Hōʻike kō kō

Ke ana ʻia kahi kō kō kō i ka nui o ke kō i kapa ʻia ʻo glucose i kahi hāpana o kou koko.

ʻO Glucose kahi kumu nui o ka ikehu no ka hapa nui o nā hunaola o ke kino, e pili ana i nā hunaola o ka lolo. ʻO Glucose kahi hale kūkulu no nā haʻalako. ʻIke ʻia nā Carbohidrat i ka hua, palaʻai, berena, pasta, a me ka laiki. Hoʻohuli koke ʻia ʻo Carbohidates i glucose i kou kino. Hiki i kēia ke hāpai i kāu pae kō glucose.

ʻO nā Hormones i hana ʻia i loko o ke kino e kōkua i ke kaohi ʻana i ke kiʻekiʻe o ka kō glucose.

Pono kahi laʻana koko.

E hana ʻia ka hōʻike ma nā ala aʻe:

• Ma hope o kou ʻai ʻole ʻana i kekahi mea no 8 mau hola (hoʻokē ʻai)
• I kēlā me kēia manawa o ka lā (ʻaukā)
• ʻElua mau hola ma hope o kou inu ʻana i kahi nui o ke kō (glucose test tolerance tolerance glucose)

Ke hoʻokomo ʻia ke kui kele e huki i ke koko, manaʻo kekahi poʻe i ka ʻeha kaulike. ʻIke wale kekahi i kahi ʻōniʻu a i ʻole kui. Ma hope, loaʻa paha i kahi kūpikipiki a i ʻole ʻeha iki. Hele koke kēia.

E kauoha paha kāu mea mālama ola i kēia hoʻokolohua inā he hōʻailona kou o ka maʻi kō. ʻOi aku paha ma mua o ka mea, e kauoha ka mea hāʻawi i kahi hoʻokolohua kō kō ʻana i ka wikiwiki.

Hoʻohana ʻia ka hōʻike glucose koko e kiaʻi i ka poʻe i loaʻa i ka maʻi kō.

E hana ʻia ka hōʻike inā loaʻa iā ʻoe:

• Hoʻonui i ka pinepine e pono ai ʻoe e mimi
• I kēia manawa ua loaʻa ka nui o ke kaupaona
• ʻIke makapō
• Huikau a hoʻololi paha i ke ala āu e kamaʻilio maʻamau ai hana ai paha
• Mākala hōʻeha
• Ka hopu ʻana (no ka manawa mua)
• Ka noʻonoʻo ʻole a koma paha

NĀ ʻ SCLELE NO DIABETES

Hiki ke hoʻohana ʻia kēia hōʻike e hoʻopaʻa ai i ke kanaka no ka maʻi kō.

ʻAʻole hiki i ke kō kō a me ka maʻi kō ke kumu o nā ʻōuli i nā wā mua. ʻO ka hoʻokēʻai ʻana i ka kō kō e hoʻokēʻai nei e hana mau ʻia e nānā no ka maʻi kō.

Inā ʻoi aku ʻoe i ka makahiki 45, pono ʻoe e hoʻāʻo ʻia i kēlā me kēia 3 mau makahiki.

Inā ʻoi nui ʻoe (helu kino nui, a i ʻole BMI, he 25 a ʻoi paha) a loaʻa kekahi o nā pilikia ma lalo, e nīnau i kāu mea hoʻolako e pili ana i ka hoʻāʻo ʻana i nā makahiki ma mua a ʻoi aku.

• ʻO ke kiʻekiʻe o ke kō i ke kiʻekiʻe ma kahi hōʻike mua
• ʻO ke kahe o ke koko o 140/90 mm Hg a ʻoi paha, a i ʻole nā ​​pae koloka maikaʻi ʻole
• Mōʻaukala o ka maʻi puʻuwai
• He lālā o kahi lāhui kūpilikiʻi nui (ʻAmelika ʻAmelika, Latino, ʻAmelika ʻAmelika, ʻAmelika ʻAmelika, a i ʻole Pacific Islander)
• ʻO ka wahine i ʻike mua ʻia me ka maʻi kō
• ʻO ka maʻi ovary Polycystic (ke ʻano i loaʻa ʻole i ka wahine ke kaulike ʻole o nā homone wahine wahine e hana ana i nā cyst i nā ovaries)
• Pili pili me ka maʻi diabetes (e like me ka makua, kaikuaʻana, a kaikuahine paha)
• ʻEleu kino

ʻO nā keiki he 10 a ʻoi paha mau makahiki ka nui o nā keiki a ʻoi paha ma mua o ʻelua o nā mea pilikia i helu ʻia ma luna aʻe e pono e hoʻāʻo ʻia no ka maʻi diabetes type 2 i kēlā me kēia 3 mau makahiki, ʻoiai inā ʻaʻohe o lākou hōʻailona.

Inā loaʻa iā ʻoe kahi hoʻokolohua glucose glucose wikiwiki, kahi pae ma waena o 70 a me 100 mg / dL (3.9 a me 5.6 mmol / L) i manaʻo ʻia he maʻamau.

Inā ua loaʻa iā ʻoe kahi hoʻokolohua glucose glucose koko ʻole, hopena kahi hopena maʻamau i ka manawa āu i ʻai ai. ʻO ka hapa nui o ka manawa, ʻo ke kiʻekiʻe o ka kō glucose i 125 mg / dL (6.9 mmol / L) a i lalo paha.

Hōʻike nā laʻana ma luna i nā ana maʻamau no nā hopena o kēia mau hoʻāʻo. Hiki ke loli iki nā pae waiwai maʻamau i waena o nā hale hana ʻokoʻa. Hoʻohana kekahi mau labs i nā ana like ʻole a i ʻole hoʻokolohua i nā hoʻohālikelike like ʻole. E kamaʻilio i kāu mea hāʻawi e pili ana i ke ʻano o kāu mau hopena hōʻike.

ʻO ke kōkōkō koko i ana ʻia e ka hoʻāʻo ʻana o ke koko mai kahi aa i manaʻo ʻia he ʻoi aʻe ka pololei o ke kōkō koko i ana ʻia mai ka manamana lima me ka mika glucose koko, a i ana ʻia paha ka glucose glucose koko e ka mea mālama glucose mau.

Inā loaʻa iā ʻoe kahi hoʻokolohua glucose glucose koko wikiwiki:

• ʻO kahi pae o 100 a 125 mg / dL (5.6 a 6.9 mmol / L) ʻo ia hoʻi ua hōʻino ʻoe i ka glucose hoʻokēʻai, kahi ʻano prediabetes. Hoʻonui kēia i kou makaʻu i ka hoʻomohala ʻana i ka maʻi diabetes type 2.
• ʻO kahi pae o 126 mg / dL (7 mmol / L) a ʻoi aku ke kiʻekiʻe he maʻi maʻamau kou.

Inā loaʻa iā ʻoe kahi hoʻokolohua glucose glucose koko ʻole:

• ʻO kahi pae o 200 mg / dL (11 mmol / L) a ʻoi aku ke kiʻekiʻe he pinepine ʻoe i ka maʻi diabetes.
• E kauoha kāu mea hāʻawi i ka glucose koko wikiwiki, ka hoʻāʻo A1C, a i ʻole ka hōʻike tolerance glucose, e hilinaʻi ana i kāu hopena hōʻike glucose glucose koko ʻole.
• I kekahi i loaʻa i ka maʻi kō, he hopena maikaʻi ʻole ma ka hoʻāʻo ʻana o ke kōkōpō kūpikipiki ʻole e manaʻo ʻia ʻaʻole kaohi maikaʻi ʻia ka maʻi kō. E kamaʻilio me kāu mea hāʻawi e pili ana i kāu mau pahu hopu kō glucose inā he maʻi diabetes ʻoe.

Hiki i nā pilikia olakino ʻē aʻe ke kumu i kahi pae glucose glucose kiʻekiʻe ma mua o ka maʻamau, e like me:

• Kelepona thyroid overactive
• Maʻi ʻaʻai Pancreatic
• ʻO ka pehu a me ka mumū o ka pancreas (pancreatitis)
• Kaumaha ma muli o ka hōʻeha, ka hahau, ka puʻuwai puʻuwai, a i ʻole ke ʻoki ʻana
• ʻO nā tumare laha ʻole, e like me pheochromocytoma, acromegaly, Cushing syndrome, a i ʻole glucagonoma

ʻO ke kiʻekiʻe o ke kō glucose ma lalo o ka maʻamau (hypoglycemia) ma muli o:

• Hypopituitarism (kahi maʻi pituitary gland)
• Paona thyroid underactive a i ʻole gland adrenal
• Tumor i ka pancreas (insulinoma - kākaʻikahi loa)
• Mea ʻai liʻiliʻi loa
• ʻO ka nui loa o ka insulin a i ʻole nā ​​lāʻau diabetes
• ʻO ka maʻi ate a kīʻaha paha
• ʻO ke kaupaona ma hope o ke kaupaona lilo ʻana
• Hoʻoikaika ikaika

Hiki i kekahi mau lāʻau ke hoʻāla a hoʻohaʻahaʻa paha i kāu pae glucose koko. Ma mua o ka hoʻāʻo ʻana, e haʻi i kāu mea hoʻolako e pili ana i nā lāʻau āpau āu e lawe nei.

No kekahi mau wahine ʻōpio lahilahi, he pae maʻamau ke kō o ke kō kō ma mua o 70 mg / dL (3.9 mmol / L).

ʻAʻohe pilikia iki i ka lawe ʻia ʻana o kou koko. ʻOkoʻa nā aʻa a me nā aʻa i ka nui mai kekahi kanaka a i kekahi ʻē aʻe a mai kekahi ʻaoʻao o ke kino i kekahi. ʻOi aku ka paʻakikī o ka loaʻa ʻana o kahi laʻana koko mai kekahi poʻe ma mua o nā poʻe ʻē aʻe.

ʻO nā pilikia ʻē aʻe e pili ana i ke kau ʻana o ke koko he liʻiliʻi, akā hiki ke hoʻopili ʻia:

• Kahe nui ke koko
• Pāleʻale a ʻoluʻolu paha
• Nā punctures he nui e ʻimi i nā uaua
• Hematoma (hōʻiliʻili koko ma lalo o ka ʻili)
• Maʻiʻaʻai (i iki kamepiula i kēlā me kēia manawa ka ʻili i haki)

Kōkō koko kūlike ʻole; Pae kō kō; ʻO ka hoʻokēʻai i ke kō kō; Hōʻike Glucose; Nānā Diabetic - hōʻike i ke kō kō; Diabetes - hoʻāʻo kō kō

• ʻAno 2 diabetes - he aha e nīnau aku ai i kāu kauka

• Hōʻaʻo koko

ʻAhahui Diabetes ʻAmelika. 2. Hoʻokaʻawale a me ka hōʻailona o ka maʻi kō: nā kūlana o ka mālama olakino i ka maʻi kō - 2019. Mālama Diabetes. 2019; 42 (Hōʻawi 1): S13-S28. PMID: 30559228 pubmed.ncbi.nlm.nih.gov/30559228/.

Chernecky CC, Berger BJ. ʻO Glucose, 2-hola postprandial - maʻamau serum. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 585.

Chernecky CC, Berger BJ. ʻO ka hoʻāʻo hoʻomanawanui ʻana o Glucose (GTT, OGTT) - kūmau koko. I: Chernecky CC, Berger BJ, hua. Nā Hoʻokolohua Laboratory a me nā kaʻina hana Diagnostic. ʻElua huaʻōlelo St Louis, MO: Elsevier Saunders; 2013: 591-593.