Ma ka liʻiliʻi he hapaha o ka nui o ka poʻe i loaʻa i ka maʻi āpau i maopopo ʻole i ko lākou mau maʻi. Ke hana nei ka poʻe i nā hana i kēlā me kēia lā me ka ʻole o ka ʻike ʻana i nā hōʻailona o ka maʻi, a me ka maʻi maʻi maʻi ʻoliʻoli e hoʻopilikia nui loa i ke olakino.
Hiki i ka maʻi iki e hoʻopau lohi i kahi kanaka. Inā ʻoe e hōʻole i ka hoʻomaka ʻana o ka hoʻomohala ʻana i ka maʻi, hiki kēia i ka hōʻeha ʻana i ka puʻuwai, hōʻoki ʻana i ka maʻi, a hōʻemi ʻia ka ʻike, a i ʻole nā ʻōpū o lalo.
I kekahi manawa ke hāʻule paha ka mea maʻi i kahi coma ma muli o ka hoʻonui nui o ke kō koko, komo i ka mālama koʻikoʻi a hoʻomaka wale ka hoʻomaka ʻana i ka mālama ʻana.
Ke kauoha ʻia nei e heluhelu ʻoe i ka ʻikepili e pili ana i ka maʻi maʻi. He mea kūpono ia e kamaʻilio e pili ana i nā mea mua o nā hōʻailona i hiki ke kuhihewa no kahi anu a i ʻole nā loli e pili ana i nā makahiki. Akā, ke aʻo ʻana i kēia ʻikepili, pono e makaʻala ʻē kekahi, a ʻo nā hana i lawe ʻia i ka manawa e pale ai i ka loaʻa ʻana o nā pilikia loa o ka maʻi.
Inā he kānalua i ka maʻi maʻi, pono e hoʻohālikelike i ka hōʻailona o kēlā me kēia me ka mea i hōʻike ʻia ma lalo nei, a laila hana i kahi hōʻike hoʻoliʻu. E ʻoi aku ka maikaʻi o ka hōʻike koko inā hāʻawi ʻole ʻoe ia no ka ʻike ʻana i ke kō, akā, no ka hemoglobin glycated.
Pono e hoʻoholo i ka pae maʻamau o ke kō koko koko e ʻike i nā hopena o ka loiloi. Me kahi hoʻonaʻauao kiʻekiʻe, pono ʻoe e hahai i kahi hoʻoponopono regimen maʻi maʻamau, me ka ʻole o ka papa ʻai ʻana, nā inikini insulin a me nā lāʻau hōʻeha.
ʻAʻole nā pakeke he nui i pane mai i nā hōʻailona mua o ka maʻi maʻi i kū ʻia i loko o lāua a i kā lāua keiki. No kēia kumu, ʻoi aku ka hopena o ka poʻe maʻi ma ka haukapila, akā me ka hoʻomaikaʻi mua ʻana.
Pehea e nānā ai ke kō koko koko?
Inā i ʻike ʻia nā hōʻailona o ka maʻi maʻi i ka pēpē a i ʻole kekahi kanaka nona ka makahiki ma lalo o 25 makahiki, ʻaʻole nui loa ke kaumaha, a laila nui ke maʻi o ka maʻi maʻi ma ka pae mua. E hoʻōla iā ia, pono ke koi ʻia o ka insulin.
Inā kuhihewa kekahi kanaka i ka lōʻihi o 40 makahiki a oi paha i ka maʻi maʻi, a laila ʻo ia paha ke kekona o ka maʻi maʻi.
Eia naʻe, ʻo kēia mau hiʻohiʻona kikoʻī. ʻO kahi maʻi maʻalahi a me ka papa maʻi o ka maʻi maʻi hiki wale nō ke hana i ka endocrinologist.
Pākuʻi palapala 1 - nā hōʻailona
ʻO ka mea maʻamau, hoʻomohala nā hōʻailona o ka maʻi ma kahi manawa pōkole, i mau lā mau lā. Hoʻomaʻa pinepine kekahi kanaka i ka maʻi diabetes (pagkawala o ka ʻike), ʻike koke ʻo ia i loko o kahi keʻena kahi e hōʻike ai ʻo ia i ka maʻi maʻi.
Nā hiʻohiʻona o ka maʻi maʻamau i ka pae 1st:
- hoʻonui i ka makemake e inu: inu ka mea maʻi i ka lita no 3 i ka lā;
- ka heleʻana o ka ʻono o ka acetone i ka wā o ka exhalation;
- ikaika ikaika, ʻai kekahi kanaka i ka nui o ka meaʻai, akā ua luhi i ke kaumaha;
- hanaʻi ʻia nā hana hoʻonāukiuki, ka liū pō loa;
- hoʻopōleʻa hōʻeha ʻeha;
- ka ʻili o ka ʻili, nā puʻu a me nā ʻili wale nō.
Hoʻomaʻama pinepine, hoʻomaka ka pae helu 1 i nā kāne 2 mau pule a i hoʻokahi mahina paha ma hope o ka mea i loaʻa i ka mea maʻi kahi maʻi (tigel, rubella, maʻi) a i hope o ke ʻano kaumaha.
Kākau 2 ʻāpana - nā hōʻailona
ʻO ka maʻi maʻi o ke ʻano lua, hiki ke ʻaelike ka palaha i nā makahiki he mau makahiki, ma ke ʻano he kānāwai, i ka poʻe o nā kānaka kahiko. I nā kāne a me nā wahine, hele ka luhi, ka hōʻeha o ka hōʻeha hōʻeha, nā poho o ka ʻike a me ka hoʻomanaʻo ʻana. Eia naʻe, ʻaʻole ia he kānalua i kēia mau hōʻailona mua o ka maʻi. ʻO ka pinepine, ʻo ka loaʻa ʻana o ka maʻi diabetes type 2 me ka ulia.
Nā hiʻohiʻona o ka maʻi type 2:
- nā hōʻailona hōʻailona o ka maʻi maʻi no kēia ʻano: ka luhi, ke hōʻemi ʻana i ka ʻike, ʻike hoʻololi;
- nā pilikia ʻili: ka huhū, nā ʻeha, ka hōʻeha ʻana o ka hōʻeha;
- nui ka makemake e inu ai - 3-5 lita o ka wai i kēlā me kēia lā;
- hana pō hoʻi i ka pō;
- ke helehelena o nā ʻūhā ma nā alohilohi a me nā kuli, hele nā wāwae, ke nānā ʻana, ʻeha i ka wā o ke neʻe;
- hāpai ka wahine i nā candidiasis (thrush), kahi paʻakikī ke ho'ōla;
- i ka lā hope o ka maʻi - ka pohō kaumaha;
- ma 50% o nā maʻi, he maʻi ʻole paha ka maʻi;
- i nā kāne, nā pilikia me ka laha.
30% o nā kāne - ua hōʻemi ʻia ka ʻike maka, hōʻeha ʻana o ka maʻi o ka puʻuwai, kaʻeha kū ʻole, hōʻeha o ka naʻau. Pono kahi kipa wikiwiki wikiwiki i ke kauka ma hope o ka ʻike ʻana i kēia mau maʻi o ka maʻi maʻi.
Inā he nui ke kaupaona ʻana, hele a wikiwiki ka wikiwiki, ʻike ʻia ka hoʻomaʻemaʻe maikaʻi ʻana o nā hōʻeha, a laila ua hiolo ka ʻike a me ka hoʻomanaʻo ʻana, a laila ʻaʻole pono ʻoe i ka palau a me ke ʻano o ka hoʻōla ʻana i ke kō i loko o ke koko.
Me kahi hoʻonaʻu gula kiʻekiʻe, pono e hoʻomaka ka mālama ʻana. Inā hana ʻole kēia, a laila e manaʻi nā hōʻailona o ka maʻi maʻi i kahi make mua e kali ana i ka mea hoʻomanawanui, ma mua o nā pilikia o ke maʻi maʻi - ʻōpio, gangrene, ʻeha hōʻeha, ʻehaʻī, makapō, a paʻa ka hana o ke keiki.
No ka mālama ʻana i nā maʻi maʻi type 2, ʻoi aku ka maʻalahi o nā mahele ma mua o ka nānā mua.
Nā hōʻailona o ka maʻi kamaliʻi
ʻOi ka liʻiliʻi o ka makahiki o kahi keiki i loaʻa ka kānalua o ka maʻi o ka maʻi, ʻoi aku ka ʻokoʻa o nā hōʻailona o ka maʻi maʻi mai ka makua makua o nā maʻi. Familiarize iā ʻoe me nā hōʻailona o ka maʻi kamaliʻi.
Ma kēia e ʻike pono i nā kauka a me nā mākua o kahi keiki maʻi. Ma ka hoʻomaʻamaʻa, loaʻa pinepine nā kauka pediatric i ka maʻi diabetes. Hoʻomaʻamaʻa pinepine ʻia nā hōʻailona o ka maʻi ʻōpiopio no ka hōʻailona ʻana o nā maʻi ʻē aʻe.
ʻO ka ʻokoʻa ma waena o ka maʻi diabetes 1 a me 2
ʻO ka maʻi diabetes 1, kahi ʻāpana i hōʻike ʻia e kahi ʻike ākea, e ʻike koke ʻia. ʻO ka maʻi ke ʻano o ka papa inoa 2, kākā - ka maikaʻi o ka maikaʻi o ka manawa. A hiki i kēia manawa wale nō, ua ʻeha wale nā keiki i ke ʻano type type 1, nā ʻāpana, akā naʻe i kēia lā ke hana ʻole kēia. ʻO ka maʻi diabetes type 1, ke kiʻekiʻe ʻole e kau nui ʻia.
E hoʻokaʻawale i waena o ke ʻano laʻa type type 1 a me ke ʻano 2, pono ke ʻano he ʻano urine no ka kō, ke koko no ka glucose a me ka C-peptide.
ʻO ka wehewehe o kēlā me kēia hōʻailona o ka maʻi
E pono e wehewehe ʻia i ke kumu me ka maʻi maʻi maʻi mellitus i loaʻa i kekahi mau hōʻailona. ʻO ka hoʻomaopopo ʻana i nā hōʻailona o ka maʻi maʻi a me kahi pilina kumu, hiki ke hoʻomaikaʻi maikaʻi loa a mālama i kēia maʻi.
Nā makewai a me ke kaumaha urination (polyuria)
I ka poʻe me ka maʻi diabetes, no kekahi mau kumu, hoʻonui ka nui o ka glucose o ke koko, a laila makemake ka kino o ke kanaka e lawe ia ma o ka pā. Eia naʻe, me ka hoʻonui ʻia o ka glucose i ka urine, ʻaʻole e kau ʻia nā keiki, no laila, pono no ia he nui aʻe ka urine.
No ka hana i ka nui o ka urine, pono nui ke kino i ka nui wai. Pēlā, aia kahi hōʻailona o ka nui o ka make i ka poʻe maʻi me ka maʻi maʻi, a maʻa mau ke koi pinepine ʻana i ka urinate. Pono ka mea maʻi i ka pō i nā manawa he nui, kahi hōʻailona maopopo o ka pae mua o ka maʻi maʻi.
Uhiʻi o ka acetone ma ka exhalation
I nā maʻi maʻi me ka maʻi maʻi, ka nui o ka nui o ka glucose i loko o ke koko, akā naʻe, ʻaʻole hiki i nā pūpona ke komo i loko, no ka mea, ʻaʻole i lawa ka insulin, a ʻaʻole pono kāna mau hana. No kēia kumu, hana ʻia nā cell (koe wale i nā ʻōpū o ka lolo) e kiki i ka ʻai ʻana o nā waihona momona.
Hiki iā mākou ke hoʻohui pū i nā hōʻailona o ka maʻi maʻi i ka wā e wāwahi ai nā momona: acetone, acetoacetic acid, b-hydroxybutyric acid (ketone kino). I ka nui o ke aniani o ke kino ketone, hoʻokuʻu ʻia lākou i ka wā o ka hanu, ma muli o ke ʻano, ke kū nei ke ʻala o ka acetone i ka lewa.
Coma a i ʻole ketoacidosis (pae pākēnē 1)
Aia kekahi mea ʻala o ka acetone i nā kāne i ka wā o ka exhalation - e hōʻike ana kēia i ka ʻai o ke kino i nā momona, a aia no nā mea ketone i loko o ke koko. Inā ʻaʻole i hopu ʻia ka insulin i ka manawa kūpono, a laila hoʻonui nui ka kiʻekiʻe o nā māhele ketone. I kēia kūlana, ʻaʻole hiki i ke kino ke hoʻokolohua a me ko lākou kūlike ʻana, nā loli o ke koko.
ʻO ka pae pH o ke koko he 7.35-7.45. ʻOiai ʻo ia ma lalo iki a ma lalo paha o kēia kaupalena, lilo ka luhiluhi a ke kanaka, ke kaumaha nei, ke ʻano nui kona makemake ʻole, hele mai ke ʻano, hele mai ka ʻōpū, ke ʻano o ka ʻūhā, ʻohiʻeha i ka ʻōpū. ʻO kēia ka hōʻailona o ka ketoacidosis maʻi maʻi.
I ka manawa, ma muli o ka ketoacidosis, hāʻule ka mea maʻi i ka coma, a laila hiki ke pilikia a hiki i ka make (7-15%). Inā ʻaʻole paʻa ka maʻi mai kahi maʻi o ka paukū 1, ʻaʻole e makaʻala ka hele ʻana o ka acetone i loko o ka waha.
Ke mālama nei i ka maʻi o ka pae ʻana i ka kāne ma ka liʻiliʻi me ka wai haʻahaʻa, hiki i ka mea maʻi ke hele i ka ketosis - he nui o ke kahe o ke koko o nā māhele ketone. Ua manaʻo ʻia kēia kūlana physiological.
ʻAʻohe o kahi hopena maʻi. ʻAʻole hāʻule ka pae o ka pH i ke koko ma lalo o 7.3, no laila, ʻoiai ka ʻupena o ka acetone i ka wā o ka exhalation, maʻa mau ka sensation. I kēia hihia, hele ke kanaka i ka nui o ka paona.
ʻO ka hoʻonui nui aʻe i nā maʻi
I nā kāne maʻi me ka maʻi diabetes, ka nele o ka insulin, a i ʻole he hopena kūpono. A ʻoiai he nui ka lawa o ka glucose i loko o ke koko, ʻaʻole hiki i nā huina ke hoʻokolohua ma muli o ka nele o ka insulin a ua koi ʻia "e pōloli". Ke komo nei ka hōʻailona o ka pōloli i ka lolo, a makemake ke kanaka e ʻai.
ʻAi maikaʻi ka mea maʻi, akā ʻaʻole hiki i ke kino ke hopu i nā haʻalulu i hele mai me ka meaʻai. Hoʻomaopopo ka momona ikaika a hiki i ka hoʻomaka ʻana o ka hana e hana a hoʻohana ʻole i nā ʻili e hoʻomaka i nā momona. Me kēia hopena, hiki i ka mea maʻi me ka maʻi diabetes mellitus type 1 ke kūkulu i ka ketoacidosis.
Popo ka ʻili, loaʻa ka thrush, ʻike ʻia nā hā
I ka mea maʻi me ka maʻi maʻi maʻi maʻi, e nui ka nui o ka glucose i loko o nā kino wai āpau. Ua hoʻonui ʻia ka nui o ke kō ma ka pulu. ʻO nā mea e like me ka palupalu, nā kūlana mahana me kahi saturation kiʻekiʻe o ke kō, ʻo kā lākou mea kanu. Pono mākou e hoʻemi i ka nui o ka glucose i ke koko, a laila e hala nā pilikia me ka thrush a me ka ʻili.
ʻO ka hōʻeha hōʻeha ʻeha ma nā maʻi me ka maʻi maʻi maʻi
ʻO ka nui o nā glucose i ke koko o nā kāne i loaʻa ka hopena ʻino ma nā paia o nā kīʻaha koko, a me nā pū i holoi ʻia e ke koko. I mea e ho'ōla hou ai nā hōʻeha, ua hoʻomā ʻia nā kaʻina hana paʻakikī i loko o ke kino, ʻo ia ka mahele o nā ʻili sela maikaʻi, e like me ka kiʻi.
Ma muli o ka loaʻaʻana o ka nui o ka glucose i ka hopena o ka nāola ma ke kiko o nā kāne, e lohi nā kaʻina hoʻoponopono. Eia kekahi, ma lalo o kēia mau kūlana, ua ʻike ʻia ka pālahalaha o nā maʻi. He mea kūpono e hoʻohui i nā wahine me ka maʻi maʻi i mua ma mua.
I ka hopena, pono ke hoʻomanaʻo hou inā inā aia nā hōʻailona o ka maʻi maʻi i nā kāne a i nā kaikamahine paha o kēlā me kēia ʻano, pono e nānā i ka nui o ka glucose i ke koko i ka hiki koke aku, a kipa i ka endocrinologist.
Aia nō kahi ʻē ka hoʻōla pono ʻana i ka maʻi diabetes, akā naʻe, hiki ke mālama ʻia ia a ola i kahi ola maʻamau. ʻAʻole paha e like me ka paʻakikī.
