ʻO Prediabetes kahi palena palena o ke kino ma kahi o ka pae o ka glucose i ke koko, ʻoiai ke kiʻekiʻe, ʻaʻole lawa ia no mākou e hōʻike ai i ka maʻi ponoʻī.
ʻO ka kūlike o kēia maʻi aia ma kāna papa asymptomatic. He wahi mehameha ia o kahi ʻano nui i ke kaumaha: type 2 diabetes.
ʻO ka mea pōmaikaʻi, ʻaʻole ia i kahi pinepine - i ka 25% o nā hihia. ʻO ke ola kūpono a me ka mālama kūpono e kōkua i ka pale ʻana i ka hoʻomohala ʻana o ka maʻi.
He aha ka prediabetes?
ʻO ke kumu o ka patology ʻo ka hiki ʻole o nā hakakā ke komo i ka insulin i ka nui kūpono. I ka hopena, loaʻa ke kō i loko o ke kino me ka meaʻai e ʻohi ai i loko o ke koko.
ʻO ka pōʻino o PD ma ka hopena kiʻekiʻe no ka hoʻomohala ʻana i ka lolo-like-insulin.
Akā ʻaʻole ʻoe e panic - pane maikaʻi ka maʻi i ka mālama ʻana. Wahi a lākou e pili ana i ka ʻatikala inā hāʻule ka waiwai o ke koko koko i loko o ka pā o 100-125 mg / dl.
ʻO wai e līlū i ka prediabetes?
Ua hoʻokau ʻia ma kahi o ʻewalu miliona mau poʻe Lūkini i loaʻa i kēia ala kuʻuna, a ma mua he 2.5 miliona mau kānaka o ka maʻi maʻi. ʻO ke koena (kokoke i 2/3) ke ʻimi nei i ke kōkua olakino, a ʻo ka hapa nui o lākou ʻaʻole ʻike paha i ka maʻi.
Hoʻokomo ka hui pilikia:
- nā maʻi maʻi momona. I kēia hihia, ʻo ka hiki ke hoʻomohala ʻana i ka maʻi diabetes i ka hapakolu;
- hypertension;
- nā kānaka me ka huaʻilihune maikaʻi (aia nā maʻi ma waena o nā ʻohana);
- wahine me nā maʻi maʻi gestational;
- nā maʻi me nā kolamu kiʻekiʻe;
- nā wahine me polycystic ovary;
- 'elemakule
- nā poʻe maʻi i mālama ʻole ʻia no ka maʻi periodontal a furunculosis paha.
Hiki ke ʻike ʻia i nā keiki prediabetes i nā keiki. Aia kekahi ma muli o kahi maʻi i hala a i ʻole i ka wā postoperative. No laila, he mea nui loa ka nānāʻana i ke kūlana o ke keiki i ka wā o ka hoʻoponopono.
Nā kumu hoʻolālā
ʻAʻole i ʻike ʻia ke kumu kumu o ka maʻi.ʻO ka pilikia nui ka hopena maikaʻi ʻole o ke kino ma ka inika (kekeʻeoʻi), ʻoiai ke kīlei nei nā pancreas i kahi maʻamau.
ʻO ka hana nui o ka haki ka hāʻawi ʻana i nā glucose (a, no laila, hoʻoleʻa) i nā pūpuna o nā kiko o nā iwi āpau. Hoʻokomo ka Glucose i ke kahe koko e like me kahi ʻāpana o kahi kīʻaha.
No laila, hoʻonui maoli ka meaʻai i ka glycemia, no ka mea, ua hoʻomoʻi koke ʻia ʻo ia. Inā komo pinepine ke kō i ke kino i loko o ke kino, pili ka kino i ka "ʻano pale". Hōʻola nā cell i ko lākou hiki ke ʻike i ka insulin a ʻaʻole e ʻae i ka glucose ke hele. Pēlā kēia e hoʻomohala ai a PD.
Nā Hoʻomaka
Hoʻohālikelike ke kiʻi olakino o PD me nā hōʻailona o ka maʻi type 2 like ʻole a i ʻole holo. No laila, i ʻole e haki i nā hōʻike mua o ka prediabetes, he mea nui ia e hoʻomaʻamaʻa i ka maʻi lapaʻau e pono ai i kēlā me kēia makahiki.
ʻO ka maʻi ka hoʻonāukiuki ʻana i nā hanana o kēia mau hōʻailona:
- ka makewai. Ma muli o ka hoʻonui i ke kō, hoʻonui ʻia ke koko, a makemake hou ke kino e hoʻoheheʻe ʻia;
- moeʻuhane maikaʻi. Hōʻike kēia ma muli o ka hoʻonāukiuki i ka hopena o ka glucose iki;
- kaʻai pinepine, ʻo ka mea maʻi i inu i ka wai nui;
- ʻO ka lilo o ka momona kaumaha asymptomatic. ʻAʻole hiki i nā moku koko ke komo nui i ka glucose, e waiho nō ia i ka plasma koko a ʻaʻole i komo i nā palaka o nā aea. ʻO ka nele o kēia mau mea ʻai, a lilo kekahi mea momona;
- pupule aniani, ʻāʻā, a me ka pruritus. ʻO ia ka hopena o ke kahe koko ʻole (ma muli o ka palupalu, ke hele maikaʻi ʻole ke koko ma o nā moku liʻiliʻi);
- wahī ʻaʻe. Me nā prediabetes, ʻike nā ʻōpū āpau i ka "hema" o ka meaʻai;
- fiva;
- migraine ʻO ka hōʻeha ʻana o ka maʻi (liʻiliʻi) i nā moku o ka lolo, ʻike ka ʻeha i ka ʻeha.
Diagnostics: nā ʻano hoʻohālike
No ka mea ʻaʻole i ʻike ʻia ka maʻi maʻi, pono ke kūkā ʻana i ke ʻano lapaʻau. I ka wā o ka hoʻokolohua, hōʻike ka mea maʻi i nā peeling o ka ʻili, ka nui o ke kaumaha. Hoʻopau kekahi kanaka i ka huhū, nāwaliwali, waha maloʻo. Hoʻokumu i ka mōʻaukala olakino, kuhikuhi ke kauka i nā hoʻokolohua.
Hiki iā ʻoe ke ʻike i ka maʻi e hoʻohana ana i nā hoʻokolohua ʻoihana nei:
- ka ʻike ʻana i ka ʻae ʻana o ka glucose (waha);
- ka hoʻāʻo ʻia o ke koko (capillary);
- ke kō i ka paʻakai.
I ka hihia mua, lawe ʻia ka hoʻomaʻemaʻe koko ma hope o ʻewalu mau hora o ka hoʻokē ʻai.
Hōʻike ka noiʻi ʻana i ka maikaʻi o ke kino e hoʻonaninani i nā glucose. Hiki ke nānā ʻia nā maʻi o PD (a i ʻole ka maʻi latent) inā e hāʻule nā waiwai i loko o ka pā o 100-125 mg / dl a i ʻole (5, 56-6, 95 mmol / l).
Ke ʻōlelo ʻana me ka hilinaʻi e pili ana i ka prediabetes, ʻaʻole lawa ke aʻo ʻana. Pono ʻoe e lawe i kahi loiloi i kekahi mau manawa, ʻoiai ka pololei o ka hopena e hiki ke hopena i ka hauʻoli, kahi kīʻī o ke kofe, lawe i nā lāʻau lapaʻau a me nā kumu ʻē aʻe.
Inā ma hope o ke ana ʻana i ka hoʻāʻo ʻana o ke kō e mālama nui ʻia, ua kuhikuhi ʻia kahi ʻano noiʻi no ka hemoglobin glycosylated. Hōʻike ia i nā kiʻekiʻe o ke kō i loko o nā mahina ʻekolu i hala. ʻOi aku ka kiʻekiʻe o ka glycogemoglobin, ʻoi aku ka nui o ka loaʻa ʻana o ka maʻi diabetes. ʻO ka maʻamau, ʻo kēia mau kuhikuhi he 4-5.9%.
Hoʻomaka ka mea maʻi e ʻae i ke ʻano o ke ʻano o ka maʻi i kēia manawa - ka prednisone-glucose kaomi:
- a ʻekolu lā ma mua o ka hoʻoilo ʻana, pono ka mea maʻi e ʻai i nā meaʻai a loaʻa i ka liʻiliʻi o 300 g ka nui o nā kālaiʻai;
- he mea nui ka protein a me ka momona i ka meaʻai he mea maʻamau;
- 2 mau hola ma mua o ka hoʻomaka ʻana o ka ukana glucose, ua mālama ʻia ka mea maʻi i ka lāʻau Prednisol (12.5 g).
Inā hōʻike ʻia ka hōʻike ma kahi ʻōpū haki i kahi waiwai o ka 5.2 mmol / L, a ma hope o 2 mau hola ma mua o 7 mol / L, ʻike ʻia ka PD.
ʻO ka hoʻokele Staub-Traugott kahi ʻano ʻē aʻe no ka nānā ʻana i ka maʻi diabetes. Aia kona waiwai i ka ʻoiaʻiʻo ma mua o ka lawe ʻana i ke koko, inu ka mea maʻi i ka 50 g o ka hoʻonā glucose a ma hope hou - ma hope o 1,5 mau hola. Ma muli o ke kanaka olakino, hoʻonui ka nui o ke kōpaʻa ma hope o ka hopena mua, a laila ʻo ka nui o ka hoʻonui i nā maʻi ʻelua i hōʻike ʻia ka PD.
Hoʻopiʻi koko
Hōʻike ʻia nā helu kūpapa kumu nui no ka PD a me ka maʻi diabetes i lalo:
| Kokua | Paleka maʻi (mmol / l) | Diahuʻi (mmol / L) |
| Haka (ʻai ʻaina) | 5,5-6,9 | Mai ka 7 a ma luna |
| Glucose 2 mau hola ma hope o ka ʻaina | 7,8-11 | 11 a e oi |
| Hemoglobin Glycated (%) | 5,7-6,5 | Mai 6.5 a i luna |
Ka pono a me ka maʻamau o ka hoʻāʻo
ʻO nā diagnostics Laboratory maikaʻi loa e hoʻokō pinepine ʻia. E hōʻike ʻia nā hopena e pili ana i ka maikaʻi o kāu meaʻai a me ka regimen.
Ua noʻonoʻo nā hōʻike, e kōkua ana i ke ʻike i nā maʻi ma ke ala. Hoʻopauʻokoʻa i kahi lāʻau kūpono e hoʻopau iā PD.
Lawe ʻia nā loiloi i nā ʻoihana uku uku, no ka mea ua lako lākou me nā lako kiʻekiʻe a me nā mea hou. Aia kahi kiʻekiʻe o ka hopena noiʻi i loko o nā ʻoihana ʻē aʻe. He mea nui e nānā pinepine i nā ʻōpū: hāʻawi i ke koko a me ka urine no ka nānā ʻana. Pono ʻoe e kiaʻi mau i ka kōʻai, no laila pono ka home o ka glucometer ma ka home.
Inā he 45 paha kāu mau makahiki (a emi mai paha) a loaʻa iā ʻoe nā paona hou, pono ʻoe e lawe i nā hoʻokolokolo ma kēlā me kēia makahiki. Ke kūpaʻa nei ka paona - hoʻokahi manawa i ʻekolu mau makahiki.
ʻO nā hopena e hoʻonui i ka hiki o kahi maʻi
ʻO nā mea e hoʻonui pono ai ka prediabetes e loaʻa:
- hoʻonuiʻia nā helu koko koko (140/90) me ka kolamu kiʻekiʻe;
- pilikia ka ʻohana koke i ka diabetes non-non-insulin;
- ua ʻike ʻia ka maʻi diabetes gestational i loko o kou makuahine a i ʻole ʻoe;
- nā hana hōʻemi kino kino (a hiki i 3 mau hola no ka pule);
- ʻo ka nui o ka pēpē ma mua o 4 kg;
- hōʻike ʻia me ka hypoglycemia (maʻa haʻahaʻa ma waena o kaʻai);
- hoʻohana lōʻihi o nā lāʻau lapaʻau o kahi ʻano ʻē aʻe o ka hana;
- ka hoʻohana pinepine ʻana i ka kofe (ʻoi aku ma mua o 3 mau ipu o ka lā);
- huʻipiʻi a me nā ʻili ʻē aʻe a pulu;
- maʻi wā maʻi.
Hoʻomaʻamaʻa
ʻO ka manaʻo o kēia hana mālama ka mālama i ke kō. ʻO ka mea nui ka hoʻāʻo e hoʻololi i ke ala maʻamau o ke ola maʻamau.
ʻO ka mea mua, pono ʻoe e nānā i kāu ʻai.
Pono e hoʻopihapiha ʻia nā meaʻai me nā meaʻai momona a nā momona.
Pono ka liʻiliʻi o nā meaʻai momona. He mea nui e kāohi i ka nui o nā meaʻai laʻai i ʻai ʻia (ka waiū, nā ʻūlī).
Hoʻonui i nā hana kino (olakino). E hoʻomaʻamaʻa i kou kino, e hoʻolōʻihi i ka manawa o ke aʻo. E hoʻomaka me ka hele. Maikaʻi loa e kipa aku i ka loko. E hoʻopili i nā mea kokoke i kāu papa. Inā pili i ka mālama ʻana i nā lāʻau lapaʻau, e hahai pono i nā ʻōlelo a ke kauka.
ʻAkohola
Hoʻopilikia ka waiʻona waiʻona i ka kino ma nā ʻano like ʻole. No laila, nā waiʻona waiū a i ʻole nā pōmole me kahi hōʻaiʻai kiʻekiʻe, ʻoiaʻiʻo, e contraindicated ma prediabetes.
Akā ʻaʻole kēia kahi. ʻO ka ʻoiaʻiʻo o kēlā me kēia waiʻona e hoʻonāukiuki i ka hypoglycemia pōkole: e hoʻopau ka ate i ka hana o ka glucose, a ua hāʻule ka meli ma lalo o kahi maʻamau (3.3 mau unuhi). Me ka "mālama" pinepine ʻia kēia hana no nā lā he nui. ʻO ia, pono ʻoe e inu paʻa i ka dosed.
ʻO nā kukuna momona a me nā waiʻona e pāpā ʻia loa.
He hewa maikaʻi ke manaʻo e hiki i ka waiʻona ma PD ke hoʻohaʻahaʻa i ka hilo. ʻO kaʻoiaʻiʻo, ʻoi aku ka nui o ka loaʻa ʻana o ka maʻi diabetes type 2. Hōʻalo ka wai ʻona ma ke kīhāpai e hiki ke hōʻeha, no ka mea, ʻaʻole hiki i kahi maʻi maʻi ke pale i kahi nui o nā meaʻona.
Me ka prediabetes a i ʻole kahi maʻalahi o ka maʻi, hiki nō ʻoe ke inu no, akā, pono ʻoe e hana i kēia manawa a ʻaʻole ʻoi aku ma mua o 150 g o ka waina maloʻo a 250 ml paha pia.ʻO nā mea ʻona wai ʻole e lohi ʻia inā ua pili ʻo PD me nā ala ʻē aʻe:
- nā hoʻomaʻemaʻe keu nui i ke koko;
- nā maʻi o ka pancreas a me nā ate;
- ʻōmaʻomaʻo papa;
- atherosclerosis.
Pahu ʻia ka pia no ka loaʻa ʻana o ka paona wikiwiki. Hoʻokumu pinepine nā wahine i ka hoʻohui i kahi waiʻona foamy.
Nā wikiō pili
He aha ka prediabetes a pehea e mālama ai iā ia? Nā pane i loko o ke wikiō:
Hoʻopilikia maikaʻi nā mea liʻiliʻi ma ka uptake glucose i ka mālama ʻana. I ka mālamaʻana i ka prediabetes, nui ka mea i hilinaʻi i ka mea maʻi iā ia iho. Inā ʻike ʻoe i ka ikaika i loko ou a hoʻololi i kou ola, hiki iā ʻoe ke hilinaʻi i ka maʻamau maʻamau o ke ʻano me ka ʻole o ka mālama ʻana i ka lāʻau lapaʻau.
