PALAPALA DIABETES PUKA - HE AHA IA?

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ʻO ke maʻi mellitus he maʻi maʻamau ka pili ʻana i ka hapa nui o ka lāhui Lūkia, ʻaʻole wale nō.

Hoʻokumu nā pilikia olakino i nā makahiki he nui, ka mea e pono ai ka poʻe no ka lāʻau lapaʻau mau, ka maʻi diagnostic a me ke kākoʻo kūkākūkā.

I mea e hiki ai i ka hoʻopili piha ʻana i ke kūlana a hoʻolālā i nā kumukūʻai o ka hoʻouka ʻana i ka maʻi maʻi ma ka lahui, ua haku ʻia kahi papa inoa inoa ʻāina.

Kākau mokuʻāina nā maʻi me nā maʻi maʻa: he aha ia?

ʻO ka papa inoa o nā Diabetes Patients (GRBS) ka ʻike kumu nui ʻike e loaʻa ana ka piha piha o ka helu helu helu e pili ana i ka ulu ʻana o ka poʻe Lūkini me ka maʻi diabetes.

Hoʻohana ia e hana i mau kālā hoʻolimalima o ka'āina a me kā lākou wānana no nā wā e hiki mai ana, i nā makahiki.

I kēia manawa, ke kākau inoa nei i ke ʻano o kahi ʻōnaehana automated e hōʻike ana i ka ʻike mālama kino-epidemiological i kahi ʻike ma ke ʻano lahilahi.

Ua pili ia i ka nānā 'ana i ke kūlana o kēlā me kēia kanaka e pili ana i ka pathology maʻi, mai ka lā i ke komo ʻana i ka ʻikepili iā ia i ke kupuna kāne a no ka manawa holoʻokoʻa.

Eia ka hoʻoponopono:

nā ʻano pilikia ʻole;
nā hōʻailona o ke kaohi kino a me nā mea ʻē aʻe o ka noiʻi laboratine;
nā hopena hopena maʻi;
data i ka maʻi lolo.

He mea koʻikoʻi nui ka papa inoa ma ke ʻano he papa hana helu waiwai, a ʻo ia hoʻi, ʻo ia wale nō ka waihona kikowaena ʻatikala o kāna ʻano no ka loiloi ʻana i nā helu maʻi olakino, hoʻonohonoho a ʻepekema e ʻae i ka helu ʻana a me ka hoʻolālā ʻana i ka make kālā no ka mālama ʻana, ka loaʻa ʻana o nā lāʻau lapaʻau a me ke aʻo ʻana i nā loea lapaʻau.

ʻO ka maʻi maʻamau

Aia nā ʻikepili e pili ana i ka maʻi maʻamau o ka maʻi diabetes ma ka hopena o Dekemaba 2016 ma kahi o 4.350 miliona mau kānaka e loaʻa ana i ka pilikia o ka "gula", ka mea e pili ana i 3% o ka nui o ka nui o ka'āina, nona lākou:

account non-insulin-hilinaʻi no 92% (ma kahi o 4,001,860 kanaka);
no ka hilinaʻi nui o insulin - 6% (ma kahi o 255 385 poʻe);
no nā mea ʻē aʻe o ke au iā lākou - 2% (75 123 poʻe).

ʻO ka huina helu kā ia i hōʻike ʻia i kēlā mau hihia i ka wā i kuhikuhi ʻole ʻole ʻia ai ke ʻano o ka maʻi maʻi i ka waihona.

ʻAe kēia mau ʻāpana i ka hopena e hiki ai ke piʻi aʻe i luna o nā hihia.

mai Dekemaba 2012, ua hoʻonui ʻia ka nui o nā poʻe me ka maʻi diabetes e pili ana i ka 570 tausani o nā kānaka;
no ka manawa mai ka hopena o Dekemaba 2015 - ma 254 tausani.

Nā ʻōpiopio (ʻo ka nui o nā hihia ma kahi 100 tausani kanaka)

E pili ana i ka pālahalaha ʻana e ka makahiki, ua kākau pinepine ʻia nā maʻi maʻamau i ka poʻe ʻōpio, a ma waena o nā mea e ʻeha nei i ka ʻano o ke ʻano o ka papaʻaina, ʻo ka mea nui ka pākeke.

I ka hopena o Dekemaba 2016, ka ʻikepili ma luna o nā pūʻulu makahiki e like me kēia.

Ka huina

ʻO ka maʻi diabetes i hilinaʻi ʻia - he awelika o 164.19 mau hihia ma ka 100 mano o ka poʻe;
non-insulin-dependant dependence - 2637.17 ma ka helu like o ka lehulehu;
mau ʻanoʻaila ʻē aʻe: 50.62 no 100 tausani.

Hoʻohālikelike i nā makahiki 2015, ʻo ka ulu:

ma ke ʻano maʻi maʻi 'āpau 1 - 6,79 no 100 tausani;
no nā maʻi lā 2 - 118.87.

E ka hui makahiki o nā keiki.

ʻO ke ʻano maʻi o ka insulin e pili ana i ka maʻi diabetes - 86.73 ma 100 tausani keiki;
ke ʻano paulina ole-insulin-5.34 no 100 tausani;
mau ʻano maʻi ʻē aʻe mellitus: 1.0 ma 100 tausani o ka nui o nā keiki.

Hoʻohālikelike me nā helu helu 2015, ʻo ka ulu nui o ka diabetes-dependant-insulin i nā keiki i hoʻonui ʻia e 16.53.

I ka wā'ōpiopio.

ʻO ke ʻano o ke ʻano no ka insulin - 203.29 no 100 tausani o ka lehulehu o ka wā'ōpiopio;
non-insulin-kūʻokoʻa - 6.82 no kēlā me kēia 100 tausani;
nā ʻano momona ʻē aʻe - 2.62 no ka helu like o ka ʻōpio.

E pili ana i nā kuhikuhi o ka 2015, ua hoʻonui ʻia ka nui o nā hihia i ʻike ʻia i ka maʻi maʻamau o ka maʻi āpau 1 ma ka 39.19, a me ka type 2 - e 1.5 i ka 100 tausani o ka lehulehu.

E like me ka mea hope, e wehewehe ʻia ka ulu ʻana e ka mea i loaʻa i ke kaumaha o ke kino ma waena o nā keiki a me nā ʻōpio. ʻIke ʻia ka maʻi nui i kahi hopena no ka maʻi non-insulin-hilinaʻi.

I ka "makua" makahiki.

e like me ke ʻano hilinaʻi o ka insulin - 179.3 ma 100 tausani pākēneka kanaka;

e ka hui kūʻokoʻa ʻole-insulin - 3286.6 pākahi like;
no nā mea maʻi ʻē aʻe - 62.8 mau hihia ma kahi o 100 mau pākeke.

I kēia māhele, ulu ka ulu i ka data ma ka 2015 i:

maʻi 'āpau 1 - 4.1 ma 100 tausani;
diabetes type 2 - 161 no ka pānaʻi pākeke hoʻokahi;
no nā mea maʻi ʻē aʻe - 7.6.

ʻĀina

No laila, hiki ke'ōlelo ʻia e ulu mau ana ka nui o nā poʻe e maʻi nei i ka maʻi maʻi. Eia naʻe, ke hana nei kēia i nā dinamika ʻoi aku ka maikaʻi ma mua o nā makahiki i hala.

Ma waena o 2013 a me 2016, ua hoʻomau ka prevalence o ka maʻi mellitus no ka maʻi type, ma muli o ke ʻano ʻano 2.

ʻO ke kumu o nā kumu o ka make

ʻO ka maʻi maʻi mellitus he maʻi koʻikoʻi a koʻikoʻi loa mai kahi e make ai nā kānaka.

Wahi a ka ʻike o GRBSD, ʻo Dekemaba 31, 2016, ʻo ke "alakaʻi" i ka make ma ke ʻano no kēia kumu ua mau ʻano maʻi koi koi ʻia i loko o nā ʻano helu 1 a me 2 me ka:

pilikia me ke kahe o ke koko o ka lolo;
cardiovascular gagal;
puʻuwai a me nā puʻupuʻu.

ʻO ka 319% o nā poʻe me ka maʻi type 1 a me 49.5% me ke ʻano type 2 ua make i kēia mau pilikia olakino.

ʻO ka lua, ke kumu maʻamau o ka make:

me ka maʻi maʻi 'ōpū 1 - nā hōkuhi hōkē (7.1%);
me ka ʻano 2, nā pilikia oncological (10.0%).

I ka nānā ʻana i nā hopena koʻikoʻi o ka maʻi maʻi, ka nui o nā hoʻopiʻi e like me:

maʻi koma maʻi (type 1 - 2.7%, ʻano 2 - 0.4%);
ʻO ka comog hypoglycemic (type 1 - 1.8%, ʻano 2 - 0.1%);
ka huakini kino o ke kino (septic) (type 1 - 1.8%, ʻano 2 - 0.4%);
manuahi gangrenous (ʻano 1 - 1.2%, ʻano 2 - 0.7%).

Ua hōʻike kēia ma kahi ʻano hilinaʻi i ka insulin, ʻoi aku ka nui o ka loaʻa o nā maʻi hōʻeha, e wehewehe ana i ka kali ʻana o ka nohona hou ʻana o ka ola me nā maʻi maʻi 1.

Kāhea Hoʻopiʻi

Pōʻino ka maʻi diabetes mellitus me nā hoʻopiʻi e hoʻomohala ma muli o ka hopena luku wā lōʻihi o ka pathology ma ke kino. ʻO nā helu ma ko lākou ākea ka like ʻana (ma ka hoʻokaʻawale ʻana o nā ʻike no St. Petersburg, ma muli o ka hoʻopiha piha ʻana i ka modul pūnaewele).

No ka maʻi type 1 (e like me ka pasene o ka huina o ka poʻe me nā pilikia "gula"):

nā maʻi neuropathic - 33.6%;
ka nānā ʻana o retinopathic ʻike - 27.2%;
kulaium nephropathic - 20,1%;
ke koko kiʻekiʻe - i 17.1%;
nā maʻi maʻi hānai o nā moku nui - 12.1% o nā maʻi;
"wāwae" wāwae - 4.3%;
maʻi maʻi coronary - i loko o 3.5%;
nā pilikia cerebrovascular - 1,5%;
myocardial infarction - 1.1%.

ʻAno maʻi 2:

maʻi maʻi hypertensive - 40,6%,
neuropathy o ka etiology maʻi - 18,6%;
retinopathy - i loko o 13.0%;
maʻi maʻi coronary -11.0%;
nephropathy o ka maʻi maʻi mai - 6,3%;
nā maʻi hōʻuluʻulu ʻo macroangiopathic - 6.0%;
mau puʻupuʻu cerebrovascular - i ka 4.0%;
myocardial infarction - 3.3%;
maʻi maʻi wāwae maʻi - 2.0%.

He mea nui ia e noʻonoʻo e like me ka ʻike mai ka papa inoa inoa, nā mea paʻakikī loa he hapa maʻamau ma mua o nā haʻawina e pili ana i nā hōʻike screening.

ʻO kēia no ke komo ʻana o ka ʻike i ka GRBS ma muli o ka hoʻololi hou ʻana, ʻo ia hoʻi, hiki iā mākou ke kamaʻilio wale nō i nā hihia i pili i nā maʻi maʻi mellitus a me kāna mau hoʻohui. Hōʻike kēia kūlana i kahi mea haʻahaʻa o ka uku nui.

I ka nānā ʻana i ka ʻike i loko o ka papa inoa inoa, ʻo 2016 ka mea nui i ka mea nui, ʻoiai ka hapanui o nā teritori ka hoʻololi ʻana i ka mālama pūnaewele. Ua hoʻololi ka papa inoa i kahi ʻōnaehana ʻike ikaika e hiki ai iā ʻoe ke wikiwiki me ka nānā pono ʻana i nā ʻōkuhi a me ka epidemiological hōʻailona o nā pae like ʻole.

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