Ke kū nei kekahi mau hōʻailona, noʻonoʻo ke kanaka e hele i kahi loea loea. ʻIke ka poʻe a pau inā he ʻeha o kou ʻōpū, ʻoi aku ka maikaʻi o ka hele ʻana i kahi gastroenterologist, no nā maʻi kāne. He nui ka poʻe maʻi e nīnau no kahi e mālama ai ke kauka i ka maʻi maʻi. E kūkākūkā hou mākou i kēia ma ka kikoʻī.
ʻO wai kaʻu e kamaʻilio mua ai?
Inā manaʻo kekahi he maʻi maʻi ʻo ia (he hewa maoli paha ka manaʻo), pono ʻoe e hoʻopili i kāu GP kai a i ʻole kauka. Hele lākou i ke kauka me nā hoʻopiʻi penei:
- makemake mau e inu;
- ka nui o ka urine i hoʻokaʻawale i kēlā me kēia lā;
- ka ʻike ʻana i ka ʻili maloʻo;
- nā'ōwili ma luna o ka ʻili ʻaʻole e ola i ka wā lōʻihi;
- lie kanikela
- ʻeha a me ka ʻeha ma ka ʻōpū.
Ma hope o ka hoʻokolohua, kākau i ke kauka i nā kuhikuhi no kahi ʻano hana o ka hoʻokolohua noiʻi e hiki ai iā ʻoe ke hōʻoia a hōʻoia i ka maʻi maʻi. ʻO ka loiloi koʻikoʻi ka loiloi ʻana o ka ʻaila koko capillary. Lawe ka mea maʻi i ke koko mai ka manamana lima i ke kakahiaka ma kahi ʻōpū ʻole.
![](http://img.diabetesentity.com/img/diab-2020/8093/kakoj-vrach-lechit-diabet.jpg)
E mālama pono e hana i nā hoʻokaʻawale maʻamau a me nā hoʻokolohua i ka urine. Hiki i kahi hoʻokolohua koko ke hoʻoholo ʻoe i ka hele ʻana o nā kaʻina hana i loko o ke kino, ke hoʻololi mai ka hemoglobin, nā keʻena koko ʻulaʻula, ke ʻano o nā hopena alerine. I ka paʻakai, hōʻiliʻili ʻia ka nui o ka palekana, nā kō, nā keʻena koko keʻokeʻo, nā ʻōpū koko hoʻonaninani, nā paʻakai, nā mea kanu a me nā mea ʻē aʻe. Wahi a nā hopena, hiki iā ʻoe ke hoʻoholo i ke ʻano o nā palaka a me nā ʻōnaehana urinary.
He aha ka mea e hana ai i ka mea maʻi?
He loiloi ākea ka nui o nā kauka apana, ʻoiai ka mea nui o nā mea maʻi e hoʻopili maoli nei kēia mau kauka i ka mālama ʻana i nā maʻi o ka hanu a me ke anu. Pono ʻoe e hele i ka lāʻau lapaʻau inā ʻike ʻia nā loli i ke kūlana maʻamau. ʻO ia ka mea nāna e haʻi aku iā ʻoe i ke ʻano o ke kauka lā e mālama nei i ka maʻi maʻi inā ke kānalua nui ʻoe i ka maʻi maʻi.
ʻO nā hana a me nā hana a ke kauka hele mai:
![](http://img.diabetesentity.com/img/diab-2020/8093/kakoj-vrach-lechit-diabet-2.jpg)
- ka nānā ʻana i ka patology o ka puʻuwai a me nā kīʻaha koko, ke nānā nei i ka dinamics o ka hōʻola ʻana o ka mea maʻi ma hope o ka hoʻonā ʻana o ka cardiologist me ka kūpono o ka mālama ʻana;
- ka nānā ʻana i ka hemoglobin a me nā kaila koko ʻula ma ka hihia o ka anemia i ka mea maʻi;
- ka pale ʻana o ka mea pili i nā maʻi me ka diathesis a me nā maʻi ʻaʻai e hoʻopaʻa ʻia ma kekahi mau loea kūikawā;
- kōkua mua inā hihia i ke kāhea i ke kauka kūloko i ka home;
- ke hoʻokō nei i kahi nānā piha, e hoʻopili ana i ka maʻi "me ke kanalua", e kuhikuhi nei i ka mea maʻi i kahi loea no ka kūkākūkā;
- ka hoʻomalu ʻana o nā mea maʻi me nā palaka paʻa;
- ka hoʻomākaukau ʻana i ka palapala hoʻonaʻauao.
ʻO wai ka mea endocrinologist?
Pili kēia mea loea i nā pathologies o nā kūpaʻa endocrine. Hana ʻia kāna hana i ka kūkā ʻana i nā mea maʻi, koho ke nānā aku, koho i ka mālama ʻana no kēlā me kēia hihia maʻi o ka maʻi, a me ka hoʻokō ʻana i nā hana i manaʻo e pale i nā maʻi maʻi.
Inā mākou e kamaʻilio e pili ana i ka maʻi maʻi, maʻi hana pancreatic maʻi. No kēia kūpili ke pili i nā kohu endocrine. Ke hoʻohalike, ua pili ka loea i nā maʻi.
- nā kīleʻa adrenal;
- ʻōnaehana hypothalamic-pituitary;
- nā kānana thyroid;
- nā kīpē panathyroid;
- ovaries a me nā testicles.
![](http://img.diabetesentity.com/img/diab-2020/8093/kakoj-vrach-lechit-diabet-3.jpg)
Hoʻokumu nā puʻu endocrine i nā hormones i pili i nā hana koʻikoʻi.
Nui! Hoʻolaha ʻia kahi endocrinologist e ʻike inā ʻaʻole aia kekahi mau mea e hopohopo ai, akā no ke kumu o ka pale ʻana i ka nānā ʻana (ma ke ʻano loiloi.
Ke kūlike o ka endocrinologist a me nā ʻano o kāna ʻano hana
Hiki i kekahi kauka ke pili i nā kime endocrine i loaʻa kahi kikoʻī kūikawā kikoʻī. No ka laʻana, kahi pediatrician-endocrinologist e pili ana i nā pilikia o nā keiki a me nā ʻōpio. Ua kapa ʻia ʻo ia ʻo ka mea loea e like me ka endocrinologist pediatric.
Aia nā mea endocrinologists o kēia mau ʻoihana kūikawā:
- Surgeon - ʻike ke kauka ʻaʻole wale ma ke kahua o ka endocrinology a me nā hōʻino, akā no ka oncology hoʻi. E hana ana ka mea loea ma ka lāʻau thyroid gland, kūloko adrenal, gland pituitary, pono e ʻike me ke ʻano o ka ultrasound a me ka biopsy.
- He loea i ka maʻi gynecologist ma ke kahua o ka wahine reproduction sphere, hormonal balane o ke kino, e pili ana i ka infertility a me ka miscartion e pili ana i ke kua o nā hopena endocrine.
- Nā geneticist - hāʻawi i ka ʻōlelo noʻonoʻo olakino a me ka genetic i nā maʻi.
- He maʻi koʻikoʻi kahi maʻi hakahaka, he kauka no ka type 1 a me ka type 2 diabetes mellitus, maʻi insipidus.
- ʻO kahi thyroidologist he kauka i hoʻoponopono pololei i nā patula thyroid.
ʻO wai ka mea maʻi maʻi a a i kona wā e pono ai ke kōkua?
ʻAʻole ke kauka maʻi maʻi wale nō ke kauka i kōkua i nā poʻe maʻi me kahi maʻi i hoʻopaʻa ʻia ma ke ʻano maʻi maʻi maʻi, akā ʻo ka mea i hoʻopili i ka poʻe i hiki ke kū i ka hoʻomohala ʻana i nā maʻi. ʻO kāna mau kuleana e pili ana i ke koho ʻana i kahi regimen lāʻau lapaʻau pilikino ponoʻī no ka poʻe maʻi, ka manawa ʻike i ka manawa kūpono a me ke koi ʻana o ka "maʻi ʻoliʻoli", ka hūnā ʻana o kahi papa hana i kēlā me kēia lā a me ka hoʻoponopono ʻana o ke kaʻina ʻai.
![](http://img.diabetesentity.com/img/diab-2020/8093/kakoj-vrach-lechit-diabet-4.jpg)
Hoʻomaopopo kahi loea i kahi maʻi diabetes i nā lula no ka ana ʻana i nā pae gula i kahi glucometer
Hoʻolālā ke kauka i kahi hoʻolālā o ka hoʻoikaika kino, hoʻomaʻamaʻa i nā ʻenehana hōʻeha no ka maʻi maʻi maʻi, e aʻo i nā kānāwai kumu o ke kōkua mua loa i ka hoʻomohala ʻana i ka precoma a me ka coma. Eia kekahi, ʻo ka hana o ka maʻi maʻi maʻi e aʻo i ka mea maʻi e ʻae iā ia iho, e hoʻomaopopo i ka hele ʻana o ka maʻi a pane maikaʻi lākou i ia. E hana ke kauka ʻaʻole wale me nā mea maʻi, akā pū nō hoʻi me ko lākou poʻe hoahānau.
Hoʻomaopopo ʻia ke kauka e like me ka hoʻolālā kūkā o nā poʻe loea paʻa i koe. Hoʻākāka ke kauka i ka hele ʻana o nā hoʻopiʻi, hana i kahi hoʻokolokolo kino o ka mea maʻi. ʻO ke kūlana o ka ʻili a me nā membrane memous, ka hele ʻana o nā rashes, lipodystrophy, he loiloi ka nui o ka momona.
Ma loko koke o ke keʻena, hiki i ka mea maʻi maʻi maʻi ke hoʻoholo i ka nui o ke kō i loko o ke kahe koko, nā hōʻailona o nā kino acetone i loko o ka urine. Inā loaʻa, ʻōlelo ʻia ka mea maʻi no ka kūkākūkā ʻana me nā kauka ʻē aʻe.
ʻO nā mea e pono ai ka maʻi diabetes
ʻO ka Diabetes mellitus kahi maʻi e pilikia ai no nā maʻiʻeha a me nā maʻi maʻi. ʻAʻole hiki iā lākou ke alakaʻi wale i ka maʻi kīnā, akā hopena pū kekahi i nā make. ʻO ka lanakila ʻana o nā kīʻaha nui a me nā mea liʻiliʻi e hoʻonāukiuki i nā ʻano o ke anatomical a me nā physiological o nā palapū, nā mea kūnaehana natane, nā lālā, nā naʻau, a me nā mea kino o ka hihiʻo.
Laki Nakoi
Hōʻike ka hōʻike pono ʻana o nā hoʻopiʻi i ka hana e pale ai i ke kaʻina e pale i ka holomua o ka pathology. ʻO ke kauka nāna e kōkua i ka pale ʻana i nā hoʻopiʻi he meaʻai mālama. ʻO kāna mau hana:
- ka hoʻolālā ʻana o kahi papa pilikino;
- ka wehewehe ʻana i nā huahana a ʻae ʻia a pāpā ʻia;
- ke aʻo ʻana i ka mea maʻi e hoʻohana i ka ʻikepili mai ka glycemic a me nā ʻōkuhi huahana insulin;
- ka heluʻana i ka helu calorific o kēlā me kēia lā;
- e aʻo ana i nā mea maʻi e hoʻomaikaʻi pololei i ka nui o ka insulin no ka hoʻokele ʻana i ka wā e hoʻohana ai i nā huahana a i ʻole nā kīʻaha.
ʻOkopa'ōlelo
Mai ka lilo ʻana o ka retinopathy (hōʻino i ka pōʻino) ka hoʻopiʻi koʻikoʻi o ka "maʻi ʻeha", pono e ʻike nā mea maʻi a pau i ka ophthalmologist i kēlā me kēia makahiki. ʻO ka nānā mua ʻana o nā loli i ka manawa e hōʻike ai i ka acuity kiʻekiʻe, pale i ka detinalment retinal, ka hoʻomohala ʻana o nā cataracts a me nā glaucoma.
![](http://img.diabetesentity.com/img/diab-2020/8093/kakoj-vrach-lechit-diabet-5.jpg)
I ka hoʻokipa ʻana aku i ka loea kūikawā, ʻike ʻia nā hanana i hala:
- ka loiloi o ka kūlana o nā ʻoihana o ka eyeball;
- ka hoʻomohala ʻana i ka ʻike ʻike pono;
- ka helu ʻana o ka paila intraocular;
- ka nānāʻana o ka maka o ka maka e hoʻohana ana i kahi ophthalmoscope;
- ka wehewehe ana i ka moku'āina o ka mākona.
Nui! Hiki i ke kauka ke kuhikuhi i kahi angiography fluorescence, ultrasound a me ka nānāʻana i ka electrophysiological.
ʻĀhaʻi Nepali
ʻO ke hoʻopiʻi pinepine aʻe ʻana aʻe nā maʻi maʻi maʻi nephropathy maʻi. ʻO kēia kahi hana ʻino i ka hana renal, i hele mai i ka hopena o ka hōʻino ʻana i nā moku o ka glomeruli o ka lua. Ke kuhikuhi nei kekahi loea i kahi maʻi maʻi i nā hihia i loaʻa i kahi hoʻopiʻi a i ʻole nā loli mai nā ʻōnaehana laboratorium.
Hoʻākoakoa ka nephrologist i kahi anamnesis o ke ola a me ka maʻi, ua makemake ia i ka hele ʻana o nā hoahānau me nā patologi mai nā kuli. Hana ka mea loea i ka percussion a me auscultation o nā pūpū, nānā i nā hōʻailona koko, ke nānā pono i nā membuses mucous.
Kuhi ke kauka i nā haʻawina penei:
- ka nui o ke koko lapaʻau a me ka hoʻāʻo urine;
- X-ray diagnostics o nā keiki;
- nā hōʻike loiloi;
- CT a me MRI.
Naihui
Paipai kēia loea i ka maʻi diabetes inā pono. ʻO nā kumu no ka mālama ʻana paha:
- ka hoʻomohala ʻana o kekahi "ʻōpū poʻo kuhi hewa";
- luka;
- nā hana pālahalaha o ka ʻili a me ka kiko subutanant o kahi ʻano kūlohelohe;
- nā hōʻeha lōʻihi, nā ʻeha trophic;
- mahele maʻi wāwae;
- gangrene.
![](http://img.diabetesentity.com/img/diab-2020/8093/kakoj-vrach-lechit-diabet-6.jpg)
Hāpai nā loiloi i kahi mea lapaʻau outpatient a inpatient e hoʻohana ana i ka hōʻemi o ka hōʻemi o ka nui o nā nui
Neurologist
Hoʻopilikia ka hapanui o nā maʻi āpau i ka neuropathy - hoʻopōʻino i ka papahana pili peripheral, i hōʻike ʻia e ka hoʻololi o ka ʻeha, hoʻoweliweli, hoʻoweliweli. Pilikia ka hoʻonāukiuki ma ka ʻaoʻao o ke macro- a me microangiopathies, i hōʻike ʻia e ka pōpilikia o ke ʻano o kekahi mau wahi o ke kino o ke kanaka.
Hoʻākoakoa ka ʻina loea i ka ʻike ma ka mōʻaukala o ke ola a me ka maʻi, loiloi i kona ʻano maʻamau. Hoʻokomo ʻia kahi hoʻokolohua neurological i ka nānā ʻana i nā ʻano ʻano like ʻole e hoʻohana ana i nā pono hana. ʻO nā ala diagnostic hou aku ʻo ka electroneuromyography, ka dopplerography ultrasound.
Nui! Ua loiloi ʻia ke kūlana neurological o kahi maʻi maʻi i nā manawa he nui i ka makahiki.
Nā poʻe loea ʻē aʻe
Inā pono, ua nānā ʻia ka mea maʻi:
- ʻekekekema - loaʻa ke loiloi o ke olakino reproduction, hoʻoponopono a me ka pale ʻana i ka maʻi menstrual a me ke kaulike hormonal;
- podologist - he kauka lapaʻau e mālama ana a pale aku i ka hoʻoulu ʻana o nā maʻi wāwae (maʻi maʻamau pinepine ka maʻi diabetes);
- Dentist - loiloi ka loea i ke kūlana olakino o ka puʻu waha, nā ʻōpū, nā niho, a inā pono e mālama i ka mālama ʻana;
- dermatologist - ʻoiai nā maʻi maʻi maʻi e ʻike i ka hōʻino i ka ʻili a me nā membrane mucous, nānā ʻo ia i kēia poʻe maʻi e like me ka mea e pono ai.
Kūkākūkā me ke kauka inā ʻike ʻia nā hōʻailona o ka maʻi. He mea nui ia e hoʻomaʻamaʻa i kahi kūkā olakino maʻi maʻamau e pale i ka nānā ʻana i nā kūlana pathological a i ʻole e hoʻomaopopo iā lākou i nā wā mua.