ʻO kahi maʻi maʻi nui e like me ka maʻi diabetes type 1 e ulu nei ma muli o ka hoʻomau mau i ka pae o ka glucose i ka kahe koko, nā mea i ulu ʻia e ka hemahema o ka ulu ʻana o ka testosterone. Hāʻawi kēia ʻano i ke ala nui ʻole i ka hemo nui i ka maikaʻi o ke ola o ke kanaka, akā hiki ke lilo i ke kumu o ka hoʻomohala ʻana i nā pilikia hōʻeha a me nā maʻi maʻi.

E aʻo ʻano 'āpau 1 a he aha ia Pono ʻoe e kamaʻilio me ka ʻoihana o kona hōʻea. ʻO ka insulin hormone pancreatic, kuleana no ka komo ʻana o nā molekena glucose i loko o kahi ola ola, nona ke kuleana no ka hoʻohana ʻana o ka glucose i loko o ke kino. Hōʻike ka hemahema o ka insulin i ke ʻano o ke kolohe ʻana i loko o ke kino.

Aia nā maʻi mellitus type type 1 i nā maʻi hoʻoilina, no laila ke ʻike ʻia kona hele ʻana a hiki i nā keiki hou e hānau pū ana.

ʻO ka pinepine, ʻo ka maʻi e pili ai i nā mea'ōpio o nā poʻe'ōpiopio i hiki ke kū i kona makahiki he 30 mau makahiki.

Nā kumu o ke kanesa o ke ʻano

ʻO ke kumu nui no ka hoʻokumu ʻana i kēia maʻi ma ke ʻano o ka hana o ka maʻi kalepili pathological i lalo o ke kaomi o nā mea pōʻino. ʻAʻole luku ʻia nā kelepona a pau, akā wale nō ka mea e kuleana i ka hana o ka insulin hormone.

Nui! ʻAʻole like me nā ʻano maʻi mellitus type type 2, ke ʻano o kēia ʻokoʻa me ka pau ʻole o ka huna ʻana i ka insulin.

ʻO ke kumu nui o kēia maʻi i manaʻo ʻia he heredity. Inā he mau hihia o ka maʻi mellitus o ke ʻano i ka ʻohana o kahi kanaka, a laila ma lalo o ke ʻano o kekahi mau kumu, hiki i kēia kanaka ke hoʻomohala i ka maʻi like.

ʻO ka hemahema o ka insulin i ke kino o ke kanaka e alakaʻi i ka hoʻohanaʻana i nā hāmeʻe pale. ʻO ka hoʻihoʻi hou ʻana i nā kaola kaila i kēia hihia e lawe ʻia ana e ka uhaʻi ʻana i nā protein a me nā momona, ma muli o ke ʻano hōʻiliʻili o nā huahana hoʻēmi i loko o ke kino. ʻO nā mea koʻikoʻi e hiki ke hoʻoikaika i ka hoʻomaka ʻana o ka maʻi pākaʻi ʻano 1 ka iʻa:

  • mau ka noonoo ana i ke kino,
  • ka hoʻomohala ʻana i kahi kaʻina hoʻokūkū a me ke ʻano,
  • maʻi maʻi ʻimi,
  • ʻano noho kino
  • momona momona
  • ke ola kino.

Hōʻeha ka hopena koʻikoʻi o kēia maʻi i ka poʻe e ʻai i ka nui o nā huahana i loko o ka honi (confectionery, Sugary inu). ʻO ka ʻai i nā meaʻai momona, nā ʻiʻo i poki ʻia a me ka meaʻai wikiwiki e kōkua i ka hoʻomohala ʻana i ka momona, a ma ke ʻano o ka maʻi maʻi.

Nā maʻi maʻi maʻi

Ua hōʻike ʻia e nā ʻoihana lapaʻau he kuleana koʻikoʻi i ka hoʻomohala ʻana i kēia maʻi maʻi e mālama ʻia e nā maʻi viral, ka mea e hoʻonāukiuki i nā mea koʻikoʻi. Hiki i nā maʻi like ke lilo i ke kumu o ka hoʻomohala ʻana o ke ʻano maʻi mellitus type 1:

  • ʻawaʻawa
  • hui (mumps),
  • rubella
  • maʻi maʻi viral hepatitis
  • poopa moa.

Aia nā keiki o ke kula mua a me ka ʻōpio nui i ka hopu ʻia o ka maʻi ma luna nei, no laila, aia i kēia manawa ke ʻike pinepine ʻia ka mellitus maʻi maʻi ma muli o kahi kaʻina maʻi.

ʻO ka pilina ma waena o kahi maʻi maʻi viral a me kēia ʻano kuʻuna i hoʻākāka ʻia e ka maʻi mau i komo i ke kino i ka hopena hōʻino i ka nui o nā cell beta o ke kīpē o ka gastric, nona ke kuleana o ka insulin.

ʻO ka pōʻino nui loa i nā kānaka o ka huelo o ka congenital rubella, aia kahi pōʻino nui i ka pankreatic kiko. ʻAʻole hiki ke hoʻōla ʻia kēia kaʻina hana. Ke komo ka maʻi i ke kahawai, hoʻōla ʻia ka hoʻōla o nā mea palekana, ma muli o nā hopena ʻaʻole wale nā ​​maʻi wale nō iā lākou iho, akā hiki nō hoʻi i nā pūnaʻi o ke kino ke make.

ʻĀkau

Ma lalo o ka hopena o nā mea kaumaha i ke kino o ke kanaka, ka nui o ka hoʻouka ʻana o nā ʻano like ʻole. ʻO ka hopena o kēia kaʻina hana, ʻo ia ka hoʻohemo ʻana o nā mālama kūlohelohe, e hoʻāla hou i kahi mea e pono ai ka maʻi glucose. Ke hoʻāʻo nei e uku no ka nele o ka glucose, hoʻomaka ke kanaka e ʻai i nā meaʻai kiʻekiʻe. I ka pane ʻana i ka nui o ka hoʻokomo o ka glucose i loko o ke kino, e lawe ana ka pancreas i ka nui o ka ulu ʻana o ka insulin. No laila, hoʻokumu ʻia ka hoʻohanaʻana i ka glucose, a ma muli o ke ʻano, ʻo ka maʻi diabetes mellitus.

Hoʻomaopopo o nā maʻi Diabetes Type 1

ʻO nā ʻōuli koʻikoʻi maʻamau o kēia maʻi ka:

  • hōʻeha kaumaha o ka wikiwiki (a hiki i ka 10-15 kg),
  • ka manaʻo o ka makewai nui, kahi hiki i ke kanaka ke inu a hiki i ka 10 lita o ka wai i kēlā me kēia lā,
  • ka hewa maʻamau a me ka nāwaliwali,
  • kaʻai pinepine, ʻoiai ka nui o kēlā me kēia lā i ka urine e hiki ke piʻi aku i 3 lita.

ʻO kahi hiʻohiʻona hiʻohiʻona o ka maʻi type 1 o ke ʻano ke ʻano o kahi mea hanu mony ammonia. Me ka hoʻomohala ʻana o ka maʻi mellitus, ua ʻike ʻia ka pōʻino nui o nā moku o nā ʻōpū a me nā maka. Aia nā pilikia pinepine i ka poʻe e ʻeha nei ma kēia maʻi e hoʻopiʻi nei i ka nalowale o ka puʻuwai ʻike, a hiki i ka makapō piha. Me ka hanaʻino ʻana i nā moku o nā keiki, ua kūleʻa ka pilikia ʻole.

ʻO nā hūʻai o ka neʻe mau ʻana i nā haʻahaʻa haʻahaʻa ma lalo o nā ʻūlū palupalu o ke kino palu no ke kanaka a me ka amputation o ka umauma iho.

Eia kekahi, ua hōʻemi ʻia kēia maʻi e ka nui o ka nui o ke kaohi kolamu o ke koko, kahi e hiki ai i ka nui o nā loli o ka atherosclerotic i ka maʻi mellitus.

Hiki i ka maʻi ʻino loa ke hoʻokaʻawale i nā kāne me ka hoʻomohala ʻana i nā hana kūpilikiʻi (impotence). ʻO nā mea'ē aʻe, ʻaʻole i emi iki ka hōʻailona o ka maʻi diabetes mellitus o ka 1:

  • e lohi ana i ka hoʻōla ʻana,
  • ka ʻā ʻana o ka ʻāʻī ma ke ʻano o ke ʻano ʻōiwi.
  • ka hoʻonui ʻana o ka lōʻihi o ke kaʻina o nā hana infectious,
  • nā polaka i loko o nā ʻōpū o ka puʻu haʻahaʻa (ʻoi aku hoʻi ke keiki bipi).

Nā hana hoʻokele

ʻO ka hoʻolālā kūkala maʻamau no kēia maʻi ua nui nā mea e pili ana i kēia:

  • hōʻike koko no ka pae o ka insulin hormone a me ka glucose,
  • ka hoʻoholo ʻana o ke ʻano maʻi maʻi maʻi
  • ke hana ʻana i nā ala diagnostic e haʻalele i nā maʻi e like me nā ʻōuli.

ʻO nā ʻano hana diagnostic e hoʻohana ʻia e hoʻoholo ai i nā ʻano maʻi like ole o ka pakanā o ka paʻū:

  • ka hoʻoholoʻana o ka pae o ka ketones i ka urine,
  • p? ana o ke kuhi? ana o ke koko
  • ka hoʻoholo ʻana o ka paʻa o ka hemoglobin glycosylated i ke koko,
  • ana ke ana no ka fructosamine,
  • ka hopena o ke kūpaʻa glucose.

Ma kahi o nā hoʻokolohua ma luna nei, ʻo kēlā me kēia mea e maʻi ai me kahi maʻi maʻi i loaʻa i ka maʻi 1 mellitus i lalo i kekahi mau haʻawina kauoha pono, i loko o ia mau:

  • ka loiloi o ka hana hana o nā pūlima,
  • kahi paʻakikī o nā haʻawina e kuhikuhi ana i ka nānā ʻana i nā hana o ka ʻōnaehana cardiovascular a me ka hoʻoholo ʻana i ka hopena o nā loli atherosclerotic,
  • ka loiloi o ka protein metabolism i loko o ke kino.

ʻAno maʻi type 1

ʻO ka pahuhopu nui i ka mālama ʻana i ka maʻi diabetes type 1 ka hoʻololi pono ʻana, ka mea i loaʻa i ka hoʻohana ʻana o ka insulin hormone. ʻO nā ʻano like o ka insulin e ʻike ʻia e ka wikiwiki o ka pālahalaha ʻana i loko o ke kino a me ka lōʻihi o ka hana:

  • ʻO nā lāʻau lapaʻau pōkole. ʻO ka pālahalaha ʻana o nā mea i loko o ke kino ke hele wikiwiki nei, akā ʻo kona hopena ʻaʻole lōʻihi. Ma kekahi laʻana, hiki iā mākou ke lawe i ka lāʻau Actrapid, ʻo ka hopena e mālama ʻia ana he 15 mau minuke ma hope o ka hoʻokō ʻana. ʻO ka hopena o ke kōmao haʻahaʻa e hoʻopau nei i kēia mau mea ʻaʻole iʻoi aku ma mua o 4 mau hola.
  • ʻO nā lāʻau lapaʻau o ka lōʻihi lōʻihi. ʻO ka hoʻohuiʻana o kēia mau lāʻau hoʻohui nā mea i hiki ke hoʻolohi i ka hoʻomaka ʻana o ka hopena. ʻO ka lōʻihi o ka hopena o ka honi haʻahaʻa mai 7 a 10 mau hola.
  • ʻO nā lāʻau lapaʻau lōʻihi. Ma hope o ka hoʻopuka kālā ʻana, e ʻike ʻia kā lākou hopena ma hope o nā hola 12-14 wale nō. ʻO ka lōʻihi o ka hopena hypoglycemic ma mua o 30 mau hola.

ʻO ke ʻano o ka lāʻau lapaʻau e pono ai a ʻo ke kūleʻa o ka lawelawe ʻana he kanaka hoʻokahi no kēlā me kēia kanaka e loaʻa ana i ka maʻi maʻi type 1 ʻO nā ʻōleʻa āpau e pili ana i ka maʻa a me ka pinepine o ka hoʻohana ʻana i ka insulin e hoʻokaʻawale ʻia e ke kauka hele mai, a kau wale i kahi maʻi hope loa. Hoʻokuʻu ʻia ka mālama ʻana iā ia iho o nā insulin, a hiki ke alakaʻi i ka hopena olakino olakino.

ʻO nā ala hou o ka mālama ʻana i ka mellitus type 1 mellitus ka hoʻopōmaikaʻi ʻana o kahi pulu insulin. ʻO ka ʻōnaehana o ka hana ʻana i kēia hana o ka lawelawe ʻana i ka leʻa o ka glucose i ke koko a me ka hoʻokele ʻia o ka hoʻomākaukau ʻana o ka insulin (inā pono).

Nā hoʻohālikelike o nā maʻi

Hiki i ka hoʻomohala ʻana o ke ʻano maʻi diabetes ʻano 1 i loko o ke kino ke kumu.

  • ʻO Myocardial infarction, angina pectoris a me arrhythmia. Hiki ke nānā aku i nā loli pathological i ka puʻuwai naʻau, nā moku nui a me nā mea liʻiliʻi.
  • Hōʻino iā i nā pōpoki o ke keiki (nephropathy). ʻO kēia hoʻopiʻi ka mea maikaʻi loa loa, a hiki i ka hopena i ka make.
  • Kapua ʻana o ka manamana o ka maka (cataract). ʻO nā loli hou i ka retina hiki ke alakaʻi i ka makapō a ʻole i ka makapō piha.

ʻAlaʻai, meaʻai

ʻO ka poʻe e ʻeha nei i kēia maʻi mai pono loa e hoʻopili i nā ʻōlelo kūikawā e pili ana i kā lākou mālama. ʻO nā ʻōlelo koʻikoʻi nui e pili i:

  • Pono kēlā me kēlā me kēia lā no ka hōʻoia ʻole ʻana o nā ʻoloka i loko o ka hoʻopuʻai ʻana i ka meaʻai,
  • ʻOi aku ka maikaʻi ma ka ʻāpana liʻiliʻi, ma ka liʻiliʻi 4 nā manawa i ka lā, a ʻoluʻolu hoʻi i ka manawa like.
  • Pono e ʻano ʻē ʻia nā meaʻai, a i ka manawa like ʻaʻole i loaʻa ka meaʻai i pāpā ʻia,
  • Ma kahi o ke kō, ʻoi aku ia e hoʻohana i nā mea momona (xylitol, sorbitol),
  • E mālama pinepine i kāu kaila koko
  • ʻAʻole pono ka nui o ka wai ʻokoʻa ma mua o ka 1500 ml i kēlā me kēia lā.

No nā maʻi type 1, hiki ke hoʻopau ʻia nā meaʻai ma lalo nei

  • ʻO nā huaʻai (buckwheat, oat, pearl barley, barley, palaoa),
  • Butter a me ka aila,
  • Mīki ʻai a me nā iʻa,
  • Ma muli o nā mea momona,
  • ʻO nā huahana susu me ka liʻiliʻi o ka momona,
  • ʻO ka moena kīkē liʻiliʻi momona
  • Kāleʻele a ʻeleʻele
  • ʻĀwī hou ʻia nā ʻāpana a me nā wai i hua ʻia,
  • Nā huaʻai a me nā Berry jellies, nā mousses a me nā mea inu hua.
  • Nā mea kanu iʻa kupa ʻia.
  • ʻO ka berena Bran.

Hiki i kahi papa inoa o nā meaʻai i pāpā ʻia no ka maʻi hānai 1 no ka:

  • ʻO nā mea kanu i loaʻa ka nui o nā calcium (nā pua, nā ʻōliki ʻōmaʻomaʻo, nā ʻuala, nā ʻalani a me nā ʻōpala, nā pua, nā kāloti).
  • No kekahi hūnā i loaʻa ka honi (brown, ka meli, ka hau ʻoka, nā kuki),
  • ʻO nā ʻona kākaho, ʻona
  • Nā huahana i kālua ʻia.
  • ʻO ka papaʻaina i loaʻa ka momona o ka momona.
  • ʻO kekahi mau hua o nā hua a me nā huaʻai (mango, bana, banana, date).

Pono e hōʻemi ʻia nā meaʻai i lalo iho.

  • ʻO ka paʻakai maʻamau
  • Paʻa keʻokeʻo
  • Nā iʻa paʻakai
  • Muesli
  • Nā pīpī
  • ʻO nā Marinades a me nā ʻenehana hana nui,
  • Nā meaʻai momona a me nā mea inu.

Hāʻawi ʻia i nā hiʻohiʻona olakino o nā poʻe e loaʻa ana i ka maʻi diabetes type 1, ka koho ʻana o ka mea kūpono kūpono e mālama ʻia ana e ka mea kauka a i ʻole ka mea dietitian. ʻAʻole kūpono loa ia makemake e hele i ke kūʻokoʻa kūʻokoʻa o kahi kīʻai, ʻo ka mea i hiki i kekahi hewa i loko o ke kōpana hiki ke alakaʻi i ka hoʻonui ʻana o ka maʻi, a hiki i ka hoʻomohala ʻana i ka coma.

ʻO ka mōʻaukala olakino

Ua ʻike ka poʻe Helene kahiko e pili ana i ka maʻi diabetes, akā naʻe, ua manaʻo lākou e pili pū ana ka maʻi me ka pathology of "water incontinence" ma ke kumu o ka nui o nā hōʻailona o ka maʻi - ka hoʻāinu ʻole ʻia a me ka nui o ka hoʻōla ʻana o ka urine. I ka hala o ka manawa, ua hoʻololi ka manaʻo o ke ahulau - i nā kenekulia 17-18, ua pili pū kekahi ma ke ala, i kēia manawa me ka incontinence glucose, a laila me ka maʻi "urine" maʻi maʻi.

Kahi wale nō i ka hoʻomaka ʻana o nā kenekulia 20, ua hōʻike ʻia nā kumu maoli o ka maʻi diabetes - ka pionie o ka ʻike nui ʻana o ka pilikia ʻo Edward Albert Sharpei-Schaefer, ka mea i hoʻoholo i ka maʻi kūʻiʻo i ka nele o ka waiwai ʻike ʻole ʻia e huna ʻia e nā mokupuni o Langerhans ma nā pancreas, a ua hōʻoia ʻia i ka manaʻo ʻo Frederick Bunting, nāna i loaʻa kaulana hormone a kau ʻia i ka hana.

Hoʻomaka ka ulu wikiwiki ʻana i ka hana o ka insulin i ka 1920s, ʻoiai ka hoʻokaʻawale ʻana o ka mīkini a me nā ʻokoʻa ma waena o nā maʻi o ka maʻi i ka mau makahiki ʻelua ma hope o ka hopena . ^ E Ha yM.

ʻOiai ke ʻano o ka maʻi type mellitus type 1, ʻoiai he maʻi maʻi autoimmune, ua ʻike ʻia i ka lāʻau lapaʻau ʻenehana maʻamau no kahi o 100 mau makahiki, ʻaʻole i ʻike ʻia e nā kānakaʻepekema nā kumu kūpono o kona hiki ʻana mai. Hōʻike nā haʻawina hou o kēia wahi i ka hapa nui, ʻo ka catalyst no ke kaʻina hana he protein o nā nui o ka pūnaehana o ka nupepa, e komo ana i loko o ka lolo-lolo a kāʻei ʻia e ka make ole. No ka mea, ua like me nā māka like me ka pancreatic beta, ua like like lākou me nā antibodies i hoʻohālikelike ʻia e ke kino, ka hopena o ka pale ʻana o ka luku ʻana i ka insulin i hana ʻia.

Hiki i nā maʻi e pili ana i nā pihi pancreatic ke hana i kekahi mea kōkua i ke kaʻina e hoʻomaka ai ka maʻi - no ka ʻelua mau makahiki he ʻumi, ua ʻike ka poʻe loea i ka hoʻonui ʻana i nā maʻi o ka maʻi maʻi type 1 i nā poʻe maʻi me nā virusella rubella a me Coxsackie, i kēia manawa ʻaʻohe ʻatikala hoʻokahi.

Eia kekahi, ʻo kekahi mau lāʻau lapaʻau a me nā mea e like, e like me ke analikezicin a i ʻole kekahi ʻano ʻano o ka iole molino, hiki ke hōʻino i nā cell beta a no laila hoʻonāukiuki i ka nele o ka insulin.

Hiki i ka maʻi maʻi 1 ke hoʻouna i ka hoʻoilina - hiki i ka nui o ke kūkulu ʻana i ka maʻi diabetes i kahi keiki e hoʻonui ʻia e 5-10 pakeneka inā hōʻoia kekahi o kā lākou mau mākua i ka maʻi i haʻi ʻia.

ʻO nā hōʻailona a me nā hōʻailona o ka maʻi āpau 1

ʻO ka hana hōʻemi a me ka hoʻoneʻeʻana o ka insulin i ka hopena endocrine hiki ke hana i nā hōʻailona ʻano o ke ʻano maʻi mellitus type 1

  1. Puʻuwai maloʻo a me ka makewai nui.
  2. Kūʻai pinepine, ʻo ia hoʻi i nā pō a me ke kakahiaka.
  3. Kaʻalū kiʻekiʻe.
  4. Hoʻonui ka huhū, piʻi pinepine, nā kuʻi kuʻi, nā tantrums.
  5. ʻO ka palupalu nui o ke kino, hele pū me ka pōloli nui a me ke kaumaha nui.
  6. Nui nā maʻi o nā kāne kūpono i nā maʻi kūlohelohe o ke ʻano o ka vaginal, hikiʻole ke mālama ʻia.
  7. Hōʻino ka ʻike maka, ke nānā ʻili.

I ka haʻalele ʻole o ka hoʻomaʻamaʻa kūpono, hiki i ka mea maʻi ke hōʻike i nā hōʻailona o ka maʻi ketoacidosis type maʻi.

  1. ʻO ka hōʻino maikaʻi a me ka luaʻi.
  2. Naʻu?
  3. ʻO ka ʻike ʻā o ka acetone mai ka waha waha.
  4. He māla o ka hanu.
  5. Ka hoka a me ka nalo o kona mau wā.

Ka hoʻāʻo ʻana ma ka hoʻāʻo ʻana i ke kō

No ka hoʻolimalima i kakahiaka, 12 mau hola ma mua o ka hoʻokolohua, pono ʻoe e hōʻole i ka ʻai ʻana i ka meaʻai, ka waiʻona a me ka hana kino, hoʻāʻo e kāohi i ka pohō, lawe ʻana i nā lāʻau lapaʻau ʻekolu, a e hana i nā kaʻina olakino. ʻO ka hilinaʻi o ka ʻōlelo ka hoʻēmi ʻia ʻana i nā mea maʻi ma hope o ka hana ʻana, nā poʻe me nā pilikia gastrointestinal, cirrhosis, hepatitis, a me nā wahine i loko o ka hana a me ka wahine kūpono i ka wā o ke kāne a i ka hele ʻana paha o nā hana ʻoi a nā ʻano etiology. Me nā hōʻailona ma luna o 5.5 mmol / l, hiki i ke kauka ke nānā i ka palena palena o ka prediabetes.Me nā mea hoʻohālike ma luna o 7 mmol / L a kūlike me nā kūlana hōʻike, de facto paʻa maʻi maʻi. Heluhelu hou e pili ana i ka hoʻāʻo koko koko.

Hoʻopau i ka hoʻokolohua

Hoʻohui ʻia ia i ka hoʻāʻo ʻana i ke koko o ka wikiwiki - ma hope o ka hana ʻana, hāʻawi ʻia ka mea maʻi i ka 75 o ka hopena o ka glucose o ka lolo. Lawe ʻia nā ʻōhumu koko no ke kō i kēlā me kēia 30 mau minuke no ʻelua mau hola. ʻIke ʻia ka ʻike glucose kiʻekiʻe i loko o ke koko ka mea o ka pane o ka hōʻike. Inā i loko o ka pae o 7.8-111 mmol / l, a laila ke hoʻoholo nei ke kauka i ka hala o ka pale ʻana o ka glucose. Me nā hōʻailona ma luna o 11 mmol / l - ka mua o ka maʻi diabetes.

ʻO ka hoʻokolohua Glycated hemoglobin

ʻO ke ala e hiki ai ke hōʻoia ma ka hōʻoia ʻana ma ke ʻano he maʻi diabetes i kēia lā. Hoʻokomo ia i nā nāwaliwali o nā kumu waho (ʻaʻole i hopena nā hopena i ka ʻai ʻana o ka meaʻai, ka manawa o ka lā, ka hana kino, ka lāʻau lapaʻau, ka maʻi, a me ke ʻano hopohopo), e hōʻike ana i ka huina o ka hemoglobin e kahe ana i ka plasma koko e hoʻopaʻa ana i ka glucose. He hōʻailona ma luna o 6.5 pakeneka ka hōʻike ʻoi ʻana o ka mellitus o ka maʻi diabetes.ʻO nā hopena ma ka awelika o ka 5.7-6.5 pākēneka, kahi kūlana prediabetic me ka pale ʻana i ka hoʻohaʻahaʻa glucose maʻi.

Ma waena o nā mea ʻē aʻe, me ka hōʻike piha ʻana i ka maʻi maʻamau, pono e ʻike ka mea ʻike i ka mea maʻi i nā ʻano o waho o ka maʻi maʻi (ma ka mea maʻamau, polydipsia a me polyuria), kāpae i nā maʻi ʻē aʻe a me nā kūlana e kumu nui ai ka hyperglycemia, a e wehewehe pū i ka ʻano o ka maʻi o ka maʻi maʻi.

Ma hope o ka lawe ʻana i nā hana o luna aʻe a me ka haʻi ʻana i ka ʻoiaʻiʻo o ka hele ʻana o ka maʻi maʻi i ka mea maʻi, pono ia e hōʻoia i ke ʻano o ka maʻi. Hoʻolaha ʻia kēia hanana ma o ka ana ʻana i ka pae o C-peptides i loko o ke koko koko - ke hōʻike nei kēia biomarker i ka hana o ke kumu no ka huaʻai o ka pancreatic beta cells a, ma ka laiki haʻahaʻa, hōʻike ʻia 1 ʻano maʻi maʻi maʻi, e like me kona ʻano autoimmune.

ʻAiola a me ka ola kino.

Kūkulu ke kauka i kahi kai hoʻokaʻawale haʻahaʻa-ʻula me ka helu ʻana o nā "papa ʻai" - he ʻano maʻamau i kūpono i ka 10-13 mau kāmeka. ʻAe ʻoe e pale i nā meaʻai i kaumaha ʻia me nā palaka, a me ka ʻai liʻiliʻi. Eia kekahi, pono e haʻalele i ka ulaula, hōʻole i ka inu maʻamau ʻana i ka wai inu, a hāhai pū hoʻi i nā ʻōlelo a nā kauka i ka hoʻāla kino pilikino, ʻelua aerobic (holo, ʻauʻau) a me ka anaerobic (ikaika a me nā hana cardio).

Inine hoʻōla

Ke ʻano hana maʻalahi o ka hoʻopiʻi ʻana i nā maʻi o ka hoʻoneʻe pākoleka me ke ʻano lā o nā lālani holoola maʻamau o nā pakanā i koho ʻia ʻana o ka insulin e hoʻohana ana i nā ʻano hana like ʻole. Ma nā ʻāina hope-Soviet, he mea maʻamau ka hoʻohana ʻana i nā syringes a me nā ʻāhane hoʻoneʻe maʻamau o ka ʻāhane, ʻoiai ma nā ʻāina o ke Komohana, ke ʻano o ka hoʻopili ʻana i kahi pā poli i nā mea e kū pono pono ana i ka nui o ka insulin. ʻO ka mea nui o ke ʻano ka hana ʻoi loa ʻana o nā ʻōpū o ka insulin i mālama ʻia e pili ana i nā hana pilikino maʻamau no ke kanaka olakino. No kēia, ʻo nā ʻano ʻelua o nā lāʻau lapaʻau (ʻo ka hana pōkole a lōʻihi) a me nā mono-analog e hoʻohana ʻia e like me ke ʻano o ka hoʻomehana ʻia. ʻO ka maʻa kūpono a me ke neʻe o ka hoʻohana ʻana i nā inikini insulin e like me ka mea i ʻai i ka ʻai, e haʻi ʻia e kāu endocrinologist. Mai poina - ke kīwaha keu he nui o ka insulin me ka hypoglycemia a me ka nui o nā pilikia pili!

Nā ʻōnaehana hoʻokolohua

Ua ʻimi ikaika nei ka honua ʻepekema i nā makahiki i hala iho nei e huli i ke ala o ke kaua hou ʻana i ke ʻano maʻi type 1, hiki ke lilo i kahi koho no ka uku hoʻonaninani no nā metabolism o ka ʻai, eia nō naʻe, me nā hopena hōʻeuʻeu ʻana o nā haʻawina he nui, akā, ʻaʻohe hewa nui o kēia hopena. ʻO nā wahi e manaʻo nui ʻia nei he huakaʻi DNA ka mea i hoʻokaʻawale i nā hana o nā pū beta, me ka hoʻohana ʻana i nā selika i ke ʻano o ka hoʻololi ʻana i loko o nā analogie hoʻokō o nā hua ʻai no nā Langerhans. I kēia manawa, aia nā ʻano a me kēia mau kaʻina hana i ka hoʻomaʻamaʻa mua a hiki ke hōʻike ʻia i ka lehulehu i nā makahiki 5-8 e hiki mai ana.

ʻO ka hoʻomanawanui ʻana i nā maʻi maʻi

I ka hopena o nā maʻi concomitant, hiki i kāu kauka ke kuhikuhi i ka inhibitor ACE (hypertension), aspirin (pale ʻana i ka hōʻeha ʻana o ka naʻau), statins (hoʻoliʻou i ka koloka), creon, hoʻolauleʻa, aprotinin (āpau - hakakā i ka hōʻino pancreatic), e kuhikuhi ana i ka hemodialysis (no ka rheumatic / toxic nā pilikia) a me nā mea e pono ai ka mālama ʻana, ka ʻoihana, nā mea hana a me nā hana i hoʻoponopono ʻia.

Hoʻolālā kūpono no ka maʻi type 1

ʻO ka maʻi diabetes type 1 he maʻi maʻi autoimmune kahi e ola ai ke kanaka i kona ola a pau. Hoʻopilikia ka lāʻau lapaʻau i nā haneli o nā mau haʻawina e hiki ke kōkua i ka ʻoihana ma ke ʻano o ka maʻi, akā naʻe, e like me ka hōʻike ʻana i nā lāʻau lapaʻau hou, ua hōʻeha wale lākou a pau i ka lāʻau paʻakikī, hoʻomaʻamaʻa ka hoʻololi ʻana i nā ʻāpana o nā hana a me kā lākou hoʻōkuhi.

Inā ʻoe e waiwai i ke olakino, e lawe i nā inikini insulin maʻamau, pili pono i ka meaʻai kūpono a lawe i nā ʻano ʻē aʻe e pili ana i ka mālama ʻana i kahi kūlana kiʻekiʻe o ke ola, a laila paipai mākou i ke hoʻohana ʻole i nā lāʻau lapaʻau maʻamau no kou lapaʻau ʻana.

ʻAno meaʻai maʻiʻai 1

Diet no ke ʻano type type 1 ʻo ke kumu a me ke kumu nui no ka kaohi ʻana i kahi maʻi ʻaneʻane a maʻalahi e hōʻemi ʻia, ʻaʻole e hōʻemi wale ʻia i ka nui o ka nui o ka lawelawe ʻana i ka insulin (a e hōʻemi ana i nā hopena hopena o kēia kaʻina), akā i kekahi mau hiʻohiʻona hiki iā ʻoe ke haʻalele piha i ka therapy insulin i nā manawa lōʻihi . ^ E Ha yM.

Manaʻo mākou i kahiʻai haʻahaʻa-haʻahaʻa me ka ʻole o ka berena, nā ʻuala, nā cereals, nā mea momona a me nā hua momona i loaʻa i kēia māhele. ʻO kāna kumu nui e hoʻopili ana i ka nui o nā minamina o ka ʻai i hoʻopau ʻia me nā dosis insulin maʻamau. E hoʻolālā i ka papa kuhikuhi i mua aʻe, e hoʻāʻo e hoʻomaʻamaʻa i ka meaʻai. E hōʻole i nā meaʻaiʻai, hoʻokaʻawale i kāu papaʻaina i nā ʻāpana 4, a pono hoʻi e ʻai i ka protein me kēlā me kēia pāʻina!

E wehe i ka kō, nā momona (me nā mea i kapa ʻia ʻo "diabetes"), nā huahana cereal (buckwheat, palaoa, palaoa, ʻūlapa keʻokeʻo, a me nā mea), nā ʻuala, nā huahana palaoa, ka papa (me ka "ʻai meaʻai" mai ka meaʻai) "), Muesli. Hoʻohālike nui ka hoʻohana ʻana i nā huaʻai (koe wale nō nā avocados) a me nā wai momona, paukena, pepa ʻomaʻomaʻo, ka ʻoma ma hope o ka mālama ʻana i nā ʻoni, nā ʻuala, nā leʻaleʻa, nā meaʻai kūpono, nā kīmaha i kālai ʻia, ka waiū i hoʻopaʻa ʻia, ka waiū, ka waiū piha.

ʻO nā meaʻai i ʻae ʻia no ka meaʻai liʻiliʻi-kā ʻai i komo i ka ʻiʻo (me ka ʻulaʻula, ka moa), nā iʻa, nā hua, nā lau kūlohelohe (kāpeti, zucchini, kukama, mauʻu, ʻuʻuku, nā pōpī wela, kōkala, mau ʻōmato), ka wai kai, nā huaʻai (ma nā ʻano kūpono) ), ka soy, a me kekahi mau huahana kīwī, i loko o ka paakiki paʻakikī (koe ʻole ka feta), nā pata maoli a me kaʻaila.

Papa helu papa no nā pule

Ma lalo nei, e hāʻawi mākou iā ʻoe i kahi papa kuhikuhi no ka pule hoʻokahi. Hiki ke hoʻololi ʻia nā huahana kūlohelohe i loko o ka helu ʻana i ka helu o "nā pūʻulu berena", kaloli, hoʻoneʻe o ka kaloli i ka huahana a me ka "hoʻonāʻulu" o ka ʻili i koho ʻia.

  1. Pōʻakahi. ^ E Ha yM. ʻAiina mākou i ka ʻaina kakahiaka me ka pīkī kekeʻe, casserole haʻahaʻa haʻahaʻa a me nā kukama. Ua ʻai mākou i ka ʻaina me ka iʻa palaoa (250 kākā) me kahi hua liʻiliʻi. Loaʻa i kahi avocado ahiahi, pāʻina pū me ka laiki maloʻo me nā lau ʻai i ʻāpono ʻia.
  2. Poalua. ^ E Ha yM. E ʻai mākou i ka ʻaina awakea me nā moa iʻa ʻia a me kahi ʻā'ī palupua mai 2 huaʻai. Ua ʻai mākou i ka ʻai me ka palaʻai me ka paila o kaʻaila. Loaʻa i kahi kīʻaha ahiahi ahiahi o ka kefir, a e ʻai ʻia me ka pipi i hoʻomoʻa ʻia me ka pāala ʻaila.
  3. Poakolu. ^ E Ha yM. ʻAi ʻia me ka ʻala ʻaina, ʻīwī ʻia me ke kīwī paʻakikī kālai ʻia. Ua ʻai mākou i ka ʻaina ʻaina i kuke ʻia i ka palaoa moa. E loaʻa kahi mea pōkole i kaʻaina awakea me kahi ʻōmaʻomaʻo liʻiliʻi, a i ʻai i ka pāʻina me ka umauma palaoa a me nā pā kuke hou.
  4. Poaha. ^ E Ha yM. Maʻaʻaina kakahiaka mākou me ka oatmeal me nā hua maloʻo. Loaʻa iā mākou ka veal stew me nā mea kanu. E loaʻa iā kahi mea pōkole i kaʻaina awakea me nā mea he 40 mau ʻalemona. E ʻai mākou i kahi pākō liʻiliʻi me nā kāpeti liʻiliʻi.
  5. Pōʻalima. ^ E Ha yM. No ka ʻaina kakahiaka, kālua ʻia i ʻelua mau kuke huaʻai a me 50 mau mea momona o ʻīwī i hoʻopaʻa ʻia. No kaʻaina awakea, ʻai mākou i ka pipi, kālua ʻia i ka pala, me ka ʻai ʻana i ka ʻai. E hoʻomoʻa i kahi kīʻaha iʻa ʻole ʻia, a ʻaina ʻaina me nā mea kanu i hana ʻia.
  6. Poaha. ^ E Ha yM. ʻAi ʻia mākou i ka ʻaina kakahiaka me kahi huaʻai o ʻekolu a me kaʻaila. ʻAi ʻia me ka pīni iʻa me ka turkey a me ka kāpeti kāpala. E loaʻa kahi mea hoʻolale i kaʻaina awakea me kahi pā liʻiliʻi, a ʻai i ka pāʻina me ka iʻa i kāʻai ʻia.
  7. Lāpule. ^ E Ha yM. Ka ʻaina kakahiaka me nā hua a ʻolua. Uaʻaina mākou me ka iʻa iʻa a me nā lau ʻai. Loaʻa i kahi pāʻina ahiahi o nā avocados. ʻAi ʻaina ʻaala.

Waiho I Kou ManaʻO HoʻOpuka