ʻO ka oxygen a me ka glucose ka kumu kumu o ke ola no ke kino. Ma hope o ka hyperbilirubinemia, ua noʻonoʻo ʻia ka hypoglycemia o ka pēpē i ke ʻano lua e koi ana i ka noho lōʻihi ma ka hale hoʻomaha ma hope o ka hānau ʻana. Pono ke keiki me kahi maʻi maʻi e nānā i kahi kikoʻī, no ka mea he nui nā maʻi e hiki pū me ka hypoglycemia.
A ʻo ke koina koko haʻahaʻa o ka mea hou a me ke keiki o ka makahiki mua o ke ola e manaʻo ʻia nei he wahi pōpilikia loa no ke olakino. Hoʻopilikia nui ia i nā mea kūpono o ka lolo a me nā kiko āpau.
Ke ala (transient) hyponlycemia neonatal
Ke hānau kahi pēpē, loaʻa nā pilikia i ke kaumaha. I ka wā o ka hana a ma ka wā o ke kau ʻana o ke pēpē ma o ke kanawai hānau o ka makuahine, hoʻokuʻu ʻia ka glucose mai ka glycogen i loko o ka ate, a me ke ʻano o ke kō koko koko i nā keiki.
Pono kēia e pale i nā pōʻino o ka lolo o ke pēpē. Inā he haʻahaʻa haʻahaʻa haʻahaʻa a ke keiki, hoʻoulu ʻia ka hypoglycemia transient i loko o kona kino.
ʻAʻole mau kēia kūlana, no ka mea, e hoʻomaikaʻi i nā ʻenekema o ka hoʻoponopono ponoʻī i ka pae o ka glucose i ke koko, ke hoʻi hou nei kona ʻano me ka maʻamau.
Nui! ʻO ka hānai ʻana i ke pēpē e hoʻomaka me ka wā e hiki ai. Loaʻa koke kēia i ka hypoglycemia i loaʻa i ka wā a ma hope o ka hānau ʻana.
Hiki i ke ʻano o kēia ʻano ma muli o ke ʻano mālama ʻole o nā limahana olakino (hypothermia), akā he mea kūpono kēia no nā pēpē mua a i ʻole nā keiki me ke kaumaha haʻahaʻa. Me ka hypothermia, hiki i ka hypoglycemia ke hanana i kahi pēpē ikaika.
Naihue
ʻO nā keiki olakino piha kahi nui o nā glycogen ma loko o ka nui. E maʻalahi maʻalahi ka paleʻana i ka pēpē i ka paʻakikī o ka hānau ʻana. Akā inā hoʻomau ʻia ka ulu ʻana o loko o ka pūpū me kekahi mau abnormalities, hypoglycemia ma ke keiki like lōʻihi a koi aku i ka hoʻoponopono hou aku me ka hoʻohana ʻana i nā lāʻau lapaʻau (hoʻokele glucose).
Hoʻokumu ka lōʻihi o ka hypoglycemia i ka wā mua, nā pēpē haʻahaʻa a me nā pēpē lōʻihi. Ma ke kānāwai, ʻo kēia pūʻulu o nā pēpē hou me ka mālama haʻahaʻa o ka protein, ka iwi adipose a me ka glycogen hepatic. Eia kekahi, ma muli o ka nele o nā huina o kēia mau keiki, ua hoʻemi ʻia ka ʻano o ka glycogenolysis (glycogen breakdown). ʻO kēlā mau kālā i loaʻa i ka makuahine, ua hoʻopau koke ʻia lākou.
Nui! Uku ka nānā pono ʻana i kēlā mau keiki i hānau ʻia i nā wahine me ka maʻi maʻi. Maʻa pinepine kēia mau pēpē, a nui ka ʻike o ka glucose i ko lākou koko. Hoʻopiʻi kēia ma ka hyperinsulinemia.
ʻO nā pēpē i hānau ʻia ma ke alo o kahi hakakā Rhesus e loaʻa i nā pilikia like. Ka mea, me ke ano o ka paʻakikī o nā hana serological, hiki i ka hyperplasia o nā pihi pancreatic ke hoʻomohala, ka mea e hana ai i ka insulin hormone. A ʻo ke hopena, e wikiwiki ʻoi aku nā palu i ka glucose.
E makaʻala! ʻO ka ʻaka a me ka inu ʻana i ka wā hāpai a alakaʻi i kahi kahe o ke kahe koko! Eia kekahi, ʻaʻole wale ka mea ikaika, akā ua hōʻeha kekahi i nā mea ulia passive!
Perinatal
Ua loiloi ke kūlana o ka pēpē i ka pākēnē Apgar. ʻO kēia ke ʻano o ka pae kiʻekiʻe o ka hypoxia keiki. ʻO ka mea mua, ʻeha nā keiki i ka hypoglycemia, nona ka hānau ʻana a wikiwiki ʻia me ke koko nui.
Hoʻokumu ka kūlana hypoglycemic i nā keiki me ka arrhythmias cardiac. Hāʻawi pū kekahi ʻo ia i ka hoʻohana ʻia ʻana e ka makuahine i ka wā o kahi hapai o kekahi mau lāʻau lapaʻau.
ʻO nā kumu ʻē aʻe o ka transog hypoglycemia
Lawe pinepine ʻia ka hypoglycemia transient e nā maʻi like ʻole. ʻO kekahi o kāna ʻano (ʻaʻole kūpono ka pathogen) i ka hypoglycemia. ʻO kēia no ka nui o ka ikehu ka nui o ka ikehu ka hakakā ʻana i ka maʻi maʻi. A, e like me kāu e ʻike ai, he glucose ka kumu o ka ikehu. ʻO ka hōʻeha o nā hōʻailona neonatal hypoglycemic pili i ka nui o ka maʻi ma lalo o ka maʻi kumu.
ʻO nā hui nui ʻē aʻe o nā pēpē hou e loaʻa nei nā puʻuwai naʻau congenital a me ka puni koko. I kēlā kūlana, hoʻonāukiuki ka hypoglycemia i ke kahe o ke koko i loko o ke akea a me ka hypoxia. Ua pau ka makemake no ka inikini insulin i loko o kekahi o nā hihia aʻe nei, i hoʻolako ʻia i ka manawa kūpono o nā maʻi huluhulu.
- ʻo ke kaheʻe ʻana;
- anemia
- hypoxia.
ʻO ka hypoglycemia hoʻomau
I ka wā o nā maʻi he nui i loko o ke kino ke loaʻa nei ka hewa i nā kaʻina metabola. Aia nā kūlana i kū aʻe ai nā hemahema e pale i ka hoʻomohala maʻamau o ka pēpē a hoʻopau i kona ola.
Ma hope o kahi nānā loiloi, koho ʻia kēlā mau keiki i ka meaʻai kūpono a me nā lāʻau lapaʻau kūpono. ʻO nā pēpē e loaʻa ana i ka galactosemia congenital, ʻike ʻia kona mau hōʻailona mai nā lā mua o ke ola.
Ma hope iki, hoʻomohala nā keiki i ka fructosemia. ʻO kēia no ka hopena i loaʻa i ka fructose i nā huaʻai he nui, ka meli, nā wai wai wai, a ua hoʻopuka ʻia kēia mau huahana i ka papa ʻaina o ke keiki i ka nui ma hope aku. ʻO ka hele ʻana o nā maʻi ʻelua e pono ai i kahi meaʻai ikaika no ke ola.
ʻO ka hoʻomohalaʻana o ka hypoglycemia hiki ke hoʻokaʻawale i kekahi mau maʻi hormonal. ʻO ka mea mua i kēia hana, ʻo ia ka lawa o ka pituitary a me nā kelepa adrenal. I kēlā kūlana, e kū mau ana ke keiki ma lalo o ka mālama ʻana o kahi endocrinologist.
Hiki i nā ʻōmaʻomaʻo o kēia mau ala ke hele i nā pēpē a i kekahi makahiki ma hope aku. Me ka ulu o nā sela pancreatic, hoʻonui ka nui o ka insulin a, ma muli, ua emi ka nui o ka glucose i ke koko.
Hoʻoholo pololei i kēia kūlana ma nā ʻano kuʻuna hiki ʻole. Hiki ke hoʻokō ʻia ka hopena e nā hoʻokele.
Nā Hypoglycemia a me nā hōʻailona
- Hanu wikiwiki.
- Ka manaʻo hopohopo.
- Hoʻohui maikaʻi loa.
- Kaʻaea o nā wāwae.
- Ka māhuahua mau ʻia ʻole o ka pōloli.
- ʻ .lelo hoʻohālikelike.
- Hoʻopilikiaʻia ka hana hanu a hiki i kona pau ʻole.
- ʻOmaʻomaʻo.
- Nāwaliwali o ka ʻōpū.
- ʻEhaʻeha.
No ke keiki, ʻo ka mea nui e weliweli nei, he hōʻino a me ka hana ʻole ʻana o ka hanu.
Nui! ʻAʻohe ʻike kiʻekiʻe glucose i kēlā mau mana i ʻike ʻia ai nā hōʻailona o ka hypoglycemia! ʻO kēia hiʻohiʻona o nā keiki hou a me nā pēpē! ʻOiai me ka glycogen lawa i kēia mau keiki, hiki ke hypoglycemia i ulu!
ʻO ka manawa pinepine, ua hoʻopaʻa ʻia ka hypoglycemia i ka lā mua o ke ola o ka pēpē.
Ka hoʻomāhuā ʻana o ka maʻi
I nā keiki o ka makahiki mua o ke ola a me nā pēpē, lawe ʻia nā hoʻokolohua e hōʻike i ka maʻi a i ʻole ka lōʻihi o ka hypoglycemia:
- kōpālā koko;
- nā hōʻailona o nā momona momona manuahi;
- ka hopena o nā pae insulin;
- ka hoʻoholo o ka pae o ka ulu ʻana o ka hormone (cortisol);
- ka nui o nā kino ketone.
Inā he pilikia ke keiki, e hana ʻia ana ka noiʻi i nā hola 2 o kona ola. Mākaukau i kēia mau kuhikuhi, ua hoʻoholo ka ʻano a me ke kiʻekiʻe o ka neonatal hypoglycemia, kahi e hiki ai ke kākau i kahi kūpono kūpono no ka pēpē.
ʻO wai ka hopena hopohopo
Hiki i ka hypoglycemia ke ola i kekahi keiki, akā aia kekahi hewahewa e pili ana i nā keiki:
- gestationally hewa;
- makua
- me nā hōʻailona o ka hypoxia;
- hānau ʻia i nā makuahine me ka maʻi diabetes.
I kēlā mau pēpē, e hoʻoholo koke ʻia nā pae koko koko ma hope o ka hānau ʻana (ma loko o 1 hola o ke ola).
He mea koʻikoʻi loa ia e hōʻike koke i ka hypoglycemia i loko o ka mea hānau hou, no ka mea, ʻo ka mālama kūpono a me ka pale ʻana e pale aku i ka pēpē mai ka hoʻolālā ʻana i nā hopena koʻikoʻi o kēia kūlana
Hoʻomaʻamaʻa
ʻO ke kiko i ka nānā ʻana i nā loina o ka hoʻomohala perinatal. Pono e hoʻomaka mua o ka hōʻuluʻulu i ka hiki ke hiki ke pale aku i ka hoʻomohala ʻana o ka hypoxia, a i mea e pale ai i ka hypothermia.
ʻO ka mea mua, me neonatal hypoglycemia, loaʻa ka poʻe pediatricians i ka hopena o ka glucose 5% intravenously. Inā heʻoi aku ka nui o ka pēpē ma mua o ka lā, hoʻohana ʻia ka hopena o glucose iki he 10%. Ma hope o kēlā, e hana ʻia nā hoʻokolohua o ke koko i lawe ʻia mai ka kuʻekuʻe o ka pēpē hou a hiki i ka pepa hōʻike.
Eia kekahi, ke hāʻawi nei ke keiki i ka wai i loko o ke ʻano o ka hopena o ka hopena glucose a i hoʻohui ʻia i ka waiu hui. ʻAʻole lawe kēia mau kaʻina i ka hopena i makemake ʻia, e hoʻohana ʻia ka lāʻau hormonal me ka glucocorticoids. He mea koʻikoʻi ʻo ia e maopopo i ke kumu o ka hypoglycemia, hiki iā ia ke loaʻa nā ala kūpono no kona hoʻopau.
