Aia ka lāʻau lapaʻau ma ke kolu o ka pae ma ka mālama ʻana i ka maʻi maʻi 2. ʻO nā papa mua loa he ʻelua o nā meaʻai liʻiliʻi a me ka hana kino. I ka wā ʻaʻole i hoʻohālikelike hou, hoʻohana ʻia nā papa.
Akā aia ia ʻike ʻole nā papa, i kēia hihia, ua kuhikuhi ʻia ka mea maʻi i nā inikini insulin. E kūkākūkā i nā mea kikoʻī e pili ana i ka papa inoa o nā lāʻau lapaʻau i hiki i ke hāʻawi ʻia i kēia lā no nā maʻi maʻi.
Nā hui pūkaʻi maʻi
E like me kā lākou hana, ua hoʻokaʻawale ʻia nā lāʻau lapaʻau i ʻelua mau pūʻulu:
- ʻO nā lāʻau hōʻola e hoʻonui i ka hoʻoweliweli o nā pūpū i ka insulin hormone.
- ʻO nā lāʻau lapaʻau e hoʻoikaika ai i ka pancreas e hoʻonui i ka nui o ka hana insulin.
Mai nā wa waena o 2000s, ua hoʻokuʻu ʻia nā lāʻau hou no ka maʻi diabetes, kahi o nā lāʻau lapaʻau me nā hopena like ʻole, no laila hiki ʻole ke hoʻohui pū iā lākou. ʻOiai he ʻelua mau lāʻau lapaʻau kēia me ka hana o ka peninen, akā, ke maopopo nei, e kū hou kekahi mau manawa i ka wā.
Aia kekahi mau papa e like me acarbose (glucobai), poloka lākou i ka loaʻa ʻana o ka glucose i loko o ka huina a nā ʻalā, akā pinepine ka kumu o ka hāmeʻa o ka digestive. Akā inā makemake ka mea maʻi i kaʻai haʻahaʻa-ʻenehana, a laila makemake mau ka pono no kēia lāʻau lapaʻau.
Inā hiki i ka mea maʻi ke hoʻomanawanui i ka hoʻouka ʻana o ka pōloli a ʻaʻole hiki iā ia ke pili i ka papaʻaʻai haʻahaʻa, pono ia e lawe i nā lāʻau lapaʻau maʻi, hiki iā ʻoe ke kāohi i kou mau makemake. Mai glucobaia, ʻaʻole i nānā ʻia ka hopena kūikawā, no laila, ʻaʻole ʻōlelo iki kāna kūkākūkā hou. Aia ma lalo iho kahi papa inoa o nā pōpoki.
Hoʻopau i nā pōpoki maʻi
Maninil
ʻO kēia mau peni no ka maʻi maʻi i nā lā i kaulana loa i kēia mau lā, hoʻoulu lākou i ka pancreas me nā cell beta.
Diabeton
E like me ka lāʻau lapaʻau ma mua, hoʻoulu i ka pancreas me nā beta polapula, akā haʻahaʻa i ka mea mua i ka ikaika. Eia naʻe, hoʻolaha ka diabetesone i ka hoʻonui maoli i ka insulin koko.
Kuiluna
Hoʻohana ʻia kēia lāʻau maʻi maʻi e nā mea maʻi me nā hoʻopiʻi o nā maʻi a i ʻole nā maʻi ʻē aʻe paha.
Amaril
Aia ka lāʻau lapaʻau i kahi hanauna hou o nā lāʻau lapaʻau. Hoʻopili ʻia kāna hopena me ka hoʻoulu ʻia o ka hoʻokuʻu ʻana o ka insulin hormone mai nā beta beta o ka gland. Hoʻohana pinepine ʻo Amaryl i ka hui pū me ka insulin.
He aha nā haʻaletine insulin no ka?
ʻO ka maʻi diabetes mellitus type 1 a me 2 e pili ana i nā maʻi metabolic, no laila ʻo ka hopena o nā lāʻau lapaʻau, ʻo ka mea mua loa, pono ke kuhikuhi i ka lawe ʻana i nā kaʻina o ka metabolic i ke ʻano maʻamau.
Ma muli o ke kumu o ka maʻi diabetes type 1 ka make o nā cell beta e hoʻoili i ka insulin, pono e lawelawe ʻia kēia ʻoliva mai waho. Hiki ke mālama ʻia ka kahe ʻana o ka insulin i loko o ke kino a i ka hōʻemi ʻia ʻana a i ʻole e loaʻa i kahi mākena insulin. Me nā maʻi diabetes e hilinaʻi nei i ka lolo, ʻaʻole naʻe, ʻaʻohe ala ʻē aʻe o ka mālama ʻana i ka insulin.
No ka mālamaʻana i ka maʻi type 2, ke kauka nei nā kauka i kahi ʻano lāʻau like ʻole e kōkua i ke kahe koko. ʻAʻohe pono e lawe i ka insulin i kēia pūʻulu o nā maʻi maʻi.
Nā lāʻau lapaʻau maʻi 2
Hiki ke hoʻokaʻawale i nā lāʻau lapaʻau type 2 i kekahi mau ʻāpana. ʻOiai he pono kūpono ka hana ʻana i kahi mālama o ka hopena ʻole no ka maʻi maʻi. Ma nā ʻano he nui, ua hilinaʻi ʻia ka kūleʻa o ka mālama ʻana i ka maʻi diabetes:
- mai ka makemake o ka mea maʻi e hakakā kūʻē i ka maʻi;
- mai ke ʻano o ka mea maʻi.
Inā ʻaʻole i loaʻa i ka hana kino a me ka mea ʻai nā hopena kūpono, kuhikuhi kekahi loea i nā lāʻau lapaʻau no ka maʻi maʻi maʻi, i hoʻokaʻawale ʻia i kekahi mau papa. Hiki i ke kauka ke kuhikuhi i kekahi lāʻau lapaʻau a i ʻole hui pū i nā lāʻau i pili i nā papa like ʻole.
I ka hoʻomaka mua ʻana o ka maʻi diabetes, he koʻikoʻi nā inhibitors a-glucosidase, kōkua lākou i ka hoʻēmi ʻana o ka huehue glucose a me ka huina. Ua kuhikuhi ʻia nā kumulā o ka sulfonylureas, ma ke ʻano he kānāwai, i ka wā e pono ai e hoʻoulu i ka huna ʻana o ka insulin e nā cell beta.
Akā aia kēia mau lāʻau lapaʻau he nui o nā contraindications, nā mea:
- hana ʻōpū;
- pancreatic diabetes mellitus a i ʻole type 1 diabetes;
- hapai a lactation;
- nā hōʻeha
- maʻi lēpela;
- nā ʻano hoʻohālikelike āpau.
Inā lawa ke koko o ka mea maʻi i ka insulin, hiki i ka endocrinologist ke kuhikuhi i ka mea maʻi me ka group biguanide. ʻAʻole hoʻonā kēia mau lāʻau lapaʻau i ka hōʻina o ka insulin, akā e hoʻonui i ka hopena ma nā kōpili peripheral.
Hoʻomau ka Biguanides i ka hana o ka glucose i ka atika, ka hoʻopili ʻana o nā mea i nā ʻāpana, pale i ka momona. Akā i ka manawa e koho ai iā lākou, pono e noʻonoʻo ʻia i nā ʻano contraindications like ʻole.
- moku'āina hypoxia;
- hana ʻole;
- Nā maʻi maʻi maʻi maʻi kania, etc.
ʻO ka hoʻohana nui ʻana i nā meaʻai meaʻai no ke noke type 2
ʻO ka lawe ʻana i nā kīʻaha e hoʻohaʻahaʻa i ke kōpaʻa koko i loko o ka maʻi diabetes. No laila, pono e hoʻomanawanui ka mea maʻi i ka hoʻohana ʻana i kēlā me kēia lā i nā lāʻau lapaʻau me ka palupalu i ka ʻōpū, ka ʻōpū a me ke koko.
Akā aia ka manawa ke kūpono i ka hoʻoponopono ʻana i ka lāʻau o antidiabetic chemistry, inā e hāʻawi ʻoe i ka hana o ka hōʻemi i ka hilo me nā hana kūlohelohe. ʻO kēia, ʻoiaʻiʻo, hopohopo type 2-non-insulin-diabetes. Eia e pono ai e hoʻohana i kahi kaila mika koko glucose TC, no ka laʻana.
I nā hihia he nui, hiki i ke kauka ke hoʻohui i ka lapaʻau me ka meaʻai ma ka lawe ʻana i nā meaʻai ʻai (papa ʻaina kumukanawai) e kōkua ana e hōʻemi i ka pae o ka glucose i ke koko. ʻO ka poʻe manaʻo e ʻai i nā mea ʻai i ka papa ʻaina ke kuhihewa ʻole.
E like me ka mea i ʻōlelo ʻia ma luna nei, akā, ʻaʻole i hoʻokahi haneli mau hapa o ka mālama ʻana i kēia maʻi. Eia nō naʻe, he loaʻa nā mea kanu kūlohelohe wale nō nā mea kūlohelohe, kahi ma ka mālama koʻikoʻi o nā maʻi maʻi type 2 e loaʻa pono ka hopena.
No ka laʻana, "Insulin" he kīleʻa meaʻai, ʻo ia:
- Hoʻemi ia i ka hoʻoliʻiliʻi o kaʻili i loko o ke koko ma o ka hoʻohaʻahaʻa ʻana i kona kōpū tsaka.
- Hoʻonui i nā kaʻina metabola.
- Hoʻokomo i ka mea huna pale.
- Kōkua i ka hoʻemi ʻana i ke kaupaona a hoʻōla i nā kaʻina metabolic.
Hiki ke kau ʻia ke kumukanawai he ʻano lāʻau maikaʻi loa no ka pale ʻana i ka maʻi type 2, a hiki ke lilo i ka ʻāpana i kahi paʻakikī o nā hana hoʻokō. Me ka hoʻohana lōʻihi ʻana o ka "Insulate" i nā mea maʻi ma laila ke ala mau i ka lehelehe glycemic index.
Ma ka pili paʻa i ka papaʻai a me ka hoʻoponopono ʻia ʻana i ka papaʻai, hoʻonui ʻia ka nui o ke kōpaʻa koko i ke kuhikuhi ʻana i ka maʻi maʻi maʻi maʻi.
ʻOi aku ka maikaʻi o ke kō
| Ma kahi ʻōpū | 5.0-6.0 mmol / L. |
| 2 mau hola ma hope o ka ʻaina | 7.5-8.0 mmol / L. |
| Ma mua o ka hele ʻana e hiamoe | 6.0-7.0 mmol / L. |
Pono pono i nā inikini insulin
ʻO ka maʻamau, inā nui ka ʻike o ka maʻi diabetes ma mua o 5-10 makahiki, ʻoi aku ka ʻai ʻana a me ka lawe ʻana i nā lāʻau lapaʻau. Aia he lāʻau hoʻomehana paʻa mau a kūlehu paha. Akā hiki i ke kauka ke kuhikuhi i ka insulin i mua ma mua inā ʻaʻole hiki i nā ala ʻē aʻe ke hoʻoponopono i ka nui o ka glucose i loko o ke koko.
ʻO ka insulin, kahi mālama no ka maʻi type 2, ua ʻike ʻia ma mua he huakaʻi hope. I kēia mau lā, pili nā kauka i ka manaʻo kūlike.
Ma mua, ʻo ka hapanui o nā maʻi maʻi lapaʻau e mālama nei i ka lāʻau lapaʻau maʻi mea nui kahi index glycemic kiʻekiʻe no ka manawa lōʻihi, ka mea i hōʻike he pilikia koʻikoʻi no ke ola, a ma ka manawa o ka noho ʻana o ka insulin, ua loaʻa i nā maʻi nā maʻi maʻi maʻi maʻi.
Ua hōʻike ʻia ka hoʻomaʻamaʻa hou o kēia wā no ka mālama ʻana i ka maʻi diabetes i ka insulin kekahi o nā lāʻau lapaʻau e kōkua ai i ka hoʻēmi i ke kō. ʻO kona ʻokoʻa mai nā papa ma ke ʻano o ka hoʻokele (injection) a me ke kumukūʻai kiʻekiʻe.
Ma waena o nā mea maʻi me ka maʻi diabetes type 2, 30-40% o nā mea maʻi e pono ai i ka therapy insulin. I ka manawa a ma ka mea e hoʻomaka ai ka therapy insulin e hiki ke hoʻoholo ʻia e ka endocrinologist, no ka mea pili ia i ka ʻano o ke kino.
Hiki iaʻu ke noho piha me ka maʻi diabetes?
I kēia lā, aia kahi maʻi maʻi maʻi maʻi āpau e pale ai i ka hoʻopuka ʻana o nā ʻōmole like ʻole a mālama i kahi kiʻekiʻe o ke ola. Loaʻa nā mea maʻi i nā lāʻau lapaʻau o ka synthetic a me nā ʻano laʻau, nā hoʻomākaukau ʻana i ka insulin, ka mana o lākou iho a me nā ʻano like ʻole o ka hoʻokele.
Eia kekahi, ua wehe ʻia nā "ʻoihana kula", e aʻo ana i nā poʻe me ka maʻi diabetes a me ko lākou mau ʻohana. Ke hana nei ka hana i ka hōʻoia ʻana e ʻike ka mea maʻi i ka mea e like me ka maʻi e hiki ai ke hoʻomālamalama iā ia iho, me ka mālama ʻana i nā hauʻoli o ke ola maʻamau.
ʻO ka pilikia nui e hoʻohālikelike i nā ala e hoʻohaʻahaʻa i ke kōpō ka hopena o ka hypoglycemia. No laila, no kekahi o nā poʻe maʻi ua noi ʻia e mālama i ka glycemia ma ke kiʻekiʻe kiʻekiʻe, a hiki i ka 11 mmol / l i ka lā. E kōkua kēia hana i ka pale ʻana i ka nui o ke kō mai ka hāʻule.
I ka nui o nā hihia, ua hoʻonui ʻia ka makaʻu o ka hypoglycemia a he kumu ʻole, akā ʻo ka pae o ke kō e mālama ai i ka maʻi e hōʻohi pinepine ai i ka 10-15 mmol / l i ka lā, he pōʻino loa ia.
