ʻO nā kumu a pau o ka maʻi diabetes i loko o ke kanaka, ke hele pū nei kēia maʻi endocrine me kahi kiʻekiʻe o ka glucose i loko o ke koko a ua kumuʻia mai ka lawaʻole o ka insulin.
Ma muli o ke kumu, loaʻa ka hopena o ka maʻi maʻamau i nā hopena e hoʻopilikia i ka hana o ka waihā, nā protein a me nā momona.
Nā kumu o ka maʻi
Ke maʻi nei kēia maʻi no ka halaʻole o ka insulin - ka hormone i hanaʻia i nā'āpana endocrine o ka pancreas, i kapaʻia nā mokupuni o Langerhans. ʻO Insulin kahi mea nui loa i loko o nā meaola a pau, me ka momona a me nā momona o ka kino. Ma ka maʻalāʻau'aleʻaleʻa, ka hopena o ka hormone-insulin ma ka hoʻonuiʻana i ka lawe o ka glucose i loko o nā pū o ke kino a hoʻouluʻana i nāʻano likeʻole o ke kāpili glucose. I ka manawa hoʻokahi, hiki i ka wāwahiʻia o nā huaʻaleʻa.
ʻO nā kumu o ka maʻi maʻi ke kumu nuiʻole i ka lawaʻole o ka hanaʻana o ka insulin a me ka hoʻopilikiaʻana i ka hopena o ka mea i loaʻa i nā mea kino. ʻO ka hanaʻole o ka insulin, pili i ka lukuʻiaʻana o nā pūnaehana hoʻohuiʻana o ka insulin i nā mokupuni o Langerhans, ke kumu o kēiaʻano maʻi e like me ka maʻi diabetic 1. No ka hōʻikeʻana i kēia maʻi e hoʻomaka, aia 80% o nā pūnaewele e ho'ōki ana i ka hana.
Ma ka'ōlelo e pili ana i keʻano diabetes type 2, ua hoʻoholoʻia nā kumu no ka hanaʻole o ka insulin i loko o ka'ōpala.
ʻO nā kumu o ka hoʻomōhalaʻana i ka maʻi hīhēʻia e pili ana i ke kūʻana o ka insulin,ʻo ia hoʻi, aia ka nui o ka insulin i ka nui o ka toto, akā,ʻaʻole nāʻano kino e hōʻike i kaʻike.
ʻO nā kumu o ka uluʻana i ka maʻi diabetes e hoʻokaʻawale i ka maʻi iʻeluaʻano:
- autoimmune - no nā hemahema i loko o ka'ōnaehana kamepiula;
- idiopathic.
A ināʻo nā kumu o ka hōʻailona o ka maʻi diabetes autoimmune, he mau maʻiʻino ia a me nā hopena o kekahi mea lāʻauʻino, e like me nā pesticides, a lailaʻaʻole i hoʻokumuʻia nā kumu o ka maʻi diabetic type 1.
ʻO nā kumu nui o ka maʻi
Eia kēia mau mea:
- ʻO nā kumu pilikino -ʻo nā mea maʻi e pili ana i ka maʻi diabetes he mea nui ka hoʻomeheʻana i ka maʻi 2, aʻo ka hiki ke hoʻonuiʻia kēia maʻi, inā maʻi kekahi o nā mākua, hiki i 9%.
- ʻO ka nui - i loko o nā kānaka me ka nui o ke kaumaha kaumaha o ka kino a me ka nui o nā kino o ke kino, i loko o ka'ōpū, ka emi iho o keʻano o nā kino kino i ka insulin i kēia manawa,ʻo ia ka mea i hoʻoponopono i ka maʻi maʻamau i nā manawa.
- Ka hoʻopilikiaʻana i ka meaʻai -ʻo kaʻai me ka nui o nā huapiʻa a me ka hapa o ke fiber e alakaʻi maoli i ka nui a me ka likelika e hoʻomoʻi i ka maʻi dia.
- ʻO nā hopena pilikia o ka hopena -ʻo kaʻike mauʻana o keʻano o ke kino i ke kaumaha me ka piʻiʻana o ka nui o adrenaline, glucocorticoids a me norepinephrine i loko o ke koko, a he hopena maikaʻi no ka uluʻana o ka maʻi diabetes.
ʻO ke kumu lua
ʻO ka maʻi maʻamau o ka ischemic maʻi lōʻihi, ke atherosclerosis a me ka hypertension kiʻekiʻe e hoʻemi i kaʻike o nā mea i ka insulin. ʻO nā hormones synthetic synthetic glucocorticoid, kekahi mau lāʻau lapaʻau, nā diauretics, a me nā mea maʻamau nui, he mau maʻi diabetic ka lāʻau lapaʻau.
Ma muli o ke kumu o ka hoʻomohalaʻana i ka maʻi diabetes, e hoʻopaʻaʻia ka hōʻailona e kekahi mau wehewehe o ke koko glucose ma nā lā likeʻole, ma ke kāohiʻana i ka hōʻololu palekana a me ka hoʻoholoʻana i ka helu o ka hemoglobin paʻi o ke koko.