ʻOkoʻa kēlā me ke kumu o ke kō i nā keiki 2-3 mau makahiki mai nā hōʻailona i hoʻokumu ʻia no ka pākeke, ʻoiai e ulu ana ka kino o ke keiki a ulu. Eia kekahi, ʻo nā ʻōhumu o ke koko, me ka manaʻo o ka makahiki o ke kanaka, e loli i nā manawa like ʻole o ka lā a me ka ʻai ʻana o ka meaʻai, ka hana kino a me ka hoʻokau naʻauao.
ʻO ka hoʻonui ʻana o ka glucose i ka ʻai ʻana, a i ʻole ka hoʻohaʻahaʻa i ka glucose e like me ka hopena o ka hana ikaika, ua manaʻo ʻia he mea maʻamau.
ʻO nā loli liʻiliʻi e hōʻike ana i nā hopena o nā hoʻokolohua diagnostic hiki ke hoʻopau iki a mau loa paha.
Ma ke kānāwai, ʻo ko lākou hoʻomau a hoʻomāhuahua mau paha e hiki ke hoʻopilikia i ka hana o nā wahī a me nā ʻōnaehana, a me ke kumu e hoʻomohala ʻia ai nā maʻi maʻi.
ʻO nā kiʻi i manaʻo ʻia ʻo ke kumu maʻamau i nā hana lapaʻau
Ua hoʻonohonoho ʻia ka pae koko koko i kahi keiki a laila aia ka manawa e mākaʻikaʻi i ka hele ʻana o nā liʻiliʻi liʻiliʻi loa i ka hana o ke ʻano holoʻokoʻa. Hōʻike ka pae glucose i ke kūlana o nā kaʻina loina metabolic, a me kahi neʻe mai ka ʻikepili i hoʻokumu ʻia e ka hana lapaʻau e hōʻike ai i ka hiki ʻana o nā pathologies i ke kino o nā keiki.
ʻO ke kaila koko i loko o nā keiki mai nā lā mua o ko lākou ola a hiki i hoʻokahi makahiki makahiki ke kau ʻia nei i ka awelika mai 2.8 a 4.4 mmol i pāhau. ʻOi aku ka nui o nā hōʻailona maʻalahi i ka pākeke, ʻoiai e ulu mau ana ka ʻōpū o ke pēpē a ulu. Ma hope o kahi manawa e hiki aku paha ma kahi o ʻelua makahiki, pono e pae ka nui o ka glucose i ka liʻiliʻi he 3.3 mmol i pāhau (ʻo ka nui o ka paepae i manaʻo ʻia he ʻelima mau mika). ʻO kēia mau helu ka moʻina o nā keiki āpau ke hiki i nā makahiki ʻelima.
I kahi keiki mai ʻekolu a ʻeono makahiki, hiki i nā hōʻailona ke hoʻololi i ka 3.3 a i 5.6, a noho a hiki i ka pēpē a hiki i ka makahiki he ʻumikumamālima.
I kēia mau lā, nui ka manawa e nānā i nā pae koko i ka home.
I kēia hihia, ua ʻōlelo ʻia nā keiki i 2-3 mau makahiki e alakaʻi i kahi noiʻi ma ka ʻoihana no ka mea e loaʻa ai ka hopena ʻoi aku ka hilinaʻi.
Pehea kahi noiʻi diagnostic?
E like me ka mea i hōʻike ʻia ma luna, hiki iā ʻoe ke hana i kahi aʻo ʻana i ke koko koko i kahi keiki o 2 mau makahiki ma ka home. ʻO nā Glucometer - nā mīkini no ke ana ʻana i nā hōʻailona pono - ʻike pinepine ʻia i nā umauma lapaʻau home. Eia kekahi, ke kiʻi i nā hopena maʻamau a pololei hoʻi, ʻoi aku ka maikaʻi o ka hāʻawi ʻana i ka loiloi i kahi loea lapaʻau e hoʻohana ana i nā mea hana loea. E like me ka hōʻike ʻana, aia kahi nui o nā mea hiki ke hoʻokaʻawale i nā hōʻike e hōʻike ʻia e ka mika.
I nā kūlana Laboratory, kahi hōʻike o ka hoʻāʻo ʻana - ka koko - ke lawe ʻia nei e hoʻohana ana i kahi mea noiʻi kūikawā. I nā pēpē, lawe ʻia ke koko mai ka kuʻekuʻe a i ʻole nā wāwae (ʻaʻole like me ia i kahi pākeke). Pēlā, ʻaʻoleʻike ka pēpē i ka ʻehaʻeha i ka wā o ke kaana.
ʻO ke kaʻina hana no ka hoʻohālike koko, a me nā pākeke, pono e hana ʻia e hoʻokō pono ai i nā lula a me nā hoʻomaʻamaʻa kūikawā.
ʻO nā kumu nui e pono ai ʻoe e hoʻolohe i mua o ka lawe ʻana i ke koko no ke kōkō, penei:
- Ma ka pō o ka loiloi, ʻaʻole pono nā pēpē e ʻai i nā hola he ʻumi. I mea e loaʻa ai nā hopena noiʻi pono, lawe ʻia ke koko ma kahi ʻōpū ʻole i ke kakahiaka.
- No ka hoʻōla i nā kaʻina metabolic, a i ʻole e pale i ke keiki mai ka loaʻa ʻana o ka pōloli nui, ʻae ʻia e lawe i ka wai maʻemaʻe a i ʻole nā mea inu ʻē aʻe me ka honi.
- Hāʻawi kekahi pāʻani pāʻani a i ke ʻano kino i ka emi ʻana o ka glucose koko. ʻO ia ke kumu e ʻoi aku ai ka maikaʻi o ka haʻalele ʻana i nā hana like ma mua o ke kaomi ʻana.
Inā hōʻike nā hopena o kahi noiʻi diagnostic i ka nui o nā ʻike palena, pono ke kau hou ʻia. I kēia hihia, lawe ʻia ka ʻike koko koko ma hope o ka lawe ʻana o ke keiki i ka wai me ka glucose maʻemaʻe. Hoʻomaopopo kēia maʻi i kahi hōʻike koko me ka ukana. Eia kekahi, ʻo ka hoʻāla ʻana i ke kō o ke koko he hōʻailona no ka pono o ka nānā ʻana i ka hemoglobin glycated.
ʻO nā hopena i loaʻa aʻe ma hope o ka loiloi e hilinaʻi i nā ʻano like ʻole:
- pēpē meaʻai;
- hana hana;
- ka pae o nā hormone like ʻole - insulin, glucagon, hypothalamus, adrenal a me nā hormone thyroid.
Pono nā makua o ke pēpē e hiki ke hūnā ʻia ka hopena o nā hopena o ka hoʻopili ʻana ma muli o ke anuanu, nā pilikia a me nā haʻalulu hou aʻe.
He aha ka hopena o ka hopena glucose?
ʻO nā huli ʻana mai ke ʻano maʻamau a hiki i kahi ʻaoʻao nui paha ke lilo nei i hōʻailona o ka holo ʻole ʻana i nā lula no ka lawe ʻana i nā hoʻokolohua a hōʻike paha paha i nā hewa ʻole e kū ana i loko o ke kino.
Ma ke ʻano he kānāwai, he hoʻomau mau i nā hopena i loaʻa i hiki i nā mea e pili ana i kēia mau mea:
- Nā kuʻuna mai nā kumul o nā kelepa thyroid, ka momona a me ka nui o ka nui gland.
- ʻO nā pilikia ma ka hana o ka pancreas. Hoʻomaʻamaʻa pinepine ʻia, ʻo ka hiki o nā neoplasms i ke kino ke alakaʻi i ka emi ʻana o ka hana o ka insulin hormone.
- Loaʻa ke keiki i kahi hanohano o nā kiʻekiʻe ʻokoʻa.
- Me ka hoʻohana mau ʻana o kekahi mau lāʻau lapaʻau e hoʻonui ai i nā pae momona. ʻO ka maʻamau, ʻo kēia mau lāʻau lapaʻau ke komo pū i nā lāʻau mai ka pūʻulu o glucocorticoids a me nā anti-inflammatory non-steroid.
- ʻO ka hoʻomohala ʻana i ka maʻi diabetes.
- Hoʻopiʻi i nā hormones i ke kino.
Ke hele nei i ka hyperglycemia, pono ke hōʻike i ke keiki i ka endocrinologist, loaʻa i nā hoʻokolohua hou aʻe o nā maʻi hoʻokolohua e kōkua ai i ka ʻike ʻana i ke kumu maoli o ke kaʻe mai ka maʻamau.
I kekahi mau hihia, hiki ke hōʻike ʻia ka piʻi ʻana o ka glucose o ke koko me nā hōʻailona like e like me kona hōʻemi. ʻO ka mea mua, aia nā hōʻailona i ke ʻano o ke poʻo hōʻeha nui, ka nāwaliwali ākea o ke keiki a me nā wāwae anuanu i ke pēpē. Pono ʻoe e makaʻala i ka hele ʻana o nā rashes like ʻole ma ka ʻili o ka pēpē, ka manawa e hoʻopiʻi ai i nā hoʻopiʻi o ka ʻeha ʻana o ka integument a i ʻole nā pilikia me ka hoʻowalewale.
ʻO ka lōʻihi o ke ala o ka hyperglycemia e hoʻopōʻino i ka hiki ʻana o ke keiki a me ka hana a nā lolo.
ʻO ia ke kumu, inā loaʻa kekahi mau hōʻailona, pono ʻoe e hoʻomoʻa i ka noiʻi lapaʻau e pono ai a nīnau aku i kahi kauka.
He aha nā hōʻailona i hāʻule i lalo o nā kūlana i hoʻokumu ʻia?
Ke kuʻikahi mai ka ʻikepili i ʻae ʻia i nā hopena o nā hōʻike ʻana i hōʻike ʻia ai ke hōʻike ʻana i ke ʻano o nā hana maikaʻi ʻole i ke kino o nā keiki.
ʻO ka pinepine, ʻo ka hypoglycemic level o ka glucose i ke koko o kahi keiki ma muli o:
- inu ka pēpē i kahi wai liʻiliʻi i ka lā, hiki ke hōʻeha i ka wai;
- ke kino a me ka pololi;
- insulinoma;
- ke ʻano o nā maʻi o ka papa holo ʻai. Hoʻopili kēia me ka gastritis, pancreatitis, duodenitis, a i ʻole enteritis;
- nā maʻi like ʻole i kahi ʻano maʻi i puka mai i kahi manawa lōʻihi;
- ka hoʻomohala ʻana o nā maʻi o ka pūnaehana. Hoʻomaopopo ka nui o ke kō me nā ala o ka lolo, kāna mau hōʻeha;
- hua palapala;
- huapo a me nā mea i hoʻopau ʻia e (e.g. chloroform).
Hiki i ke glucose koko maʻamau ke kumu i ka hypoglycemia. Hoʻopilikia kēia maʻi ma ke kino ma muli o nā kumu aʻe:
- I ka heleʻana o nā kaʻina pathological i ke ate (kaohi a i ʻole ka glycogenesis).
- ʻO nā maʻi heu i loko o nā ʻili o ka ana a i ʻole ke ʻano parietal.
- Hoʻohana nui loa.
- ʻO nā kaʻina hana i hoʻomohala i nā lolo.
- ʻAi ʻole kaʻai pākia me nā meaʻai
- ʻO nā maʻi e pili ana i ka pūnaehana endocrine (hyperinsulinism).
ʻO ka hypoglycemia ma ke ʻano type diabetes 2, ma ke ʻano he kānāwai, ka lau ʻia ʻole o ka ʻimi ʻole ʻole i ke keiki, hiki ʻole ke loaʻa. Eia kekahi, lilo ka pēpē a lūlū, huhū a me ka huhū. ʻO nā ʻōuli e hōʻike nei i ka nui o ka glucose e loaʻa:
- hoʻonui ʻohe;
- nā lima haʻalulu;
- mai nāwaliwali
- nā palaka ma loko o nā ʻōpū o nā wāwae.
ʻO ka hypoglycemia wā lōʻihi me ka mālama kūpono ʻole e hiki i kahi coma hypoglycemic.
ʻO Kauka Komarovsky i ke wikiō ma kēia atikala e kamaʻilio e pili ana i nā hiʻohiʻona a me nā maʻi o ka maʻi maʻi ma nā keiki.