He maʻi like anei ka 'Diabetes'? E kamaʻilio kākou e pili ana i (Diabetes Insipidus vs Diabetes Mellitus)

Ke lohe kākou i ka huaʻōlelo 'diabetes', manaʻo mākou i ka maʻi kō, ʻeā? Akā, ua ʻike anei ʻoe aia ʻelua mau maʻi i kapa ʻia ʻo 'diabetes' ʻaʻohe pili kekahi i kekahi? ʻO nā inoa wale nō o kēia mau mea ʻelua e like. He ʻokoʻa loa nā hōʻailona, ​​nā kumu, a me nā lāʻau lapaʻau. Ma muli o kēia, i kekahi manawa hiki i kēia mau inoa ʻelua ke huikau. No laila i kēia lā, e kamaʻilio kākou e pili ana i kēia mau maʻi ʻelua e hoʻokaʻawale pono iā lākou a ʻike iā lākou.

I ka ʻōlelo maʻalahi, he aha ka ʻokoʻa ma waena o kēia mau maʻi ʻelua?

ʻOiai ua like ka inoa o kēia mau maʻi ʻelua, ʻokoʻa loa ke ʻano o ko lākou hoʻopilikia ʻana i ke kino. E nānā kākou pehea.

ʻO ka maʻi maʻi maʻi - Diabetes Mellitus

Ua ʻike mākou a pau i kēia maʻi he 'diabetes' a i ʻole 'maʻi kō'. Ma ke ʻano lapaʻau, kapa mākou iā ia he Diabetes Mellitus . Ma kēia ʻano, ʻaʻole lawa ka hormone insulin i hana ʻia e kā mākou pancreas a ʻaʻole paha e pane pono nā cell o ke kino iā ia. ʻO ka hana nui o ka insulin, ʻo ia ke hoʻokomo i ke kō, ʻo ia hoʻi ka glucose, mai ka meaʻai a mākou e ʻai ai, i loko o nā cell no ka ikehu. No laila, ke pau ka hana pono ʻana o ka insulin, piʻi nui ke kiʻekiʻe o ke kō koko.

ʻO ka maʻi diabetes Insipidus - ʻO ka maʻi diabetes a ka hapa nui o ka poʻe i ʻike ʻole ai

He ʻano maʻi laha ʻole kēia i lohe ʻole ʻia e ka poʻe he nui. ʻAʻohe ona pili i ka maʻi diabetes. ʻO ka Diabetes Insipidus kahi mimi nui i hoʻopuka ʻole ʻia mai ko kākou mau puʻupaʻa. ʻO ka maʻamau, hoʻopuka ke kanaka olakino i kahi 1-2 lita o ka mimi i kēlā me kēia lā, ʻoiai hiki i kekahi me kēia maʻi ke hoʻopuka i 3 a 20 lita i kēlā me kēia lā. E noʻonoʻo i kēlā nui! ʻO ka hapa nui o kēia he wai. No laila, ʻaʻole ia he mea kupanaha i ka wā e hoʻopuka ʻia ai ka nui o ka wai mai ke kino, loaʻa ka makewai nui. Hoʻokumu ʻia kēia e kahi pilikia me kahi hormone i kapa ʻia ʻo vasopressin, i hoʻokuʻu ʻia e ka lolo.

Nā ʻano like a me nā ʻokoʻa o nā hōʻailona

ʻO ke kumu o ka huikau, ʻo ia kekahi o nā hōʻailona o kēia mau maʻi ʻelua ua like. Akā, ʻokoʻa loa nā kumu o kēlā mau hōʻailona. E hoʻomaopopo kākou i kēlā mai kēia papa.

Pehea ʻoe e hoʻokaʻawale a ʻike ai i kēia mau maʻi ʻelua?

Hoʻohana ke kauka i nā hoʻokolohua like ʻole e hoʻokaʻawale a hōʻoia i kēia mau maʻi ʻelua.

Ka nānā ʻana i ka maʻi diabetes mellitus:

Aia kekahi mau hoʻokolohua koko nui e ʻike ai i kēia.

• ʻO ke kō koko hoʻokē ʻai (FBS): He hoʻāʻo koko i hana ʻia ma hope o ka hoʻokē ʻai ʻana no 8 mau hola ma ka liʻiliʻi.
• Hoʻāʻo HbA1c: Hāʻawi kēia i kahi manaʻo o kou awelika kō koko i nā mahina 2-3 i hala. ʻAʻole pono kēia i ka hoʻokē ʻai.

Ma muli o nā hopena o kēia mau hoʻokolohua, e hoʻoholo kāu kauka inā he maʻi diabetes a prediabetes paha kāu.

Ke ʻike ʻana i ka maʻi diabetes insipidus:

He mea paʻakikī iki kēia e ʻike ai. Hana ʻia kekahi mau hoʻokolohua e hana pēlā.

• Nā hoʻāʻo koko: Hoʻāʻo kēia i kou mau pae sodium koko, ʻaʻole nā ​​​​pae kō. Hiki i ka maloʻo ʻana o ka wai ke hoʻonui i nā pae sodium.
• Urinalysis: Hoʻāʻo kēia i ke ʻano o ka nui a i ʻole ka hoʻoheheʻe/wai ​​o kou mimi. Hiki ke noi ʻia iā ʻoe e hōʻiliʻili i kahi hōʻiliʻili mimi 24-hola a ana i ka nui o ka mimi āu e hana ai.
• Hoʻāʻo Hoʻonele Wai:He hoʻāʻo kūikawā kēia. E haʻi aku kāu kauka iā ʻoe e hoʻōki i ka inu wai no kekahi manawa. A laila, e nānā ʻia kou kaumaha, ke koko, a me ka nui o ka mimi i kēlā me kēia hola no kekahi mau hola. Hana pinepine ʻia kēia ma ka haukapila.
• MRI scan: ʻAʻole hiki i kahi MRI ke ʻike maopopo inā loaʻa iā ʻoe kēia maʻi. Eia nō naʻe, hiki iā ia ke nānā i kekahi mau pilikia (e like me ka puʻupuʻu a i ʻole ka maʻi) i loko o ka pituitary gland a i ʻole hypothalamus i loko o ka lolo e hiki ke kumu.

He aha nā koho lapaʻau?

ʻO ka nūhou maikaʻi, ʻoiai ʻaʻole hiki ke ho'ōla loa ʻia kekahi o kēia mau maʻi, hiki ke mālama maikaʻi ʻia a alakaʻi i kahi ola maʻamau.

Lapaʻau no ka maʻi diabetes mellitus

Inā loaʻa iā ʻoe ka maʻi diabetes Type 1 a i ʻole Type 2 paha, ʻo ka pahuhopu nui o ka mālama ʻana, ʻo ia ke kaohi i nā pae kō koko.

• Lāʻau lapaʻau: Nā inikini insulin a i ʻole nā ​​​​​​lāʻau ʻē aʻe i kuhikuhi ʻia e kāu kauka.
• Ka Nohona: He mea nui e hahai i kahi papaʻai olakino , hoʻoikaika kino mau , a kaohi i ke kaumaha o ke kino, ka cholesterol, a me ke koko.
• Nā nānā kino maʻamau: He mea nui loa e ʻike i kāu kauka a hana i nā nānā kino maʻamau.

Lapaʻau no ka maʻi diabetes insipidus

ʻO ke ʻano o ka lāʻau lapaʻau e pili ana i ke ʻano o ka Diabetes Insipidus āu e loaʻa ai.

• Waena DI: Hoʻokumu ʻia kēia e ka emi ʻana o ka hana ʻana o ka hormone Vasopressin i loko o ka lolo. ʻO ka lāʻau lapaʻau no kēia he hormone synthetic e like me kēlā hormone, i kapa ʻia ʻo Desmopressin . Loaʻa ia ma ke ʻano he ihu pīpī, pila, a i ʻole injection.
• Nephrogenic DI: I kēia hihia, hana ka lolo i ka hormone, akā ʻaʻole pane nā puʻupaʻa iā ia. Hāʻawi ʻia nā lāʻau lapaʻau e like me nā diuretics e kāohi i nā hōʻailona.
• ʻO Dipsogenic DI: He pilikia kēia me ka ʻāpana o ka lolo e kāohi ana i ka make wai, no laila ʻaʻole ʻoe e make wai ʻoiai ke nalowale nei ʻoe i ka wai. ʻOiai ʻaʻohe lāʻau lapaʻau kūikawā no kēia, ʻōlelo nā kauka e hoʻoulu i ka make wai ma ka omo ʻana i nā pahu hau a i ʻole nā ​​​​​​mea ʻawaʻawa.
• ʻO Gestational DI: He kūlana kēia e hiki ke hana i ka wā hāpai. Nalo pinepine ia ma hope o ka hānau ʻana o ka pēpē.