ʻO nā hōʻailona o ke koko nui o ke koko (gula)

Hoʻomaʻamaʻa pinepine, ʻo nā wahine ʻaʻole i ʻike i ka ʻili pehu i ka lauoho, hoʻomaka lākou e hoʻololi i kā lākou huikala no ka hele ʻana i kahi kauka a ʻaʻole hopohopo ua loaʻa lākou i nā hōʻailona mua o ke kō koko kiʻekiʻe.

Ma keʻano holoʻokoʻa, ʻaʻole ʻokoʻa nā hōʻailona o ka nui o ke koko i ka wahine a me nā kāne i nā pae o ke kō, me ka hoʻāʻo ʻole ʻia o nā ʻōhua mai ka ʻōnaehana hānau.

Pehea ka hoʻokō ʻana?

Hoʻopā ʻia ka Diagnosis e ke ʻano a me ka ma ke kikowaena paha e hoʻohana ana i nā mea hana kūikawā. Ma ke ʻano mua, lawe ʻia ke koko ma kahi ʻōpū ʻole me ka glucometer mai ka manamana lima. I kēia hihia, ʻaʻole maopopo ka hopena ma kahi kūpono. Maikaʻi kēia kaʻaila hoʻohana i ka home no ka hoʻomau mau ʻana i ke kō. Inā ʻike kahi kuʻina mai ka waiwai maʻamau, ʻike hou ʻia ka loiloi i loko o ka pūnaehana. Lawe ʻia ke koko mai kahi vein. ʻO ka hoʻomanawanui i ka maʻi mellitus o ka maʻi mellitus inā inā, ma hope o ka hoʻāʻo ʻana i ke koko ʻelua i nā lā ʻokoʻa, hōʻike ka hopena i ka nui o ka maʻamau. Ma kahi o 90% o nā maʻi āpau i hoʻopaʻa ʻia no ka maʻi maʻi maʻamau 2.

ʻO nā hōʻailona o ka High Glucose

I ka laulā, ua like nā hōʻailona o ka maʻi maʻi i ka hapa nui o nā maʻi a ʻoiai paha e like me ka makahiki a me ka lōʻihi o ka maʻi. ʻO ka maʻamau, ʻo nā hōʻailona mua o ke kō o ke kō.

  1. ʻO ka waha maloʻo kekahi o nā hōʻike maʻamau o ka maʻi maʻi.
  2. Polydipsia a me polyuria. ʻO ka make wai ikaika a me ka hoʻokuʻu ʻana i ka nui o nā uea ʻo ia ka ʻike maʻamau o ka nui o ke kō. ʻO ka makewai kahi hōʻailona o ke kino e pili ana i ka pono e hana no ka pohō ʻana o ka wai i mea e pale ai i ka wai. ʻO nā keiki, ma ka hopena, kānana i ka nui o ka glucose, e hūnā i ka nui o ka urine.
  3. ʻO ka luhi a me ka nāwaliwali. ʻAʻole hiki ke Sugar i nā ʻāpana, ke waiho nei i ke koko, no laila ʻaʻole nele nā ​​mea kiko e hōʻike ai i ka hana.
  4. Hoʻopilikia maikaʻiʻole nā ​​ʻūhā, nā hōʻeha, nā hōʻino, nā ʻokiʻoki. He mea nui e pale i ka hōʻeha o ka ʻili, ʻoiai mamao lākou i ka maʻi maʻi, e kū ana i nā pilikia hou.
  5. Hoʻonui a hōʻemi paha i ka paona kino.
  6. ʻO nā hōʻailona maʻamau o ka maʻi maʻi ka maʻi ʻili a me nā maʻi ʻili o ke ʻano e hōʻeha ai i ka ʻeha. Hiki iā ia ke furunculosis, candidiasis, colpitis, kaʻeha o ka urinary tract a me ka urethra.
  7. ʻO ka ʻala o ka acetone mai ke kino. He mea maʻamau kēia i nā ʻaina koko kiʻekiʻe. He hōʻailona kēia o ka ketoacidosis maʻi, kahi kūlana ola.

Ma hope mai, loaʻa i kēia me kēia nā hōʻailona e pili ana i ke kō kiʻekiʻe:

  • Maʻa maculopathy maʻi a me ka retinopathy - nā maʻi maka e hōʻike ʻia e ka ʻike nānā. ʻO Retinopathy, kahi i pili ai nā kīʻaha o nā maka, ʻo ia ke kumu nui o ka makapo makua i ka maʻi maʻi.
  • Hoʻopili i nā aihue, nā kala ʻana o nā niho.
  • ʻO ka hoʻohaʻahaʻa ʻana i nā palupalu i nā kapili: tingling, numbness, goose palupalu, loli i ke ʻeha a me ke ʻano mahana i nā lima a me nā wāwae.
  • ʻO ka pilikia o ka hana pākaha: ke nānā ʻana a i ʻole constipation, ʻeha o ka ʻōpū, ka incontinence fecal, paʻakikī ka moni ʻana.
  • Ka huina ʻana o nā ʻoi loa ma muli o ka lohi a me ka hōʻuluʻulu ʻana o ka wai ma loko o ke kino. Hiki i kēlā mau hanana ke hele pū me kahi hoʻohui o ka maʻi diabetes a me ke hypertension.
  • ʻO ka hōʻike ʻana o ke kō ka hānai nui e loaʻa i ka hiki ʻole o ka hana ʻole o ka renal, ka protein i ka pā i ka wai a me nā pōpoki ʻē aʻe.
  • ʻO nā maʻi o ka puʻuwai a me nā koko.
  • ʻEctheʻe Erectile, hoʻomaʻamaʻa pinepine ʻia nā urinary tract.
  • Hoʻemi ka ʻike a me ka hoʻomanaʻo.

No ke aha ke piʻi ai ka glucose koko?

ʻO nā kumu no ka hoʻonui ʻana o ka kō i nā kō. ʻO nā mea maʻamau loa o kēia ʻano nā type a i ʻole ka type 2. I ʻoi aku, aia kekahi mau mea hou:

  • kūlana paʻakikī
  • ka hele ʻana o ka ʻai o nā meaʻai me ka wikiwiki, ʻo ia ke kūmole nui o ka ʻona.
  • maʻi maʻi hopohopo nui.

ʻAiʻai kaʻai kiʻekiʻe

ʻO ka papaʻai me ke koko koko kiʻekiʻe kekahi mea nui i ka mālama ʻana. Pono e nānā ʻia nā loina nui o ka meaʻai.

  • ʻAi pinepine ma nā wahi liʻiliʻi, i nā manawa 5-6, i ka lā, i ka manawa like ʻole.
  • inu i ka liʻiliʻi o 1-2 lita o ka wai no ka lā,
  • pono nā huahana i nā mea pono āpau no ke ola,
  • nā meaʻai momona momona i pono
  • ʻai ʻia nā lau ʻai i kēlā me kēia lā
  • Hōʻalo i nā meaʻai paʻakai
  • hōʻole i nā mea inu ʻona.

Pono ʻoe e ʻai i nā meaʻai i hoʻonui ʻole i nā glucose koko a he mea maikaʻi ʻole ʻole ia. I waena o lākou:

  • ʻai momona haʻahaʻa,
  • nā iʻa momona haʻahaʻa
  • nā huahana pāoʻi,
  • walwato, ʻawa, ka oatmeal,
  • Rye berena
  • hua manu (ʻaʻole iʻoi aku ma mua o ʻelua i kēlā lā)
  • pipi, pi
  • nā mea kanu: hua ʻāpala, ʻulaʻula a me nā kāleka ʻōmaʻomaʻo, ka ʻōpū, ka ʻōpala, ka ʻōpala, ka aniani, nā mea kanu, nā ka ʻakaʻaka, ka mania
  • nā huaʻai a me nā huaʻai: nā hua ʻai, nā ʻai, nā blueberries, cranberry, lehu mauna, lingonberry, quinces, lemons.

Pono e hāʻawi i ka makemake i nā momona ʻaiwa, ke kōpaʻa, pono e hoʻololi ʻia i ka meli a me nā mea momona. Mea ʻai loa i ka meaʻai i hoʻomoʻa ʻia, hoʻomoʻa ʻia, umauma a hoʻolapalapa ʻia.

ʻAʻole hiki ke ʻai ʻia nā huahana

I ka hihia o ke kō o ke koko, pono ʻoe e haʻalele i nā huahana e like me:

  • palaoa, pastry a me ka confectionery: pōkā, pastries, sweets, ice cream, pies, mālama, sodas, pasta, sugar,
  • iʻa momona a me nā iʻa, nā paʻakai, nā mea i ʻoki ʻia i ka palaʻai, ka lard, nā meaʻai kēnā
  • nā huahana dairy: cheese cheese, cream, sour cream, fat cottage cheese,
  • ʻona
  • nā hua momona a me nā hua maloʻo: kauā, hua waina, palani.

Hoʻohālikelike

ʻAʻole manaʻo nā kauka i ka maʻi maʻi he pau i ka ʻaha, ʻoiai ʻo ia he maʻi ʻano hiki ʻole. Inā ʻike ʻoe i nā hōʻailona mua o ke kō o ke koko, hiki iā ʻoe ke hoʻomaka koke e hoʻoponopono i kou kūlana a aʻo e pehea e noho ai. Hōʻalo kēia a hoʻolōʻihi paha i ka hoʻomohala ʻana o nā hōʻeha hōʻeha a me nā hopena e like me ka makapō, gangrene, amputation o nā hopena haʻahaʻa, nephropathy.

Nā kumu kumu o ke Kumukui Nui

ʻO ka hoʻonui o ka glucose koko (hyperglycemia) hiki i ka physiological a me ka pathological i ke kino.

Hoʻohui ka hoʻomaikaʻi ʻana i nā hanana inā nui ka hana koʻikoʻi a i ʻole ka hana ma mua.

Hoʻomaopopo ka hōʻailona o ke kō o ke kō i ke koko i ka wā o ke kūlana koʻikoʻi ma ka wahine a me nā kāne. ʻO Hyperglycemia e pili me:

  • puʻuwai puʻuwai
  • ʻehaʻeha nui
  • wawao opala
  • kahi e hopu ai i ka epilepsy,
  • pālahalaha nui
  • ʻeha ka poʻo
  • pūpū hema
  • koʻikoʻi koʻikoʻi a olakino paha ia i ka noʻonoʻo.

I ka wā o ka luhi, 90% o nā poʻe e hoʻomohala i ke kaumaha hyperglycemia ma mua o 7.8 mmol / L.

Ke komo ka nui o ka hormone adrenaline i loko o ke koko, e piʻi mālie loa ka pae o ke kō, e hōʻike ʻia ana e nā hōʻailona:

  • puʻuwai puʻuwai
  • nā haumāna i hoʻowahāwahā ʻia, ka haki ʻana o ka noho ʻana - ka hiki ke nānā pono i kou maka i ke kumuhana.
  • kaohuu
  • wikiwiki hanu
  • koko koko kiʻekiʻe.

Pili, i.e., i pili me ka hoʻomohala ʻana o ka maʻi, ua ʻike ʻia kahi hoʻonui koko koko i nā kūlana:

  • lēpaʻa i ka hoʻonaninani glucose (prediabetes),
  • maʻi maʻi - ʻano 1,2, autoimmune (LADA diabetes), i nā wahine - gestational a me kekahi mau ʻano ʻē aʻe o kēia maʻi.

ʻO ka'āina Prediabetes

Aia ke ʻano o ke prediabetes i ke kō:

  • ma ka ʻōpū ʻole i ke koko ma mua o 5.7, akā ʻaʻole kiʻekiʻe ma mua o 6.1 mmol / l,
  • ma hope o 2 mau hola mai ka ʻai ʻana, ʻoi aku ma mua o 7.8, akā e emi ana ma lalo o 11.1 mmol / l.

Hoʻolau kēia hanana i ka wā e hoʻōki ka hana insulin, akā ua emi ka uluʻana o nā ʻili i laila.

ʻO ka hopena, hoʻonui ʻia ka glucose o ke koko, akā ʻaʻole naʻe nui loa nā hōʻailona o ka maʻi e hōʻike ai i nā ʻike maʻi lapaʻau.

ʻO nā ʻano maʻi maʻi

Me ka maʻi o nā āpau āpau, uaʻoi aku ka nui o ke koko 11.1 mmol / L. Ke kuhikuhi nei ka hōʻike ʻana i kahi laʻana no ka maʻi o nā maʻi āpau no nā kāne a me nā wahine o nā makahiki āpau.

He maʻi maʻi ka maʻi maʻamau 1. E helu ana no ka 2% o ka nui o nā maʻi.

ʻO ka maʻi Diabetes 2 kahi mea i loaʻa i ka maʻi me kahi predisposition hoʻoilina ma muli o ka hōʻino ʻana o ka metabolism a me nā lipids.

Hoʻopili ʻia ka maʻi maʻi me ka hoʻopōʻino vascular a me ka hoʻomohala ʻana o ka atherosclerosis i kekahi manawa i kapa ʻia ʻo ia i nā ʻano maʻi cardiovascular.

No ke aha e pōʻino ai i ka hoʻonuiʻana i ke kō koko

Hoʻopilikia ka hāhā i ke kō o ke koko ma ka hopena o ka halihali o ka oxygen a me ke ʻano o nā kīʻaha koko.

Me ka loaʻa nui o ke kō i loko o ke koko, ka nui o ka hemoglobin glycated i pili me ka piʻi o ka glucose, i.e. ʻAʻole i hiki i kahi erythrocyte e lawe i ka hemoglobin glycated e hoʻopakele i ka oxygen me nā hana, ʻo ia ke kumu e loaʻa ai ka pololi o ka pololi.

ʻO nā paia o nā kīʻaha koko me ke kiʻekiʻe o ka glucose e hoʻohiolo i ko lākou elasticity, e lilo i mea palupalu. Ma muli o kēia, ua hoʻemi ʻia ka hāmeʻe o nā capillaries.

ʻO ka hapa nui, hōʻike ʻia nā loli hewa i nā kino me ka hoʻonui o ke koko. ʻO nā hui kiko:

  1. Ka maka - ua luku ʻia nā moku kiʻi.
  2. Hoʻokomo ka umauma a me nā pelamela - paʻa i ka hoʻokumu ʻana o ka sheelin sheathin, nā nīnū o ka nīnū o ka umauma e hele malie a emi
  3. Nā pēpē - paʻa ka mana o ka filtration o nā tubula renal
  4. Lāʻeha - ʻeha ka ʻike koko koko

I ka hihia o ke koʻikoʻi pilikia, hana ke kino i nā kūlana no ka hoʻokumu ʻana o ka prediabetes a me kona hoʻololi i ka maʻi diabetes 2.

Nā hōʻailona o ka prediabetes

ʻO kahi hōʻailona mua o ka hoʻomanawanui i ka hoʻohaʻahaʻa glucose i ka hoʻomohala ʻana i loko o kahi kanaka o nā ʻano ʻano like ʻole o ka ʻōnaehana cardiovascular. Loaʻa paha ka prediabetes i nā wahine e loaʻa ana i ka atherosclerosis a me ke hypertension.

ʻO nā hōʻailona mua o ka hoʻonui pinepine ʻana i ke kō koko koko ke hōʻailona nei:

  • ʻōpala
  • tingling sensation in the extremities, numbness due to dankate of the peripheral nerve,
  • māhuahua ka makewai a hoʻonui i ka urination,
  • ka emi ʻana o ke ʻano ʻike,
  • ke ʻano o ka ʻili o ka ʻili,
  • nui nā maʻi ʻili
  • ka hahao ʻana o ka ʻili, ka lauoho,
  • ʻoi aku ka lōʻihi ma mua o ka hōʻeha ʻana
  • nā maʻi hopohopo pinepine, ko lākou papa koʻikoʻi.

ʻO kekahi o nā hiʻohiʻona maʻamau o ka hoʻomohala ʻana i ka hoʻohaʻahaʻa glucose, ʻaʻole pili pinepine i ka prediabetes, ʻo ia ka maʻi.

Inā e hoʻokiʻekiʻe ʻia ke kōhi koko, a laila hiki iā ia ke hōʻike ʻia e kēia mau maʻi e like me ka apnea ʻo ka pō - kahi hana iki o ka hanu ʻana i loko o ka moeʻuhane. Hōʻike ʻia ka maʻi hiamoe e:

  • ala aʻe ma mua
  • ʻoluʻolu ke hiamoe i ke kakahiaka a me ka hiamoe mau,
  • hiamoe māmā, ala i nā ala i ka pō.

Hoʻomaopopo o ka maʻi maʻi

ʻO nā hōʻailona ua hoʻonui nui ka mea maʻi i ke kō koko koko ke ʻano ʻike i ka ʻano o ka maʻi type a me ke ʻano type 2.

  1. Polyuria - he hoʻonui i ka nui o ka urine i kēlā me kēia lā, ma kahi o ka 1,4 lita maʻamau, ʻo ka hāʻawi ʻana a hiki i ka 5 a i ʻole mau lita
  2. ʻO ka polydipsia he makehewa kūlohelohe ma muli o ka maloʻo, ka hōʻiliʻili o nā huahana metabolic i ke koko
  3. Polyphagy - māhuahua i hoʻonui ʻia e ka nele o ka hoʻonui ʻana i ka glucose
  4. ʻO ka lilo kaumaha
  5. Kūkulu - ka ʻike o ke kō i loko o ka pōʻai
  6. Orthostatic hypotension - hoʻohaʻahaʻa i ke koko i ka wā e kū ana

Me nā hōʻailona e nānā mau ʻia ma nā pae nui o ke kō koko koko kiʻekiʻe, ʻike ʻia nā hōʻailona:

  • ʻāmi o ka acetone mai ke kino,
  • ʻōpū o nā ʻōpū.

Hoʻololi ʻia me ka maʻi diabetes mellitus 1 (T1DM) pinepine i ka wā ʻōpiopio, ʻo ka nui loa ka nui o nā keiki i hala 10 a 13 mau makahiki.

Hōʻike ka maʻi iā ia iho me nā hōʻailona koʻikoʻi, e hoʻomohala koke i loko o kekahi mau pule a hala paha mau mahina. Kūkulu ʻia ʻo ia i loko o ke kau anuanu, e hāʻule ana ke kiʻekiʻe ma ʻOkakopa - Ianuali.

ʻO ka pinepine ka hōʻike ʻia o ka maʻi ma mua e ke ʻano o ka maʻi maʻi, ke alapine ʻana i ka maʻi maʻamau o ke ea, e mālama ana i nā wāwae a me nā mea ākea.

Hōʻā ʻia nā pathology e ka ʻōpiopio, maʻi maʻamau ma hope o 40 mau makahiki. Hoʻopiʻi ka maʻi diabetes 2 (T2DM) i ka 10% o ka heluna holoʻokoʻa o ka pākeke, ʻo kēlā me kēia 15 - 20 mau makahiki ka nui o ka poʻe maʻi me T2DM ma ka honua.

Hoʻonui ʻia ka maʻi e ka piʻi mālie o nā hōʻailona.

ʻO nā hōʻailona mua o ka hoʻonui palake i ka kō me kēia maʻi.

  • itmat dermatoses - maʻi ʻili, neurodermatitis, psoriasis, urticaria,
  • fungus vvagagitis i loko o nā wahine,
  • nele i nā kāne.

Mai ka hakahaka o nā hōʻailona mua o ka hoʻonui o ke kō koko koko i ka maʻi a me ka hoʻomaka ʻana o ka mālama ʻana no T2DM, pono a 7 mau makahiki.

I nā pākeke, ʻo ka hōʻailona mua o ke kō koko koko pinepine ka hiʻohiʻona o ka dermatosis itchy, kahi e ʻimi ai nā mea maʻi i ke kōkua olakino mai kahi dermatologist.

ʻO kahi hōʻailona mua o ke kō koko koko nui i nā wahine hiki ke lilo i ka ʻāʻae kuni ʻana i loko o ka ʻōpū o ka kūwaho, kahi e hōʻole ʻole nei i ka mālama ʻana.

ʻO nā hōʻailona o ke kaila koko nui ke lilo i mau pilikia o ka wahine i loko o nā wahine o ka makahiki hānau. Me nā menopause, nā hōʻailona o ka hyperglycemia i nā wahine:

  • Nā kuikahi
  • kaohuu
  • Ke hoʻololi nei ke kaupaona ʻana
  • ka ʻōpū ʻana, ka ʻeha wāwae,
  • ho'ēmi ʻia ka hana
  • nāwaliwali.

Ke kākau nei i nā loli i ke kaila o ke kō koko nui i nā hōʻailona o ka menopause, nā wahine ma laila e hoʻopiʻi i ka kipa i ke kauka a me ka ʻike o ka maʻi.

Hiki i ka hoʻonui nui o ka kōkō ke hoʻomau me ka akahele ʻole i hele ʻole ka mea maʻi i ke kauka ma nā hōʻailona mua o ka maʻi, akā aia ma ke ʻano o nā hihia hōʻeha ola.

  • nā ʻūhā wāwae
  • ua hoemi i ka hihio
  • hoʻāliʻi i ka endarteritis,
  • puʻuwai puʻuwai
  • he poho.

ʻO nā hōʻailona o ka hōʻino kino o ka maʻi ma ka maʻi diabetes

ʻAʻole hiki ke hoʻomaopopo i ka hoʻokiʻekiʻe ʻana o ke kō i ke koko, me ka ʻole o ka hoʻoholo ʻana i ka pae o ka glycemia, e noʻonoʻo wale ana i nā hōʻailona e like me ka makewai, ka polyuria a i ʻole nā ​​hiamoe hiamoe.

Hoʻopilikia ka glucose kiʻekiʻe i nā ʻōnaehana a pau, me ka ʻole o ka ʻē aʻe. Hiki ke hoʻopili ʻia nā hōʻailona o ke kōhi nui i nā maʻi ākea āpau.

Hoʻokomo ka pūnaehana vascular, ʻākē, nā maka, a me nā ʻōpū e ka piʻi i ka glycemia. I nā wahine me ke koko koko kiʻekiʻe, pili i ka ulu ʻana o osteoporosis i ka wā menopause.

Nā hōʻailona o ka hyperglycemia mai nā puʻuwai a me nā koko

Me T2DM, ulu pinepine ka ischemia o ka puʻupuʻu - ʻaʻole lawa o ka lako o nā cell myocardial me ka oxygen. ʻO kahi hoʻopiʻi o ka ischemia cardiac he painless myocardial infarction me ka nui o ka make o ka make.

Hāʻawi ka T1DM e ka cardiomyopathy maʻi. ʻO nā hōʻailona o kēia kūlana:

  • ʻeha nā ʻeha i ka puʻuwai, ʻaʻole i hoʻonāukiuki ʻia e ka hoʻoikaika kino,
  • ʻaʻano pōkole
  • ka māla ʻana
  • arriralia.

ʻO 65% o nā pākeke e maʻi ana i ke koko koko kiʻekiʻe e hōʻike i nā hōʻailona o ke koko kiʻekiʻe.

Kuhi ʻia nā hōʻailona o ka hypertension, i ka manawa e piʻi ai ke kō i ke koko.

  • tinnitus
  • ʻeha a me ka hōʻeha,
  • tachycardia
  • ʻeha naʻau.

ʻO nā hōʻailona o nā luhi kūloko

Me ka nui o ke kō, ua pili nā mea pono a pau o ke akea. ʻO nā hōʻailona o ka hōʻino i ka ʻōnaehana hoʻoili:

  1. Dysphagia - ʻehaʻeha i ke kī ʻana
  2. ʻO ka ʻeha ma ka hypochondrium pololei i hoʻoiho ʻia e ka metabolism momona o ka pīpī ma loko o ke ake
  3. Hoʻopoki ka maʻi diabetes - ka hana kolohe o ka naʻau o ka pākia
  4. ʻO ka gastroparesis maʻi maʻi - ka hana hewa i ka hoʻoponopono ʻina o ka ʻōpū

ʻO nā hōʻailona o ka gastroparesis maʻi, ʻo kekahi o nā hoʻopiʻi koʻikoʻi o ka maʻi maʻi, e komo ana:

  • puʻuwai
  • hocuiohue
  • ninila, ka luaʻi, ka ʻōpū o ka ʻōpū ma hope o ka ʻai ʻana.
  • ʻūlū
  • kahi koʻo o ka ʻōpū piha mai ka ʻōpū mua.

Ke hōʻike ʻia ka hoʻomohala ʻana o ka gastroparesis maʻi ma o ka nui o nā hōʻailona ma hope o ka ʻai ʻana i ka ʻona ʻawaʻawa, nā meaʻai iʻa ʻia, kahe, ka pata, a me nā meaʻai momona.

Hoʻomaopopo ka hōʻailona o ka enteropathy maʻi maʻi, e hoʻomohala ana ma ke ʻano o ka piʻi ʻana o ka nui o ke kō koko koko:

  • nā ninia
  • hoʻokūkū - feces with sheen sheen,
  • hōʻano wai ʻauʻau i kekahi mau manawa i ka lā,
  • ʻeha i ka pō,
  • hiki ʻole ka huhū lahilahi
  • mea kaumaha.

ʻOi aku ka pinepine o nā kāne, nā wahine i loaʻa i ka incontinence fecal, ka mea i wehewehe ʻia e ka wā hānau keiki, ʻo ka ʻāina o ka ʻōnaehana. Me ka nui o ke kō, ua haunaele ka hohonu o ka sphincter anal, no ka mea e hoʻomaha ai ia me ka pale ʻole.

ʻO ka hopena o ka hyperglycemia ma ke kaomi o ka urinary

ʻO nā hoʻololi o nā keiki a me nā pale i hoʻopiʻi ʻia e nā hopena o nā mea laʻa o ka nui o ka nui o ke koko e hoʻomaopopo ʻia ma ka 50% o nā mea maʻi me ka maʻi maʻi. ʻO nā hōʻailona o ka maʻi diabetes mai ka pākahi.

  • ke emi ʻana o ka urination frequency i ka 2-3 i kēlā me kēia lā,
  • ka hōʻiliʻili o ka urine i ka pā ʻana a i ka 1 liter ma mua o ka 300 - 400 ml,
  • piha piha
  • okiia ana ke kahawai urine,
  • leakage a me ka ʻohi ʻana i ka urinary,
  • mau maʻi ʻauʻau pinepine ʻana.

ʻO kahi pilikia hou aʻe a luhi ʻole ʻoi aku ka leʻaleʻa ma mua o ka fecal incontinence, ʻo ka urinary incontinence i loko o nā wahine. Hōʻike nā hōʻike i ka pilikia o ka incontinence urinary hopohopo ʻaʻole nā ​​wahine kahiko wale nō i ka wā menopause, akā nā wahine o ka hānau keiki ʻana.

ʻO ka hopena o ke gula nui ma ke ʻano ʻili

Me kahi hoʻonui lōʻihi i ka glucose, hele mai nā loli i loko o nā wahi paʻa o ka ʻili. ʻO nā hōʻailona o ka lawehala:

  • kaʻiliʻili
  • fungal pinepine, huʻi maʻi bacterial,
  • makahiki ma mua o ke wāwae,
  • ʻulaʻulaʻula o ka ʻili o nā pale pipi a me ka moa.

ʻO kēia mau hōʻailona o ka hoʻonuiʻana i ke kō koko koko nā hōʻailona mua loa o T2DM no nā wahine i hōʻike ʻia i ka maʻi gestational.

ʻO ka hopena o ka hyperglycemia ma ka iwi

Me ka hoʻonui ʻana o ka ʻai koko koko pākeke, loli nā loli i ka iwi iwi, a ulu nā hōʻailona:

  • osteoporosis
  • huehae wāwae,
  • ʻāmaʻomaʻo "nā lima o ka mea pono."

ʻO kahi hōʻike weliweli o ka hyperglycemia i nā wahine he osteoporosis. ʻO ka luku ʻia o ka iwi iwi he mea maʻamau i waena o nā wahine, kāna mau hōʻailona:

  • kuʻi ʻole o ka posture
  • mau kui kuku
  • ka hana ʻana o nā niho
  • nā wāwae wāwae
  • hoʻehaʻeha nā ʻeha hope i kahi kūlana kūpono a noho paha.

ʻO nā wahine me ka maʻi type type 1 he 12 mau manawa e loaʻa i kahi pōpoki o ka hip ma mua o nā wahine me ke kō o ke koko kiʻekiʻe. Me T2DM, ʻoi aku ka liʻiliʻi o ka osteoporosis, akā naʻe, ʻo ka nui o ka hōʻeha o nā fractures ma muli o ka osteoporosis he 2 mau manawa kiʻekiʻe loa i nā mea olakino.

Hoʻopilikia ka hoʻololi i ke kōpaʻa kiʻekiʻe ma nā wāwae. E nānā i nā mea i hoʻopilikia ʻia me nā lima me ke kō koko koko kiʻekiʻe, e nānā i kahi hōʻailona e like me ka "lima maʻi maʻi."

Ua kapa ʻia kēia maʻi maʻi ʻo ka "lima o ka mea pono," ʻo ka maʻi maʻi me ka maʻi diabetes. Aia i ka me i ka hoʻāʻo ʻana e hoʻopili pū me kou mau lima, e paʻa ana i kou mau poholima e like me ka papahele, ʻaʻole hiki iā ʻoe ke pani piha i nā manamana lima a me nā palma o nā lima hema a me nā lima hema.

ʻO ka hiki ʻole e hoʻākoakoa i ka pālima a i ʻole “nā pālapa e ka hale” i ʻike ʻia ma T1DM a me T2DM.

ʻO ka maʻi maʻi LADA

Hoʻomaopopo ka lōʻihi o ka hoʻāla kiʻekiʻe lōʻihi me ka latent (latent) autoimmune a i ʻole LADA maʻi maʻi. ʻO ka maʻi he maʻi diabetes ka hilinaʻi ʻana o ka maʻi 1, akā like kona mau hōʻailona like me nā ʻano maʻi like ʻole o ka type 2.

Hoʻokumuʻo LADA i kahi 35 - 55 mau makahiki. ʻO ke kumu o ka LADA ka hoʻonāukiuki o ka ʻōnaehana ka maʻi o nā peka beta pancreatic.

E ʻike i nā mea e pono ai ka mālama ʻana i ka maʻi palika. Wahi a nā helu helu, ma 15% o nā hihia, ma muli o ka like o nā hōʻailona, ​​ma kahi o LADA, ua hōʻike lākou i ka T2DM.

ʻO ka ʻokoʻa ma waena o kēia mau maʻi i lawe ʻia e ke kō,

  • me T2DM, kaumaha, luhi,
  • me LADA, ʻaʻole e hoʻonui nui ke kaumaha.

ʻO nā hōʻailona o kahi momona gula nui me LADA nā:

  • huehue
  • ka nele o ka hopena inā ke hoʻohana ʻana i nā lāʻau lapaʻau-hoʻohaʻahaʻa.

ʻO LADA ka mea maʻamau i ka wahine. ʻO kekahi o nā mea i pilikia ai ka hoʻomohala ʻana o kēia ʻano maʻi, ua hōʻike ʻia ka maʻi diabetes gestational i ka wā hāpai.

Waiho I Kou ManaʻO HoʻOpuka