ʻO ka hypoglycemia i loko o nā keiki he maʻi maʻi e neʻe ai ka ʻike o ka glucose i ke koko ma lalo o 4 mmol / L. Hoʻokumu ʻia ia ma ka pane ʻana i ke kaumaha a i ʻole nā hoʻololi ʻē aʻe ma ke ʻano o waho. Hiki i ka hypoglycemia i nā keiki e maʻi ana i ka maʻi type 1, akā ma nā hihia lohi kekahi i hōʻike pū ʻia me ka lua.

ʻO ka pinepine, kūkulu ia i ka wā e lawe ana i ka sulfonylurea. ʻO ka ʻai ʻai pono ʻole a ke ʻole kūpono ʻole, ke kaumaha a me ka noʻonoʻo ʻana, a me ka hewa hewa o ka insulin hiki nō hoʻi i kahi hopena like. Me ka lōʻihi o ka mālama ʻana i ka mālama lapaʻau, hypoglycemia alakaʻi i ka nalowale o ka ʻike a me ka coma.

He maʻi maʻi Hypoglycemia koʻikoʻi nā kumu no kona hoʻomohala ʻana.

Manaʻo nā mea hōʻike e hiki ke hoʻopilikia i kona helehelena:

Predisposition genetic
ʻOlogylelo i ka lolo
Palaka ʻaʻai
Hoʻohana nui loa
Nā maʻi ʻōnaehana endocrine
ʻO ka pīpī nui,
ʻO nā maʻi ma ka hopena
Nā hewa hewa o ka inulin,
Nā lepili o ka wahī,
Nā ʻōhua hānau.

ʻO ka paʻakikī pinepine ia e hōʻoia i ka hypoglycemia i kahi keiki. I ka manawa pinepine, hiki i kēia ʻano ke hopu ʻia e nā hopena o kahi hōʻike koko. He mea nui ia e nānā pono ai i nā hoʻololi i ke ʻano o kāu keiki, a me ka ʻai ʻana. Pono e mālama pono i ka mālama ʻokoʻa i ka hoʻokaʻawale o ka glucose. Hiki ke hoʻomaopopo ʻia ka hypoglycemia e nā hōʻailona aʻe:

Hoʻonui kaho
Hōʻike ka makaʻu a me ka makaʻu
ʻO ka manaʻo mau o ka pōloli
ʻOluʻolu a me ka huhū,
Shaky gait, pūnāwai hoʻokūkū,
ʻO ka hiamoe a me ka luhi,
ʻO ka luhi a me nā āpau
Ke kuhihewa o ka olelo.

Nā Manuia

Hiki i nā hypoglycemia i nā keiki ke ʻano ʻelua: me ka acidosis a me ka leucine. He ʻokoʻa lākou i ka hoʻokana o ka hoʻolālā, nā hōʻailona a me ke ʻano o ka mālama ʻana. Me ka hypoglycemia me ka acidosis, ka acetone, a i nā kino ketone paha, e hua ʻia i loko o ke kino o ke keiki. ʻO kēlā mau hōʻemi i loko o ke kino e ʻike ʻia e ke ʻano o kahi ʻakano ʻano kūlike mai ka waha. Pono ke hypoglycemia me ka acidosis i ka hana koke, no ka mea, he pōpilikia nui nā kino ketone no ka hana ʻana o nā mea pīpī: ua luku lākou ia lākou, ka hopena o nā hōʻeha kaumaha.

Hoʻokumu ka coma leucine e kū i ke kua o ka intolerance i ka waikawa amino leucine, ka mea i hoʻokumu ai i ka ʻōmaʻomaʻo. Hoʻohālikelike ia ma hope o ka ʻai ʻana i ka nui o nā meaʻai protein. I mea e pale ai i nā hoʻouka like ʻana i ka wā e hiki mai ana, ka momona momona, nā huahana pā, ka hua, ka paleka, ka iʻa a me nā iʻa i haʻalele ʻia i ka meaʻai. He mea nui loa ia e koho i nā meaʻai kūpono, e hoʻopau ana i ka hōʻeha o ka ulu ʻana i ka hypoglycemia i ke keiki maʻi maʻi.

Nā lāʻau lapaʻau

Inā ʻike ʻoe i nā hōʻailona mua o ka hoʻomohala ʻana i ka hypoglycemia i kāu keiki, pono koke ʻoe e hoʻopili i kāu kauka.

E hoʻouna ʻo ia iā ʻoe i kahi hōʻike diagnostic hoʻomau, kahi e hana ai ʻo ia i kahi maʻi kūpono.

Mālama kēia iā ʻoe e koho i ke ʻano lapaʻau ākea ākea a paʻakikī. Inā ua hopohopo ʻo ka hypoglycemia iā ʻoe ma ka pīhoihoi, pono ʻoe e hana i nā mea a pau e hiki ai ke hoʻonui i ke kaena o kou koko. No kēia, hiki i ke keiki ke hāʻawi ʻia i nā momi momona, kaʻaila, ka meli, kahi hapa o ka berena. He mea nui ia e like me ka ʻoluʻolu o kēlā me kēia kīleʻa i ke pēke o ke keiki inā he ʻano kū mai kēlā.

Inā he hypoglycemia kāu keiki, pono ʻoe e kiaʻi mau i ka glucose koko. Pono lākou e hoʻokō i 2 mau manawa i ka lā: ma ke kakahiaka ma ka ʻōpū ʻole a ma hope o ka ʻaina. E nānā pū i ke koʻikoʻi o ke kō inā e hoʻopiʻi kāu keiki i ke olakino maikaʻi. Inā ʻaʻole hiki iā ia ke ho'ōki i ka malaise ma ka home, pono ia e kāhea i kahi ambulance. Hiki i ke lohi ke alakaʻi i ka ulu ʻana o ka comog hypoglycemic, e lawe mau mai i nā hopena maikaʻi ʻole no ke kino. ʻO kahi keiki me nā maʻi like ʻole e inu maʻamau i ka immunomodulators a me nā antibiotics.

ʻO nā mea mālama palekana

ʻO ka liʻiliʻi i kaʻaha e loaʻa ai nā bout o ka hypoglycemia, pono ke ʻai aʻai a paleni ke keiki. ʻOi aku ka maikaʻi e nīnau aku i kahi loea i hiki i ka mea kūpono loa i ka ʻai nui. E hoʻāʻo pū e aʻo i kāu keiki e hahai i kēia mau kulekele:

ʻAi maʻa pinepine, mai hele i kahi kī ʻai hoʻokahi,
E hoʻolōʻihi i ka insulin a ma kahi hāmeʻa i hōʻike ʻia,
E ʻai mau ma hope o ka insulin
E hoʻoponopono i ka nui o nā meaʻai i hoʻopau ʻia a me ke ʻano o ka insulin i pale ʻia,
ʻAi i nā hua he nui, sīkī, a me ka berena i mea e hiki ai ke kōkua i ka hoʻomaopopo i ke kō o kāu koko,
E hoʻonui i ka dosis o ka insulin ma mua o ka hoʻokō ʻana,
E lawe mau i kahi mea nani iā ʻoe.

Eia naʻe, hiki iā ʻoe ke pale i kona hoʻomohala inā e hahai ʻoe i nā ʻōlelo a ke kauka a pau. Hana pinepine ʻoe i nā hoʻokolohua e ka endocrinologist e hana i nā hoʻololi i kūpono i ke ʻoihana o ka hypoglycemia i loko o kahi keiki.

Hypoglycemia

ʻO ka hypoglycemia ke kūlana o ke kino, ka mea i hoʻokaʻawale i ka pae glucose i loko o ke koko i kēlā mau kuhikuhi, kahi, ka mea mua, ka mua o nā pūpuna o ka lolo a me ke kino holoʻokoʻa i ka pōloli ma muli o ka lawa ʻole o ka glucose. Hōʻole kēia i kā lākou mau hana, ka mea i hōʻike ʻia e nā ʻano maʻi like ʻole.

ʻO ka hypoglycemia ʻoiaʻiʻo a wahaheʻe (ʻaʻole i emi iki ka weliweli). Me ka hypoglycemia wahaheʻe, hiki i ke kōpaʻa koko ke ʻano maʻamau a hoʻokiʻekiʻe paha. Hoʻohālikelike ʻia kēia me ka hoʻohaʻahaʻa wikiwiki o ka nui o ke kō koko koko mai nā kumu waiwai nui a i ke kumu haʻahaʻa, no ka laʻana, mai 20-25 a 10-15 10-15 mmol / L.

Hōʻoia ka hypoglycemia maoli e nā hōʻailona o ke kō o ke koko ma lalo o 3.3 mmol / L, no laila hiki ke kūʻē ʻia he hypoglycemia ke ʻano o ke ʻano o ke kino i ka hāʻule wikiwiki o ke kō koko koko ma lalo o nā waiwai maʻamau. Ke hoʻohemo ʻia nei ke kō o ke koko, kaomi ʻana o ke kūmole i ka glycogen, me ka hana a ka insulin. A laila, ke hoʻopili ʻia kekahi mau mea e hiki ai i ke kino ke hoʻopili hou i nā ʻano kākela, no laila e hoʻohaʻahaʻa ʻia ka naʻau ʻike ʻole me ka mālama kūpono. Eia naʻe, ʻaʻole kēia ka manaʻo e mālama ʻia ka hypoglycemia, no ka mea no nā mea āpau a me nā ʻōpala, keu no ka lolo, kahi makewai i loko, kahi i hōʻike ʻia i kahi kiʻi ʻano hoʻohālike.

ʻO nā hōʻailona o ka hypoglycemia

Me ka hypoglycemia, kahi kūlana hypoglycemic a me kahi comog hypoglycemic. ʻAʻole hele mau nā hōʻailona o ka maʻi. ʻO kekahi manawa, hiki koke, he hōʻike kupanaha o ka hypoglycemia, hoʻokūkū a i ʻole kekahi ʻano hopena o ka maʻi psychotic.

ʻO nā hōʻailona o ka hoʻomaka mua o ka hypoglycemia ka pōloli nui, nā haʻalulu lima a me nā maʻi autonomic e like me ka hoʻolalelale ʻana, ka hōʻeha ʻana o ka ʻōpū, ka palupalu nui, nā palpitations, ke kumu o ka huhū, ka huhū a me ka makaʻu. Me ka wehe ʻole ʻana o kēia mau hōʻailona i ke kōkua o nā huahana meaʻai, kahi e hoʻopili koke ai nā paʻikina i ke ola, aia kekahi mau hōʻailona e hōʻailona ana i kēia ʻano. I waena o lākou, hiki i kekahi ke hoʻokaʻawale i nā mea e like me ka haʻalulu o ke kino, ka hoʻoheheʻe ʻana o nā waiwai profuse, ʻelua ʻike, ka maka paʻa a me ka hemiplegia.

Hōʻano ʻia ka hypoglycemia e nā hōʻailona o ka hopena o ka noʻonoʻo, ʻo ia hoʻi ka hoʻohālikelike, kahi kūlana hoihoi, ka hiki ʻole ke holo a puni, a i kekahi manawa hallucinations. Hōʻa pinepine pinepine ʻia kēia mau hōʻailona no ka hoʻohālikelike ʻana, ma muli o ka ʻona inu, a me ka hysteria paha. Inā ʻaʻole i hoʻopau ʻia ke kūlana hypoglycemic i kēia manawa, ʻike ʻia nā hōʻuluʻulu ʻana o kekahi mau ʻōpū o ke ʻano, no ka mea, ke alo alo, a me ka hopohopo e neʻe hou aku ana, e hāmama ana me hoʻokahi a ʻelua mau ʻaoʻao o ka Babinsky helehelena, kūloko clonic a me tonic e hoʻonāukiuki i ka epilepsy dimming o ka ike a laila hele mai koma.

ʻO kahi hōʻailona o ka hypoglycemia kahi hoʻololi i ka ʻōnaehana cardiovascular, ka mea i hōʻike ʻia ai i ka hoʻemi ʻana i ke koko, ke ʻano o ka hoʻonui ʻia ʻana o ka puʻuwai, nā arrhythmias ma ke ʻano o ka puʻuwai naʻau kupaianaha, ʻoi aku ka haʻahaʻa o ka naʻau haʻahaʻa, sinus arrhythmia. A ma kahi o ka ECG, ke kau nei o ke kaumaha o ka mahele S-T, a ua hoʻemi ka nui o ka neʻe T. I nā mea maʻi me ka maʻi puʻukui coronary, me ka nui o ka hoʻēmi ʻana o ke kō koko koko, ʻike ʻia nā hoʻouka kaua ʻana. ʻO ka leukocytosis minorole a me ka lymphocytosis, a i kekahi manawa leukopenia, loaʻa i ke koko.

I ka hoʻohālikelike ʻana o ka maʻi mellitus o ka maʻi mellitus, he hypoglycemia nā waiwai maikaʻi ʻole o ke kō i loko o ka urine a me ka hopena i ka acetone. Akā hōʻano ʻia ka hypoglycemia o ka maʻi decompensated e ka hoʻonui i nā hormones e like me ka glucocorticoids, STH, catecholamines a me ACTH, e kōkua ana i ka hoʻomoʻoneo o ka ketoacidosis a me ka acetone i ka urine.

ʻO kekahi hōʻailona kekahi o ka hypoglycemia he hypoglycemic coma, ka mea i hōʻike ʻia e ka ʻoluʻolu, ka hau i ka ʻāʻī, pallor o ka maka, hoʻonui ʻia aku, kaniʻuhū, piʻi i nā tendon reflexes a me nā mākau. Hoʻemi ʻia ka neʻe koko lahilahi, inā paha, hoʻomaloʻo nā haumāna, i ka leo maʻamau a i ʻole ka liʻiliʻi, ua hōʻailona ʻia nā hōʻailona noʻonoʻo me ka hanana delusional. Hoʻolaha loa ka nui o ke kōpaʻa koko a ʻaʻohe acetone i loko o ka pāʻai. I kekahi manawa i nā haʻawina i ka hoʻomaka ʻana o ka maʻi, hiki ke ʻike ʻia kahi kōpili liʻiliʻi i loko o ka pāʻai o ka nui o 1%. A hōʻike i nā hoʻokolohua hōʻoia hou ma hope o 30 mau minuke i kahi pane maikaʻi me ka urinary sediment i loli ʻia.

Diet no ka hypoglycemia

Ke manaʻoʻiʻo ia ma hope o ka ʻai ʻana, ua hoʻopilikia maikaʻi ʻia ka hypoglycemia e ka pau ʻole o ke kōlea o ka ʻai i ka meaʻai. ʻOiai ke kū ʻole ʻia nā hana o kēlā me ke kāohi i ka meaʻai. Eia nō naʻe, inā nānā ʻia mai ka ʻike o ka physiology, hiki i kēia ala ke loaʻa nā hopena maikaʻi, no ka mea ua ulu ka hoʻoulu hypoglycemia, ma ke ʻano he kānāwai, ma hope o ka ʻai ʻana i nā meaʻai i piha i ka glucose.

Hiki i nā hana kaiʻai ke kōkua i ka hapa nui o nā maʻi, ʻoi aku ka wā mua o ka maʻi, e hōʻike ʻia ai nā lāʻau lapaʻau i nā hihia i loaʻa ʻole.

Aia kekahi hoʻopaʻapaʻa e pili ana i ka pilikia o ke kaupalena 'ana. Hoʻokahi ka māhele o nā mea kākau i kahi papaʻai me ka liʻiliʻi liʻiliʻi e pili ana i nā mea ʻala, e pili ana i hoʻokahi haneli grama. Akā lilo lākou i ke kumu o ka ketosis, hoʻomanawanui i ka hoʻohaʻahaʻa glucose a hōʻemi i ka haʻalele ʻana o nā waikawa amino ma hope o ka ʻai ʻana i ka protein. ʻOiai hikiʻole i nā mea olakino e pili pono ana i ka meaʻai like, me ka ukana nui o ka glucose, hiki iā ia ke lilo i hostages o hypoglycemia. No kēia kumu, ʻaʻole hiki ke hoʻokele piha ʻole i ka hoʻāʻo ʻana, no ka mea e hiki ai ke hoʻonāukiuki i nā ʻano o nā hōʻailona lapaʻau e like me ke hahai ʻole ʻia ka meaʻai. No laila, hoʻomaka ka hoʻomaʻamaʻa ʻana i nā palena iki o nā haʻuki kino mai ka 120 a i ka 150 g.

He mea koʻikoʻi loa ia e kaupalena ʻole ʻo ka nui o nā haʻalima, a ʻo ke ʻano o nā huahana aia kahi o ia mea. Pono kūpono e kāpae i nā gula maʻalahi. Pono e hoʻohana ʻia nā kālaiāmahu i ka starch i nā meaʻai e like me ka pasta, ka ʻai, nā ʻuala, ka palaoa, pono e hoʻopau ʻia a ʻekolu mau manawa i ka lā i nā wahi liʻiliʻi me ka helu like o nā snacks i ke ʻano o nā loea. Inā ʻaʻole hiki iā ʻoe ke lanakila i ka hoʻohana ʻana i kēia meaʻai, a laila e hoʻopili aku i nā kaila nui.

Ma kekahi mau hanana, ʻaʻole i loaʻa i ka ʻai nā hopena maikaʻi loa, a i kekahi manawa ke ʻinoʻino nei i nā hōʻailona o ka hypoglycemia, ʻo ia ke kumu i ka kānalua o ka kauka e pili ana i ka wikiwiki hypoglycemia a i ʻole, ma ka mea maʻamau, e kamaʻilio e pili ana i ka waiho ʻole ʻana o kēia maʻi me nā hoʻopiʻi like ʻole o ka mea maʻi. Me ka hana ʻole o ka meaʻai ma ka hoʻopaʻa ʻana i nā kōkoli a me ka haʻalele ʻana i ka hopena hypoglycemic, ua hoʻonā ʻia ke ʻano o ka lāʻau lapaʻau.

Ma ke kānāwai, me ka ha maʻi hypoglycemia, ʻōlelo ʻia ke kīnā 9. I kēia hihia, hoʻokumu i nā kūlana i hana i ka hoʻokaʻawale ʻana o nā paule o nā pale ma ke kino. Mākaukau nā ʻaila mai kekahi mau meaʻai, aia kahi liʻiliʻi o nā meaola a me nā ʻolo. ʻO ka meli, ka meli a me nā ʻoni, a me nā ʻano lepe a me ka hoʻopili ʻana, ʻaʻole pono e pau. Hoʻohana ʻia kēia mau huahana e ho'ōki i ka hoʻouka ʻana o hypoglycemia, aiʻole e like me kahi makana i mua o ka hoʻoikaika kino koʻikoʻi.

ʻO kahi hiʻohiʻona o ka meaʻai no hypoglycemia ka mea pono e mālama i kahi diary i kēlā me kēia lā me ka helu ʻana o ka nui o nā momona, nā kāmeʻa a me nā protein i ka meaʻai. He mea nui hoʻi ia e kāohi i ka hoʻokumu ʻana o ka waihona kemana o nā kīʻaha.

Hoʻonui pinepine ka poʻe maʻi i ka maʻi mellitus no ka nui o ka ʻiʻo, a ke kau nei lākou i ka pōloli mau. No laila, ʻo nā mea maʻi me ke ʻano maʻi e pono ai e ʻai i nā kīʻaha e saturate ana i ka ʻōpū, loaʻa i loko o ka nui o ke aū, akā, me ka liʻiliʻi o ka calorie content, ʻo ia ka mea kanu.

ʻO ka papa kuhikuhi o ka meaʻai o kēlā me kēia lā no ka mālama ʻana i ka hypoglycemia i ka ma ka maʻi kōkuhi e komo pū me nā meaʻai e like me ka ʻeleʻele (240g) a i ʻole ʻaina keʻokeʻo (180g), mū (15g), ka aila hinu (10g), kāloti (200g) a i nā aila, nā ʻuala (200g) , ka pasta (20g), nā pōpoki (60g), ke kō (20g), ka hua manu (1 pc.), iʻa, iʻa, a i ʻole ka palaoa i ʻai ʻia. Ua hoʻololi ʻia ke kō i loaʻa ke kō.

Mālama ka huahana i nā kaila kulana maʻamau, akā e aʻo ʻia e kaupalena i ka hoʻohana ʻana i nā meaʻai a iʻa ʻole ʻia mai luna ʻole i ka meaʻai. Eia kekahi, pono e loaʻa i ke kino i ka nui o nā huaora, no nā hui B a me ka waikawa ascorbic. Pono ka ʻōpū a me ka maʻamau. Ma kahi kokoke o ka hapalua o ka meaʻai e hoʻokomo i nā palaka, a o kēia mau legumes, cereals, hua, grains, pasta. ʻO kaʻoiaʻiʻo, ʻoi aku ka maikaʻi o ka hāʻawi ʻana i ka makemake i nā meaʻai i momona ka momona, me ka hoʻomaikaʻi pinepine ʻana i ka nui o ka glucose i ke koko.

ʻO wai nā keiki i makemake i ka hypoglycemia?

I waena o nā pēpē hou, aia ka pūʻulu aia kahi o nā hypoglycemia i hoʻopaʻa pinepine ʻia. Aia i ka:

nā pēpē mua (ma mua o 32 mau hebedoma) a me nā pēpē me ke kaumaha o ke kino e emi iho ma mua o 1500 g,
nā pēpē i hānau ʻia i nā wahine me ka maʻi maʻi (ma kēia hihia, mālama ʻia ka pathology ma 90% o nā pēpē).
ʻO nā keiki ʻo Cesarean
nā mea hou i loko o ka ʻōpū i loaʻa i ka pōloli oxygen hāliʻiliʻi,
ka poʻe hānai umauma i ʻole e "hōʻailona" i makemake lākou e ʻai. Pono e hānai iā lākou me kahi lōlihi ʻaʻole iʻoi aʻe ma mua o 3 mau hola a kiaʻi i ka mahana o ke kino,
nā keiki hou i hiki ʻole ai i ka pale umauma. Pono ko lākou hānai ʻana e hala ma mua o 3 mau hola ma hope o ka hānau ʻana,
nā pēpē i hānau ʻia ma muli o ka hānau pathological hānau.

No ke aha i ulu ai ka hypoglycemia?

Hōʻike mau ʻia ka hypoglycemia i loko o nā keiki hou.

mea pili genetic. Ua hōʻino ka poino Gene i ka hōʻino i nā pona o ka pancreas, ma kahi o kāna e hoʻomaka ai i ke synthesize nui i nā insulin.
maʻi kōpū maʻi
ka heleʻana o hyperglycemia ma ka makuahine o ka pēpē.

I nā keiki ma lalo o 10 mau makahiki o ka makahiki, hypoglycemia hiki ke unmotivated.Holo pū me ka hoʻokaʻa o ka kōlani pili pū me ka hāhā lōʻihi i ka meaʻai, ke kino kiʻekiʻe, ke kaumaha a me ke kaumaha, i ʻole ka hoʻonaninani a me nā maʻi o nā ʻōnaehana.

ʻO kekahi kumu maʻamau maʻamau o ka maʻi diabetes a me ka ukaʻi o ka lūlū adrenal. Hoʻokomo pinepine nā keiki hilinaʻi-insulin i ka hypoglycemia. ʻO ke kumu o kona ulu ʻana he nui nui o ka inikini a i ʻole ka loaʻa ʻana o nā lāʻau lapaʻau hypoglycemic pololei. Hiki pū ka hypoglycemia i ke ʻano mellitus type 2 (i nā keiki i lawe i ka insulin a me nā mea i kuhikuhi ʻole ʻia). ʻO ke kumu, ʻoi aku ka nui o nā lāʻau antidiabetic, he kolohe i ka meaʻai, ke ʻano kiʻekiʻe o ke kino (a me ka hōʻole hope ʻana i ke neʻe), ka meaʻai kūpono ʻole (ke kaawale o nā huahana e loaʻa ana i nā kaola).

Pehea e hoʻomaha ai i ka maʻi hypoglycemic a hiki paha ke mālama i kahi keiki?

Inā he ʻeha kahi keiki o ka hypoglycemia, a laila e pono ai nā hana o ka wikiwiki. He aha kaʻu e hana ai? Inā maopopo ke kāne a ke kaikamahine a ʻānai paha, ʻoi aku ka maikaʻi o ka hāʻawi ʻana i nā papa glucose. Inā ʻaʻole lākou, a laila ka meli, nā ʻūpiki a i ʻole paha he miki o ke kō. Hiki iā ʻoe ke hoʻomākaukau i kahi hua ʻai glucose - no kēia, hoʻokahe ʻia kahi kōpana o ke kō i loko o 50 ml o ka wai. Hiki iā ʻoe ke hāʻawi i kāu wai wai a hāʻawi iā ia i kekahi mau kukuna moʻoau.

Inā nalowale ka ʻili o ke keiki, a laila e kāhea koke i kahi pūʻali ambulance. Hoʻohana ʻia ka hypoglycemia i kahi keiki hou i nā inikua glucose; ma nā hihia koʻikoʻi, ua kau ʻia ka glucagon a i ʻole hydrocortisone.

Nīnau pinepine nā mākua inā hiki ke hoʻōla ʻia ke keiki. ʻO kaʻoiaʻiʻo, ʻaʻole he maʻi ka hypoglycemia, akā he kūlana e pili ai me ka hana like ʻole o ke kino (ʻo ka manawa maʻamau ka hopena o ka endocrine). I mea e hōʻeuʻeu ai i ka hoʻouka ʻana, pono ia e mākaʻikaʻi i ka pae o ke kō, mālama (a inā pono e mālama pono) i ka puʻuwai a me ka ʻōpū.

ʻO kaʻai kūpono, ka umauma, ka mālama ʻana i nā glucose e hoʻohana ana i kahi glucometer, ka hana kino a me nā loina dosage ka mea e pale aku ai i ka hypoglycemia. No nā keiki maʻi maʻi, hoʻokahi nō kānāwai: pono mau lākou i ka ʻono, ke kō, a me nā lolo glucose i hui pū ʻia me lākou, e lawe pū ana i kahi leka me lākou e hōʻike nei he maʻi hānō a loaʻa paha ka hopena o ka hypoglycemia.

I nā keiki hou

ʻO nā kumu nui no ka hoʻomohala ʻana o ka hypoglycemia i nā keiki hou i kēia mau mea:

ʻO ka nele o nā ulu ulu, cortisol, glucagon a me ka tuitarism,
ʻO ka hoʻemi ʻana i ka naʻau o ka hormone adrenocorticotropic (ACTH),
Hoʻokumu ʻia ka Hyperinsulinism e Beckwith-Wiedemann syndrome,
ʻO ka Hyperplasia a i ʻole adenoma o nā sela endocrine, nā mokupuni o Langerhans, e kōkua ana i ka hoʻouka ʻana o nā hormones,
Necidioblastosis
ʻO nā pathologies e pili ana i ka hoʻopili ʻana i nā waikawa amino, ka helu pūpū o ka maʻi maple, tyrosinemia, propylonic a me methyl malonic acidemia,
ʻO ka hanaʻole o nā kaʻina o ka hopena o ka momona o nā momona momona,
Nā alahele o ka pūpū, galactosemia, ka nele o ka fructose-1,6-dysphophatase a i ʻole ka glycogen synthetase,
Hypothermia,
Intrauterine fetal malnnln,
Ka loaʻa ʻana o ka maʻi maʻi ma ka makuahine
ʻO ka hoʻohana waʻa i ka nui o nā glucose i mua o ka hānau keiki.
Hoʻohana ʻia e ka makuahine i ka wā e hāpai ana i ka hoʻomākaukau ʻana i nā hoʻomākaukau ʻana no ka insulin,
ʻO ka hopena o ka asphyxia mechanical o ka wahine hāpai i ka wā hānau,
Hōʻailona hānau mua.

ʻO ka hypoglycemia i loko o nā keiki hou i hānau ʻia ma muli o nā lāʻau i hoʻohana ʻia e ka makuahine i ka wā hāpai

ʻO nā manawa pinepine, ʻo kekahi o nā kumu no ka hoʻomohala ʻana o ka hypoglycemia i loko o nā pēpē hou, ʻo nā hana infectious i loaʻa i ka makuahine i ka wā hāpai.

Nā kumu no ka hooulu o ka hypoglycemia i nā keiki me ia nā mea maikaʻi ʻole:

Predisposition genetic
ʻO ka hopena o nā kūlana pathological i ka wā hāpai a me ka hānau ʻana. Hiki iā ia nā maʻi ʻelua o ka maʻi o ka makuahine, a me nā ʻōpiopio i ke kaʻina o ka hānau ʻana,
ʻO nā maʻi ma ka hopena
Loaʻa i nā waihona endocrine,
Hoʻohui nui ke kino,
Hōʻeha e ka naʻau noʻonoʻo,
Nā ʻōkuhi i ka hana o ka wahina,
Ka helu helu ʻana i nā dosis o ka insulin.

ʻO ke kumu no ka hoʻomohala ʻana o ka hypoglycemia i kahi keiki hiki pū i ka pōʻino.

Nā ʻano kikoʻī

ʻO kahi maʻi e like me ka hypoglycemia hiki ke helu koke ʻia e like me kekahi mau koi.

Ma ke ʻano o ka ulu ʻana, he hoʻoilina a i ʻole ʻae ʻia ka maʻi.
Ma ke ʻano o ka hopena, ke kau ʻia ma ka papa. Hiki i nā pathology ma kahi ʻōpū ʻole, a ma hope o ka ʻai ʻana.
Ma o uwe.

Eia nō naʻe, ka helu nui o ka hypoglycemia i nā keiki e like me ke ʻano o ka paʻakikī o kā lākou mau mea ola i nā enzyme a me nā waikona. E like me kēia loina, ua māhele ʻia ka maʻi i ka ketonemia a me ka hypoglycemia leucine.

I loko o nā pēpē a makua ʻole paha, ka ketotic hypoglycemia, a i ʻole acetonemia, e hele ana i ka haʻalele ʻole o nā enzyme o ke kanaka i hiki ke hoʻōla i nā momona. Ma muli o kēia, hana ʻia nā kino ketone i ke koko o ka mea maʻi, hiki iā ia ke hōʻoki i ka hoʻouka ʻana o nā ʻano ʻano like ʻole a me nā ʻōnaehana i ke kino.

ʻO ka hypoglycemia ketogenic i nā pēpē me ka hana pūpū a me ka hoʻokuʻu ʻana i ka nui o nā kino o ka maʻi acetone. Eia kekahi, ʻoluʻolu ke keiki maʻi maʻi o ka acetone mai kona waha, a ʻoi aku ka hopena o ke pēpē mai ka luaʻi indomitable.

Leucine

ʻO ka haukapila o ka leukine hypoglycemia i nā keiki me ka piʻi ʻana o ka naʻau o ka nui o nā poʻe maʻi ma ka leucine acid. ʻIke ʻia kēia ʻano nāhele me ke ʻano o nā pēpē i kona wā ʻōpio. Hoʻomaka koke ke keiki i kahi ʻino ma hope koke o ka ʻai ʻana i nā meaʻai protein.

Ma muli o kēia hiʻohiʻona, koʻikoʻi nui ia e hoʻoponopono pololei i nā ala ʻili a koho i ke ʻano kūpono no ke keiki.

Lalaha

ʻO ka hypoglycemia 3 mau kekelē o ka nui;

ʻAno kukui. Hoʻomaka ka mea maʻi e hōʻike i kekahi mau hōʻailona o ka pathology i hoʻokahi manawa. Ua lilo ke keiki a ʻehaʻeha paha ka huhū, hele mai ka maʻi lahilahi. Hiki iā ʻoe ke emi iki i ke ʻano iā ʻoe iho. No ka hana i kēia, pono ʻoe eʻai i ka huahana e loaʻa ana nā momona māmā, a e lawe ʻē paha i ka glucose i nā papa. No ka hoʻonui i ke kōpaʻa koko ma 0.22 mmol / l, lawa ka 1 g o ka glucose. Ma hope o kēia, hoʻi hou ke ʻano o ke keiki i loko o 50-60 mau minuke.
Holo ikaika. He ʻōuli nāwaliwali o ke keiki, haʻalulu, hoʻopaʻapaʻa, nalowale o ka hoʻonohonoho ʻana a me ka pili ʻana o ka ʻōlelo. Kāhea ʻia ke kahe nui ʻana i ka wai hoʻoneʻe. Inā hiki i ka mea maʻi ke maloʻo, pono ʻo ia e hāʻawi ʻia i ka wai momona a i ʻole kekahi huahana i kiʻekiʻe i nā kalakaia maʻalahi i ke ʻano o nā lemi a i ʻole kaʻaila. E hooki koke i ka hoʻouka ʻana i ka glucose gelled, kahi i ka manawa pōkole e komo i ke kahe koko. Hiki iā ia ke pālahalaha aku ma nā kiko o kahi keiki. No ka hoʻomākaukauʻana i ka wai momona, ʻoi aku ka maikaʻi e hoʻohana i ka dextrose.
ʻO ka piko hāpū pīhoihoi. Aia ke keiki i kahi kūlana semi-hoʻomaopopo a ʻike ʻole paha. Ke kāpae nei ka hana o nā pauna ma ke ʻano o ka wai a i ʻole ka meaʻai. Pono ka mea maʻi e mālama i ka mālama olakino. He mea nui ia e hoʻokō i ka hopena o ka hopena o ka glucose 40% intravenously i ka wikiwiki e hiki ai, a i ʻole e hoʻokomo i ka glucagon intramuscularly. Ma ka hihia i ka wā ma hope o nā lawaiʻa a ʻike ʻole ke keiki i ka ʻike, hāʻawi ʻia ʻo ia i kahi ʻike nui o ka adrenaline.

Nā hōʻike haukapila

I nā keiki ʻōpiopio, ua ʻokoʻa ka hōʻailona nui o kēia maʻi.

ʻO ka helehelena o nā neʻe kahe i ka neʻe o ka maka,
ʻO Nystagmus, i ʻole hana hōʻohewa mau i ka haʻalulu o nā haumāna.
ʻO ka nalo ʻana o ka refleks oculocephalic,
ʻO ke kūmū ʻana nā mea palupalu i nāwaliwali nui ʻole,
Anorexia
ʻO ka nele o nā kamaʻilio kamaʻilio
ʻO ka nāwaliwali ākea, nā hana palupalu,
Tremor
Hoʻonui nui a arintal.

ʻOi aku ka maʻamau, Patology ma nā keiki hou i ukali ʻia e nā hōʻailona like ʻole:

I ka hoʻonui ʻia ʻana o nā leo kikoo,
Nā uhi momona
Apnea, a i ʻole oki ke aloha hanu,
He lehelehe polū a me ke kino holoʻokoʻa,
ʻO nā hiʻohiʻona pinepine i ka wela o ke kino o ke pēpē,
Haehae i ka hanu hele
Tahirakdia,
He koko haʻahaʻa
Pallor o ka ʻili
Hoʻonui kaho.

Nā hōʻailona o ka hypoglycemia i nā keiki i ʻoi aku ma mua o ka 1 makahiki e komo:

Palpitations puʻuwai
Kauwe haole
ʻʻAla
Hoʻopilikia
Nā nāwaliwali nui
Kahula
Lohea
Hoʻohui ʻāina
Kau makaʻu
Hoʻonui ʻia
Hoʻohālikelike
ʻO kahi manaʻo ikaika o ka pōloli
Laumapa
Hōʻike haʻahaʻa.

ʻO ka hypoglycemia i loko o nā keiki e hoʻomau i ka lua a me ka luaʻi

ʻO kekahi manawa ke hōʻike nei i waho o ka hypoglycemia i loko o nā keiki i kahi ʻano hoʻohālikelike. Hiki paha i ke keiki ke koʻi a me ka hoʻokalakupua, a hele pū ʻia ke ʻano me ka haʻi ʻana a me ka hilahila.

Nā Palapala Diagnostic

ʻO ka hōʻike mua ʻana o ka maʻi e lawe ʻia e ka nānā ʻana i nā hōʻailona i hōʻike ʻia e ke kauka. Eia naʻe, no ka hōʻoia ʻana i ka maʻi kaulike, e koi ʻia nā ʻano noiʻi ʻana o ka ʻoihana.

Holo ʻaʻai koko,
ʻO ka hōʻike koko ākea no nā momona momona,
Nā kuʻina o ka nui o nā kino ketone i loko o ke koko,
ʻO ke kau ʻana o ka insulin i ke koko.

I ka manawa pinepine, e hana i kahi maʻi kūpono a kuhikuhi i ka mālama kūpono, hoʻomaʻamaʻa ʻia kahi hōʻike koko no ke kiʻekiʻe o ka ulu ʻana o ka hormone, cortisol.

Nā lāʻau lapaʻau

Hoʻomaʻamaʻa ʻia ka hypoglycemia i ke keiki ma kēlā mau ʻano.

Mālama i ka 'ai kūpono a me ka ana.
Hoʻopili i ka hoʻoikaika kino kino,
Ka pale ʻana i ke keiki mai nā kūlana kaumaha loa.

I ka hoʻouka kaua ʻana, pono ia e hāʻawi i ke keiki me ke kōkua mua. ʻO ka mea mua, pono ia e ana i ke kaila o ke koko o ka mea maʻi. Ma hope o kēia, pono e hana pono ma muli o ka huhū o ke ʻano o ke keiki. Me ka hoʻomohalaʻana i kahi koʻikoʻi a i ʻole coma, pono ia e kāhea i kahi ambulance. I ka wā hōʻeha o ka hypoglycemia, pono ke hāʻawi i ke keiki i ka glucose, dextrose, a i ʻole kekahi momona. I nā pilikia koʻikoʻi, e kali ana i hōʻea mai ke kauka, pono ʻoe e komo i ka glucose a glucagon paha.

ʻO ka hana o ka meaʻai no hypoglycemia

ʻO ka hana kūpono me nā lula e pili ana i ka meaʻai no ka hypoglycemia e kōkua i ka mālama ʻana i ke kaʻe o ka glucose koko ma ke ʻano maʻamau, me ka hōʻoia ʻana i ka hana pono o ka insulin e ke kino. No laila, me kahi ʻano o kēia ʻano, pono ia e hoʻokō me ia mau ʻōlelo aʻoaʻo:

Eʻai i nā meaʻai liʻiliʻi i kēlā me kēia 2-3 mau hola,
Hoʻemi i ka nui o ka momona i ka meaʻai, no ka mea e hoʻowalewale lākou i ka hoʻoulu kūpono ʻana o ka insulin,
Hōʻike i ka ʻai i nā meaʻai momona. Hāʻawi ia iā ʻoe e hoʻolohi i ke kaʻina o ka hoʻololi ʻana i ke kō i kā lākou kalaka,
Eʻai i nā meaʻai i kiʻekiʻe i ke kō. Hoʻolako kēia me nā huaʻai, nā pā a me ka palaoa
Pono ka ʻai i nā kumuwaiwai e mau ai ka protein, e like me ka iʻa, ka moa, a me ka legumes.

Me ka hypoglycemia i nā keiki, kūpono ia e hoʻopau i nā ʻuala

I ke ao, he mea nui e ʻai i nā meaʻai i loaʻa ka nui o nā kīpoki. ʻO kēia o nā greens, nā huaʻai a me nā mea kanu, a me nā cereals a me ka palaoa palaoa a pau. Hāʻawi kēia meaʻai i kahi hōʻuluʻulu iki o ke kino me ka glucose a me ka mālama lōʻihi o kēia hōʻailona ma ke ʻano.

Kāohi

ʻO nā kaʻina hana no nā pēpē hou e kū nei i kēia ʻano hana:

E hōʻoia ana i ka pilina lōʻihi o ka makuahine me ka ʻili hou o ka ʻili i ke keiki mai nā minuke mua o ka hānau ʻana,
Nā umauma pinepine. ʻO ka pōmaikaʻi nui a me ka waiwai ka waiū a me ka colostrum. Kahiʻokoʻa kā lākou ʻano, ʻaʻole hiki ke hoʻohui ʻia e kekahi o nā ʻano hana pēpē i noho ʻia.
Hāʻawi i ka manawa kūpono a me ka momona.
I nā hola 6 he mau lā ma hope o ka hānau ʻana, ua hāʻawi ʻia ke pēpē i loko o nā ʻanoʻaiʻai meaʻai intravenous kūikawā, ma ke ʻano he umauma waiū.
I ka lā mua o ke ola, ʻo ka nui o ka umauma waiū e pono ma kahi o 200 ml,
Inā hiki ʻole ke loaʻa ka waiū umauma o ka ʻai nui, e mālama ʻia ana ka hoʻomākaukau ʻana i ka pēpē i ka pēpē, ma ka nui o 100 ml / kg o ke kau a ka mea hānau hou.

I kēlā me kēia mau hola 2, lawe ka pēpē i ke koko e hoʻoholo i ka pae o ke kō.

No nā keiki o kēlā me kēia keiki e loaʻa ana i ka hypoglycemia, he mea koʻikoʻi loa ia no ka huila ʻole i kahi pāʻina hoʻokahi, a ʻai hoʻi i ka manawa i 4 nā lā. Eia kekahi, pale aku i nā kiʻina hana:

ʻAi ka meaʻai i ka nui o ka hua, ka ʻai a me nā keke, e hāʻawi i ka hoʻonui wikiwiki i ka nui o ka kō i ke koko.
Hoʻonui pololei i ka dosis o ka insulin, e hoʻoponopono ana iā ia me ka nui o ka meaʻai i ʻai ʻia,
E hoʻonui i ka nui o ka insulin i mua o ka hoʻomaʻamaʻa,
Eʻai koke ma hope o ka hoʻokele ʻana o ka hoʻomākaukau ʻana o ka insulin.

Me ka hypoglycemia i loko o nā keiki, he mea nui ia na ke keiki e ʻoluʻolu i kahi mea

He mea koʻikoʻi loa ia he keiki pēpē me hypoglycemia i kekahi ʻano o ke ʻano hoʻohilahila me ia i ke ʻano o nā sweets a i ʻole ke kumukūʻai.

ʻO ka hāpaiʻana i ke kūlana o ke ola o kahi keiki me ka hypoglycemia pili i ke kumu kumu o ka hoʻomohala ʻana o ka pathology, me ke kūpono a me ka ʻoluʻolu o ka mālama ʻana. No laila, inā e hele mai kahi maʻi ma muli o ka mua ma mua o ke ʻano o ka maʻi ma mua o ka maʻi, ka hōʻeuʻeu o ka intrauterine, ʻeha hōʻeha, a kūʻē hoʻi i ke ʻano o ka maʻi ʻana o ka maʻa, ʻoi aku ka maikaʻi o ka hoʻomaikaʻi ʻia I ka manawa pinepine, i kēia mau hānau hou, ua ʻike ʻia nā pilikia o ka hihiʻo, a me ka cataracts a me optic atrophy, a me ka lana i ke kūkulu ʻana i ka noʻonoʻo.

Me ka hoʻolālāʻana o ka hypoglycemia ma mua o ka makahiki o ka makahiki 1, i ka nui o nā mea i mahalo nui ʻia ka prognosis. Eia nō naʻe, me ka hoʻomaʻamaʻa ʻole ʻana, hiki ke ʻike ʻia nā ala kūpono like ʻole i ka ʻano o ka mea i loko o ka hoʻolālā ʻana i ke kino, ka hana o ka renal, ka hemorrhage i loko o ka ʻōpū, ka ʻike maka a me ka hoʻopili ʻana o nā maʻi lēpaʻa.

Ka mālama ʻana o ka hypoglycemia i nā keiki

Hypoglycemia hiki ke hoʻoponopono ʻia e nā infusion glucose infravenous (2-4 ml / kg 10% dextrose). Pono e hana i nā mea e pale aku ai i ka hoʻopuka ʻana o ka nui o ka helu, no ka mea he hypertonic ka hopena. Inā he lūlū i ka hoʻomaka ʻana o ka infusion a ʻaʻohe pane paha, e mālama ʻia ana ʻo glucagon (0.5-1 mg) i ka intramuscularly.

Hoʻopau i nā Glucocorticoids hiki no e hoʻohana ʻia inā he hypopituitarism a i ʻole hypoadrenalism paha. Pono e hoʻopaʻa ʻia ka hoʻoponopono ʻana o ka hypoglycemia me ka hopena o ka hoʻokaʻawale ʻana o nā ʻōkena a me ka hopena.

Hypoglycemia:
• Pono e haʻalele i kekahi keiki me ka septicemia aia i kahi maʻi koʻikoʻi, ma kahi luhi epileptic lōʻihi a i ʻole ke kipi paha i ka pae o ka noʻonoʻo.
• ʻO nā pae haʻahaʻa o ke koko i ka wā e hoʻāʻo ai e pili kokoke i ka moena o ka mea maʻi (nā ʻila hoʻāʻo) e hōʻoia i ka ʻikepili ʻike.
• Inā ʻaʻole maopopo ke kumu, pono e hōʻiliʻili i nā kiʻi maʻamau o ke koko a me ka waiʻai, inā hiki, i ka manawa like.

Ka mīkini i ka hoʻolālā ʻana o patology

ʻO ka Glucose kahi mea koʻikoʻi e pono ai no ka papa maʻamau o nā hana metabolism. Mahalo i kēia ʻano, hanai ʻia nā ʻili a me nā ʻoihana o ke kino kanaka. No ka hana pono o nā hui āpau, pono i kahi nui o kēia pūhui i pono i loko o ke koko. ʻO ka hypoglycemia i ke keiki he pathology i kahi haʻahaʻa ka nui o ka glucose.

ʻO kēia hanana e alakaʻi i kahi wīwī i ka maikaʻi. Eia kekahi, ʻo ka hopena o ka maʻi he coma. Inā ʻike pinepine ke keiki i ka bruising, he mana nui kona o ka ahe a me ka nahu, ʻaʻole pono nā mākua i haʻalele i kēia mau ʻōuli i ʻike ʻole ʻia. Hiki i ke hypoglycemia ke piʻi wikiwiki i nā hopena koʻikoʻi. Ua pili i kēia kīʻaha i nā maʻi maʻi makua a me nā keiki.

ʻO nā mea kōkua i ka hoʻomohala ʻana i ka maʻi

ʻO ka hypoglycemia ma ke keiki i kekahi manawa ma muli o nā hopena o waho (nā hewa i ka ʻai, ʻaina lōʻihi, ʻai kino a me ke kaumaha). Eia kekahi, puka ka pathology ma muli o nā hopena genetic, nā maʻi o nā meaʻeha. ʻO ka emi haʻahaʻa o ka hoʻoliʻiliʻi o ka hoʻokaʻawale ʻana o ke koko no ka pēpē nui. Hiki ke papa inoa ʻia i kēia nā mea kumu nui o ka hypoglycemia i nā keiki.

ʻO ka nele o nā mea waiwai nui (ka nui, nā huaola like ʻole), kahi e hana ai i ka hoʻonui ʻana i ka hana o ka insulin. ʻO kekahi ʻōiwi like paha ma muli o ka nui o nā palahalaha wikiwiki i ka meaʻai.
ʻO ka inu liʻiliʻi ʻana i ka wai. ʻO ka wai ka mea nui e hāʻawi i ke kaʻina kūpono o nā lipid a me ka glucose i hoʻokomo i ke kino.
Huli ka noʻonoʻo.

ʻO nā kumu nui o ka maʻi

Aia kekahi mau ʻano maʻamau o ka maʻi. ʻO kekahi o nā ʻano pili i ka diabetes mellitus a i ʻole pono i ka mālama ʻana i kēia ala. ʻO kekahi ʻano maʻi o ka maʻi i hiki i nā pēpē i kekahi mau lā ma hope o ka hānau ʻana. Hoʻokō pinepine ia i nā pēpē i hānau ʻia i mua nā manawa a mai ka maʻi hypoxia a i ʻole ke kuhiʻana i nā mea o nā haʻalulu. ʻO ka pinepine he pēpē ʻokoʻa a ka ketotic hypoglycemia i ke keiki. ʻO kēia hiʻohiʻona ma muli o ka poho o ka maikaʻi o ka mea maʻi e pili ana me kahi manawa pōkole o ka pōloli piha. Manaʻo nā poʻe loea e pili ana ka pathology me ka hikiʻole o ke kino e hana i ka glucose. ʻO kēlā mau keiki, e like me ke ʻano kānāwai, ʻike ʻia e ka pehu pōkole a me ka ili kino. He kōkua maʻamau me ke olakino e pale aku i nā maʻi o nā maʻi.

ʻO ka loaʻa ʻana o kahi wai nā mea i loko o ke kō e pale ai i ka hoʻomohala ʻana o ke ʻano. I ka wā o ka makahiki, pau nā hōʻailona o ka ketotic hypoglycemia ma kāna iho. Aia pū kekahi ʻano maʻi e pili ana i ka hana ʻole o ka urinary system. Hiki i kēia ʻano o ka maʻi ke alakaʻi i nā pōʻino koʻikoʻi i loko o nā keiki.

Nā hōʻailona o ka patology

ʻO ka hypoglycemia ma ke keiki kahi maʻi paʻakikī e hiki ke alakaʻi i nā hopena koʻikoʻi. No laila, ʻae ʻia i kahi manaʻo maopopo o kāna mau hōʻailona e hiki ai i ka loaʻa ʻana o nā kōkua kōkua i ka manawa. ʻO ka hōʻike nui nui o nā patology e pili ana i kēia:

ʻO ka heleʻana o nā hōʻailona ma luna nei e hōʻike i ka hiki ʻana o ka hypoglycemia i nā keiki. ʻAʻole hiki ke nānā ʻia nā hōʻailona o kēia ʻano. E kūkākūkā i kahi loea i ka wā hiki. E hoʻoholo pololei ana nā ʻōkuhi diagnostic i kahi lāʻau lapaʻau i ke kumu o ka maʻi.

Hōʻikeʻike o ka maʻi ma ka pēpē hou

ʻO ka hypoglycemia i loko o nā pēpē i nā hōʻailona āpau o ka hōʻailona o ka pathology. Eia naʻe, hiki ke kūpono inā ʻaʻole mau hōʻailona. A laila ua paʻakikī ka maʻi e hoʻomaopopo. Hōʻike ʻia kona hele ʻana e kahi mākaʻina o ka piʻi ʻana o ka glucose i ke koko.

Nā hōʻailona o ka hypoglycemia i loko o kahi keiki ma lalo o hoʻokahi makahiki i hiki i ke ʻano o ke kau holo ʻana a nalo wale nō ma hope o ka hānai a hoʻonāukiuki paha i ka glucose. I nā pēpē, hōʻike kēia pathology iā ia iho i ke ʻano o ka hanu ʻana o nā mea hanu, nā puʻu o ka māla, nā mea i ʻike ʻole, nā ʻeha a me nā hopohopo ʻole. ʻO ka maʻamau, alakaʻi ke ʻano i ke kūkulu ʻana i nā hoʻopiʻi formidable, no ka laʻana, ka coma. He maʻi maʻamau ka hypoglycemia i nā pēpē i hānau mua i mua. I kēia mau pēpē, ua ʻōlelo ʻia nā hōʻailona o ka maʻi. Ua hōʻike ʻia ʻo ia iho i kēia mau hana ʻino:

Ouʻumeʻume.
ʻO ka hopena o nā kauā.
Nā kipi o ka ulu kino.
Kau ka momona.
Hoʻopilikia
ʻO ka uhi i ka cyanotic o ka ʻili.
ʻO nā pilikia me ke kaʻina o ka hanu.

ʻO nā kauka, ʻo ke kānāwai, he nui ka nānā ʻana i ke olakino o nā pēpē i hānau ʻia ma mua o ka lā kūpono. No laila, ʻoi aku ka maikaʻi o ka pale ʻana a me ka mālama ʻana o ka hypoglycemia i nā keiki mua ma mua o ka poʻe i hānau i ka manawa.

ʻO nā ala e mālama ai i kahi maʻi i nā pēpē a hiki i ka makahiki

Inā loaʻa ka patolo, ua kuhikuhi ke kauka i ka glucose i ke ʻano o kahi hopena. Hāʻawi ia i ke pēpē ma ke ʻano o nā injections a i ʻole me kahi kāwili ʻia me ka wai. No ka hoʻomaikaʻi ʻana i ke kaʻina o ka ʻike i kahi mea e ke kino, hiki i ke loea ke loiloi i ka insulin. Ua ʻike ʻia na keiki nui e loaʻa ana i ka hypoglycemia i nā maʻi me ka maʻi maʻi. I kēia hihia, pono e hana ka poʻe loea i kahi hōʻike koko hoʻāʻo no ka glucose i loko o ka hapalua hola ma hope o ka hānau ʻana a hoʻokō i nā hoʻokolohua pinepine i kēlā me kēia 3 mau lā no ʻekolu lā.

ʻO ka pale ʻana i ka maʻi ma nā pēpē

No nā pēpē i hānau mau i ka manawa, ʻo ka ʻai kūlohelohe kahi mea pale maikaʻi maikaʻi. ʻO nā mea waiwai i loko o ka waiū makuahine e hōʻoia i ka hana maʻamau o ke kino. Hiki i ke hypoglycemia ke ola i ke ʻano o ke ola a maikaʻi ʻole a hypothermia ke keiki. ʻO ke kūlana o ka pēpē i kuhikuhi ʻia i ka insulin a i ʻole ka hoʻonā kulupuna e nānā pono ʻia e nā lāʻau lapaʻau.

Nā papa hana o ka hoʻolālāʻana i nā kulekele

Aia he nui nā hanana o ka maʻi, no ke ʻano:

ʻO ka pae mua o ka maʻi. ʻO kēia ka hopena maikaʻi loa, ʻo ia hoʻi, e hōʻike ana i ka hoʻomohala ʻana o nā pilikia i ke kino. I ka manawa like, ʻike ke keiki i ka ʻoluʻolu nui, ka uē ʻana i ka uwē, ka pallor o ka ʻili, a me kahi hoʻemi ʻana o ke ea.
Hana ʻelua. Hoʻohālikelike ʻia ia e ke ʻano o ka luaʻi, wahaheʻe blurred a me kahi hōʻino ma ka hana ʻike.
ʻO ke kolu o ka papa o ka maʻi. Hōʻike ʻia e ka nalowale o ka ʻike, nā pale o nā hewa.
Coma. He paʻakikī paʻakikī loa kēia, kahi, i ka haʻalele o ke kōkua olakino hiki iā ia, ke alakaʻi i ka make o ka mea maʻi.

Pehea e hoʻonui ai i ka mea maʻi?

Inā palupalu i ke ʻano o ke keiki, ua hoʻomohalaʻo ia i ka ʻeha, pallor o ka ʻili a me ka ʻono nui, pono ʻoe e ʻimi e ʻike i nā mea e hiki ai ke hoʻololi i ka malaise. Ke hōʻike ʻia nei kēia mau ʻōhua i ka emi o ke kipi o ke koko. No ke ana ʻana i ka pae o ke kō e pono ai ʻoe e hoʻohana i kahi ʻaoʻao kūikawā. He aha ke mālama olakino no ka hypoglycemia i nā keiki? Inā hele mai kahi huakaʻi, pono e hana ʻia nā mea penei:

E kau i ka mea hoʻomanawanui ma kahi kūlana.
Kāhea i kahi lawelawe ambulance.
Hāʻawi i kāu wai a me kekahi huahana momona.
E kau i kahi lole pale manu ma kou rae.

Eia kekahi, kōkua ʻo "Hematogen" e hōʻoluʻolu i ke ʻano o ka mea maʻi me ka hoʻoulu ʻana o ka hypoglycemia. Kōkua kēia huahana hua hoʻonui i ke koko koko a me ka hao. Eia nō hoʻi, ma mua o ka hiki ʻana mai o ka lawelawe ambulance, hiki iā ʻoe ke hoʻokomo i kahi pepeka glucose inā ua kokoke ka lāʻau lapaʻau.

Pehea e pale aku ai i kahi hoʻouka ʻana?

Me ka hypoglycemia i kahi keiki, hoʻomaʻamaʻa ʻia ke ʻano i ka inikua pinepine ʻia o ka insulin, e hoʻolaʻa i nā pae kō. I mea e pale ai i ka hoʻomohala ʻana o ka exacerbation, pono ʻoe e pili i kēia mau ʻōlelo aʻoaʻo:

E aʻo aku nā mākua i kā lākou keiki kāne a kaikamahine a pehea e hāʻawi ai i nā ʻōlelo hoʻohālikelike. Eia kekahi, pono ke keiki e wehewehe i ke ʻano o ka mālama ʻana i ka glucose i ka hoʻohana ʻana i ka polokalamu.
E haʻi i ka mea maʻi e pili ana i nā hōʻailona o ke koko haʻahaʻa. Pono ʻoe e aʻo iā ia i nā hana kūpono i ka hihia o ka nāwaliwali (ʻo ka laʻana, pono ʻoe e ʻai i ka meaʻai momona a noi paha no ke kōkua pākeke.
ʻAi i ka meaʻai kūpono.
Hōʻalo i nā kaumaha.
E hōʻike pinepine i ke ahonui i ke kauka.

Pono nā mākua o ka mea maʻi e ʻike i ka nui e like me ka maʻi e like me ka hypoglycemia, nā hōʻailona, ke kumu. Pono e nānā ʻia i ka mālama ʻana i nā keiki me ka hoʻoulu ʻana i nā pathologies concomitant.