ʻO ke ʻano o ke kō koko koko i nā wahine ma o ka makahiki

I ka wā o ka makahiki, hoʻomaʻamaʻa ke kino i nā loli like ʻole, akā e hoʻololi iki nā kūlana o ke kō. Inā mākou e hoʻohālikelike i nā hōʻailona o ke ʻano o nā hōʻike o ke kō koko koko i loko o nā papa i nā kāne a me nā wahine i ka wā ʻōpio, hiki iā mākou ke ʻike i ʻole ʻokoʻa ʻole ka wahine.

Ua wehewehe ʻia ke kūpaʻa o ke kōpaʻa koko (glycemia) e ka neʻe ʻana o ka glucose ka nui o ka lako a me nā puna, a ʻo nā mea hoʻohana nui, ʻo ia ka lolo, e hana ana i nā wahine a me nā kāne me ka like o ka ikaika like.

Nā hoʻāʻo koko koko

Ma hope o 45 mau makahiki, ʻoi aku ka nui o nā wahine i ka mellitus non-insulin-paulele i pili me ka obesity, ke koko kiʻekiʻe, a me kahi ala hoʻohālikelike.

I mea e pale ai i ka piʻi ʻana o nā glycemia, ʻōlelo pololei nā kauka i ka nānā ʻana i kou koko no ka hoʻokeʻo ʻana i ke kō me ka liʻiliʻi i hoʻokahi manawa i ka makahiki.

Inā ʻoi aku ka nui o ka loiloi ma ka ʻōpū ʻole, ua hoʻokaʻawale ʻia ke koko a me nā hoʻāʻo urine no ka ʻike o ke kō.

Wahi a ka loea maʻamau no ka hoʻokolokolo ʻana i nā maʻi, inā e hopohopo ka maʻi maʻi, ʻike ʻia ke koko no ka ʻike o ka:

ʻai ʻaʻai ʻaina
glycemia p / w 2 mau hola ma hope o ke kau ʻana i kahi hopena momona glucose ʻokoʻa - ka ʻōpū hoʻoliʻi glucose.
C-peptide i ka wā o ka hōʻike hoʻoliʻi glucose.
hemoglobin kūlia
fructosamine - kahi ʻōmole glycosylated (glycated).

Hāʻawi i nā ʻano kikoʻī āpau i ʻike i ka ʻike pono e hāʻawi i kahi kiʻi piha o nā peculiarities o ka metabolism i kāwailua o ka wahine.

ʻO ka nānāʻana i ke kaila koko glycated (fructosamine) e hiki ai iā ʻoe ke loaʻa kahi manaʻo e pili ana i ka hōʻino ʻana o ka glucose i loko o ke koko no ka 2 mau hebedoma mua.

ʻO ka hōʻike no ka hemoglobin glycated e kōkua me kahi ʻano loiloi ʻoi aku ka ʻike, kahi e hiki ai iā mākou ke ʻike i kahi pae o ke kō i loko o ke koko o nā wahine i hala 3 - 4 mau mahina, ʻokoʻa kona mau ʻokoʻa.

ʻO ka hoʻāʻo ʻia ka hoʻohaʻomaʻi glucose, ka mea i lawe ʻia me ka manaʻo o C - peptide, e ʻae iā ʻoe e hōʻoia pono:

hoʻohaʻahaʻa glucose
ka ho okumu ana i ka mai o ka wahine,
ʻano maʻi maʻi.

Hiki iā ʻoe ke aʻo hou e pili ana i nā kaʻina no ka hoʻoholo ʻana i ke kiʻekiʻe o ka glycemia ma nā ʻaoʻao ʻē aʻe o ka pūnaewele.

ʻO ke kaulike o ke kō i ka wahine

ʻO ke kaila koko koko i loaʻa i nā wahine mai ka hānau ʻana a hiki i ka wā ʻelemakule he like like ia a me ka maʻamau mai 3.3 a 5.6 mmol / L.

ʻO Glycemia ma luna o ka ʻōpū ʻole ma hope o ka hiamoe e hoʻonui iki me ka ʻelemakule. ʻO ka maʻamau o ke kō i ke kau ʻana i kahi loiloi ma kahi ʻōpū ʻole i hana ʻole ʻia.

Hōʻailona kōʻai koko no nā wahine(kapillary) e ka makahiki ma luna o ka ʻōpū ʻole

ʻO ka makahiki	ʻO ka hua palapala glycemia
12 — 60	5,6
61 — 80	5,7
81 — 100	5,8
Ma luna o 100	5,9

Lawe ʻia ka ʻaihue momona mai ka manamana lima a mai kahi vein paha, mea ʻokoʻa nā hōʻailona o kēia mau loiloi.

Nā helu helu no ka hoʻohālikelike ʻana o ke koko mai ka manamana lima me kahi glucometer e pili pono i ka hui pū ʻana me nā mea o kahi pūneki hoʻopaʻa ʻia inā ua lawe ʻia kekahi koko mai ka manamana lima.

Pono e kiʻekiʻe i nā hualoaʻa o ka nānā ʻana i ka wā e hōʻiliʻili ai i ka tauira venous. He aha ka mea e loaʻa ai i ka wahine ma ka ʻōpū ʻole i ka huina o ke kō o ke koko i ka wā pauku mai nā veins e hōʻike ʻia ma ka papa ma lalo.

Makau	ʻO ka hua palapala glycemia
12 — 60	6,1
61 — 70	6,2
71 — 90	6,3
ʻOi aku ma 90	6,4

Ke ʻike nei i ka pae o ke kō i ka wā hoʻokeʻina ʻai koko i ka wā ʻelemakule ʻole e kōkua mau i ka manawa ʻike i ka hiki ʻana i ka hoʻonui ʻana i ka hōʻeuʻeu o nā pakanā o ka paʻakai pākana a me ka hoʻokumu ʻana o ka mellitus non-insulin-dependence.

Ma hope o 30 - 40 mau makahiki, ʻoi aku ka wahine, ʻoi aku ka makemake o ke kaumaha ma ka hope, e alakaʻi ana i ka nohona hoʻomehana, makemake ʻia e nānā i kēlā me kēia makahiki ʻaʻole wale ka holi ʻaʻai, akā hoʻi ka glycemia ma hope o ka ʻai ʻana.

I kahi wahine olakino ma lalo o 60, ʻo ka hoʻonui o ka glycemia 2 mau hola ma hope o ka pāʻina ʻaʻole e hoʻonui i 7.8 mmol / L.

Ma hope o 50-60 mau makahiki, piʻi nā kumukūʻai glycemic no nā wahine. ʻO ka nui o ke kō, ʻoi aku ka nui o ke koko o nā wahine kahiko i nā hola 2 ma hope o ka ʻaina kakahiaka, ua hui pū ʻia me nā ʻano o ka hoʻokolohua kāohi glucose.

Pākaukaukā nā loiloi moi he koko koko ma hope o ka ʻai ʻana ma hope o 2 mau hola i nā wahine

Makau	ʻO ka hua palapala glycemia
12 — 60	7,8
60 — 70	8,3
70 — 80	8,8
80 — 90	9,3
90 — 100	9,8
ʻOi aku ma kahi o 100	10,3

Hoʻomaka ka glucoseometer i kahi kaila koko o ka wahine ma hope o kekahi mau meaʻai ma hope o 2 mau hola e kūpono i ka makahiki o ka papa a ʻaʻole iʻoi aku i ka maʻamau. Kūpaʻa ka nui o DM 2 inā, ma hope o ka ʻaina kakahiaka, uaʻoi aku ka nui o ka glycemic 10 mmol / L.

ʻO ka maʻi glycemia kiʻekiʻe

ʻO nā kumu nui no ka haʻalele ʻana i ke kō mai ke kumu a me ka hoʻomohala ʻana i ka glycemia wikiwiki a i ʻole hoʻi ma hope o ka ʻai ʻana i nā wahine ma hope o 40 mau makahiki e ulu nei i ka hoʻomanawanui i ka hoʻohaʻahaʻa glucose a me ka diabetes.

Ua lilo kēia mau haʻawina i ka momona ma muli o kēia mau makahiki i hala. Hiki i nā ʻōmaʻomaʻo ʻo ke ʻano maʻi diabetes type 2 i ka wahine ma hope o 30 mau makahiki a i ka mua he ʻano liʻiliʻi o ke kō o ka hilo mai ka maʻamau ma o ka makahiki ma kahi o ka hoʻāʻo koko ʻole mai ka manamana lima.

Hoʻomaopopo ʻia kahi hōʻike holi koko ma ke ʻano o nā hōʻailona:

ua hoʻonui ur ur
nā kaupaona momona a hōʻemi paha me ka ʻai mau ʻana,
ka malo maloʻo
makewai
nā hoʻololi ʻana i nā pono o ka meaʻai,
nahoa
nā nāwaliwali.

I ka hoʻomakaʻana i nā maʻi maʻi diabetes, he piʻi ʻana o nā hopena noiʻi gula ma nā maʻi ʻē aʻe. Hiki i ke glycemia kiʻekiʻe ke kō:

maʻi ate
holoholo kino
maʻi maʻi ʻōnaehana endocrine

ʻAʻole ʻoi nā kumu maʻamau no ka hoʻonui ʻana i ke kaona gula ma waena o nā wahine ma hope o 30 - 40 mau makahiki hiki ke lawelawe:

Pāʻai no nā meaʻai a me ka hoʻohana ʻana i nā diuretics no kēia kumu
Ke lawe nei i nā contraceptives hormonal
Laula
ʻO ka Hypodynamia

I nā wahine ma lalo o 30 mau makahiki, hiki i ka diabetes ke hilinaʻi nei i ka diabetes, hiki i ka nui o ke kō koko nui. ʻO DM 1 ka hoʻoilina, ʻoi aku ka maʻamau o nā kāne ma mua o nā wahine, akā loaʻa pū nō hoʻi i ka hapalua nāwaliwali o ke kanaka.

Hoʻokomo ka wahine i ka hopena o ka hoʻomohala ʻana i ka maʻi diabetes i ka maʻi gestational i ka wā hāpai. Hiki i ka maʻi ke hoʻomakei i kahi kaʻina autoimmune i loko o ke kino e hele ana i ka pane ʻana i kahi maʻi maʻi.

ʻO kahi mea hoʻonāukiuki o ka diabetes hana-hilinaʻi i nā maʻi viral.

alohalani,
Epstein-Barr,
pūpū
rubella
Coxsackie.

I nā wahine, he maʻi diabetes 1, ʻo ka hoʻohui ʻana i ke kō ka wai kiʻekiʻe, e hōʻike ʻia e ka hoʻohaʻahaʻa ʻana i ke kaupaona, ma mua o kēia ʻano maʻi e like me ka non-insulin-dependence like ʻole.

Hoʻopili ʻia nā maʻi diabetes type 2 me ka loaʻa ʻana o ka paona, a he kumu ʻole ma ka nele o ka insulin a i ʻole kona nele, akā ma ka hoʻemi ʻana o ka naʻau o nā ʻāpana o ka insulin. ʻOi aku ka pinepine ma waena o nā kāne, i ka wahine nā mea metabolic syndrome a me nā hōʻike ʻike.

haʻi maʻi
ʻo ka momona - kahi kaū o ka hope ma mua o 88 cm e like me ke kaila a ʻAmelika a ʻoi aku hoʻi ma mua o 80 cm e like me nā kūlana o ʻEulopa,
ʻ LED 2.

ʻO ka maʻi diabetes mellitus, ma muli o ka momona a me ka hoʻohaʻahaʻa i ka naʻau o ka insulin, he mea maʻamau i nā wahine ma hope o 60 mau makahiki. I ka nui, wehewehe ʻia kēia mau maʻi e nā ʻano kaiāulu a me ke ʻano.

E like me ka hōʻike ʻana i nā papa ma ke papa o ke kōpaʻa koko koko i nā wahine, ua loli nā ʻano maʻamau ma hope o 60 mau makahiki i ka liʻiliʻi mai ka maʻamau no nā kaikamahine ma lalo o 30 mau makahiki. Eia nō naʻe, heʻokoʻa nui ka ʻokoʻa i ka hana kino a me nā mea laikini o kēia mau ʻōpiopio.

ʻO kaʻoiaʻiʻo, ʻaʻole pono ʻoe e manaʻo mai ka wahine o 60 mau makahiki i ka nui o ka hana pilikino e like me ke kaikamahine ʻōpio. Akā hiki i ka hoʻoikaika kino olakino a me ka hoʻoponopono ʻana i ka pono e hoʻemi i ka hopena o ka maʻi diabetes.

Kaʻaila haʻahaʻa

ʻO ka hoʻohaʻahaʻa i ke kiʻekiʻe o ke kōʻai i ka 2,5 mmol / l, kahi mea ʻokoʻa ma mua o ke ʻano maʻamau, i loko o ke koko ka mea maʻamau no nā wahine me kēia ʻano:

hoʻowalewale
maʻi pūpū
nele i nā hormones o somatotropin, catecholamines, glucagon, glucocorticoids i ke kino,
nā hana ʻōpū e hana ana i ka insulin.

Hoʻopilikia ʻia ka wai koko i ke ala o ka hoʻohaʻahaʻa i ka wahine me ka makemake nui no ka mono-diets, ka pōloli. Hoʻokomo pū nā wahine ʻōpio i ka hoʻāʻo ʻana e hōʻemi i ka paona ʻole me ka ʻole ʻana i nā haʻuki, a wale nō me ka ʻai.

I ka wā e hookeai ai, inā kūʻai nā kahu glucose i ka kahe a me ke ake o ka glycogen, ua hoʻomaka ka paʻū o ka naʻau e wāwahi i ka waikawa amino. ʻO kēia mau mea, hana ke kino i ka glucose i ka wā wikiwiki e hāʻawi i nā puna i ka ikehu e pono ai e kākoʻo i nā hana koʻikoʻi.

ʻAʻole hōʻeha wale nā mea māhaka hōʻili wale i ka pololi, akā nā ʻōpū pū kekahi. ʻO ka cortisol hāmeʻa, kahi hormone adrenal i hoʻokuʻu i ka wā o ke kūlana kaumaha, hoʻonui i ka ʻehaʻeha o ka huina o ke kino.

ʻO kēia ka mea inā ʻike kekahi kanaka i ke kaumaha, ʻo ia ka mea e pono ai i ka wā wikiwiki, wikiwiki ka uhaʻi o nā protein ʻōiwi, a laila e piʻi aʻe ka maha o ka maʻi o ka naʻau.

Hoʻopili ia, me ka waiho ʻole o ka hana kino, e hoʻonui ka nui o ka momona, ka ʻūhū ʻana i nā kino o nā ʻaoʻao, a me ka hana nui ʻana i nā hana hoʻokūkū i loko o ke kino.