Nā Hōʻailona 10 Diabetes Pono e ʻike nā Wahine e pili ana

Anter

• Nā hōʻailona diabetes type 1
• ʻO ke kaumaha kaumaha
• Ka luhi loa
• Nā Wā Kūpono ʻole
• I ka manawa e ʻike ai i kahi kauka
• Ke hiki ke hōʻailona i nā ʻōuli o ka maʻi diabetes
• Nā hōʻailona diabetes type 2
• ʻAʻohe Hōʻailona
• PCOS
• Nā hōʻailona maʻi diabetes gestational
• ʻOi aku ka nui o ka pēpē maʻamau
• Loaʻa ke kaupaona nui
• Nā hōʻailona ma mua o ka maʻi diabetes
• Hoʻokiʻekiʻe ʻia ke koko koko
• Nānā no

ʻOi aku ma mua o 100 miliona ʻAmelika e noho nei me ka maʻi diabetes a i ʻole pre-diabetes, e like me ka hōʻike 2017 mai nā Centers for Disease Control and Prevention. He helu weliweli kēlā — a ʻoiai ka nui o ka ʻike e pili ana i ke olakino a me ka meaʻai, ke piʻi nei kēlā helu. (Pili: Hiki ke kōkua i ka papaʻai keto me ka maʻi diabetes type 2?)

Eia kekahi mea weliweli: ʻOiai inā ʻoe e noʻonoʻo ke hana pono nei ʻoe i nā mea āpau - ka ʻai ʻana me ka maikaʻi, ka hoʻoikaika kino ʻana - aia kekahi mau mea (e like me ka mōʻaukala o kou ʻohana) hiki ke hoʻoweliweli iā ʻoe no kekahi ʻano maʻi kō.

Eia pehea e ʻike ai i nā hōʻailona maʻi diabetes i nā wahine, me nā hōʻailona o ke ʻano 1, ʻano 2, a me ka maʻi diabetes gestational, a me nā hōʻailona ma mua o ka maʻi diabetes.

Nā hōʻailona diabetes type 1

Hoʻokumu ʻia ka maʻi diabetes type 1 e ke kaʻina hana autoimmune kahi e hoʻouka aku ai nā mea ʻino i nā hunaola beta o ka pancreas, i ʻōlelo ʻia ʻo Marilyn Tan, MD, kahi endocrinologist ma Stanford Health Care nāna ka papa pālua i hōʻoia ʻia ma endocrinology a me nā lāʻau kūloko. Ma muli o kēia hoʻouka kaua, ʻaʻole hiki i kāu pancreas ke hana i ka nui o ka insulin no kou kino. (FYI, eia ke kumu o ka nui o ka insulin: He hormone ia e kipaku ana i ke kō mai kou koko i loko o kāu mau pūnaewele i hiki iā lākou ke hoʻohana i ka ikehu no nā hana nui.)

ʻO ke kaumaha kaumaha

"Ke hiki mai kēlā [pancreas attack], hōʻike ʻia nā hōʻailona maʻamau, maʻamau i loko o kekahi mau lā a i ʻole pule," wahi a Kauka Tan. "E loaʻa i ka poʻe ke kaumaha kaumaha - i kekahi manawa he 10 a 20 paha mau paona - me ka hoʻonui ʻia o ka make wai a me ka mimiki, a i kekahi manawa nausea."

ʻO ke kaupaona kaumaha ʻole ma muli o ke kō kō nui. Ke hiki ʻole i nā puʻupaʻa ke hoʻopili hou i ke kō a pau, ma laila ka inoa āpau no nā maʻi diabetes, diabetes mellitus, i hele mai ai. Inā loaʻa iā ʻoe ka maʻi diabetes type 1 i ʻike ʻole ʻia, hiki i kāu mimi ke honi ʻono, hoʻohui ʻo ia.

Ka luhi loa

ʻO kekahi ʻōuli o ka maʻi maʻamau ʻo 1 ka luhi nui loa, a ʻike kekahi poʻe i ka nalo o ka ʻike, i ʻōlelo ʻia e Ruchi Bhabhra, M.D., Ph.D., he endocrinologist ma UC Health a he kākāʻōlelo kōkua kōkua no endocrinology ma ke Kulanui o Cincinnati College of Medicine.

Nā Wā Kūpono ʻole

ʻO nā hōʻailona diabetes i nā wahine no ka ʻano 1 a me ka ʻano 2 e hōʻike like i nā kāne. Eia nō naʻe, hoʻokahi hōʻailona koʻikoʻi o ka wahine ʻaʻole i loaʻa i nā kāne, a he ana maikaʻi ia o ke olakino holoʻokoʻa o kou kino: he kaʻina menstrual. "ʻO kekahi mau wāhine he mau manawa maʻamau i ka wā e maʻi ai lākou, akā no nā wāhine he nui, he hōʻailona nā manawa kūponoʻole i kekahi mea," wahi a Dr. Tan. (Eia kekahi wahine wahine hōkū pōhaku e holo heihei 100-mile me ka maʻi diabetes type 1.)

I ka manawa e ʻike ai i kahi kauka

Inā ʻoe e ʻike i ka hoʻomaka koke ʻana o kēia mau ʻōuli - keu hoʻi ka pohō kaumaha a me ka hoʻonui ʻana i ka make wai (ke kamaʻilio nei mākou e ala ana i ʻelima aʻeono mau manawa i ka pō e pī) - pono ʻoe e hoʻāʻo i kou kō kō. Hiki i kāu kauka ke holo i kahi hōʻike koko maʻalahi a i ʻole ka mimi e ana i kāu kō kō.

Eia kekahi, inā loaʻa iā ʻoe kekahi mau pilikia i loko o kou ʻohana, e like me kahi pili pili me ka maʻi maʻi type 1, pono ia e hāpai i ka hae ʻulaʻula e kiʻi i kāu kauka ASAP. "ʻAʻole pono ʻoe e noho ma luna o kēia mau hōʻailona," wahi a Kauka Bhabhra.

Ke hiki ke hōʻailona i nā ʻōuli o ka maʻi diabetes

ʻO kēlā ʻōlelo i kekahi manawa, ʻo kekahi manawa nā hōʻailona e like me ka hoʻonui iki ʻana o ka make wai a me ka urination hiki i kekahi mea ʻē aʻe, e like me nā lāʻau kahe koko a i ʻole nā ​​diuretics ʻē aʻe. Aia kekahi maʻi ʻē aʻe (uncommon) i kapa ʻia he diabetes insipidus, ʻaʻole ia he maʻi diabetes akā he maʻi hormonal ia, wahi a Dr. Bhabhra. Ma muli o ka nele o ka hormone i kapa ʻia ʻo ADH e kōkua i ka hoʻoponopono ʻana i kou mau puʻupaʻa, hiki ke alakaʻi i ka nui o ka make wai a me ka mimi ʻana, a me ka luhi mai ka maloʻo.

Nā hōʻailona diabetes type 2

Ke piʻi nei ka maʻi diabetes Type 2 no nā mea āpau, ʻo nā keiki a me nā wahine ʻōpio, wahi a Kauka Tan. ʻO kēia ʻano he 90 a 95 paha ka pākēneka o nā hihia āpau i ʻike ʻia o ka maʻi kō.

"I ka wā ma mua, e ʻike mākou i kekahi wahine ʻōpio i kona wā ʻōpio a manaʻo he ʻano 1 ia," wahi a Dr.Tan, "akā ma muli o ke ahulau nui, ke ʻike nei mākou i nā wahine ʻōpio he nui a me ka maʻi kōkō ʻelua." Hāʻawi ʻo ia i ka hoʻonui ʻia o ka loaʻa o nā meaʻai i hoʻoponopono ʻia a me nā nohona nohona e noho hapa nei no kahi piʻi ʻana. (FYI: ʻO kēlā me kēia hola o ka TV āu e nānā ai e hoʻonui i kou pilikia.)

ʻAʻohe Hōʻailona

ʻOi aku ka maʻalahi o nā ʻōuli o ka maʻi kōkō 2 ma mua o ke ʻano 1. Ma ka manawa i ʻike ʻia ai kekahi me ka ʻano 2, ua loaʻa paha iā lākou no kekahi manawa - ke kamaʻilio nei mākou he mau makahiki - wahi a Kauka Tan. A ʻo ka hapa nui o ka manawa, asy asymatic ia i kona wā mua.

ʻAʻole like me ka maʻi diabetes type 1, hiki i kekahi me ke ʻano 2 ke hana i ka nui o ka insulin, akā ʻike ʻo ia i ka pale ʻana i ka insulin. ʻAʻole ia e pane i ko lākou kino i ka insulin e like me ka mea e pono ai, ma muli o ka momona a momona paha, ka noho ʻana ma ke ʻano noho a me ka lawe ʻana i kekahi mau lāʻau, wahi a Kauka Tan.

He kuleana nui ko nā Genetics ma aneʻi, a ʻo ka poʻe me ka moʻolelo ʻohana o ka maʻi maʻamau ʻo 2 ka nui o ka makaʻu. ʻOiai ʻo ka ʻano 2 e hoʻopili pono ʻia me ka momona, ʻaʻole pono ʻoe e kaumaha nui e hoʻomohala iā ia, wahi a Dr. Tan: Eia kekahi laʻana, ʻo ka poʻe mai Asia he ʻoki BMI haʻahaʻa o 23 (ʻo ka cutoff maʻamau no ke kaupaona "maʻamau". 24.9). "ʻO ia hoʻi ma ke kaupaona o ke kino o lalo, ʻoi aku ka nui o kā lākou makaʻu o ka maʻi diabetes type 2 a me nā maʻi metabolic ʻē aʻe," i kākau ai ʻo ia.

PCOS

ʻOi aku ka nui o ka pilikia o ka wahine ma mua o nā kāne: polycystic ovarian syndrome, a PCOS paha. Ma kahi o ʻeono miliona wahine ma ʻAmelika i loaʻa i ka PCOS, a ua hōʻike ʻia nā haʻawina ʻo ka loaʻa ʻana o ka PCOS e hoʻonui ʻia ʻoe i ka maʻi diabetes type 2. ʻO kekahi kumu e hoʻokau iā ʻoe i kahi makaʻu kiʻekiʻe loa ka mōʻaukala o ka diabetes maʻamau (ʻoi aku ma kēlā ma lalo).

ʻO ka hapa nui o ka manawa, ʻike kuhihewa ʻia ka maʻi ʻaʻano 2 ma o ka loiloi olakino maʻamau a i ʻole hōʻike makahiki. Eia nō naʻe, ʻike paha ʻoe i nā ʻōuli like o ke ʻano 1 me ka ʻano 2, ʻoiai ke hele mālie nei, wahi a Dr. Bhabhra.

Nā hōʻailona maʻi diabetes gestational

Aia i ka 10 pakeneka o nā wahine hāpai āpau e hoʻopili ʻia e ka diabetes diabetes, e like me ka CDC. ʻOiai e pili ana i kou kino e like me ke ʻano o ka maʻi diabetes 2, ʻo ka diabetes diabetes pinepine pinepine ʻia, wahi a Dr. Tan. ʻO ia ke kumu e hana ai nā ob-gyns i nā hoʻokolohua hoʻomanawanui glucose ma kekahi mau pae e hōʻoia ai no ka maʻi kō.

ʻOi aku ka nui o ka pēpē maʻamau

Hiki i nā hoʻololi Hormonal i loko o ka hāpai ʻana ke hoʻonui i ke kūpaʻa o ka insulin, e alakaʻi ana i ka maʻi diabetes. ʻO kahi pēpē e ana ana i ka nui ma mua o ka maʻamau, he hōʻailona ia o ka maʻi kō maʻamau, wahi a Kauka Tan.

ʻOiai ʻo ka maʻi diabetes maʻamau ʻaʻole ia he mea weliweli i ka pēpē (ʻoiai paha e hoʻonui ka mea hānau hou i kāna hana insulin ma hope koke o ka hānau ʻana, he manawa pōkole ka hopena, wahi a Dr. Tan), ma kahi o 50 pākēneka o ka poʻe i loaʻa i ka maʻi diabetes e hoʻomaka e hoʻomōhala ʻano. 2 ma hope mai, e like me ka CDC.

Loaʻa ke kaupaona nui

Hoʻomaopopo pū ʻo Kauka Tan i ka loaʻa ʻana o kahi kaumaha keu o ke kaupaona i ka wā o ka hāpai ʻana hiki ke lilo i hōʻailona hōʻailona hou. Pono ʻoe e launa pū me kāu kauka i loko o kou hāpai ʻana e hōʻoia i ka loaʻa ʻana o kou kaumaha i loko o kahi pae olakino.

Nā hōʻailona ma mua o ka maʻi diabetes

Loaʻa i ka pre-diabetes he ʻoi aku ka kiʻekiʻe o kāu kō kō ma mua o ka maʻamau. ʻAʻohe o kāna mau hōʻailona, ​​wahi a Kauka Tan, akā ʻike ʻia ma o nā hoʻokolohua koko. "ʻOiaʻiʻo, he hōʻailona ia ma ka hapanui he makaʻu nui ʻoe e hoʻomōhala i ka maʻi diabetes type 2," i ʻōlelo ai ʻo ia.

Hoʻokiʻekiʻe ʻia ke koko koko

E ana nā kauka i kou glucose koko e hoʻoholo ai inā kiʻekiʻe kou mau kiʻekiʻe, wahi a Dr. Bhabhra. Hana maʻamau lākou i kēia ma o ka hemoglobin glycated (a i ʻole A1C), e ana ana i ka pākēneka o ke kō kō e pili ana i ka hemoglobin, ka protein i hāpai i ka oxygen i loko o kou mau ʻulaʻula. aiʻole ma o ka hoʻokēʻai ʻana i ke kō kō, e lawe ʻia ma hope o ka hoʻokē ʻai ʻana i ka pō hoʻokahi. No ka mea hope, he mea maʻamau kekahi mea ma lalo o 100 mg / DL; 100 e hōʻike ana i ka 126 e hōʻike ana i ka maʻi kō ma mua o ka maʻi kō. aʻo nā mea ma luna o 126 ʻo ia hoʻi he maʻi diabetes kou.

Kaumaha a obesity paha; ka noho ʻana i kahi noho maʻamau; a me ka ʻai ʻana i ka nui o nā mea i hoʻomaʻemaʻe ʻia, kiʻekiʻe-calorie a i ʻole ke kō i hiki ke lilo i mau mea āpau i ka hoʻomohala ʻana i ka maʻi kō. Eia nō naʻe he mau mea ma mua o kou kaohi. "ʻIke mākou i ka nui o nā mea maʻi e hoʻāʻo nei i kā lākou mea hiki, akā ʻaʻole hiki ke hoʻololi i nā genetics," wahi a Kauka Tan. "Aia kekahi mau mea hiki iā ʻoe ke hoʻololi a ʻaʻole hiki iā ʻoe ke hoʻololi i kekahi, akā e hoʻāʻo e hoʻonui i kou hoʻololi ʻana i kou nohona e pale ai i ka maʻi diabetes type 2."

Nānā no