ʻO ka maʻi diabetes - nā maʻi diabetes i nā wahine hāpai

Nui nā wahine hāpai i ka hānai maoli i ka wā e hana ai ke kauka i kahi maʻi maʻi gestational. He aha ke ʻano o ka pēpē hānau ʻole? A no ka wahine hāpai loa? E wehewehe mākou i ke ʻano o ke maʻi maʻi gestational, pehea e ulu ai a pehea e mālama ai iā ia, a hiki paha i kēia maʻi ke waiho wale ma kāna iho.

Pehea e ʻike ai i ka maʻi maʻi gestational

Ma hope o ke maʻi maʻi maʻi gestational e waiho ana i ka nui o ke kumu o ka nui o ke kō. ʻEkolu a ʻewalu pakeneka o nā wāhine hāpai a pau ka maʻi ʻana, no ka mea ʻaʻole i hana ka pancreas i kāna hana a ʻaʻole ia i hana i ka insulin. Pono pono ka Insulin no ka lawe ʻana i ke kō i hoʻomoʻa ʻia me ka meaʻai mai ka koko a i nā pūnaehana.

Hoʻomaʻamaʻa pinepine ka maʻi maʻi gestational mai ka hiku o ka malama o ka hapai, a haʻalele i ka mea maʻamau ma hope o ka hānau ʻana. ʻO ka mea pōʻino, ua like ka maʻi me nā hōʻailona atypical. No laila, ʻōlelo aku nā poʻe gynecologists e hoʻomaka i ka wiki o 24 pule e lawe i kahi hōʻike koko no ka hoʻohaʻahaʻa glucose, e mālama ana i ke pae o ke kō ma ke koko a no laila ʻike i ka maʻi gestational.

Aia kekahi mau mea pili i ka hoʻomohala ʻana i ka maʻi gestational. ʻO kēia ka momona, malnutr, a me ka maʻi diabetes i nā lālā o nā ʻohana. Inā ua hoʻomaka ʻoe e pili ana i ka maʻi gestational i ka wā o kou hāpai ʻana i ka maʻi mua, hoʻomaka hou ka maʻi me ka hāpai ʻana ma hope o kahi manawa he 50 pakeneka.

ʻO ka hopena o ka maʻi maʻi gestational

Inā ʻaʻole i mālama ʻia ka maʻi maʻi gestational a hoʻomaka ʻia ka mālama ʻana i ka hopena o ka maʻi, hiki i kēia ke alakaʻi i nā mea maʻamau o nā keiki hou. He nui loa ka nui o kēia mau keiki a kaupaona lā ma kahi o 4,500 mau grg i ka wā hānau. ʻOi aku ka nui o lākou, e like me nā pākeke, i ka paona. A i kēlā mau kolu ʻekolu o ka makahiki he 30 e hiki ke hele i ka maʻi maʻi maʻi.

ʻO nā hoʻopiʻi ʻē aʻe e pili ana i ka maʻi diabetes i ka wā hāpai ʻana ʻaʻole ia ka hoʻopōmaikaʻi piha ʻana o nā mea ola nui, e like me ka puʻuwai a me nā ʻōpū, i kahi keiki hou. Hoʻopili ka maʻi maʻi gestational i ka nui o ka hānau mua a me ka make o nā keiki i ka wā mua o ke ola.

ʻO ka meaʻai kūpono no ka maʻi maʻi gestational

Ke hoʻokau nei i ka maʻi maʻi gestational, no ka hapanui o nā wahine ua lawa ia e hoʻololi i kā lākou papa. ʻOi aku ka pololei, ʻo ia ka mea e pono ai e makaʻala i ka nui a me ke ʻano o nā meaʻai a me nā momona a ʻoe. ʻO nā meaʻai momona-kalekona: nā huahana cereal a pau, e like me ka cornflakes, granola, berena, laiki, a me ka pasta. ʻO nā ʻāpana, nā keke, nā ʻāpana a i ʻole a i ʻole kaʻaila no kēia ʻāpana o nā huahana.

Me ka maʻi maʻi gestational, pono ia e hōʻalo mai nā meaʻai āpau me kahi kō hānai gula kiʻekiʻe, e like me ke kāleka a me nā ʻāpana ʻē aʻe. Inā haʻalele ʻoe i ka ʻai i luna o nā meaʻai i luna aʻe, e hāʻule koke ke kō o kou koko. Eia kekahi, ʻo nā huahana palaoa keʻokeʻo, e like me ka keʻokeʻo keʻokeʻo, ka pasta a i ka raiki kaliki, e hoʻonui i ka nui o ke kō koko. Ma kahi o, hāʻawi i ka makemake i nā ʻōpala a pau. Ua nui ka hopena o lākou ma ke kōʻai koko.

Akā ʻo ka hoʻololi ʻana i ka ʻai, ʻaʻole lawa, e mālama ai i ke kō koko i ke koko a hiki i ka hopena o ka hāpai ʻana, pono ia e hōʻuluʻulu i ka insulin.

Kāohi ʻana i ka maʻi maʻi gestational

ʻAʻole hiki iā ʻoe ke pale i nā mea pilikia e like me ka predisposition ona iho i ka maʻi maʻi. Akā hiki iā ʻoe ke hōʻemi nui i ka hikiʻana o ka hoʻomohala ʻana i ka maʻi maʻi i ka wā hāpai, pale aku i ka momona a mālama i kāu meaʻai. ʻO kaʻai momona mau momona i nā huaʻai a me nā lau, nā ʻai a pau, a me ka liʻiliʻi o ka momona a me ke kō.

Nā kumu kumu o ka maʻi

I ka wā hapai, ka manawa endocrine kino, ʻike ka plasenta i ke kino. ʻO nā huahelu - prolactin, gonadotropin chorionic, progesterone, corticosteroids, estrogen - hōʻemi i ka hikiwawe o nā kiko o ka makuahine i ka insulin. Hoʻopili ʻia nā antibodies i nā receptors insulin, ua hoʻomaopopo ka wehe ʻana o ka hormone i ka placenta. Hoʻonui ʻia ka metabolism o ke kino ketone, a hoʻohana ʻia ka glucose i nā pono o ka pūpū. E like me ka uku, hoʻonui ʻia ka hoʻokumu ʻana i ka insulin.

ʻO ka mea maʻamau, ʻo ka hoʻomohala ʻana o ka pale ʻana i ka insulin ke kumu o ka hoʻonui ʻana o ka glucose koko ma hope o ka ʻai ʻana. Akā ʻo ka ʻai nui ʻana o nā kapoola ma ka ʻōpio i ka wā o ke aʻo ʻana i ke koko wikiwiki e alakaʻi i ka hypoglycemia liʻiliʻi. Me ka predisposition genetic i ka lolo, ʻaʻole i kūlike ka mea hana i ka insular a hoʻomohala a hoʻoulu hou a me nā kulekele ulu.

I ka pilikia no kēia maʻi ʻo nā wāhine:

momona momona
ʻoi aku i nā makahiki 30
kaumaha e ka ʻohana,
me ka mōlia obstetric hemahema
me ka hāmeʻa metabolism i hoʻopilikia ʻia ma mua o ka wā hapai.

Hoʻololi ka maʻi i ka 6-7 mahina o ka hāpai ʻana. ʻO nā wahine me ka maʻi gestational ke kiʻekiʻe i ka hoʻomohala ʻana i kahi ʻano lapaʻau o ka maʻi ma hope o nā makahiki 10-15.

ʻO ka hōʻikeʻana i ka maʻi diabetes latine i nā wahine hāpai i nā nui he paʻakikī e kāna aʻoaʻo asymptomatic. ʻO ke ala nui e hoʻoholo ai i nā maʻi ma ka helu metabolic he mau hōʻike hoʻokolohua.

Kūlana hōʻike mua

Ke hoʻopaʻa inoa ʻia kahi wahine hāpai, ua hoʻoholo ʻia ka pae glucose glucose. Lawe ʻia ke koko Venous no ka noiʻi. ʻAʻole ʻoe eʻai ma ka liʻiliʻi 8 mau hola ma mua o ka nānā ʻana. I nā wahine olakino, ke kuhikuhi nei i ka 3.26-4.24 mmol / L. Hōʻike ʻia ka Diabetes mellitus me ka wikiwiki o ka glucose glucose ma luna o 5.1 mmol / L.

ʻO ka nānāʻana no ka hemoglobin glycosylated e hiki ai iā ʻoe ke hoʻokumu i ka moku'āina o nā mea kālaiʻai o ka paʻakai i ka 2 mau mahina. ʻO ka maʻamau, ʻo ka pae o ka hemoglobin glycosylated he 3-6%. ʻO ka hoʻonui ʻana o 8% e hōʻike ana i ka hopena o ka hoʻomohala ʻana i ka maʻi diabetes mellitus, me ka 8-10% ka haʻahaʻa o ka pilikia, me 10% a keu paha - kiʻekiʻe.

E nānā pono e nānā i ka wai o ka glucose. ʻO ka 10% o nā wahine hāpai e loaʻa ana i ka glucosuria, akā ʻaʻole ia e pili pū me kahi kūlana hyperglycemic, akā me ka hoʻokūkū ʻana o ka hiki ʻana i nā filtration hana o ka glomeruli o ka renal a i ʻole pyelonephritis maʻi.

He aha kēia

Hiki i ka maʻi diabetes mellitus ke hoʻomohala hou aʻe i kahi neʻe mua o ka maʻi type 1, hiki i nā kauka ke kuhi hewa ke ʻano o ke ʻano he ʻano 2.

ʻO ka Type 1 kahi maʻi autoimmune e lele ai ka ʻōnaehana o ke kino a pepehi aku i ka hana o ka insulin. ʻO nā kumu e hiki ke hewa pinepine ai ka maʻi diabetes no ka type 2 he hoʻomohala ma kahi ʻoi aku ka lōʻihi o ka manawa ma mua o ke ʻano type type 1 i nā keiki a i nā poʻe ʻōpio paha.

ʻOiai he ʻano maʻamau ka maʻi diabetes type 1 i ka holo ʻana i kekahi manawa i loko o kekahi mau lā, e ulu pinepine ka latent i ka pinepine ʻana o nā makahiki he nui.

ʻOi aku ka luhi i nā maʻi i ʻike ʻia i nā kānaka ma luna o 35 mau makahiki he hiki ke alakaʻi ʻia i ka maʻi maʻamau no ka hoʻomaʻamaʻa mua ʻana i ka maʻi maʻamau.

Hoʻohui ʻia nā hōʻailona mua loa:

Ua ʻeha nā luhi i nā manawa a pau ʻole mauʻu o ka lā ma hope o ka ʻai ʻana,
ʻO Nebula i ke poʻo, ka ʻeha,
Hūlū koke ma hope o ka ʻai ʻana (ma hope loa i nā wahine hāpai).

Ke ulu nei ka palapala latent, hiki i ka mea hiki ke hana i ka insulin e hōʻemi lohi, a hiki i kēia ke alakaʻi i ke ʻano o nā hōʻailona e like me:

ʻO ka mea hiki ʻole ke hoʻopau i kou makewai
Ka pono o ka urination pinepine,
ʻO ka ʻike wī
Nā uhi momona.

He mea koʻikoʻi loa ia e hōʻike i nā hōʻailona ma kahi wā mua, ʻoiai ʻo ka loaʻa ʻana o ka maʻi maʻi latent ma ka manawa hope e hoʻonui i ka hopena o nā hoʻopiʻi.

Naʻi hoʻolika

No ka hana ʻana i kahi maʻi maʻi i ka wā hāpai, pono ʻoe e hoʻopili i kāu GP kūloko, nāna e hāʻawi aku i kahi loea i ka endocrinologist. A i ʻole e hui aku i kāu obstetrician-gynecologist.

Hoʻomaopopo pinepine ʻia ka maʻi maʻamau i ka maʻi maʻamau. (Kākau 1 a i ʻole 2, a i ʻole ka hōʻea ʻana, ma ka wā hāpai) ma o nā hana papa loiloi maʻamau. Ma hope o ka hopena mua, hiki i ke kauka ke kumu ke kānalua e huna ʻia ke ʻano o nā maʻi.

Ke hoʻoholo nei i ka heleʻana o ka maʻi latent ka hoʻokō ʻia ma o ka nānā ʻana i ke kiʻekiʻe o ka pae o ka autoantibody i ka kōmike pancreatic ma waena o nā poʻe maʻi i hōʻaiho ʻia i ka maʻi maʻi akā ʻaʻole pono ka insulin.

ʻO ka huakaʻi hoʻāʻo ʻo Glutamate decarboxylase (anti-GAD) ke hōʻike nei i ke ʻano o kēia mau autoantibodies. E kōkua kēia mau antibodies i ka ʻike ʻana i ka ʻano latent o ka maʻi, a hiki ke wānana i ka helu o ka holomua o ka dependence o ka insulin.

ʻO kekahi hōʻike ʻē aʻe hiki ke hana C-peptide koko hōʻike. ^ E Ha yM. Eia nō naʻe, ʻaʻole mau i nā hōʻike no C-peptides i nā hopena hōʻoia i ka poʻe me ka maʻi latent ma kahi mua o ka maʻi.

Hiki i kēia ke alakaʻi i nā hana lapaʻau pono ʻole, ʻo ia hoʻi e alakaʻi i ka hoʻomehana ʻana o ka maʻi diabetes a hiki i ka wikiwiki i ka nalowale o ka hiki ke hana i ka hana.

Aia kekahi mau mākaʻi kumu i hiki ai i ke kahuli ʻia o ka maʻi maʻi ma mua o ka maʻi maʻamau, ma mua o ka type 2 a i ʻole ka gestational. E pili ana kēia:

ʻO ka haʻalele ʻana o nā sindrom metabolic e like me ka momona, ke koko nui a me ke kolamu,
ʻO ka hyperglycemia paʻa ʻole, ʻoiai ke hoʻohana nei i nā lāʻau kūlohelohe,
ʻO nā hōʻikeʻike o nā maʻi autoimmune (e komo pū ana i ka maʻi Graves a me nā anemia).

E ʻoluʻolu, he hōʻike paha kekahi o ka poʻe me ka maʻi maʻi latent i nā hiʻohiʻona o ka metabolic syndrome, e like me ke kaumaha ana a i ka momona paha, i mea e hoʻopiʻi ai a hoʻolohi paha i ka maʻi maʻi.

ʻO ka hana maʻamau

Hōʻike ʻia nā hōʻailona maʻamau e nā hualoaʻa o kēia mau hōʻike ʻelua.

ʻElua mau huli ʻana:

Ka hoʻohālikelike ana i ka hoʻohaʻahaʻa glucose waha ma kahi wai momona i loaʻa iā 75 g o nā glucose a me nā hoʻāʻo ʻekolu. Hana ʻia kahi hōʻike inā ma kahi o nā hōʻike he ʻekolu mau koina he mau kūlike a i ʻole ka nui ma mua o:
- 5.1 mmol / L ma kahi ʻōpū ʻole
- 10 mmol / l 1 hola ma hope inu o ka wai momona.
- 8.5 mmol / l 2 mau hola ma hope o ka inu wai.
Hana ʻia ke ʻano hana ʻelua ma nā ʻāpana ʻelua. Hoʻomaka ia me kahi hōʻike o ke koko e ana i ka glucose 1 mau hola ma hope o ka inu ʻana i kahi wai momona e loaʻa ana i kahi gūkū g 50 i kēlā me kēia manawa o ka lā. Inā hopena:
- Ma lalo o 7.8 mmol / L, he mea maʻamau ka hōʻike.
- Aia ma luna o 11.0 mmol / L kahi maʻi diabetes.

Inā ʻoe mai 7.8 a 11.0 mmol / l, e noi ke kauka hele hele nei i kahi hoʻokolohua lua, e ana ana i ka pae o ka glucose o ke koko. E hōʻoia i ka maʻi maʻi inā inā pono nā kumu a i ʻole ka nui ma mua o:

5.3 mmol / L ma kahi ʻōpū ʻole
10,6 mmol / l ma hope o ka hola 1 ma hope o ka hoʻopauʻana i kahi wai kōnī.
9.0 mmol / L 2 mau hola ma hope o ke inu i ka wai momona.

Nā lāʻau lapaʻau

No ka mea e ulu malū nei kēia ʻano maʻi, hiki i kekahi mau mea maʻi ke loaʻa i ka nui o ka insulin o ko lākou manaʻo ponoʻī e mālama i nā pae gula i lalo o ka mālama ʻole i ka pono o ka insulin i kekahi mau mahina, a i kekahi mau makahiki ma hope o ka maʻi mua.

I kekahi mau pilikia, hiki ke hoʻokuʻu ʻia ka lāʻau lapaʻau. Eia nō naʻe, aia ke kumu e manaʻoʻiʻo ai ka hoʻomaka ʻana o ka hōʻemi i ka insulin ma hope o ka ʻike ʻana i ka maʻi diabetes e kōkua pono i ka mālama pono ʻana i ka papa o ka pancreas e hana i ka insulin.

Manaʻo ʻia ka hoʻoliʻi pinepine ʻana i nā pae glucose koko no nā maʻi me ka maʻi diabetes. I ka wā hapai, pono e kūʻai nā wahine āpau e kūʻai i kahi mika koko glucose home - a glucometer. Pono nā hoʻololi e hana mai 3 a 4 mau manawa i ka lā - i ke kakahiaka koke ma hope o ka hiamoe, ma ʻaina awakea, ma hope o ka ʻaina awakea, ma mua o ka hiamoe.

Pono e nānā pono aku ka mālama ʻana i ka maʻi ma ka kāohi ʻana i ka hyperglycemia a pale i nā hoʻopiʻi ʻana. He mea nui loa e mālama i ka hana olakino beta ma waena o nā poʻe maʻi e like me ka lōʻihi.

No ka olakino a me ka olakino

He mea kūpono ka ʻai kaulike no ka kaohi ʻana i nā pae glucose i ka wā o ka wā hānau. Aia ka maʻa a i ka lolo maʻi koʻikoʻi, pono ia e hoʻololi i kekahi mau loli i ka papa ʻai makuahine, me ka nui o nā huamina i kēlā me kēia meaʻai. ʻO ka papaʻaiʻai ke kumu o ka mālama ʻana. He mea nui ia e hoʻopauʻokoʻa i ka hōʻalo kino, akā e hāʻawi iā lākou i ke ao.

He mea pono e hoʻokomo i kāu papa i ka wā hāpai:

Pūkohu
Nā manaʻo momona momona (OMEGA-3-6-9),
hao
folic acid
Waiʻala D
Kālā

Kōkua ka mea hoʻoikaika kino i ka mālama ʻana i ke kō i ka wā hāpai. a he nui nā pono ola olakino no nā wahine hāpai.

Hoʻolako ʻia kahi wahine hānai ma kahi o ka 150 mau minuke o ka hoʻoikaika kino ma ka pule, kūpono hoʻi, ma kahi o 3-5 mau haʻawina o 30-45 mau minuke kēlā.

ʻO ka hana cardiovascular palekana (e hana ʻia me ka ʻoluʻolu a me ka hōʻemi ʻana i ka neʻe ʻana) i ka wā hāpai a loaʻa

Hoai
Kanaka
Holo i ka pōkole
Kauʻeleʻele
ʻO nā lako hāmeʻa hoʻomalu,
ʻO nā ʻōlauʻa kai ʻāina
Jogging (ʻōpū).

Hoʻomaka a me nā hoʻopiʻi hiki

ʻO Ketoacidosis kahi pōkole pōkole pōkole e pili ana i ka maʻi diabetes, ʻoi aku hoʻi ma hope o ka nalowale ʻana o ka pancreas i kona nui o ka hiki ke hana i ka insulin. Hoʻokomo ʻia ka Ketoacidosis no ka makuahine a me ke keiki.

ʻO nā ʻōmole wā lōʻihi e lilo i:

Pilikia a me ka puʻupuʻu,
ʻO ka retinopathy (maʻi retinal),
ʻO ka ʻōpūropropathy (maʻi ʻeha),
Neuropathy (maʻi huhū),
Hānau ʻia kahi pēpē ma mua
Anahuaka
Pēlā nui ka pēpē
Nā pilikia wāwae (bloating, swelling).

I ka hopena

ʻO ka wā paʻakikī ka manawa paʻakikī, a me ke kino a me ke kino paha. ʻO ka mālama ʻana i ke kō anuʻu koko koko maikaʻi loa i ka wā hāpai e kōkua i ka pale ʻana i nā pilikia koʻikoʻi no ka makuahine a me kāna pēpē. He mea nui ka mālama antenatal ka mālama ʻana i ka hopena o ka hoʻomohala ʻana i ka maʻi diabetes latine a me ka hōʻoia ʻana i ke kō o ke kō.

ʻO ka hoʻokolokolo ma kahi o 24-28 mau pule o ka maʻi

Inā ma nā hōʻike hōʻike mua o ka trimester mua i hōʻike ʻole i nā ʻōmole o nā hana o ka hoʻoneʻe o nā haʻalulu, ʻo ka hōʻike aʻe e hōʻike nei ma ka hoʻomaka ʻana o 6 mahina. Ka hopena o ka hoʻokaʻawale ʻana o nā glucose e pono ai ka hoʻomākaukau kūikawā a mālama ʻia i ke kakahiaka. Ma loko o ka hōʻike e pili ana i ka koho ʻana i ka ʻai o ka hoʻoliʻiliʻi o ka ʻai koko, hoʻokahi hola ma hope o ka lawe ʻana he 75 g o nā glucose, a me 2 mau hola. Pono ka mea maʻi e uwele, hoʻowalewale, neʻe aku i nā lāʻau lapaʻau e pili ana i ka hopena o ka loiloi.

Inā ʻike ʻia ka hyperglycemia i ka wā o ka hoʻokau ʻana i ka ʻike mua ʻana, ʻaʻole hana ʻia nā hana hōʻike ma hope.

Hoʻoholo ʻia ka hoʻoholo ʻana o ka hoʻohaʻahaʻa glucose i nā hihia o ka:

huʻakaiʻā nā pehu
nā maʻi ʻohi
nā mea hoʻokaumaha o ka pancreatitis maʻamau,
ka pono o ka hoʻomaha moe.

ʻO ka hoʻokahe koko mua o ka wahine hāpai ka haʻahaʻa ma mua o ka wahine hānau ʻole. Ma hope o hoʻokahi hola o ka hoʻomaʻamaʻa ʻana, ʻo ka nui o ke glycemia i ka wahine hāpai wahine he 10-11 mmol / L, ma hope o 2 mau hola - 8-10 mmol / L. Ka hopena o ka emi ʻana o ke kao o ka glucose i loko o ke koko i ka wā o ka gestation ma muli o kahi loli o ka nui o ka pā i loko o ka ʻeha o ka gastrointestinal.

Inā ʻike ʻia ka maʻi diabetes i ka wā o ke nānā ʻana, ua kākau inoa ʻia ka wahine me ka endocrinologist.

Loaʻa nā hoʻololi i ke kaila o ka metabolism i nā wahine he nui i ka wā hāpai. Hoʻoholo ʻia ka hoʻomohala ʻana o ka maʻi. ʻO ka Diabetes mellitus kahi pōʻino no ke olakino o ka makuahine a me ke keiki.Pono kahi maʻi noʻonoʻo mua no ka mālama ʻana i ka manawa kūpono o ka maʻi.

No ke aha e pono ai ka hōʻike?

Hoʻomaʻi pinepine nā maʻi i ka wā hāpai. Ke hoʻonui ʻia nei nā kūlana o ka maʻi maʻi, no laila ua ʻōlelo nā kauka e ana i ke ana ʻana i ke kōpaʻa koko.

Hoʻolaha ʻia ka hoʻohālikelike ʻana i ka wā hāpai i nā kūlana penei:

ina i makewai ka wa a pau
hookeau pinepine,
ka lahui make lahilahi i ka maʻi maʻi,
hōʻike ʻia ke koko a me nā hoʻāʻo
luhi, kaumaha kaumaha maʻamau.

Pono pono ka hoʻokō ʻana no ka poʻe i loaʻa nā pilikia me ke kaumaha nui a me ke koko kiʻekiʻe.

ʻO ka hoʻākāka ma ka hoʻomaka ʻana o ka hāpai ʻana

Noho ke kaʻina hana ma kahi o 2 mau hola, no ka mea ua loli ka nui o ke kō i loko o ke koko i kēia manawa. Hoʻokumu ka maʻi maʻi i ka maikaʻi o ke pancreas.

Ma mua o ka loiloi mua ʻana, ʻaʻole ʻai ka mea maʻi mai 8 a 12 mau hola, ʻaʻole iʻoi aʻe ma mua o 14 mau hola. Inā ʻoe e kue ʻole i kēia lula, e lilo ka hopena ʻole o nā hopena, ʻoiai, ʻaʻole i pili ʻia ka ʻike kumu mua. E lilo nā pilikia e hoʻohālikelike i ka hoʻonui aʻe o nā pae glucose me ia. No kēia kumu, hāʻawi ʻia ke koko i ke kakahiaka.

ʻO ka hoʻohanohano ma ka maʻi maʻi - e inu wale i kēlā me kēia lā.

Ma hope o 5 mau minuke, pono ʻoe e inu i ka malika momona a i ʻole ke kaha iā ia i ka intravenously. No kēia, hana ʻia kahi hopena hoʻonaninani 50%. I kekahi manawa aia kahi hopena wai manawaleʻa e loaʻa ana he 25 mau mea o ka glucose. Hoʻokomo ʻia nā keiki i kahi ʻano palu i hoʻomākaukau ʻia ma kahi pāhaʻi o 0.5 g / kg o ke kaumaha.

Me PHTT a me OGTT, ke ahonui i nā minuke 5 e hoʻopau i ka 250-300 ml o ka wai momona e loaʻa ana he 75 g o glucose. ʻO Asthmatics a i ʻole nā mea maʻi me ka angina pectoris a ma hope o kahi hōʻeha o ka ʻai ʻana e pono ai ke ʻai i ka 20 o nā momona o ka hōʻama.

Loaʻa nā hōʻike hoʻoliʻi glucose i nā lāʻau lapaʻau i ka pauka form. Ma mua o ka hoʻolei ʻana, pono ʻoe e nīnau i kahi loea.

Lawe ʻia nā nui koko i loko o hoʻokahi hola e ʻike i ka hoʻololi ʻana i ka nui o ke kō, ma hope o kahi ʻano maʻi.

Ma nā pule 24-28

Inā ʻaʻole hoʻoholo nā hoʻokolohua i nā hōʻemi kino o ka metabolism i loko o ka 1st kolamu, ʻo ka hōʻike aʻe e hōʻike nei i ka hoʻomaka o ka mahina 6th. Hoʻomaʻamaʻa ka ʻike i ke kao hoʻoliʻiliʻi i ke kakahiaka me ka ʻole o nā kaʻina hana.

I ka wā o ka loiloi, ʻike ʻia ka nui o ka glucose i ke kino ma luna o kahi ʻōpū ʻole, 1 mau hola ma hope o ka ʻai ʻana i 75 g o ka glucose a mālama hou ma hope o 2 mau hola. Hoʻole ia i ka hana pilikino, ka hoʻohana ʻana i nā huahana pia, nā lāʻau lapaʻau e hiki ai ke hoʻololi i nā hopena o nā hōʻike. Ke hōʻike ʻia ka hyperglycemia e nā hopena o ka hana mua, ʻaʻole i hoʻokō ʻia nā hana aʻe.

Nā manaʻo

Ma ka maʻi type 1, ʻaʻole i hoʻoulu ʻia ka insulin i ka nui o nā ʻano; i ke ʻano no ke ʻano 2 ʻano, pane maikaʻi nā cell i nā enzyme pancreatic. ʻAʻole maopopo ka poʻe maʻi o ka maʻi maʻi i ka maʻi maʻa no ka mea maʻa mau.

Hāʻawi mākou i kahi haʻawina i ka poʻe heluhelu o kā mākou pūnaewele!

I ka wā hāpai, ua puka kahi ʻano maʻi maʻi maʻi, e hoʻomanaʻo ana i ka maʻi 2. Pau nā pūnaʻi o ke kino i ko lākou naʻau i ka enzyme pancreatic. Ma hope o ka hānau keiki ʻana, hele ka pathology me ka ʻole o ka mālama ʻana, akā i ka wā hāpai, lawe ka kaikamahine i ka hōʻeha ʻana i ka insulin a ʻaʻole e ʻike ʻia nā hoʻopiʻi.

Ke hana nei kahi hana o nā kaʻina e pale ai i ke ʻano o kahi ʻano gestational o ka maʻi.

ʻai kūpono
hana kino kino,
ka hoʻomau mau ʻana i ka nui o ke kō
mālama ʻia ka paona momona i kēlā me kēia mahina, e hoʻomaka ana mai ka lā 3 semester, e nānā ʻia ana ka hōʻike wiki.
Mai hoʻohana i nā lāʻau lapaʻau e hoʻonāukiuki i ka pale ʻana i ka insulin.

ʻAʻole hiki ke pale ʻia ka hoʻomohala ʻana e ka lāʻau lapaʻau kuʻuna.

Hoʻopau mau nā maʻi maʻi i nā hoʻopiʻi kaumaha. Ka pilikia nui o ke kōkō koko.

Aronova S.M. hāʻawi i nā wehewehe e pili ana i ka mālama ʻana i ka maʻi maʻi. Heluhelu piha

Pehea e hoʻomaopopo ai i ka maʻi maʻi latine i nā wahine hāpai

No nā makahiki he nui ʻole e hakakā nei me DIABETES?

Ke poʻo o ka Institute: "E haʻihaʻo ʻoe i ka maʻalahi o ka lāʻau e mālama ai i ka maʻi maʻi ma o ka lawe ʻana i kēlā me kēia lā.

ʻO ka mellitus maʻi mellitus he mea lawehala ia o nā kaola kalama, i hoʻomaopopo ʻia no ka manawa mua i ka wā hāpai. ʻAʻole maopopo i nā kumu o ka maʻi. ʻO ka maʻi mellitus no ka manawa o ke kūloko e alakaʻi ai i nā kolohe, nā hānau hānau mua, nā maʻi o ka hānau keiki hou, a me ka hopena lōʻihi i loko o ka makuahine.

ʻO kahi hōʻike no ka latell mellitus diabetes i ka wā hapai i kuhikuhi ʻia i ka manawa mua i kipa ai ka wahine i ke kauka. ʻO ka hōʻike hou aʻe e hōʻike nei i ka 24-28th pule. Inā pono, ua nānā ʻia ka makuahine ʻokoʻa.

He aha ka maʻi diabetes?

ʻO ka maʻi maʻi latine he ala no ka ʻike pinepine ʻole ʻia. He kaumaha loa kēia kūlana i ke ʻano, ʻoiai me ka ʻole o ka mālama kūpono e hiki ke ulu ʻia i loko o ka maʻi maʻamau.

Ma muli o ka hapa lōʻihi o ke ʻano i koho pono ʻia, hoʻomaka ka maʻi i loko o ka maʻi maʻamau. Hiki ke hoʻomaopopo ʻia kēia maʻi ma ka nui o ka makewai a me ka urination pinepine.

ʻO nā kumu maʻi

He mea paʻakikī loa ka hoʻomaopopo ʻana i ke ʻano o ka maʻi maʻi. ʻAʻole hōʻike ka maʻi iā ia iho no ka manawa lōʻihi, akā i ka manawa like he hopena ikaika ia ma ke kino.

Aia kekahi mau mea kūpono i ka maʻi maʻamau i hiki ke huli i ka maʻi mellitus maʻi lat.

ʻAno - hōʻike nā helu helu he 80% o nā poʻe kahiko ke loaʻa i nā hōʻailona o ka latent form o ka maʻi maʻi. Ma muli o kēia, ke nalowale nei ko lākou mau maka, ua ulu ko lākou ola olakino.
Hoʻopuka Hereditary - nā loli i ka genotype hiki i ke kumu no ka hoʻomohala ʻana i kēia maʻi. He mea koʻikoʻi kēia kumu i mua o nā mea hoʻonāukiuki.
Ke kaumaha - hoʻoluhi nā paona keu i ka metabolism maʻamau, e hopena paha i ka hoʻohaʻahaʻa glucose holomua. Ua hōʻike ʻia nā hōʻike noiʻi ʻana i ka maʻi latent o ka maʻi diabetes i ka 40% o nā poʻe momona.
ʻO kahi hapaha - ʻo ia kahi ʻano o ke kino wahine he mea ʻole i nā metabola āpau i ke kino i hiki ke hoʻopau i ka hana ʻana o ka insulin. I mea e pale ai i kēia, ua ʻōlelo ʻia ka wahine e kiaʻi pono i kona olakino a hahai i kahi papaʻai kūikawā i ka wā e halihali ana i ka pūpū.
ʻO nā maʻi pancreatic - hoʻopau lākou i ka kiko hana o kēia huelo, no ka mea e hoʻomaka ana e hana i ka nui o ka insulin.

ʻO ka pōʻino nui

ʻO kēia no ka mālama ʻole o ke kanaka i kāna maʻi no ka manawa lōʻihi a alakaʻi i kahi ʻano maʻamau. Eia kekahi, ʻaʻole ia e lawe i nā lāʻau lapaʻau kūikawā e pale aku i kona kino mai nā hopena maikaʻi ʻole o ka pathology.

Mai ka manawa mai, ma muli o ke ʻano latent o ka maʻi mellitus o ka maʻi maʻi, ua hōʻeha nā moku koko i ka hopena maikaʻi ʻole: e kīi ʻia ana a hiki i ka puʻupuʻu. Ke alakaʻi nei kēia i kahi hoʻonui i nā hōʻeha a me nā puʻuwai puʻuwai, hōʻemi i ka hihiʻo, a me ke kūkulu houʻana o ka wāwae maʻi. ʻO ka nele o ka maopopo o kā lākou maʻi i ka maʻi nui i loko o kēia maʻi.

ʻO ka palapala latent kahi maʻi maʻi he maʻi ia e hiki ke hōʻike ʻia i ka maʻi maʻamau. ʻOiai me kēia, ʻike ka poʻe i nā loli i ko lākou mau kino a kani ke alapena i ka manawa. Eia nō naʻe, ʻaʻole hiki i kēia ala, ke ola nui nei nā mea maʻi no nā makahiki he nui, ʻaʻole maopopo ka pili i ko lākou maʻi.

ʻIke pinepine ʻia nā maʻi maʻi huna i ka maʻi o kēia maʻi:

Kuhi ikaika loa o ka mālama ʻana, ka ʻike ʻana o ka ʻili - ke hele mai nei kēia mau hōʻailona ma lalo o ke kumu o nā microorganisms, e ulu nui i ka koko me ke kō. Aia hoʻi ma ka ʻili o ka maʻi maʻi ka maʻi o ka pale ʻole e pale ai i ka hoʻomohala ʻana i kekahi pilikia ʻole.
Pau ka makepopo, makewai mau - ka hōʻailona i loaʻa i kekahi ʻano maʻi maʻi. Hoʻokomo ʻia kekahi kanaka e lawe mau i kahi hue wai. Eia nō naʻe, ʻaʻole i ʻike ka nui o nā mea maʻi i ka like ʻole; ʻike ʻia kēia ʻano ʻike i ke kauwela.
Hiki ke loli koke ka hoʻololi ʻana i ke koʻikoʻi o ke kino - ma muli o ke ahonui i ka glucose i ka poʻe, hiki ke loli koke ke ʻano o ke kino kino e kū ana me ka ʻole o ka hoʻololi ʻana i ka ʻai. Ma ka maʻamau ʻoi aku ka kaumaha o kahi kanaka i ka kaumaha, a laila e wikiwiki ka ulu ʻana. E hui pū ʻia nā mea āpau me ka makemake hoʻonāukiuki a me ka makemake no nā sweets.

Hoʻopili ʻia ka puka latent o ka maʻi maʻi e ka ʻeha ma ka puʻuwai, pohihihi, hoʻohaʻahaʻa ka ʻike ʻike, ke huhū hiamoe, ʻalo a me ka huhū o ka huhū.

Hoʻomaka ka wahine i ke kani ʻana i ka wā e maloʻo ai ko lākou lauoho, piʻo nā kui, hoʻonui ʻia ka pigmentation a me ka hōʻeha nui i ka perineum. Hoʻomaopopo i kahi mau maʻi wale nō ke hōʻike i kahi ʻano latent o ka maʻi maʻi.

ʻO ka latine mellitus maʻi he kūlana prediabetic i ka wā e hiki mai ana nā mea kūpono, e kahe ka mea i loko o kahi puka i hana ʻia.

ʻAʻole ia i ʻike ʻia no ka manawa lōʻihi, akā hiki iā ʻoe ke ʻike ma nā hōʻailona e ʻike ai i kou kino:

ʻO ka hoʻonāukiukiʻana o ka ʻili,
ʻO ka ʻeha, huhū a me ka hoʻowahāwahā,
Ka makewai mau, ka ʻōpū o ka waha,
Hoʻōla hōʻeha hōʻeha
Hoemi ʻia ke ʻano ʻike,
Loaʻa ka waiwai momona.
Nā manawa popo o ka pōloli
Hoʻemi i ka hana noʻonoʻo,
Nā kūlike mau ka hoʻohuli ʻana,
Hoʻonui a hiki i nā maʻi a me nā maʻi,
ʻIliʻili a me ka paresthesia o nā manamana.

I mea e pale ai i ka hoʻomohala ʻana o ka diabetes mellitus, ua ʻōlelo ʻia e hana pinepine i ka hōʻike koko no ka glucose. ʻO ka pinepine, ʻaʻole i hōʻike ʻia ia mau maʻi me kekahi mau hōʻailona, hiki ke ʻike ʻia me ka ulia.

E hoʻāʻo e hoʻolohe i kou kino, hiki iā ia ke hōʻailona iā ʻoe e pili ana i kahi kūʻokoʻa ma ka hana ʻana.

Hoʻomaʻi o ka maʻi Diabetes ʻO nā hōʻailona maʻamau o ka maʻi pākeke i nā pākeke

Ma ka liʻiliʻi o 25% o nā poʻe me ka maʻi hapanui o ka ʻike ʻole ʻana o kā lākou maʻi. Noho mālie lākou i ka ʻoihana ʻana, ʻaʻole pono e mālama i nā ʻōuli, a i kēia manawa hōʻemi kino nei ka maʻi diabetes i ko lākou kino. Ua kapa ʻia kēia maʻi kahi make mehameha. ʻO ka wā mua o ka haʻalele ʻana i ka maʻi diabetes hiki ke hoʻopiʻi i ka hōʻeha o ka puʻuwai, hōʻeha o ka puʻuwai, lilo ʻole o ka ʻike, a i ʻole nā wāwae wāwae. ʻO ka liʻiliʻi, ua maʻi ka maʻi maʻi ma kahi koma ma muli o ke koko koko nui, hele i ka mālama pālahalaha, a laila hoʻomaka.

Ma kēia ʻaoʻao, ʻike ʻoe i ka ʻike nui e pili ana i nā hōʻailona o ka maʻi maʻi. Eia nā hōʻailonaʻelima i maʻalahi e hiki ke hoʻopili ʻia e kahi loli a i ʻole kahi loli. Eia naʻe, ma hope o ka heluhelu ʻana i kā mākou moʻomanaʻo, e kau ʻo ʻoe ma ke kiaʻi. E hana i ka manawa kūpono e pale ai i nā hoʻopiʻi mai ka maʻi diabetes. Inā kānalua ʻoe he maʻi diabetes, hoʻohālikelike i kou mau maʻi me nā mea i hōʻike ʻia ma lalo nei. A laila e hele i kahi kikowaena a lawe i kahi hōʻike koko no ke kō. ʻAʻole maikaʻi ke koho ʻana i ke kōloli wikiwiki, akā kahi loiloi o ka hemoglobin glycated.

E ʻike i kāu kaila koko e hoʻomaopopo i kāu mau hopena hōʻike. Inā hoʻohuli ke kō i ke kō, e hāhai i ke kaʻina hana a me ke anuʻi no ka mālama ʻana i ka maʻi diabetes me ka ʻai ʻole, nā inikini a me nā pōpilikia. ʻO ka hapanui o nā kāne a me nā wahine ʻaʻole hānai i nā hōʻailona mua o ka maʻi maʻi i loko o lākou a me kā lākou mau keiki. Ke manaʻo nei lākou "hala paha." Eia naʻe, ʻo kahi hoʻolālā maikaʻi ʻole. No ka mea hiki ke loaʻa i kēlā mau maʻi i ke kauka ma hope mai, akā i kahi kūlana koʻikoʻi.

Hoāʻo koko no ke kō. Ka laʻana o ka hoʻololi palapala
Makai mau e koho a kuai aku i ka home

Inā nānā ʻia nā hōʻailona o ka maʻi maʻi i kahi keiki a i ʻole ʻōpio paha ma lalo o 25 mau makahiki a ʻoi ʻole ka nui o ke kaumaha, a laila no ka mea nui ia he ʻano maʻi maʻamau. E mālama iā ia, pono ʻoe e hoʻokomo i ka insulin. Inā hopohopo ʻia ke lolo i ka nui a i ʻole ke kāne ma luna o nā makahiki he 40 a ʻoi paha ke kaumaha, a laila ua maʻamau paha i kēia maʻi diabetes. Akā kēia mea ʻike wale ka ʻike. Hiki i ke kauka - hiki i ka endocrinologist ke hoʻoholo pono i ke ʻano o ka maʻi maʻi. Heluhelu i ka ʻatikala "Diagnosis of type 1 and type 2 diabetes."

Hoʻomaopopo o nā maʻi Diabetes Type 1

E like me ke kānāwai, hoʻonui i nā maʻi o ka maʻi diabetes i ka manawa maʻamau i loko o kekahi kanaka, i loko o kekahi mau lā, a nui loa. Ka pinepine pinepine i ka mea maʻi i loko o kahi coma maʻi (hala ʻole ka ʻike), ua lawe koke ʻo ia i ka haukapila a ua loaʻa hoʻi i ka maʻi maʻi maʻi.

Hoʻololi mākou i nā hōʻailona o ka maʻi type 1:

make wai nui: inu ke kanaka i ka 3-5 pā o ka wai i kēlā me kēia lā,
ʻāmi o ka acetone i ka ea lewa,
ua hoʻonui nui ʻia ka mea maʻi, ʻai ʻoe i ka nui, akā ma ka manawa like ʻo ia e emi nui ai ke kaumaha,
ka hoʻi pinepine ʻana a me ka hoʻopunipuni ʻana i kapa ʻia (kapa ʻia o polyuria)
hōʻemi maikaʻi nā hōʻeha
ka haki o ka ʻili, pinepine nā palau a me nā ʻala hoʻi.

Hoʻomaka pinepine ʻia ke ʻano maʻi maʻi maʻamau 1 mau hebedoma ma hope o kahi maʻi o ka maʻi (flu, rubella, ʻōpala, a me nā mea nui).

ʻO ka papahana mālama maʻi diabetes type 1 no nā pākeke a me nā keiki
ʻO ka manawa mele a pehea e hoʻonui ai iā ia
ʻO ke ʻano o nā inikini insulin ʻeha
Hana ʻia ka maʻi diabetes type 1 i kahi keiki me ka ʻole o ka insulin e hoʻohana ana i kaʻai kūpono. Nīnauele me ka ʻohana.
Pehea e hoʻolohi ai i ka luku ʻana i nā keiki

Hoʻomaopopo o nā maʻi Diabetes Type 2

Kūkala iki kēia ʻano o ka maʻi diabetes i nā makahiki he nui, ma mua o ka poʻe kahiko. Hele mau loa ke kanaka, hōʻō maikaʻi kona mau manu, ua emi kona hihiʻo a ulu nui kāna hoʻomanaʻo. Akā ʻaʻole ia ʻike ke ʻike maoli i kēia mau hōʻailona o ka maʻi maʻi. I ka manawa pinepine, ʻike ʻia ke ʻano maʻi maʻamau i ka maʻi maʻamau.

Kākoʻo ʻia ke ʻano maʻi maʻamau e 2:

nā hoʻopiʻi laulā: ka luhi, ka wikiwiki ʻike, nā pilikia hoʻomanaʻo,
ʻāweliweli pilikia: ʻeha, lau pinepine, nā hōʻeha a me nā mea hōʻeha kekahi i hōʻino maikaʻi ʻole ʻia.
makewai - iā 3-5 lita o ka wai i kēlā me kēia lā,
ua kū pinepine ke kanaka e kākau i ka pō (!),
nā ʻeha ma nā wāwae a me nā wāwae, tigness a nānā hoʻi i nā wāwae, ʻeha inā hele.
i nā wahine - thrush, kahi paʻakikī ke mālama,
i nā hope aʻe o ka maʻi - e emi ana ke kaumaha me ka ʻole o kaʻai ʻana,
hoʻomau ka maʻi diabetes ʻole me nā hōʻailona ʻole - ma 50% o nā maʻi,
ka lilo ʻana o ka ʻike, ke keiki a me ka hōʻeha, ka puʻuwai puʻuwai, ke kuʻi, ʻo ia ka hōʻike mua o ka maʻi type 2 i ka 20-30% o nā maʻi (e ʻike i ke kauka i ka hiki koke ʻana, mai lohi!).

Inā kaupaona kou momona, a me ka luhi hoʻi, nā maʻi hōʻeha a maluhia, ua hāʻule nā maka, ʻike nui nā memo - mai palau i ka nānā ʻana i kāu kō koko koko. Inā e hoʻokiʻekiʻe - pono ʻoe e mālama ʻia. Inā ʻole ʻoe e hana i kēia, e make koke ʻoe, a ma mua o ka manawa ʻoe e loaʻa ka wā nui i ka hoʻopiʻi ʻana i ka maʻi maʻi (ka makapō, ke ole ʻana o ka pūpū, nā ʻōpū ʻōpū a me nā gangrene, ka ʻeha, hōʻeha o ka naʻau).

ʻOi ka maʻalahi o ka hoʻohana ʻana i ka maʻi diabetes 2 ma mua o kou noʻonoʻo.

Pehea e mālama ʻia ai no ka maʻi maʻamau o ka type 2: kahi kaila kiʻekiʻe
Nā lāʻau maʻi maʻi 2: ʻatikala kikoʻī
Siofor a me nā pā Glucofage
Pehea e aʻo ai eʻoliʻoli i ka hoʻonaʻauao kino

Nā hōʻailona o ka maʻi diabetes i nā keiki

Hoʻomaka ka muli o ke keiki i ka maʻi maʻi, ʻoi aku ka nui o nā hōʻailona mai nā mea nānā ʻia i loko o nā pākeke. E heluhelu i ka kikoʻī kikoʻī, "Nā hōʻailona o ka maʻi maʻi i nā keiki." He ʻike maikaʻi kēia no nā mākua a pau loa i nā kauka. No ka hana ma kahi maʻi pediatrician, ua nui loa ka maʻi maʻamau. Lawe pinepine nā kauka i nā hōʻailona o ka maʻi diabetes i nā keiki me kahi hōʻike ʻana o nā maʻi ʻē aʻe.

Pehea e hoʻokaʻawale ai i ka maʻi maʻi type 1 mai ke ʻano type type 2?

Hoʻomaʻamaʻa nā hōʻailona o ke ʻano maʻi type 1, hoʻomaka koke ka maʻi. Me nā maʻi papa ʻaina 2, ke piʻi mālie nei ke kūlana olakino. Ma mua, ua manaʻo ʻia ʻo ka maʻi āpau 1 wale nō he "maʻi o ka ʻōpio", akā i kēia manawa ua pōkole kēia palena. Ma ke ʻano maʻi type 1, maʻi maʻamau ka momona.

E hoʻokaʻawale i ke ʻano maʻi maʻi type 1 mai ke ʻano type type 2, pono ʻoe e lawe i kahi hōʻike urine no ka kō, me ke koko no ka glucose a me C-peptide. E heluhelu hou i ka ʻatikala "Diagnosis of type 1 and type 2 diabetes."

Nāwai a me ka hoʻonui ʻia urine output (polyuria)

I ka maʻi diabetes, no kekahi kumu a i ʻole, ua kiʻekiʻe ke kiʻekiʻe o ke kō (glucose) i ke koko. Ke hoʻāʻo nei ke kino e kāpae iā ia - excent me ka urine.Akā inā kiʻekiʻe loa ka ʻike ʻana o ka glucose i ka urine, ʻaʻole e nele ka lolo. No laila, nui ka nui o ka urine.

No ka "hoʻopuka" i ka nui o ka urine, pono ke kino i ka wai kūpono ʻana i ka wai. No laila aia kahi kahi o ka makewai nui loa no ka maʻi maʻi. Hoʻomaʻamaʻa pinepine ka mea maʻi. ʻAi ʻia ʻo ia i mau manawa i ka pō - he hōʻailona kēia i ka hōʻailona o ka maʻi maʻi.

Pahu mai ka acetone i ka ea lewa

Me ka maʻi hānai, nui ka glucose i loko o ke koko, ʻaʻole hiki i nā mea hoʻonaina ke hoʻopili, no ka mea ʻaʻole lawa ka insulin a ʻaʻole pono ka hana pono. No laila, hoʻololi nā ʻāpana o ke kino (koe wale nō ka lolo) i ka mea kanu me ka mālama momona.

I ka haki ʻana o ke kino i nā momona, nā mea i kapa ʻia nā "ketone kino" puka (kūmama b-hydroxybutyric, acetoacetic acid, acetone). Ke piʻi ka hoʻoliʻiliʻi o nā kino ketone i ke koko, hoʻomaka lākou e hoʻokuʻu i ka wā o ka hanu, a ʻike ka ʻā o ka acetone i ka lewa.

Ketoacidosis - coma no nā maʻi maʻi type 1

Nui i loaʻa ka homa o ka acetone i ka ea hanu - ʻo ia ka mea i hoʻololi ʻia ke kino e ʻai i nā momona, a me nā kino ketone e hūnā i ke koko. Inā ʻaʻole ʻoe e lawe i nā ana i ka manawa (type insulin) no ke ʻano maʻi type 1, a laila kiʻekiʻe loa ka ʻike ʻana o kēia mau ketone.

I kēia hihia, ʻaʻohe ka manawa o ka kino e hoʻonaninani iā lākou, a loli ke ʻano o ke ʻano o ke koko. Pono e ka pH koko i loko o nā palena paʻa loa (7.35 ... 7.45). Inā hele aku ʻo ia ma o aku o kēia mau palena - aia ka lethargy, ke hiamoe nei, ke ʻole ʻana o ka ʻono, nā loiloi (a i kekahi manawa ka luaʻi), ʻaʻole ka ʻehaʻeha i loko o ka ʻōpū. Kāhea ʻia kēia mau mea me ka maʻi ketoacidosis maʻi maʻi.

Inā hāʻule kekahi kanaka i ka coma ma muli o ka ketoacidosis, he ʻano paʻakikī kēia o ka maʻi maʻi, i ʻeha ʻole a i ʻole a make (7-15% o nā make). I ka manawa like, makemake mākou iā ʻoe e hopohopo i ka ʻoni o ka acetone mai kou waha inā he pākeke a ʻaʻohe āu i kūleʻa i ka maʻi diabetes.

Ke mālama nei i ka maʻi diabetes type 2 me kahi meaʻai hoʻohaʻahaʻa-liʻiliʻi, hiki i ke mea maʻi ke hoʻomohala i ka ketosis - he nui o ka pae o nā kino ketone i loko o ke koko a me nā kiko. He kūlana maʻamau kēia o ke ʻano o ka maʻi kino. ʻAʻole hāʻule ka pH o ke koko ma lalo o 7.30. No laila, ʻoiai ke kaʻi o ka acetone mai ka waha, he mea maʻamau ke kanaka. I kēia manawa, haʻalele ʻo ia i ka momona momona a hemo ka momona.

Hoʻonui maʻaila i ka momona diabetes

I ka maʻi diabetes, nele ke kino i ka insulin, a ʻaʻohe hana pono. ʻOiai ʻoi aku ka nui o ka glucose i loko o ke koko, ʻaʻole hiki i nā hale ke komo ma muli o nā pilikia me ka insulin a "pōloli". Hoʻouna lākou i nā hōʻailona pōloli i ka lolo, a kū ka ʻoluʻolu o kahi kanaka.

ʻAi maikaʻi ka mea maʻi, akā hiki i nā hāmeʻawa e hele mai me ka meaʻai i hiki ke kū ʻole i nā loko o ke kino. Ke hoʻomau nei ka makemake nui a hiki i ka hoʻonā ʻana o ka pilikia o ka insulin a i ʻole ke hoʻololi ʻia o nā ʻāpana i nā momona. I ka hopena hope loa, hiki i ke kumu maʻi maʻi 1 ke hoʻomohala i ka ketoacidosis.

ʻO ka ʻeha o ka ʻeha, nā maʻi maʻamau pinepine, ke kīpē

I ka maʻi kuhi, ua hoʻonui ʻia ka glucose i nā lolo a pau o ke kino. Hoʻokuʻu ʻia ka nui gula, me ka hulu. Kūpono loa nā huaʻai a me nā huelo i kahi leʻaleʻa maloʻo, hoʻoluʻolu a me ka piʻi ʻana o ka kō, hānai lākou i ʻai. E hoʻoikaika i kāu pae koko i ka maʻamau - a hoʻomaikaʻi hou kou ʻili a me ke ʻano.

No ke aha ʻaʻole maikaʻi i nā maʻi ʻoi ma ka maʻi diabetes

Ke piʻi ka luhi o ka glucose i ke koko, loaʻa ka hopena i ka nui o nā paia o nā kīʻaha koko a me nā mea āpau e holoi ʻia e ka kahe o ke koko. No ka hōʻoia i ka ho'ōla ʻana o nā hōʻeha, nui nā ʻano paʻakikī i loko o ke kino. Hoʻokomo ʻia, hoʻokaʻawale nā ʻili sela olakino.

No ka mea ua ʻike ʻia nā kikoʻehā i nā hopena o ke kō "glucose" nui, ua hoʻomoe nā hana āpau. Kuhi pū ʻia nā kūlana kūpono no ka holomua o nā maʻi. Hoʻohui mākou i nā poʻe me ka maʻi maʻi, nā ʻōpala o ka makahiki mua.

Ma ka hope o ka ʻōlelo, makemake hou mākou e hoʻomaikaʻi hou iā ʻoe i ka nānā ʻana i ke kiʻekiʻe o ke kō koko kōpili a nīnau aku i kahi endocrinologist inā ʻike ʻoe i nā hōʻailona o ka maʻi diabetes i loko o kou iho a i ʻole kāu mea aloha. ʻAʻole hiki ke hoʻōla piha iā ia i kēia manawa, akā, ʻo ka lawe ʻana i ka maʻi maʻi ma lalo o ka mālama ʻana a ola maoli maʻamau. A ʻoi aku ka maʻalahi ma mua o kou manaʻo.