Kāhea ʻia ʻo ke ʻano maʻi diabetes like ʻole me ka non-insulin. Hiki i nā mea maʻi pancreatic ke hana i ka nui o ka insulin, akā ʻaʻole nā pane i nā selela i nā umauma. Hōʻū ka piʻi o ke koko.
ʻO ka ʻili loa i ka lolo hānai i nā poʻe ma luna o ke kau, ua ʻoi aku ma mua o nā makahiki 40, he predisposition he nui.
ʻO nā hōʻailona mua e hoʻomaka ai ka hoʻomaka ʻana o ka maʻi maʻi o ka lua o ke ʻano he make ʻole mau, koi pinepine ʻana a me ka urination, ka pōloli, ka ʻeha o ka ʻili a me nā ʻeha ma ka ʻili, e like me nā alerima a i ʻole urticaria. ʻO ke kahalaha nā maʻi luhi a me nā pilikia nānā i kēia manawa. Hoʻopilikia paha nā mea maʻi e nā arrhythmias, nā hoʻopaʻi, nā hōʻeha hōʻeha maikaʻi.
Ke holomua nei ka maʻi mai ka manawa o ka manawa, ʻo ka mea pōmaikaʻi loa i nā ola o nā mea maʻi e hoʻopiʻi i ka maʻi type 2. Wahi a ka lace o ka hoʻomohala ʻana, ua mahele ʻia lākou i ka ʻāʻī (a i ʻole) a me nā pilikia kūpaʻa o ka maʻi maʻi.
ʻO nā hopena hoʻonā o ka maʻi maʻi
Lactic acidosis e like me ka hoʻopiʻi ʻana o ka maʻi maʻi i nā mea maʻi me nā maʻi concomitant o nā ʻōpū, nā ʻōpū a me nā puʻuwai. Hoʻohana pinepine ʻia nā kānaka ma hope o 50 makahiki. Hoʻonui nui nā hōʻailona. Hāʻohi ʻia ka ikaika, hōʻeha nā ʻūhā a me ka ʻeha ma hope o ka sternum, a ua emi ka nui o ka urine. Puka, kaʻaheʻe, a me ka ʻeha ʻōpū. Ka nalowale i ka mea maʻi. Mālama paha i ka hopu ʻana a i ʻole ka hanu. ʻO nā inikini insulin wale nō a me ka hoʻomaha koke hiki ke kōkua i kēia hihia.
ʻO nā hopena hoʻonā o ka maʻi maʻi type 2 e komo nei:
- Ketoacidosis.
- Hypoglycemia.
- ʻO ka Hyperglycemia.
- Lactic acidosis
Hoʻopilikia ʻia ʻo Ketoacidosis ma muli o nā maʻi o ka meaʻai a i ʻole ke koho pono ʻana o ka mālama ʻana, ma hope o nā hōʻeha, nā hana. ʻO nā ketones, nā hua i haki ʻia o nā momona, hoʻomaka e hōʻiliʻili i ke koko. Pilikia lākou ka hopena o ka ʻōnaeholo, ʻike ʻia ka ʻike a hāʻule ka mea maʻi i loko o kahi coma. I kēia hihia, he ʻano momona mai ka waha o ka mea maʻi he ʻano hiʻohiʻona.
Hiki i ka hypoglycemia (haʻahaʻa haʻahaʻa) inā iʻoi aku ka nui o ka lāʻau no ka hōʻemi ʻana i ke kō, ua lawa nā powa i ka ʻai, me ka nui o ke kino, ke kaumaha koʻikoʻi, a me ka hoʻōki o ka wai inu.
I ka wā mua, nalowale ke ʻano o kahi kanaka i ka lewa, lilo i pale ʻia. A laila hui hui kekahi mea lohi, kahi palulu maloʻo. Hoʻopili ʻia kēia e ka māka ikaika a me ka hauʻoli ʻūhā a hāʻule ka mea maʻi i kahi coma.
I nā hōʻailona mua o ka hoʻomaka ʻana o ka hypoglycemia, pono e hāʻawi ʻia i ka mea maʻi i kahi wai momona, ka meli, a me kahi ʻaala. Kekahi mau meaʻai nā mea kalaiwa e hana.
Pili ka Hyperglycemia me ka hoʻonui o ke kōhi koko. Hiki i kēia ke hana inā he hewa ʻole o ka meaʻai, ke ʻoki nei i ka lawe ʻana i ka lāʻau, ke keokeo me nā maʻi maʻi ʻana, ka nele o ka hana pilikino, ka hana a ke kīlohelohe.
Hōʻike ʻia e ka hoʻohālikelike, haunaele, loaʻa kahi ʻano o ka acetone mai ka waha. I kēlā mau kūlana, pono i ka mea maʻi e hāʻawi i nā wai e like me ka hiki ma mua o ka hōʻea ʻana o ke kauka.
ʻO nā hopena paʻakikī o ka maʻi maʻi
ʻO Polyneuropathy ka hoʻopiʻi pinepine ʻana o ka maʻi type 2 ʻano maʻamau. Hoʻopili ʻia nā mea hōʻike ona me ka poino o nā kinipona nerve o nā mea pili o ka lālani a peripheral a me autonomic. Hoʻoholo ʻia nā ʻōmaʻomaʻo e ka kahua o ka lesion.
I ka hapanui pinepine ka ʻeha a me ka puhi ʻana o nā wāwae, ʻo ka manawa pinepine i ka pō, ka ʻoluʻolu a i ʻole ka wela, ka ʻūhā ʻana i nā goosebumps kahawai. Hoʻokono ka ʻāʻī ʻana o nā ʻolua. ʻO nā kola a me nā microtraumas ma ke kino ke ho'ōla me ka lōʻihi.
I ka hana ʻole o ka mālama ʻana no ke kō koko koko kiʻekiʻe a me ka loaʻa ʻole o nā mea pale ʻia, pono ia e hoʻokō i nā amputations o ka wāwae. Hoʻokomo ʻia ka mālama mālama ʻana i ka koho ʻana i nā lāʻau lapaʻau, analgesic. Hōʻike pū ʻia nā lāʻau lapaʻau e hoʻihoʻi i ke kahe koko a me ke koko.
ʻO kahi ala hoʻohiki no ka mālama ʻana a me ka pale ʻana i ka pīhoihoi haʻalū. Hoʻolālā pū ʻia ka mea ulu a me nā regimens lapaʻau cell cell.
Inā pili nā fibers i pili i nā huina o ka digestive, nausea, paʻakikī i loko o ka ʻōpū, flatulence, ʻehaʻeha, a i ʻole constipation e hoʻopilikia. Hoʻopilikia kēia i kahi hoʻohuli i ka neʻe o ka meaʻai ma ka gastrointestinal tract.
Me ka neuropathy o ka ʻōnaehana genitourinary, ua pilikia ka hana i nā kāne, ka hoʻohaʻahaʻa i ka hauʻoli a me ka anorgasmia i loko o nā wahine, nā maʻi āpau, ka hemahema o ka urinary a me ka cystitis.
ʻO ka hoʻopiʻi hope ʻana o ka maʻi maʻamau ʻo 2 ke pili me ka hoʻolālā ʻana o nā loli i loko o nā moku e hānai ai i nā kino. Aia i ka wahi o ka lesiona, hiki mai paha nā mea aʻe:
- Polyneuropathy.
- ʻO Microangiopathy o nā moku o nā wāwae (maʻi wāwae maʻi).
- ʻĀnapana
- Retinopathy
- ʻĀkau pū
- Encephalopathy
Me nā hōʻino o ka hohonu o ka naʻau, hoʻomā ka naʻau, ka hōʻeha ʻana i ka ʻeha ma ka puʻuwai, hōʻeha a me nā ʻōpū o ka nalowale o ka hoʻomaopopo ʻana, ulu ka angina. ʻO ka infarction myocardial he hopena maʻamau ka hopena o ka neuropathy focal.
Pono e mālama i ka polyneuropathy ma ka hoʻomau i ke kōpaʻa koko. Hoʻokumu ka mālama maʻi maʻi i nā kino i mālama ʻia i ka nui. Me ka neuropathy lalo o nā wāwae, ua hoʻokomo ʻia nā inikini o nā huaora B, nā ʻehaʻeha, a me nā alpha - ka hoʻomākaukau ʻana i ka mākau ʻana ma ka lipoic acid.
ʻO ka mālama ʻana o nā kūnae ʻana, cardiovascular a me genitourinary pūnana ka mea maʻamau no kēia mau maʻi.
ʻO Microangiopathy o nā haʻahaʻa haʻahaʻa me ke kūkulu ʻana i ka wāwae i kapa ʻia ʻo ka maʻi maʻi maʻi ʻo kekahi o nā hoʻopiʻi maʻamau i ka maʻi maʻi. ʻO ka hoʻokaʻawale i nā glucose koko ke hoʻopau i nā paia o nā kīʻaha koko. ʻO ka hapa o ke kahe koko, hōʻino i nā aʻa o ka nerve a me nā maʻi metabolic e hoʻoiho i ka nalowale o ka hōʻiliʻili o nā ʻili o nā ʻoi loa o nā haʻahaʻa.
Hoʻemi ka naʻau i ke aniani, ʻehaʻeha, hōʻeha ka mīkini a me nā ʻeha ma luna o ka wāwae. Hoʻohālikelike ʻia lākou e ke ʻano lōʻihi, hoʻopaʻi, hoʻōla ʻole. Ua hoʻohālikelike nā wāwae, ʻōwili ka ʻili, ʻike nā calluses. I kēia hihia, ua hoʻoholo ka pulsation ma ka wāwae.
Hiki i ka lua o ka papa o kēia lesion o ka wāwae ke anuanu a me nā wāwae ʻūlū, ʻōiwi ʻia me ke ʻano o nā uluna me nā ʻāpana pihi. I kēia hihia, aneane ʻaʻole ʻike ka ripple. Aia pū kekahi ʻano ʻano like ʻole o ka hoʻolana ʻana i ka wāwae maʻi maʻi.
ʻO ka mālama ʻana i nā hoʻopiʻi ʻana o ka microangiopathy i loko o ka nānā ʻana i kēia mau ʻōlelo hāpai:
- ʻAʻole hiki iā ʻoe ke lawe i nā ʻauʻau wela, e hoʻohana i nā kau wela.
- Pono ka wāwae i mālama mai ka ʻokiʻoki a me ka puhi.
- Hana i nā hale kila no nā wāwae.
- ʻAʻole hiki iā ʻoe ke hele wāwae ʻole, ʻoi aku hoʻi ma waho o ka home.
- Ke hele mai nā hōʻailona o ka maʻi maʻi, e mālama i kā lākou lapaʻau holoʻokoʻa.
- Hana i kahi pedicure ma kahi o ke ʻelua manawa ma ka mahina.
- Hana i nā ʻōpala me ka pumice.
- E kāʻei i nā kāmaʻa i hana ʻia mai nā mea kūlohelohe, ʻoi aku me nā mea paʻa o nā orthopedic.
- ʻAʻole ʻae ʻia ka kapōlō ʻana o nā wāwae.
ʻO ka Nephropathy i ke ʻano type type 2 e pili pū me ka loli o ke kōpili pili o ka glomeruli o nā keiki. Me kēia maʻi, hōʻike pinepine ʻia nā hōʻailona o ka hana o ka pūpū i ka hanu, a ʻike wale ʻia i ka wā i ʻike ʻia ai ka protein i loko o ka urine, e hōʻike ana i nā loli like ʻole o ke ake o ka pēpē.
Ke hele nei ka hū ʻana, a emi ke ʻano o ka protein i loko o ke koko, e hōʻemi ana ka mea maʻi. Ke piʻi nei ke koko, piʻi ka hope, e koi ana i ka hemodialysis.
Lawe ʻia ka mālama ʻana i ka nephropathy me nā lāʻau lapaʻau e hoʻohaʻahaʻa i ke koko, diuretics a pono no ke hoʻohiolo ʻana i nā kō. I loko o ka mea ʻai, ua hōʻike ʻia no ke kaupalena i ka paʻakai a me ka protein.
ʻO ka retinopathy Diabetic he lesi vascular o ka retina. Ma muli o ka hoʻonui ʻia o ke kauā vascular, aia nō i ka edema retinal a me ka hoʻoneʻe ʻana i nā pōpoki momona i loko. A laila, me ka holomua, hoʻomohala ka foci o ka necrosis a me ka hemorrhage. ʻO ka lōʻihi o ka wā, hele ka detinalment me ka nalowale loa o ka ʻike.
ʻO nā hōʻailona mua ka hiʻohiʻona o nā lele a me nā wahi i mua o nā maka, ka paʻakikī ʻana o ka hana ʻana ma nā wahi kokoke a me ka heluhelu.
Me ka hoʻomaka ʻana o ka maʻi a me ka mālama ʻana, ʻoluʻolu ke kōkua pono. Hoʻopili i nā hoʻomaʻamaʻa glucose, hoʻomaʻemaʻe ʻia hoʻi nā enzymes, antioxidants, a me nā lāʻau hōʻemi e hōʻemi ana i ka vascular permeability.
Hoʻomoʻa ʻia nā kīʻaha kele me ke kāwili.
Eia kekahi, me kahi papa lōʻihi o ka maʻi mellitus o ka lua o ka ʻano, hiki i ka hoʻomehana maʻi maʻi diabetes. Me kēia maʻi, pili ka pili nui. Aia ka ʻeha, ka palena o ka holo ʻana. I loko o ka hui pū ʻana, emi iki ka wai synovial, hoʻonui ʻia ka nui, a me ka "crunch" i nā pūna e lohe ʻia ana i ka neʻe ʻana.
Hoʻopilikia ʻia ka encephalopathy Diabetic i ke ʻano o kahi lesion o ka nui o ka naʻau poʻomanaʻo. Hiki iā ia ke ulu me kahi hopena o ka hoʻopiʻi o ka lolo, kahi hoʻopiʻi kaʻawale o ka maʻi maʻi. Hōʻike ia iā ia iho i ka nāwaliwali laulā, nā hōʻeha, ka ʻeha a me ka nalowale o ka ʻike. Hoʻopau hoʻomanaʻo, noʻonoʻo, hiamoe.
Hoʻolaha i ka pilikia kūpono, ka waimaka, nā manaʻo kaumaha. Pono ka mālama ʻana o nā mea maʻi e kahi neurologist a, inā pono, he psychiatrist.
ʻO ka pale ʻana i nā hoʻopiʻi maʻi diabetes
ʻO ka mea koʻikoʻi ka mea e pale ai i ka hoʻopiʻi ʻana i ka maʻi hānai e mālama ana i kāu pae (pilikino) kō. Mālama i ka hemoglobin glycated i kēlā me kēia ʻekolu mahina. Hōʻike kēia hōʻailona i ka palena iki o nā glucose koko no nā mahina 3 mau mahina.
Pono e hana i nā hoʻokolokolo pale e ka ophthalmologist i hoʻokahi makahiki i ka makahiki.
Pono ka hoʻomaʻamaʻa i kahi lā i kēlā me kēia lā no ka protein a me ka paʻakikī o kēlā me kēia ʻeono.
I mea e pale ai i ka hoʻomohala ʻana o nā maʻi vascular, kahi papa o ka hoʻomākaukau ʻana i ka waika o ka alpha-lipoic, nā antioxidants a me nā anticoagulants i kahi hale hoʻomaha a i ʻole ka lawaiʻa e pono ai.
E hoʻokaʻawale i ke ʻano o thyroid path, kūkākūkā me ka endocrinologist a me kahi noiʻi o ka pae o nā hormone thyroid e pono ai. Me ka maʻi diabetes type 1, ulu pinepine ka thyiditis autoimmune, a me nā maʻi non-insulin-hilinaʻi maʻamau, ʻike pinepine ʻia ka hypothyroidism. Hōʻemi ka hana thyroid hiki ke hoʻowalewale i ka hoʻouka ʻana me ka hypoglycemia.
Ke hoʻomau nei ke wikiō ma kēia ʻatikala i ka kumumanaʻo o nā maʻi hānai.
