ʻO ka maʻi diabetes mellitus type 1: nā kumu, nā hōʻailona a me nā maʻi, nā hopena
ʻO kēlā me kahi kūlana e hōʻeha ai kahi kanaka me ka maʻi maʻi, aia ke kumu no ia. No nā makahiki he mau makahiki, ke kamaʻilio nei nā kauka e pili ana i nā mea i hōʻeha ʻia, akā a hiki i kēia lā ʻaʻole i hiki iā lākou ke hoʻoholo piha i ke ʻano o kēia mau mea.
I ka manawa like, ʻike ʻia kahi nui o nā kūlana e makemake i ke ʻano o nā hoʻololi kino a me ka pono ʻole. Aia nā mea maʻamau i kākau ʻia ma lalo nei:
- pono ke kīnā kūpono, ma muli o ke ʻano o ka metabolic,
- ʻoi aku ka nui o ka glucose a me / a ʻo ka sodium,
- hoonui koko,
- ka hoʻākoakoa ʻana o ka waikawa lactic i ke kino.
ʻO nā kumu lalo o ke aniani type 1 he predisposition genetic. ʻAʻole hoʻi he mea nui ka hoʻololi ʻia ʻana o kahi maʻi o ke keiki i ka maʻi like ʻole o ka ʻohana o ka ʻohana i ka maʻi like. Ma ke ʻano he:
- me ka makuahine maʻi, ʻoi aku ka nui o nā manawa ma mua o 2%,
- inā e loiloi ka maʻi i ka makuakāne, a laila ʻokoʻa ka hopena mai ka 3 a 6%.
- i ka loaʻa ʻana o ka haʻaola e like me ke ʻano type type 1 i loko o kahi kaikaina e hoʻonui i kahi mau ʻeono a i ʻole paha i ka hapaono.
Nā kumu, nā hōʻailona, ka mālama ʻana a me ke ʻano o ka hyperinsulinism i nā keiki a me nā pākeke
Hōʻike ʻia nā ʻōkuhi ma nā keiki ma kahi liʻiliʻi, inā ma muli o ka liʻiliʻi ʻo ia ka ʻike. ʻO ka make kino ma lalo o nā makahiki 18 i kahi kokoke i zero. Eia nō naʻe, inā loaʻa ke ʻano maʻi o ke keiki me ka maʻi diabetes, ʻo ia hoʻi ua hoʻomaka ke kaʻina decompensation. Hoʻomaopopo nā kauka i kekahi mau ʻōuli o ka maʻi maʻi i ka wā kamaliʻi / wā ʻōpio:
- microalbuminuria,
- maʻi maʻamau nephropathy,
- hoʻuanuʻina (ma nā hihia maʻamau),
- retinopathy.
ʻO nā hoʻopiʻi o ka maʻi diabetes i ka wā ʻōpiopio he pōpilikia ma muli o kā lākou huna. Hoʻomaopopo pinepine ʻia nā ʻōmaʻomaʻo i kahi keiki i nā maʻi ʻē aʻe, ʻoi aku ka maʻi maʻamau a me nā maʻi maʻamau. Hāʻawi i ka hana kūpono i ka mālama olakino kūpono, hiki ke hoʻokō i ka uku holoʻokoʻa no ka maʻi diabetes i ka wā pōkole loa a hoʻopaʻa i ka hoʻopau ʻana i nā mea hopohopo.
Nā ʻōlelēne sd type II
Kinohi
nā hōʻailona (makewai, polyuria, itching,
hiki ke hoʻololi i nā maʻi)
a i nalo paha. ʻO ke kau pinepine
(ma 80-90% o nā maʻi).
ʻOiai ʻo ke papa maʻi maʻamau, ʻo ka maʻi, ma lalo o ke kumu o nā hana hōʻino, hōʻike ʻia e ka hoʻomohala wikiwiki a me ke neʻe ʻana mai kahi kiʻekiʻe o ke ʻano a i kekahi.
Ua hōʻike ʻia nā hōʻailona ʻano maʻamau o ka maʻi mellitus o ke ʻano o ka maʻi mellitus:
- mau ka makewai - ʻo kēia ke alakaʻi i ka mea hiki i ke kanaka ke inu a hiki i ka ʻumi lita o ka wai i kēlā me kēia lā,
- malo maloʻo - haʻi ʻia aku ma ke ʻano o ka nui o ka inu ʻana i ka inu ʻihi,
- nui a me ka urination pinepine,
- hoʻonui nui momona
- ʻili maloʻo a me ka mucous membrane,
- ʻeha ka ʻili ʻāʻā a me ka lepa o ka ʻili,
- nā wahi hiamoe hiamoe
- nāwaliwali a hoʻemi i ka hana
- ka papakū o nā lalo haʻahaʻa,
- mea kaumaha
- ʻike maka
- ninaki a me ka hoʻopuʻi, kahi manawa wale nō e hoʻolalelale ai,
- pololi mau
- huhū
- bedwetting - ʻo kēia mau maʻi ka mea maʻamau i nā keiki.
ʻO kahi maʻi diabetes mellitus he maʻi maʻamau loa i loko o ke ao nei. ʻAʻole naʻe e hoʻololi nui nei kēia maʻi i ke ola o kahi kanaka, akā hoʻopili pū kekahi i nā hoʻopiʻi ʻana.
ʻO ka maʻi mellitus ka hopena he hopena o ka hana hewa ʻana i ka ʻoihana endocrine a me ka nui o ka insulin i hana ʻia. ʻAʻole lawa paha ka nui o ka insulin no ka hemo ʻana o ka glucose, a laila kapa ʻia kēia ʻano maʻi e like me ka maʻi diabetes ʻano 1. Ke keu o ka insulin hiki ʻole ke launa aku i kekahi mau mea nānā aku e hōʻike i ka loaʻa o nā maʻi maʻi type 2.
ʻO ka maʻi maʻi type 1 ka mea maʻamau i nā poʻe'ōpio a me nā keiki. Ua ʻike pinepine ʻia ka lua o ke ʻano maʻi maʻi i ka poʻe kahiko. Me kahi hōʻike kūpono i ka manawa, hiki ke hoʻomohala ʻia ka hoʻomohala ʻana o ka maʻi ma ka lāʻau a me ka meaʻai.
ʻO ka wikiō e pili ana i ka mālama ʻana a me ka pale ʻana i nā maʻi hānai
Ma hope o ka hōʻoia ʻana i ka maʻi maʻi, ua makemake nui nā poʻe maʻi i ka nīnau - he mea hiki paha ke ho'ōla i ka maʻi maʻi type 1? ʻAʻole hiki ke ʻoki loa, akā hiki i ka hoʻomaikaʻi ʻana i ke kūlana o ka mea maʻi i nā makahiki he nui me ke kōkua o kēlā me kēia kālaʻoa:
- ka hoʻololi pono ʻana o ka insulin - ua koho ʻia ke koho ʻia o kahi pālua e like me ka nui o ka papa a me nā ʻano makahiki o ka mea maʻi.
- sparing meaʻai
- ka hoʻoponopono ʻia o ka lāʻau kino kino - ma ka laulā, hōʻike ʻia nā mea maʻi e hana i nā hoʻomaʻamaʻa māmā a i hōʻino kino paha i kēlā me kēia lā no ka liʻiliʻi o hoʻokahi hola.
Diet no ke ʻano type type 1 o ke kuʻi ʻana me nā ʻōlelo aʻe:
- ka wehe piha ʻana o nā huahana e like me ke kō a me ka meli, nā kahu hānai e mālama ʻia a me kekahi hū ʻana, a me ka ʻona ʻāmaʻomaʻo,
- hōʻemi i ka papa kuhikuhi i hōʻike ʻia e ka palaoa a me nā mea ʻai, ʻuala a me nā hua hou.
- ka pā pinepine ʻana i ka meaʻai,
- ka palena o ka hoʻokomo ʻana i nā momona o nā holoholona,
- ʻO ka pale ʻana i ka ʻai o nā hua a me nā huahana waiū,
- ka ʻokoʻa o ka overeating.
ʻO kahi papa inoa piha o nā mea ʻae ʻia a papa ʻia, a me nā ʻōlelo ʻē aʻe e pili ana i ka meaʻai, hāʻawi wale ʻia e ke kauka komo hele.
Nā ʻano ʻōpiopio
Loaʻa ka hopena maikaʻi loa i ke kino i ke kaomi type 1 no ka piʻi mau ʻana o ka glucose i ke koko.
ʻAʻole hiki i ke kino ke hoʻokaʻawale i ke kino me ka hoʻomaka ʻana i ke kaʻina o nā wā koka, nā mea, e wāwahi i ka ketones a hōʻiliʻili hoʻi i nā ʻāpana āpau a me nā kīʻaha koko. ʻO nā mea waiwai maikaʻi kēia, ka mea, ka laʻana, acetone.
ʻO ka pinepine, ke kū i ka wā o ke ʻano o ka maʻi metabolic, ka mea maʻi me ka maʻi diabetes mellitus type 1 e hoʻomohala i ka ketoacidosis, kahi maʻi hōʻiliʻili nui i nā huahana metabola i loko o ke kino, akā ʻaʻole hiki ke komo piha.
Me ka hoʻolālāʻana o ka maʻi i ka wahine hāpai, e loaʻa nā pilikia - ka maʻi kolohe maʻamau a me nā hana ʻino o ka fetal.
Hoʻomaopopo ʻia nā maʻi mellitus kekahi o nā maʻi paʻakikī. Eia kekahi, ʻaʻole ia ka maʻi pono e hōʻeha i ka hopohopo, akā nā pilikia o ka maʻi mellitus. Hoʻomaka a hoʻomau ʻia ka hoʻopiʻi ʻana i nā hoʻopiʻi me ka hemahema, he manawa lōʻihi a paʻakikī hoʻi e alakaʻi ai i ka maʻi kīnā, a me nā hōʻemi maikaʻi ʻole hoʻi ma ke ola.
Nā kumu hoʻohālikelike
ʻO ke kumu nui no nā hoʻopiʻi āpau o ka maʻi ʻaila o ka hoʻonui ʻana i ke kō i loko o ke kō. ʻO ka hyperglycemia hiki ʻole ke hoʻomau, ke hoʻomohala nei i ka hōʻeha o ka metabolic i loko o ke kino e hoʻonāukiuki i ka pathology. Eia kekahi, ʻo kahi kiʻekiʻe o ka insulin i ke koko ka mea hōʻino kino no ka hoʻonaninani o ke kahawai o nā kīʻaha koko.
Me ka nui o ka nui o ka kō i loko o ke koko, e waiho ana nā wahī i ke kino i kahi ʻino gula ikaika, e hopena ana i nā hopena paʻakikī o ka maʻi maʻi.
ʻO kēia ʻano maʻi e hōʻike ʻia e nā ʻōlima koi e holomua maoli i nā maka. ʻO kekahi o kēia mau ala palakou e koi pono i ka hana kūpono a hoʻomaikaʻi ma ke ʻano o ka pale ʻana. E noʻonoʻo he aha nā mea hoʻopiʻi o ka ʻano 1:
- ʻO ka Ketoacidosis ka ʻike ʻia o nā kino ketone i loko o ke koko ma lalo o nā kūlana ke ʻike ʻole ʻia ka insulin. ʻOiai e mālama nei i kahi hema o ka hormone, hāʻule koke ka mea maʻi i ka como ketoacidotic.
- ʻO ke kumu o ka hyperosmolar coma ke hoʻonui nei i ke kō, ʻo ia ke kumu o ka lepo o ka kino. Inā ʻaʻole i mālama ʻia ka mea maʻi i kēia manawa, a laila kiʻekiʻe ka hopena o ka make.
- I ka haʻi ʻana o ka hypoglycemic coma i ka wā i hala ʻole ai, loaʻa i ka mea maʻi ka nui o ka nui o ka insulin. Ma muli o kēia, ʻano hemahema o ka glucose i loko o ka lolo, ka mea e hoʻopiʻi ai i ka hana like ʻole, e hopena ai i ka ʻike ʻole, nāwaliwali a me ka coma.
ʻO nā hoʻopiʻi o ka diabetes mellitus, ma muli o ko lākou koʻikoʻi, he mea koʻikoʻi loa no nā keiki, me ka nāwaliwali loa ko lākou kino e loaʻa ai nā mīkini compensatory, a me kekahi o nā palapala i wehewehe ʻia e lilo i mea make.
Ma kahi o nā hopena hoʻonā, ʻike ʻia ka ʻano 1 i nā hoʻopiʻi "ala". Kaʻeha lākou i ke ʻano kūlohelohe a hoʻohālikelike i nā maʻi ʻano 2.
Kāohi
ʻO ke koho wale no ka pale pono ʻana o ka hoʻopiʻi o ka maʻi maʻi e pili ana i ka mālama ʻana i nā loiloi, a me ka mālama mau ʻana i nā pae wai koko a mālama pono i kahi kūlana "olakino".
ʻAʻohe hiki ke pale pono i ka hopena maikaʻi o ka maʻi ma kēia ala, akā hiki ke hoʻēmi iā lākou.
I kēia manawa, ʻaʻole i hoʻomohala ʻia ke kāohi ponoʻī o ka maʻi type 1. No ka hoʻoemi i ka hiki ʻana o kahi hoʻomohala i kahi maʻi, ua pono ʻia:
- haʻalele loa i nā hana maikaʻi,
- ʻai pololei
- lawe ʻia ka lāʻau lapaʻau e like me ka mea i kuhikuhi ʻia e ka mea lapaʻau,
- pale i ke kaumaha inā hiki
- kau i ka paona kino i loko o nā palena maʻamau,
- ka hoʻolālā ʻana i ka wā hāpai
- mālama ʻia ka manawa kūpono ʻole aela kekahi maʻi maʻi.
- nā hōʻike maʻamau e kahi endocrinologist.
ʻO ka prognosis, me ka nui o ko lākou noho ʻana me ka maʻi type 1, ka mea i hilinaʻi nui ʻia i ka mālama pono ʻana o ka mea maʻi i nā ʻōmole therapeutic āpau o ka endocrinologist. Hiki ke hōʻeha ka hōʻeha.
ʻAno maʻi type 1 - ke ʻano o nā maʻi?
ʻO ka maʻi diabetes mellitus type 1 (a i ʻole insulin-depend-diabetes) kahi maʻi endocrine i hōʻike ʻia e ka nui o ka hoʻoneʻeneʻe ʻana i ka insulin hormone e ka pancreas. Ma muli o ka hopena, ua hoʻonui ʻia ke kanaka i ka nui o ke kō i ke kōʻai koko a me nā hōʻailona like ʻole - e make mau ana ka makewai, ka nui o ka hoʻoluhi ʻana o ka momona.
ʻAʻole hiki ke loaʻa ka maʻi, no laila ke ʻike nei i ka maʻi diabetes, pono nā mea maʻi e lawe i nā lāʻau lapaʻau e hoʻohaʻahaʻa i nā kiʻekiʻe o ke kōpaʻa koko no ke ola a kiaʻi pono lākou i ko lākou kūlana.
Loaʻa ka ola i ke ola o ka maʻi mellitus type 1, me ka mālama kūpono a me ka hoʻokō ʻana i nā ʻōlelo aʻo a ke kauka, e kiʻekiʻe loa ana - ma mua o 30-35 mau makahiki.
Nā kumu o ke kanesa o ke ʻano
ʻAʻole paʻa i nā kumu kūpono o ka maʻi. Ke manaʻoʻiʻo ia ka mea nui e kuhi nei no ka hānai ʻana i ka insulin a i ka genisismis predisposition.
Hoʻohui i ka heredity, hiki i nā kumu ʻē aʻe ke alakaʻi i ka hoʻomohala ʻana o ka maʻi.
- ʻO nāʻino a he momona paha,
- Kaʻai ʻai - ka hana mau ʻana o ka muffin, ʻokala, a me nā mea momona maʻalahi, ma muli o ke ʻano o ka hāmeʻawa a me nā momona momona i ke kino o ke kanaka, a ma ia mea e hoʻonāukiuki i ka pōʻino i loko o ka pancreas.
- ʻO ka maʻi pancreatitis aʻa paha,
- ʻĀkau
- Alikaihue
- ʻO ka hoʻohana ʻana i nā lāʻau lapaʻau e hōʻino ai i nā cell pancreatic e kuleana no ka hana ʻana o ka insulin hormone (nā kumu wehea e kapa ʻia ana o Langerhans),
- ʻO nā maʻi maʻi ʻawaʻawa a me nā kuhi hewa ʻana o ka nui o ka papa thyroid.
Hoʻomaopopo o nā maʻi Diabetes Type 1
Nā ʻōmole o ka maʻi type 1, kiʻi 1
ʻO nā hōʻailona mua o ka maʻi maʻi type 1:
- ʻO ka wikiwiki wikiwiki
- Ka nui makewai
- Hoʻonui ka momona
- I ka hoʻonui ʻia urination (polyuria),
- ʻEha, luhi, pohō,
- Hūlū, ka mea i hui pū ʻia e ka palu o ka ʻili, tachycardia, ke ʻano o kahi kulu maloʻo, ke emi ʻana o ke kaʻe o ke koko,
- Ke kani ʻana i nā leʻaleʻa a me ka nāwaliwali o ka ikaika.
I nā wahine, ʻo kekahi o nā hōʻailona mua o ka maʻi haki o ka ʻehaʻeha o ka perineum a me nā ʻiole o ke kino, nā mea i loaʻa i ke aniani o ke kō i loko o ka pūʻai.
Ma hope o ka kipa ʻana i ka lua, ka waiho ʻana o nā iha o ka urine ma luna o ka ʻili a me nā membrane mucous, e hōʻeha ai i ka huhū nui a me ka hōʻeha ʻolua ʻole, ka mea e neʻe ai i nā wahine e nīnau aku i ke kauka.
I nā kāne, ʻo ka hōʻike mua o ka haukapila o ka maʻi maʻamau ʻo ka maʻi 1 ka hana hewa (erectile dysfunction) a me ka nele o ka makemake moekolohe.
Hiki mai paha ka maʻi i kahi manawa a i ʻole ka mea maʻi e hoʻopili koʻikoʻi i ke kiʻi lāʻau lapaʻau.
Aʻala a lilo i kumu no ka kipa koke aku i ke kauka he mau maʻi hōʻola ʻole a me nā hōʻeha liʻiliʻi ma ka ʻaoʻao o ka ʻili, ka hoʻokumu ʻana o nā ʻīwī a me nā mea e hemo ai, a me kahi hiʻona o ka hoʻomoʻa ʻole ʻana, nā ke anuanu a me nā mala lehulehu.
ʻO ka maʻi maʻi like o ka maʻi maʻamau
Ma muli o ka hoʻohuihui ʻana o ka maʻi diabetes-hilinaʻi, ʻaʻole ia he paʻakikī, inā ua manaʻo ʻoe he maʻi, ua kuhikuhi ʻia ka mea maʻi e lawe i ke ʻano he koko no ka hoʻoholo ʻana i ke ʻano o ka glucose.
I mea e kūʻiʻo ai nā hopena o ke aʻo ʻana, pono ke kiʻi i ke koko ma luna o ka ʻōpū ʻole, a i 8 mau hola ma mua o ke kaʻina hana, ʻaʻole pono ka mea maʻi e ʻai ʻaʻai, ʻai i ka meaʻai, inu ka wai, ka uahi a lawe i nā lāʻau lapaʻau.
ʻO ke kuhikuhi pono o ke kō koko koko he 3-3.5 mmol / l, ma nā wahine hāpai wahine hiki i kēia mau hōʻailona ke hiki i 4-5 mmol / l, ʻaʻole ia he ala. I ka maʻi maʻi, ka pae o ka glucose i loko o ke koko ma kahi ʻōpū ʻokoʻa e like me 7.0-7.8 mmol / L.
I mea e hōʻoia ai i ka pololei o ka hoʻomanawanui ʻana, hoʻomanawanui ka mea maʻi i ka hoʻāʻo ʻana i ka glucose: mua, lawe ʻia ke koko ma kahi ʻōpū ʻole, a laila ua hāʻawi ʻia ka mea maʻi i ka hopena glucose e inu ai a ua ʻōlelo ʻia e hoʻomau hou i ka loiloi ma hope o 2 mau hola. Inā ʻoi aku ka hopena ma hope o 2 mau hola i ʻoi aku ma mua o 9.0-11.0 mmol / l, a laila hōʻike kēia i ka maʻi maʻi āpau 1.
ʻO ke ala e ʻike i ke ʻano o ka maʻi he hōʻike no ka glycated hemoglobin A1C, kahi e hiki ai iā ʻoe ke hoʻohālikelike pololei a ʻaʻole pono i ka hoʻomākaukau lōʻihi o ka mea maʻi.
ʻAno maʻi type 1
I ka hōʻoia ʻana i ka hoʻomohala ʻana i ka lolo o ka insulin, e kākau ke kauka i ka mea maʻi i kekahi regimen mālama kanaka - ʻo ia nā lāʻau pono e hōʻemi i ke kahe koko, kahi e lawe ai ka mea maʻi i ke ola.
Hiki ke hoʻoponopono ʻia ka hopena o ka lāʻau lapaʻau ma muli o nā hiʻohiʻona o ke kino o ka mea maʻi, ka papa o ka maʻi, ka kaila like ʻole o nā lāʻau ʻē aʻe, ka hiki ʻana o nā ʻōpoʻa.
I ka hoʻomaka mua o ka mālama ʻana, ua kuhikuhi ʻia ka mea maʻi i nā hoʻomākaukau ʻana i ka insulin i ka papa ʻaina, akā naʻe, inā i ʻole ka palupalu a nāwaliwali paha, a holomua nā maʻi mellitus, a laila huli lākou i nā inikini insulin.
Hoʻopili maoli ʻia ka nui o ka hormone, he pono ke lawelawe ʻia i ka subcutaneously manawaleʻa (ma ka uha poʻohiwi, ka ʻūhā mua, ka paia ʻōpū o ka ʻōpū).
Pono nā wahi o ka injection e hoʻololi hou ʻia, ʻoiai i ka wā e hoʻokomo ai i ka insulin i ka hoʻokahi a ma ka wahi hoʻokahi, hoʻomohala koke ka mea maʻi i ka lipodystrophy.
Aia i ka hiki a me ka nui o ka hana i ka insulin e nā mokupuni o Langerhans, ua kuhikuhi ʻia ka mea maʻi i nā lāʻau lapaʻau o ke ʻano (pono ʻoe e hoʻokomo i nā manawa i kahi lā) a i ʻole ka hana lōʻihi (1 injection i kēlā me kēia lā e lawa).
Pono kēlā me kēlā me kēia maʻi i hōʻike ʻia i ke ʻano maʻi type 1 me kahi glucometer kūikawā me ia - he ʻeke pākeke e hoʻohiki koke i nā glucose o ke koko.
Piʻi a pulu
Pākomo Pump Pump 3
No nā mea maʻi e hoʻomaʻamaʻa ka pancreas a ʻaʻole i hana i ka insulin hormone, hoʻokomo ʻia kahi pā o ka insulin.
ʻO kahi pākaha kahi mea hana pono e hoʻomau mau nei ka mea maʻi i ka insulin i loko o ka wai i kuhikuhi ʻia ma o ka wai kūwaho me kahi pono.Hoʻopili ʻia ka pulupua i loko o ka paia o ka ʻili o ke ake a ke hoʻololi ʻia i kēlā me kēia mau lā.
ʻO ka pōmaikaʻi o kēia ke kaʻina hana ʻo ke kāpae ʻana o ka pono e hoʻomau mau i ka inikini a me ka maikaʻi o ka mālama ʻana i ka maʻi, akā, ʻo ke kāohi o ka pākahu ke kumukūʻai nui, me ka hopena, ʻaʻole hiki i nā maʻi āpau āpau ke hiki ke hoʻouka i ia.
Nā hopena o ka Diabetes Type 1
He insidious ka maʻiulin e hilinaʻi nei i ka inulin a ka wikiwiki ke hoʻomau nei i ka maʻi.
Me ka ʻike ʻole ʻole o ka patology a me nā loli wikiwiki i ka pae o ka glucose i ka serum koko, hiki i ka mea maʻi ke hoʻomau i nā hoʻopiʻi:
- ʻO ka angathyathy Diabetic - nā kīʻaha koko o nā maka, nā wāwae, nā puʻuwai, nā pēpē a me nā kino ʻē aʻe e pili ana, ma muli o kā lākou hana ka haunaele,
- ʻAʻohe lawa o ke koko a me ka kīloi o ka naʻau puʻuwai, ka puʻuwai o ka naʻau,
- ʻO gangrene - hoʻomohala ma muli o ka hōʻike i ka ʻili o ka ʻili o nā hōʻeha a me nā ʻeha e hōʻola ʻole ai a hiki ke hoʻomau mau ʻia,
- ʻO ka wāwae Diabetic - hoʻololi i ke ʻano o ka wāwae, hoʻemi i ka hoʻonaninani ʻana i nā ʻili, nā lesi hāpau a me ka hoʻokumu ʻana o nā hāmele mikroscopic,
- ʻŌpū o Hepatitis
- Osteoporosis
- Momona momona.
ʻO ka hoʻopiʻi weliweli loa o ka maʻi hakahaka type 1 he coma:
- Hypoglycemic - ma muli o kahi overdose o ka insulin,
- Ketoacidotic - i hoʻoulu ʻia e ke koko kiʻekiʻe o ka nui a me ka hōʻiliʻili ʻana i nā kino ketone.
ʻO nā kūlana ʻelua i hoʻoweliweli i ke ola o ka mea maʻi, a me ka hala ʻole o ka mālama kūpono kūpono i ka make.
Ehia nā kānaka me ka maʻi type 1 ka nui e hilinaʻi nui ʻia i ke kiʻi o ka maʻi i ka maʻi a me ka hiki ke mālama i nā pae glucose koko.
I ka hoʻokō ʻana i nā ʻōlelo lapaʻau āpau, e pili ana i kahi papaʻai a mālama i ke ʻano olakino olakino, ola ka poʻe maʻi i ka ʻelemakule me nā hoʻopiʻi ʻole.
Nahu no ke Diabetes type 1
I ka hoʻonui aku i ka lāʻau lapaʻau, pono ke hahai mau o ka mea maʻi i ka mea ʻai me ka mea paʻa loa i ka nui o nā hāmeʻe a me nā momona (ka ʻuala, nā momona holoholona, nā momona, ka pīkoi, ka ʻala, nā pōpō, nā pōpoki a me nā pastries, ka pōpoki pipi momona, ka mea inu wai, pasta, ka wai keʻokeʻo hou).
ʻO ke kumu o ka meaʻai, ʻo ka cereals, bran, nā huaʻai hou a me nā lau, nā ʻai momona haʻahaʻa, nā huahana wai.
Pākuʻi ma ka maʻi maʻi mellitus ICD 10
I ka papa honua āpau o nā maʻi maʻi maʻi mika no ka maʻi 1
Helu IV - nā maʻi o ka ʻōnaehana endocrine, nā mea ʻai a me nā maʻi hoʻokalakupua (E00 - E90)
Diabetes mellitus (E10-E14)
- E10 Insulin-dependence diabetes mellitus.
Ua haʻalele ʻia kēia aʻe ma kēia paukū: diabetes mellitus pili me ka maʻi hānai (E12.-), keiki hou (P70.2), i ka wā hapai, i ka wā hānau keiki a ma ka wā postpartum (O24.-), glycosuria: NOS (R81), renal (E74.8), hōʻeha Ka hoʻokaʻawale ʻana o nā glucose (R73.0), hypoperinsemiaemia postoperative (E89.1)