Pākōkohu 1 i nā keiki. Pākōkohu 1 i nā keiki

Inā loaʻa kahi keiki a i ʻole kekahi ʻōpiopio i ka maʻi diabetes, aia ma mua o ka 85% o ka manawa e huli ia i loko o ka maʻi type o ka insulin e hilinaʻi ʻia. ʻOiai i ka kenekulia 21, ʻoiai hoʻi ka ʻōpio 2 mau ʻōpio. I nā keiki ʻōpio mai nā makahiki he 10 e maʻi nei. Inā ulu kahi keiki i ka maʻi maʻi, a laila he pilikia koʻikoʻi kēia no ke maʻi ʻōpio a me ko lākou mau mākua. Ma mua o ka ʻimi ʻana i ka lāʻau lapaʻau no nā maʻi maʻi maʻi 1 i nā keiki, e heluhelu i kā mākou moʻolelo ulanaʻi, "Ma ka maʻi hānai ma nā keiki a me nā ʻōpio."

I kēiaʻatikala, e aʻo ʻoe i nā mea āpau e pono ai e pili ana i ka maʻi ʻaʻai a me ka nānā ʻana o ke ʻano maʻi type 1 i nā keiki. Eia kekahi, hoʻolaha mākou i kekahi ʻike nui i ka Lūkini no ka manawa mua. ʻO kā mākou mea "kūʻokoʻa" maikaʻi loa (kaʻai haʻahaʻa-lowates) e kāohi i ke kō koko i ka maʻi diabetes. I kēia manawa, hiki i ka poʻe maʻi maʻi maʻi mālama i kona mau kumupaʻa maʻamau, aneane like me nā poʻe olakino.

ʻO ka mea mua, pono ke ʻike ke kauka i ke ʻano o ka maʻi maʻi i ka maʻi o ke keiki. Ua kapa ʻia kēia e ka maʻi maʻi ʻē aʻe o ka maʻi maʻamau a me ke ʻano type 2. Aia ʻē aʻe nā ʻano ʻē aʻe o kēia maʻi, ʻoiai naʻe iki ka ʻokoʻa.

Nā ʻōmaka o ke ʻano maʻi type 1 i nā keiki

Ua wehewehe ʻia kēia nīnau ma ka kikoʻī o ka ʻatikala "Nā hōʻailona o ka maʻi maʻi i nā keiki." Hoʻololi ʻokoʻa nā hōʻailona maʻamau o nā maʻi kuʻuna 1 o nā pēpē, preschoolers, nā keiki mua o ke kula, a me nā ʻōpio. He mea kūpono kēia ʻikepili i nā mākua a me nā kauka o nā keiki. ʻO nā kauka pinepine ke kākau "kākau i lalo" i nā hōʻailona o ka maʻi maʻi i nā maʻi ʻē aʻe a hāʻule ke keiki i kahi coma mai ke kō koko kiʻekiʻe.

ʻO ka maʻi maʻi a me ka maʻi maʻi thyroid

ʻO ka maʻi diabetes type 1 kahi maʻi autoimmune. Loaʻa ia e ka hana ʻole o ka ʻōnaehana. Ma muli o kēia hana maikaʻi ʻole, hoʻomaka nā antibodies e hōʻoki a luku i nā cell beta pancreatic e hana ana i ka insulin. ʻAʻole ia he mea kupanaha, ua loaʻa pinepine nā maʻi autoimmune i nā keiki me ka maʻi maʻamau o ka maʻi 1.

I ka hapanui o ka manawa pinepine, ʻo ka pale ʻana o ka ʻoihana a me nā cell beta i ka hōʻ maha a ka thyroid gland. Hoʻomaopopo ʻia kēia o ka thyroiditis autoimmune. ʻO ka hapa nui o nā keiki me ka maʻi diabetes type 1 ʻaʻohe ʻano hōʻailona. Akā i kēlā mau mea pono ʻole, ʻo ka autoimmune thyroiditis e hōʻemi i ka hana o ka thyroid hana. He liʻiliʻi kekahi mau hihia i ka wā e, ʻo ia ka mea, e hoʻonui i ka hana, a loaʻa ka hyperthyroidism.

Pono e hoʻāʻo ʻia kahi keiki me ka maʻi ʻano type 1 no nā antibodio thyroid. Pono ʻoe e ʻike pono i kēlā me kēia makahiki e ʻike inā ua ulu ka maʻi thyroid i kēia manawa. No kēia, hana ʻia kahi hōʻike koko no ka hoʻāla ʻana i ka hormone thyroid (TSH). He hormone ia e hoʻoikaika ai i ka kūloʻo thyroid. Inā loaʻa nā pilikia, e kau ka endocrinologist i nā pōpoki, a hoʻomaikaʻi nui lākou i ka nohona o ka maʻi maʻi.

ʻO ka mālama ʻana i ka maʻi diabetes mika 1 i nā keiki

ʻO ka mālama ʻana i ka maʻi diabetes mika 1 i nā keiki nona nā ʻano hana penei:

• ke aʻo ʻana aku i ka mālama ponoʻī ʻana i ke kōpaʻa koko me kahi glucometer;
• kaohi mau iā ʻoe iho ma ka home;
• kaʻai kai;
• inikua insulin;
• ka hana pilikino (ka haʻuki a me nā pāʻani - ke hoʻoikaika kino i ka maʻi diabetes);
• kōkua noʻonoʻo.

Pono kēlā me kēia mau kuhikuhi i ka loaʻa ʻana o ka maʻi type 1 ma ke keiki e pōmaikaʻi ai. Hoʻomaʻamaʻa ʻia lākou, ma ka hapa nui, ma ke kumu maʻi maʻi i, i.e. ma ka home a i ʻole i ka lā i ka manawa i kau ʻia ai e ke kauka. Inā he keiki maʻi ʻo ka maʻi maʻi, a laila pono ʻo ia i ka haukapila i ka haukapila haukapila. ʻO ka maʻamau, ʻo ka poʻe maʻi me nā maʻi type 1 ka hoʻokipa ʻia ma nā manawa he 1-2 i ka makahiki.

ʻO ka pahuhopu o ka mālama ʻana i ke ʻano maʻi maʻi type 1 i nā keiki he mālama ʻo ia i ke kō koko koko kokoke i ka mea maʻamau. Ua kapa ʻia kēia, "e hoʻokō nei i ka hoʻōla maʻa." Inā hoʻomaikaʻi ʻia ka maʻi diabetes ma ka hoʻōla ʻana, a laila hiki i ke keiki ke hoʻomohala maʻamau a ulu aʻe, a hoʻopiʻi nā hoʻopiʻi ma ka hopena a i ʻole ʻaʻole ia e hōʻike mai.

ʻO nā pahuhopu no ka mālamaʻana i ka maʻi diabetes i nā keiki a me nā ʻōpio

He aha nā kumukūʻai gula koko e pono ai iaʻu e loaʻa i nā keiki me ka maʻi diabetes? ʻAi like ka poʻe ʻepekema a me nā mea lapaʻau e pili pono ana i ka neʻe ʻana o ka nui o ka glucose koko, ʻoi aku ka maikaʻi. No ka mea, i kēia hihia, ua like ke ola o ka mea maʻi like me ke kanaka olakino, ʻaʻole ia e ulu i ka hoʻopiʻi vascular.

ʻO ka pilikia ʻo ia i ka poʻe maʻi me ka maʻi diabetes e loaʻa nā inikini insulin, ka mea kokoke i ke kō o ke koko maʻamau, ʻoi aku ka kiʻekiʻe o ka ulu ʻana o ka hypoglycemia, me ka paʻakikī. E pili ana kēia i nā maʻi āpau me ka maʻi diabetes 1 ʻano. Eia kekahi, i nā keiki maʻi diabetes, kiʻekiʻe loa ka hopena o ka hypoglycemia. No ka mea ʻai lākou i kaʻai maʻamau, a ʻo ka nui o ka hana pilikino i ke keiki e hiki ke ʻano ʻē i nā lā ʻē aʻe.

Hoʻokumu ʻia e kēia, ua ʻōlelo ʻia ʻaʻole e hoʻohaʻahaʻa i ke kōpaʻa koko i nā keiki me ka maʻi 1 ka maʻi maʻamau i ka maʻamau, akā no ka mālama pono ʻana i nā kiʻekiʻe kiʻekiʻe. ʻAʻole loa pēlā. Ma hope o ka hōʻuluʻulu ʻana o nā helu helu, ʻike ʻia ʻoi ka hoʻomohala ʻana o nā hoʻopiʻi vascular i ka maʻi maʻi ma mua o ka hopena o ka hypoglycemia. No laila, ʻo ka makahiki 2013, ua kuhikuhi mai ka American Diabetes Association i ka mālama ʻana i ka hemoglobin glycated i nā keiki āpau me ka maʻi ma lalo o 7.5%. He mea ino kona mau waiwai kiʻekiʻe, ʻaʻole makemake ʻia.

Kuhi i ka nui o ka glucose koko, ma muli o ka makahiki o kahi keiki me ka maʻi pākēnē 1

E nānā i nā helu hemoglobin glycated i ka kolamu hope o ka papa. He hōʻailona kēia e hōʻike i ka pae kiʻekiʻe o ka glucose glucose ma mua o 3 mau mahina i hala. Hōʻele ʻia kahi hōʻike koko hemoglobin i kēlā me kēia mahina e nānā ai inā ua uku maikaʻi ʻia ka maʻi maʻi o ka mea maʻi i ka wā ma mua.

Hiki i nā keiki me ka diabetes type 1 ke mālama i ke kōʻai maʻamau?

No ka ʻike ʻoe, nā kumu maʻamau o ka hemoglobin glycated i loko o ke koko o nā kānaka olakino me ka huakaʻi ʻole he 4.2% - 4.6%. Hiki ke ʻike ʻia mai ka papa ma luna nei e hōʻike aku ana ka lāʻau lapaʻau i ka mālama ʻana i ke kō koko koko i nā keiki me ka maʻi type 1 me ka liʻiliʻi he 1.6 mau manawa ma mua o ka maʻamau. Ua pili kēia i ka piʻi nui o ka hypoglycemia i nā maʻi maʻi ʻōpio.

Hoʻokumu ʻia kā mākou pūnaewele me ka pahuhopu e hoʻomāhele i ka ʻike i kahi pākeke haʻahaʻa-wai haʻahaʻa no ke ʻano lāʻau type 1 a me ke ʻano 2. ʻO ka papaʻaina me ka pale ʻana o nā hāolaola i ka papa ʻaina e hiki ai i nā pākeke a me nā keiki me ka maʻi maʻi e mālama i ka kōʻai koko i ke koina ma kahi o ka pae like. No nā kikoʻī, e ʻike ma lalo o ka pauku "Diet no ke ʻano maʻi type 1 i nā keiki."

ʻO ka mea nui ka nīnau: i ka wā e mālama ai i ka maʻi maʻamau o ka maʻi ʻōpala 1 i kahi keiki, he mea pono paha ke hoʻokaʻawale i ke kō o kona koko i ke ʻano maʻamau? Hiki i nā mākua ke hana i kēia "ma kā lākou ola ponoʻī." Hoʻomaopopo ʻoiai hiki i kekahi ʻāpana o ka hypoglycemia koʻikoʻi hiki ke hōʻeha i ka lolo mau a hoʻomāneʻe i ke keiki no ke koena o kona ola.

Ma ka ʻaoʻao ʻē aʻe, ʻoi aku ka nui o nā pale e ʻai ana kahi keiki, ʻo ia ka emi o ka insulin e pono ai iā ia. A me ka liʻiliʻi o ka insulin, ka haʻahaʻa o ka hopena o ka hypoglycemia. Inā hele ke keiki i ka meaʻai haʻahaʻa-liʻiliʻi, a laila e hoʻohaʻahaʻa ʻia ka nui o ka insulin i kekahi mau manawa. Hiki iā lākou ke lilo i koʻikoʻi nui, hoʻohālikelike ʻia me ka nui o ka inikini i paʻi ʻia ʻia ma mua. Ka mea i hoʻohiki ʻia no ka nui o ka maʻi hypoglycemia.

Eia kekahi, inā e loli koke ke keiki i kahi meaʻai haʻahaʻa-waiho hāhai i hope o ka nānā ʻana i ka maʻi maʻamau 1 ʻano, laila e hoʻomau ka lōʻihi o ka "honeymoon". Hiki iā ia ke kau aku no kekahi mau makahiki, a inā he pōpilikia maikaʻi ʻoe, a laila no ka manawa holoʻokoʻa. No ka mea e emi ka nui o ka hāmeʻe ma luna o ka pancreas, a ʻaʻole luku loa ʻia kāna mau cell beta.

Hoʻohālikelike: inā he keiki me ka maʻi type o ka maʻi 1, e hoʻomaka ana mai ka makahiki "kindergarten", e huli ana i kahi meaʻai hoʻohaʻahaʻa haʻahaʻa, a laila aia nā pono nui. Hiki ke mālama i ke kō koko koko ma ke koina kiʻekiʻe e like me nā poʻe olakino. ʻAʻole hoʻonui ka hopena o ka hypoglycemia, akā e emi iho, no ka mea, e hōʻemi ʻia ka nui o ka insulin. Hiki i ka wā melemele ke lōʻihi lōʻihi.

Eia nō naʻe, nā mākua i koho i kēia ʻano lapaʻau no ka maʻi maʻi type 1 i kā lākou keiki e hana i kā lākou pilikia ponoʻī. ʻO kāu endocrinologist e lawe i kēia "me ka huhū", no ka mea ke kue nei i nā ʻōlelo aʻoaʻo a ke Kuhina Ola, e hana nei lākou. Manaʻo mākou ua hoʻomaka mua ʻoe e hoʻohana ana i ka mika glucose koko pololei. I nā lā mua o ke "ola hou", ana pinepine i ke kōʻai koko, mālama pono i ke kūlana me ka hoʻomau. Mākaukau e pani i ka hypoglycemia i kēlā me kēia manawa, me ka pō. E ʻike ʻoe pehea e pili ana i ke kōpaʻa koko i kahi keiki i nā loli i kāna papaʻai, a huki i kāu nā manaʻo ponoʻī e pili ana i ka hoʻolālā o ka maʻi diabetes.

Pehea e hoʻokomo ai i ka insulin i kahi keiki me ka maʻi maʻi

I mea e ʻike ai pehea e mālama ʻia ai ka maʻi maʻamau i ka maʻi maʻamau i nā keiki me ka insulin, pono ʻoe e aʻo i nā ʻatikala:

• Pehea e anaʻi ai i ke kōpaʻa koko me kahi glucometer hōʻeha ʻole;
• Ka helu helu ʻana a me ka hoʻonaninani insulin;
• Nā hoʻoponopono hoʻonāʻau inulin;
• Pehea e hoʻoheheʻe ai i ka inika e pololei i ke kaha ʻana i nā ʻōkuhi haʻahaʻa.

I nā kamaliʻi liʻiliʻi, hoʻemi ʻia ka insulin a me ka ultrashort e hoʻopau wikiwiki i ke kō koko koko a ʻoi aku ka ikaika ma mua o nā keiki a me nā pākeke. Ma keʻano holoʻokoʻa, ʻo ka muli aʻe o ke keiki, ʻoi aku ka kiʻekiʻe o kona mau naʻau i ka insulin. I kekahi hihia, pono e hoʻoholo ʻia no kēlā me kēia maʻi maʻi maʻi pākaʻi 1 Pehea e hana ai i kēia ma ka ʻatikala "Ka Inikini a me ke ʻano no ka ʻĀina Insulin", ka pilina e hāʻawi ʻia ma luna.

ʻO ka maʻi paena Diabetes i nā keiki

I kēia mau makahiki i hala iho nei, ma ke Komohana, a ma ko mākou'āina, he nui a me nā keiki a me nā ʻōpio i hoʻohana i nā ulu o ka insulin e lapaʻau i kā lākou maʻi. He polokalamu kēia e ʻoluʻolu pinepine iā ʻoe e hoʻokō i ka subcutaneous wikiwiki ultra-pōkole hana hoʻonoho i ka insulin i nā liʻiliʻi liʻiliʻi. I ka nui o nā hihia, ke huli nei i kahi pā i ka inika no ka maʻi maʻamau o ka wai i nā keiki he hiki ke hoʻomaikaʻi i ka mālama koko koko a me ka maikaʻi o ke ola o ke keiki.

Pākena ʻoulin me ka hana

ʻO nā hiʻohiʻona o ka mālamaʻana i ka insulin inā he keiki maʻi maʻi maʻi ma ka mea haʻahaʻa eʻai ai i ka haʻahaʻa

Aʻo ia me nā meaʻai, ʻoi aku ka maikaʻi o ka hoʻohana ʻana i ka analogash ultrashort, akā ka mea maʻamau "pōkole" maʻamau. I ka manawa hoʻololi mai kahi meaʻai maʻamau i kaʻai ʻai haʻahaʻa, aia ka maʻi nui o ka hypoglycemia. ʻO kēia ka mea e pono e mālama pono i ke kō o ke koko me ka glucometer a hiki i ka 7-8 mau manawa i ka lā. A e like me nā hualoaʻa o kēia mau ana, hoʻemi me ka nui o ka nui o ka insulin. Hiki ke hoʻomaka iā lākou e emi ma lalo o 2-3 mau manawa a i ʻole.

ʻO ka mea maʻamau, hiki ke maʻalahi ʻoe e hana me ke kīkī insulin. A mamuli, ʻaʻole lawe i nā pilikia hou aʻe e lawe ana ma kāna hoʻohana ʻana. Hiki iā ʻoe ke uku piha i ka maʻi diabetes me nā dosis liʻiliʻi o ka insulin, ka mea i mālama ʻia me nā syringes a i ʻole nā ​​ʻāpana syringe e hoʻonui ʻia nā waihona ʻo 0,5.

ʻOi no ka maʻi type 1 i nā keiki

Manaʻo ʻia ka lāʻau lapaʻau i kahi meaʻai kaulike no ka maʻi type 1, kahi nui o nā hāmeʻe no ka 55-60% o ka hoʻokomo calorie. Kahi mea kīnā ʻai i nā loli nui i ke kō kōʻai koko ʻaʻole hiki ke kāohi ʻia e nā inikua insulin. ʻO ka hopena, ʻo ka manawa o ka piʻi ʻana o ka glucose kiʻekiʻe loa ma muli o nā manawa o ke kō haʻahaʻa.

ʻO ka "lele" ākea "i ka glucose koko ke alakaʻi i ka hoʻomohalaʻana o nā hopena vascular o ka maʻi maʻi, a hoʻomohala pū i nā ʻōpū o hypoglycemia. Ināʻai ʻoe i ka liʻiliʻi o nā kālaiʻu, a laila e hoʻēmi i ka nui o nā fluctuations o ke kō. I ke kanaka olakino i kēlā me kēia makahiki, ke kiʻekiʻe ka nui o ke kō me ka 4.6 mmol / L.

Inā ʻoe e kaupalena i ka maʻi diabetes i ka type 1 i kāu papaʻai a hoʻohana liʻiliʻi liʻiliʻi, koho ʻia i nā dosis o ka insulin, hiki iā ʻoe ke mālama i kāu kōpaʻa ma ka pae like, me ka neʻe ʻana o ka 0.5mmol / l ma nā ʻaoʻao ʻelua. E hōʻalo kēia i nā hoʻopiʻi o ka maʻi maʻi, me ka hypoglycemia.

E ʻike i nā ʻatikala no nā kikoʻī hou:

• Insulin a me nā haʻalulu: ʻo ka ʻoiaʻiʻo e pono ai ʻoe e ʻike;
• ʻO ke ala maikaʻi loa e hoʻohaʻahaʻa i ke kō koko a mālama mau ia ia maʻamau.

E hoʻoweliweli anei ka meaʻai haʻahaʻa-haʻahaʻa haʻahaʻa i ka ulu a me ka hoʻolālāʻana o ka pēpē? ʻAʻole iki. Aia kahi papa inoa o nā waikina amino pono (protein). Pono hoʻi e hoʻopau i nā momona momona maoli, ʻo ia hoʻi, nā momona momona o omega-3. Inā ʻaʻole ʻai kekahi i nā protein a me nā momona, e make nō ia i ka pau ʻana. Akā, ʻaʻole ʻoe e loaʻa i kahi papa inoa o nā mea nui i nā kalapika, no ka mea noa ʻole lākou. I ka manawa like, ʻo nā kākāā (hemo ʻole ka hāmeʻa, i.e. fiber) e pōʻino i ka maʻi maʻi.

I ke makahiki hea e hiki ai ke keiki ke neʻe aku i kahi meaʻai haʻahaʻa-waiho liʻiliʻi no ka maʻi type 1? Hiki iā ʻoe ke ho'āʻo i kēia hana a hoʻomaka ʻo ia e ʻai i ka meaʻai like me nā pākeke. I ka manawa o ka neʻe i kahi meaʻai hou, pono ʻoe e hoʻomākaukau a e hōʻoia i ka ʻōlelo aʻe:

1. E hoʻomaopopo pehea e pani ai i ka hypoglycemia. Mālama ʻia nā lālū lima inā loaʻa iā ʻoe.
2. I ka manawa hoʻololi, pono ʻoe e ana i ke kōpaʻa koko me kahi glucometer ma mua o kēlā me kēia pāʻina, 1 hola ma hope iho, a i ka pō hoʻi kekahi. Ka mea i huli aʻe 7 ma ka manawa 7 i ka lā.
3. E like me nā hopena o ka kaohi o ke kahe koko - ke kaʻawale nei e hoʻemi i ka nui o ka insulin. ʻIke ʻoe iā lākou e hiki ke hoʻemi ʻia i kekahi mau manawa. Inā ʻaʻole pēlā ka hypoglycemia.
4. I loko o kēia manawa, ʻo ke ola o kahi keiki me ka maʻi diabetes me ka ʻoluʻolu e like me ka manawa e ʻole ai, me ka ʻole o ke kaumaha a me ka hoʻoikaika kino ikaika. A hiki i ka hana hou ke lilo i noho maʻamau.

Pehea e hōʻoiaʻiʻo ai i kahi keiki i ka ʻai

Pehea e hōʻoiaʻiʻo ai i kahi keiki e hahai i kahi meaʻai olakino a hōʻole hoʻi i nā sweets? I ka pili ʻana o kahi keiki me ka maʻi type type 1 i ka meaʻai “hoʻonaʻauao” maʻamau, ʻike ʻo ia i kēia mau pilikia:

• ma muli o "mauʻu" i ke kō koko koko - maikaʻi mau ka maʻi olakino;
• ka hewa hypoglycemia i kekahi manawa;
• hopohopo ʻē aʻe nā maʻi āpau.

I ka manawa like, inā e pili pono ka maʻi maʻi maʻi maʻi i ka mea momona haʻahaʻa, a laila ma hope o kekahi mau lā, loaʻa iā ia nā pōmaikaʻi nui:

• He maʻa ke kō o ke koko, a ma muli o kēia, e holomua ke kūlana o ke olakino, ʻokoʻa ka ikaika;
• he haʻahaʻa loa ka hopena o ka hypoglycemia;
• ua nui nā pilikia olakino maʻi.

E ʻike ke keiki i kāna "ʻili ponoʻī" pehea ʻē kona e nānā ai inā pili pono ʻo ia i ka hoʻoponopono a inā ua hāhai ʻo ia. A laila e loaʻa iā ia ke kumu kūlohelohe e pale i kona maʻi maʻi a pale aku i ka hoʻowalewale e ʻai ʻana i nā meaʻai "pāpā ʻia" ʻoi loa, i loko o ka hui o nā hoaaloha.

ʻAʻole nui nā keiki a me nā pākeke me nā maʻi type type 1 pehea ka manaʻo e hiki ai iā lākou keʻai ma kahi pāʻai haʻahaʻa. A laila e hoʻomaʻamaʻa kahiko a ua hoʻolauleʻa lākou a loaʻa iā lākou ke mauʻu a me nā maʻi. E lilo lākou i mau koi hoʻomau i ka hoʻolaʻa haʻahaʻa-haʻahaʻa haʻahaʻa haʻahaʻa i ka wā e hoʻāʻo ai iā lākou a ʻike i nā hopena maikaʻi loa o kēia ʻano.

Nā pane i nā mākua nīnau pinepine

Kūleʻa ʻo Glycated hemoglobin no ka mea hiki ʻole ke hoʻopiʻi kūpono i ka maʻi diabetes i ka wā e noho palaka ana kaʻai ʻana, ʻo ia hoʻi, ua hana nui ʻia me nā kaū. ʻAʻole pili me ka mālama pono ʻana i nā unahi papa, hiki i kahi liʻiliʻi ke hoʻohana. E hoʻololi i ka meaʻai haʻahaʻa-haʻahaʻa a kā mākou pūnaewele e aʻo ai. Heluhelu i kahi ninaninau me nā mākua o kahi keiki he 6 makahiki me ke ʻano maʻi type 1 i loaʻa ka kala piha a lele i ka insulin. ʻAʻole au e hoʻohiki e hana ʻoe i ka like, no ka mea ua hoʻomaka koke lākou e mālama maoli ʻia, a ʻaʻole kali i ka makahiki hoʻokahi. Akā i kekahi kūlana, e hoʻomaikaʻi ka uku diabetes.

Ulu ke keiki a hoʻomohala ʻole, akā naʻe pono. Ke ulu wikiwiki nei ka ulu ʻana o ka pono o ka insulin, no ka mea e loli ka pae ʻana o ka hormonal. Malia paha ʻoe i kēia manawa ke hiki hou mai nei o ka ulu ulu ʻana, no laila ua pau ka pono o ka insulin. Eia, i ke kauwela kauwela e koi ʻia no ka mea mahana. Hoʻopihapiha kēia mau hopena. ʻAʻole paha ʻoe e hopohopo. E mālama pono i ke kō, mālama i ka nānā ponoʻī ʻana pono o ka glucose i ke koko. Inā ʻike ʻoe ʻaʻole e ʻaole ka insulin me ka uku ʻana i ka maʻi diabetes, a laila hoʻomāhuahua i kona ʻano. E heluhelu ma aneʻi e pili ana i nā hemahema o kahi pākia insulin i hoʻohālikelike ʻia i nā syringes kahiko maikaʻi.

Manaʻo wau ʻaʻole hiki iā ʻoe ke ʻalo iā ia mai nā "hewa", a ʻaʻole wale mai ka meaʻai ... hoʻomaka ka wā ʻōpiopio, nā hakakā me nā mākua, ka hakakā ʻana no ke kūʻokoʻa, a me nā mea ʻē aʻe, ʻaʻole ʻoe e uku i ka mea āpau. E hoʻāʻo i ka koi ʻana. Hōʻike i nā hiʻohiʻona o nā mea maʻi maʻi 1 makua ʻoihana e ʻeha nei i nā hōʻeha a mihi a ua mihi lākou he mau ʻōpio kēlā i ko lākou ʻōpio. Akā ke kuikahi like. I kēia kūlana, hiki ʻole iā ʻoe ke hoʻokaumaha. E ho'āʻo e hoʻokau naʻauao. E lilo ʻoe i ʻīlio a hoʻopilikia ʻia e ia. I ke kiki moi.

Hōʻike nui ka pae o ka insulin i ke koko. E nānā i ka laha ʻana i loko o ka mauʻano - aneane 10 mau manawa. No laila, he hōʻike koko no ka insulin ʻaʻole e hana i kahi kūlana kūikawā i ka maʻi maʻi. ʻO kāu keiki, no ka mea make, aia he 100% type 1 maʻi maʻi. Hoʻomaka koke e hoʻohuli no ka maʻi me nā inikini insulin a me kahi meaʻai haʻahaʻa. Hiki i nā kauka ke paʻi i ka manawa, ʻaʻole naʻe nou kāu makemake. Ma hope aʻe e hoʻomaka ai i ka hoʻomaʻamaʻa maʻamau, ʻoi aku ka paʻakikī o ka holomua ʻana. ʻO ka ʻimi ʻana i ka insulin a me ka hahai ʻana i kahi mea ʻai ikaika ʻole ʻaʻole i leʻaleʻa. Akā i loko o nā wā'ōpiopio, ʻaʻole ʻoe e makemake e lilo i mea ʻole ma muli o nā pilikia o ka maʻi maʻi. No laila, mai palau, ae mālama ʻia.

ʻO ka loaʻa ʻana o ka uku uku kūpono maʻamau ke ʻano maʻamau o nā mākua i loaʻa i ke ʻano maʻi maʻi mua i kā lākou mau keiki. Ma nā pūnaewele ʻē aʻe e hōʻoiaʻiʻo ʻia ʻaʻole hiki ʻole ia, a pono ʻoe e waiho me ka surges i ke kō. Akā iaʻu kekahi mau tala maikaʻi no ʻoukou. Heluhelu i kahi ninaninau me nā mākua o kahi keiki 6 makahiki keiki me ke ʻano maʻi type 1 i loaʻa ka kala piha. ʻO kā lākou keiki ka mālama mau i ke kō koko koko maʻamau, maʻamau me ka ʻole o ka injectations o ka insulin, e hoʻomaikaʻi ana i ka ʻai haʻahaʻa. Me ka maʻi maʻamau 1 ʻano, aia kahi wā meli. Inā ʻaʻole ʻoe e hāʻawi i nā kalaiwa e hoʻouka nui i ka pancreas, a laila hiki iā ʻoe ke hoʻolōʻihi i nā makahiki i hala, a i ʻole he ola ke ola.

ʻO ka mea e hana - ʻo ka mea mua, pono ʻoe e hoʻololi i ka ʻai haʻahaʻa. No kahi papa inoa piha o nā meaʻai i ʻae ʻia a nānā ʻia, ʻike i nā kulekele meaʻai. E hoʻokaʻawale i ka palaoa, nā sweets a me nā ʻuala mai ka meaʻai he hapalua hapa, ʻaʻole lawa. E heluhelu i ka mea he mau meli no ka maʻi maʻamau i ke kiʻina. Malia paha me ke kōkua o kahi meaʻai haʻahaʻa haʻahaʻa hiki ke hoʻolōʻihi ʻoe ia i mau makahiki he nui paha, a no ke ola ʻana nō hoʻi. Eia eia kahi nīnau me nā mākua o kahi keiki 6 makahiki i hana ia. Ke hōʻole nei lākou me ka insulin a mālama mau i ke kō maʻamau, e like me ka poʻe olakino. ʻAʻole makemake kā lākou keiki i ka insulin a ua makaukau ʻo ia e hahai i ka meaʻai, inā ʻaʻole wale nā ​​inikini. ʻAʻole au e kīnā e hoʻokō ʻoe i ka kūleʻa pono. Akā i kekahi hihia, kahiʻai haʻahaʻa-kākoi ke kūloko o ka mālama ʻana i ka maʻi diabetes.

Pākuʻi type 1 i nā keiki: loaʻa

Pono ka makua e launa pū i kahi keiki me ka maʻi type type 1 o nā makahiki 12-14, ʻoi aku ka makua, ʻaʻole lākou e hāʻawi i kahi pōʻino e pili ana i ka hiki ʻana o nā hoʻopiʻi vascular. ʻO ka hoʻoweliweli o kēia mau pilikia lōʻihi e hoʻomake iā ia e kaohi i ka maʻi diabetes. ʻIno wale ʻia ke keiki i kēia manawa, a i ka wā ʻōpio ʻo ia ka mea maʻamau. ʻIke e heluhelu i kā mākou ʻatikala nui, Diabetes i nā keiki a me nā ʻōpio.

No laila, ua ʻike ʻoe he aha nā hiʻohiʻona o ka maʻi type o ka maʻi type 1 i nā keiki. Pono e nānā pinepine ʻia kēlā mau keiki inā hoʻomaʻamaʻa pinepine ʻia kā lākou thyme gland maʻamau. I nā keiki he nui me ka maʻi pākahi 1, ke hoʻohana nei i kahi paila insulin e kōkua maikaʻi aku i ka mālama koko. Akā inā pili ke keiki i ka meaʻai haʻahaʻa-haʻahaʻa kaʻai, a laila hiki paha iā ʻoe ke mālama i ke kō maʻamau ma ke kōkua o nā inikini insulin kahiko.