Ke manaʻoʻiʻo ia ʻo ka maʻi maʻamau o ke ʻano kuʻuna o nā pākeke e ʻoi aku ka kaumaha a me ka hana hewa ʻana o ka ʻoihana endocrine. Eia nō naʻe, hiki i nā keiki ke ʻeha pū i kēia maʻi, ka mea ma ka manawa he nui i hāʻawi ʻia iā lākou ma ka hoʻoilina. ʻAʻohe holomua a me nā maʻi āpau.
E like me ke kulekele, e hōʻike ʻia ana nā keiki me ka maʻi diabetes mellitus type 1, ʻo ia ka mea e hilinaʻi nei i ka insulin. I kēia mau makahiki i hala iho nei, ua lilo pinepine nā hihia i ka wā he 7, ma hope o 7 mau makahiki o ka makahiki, ʻaʻohe mea i loaʻa i ka maʻi type like 2-like-insulin i nā keiki.
ʻO nā hōʻailona o ka maʻi diabetes i nā keiki he like nō ia me nā hōʻike o ka maʻi ma ka pākeke. Ma ka mālama ʻana i ka maʻi kamaliʻi, ua mālama ʻia nā nuana physiological i loaʻa i kahi mea ulu nui.
Nā keiki a me ka maʻi diabetes
ʻO kēia pathology pilikia kahi maʻi ʻo ka system endocrine o kahi ʻanoʻano. Hōʻike ka maʻi ma muli o ka nele o ka insulin, ka mea a ka pancreas e hua nei. Ke hoʻohana nei i ka insulin, e komo i ka glucose i loko o nā pūpū.
I ke kanuʻana o nā maʻi maʻi diabetes, ʻaʻole hiki i ka glucose ke kūʻokoʻa kūʻokoʻa i nā loko. Noho mau paha i loko o ke koko, e hoʻopilikia kino i ke kino. Ke komo ka glucose i ke kino me ka meaʻai, huli ia i loko o ka ikehu kūloko i loko o ka pūnaewele, ka mea e ʻae i nā ʻōnaehana āpau a me nā ʻōpio e hana maʻamau. I loko o nā pūpū, hiki ke hōʻola wale i ka glucose.
Inā nele ka insulin i ke kino, a laila hoʻomau ke kō i loko o ke koko, a hoʻomaka ʻo ia e māhu. Ma muli o kēia, ʻaʻole hiki ke hoʻokaʻawale i ke koko i nā mea kanu a me ka oxygen i nā cell. Hoʻopili loa nā paia o nā kahe koko i nā mea momona, a nalowale i kā lākou elasticity. Hoʻopilikia pololei kēia kūlana i nā membrane nerve.
Ma muli o ke ʻano o ka maʻi maʻi, ua pilikia ke keiki i nā maʻi metabolic:
- momona
- kalapu
- ʻaʻano protein
- minuke
- wai-paʻakai.
No laila, ala mai nā ʻano hoʻopiʻi like ʻole o nā maʻi.
ʻElua mau ʻano maʻi maʻi i ʻike ʻia he mau ʻokoʻa koʻikoʻi i ka huaʻōlelo o ka etiology, pathogenesis, nā hōʻike kino a me ka mālama.
ʻO ka ʻano mua o ka maʻi pākia e hoʻoholo ʻia me ka nele o ka insulin. ʻAʻole hana pinepine ka pancreas i ia. ʻAʻole hoʻopau kēia kino i kāna mau hana. ʻAʻole hoʻōla ʻia ka nui o ka insulin synthesized a hoʻonui ka nui o ka glucose i ke koko. Me kēia ʻano o ka maʻi maʻi, e pono mau ka lāʻau insulin. Hoʻokomo ʻia ka hoʻomaʻamaʻa i kēlā me kēia lā i nā inikini o ka insulin, ka mea i mālama ʻia ma ka nui o ke kuhikuhi ʻana.
Ma ka maʻi ʻaʻa o ka lua, ua lawa ka insulin i loko o ke kino, a i kekahi manawa ma mua o ka mau koi. Akā he mea ʻole ka make ʻole, no ka mea, ua nalo nā ʻaoʻao i loko o ke kino no kekahi kumu no ka pau ʻana o ko lākou ʻike iā ia. I nā huaʻōlelo ʻē aʻe, ʻaʻohe manaʻo o ka insulin.
Ua hōʻike ʻia nā hopena o ka maʻi maʻi ma ka:
- cardiovascular pathologies,
- neuropathy - pili ʻole i ka ʻōnaehana o ka wahī,
- nephropathy - he kuhi hewa i loko o nā pūpū,
- maikaʻi kino ʻōmaʻomaʻo
- osteoporosis.
ʻAʻole nā papa inoa i nā papa inoa ʻole i nā hopena maikaʻi ʻole e hiki ke alakaʻi i ka maʻi maʻi. Pono e mālama ʻia nā ʻōlelo lapaʻau a i ʻole nā ʻano hoʻohuli ʻia i loko o ke kino o ke keiki.
ʻO ke ala ʻoi aku no ka pale ʻana i ka hoʻopiʻi ʻana i ka maʻi diabetes, ʻo ia ke kiaʻi mau ʻana i ke kō o ke koko a hoʻopaʻa i nā hāmeʻe o ka kalaiʻe.
Ke makemake nui nei nā keiki me ka maʻi maʻi i ka mālama mau a me ka nānā ʻana i ke kūlana o ke kino mai ko lākou mau mākua.
Nā hōʻailona o ka maʻi diabetes i nā keiki
ʻAʻole aneane ʻokoʻa nā hōʻailona o ka maʻi maʻi i nā keiki me nā hōʻike o ka maʻi i nā pākeke. Me ka maikaʻi ʻole o ka mālama ʻana, hiki i ke keiki ke loaʻa i ka ʻeha o ka ʻōpū, ka hōʻeha ʻana o ka ʻili, ka furunculosis a me nā neurodermatitis.
ʻO kēia mau hōʻailona o ka maʻi diabetes i nā keiki o 10 mau makahiki he hopena pinepine ia o ka maʻi diabetes-hilinaʻi nui. ʻO kahi hiʻohiʻona hiʻohiʻona ka paʻakikī o ka paʻakikī, ʻoiai ua pau ka hana o ka pancreas, a ua hoʻomaikaʻi ʻia ka glucose i loko o ke koko.
Hiki i ke keiki i kona mau makahiki he ʻumi e kamaʻilio e pili ana i kona mau pilikia olakino, no ka laʻana, e hoʻopiʻi ana i ka waha maloʻo a i ʻole ka hanu maikaʻi ʻole. Pono nā mākua e hoʻolohe i ka ʻōlelo waha e hoʻolako ʻia e kā lākou keiki, me kāna ʻano. Hoʻopiʻi pinepine nā keiki i nā migraines, poina, kūlike a me kahi hoʻololi i ke kūlana o ka naʻau.
Hoʻonui koke ke ʻano o nā hōʻailona o ka maʻi maʻi i nā keiki. Inā loaʻa nā hōʻailona ʻano, pono nui e lawe koke i kāu keiki i ke kauka. ʻO ka hōʻole ʻana i nā hōʻailona i loaʻa i ka maʻi diabetes i ka hapanui o nā hopena e alakaʻi i nā hopena maikaʻiʻole.
Hoʻohui ʻia nā hōʻailona maʻamau o ka maʻi maʻi:
- mau ka makewai, ka mea e ʻike ʻia ma muli o ke kahe ʻana o ka wai mai nā pūpū a me nā kiko, no ka mea ke kino pono ka makemake e hoʻoheheʻe i ka glucose i loko o ke koko,
- ka pinepine urination - kū mai ma muli o ka makewai mau,
- ka wikiwiki o ka momona kaumaha - hoʻoneʻe ke kino i ka hiki ke hoʻokaʻawale i ka ikehu mai ka glucose a hoʻololi i ka ʻiʻo a me ka iwi adipose,
- mau ka momona ʻole - hana nā ʻuhane a me nā ʻili i ka nele o ka ikehu, ka hoʻouna ʻana i kekahi mau hōʻailona i ka lolo,
- hoʻohaʻahaʻa i ka makemake - aia nā pilikia me ka hoʻopili ʻana o ka meaʻai,
- ʻike maka - he kipi nui o ka glucose i ke koko e alakaʻi i ka lepo, ʻānō pū nō hoʻi kēia i nā lens o ka maka, ʻili ma nā maka a me nā pilikia ʻē aʻe.
- hopena maʻi
- maʻi ketoacidosis maʻi hana hoʻopiʻi koʻikoʻi kahi i hui pū ʻia e ka puʻuwai, ʻeha a me ka ʻōpū.
Me ka maʻi diabetes i nā manawa he nui, ua hoʻokumu ʻia ka ketoacidosis maʻi maʻi, pōʻino no ke ola o nā keiki.
Pono kēia hoʻonāukiuki e nānā pono ai.
Nā hana Diagnostic no ka hoʻoholo o ka maʻi maʻi
Inā ʻike nā mākua i nā hiʻohiʻona hōʻailona o ka maʻi maʻi i kahi keiki, he mea nui ia e hoʻomaopopo koke i ka maʻi. Inā ʻo ka paona o ke keiki i ka wā hānau mai 4 a 6 kilograms, hōʻike kēia i kahi predisposition i ka maʻi maʻi.
He mea nui ia e nānā i ke kūlana o ka pēpē a no kekahi manawa ʻaʻole ia e hoʻohana i nā diapers e nānā pehea pinepine o ka pēpē o ka pēpē.
Kūkulu ʻia e pili ana i nā hōʻailona i kau ʻia me kahi hōʻike hoʻokaʻawale glucose. Hana ʻia ka nānā ʻana ma kahi ʻōpū ʻole. ʻO ka lua o ka hana ua hana ʻia, ke inu nei ke keiki i ka 75 g o ka glucose i ka wai.
Ma hope o nā kaʻina diagnostic, aʻo nā kauka i nā hopena o nā noi. Inā nā hōʻailona i ka mahele o 7.5 - 10.9 mmol / l, a laila maʻa ka maʻi diabetes a ua pono ke nānā ʻana i ka dinamics.
Inā ʻoi aku ka nui o ka helu ma mua o 11 mmol / l, a laila hōʻoia ʻia ke ala, a pono ke ʻano o ke keiki i ke ʻano maʻi, e pili ana i ke ʻano maʻi o ka maʻi maʻi.
Nā hiʻohiʻona hana
Pono e mālama maʻamau i ka maʻi maʻamau i nā keiki, ʻo kēia wale nō ka mea hiki iā ʻoe ke mālama i ka maʻi ma lalo o ka mālama ʻana a mai hopohopo i ka hoʻokumu ʻana o nā hōʻeha. Ma muli o ka hoʻomaʻamaʻa ʻole o ka mālama ʻana i nā meaʻai, a me ka paʻa ʻana o nā rula o ka meaʻai.
ʻO ka hoʻohana mau ʻana i ka hoʻomākaukau ʻana i nā insulin a nā keiki me ke ʻano maʻi o ka maʻi maʻi mua loa ia o ka hopena. Ma ke kānāwai, ke kauka nei ke kauka i kahi ʻāpana o ka lāʻau lapaʻau no 3-5 g o ka hānai i ka urine. ʻO kēia mai 20 a 40 mau pūʻulu i ka lā. Ke ulu nei ka maʻi a ulu ke keiki, hiki ke hoʻonui a hoʻemi paha. Hoʻokomo ʻia ka Insulin subcutaneously papalua i ka lā 15 mau minuke ma mua o ka ʻai ʻana.
Pono e hoʻomaopopo ʻia e pono ke ʻano o ka nui o ka insulin e nā kauka kauka hoʻokahi. Hoʻololi ʻia ke ʻano o ke ʻano maʻi o ka insulin e nā kauka. ʻAʻole pāpā ʻia nā mākua mai ka hoʻololi ʻana i nā ʻōlelo koi a kekahi kauka.
No ka hoʻomehana, he mea nui e kiaʻi mau i ka nui o ke kō i loko o ka meaʻai. ʻAʻole nui ka nui o nā huapalapala i kēlā me kēia lā ma kahi o 380-400 kākā. Inā kūpono, kauoha ʻia nā lāʻau lapaʻau, e loaʻa ai nā lāʻau lapaʻau me ka hepatotropic.
Ua koho paʻa ʻia ka inoa a me ke ʻano o ka lāʻau lapaʻau ma hope o ka loaʻa ʻana o nā hopena diagnostic. Pono nā mākua e hoʻomanaʻo aku i ka wā o ka maʻi kamaliʻi he pau ʻole kēia. Pono e hāʻawi i ke keiki i kahi nānā a kūpono i nā ʻōlelo lapaʻau. Eia wale nō, e hoʻomalu ʻia ka maʻi, a ola ke keiki i ke ola piha.
Me ka papa ʻaina, hiki i ka papaʻaina ke hoʻomau nei i ka nānā ʻana i ke kō koko. Ua kau ʻia nō hoʻi ka meaʻai e ke kauka, akā aia nā lula kaiʻai maʻamau no kēia maʻi.
I ka papaʻai o nā keiki me ka maʻi maʻi hānai ʻia:
- Nā huahana palaoa
- ʻuala
- kekahi mau ʻano cereals.
E hana i nā cereals, ʻoi aku ka maikaʻi e hoʻohana i nā koho no ka wili ʻana coalse, no ka laʻana, oatmeal a i ʻole buckwheat. Hoʻokuʻu ʻia ka Sugar mai ka meaʻai, ua hoʻololi ʻia ia me nā mea momona kūlohelohe.
ʻOi aku ka maikaʻi o ka Semolina a me ka uila maʻa kahi e ʻai iki. Hiki i nā keiki me ka maʻi ʻaʻai keʻai i nā huaʻai, kekahi mau huaʻai a me nā mea ʻai. I kekahi mau hihia, ʻae ʻia ka ʻae:
- Kālepa
- hua ʻōpala
- nā huaʻomoʻa maikaʻi.
Ke waiho ʻole ʻia mai ka papa kuhikuhi:
- nā meaʻai momona
- nā kīʻaha hāpū
- aiiha.
Inā ʻike kekahi keiki i kekahi makahiki o ka hānau ʻana i ka maʻi maʻi, pono ia e hānai iā ia i ʻeono manawa i ka lā. Pono liʻiliʻi nā lawelawe. Me kēia maʻi, he mea nui ia ʻaʻole ia e ʻike i ka pōloli, me ka mea e hoʻomaikaʻi nei i ka hoʻomohala ʻana o nā hoʻopiʻi.
Pono e hana i nā hana kūpono no ka maʻi diabetes i nā keiki mai kāna wā hānau. I keʻano kūikawā, he mea nui loa ke loaʻa nei kekahi o nā mākua i kēia maʻi.
E pili ana i nā hiʻohiʻona a me nā hōʻailona o ka maʻi maʻi i nā keiki e haʻi i ka wikiō ma kēia ʻatikala.
