Ma ka maʻi mellitus, ʻaʻole hiki i ka glucose ke komo i loko o nā ʻōpū ma muli o ka nele o ka insulin a i ʻole ka nalowale o ka naʻau. Ma kahi o ka hoʻohana ʻana no ka ikehu, e noho mau ka glucose i loko o ke koko.
Hōʻeha ka nui o ka glucose i hōʻeha ʻia i ka paia vascular, a i kēia manawa ke hōʻeha nā kino i nā mea kīnā pono.
No laila, kahiʻike i ka nāwaliwali, maʻi mau manawa a me ka hoʻonui pinepine ʻana i ka mea maʻi me ka maʻi a me ka maʻi diabetes.
Nā kumu o ka nāwaliwali o ka maʻi maʻamau
ʻO nā nāwaliwali i ka maʻi huki kekahi o nā hōʻailona diagnostic a loaʻa i nā manawa mua o ka maʻi. ʻO ka lawa ʻole o ka ikehu ma muli o ka hiki ʻole o ka hoʻōla ʻana o ka glucose e alakaʻi i ka nāwaliwali nui, nui ka māhuahua me ka lawa o ka pono a me ka hoʻohaʻahaʻa kino.
ʻO ke kumu ʻelua makemake nā nā maʻi maʻi no ka palupalu ʻana o ke kō koko koko. Hiki i ke kōpaʻa haʻahaʻa haʻahaʻa ke kumu no kēia mau kumu:
- ʻO kahi nui ka lāʻau lapaʻau e hōʻemi i ke kō.
- Hoʻololi i ka lāʻau.
- ʻO nā haʻuki lōʻihi.
- Ke ʻoki nei i ka ʻaina.
- Inu inu i ka waiu, oi ole i ka opu palau.
- ʻO nā papaʻaiʻai, ʻaina ʻoiai e lawe nei i nā paila e hōʻemi ai i ke kō.
- Gastroparesis (kaohi ʻana i ke aihue a waiho ʻia).
ʻO ka hypoglycemia ma ka lolo, i ka hoʻohui ʻana i ka nāwaliwali, e hōʻike ʻia ana e ka ʻūle pale, ka ʻūlū, ka makaʻu a me ka pōloli. ʻAʻole hiki i nā mea maʻi ke kaupaona, hiki iā lākou ke lanakila i ke kaumaha kaumaha, kipi.
Me ka hoʻonui ʻia o ka hypoglycemia, inā ʻaʻole i ʻae ʻia ka glucose a me ke kō, e hoʻomōlohe ʻia ai nā maʻi pili ʻana, ʻike ka ʻike, ʻike ʻia nā maʻi a nā maʻi ʻole ma ka lewa.
Ke lanakila nei i ka hoʻouka ʻana o hypoglycemia, lawa ke lawe i kī kīʻaha, nā papa glucose mai 2 a 4 mau ʻāpana ʻʻai, a ʻai wale paha ia. Pono ka mālama ʻana i ka maʻi hypoglycemic coma.
Me ka uncompensated diabetes mellitus, kāpae ʻole i ka lāʻau lapaʻau i kauoha ʻia, hōʻole ʻia i ka mālama ʻana, inu kino ʻana i ka maʻi, maʻiʻai ketoacidosis. Me ka nele o ka insulin, e hoʻomaka ana ka wā o ka momona o nā momona i nā puhiluhi momona. ʻO ka huehue nui i ke koko e lawe ai i ka nui o ke kahe. Hele mai ka Dehydration.
I ka manawa like, ʻo nā adrenal hormones i pane mai ai i kahi kaho o ka nui o ke koko e hoʻoneʻe nei i ka nui o ka pā o ka paʻakai a hoʻopaʻa i ka sodium i loko o ke kino.
Loaʻa ka poʻe maʻi i kahi kūlana o ka ketoacidosis make wai, ka maloʻo maloʻo, a me ka nui o ka urination. ʻO ka ʻehaʻeha o ka puʻuwai, luaʻi a me ka ʻala o ka acetone mai ka waha e pili i kēia mau hōʻailona.
I mea e lanakila ai i ka nāwaliwali, pono i ka mea maʻi e hoʻoluhi i ka insulin i kahi hiki loa.
ʻO nā kumu o ka nawaliwali mau o ka maʻi diabetes
ʻO kekahi o nā kumu o ka nāwaliwali o ka maʻi diabetes he angiopathy - kahi hoʻopiʻi hoʻopiʻi ʻia e ka piʻi ʻana o ka glucose i loko o ke koko neʻe. Me ka pōʻino o nā kīʻaha koko ma nā ʻōpū, hana i kahi hapa o ke kahe o ke koko a me kēia, i hui pū ʻia me ka lawa ʻole o ka ʻai ʻana o ka ikehu mai ka glucose, e alakaʻi i ka hana o ka hana o nā ʻōnaehana.
ʻO ka naʻau e pili ai i ka pololi ka naʻau a me ka lolo. No laila, me ka hoʻomohala ʻana o ka angiopathy, maʻi ʻole, ʻeha, hōʻeha nā puʻuwai puʻuwai. Hiki i ka poʻe maʻi ke hopohopo e pili ana i ka pōkole o ka hanu me kahi mea hoʻoikaika kino, nā luhi. Ke kū nei ke kahe o ke koko ma ka ʻāpana o ka lolo, ʻike ʻia nā hōʻailona mua o kahi maʻi hānai:
- ʻO ka palupalu koke i ka hapalua o ke kino a me ka hiki ʻole ke neʻe i kahi lima, wāwae.
- Hōʻalo ka lima a me ke wāwae, ʻano nui ka ʻeha kaumaha o loko.
- Ke hoʻomau nei ka ʻōlelo.
- Hiki i kahi lele ʻana o ka luaʻi.
ʻO kekahi o nā kumu o ka nāwaliwali o ka ikaika a me ka hōʻeha ma nā haʻahaʻa haʻahaʻa ma ke ʻano he hoʻomaka ʻana o ka polyneuropathy diabetes. ʻO kēia hoʻopiʻi ʻana i ka maʻi diabetes me ka hoʻokaʻawale i ke koko a me ka hoʻokaʻawale i nā kinipona nerve o nā pae lalo loa.
Ma ka manawa like, ua hoʻemi ʻia nā ʻanoʻokoʻa āpau, tingling a me ka maʻalea ʻana o nā wāwae, ma ke ʻano o ka manawa, ua hoʻokumu ʻia nā hōʻailona o ka wāwae maʻi - ka maʻi ʻoki ʻole-maʻi a me ka deformation o nā wāwae. No ka pale ʻana i ka hoʻomohala ʻana o ka polyneuropathy, ʻoia ʻia e nā maʻi āpau me ka maʻi maʻamau o ka makahiki o 4 mau makahiki a i ʻole kahi pinepine ʻana a nā loiloi.
Hōʻikeʻike i ke ʻano neuropathy diabetes i nā kāne no ka palupalu kūlohelohe. Hoʻemi ka haʻina ma muli o ka loaʻa ʻana o ke koko a me ka hoʻopili o ka genital, ke hāʻule ka pae o ka testosterone a nāwaliwali makemake ʻia o ka moekolohe. ʻO kahi hana Erectile ka mea mua paha ke kumu o ka hōʻino o vascular, kahi nui i hoʻonui ʻia mai ka maʻi naʻau.
ʻO ka momona a me ka nāwaliwali kekahi o nā hōʻailona o ka nephropathy maʻi. I kēia kūlana, ʻike ʻia ka make o ka glomeruli o ka renal a ʻaʻole hiki ke hoʻopau ʻia ke koko i nā huahana metabolic. ʻO ka pūlima kekahi i komo i ka hematopoiesis, no laila e pili pū ka anemia i nā hōʻailona o ka hiki ʻole o ka renal.
ʻO kēia mau kumu ke kumu o ka hoʻonui ʻana i ka nāwaliwali, nausea, ka huhū a me ke poʻo me ka nephropathy. ʻO nā hōʻailona diagnostic ka mea e like me ke kahe o ka protein i ka urine, he nui o ka nui o ka creatinine i loko o ke koko.
Ka hoʻomaikaʻi ʻana i ka nāwaliwali i ka maʻi diabetes
Ke hōʻike nei i ka nāwaliwali o ka nāwaliwali ma kahi o ka maʻi diabetes. No laila, ʻo ka hoʻohana ʻana i nā lāʻau āpau ma mua o ka hypoglycemic ʻaʻole hiki ke hoʻēmi iā ia. ʻO ka mea i kuhi ʻia ʻole ʻia, ʻo ia ka hoʻāʻo e hoʻonui i ka pono o nā lāʻau tonic a i nā mea inu caffeinated.
ʻO ka paʻa mau i ka meaʻai me ka hōʻole ʻana o ke kō i ka kō a me nā huahana a pau me waho ʻole, ka palena o nā huahana palaoa a me nā meaʻai momona, nā hua momona e kōkua i ka hoʻēmi ʻana i ka mauʻeha o ka maʻi palaka. I ka manawa like, pono i ka meaʻai e loaʻa ka nui o ka protein mai nā meaʻai momona-momona: ka ʻiʻo turkey no ka maʻi type 2, ke kīpī iʻa, nā iʻa, ka wai kai.
E kiʻi pono i nā mea kanu ʻai nāu a me nā hua i like ʻole ʻia. Pono e hoʻohui i nā mea inu waiū-uala, ka waiū rosehip, nā wai momona mai kāloti, nā huaʻaila, ke pomegerane, ka blackcurrant i loko o ka meaʻai.
I mea e hoʻonui ai i ka hana a hoʻomaikaʻi i ke ʻano o ke ola, pono ʻoe e hoʻokō i nā huaʻōlelo i lalo nei:
- Hemoglobin Glycated: 6.2 - 7.5%.
- Hoʻopuka ma mmol / l: ka wikiwiki 5.1 - 6.45; ma hope o ka ʻai ma hope o ʻelua mau hola 7.55 - 8.95; ma mua o kahi moe ma mua o 7.
- Palapala Lipid: cholesterol 4.8; LDL emi mai a 3 mmol / l; ʻOi aku ka HDL ma mua o 1.2 i mmol / L.
- ʻAʻoleʻoi aku ke koko o ke koko ma mua o 135/85 mm Hg. ʻAniā.
I mea e maopopo pono ai i nā hoʻopiʻi o ka maʻi mellitus, e mālama i nā ʻōkuhi i ʻōlelo ʻia i nā pakanui kalapona, pono ka mākaʻikaʻi ʻana o ka moku o ka olakino. No ka hana ʻana i kēia, pono ia e ana i kēlā me kēia lā ka nui o ka glucose i loko o kahi ʻōpū ʻole a me ʻelua mau hola ma hope o ka ʻai ʻana, e kaohi i ke kahe koko i ke kakahiaka a me ke ahiahi.
I kēlā me kēia ʻekolu malama, e hoʻoholo i ka kuhikuhi hemoglobin glycated a loaʻa ka ʻōlelo aʻo mai ka endocrinologist e pili ana i ka hoʻoponopono hoʻoponopono. Ma kahi o ʻelua mau makahiki ʻelua, e nānā i nā hōʻailona o ka momona o ka momona o ka momona, ma kahi hōʻike loiloi. I kēlā me kēia mahina 4 mau malama pono ʻoe e kipa i kahi ʻomaʻomaʻi a me ka neurologist. ʻO ke wikiō i kēia ʻatikala e kamaʻilio e pili ana i ka nui o nā pilikia me ka maʻi maʻi maʻi maʻi.
