Mea Kākau: John Stephens
Lā O Ka Hana: 2 Ianuali 2021
HōʻAno Hou I Ka Lā: 21 Nowemapa 2024
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ʻIke i ka maʻi diabetes 2

ʻAno 2 diabetesisa hoʻomalu kūlana. Ke kuhi ʻia ʻoe, hiki iā ʻoe ke hana me kāu kauka e hoʻomohala i kahi papa hana e ola ai ke olakino.

Hoʻohui ʻia ʻo Diabetes i loko o nā ʻano ʻokoʻa. ʻO ka mea i ʻike pinepine ʻia he diabetes diabetes, 1 diabetes, a me 2 diabetes.

ʻO ka maʻi diabetes Gestational

Malia paha he hoaaloha kāu i haʻi ʻia iā lākou he maʻi kō i ka wā hāpai. Kapa ʻia kēia ʻano o ke ʻano he diabetes diabetes. Hiki iā ia ke hoʻomohala i ka manawa o ka trimester ʻelua a ʻekolu paha o ka hāpai ʻana. Hele maʻamau ka maʻi diabetes Gestational ma hope o ka hānau ʻana o ka pēpē.

ʻAno diabetes he 1

Loaʻa paha iā ʻoe kahi hoa aloha kamaliʻi me ka maʻi diabetes nāna i lawe i ka insulin i kēlā me kēia lā. Kapa ʻia kēlā ʻano ʻo diabetes type 1. ʻO ka makahiki kiʻekiʻe o ka hoʻomaka ʻana o ka maʻi ʻaʻano 1 ka makahiki waena. Wahi a ka, ʻano 1 ka 5 pakeneka o nā hihia āpau o ka maʻi kō.

ʻAno diabetes he 2

ʻO ke ʻano diabetes he 2 ka 90 a 95 paha ka pākēneka o nā maʻi a pau o ka maʻi kō, e like me ka CDC. Kāhea ʻia kēia ʻano he mimikō makua-hoʻomaka. ʻOiai hiki ke hana i kēlā me kēia makahiki, ʻoi aku ka maʻamau o ka maʻi ʻaʻano 2 i ka poʻe i ʻoi aku ma mua o 45.


Inā manaʻo ʻoe he maʻi diabetes ʻoe, e kamaʻilio me kāu kauka. Hiki i ke ʻano diabetes like ʻole ke kaohi ʻole ke kumu i nā pilikia koʻikoʻi, e like me:

  • ʻoki ʻana i nā wāwae a me nā wāwae
  • makapō
  • maʻi maʻi puʻuwai
  • maʻi maʻi ʻōpū
  • hahau

Wahi a ka CDC, ʻo ka maʻi diabetes ka 7 alakaʻi nui i ka make ma United States. ʻO ka hapa nui o nā hopena ʻino o ka maʻi kō e hiki ke hōʻalo ʻia me ka lāʻau. ʻO ia ke kumu o ka ʻike nui ʻana he mea nui ka ʻike mua.

Nā ʻōuli o ka maʻi diabetes type 2

ʻIke ʻia kekahi poʻe me ka maʻi diabetes type 2 no ka mea ʻike ʻia nā ʻōuli. Hiki i nā ʻōuli mua ke hoʻopili pū i:

  • hoʻonui a i ʻole ka urination pinepine
  • hoʻonui ka make wai
  • luhi
  • ʻoki a ʻeha hoʻi e hōʻola ʻole ai
  • ʻike hihi

ʻO ka pinepine, ʻike ʻia ka poʻe ma o nā loiloi loiloi maʻamau. Hoʻomaka maʻamau ka kānana maʻamau no ka maʻi diabetes i ka makahiki 45. Pono ʻoe e nānā koke inā ʻoe:

  • kaumaha keu
  • noho i kahi nohona noho
  • he moʻolelo ʻohana ko ka maʻi diabetes type 2
  • he moʻolelo o ka mimikō hānau a hānau paha i kahi pēpē kaupaona ma luna o 9 paona
  • he lāhui ʻApelika-ʻAmelika, ʻAmelika ʻAmelika, Latino, ʻAsia, a i ʻole he mokupuni Pākīpika
  • loaʻa kahi pae haʻahaʻa o ka maikaʻi kolesterol (HDL) a i ʻole kahi pae triglyceride kiʻekiʻe

Pehea e kuhikuhi ai nā kauka i ka maʻi diabetes type 2

ʻO nā ʻōuli o ka maʻi kōkō ʻelua e ulu mālie. Ma muli o ka loaʻa ʻole o nā hōʻailona, ​​ʻaʻole e hoʻohana kāu kauka i nā hoʻokolohua koko e hōʻoia i kāu hōʻoia. ʻO kēia mau hoʻāʻo, i helu ʻia ma aneʻi, e ana i ka nui o ke kō (glucose) i loko o kou koko.


  • glycated hemoglobin (A1C) hōʻike
  • hoʻāʻo plasma glucose hoʻokē ʻai
  • hoʻāʻo glucose glucose paʻalima
  • hoʻāʻo tolerance kō glucose waha

E hana kāu kauka i hoʻokahi a ʻoi paha o kēia mau hoʻokolohua ma mua o hoʻokahi manawa e hōʻoia i kāu ʻike.

Hōʻike hemollobin Glycated (A1C)

ʻO ke aniani hemoglobin glycated (A1C) kahi ana lōʻihi o ke kaohi kō kō. ʻAe ia i kāu kauka e ʻike he aha kāu pae kō kōkō awelika no ʻelua a ʻekolu paha mahina i hala.

Ana kēia hōʻike i ka pākēneka o ke kō kō e pili ana i ka hemoglobin. ʻO Hemoglobin ka protein e hāpai ana i ka oxygen i loko o kāu mau ʻulaʻula. ʻO ke kiʻekiʻe o kāu A1C, ʻo ke kiʻekiʻe o kāu pae kō kō.

ʻAʻole maʻalahi ka hōʻike A1C e like me ka hoʻāʻo glucose glucose wikiwiki a i ʻole ka hoʻowalewale kūleʻa glucose oral. Kuhi kēia e hōʻike i nā mea liʻiliʻi o ka maʻi kō. E hoʻouna kāu kauka i kāu laʻana i kahi hale hōʻike hōʻoia no ka hōʻoia. Lōʻihi paha ka lōʻihi o ka loaʻa ʻana o nā hopena ma mua o kahi hōʻike i mālama ʻia ma ke keʻena o kāu kauka.


ʻO kahi pōmaikaʻi o ka hoʻāʻo A1C ka maʻalahi. ʻAʻole pono ʻoe e hoʻokē ʻai ma mua o kēia hōʻike. Hiki ke ohi i ka laʻana koko i kēlā me kēia manawa o ka lā. Eia kekahi, ʻaʻole i hoʻopili ʻia kāu hopena hopena e ka stress a i ʻole nā ​​maʻi.

E hele pū kāu kauka me kāu mau hopena. Eia ke ʻano o ka hopena o nā hopena hōʻike A1C:

  • A1C o 6.5 pakeneka a ʻoi paha = diabetes
  • A1C ma waena o 5.7 a me 6.4 pakeneka = prediabetes
  • A1C ma lalo o 5.7 pakeneka = maʻamau

Hiki nō ke hoʻohana i kēia ʻano hoʻāʻo e nānā i kāu kaohi kō kō ma hope o kāu ʻike ʻia. Inā loaʻa ʻoe i ka maʻi diabetes, pono e nānā i kāu mau pae A1C i nā manawa he nui i ka makahiki.

Hoʻāʻo plasma glucose hoʻokē ʻai

I kekahi mau kūlana, ʻaʻole kūpono ka hōʻike A1C. ʻO kahi laʻana, ʻaʻole hiki ke hoʻohana ʻia no nā wahine hāpai a i ʻole ka poʻe i loaʻa kahi ʻano hemoglobin. Hiki ke hoʻohana ʻia ka hoʻokēʻai ʻana i ke kō kō. No kēia hoʻāʻo, e lawe ʻia kahi laʻana o kou koko ma hope o ka hoʻokē ʻai ʻana i ka pō.

ʻAʻole like me ka hoʻāʻo A1C, ʻo ke aniani plasma glucose hoʻokēʻai e ana i ka nui o ke kō i kou koko i hoʻokahi manawa i ka manawa. Hōʻike ʻia nā waiwai kō kō i nā milligrams no deciliter (mg / dL) a i ʻole millimoles no ka lita (mmol / L). He mea nui e hoʻomaopopo he hiki ke hoʻopili ʻia kāu mau hopena inā pilikia ʻoe a maʻi paha.

E hele pū kāu kauka me kāu mau hopena. Eia ke ʻano o kāu mau hopena:

  • ka hoʻokēʻai ʻana i ke kō kō o 126 mg / dL a ʻoi aku paha = ka maʻi kō
  • ka hoʻokē ʻai ʻana i ke kō i ke koko o 100 a 125 mg / dL = prediabetes
  • ka hoʻokē ʻai ʻana i ke kō kō ma mua o 100 mg / dL = maʻamau

Hōʻike glucose glucose paʻamau

Hoʻohana ʻia ka hoʻokolohua kō kō koko maʻamau i ka poʻe i loaʻa nā ʻōuli o ka maʻi kō. Hiki ke hana ʻia kahi hōʻike kō kō kōkō i kēlā me kēia manawa o ka lā. Nānā ka hōʻike i ke kō kō me ka nānā ʻole i kāu pāʻina hope loa.

ʻAʻohe mea i ka wā āu i ʻai hope loa ai, ke hōʻike nei kahi hōʻike kō kō kō koko maʻamau o 200 mg / dL a i luna paha he maʻi diabetes kou.Heʻoiaʻiʻo maoli kēia inā loaʻa iā ʻoe nā ʻōuli o ka maʻi kō.

E hele pū kāu kauka me kāu mau hopena. Eia ke ʻano o ka hopena o kāu hopena hopena.

  • ke kō kō kōkō o 200 mg / dL a ʻoi aku = diabetes
  • pae kō kō kō kō kaho ma waena o 140 a me 199 mg / dL = prediabetes
  • ke kō kō kō koko liʻiliʻi ma mua o 140 mg / dL = maʻamau

ʻO ka hoʻāʻo ʻana o ka ʻaukā glucose

E like me ka hoʻāʻo glucose glucose hoʻokē ʻai, ʻo ka hoʻāʻo ʻana o ka glucose glucose pono ʻoe e hoʻokē ʻai i ka pō. Ke hōʻea ʻoe i kāu manawa i koho ai, e lawe ʻoe i kahi hoʻokolohua kō kō kōkē hoʻokē ʻai. A laila e inu ʻoe i kahi wai kō. Ma hope o kāu pau ʻana, e hoʻāʻo kāu kauka i kāu mau kō kō kō i kēlā me kēia manawa no kekahi mau hola.

No ka hoʻomākaukau ʻana no kēia hoʻokolohua, ua paipai ka National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) iā ʻoe e ʻai ma ka liʻiliʻi he 150 mau goma i kēlā lā i kēia lā no nā lā ʻekolu a hiki i ka hoʻāʻo. ʻO nā meaʻai e like me ka palaoa, cereal, pasta, kaʻuala, huaʻai (fresh and caned), a me ka broth maopopo i loko o nā mea ʻaihue āpau.

E haʻi i kāu kauka e pili ana i nā pilikia a me nā maʻi āu e ʻike nei. E ʻike pono i kāu kauka e pili ana i nā lāʻau āpau āu e lawe nei. Hiki i ke koʻikoʻi, ka maʻi, a me nā lāʻau ke hoʻopili i nā hopena o ka hoʻāʻo ʻana o ka glucose glucose.

E hele pū kāu kauka me kāu mau hopena. No kahi hōʻike hoʻomanawanui glucose glucose, eia ke ʻano o kāu mau hopena:

  • ke kō kō o 200 mg / dL a ʻoi aku paha ma hope o ʻelua mau hola = diabetes
  • ke kō kō ma waena o 140 a me 199 mg / dL ma hope o ʻelua mau hola = prediabetes
  • ke kō kō i lalo o 140 mg / dL ma hope o ʻelua mau hola = maʻamau

Hoʻohana ʻia nā hoʻokolohua hoʻomanawanui ʻana o Glucose e ʻike pono i ka maʻi kō i ka wā hāpai.

Ke kiʻi nei i ka manaʻo ʻelua

Pono ʻoe e ʻoluʻolu e loaʻa i ka manaʻo ʻelua inā he hopohopo a hopohopo paha kāu e pili ana i kāu ʻike.

Inā hoʻololi ʻoe i nā kauka, makemake ʻoe e noi i nā hoʻokolohua hou. Hoʻohana nā keʻena o nā kauka ʻokoʻa i nā keʻena hoʻokolohua like ʻole e hana i nā laʻana. Wahi a ka NIDDK hiki i ke kuhi hewa ke hoʻohālikelike i nā hopena mai nā labs like ʻole. E hoʻomanaʻo e pono i kāu kauka e hana hou i nā hōʻike e hōʻoia i kāu ʻike.

Ua hewa paha nā hopena hōʻike?

I ka manawa mua, ʻokoʻa paha kāu mau hopena hōʻike. ʻO kahi laʻana, hōʻike paha kahi hōʻike kō kō i kou loaʻa ʻana i ka maʻi kō, akā hōʻike paha kahi hōʻike A1C ʻaʻole ʻoe. Hiki i ka hope ke ʻoiaʻiʻo.

Pehea e hiki ai kēia? Hiki iā ia ke manaʻo aia ʻoe i kahi manawa mua o ka maʻi kō, a ʻaʻole lawa paha ke kiʻekiʻe o kou kō i ke kō e hōʻike ai i kēlā me kēia hoʻokolohua.

Hiki ke hewa ka hōʻike A1C i kekahi poʻe o ka hoʻoilina ʻApelika, Mediterranean, a me ka hoʻoilina Asia Hikina Hema. Hiki ke haʻahaʻa loa ka hoʻāʻo i nā poʻe me ka anemia a i ʻole ke kahe nui, a kiʻekiʻe loa i ka poʻe me ka anemia hemahema hao. Mai hopohopo - e hana hou kāu kauka i nā hoʻokolohua ma mua o ka hana ʻana i kahi hōʻailona.

Hoʻolālā lapaʻau

Ke ʻike ʻoe he maʻi diabetes kou, hiki iā ʻoe ke hana pū me kāu kauka e hana i kahi hoʻolālā lapaʻau kūpono iā ʻoe. He mea nui e ukali ma hope o kāu nānā ʻana a me kāu koho ʻana i nā kauka. ʻO ka hoʻāʻo pinepine ʻana i kou koko a me ka ʻimi ʻana i kāu mau hōʻailona he mau hanana nui e hōʻoia i ke olakino lōʻihi.

E kamaʻilio me kāu kauka e pili ana i kāu pahuhopu kō kō. Wahi a ka National Diabetes Education Program i ka pahuhopu no nā poʻe he A1C ma lalo o 7. E nīnau i kāu kauka i ka manawa pinepine e hōʻoia ai i kāu kō kō.

E hana i kahi hoʻolālā mālama pono e mālama i kāu maʻi diabetes. Hiki i kēia ke hoʻopili i nā loli nohona e like me ka ʻai ʻana i ka meaʻai olakino, ka hoʻoikaika kino ʻana, ka hoʻōki ʻana i ka puhipaka, a me ka nānā ʻana i kāu kō kō.

I kēlā me kēia kipa, e kamaʻilio me kāu kauka e pili ana i ka holo ʻana o kāu hoʻolālā mālama pilikino.

Outlook

ʻAʻohe lāʻau ola e kū nei no ka maʻi diabetes type 2. Eia nō naʻe, hiki ke mālama ʻia kēia ʻano me nā koho lapaʻau maikaʻi he nui.

ʻO ka hana mua ka ʻike a me ka hoʻomaopopo ʻana i kāu hopena hopena. E hōʻoia i kāu hōʻoia, pono ʻoe i ke kauka e hana hou i hoʻokahi a ʻoi paha o kēia mau hoʻāʻo: A1C, ka hoʻokē ʻai ʻana i ka glucose koko, ka glucose koko maʻamau, a me ka hoʻomanawanui ʻana o ka glucose waha.

Inā kuhi ʻia ʻoe me ka maʻi diabetes, e hana i kahi hoʻolālā mālama pono, hoʻonohonoho i kahi pahuhopu kō kō, a nānā pinepine me kāu kauka.

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