ʻAno 2 Diabetes a me nā maʻi kīnā

Anter

• Nā ʻōuli o nephropathy
• Nā kumu kūpilikiʻi no ka nephropathy diabetic
• Nā kumu o ka diabetic nephropathy
• Kāohi ʻana i ka nephropathy diabetic
• Meaʻai
• Hoʻoikaika kino
• Nā lāʻau
• Kaohi ʻana i ka paka

He aha ka nephropathy diabetic?

ʻO ka nefropathy, a i ʻole ka maʻi maʻi puʻuwai, kekahi o nā pilikia koʻikoʻi no nā poʻe he nui me ka maʻi kō. ʻO ia ke kumu nui o ka holo pono ʻole ʻana o ka hakuʻala ma ʻAmelika Hui Pū ʻIa.

Wahi a ka National Kidney Foundation, ʻoi aku ma mua o 660,000 ʻAmelika i loaʻa i nā maʻi ʻōiwi hopena a ke ola nei ma o ka dialysis.

He mau ʻōuli a he hōʻailona hōʻailona paha ka nefropathy, e like me nā maʻi ʻē aʻe e pili ana i ka maʻi diabetes type 2. ʻO ka hōʻino i nā puʻupaʻa mai ka nephropathy hiki ke hana ʻia no nā makahiki he ʻumi ma mua o ka ʻike ʻia o nā ʻōuli mua.

Nā ʻōuli o nephropathy

Pinepine, ʻaʻohe hōʻailona o ka maʻi puʻupaʻa e kū a hiki i ka hana ʻole ʻana o nā puʻupaʻa. ʻO nā ʻōuli e hōʻike i kāu mau puʻupaʻa i ka makaʻu pū me:

• paʻa wai
• pehu o nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae
• he ʻai ʻilihune
• me ka luhi a nawaliwali hoʻi i ka hapanui o ka manawa
• ʻeha poʻo poʻo pinepine
• hoʻohuhū ʻōpū
• nausea
• ka luaʻi
• ʻōlohelohe
• paʻakikī paʻakikī

Nā kumu kūpilikiʻi no ka nephropathy diabetic

Pono ka ʻike mua i ka maʻi ʻōkomo no ka mālama ʻana i ke olakino maikaʻi. Inā loaʻa ʻoe i ka prediabetes, ʻano diabetes he 2, a i ʻole nā ​​mea ʻē aʻe e ʻike ʻia i ka maʻi diabetes, ua hana mua ʻia kou mau puʻupaʻa a e hoʻāʻo ʻia kā lākou hana i kēlā me kēia makahiki.

Ma waho aʻe o ka maʻi diabetes, ʻo nā kumu pilikia ʻē aʻe no ka maʻi puʻupaʻa:

• kaohi koko kiʻekiʻe ʻole kaohi ʻole ʻia
• kō glucose kiʻekiʻe
• momona
• kolesterol kiʻekiʻe
• kahi moʻolelo ʻohana o ka maʻi ʻōpū
• kahi moʻolelo ʻohana o ka maʻi puʻuwai
• puhipaka
• makahiki kiʻekiʻe

Aia kahi prevalence ʻoi aku o ka maʻi ʻōpū i waena o:

• ʻAmelika ʻAmelika
• Na Inikini Amerika
• Hispanic ʻAmelika
• ʻAmelika ʻAmelika

Nā kumu o ka diabetic nephropathy

ʻAʻohe o hoʻokahi kumu kikoʻī wale nō ka maʻi kīnā. Manaʻo ka poʻe loea e pili ana paha kona ulu ʻana me nā makahiki o ka glucose koko ʻole i kāohi ʻole ʻia. Pāleo paha nā kumu ʻē aʻe i nā kuleana nui, e like me ka predisposition genetical.

ʻO nā puʻupaʻa ka ʻōnaehana kānana koko o ke kino. Hana ʻia kēlā me kēia me nā haneli he mau kaukani nephrons e hoʻomaʻemaʻe i ke koko o ka ʻōpala.

I ka hala ʻana o ka manawa, keu hoʻi ke loaʻa ʻana i ka maʻi ʻaʻano 2 o ke kanaka, lilo ka hana i nā puʻupaʻa no ka mea ke lawe mau nei lākou i ka glucose mai ke koko. Lilo nā nephrons i mumule a wili, a hana hou ʻole pū kekahi.

Koke, hiki ʻole i nā nephrons ke kānana piha i ke kahe o ke kino. ʻO nā mea e hemo pinepine ʻia mai ke koko, e like me ka protein, hele i loko o ka mimi.

ʻO ka hapa nui o kēlā mea makemake ʻole ʻia kahi protein i kapa ʻia ʻo albumin. Hiki ke hoʻāʻo ʻia nā pae o ke albumin o kou kino i kahi mimi e kōkua ai i ka hoʻoholo ʻana i ka holo ʻana o kāu mau puʻupaʻa.

ʻO kahi liʻiliʻi o ka albumin i ka mimi i kapa ʻia ʻo microalbuminuria. Ke loaʻa ka nui o ka albumin i ka mimi, ua kapa ʻia kēia ʻano he macroalbuminuria.

ʻOi aku ka nui o nā makaʻi o ke kō ʻole me ka macroalbuminuria, a me kahi maʻi ʻoi loa (ESRD) kahi pilikia. ʻO ka mālama ʻana no ka ERSD ka dialysis, a i ʻole ke kānana ʻia o kou koko e kahi mīkini a hoʻi hou ʻia i kou kino.

Kāohi ʻana i ka nephropathy diabetic

ʻO nā ala nui e pale ai i ka nephropathy diabetic me kēia mau mea:

Meaʻai

ʻO ke ala maikaʻi e mālama ai i ke olakino olakino e kiaʻi pono i kāu papaʻai. ʻO ka poʻe me ka maʻi diabetes i loaʻa i ka ʻāpana puʻupaʻa pono e makaʻala e pili ana i ka mālama ʻana.

• glucose koko maikaʻi
• kōpaʻa kō
• pae lipid

ʻO ka mālama ʻana i ke kaomi koko ma lalo o 130/80 he mea nui pū kekahi. ʻOiai inā he maʻi maʻi puʻupaʻa kou, e hoʻonui ʻia paha ia e ka hypertension. E hāhai i kēia mau ʻōlelo aʻoaʻo e kōkua e hoʻohaʻahaʻa i kou kaomi koko.

• E ʻai i nā meaʻai me ka haʻahaʻa i ka paʻakai.
• Mai hoʻohui i ka paʻakai i nā meaʻai.
• Lilo kaupaona inā ʻoi nui ʻoe.
• Hōʻalo i ka ʻalekohola.

Koi paha kāu kauka iā ʻoe e hāhai i kahi papa momona, momona haʻahaʻa o ka protein.

Hoʻoikaika kino

Ma muli o nā kauka a kāu kauka, he kī nui ka hoʻoikaika kino i kēlā me kēia lā.

Nā lāʻau

ʻO ka hapanui o ka poʻe me ka maʻi diabetes type 2 i loaʻa i ke kiʻekiʻe o ke koko e lawe i nā mea inhibitors angiotensin hoʻololi (ACE) no ka mālama ʻana i ka maʻi puʻuwai, e like me captopril a me enalapril. Hiki i kēia mau lāʻau ke hiki ke hoʻolohi i ka holomua o nā maʻi puʻupaʻa.

Kauoha pinepine nā kauka iā angiotensin receptor blockers.

ʻO nā koho ʻē aʻe i hiki i nā poʻe me ka maʻi diabetes type 2 a me nā maʻi puʻupuʻu mau ke hoʻohana ʻia o kahi mea hoʻopihapiha sodium-glucose cotransporter-2 a i ʻole agonist reseptor-1 peptide-1 resontor. Hiki i kēia mau lāʻau ke hōʻemi i ka makaʻu o ka holomua o ka maʻi ʻōpū a me nā hanana cardiovascular.

Kaohi ʻana i ka paka

Inā ʻoe puhi paka, pono ʻoe e hoʻokū koke. Wahi a kahi noiʻi 2012 i paʻi ʻia i loko o ka, ʻo ka puhi paka ʻana ka mea nui i hoʻokumu ʻia no ka hoʻomohala ʻana i nā maʻi puʻupaʻa.