Ke ulu nei ka nui o nā poʻe i maʻi me ka maʻi maʻi i kēlā me kēia lā. No laila, i kēia lā ua loaʻa ka nui o nā mea maʻi i hoʻopaʻa ʻia 300 miliona. Eia nō hoʻi, ʻo ka helu o ka poʻe i ʻike ʻole e pili ana i ka loaʻa ʻana o ka maʻi.
I kēia mau lā, nui nā kauka a me nā ʻepekema mai nā wahi a puni o ka honua e komo i ka hoʻopaʻa ʻana a me ka mālama ʻana i ka maʻi diabetes. No laila, makemake nui nā poʻe e mālama i ka maʻi diabetes i waho, ʻo ia hoʻi ma Kelemania. Ma hope o nā mea āpau, kaulana kēia ʻāina no kāna mau lapaʻau kiʻekiʻe, nā kauka maikaʻi loa a me nā kauka.
Ke hoʻohana nei nā kauka Kelemania i ka maʻi maʻi maʻi no ka mau lāʻau lapaʻau kūlohelohe wale nō, akā ʻo ka ʻokiʻoki i ʻenehana i hoʻomohala ʻia i hoʻomohala ʻia i nā keʻena noiʻi i nā haukapila. ʻAʻole hiki i kēia ke hoʻomaikaʻi i ke kūlana olakino o ka maʻi maʻi, akā e hoʻokō hoʻi i ke kala lōʻihi o ka maʻi.
Pehea e maʻi ai ka maʻi maʻi ma Kelemānia?
Ma mua o ka mālama ʻana i ka maʻi maʻi maʻEulopa, kākau nā kauka i kahi loiloi a me ka hōʻike piha i ka mea maʻi. Hoʻokomo pū kekahi huakaʻi maʻi me ke kūkākūkā me ka endocrinologist e hōʻiliʻili i kahi anamnesis, ʻike i ka mea e hoʻopiʻi nei ka mea maʻi, e hana nei i kahi kiʻi holoʻokoʻa o ka maʻi, i kona lōʻihi, ka hiki ʻana o nā hoʻopiʻi a me nā hopena o ka lāʻau i hala.
Eia kekahi, e hoʻouna ʻia ka mea maʻi i nā mea i koho ʻia me nā kauka ʻē aʻe, ʻo ia hoʻi, he neurologist, ophthalmologist, mea mālama meaʻai a me ka orthopedist. Eia kekahi, ʻo nā haʻawina noiʻi hoʻokani waiwai nui i ka hōʻoia ʻana i ka maʻi maʻi. ʻO ka mea mua e hoʻoholo ai i ke ʻano o ka maʻi maʻamau ma waho o kahi hoʻāʻo koko i lawe ʻia ma ka ʻōpū ʻole me ka hoʻohana ʻana o kahi glucometer kūikawā.
Ke hoʻāʻo nei i kahi hoʻokolohua glucose. Kōkua ʻo TSH i ka ʻike ʻana i ka hele mai o ka maʻi maʻi maʻi, e kū ana ma nā palapala latent.
Eia kekahi, ua kuhikuhi ʻia kahi loiloi no HbA1c, me ia e ʻike ai i ka hopena o ke koina o ke kō i loko o ke koko i nā lā 90 i hala. ʻO ka maikaʻi o kēlā hoʻokolohua ʻole e hiki ke hoʻokō ʻia me ka ʻole o ka mea paʻa i ka kōʻaiʻai a i kēlā me kēia manawa o ka lā. Eia nō naʻe, ʻaʻole kūpono ka hoʻokolohua hemoglobin no ka ʻike ʻana i ka maʻi type 1, ʻoiai ke ʻike ia i ka prediabetes a me nā maʻi 2.
E nānā aku nā kauka Kelemania i ka wai no ke kō. No kēia, hōʻiliʻili ʻia ka nui o nā lā i ka lā a i ʻole (6 mau hola).
Inā e olakino kekahi kanaka, a laila e hewa nā hopena o ka loiloi. Hoʻomaʻama pinepine i nā hale lapaʻau ma Kelemānia, hoʻohana nā maʻi i ka urine i ka hōʻike Diabur (kahi kikoʻī kūikawā).
Hoʻopili i kahi loiloi laboratorium, ma mua o ka lawe ʻana i ka mālama ʻana i ka maʻi diabetes i ka Kelemānia, hōʻike ʻia nā diagnostics hardware, kahi e hoʻoholo ai ke kauka i ke ʻano maʻamau o ke kino o ka mea maʻi.
- Sonography Doppler - hōʻike i ke kūlana o nā kīhaki a me nā veins, ka wikiwiki o ke kahe o ke koko, ka hele ʻana o nā pōpoki ma nā paia.
- Pūnaewele o ka ʻōpū o ka ʻōpū - e hiki iā ʻoe ke hoʻoholo i ke ʻano o ke kino o loko, aia ke kolo i loko o lākou, he aha ko lākou ʻano a me ko lākou ʻema.
- ʻO ka hoʻohana ʻana o ka ultrasound Doppler - hoʻohana ʻia no ka hoʻoholo ʻana i ke kūlana o ka vascular network o nā wāwae a me nā lima.
- Electrocardiogram - e kōkua i ke ʻike i nā hemahema o ka puʻuwai a me nā kīʻaha koko i kū i ke ala o ke maʻi maʻi.
- CT - hiki iā ʻoe ke nānā i ke ʻano maʻamau o ka ʻōnaehana cardiovascular.
- Osteodensitometry - hōʻike i ke kāwili axial.
Ke kumukūʻai ke kumukūʻai o ka maʻi maʻi i nā kumu he nui. ʻO kēia ke ʻano o ka maʻi, ka hele ʻana o nā hoʻopiʻi, nā māka o ke kauka a me nā loina o ka haukapila kahi e hoʻokele ai ke aʻo.
Akā aia kekahi mau kumukūʻai e pili ana, no ka laʻana, ka hoʻāʻo ʻana no ka maʻi maʻi ma waena o 550 euros, a me nā hoʻokolohua noiʻi - 250 euro.
ʻO ka lāʻau lapaʻau a me nā hana lapaʻau o ka maʻi maʻi i nā wīwī Kelemania
ʻO nā mea a pau i mālama ʻia ma Keleman e waiho nei i nā loiloi maikaʻi loa, ʻoiai ma Western Europe, ua lawe ʻia ka lāʻau paʻakikī, me ka hoʻohui ʻana i nā ʻano kuʻuna a me nā hana. E haʻalele i ke ʻano maʻi maʻi type 1 i nā haukapila Kelemānia, ua hoʻonā ʻia i nā maʻi hakahaka e like me ka biguanides, hoʻolaha lākou i ka komo ʻana o ka glucose a pale i kona kūkulu ʻana i ka ate. Eia kekahi, hōloe i kēlā mau papa i ka makemake.
Eia kekahi, ʻo ka mālamaʻana i ka maʻi type 1 i Kelemānia, e like me nā ʻāina ʻē aʻe, e pili ana i ka hoʻokele subcutaneous o ka insulin a i nā lāʻau like ʻole e hoʻokaʻawale i ke kūloko o ke kō. Eia kekahi, nā lāʻau hōʻola mai ka pūʻulu sulfonylurea i kuhikuhi ʻia no ka maʻi type 1.
ʻO kahi lāʻau lapaʻau kaulana i kēia māhele ʻo Amiral, ka mea e hoʻopuka ana i nā pupu beta pancreatic, koi lākou iā lākou e hana i ka insulin. He hopena lōʻihi ka mea hana, no laila e waiho ana ka hopena ma hope o ka hoʻopau ʻana i kahi lā 60-90 hou.
No ka hōʻemi o ka maʻi type 2 ma Kelemānia, e hōʻike ka mea maʻi e like, me ka ʻano like ʻole o ka insulin, pono ka loaʻa ʻana ka paʻakikī, kahi e kū nei i kēia mau kumu:
- lāʻau lapaʻau antidiabetic;
- ke hoʻomau nei i ka maʻi ʻaʻai insulin;
- hana paʻa me ka hui ʻana o ka insulin;
- ka hoʻohana ʻana i kahi pamu o insulin.
He mea kūpono hoʻi e hoʻopuka i nā lāʻau lapaʻau pono no ka maʻi maʻi o ka hopena Kelemania. No ka maʻi o Glibomet - ua hui pū ʻia (ua hui pū ʻia ka biguanide a me sulfonylurea derivative o 2 mau hanauna) ka lāʻau lapaʻau hypoglycemic i hoʻohana ʻia no ka maʻi like 2.
ʻO kekahi lāʻau hou Kelemania i hoʻohana ʻia no kahi ʻano like o ka maʻi o ka maʻi ne glimerida based glyride. He hypoglycemic aeae hele mai i ka sulfonylurea. Hoʻokomo ka lāʻau lāʻau i ka hana o ka insulin pancreatic, hoʻonui i ka hoʻokuʻu i ka hormone a hoʻomaikaʻi i ka kūʻē o ka insulin i nā kinipeka peripheral.
Aia hoʻi i Kelemānia, ua hoʻokumu ʻia ka lāʻau lapaʻau ʻo Glucobay, kahi mea e pale aku ai i ka antidiabetic. ʻO ka mea hana o ka mea lapaʻau ka acarbose (pseudotetrasaccharide), ka mea e hoʻopili i ka gastrointestinal tract, ʻalepo i kahi a-glucosidase, a kau i loko o ka holoi ʻana o nā saccharides. No laila, ma muli o ka pale mauʻana o ka glucose mai ka pōpoki, hoʻemi ʻia kona pae kiʻekiʻe.
ʻO Jardins kahi lāʻau lapaʻau antidiabetic kaulana hou i hoʻohana ʻia no ke ʻano kūʻokoʻa o ka insulin o ka maʻi. ʻO ka mea ikaika o ka lāʻau lapaʻau e hiki i nā mea maʻi ke hoʻomaikaʻi i ka mālama glycemic, ma o ka hōʻemi ʻana i ka reabsorption o ka glucose i loko o nā keiki.
Hoʻololi ʻia ka hoʻomaʻamaʻa ʻana o ka maʻi maʻi ma waho ma o ʻelua ala:
- ka hoʻololi ʻana i nā māhele o ka pancreas;
- lilo i nā mokupuni o Langerhans.
Hiki ke mālama ʻia ka mālama ʻana i ka maʻi diabetes mika 1 i nā hihia koʻikoʻi ma o ka hoʻohana ʻana i ke kaila o ka maʻi pancreatic. Akā paʻakikī loa kēlā hana, no laila he mau kauka Kelemania maikaʻi wale nō e hana. Eia kekahi, aia ke kuleana hoʻi o ka hōʻole ʻana, ʻo ia ke kumu e pono ai me ka maʻi maʻi maʻa no ka hoʻomaʻemaʻe ʻia o ke ʻano immunosuppressive no ke ola.
Hoʻololi ʻia ka ʻōpiopio sela selule Langerhans e hoʻohana ana i kahi catheter i hoʻokomo ʻia i ka puhaka ate. Hoʻokomo ʻia kahi trans (beta cells) ma loko o ka ngongo, ma muli o ka huna ʻana o ka insulin hāmeʻa a me ka hōʻea ʻana i ka glucose i loko o ka ate.
Hana ʻia ka hana ma lalo o ka nanemes kūloko me kahi ʻano like ole o ka maʻi.
ʻO nā maʻi maʻi ʻē aʻe ma Kelemānia
Hana ʻia nā maʻi maʻi maʻi i Kelemānia o kāna mau loiloi e kūleʻa mau i nā manawa kūpono, e hoʻomaopopo he mea ʻo ke kau ʻana i nā lāʻau lapaʻau, ua ʻōlelo aku nā kauka Kelemania e mālama pono kā lākou mau mea maʻi i ka meaʻai. No laila, no kēlā me kēia maʻi, e hoʻomohala pākahi ʻia kahi papa pilikino, i hiki ai iā ʻoe ke hāʻawi a mālama i ka nānā ʻana o ka physiological o ke kō i loko o ke koko.
E kāpae ʻia nā mea momona i ikehu a me nā ʻaina ʻē aʻe mai nā meaʻai kahi maʻi maʻi. Koho ʻia ka papa hana ma laila ke ʻano o ka hoʻohālikelike o nā protein, nā momona a me nā mea kālai liʻiliʻi i ka haʻawina - 20%: 25%: 55%.
Pono ʻoe eʻai i nā manawa 5-6 i ka lā. Pono ka momona o ka ʻai me nā huahana dairy, nā huaʻai, nā mea kanu, nā ʻano haʻahaʻa o nā iʻa, nā iʻa, nā nati. A laila pono ke ʻoka a me nā ʻoniʻoni ʻē aʻe.
ʻO kēia manawa, ma Kelemania, mālama ʻia ka maʻi diabetes me nā lāʻau lapaʻau, hoʻomaikaʻi i kēlā mea hiki ke hōʻemi i ka nui o ka insulin a me nā lāʻau lapaʻau. I Kelemania, hoʻomaka ka loiloi o nā maʻi maʻi maʻi i ka mea e loaʻa ai i ke ʻano phytotherapeutic nā hopena like ʻole no kekahi ʻano maʻi maʻi. ʻO nā mea kanu antidiabetic maikaʻi loa:
- mauna lehu;
- ginseng;
- kūpeʻe;
- ʻūuʻu;
- Nā Blueberries
- moloka;
- Kālepa.
Eia nō kekahi, ʻo ka pili ʻana o ka maʻi maʻi i ka maʻi ma Germany e pono ke komo i ka lāʻau lapaʻau no ka maʻi mellitus e hiki ai ke hōʻemi i ka pono o ka insulin. Hoʻopili ʻia kahi papahana aʻoaʻo kūikawā no kēlā me kēia maʻi. Hoʻomaʻamaʻa pinepine me nā maʻi maʻi maʻi, kaukaʻi ke kauka, hiking, tennis, gymnastics a me kaʻauʻau kai maʻamau i ka wai ʻauʻau.
No ka hoʻoikaikaʻana i ka ʻōnaehana pale, nā nā nāwaliwali i ka maʻi maʻi, ua kuhikuhi ʻia nā mea maʻi immunostimulants. No kēia pahuhopu, ua kuhikuhi ʻia nā immunoglobulins, antibodies, a me nā mea hana ʻē aʻe e hoʻōla i nā hana pale pono o ke kino.
ʻO ke ala kaulana loa a me ka holomua e mālama i ka maʻi diabetes i Kelemona ke kanu ʻana i nā huaila pancreatic ma nā wahi i hoʻopau ʻia. Hoʻomau kēia i ka hana o ke kino a hoʻōla i nā moku i hoʻopau ʻia.
Pēlā nō hoʻi e pale aku i nā ʻōhua olakino ke nānā aku i nā ʻano like ʻole o ka maʻi diabetes (retinopathy, maʻi maʻi maʻi maʻi) a hoʻonui i ka pale ʻana. Me kahi ʻano hana like ole o ka maʻi i ka maʻi, ua kōkua kēia ʻano lapaʻau hou e hoʻihoʻi i nā wahi i hōʻino ʻia o ka lepa, kahi e hoʻemi ai i ka pono o ka insulin.
Me nā maʻi type 2, hiki i ka hoʻomaʻamaʻa ke hoʻomaikaʻi maikaʻi i ka maikaʻi holoʻokoʻa a hoʻomaikaʻi i ke kiʻekiʻe o ka glucose koko.
ʻO kekahi hana hou o ka lāʻau lapaʻau hou ke kahakaha sela filtration o ke koko ke loli nei kona ʻano. ʻO ka Hemocorrection e pili pū kahi mea kūikawā i ka mea maʻi, i alakaʻi ʻia ai ke koko venous. I ka hoʻonāukiuki, hoʻomaʻemaʻe ʻia ke koko mai nā antibodies a hiki i nā insulin ʻē aʻe, kānana a hoʻoulu ʻia. A laila ua hoʻi hou ʻia ʻo ia i ka ulia.
ʻO kahi ʻano lapaʻau hou loa ʻo ka physiotherapy no ka diabetes mellitus a me nā mākaʻi Kelemānia e hāʻawi i nā hana i lalo iho nei:
- EHF-therapy;
- magnet;
- akupakū;
- ʻO ka ʻōnaehana ultrasound;
- reflexology;
- hydrotherapy;
- uila;
- cryotherapy;
- ʻike maka.
I Kelemānia, mālama ʻia ka maʻi diabetes ma kahi maʻi inpatient a i ʻole ka maʻi outpatient. Kūʻai ke kumukūʻai a me ka lōʻihi o ke kau ʻana i ke ʻano i koho ʻia o ka mālama ʻana a me nā maʻi. ʻO ka kumukūʻai kumukūʻai mai ke ʻelua tausani euros.
Diabetics i Germany kahi lehulehu a aneane pinepine nā loiloi maikaʻi e ʻo nā ʻoihana maikaʻi loa ʻo Charite (Berlin), ke Hospital Hospital Bonn, St. Lucas a me ka Medical Institute of Berlin. ʻOiai, i kēia mau keʻena ʻike wale nō ke hana nei nā kauka loiloi koʻikoʻi i ke olakino o kēlā me kēia maʻi, e hana ai iā lākou i kekahi o nā kauka maikaʻi loa i ka honua.
Ke hōʻike nei ke wikiō ma kēia ʻatikala i nā loiloi maʻi hoʻomanawanui ma Germany.
