Mōʻaukala o ka maʻi: 'ano 2 mimikō, ka anu u decompensation subcompensation, loa papa, insulina, insulinopotrebny, diabetic polyneuropathy. Outlook

Paha i na kanaka, hoʻoikaika ihola kā lākou 'inikua mōʻaukala. ʻAno 2 mimikō ua hoakaka ia maloko e i i oi aku discouragement. Akā, i ka mea maikai, e haawi mai a me ka manao? Ka oi pilikia loa i ka maʻi, a pehea e hana me ia - e noiʻi ana kākou.

Mimikō - He aha ka ka pilikia?

People pinepine lohe e pili ana i mimikō, akā, wale he kakaikahi wale nō mea ia mea. It E e hoʻomaopopo i ka manawa "mimikō" - He He like kiʻi. Kēia manawa, e hui kekahi mau maʻi o ka endocrine nenoaiu. Lākou mau kumu, he lehulehu lawa, akā, me ka rula, ma muli mai i endocrine kāna hana, a me ka pau - nele o ka insulina. Kekahi ololi e ia i ka hikiʻole, e metabolize monakō koko ma ke ake a me ka kino nā'aʻaʻa. Ma keia hihia, ke kino maoli kona 'ilikai, a, ma ka huli, ke kumu i ka laulā o kāna hana i loko o pūnao.

Mimikō - kona ano

Hoikehonua, lapaau distinguishes mauʻano o ka maʻi. Puka i wahi ke kaumaha ma muli mea 'ano o ka insulina deficiency - i pili' ole loa - wehewehe i ka mōʻaukala o ka maʻi. ʻAno 2 mimikō ua nui,ʻaʻole me ka deficiency o ka hōmona insulina, i mea hoʻoili hanauna pancreas hou pili. I hookuu, i ke kumu no kona kūpono 'ana ua hoemi i ka pā lonoaʻili o nā loko, a nā'aʻaʻa i keia hōmona. Mimikō insulina - ke 'ano mua - ua pololei ua hoʻopili i ka insulina deficiency i loko o ke kino. Ka nele o keia hōmona hiki aku ai i ka mea i ka monakō koko komo i ke kino, i hoʻokō 'ia, a me ia mea i loko o lawa na mea, a me konaʻilikai i loko o ke koko ua mau e ulu ana, a me ka mea, e hoola i ke ola o ka mea e hoomanawanui i pono ke hookipa aku ka hou mahele lāʻau o ka insulina.

I ka moolelo o ka maʻi - 'ano 2 mimikō mellitus

Keia ua kekahi kapa insulina-e kaukaʻi mimikō. Wahi a ka 'ikepili helu, e hoomanawanui i pilikia, mai kēia' ano o ka maʻi, ua nui hou ma mua o ka mea mua. Me makahiki, i ke kamepiula i ka maʻi, e hoike ia mea, ua nui mahuahua. Loa pinepine, kona ulu He Aloha Bikini, a me ke ahonui i ka lōʻihi manawa, aole ia i ike e pili ana i kēia maʻi, hoike e manao ia aole ia e noonoo i ka mōʻaukala o ka maʻi. Mimikōʻano 2 ua loaʻa i loko o keia hihia e like me "accidental loaʻa" ma oaeouee? Ninaninau. I ka papa kuhikuhiE anakahi e leie aku oe, e manao i ke alo o kēia maʻi o ke koko hōʻike, i hou monakō koko. I huli, ka wā i mōʻaukala o ka maʻi, 'ano 2 mimikō ua maheleia i:

• ia lŘlŘ ka maʻamau-kaupaona nā mea maʻi;
• hōʻike 'ia ma nā mea maʻi me ka obesity.

mimikō hookomo ana i

Nō i loko o ke kaʻina hana o ka nooaai opiopio kahuna lapaau he puka mai i ka aʻo mōʻaukala o ka maʻi, 'ano 2 mimikō i hiki ke kauoha aku e kekahi mau kumu. Ka loa, he pono ole poʻe i:

• ʻai ana o ka maemae carbohydrates (kōpaʻa, kokoleka, baking, ka uala) ma ka nui a me ka mea ole o ke kanu puluniu i loko o kaʻai;
• nā kūpuna mai - ma ke alo o ia i ka maʻi i loko o nā mākua mimikō nānā aku ana ia, ua oi aku ma mua o 40%;
• Obesity, o ka oi aku visceral type (momoma hoʻokomo kālā ke aupuni 'kuhikuhi ma ka abdominal māhele'āina);
• hypertension;
• physical inactivity.

He aha Ka hele ana? pathogenesis

I ka moolelo o ka maʻi mimikō mellitus type 2 wehewehe ana i ka helu o ka 'aʻe' ana i loko o ke kaʻina hana o ka pūnao. Ua Ua nānā 'ana i insulina ia'ku - ka hikiʻole o nā'aʻaʻa maʻamau lawe insulina, ma ka kekahi lima, a me ka' aʻe 'ana i kēia hōmona hoʻomakaʻia keena o na pancreas - ma ka' ē aʻe. Maʻamau, me ka mahuahua monakō koko pae, a ia lŘlŘ koke ma hope o kaʻai, i ka pancreas e paka insulina huli akahele. People me ka Type II mimikō, keia 'aʻole i hoʻomaka ai, a me ka wale helu kuhi puke i ka paka insulina ka wā monakō koko nā hoʻohui like ua kiʻekiʻe helu ihoiho. Naʻe, hoʻowahāwahā i ke alo o ka insulina, hookuu iho i ke koko kō, ma keia hihia i ka makemake kiʻekiʻe ia lŘlŘ. A eia i ke kiekie lehulehu o ka insulina hiki aku ai i ka mea i na keena lilo aku i ko lakou hiki e pane ia ia, a me ka manawa, a hiki ina ka hōmona hiki ole hoʻohui i ka mea loaʻa keena,ʻaʻohe naoh. E kū'ē i ke kāʻei kua o kēia mau loli ma ke akepaʻa keena hoʻomaka i ka 'Imi synthesize monakō koko, hou mahuahua kona lehulehu i loko o ke koko. A pau o keia, aole ia e hele aku me ka hopena. E ho'ōla, ma lalo o ka hana o ka lehulehu kiʻekiʻe o monakō koko monakō koko kaʻawahia e hoʻomōhala ai, a he kūlana e loli ai ka pancreatic aeee ka hana insulina, a, me ia i kaʻilihune, kona deficiency e hoʻomōhala ai. Penei, i huiʻia ma ka mōʻaukala o ka maʻi. ʻAno 2 mimikō ua auou caiaiai insulinopotrebny shape ka wā insulina ua ole i koi 'ia. Ke hoomanawanui i ka kulana deteriorates.

symptoms

Ma ka Classic mimikō? Aaieou hoʻoholo e līkaia no nā pūʻulu o na hoailona o ka maʻi - iniiaiie a me nā haumāna. I ka papa kuhikuhiE nā:

• polyuria - Ua anao? aou i ou wahi lihi iki o ka mimi (monakō koko, haule i loko o ka mea, me ka nui loa maoli ka osmotic puʻe);
• makewai (polidispepsiyu) - wehewehe aku ma ka ikaika, ke kinaiia nele no ka inu ana;
• wi (polidisfagiyu) - aie i ka hikiʻole o na keena, e assimilate monakō koko hoʻohana insulina, i ke kino i ka ikaika nele no ka ikehu;
• koke ke kaupaona poho - ia i wahi e kū'ē i ka backdrop o ka mahuahua ikaika loa ka makemake.

A pau kēia mau symptoms mea hou ano o keʻano mua o ka mimikō. Ka lua oʻano ke kahe nui asymptomatic 'ole ma o na la kiʻekiʻe hiʻona:

• maneo o ka ili a me ka mucous membranes - pinepine i ka nana ana o ke ahonui, a me ka kēia 'ano 2 mimikō (mōʻaukala), he wahine ke hoʻolauleʻa i ka unbearable maneo ana o na wahine;
• mau nawaliwali, a me ka headaches;
• hoʻoʻino ili lesions i mea hiki ole i ka hana;
• ua hoʻemi hihio.

E like me ka rula, o ka hapa nui wale e ole e lohe i na symptoms, a me ka maʻi hiki ke hoikeia mai ma ke kahua o ka complications wale.

Keiki a me ka mimikō

Eia naʻe, mimikō ua ike like me ka lua o ka loa, he pono ole maʻi maʻi. I luna i olelo ai Pediatrics. Mimikō (ʻano 2) ka mōʻaukala o ka maʻi i ke keiki ka pinepine i loko o ka mahele o ka noho pilikia loa ka maʻi. O ke kumu ho i ka nui, e hoike ana ia mea okoa mai ka maʻi no ka oi kokololio hooulu ana o ka makua a me ka pinepine lawe oi ma mua o malignant. Naʻe, i loko o kēia hihia, na mea a pau hilinaʻi nui i hiki i nā mākua 'e hoʻomaʻa i ka mana o ke keiki, a hōʻoia' eleu lāʻau hooponopono. Eia hou kekahi, ia mea nui, e huai ae i ka maʻi i loko o manawa. Inā i ke keiki i ka mea kēia mau symptoms e koke nīnau ka endocrinologist:

• keiki uaʻike piʻi ikaika makewai;
• nui aku paha, e hele i ka 'Ia (ma ke kula' ole kindergarten puʻe wale akula kēlā mau manawa, e noi aku i ka mai mai ke kula);
• hoemiia ke kino kaumaha;
• he mea maʻi luhi.

lapaʻau '

Mimikō ua diagnosed ka nānā 'ana ma luna o mimi a me ke koko e ho'āʻo ai. Ma ke ola i ke kanaka i loko o ka mimi monakō koko ua i ho'ākāka 'ia, a me kona koko pae' aʻole e oi 5.5. No ka ike loea hualoaʻa, i ke koko ia mai i ka manamana lima, a me ka aa koko (e e lawe i ka ai hope ma ka liʻiliʻi 8 hola mua o ka kaʻina hana), ma mua haawi hiki ole inuʻala kī, kope a me ka wai. It E e kaulana i mimikō ua diagnosed i holo 'awelika ma luna 7. Ina o ka holo' awelika ka ÷ 4 i ka 7, o ka? Aaeno? Hihia hoʻi monakō koko ioeeiiaiey.

Kekahi hōʻike, e kuhikuhi i ka maʻi, a, e möakäka hou i ka questionable cia, he monakō koko ioeeiiaiey ho'āʻo (OGTT). Ua apono 'oe e kiʻiʻikepili e pili ana i ka nui o ka hooke ai ana i ke koko monakō koko, e like me nā hola ma hope o ka mea, i ka monakō koko pāʻoihana. Maʻamau ma hope o kona monakō koko lehulehu e ole ia ma luna o 7,8. ua i lawe mai i kēia hoʻokolohua wā monakō koko ma mua o ka hoao ana ma luna o 6,1 ina ke hoʻomanawanui i ka mōʻaukala o ka huʻi maʻi i hiki mai,ʻoki kino, myocardial infarction, trauma, a me ka wā e loaa ana ai 'i mahuahua ai monakō koko. A pau kēia mau 'ikepili noonoo i ka mōʻaukala o ka maʻi.

E kikokiko 2 mimikō, subindemnification

E like me kekahi maʻi, mimikō mālama e hoonui a me ka hōʻoi 'i ka symptoms. Ua Ua kaʻawale ma na anuu ekolu. uku ke kahua me ua hoonoho iho la ma ka wanaao o ka hana ana i ka hoʻomanawanuiʻana i ka maʻamau. Inā manawa 'aʻole e lawe ana, a me ka mea e ole lawe mai i ka manaoia hopena, i ka maʻi hele i loko o ke kahua subcompensation. Ma keia holo ana, i ke ano o ka hoomanawanui, i ka mea maikaʻi, akā, i uncritical. Ma ka lā i ka hoʻomanawanui nalowale mimi i oi aku mamua o ke kanalima nā huna o ka monakō koko, a me konaʻilikai i loko o ke koko mea e pili ana i 13,8, i ka acetone i loko o ka mimi mea ole. ? Ac? O hyperglycemic coma ma keia kahua, he, mea hiki ole. By anu u subkomensatsii loaʻa ka palapala moku'āina ma waena o compensated a me decompensated, i ke kahua no ka lawe ana i ka luna uku nā loina monakō koko 7,5, ka pakeneka o ka hemoglobin glikerirovannogo 6.5% monakō koko a me ka hoʻokēʻai - emi o 6,1. decompensation ke kahua 'ia paha, ina na nā hoailona mamua o na kēia mau palena:

• ke koko monakō koko - oi ma mua o 9;
• glikerirovanny hemoglobin - oi ma mua o 9%;
• ka hookeai monakō koko - he 7.

Hoʻololi i kēia mau metrics a me ka laulā o ka hoakaka iapaau ana kōkua e kumumea i ka mōʻaukala o ka maʻi. E kikokiko 2 mimikō, loa papa o ka i pane ai poorly i Inc a triggered e 'ē aʻe, me ka anu u hele i ka decompensation.

Makaʻu aʻela decompensation

O ka holo ana, o kela mea keia kino mea okoa, a me nā kumumea e hoʻonui ai i ka maʻi i e okoa, akā, me ka loa, he pono ole o kēia mau mea:

• overeating, kueʻai;
• ka hewa i loko o ke koho ana o ka lāʻau, kona laʻau heluna, a hoole lapaau;
• pakiko-noi a dietary kumukanawai a ma ka lieu i koho lāʻau;
• hoole ana e hele ma insulina Inc;
• maʻiʻaʻai, hoʻolaulaha dehydration;
• stressful wahi, i hiki.

A pau o kēia mau kumumea pākahi 'ole i loko o ka hoʻopiha' ano pili i ka moku'āina o metabolic keʻano o ka hanaʻana, a me ka hopena, he mea ka mahuahua o ka monakō koko 'ilikai nā hoailona i ka hopuʻia i ka mōʻaukala o ka maʻi. E kikokiko 2 mimikō, decompensated a ma keia hihia ua i huiʻia ma keʻano o nā complications ma na nā loko, a nenoai o ke kino, e lilo ia hoʻoweliweli a me ka pololei ole lapaau e hoohewa ai i ka hoʻomanawanui ka ola. Ma keia hihia, complications e hoʻomōhala like me ka hooloihi ae i manawa, a literally loko hola.

decompensated

E like me ka lehulehu o ka monakō koko, piʻi pū, a me kona? Iaea pono ke ana hou nui, exacerbated ma ka mōʻaukala o ka maʻi. Mimikō (ʻano 2), decompensation i ua wehewehe aku ma kekahi kamepiula kiʻekiʻe o complications, pono loa makaala noonoo. O ke kumu ho i ka mea ia ia ka mea paʻakikī e hoʻomaʻa i ke kiʻekiʻe o ka monakō koko hoʻohana 'ana i nāʻai, a me ka pono o ka ai'. E like me ia i kaʻilihune, oe pono e akahele, a mau kanaka hoʻoponopono i ke ano o ke ahonui, no ka mea, i loko o ka wa e kaawale aku o ka pākōlea hopena o ka palapala noi o ai 'loa koke loaʻa nō pathological loli i loko o nā nā loko. No laila, i kēia mau hoʻomanawanui iki mai āpono 'inikua ka mālamaʻana, a me ka loa pinepine i loko o ka pilikia lumi.

O ka nui 'aneʻi o ka manawa kūpono o ka kuokoa mana o ko lākou kulana. Mea pōmaikaʻi, kēia lapaʻau i lawa ke kālā no keia koho. Ke Kula Kaiapuni 'o Kaoleioku a me nā mea paʻahana a e hooholo i ka nui o ka monakō koko, e leie aku nā mea maʻi me ka mimikō i ka pakiko-diagnose i ko lakou kulana a me, ke kaumaha ma muli o ka hopena, e lawe mai i ka hooponopono.

Insulina ma mimikō Inc

E like me ka maʻi progresses, a me ka hoʻomōhala ana i ka exhaustion o pancreatic aeee i i komo i loko o? Iecaianoaaiiuo o insulina. Kēia kaʻina Pono koke hōmona Inc. E like me ka hoike ma nā haʻawina, kekahi manawa mea wale nō e leie aku oe, e malama i monakō koko ma ka akau kiʻekiʻe. Aka hoi, oe e ole kuhi i ka hookohu o ka insulina - e Aloha no ke ola. Pinepine,ʻano 2 mimikō, insulina, 'inikua mōʻaukala, a pono e e destined e hoʻopio i ka wa e ola ana o ka insulinaʻai ana, a me kekahi mau ho'āʻo pono ma ka aoao o ka hoʻomanawanui i hele i loko o ia waeʻano, mai e koi i ka mau mea, o keia hōmona. Mimikō ma keia manao pili i ka poe pathologies ma a e hoʻokō i ka pākōlea ia ka mea nui, a me ka hooponopono ana ho'āʻo pono ma ka aoao o ka hoʻomanawanui. No laila, ia mea, mai kona hoʻoponopono i ka mahalo o kaʻai, ka hoʻoponopono-ka mālamaʻana o ka nui o ke kō a me ka 'eleu ka lapaʻauʻia, e hilinaʻi ma ka degere o ka uku o ka mea maʻi. Naʻe, i loko o kekahi mau hihia, i ka hookohu o ka insulina - he muli o ana. Keia ia lŘlŘ:

• i hāpai keiki;
• ma ka hihia o ka naau ino paha hahau ana;
• iʻoki kino;
• infectious maʻi pyoseptic ano;
• ma ke kiekie holo 'awelika o keʻena hoʻokolohua lapaʻau' ana.

Kekahi mea nui ke kumu no ka OAXA koho o ka insulina hiki e he okoa nele i o keia hōmona, a ua hookupaa iho la ia ma ka moolelo o ka maʻi. ʻAno 2 mimikō, i ka anu u decompensation ua wehewehe aku ma ka loa e holumua ai ke kaupaonaʻana poho a me ka ulu ketoacidosis, o ke Kuhina Nui laʻana.

It E e kaulana ia i kēia lā lapaau hoomaka nui ka laulā o ka pono o ka insulina, a kauoha aku hookupaa iho la ia i ua waiho i ka hopenaʻoi loa o ka monotherapy me ku una ka lapaʻauʻia emi o 6 makahiki. A laila mākou i ke hoakaka hou aku ai '. E like me ka mea hou i loko o ke au o ka iapaau ana o ka mimikō, insulina hoʻohana i loko o ia manawa, manaoia e e oi hoʻomāhuahua ai.

huʻi complications

Huʻi complications o ka decompensated - mea he ano ma i he mea kekahi maoli hoʻoweliweli 'ana i ka hoʻomanawanui ka ola. Ka mea, i ana, kena ae la ia e ka nui mahuahua i loko o ka nui o ka monakō koko, a pili kāna hana o ka pūnao. Ma ka hanana o keia kulana mea nui a me ka 'eleu kokua, e like me ka ike i ka symptoms o kēia kūlana e ole kauka wale, akā, i la ia i kahu, i ke keiki waiu, mōʻaukala o ka maʻi i' ano 2 mimikō, a ua ho'ākāka 'ia ma kona complications like penei.

1. Hyperglycemic coma (hyperosmolar a me ka ketoatsidoticheskaya) - kā lākou hanohano nō hoʻi hiʻona mea o ka holo kūpono 'ana. Makaʻu ma o na la ia e lilo i lawa laʻau heluna a lilo? Eaia o insulina,ʻai kāna hana (excessive hokii o carbohydrates), hoʻokō 'ia ma ke kāʻei kua o ka hyperglycemia, hoʻokō' ole 'e kanaka hoʻoponopono i ke kiʻekiʻe o ka monakō koko, ka waiʻona a me kekahi mau laau. Clinically, eia kahi mea akaka, e ulu ana no kekahi mau lā me ka makewai a me ka polyuria (mahuahua mimi), loa dehydration. ua hoemiia ke koko, a me ka tachycardia. A hiki i ka mea hōʻemi o hiki convulsions a me ka kaumaha o ka ike paka i. Ili i ka ikeia maloo hiki scratches, acetone ala i exhalation. Ma keia hihia, no ka luahi nele koke hospitalization a me ka mālama '.
2. Hypoglycemic coma - ua kena ae la i kekahi mau pahi emi i loko o ke koko monakō koko (emi o 3 mmol / k), ai ka lolo undergoes heʻoi nele i o ka mahuaola. Keia ano hiki hoʻonāukiuki i overdose o insulina, skipping i kekahi o nā meaʻai a incorrectly kohoʻai, ka waiʻona paha ai '. Clinically hoouka hoʻomōhala i ka hikiwawe loa. Wehewehe aku ma kekahi anu hou ma ka lae, nawaliwali, lima tremors, headache, numbness o na lehelehe. Ke hoomanawanui uaʻano pākīkē, poorly papa hoʻolaukahi lākou neʻe, aia no he Kal, papalua hihiʻo, hilahila. Ma ka hope kahua o ka hoʻonaʻauao he mea he lilo o ka ike paka i, ke kāʻili 'ana. Prehospital ia nā mea maʻi hiki e haawiia i ka mea inu ole i kekahi mea, eʻai, mahana mai, a kaʻi aku ai i ka 'inikua Hoʻonaʻauao no ka pane-i mālama.

hopena o complications

Oia complications ana i loko o decompensated mimikō, ma hope o kekahi mau makahiki o ka maʻi. Weliweli ia mea i ka mea, i ke kiʻekiʻe a me imperceptibly worsen i ka hoʻomanawanui ka kulana. Eia hou kekahi, pinepine literate mimikō Inc hiki ole kumu hoʻomalu mea ma neia hope aku,ʻaʻole ka mea, e hōʻike.

1. Retinopathy Ua wehewehe aku ma lesions o ka retina. Eia naʻe, hoʻowahāwahā a pau i ka hana 'ia he i loko o ke kālā no lapaau, i ka hanana o ka retinopathy i loko o nā mea maʻi me ka Type II mimikō, i mau no ka oi ma mua o 20 makahiki, hoʻokokoke mai 100%. Kēia pathology ke kumu hemorrhages i loko o ka fundus, a me ka ho'ōla e alakai ana i ka hoʻokō 'ia poho o ka hihiʻo.
2. Angiopathy - i ka 'aʻe' ana i vascular permeability, a i ke kumu o ka thrombosis a me ka atherosclerosis. Hiki hoʻomōhala i ka pōkole manawa (ma kahi o ka makahiki), ma ka Akä naÿe i nā loa-manawa complications mea i pinepine kaumaha ma ka mōʻaukala.
3. ʻAno 2 mimikō mellitus, diabetic polyneuropathy, kahi i kekahi, he pono ole complication,? Aaeno? Ia i loko o 90% o ka hihia. Clinically, keia translates hoʻolilo i nā aʻalolo i ka pāʻana i nā nāʻiʻo a me na nā loko. Polyneuropathy ke hoike hypersensitivity, koke huʻi (kahili) eha, kuni. Kekahi hoike ana mai o ka neuropathy i e numbness, hoemiia pā lonoaʻili, kūpono i ka lehulehu nā palapū. O na nā loko hiki e diarrhea, urinary incontinence, headaches, pōniuniu, haʻahaʻa ma ka hana o ka naau.
4. Diabetic wawae - ua wehewehe aku ma ke ano o na wawae, a, ma ka hana, ma na wawae o diabetic venous ulcers, abscesses, necrotic pāhili. Ia mea ke kumu o nā nā mea maʻi e loaa ana mai o keia maʻi, ka mea, ua? Aeiiaiaoaony e uku kūikawā noonoo ana i ke koho ana o kāmaʻa.

Outlook

He kaumaha, akā, hope lanakila aku maluna iho mimikō laekahi lapaau ke ole. Naʻe, ka mea e pono e 'āwīwī ka hoʻoponopono' ana i abnormalities i i ka māhuahua lehulehu o ka monakō koko i loko o ka kanaka kino,ʻo ia hoʻi,ʻano 2 mimikō mellitus. I ka moolelo o ka maʻi, i ka prognosis o keia maʻi ma na mea he nui, ināʻaʻole mea a pau, e hilinaʻi ma ka pili ana i ka ona o ka hoʻomanawanui. Me ka manao e hooponopono no ia a hiki i ke kiʻekiʻe o ke kō, a 'ē aʻe nā hoailona, i ka pono laʻau heluna? Iaea, eaioiuo a me nā koi o ka poe kumu, e hiki ke loaʻa i nā complications no na makahiki.