He aha nā 3 P o ka maʻi diabetes?

Anter

• Ua wehewehe maʻalahi ʻia, ʻo nā P ʻekolu:
• Pololika
• Poliuria
• Polyphagia
• Kānāwai
• ʻO kahi leka e pili ana i ka prediabetes
• Lapaʻau
• Ka wā e ʻike ai i ke kauka
• Ke laina lalo

I Mei 2020, ua paipai ʻia i kekahi mau mea hana o metformin hoʻolōʻihi hoʻokuʻu ʻia e kāpae i kekahi o kā lākou papa mai ka mākeke U.S. ʻO kēia no ka mea he pae i ʻae ʻole ʻia o kahi carcinogen probable (ʻākena e hana ana i ka maʻi ʻaʻai) i loaʻa i kekahi mau papa metformin hoʻolōʻihi ʻia. Inā lawe ʻoe i kēia lāʻau i kēia manawa, e kāhea i kāu kauka. E ʻōlelo aʻoaʻo lākou inā ʻoe e hoʻomau i ka lawe ʻana i kāu lāʻau a i ʻole inā makemake ʻoe i kahi palapala hou.

Ua lohe paha ʻoe i nā P ʻekolu o ka maʻi diabetes? Kū pinepine lākou a ʻekolu mau hōʻailona diabetes maʻamau.

Ua wehewehe maʻalahi ʻia, ʻo nā P ʻekolu:

• polydipsia: he mahuahua ana o ka makewai
• polyuria: urination pinepine
• polyphagia: he piʻi i ka makemake

E kūkākūkā mākou i nā P ʻekolu i nā kikoʻī kikoʻī, e wehewehe ana pehea lākou e ʻike ʻia ai a mālama ʻia a me ka wā e ʻike ai ʻoe i kāu kauka.

Pololika

ʻO Polydipsia ka huaʻōlelo e hoʻohana ai e wehewehe i ka make wai nui loa. Inā ʻoe e ʻike nei i ka polydipsia, make wai paha ʻoe i ka make wai i nā manawa āpau a i ʻole he waha maloʻo mau.

I ka poʻe me ka maʻi diabetes, kumu ʻia ka polydipsia e ka hoʻonui ʻia o ke kō glucose pae. Ke piʻi ke kiʻekiʻe o ke kōkō glucose, hoʻopuka hou kāu mau puʻupaʻa i ka nui o ka mimi i ka hoʻāʻo e hemo i ka glucose keu mai kou kino.

I kēia manawa, no ka nalowale ʻana o kou kino i nā wai, haʻi kou lolo iā ʻoe e inu hou i mea e pani ai iā lākou. Ke alakaʻi nei kēia i ka manaʻo o ka make wai nui e pili ana i ka maʻi kō.

ʻO nā manaʻo hoʻomau mau o ka make wai hiki ke kumu ʻia e:

• hoʻomake wai
• osmotic diuresis, kahi hoʻonui i ka urination ma muli o ka nui o ke kōkō e komo ana i nā tubula puʻupaʻa ʻaʻole hiki ke hoʻopili hou ʻia, e alakaʻi ana i ka hoʻonui ʻia o ka wai i nā tubula
• nā pilikia olakino noʻonoʻo, e like me psychotherapy polydipsia

Poliuria

ʻO Polyuria ka manawa i hoʻohana ʻia ke hala ʻoe i ka nui o ka mimi ma mua o ka maʻamau. Hana ka hapa nui o nā kānaka ma kahi o 1-2 mau lita o ka mimi i kēlā me kēia lā (1 litre e like me 4 kīʻaha). Hoʻopuka ka poʻe me ka polyuria ma mua o 3 liters o ka mimi i hoʻokahi lā.

Ke kiʻekiʻe ke kiʻekiʻe o ke kō glucose, e hoʻāʻo kou kino e lawe i kekahi o ka glucose ma o ka mimiki ʻana. Alakaʻi pū kēia i kāu mau puʻupaʻa e kānana i ka nui o ka wai, kahi e alakaʻi ai i kahi pono nui e mimi.

Hiki ke hoʻopili ʻia ka hala ʻana i ka nui o ka mimi me nā mea ʻē aʻe ma mua o ka maʻi diabetes, me:

• hāpai keiki
• insipidus diabetes
• maʻi maʻi ʻōpū
• kiʻekiʻe pae calcium, a i ʻole hypercalcemia
• nā pilikia olakino noʻonoʻo, e like me psychotherapy polydipsia
• lawe i nā lāʻau e like me diuretics

Polyphagia

Hōʻike ʻo Polyphagia i ka pōloli nui. ʻOiai paha mākou a pau i ka hoʻonui ʻana o ka makemake i kekahi mau hanana - e like me ma hope o ka hoʻoikaika kino a i ʻole inā ʻaʻole mākou i ʻai i kahi manawa - i kekahi manawa he hōʻailona ia o kahi ʻano paʻa.

I ka poʻe me ka maʻi kō, ʻaʻole hiki i ka glucose ke komo i loko o nā hunaola e hoʻohana ai no ka ikehu. Hiki i kēia ma muli o nā pae insulin haʻahaʻa a i ʻole ke kūpaʻa ʻana o ka insulin. Ma muli o ka hiki ʻole i kou kino ke hoʻolilo i kēia glucose i ka ikehu, hoʻomaka ʻoe e pololi loa.

ʻAʻole hele ka pōloli e pili ana me polyphagia ma hope o ka ʻai ʻana i ka meaʻai. I ka ʻoiaʻiʻo, i ka poʻe me ka maʻi diabetes ʻole e hoʻokele, ʻo ka ʻai ʻana he nui e hāʻawi wale i nā pae glucose kiʻekiʻe.

E like me polydipsia a me polyuria, hiki i nā mea ʻē aʻe ke kumu i ka polyphagia pū. Aia kekahi mau laʻana:

• kahi thyroid overactive, a hyperthyroidism paha
• premenstrual Syndrome (PMS)
• hoʻoluhi
• ke lawe nei i kekahi mau lāʻau, e like me nā corticosteroids

Kānāwai

ʻO nā P ʻekolu o ka maʻi kō, akā ʻaʻole mau, e hui pū ʻia. Hoʻohui ʻia, hoʻomohala pinepine lākou i ka wikiwiki i ka maʻi diabetes 1 a ʻoi aku ka mālie i ka maʻi diabetes type 2.

No ka mea he hōʻailona maikaʻi nā P ʻ he ʻoi aku ke kiʻekiʻe o kāu kō glucose ma mua o ka maʻamau, hiki i kāu kauka ke hoʻohana iā lākou e kōkua i ke kuhi ʻana i ka maʻi kō. Eia nō naʻe, hiki pū kekahi mau hōʻailona ʻē aʻe me nā P ʻekolu.

Loaʻa kēia mau ʻōuli:

• luhi a luhi paha
• ʻike hihi
• lilo kaumaha maopopo ʻole
• nā manaʻo o ke kani ʻana a i ʻole ka helu ʻana i nā lima a me nā wāwae
• hoʻōla lohi o ka ʻoki a me nā ʻeha
• nā maʻi hou

Inā ʻoe e ʻike nei i kekahi o nā P ʻekolu me ka loaʻa ʻole o nā hōʻailona diabetes ʻē aʻe, hiki i kāu kauka ke hana i nā hoʻokolohua e hana ai i kahi hōʻailona.

Loaʻa i nā hoʻāʻo:

• Hōʻike koko A1C
• hoʻāʻo plasma glucose wikiwiki (FPG)
• hoʻāʻo glucose plasma paʻalima (RPG)
• hoʻāʻo tolerance kō glucose waha

He mea nui mau ka hoʻomanaʻo ʻana i nā kūlana ʻē aʻe ma mua o ka maʻi kō e kumu pū paha i hoʻokahi a ʻoi paha o nā P ʻekolu. Inā loaʻa ʻoe i hoʻokahi a ʻoi paha o kēia mau hōʻailona, ​​pono ʻoe e ʻike i kāu kauka.

ʻO kahi leka e pili ana i ka prediabetes

Pehea e pili ana i nā P a me nā prediabetes? ʻO ka Prediabetes ke kiʻekiʻe o kāu kiʻekiʻe o ke kō glucose ma mua o ka mea e pono ai, akā ʻaʻole lawa ke kiʻekiʻe e kuhikuhi ai i ka maʻi diabetes type 2.

Inā loaʻa iā ʻoe ka prediabetes, ʻaʻole paha ʻoe e ʻike i nā hōʻailona a i ʻole nā ​​hōʻailona e like me nā P ʻekolu. Ma muli o ka ʻike ʻole ʻia o ka prediabetes, he mea nui e hoʻāʻo pinepine i kāu pae glucose koko inā ʻoe makaʻu no ka maʻi diabetes type 2.

Lapaʻau

I ka maʻi kō, ʻo ke kumu o nā P ʻekolu ʻoi aku ka kiʻekiʻe ma mua o ka glucose koko maʻamau. E like me ka mālama ʻana i nā pae kō glucose i mālama ʻia hiki ke kōkua i ka hōʻoki ʻana i nā P ʻekolu.

ʻO kekahi mau laʻana o nā ala e hana ai i kēia:

• lawe i nā lāʻau no ka maʻi kō, e like me ka insulin a i ʻole ka metformin
• ka mālama mau ʻana i nā mea e like me ke kiʻekiʻe o ke kō, a me ke kō
• mamuli o kahi hoʻolālā ʻai olakino
• e hooikaika kino ana

Ma hope o kahi kuhi, e hana pū kāu kauka me ʻoe e hoʻomohala i kahi papa hana e kūpono i kou ʻano. I mea e mālama ai i kāu ʻōuli diabetes, pili i kēia hoʻolālā i ka hiki.

Ka wā e ʻike ai i ke kauka

No laila i ka manawa hea ʻoe e hoʻopaʻa manawa ai me kāu kauka e kūkākūkā ai i hoʻokahi aʻoi aku paha o nā P ʻekolu?

Inā ʻoe e ʻike nei i ka hoʻonui pinepine ʻole o ka make wai, urination, a i ʻole makemake i ka lōʻihi o kekahi mau lā, pono ʻoe e ʻike i kāu kauka. He mea nui loa kēia inā e ʻike ana ʻoe ma mua o hoʻokahi o nā P ʻekolu.

E hoʻomanaʻo hoʻi i hiki i kēlā me kēia o nā P ʻekolu ke kū hoʻokahi ma ke ʻano he hōʻailona o nā kūlana ʻē aʻe ma mua o ka maʻi kō. Inā ʻoe e ʻike nei i nā ʻōuli he hou, hoʻomau, a e pili ana paha, pono ʻoe e hoʻopaʻa manawa me kāu kauka i hiki iā lākou ke loiloi iā ʻoe.

Ke laina lalo

ʻO nā P ʻekolu o ka maʻi diabetes he polydipsia, polyuria, a me polyphagia. Kūlike kēia mau ʻōlelo i ka hoʻonui ʻana i ka make wai, urination, a me ka makemake, pākahi.

ʻO nā P mau ʻekolu - akā ʻaʻole mau - kū like. He hōʻailona lākou o ke kiʻekiʻe ma mua o nā pae glucose koko maʻamau a ʻo kekahi o nā hōʻailona maʻamau o ka maʻi kō.

Inā ʻoe e ʻike ana i hoʻokahi aʻoi aku paha o nā P ʻekolu, pono ʻoe e hoʻopaʻa manawa me kāu kauka e kūkākūkā i kāu mau hōʻailona.