Ka mea i ho'ākāka 'ia ai i ke ʻano type type like me 2

He nui ka poʻe i makemake i ka nīnau: hoʻihoʻi i ka maʻi diabetes - he aha ia? Pili akula kēia huaʻōlelo ma ke ʻano kuʻuna, a me ka hoʻomohala o ka nui o ka glucose i mea kokoke loa i ka hiki ke hiki. Loaʻa ʻia kēia ma o nā ʻano therapeutic. Ma muli o kā lākou hoʻokō ʻana, hiki ke hoʻemi i ka hoʻoweliweli ʻana o nā hoʻonāukiuki.

ʻO keʻano o ka uku

Ka hoʻopiʻi ʻia me ka maʻi maʻamau lae. No ka hoʻokō ʻana i kēia mokuʻāina, kōkua ka hoʻoponopono ʻana i ka meaʻai a me ka mālama ʻana i kahi hoʻoponopono kūikawā. No nā mea liʻiliʻi, ʻo ka hoʻomaʻamaʻa metered.

I kekahi mau kūlana, ʻaʻole lawa kēia mau kaʻina e mālama i kahi nui o nā glucose.

ʻO kahi hana o ka uku

Wahi a ke kūlana o ka mea maʻi, he nui nā ʻano o ka patology. Hoʻokaʻawale nā ​​kauka i nā ʻāpana o ka maʻi diabetes.

1. Hoʻohālikelike - i kēia moku'āina, hiki ke mālama i nā ʻāpana glucose maʻamau. ʻO ka liʻiliʻi o nā hoʻopiʻi i kēia kūlana he liʻiliʻi. Ke uku nei lākou no ka palaka, nā lāʻau papa, ka ʻona o ka insulin, ka hoʻoponopono ʻana i ka meaʻai a me nā ukana haʻuki.
2. He subcompensated - ua hiʻohiʻona ʻia e kahi kūlana waena o ka mea i hoʻohālikelike ʻia nā koina glucose i waena o nā wahi o ka uku a me ka decompensated. Ke hele nei kahi hoʻoweliweli o nā hopena maikaʻiʻole. Akā no ka ulu ʻana i nā hōʻailona o nā hopena maikaʻi ʻole, e ʻoi aku ka manawa ma mua o ka manawa o ka decompensation.
3. Decompensated - hoʻopili ʻia me ka nui o ka nui o ka glucose. Hōʻike ʻia ke ʻano me kahi hoʻoweliweli kiʻekiʻe o nā ʻōpiopio.

Nā Kōkua uku

I mea e kūleʻa ai ka uku no ka maʻi diabetes, e hana mau ʻia kekahi mau hōʻike. Aia i nā hopena uku no ka maʻi diabetes:

• Ka nui o ka maʻi - hoʻoholo i ke koko a me ka urine;
• Hologlobin Glycated;
• Acetone i loko o ka urine;
• Laauwaʻala;
• Lipidogram.

Hemoglobin Glycated

ʻO ka Hemoglobin kahi protein i loaʻa i ke koko. No kēia kuleana ke kuleana no ka hāʻawi ʻana o ka oxygen i loko o ke kino. ʻO kahi ʻano hiʻohiʻona o kēia huakaʻi ʻo ia ka hiki ke hopu i kahi molekule oxygen a hōʻoia i kona neʻe hou aku.

Eia naʻe, hiki i ka hemoglobin ke lawe i nā molekiko glucose. A ʻo kahi hopena, ua hoʻokumu ʻia ka hemoglobin glycated, ʻo ia kahi pūnaehana ikaika nui loa. ʻO kēia kahi hiʻohiʻona e hiki ai iā ʻoe ke koho i ka nui o ka glucose o nā glucose ma nā mahina 2 i hala.

No laila, he waiwai nui kēia criterion no ka ʻike ʻana i ka hōʻeha o ka maʻi a me ka hopena o ka mālama ʻana. Kōkua ia i ka hoʻoholo ʻana i ke ʻano o ka uku no ka maʻi.

No ka loiloi i ka pae o kēlā hemoglobin, ua hoʻohana ʻia kahi ʻano immunochemical a i ʻole chratograpion o ka micro-exchange. ʻO ka maʻamau, ma hope o ka noiʻi mua, ʻo kēia ʻaha ʻōlelo he 4.5-7.5%, ma hope o ka lua - 4.5-5.7%.

ʻO ka maʻi maʻi hoihoi e hoʻopiʻi ʻia me ka mea hoʻohālike o 6-9%. Inā ʻikeia kahi pakeneka kiʻekiʻe, hōʻoia kēia i ka hiki ʻole o ka lapaʻau ʻana me ka nui o ka glucose.

Fructosamine

ʻO kēia ʻāpana ka lua o ka ʻike. Kūkulu ʻia ka Fructosamine e nā kaula kīmē o ka protein a me ka glucose. ʻO ka hoʻonui ʻana o ka nui o kēia waihona ka mea e hōʻike ai ka nui o ka glucose i nā wiki 2-3.

Inā kiʻekiʻe ke kiʻekiʻe o ka fructosamine, e hōʻike ana kēia i ka hoʻomohala ʻana o ka subcompensation a i ʻole ka decompensated pae o ka maʻi maʻi. Hoʻonui nui ka hopena pōʻino e pili ana i ka hopena o ka naʻau a me ke koko.

Lipidogram

E kōkua kēia hana diagnostic piha i ke nānā ʻana i ka ʻike o lipid i nā hana koko.

No ka lawe ʻana i nā lipidograms, hoʻohana kahi ʻano photometric colorimetric. No ka hana i kēia, hāʻawi i ke koko mai kahi vein.

I kiʻi e loaʻa ai kahi hopena pono, pono ʻoe e hahai i kēia mau ʻōlelo hoʻolaha:

• E hooki i ka ulaula 30 mau minuke ma mua o ka hoʻopaʻa ʻana;
• Kāohi i ke kaumaha
• Maiʻai i nā hola 12 i mua o ka nānā ʻana.

Mahalo i ke kaʻina hana, hiki ke hoʻoholo i nā kolamu holoʻokoʻa, kahi hōʻike o ka atherogenicity, ka pae o ka triglycerides, nā lipids o nā ʻano like ʻole. Hoʻohālikelike ka uku piha ʻana no ka maʻi diabetes type 2 e:

• Kekahi uukoe - 0-2.25 mmol / L;
• Atherogenicity - 2.2-3.5;
• Kāleka - 0-5.2 mmol / L;
• ʻO nā lipoproteins haʻahaʻa loa - 0.13-1.63 mmol / l;
• Nā lipoproteins kahakaha liʻiliʻi - 0-3.3 mmol / l;
• ʻO nā lipoproteins kiʻekiʻe koʻikoʻi - 1.03-1.55 mmol / L.

Hōʻike ka subcompensation a me ka decompensation o nā pathology e nā kiʻekiʻe kiʻekiʻe. Hoʻonui kēia i nā mea hoihoi o ka atherosclerosis, ka hōʻeha, ka maʻi ʻeha, ka puʻuwai naʻau.

Ka nui Sugar

Pono nā loiloi Glucose e loiloi a hiki i nā manawa 5 i kēlā me kēia lā. Akā ʻaʻole hiki i nā mea maʻi āpau ke hana i nā hoʻokolohua he nui. No laila, ʻo ka hapa liʻiliʻi o nā kaʻina hana he 2 mau manawa - i ke kakahiaka a i ka pō. E hana i kēia noiʻi, e hoʻohana i kahi glucometer.

Hoʻemi ʻia ka maʻi maʻamau i hoʻopōmaʻomaʻo ʻia ʻo 2 ka noi ʻina. Inā he 12% mmol / l ka nui o kaʻili i ka urine, pono e hana pinepine ʻia ke kaʻina hana. ʻO ka maʻamau, ʻaʻole pono e hoʻokomo i ke kō i ka urine. Inā kū ia i kēia manawa, hōʻike ʻia kahi noiʻi hou ma nā kaona acetone i ka pāʻai.

E loiloi i nā paila no ka hoʻokūkū ʻana i ke ʻano maʻi mellitus type 2, ua hoʻohana ʻia nā kānana hōʻike i hoʻololi i ko lākou kala i ka wā i ʻike ai i ka urine. Inā lawa ka hoʻonaninani ke kala, hōʻike kēia i ka nui o ka acetone i loko o ka pāʻai. ʻAʻole ia he pale polū e hōʻike ana i kahi haʻahaʻa haʻahaʻa haʻahaʻa.

Kākoʻo o nā Hoʻopau

I mea e mālama ai i ka hoʻomohala ʻana o nā hopena maikaʻi loa, he mea nui loa ia o ka hoʻoponopono ʻana a mālama i ka nui o ke kō i loko o ke koko. ʻAʻole hiki ke uku ʻia ka uku kūpono no ka maʻi type 1 no ka ʻole o ka insulin. Me ka pathology type 2, ʻaʻole pono kēia, e kau ʻia i ka regimen i kēlā me kēia lā, meaʻai a me ka papa hana.

Me kēlā me kēia ʻano o ka maʻi diabetes, ʻaʻole e loli ʻia nā alakaʻi kulekele meaʻai. He mea nui ia e hoʻokō pono i kēlā mau ʻōlelo:

• E hōʻole i ke kō a me nā meaʻai momona;
• Hāʻawi i ka makemake i nā ʻano ʻoluʻolu wela - ka hoʻolapalapa, ka palaoa;
• E lawe i nā lawelawe o ka liʻiliʻi;
• ʻAno e haʻalele i ke kō;
• Hoʻemi iki i ka paʻakai paʻilima - ʻaʻole pono ka hona o ka nui o ka 12 g i kēlā me kēia lā;
• Hoʻohālikelike ʻia ka waihona kaloli o nā huahana a me ka nui o ka ikehu.

I mea e loaʻa ai ka pōmaikaʻi o ka maʻi diabetes mellitus type 2, i ʻole e hoʻohui i ka meaʻai, pono ʻoe e hana i kēia mau hana:

• E nānā i kēlā me kēia kekona glucose;
• Hāʻawi i kahi kūlana noʻonoʻo maikaʻi;
• Komo i loko o nā haʻuki.

He mea nui ia e noʻonoʻo pono ʻaʻole lawa a hoʻomaʻamaʻa paha i ka hoʻomaʻamaʻa ʻana i ka maʻi maʻi maʻi. Hoʻokomo lākou i ka paila no ka uku hoʻēmi no ka maʻi type 1, e alakaʻi ana i ka piʻi o glucose. Hoʻomaopopo nā loea i kēlā me kēia lā e hana i ka hana a i hana i nā holo pōkole.

Kumuhana i nā ʻōlelo lapaʻau, hoʻomaikaʻi ka kūlana o ka mea maʻi. ʻO ka ʻōmaʻomaʻo type 2 diabetes mellitus he mau hōʻailonaʻelima i lalo:

• Gogemae hemoglobin 6-7%;
• ʻOi aku ka ikaika ma mua o 140-90 mm Hg. st .;
• Ka nui o ka kolamu;
• Hypoglycemia i ke kakahiaka 5.5 mol;
• ʻO ka palapala momona maikaʻi ma hope o ka ʻai ʻana.

ʻO ka maʻi maʻi hoihoi e hoʻopiʻi ʻia me nā ʻāpana kūleʻa glucose kiʻekiʻe. ʻAʻole kēia hopena i nā mea hoʻopiʻi a hiki iā ʻoe ke alakaʻi i kahi ʻano maʻamau. No ka hoʻokō ʻana i nā hopena maikaʻi, koʻikoʻi loa e hahai kūpono i nā ʻōlelo lapaʻau.