ʻO nā mea e make ai i ka lolo ma nā keiki, pehea ia e hōʻike ai iā ia iho a inā hiki ke hoʻōla

I ke kino e ulu ana, e hele wikiwiki ana nā kaʻina āpau ma mua o nā pākeke, no laila he mea koʻikoʻi loa ia e hoʻomaopopo a kāpae i ka maʻi ma ka hoʻomaka. Ke hoʻomaka nei ka hoʻomohala ʻana i ka maʻi diabetes i nā keiki, ʻo ka manawa mai nā hōʻailona i hōʻike ʻia i kahi coma maʻi maʻi i mau lā i kekahi mau lā, a hala paha mau hola. ʻIke pinepine, ʻike ʻia ka maʻi diabetes i kahi wahi olakino kahi i hāʻawi ʻia ai ke keiki i kahi kūlana ʻole.

ʻO nā helu o ka maʻi kamaliʻi ʻōpiopio he pōʻino loa: ua hōʻike ʻia i 0.2% o nā keiki, a ʻoi ka ulu ʻana o ka ulu ʻana ma luna o ka makahiki, ʻo ka piʻi ka 5%. Ma waena o nā maʻi maʻi i hoʻomohala i ka wā kamaliʻi, ka maʻi diabetes mellitus e lawe i ka wahi 3 i ke alapine e ʻike ai. E hoʻāʻo mākou e nānā i nā ʻano o nā maʻi i hiki i ke wā kamaliʻi, pehea e ʻike ai iā lākou e mālama ai iā lākou i ka manawa.

Nā hiʻohiʻona o ke ʻano type type 1 a me ke ʻano 2 ma kahi keiki

ʻO kahi maʻi mellitus he mea paʻakikī o nā maʻi metabolic, ka mea i hui pū ʻia e ka piʻi nui o ka glucose i nā moku. ʻO ke kumu o ka hoʻonui ʻia ʻana i kēia hihia he mea ʻole paha ia i ka hōʻeuʻeu i ka hana o ka insulin, a nā nāwaliwali paha o kāna hana. I nā pēpē, maʻi maʻi maʻamau ka maʻi endocrine maʻamau. Hiki i kahi keiki ke maʻi i kēlā me kēia makahiki, akā ʻo ka maʻamau pinepine e hōʻeha ʻia i nā kula mua a me nā ʻōpio i ka wā o nā loli hormonal ikaika.

ʻO ka maʻi maʻi a me nā hoʻohaʻahaʻa manaʻo e hana ia i ka wā ma mua

• Ka hana maʻamau o ke kō -95%
• Hoʻokuʻuina o ka pua thrombosis - 70%
• Hoʻopau i kahi puʻuwai ikaika -90%
• Hoʻopau i ke kiʻekiʻe o ke koko - 92%
• ʻO ka hoʻonuiʻana i ka ikehu i ka wā, hoʻomaikaʻi i ka hiamoe i ka pō -97%

ʻOi aku ka maʻi maʻamau o nā keiki, ma ke ʻano he kānāwai, ʻoi aku ka paʻakikī a ʻoi aku ka paʻakikī i ka holomua ma mua o ka pākeke. Ke hoʻololi mau nei ka pono no ka insulin, ʻohi pinepine nā mākua i ke ana ʻana i ka glycemia a me ka helu hou ʻana i ka nui o ka lāʻau o ka hormone ma ka mālamalama o nā kūlana hou. Hoʻokomo ka naʻau o ka insulin e nā maʻi maʻi wale nō, akā na ke ʻano o ka hana, nā hala o ka hormonal a me kahi ʻano maikaʻi ʻole. Me ka mālama mau ʻana, ka mālama mālama maʻi a me ka mālama nui ʻana o nā mākua, kahi keiki maʻi maʻi hoʻomohala a aʻo.

ʻO nā kumu o ka maʻi maʻi i nā keiki

ʻAʻole maopopo ʻia nā kumu o ka lawehala, akā, ʻike maopopo ʻia nā mea hoʻonāukiuki. ʻO ka manawa pinepine, ʻike ʻia ka maʻi diabetes i ke keiki ma hope o ka ʻike ʻana i nā mea e like me kēia:

1. Nā maʻi maʻi pākaʻi o nā keiki - ka ʻenekopa, ka lāʻau, ka ʻulaʻula a me nā mea ʻē aʻe. Eia kekahi, hiki i ka maʻi maʻi ke hoʻopiʻi i ka hōʻeha, nā maʻi poki, a i ʻole ʻeha ʻeha. Piʻi nui kēia mau pilikia i nā pēpē ma lalo o 3 mau makahiki.
2. Hoʻolaha ka hana o nā hormone i ka wā o ka wā ʻōpiopio.
3. Overstrain Psychological, ʻelua i lōʻihi a hoʻokahi nō.
4. Nā ʻeha, ʻoi loa i ke poʻo a me ka ʻōpū.
5. ʻO nā meaʻai momona momona kiʻekiʻe e pā pinepine i ka papa ʻaina o ka pēpē, akā inā hui pū me ka hemahema o ke neʻe, ʻo ia ke kumu nui o ka maʻi maʻamau.
6. Hoʻohana pono a me nā lāʻau lapaʻau, ʻoi loa ka glucocorticoids a me ka diuretics. Aia he kānalua i hiki i ka immunomodulators hiki ke weliweli, aia ma Rūsia e kuhikuhi pinepine ʻia no kēlā me kēia anuanu.

ʻO ke kumu o nā maʻi i ke keiki e hiki ke hōʻaʻohi i ka maʻi diabetes i kona makuahine. Hānau ʻia kēlā mau keiki, loaʻa iā lākou ka momona, akā ʻoi aku ka nui o ka maʻi me ka maʻi diabetes.

ʻO ke kumu hoʻoilina he mea nui i ka hoʻomohala ʻana o ka haki. Inā maʻi ke keiki mua i ka maʻi maʻi, ʻo ka pilikia no nā keiki ma hope o ka ʻohana ʻo 5%. Me nā mākua maʻi diabetes, ʻo ka nui loa ka nui o ka nui o ka 30%. I kēia manawa, aia nā hoʻokolohua e hiki ke ʻike i ke alo o nā hōʻailona genetic o ka maʻi maʻi. ʻO kaʻoiaʻiʻo, ʻaʻohe mau pono o kēia mau noiʻi, ʻoiai ke ʻaʻohe nei nā mea pale e hiki ke hōʻoia i ka pale ʻana o ka maʻi.

Hoʻololi ʻana i ka maʻi maʻi

No nā makahiki he nui, ua manaʻo ʻia ka maʻi diabetes type 1 wale nō ka mea hiki wale nō i ke keiki. Ua hoʻonohonoho ʻia i kēia manawa ma kahi o 98% o nā hihia a pau. I nā makahiki he 20 i hala iho nei, ke hoʻomohala nei nā diagnostics i nā ʻano like ʻole o ka maʻi. Ma ka lima hoʻokahi, ua hoʻonui nui ʻia ka loaʻa ʻana o ka maʻi type 2 ʻano nui, ma muli o nā ʻano maikaʻi ʻole a me ka hoʻonui nui ʻana o ke kaumaha ma ka hanauna ʻōpio. Ma kekahi ʻaoʻao, kahi hoʻomohala o ka lāʻau lapaʻau i hiki ke hoʻoholo i nā ʻāpana genetic e hoʻokūwī i ka maʻi diabetes, ka mea i manaʻo mua ʻia i ka ʻano maemae.

Kahi mau papa hana hou i nā maʻi kalaiwa i manaʻo ʻia e WHO e:

1. Kahi ʻano, ka mea i hoʻokaʻawale i ka autoimmune a me nā idiopathic. Hōʻike pinepine ia i nā ʻano ʻē aʻe. ʻO ke kumu o ka autoimmune konaʻano ponoʻī, e hoʻopau ana i nā pihi pancreatic. Hoʻokomo ka maʻi diabetes idiopathic ma ke ala like, akāʻaʻohe hōʻailona o kahi kaʻao autoimmune. Aole paha i ikeia ke kumu o keia mau kue.
2. Pākuʻi ʻia i ka maʻi maʻamau i ke keiki. Heluhelu ʻia he 40% o nā hihia a pau hiki ʻole ke hoʻopili ʻia i ke ʻano 1. Hoʻomaka ka maʻi ʻana i ka wā o ka wā kamaliʻi ma nā keiki ʻoi nui ke kaumaha. Ma ke kānāwai, ma kēia hihia hiki ke hili ʻia ka hoʻoilina: aia kekahi o nā mākua i ka maʻi diabetes.
3. Nā mutations Gene e alakaʻi ana i ka hana hana insulin. ʻO ka mea mua, ʻo ia nā Modi-maʻi, i hoʻokaʻawale ʻia i nā ʻano he nui, nona kēlā me kēia nona nā ʻano kuʻuna a me nā ʻano lāʻau lapaʻau. Wahi a ma kahi o 10% o hyperglycemia, ʻaʻole hiki ke hoʻopili ʻia i ke ʻano 1. ʻO ka maʻi mitochondrial, kahi hoʻoilina a ke komo pū ʻia me nā pilikia neurological, nona ka hui like.
4. Nā kumuhana Gene kahi hiki i ke kū ʻana i ka insulin. No ka laʻana, type type resistensya, kahi i hōʻike pinepine ʻia i nā kaikamahine ʻōpio, a me ka leprechuanism, he ʻano nui o ke ola hoʻomohala i hele pū ʻia e hyperglycemia.
5. ʻO ka maʻi Steroid kahi maʻi hōʻeha ma muli o ka hoʻohana pono ʻana i nā lāʻau lapaʻau (maʻa mau nā glucocorticoids) a i nā mea lāʻau ʻē aʻe. ʻO ka maʻamau, ʻo kēia ʻano maʻi maʻi i nā keiki e pane maikaʻi i ka mālama.
6. Maila maʻi ʻaʻai ʻO ke kumu paha nā maʻi a me nā hōʻeha o ka keʻena pancreas, ka mea nāna i hana i ka insulin, a me nā maʻi endocrine: hypercorticism syndrome, acromegaly, nā genetic genetices e hoʻonui i ka maʻi o ka maʻi maʻi: Down, Shereshevsky-Turner, etc. nā maʻi pelekane e pili ʻole i ka mea 1.
7. ʻO ka maʻi ʻokoʻa o ka polyglandular he maʻi ʻokoʻa loa o ka maʻi autoimmune e pili ana i nā kino o nā pūnaehana endocrine a hiki iā ia ke luku i nā hē e hana ana i ka insulin.

ʻO nā hōʻailona mua o ka maʻi maʻi i nā keiki

Ke hele nei ka hoʻomaka ʻana o ke ʻano maʻi diabetes ʻano 1 i nā keiki. Me ka hoʻomaka ʻana o ka degeneration beta cell, ua lawe nā koena i kā lākou hana. Ua maʻi ʻia ke keiki, akā ʻaʻohe mau hōʻailona. Hoʻomaka ka glucose o ke koko i ka wā e liʻiliʻi ana nā lelo he mau mea i koe, a hele mai ka hemahema o ka insulin. I ka manawa like, nā pūpū o nā io e loaʻa ka ikaika. E hana no ia, ua hoʻomaka ke kino e hoʻohana i nā mālama momona e like me ka wahie. I ka haki ʻana o ka momona, hana ʻia nā ketones e hoʻopilikia i ka pēpē me ka maʻi ʻana, e alakaʻi ana i ka ketoacidosis, a laila coma.

I loko o ka manawa o ka ulu o ke kō a me ka hoʻomaka ʻana ketoacidosis, hiki ke hoʻomaopopo ʻia ka maʻi e nā hōʻailona ʻano.

Hiki ke hoʻohālikelike ʻia nā hōʻailona mua e kahi maʻi maʻi, kahi mea i hoʻonāukiuki i ka maʻi maʻi. Inā ʻaʻole ʻoe e kūkākūkā i ke kauka i ka manawa, ua ʻalolo paha ke ʻano o ke keiki. Hōʻike ʻia ka maʻi maʻamau ma ka hoʻopuka ʻana, ka ʻeha o ka ʻōpū, ka ʻike ʻole ʻole, no laila, i ka wā i komo ai i ka haukapila, ʻo nā maʻi ʻeha a me ka appendicitis hoʻi e lilo i mau maʻi mua.

I mea e hoʻomaopopo pono ai i ka maʻi maʻi i kahi keiki, ʻōlelo ʻia nā endocrinologists e hana i kahi hōʻike glucose ma hope o kēlā me kēia maʻi koʻikoʻi. Hiki iā ʻoe ke hana i kahi hōʻike hōʻike me ka hoʻohana ʻana i kahi glucometer portable i ka hapa nui o nā limahana me kekahi mau lāʻau lapaʻau. Me ka glycemia kiʻekiʻe, ʻike ʻia ke kōpī ihi me ka hoʻohana ʻana i nā ʻāpana hoʻāʻo.

Pono nā diagnostics pono

I nā keiki, loaʻa i ke ʻano maʻi maʻi type 1 ka hōʻailona e ka hoʻomaka ʻana a me nā hōʻailona maopopo. Hiki i nā hōʻailona loiloi haʻahaʻa a me ke kō kiʻekiʻe ke lawa i ka maʻi maʻi. ʻO kā nā kelepona ka wikiwiki ʻana o ka glycemia ma luna o 7 a i ʻole i kēlā me kēia manawa o ka lā ma mua o 11 mmol / L. Ua hōʻoia ʻia ka maʻi maʻi e nā hoʻokolohua no ka insulin, C-peptide, antibodies i nā beta beta. E hoʻokaʻawale i nā mea maʻi maka i ka pancreas, hana ʻia kahi scan ultrasound.

I nā hihia hiki ʻole ke koho i ka maʻi kīkē me ke ʻano o ka maʻi maʻi:

• inā i hoʻomaka mālie ka maʻi, hoʻomohala ʻia nā hōʻailona no ka manawa lōʻihi, aia kahi hopena o 2 mau ʻano o ka maʻi a i ʻole kona Modi-ʻano. ʻO kekahi mau ʻaina a i ʻole atypical hōʻailona ma ke ʻano o ka hyperglycemia e koi hou noiʻi;
• Wahi liʻiliʻi ka pēpē o 6 mahina. I nā keiki ʻōpiopio, loaʻa ka ʻano 1 i nā 1% o nā hihia;
• i nā ala holomua o ke keiki. Pono ke nānā ʻana no ka ʻike ʻana i nā ira mut.
• He maʻamau ka loiloi no C-peptide (> 200) ma hope o 3 mau makahiki mai ka hoʻomaka ʻana o ka maʻi diabetes, ʻoi aku ka nui o ka maʻi glycemia ma mua o 8. Me ke ʻano 1, ʻike ʻia kēia ʻaʻole ma mua o 5% o nā maʻi. I nā keiki ʻē aʻe, ua loaʻa nā manawa beta i kahi manawa e wāwahi i lalo;
• ka make ʻana o nā antibodies i ka manawa o ka maʻi ʻaina kahi manawa e hōʻike ai i kahi ʻano idiopathic 1 a i ʻole nā ​​mea maʻi hou aʻe o nā maʻi maʻi.

Pehea e mālama ai i ka maʻi diabetes i nā keiki

Pono i ka maʻi maʻi type 1 ka pono i ka ʻimi ʻana i ka insulin. Hoʻomaka koke ia ma hope o ke ʻano o ka maʻi o ka maʻi a hoʻomau i ke ola holoʻokoʻa. Ke hoʻololi nei i kāu wai ponoʻī me ke kūlohelohe ʻo ke ala wale nō e hoʻopakele ai i ke ola o kahi keiki me ka maʻi maʻi. Hiki i ka mea ʻai hoʻolaʻa haʻahaʻa ke hoʻoliʻi nui i ka glycemia, akā ʻaʻole hiki ke hoʻopiʻi i ka maʻi, no ka mea, ke komo ka glucose i ke kahe mai ka meaʻai wale nō, akā nō hoʻi mai ka ate, kahi i hoʻolilo ʻia mai nā pūnaehana nonoholima. Hiki i nā ala kūpono ke ola i ka ola. Me nā maʻi type 1, ʻaʻohe pū o nā beta, ʻaʻole i hana ʻia ka insulin. I lalo o ia ʻano, ʻaʻohe mea ho'ōla e hānai i ke kō.

ʻO ke koho ʻana i ka insulin a me ka hoʻomaʻamaʻa ʻana o nā mākua i nā rula o ka mana glycemic i loko o kahi keʻena o ka haukapila, i ka wā e hiki mai ana e lawa ka hāhai. Ma hope o ka hoʻomaka ʻana o ke ʻano o ka insulin, ua hoʻōla manawa nā cell beta i mālama ʻia i kā lākou hana, ua nui ka nui o ka injections. Hōʻike ʻia kēia ʻano maʻi ma ka meli. Hiki iā ia i ka lōʻihi o hoʻokahi pule a i ʻole ka makahiki. I kēia manawa āpau, pono ke keiki i ka wai liʻiliʻi o ka insulin. ʻAʻole hiki ke hōʻole loa i ka mālama ʻana.

Ma hope o ka meli, ua hoʻohuli ʻia ke keiki i kahi hoʻoponopono koʻikoʻi o ka ʻimi ʻana i ka insulin, e hoʻohana ana i ka lāʻau pōkole a lōʻihi ka lōʻihi. ʻO ka nānā koʻikoʻi ka uku i ka kōʻai, pono pono e helu i kēlā me kēia kalaha o nā momi. ʻO ka uku ʻana no ka mellitus maʻi diabetes, ʻoki loa ʻia nā kīmona ʻole i loaʻa ʻole ke hoʻopau ʻia.

Hiki ke lawelawe ʻia ka insulin ma lalo o ka ʻili i nā ʻano like ʻole. Manaʻo ʻia ka syringe he ʻano nāʻaina a maʻa pinepine ʻia i nā keiki. ʻO ka pinepine, hoʻohana nā penikala syringe, kahi e ʻae ai i nā inikini me ke ʻeha ʻole o ka ʻeha. Ma ke ʻano kula, ʻike mua ke keiki i ke ʻano o ka injections, kahi liʻiliʻi e aʻo pono i ka hōʻiliʻili ʻana i ka peni syringe a kau i kahi maʻa pono. Ma nā makahiki 14, hiki i nā maʻi maʻi me ka ʻike palekana e hiki ke helu iā lākou iho a hiki ke kūʻokoʻa mai ko lākou mau mākua i kēia mea.

ʻO ke ala hou o ka hoʻokele hou he pump insulin. ^ E Ha yM. Me kāna kōkua, hiki ke hoʻokō pono i nā hopena maikaʻi loa o ka glycemia. Ua ʻae ʻole ʻia kona kaulana i nā wahi o Rūsia, ma kahi wahi (Samara wahi) ʻoi aku ka nui o nā hapalua o nā keiki ke neʻe aku iā ia, ma kahi wahi (wahi o Ivanovo) - ʻaʻoleʻoi aku ma mua o 5%.

Hana ʻia nā maʻi like ʻole e like me nā ʻano kumu like ʻole. Hoʻokomo pū ʻia nā mea lapaʻau:

He aha pono no nā keiki me ka maʻi kīnā me ka maʻi maʻi maʻi maʻi

Loaʻa i nā keiki a pau me ka maʻi diabetes i ka wā ʻōpio ke loaʻa kahi maʻi kīnā, ua hāʻawi ʻia lākou i ka wae o ke keiki kīnā ʻole me ka hoʻokaʻawale ʻana i nā hui.

Ua kau ʻia nā kumu no ka maʻi maʻi i ka ʻoka o ke Kuhina o ka Hana o ka Lūkini Lūkini 1024n i ka wā 12/17/15. Hiki i kēia ke kanaka i nā makahiki he 14, a i ʻole nā ​​hoʻonā o ka maʻi maʻi, kona hoʻokaʻawale lōʻihi, nā hoʻomaʻamaʻa ʻana o ka lāʻau i kuhikuhi ʻia. Me ka maʻi unellplicated mellitus, kahi i kāhea ʻia ai ka maʻi i ka makahiki 14, ʻoiai ke manaʻo ʻia he hiki i kēia keiki ke mālama pono iā ia iho a ʻaʻole pono ia i ke kōkua o kona mau mākua.

Loaʻa no ke keiki maʻi kīnā:

• kālā kālā he mahina. Hoʻonohonoho pinepine ʻia kona nui. ʻO ka penikala pili kaiāulu me
• nā waiwai he 12,5 tausani rubles;
• ka uku ʻana i kahi makua i ʻole ka hana no ka mālama ʻana i kahi kanaka hemahema - 5.5 tausani mau rubles;
• nā ʻāpana o ke kikowaena, hoʻokahi a me hoʻokahi mahina;
• ka hoʻomaikaʻi ʻana i nā kūlana o ka hale ma ka hoʻonohonoho o ka mea ma mua o ka ʻikepili palekana kaiāulu no nā ʻohana i hoʻopaʻa ʻia ma mua o 2005;
• uku o 50% o ke kumukūʻai o nā lawelawe noho hale;
• ka komo ʻana me ka ʻole o ka ʻōmole i ka kindergarten;
• noa i ka lepa i ka kindergarten;
• ka hiki ke loaʻa i ka hoʻonaʻauao ma ka home;
• pāʻina awakea i ke kula;
• ke ʻano hanana kūlohelohe kūikawā;
• quota no ka hoʻokae ʻana ma kekahi mau kulanui.

ʻO kahi mahele o ka papa inoa o nā Vital a me nā Pono Hapa, loaʻa nā maʻi āpau āpau i nā lāʻau lapaʻau e pono ai lākou. Aia ka papa inoa i nā ʻano like ʻole o ka insulin a me nā huahana inu. Wahi a ka ʻike ʻana i nā mākua, ka pono, nā lancets, nā ʻāpana hoʻāʻo e hāʻawi i ka mea liʻiliʻi loa, a pono e kūʻai ʻia lākou ma ke lākou. No ka poʻe kīnā, hāʻawi ʻia nā lāʻau lapaʻau hou.

Nā hopena hiki paha ke hoʻopiʻi

Kuhi ʻia nā uku o ka maʻi diabetes mellitus ma loko o ka ʻāina āpau e ka endocrinologists me he ʻoluʻolu, ʻo ka awelika glycated hemoglobin i nā keiki he 9.5%. Ma nā kūlanakauhale nui, ʻoi aku ka maikaʻi o kēia helu, ʻo 8,5%. Ma nā wahi noho, ua hewa nā mea ma muli o ka makua hānai, ʻae ʻole ka nui o nā endocrinologists, nā hale haukapila i lako ʻole, a i ka loaʻa ʻole o nā lāʻau lapaʻau hou. ʻOiaʻiʻo, i kēlā mau kūlana, nā mea hoʻopiʻi o ka maʻi maʻi maʻamau.

Kāohi

ʻO kēia ka pale ʻana i ka maʻi huka o kēia manawa kekahi o nā pilikia e hoʻohālikelike ʻia i ka lāʻau lapaʻau. Me ka pale ʻana o ka maʻi type 2, maʻalahi nā mea āpau, no ka mea e hoʻomohala ʻia ma lalo o ka mana o ke kaiapuni. He mea lawa ia ke kaupaona o ke keiki, kaupaona i kāna mālama ʻana, hoʻohui i ka hana i kēlā me kēia lā i ke aʻo ʻana, a emi iki ka hopena o ke maʻi maʻi maʻi.

Me ka maʻi diabetes type 1, ʻaʻole pono ka loli o ke ola i ka hana nui, a hiki ʻole ke hiki ke hoʻolōʻihi i ke kaʻina autoimmune a mālama i nā cell beta, ʻoiai ka nui o ke kālā i hāʻawi ʻia i ka noiʻi. Hiki i nā Immunosuppressants, kahi i hoʻohana no nā mea kolo organ, e hiki ke hoʻolōʻihi i ka hana. ʻAe ʻia ka hana ola ʻana i ko lākou ola holoʻokoʻa, hoʻopau ʻia i ka ʻōnaehana pale, a i ka wā i pau ai, hoʻomau ke kaʻina hana autoimmune. Aia kekahi mau lāʻau lapaʻau e hiki ke hoʻololi i ke kumu o ka maʻi diabetes, ke hoʻāʻo ʻia nei. Inā hoʻopaʻa ʻia nā waiwai a me ka palekana o nā lāʻau hou, ʻokoʻa ka maʻi maʻamau i ka maʻi ma mua.

Nā noiʻi maʻi no ka hoʻopaʻa ʻana i ka maʻi diabetes (pono pono ke nānā ʻia he ʻano haʻahaʻa loa lākou a pau):

1. ʻO ka mālama pinepine ʻana i nā hilo i ka wā hāpai. Hoʻomaka hoʻomaka nā hana ma ka hōʻailona mua o ka maʻi gestational.
2. Aia nā manaʻo pono e hoʻohana i ka waiū o nā pipi a me nā ʻōmole waiū ʻole ʻole i loko o kahi keiki a hiki i ka makahiki i hoʻonui ka nui o ka maʻi maʻi. ʻO ka pēpē ka mua mua o ka pale ʻana o ka maʻi.
3. Pili pū ka ʻike e like me ka hānai mua i nā cereals.
4. ʻO ka pale ʻana i ka manawa kūpono e pale ai i nā maʻi hoʻoili.
5. Hoʻomaʻamaʻa ka makemake o ka vitamin D i nā keiki a hiki i ka makahiki. Ke manaʻoʻiʻo ʻia nei e hōʻemi kēia huaʻai i ka luhi kūpaʻa.
6. ʻO nā hoʻokolohua maʻamau no ka vitamin D i nā kamaliʻi makua, inā ʻike ʻia kahi hemahema - kahi papa o ka mālama ʻana i nā pupu therapeutic.
7. ʻO ka hoʻohana ʻana o immunostimulants (ferons) wale nō i ka hōʻike ʻana. ʻO ARVI, ʻoiai pinepine, ʻaʻole ia he hōʻailona no ka mālama ʻana.
8. Hoʻonohonohoʻia nā kūlana kaumaha. Ka hilinaʻi maikaʻi me kāu keiki.
9. Nā meaʻai olakino maoli. Nā paku liʻiliʻi a me nā mea hoʻohui'ē aʻe. ʻO ka maʻi diabetes hilinaʻi i mea maʻamau ka nui o nā ʻāina i hoʻomohala ʻia, ka mea e hoʻopili ai e nā ʻepekema me ka nui o ka hoʻomaʻamaʻa pinepine ʻana i ka meaʻai.

Makemake mākou i kāu mau keiki i ke olakino maikaʻi, a inā i pilikia ka pilikia, a laila e hoʻomanawanui kou ikaika.