ʻO ka Diabetes ke manaʻo ʻia he maʻi formidable, ʻo ia hoʻi no nā kamaliʻi a hiki i hoʻokahi makahiki. I kēlā me kēia makahiki, hoʻopaʻa ʻia nā kauka a i ka poʻe e maʻi ana i ka maʻi maʻi. Ma kēia mea, pono ke ʻike i ka ʻano o ke kō o ke koko koko i nā keiki o ka makahiki 1 o 2.78 - 4.4 mmol / l.
ʻAʻole hana maikaʻi ka pancreas o kahi keiki me ka maʻi maʻi maʻi. Kuhi ʻia ka mālama ʻia ʻana o kahi pae o ka glucose i ke koko.
He mea nui ia e nānā mau i ke ʻano o ke kō i loko o ke koko o ke keiki ka hoʻoponopono ʻana i ka pono. Hoʻopili ʻia kekahi lāʻau lapaʻau ma hope o nā kaʻina diagnostic.
Hoʻolaha nā papa i ke kō i loko o nā keiki
Kuhi ʻia ke kōpaʻa koko ma nā kumu he nui. ʻO kaʻai o ke keiki a me ka kiʻekiʻe o ka hana pono ʻana o kāna kūnaehana digestive he mea nui.
Eia kekahi, hoʻonā nui nā ʻano like i ka nui o ka glucose i ke kino. ʻO ka mea mua, kahi hui o ka hormone i hana ʻia e ka pancreas e pili pū me ka kō.
Hoʻopili pū kekahi nā hormone thyroid i ke kaʻina, a:
- hypothalamus
- nā kuhihewa adrenal
- Nā huahelu glucose.
Inā he keiki e hōʻemi i ka nui o ka kō i ka makahiki 1, e like me kēia:
- nele i ka wai i loko o ke kino a i ʻole ka lōʻihi o ka meaʻai.
- insulin
- nā hana maʻi nui loa
- sarcoidosis
- mai nā ʻāpana kūwaho (gastritis, pancreatitis a me nā mea ʻē aʻe),
- nā maʻi a me nā ʻeha o ka naʻau,
- ka hoʻomoʻa ʻia me ka arsenic a i ʻole chloroform.
Ma ke kānāwai, hiki i ka glucose ke hoʻonui me:
- hana hewa ʻole nā haʻawina: inā ʻai ke keiki ma mua o ke ʻano loiloi a i ʻole ka ikaika koʻikoʻi-psycho,
- ʻopi momona
- nā maʻi o ka kōkā adrenal, ka nui a me ka nui o nā kūlohelohe,
- neherlasme pancreatic,
- hoʻohana wā lōʻihi o ka glucocorticoids a me nā huahana anti-inflammatory non-steroidal.
Inā piʻi ke kiʻekiʻe o ke kō koko koko o kēia keiki, ʻaʻole kēia ka manaʻo he maʻi diabetes.
ʻO ka emi nui loa o ke kō koko koko i loko o kahi keiki makua 1 mau makahiki e hōʻike ʻia e ka hana a me ka hopohopo o kahi kanaka ʻokoʻa. Ma hope o ka ʻai ʻana, aia kahi hauʻoli, hoʻomaka ka hulu, e hoʻokuʻu ʻia. I ka manawa pinepine he pale nā ʻili a me ka dizziness. I kekahi manawa aia paha kekahi luhi a ʻike ʻole.
Hoʻokahi e hoʻomaikaʻi koke i hoʻokahi pahu kīkī liʻiliʻi a i ʻole ke intravenous injra e hoʻomaikaʻi ana i ka glucose.
ʻO nā hōʻailona i hōʻike ʻia he ʻano o ka hypoglycemia a he pōʻino, no ka mea hiki ke hoʻomohala ʻia kahi comog hypoglycemic, i ʻole me ka make.
ʻĀmaʻomaʻo
Pono e ʻike pono nā hōʻailona mua, no ka mea lōʻihi ka hyperglycemia e alakaʻi i ka hiki ʻana i ka hana o ka lolo.
I nā keiki ma lalo o 1, maʻi ʻokoʻa ka maʻi maʻamau. Hoʻopilikia ʻia nā pilikia i ka maʻi maʻi, no ka mea, ʻaʻole hiki i ke keiki ke ʻōlelo nona iho no ka mea e hoʻopilikia ai iā ia.
ʻO nā hōʻailona nui ka:
- utuka
- nā urination pinepine
- loaʻa ka hoʻoluhi lohi
- hanu acetone
- lae, nawaliwali, uwe ana,
- ke kani leo ʻana, he puʻuwai wikiwiki a pulse,
- ʻaperlelo lapuwelu
- nā hōʻeha ʻaʻole nā lahu e lōʻihi.
ʻAʻole ʻike koke nā maʻi āpau, hiki ke loaʻa nā maʻi i loko o nā mahina eono. Ua ʻike koke ʻia ka pathology wikiwiki, ʻo ka liʻiliʻi e loaʻa nā ʻano paʻakikī.
ʻO nā keiki o nā makahiki āpau me ka maʻi maʻi mua, he nawaliwali loa a he hemahema paha. ʻO kēia no ka nele o ka ikehu ma muli o ka nalowale o ke kō i ka waiʻai. Me ka nele o ka insulin, aia nō kekahi hana puʻukū o nā momona a me nā protein i ke kino, i ka mea like me ka dehydration e alakaʻi i ka pohō nui o ke kaumaha o ke kino.
Hoʻopilikia i ka hana ʻana o ke kaomi ke alakaʻi i nā maʻi āpau a me nā maʻi ākea. Aia aia ka mālama lōʻihi no ka mālama ʻana i ka lāʻau lapaʻau kuʻuna.
Hiki ke hoʻokaʻawale i nā ʻōpū o ke kuʻuna decompensated e nā maʻi o ka ʻōnaehana cardiovascular:
- ke ʻano o nā ʻōmumu puʻuwai,
- hoʻonui nui
- hooulu o ka pilikia
- palpitations puʻuwai.
Nā hiʻohiʻona o nā maʻi a me nā hōʻailona kumuʻai no nā keiki
ʻO ke koko koko kiʻekiʻe ma kahi keiki ma muli o ke ʻano o ka insulin. Hiki paha ke ʻano i ke ʻano o ka makahiki o ke keiki.
Inā ua loli ka maʻamau o ke kō koko koko o ke keiki, paha ke kumu ke ʻano nui o ka maʻi poma. He ʻano maʻamau kēia kūlana no nā pēpē. ʻAʻole ka pancreas i ka mea maʻamau, ʻaʻole e like me nā pūpū, ka aʻa, ka puʻuwai a me ka lolo. No laila, i ka makahiki mua o ke ola o kahi kanaka, ulu ka hao.
Hiki i kahi keiki i 6 a 8 paha, a ʻo 10 a 12 paha kona makahiki, ʻike ʻia kekahi "ulu ulu ulu". ʻO kēia mau puka ikaika o ka ulu ulu, ke kumu e hoʻonui ai nā kino kino a pau i ka nui.
Ma muli o kēia hana, hiki mai nā loli kino. Ma kahi o ke kolu o ke ola o ke ola, hoʻomaka nā pancreas e hana ikaika a lilo i kumu no ka insulin huʻi ʻole ʻia.
Pono e hoʻomaopopo ʻia he lula koko kōʻai i nā keiki o ka makahiki 1 mau makahiki he ʻokoʻa ia e like me ke ʻano o ke kōpana koko a me nā mea ʻē aʻe. Ma kahi o ʻewalu paha a ʻumi paha mau makahiki, aia ma kahi e hoʻohaʻahaʻa i nā hōʻailona nui.
E hana i kahi manaʻo o nā hōʻailona i ka wā kamaliʻi, ua hoʻohana ʻia kahi papa kūikawā. ʻO ke kumu o ke kō i loko o kahi keiki hoʻokahi makahiki mai 2.78 a 4.4 mmol / L. I nā makahiki 2-6, ʻo ka pae o ka glucose ka 3.3-5.0 mmol / L. I ka hiki ʻana o ke keiki i nā makahiki he 10 a keu paha, ʻo ka hōʻailona ka 3.3 - 5.5 mmol / L.
Hoʻohana ʻia nā paʻakai koko koko o nā keiki e nā endocrinologists a me nā keiki maʻi ma ka honua. ʻO nā kuhikuhi hōʻike ke kumu o ka hoʻomākaʻeha o ka maʻi maʻi.
Aia ka pēpē i loko o kēlā mau hihia:
- inā he hōʻike koko i hana ʻia ma kahi ʻōpū ʻole e hōʻike ana he nui aku ka glucose ma mua o 5.5 mmol / l,
- inā inā he mau hola ʻelua ma hope o ka loaʻa ʻana o ka glucose, ʻoi aku ka nui o ka kō ma mua o 7.7 mmol / l.
I ke koko o nā keiki ma lalo o 8 mau makahiki o ka makahiki, he haʻahaʻa ka nui o ka glucose, no ka mea aia kekahi mau hiʻohiʻona o nā kaʻina metabolic. Ke ulu nei ke keiki, pono ia i ka ikaika hou aku, ʻo ia hoʻi ʻoi aku ka nui o ka glucose. I ka hiki ʻana o ke keiki i ʻelima mau makahiki, ua like ka maʻamau o ke koko koko me ka pākeke.
Inā maʻi kekahi o nā māhoe i ka maʻi, ʻo ka lua ke kiʻekiʻe o ka maʻi o ka maʻi. Ma ke ʻano maʻi maʻi 1, ma 50% o nā hihia, ua hoʻokumu ʻia ka maʻi ma kahi māhoe.
Me ka maʻi o ka maʻi type 2, ʻo ke lua ua loaʻa nā ala pathology, inā he nui ka paona.
Nā hiʻohiʻona o ka nānā ʻana i nā pae glucose i nā keiki
ʻOi aku ka maikaʻi e aʻo i ke koko no ke kō i loko o nā limahana lapaʻau. ʻO ka nānā ʻana i ka nui o ka glucose e pono e nā mea kōkua o nā limahana hoʻokūkū. Ma ke kumu hoʻohālikelike, ua hui ʻia nā koi a pau o ke kaʻina, a me kahi hōʻike koko no ka hilo e piha ana a piha i ka hiki.
I kēia manawa, hoʻohana nui ka glucometer, i hiki iā ʻoe ke lawe i nā ana i ka home. Ua kūʻai ʻia kēia mau mea i kahi kokoke i kekahi lāʻau lapaʻau. Hiki ke hoʻohana ʻia kēia haʻawina i kēlā me kēia lā, e ʻimi ai i ke kuhikuhi o ke kō i loko o ke keiki.
Hoʻonohonoho ʻia ke koko i ka ʻĀina hana me ka hoʻohana ʻana i kahi mea loiloi kūikawā. Lawe ʻia ke koko ma kahi ʻōpū ʻole, ma nā keiki pono e lawe ʻia mai ka kuʻekuʻe a mai ke kuʻekuʻe wāwae, i ʻole e hōʻeha i ka ʻeha.
Hoʻomau like ia no ka ʻike ʻana i ka ʻike. Pono pono e hoʻokō i kēlā mau rula:
- ma mua o ka nānā ʻana, ʻaʻole e hāʻawi ʻia ke keiki ma kahi o nā hola he ʻumi.
- ʻā ʻia ka wai. ʻO ka inu wai kaumaha i ka pōloli, akā hoʻopuka pū kekahi i nā kaʻina metabola,
- ʻAʻole pono ʻoe e komo i kekahi hana kino me kāu keiki, no ka mea, he nui ka hoʻohaʻahaʻa ʻana i nā haʻukū.
Ke hoʻohana nei i kekahi ʻano loiloi, hiki iā ʻoe ke ʻike i ka helu o ka loaʻa ʻana o ke kōpaʻa ma hope o ka make nui ʻana.
ʻO ka lāʻau lapaʻau
ʻO ka ʻoihana no ka maʻi maʻi e lawe ʻia e ka wili hoʻoliʻina o ka insulin.
Kūkala ke kauka i nā insulins hana pōkole.
I 1 ml, aia 40 IU o ka insulin.
Hoʻokomo ʻia ʻo Insulin
- i ka ʻōpū
- i nā ʻōpū a i ʻole nā kuʻekuʻe,
- i ka poʻohiwi.
Pono e hoʻololi mau i ka pae injection. Hōʻalo kēia i ka hoʻonaninani ʻana i nā kiko. No ka hoʻopuka ʻana i nā lāʻau lapaʻau, hiki iā ʻoe ke hoʻohana i ka pākena insulin Omnipod. I nā keʻena olakino, aia kekahi no ka loaʻa ʻana o ia mau mea hana. Inā hiki, ʻōlelo kaukaʻi nā kauka e kūʻai i kahi glucometer a hoʻohana pinepine ia.
ʻAʻole e kū ka pae kiʻekiʻe o ka glucose i nā ʻano hoʻopiʻi like ʻole inā nānā pono nā mākua i kā lākou mau hōʻailona a kipa aku i ka laboratorium no ka noiʻi.
Nā lula o ka lapaʻau a me ka ʻola meaʻai
Inā pilikia kekahi hānai koko kiʻekiʻe, pono i ke kauka e hoʻonoho i kahiʻano hoʻoponopono. Ma kahi o nā lāʻau lapaʻau, pono e noʻonoʻo i ka papa inoa o nā rula. Pono e pili pono i nā meaʻai hānai, holoi a holoi i ke keiki a nānā i kāna mau membous mucous.
He mea nui kēia e hōʻemi i ka minamina o ka ʻili a pale i ke hiki ʻana mai o ka pustules i ke ʻili. No ka hana ʻana i kēia, he mea pono hoʻi e hoʻokaʻawale i ka ʻili i nā wāwae a me nā pā me ka waiū e pale ai i nā hōʻeha ʻana a me nā hāpana.
Hiki paha i ke kauka ke kuhikuhi i ka massage a me ka physiotherapy e hoʻomaikaʻi i ke kahe koko a kani i ke kino. Kēia mau kikoo i hiki ke pau ma hope o kekahi mau hoʻopaʻa ʻana a me ka loiloi o ka pae o ka metabolism i ke kino o ke keiki.
Pono nā mākua e kiaʻi pono i ka meaʻai o ke pēpē. He kūpono ka meaʻai kūpono, ʻoiai ka nui o ke kō i ke kō.
Pono e hoʻolako i ke keiki i ka meaʻai kūpono. Hoʻokomo ka papa inoa o nā keiki i nā meaʻai kiʻekiʻe i nā momona a me nā momona. ʻO nā momona, hoʻopau i ka meaʻai, ka hapanui o ka mea kanu mea kanu. Inā nui ke kō o ke keiki, ʻoi aku ka maikaʻi ma ke kāpae ʻana i nā kāmeka digestible mai ka meaʻai. ʻAʻole ʻoluʻolu loa ka ʻano hui.
Inā e māhuahua mau ana ke kō koko, pono e oki ke keiki i ka ʻai:
- pasta
- semolina
- Kakauolelo
- mea kūʻai huahana.
I nā kauwela kauwela, he mea nui e kāpae i nā hua waina a me nā maiʻa mai ka papahele o nā keiki. ʻAi ke keiki i ka ʻai liʻiliʻi ma nā manawa ʻelima i ka lā.
Pono e hoʻomanaʻo ʻia ka ulu ʻana o ke keiki a ulu a loaʻa ka manawa kūpono i ka ʻokiʻoki i ka hypoglycemia a i ʻole ka maʻi maʻi. Pono e ʻike ʻia nā kumu o kēlā mau maʻi i ka predisposition a me ka liʻiliʻi o ka pēpē. Eia kekahi, ʻike ʻia ka maʻi ma hope o kahi maʻi maʻi.
Pilikia nā keiki e ka maʻi:
- momona momona
- me ka make malu,
- me nā maʻi metabolic.
ʻO ka launa pū ʻana me ke kauka a me ka hoʻoponopono hou ʻana i nā lula no ka mālama ʻana i ke keiki e hiki ai i ke pae i nā hōʻailona nui o ka maʻi maʻi.
Hāʻawi ʻia ka ʻike ma ka glycemia maʻamau i ke wikiō ma kēia ʻatikala.
