻana, akā i kēia kaʻina maʻamau, ke hoʻohiolo nei ʻo ia i kāna iho. Akā ma kahi maʻi maʻi, ʻokoʻa iki nā mea a pau, a no laila, ua ʻōlelo ʻia ʻo ia i kekahi meaʻai kūikawā.
Ma ke ʻano o ka nui o ka glucose i ke kino e kū aʻe ai i ke ʻano o ka maʻi i ka maʻi maʻi "hiki ke lele" ma luna o kahi ākea, e kiʻi ana ke kiʻi kiʻiʻoniʻoni o ka curve gula ma kahi hōʻike e hoʻoholo ai i ka hoʻomanawanui glucose.
- Hōʻike ʻia kēia haʻawina no ka maʻi maʻi, a me ka poʻe hoʻi i kiʻekiʻe i ka hoʻomohala ʻana i kahi maʻi huka. ʻO kahi laʻana, kēlā mau mea i kaumaha e ka hoʻoilina hewa ʻole.
- Hōʻike ka hōʻike iā ʻoe e maopopo i ka hoʻopili ʻana o ka glucose i ke ʻano o ke ʻano o ka papa lua.
- Hiki i nā hopena hōʻike ke hoʻoholo i ke kūlana prediabetic, kahi ma ke kōkua e hoʻomaka koke i ka lāʻau kūpono.
No ka lawe ʻana i kēia noiʻi ʻana, lawe ka mea maʻi i ke koko mai ka manamana lima aiʻole mai kahi vein. Ma hope o ke kau ʻana o kahi haki gula. I nā huaʻōlelo ʻē aʻe, pono ke inu i kahi kanaka i ka 75 o ka huehū, i hoʻohemo ʻia i loko o kahi wai mahana.
A laila hopu lākou i kekahi pili koko hou i ka hapalua hola ma hope, ma hope o 60 mau minuke, a laila 2 mau hola ma hope o ka ʻai ʻana. Ma muli o nā hopena, hiki iā mākou ke kahakiʻi i nā ʻenehana i koi ʻia.
He aha ka glucose e like me ka ʻai me ka lua o ka maʻi maʻi, a me ka ʻike o ka uku no ka patology, hiki ke ʻike ʻia ma ka papa ma lalo.
- Inā ʻokoʻa nā mākaʻikaʻi no kahi ʻōpū ʻole mai ka 4.5 a hiki i nā ʻunehana 6.0, ma hope o ka ʻai ʻana mai ka 7.5 a i 8.0 mau kikowaena, a ma mua aʻe o ka wā e moe ai, 6.0-7.0 unahi, a laila hiki iā mākou ke kamaʻilio e pili ana i ka uku kūpono no ka maʻi.
- Ke hōʻailona nei nā hōʻailona ma ka ʻōpū ʻole mai 6.1 a 6.5 mau ʻāpana, ma hope o ka ʻai ʻana i nā ʻāpana 8.1-9.0, a ma mua o ka hele ʻana e moe mai ka 7.1 a i 7.5 mau kikowaena, a laila hiki iā mākou ke kamaʻilio e pili ana i ka uku uku no ka pathology.
- I nā hihia i hala nā ʻelima ma mua o ka 6.5 mau mākeke no ka nui o ka ʻōpū (ʻaʻole pono ke ʻano o ka mea maʻi), he mau hola ma hope o ka ʻai ʻana ma mua o 9.0 mau pūʻulu, a ma mua o ka wā e moe ai, ma luna o 7.5 mau pūʻulu, e hōʻike ana kēia i kahi ʻano like ʻole o ka maʻi.
E like me ka hōʻike ʻana, aia nā hōʻike ʻē aʻe o ke kaola o ke ola (koko), ʻaʻole i pili ka maʻi o ke kō.
I nā pilikia liʻiliʻi, hiki i ka nui o ke kolamu ma ke kino.
Nā hiʻohiʻona o ka ana ʻana i ke kō
Pono e hoʻomaopopo ʻia o ka nula o ke kō i loko o ke kanaka ke hilinaʻi nei i kāna makahiki. Eia kahi, inā he mau makahiki ma mua o ka 60 makahiki, a no kona makahiki, ʻoi aku ka nui o nā maʻi maʻamau ma mua o nā makahiki he 30-40 mau makahiki.
I nā keiki, ma ka hopena, he haʻahaʻa ka liʻiliʻi o ka glucose (maʻamau) ma mua o kahi pākeke, a nānā ʻia kēia ʻano a hiki i nā makahiki 11-12. Hoʻomaka mai 11-12 mau makahiki o nā keiki, ko lākou mau hōʻailona o ke kō i loko o ka wai waiʻai e hoʻohālikelike ʻia me nā kiʻi makua.
ʻO kekahi o nā kānāwai no ka uku kūleʻa o ka pathology ʻo ia ka ʻoi mau ʻana o ke kō i loko o ke kino o ka mea maʻi. ʻAe kēia iā ʻoe e nānā i ka dinamics o ka maʻi glucose, e hoʻomālamalama iā ia i ke pae e pono ai, i mea e pale ai i ka hōʻea i ke kūlana.
E like me ka hōʻike ʻana o nā lāʻau lapaʻau, ʻo ka hapa nui o ka poʻe me ka maʻi type type 1 a me type 2 e hōʻeha loa i ke kakahiaka ma mua o ka ʻai ʻana. I nā poʻe ʻē aʻe, ʻoi aku ka maikaʻi o ka maikaʻi i ka wā awakea a i ke ahiahi.
ʻO ke kumu no ka mālamaʻana o ka maʻi koko gula ʻona 2 he ʻai kūpono, hoʻoikaika kino kino, a me nā lāʻau lapaʻau. Inā ʻike ʻia ke ʻano o ka maʻi mua, ua ʻōlelo koke ʻia ka mea maʻi e lawelawe i ka insulin.
Pono ʻoe e ana pinepine i ka kōʻai koko. Ma ke kānāwai, lawe ʻia kēia hana me ka hoʻohana ʻana i ka mika koko glucose home a i kēia mau pilikia aʻe:
- Ma hope iho o ka hiamoe.
- Ma mua o ka ʻai mua.
- ʻO kēlā me kēia 5 mau hola ma hope o ka hoʻomakaʻana o ka hormone.
- I kēlā me kēia manawa ma mua o ka ʻai ʻana.
- Ma hope o ʻelua mau hola ma hope o ka ʻai.
- Ma hope o kahi hana pilikino.
- Ma ka pō.
No ka mālama pono ʻana i ko lākou maʻi, ma kēlā me kēia mau makahiki maʻi āpau 2 e ana i ke kō i loko o ke kino ma ke ʻano ʻehiku mau manawa i ka lā. Eia kekahi, ʻo nā hualoaʻa i loaʻa i ke ʻano e hōʻike ʻia i ka diary. ʻO ka hoʻoholo kūpono ʻana i ka kōʻai koko ma ka home e ʻae iā ʻoe e nānā i nā kaola o ka maʻi.
Eia kekahi, ʻo ka diary e hōʻike nei i ke ʻano o ka hana pilikino, ka nui o nā meaʻai, nā menus, lāʻau lapaʻau a me nā ʻikepili ʻē aʻe.
Pehea e hoʻoliʻiliʻi ai i ka glucose?
Hōʻike ka hoʻomaʻamaʻa ma o ka hoʻoponopono ʻana i ke ola, hiki iā ʻoe ke kūleʻa maikaʻi i ka maʻi, a hiki i ke kanaka ke ola i ke ola piha. ʻO ka maʻamau, hōʻike mua ke kauka i ka meaʻai a me ka hoʻomaʻamaʻa e hoʻohaʻahaʻa i ke kō.
Inā ʻaʻole i hāʻawi ʻia kēia mau kaʻina i loko o ʻeono mahina (a i ʻole makahiki paha) ka hopena therapeutic koi ʻia, a laila ua kuhikuhi ʻia nā lāʻau lapaʻau e kōkua i nā ʻano hoʻohālikelike i ka pae ʻai.
Kuhi ʻia nā pōpoki e kahi kauka, ka mea e hilinaʻi nei i nā hopena o nā hōʻike, ka lōʻihi o ka maʻi, nā loli i loaʻa i loko o ke kino o ka maʻi maʻi a me nā wahi ʻē aʻe.
He mau hiʻohiʻona kāna meaʻai:
- ʻO ka hoʻopauʻana i nā kākena i kēlā me kēia lā.
- ʻAiʻai i nā meaʻai i haʻahaʻa ma nā minamina.
- ʻAa hoʻokele.
- Ka hōʻole ʻia o nā huahana maikaʻi ʻole (wai inu wai, kofe, confectionery a me nā mea ʻē aʻe).
Inā ʻoe e ʻimi i nā ʻōlelo leonaʻai, hiki iā ʻoe ke kāohi i kāu kōhoo, a e noho nō ma loko o nā palena i hiki ʻia no ka lōʻihi loa.
ʻAʻole e poina iā mākou e pili ana i ka hana pilikino. E hoʻomaʻamaʻa ʻia ka hoʻomaʻamaʻa maʻi no ka maʻi maʻamau i ka glucose, e hoʻouka ʻia i ka ʻāpana o ka ikehu.
ʻO ke ʻano mua a me ʻelua hoʻi o ka maʻi maʻi: ka ʻokoʻa
ʻO ka maʻi "momona" ʻaʻole wale kekahi alaʻehaʻeha e hōʻeha i ka pilikia
Nui nā ʻano koko o ka hilahila, akā ua ʻike pinepine ʻia nā ʻano mua a me ka lua o nā pathologies, a ua ʻike pinepine ʻia nā ʻano like ʻole.
Hoʻokomo ke ʻano o ka maʻi maʻi mua me ka insulin, a ua hoʻokaʻawale ʻia e ka luku ʻana i nā hua pancreatic. ʻO kahi kaʻina a i ʻole ka autoimmune, e kau ʻia ana i ka maʻi ma ka hana o ke ʻano ke kūaloko, hiki ke alakaʻi ʻia i kahi kaʻina pathological i hikiʻole ke hoʻololi ʻia i loko o ke kino.
Nā hiʻona o nā ʻano maʻi mua:
- Loaʻa i ka manawa pinepine i loaʻa i nā keiki ʻōpio, nā ʻōpio a me nā ʻōpio.
- ʻO ke ʻano mua o ka maʻi maʻi e pili ana i ka hoʻokele ʻōnaehana o ka hormone no ke ola.
- Hiki ke hoʻohui pū me nā ʻōnaehana autoimmune concomitant.
Pono e hōʻike ʻia he mau ʻepekema i hōʻike i ka predisposition heʻano i kēia ʻano maʻi o ke kō. Inā loaʻa i kahi maʻi a i ʻole nā mākua a ʻelua, a laila aia ke kiʻekiʻe kiʻekiʻe o kā lāua keiki e ulu nei.
ʻAʻole ke hilinaʻi i ka lua o ke ʻano o ka maʻi ma ka insulin hormone. I loko o kēia lakoʻai, ua hana ʻia ka hormone nā pancreas, a hiki iā ia ke noho i loko o ke kino i ka nui he nui, akā naʻe, nāwaliwali nā palupalu i ko lākou hikiʻole iā ia. ʻO ka hapanui pinepine ma hope o nā makahiki 40.
ʻOiai e pili ana i ke ʻano o ka maʻi mellitus, i mea e mālama pono ai i ke olakino maikaʻi, pono i nā mea maʻi e kiaʻi mau i kā lākou gula i loko o ke kino ma ka pae o nā waiwai i manaʻo ʻia. ʻO ke wikiō i kēia ʻatikala e haʻi iā ʻoe pehea e hoʻohaʻahaʻa ai i ke kōpaʻa koko i ka maʻamau.
