ʻO ka maʻi diabetes mellitus e hoʻoulu i nā hana he nui i loko o ke kino, e hoʻonāukiuki nui ai i ka mea maʻi a hōʻoʻole iā ia i nā maʻi maʻi he nui. Hoʻomaʻamaʻa pinepine ʻia nā mea maʻi i ka maʻi maʻi e like me kahi maʻi weliweli e like me ka maʻi pākī.
Ma mua, ʻo mellitus ka maʻi mellitus i hui pū me ka maʻi maʻi i ka 90% o nā hihia i alakaʻi i ka make o ka mea maʻi, akā i kēia lā ʻaʻole i weliweli kēia mau helu. Mahalo i kamaʻilio lapaʻau hou, ʻo ka make ma waena o kēia pūʻulu o nā maʻi e hoʻemi nui.
ʻOiai i kēia lā, ʻo ka hopena o ka mālamaʻana e hilinaʻi nui ana i ka ʻike manawa kūpono o nā maʻi, ka mea e pale ai i ka hoʻomohala ʻana o nā hihia ʻino. No ka hana ʻana i kēia, pono e ʻike nā maʻi maʻi āpau i ka pili ʻana o ka maʻi maʻi a me ka diabetes mellitus, he aha nā hōʻailona e hōʻike ai i ka hoʻomohala ʻana i kahi maʻi lua, a ʻo ia ka mea e pono ai ka hopena i kēia maʻi.
ʻO ke kumu
ʻO nā mea maʻi e loaʻa ana i ka maʻi diabetes 8 mau manawa e ulu aʻe i ka maʻi pulmonary ma mua o nā poʻe olakino.
ʻO ka pinepine, ʻo ka maʻi kēia e pili ai i nā maʻi maʻi maʻi 20 a 40 mau makahiki. Ma kēia pūʻulu pilikia, maʻi nā maʻi āpau o ka 10 me ka maʻi pākī.
Hoʻokumu ʻia ʻo ka maʻi maʻi ma ka maʻi diabetes no nā kumu aʻe:
- ʻO ka hoʻonāukiuki o ka ʻōnaehana maʻi ma muli o ka emi ʻana o ka hana o leukocytes, phagocytes a me nā mea ʻē aʻe o ke ʻano o ka ʻōnaehana. I ka hopena, ʻo ke komo ʻana i ke kino o ka mea maʻi, ua luku ʻia ʻo mycobacterium tuberculosis e ka make ole, a hoʻomaka e hana hoʻomohala.
- ʻO Tissue acidosis, kahi hopena o ka ketoacidosis. Hoʻomau pinepine kēia ʻano i ka mellitus diabolo a hōʻailona i ka hōʻiliʻili o nā kino ketone i ke koko o ka mea maʻi, i ka acetone kūikawā. Ke alakaʻi kēia i ka lāʻauʻawaʻawa a me ka hōʻino o ka ʻili o ke kino o ke kino, ka mea e ʻoi aku lākou i maʻalahi e loaʻa i ka maʻi.
- Ke kuhi nei i nā kao, ka momona, ka palaka a me ka minima o ka mineral.
- ʻO ka hoʻonāukiuki ʻana o ka hopena o ka body.Tenei waiwai o ke kino e pono ai e pale i nā maʻi pathogenic. No laila i nā poʻe olakino, nā maʻi maʻi maʻi, e like me ke kānāwai, e kū me ka maʻi kiʻekiʻe a me ke kuni, e kōkua koke ana iā lākou e lanakila ai i ka maʻi. I nā poʻe maʻi me ka maʻi maʻi, hoʻomohala hou ʻia nā maʻi, akā e hoʻokau pinepine ʻia nā hoʻopiʻi pilikia.
ʻOi nui ka pilikia o ka maʻi pākīkī i loko o nā mea maʻi me ka decellensated diabetes mellitus, ka mea i hoʻopiʻi ʻia me nā punawai maʻamau o ke kō koko.
Ke alakaʻi aku nei kēia i kahi pōʻino koʻikoʻi i nā kino o loko a me ka hoʻomohala ʻana i nā ʻōnaehana ʻoihana e hana ai i kahi ʻano maikaʻi no nā huakaʻi pathogenic.
Nā Hoʻomaka
ʻO ka hoʻomohala ʻana o ka maʻi pākīpika i ka maʻi diabetes, ʻaʻole ia e hilinaʻi nui i ka nui o ka maʻi, akā ma ka pae o ka uku no ka metabolism o ka hoʻoliʻaweʻa momona. Me ka maʻi ʻōmaʻomaʻa ʻole hoʻopukapuka, ua pālahalaha koke ʻia nā maʻi pākaha e pili ana i nā nui nui o nā pūpū a hiki i ke ʻano ʻeha loa.
He mea nui ia e hoʻomaopopo inā hiki i ka mālama kūpono ʻana i ka maʻi tuberculosis e lawe mai i ka hopena i makemake ʻia inā ʻaʻole hiki i ka mea maʻi ke hoʻomau i ka pae o ka glucose i loko o ke kino. I kēia hihia, e hoʻomaka mau ana me nā exacerbations mau a me nā mea hou e paʻakikī ai ka mālama ʻana.
I nā hoʻomaka mua, hiki i ka maʻi maʻi ma nā maʻi me nā maʻi mellitus a kokoke i asymptomatic. I loko o kēia manawa, hiki i ka mea maʻi ke hōʻeha i kēia mau hōʻailona:
- Nāwaliwali ikaika, hoʻemi ʻia ka hana;
- ʻAno hoʻi o ka momona;
- Hoʻonui kaho.
I ka ʻike ʻana ʻaʻole i ʻike pono kēia mau maʻi, ʻike pinepine ʻia e nā mea maʻi me nā hōʻailona he nui o ka maʻi diabetes. Hoʻomaʻamaʻa pinepine ʻia nā maʻi pākīlopa i ka maʻi x-ray e hiki ke hōʻike i nā leʻaleʻa koʻikoʻi i nā maʻi i ke kī ʻole ʻana o nā hōʻailona.
ʻO kekahi hōʻailona hou e hōʻike ai i ka hoʻomohala ʻana o ka maʻi pulmonary i ka maʻi mellitus o ka hoʻonui koke ʻana i ke kō kōʻai koko no ke kumu ʻole ʻike ʻole. ʻO kēia no ka ulu ikaika o ka maʻi pākī i loko o ke kino, ka pono o ka hoʻonui ʻana o ka insulin, e alakaʻi ana i ka decompensation o ka maʻi diabetes a me ke piʻi ʻana o nā pae glucose.
ʻO kēia hiʻohiʻona o ka maʻi pākuʻi i kekahi manawa e hoʻonāukiuki i ka hoʻomohala ʻana i ka maʻi maʻi i nā maʻi i loaʻa ʻole i ka pilikia me ka metabolism o ka paʻakai. He maʻi koʻikoʻi nui ka maʻi maʻi ma ka maʻi maʻi, ka holo wikiwiki a kau i nā wahi nui o ka ʻāʻā. Ke alakaʻi nei kēia i ka mea ʻoiai me ka hoʻopōmaikaʻi pōmaikaʻi i ka maʻi maʻi maʻi, mālama ka mea hoʻomanawanui i nā papa palau.
ʻO kekahi o nā hiʻohiʻona o ka hoʻopili like ʻana o ka maʻi pākīpī a me ka maʻi maʻi no ka localization o ka lesion ma ka lalo o nā māmā. Inā hōʻike ʻia kahi hōʻailona like i ka mea maʻi me ka maʻi pālolo, hoʻouna ʻia ʻo ia no kahi laʻina koko no ka honi, no ka mea hiki ke hoʻomaopopo i ke ʻano o ka maʻi maʻamau o ka maʻi maʻi.
No laila, ʻo ka maʻi diabetes me ka maʻi pālua ka mea maʻamau e hoʻopiʻi nui i ka papa o ka maʻi a kōkua i ka hoʻolālā wikiwiki ʻana o nā ʻōpiopio.
No laila, ʻo ka mālama ʻana o ka maʻi pākīkē, i hui pū ʻia e ke kō koko koko kiʻekiʻe, e pono ai ke hoʻohana ʻana i ka ʻenehana paʻakikī, ka mea e hoʻohana ai i ka hoʻohana hou ʻana o ka maʻi anti-tuberculosis a me nā lāʻau lapaʻau.
Pono hoʻi ʻoe eʻai i kahi meaʻai a ma lalo i nā kaʻina lapaʻau.
Hoʻomaʻamaʻa
Hoʻomaʻamaʻa ʻia ke ʻano maʻi tuberculosis no nā maʻi maʻi type 1 a me ke ʻano 2 e like me nā ʻano lāʻau lapaʻau like ʻole.
No laila e hakakā me ka maʻi maʻi me ka maʻi type kīpop 1, pono ʻoi e pono ke hoʻohui i nā hana ma lalo.
ʻO ka mea mua, pono ʻoe e hoʻonui i ka nui maʻamau o ka insulin e nā ʻāpana 10. Pono mau:
- Hoʻohui i kahi nui o nā inikini o ka insulin i kēlā me kēia lā, e hoʻomaʻamaʻa hou i kona hoʻomaka ʻana. ʻO ka nui o nā hua ʻōlelo ma ka liʻiliʻi 5 ma kēlā me kēia;
- Hoʻopili i kahi paʻa a paʻa paha i ka hoʻokuʻu ʻana i nā lāʻau lapaʻau me nā insulins pōkole. Kēia maoli kēia no nā poʻe maʻi e pili ana i ka hoʻomohala ʻana o ka ketoacidosis.
No ka maʻi type 2, pono e mālama ʻia ka lāʻau lapaʻau i kēia mau pae aʻe.
- Hoʻonui i nā mahele o ka lāʻau hypoglycemic;
- Hoʻokomo i ka mālamaʻana i nā inikini insulin iʻoi aku ma mua o 10 mau pūʻulu;
- I loko o ka maʻi pākēkē, ke hoʻopiha piha nei i nā waiʻaila e hoʻohaʻahaʻa i ka wai me nā inikini insulin hana lohi.
ʻO ka mea nui o ka mālama ʻana i ka maʻi pākuʻi ʻo ia ka hoʻohana ʻana i nā lāʻau lapaʻau kūikawā. I mea e mālama ai i kēia maʻi, pono ka mea maʻi e inu i nā pilima no ka maʻi pākōkē, ʻo ia hoʻi, i hui pū ai me ka lāʻau antidiabetic, hiki i ka hopena kiʻekiʻe.
E pili ana i nā lāʻau lapaʻau e kū kūʻē i ka maʻi maʻi, pono e hoʻohanohano i nā ʻano e like me:
- Amikacin;
- Isoniazid;
- Kanamycin;
- Capreomycin;
- Paraaminosalicylic acid;
- Ethambutol;
- Pyrazinamide;
- Practionamide;
- Rifabutin;
- Rifampicin;
- Streptomycin;
- Kaumaʻikaʻi;
- Ftivazide;
- Cycloserine;
- Ethionamide.
He mea nui ia e koʻikoʻi i kekahi o kēia mau lāʻau e hoʻopau i ka maʻi paʻakikī, ʻo ia hoʻi:
- ʻAʻole ʻōlelo ʻia ʻo Ethambutol no ka microangiopathy retinal (lesi o nā moku liʻiliʻi ma nā ʻaoʻao o ka ʻike);
- Hoʻopilikiaʻia ʻo Isoniazid ma ka hihia o ka polyneuropathy (hoʻopōʻino i ka ʻōnaehana pelekikina peripheral);
- Hoʻopili ʻia ʻo Rifampicin i nā hihia pinepine o ka ketoacidosis a i ʻole hepatosis momona momona.
I kēia hihia, ʻaʻole hiki wale i ka mea maʻi, akā pono pono hoʻi e hoʻomaka i ka lawe ʻana i kahi lāʻau lapaʻau ʻē loa i palekana loa nona.
No ka mālama i ke kino nāwaliwali a hoʻoikaika i ka ʻōnaehana pale, maʻi nā maʻi me ka maʻi pākuʻi. ʻO kēia mau huaʻala ʻoniʻoni e hoihoi i kēia maʻi.
- ʻO ka bitamina B1 - 2 mg i kēlā me kēia lā;
- Hoʻololi B2 - 10 mg i kēlā me kēia lā.
- Waiora B3 - 10 mg i kēlā me kēia lā.
- ʻO ka bitamina B6 - 15 mg i kēlā me kēia lā. Ma ka maʻi pāpaʻi pulmonary koʻikoʻi, hiki ke hoʻonui ʻia i kēlā me kēia lā o ka mauʻu B6 i ka 200 mg i kēlā me kēia lā.
- ʻĀpana PP - 100 mg i ka lā;
- Waiora B12 - 1,5 mcg i kēlā me kēia lā;
- ʻO ka waiora C - e pili ana i 300 mg o kēlā me kēia lā;
- Palapala A - 5 mg i kēlā me kēia lā.
Eia kekahi, hiki ke hoʻohui pū i ka mea kanu therapeutic i loko o ka lāʻau anti-tuberculosis, pono e kaupaona a loaʻa nā nui o nā ponoʻai.
Me ka maʻi pākīlū, ke hoʻopilikia nei ka mea maʻi i ka protein a me ka hoʻoliʻiliʻi o ka ʻai, hiki ke kapa ʻia i kekahi o nā kumu nui no ka hoʻomohala ʻana i nā hopena he nui. Ma muli o kēia, pono ia haʻalele i nā meaʻai o ka mea maʻi i nā kīʻaha āpau me nā haʻahaʻa o nā protein holoholona, a me ke kō, ke aniani a me nā meaʻai ʻē aʻe i nā momona momona.
ʻO ka koho maikaʻi loa no ka maʻi pālua a me ka maʻi maʻi maʻiʻai liʻiliʻi kaʻai ʻana, e pili ana i ka ʻai ʻana i nā meaʻai me ka haʻahaʻa glycemic haʻahaʻa. Eia kekahi, ua pāpā ʻia nā meaʻai iʻa a me nā kalekona ma lalo o kēia meaʻai, akā ua ʻāpono ʻia nā lau a me nā ʻokoʻa he nui no ka maʻi pākī a me ka maʻi diabetes, ʻike i ke wikiō i kēia ʻatikala.
