Hōʻailona kaʻai koko 3 mau hola ma hope o ka ʻai ʻana i ke kanaka olakino

ʻO ka maʻi ʻana i ka maʻi maʻi paʻakikī he neʻe nui wale nō i nā hōʻailona lapaʻau, no ka mea ʻaʻole kekahi o lākou i maʻamau maʻamau wale nō kēia maʻi. No laila, ʻo ka nui o ka hōʻaiʻē a ka papa ʻaila he koko koko kiʻekiʻe.

ʻO ke ʻano kuʻuna maʻamau (ʻo ke ʻano screening) no ka maʻi maʻi maʻi he kaho koko no ke kō, ʻoi ʻia i kahi ʻōpū ʻole.

ʻAʻole hiki i nā maʻi maʻi he nui ka hōʻike ʻana i nā mea maʻamau i ka wā mua o ka maʻi i ka wā e lawe ai i ke koko ma mua o ka ʻai ʻana, akā ma hope o ka ʻai ʻana, ʻike ʻia ka hyperglycemia. No laila, pono ʻoe e ʻike i ke ʻano o ke kōpaʻa o ke koko 2 a me 3 mau hola ma hope o kaʻai i loko o kahi kanaka olakino e hiki ai ke hoʻomaopopo i ka maʻi diabetes i ka manawa.

He aha ka mea e pili ai i ka paʻa o ka glucose i ke koko?

Mālama ke kino i ke kiʻekiʻe o ka glucose i ke koko me ke kōkua o ka hoʻoponopono hormonal. He mea nui kona neʻe ʻana no ka hana ʻana o nā ʻōnaehana āpau, akā pili ʻia ka lolo i ka fluctuations i ka glycemia. Ke hana holo nei kāna hana i ka kō a me ke kō, no ka mea, ua haʻalele kona mau cell i ka hiki i ka hōʻiliʻili o nā waihona glucose.

ʻO ke kumu maʻamau no kahi kanaka inā loaʻa ke koko koko i ka hoʻoilo ʻana o ka 3.3 a me 5.5 mmol / L. Hōʻike ʻia ka emi iki o ka nui o ka hilo ma ka nāwaliwali laulā, akā inā ʻoe e hoʻohaʻahaʻa i ka glucose i ka 2.2 mmol / l, a laila he hana ʻole ka ʻike, delirium, hoʻopaʻapaʻa holomua a hiki i kahi ola hypoglycemic coma e hiki mai.

ʻAʻole ka hoʻonui ʻana i ka glucose i ka mea i hoʻonā ʻia i lalo, no ka mea, e hoʻonui mālie ka hōʻailona. Inā he kiʻekiʻe ko ke kō koko koko ma mua o 11 mmol / l, a laila hoʻomaka ka glucose i ka hoʻomoʻi ʻia i ka pā, a me nā hōʻailona o ka holomua o ka maʻi i loko o ke kino. ʻO kēia no ka mea, e like me nā kānāwai o ka osmosis, kahi hoʻokaʻawale nui o ke kōpili e huki ai i ka wai mai nā kiko.

Hoʻopili ʻia kēia me ka nui o ka makewai, hoʻonui nui ʻana o ka urine, nā membrane mucous maloʻo, a me nā ʻili. Me ka hyperglycemia kiʻekiʻe, nausea, ka ʻōpū o ka ʻōpū, nā nāwaliwali o ka huehue, ke ʻano o ka acetone i loko o ka ea hanu, e ulu aʻe i loko o kahi coma maʻi maʻi maʻi.

Mālama ʻia ka pae glucose ma muli o ke kaulike ma waena o kona komo ʻana i ke kino a me ka hoʻoliʻi ʻana o nā loko o nā kiko. Hiki i ka glucose ke komo i ke kahe koko ma nā ʻano he nui:

1. Hoʻopili i nā meaʻai - hua waina, ka meli, nā maiʻa, nā lā.
2. Mai nā meaʻai i loaʻa i ka galactose (dairy), fructose (meli, nā huaʻai), no ka mea, hoʻokumu ʻia ka glucose mai o lākou.
3. Mai nā hale kūʻai o ka glycogen ate, e wāwahi i ka glucose i ka wā e hoʻohaʻahaʻa ana i ke kō koko.
4. No nā paila paʻakikī i ka meaʻai - ke kō, kahi e hoʻokaʻawale i nā glucose.
5. Mai nā amino amino, nā momona a me nā lactate, hoʻokumu ʻia ka glucose i ka ate.

Hōʻike ka emi ʻana o ke kulukine ma hope o ka hoʻokuʻu ʻia o ka insulin mai ka pancreas. Mālama kēia homon i nā molekule glucose i loko o ke kinipona i hana ʻia e hoʻoulu ai i ka ikehu. Hoʻopau ka noʻonoʻo i ka nui loa o ka glucose (12%), ma ka lua o nā wahi ʻo nā ʻāpana a me nā mea make.

ʻO ke koena o ka glucose ʻole e pono ai ke kino i kēia manawa ke mālama ʻia nei i loko o ka ate i ka glycogen. Hiki i nā mālama glycogen i nā pākeke a hiki i ka 200 g. Hoʻolālā koke a me ke ʻano o ka haʻahaʻa o nā kalowa, he piʻi i ka glucose o ke koko.

Inā nui ka ʻai i ka ʻai, hiki ke hoʻoneʻe i ka nui o ka glucose a waiho i ka hoʻokuʻu ʻana o ka insulin.

ʻO ka Hyperglycemia e hele mai ma hope o ka ʻai i kapa ʻia ʻo ka māla a i ʻole ka postprandial. A hiki i ka lōʻihi i loko o hoʻokahi hola, a laila hoʻoliu lohi a ma hope o ʻelua a ʻekolu paha mau hola ma lalo o ka mana o ka insulin, e hoʻi hou ka maʻi glucose i nā hōʻailona ma mua o ka papaʻaina.

He koko ka maʻamau o ke koko, inā ma hope o ka hola 1 ma hope o ka ʻaina e hōʻea kona kiʻekiʻe ma kahi o 8.85 -9.05, ma hope o 2 mau hola, pono e emi ka hōʻailona ma lalo o 6.7 mmol / l.

Hana ka hana o ka insulin i ka emi ʻana o ke kō kōʻai koko, a hiki i nā lāʻau like ke kumu e hoʻonui ai:

• Mai ka kiko Islet of the pancreas (alpha cells),
• Nā kūmole heluna - adrenaline a me nā glucocorticoids.
• ʻO ka kelepona thyroid he triiodothyronine a me thyroxine.
• E ulu ulu ana o nā momona o ka gluitary.

ʻO ka hopena o nā hormone he pae kūlohelohe maʻamau i ka maʻamau maʻamau o nā waiwai.