ʻO ka mea mua, hōʻike mākou e heluhelu i ka ʻōlelo maʻamau, "Hōʻailona o ka maʻi Diabetes." A eia hoʻi ʻoe e aʻo kikoʻī i nā hōʻailona e hiki ai i nā maʻi maʻi ke kānalua i kahi keiki. Hoʻomaʻamaʻa ka ʻoma o ka maʻi maʻi i nā keiki ma mua no ka hōʻike ʻana o nā maʻi ʻē aʻe. Ma muli o kēia, hiki pinepine ke hoʻoholo i ka manawa e loaʻa ai ka maʻi maʻi o ke keiki.
Ma ka hoʻomaʻamaʻa kauka i nā kauka maʻi lapaʻau, ʻokoʻa loa ka maʻi diabetes. No laila, ke kānalua nei i ka huli hope loa i ke kumu o kekahi mau hōʻailona i ke keiki.
ʻO ka maʻamau, hoʻomaka ka mālama ʻana i ka hala, a no laila ke hoʻomehana nei ke kō o ke koko kiʻekiʻe i ka hōʻeha ʻana i nā maʻiʻeha, a hiki i kahi comic maʻi. A ma hope iho o kēlā mea, manaʻo nā mākua a me nā kauka i nā mea e tupu nei. Ma hope o ka heluhelu ʻana i kā mākou moʻolelo, e "kiaʻi" ʻoe e pili ana i nā hōʻailona o ka maʻi diabetes i nā keiki. E kūkākūkā nō hoʻi mākou pehea e loli ai i loko o ka makahiki i hoʻomaka ai ke keiki i ka maʻi.
ʻO nā keiki a me nā'ōpiopio, no ka hapa nui, hoʻomohala i ka maʻi maʻamau i ka maʻi maʻamau. ʻOiai i nā makahiki i hala iho nei, ua lilo ka maʻi ʻōpio 2 ʻano ʻōpio loa i kēia manawa a hiki i nā keiki ʻokiʻoki ma mua o 10 mau makahiki.
E nānā ʻoe inā loaʻa i kēia mau ʻōuli a ke keiki:
- make wai nui (ua kapa ʻia kēia he polydipsia);
- nā helehelena urinary i kū mai, ʻoiai ʻaʻole ia ma mua;
- hopohopo kau ke keiki i ka paona;
- utuka
- huhū, hoʻoemi i ka hana o ke kula;
- ua ʻōlelo pinepine ʻia ka maʻi ʻili - nā ʻala, ka bale, a pēlā .;
- i nā kaikamāhine i ka wā kamaha - candidiasis vaginal (thrush).
ʻO nā hōʻailona o ka maʻi hānai i nā keiki
ʻO nā maʻi (ʻeha) maʻi o nā maʻi maʻi i nā keiki e koi koke i ka mālama olakino. ʻO kā lākou papa inoa he:
- huʻi pinepine
- make wai nui, a hoʻomau ka maʻi o ke keiki;
- nā kaumaha koʻikoʻi ma muli o ka hōʻemi, ka nalowale o nā momona momona a me nā ʻōpū ma ke kino;
- He hanu ʻole ke keiki - ke hanu ʻana o Kussmaul - he mea pālahalaha, loaʻa ʻole, me ka hanu hohonu nui a me ka hoʻoikaika ʻana i hoʻoikaika ʻia;
- i ka ea lewa - ka ʻono o ka acetone;
- ka hilo ʻana o ka ʻike: lethargy, disorientation in space, emi iki - i ka nalowale o ka ʻike ma muli o ka coma;
- haʻalulu ka hopena: pinepine pulse, limu polu.
ʻOiaʻiʻo, makemake ia e ʻike i ke maʻi maʻamau i ke keiki i ka manawa, no laila, me ke kōkua o ke ʻano lapaʻau e pale aku i ka hoʻomaka ʻana o nā maʻiʻeha. Akā hiki pinepine kēia mea i ka hoʻomaʻamaʻa. Hoʻomaka pinepine nā kauka i nā maʻi maʻi kamaliʻi inā ua hoʻomohala ka mea maʻi i ka ketoacidosis (ka hiona o ka acetone i ka hau hanu), ʻoi aku ka nānā ʻana i kahi dehydration nui, a i ʻole ke hāʻule ke keiki i loko o kahi maʻi diabetes.
Nā hōʻailona o ka maʻi hānai i nā pēpē
ʻO ka maʻi diabetes i nā keiki o ke makahiki mua o ke ola he līpine naʻe, akā loaʻa kekahi i kekahi manawa. ʻO ka pilikia ka maʻi hoʻokaumaha ʻaʻole hiki i ke pēpē ke ʻōlelo. No laila, ʻaʻole hiki iā ia ke hoʻopiʻi e pili ana i ka makewai a me kona olakino maikaʻi. Inā ʻaʻole kēlā keiki i ka diaper, a laila ʻike ʻole nā mākua i ka hoʻomaka ʻana e hoʻomaka i nā urine.
ʻO nā hōʻailona o ka maʻi maʻi i nā keiki ʻōpio:
- ʻaʻole ka momona o ke keiki i ka paona maikaʻi, ʻoiai i ka momona maikaʻi, e hele maikaʻi ka dystrophy i loko ona;
- hele maikaʻi ʻole, ʻoluʻolu wale ma hope o ka inu;
- hana pinepine i nā diaper pinepine, ʻoi loa ma ka ʻāina o ka ʻōpū, a ʻaʻole pono i mālama ʻia;
- ma hope o ka hoʻomaloʻo ʻana o ka urine, pōʻai a popokele;
- inā loaʻa ka urine ma ka papahele, aia kahi mau mea hoʻopili;
- nā huʻeha o nā maʻi hānai i nā pēpē: e luaʻi ana, lilo i loko, huhū nui.
Pehea e hōʻike ʻia nei ka maʻi diabetes i nā kula mua a me nā keiki kula mua
Aia nā keiki ʻōpio i nā "ākea" a me nā hōʻailona o ka maʻi maʻi maʻi āpau, a mākou i hōʻike i luna. Loaʻa i nā mākua a me nā kauka ke hoʻomaopopo i ka maʻi diabetes i kahi keiki i kahi manawa kūpono. No ka mea, "ʻike ʻia" kēia mau maʻi i hōʻike ʻia e nā maʻi ʻē aʻe.
I nā poʻe maʻi o ka ʻōpio o nā ʻōpiopio ʻoi aku ka maʻi o ka maʻi maʻamau, paʻa ʻole. No ke aha e hana ai a pehea e hana pololei ai no nā mākua - e heluhelu i kā mākou kumuhana nui "ʻO ka maʻi hānai ma nā keiki." Hiki i ke keiki me ka maʻi maʻamau e ʻike pinepine ʻia i ka hypoglycemia. No laila, eia mākou e hāʻawi i kahi papa inoa o nā hōʻailona o ka hypoglycemia i nā keiki:
- pono ke keiki a lilo ke keiki, lilo ʻole i kali ʻole;
- a i ʻole e hoʻoneʻe, ʻeha ʻo ia i ka hiamoe, a hiamoe ʻo ia i ke ao i ka manawa like ʻole;
- hōʻole i ka meaʻai, ke ʻimi nei e hānai i ka momona - hoʻohiki.
ʻO kekahi makemake nui e hānai i kahi keiki me nā sweets ʻoiai inā inā loaʻa ʻo ia i ka hypoglycemia maoli, ʻaʻole he "explosion". No laila, no kēlā me kēia hypoglycemia pīpī, pono e ana ke kō o ke koko e hoʻohana ana i kahi glucometer. I ka manawa like, hiki ke hypoglycemia koʻikoʻi ke alakaʻi i ka pale ole o ka lolo a me ka pilikia.
Aia kekahi mau ʻano kūikawā o ka maʻi maʻi i nā wā ʻōpio?
ʻO nā ʻōmaʻomaʻo o ka maʻi maʻamau i nā wā ʻōpio a me nā pākeke ke like like. Kuhi ʻia lākou i ka kikoʻī ma ka ʻatikala "Nā hōʻailona o ka maʻi maʻi. ʻO nā ʻōlapa o ka maʻi maʻamau i ka pākeke. " I ka manawa like, nā kiʻi maʻi o ka maʻi diabetes i nā keiki o ka wā kahiko e loaʻa kāna mau nuances.
Inā hoʻomaka ka maʻi ma ke keiki i ka wā ʻōpio, a laila e ulu maikaʻi ʻo ia ma mua o nā keiki ʻōpio. ʻO ka manawa latent ka mua o ka maʻi diabetes i ka wā ʻōpio ma hope o 1-6 mau mahina a ʻoi aku ka lōʻihi. Hoʻomaʻamaʻa ʻia nā hōʻailona o ka maʻi kamaliʻi i kēia mau malama no ka hōʻike ʻana o ka maʻi neurosis a me ka maʻi ʻūlū. I kēia manawa, hoʻopiʻi nā mea maʻi:
- luhi;
- nāwaliwali
- poʻomanaʻo
- huhū;
- hāʻule i ka hana i ke kula.
Eia nō hoʻi, he mau mahina ma mua o ka hoʻomaka ʻana o ka maʻi diabetes hiki i nā waha hypoglycemia kuapo. ʻAʻole lākou i hele ʻia me ka nalowale o ka noʻonoʻo a hoʻomālamalama paha, akā he makemake ikaika ka ʻōpio e ʻai i nā ʻono. Ua manaʻo ʻia aia nei kēia mau glycemia spontan i ka manawa mua o ka maʻi ʻōpiopio, i ka wā e kū ana ka pale a pau i nā cell beta pancreatic.
A hiki i ka ʻike ʻana i nā maʻi maʻi maʻi, hiki i ka ʻōpio ke hoʻomau ʻia nā maʻi o ka ʻili, ka bale, a me ka furunculosis. Inā ulu wikiwiki ka ketoacidosis, a laila hiki mai ka ʻeha o ka ʻōpū, ka lua, a me ka luaʻi. Hoʻomaopopo pinepine ʻia kēia mau hōʻailona o ka appendicitis aʻa ʻole paha, a me ke keiki ma ka papa ma ka bedo.
I ka wā ʻōpiopio, e ʻike paha nā ʻōpio i nā ʻano maʻi maʻamau o ka maʻi maʻi. No ka mea, ʻo ka hoʻololi ʻana o ka hormonal i ke kino i kēia mau makahiki, e hoʻemi ana i ka ʻike ʻana i nā kiko i ka insulin, i.e., ulu ka kū i ka insulin. Eia kekahi, hoʻokaʻawale pinepine nā ʻōpio i kā lākou meaʻai, hoʻomaʻamaʻa a me nā inikua o ka insulin.
Nā hōʻailona ʻānō o ke ʻano maʻi diabetes 2 mau keiki
Mai ka hoʻomaka ʻana o ka makahiki 21, ua lilo ke ʻano o ka maʻi ʻōpio 2 i ʻōpio loa. Ma United States, ua hōʻike ʻia nā hihia o kēia maʻi a hiki i nā keiki he 10 mau makahiki. Hōʻuluʻulu ka mea pilikia i nā keiki a me nā ʻōpio i haʻi i nā hōʻailona o ka metabolic syndrome:
- ʻōpū o ka ʻōpū;
- hypertension arterial;
- ka piʻi kiʻekiʻe o ka triglycerides a me ka "kino" kolamu i ke koko;
- kaumaha huakai o ka auʻai (non-alkoholiki hepatosis momona).
Hoʻomaka pinepine ʻia ka maʻi maʻamau i ka ʻōpio ma ke kikowaena o ka wā ʻōpio. Hiki i kēia manawa ke mau keiki no 12 a 18 mau makahiki, no nā kaikamahine - mai 10 a 17 mau makahiki. ʻO ka nui o nā poʻe me ka maʻi type kīkē 2 i ka wā ʻōpiopio e loaʻa ka liʻiliʻi ma kahi o ka pilikia hoʻokahi, a he nui paha.
ʻAʻole iʻoi aku ma mua o 20% o nā ʻōpio me nā maʻi diabetes type 2 e hoʻopiʻi ana i nā hōʻailona o ka maʻi: make wai, ka hoʻihoʻi pinepine, hōʻemi ʻana o ka paona. ʻO ka hapa nui o nā maʻi ʻōpio me kēia maʻi he nui nā pilikia olakino, akā "ʻano maʻamau" kēia.
- nui nā maʻi neʻe;
- ʻopi momona
- pilikia paʻakikī ʻana (dysuria);
- ka ihu ʻana o ka urinary (enuresis).
Hōʻike pinepine ʻia ka maʻi diabetes i ka 'ōpio i ka wā o ka hoʻokalakinua maʻamau, ma muli o ke ʻano o ke koko a i ʻole ka hoʻāʻo ʻana i ka kō. A ua ʻike ʻole ʻia ka maʻi diabetes mika 1 i ka wā liʻiliʻi. No ka mea, ʻo nā kumu maʻamau a nā mākua a me nā kauka e mālama pono ai.
No laila, ua aʻo ʻoe i ka kikoʻī he aha nā hōʻailona o ka maʻi maʻi i nā keiki. He mea nui e hoʻomanaʻo i kēia ʻike i nā kauka, akā ʻo nā mākua hoʻi. He mea maikaʻi nō hoʻi 'oe i ke aʻo' ana i kā mākou 'atikala koʻikoʻi "Diabetes i nā keiki" ka' Howlelo "Pehea e maopopo ai ke 'ano o ke ʻano maʻi o ke keiki". Hoʻomaopopo i ka nānā ʻana o ka maʻi maʻi maʻamau i ka hana a nā kauka pediatric. No laila, manaʻo lākou i ke kumu o kekahi mau hōʻailona i ke keiki i ka manawa hope.