ʻOi aku ka 400 miliona o ka poʻe i ka honua nei e nānā aku i ka maʻi diabetes 1, a me ka nui o ka nui o nā hihia e hoʻonui i kēlā me kēia makahiki. Ka hoʻomaikaʻi ʻole ʻana (ʻaʻole ma kahi mamao loa). No ka poʻe ʻepekema a me nā kauka e hōʻōla maikaʻi iā ia, hana i nā mea he nui ka mālama ʻana i kēia maʻi ʻino e like me ka paukū. Eia naʻe, ke hoʻomau nei nā ala o ke kāohi ʻana i ka maʻi, a hoʻomau mau ʻia nā ʻano o kāna lapaʻau ʻana, a i kēia manawa hiki iā ʻoe ke noho ola me nā ʻano type type 1 a hiki i ka wā ʻelemakule. I mea e aʻo ai pehea e kāohi ai i ka maʻi, pono ʻoe e noʻonoʻo pono i ke ʻano o ia mea - type type 1 diabetes, pehea e hoʻoponopono aku ai ia, a he aha ka lāʻau a me nā meaʻai.
He aha ke aniani a pehea kona ʻokoʻa
ʻO nā maʻi mellitus he maʻi he hopena o nā maʻi endocrine i kumu no ka metabolism glucose kūpono a he mea pili a paʻa ʻole paha i ka insulin, ka huina a ka pancreas i hana ai. Me ka nele o ka insulin, e piʻi ala ke kō o ke koko. Hoʻomaʻamaʻa ka maʻi e nā maʻi metabolic: momona, kākā, ka wai-paʻakai, ka protein a me ka pale o ka mineral.
ʻElua mau ʻano o kēia maʻi: ke ʻano like ʻole o ka inikua-like me ka maʻi diabetes a me ka lā 2, ʻaʻole ia e koi i nā inikua o kēlā me kēia lā.
Pākuʻi ʻia ʻo ka maʻi diabetes type 2 i nā kānaka ma hope o 40 mau makahiki, loaʻa nā maʻi maʻamau o nā maʻi i nā keiki momona. Me ka maʻi o kahi ʻano 2 ʻaʻohe hemahema o ka insulin, ua mālama ʻia kēia ʻano maʻi me ka lāʻau lapaʻau. Hoʻomaopopo pinepine nā poʻe maʻi i nā lāʻau e pili ana i ka hoʻohaʻahaʻa i nā pae glucose koko. Me kahi papaʻai ikaika a ma ka hoʻomaʻamaʻa maʻamau, hiki ke kaohi ʻia ka maʻi.
ʻO ka maʻi diabetes mellitus ka type 1 e pili pinepine ana i nā keiki a me nā ʻōpio. ʻAʻole ia he mea kupanaha ua kapa ʻia kēia ʻano kapa "juvenile" a i ʻole "juvenile." Eia nō naʻe, ʻo kēia manawa ua "ʻōlohelohe" kēia mau maʻi, a ua lilo pinepine nā hihia o nā maʻi i ka poʻe waena a me ka ʻelemakule. ʻO kēia maʻi autoimmune, ʻaʻole naʻe hiki ke kaohi. ʻO ke kumu o ka luku ʻia ʻana o nā beta beta o ka pancreatic e ke kuleana, ke kuleana no ka hoʻomohala ʻana i ka insulin. Hoʻomaopopo ʻia ka poʻe maʻi i nā inikini o kēlā me kēia lā i kēia lā.
Pākōkohu 1 i nā keiki
Me nā pākeke, ʻano maʻamau ka maʻi maʻamau i nā keiki. ʻO ka hapanui pinepine kēia ma muli o ka predisposition genetic, eia nō, aia kekahi mau kumu e hoʻopili i ka hoʻomohala ʻana o ka maʻi: ʻaʻohe moe, ke kaumaha, nele i kahi moʻomeheuʻai i kahi keiki. Hiki i kēia mau mea ke hoʻomaka i ke ʻano maʻi diabetes type 1. I loko o nā pēpē, ʻo ke kumu o ka maʻi he mau mea kūlohelohe kekahi, nā wai maikaʻi ʻole ʻole a me ka nui o ka nui o ka nui o ka vitamin D i ke kino o ke keiki.
Me ka hoʻomohala ʻana o ka maʻi, hiki i ka diaper rash ka pōʻai i nā pēpē, ulu nā kandidiasis i nā kaikamahine. Hoʻonui ka nui o ka maʻi maʻi maʻi maʻi. Inā ʻoluʻolu ʻoe i ka acetone mai kāu keiki a lilo ka hanu i ka papale, hoarse, e nīnau koke i kahi kauka.
Nā kumu kumu o ka maʻi
I mea e maopopo ai he aha ka maʻi diabetes 1 ʻano liʻiliʻi, pono ʻoe e ʻike i nā hōʻailona a me nā mea hoʻomohala o kēia maʻi ʻino. ʻO ka mea pōʻino, ʻaʻole i ʻike maopopo ʻia nā kumu kumu o ka maʻi mellitus type 1 ke ʻano, akā ʻo ka palupalu palupalu i manaʻo ʻia i ke kumu nui. Eia kekahi, he nui nā mea hiki ke hāpai i ka hoʻomohala ʻana o ka maʻi.
- Predisposition genetic - inā loaʻa ka 1 o nā mākua i kēia ʻano o ka maʻi, ua hoʻoili ʻia ka maʻi, akā, ʻo ka ʻeha o ka maʻi i loko o ke keiki ʻaʻole ia ma mua o 10%;
- ʻO ka hōʻino o ka meaʻai - nā momona a me kahi nohona hoʻonaninani e hoʻopuka i ka hoʻomohala ʻana i ka maʻi diabetes-dependant;
- Nā maʻi maʻi maʻi a me nā lēʻeha - nā maʻi e like me ka measles, rubella, retroviruses e hōʻeha kino i ka hana ʻana o ka pancreas;
- ʻO ka hōʻeha o ka ʻōnaehana o ka pīpī - ke huhū, ka puʻuwai, ke hōʻeha a me ke kumu o ka maʻi nō hoʻi;
- Kūloehana kaiāulu - he nui nā kānaka ʻepekema i manaʻoʻiʻo i ka pōʻai a me ke kaiapuni e pili ana i ka hoʻomohala ʻana o ka maʻi diabetes. No ka hoʻohālikelike nei, ʻoi aku ka nui o nā kānaka o Scandinavian i nā maʻi 1 e pili ana i nā helu.
Hoʻomaopopo o nā maʻi Diabetes Type 1
Hoʻohālikelike nā hōʻailona o ka maʻi diabetes me nā hōʻailona o nā maʻi he nui, a ākea kēlā me kēia kanaka i nā ʻano like ʻole. Aia nō i nā ʻano mea like ʻole: makahiki, ke ʻano ola, ke kaumaha o ke kino, ka ʻona o ke kanaka.
ʻO nā ʻōmaʻomaʻo maʻamau o ka maʻa o ka maʻi maʻamau 1 ka make wai nui, ke kaumaha wikiwiki, ke kaumaha a me ka urination kaumaha, nā hōʻeha, ka nalowale o ka ikaika, ka haki o ka acetone mai ka waha, nausea a me ka lua.
I nā wā mua o nā ʻano maʻi diabetes mellitus, kahi hōʻailona o ka maʻi e hiki pinepine ai i ka urination a me ke ʻano mau ʻana o ka makewai. Hoʻopau kēia ma ka hoʻonui ʻia o ka hana oho. Ke piʻi nei ka pae o ka glucose i loko o ke koko, a i mea e hoʻokaʻawale ai, lawe aku nā keiki i ka wai mai nā wahi. Hōʻike ka mahuhō i ka hiamoe ma mua o ke kāʻei o ka lolo.
Inā loaʻa ʻoe i kekahi o kēia mau ʻōuli i loko ou a i kāu keiki, e nīnau koke i ke kauka. ʻO ka hala ʻana, ka hilahila - ke hopu wale nei kēia mau mea i kahi kipa maʻi maʻi, kahi ia e pono koke ai i ka mea maʻi.
Naʻi hoʻolika
E hoʻāʻo i ka maʻi maʻi maʻi, e hana ʻia kahi hōʻike koko no ke kō. ʻO ke kumu hoʻohālike kahi hōʻailona o ka nui o ka glucose e ʻaʻole i kiʻekiʻe ma mua o 5.8 mmol / L. ʻO kahi waiwai ma luna o 7.0 mmol / L e hōʻike ana i ka heleʻana o nā maʻi maʻi type 1 i loko o kahi kanaka. No kahi hōʻike pololei, ʻike ʻia nā hoʻokolohua i nā manawa he nui i ka lālani i nā manawa like ʻole o ka lā.
Hoʻololi ʻia kahi hōʻike glucose. E inu ka mea maʻi i ka wai momona, a ma hope o 2 mau hola e hāʻawi i ke koko mai ka vein no ka hoʻāʻo ʻana. ʻO nā maʻi ma kahi o 11 mmol / l hōʻike ke kīleʻa o ke kanaka i kahi maʻi maʻi 1.
Hoʻomaopopo ka ʻike ʻole ʻana i kahi maʻi maʻamau no ka hopena o ke ʻano kino. ʻO ka koho ʻana i ka loaʻa ʻana o kahi maʻi ʻaʻole kahi hana paʻakikī, akā loaʻa pinepine ka maʻi i loko o nā mea maʻi e kū'ē i ke kua o ke ʻano o ka hoʻomohala ʻana i nā maʻi mau.
ʻO ka lāʻau lapaʻau a me ka mālama ʻana
ʻO ka mālama ʻana i ka maʻi maʻi type 1 ka pili ʻana i ka therapy paʻakikī, ka mea: a me nā inikini insulin, nā lāʻau lapaʻau e hoʻohaʻahaʻa i ke kō, keʻai ʻana a me ka pale ʻana o ka maʻi.
Ma hope koke o ka hōʻike ʻana, pono ia e lawe i ka maʻi ma lalo o ka kaohi. No ka hana ʻana i kēia, ua pono ʻo ia e hoʻomaka i ka mālama ʻana i kahi diary i kahi āu e pono ai ke hoʻopaʻa i ka puna koko i kēlā me kēia lā a aʻo i ke ʻano o ka helu ʻana o ka insulin. I ka wā lōʻihi, lilo ia i mea maʻamau i nā maʻi.
I kēia manawa, maʻamau nā glucometer no ka mālama pono ʻana i ke kō kōʻai koko. ʻO ia nā mea liʻiliʻi i hoʻoili ʻia kahi kānana o kahi hōʻike a hoʻokahe ʻia kahi hāʻule koko. Me ke kōkua o ka ʻōmole glucose oxidase i hoʻonoho ʻia, ma hope o kekahi mau kekona e ʻike ʻoe i nā ʻōuli o ke kō koko koko ma ka ʻaoʻao o ka hāmeʻa. Me ka hāmeʻa, loaʻa i ka kuki nā mea hoʻohui'ē aʻe: nā pae hōʻike, kahi peni me kahi lancet no ka laʻana o ke koko, kahi ʻano o nā scarifiers. No nā poʻe me ka maʻi ʻaʻa type 1, ua paʻa ka pahu me kahi peni syringe no ka lawelawe ʻana i ka insulin.
E makaʻala pono i ka mea e hūnā i nā ʻoihana mika nā pihi hoʻoneʻe mua a me nā scarifiers e kūpono wale ana me kahi ʻano kikoʻī o kēia mea hana. Loaʻa i nā lāʻau lapaʻau kahi laulā o nā glucometer mai nā mea hana like a me ke kūpono. Ke loaʻa nei nā mea ʻole i ke komo i ka kaulana, me ka hoʻāha ʻole ʻana o ka manamana lima no ka hoʻomaʻemaʻe ʻana i ke koko, hoʻoholo lākou i ka pae o ka glucose e hoʻohana ai i nā naʻau uila. Hoʻopili ʻia nā mika koko āpau āpau, maʻalahi ia e hoʻohana, hiki iā ʻoe ke mālama mau iā lākou.
Pono e hoʻomaʻi ʻia nā ʻikina o ka insulin i ka manawa 1 a i ʻole 2 mau manawa (ma nā hihia paʻakikī) i ka lā. ʻO ka ʻākena i hana ʻia i ke kakahiaka a me ka pō ma mua o ka hiamoe. Hiki paha ke paʻakikī i ka wā mua. Eia nō naʻe, inā aia kēia mau wīwī loli insulin. Ma hope, ke hoʻohana pono ʻoe iā ʻoe, hiki iā ʻoe ke hāʻawi palekana i nā injections iā ʻoe iho.
No ka inikini, ma ka hoʻohui ʻia o nā syringes maʻamau, e loaʻa nā mea like e like me: penikala syringe, me ka hoʻohana ʻana iā lākou e lawelawe ai i ka insulin he mea maʻalahi a maʻalahi hoʻi, a me nā pailua insulin no ka hoʻokele subcutaneous o ka insulin.
ʻOiai ke mau makahiki o nā ho'āʻo ʻana, hiki ʻole ke hoʻōla pono i ka maʻi mellitus i kēia lā. Akā, ʻaʻole e kū ka lāʻau lapaʻau, a i kēia lā he nui nā manaʻo hoʻohiki no ka mālama ʻana i ka maʻi maʻi me nā ʻōpala o ke kumu, kahi ʻano hana no ka hoʻololi ʻana i nā pali pancreatic, a he mea paʻa ʻole paha i mea hou aku i ka maʻi ʻana.
I kēiaʻano, pono ʻoe e aʻo pehea e ola me kēia maʻi (hana i nā inikini me ke kōkua ʻole o nā limahana lapaʻau, kiaʻi i kaʻai kūpono, e ana i ka hoʻokaʻina o ke koko). ʻO ka laka, e hoʻi ʻoe i kahi kaona piha.
Nā hopena
Manaʻo nā kumu nui he nui ʻole ka maʻi diabetes me nā hoʻopiʻi a me nā hopena.
Ma hope o ka hoʻomālamalama ʻana i ka insulin a me ka meaʻai kūpono, hiki ke kala ʻia ke kala inā hōʻemi ʻia ka pono o ka insulin. Ke kapa nei nā kauka i kēia manawa ke "honeymoon", hiki ke lōʻihi i kahi manawa lōʻihi, mau mahina a keu paha mau makahiki. Eia nō naʻe, ʻaʻole e pau ka ʻōnaehana hōʻino i loko o ke kino a ma hope koke iho, hiki paha i kahi coma maʻi or ketoacidosis i hōʻea paha. Inā komo ke kanaka i kēia ʻano pōmaikaʻi, pono ia e hāʻawi koke i ka mea maʻi i ka haukapila. ʻO kahi hōʻailona o ka ketoaciodosis ka mea momona o ka acetone mai ka waha a i ʻole urine.
Eia kekahi, me ka type 1 diabetes mellitus, ʻoi ka nui o ka loaʻa ʻana o ka pēpē ma muli o ka hoʻonui ʻana o ka ukana ma kēia ʻili. Ke hoʻonui nei i ke kaʻe o ke koko e alakaʻi i ka pōʻino i ka ʻōnaehana cardiovascular o ke kino, kahi hiki ke alakaʻi i ka makapō, i ka hōʻeha, a me ka infarction myocardial. Inā hōʻole ʻoe i ka haukapila, hiki i kahi hopena hōʻeha ke hiki mai i kahi manawa pōkole.
Nui! Ke lawe nei i nā lāʻau ʻē aʻe, e noʻonoʻo e nīnau aku i kāu kauka. Hiki i kahi nui o nā lāʻau lapaʻau ke hana i nā hoʻopiʻi i nā maʻi me ka maʻi mellitus.
ʻAi kapu: nā rula meaʻai
ʻO ka hoʻokae ʻana me ka meaʻai kūpono ke kumu no ka hoʻihoʻi wikiwiki ʻana i ka mea maʻi. Ma ka maʻi mellitus 1, ua makemake ʻia e ʻole e ʻai i kēia mau meaʻai:
- ʻO nā huahana bakery, ka palaoa, nā palaoa palaoa o ka papa 1;
- ʻuala
- sauerkraut;
- Kāwili, nā ʻeleʻī, gula;
- nā momona momona a me nāʻili;
- iʻa i kāʻai;
- ʻai maka;
- nā hua waina, nā kīleʻa.
Ma kou papaʻai i kēlā me kēia lā, pono ʻoe e hoʻokomo i kekahi mau meaʻai e kōkua i ka hoʻokahe o ke kō: nā lau hou, ka lau bran i ka liʻiliʻi liʻiliʻi, ka paʻakai momona momona a me nā iʻa, nā huaʻai, ke kīwī liʻiliʻi kīwaha, nā hua maloʻo a me nā hua hou e haʻahaʻa ana i ka glucose, buckwheat a me nā mea ʻai ʻē aʻe i kuke ʻia. i ka wai a i ʻole ka waiū skim.
Aia kekahi mau meaʻai liʻiliʻi i kikoʻī i ka meaʻai maʻamau i kēlā me kēia lā no nā maʻi maʻi. I ka hoʻohālikelike ʻana i ka papa hana, e hoʻokaʻawale i ke kō ʻana o nā koina, nā momona a me nā protein. Hoʻomaopopo, pono nā meaʻai i kāwili, 5-6 mau manawa i ka lā. ʻAʻole ʻae ʻia ka huina o nā huina mai nā meaʻai maʻamau.
ʻO nā hale kūʻai o kēia mau hale i nā keʻena kūikawā no ka maʻi maʻi maʻi, kahi e hiki ai iā ʻoe ke kūʻai i nā huahana i hoʻokaʻawale ʻia i kāu papaʻaina a i kāu keiki. He mea kūpono hoʻi ia i ka hoʻohana ʻana i nā lāʻau lapaʻau lāʻau kuʻuna, koho i nā decoctions kūpono a me nā teas no nā maʻi maʻi haʻahaʻa e hoʻemi ana i ke kō o ke kō.
Me ka papaʻai, pono ka mea maʻi e lawe i nā multivitamins no nā maʻi maʻi 1 ka maʻi. ʻO ka ʻōlelo paʻakikī penei:
- Vitamin E (tocopherol) - he antioxidant e kōkua ana e hoʻihoʻi i ka hana o nā keiki;
- Vitamin C (ascorbic acid) - hoʻoikaika i nā kīʻaha koko, hoʻoikaika i ka ʻōnaehana pale;
- Vitamin H (Biotin) - hoʻohaʻahaʻa i ke kō koko koko, hāpai i nā ʻōnaehana ma ke kino;
- Vitamin A (retinol) - he antioxidant e hāpai i ka ulu ʻana o ka cell, hoʻomaikaʻi i nā maka;
- Nā huaora B - hoʻoikaika i ka ʻōnaehana o ke kino;
- lipoic acid - nā hana hoʻonaninani.
He mea nui ia e ʻike i hiki i kekahi mau mea kanu ke hoʻohaʻahaʻa i ke kōhi koko a hoʻoikaika i ka pancreas. Nui nā lāʻau lapaʻau a me nā kumukūʻai phyto i kūʻai aku ai ma ka lāʻau lapaʻau e kōkua iā ʻoe e hakakā me ka maʻi diabetes. Eia naʻe, ma mua o ka hoʻohana ʻana iā lākou, e ʻoluʻolu e nīnau aku i kahi kauka.
Kāohi
ʻO ka maʻi maʻi āpana 1 ka maʻi maʻi autoimmune, aneane hiki ʻole ke pale ʻia, ʻoi aku hoʻi i nā keiki. Eia naʻe, i mea e pale ai i ka maʻi i loko o ke keiki, ʻo ka mea mua, inā hiki, e hānai iā ia me ka waiū o ka umauma, ʻo ia ka mea "hana loea" ka mea e ola i ka hoʻomohala ʻana i ke ʻano maʻi type 1.
I mea e pale maikaʻi ai i ka maʻi maʻi, pale i nā maʻi maʻi ma kāu keiki. Hoʻoikaika i ka pale a ke pēpē. He mea nui koʻikoʻi ka pale ʻana inā he maʻi maʻi kekahi o nā mākua.
Mālama i ka momona a me ke kaumaha o ke pēpē. E hoʻomohala i kahi aloha o ka hoʻonaʻauao kino a me ka haʻuki.
Inā maʻi paha ke keiki, alakaʻi i nā hana āpau i kona hoʻihoʻi ʻana, aʻoi aku iā ia e ola pololei me ka maʻi maʻi maʻi, pehea e ʻano, pehea ka mea āu e ʻai ai ka mea ʻaʻole i ʻae ʻia. Hōʻalo i nā hoʻopiʻi o ka maʻi diabetes i nā keiki. E hoʻopaʻa pono i ka papa o nā maʻi.
Pono pono ka pākeke e hoʻopili i nā ala e pale ai i ka maʻi diabetes, ʻoiai ke pale ʻia ka maʻi ma mua o ka mālama ʻana. ʻAʻole e hilinaʻi i nā mea kupanaha o ka lāʻau lapaʻau a haʻalele i kou olakino. ʻAi maikaʻi, neʻe, hāʻawi i ka waiʻona a me ka uahi, hiamoe 8 mau hola i ka lā a e pale i ka pīpī. A laila hoʻomau ʻoe ma ka mālama i ka maʻi maʻi, ʻaʻole ʻoe.
