Matenda a shuga ndi chilichonse chokhudza izi

Chifukwa chakuti ndikatchula pano kuti ndapeza matenda a shuga a mwana, anthu ambiri amayamba kufunsa mafunso ngati ndazindikira zomwe adachita, ndipo ndizowona kuti ngati mwana amakonda kudziwa, ndiye kuti ndi mawu owopsa, ndaganiza zolemba izi. Mwina wina abwera othandiza.

Poyamba, sindine dokotala ndipo nkhani zofanana, makamaka zokhudzana ndi thanzi la ana, ziyenera kukambidwa ndi dokotala wokha. Koma ndilemba momwe ndidapezera mwana wanga shuga, zomwe zili komanso nthawi yomwe ayenera kuyang'anitsitsa.

Chifukwa chake, ndili ndi matenda osokoneza bongo ndekha, ndakhala nawo pafupifupi zaka 19, ndinakumana ndi mwamuna wanga kuchipatala, komwe ndimakhala ndimomwe ndimayesa mayeso ndipo, motero, amakhalanso ndi matenda a shuga; pali dipatimenti imodzi ya odwala matenda ashuga)) Matenda a shuga amapatsiridwa kudzera mbali ya makolo, palinso ochepa omwe amatenga kachilombo kuchokera kwa mayi (nthawi zambiri pafupi 2%). Chifukwa chake

1) Kuyang'ana kwambiri za matendawa, chifukwa choti mwana wanu angakhale nacho chifukwa ngati inu, kapena abale anu, kapena wina aliyense m'banjamo ali ndi matenda ashuga. Izi zimakhala choncho makamaka ngati matenda ashuga, omwe ndi amtundu woyamba, i.e. wodwala insulin. Koma dokotala nthawi zambiri amachenjeza za izi ndikuwapatsa mayeso apadera a misempha ya magazi.

Nthawi zambiri, matenda ashuga a mwana amayamba ngati wina ali ndi matenda m'banjamo patatha chaka, koma amathanso kubereka. Komanso zopaka. Ili ndiye gawo loyamba la matenda ashuga, omwe nthawi zambiri samadziwika, chifukwa Nthawi zambiri imayamba ngati asymptomatic, ndipo posachedwa imasanduka shuga 1 yodalira shuga. Matenda abwinobwino amadziwika chifukwa, ngati ndinganene, safuna jakisoni wa insulin pakadali pano ndipo, atapezeka kale, ali ndi zakudya zoyenera, sangasanduke shuga wamba. Tidali ndi mwayi, ndidazindikira gawo ili la matenda ashuga, ndipo pakadali pano, nafe, tili ndi zakudya zoyenera, mayeso amakhala abwinobwino. Chifukwa chake, mfundo zotsatirazi zikufotokoza momwe ndidachitira ndi momwe ndidapezera matenda a shuga.

2) Ngati chinthu choyambirira chikunena za inu (abale anu), ndiye kuti ndi bwino kuyang'ana shuga wa mwana wanu nthawi ndi nthawi. Ndidayesa kuyang'ana kamodzi pamwezi atabadwa (zinali zachisoni kuti zimatha kudulira zala zanga zazing'ono). Mwamwayi, ndili ndi glucometer yanga ndipo sindinayenera kudzuka m'mawa, kupita ku chipatala kuti ndikaunike ndikudikirira zotsatira zake. Nthawi zambiri, shuga amayenera kukhala pakati pa 3.3 ndi 5.5 maola angapo atatha kudya. Koma izi zimakhala mwa akulu, mwa ana, kukwezedwa pang'ono sikowopsa. Koma osati zochuluka. Nkhaniyi ndiyofunika kukambirana ndi endocrinologist.

3) Alamu idawoneka mwa ine mwana atayamba ulesi, ndikuyamba kuyamwa pafupipafupi. Zidachitika chaka chino chatha chaka chatsopano. Nditayang'ana shuga kangapo, ndinawoneka kuti ndikhazikika, zizindikirazo zinali zachilendo. Komano, pamene mwanayo adabweretsanso maswiti kuchokera ku mphatso ya Chaka Chatsopano ndikudya zidutswa zingapo, ndidaganiza zofufuza shuga nthawi yomweyo, i.e. mutatha kudya nthawi yomweyo. Mulingo wake unali wokwera kwambiri. Pafupifupi 16, pamene zabwinobwino zitatha kudya, mpaka 8 pazipita.

4) Zitatha izi, ndi bwino kukaonana ndi dokotala nthawi yomweyo komanso mwachangu. Koma kwa masiku angapo ndimamuyendera shuga katatu patsiku (m'mawa, nditatha kudya maola angapo komanso usiku). Kutsekemera mwachilengedwe kupatula. Ziphuphu zinali zabwinobwino. Nditakambirana ndi dokotala, ndidazindikira kuti tili ndi mtundu wina wa matenda ashuga. Ndi zakudya zoyenera (kuphatikiza chakudya chopatsa mphamvu, ndimapereka zokhazo zovuta, google pamutuwu, ngati mukufuna zomwe zimapangitsa kuti mafuta azikhala osavuta), tili pano, TTT, zizindikiro zonse ndizabwinobwino. Ndikukhulupirira kuti mwana wanga sadzakhala ndi matenda ashuga enieni, ndipo ndimatha kuwapatsa zakudya.

Mwambiri, pali madokotala a atsikana omwe amakupatsani mayeso, ndipo kenako amapeza mayankho. Chifukwa chake, sizothandiza, ndikudandaula mutu wanu, kuti, akuti, mwana amakonda kuyenda, amakhala ndi matenda ashuga, kukaonana ndi dokotala, kupereka shuga m'magazi, mwina kangapo kamodzi, ndipo awoneke kale pamenepo. Osataya nthawi ngati zikuwoneka kuti pali kena kena kolakwika ndi mwana, mtima wa mayiyo mungamve kuti mwana alibe thanzi, ndipo musangonamizira.

Ndipo chifukwa chake, Mulungu akudalitseni, kuchokera ku nthenda yoopsayi, ana asakhale athanzi ndikukhala achimwemwe, sanayenere matenda oyipa am'zaka zam'ma 2000 izi.

Py.sy. Ndiponso kwa amayi anga, pamene ndimadwala (mosayembekezereka ndili ndi zaka 9, pomwe sindinabadwe aliyense), wothandizira endocrin adati pamenepo mukuganiza kuti makolo anu, mwina inunso mwachita zolakwika, kuti Mulungu anakulangani kudzera mwa mwana. Chifukwa chake khalani okoma mtima kwa onse. Zili bwino, kukopa.

Makhalidwe a matenda

Thupi limasowa mphamvu chifukwa limagwira ntchito moyenera.

Kuti shuga alowe mkati mwa cell membrane, momwe momwe imapangidwira ikuchitika, ndikofunikira chinthu chapadera ndi insulin.

Insulin ndi timadzi ta gulu la peptide timene timapangidwa ndi chiwalo monga kapamba.

Ndi insulin yokwanira, mamolekyulu a shuga sangathe kulowa mu membrane wa cell, ndipo, motero, kusweka kwa shugakupanga mphamvu.

Amayambitsa komanso magulu owopsa

Mpaka zifukwa zingapozomwe zitha kuchititsa kuti matendawa azikhala ndi:

1. Kudziletsa.
2. Zakudya zopanda pake, kumwa kwambiri chakudya, makamaka zotsekemera ndi mafuta.
3. Kunenepa kwambiri.
4. Kuchita masewera olimbitsa thupi osakwanira, kukhala phee.
5. Matenda opatsirana, njira zotupa zomwe zimachitika mthupi.

Chifukwa chachikulu chomwe chimakhumudwitsa kukula kwa matendawa ndikulephera kwa mahomoni, komanso kuperewera kwa zakudya m'thupi.

Pakachitika kuti thupi lilowe shuga wambiriZofunikira, zina sizimapangidwa mphamvu, koma sizisintha.

Izi zikachitika pafupipafupi, shuga amapezeka pang'onopang'ono, mulingo wake m'magazi umakwera.

Chifukwa chake, ana ali pachiwopsezo, onenepa kwambiri amakonda kudya kwambiri.

Kuphatikiza apo, achinyamata akatha msinkhu amakhala pangozi. Pakadali pano, kusintha kwa mahomoni kumachitika m'thupi la mwana, zomwe zingayambitse chisokonezo pakupanga kwa mahomoni - insulin.

Gulu

Matenda a shuga amakhalapo nthawi zambiri amawayerekezera nthawi imodzi malinga ndi njira zingapo.

Makhalidwe

Zosiyanasiyana

Mpaka pano, matenda a shuga a 2 amadziwika:

1. Matenda a shuga 1 amayamba ngati, pazifukwa zilizonse, thupi limapanga insulini yokwanira kuti ipange shuga onse omwe adalowetsedwa.
2. Mu matenda a shuga a fomu yachiwiri, kuchuluka kwa insulin kumapangidwa m'thupi, koma ma cell a cell sangathe kuzidziwa. Zotsatira zake, mamolekyulu a glucose omwe sangathe kulowa mu cell amakhalabe m'magazi.

Mwa kuopsa

Kulipira chakudya cha carbohydrate

1. Kulipira kwathunthu, komwe kuphwanya kwa kagayidwe kazakudya ndi shuga m'magazi kumatha kusinthidwa pogwiritsa ntchito njira zochiritsira zosankhidwa bwino.
2. Kubweza, pamene chithandizo chimakupatsani mwayi wokhala ndi zotsatira zabwino zomwe sizosiyana kwambiri ndi chizolowezi.
3. Kubwezera ndi chinthu choopsa chomwe ngakhale njira zowoneka bwino komanso zogwira ntchito zamankhwala sizimalola kuti matenda azikhala ndi shuga.

Pazovuta zotheka

Matenda a shuga angayambitse zovuta zotsatirazi:

• matenda a ziwalo zamasomphenya,
• matenda a kwamikodzo,
• phazi lathyathyathya
• matenda amitsempha.

Zovuta za ICD

• 0-matenda a shuga
• Kutenga kwa thupi chifukwa cha kuchuluka kwa matupi a sumu a ketone,
• 2 matenda a impso
• Njira zamaso atatu,
• 4 mavuto a mitsempha
• 5-kuphwanya kwa kayendedwe ka capillary,
• Zovuta zina 6, chikhalidwe chake chomwe chatchulidwa.
• 7-zovuta zingapo zowonekera mumapangidwe,
• 8 zovuta zosadziwika, chikhalidwe chake chomwe sichikudziwika,
• Palibe zovuta 9.

Malangizo a madokotala a ana pa chithandizo cha dyspepsia mu ana atha kupezeka patsamba lathu.

Zizindikiro zake

Mwa zina zomwe zimawonetsa matenda ashuga, ndichizolowezi kuphatikiza zizindikiro monga:

1. Ludzu lalikulu. Mwana amafunikira madzi ambiri, ngakhale nyengo yozizira. Nthawi zambiri mwana amadzuka ku ludzu usiku.
2. Kukodza pafupipafupi. Popeza madzi ambiri amalowa mthupi la mwana, pafupipafupi kutulutsa chikhodzodzo kumakulanso. Ngati nthawi zambiri chizindikirochi chimakhala nthawi 6-7 patsiku, ndiye kuti matenda a shuga amawonjezereka kufika pa 15 mpaka 20.
3. Khungu lowuma komanso zimagwira pakhungu. Glucose amatha kukopa zamadzimadzi kuchokera ku minofu ina ndikuyiyika mkodzo. Zotsatira zake, ziwalo zina ndi machitidwe, kuphatikiza khungu, zimasowa madzi m'thupi.
4. Kuchepetsa thupi. Ndi matenda ashuga, njira yosinthira glucose kukhala mphamvu, yomwe ndi michere ya maselo a thupi la mwana, imasokonekera. Popeza shuga simalowa mu cell, mphamvu sizipangidwa, ma cell samalandira michere yokwanira. Kutopa kwa thupi kumakula, komwe kumadziwonetsera kuchepa kwa thupi.
5. Zowonongeka. Mafuta ochulukirapo amatha kuikidwa m'malo a mandala, zomwe zimapangitsa kuti pakhale mitambo, ndikuchepetsa ma visual acuity.
6. Kutopa kwambiri.

Zotsatira zake

Matenda a shuga angayambitse zovuta zazikulu, monga wodwala matenda ashuga, poyizoni wa thupi ndi matupi a ketone, kusokonekera kwa magwiridwe antchito amkati ndi machitidwe ofunikira, monga kwamkodzo, mantha, kayendedwe kazinthu.

Matendawa amatha kubweretsa kutopa kwa thupi, kusintha kwamkati kosasintha, komwe kungasokoneze moyo wa mwana.

Zizindikiro

Kuti muzindikire matenda ashuga, kuyezetsa mayeso angapo ogwira ntchito ndikofunikira.

Makamaka, muyenera kudutsa kuyezetsa magazi. Magazi amatengedwa kuchokera kumunwe pachala chopanda kanthu.

Makhalidwe abwinobwino kwa ana amakhala kuchokera 3 mpaka 5.5 mmol / l, ndi shuga wa 5.5 - 7.5 mmol / l, atha kukayikiridwa ndi mtundu wamtundu wa shuga. Ndi mulingo wama glucose ochulukirapo 7.5 mmol / L, ndizotheka kale kulankhula molimba mtima za kukhalapo kwa matenda.

Kuti mutsimikizire zotsatira, gwiritsani ntchito zapadera kuyesa kwa insulin. Kuti muchite izi, patapita nthawi yoyamba kuyesedwa kwa shuga koyamba, mwana amapatsidwa chakumwa cha 75 g. madzi ndi shuga osungunuka mkati mwake.

Bwerezaninso magazi (pambuyo pa maola 2), onani kuchuluka kwa shuga. Ngati ndi oposa 11 mmol / l - pali kukhalapo kwa matenda ashuga.

Muyenera kuchita Makina a Ultrasound kapamba kuti ayang'anire momwe gululi limagwirira ntchito komanso momwe limagwirira ntchito.

Kutengera mtundu wa matenda ashuga, chithandizo cha matenda osiyanasiyana chimasiyana.

Mtundu 1

Mtundu 2

Zochizira matenda, njira zochiritsira zina zimagwiritsidwa ntchito. Popeza kuchuluka kwa insulin kokwanira kumapangidwa m'thupi, adokotala amafotokozera momwe mankhwalawo amaperekedwera. Pankhaniyi, ndikofunikira kuwerengera mulingo, chifukwa kuchuluka kwambiri kwa insulini kumapangitsa kuti masitolo onse a shuga azikhala bwino, omwe mtsogolomo amabweretsa kuchepa kwa mphamvu m'thupi.

Njira yayikulu yothandizira ndikutsatira zakudya zamafuta ochepa. Popeza thupi la mwana silikhudzidwa ndi insulin, chifukwa choti shuga sangapangidwe pokonzekera mphamvu, ndikofunikira kuonetsetsa kuti kuchuluka kwake sikulowa mthupi. Zinthu zopatsa mphamvu zamagalimoto (makamaka zomwe zimatengeka mosavuta ndi thupi) zimatha kukweza kwambiri shuga m'magazi, chifukwa chake ziyenera kuthetsedwa.

Werengani za zisonyezo ndi chithandizo cha michere-vascular dystonia mwa ana pano.

Kugwiritsa ntchito insulin

Jakisoni wa insulin - ayenera zochizira matenda amitundu 1.

Kumwa mankhwala a insulin pakamwa sikungakhale ndi vuto lililonse, chifukwa zinthu zomwe zingagwiritsidwe ntchito ziwonongeka ndi ma enzymes am'mimba.

Chifukwa chake, mankhwalawa amaperekedwa kudzera m'mitsempha.

Pali mitundu ingapo ya kukonzekera kwa insulin, ina imakhala yowonjezereka, koma yayifupi, pomwe ena, ngakhale sachepetsa kuthamanga kwa shuga mwachangu, amatenga nthawi yayitali.

Kuwongolera shuga

Mwana wodwala matenda ashuga nthawi zambiri amayenera kuyeza shuga. Njirayi iyenera kuchitidwa kangapo 4 pa tsiku. Kusintha kuchuluka kwa shuga, zida zapadera zimagwiritsidwa ntchito masiku ano - Magazi a shuga m'magazi.

Ndikofunikira kusankha chida chotsimikizika, komanso zingwe zapamwamba zoyeserera zoyenera mtundu wina.

Zizindikiro zonse za mita, komanso nthawi yoyesera ndizofunikira lembani zolemba zapadera, komwe deta monga dzina ndi kuchuluka kwa zakudya zomwe zimakudya, zochita zolimbitsa thupi za mwana, kupezeka kwa matenda opatsirana, zokumana nazo pamtima zalembedwanso.

Kutsatira Zakudya zopangidwa mwapadera - chofunikira kuti mupeze chithandizo choyenera.

Mwana wodwala matenda ashuga ayenera kupatula maswiti ndi zakudya zina kuchokera kuzakudya zake zomwe zimakhala ndi chakudya chamafuta (pasitala, makeke, ndi zina zambiri).

Zidzafunikanso zoletsa zapakati (koma osasankha) malonda okhala ndi mafuta.

Chakudya chizikhala chopindika, 6 pa tsiku pazigawo zing'onozing'ono. Chakudya chachikulu chili mgawo loyamba la tsiku (chakudya cham'mawa, nkhomaliro, chakudya chamadzulo), chakudya chamadzulo chimayenera kukhala chopepuka momwe zingathere.

Kodi dyskinesia ya biliary amawonekera bwanji mwa ana? Pezani yankho pompano.

Njira zadzidzidzi ndi kuyesedwa kuchipatala

Chithandizo cha matenda ashuga kunyumba ndizotheka pokhapokha gawo loyambirira la matenda a matenda a matenda a m'mimba malinga ndi kusowa kwa zovuta. Nthawi zina, kuyamwa mwana kuchipatala ndikofunikira.

M'chipatala, mwana adzalandira mankhwala apadera azakudya. M'pofunika kusunga zakudya, chifukwa m'masiku ochepa mwana adzapatsidwa mankhwala osiyanasiyana, nthawi yolandila yomwe imadalira nthawi yakudya.

Kuchipatala kuvomerezedwa kwa ana omwe ali ndi mitundu yayikulu ya matenda ashuga, monga pankhaniyi, kugwiritsa ntchito mankhwala osokoneza bongo komanso kudya kungakhale kosathandiza.

Mwana wanu adzafunikira chithandizo champhamvu kwambiri, monga kumuwongola kapamba.

Malangizo azachipatala

Malangizo othandizira azachipatala a Federal azachidziwitso cha matenda ndi matenda a shuga kwa ana ndi achinyamata adalandiridwa ndikuvomerezedwa mu Seputembara 2013. Chikalatacho chimapereka njira yodziwira matenda, njira zoperekera chisamaliro chadzidzidzi komanso zoyenera kwa mwana.

Malangizo azachipatala a Federal a matenda ndi matenda a shuga 1 amtundu wa ana ndi achinyamata.

Kuchita bwino kwa mankhwalawa kumatengera momwe idayambira nthawi yake.

Tsoka ilo, ndizosatheka kuchiritsa kwathunthu, koma kuwonetsetsa kwenikweni kwa malangizo a dokotala, kusamalira bwino thanzi ndi momwe thupi la mwanayo lilili adzakulitsa moyo wakepewani zovuta zowopsa.

Upangiri wa akatswiri pakuwazindikira ndi kuchiza matenda a dysbiosis mu ana atha kupezeka patsamba lathu.

Kupewa

Kholo lililonse liyenera kudziwa momwe lingapewere kukula kwa matenda ashuga mwa mwana. Pali zingapo malamulo osavuta kupewa kutsatira zomwe zingathandize kuchepetsa chiopsezo cha matenda:

• ngati pali odwala omwe ali ndi matenda ashuga m'banjamo, chiopsezo cha mwana chotere chikukula.Ndipo izi zikutanthauza kuti mwana amafunikira kuunikiridwa mosamala, mayeso owonongera ndi dokotala (osachepera 2 pachaka),
• kulimbitsa chitetezo chamthupi
• kudziwika kwakanthawi ndikuchotsa matenda a endocrine,
• zakudya zoyenera
• moyo wokangalika
• kugwiritsa ntchito mankhwala a mahomoni mosamala pokhapokha ngati pakufunikira, ndipo pokhapokha ngati madokotala akuwuzani.

Matenda a shuga ndi matenda omwe sangathe kuchiritsidwa kwathunthu. Komabe, kutsatira malangizo onse a madokotala omwe mukupita, mutha kubwezeretsa mwana ku moyo wabwinobwino.

Matendawa amatuluka tikakumana ndi zinthu zambiri zoyipa, amafuna chithandizo cha panthawi yake. Kupanda kutero, zotsatira zakupha ndizotheka, ngakhale zinthu ngati izi sizichitika kawirikawiri.

Dr. Komarovsky pa shuga mu vidiyo iyi: