Hiki i kahi Endocrinologist ke hana i kahi maʻi diabetes a hoʻoholo i kona ʻano, i hāʻawi ʻia i ka pae o ka lāʻau lapaʻau o kēia wā, me ka nui o ka hoʻomaʻamaʻa a me ka ʻike. ʻO nā mea ʻē aʻe he ʻano o ka maʻi e like me ka maʻi diabetes.
ʻO ia nō ka mea ʻaʻole i kauka loea i mua a ʻaʻole i alo i nā maʻi i kēlā me kēia lā o ka ʻoihana endocrine, ʻike ʻia aia ʻelua mau ʻano maʻi maʻi maʻi:
- Hoʻokomo-Insulin - type type 1 diabetes;
- Non-insulin-depend-type diabetes 2.
ʻO nā hiʻohiʻona e ʻike ʻia ka maʻi o ke ʻano mua: hoʻomaka ʻia ka hoʻomaka ʻana i ka wā ʻōpio a i ʻole ʻōpio, aʻo ke koi ʻana i ka insulin e koi koke ʻia a i kēia manawa i ke koena o ke ola.
ʻAʻole hiki i ka mea maʻi ke hana me ka ʻole o ia, e like me ka ea a ka wai. A no nā kumu āpau o nā pancreas, kuleana no ka hoʻomohala ʻana i kēia hormone, hōʻemi iki ʻia kā lākou mau hana a make. Eia kekahi, ʻaʻole i ʻike nā ʻepekema i kahi ala e hoʻoponopono hou ai iā lākou.
Kū pinepine pinepine ke ʻano maʻi diabetes i ka poʻe kahiko. He mea hiki ke noho pū me ia i nā makahiki he nui me ka ʻole o ke kuhi ʻana i ka insulin. Akā ma kahi o kaʻaiʻai ikaika a me ka hoʻomaʻamaʻa maʻamau. Hāʻawi ʻia nā lāʻau hoʻoleʻa haʻahaʻa i nā mea kākoʻo, akā ʻaʻole mau nā mea pono.
Hiki ke uku ʻia ka maʻi. ʻAno pōmaikaʻi paha e hilinaʻi wale ana ma ka makemake a me ka makemake o ka mea maʻi iā ia iho, ma ka kūlana ākea o kona olakino i ka manawa i hana ʻia ai ka maʻi, ka makahiki a me ka noho ʻana.
Hana wale ke kauka i nā manawa koho, akā pehea ka mea a lākou e mahalo ai iā ia, ʻaʻole hiki ke ʻohi, ʻoiai ke mālama ʻia ka mālama ʻana ma ka home kūʻokoʻa.
ʻO ka hoʻomohala ʻana o ia ʻano ʻano o ka maʻi e like me ka maʻi mody maʻi e kūʻai ʻokoʻa. He aha ia, pehea e ʻike ai, nā hiʻohiʻona a me ka hoʻoweliweli - ma lalo.
Nā hōʻailona ʻole me nā hiʻohiʻona
ʻO ke ʻano maʻi o ka maʻi ʻoniʻoni kahi ʻano kikoʻī. ʻAʻole ona hāʻule kāna mau hōʻailona a me ke papa ʻia ma lalo o nā kūlana hoʻohālike o ka maʻi maʻamau o ka ʻano mua a i ʻole ʻelua.
No ka laʻana: ka maʻi mody maʻi ʻoiai inā i loko o kahi ʻōpiopio, no ke kumu ʻike ʻole, piʻi ka nui o ke koko i ka 8.0 mmol / l, ua ʻike pinepine ʻia ka hanana, akā ʻaʻole i mea ʻē aʻe? ʻO ia, ʻaʻole kau ʻia nā hōʻailona ʻē aʻe o ka maʻi maʻi.
Pehea e wehewehe ai i ka mea ʻoiaʻiʻo i loko o kekahi mau keiki ka hoʻomaka mua ʻana o ke ʻano maʻi type 1 a hiki i nā makahiki he nui? A i ʻole he ʻano i ka wā e hele ai nā ʻōpio i nā maʻi mellitus type 1 e pono ai e hoʻonui i kā lākou insulin inana no nā makahiki he nui, ʻoiai ʻaʻole lākou e nānā maʻamau i ko lākou koko koko.
I nā huaʻōlelo ʻē aʻe, ʻo ka insulin i hilinaʻi ʻia i ka maʻi maʻamau i nā maʻi maʻi ʻōpio a me nā keiki he pinepine ka asymptomatic a ʻaʻole e kaumaha, kokoke e like me ka maʻi diabetes type 2 i nā mea maʻi ma mua. Aia aia ma kēia mau hihia kekahi ʻano e like me ka modi i hiki ke kānalua.
Ma waena o 5 a 7 mau pakeneka o nā hihia āpau o ke kō e loaʻa ai i ka maʻi ʻaʻa mody kahi i kapa ʻia. Akā kūhelu wale nei nā helu kumu.
Ua ʻōlelo nā loea, ʻoiai ʻo kēia ʻano maʻi o ka maʻi maʻi i ka mea maʻamau. Akā e mau ana ia ma muli o ka paʻakikī o ka maʻi. He aha ke ʻano maʻi mody?
He aha ka maʻi o kēia ʻano?
ʻAturlelo Maturity Onsetes o ka ʻōpio - pehea kēia i hoʻokaʻawale ʻia ai ka ʻōlelo Pelekania. ʻO kēlā ma ka unuhi ka ʻōlelo ʻoi ʻana ka maʻi diabetes type makua i ka ʻōpio. No ka manawa mua i hoʻokomo ʻia ai kēlā huaʻōlelo ma 1975 e nā ʻepekema ʻAmelika e ʻike i ka ʻano cyppy, a maikaʻi hoʻi ka holomua o ka maʻi maʻi ma nā maʻi ʻōpiopio me kahi predisposition he hua ʻāina.
Hoʻoulu ka maʻi mai ke ʻano o ka genation gene, ma muli o ke kue ʻana i nā hana o ka ʻāpana islet o ka pancreas. Hōʻike pinepine nā loli i ka pae genetic i ka wā ʻōpio, ka ʻōpio a me ka wā ʻōpio. Akā e hōʻoia i kahi maʻi, ʻoi aku ka maikaʻi o kāna ʻano, ʻo ke ala a hiki i ke ʻano kumu o nā noiʻi genetic molekala.
I mea e hōʻike ʻia ai i ka maʻi maʻi mody, pono e hōʻoia ʻia i ka mutation ma kekahi mau ʻano. I kēia manawa, ua hoʻokaʻawale ka poʻe 8 mau gen i hiki ke hoʻokaʻawale i ke ʻano o kēia ʻano maʻi i nā ʻano like ʻole. Loaʻa lākou a pau i nā hōʻailona a me ka hōʻike ʻana o nā maʻi maʻi, kēlā me kēia maʻa i nā ʻano like ʻole i ka mālama ʻana.
I nā kūlana hiki ke kānalua i kēia ʻano maʻi
No laila, he aha ke ʻano o nā hōʻailona a me nā hōʻailona ke hōʻike nei i loaʻa kēia ʻano ʻilihune a paʻakikī loa ka ʻike ʻana i ke ʻano o ka maʻi maʻi? Hiki i ke kiʻi lapaʻau ke like me ke kūkulu ʻana a me ke ʻano o ka maʻi maʻamau i ka maʻi 1. Akā i ka ʻokoʻa, nā hoaʻōlelo i ʻike ʻia:
- Ka lōʻihi lōʻihi (ma ka liʻiliʻi o hoʻokahi makahiki) ka mihi o ka maʻi, ʻoiai ke nānā ʻole ʻia nā manawa o ka decompensation. I ka lāʻau lapaʻau, kapa ʻia kēia hanana ʻo ia ka "honeymoon."
- Me ka hōʻikeʻana, ʻaʻohe ketoacidosis.
- Mālama nā cell i hana i ka insulin i kā lākou hana, e like me ka mea i ʻike ʻia e ka pae maʻamau o C-peptide i ke koko.
- Me ka liʻiliʻi o ka hoʻokele insulin, ʻike ʻia ka uku maikaʻi loa.
- ʻO nā mea hōʻike i ka hemoglobin glycated ʻaʻole iʻoi aku ma mua o 8%.
- ʻAʻohe hui me ka pūnaehana HLA.
- ʻAʻole ʻike ʻia nā antiododies i nā pū beta a me ka insulin.
He mea nui: hiki ke hana ʻia ka maʻi inā he pili nā mea maʻi e pili ana i ka maʻi mellitus, ʻo ke kiki "hyperglycemia" pōloli, maʻi diabetes gestational (i ka wā hapai), a i ʻole ka hoʻoliʻi ʻana i ka hoʻoliʻi glucose i nā hanana.
Aia ke kumu e kānalua nei i ka maʻi mody i kēlā mau hihia kahi i hōʻoia ʻia ai ka maʻi o ka maʻi mellitus no ke ʻano he 2 mau makahiki ma lalo o 25 makahiki, a ʻaʻohe mau hōʻailona o ka momona.
E mālama pono i nā mākua inā loaʻa kā lākou keiki i nā hōʻailona e like me kēia no ke mau makahiki ʻelua a keu paha:
- Nā hapanui hyperglycemia (ʻaʻole ʻoi aku ma mua o 8.5 mmol / l), akā me nā mea ʻē aʻe e pili ana i ka concomitant mauʻano - hōʻemi ke kaumaha, polydipsia, polyuria;
- Loaʻa i ka paleʻana i ka hoʻohaʻahaʻa.
ʻO ka mea maʻi, ma ke ʻano he kānāwai, ʻaʻohe mau hoʻopiʻi kūikawā. ʻO ka pilikia ʻo ia inā a nele ʻoe i kekahi manawa, hiki i nā ʻano hoʻopiʻi like ʻole ke hoʻomohala a hiki i ka maʻi diabetes. A laila, he mea paʻakikī ka mālama i ka hele ʻana o nā maʻi.
No laila, koi ʻia ka noiʻi maʻamau a, me ka loli iki me ka liʻiliʻi iki i ka kiʻi lapaʻau a me ka hōʻike ʻana o nā hōʻailona hou, e hoʻomaka i ka hana lapaʻau e hoʻohaʻahaʻa i ke kō koko.
Hōʻike: ua hoʻomaopopo ʻia he ʻano maʻamau o kēlā me kēia maʻi maʻi i ka wahine ma mua o nā kāne. E hoʻomau ʻia, ma ke ʻano he kānāwai, i kahi ʻano ʻoi loa aku. ʻAʻohe mea iʻike i ka ʻepekema ʻike ʻia no kēia hanana.
Nā maʻi ʻĀina o Modi Diabetes
Aia nō i ka alapiʻi ʻana i nā ʻano o ke ʻano, he 6 mau ʻano like o nā maʻi. Ke hele nei lākou a pau ma nā ala like ʻole. Ua kāhea ʻia lākou, kēlā me kēia, Mody-1, Mody-2, etc. ʻO ka palapala palupalu loaʻo ia he maʻi diabetes Modi-2.
ʻAʻole paʻa ke kīhāpai hyperglycemia ma kēia hihia ma mua o 8.0%, ka holomua, me ka hoʻomohala ʻana i ka ketoacidosis. ʻAʻole mālama ʻia kahi mau ʻano ʻē aʻe ʻē aʻe i ka maʻi diabetes. Ua hoʻokau ʻia nei kēia ʻano maʻamau i waena o ka poʻe o Farani a me Sepania.
Ke hoʻokō nei ke kūlana uku i nā maʻi me ka hapa liʻiliʻi o ka insulin, kahi mea e pono ʻole e hoʻonui.
Ma nā ʻāina ʻākau o ʻEulopa - ʻEnelani, Holland, Kelemānia - Mobi-3 kahi maʻamau maʻamau. ʻO kēia ʻano ʻano o ke ʻano o ka maʻi i manaʻo ʻia i ka mea maʻamau. Kūkulu ia i kahi makahiki ma hope, ma ke ʻano he kānāwai, ma hope o 10 mau makahiki, akā i ka manawa like, me ka wikiwiki like, me nā hopena koʻikoʻi.
ʻO kēia kulekele e like me Modi-1 ka luhi loa. ʻO nā hihia āpau o ka lolo o kēia ʻano, ʻo Modi-1 kahi wale nō 1%. Maʻa ke hele ʻana o ka maʻi. ʻO ka ʻano like o ka maʻi Modi-4 e ulu i loko o nā kānaka'ōpiopio ma hope o nā makahiki he 17. Hoʻomaopopo ka Modi-5 i ke papa ʻoluʻolu a me ka hemahema o ka holomua o ke koho lua. Akā ke paʻakikī pinepine ia e ka maʻi e like me ka nephropathy maʻi.
Nā lāʻau lapaʻau
No ka mea ʻokoʻa ʻole kēia ʻano maʻi o ka pancreatic i ka holomua holomua, ʻo ka hāmeʻa o ka lapaʻau ʻia ka like ʻana me ka type 2 diabetes mellitus. I ka hoʻomaka mua ʻana, e hoʻomalu i ke ʻano o ka mea maʻi, ua lawa nā ʻoihana aʻe:
- Ke kaupaona nei i ka ʻai;
- Hoʻoikaika kūpono.
Ma ka manawa like, ua hōʻoiaʻiʻo ia i loko o ka hana e koho pololei a hana ʻia ma nā ʻano kino e hāʻawi i nā hopena maikaʻi loa a e kōkua i ka uku uku wikiwiki, uku maikaʻi.
ʻO nā pahola hou a me nā ʻōnaehana e hoʻohana ʻia.
- ʻO ka hale humuhumu, yoga hoʻi.
- ʻO ka ʻai ʻana i nā meaʻai e kōkua ai i ka hoʻemi ʻana i ka kō.
- Nā ʻala o ka lāʻau lapaʻau.
ʻO nā mea āpau i koho ʻia, pono e ʻae ʻia me ka kauka hele mai. I ka lawa ʻole nā kīʻaha a me nā meaʻai ʻālunu, huli lākou i ka meaʻai i ke kō ʻana i ke kō a me ka hana i loko o ka insulin. Hoʻohālikelike ʻia kēia mea i ka wā wīwī, i ka wā e loli nui ai ka ʻōnaehana hormonal.
