ʻO ka Diabetes mellitus ke lilo nei i kahi maʻi maʻi e ka lehulehu ākea. Ua ʻike ʻia ia i nā kamaliʻi, nā ʻōpio a me nā ʻōpio. Hoʻomaopopo ka poʻe maʻi me ka heredity kaumaha i ka wā i hōʻike ʻia i nā maʻi, ke ʻai ʻana a me ke kaumaha.
Kūpono ʻia ka papa o ka maʻi diabetes i ka nui o ka hoʻonui ʻia ʻana o ke kō koko koko e uku ʻia e ka hoʻohana ʻana i nā lāʻau lapaʻau kūikawā, pehea e nānā ʻia ai ka meaʻai i makemake ʻia a me nā hana kino dosed.
Manaʻo nā maʻi āpau e aʻo pehea e hoʻohaʻahaʻa koke i ke kōpaʻa koko i ka maʻi diabetes. ʻO ke ala e kūpono no nā poʻe me kahi maʻi like like o ka hoʻohana komo ʻana o nā kaʻina āpau i hiki ke kōkua i ka hoʻomau ʻana i ka glycemia ma nā pae pae.
ʻO ka hoʻemi ʻana o ke kō
ʻO ka hoʻonui ʻana o ke kō i ka maʻi diabetes he hōʻike no ka nele o ka insulin. ʻO nā kumu o kēia kūlana i ka maʻi diabetes type 1 ka luku ʻana i nā ʻoihana pancreatic a me nā hemahema o ka insulin. I mea e hoʻohaʻahaʻa i ke kō, pono ʻoe e hoʻoiho i nā inikini i ka injections.
Manaʻo ʻia e hoʻomaka ʻia nā mea maʻi e like me ka mea maʻi maʻamau i mea e pale ai i nā hoʻopiʻi kūlohelohe, kahi e noho pū ai me ka coma. Me ka como ketoacidotic a me hyperosmolar, hiki i nā mea maʻi ke make inā ʻaʻole lākou e hoʻohaʻahaʻa i kā lākou glycemia. ʻO kēia ma muli o ka naloʻana o ka piʻi nui o ka glucose i ke koko.
ʻO ka hoʻohana ʻana i nā lāʻau no ka insulin e hoʻohaʻahaʻa i ke koko koko i ka maʻi diabetes ka ʻoi loa ka hopena a me ka wikiwiki loa. I ka manawa like, ʻo ka regimen o ke kapena o ka lāʻau lapaʻau, ʻo ia ka mea like me ka kūlohelohe kūlohelohe o ka pancreas, ua hoʻohana ʻia no ka hoʻomau mau ʻia.
No kēia pahuhopu, ʻelua mau ʻano o ka insulin i kuhikuhi ʻia - lōʻihi (lōʻihi), e hoʻopili ana i nā kūlohelohe kūlohelohe, pae basal a hoʻohaʻahaʻa i ke kō koko koko mai 16 a 24 mau hola aʻe paha. No laila, no ka laʻana, ʻo ka lāʻau hou - Tresiba insulin, hana ʻia e Novo Nordisk, hoʻohaʻahaʻa i ke koko koko no nā hola 40.
ʻO nā insulins lōʻihi ma ka ʻano o ka maʻi mellitus o ka maʻi maʻamau i hui pū ʻia me nā mea pōkole, kahi i mālama ʻia ma mua o ka ʻai, e hoʻokau ana i ke kōpaʻa koko ma hope o ka ʻai ʻana i nā mea momona. Ma ke ʻano 2 diabetes mellitus, ua hui pū ʻia ka hoʻohana ʻana o ka insulin lōʻihi e hui pū me nā papa a i ʻole ke ʻano wale nō o ke kāohi ʻana i ka glycemia.
Pehea e hoʻohaʻahaʻa ai i ke koko koko i ka maʻi diabetes me ka hoʻohana ʻana i ka insulin? Nui nā ʻano e hana like ai:
- Insulin syringe. ʻAʻole maʻalahi nā ala maʻamau no nā maʻi maʻi maʻi, akā ʻohi wale.
- Peni Syringe. He ala maʻalahi, aneane ʻeha ʻole, wikiwiki.
- Piʻi a pulu. Hoʻopau piha ʻia, akā ʻaʻole hiki i nā mea āpau ke hōʻike.
- ʻO ka hana hoʻokolohua he pākela insulin me ka microneedles, kēlā me kēia mea he ipu me nā insulin a me nā enzyme e pane ana i nā pae gula.
ʻO ka hoʻohaʻahaʻa haʻahaʻa o ke koko
Hiki ke loaʻa i ke kaohi ʻana o ke koko i ka maʻi maʻamau i ka lā 2 ma o ka lawe ʻana i nā lāʻau lapaʻau. Inā hana kekahi kauka - pehea e hoʻohaʻahaʻa koke i ke kō koko koko, a laila ua kuhikuhi ʻia nā mea maʻi i nā lāʻau lapaʻau mai ka pūʻulu sulfanylurea: Manninil, Diabeton MV, Amaril, Glimaks, Glyurenorm.
ʻO lākou kekahi o nā mea i kuhikuhi mua ʻia no nā maʻi me ka maʻi maʻi maʻi maʻi, akā i kēia manawa ke hōʻike ʻia nei ko lākou mau ʻike no ka hoʻohana ʻana, no ka mea ke hoʻonui lākou i ka hoʻokuʻu ʻana i ka insulin mai ka pancreas me kāna hoʻohemo ʻana. ʻO ka hōʻaia lua ʻo kēia ka mea hiki i nā lāʻau ke hōʻemi i ka pae haʻahaʻa e haʻahaʻa loa ai.
Kahi pū kekahi ʻo Meglitinides i ka hui o nā mea hoʻowalewale o ka huna ʻana o ka insulin (secretagogues), hāʻawi lākou i ka emi ʻana o ka nui o ke kō koko koko ma mua o nā kālā mai ka hui o ka sulfanylurea, he pōkole kā lākou hana, no laila ke kāohi nei lākou i ka hoʻonui ʻana i ka glycemia e kū mai ma hope o ka ʻai ʻana.
Hoʻokomo ka hoʻowalewale o ka hoʻoulu ʻana i ka maʻi hypoglycemia no nā lāʻau lapaʻau o kēia pūʻulu, no laila ke hāʻawi pinepine nei lākou i nā maʻi maʻi. ʻO ka Repaglinide (NovoNorm) e lawe i ke kakahiaka a me ka lua o ke ahiahi ma mua o ka ʻai ʻana, 0,5 mg pākahi, ʻo Starlix (nateglinide) hiki ke lawe i ka mau minuke 10 ma mua o ka papaʻaina o kēlā me kēia ʻai, 120-180 mg.
Hoʻolilo mai ka pūʻulu biguanide (Siofor, Metformin Sandoz) e hoʻohaʻahaʻa ana i ke kō koko koko ma o ka hoʻolohi ʻana i kona puka ʻana mai loko mai o ka ʻōpū a me ka hoʻokumu ʻana i nā molekui hou i loko o ka puʻupaʻa a ʻoi aku ka pinepine ma mua o ka poʻe i kuhikuhi ʻia i ka mālama ʻana i ka maʻi diabetes 2. Hoʻonui ka hoʻomākaukau ʻana i ka hana Metformin i ka hoʻololi ʻana o nā mea nānā i ka insulin.
Nā manaʻo no ka hoʻokele ʻana o ka metformin i ka diabetes mellitus:
- ʻOi momona.
- Hōʻailona o ka polycystic ovary.
- Kauka maʻi maʻi.
- ʻO ka maʻi maʻi gestational.
Me ka mālama metformin, hiki ke hoʻohaʻahaʻa i nā kiko o ka hemoglobin glycated, ka mea e hōʻike ana i ka maʻi maʻi i uku ʻia no nā malama ʻekolu, mai ka hoʻohaʻahaʻa ʻana i ke kō o ke koko no kahi manawa pōkole ʻaʻole lawa ia e pale ai i nā hoʻopiʻi. Hoʻohana ka hoʻohana ʻana o ka metformin i ka hōʻemi o ka make ʻana o ka myocardial infarction, a me nā helu make.
I ka hoʻohui ʻana i kēia mau lāʻau lapaʻau no ka maʻi maʻi hyperglycemia maʻi, ua kuhikuhi ʻia nā lāʻau alpha-glycosidase inhibitor. ʻO kēia mau lāʻau lapaʻau e pale i ka wāwahi o nā palahaluhulu paʻakikī i ka glucose, me ka pā ʻana o ka glucose i loko o nā palupalu i loko o ke koko. Hoʻopili kekahi o ka acarbose (Glucobay), ke kaina kakahiaka i ka wai ma kahi wai o 50 mg e hoʻonui i laila, e lawe ana i 300 mg i kēlā me kēia lā.
Hoʻomihala ʻO Januvia, Baeta, Galvus i kahi papa hou o ka incretomimetics, e hoʻonui ai i ke kāpili ʻana o nā hormones kūikawā, incretins, i loko o nā mea ʻawa.
I nā pae kūpaʻa maʻamau a hoʻokiʻekiʻe paha, hoʻomehana kēia mau hormon i ka synthesis a hoʻokuʻu i ka insulin.
Meaʻaiʻai
Ma ke ʻano o ka maʻi mellitus o ka maʻi mellitus, ʻaʻole hiki ke kūleʻa wale nō me nā lāʻau lapaʻau wale nō, no ka mea ʻaʻole hiki iā lākou ke pale aku i nā nānā ʻana i ke kōʻai koko i ka wā e ʻai ai i nā meaʻai me nā mea momona māmā. ʻO nā huahana e hiki ke loaʻa koke a hoʻonui pinepine i ka hoʻoliʻi o ke koko, ʻaʻole pono ia i loko o ka papa o nā mea maʻi, ʻaʻohe o ke ʻano a me ke ʻano o ka maʻi.
Ma kēia hihia, nā ʻaʻai a me ke kō o ke koko e hoʻopaʻa nei i nā phytopreparations, me ka hana kino dosed paha i lawa e hoʻopaʻi i ka hyperglycemia i nā hoʻomaka mua o ka maʻi.
ʻO nā kapu kumu no ka hoʻonohonoho ʻana i ka ʻai no nā maʻi maʻi eʻai pololei nei e like me nā inikini a i ka lāʻau hoʻoliʻi haʻahaʻa a me nā wai ʻana, kaʻai maʻamau ma lalo o 6 mau manawa i ka lā, nā wahi liʻiliʻi o ka meaʻai no kēlā me kēia pāʻina, a me ka hoʻokaʻawale ʻana i nā mau kāluna i ka lā.
ʻAʻole pāpā ʻia ke komo ʻana i ka papa inoa i hōʻemi ʻia i ke kaila koko:
- ʻO nā ʻono, ke kō, ka meli, nā hua momona.
- ʻO nā huahana palaoa keʻokeʻo
- Rice, pasta, semolina, hoahānau.
- Hoʻopapa i nā mea momona, nā hua iʻa, nā wai momona.
No ka mea, ua pōʻino ʻoi i ka momona o ka momona o ka momona, e hāʻawi ka meaʻai i ka pau a i ʻole ka pau ʻana i ka momona o nā huahana momona, nā meaʻai iʻa, nā momona mai ka ʻiʻo a me nā iʻa, nā momona momona, a me nā momona momona. Hoʻokomo ʻia ka Diet no ka maʻi ʻaʻai piha piha ka pūmua hāpana i ka wā e kaupalena ana i nā momona māmā a me nā momona holoholona.
I mea e hoʻolako ai i ke kino me ka meaʻai meaʻai, pono ke kuke i ka mea ʻai i ka mea ʻai, i nā kīʻaha mai nā lau ʻai i ka lau o ka lau, mea ʻai, a me nā iʻa ʻai mai nā ʻano momona momona, mea ʻai, a i ʻole nā kīʻaha ʻaoʻao.
ʻO ka papa inoa o nā cereal i ʻae ʻia me ka oat, ka buckwheat a me nā bale pearl, legumes. ʻOi aku ka maikaʻi o ka hoʻohana ʻana i nā lau ʻai ʻole starchy: zucchini, kēlā me kēia ʻano o ka kāpeti, kukala, ʻōmato maka, hua kolo, ʻeliā pepa a me Ierusalema artichoke. Hiki iā ʻoe ke ʻai i ka berena rye, ka palaoa āpau a i ʻole ka bran.
Hiki i nā huahana o ka waiū me nā momona momona, huaʻai, kai, a me nā hua ʻono a me nā hua ʻono e hiki ai i loko o ka papa o ka maʻi maʻi. No ka papaʻai no ka maʻi hānai liʻiliʻi liʻiliʻi o nā meaʻai a i ʻole nā kīʻaha me nā mea hoʻohālike i ke kō, a me nā mea inu i loko o ke ʻano no ka nui o ka wai lāʻau, ka puna o ka rose rose, chicory.
ʻO nā meaʻai e hoʻohaʻahaʻa i ke kōhi koko koko e kū nei:
- Nā Blueberries
- Pūlehu
- Bran.
- Nā māhu: ka ʻaka, ke kō, ke kō.
- ʻO ka bawang.
ʻO ke kōhi koko e hoʻohaʻahaʻa ana i nā mea kanu
ʻO ka hoʻohana ʻana o ka hoʻomākaukau ʻana i nā lāʻau lapaʻau i loko o ke ʻano o ka infusions a i ʻole ka decoction, tinctures a me nā mea hou aku i ka mālama pālahalaha o ka maʻi mellitus i mea e hoʻomaikaʻi ai i ka hoʻoliʻiliʻi a me ka momona o ka metabolism, hoʻonui i ka naʻau a me ka hoʻohaʻahaʻa i ka wai, a me ka hoʻohaʻahaʻa iki hoʻi i ka glucose koko me ka loaʻa ʻole o ka hopena o ka hypoglycemia.
Hoʻopili ʻia ka hopena o nā mea kanu i nā kaʻina loina metabola i ka loaʻa i kā lākou ʻano hana i like me insulin, ʻo ia hoʻi, inulin, biguanides, flavonoids, zinc. Hāʻawi ʻia ka hoʻemi ʻana o ke kō koko koko ma o ka hoʻomaikaʻi ʻana i nā kaʻina metabolic, me ka hoʻomaʻamaʻa ʻana i ka palahalaha o nā glucose i loko o ka pūpū.
Nui nā mea kanu i mālama i nā antioxidants e pale i nā ʻeleka mai ka hōʻino ʻia e nā ʻenikena manuahi e kūleʻa ana inā kiʻekiʻe ka glucose koko. Hiki i nā Antioxidants ke pale aku i nā kahe koko a me nā ʻili o ke kino ma o ka pale ʻana i ka hoʻomohala ʻana o ka hoʻopiʻi maʻi maʻi.
Lawe ʻia nā Phytotherapy no ka maʻi maʻi e nā mea kanu:
- E hōʻemi i ka pale ʻana i ka insulin ma o ka hoʻohui ʻana i nā insulin me nā ʻĀpana: ka lau bay, ke kumu ginseng, ka aʻa ahe, saber a me ka arnica.
- Me nā kumuhana o ka inulin: burdock, Ierusalema artichoke, dandelion a me ka chicory. ʻO ka hapa nui o inulin i nā aʻa o kēia mau mea kanu. Hoʻonui ka inulin i ka hoʻoliʻi ʻana o ka insulin a kāpae i ka nui o ka glucose.
- Hoʻihoʻi hou i ka hana pancreatic: nā hua flax, nā lau walnut.
- Mālama i ka insulin mai ka luku: leaflet beans, galega, blueberries.
Eia kekahi, e hoʻonui ai i ka pale a me ke kū'ē i nā mea pōʻino, e hoʻohana iā Rhodiola rosea, Eleutherococcus, licorice root a me Schisandra.
E hoʻomaʻamaʻa i ka hana o ke akeʻai a me ka hoʻokae i ka hoʻopau ʻana o ka nui o ka glucose i loko o ka pāʻai, ka lau hoʻomohala, knotweed, horsetail a me nā ʻōpū birch.
Pehea e hoʻohaʻahaʻa ai i ke kō me ka hoʻōho?
E kōkua ka hoʻonaʻauao kino pilikino e hoʻonui ai i ka hana hana a me ka hoʻomanawanui o ka poʻe maʻi me ka maʻi maʻi maʻi, a me ka hoʻomaikaʻi ʻana i ka kahe o ke koko i loko o nā ʻāpana a hoʻomaikaʻi i nā ʻōnaehana metabola. Hoʻopili i kahi mea paʻakikī kūpono i ke puhi ʻana o ka glucose, e hōʻemi ana i ka pae o ka glycemia.
Eia kekahi, hōʻike ʻia i ka hana kino dosed i loko o ka mellitus o ka maʻi mellitus e hoʻonui ai i ka pono o ka hoʻomehana insulin a me ka hoʻohana ʻana o nā lāʻau antidiabetic, hiki iā ia ke hōʻemi i ka pane ʻana a e hōʻalo i ka hoʻomohala ʻana i nā hopena ʻaoʻao mai ka hoʻohana.
Maikaʻi nui nā maʻi maʻi no nā maʻi momona ʻoi loa, no ka mea hiki iā lākou ke kōkua i ka hōʻemi ʻana i nā momona momona, kahi e hiki ai i nā hana maʻamau o nā kaʻina metabolic a hoʻomaʻamaʻa i ke ala o ka maʻi diabetes type 2.
Me ka ʻoluʻolu o ka maʻi maʻi, hōʻike ʻia ka hana kino e like me nā ʻōlelo penei:
- Hoʻolaha nā hoʻomaʻamaʻa i nā pūʻulu āpau.
- Kuhi ʻia nā hana e ka nui o kahi kiʻekiʻe.
- Ua lohi a loli iki ke ʻano o ka noho ʻana.
- E hoʻohana i nā hana hoʻokūkū.
- ʻO ka lōʻihi o ka haʻawina mai 30 a 45 mau minuke.
- Wāwī ma waena o nā papa hana o 1-2 mau minuke.
- I ka hoʻomaka ʻana o nā papa, e hoʻomālamalama - 5 mau minuke, i ka hopena - he hoʻomaha hoʻomaha ma ke hui pū ʻana me nā hana hanu - 7 mau minuke.
ʻO ka hele ʻana no nā kauka maʻi lapaʻau, e hoʻomaka ana mai 2 a 5 km, ʻoihana hāmeʻa, ʻauʻau, ka holo ʻana, e hoʻohana ʻia ma ke ʻano. No nā maʻi maʻi maʻalahi, e hōʻike ʻia ana nā ukana māmā me ka huina o nā manawa ʻaʻole he 20 mau minuke.
I nā hihia koʻikoʻi o ka maʻi, ua alakaʻi ʻia e ka mokuʻina o ke ʻano o ka pūnaehana maʻi, ua hōʻike ʻia kēlā mau maʻi e like me ka hana ʻana o nā māka ʻana o ka hanu, a me nā mea maʻalahi loa no ka lōʻihi ʻole ma mua o 15 mau minuke. ʻAʻohe mea paʻa i ka diabetes mellitus no ka decompensation o ka maʻi, hōʻemi ʻia ka hana kino.
ʻAʻole ia i kuhikuhi ʻia i kēlā mau maʻi neʻe i ka hopena o ke kō o ke koko, nā pane o ka hypertension, ka maʻi naʻau coronary, no nā pilikia ʻeha ma ke akeʻa a me nā pūpū, me ka hoʻomohala ʻana o ka neuropathy me ka hoʻokumu ʻana o ka wāwae maʻi. ʻO ka wikiō i kēia ʻatikala e haʻi iā ʻoe pehea e hoʻohaʻahaʻa ai i ke kōpaʻa koko.