ʻO ka maʻi diabetes mellitus he pūnaehana nā maʻi e kū mai ma luna o ke kua o ka hoʻonui o ke kaʻe o ka glucose koko. Ua hoʻokaʻawale ke ʻano Patua i ʻelua mau ʻano - ka mua a me ka lua. ʻO ke ʻano maʻi mua o ka maʻi maʻamau i hoʻohele ʻia a na ke ʻano o ka insulin i ke koko. ʻO ke ʻano lua ka mea maʻamau. Ma 99% o nā hihia, ʻaʻole ia he congenital a ua hōʻailona ʻia e ka nui o ka insulin insulin i hūnā ʻia e ka pancreas.
Hoʻokomo ʻia nā mea pilikia i ka hana kino haʻahaʻa, ʻoi loa ka momona, ke kiʻekiʻe kolamu, a ʻano maikaʻi ʻole hormonal. No laila, ʻo nā hōʻailona mua o ka maʻi maʻi i ka wahine ma hope o 40 mau makahiki a ʻoi aku ke ʻano he hanana maʻamau.
Nā hiʻohiʻona o ka maʻi
ʻO ka hiʻohiʻona nui o ka hoʻomohala ʻana i ka maʻi diabetes i ka wahine he mau metabolic maʻi e pili ana i ka 40 a 60 makahiki. Ma hope o 60 mau makahiki, hoʻohaʻahaʻa ka mea i loko o ia mea a ua loaʻa pinepine hoʻi i nā wahine he 70 mau makahiki. Hōʻike ʻia ka hōʻike ʻana o ka maʻi i ka wā ʻelemakule me ka hoʻomohala ʻana i nā ʻeha sclerotic o nā moku pancreatic a me ke kue ʻole i kāna hana. ʻO ka hormone nui i komo i ka lawe ʻana o nā mea kanu - insulin - huna ʻia e ka pancreas. Hoʻopuka "ia i nā protein a me nā mea kālai, nā mea hoʻihoʻi i ka glucose, potasiuma, magnesium, a me nā phosphates i nā kiko. Hōʻino ka hoʻouluʻana o ka insulin - kona hemahema a hōʻemi nui paha - a emi koke ka hoʻomaka ʻana e hōʻike pilikino i ke kino wahine. ʻO ka hapanui pinepine, ʻo ka huki no ka exacerbation ka menopause, ke kaumaha a me ke kaumaha.
Hoʻokumu ka maʻi maʻi i nā pilikia ma ke kikowaena kūloko. I ka hopena, ua hōʻemi ʻia ka hana ʻana o nā hormones o nā endocrine glands. Hōʻike ʻia nā hōʻailona o ka maʻi diabetes i nā wahine o 50 mau makahiki me ka nui ʻana i ka ʻono a me nā huahana palaoa, a me ka pōloli - a me ka nele o ka vitamin E a me ka chromium. He maʻi hōʻuanu ka maʻi a hikiʻole ke wānana. ʻAʻole hele mai nā hōʻailona o nā patologi no nā makahiki he 10 a keu aʻe paha. Ua ʻike nā ʻepekema ʻepekema he kīwaha ka maʻi maʻamau i kēlā poʻe i ulu i nā ʻohana dysfunctional. Mai ka wā kamaliʻi, ua ʻai nā keiki i kēlā mau ʻohana i ka meaʻai nāona a me nā hāmeʻe māmā ʻaʻole pono ke kino.
Nā hōʻailona a me nā hoʻopiʻi
I ka nui o nā hihia, he maʻi mālie ka maʻi diabetes me nā hōʻailona kumu. ʻAʻole paha he manaʻo ʻo ka wahine he maʻi ʻo ia, a no laila ua ʻike pinepine ʻia ka pathology i ka ulia. Hoʻomaka nā hōʻailona mua o ka maʻi maʻi ma nā wahine i ke ʻano o ka momona a me ka mauʻu. Hoʻopau kēia i ka hoʻemi ʻole ʻana o ka glucose, ʻo ia ke kumu o ka ikehu. ʻAʻole hoʻolohe ka poʻe maʻi i kēia mau hōʻike, hōʻike iā lākou i ko lākou makahiki. Hiki i nā makahiki mai ka hoʻomaka ʻana o ka maʻi i ka maʻi, kahi a kahi wahine i loaʻa ai i nā hōʻailona i kū mai, akā ʻaʻole ia i huli i nā loea. A hoʻomau ka maʻi maʻi "mau mea ʻino" a hōʻike iā ia iho me nā hōʻailona aʻe:
- Ke kaumaha - ma muli o ke kahakahaʻana o nā aihue amino momona, i hoʻohuli ʻia mai ka nui o nā mea laʻa undigested.
- ʻO ke ʻano o nā ulia o waho a me loko - hoʻopau loa i ka glucose i nā paia o nā kīʻaha koko e nalowale i ko lākou elasticity.
- ʻO ka hoʻomohala ʻana o ka atherosclerosis - ma muli o ka ulu maʻamau o ka nui o nā io o ka ʻōnaehana kaʻai. ʻO ka hopena, pohō nā moku koko, ʻano nā nāhe koko, a me ke neʻe ʻana o ke koko.
- Hoʻopili i ke koko - no ka hoʻopili ʻana i nā moku koko, i hoʻonui ʻia i ka hoʻoulu ʻia o nā kīʻaha koko, nā puʻuwai a me nā pūpū.
- ʻO ka ulu o nā pehu o ke kanesa - ma muli o nā hopena ikaika o ka glucose i nā kiko.
- ʻO ka hoʻokumuʻana i nā ovaries polycystic, dysmenorrhea, infertility - kōkua ka hormone i ka hoʻonui nui o ka testosterone, ʻo ia ke kumu o ka maʻi.
ʻO nā hiʻohiʻona nui o ka maʻi hānai i nā wahine ma hope o ka 50 he mau haʻahaʻa, kuʻekuʻe pinepine, mau puʻuwai, a me ka hihiʻo blurred. ʻO ka hiʻohiʻona nui ka ka makemake maʻamau no ka mea ʻalaʻawa, ka manaʻo i ka makewai, ka urination pinepine a me ka hoʻonāukiuki o ka ʻili, a ma ka ʻaoʻao inguinal paha. I ka wā o kahi exacerbation, e lilo ka mea maʻi i ka hūnā. Ma nā hōʻoki liʻiliʻi, e ho'ōla nā hōʻeha i nā wā lōʻihi, a māhuahua, a he paʻakikī i ka mālama ʻana. Hoʻopili i nā moku a me ka suppuration i nā maʻi ulia trophic hiki i ka maʻi, a pono nā kauka i ka liʻiliʻi loa - ka ʻōpala o nā manamana. Me nā hoʻopiʻi holomua, hiki i kahi kanaka ke hāʻule i loko o kahi coma.
Ka hoʻomāhuā ʻana o ka maʻi
Inā he wahine ma hope o 50 mau makahiki i ʻike i nā hōʻailona o ka maʻi maʻi, a laila he hōʻailona kēia no kahi loiloi piha o ke kino holoʻokoʻa. Ke huli nei i kahi ʻoihana lapaʻau kaiaulu, loaʻa i ka wahine ka loiloi o kekahi mau loea, ʻo ia: he endocrinologist, cardiologist, psychotherapist, gastroenterologist. I mea e loaʻa ai i kahi maʻi kūpono, pono e kau ke kauka i ke ʻano o ka maʻi, e loiloi i ke ʻano maʻamau o ke kino a hoʻoholo i nā ʻōlelo pili. No kēia mea, ua kālele ʻia nā haʻawina a penei:
- ʻO ka hoʻoholo ʻana i ke kiʻekiʻe o nā hormones i loko o ke koko (insulin, renin, aldosterone, cortisol, prolactin) - e hoʻoholo i ka hana o ke kuhi thyroid.
- Ka nānāʻana i ke koko koko i ka lā (ʻo nā hōʻailona o ka hypertension nā hōʻailona mua loa o ka maʻi maʻi i ka wahine ma hope o 50 mau makahiki).
- Ke hoʻoholo nei i ka paona o ka mea maʻi a me ka hoʻohālikelike o ka nui o ka pūhaka a me nā ʻūhā.
- ʻO ka weheweheʻana o ka microalbunaria - nā ʻike o ka protein i ka urine (nā hōʻailona o ka pōʻino o ka pūpū a me ka hypertension i nā maʻi me nā maʻi mellitus).
- ʻO ka nānāʻana i ka ultrasound o nā wahī o nā kūloko (pancreas, nā pēpē, ka ate) e hoʻoholo i ke kiʻekiʻe o ka hōʻino.
- MRI, CT o ka umu adrenal a me ka hoʻopiha polū o ka pituitary e haʻalele i ka maʻi o Itzingo-Cush (hoʻonui i ka hana pituitary, he mau hōʻailona like me ka maʻi maʻi).
- ʻO ke kūkākūkā koko biochemical - hoʻoholo i ka glucose, huehue kolesterol, triglycerides (lipids, glycerol derivatives), lipoproteins (pūʻai paʻakikī), kiʻekiʻe a haʻahaʻa haʻahaʻa.
Ma mua o ka kau ʻana i nā hoʻokolohua, pono ʻoe e hahai i nā kānāwai āpau - maiʻai i ka meaʻai no nā hola 8, inu wale nō i ka wai, e haʻalele i nā mea inu ʻē aʻe. I ka wā o ka loiloi, lawe ʻia mai ke koko mai ka manamana lima, a inā he pae nui o ka glucose i ka 6,5 mmol no ka milliliter, a laila ma ka maʻi maʻi o ka maʻi maʻamau. Ma hope mai, ua hana ʻia kahi lua e loiloi i ka pane ʻana o ke kino i ke kō. E inu ana ka mea maʻi i kahi mea momona ʻono, i loko o nā hola ʻelua e nānā ke kauka i ke kōʻai koko, a inā i ʻoi aku ʻo 7 mmol, a laila e hōʻoia loa i kēia maʻi.
ʻO nā hana lapaʻau a me ka nānāʻole
ʻO ka mea nui no ka mālama ʻana i ka meaʻai he ʻai e hoʻemi i ke kaumaha o ke kino. ʻO ke ʻano o ke ʻano o ka hana i hoʻopaʻa ʻia ai ka mea maʻi, ua hoʻēmi ʻia nā manawa caloric o ka meaʻai āna i hoʻohana ai. Hoʻonui nui i nā pale kākoi i ka meaʻai. Hoʻokumu ka meaʻai i nā huaʻai a me nā mea kanu ʻai - ma nā māhele liʻiliʻi, 4-5 mau manawa i ka lā. Ke hoʻonui pinepine nei ka hoʻoikaika kino - mai nā laha liʻiliʻi a i nā hoʻomaʻamaʻa kino lōʻihi. Pono nā hana pilikino e hoʻopili wale ʻia i nā haʻuki haʻalulu, e like me: ka hele ʻana, ka ʻauʻau ʻana, ka aerobics, yoga. Hoʻopilikia ka hana kino kino i ke kūlana a hoʻonui i ka pilikia o kahi pilikia hypertensive.
I ka ʻōlelo lāʻau lapaʻau, hoʻohana ʻia nā lāʻau lapaʻau:
- ka hoʻohaʻahaʻa ʻana i ka nui o ka glucose i loko o ke koko (Amaryl, Siofor, Maninil) - biguanides, thiazolidines;
- ka hoʻohaʻahaʻa i ke koko a hōʻemi i ka hopena o ka hoʻoulu ʻana i ka naʻau (Octadin, Rezeprin, Pentamine) - antihypertensive;
- ka hoʻohaʻahaʻa ʻana i ka nui o nā kolamu ma ke koko (Holetar, Tulip, Simvastol) - nā statins a me nā fibrates;
- hōʻemi i ka momona (Ankir-B, Reduxin, MCC) - nā mea pale e hoʻomaikaʻi i ka hana o ka ʻōpū o ka ʻōpū, hana i nā ʻokiʻoki;
- hoʻonui i nā metabolism, e kāohi ana i ka nui o ka cholesterol, e hoʻohana ana i ka glucose (Lipoic acid).
Wahi a nā poʻe loea, hiki ʻole ke hoʻopau loa i ka "maʻi koko". Hoʻomaʻo ka mālama ʻana i ke kāpae ʻana i nā maʻi concomitant a pale i nā hoʻopiʻi ʻana kahi e waiho ai ka pōʻino.
No laila, i mea e pale ai i nā hōʻailona mua o ka maʻi maʻi i ka wahine ma hope o ke kanalima makahiki, pono ia e hoʻolohe i kou kino a ke hahai i nā kānāwai āpau no ka pale ʻana i ka maʻi. Hoʻopiha piha i nā meaʻai wikiwiki a me nā meaʻai semi-i piha i ka pelekikena mai ka meaʻai. ʻAi wale i nā meaʻai olakino haʻahaʻa. ʻO ka pōmaikaʻi nui he mau puʻuwai hanu i ka ea hou - e ʻoluʻolu ʻo ia i nā niva a hoʻōla i nā kaʻina metabola. Inā ʻoe e ʻimi i nā ʻōlelo kūkala a nā poʻe loea, kāpae i ka hewa maikaʻi a me ke ʻano maʻalahi, a laila hiki ke hōʻalo ʻia nā hōʻailona like ʻole a me nā mea weliweli o ka maʻi maʻi.
