Naʻi maʻi mellitus

ʻO ka Diabetes mellitus (DM) kahi pilikia kūikawā e pale ai i nā poʻe helo hou i ke ola ʻana i ka hana maʻamau. Loaʻa ʻia nā pākeke a me nā kamaliʻi.

I ka manawa like, ʻo ka maʻamau a me ka nui o nā hihia me kēlā me kēia mau makahiki 10-15 aneane heʻano pālua, a ʻoi hoʻi ka maʻi ʻōpio.

Wahi a nā kūpuna o nā kānaka ʻepekema, ma ka 2030 kokoke i kēlā me kēia 20 o ka noho ʻana o ko mākou honua e pilikia ai i ka maʻi maʻi o nā pae like ʻole.

ʻO ka papa kuhikuhi maʻamau o ka maʻi

ʻO ka maʻi diabetes mellitus he ʻano maʻi, ke ʻano o ka hoʻohālikelike ʻana i nā pilikia i ka pūnaehana endocrine.

Hōʻike ka kino o ke kanaka maʻi i ka hoʻonui ʻana o ke kō koko koko a me kona paʻa mau ʻana ma kahi pae ʻole a hiki i ke kanaka olakino.

Hāpai ʻia kēlā mau loli i ka hana i hope i ke hana ʻana o nā kīʻaha koko, kahi hōʻemi i ke kahe koko a me nā nāwaliwali i ka hāʻawi ʻana i nā ʻōnaehana me ka oxygen. A ʻo ke kumu, aia ka nele o kekahi mau kino (nā maka, nā ʻōpū, nā limu haʻahaʻa, nā pēpē a me nā mea ʻē aʻe), a me ka ulu ʻana o nā maʻi concomitant.

ʻO nā kumu o nā mea pili pono i loko o ke kino a me ka hypoglycemia he nui. ʻO ka ikaika a me nā hiʻohiʻona o kāna papa e hilinaʻi ʻia ma ke ʻano o ka hoʻomaka ʻana o ka maʻi.

No laila, e like me nā wahī o nā hiʻohiʻona maʻamau i hoʻohana ʻia e nā kauka e hele nei, hiki ke hoʻokaʻawale ʻia ka maʻi maʻi i nā ʻano ma lalo nei (e pili ana i ka paʻakikī o ke papa):

1. kukui. ^ E Ha yM. Hōʻike ʻia kēia pae haʻahaʻa e nā pae gula liʻiliʻi loa. Inā ʻoe e lawe i ke koko koko no ke kōpona ma kahi ʻōpū ʻole, ʻaʻole iʻoi aku ka hōʻailona ma mua o 8 mmol / L. Me kēia ʻano o ke ala o ka maʻi, i mea e mālama ai i ka maʻi o ka mea maʻi i ke kūlana ʻoluʻolu, e lawa kaʻai
2. paʻapū paʻaha. ^ E Ha yM. ʻO ka pae o ka glycemia i kēia manawa ka piʻi i 14 mmol / l, inā ʻoe e lawe i kahi hōʻike koko wikiwiki. ʻO ka hoʻomohala ʻana o ka ketosis a me ke ketoacidosis hiki nō hoʻi. E hoʻoponopono i ke ʻano me ke maʻi kahakaha ma muli o ka meaʻai, ka hoʻohaʻahaʻa ʻana i ke kiʻekiʻe o ke kō, a me ka hoʻopuka ʻana i ka insulin (ʻaʻole iʻoi aku ma mua o 40 OD i kēlā me kēia lā),
3. kaumaha. ^ E Ha yM. ʻO ka wikiwiki ʻana o ka glycemia ma waena o 14 mmol / L. I loko o ka lā he nui nā kūlike o ka nui o ke kō. ʻO ka hoʻokele mau o ka insulin, ʻo ke kaʻe o ka mea he 60 OD, e kōkua i ka hoʻokō i ke kūlana o ka mea maʻi.

ʻAʻole hiki ke hoʻokala kūʻokoʻa i kahi pae o ka mālama ʻana i ka maʻi. No ka hana ʻana i kēia, pono ʻoe e hoʻomaʻamaʻa i kahi hōʻike ʻoihana ʻoihana me ka mālama mau ʻana i nā pae koko koko me ka hoʻohana ʻana i nā hōʻike kūikawā home.

KA ʻĀnANA

A hiki i ʻOkakopa 1999, ua hoʻohana ʻia ka lāʻau maʻi maʻi e ka WHO i ka makahiki 1985. Eia nō naʻe, i ka makahiki 1997, ua kuhikuhi mai ke Komite o nā Hui ʻAmelika o ka ʻAmelika ʻAmelika Hui Pū ʻIa i kahi koho no ka hoʻokaʻawale ʻana, kahi i hoʻokumu ʻia i ka ʻike a me nā hopena o nā noi ʻana i ka etiology, pathogenesis a me heterogeneity o ka maʻi maʻi i hōʻuluʻulu ʻia e nā ʻepekema i kēia manawa.

ʻO ke kumumanaʻo etiological ka kumu o ka hoʻonohonoho hou o ka maʻi, no laila, ʻae ʻia nā kumumanaʻo e like me "insulin-dependance" a "non-insulin-dependant" maʻi. Wahi a nā poʻe loea, nā ʻōlelo i luna aʻe i alakaʻi i nā kauka a ke hōʻole ʻia i ka maʻi maʻi o kekahi mau kauka.

I kēia hihia, ua mālama ʻia nā wehewehe o ka maʻi mellitus o ka maʻi type o ka maʻi mellitus a me nā type 2. ʻO ka manaʻo o ka mellitus o ka maʻi mellitus ma muli o ka meaʻai maikaʻi ʻole ua hoʻopau ʻia, no ka mea, ʻaʻole i hōʻike ʻia me ka lawa ʻole o ka nui o ka nui o ke kō.

ʻOiai nā hoʻololi a kā WHO i hana ai i ka papa hoʻonohonoho papa, hoʻohana nō kekahi mau kauka i ka hoʻokaʻawale ʻana i nā hihia lapaʻau i nā ʻano.

Ua hoʻoholo ʻia ka fibrocalculeous maʻi, i hoʻoholo ʻia e pili i ka nui o nā maʻi i hoʻohele ʻia e ka hoʻokūkū ma ka hana ʻana o nā mea hana exocrine pancreatic. Eia kekahi, ʻo ka hoʻokaʻawale loa o ke kōpaʻa hapa wale nō ma luna o kahi ʻōpū ʻole i komo i kahi ʻokoʻa. Ua hoʻoholo ʻia kēia ʻano e lilo i ka wili i waena o ke ʻano maʻamau o ke kaʻina o ka metabolism glucose, a me nā hōʻike diabetes.

Ka hilinaʻi Insulin (ʻano 1)

ʻO ka wā ma mua, ua kapa ʻia kēia ʻano ʻano kūlike ʻo ka wā ʻōpiopio, ʻōpio a i ʻole autoimmune. Me ka diabetes type 1, hoʻomau ka hoʻomau ʻana o ka insulin i ka hoʻokū ʻana o ke ʻano o ka mea maʻi, no ka mea e hoʻōki ka kino i ka hana ʻana i ka insulin i ka nui e pono ai no kahi kūlana olakino ma muli o ka haunaele o nā hana kūlohelohe.

ʻO nā ʻōuli e hōʻike nei i ka maʻi pālolo ʻano 1 ka:

• nā hana hoʻonāukiuki loa
• ka ʻike mau ʻana o ka pōloli a me ka makewai,
• mea kaumaha
• ʻike maka.

Hōʻike pinepine ʻia nā hōʻailona i hōʻike ʻia ma luna. Hoʻopilikia ka maʻi āpau 1 i kahi pōpilikia i loko o kahi aʻokiʻoki, i ka manawa e ulu ai ke kino i nā antibodies i nā aʻa o ka pancreas. Hoʻokomo pinepine ka imunuma ma muli o kahi maʻi (hepatitis, chickenpox, rubella, mumps a me nā mea he nui).

Ma muli o ke ʻano o nā mea o nā hiʻohiʻona o ka maʻi, ʻaʻole hiki ke pale aku i kona hiki a me ka hoʻomohala ʻana.

Kūʻokoʻa kūʻokoʻa (type 2)

ʻO kēia maʻi maʻi maʻi ka mea e hele i nā pākeke. ʻO ke kumu no ka hoʻomohala ʻana o nā maʻi o ka hōʻemi ʻana i ka maikaʻi o ka hoʻohana ʻana o ke kino i ka insulin.

ʻO ka maʻamau o ke kumu o ka maʻi diabetes, he momona nui, a he momona nui paha, ʻike ʻole ka ʻāina, a i ʻole ka luhi.

Hoʻohālikelike nā ʻano like ʻole o ka maʻi type like me nā ʻano maʻi like ʻole 1. Akā, i kēia hihia, ʻaʻole lākou e hoʻohālikelike ʻia. No kēia kumu, ʻike ʻia ka maʻi ma ka hapa o ka nui ma hope o nā makahiki he nui, i ka manawa i loaʻa i ka maʻi nui mua nā maʻi.

A hiki i kēia manawa wale nō, loaʻa i ka maʻi diabetes type 2 wale nō i waena o nā pākeke. Akā i kēia mau makahiki i hala iho nei, ua pilikia nā keiki i kēia ʻano maʻi.

Hoʻoikaika glucose hoʻohaʻahaʻa

Wahi a ka helu kahiko, ʻaʻohe wale nō o nā ʻano maʻamau o ka maʻi maʻi, i hele pū ʻia me nā mea e ʻike mau ʻia ʻole a emi ʻole paha, akā ke ʻano kumu o ka maʻi.

Me ka palapala palapala, hoʻonui nui ke kōpaʻa koko, a ma hope o ka emi ʻana no ka wā lōʻihi.

Ua kapa ʻia kēia maʻi i ka hoʻomanawanui i ka hoʻohaʻahaʻa glucose. ʻO ia, ʻoiai ke kīnā ʻole o ka pōʻino, hiki ke hoʻololi ʻia i ka diabetes type 2 a me nā maʻi ʻē aʻe he nui.

Inā mālama ʻia nā lula i ka manawa kūpono, hiki ke pale ʻia i ka maʻi diabetes i nā makahiki 10-15 ma mua o ka hana ʻana. Inā ʻaʻole mālama ʻia ka lāʻau lapaʻau, ʻo ia ka manawa e hiki ai i kahi hanana e like me ke ahonui i ka hoʻohuihui 'ana i ka glucose o ka lā.

ʻO ka maʻi maʻi gestational

Hoʻowahāwahā ka maʻi maʻi i kēia lāʻau e like me ke ahi!

Pono ʻoe e koi ...

ʻO kēia keʻano o ka maʻi maʻi ma kahi o ka hyperglycemia i kū mua a hele mai i ka mālamalama i ka wā hāpai.

Me kahi maʻi maʻi gestational, hiki mai nā hopena i ka wā gestation a me ka wā hānau.

Eia kekahi, loaʻa i ka nui o kēia mau wahine i ka hoʻomohala ʻana i ka maʻi type 2. ʻO ka maʻamau, he haʻahaʻa a maʻalahi ʻole nā ​​hōʻailona o kēia ʻano maʻi.

No kēia kumu, ʻaʻole ʻike ka ʻike o ka maʻi i ka ʻikepili i loaʻa i ka wā o ka hoʻokolokolo ʻana i ka mea maʻi, akā i ka nānā ʻana o ka prenatal screening.

ʻAno palapala

Pēlā nō i ka hana lapaʻau, aia kekahi mea e like me "ka maʻi latimmune diabetes."

Loaʻa ka maʻi maʻi i ka pākeke wale nō, a ʻo kona mau hōʻailona ka ma waena o ke ʻano maʻi type type 2 a me ke ʻano 1.

I ka nui o nā hihia, ua maʻi ʻia nā mea maʻi me kēia mau hōʻike o ka maʻi me ka maʻi diabetes type 2. ʻOi ka hoʻohana maʻamau ʻia ka wehewehe ʻana o ka maʻi diabetes 1.5 ʻano.