Nā hōʻailona maʻamau o ka maʻi diabetes i nā pōpoki

ʻO 80% o nā pōpoki i loaʻa i ka maʻi maʻi maʻi i loaʻa i ka maʻi diabetes type 2. Hōʻike ʻia kēia ʻano maʻi maʻi maʻi ma muli o ka hoʻonui ʻana i ka luku ʻia ʻana o nā cell beta e hana nei i ka insulin i loko o ka pancreas a me ka hoʻohaʻahaʻa ʻana i ka naʻau o ka insulin i loko o ke kino i ka insulin (insulin resistance). Hoʻemi ka synthesis a me ka huna ʻana i ka insulin aʻo ka hoʻokuʻu ʻana o ka glucagon antagonist insulin e hoʻonui. ʻO ka hopena, nalowale ka nui o ke kino a piʻi ke kiʻekiʻe o ke kō koko.

ʻO ka maʻi maʻamau o ka pōpoki me ka maʻi diabetes ʻoi aku ka ʻoi aku o ʻeiwa mau makahiki, kāne, neutered, overweight, a mālama ʻia ma ke ʻano he pōpoki hale. Hele mai nā mea nona kēia mau pōpoki i ka hoʻomaʻamaʻa no ka mea pono lākou e hoʻomaʻemaʻe pinepine i ka pahu litter. Nui nō hoʻi ka poʻe i hele mai no ka mea ua haumia koke ka pōpoki a mimi i nā wahi makemake ʻole ( periuria ). Hoʻomaopopo kekahi i ka hoʻololi ʻana o ke ʻano hele a i ʻole ka nele o ka mana lele o kā lākou pōpoki. ʻAʻole ʻike ʻia ka pohō kaumaha a ʻike ʻia paha he maikaʻi, no ka mea, ua ʻōlelo ʻia ka mea nona i ka wā i kipa mua ʻia i ka hana e hoʻemi i ke kaumaha o kāna holoholona nui. Hoʻohana like ia i ka hoʻonui ʻana i ka inu, i hoʻohālikelike pinepine ʻia me ke olakino. Eia kekahi, pololi mau ( polyphagy) ʻaʻole i ʻike ʻia he pathological, no ka mea, ʻai maikaʻi ka pōpoki mai ka manaʻo o ka mea nona.

ʻO kahi hōʻailona nui o ka maʻi diabetes uncomplicated ka nui o ka makewai ( polydipsia ) a me ka piʻi ʻana o ka mimi e pili ana ( polyuria ). Hiki i kēia ke alakaʻi i ka haumia, no ka mea he nui nā pōpoki ʻaʻole makemake e hoʻi i kahi pahu litter i hoʻohana mua ʻia. Eia kekahi, nui nā pōpoki me ka maʻi maʻi maʻi i loaʻa i ka maʻi urinary tract, hiki ke alakaʻi i ka periuria ma muli o ka ʻeha a i ʻole ka hoʻonui ʻana i ka mimi.

ʻO ka nele o ka insulin e alakaʻi i ka hoʻokuʻu nui ʻana o ka insulin antagonist glucagon. Hoʻoikaika ʻo Glucagon i ka glycogenolysis, i. H. ka haʻihaʻi ʻana o ka glycogen mai nā pūpū ate i ka glucose. Eia kekahi, hoʻonui ka glucagon i ka gluconeogenesis, i. H. ka hoʻokumu ʻana o ka glucose hou mai e laʻa me B. Nā ʻakika Amino. Hoʻonui nā ʻano hana ʻelua i ke kiʻekiʻe o ke kō koko a, me ka emi ʻana o ka lawe ʻana o ka glucose i loko o ke kelepona, alakaʻi i ke kiʻekiʻe o ke kō koko koko, a hyperglycemia.

Inā piʻi ke kō koko ma luna o 250 mg/dl (14 mmol/l), hoʻokuʻu ʻia ka glucose i loko o ka mimi a hiki ke ʻike ʻia i loko o ka mimi me kahi kaula hoʻāʻo. Loaʻa i ka Glucose kahi hopena osmotically ikaika a alakaʻi i ka hoʻonui ʻana i ka wai ma o ka ʻāpana urinary. Hoʻāʻo ka pōpoki e uku i kēia ma ka inu ʻana i nā mea hou aku. No ka mea, aia ka glucose i loko o ka mimi i hoʻokuʻu ʻia a hoʻoheheʻe nui ʻia, ʻaʻole i pau nā ʻōnaehana pale kūlohelohe o ke kino, e wehe ana i ka puka i kahi maʻi mimi. ʻO kekahi mau mea maʻi infectious (eg E. coli) hoʻopuka i nā mea ʻawaʻawa e ālai ana i ka hoʻihoʻi ʻana o ka wai i loko o nā puʻupaʻa. Loaʻa ka nalowale o ka wai, kahi e hoʻonui ai i ka manaʻo o ka make wai a no laila e lawe i ka wai. Hiki ke kiʻekiʻe loa ka lilo ʻana o ka wai ma o ka mimi a ʻaʻole hiki i ka pōpoki ke hoʻokō iā ia ma ka inu ʻana. ʻO kēia mau poʻe maʻi i hoʻomaʻemaʻe nui ʻia, kahi i hōʻike ʻia ma ke ʻano maʻi i ka emi ʻana o ka turgor ʻili. Ma muli o ka nele o ka wai, nalo mālie a waiho ʻia paha ka ʻili o ka ʻili.

Ua hoʻokiʻekiʻe nā pōpoki maʻi maʻi i ke kiʻekiʻe o ka glucose i ke koko, akā hiki nō kēia i nā pōpoki olakino olakino! ʻO ka hoʻonui wale ʻana i ke kō koko lōʻihi (fructosamine) i nā pōpoki ka hōʻike o ka maʻi diabetes. Hōʻike ka waiwai fructosamine i ke kō koko maʻamau i nā lā he ʻumi i hala.

I ka wā o ka maʻi diabetes mellitus ʻole, hōʻike nā pōpoki i ka makemake ( polyphagia ). ʻOi aku ka nui o ka hānai ʻana i nā mea nona ka pōloli a ke piʻi aʻe nei ka pohō kaumaha.

ʻO ka nele o ka insulin e pale ai i ka lawe ʻana o ka glucose i loko o ke kelepona a me ka mālama ʻana o ka glucose ma ke ʻano o ka glycogen i loko o ke ake. I ka manawa like, nalowale ka glucose ma o ka mimi. Nalo ke kino i nā waihona ikehu koʻikoʻi. Hoʻonui ka hoʻokuʻu ʻana o ka glucagon i ka haki ʻana o nā protein e hāʻawi i nā waikawa amino no ke kūkulu ʻana i ka glucose hou ( gluconeogenesis ). ʻO ke kumu nui o ka protein ka ʻiʻo. Aia ka nalo ʻana o ka nui o ka ʻiʻo a, ma muli o ka haki ʻana o ka protein, kahi hemahema o ka ʻōnaehana pale a me nā maʻi hoʻōla ʻeha. Hoʻonui ʻia ka metabolism momona ma lalo o ka mana o ka glucagon. He wikiwiki ka haki ʻana o ka momona ( Lipolysis ) e alakaʻi ana i ka piʻi ʻana o ka momona o ke koko (lipemia) na kumu. ʻO nā momona i hoʻokuʻu ʻia e mālama ʻia i loko o ke akepaʻa, ka hopena i kahi ate momona. ʻO ka momona momona ka mea i hōʻino hou ʻia i nā pūnaʻi ate a me ka piʻi ʻana o nā enzymes ate AP (alkaline phosphatase), ALT (alanine aminotransferase), a me ka cholesterol i loko o ka serum koko. ʻO Hyperlipidemia hiki ke ʻike ʻia i loko o ke koko e like me ka piʻi ʻana o nā triglycerides.

Hōʻike ʻia kekahi o nā maʻi ma muli o nā ʻano like ʻole o ka hele ʻana. ʻAʻole like me nā bea, e pae ana me ko lākou wāwae holoʻokoʻa, he poʻe wāwae wāwae ka poʻe no ka mea e pā wale lākou i lalo me ka piko o ko lākou manamana wāwae. ʻO kekahi poʻe maʻi maʻi maʻi, ma kekahi ʻaoʻao, hele lākou ma ka wāwae holoʻokoʻa o ko lākou mau wāwae hope a loaʻa nā pilikia i ka lele ʻana i nā wahi kiʻekiʻe. ʻO kēia hele "plantigrade" ka hopena o ka pōʻino aʻalolo i hoʻokumu ʻia e ka hyperglycemia ( ka maʻi diabetic neuropathy ). ʻAʻole pono e kuhi hewa ʻia kēia nāwaliwali hope ma ke ʻano he pilikia orthopedic. Nalo ia ke mālama ʻia ka maʻi diabetes.

Inā ʻaʻole ʻike ʻia ka maʻi diabetes a waiho ʻole ʻia me ka mālama ʻole ʻia, hiki i ka maʻi maʻi paʻakikī ke ulu i ka maʻi diabetes paʻakikī. Hoʻopau ka metabolism momona a i ka wā o ka wāwahi wikiwiki ʻana o ka momona, ua hoʻokumu ʻia ka nui o nā kino ketone. Hiki ke ʻike ʻia nā kino ketone ma ke koko a me ka mimi. Hoʻololi ka pH koko i loko o ka pae ʻakika (acidosis), a hoʻomohala ka mea maʻi i ka ketoacidosis. Ho'ōki kēia poʻe maʻi i ka ʻai ʻana (ka ʻai ʻole), lilo i ka manaʻo ʻole a hoʻoweliweli ʻia ko lākou ola. Pono lākou i ka haukapila a hāʻawi ʻia i ka mālama koʻikoʻi. He kiʻekiʻe ka make.

Nui nā pōpoki i loaʻa i ka maʻi maʻi maʻi maʻi i loaʻa nā maʻi like ʻole e like me ka maʻi B. urinary tract a i ʻole nā ​​maʻi o nā niho, kahi e paʻakikī ai ka mālama ʻana i ka maʻi diabetes. No laila, ʻo ka hoʻomaʻamaʻa ʻana i ka maʻi diabetes e loaʻa mau i ka nānā pono ʻana i ka lua waha a me ke kūlana mimi. Eia kekahi, ʻoi aku ka maikaʻi o ka nānā ʻana i ka lipase pancreatic feline-specific, no ka mea, ua loaʻa kekahi mau maʻi i ka maʻi pancreatic. I nā poʻe maʻi kahiko, pono e hoʻoholo ʻia ka waiwai T4 e kāpae i ka hyperthyroidism (ka thyroid overactive).