ʻO ka lā maʻi diabetes honua ʻO ia ka hoʻolaha hoʻolaha honua mua e kālele ana i ka maʻi diabetes mellitus a mālama ʻia ma 14 Nowemapa i kēlā me kēia makahiki.
Ua alakaʻiʻia e ka International Diabetes Federation (IDF), kēlā me kēia World Diabetes Day e nānā i kahi kumuhana e pili ana i ka maʻi diabetes;ʻO ka maʻi diabetes type-2 ka mea hiki ke pale ʻia a hiki ke mālama ʻia i ka maʻi hiki ʻole ke piʻi wikiwiki i ka helu o ka honua.ʻAʻole hiki ke pale ʻia ka maʻi maʻi type 1 akā hiki ke mālama ʻia me nā inikini insulin.ʻO nā kumuhana i uhi ʻia e pili ana i ka maʻi diabetes a me nā pono kanaka, ka maʻi diabetes a me ka nohona, ka maʻi diabetes a me ka momona, ka maʻi diabetes i ka poʻe hemahema a me nā mea palupalu, a me ka maʻi diabetes i nā keiki a me nā ʻōpio.
He aha ka maʻi diabetes?
ʻO ka maʻi maʻi maʻi he maʻi maʻi maʻi e hiki mai ana ke hoʻopuka ʻole ka pancreas i ka nui o ka insulin a ʻaʻole hiki i ke kino ke hoʻohana pono i ka insulin āna e hana ai.ʻO ka insulin kahi hormone e hoʻoponopono i ke kō koko.ʻO ka hyperglycemia, a i ʻole ke kō koko kiʻekiʻe, he hopena maʻamau ia o ka maʻi maʻi maʻi ʻaʻole i hoʻomalu ʻia, a hiki i ka wā lōʻihi ke hoʻopōʻino i nā ʻōnaehana he nui o ke kino, ʻoi aku ka nui o nā aʻalolo a me nā kīʻaha koko.
ʻO ka hoʻāʻo ʻana e pili ana i ka maʻi diabetes ka nui o ka hoʻāʻo ʻana i ka glucose koko, me ka hoʻokē ʻai koko glucose, glucose tolerance test (OGTT), a me glycosylated hemoglobin.ʻOiai ua hoʻohana nui ʻia ka hoʻāʻo ʻana i ka glucose koko, aia kekahi mau hemahema.No ka laʻana, hiki iā ia ke nānā i ke kiʻekiʻe o ka glucose o ke koko i loko o ke kino, a ʻo ka nānā hoʻokahi o ka glucose koko hoʻokēʻai hiki ke hoʻolilo i kekahi maʻi diabetes.kiʻekiʻe a maʻamau.No ka mea, ʻo ka hyperglycemia ma muli o nā hemahema i ka huna ʻana o ka insulin a i ʻole kona hopena olaola, a i ʻole nā mea ʻelua, pono no nā hōʻailona ʻike intuitive hou aku no ka huna ʻana o ka insulin i ka hana lapaʻau.
Hoʻomaka i ka insulin a me C-peptide:
InsulinAia he 51 mau amino acids me nā kaulahao peptide ʻelua, ʻo A a me B, i hoʻopili pū ʻia e nā mea paʻa disulfide ʻelua.Loaʻa ia mai nā pūnaewele β-pancreatic.ʻO kāna hana nui ka hoʻoikaika ʻana i ka hoʻololi ʻana o ka glucose a me ka hana ʻana o ka glycogen, a ke kāohi i ka gluconeogenesis.Ma laila e mālama ai i ke kūpaʻa o ke kō koko.
C-peptidehuna ʻia e nā pancreatic β-cells a loaʻa kahi precursor maʻamau, proinsulin, me ka insulin.Hoʻokaʻawale ʻia ka Proinsulin i 1 mole o ka insulin a me 1 mole o C-peptide, no laila ua kūlike ka nui o ka molar o C-peptide me kāna insulin ponoʻī, a ʻo ke ana ʻana i ka C-peptide ke ana ʻana i ka ʻike o ka insulin.I ka manawa like, ʻaʻole i hoʻopau ʻia e ke ake e like me ka insulin i ke kaʻina metabolic, a ʻoi aku ka lōʻihi o kona hapalua ola ma mua o ka insulin, no laila ʻoi aku ka paʻa o ka C-peptide ma ke koko peripheral ma mua o ka insulin, ʻaʻole ia. pili i ka insulin exogenous,no laila hiki iā ia ke hōʻike maikaʻi i ka hana β-cell Pancreatic.
He aha nā hōʻike lapaʻau?
ʻO Insulin a me C-peptide nā hōʻailona ʻike nui no ka insulin.Ma o kēia mau ho'āʻo ʻelua, hiki i nā maʻi ke ʻike inā nele loa lākou i ka insulin a i ʻole ka nele o ka insulin, inā he maʻi diabetes type 1 a i ʻole type 2 diabetes.
ʻAno maʻi diabetes 1, i ʻike mua ʻia ʻo ka maʻi diabetes-hilinaʻi i ka insulin, e pili ana i10%o ka huina nui o na ma'i ma'i ma'i ma'i a loaa pinepine i na keiki a me na opio.
ʻO ke kumu, ua luku ʻia nā cell pancreatic islet B e ka cell-mediated autoimmunity a ʻaʻole hiki ke synthesize a huna i ka insulin ma o lākou iho.Aia paha nā ʻano autoantibodies i loko o ka serum i ka hoʻomaka ʻana o ka maʻi.Ke hiki mai ka maʻi diabetes type 1, ʻoi aku ka ʻike o nā hōʻailona o ka maʻi maʻi, a maʻalahi ka ketosis, ʻo ia hoʻi, aia ke ʻano o ka ketosis, a pono ia e hilinaʻi i ka insulin exogenous e ola ai.Ke hoʻopau ʻia ka mālama ʻana i ka insulin, he mea weliweli ia i ke ola.Ma hope o ka loaʻa ʻana o ka mālama ʻana i ka insulin, hoʻomaikaʻi ka hana o ka pancreatic islet B cell, piʻi pū ka helu o nā cell B, hoʻomaikaʻi nā hōʻailona maʻi, a hiki ke hoʻemi ʻia ka nui o ka insulin.ʻO kēia ka mea i kapa ʻia ʻo ka wā honeymoon, hiki ke mau no kekahi mau mahina.Ma hope iho, i ka hele ʻana o ka maʻi,He mea pono ke hilinaʻi i ka insulin kōkua haole e hoʻomalu i ke kiʻekiʻe o ke kō koko a pale i ka hana kino ketone.
ʻAno maʻi diabetes 2, i ʻike mua ʻia ʻo ka maʻi diabetes non-insulin-dependent, helu no kahi90%ʻO ka nui o nā maʻi maʻi diabetic, a ʻo ka hapa nui o lākou e ʻike ʻia ma hope o ka makahiki 35.
He lohi a hoʻopunipuni ka hoʻomaka ʻana.Hoʻokuʻu ʻia ka insulin a ʻoi aku ka liʻiliʻi a i ʻole ka maʻamau, a hoʻololi ka piko o ka huna ʻana ma hope.Ma kahi o 60% o nā poʻe maʻi me ka maʻi maʻi type 2 ke kaumaha a paʻa paha.ʻO ka ʻai ʻana i ka wā lōʻihi, ka nui o ka calorie, ka piʻi ʻana o ke kaumaha, a me ka momona.ʻO ka momona ke alakaʻi i ka insulin resistance, hoʻokiʻekiʻe i ke kō koko, a ʻaʻohe ʻano ʻike i ke ketosis.Hiki i ka hapa nui o nā maʻi ke hoʻomalu i ke kō koko ma hope o ka mālama ʻana i ka meaʻai a me nā lāʻau hypoglycemic waha;akā naʻe, ʻo kekahi poʻe maʻi, ʻoi aku ka nui o nā poʻe maʻi obese, pono i ka insulin exogenous e kāohi i ke kō koko.Loaʻa i ka maʻi diabetes type 2 kahi hoʻoilina ʻohana.
Pehea e pale ai i ka maʻi diabetes?
Ua manaʻo ʻia he 422 miliona mau mākua ma ka honua holoʻokoʻa i loaʻa i ka maʻi diabetes i ka makahiki 2014, mai ka 108 miliona i ka makahiki 1980. Eia kekahi, ua aneane pālua ʻia ka nui o ka maʻi diabetes mai ka makahiki 1980, mai 4.7% a i 8.5% o ka heluna kanaka makua.ʻO ka maʻi maʻi i pepehi i 3.4 miliona mau kānaka i kēlā me kēia makahiki a inā ʻaʻole mālama pono ʻia, hiki ke hōʻeha i ke kino me ka makapō.Hōʻike kēia i ka piʻi ʻana o nā mea pilikia e like me ke kaumaha a me ka momona.ʻOi aku ka wikiwiki o ka ulu ʻana o ka maʻi diabetes ma nā ʻāina haʻahaʻa a me waena ma mua o nā ʻāina kiʻekiʻe i nā makahiki i hala.ʻO ka nūhou maikaʻi, ma o ka lāʻau lapaʻau a me ka hoʻomalu ʻana i ka hana, hiki i ka poʻe me ka maʻi diabetes ke ola i ke ola maʻamau a me ke ola e like me ka poʻe olakino.
No laila, e hāʻawi mākou iā ʻoe i kekahi mau ala e pale ai i ka maʻi diabetes:
1. Hooikaika kino: ʻO ka hoʻoikaika kino maʻamau kekahi o nā ala maikaʻi loa e pale a hoʻomalu i ka maʻi maʻi type 2.ʻO kaʻoiaʻiʻo, hiki i ka hana kino a me ka hana lōʻihi ke hoʻonui i ka pilikia o ka maʻi diabetes.Hiki i ka hoʻomaʻamaʻa maʻamau ke hoʻomaikaʻi i ka hiki o nā ʻiʻo ke hoʻohana i ka insulin a hoʻopaʻa i ka glucose, a hiki iā ia ke hoʻomaha i ke kaomi ʻana i kekahi mau mea hana insulin.He pōmaikaʻi ʻē aʻe ka hoʻoikaika kino, ʻo ia ke kōkua iā ʻoe e hoʻemi i ke kaumaha.ʻOiai hiki iā ʻoe ke hoʻohana i nā lā 5 o ka pule e hoʻoikaika ai no 30 mau minuke i kēlā me kēia manawa, e kōkua nui ia i ka hoʻomaikaʻi ʻana i ke koko a me ka cholesterol.ʻO ka hoʻoikaika kino ke ala maikaʻi loa e hakakā ai i ka maʻi diabetes.
2. ʻAi maikaʻi: He mea koʻikoʻi ka meaʻai olakino e pale a hoʻomalu i ka maʻi diabetes.Ke koho ʻoe i nā mea inu, pono ʻoe e koho i ka wai maʻemaʻe, nā mea inu ʻole ke kō, a i ʻole ke kofe kō ʻole, a e haʻalele i nā mea inu kō.ʻO nā keiki a me nā mākua e inu mau ana i nā mea inu kō, ʻoi aku ka nui o ke kaumaha.Eia kekahi, hiki i nā mea inu sugary ke kōkua i ka pale ʻana i ka insulin.Ma keʻano o ka momona momona, ponoʻoe e pale i nā "momona maikaʻi" a koho i nā "momona maikaʻi".ʻO ka ʻai ʻana i nā aila meaʻai a me nā aila nut hiki ke hoʻonui i ka ʻae ʻana o ka glucose e nā mea hoʻokipa insulin i nā ʻiʻo o ke kanaka a kōkua i ka pale ʻana i ka maʻi diabetes type 2.E kaupalena i kou ʻai ʻana i nā ʻakika i hana ʻia, e like me ka berena keʻokeʻo a me ka laiki, no ka mea hiki iā lākou ke hoʻonui i ke kō koko a me ka insulin.ʻO ka hope, e kaupalena i kāu ʻai ʻana i ka ʻiʻo ʻulaʻula a e hoʻāʻo e ʻai i nā kumu waiwai o ka protein, e like me ka moa a i ʻole ka iʻa.
3. Hoʻoponopono kaumaha: ʻO ka momona ke kumu nui o ka maʻi diabetes type 2.ʻO ka poʻe obese he 20 a hiki i ka 40 mau manawa e ulu aʻe ka maʻi diabetes ma mua o ka poʻe paona maʻamau.Aneane hiki ke pale ʻia a hoʻomalu ʻia ka maʻi diabetes ma o ka ʻai kaulike, olakino a me ka hoʻoikaika mau.Wahi a ke aʻo ʻana o ka "Diabetes Prevention Program (DPP)" ma ʻAmelika Hui Pū ʻIa, i hoʻohālikelike ʻia me nā maʻi i loaʻa i ka lāʻau lapaʻau placebo, nā maʻi i loaʻa i ʻekolu mau makahiki o ke ola ola (ILS) he 58% ka emi ʻana o ka pilikia o ka ulu ʻana i ka maʻi diabetes.He mea pono ke hoʻomaopopo ʻia ua ʻike pū ka poʻe hoʻonaʻauao, ma ka awelika, ʻo kēlā me kēia kilokani i nalowale e hōʻemi i ka pilikia o ka hoʻomohala ʻana i ka maʻi diabetes ma 16%, a ʻo kēia mau helu e lilo i kumu hoʻoikaika no ʻoe e mālama i ke kaumaha olakino.
4. Nā nānā ola kino mau: Hiki i ka nānā 'ana i ke ola kino a me ka nānā 'ana i ka ma'i diabetes ke hā'awi i ka 'ike piha e pili ana inā he hui pilikia 'oe no ka ma'i diabetes.E nānā ʻia ka maʻi diabetes "hemoglobin glycosylated"i loko o ke koko a me"albumin” i ka mimi.Inā ʻoi aku ka kiʻekiʻe o nā helu ʻelua ma mua o ka maʻamau, ʻo ia ka mea e loaʻa ana paha ʻoe i ka maʻi diabetes.Hāʻawi mākou i ka Polokalamu Diabetes e kōkua i ka pale ʻana, ka ʻike a me ka mālama ʻana i ka maʻi diabetes.Mai ka ʻike ʻana i nā hōʻailona o ka pre-diabetes i ka mālama ʻana i ka retinopathy diabetic a me ka maʻi diabetes gestational, hiki iā mākou ke hāʻawi i ka mālama pono a me ka hoʻonaʻauao no nā maʻi maʻi maʻi, i hiki ai i nā maʻi ke hoʻi i ke ola maʻamau e like me ka hiki.
Aehealth InsulinHoʻohana ka Rapid Quantitative Test i ka immunofluorescence.Hui pu meAehealth Lamuno Ximmunofluorescence analysis, hiki ke hoʻohana ʻia e kōkua i ke kākau ʻana i ka maʻi diabetes a me ka maʻi maʻi, i mea e kuhikuhi ai i ka lāʻau kūpono.
Ho'āʻo wikiwiki: 5-15 min loaʻa nā hopena;
ʻO ka lawe ʻana a me ka mālama ʻana i ka lumi wela;
Nā hualoaʻa hilinaʻi: Hoʻopili i ke kūlana honua.
https://www.aehealthgroup.com/immunoassay-system/
Ka manawa hoʻouna: Nov-16-2022