Diabetes Mar - Abril 2011

download Diabetes Mar - Abril 2011

of 5

Transcript of Diabetes Mar - Abril 2011

  • 8/7/2019 Diabetes Mar - Abril 2011

    1/5

    jkhifzfwpvilkghgkc jf lh wogkfjhj fwpholh jf jkhifzfw

    By"hy# 9088 h TlkT

    Cvf}hw zgckghwjf kc{fggkc jf kcwvlkch

    Cvf}hw zgckghwjf kc{fggkc jf kcwvlkch

    WPFGKHL

    GOCNYFWO WFJczyf}kwzhbow h lh

    cvf}h pyfwkjfczh,ockh Nhqzhbikjf

    Dfbonloikchnlkgowklhjh

    Dfbonloikchnlkgowklhjh

    zkl fc fljkhncwzkgozkl fc fljkhncwzkgo

    kf jkhiZkgolgfyhw, gbopyf}fckylhw?lgfyhw, gbopyf}fckylhw?

    fZkxvfZhjocvZYkgkochl

    MYvZhw []fYjvYhw fTZkghw

    gbo lffY fl jck

    f low hlkbfcZow?

    CVZYKGKC

    Pyvihlhw(

  • 8/7/2019 Diabetes Mar - Abril 2011

    2/5

    LFl wFnvkbkFczo jF vch wFykF jF dikzow goyyFgzowFc lh hjbkckwzyhgkc jF kcwvlkch Fw Fl PykbFy PhwoPhyh vc ivFc goczyol bFzhilkgo Fc lhw PFywochwgoc jkhiFzFw xvF lh cFgFwkzhc#

    yfpoyzhaf

    Gocwfcwo flhioyhjo poy ftpfyzow jf 9> phwfw

    Lh kcwvlkch fw vch doyboch xvf wfnyfnhfl pcgyfhw kbpyfwgkcjkilf phyh lh }kjh# Wfpvfjf }k}ky wkc pcgyfhw, pfyo co wkc kcwvlkch#Lhw pfywochw goc jkhifzfw zkpo 8 cfgfwkzhchjbkckwzyhywf kcwvlkch jfwjf fl kckgko jf lh

    fcmfybfjhj# Lhw pfywochw goc jkhifzfw zkpo9 zhbikc pvfjfc cfgfwkzhylh fc fl zyhcwgvywojf lh f}olvgkc jf wv jkhifzfw#

    Fl zyhzhbkfczo mhybhgolnkgo {h wfh gocphwzkllhw o goc kcwvlkch, fl wfnvkbkfczo jkf"zzkgo hjfgvhjo { lh hgzk}kjhj mwkgh woc pklhyfwmvcjhbfczhlfw fc fl zyhzhbkfczo jf lh jkhifzfw#Lh gobikchgkc { hjhpzhgkc jf fwzow mhgzoyfwco fw mgkl ck phyh lh pfywoch goc jkhifzfw ckphyh wv fxvkpo hwkwzfcgkhl, jf hd lh cfgfwkjhjjf moybhgkc goczkcvh jf low pyomfwkochlfw {

    jf xvf fl phgkfczf pvfjh plhczfhy wvw zfbo"yfw { gyffcgkhw wknvkfcjo pyonyhbhw fjvghzk"}ow fwzyvgzvyhjow xvf mhgklkzfc fl pyogfwo jfhpyfcjkqhaf jf ghjh pfywoch {/o mhbklkh# Fcfwzf pyogfwo, vc pklhy mvcjhbfczhl fw hwfnvyhylh hjbkckwzyhgkc goyyfgzh jf lh kcwvlkch fchxvfllhw pfywochw xvf lh cfgfwkzhc#

    F}olvgkc jF lhw kcwvlkchw

    Low zkpow jf kcwvlkch dhc kjo f}olvgkochcjophyh hjhpzhywf bw h lhw cfgfwkjhjfw wko"

    lnkghw jf lhw pfywochw goc jkhifzfw# Hzyw

    $ 8: +

    ZGCKGHW JF

    CvF}HW yFGobFCJHGKoCFW

    BFYG ]KJHL MLoY

    Fcmfybfyh Fjvghjoyh# Dowpkzhl Glckg jf Ihygfloch

    KC[FGGKC JF KCWvLKCH

    hPyFcjF h vzklkqhylowl f} f f f f { pf", pf f f ff pff f #

  • 8/7/2019 Diabetes Mar - Abril 2011

    3/5$ 86 +

    Jkhifzfw

    b

    xvfjhyoc lhw kcwvlkchw pyogfjfczfw jf hckbhlfw,powzfykoybfczf hphyfgkfyoc lhw kcwvlkchw dvbh"chw, fc wv moybh jf hggkc ypkjh $Hgzyhpkj,Yfnvlhy + o lfczh zkpo CPD# Zhbikc jkw"pocfbow jf kcwvlkchw pyfbfqglhjhw goc vch

    phyzf jf ypkjh { ozyh jf lfczh, { fc low lzkbowhow dhc hphyfgkjo lhw kcwvlkchw hclonhw ghjh}fq bw hjhpzhjhw h lh wfgyfgkc wkolnkghjfl pcgyfhw# Pojfbow jkmfyfcgkhylhw glhyh"bfczf fc jow zkpow1 kcwvlkchw wvpfy ypkjhw$Co}o"Yhpkj, Dvbhlon, Hpkjyh+ { wvpfylfczhw $Lhczvw { Lf}fbky+, xvf pfybkzfcbvgdh bw ftkiklkjhj fc low doyhykow { flhpoyzf jf gobkjh wkfbpyf xvf wf jobkcf ikfcfl hvzogoczyol#

    kcwzyvbFczow bw pyFgkwowLow kcwzyvbfczow jf hjbkckwzyhgkc jf lhkcwvlkch zhbikc dhc f}olvgkochjo bvgdojfwjf fl kckgko dhwzh lh hgzvhlkjhj, bhczfckfcjolh afykcnh zyhjkgkochl f kcgoypoyhcjo kcwzyv"bfczow gobo low pfcw o iolkw { low kcmvwoyfwgoczkcvow jf kcwvlkch wvigvzcfh $iobihw jfkcwvlkch+, wkwzfbhw bw wowzkghjow jkyknkjowh hxvfllhw pfywochw xvf, hc kbplkgcjowf

    ! Mykj H fz hl# Cf~ kcafgzkoc yfgobbfjhzkocw moy phzkfczw ~kzdjkhifzfw# Jkhifzfw - Bfzhiolkwb 7=$9080+ W7"W84#

    fc fl bhcfao jf wv jkhifzfw, co gocwknvfcivfc goczyol bfzhilkgo goc blzkplfw jowkw

    jf kcwvlkch#Zojow low kcwzyvbfczow woc hilfw fc gvhczoh wv pyfgkwkc pfyo, jhjo wv jkmfyfczf zgckgh,yfxvkfyfc vc hpyfcjkqhaf poy phyzf jfl phgkfc"zf {/o mhbklkh { vc wopoyzf pyomfwkochl phyhyfgobfcjhy h ghjh pfywoch fl jkwpowkzk}o { lhzgckgh bw hjfgvhjh { gocmoyzhilf#

    Goc fl kczfczo jf gocwfcwvhy gykzfykow, vcnyvpo jf zyhihao moybhjo poy 89> ftpfyzowjf 9> phwfw wf yfvckfyoc fc Hzfchw {, goc flcobiyf ZKZHC $f kyj Kcafgzkoc Zfgdck"xvf ^oyewdop kc Hzdfcw+, cow omyfgfc cvf}hwyfgobfcjhgkocfw fc lh zgckgh jf hjbkckwzyh"gkc jf kcwvlkch!#

    Jf fwzf gocwfcwo jfwzhghbow low hwpfgzowbw kbpoyzhczfw1

    8+ Ihyyfyhw pwkgolnkghw myfczf h lh kcwvlkch#Fl kckgko jf lh kcwvlkckqhgkc pvfjf gob"

    poyzhy jkmfyfczfw ihyyfyhw fc mvcgkc jf lhfjhj jf lh pfywoch#Low ckow { wvw phjyfw pvfjfc bowzyhy,

    goc myfgvfcgkh, bkfjo { hcwkfjhj# Fc bvgdhw

    oghwkocfw fwzf zfboy fw hczkgkphjo { fc fllogolhioyhc zhczo low phjyfwgobo low pyomfwkochlfw, hvcxvf

    zhbikc fw gkfyzo xvf low ckowpfygkifc bw fl joloy jfl pkcgdhqo# Vch

    fwzyhzfnkh phyh yfjvgky fwzf zfboy fw pkcgdhy hvc bvfgo jf pflvgdf# Ozyh ivfch fwzyhzfnkhfw kc}kzhy zhczo h low phjyfw gobo h low ckowh xvf wf pocnhc vch kc{fggkc jf wolvgkcwhlkch bvzvhbfczf# Goc myfgvfcgkh xvfjhcwoypyfcjkjow poyxvf wkfczfc bfcow joloy jfl

    fwpfyhjo#Low hjolfwgfczfw wf yfiflhc myfgvfczf"

    bfczf goc hwpfgzow yflhgkochjow goc lh kc"wvlkch, woc yfhgkow h kc{fgzhywf myfczf h lowgobphfyow { ol}kjhc }olvczhykhbfczf oco fl pocfywf lh kcwvlkch poy joloy, pyfwkcjf low phjyfw Dh{ xvf zfcfy fc gvfczh xvfhlnvcow hjolfwgfczfw, woiyf zojo gdkghw, ol}k"jhc }olvczhykhbfczf hlnvchw jowkw jf kcwvlkchgobo bzojo phyh pfyjfy pfwo#Low hjvlzow pvfjfc pyfwfczhy vch yfwkw"

    zfcgkh pwkgolnkgh hl zyhzhbkfczo goc kcwvlkch,

    Fl PcgyFhwbf 87ff# wmf pp"f 1 f"f ff f f}{ ff f { , ff" p f" f #

  • 8/7/2019 Diabetes Mar - Abril 2011

    4/5$ 8= +

    yfpoyzhaf

    co poy moikh h lhw hnvahw, wkco poy hcwkfjhj opfygfpgkc jf nyh}fjhj jf lh fcmfybfjhj#

    Low pyomfwkochlfw zfcjyhbow xvf ftplkghyikfc, woiyf zojo h low yfgkc jkhncowzkghjowjf jkhifzfw zkpo 9, xvf fc vc mvzvyo pvfjfccfgfwkzhy kcwvlkch gobo zyhzhbkfczo, { co gobopfchlkqhgkc poy vc powkilf bhl goczyol jfwv jkhifzfw#

    9+ Qochw jf hjbkckwzyhgkcLhw qochw yfgobfcjhjhw phyh lh hjbkckw"

    zyhgkc jf lh kcwvlkch woc1 hijobfc, pkfychw,iyhqow { chlnhw# Fwzhw qochw jfifc wfy oiwfy"}hjhw gocavczhbfczf fczyf fl pyomfwkochl { flphgkfczf phyh hwfnvyhy wv goyyfgzh vzklkqhgkc#Jkmfyfcgkhyfbow lhw yfgobfcjhgkocfw wfncfl zkpo jf kcwvlkch vzklkqhjo1Kcwvlkchw dvbhchw1Lhw kcwvlkchw ypkjhw

    zkpo Hgzyhpkj o Yfnvlhy wf yfgobkfcjhcpocfy fc fl hijobfc, bkfczyhw xvf lh kcwvlkchzkpo CPD wf yfgobkfcjh pocfy fc lhw pkfychw{/o chlnhw, {h xvf fc fwzhw qochw lh hiwoygkcfw bw lfczh# Kcwvlkchw pyfbfqglhjhw1 Lhw kcwvlkchw

    bfqglh jf ypkjh { CPD, xvf wf hjbkckwzyhc

    poy lh bhhch, wf yfgobkfcjh pocfylhw fc flhijobfc phyh hvbfczhy lh ypkjfq jf hiwoy"gkc jf lh phyzf jf kcwvlkch ypkjh { gviyky flpkgo jf nlvgowh $dkpfynlvgbkgo+ jfl jfwh{vco#Fc ghbiko, gvhlxvkfy bfqglh xvf llf}f CPDjvyhczf fl yfwzo jfl jh wf yfgobkfcjh pocfylhfc lhw pkfychw {/o chlnhw phyh yfzyhwhy lh hi"woygkc { yfjvgky, woiyf zojo poy lh cogdf, flykfwno jf ihaocfw jf hqghy $dkponlvgfbkhw+# Kcwvlkchw hclonhw1 Goc low hclonow jf

    kcwvlkch ypkjh $Co}o"Yhpkj, Dvbhlon,

    Hpkjyh+ fl plhczfhbkfczo fw jkmfyfczf, {hxvf wf hiwoyifc goc vch ypkjfq wkbklhy zhc"zo wk wf hjbkckwzyhc fc hijobfc gobo fciyhqow, pkfychw { chlnhw# Goc low hclonow jfkcwvlkch lfczh $Lhczvw { Lf}fbky+ ogvyyfcmfcbfcow phyfgkjow# Co dh{ jkmfyfcgkhw jfhiwoygkc wfnc lh qoch, hvcxvf wf pfygkiflknfyh zfcjfcgkh jf xvf fc lh qoch hijobkchlwfh bw lfczh#

    Wfnc lo ftpvfwzo, wf pvfjf hybhy xvflhw yfgobfcjhgkocfw glwkghw jf hjbkckwzyhy

    b

    lh kcwvlkch ypkjh fc hijobfc { lhw lfczhw fc

    pkfychw o chlnhw wf ihwhc bw fc nhyhczkqhylh yozhgkc jf lhw qochw h kc{fgzhy xvf fc lhhiwoygkc jf lh kcwvlkch#

    7+ JfwkcmfggkcCo wf cfgfwkzh hlgodol phyh jfwkcmfgzhy lh

    qoch wk ftkwzf vch ivfch dknkfcf, hvcxvf w wfyfxvkfyf fc gfczyow hwkwzfcgkhlfw v dowpkzhlhykow#Wf jfwhgocwfah lh kc{fggkc h zyh}w jf lh yoph#

    :+ Yozhgkc jf lhw qochw

    Lh yozhgkc jf lhw qochw h kc{fgzhy wknvfwkfcjo jf }kzhl kbpoyzhcgkh phyh f}kzhy hgbv"low jf nyhwh $dkpfyzyohw+ pogo fwzzkgow { xvfjkgvlzhc lh goyyfgzh hggkc jf lh kcwvlkch# Fcghwo jf dkpfyzyohw, wf jfif jfahy jf vzklkqhyfwzh qoch { ivwghy ozyhw qochw phyh hjbkckwzyhylh kcwvlkch#

    6+ Locnkzvj jf lhw hnvahwFc lh hgzvhlkjhj ftkwzfc hnvahw goc locnkzvj

    bv{ }hykhilf1 jfwjf low : dhwzh low 89,> bb fc

    qochw jFhjbkckwzyhgkcjF kcwvlkchwf ff p f} f $pf+#

    KbpoyZHCZFZojhw lhw hnvahw fwzc

    pyfphyhjhw p # Wv yfvzklkqhgkc dhgfxvf wf jfwpvczfc, pkfyjhc

    lviykghgkc, jvflhc bw{ mhgklkzfc lh hphykgkc jf

    dkpfyzyohw#

  • 8/7/2019 Diabetes Mar - Abril 2011

    5/5$ 8> +

    Jkhifzfw

    yFiowhbkFczo jFlh kcwvlkchwf f}ff ff af f pff f f#

    fl ghwo jf low pfcw o afykcnhw, { jf dhwzh 8>bb fc fl ghwo jf low ghzzfyfw jf low kcmvwoyfw

    jf kcwvlkch#Pyonyfwk}hbfczf lh locnkzvj jf lhw hnvahwwf dh kjo yfjvgkfcjo, yfgocogkfcjo xvf lhwhnvahw jf 89,> bb woc jfbhwkhjo lhynhw kc"glvwo phyh hjvlzow goc oifwkjhj { xvf lhw jf4 bb pvfjfc wfylo zhbikc phyh bvgdowckow, hvbfczhcjo fl ykfwno jf kc{fggkocfwkczyhbvwgvlhyfw# Lhw hnvahw goyzhw jf :, 6 {= bb woc wfnvyhw { bfaoy zolfyhjhw poy lowpyopkow phgkfczfw#

    Lhw cvf}hw pyvfihw jf kbhnfc $fgonyhh,yfwochcgkh bhnczkgh+ cow dhc jfbowzyhjoxvf fl zfakjo wvigvzcfo fw bfcoy jf lo xvfwf pfcwhih fc hlnvchw qochw, { fwzh fw lh yhqcpoy lh xvf wf yfgobkfcjhc hnvahw jf kcwvlkchghjh }fq bw goyzhw#

    =+ Yfhlkqhgkc jfl plkfnvf jf lh pkflFw cfgfwhyko gvhcjo lh jkwzhcgkh fczyf lh

    pkfl { fl bwgvlo fw bfcoy xvf lh locnkzvj jflhw hnvahw# Dhgfy plkfnvf pvfjf wfy vc b"zojo wfnvyo phyh f}kzhy xvf lh hnvah llfnvf hlbwgvlo# Fl plkfnvf wf dh jf yfhlkqhy goc zyfw

    jfjow $pvlnhy, cjkgf { goyhqc+ { wf dh jfwolzhy vch }fq kc{fgzhjh lh kcwvlkch#

    Dhgfy fl plkfnvf fw yflhzk}hbfczf mgkl fc flhijobfc { lhw pkfychw, pfyo fw bw jkmgkl fclow iyhqow $jocjf wf cfgfwkzh h{vjh jf ozyhpfywoch+ { fc lhw chlnhw $jocjf co fw cfgfwhykodhgfylo poy fl nyowoy jfl zfakjo wvigvzcfo jffwzh qoch+#

    PlkFnvF jF lh PkFl goyyFgzo F kcgoyyFgzow f f f f f m f, a f { pff ff fp, p} pf#

    >+ cnvlo jf kcwfygkc jf lh hnvahNfcfyhlbfczf wf hgocwfah vzklkqhy ;0,

    hvcxvf hlnvcow hvzoyfw hgocwfahc fl cnvlo

    jf :6 fc ckow, hvc vzklkqhcjo hnvahw jf6 bb#

    Phyh f}kzhy fl yfiowhbkfczo jf lh kcwvlkchwf yfgobkfcjh fwpfyhy jkfq wfnvcjow hczfwjf yfzkyhy lh hnvah jf lh pkfl# Fl yfiowhbkfczopvfjf wfy bw myfgvfczf gvhcjo wf vzklk"qh cnvlo jf ;0 xvf cnvlo jf :6 { bwmyfgvfczf fc bvwlo xvf fc hijobfc# J

    Lhw klvwzyhgkocfw jf fwzh pnkch dhc wkjo gfjkjhw poy IJ"Jkhifzfw Ghyf { ftzyhjhw jfl GJ )Fl bvcjo jf lh pkfl)#

    8Lhw hnvahw goyzhw jf :, 6 { = bb wocmhilfw fc lh hjbkckwzyhgkc jf kcwvlkch wvigv"zcfh zhczo fc hjvlzow gobo fc ckow# Hjfbw, wf

    hwogkhc h vch yfjvggkc jfl joloy { bckbo yfio"

    whbkfczo#

    9Dhgfy pLkfnvf fc lh pkfl fw vc bzojo wf"nvyo phyh f}kzhy lh hjbkckwzyhgkc jf kcwvlkch fcfl bwgvlo#

    7goc hnvahw jf 6 bb wf yfgobkfcjh dhgfyplkfnvf { cnvlo jf :6 fc ckow, hvcxvf fchjvlzow lh zgckgh pvfjf wfy wfnc lh pyffyfcgkh

    jfl phgkfczf#

    Fwzhw yfgobfcjhgkocfw wf dhc jf kcjk}kjvhlkqhy fc

    ghjh phgkfczf { zobhy vch jfgkwkc gobphyzkjh yf"

    fyfczf h lhw qochw h kc{fgzhy, locnkzvj jf lh hnvah,

    cfgfwkjhj jf plkfnvf { cnvlo jf kc{fggkc phyh

    kckgkhy vch ivfch zfyhpkh kcwvlckgh# Wk co wf pvfjf

    kcjk}kjvhlkqhy, lo bw wfnvyo fw vzklkqhy hnvahw goyzhw

    { dhgfy plkfnvf#

    YfgvfYjh xvf###