ʻO ka maʻi maʻi, e like me nā maʻi ʻē aʻe ʻē aʻe, he hopena koʻikoʻi ia i ke kino o ke kanaka.
Me ka hoʻomohala ʻana i ka maʻi mellitus o ka maʻi mellitus, ʻaʻole wale nō nā loli o ka hormonal, akā ke ʻano pū kekahi ala pili pili i nā ʻano ʻuhane o loko a me nā hui o nā kino.
No ka noiʻi ʻana i nā hiʻohiʻona anatomical o ke kino o nā mea maʻi e maʻi nei i ka maʻi diabetes, kahi kuleana o ka lāʻau lapaʻau i kapa ʻia he pathological anatomy. He aha ka ʻokoʻa ma waena o ka pathanatomy e hele pū me ka maʻi diabetes?
Koiaulu pathological: he aha ia?
ʻO ke ʻano kikowaena o kahi kanaka, me nā hiʻohiʻona hoʻi o ke kūkulu ʻana a me ka hoʻomohala ʻana o kāna mau ʻĀina i aʻo ʻia e ka morphology kanaka.
ʻO nā hoʻololi o nā hui i ʻole nā ʻano no kahi kanaka olakino e ala mai ka hopena o ka hoʻomohala ʻana i kahi maʻi aia ke kumu o kahi noiʻi o ka anatomy.
ʻO nā hiʻohiʻona o ka hopena o kahi patologi kūikawā i kekahi kanaka ʻo ia ka ʻike koʻikoʻi e kōkua i ka hoʻolālā a hoʻokō i ka mālama kūpono. He mea nui paha ia e hoʻomaopopo i ka hana o ka hopena o ka maʻi i mea e hoʻomaopopo ai i nā kumu o kēia maʻi a i ʻole kēlā maʻi.
ʻO ka pololei o ka hāʻawi ʻana i ka mālama maʻi, aia i kekahi mau kūlana ke ala wale nō e hoʻopakele ai i ke ola o ka mea maʻi, ke hilinaʻi nui ʻia hoʻi ka ʻike i loaʻa ma o ka pathology. No laila, autopsy a me ka nānā ʻana i nā kino, a me kahi hoʻopaʻa noi piha ʻana i ka ʻōnaehana ʻo ia kekahi o nā ala nui o ka hoʻomohala ʻana i ka lāʻau lapaʻau.
Panatomy o ka maʻi mellitus o ka maʻi maʻamau: ʻano ʻokoʻa
ʻO ka anatomy o nā poʻe maʻi me ka maʻi maʻi e aʻo ʻia e kahi unahi o ka lāʻau lapaʻau i kapa ʻia nā pathology system endocrine.
ʻO nā hoʻololi o ka pancreas ke kumu a ma ka manawa like kahi hōʻailona morphological o ka maʻi, akā naʻe, i kekahi mau kūlana, ʻaʻole hiki ke hele i ka ʻaoʻao.
ʻO ka ʻike nui loa o ka maʻi hemphological o ka maʻi o ka maʻi no ka waiho ʻana o nā waiho a i ka glucose i loko o nā kiko, ʻoi aku hoʻi i ka epithelium o nā pākīpī. Kuhi ʻia kēia mau hopena i ka piʻi ʻana o ke kō i ke kō. ʻO ka hōʻailona ʻalua e hōʻike nei i ke kiʻi o ke kuʻuna o ka maʻi diabetes he vathy angiopathy.
I kēia hihia, ʻaʻole ia he macro-lesions e kumu ai i ka cardiosclerosis a me ka ʻehaʻeha puʻupuʻu e ʻoi aku ka nui o ka ʻano, akā ʻo microangiopathy, i ka wā e hele ana nā hana degenerative i nā capillaries. Ma kēia hihia, ʻo ka loaʻa ʻana o ia mau pathologies e like me ka neuropathy, hoʻopōʻino i ka capillaries o nā keiki a me nā moku o ka retina ocular.
Me ka hoʻomohala lōʻihi a me ka hoʻomohala ʻana i ka maʻi hānai, ʻike ʻia ka hewa ʻole o ka morphology o nā ake o ka naʻau, akā, ʻo ka pancreas. Hiki ke ʻike ʻia nā loli o kahi ʻano dystrophic a i ʻole atrophic i loko o nā kelepona a me nā meakanu, me nā mea e pili ana i ka pūnaehana nīnū.
Kahi helu
Hoʻokaʻawale ʻia ka maʻi i 4 mau ʻano like ʻole, pili ʻia i ka kumu i ʻōlelo ʻia mai ai ka maʻi.
Nā ʻano heʻala o ka maʻi maʻi:
- ʻano mua;
- ʻano lua;
- kikoolelo;
- latent.
E nānā mākou i nā hiʻohiʻona o kēlā me kēia ʻano o kēia maʻi endocrine. Hoʻohālikelike ka ʻaoʻao mua e ka luku mau loa ʻana i nā pona gland kūikawā e hiki ai ke hana i ka insulin.
Ma muli o kēia hopena, ua pau ka hoʻōla ʻana o kēia hormone koʻikoʻi, a ʻaʻohe mana o ka mea i ka lawe ʻana i ka glucose i nā kiko o ke kino. Hōʻike ʻia ka ʻaoʻao ʻelua i ka hoʻomohala ʻana o ka insensitivity insulin i ka mea maʻi.
No laila, ʻo ka heleʻana i ke koko o kahi maʻamau a i ʻole he nui ka nui o kēia hormone - synthesized by the pancreas a i ʻole e hele mai mai waho me ka injections. Hoʻoulu pinepine kēia ʻano kuʻuna o ka receptor insulin e pili ana i ke aniani o ka momona nui.
ʻO ke ʻano gestational kahi mea i kapa ʻia ʻo ka "maʻi hānai maʻi." Hōʻike ʻia ia e ke kahele ʻana o ka hoʻohaʻahaʻa glucose i mālama ʻia i ka wā hāpai, a me ka hyperglycemia koʻikoʻi.
Ma hope o ka hānau ʻana, ʻo ka maʻamau o ke kino e hana maʻamau me ka ʻole o ka mana o waho.
ʻO ka maʻi maʻi ʻoiā kumu nui i kahi kūlana prediabetic o ke kino. Hoʻohālikelike ʻia me ka hoʻomohala maikaʻi ʻana o ka pale ʻana i ka insulin a no ka manawa lōʻihi mau ma mua ʻole me nā hōʻailona ʻike ʻole. ʻO kēia ʻano, ka mea i manaʻo ʻia e nā kauka he nui ke ʻano o ka maʻi, hiki ke hoʻoholo wale i nā hōʻike glucose.
Inā loaʻa kēia helu koko i ka 120 mg, a paʻa mau ka hopena - aia ke kumu e kamaʻilio ai e pili ana i ka prediabetes. Ua kamaʻilio lākou e pili ana i ka hōʻike ʻana o ka maʻi. ʻO ka manifestation ka hōʻike mua o ka maʻi maʻi.
Mai hilahila kēia kūlana a me ka hoʻomaka ʻana o ka maʻi, no ka mea, kahi emi nui i ka pale ʻana i nā mea hoʻonāʻana i ka insulin e hiki ke hele mai me kahi mau hōʻailona ʻole.
Nā hōʻailona haipule a me nā hōʻike hōʻike o nā kuʻuna
Me ka hoʻomohala ʻana o ka maʻi, loaʻa kahi hōʻuluʻulu kūloko o ka amyloid i ka pancreas. ^ E Ha yM. Ma ka hihia o ka maʻi holomua, ʻo ka hoʻopiha piha ʻana me nā puka amyloid o nā mokupuni o Langerhans e ʻike ʻia.
I kekahi mau hihia, ʻike ʻia ka fibrosis pancreatic i ka wā e hoʻohuli ʻia nā maʻi pākoi e ka maʻi kikoo.
Nā puna o ka atherosclerosis
ʻO nā ala holopili i hōʻike ʻia ma luna nei ke alakaʻi i ka manawa o ka nui o nā pilikia nui o ka ʻōnaehana kaila. No laila, ʻo ka nui o ka atherosclerosis kekahi o nā hopena o ka hoʻomohala ʻana o ka maʻi.
ʻAʻole ia he maʻi koʻikoʻi, ma nā maʻi diabetes me ka hoʻomaka mua a ka neʻe wikiwiki loa, e pili ana i nā moku koko nui.
Nā Hoʻopilikia Diabetic
Hoʻopili i nā pilikia me nā pūpū a me nā kīʻaha koko, nā pilikia ʻē aʻe o kēia maʻi e hoʻomohala nei - i ʻole ka hōʻeha a me ka maʻi.
Hoʻokomo ʻia nā mea huehue i ka hōʻiliʻili ʻana i ke koko o nā huahana metabolic a me nā kino o ka ketone, e alakaʻi ana i ka hōʻoki ʻia o nā kino - ketoacidosis.
Ke hoʻonui nui aʻe i nā kiko o ka glucose a me ka huina o ka sodium i loko o ke koko e alakaʻi ana i kahi comos hyperosmolar e ulu kū'ē ana i kahi o ke kīnā o ka make. ʻO kahi hoʻopiʻi hōʻeha ʻē aʻe o ka hōʻiliʻili ʻana o ka waikawa lactic i nā hihia o ka lawelawe kīnā ʻole a me ka hana hepatic, e alakaʻi ana i ka hana hanu a me kahi emi nui o ke kaomi.
ʻO nā hopena maikaʻiʻole ma ka hopena o ka polyneuropathy a me ka wāwae diabetes. ʻO ka mea mua ka emi nui ʻana o ka ʻike ʻana o ka wāwae o ka lā ma muli o ka atrophy o nā nīnū. Hoʻonui kēia hoʻopiʻi i ka hōʻeha o ka hōʻeha pilikino.
ʻO ka wāwae Diabetic - kahi hopena o nā pilikia me ka hoʻokahe koko i nā puʻu haʻahaʻa. ʻO ka hopena, loaʻa nā ulia, ke ʻole, ua ʻike ʻia nā wahi ʻōpū.
ʻO ka morphology pancreatic i ka hoʻomehana maʻi
Me ka hoʻolālāʻana o ka maʻi maʻi, ua hoʻonui ʻia ka nui o nā ala morphological o ka pancreas.I kekahi mau hihia, loaʻa kēia mau hoʻololi i ka pae macroscopic.
Hoʻemi ʻia ka hao ma ka nui, ʻokoʻa ka pathologically overgrown tissue connective.
No nā maʻi maʻamau 2, kahi hanana pinepine pinepine i ka emi ʻana o ka nui o nā maʻi i loko o nā "Islets of Langerhans." I ke ʻano mua, ua ʻike ʻia ka emi ʻana o ka nui o nā mokupuni i ʻike ʻia.
Nā wikiō pili
E pili ana i nā kumu a me nā ʻano mālama o ka maʻi maʻi i ka wikiō:
Ma ka hapa nui, he pēpē pancreatic ʻano e waiho ana i kahi māka morphological hoʻomaopopo i kēia ʻola, ʻo ke aʻo ʻana e kōkua ai i ʻike pono i ke ʻano o ka maʻi a me nā ʻano o kāna mālama ʻana.
