ʻO ka maʻi mellitus ka maʻi maʻamau ka endocrinological pathology ma waena o ka heluna o nā kānaka. Hele mai kēia maʻi ma muli o ka nele o ka hormone pancreatic.
No ka mālamaʻana i nā patology, e hoʻohana ʻia nā lāʻau lapaʻau kūikawā e kōkua i ka hoʻomau ʻana i ka pae o ka glucose i ke koko. Akā aia kekahi mau hihia i ka hopena i makemake ʻia.
I kēia hihia, ulu ka lāʻau diabetes decompensated (he nui i kuhi ʻia ke kāhea decompression diabetes). He ʻeha loa kēia ʻano o ka maʻi. Me ka hoʻomaʻemaʻe ʻole ʻana, hiki nō hoʻi ke make.
ʻO nā kumu kumu no ka hoʻomohala ʻana i nā pathology
Nui nā poʻe i lohe e pili ana i ka decompensated diabetes - he aha nā wae e hiki ke hoʻonohonoho i kēia. Inā manaʻo ʻoe e pili ana i nā palapala ma ka anatomy, a eia kahi kūlana kahi e hiki ʻole ai ke hoʻololi i ka pae o ka glucose i ke koko.
ʻO ka maʻalahi, ka maʻi diabetes i ka hana o ka decompensation he pathology kahi e hana ʻole ai ka insulin a me nā lāʻau paʻi ʻole e hoʻomaʻamaʻa i nā pae gula. No ke aha i hoʻomohala ai ka papaʻa? E like me ke kānāwai, ulu ka hoʻokaʻina o ke maʻi ma ka hopena o ka overeating. Inā hoʻopau kekahi i nā nui o nā mau kapikina paʻakikī, a laila ʻaʻole i paʻa ka insulin a me nā lāʻau lapaʻau hou i nā pae glucose.
Hiki i ke decabetus decompensated hiki ke ulu ma muli o:
- ʻO nā hana kūpono kūpono. ʻO kahi laʻana, inā ua kuhikuhi ʻia kekahi kanaka i nā mea haʻahaʻa loa o kekahi mau lāʻau lapaʻau, a laila ʻaʻole hiki ke pale ʻia ka hoʻomohala ʻana. Eia kekahi, hiki i ka pathology ke holomua ma muli o ka hopena o ka lāʻau lapaʻau.
- ʻO ka hoʻohana nui ʻana i nā meaʻaiʻai. Hiki i nā mea hoʻohui ke hana wale no ka hana kōkua. Hoʻokomo wale nā mea i loko o kā lākou hana i ka pae o ka glucose i ke koko. No ka hoʻopaʻa ʻana i ke kō, pono nā lāʻau lapaʻau wale nō.
- ʻO ka hoʻohana ʻana i ka lāʻau lapaʻau kuʻuna ma mua o nā lāʻau lapaʻau.
- ʻO ka heleʻana o nā maʻi maʻi maʻi pāpaʻi. ʻO ka decompensated diabetes mellitus hiki ke hopena i kekahi o nā maʻi i hele pū ʻia e ka hoʻēmi ʻana o ke kumu o ke aʻa a me ka dehydration o ke kino.
He mea kūpono ia e hiki ke hoʻokaʻawale ka decompensation i ka maʻi maʻi ma muli o ka hopena o ka noʻonoʻo ʻana i ka overstrain a i ʻole ka luhi mau.
Nā hōʻailona o ka maʻi decompensated
Pehea ka hoʻoholo ʻana o ka decompensated type 2 a i ʻole nā ʻano maʻi type 1? He maʻalahi loa ka hoʻomaopopo ʻana i ka maʻi. Ma kahi o 90% o nā hihia, make wai ka mea maʻi.
Ua hele pū ʻia me ka malo maloʻo. Hiki i ka mea maʻi ke inu i ka 2-3 lita o ka wai, akā ʻaʻole make ka makewai. I ka lōʻihi o ka manawa, hoʻonui kēia ʻōlohelohe, a i ʻole hoʻi e kūwaho - e kāpae iā ia iho.
Eia kekahi, me ka maʻi maʻi ma ke kahua o ka decompensation, ʻike ʻia nā hōʻailona like ʻole:
- Hoʻoikaika ur ur. Aia nō hoʻi kekahi wahi a me nā wahi i loaʻa. Aia kekahi mau maʻi i loko o kahi hola he nui aku ka maʻi o nā maʻi e kū i ka 2-3. ʻO ka maʻamau, hele kēia hōʻailona ma muli o ka hoʻonui nui o ka hoʻokomo.
- Ke nānā ʻana a i ʻole ka ʻā ʻana o nā manamana lima. ʻO kēia ma muli o ka hopena me ka decompensation o ka maʻi kō, ua pili nā kīʻaha liʻiliʻi.
- ʻO ka ʻeha ʻeha ʻeha. Me ka hoʻonuiʻana o ka glucose koko, ke piʻi aʻe nei.
Me kahi piʻi nui o ka kō koko koko, ua kiʻekiʻe loa ka paʻakikī o kēia mau hōʻike maʻi. Akā me ke ʻano maʻi diabetes type 2 i ke ʻano o ka decompensation, ʻaʻole i ʻōlelo ʻia nā hōʻailona ma luna.
Eia kekahi, aia kekahi mau hihia i ka wā e hoʻopiʻi ai i kekahi o nā maʻi o ka maʻi mellitus i nele.
ʻO ia ke kumu i ʻike pinepine ʻia ai ka holoholo.
ʻO nā ala no ka loaʻaʻana o nā patologi
Pehea e ʻike ai i ka decompensation o ka lolo? E hoʻomaopopo i kēia pathology me kekahi mau kaʻina hana. Aia he 3 mau koho nui no ka decompensation - ka pae o ke kōpaʻa i loko o ka pāʻai, ka nui o ka glucose i loko o ke koko ma ka ʻōpū ʻole a ma hope o ka ʻai ʻana, glycated hemoglobin.
Pono hoʻi ʻoe e mālama pono i ke kiʻekiʻe o ka triglycerides, ke koko, ke kolamu o ke koko, ke ʻano o ka nui o ka iwi (hōʻuluʻulu ʻo like me BMI).
Hōʻike ʻia ka pae decompensated o ka maʻi maʻi i kēlā mau hōʻailona:
- ʻO ka wikiwiki o ke kō koko kōpī ma mua o 7.8 mmol / L.
- Nā Hōʻike o ke koko koko ma hope o ka ʻai ʻana ma mua o 10 mmol l.
- Heʻoi aku ka nui o ke kōpaʻa o ka paʻakai ma kahi o 0,5%
- ʻO ka hemoglobin Glycosylated ma mua o 7,5%. Eia kekahi, ʻo ke kumu o kēia hōʻailona he 6%.
- Hoʻoulu ʻia ka ʻemi kolamu. Ma ke kānāwai, ʻoi aku ia ma mua o 6.5-6.6 mmol l.
- Hoʻonui nui ʻia ka pae o ka triglycerides - he 2.2 mmol l.
- ʻO ke kahe o ke koko i ka 100% o nā hihia e piʻi mālie. E like me kāu e ʻike ai, ʻo ke kumu o kēia hōʻailona he 120 80 mm Hg. Inā loaʻa i ka mea maʻi he type 1 a i ʻole type 2 paha i ka pae hoʻokaʻawale, a laila he hōʻailona kahe koko e 160 95 mm Hg.
- Ke hoʻonui nei nā BMI. ʻO ka maʻamau, me ka decompensation, hoʻomanawanui ka mea maʻi i ka momona.
Hiki iāʻoe ke kāohi i nā hōʻailona nui loa ma ka home. No ka hanaʻana i kēia, lawa ka whaiʻana i kahi glucometer. Me ia, hiki iā ʻoe ke mālama pinepine i nā pae koko koko. Hoʻomaopopo ʻia e ana i kēia kuhikuhi i ka ʻōpū haki ʻole, a ma hope o ka hola 1,5-2 ma hope o ka ʻai ʻana.
Hiki nō hoʻi iā ʻoe ke ike i ke kiʻekiʻe o ke kō a me ka acetone i ka pāʻai i ka home. No ka hana ʻana i kēia, e hoʻohana i nā ʻāpana hoʻokolokolo loea. Hiki iā lākou ke kūʻai aku ma kekahi kīkaha me ke kī ʻole.
ʻO ka hoʻomaʻamaʻa ʻana a me nā hoʻopiʻi o ka maʻi decompensated
ʻAʻohe ala kūpono e hānai i nā pathology, ʻoiai e ulu ana ia ma muli o ka nānā ʻole i nā ʻano maʻamau a me nā lula. I mea e hōʻemi ai i ka hopena o ka holomua o ka maʻi, pono kekahi mau lula.
ʻO ka mea mua, pono ʻoe e ʻai i ka ʻai kaulike. Inā hoʻopau ka mea maʻi i ka nui o ka meaʻai i kiʻekiʻe i nā kao, a laila piʻi ka nui o ka hoʻoulu ʻana i ka maʻi decompensated. Pono ka mea maʻi e hoʻohana i ka nui o ka nui o nā pale mai. Pono e hui pū ʻia ka Diet me ka hana kino kino.
I mea e pale ai i ka hoʻomohalaʻana o ka decompensation, pono ia e nānā i ke kiʻekiʻe o ka glucose i ke koko mai kēlā manawa kēia manawa, e lawe i nā lāʻau lapaʻau i ka manawa kūpono a ʻaʻole hoʻololi i nā lāʻau synthetic me nā mea hoʻolako meaʻai.
Inā ʻaʻole hana ʻia ka mālama manawa i kahi manawa kūpono, a laila hilinaʻi nui i ka insulin (type mua) a me ka non-insulin-hilinaʻi (ʻelua ʻano lua) diabetes mellitus ma ke ʻano o ka decompensation e hiki ke kumu:
- Ketoacidosis. ʻO kēia hoʻopiʻi nui loa e hoʻoweliweli loa i ka mea maʻi. Kau ʻia ʻo Ketoacidosis me ka make nui, ka ʻōpū, ke kaumaha, ka ʻōpū. I nā hihia koʻikoʻi, lilo ka mea maʻi i ka hoʻomaopopo. Eia kekahi, mālama aku ka ketoacidosis i ka nalowale o ka hemo ʻana a me ka ʻike ʻana mai kahi ʻoki o ka acetone mai ka waha. Inā ʻaʻole ʻoe e hoʻōki i kēia hoʻopiʻi i ka manawa kūpono, a laila hāʻule ka mea maʻi i kahi coma. Hiki i ka Ketoacidosis ka maʻi.
- Hypoglycemic a hyperglycemic attack. ʻO kekahi mau hōʻeha a he mea weliweli loa hoʻi. Me ka hōʻoluʻolu ʻole, ʻo ka hoʻouka kaua, e like me ka ketoacidosis, hiki ke alakaʻi i kahi coma maʻi maʻi. Me ka hoʻouka kaua hyperglycemic, hoʻohana ʻia nā lāʻau lapaʻau e kōkua i ka hoʻohaʻahaʻa i ke koko koko. Me ka hypoglycemia, ma ke ʻano, hoʻohana ʻia nā lāʻau lapaʻau e komo ai ka glucose.
- ʻĀwili ma ka ʻōnaehana musculoskeletal. Me kahi ʻano decompensated o ka maʻi maʻamau, hoʻonui ʻia ka nui o ka hoʻomohala ʻana i ka osteoporosis a me ka osteoarthropathy. Hoʻopili pili kēia i ka mea i hoʻopili ʻia ka pathology me nā hana ʻino ʻana i nā ʻōnaehana a me ka endocrine.
- ʻO nā ʻōpū a me ka dermatosis. Hōʻike kēia mau hoʻonāukiuki ma muli o ke kaʻe ʻana o ka kahe koko. Hoʻomaʻama pinepine me ka loaʻa ʻole nā maʻi, hoʻomohala ka mea maʻi i ka necrosis kiko ma nā umauma a i ʻole nā wāwae. I kēia hihia, pono paha ke oki o nā wāwae.
- ʻO kahi momona haneli. He luhi ka hoʻopiʻi ʻana. ʻO ka obysity Dysplastic kahi maʻi kahi e momona ai ka momona i ke kino ma luna. I kēia hihia, ua emi nā wāwae o ka mea maʻi.
- Lipodystrophy. Ua hele pū ʻia kēia kulekele me ka nalo ʻana o ka momona momona ma kahi kahua o ka inikua insulin.
- ʻO nā maʻi he digestive. Ka luhi me ke ʻano o ka decompensated me ke ʻano o ka hemorrhagic diathesis, ka maʻi peritonitis a me ke koko o loko.
- Kaʻi a me ka renopathy. Hiki i nā hapa o nā mea nānā o ka naʻau ke kumu o ka maʻi diabetes hiki ke alakaʻi i ka nalowale o ka ʻike.
- Nā kuhihewa o ka pūnaehana sentral. Hōʻike lākou i ke ʻano o ka hana i hōʻemi ʻia, ke kaumaha, hoʻonui nui ʻia. Hoʻopau pinepine ʻia ke hoʻomanaʻo.
- Atherosclerosis
ʻOiai me ka mālama ʻana ʻole, ʻoi aku ka loaʻa ʻana o ka pilikia o ka hoʻomohala ʻana i nā ʻōnaehana o ka ʻōnaehana cardiovascular. Hoʻomaʻo pinepine, decompensated diabetes i hōʻeha ka puʻuwai a me nā maʻi puʻuwai coronary. Ua lilo kēia mau maʻi. I nā pilikia nui, ulu ka puʻuwai puʻuwai. ʻO ka mea loea i ke wikiō ma kēia atikala e haʻi e pili ana i ka pōʻino piha i ka maʻi diabetes.
