Ua'ōlelo aku ʻo Kauka Komarovsky he maʻi maʻamau ka maʻi diabetes i nā keiki, kahi i pau ai ka pancreas e hana i kahi hormone e hoʻomaʻamaʻa i ka glucose i ka ikehu. ʻO kēia kahi maʻi holomua autoimmune holomua, i ka wā o ka wā i hoʻopau ʻia ai nā cell beta o nā kahakai ʻo Langerhans. He mea pono ia e hoʻomanaʻo ana i loko o ka manawa o ka hoʻomaka ʻana o nā hōʻailona kumu, ua hala ka nui o kēia mau ʻōpili.
ʻO ka pinepine, ʻo ka maʻi maʻamau ʻo ka maʻi maʻamau ma muli o nā mea hoʻoilina. No laila, inā kahi kokoke i ke keiki i loaʻa ka maʻi hyperglycemia kino, a laila hiki ke loaʻa ka maʻi i ka maʻi iā ia iho. A ʻo ka pilikia o ka hoʻolālā ʻana i kahi maʻi o nā māhoe like 3 a ma kahi o 40%.
I kekahi manawa he ʻano lua o ka maʻi maʻi, i kapa ʻia ʻo ia nō hoʻi e hilinaʻi i ka insulin, e ulu a ulu i ka wā ʻōpio. Ua kākau ʻo Komarovsky me kēia ʻano o ka maʻi, ua kū wale ka ketoacidosis ma muli o ke koʻikoʻi koʻikoʻi.
Eia kekahi, ʻo ka hapa nui o nā mea i loaʻa i ka maʻi diabetes, he nui ka momona o ke ʻekemu, he mea hiki ke hoʻomanawanui i ka hoʻohaʻahaʻa glucose. Eia kekahi, ʻo ke ʻano o ka maʻi o ka maʻi e hiki ke hoʻomohala ma muli o ka hana hewa o ka pancreas a me ka nui o ka glucocorticoids.
ʻO nā hōʻailona o ka maʻi maʻi i nā keiki
E kamaʻilio e pili ana i nā hōʻailona o ka maʻi hyperglycemia ma ke keiki, ua ʻōnaʻo Komarovsky i nā mākua i ka ʻoiaʻiʻo e hōʻike wikiwiki nei ka maʻi. Hiki i kēia ke alakaʻi i ka pilikia o ke kīnā, i wehewehe ʻia e nā ʻano o nā maʻi o nā keiki. Hoʻopili kēia mau mea i ka pīpī o ka wahī, hoʻonui i ka metabolism, ka ikaika o ka mīkini, a me ka lalo o ka pūnaehana o ka enzymatic, no ka mea hiki ʻole iā ia ke hakakā me ke ketones, nā mea e kūleʻa ai nā maʻi o kahi maʻi maʻi.
Eia naʻe, e like me ka mea i ʻōlelo ʻia ma luna nei, i kekahi manawa ke loaʻa ka maʻi diabetes type 2. ʻOiai ʻaʻole i maʻamau kēia kolohe, no ka mea, ke ho'āʻo nei ka hapa nui o nā mākua e nānā i ke olakino o kā lākou keiki.
Hoʻohālike nā ʻōmaʻomaʻo ʻano 1 a me ke ʻano type type 2. ʻO ka hōʻike mua ka hoʻopau ʻana i nā nui o nā pilikika. ʻO kēia no ka mea mai ke kai mai ke koko i ke koko e hoʻoheheʻe ai i ke kō. No laila, inu ke keiki i ka 5 lita o ka wai i ka lā.
ʻO Polyuria kekahi o nā kumu alakaʻi nui o ka maʻi hyperglycemia. Eia kekahi, i nā keiki, loaʻa pinepine ka urination i ka wā hiamoe, no ka mea ua nui ka wai o ka wai i ka lā ma mua. Eia kekahi, kākau pinepine nā makuahine i nā ʻaha kūkā inā inā holoi ka holoi holoi a kahi keiki ma mua o ka holoi ʻana, e lilo ana ia me he mea lā ka maka i ka pā.
ʻOi aku ka nui o nā maʻi maʻi diabetes. ʻO kēia no ka mea mai ka paleʻana i nā glucose, e hoʻomaka ke kino e wāwahi i ka ʻōpū a me nā ʻiʻo momona.
Inā aia nā maʻi mellitus maʻi i nā keiki, ua ʻōlelo pū ʻo Komarovsky e loaʻa paha nā pilikia ʻike. Ma hope o nā mea a pau, ʻike pū ʻia ka dehydration ma ka lens maka.
Ke hopena, puka ka pale ma mua o nā maka. Akā, ʻaʻole noʻonoʻo ʻia kēia ʻano he hōʻailona, akā he ʻano hoʻopiʻi o ka maʻi maʻi maʻi, e koi ana i ka hoʻokolokolo koke ʻana e ka ophthalmologist.
Eia kekahi, ʻo ka hoʻololi ʻana i ke ʻano o ke keiki e hōʻike paha i ka hōʻino endocrine. ʻO kēia no ka mea ʻaʻole e loaʻa nā pona i ka glucose, ʻo ia e hana ai i ka pōloli ikaika a lilo ka mea maʻi i hana ʻole a huhū.
Ketoacidosis i nā keiki
ʻO kekahi hōʻailona ʻokoʻa a ka maʻi hānai no ka hōʻole ʻana i ka ʻai a i ʻole, i ʻole, ka pōloli mau. Aia nō pū kekahi i ka ikehu ikehu.
Me ka ketoacidosis maʻi maʻi, nalowale ka makemake. Pilikia loa kēia hōʻike kuhihewa, e koi ai i kahi kelepona koke a me ka hoʻokaʻina o ka maʻi maʻi, no ka mea hoʻokahi wale nō ke ala e pale ai i ka hoʻomohala ʻana a me nā hopena ʻē aʻe.
I ke ʻano 2 maʻi maʻi maʻamau, lilo pinepine nā maʻi ʻeha i kahi hōʻike maʻamau. A me kahi ʻano i hilinaʻi ʻia o ka maʻi o ka maʻi, hiki ʻole ke paʻakikī i ke kino o ke keiki ke kaua i nā SARS maʻamau.
I loko o nā maʻi maʻi, hiki i ka acetone ke hake mai ka waha mai, a ʻike nui ʻia nā kino ketone i loko o ka urine. Hoʻopili i nā maʻi diabetes, hiki i kēia mau hōʻailona ke hele pū me nā maʻi ʻē aʻe, e like me ka maʻi rotavirus.
Inā hiki wale i ke keiki ke lohe i ka acetone mai ka waha, ʻaʻohe mau hōʻailona ʻē aʻe o ka maʻi maʻi, a laila wehewehe ʻo Komarovsky i kēia ma ka nānā ʻana o glucose. ʻO kahi ʻano like ʻole e kū wale nō i ka loaʻa ʻana o nā maʻi o endocrine, akā ma hope o ka hana kino kino.
Hiki ke hoʻoholo maʻalahi i kēia pilikia: pono e hāʻawi ʻia i ka mea maʻi i kahi papa glucose a i ʻole e hāʻawi ia e inu i kaʻaʻī aʻai a ʻai paha i ke kaila. Eia naʻe, hiki ke hoʻopau ʻia ka ʻohu o ka acetone ma ke kōkia me ke kōkua o ka insulin a me ka ʻai.
Eia kekahi, ua hōʻoia ʻia ka kiʻi haumanu o ka maʻi e nā hoʻokolohua hoʻoliilo:
- hoʻonui i ke koko;
- ka heleʻana o ke koko o nā antibodies e luku ai i ka pancreas;
- immunoglobulins i ka insulin a i ʻole nā enzyme i hoʻopili ʻia i ka hana hormone ke ʻike pinepine ʻia.
Kuhi kekahi kauka pediatric i ʻike ʻia nā antibodies i loko o ka maʻi diabetes, e manaʻo ʻia nei he maʻi autoimmune. A hōʻike ʻia ka lua o ka maʻi ma ka hoʻokiʻekiʻe ʻana o ke koko, ke kolamu kiʻekiʻe ma ke koko a me ka helehelena o nā wahi ʻeleʻele ma nā pulima, a ma waena o nā manamana lima.
ʻO ka hyperglycemia me kahi ʻano hana i hilinaʻi ʻia o ka maʻi o ka maʻi, e hele pū ʻia me ka ʻāʻī ʻana o ka ʻili, ka pā ʻana o nā hakahaka, nā hōʻeha a me ka malaise. I kekahi manawa e ulu malū nei i ka maʻi diabetes, ka ʻona o ka loaʻa ʻana o ka maʻi a me ka hoʻomohala ʻana i nā hopena hiki ʻole.
ʻO ka manawa, hele ka maʻi diabetes i ka makahiki mua o ke ola, kahi paʻakikī ka maʻi, no ka mea ʻaʻole hiki i ke keiki ke wehewehe i nā mea e hoʻopilikia ai iā ia. Eia kekahi, paʻakikī nā mea diapers ke hoʻoholo i ka lā maʻamau o ka urine.
No laila, pono e mālama nā mākua o nā keiki i ka nui o nā mea i hōʻike ʻia e like me:
- Kuhi kaumaha
- huki;
- hoʻonui i ka momona, no ka mea ʻaʻole i loaʻa ke kaumaha, akā nalo;
- utuka
- ka ʻike mai o ka diaper rash ma ka honua o nā hanana genital;
- ka ho okumu ana o nā pili e pili ana i nā wahi i loaʻa i ka urine.
E koi ana ʻo Komarovsky i ka manaʻo o nā mākua me ka hele koke o ka maʻi o ke keiki me ka maʻi maʻi, ʻoi aku ka paʻakikī o ka maʻi o ka maʻi e hiki mai ana.
No laila, ma mua o kahi mea hoʻoilina, he mea nui e kāohi i ka pae o ka glycemia mai ka hānau ʻana, e kiaʻi pono ana i ka ʻano o nā keiki.
Pehea e hōʻemi ai i ka hopena o ka hoʻomohala ʻana i ka maʻi diabetes a he aha ka hana inā he hōʻoia i ka maʻi?
ʻO kaʻoiaʻiʻo, hikiʻole ke hoʻohālikelike i kahi predisposition he hua lahui, akā e hoʻomaʻamaʻa ka ola no ke keiki me ka maʻi maʻi ʻoiaʻiʻo. No laila, no nā pahuhopu prophylactic, pono e koho pono nā keiki i ka pilikia i nā meaʻai hoʻopihapiha a hoʻohana i nā ʻano i hoʻohui ʻia i ka wā hiki ʻole ke ʻōpili.
I ka makahiki ʻelemakule, pono e hana ʻia ke keiki i kahi ola ola me ke kaumaha. He mea koʻikoʻi ia no nā pahuhopu pale a me nā therapeutic e aʻo i nā keiki e pili pono i kahi meaʻai kūikawā.
ʻO nā loina nui o ka meaʻai kūpono e like me ka haʻalulu o nā pono a me nā ʻomo o ke keiki i ka papa o ke keiki e like me ia e hiki ai iā ia ke uku no ka hoʻohana ʻana i ka ikehu, ulu a ulu i nā maʻamau. No laila, ʻo ka 50% o ka mālamaʻai i mea e pono ai ke kalapoka, 30% hāʻawi ʻia i nā momona, a me 20% - i nā protein. Inā loaʻa ka momona o ka maʻi maʻi, a laila e lilo ka pahuhopu o ka mālama ʻaʻai i ka momona a laila mālama i ke kaupaona ma ka pae like.
Me kahi ʻano e hilinaʻi nei i ka insulin, he mea nui nā meaʻai e hoʻohui me ka hoʻokele ʻana i nā insulin. No laila, pono ʻoe eʻai i ka manawa like, ʻoiai e hoʻomaʻamaʻa mau i ka māhele o nā protein, nā kalapona a me nā momona.
No ka mea ke kahe ana ʻo insulin mai ka pūnaewele injection, i ka ʻole o nā kīʻaha hou aʻe ma waena o ka papaʻai nui, hoʻomohala paha ka mea maʻi i ka hypoglycemia, e hoʻonui ʻia me ka hana kino. No laila, aia nā keiki i hāʻawi ʻia i nā inikina 2 i kēlā me kēia lā e loaʻa ʻiʻo kahi mea ma waena o ka ʻaina kakahiaka, ka pāʻina a me ka pāʻina.
ʻO ka papa o ke keiki he 6 mau ʻanoʻano nui e hiki ke hoʻololi ʻia ia e kēlā me kēia:
- ʻai;
- waiū
- berena
- nā mea kanu
- hua
- nā loko.
He mea pono ia e hoʻomohala pinepine ana nā maʻi maʻi i ka atherosclerosis. No laila, ʻo ka nui o ka momona o kēlā me kēia lā i kēia maʻi e pono ai ma mua o 30%, a me ka kolamu - a hiki i ka 300 mg.
Pono e hāʻawi i ka makemake i nā momona momona o polyunsaturated. Mai ka ʻai ʻoi aku ka maikaʻi e koho i ka iʻa, ka maka, ka moa, a me ka ʻono o ka puaʻa a me ka pipi. ʻO Kauka Komarovsky ʻo ia iho i kahi wikiō ma kēia atikala e kamaʻilio e pili ana i ka maʻi diabetes a me ke kō i nā keiki.
