Mulingo wa shuga m'magazi a mwana wazaka 9: ayenera kukhala bwanji shuga?
Mulingo wa shuga wamagazi umasungidwa chifukwa cha ntchito ya insulin ndi glucagon, yomwe kapamba amatulutsa. Zimayendetsedwa ndi mahomoni omwe amapangidwa ndi adrenal gland, chithokomiro cha chithokomiro komanso dongosolo lamanjenje.
Kuchepa mphamvu kwa zilizonsezi kumapangitsa matenda a metabolic, omwe ambiri ndi shuga. Mu ana, matenda a shuga amakumana ndi zovuta; kufunika kotsatira zakudya komanso nthawi ya insulin yoyang'anira sikuzindikiridwa ndi aliyense, makamaka paunyamata.
Kuzindikira mochedwa komanso chithandizo chosakwanira kumabweretsa msanga zovuta. Chifukwa chake, kuti mudzindikire panthawi yake, ana onse omwe ali pachiwopsezo amafunika kuwunika shuga wamagazi.
Kuyesedwa kwa shuga m'magazi - abwinobwino komanso zotupa
Nthawi kuyambira zaka 9 mpaka 12 ndi zaka 4-6 amatanthauza zaka zomwe kuchuluka kwa matenda ashuga pakati pa ana kumawonedwa. Chifukwa chake, ngakhale mwana samawoneka wodwala, koma ali ndi vuto lotengera kwa makolo, kuyezetsa magazi kwa shuga, ma electrolyte ndi urinalysis.
Gawo loyamba pakupeza zovuta ndi kuyesa kwa magazi kochitidwa pamimba yopanda kanthu. Izi zikutanthauza kuti mwana ayenera kudya maola 8. M'mawa simatha kudya ndi kutsuka mano. Madzi akumwa oyera okha ndi amene amaloledwa. Mwanjira imeneyi, matenda ashuga komanso prediabetes amatha kutsimikizika.
Dokotala wa ana kapena endocrinologist amathanso kukupatsani kuchuluka kwa glucose mosakhazikika. Kusanthula sikumakhudzana ndi zakudya, kumachitika nthawi iliyonse yabwino. Ndi muyeso uwu, shuga imatha kutsimikiziridwa.
Ngati mwana wapezeka ndi shuga wamagazi, koma kukayikira za matendawo, ndiye kuti kuyesedwa kwa glucose kumachitika. Kwa iye (atayeza shuga wosala), mwana amamwa yankho la glucose. Patatha maola awiri mutatenga yankho, mobwerezabwereza muyeso umachitika.
Kuyeza kumeneku kumagwira ntchito kwa ana opanda zizindikiritso za matendawa kapena ndi zofowoka, zizindikiro za atypical, komanso mtundu wokayikitsa wa matenda a shuga 2 kapena mitundu yapadera ya matenda ashuga. Kuyesedwa kwa glycosylated hemoglobin kumagwiritsidwa ntchito nthawi zambiri kuzindikira mtundu wachiwiri wa matenda kapena kutsimikizira hyperglycemia.
Magazi a shuga amawerengeredwa kutengera zaka; kwa mwana wazaka chimodzi - 2.75-4.4 mmol / l, ndipo chizolowezi cha shuga m'magazi mwa ana a zaka 9 ndi 3.3-5,5 mmol / l. Ngati shuga ndiwokwera, koma mpaka 6.9 mmol / L, ndiye kuti izi zikutanthauza kuti kusokonekera kwamphamvu kwa glycemia. Zizindikiro zonse, kuyambira 7 mmol / l, ziyenera kuwonedwa ngati matenda ashuga.
Njira zakuzindikira za matenda ashuga zikuphatikiza:
- Ngati muyeso wosasintha uwulula glycemia wofanana kapena wapamwamba kuposa 11 mmol / L.
- Glycosylated hemoglobin pamtunda wa 6.5% (wabwinobwino pansi 5.7%).
- Zotsatira zakuyesa kwa glucose ndizapamwamba kuposa 11 mmol / L (zabwinobwino zosakwana 7.7 mmol / L).
Ngati kuyesedwa kwa magazi kudawonetsa kuti zisonyezo ndizokwera kuposa zabwinobwino, koma zotsika kuposa momwe angazindikire matenda ashuga, ndiye kuti ana awa amayang'aniridwa ndikupezeka ndi matenda a shuga kapena prediabetes. Ana otere ali pafupifupi obwerera ku matenda abwinobwino.
Maphunziro aposachedwa a shuga amakhala amtundu wachiwiri wa matenda ndipo nthawi zambiri amakhudzana ndi metabolic syndrome, yomwe, kuphatikiza pa zovuta zam'magazi a shuga, imadziwika ndi zizindikiro za cholesterol yayikulu, kuthamanga kwa magazi komanso kunenepa kwambiri.
Kusintha kwa matenda opatsirana a shuga kumachitika mwa ana omwe sangathe kunenepa.
Kuphatikiza pa matenda ashuga, zotsatirazi zam'magazi zimabweretsa kuchuluka kwa shuga m'magazi:
- Kupsinjika
- Zochita zolimbitsa thupi patsiku la kusanthula.
- Kudya musanayambe phunziroli.
- Matenda a chiwindi kapena impso
- Matenda a chithokomiro.
- Matenda enanso a endocrine.
- Kumwa mankhwala a mahomoni kapena kugwiritsa ntchito nthawi yayitali mankhwala osapweteka a antiidal.
Masewera a glucose otsika mwa ana nthawi zambiri amagwirizanitsidwa ndi matenda otupa m'mimba, kapamba kapena matumbo. Amachitika ndi kuchepa kwa adrenal gland ntchito, pituitary gland, yokhala ndi hypothyroidism ndi chotupa njira.
Hypoglycemia ikhoza kuyambitsa poyizoni wa mankhwala ndi kuvulala kwamatenda amkati, zotupa zamatenda obadwa nawo.