ʻO ke kumu o ke koko koko i kahi keiki o 7 mau makahiki: papa

I mea e maopopo ai pehea ke kūpaʻa nā endocrine i ke kino o kahi keiki, hoʻomaʻamaʻa ʻia kahi hōʻike koko no ke kō. I ka manawa pinepine, ua hoʻākāka ʻia nā ʻano noiʻi ʻana no ka maʻi ʻaihueʻa.

I loko o nā keiki, kahi ʻano o ka insulin-autoimmune e pili ana i kēia maʻi. ʻO ke ʻano maʻi maʻi mua e pili ana i nā maʻi me kahi predisposition hoʻoilina. ʻAʻole paʻa ia ma nā keiki āpau, ʻoiai me nā hoahānau pili me ka maʻi maʻi.

ʻO ka mea kikoʻī he hopena i ka maʻi, ke kaumaha, ka lohi o ka puʻuwai, nā lāʻau lapaʻau, nā mea ʻomaʻawa i ka meaʻai, kahi neʻe mua mai ka umauma wai i ka mea hānai. ʻO ka hoʻomaka mua ʻana o ka maʻi diabetes hiki iā ʻoe ke hoʻomaka i ka mālama ʻana i ka manawa a pale i nā hōʻeha.

Pehea e hoʻokomo ai ka glucose i ke kahawai?

ʻO ka Glucose he huamona maʻalahi a loaʻa i nā meaʻai maʻemaʻe i ka meaʻai, he nui i ka hua waina, nā hua maloʻo, ka meli. ʻO kēia mau, e hoʻomaka i ka komo ʻana i ke koko, e hoʻomaka me ka membrane mucous o ka waha waha.

I ka ʻai, aia kekahi i ka fructose, sucrose a me ka galactose, ka mea ma lalo o ke ʻano o nā kaomi o ka huina i lilo ai ka glucose a me ka paʻakikī, hoʻoulu koʻikoʻi, ma lalo o ke ʻano o ka amylase e wāwahi ai i nā molekule.

No laila, nā kalepona a pau e hele mai me ka hoʻonui ʻana i ka glycemia. Ua kapa ʻia kēia ala waho o ka glucose. Me ka pololi, ka hana kino olakino, a i ʻole kaʻai haʻahaʻa, hiki ke kiʻi ʻia ka glucose i nā hale kūʻai glycogen i loko o nā palupima o nā ʻāʻule a i ʻole nā ʻili o ka naʻau. ʻO kēia ke ala wikiwiki loa.

Ma hope o ka maloʻo o ka glycogen, ua hoʻomaka ka hana o ka glucose mai nā waikawa amino, nā momona a me nā lactate i loko o ka ate.

ʻOi aku kēia mau hopena biochemical, akā hiki ke hoʻonui hou i ke kōpaʻa koko ma mua o ka manawa.

ʻAiʻi i ka uptake glucose

Ke hoʻāla nei nā kaʻina hana o ka glucose i loko o ke kino e ka mau stress stress - cortisol, adrenaline, ulu a me ka testosteroneagon. Hoʻokomo pū i ka ʻōmaʻomaʻo thyroid a me nā hormones sex.

ʻO ka hormone e hiki ai ke hoʻohaʻahaʻa i ke kōpaʻa koko ma ke kōkua ʻana i nā maʻi e loaʻa ai no ka ikehu ka insulin. Hoʻonohonoho ʻia ia ma nā maʻamau liʻiliʻi, e kōkua ana i ka hoʻoneʻe ʻana i ka glucose mai ka ate. ʻO ka mea hōʻeuʻeu nui o kāna mea huna e hoʻonui i nā pae glucose koko.

Ma hope o kahi ʻai ʻana, i ka wā e komo ai nā kīmona i ke kahe wai, hoʻokahe ka insulin i nā mea ʻalae ma luna o ka nui o nā puna a hoʻopale i nā molekui glucose ma o ka membrane cell. Loaʻa nā hopena Glycolysis i loko o nā pū me ka hoʻolālā ʻana o ka waikawa adenosine triphosphoric - ke kumu nui o ke kino.

Hōʻike ʻia nā ʻano o nā insulin i kēia ala:

Hoʻopili ia i nā glucose, potassium, amino acid a me magnesium i loko o ka hale.
Hoʻololi ka hoʻohuli ʻana i ka glucose i ka ATP.
Me ka keu o ka glucose, e hāʻawi ai i ka mālama i ke ano o glycogen.
Mālama i ka komo ʻana o ka glucose i ke koko mai ka ate a me nā musuli.
Hoʻonui i ke ʻano o nā protein a me nā momona, ke pale i ka pala ʻole.

Ka hoʻomohala ʻia nā maʻi mellitus ma muli o ka mana o ka luku ʻia ʻana o ka autoimmune i nā ʻāpana o ka pancreatic, he ʻano hana like ʻole i loko o ke kino. ʻO kēia ka mea maʻamau no ka maʻi type 1, pili ʻia i nā keiki, ʻōpio, nā ʻōpio.

ʻO ke ʻano lua o nā maʻi e hele mai me ka hoʻopiʻi e pili ana i ka hormone. Hiki i ka Insulin, akā ʻaʻole pane nā cell. Ua kapa ʻia kēia ʻano ʻo ka pale ʻana o ka insulin.

ʻO ka maʻamau, ʻike ʻia ka maʻi diabetes type 2 i ka poʻe kahiko me ka obesity concomitant, akā ʻo kēia manawa ua lilo ia i ka pathology maʻamau i waena o nā keiki 7-13 mau makahiki o ka makahiki.

Pūkahu koko

Ua loli ka pae o ka glycemia i nā keiki me ka ulu ʻana, no kahi pēpē makahiki hoʻokahi i waena o 2.8-4.4 mmol / l, a laila ala i ka 2-3 makahiki, kahiʻano o ke kō koko koko i nā keiki o 7 mau makahiki he kuhi glucose i ka 3.3-5.5 mmol / l.

No ka mālama ʻana i ke aʻo ʻana, pono ke hele a hele mai ke keiki no ka nānā ʻana ma hope o ka hoʻomaha ʻana o 8 mau hola i loko o ka pauʻai ʻana o ka meaʻai. Ma mua o ka hoʻokolohua, ʻaʻole hiki iā ʻoe ke wāwahi i kou mau niho, inu i ka wai a i ʻole kaʻaapaʻa, kaofe. Inā i kuhikuhi ʻia nā lāʻau lapaʻau, a laila hoʻopau lākou i ka ʻae ʻana me ka pediatrician.

Hiki i ke kō koko hoʻokeo koko a me ka haʻalele ʻana i nā hōʻailona o ka maʻi diabetes, aia paha i nā keiki olakino, akā inā aia he predisposition heleuli, hiki paha i ke kauka ke kuhikuhi iā ʻoe no kahi hōʻike hou. Hana ʻia kahi hōʻike hoʻoliʻiliʻi glucose e ʻike pehea e pane ai ka pancreas i ka ʻai ʻana o ka meaʻai.

I ke wā kamaliʻi, ua hōʻike ʻia:

E hoʻoholo i ka latent a i ʻole ʻaihue.
Ma ke alo o ka momona.
Aia ke emi ʻana o ka uka ʻike.
Nā manawa ua pinepine.
ʻO ka momona kaumaha me kahi meaʻai maʻamau.
ʻO ka puka paʻakikī o ka furunculosis a i ʻole ka hopena o ke ake.

ʻO ka hōʻike, ua lawe ke keiki i kahi hopena glucose i ka nui o 1.75 g no ka kilokino o ke kaumaha o ke kino. Hana ʻia nā anaila ʻelua ʻelua: ma luna o ka ʻōpū ʻole a i ʻelua mau hola ma hope o ka hoʻomaʻamaʻa ʻana. Manaʻo ke ʻano no nā keiki inā he mau hola 2 ma ke kō he wai ma lalo o 7.8 mmol / l.

Inā aia i ka maʻi maʻi, a laila keu aku kēia helu i ka 11.1 mmol / L. Kuhi ʻia nā helu i waena o kahi kūlana prediabetic.

ʻO ka hoʻohaʻahaʻa ʻana i ke kō koko ma nā keiki

ʻO ka hānai koko haʻahaʻa he pilikia i ka hoʻomohala ʻana o ke kino o ke keiki, a me ke kiʻekiʻe hoʻi. Loaʻa nā keiki i ka wā ulu o ka nui e pono ai ka glucose. ʻO kona hemahema e hōʻemi i nā hana o nā kōpona o nā lolo, ʻaʻole hiki i ke keiki ke hoʻomohala i ke kino a me ka noʻonoʻo.

Hoʻopilikia ka hypoglycemia i nā pēpē hou me ka hānau mua, ka hānau mai ka makuahine me ka type 1 diabetes mellitus, asphyxiation ma muli o ka hoʻopukapuka ʻana me ke kaula umbilical, a me nā ʻeha hānau hānau. No ka mea ʻoi aku ka nui o nā glycogen ma ke kino o ke keiki ma mua o nā pākeke, pono ke ʻai pinepine nā keiki e pale i ka hānai ʻana o ke kō koko.

ʻO nā hōʻailona o ka hypoglycemia i nā keiki hiki ke loli: leʻaleʻa, nā palu o ke kino, nāwaliwali. Nui ka momona, nā lulu a me nā lima haʻalulu, he puʻuwai naʻau pinepine. Ma hope o ka ʻai ʻana, e hāʻule paha kēia mau ʻōuli, akā inā he kumu nui ke kumu o ka nīnē i hoʻohaʻahaʻa, a laila emi iho ka ʻalo ʻana, ke hiamoe nei, ʻalo ʻole ka ʻike, nā kāhū a me nā coma.

ʻO ke kumu kumu maʻamau o nā kūlana hypoglycemic he overdose o ka insulin i ka mālama ʻana i ka maʻi diabetes. Eia kekahi, pae nā haʻahaʻa haʻahaʻa haʻahaʻa me kēia mau ala:

ʻO nā maʻi lohi mau maʻi.
Nā hana Tumor.
Poino.
ʻO ka hana pituitary a i ʻole ka hana neʻe adrenal.
Hypothyroidism
Hōʻea nā congenital hyperinsulinism.

Hyperglycemia i ke wā kamaliʻi

Hoʻopuka ke kōhi koko nui me ka nele o ka insulin, hoʻonui i ka hana thyroid, adrenal gland hyperfunction a pituitary gland. Loaʻa paha nā keiki olakino i ka hoʻonui pōkole i ka hānai me nā manaʻo ikaika, hoʻoikaika kino a noʻonoʻo paha. Ke lawe nei i nā lāʻau lapaʻau e pili ana i nā hormone, diuretics alakaʻi i hyperglycemia.

ʻO ke kumu maʻamau o ka piʻi koko kiʻekiʻe o ka maʻi maʻi. I ke wā kamaliʻi, ua kū pinepine ia a i kahi ʻano koʻikoʻi. I mea e hōʻike aku ai i ka maʻi maʻi, ke piʻi aʻe o ka wikiwiki i ka glycemia wikiwiki ma luna o 6.1 ma ke ʻano, a ma hope o ka ʻai ʻana a i ʻole me ka hoʻoholo kauā ʻana o ka honi - ʻoi aku ma mua o 11.1 mmol / l.

Hiki i ke komo ʻana o ka maʻi maʻamau i ka hoʻomohala ʻana i nā hoʻopiʻi a me ke kōkua ʻana i ka hoʻopiʻi ʻana i nā hōʻailona o ka maʻi. No laila, ma nā hōʻailona mua, pono ʻoe e hoʻomaʻamaʻa piha i ka hiki.

Pau ʻole ka makewai, ʻoiai me ka pō.
Haaheo a me ka urination pinepine, enuresis.
ʻO ka poho o ka momona me ka momona maikaʻi a hoʻonui i ka makemake.
ʻAʻole kū nā keiki i kahi ma waena o nā hānai.
Ma hope o ka ʻai ʻana, hoʻonui ʻia ka nāwaliwali.
Hoʻohui nui i ka ʻili, ʻo ia hoʻi i ka perineum.
ʻO nā maʻi maʻamau a me nā maʻi maʻi maʻi.
ʻO Candidiasis o ke kino a me nā membrane mucous.

Inā ʻaʻole hana ʻia ka maʻi ʻa ka manawa, a me ka nele o ka insulin e hiki ke alakaʻi i ka hoʻomohala ʻana i ke ʻano ketoacidotic, ka mea i hōʻike ʻia e ka hoʻonui ʻana i ka nāwaliwali, ʻeha o ka ʻōpū, nausea a me ka luaʻi, ke ʻano o kahi ʻano o ka acetone mai ka waha, e lilo ka hala o ka ʻike me ka hoʻomohala ʻana i kahi como ketoacidotic.

ʻO nā mea ʻokoʻa o ka glycemia he mea maʻamau e haʻi i nā poʻe loea i ke wikiō ma kēia ʻatikala.