Inā mākou e kamaʻilio e pili ana i kahi maʻi e like me diabetes mellitus i loko o kahi ʻīlio, pono e hoʻomaopopo ʻia ʻaʻole ka ʻōlelo hoʻoholo kahi hoʻoholo, akā pili ia i nā loli nui i ka nohona o ka mea maʻi huelo.
Hōʻike o ka maʻi
He maʻi metabolic kahi e piʻi ai ke kō glucose / kō i ke kiʻekiʻe (pinepine i kahi palena koʻikoʻi) ma kahi o ke komo ʻana, e hāʻawi ana i ka kino i ka ikehu e pono ai. Hoʻomaka ka wī o Carbohidate, alakaʻi pinepine i ka luhi nui.
Kuhi ʻia ka maʻi diabetes e hoʻokahi a ʻelua mau kūlana paha:
- hana ka pancreas i ka lawa a i ʻole ka insulin;
- hōʻole nā hunaola e ʻae i ka insulin, kahi e hiki ʻole ai i ka glucose i hiki ke hiki ʻole.
Aia he 4 ʻano o ka maʻi ʻaʻai diabetes:
- Kaukaʻi hilinaʻi (ʻano 1)... Hoʻokumu ʻia ia e ka piha / hapa ʻole o ka insulina, kahi a ka pancreas i hooki ai i ka hana ʻana. Ma luna o 90% o nā ʻīlio loli i loaʻa i kēia ʻano maʻi diabetes (i hoʻokumu ʻia e nā leona autoimmune a i ʻole nā ʻāpana maikaʻi ʻole).
- Kūʻokoʻa ʻo Insulin (ʻano 2)... ʻO ka glucose i loko o ke koko ka mea ma muli o ka hōʻole ʻana o ke kino e ʻike i kāna insulin ponoʻī (maʻamau a hoʻēmi ʻia paha). ʻO ia ʻano diabetes, inā i hoʻomaka a mālama ʻia paha e ke kuhihewa, hoʻoweliweli e lilo i maʻi o ka ʻano mua. Luhi nā kelekiko i ka hana ʻana i ka hormone i koi ʻole ʻia, ʻaʻahu a kū i ka hana.
- Kuewa (kekona). Hoʻomaopopo ʻia e kūʻē i ke kumu o kahi maʻi mua, e laʻa me pancreatitis (ʻaʻole wale) a ma hope paha o ka hoʻolōʻihi hoʻolāʻau ʻana me nā glucocorticoids / progestogens. Hoʻōla pau loa kēia ʻano maʻi diabetes ke hoʻopau ʻia ka maʻi mua.
- ʻO Gestational (ʻano 4). Hiki wale i nā bitches hāpai i diestrus (ma hope o ka hopena o ka estrus) a i ʻole ka hopena o ka hānau ʻana. I ka lua o nā hihia, piʻi nā ʻūlū i ka progesterone a me ka hormone ulu e pili i ka ʻike glucose i ka insulin. Kūleʻa kēia hana hewa ma hope o ka hānau hānau ʻana iā ia iho a i ʻole maʻalahi e hoʻoponopono ʻia i ka pae maʻamau.
Nā ʻōuli o ka maʻi kō i loko o ka ʻīlio
Pono ka mea nāna e hānai holoholona e nānā i nā ʻōuli ʻōlinolino ʻehā e hōʻike ana i ka ulu ʻana o ka maʻi diabetes.
- polydipsia (make wai insatiable) - ʻaʻole haʻalele ka ʻīlio i ka pola inu, a palu a viscous ka lawaiʻa;
- polyphagia (makemake nui i ka ʻai, huli i gluttony) - ʻaʻole i māʻona ka holoholona hānai me kahi ʻāpana maʻamau, ʻimi koke ia a noi no kahi pākuʻi;
- polyuria (profuse a pinepine urination) - noi pinepine ka ʻīlio i ka pā, a piʻi nui ka nui o ka mimi;
- hoʻemi i ke kaumaha a hiki i ka haʻi ʻia ʻana o ka luhi - ʻike ʻia nā iwi ʻaoʻao o ka holoholona a hāʻule ka ʻōpū.
Mea nui! Inā loaʻa nā hōʻailona ʻehā, pono ʻoe e hele i ka haukapila, kahi e hōʻoia ai a hōʻole ʻia ai kāu kānalua e ke alakaʻi ʻana i nā hoʻokolohua mimi / koko. ʻO ke koena o nā hōʻike ʻeha e hiki ke hāʻawi like ʻia i ka maʻi diabetes a me nā pathologies ʻē aʻe.
Eia naʻe, nā hōʻailona hou aʻe e:
- tachycardia (ʻoi aku ma mua o 150 mau kaha / min);
- nā membrane mucous maloʻo a me ka pilau o nā hua popopo mai ka waha;
- hoʻonui ʻia (protruding mai lalo o nā iwi ʻaoʻao) ake;
- hōʻeha maikaʻi ʻole i nā ʻeha (ma muli o kahi maʻi kōkuʻu koko);
- e lilo ka malo a me ka ʻili i maloʻo, e hana ʻia nā ʻano dermatitis like ʻole;
- (i kekahi manawa) hoʻomōhala cataract diabetic;
- diarrhea a i ʻole ka luaʻi (rare).
- lethargy laulā.
Maʻalahi ke nalo i nā hōʻailona mua o ka maʻi inā noho ka ʻīlio i ka pā, ke hele nei i kekahi manawa i ke kahua o ka ʻike a ka mea nāna ia.
Kumu diabetes, pūʻulu pilikia
Ua hele ʻōpio ka maʻi diabetes i nā makahiki i hala aku nei, a ʻike ʻia kēia ʻano i nā kānaka a me nā hāhā.... Inā ma mua ua ʻike ʻia ka maʻi mai 7 a 14 mau makahiki, i kēia manawa pili i nā ʻīlio ʻehā a ʻoi paha makahiki. Maʻi pū nā holoholona ʻōpio, a ʻo nā wahine ma mua o nā kāne.
Kūpono kekahi mau ʻano.
- beagle;
- doberman;
- Labrador Retriever;
- pug a poodle;
- pomeranian;
- dachshund;
- ʻĪlio Samoyed;
- scotch terrier.
I nā kauka lāʻau ʻōiwi āpau, ʻaʻohe paʻa e pili ana i nā kumu o ka hoʻomaka ʻana o ka maʻi. I kēia manawa, ua ʻike ʻia nā mea liʻiliʻi wale nō e hiki ke hoʻomaka i ka maʻi diabetes.
- predisposition hanau;
- wā lōʻihi / kūpono ʻole o ka hoʻōla hormonone;
- nā maʻi autoimmune kahi hiki ʻole ka hana piha o ka pancreas;
- pancreatitis (o nā ʻano like ʻole);
- nā maʻi infectious / somatic e pale i ka hana o ka pancreas;
- koho pono ʻole ʻia i ka papaʻai a, a ʻo ka hopena, momona;
- nā hiʻohiʻona o ka hāpai a estrus paha.
ʻIke ʻia nō hoʻi ka exacerbation o ka maʻi kō i ka hāʻule.
Nā Diagnostics a me ka mālama ʻana
Lawe nā ʻano maʻi diabetes ʻelua i kahi ʻano mau, alakaʻi i ke kauka a me ka mea nona ka ʻīlio i nā ana e like me:
- hoʻopau i nā hōʻailona koʻikoʻi;
- ka pale ʻana i nā pilikia;
- ka loaʻa ʻana o ke kala loa loa e hiki ai;
- e hoʻemi ana i ka hopena o ka maʻi i ke kino holoʻokoʻa.
Nā Diagnostics
ʻAʻole hoʻokahi endocrinologist e hana i kahi hōʻailona e pili ana i nā hōʻailona kūwaho, akā e kuhikuhi pono i kahi o nā ana diagnostic:
- kālailai (hoʻonui) mimi / koko;
- ka hoʻokolo ʻana i ka ikaika o nā pae glucose;
- nā hoʻāʻo hormonal;
- Ka Ikepili no ke alo o ka acetone;
- Ultrasound o ka pancreas a (inā pono) nā mea ʻē aʻe;
- ECG a me X-ray.
ʻO ke kuhi o ka maʻi ʻaʻai diabetes i nā ʻīlio hiki wale nō ma hope o ka hala ʻana o nā hoʻokolohua āpau a me ke alakaʻi ʻana i kahi ʻano o nā noi.
Ke inu inu a me nā wikamina
Kūkākūkā ke kauka me nā ona o ka ʻīlio pehea e hoʻonohonoho ai i ka regimen inu, kahi e pono ai i ke kino e pono i nā wai e pale i ka make wai.
Mea nui! ʻAʻole hiki ke hoʻēmi nui i ka nui o ka wai i loko o ka mea inu, ʻoiai ʻo ka ʻīlio nāna i hoʻomaka ka lapaʻau e inu i ka nui e like me ka pinepine. No ke kinai ʻana i ka make wai ʻoi aku ka maikaʻi, e hoʻomoʻi i 2-3 mau kulu wai wai lemon hou i ka wai.
Me kēia, i ka hoʻihoʻi ʻana i ke kaulike wai, kēnā pinepine ke kauka i nā lāʻau:
- adiurecrine (pauka / hamo) - injected i loko o ka nasal lua;
- pituitrin (injection) - ke kumumanaʻo a me nā mea i pili i ke ʻano o ka pipi.
He mea nui like ia e hoʻomomona i ke kino nāwaliwali me nā mea pono e pono ai, i excreted i nā nui me ka maʻi diarrhea a me ka luaʻi. Hoʻopakele nā huakini vitamina e like me Beaphar, Herz-Vital a i ʻole Brewers. Hoʻololi i ka papa kuhikuhi o ka ʻīlio i lilo i mea hou therapeutic.
ʻO ka lāʻau insulina
Pono ka mea nona kahi ʻīlio maʻi e hoʻomaopopo ʻaʻole hiki ke hoʻōla ʻia ka maʻi diabetic 1 a me 2, a ua hoʻolālā ʻia ka lāʻau insulin e kāohi i ka maʻi pilikino, ka mea nona iho he nui. Hiki i kāu hana ke hoʻohaʻahaʻa i nā pae glucose i ka maʻamau, e mālama nei i kēia mau palena palena maikaʻi no ke koena o kāu ola holoholona.... Hoʻoemi ʻia ke kō ma ka hoʻolauna ʻana i ka insulin i loko o ke kino, ka mea (ma muli o ka lōʻihi o ke kū ʻana) ua māhele ʻia i "pōkole", "lōʻihi" a me "waena". Hoʻohana ʻia ka mea mua no ka maʻi diabetes type 1, nā mea hope hope ʻelua no ka maʻi diabetes type 2.
Hoihoi ia! Hoʻolālā ʻia ka injection insulin e lawe i ke kiʻekiʻe o ka glucose ma kahi o 8-10 mmol / L, kahi ma luna iki o ka palena kiʻekiʻe o ka palena maʻamau. Pale kēia i ka hypoglycemia mai ka hoʻomohala ʻana ke iho nui nā kō kō i ke kō, a he mea make ia.
ʻO nā syringes insulina a me nā peni ʻoki kūikawā kūikawā i manaʻo ʻia no ka lawelawe ʻana o ka hormone. ʻO ka hiki o ke syringe kaukaʻi ʻia i ka puʻuwai o nā anakuhi: no ka laʻana, ua hoʻopili ʻia ka hoʻohui ʻana o 100 mau hua / ml me ka syringe U100, a me nā 40 unit / ml me ka syringe U40.
Algorithm no ka hana ʻana me ka insulin:
- Ma mua o ka hoʻopili ʻana, e paʻa i ka hue / ampoule i nā poho pā pumehana e mehana ai i ka mahana o ke kino.
- E kaha i kahi e hoʻokomo ai ʻoe i ka hormone (maʻa mau i ka umauma, mae a ʻōpū paha).
- Me ʻekolu mau manamana lima, hopu i ka ʻili o ka ʻīlio i kū ai kahi pā like o ka pyramid.
- Hoʻokomo i ke kui kele i ke kumu o kēia pyramid (ma lalo o ka manamana nui).
E mālama mau ʻoe i kāu lāʻau i ka waihona inā haki a pau paha i ka make. Ma hope o kou wehe ʻana i ka ampoule, ʻaʻole ʻae ʻia e mālama iā ia ma mua o 1.5-2 mau mahina (ʻoiai inā e hoʻokō ʻia nā ʻōlelo āpau i hōʻike ʻia i ka hōʻike).
Nā hana
Koho ʻia ka mahele lāʻau kūpono loa me ka kaohi ʻana i ke ʻano o ka holoholona. Hoʻomaka lākou me ka mea liʻiliʻi - no ka ʻīlio he 0.5 U / kg ke kaupaona. I kekahi manawa he mau lā i mau mau mahina ma mua o ka hoʻoholo hope loa ʻana o ka lāʻau e pono ai kāu pipi.
Ma hope o ka lawelawe ʻia ʻana o ka lāʻau no ka manawa mua, koi ʻia ka mea nāna e mālama i ka nānā ʻana e ʻike i ka ikaika o nā loli i nā pae kō. No kēia, hoʻomohala ʻia ʻekolu (mau koho) hana:
- ka huki ʻana i ke kō i ka mimi - 1-2 manawa i ka lā;
- i ka mimi a me ke koko - 3 mau manawa i ka lā;
- i ke koko - i kēlā me kēia 2-4 hola.
Manaʻo ʻia ʻo ke kolu o ke ala e hāʻawi i kahi kiʻi pahuhopu i ʻoi aku.
Mea nui! Inā, ma hope o ka hoʻokomo ʻana o ka insulin, ʻoi aku ka nui o ke kō glucose i 15 mmol / l, hoʻonui ʻia ka mahele lāʻau e 20% mai ke kumu. Me nā loli o ka pae ma ka laulā o 10-15 mmol / l, hoʻonui ka mea ma 0.1 U / kg. Inā koho pololei ʻia ka lāʻau, ʻaʻole e ʻoi aku ke kō ma mua o 8-10 mmol / l.
Manaʻo ka mea kikoʻī ma hope o ke kahe ʻana o ka insulin, ʻaʻole ʻike ʻia ke kō i ka mimi a ka ʻīlio i ka loina. ʻO ka ʻoiaʻiʻo o ka hoʻonohonoho pono ʻana ʻana o ka mahele e hōʻike ʻia ʻaʻole wale ma nā kaila biochemical maʻamau o ke koko / ʻīlio o ka ʻīlio, akā e ka hoʻomaikaʻi maʻamau o ka holoholona. Pono ʻoe e ʻike i ka nalowale ʻana o nā hōʻailona weliweli: hoʻomaka ka ʻīlio e hoʻonui i ka paona, inu maʻamau, ʻai a hoʻomaha i nā pono kūlohelohe.
ʻO Somoji Syndrome
Pono nā Manipulation me ka insulin i ka punctualness a me ka scrupulousness: hāʻawi ʻia nā injection i ka manawa like, ma muli o ke kumumanaʻo i kākau ʻia e ke kauka. E hoʻomanaʻo he ʻoi aku ka weliweli o ka ʻoi o ka hormone ma mua o ka nele o ia. Inā ua poina iā ʻoe inā e hoʻokomo ana ʻoe i kahi lāʻau ʻē aʻe ʻaʻole paha, mai makaʻu. ʻAʻole i alakaʻi ʻia kahi injection i hala i ka pōpilikia, akā e loaʻa kahi pālua. ʻO ka nui o ka hahau ʻana o kahi hormona, kahi hana i koho hewa ʻole ʻia a i ʻole kahi papa kuhikuhi insulina hewa e hoʻoweliweli ʻia me ka maʻi Somoji.
Hoihoi ia! Hoʻopau ʻia kahi ʻoki ʻelua inā haʻalulu ka ʻīlio a ʻaʻole hiki iā ʻoe ke kīkī piha i nā ʻike o ka syringe, ʻoiai ʻoi aku ka ʻoi aku o ka pae o ke kō glucose i ʻoi aku ka palekana ma mua o kahi pae haʻahaʻa (ma lalo o ka maʻamau).
Hiki i kekahi ke alo i ka hanana Somoji ke hoʻohana nei i nā lāʻau kiʻekiʻe i kūpono ʻole o ka lāʻau lapaʻau, ke alakaʻi nei i ka pae mua i kahi kulu nui o ka glucose i loko, a ma ka lua - i kahi hoʻokuʻu kū ʻole ʻole o nā hormones diabetogenic (glucagon, cortisol a me epinephrine).
ʻO ka hopena, hele ka ʻīlio i hypoglycemia, akā ʻo ka mea nāna (hilinaʻi e piʻi ana ke kō) hoʻonui i ka lāʻau insulin a hoʻonui i ke kūlana. Hana ʻia ʻo Somoji Syndrome i kēlā mau ʻīlio nona ka mimi / koko e hoʻāʻo ʻia no nā kō i hoʻokahi manawa i ka lā. Na ke kauka wale nō e kōkua e kūpale i nā hopena o ka insulin overdose syndrome mau loa.
Meaʻai no ka lōʻihi o ka lapaʻau
ʻO kekahi nīnau ʻē aʻe pehea e hānai ai i kahi ʻīlio diabetic? Inā hele pū ka maʻi me ka nui o ke kaupaona, pono ka holoholona i kahi papaʻai koʻikoʻi (no ka pohō kaumaha), a me kahi manawa ma hope - kahi papa diabetic kūikawā. Ma hope o ka pau ʻana o ka papaʻai, pono e kiaʻi ʻia ka paona o ka holoholona i kēlā me kēia lā e pale i ka hoʻi hou ʻana.
Mea nui! Pono ka mea nāna e mālama i kahi aupuni hānai no ka ʻīlio, me ka noʻonoʻo ʻana i nā wā o ka manawa no nā injection insulin. ʻO ka mea mua, hāʻawi ʻia ka ʻīlio i kahi injection, a laila hānai ʻia (kūpono a hiki i 5 mau manawa i ka lā, i nā ʻāpana liʻiliʻi).
ʻO ke koi nui no ka papa kuhikuhi kūlohelohe: ka palena iki o nā meaʻai carbohydrate, akā ʻo ka nui o ka fiber a me ka protein. Pono nā mea ʻai a me nā iʻa e hana ma kahi o 60% o ka nui o ka hānai i kēlā me kēia lā. Hāʻawi ʻia ka ʻīlio:
- pipi hou, puaʻa wiwi a me nā moa;
- offal (ʻoi loa tripe);
- iʻa kai wiwi;
- ʻapu momona momona;
- nā sopa hua ʻole (nā mea kanu) a me nā mea kanu;
- huamoa.
Hoʻohui i ke kinamona (ʻelua manawa i ka lā) a me kahi teaspoon o nā hua fenugreek (i ke kakahiaka) i nā meaʻai, a me nā mea kōkua vitamina no nā ʻīlio me ka maʻi kō. Hiki ke hoʻohālikelike ʻia nā mea inu e ka hoʻoheheʻe ʻana i kahi soda bakena i loko o ka wai (ma kahi o ka hapakolu o kahi teaspoon me ka ʻole o luna o ke aniani).
Nā Huahana i pāpā ʻia:
- palaoa (palaoa a me palaoa);
- nā mea i hoʻomoʻa ʻia a me nā mea ʻono;
- nā meaʻai kēpau a me nā koʻi;
- iwi a me ka ʻiʻo momona;
- raiki keʻokeʻo a me nā ʻoka i ʻōwili ʻia;
- kālika a me nā ʻakaʻakai;
- nā huahana me nā mea hoʻonani ʻimi hoʻopunipuni.
Māmā loa no kēlā poʻe e mālama i kā lākou ʻīlio i ka hānai hana... Ma kahi kokoke i nā mea hana i hōʻoiaʻiʻo ʻia e hana i nā laina o nā hānai lāʻau i māka ʻia i nā ʻano makahiki a me nā maʻi. ʻO kēia nā huahana holistic a me nā huahana nui loa, i loaʻa ka nui o nā protein a me nā haʻahaʻa (ʻaʻole i ʻoi aku ma mua o 4%) nā huaʻalea.
Nā hana pale
Ma muli o ka maopopo ʻole o ka mea e hoʻonāukiuki ai i ka ʻole o ka pancreas, e alakaʻi ai i ka wā e hiki mai ana i ka maʻi diabetes, ʻo kekahi o nā hana pale mua e pono ke noʻonoʻo ʻia i kahi ola olakino.
ʻAʻole ʻokoʻa ka nohona olakino no ka ʻīlio mai kahi kanaka - pili ia i kahi hana o kēlā me kēia lā i hōʻoia ʻia, ka hoʻoikaika kino ʻana, ka hele ʻana i ke ākea, ka meaʻai kūpono, paʻakikī a me ka loaʻa ʻole o nā maʻi lele.
Akā inā mālama ʻia kēia mau lula, ʻaʻole hiki ke kāpae i ka maʻi, ka mea i hoʻoili pinepine ʻia. Inā maʻi ka holoholona ʻino, ʻaʻole hiki ke nānā ʻole ʻia ka maʻi diabetes: ʻo ka lōʻihi o ka ulu ʻana o ke pathology, ʻo ka paʻakikī ka hoʻomaka ʻana o ka lāʻau.
Hoihoi ia! Me nā ʻano holomua o ka maʻi, ʻākoakoa nā kino ketone i ke koko. Ke hoʻopaneʻe nei ʻo Ketoacidosis i ka insulin therapy, i hoʻomaka wale ʻia ma hope o ke kuhi ʻia ʻana o nā kino ketone (a i ʻole ʻaʻohe hopena).
ʻO ka hōʻailona, ʻaʻole i hana ʻia i ka manawa kūpono, hoʻoweliweli i ka ʻīlio.
- cataract me ka nalowale o ka hihi hope;
- maikaʻi ʻole ka puʻuwai / puʻuwai;
- ake momona (pinepine i ka cirrhosis);
- ikaika ʻole o ke kino;
- luhi loa;
- hopena make.
ʻO ka mea nāna ka mea e ukali i ka ʻōlelo aʻoaʻo a ka endocrinologist (ʻo ia ke kuleana no ka hoʻolālā hoʻoponopono insulin a me kahi papa kuhikuhi diabetic kokoke) e hōʻoia i kahi ola lōʻihi a hoʻokō hoʻi no kāna ʻīlio
