Me ka maʻi, pono ka hoʻopaʻa ʻia ʻana o ka maʻi mellitus i loko o ke kaohi ʻana, e ana i ke kahe o ke kōʻai koko. ʻO nā kumu kaulike maʻamau ka like no ka kāne a me ka wahine, loaʻa ka liʻiliʻi o ka makahiki.
Kuhi ʻia nā helu mai ka 3.2 a hiki i 5.5 mmol / lika he awelika o ka wikiwiki wikiwiki. Ke lawe ʻia ke koko mai kahi vein, e piʻi kiʻekiʻe loa nā hopena. I kēlā mau hanana, ʻaʻole eʻoi aku ka nui o ke koko wikiwiki ma mua o 6.1 mmol / lita. Ma hope koke o ka ʻai ʻana, hiki i ka glucose ke hoʻonui i 7.8 mmol / lita.
I mea e loaʻa ai ka hopena kūpono loa, pono e hana i kahi hōʻike koko ma mua o ka ʻai pilikino i ke kakahiaka. Hōʻike i nā hōʻike koko o ka capillary hōʻike i kahi hopena ma luna o 6 mmol / lita, e nānā ke kauka i ka maʻi maʻi.
ʻAʻole pololei ke aʻo ʻana i ke koko o ka capillary a me ka venous koko, ʻaʻole kūpono i ka ʻōlelo maʻamau. Hana kēia inā ʻaʻole i ukuhi ka mea maʻi i nā lula o ka hoʻomākaukau no ka nānā ʻana, a i hāʻawi ʻia i ke koko ma hope o ka ʻai ʻana. Ke alakaʻi pū nei nā hanana i ka ʻikepili pololei ʻole: nā kūlana kaumaha, nā maʻi liʻiliʻi, nā hōʻeha hōʻeha.
Kahua Kahiki
Ma hope o ke mau makahiki he 50, ʻo ka hapa nui o nā kānaka, a me nā wahine pinepine pinepine, e hoʻonui ʻia:
- ka hookeai koko koko ma kahi o 0,055 mmol / lita;
- holi koko 2 mau hola ma hope o kahi pāʻina - 0,5 mmol / lita.
Pono e helu ʻia he helu iki kēia mau helu, no kēlā me kēia kanaka pākahi o nā makahiki he nui e hoʻololi ʻia ma kekahi ʻaoʻao a i ʻole. Ke hilinaʻi mau nei ia i ka hana kino a me ke ʻano o ka hōʻola o ka mea maʻi.
ʻO ka maʻamau, i nā wahine o ka wā kahiko, e piʻi pololei ke kaʻe o ka glucose i nā manawa 2 mau manawa ma hope o ka ʻai ʻana, a noho hoʻi ka wikiwiki i ka glycemia i loko o nā palena maʻamau. No ke aha kēia e hana nei? He nui nā kumu e pili ana i ke kino i ka manawa like. ʻO ka mea mua, ʻo kēia ka hoʻohaʻahaʻa i ka hoʻololiʻana i nā kiko i ka insulin hormone, kahi emi i kona hana ʻana e nā pancreas. Hoʻopiliʻia, nāwaliwali o ka hūnā ʻia a me nā hana o nā incretins i nā maʻi maʻi.
ʻO nā incretins kekahi mau lāʻau kūikawā e hoʻopili ʻia ana i ka hana o ka digestive i ke pane ʻana i ka ʻai o ka meaʻai. Hoʻoulu wale ka mga incretins i ka hana ʻana o ka insulin e ka pancreas. Me ka nui o ka makahiki, ua emi ka paʻakikī o nā pūlima beta i kekahi mau manawa, ʻo ia kekahi o nā kaina o ka maʻi maʻi, ʻaʻole nui ka mea ma mua o ka pale ʻana o ka insulin.
Ma muli o ke kūlana paʻakikī, koi ikaika nā poʻe kahiko e ʻai i nā meaʻai kiʻekiʻe. Aia nā meaʻai:
- ka nui o nā hana hōʻemi wikiwiki ka nui o nā hana a nā mea momona maʻalahi;
- nele i nā kīʻaha paʻakikī, protein, fiber.
ʻO kekahi kumu nui no ka hoʻonui ʻana i ke kō o ke koko i ka wā ʻelemakule ka mua o ke ʻano o nā maʻi concomitant maʻi, ʻo ka mālama ʻana me nā lāʻau lapaʻau e hoʻoweliweli ana i nā hana o ka paʻakai.
ʻO ka mea pōʻino loa mai kēia ʻano ʻike: ʻo ka psychotropic drug, steroid, thiazide diuretics, non-selektif beta-blockers. Hiki iā lākou ke hoʻōla i ka hoʻomohala ʻana o nā pathologies o ka puʻuwai, nā ʻōpū, ka musculoskeletal system.
ʻO ka hopena, hōʻemi ka nui o ka naʻau, ua māhuahua ka pale ʻana o ka insulin.
Nā hiʻohiʻona o ka glycemia i nā pākeke
Hoʻololi ʻokoʻa ka hōʻailona ʻana i ka maʻi maʻamau o nā maʻi o nā makahiki ʻokoʻa ma kahi o ka hōʻike maʻamau o ka maʻi, aia i ka poʻe ʻōpio. ʻO ka ʻokoʻa nui ka hiʻohiʻona, ka ʻilihune o nā hōʻailona.
Hypoglycemia in diabetes mellitus i loko o kēia māhele o nā mea maʻi e hoʻomau ka undiagnosed, ua kūleʻa ʻo ia iā ia iho he mau mea e hōʻike ai i nā maʻi ʻē aʻe.
Hoʻopili ʻia ka hoʻonui ʻana i ke kō me ka hana ʻana o ka nui o nā hormones;
- cortisol;
- adrenaline.
No kēia kumu, aia paha piha ʻole nā ʻōmaʻomaʻo o ka hoʻomohala ʻana i ka hana o ka insulin, no ka laʻana, me ka ʻoluʻolu, nā palpitations o ka naʻau, haʻalulu i loko o ke kino. Ma kahi o ka neʻe ʻana e:
- amnesia
- hiamoe
- nāwaliwali
- māhuahua naʻauao.
ʻO kēlā me ke kumu o ka hypoglycemia, loaʻa ka hewa i ke ala ma waho o kēia mokuʻāina, lawelawe maikaʻi nā ʻōnaehana counter-regulatory. I ka nānāʻana o kēia, ke hoʻomanawanui ka nui o ke kō koko koko.
No ke aha e pōʻino loa ai ka wahine maʻi i nā wahine kahiko? ʻO ke kumu ke hoʻomanawanui ʻole nei nā maʻi i nā hoʻopiʻi cardiovascular me ka maikaʻi, hiki iā lākou ke make mai kahi hōʻeha, ka puʻuwai ʻeha, kahi ʻaʻa i loko o nā kīʻaha koko, a me kahi paʻa o ka naʻau. Aia pū kekahi puʻuwai e hiki ke loaʻa ʻole i kahi mea kīnā i ka wā e hōʻeha ʻia ai ka pōʻino ʻole o ka lolo. Hiki i kēlā hoʻopiʻi hoʻonā ʻia ma ka wā ʻōpio, akā, he mea paʻakikī loa ka neʻe ʻana o ka mea ʻelemakule.
Ke piʻi pinepine nei ka nui o ke kō koko kōkō o ka wahine a me ka maʻamau ʻole, hiki i kēia ke hōʻeha a me nā hōʻeha.
ʻO ka wai me ka hypoglycemia e lilo pinepine i ke kumu o kahi hōʻeha o ka wāwae, hōʻino i nā ʻōpū, a me ka hōʻino ʻana i nā ʻalū palupalu.
Pehea e hoʻāʻo ai ke koko no ka hilo
Ke lawe ʻia nei kahi haʻawina e pili ana i ke koko koko i nā wāhine kahiko ma kahi ʻōpū ʻole. Hooholo ʻia kēia ʻano loiloi inā e hoʻopiʻi ana ka mea maʻi:
- make wai;
- it o ka ʻili;
- nā urination pinepine.
Lawe ʻia ke koko mai kahi manamana lima ma ke lima a i ʻole vein. I ka loaʻa ʻana o kahi kanaka o ka glucom non-invasive non-invasive, hiki ke hana i ka hoʻokolohua ma ka home wale nō, me ke kōkua ʻole o nā kauka. He kūpono kēia mea hana no ka wahine e hāʻawi i kahi kahe o ke koko no ka nānā ʻana. E loaʻa i ka hopena i ʻelua mau kekona ma hope o ka hoʻomaka ʻana o ke ana.
Inā hōʻike ka mea hana i kahi hopena overestimated, pono ia e hoʻopili i kahi keʻena olakino, kahi i loaʻa i nā kūlana laboratena hiki iā ʻoe ke loaʻa ka nui o ka glucose kumuola.
Ma mua o ka hoʻāʻo ʻana no ke kō no nā hola 8-10, pono ʻoe e hōʻole i ka meaʻai. Ma hope o ka hāʻawi ʻia ʻana o ke koko, hāʻawi ʻia kahi wahine e inu i ka 75 o ka glucose i hoʻoheheʻe ʻia i loko o ka wai wai, ma hope o 2 mau hola, ua hana ʻia kahi hōʻike ʻelua:
- inā loaʻa he 7.8 a 11.1 mmol / lula, e hōʻike ke kauka i kahi hala o ka pale ʻana o ka glucose;
- me kahi hōʻailona ma luna o 11.1 mmol / liter, ʻike ʻia ke maʻi maʻi maʻi;
- inā ua emi iho ka hopena ma mua o 4 mmol / liter, loaʻa mau hōʻailona no ka maʻi hou ʻana o ke kino.
I kekahi manawa ma nā wāhine ma mua o 65, e hōʻike ka hoʻāʻo i ke koko no nā hilo he 5.5 a i 6 mmol / liter, hōʻike kēia i kahi ʻano waena i kapa ʻia ʻo prediabetes. I mea e pale ai i ka hoʻomohala hou ʻana o ka maʻi, pono ia e hahai i nā lula a pau e pili ana i ka mālama ʻana, e haʻalele i nā hoʻohui.
Inā aia nā hōʻailona maopopo o ka maʻi maʻi, pono e hāʻawi ka wahine i ke koko i nā manawa he nui i nā lā ʻokoʻa. Ma ka pō o ke aʻo ʻana, ʻaʻohe mea pono o ka hahai pono ʻana i kahi meaʻai, e kōkua nō kēia e loaʻa i nā helu hilinaʻi. Eia naʻe, ma mua o ka maʻi ʻaila, ʻoi aku ka maikaʻi o ka haʻalele ʻana i nā meaʻai momona.
He kūpono ka ʻikepili o ke kaili ʻana i:
- nā kūlana koʻikoʻi;
- hapai
- ka heleʻana o nā hana maʻi.
ʻAʻole ia e hōʻike ʻia e ʻike ʻia nā pākeke inā ʻaʻole lākou hiamoe maikaʻi i ka pō ma mua o ka hoʻāʻo.
ʻO ka wahine ka wahine, ʻo ka mea pinepine ka hoʻomaʻamaʻa ʻana iā ia no ke kō koko. He mea koʻikoʻi kēia no ka momona momona, ʻo ka mea ilihune, nā pilikia naʻau - ʻo ia nā kumu nui e piʻi ai ke kō koko.
Inā hōʻike ʻia nā kānaka olakino e hāʻawi i ke koko no ka kōʻai i hoʻokahi manawa i ka makahiki, a laila pono ke hana ke kanaka maʻi maʻi maʻi i kēia mea i kēlā me kēia lā, ʻekolu a i ʻole ʻelima mau manawa i ka lā. ʻO ke ala pinepine o ke aʻo ʻana ma ke ʻano o ka maʻi mellitus, kona ʻeha a me nā makahiki o ka mea maʻi.
ʻOiai ʻo kona ʻelemakule ʻana, pono kahi kanaka me ka maʻi maʻi mua loa e hōʻike i ke koko i kēlā me kēia manawa ma mua o ka hoʻomakaʻana o ka insulin. Inā loaʻa ke kaumaha, kahi hoʻololi i ke ʻano o ke ola, ʻo ia ʻano hoʻokolohua e hana pinepine ʻia.
Me ka hōʻoia ʻana i ka maʻi maʻamau 2, e lawe ʻia ka loiloi:
- a pau i ke ala ana;
- 60 mau minuke ma hope o ka ʻaina;
- ma mua o ka hele ʻana e moena.
Maikaʻi maikaʻi inā kūʻai ka mea maʻi i ka glucometer portable.
ʻO nā wahine olakino ma hope o 45 mau makahiki e hoʻāʻo ʻia no ka maʻi diabetes ma ka liʻiliʻi he 3 i kēlā me kēia 3, e ʻike i ko lākou kaʻe o ke koko. Pono e hoʻomanaʻo ʻia ʻo kahi loiloi o ka glucose wikiwiki ʻaʻole kūpono no ka maʻi o ka maʻi. No kēia kumu, ua ʻōlelo ʻia e hoʻohui i kahi ʻano noiʻi no ka hemoglobin glycated. Ke hoʻomau nei ke wikiō ma kēia ʻatikala i ke kumumanaʻo o ka maʻi maʻi i ka pākeke.
