Hōʻike ʻia ka manaʻo o ke kō koko koko no nā keiki i loaʻa ka hopena i ka hoʻomohala ʻana i ka maʻi mellitus a i ʻole he mau hōʻailona paha e like me keʻano o kēia maʻi.
ʻO nā hōʻailona o ka maʻi mellitus o ka maʻi kamaliʻi e hiki koke ke hele a hoʻomau i ke ʻano o kahi coma a i ʻole atypical, like me ka gastrointestinal, nā maʻi hopohopo.
Hiki i ka maʻi maʻamau ke pale i ka pale ʻana a me ka hoʻoulu ʻana o ke keiki, me ke pale ʻana i nā hoʻopiʻi kūlohelohe, nā ʻino o kaʻeha, ka ʻike, ke koko a me ke ʻano.
Hoāʻo koko no nā kō i kō nā keiki
ʻO kahi hiʻohiʻona o ke kino o ke keiki, ʻo ia ke koko koko i loko o ke keiki e loaʻa nei ma kahi haʻahaʻa o lalo ma mua o nā pākeke. No ka hoʻoholoʻana, e hana ʻia kahi hōʻike koko ma kahi ʻōpū ʻole.
ʻAʻole hiki i kahi keiki i ʻekolu makahiki ke kū i kahi hoʻomaha he 10 mau hola ma hope o ka hānai hope ʻia, ka mea i hōʻike ʻia ma mua o ka hāʻawi ʻana i ke koko. No laila, hiki iā ʻoe ke hāʻawi iā ia e inu i ka wai inu ʻoluʻolu i ke kakahiaka o ka loiloi, akā, ʻo ke komo ʻana o ka meaʻai, ka waiū, nā kīʻaha me ke kō.
Ma mua o ke ʻano loiloi, ʻaʻohe pono a i ʻole ka naʻau o ke keiki. ʻAʻole hana ʻia kahi hōʻike no nā maʻi maʻi infectious, a ʻo nā lāʻau lapaʻau i ʻōlelo ʻia ke kāpae ʻia i ka kūkākūkā me ka pediatrician.
ʻO ke kumu o ke koko koko i nā keiki o 3 mau makahiki he hōʻailona kahi o 3.3 - 5.0 mmol / L. I loko o kahi keiki hoʻokahi keiki, ke loli ka pae ma waena o 2.75 - 4.35 mmol / L, ma hope o ʻeono mau makahiki he ʻano like ke ʻano o nā pākeke - 3.3-5.5 mmol / L. Inā hōʻike kekahi hōʻike koko i ka glycemia haʻahaʻa ma lalo o ke kiʻekiʻe o ka pae liʻiliʻi, i hoʻolālā ʻia no ka wā, a laila hana ʻia kahi maʻi o ka hypoglycemia.
Me nā hōʻailona e ʻoi aku i ka maʻamau, akā aia i loko o 6.1 mmol / l, kahi mākaʻikaʻi hoʻomaʻemaʻe ma mua o ka prediabetes. I kēia hihia, ua hoʻihoʻi ʻia ka loiloi. Inā loaʻa kahi hopena i hoʻonui ʻia i 2 mau manawa, a laila e kuhikuhi ʻia kahi hōʻike hoʻoliʻi glucose.
I nā rula no ka hoʻāʻo ʻana i ka hoʻohaʻahaʻa glucose i nā keiki:
- I ʻekolu mau lā ma mua o ke aʻo ʻana, ʻaʻole e loli ka hoʻoponopono a me ka ʻai o ke keiki.
- ʻAʻole ʻike ʻia kahi hoʻokolohua inā loaʻa ka maʻi maʻi i ke keiki a hoʻopaʻi ʻia i loko o hoʻokahi pule ma mua o kahi hebedoma ma mua.
- ʻO ka mea mua, ʻike ʻia ka pae ʻai wikiwiki (ma hope o 8-12 mau hola o ka hoʻokē ʻai).
- Hāʻawi ʻia kahi hopena glucose i ka wikiwiki o 1,75 g no ka kilogram o ke kaumaha o ke keiki.
- Ma hope o ʻelua mau hola, ʻike hou ʻia ke kō. I loko o kēia manawa o ke keiki, pono ke noho mālie ke keiki.
Hoʻohālikelike ʻia ka hopena hōʻike ma kahi penei: inā ma 3 mau makahiki ma hope o kahi mau minuke o ʻelua mau manawa mai ka hoʻonui ʻana i ka glucose, he keiki ka nui o ke koko ma mua o 11.1 mmol / l, a laila ua hōʻoia ʻia ke ʻano maʻi o ka maʻi maʻi, ma nā pae a hiki i 7.8 mmol / l - ke kumu maʻamau, nā hopena āpau ma waena o kēia mau palena maʻi pākaukau.
Nā kumu o ka hoʻohaʻahaʻa a me ka hoʻonui ʻana i ke kō koko koko i nā keiki
ʻO ka hoʻohaʻahaʻa ʻana i ke kō koko i ke keiki na ke kiʻekiʻe nā kiʻekiʻe o ka insulin, ka maikaʻi loa a i ʻole ka malabsorption o nā mea kāohi i ka ʻawa Akā ʻoi aku ka pinepine o ka hyperinsulinism kūlohelohe a maʻamau paha.
ʻO ke kumu maʻamau o ka nui o ka insulin i loko o ke koko i loko o nā keiki, ʻo ia ka pīpī o ke kiko islet o ka pancreas, e pā ana i nā pū me nā beta. Kāhea ʻia ia ʻo ka insulinoma. ʻO ke kumu ʻelua o ka hypoglycemia i nā keiki o ka makahiki mua o ke ola ʻo nezidoblastoz. Me kēia patula, hoʻonui ka nui o nā cell beta.
Hiki i ke kō o ke koko ke hoʻohaʻahaʻa i nā pēpē i hala a i ka wā hānau mai ka makuahine i loaʻa ka maʻi maʻi. Hoʻopili ʻia ka hypoglycemia i nā pathologies endocrine, nūpepa, nā puʻuwai a me nā maʻi o ka pūpū, na ferenocath congenital. Hoʻomaka ia e nā lāʻau'ōpiopio-hoʻohaʻahaʻa a me nā salicylates i nā papa nui.
Inā ke kiʻekiʻe o ka hoʻāla koko koko a ke keiki, a laila no ke kumu o:
- ʻO nā kulekele Endocrine: diabetes mellitus, thyrotoxicosis, hyperfunction o ke kōpala adrenal a i nā pituitary gland.
- Maʻi maʻi pancreatic.
- ʻĀwau
- ʻO ka hōʻeha kino.
- Maʻi maʻi.
- Nā kuʻuna o nā keiki.
I ka hapanui pinepine, me ka hyperglycemia, ʻike ʻia ka maʻi diabetes. ʻO ka maʻa mau ia e pili i ke ʻano mua.
ʻO ka hoʻomohala ʻana o ka maʻi i nā keiki me ka wikiwiki, no laila he mea nui ia e hoʻomaopopo i kēia maʻi ma ke ʻano mua a kuhikuhi i ka hoʻomehana ʻana o ka insulin.
No ke aha i kū ai ka maʻi diabetes?
ʻO ka mea nui i ka hoʻomaka ʻana o ka maʻi diabetes type 1 i nā keiki he genis predisposition. Hoʻokumu ʻia ka hōʻoiaʻike o kēia e nā kiʻekiʻe nui o nā hihia ʻohana a me ka ʻike ʻana i ka maʻi diabetes i nā hoahānau pili kokoke (nā mākua, nā kaikuaʻana a me nā kaikunāne, nā kūpuna).
Hoʻomohala ke ʻano maʻi maʻi 1 me he lesion pancreatic autoimmune. Ke ʻike nei i kahi kumu pākahi, hoʻomaka ka hana o nā antibody e kū pono i kā lākou mau kelepona i ka hoʻomohala ʻana i ka insulin maʻi. Ua luku ʻia nā hale Beta, me ke kahe ʻana o ko lākou helu, e holomua ana ka maʻi insulin.
Hāʻawi ke kumu o ka hoʻomohala ʻana i ka maʻi diabetes i ka wā kamaliʻi he mau maʻi maʻi viral. I kēia hihia, hiki i ka virus ke hoʻopau i ka lapaleka pancreatic a alakaʻi paha i ka maʻi autoimmune i loko. Aia kēia mau waiwai i ka: retroviruses, Coxsackie V, Epstein-Barr virus virus, nā ʻōpala, nā cytomegalovirus, nā maʻi hepatitis a me nā ʻōpala, nā ʻōpala, rubella.
Hoʻopili i nā maʻi viral i nā keiki me ka hoʻomau genetic, nā maʻi diabetes i ka:
- Nā Nitrates i nā meaʻai.
- Nā kūlana kaumaha.
- ʻO ka ʻānai ʻana i ka waiū pipi.
- Nā mea kanu kākela monotonous.
- Hoʻopuka ʻana i nā mea hanu.
Hoʻomaopopo ka poʻe pediatricians i ʻike pinepine ʻia ka maʻi maʻamau i nā keiki nui i hānau ʻia me ke kaumaha ʻoi aku ma mua o ka 4,5 kg a i loaʻa paha ka momona, me ka hemahema o ka hana kino, ma nā pūʻulu o nā keiki maʻi pinepine me nā diathesis like ʻole.
Nā hōʻailona o ka maʻi diabetes i nā keiki
Hōʻike nā hōʻailona o ka maʻi diabetes i kahi keiki i kēlā me kēia makahiki. Ua hōʻike ʻia nā hiʻohiʻona hiʻohiʻona 2 i nā makahiki 5-8 a i 10-14 mau makahiki, i ka manawa e hoʻonui ai ka ulu a hoʻonui ʻia nā hana metabolic. ʻO ka maʻamau, ʻo ka hoʻomohala ʻana o ka maʻi maʻi ma mua o ka maʻi a me kahi maʻi lōʻihi o ke ʻano aʻokiʻoki aʻokiʻoki aʻokiʻoki paha.
I ka hapanui o ka maʻi maʻamau o ka maʻi maʻamau i loko o nā keiki, a ʻike ʻia i ka wā e hele mai ai kahi coma maʻi maʻi. E hoʻomohala mua ʻia kēia ma mua o ka manawa o ka make asymptomatic o ka pancreas. Aia mau ia i mau mahina, a e ʻike ʻia nā hōʻailona lapaʻau i ka wā pau i nā ʻāpana āpau e hoʻoiho ʻia i ka insulin.
Nā hōʻailona maʻamau o ka maʻi maʻi, me ka helehelena o nā kauka ʻaʻole i kānalua e pili ana i ka maʻi, ka make nui, nui ka nui o ka makemake a me ka hoʻolilo ʻana i ke kaumaha ma kona ʻokoʻa, ka nui a me ka wikiwiki o ka urination, ʻo ia hoʻi ma ka pō, ka maʻi o ka urinary.
Hoʻopili ʻia ka mīkini o ke ʻano o ka hoʻonui ʻia ʻana o ka urine me nā waiwai o ka osmotic. Me ka hyperglycemia ma luna o 9 mmol / l, ʻaʻole hiki ke hoʻoleʻeha ka lākō i kāna excretion, a ʻike ia i loko o ka urine. I kēia hihia, lilo ka wai i ka waihoʻoluʻu, akā e hoʻonui ʻia kona ʻano kikoʻī ma muli o ke kiʻekiʻe o ke kō.
ʻO nā hōʻailona o ka maʻi maʻi:
- I nā pēpē, pili paʻa nā wahi iʻa, a nānā ʻia nā diapers ke nānā ʻia.
- Noi ke keiki i kahi inu, kū pinepine i ka pō me ka make wai.
- Ua hōʻemi ka ʻili i ka elasticity, ua maloʻo ka ʻili a me nā membous mucous.
- Hoʻokumu ka derorritis Seborrheic ma ke poʻo.
- Ke kani nei ka ʻili ma nā palepela a me nā wāwae wāwae, hoʻomau mau ʻia ka diaper rash.
- He hoʻomau i ka ʻūlū pustular a me ka furunculosis.
- ʻO nā leila hoʻonaninani kūpaʻa o ka umauma waha a me nā genital.
ʻO nā keiki me ka maʻi maʻi maʻi mua e nānā nāwaliwali a emaciated. ʻO kēia no ke kumu makewai o nā pūleʻa ma muli o ka nalowale o ka maʻi glucose i loko o ka pīpī a me ka hoʻomaʻū ʻana i ke aihue. Me ka nele o ka insulin, ua nui pū ka wā e hōʻolo ai nā protein a me nā momona i ke kino, ka mea i hui pū ʻia me ka dehydration i alakaʻi i ka pohō nui o ke kaumaha o ke kino.
Hōʻailona ka pilikia o ke ʻano maʻi i ke lēʻeha pinepine, e komo pū me ka maʻi, nā maʻi i ʻike ʻia i ka hōʻeha ʻana a me ka hoʻihoʻi hou ʻana, a me ka pale ʻana i ka lāʻau lapaʻau kuʻuna.
Decompensated diabetes mellitus i ka wā kamaliʻi e hele mai me ka hana ʻole o ka ʻōnaehana cardiovascular - kūmū ʻia nā ʻōmole naʻau, hoʻonui ʻia ka palpitations puʻuwai, hoʻonui ʻia ke akea, a ulu hoʻi ka pilikia. ʻO ke wikiō ma kēia ʻatikala e kamaʻilio e pili ana i ka maʻi diabetes i nā keiki.
