ʻO ke maʻi mellitus (DM) kahi kūlana o "maʻi hyperglycemia." ʻAʻole maopopo ka kumu kumu o ka maʻi maʻi maʻi maʻi. Hiki ke kū mai ka maʻi ma mua o nā kīnā genetic e hoʻopilikia nei i ka hana maʻamau o nā cell a hōʻino paha abnormally i ka insulin. ʻO nā kumu kumu o ka maʻi pākahi ke komo pū i nā hōʻeha koʻikoʻi i ka pancreas, ka nui o ka hana o ka nui o ka gliosida endocrine (pituitary, kelepaʻi adrenal, kelepaʻi thyroid), ka hopena o nā mea make a i ʻole ka luhi. No ka manawa lōʻihi, ua ʻike ʻia ka maʻi diabetes ma ke ʻano koʻikoʻi no ka hoʻokumu ʻana o nā maʻi cardiovascular (SS).
Ma muli o nā hōʻike pinepine o ka haukapila o ka arterial, cardiac, utak a i peripheral hoʻopiʻi kū'ē i ka wā e pili ana i ka hōʻino o ka maʻi glycemic maikaʻi loa, ua manaʻo ʻia ka maʻi maʻi maʻi maʻi vascular.
Helu helu helu diabetes
I Palani, ʻo ka helu o nā mea maʻi me ka maʻi maʻi ma kahi o 2.7 miliona, nona ka 90% o nā mea maʻi me ka maʻi diabetes type 2. Ma kahi o 300 000-500 000 mau kānaka (10-15%) o nā mea maʻi me ka maʻi maʻi ʻaʻole naʻe e manaʻo i ka hiki ʻana o kēia maʻi. Eia nō naʻe, ʻo ka ʻōpiopio o ka ʻōpū ma mua o 10 miliona mau kānaka, ʻo ia ka mea e koi ai no ka hoʻomohala ʻana i ka T2DM. ʻIke ʻia nā hoʻopiʻi SS ma nā manawa 2.4 i ʻoi aku i ka poʻe me ka maʻi maʻi. Hoʻomaopopo lākou i ka pilikia o ka maʻi diabetes a hāmama i kahi hōʻemi o ke ola o nā mea maʻi e 8 mau makahiki no nā poʻe he 55-64 mau makahiki a ma ka 4 mau makahiki no nā poʻe ʻōpio.
Ma kahi o 65-80% o nā hihia, ke kumu o ka make ma ka maʻi ma ka maʻi maʻi he mau puʻuwai cardiovascular, ʻoi aku ka maʻi myocardial infarction (MI), ioka. Ma hope o myocardial revascularization, nā hanana cardiac e loaʻa pinepine i nā mea maʻi me ka maʻi maʻi. ʻO ka hiki ke ola o 9 mau makahiki ma hope o ka hoʻopili ʻana o ka coronary plastic i luna o nā moku he 68% no nā maʻi maʻi maʻi a me 83.5% no nā poʻe maʻamau; ma muli o ka stenosis kūlohelohe a me ka atheromatosis kūlohelohe, nā mea maʻi me ka maʻi diabetes i hoʻomaʻamaʻa ʻia i ka MI. ʻO ka pākuʻi o nā mea maʻi me ka diabetes ma ka keʻena cardiology e kū mau ana a e ʻoi aku ka 33% o nā maʻi āpau. No laila, ʻike ʻia ka maʻi diabetes he mea koʻikoʻi koʻikoʻi no ka hoʻokumu ʻana o nā maʻi SS.
Nā helu diabetes no 2016 (WHO)
I ʻApelila 2016, ua hoʻolaha ka World Health Organization i kahi hōʻike maʻi maʻi honua ma kāna pūnaewele. Ua helu ʻia ka helu ʻatikala ʻana ma hope nei:
- i ka makahiki 1980, kokoke i ka 108 miliona i loaʻa i ka maʻi ma ka honua holoʻokoʻa;
- i ka makahiki 2014, ua hoʻonui ʻia kēia helu ma 422 miliona;
- ka pae nui o ka maʻi ʻekekema o ka honua (age-standardized), ua piʻi mai ka 4.7% a i 8.5%;
- i ka makahiki 2012, 3.7 miliona mau kānaka i make i ka maʻi diabetes (43% o lākou ma lalo o ka makahiki o 70);
- ua kiʻekiʻe ke kūlike o ka make i nā ʻāina haʻahaʻa a me ka waena;
- a hiki i ka 2030, ʻo ka maʻi diabetes ka hiku o ke kumu nui o ka make ma ka honua.
ʻAʻohe helu honua e pili ana i ka hoʻomaka ʻana o ka maʻi type a me ka type 2, ʻoiai no ka mea ma mua o ka maʻi maʻi lā 2 e hoʻopilikia wale nei i nā pākeke, hiki i nā keiki ke maʻi.
