Diabetes - He maʻi kēia pane me kahi ʻōlelo. Hoʻoweliweli aku ia a hana hou iā ʻoe i kou ʻano i kou olakino a me kou ola. He maʻalahi ke nānā ʻana i ke koko no ke kō. Akā ma hope o ka loaʻa ʻana o ka hopena, nui ka makaʻu i nā helu kiʻekiʻe. Kula koko 11 kahi e hana ai a pehea e mālama ai i ka maikaʻi o ke ola, e kamaʻilio nui mākou i nā kikoʻī.
Pono ke hoʻokolokolo
Hiki i ke kanikela type 2 ke hoʻomake i nā keiki momona keu. ʻAʻole ka hui o ka pilikia i nā poʻe momona wale nō, akā ʻo nā mea aloha e makemake hoʻi e hoʻolilo manawa i ka kamepiula, ʻai kīʻaha a inu i kahi hamburger Coca-Cola.
He hopohopo ia no ka hana mua ʻana o ka maʻi maʻamau o ka lua e haʻalele iā ia iho. Inā ʻaʻole kiʻekiʻe ka kiʻekiʻe o ke kōpili, a laila ʻaʻole ʻike nā hōʻailona hou. Akā ua hoʻomaka ʻia ka maʻi e luku i nā kino a me ka holomua.
Me ka "pae" o ke kō i loko o kahi kanaka, loaʻa nā hōʻailona hou:
- Pau ka ʻōpala nasopharyngeal, he makewai wale nō ke kanaka;
- Hoʻomaka pinepine;
- Ka keʻokeʻo o ka hopena;
- Kaumo, luhi.
Ua loiloi nā poʻe loea iʻelua mau maʻi o ka maʻi maʻi:
- ʻO ke ʻano maʻi mua e pili ana i nā maʻi autoimmune. Hoʻopaʻa ka maʻi i ka pancreas, e hoʻopiʻi ana i nā pūleka beta. ʻO ka poʻe me ka diabetes type 1 ka mea e hilinaʻi nei i ka insulin a pono e kaʻi ʻia i kahi lāʻau i kēlā me kēia lā. ʻO ka maʻi o ke ʻano mua ka mea mau a congenital a hiki ke hele i waena o nā genes mai nā mākua a i nā keiki.
- Loaʻa ke ʻano maʻi ʻelua. Hiki i nā maʻi ke hiki i kekahi makahiki, akā ʻoi aku ka nui o nā kānaka ma hope o 60 mau makahiki o ka momona nui. Hoʻopau nā hōpili o ka mea maʻi i ko lākou manaʻo i ka insulin, ka mea a ka pancreas e hana i ka nui o ka mea e pono ai no kekahi kanaka. Hiki i ka mea maʻi o ka lua ke hana me ka ʻole o nā inikua o nā lā a pau i ka insulin. Koho ʻia ka Therapy e pili ana i ke pae o ke kō i loko o ke koko.
Hāʻawi kekahi mau lapaʻau he nui no ka hoʻāʻo no ka glycosylated hemoglobin (HbA1C). He ʻano diagnostic i kēia mau lā e hiki ai iā ʻoe ke hoʻoholo i ka maʻamau o kēlā me kēia lā i ke kō i loko o nā mahina 3 hope loa.
Ke hoʻohana nei i kahi loiloi biochemical, e ʻike ke kauka i ka nui o nā sela koko ʻulaʻulaʻula e pili pū ʻia me ka glucose ma o kahi ʻano pane ʻole. ʻOi aku ka kiʻekiʻe o ka kaomi o ke kō i loko o ke koko, ʻoi aku ka paʻakikī a haʻalele hoʻi i ke ʻano o ka maʻi. ʻAʻole hopena ka hopena o ka loiloi e kahi kūlana kaumaha, ke ʻano a me ka palaualelo ʻole i nā lā i kēia mau lā.
ʻO nā maʻi maʻamau a i ʻole ka luhi
Lawe ʻia ke koko mai kahi vein e hoʻoholo i nā pae kō. Hoʻopili ʻia ke kaʻina hana i ke kakahiaka ma kahi ʻōpū ʻole. ʻO ka maʻamau, ʻaʻole pono nā hānai koko i ka nui o 5, 6 mmol / L. Ua manaʻo ʻia ka paepae i kahi kuhikuhi o 7.0 mmol / L.
Hōʻike ka papa i nā hōʻailona e hōʻike ʻia ai ka maʻi:
| Nā helu waiwai | ʻO ka loea puna ma kahi ʻōpū ʻole, mmol / l | 2 mau hola ma hope o ka waiho ʻana, mmol / l | HbA1C,% |
| Hōʻike kumu | 3,5-5,5 | Kapuai malalo o 7.8 | Na lalo 6.5% |
| ʻO ka Hyperglycemia | 5,6-6,9 | 7,8-11,0 | Na lalo 6.5% |
| Naʻi maʻi maʻi | He ʻoi aku a i ʻole a i like me ka 7.0 | He oi aku a i like a like me ka 11, 1 | ʻOi aku paha a i like me 6.5% |
Hoʻopilikia ka hōʻailona maʻi diabetes. Kuhi ʻia nā helu momona o ka 5.6-6.9 mmol / L, akā aia ke palena kiʻekiʻe. Aia ka mea maʻi ma kahi maʻi ʻeha a mālama pono i ka mālama ʻana.
Inā, ma lalo o kahi ukana kalaiʻa, piʻi ke kiʻekiʻe o ke kōʻai koko i 7.8-11.0 mmol / l, a laila loaʻa ka hopena i ke ahonui glucose. Ma kahi hōʻulu o 11.0 mmol / L o ka mea maʻi, hoʻokaʻawale ka diabetes mellitus i ka pae o ka glucose o 0.1 mmol / L mai ka hopena o ka maʻi. I 11.1 mmol / L, ua hōʻike ʻia ke maʻi maʻi maʻi.
No ka hōʻoia i ka maʻi maʻi, hāʻawi ʻia nā hōʻike ʻelua i ʻelua manawa. E kōkua ka hoʻāʻo hou ʻana i ka hoʻoponopono i ka hyperglycemia koʻikoʻi. Ma ke kūlana kaumaha, lele ka glucose i ka mea maʻi i hoʻokahi manawa. Eia kekahi, ʻo kekahi mau lāʻau lapaʻau a inu inu me ka kō i ke kō i ke kakahiaka hiki ke hāʻawi i kahi hopena.
ʻO ka lāʻau lapaʻau
Me nā hōʻailona o 11.0 mmol / l, ua hōʻike ʻia e ka mea maʻi e hoʻomau hou i kāna meaʻai a me ke ʻano. ʻO ka hopena kūpono me ka Metformin. E kōkua ka lāʻau lapaʻau e pale me ke kaumaha nui a hoʻomaʻamaʻa i ke kō koko koko.
Au iaʻu
lāʻau lapaʻau lāʻau me nā hōʻailona o 11.0 mmol / l i koho ʻia e ke kauka. Ua ʻona ke lāʻau i ka papa, ʻoiai ʻaʻole i pau ka meaʻai a me ka ukana cardio.
ʻAʻole ia e hāʻawi i ka lāʻau lapaʻau iā ʻoe iho, me ka ʻole o ke kauoha ʻana a kekahi kauka.
Loaʻa i kēlā me kēia kumuwaiwai kona mau ʻōuli a me nā contraindications, pono e noʻonoʻo i ka kiʻi kauka ponoʻī.
ʻO ka mea mua, ua kuhikuhi ʻia nā kumulepala sulfonylurea. Kōkua nā lāʻau lapaʻau i ka pancreas e hana i ka insulin. No ka assimilation maikaʻi loa o ka hormone ma nā ʻāpana palupalu, ua kuhikuhi ʻia nā biguanides i ka mea maʻi. A hoʻopau nā mea paʻa i ka paʻakikī, e hoʻemi ana i ka nalo ʻana o nā kalapine i ka pānaʻi ʻana.
ʻO kekahi o nā lāʻau lapaʻau kaulana loa no kahi pre-diabetes diabetes:
- NovoNorm, Amaril, maʻi Diabeton. He nui nā ʻano o nā lāʻau lapaʻau, ka hoʻoponopono ʻia e ka lāʻau lapaʻau e hele nei.
- Kukui laka, Actos, Kahuhuna. Hoʻonui lākou i ka paʻakikī o nā palupalu palupalu i ka insulin hormone.
- Mai nā incubators, Polyphepan a me Glucobai e kūleʻa ana.
Lawe ʻia nā papa Siofor i ke kakahiaka ma kahi ʻōpū ʻole. Loaʻa inā holomua ka maʻi i ka nui o ke kaumaha. Ua hoʻonui ka mea maʻi i nā kaʻina metabolic, e hoʻolōʻihi ai i ka kahe ʻana o ka momona momona. ʻO ka lāʻau kūpono e hui pū ana me kahi meaʻai haʻahaʻa haʻahaʻa.
Diet maila lāʻau lapaʻau ʻana
Me kahi ʻāina pre-diabetes a me ka nui o ka hilo o 11.0 mmol / L, kahi paipai ʻia o ka meaʻai haʻahaʻa-calorie koʻikoʻi no ka mea maʻi. Ma waho o ka hoʻopaʻa ʻana a me ka pono kūpono, ʻike ʻia ka maʻi diabetes i ka mea maʻi i ka manawa pōkole loa.
No ka hoʻokō ʻana i kahi meaʻai haʻahaʻa-ʻona, ʻoi ʻia ke hoʻokaʻawale i nā huahana āpau i ʻekolu mau pūʻulu:
- I haawiia;
- Hāʻawi ʻia i nā helu kikoʻī. (Hiki iā ʻoe ke ʻai inā makemake ʻia, akā ʻaʻole ia ma mua o 50-100 g);
- Hoʻoleʻa ia.
Ma ka hui i ʻae ʻia: nā lauala, kaʻaila a me nā mea hoʻōki-momona. ʻO kahi meaʻokoʻa loa ma waena o nā mea kanu nā meaʻai, nā wai kai, ka waiū paʻakai haʻahaʻa (ke kīkī pāʻālua, kefir, ka waiū i hoʻomoʻa ʻia)
ʻO nā huahana i ʻae ʻia akā he mau ʻai rye, cereals, ʻai momona (pipi, moa i ka moa, peke, manuahi), nā huahana pā momona me nā momona momona o ka liʻiliʻi ma o ka 1.5%, nā kīʻaha paʻakikī me kahi momona momona a hiki i ka 30%, nā mau.
Hoʻokomo ʻia i kahi hui i hoʻopili ʻia: confectionery, gula, palaoa palaoa, huahana momona, mayonnaise, ʻona ʻono, ka pata, nā pī, nā puaʻa, ka puaʻa, ka pīpī, ka meli, ka mea inu me nā mea momona i koe.
Hoʻohana ʻia e inu i kahi waina ʻona maloʻo i hoʻokahi pule i ka hebedoma. Hoʻonui ka waina ʻulaʻula maoli i ka hemoglobin a hoʻomaʻamaʻa i nā kaʻina metabolic i loko o ke kino.
Inā makemake ʻoe i ka sula, a laila hiki iā ʻoe ke ʻai i kekahi ʻāpana o nā ʻakiʻawa. Akā e ʻae ʻia kēia mau nāwaliwali i hoʻokahi manawa i hoʻokahi mahina. Pono e mālama ʻia me ka hua momona: nā maiʻa, ʻalā. Hoʻohui ʻia ka mea ʻai me ke kōpaʻala a me ka pomegerane.
Hoʻomaka ʻia nā meaʻai mai ka meaʻai i ʻae ʻia e ka ʻaʻa ʻole a i ʻole kahe ʻana i ka umu, me ka ʻole ʻana o ka aila aila. I ka ʻai ʻana i nā cereals, ʻaʻole hoʻohana ʻia nā flakes koke. E kōkua kā nā ihe a pau e hōʻemi i ka paona a me ka hoʻohiolo i ka hana o ka ʻōpū: buckwheat, brown brown, a me nā oats.
Hoʻonohonoho ʻia ka papa hana i lawe ʻia nā meaʻai i kēlā me kēia mau hola ʻekolu. ʻAʻole pono ka lawelawe ʻana o ka meaʻai ma mua o 150 g.ʻO ka pāʻina hope loa e lawe ʻia ma mua o 18-00. A hiki i 20-00 kahi e ae ai e hoʻopau i ka pōloli me ke aniani o ka kefir haʻahaʻa haʻahaʻa a i ʻaleme paha.
Me ka ʻai, ʻae ʻia e hoʻopaʻa inoa no ke kikowaena. Akā ʻaʻole hāʻawi i ka uku nui i ke kino. No nā mea hoʻomaka, e hele ana ma ke alahilo a hoʻomaʻamaʻa i nā mīkini cardiovascular.
Inā he palena koko ka palena o 11.0 mmol / L, a laila kūʻai ʻia kahi mika glucose wai home. E kōkua ka mea pono e hoʻoholo i ke kiʻekiʻe o ka glucose i ke koko. Kuhi ʻia i ka lāʻau lapaʻau a me kahi laiki haʻahaʻa, hiki i nā hōʻailona hōʻola ke hele mai i ka maʻamau a ʻaʻole i hoʻonui i ka 5.5 mmol / L.
