ʻO ke kumu o ke kō i loko o nā keiki 2-3 mau makahiki he mau makahiki: nā hōʻailona o ka hoʻonui ʻana o ka glucose i nā keiki

ʻOkoʻa kēlā me ke kumu o ke kō i nā keiki 2-3 mau makahiki mai nā hōʻailona i hoʻokumu ʻia no ka pākeke, ʻoiai e ulu ana ka kino o ke keiki a ulu. Eia kekahi, ʻo nā ʻōhumu o ke koko, me ka manaʻo o ka makahiki o ke kanaka, e loli i nā manawa like ʻole o ka lā a me ka ʻai ʻana o ka meaʻai, ka hana kino a me ka hoʻokau naʻauao.

ʻO ka mea maʻamau he hoʻonui i ka glucose ma hope o ka ʻai ʻana, a me kona hōʻemi ʻana ma muli o ka hana ikaika.

ʻO nā loli liʻiliʻi i hōʻike i nā hopena o nā hoʻokolohua diagnostic hiki ke hoʻopau iki a mau loa paha.

Ma ke kānāwai, ʻo ko lākou hoʻomau a hoʻomāhuahua mau paha e hiki ke hoʻopilikia i ka hana o nā ʻōpū kūloko a me nā ʻōnaehana, a me ke kumu e hōʻeha ʻia ai nā maʻi maʻi.

ʻO nā kiʻi i manaʻo ʻia ʻo ke kumu maʻamau i nā hana lapaʻau

Ua hoʻokū ʻia ke kapu koko o ke kō ka mea i hiki ai ke ʻimi i ke kuana ʻana o nā haunaele liʻiliʻi i ka hana ʻana o nā hanu holoʻokoʻa. Hōʻike ka pae glucose i ke kūlana o nā kaʻina loina metabolic, a me kahi neʻe mai ka ʻikepili i hoʻokumu ʻia e ka hana lapaʻau e hōʻike ai i ka hiki ʻana o nā pathologies i ke kino o nā keiki.

ʻO ke kaila koko i loko o nā keiki mai nā lā mua o ko lākou ola a hiki i hoʻokahi makahiki makahiki ke kau ʻia nei i ka awelika mai 2.8 a 4.4 mmol pākiha. ʻOi aku ka mau haʻahaʻa ma mua o nā pākeke, ʻoiai e ulu mau ana ka ʻōpū o ke pēpē a ulu. I ka hala ʻana o ka manawa, a hiki i ka ʻelua mau makahiki, ʻo ke ana o ka nui o ka glucose i ke koko he ʻelima 3.3 mmol i kēlā me kēia pā (ʻo ka nui o ka paepae i manaʻo ʻia he elima mau mika i ka pākeke). ʻO kēia mau helu ka moʻina o nā keiki āpau ke hiki i nā makahiki ʻelima.

I kahi keiki mai ʻekolu a ʻeono makahiki, hiki i nā hōʻailona ke hoʻololi i ka 3.3 a i 5.6, a noho a hiki i ka pēpē a hiki i ka makahiki he ʻumikumamālima.

I kēia mau lā, nui ka manawa e nānā i nā pae koko i ka home.

I kēia hihia, ua ʻōlelo ʻia nā keiki i 2-3 mau makahiki e alakaʻi i kahi noiʻi ma ka ʻoihana no ka mea e loaʻa ai ka hopena ʻoi aku ka hilinaʻi.

Pehea kahi noiʻi diagnostic?

E like me ka mea i hōʻike ʻia ma luna, hiki iā ʻoe ke hana i kahi aʻo ʻana i ke koko koko i kahi keiki o 2 mau makahiki ma ka home. ʻO nā Glucometer - nā mīkini no ke ana ʻana i nā hōʻailona pono - ʻike pinepine ʻia i nā umauma lapaʻau home. I ka manawa like, e loaʻa ai nā hopena maʻamau a ʻoi aku ka maikaʻi, ʻoi aku ka maikaʻi o ka hāʻawi ʻana i ka loiloi i kahi loea lapaʻau e hoʻohana ana i nā mea hana loea. E like me ka hōʻike ʻana, aia kahi nui o nā mea hiki ke hoʻokaʻawale i nā hōʻike e hōʻike ʻia e ka mika.

I nā kūlana Laboratory, kahi hōʻike o ka hoʻāʻo ʻana - ka koko - e lawe ʻia ana me kahi mea noiʻi kūikawā. I nā pēpē, lawe ʻia ke koko mai ka kuʻekuʻe a i ʻole nā wāwae (ʻaʻole like me ia i kahi pākeke). Pēlā, ʻaʻoleʻike ka pēpē i ka ʻehaʻeha i ka wā o ke kaana.

ʻO ke kaʻina hana no ka hoʻohālike koko, a me nā pākeke, pono e hana ʻia e hoʻokō pono ai i nā lula a me nā hoʻomaʻamaʻa kūikawā.

ʻO nā kumu nui e pono ai ʻoe e hoʻolohe i mua o ka lawe ʻana i ke koko no ke kōkō, penei:

Ma ka pō o ka loiloi, ʻaʻole pono nā pēpē e ʻai i nā hola he ʻumi. I mea e loaʻa ai nā hopena noiʻi pono, lawe ʻia ke koko ma kahi ʻōpū ʻole i ke kakahiaka.
No ka hoʻōla i nā kaʻina metabolic, a i ʻole e pale i ke keiki mai ka loaʻa ʻana o ka pōloli nui, ʻae ʻia e lawe i ka wai maʻemaʻe a i ʻole nā mea inu ʻē aʻe me ka honi.
Hāʻawi kekahi pāʻani pāʻani a i ke ʻano kino i ka emi ʻana o ka glucose koko. ʻO ia ke kumu e ʻoi aku ai ka maikaʻi o ka haʻalele ʻana i nā hana like ma mua o ke kaomi ʻana.

Inā hōʻike nā hopena o kahi noiʻi diagnostic i ka nui o ka ʻike o ke kānāwai, aia ke koi hou no ka hoʻāʻo hou ʻana. I kēia hihia, lawe ʻia ka ʻike koko koko ma hope o ka lawe ʻana o ke keiki i ka wai me ka glucose maʻemaʻe. Hōʻike ʻia kahi maʻi maʻi me ke ʻano he laʻana me ka ukana. Eia kekahi, ʻo ka hoʻāla ʻana i ke kō o ke koko he hōʻailona ia e pono ai kahi hōʻike hemoglobin glycated.

ʻO nā hopena i loaʻa aʻe ma hope o ka loiloi e hilinaʻi paha i nā ʻano like ʻole:

pēpē meaʻai
ola kino kino
ka pae o nā hormone like ʻole - insulin, glucagon, hypothalamus, adrenal a me nā hormone thyroid.

Pono nā makua o ke pēpē e hiki ke hiki ke wehe i ka hopena o nā hopena o ka hoʻopili ʻana ma muli o ke anuanu, nā pilikia a me nā haʻalulu hou aʻe.

He aha ka hopena o ka hopena glucose?

ʻO nā huli ʻana mai ke ʻano maʻamau a hiki i kahi ʻaoʻao nui paha ke lilo nei i hōʻailona o ka holo ʻole ʻana i nā lula no ka lawe ʻana i nā hoʻokolohua a hōʻike paha paha i nā hewa ʻole e kū ana i loko o ke kino.

Ma ke ʻano he kānāwai, he hoʻomau mau i nā hopena i loaʻa i hiki i nā mea e pili ana i kēia mau mea:

Nā kuʻuna mai nā aʻa o nā kelu thyroid, ka nui o nā kelepona adrenal a i ʻole nā pituitary gland.
ʻO nā pilikia ma ke olakino o ka pancreas. Hoʻomaʻamaʻa pinepine ʻia, ʻo ka hiki o nā neoplasms i ke kino ke alakaʻi i ka emi ʻana o ka hana o ka insulin hormone.
Puhi nui ke keiki i nā ʻāpana like ʻole.
Me ka hoʻohana mau ʻana o kekahi mau lāʻau lapaʻau e hoʻonui ai i nā pae momona. ʻO ka maʻamau, ʻo kēia mau lāʻau lapaʻau ke komo pū i nā lāʻau mai ka pūʻulu o glucocorticoids a me nā anti-inflammatory non-steroid.
ʻO ka hoʻomohala ʻana i ka maʻi diabetes.
Hoʻopiʻi i nā hormones i ke kino.

Ma mua o ka hyperglycemia, pono ke hōʻike i ke keiki i ka endocrinologist, ʻike i nā hoʻokolohua hou aʻe o nā maʻi hoʻokolohua e kōkua ai i ka ʻike ʻana i ke kumu maoli o ke kaʻe mai ka maʻamau.

I kekahi mau hihia, hiki i ka nui o nā glucose i ke koko ke hōʻike me nā hōʻailona like e like me kona hōʻemi. ʻO ka mea mua, aia nā hōʻailona like i ke ʻano o ke poʻo hōʻeha nui, ka nāwaliwali ākea o ke keiki a me nā wāwae anuanu i ke pēpē. Pono ʻoe e hoʻolohe i ka hele ʻana o nā rashes ʻokoʻa ma ka ʻili o ka pēpē, ka manawa e hoʻopiʻi ai i nā hoʻopiʻi o ka ʻeha o ka integument a i ʻole nā pilikia me ka digestive tract.

ʻO ka lōʻihi o ke ala o ka hyperglycemia e hoʻopōʻino i ka hiki ʻana o ke keiki a me ka hana a nā lolo.

ʻO ia ke kumu, inā loaʻa kekahi mau hōʻailona, pono ʻoe e hoʻomaʻamaʻa i ka noiʻi lapaʻau e pono ai a nīnau aku i kahi kauka.

He aha nā hōʻailona i hāʻule i lalo o nā kūlana i kau ʻia?

Ke kuʻikahi mai ka ʻikepili i ʻae ʻia i nā hopena o nā hōʻike ʻana i hōʻike ʻia ai ke hōʻike ʻana i ke ʻano o nā hanana maikaʻi ʻole i ke kino o nā keiki.

ʻO ka pinepine, ʻo ka hypoglycemic level o ka glucose i ke koko o kahi keiki ma muli o:

inu ka pēpē i ka wai liʻiliʻi i ka lā, hiki ke hōʻeha i ka dehydration,
malokino a i ka pōloli,
insulin
ke ʻano o nā maʻi o ka papa holo ʻai. Hoʻopili kēia me ka gastritis, pancreatitis, duodenitis, a i ʻole enteritis,
nā maʻi like ʻole āpau i hōʻike ʻia iho iā lākou iho no kahi manawa lōʻihi,
ka hoʻomohala ʻana o nā maʻi o ka pūnaehana. Hoʻomaopopo ka nui o ke kō i loko o nā ala poloka, kāna mau hōʻeha.
sarcoidosis
nā mea huʻala me nā mea ʻona (no ka laʻana, chloroform).

Hiki i ke glucose koko maʻamau ke kumu i ka hypoglycemia. Hoʻopilikia kēia maʻi ma ke kino ma muli o nā kumu aʻe:

I ka heleʻana o nā kaʻina pathological i ke ate (kaohi a i ʻole ka glycogenesis).
ʻO nā maʻi heu i loko o nā ʻili o ka ana a i ʻole ke ʻano parietal.
Hoʻohana nui loa.
ʻO nā kaʻina hana i hoʻomohala i nā lolo.
ʻAi ʻole kaʻai pākia me nā meaʻai
ʻO nā maʻi e pili ana i ka pūnaehana endocrine (hyperinsulinism).

ʻO ka hypoglycemia ma ke ʻano maʻi type 2, e like me ke kānāwai, ka mea i hele ʻia e ka makemake ʻole ʻole i ke keiki, hiki ʻole ke loaʻa. Eia kekahi, lilo ka pēpē a lūlū, huhū a me ka huhū. ʻO nā ʻōuli e hōʻike nei i ka nui o ka glucose e loaʻa: