ʻO kekahi o nā maʻi maʻamau i ʻike ʻia i loko o nā wahine he maʻi maʻi. ʻO ka ulu ʻia ʻana o kēia maʻi ma ka wahine i pili me nā kumu he nui, e hoʻomaka ana mai ka predisposition genetic o ka wahine wahine i ka maʻi endocrine a hoʻopau me ka hana hou ʻana i ka hormonal o ke kino wahine i ka wā o ka hapai a ma ka menopause.
ʻO ka hua'ōlelo mellitus ka maʻi maʻi maʻi endocrinological koʻikoʻi Hoʻopilikia kēia maʻi i kahi hihia o nā kaʻina metabola i loko o ka wahine wahine, akā pili ka nui o nā pehu a me ke kalapona. ʻO ka hoʻoluhi lohi nei o nā hōʻailona i kahi pōpilikia nui i ka olakino, no ka mea, i ka manawa lōʻihi, hiki i ka maʻi maʻi ke alakaʻi i ka hoʻomohala ʻana i nā ʻōhumu o nā hui he nui, ʻo ia hoʻi mai ka ʻōnaehana cardiovascular. I nā wahine, he ʻokoʻa ka maʻi diabetes i ke kāne, no kēia kumu he pono e ʻike i nā hōʻailona o ka maʻi maʻi i ka wahine.
ʻO nā ʻano o ka maʻi maʻi
Nui nā ʻano maʻi mellitus, eia nō ke ʻano o ka maʻi maʻi a me ka lua, me ka maʻi maʻi gestational, ua manaʻo ʻia he mea maʻamau ka mea maʻamau i ka wahine. Ma kahi ala hou, ua kapa ʻia ʻo ia he mea hilinaʻi a i ʻole i ka juvenile - ke ʻano mua, a me ke kūpaʻa ʻana o ka insulin - ʻaʻai ʻano type 2, ma ka huli ʻana, pili pū ka ʻano hana gestational i ka manawa o ka hapai. He mea nui ia e hoʻomaopopo he wahine wale nō ka mea hiki ke loaʻa kahi ʻano gestational o kēia maʻi. Hoʻokumu ka puka gestational i ka wā o ka hapalua o ka hapai a ke hoʻomaopopo ʻole i kēia manawa.
ʻO ka hōʻailona nui ka maʻi hānai he piʻi i ke kō koko
ʻOkoʻa kā lākou pathogenesis, akā kokoke nā hōʻailona like ʻole. ʻO ka type 1 diabetes mellitus, ma ke ʻano he lula, hoʻomohala koke a loaʻa iā ia kahi kiʻi klinika mākaʻikaʻi me nā hōʻailona i hoʻomaopopo ʻia. Akā ʻo ke ʻano lua he mea ʻole hou aʻe nō hoʻi, no ka mea hiki i ka manawa prediabetic ke ulu i loko o nā makahiki he nui.
Nā hōʻailona o ka maʻi maʻi i ka wahine
Hoʻololi ʻole nā ʻoli o nā maʻi maʻi i ka wahine i nā kāne, akā no ka hōʻoia o ke ʻano maʻi, pono lākou e hoʻokaʻawale. Pono e hoʻolilo i ka nānā ʻole ʻana i nā hōʻailona a me nā hōʻailona o ka maʻi maʻi i ka wahine e hiki ke alakaʻi i ka ulu ʻana o nā hōʻeha koʻikoʻi a he pilikia paha. ʻO ka ʻike wale nō i nā hōʻailona mua o ka maʻi maʻi e hiki ke kōkua i ka pani ʻana i ka holomua o kēia maʻi kūlohelohe.
ʻO nā hōʻailona mua o ka maʻi hānai ma ke kino wahine i loaʻa nā hōʻailona e like me:
Hoʻomaopopo o nā maʻi Diabetes Type 1- Weupuaa. ʻO ke palupalu, ʻo ka hōʻeha pinepine ʻana o ka hiamoe, ʻo ia kekahi o nā hōʻailona e hoʻoweliweli mua ai, me ka manaʻo ʻole o ke ʻano. ʻAno nāwaliwali i ka nāwaliwali i nā manaʻo i ka wā o ka holi ʻana i ka wā i ka wā haehae. ʻO kahi nāwaliwali i kēia maʻi e hiki ai ke kahuli i nā wana mōhina o kēlā me kēia ma ka mālama maikaʻi.
- Kahuna. ʻO kahi manaʻo o ka puʻuwai maloʻo a me ka make wai ʻole e ʻike ʻia kekahi o nā hōʻailona e hōʻike nei i ka maʻi i loko o nā wāhine, akā ʻo kēia hōʻailona naʻe he ʻano kūikawā ʻole ʻole. ʻO ka ulu ʻia o ka makewai a me ka pupule e inu i ka nui o nā wai e hiki mai ana ma muli o ke kaumaha nui o ke kino ma ke ʻano o ka urination pinepine.
- ʻO ka urination pinepine ka hiʻohiʻona o kēia maʻi a loaʻa ma kahi ʻano koina e uku ai i ka hoʻoneʻe ʻana i nā momona glucose mai ke kino. Ua kapa ʻia kēia kūlana me ka glycosuria a ua hoʻoholo ʻia ma ka hoʻoneʻe ʻana i ka hoʻāʻo ʻana i ka urine.
Aia pū kekahi mau hōʻailona ʻano like o kahi ʻano maʻi. ʻO ke ʻano maʻamau o ka maʻi maʻi i hele pū ʻia me ka wikiwiki o ka hoʻoluhi ʻana o ka wahine, a ua ʻike ʻia kēia ʻano kūʻē i ke kumu o ka ulu ʻana o ka momona. ʻO kahi hōʻokoʻa, ʻo ka maʻi type 2 he ʻano maʻamau o nā wahine me nā maʻi metabolic, pinepine lākou i ko ke kaupaona ʻana a i ʻole hoʻi i ka momona o kēlā me kēia ʻokoʻa. I kēia mau makahiki, hoʻonui nā hōʻailona a me nā hōʻailona o ka maʻi.
He aha ke kumu o ka maʻi diabetes?
Hoʻoulu ka ʻōpiopio mellitus type 2 i kekahi makahiki ma hope, ʻo ia ka huina me kahi nui o nā kumu, ʻo ia hoʻi, ʻo ka maʻi lāka type 2 he maʻi multifactorial. ʻO nā mea koʻikoʻi e alakaʻi i ka hoʻokumu ʻana i kahi ʻano like ʻole o ka maʻi o ka maʻi.
- ʻO ka hana kūpono ʻole i hoʻohui pū ʻia me ka hana kino ke kumu nui i ka loaʻa ʻana o ka nui o ke kino nui.
- ʻO ka maʻa ma muli o kaʻai kūpono ʻole o ka meaʻai a me ka ʻai nui o nā meaʻai he nui.
- Nā kūlana kaumaha. Hoʻopiʻi pinepine ka noʻonoʻo psycho-naʻau.
- ʻAʻole lawa ka lawa o ka hiamoe e alakaʻi ai i ka hōʻiliʻili ʻana a me ka hana ʻana o nā momona i ke kino o ka wahine.
Me ka nele o ka insulin, ʻaʻole hiki i ka glucose ke komo mai loko o ke kahe i loko o nā wahi o ke kino, ka mea e make ai ka hyperglycemia
ʻO ka nui o ke kiko adipose e lohi pinepine i ka kūlia insulin i loko o nā kino āpau o ke kino, ka mea e alakaʻi ai i ka hōʻemi o ka glucose i loko o ke koko. Ma ke ala, ʻo ka keu aku kekahi o nā hōʻailona o ke ʻano o ka insulin i kū i ke ʻano o ka maʻi. I mea e uku ai no ka hyperglycemia, hoʻomaka nā mea maʻi pancreatic e hana ikaika i ka insulin a ma mua o ka wā e hōʻemi ʻia.
ʻO kekahi, no laila e ʻōlelo ai, he ʻano wahine o ka maʻi ke ʻano o ka maʻi gestational. Hōʻike ʻia i ka wā hāpai a loaʻa ka wahine i kahi predisposition hoʻoilina i kēia maʻi. ʻO ke ʻano gestational no ka loli nui o ka hormonal i ke kino wahine i ka wā hāpai a me ka lactation. Me ka hoʻomohala ʻana o ka wā hāpai, loaʻa nā loli i nā ʻano like ʻole o ka metabolism, me ka pale ʻana o ka insulin.
ʻO nā hōʻailona e like me ka makahiki
E like me ka mea i hōʻike mua ʻia, aia nā paakiki maopopo a me nā hōʻailona o ka maʻi maʻi i ka wahine. Ma keʻano holoʻokoʻa, hiki ke loli ākea ke kiʻi a me nā hōʻailona pilikino a hilinaʻi i ka makahiki o ka wahine. ʻO ka ʻano hilinaʻi o ka insulin i hele i ka wā ʻōpio a ke ʻano nei i ka hoʻomaka ʻana o ka maʻi.
Pehea ka hopena o ka maʻi maʻi e like me ka wahine? Hoʻokomo pinepine ka hana-insulin e holomua a holomua ma mua o nā haneli. I ka manawa pinepine, hoʻomohala ʻia nā maʻi diabetes type 2 i nā wahine ma hope o 30 makahiki, i ka wā e hōʻiliʻili ai i kahi nui o nā mea ʻino. ʻAʻole ʻike paha kekahi wahine i nā hōʻailona mua no ka manawa lōʻihi, akā e holomua ka maʻi. No ka maʻi o ka lua o nā ʻano ma nā wahine he 30, nā hōʻailona e like me ka make ʻole o ka make ʻole, ka polyuria a me ka hoʻolimalima ʻana o ke kaumaha ma mua. He mea nui ia e ʻike i kēia mau ʻōuli i ka manawa a mālama i kahi maʻi like ʻole me ka maʻi o ka maʻi maʻi maʻi insipidus, aia nā kumu like ʻole, akā like kekahi mau maʻi like.
ʻO nā hōʻailona o ka maʻi maʻi i ka wahine ma hope o 40 mau makahiki, hiki ke hūnā me ka manawa climacteric, no ka mea, me ka wahine, e hoʻopilikia ʻia e ka wahine nā hōʻailona like. Hiki paha i nā wahine menopausal ke loaʻa i ka makewai a me ka urination, palupalu a me nā liina wela. I kēia manawa, ʻike pinepine ʻia ka maʻi diabetes i nā manawa maʻamau, no ka laʻana, i ka wā pale o ke keʻena ʻana i ka wahi hana. I kēia manawa, me ka hoʻomohala ʻana o ka maʻi diabetes-resisten, hele mai ka metabolic syndrome i ka mua, ʻoiai nā wāhine i ka wā menopause e loaʻa i ka nui o ke kino o ke kino.
ʻO nā hōʻailona o ka maʻi maʻi i ka wahine he 50 a ʻoi paha ka mea i hiki ke āʻe ʻia e nā hōʻike postmenopausal, akā hiki nō ke manaʻo i ka mea hewa. I loko o ka maʻi mellitus, nā maʻi maʻi a me nā maʻi maʻi ma ka ʻāina ʻoi aku ka maʻi maʻamau e ʻike maʻamau ʻia i nā wāhine, he hōʻailona ia no ka maʻi mellitus. Eia kekahi, ʻike pinepine ʻia nā maʻi ma ka ʻili o ka ʻili, a mālama pono kā lākou mālama i ka manawa.
ʻO ka meaʻoiaʻiʻo ma kāna maʻi mellitus, ʻo ke kumu nui o ka pathogenetic he hyperglycemia. Hāpai ka nui o ke kōpaʻa koko he māla maikaʻi loa no ka hoʻopiʻi ʻana i nā maʻi maʻi, a pili maoli hoʻi i kēia me nā mea nui i nā maʻi maʻi ma ka maʻi mellitus ma mua o ka hoʻōla ʻana. Ma ke ala, i nā wahine i kekahi wā ma hope aku, no ka laʻana, i 60 mau makahiki, nā hōʻailona e hōʻike nei i nā loli o ka maʻi maʻi e hoʻohui ʻia ana e ka emi ʻana o ke kūlohelohe o ke kino, nā maʻi cardiovascular maʻi.
E noʻonoʻo e nānā i kāu koko koko ma hope o 40 mau makahiki
Nui nā makahiki, hoʻonui ʻia ke ʻano o ka maʻi diabetes i ka wahine, a he mea hiki ʻole ke ʻike ʻole iā lākou, akā i kēia manawa ua ʻike ʻia ka maʻi ma nā ʻano kīnā o nā maʻi a me nā ʻōnaehana.
Nā hopena a me nā hōʻailona me lākou
He aha nā kuleana no ka wahine nāna e mālama ʻole i ka maʻi maʻi? Me ka maʻi lōʻihi a me ka pololei ʻole kūpono, ua loli nā loli pathological i nā ʻokoʻa ʻana a me nā ʻōnaehana.
ʻO ka mea mua, ua pilikia ka pahuhopu cardiovascular, ka wahine ulu i ka maʻi atherosclerotic a me ka hypertension arterial. Ka nui o ka hoʻokumu ʻana i nā plak atherosclerotic, ke emi nei ka lumen o nā moku, kahi e hoʻoiho ai i nā hōʻailona e like me ka matihewa o nā pihi kiʻekiʻe a me nā haʻahaʻa haʻahaʻa. Ma muli o ka atherosclerosis, ke koko i ka nui o ka loina i ka ʻino a ke alakaʻi nei kēia i ka wikiwiki wikiwiki i ka ʻike. Me ka maʻi maʻi, e hoʻomaʻamaʻa ke kino i ke kaʻina o ka wā kahiko. Me ka holomua o ka maʻi mellitus o ka maʻi maʻamau, ʻo ka hōʻeha o nā maʻi e like me ka hōʻeha ʻana o ka naʻau, ka maʻi cerebrovascular akena, ka wāwae maʻi maʻi, ke kanesa, ka retinal detachment e hoʻonui nui ʻia.
Naʻi hoʻolika
ʻO ke ala nui ka loiloi maʻamau o kekahi ʻano nā hoʻokolohua hōʻoia. E mālama pono i ka mea maʻi i ke koko venous no kahi noi biochemical, ma ke ʻano ua hoʻoholo ʻia ka ʻike ʻana o ka glucose i ka plasma koko. Me ka piʻi o nā helu glucose i ʻoi aku ma mua o 7 mmol / l i loko o ke koko, e hōʻike ana i ka nohoʻana o ka pale kūkaʻi o ka insulin a me ka maʻi diabetes. E noʻonoʻo e noʻonoʻo pono i ka nānā ʻana o ka urine, kahi i ʻike ʻia ai ka ʻike hoʻokolohua maikaʻi. E hui pū me ka urine, kahi nui o nā glucose e hoʻopuka e hoʻopiʻi i ka hyperglycemia o ke koko.
ʻO ka mālama ʻana i ka maʻi maʻi maʻi i ka wahine ma muli o kāna ʻano. Me kahi ʻano hana i hilinaʻi ʻia i ka insulin, pono e hoʻoponopono ʻia i ka maʻi diabetes i nā wahine no ke ola e ka hui hoʻololi ʻana i ka insulin. I kēia hihia, hōʻeha ka wahine i ka insulin subcutaneously i kekahi mau manawa i ka lā. Koho ʻia ka nui o nā insulin e kēlā me kēia. No ka hana maʻi, ua hoʻohana ʻia nā ʻano like ʻole o ka insulin. ʻO ke ʻano nui nui no ka hoʻoponopono ʻana i ka hyperglycemia ka lāʻau mālama ʻana i ka meaʻai, e hāpai ana i ka 50% o ka hopena o ka mālama ʻana. ʻO kahi kīʻai kūikawā no nā maʻi maʻi e hoʻokokoke pono ai i ka hoʻokomo ʻana i ka meaʻai o ka ʻai. ʻO nā maʻi me ka maʻi maʻi maʻi e pono e alakaʻi i ke ola olakino a pale i ka hana kino.
