ʻIke ʻia kahi ʻano insulin i hilinaʻi ʻia i ka maʻi maʻamau i nā keiki a me nā ʻōpio. Ua pili pū ia me ka hiki ʻole o nā ʻāpana pancreatic e hana i ka insulin hormone. Inā ʻike ʻia nā hōʻailona o ke ʻano maʻi type 1, pono ia e ʻimi i ke ʻano lapaʻau i ka manawa. ʻO ka endocrinologist, ma hope o ka hoʻokolokolo ʻana i ka ʻike hohonu ʻana i ka mokuahi o nā kaola kāʻei o ka pehu i ke kino, e kōkua i ka hoʻokumu ʻana i ka maʻi o ka maʻi. I loko o ka puʻuwai o nā loea i nā lāʻau lapaʻau, aia nō nā mea hana. Ua hoʻomohala ʻia nā mea ʻai a me nā papa hana o ka hoʻomaʻamaʻa, me ke kōkua o ka mea hiki i ka mea maʻi ke hoʻokokoke hou i ke ola maʻamau.
He aha ka nānā ʻana i nā hōʻailona o ka?
ʻO ka hoʻonāukiuki o ka maʻi maʻi e waiho nei i nā makahiki he nui paha i ʻike ʻole ʻia nā hōʻailona o ka maʻi endocrine. I ka manawa like, ʻaʻole ka palena o nā kaʻina hana hoʻoheheʻe i loko o ke kino ma muli o ka hikiʻole o kā kaola a me nā ʻano ʻē aʻe o ka metabolism (momona, protein). Hōʻike nā pilikia o ka hoʻohaʻahaʻa glucose i nā pūlapa i ka wā o ka hoʻokolokolo ʻana no nā maʻi o ka ʻili, nā niho, ka ʻōnaehana genitourinary, i ka wā o nā loiloi. A i ʻole, e ʻōlelo wikiwiki ana nā hanana i ke kino i ka hana ʻana i ka maʻi ma ka hale maʻi i kahi mea maʻi aia nō ia.
Hoʻohālikelike nā loea i nā kumuwaiwai he nui. Loaʻa a 30% o nā hihia o ka maʻi maʻi hou i loaʻa i nā maʻi i hoʻopiʻi ʻia i nā keʻena olakino me ka ketoacidosis. Kahoacidemic coma e ʻike me nā kiʻekiʻe kiʻekiʻe o ka nui o ka glucose o ke koko no ka manawa lōʻihi. I loko o ke kino, ke hoʻoili nei o ka ʻike o ka hormone o ka pancreas - insulin, i hoʻohaʻahaʻa maʻalahi. Nā hui ketone (acetone) e hōʻiliʻili.
Me ka pale hewa ʻana o ka papaʻai (ʻai lōʻihi) a i ʻole overdose o ka insulin, i lawelawe ʻia mai waho, e hoʻemi ʻia ka nui o ke kō koko koko (he nui aʻe ma ka 3.3 mmol / l). Hoʻopuka ka comyp hypoblycemic coma. ʻO ka mea maʻi, no kekahi manawa, maopopo ʻole. He hopena maikaʻi loa ʻo Coma i ka nānā ʻole ʻana i nā hōʻailona o ka maʻi maʻamau. Hāpai iā ia iā ia he mea hoʻoweliweli nui loa i ke ola.
ʻO ka hōʻikeʻana o kahi kiʻi hōʻailona
ʻO nā mea maʻi me ka maʻi endocrinological e hoʻopiʻi ai i:
Hōʻike ka ʻili o ke kino i ka maʻi diabetes- make wai nui (polydipsia) - i kēlā me kēia lā a hiki i 10 l;
- hoʻonui nui momona (polyphagy);
- kaʻai pinepine pinepine, i ka pō (polyuria) - i kēlā me kēia lā a hiki i 10 lita.
ʻEkolu mau hōʻailona o ka hyperglycemia (ke koko koko kiʻekiʻe) ke manaʻo nei ka mea nui loa - e hōʻike ana. Ua kapa ʻia lākou i nā ʻano maʻamau.
Hoʻopiha i ke kiʻi:
- ke kaumaha o ka kaumaha (ʻokoʻa ʻana ka pae ʻokoʻa, maʻa pinepine);
- ka puka ʻana mai o kahi manaʻo e hoʻomohala i nā maʻi (periodontal disease, furunculosis), nā maʻi ʻokiʻelima (nā kui, ka ʻōpū o waho);
- ma muli o ka waha maloʻo aia nā pilikia o ka niho (kaomi i ke kīwaha, ka hoʻokuʻu ʻana o nā niho, ka hana paʻa ʻana o ka pākeke, ka pōhaku);
- hōʻemi maikaʻi ka hōʻeha ʻana i nā ʻehaʻeha (nā hōʻeha, nā ʻokiʻoki);
- ʻeha i ka naʻau o ka naʻau a me nā keiki bipi.
ʻO nā hōʻailona nui o ka hyperglycemia
Hoʻonui i ke kūlana o kahi mea maʻi me ka maʻi maʻi:
- hiamoe
- he nānā ʻole, hoʻomanaʻo;
- ka nāwaliwali ulu ākea a puni o ke kino;
- hoʻemi i ka hoʻemi ʻana i nā maʻi kīnā.
Hoʻopilikia ka wai koko nui i ka mika moena. Hōʻike ka kāne i ka nāwaliwali o ka potency, nā wāhine - libido.
ʻO ke kumu a me nā hana e hoʻomohala ai i nā hōʻailona
"ʻO ka hele wāwae" he unuhi maoli no ka maʻi maʻamau i ʻike ʻia mai ka wā kahiko. Me ka nele a i ʻole hemahema o ka insulin i loko o ke kino, pololi nā mea ʻai, e alakaʻi ana i ka pohō kaumaha a me ka mae.
ʻAʻole i hilinaʻi nui ka hana nui o ke kikoʻī o kaʻuhane (ʻālo, neurons) i ka hormone o ka pancreas. ʻOiai ke ʻole a hele ʻole paha ka insulin, e lawe kā lākou mauʻu i ka glucose mai ke koko. Me ka hyperglycemia, ʻo ka nui o ke kōpaʻa e komo i ke aʻalolo. Hoʻomaopopo ka mea maʻi i nā hōʻailona o ka luhi, kaumaha i ke poʻo, a me ka wikiwiki.
ʻAʻole pono nā glucose insulin no ka komo ʻana i loko o nā manamana o ka maka. Me ke kō kumu waiwai nui, lilo ke ahonui i ka maka, ka ʻōhule. ʻO nā kīʻaha koko ke kāʻili ʻia o nā kiko kinohi pono ʻole i ka insulin. Hoʻākoakoa ka nui o ke kō i loko o nā kōpona koko, i loko o ka luhi o loko o nā veins a me nā capillaries. Ka hoʻololi ʻana o ke kumukūʻai e pili ana i ka oxygen a me ka carbon dioxide e pili ana i nā kaila koko ʻula. No laila, ke hoʻopilikia nei ka mea kanu o ka hoʻopili hoʻohui.
Hōʻike ka polyphagy ma muli o ka nui o ke kaʻina hana o ka wāwahi o nā protein a me nā momona. Aia kahi hanana pālua - ka luhi o ka mea maʻi i ke kuapo ʻana o kahi makemake o ka makemake. I ka maʻi maʻamau, e nalowale loa ka makemake e ʻai ʻana a hiki i kahi kaʻai piha ʻole i ka meaʻai.
Kau ʻia ka Polydipsia me ka nalowale o ke kahe o ke kino a me nā paʻakai. He māmā a ʻaʻole ʻulaʻula paha ka urine me ka polyuria. Hoʻopili ʻia ka Sugar ma o nā keiki, no laila e hoʻāʻo ke kino e hoʻokuʻu iā ia iho mai ka glucose pono ʻole, ka mea i loaʻa ka mea luku.
ʻO nā hopena maikaʻi ʻole o ka maʻi hānai ma luna o nā pōpoki ua pōʻino no ke olakino a me ke ola o ka mea maʻi
Nā kumu o ke kanesa o ke ʻano
Hōʻike i ka hiki ʻana mai o kahi ʻano hana i hilinaʻi ʻia o ka insulin.
- ʻO nā mea pili i ke alapine o ka maʻi maʻi āpau 1 hiki ke kahakahaʻana, ka atherosclerosis, ka maʻi naʻau coronary, ka maʻi myocardial, a me hypertension.
- Hoʻonohonoho ʻia nā maʻi hōʻeha o ka metabolic. Aia ka ʻona i mua o ka maʻi e ka poʻe i loaʻa i kekahi a i ʻole nā mākua, nā hoahānau pili kokoke i ke koko, ʻeha (maʻi).
- Hōʻailona pinepine ʻia nā maʻi mellitus i loko o nā poʻe i loaʻa kahi mea hōʻeha, ke kaumaha koʻikoʻi (hoʻomanawanui i ka neʻe ʻana)
Ke ʻimi pinepine nei ka ʻike
ʻO ka mea mua, ʻoi aku ka nui o nā ʻōpio ma muli o ka nānāʻole o ka hormonal i ka manawa o ka wā poperty. ʻO ka ʻokoʻa ʻaʻole hiki i nā maʻi ke hōʻeha me nā hoʻouka kaua o ka hypoglycemia - ke kahakaha o ka nui o nā pae glucose o ke koko.
Nā hōʻailona ʻona o ka hilo haʻahaʻa:
- kaohuu
- lima pū kekahi (ʻike nui);
- ʻeha hapa, vasospasm;
- palpitations
- ʻōpū (ka lehelehe, lehelehe, ʻōlelo ʻāʻī).
ʻO nā hōʻailona o ka hypoglycemia
ʻO nā hōʻailona o ka pōloli a me ka nāwaliwali ākea e ʻike pinepine ʻia me ka hyperglycemia, kahi kūlana me nā uku kiʻekiʻe. Inā me ke koko nui o ka mea maʻi e loaʻa i kahi manawa kūpono e hele i ka endocrinologist, a laila me kahi kūlana hypoglycemic, e helu ana ka helu no nā minuke. Ke kūhaʻe ʻia ka hūnā ma kekahi kanaka. ʻO nā hōʻailona o ka ala e hāʻawi i ke ala i ka hiamoe a me ke āpau, kahi kūpono precomatous i loko.
ʻO ka lua, no ka hiki ʻana mai o ke ʻano maʻi diabetes mellitus, ʻike ʻia nā loea lapaʻau i ka wā kū i ka hōʻike. I ka hoʻoilo a me nā hoʻoilo-hoʻoilo, he nui nā helu i hōʻike ʻia. I ka wā o ka wela ʻana o ka wela, ka mahana, ka hiki i ka maʻi o ke kino me nā maʻi maʻi viral (mumps, rubella, measles) i ka nui.
ʻO ke kolu, nā kānaka e predisposed e pili i ka maʻi diabetes 1 kaʻi ʻana i ka hōʻole ʻana i nā maʻi ʻelua. Ua hoʻopaʻa ʻia nā hihia he nui i ka wā e ulu koke ai kahi maʻi endocrine ma hope o ke kanui ʻana.
Hiki ke hoʻopaʻa ʻia kahi paona koko koko i ka home me ka glucometer.
I ka hoʻomaka mua ʻana o nā maʻi metabolic e ulu ana i ke kino, pono ʻoe e ʻōlelo i ke kauka. Hoʻokomo ʻia kēia mau hana i loko o ka hoʻokolohua (ua hōʻike ʻia ka hopena maʻamau i loko o nā brackets):
- ka hoʻoliʻoli ʻana i ke koko (ʻaʻole i kiʻekiʻe ma mua o 6.1 mmol / l);
- ka nānā wailua koko koko (7.0 mmol / l);
- ka ʻike ʻana o ka hemoglobin glycated (a hiki i ka 6.2%);
- profile me ka glucose (a hiki i ka 7,8 mmol / l, hōʻike i ke koko ma loko o 2 mau hola ma hope o ka laweʻana i nā kākena, ma kahi nui o 75 g);
- nā kānalua urine no ka acetone a me ka glucose (kino).
Ma ka maʻi mellitus, ua kūikawā ke kūlana o ka mea maʻi. He hana hoʻoikaika a alakaʻi nui ʻo ia i nā ʻōlelo lapaʻau. Hoʻopili nui nā Endocrinologist i ke aʻo ʻana i ka mea maʻi i ke ʻano o ka hoʻoponopono a me ka nānā ʻana i nā pae koko koko. ʻIke i nā kumu o ke kuana ʻana i ka "kula kula kula." ʻO ka Hyperglycemia kahi hana nui no ka hoʻomohala ʻana i nā maʻiʻeha a me nā pilikia paʻa o kahi maʻi formidable. Aia ia i ka mea maʻi e pili ana i ka hoʻoponopono ʻana o nā mahele iki o ke aʻai, a, e like me ke ʻano o kona ola.
