He aha ka hilinaʻi i ke kō koko koko?

ʻO ka pae o ka glucose (gula) i ke koko kekahi o nā kuhikuhi nui loa e pili ana i ke kaʻina metabolic. ʻO kēia ma muli o ka loaʻaʻana o ka glucose i kumu ikaika no nā iwi āpau, akā naʻe ʻo ka lolo a me ka ʻōnaehana cardiovascular e hilinaʻi iā ia.

ʻO ka maʻamau, ma hope o ka ʻai ʻana, e piʻi nui ka nui o ke kaila o ka toto, a laila hoʻokuʻu ʻia ka insulin, a komo ke glucose i nā loko, ua komo ʻia i loko o nā kaʻina loina nui e mālama ai i nā hana nui o ke kino.

Inā ʻaʻole lawa ka insulin, a i ʻole nā ​​hana a nā contrainsular e piʻi a hoʻomaʻamaʻa, a inā ʻaʻole hoʻi i pane nā kuli i ka insulin, e piʻi aʻe ka pae o ka glucose i ke kino. Inā pilikia ka mana o ka hormonal a i ʻole he overdose o ka lāʻau lapaʻau e hoʻemi ʻia i ke kō, e emi ana kēia hōʻailona.

ʻAiʻai a me ke Koko ʻOi

Hoʻoholo ʻia ke kōhi koko i ke nānā ʻana i ke kiʻekiʻe o ka glycemia. No kēia, hana ʻia kahi hōʻike koko ma ke kakahiaka, ma kahi ʻōpū ʻole. Pono ka ʻai hope loa ma mua o 8 mau hola ma mua o ke ana ʻana. ʻO ka glucose koko maʻamau ka mea like no nā kāne a me nā wahine, ma muli o ka makahiki o ka mea maʻi.

1. No nā keiki he 3 hebedoma a 14 paha makahiki: 3.3 a hiki i 5.6 mmol / L
2. I nā makahiki mai 14 a 60: 4.1 - 5.9 mmol / L.

ʻO ka mea nui ka mea e kāwili ai ke kahe o ke kō i loko o ke koko, ʻo ia ka kaulike ma waena o kāna mea ʻai me ka meaʻai a me ka pae o ka insulin, e kōkua ana e hoʻoneʻe ia mai ke koko i nā kekela. ʻO nā meaʻai i loaʻa nā kīleʻamaʻa ka hopena nui loa i ka glucose o ke koko.

Ma ka wikiwiki o ka hoʻonui ʻana i ke kō, ua hoʻokaʻawale ʻia lākou me he maʻalahi a paʻakikī. Hoʻomaka nā mea momona maʻalahi i ke koko i loko o ka ana o ka waha, ko lākou hoʻohana ʻana i ka meaʻai e hoʻonui ai i ka glucose.

ʻO kēia mau huahana me:

• Sugar, ka meli, kaʻaila, nā kekona, kaʻaila.
• ʻO ka palaoa keʻokeʻo, ʻo ka palaoa a me nā pastry i hana ʻia mai ai - nā ʻalā, ka kīwī, nā kuki, ka berena keʻokeʻo, nā ʻāwīwī, nā pōpopo a me nā pōpoki.
• ʻOcollelo
• ʻO ka ʻono a me nā curd nā papa ʻono.
• ʻO nā wai momona a me nā sodas.
• ʻO nā maiʻa, ʻawaʻawa, nā lā, nā kīloi, nā hua.

Hoʻomaʻamaʻa ʻia nā kapehu i loko o nā meaʻai e ka starch a me ka hoʻowalewale ʻana i nā kōpī e pono ai e wāwahi iā lākou. I ka hoʻomakaʻana o ka hoʻomaʻemaʻe mai ka meaʻai meaʻai - palaoa, cereal, nā waiora, ka nui o ka hoʻonui ʻana i ka hoʻonui i ka glucose, a i hoʻohui ʻia ka nui o ka huʻu a i ʻole ka bran, e emi ana.

ʻO ka haʻalulu ʻana o nā hāmeʻa mai ka meaʻai e lohi ai inā nui ka momona i loko o ia mea; mai ka meaʻai anuanu, hele mai kekahi a me ka hāmeʻawa mai nā ʻōpū ma mua o nā kīʻaha wela.

Hoʻopilikia ka metabolaboloma i ka hihia o ka hōʻino ʻana i ka inu ʻawaʻawa, nā mea momona momona, ʻoi aku ka momona, ka palaoa iʻa, offal, cream cream, cream, meaʻai wikiwiki, kīwī, iʻa a me nā meaʻai a pau.

ʻO nā maʻi e hoʻopiʻi ai i ke kō

ʻO ke kumu maʻamau o ka holo like ʻole o ka pīpī i ke koko i ka maʻi maʻamau. Ua mahele ʻia e like me nā hana hoʻomohala i ʻelua ʻano. ʻO nā maʻi diabetes mellitus i ka wā e hōʻino ʻia nā cell beta i ka pancreas.

Hiki paha i kēia ma muli o nā maʻi maʻi viral, ka hoʻomohala ʻana o nā kūmole autoimmune, i mea e hoʻomaka ai ka hana ʻana o nā antibodies i nā cell e hana ana i ka insulin. ʻO ke kumu maʻamau o ka maʻi maʻamau ka maʻi 1 no ka predisposition hoʻoilina.

Hoʻololi ka lua o ke ʻano maʻi maʻi me ka loli ʻole a i ʻole ka hoʻonui ʻana o ka insulin, akā ua kūpaʻa ka ʻāhewa kiko i nā hopena. Wahi a nā helu helu, noho ka lua o ke ʻano he 95% o nā manawa a pau o ka maʻi diabetes. ʻO ka pale ʻana i ka maʻi diabetes type 2 e pili pono ana i nā kumu o kēia alahele. I kēia lā, ua hōʻike ʻia nā mea i hōʻike ʻia:

1. ʻOiʻino, maʻa mau ka hoʻoneʻe ʻana i ka momona.
2. Hoʻohui haʻahaʻa kino.
3. Hoʻolū i ka hoʻopilikiaʻeha, ke kaumaha, nā hopohopo.
4. Maʻi maʻi pancreatic.
5. Kālā i hoʻonui ʻia ke koko, atherosclerosis.
6. ʻO nā maʻi o ka maʻi pākia i nā pili pili pono.
7. ʻO nā maʻi o ka momona thyroid, a me nā kinipula adrenal a i nā pituitary gland.

Hoʻonui ʻia ka ʻōpū o ka maʻi ʻaila me ka makahiki, no laila, ʻike ʻia ka glucose, e like me ke kolamu o ke koko, ma hope o 40 mau makahiki a ʻoi aku paha ma hoʻokahi makahiki.

Inā i nā wahine i hoʻomau ka male ʻana i ke kua o ka nui o ke kō, ua hānau ʻia ka pēpē me ka paona o ka ʻoi aku o ka 4,5 kg a i ʻole nā ​​hemahema, kahi ala no ka hāpai ʻana, a me nā ʻōmole polycystic, pono ia e lilo i manawa no ka mālama maʻamau ʻana i nā metabolism.

Hiki i ke Sugar ke hoʻonui i ka pancreatitis aʻeha paha a me ka pancreatic necrosis, ʻoiai ke ʻano ka hana a me ka ʻīwī ʻana o ka pancreas e hoʻopilikia ai i nā sela o nā mokupuni o Langerhans no ka hana ʻana o ka insulin. Ma hope o ka mālama ʻana, hoʻihoʻi ka gula i loko o ke ʻano maʻamau, akā ke hōʻike ʻia nei nā mea maʻi e pili ana i nā kaʻai ʻana i ka meaʻai no ka liʻiliʻi o ʻeono mahina.

Me ka hoʻonui o ka pancreas (hyperplasia), insulinoma a i ʻole adenoma, a me nā mea hoʻonaninani congenital i nā alpha - nā sela e hana ai i ka glucagon, e hāʻule ana ka pae o ke kaila koko.

I ka hyperthyroidism, ma muli o ka hopena o nā hormone thyroid, hoʻoulu ʻia ka nui o ka hoʻoulu ʻana i ka insulin e hoʻomaka ana, ka mea e piʻi maʻalahi i ka pancreatic depletion a me ka hoʻomohala ʻana o ka maʻi hyperglycemia.

Aia kahi hypothesis e hoʻomohala ai ka maʻi diabetes a me ka thyrotoxicosis ma muli o kahi kaʻina autoimmune.

E hiki i ka hoʻonāukiuki o ka hoʻōla a me ke kūlohelohe me ka maʻi o ke kelepona adrenal a me nā kelima pituitary:

• Hoʻokomo ka Hyperglycemia me ka pheochromocytoma, acromegaly, ʻ Clelo Cush, somatostatinoma.
• ʻO ka hoʻemi koko (hypoglycemia) pili me ka maʻi a Addison, adrenogenital syndrome.

ʻO kahi manawa koʻikoʻi o ka myocardial infarction a i ʻole ke kau ʻia ʻana o ka cerebral (stroke) hiki ke hele pū me ka piʻi ʻana o ke kō o ke koko. ʻO ka hepatitis Viral a me nā hana pākina i loko o nā pūpū a me ka ʻōpū e hana pinepine me kahi haʻahaʻa o ka glucose i ke koko.

Me ka pololi mau a me ka malabsorption i loko o nā pūpū me ka malabsorption syndrome, ʻae ʻia nā hoʻokahe koko. Hiki i ka Malabsorption ke congenital ma ka cystic fibrosis a hoʻomohala paha i loko o ka enteritis, maʻi pancreatitis, a me ka cirrhosis.

ʻO nā lāʻau kākāola

Hiki i nā lāʻau lapaʻau ke hoʻopilikia i ka hoʻoponopono ʻana o ka hoʻoneʻe i nā haʻalohai: ʻo ka diuretics, ʻoi aku ka thiazides, estrogens, nā glucocorticoid hormones, beta-blockers, pinepine ʻole-selectively, kumu no hyperglycemia. ʻO ka lawe ʻana i ka caffeine i loko o nā koina nui, ʻo ia hoʻi mai ka ikaika a me ka tonic lāʻau a me nā mea inu, hoʻāla i ke kō kōʻai koko.

E hōʻemi i ke kō: insulin, lāʻau lapaʻau antidiabetic - Metformin, Glucobay, Manninil, Januvia, salicylates, antihistamines, anabolic steroid and amphetamine, hiki nō iā ia ke hoʻēmi me ka wai hoʻoluhi wai.

No ka lolo, ʻoi aku ka hemahema o ka glucose e ʻoi loa i ka nui. No laila, ua kauoha ʻia e loaʻa mau nā maʻi me ka papa ʻaʻai i ka papa glucose a i ʻole hoʻi me lākou, no laila, me nā hōʻailona o ka hāʻule o ke kō koko koko, hiki iā lākou ke hoʻāla maikaʻi i ko lākou pae. No kēia pahuhopu, ka meli, ka wai momona, ka waiū mahana, ka wai maloʻo, nā wai a i ʻole kahi mea ʻono wai hiki no ke hoʻohana ʻia.

Hiki i ka hyperglycemia Physiological (i ka haʻalele ʻana o nā maʻi) me ka hoʻoikaika kino, hoʻāla. ʻO ke hoʻokuʻu ʻana i nā hormones stress - adrenaline a me cortisol me nā manaʻo ikaika ikaika, ka makaʻu, ka huhū, ka hōʻeha hōʻeha ʻana, ʻo ia kekahi kumu no ka hoʻonui pōkole i nā pae glucose.

ʻO ke kino kino o ke kaha kiʻekiʻe a i ʻole ka lōʻihi, ke kaumaha noʻonoʻo, hoʻonui i ke kino o ke kino i nā maʻi lēʻeha e hōʻeha i ke kō o ke kō.

Hiki paha i nā kānaka olakino ke ʻike i nā hōʻailona o ke koko haʻahaʻa (hōʻeha, ke poʻo, ka ʻōpū, ka lūlū ʻana, nā lima haʻalulu) i ka wā o ka nohona a ʻai nui i nā meaʻai momona. Ma hope o ka inu nui i nā meli maʻalahi, hoʻonui ka insulin i ka nui a hoʻohaʻahaʻa i nā glucose koko.

I ka wā hapai a ma mua o nā kāne, ʻike ʻia nā wahine i nā abnormalities i ka metabolism kalepa ma muli o nā hopena o nā loli i ka pae estrogen a me ka progesterone. ʻO ka huki ʻana o ka hāhi i loko o ke kō koko koko me ka menopause. ʻO ke wikiō i kēia ʻatikala e haʻi aku iā ʻoe i ke ʻano o ke kōpō hoʻoili.

ʻO nā kumu o ke kō koko nui - he aha ka hana a he aha ia mea me ia?

I ka wā o ke kō koko koko nui, hoʻomaka ko mākou kino e hōʻailona i kēia ma nā ʻano like ʻole. ʻO ka pinepine pinepine, e kau ana ia ma ke ʻano o ka glucose a me ka loaʻa o nā maʻi hou.

No laila, hoʻomaka mākou e ʻike i kekahi mau hōʻailona, ​​i kekahi manawa me ka ʻole o ka ʻike ʻana i ka mea e hele mai nei.

He mea kūpono hoʻi no ka nānā ʻana i ka hapa nui ke nānā nei lākou i nā pilikia ʻē aʻe, akā ʻo ke gula ʻoi loa ka poina.

ʻAno maoli, pono nā puna o ko mākou kino i ka haki, akā inā ʻaʻohe hihia nā mea i ʻāpono ʻia. ʻAʻole hiki i kēia mau helu ke ʻoi aku ma mua o 100 milligrams no deciliter.

Ua paʻi kahi nīlia lapaʻau Pelekane i nā hopena o kahi noiʻi e nānā ana i ka pilina ma waena o ka hemoglobin glycated a me ka maʻi male. Ua hoʻokau ʻia ka hoʻokolohua 4662 mau mea hana he 45-79 mau makahiki, ʻaʻole nui ka poʻe o lākou i ka maʻi diabetes.

I waena o nā kāne a ʻo HbA1C ʻaʻole iʻoi aku ma mua o 5% (ke kumu maʻamau no ka pākeke), ka make ma ka hōʻeha ʻana a me ka puʻe ʻana (ʻo nā kumu nui o ka make ma nā maʻi maʻi maʻi) ʻo ia ka mea haʻahaʻa.

Ua hoʻonui nui ʻia kēlā me kēia pakeneka o ka hemoglobin glycated i ka hōʻemi o ka make ma ka 28%. Wahi a kēia mau helu, hoʻonui ʻo 7% HbA1C i ka make ma ka 63% e hoʻohālikelike ʻia i ka maʻamau.

Akā me ka maʻi diabetes, ʻo 7% kahi hopena maikaʻi loa!

Wahi a nā loiloi epidemiological, ma Rū ma kahi o 8 miliona mau maʻi maʻi (90% he ʻano type diabetes 2) ʻaʻole ʻo 5 miliona o lākou ʻike a ʻike i ka nui o ke kō i loko o kā lākou koko. ʻO nā ʻōhua wai āpau he mau hui hoʻomehana ākea e hoʻopau i nā kīʻaha koko a me nā kiko o ke kino o ke kanaka, ʻaʻole ia e ʻōlelo i ke ʻano o kahi wahi ʻona kūpono kahi kūlana kūpono no ka hoʻopiʻi o nā bacteria.