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Diabetes i nā wahine

ʻO ka maʻi diabetes kahi hui o nā maʻi metabolic kahi i loaʻa i ke kanaka ke kō koko kiʻekiʻe ma muli o nā pilikia i ka hana ʻana a i ʻole ka hana ʻana o ka insulin. Hiki i ka maʻi diabetes ke hoʻopili i ka poʻe o nā makahiki, ka lāhui, a me ka wahine paha. Hiki ke hoʻopili i ka poʻe me kēlā me kēia ʻano nohona.

Ma waena o 1971 a me 2000, ua heleleʻi ka nui o ka make no nā kāne me ka maʻi diabetes, e like me kahi noiʻi i Annals of Internal Medicine. Hōʻike kēia hoʻoliʻiliʻi i ka holomua i ka mālama ʻana i ka maʻi kō.

Akā hōʻike pū ka haʻawina i ka nui o ka make no nā wahine me ka maʻi diabetes ʻaʻole i hoʻomaikaʻi. Eia kekahi, ʻo ka ʻokoʻa o ka helu make ma waena o nā wahine i loaʻa i ka maʻi diabetes a me nā mea ʻaʻole i ʻoi aku i ka pāpālua.

Ua ʻoi aku ka nui o ka make ma waena o nā wahine, akā aia ka neʻe ʻana o ka mahele o ka moekolohe o ka maʻi maʻamau ʻo 2 e hōʻike ana i nā helu kiʻekiʻe i nā kāne.

Hōʻike ka hopena i ka hopena o ka maʻi diabet i nā wahine a me nā kāne. Ua komo nā kumu i kēia:

  • Loaʻa pinepine i nā wahine i ka hoʻomaʻamaʻa hōʻemi ʻole no nā mea ʻino a me nā kūlana e pili ana i ka maʻi kō.
  • ʻO kekahi o nā pilikia o ka maʻi kō i nā wahine ʻoi aku ka paʻakikī e ʻike.
  • Loaʻa pinepine nā wahine i nā ʻano maʻi maʻi puʻuwai ma mua o nā kāne.
  • ʻOkoʻa ka hana a ka Hormones a me ka mumū i nā wahine.

Loaʻa mai ka 2015 i ka United States 11.7 miliona mau wahine a me 11.3 miliona mau kāne i ʻike ʻia me ka maʻi kō.


Nā hōʻike honua mai ka makahiki 2014 e ka mokuʻāina aia kekahi o kahi o 422 miliona mau mākua e noho nei me ka maʻi diabetes, mai ka 108 miliona i hōʻike ʻia ma 1980.

Nā ʻōuli o ka maʻi kō i nā wahine

Inā he wahine ʻoe me ka maʻi diabetes, ʻike paha ʻoe i nā ʻōuli like like me ke kāne. Eia nō naʻe, kū hoʻokahi kekahi mau ʻōuli i nā wahine. ʻO ka hoʻomaopopo ʻana e pili ana i kēia mau ʻōuli e kōkua iā ʻoe e ʻike i ka maʻi kō a loaʻa i ka lāʻau ma ka wanaʻao.

ʻO nā ʻōuli kū hoʻokahi i nā wahine:

1. Nā maʻi maʻi hū a me ka hū a me ka ʻōpū pūpū

ʻO ka ulu nui o ka hū i hana ʻia e ka Candida Hiki i ka fungus ke hana i nā maʻi hū ʻoi, nā maʻi hū waha, a me ka thrush vaginal. Kūleʻa kēia mau maʻi i nā wahine.

Ke hoʻomohala ka maʻi i loko o ka wahi vaginal, hoʻopili ʻia nā ʻōuli me:

  • ʻūlili
  • ʻehaʻeha
  • hoʻokuʻu hoʻokuʻu
  • moekolohe ʻeha

Hoʻokomo pinepine nā maʻi hū waha i ka uhi keʻokeʻo ma ke alelo a i loko o ka waha. ʻO nā kiʻekiʻe kiʻekiʻe o ka glucose i ke koko e hoʻoulu i ka ulu ʻana o ka fungus.


2. Nā maʻi urinary

ʻOi aku ka makaʻu o ka maʻi urinary tract (UTI) i nā wahine i loaʻa i ka maʻi diabetes. Hoʻokumu nā UTI ke komo ka bacteria i loko o ka urinary tract. Hiki i kēia mau maʻi ke kumu:

  • urination ʻeha
  • ʻāʻā wela
  • mimi koko a ʻōpua paha

Aia ka makaʻu o ka maʻi ʻaʻai inā ʻaʻole mālama ʻia kēia mau ʻōuli.

Kūleʻa nā UTI i nā wahine me ka maʻi kō ma muli o ka pilikia o ka ʻōnaehana paleʻea ma muli o ka hyperglycemia.

3. Ka hana pono ʻole o ka wahine

Kū ka diabetic neuropathy ke hōʻino ke koko kiʻekiʻe i ke olonā. Hiki i kēia ke hoʻoulu i ka tingling a me ka nalo ʻana o ka manaʻo i nā ʻāpana like ʻole o ke kino, e like me:

  • lima
  • wawae
  • wāwae

Hiki paha i kēia ʻano ke hoʻopili i ka sensation i ka wahi o ka liʻiliʻi a hoʻohaʻahaʻa i ka wahine ka wahine.

4. ʻO ka maʻi polycystic ovary Syndrome

Hana ʻia kēia maʻi ke hana ke kanaka i kahi nui o nā homone kāne a ua makemake ʻia e loaʻa iā PCOS. ʻO nā hōʻailona o ka polycystic ovary syndrome (PCOS) me:


  • wā kūlike ʻole
  • loaʻa kaupaona
  • huehue
  • kaumaha
  • infertility

Hoʻokumu pū paha ʻo PCOS i kahi ʻano kūpaʻa insulina e hopena ai i ke kiʻekiʻe o ke kō a me ka hoʻonui i ka makaʻu o ka maʻi kō.

Nā ʻōuli ma nā wahine a me nā kāne

E ʻike paha nā kāne a me nā wahine i kēia mau ʻōuli o ka maʻi kōkō i hōʻike ʻole ʻia:

  • mahuahua ka makewai a me ka pololi
  • urination pinepine
  • ka pohō a me ka loaʻa ʻana me ke kumu ʻole
  • luhi
  • ʻike hihi ʻole
  • nā ʻeha e hoʻōla mālie
  • nausea
  • maʻi maʻi ʻili
  • nā ʻāpana o ka ʻili ʻeleʻele i nā wahi o ke kino i loaʻa nā kalima
  • ukiuki
  • hanu i loaʻa kahi mea ʻoluʻolu, hua, a ʻala acetone paha
  • hoʻemi i ka manaʻo i nā lima a i ʻole nā ​​wāwae

He mea nui e hoʻomanaʻo i ka nui o nā poʻe me ka maʻi diabetes ʻano 2 ʻaʻole i ʻike ʻia nā ʻōuli.

ʻO ka hāpai a me ka ʻano 1 a me ka maʻi kōkō 2

Ke haʻohaʻo nei kekahi mau wahine me ka maʻi diabetes inā palekana ka hāpai ʻana. ʻO ka nūhou maikaʻi hiki iā ʻoe ke loaʻa i kahi hāpai olakino olakino ma hope o ka ʻike ʻia me ka maʻi diabetes 1 a ʻano 2 paha. Akā he mea nui e mālama i kāu kūlana ma mua a i ka wā o ka hāpai ʻana e hōʻalo i nā pilikia.

Inā ʻoe e hoʻolālā ana e hāpai, ʻoi aku ka maikaʻi o ka loaʻa ʻana o kāu pae glucose koko ma kahi kokoke i kāu pae i hiki ke loaʻa ma mua o kou hāpai ʻana. Kū'ē kāu pae i ka wā e hāpai ʻokoʻa paha nā pae ke ʻole ʻoe hāpai.

Inā loaʻa ʻoe i ka maʻi diabetes a hāpai ʻoe a lana paha i ka hāpai ʻana, e kamaʻilio me kāu kauka e pili ana i nā ala maikaʻi loa e mālama ai i ke olakino o kāu pēpē. ʻO kahi laʻana, pono e nānā i kāu mau pae kō glucose a me ke olakino laulā ma mua a i kou wā hāpai.

Ke hāpai ʻoe, holo ka glucose koko a me nā ketones ma o ka placenta i ka pēpē. Koi aku nā pēpē i ka ikehu mai ka glucose e like me ʻoe. Akā makaʻu nā pēpē i nā kīnā o ka hānau inā kiʻekiʻe loa kāu glucose. ʻO ka lawe ʻana i ke kō i ke koko kiʻekiʻe i nā pēpē hānau ʻole e waiho iā lākou i ka makaʻu no nā ʻano e komo pū ana:

  • nā manaʻo hoʻohuihui
  • hoʻopaneʻe hoʻomohala
  • kahe koko kiʻekiʻe

ʻO ka maʻi diabetes Gestational

Kūpono ka maʻi ʻaʻai Gestational i nā wahine hāpai a ʻokoʻa i ka maʻi diabetes type 1 a me 2. Kū ka maʻi diabetes Gestational ma kahi o 9.2 pakeneka o nā hāpai keiki.

Hoʻopilikia nā hormoni o ka hāpai ʻana i ka hana a ka insulin. ʻO kēia ke kumu o ke kino e hana hou aʻe i ia. Akā no kekahi mau wahine, ʻaʻole lawa kēia o ka insulin, a ulu lākou i ka maʻi diabetes.

Hoʻokumu pinepine ka maʻi diabetes Gestational ma hope o ka hāpai ʻana. I ka hapa nui o nā wahine, hele ka maʻi diabetes ma hope o ka hāpai ʻana. Inā ua loaʻa ʻoe i ka maʻi diabetes, ʻoi aku ka nui o kou makaʻi no ka maʻi diabetes type 2. Koi paha kāu kauka i ka hōʻoia diabetes a me ka prediabetes hōʻoia i kēlā me kēia mau makahiki.

Nā kumu pilikia no ka maʻi diabetes i nā wahine

Wahi a ka Office on Women's Health (OWH) ma ka US Department of Health and Human Services, makaʻu ʻoe i ka maʻi diabetes type 2 inā ʻoe:

  • ʻoi aku ma mua o 45
  • kaumaha a momona paha
  • loaʻa kahi moʻolelo ʻohana o ka maʻi diabetes (makua a i ʻole hoahānau)
  • he ʻAmelika-ʻAmelika, ʻōiwi ʻAmelika, ʻōiwi Alaskan, Hispanic, ʻAsia-ʻAmelika, a i ʻole he ʻōiwi Hawaiʻi
  • ua loaʻa he pēpē me ka hānau hānau o nā keiki o 9 a ʻoi
  • ua loaʻa i ka maʻi diabetes
  • loaʻa ke koko kiʻekiʻe
  • he kolesterol kiʻekiʻe
  • hoʻoikaika kino ma mua o ʻekolu mau manawa o ka pule
  • pili i nā kūlana olakino ʻē aʻe i nā pilikia e hoʻohana ana i ka insulin, e like me PCOS
  • he moʻolelo o ka maʻi puʻuwai a i ʻole hahau

Lapaʻau

Ma nā pae o ke ola, hōʻike nā kino o nā wahine i nā mea keakea no ka mālama ʻana i ka maʻi kō a me ke kō kō. Hiki paha nā pilikia ma muli o:

  • Kekahi lāʻau hoʻomalu hānau hiki ke hoʻonui i ke kō glucose. No ka mālama ʻana i kahi pae olakino o ke kō glucose, e nīnau i kāu kauka e pili ana i ka hoʻololi ʻana i kahi lāʻau kaohi hānau haʻahaʻa.
  • Hiki i ka Glucose i kou kino ke kumu nā maʻi hū. ʻO kēia no ka mea ʻo ka glucose e wikiwiki i ka ulu ʻana o ka fungus. Aia kekahi ma kahi kūʻai aku a me nā lāʻau i kuhikuhi ʻia e mālama ai i nā maʻi hū. Hiki iā ʻoe ke hōʻalo i nā maʻi hū ma ka mālama ʻana i ka maikaʻi o kāu kō kō. Lawe i ka insulina e like me ka mea i kauoha ʻia, hoʻoikaika pinepine, hoʻemi i ka lawe ʻana i kāu ʻona, koho i nā meaʻai glycemic haʻahaʻa, a kiaʻi i kāu kō kō.

Hiki iā ʻoe ke hana i nā hana e pale ai a hoʻopaneʻe ai paha i ka maʻi diabetes, pale i nā pilikia, a mālama i nā ʻōuli.

Nā Lapaʻau

Aia kekahi mau lāʻau i hiki iā ʻoe ke lawe e mālama i nā hōʻailona a me nā pilikia o ka maʻi kō. Loaʻa nā papa hou he nui o nā lāʻau no ka maʻi kō, akā ʻo nā lāʻau lapaʻau hoʻomaka maʻamau ka:

  • ka lāʻau insulina no nā poʻe āpau me ka maʻi diabetes type 1
  • metformin (Glucophage), kahi e hōʻemi ai i ke kō kō

Hoʻololi ka nohona

Hiki i nā loli nohona ke kōkua i ka mālama ʻana i ka maʻi kō. Pākuʻi ʻia kēia mau mea:

  • hoʻokō a mālama i kahi kaupaona olakino
  • ka hōʻalo ʻana i ka uahi paka ʻana
  • e ʻai ana i ka papaʻai e nānā pono ana i nā huaʻai, nā mea kanu, a me nā ʻanoʻa holoʻokoʻa
  • ke nānā nei i kāu kō kō

Nā hoʻoponopono ʻē aʻe

Hiki i nā wahine me ka maʻi diabetes ke hoʻāʻo i nā ʻano lāʻau ʻokoʻa e hoʻokele i kā lākou mau hōʻailona. Pākuʻi ʻia kēia mau mea:

  • lawe i nā mea hoʻopiha e like me chromium a i ʻole magnesium
  • ʻo ka ʻai ʻana i ka broccoli, ka palaoa, ka nahele, ka pi, a me nā hua fenugreek
  • ke lawe nei i nā mea kanu mea kanu

E hoʻomanaʻo e kūkākūkā me kāu kauka ma mua o ka hoʻāʻo ʻana i nā lāʻau hou. ʻOiai inā he kūlohelohe lākou, hiki iā lākou ke keʻakeʻa i nā mālama o kēia wā a i ʻole nā ​​lāʻau.

Nā pilikia

Hoʻohui pinepine ʻia nā ʻano kūpilikiʻi e ka maʻi kō. ʻO kekahi o nā pilikia a nā wahine me ka maʻi kō e pono ai:

  • Nā maʻi ʻai. Hōʻike kekahi mau noiʻi e ʻike pinepine ʻia nā maʻi ʻai i nā wahine me ka maʻi kō.
  • Maʻi maʻi coronary. ʻO ka nui o nā wahine i loaʻa i ka maʻi maʻamau ʻo 2 ua loaʻa i ka maʻi puʻuwai ke kuhi ʻia (ʻoiai nā wahine ʻōpio).
  • Nā kūlana ʻili. Hoʻopili kēia i nā maʻi bacteria a fungal paha.
  • Poino nerve. Hiki i kēia ke alakaʻi i ka ʻeha, hoʻoliʻiliʻi maikaʻi ʻole, a i ʻole ka nalo ʻana o ka manaʻo i nā lālā i hoʻopili ʻia.
  • Poino ka maka. Hiki i kēia ʻōuli ke alakaʻi i ka makapō.
  • Poino wāwae wāwae. Inā ʻaʻole e mālama koke ʻia, hiki i kēia ke hopena i ka ʻokiʻoki.

Outlook

ʻAʻohe mea ola no ka maʻi kō. Ke hōʻoia ʻia ʻoe, hiki iā ʻoe ke hoʻokele i kāu mau ʻōuli.

Ua ʻike ʻia he 40 pākēneka ka nui o nā wahine e make ma muli o ka maʻi.

Ua ʻike ʻia ka noiʻi ʻana ʻo ka poʻe me ka maʻi diabetes type 1 he pōkole ke kali ʻana o ke ola ma mua o ka lehulehu. ʻO ka poʻe me ka maʻi diabetes 1 hiki ke ʻike i ko lākou ola i hoʻohaʻahaʻa ʻia e 20 mau makahiki, a ʻo ka poʻe me ka maʻi maʻisā ʻano 2 e ʻike e hoʻohaʻahaʻa ʻia e 10 mau makahiki.

Hiki i nā ʻano lāʻau like ʻole, nā loli nohona, a me nā hoʻoponopono ʻē aʻe ke kōkua i ka mālama ʻana i nā ʻōuli a me ka hoʻomaikaʻi ʻana i ke olakino holoʻokoʻa. E nīnau i kāu kauka ma mua o ka hoʻomaka ʻana i nā lāʻau hou, ʻoiai inā ʻoe e manaʻo palekana lākou.

E heluhelu i kēia ʻatikala ma ka Paniolo.

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