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 ke loaʻa mai nei - he maʻi diabetes type II. ʻOi loa ka pae o ka insulin i ke ʻano maʻi maʻi mua, he ala maikaʻi wale nō e mālama ai i ke kaulike.

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 hiki i 11 mau makahiki, he mau maʻi maʻamau nā keiki 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 kinikoli, kahi e oi aku i nā mea pono o ka pākeke.

ʻO ka manaʻo i hoʻomohala a me ka hau i ka ʻai nui i ka nui o ka hoʻomohala ʻana i ka maʻi maʻi. ʻO kahi pēpē olakino a mālie e maʻalahi e hoʻāliʻomo i nā momona 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 i nā maʻi maʻi ke hoʻonāukiuki i nā maʻi viral a me ka laʻalapa, rubella, a me nā puʻupuʻu 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 keola olakino olakino, hiki ke hōʻemi ʻia ka hoʻomohala ʻia o nā maʻi concomitant.

Nā mea hoʻonāukiuki i ka maʻi ʻōpiopio:

• ʻĀpilima. ʻO kahi keiki i loaʻa ka maʻi maʻi o nā mākua he pilikia no ka hoʻoilina i kahi 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 hana o ke maʻi e like me kēia: nā huina pale ā ke komo i nā loko o Langerhans i loko o ka pancreas a pāpaʻi ʻia iā lākou. ʻAʻole maopopo i nā kumu kumu o ka ʻikepili auto, akā ua luku ʻia nā mea hoʻoliʻili e hōʻoli ai 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 diabetes type type 1, adrenal a me nā thyroid pathologies ma ke ala, kahi e hōʻike ai i ke ʻano ʻōnaehana.

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, ʻoi loa mai loko mai o ka glucose, a no ka pūnao a me nā lolo a ʻo ia wale nō ka "wahie". Hoʻokumu ʻia ka Insulin i ka wā e “aʻo” mai ka glucose mai nā meaʻai momona. Ma lalo o ka hana o ka insulin, e waiho ana nā membrane i ka glucose. Ina i nele, e hoopilikiaia keia hana, a e nalo ana na aena.

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 ʻōkuhi aʻomaʻomaʻo:

• 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 mālamaʻana o ka ʻili a me nā pilikia dermatological ʻē aʻe, no ka laʻana, 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 maloʻo
• Hoʻopili i nā hanu hohonu a me nā ʻōlelo hoʻoikaika ikaika
• Pahu mai 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 ka manawa kūpono loa i hiki ʻole ke kamaʻilio 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
• ʻO nā māka maloʻo maloʻo e hōkū
• Pākuʻi ʻia i ka hiehina ma ka papahele, papa ʻaina a i ʻole nā ​​papa ʻē aʻe e waiho ai i nā wahi poki
• I loko o nā hōʻike ākea i nā pēpē, hoʻomaka kino ka wā a me ka dehydration

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.

• ʻO ka laulā a me ka pale ʻole,
• Lethargy, ka 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 ʻōpio

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 paha. 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 pākōkī huahuʻi ʻole, ʻaʻole i hele ʻia ka hypoglycemia e ka nāwaliwali a me ka hoʻokuʻi ʻana,
• Mai ke kau manawa, aia kekahi makemake mau e ʻai i kahi mea momona,
• Hoʻomaʻa pinepine ka ʻili i ka ʻili - ʻo ka ʻolima a me ka bale, ʻaʻole hiki ke mālama ʻia me nā ala i manaʻo ʻia no kēia.
• 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 ʻokoʻa a me ke 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, insulin, a me nā ʻano like i ke ʻano maʻi diabetes II, 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, hoʻoneʻe i ka metabolism a hoʻokele i ka insulin.

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

• Inine hoʻōla. Aia i kēlā me kēia ʻano, pono e hoʻokele ʻia 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 kahi 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 lilo ka ʻohana a me ke keiki i ka mea maoli e pono ke ana i ka ʻai koko, ke hōʻila i ka insulin, e mālama i kahi diary, a hopohopo 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 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

Hoʻolaha ʻē aʻe nā hopena i nā inikini insulin no ka maʻi type i maʻa ʻia. ʻAʻole kūpono nā penikala ma muli o nā enzymes e luku ai i ka insulin i 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. E 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 ʻai haʻahaʻa, mai hoʻohana i nā syringes pen, no ka mea e hoʻomoʻa 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 pohā ʻia ma lalo o ka ʻili o 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 manaʻo ai e hoʻoili ai ka pēpē i kahi predisposition no ka maʻi diabetes, e hoʻāʻo e hoʻolōʻihi i ka manawa o ka umauma i ka liʻiliʻi o 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 pū o nā bela 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 maʻamau o ka glucose i ke koko, a pale i nā hoʻopiʻi ʻana a loaʻa i ke kala paʻa ʻana.

ʻO nā kīʻaha haʻahaʻa haʻahaʻa no nā keiki me ka maʻi diabetes type 1 hiki ke hōʻemi i ka waiola i ka insulin i nā manawa pinepine. 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 kēlā meaʻai kīkē, lele ka hemoglobin i hiki mai, he mea 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, i kumu ʻole. 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 ka maʻi maʻi, akā he ala o ke ola. ʻO ka prognosis no nā keiki me ka maʻi type 1 ka maikaʻi loa, pono ka nānā ʻana i ka meaʻai a me ka injecting insulin e hiki ʻole ke hōʻeha i ka papa maʻamau o ke ola.