Nā maʻi maʻi mellitus: nā hopena i ka metabolism o nā iwi

Hoʻāla manaʻo A ke kumu no ke hoʻonui nui ʻana o nā hana ʻōiwi

ʻO nā ʻōhumu o ka maʻi mellitus a me nā iwi no ka osteoporosis kekahi o nā kumu nui o ka morbidity a me ka make ma nā poʻe maʻi maʻi a he nui nā hiʻohiʻona, nā ʻano genisite predisposition, kaola molihola a me nā mea kūlohelohe. ʻO ka pilina ma waena o kēia mau maʻi maʻi āpau i hiki ai i kekahi mau lāʻau antidiabetic ke hoʻopilikia i ka metabolism o nā iwi.

Hoʻomaʻi ʻia nā glycemic ʻelua a me ka home home e ka mana o ka lula, ʻo ia hoʻi ka insulin, ka hōʻuluʻulu ʻana o nā huahana ʻo ka glycation, nā gastrointestinal hormones, osteocalcin, a pēlā aku. Mālama i kēia ʻano hoʻonaninani i ka hoʻonaninua o nā iwi i ka hoʻoliʻi ʻana i nā iwi o ka iwi ma muli o ka hopena antidiabetic ma muli o kā lākou hopena ma ke ʻano o ka hoʻoliʻi ʻana i nā iwi. ʻōnaehana kelepona a me ka kaʻina hana hoʻoponopono hou. Mākaukau e pili ana i kēia, he mea pono e noʻonoʻo i ka hana ʻana o ka iwi ma muli o ko lākou palupalu e like me kekahi mea e hoʻopiʻi ai i ka maʻi maʻi a e kūkākūkā hou i ka pono o ka pono screening a me nā mea pale.

Hoʻohui ʻia ke ʻano maʻi maʻi maʻi 2 me ka nui o ka loaʻa ʻana o ka iwi, ʻoiai ke kaona o ka minima o ka iwi iwi, e like me kekahi mau ʻepekema, ʻaʻole i pili ʻia e ia a i ʻole ke kiʻekiʻe o ka poʻe maʻi me ka maʻi maʻi. ʻO kēia kumu no ka hopena o ka hui pū ʻana o nā hōʻailona, me ka lōʻihi o ka maʻi mellitus o ka maʻi diabetes, ka mana o ka glycemic kakaha, ʻoi aku ka hopena o ka hāʻule ʻana ma muli o ka hypoglycemia, osteopenia, ke kīnā ʻole o ka mineral a ka iwi a me nā hopena o nā lāʻau, ka mea e hiki aku ai i ke kiʻekiʻe nui o ka brittleness a me nā hana o ka iwi.

Eia nō naʻe, aia i kēia manawa ke nele o ka ʻike ʻepekema e pili ana i nā hopena o ka maʻi diabetes a me ka nui o nā lāʻau antidiabetic ma luna o ka iwi iwi a me ka hopena o ka haʻi ʻana o nā iwi. Ma kēia kuleana, ua hoʻomākoakoa ka ʻepekema o Brazil i kahi loiloi e hōʻike ai i ka hopena o ka maʻi type kīkē 2 ma ka metabolic a me ka mechanical mechanical o ka ʻoihana o ka iwi a me ka hopena o ka hoʻopalike ʻana i nā iwi, nā hopena i paʻi ʻia ma ka lā 19 ʻOkakopa 2017 ma ka nūpepa Diabetology & Metabolic Syndrome.

Ua hoʻonui ʻia ka pā pinepine o ka maʻi diabetes me ka ulu ʻana o ka maʻi ʻōpiopio, ʻoi aku ka nui o nā loli o ke ʻano i kau ʻia e nā kūlana o kēia wā. ʻO ka poʻe maʻi me ka maʻi ʻoki kino o ka maʻi mellitus no ka mea nui a me ka hoʻopilikia ʻana i ka hoʻopiʻi ʻana i kēia maʻi, me ka maʻi macrovascular, retinopathy, nephropathy, neuropathy, etc. . ^ E Ha yM.

Wahi a nā hopena o ka hōʻike ʻo Rotterdam, ua hōʻike nā kānaka me ka maʻi diabetes mellitus type 2 i ka hoʻonui (e 69%) i ka nui o ka hōʻeha ʻana o ka iwi i hoʻohālikelike ʻia me nā poʻe olakino. ʻOiai, paradoxically, ua hoʻomaopopo ʻia i loko o nā mea maʻi me ka maʻi diabetes type 2, hoʻonui ʻia ka mineral mineral o ka iwi iwi o ka ʻāiwi femoral a me ka lumbar spine.

ʻO Osteoporosis kekahi o nā kumu nui e hoʻemi ai i ka hoʻokaʻawale ʻana o nā ʻoi wai mineral, ua ʻike ʻia ma ka 200 miliona mau wahine a puni ka honua. ʻO ka poʻe wahine ma mua o 50 mau makahiki no ka ʻoi aku ma mua o 8,9 miliona mau maʻi o ka hopena o ka iwi i kēlā me kēia makahiki. ʻO nā ʻano maʻi diabetes mellitus ʻelua a me nā osteoporosis ka maʻi maʻi e holomua nui ana me ka makahiki, me kahi ala like like, hiki i ka wikiwiki o ka holomua o ka honua.

ʻIke kekahi poʻe ʻepekema i ke kīpē 2 like ʻole e pili i ka ikaika o ka iwi, me ka pale ʻana o ka mineral mineral. Ua hōʻike ʻia kahi ʻoi aku ka nui o ka puʻupuʻu i loko o ka hoʻokahi noiʻi, e hōʻike ana i ka pilina pili ʻana o ka iwi i ka hōʻaiʻē 1.64 (95% hilinaʻi nui 1.07-251) i nā mea maʻi me ka maʻi mellitus i hoʻohālikelike ʻia me nā poʻe olakino, a ma hope hoʻi o ka hoʻoponopono ʻana o ka mineral. nā iwi maʻi a me nā mea pilikia hou aʻe no ko lākou huakaʻi.

I loko o kekahi o nā haʻawina cross-sectional e pili ana i nā mea maʻi me ka maʻi diabetes mellitus type 2, tomotration kiʻekiʻe peripheral quantitative compute tomography a me ka magnetic resonance imaging hōʻike mau hemahema i nā iwi cortical a trabecular. Hopu pū ʻia ka hana hoʻoponopono ʻole o ka pū, ka mea i hōʻoia ʻia e kona loiloi histomorphometric a he kumu hou aʻe i ka hoʻonui ʻana i ka hana o ka iwi kuʻi ma muli o ko lākou palupalu i ka poʻe maʻi me ka diabetes mellitus type 2.

Ua loaʻa i kēia mau mea maʻi ka hopena e pili ana i nā maʻi kulekele i nā iwi iwi, akā no nā lāhui Aferika-ʻAmelika a me Latin. ʻO ka ʻuma, kahi mōʻaukala o nā iwi i ka wā o ka iwi, ka hoʻohana ʻana i nā glucocorticosteroids, ʻoi aku ka lōʻihi o ka maʻi maʻi a me ka mana glycemic maikaʻi kekahi o nā mea he nui wale nō. ʻO nā hōʻeha āpau o nā maʻi concomitant a me nā hoʻopiʻi maʻi hānai, e like me ka neuropathy sensory a me ka hoʻopiʻi ʻana o nā ʻike, he nui ka hopena o ka hāʻule. Eia kekahi, hiki ke hoʻopili ʻia ka pilikia o ka hāʻule, i ka liʻiliʻi, i ka hapa, me ka hoʻonui nui o ka hōʻeha o ka hypoglycemia, postural arterial hypotension a me nā maʻi vascular, a ka mea i kōkua ai i ka nui o ka hōʻeha o ka iwi ma muli o kā lākou palupalu.

ʻO ka hopena o ke kō o ka wai ʻona D i ka kontrol glycemic a me ka hoʻokahe waiū o nā iwi i nā wahine me ka maʻi diabetes type 2 i ka wā postmenopausal. Ke hoʻokūkū nui ka Vitamin D i ka metabolism o nā iwi a hiki ke hoʻopilikia i nā pilikia ʻelua o ka hoʻomohala ʻana i ka maʻi type 2 a me ka hopena o ka mālama ʻana i nā poʻe maʻi me kēia maʻi. Ua hōʻike kekahi mau noiʻi i kahi pilina inapo ma waena o ka hemoglobin serum glycosylated a me ka nui o ka vitamina D, ʻoiai aia kekahi mau ʻepekema e ʻike ana i ka hoʻonui ʻana i nā nui o ka nui o ka nui o ka vitamin D i mea e hoʻomaikaʻi ai i ka maʻi glycemic i loko o nā mea maʻi me ka maʻi type 2.

Hōʻike ka Vitamin D e hoʻolauna i ka hōʻike o nā mea iʻike i ka insulin, ʻo ia ke kumu e lilo ai ka hemahema o kēia vitamin i ka pale ʻana i ka insulin. Ua hoʻāʻo nā ʻepekema ʻepekema e hopena i ka hopena o nā kaila o ka nui o ke koko D ma ka kontrol glycemic a me ka metabolism o nā iwi, ʻaʻole naʻe i hiki ke hōʻike i kahi ʻike ma waena o nā huaʻā o kēia vitamin a me ka mālama glucose a i ʻole ka hopena o nā iwi ma muli o ka osteoporosis, ʻoiai ua hōʻike ʻia nā mea maʻi me ka mana glycemic haʻahaʻa e haʻahaʻa loa. ʻO ka vitamin D ma mua o ka poʻe i ka hui hoʻokūkū.

ʻO ka polipeption-polypeptide e hilinaʻi ʻia ka hopena a me nā peptides e like me ka pona o nā glucagon 1 a me ka -2, nā kamo i hoʻokuʻu ʻia e nā huina enteroendocrine K i loko o ka duodenum, kahiʻenumima proximal, a mai nā selene L i loaʻa i ka nunal mamao a me ka kolone. ʻO ka glukosa-hilinaʻi ka insulin syntropide a me ka pagonide like-glucagon e like me kaʻai ʻana i ka manawa ma hope o ka ʻaina. Komo koke lākou i ke kahe i loko o kā lākou hana ikaika hana hormonal a launa pū me nā mea i hoʻopaʻa ʻia e hoʻopaʻa ana i ka G-prot e waiho nei i loko o kekahi mau pūlea a me nā kiko. Eia naʻe, ua liʻiliʻi ʻia ka bioactivity o kēia mau lua e ka wikiwiki o ka hiʻona a me ka hana ʻole ʻana o ka dipeptidyl peptidase-4, kahi i loaʻa i loko o ke koko a hōʻike ʻia i nā kiko nui.

ʻO ka Glotose -ypypotic polypeptide a me nā pona o ka pona like-glucona ka hoʻāla ʻana i ka hoʻokuʻu ʻana i ka insulin mai ka pancreatic β-cells i mea e pale ai i ka hana o ka glucagon e nā pūnaʻi α-cells. Hoʻāla iki kēia mau hormon i ka hoʻoliʻi ʻana o nā iwi, no ka mea, i ka manawa i komo ai ka meaʻai i ke kino, paʻa ke kiʻi ʻana i nā iwi. I ka wā o ka hoʻōna o ka ikehu a me nā mea momona loa, ʻoi aku ka paila e hana i ka iwi o ka iwi, aʻo ka lilo ʻana o ka ikehu a me ka momona, hoʻomaikaʻi ʻia kona hoʻoponopono ʻana.

E pili ana i kēia, kahi glucose-dependantine e pili pono ana i ka glucose, a, hiki paha i ke aniani, like me ka peptides-1 a me ka -2 ke wehewehe i ka pilina ma waena o ka intake a me ka hoʻokaʻina ʻana o nā resorption a hōʻeuʻeu paha i ka hoʻokumu ʻana i nā iwi iwi. Hōʻike nā haʻawina e like me ka peptide-2 like me ka peptide-2 ka mea e hoʻopilikia ai i ka metabolism o ka iwi, e hana pono ana me ka he antiresorptive hormone, akā hiki ke hana ʻia ka glucose i hoʻohālikelike i ka glucose o ka insulin antroporptive a me ka hoʻoneʻe anabolic.

ʻO kahi ala hou e noiʻi ai i ka hopena o ka maʻi maʻi i ka metabolism o ka iwi ʻo ka loiloi ʻana i nā māka o ka hoʻōla ʻana o nā iwi i ka serum koko, ke ʻano, ka osteocalcin a me ka ʻōkuhi o ka amino-terminal o ka type I collagen, e hoʻemi ana ke pae koko i nā mea maʻi me ka maʻi maʻi a me ka hoʻokaʻawale i ke koko glucose a me ka nui o ke kiko adipose. Kākoʻo kēia manaʻo i ka manaʻo o nā mau biochemical hōʻailona o ka hoʻokumu ʻana i ka iwi ma lalo i nā mea maʻi me ka maʻi maʻi.

Ua hōʻike ʻia i ke ʻano nui o ka osteocalcin i ka hana hoʻomehana o ka ikaika. Ma kona ʻano kikoʻī, hoʻoulu ʻia ia i ka mea huna insulin a hoʻonui i ka ʻike ʻana i ka pili o adipose a me ka ʻiole a me ka insuline. Ua hōʻike ʻia ka pilina inikua ma waena o ka pae o osteocalcin i ke koko a me ke ʻano o ka metabolic syndrome, kahi e hōʻike ai i kona haʻahaʻa e pili ana i ka pathophysiology o ke ʻano maʻi type 2.

ʻO Sclerostin i hōʻike ʻia e osteocytes he hewa hoʻoponopono kino o ka metabolism iwi. Ua hōʻike ʻia he nui nā maʻi maʻi o ka maʻi like me ka nui o ka serum sclerosis, i pili ʻia me ka piʻi nui o ka hana ʻana i nā iwi. Hōʻike pū nā haʻawina e pili ana nā pae sclerostin i ka lōʻihi o ka lōʻihi o ka diabetes mellitus type 2 a i ka pae o ka hemoglobin glycosylated a ua kūlike nā mākaukau i nā pae o ka hōʻailona o ka metabolism o nā iwi.

Ke hōʻuluʻulu nei i nā hopena o ka loiloi, ua ʻoki nā mea kākau e loaʻa ana i nā mea maʻi me ka maʻi diabetes type 2 ka nui o ka hōʻeha o nā iwi iwi ma muli o ko lākou maloʻo, ʻaʻole i wānana ʻia e nā helu ʻana o ka ʻiʻo o ka mineral mineral. ʻOi aku ka kiʻekiʻe o kēia haʻawina he multifactorial. ʻOiai ʻo kēia mau hiʻohiʻona, ʻaʻohe mau manaʻo e pili ana i ka nānā maʻamau i nānā ʻia a i ʻole ka hoʻohana ʻana i nā lāʻau prophylactic no ka osteoporosis i nā maʻi me ka maʻi mellitus.

ʻO ka hōʻemi pono i ka glycemic hoʻolilo i kēia hopena hōʻeha, ʻo ia hoʻi ka hopena o ka hoʻomohala ʻana i ka hoʻopiʻi micro- a me ka macro-vascular, a laila hiki i ka hōʻemi ʻana i ka hana ʻana o nā huahana glycation hopena, hōʻemi i ka hōʻeha ʻana i nā kīʻaha koko ma ke ākea a ma o ka kiko o ka iwi, a me ka hoʻēmi ʻana i ka hāʻule. Ua hōʻike ʻia kahi pilina ma waena o ka iwi a me ka hoʻoliʻiliʻi ka ikehu, a pili kēia pilina mai ka manawa o ka hoʻokaʻawale ʻana o ka adipocytes a me nā osteoblasts mai nā pūnaehana mesenchymal like ʻole.

I ka poʻe maʻi me ka hyperglycemia, hoʻōla ʻia ka hoʻōla ʻana o ka iwi, a ua kōkua nā mīkini a pau i wehewehe ʻia i ka hoʻopiʻi a me ka "maikaʻi" o ka iwi o ka iwi, e hoʻonui ai i ka hōʻeha o nā iwi iwi. Wahi a nā kānaka ʻepekema, he mea nui ia e noʻonoʻo i ka hoʻopalapula o nā iwi ma muli o kā lākou palupalu e like me ka hoʻohui pūpili o ka maʻi maʻi a pono ia e ʻike i ka maʻi ʻōpū o ka maʻi maʻi ma ke ʻano he kikoʻī kikoʻī, me ka kūkākūkā houʻana i ka pono no ka lawa ʻana o ka screening a me nā ʻano pale.

ʻO ka osteopenia a me ka osteoporosis i ka maʻi maʻi a me ka 2 maʻa

ʻO ka poʻe me ka maʻi maʻi e makaʻala lākou e pale aku i kekahi mau hōʻeha, no ka mea hoʻomohala lākou i ka osteoporosis a me ka osteopenia e kū i ke kua o ka maʻi.

Hoʻokomo nā maʻi ʻelua i ka ikaika o ka iwi. Me ka osteoporosis, lilo ka ʻili i ka nui. ʻO ka lōʻihi o ka wā, hemo ka ʻōpala i kona hiki ke paʻa i ka nui.

He iwi olakino a me ka osteoporosis

Hōʻike pū ʻia ka Osteopenia e kahi hōʻemi o ka ʻāpana o nā iwi. Akā, ʻaʻole nui loa. No laila, me osteoporosis, hele pinepine nā fractures i nā pinepine.

Me ka nui o kēia mau makahiki, e holomua kēia mau maʻi ʻōpiopio a ʻoi aku ka ulu ʻana o nā iwi. ʻO kekahi pōʻino hiki ke hōʻeha.

Kūleʻa Hip i ka pākeke me ka maʻi maʻi

ʻO kēia pōʻino ka hopena o ka trauma i ka kākoʻo kākoʻo kūʻokoʻa - ʻo ke kaʻo.

ʻO ka maʻi kuʻekuʻe pinepine kahi hanana maʻamau i waena o nā poʻe kahiko. ʻO ke kumu ke osteoporosis.

Hiki i nā iwi nāwaliwali nā haʻalulu nā wā e hoʻāʻo nei e puka i waho o ka moena. Nā wahine ma hope o 60 mau makahiki i loaʻa i kēlā hōʻeha e like ʻekolu i nā manawa pinepine ma mua o nā kāne. ʻO ka loli o kēlā hōʻino i nā ʻelemakule he lōʻihi lōʻihi ke kaʻina o ke kaʻina, e ulu palupalu nā iwi.

Aia kahi moe e moe ai ke kanaka, ʻo ia ka mea, ʻo ia ka mea kūlohelohe. ʻO kahi hopena, e ulu nui ana kāna manaʻo. Hoʻokumu ka thromboembolism, ka puʻuwai puʻuwai, a i ʻole nā maʻi pneumonia. A me ka maʻi ʻaʻai o ka hopena me ka pohala o ka iwi.

He aha ke kumu o ka hoʻopilikia ʻana i ka maʻi diabetes?

ʻO ke kumu nui o nā fractures i ka maʻi diabetes, ʻo ka nele o nā insulin. Hoʻopilikia ia i ka hoʻihoʻi ʻana o ka iwi iwi.

ʻO nā hopena o ke kiʻekiʻe o ke kō.

ʻO ka hemahema o ka insulin e hoʻohiolo ana i ka hana o nā kolagala e nā ʻōpio ʻōpio - osteoblasts e kuleana no ka hoʻokumu ʻana o ka iwi iwi,
kaʻili liʻiliʻi
hoʻonui ka puna koko nui i ka nui o nā osteoclasts, e hoʻopiʻi ai i ka hoʻoulu ʻana o nā iwi,
hoʻonāukiuki i ka maʻi maʻamau i ka ʻōpū o ka iwi a hana i kahi hapa i ka hoʻohuihui ʻana o ka mauʻu D. No ka hopena o ka calcium, ʻaʻole pākaʻi ʻia,
ma muli o kahi kāhea ʻana o nā ʻāpana koko, ua pilikia ka ʻai o ka iwi,
kaupaona kaumaha ka mea e hoʻopili ai i ka hoʻohaʻahaʻa ʻana i nā kino kino a pau, me ka iwi hoʻi,
nā maʻi paʻa i ka hope o ka maʻi diabetes, no ka laʻana, ka neuropathy, e hoʻopau i nā kinipona nerve, ʻaʻole lākou e hana i nā huaʻōlelo. Hoʻoikaika ʻole nā wāwae
aia nā neuralgia o nā ʻuhane wahine a me nā sciatic. ʻO nā maʻi āpau o nā wāwae wāwae he mea maʻamau. Inā hele mai ka lolo piha, hiki ke mālama ʻia me ka lāʻau kūikawā. Ma kahi o ka hōʻiliʻili piha, ʻike ʻia nā atrophies o ka uaua: ua kuʻaila nā tendon reflexes, nā wāwae wikiwiki i ka ʻōiwi,
ka nele o ka insulin i ka hoʻonāukiuki i ke kino. Hoʻonui ka acidity i ke koko ma muli o ka hoʻonāukiuki. Ke alakaʻi nei kēia i nā loli hōʻino i loko o ka pūnaehana sentral.

ʻO wai ka pilikia?

I ka wā'ōpiopio, ua hoʻopaʻa ʻia ka iwi i ka resorption. I ka wā o ke kuʻuna, ma ka mea ʻē aʻe, luku ka luku i ka hoʻokumu ʻana o nā ʻāpana hou. Hoʻopaʻa pinepine ʻia kēia hana i nā wahine ma hope o 50 makahiki.

Hiki mai paha kahi hopena pōpilikia inā:

aia kekahi ma mua he hiki ʻana i ka ʻokiʻoki i ka iwi iwi,
aia ka hopena nui o ka maʻi me ka hāmama wehe ʻana: hiki i nā maʻi ke komo i ka ʻeha,
nā hōʻaʻai kiʻekiʻe me ka diabetes decompensated e hoʻopau ai i nā iwi o nā iwi,
halekū haʻahaʻa
ʻaihue iki ʻole i ka hoʻonā ʻana o nā mea pili i ka cell,
predisposition genetic i ka osteoporosis,
makahiki ʻOi aku ka makua o ke kanaka, ʻoi aku ka nui o ka pilikia o ka puʻupuʻu,
haʻahaʻa haʻahaʻa haʻahaʻa. Nui nā maʻi i ka maʻi kanesa, i ka manawa nui ka paona ʻana,
hoʻohana mau i nā glucocorticoids a i ʻole hoʻomākaukau e pili ana i ka alumini,
nāwaliwali (paʻakikī).

Nā hana hoʻohālikelike

Inā kānalua kekahi lūlū, kahi mea nui ka maʻi pololei. No laila, pono e nānā ʻia a me ka hoʻokolohua ʻana i mua e ka traumatologist.

ʻO ka mea, ma mua ka maʻi maʻa i kahi hoʻokolohua lapaʻau. ʻO ka mea maʻi e nānā ʻia, palpation a pā ʻana i ka wahi i hōʻino ʻia.

E nānā i ka nānā ʻana a me ka piʻi ʻana o ka mea hoʻohui, ʻo kona ikaika paʻa. Ka hana aʻe: Ka nānā ʻana ma ka X-ray. Hāʻawi ke kiʻi i kahi kiʻi kikoʻī o ka fracture a me kahi o kona wahi. Inā kūpono, hiki ke kuhikuhi ʻia ka pākuʻikepili.

Nā ʻano kumuwaiwai

ʻO kēia mau kaʻina hana no ka 84% o nā hōʻeha āpau. Hoʻopau ʻia lākou i ka hihia o kahi hana pani paʻa a me ka neʻe ʻana o nā pōpoki.

ʻO ka hana a ke kauka ke hoʻoponopono pono i nā pōpoki o ka iwi i hōʻino ʻia (hoʻoponopono hou) a laila e hoʻoponopono i ka ʻeha ʻeha me kahi koʻikoʻi plaster.

Inā ʻaʻole paʻa ka fracture (a ʻūhā a i lalo paha ka wāwae ʻākau), ua hoʻohana ʻia ke kōkuhi kuʻekuʻe. I kēia hihia, hoʻohana ʻia nā kaupaona no nā manamana pōpoki. ʻO nā Orthoses, ke hoʻohana ʻana i nā pono a me nā pale. I nā hihia maʻalahi, ua kuhikuhi ʻia kahi papa o ka hana physiotherapy.

Hoʻolā hewa

Wahi a lākou no 16% o nā hihia. Hoʻopili ʻia ka hana lapaʻau ʻana i kēia ʻano hana penei:

wehe hou. ^ E Ha yM. Kahi kumu: ka ʻike o ka wahi i hoʻopau ʻia, ka wehe ʻana i ka io paʻa i hoʻopaʻa ʻia, ka kūpono kūpono o nā ʻāpana iwi, phased stitching o ka iwi a me ka noi o ke gypsum. ʻAʻole hāʻawi kēia ala i ka hoʻoponopono palekana: ʻo nā mea o ka hōʻina i ka wā o ka hana i hiki mai ke neʻe ʻia,
osteosynthesis. ^ E Ha yM. Ke kumu: ka pilina o nā pākahi ma o ka hana ʻana me ka hoʻoponopono ʻana i nā kūkulu a hiki i ka hoʻopi hope ʻana.

Eia kekahi, ua hui pū ʻia ia ʻano hana me nā hana hoʻohālike:

ka hoʻoikaika ʻana i ka pale ʻana me ke kōkua ʻana mai i ka miner a me nā hoʻoliʻi huaora,
kūlia me ka sterility. Hoʻouku pono ʻia nā kikoʻi ākea i wehe i nā hala: e mālama pinepine ʻia lākou me nā mea antimicrobial,
Hoʻopili hou i ka hana.

Endoprosthetics ma ke ʻano he ʻano lawelawe

Hoʻokumu ʻia ka pono o kēia ʻano hana i ka loli ʻana o nā mea i hoʻopale ʻia o nā mea make me nā mea kanu. Inā hoʻololi ʻia nā ʻāpana āpau o ka iwi, ua ʻōlelo lākou e pili ana i ka endoprosthetics piha, inā hoʻokahi - e pili ana i ka semi-prosthetics.

ʻO Hip Endoprosthetics

I kēia lā, ʻike ʻia kēia ʻenehana e ʻoi aku ka maikaʻi loa no ka hoʻihoʻi ʻana i nā hana nalowale o nā lima. ʻO ka Endoprostheses o ke poʻohiwi, nā kuli, a me nā ʻōpū kuʻuna e hoʻohana pinepine.

Nā Kūlana Mua Mua

Hōʻike e kāhea i kahi ambulance.

I ka hoʻomaka ʻana o kahi hāleʻa wehe (ʻike ʻia kahi iwi a hōʻeha ʻia ke ʻeha), pono e ʻalo ʻia ka pōʻino (nui ʻōmaʻomaʻo, ʻona wai a iodine paha). A laila e hana i kahi lole paʻa e pale ai i ke kahe koko.

E hoʻokele nā kauka hiki i ka inesthetic injection a hoʻopono pololei i kahi māka. E hoʻoneʻe i ka edema, hiki iā ʻoe ke kau anuanu i ka ʻeha a hāʻawi i kahi pū o ka Analgin. Inā hoʻokuʻu ʻole ka mea make, e uhi iā ia.

Akā inā hiki ʻole ke kāhea aku i kahi kaʻa kaʻa, ʻaʻole ʻoe e hana i ka kaʻa kaʻa ʻoe. E hoʻohana i nā mea āu i loaʻa ai: nā lāʻau polu, ke koʻokoʻo, nā papa.

I ka wā e hana ai i ka pahu, e nānā i kēia mau lula:

e lālau i nā ʻōpū ma luna a ma lalo o ka lihilahi,
e kāʻei i ka mea mālama ma kahi lole a maʻemaʻe paha
E hoʻopaʻa paʻa pono ka ʻili. Inā he uliuli ka ʻili, pono e hoʻokuʻu ʻia ke ʻano.

E hoʻoponopono i ka ʻōpala i hopo ʻia ma ke kūlana kahi e waiho ai.

ʻO ke kaʻina hana

ʻO kēia mau hana e kuhikuhi ana i ka hoʻihoʻi piha ʻana o nā hana nalowale.

Aia ka papahana hoʻoponopono.

hoʻomaʻamaʻa hoʻomaʻamaʻa kino. ^ E Ha yM. ʻO ke ʻano nui: ʻaʻole hōʻeha nā hana,
hānai. ^ E Ha yM. Hiki iā ia ke manual a i ka mīkini,
physiotherapy: lepo a me ka hydrotherapy, electrophoresis. Aia nā contraindications!

ʻOi aku ka maikaʻi o nā huaʻai i nā keiki a me ka poʻe olakino. Eia kekahi, ʻo ke ʻano o ka hōʻino he mea nui. Inā liʻiliʻi ka nui o nā palaki i ka wā hōʻeha, a maʻalahi lākou e hoʻoponopono, maikaʻi ka prognosis. Me ka ʻakiʻeha koʻikoʻi, pono ke koi ʻia i ka lāʻau koʻikoʻi.

ʻO ka hōʻeha ʻeha

E hoʻoikaika i nā iwi, e ʻōlelo ʻia:

meaʻai maikaʻi e momona ana i ka calcium a me nā huaora. Pono ka ʻai ʻana i ka ʻaila momona.
e ai pinepine i ka la
i ka hana ʻana a i kēlā me kēia lā he mea nui ia e nānā ai i nā mālama palekana.
Mai noho lōʻihi ma ka home, e neʻe hou aku.

Nā wikiō pili

No ke aha e hele pinepine ai nā fractures i ka maʻi diabetes? Pehea e hoʻihoʻi ai i ka wahi o ka ʻili wahine a me nā limahana ʻē aʻe? Nā pane i loko o ke wikiō:

I ka papa ʻaina, kiʻekiʻe loa ka hopena o nā hōʻeha a hiki i ka hoʻoweliweli ʻana i ke ola. No laila, e hoʻoikaika i kou olakino iwi me ka hoʻomaʻamaʻa ʻana a mai poina e kaohi ʻana i kou kō koko.

Mālama i nā pae o ke kō no ka lōʻihi
Hoʻihoʻi hou i ka hana insulin pancreatic

Ike nui i na palapala. ʻAʻole ia he lāʻau lapaʻau. ->

Palapala inoa ma ka waihona

Hāʻawi iā ʻoe i nā mea pōmaikaʻi ma mua o nā malihini kipa:

Nā hoʻokūkū a me nā makana waiwai
Kamaʻilio me nā lālā o ke kalapu, ʻōlelo kūkākūkā
Hōʻikeʻike Diabetes i kēlā me kēia pule
Forum manawa kūpono a me ke kūkākūkā
ʻLelo leo a me kamaʻilio wikiō

Ke wikiwiki nei ke kau inoa ʻana, lawe ʻia ma mua o hoʻokahi mau minuke, akā pehea ka mea a pau ka pono i hoʻohana ʻia!

ʻIkepili ʻike Inā hoʻomau ʻoe e hoʻohana i kēia pūnaewele, manaʻo mākou e ʻae ʻoe i ka hoʻohana ʻana o nā kuki.
Inā ʻaʻole, e waiho i ka pūnaewele.