Mālama ʻia ka palena koko i ka mahalo i nā hana o ka insulin a me ka glucagon, e hua ai ka pancreas. Hoʻonui ʻia ia e nā hormone synthesized e nā sela adrenal, ke kūpaʻa a me ka hoʻoneʻe.
Ke hana nei i ka hana a kekahi o kēia mau loulou e hōʻeha i ka maʻi metabolic, ka mea maʻamau ka mea maʻamau ka maʻi mellitus. I nā kamaliʻi, hele aku ka diabetes mellitus me nā hoʻopiʻi, pono ka hoʻokō me ka ʻai, ʻaʻole ʻike ʻia ka wā mālama ʻana o ka insulin i nā mea āpau, ʻoi aku ka wā'ōpiopio.
Loaʻa ka hopena o ka hala a me ka mālama kūpono ʻana i ka hoʻolālā ʻana o nā ʻōpiopio. No laila, no ka pili ʻana o ka manawa, pono nā keiki a pau i ka mālama ʻana i ke kō koko.
Ka hoʻāʻo ʻana o ka glucose koko - ka maʻamau a me nā hemahema
ʻO nā manawa mai ka 9 a hiki i ka 12 mau makahiki a mai ka 4-6 makahiki e pili ana i nā makahiki kahi i ʻike ʻia ai ka hopena o ka maʻi maʻi ma waena o nā keiki. No laila, inā ʻaʻole nānā ke keiki a maʻi, akā ua loaʻa iā ia kahi predisposition hoʻoilina, he hōʻike koko no ka glucose, electrolytes a me kahi urinalysis.
ʻO ka hana mua e hōʻike ana i nā maʻi ʻo ka hoʻokahe koko i hana ʻia ma kahi ʻōpū ʻole. ʻO kēia ka mea e hōʻole ke keiki i ka ʻai ʻana i nā hola 8. Mai ʻai a lūlū ʻoe i kou mau niho i ke kakahiaka. ʻAe wale ka wai inu ʻona ʻia. Ma kēia ala, hiki ke hoʻoholo i ka maʻi diabetes a me ka prediabetes.
Hiki paha i kahi pediatrician a i ʻole endocrinologist ke ana i kahi helu kuʻikahi o ka glucose o ke koko. ʻAʻohe pili ia i ka loiloi ʻana i ka meaʻai meaʻai, hana i kēlā me kēia manawa kūpono. Me kēia helu ʻana, hiki ke hōʻoia ʻia ka maʻi diabetes.
Inā loaʻa kahi kapu koko koko a kahi keiki, akā nīnū i nā kānalua e pili ana i ka maʻi, a laila ua hoʻohana ʻia kahi hōʻike hoʻoliʻi. Loaʻa iā ia (ma hope o ke ana ʻana i ka paʻakai ʻai), inu ke keiki i kahi momona glucose. 2 mau hola ma hope o ka lawe ʻia ʻana o ka hoʻonā, hana ʻia ke ana ʻana.
Pili ʻia kēia hoʻokolohua no nā keiki me ka ʻole o nā hōʻailona o ka maʻi a i ʻole me nā hōʻailona maʻalahi, atypical, a me nā mea i manaʻo ʻia no ka maʻi diabetes mellitus 2 a i ʻole nā ʻano lāʻau like ʻole. ʻO kahi hoʻokolohua glycosylated hemoglobin e hoʻohana pinepine ʻia e nānā i ka maʻi 2 o ka maʻi a i ʻole ke hōʻoia i ka hyperglycemia.
Kuhi ʻia nā ʻōkuhi o ke kō koko i ka makahiki: no ke keiki hoʻokahi makahiki - 2.75-4.4 mmol / l, a me ke ʻano o ke kōhi koko i nā keiki a 9 mau makahiki ka pae 3.3-5.5 mmol / l. Inā hoʻōla ʻia ke kō, akā a hiki i 6.9 mmol / l, a laila e pili ana kēia i ka wikiwiki ka maʻi glycemia. ʻO nā hōʻailona a pau, e hoʻomaka ana mai ka 7 mmol / l pono e noʻonoʻo ʻia me ka maʻi maʻi.
Pūnaʻi pū kekahi o nā hōʻailona hoʻomāka maʻi:
- Inā hōʻike ʻia kahi ana ʻana o ka glycemia i ka nui a i ʻole ke kiʻekiʻe ma mua o 11 mmol / L.
- ʻO ka hemoglobin Glycosylated ma luna o 6.5% (maʻamau ma lalo o 5.7%).
- ʻO ka hopena o ka hōʻike ʻana i ka glucose mahele no ke kiʻekiʻe ma mua o 11 mmol / L (ma lalo o 7.7 mmol / L).
Inā hōʻike ʻia nā hoʻokolohua o ke koko he ʻoi aku ka nui o nā hōʻailona ma mua o ka maʻi, akā haʻahaʻa ma mua o ke ʻano o ka maʻi maʻi, a laila ʻike ʻia kēia mau keiki a ʻike ʻia i ka maʻi diabetes a i ka prediabetes. Wahi like paha kēlā mau keiki e hoʻi i ke ʻano maʻamau a hoʻomohala i ka maʻi diabetes.
He ʻano maʻamau ka maʻi maʻamau o ka maʻi maʻi o ka maʻi lua a ua pili pinepine ʻia me ka metabolic syndrome, kahi, ʻo ka hoʻohui aʻe i nā maʻi metabolism glucose, ʻike ʻia e nā hōʻailona o ke kolamu kiʻekiʻe, ke koko a me ka momona.
Ke hoʻololi nei ke kau ʻana i ka diabetes mellitus i nā keiki ʻaʻole hiki ʻole ke kaupaona.
Hoʻopili i nā maʻi maʻi maʻi maʻi, hiki i ke ʻano o ke ala me kēia ka nui o ke kahe koko.
- ʻĀwau
- ʻO ka hana pilikino ma ka lā o ka hoʻoili.
- Ka ʻai ma mua o ke aʻo ʻana.
- ʻO nā maʻi wīpī a maʻi ʻole paha
- ʻO kahi maʻi thyroid.
- ʻO nā ala āpau endocrine.
- Ke lawe nei i nā lāʻau lapaʻau hormonal a hoʻohana ʻole lōʻihi paha i nā lāʻau lapaʻau anti-inflammatory.
ʻO ka pae haʻahaʻa o nā glucose i nā keiki he mea pili i nā maʻi maʻi ma ka ʻōpū, ka pancreas a i ʻole nā ʻāpana ʻawaʻawa. Loaʻa ia me kahi hoʻohaʻahaʻa i ka hana adrenal, nā kelepa pituitary, me ka hypothyroidism a me nā hana pākoki.
Hiki i ka hypoglycemia ke hoʻomālamalama a me ka hōʻeha o ka lolo traumatic, nā mea hoʻomohala a me ka hoʻomohukū.
Pehea e kū ai ka maʻi mellitus?
ʻO nā moʻomeheu type 1 no nā hapakolu o nā maʻi āpau i ka maʻi maʻamau i ka wā kamaliʻi. Me kēia ʻano o ka maʻi, ua pani ka pancreas i ka hoʻokuʻu a me ka hana o ka insulin. ʻO kēia no ka hopena o ka mālamaʻana i nā cell beta i loko o ka mea i hoʻopauʻia e nā mea paʻakikī autoimmune.
ʻO nā keiki me ka maʻi ʻaʻai ʻano 1 hiki ke maʻalahi i nā maʻi autoimmune: thyroiditis, celiac maʻi, rheumatoid arthritis. ʻO ka maʻi e pili ana i ka manaʻo like genetically. Loaʻa ka pilikia i ka maʻi me nā hoahānau pili pili me ka maʻi diabetes i ka 10 a i ka 30 pakeneka. Hiki i ka maʻi ke hiki i kēlā me kēia makahiki.
ʻO ke ʻano o ka maʻi maʻi mua e hōʻike ʻia e ka hemahema o ka insulin. I ka manawa like, ʻaʻole hiki ke hoʻohana ʻia ka glucose i ka ʻikepili no ka ikehu. Hoʻomaka ka haʻihaʻi o nā protein a me ka momona i ka hoʻokumu ʻana i nā molekui glucose hou ma o ka ate. ʻO ka hakakā o ka momona ka mea e hoʻokumu ai i nā kino ketone a me nā ketoacidosis hoʻoweliweli.
Ua liʻiliʻi ka maʻi maʻamau i ka maʻi maʻamau ma waena o nā keiki, akā ke ulu nei ka nui o nā hihia i ʻike ʻia. Ma ke kānāwai, maʻi nā keiki i ka wā o ka wā ʻōpiopio. I ka manawa o kēia manawa, ma lalo o ka mana o nā sex sex, ua hoʻomaopopo ʻia ka pale ʻana i ka physiological ʻōpio o ka ʻōpio.
Ma ke ʻano lua o ka maʻi maʻi, ua hoʻohua ʻia ka insulin o ke kanaka, i kekahi manawa i ka minamina, akā ʻaʻole hiki iā ia ke hāʻawi i ka glucose i loko o ke kōpona ma muli o ka loaʻa ʻole o ka launa pū i ka insulin. ʻO nā mea nui e kū mai ai ka hanana nui a me ka momona. Ma waena o nā keiki me ka maʻi type 2, 60 a 95% he mau hoahānau pili maʻi.
I ka maʻi maʻamau 2, hoʻomohala nā keiki i nā ʻano like ʻole o ka metabola:
- Hoʻonui ka kolamu, alakaʻi i ka hoʻomohala mua ʻana o ka atherosclerosis.
- He maʻi haole.
- Hōʻailona o ka polycystic ovary.
- Hoʻopiliʻana i ka momona lūlū.
- ʻAnoʻa moe hiamoe.
ʻO nā hōʻailona o ka maʻi maʻi i nā keiki
Hōʻike ka maʻi diabetes type 1 i nā keiki me nā hōʻailona e pili ana me ka hyperglycemia. Hōʻike pinepine ʻia nā urination, ʻoi aku hoʻi ma ka pō, kahi kuʻuna i ka urinary (ʻo ka pō a i ka lā). He mea maʻamau no nā pēpē e loli pinepine ai a lilo lākou i kaumaha.
Inu nui nā keiki i ka wai, ʻai me ka makemake maikaʻi, akā ʻaʻole lākou e kaupaona no ka makahiki. Hiki i ka emaciation hiki ke hōʻeha ma muli o ka dehydration a me ka hoʻonui nui o ka hōʻemi o ka protein a me nā lipids. ʻO nā koho atypical he asymptomatic hyperglycemia a me ke ketoacidotic coma.
Hoʻomaʻi pinepine ke keiki me ke ʻano maʻi maʻi mua i ka nāwaliwali, lilo i huhū, nele i ka makemake i nā papa, hoʻopiʻi e pili ana i ka pupule blurred, candidiasis o nā membula mucous, blush diabetes, nausea a me ke poʻo.
Hōʻike ʻia ka ʻaoʻao ʻelua o ka maʻi maʻi e kahi ʻano asymptomatic, ʻike ʻia i ka wā o ka hoʻokolohua hoʻopaʻa ʻana. Akā aia kekahi mau keiki i kahi ʻano nui o ka maʻi me ka hoʻomohala ʻana i kahi kūlana hypoglycemic, hyperosmolar a me ke ketoacidotic state.
ʻO kahi hōʻailona maʻamau o ka maʻi maʻi mau ka papa mau o nā maʻi ʻili i ʻike ʻia i nā hoʻomaka mua o ka maʻi. E pili ana kēia:
- ʻO ka dermatitis Seborrheic.
- Neurodermatitis.
- Ke hoʻomau nei ka ʻili o ka ʻili.
- Pyoderma.
- Luehue
- Kāpukuhū.
- ʻO ka dermopathy Diabetic i ke ʻano o nā pua flaky.
No nā keiki o ke kula kula, ʻo ka ʻano ʻāʻī o ka hakakā mau ka hopena pinepine o ka hoʻouka ʻana o ka hypoglycemia ma muli o ka manaʻo ʻole o ke keiki i ka manawa a i ʻole ka heʻe ʻana i ka pāʻina a i ʻole ka maʻa o ke ʻano kino. ʻO kēlā mau kūlana e ʻike pinepine ʻia ma ka therapy insulin.
Hōʻike lākou i ke ʻano o ka huluhulu, ke kani ʻana o ka naʻau, ka nāwaliwali nui, ke poʻo, ka ʻike a me ka lohe, hoʻonui ʻia ka puʻuwai, a me ka huhū. Ma hope o kēia, ke hūnā ʻia nei ka hana o ke keiki ma ke kikowaena, nalowale kona ʻike ʻana a hāʻule ia i loko o kahi coma. No laila, pono mau nā keiki i nā kāhiko me lākou, kahi ʻāpana o ke kō a me ka wai momona.
ʻO nā mea hōʻailona o ke kō koko koko e haʻi mau i ka loea i ka wikiō ma kēia ʻatikala.
