Mālama i ka mālama koko maʻamau e hana me ka hana pono o nā pankreas a me nā huina endocrine. ʻO ka pilikia ma ka maʻi maʻamau kaola kino ka mea pili me ka maʻi diabetes.
I ka wā'ōpiopio, pili ʻia ka glycemia i nā kiʻekiʻe o ka ulu ʻana o ka nui o ka hormone a me nā fluctuations i ka ʻike ʻana o nā hormones sex, no laila ʻo ka mālama ʻana i ke kō o ke koko i nā makahiki 16 a ʻoi i ka maʻi hānai he hana paʻakikī.
I mea e pale ai i nā keiki i nā hoʻopiʻi e pili ana i nā loli o ke kō koko, a me ka hoʻolilo ʻana i nā kūlana no ka ʻōpio e ulu a ulu a maʻamau, e nānā mau ana ka mālama ʻana a me ka kāohi ʻana i ka glycemia.
Ka hakahaka o ka hopena kalapona i nā wā'ōpiopio
Ua loaʻa ʻia ma lalo o nā kūlana like, e hōʻike i nā ʻōpio i ke kiʻekiʻe o ka hemoglobin glycated ma mua o nā pākeke, ʻoiai ka nui o nā dosis o ka insulin. ʻO ka insulin ka maʻi kiʻekiʻe ma ka wā'ōpiopio ma mua o kahi keiki hoʻokahi makahiki a ma kahi maʻi paha he 20.
Hōʻike ʻia kēia hiʻohiʻona e pili ana i ka mea ʻoi a ua pālua ka nui o ka ulu o ka hormone ulu i ka wā ulu. Ke alakaʻi nei kēia i kaʻiʻo ua wāwahi koke ʻia nā momona, a i hoʻokumu ʻia aʻe ka nui o nā momona momona i hana ʻia, e hoʻohana ʻia e hana ai i ka ikehu, a me ka hoʻohaʻahaʻa ʻana i ka naʻau.
ʻO ka hopena o ka insulin i ka wā'ōpiopio, ʻo 30-47% ka haʻahaʻa ma mua o ka mea maʻi o 21 mau makahiki a i ʻole he pākeke. No laila, i ka wā e hana ai i ka inika insulin, pono e hoʻohana ʻia nā nui o ka hoʻomākaukau ʻana i ka insulin, e hoʻonui ana i ka piʻi o kona hoʻoponopono.
ʻO nā hiʻohiʻona noʻonoʻo e pili ana i ka papa o ka maʻi diabetes:
- ʻAno kiʻekiʻe o ka hopohopo.
- Hōʻike i nā kīnā meaʻai.
- ʻAno maikaʻi.
- ʻO ke kaumaha a me ka haʻahaʻa haʻahaʻa.
No laila, i kahi pilikia e kū aʻe i ka nānā ʻana i ka meaʻai a me ka mālama ʻana, i kekahi mau mea, pono, i ka hoʻohui i ka endocrinologist, e hana i ka psychotherapist e hoʻoponopono i nā hopena pili.
Holo ʻaʻai koko
No ka hoʻomaopopo ʻana i ka maʻi maʻi, ka noiʻi ʻana i ka wikiwiki glycemia. ʻO nā ʻōmaka no kona hoʻokō ʻia he predisposition hoʻoilina a me ke ʻano o nā hōʻailona maʻamau o ka maʻi maʻi: hoʻomaka ka ʻōpio o ke inu i ka wai a hele pinepine ʻana i ka lua, ʻoiai kahi makemake maikaʻi a hoʻonui ʻia ka momona momona.
Eia kekahi, hiki i nā mākua ke hoʻomaopopo i ke anuanu pinepineʻole, ka rashes a me ka hoʻonāukiuki o ka ʻili, nā maloʻi palupalu maloʻo, nui ka momona, ka huhū, a me ka ʻāwī. ʻO ke kumu no ka hoʻokolokolo paha ke kiʻekiʻe o ke koko a me ka ʻike maka ʻana.
Inā e nānā ʻia ka ʻōpio no ka manawa mua loa, a laila ua ʻōnaʻo ia i kahi hōʻike koko no ke kō, ua lawe ʻia i ke kakahiaka ma mua o ka ʻai ʻana. Pono e haʻalele i mua o ka aʻo ʻana no nā hola 8 mai ka ʻai, no nā hola 2-3 mai ka uahi a me ka hoʻoikaika kino, nā mea inu, koe wale nō ka wai. ʻO ka palena koko koko no ka makahiki 13-16 mau makahiki he 3.3 - 5.5 mmol / l.
Inā ʻaʻole ʻoi aku ka nui o ka glycemia ma mua o 6.9 mmol / L, akā ua kiʻekiʻe aʻe ia ma mua o ka maʻamau, a laila ua hōʻoia ʻia ka maʻi ʻaʻomaʻi o ka pale aku i ka hopena o ka hoʻokaʻawale ʻana, a inā he koko ka nui o ka honi ma mua o 7 mmol / L, a laila he kauka mua ka kauka maʻi ma mua o ke kauka.
ʻO nā kumu o ka glycemia e pili ana i ka maʻi diabetes:
- ʻO nā maʻi lohi mau maʻi.
- Ke lawe nei i nā lāʻau lapaʻau e loaʻa ai nā hormones.
- Nā kuʻuna o nā keiki.
- ʻO ka maʻi ʻōmaʻomaʻo thyroid a i ʻole adrenal.
- ʻO ka huakaʻi a me ka ʻeha a me ka ʻeha hypothalamic.
Hiki i ka hyperglycemia wahaʻa inā hiki ke ʻai ʻia ma mua o ke aʻo ʻana a i ʻole ke kaumaha, a i ka hoʻā ʻana o ke kino, ka ulaula, ka lawe ʻana i nā anabolic anabolic, nā mea inu ʻona a i ʻole caffeine.
ʻO ke kōpaʻa koko haʻahaʻa e hōʻeha ai i ka ʻōpū a i ka ʻōpū paha, nā hana a nā mea aʻi, ke hoʻohaʻahaʻa i nā hormones o adrenal gland a me nā kelepa thyroid, ʻona, nā hōʻeha o ka lolo traumatic.
Hiki i kekahi mau maʻi genetic ke hana i ke kahe koko haʻahaʻa.
ʻO ka kontrol glycemic i ke keiki maʻi maʻi
ʻO ka ana o ka kōʻai hona me nā maʻi ʻo ka maʻi ma ka liʻiliʻi loa he 2-4 manawa i ka lā. Pono e hoʻoholo i mua o ka wā moe e pale ai i ka hypoglycemia i ka pō. Eia kekahi, pono e hoʻokau i ka mālama ʻana i nā hihia o nā meaʻai, nā hoʻokūkū hāmeʻa, nā maʻi hui, nā hoʻāʻo.
He kauoha ia e mālama i nā moʻolelo o ke kō a me ke kō i loko o nā insulin i komo. No nā poʻe'ōpio, ʻo ka koho koho maikaʻi loa e hoʻohana ʻia i nā polokalamu kūikawā i hoʻolālā ʻia no nā pono uila.
Pono ka hoʻonaʻauao ʻana i nā ʻōpio i nā kula diabetes ma muli o nā loiloi no ka hoʻoponopono ʻana o ka hoʻoponopono ʻia i nā hanana kūlike.
Me ka nui o nā haʻalulu a i ʻole ka piʻi ʻana o ka manaʻo, pono ʻoe e hōʻemi i ka mahele o ka meaʻai a i ʻole e hoʻomaʻamaʻa paha. ʻO kahi koho, ʻo ka hoʻonui ʻana i ka pona o ka insulin hana pōkole hana, akā e noʻonoʻo ʻoe e hiki i nā dosis hou ke alakaʻi i ka kaupaona ʻana, a me ka maʻi o ka maʻi overdose insulin.
ʻO nā ʻike no ka mālama kūpono ʻana i ka maʻi diabetes i nā ʻōpio,
- Hoʻopili i ke koko glucose ka nui o ka 5.5–5.9 mmol / L.
- ʻO ka glycemia ma hope o ka ʻai ʻana (ma hope o 120 mau minuke) ma lalo o 7.5 mmol / L.
- Lipid spectra (ma mmol / l): kolamu a hiki i ka 4.5; aia ka triglycerides ma lalo o 1.7, ʻoi aku ka LDL ma mua o 2,5 a ʻoi aku ka kiʻekiʻe o ka HDL ma mua o 1.1.
- ʻO ka hemoglobin Glycated e loli ma lalo o 6.5%.
- ʻO ke koko koko a hiki i 130/80 mm RT. ʻAniā.
No ka hoʻokō ʻana i nā pahuhopu glycemic nui e hōʻemi nui i ka hōʻemi i ka maʻi diabetes i ka hiki wale ke hoʻolālā ʻana i ka ʻai.
Pono ʻoe e hoʻolālā i ka nui o nā haʻawina i lawe ʻia a me kahi hapa o ka insulin, i hiki ke kōkua i ko lākou komo ʻana.
Pehea e pale aku ai i ka hypoglycemia i ke keiki opio me ka maʻi maʻi?
Ka hana ʻana i ka insulin therapy, ʻo ia ka mea nui no ka mālama ʻana i ka maʻi mellitus type 1 i ka wā ʻōpio, a me ka mea e hoʻoneʻe ʻia a me ka ʻano maʻamau a ʻoi aku ka hana maʻamau ma mua o ka hōʻeha ʻana i ka hoʻouka ʻana o hypoglycemic. No laila, e pono i nā mea maʻi me lākou ka wai momona a me nā cubes wai.
Me kahi ʻoluʻolu, hōʻike ʻia ka hypoglycemia e nā hōʻoli pōloli, ka mea i hele pū ʻia e ka nāwaliwali, hōʻeha, ka ʻōpū, nā lima lima a me nā wāwae, nā ʻano hana a me ke ʻano - i ka huhū o ka huhū a i ʻole ke kaumaha. Hiki i ke keiki ke loaʻa i ka ʻeha a i ʻole ka ʻike nānā.
Me ka haʻahaʻa haʻahaʻa, hiki i ka poʻe ʻōpio ke nalowale i ko lākou kuʻuna i ka lewa, ka hakakā pono ʻole a ʻike ʻole i ka pohō o ke kūlana, a pane koke ʻia i nā hoʻāʻo ʻana e mālama ai. Ma nā hōʻeha nui, hāʻule nā keiki i kahi coma, a loaʻa i nā koi.
Nā lula kumu no ka pale ʻana i ka hypoglycemia:
- ʻAʻole e waiho ka wai koko ma lalo o 5 mmol / L.
- E noʻonoʻo e ana i ka glycemia ma mua o ka hiamoe.
- Inā haʻahaʻa ka glucose ma mua o 5 mmol / l ma mua o ka papaʻaina, a laila ʻaʻole i hāʻawi ʻia ka hoʻonā ʻia ma mua o ka ʻai, pono mua ke keiki e ʻai, a laila e ana i ke kō a me ka inikini i ka insulin.
- Mai lawe i nā mea inu ʻawaʻawa i loko o kahi ʻōpū ʻole.
Hoʻomau pinepine ka hoʻomaʻamaʻa i ka hypoglycemia, me ka mea e pono ai ka glucose i ka pūhaka ʻōpū, a me nā hana ikaika, ua hoʻohemo ʻia nā mālama glycogen. Hiki i ka hopena o ke pāʻani pāʻani ke hala no 8-10 mau hola. No laila, no nā mea maʻi me ka maʻi maʻi maʻi maʻi, e kaomi ʻia e hoʻohaʻahaʻa i ka nui o ka insulin e hoʻokele ʻia i ka wā o nā mea hana lōʻihi.
I mea e pale ai i ka hoʻouka ʻana o hypoglycemia i ka pō, pono ʻoe eʻai i ka wā a ma hope o ke aʻo ʻana. Pono nā poʻe'ōpio i ka meaʻai i kēlā me kēia 45 mau minuke. I kēia hihia, pono ʻoe e loaʻa i ka hapalua o nā kalaiwa mai nā huaʻai, a ʻo ka ʻāpana ʻelua e pono i nā pākeke paʻakikī - no ka laʻana, he kāwele kekeʻe. Me ka hypoglycemia nocturnal pinepine e ka neʻe ʻana i ka papa i nā hola kakahiaka.
No ka mālamaʻana i ka hypoglycemia maʻalahi a maʻalahi paha, pono ʻoe e lawe i ka 10 g o ka glucose i nā papa (hoʻokahi kīmole o ka wai a i ʻole kahi mea inu kīnā). Inā ʻaʻole e nalowale nā hōʻailona, a laila ma hope o ka mau minuke 10 - hana hou. Me kahi pae koʻikoʻi o ka hoʻohaʻahaʻa i ka kō, e hoʻomaʻamaʻa ʻia ʻo glucagon, ma hope o ke ʻai ʻana o ke keiki.
ʻO ka pōʻino o ka hoʻouka pinepine ʻana o ka hypoglycemia i ka maʻi diabetes, ʻo ka hiki ʻana o ka pōʻino o ka lolo i ka ulu ʻana, e hiki ai ke hōʻemi i nā mana noʻonoʻo ma ka wā e hiki mai ana. No nā kamaliʻi, ʻo kahi hopena traumatic paha ka hopena o nā hoa e like me ia i nā manawa like ʻole o ka ʻano hoʻomalu ʻole.
Hoʻomaʻamaʻa koʻikoʻi i ka wā'ōpiopio o ka hoʻohana ʻana i nā mea inu ʻawaʻawa me kahi leʻaleʻa o ka hypoglycemia. Pono e noʻonoʻo ma ka hopena o ka hōʻeha loa, ʻaʻole e hana ka glucagon i ke kua o ka wai ʻona, no laila pono ke ʻano o ke kaikamahine ʻōpiopio i ka hoʻokipa a me ka hoʻokele intravenous o kahi kūlohelohe kūlohelohe.
ʻO kahi loea mai ka wikiō e pili ana i kēia ʻatikala e kamaʻilio e pili ana i ke kōpaʻa koko koko maʻamau.
