hypoglycemia
Hoʻopili kēia pepa ʻike i kahypoglycemia kuʻi naoh (a i ʻole reactive), hiki ke hoʻopilikia i nā kānaka maʻi maʻi ʻole. No ka ʻike hou aku e pili ana i ka hypoglycemia pili i ka maʻi diabetes, e ʻike i kā mākou palapala ʻoiaʻiʻo Diabetes. |
Mai kahi manaʻo olakino, pono e hoʻokō ʻia kēia mau ʻōlelo 3 i loko o kahi kanaka e ʻōlelo ai ua loaʻa ʻo ia i ka hypoglycemia reactive:
- o ka hāʻule koke ka ikehu hele pū me ka makaʻu, haʻalulu, makemake, a i ʻole nā hōʻailona ʻē aʻe;
- a glucose, aiʻole "ka pae kōpaʻa" i loko o ke koko, ma lalo o 3,5 millimoles no ka lita (mmol / l) i ka manawa o ka hoʻomaka ʻana o nā hōʻailona;
- ka nalo ʻana o ka ʻeha ma hope o ka lawe ʻana kōpaʻa, e like me ka lole a i ʻole ka wai hua.
Ua hoʻokumu ʻia kēia mau pae hoʻohālikelike i ka makahiki 1930 e kahi kauka lapaʻau ʻAmelika makemake i nā maʻi pancreatic, ʻo Dr.r ʻO Allen Whipple. Lawe pū lākou i ka inoa o triad de Whipple.
THEhōʻano hou i ka hypoglycemia he kumuhana controversial. Manaʻo ka nui o ka poʻe iā lākou iho he hypoglycemia, akā ʻaʻole i hoʻokō i kāna mau koi āpau. No ka laʻana, hele mau lākou i nā manawa o ka luhi, ka haʻahaʻa haʻahaʻa a me ka hopohopo, akā mau ko lākou koko koko maʻamau. No laila, i kēia mau hihia, ʻaʻole hiki i ke kauka ke hoʻoholo he hypoglycemia.
ʻAʻole mākouʻaʻohe wehewehe maopopo i ke kumu o kēia "pseudo-hypoglycemia". He mokuaina o haʻalulu a oi aku paha stress hiki ke komo. Eia kekahi, ʻoi aku ka ikaika o ke kino o kekahi poʻe i ka hāʻule ʻana o ke kō koko.
I ka lāʻau lapaʻau, ʻo ka ” maoli »Hypoglycaemia – i kūpono i nā koina 3 i helu ʻia ma luna – ʻike pinepine ʻia i ka poʻe mehoʻomanawanui ʻole glucose (he pae mua i ka maʻi diabetes), ka maʻi diabetes a i ʻole kekahi maʻi ʻē aʻe o ka pancreas. Hiki i ka ʻoki ʻōpū ke hoʻoulu i ka hypoglycemia, akā kakaikahi kēia.
Eia nō naʻe, inā he hypoglycemia maoli a i ʻole "pseudo-hypoglycemia", nā hōʻailona mālama ʻia a pale ʻia ma ke ʻano like, ʻoiai ma o nā loli like ʻole i ka ka meaʻai maʻamau.
E hoʻomaopopo pono i ke kō koko Le glucose hāʻawi i nā kino me kā lākou kumu nui o ka ikehu. Hele mai ia mai ka hoʻoheheʻe ʻana o pulapula o ke i loko o ka meaʻai. Kapa ʻia lākou he mau kalapona, carbohydrates a i ʻole carbohydrates. ʻO nā mea ʻono, nā huaʻai a me nā huahana cereal (laiki, pasta a me nā berena) piha iā lākou. Ke kahe koko maʻamau ma ka ʻōpū ʻole (ʻo ia hoʻi ma hope o 8 mau hola me ka ʻole o ka ʻai ʻana), no ke kanaka me ka maʻi diabetes, ʻo ia ma waena o 3,5 mmol / l a me 7,0 mmol / l. Ma hope o ka ʻai ʻana, hiki ke piʻi i ka 7,8 mmol / l. Ma waena o nā meaʻai, pono ke kino e hōʻoia i ka lawa o ka glucose e kahe ana i loko o ke koko e hoʻolako i nā kino me kahi kumu o ka ikehu. ʻO ia ka ate ka mea e hoʻolako i kēia glucose, ma ka synthesizing ia a i ʻole ma ka hoʻokuʻu ʻana i ka glucose i mālama ʻia ma ke ʻano o ka glycogen. Aia i loko o nā ʻiʻo ka glycogen, akā ʻaʻole hiki ke hoʻohana ʻia e hoʻihoʻi i ke kō koko i haʻahaʻa loa. Hoʻomalu ʻia ke kō koko e kekahi mau hormones. KA' insulin huna ʻia ma hope o ka ʻai ʻana e hoʻohaʻahaʻa i ke kō koko, ʻoiai ka glucagon, hormone ulu,adrenaline a cortisol e hookiekie. Hoʻopili maikaʻi ʻia kēia mau hormones a pau i mea e mau ai ka pae o ka glucose i ka wā e hoʻokē ʻai ai. |
ʻO wai ka mea i hoʻopili ʻia?
Ka poʻe e ʻeha kahypoglycemia mau nō na wahine i ka iwakālua a kanakolu paha. No ka mea ʻaʻole i manaʻo ʻia kēia ʻano he maʻi, ʻaʻohe helu helu hilinaʻi i ka nui o nā poʻe i hoʻopilikia ʻia.
Nā hopena
ʻO ka hapa nui o ka manawa, maʻalahi ka hypoglycemia reactive a hele wale ma hope o ka ʻai ʻana i nā meaʻai e hāʻawi ai i ke koko. glucose i ke kino. A laila ʻaʻohe hopena koʻikoʻi.
PalekanaEND_LINK
Ke ʻike ʻia ke ʻano e hoʻomaka ai i nā hōʻailona, hiki i ke kauka ke noi i ka mea maʻi ana i kou koko koko ma mua a ma hope o kahi manawa symptomatic.
ʻO ka poʻe i loaʻa iā lākou a mika glucose koko (glucometer) hiki ke hoʻohana. A i ʻole, lawe ʻia ke kō koko me ka hoʻohana ʻana i kahi hoʻāʻo pepa blotting (Glucoval), i loaʻa i kekahi mau hale hana pilikino.
Inā ʻano ʻino ke kō koko, e hana ke kauka a ka nānā ola kino piha i mea e imi ai i ke kumu. Ke kānalua ke kauka ua loaʻa i ke kanaka ka glucose intolerance a i ʻole ka maʻi diabetes, e hana hou ʻia nā hoʻokolohua koko koko.