ʻO kahi papaʻai e hiki ke hōʻoluʻolu i ke kaumaha ma ka neuropathy diabetic

I ka makahiki 2015, ma ʻAmelika, ua hana nā ʻepekema i kahi noiʻi e pili ana i ka mea e pili ana i ka ʻai i ka ʻeha e pili ana i ka neuropathy maʻi maʻi. Ka mea, he mea hoʻokolohua aʻai e pili ana i ka hōʻole ʻana i ka ʻai a me nā huahana pānaʻi me ka manaʻo ʻana i nā huahana mea kanu hiki ke hōʻoluʻolu i kēia ʻano a hōʻemi i ka hopena o ka hana ʻole i ka wāwae.

Hoʻopilikia ka neuropathy Diabetic ma mua o ka hapa o ka poʻe me ka maʻi diabetes type 2. Hiki ke hōʻeha ʻia kēia maʻi i ke kino holoʻokoʻa, akā nui ka maʻi āpau o nā lima a me nā wāwae i loaʻa iā ia - ma muli o ke kiʻekiʻe o ke kō nui a me ke kahe koko. Hōʻike ʻia kēia i ka nalowale o ka nānā ʻana, nāwaliwali a me nā hōʻeha.

Ua ʻike nā ʻepekema ʻepekema ma ka hihia o ka diabetes type 2, diya, ka mea e pili ana i ka ʻai ʻana o nā huahana o nā mea kanu, ʻaʻole hiki ke emi iki i mua o ka lāʻau lapaʻau.

ʻO wai ka manaʻo nui o ka meaʻai

I ka wā e aʻo ai, ua neʻe nā kauka i nā ʻelele 17 me ka diabetes type 2, ka maʻi neuropathy maʻi a he nui loa ke kumu o ka meaʻai maʻamau mai ka ʻai ʻana i ka momona haʻahaʻa, e kālele ana i nā lau ʻai hou a me nā kūmole paʻakikī e like me nā cereals a me nā legumes. Ua lawe pū kekahi i ka huawa B12 a ua hele i kahi kula kaiʻai no ka maʻi maʻi no 3 mau mahina. ʻO ka Vitamin B12 he mea nui no ka hana maʻamau o nā napu, akā hiki ke loaʻa i kona ʻano kūlohelohe i nā huahana o nā holoholona.

Wahi a ka meaʻai, ua haʻalele ʻia nā huahana a pau o nā holoholona mai nā mea - ka ʻiʻo, ka iʻa, ka iʻa, ka waiū a me nā mea waiwai, a me nā huahana me kahi glycemic index: gula, kekahi mau ʻano cereals a me nā ʻū. ʻO nā mea nui o ka papaʻaina ko ka uala (i kapa ʻia ʻo ka mea ʻala momona), nā lentil a me nā oatmeal. Ua hōʻole pū nā poʻe komo i nā meaʻai momona a me nā meaʻai a ʻai i ka 40 pā o ka fiber i kēlā me kēia lā i ke ʻano o nā mea kanu, nā huaʻai, nā mea kanu a me nā mea kanu.

No ka kaohi, ʻike mākou i kekahi pūʻulu o 17 mau kānaka me ka hoʻākāka i ka data mua, pono e pili ana i kā lākouʻano non-vegan maʻamau, akā hoʻohui pū me ka vitamin B12.

Nā hopena noiʻi

Ke hoʻohālikelike ʻia i ka hui mana, ʻo ka poʻe e noho ana ma ka meaʻai vegan i hōʻike i ka hoʻomaikaʻi nui ʻana i ka hopena o ka hōʻeha o ka ʻeha. Eia kekahi, hoʻomaka ko lākou ʻōnaehana nenoai a me ka ʻōnaehana uila e hoʻomaikaʻi maikaʻi, a ua nalowale lākou me ka awelika o mua o 6 kilograms.

He nui nō hoʻi i hōʻike i ka holomua o ke kō, e hiki ai iā lākou ke hōʻemi i ka nui a me ke ʻano o ka lāʻau lapaʻau maʻi.

Ke hoʻomau nei nā ʻepekema i ka wehewehe ʻana no kēia mau holomua, no ka mea ʻaʻole lākou e pili pono i ka vegan diet, akā i ka pohō i hiki ke loaʻa ma o. Eia naʻe, ʻo kēlā me kēia mea, ʻo ka hui pū ʻana o ka pā vegan a me ka vitamin B12 e kōkua i ke kaua ʻana i ka hoʻopiʻi maikaʻi ʻole ʻana i ka maʻi maʻi e like me ka neuropathy.

Ma ke kūkākūkā ʻana o Kauka

Inā ʻaʻole ʻoe e ʻike i ka ʻeha e kū mai ana i ka neuropathy maʻi maʻi, a makemake ʻoe e hoʻāʻo i ka meaʻai e hōʻike ʻia ma luna, e noʻonoʻo ʻoe e nīnau aku i kāu kauka ma mua o ka hana ʻana i kēia. Hiki wale i ke kauka ke loiloi i kou kūlana a hoʻoholo i nā pilikia o ka huli ʻana i ia ʻano meaʻai. Hiki iā ia ke ʻae i kou ola olakino e ʻae iā ʻoe me ka maluhia i ka maʻamau a me kekahi mau kumu āu e pono ai. Hiki i ke kauka ke kuhikuhi pehea e hoʻoponopono ai i ka meaʻai i ka hana ʻole aku e hōʻino hou aku a hoʻāʻo i kahi ala hou e hoʻokūkū i ka maʻi.

Epidemiology

Wahi a ka hapa nui o ka poʻe kākau, ʻo ka hala o ke ʻeha i ka polyneuropathy diabetic hiki i ka 18-20%.

, , , , , , , , , , ,

ʻO nā meaʻenehana pathogenetic o ka hoʻomohalaʻana i ka polyneuropathy diabetes me ka paʻakikī a me ka multifactorial. ʻO ka Hyperglycemia ma muli o ke kanesa e hoʻomake i nā maʻi o ka metabolic e like me ka hōʻiliʻili intracellular i ka sorbitol, ka nui o ka glycation protein, a me ke kaumaha o ka oxidative, ka mea e hōʻole i ka hoʻolālā a me ka hana o nā neurons. Ua hōʻino ʻia nā cell endothelial, e alakaʻi ana i ka microvascular dysfunction. ʻO ka hopena hypoxia a me ischemia i kahi ʻoi aku ka nui o ka hoʻōla ʻana i ke kaʻina o ke kaumaha oxidative a me ka neʻe ʻana o ka nerve. ʻO ke ʻano nui o ka hana pathogenetic no ka hoʻomohala ʻana i ka polyneuropathy diabetes, ua manaʻo ʻia hoʻi kahi hapa o nā mea pono neurotrophic.

ʻO nā hana o ka hoʻomanawanui ʻana o ka ʻeha i ka polyneuropathy diabetes, ʻo ke kumu nui i manaʻo ʻia ʻo ka pohō ʻana o nā pūlima koʻikoʻi, e hāʻawi ana i ka hōʻanā ʻana o ka ʻeha. ʻO nā mīkini nā hana a peripheral a me nā naʻau pili, ʻo ka hanauna o nā impulses mai ka ectopic foci o nā napu i hoʻopilikia ʻia, ka hopena nui o nā kahe sodium, a me nā mea nui.

, , , , , , , , ,

Nā hōʻailona o ka eha ma ka polyneuropathy diabetes

Hōʻike ka maʻi ʻeha ma ka maʻi polyneuropathy maʻi e ka hui ʻana o nā mea kūpono maikaʻi a maikaʻi ʻole. ʻO nā hoʻopiʻi pinepine ʻana i mau ʻeha a me nā ʻāʻī i ka wāwae a me nā wāwae, hoʻopilikia ʻia i ka pō. I ka manawa like, hiki i nā maʻi ke loaʻa i ke koʻikoʻi, ka pana, ke kī hōʻili a me ke kī ʻana o nā hōʻeha. I kekahi mau maʻi, ua kaulana ʻia allodynia a me hyperesthesia. ʻO nā maʻi āpau o luna ma luna nei ua helu ʻia he mau manaʻo kūpono o ka ʻeha o ka neuropathic. Hoʻokomo ʻia nā ʻōhua maikaʻi i ka hōʻeha a me ka hypesthesia mahana, ma nā hoʻomaka mua o ka maʻi ka maʻi a hoʻokipa ʻia ma nā wahi mamao o nā wāwae, akā ke neʻe nei lākou, laha lākou a lele a hiki i nā lima. Hoʻemi ʻia ka pale ʻana o Tendon, a ua kaupalena ʻia ka nāwaliwali o ka ʻiʻo o ka wāwae.

ʻO ka liʻiliʻi, hiki i ka ʻeha ke hiki i ka maʻi diabetes asymmetric ma muli o kahi kaʻina vasculitic ma epineuria. Hoʻoulu pinepine kēia ʻano hana i nā poʻe ʻelemakule me ka maʻi mellitus maʻi ʻokoʻa (ʻoi aku ka undiagnosed). Hoʻeha ʻia ka ʻeha ma ka kua o hope a i ʻole ma ka māhele o ka hope o ka ʻūhā a pālahalaha aku i ka wāwae i kahi ʻaoʻao. Ma ka manawa like, ua nawaliwali ka nāwaliwali a me ka emi ʻana o nā ʻōpū o ka uha a me nā pelvis ma ka ʻaoʻao like. Maikaʻi ka palekana i ka maʻamau, akā ʻaʻole paʻa loa.

Hōʻike ʻia ka maʻi doraco-lumbar radiculopathy e ka ʻeha me ka hui pū ʻana me ka hyperesthesia ʻili a me ka hypesthesia ma ka wahi o ke kūmole o nā aʻa i pā. Hoʻomau pinepine kēia ʻano o ka polyneuropathy diabetes i nā poʻe maʻi me nā kuʻuna lōʻihi o ka maʻi diabetes a, ma ke ʻano he kānāwai, e hoʻolōʻihi ka hana i nā hana.

Me kahi piʻi nui o ka neʻe o ka glucose i ke koko (ketoacidosis), hiki i ka maʻi hōʻeha ke aʻoaʻo neʻe, hōʻike ʻia e nā maʻi hōʻeha nui a me ka hoʻoluhi kaumaha. Ua haʻi nui ʻia ʻo Allodynia a me hyperalgesia, a he mea liʻiliʻi loa ka sensory a me nā loea.

Hoʻomaʻamaʻa i ka ʻeha ma ka maʻi polyneuropathy maʻi

Hoʻomaʻamaʻa ka mālama ʻana i ka polyneuropathy diabetes maʻi 2 mau kuhikuhi - e hōʻemi ana i ka nui o ke kaumaha (hōʻailona symptomatic) a me ka hoʻihoʻi ʻana i ka hana o nā ʻehaʻeha (pathogenetic therapy). Ma ka hopena hope loa, ka waika thioctic, benfotiamine, nā mea ulu o ka iwi, nā aldose reductase inhibitors, nā protein kinase C inhibitors, a laila, ua hoʻohana ʻia. ) a loaʻa iā lākou ka hopena i ka ʻeha, ka mea pinepine ke kumu alakaʻi e hōʻemi ai i ka maikaʻi o ke ola o nā maʻi. No laila, i nā mea maʻi me ka ʻeha, lawe ʻia ke ʻano like me ke kūlike me ka hoʻomau ʻana i ka ʻeha neuropathic.

No ka mālamaʻana i ka mamae neuropathic ma ka polyneuropathy maʻi, ua hoʻohana ʻia nā ʻano like ʻole kūloko (ʻo ka decompression opiation o ka nano peroneal, ke ʻano laser, acupuncture, magnetotherapy, ka ʻōlelo kūlohelohe, electroneurostimulation percutaneous), akā, ke kūleʻa nei ko lākou ʻoihana like ʻole. anticonvulsants, opioids a me nā anesthetics kūloko. Pono e hoʻoluhi ʻia ʻaʻole maikaʻi nā analgesics maʻalahi a me nā NSAID no ka hōʻeha o ka neuropathic.

Ma nā antidepressants, ʻo amitriptyline (25-150 mg / lā) e hoʻohana nui ana. Manaʻo ʻia e hoʻomaka i ka mālama ʻana me kahi haʻahaʻa haʻahaʻa (10 mg / lā), e hoʻonui mālie ʻia. I ka manawa like, i ka wehe i ka huki hou ʻana o ka norepinephrine a me ka serotonin, amitriptyline (a me nā mea hou tricyclic antidepressants) paʻa nā postynaptic m-cholinergic receptors, a me ka alpha1-adrenergic receptor a me nā receptamine histamine, e kumu ai i nā hopena he nui nā hopena (waha o ka ʻōpū, sinus sinus, sinus sinus mālama kino, haunaele, hoʻoweliweli hoʻomanaʻo ʻana, ka hiamoe, a me ka hypotension orthostatic, dizziness). Pono e hoʻohana ʻia nā antidepresan Tricyclic me ka mālama aka i ka poʻe maʻi me ka pathology cardiac, glaucoma, mālama i ka urinary, a i ʻole nā autonomic pilikia. I nā poʻe maʻi maʻi, hiki iā lākou ke hōʻemi a me ka hōʻino ʻana o ka puʻuwai. ʻO ka inhibot serotonin reuptake i liʻiliʻi nā hopena liʻiliʻi, akā, ʻo nā hoʻokolohua lapaʻau i nā poʻe maʻi me ka hōʻeha neuropathic ma ka polyneuropathy maʻi (fluoxetine, paroxetine) i hōʻike wale i ka hana palena. I kēia mau makahiki i hala iho nei, ua ʻike ʻia ka maikaʻi o nā papa ʻē aʻe o nā antidepressants, e like me venlafaxine a me pitoxetine.
ʻO ka hoʻohana ponoʻana o ka 1st generation anticonvulsants i ka mālamaʻana i ka maʻi neuropathic e pili ana i kā lākou hiki ke pale i nā pā sodium a hoʻoneʻe i ka hana ectopic i ka presynaptic sensory neurons. Ma ka hopena hōʻeha o ka polyneuropathy diabetes, e kūleʻa ana ka carbamazepine i ka 63-70% o nā hihia, akā, ʻo kona hoʻohana pinepine ʻia ʻana i nā hopena ʻaoʻao maikaʻi ʻole (dizziness, diplopia, ʻeha ʻeha, hoʻoluhi hoʻoluhi). Ua hōʻike kekahi mau haʻawina i ka hopena maikaʻi i ka wā e hoʻohana ai i ka phenytoin a me ka waikawa valproic. Loaʻa ka ʻike no ka hoʻohana ʻana i ka 2 mau generasi anticonvulsants ma polyneuropathy diabetes. ʻO nā ʻikepili e pili ana i ka hana pono o topiramate, oxcarbazepine, lamotrigine ʻaʻole ʻeha a kue. Loaʻa nā hopena i hoʻohiki ʻia no ka gabapentin a me pregabalin. Ua hōʻike ʻia ka maikaʻi o ka pregabalin i ka mālama ʻana i ka ʻeha neuropathic i nā pākeke i loko o nā hōʻike kulekele 9 i hoʻopaʻa ʻia (a hiki i 13 mau pule). Hoʻokumu ʻia ka mana o ka hana o ka gabapentin a me ka pregabalin ma ke kī ʻana i a₂ʻO sigma subunit ka hiki ʻana o nā kanalula kikowaena o nā neurons sensory peripheral. Ke alakaʻi nei kēia i ka hōʻemi o ke komo o ka kaloli i ka neuron, ka hopena o ka hoʻohaʻahaʻa i ka hana ectopic a hoʻokuʻu i nā mea hoʻoponopono nui (glutamate, norepinephrine a me ka waiwai P). Ua hoʻomanawanui maikaʻi nā lāʻau ʻelua. ʻO ka hopena maʻamau ka hopena o ka dizziness (21.1%) a me ka hiamoe (16.1%). Hoʻokumu i nā hoʻokolohua manuahi randomized, hāʻawi ʻia nā ʻōlelo aʻoaʻo e pili ana i ka hoʻohana ʻana i kēia mau lāʻau i ka mālama ʻana i nā syndromes hōʻeha o ka neuropathic. Pono e kuhikuhi ʻia ʻo Gabapentin ma ke ʻano o 300 mg / lā a e hoʻonui mālie iā ia i ka 1800 mg / lā (inā pono - a i ka 3600 mg / lā). ʻO Pregabalin, ʻaʻole like me gabapentin, aia i ka pharmacokinetics linear, ʻo kona hoʻomaka hoʻomaka ʻana he 150 mg / lā, inā pono, e hiki ke hoʻonui ʻia ka hopena ma hope o ka hebedoma 1 300 mg / lā. ʻO ka maʻa nui loa he 600 mg / lā.
ʻO ka wā kūpono no ka hoʻohana opioid e lilo i ka hopena o ka hoʻomohala ʻana i nā hōʻeha hōʻino, a me ka hilinaʻi ʻana o ka noʻonoʻo. ʻO ia ke kumu i ʻike ʻole ai lākou i ka noi nui ma ka mālama ʻana i ka polyneuropathy maʻi maʻi. I 2 mau pilikia hoʻopihapiha hoʻokolohua, maikaʻi ʻia ka maikaʻi o tramadol (400 mg / lā) - ua hōʻemi nui ʻia ka lāʻau lapaʻau i ka hōʻeha o ka ʻeha a hoʻonui i ka hana pilikino a me ke kino. He pākuʻina liʻiliʻi ʻo Tramadol no ka mea ʻae ʻana me nā opioid mu receptors a hoʻokahi manawa o ka inhibitor o serotonin a me ka hoʻihoʻi ʻana o ka noradrenaline. Wahi a nā mea noiʻi he nui, ʻoi aku ka liʻiliʻi o ka hōʻinoʻana o ka tramadol ma mua o nā opioid. ʻO ka hopena maʻamau ka hopena o ka dizziness, nausea, constipation, drowsiness, a me orthostatic hypotension. No ka hōʻemi o ka hopena o nā hopena a me ka hilinaʻi, pono e hoʻohana ʻia ka hoʻohana ʻana o tramadol me nā dosis haʻahaʻa (50 mg 1-2 mau manawa i ka lā). Inā makemake, e hoʻonui ʻia ka pākēneka i kēlā me kēia 3-7 mau lā (ʻo ka nui loa ka nui o 100 mg 4 mau manawa i ka lā, no nā maʻi maʻi makua - 300 mg / lā).
ʻO nā ikepili haukaʻi e pili ana i ka hoʻohana ʻana i nā anesthetics kūloko (kahi māpoki me ka Coverocaine) no ka maʻi maʻi maʻi neuropathic i kaupalena ʻia i nā haʻawina. Pono e noʻonoʻo e hoʻohana i ka hoʻohana ʻana o ka anesthetics i hiki ke hōʻemi i ka ʻeha ma kahi wale o ka noi, ʻo ia hoʻi, e kōkua ʻia kā lākou hoʻohana i nā mea maʻi me kahi wahi liʻiliʻi o ka hōʻeha ʻana. ʻO ka mea ʻike, no nā ʻōlelo kikoʻī pololei o ka hoʻohana ʻana o ka anesthetics kūloko, pono ʻia nā noiʻi hou. ʻO Capsaicin kahi mea lapaʻau kūloko i loaʻa mai i ka pods o ke kaila ʻulaʻula a i ʻole ka pepa cili. Ua manaʻoʻiʻo ia ke kumu o ka hana a capsaicin e pili ana i ka hōʻemi ʻana i ka waiwai P ma nā hope o nā nīnama sensus peripheral. I loko o kahi noiʻi, kahi noi topical o capsaicin (i loko o 8 mau pule) e hōʻemi i ka nui o ka hōʻeha ma o 40%. Pono e hoʻomanaʻo ʻia ʻo ka wā mua ka capsaicin, hoʻohui pinepine ʻia ka ʻeha. ʻO ka hopena maʻamau ka ʻulaʻula, ka ʻā ʻana a me ka ʻike ʻana ʻike ʻia ʻana i ka pūnaewele o ka noi capsaicin. Ma ka holoʻokoʻa, i ka ʻike ʻana i nā mana o ka lāʻau lapaʻau e pili ana i ka hōʻike, ʻo gabapentin a i pregabalin hiki ke ʻōlelo ʻia e like me nā lālani mua loa no ka mālama ʻana i ka ʻeha ma ka polyneuropathy maʻi. Hiki i nā antidepressants (pitoxetine, amitriptyline) a me tramadol ke hoʻopili i nā lāʻau lapaʻau lua-laina. Hōʻike ka hōʻike kūpono ʻana i kekahi mau hihia kūpono ka polypharmacotherapy kūpono. Ma kēiaʻano, pili i ka hui pū ʻana o kahi anticonvulsant (gabapentin a pregabalin), he antidepressant (ujxetine, venlafaxine a i amitriptyline) a me tramadol i kūpono loa.

ʻEha i nā wāwae

Hiki ke hōʻeha ʻia nā ʻeha o ka maʻi maʻi ma ka manawa hoʻokahi.

ʻO ka neuropathy peripheral kahi hoʻopiʻi o ka hoʻonāukiuki i ka hopena o ka glucose.
Hoʻopili i ka maʻi kikoʻi me nā pā plika atherosclerotic.

ʻO ke kumu o ke kumu, ʻo ka mālama nui ka hoʻihoʻi i ke kō i ke kumu maʻamau a mālama mau i ka maʻamau. Ma waho o kēia ʻano, ʻaʻohe peni, massage, physiotherapy a me nā kūkaʻi o ka iwi e kōkua. ʻO ka ʻehaʻeha wāwae kekahi mea e hoʻolako ai iā ʻoe e hāpai i ka noʻonoʻo a mālama pono ʻoe iā ʻoe iho. E hoʻopau i nā pilikia, pono ʻoe e hoʻoholo i ke kumu o nā hōʻailona e hōʻeha i ka mea maʻi. ʻO kēia ka mea e koho ai i kahi kūpono lapaʻau kūpono kūpono. E noʻonoʻo i ka neuropathy mua, a laila hoʻomāinoino ʻia i ka pōʻino o ka atherosclerotic.

No ke aha ke kumu maʻi e hōʻeha ai i nā wāwae?

Hoʻopilikia i ke kōpaʻa koko nui i nā ʻeha i mālama i ke kino holoʻokoʻa, me ka wāwae hoʻi. Ua hōʻike ʻia kahi maʻi o ka neuropathy peripheral e pili ana i nā nīu i loko o nā wāwae, a hiki paha i nā lima, ma ka periphery, kahi mamao loa mai ke kikowaena o ke kino. I ka nui o nā hihia, hoʻonā nui ka neuropathy i ka palupalu, nā nalowale o nā sensation. Eia nō naʻe, i kekahi mau mea maʻi, hōʻike ʻia ʻo ia iho i loko o ka ʻeha, ke kuni ʻana, tingling, a me nā kihi. Hiki i nā hōʻailona ke hoʻokele wale i ka lā, akā ʻo ka pō hoʻi, e hopohopo ana ka hiamoe ʻo ka pō.

Hoʻomaʻamaʻa ka ʻeha o ka wāwae i hoʻoiho ʻia e ka neuropathy i ke ʻano o ke ola, akā ʻaʻole ʻo ia kahi pilikia nui. Hiki i kahi nalowale o ka hōʻiliʻili o ka ʻili.I kēia hihia, hōʻeha ka mea maʻi i kona mau wāwae i ka wā e hele ana, me ka ʻike ʻole ʻia. Hoʻopilikia ka maʻi maʻi maʻi i nā hōʻeha wāwae i mea lohi a hele ʻole paha. Heluhelu hou i ka wāwae Diabetic. Mai ia manawa aia i ka gangcrene a me ka amputation.

ʻO ka maʻi hānai e hoʻomaʻamaʻa wikiwiki i ka hoʻomohala ʻana i ka hiki ʻana o ka atherosclerosis. ʻO kēia ka maʻi ʻōnaehana. E like me ke rula, e hoʻopili pū kekahi i nā moku e hoʻopau i ka naʻau, ka palupalu, nā palaka, a me nā mea haʻahaʻa haʻahaʻa. Hoʻopili nā Plaques i nā ʻalā, ʻo ia ke kumu e hoʻoneʻe ai ke koko ma o lākou a paʻa ʻole paha. Hōʻike nā ʻeleʻele i ka pololi oxygen - ischemia. Hoʻonui ka ʻeha o ka wāwae i ka wā e hele ana, ʻoi aku hoʻi ma ke ala, a piʻipiʻu a ʻalo paha i ka wā e noho ai ka mea maʻi. Hoʻomaʻa ʻia kēia ʻano maʻi me ka claudication intermittent. Loaʻa i kahi hōʻeha o ka ʻeha me nā manawa mālie. Hoʻomaha hoʻomaha e hōʻoluʻolu i ke kaumaha ʻole. Hoʻopili i nā mea hōʻeha, nā hoʻomehana o nā palahalaha, nā cyanotic color o nā wāwae, a hiki ke ʻike ʻia ka ulu o ka puhoi.

Hoʻopilikia ka claudication intermittent i nā pilikia he nui no ka mea maʻi. Ke hoʻāʻo nei lākou e noho ma ka home ka mea i ʻole e kānana i ko lākou mau wāwae a pale aku i nā hōʻeha hōʻeha. Ma kahi o ka hōʻeha, ʻo ka ʻeha o ke kaumaha i nā wāwae, hiki i ke olakino olakino maikaʻi ke pilikia. Hoʻopili ke Atherosclerosis i ke kahe o ke koko i nā wāwae, ʻo ia ke kumu e hōʻomaʻomaʻo maikaʻi ai nā hōʻeha. Aia ka hoʻoweliweli o ka gangrene a me ka amputation, ʻoiai inā hui pū kekahi neuropathy maʻi. Aia hoʻi ka pilikia nui loa o ka hoʻoulu ʻana o ka puʻuwai a me nā ʻeha ma muli o nā pilikia me nā kīʻaha e hānai i ka naʻau a me ka lolo. Hoʻomaopopo mākou ʻo ka maʻi atherosclerosis maʻi maʻi i nā mea nui e pili ana i nā moku koʻikoʻi i ka manawa like.

Pehea e wehe ai i nā ʻeha wāwae?

He nui nā maʻi maʻi maʻi e loaʻa ana i ka maʻi ʻeha e ʻoi aku ka hopena. E nānā i kahi wikiō o Kauka Bernstein a aʻo pehea e kāpae ai i ka neuropathy maʻi me ka ʻole o nā mea ʻino ʻona a koʻikoʻi. Ma hope o nā mea a pau, he neuropathy kēia e hoʻokau ai i kou ʻeha. I kekahi mau maʻi maʻi maʻi, e hōʻeha ana i ka ʻehaʻeha wāwae, ʻoiai ma loko aʻe o ia mea e hōʻeha ai i ka luhi a me ka nalo o ka sensation. I kekahi manawa hui pū nā maʻi "passive" a me ka "ikaika". I kekahi hihia, hiki ke hoʻoholo ʻia kēia pilikia, ʻaʻole e like me nā hoʻopiʻi o ka maʻi diabetes i nā maka a me nā keiki.

Pono ka ʻeha o ka wāwae e hoʻomaʻamaʻa pono iā ʻoe. Pono e ʻike i ke kiʻekiʻe o ka atherosclerosis o nā moku o nā wāwae. A laila e nānā no ka neuropathy maʻi maʻi. E ʻike i nā ʻōnaehana e pili ana i kēia hoʻopiʻi ʻana, ʻokoʻa ka neʻe ʻana o nā aʻa ma nā wāwae. ʻO ka mea mua, nā ana ke kauka i ka ʻāʻā ʻana o nā ankle-brachial index. ʻAʻole ʻino a ʻeha ʻole paha. Hoʻomake ka mea hoʻomau i ka moena. I kahi kūlana, ʻo ke kaʻi koko systolic (luna) ma nā kuʻekuʻe a me nā poʻohiwi ke ana i ʻelua mau manawa.

Inā he nui loa i lalo o nā kuʻekuʻe ma mua o nā poʻohiwi, a laila kokoke ke kīpī i nā wāwae i ka atherosclerosis. I kēia hihia, pono ʻoe e hana i nā hoʻokolohua koʻikoʻi - ultrasound, MRI. Ma mua o ka hoʻomaʻamaʻa ʻana ma nā moku, hiki ke kuhikuhi ʻia he x-ray me ka hoʻopuka ʻana i kahi ʻāpana kūʻokoʻa. ʻAʻole kēia he hoʻokolohua palekana loa. ʻOi aku ka maikaʻi ʻaʻole e hana inā ʻaʻole hoʻolālā ʻia kahi hana.

Inā kānalua ka neuropathy maʻi maʻi, ka nānā ʻana o ka ʻili o nā wāwae i pā aku, vibration, nānā ʻia ka mahana. Hana ʻia e kēia e ke kauka me ke kōkua o kahi kolo neurological, kahi hui pūlau kūleʻa, a me ka manu, a me ka pūloi no hoʻi e nānā i ka ʻehaʻeha ʻeha.

Ma muli o ka hōʻeha o ka nerve, hiki i nā wāwae ke maloʻo ka lelo. I kēia hihia, e maloʻo ka ʻili a pehu paha. Hoʻomaopopo ʻia kēia ma ka nānā ʻana i kahi ʻike maka ʻia. E like me ka atherosclerosis, ʻo ka neuropathy he hoʻopiʻi o ka maʻi o ka maʻi maʻi. Hiki iā ia ke hōʻeha i nā ʻōiwi like ʻole. ʻO ka hōʻeha i nā ʻeha i mālama i ka hanu a me ka puʻuwai puʻuwai he pōʻino loa. Akā, ʻike kekahi mau kauka pehea e nānā ai i kēia.

ʻO ka hana koʻikoʻi ʻo ia ka hoʻokō a mālama i ke kō koko koko maʻamau. E aʻo a ʻimi i kahi papa hana lāʻau lapaʻau 2 a i ʻole ka papa lāʻau lapaʻau ʻano ʻehā. ʻO ka Neuropathy kahi hoʻohui hoʻopiʻi. I ka manawa e hōʻea ai ke kiʻekiʻe o ka glucose koko maʻamau, e hoʻi mālie nā nerb, ua emi ka hōʻailona a nalo i loko o kahi mau mahina.

Pēlā nō, ʻo ka hoʻomau ʻana i ka maʻi diabetes maikaʻi e kōkua lohi i ka hoʻomohala ʻana o ka atherosclerosis. ʻO ka ʻeha ʻeha, he hoʻohālikelike ʻole i ka nalowale o ke ʻano, he mea hoʻoikaika i nā mea maʻi e mālama pono ʻia. Aia i kou mana e pakele i nā hōʻailona leʻaleʻa, e pale i ka amputation a hoʻopaʻa i kahi ola maʻamau.

He aha nā mea hōʻeha a me nā mea kōkua meaʻaiʻai e kōkua ai?

E pale aku i nā ʻeha, hiki i ke kauka ke kuhikuhi i nā lāʻau lapaʻau, i wehewehe ʻia ma ka kikoʻī ma lalo nei. ʻAʻole kōkua nā lāʻau hōʻino, a he nui nā hopena maikaʻi o nā lāʻau lapaʻau. E ho'āʻo e hana me lākou e like me ka mea hiki. No nā mea hoʻolako meaʻai, e lawe pinepine nā mea maʻi i ka waika alpha lipoic. Ua kiʻekiʻe kona kumukuai, a dubious nā pono. Inā makemake ʻoe e hoʻāʻo i kēia mea hana, mai kūʻai i ka lāʻau lapaʻau, akā kauoha mai ka USA ma o ka pūnaewele iHerb. E lilo nā kumu i kekahi mau manawa ma lalo.

ʻO ka bitamina B6 (pyridoxine) i loko o nā poho nui he nui ka hōʻeha i nā manamana lima a me nā manamana wāwae, e like me ka hana ʻana o nā painkillers i ka mālama ʻana o nā niho. Hiki ke hoʻohana i kēia hopena i ke mālama i ka hōʻeha ma muli o ka maʻi neuropathy maʻi. Pono ka maʻa ma kahi o 100 mg, a no nā kānaka o ka nui - 200 mg i kēlā me kēia lā.

Lawe i ka huaora B6 (pyridoxine) a me nā huaora B ʻē, a me ka pākuʻi magnesium. No ka laʻana, kahi pākahi o nā huaora B-50. Hoʻohana wale nō e like me ke kaʻina manawa a hiki i nā ololi o ke aʻalolo nā mea e hoʻomaikaʻi ai i ka maʻi diabetes. ʻAʻole i ʻāpono ʻia kēia mea, hoʻokolohua nā maʻi i kā lākou iho. Hiki i nā hopena koʻikoʻi. No ka ʻeha i hoʻoiho ʻia e ka atherosclerosis, ʻaʻole hiki ke kōkua ʻia kēia ʻālana.

Hoʻomaʻemaʻi i ka wāwae wāwae Diabetic: ʻO ka hoʻomanawanui hoʻomanawanui

Inā hōʻoia nā hoʻokolohua e pili ana i nā kīʻaha o nā wāwae i ka atherosclerosis, nui ka maʻi e kuhikuhi ʻia nā statins no ka kolamu, nā lāʻau lapaʻau no ka hypertension, a me nā lāʻau hoʻonaninani koko. ʻO kēia mau lāʻau āpau e hōʻemi i ka hopena o ka hoʻoulu ʻana o ka puʻuwai, hōʻeha, a me ka thromboembolism pulmonary.

Aia nā koho no ka mālama maʻi. Hiki i ka mea hiki ke hoʻopili i kahi mea e like me ka baluna i ka pā palaka clogged, a laila e hoʻopili a hoʻonui i ka lumen ma kēia ala. No ka mālamaʻana i ke kahe o ke koko ma o ke kīlea, hiki iā lākou ke waiho i kahi māka i loko - ʻo kahi kaula lauwila. ʻO kahi ala ʻē aʻe, ʻo ka lawe ʻana ʻana i kahi moku mai kahi ʻāpana o ke kino a hana iā ia i mea hana no ke koko ma mua o kahi puʻukū clogged. E kūkākūkā i nā kikoʻī me kāu kauka.

Hoʻohui naʻau

Ma ke ʻano he kānāwai, he liʻiliʻi ka pili o ka maʻi maʻi a me ka ʻaha o nā hui. ʻAʻole hiki ke hoʻōla hou i hoʻokahi a me nā mea a pau, akā hiki iā ʻoe ke mālama i nā pilikia ma lalo o ke alakaʻi ʻana a me ke alakaʻi ʻana i kahi ola maʻamau me ka nele o ka pilikia. ʻO kēia e puʻupuʻu kūkā ana i kekahi mau kumu o ka hōʻeha a me nā pilikia ʻē aʻe:

rheumatoid arthritis,
ʻeoleloola
ʻO ka wāwae o Charcot.

ʻO ka lāʻau rehe Rheumatoid he pilikia hopena e hōʻemi ʻia e nā ʻikepili autoimmune, e like me nā maʻi maʻi type 1. Nā hōʻailona ʻeha - ke kaumaha, ʻulaʻula, ka huehue o nā ʻōpū. He ʻokoʻa a hiki ʻole ke nānā ʻia kēia mau ʻōuli, akā naʻe i nā pā. Hiki i nā hoʻokolima koko ke hōʻike i nā māka nui o ka mumū - C-reactive protein, interleukin 6 a me nā mea ʻē aʻe. No ka hōʻoluʻolu i ke kūlana o ka mea maʻi, i nā hihia koʻikoʻi, ua kau ʻia nā lāʻau lapaʻau, no ka laʻana, etanercept, adalimumab a infliximab. Hāpai lākou i ka hana o nā ʻōnaehana pale. Mahalo paha kēia mau lāʻau i ka hōʻemi o ka maʻi autoimmune inā ʻaʻole i hoʻomaka. Akā hiki iā lākou ke hoʻonui i ka pilikia o nā maʻi a hoʻonā i nā hopena ʻē aʻe.

He mea kūpono ia e hoʻāʻo i kahi papaʻai me ka hōʻole ʻana i ka gluten, a me ka hoʻohui i nā mea kanu anti-inflammatory - curcumin a me nā mea ʻē aʻe. E ʻoluʻolu, ʻo kaʻai ʻaʻai anti-diabetes ʻohiʻohi hoʻi ʻo ka gluten-free. Inā makemake ʻia nā huahana waiū e hoʻopaʻa ana i ka casein he wahi moot. Hoʻomaopopo i ka maʻi maʻamau o ka maʻi maʻamau, nā hōʻeuʻeu o ka ʻōnaehana pale ma nā cell beta pancreatic he maʻamau nō hoʻi. Pono ka mea maʻi e hoʻoluhi i ka insulin, ma ka liʻiliʻi ma nā haʻahaʻa haʻahaʻa. ʻO ka maʻi diabetes type 2 ka maʻi nui loa ma ka autoimmune.

ʻOsteoarthritis: ke kumu o ka hōʻehaʻeha i ka maʻi type 2

ʻO ka Osteoarthritis kahi pilikia i nā hui like ʻole e ko lākou mau umauma i pili, a me ka nui o ke kaumaha o ka mea maʻi. Holo nā pūlima i nā pūlima, ma muli o ka mea e hoʻomaka ai nā iwi e kī a lulu me kekahi i kekahi. Nā hōʻailona ʻānō - ka pupuhi a me ka palena o ka mobility. ʻO nā pilikia maʻamau ka mea ma nā kuli a me nā kuʻekuʻe. ʻAʻole hōʻeha ka ʻōnaehana pale i nā pūlima, e like me ka maʻi rheumatoid. ʻAʻole i hoʻonui ʻia nā hōʻailona o kaʻeha ma ke koko. Pono ʻoe e hoʻāʻo e waiho i ka paona i nā kumu āpau. E hōʻemi kēia i nā pilikia pili a ʻoi aku ka hoʻomaikaʻi ʻana i ka maʻi diabetes type 2. E kamaʻilio me kāu kauka inā pono ʻoe e lawe i ka lāʻau lapaʻau ʻeha a hoʻohana paha i ka lāʻau lapaʻau.

ʻO kahi wāwae o Charcot kahi hopena koʻikoʻi o ka maʻi maʻi e hōʻeha ai i nā ʻōpū o nā wāwae. I ka hoʻomaka mua, alakaʻi ka neuropathy diabetes i ka nalo o ka sensation i nā wāwae. Ke hele nei, hoʻowalewale ʻia a ʻōlelo ʻia nā ligament, ʻaʻole e ʻike ka mea maʻi i kēia. Ke hoʻonui nei ke kaumaha i nā kihi. Loaʻa ka wāwae i ka wikiwiki. Mahope wale nō o ka hoʻomaka ʻana e ʻāwili, hoʻouka a ʻehaʻeha. Ma ka hope loa, ʻike nā maʻi maʻi maʻi e loaʻa kāna pilikia. ʻO nā hono i hoʻopili ʻia e wela i ka pā. Hoʻolālā - hana hōʻola, nā kāmaʻa orthopedic. Loaʻa ka wāwae o Charcot i kahi maʻi ʻē, hiki ke pale ʻia ka maʻi. Pono e mālama i nā kaila koko maʻamau i mea e pale ai i ka neuropathy.

ʻO ka lāʻau lapaʻau ʻeha

Ma ke kānāwai, hana nā mea maʻi i kā lākou hoʻāʻo mua e kaohi i ka ʻeha me nā lāʻau lapaʻau ma luna o lākou iho. Hoʻohana lākou i ka ibuprofen a i paracetamol, i kūʻai ʻia ma luna o ka counter. Kōkua wale kēia mau lāʻau i nā hihia maʻalahi loa. No ka hoʻohana ʻana i nā mea hōʻeha kūʻai, pono ʻoe e kiʻi i kahi lāʻau lapaʻau mai kāu kauka. Ua hōʻike ʻia nā lāʻau lapaʻau e kūʻē i ka ʻeha e hōʻeha ʻia e ka neuropathy maʻi:

ʻĀpana Kaukini - pregabalin, gabapentin,
ʻopa antidepressants - imipramine, nortriptyline, amitriptyline,
Hoʻololi serotonin reuptake sambo - duloxetine, milnacipran,
opopaid analgesics.

Hōʻike pinepine kēia mau lāʻau i ka hopena maikaʻi loa. ʻAʻole kūʻai wale lākou ma ke kūʻai ʻana aku. E ho'āʻo e hana me kā lākou. Hoʻomaka me nā lāʻau nāwaliwali nāwaliwali. Huli i nā mea ikaika a wale nō inā pono.

Hoʻopau

ʻO Pregabalin, gabapentin a me nā lāʻau like ʻē aʻe e hoʻohana nui ʻia e like me ke kūpaʻa no ka epilepsy. Ua kapa ʻia kēia mau lāʻau me ka anticonvulsants. Ma ke ʻano o ka mālama ʻana i ka epilepsy, hiki iā lākou ke hōʻoluʻolu i ka wela, stitching, a me ka ʻehaʻī. No laila, ua kuhikuhi ʻia lākou no ka neuropathy diabetic e hōʻeha i ka ʻeha, e like me nā lāʻau lapaʻau mua. Ke hoʻolōʻihi nei lākou i ka neʻe ʻana o nā meaʻeha o ka nerve e hāpai i nā ʻano ʻoluʻolu ʻole.

Antidepressants e kūʻē i ka ʻeha

ʻO nā lāʻau lapaʻau no ke kaumaha a me ka hōʻeha ʻana no nā maʻi maʻi mau selotonin reuptake inhibitors (duloxetine, milnacipran). ʻO ka hoʻohana pinepineʻia nā Tricyclic antidepressants (imipramine, nortriptyline, amitriptyline) No ka mea pono i nā dosis e hōʻoluʻolu i ka ʻeha, mālama pinepine lākou i nā hopena ʻaoʻao. ʻO nā anticonvulsants a me nā antidepressants e hoʻonui i ke kō koko. Manaʻo pinepine iā ʻoe i ka wā e lawe nei i kēia mau lāʻau lapaʻau. Inā pono, e hoʻonui i kāu dosage o ka insulin.

I ka hoʻohuiʻana i nā papa, hiki iā ʻoe ke hoʻāmi i kahi ʻoniʻoni, ka ʻaila a i ʻole nā pāpū i loaʻa ka capsaicin. He mea momona kēia i lawe ʻia mai i ka pepa wela. E hoʻonāukiuki i nā ʻeha a kumu hoʻi i ke kino e hōʻalo ai i ka makaʻala ʻana i kā lākou hopena ma luna o ka manawa. I ka wā mua, hoʻonui ʻia ka pilikia ʻole, akā ma hope o 7-10 lā, hiki mai ke hōʻoluʻolu.

No ka loaʻa o ka hopena, pono ʻoe e hoʻohana i ka capsaicin i kēlā me kēia lā, me ke keʻakeʻa ʻole. Manaʻo nā mea maʻi he nui nā pilikia ma mua o nā pono pōmaikaʻi. Akā, ʻaʻole ia e hoʻonā i kēia hoʻoponopono i nā hopena koʻikoʻi e like me ka painkillers. ʻO kahi mea hoʻohana kaulana loa ma mua o ka capsaicin ʻo ka lidocaine no ke noi ʻana i ka ʻili i ka ʻano o kahi aila, gel, kahe a i ʻole aerosol. E kamaʻilio me kāu kauka e pili ana i ka mana e hoʻohana ai. ʻO ka laʻana, ʻo kēlā me kēia mau hola 12.

He aha kā hana inā ʻeha kou ʻōpū

ʻO ka hōʻeha o ka ʻōpū a me nā maʻi ʻē aʻe e hōʻemi ʻia i ka maʻi diabetes, ʻaʻole pono e ʻae ʻia, akā e hoʻoikaika ʻia, e hoʻāʻo ana e pale aku iā lākou. E ʻike i kahi gastroenterologist maikaʻi, e nānā ʻia a kūkā me ia. Hōʻike iā ʻoe ʻaʻole he ulitisative colitis, Crohn's disease, gall bladder pilikia, a i ʻole ʻōpū a i ʻole duodenal ulia. E ʻike i nā ʻike e pili ana i kahi pōpoki o candida albicans rewena i loko o kāu mauʻu. Inā pono, e lawe i nā meaʻaiʻai e hoʻopau ai i kēia ʻōpū, e loaʻa ana ka caprylic acid, nā hinu oregano a me nā mea ʻē aʻe. E ʻike inā he gluten intolerance (celiac maʻi).

Hiki i nā lāʻau lapaʻau e hiki ke hōʻeha i ka ʻōpū o ka ʻōpū, ke kaumaha, ka luaʻi ʻana a me nā mea hoʻowalewale ʻē aʻe.

Metformin - Hoʻolālā, Siofor a me nā mea hoʻohālike
ʻO agagonist like me nā pona kohu like ʻole - he Viktoza, Baeta, Lixumia, Trulicity.

Pono i kēlā mau lāʻau lapaʻau āpau loa. ʻAʻole ke kumu o ka Digestive i ke kumu e hōʻole ʻole ai iā lākou. Eia naʻe, pono e hoʻohaʻahaʻa ʻia ka lāʻau no ka ʻokoʻa i loko o ke kino e hoʻomaʻamaʻa ʻia. Ua hoʻolālā ʻia ʻo Victoza, Baeta a me nā lāʻau like ʻole e hōʻai i ka mea maʻi me ka diabetes type 2 e ʻai nui. I ka hihia o ka overeating, hiki iā lākou ke hōʻeha i ka ʻōpū o ka ʻōpū, ke kaʻa ʻana, a me ka luaʻi ʻana. ʻO kēia ka mea maʻamau, maʻamau ʻaʻole maʻamauʻino. ʻAi wale ia i ka loli. Hoʻomaʻamaʻa ʻia nā papa metformin i ka ʻono, hiki ke hoʻoweliweli i ka nui.

Hoʻokomo pinepine ka neuropathy Diabetic i nā nuna, ka mea e kaohi i ka neʻe o ka meaʻai ma ke kaʻe gastrointestinal a hiki i ka hana ʻana o ka hoʻōla hydrochloric i loko o ka ʻōpū. Ma hope o ka ʻai ʻana, e ʻai paha nā meaʻai i loko o ka ʻōpū i nā hola he nui. I kēlā mau kūlana, ke ʻike paha ka mea maʻi i ka nausea, kahi kuhi i ka piha o ka ʻōpū, lele i nā pae glucose o ke koko. Ua kapa ʻia kēia hoʻopiʻi ma ka maʻi pākēnē. E heluhelu i pehea e lilo ai ia i ka kāohi.

ʻO ka Ketoacidosis ka maʻi ākea a me ka make o ka maʻi maʻi i hoʻomake ʻia e ke koko koko nui, ma ka liʻiliʻi he 13 mmol / L. I waena o nā hōʻailona ʻē aʻe, hiki iā ia ke hōʻeha i ka ʻōpū o ka ʻōpū, ke ʻuwelu, a me ka luaʻi. Pono ka mea maʻi e mālama i ka mālama olakino. E hana i ke ana no ka ana ʻana i ka ketone i loko o ke koko a me ka hoʻokeo inā ʻike wale nō ka honi o ka liʻiliʻi he 13 mmol / l. Me nā heluhelu haʻahaʻa haʻahaʻa e hopohopo ai e pili ana i nā ketones, mai makaʻu i ka helehelena o ka acetone i ka pūpū.

Pahu ʻole ke maʻi

He poʻo nui ke poʻo. ʻO ka mua - eia kēia ke kumu i loko o ke poʻo ponoi, no ka laʻana, kahi hana palupalu o nā kīʻaha koko, nā ʻiʻo a i ʻole ʻōpū o ka ʻiʻo. ʻO nā kumu lua he wēkē huʻu maikaʻi, ka maʻi, ka ihu o ka ʻili, ka maʻi o ka pepeiao. A i ʻole nā pilikia koʻikoʻi - concussion, stroke, tumor. Ma ka maʻi maʻamau, hoʻomāhuahua ʻia nā hōʻeha o ka nui o ke kō a me ke kō, a me kona ʻano maʻalahi, e lele i luna a i hope.

ʻOi wai nui - kahi mika nui o ke koko o 10 mmol / L a i ʻole. Hoʻokumu pinepine ka poʻo i ka ulu ʻana, a ʻoi hoʻi ke kiʻekiʻe o ke kō, ʻoi aku ka ikaika. ʻO ia wale nō ke ʻano o ka maʻi ʻole i ka maʻi o ka maʻi. ʻO ka haʻahaʻa haʻahaʻa - kahi hapa o ka glucose o ke koko ma lalo o 3.9 mmol / L, ʻoiai he mea kū hoʻokahi kēlā paile no kēlā me kēia maʻi maʻi. Me kēia hoʻopiʻi ʻana, hiki i kahi hōʻeha o ke poʻo hiki ke hoʻomaka koke, a me nā hōʻailona ʻē aʻe - ka pōloli, ka makaʻu, nā lima haʻalulu. No ka pale ʻana a me ka mālama ʻana, e heluhelu i ka ʻatikala "Hōʻihihi Kahu Lula (Hypoglycemia)".

Hiki ke hōʻea ke poʻo ma hope o ka lele nui o ke kō koko koko. Hōʻike ia i ka pane o ka hoʻololi hou i ka pae o ka hormone - adrenaline, norepinephrine a, inā paha. Hoʻomaʻamaʻa i ke kō me ke kala me ka glucometer e pae mau kona pae.Inā ʻaʻole hoʻohana ka lolo maʻi i ka ʻōnaehana mālama huhū e hoʻomau nei, a laila hiki ke hoʻokipa ʻia nā lele hou o nā lā wale nō.

He aha nā lāʻau kūpono ʻona maikaʻi?

ʻO ka hōʻoluʻolu o ke poʻo he uluna, a me nā ʻola kūlohelohe. ʻO nā lāʻau lapaʻau over-the-counter maikaʻi no kekahi poʻe. ʻO ka mea kaulana loa o lākou he paracetamol, aspirin, ibuprofen. ʻAʻole pau nā pōpilikia. E mālama pono i kā lākou hopena ma mua o ka lawe ʻana. Inā makemake ʻia nā lāʻau lapaʻau ikaika hou, e kiʻi ʻoe i ka lāʻau lapaʻau no lākou mai kāu kauka.

ʻO nā hopena kūlohelohe e hōʻemi i ka piʻi a me ka paʻakikī o nā hōʻeha o ka hōʻeha ʻana, e hoʻāʻo mua e lawe i ka magnesium ma 400-800 mg i kēlā me kēia lā. Hiki iā ʻoe ke pālaʻi i kāu thyme, Rosemary a i ʻole aila hinu pepeke i loko o ka pipi a me ka mua. E inu inu me ka chamomile a i ʻole kaʻaila, a me nā ʻano wai ʻē aʻe ʻē aʻe, no laila ʻaʻohe dehydration. E hōʻemi i ke kaumaha, hoʻāʻo no ka noʻonoʻo ʻana, yoga, a i ʻole hoʻi kaomi. ʻO nā meaʻai a me nā mea hoʻohui aʻe e hiki ke hōʻeha i ka ʻeha: ka ʻulaʻulaʻula, ka pōkelē, ke kīkēkē, nā hua ʻāpala, nā avocados, kaola, a me ka aspartame. E ho'āʻo e hoʻokuʻu iā lākou i nā hebedoma a nānā i ka hopena.

4 e pili ana i ka "maʻi maʻi maʻi"

Ua loaʻa ka pili o koʻu ʻohana i kahi maʻi maʻi 1 no nā makahiki 8. ʻAʻole maopopo wau i ka ulu ʻana, ʻaʻohe mea kaumaha loa, ʻaʻole kēia ke pilikia. Ua loaʻa kāna maʻi koʻikoʻi ma muli o ka maʻi neuropathy maʻi. ʻO ka muso o nā wāwae a me ka ʻala hope. ʻAʻole hiamoe ʻo ia e ʻoi aku ma mua o 4-5 mau hola i ka lā, ke koena o ka manawa e loaʻa ai iā ia. Makau mākou makaʻu paha ka hoʻāʻo. ʻAʻole kōkua ke hoʻomākaukau ʻana i ka lua lipoic acid. Pela kēia ka mea āu e kākau ai e pili ana iā lākou. Ua ʻōlelo ʻia e ka neuropathologist nā papa Lyric ma hope loa. Eia naʻe, ko kā lākou papa inoa o nā ʻaoʻao i ka makaʻu. Pehea kou manaʻo e pili ana i kēia koho?

Pehea kou manaʻo e pili ana i kēia koho?

Uaʻoi aku kēia nīnau ma mua o koʻu hiki. E kamaʻilio me kāu kauka.

ʻO ke ʻano o ka lāʻau lapaʻau āu e lawe nei, he mea maikaʻi ia e aʻo i ka ʻoihana kūpono no ka maʻi type 1 - http://endocrin-patient.com/lechenie-diabeta-1-tipa/ - a e hahai i nā ʻōlelo hāpai

Aloha, hiki iā ʻoe ke kōkua mai me ke aʻo ʻana? Ua pilikia wau mai ka maʻi pākēpē 1 no 4 mau makahiki, he 18 paha koʻu mau makahiki. E hopohopo nei e pili ana i ka tingling nui, ke puhi a me ka ʻeha ma nā wāwae. He mau puna wai koʻu mau, akā mai ka manawa i hoʻomohala ʻia ai ka ʻeha, hoʻomaka koke wau e kāohi i kaʻu pae glucose. Ke mihi nei au ʻaʻole i hoʻomaka mua. I ka wā mua, nā iwi āpau, ʻōpū, nā wāwae, ʻeha ke poʻo. Maikaʻi ʻoi aku kēia, akā ua ʻeha koʻu mau wāwae. Ua nalowale wau i ka momona nui, ʻaʻole hiki iaʻu ke loaʻa ka paona, 8 mau mahina i hala aku nei. ʻO ka assay gogekoi hemoglobin hou loa he 6%. Ke hoʻāʻo nei wau e hoʻokō i ka maʻamau, ʻo koʻu gula ke 6,5 mmol / l i kēia manawa. A iaʻu mau pahū ma hope oʻu.

Aloha, hiki iā ʻoe ke kōkua mai me ke aʻo ʻana? ʻO ka assay gogekoi hemoglobin hou loa he 6%. Ke hoʻāʻo nei wau e hoʻokō i ka maʻamau, ʻo koʻu gula ke 6,5 mmol / l i kēia manawa.

ʻO kēia kahi o 1.5 mau manawa kiʻekiʻe i ke kanaka olakino. ʻO ka ʻōhumu o ka maʻi hānai e ulu ana, ʻoiai ʻaʻole wikiwiki koke. Hāʻawi ʻia i kou wā ʻōpio, lawa ka manawa e ʻike ai lākou iā lākou.

Pono ʻoe e aʻo i ke ʻano o ka hoʻomohala maʻi diabetes type 1 - http://endocrin-patient.com/lechenie-diabeta-1-tipa/ - a e akahele pono me nā ʻōlelo aʻoaʻo. ʻIno maikaʻi loa, e hahai kūpono i kaʻai haʻahaʻa-kāhea a koho i ka momona kiʻekiʻe o ka insulin.

Ua nalowale wau i ka momona nui, ʻaʻole hiki iaʻu ke kaupaona,

E hoʻopau ʻia kēia pilikia ma hope o ka hoʻoholo ʻana i kou dosis kūpono o ka insulin, e inikua iā lākou a hoʻololi iā lākou pono e like me ka mea e pono ai. ʻAʻole lawa ʻoe i ka insulin i loko o ke kino.