ʻO kahi maʻi mellitus ka maʻi maʻamau, inā ʻaʻole i hoʻomaʻemaʻe ʻia, e alakaʻi i nā hoʻopiʻi maikaʻi. ʻO ka mea ʻike ʻole a maopopo ʻole i ke kūpaʻa maʻi ma ke ʻano he ʻelua pōpilikia.
No laila, pono ʻoe e ʻike pehea e hōʻike ʻia ai ka maʻi i ka nīnau ʻana i ka loea i ka manawa. ʻO ka mālama kino ʻana i ka maʻi maʻi i nā keiki he ala e hiki ai i ke keiki ke alakaʻi i ke ʻano like me kona ʻano.
Nā ʻano o ka maʻi
ʻO ka pae o ka hoʻomohala ʻana o ka maʻi, hōʻike a me nā hopena diagnostic e hilinaʻi ana ma ke ʻano o ka maʻi maʻi:
- 1 ʻano. ^ E Ha yM. ʻO ka hoʻomohala ʻana o ka maʻi me ka wikiwiki, i loko o kahi mau lā. ʻAʻole lawa ke kumu o ka maʻi i ka hana ʻana o ka insulin hana a i ʻole ka pau ʻana o kēia hana;
- 2 ʻano. ^ E Ha yM. ʻAʻole e like me ka maʻi maʻi o ka ʻano mua, ulu mālie kēia maʻi. ʻO ka mea pōʻino, nui nā mākua i kani i ka alohilohi ma hope o ka haunaele o nā hihia. Hoʻokumu pinepine ka hoʻomaka ʻana i ka wā ʻōpio.
Pehea e hoʻomaopopo ai i ka maʻi maʻi i kahi keiki: nā hōʻailona
I nā keiki kahiko, he mea maʻalahi ʻoi aku i ka ʻike ʻana i nā hōʻailona weliweli, a me nā pēpē ua ʻoi aku ka paʻakikī. Me ka hoʻomohala holomua o ka maʻi, ua palupalu ke keiki i ka paona kino, pilikia kona hiamoe a me ka makemake.
Ua nānā pū ʻia nā maʻi sttool. ʻO kahi hōʻailona paʻa o ka maʻi maʻi e pilikia ai ka ʻili: ka diaper rash rash, rash, allergy, prickly heat, purulent rashes. Kūpili ʻia ka paʻakai. Aia kēia mau hōʻailona āpau i ka maʻi maʻi.
I nā keiki kula mua a me nā keiki mua o ke kula, hōʻike ʻia kēia maʻi me kēia mau ʻano.
- hookeai pinepine, me ko po;
- ka make mau ana o ka makewai;
- kau kaumaha no ke kumu ʻike ʻole;
- nā membrane maloʻo;
- ke ʻano o dermatitis.
Hoʻopiʻi ke keiki i ka nāwaliwali, lilo i moʻo, hōʻole ʻo ia hoʻi i kāna mau pāʻani punahele.
Ke hōʻole nei ka hana o ke kula. ʻO ka mea pōʻino, hōʻike pinepine nā mākua i ka palau a me ka makemake ʻole e hana.
ʻO kona wā'ōpiopio (ma hope o 14-15 mau makahiki) he mau ʻano pono. ʻAnoʻi, ʻilihune maikaʻi, malaise, nā pilikia ʻili, ka hiki ʻana i ke anuanu - ʻo kēia mau hōʻailona āpau he mau hoahele o ka maʻi maʻi.
ʻO ka hoʻonui koko koko Ua kōkua kēia i ka puka ʻana mai o ka makewai ʻike ʻole. Ka nui o ka wai inu e hoʻopili ai i ka polyuria - ka urination pinepine i ka ao a me ka pō.
I nā kaikamahine, paʻakikī pinepine nā maʻi ʻo ka maʻi 2 e ka polycystic ovary, kahi mea he pilikia iki i ka hana hānau o ke kino.
Inā ʻole ʻoe e hoʻolohe i nā hōʻailona mua o ka maʻi, hui pū nā maʻi vascular: na ke koko i piʻi, ke kiʻekiʻe o ka cholesterol i ka nui o ke koko. Hoʻomaʻa ka ʻōpio i nā ʻōpala i nā wāwae, nā manaʻo o ka hoʻonaninani.
ʻO nā mea e hōʻike ai i nā maʻi e kōkua ai i ka maʻi maʻi: nā inoa a me nā kumu
I ka wā mua, ʻaʻole paha i ʻike ʻia ka maʻi diabetes i nā ala a pau, a i ʻole nā ʻano maopopo loa o nā hōʻailona. ʻO nā hoʻokolohua i ʻōlelo ʻia e kekahi loea e kōkua i nā mea e ʻike ai i ka maʻi a me ke kaohi i ke kiʻekiʻe o ke kō a me ke olakino olakino.
Ka helu ʻana o ka koko
Ke hoʻohana nei i kahi loiloi maʻamau, hiki ke ʻike ʻia ka glucose. Hoāʻo ʻia ke keiki i ke kakahiaka, ma ka ʻōpū ʻole.
E like me nā kūlana kulekele, ʻo ka pae o ke kō i ke keiki olakino ʻo 3.5-5.5 mmol / L.
Inā loaʻa ka loaʻa o ke kō i loaʻa ke kō, e like me ke kānāwai, ua kuhikuhi ʻia kahi hōʻike ʻelua.
Koi hua biochemical
Hāʻawi ka biochemical i ke kiʻi ʻoi loa i ka ʻike o ke koko, hiki iā ʻoe ke hoʻoholo i ke ʻano o ka maʻi, kona pae a me ka hōʻeha. ʻAʻohe SD nā ʻokoʻa.
Nā hōʻailona nui no nā maʻi maʻi:
- kekuhi. ^ E Ha yM. ʻO ka waihona pono e piʻi a hiki i 6.1 mmol / l. ʻO nā kumu ma waena o 6.1-6.9 e manaʻo ʻia e hoʻokiʻekiʻe, a ʻoi aku ma mua o 7 mmol / L e hōʻike ana i ka maʻi maʻi;
- hemoglobin glycated. ^ E Ha yM. Wahi a kēia kuhikuhi (ka nui o ka piʻiʻana o ka pae glucose no 90 mau lā), ua manaʻo ʻia ka nui o ka uku o ka maʻi. ʻO ka hopena maikaʻi loa e manaʻo ʻia 7% a i lalo;
- hoʻōki. ^ E Ha yM. ʻO ke hoʻonui he ʻano no ka hoʻomaka ʻana o kahi ʻano insulin-hilinaʻi, ʻo ia hoʻi no ka maʻi type type 2 me ka obesity. Kūlike - a i ka 1,7;
- lipoproteins. ^ E Ha yM. Ma ka maʻi maʻi o ka lua, pane ʻia ke kiʻekiʻe o ka lipoproteins kiʻekiʻe, a he haʻahaʻa - - ma kahi ʻē aʻe, hoʻonui ʻia;
- insulin. ^ E Ha yM. ʻO kona kiko i loko o ke koko me ka maʻi pākahi 1 hoʻēmi ʻia. Me ka maʻi maʻamau 2, e hoʻonui iki ka hōʻailona a i ʻole ma ka pae maʻamau;
- fructosamine. ^ E Ha yM. Hiki ke hoʻokō ʻia nā hoʻohālikelike maʻamau me nā maʻi diabetes. Inā hele ka maʻi, hoʻokiʻekiʻe ʻia nā kiʻekiʻe o ka fructosamine.
Hooli koko koko ma hope o ka ʻai ʻana
Hōʻike ka pae glucose 2 mau hola ma hope o ka pāʻina ma kahi pae o 3.9 a 8.1 mmol / L i manaʻo ʻia he mea maʻamau. He hōʻailona o 11.1 mmol / L a i ʻole he kuhikuhi aʻe i kahi maʻi maʻi maʻi. No ka hōʻoia a hōʻole paha i ka hopena, ua kuhikuhi ʻia kahi hōʻike ʻelua.
C peptide assay
ʻO C-peptide kahi pīpī i kū ʻole ʻia o ka insulin. Hoʻohālikelike kēia manawa mai 298 a 1324 pmol / L.
Ua kuhikuhi ʻia kēia loiloi i ke ʻano o ka maʻi maʻi o ka maʻi maʻi a no ka nānā ʻana i ka pono o nā hana therapeutic. Me nā maʻi diabetes 1 ʻano, hoʻonui ʻia nā hōʻailona, me ke ʻano type type 2, ma ke ʻano ʻē, ua hoʻemi ʻia. Hāʻawi ʻia ke koko i ka C-peptide ma kahi ʻōpū ʻole i ke kakahiaka.
Hoʻololi hoʻokolohua Glucose
ʻO kēia kekahi o nā ala hou e hiki ai ke hoʻomaopopo i kahi maʻi mai ka hoʻomaka ʻana o kona ulu. Hāʻawi ka mea maʻi i ke koko ma kahi ʻōpū ʻole. A laila inu ʻo ia no 10 mau minuke 75 mai ka 100 ml o ka wai momona-glucose. Hoʻopuka ʻia kēia me kahi mea hoʻike koko koko no ka nānā ʻana ma hope o 0.5, 1, 1.5 a me 2 mau hola.
ʻĀninalysis
Hāʻawi ʻo OAM i ke kakahiaka ma ka ʻōpū ʻole. ʻAʻole pono ka hilo maʻamau i ka pāʻai.
Inā ʻike ka glucose i ka urine, hōʻike kēia i ka maʻi maʻi maʻi. I mea e loaʻa ai kahi hopena kikoʻī, ua kau ʻia kahi hōʻike noiʻi o nā mehe i kēlā me kēia lā.
ʻAʻole pono ke hāpai i ka hoʻomākaukau diuretic i mua ona a aia nā huahana e stain i ka urine.
Hemoglobin Glycated
ʻO kēia kahi māhele o ka hemoglobin e pili pū me ka glucose. Me ka hoʻonuiʻana o ke kō, ua hoʻonui pū ka pā GH. Hōʻike kēia i ka pilikia o ka hoʻomohala ʻana i ka maʻi diabetes.
ʻĀninalysis
Ua hoʻohālikelike ʻia no nā kumu diagnostic a nānā i ka pono o ka lāʻau i kuhikuhi ʻia no ke keiki maʻi maʻi. ʻO ka haʻahaʻa maʻamau i nā lā i ka lā he liʻiliʻi ma mua o 1.6 mmol / lā.
No ka ʻike ʻana i ka maʻi maʻi, e hana ʻia ana kahi ʻano loiloi o ka maʻi (oxalic acid salts). Ka palena waiwai ma waena o 20 a 60 mg / lā.
Pono e hōʻiliʻili i ka lā i kēlā me kēia lā i loko o ka wai 3 mita, he maloʻo a maʻemaʻe hoʻi, a i ʻole i kahi pahu kūikawā o 2.7 lita, i kūʻai ʻia aku i loko o kahi kīhāpai. I ka lā ma mua o ke kaomi ʻana, ʻaʻole hiki iā ʻoe ke lawe i ka Aspirin, diuretics, vitamina B. Pono ʻoe e pale i nā huahana e like me ka beets a me nā kaloti, ʻoiai lākou i huki i ka urine.
Hāʻawi iā ia i loko o ka ipu a i ʻole, ma mua o ka lawe ʻana i ia mea i ka luaaniani, ninini i kahi hapa 100 ml i loko o kahi moku liʻiliʻi. Maʻalahi ka hōʻiliʻili o ka urine no ka nānā ʻana i kahi pēpē me ka hoʻohana ʻana i kahi urinal kūikawā, i kūʻai ʻia aku i loko o kahi kūʻai.
ʻĀina ʻokoʻa ka maʻi maʻi i nā keiki
Hōʻike mua i ka maʻi diabetes i ka makahiki 6 ma waena o 6 mau mahina a me nā ʻōpio mua. ʻO ka manawa pinepine, ka maʻi maʻi i ka hoʻomaka ʻana.
ʻO ka hoʻomaka ʻia ʻana o ka maʻi e pili pū me nā hōʻike o ketoacidosis, ke kahiki nui i ka paona kino. Hoʻopauʻokoʻa paha ka hana ʻana o ka insulin.
ʻO ke ala e hiki ai ke hoʻoponopono i kēia ʻano ka lawe ʻana i ka lapaʻau hana hoʻololi insulin.
I nā keikikāne, ʻoi aku ka maʻamau o ka maʻi diabetes type 1. Ma ka CD-1 e hōʻike i kēlā mau hōʻailona:
- nā kahe koko nui mau;
- hōʻemi iki ka hōʻailona no C-peptide;
- haʻahaʻa haʻahaʻa o ka insulin;
- ka nui o nā antibodies.
ʻO ka hapa nui o nā maʻi maʻi type 2 ʻaʻoleʻoi aku ma mua o 10%. ʻO ka pinepine, ʻo ka hoʻomaka ʻana o ka maʻi e hāʻule i ka wā ʻōpiopio.
Nā hiʻohiʻona o ka maʻi o ka ʻano lua:
- ulu holomua;
- pinepineʻole i ke kau a kaumaha paha;
- ke hoʻonui nui ʻana i ka glucose a me ka hemoglobin glycated;
- he maʻamau a kiʻekiʻe paha ke kiʻekiʻe o C-peptide;
- nā pae kiʻekiʻe a i ʻole ke kiʻekiʻe o ka insulin;
- ʻaʻohe mea hoʻohālikelike i nā cell beta pancreatic.
Pehea e pale aku ai i ka hoʻomohala ʻana o ka maʻi?
ʻO ka mea nui i ka pale ʻana i ka maʻi diabetes i nā keiki he meaʻai kūpono. He mea kūpono ia e mālama i ke kaulike o ke kino o ke kino.
Ma mua o kēlā me kēia papaʻaina (30 mau minuke) pono ʻoe e inu i kahi aniani o ka wai (mai ʻole e pupule i ke kīwī, kofe a i ʻole nā mea inu kīʻaha inu kīʻaha).
Inā momona nui ke keiki, pono ʻoe e makaʻala e hōʻemi i ka hoʻemi ʻana o ka calorie. ʻAi pinepine pinepine i nā ʻāpana liʻiliʻi. ʻO nā ʻano like ʻole o ka kāpeti, ka zucchini, nā aniani, ke kāleka, nā ʻeka, nā hua ʻai ʻole i loaʻa i waena o nā huahana olakino.
Hiki ke hoʻomākaukau ʻia nā kīʻaha maikaʻi mai ia lākou, no laila me ka ala kūpono, ʻaʻole ʻia ka mea ʻai i ke keiki i kekahi mea e ʻike ʻole ʻia. ʻO ke ʻano pale ʻokoʻa nui ka hana kino. Kōkua ia ka hoʻopau ʻana i ke kūpaʻa o ka glucose i ke koko a hōʻemi i ke kaumaha kino .. Ua lawa kekahi hapalua hola o ka hoʻomaʻamaʻa i kēlā me kēia lā.
Hiki iā ʻoe ke hoʻokaʻawale iā lākou i nā ala he 10 mau minuke.
ʻO ke kolu ʻo ka pale pale e pale ʻia i kahi keiki maʻi maʻi maʻi i ke ʻano kaumaha a me nā ʻike.ʻO ke kūpaʻa o ka manaʻo o ka naʻau e hana i kahi uku no ka hoʻopiʻi ʻana i ka maʻi. A, ʻoiaʻiʻo, mai poina e pili i nā kūkākūkā kauka maʻamau.
I ka wā e ala ana i nā hōʻailona ʻōlima, e kōkua kekahi endocrinologist i ke kuana ʻana i ke kūlana a haʻi iā ʻoe i kahi hoʻolālā hou aʻe o ka hana.
Nā wikiō pili
E pili ana i nā hōʻailona o ka maʻi diabetes i nā keiki ma ke wikiō:
