ʻO ka maʻi e pili ana i ka maʻi kūlohelohe ma ke kino he mau wahi o ka kāohi. ʻO ka mālama pono ʻana i nā lula āpau o ka lāʻau lapaʻau e hiki ai i nā mea maʻi ke alakaʻi i kahi nohona maʻamau, ʻaʻole i ʻokoʻa ʻē mai nā mea e hiki ai i ke kanaka olakino. I kekahi manawa ke kau nei ka pilikia ma ka nānā mua o ka maʻi endocrine pancreatic. He aha ke kiʻekiʻe o ke kō koko koko i ka prediabetes hiki ke hōʻike i kahi maʻi ma ke kino? ʻO wai ka pilikia?
E hālāwai me ke kaua a pau
ʻAʻole hiki ke ʻoluʻolu e noho a minamina mau i kekahi maʻi hiki. No ka loaʻa o ka maʻi "manaʻo" i manaʻo ʻia, aia wale nō ka hopena, a me ka ʻoliʻoli ʻōnaehana, hōʻoia ʻia nā maʻi noʻonoʻo noʻonoʻo. ʻO wai e mākaukau e lawe i nā hoʻokaʻina koko no ka hoʻokolokolo? He aha ka maʻi diabetes?
Ua hōʻike aku kekahi o nā kumu a me nā hōʻailona o waho i ka hiki ʻana o kahi maʻi. ʻO ka mea mua, pili kēia i nā poʻe nona nā mākua i loaʻa i ka maʻi maʻi. Loaʻa paha inā he mau maʻi congenital ka lua o ka lua.
Hoʻohālikelike i ke kūlana:
- nui loa;
- nāwaliwali nāwaliwali;
- hiki ke ola kino i ke ao;
- hopohopo, hoʻonaninani mau;
- kaʻai nui o nā mea kālai ʻia e hoʻoneʻe ʻia (kālepa a me ka pasta mai ka palaoa palaoa, ke kō, kaʻaila).
ʻO ka mīkini hoʻowalewale hiki ke lilo i nāwaliwali ʻoi loa o ka pale ʻana ma muli o kahi maʻi maʻi (rubella, flu, hepatitis). ʻO nā pau liʻiliʻi o nā puiana e loaʻa nā pūpū maʻi i pale i ke kino. Kūloko nā kauka loea i kahi "maʻi" maʻi hoʻokaʻawale i nā maʻi i mea nui ʻole.
ʻO ke kaupaona ʻawaʻawa ke kau nei ʻaʻole wale i nā helu ma luna o ka loaʻa o ka ulu ʻana (ma ka centimeter) a me ka helu 100. I ka wā o ka hoʻokolokolo, mālama ʻia ka nānā kūikawā i ka hōʻiliʻili ʻana o ka kiko adipose i loko o ka pūhaka, e hōʻike pū ana i kahi maʻi metabolic i loko o ka maʻi maʻi.
Hōʻike hua ʻia - hōʻike hōʻike ikaika
I ka wā hāpai, loaʻa i nā ʻōnaehana āpau o ke kino wahine i ke kaumaha nui. Pono e hana nā kino i ke ʻano pālua.
ʻO ka papa pancreas i ka wā hoʻāʻo ʻana he paʻakikī:
- e loaʻa ana he predisposition ʻōuli;
- ua loaʻa iā kahi maʻi lēpa me ka hoʻopiʻi;
- ke ʻike nei i nā maʻi maʻamau.
ʻO ka hoʻonui pinepine ʻana o ke kō koko koko pinepine i waena o nā mahina ʻehā a ʻeono.
I ka hoʻomaka ʻana o ka hoʻokaʻawale ʻana (ka hoʻoili ʻia) o nā mea a me nā umauma o kahi meaʻala intrauterine hou, pili nui kekahi ʻōpio i nā mea āpau. Hoʻokomo ʻia kahi meaʻai ʻai haʻahaʻa i nā makuahine. Pono e mālama pono i kahi wahine i ka lawe ʻana i ka lāʻau lapaʻau, ʻona a me nā Nikotine i pāpā ʻole ʻia.
ʻO ka loaʻa ʻana o ke kaupaona ʻana ʻole i ka wahine hāpai e hiki ai ke hoʻomoʻi i ka ʻōpiopio, ʻoi loa ia me ka hānau paʻakikī
ʻO ka pancreas o ka pūpū, ka nui o ka nui o ke kō i loko o ke koko o ka makuahine ka mea e hoʻoikaika i ka insulin hormone e hoʻokuʻu ʻia ma kahi wikiwiki. ʻO kahi hana o ka hanana endocrine o ke keiki ʻaʻole i pau ma hope o ka hānau ʻana. Loaʻa kahi pēpē i kahi hāʻule nui i ka glucose (hypoglycemia).
Hoʻololi ʻia ka mālama ʻana o ka maʻi gestational a i ʻole ka hānai ʻana o nā wahine hāpai i ke ala like me kona ʻano mua, me ka hoʻohana ʻana:
- inikua insulin;
- mea ʻai
- mea ʻai.
ʻO kahi hanana me ka hyperglycemia i ka wā gestation e hāpai i kahi wahine i ka wā e hiki mai ana e nānā i ke kaumaha, ka momona, kona ola ponoʻī a me ke keiki.
Hōʻike a pane ʻole
He pilikia weliweli nā loiloi manawa kūpono ʻole i ka glycemia. Hoʻonui koʻikoʻi i ka hilahila no ka manawa lōʻihi i ka ketoacidosis. ʻO nā huahana hoʻonā poʻomanaʻo o nā hopena metabolic e hoʻokuʻu i ke koko. Kuhi kekahi mea ulu i loko o ka urine - acetone, mai ka waha aia ke ʻala o nā ʻōhala ʻala.
Me ka maʻi diabetes, ka nānā ʻana i ke kāʻei o ka glycemic mea nui i kekahi mau wahi i ke ola
Hiki i nā mellitus mua-diabetes ke hōʻike i nā hōʻailona hoʻolalelale:
- ke kau ʻana o ka kaumaha o ke kino;
- makewai ikaika;
- ka puka ʻana mai o ka makemake maʻamau a i ʻole, ka mea e hoʻokaʻawale i kekahi mau meaʻai;
- nā urination pinepine
- kau maloʻo, kaʻeha, ka hōʻeha o ka ʻili a me nā membous mucous (waha i ka palu, vagina).
I ka wā ma mua o ka moku'āina ma mua o ka maʻi diabetes, hiki ʻole i ka hoʻohaʻahaʻa glucose. Kūleʻa nā mea hōʻike i ke ʻano maʻi maʻi latin, ma Latin - latent. Me ia, ʻo ka hana maʻamau o ke koko maʻamau ma ke kanaka e kū ana i ka manawa ma mua.
Nā pono olakino no ka lanakila ʻana i kahi kūlana paʻa ʻole ʻole:
Hoʻopuka ʻai koko a me kāna ʻano- ka lōʻihi ke ʻano o ka palapala hemolele i ke ola ʻana;
- nalo hoʻi me ke kahua ʻole;
- hele i ka maʻi diabetes type 2.
ʻO Hemoglobin, kahi ʻāpana o ke koko, hāʻawi i ka lawe ʻana o ka oxygen mai nā wahi lewa i nā wahi a pau o ke kino a me nā kino o loko. Eia kekahi, hiki i ka pūhui protein ke hopu i kahi molekiko glucose. He ikaika loa ka pilina ma waena o nā mea kanu. ʻO ka mea paʻakikī i kapa ʻia ʻo hemoglobin glycated. Ke kū paʻa nei a paʻa i kekahi mau mahina.
Ma ka ʻike o ka hemoglobin glycated i loko o ke koko, ua hoʻāhewa ʻia ka ʻike kōpila maʻamau no nā mahina 2-3 i hala ma mua o ka hōʻike. Manaʻo nā kūlana kūpono no ka hōʻike HbA1 i nā kuhikuhi he 5-8%.
E nānā no kahi manawa pōkole o ka manawa (ʻo nā hebedoma ʻelua ma mua), ua hoʻohana lākou i ka loiloi no ka ʻike o kahi kīʻaha o kahi ʻē aʻe - fructosamine. Aia kona mau waiwai maʻamau a hiki i 285 mmol / l.
Hoʻolaha kaʻina hoʻokolohua Glucose
Hōʻike ka hoʻāʻo ka ea glucose (GTT) e maopopo i ka pathology pathology. Hoʻoholo ʻia ka nīnau no ka hoʻopaʻa ʻana i ke aʻo ʻana e ka endocrinologist. Hoʻokomo ʻia ka GTT no ka hoʻomohala ʻana i ka maʻi huki ma loko o kahi haukapila a i a hauka paha, 1-2 mau manawa i ka makahiki. Hoʻohana ʻia nā hana o ka pancreas ma lalo o kahi ukana glucose. Hoʻokumu ʻia i nā ʻike i loaʻa, ua kūkulu ʻia kahi "curve sugar". Kuokoa ma ka hale, ʻaʻole kēia ʻano hoʻokolohua koko.
Pono ka mea maʻi maʻi inu i ka hopena glucose i loko o ka ʻōpū ʻole. ʻO kona paʻa, ʻo 75 g no 250-300 ml wai o ka wai. Ma mua o kēia, hana ʻia ka ʻōpala mua o ke koko ma ka ʻōpū ʻole. A laila, ʻo kēlā me kēia hapalua hola no 2-3 mau hola, ua lawe ʻia ke koko a ua hoʻoholo ʻia ka glucose i loko. ʻO ka hoʻonui a me ka hoʻohaʻahaʻa i nā pae o ke kō e hiki ai iā mākou ke hoʻokolokolo i ka hana o ka pancreas.
ʻO ka "curve sugar" kahi kanaka olakino e loaʻa i kahi papa i lalo. 2 mau hola ma hope o ka lawe ʻana i ka hopena o ka glucose, e hōʻike nā hōʻailona ma ka 5.5-6.5 mmol / L. I mea e hopohopo i ka maʻi maʻi, ua lawa ka nui ʻole o ka pae i ka neʻe i nā kumu maʻamau, e hoʻomau ʻia ana - ma mua o 7.8 mmol / l.
ʻOi aku ka liʻiliʻi o ke kō kōnoi koko capillary o ka mea maʻi ma mua o ka venous
A laila e hōʻoia ʻia ka maʻi maʻi e nā haʻawina ma hope iho:
- ka hopena o ka glucose i loko o ka urine;
- ʻike ʻo ka lipid metabolism;
- ka loiloi o ka pae o C-peptide.
ʻO ka hōʻike hou loa, a me ka hoʻoholo ʻana o ka ʻike o ka insulin immunoreactive, e ʻae iā mākou e hoʻokaʻawale i ke ʻano type type 1 a me ka type 2 diabetes mellitus. Pono e hoʻomaopopo ʻia he mau haʻahaʻa o nā glucose i loko o ke koko āpau ma mua o kāna plasma.
No laila, me kahi kūlana prediabetic, ʻo ka wikiwiki ka nui o ke kō koko koko maʻamau. Aia kekahi mau kīʻaha manawa pōkole i nā kānaka i hoʻomaka i ka maʻi endocrine, i hoʻonāukiuki ʻia e nā kūlana ola. ʻO ka nānāʻana i ka hanana glycemic a me ka ʻike kumu o ka maʻi hiki ke ʻike i ka mau hōʻino ma nā mua mua, e pale ana i nā hoʻopiʻi a me nā hopena o ka hopena.
I mea e hōʻike ai i ka maʻi diabetes, hana ʻia kahi mākeke o nā glucose i lalo o ka ukana. ʻO nā hōʻeha kūpono paha ma ka wā hāpai, ʻaʻole ia e kāpae i kahi kāne i ka hopena i ka loaʻa ʻana o nā keiki.
