ʻO ka nui o ka maʻi mellitus o ka maʻi mellitus ka mea lua ma waena o nā maʻi maʻi. I nā keiki, ʻoi aku ka paʻakikī o ka maʻi me ka pilikia ma mua o nā pākeke e loaʻa ana i ke koko koko kiʻekiʻe. ʻOi aku ka paʻakikī i kahi keiki nāna i nā maʻi kuhi i ka hoʻoliʻoliʻenehana hana e hoʻolaʻa i kekahi nohona, e koi ana i ka mālama pono ʻana i nā ʻōlelo lapaʻau he nui.
Hōʻike nā hōʻailona o ka maʻi maʻi i kēlā me kēia makahiki. I kekahi manawa ulu ka maʻi i nā keiki hou. Akā ʻike pinepine pinepine ka hyperglycemia i 6-12 mau makahiki, ʻoiai nā keiki (0.1-0.3%) e liʻiliʻi loa i ka maʻi maʻi ma mua o nā pākeke (1-3%).
Akā he aha nā kumu a me nā hōʻailona o ka maʻi diabetes i nā keiki? Pehea e pale aku ai i ka hoʻomohala ʻana o ka maʻi i kahi keiki a pehea e mālama ai inā ʻike ʻo ke ʻano maʻi hyperglycemia i kēia manawa?
Nā maʻi maʻi
Aia he 2 mau hiʻohiʻona o ka maʻi maʻi. I ka lā mua o nā maʻi ma ka pancreas, pili ʻia nā kihi no ka hana ʻana o ka insulin. Ke alakaʻi nei ka hanaʻino i ka hakakā me ka ʻole o ka komo ʻana o ka hormone ʻaʻole i kahele ʻia a puni ka iwi a noho i ka kahe koko.
I ka lua o nā maʻi maʻi maʻi, kūmake ka pancreas i ka insulin, akā nā mea hoʻonoho o nā ʻāpana o ke kino, no nā kumu ʻike ʻole, oki e ʻike i ka hormone. No laila, he wahi hoʻomalu, e like me ke ʻano o ka insulin i ka maʻi, e noho mau ana i ke koko.
ʻO nā kumu o nā maʻi hyperglycemia i nā keiki he ʻokoʻa. ʻO ka kumu kumu i manaʻo ʻia he hoʻoilina.
Akā inā loaʻa i ka maʻi maʻi nā mākua ʻelua, a laila ʻaʻole ʻike ka maʻi o ke keiki i ka wā hānau, i kekahi manawa e aʻo ʻia ke kanaka e pili ana i ka maʻi i ka makahiki 20, 30 a 50 paha. Inā pilikia ka makuakāne me ka makuakāne i nā pōʻino i ka metabolism, ʻo ka koho o ka maʻi i kā lākou mau keiki ʻo 80%.
ʻO ke kumu maʻamau ʻelua o ka maʻi ʻōpio o ka wā kamaliʻi. Makemake nā pēpē a me nā kula i ka hōʻino ʻana i nā mea ʻono ʻē aʻe. Ma hope o ka ʻai ʻana iā lākou, ala nui ke kō i loko o ke kō, no laila ke hana nei ka pancreas i kahi ʻano e hoʻonui ʻia, ka hoʻoulu ʻana i ka nui o ka insulin.
Akā ʻaʻole hana ʻia ka pancreas i nā keiki. Ma ka 12 makahiki, he 12 cm ka lōʻihi o ke kino, a ʻo kona paona he 50 gram. Hoʻopihi ka hiki ke hana o ka insulin i ka makahiki ʻelima.
ʻO nā manawa koʻikoʻi no ka hoʻomohala ʻana o ka maʻi mai 5 a 6 a mai 11 a 12. I nā keiki, nā kaʻina loina metabola, ʻo ka metabolism metabolate, e ʻoi aku ka wikiwiki ma mua o nā pākeke.
Nā kumuhana hou no ka loaʻa ʻana o ka maʻi - ʻaʻole i hoʻokumu ʻia ʻo ia ka nenoai. Wahi a ia, ʻo ka muli iho o ke keiki, ʻoi aku ka nui o ka maʻi o ka papa maʻi.
E kū'ē i ke kua o ka overeating, ʻike nui ʻia nā keiki. Ke komo ka nui o ke kō i ke kino ma ka nui a ʻaʻole i hana ʻia e hoʻoulu hou i nā kumu ikehu, ua waiho ʻia kona keu nui ma ke ʻano o ka momona i mālama. A ʻo nā molekela lipid e hana i nā receptors cell e kū ʻole i ka glucose a i ʻole insulin.
Hoʻopili i kahi inu nui, ke alakaʻi nei nā keiki o kēia mau lā i ka nohona noho malū, kahi e hoʻopilikia ai ko lākou paona. ʻO ka nele o ka hana pilikino e hoʻolohi i ka hana o nā hana e hana ai i ka insulin a ʻaʻole i emi ka pae i ka glucose.
ʻO ke anuanu pinepine ka hopena i ka maʻi maʻi. Ke komo ka maʻi i nā maʻi hopohopo i ke kino, hoʻāla ka hakakā o nā huakaʻi a ka huina. Akā me ka hoʻōla pinepine ʻana o nā pale o ke kino, hiki mai kahi hewa i ka hana o ka hoʻopili ʻana a me nā ʻōnaehana paʻa o ka pale kino ʻana.
E pale aku i ke kua o ke anuanu mau, hoʻomau nā kino i nā antibodies. Akā ma ka hiki ʻole o nā huakini a me nā maʻi virus, ke kū nei lākou i ko lākou mau sela, me nā mea no ka kuleana o ka huna ʻana o ka insulin, e hōʻemi ana i ka nui o ka hana o ka hormone.
Nā ʻōpū o ka maʻi diabetes i nā keiki
ʻO nā hōʻailona o ka maʻi diabetes i nā keiki he 12 mau makahiki e hilinaʻi ʻia i ʻelua mea - ʻo ka hele ʻana a i ʻole ka hemahema o ka insulin a me ka hoʻoneʻe o ka glucose. ʻAʻole ulu nā ʻano maʻi maʻi āpau i nā keiki me ka hōʻemi ʻana i ka insulin koʻikoʻi. Hoʻonui pinepine ʻia ka maʻi me ka pale ʻana i ka insulin me ka hoʻonui ʻana i ka pae o ka hormone i ka koko.
Loaʻa ka hemahema o ka insulin i kēia mau ʻano o ka maʻi maʻi - type 1, neonotal form and MODY. Loaʻa nā pae maʻamau a hoʻonui i ka nui o ka hormone i ke koko i kekahi mau subspecies o MODY a me kahi ʻano insulin-kūʻokoʻa o ka maʻi.
ʻO nā ʻano o ka maʻi maʻi i hoʻokomo ʻia i ka papa inoa mua e hui pū me ka paʻa piha o ka hormone. ʻAʻole ʻae ka nele i ke kino e hoʻohana i ke kō, a ʻike ia i ka pōloli ikaika. A laila e hoʻomaka nā hana o nā momona, me ka ʻokiʻoki ʻia o nā ketones e kū pono ana.
Ka huehue a Acetone i ke kino holoʻokoʻa, me ka lolo. Hoʻopau nā kino ketone i ke koko pH i ka acidity. ʻO kēia ke kumu e hoʻomohala ai ka ketoacidosis, i hoʻohui ʻia e nā hōʻailona like ʻole o ka maʻi maʻi.
I nā keiki me nā maʻi type 1, ulu nui ka ketoacidosis. Kūpono ko lākou ʻōnaehana hoʻoneʻe a ʻaʻole hiki ke hoʻohana koke i nā toxins. No laila puka kahi coma, hiki ke hoʻoulu i nā hebedoma 2-3 mai ka hoʻomaka ana i nā hōʻailona mua o ka maʻi maʻi.
I nā pēpē hou, wikiwiki ʻia ka ketoacidosis, i pōʻino no ko lākou ola. Me ka maʻi diabetes MODY, ʻaʻole hiki mai kēia ʻano, no ka mea ʻaʻole i nui ka hemahema o ka insulin a maloʻo ka maʻi, akā mau ka hōʻailona o ka maʻi.
A pehea pehea ka maʻi maʻamau me ka huna ʻana o ka insulin a kiʻekiʻe a maʻa paha paha? ʻO ka hana o ke kūkulu ʻana i ka maʻi type 2 i nā keiki he like ia me ka pākeke. ʻO ke kumu kumu nui ka momona a me ka nele o ka naʻau i ka insulin, e piʻi ai ke kaʻe o ka glucose i ke koko.
Hiki i ke ʻano ʻōpiopio ʻ MODlelo like ke hele me ka pale ʻana i ka insulin, akā ʻaʻohe ʻanoʻike ʻole a me ka ketoacidosis ʻaʻole ʻike. Ke hoʻomohala nei kēlā mau ʻano maʻi i ka manawa o 2-3 mau mahina, ʻaʻole ia e hoʻonāukiuki i ke kūlana olakino.
Akā i kekahi manawa ke ʻano like o ke ʻano o kēia mau ʻano o ka maʻi maʻi i ka papa o ke ʻano kūmole o ka like ʻole o ka maʻi o ka maʻi like. No laila, ma ka hoʻomaka mua o ka hoʻomohala ʻana o ka maʻi, pono ka ʻona ʻana o ka insulin, me kahi neʻe hou i ka lāʻau hoʻohiolo i ke kō a me ka ʻai.
I kēlā mau maʻi, hiki ke loaʻa paha ke ketoacidosis. Ua pani ʻia e ka inika insulin a me ka hoʻopau ʻana o ka pehu o ka glucose.
Akā nā hōʻailona mua o ka maʻi i nā ʻano maʻi like ʻole, e pono ai ka noʻonoʻo kikoʻī.
ʻĀmaʻomaʻo
I nā keiki a me nā wā'ōpiopio ma mua o nā makahiki he 12 i ka hina ʻana i ka insulin, e ulu koke ka maʻi diabetes (2-3 mau pule). No laila, pono i nā mākua ke ʻike i nā hōʻike i pili ʻia me ka maʻi glycemia, i ka mea e pale ai a lohi paha i ka ulu ʻana o kahi maʻi maʻi.
ʻO ka hōʻailona mua a me ka ʻākena o nā maʻi maʻi no ka makeʻe ʻole ʻole. He keiki ka mea i maʻi me ka maʻi type 1 a ʻaʻole loaʻa i ka mālama therapeutic e makewai mau ia. Ke hoʻonui ʻia ke kō, lawe ʻia ke kino i nā wai mai nā ʻāpana a me nā ʻoka e hoʻoheheʻe i ke kō koko koko a inu ka mea maʻi i ka wai, nui ka wai a me nā mea inu momona.
Hoʻohui ʻia ka makewai me ka urination pinepine, no ka mea, pono e hoʻoneʻe ʻia ka wai nui mai ke kino. No laila, inā hele ke keiki ma ka lolo i ʻoi aku ma mua o ka 10 mau manawa i ka lā a hoʻomaka paha e kākau i ka pō ma ka moena, e makaʻala nā mākua.
Ka pololi o ka ikehu ke kumu a ka makemake nui ai i ka mea maʻi. ʻAi ke keiki i ka nui, akā mau ka hoʻowalewale, kahi i pili ʻia me ka nāwaliwali o ka metabolism kaleka. ʻO kēia ʻano hiʻohiʻona no ka maʻi type 1.
Ma hope o ka hoʻopau ʻana i nā meaʻai o ka kalaka, ke piʻi aʻe ka nui o ka glycemia a me nā keiki me ka maʻi diabetes. Ma hope o kekahi manawa, hoʻomaʻamaʻa ka hoʻōla o ke kō, a lilo hou ke keiki a hiki i ka ʻōpiopio hou aʻe.
ʻO ka nui o ka momona wikiwiki e hōʻike ai i ke ʻano o ka maʻi maʻi. Hoʻopau ka hāpau i kona hiki ke hoʻohana i ka honi me ka ikehu. Hoʻomaka ia e nalo ana i ka nāwaha, a me ka momona, a ma mua o ka loaʻa ʻana o ka paona, hopohopo nui e lilo ke kaumaha.
Me ke koloheʻole o ka uptake glucose a me ka hopena o nā ketones, lilo ke keiki a lohi a palupalu. Inā loaʻa i ka mea maʻi he ala o ka acetone mai ka waha - he hōʻailona kēia o ka maʻi ketoacidosis maʻi. Hoʻopau ke kino i nā toxins ma nā ʻano ʻē aʻe:
- ma o ka ʻāoʻa (acetone ke manaʻo i ka wā e hūnā ai);
- ma o nā kauā (urination pinepine);
- me ka ʻaole (hyperhidrosis).
Lawe ʻia ka Hyperglycemia i ka make ʻana o nā io ʻoi, me ke kīʻaha maka. Hoʻohui ʻia kēia me nā mea ʻike manu ʻole. Akā inā liʻiliʻi ke keiki a hiki ʻole ke heluhelu, hoʻomaka ʻo ia e nānā i kēlā mau ʻōuli.
ʻO nā maʻi honu he hoa mau no nā maʻi āpau. Me kāna ʻano e hilinaʻi nei i ka insulin, ua lūlū pinepine nā kaikamāhine. A i nā keiki hou, ʻike ʻia nā diaper rash, kahi hiki ke hoʻopau ʻia wale nō ma hope o ka hoʻokaʻawale ʻana i ke kiʻekiʻe o ka glycemia.
Nā hana kūpono
ʻAʻohe mau ala pale no ka maʻi maʻi ʻole i hōʻike ʻia ka maikaʻi. ʻAʻole kōkua nā peni, nā maʻi lapaʻau a i ʻole nā homeopathic e pale aku i ka hoʻomohala ʻana o ka maʻi.
Hāʻawi ka lāʻau lapaʻau i kēia lā no ka hoʻāʻo ʻana i ka genetic, kahi e hoʻoholo ai i ka hiki ke hoʻomohala ʻana i ka maʻi glycemia maʻi i nā pākuʻina o ka nui. Akā he hana pōʻino ke kaʻina - ke kaumaha a me ke kumukūʻai kiʻekiʻe.
Inā hele ka ʻohana pili o ke keiki i ka maʻi maʻi type 1, a laila no ka pale ʻana o ka ʻohana āpau ke kuhikuhi ʻia e hoʻololi i ka pāʻai haʻahaʻa. Ma hope o kahi papaʻai e pale ai i nā cell beta pancreatic mai kahi hoʻouka kaua ʻana.
Ke ulu wikiwiki nei ka lāʻau lapaʻau, ke hoʻomohala nei nā ʻepekema a me nā kauka i nā ala pale hou. ʻO kā lākou pahuhopu nui, ʻo ia ka mālama ʻana i nā cell beta i ola hou i ke maʻi maʻi maʻi hou. No laila, hiki ke hāʻawi ʻia kekahi mau mākua o ka maʻi maʻi e komo i nā hoʻokolohua lapaʻau e pili ana i ka pale ʻana i nā cell pancreatic mai nā antibodies.
I mea e pale ai i ka hoʻomohala ʻana o ka maʻi diabetes, pono ʻoe e hoʻāʻo e hōʻemi i nā mea i pōʻino ʻia:
- ʻO ka nele o ka vitamin D i ke koko. Ua hōʻike ʻia nā haʻawina e hoʻōla ana ka vitamina D i ka ʻōnaehana pale, e hōʻemi ana i ka hopena o ka maʻi diabetes type 1.
- Nā maʻi maʻi maʻi. ʻO kā lākou ka hoʻomaka ʻana no ka hoʻomohala ʻana me kahi ʻano like ole o ka maʻi o ka maʻi. ʻO nā puʻuwai weliweli he cytomegalovirus, rubella, Coxsackie, Epstein-Barr.
- ʻO ka hoʻomaka mua o ka maunu pēpē.
- Inu i ka wai e loaʻa ana nā nitrates.
- Ma mua, ʻo ka hoʻomakaʻana o ka waiū piha i ka meaʻaiʻai a nā keiki.
Manaʻo hoʻi nā kauka i ka hānai ʻana i ka waiū waiū i kahi pēpē a hiki iʻeono mau mahina a inu i ka wai inu maʻemaʻe. Akā, ʻaʻole e kau i nā keiki i ka nohona maikaʻi, no ka mea ʻaʻole hiki ke pale ʻia mai nā maʻi āpau.
ʻO ka mea loea i ka wikiō ma kēia ʻatikala e kamaʻilio e pili ana i nā hōʻailona o ka maʻi maʻi i nā keiki.
