Mlingo wa achinyamata

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Kuchuluka kwa shuga ndi shuga m'magazi ndi imodzi mwazinthu zazikulu zamankhwala osokoneza bongo. Ngati mwana sakudandaula chifukwa chodwala, ndiye kuti muyenera kuyesa shuga kamodzi pamiyezi 6 mpaka 12 panthawi yoyeserera mwana, ndipo chilichonse chomwe mungafotokozere, shuga iyenera kudziwika. Ngati pali zisonyezo zoyezetsa magazi kwambiri, ndiye kuti izi zimachitika motsogozedwa ndi adokotala komanso muyezo woyenera.

Ndondomeko Yoyesera Glucose

Kuyesedwa kwa magazi kumachitika pang'onopang'ono, ndipo kutha kuchitika nokha muli ndi maluso ochepa, ngati mugula chida chapadera chotchedwa glucometer.

Ndipokuwerenga kuyenera kuchitika pamimba yopanda kanthu, musanadye, kuchita masewera olimbitsa thupi ndi kumwa zamadzi zambiri mu maola 8-10, izi zimagwiranso ntchito kwa akhanda.

Muyenera kukumbukiranso kuti kuchuluka kwa shuga kumatha kusinthika kwambiri panthawi ya matenda, makamaka ovuta. Chifukwa chake, pakadali pano, ngati palibe chidziwitso chofunikira, ndibwino kukana kuyeserera, makamaka kwa akhanda. Pansipa pali tebulo lamasamba a shuga mwa ana ndi akulu.

Msuzi wa shuga, mmol / L

Masiku 2 - masabata anayi ndi theka2,8 — 4,4 4 ndi theka masabata - 14 zaka3,3 — 5,6 14 - 60 wazaka4,1 — 5,9 Zaka 60 - 90 zakubadwa4,6 — 6,4 Zaka 904,2 — 6,7

Magazi owunikira nthawi zambiri amatengedwa kuchokera ku chala kumanja, ndipo mwa ana aang'ono izi zitha kuchitika kuyambira khutu, chidendene kapena chala.

Zambiri za shuga za ana

Chizindikirochi chimatha kukhala ndi zosiyana pang'ono kutengera zaka, koma sizingasinthe kwambiri monga momwe kusinthira mukukhala kwa bilirubin kapena maselo ofiira amwazi.

Mwa ana kuyambira kubadwa mpaka chaka chimodzi, mankhwalawa ndi ocheperako pang'ono a shuga, omwe ayenera kukhala 2.8-4.4 mmol / lita.
Kuyambira chaka chimodzi mpaka zaka 5, shuga wovomerezeka ndi 3.3-5.0 mmol / lita.
Mwa ana okulirapo osaposa zaka 5, shuga wamagazi amayenera kukhala osiyanasiyana 3.3-5,5 mmol / lita, monga akulu.

Kupatuka kuchoka pa mtengo wamba

Kuti mumvetsetse chifukwa chake shuga m'magazi imatha kuchepera kapena kuwonjezeka, muyenera kumvetsetsa momwe kayendetsedwe kake mthupi kamayendera.

Choyamba, glucose ndi chida champhamvu kwa ziwalo zonse ndi thupi lathu.
Lachiwiri - chakudya chovuta chilichonse cha chakudya, mothandizidwa ndi michere yapadera, chimasweka m'mimba kupita ku glucose wamba, yemwe amalowa m'magazi mwachangu kwambiri ndikupita ku chiwindi.
Chachitatu, mahomoni ambiri amatenga nawo gawo pamagulu a magazi a magazi:

insulin - imapangidwa kokha ndi maselo a pancreatic ndipo ndiokhawo omwe amapanga ma protein omwe amatha kuchepetsa kuchuluka kwa glucose m'magazi. Imayambitsa kulowetsedwa kwa shuga ndi maselo, komanso mapangidwe a glycogen (zovuta kagayidwe kachakudya) m'chiwindi ndi ma adipose minofu yowonjezera shuga.
glucagon - imapangidwanso ndi kapamba, koma imakhala ndi vuto lililonse. Ngati kuchuluka kwa shuga m'magazi kumatsika, ichi ndi chifukwa chake kuchuluka kwa glucagon kumawonjezeka kwambiri, chifukwa chomwe kufalikira kwamphamvu kwa glycogen kumayambira, ndiye kuti, mpweya wambiri umamasulidwa.
mahomoni opsinjika (corticosterone ndi cortisol), komanso zochita ndi mantha aanthu (adrenaline, norepinephrine) - amawasungidwa ku adortal cortex ndipo amatha kuwonjezera shuga.
mahomoni a pituitary gland ndi hypothalamus - amatha kuonjezera kuchuluka kwa shuga m'magazi motsutsana ndi zochitika zovuta kwambiri zamavuto ndi kusokonezeka kwa malingaliro, komanso kuchepa kwake kosayembekezeka,
mahomoni a chithokomiro - ali ndi kuthekera kwambiri kokulimbikitsa njira zonse za metabolic, zomwe zimapangitsa kuchuluka kwa shuga m'magazi.

Shuga wotsika mwa mwana

Kuchokera pazomwe tafotokozazi, zikutsatira kuti ana ana shuga amatha kutsitsidwa ngati amamwa kwambiri, asamayamwa kwambiri, kapena azigwiritsidwa ntchito ndi ziwalo ndi minofu. Zifukwa zofala kwambiri ndizotsatirazi:

Kusala kwa nthawi yayitali komanso kusatha kumwa madzi okwanira, kuwunikaku kukuwulula
matenda am'mimba monga kapamba. Nthawi yomweyo, palibe kudzipatula kokwanira kwa amylase (enzyme inayake); chifukwa chake, zovuta zam'mimba sizomata ku glucose. Itha kuchitika ndi gastritis, gastroduodenitis kapena gastroenteritis. Matenda onsewa amachititsa kuti pakhale zovuta zomwe zimapangitsa kuti mafuta azikhala ndi zovuta komanso kuti mayamwidwe abwino a shuga azigaya m'mimba,
matenda oopsa (makamaka opweteka),
kusokonezeka kwa kagayidwe kachakudya m'thupi, kunenepa kwambiri,
pancreatic tumors (insulinomas), yomwe imayamba kukula kuchokera ku maselo omwe amapanga insulin kulowa m'magazi. Zomwe zimapangitsa - insulin yochuluka kwambiri imalowa m'magazi kuchokera m'maselo otupa, kotero shuga mu ana amatsika kwambiri,
matenda amanjenje zowopsa zowonongeka muubongo kapena ubongo wobadwa nawo.
sarcoidosis - ngakhale imakonda kupezeka mwa akulu, nthawi zina imapezeka.
poyizoni ndi chloroform kapena arsenic.

Ndi dontho lakuthwa pakuphatikizidwa kwa glucose m'magazi, chithunzichi ndicholimbikitsa kwambiri: poyamba mwana akusewera mwachangu, amakhala wodula komanso wamoyo. Pakapita kanthawi, shuga ikayamba kutsika, nkhawa yachilendo imawonekera mwa mwana, zochita zake zimachulukanso. Ana omwe amadziwa kale kuyankhula amatha kupempha chakudya, makamaka iwo amafuna maswiti.

Pambuyo pa izi, kungoyang'ana kwakanthawi kosasunthika kumawonedwa, kenako chizungulire chimayamba, mwana amagwa ndikutaya chikumbumtima, nthawi zina pamakhala kukhudzidwa.

Zikatero, kuti mubwezeretse bwinobwino momwe zimakhalira, ndikwanira kupatsa mwana maswiti ochepa munthawi yake kapena kubayidwa shuga m'magazi.

Tiyenera kukumbukira kuti kuchepa kwa shuga kwakanthawi kochepa ndi kowopsa kwa ana, chifukwa munthawi imeneyi kutha kwa zotsatira zakupha chifukwa cha kukomoka kwa hypoglycemic ndikokwera kwambiri.

Mulingo wokwera

Kuwonjezeka kwa kuchuluka kwa shuga kwa mwana kumawonedwa ngati pali zifukwa zotsatirazi:

kusanthula kusukulu (mutatha chakudya chaposachedwa),
kulimbana kwamphamvu kwamthupi kapena kwamanjenje - izi zimayendetsa mphamvu ya mahomoni a adrenal gland, gland ndi gland pituitary, komwe kumabweretsa hypoglycemia,
Matenda a endocrine tiziwalo timene timatulutsidwa m'thupi, chithokomiro cha chithokomiro,
chotupa mu kapamba, momwe insulin imayamba, ndiye kuti, mahomoni amapangidwa pang'ono,
kunenepa kwambiri, makamaka visceral. Nthawi yomweyo, mankhwala angapo amamasulidwa kuchokera ku minyewa ya adipose kulowa m'magazi, zomwe zimachepetsa chiwopsezo cha minofu kupita ku insulin. Nthawi yomweyo, mahomoni enieniwo amapangidwira voliyumu yabwinobwino, koma sikokwanira kutsitsa shuga kukhala yabwinobwino. Chifukwa chake, kapamba amayamba kugwira ntchito kwambiri, zomwe zikutanthauza kuti nkhokwe zake zimatha msanga, mapangidwe a insulin amachepetsa kwambiri ndipo shuga yayamba (glucose) yayikulu,.
kugwiritsa ntchito nthawi yayitali mankhwala osagwiritsa ntchito mankhwala a anti-yotupa, mwachitsanzo, ma fractures, komanso kukhazikitsidwa kwa maphunziro angapo a glucocorticoids a matenda amitsempha, kuwunikira kukuwonetsa izi mwachangu.

Ndikofunikira kudziwa kuti kuthamanga kwa shuga m'magazi (kupitirira 6.1 mmol / lita) pamimba yopanda kanthu ndi umboni wa matenda osokoneza bongo, kumafunikira kumuwunika mwachangu, kuwunika, ndi kulandira chithandizo. Zomwe zimayambitsa izi ndizowopsa, komanso ndizotsatira zake.

Koma mulingo wabwinobwino wa shuga mwa achikulire udzakhala wosiyana, inunso muyenera kudziwa za izi.

Zizindikiro zoyambirira za matendawa:

Mwana amakhala ndi ludzu nthawi zonse, amatulutsa mkodzo wambiri,

kufunika kwa maswiti kumatuluka, mwana amalekerera pafupipafupi pakati pa chakudya chovuta kwambiri. Nthawi yomweyo, patatha maola angapo mutadya chakudya chamtima, mwana amakhala wotopa kapena akufooka kwambiri.

Kupitilira patsogolo kwa matendawa kumayendera limodzi ndi kusintha kwakukuru kwa kudya, kuchepa kwamphamvu kwa thupi, kusintha kwa masinthidwe, kusokonekera kumawonekera. Mwambiri, zizindikiro za matenda a shuga zimawoneka zowala kwambiri, chinthu chachikulu sikuti muziwanyalanyaza.

Zomwe zimayambitsa matenda ashuga:

Matenda amtundu, glucose wambiri m'mbale.
Kunenepa kwambiri komanso matenda ena a metabolic.
Chitetezo chofooka.
Kulemera kwakukulu kwa mwana akabadwa (pamtunda wa 4.5 kg).

Ngati kuwunikiridwa kwa mwanayo kwawonetsa chizindikiro chilichonse cha matendawa, ndikofunikira kuyesedwa ndikuyamba kulandira chithandizo. Palibe chifukwa muyenera kuyeserera kuthana ndi matendawa.

Muyenera kulumikizana ndi dokotala wa ana, komanso bwino kupita ku endocrinologist wa ana. Muyenera kubweretsanso mayeso a shuga, ndipo ngati pakufunika kuchitika mayeso ena - kutsimikiza kwa glycated hemoglobin, popindika shuga ndi ena.

Mwazi wamagazi mwa achinyamata azaka 14: tebulo la misinkhu

Zochitika mu thupi paunyamata zimagwirizanitsidwa ndi kusintha kuchokera paunyamata kupita kuuchikulire komanso kusakhazikika kwa mahomoni. Nthawi ya kutha msinkhu imabweretsa zovuta zochizira matenda ambiri.

Gulu la zaka zotere limadziwika ndi kuchepa kwa kayendedwe ka shuga m'magazi, zakudya zopanda pake, kukana kwa mankhwala a dokotala, komanso machitidwe owopsa.

Kutukuka kwa katulutsidwe ka mahomoni amtundu wa adrenal ndi gonads kumabweretsa chiwonetsero chazochepa za insulin. Zinthu zonsezi zimayambitsa njira yoopsa yamatenda ogwirizana ndi matenda a metabolic.

Momwe mungadziwire kuyesedwa kwa magazi a shuga?

Kuti mufufuze kagayidwe kazakudya, mitundu ingapo ya mayeso imayikidwa. Choyamba, kuyesedwa kwa shuga m'magazi kumachitika. Zimawonetsedwa kwa achinyamata onse omwe ali ndi zizindikiro zomwe zimapezeka mu shuga.

Izi zimaphatikizapo kufooka, kupweteka mutu, kulakalaka kudya, makamaka maswiti, kuchepa thupi, pakamwa pouma ndi ludzu losalekeza, kukoka pafupipafupi, kuchiritsa kwa nthawi yayitali mabala, mawonekedwe a pustular totupa pakhungu, kuyabwa m'dera la inguinal.

Ngati nthawi yomweyo banjali limakhala ndi makolo odwala kapena abale ake apamtima, ndiye kuti matenda otere amachitika ngakhale pakalibe zizindikiro. Komanso, zomwe zikuwonetsa kuyesa kwa achinyamata zimatha kukhala kunenepa kwambiri komanso matenda oopsa, zomwe zimapereka chifukwa chokayikira metabolic syndrome.

Kuwongolera kwa shuga kwa magazi kumawonetsedwa kwa ana omwe ali ndi matenda a endocrine - thyrotooticosis, adrenal hyperfunction, matenda a pituitary, komanso matenda a impso kapena chiwindi, mankhwala osokoneza bongo, kapena chithandizo chanthawi yayitali ndi salicylates.

Kuwunikira kumachitika pamimba yopanda kanthu (zopatsa mphamvu siziyenera kulandiridwa maola 8) pakalibe zochitika zolimbitsa thupi, kusuta, kusokonezeka m'maganizo ndi matenda opatsirana patsiku la kafukufuku. Kuyesaku kwathetsedwa ngati m'masiku 15 apitawa pakhala kuvulala, kuchitapo kanthu maopaleshoni kapena matenda owopsa.

Mulingo wa shuga m'magulu a achinyamata azaka 14 umawerengedwa kuti ndi mulingo wochokera pa 3.3 mpaka 5.5 mmol / L, kwa mwana wazaka chimodzi chaka chocheperako chimatha kukhala 2.78 mmol / L, ndi chapamwamba 4.4 mmol / L.

Ngati shuga m'magazi amapezeka pansipa, kuwunika kwa hypoglycemia kumapangidwa. Ngati pali kuwonjezeka kwa 6.1 mmol / l, ndiye chizindikiro ichi ndi chizindikiro cha prediabetes.

Ndipo ngati zomwe zili ndi shuga ndizapamwamba kuposa 6.1 mmol / l, ndiye kuti izi zimapangitsa kuti azindikire matenda ashuga.

Zifukwa zopatuka pamachitidwe wamba

Shuga wodukiza amatha kuchitika ngati malamulo opatsirana mayeso sanatsatidwe, chifukwa chake amalimbikitsidwa kuti abwerezenso.

Hyperglycemia imayendera limodzi ndi kutumikiridwa kwa mankhwala, omwe amaphatikizapo mahomoni, khofi, komanso kugwiritsa ntchito okodzetsa kuchokera ku gulu la thiazide.

Zifukwa zomwe zingayambitse kukwera kwachiwiri kwa shuga m'magazi:

Kuchulukitsa kwa adrenal ntchito.
Thirotooticosis.
Kuchulukitsa kwa kaphatikizidwe ka mahomoni ndi pituitary gland.
Matenda a kapamba.
Matenda a glomerulonephritis, pyelonephritis ndi nephrosis.
Hepatitis, steatosis.
Myocardial infaration.
Cerebral hemorrhage.
Khunyu

Mankhwala a Anabolic, amphetamine, mankhwala ena a antihypertensive, mowa, anti-diabetes, antihistamines amatha kuchepetsa magazi. Mavuto akudya omwe amakhala ndi zakudya zochepa zama calorie, komanso kuchepetsedwa kwa matumbo kapena m'mimba kumayambitsa glycemia wotsika.

Kuchepetsa shuga kwa magazi mwa mwana kapena wamkulu kumachitika ndi kuperewera kwama mahomoni m'chiwopsezo kapena ma adrenal gland, hypothyroidism, zotupa mu kapamba, mwa akhanda obadwa msanga kapena kwa amayi omwe ali ndi matenda ashuga. Hypoglycemia imachitika monga chizindikiro cha neoplasms, cirrhosis, kobadwa nako Fermentopathies.

Ana ndi achinyamata amakonda kwambiri kuchepetsa shuga, kotero amawonetsa zizindikiro za hypoglycemia yokhala ndi zovuta zamasamba, matenda opatsirana omwe amakhala ndi matenda opatsirana kwanthawi yayitali.

Mashuga a shuga amathanso kuchitika pambuyo pochita zolimbitsa thupi kwambiri.

Ndani anapatsidwa kuyesedwa kwa carbohydrate?

Kuti muwone momwe zimagwirira ntchito zamafuta zimagwidwa ndi chakudya, kafukufuku woleza glucose amachitika. Zizindikiro za kusanthula koteroko ndizokayikitsa za kuchuluka kwa shuga m'magazi, kukayika kwa matenda a shuga, kunenepa kwambiri, matenda oopsa, kugwiritsa ntchito nthawi yayitali mankhwala a mahomoni.

Kwa ana opitirira zaka 12, kafukufuku wotereyu amatha kulembedwa ngati mwana ali pachiwopsezo cha matenda a shuga - amakhala ndi abale ake omwe ali ndi matendawa, metabolic syndrome, ovary polycystic ovary ndi insulin, polyneuropathy yachilendo osadziwika, furunculosis kapena periodontosis, pafupipafupi fungus kapena matenda ena .

Kuti mayeso ololera a glucose akhale odalirika, kukonzekera kwapadera kumafunikira masiku 3 kusanachitike. Payenera kukhala ndi regimen yokwanira (pafupifupi malita 1.2 a madzi wamba), zakudya zanthawi zonse za ana zizipezeka pakudya.

Ngati mankhwala adalembedwa omwe ali ndi mahomoni, vitamini C, lifiyamu, acetylsalicylic acid, ndiye kuti amathetsedwa m'masiku atatu (motsutsana ndi dokotala). Kuyesedwa sikuchitika pamaso pa matenda opatsirana, matumbo am'mimba.

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Kulandila zakumwa zoledzeretsa sikuloledwa patsiku, patsiku loyesedwa simungathe kumwa khofi, utsi, kusewera masewera kapena masewera olimbitsa thupi. Kuyesedwa kwa glucose kumachitika m'mawa wopanda kanthu pambuyo pakupuma kwa maola 10-12.

Kuyezetsa magazi kwa glucose pamayeso kumachitika kawiri. Nthawi yoyamba pamimba yopanda kanthu, ndiye pambuyo pa maola awiri kuchokera pakumwa shuga. Kuyesaku kumachitika pogwiritsa ntchito 75 g ya glucose wamadzimadzi, yemwe amasungunuka kapu yamadzi. Kusiyanitsa pakati pa kusanthula kuyenera kuchitika mu kupumula kwakuthupi ndi kwamaganizidwe.

Zotsatira zoyesedwa zimawunikidwa ndi zizindikiro ziwiri - isanayambe kapena itatha:

Mwanayo ndi wathanzi: kusala kudya kwa glycemia (mpaka 5.5 mmol / l), ndipo pambuyo pa kudya kwa glucose (mpaka 6.7 mmol / l).
Matenda a shuga - pamimba yopanda 6.1 mmol / l, itatha ola lachiwiri - pamwamba 11.1 mmol / l.
Prediabetes: glycemia isanayambe - mayeso asanachitike mayeso

Ngati matenda a prediabetes apezedwa, wachinyamata amamulembera chithandizo chamankhwala kupatula maswiti, chakudya mwachangu, makeke opangidwa kuchokera ku ufa woyera, zakumwa za kaboni kapena timadziti tokhala ndi shuga, komanso zakudya zamafuta ndi zokazinga.

Ndiwonjezera kuchuluka kwa thupi, muyenera kutsatira zakudya zochepa zama calori zokhala ndi chakudya chamagulu ochepa, ndikuchepetsa thupi, masiku osala kudya akuwonetsedwa. Chofunikira ndi ntchito zamagalimoto ambiri - mitundu yonse imaloledwa, kupatula kulemera, kukwera mapiri, kutsamira.

Katswiri mu vidiyoyi munkhaniyi akufotokozerani zambiri zamagulu a shuga.

Kodi shuga ndimagazi

Kuchuluka kwa shuga m'magazi ndi imodzi mwazinthu zazikulu zamankhwala omwe amathandizira kudziwa thanzi labwino mwa ana ndi akulu. Izi ndi gwero lamphamvu kwa thupi. Sizofunikira kuti ubongo uzigwira bwino ntchito, komanso ziwalo zambiri. Maziko a shuga ndi mafuta, omwe amapezeka pamitundu yambiri mu zakudya zotsekemera. Mothandizidwa ndi ma enzyme am'mimba ndi matumbo, mafuta amthupi amawonongeka mpaka ndimagazi ndipo amalowa m'magazi.

Kuwongolera shuga, thupi limagwiritsa ntchito mahomoni otsatirawa:

Hormone insulin. Insulin yachilengedwe imapangidwa mu kapamba. Ndiwo mahomoni okhawo omwe amatha kutsitsa shuga. Zimathandizira ntchito yamaselo omwe amasunga glucose. Fotokozerani insulini pofufuza matenda a shuga.
Glucagon. Hormone iyi imapangidwanso ndi kapamba. Komabe, cholinga chake ndikuwonjezera glucose ngati kuchuluka kwake sikokwanira.
Mahomoni a adrenal cortex. Zinthu monga corticosterone, cortisol, adrenaline, norepinephrine zimatha kuwonjezera kuchuluka kwa shuga. Izi zikufotokozera kusanthula bwino mu mkhalidwe wopsinjika kapena wamanjenje.
Mahomoni a hypothalamus ndi pituitary gland. Zinthu izi zomwe zimachokera ku ubongo zimathandiziranso kwambiri kuchuluka kwa shuga.
Mahomoni a chithokomiro. Ngati chiwalo chofunikirachi chikasokonekera, kuchuluka kwa glucose kumazindikira.