ʻO ka ʻike mua ʻana i nā hōʻailona o ka hyperglycemia (ke koko koko nui) e hiki iā ʻoe ke ʻimi i ke kōkua kūpono i ka manawa kūpono, me ka hoʻokolohua a koho i ka regimen mālama kūpono. I ka nui o nā hihia, ʻike ʻia ka hyperglycemia ma ka mellitus maʻi diabetes (ʻo nā kumu ʻē aʻe e haʻi iki ʻia), ʻo ka loaʻa ʻana o ka uku e kōkua ai i ka hoʻopiʻi ʻana i nā hoʻopiʻi a me ka make. ʻO nā hōʻailona he nui o ke kō koko koko nui i nā wahine, nā kāne a me nā keiki e hōʻike ana i ka hiki ʻana o nā pathology, i noʻonoʻo ʻia ma ka ʻatikala.
He aha ka glucose no?
Ma mua o kou hoʻomaopopo ʻana i ke kumu o ka honu o ke kō i loko o ke kahawai e ulu a a pehea ke ʻano o kēia ʻano pono ʻana, pono ʻoe e ʻike he aha ka glucose (gula) a me ke kumu e pono ai kēia ʻano no ke kino.
Ma hope o nā huahana momona i ka saccharides komo i loko o ka ʻōpū a me nā ʻili, hoʻomaka ka kaʻina o kā lākou kūkulu ʻana. ʻO ka protein i wāwahi ʻia i nā waʻa amino, lipids i nā momona momona, a me nā hāmeʻe i nā saccharides, me nā molekika. A laila ke kō i ke kō i loko o ke kahawai a kahe ʻana o nā ʻāpana a me nā ʻāpana e hoʻohana ana i ka insulin (he hormone synthesized e ka pancreas).
ʻO nā hiʻohiʻona nui o ka waihona
Nui! ʻAʻole hiki i kēia wahi hormonal ke hoʻopili i nā kinikona glucose e komo i loko o nā pehu, akā e hōʻemi ana i ke kiʻekiʻe o ka glycemia i loko o ke koko.
Hoʻohui pū i ke komo ʻana i nā hana ikaika, pono ke kino i ka hilo no ka ʻoihana:
- ka hana ʻana o nā waikawa amino a me nā kumu nucleic;
- komo i ka syntid synthesis;
- hoʻoulu o ka hana enzymatic;
- kākoʻo i ka hana o ke ʻōnaehana cardiovascular;
- hoopauia o ka pololi;
- ka hoʻoweliweli ʻana o ka ʻōnaehana hoʻoliʻiliʻi.
No ke aha e kū ai ke kiʻekiʻe o ke kō?
Aia nā kūlana e hoʻonāukiuki i ka piʻi o glucose. Hiki iā lākou ke hele a me ka pathological. I ka hihia mua, ʻaʻole pōkole ke glycemia, ʻaʻole pono e nānā a me ka mālama ʻana. ʻO nā kumu pathological e pono ai ka maʻi ʻokoʻa a me ka mālama ʻana i ka pākeke a i ʻole ke keiki.
Pākuʻi nā mea Physiological i ka manawa o ka wā hāpai, ka hopena o nā kūlana koʻikoʻi ma ke kino, ka haʻuki, ka hoʻohui ʻana i nā helu o nā huahana kalapona i ka papa kuhikuhi hoʻokahi.
Hoʻomaopopo ʻia nā helu glycemic high pathologically i nā pilikia aʻe:
- ke ʻano o nā kuʻuna a me nā poli adrenal;
- Nā maʻi noʻonoʻo;
- nā maʻi o nā pancreas a me nā kelepa adrenal;
- diabetes mellitus;
- kuni a nā ʻōnaehana;
- ʻaihua epileptic.
ʻO Pheochromocytoma (adrenal gland tumor) ʻo ia kekahi o nā kumu e ala aʻe ka kiʻekiʻe o ka glucose koko
Nā hōʻailona o ka Hyperglycemia
Eia nō naʻe, ʻike ʻia nā hōʻailona o ke koko koko nui ma ke kiʻekiʻe o ka maʻi, ʻaʻole hoʻi i loko o nā hana mua. No ka hoʻohālikelike, i ka mellitus diabetes, hōʻike ʻia nā hōʻike o hyperglycemia ma hope wale nō o 85% o nā cell secretory o ka pancreas i make. Hōʻike kēia i ka nele o ka hiki ke mālama i kahi kūlana pathological.
Nā hōʻailona o ke koko koko nui i nā keiki a me nā pākeke, ke ʻike pinepine ʻia e nā ʻohana o nā poʻe maʻi i ka poʻe maʻi;
ʻO keʻano o ka glucose koko i nā keiki- ka pololi pathological, ka mea i hōʻike ʻia e ka makemake nui, akā me ka loaʻa ʻole o ka paona nui;
- e nalowale ana ke ao, nā kaumaha, nā huhū;
- hoʻololi ka naʻau i ka wahi o ka lima a me nā wāwae;
- ke ʻano o ka ʻāwili o ka ʻili, pinepine i nā maka i ʻike ʻole ʻia;
- hoʻōla lōʻihi i nā ʻūlū, nā hōʻeha, nā hōʻeha;
- nā kaʻeha hana o nā ʻōnaehana genitourinary o kahi ʻano relapsing.
Hōʻikeʻike o ka maʻi maʻamau
I ka nui o nā manawa, hele mai ka "maʻi maikaʻi" i kahi kiko, no laila ʻaʻole hiki i ka poʻe maʻi ke manaʻo i ka nui o ka nui o ka glucose. Hōʻike pinepine ʻia kēia ʻano ma ka wā o ke mālama olakino pale e like me nā hopena o ka diagnostics laboratory.
Me ka nui o ke kō i loko o ke koko, kahi hopena kūlohelohe i ke kino o ka mea maʻi ma ke ʻano holoʻokoʻa a ma luna o kāna mau lālā pilikino. ʻO ka mea mua, ua kau ʻia nā moku liʻiliʻi-caliber, ka mea e alakaʻi ai i nā loli i nā hana trophic.
Ke lawe nei i nā maʻi ʻano hopena, pono e noʻonoʻo ʻia i nā pūʻulu kumuhana no ka hoʻomohala ʻana o ka hyperglycemia e komo:
- nā mea maʻi me ka polycystic ovary;
- nā mea maʻi me ke koko koko kiʻekiʻe;
- nā pākeke a me nā keiki me ke kaumaha nui;
- nā kānaka me nā hoahānau kīnā me kekahi ʻano maʻi maʻi;
- nā wahine i loaʻa i ke ʻano ʻano maʻi o ka maʻi ma mua.
No ka wehewehe ʻana i ka hele ʻana o kahi ʻano palolo, e hoʻomaʻamaʻa ʻia kahi hōʻike me kahi hilo gula. Inā hana ka pilikia i ka manawa a e kuhikuhi ʻia ka mālama kūikawā ʻana, hiki ke pale ʻia ka hoʻomohala ʻana.
Nā hōʻailona hoʻonāukiuki o ka holi kiʻekiʻe
Me ke kōkua o nā diagnostics laboratorium, ʻaʻole hiki iā ʻoe ke hōʻoia ʻīlio ʻana i ka hoʻonui ʻana i ke kōhi koko, akā, ʻo ia hoʻi ka pae, e hiki ai iā ʻoe ke nānā i ke ʻano maʻamau o ka mea maʻi, e koho i ka nui kūpono ma nā lāʻau lapaʻau no ka hoʻōki ʻana i ke kuʻuna.
Hoʻopilikia ʻia nā kūlana o ka mea maʻi ma o ka nānā ʻana i kona koko capillary a i ʻole nā mana venous
Me ka hoʻonui ʻana o ka nui o nā hōʻailona o ka glucose i loko o 8 mmol / l, ke kamaʻilio nei mākou e pili ana i kahi kulekele o ka hōʻehaʻeha. ʻO nā helu mai 8 a 11 mmol / L ke hōʻoia i ka heleʻana o ka hyperglycemia modale. Ke ulu nui nei ka maʻi glycemia e ke ʻano o ke kōpaʻa ma luna o 11 mmol / L.
ʻO kahi piʻi nui i nā helu glycemic ma luna o 15 mmol / l ke kuhikuhi i ka hoʻomohala ʻana o kahi kūlana precomatous. ʻO ka nele o nā kōkua kūpono e koi ana i ke alakaʻi o ke kōmike i kahi coma. Mai ka wā i hala ʻole ai ka ʻike, ʻike nā poʻe ola olakino he 4-8 mau hola e pale ai i ka make.
Hiki i kahi kūlana koʻikoʻi hyperglycemic hana i kekahi mau ʻano:
- ketoacidotic;
- ʻōpiopio;
- lactic acidosis.
Hōʻikeʻike o nā hoʻopiʻi o ka hyperglycemia
ʻO nā ʻōmaʻomaʻo o ke koko koko kiʻekiʻe ke hoʻomaka a hiki i ka wā lohi. ʻO ka lua o nā koho he ʻano kaʻina o nā hoʻopiʻi hope loa o ke ʻano pathological, ka mea i hōʻike ʻia e ka hōʻino ʻia e ka mea ʻike kiʻi ʻike, nā moku nui a me nā liʻiliʻi, nā ʻōpū, a me nā pūnaehana peripheral.
ʻO ka pau ʻole o ka mea ʻike manu
E kū'ē i ke kua o ka maʻi mellitus o kēia maʻi, ua kapa ʻia kēia ʻano maʻa me ka retinopathy diabetic. ʻO ka mea mua, ua loaʻa ka retina i ka hopena o ka hopena o ka glycemia kiʻekiʻe (nānā ʻia i nā mea maʻi āpau). I ka wā ma mua, hiki ke ʻike ʻia nā hōʻailona o ka lēʻeha me ka hoʻokolokolo ophthalmological, ma hope mai nā hoʻopiʻi ʻana mai ka poʻe maʻi:
- ua emi mai a ikeu;
- ʻeha ma nā kuʻekuʻe maka;
- laū;
- pale ma mua o nā maka.
ʻO ka nānā kālā kālā e hoʻoholo i ka heleʻana o nā patology
Hoʻoholo kahi loiloi ophthalmological i:
- ka heleʻana o nā microaneurysms;
- retema edema;
- ʻūhā;
- hoʻopaumaha o nā kīʻaha koko;
- optic disc neovascularization;
- ke hoʻokumuʻana o nā palupalu palupalu a paʻakikī.
I ka hapa nui, aia ma hope o ka nīnau ʻana i kahi ophthalmologist e aʻo ka mea maʻi i nā pilikia me ka glycemia.
ʻOlogylelo palema
ʻO ke ʻano lapaʻau no kēia kūlana i kapa ʻia ʻo nephropathy. Hoʻohālikelike ʻia e ka mea ʻino i nā moku o kaʻeha, ka mea i hui ʻia e ka hoʻokumu ʻana o nā mea hoʻohui konohiki a me ka hoʻomohala hou aku o ka nele. I ka hoʻomaka mua ʻana o nā patologi, ke hele nei ka hyperfunction o nā keiki, ʻo ia hoʻi, ʻo ke komo ʻana o nā mīkini hoʻokipa. Hoʻonui pinepine nā kīʻaha o nā pūpū i ka nui, urination pinepine aʻe.
Hana ka papa hana i kekahi mau makahiki. ʻAʻole palupalu nā paia vascular, ʻaʻohe maʻi o nā mea maʻi mai ka ʻōnaehana urinary, ʻaʻole ʻike ʻia ka protein i loko o ka pāʻai. Ua hoʻopaʻa ʻia ke kolu o ka ʻanuʻu e ka hoʻoholo ʻana o ka protein i ka urine, e hōʻike ana i ka hana ʻino i ka hana excretory o nā keiki.
Loaʻa ka hana hou (ʻehā) ma hope o 8-10 mau makahiki. Hōʻike ia e ke ʻano o kahi nui o ka nui o ka protein i ka urine. Hoʻopiʻi ka poʻe maʻi i ka hōʻea ʻana o nā hōʻiliʻili nui o nā ʻāpana haʻahaʻa, nā maka. Ma hope e piʻi ka ascites, hōʻuluʻulu i nā wai i loko o ka peke o ka puʻuwai. Hoʻomaʻaʻa ʻia nā ʻano hōʻailona o ka nui o ke kō i ke koko, i nā kāne, nā wāhine a me nā keiki.
- hoʻoikaika kino kino i ke kino;
- nāwaliwali kūpono, emi iho ka hana;
- nā helu kiʻekiʻe o ke koko;
- lie kanikela
- ʻaʻano pōkole
- ʻeha i ka naʻau.
ʻO ka hōʻike ʻana o ka protein i ka urine kahi hōʻailona o ka hoʻomohala ʻana o kahi kūlana pathological
Aia kahi kōpō hemahema, hiki ke hoʻoponopono ʻia ke kūlana o ka mea maʻi e ka hemodialysis, nā pūniki a me ka transplantre pancreas.
Hōʻino loa i ka ʻōnaehana kelepoli
Hoʻohālikelike ke ʻano o ke pathological e ka hōʻino i nā nerbios e komo pū ana i nā kino o loko a me nā peripherals. Nā ʻōlelo maʻi:
- ke puhi ʻana o nā maʻi a me nā ʻāʻīwili i loko o nā wāwae;
- ʻeha kaʻi ʻeha;
- ʻike maka;
- ka nānāʻole o ka naʻau;
- ka hele ʻana i ka wā e hele ana.
Mālama ʻia nā maʻi maʻi ma lalo o ka mālama ʻia o ka lāʻau lapaʻau maʻamau e kekahi neurologist.
Hōʻike i ka ʻike mua a me ka hopena o nā hōʻailona a me nā hōʻike o ka hyperglycemia e hiki iā ʻoe ke hana i ka manawa kūpono i kahi ʻano pathological, koho i ke ʻano hoʻoponopono kūpono loa, pale i ka hoʻomohala ʻana o nā maʻi a me nā maʻi.
