ʻO ke ʻano o ke koko koko i nā keiki he 11 mau makahiki: kahi papa o nā hōʻailona ma ka ʻōpio

ʻO Glucose kahi monosaccharide e hana nui i ke kino. ʻO ia kekahi o nā kumu nui o ka ikehu. ʻO nā hoʻololi i ke kō o ke koko ma waena o nā hōʻailona nui o ka metabolism o ka hopena o ka paʻū.

Inā maʻi nā mākua ʻelua i ka maʻi maʻi, a ma 25% o nā hihia ke hoʻoilina ai ke keiki i kēia maʻi. Ke hōʻike nei kekahi o nā mākua i ka maʻi, ka hopena o ka hoʻoilina i ka waiwai 15%.

ʻO ke kō o ke kō koko i nā keiki

Huli nā pae o ke koko i nā keiki i ka wā e ulu ai lākou. I ke wā kamaliʻi, ua emi loa ka maʻamau ma mua o nā pākeke. Ke hilinaʻi nei ka nui o ka glucose i ke kō ʻana o ka meaʻai.

ʻO keʻano o ke kō koko koko i nā keiki

Kūpono ke kō koko koko i hoʻokahi hola

Hoʻomaopopo ka palena haʻahaʻa loa i nā pēpē hou, a laila e piʻi ka pae. ʻO ke kumu o ka honi koko i nā keiki o 6 mau makahiki, e like me ke ʻano o ka honi koko i loko o nā keiki o 7 mau makahiki, aia ia ma ka 3.3-5.5 mmol / l. Me ka wā o ka makahiki, lilo ka waiwai i kahi kokoke e hiki ai i nā hōʻailonaʻelemakule.

Holo ʻaʻai koko

Hiki iā ʻoe ke koho i ka pae o ka glucose i ke koko o kahi keiki ma ka ʻoihana a me ka home me ka hoʻohana ʻana i kahi ʻenehana kūikawā (glucometer). I mea e hiki ai ke kuhikuhi ana i ka pololei me ka hiki, lawe ʻia ka waiwai ma kahi ʻōpū ʻole. Lawe ʻia mai ke koko no kēia vein (ma nā kūlana hana) a mai kahi manamana lima paha.

Ma ka maʻi mellitus, e nānā i ka pae o ka glucose me ka glucometer e lilo i ʻano maʻamau a lilo i ke kuleana o ke keiki. Pono ke wī i ka manamana lima no ka hoʻopailua o ke koko mai ka ʻaoʻao, no ka mea he paʻakikī loa kēia wahi.

I ka lā ma mua o ka hoʻāʻo, ʻaʻole hiki iā ʻoe ke ʻai i nā ʻupena, nā kīwī, nā pōpoki a me nā huaʻai i loaʻa i ka nui o ke kō. Pono ka ʻaina ʻaina. Hiki iā ʻoe ke hāʻawi i ka porridge o kāu keiki, iʻa a iʻa ʻiʻo paha. Hoʻouka ʻia e haʻalele i ka mea kanu, pasta, berena. I ke kakahiaka, ma mua o ka hoʻāʻo ʻana, ʻaʻole hiki iā ʻoe ke kuhi i kou mau niho, no ka mea, ʻo nā mea o nā niho o ka niho e komo i loko o nā ʻōpū o nā huelo waha o ka lua waha e hoʻopilikia i ka hopena.

I mea e hoʻoholo ai i ke koena o ke koko i kahi keiki e hoʻohana ana i kahi glucometer, pono ia:

• holoi holoi lima i ka lima o ka pēpē me ka maloʻo ʻana iā lākou,
• nānā i ka mākaukau o ka polokalamu a hoʻokomo i kahi kānana hoʻāʻo i loko o ia mea.
• e pilaʻi i ka ʻaoʻao o ka manamana lima me ka lancet kūikawā,
• noi i kahi nui o ke koko i kahi kikoo hōʻike kūikawā i kau ʻia ma ka polokalamu,
• hooki i ke koko me ka pulupulu popo.

E hoʻoholo ʻia ka hopena i loko o kahi minuke. Hoʻoholo kūʻokoʻa kahi o ka loiloi ma kēia hihia. No ka hana i kēia, pono ʻoe e aʻo mua i nā ʻōkuhi no ka hoʻohana ʻana i ka hāmeʻa.

Hiki paha ke hopena i ka hopena hōʻike.

• ka ʻai ʻana i ka ʻai, nā mea momona a me nā mea hoʻonā a pau.
• maʻi pākaukau aʻeha
• ka hoʻoikaika kino
• ka hoʻohana ʻana i kekahi mau lāʻau lapaʻau (corticosteroids, antihistamines, caffeine, antibiotics).

I ka hanana ʻoi aku ka kānalua o ka heleʻana o ka maʻi maʻi, e hana i kahi hoʻokolohua kūikawā. Hāʻawi ʻia ke keiki i kahi wai o 50 o ka 75 ml o ka hoʻonā o ka glucose (ʻo ka nui o ka hilinaʻi no ka makahiki). Ma hope o hoʻokahi a me ʻelua mau hola, e hoʻokō ʻia kahi hana hou, kahi e hiki ai ke hoʻoholo i ke ʻano o ka hana ʻana o ka insulin a me kona nui.

Inā hoʻokahi hola ma hope o ka hoʻokolohua ʻana i ka pae o ka glucose i ke koko ma mua o 11 mmol / l, hōʻoia kēia i ka hiki ʻana o ka maʻi diabetes.

I ka wā e lawe ai i ka hoʻāʻo gula

ʻO ka paona o ke keiki i ka wā hānau e hoʻopilikia i ka hoʻomohala ʻana o ka maʻi diabetes, no laila inā ʻoi aku ka paona o ka pēpē iʻoi aku ma mua o 4,5 kg, aia paha ia. ʻO ka hoʻokolohua koko mua no ka honi e hana koke ma hope o ka hānau ʻana.

Inā loaʻa iā ʻoe kahi mau hōʻailona e hōʻike ai i kahi kiʻekiʻe o ka glucose, e pono koke ʻoe e nīnau i kahi pediatrician a i ʻole endocrinologist.

Inā ʻaʻohe keiki i ke keiki no ka hoʻomohala ʻana o ka maʻi, a laila ʻae ʻia kahi loiloi hoʻokahi manawa i hoʻokahi makahiki. I ka wā e hiki mai ana, i mea e pale ai i ka hoʻomohala ʻana o ka maʻi, hāʻawi ʻia ke koko no ka hilo i hoʻokahi manawa i kēlā me kēia 3 mau makahiki.

ʻOi pinepine aku, hiki ke hoʻokaʻawale ʻia nā loiloi i nā hihia ma kahi e ʻike hewa ai. No ka laʻana, inā e like me ka papaʻaina i ke kumu o ke kō koko koko i nā keiki o 10 mau makahiki ʻaʻole pono e nui aʻe i ka 5.5 mmol / l, a he ʻoi aku ka nui o ke kumukūʻai, hōʻike ʻia kahi noiʻi paʻa ʻole.

ʻO nā kumu o ke kō a me nā haʻahaʻa haʻahaʻa ma nā keiki

ʻO ke kumu no ka hoʻonui ʻana i ke kōhi koko:

• loaʻa, ʻike nui ʻia ke koko kiʻekiʻe ke nānā ʻia i nā keiki hou.
• maʻi maʻi (viral, mumps, chickenpox, viral hepatitis), e pili ana i ka hana ʻana o ka pancreas,
• ka hana ʻeha pōpilikia, me kahi hopena o ke keiki i kau nui ʻia,
• nā kau anuanu pinepine, ma muli o kahi kipi ʻana o ka pancreas,
• nā kīʻaha kūpono, komo ʻana i nā meaʻai me nā momona i kālai ʻia e maʻalahi i ka ʻalā ʻia (ʻoka, nā huahana palaoa),
• maʻi ʻoe
• hoʻonaninani ʻāhewa o nā kelepa adrenal.

I mea e pale ai i kahi keiki i ka ulu ʻana i kahi maʻi e like me ka maʻi diabetes, pono ia e kāohi i kāna meaʻai a me ke ʻano kino.

Hōʻike ʻia ka haʻahaʻa haʻahaʻa haʻahaʻa i nā keiki i kēia mau mea:

• kaumaha a palupalu,
• nā maʻi kāpili
• hōʻino ʻia me nā paʻakai o nā metala kaumaha, ke hoʻohui pū me nā mea kanu, nā mea kanu,
• neoplasms i alakaʻi i ka hoʻokumu ʻana o ka nui o ka insulin,
• kolo hewa,
• maʻi koko (leukemia, lymphoma).

Nā hōʻailona hōʻailona e hōʻike ana i nā hemahema

Nui kekahi mau hōʻailona e hōʻike i ka hoʻonui ʻana o ke kō koko. ʻElua mau hola ma hope o ka ʻai ʻana, e hiamoe ana ke keiki, hiamoe. Pau loa ka ʻinu ʻole a inu nui ka wai. Hele maloʻo ka ʻili, ʻike ʻia nā pustules. Ua hoʻonui nui ʻia ke keiki i nā lepe a me nā pastries.

ʻO nā hōʻailona ʻē aʻe e koi ai i ka nānā ʻana mai nā mākua:

• ke ʻano o ka lethargy a me ka ʻaukā,
• mahuahua i ka makemake, aʻo ke ʻano o ka piha piha.
• Kaumaha kaumaha ʻoi aku ka ʻai ʻana i ka nui o ka meaʻai,
• ka hemahema ʻana o ka urinary
• itching a after urination in the genital area,
• ke hoʻonui nui ʻana i kēlā me kēia lā i ka urine, ʻoiai e loaʻa ana ka acetone a i ke kō paha.

I ka huli ʻana, me ke haʻahaʻa haʻahaʻa koko haʻahaʻa, e ʻoliʻoli nui ke keiki a maluhia ʻole, hoʻomaka ʻo ia e maloʻi nui ʻole. Hiki iā ia ke noi no nā sweets. Ma hope mai, e ulu ke poʻo a me ka dizziness. Inā ʻaʻole i hoʻonui ka nui o ka glucose i ke kino, hiki i ka ʻike ke kīnā ʻia a paʻakikī paha.

Naʻi maʻi mellitus

Hōʻike ka maʻi diabetes mellitus i kēlā me kēia makahiki, hiki i ka maʻi ke congenital ma ke ʻano. ʻImi pinepine ʻia i nā keiki mai 6 a 9 mau makahiki (me nā keiki he 7 a me 8 mau makahiki), i ka wā e ulu ana ka ulu. He mea koʻikoʻi nō hoʻi no ka hoʻomohala ʻana o ka maʻi ma ke ʻano he 11 nā makahiki - 13 mau makahiki.

I ka lāʻau lapaʻau, hana maʻamau i ka hoʻokaʻawale ʻana i kēia maʻi i ʻelua mau ʻano.

• maʻi hānai i ka insulin (type 1), kahi nui o nā insulin i hana ʻia e ka pancreas,
• non-insulin-hilinai like ole (type 2), i ka nalowale ana o nā mehameha o ko ke kino i ka manaʻo i ka insulin.

Ma 90% o nā hihia, hoʻomohala ke keiki i ke ʻano maʻi maʻi mua.

ʻO ka paleʻana i ka maʻi hānai ma nā keiki

I mea e pale ai i kahi keiki i ka ulu ʻana i kahi maʻi e like me ka maʻi diabetes, pono ia e kāohi i kāna meaʻai a me ke ʻano kino.

Pono ia e hoʻemi i ka nui o nā sweets a me nā pastries i ka meaʻai, a me ka hoʻoiho loa ʻana mai ke kīpoki papa, nā pākeke, nā kī ʻai ʻona. Inā momona nui ke keiki, koi ʻia ke ʻai.

Ke kaʻi ʻana i ke kō koko kiʻekiʻe, nā mākua, ʻo ka mea mua ka mea mua, pono ia e hana i kahi noiʻi lua.

I kēia manawa, ʻaʻole i ʻike ʻia kahi ala e hoʻōla pono i ka mai, no laila, ʻo ka hana nui a nā mākua ke aʻo i ke keiki e mālama i ka pae o ka glucose i loko o ke koko, e makaʻala i ke olakino a kūʻokoʻa pū kekahi i nā ʻano kūpono o ka insulin.

Ma ka maʻi mellitus, e nānā i ka pae o ka glucose me ka glucometer e lilo i ʻano maʻamau a lilo i ke kuleana o ke keiki. Pono ke wī i ka manamana lima no ka hoʻopailua o ke koko mai ka ʻaoʻao, no ka mea he paʻakikī loa kēia wahi. I kēlā me kēia kipa i ke kauka, pono ʻoe e hōʻoia i ka hana o nā mea me nā hōʻailona e pili ana i ke kauka.

Inā loaʻa iā ʻoe kahi mau hōʻailona e hōʻike ai i kahi kiʻekiʻe o ka glucose, e pono koke ʻoe e nīnau i kahi pediatrician a i ʻole endocrinologist.

Hāʻawi mākou iā ʻoe e nānā i kekahi wikiō ma ke kumuhana o ka ʻatikala

Ka helu momona o nā keiki

Ua hōʻike ʻia kahi hōʻike no ka glucose i kahi keiki i ke kakahiaka, ma kahi ʻōpū ʻole, ʻo ia hoʻi, ma mua o kahi pāʻina. Hōʻailona pololei ʻia ke koko mai ka manamana lima. Ma mua o ka hāʻawi ʻana i ke koko, ʻaʻole hiki iā ʻoe ke ʻai i ka liʻiliʻi he 10-12 mau hola.

I mea e hōʻike ai ka hoʻokalakupua, i hōʻike ʻia i nā hopena pololei, ʻaʻole i aʻo ʻia e inu i nā wai ʻono, e lūlū i kou mau niho, a me ka miki i ka mua o ka hoʻopaʻa ʻana. Hāʻawi ʻia e inu ʻokoʻa i ka wai maʻemaʻe.

Kūpaʻa ka nui o ke kō koko koko i ke makahiki o ke keiki. Inā mākou e hoʻohālikelike i nā hōʻailona maʻamau o ka pākeke, a laila e emi mau ka hoʻoliʻuku o nā glucose i nā keiki ma mua o nā pākeke.

Ka papa o nā hōʻailona maʻamau o ke kō o ka honi i nā keiki, ma muli o ko lākou ʻano makahiki.

• A hiki i hoʻokahi makahiki, hōʻike nā hōʻailona mai ka 2.8 a i ka 4.4 mau kikowaena.
• ʻO kahi pēpē mau makahiki i loaʻa ka wai koko mai 3.0 a 3.8 mau hui.
• I nā makahiki he 3-4, ʻo ke ʻano o ka maʻamau ke ʻano o ka loli ʻana mai nā ʻāpana 3.2-4.7.
• Mai ka 6 a 9 mau makahiki, ʻo ke kōpaʻa mai 3.3 a 5.3 mau pūʻulu ua manaʻo ʻia ke ʻano maʻamau.
• I nā makahiki 11, ʻo ka maʻamau ka 3.3-5.0 mau hui.

E like me ka hōʻike ʻana o ka papaʻaina, ʻokoʻa mau ka hoʻāki o ke koko i nā keiki o 11 mau makahiki he ʻokoʻa mai ka 3.3 a i ka 5.0 mau kikowaena, a aneane hoʻi e kokoke ana i nā hōʻailonaʻelemakule. A e hoʻomaka mai i kēia wā, e hoʻohālikelike ʻia nā hōʻailona glucose me nā waiwai kanaka.

Pono e hoʻomanaʻo he loaʻa i nā hopena pono o ka hoʻokahe koko, pono ʻia e pili pono i nā lula āpau e koi ai ka hoʻokalakupua. Inā loaʻa i nā ʻōkuhi a pau, akā nā loiloi mai ke ʻano loiloi i kekahi ʻaoʻao a i ʻole kekahi, laila e hōʻike ana i ke ʻano o nā hanana pathological o ke pēpē.

Hoʻokumu i ka hoʻoliʻi o ka glucose i nā kumu he nui a me nā kūlana - ʻo kēia ka meaʻai o ke pēpē, ka hana o ke a ka kao ʻana, ke ʻano o kekahi mau hormon.

Hoʻopiʻi nā hōʻailona mai ka maʻamau

Inā he hewa kaʻai o ke kō i kahi ala nui, a laila e loaʻa ka maʻi i ka maʻi mellitus. I kahi kūlana e haʻahaʻa loa ka pae o ka glucose ma mua o ka maʻamau, a laila hiki iā mākou ke kamaʻilio e pili ana i kahi kūlana hypoglycemic.

Ma nā hoʻomaʻamaʻa lāʻau lapaʻau, nui ka nui o nā hopena maikaʻiʻole, nā kumu a me nā kūlana e hiki ke alakaʻi i ke kahe koko ma lalo o ka maʻamau.

ʻO kekahi o nā kumu maikaʻi ʻole o ka ʻina maikaʻi o ke keiki. Ma kahi hoʻohālike, ʻaʻole i kiʻekiʻe ka calorie ka meaʻai, ʻaʻole i kau ʻia ka papaʻaina, ka meaʻai junk, lōʻihi nā wā hoʻomaha ma waena o nā papa a pēlā aku.

Hiki ke ʻano o ka haʻahaʻa haʻahaʻa haʻahaʻa mai nā kumu aʻe:

1. ʻO kahi dosis nui o ka insulin.
2. ʻO ka hana kino kino.
3. Pehu nui.
4. Ke kuhi nei i ka hana o nā ate, nā ʻōpū a me nā pancreas.
5. Naʻu?
6. Hānau mua ʻia ke keiki.

Hiki ke nānā mau ʻia ke kūlana hypoglycemic maʻamau, ai ʻole i nā manawa maʻamau. Wahi a ka hoʻowalewale o ke keiki i ka hāʻule ʻana o ke kō, hiki iā ia ke loaʻa nā ʻōmaʻomaʻo i ka hoʻohaʻahaʻa ʻana o ka glucose, a ʻaʻohe mau hōʻailona ʻole.

Hōʻike ka ʻano o ka maʻi hyperglycemic e ka hoʻonui nui o ke kō i loko o ke kino, a hiki ke hōʻike i ka ʻano o kēia mau ʻano a me nā maʻi paha:

• ʻO ka ʻano mua a i ʻole paha o ka maʻi ʻaʻai.
• Kekahi mau endocrine mau ala (hana i hoʻopihapiha i nā kelepa thyroid, nā kelepaʻi adrenal).
• ʻO ke kaumaha koʻikoʻi, nīnū lohi.
• Hoʻohana kūlohelohe kino.
• ʻO ka ukana.
• Ke lawe nei i kekahi mau lāʻau lapaʻau (diuretics, anti-inflammatory drug, tabletal pills).
• ʻO kahi nohona hoʻonaninani, palekana, ʻoi aku ka hoʻohana o ka nui o nā mea momona māmā.

Pono e hoʻomanaʻo ʻia he hiki ke nānā ʻia kahi kūlana hyperglycemic ma loko o kahi manawa lōʻihi, hiki ke ʻike ʻia i nā manawa āpau. I kekahi hihia, pono e hoʻokaʻawale ke kōkole i nā mākua, a ʻo ia kahi manawa e kipa ai i kahi pākaʻi.

Hiki i kahi maʻi kūpono ke hana wale e ke kauka.

Haki ka nui o ke kō i nā keiki a me nā pākeke: he aha ke hilinaʻi o kēia mau mana?

Ma muli o nā kaʻina o ka oxygen oxidation, mālama paʻa i ka kaohi piha i ka hana hoʻoliʻi i loko o nā papa. Hoʻomaʻamaʻa nā kumuhana a me nā metabolites i loko o nā kela o ka aneane āpau a me nā kiko o ke kino.

ʻO nā punawai nui o ka glucose ka sucrose a me ke starch, amino acid a me nā huahana glycogen o ka nui o ka paila.

Mālama ka pae gula i ka pancreas (insulin, glucagon), nā kelipuna pituitary (somatotropin, adrenocorticotropic), kelima thyroid (thyroxine a me triiodothyronine), nā kihi adrenal (glucocorticoids).

ʻO ka insulin ke kumu nui o ke koko no ka hoʻohaʻahaʻa ʻana i ke kiʻekiʻe o ka glucose koko, ʻo ke koena o nā hormones he contrainsular, ʻo ia hoʻi, ke kōkua nei i ka hoʻonui ʻana o ke kō koko.

Pono e hoʻomaopopo ʻia he maʻa mau ka nui o ke kō i loko o ke koko venous ma mua o ke koko arterial. ʻO kēia ʻokoʻa ma muli o ka inu mau o ka glucose mai ke koko e nā ʻili.

ʻO ka ʻoi o nā io (Musical skeletal, cardiac muscle) a me ka lolo e pane wikiwiki i nā loli i nā pae glucose o ke koko.

Nā hōʻailona no ka hoʻoholo ʻana i ka glucose koko

Hōʻailona ka nui o ke kōpaʻa koko me ke kū ʻole inā ʻike ʻia nā hōʻailona o ka hyperglycemia a i ʻole hypoglycemia. Pono e hoʻomanaʻo ʻia ma nā hoʻomaka mua o ka maʻi, hiki i ka mea maʻi ke loaʻa i nā mau minamina wale kekahi o ke hoʻololi i ke kō koko koko. I kēia mea, ke ʻike koke ʻia nei ka haʻalele hewa ʻana o ka pae o ka glucose i ka hoʻokaʻawale, ʻo ka hoʻohaʻahaʻa i ka hoʻomohala ʻana.

ʻO nā ʻōpana no ka nānā ʻana i ke ʻano o ka glucose koko o ke alo o ka mea maʻi.

• nā hōʻailona o ka hypoglycemia a i ʻole hyperglycemia,
• ka manaʻo o ka maʻi maʻi
• ʻopi momona
• nā maʻi ākea o ka nui a me nā pēpē,
• nā maʻi e hoʻopilikia ana i ka nui o ka kelepaʻo adrenal, nā kelepaʻi adrenal, nā kelepa pituitary,
• kahakaha nā maʻi maʻi,
• maʻi papale
• ʻO ka mōʻaukala o nā maʻi maʻi i nā pili pili kokoke (e like me nā maʻi āpau e hōʻike ʻia no ka hoʻāʻo ʻana i ka maʻi maʻamau i hoʻokahi makahiki).
• atherosclerosis malino,
• mikola mikini
• kohola
• haehae maʻi
• nā maʻi maʻamau o ka maʻi bacterial a fungal etiology,
• helehelena pyoderma (aʻoi aku ka hulu manu)
• pinepine nā cystitis, urethritis, etc.,
• Polycystic ovary,
• na kekekahi haehae pinepine ana.

Eia kekahi, hoʻopaʻa ʻia kēia loiloi no nā pēpē a me nā wahine hāpai.ʻO kahi hōʻailona hou no ka noiʻi ʻana i ke kaila o ka glucose koko o ka hiki ʻana o ka wahine me ka mōʻaukala o nā kuhi hewa, ka hānau mua ʻana, nā pilikia me ka maalea, ka maʻi mestitus maʻi gestational, me ka hānau ʻana o nā pēpē nui, pēpē pēpē, a me nā pēpē me nā puʻuwai hoʻomohala.

Maʻalahi o ka maʻi mellitus i nā pēpē, eia naʻe, ʻo nā keiki āpau me ke koʻikoʻi nui, hoʻomohala hoʻomohala, stigma o ka embryogenesis, etc., he pono ke pale ʻia no ka maʻi maʻi a me ka hypothyroidism congenital.

Eia nō hoʻi, ʻo nā mea maʻi i ʻoi aku ma mua o ke kanahā ʻelima mau makahiki, ʻo ka poʻe me nā maʻi maʻi pancreatic (pancreatitis) a me ka poʻe e lawe ana i ka cytostatics, glucocorticoids a me ka maʻi immunosuppressive e nānā mau ʻia.

ʻO ka haʻahaʻa haʻahaʻa ma kahi keiki

ʻO ka emi ʻana o ke kō i loko o ke koko i kahi keiki (hypoglycemia) e hōʻike ʻia ana e ka ke ʻano o:

• hoonui ae ka hoowahawaha, hopohopo, puʻuwai a me ke ano palaualelo, i ke ano huhū, elike, hopohopo ole,
• haehae
• palpela puʻuwai,
• ka ʻaʻe ʻana o nā wāwae, ʻaihue,
• ʻili, hina paha a ʻulaʻula paha,
• nā haumia nā haumāna
• koko koko kiʻekiʻe
• ka ikaika nui o ka pōloli,
• uala, awaila,
• nāwaliwali ikaika ʻoi
• lethargy, loke,
• pūnaehana hoʻonohonoho o nā neʻe,
• poʻomanaʻo
• nā pilikia i ka lewa a me ka manawa,
• ka hemahema ʻike i ka ʻike, hiki ʻole i ka nānā ʻana,
• ka pale ʻana o ka ʻili a me ka ʻeha ʻana,
• ka ʻaʻe ʻana mai o koʻu ʻili,
• nā hoʻomanaʻo hoʻomanaʻo,
• kūpono ʻole
• ke ʻano o ka ʻike pālua
• nāwaliwali, me ka hypoglycemia koʻikoʻi a me ka holomua.

ʻO ke kōlā koko liʻiliʻi i loko o kahi pēpē: nā hōʻailona

I kahi pēpē hou, hiki ke hoʻohaʻahaʻa ka haʻahaʻa haʻahaʻa ma o ka waimaka, ka uwē mau ʻana, ke hiamoe ʻana a me ka luhi.

Nā hōʻailona a me nā hōʻailona o ke kō nui i nā keiki

Hiki i ke hoʻonui ʻana i ke kiʻekiʻe o ke kō (hyperglycemia) i ka wā e:

• mau ka makewai (polydipsia),
• ka pinepine ʻana o ka urination (polyuria), ma muli o ka ulu wai
• ka momona kaumaha, ʻoiai kahi momona maikaʻi,
• luhi mau a kaumaha,
• ka ʻike hoʻopuka, ʻae ʻia ka ʻike,
• ka ʻoi aku ka hoʻōla hou ʻia (ʻoiai nā ʻoka liʻiliʻi liʻiliʻi e hoʻōla no ka manawa lōʻihi)
• maloʻo mau o ka membula,
• maloʻo loa o ka ʻili,
• ka ʻū o ka ʻili o nā ʻili a me nā memula,
• maʻi piʻi pinepine a me nā maʻi.
• wahahee o na kane
• vaginal candidiasis,
• ua hiki hoʻi iā otitis externa,
• nā arrhythmias
• wikiwiki hanu
• ʻeha ka ʻōpū
• acetone ʻona.

Pehea e hāʻawi ai i ke koko i nā keiki no ke kō

Ua hoʻohana ʻia ʻekolu mau hōʻike i ʻike i nā hōʻailona glucose:

• ka loiloi ʻana i ke kiʻekiʻe o ka hoʻokeʻo ʻaina (lawe ʻia ka hoʻokolokolo ʻana i ke kakahiaka, ma kahi ʻōpū ʻole).
• hoʻolilo
• ka hoʻoholo ʻana i ka nui o ka wai kō i loko o ke ao.

ʻAʻole hana nā keiki ma lalo o nā makahiki he ʻumikumamāhā.

ʻO ka hoʻopau ʻana o ka kō koko koko e hoʻoholo ʻia ma kahi ʻōpū ʻole i ke kakahiaka. Mai ka papa ʻana o ka ʻai, ʻewalu mau hola e hala.

Ma mua o ke aʻo ʻana, pono e haʻalele i ka ʻuhane a me ke olakino.

I loko o ʻekolu mau lā ma mua o ka hoʻopaʻa ʻia ʻana, ʻōlelo ʻia, inā hiki, e hooki i ka lawe ʻana i nā mea hoʻohālikelike waha, thiazides, vitamina C, metopyron ®, corticosteroids, salicylates, fenothiazine ®, etc.

Ma ka liʻiliʻi ma kahi lā ma mua o ke kaomi ʻana, pono e hoʻokaʻawale ʻia ke inu ʻona.

He aha nā mea e hopena i nā hopena o ka hoʻopaʻa ʻana.

Hiki ke loaʻa nā hopena hewa i ke aʻo ʻana i nā mea maʻi e hoʻomanawanui ana me ka glucocorticosteroids, ka ulu ulu ʻana o ka estrogensine, ka estrogens, kaola, thiazides.

No laila, hiki ke loaʻa i nā kiʻekiʻe o ke kōpaʻa i ka poʻe ulaula.

Hiki ke mālama i ke kōpaʻa haʻahaʻa haʻahaʻa i nā poʻe e hoʻomaʻamaʻa ana me nā anabolic steroid, propranolol ®, salicylates, antihistamines, insulin ®, nā papaʻaila haʻahaʻa-hoʻohaʻahaʻa.

Eia kekahi, ʻo ka liʻiliʻi o ke kōpaʻa hiki ke loaʻa i ka hopena o ka make me ka chloroform a i ʻole arsenic, i nā mea maʻi me ka maʻi leukemia a i ʻole erythrocythemia.

ʻO ke ʻano o ka honu koko i loko o kahi keiki - he pākaukau e ka makahiki

Aia ke kumukūʻai o ke kō i nā keiki ma nā makahiki.

ʻO ka palena o ke kō koko koko i nā keiki he 1 mau makahiki ma ka pae mai 2.8 a 4.4 mmol / L.

ʻO ke kumu o ke kō koko koko i ka wā ʻōpiopio mai 3.3 a 5.6.

Nā pua ma ka wā:

Manaʻo nā ʻike no ka maʻi diabetes paha ʻelua ma kahi o ʻelua mau manawa ka hopena o ka nui o ka glucose:

• ʻehiku no ka hoʻopaʻa ʻana ʻai ʻana,
• 1- no nā hoʻokolohua hoʻonaninani glucose (120 mau minuke ma hope o ke hoʻāʻo ʻana) i nā keiki ma luna o ʻumikumamāhā mau makahiki.
• 1 me nā koho pilikino o ka hilo.

Nā kumu o Hyperglycemia

Hiki i nā hypoglycemia ke maʻi i nā maʻi me:

• SD
• ke hoʻonui kūlohelohe kū i ka pae glucose (stress, overload o ke kino, hoʻonui a adrenaline),
• ʻOahopromocytomas, thyrotoxicosis, acromegaly, ʻehaʻeha Cush, somatostatinomas,
• cystic fibrosis, pancreatitis, malignant tumors, etc.,
• puʻuwai pu, hōʻeu,
• nā ala i hele pū ʻia e ka hiʻohiʻona o nā antibodies e ʻike i nā ʻalemae insulin.

Kuhi ʻia ka hypoglycemia inā ua:

• adrenogenital syndrome, hypopituitarism, hypothyroidism, Hoʻonui a Addison,
• ketotic hypoglycemia (maʻamau no nā pēpē i hānau mua ʻia i nā makuahine me ka maʻi maʻi),
• nā ʻeha naʻau nui,
• ʻōpū o ka ʻōpū a i ʻole nā ​​kelepaʻi adrenal,
• fiva
• pauua
• hoʻoili
• nā maʻi ʻeha loa
• nā inidini, hemahema glucagon.

Eia kekahi, hiki ke hypoglycemia i nā pēpē hou me ka nui o ka nui o ka nui o ka maʻi, kahi maʻi intrauterine, me ka nele o ka waiū umauma i ka makuahine, a me nā mea ʻē aʻe.

He aha e hana ai e hoʻohaʻahaʻa i ke kōpaʻa koko

Ke hoʻoponopono ʻia nei nā waiwai o ka glucose e pono ai e lawe ʻia e ka endocrinologist mākaukau. ʻAʻole hiki ke loaʻa ka lāʻau lapaʻau loa iā ia iho a hiki ke hōʻeha ʻia i ke olakino.

Hoʻomaʻamaʻa ʻia ka Therapy i kēlā me kēia, ma muli o ke kumu o ka hoʻonui a emi paha i ka koko koko.

Me ka maʻi diabetes type 1, koho ʻia kahi meaʻai kūikawā, ka hoʻoponopono regimen, a me ke ʻano kino dosed.

ʻO nā maʻi maʻi ʻōpio

ʻO ka mea pōʻino loa, e like me ka hōʻike ʻana o nā kauka lapaʻau e hōʻike nei, ua ʻike ʻia ka maʻi diabetes i ka wā'ōpiopio i ka makahiki 11-15 i ka pae o nā hoʻopiʻi, inā ulu ka ketoacidosis a i kahi coma maʻi maʻi. ʻO ka nui o nā keiki he mana koʻikoʻi i ka ʻoihana, hoʻomaʻamaʻa nui ʻia ia.

ʻO ka ʻoiaʻiʻo o ke kūpaʻa ʻana i kahi ʻōuli o ka hormonal i hiki ʻole, ka mea i pili me ka poʻokela o nā keiki, ʻaʻole maikaʻi mau ka mālama ʻana, nā hopena ʻoluʻolu wale nō. Ke alakaʻi nei kēia mau mea i ka meka o ka pale ʻana o ka insulin, a nalo nā palupalu i ka ʻike ʻana i ka hormone.

I nā wā'ōpiopio, ua maʻi ʻia ka patology ma ke 11-15 mau makahiki he nui, a i nā keikikāne mea e ʻike pinepine ʻia ka 13-14 mau makahiki. E like me ka hōʻike ʻana, he mau kaikamahine ia i loaʻa ka wā paʻakikī, ʻoi aku ka maʻalahi o nā keikikāne e hoʻopiʻi i ka maʻi.

Hoʻomaopopo ka mālama ʻia ʻana i ka wā ʻōpiopio no ka hoʻopiʻi ʻana i ka maʻi mellitus no ka diabetes, normalizing glucose i ka pae kaulele (palena o luna o 5.5 mau ʻāpana), a me ka hoʻohaʻahaʻa ʻana i ke kaumaha nui.

No kēia mea, ua ʻōlelo ʻia ka therapy ponoʻī, a ua hoʻoholo ʻia ka dosage o kēlā me kēia kanaka, a hilinaʻi ʻia i ke kiʻi kikowaena kikoʻī, ka makahiki o ke keiki, nā maʻi hui a me nā mea ʻē aʻe.

ʻAʻole makemake nā keiki i ke kū i waena o kā lākou mau hoa, ʻaʻole maopopo lākou i ke ʻano o kā lākou pathology, no laila ʻaʻole lākou e hahai i nā ʻōlelo a ke kauka, a pau i ka hoʻolaha ʻana i ka hormone, a ma nā hopena i loaʻa ai nā hopena:

• ʻO nā lā hoʻomaha a me ka hoʻolālā ʻana.
• I nā kaikamahine, hōʻino ka laikini i ke kāne, ʻike ʻia ka ʻeha i loko o nā ʻōpū e nānā ʻia, ʻike ʻia nā ala holupa.
• Hōʻalo ʻia ka ʻike ʻike ʻike.
• Nā maʻi maʻi.
• Nā maʻi lohi pinepine ʻia.

Ma nā hihia koʻikoʻi, hiki i ka hemahema a me ka loaʻa paha o ka lāʻau lapaʻau ke alakaʻi i ka mea e hoʻomohala ke keiki i ka ketoacidosis, ma hope o kahi coma maʻi maʻi, hiki iā ia ke hana i ka make a i ʻole ka maʻi me ka maʻi type 2.

No ke aha e hāʻawi ai i ke koko no ka hilo

Pono ka kontrol o ka glucose ma o ka loaʻa ʻana o ka maʻi diabetes. I nā keiki, hiki ke hele i ka maʻi diabetes i kahi ʻano latin no ka manawa lōʻihi, e hoʻokaʻawale ana iā ia iho i nā manawa o ka ulu ulu a i ka wā o ka wā ʻōpiopio.

Hoʻopaʻa kokoke i ka meaʻai o ke keiki, kahi e hāʻawi ai ke kaʻina o ke kino kino i ka manawa e ulu ai ke keiki. I kēia manawa, loaʻa ka hoʻonuiʻana i ka hoʻouluʻana o ka hormone hoʻoulu, kahi e hiki ai ke hoʻonui i ka glucose.

ʻO ka welo o ka ulu ākea e ʻike ʻia i nā makahiki 4, 7 a me 11. ʻO ka hoʻonui nui loa o ke kaupaona ʻana i ke kumu o ka pancreas e hoʻonui i ka hana o ka insulin e hālāwai ai i nā pono o ka glucose.

Nā hiʻohiʻona o ka maʻi diabetes i nā keiki

I nā kamaliʻi ma 90% o nā hihia ke keu aku ma mua o ka pākaukau, e loaʻa ana ka maʻi diabetes-dependence 1 e hōʻike ʻia ana i ka hoʻoliʻu koko koko.

ʻO ka mea i hala loa nei, ke ʻike pinepine nei ka ʻōpekema-non-insulin-dependence 2 i nā wā ʻōpio, ʻo ka hoʻomohala ʻia e hoʻomaʻamaʻa ʻia e ka momona a me ka nele o ka neʻe. Ma ka maʻi diabetes, ua hoʻomohala ʻia ka insulin, akā ma kahi nui ʻaʻole lawa e hōʻoia ai i ka hoʻouna ʻana i nā glucose i nā pūpono āpau o ke kino.

Ke ʻano insidious o ka maʻi diabetes 2 ma kahi papa asymptomatic ma ke ʻano mua. Hōʻike ʻia ka maʻi diabetes 2 i nā kamaliʻi he pinepine i ka makahiki o 10.

Hōʻano ʻia e ka hui me ka obesity, hypertension, a me ke kiʻekiʻe kiʻekiʻe o kahi mākaʻikaʻi o ka nāwī i loko o ke koko, ʻo ia ka pae o C - reactive protein.

Koho e pili ana i nā hopena o ka loiloi, e huki ʻia kahi hopena e pili ana i ka hiki ke hoʻomohala ʻana i ka maʻi diabetes a me nā hōʻike hou e kuhikuhi ʻia inā pono.

ʻO ka manawa mua e hoʻomaʻamaʻa ʻia kahi pēpē hou no ka hilo ma hope o ka hānau ʻana. Inā ʻaʻole iʻoi aku ka loiloi ma ka maʻamau, a ʻo ke kaumaha o ke keiki ma lalo o 4.1 kg, a laila ʻike hou ʻia ka pae glucose ma hope o hoʻokahi makahiki.

Ma hope aku, i nā keiki me nā haʻahaʻa kōpaʻa maʻamau a me ka ʻole o ka predisposition hoʻoilina i ka maʻi maʻi, hoʻāʻo ʻia ka hoʻoliʻu kō i kēlā me kēia 3 mau makahiki.

Me kahi wahine hou i kaupaona ʻia he 4.1 kg, hoʻonui ʻia ka nui o ka maʻi diabetes, a hiki ke kauka ke kauka i nā hōʻike hou no ka hoʻokūkū glucose.

Pehea e hoʻomākaukau ai no ka hoʻoili ai

Kūpono ʻia kahi koko koko no ka nānā ʻana mai kahi vein a mai kahi manamana lima paha ma ke ʻōpū i ʻole ma ke kakahiaka. ʻAʻole pono ke keiki e ʻai i nā hola 8 ma mua o ka hoʻāʻo ʻana.

ʻAʻole ʻaʻole e palupalu i kona mau niho a inu paha paha i mua o ka lawe ʻana i ka hōʻike. Hāʻawi wale ʻia ka hoʻohana ʻana i kahi wai liʻiliʻi o ka wai maʻemaʻe.

ʻAʻole hiki iā ʻoe ke hoʻohana i ka molameka pipiʻi, makaʻu a hoʻoneʻe paha ma mua o ke aʻo ʻana.

Pono nā ʻoihana like ʻole e kiʻi i ka hopena noiʻi undistort.

Nā ʻāpana gula

ʻO ka liʻiliʻi o ka pālākiō gula ka mea liʻiliʻi i ka makahiki a me ka wahine a ke keiki. ʻO ka Glucose ke kumu nui o ka ikehu o ka lolo, a ulu kēia aʻa i ka ulu ʻana o ka wā kamaliʻi.

Loaʻa kekahi mau ʻokoʻa i nā uku maʻamau ma nā ʻoihana ʻē aʻe ma muli o ke ʻano o ka hōʻike hōʻike hoʻohālike. Hiki paha i nā helu helu o ke ʻano ke ʻano inā he koko piha, plasma, koko serum i hoʻohana ʻia no ka hoʻoili ʻana.

Ma ka ʻaoʻao "Norm of glucose from veins" hiki iā ʻoe ke heluhelu i kahi ʻatikala e pili ana i kēia mau ʻokoʻa i nā hopena o nā hōʻike.

Nā papa o nā kapu no ka wikiwiki ʻana o ke kō o ke kō i loko o ke koko capillary piha i nā keiki

Inā ʻaʻoleʻoi aku ka nui o ka hōʻike hōʻike ma ke ʻano maʻamau, hiki i 5.6 - 6.9 mmol / l, hōʻike kēia i ka prediabetes. I ka nui o nā hopena hōʻike wikiwiki ma mua o 7 mmol / L, ua hōʻike ʻia ka maʻi diabetes.

I nā pilikia ʻelua, kuhikuhi ʻia nā haʻawina hou, ma hope o ka manawa e hoʻokolokolo ʻia a hoʻopaʻa ʻia paha ka maʻi maʻi.

I kahi keiki he 6-7 mau makahiki he koko koko o 6.1 mmol / L, ʻoi aku ke kiʻekiʻe o mua ma mua o ka ʻōpū ʻole, a laila ua kauoha ʻia ʻo ia kahi hōʻike ʻelua. ʻO ka hikiwawe o ka maʻamau ke kumu no ka hoʻomākaukau kūpono ʻana no ka nānā ʻana, nā lāʻau lapaʻau a me nā maʻi maʻi paha.

ʻOi aku ka nui o ka moʻo, ʻo ke kō o nā honu i loko o kahi hoʻāʻo o ke koko i nā keiki ma lalo o 5 mau makahiki he hiki i ka maʻi me nā helminths. Ua wehewehe ʻia kēia hiʻohiʻona e ka neʻeʻana i mua o nā lolo, hiki i ka metabolism i ke kino ke loli.

Inā he keiki nui 3 mau keiki ma mua o ka maʻamau o ke kaʻai koko no ka hoʻokeo koko, a ʻoi aku nā mākaʻikaʻi ma mua o 5.6 mmol / l, a laila pono ke kaupaʻa ʻana o nā hōʻike.

• ka hemoglobin glycated,
• ka nui o nā palaʻai i ke kino.

Ma nā keiki he 10 a 11 paha makahiki, ʻoi aku ka nui o ke koena koko i hōʻike ʻia i loko o ka papa i ka nui o ke ʻano o ka hoʻomohala ʻana o ka maʻi diabetes. ʻOiaʻiʻo, hiki ʻole iā ʻoe ke hoʻokuʻi koke i kahi maʻi me ka hoʻāʻo wale ʻia o ka ʻōpū.

Pono e hoʻokumu i ka mea o ke kō i loko o ke kaila koko no ka hoʻohaʻomaʻi ʻana i ka glucose, pehea ka nui o ke koena ma mua o ke kumu, ma mua o ka hoʻoku ʻana i ka prediabetes a i ʻole ka maʻi maʻamau i kahi keiki.

ʻO ka hoʻākāka ʻana i ke pēpē

He mea paʻakikī loa ke hāʻawi ʻana i kahi ʻike ma kahi ʻōpū ʻole no kahi pēpē. Maiʻai i nā hola 8 no kēlā mau crumb i maʻalahi maʻalahi wale nō.

I kēia hihia, ʻaʻole hana ʻia ka loiloi ma kahi ʻōpū ʻole. Hōʻailona ke koko 2 mau hola ma hope o kahi pāʻina.

Aia i nā keiki ma lalo o 1 mau makahiki aku, ʻo ke kō koko koko i loko o ia ʻano mea noiʻi ʻaʻole iʻoi aku ma mua o 2 mau ʻoi aʻe ʻoi aʻe ma mua o ka maʻamau, a laila ʻaʻole hopohopo nā mākua.

ʻO kahi mea, inā loaʻa kahi 6.1 mmol / L a i ʻole he mea liʻiliʻi ma hope o ka ʻai ʻana, ʻaʻole kēia ka maʻi maʻi.

Akā ʻo 6.1 mmol / L, loaʻa mai ke keiki ma kahi ʻōpū ʻole me ka hoʻomākaukau kūpono no ka hoʻopaʻa ʻana, e hōʻike ana i ka hyperglycemia a me ka weliweli o ka maʻi maʻi.

Ua hōʻike lākou i ka maʻi diabetes i nā pēpē inā he hopena o ka huli ʻana 2 mau hola ma hope o ka ʻai ʻana ma mua o 11.1 mmol / L.

No ka hōʻoia i ka maʻi maʻi, ua hāʻawi ʻia ke keiki i kahi hōʻike hemoglobin glycated. ʻAʻole pono kēia hoʻokolohua i ka wikiwiki-wikiwiki no 8 mau hola, akā koi ka koko venous no ka hoʻokolohua.

Ke hōʻike nei i ka maʻi diabetes, me ka hoʻoholo ʻana i ke kiʻekiʻe o ka glucose, ua hoʻokō ʻia ka hōʻike no ka ʻike ʻana o ka C - react protein.

Nā kumu kumu o ka hoʻonui kuhi

Hiki ke hoʻomaikaʻi ʻia nā hopena hōʻike inā inā ma ka pō o ka hōʻike, ua mālama ʻia ke keiki.

• antibiotika
• hoʻoiho
• nā mākaʻi vasoconstrictor
• corticosteroids
• ole-lāʻau lapaau anti-inflammatory.

Hoʻonui ʻia kahi hopena ʻē aʻe i nā hualoaʻa ma nā hihia i maʻi ai ke keiki me SARS a i ʻole kahi maʻi maʻi.

Loaʻa nā kumu ʻole i ka maʻi diabetes i ka nui o ke kō e loaʻa ai i nā maʻi ʻeha e pili ana i ka pancreas. Hoʻopili kēia i nā maʻi e like me ka camples, chickenpox, hepatitis, a me nā ʻōpala.

Hoʻonui ka hoʻonui i ke kō e nā hoʻoemi i ka hana o ka insulin i ke kino. ʻO kekahi hopena hōʻike i kekahi manawa ma o ka loli o ke ʻano o ka hormonal, ka hoʻonui ʻia ʻana o ka hana adrenocorticotropic.

Hoʻoikaika ka hana ʻana o ka insulin i nā maʻi:

ʻO nā kumu no ke kōpī haʻahaʻa

ʻAʻole pili pono nā kōpili liʻiliʻi i ka hoʻokumu ʻana o ka maʻi maʻi. ʻO ka haʻahaʻa ma mua o nā haʻahaʻa glucose kumu maʻamau e kuhikuhi i kēia mau pilikia:

• maʻi ʻino
• maluhia, ka pololi,
• lawa hema koi ana
• ʻeha ka naʻau
• makee lāʻauʻona,
• sarcoidosis
• ka hoʻomohala ʻana o ka insulinoma - kahi hana hormone adrenal ikaika e hana ana i ka insulin.

Nā hōʻailona o ka hoʻonui ʻana i ka Sugar

Hiki ke hāpai i nā hoʻololi i ke kōʻai koko ma o nā hōʻike o waho o ka hyperglycemia a i ʻole hypoglycemia, ke ʻano o ke keiki. I mea e pale ʻole ai i nā mahele hiki ʻole i ke hoʻololi ʻana i ka lolo, pono i nā mākua e ʻike i nā hōʻailona o ka hyperglycemia.

ʻO nā hōʻailona o ka hoʻomohala ʻana i ka maʻi diabetes latent:

1. Maluna, ka nui inā i hōʻike ʻia ʻo ia iho i ke ao a me ka pō
2. Kahea a hāhū pinepine pinepine nei
3. Hoʻonuiʻia ka urination i ka pō, ʻaʻole i loaʻa e ka maʻi ʻeha o ka ʻōnaehana genitourinary
4. Hoʻopili ka Diabetic i nā pāpālina, kō, ka lae, nā aniani
5. Hoʻonui ka momona
6. ʻO nā hōʻailona o ka hoʻoheheʻe, hōʻike ʻia e ka ʻili maloʻo, nā membrane mucous
7. ʻO ka pohō nui o 5 - 10 kg me ka meaʻai maʻamau
8. Hoʻonui kaho
9. Hewa nā lālā;
10. ʻOmoʻi ʻiʻo

ʻO nā hoa pinepine o ka glucose kiʻekiʻe i loko o nā keiki ka cutaneous pustular a me nā maʻi, ka hōʻeha ʻana o ka ʻili, ka ʻike ʻana o ka ʻike, a me ka momona.

ʻO nā ʻōlapa paila Purulent, ka hiʻohiʻona o nā wīwī, nā maʻi o nā membrane mucous o ka waha waha, nā ʻōpū kūwaho o ke kino he manawa e kipa aku ai i kahi endocrinologist.

Inā ma nā keiki 7 - 8 mau makahiki mau nā māka loiloi i ka wā e hoʻoholo ai i ke kō o ke koko wikiwiki e kiʻekiʻe loa ma mua o ka maʻamau, a laila ʻaʻole kēia he kumu no ka panic. ʻO ka hoʻohālikelike ʻia paha ia ma muli o ka hala o ka mika, ʻoi aku ka ʻono a inu i ka lā ma mua.

Hiki i ke kūpono o ka mika ke kiʻekiʻe a piʻi i ka 20%. Hoʻokumu ʻia kēia ʻano hana e hoʻokele wale i nā dinamika o nā loli i ka poʻe i hōʻike ʻia me kahi maʻi maʻi paʻa.

ʻAʻole ʻoe e ʻike mau me ka glucometer i ka nui o ke kō i loaʻa ai ke keiki i loko o kona koko, e like me ke ana pinepine, ʻike ʻia kahi maʻi maʻi, ʻ prescribedlelo ʻia ka hana. No ka hana i kēia, pono ʻoe e kipa i kahi endocrinologist a loaʻa iā ʻoe kahi hōʻike ma kahi keʻena olakino.

I ka piko maʻi maʻi

Me ka ʻike mau ʻole, ʻo ka hōʻike mua o ka maʻi diabetes he maʻi comic maʻi ma muli o ke kiʻekiʻe o ka glucose. Hoʻopuka kahi kūlana me nā waiwai glucose i loaʻa ka 19.5 mmol / L.

ʻO nā hōʻailona o ka coma maʻi lahilahi ka mea a ka maʻi hyperglycemia i:

1. I ka hoʻomaka mua o ka coma - lethargy, nausea, make wai, pinepine ka urination, ke ʻano o ke ʻano o ka huehue o ka acetone mai ke kino
2. I ka hoʻomaka ʻana o ka coma hōʻoluʻolu - hoʻonaninani i nā hemahema, hāʻule i loko o ke koko, ka hema ʻana o ka urination, nāwaliwali o ka naʻau, ke kūlohelohe ʻana.
3. I ka hopena nui o ka coma - ka nele o ka noʻonoʻo a me ka urination, ka hiʻohiʻona o nā edema, ka hana cardiac impaired

ʻO nā hōʻailona o ka Glucose haʻahaʻa

Hōʻike ka maʻi kupa ma lalo o ke koko i nā hōʻailona ma nā keiki.

• āhāhuʻe
• hopohopo
• ka lohe ʻana i ka "holoholona" pōloli ikaika.
• ka hiʻohiʻona o nā tendon reflexes, i ka manawa, no ka laʻana, i ka pane ʻana i kahi tendon Achilles, e hoʻomaka ana ka wāwae i ka ʻekekema me ka ʻūhā.

I nā pēpē, hiki i nā hōʻailona o ke kūʻokoʻa o ka glucose mai ke kumu maʻamau ke ala koke ʻana, he uē.

ʻO kekahi mau hōʻailona o ka hyperglycemia a me ka hypoglycemia e like. Hoʻopili kēia me ka mau haʻalulu, maloʻo.

ʻO nā hōʻailona maʻamau o ka wehe iki ʻana o ka glucose i ke koko mai ka maʻamau ke loaʻa ka ʻike ʻole. Akā me kahi kiʻekiʻe o ke kō, ua mua ia i ka hoʻomaloʻo ʻana, a me kahi koina o ke kō - ka manaʻo hauʻoli.