ʻO ke ʻano o ke koko koko i nā keiki he 3 mau makahiki: ehia ka nui o ka glucose?

Hōʻike ʻia ka manaʻo o ke kō koko koko no nā keiki i loaʻa ka hopena i ka hoʻomohala ʻana i ka maʻi mellitus a i ʻole he mau hōʻailona paha e like me keʻano o kēia maʻi.

ʻO nā hōʻailona o ka maʻi mellitus o kona wā kamaliʻi e hiki koke mai ana a hoʻomau i ke ʻano o kahi coma a i ʻole atypical, like me ka gastrointestinal, nā maʻi hopohopo.

ʻO ka ʻōpala o mua o nā maʻi maʻi kaohi e pale i ka wī a ke keiki a me ka hoʻoulu ʻana i ka ulu, a me ka pale ʻana i nā hoʻopiʻi kūlohelohe, nā hōʻeha o nā ʻōpū, ka nānā ʻana, nā kīʻaha koko, a me nā ʻōnaehana.

Hoāʻo koko no ke kō i loko o nā keiki

ʻO kahi hiʻohiʻona o ka kino o ke keiki, ʻo ia ka hilo koko i loko o ke keiki aia i loko o kahi kao haʻahaʻa ma mua o nā pākeke. No ka hoʻoholoʻana, e hana ʻia kahi hōʻike koko ma kahi ʻōpū ʻole.

ʻAʻole hiki i kahi keiki i ʻekolu makahiki ke kū i kahi hoʻomaha he 10 mau hola ma hope o ka hānai hope ʻia, ka mea i hōʻike ʻia ma mua o ka hāʻawi ʻana i ke koko. No laila, hiki iā ʻoe ke hāʻawi iā ia e inu i ka wai ʻoluʻolu ʻawaʻī i ke kakahiaka o ka hoʻoili ʻana, akā, ke komo ʻana i ka ʻai, ka waiū, nā mea inu me ka kō.

Ma mua o ke ʻano loiloi, ʻaʻohe pono a i ʻole ka pohō ʻana o ka ʻuhane. ʻAʻole lawe ʻia kahi hōʻike noiʻi no nā maʻi maʻi infectious, a ʻo nā lāʻau lapaʻau i ʻōlelo ʻia ke hoʻopau ʻia i ka ʻae ʻana me ka pediatrician.

ʻO ke kumu o ke koko koko i nā keiki o 3 mau makahiki he hōʻailona kahi o 3.3 - 5.0 mmol / L. I loko o hoʻokahi keiki i hoʻokahi makahiki, ʻokoʻa ka pae ma waena o 2.75 - 4.35 mmol / L, ma hope o ʻeono mau makahiki he ʻano like ke ʻano o nā pākeke - 3.3-5.5 mmol / L. Inā hōʻike kekahi hōʻike koko i ka glycemia haʻahaʻa ma lalo o ke kiʻekiʻe o ka pae liʻiliʻi, i hoʻolālā ʻia no ka wā, a laila hana ʻia kahi maʻi o ka hypoglycemia.

Me nā hōʻailona e ʻoi aku i ka maʻamau, akā aia i loko o 6.1 mmol / l, kahi mākaʻikaʻi hoʻomaʻemaʻe ma mua o ka prediabetes. I kēia hihia, ua hoʻihoʻi ʻia ka loiloi. Inā loaʻa kahi hopena i hoʻonui ʻia i 2 mau manawa, a laila e kuhikuhi ʻia kahi hōʻike hoʻoliʻi glucose.

I nā rula no ka hoʻāʻo ʻana i ka hoʻohaʻahaʻa glucose i nā keiki:

1. I ʻekolu mau lā ma mua o ke aʻo ʻana, ʻaʻole e loli ka hoʻoponopono a me ka ʻai o ke keiki.
2. ʻAʻole ʻike ʻia kahi hoʻokolohua inā loaʻa ka maʻi maʻi i ke keiki a hoʻopaʻi ʻia i loko o hoʻokahi pule ma mua o kahi hebedoma ma mua.
3. I ka mua, ua hoʻāʻo ʻia ka pae ʻaina wikiwiki (ma hope o 8-12 mau hola o ka hoʻokē ʻai).
4. Hāʻawi ʻia kahi hopena glucose i ka wikiwiki o 1,75 g no ka kilogram o ke kaumaha o ke keiki.
5. Ma hope o ʻelua mau hola, ʻike hou ʻia ke kō. I kēia manawa o ka manawa, pono ke keiki i loko o kahi mālie.

Hoʻohālikelike ʻia ka hopena hōʻike ma kahi penei: inā ma 3 mau makahiki ma hope o kahi mau minuke o ʻelua mau manawa mai ka huina glucose, ua kiʻekiʻe ke keiki i ke koko ma mua o 11.1 mmol / l, a laila ua hōʻoia ʻia ke ʻano maʻi o ka maʻi maʻi, ma kahi pae a hiki i 7.8 mmol / l - ke kumu maʻamau, nā hopena āpau ma waena o kēia mau palena maʻi pākaukau.

Nā kumu o ka hoʻohaʻahaʻa a me ka hoʻonui ʻana i ke kō koko koko i nā keiki

Hoʻololi ʻia ka nui o ke kō koko koko i ke keiki ma muli o ke kiʻekiʻe o ka nui o ka insulin, ka maikaʻi loa a me ka malabsorption o nā mea laʻa i loko o nā ʻawaʻawa. Akā ʻoi aku ka mea maʻamau a pololei a maʻamau paha i ka hyperinsulinism.

ʻO ke kumu maʻamau o ka nui o ka insulin i loko o ke koko i loko o nā keiki, ʻo ia ka pīpī o ke kiko islet o ka pancreas, e pā ana i nā pū me nā beta. Kāhea ʻia ia ʻo ka insulinoma. ʻO ke kumu ʻelua o ka hypoglycemia i nā keiki o ka makahiki mua o ke ola ʻo nezidoblastoz. Me kēia patula, hoʻonui ka nui o nā cell beta.

Hiki i ke kō o ke koko ke hoʻohaʻahaʻa i nā pēpē i hala a i ka wā hānau mai ka makuahine i loaʻa ka maʻi maʻi. Hoʻopili ʻia ka hypoglycemia i nā pathologies endocrine, nūpepa, nā puʻuwai a me nā maʻi o ka pūpū, nā fermentopathies kongenital. Hoʻomaka ia e nā lāʻau lapa-hoʻohaʻahaʻa a me nā salicylates i nā koina nui.

Inā ke kiʻekiʻe o ka hoʻāla koko koko a ke keiki, a laila no ke kumu o:

• ʻO nā kulekele Endocrine: diabetes mellitus, thyrotoxicosis, hyperfunction o ke kōpala adrenal a i nā pituitary gland.
• Maʻi maʻi pancreatic.
• ʻĀkau
• ʻO ka hōʻeha kino.
• Maʻi maʻi.
• Nā kuʻuna o nā keiki.

I ka hapanui pinepine, me ka hyperglycemia, ʻike ʻia ka maʻi diabetes. ʻO ka maʻa mau ia e pili i ke ʻano mua.

ʻO ka hoʻomohala ʻana o ka maʻi i nā keiki me ka wikiwiki, no laila he mea nui e hoʻomaopopo i kēia maʻi ma ke ʻano mua a kuhikuhi i ka hoʻomehana ʻana o ka insulin.

No ke aha i kū ai ka maʻi diabetes?

ʻO ka mea nui i ka hoʻomaka ʻana o ka maʻi diabetes type 1 i nā keiki he genis predisposition. Kūkū ʻia ka mea ʻike ʻia no ke kumu kiʻekiʻe o nā hihia ʻohana a me ka ʻike ʻana i ka maʻi diabetes i nā hoahānau pili kokoke (nā mākua, nā kaikuaʻana a me nā kaikunāne, nā kūpuna).

Hoʻomohala ke ʻano maʻi maʻi 1 me he lesion pancreatic autoimmune. Ke ʻike nei i kahi kumu pākahi, hoʻomaka ka hana o nā antibody e kū pono i kā lākou mau kelepona i ka hoʻomohala ʻana i ka insulin maʻi. Ua luku ʻia nā mea make ʻo Beta, me ke kahe ʻana o ko lākou helu, e holomua ana ka maʻi insulin.

Hāʻawi ke kumu o ka hoʻomohala ʻana i ka maʻi diabetes i ka wā kamaliʻi he mau maʻi maʻi viral. I kēia hihia, hiki i ka virus ke hoʻopau i ka lapalapa pancreatic a alakaʻi paha i ka maʻi autoimmune i loko. Na kēia mau waiwai i loaʻa e: retroviruses, Coxsackie V, Epstein-Barr virus virus, nā ʻōpala, nā cytomegalovirus, nā maʻi hepatitis a me nā ʻōpala, nā ʻōpala, rubella.

Hoʻopili i nā maʻi viral i nā keiki me ka hoʻomau genetic, nā maʻi diabetes i ka:

1. Nā Nitrates i nā meaʻai.
2. Nā kūlana kaumaha.
3. Hoʻomaka maikaʻi me ka waiū bipi.
4. Nā mea kanu kākela monotonous.
5. Hoʻopuka ʻana i nā mea hanu.

Hoʻomaopopo ka poʻe pediatricians i ʻike pinepine ʻia ka maʻi maʻamau i nā keiki nui i hānau ʻia me ke kaumaha ʻoi aku ma mua o ka 4,5 kg a i loaʻa paha ka momona, me ka hemahema o ka hana kino, ma nā pūʻulu o nā keiki maʻi pinepine me nā diathesis like ʻole.

Nā hōʻailona o ka maʻi diabetes i nā keiki

Hōʻike nā hōʻailona o ka maʻi diabetes i kahi keiki i kēlā me kēia makahiki. Ua hōʻike ʻia nā hiʻohiʻona hiʻohiʻona 2 i nā makahiki 5-8 a i 10-14 mau makahiki, i ka manawa e hoʻonui ai ka ulu a hoʻonui ʻia nā kaʻina metabolic. ʻO ka maʻamau, ʻo ka hoʻomohala ʻana o ka maʻi maʻi ma mua o ka maʻi a me kahi maʻi lōʻihi o ke ʻano aʻokiʻoki aʻokiʻoki aʻokiʻoki paha.

ʻO ka pinepine, ʻo ka maʻi diabetes i nā keiki e hōʻike pūlima iā ia iho, a ʻike ʻia i ka wā e hele mai ai kahi coma maʻi maʻi. E hoʻomohala mua ʻia kēia ma ka manawa o ka luku asymptomatic o ka pancreas. Aia mau ia i mau mahina, a e ʻike ʻia nā hōʻailona lapaʻau i ka wā e pau nā luku āpau i hoʻoiho ʻia i ka insulin.

Nā hōʻailona maʻamau o ka maʻi mellitus, ma muli o ke ʻano o ka kaukē ʻana o ke kauka e pili ana i ka maʻi, he make nui, nui ka nui o ka makemake a me ka kaumaha a me ke kau ʻana ma luna o kona wā, ʻoi aku a nui a me ka urination, ʻoi loa ka pō, ka maʻi paʻakai.

Hoʻopili ʻia nā mīkini o ke ʻano o ka hoʻonui ʻia ʻana o ka urine me nā waiwai o ka osmotic. Me ka hyperglycemia ma luna o 9 mmol / l, ʻaʻole hiki ke hoʻoleʻeha ka lākō i kāna excretion, a ʻike ia i loko o ka urine. I kēia hihia, lilo ka urine i kala ʻole, akā ʻoi ka nui o kona ulu maoli ʻana ma muli o ke kiʻekiʻe o ke kō.

ʻO nā hōʻailona o ka maʻi maʻi:

• I nā pēpē, pili paʻa nā wahi iʻa, a nānā ʻia nā diapers ke nānā ʻia.
• Noi ke keiki i kahi inu, kū pinepine i ka pō me ka make wai.
• Ua hōʻemi ka ʻili i ka elasticity, ua maloʻo ka ʻili a me nā mucous mucous.
• Hoʻokumu ka derorritis Seborrheic i ke poʻo.
• Hoʻopili ke kiri ma ka palaka a me nā wāwae wāwae, kū mau ka diaper rash.
• He hoʻomau i ka ʻūlū pustular a me ka furunculosis.
• ʻO ka candidiasis kūmole o ka waha a me nā genital.

ʻO nā keiki me ka maʻi maʻi maʻi mua e nānā nāwaliwali a emaciated. ʻO kēia ke kumu o ka pōloli o ka nui o nā cell ma muli o ka nalowale o ka maʻi glucose i loko o ka pīpī a me ka pīpī a me ke kīpē. Me ka nele o ka insulin, loaʻa nō hoʻi ka wā i hōʻoki ʻia ai nā protein a me nā momona i ke kino, ka mea, i hui pū ʻia me ka dehydration, alakaʻi i kahi nui o ka momona o ke kino.

Hōʻailona ka pilikia o ke ʻano maʻi i nā infectious, e komo pū ai i nā maʻi, nā maʻi i hiki i ka hanana hōʻeha a me ka hoʻihoʻi hou ʻana, a me ka pale ʻana i ka lāʻau lapaʻau kuʻuna.

Decompensated diabetes mellitus i ka wā kamaliʻi e hele mai me ka hana ʻole o ka ʻōnaehana cardiovascular - kūmū ʻia nā ʻōmole lawelawe, hoʻonui ʻia ka palpitations puʻuwai, hoʻonui ʻia i ka ate, a ulu nā hana ʻole. ʻO ke wikiō ma kēia ʻatikala e kamaʻilio e pili ana i ka maʻi diabetes i nā keiki.