ʻO ka kuluola kahi kumu maʻamau o ka ikaika no ke kanaka, ke komo ʻana i ke koko, e kaʻe ʻia ana i nā kino a me nā kiko, kahi e kaahi ʻia, ka huna ʻia nā kaluna.
Loaʻa ka hapanui o kēia kōpau ma loko o ke akea e like me ka glycogen a mālama paha i ka momona subcutaneous. ʻO ka ʻike o ka glucose i ke koko he mea kuhikuhi nui no ka mauola biochemical.
ʻO ka nānā ʻana o ka ʻai ʻana - ʻaina koho koho
Hoʻoholo ka noiʻi i ka pae o ka glucose i ke koko, ka mea i kapa ʻia ʻo ia he koko koko.
Hoʻokomo ʻia nā mea glucose i nā ʻōhua he nui.
- makahiki
- i ka lā;
- ka heleʻana o ka hana kino;
- ka manawa ma hope o ka ʻaina a me kekahi.
No laila, ma hope o ka ʻai ʻana, e piʻi nui ka pae o ka glucose, a me ka hoʻomaʻamaʻa kino ʻana e hiolo ai. I kekahi kanaka makua, ua hoʻemi ʻia ka metabolism, ʻo ia ke hoʻohaʻahaʻa ka kō.
Holo ke kino e hōʻoia i ka mea like o kēia kaha kuhikuhi, no ka mea aia kekahi mau ʻano ʻelua.
- ʻO ka laweʻana o ke kō i ke kō mai ke koko e hoʻohana ana i ka insulin hormone.
- Hoʻopuka i nā glycogen a me nā momona no ka glucose ke komo i ke koko.
Ke lawe ʻia nei ka hoʻokaʻina koko no ke kōpoko ma kēlā me kēia haukapila, maʻalahi ia a hiki ke hana ʻia i kekahi o nā ʻano ʻekolu, e hoʻohana ana i nā ʻano kīnā hou.
- oxidase glucose;
- halaulea;
- ortotoluidine.
ʻO ka ʻatikala o ka lawelawe ʻana i kēia mau kaʻina hana: kū like ka glucose me ka reagent, hana ʻia kahi hopena kala, ka ikaika o ka nānā ʻana i kahi calorimeter photoelectric. ʻOi aku ka kiʻekiʻe, ʻoi aku ka nui o nā molekileka o ke kō. Hōʻike ʻia nā hopena i loko o nā helu kenela i pākeka.
ʻO ke ʻano maʻamau o ka lawe ʻana i ka loiloi e manaʻo nei e pōloli ka mea maʻi, ʻo ia hoʻi, ʻaʻole ia e ʻai i nā hola 8-10 aʻe. Eia naʻe, aia kahi ala no ka hoʻoholo ʻana ma hope o ka ʻai ʻana, ʻoi loa ka maikaʻi, 2-3 mau hola ma hope o ka ʻai ʻana.
I kahi kanaka olakino, holo wikiwiki ka hana hoʻoponopono i ke k sugarkohu a me ke kō o ke kō. A ma hope o 1 hola, pono ia ma ka 7-8 mmol pā lita. Inā ʻaʻole i ʻole kēia mea, pono e nānā i ke kōpaʻa koko, a me nā kipi o nā maʻamau maʻamau, e nīnau aku i kahi kauka.
Ke kaʻi ʻana i ke kō, ua ʻōlelo nā kauka e lawe i nā ana ʻana i mau manawa i ka lā: mai 3 a 5.
Eia kekahi, ʻike kahi pae maʻamau inā:
- I ke kakahiaka ma mua o ka ʻai ʻana, i ka hōʻailona he 3.5-5.5 mmol i pāhau.
- Ma mua o kaʻaina awakea a me ka ʻaina awakea, he 3.8-6.1 mmol ma ka lita.
- Ma hope o hoʻokahi hola ma hope o ka ʻai e pili ana i 8 mol no ka pā.
- Iʻelua mau hola ma hope o ka pāʻina - 5.5-6.5.
- I ka wā hiamoe, ʻaʻole iʻoi aku ma mua o 4 mmol no ka pā.
He aha ke ʻano gula i manaʻo ʻia ʻaʻole hiki ʻole? Inā keu ke kuhikuhi ʻana i ka 1.5-2 mmol i kēlā me kēia pālolo mai ka maʻamau, e hōʻike ana kēia i kahi kue nui nui, e hana ana he mea ʻakaʻaka. I ka manawa like, ʻo kahi haʻahaʻa i hoʻohaʻomaʻo hoʻi ia he hōʻailona ʻinoʻino, e kamaʻilio ana e pili ana i kekahi maʻi ʻē aʻe - hypoglycemia.
Nā wikiō mai Kauka Malysheva e pili ana i nā hoʻokolohua no ka maʻi maʻi:
He aha ka pilikia o nā kumukūʻai kiʻekiʻe?
ʻO kahi keke i hoʻokahi manawa mai ka maʻamau ʻaʻole ia he hōʻailona mākaukau, hiki ke hoʻoulu ʻia e kekahi mau meaʻai a i ʻole nā mea ʻē aʻe. Inā hoʻokiʻekiʻe ʻia ke kōkō maʻamau, pono e nīnau koke i ke kauka.
Hoʻomaopopo ka ʻike pinepine o ka glucose i ke koko me ka hoʻomohala ʻana o kahi maʻi e like me ka maʻi maʻi maʻi maʻi.
Hiki ia hoʻomohala ma muli o kekahi o nā kaʻina:
- Hoʻokumu iki ka pancreas i ʻole insulin;
- hoʻowalewale ka poʻe mālama aku i nā kūlohelohe o ko lākou kīpē, ʻaʻole hiki ke ʻai ʻia a noho mau i loko o ke koko.
ʻO ke kaila koko nui e alakaʻi i nā hopena maikaʻi ʻole e ulu mālie a nānā mua ʻole:
- hana ka hana o ke kīʻaha o ka puʻuwai a me ke koko, ka atherosclerosis o nā moku, ka maʻi naʻau coronary, hypertension a me nā mea ʻē aʻe;
- pilikia ka wahī, i hōʻike ʻia i loko o kahi palau i ka hoʻomanaʻo, naʻauao, noʻonoʻo ʻole;
- hana ʻino i nā moku o kaʻeha e alakaʻi i ka holo ʻana o kahi renal ʻole, nephropathy;
- huehue ka metabolism i loko o nā auwina, kahi e alakaʻi ai i ke kumu o nā ʻōpala, nā puʻuwai haʻahaʻa e ʻike koʻikoʻi i kēia ʻike;
- pono ka hopena o ka metabolic i ka loaʻa ʻana o ka momona a me ka momona;
- ʻO ka glucose ka hana ma ke ʻano o ke olakino maikaʻi no nā microorganisms, no laila hōʻemi maikaʻi loa nā hōʻeha a me nā hōʻeha, ʻaʻole hiki ke loaʻa kahi hōʻeha ma ke ʻano he gangrene;
- ka hoʻokaʻawale ʻana o nā kīʻaha koko o nā maka ke alakaʻi i ka hoʻonāukiuki ʻike;
- ʻoi aku ka ʻōpilikia o ka naʻau.
E hōʻoki pono kēia mau kaʻina hana i ke kino, ʻoiai hiki ʻole ke hoʻihoʻi hou aku i ka hana ʻana o nā mea kuana, ʻoiai ka uhai ʻia ke ʻano o nā kulu, a ua hoʻohālikelike ʻia nā hana ma kēia ʻāina, no ka mea, ua pōʻino ka hōʻeha ʻana ma hope o lākou.
No ke aha e hoʻohaʻahaʻa ʻia ka glucose ma hope o ka ʻai ʻana?
Aia nā kūlana i ka wā koke o ka ʻai ʻana, e hiolo nui ai ke kō. Hiki i ke kumu o kēia hanana i ka hypoglycemia a me ke kō koko kiʻekiʻe.
Kuhi ʻia ka mea mua e ka hana nui o ka insulin a ua hui pū ʻia e nā hōʻailona like me:
- haʻahaʻa ka kino o ke kino;
- ulia pōpilikia;
- kaʻaiʻole ʻana o ka ʻōpū.
ʻO ka mea pōʻino no nā kānaka he pae o ka ʻelee o 2.2 mmol no ka pākeke no nā wahine a me 2.8 mmol i pākeke no nā kāne. Me kēlā mau hōʻailona, hiki i kahi coma. ʻO ka pinepine, ʻo ka hana nui o ka insulin he mea hōʻeha i ka pancreas.
ʻO ke kauka nāna e hōʻiliʻili i ka anamnesis, e kuhikuhi i nā hoʻokolohua a huki i nā ʻoihana kūpono e hoʻoholo i ke kumu o ka hōʻemi o nā pae glucose.
Inā ma ka hapanui o ka nui o ke kanaka e piʻi ka nui o ke kōpaʻa, a laila pono ke kamaʻilio e pili ana i ka loaʻa ʻana o kahi maʻi - diabetes mellitus type 1 a i ʻole 2, e like me ke ʻano o ka mālama ʻana.
ʻO ke kiʻi maʻamau o ka maʻi maʻi
ʻO ke kiʻi lapaʻau i nā maʻi me ka maʻi maʻi e hōʻike nei iā ia iho ma ke ʻano o:
- makewai mau;
- ninaki a me ka luaʻi
- mālie, palupalu, lulu;
- paresthesia a kaulena o nā wāwae;
- ke ʻano o ka honi o ka acetone mai ka waha;
- ʻike anuanu, ke ʻano o ka "nebula" kiʻi;
- ʻO ka ʻili maloʻo a me ka minamina mau, kahi e kū mai ai nā ʻeha a me nā pustules;
- lauoho lauoho, lauoho lauoho a me ka ulu maikaʻi ʻana;
- kau kaumaha me ka momona maikaʻi.
Inā hele kēia mau ʻōuli i nā keiki, pono e kamaʻilio e pili ana i ka maʻi type 1, i ka manawa o ka pancreas i hua ʻole i ka insulin.
Ke holomua nui nei ia a alakaʻi i nā loli pathological i loko o nā wahī, ʻoi loa. No laila, i kēia hihia, he mea nui loa ia e hoʻoponopono i nā maʻi i ka manawa a hoʻomaka i ka mālama ʻana.
I ka ʻāina pākeke, hoʻomohala ke ʻano type 2 like, ʻo ia ke kumu o ka noho kino ʻana. Hoʻomaʻamaʻa ka hoʻomohala ʻana o ka maʻi diabetes i ka maʻi maikaʻi, ke kaumaha mau, ke kaumaha, ka hana o ka hoʻōho.
Hoʻomaopopo pinepine ʻole ka mea maʻi i nā hōʻailona, e ʻimi ana i ke kumu o kāna kūlana i nā maʻi ʻē aʻe. Ma ka pilikia aia ka poʻe me ka predisposition genetic, kahi ʻohana nona nā maʻi me ka maʻi maʻi.
ʻO ka hōʻailona nui o ka maʻi maʻi ka hoʻonui ʻana o ke kō koko. ʻO ia, me nā hōʻailona ʻē aʻe, e hāʻawi i kahi maʻi kūpono.
Pehea e hana maʻamau ai i nā hōʻailona?
Ke hōʻike nei i nā maʻi maʻi, pono e hoʻomaka koke i ka hoʻōla, me ka hoʻopili ʻana i ka papaʻai. Inā ʻaʻole i hana ʻia ka ʻaʻai, akā e ala pinepine ka hake koko, ke kapa ʻia kēia kūlana ʻo ka prediabetic, inā ʻaʻole hoʻomaʻamaʻa ʻia, e lilo ia i maʻi me nā hopena kūpono.
ʻO nā ana e hiki ai ke hoʻihoʻi i nā nui o ke kō i ka maʻamau ke:
- kaʻai kai;
- waiho kaumaha;
- hana maʻamau;
- lawe i nā lāʻau lapaʻau.
ʻO Diet ka mea nui no ka pale ʻana a me ka mālama ʻana i ka maʻi maʻi, e loaʻa iā ia kekahi mau kumu:
- pono ke kau ʻana o ka meaʻai i nā meaʻai me kahi haʻahaʻa glycemic index: nā huaʻala, nā huaʻai, nā aneʻi hina, nā greens;
- ka pānaehana maʻamau: ʻai iʻa, iʻa, nā hua manu, nā huahana waiū;
- pono ka ʻaʻaʻai: 5-6 mau lā i ka lā ma nā wahi liʻiliʻi, ʻokoʻa nā "kīmaha";
- inu i nā wai he nui: ka wai maʻemaʻe, decoction o nā mea kanu a me nā hua, nā hua i hoʻouluulu ʻole me ka honi;
- pono e hoʻemi ʻia nā huahana palaoa i ka liʻiliʻi a pono ia he palaoa a i ʻole ka palaoa rye;
- haʻalele i ka meaʻai: ka momona, nā kīʻaha palaoa, ka laʻai keʻokeʻo, ka waʻai, ka liʻiliʻi o ka momona holoholona, ka waiʻona a me ka meaʻai wikiwiki.
Hoʻololi ka hana kino kino i ka hoʻohaʻahaʻa ʻana, ka mehameha o ka nui o ka glucose i loko o ke koko a me ka pūpū. I kēia hihia, hoʻomaikaʻi ke kūlana maʻamau o ke kino, a ke emi ka ʻona ʻana ma ke koko.
I ka wā e hōʻike ʻia ana, hoʻohālikelike ʻia nā mea maʻi e kōkua ai e hoʻomaʻamaʻa i ka nui o ke kō a me ka hana. E koi ʻia kā lākou hoʻokipa ʻana, a i ke ola holoʻokoʻa, no ka mea, ʻo ka huakōkē e hiki ai ke ola. Hiki i ka mea maʻi ke noho pū me ia no nā makahiki he nui a ke ola kino. Akā hiki ke koho i kēia koho i nā ʻōlelo manaʻo a ke kauka, a me ka hoʻohana mau ʻana i nā lāʻau lapaʻau.
Kūleʻa wikiō e pili ana i nā lāʻau lapaʻau me ke hoʻohaʻahaʻa:
Ke hōʻole nei i ka mālama ʻana, ʻike ka kino o ke kanaka i nā hopena maikaʻi ʻole o ke kō koko koko, e alakaʻi ana i ka luku ʻia o ke kiko. ʻOi aku ka ulu ʻana o kona kūlana a alakaʻi i ka make.
ʻO ke olakino o ka mea maʻi, ʻo ia ka mea mua, kāna hana. Pono kākou e aʻo e mālama i ko mākou iho kino mai ka wā kamaliʻi, a laila ma ka wā ʻelemakule, ʻaʻohe ʻano hōʻeha koʻikoʻi a he maikaʻi loa ka maikaʻi o ke ola.
