ʻAkēpē type 1 i nā keiki - ke kumu a me ka mālama ʻana

ʻO ka maʻi diabetes type 1 i nā keiki he maʻi maʻi autoimmune e hele mai ana ke kīnā ʻole o ka metabolism. ʻO ka insulin hormone, nona ke kuleana o ka lawe ʻana o ke kō, hāʻawi i ka pancreas. I ka pale ʻole, luku ʻia nā lela beta, pono e hoʻoponopono i nā pae glucose, ma muli o ka hopena, ʻaʻole i hua ʻia ka insulin a i ʻole a hua ʻia i nā wahi liʻiliʻi. Ke piʻi ka pae o ka glucose, a alakaʻi kēia i nā hoʻopiʻi koʻikoʻi.

ʻO ka maʻi diabetes type 1 ka maʻi maʻamau endocrine maʻamau i nā keiki. Hoʻomaka koke ia a me ka loaʻa ʻole o ka mālama ʻana i ka wā kūpono a me ka maikaʻi.

Nā hiʻohiʻona o ka maʻi kamaliʻi

Hiki i nā poʻeʻelemakule ke pilikia i ka maʻi diabetes II II, i nā keiki i ka nui o nā maʻi he maʻi insulin-dependence e nānā i ka maʻi - type I diabetes. ʻOi loa ka pae o ka insulin i ke ʻano maʻi maʻi mua, he ala maikaʻi wale nō e mālama ai i ke kaulike.

Ua hānau ʻia nā pēpē a pau me kahi pancreas liʻiliʻi, kahi e pālua ka ʻumi a me ka ʻumi o ka makahiki o ke ola. ʻO ka hana nui o kēia ʻenehana - ka synthesis o ka insulin e nā beta beta - i hana ʻia i ʻelima mau makahiki. I ka wā o ka hoʻomohalaʻana o ka pancreas, hele mai nā kaʻina metabolic i hana ikaika loa, a ma ka makahiki 5 a 11 paha mau makahiki, hōʻike pinepine nā keiki i nā maʻi o ka maʻi maʻi.

Pono ke kino ulu i ke kālailai, no laila makemake nui nā keiki i ka sweets. I kēlā me kēia lā, no kēlā me kēia kilamu o ke kaupaona e pono ai ke keiki e loaʻa i ka 10 kareka o ke kō, eʻoi aku ana i nā mea pono o ka pākeke.

ʻO ka manaʻo i hoʻomohala i ka ʻikepili a me ka wai kalaka i ka nui nui e alakaʻi i ke kūkulu ʻana i ka maʻi diabetes. ʻO kahi pēpē olakino a palupalu e hōʻiliʻili maʻalahi i nā kāloli a me ke kō. Wahi a nā helu helu, ʻike ʻia ke ʻano maʻi maʻi type 1 ma ka mua a me ka nāwaliwali, nā ʻōpiopio a me nā keiki e loaʻa ana i ka paʻakikī kino kino. Hiki ke hoʻonāukiuki ʻia i ka maʻi maʻi ma nā maʻi a me nā lae, ka rubella, a me nā puʻupuʻu i maʻamau no nā keiki.

Ma muli o ka nui o ka maʻi maʻi o ka maʻi maʻi - ka ʻōpio o ke keiki, ka mea i ʻike ʻia i nā hōʻailona a ʻoi aku ka kiʻekiʻe o ka loaʻa ʻole o ka hoʻopiʻi. ʻAʻole aneane hiki ke hoʻōla ʻia ka maʻi type 1 i nā keiki, akā me ke kākoʻo pono o ka insulin a me kahi ola kino, hiki ke hoʻēmi ʻia ka hoʻomohala ʻia o nā maʻi concomitant.

Nā mea hoʻonāukiuki i ka maʻi kamaliʻi:

• ʻĀpilima. ʻO kahi keiki i loaʻa i ka maʻi pākēlē o kona mau mākua e loaʻa ke kuleana i ka predisposition.
• Hoʻemi i ka lawaiʻa. ʻO nā keiki i nā nawaliwali i nā maʻi maʻamau eʻoi aʻe ka maʻi i ka maʻi.
• ʻO ka momona nui. ʻO nā "hero" i hānau ʻia me ke kaumaha ma mua o 4,5 kg ua loaʻa ke kiʻekiʻe i ka maʻi ma mua o nā keiki me ka paona kino.
• Nā Hoʻopilikia Endocrine ʻO ke kino o kahi keiki e loaʻa mai ana i ka hypothyroidism a i kahi momona he wahi e hoʻonāukiuki i ka pancreas.

ʻO nā kumu o ka maʻi maʻi i kahi keiki

ʻO ka mea hoʻomohala o ka maʻi he penei: kū nā ʻoi mau mai i nā loko o Langerhans i loko o ka pancreas, a pāpaʻi ʻia iā lākou. ʻAʻole maopopo i nā kumu o ka ʻikepili auto-aunoa, akā ua luku ʻia nā ʻōna e synthesize i ka insulin. ʻO ke kaʻina o ka hana ʻana i nā antibodies i nā sela olakino ma kou kino ponoi, ua kapa ʻia ka autoimmune.

ʻO ka maʻamau o kēia mau maʻi he hoʻoilina. Hoʻomaʻamaʻa pinepine ʻia i nā mea maʻi me ka maʻi maʻamau type 1, nā mākaʻi o ka kelepona adrenal a me ka ʻōmaʻi thyroid i nānā ʻia ma ke ala, kahi e hōʻike ai i kahi ʻano systemic.

Hōʻikeʻike o ke ʻano maʻi diabetes i nā keiki

Hoʻomaʻamaʻa nā ʻano o ke ʻano maʻi o ka maʻi diabetes i nā keiki a hiki ʻole ke nānā iā lākou. Ke ʻōhumu nei ke keiki i ka nāwaliwali, ua maʻi ʻo ia, aia nā hōʻeuʻeu o ka pōloli ma hope koke o ka ʻai ʻana. ʻAʻole lawa ke ikehu, no ka mea, e huki ana ke kino i ka ikaika, ʻo ka mea nui mai ka glucose, a no ka pīnaʻi, a me ka lolo, ʻo ia wale nō ka "wahie". Hoʻokumu ʻia ka Insulin i ka wā e “aʻo” i ka glucose mai nā meaʻai momona. Ma lalo o ka hana o ka insulin, e waiho ana nā membrane i ka glucose. Ma kahi maikaʻi ʻole, hanaʻe kēia hana, a nalowale nā ​​pūpola i kā lākou ʻai.

ʻO ka Sugar ʻaʻole e komo i loko o nā pūpuna e komo i ke koko a me ka ʻalo, a hoʻomohala ʻia ke keiki i nā hōʻailona koʻikoʻi o ka maʻi maʻi:

• Mahele Kahiki
• Pāʻeha
• Ke wikiwiki ʻana i ka urination, ʻoi aku ka pō
• ʻO ka momona kaumaha me kahi mea maʻamau maʻamau
• Lohea
• ʻO ka ʻeha a me nā pilikia dermatological ʻē aʻe, no ka laʻana, ka furunculosis
• ʻO ka noʻonoʻo haʻahaʻa
• Ponoʻeha, mālie
• I nā kaikamahine'ōpiopio, thrush (candidiasis vaginal)

I ka wa hea ʻoe e mālama ai i ka mālama olakino?

Inā he kūleʻa nā hōʻailona mua o ka maʻi maʻi, hiki i ka hōʻailona ke hōʻailona i nā hōʻailona:

• He luaʻi haole
• Ma muli o ka maʻi huakaʻi e hele ai i ka dehydration
• Hoʻopili i nā hanu hohonu a me nā ʻōlelo hoʻoikaika ikaika
• Pahu mai o ka acetone i ka ea lewa
• Ka nalowale o nā ʻike a ʻupena paha me ka makaʻuʻole i ka lewa
• ʻO ka pīpī wikiwiki, cyanosis o nā lima a me nā wāwae

Pōʻino aku, hoʻomaka pinepine ka maʻi diabetes i nā keiki i kēia mau hōʻike i ka mea e koi ai i ka hana wikiwiki.

Ma kahi maʻi hānai i kahi pēpē

I loko o nā pēpē, loaʻa pinepine ka maʻi diabetes, a ʻo ka pilikia ke ʻike ʻia i kēlā manawa hiki ʻole i ke pēpē ke kamaʻilio e pili ana i nā maʻi. He mea paʻakikī nō hoʻi ke hoʻoholo pinepine ʻana i ka pēpē i ka wā o nā diaper.

ʻO nā hōʻailona o ka maʻi maʻi i nā keiki mai ka makahiki 1 o ke ʻano e like me kēia:

• ʻAʻole loaʻa ka paona i kahi keiki me ka maikaʻi maikaʻi
• ʻEha a hiki i kou kiʻi ʻana
• Hoʻokumu ʻia mai nā diaper rash he paʻakikī ia e hoʻōla
• Nā wēlau maloʻo ʻōlapa
• Pākuʻi ʻia i ka hiehina ma ka papahele, papa ʻaina a i ʻole nā ​​papa ʻē aʻe e waiho ai i nā wahi pili
• I nā hōʻike ākea i nā pēpē, hoʻomaka nui ka ihu a me ka maloʻo

ʻO nā maʻi maʻi i nā keiki he 5-10 mau makahiki

I nā keiki i kēia manawa, ʻike pinepine ʻia nā hōʻike o ke ʻano maʻi type 1. Hoʻowahāwahā nā mākua i ka paʻakikī o ke kūlana, ʻoiai e like nā hōʻailona me nā maʻi ʻē aʻe. Pono ʻoe e hoʻolohe i nā hōʻailona aʻe e pili ana i ka hypoglycemia i ke keiki.

• Kāhāhā a me ke kahu ʻole;
• Lethargy, hiamoe, me ke ao;
• Ka hōʻole ʻia o ka meaʻai, mai ka lua mai.

Hoʻopilikia ka hypoglycemia koʻikoʻi, ua hoʻopiʻi ʻia i ka pōʻino o ka palaleka a me nā hui o loko. Inā kānalua ʻoe, pono ʻoe e ana i ke kiʻekiʻe o ka glucose a lawe pono i nā kūpono kūpono.

Hoʻopiʻi i nā ʻōpiopio

ʻO nā ʻōmaʻomaʻo o nā ʻōpiopio o nā makahiki ʻōpio he mau like ʻole i ka pākeke. ʻAʻole maʻi ke maʻi i ka wikiwiki e like me nā pēpē, hoʻomake ka manawa latent mai ka mahina a hiki i ʻeono mahina a i ʻole ka lōʻihi. ʻO nā hewa āpau, nā hōʻeha a me nā nāwaliwali i manaʻo ʻia e nā mākua a me nā kauka he mea ia e pili ana i nā makahiki a i ʻole ka luhi mai ka hana kula.

• I nā wā'ōpiopio me ka maʻi diabetes ʻole, ʻaʻole i hui pū ʻia ka hypoglycemia e ka palupalu a me ka makeʻe;
• Mai kēlā manawa kēia manawa kahi makemake makemake e ʻai i kahi mea momona;
• Hoʻomaʻamaʻa pinepine ka ʻili ʻo - ʻili ka palaoa a me ka bale me ka nui i manaʻo ʻia;
• Me ka ketoacidosis (ʻo ka honi o ka acetone), aia paha i loko o ka nausea, hoʻopuka, a me ka ʻeha o ka ʻōpū.

Nā hōʻailona o ka maʻi maʻi i hōʻike ʻia i ka wā ʻōpio hiki ke hōʻike iā lākou iho i kahi kīnā, ʻoiai ua hoʻemi ʻia ka naʻau o ka insulin ma muli o nā loli o ka hormonal.

ʻO ka maʻi maʻi ʻokoʻa o ka maʻi type o I a me ke ʻano type type 2

ʻO kekahi mau pilikia e pili ana i ka hoʻomohala ʻana i ke ʻano maʻi type 1 i ke keiki e hiki ke hōʻemi ʻia, akā ʻo ka mea mua e pono ai ʻoe e ʻike inā aia kekahi i nā ʻano ʻaila glucose ʻemala a me nā ʻano o ka maʻi maʻi.

E loaʻa ka pane kūpono ma hope o nā hoʻāʻo ʻana o ke koko no nā antibodies i nā koena o nā mokupuni o Langerhans, a me insulin, a me nā ʻano like i ke ʻano maʻi diabetes II, i ka pae ʻana o ka insulin i ka koko i lawe ʻia ma kahi ʻōpū ʻole a ma lalo o kahi huina o ka haʻaluna, e kū aʻe ana kēia ʻano maʻi ma waena o nā ʻano like ʻole.

Hōʻikeʻike o ke ʻano type o ka maʻi type a me ke ʻano 2

Ke ʻano lapaʻau ʻana no nā maʻi maʻi diabetes i nā keiki

Hoʻokomo ʻia ka hoʻōla ʻana o ka maʻi type 1 i nā keiki me ka hoʻoikaika ʻana i ka ʻōnaehana pale, hana maʻamau i ka metabolism a hoʻokele i ka insulin.

Kahi hoʻonohonoho o ka mea e kokoke ana e lilo i mau ʻāpana:

• Inine hoʻōla. Wahi a nā ʻanoʻaoʻao, e hoʻokele ʻia ai ka insulin i hoʻokahi manawa a i hoʻokahi manawa paha i ka lā.
• Hoʻohana pilikino.
• Ka mālama ʻana i ka paona ma ʻāpana o ke ʻano maʻamau.

Hoʻopuka ka endocrinologist i kahi regimen lapaʻau e mālama ana i nā ʻano o kēlā me kēia ʻano o ke keiki, kona ʻano a me ke ʻano o ka maʻi.

Noho nā keiki me ka type diabetes diabetes mellitus ma kahi papa i aneane ʻole e like me ka papa o nā poʻe olakino olakino. I loko o kekahi mau pule, ua hoʻomaka ka ʻohana a me ke keiki me ka mea maoli e pono ke ana i ka ʻai koko, ke hōʻila i ka insulin, e mālama i kahi diary, a mālama pono i nā koho meaʻai. ʻAʻole pono e kolohe ʻia nā rula ma lalo o kekahi mau kūlana - ka maikaʻi a me ka hoʻomohala ʻana o ke keiki ma muli o ko lākou nānā ʻana. Lawe ʻia nā kaʻina hana ma mua o 15-20 mau minuke i ka lā, inā ʻaʻole ke ola o ke keiki me ka maʻi diabetes.

ʻO nā pahuhopu pōkole o ka mālama ʻana i ka maʻi diabetes i nā keiki e hōʻoia i kona ulu maʻamau a me ka ulu ʻana, ka ʻike ʻana ma waena o nā hoa āpau. ʻO ka lōʻihi, ʻo ke pale ʻana i nā hoʻopiʻi.

Injections injections

Hoʻololi ʻē aʻe nā hopena i nā inikini insulin no ka maʻi type i maʻa ʻia. ʻAʻole kūpono ia nā pale ma muli o nā enzyme e luku ai i ka insulin ma loko o ka ʻōpū.

Aia nā hewa insulin e hana wikiwiki a wikiwiki. Me ka hopena maʻalahi, e hopena ka hopena mai nā hola 8 a i kahi lā. Hana ka insulin i mau hola he nui. Ke kaohi i ke kiʻekiʻe o ke kō, pono ʻoe e helu i ka nui o ka insulin e like me ka glucometer a me ke ʻano o nā meaʻai.

Hoʻokomo ʻia ka Insulin me nā syringes kūikawā me kahi lāʻau ʻono a me nā syringes peni. Inā aia ke keiki i kaʻai haʻahaʻa, mai hoʻohana i nā syringes pen no ka mea e hoʻokaʻawale mua ka insulin.

ʻO ka mea i hala koke nei, ua puka mai nā wahi hoʻomohala insulin - nā polokalamu liʻiliʻi me kahi kamepiula uila.

Hoʻopili ʻia ka popi i ke kāʻei, kahi kipa me ka nūpepa i paʻa i lalo o ka ʻili ma ka ʻōpū e haʻalele mai ana mai. Hele mai ka Insulin ma kahi liʻiliʻi.

Kāohi

ʻAʻole ala he ala i kēia manawa e pale ai i ka maʻi maʻi me ka hōʻoia i hōʻoia ʻia, a ʻaʻole hoʻi he mau ala hilinaʻi no ka hoʻopau ʻana i ka maʻi. ʻOiai e noʻonoʻo nei nā ʻepekema pehea e mālama ai i ka maʻi diabetes type 1 i nā keiki, pono nā mākua e hoʻoholo i ke kiʻekiʻe o ka hopena me ka hoʻohana ʻana i nā hōʻike genetic.

• Inā he kumu e manaʻoʻiʻo ai ka hoʻoilina o ka pēpē i kahi predisposition no ka maʻi diabetes, e hoʻāʻo e hoʻolōʻihi i ka manawa o ka umauma o ka liʻiliʻi loa he 6 mau mahina;
• Inā loaʻa ke keiki i nā hōʻailona o ka maʻi maʻi, pono ia e hoʻokaʻawale iā ia i ka ʻai haʻahaʻa-pale e pale aku i nā kī o nā beta mai ka luku.

Me kahi hōʻike kūpono ʻana i ka manawa kūpono a me ka papahana mālama kūpono kūpono, hiki ke mālama ʻia kekahi o nā cell beta.

Nahu no ke Diabetes type 1

Hoʻohui i ka papa ʻaina i hui pū ʻia me nā mea ʻē aʻe e hiki ai iā ʻoe ke mālama i kahi pae glucose koko maʻamau, e pale i nā hōʻeha a loaʻa i ke kala mau.

ʻO nā kīʻaha haʻahaʻa haʻahaʻa no nā keiki me ka maʻi diabetes type 1 hiki ke hōʻemi i ka dosis o ka insulin e nā manawa he nui. Ma ka ʻōlelo maʻamau, ʻo ka manaʻo lapaʻau ka manaʻo e pono ka nui o nā kūmole i ka meaʻai e hiki ke 60% o kaloli. Akā me ia meaʻai like ʻole, lele ka hemoglobin i hiki ʻole, e paʻakikī ke hoʻoponopono i ka maʻi ʻana. Ma muli o ka hoʻonui pinepine ʻana o nā hana i ka inika, ua nui ka nui o ke kō o ke koko, a me kēia mea e hoʻonāukiuki i ka hoʻopiʻi vascular a me hypoglycemia. ʻO ka ʻai me ke kaupalena o nā kaola a me nā wai liʻiliʻi o ka insulin e hōʻemi ana i nā loli o ka glucose i kahi pālahalaha o 1.0 mmol / L.

Hiki paha ke hana me ka ʻole o ka insulin

ʻO kaʻu kaʻao e pili ana i nā lāʻau lapaʻau mana e hōʻoluʻolu i ka maʻi maʻi, ʻaʻole naʻe, ʻaʻole kumu. ʻAʻole hiki ke maʻi ʻia ka maʻi Autoimmune a ʻo ke ala kūpono wale nō e mālama ai i ka olakino ma o nā inikini a me ka lāʻau ʻai haʻahaʻa.

Ma kahi i koho ʻia ai kahi maʻi no ka maʻi type 1 ka ʻike ʻia, ʻaʻole maʻi kahi maʻi maʻi, akā he ala o ke ola. Ka maikaʻi ka hoʻohuihui no nā keiki me ka maʻi diabetes type 1, pono ka nānā ʻana i ka ʻai a lawe i nā inikini insulin hiki ʻole ke hōʻeha i ka papa maʻamau o ke ola.