ʻO ka lehulehu o nā kānaka i kēia lā e kū nei i ka palapala latine o ka maʻi maʻi.
ʻAʻole hiki ke ʻike i kēia ʻano o ka maʻi me ka hoʻāʻo ʻana i ka hōʻike serum glucose maʻamau.
No laila, ua hoʻomohala ʻia kahi loiloi kūikawā no ka hona latent a i ʻole he noi me ka molowai i kālai ʻia.
He aha ka paona kōʻai i ke kanaka olakino?
Loaʻa i kēlā me kēia kanaka ka nui o ke kō i loko o kona koko. Hōʻike ka pae o ka glucose glucose i ka hana o ka pancreas a hiki iā ʻoe ke hoʻomaopopo i ka hele ʻana o nā pathologies koʻikoʻi.
He pono maikaʻi e ʻike i ke kūlana glycemic no ke olakino olakino. Ua ʻae aku ka World Health Organization i nā waiwai nui o ka gula serum no nā mākua a me nā keiki.
No laila, i nā pēpē mai ka lua o ka lā hānau a hiki i hoʻokahi mahina, aia ka glucose i ka pae o 2.8-4.4 mmol / l. Mai 30 lā a hiki i ka 14 makahiki, piʻi ka glucose i 3.3-5.5 mmol / L. No nā mea'ōpiopio a me nā pākeke, ua ʻae ʻia ka kapu ma waena o 3.5-5.5 mmol / l.
Ua pili kēia mau waiwai i nā noiʻi noiʻi o ke koko capillary. ʻOkoʻa ka hopena o ka hoʻopaʻa ʻana o ka plasma venous i kahi ʻāpana nui: ʻo ke ʻano ke kiʻekiʻe i ka 6,6 mmol / l.Inā ʻoi aku nā kiʻekiʻe o nā waiwai ma mua o ka maʻamau, a laila hoʻomohala ke kanaka i ka hyperglycemia, inā nā haʻahaʻa, hypoglycemia.
ʻOiai kahi kūlana pōkole no ka hoʻokuʻu ʻana i ke kino. Ke kūlike nei ka maʻi maʻi mai ka waiwai kūpono loa e alakaʻi i nā hopena hiki ʻole ke hoʻololi ʻia.
Ke hiki i kēia wā, e emi ka ʻike o nā cell i ka hormone insulin. ʻO kēia no ka hopena o ka make o kekahi o nā mea hopena, a piʻi ke kino o ke kino. Hoʻonui kēia i ka pilikia o ka hoʻomohala ʻana i ka maʻi diabetes.
Pehea e ʻike ai i ka maʻi maʻamau?
Ka mea i kapa ʻia he form prediabetes. ʻO ka pōpilikia o kēia kūlana, ua ʻike hou nā kauka i nā lā hou loa. No ka manawa lōʻihi i manaʻoʻiʻo ʻia ka maʻi kanesa wale nō ua hoʻoweliweli ʻia i ka olakino a me ke ola. Pilikia ka puka palapala i ka mea ʻaʻole i hōʻike ʻia ʻo ia iho me nā hōʻailona i haʻi ʻia.
ʻAʻole kūpū kekahi kanaka ke loaʻa ʻo ia i nā maʻi endocrinological. I kēia manawa, e holo nei ka maʻi, e alakaʻi i ka hoʻopuka ʻana o nā hoʻopiʻi mai nā moku, nā ʻōpū, ka puʻuwai. He mea paʻakikī ke hoʻoponopono a me nā hopena a me nā hopena. No laila, he mea nui ke ʻike i ke maʻi latine i ka manawa.
Hiki ke kahakaha nā pathology e nā hōʻailona aʻe:
- makewai mau;
- hoʻonui hoʻoulu e hoʻopau i ka ʻōpala;
- kau kaumaha ma ke kua o ka maʻamau maʻamau (ma kahi o 5 kg i hoʻokahi mahina);
- erectile dysfunction.
No ka hoʻomaopopo ʻana i ka maʻi diabetes, pono ʻoe e hana i kahi manawa me ka endocrinologist.
E kuhikuhi ke kanaka loea i kahi helu o ka hoʻokolohua:
- ka hoʻāʻo ʻana ma ka serum gula hoʻoliʻiliʻi me ka ukana kaohi aʻe;
- noiʻi ʻana o ka hemoglobin glycated;
- ka hopena o nā antibodies i ka pancreas, C-peptide.
Ka noiʻi ʻona: he aha ia?
ʻO ka loiloi kōkuhi huna huna ʻo ia ka hana hoʻokolohua diagnostic e ʻike i ka palapala latine o ka maʻi maʻi.ʻO ka manaʻo nui o ke kaʻina hana i ka hōʻiliʻili a me ke aʻo ʻana i ka serum ma kekahi mau manawa ma mua a ma hope o ka pau ʻana o kahi huahana karoli.
ʻAʻole e like me ke ka maʻi diabetes, hiki i kona ʻano latene ke ho'ōla. No laila, mai haʻalele i nā ʻōlelo a ke kauka.
Ma hope o nā mea āpau, he koʻikoʻi nā hoʻopiʻi o ka pathology endocrine: ʻo ke kumu maʻi ka maʻi kumu kumu mua o ka make.
Nā hōʻailona a me nā contraindications no ke kau ʻana i ka hōʻike
Kauka ke kauka i ka referral no kahi hōʻike me ka ukana kalaka i kēlā mau mea maʻi i loaʻa nā hōʻailona o ka maʻi maʻi (make wai, ʻoi loa ka nui o ka momona koʻikoʻi, hoʻonui ʻia i ka lā i kēlā me kēia lā, ʻeha mau).
ʻO ka mandatory he hoʻohālike ʻana i ka wā e hāpai ana. I nā wahine i ke kūlana, hoʻonui ka ukana ma luna o nā mea āpau, a me ka pancreas.
ʻO ka pinepine, maʻi nā wāhine hāpai i ka maʻi gestational o ke ʻano maʻi maʻi maʻi, ka mea, me ka ʻole o ka mālama ʻana, hiki ke hele i loko o ka lua. Eia kekahi, inā ʻaʻole ʻoe e kaohi i ka pālākiō hilo, hiki ke hānau ʻia kahi keiki me nā loli pathological.
Hōʻike ʻia he hōʻike glucose glucose i ia mau ʻano.
- ʻikea ke kō i loko o ka nānā ʻana o ka urine aoao;
- me ka mea maʻi i ka ʻohana ua hele a maʻi;
- loaʻa i nā ʻōmū;
- ʻike ʻia ke hypertension;
- uaʻoi aku ka nui o nā serum glycemia.
ʻO ke kaʻina hana diagnostic he nui nā contraindications. Lā ʻia ʻo ia ke hana i kahi hoʻokolohua no ka hūnā huna i loko o ia mau ʻano:
- ke komoʻana i loko o ke kino o kahi kaʻina;
- aia kahi hopena endocrine i ʻole ka maʻi diabetes;
- hoʻonui i nā hana o ka gland thyroid;
- ma hope o ka pau ʻana, ʻike ʻia ka pae ʻana o ka meaʻai i loko o ka ʻōpū;
- aia kahi ʻoliva maʻa;
- ua loaʻa i ka palaka pila maʻi;
- molepole hana;
- hoʻomoʻi ʻia ka lāʻau me nā lāʻau lapaʻau e pili ana i ka ʻike kino o ka glucose.
ʻO kekahi o kēia mau ʻano me ka hana o ka hana nui o ka hormone insulin.
ʻO ka hoʻomākaukau no ka ʻimi noiʻi a me ka hoʻonaʻauao kumu
Hōʻike kekahi i kahi hōʻike no ka glucose latent e hōʻike i kahi hopena wahaheʻe. Hoʻomohala kēia mea inā ʻaʻole i mākaukau ʻo ka mea maʻi no kahi hoʻokolokolo laboratorium.
Inā ʻaʻoleʻoi aku ka hōʻailona o ke kō i ke kapu, a maikaʻi ka manaʻo o ke kanaka, a maikaʻi paha ke kumukūʻai, akā aia nā hōʻailona o ka maʻi maʻi, a laila pono ʻoe e hana hou i ka loiloi, nānā ana i kekahi mau lula.
Kūleʻa nā mea aʻoaʻo i ka hoʻomākaukau ʻana penei:
- ʻaʻole eʻai i ke kakahiaka ma mua o ka hoʻokolokolo. ʻO ka ʻai hope loa e hele ai ma ka pō ma mua o 18:00. He mea nui ia he māmā ka meaʻai, ʻaʻole ka mea nui i nā pawaʻawa;
- hooki i ka hana ʻana i nā lāʻau lapaʻau e hoʻopilikia ai i ka ʻike o ka glucose i ka serum (inā ʻaʻole pono nā lāʻau lapaʻau);
- Mai makaʻu i ka wā o ka maʻi;
- mai ulaula, mai inu i ka mea inu me ka lā ma mua o ka hoʻāʻo;
- Mai hōʻemi i ke kino a me ke kaumaha i ka pō o ka hoʻokau.
Hoʻopili ʻia nā mea noiʻi olakino e like me ka algorithm e hiki ai:
- ua hānai i kahi kahu hānai i kahi serum mai ka manamana lima (maʻi vein);
- hāʻawi ʻia ka mea maʻi i kahi inu glucose (75 mauʻu o ka glucose i hoʻokahe ʻia ma kahi liʻiliʻi wai);
- hoʻokahi hola ma hope o ka lawe ʻia ʻana o ka pākeke, ke huki ʻia ke koko i ka lua o ka manawa;
- ma hope o kekahi hola, loaʻa ka paramedic i ka plasma o ke kolu o ka manawa.
Ke wehewehe nei i nā hopena
Inā he olakino kekahi a ʻaʻohe wahi i ka predisposition no ka maʻi maʻi, a laila ma loko o ke ʻano ka hopena o ka loiloi.
Inā kūlike ka glucose i ka 3.5-5.5 mmol / l ma kahi ʻōpū ʻole, a hiki i 8 mmol / l i hoʻokahi hola ma hope o kahi ukana hāpana, a hiki i 5.5 mmol / l ma hope o 120 mau minuke, ʻo ia ka hana o ka pancreas. a aia kahi palapala kūlohelohe.
Ināʻai ka hoʻokeʻa ʻai i ka 4-6-6 mmol / L, a ma hope o kekahi mau hola ma hope o ka inu ʻana i kahi hopena glucose - 5.6-8 mmol / L, hōʻike kēia i ka prediabetes. Hōʻike ʻia kahi ala maʻalahi e kahi pae glucose ma mua o 11 mmol / l ma hope o ka nānā ʻana i ka wai momona.
E hōʻike paha ke kuhikuhi ʻana i ka ʻōkuhi:
- nā pilikia o ka ʻōnaehana autonomic;
- ka hana he nui o ka momona thyroid, ka huina pituitary;
- maʻi maʻi maʻi gestational;
- maʻi mumū a i ʻole e paluhi paha i ka pancreas;
- hana ole o ka io o ka pūnaehana ma waena;
- ka hoʻolālāʻana o ka kū'ē i ka hormone insulin.
ʻO ke kumu maʻamau pinepine loa ka maʻi diabetes. Inā hōʻike ka loiloi i kahi haʻalele mai ka maʻamau, a laila pono ʻoe e hoʻomaka i ka mālama ʻana i ka hiki. ʻO nā mea maʻi me kahi ʻano latent o ka maʻi e kuhikuhi ʻia ana ka lāʻau like me kahi i koho ʻia no nā maʻi maʻi II ʻano. ʻO kona ʻokoʻa ma ka hopena haʻahaʻa i ke kino.
ʻO ka maʻamau, ʻōlelo nā endocrinologists i kahi meaʻai kūikawā, kuhikuhi i nā lāʻau lapaʻau e hoʻohaʻahaʻa i ke kō, hoʻomaikaʻi i ka metabolism a kākoʻo i ka hana o ka pancreas.
ʻO ka maʻi Diagnosis a me nā hōʻailona maʻi no LADA-maʻi
ʻO ka maʻi maʻamau o ka maʻi maʻi ma ke kahua lapaʻau he mau inoa ʻē aʻe: lada-diabetes, latent, autoimmune, maʻi diabetes 1.5.
ʻO nā hōʻailona Diagnostic ka:
- i ka mea maʻi he mau hiʻohiʻona hiʻohiʻona;
- ho'ēmi i ka naʻau o nā cell i ka hormone insulin;
- ʻai ʻaʻai koko.
ʻO kahi hōʻike hoʻoliʻina huna no ka maʻi maʻi ʻaʻole lawa. Pili pū nā kauka i nā pae ESR i ka wā o ka loiloi papa maʻamau. Ke hoʻopaʻa ʻia nei ka ʻano o ka urine, serum biochemistry. ʻIke ʻia nā ʻike o glucagon, leptin, proinsulin, peptide pancreatic, microalbumin.
Nā wikiō pili
E pili ana i nā hōʻailona a me nā hōʻailona o ka maʻi latent i ka wikiō:
ʻO ka hoʻokaʻawale ʻana no ke kōpaʻa latent e hiki ai iā ʻoe ke hōʻoia i ka maʻi diabetes ma ka hoʻomaka mua o kona hoʻomohala ʻana. Hiki ke kāhea ʻia kēia hoʻokolohua ma nā ʻano ʻē aʻe: me ka ukana kalaka, LADA, autoimmune, latent. Hoʻopau ʻia ia e like me kekahi algorithm. I mea e loaʻa ai nā ʻike pono, pono e hahai ka mea maʻi i nā lula.
Mai hōʻole i ke ʻano o ka hōkike ʻana i hōʻike ʻia e ke kauka. Ma hope o nā mea a pau, he hana ia me ka ukana kākāiaea e hiki ai iā ʻoe ke ʻike i nā wahi maʻi pancreatic i ka manawa a pale i nā maʻi maʻi maʻi maʻi.
