Ke ulu nui nei ka ulu ʻana o ka maʻi diabetes, e ʻae iā mākou e kapa iā ia i kahi maʻi ʻōpuni o ka honua. ʻO nā mea āpau āpau, 90% ka type 2 diabetes mellitus, kahi e hoʻonā ai i ka momona, kahi hana pilikino haʻahaʻa a me kahi predisposition genetic.
Hoʻopuka nā mea like i ka hiki ʻana o nā maʻi o ka puʻuwai, nā ʻōpū, nā pancreas. ʻO ka ulu ʻana o nā maʻi concomitant i ka maʻi mellitus maʻiʻino i hoʻopilikia i ke ʻano o nā mea maʻi.
Hoʻomaʻamaʻa ʻia nā maʻi maʻi i nā hana regenerative a me ka reparative i loko o ke kino, pale pale. I kēia hihia, pono ke hoʻopili ʻia ka mālama ʻana o kekahi maʻi me ka lāʻau hypoglycemic.
ʻO ka maʻi maʻi a me ka maʻi cardiovascular
ʻO ka hana o ka maʻi mellitus a me nā maʻi o nā ʻōpū kūloko i ka hoʻonui ʻana i ka make i nā poʻe maʻi maʻi ua ʻike maoli ʻia i loko o ka vascular pathology. Hoʻokumu ʻia ka puʻuwai a me nā hōʻeha ʻana i nā maʻi me ka maʻi diabetes 6 mau manawa ma mua o nā mahele o nā mea maʻi.
ʻO nā mea pilikia no ka maʻi o ka naʻau, e like me ka hypertension arterial, koʻikoʻi, a me ka hoʻonāukiuki lipid metabolism i ka maʻi maʻi maʻamau he mea maʻamau. ʻO ka maʻi maʻamau ʻo ia ka pilikia no ka infococose myocardial ma ka maʻi naʻau coronary (CHD).
He nui nā poʻe cardiologist a me nā endocrinologists e ʻike i ka maʻi diabetes e like me ka hoʻohālikelike o ka ischemia cardiac. No laila, ke nānā aku nei i nā maʻi me ka maʻi maʻi, kahi hana ʻokoʻa hou o nā noi ʻana o ka puʻuwai a me nā hōʻailona o ka momona momona e koi pono ʻia, a i ʻole i ke kiʻi ʻia o kahi maʻi maʻi coronary maʻi.
Nā kumu o ka hoʻomohala ʻana o nā puʻuwai a me nā maʻi vascular i ka maʻi diabetes.
- ʻO ka Hypercholesterolemia - kahi hoʻonui i ka cholesterol ma ka 1 mmol / l i hoʻonui i ka hopena o ka maʻi cardiovascular e 60%.
- Hoʻemi ka lipoprotein kiʻekiʻe-kiʻekiʻe i ke koko
- Hyperglycemia a hoʻonui i ka hemoglobin glycosylated.
- Hoʻonui i ke koko i ka 10 mm. Hg. ʻAniā. hoʻonui i ka pilikia o ka maʻi naʻau coronary ma ka 15%.
- Hoʻonui ka ulaula i ka palaualelo vascular e 41% e pili ana i nā mea ʻole.
ʻO ke kumu nui o ka pale ʻana i nā maʻi o ka puʻuwai a me nā maʻi vascular, e hōʻemi i ke koko koko i ka 5-7 mmol / l, ma hope o ʻelua mau hola a hiki i ka 10. Eia kekahi, ʻaʻole e pono ʻo Glycosylated hemoglobin i kahi o 7%. Hiki i kēia ke hoʻokau me ka mālama mau ʻana i nā pae o ka glucose a me ka hoʻohana ʻana i nā meaʻai me ka liʻiliʻi glycemic index.
Pono e lawe ʻia nā kumu o ke kōkōlohi haʻahaʻa me ka mālama ʻana i kā lākou hopena ʻaoʻao ma ka pūnaehana cardiovascular (Glibenclamide, Tolbutamide, Chlorpropamide). Hōʻike ʻia nā maʻi i hiki ʻole ke uku ʻia me nā papa maʻi i ka like i ka insulin i loko o ka hui hoʻohui ʻana a me ke ʻano lāʻau nui.
Pono ke mālama i ke koko i ka pae o ka haʻahaʻa ma mua o 130/80 mm RT. ʻAniā. ʻO kēlā mau ʻōuli e hōʻemi nui i ka hōʻemi o ka maʻi myocardial infarction a me ka stroke, a me ka make a me ka hemahema o nā maʻi.
ʻO ke kumu o nā lāʻau lapaʻau e hōʻemi i ka neʻe ʻana i ka poʻe maʻi me ka maʻi diabetes e pono ke kau ʻia ma ko lākou hopena i ka hoʻoliʻiliʻi a me ka momona o ka metabolism, pale i ka pūpū o ka pūpū a ʻaʻole i hoʻopilikia i ka hōʻike o hypoglycemia. No kēia, hoʻohana ʻia nā pūʻulu o nā hua lāʻau:
- Ua ʻōkuhi ʻia nā inhibitor ACE (angiotensin-e hoʻohuli nei i ka huina) i ka wā e ʻike ʻia ai ka protein i loko o ka pāʻai, ʻo kā lākou hoʻohana ʻana e hōʻemi i ka hopena o ka maʻi type 2 (hoʻonui i ka naʻau o ka insulin. ʻAuhea kēia: Enap, Ramipril, Lisinopril, Captopril.
- Nā blockers receptor nā Angiotensin 2. Kuhi i nā waiwai o ka hui o nā lāʻau lapaʻau ma mua, e pale i nā paia o nā kīʻaha koko a me nā pōpoki. Eia nā lāʻau lapaʻau ʻo Teveten, Aprovel, Cozaar, Lorista, Mikardis, Valsacor, Exforge.
- Kālā hoka pākana kalima - Verapamil, Nifidepine, Diltiazem.
- Diuretics - Furosemide, Trifas.
- Hoʻokomo nā mea hoʻonaninani Imidiazoline i ka hana o ka ʻōnaehana hoʻonāukiuki a me ka manawa like i hoʻonui ʻia i ka ʻike ʻana i nā ʻine i ka insulin. ʻO kēia me Physiotens a me Albarel.
Hoʻohana pinepine ʻia, ʻo ka hui pū ʻana me nā lāʻau lapaʻau mai nā ʻāpana like ʻole.
No ka mālamaʻana i ka dyslipidemia, ua ʻōlelo ʻia nā mea maʻi e hoʻopalapula i nā momona holoholona i kā lākou papaʻai - puaʻa, hipa, hipa, offal, cream sour, cream a me ka pipi oki, hoʻemi i ka ʻai ʻana o ka pata a i ka manawa like e ʻai i nā mea kanu hou, nā huaʻai ʻole i hoʻolaha ʻia, e komo ai i ka bran, ka iʻa a me ka aila ʻaila i loko o ka ʻaʻai.
I mea e pale ai i ka hoʻomohala ʻana o ka maʻi diabetes a me nā ʻōlima vascular, pono ia e mālama i kēlā mau ʻōuli (i mmol / l): liproproteins haʻahaʻa haʻahaʻa ma lalo o 2.6; kiʻekiʻe - oi aku i 1.1; triglycerides - liʻiliʻi ma mua o 1.7.
Inā ʻaʻole e hiki i ka mea ʻai ke hoʻokō i kēlā mau kuhikuhi, a laila ua hoʻokaʻawale ʻia nā hoʻomākaukau a nā statin: Zokor, Krestor, Liprimar.
ʻO nā maʻi āpau a me ka maʻi maʻi
ʻO ka pilina ma waena o ke ʻano maʻi diabetes 2 a me ke anuanu e pili ana i ke kumu maʻamau o kā lākou ulu ʻana a me ka hoʻonui pū ʻana o nā maʻi. ʻO ke kūlana nui o ka moʻomeheu a me ka hana maʻamau, nā hana hoʻomohala maʻamau o ka ulu ʻana ke alakaʻi i ka hopena e pili ana i ka emi ʻana o ke kaupaona ʻana no ka mālama ʻana i ka maʻi maʻi.
Ke holomua ana ka momona me ka hoʻomohala ʻana o ke kūpaʻa o ka umauma i ka insulin. ʻOi ka kiʻekiʻe o ka pale ʻana, ʻoi aku ka nui o ka insulin e ka pancreas, ma laila e hoʻonui ai i nā kino o ke momona o ke kino.
Hoʻopili i nā hōʻiliʻili momona, hiki ke hoʻihoʻi i ka maʻi serotonin. Hoʻopilikia kēia i ka manaʻo mau loa o ke kaumaha, ke kaumaha, ka lōʻihi a me ka pōloli. Hoʻonui ka hoʻomaikaʻiʻana i ka meaʻai kākake i ke ʻano a hoʻomaha i nā hōʻailona hōʻeha no kekahi manawa. Hoʻonui ka nui o ka meaʻai a me ka mākeke i ka nui o ka maʻi maʻamau a me ka momona.
ʻO nā alakaʻi alakaʻi i ke kākoʻo ʻana i nā maʻi metabolic ʻoi aku kaʻai maikaʻi ʻana, kaʻai ʻole, ka luhi a me ka nui ma hope o lākou, ka nele o ka hiamoe a me ka nele o ka hana kino.
Hoʻohui i kahi pōpoki pale, hoʻonāukiuki i ka obesity i ka hana o nā hana kūloko, e hōʻike ana iā ia iho ma ke ʻano o:
- ʻO ka maʻi Coronary a me myocadiopathy.
- ʻO nā maʻi hehi - ka maʻi gallstone a me ka pancreatitis.
- Hoʻopilikiaʻia nā'ōpala o ka ate.
- Nā maʻi hui.
- ʻO ka hala ʻana o nā menstruation ma nā wahine.
- Hoʻemi ʻia ka potency i nā kāne.
- ʻO ka papa haʻahaʻa o hypertension.
ʻO ka pōpilikia o nā kalapona maʻalahi i ka momona a me ka maʻi diabetes i ka hoʻokumu ʻana o ka hilinaʻi a me ka paʻakikī paha o ka hoʻopaʻa ʻana iā lākou i ka ʻai. Kūkulu ʻia kahi pōkole: hina i nā mea momona - ka ʻai nui - ke hoʻonui nui i ka glucose i loko o ke koko - ke hoʻokuʻu ʻana i ka insulin - ka hoʻoneʻe ʻana o nā hāmeʻe i nā momona momona me ka komo ʻana o ka insulin - e hoʻohiolo i ka glucose - makemake e ʻai i nā ʻono.
ʻO kekahi ala e lanakila ai i ka dependence o ka hoʻoneʻe kahuhulu, ʻo ia ka lawe ʻana i nā kiʻi chromium picolinate no 3-4 mau pule. Eia kekahi, hoʻohana nā lāʻau hoʻohaʻahaʻa i ka meli - Metformin, Glucobay. ʻO nā maʻi me ka hana kiʻekiʻe o ko lākou iho o ka insulin, ʻoiai me ka hyperglycemia kiʻekiʻe, ʻaʻole ia e hōʻike ʻia no ka hoʻololi pono ʻana o ka insulin.
ʻO ke ala e ʻoi loa ka hoʻemi ʻana i ke kaupaona a me ke kō o ke koko he meaʻai haʻahaʻa-haʻahaʻa. Loaʻa ia mau huahana: ka ʻiʻo ʻai, nā moa, nā hua manu, ke kō. ʻO ke kumu ke ʻano o ka papaʻaina e ʻā ʻia ai i ʻole iʻa ʻia i ka iʻa.
He mea kūpono ia e hoʻomākaukau i nā lapalaʻi hou mai ka kāpeti, nā greens, nā kukama, nā ʻoma a me nā pepa momona mai nā lau.
Momona momona a me ka maʻi diabetes
Kahea ʻana me ka loli i ka pūnaehana koko - ka hōʻiliʻili ʻana o nā toxins o nā maʻi, nā lāʻau lapaʻau a ʻoluʻolu hoʻi i ka wā hoʻoneʻe iā lākou. Hiki ke ʻano he ʻano hana i ka wā o ka pōloli, ka vegetarianism paʻa, ke kīpē i loko o nā ʻawaʻawa, inu hoʻoinu.
Me ka maʻi o ka maʻi maʻamau, ulu ka hoʻonui ʻia ʻana o nā kino ketone ma muli o ka heʻe ʻana o ka hana kaila neʻe. Hiki iā lākou ke hōʻuluʻulu i loko o nā ʻāpana o ka pūpū. Hoʻopili ʻia nā momona momona i loko o ka ʻōpū a komo i ke kao o ka hoʻopulapula, a laila komo i ka puʻu, hiki ke pā i ka hoʻoneʻe ʻana o ka momona.
I ka poʻe olakino, e hoʻohana ʻia nā mea momona momona e hana ai i ka ikehu, a ma ke ʻano 2 lā i ka maʻi diabetes, ka insulin, ka mea i hoʻoili ʻia ma ka pancreas ma nā helu he nui, ke kāohi i kēia kaʻina a hoʻoulu i ka hōʻiliʻili o ka momona i loko o ka ate.
Me ka luhi me ka maʻi maʻi o ka maʻi maʻi, ʻoi aku ka nui o nā maʻi hepatosis, a ʻo ia kekahi o nā hōʻailona o ka maʻi dysmetabolic. Ma muli o ka hiki o ka puʻuwai e hōʻiliʻili i ka momona, hoʻoneʻe a me ka hopena i nā lāʻau lapaʻau he kīnā.
ʻAʻole ʻike pinepine ʻia nā hōʻailona maʻi ʻo ka maʻi hepatosis. ʻO ka paʻakikī o ka hypochondrium kūpono, hoʻonā ʻia e ka hoʻoikaika kino, hiki i ka pilikia. Me ka palpation, hiki ke hōʻeha wale ʻia ka maʻi me ka hōʻuluʻulu koke o ka momona i ka hihia o ka maʻi decompensated.
Hoʻokumu ʻia ka maʻi maʻi e like me kēia mau ʻano:
- ʻO ka ultrasound, ka compute tomography - he ʻano heterogen, he hoʻonui i ka nui.
- Ua hoʻonui ʻia ka hana o nā enzyme serum.
- Hoʻonui i nā kolamu a me nā triglycerides i ke koko.
Ka mālama ʻia ʻana o ka hepatosis momona e lawe ʻia e ka papa ʻaina me ka hoʻokomo ʻana o nā meaʻai lipotropic: oatmeal, iʻa, keʻa ʻona, ka lawena kai, soy, kefir, yogurt, ka ʻaila lāʻau paʻa kino. Kōkua i ka hoʻopau ʻana i ka momona momona a me ka ʻai o ka kolamu me ka momona a me ka pectin. No laila, pono i ka papaʻai i nā ʻano mea kanu. Me ka manaʻo o ka constipation, e aʻo ʻia e hoʻohui i ka bran i nā pā.
ʻO nā lāʻau lapaʻau i hoʻohana i nā hepatoprotectors - Gepabene, Essentiale, Essliver, Glutargin a me Berlition.
ʻO nā maʻi maʻi maʻi maʻi ma ka maʻi diabetes
Hoʻopilikia ʻia nā maʻi huakaʻi me kahi hoʻohaʻahaʻa i ka pane o ke kino, kahi e hoʻonele ai i nā mea maʻi i nā maʻi a me nā kuʻi, nā maʻi maʻi. Hōʻike ʻia kēlā mau maʻi i ka papa maʻamau a paʻakikī. I kēia hihia, hiki i nā maʻi ke hoʻokau i ka hopena o ka maʻi maʻi.
Aia kahi maʻi ʻeha i hiki ʻole i ka hopena o ka poʻe me ka ʻole o ka metabolika o nā haʻalulu - nā pāpā ʻana ke kino otitis media hewa, mariysematous cholecystitis, pyelonephritis a cystitis, a me nā wāwae maʻi maʻi.
ʻO nā maʻi me ka maʻi maʻi maʻi e loaʻa ʻana i nā maʻi maʻi 1.5 mau manawa pinepine aʻe ma mua o nā mea'ē aʻe. ʻO kēia no ka hopena maʻamau a me ke kūloko o ka pale i ka pale. Pānaʻi maʻamau ka mau hewa ʻana o nā hana o nā selela ke keʻokeʻo e hoʻopau ai i nā pōʻino - he hōʻemi i ka neʻe, phagocytosis, a me ka hana a T-killers.
Pili nā mea kūloko i ka hoʻolālā ʻana o ka pōʻino o ka vascular - micro a me macroangiopathy, neuropathy, ka mea e hoʻopiʻi ai i ka hoʻomaʻemaʻe a me ka hoʻihoʻi ʻana o nā kino i hōʻino ʻia mai nā microbes a me nā mea huʻala.
ʻO ka maʻi koʻikoʻi o ka maʻi hoʻi ma muli o ka pane ʻana i ka hopena antimicrobial. Me nā kiʻekiʻe o ka lipoproteins, kolamu a me nā momona momona, hoʻopaʻa lākou i nā kahe koko koko e pono ai ka halihali. No laila, i nā mea maʻi me ka maʻi maʻi, ua hoʻemi ʻia ka hāʻawi ʻana i nā antibiotics i ka lesion.
ʻO kahi hiʻohiʻona o ka maʻi pneumonia i ka maʻi maʻamau o ka maʻi o ka bacteria, e alakaʻi i ka make. ʻO nā pathogens he pinepine ka staphylococci, Klebsiella a me ka streptococci. E kūʻē i ke kūmole o ka maʻi pneumonia, hoʻomō pinepine ka poʻe maʻi i ka ketoacidosis maʻi. Ma nā pilikia koʻikoʻi, hōʻike ʻia ka lāʻau antibiotic e hoʻohana ana i ka beta-lactams a me nā fluoroquinolones.
Pōʻino pinepine ka Pyelonephritis i ke ʻano o ka hanaʻino o ka lua o ka pilikia. Hoʻokomo ʻia nā antibiotics i ka intramuscularly a i ʻole intravenously: Ciprofloxacin, Ceftriaxone, Levofloxacin. Hōʻoiaʻiʻo e hoʻohana i nā antibiotic me nā lāʻau antifungal e pale ai i ka candidiasis.
ʻO ka laulima o ka hana pinepine ʻana i ka maʻi palupalu he wāwae maʻi maʻi. ʻO kēia no ke kumu like:
- Hoemi ʻia ka hoʻowalewale ʻana i ka pōʻino.
- ʻO nā maʻi lohi pinepine.
- Hoʻopilikia i nā wāwae ma nā wāwae.
Ke loaʻa kahi maʻi ulia, hiki i ʻelua mau koho no ka hooulu ʻana o ka hanana infectious: ʻaʻole i weliweli (ʻeha ʻaʻole hoʻoweliweli ka amputation) a ikaika loa, e alakaʻi ana i ka pono e hoʻohālikelike i ka ʻāpana i hoʻopiha ʻia o ka umauma.
Hōʻike ʻia kahi form ma ke ʻano o kahi ulia papaha me ka mumū o ka kiko subcutaneous ma mua o 2 cm ākea, ʻaʻohe hōʻailona ākea o ka hoʻomohala. Hoʻolahalaha ʻia ka hōʻeha manuahi me nā hōʻeha a me ke koho ʻana i nā lāʻau lapaʻau: Cephalexin, Clindamycin. ʻĀpena hoʻokō waha.
Hōʻike ʻia nā maʻi ʻino e nā ʻeha hohonu me ka nui o ka hōʻino i nā ʻili e hoʻopuni ana, i ka hoʻohuihui ʻokoʻa, a me ka hoʻemi ʻana i ke kahe koko i ka wahi i hoʻopilikia ʻia. Kālā ka nui o ka glucose koko. E hoʻokaʻawale i ke osteomyelitis, hana ʻia kahi biopsy o ka ʻōpū iwi.
E mālama ʻia ana nā poʻe Antibiotics i ka maʻi intraus a me intramuscularly: Amoxiclav, Vancomycin, Meronem. ʻAʻole emi ka lōʻihi o ka mālamaʻana i kahi mahina. Me ka hana ʻole o ka mālama conservative o ka mālama ʻana, hana ka hopena a me ka hoʻopili piha ʻana i nā kiko i hoʻopili ʻia.
Ma ka maʻi mellitus, kekahi o nā maʻi maʻamau ka candidiasis o ka ʻili a me nā membrane mucous. ʻO ka manawa pinepine loa e pili ana i nā leʻa fungal:
- Wāhi Groin.
- Nā lauu ma lalo o nā keli mammary.
- ʻO nā mea ʻai
Me ka uku ʻole no ka diabetes mellitus, hiki i ka candidiasis ke hiki me ka maʻi o ka waha o ka waha ma ke ʻano o ke kīpē keʻokeʻo, i hele pū ʻia me ka ʻeha a me ka puhi ʻana. Inā pālahalaha i ka esophagus, hiki i kona pilikia ke loli. Hōʻike pinepine ʻia nā kandidiasis i kahi e pili ana i ka wahine.
Hoʻohana ʻia ka mālama ʻana i nā candidiasis me ka hoʻohana ʻana i nā aila antifungal a me nā suppositories ma nā wahine. Hoʻohui ʻia ka hoʻohana wahi kūloko me ka lawe ʻana i nā papa o fluconazole. Me ka hoʻolālāʻana o ke kū'ē i ia, ua huli lākou i Itraconazole a i ʻole Ketoconazole.
ʻO ka kūleʻa o nā maʻi antibiotic e pili ana i ka pae o ka uku o ka maʻi maʻi. I nā maʻi me nā maʻi maʻi hopohopo i ke ʻano ʻelua o ka maʻi maʻi, ua kuhikuhi ʻia ka insulin i nā papa a i neʻe ʻia aku ma mua o ka pau ʻana o ka mālama ʻana i kahi maʻi concomitant. ʻO ke wikiō i kēia ʻatikala e kamaʻilio pū e pili ana i ke ola me ka maʻi maʻi maʻi.
