ʻO ka pae o ka glucose (gula) i ke koko kekahi o nā kuhikuhi nui loa e pili ana i ke kaʻina metabolic. ʻO kēia ma muli o ka loaʻaʻana o ka glucose i kumu ikaika no nā iwi āpau, akā naʻe ʻo ka lolo a me ka ʻōnaehana cardiovascular e hilinaʻi iā ia.
ʻO ka maʻamau, ma hope o ka ʻai ʻana, e piʻi nui ka nui o ke kaila o ka toto, a laila hoʻokuʻu ʻia ka insulin, a komo ke glucose i loko o nā koena, ua komo pū ʻia me nā hana metabola e mālama ai i nā hana nui o ke kino.
Inā ʻaʻole lawa ka insulin, a i ʻole nā hana a nā contrainsular e piʻi a hoʻomaʻamaʻa, a inā ʻaʻole hoʻi i pane nā kuli i ka insulin, e piʻi aʻe ka pae o ka glucose i ke kino. I ka hihia o ka dysregulation hormonal a i ʻole overdose o nā lāʻau lapaʻau e hōʻemi i ke kō, ua emi kēia helu.
ʻAiʻai a me ke Koko ʻOi
Kuhi ʻia ke kō o ke koko e ka noiʻi ʻana o ka glycemia. No kēia, hana ʻia kahi hōʻike koko ma ke kakahiaka, ma kahi ʻōpū ʻole. Pono ka ʻai hope loa ma mua o 8 mau hola ma mua o ke ana ʻana. ʻO ka glucose koko maʻamau ka mea like no nā kāne a me nā wahine, ma muli o ka makahiki o ka mea maʻi.
- No nā keiki he 3 hebedoma a 14 paha makahiki: 3.3 a hiki i 5.6 mmol / L
- I nā makahiki mai 14 a 60: 4.1 - 5.9 mmol / L.
ʻO ka mea nui ka mea e loli ai ka pae o ke kō ma ke koko, ʻo ia ka kaulike ma waena o kāna mea ʻai me ka meaʻai a me ka pae o ka insulin, e kōkua ana e hoʻololi i ia mai ke koko i nā pū. ʻO nā meaʻai i loaʻa nā kīleʻamaʻa ka hopena nui loa i ka glucose o ke koko.
Ma ka wikiwiki o ka hoʻonui ʻana i ke kō, ua hoʻokaʻawale ʻia lākou me he maʻalahi. Hoʻomaka nā mea momona maʻalahi i ke koko i loko o ka ana o ka waha, ko lākou hoʻohana ʻana i ka meaʻai e hoʻonui ai i ka glucose.
ʻO kēia mau huahana me:
- Sugar, ka meli, kaʻaila, nā kekona, kaʻaila.
- ʻO ka palaoa keʻokeʻo, ʻo ka palaoa a me nā pastry i hana ʻia mai ia mea - rolls, waffles, cookies, bread white, crackers, cakes and pastries.
- ʻLelo
- ʻO ka ʻono a me nā curd nā papa ʻono.
- ʻO nā wai momona a me nā sodas.
- ʻO nā maiʻa, ʻawaʻawa, nā lā, nā kīloi, nā hua.
Hoʻomaʻamaʻa ʻia nā kapehu i loko o nā meaʻai e ka starch a me ka hoʻowalewale ʻana i nā ʻāpana o waho e pono ai e wāwahi iā lākou. I ka hoʻomakaʻana o ka hoʻomaʻemaʻe mai ka meaʻai meaʻai - ka palaoa, cereal, nā waiora, ka nui o ka hoʻonui ʻana i ka hoʻonui i ka glucose, a i hoʻohui ʻia ka nui o ka huʻu a i ʻole ka bran, e emi ana.
ʻO ka haʻalulu ʻana o nā hāmeʻa mai ka meaʻai e lohi ai inā nui ka momona i loko o ia mea; mai ka meaʻai anuanu, hele mai nō hoʻi ka mau huikala mai nā ʻōpū ma mua o nā kīʻī wela.
Hoʻopilikia ka metabolaboloma i ka hihia o ka hōʻino ʻana i ka inu ʻawaʻawa, nā mea momona momona, ʻoi aku ka momona, ka palaoa iʻa, offal, cream cream, cream, meaʻai wikiwiki, kī, ʻāʻī i nā meaʻai a me nā meaʻai ʻai.
ʻO nā maʻi e hoʻopiʻi ai i ke kō
ʻO ke kumu maʻamau o ka holo like ʻole o ka pīpī i ke koko i ka maʻi maʻamau. Ua mahele ʻia e like me nā hana hoʻomohala i ʻelua ʻano. ʻO ka mellitus type type i ka wā e loaʻa ai nā cell beta i ka pancreas.
Hiki paha i kēia ma nā maʻi maʻi viral, ka hoʻomohala ʻana o nā kūmole autoimmune, i mea e hoʻomaka ai ka hana ʻana o nā antibodies i nā pūleo i hana i ka insulin. ʻO ke kumu maʻamau o ka maʻi maʻamau ka maʻi 1 no ka predisposition hoʻoilina.
Hoʻololi ka ʻano lua o ke ʻano maʻi me ka loli ʻole a i ʻole ka loli o ka insulin, akā ua kūpaʻa ka ʻāhewa kiko i nā hopena. Wahi a nā helu helu, noho ka lua o ke ʻano he 95% o nā manawa a pau o ka maʻi diabetes. ʻO ka pale ʻana i ka maʻi diabetes type 2 e pili pono ana i nā kumu o kēia alahele. I kēia lā, ua hōʻike ʻia nā mea i hōʻike ʻia:
- ʻOiʻino, nui loa ka hoʻoneʻe ʻana i ka momona ma ka hope.
- Hoʻohui haʻahaʻa kino.
- Hoʻolū i ka hoʻopilikiaʻeha, ke kaumaha, nā hopohopo.
- ʻO nā maʻi o ka pancreas.
- Kālā i hoʻonui ʻia ke koko, atherosclerosis.
- ʻO nā maʻi o ka maʻi diabetes.
- ʻO nā maʻi o ka momona thyroid, a me nā kinipona adrenal a i nā pituitary gland.
Hoʻonui ʻia ka ʻōpū o ka maʻi ʻaila me ka makahiki, no laila, ʻike ʻia ka glucose, e like me ke kolamu o ke koko, ma hope o 40 mau makahiki a ʻoi aku paha ma hoʻokahi makahiki.
Inā i ka wahine ka hoʻomau ka ʻōpiopio ma hope o ke kaila o ke kō, ua hānau ʻia ka pēpē me ka paona o ka nui aʻe o ka 4,5 kg a i ʻole nā kuhi hewa, kahi ala pathological o ka hāpai ʻana, a me nā ʻōmole polycystic, pono kēia ke kumu no ka mālama maʻamau ʻana i ka paʻakai kaohi.
Hiki ke hoʻonui i ka Sugar i ka pancreatitis aʻeha paha a me ka pancreatic necrosis, ʻo ka mea nāʻaila a me ka edema o ka pancreas e hoʻopilikia i nā sela o nā islets o Langerhans, kuleana no ka hana ʻana o insulin. Ma hope o ka hoʻōla ʻana, hiki i ke kōpaʻa ke hoʻi i ka maʻamau, akā ke hōʻike ʻia nei nā mea maʻi e pili ana i nā mea paʻa o ka ʻai ʻana no ka ʻeono mau mahina.
Me ka nui o ka pancreas (hyperplasia), insulinoma a i ʻole adenoma, a me nā mea hoʻonaninani congenital i nā alpha - nā sela e hana ai i ka glucagon, e hāʻule ana ka pae o ke kaila koko.
I ka hyperthyroidism, ma muli o ka hopena o nā hormone thyroid, hoʻoulu ʻia ka nui o ka hoʻoulu ʻana i ka insulin e hoʻomaka ana, ka mea e piʻi maʻalahi i ka pancreatic depletion a me ka hoʻomohala ʻana o ka maʻi hyperglycemia.
Aia kahi hypothesis e hoʻomohala ai ka maʻi diabetes a me ka thyrotoxicosis ma muli o kahi kaʻina autoimmune.
E hiki i ka hoʻonāukiuki o ka hoʻōla a me ke kūlohelohe me ka maʻi o ke kelepona adrenal a me nā kelima pituitary:
- Hoʻokomo ka Hyperglycemia me ka pheochromocytoma, acromegaly, ʻ Clelo Cush, somatostatinoma.
- ʻO ka hoʻemi koko (hypoglycemia) pili me ka maʻi a Addison, adrenogenital syndrome.
ʻO kahi manawa koʻikoʻi o ka myocardial infarction a i ʻole ke kauia ʻana o ka cerebral (stroke) hiki ke hele pū me ka piʻi ʻoi mai ka nui o ke kō. ʻO ka hepatitis Viral a me nā kaʻina kūpaʻa i loko o nā wahi a me ka ʻōpū e hana pinepine me kahi haʻahaʻa o ka glucose i ke koko.
Me ka pololi mau a me ka malabsorption i loko o nā pūpū me ka maʻi malabsorption, ʻae ʻia ka hoʻokahe koko. Hiki i ka Malabsorption ke congenital i ka fibrosis cystic a i ʻole e ulu ai i ka enteritis, maʻi pancreatitis, a me ka cirrhosis.
ʻO nā lāʻau kākāola
Hiki i nā lāʻau lapaʻau ke hoʻopilikia i ka hoʻoponopono ʻana o ka hoʻoneʻe i nā haʻalohai: ʻo ka diuretics, ʻoi aku ka thiazides, estrogens, nā glucocorticoid hormones, beta-blockers, pinepine ʻole-selectively, kumu no hyperglycemia. ʻO ka lawe ʻana i ka caffeine i loko o nā koina nui, ʻo ia hoʻi mai ka ikaika a me ka tonic lāʻau a me nā mea inu, hoʻāla i ke kō kōʻai koko.
E hōʻemi i ke kō: insulin, lāʻau lapaʻau antidiabetic - Metformin, Glucobay, Manninil, Januvia, salicylates, antihistamines, anabolic steroid and amphetamine, hiki nō iā ia ke hoʻemi me ka hoʻōki waiʻona.
No ka lolo, ʻoi aku ka hemahema o ka glucose e ʻoi loa i ka nui. No laila, ua kauoha ʻia e loaʻa mau nā maʻi me ka papa ʻaʻai i ka papa glucose a i ʻole hoʻi me lākou, no laila, me nā hōʻailona o ka hāʻule o ke kō koko koko, hiki iā lākou ke hoʻokiʻekiʻe koke i ko lākou pae. ʻO ka meli, kaʻaila momona, ka waiū mahana, ka laiki, kekahi wai wai a i ʻole kahi mea momona maikaʻi hoʻi e hiki no ke hoʻohana ʻia no kēia kumu.
Hiki i ka hyperglycemia Physiological (i ka haʻalele ʻana o nā maʻi) me ka hoʻoikaika kino, hoʻāla. ʻO ke hoʻokuʻu ʻana i nā hormones stress - adrenaline a me cortisol me nā manaʻo ikaika ikaika, ka makaʻu, ka huhū, ka hōʻeha hōʻeha ʻana, ʻo ia kekahi kumu no ka hoʻonui pōkole i nā pae glucose.
ʻO ke kino kino o ke kaha kiʻekiʻe a i ʻole ka lōʻihi, ke kaumaha noʻonoʻo, hoʻonui i ke kino o ke kino i nā maʻi lēʻeha e hōʻeha i ke kō o ke kō.
Hiki paha i nā kānaka olakino ke ʻike i nā hōʻailona o ke koko haʻahaʻa (hōʻeha, ka ʻokiʻoki, ke kaumaha, ka lūlū lima lima) i ka wā i hōʻemi a ʻai ʻia nā meaʻai momona loa. Ma hope o ka inu nui o nā meli maʻalahi, hoʻonui ka insulin i ka nui a hoʻohaʻahaʻa i nā glucose koko.
I ka wā hāpai a ma mua o nā kāne, ʻike ʻia nā wahine i nā abnormalities i ka metabolism kalepa ma muli o nā hopena o nā loli i ka pae estrogen a me ka progesterone. ʻO ka huki ʻana o ka hāhi i loko o ke kō koko koko me ka menopause. ʻO ke wikiō i kēia ʻatikala e haʻi aku iā ʻoe i ke ʻano o ke kōpō hoʻoili.
