Lawe ka maʻi diabetes mellitus i ke kolu o ka wahi i ka make, ma hope o nā maʻi cardiovascular a me ka maʻi kanesa, e like me nā helu a WHO. Eia nō naʻe, ke hoʻonui nei ka nui o nā mea maʻi i kēlā me kēia makahiki. ʻOi aku ma mua o 70% o nā maʻi he wahine. ʻAʻole naʻe i hōʻike mua nā ʻepekema i ka ʻoiaʻiʻo, no ka mea ʻoi aku ka nui o ka wahine wahine i ka maʻi maʻi maʻi maʻi.
Hōʻailona ka nui o ke kō kōʻai koko i nā wahine i nā makahiki he 40 - 43 mau makahiki. Ke hōʻike nei i kēia maʻi, pono ia i ke ola holoʻokoʻa e pili pono i nā papa kuhikuhi a pau o ka endocrinologist. E kōkua kēia i ka pale ʻana i nā inikini insulin, a me ka neʻe ʻana o ka maʻi diabetes type 2 i ka 1. ʻO ke ʻano mua, pono e hāʻawi ka mea maʻi i nā inikini a i kēlā me kēia lā.
No ka loaʻaʻana o ka maʻi, hāʻawi ka mea maʻi i ke koko mai ka manamana lima a me nā vein. Hāʻawi ka hōʻike hope loa i ka hopena kūpono loa, a ʻokoʻa ka index sugar ma kahi i loaʻa i ke koko arterial.
I mea e ʻike ai i ke kauka i ka manawa, a me ka manawa e ʻike ai i ke kūlana o ka prediabetes, pono ʻoe e ʻike i nā maʻi āpau i mua o ka maʻi, ke kuʻi nui o ke koko ma kahi wahine ma hope o 40 mau makahiki mai kahi vein, pehea e hana ai i kahi loiloi, a nāna e pale i nā hana pale.
Ma lalo iho nei e hāʻawi mākou i ka wehewehe holoʻokoʻa o nā mea i luna, a hāʻawi i kahi papa o nā kau gula maʻamau i nā maʻi diabetes a me nā prediabetes.
ʻĀmaʻomaʻo
Nui kekahi mau hiʻohiʻona pono ʻole e hōʻike i ka hele ʻana o ka maʻi maʻi, e pili ana i ka ʻōpō o ka wahine, eia lākou:
- ʻōpū kino;
- kaumaha nui;
- luhiʻeha o ka luhi;
- makewai pinepine;
- hōʻeha wikiwiki a loaʻa paha ke kaumaha;
- ʻike ʻole i ka nānā;
- maluhia hōʻino ʻoi aku i nā ʻāpana liʻiliʻi.
Inā ka wahine, ʻo ia hoʻi ma ka manawa 41 - 45 mau makahiki, he liʻiliʻi ma ka hoʻokahi o nā hōʻailona i luna aʻe, a laila pono ʻoe e ʻike i ke kauka e kau i nā hoʻokolohua kūpono. ʻOiaʻiʻo, hiki iā ʻoe ke lawe i ke koko mai ka manamana lima ma ka home me ka hoʻohana ʻana i kahi glucometer, akā ʻaʻole e pololei kēia loiloi.
No ka maʻi maʻamau, hoʻohana ʻia ke koko venous wale nō.
ʻO nā hoʻāʻo a me nā ʻāpana hāʻawi
Hāʻawi kekahi ʻikepili mua wale nō ma luna o ka ʻōpū ʻole. Eia kekahi kānāwai - ʻo ka papa ʻaina hope loa he 8 - 9 mau hola ma mua o ke kō ana o ke koko no ka kō. Hāʻawi ʻia ka hōʻike me ka ukana, ʻo ia hoʻi, ua lawe ʻia ka mea maʻi i ke koko, a laila pono ia e lawe i ka glucose, i kūʻai ʻia ma kēlā me kēia kīkē. Ma hope o 120 mau minuke, lawe ʻia ka retest.
E hōʻike ʻia kēlā me ia ʻano inā paha ke kino o ka wahine me ka glucose, e komo ai i ke kahe koko. ʻO ke kauka, ma kona ʻano ponoʻī, ke kuhikuhi paha i kahi hōʻike koko ma hope o ka ʻai ʻana, e lawe ʻia ʻia i loko o nā lā 2-3. Hoʻomaopopo ʻia i nā kānaka ma hope o 46 mau makahiki o ka hiki ke nānā i ke kiʻi olakino āpau o ka pancreas.
E like me ka mea i hōʻike mua ʻia, pono ka endocrinologist e kākau i kahi ʻano o ka hoʻokolohua (hoʻohālike koko) i ka mea maʻi, ʻo ia hoʻi:
- kapili koko (mai ka manamana lima);
- koko koko.
Manaʻo nā mea maʻi he nui ke kiʻekiʻe o ke kō koko koko, no ka mea ʻokoʻa ia mai ka ʻatikala. I nā makahiki he kanaha, ʻo 6.1 mmol / L kēia mau mākaʻi a ʻaʻole hoʻololi i nā wahine, a hiki i 59 makahiki. Akā ʻaʻole ʻoe e pili i kēia kiʻi i ka wā e hele ai ke koko i lawe ʻia mai kahi manamana lima. Eia ke kumu 12% e emi mai ma luna o luna - a hiki i 5.5 mmol / l.
Inā he haʻahaʻa ka haʻahaʻa o ka mea maʻi, hiki i kēia hypoglycemia i hiki ke hele i ka maʻi maʻi inā he kīwī ma ke kōpaʻa mai ka kiʻekiʻe a hiki i kahi pae maʻamau. Hiki i kahi haʻahaʻa haʻahaʻa haʻahaʻa ke hoʻokumu i ka asphyxia i ka mea maʻi a me ka coma.
Ma ke kaupaona maʻamau:
- mai kahi manamana lima - mai 3.3 a i 5.5 mmol / l;
- mai kahi vein - mai 4 a 6.1 mmol / l.
I ka wā o ka menopause, e hāʻule ana ma waena o 44 a 47 mau makahiki, pono ʻoe e kiaʻi pinepine i ka pae o ke kō, no ka mea, e hoʻololi ana ka ʻōuli o ke ʻano o ka wahine, a he nui hoʻi ka insulin.
Manaʻo ka Union of Endocrinologists e hoʻomaka, a hoʻomaka i ka makahiki 42, e lawe i nā hoʻoliʻu koko koko ma kahi o kēlā me kēia ʻeono mahina. No laila, hiki ke hoʻomaopopo pono i ka moku'āina o ka prediabetes, ka mea i hoʻomanawanui ʻia me ka ʻole o ka lapaʻau ʻana, e hoʻohana ai:
- nā mea ʻai i koho ʻia, me ka noʻonoʻo ʻana i ke kiʻi haumania o ka mea maʻi;
- hana hoʻomaʻemaʻe.
Nā hōʻailona o ka prediabetes i nā wahine ma lalo o nā makahiki 49 he mau makahiki, a me nā hōʻailona no ka maʻi diabetes i nā wahine he 50 a ʻoi paha,
- mai 6.1 mmol / l hiki i 6,9 mmol / l (koko capillary);
- mai 8.0 mmol / l hiki i ka 12.0 mmol / l i hōʻike ʻia me kahi ukana - hoʻoliʻi hoʻoliʻi glucose.
Nā rula meaʻai
Inā e hōʻike ʻoe i ka maʻi maʻi, a i ʻole ka'āina prediabetes, pono ʻoe e pili i kekahi mau lula o ka meaʻai - ua kiki ʻia ka meaʻai āpau, ʻā ʻia a ʻūlū ʻia. Pono e hoʻokaʻawale ʻia nā huahana hou.
- momona, nā hua palaoa, kolo a me ke kō;
- waiʻona
- nāʻaʻaʻoki, i kalapona, i paʻakai ʻia;
- momona momona a me nā huahana waiū-momona - pata, ʻona paʻakai;
- iʻa momona a me nā iʻa.
ʻO ka huahana kī maikaʻi loa no nā maʻi maʻi ʻo ka moa moa, me ka ʻole o ka ʻili a me ka hoʻoneʻe ʻana i nā momona, a ma muli, ʻo nā ʻoki pīpī no nā maʻi maʻi 2. ʻAe ʻia nā ʻano iʻa ʻo Lenten - hake, pollock. ʻO ka manawa, hiki ke hoʻopau ʻia ka pipi momona. Akā ʻo kēia ka mea ʻokoʻa ma mua o ka lula.
Pono ia e haʻalele i kēlā mau lāʻau a me nā hua.
- kūpeʻe;
- ʻuala
- kāloti;
- huʻihuʻi;
- maiʻa
- ʻōpala ʻulaʻula
- hua waina.
Eia nō naʻe, i kekahi manawa hiki iā ʻoe ke kuke i ka kaloti a me ka ʻuala, akā, ʻaʻole hiki iā ʻoe ke hana i nā ʻinala palupalu mai lākou, ʻoi aku ka maikaʻi o ka hoʻohana ʻana i nā kūlohelohe kahi e mālama ʻia ai kēia mau lau i nā lau.
Koho i kahi ʻuala ʻōpio - loaʻa iā ia kahi glycemic index i nā manawa he nui. Ma mua o ka kuke ʻana, pono e hoʻomoʻū ʻia nā kūmeu i ka wai anuanu i ka pō pōkole, no laila e puka mai ka nui o ke koʻa.
Hoʻomau ʻia ʻo Porridge me ka hoʻohui ʻole i ka pata, ʻae ʻia e hoʻohui i kahi ʻāpana o ka aila ʻoliva i ka pā ʻaoʻao. Ma hope o ka ʻai ʻana i kekahi kīʻaha, ʻaʻole hiki iā ʻoe ke inu ia me ka waiū a me nā hua waiū waiū.
Ma lalo o ka papaʻi, loaʻa i ka laiki keʻokeʻo ke keʻokeʻo, loaʻa iā ia kahi index glycemic kiʻekiʻe. Hiki ke hoʻololi ia i ka laiki brown (brown) i ʻole, ʻaʻole ʻokoʻa ka ʻono mai ka maʻamau, akā kuke no ka 35 mau minuke a he haʻahaʻa glycemic index.
Hoʻomakai hoʻomaʻamaʻa photherapyotherapy
Mai kuhi, inā he wahine, ʻo 48 paha kona makahiki, he manawa kēia e poina ai e pili ana i ka hana kino. E kōkua kūpono i nā hoʻomaʻamaʻa kūpono ʻana i ka hakakā ʻana me ke kō koko kiʻekiʻe. Nā koho kūpono e:
- ʻauʻau
- Ke hele nei
- e hele ana i ka lewa hou.
Pono e mālama i kēlā me kēia lā, ʻaʻole e emi iho ma lalo o 45 mau minuke. He maikaʻi inā hoʻololi ka mea maʻi i kēia mau hana. ʻAʻole wale kēia e loaʻa ana kahi hopena therapeutic hopena i ka hakakā ʻana me ka maʻi diabetes, akā hoʻoikaika pū nā ʻōpū a me ka ʻōnaehana cardiovascular. ʻO ka wikiō ma kēia ʻatikala e hoʻomau i ke kumuhana o ka hoʻāʻo ʻana i ka maʻi diabetes.
