ʻO ke kumukūʻai glucose koko i nā keiki i ka wā o ka makahiki

Hiki i nā ʻōnaehana biochemical āpau i ke kino ke hele wale me kahi kūlohelohe kūloko, ʻo ia hoʻi, me nā ʻōnaehana paʻa o ka pā ʻana o ke kino, ke koko osmotic, ka pae ʻana o ka acid-base, ka pae glucose a me nā mea ʻē aʻe. Hoʻinoʻa ka hōʻahewa ʻana o nā ʻāpana me ka hoʻokuʻu ʻana o nā kaʻina pili a hiki i ka hoʻokuʻu ʻana i nā hana koʻikoʻi i ke kino.

ʻO ka hana o ka glucose i ke kino

Kūkulu - kahi hōʻailona o ka metabolism i loko o ke kino

ʻO ka Glucose ke kumu nui o ka ikehu o nā pūleo. Hoʻokomo ʻia nā ʻōnaehana hoʻopili pili i ka mālama pono ʻana i kona pae mau.

Loaʻa ke kino i ka glucose mai nā meaʻai i loaʻa ka ʻai. Ma ka ʻāpana o ka hana, hoʻoneʻe a ka ʻenemi i nā polysaccharides paʻakikī i kahi monosaccharide maʻalahi - glucose.

Ma muli o ke kaohi o ka hana o ka metabolism, hana ʻia ka adenosine triphosphoric acid mai ka glucose, ka mea e hoʻohana ʻia e nā pūlima a me ka ikehu. ʻAʻole loli ka hapa o ka glucose i ka ikehu, akā ua hoʻohuihui ʻia i ka glycogen a waiho i loko o nā musika a me ka puʻuwai. Hoʻokomo ka Glycogen i loko o ka mālama i ka mālama ʻana i nā pae glucose koko.

Hoʻokomo ʻia ʻo Glycogen i loko o nā ʻĀina e kona e mālama ai i ka ikehu.

No ka mea ʻole o ka glucose, no laila, me ka ʻole o ka nui o ka pūnaehana, ʻaʻole hiki ke ola, a i ka wā o ka hoʻomohala ʻana, ua hoʻomohala nā ʻano hoʻomana no ka hana ʻana i ka glucose i nā momona a me nā protein. Ua kapa ʻia kēia hôkona he gluconeogenesis a hoʻomaka i ka wā hookeai.

Hoʻohālikelike ʻia ka ʻōhū o ka glucose ma kekahi mau.

1. ʻO ke ʻano ʻokoʻa a me ke ʻano kūpono o nā huahana i hoʻohana ʻia.
2. ʻO ka hana ʻana o ka pancreas e ka anabolic hormone insulin.
3. Synthesis o catabolic contra-hormonal hormones: glucagon, adrenaline, glucocorticoids.
4. ʻO ka pākaha o ke kaʻa a me nā hana noʻonoʻo.

Hiki i nā ʻike hou aku e pili ana i ka maʻi maʻi i ka wikiō:

Inā he nui ka nui o ka mau kaola i loko o ke kino, no ka mea, he kiʻekiʻe ka glycemic index (ʻo ka glycemic index ka wikiwiki me ka mea e hoʻonui ai ka meaʻai i ke ʻano o ka glucose i loko o ke koko), a ʻaʻole lilo ke kanaka i kēia ikehu e hana ai i nā hana kino, ikaika ka hana noʻonoʻo i kekahi hapa o ka glucose i loko o ka momona.

Inā kuleana ka insulin i ka hōʻoia ʻana e ʻaʻole ka piʻi o ka glucose i waho o ka laulā maʻamau, a laila aia kekahi mau hormones e pale i ka hoʻokaʻina o ke koko mai ka emi ʻana o ka haʻahaʻa. ʻO ia nā glucagon (pancreatic hormone), cortisol, adrenaline, glucocorticoids (i hana ʻia i nā kelepa adrenal). Hoʻokomo pololei ka Glucagon a me ka adrenaline i nā ʻāpana lik, aʻo kahi hapa o ka glycogen decomposes a komo i ke kahe koko. Hāʻawi ka Glucocorticoids i ke synthes o ka glucose i ka pōʻai o ka gluconeogenesis mai nā waikawa amino.

Nā huapau

Hōʻike glucose koko

Hoʻoholo ʻia ka nui o ka glucose i nā ʻano he nui:

1. Hoʻololi i ke koko loea.
2. Hoʻololi i ke koko.

Me kahi hoʻonui a emi paha i nā hōʻailona no ka maʻi maʻi, ua hana ʻia nā haʻawina hou:

• Hoʻololi hoʻokolohua Glucose. Ana ke aniani i ka momona o ka wikiwiki a 2 mau hola ma hope o ka lawe ʻana i kahi hopena hoʻokaʻa saturated.
• E hoʻoholo i ka pae hemoglobin glycated. Hōʻike i ka palena koko koko ma mua o 3 mau mahina ma mua.
• ʻ profilelelo likilika. ʻIke ʻia o ka glucose 4 mau manawa i ka lā.

Nui nā mea e paipai i ka pae o ka glucose, no laila, e nānā pono nā lula no ka hāʻawi ʻana i ka loiloi e kiʻi i nā hopena pono:

1. Hana ʻia ke ʻano ma ka ʻōpū ʻole. ʻO ka ʻai hope loa i ʻole ma mua o 8-10 mau hola ma mua o ke kaʻina hana.
2. I ke kakahiaka, ma mua o ka lawe ʻana i ka hoʻokolohua, kāpīpī i ka hōʻoki ʻana i kou mau niho (aia paha he gula i loko o ka niho niho).
3. Me ka hopohopo a me ka makaʻu o ka kaʻina hana, hōʻoia hou i ke keiki.
4. Hoʻololi ka psycho-emotional excitability a me ka hana kino i ka hoʻokuʻu ʻana o adrenaline - kahi contra-hormonal hormone e hiki ke hoʻonui i ka glucose koko.

Lawe ʻia ke koko capillary ma lalo o nā kūlana aseptic. Hoʻopilikia ʻia ka hoʻopili ʻana penei: ke mālama ʻia ka ʻili me kahi ʻeleʻele a me ka kahi disinfecting solution, kahi huila scarifier weliweli e hoʻomaʻemaʻe i ka phalanx hope o ka manamana lima. Pono e ʻike ʻia kahi pūnāwai o ke koko, ʻaʻole hiki iā ʻoe ke pipiʻi i kou manamana lima, no ka mea ua hui pū ʻia ka wai o interstitial me ke koko a e hoʻihoʻi ʻia ka hopena o ka hōʻike.

Loaʻa ke koko Venous e ka puncture o ka ulnar vein. Pono ke kahu e lawelawe nei i ke kaʻina hana e hoʻohana i nā kūlima kūlima. ʻO ka mālama ʻana i ka ʻili o ka ʻāʻī me kahi hoʻonā disinfectant, koi ʻia ka nui o ke koko me ka ʻwi silee sterile. Hoʻonohonoho ʻia ka pūnaewele injection me kahi napkin manuahi me ka disinfectant solution, e kūlou ana ka lima ma ke kuā a hiki i ke oki ʻole ke koko.

Hoka ka nui o ke koko i nā keiki ma o ka makahiki

Kūkākūkā - kahi mea hana no ke ana ʻana i ka glucose koko

I ka makahiki mua o ke ola, e ʻai nui ke keiki i ka waiū. Loaʻa i nā pēpē kaʻai pinepine - i kēlā me kēia mau hola 2-3 - e hāʻawi pinepine ʻia ka glucose i mea e uhi pono i nā pono o ke kino, ʻaʻohe pono no ke kāpili ʻana i ka nui o ka glycogen.

Loaʻa ka poʻe kula kula i ka hypoglycemia. Nui ka hoʻonui ʻia o kā lākou metabolism, ke hoʻohālikelike ʻia me nā pākeke, nā kīhāpai o ka hoʻoponopono ʻana o nā mea hoʻoliʻoliʻoliʻu i ka metabolism, he kīʻaha liʻiliʻi o ka glycogen - pau kēia i ka hoʻohaʻahaʻa i ka glucose o ke koko i nā keiki. Ma ka makahiki 7, loaʻa nā keiki i ka glucose o like me nā pākeke.

Nā huila o ke koko:

• I nā pēpē piha piha - 1.7 - 2.8 mmol / l
• Pihi nui: 1.1 - 2.5 mmol / L
• I kahi makahiki - 2.8 - 4.0 mmol / l
• Mai ka 2 a i ka 5 makahiki: 3.3 a ka 5.0 mmol / L
• Ma kahi 6 makahiki: 3.3 - 5.5 mmol / L

Nā kumu kumu o ke koko kiʻekiʻe o nā koko

ʻO ka maʻamau maʻamau, kahi hōʻike no ka hōʻike glucose mana no ka hoʻomohala ʻana i ka maʻi diabetes.

ʻO nā hiʻohiʻona physiological a me ka pathological ke kumu i ka ulu o ka glucose. Aia ke kumu

1. Naʻi maʻi mellitus. Hiki i nā keiki ke kūkulu i ka maʻi diabetes type 1 a i ʻole. ʻO ka maʻi diabetes ka 1 ka mea i hilinaʻi ʻia i nā insulin, na ke kumu pono o ka insulin i ka pancreas. ʻO ka maʻi diabetes type 2 - ʻaʻole i hilinaʻi ʻole i ka insulin, i ka kiʻekiʻe o ke kiʻekiʻe o ka insulin i ke koko, akā lilo nā mea i make i ke ʻano o kāna hana - kū i ke kūlaʻi ʻana o insulin.
2. Nā maʻi Endocrine. Me nā maʻi like ʻole o ka momona thyroid, pituitary, a me nā kūloko adrenal, ke hoʻopau nei i ka uluʻana o nā hormones i hoʻopili i ka metabolismo.
3. ʻO ka maʻi metabolic. Me ka metabolic syndrome, me kahi hui o ka pale ʻana o ka insulin a me ka momona, ua hoʻopilikia ʻia nā ʻano āpau āpau.
4. ʻO ka hopena o ka lāʻau lōʻihi (glucocorticoids). I kekahi mau maʻi koʻikoʻi (autoimmune, allergic), nā lāʻau lapaʻau glucocorticoid i kuhikuhi ʻia no nā keiki. ʻO kekahi o nā hopena hopena o kēia pūʻulu o ka hormone e hoʻonui i nā pae glucose ma o ka hoʻoulu ʻana i ka wāwahi o ka glycogen.
5. Hoʻokumu o nā pancreas. Hoʻonui ka hoʻonui ʻana i ke kōpaʻa koko me ka ulu ʻana o ka ulu ma ka wahi o nā kōpaʻa alpha pancreatic e hana ana i ka glucagon.

ʻO nā kumu no ka hoʻohaʻahaʻa i ka glucose koko

Ua haʻahaʻa haʻahaʻa kāu koko? Ke ʻimi nei mākou i kahi kumu

ʻAʻole hiki ke nānā ʻia ke kōnohi haʻahaʻa haʻahaʻa, no ka mea e hiki ai ke hōʻike i kahi maʻi koʻikoʻi.

• Loaʻa i ka makuahine a me ka ʻōpio kekahi ʻōnaehana holo hoʻokahi. Inā maʻi ka makuahine i ka maʻi maʻi, ʻo ka pēpē i ke koko koko a me nā kiʻekiʻe o ka insulin i ka makuahine. He mea weliweli loa ia e hoʻohaʻahaʻa i nā pae o ka glucose i ka manawa ma hope o ka hānau ʻana; ʻo nā ʻōpili o ka lolo e hana wale ana ma ke alo o ka maʻi ʻaʻai, ʻo ka mea mua.
• ʻO Glycogenosis - nā maʻi congenital i hōʻike ʻia e ka synta o ke ʻano a me ka wāwahi o ka glycogen. I loko o nā pūpū, ate, myocardium, Central nerve system and other organ organ, glycogen accumulates. ʻAʻole pili kēia glycogen i ka hoʻoponopono ʻana o ke kō koko.
• I nā pēpē nui maoli, ʻaʻole i kūkulu ʻia nā hana o ka homeostasis - e mālama nei i kahi kaila kūloko. I kēlā mau keiki, pono e nānā pono i ka pae o ka glucose, i mea e pale ai i nā hoʻopiʻi hou aʻe i ke ʻano o nā mea i hopu ai a he lohi a ʻaʻole paha i hoʻopilikia ʻia nā psychomotor i hoʻomaʻamaʻa ʻia.
• ʻO nā pathologies congenital o ka launa waena o nā hanana, a me ka nui o ka hypothalamus a me ka kelima pituitary, e uhaʻi i ka hopena neurohumoral o kēia mau ʻōnaehana ma nā lula endocrine peripheral (kelepula thyroid, nā kelepaʻi adrenal, pancreas).
• ʻO Insulinoma kahi huaʻai pancreatic benign e waiho ana ma ka wahi o nā cell beta e hana ana i ka insulin. Hoʻonui ikaika ka hana ʻana a me ka hoʻohaʻahaʻa ʻana.
• Nā maʻi ʻehaʻeha e hōʻeha ʻia me ka hoʻopōʻino ʻana i ka pale o ka wai-electrolyte (ka luaʻi, ka ʻōlelo hoʻomaʻamaʻa). Hoʻopilikia wale nā ​​maʻi i ka hana detoxification o ke ake - nā maʻi ketone e hōʻuluʻulu i loko o ke koko a me ka paʻi. Hoʻopilikia ka pololi cell ma muli o ka nele o ka glucose.

I ka maʻi mellitus, ʻoi aku ka maikaʻi o ka helu ʻana i nā lāʻau no ka hoʻohaʻahaʻa i ke kō. Me kahi papa lāʻau keu, hiki i kahi comog hypoglycemic coma, a he kūlana ola kēia.

Pono e hoʻomaopopo ʻia o ka ʻike ʻana i ke kiʻekiʻe o ka haʻahaʻa kiʻekiʻe a haʻahaʻa paha i nā hoʻokahe koko, ʻaʻole ia ka manaʻo o ka pathology. Nui nā kumu e pili ana i ka pololei o ka hoʻopili ʻana: kahi maʻi hou, ke ʻano ʻoluʻolu o ke keiki i ka wā o ke kaʻina hana (uē, ʻuwē). No ka ʻike pololei ʻana, ʻo ka ʻoihana, mālama ʻia nā haʻawina loiloi, no ka mea ke ʻano o nā hoʻololi ʻana i ke kō koko koko he hōʻailona ka nui o nā maʻi like ʻole, a hiki wale i ke kauka loea i hiki ke hoʻomaopopo i kēia.