ʻAno 3 Diabetes a me ka maʻi Alzheimer: He aha kāu e ʻike ai

Anter

• ʻO ka loulou ma waena o ka maʻi diabetes a me Alzheimer
• Nā kumu a me nā kumu pilikia no ka maʻi diabetes type 3
• Nā ʻōuli o ke ʻano diabetes 3
• ʻIke o ke ʻano diabetes 3
• Hoʻomaʻo no ka maʻi kō ʻekolu
• ʻO Outlook no ka maʻi diabetes type 3
• Kāohi ʻana i ka maʻi diabetes 3

He aha ka maʻi diabetes 3?

ʻO ka maʻi diabetes (i kapa ʻia ʻo DM a i ʻole diabetes no ka pōkole) pili i ke ʻano olakino kahi e paʻakikī ai kou kino i ka hoʻohuli ʻana i ke kō i ka ikehu. ʻO ka maʻamau, manaʻo mākou i ʻekolu ʻano maʻi diabetes:

• ʻAno 1 diabetes (T1DM) kahi ʻano olakino olakino kahi i hana ʻole ʻia ai ka hapa endocrine o kou kino o ka pancreas o ka hormone insulina, a kiʻekiʻe loa kou kō kō (glucose).
• ʻAno 2 diabetes (T2DM) kahi maʻi hoʻomau kahi e ulu ai kou kino i ke kūpaʻa ʻana i ka insulin, a kiʻekiʻe loa ke kō kō kō i ka hopena.
• ʻO ka diabetes diabetes (GDM) ka DM i kū i ka wā o ka hāpai ʻana, a kiʻekiʻe loa ke kiʻekiʻe o ke kō o ke kō i kēia manawa.

Ua manaʻo ʻia kekahi mau noiʻi noiʻi e pono nō hoʻi e hoʻokaʻawale ʻia ka maʻi ʻo Alzheimer ma ke ʻano he ʻano diabetes, i kapa ʻia he type diabetes 3.

ʻO kēia "ʻano 3 diabetes" kahi manawa i noi ʻia e wehewehe i ke kuhiakau o ka maʻi ʻo Alzheimer, kahi kumu nui o ke dementia, i hoʻomaka ʻia e kekahi ʻano o ke kūpaʻa ʻana o ka insulin a me ka hana like ʻole o ka insulin e ulu pono ana i ka lolo. .

Ua hoʻohana ʻia kēia ʻano e kekahi e wehewehe i ka poʻe i loaʻa i ka maʻi diabetes type 2 a ʻike pū ʻia me ka maʻi maʻi maʻi ʻo Alzheimer. ʻO ka hoʻokaʻawale ʻana o ka maʻi diabetes ʻano 3 he mea hoʻopaʻapaʻa nui ia, a ʻaʻole ia e ʻae ʻia e ke kaiāulu lapaʻau e like me kahi hōʻailona maʻi.

ʻO ke ʻano olakino "ʻano 3 diabetes" ma luna e pono ʻole e huikau ʻia me ka maʻi diabetes 3c type (i kapa ʻia hoʻi ʻo T3cDM, diabetes pancreatogenic, a me ka maʻi kō 3c).

Loaʻa i ka pancreas nā endocrine a me nā exocrine glands, a loaʻa iā lākou kā lākou mau hana. ʻO ka insulin kekahi o nā hormones e lawe ʻia e nā beta-islet i loko o nā Islets o Langerhans, ʻo ia ka endocrine pancreas kiko, hana a hūnā.

Ke lilo ka maʻi maʻi exocrine pancreas i maʻi a laila kumu i ka hōʻino lua i ka endocrine pancreas e alakaʻi hope iā DM, ʻo T3cDM kēia. ʻO nā maʻi pancreatic Exocrine i hiki ke alakaʻi iā T3cDM e hoʻopili i nā pathology e like me:

• pancreatitis mau
• cystic fibrosis
• maʻi ʻaʻai exocrine pancreatic

E hoʻomau i ka heluhelu ʻana e ʻike i nā mea a mākou e ʻike ai a me nā mea a mākou e ʻike ʻole ai e pili ana i ka "ʻano he diabetes ʻekolu." A e ʻoluʻolu e hoʻomanaʻo i kēia ʻaʻole e huikau me ka diabetes 3c ʻano.

ʻO ka loulou ma waena o ka maʻi diabetes a me Alzheimer

Wahi a ka Mayo Clinic, ua paʻa kahi loulou paʻa ma waena o Alzheimer a me ka maʻi ʻaʻano 2. Ua manaʻo ʻia e hoʻomaka ʻia paha ʻo Alzheimer e ka pale ʻana o ka insulin i kou lolo. Wahi a kekahi poʻe ʻo Alzheimer he "diabetes wale nō i kou lolo."

Aia kēia koi i kekahi ʻepekema ma hope o ia, akā he mea nui iki ia.

I ka hala ʻana o ka manawa, hiki i ka maʻi diabetic untreated ke hōʻino i kāu kīʻaha koko, me nā kīʻaha i kou lolo. He nui ka poʻe i loaʻa i ka maʻi ʻaʻai ʻano 2 ʻaʻole maopopo iā lākou ka maʻi o lākou, kahi e hoʻopaneʻe ai i ka diagnose a me nā hana lapaʻau kūpono.

No laila, ʻo ka poʻe me ka maʻi maʻisā ʻano 2, ʻoi aku ka nui o ka pilikia o kēia ʻano pōʻino.

Hiki paha i ka maʻi diabetes ke hoʻonā i nā mea kaulike ʻole i loko o kou lolo, e hoʻonāukiuki paha iā Alzheimer. Eia kekahi, ʻo nā pae kō kō kiʻekiʻe e alakaʻi i ka mumū, kahi e hōʻino ai i nā hunaola lolo.

No kēia mau kumu, manaʻo ʻia ka maʻi ʻaʻa he mea weliweli no kahi kūlana i kapa ʻia ʻo dementia vascular. ʻO ka Vement dementia kahi hōʻailona kū hoʻokahi me nā ʻōuli o kāna iho, a i ʻole hiki ke lilo i hōʻailona hōʻailona no ka mea e ulu a hui pū me ka maʻi Alzheimer.

ʻAʻole maopopo ka ʻepekema o kēia kaʻina. I kēia manawa, ʻo ka mea i hoʻokumu ʻia aia kekahi mau maʻi o ka maʻi Alzheimer a me nā ʻano dementia ʻē aʻe i hōʻike ʻole i ka loulou i ke kūpaʻa ʻana o ka insulin.

Nā kumu a me nā kumu pilikia no ka maʻi diabetes type 3

Wahi a kahi noiʻi 2016, hiki i ka poʻe i loaʻa ka maʻi diabetes type 2 a i ka 60 pākēneka ke hoʻomohala i ka maʻi Alzheimer a i ʻole kekahi ʻano dementia, e like me ka vement dementia.

Ua komo kēia ma mua o 100,000 mau poʻe e noho nei me ka dementia. Hōʻike ia i ka nui o ka likelika o nā wahine me ka maʻi diabetes type 2 ma mua o nā kāne.

Nā kumuhana kūpilikiʻi no ka maʻi diabetes ʻano ʻelua:

• kahi moʻolelo ʻohana o ka maʻi diabetes
• ke koko kiʻekiʻe (hypertension)
• ka momona a momona paha
• kekahi mau olakino olakino, e like me ke kaumaha a me ka polycystic ovarian syndrome (PCOS)

Nā ʻōuli o ke ʻano diabetes 3

Hoʻohālikelike ʻia nā ʻōuli o ke ʻano diabetes he 3 e like me nā ʻōuli o ke dementia, e like me nā mea i ʻike ʻia i ka maʻi mua o Alzheimer.

Wahi a ka Alzheimer's Association, pili kēia mau ʻōuli:

• lilo ka hoʻomanaʻo ʻana e pili ana i ka nohona o kēlā me kēia lā a me ka launa pū
• pilikia i ka hoʻopau ʻana i nā hana kamaʻāina
• kuhi hewa pinepine ʻana i nā mea
• ua hoʻemi i ka hiki ke hoʻokolokolo ma muli o ka ʻike
• nā hoʻololi kūlohelohe i ke ʻano a me ke ʻano

ʻIke o ke ʻano diabetes 3

ʻAʻohe hōʻike kikoʻī no ka maʻi diabetes ʻano 3. Kuhi ʻia ka maʻi ʻo Alzheimer ma muli o:

• kahi nānā neurological
• moʻolelo mōʻaukala
• hoʻāʻo neurophysiological

E nīnau aku kāu mea mālama ola i nā nīnau e pili ana i ka mōʻaukala o kou ʻohana a me kāu mau hōʻailona.

ʻO nā haʻawina kiʻi, e like me MRI a me CT scans o ke poʻo, e hāʻawi i kāu mea mālama ola i kiʻi pehea e hana ai kou lolo. Hiki ke nānā i nā hoʻowali wai Cerebrospinal i nā mea hōʻike o Alzheimer.

Inā loaʻa iā ʻoe nā ʻōuli o ka maʻi kōkō ʻelua a me Alzheimer a ʻaʻole i hōʻike ʻia me kekahi, e kauoha paha kāu mea mālama ola i kahi hoʻokolohua kō kō koko wikiwiki a me kahi hōʻike hemoglobin glycated.

Inā loaʻa iā ʻoe ka ʻano diabetes he 2, he mea nui e hoʻomaka koke ʻoe i ka mālama ʻana no ia. ʻO ka mālama ʻana i ka maʻi maʻamau ʻo 2 hiki ke hōʻemi i ka hōʻino o kou kino, me kou lolo, a hoʻolohi i ka holomua o Alzheimer a i ʻole dementia.

Hoʻomaʻo no ka maʻi kō ʻekolu

Aia kekahi mau koho lapaʻau ʻokoʻa no ka poʻe i loaʻa:

• pre-type 2 diabetes
• ʻano 2 diabetes
• Alzheimer's

ʻO nā loli nohona, e like me ka hoʻololi ʻana i kāu papaʻai a me ka hoʻokomo ʻana i ka hoʻoikaika kino i kāu hana maʻamau i kēlā me kēia lā, he ʻāpana nui paha ia o kāu lapaʻau ʻana.

Eia kekahi ʻōlelo aʻoaʻo hou aʻe:

Inā ʻoe e noho nei me ka kaupaona nui, hoʻāʻo e nalo i ka 5 a i ka 7 pakeneka o kou kino, e like me ka Mayo Clinic. Hiki i kēia ke kōkua i ka hoʻōki ʻana i nā hōʻino o nā mea i hoʻokumu ʻia e ke kō kō a kiʻekiʻe a pale paha i ka holomua o ka DM2 i DM2.

ʻO kahi papaʻai haʻahaʻa i ka momona a momona i nā hua a me nā mea kanu hiki ke kōkua i ka hoʻomaikaʻi ʻana i nā ʻōuli.

Inā ʻoe puhihihi, ʻōlelo ʻia ka haʻalele ʻana i ka uahi no ka mea hiki iā ia ke kōkua i ka mālama ʻana i kāu ʻano.

Inā loaʻa iā ʻoe ka maʻi diabetes ʻelua a me Alzheimer, he mea nui ka mālama ʻana no kāu maʻi diabetes 2 e kōkua i ka hoʻolōʻihi i ka holomua o ka dementia.

ʻO Metformin a me insulina kahi lāʻau anti-diabetes e hoʻemi ana i ka makaʻu o ka hoʻomohala ʻia ʻana o ka lolo i hoʻokomo ʻia i ka maʻi diabetes, e like me kahi noiʻi 2014.

Loaʻa nā lāʻau i kuhikuhi ʻia e mālama i nā hōʻailona koikoi o ka dementia o Alzheimer, akā aia ka maopopo ʻole inā he hopena koʻikoʻi kā lākou i nā hōʻailona o ka maʻi o Alzheimer.

Hiki ke kuhikuhi ʻia nā mea hoʻopili Acetylcholinesterase e like me donepezil (Aricept), galantamine (Razadyne), a i ʻole rivastigmine (Exelon) e hoʻomaikaʻi i ke ala e kamaʻilio ai nā hunaola o kou kino kekahi i kekahi.

ʻO Memantine (Namenda), kahi antagonist receptor NMDA, hiki paha ke kōkua i ka hōʻemi ʻana i nā hōʻailona a hoʻolōʻihi i ka holomua o ka maʻi o Alzheimer.

ʻO nā ʻōuli ʻē aʻe o Alzheimer a me nā ʻano dementia ʻē aʻe, e like me ka loli o ke ʻano a me ke kaumaha, hiki ke mālama ʻia me nā lāʻau psychotropic. ʻO nā lāʻau antidepressants a me nā anti-hopohopo nā ʻāpana o ka mālama ʻana i kekahi mau hihia.

Pono paha kekahi poʻe i kahi lāʻau māmā o ka antipsychotic therapy ma hope i ka papa o ke kaʻina dementia.

ʻO Outlook no ka maʻi diabetes type 3

ʻAno 3 diabetes he ala o ka wehewehe ʻana iā Alzheimer i kumu ʻia e ke kūpaʻa ʻana o ka insulin i loko o ka lolo. No laila, ʻokoʻa kāu nānā e like me nā kumu he nui, e like me kāu mālama ʻana i ka maʻi diabetes a me ke koʻikoʻi o kou dementia.

Inā hiki iā ʻoe ke mālama i kāu maʻi diabetes me ka papaʻai, hoʻoikaika kino, a me nā lāʻau lapaʻau, nā mea noiʻi e hāpai i ka ʻike ʻana i ke ʻano diabetes he 3 e hōʻike ana hiki iā ʻoe ke hoʻolohi i ka holomua o ka Alzheimer a i ʻole ka vement dementia, akā maopopo ʻole nā ​​hōʻike.

E loli hoʻi kāu kuana e like me ka hikiwawe o ka loaʻa ʻana o kāu mau hōʻailona a me ka manaʻo o kāu kauka no kāu hihia kikoʻī. Ke hoʻomaka koke ka lapaʻau ʻana, ʻoi aku paha ka maikaʻi o kāu kuana.

Wahi a ka Mayo Clinic, ʻo ke ola maʻamau o ke kanaka me Alzheimer ma kahi o 3 a 11 mau makahiki mai ka manawa a lākou i ʻike ai. Akā hiki i kekahi poʻe me Alzheimer ke ola ma kahi o 20 mau makahiki ma hope o ka ʻike.

Kāohi ʻana i ka maʻi diabetes 3

Inā loaʻa iā ʻoe kahi ʻano diabetes ʻelua, aia kekahi mau ala e hiki ai iā ʻoe ke hoʻokele maikaʻi iā ia a hoʻohaʻahaʻa i kou makaʻu no ka hoʻomohala ʻana i ka maʻi diabetes 3.

Eia kekahi o nā ʻano hana i hōʻoia ʻia no ka mālama ʻana i ka maʻi diabetes ʻano 2 a hoʻoliʻiliʻi i ka poino o nā meaola:

• E hoʻāʻo e hoʻoikaika kino ʻehā mau manawa i kēlā me kēia pule no 30 mau minuke i kēlā me kēia lā.
• E hoʻāʻo e ʻai i nā meaʻai olakino haʻahaʻa i ka momona momona, waiwai i ka protein, a kiʻekiʻe i ka fiber.
• E nānā pono i kāu kō kō e like me nā ʻōlelo a kāu kauka.
• Lawe i nā lāʻau i kuhikuhi ʻia i ka papa kuhikuhi a me ka maʻamau.
• Nānā i kāu mau pae kolesterol.
• Mālama i kou kaupaona olakino.