Chithandizo ndi zizindikiro za matenda a shuga kwa ana

Matendawa amadziwonekera pamtundu wosiyana. Pali matenda ashuga mwa akhanda. Ndiwobadwa mwachilengedwe, koma kufalikira kwake kumakhala kotsika. Matendawa amafala kwambiri pakati pa ana azaka 6 mpaka 12. Kutupa kwa thupi la mwana, kuphatikiza chakudya chamthupi, kumachitika mwachangu kwambiri kuposa kwa munthu wamkulu. Mkhalidwe wamagetsi wosasinthika motsutsana ndi maziko awa umakhudza kuchuluka kwa shuga m'magazi. Mwana akadali aang'ono, matendawa amawonjezereka.

Matenda a shuga amapezeka mu 1-3% ya akuluakulu. Ana akudwala mu 0.1-0.3% ya milandu.

Kukula kwa matenda ashuga mwa ana kuli ngati matenda akulu. Zomwe zimayambitsa matendawa muubwana zimagwirizanitsidwa ndi boma la kapamba. Zambiri zake ndizochepa: pofika zaka 12, kutalika kwake ndi masentimita 12, kulemera kwake ndi pafupifupi magalamu 50. Njira yopanga insulin imasinthidwa kukhala zaka 5, kotero nthawi yochokera pa zaka 6 mpaka 6 mpaka 12 ndiyofunika kuti chiwonetsero cha matenda ashuga.

Mankhwala, ndichizolowezi kugawanitsa shuga m'mitundu iwiri: matenda a shuga a insulin komanso osadalira insulin (1 ndi 2, motsatana). Malinga ndi ziwerengero, ana amapezeka ndi matenda ashuga amtundu woyamba. Zili kwa iye kuti gawo lotsika la insulini limadziwika.

Zizindikiro ndi matenda a shuga kwa ana

Makolo ayenera kuyang'ana mbali zina pamakhalidwe a mwana kuti athe kuwona dokotala posachedwa. Matenda a shuga amayamba msanga ngati chikomokere cha matenda ashuga chikuchitika munthawi yake.

Zizindikiro zazikulu za matenda a shuga kwa ana:

kamwa yowuma ndi kukhumba kosalekeza,

kukodza pafupipafupi, pamene mkodzo umakhala wowuma,

kuchepa kwamphamvu kwamawonedwe,

kususuka kwa chakudya chifukwa cha kuchepa thupi,

kufooka, kutopa ndi kusakwiya.

Kuwonetsedwa kwa chizindikiro chimodzi kapena zingapo nthawi imodzi ndiye maziko opita kwa dokotala. Adzafotokozera mayeso ofunikira, pamaziko awo omwe angatulukire kuzindikira koyenera.

Zizindikiro za matendawa zimaphatikizapo mawonetseredwe amodzimodzi. Zizindikiro zosadziwika zitha kuzindikirika ndi makolo. Awa ndi madandaulo kuchokera kwa mwana zokhudzana ndi mutu wokhazikika, kusachita bwino komanso kutopa.

Zizindikiro zazikulu (za) za matenda ashuga mwa ana:

polyuria, kapena kwamikodzo kugona. Makolonu makolo a ana molakwika amatenga chizindikiro ichi pakuyamba kugona kwamkodzo usiku. Chifukwa chake, ndikofunikira kudziwa zoyamba za matenda ashuga,

polydipsia, limodzi ndi kumva kukoma kwa ludzu. Mwana akhoza kumwa mpaka malita 10 amadzimadzi patsiku, ndipo pakamwa pouma padzatsalira,

kuwonda kwambiri pambuyo pa chilimbikitso chowonjezereka, kapena polyphagy,

maonekedwe a kuyabwa pakhungu, mapangidwe ake a pustular. Khungu limakhala louma,

pambuyo pokodza, kuyamwa kumawonekera kumaliseche,

kutuluka kwa mkodzo kumawonjezera (malita oposa 2 patsiku). Mtundu wake ndi wopepuka. Urinalysis ikuwonetsa kukwera kwapadera komanso mawonekedwe a acetone. Mwina kuwoneka kwa shuga mkodzo, sikuyenera kukhala kwabwinobwino,

kuyezetsa magazi kwachangu kumawonetsa kuwonjezeka kwa shuga wamagazi opitilira 5.5 mmol / L.

Ngati mwana akuganiziridwa kuti ali ndi matenda ashuga, kuzindikira nthawi yake ndi chithandizo choyenera ndikofunikira kwambiri.

Zoyambitsa matenda a shuga ana

Zomwe zimayambitsa matenda a shuga kwa ana ndizambiri. Mitu ikuluikulu ndi:

cholowa. Matendawa ndiofala kwambiri pakati pa abale. Makolo omwe ali ndi matenda ashuga ali ndi chiyembekezo chokhala ndi ana omwe amadzazindikira msanga. Matendawa amatha kuchitika panthawi yamatumbo, komanso pa 25, ndi 50. Ndikofunikira kuyang'anira kuchuluka kwa shuga m'magazi apakati, chifukwa placenta imamwa bwino ndipo imalimbikitsa kudzikundikira komwe kumapangitsa ziwalo ndi minyewa ya mwana wosabadwayo,

matenda opatsirana ndi ma virus. Sayansi yamakono yamankhwala yatsimikizira kuti rubella, nthomba, mumps (mumps) ndi hepatitis ya viral imasokoneza kapamba. Zikakhala zotere, makina a chitukuko cha matendawa amaperekedwa m'njira yoti ma cell a chitetezo cha munthu amangowononga maselo a insulin. Koma kutenga kachilombo koyambitsa matendawa kumabweretsa matenda a shuga pokhapokha ngati tili ndi mavuto obadwa nawo,

kudya kwambiri Kulakalaka kwambiri chakudya kungayambitse kunenepa kwambiri. Izi ndizowona makamaka pazopanga zamagetsi zomwe zimapezeka mosavuta: shuga, chokoleti, zinthu zotsekemera za ufa. Chifukwa cha kudya pafupipafupi kwa chakudya chotere, katundu pa zikondamoyo zimachuluka. Kuchepa pang'onopang'ono kwa maselo a insulin kumabweretsa kuti iwo ukuleka kupangidwa,

otsika magalimoto. Kusagwira ntchito kumayambitsa kunenepa kwambiri. Ndipo kuchita masewera olimbitsa thupi mosalekeza kumathandizira ntchito ya maselo omwe amayang'anira kupanga insulin. Momwemo, shuga m'magazi ali ndi malire,

chimfine chimalimbira. Chitetezo cha mthupi, chayang'anizana ndi kachilomboka, chimayamba kupanga ma antibodies kuti chilimbana nawo. Ngati zoterezi zimachitika mobwerezabwereza, ndiye kuti dongosolo limatopa, ndipo chitetezo chimachepa. Zotsatira zake, ma antibodies, ngakhale palibe kachilombo koyambitsa matenda, pitilizani kupanga, kuwononga maselo awo. Pali vuto lina la kapamba, chifukwa chake kupanga kwa insulin kumachepa.

Chithandizo cha matenda a shuga kwa ana

Pakadali pano, mankhwala sanapeze njira yomwe ingachiritsiretu mwana matenda ashuga. Mankhwalawa cholinga chake ndi kupukutira kagayidwe kachakudya mthupi kwa nthawi yayitali. Kuwunika momwe wodwalayo alili ndi makolo ake (kapena kudziimira pawokha, kutengera zaka za mwana) kumachitika pafupipafupi.

Chithandizo choyenera, kusowa kwa zovuta komanso kutalika kwa nthawi yayitali ya mwana kumatipatsa mwayi wolosera zinthu zoyenera pamoyo komanso ntchito zina.

Sayansi yamakono yamankhwala ikugwira ntchito yopanga matenda a shuga m'magawo angapo:

njira zopweteketsa mtima komanso zopweteka zoperekera insulin kukonzekera thupi la mwana zikupangika,

kufalikira kwa maselo a pancreatic omwe amachititsa insulin katulutsidwe akufufuzidwa

Njira ndi mankhwala amayesedwa, ntchito zomwe zimapangitsa kuti makulidwe a mwana asinthidwe.

Endocrinologist amathandizanso pa matenda a shuga.

Gawo loyambirira la matendawa litha kukonzedwa kuchipatala.

Magawo otsatirawa a matenda a shuga amafunika kukayezetsa kuchipatala

Mu ana, chithandizo chimayamba ndikusankhidwa kwa chakudya choyenera, chogwirizana ndi adokotala ndikusintha malinga ndi kuopsa kwa matendawa. Kuphatikiza zakudya ndizofunikira, monga mwana amalandira mankhwala angapo masana. Zakudya zawo zimatengera nthawi yakudya. Malangizo a mankhwalawa amayenera kuyang'aniridwa mosamala, apo ayi kugwiritsa ntchito mankhwalawa kumachepetsedwa kwambiri.

Zakudya zopatsa mphamvu zimawerengedwa motere: - Kadzutsa - 30%, - nkhomaliro - 40%, tiyi wamadzulo - 10%, chakudya - 20%. Makamaka chidwi chikuyenera kuwerengera zakudya zamagulu ochulukirapo. Zokwanira patsiku siziyenera kupitirira magalamu 400.

Kugwiritsa ntchito insulin

Insulin, yomwe imagwiritsidwa ntchito pochiza ana odwala matenda ashuga, imagwira ntchito mwachidule. Kukonzekera kwa Protafan ndi actrapid kuli ndi malowa. Chipangizocho chimaperekedwa mosagwiritsa ntchito cholembera syringe yapadera. Izi ndizothandiza komanso zimalola kuti mwana aphunzire kupereka mankhwalawa nthawi inayake popanda thandizo lakunja.

Kupatsirana kwa kapamba

Muzochitika zovuta kwambiri, kupanikizika kwa kapamba kumagwiritsidwa ntchito. Kusintha kwathunthu kwa chiwalo kapena gawo lililonse kumachitika. Koma pali chiopsezo chokana, mawonetseredwe amachitidwe a chitetezo chamthupi chachilendo komanso kukula kwa zovuta mu mawonekedwe a kapamba. Madotolo amawona kupatsirana pogwiritsa ntchito kapamba wa embryonic monga kulonjeza, kapangidwe kake kamachepetsa chiopsezo chosinthika.

Kuyesera pakusamutsa ma b-cell a islets aku Langerhans, kutengera kugwiritsa ntchito ma b-cell a akalulu ndi nkhumba, kunali kwa chithandizo kwakanthawi. Kusunthika komwe kumalowa m'mitsempha yama portal kunalola kuti odwala omwe ali ndi matenda ashuga apite popanda insulini kwa chaka chochepa.

Kupewa matenda a shuga kwa ana

Ana, kuyambira masiku oyamba amoyo, omwe amadya zakudya zosakonzekera, ali pachiwopsezo chotenga matenda a shuga. Kusakaniza kumakhala ndi mkaka wa ng'ombe wa ng'ombe, womwe umalepheretsa kapamba. Mkaka wa m'mawere ndi njira yoyamba yotetezera yomwe ingachepetse mwayi wokhala ndi matenda. Kudyetsa mpaka chaka chimodzi kapena kupitilira kumalimbitsa chitetezo cha mwana ndikuteteza ku matenda opatsirana omwe angayambitse matenda a shuga.

Pankhani ya ana okulirapo, ndikofunikira kuwunika zakudya, mawonekedwe ake ndi kapangidwe kake. Chakudyacho chiyenera kukhala chamagulu komanso osiyanasiyana, kupatula mafuta ambiri ndi chakudya. Onetsetsani kuti mwadya zipatso ndi ndiwo zamasamba.

Njira zodzitetezera zimatsikira kuti mudziwe gulu lowopsa: kukhalapo kwa matenda ashuga m'banjamo, kusokonezeka kwa metabolic mwa mwana ndi kunenepa kwambiri. Ana omwe ali ndi zizindikiro zofananira amalembetsa ndi endocrinologist ndipo amayesedwa kawiri pachaka. Ngati matendawa adatsimikizika, kuwunika koyendera ndikuwunika kwa dokotala mwezi uliwonse kumayendetsedwa kuti athe kukonza pulogalamu yamankhwala, kuzindikira nthawi yowonjezera komanso kupewa zovuta zovuta pakadutsa matendawa.

Pafupipafupi komanso njira za njira zoyesera zimatsimikiziridwa kutengera gawo la matendawa.

Odwala omwe ali ndi matenda a shuga amayesedwa pachaka ndi akatswiri opanikizika: a ophthalmologist, cardiologist, neuropathologist, nephrologist, dokotala wa opaleshoni, ndi ena. Maphunziro ofunikira kwa iwo ndi electrocardiogram, urinalysis ndi njira zomwe zingathandize poyambira kuzindikira kuphwanya ziwalo ndi machitidwe

Kuchiritsa kwathunthu kwa matenda ashuga sikungatheke. Chithandizo chokwanira komanso chapanthawi yake chidzakwaniritsa chikhululukiro, ndipo mwana azitha kukhala moyo wabwinobwino, amakula molingana ndi zaka.

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Zizindikiro za matenda a shuga kwa ana

Zizindikiro zazikulu za shuga m'mwana wazaka 2 zitha kukhala zovuta kuzizindikira. Nthawi yokhazikitsidwa ndi zizindikiro za matendawa zimatengera mtundu wake. Matenda a shuga amtundu woyamba amakhala ndi gawo lomwe amafulumira, wodwalayo amatha kukulira sabata imodzi. Pakati pa matenda a shuga a 2, Zizindikiro za matendawa zimakula pang'onopang'ono. Makolo ambiri sawaganizira, amatembenukira kuchipatala pambuyo povuta kwambiri. Pofuna kupewa izi, muyenera kudziwa kuti mungachite bwanji koyambirira zindikirani matendawa.

Kufunika kwa maswiti

Thupi limafunikira shuga kuti lizisintha kukhala mphamvu. Ana ambiri monga maswiti, koma pakukhazikitsa shuga, kufunikira kwa chokoleti ndi maswiti kumatha kuwonjezeka. Izi zimachitika chifukwa cha njala ya maselo amthupi, popeza glucose samapangidwira kuti akhale mphamvu komanso kuti asamwe. Zotsatira zake, khanda nthawi zonse limalandira makeke ndi makeke. Ntchito ya makolo - kusiyanitsa nthawi zonse chikondi cha maswiti kuchokera pakuwonekera kwa njira ya matenda m'thupi la mwana.

Kuchuluka kwanjala

Chizindikiro china chodziwika bwino cha matenda ashuga ndikumverera kwanjala kosatha. Mwana samadya ngakhale pakudya lokwanira, amalephera pakatikati pa feedings zovuta. Nthawi zambiri, matenda amanjala amayambika nawo miyendo yanjenjemera ndi mutu. Ana okalamba nthawi zonse amafunsa chakudya, ndipo amakonda zakudya zotsekemera komanso zamafuta kwambiri.

Kutsika kwa ntchito zamagalimoto

Pambuyo chakudya, ana amatha kuchepa zolimbitsa thupi. Mwana amalira, amakwiya, ana okalamba amakana masewera olimbitsa thupi. Ngati chizindikiro ichi chikuwonekera limodzi ndi zizindikiro zina za matenda ashuga (mapangidwe a pustular, totupa pakhungu, kuchuluka kwamkodzo wamkati, komanso kuchepa kwa mawonekedwe), kuyesedwa kwa shuga kuyenera kuchitidwa nthawi yomweyo.

Zizindikiro zopusa za matendawa

Popitiliza matendawa, zizindikiro za matenda ashuga zimadziwika. Kuti mudziwe ngati mwana ali ndi matenda, makolo azitha kutengera ndi zingapo:

1. Udzu wokhazikika. Polydipsia ndi chimodzi mwazidziwitso zomveka bwino. Makolo ayenera kulabadira kuchuluka kwamadzi omwe mwana wawo amamwa patsiku. Pa nthawi ya shuga, odwala amamva ludzu nthawi zonse. Mwana amatha kumwa mpaka malita 5 a madzi tsiku lililonse. Nthawi yomweyo youma mucous nembanemba.
2. Polyuria Mkodzo wambiri umayamba chifukwa cha kuchuluka kwamadzimadzi. Munthu amatha kukodza zoposa 25 pa tsiku. Kuyang'anira kumawonedwa usiku. Nthawi zambiri akuluakulu amasokoneza izi ndi ma enursis aubwana. Zingachitike kuchepa kwa magazi m'thupi, kusenda khungu, kuuma kwa mucous nembanemba mkamwa.
3. Kuchepetsa thupi. Matenda a shuga amaphatikizidwa ndi kuwonda. Kumayambiriro kwa matendawa, kulemera kumatha kuwonjezeka, koma pambuyo pake kumagwa. Izi ndichifukwa choti maselo mthupi samalandira shuga, omwe amafunikira kuti amathandizidwe mu mphamvu, chifukwa chake, mafuta amayamba kuthyooka, ndipo kulemera kwa thupi kumachepa.
4. Kuchiritsa pang'onopang'ono kwa mabala. Maonekedwe a shuga amatha kutsimikiziridwa ndi kuchira kwapang'onopang'ono kwa mabala ndi mabala. Izi zimachitika chifukwa chosokoneza ma capillaries ndi ziwiya zazing'ono chifukwa chokhala ndi shuga wambiri m'thupi. Pakawonongeka pakhungu, mabala samachiritsidwa kwakanthawi, kupatsirana ndi kachilombo ka bacteria kumachitika nthawi zambiri. Ngati zizindikirozi zapezeka, muyenera kulumikizana ndi endocrinologist wanu posachedwapa.
5. Pafupipafupi fungal ndi pustular zotupa za dermis. Anthu odwala matenda ashuga nthawi zambiri amakhala ndi mavuto osiyanasiyana akhungu. Chizindikiro ichi chili ndi dzina lachipatala - matenda a shuga. Mafinya, zisindikizo, zilonda, malo amsaka, zotupa ndi zina zimawonekera pa thupi la wodwalayo. Izi ndichifukwa chakusowa kwamadzi, kuchepa chitetezo chokwanira, kuwonongeka kwamitsempha yamagazi ndi kagayidwe kachakudya, kusintha kapangidwe ka dermis.
6. Kufooka ndi kukwiya. Kutopa nthawi zonse kumawonekera chifukwa chosowa mphamvu, munthu amamva zizindikiro zam'mimba monga mutu, kutopa, kufooka. Ana omwe ali ndi matenda ashuga omwe amakhala kumbuyo mu malingaliro ndi thupi, machitidwe a sukulu amayamba kuvutika. Atapita ku sukulu ya kindergarten kapena sukulu, ana awa safuna kulankhulana ndi anzawo; amakhala atatopa kwambiri komanso kugona.

Matenda a shuga m'Makanda

Mu makanda, ndizovuta kudziwa matendawa, popeza mu ana mpaka chaka sichimavuta kusiyanitsa ludzu la polyuria ndi pathological ku chilengedwe. Nthawi zambiri matendawa amadziwika nthawi yomwe akupanga zizindikiro monga kuledzera kwambiri, kusanza, chikomokere ndi kusowa madzi m'thupi.

Panthawi yomwe kukula kwa matenda ashuga kumachitika, kugona kumasokonezeka, ana amatha kulemera pang'onopang'ono, mavuto omwe amasokonezeka ndi kuyendetsa pansi, kugaya chakudya, ndikung'amba kumadziwika. Kwa atsikana, zotsekera m'mimba zimatha kuzindikira, zomwe sizimatha nthawi yayitali. Makanda aamuna ndi akazi onse ali ndi vuto lakhungu, thupi lawo siligwirizana, zotupa zam'mimba, thukuta. Akuluakulu amayenera kuyang'anitsitsa kukhuthala kwa mkodzo wa mwana. Ikamagwera pansi, pansi imayamba kukhala pabwino.

Zizindikiro mu Preschoolers

Kukula kwa zizindikiro ndi zizindikiro za matenda ashuga mwa ana ochepera zaka zisanu ndi ziwiri msanga kwambiri, mosiyana ndi makanda.Asanayambike mkhalidwe wokondweretsa kapena kufa kwakanthawi, zimakhala zovuta kudziwa matendawa, chifukwa achikulire ayenera kulabadira mawonetseredwe oterowo mwa ana:

• kuchuluka kwa peritoneum, pafupipafupi
• kuchepa msanga kwa thupi, mpaka dystrophy,
• kupweteka kwapakati pamimba,
• kuphwanya chopondapo
• misozi, ulesi,
• mutu, nseru,
• Fungo la acetone lamkati,
• kukana kudya.

Masiku ano, matenda a shuga a mtundu wachiwiri ndiofala kwambiri kwa ana asukulu zamaphunziro. Ichi ndi chifukwa cholemera, kudya zakudya zopanda pake, kuwonongeka kwa kagayidwe kachakudya, kuchepa kwa magalimoto. Zomwe zimayambitsa matenda a shuga 1 zimakhala zobisika mwazinthu zamtunduwu, matendawa amatengedwa nthawi zambiri.

Matenda ana a sukulu

Zizindikiro za matenda ashuga mu achinyamata amatchulidwa, ndizosavuta kuzindikira matendawa. Pakadali pano, zizindikiro zotsatirazi ndizodziwika:

• nocturnal envesis,
• kukodza pafupipafupi
• kuwonda
• ludzu losalekeza
• kuphwanya chiwindi ndi impso,
• matenda a pakhungu.

Mavuto a shuga a ana

Mavuto a shuga amagawidwa kukhala osachiritsika komanso owawa. Potsirizira pake, zotsatira zoyipa za matendawa zimayamba nthawi iliyonse yamatenda.

Hyperglycemic chikomokere

Poyerekeza ndi maziko osowa kwambiri a insulin m'thupi la munthu, shuga amawonjezereka. Pankhaniyi, zizindikiro zotsatirazi zikuwoneka:

• njala yayikulu,
• ludzu lalikulu
• kugona, kufooka, misonzi, nkhawa,
• kukodza pafupipafupi.

Ngati chithandizo sichiperekedwa, ndiye kuti zochulukitsa zizindikiro za hyperglycemia. Mutu umawoneka, nthawi zina kusanza ndi mseru.

Hypoglycemic chikomokere

Vutoli likuwoneka chifukwa cha kuyambitsa kwa mlingo waukulu insulin Zotsatira zake, kuchuluka kwa glucose m'magazi a wodwalayo kumatsika msanga, ndipo mkhalidwe wambiri umakulanso. Mwana amakukhululukirani nthawi zonse chifukwa cha kumwa, njala ikukula, kufooka kumayamba, ndipo kuchuluka kwa mkodzo kumawonjezeka. Kusasamala kumasintha kwambiri ndi nthawi yosangalala, khungu limanyowa, ana amapaka. Pakutukuka kwa izi, wodwalayo ayenera kulowa shuga kapena amwe madzi otentha otentha.

Ketoacidotic chikomokere

Mu ana, ketoacidosis samadziwika kawirikawiri, mkhalidwewo ndiwowopsa. Zovuta itha kukhala ndi zotsatirazi:

• kusanza, nseru,
• khungu
• Lilime lofiirira lomwe limakhudza zoyera
• mawonekedwe a ululu mu peritoneum,
• kuchepetsa kupanikizika
• kuchuluka kwa mtima.

Nthawi yomweyo, kupuma kumakhala kwakanthawi komanso kaphokoso, mawonekedwe amaso ndi ofewa. Nthawi zambiri kudziwa kwa wodwala kumasokonezeka. Pakalibe chithandizo chofunikira, chikomoka cha ketoacidotic chimachitika. Mwana akapanda kupita kuchipatala mwachangu, ndiye kuti akuwonekera chiwopsezo cha imfa.

Mavuto osachiritsika samawonekera nthawi yomweyo, amakula ndi matenda opatsirana a shuga:

• Arthropathy ndi matenda olowa. Zotsatira zake, kupweteka kwapawiri kumachitika, mwana amatha kumva zovuta kusuntha,
• Ophthalmopathy ndimatenda a maso. Amagawika ndikuwonongeka kwa retinal (retinopathy) ndi mitsempha yovutikira, yomwe imayendetsa kayendedwe ka maso (squint),
• Nephropathy - gawo loyambirira la kukanika kwa impso,
• Neuropathy - kuwonongeka kwa chapakati mantha dongosolo. Zizindikiro monga kusokonezeka kwa mtima wam'mimba, kupweteka kwamiyendo, kudzimbidwa kwa miyendo zadziwika pano.

Njira zopewera

Palibe kabuku komwe kali ndi njira zodzitetezera. Kuti muchepetse mwayi wokhala ndi matenda omwe ali pachiwopsezo cha ana, muyenera:

• kuwonjezera chitetezo chokwanira
• kukhala ndi thanzi labwino
• azichitira matenda ofanana
• perekani zolimbitsa thupi zofunika.

Dr. Komarovsky akunena za:

1. Nthawi yomweyo pitani kuchipatala nthawi yowonetsera matenda alionse a shuga.
2. Mwana akapatsidwa mankhwala a insulin, pewani jakisoni malo omwewo, apo ayi lipodystrophy ingathenso.
3. Kunyumba, glucometer iyenera kukhala - zida zomwe zimayeza kuchuluka kwa shuga m'magazi kapena mkodzo.
4. Mwina mwana angafunike thandizo la zamaganizidwe kuti agwirizane ndi matendawa.
5. Kuzinga mwana mosamala osachita mantha.
6. Palibenso chifukwa chobweretsera ana zinthu zapadera. Iye, monga ana ena, amakakamizidwa kusewera, kupita kumakalasi ndi kusukulu.

Ngakhale matendawa akuvuta, musaiwale kuti mamiliyoni a anthu ali ndi matenda omwe amadziwika nawo, omwe moyo wawo ndi odzala ndi odala. Matenda a shuga sangachiritsidwe kwathunthu, koma chithandizo chamankhwala chakanthawi chimatha kupewetsa zovuta ndi zotsatirapo zake.

Zomwe zimayambitsa matendawa

Matendawa amadziwika ndi kuchuluka kwa glucose m'magazi ndipo amagawika m'magulu awiri, omwe ali osiyana kwambiri wina ndi mnzake ndi makina a chitukuko. Matenda a shuga 1 amtundu wa ana amakhala chifukwa chakubadwa kwa mtundu. Prerequisites ikhoza kukhala kupsinjika kapena kusakhazikika kwa mahomoni. Chithandizo chimafuna kudya kawirikawiri insulin ndi kuyang'aniridwa ndi akatswiri. Matenda a 2 a shuga amasokonezeka ndimatenda a metabolic mthupi.

Zomwe zimayambitsa matenda ashuga mu ana zimatha kukhala zosiyanasiyana, zofala kwambiri ndizophatikizira:

1. Zinthu zoyipa. Ngati m'modzi mwa makolo ali ndi matenda ashuga, mwayi woti mwanayo abadwe ndi matenda omwewo kapena kudzakhala nawo pambuyo pake ndi 100%. Placenta imamwa glucose bwino, imathandizira kuti pakhale kuchuluka kwa ziwalo, chifukwa chake, pakubala kwa mwana wosabadwayo, ndikofunikira kuyang'anitsitsa chizindikiro chake m'magazi.
2. Matenda a virus. Matenda a kapamba amayamba chifukwa cha rubella, nthomba, mumps, kapena hepatitis ya viral. Pakadali pano, maselo a chitetezo cha mthupi amayamba kuwononga insulin. Ngati pali matenda ena obadwa nawo, ndiye kuti izi zitha kukhala chifukwa cha matenda ashuga mwa ana.
3. Kudya kwambiri. Mukamadya ufa wambiri wazakudya, chokoleti kapena shuga, kunenepa kwambiri kumatha kuyamba, pomwe katundu pa kapamba amawonjezeka kangapo. Izi zimapangitsa kutsika kwa maselo a insulin, kupangika kwake kosakwanira.
4. Zozizira. Matendawa atalowa m'thupi, kupanga ma antibodies opangidwa pofuna kuthana nawo amayamba. Mwana akakhala ndi chimfine kapena zilonda zapakhosi, chitetezo chake chimachepa. Ndipo ngakhale pakalibe matenda, ma antibodies akupitilizabe kuthandizira, zomwe zimapangitsa kuti gululi lithe kugwira ntchito komanso kuchepa kwa kapangidwe ka insulin.

Zizindikiro zoyambirira za shuga mwa ana zimakhala zofatsaChifukwa chake, makolo ayenera kuyang'anira mwapadera mawonekedwe, mawonekedwe ndi kusintha kwakunja. Matendawa amakula msanga, motero ndikofunikira kuyamba mankhwala mwachangu.

Zomwe zikuluzikulu zimaphatikizapo:

• ludzu losalekeza ndikumverera kukamwa kowuma
• kukodza pafupipafupi, pamene mkodzo umakhala wofanana,
• kupumirana mseru ndi kusanza (momwe kuziimitsira zimapezeka pano),
• njala, kuchepa thupi msanga,
• kusakwiya, kutopa, kusasangalala.

Ngati zizindikiro ziwiri zapezeka, simuyenera kuchedwetsa kupita kwa dokotala wa ana ndi endocrinologist.

Mawonekedwe a shuga mwa ana ndi njira yosiyana ndi matendawa, zizindikiro zake zimawonekera kutengera zaka.

1 Mpaka chaka chimodzi. Ndikosavuta kudziwa matenda ashuga mwana wakhanda mwa zizindikiro zakunja. Kuzindikira kumatsimikiziridwa ndikusanza, kusowa kwamadzi, kuledzera kapena chikomokere. Kukula pang'onopang'ono kwa matendawa kumadziwika ndi kuwonda pang'ono, kusokonezeka tulo, kusoka, mavuto am'mimba, kusintha kosasinthika kwa chopondapo, ndi chizindikiro cha magazi mmenemo. Atsikana ali ndi zotupa pakhungu zomwe sizichoka kwa nthawi yayitali, zotupa ndi mafinya thupi lonse (onani m'nkhaniyi mitundu 16 ya zotupa mwa mwana ndi zomwe zimayambitsa). Makamaka chidwi chake chikulipidwa mkodzo: chimakhala cholimba pakukhudza, atayanika pa diaper amasiya mawanga oyera.

2 Zaka 1-7. Mwa ana osakwana zaka zisanu ndi ziwiri, matenda a shuga amakula msanga, nthawi zambiri amapita kuchipatala ali okomoka. Makolo ayenera kukhala atcheru kuti asamagwire bwino ntchito (komanso kudziwa momwe angathandizire mwana wawo kupewa kutaya madzi), kusakwiya, ulesi, kununkhira kwa acetone kuchokera pamlomo wamkamwa, ndikusintha kwa chopondapo. Mwanayo akhoza kudandaula za kupweteka pakati pakatikati pamimba. Kuchepetsa thupi kwambiri komanso kusamva bwino zimayamba kuonekera.. M'badwo wamaphunziro, matenda ashuga amtundu wa 2 amapezeka pafupifupi nthawi zonse. Izi ndichifukwa chogwiritsa ntchito kuchuluka kwa zinthu zoyipa.

3 Zaka 7 mpaka 15. Pakadali pano, kupeza vuto la endocrine ndikosavuta kwambiri. Zizindikiro za matenda a shuga mwa ana amisinkhu uno amakhala ndi kukodza pafupipafupi, maulendo a usiku kupita kuchimbudzi, ludzu kwambiri, komanso kuwawa kwa khungu. Ndi kuyang'ana mosamala, mawonekedwe osiyanasiyana amatenda ochokera ku chiwindi ndi impso amatha kudziwika. Zizindikiro zakuda kwa msana wopatsidwa kutopa, kuchepa kwa maphunziro, komanso kukana kulumikizana ndi anzawo. Kusintha kulikonse mumakhalidwe a wophunzirayo ndi belu lofunsa ndi akatswiri omwe amatha kudziwa moyenera komanso kumupatsa mankhwala othandiza.

Zizindikiro

Kuzindikira matenda a shuga kwa ana kumayambira ndi mndandanda wa mbiri yamlomo. Makolo afotokozere mwatsatanetsatane zomwe zimadetsa nkhawa mwana wawo zizindikiro zoyambirira zikaonekera.

Kuti mupitirize kuyesedwa, mayeso otsatirawa adalembedwa:

1. magazi othamanga amaperekedwa pambuyo pa maola khumi mutatha kudya, zitsanzo zimachitika kuchokera ku chala kapena mtsempha kuyeza shuga,
2. LHC imapangidwa kuti iwerenge ntchito ya ziwalo zonse zamkati,
3. kusanthula kwa C-peptide kumatsimikizira kapena kutsutsa kuthekera kwa kapamba kuti apange payokha insulin.

Kuphatikiza apo, upangiri wa akatswiri omwe amalimbana ndi zovuta pambuyo pa matenda a shuga amalimbikitsidwa. The ophthalmologist amasanthula mosamalitsa fundus, onetsetsani masomphenya a chitukuko cha retinopathy, omwe angayambitse kufooka kwa fiber.

Matendawa amatha kusokoneza mtima. Chifukwa chake, gawo la electrocardiogram, ultrasound ya mtima imayikidwa koyamba.

Zida zamakono zimakupatsani mwayi wodziwa matendawa m'magawo oyamba: simuyenera kunyalanyaza malangizo ndi malingaliro a dokotala mukamazindikira.

Mankhwala ochizira matenda

Chithandizo cha matenda osokoneza bongo kwa ana ndicholinga chobwezeretsa njira za metabolic komanso kuyang'anira kuchuluka kwa shuga.

Chithandizo cha matenda a shuga 1 amtundu wa ana omwe amadalira insulin ndi motere.

Mankhwala mankhwalawa ana odwala matenda ashuga ali ndi kanthawi kochepa. Iyenera kuthandizidwa tsiku lililonse. Mlingo, kuchuluka kwa jakisoni patsiku kumatengera kuchuluka kwa shuga m'magazi.

Kuphatikiza apo, makolo ayenera kusamutsa mwana ku chakudya chapadera, chomwe chimapangidwa ndi pang'onopang'ono chakudya, mafuta ndi mapuloteni, kuti azilamulira zochitika zolimbitsa thupi. Zowonjezera mu insulin mankhwala ndi mankhwala a choleretic, angioprotectors, mavitamini ndi mankhwala a hepatropic.

Zovuta zotheka

Zotsatira zake zitha kukhala zosiyana ndikuwonekera pagawo lililonse la matendawa. Zodziwika bwino zimaphatikizapo:

1. hyperglycemic chikomokere, chomwe chimachitika ndikubwereza kukodza, kugona, kufooka, kugona.
2. hypoglycemic coma, yomwe imadziwika ndi thanzi labwino, ludzu lalikulu, kuchuluka kwamkodzo, ana opukusika, komanso khungu lonyowa,
3. ketoacidosis ndikuphwanya chakudya cha metabolism, chomwe chimadziwika ndi redness pakhungu, nseru nthawi zonse, kugwedezeka kwamphamvu, kuthamanga.

Matenda a shuga panthawi yoyembekezera, zotsatira zake kwa mwana

Vuto la endocrine system limatha kuyambitsa polyhydramnios, edema, mochedwa toxicosis, komanso mavuto ndi kwamikodzo.

Kunenepa kwambiri, kuchuluka kwa minofu ya adipose, zolakwika za ziwalo zosiyanasiyana ndizotsatira za matenda ashuga panthawi ya pakati kwa mwana.

Chifukwa chake, pokonzekera kutenga pakati kapena kutha, mkazi ndi bwino kusinthana ndi insulin ndikuyang'aniridwa pafupipafupi ndi akatswiri.

Kupewa

Kupewera kwa matenda ashuga ana kumakhala ndi kusungabe madzi. Ayenera kuphunzitsidwa kumwa tsiku lililonse kapu yamadzi pamimba yopanda kanthu. Chotsani zakumwa zoziziritsa kukhosi, zakumwa za kaboni, zakumwa zotsekemera kuchokera ku zakudya.

Zaumoyo wa wophunzirayo zitha kukhala zopepuka zolimbitsa thupi, masewera akunja. Zizindikiro zodziwika bwino za matenda ashuga mwa ana zimapanikizika, motero ndikofunikira kuti mwanayo apange malo abwino, malo abwino komanso odekha.

Kuchokera pazakudya za tsiku ndi tsiku muyenera kuchotsa zakudya zama calorie kwambiri, kudya mwachangu, kuti muchepetse kunenepa. Makolo ndi ana awo nthawi zonse ayenera kukhala ndi mankhwala omwe ali pafupi kuyeza magazi.

Momwe matenda a shuga amawonekera mwa ana, kholo lililonse liyenera kudziwa. Kupatula apo, kumazindikira matendawa ndi chithandizo chake kumachotsa kukula koopsa.

Magawo a matenda a shuga a ana

Kuwonetsedwa kwa matendawa kumadalira kupezeka kapena kusowa kwa insulini komanso kuwopsa kwa glucose. Sikuti mitundu yonse ya matenda a shuga a ana imachitika ndi kuchepa kwamankhwala a insulin. Nthawi zina, pali maphunziro ofatsa ndipo ngakhale insulin imakana. Matenda a shuga amatha kukhudza zaka zilizonse, komanso wazaka 1, komanso wazaka 5, komanso wazaka 10, komanso ngakhale wazaka 18.

Kuperewera kwa insulin kumachitika ndi:

• mtundu 1 shuga
• ma subtypes ena a shuga a MOD
• matenda a neonatal shuga

Mankhwala a insulin abwinobwino komanso okwera amawonedwa ndi:

• lembani matenda ashuga 2 mwa ana
• ma subtypes ena a shuga a MOD

Kodi matendawa amakula bwanji chifukwa cha kuchepa kwa insulin

Mitundu ya matenda ashuga kuchokera pamndandanda woyamba imadziwika ndi kuperewera kwenikweni kwa insulin, i.e. ndiyochepa kwambiri kotero kuti sikokwanira kugwiritsa ntchito shuga, chifukwa chake maselo amayamba kumva njala. Kenako thupi limasankha kugwiritsa ntchito mafuta osungira ngati mafuta. Inde, mafuta athu ndi malo osungira mphamvu zambiri, omwe amangogwiritsidwa ntchito ngati chomaliza. M'malo mwake, kugawanitsa mafuta kukhala mphamvu ndi ntchito yotsika mtengo kwa thupi, chifukwa chake samadyedwa mu "mtendere" nthawi, koma wotsika mtengo amagwiritsidwa ntchito - shuga.

Mikhalidwe ya kusowa kwa insulin, mafuta amayamba kudyedwa, ndipo chifukwa cha kuwonongeka kwa mafuta, matupi a ketone ndi acetone amapangidwa, omwe mowopsa amakhala ndi poizoni kwambiri m'thupi, makamaka ku ubongo. Mosachedwa, matupi a ketone awa amadziunjikira m'magazi ndikupereka mphamvu yawo poizoni, monga "acidization" ya thupi limachitika (kutsitsa pH ya magazi kupita kumbali ya acidic). Chifukwa chake, matenda ashuga a ketoacidosis amakula ndipo zizindikiro zoyambirira za matenda ashuga zimawonekera.

Ketoacidosis mwa ana okhala ndi matenda amtundu woyamba amayamba msanga kwambiri chifukwa cha kusakhazikika kwa dongosolo lamadzi la ana komanso kulephera kuthana ndi mankhwala oopsa. Zotsatira za ketoacidosis ndimatenda a matenda ashuga, omwe ana amatha kupezekanso patatha milungu ingapo chichitike chiyambi cha matenda ashuga oyamba. Kodi ndi ziwonetsero ziti zomwe zingakhale zowonetsera, zomwe ndikuwuzani m'nkhani zotsatirazi, chifukwa chake ndikukulimbikitsani lembetsani ku zosintha za blog kuti musaphonye.

Munthawi yamatenda am'mimba, ketoacidosis imatha kukhazikitsidwa mwachangu ndikuwopseza moyo wa mwana. Koma ndi matenda A shuga ambiri, ketoacidosis ndi chikomatha sizingagwire ntchito, chifukwa kuchepa kwa insulin kulibe vuto ndipo matendawa amakula pang'onopang'ono. Koma zizindikiritso zoyambirira za matenda amtunduwu zikadali zofanana.

Ndikhulupilira mukumvetsetsa chifukwa chake ndikofunikira kudziwa zizindikiro zoyambirira msanga, kupanga dokotala ndikuyamba kulandira chithandizo cha matenda ashuga? Koma si zokhazo. Kuchuluka kwa shuga okwanira kumathandizira kuti ziwonongeke mwachangu za maselo amenewa.Chifukwa chake, ndikofunikira kuzindikira shuga nthawi yayitali ndikuyamba kulandira chithandizo ndi insulin kuti muchepetse chiwonongeko ndikusunga chinsinsi chotsalira cha pancreatic kwa nthawi yayitali.

Pakakhala zotsalira zina za kapamba, shuga ndizosavuta, zimakhala zochepa. Mapeto ake, ndiye kuti, patapita nthawi, zonsezo, maselo onse adzafa, izi ndi nkhani yanthawi yochepa chabe.

Momwe matendawa amakulira ndi milingo yokwanira kapena yabwinobwino ya insulin

Tsoka ilo, m'zaka makumi zapitazi, ana ochulukirachulukira okhala ndi matenda a shuga 2 kapena, monga ena amachitcha, mitundu ya nyama yawonekera. Amayendedwe achilengedwe samasiyana konse ndi makina amomwe amachititsa matenda awa. Zimakhazikitsidwa ndi kulemera kambiri, minofu imagwira insulini ndipo, chifukwa chake, kuchuluka kwa insulin.

M'mitundu yofatsa ya matenda a shuga a MOD, pakhoza kukhalanso chodabwitsa cha kukana insulini, pomwe palibe kuchepa kwa insulin, zomwe zikutanthauza kuti dziko la ketoacidosis silinachitike. Matendawa amatenga pang'onopang'ono kwa miyezi ingapo ndipo palibe kuwonongeka kwakuopsa pamwana.

Komabe, pali zochitika zina pamene mitundu iyi ya shuga imakumbukira nthawi ya matenda ashuga 1 ndipo imafunikira kuyikidwa kwa insulin kumayambiriro kwa matenda, kenako ndikusintha mapiritsi ndi kudya kwapadera. Amathanso kukhala ndi ketoacidosis, yomwe imatha kuchiritsidwa ndi insulin ndikuchotsa matenda a shuga. Koma zizindikiritso zoyambirira za matendawa zidzakhala chimodzimodzi. Tsopano tiwone chomwe chizindikiro chamtsogolo cha matenda ashuga ichi.

Zizindikiro zamankhwala mwa ana aang'ono ndi achinyamata

Chifukwa chake, mudaphunzira kuti mu ana ndi achinyamata (azaka 12 mpaka 13) okhala ndi vuto la insulin, matendawa amakula msanga, pakangotha ​​milungu yochepa chabe. Ndipo tsopano ndikuuzeni zizindikiro zomwe makolo ayenera kulabadira kuti azikayikira ana ashuga.

• W ludzu.
• Kukoka pafupipafupi, makamaka usiku.
• Kuchulukitsa chilakolako.
• Kuzindikira kwa thanzi mutatha kudya.
• Kuchepetsa kwambiri thupi.
• Kufooka ndi ulesi, thukuta.
• Matenda obwereza.
• Kununkhira kwa acetone kuchokera mkamwa.

Mwachilengedwe, sizonse zomwe zatchulidwazi zomwe zidzawonedwe mwa mwana wanu. Mwachitsanzo, posowa insulin, kununkhira kwa acetone ndi kuwonda kwambiri sikungakhale. Koma kuweruza poona kuwunika kwa amayi omwe ali ndi matenda ashuga 1, zizindikilo zonse zomwe zalembedwazi zidzatchulidwa kwambiri. Ganizirani mwatsatanetsatane chizindikiro chilichonse. Mu chithunzi pansipa, mutha kuwona bwino zonse zomwe zikuwonetsa kuti muli ndi matenda ashuga a ana (chithunzicho ndi chosakanika).

Mumva ludzu komanso kukodza pafupipafupi

Ana amayamba kumwa zamadzimadzi zambiri chifukwa shuga m'magazi "amatunga" madzi m'maselo, ndipo madzi amayamba kukula. Ana nthawi zambiri amafunsidwa kumwa chakumapeto. Kuchuluka kwa glucose kumabweretsa poizoni, kuchepetsa kuchepa kwamkodzo mkodzo, ndichifukwa chake kukodza pafupipafupi komanso koperewera kumawonekera, makamaka usiku. Umu ndi momwe thupi limachotsera poizoni.

Kuchulukitsa chilakolako

Kulakalaka kowonjezereka kumawonekera chifukwa cha kufa kwa maselo, shuga samaperekedwa. Mwana amadya kwambiri, koma chakudyacho sichiwonjezera. Kuchepetsa thupi kwambiri kumalumikizidwa ndi kuthothoka kwa glucose komanso kuthana ndi mafuta ndikupanga mphamvu. Chizindikiro cha matenda ashuga mu ana ndicho kuchuluka kwa kudya limodzi ndi kuchepa thupi.

Kuzindikira pambuyo chakudya

Chizindikiro ichi chimalumikizidwa ndi kuwonjezeka kwa glucose atatha kudya kokhala ndi chakudya chamagulu. Magazi okwera mkati mwake amachititsa kusokonekera m'moyo wabwino. Pakapita kanthawi, mphamvu zakumapundazi zimabweza shuga m'magazi abwinobwino ndipo mwana adzakhalanso wakhama mpaka chakudya chotsatira.

Kuonda kwambiri

Kuchepetsa thupi kumawonedwa ndi kuchepa kwathunthu kwa insulin. Pankhaniyi, glucose sangathe kulowa m'maselo ndi kupereka mphamvu. Zotsatira zake, mafuta osunthika amayamba kuwamwa ngati mphamvu yosungirako ndipo mwana amatsitsa. Chizindikiro ichi sichitha kupezeka mtundu wa 2 matenda ashuga ndi ma subtypes ena a MODY.

Kufooka ndi ulesi

Kufooka ndi ulesi kwa mwana zimagwirizanitsidwa ndimatenda a shuga komanso kupha mphamvu kwa matupi a ketone m'mwazi. Fungo la acetone kuchokera mkamwa ndi chizindikiro cha ketoacidosis. Thupi, momwe lingathere, limachotsa poizoni: kudzera mu impso (ndikuwonjezera diuresis), kenako (thukuta), komanso kudzera m'mapapu (acetone mu mpweya wotuluka). Koma sikuti aliyense amatha kununkhiza.

Kununkhira kwa acetone kuchokera mkamwa

Izi zimachitika chifukwa mafuta amawonongeka ngati gawo lapansi lamphamvu lamthupi, amapanga matupi a ketone, pakati pake pomwe pali acetone. Thupi m'njira zonse zotheka kuyesera kuti athetse poizoni, amamuchotsa kudzera m'mapapu. Chizindikiro ichi sichingakhalenso chamtundu wa 2 shuga komanso ma subtypes ena a MODY.

Matenda pafupipafupi

Ana ena sangatenge matenda opatsirana kwakanthawi. Ndiye kuti, ana amatha kuchoka pamatenda amodzi molimba ndipo kwa nthawi yayitali, osachiritsidwa kwathunthu kupita kwina. Itha kukhala matenda oyamba ndi pakhungu, furunculosis, mwachitsanzo, kapena matenda oyamba ndi fungus - candidiasis.

Ngati mulibe chidwi ndi kuwonjezereka, ndiye kuti pakapita nthawi mwana amakhala woopsa, wowopsa, amakhala nthawi zonse. Kukulitsa kudya kumaloledwa ndi kudana ndi chakudya, nseru, kusanza, ndi kupweteka kwam'mimba. Zizindikirozi zikuwonetsa ketoacidosis yayikulu ndipo, mwina, kukhazikika kwa matenda. Pankhaniyi, muyenera kuyimba ambulansi nthawi yomweyo ndikupita ndi mwana kuchipatala cha odwala kuchipatala. Gawo lotsatira lidzakhala kugona ndi kugona komwe mwana sangathe kuchoka.

Zochita za makolo za ana omwe amakayikira

Ngati mukuganiza kuti mwana wanu ali ndi matenda ashuga, ndikukulangizani kuti musachedwe phunzirolo. Ngati muli ndi abale omwe ali ndi matenda ashuga m'mabanja mwanu, ndiye kuti mwina muli ndi glucometer kapena zingwe zoyesa mkodzo. Chitani kafukufuku wa magazi kapena mkodzo ndipo zotsatira zake kupita kwa dokotala.

Ngati palibe chilichonse chonga ichi, pitani kuchipatala mwachangu ndipo mukawafotokozere zomwe amakhulupirira. Kuyesedwa kwa magazi kwa shuga, mkodzo wa shuga ndi acetone, komanso glycated hemoglobin kuchokera pachala chanu, kutha kuchitika nthawi yomweyo (osadikirira m'mawa wotsatira). Ngati matendawa adatsimikiziridwa, ndiye kuti mudzalandira kuchipatala ku dipatimenti yapadera ya chipatala cha ana. Osazengereza komanso kuzengereza, kuzengereza sikuloledwa.

Ngati vuto la mwana wanu ndi lalikulu kwambiri, ndiye kuti muyenera kupita mwachangu kuchipatala cha ana kuchipatala. Ngati matenda a shuga atatsimikizika, mudzapatsidwa jakisoni wa insulin, omwe angakhale anzanu aumwana wanu wonse kufikira atapeza njira yochizira matenda ashuga, kapena njira zina zoperekera insulin ku thupi. Nthawi zina, mumatha kusinthira ku mankhwala osokoneza bongo ndikupereka zakudya zinazake. Kodi milandu iyi ndi chiani kwenikweni, onani pamwambapa.

Makolo ena aliuma safuna kuvomereza kuti matendawa ndi otenga, chifukwa chake amayesa kuletsa madokotala kuti apange jakisoni, mopanda kuganiza kuti madokotala "adzaika" mwana wake pa singano kosatha. Koma, makolo okondedwa, popanda izi, mwana wanu amangofa, zaka zingati zapitazo kugwiritsa ntchito insulin mwana aliyense wodwala matenda ashuga atamwalira. Kodi mwakonzeka? Tsopano inu ndi mwana wanu muli ndi mwayi wokhala ndi moyo wautali komanso wachimwemwe limodzi. Osamulepheretsa iye ndi inu nokha kukhala achimwemwe!

Kodi ndi matenda ati a shuga omwe ali mwa mwana wanga. Ndemanga yanga yowona mtima

Tidaphunzira za matenda ashuga mu 2010 mu Juni, pomwe mwana wamwamuna wamkulu anali ndi 2 yaying'ono. Kenako chilimwe chachilimwe chomwe sichinakhaleko ku Russia kwa nthawi yayitali chinali chitayamba kumene. M'mwezi wa Meyi, tidaganiza zopita ku kindergarten, koma patatha sabata limodzi tidwala ndikuyamba kudwala matenda a adenovirus. Chifukwa chake sitinadwale! Masiku khumi pambuyo pake, titamvanso bwino, kutentha kwakubwereza kunakwera. Apanso mankhwala ndi kupuma pogona ... Tidaganiza kuti kunali koyambirira kwambiri kuti ife tizipitila ku sukulu ya kindergarten.

Zinthu zinafika pabwino, komabe mwana sanali wofanana ndi kale. Mwanayo ndiwosangalala kwambiri ndipo mwachilengedwe, tsopano samadumpha ndipo samadumpha, ngakhale sindikuwona zowawa zilizonse.

Pakati pa Julayi - amanditengera kuchipatala, ndipo patatha sabata limodzi ndimakhala ndi mwana wanga wamwamuna wotsiriza. Nditafika kunyumba, sindimamuzindikira mwana wanga, nthawi zonse amakhala wopanda nkhawa komanso wopanda nkhawa. Sabata yoyamba kunyumba, adawona kuti amamwa kwambiri ndikuwonetsa mkodzo, makamaka usiku. Ndimawona thukuta kwambiri, kutuluka thukuta. Imanunkhira acetone kuchokera kwa mwana, kufunsidwa kuti apumpse abale ndi abwenzi, koma palibe aliyense wa iwo amene adamva fungo ili. Ngakhale pakadali pano, ndikulakwitsa pakudya kapena ndikadwala ndi mwana wanga wamwamuna, pomwe acetone imadzuka, ndimamva bwino, koma banja silimva. Sindifunikanso kuyesa mayeso a mkodzo chifukwa cha acetone, chifukwa ndimamva fungo ili.

Palibenso zizindikiro za chimfine, koma ubongo wanga wopepuka umamvetsetsa kuti china chake chikuchitika ndikusintha mwatsatanetsatane zizindikiro ndi matenda.

Ndipo tsiku lina ndikudzutsa theka lingaliro limandigoneka ngati mphezi, mtima wanga umagunda mokalipa: “Izi ndi matenda ashuga! Zikadakhala kuti sikudwala matenda ashuga! ” Pofika 12 koloko m'mawa, ndimakankha mnzanga ndikunena kuti mwina ndi matenda ashuga, omwe amangodumphira pambali ndikugona.

Nthawi imeneyo, tinakhazikika ndi makolo anga, agogo anga aakazi ali ndi glucometer ndipo ndikadakonda kupita kwa iye. Helo, palibe mikwingwirima, muyenera kudikirira mpaka m'mawa. M'mawa ndimatumiza amuna anga ku pharmacy. Timapanga chipangiri, ndili ndi nkhawa, ndikutsimikiza za matendawa. Inde, ndi iye ... shuga 12.5. Sambitsani manja anga bwino ndikubwatulanso, chilichonse chibwereza. Zikuwoneka kuti adachotsa ubongo ndipo m'mutu udasiyidwa wopanda kanthu. Palibe malingaliro ... koma palibe mantha, mantha okha ndi misozi, zomwe sindimalola kuti zidutse. Ndikudziwa kuti ndi chiyani ndipo zinachitika m'banja lathu. Moyo unagawanika isanachitike komanso pambuyo ...

Tidali odala kwambiri, tidabwera ku dipatimenti ndi mapazi athu, ndipo kuchokera kumeneko tidatumizidwa ku dipatimenti ya ana a Republican endocrinology. Monga mwina mayi aliyense, ndimawona kuti china chake sichili bwino ndi mwanayo. Koma malingaliro anga onse anali osachepera, chifukwa nthawi imeneyo masiku angapo apitawa ndidabereka mwana wathu wamwamuna wachiwiri ndipo adangobwera kuchokera kuchipatala. Mwa njira inayake, ndimadziimba mlandu kuti sindinawone chithunzi choyambirira, koma sindimayembekezera kuti mwana ali ndi matenda ang'onoang'ono, ngakhale izi, palibe chowiringula.

Ndikulemba mzerewu komanso ngati kuti ndikumasulira nthawi imeneyo. Palibe misozi, pali chisoni chachikulu. Mwinanso izi siziliwalika ndipo zimakhalabe chovuta moyo, koma moyo umapitilira ndipo ndikutsimikiza kuti tikhala ndi moyo wautali komanso wosangalatsa limodzi. Ndipo zonse ndi zanga. Ndikukhulupirira kuti chidziwitso cha nkhaniyi sichingakhale chothandiza kwa inu m'moyo. Mpaka zolemba zatsopano, abwenzi!

Ndi chisangalalo ndi chisamaliro, endocrinologist Lebedeva Dilyara Ilgizovna

Apanso ndikuyang'ana patsambali ndi nkhaniyi - mtima ukumva kupweteka pakuwona chithunzi cha mwana wotuwa!
Musadzitsimikizire nokha kuti matenda a shuga si matenda, koma njira yamoyo, mumamvetsetsa kuti izi ndizopeka, makamaka ngati ana ali ndi matenda ashuga: jakisoni ena a insulin ndikuwunika magazi pafupipafupi nkofunika!
Tithokoze chifukwa chakulankhula za matenda oyamba kwa ana.Acetone pazofufuza zawo zaposachedwa wapezeka pafupipafupi chifukwa cha zakudya zoyipa zomwe sizikulinso zachilengedwe komanso kusamvetsetsa kwa makolo zakufunika kwa nkhaniyi .Ndibwino kuti adayamba kugulitsa acetone ku pharmacy -Mayesero omwe amakupatsani mwayi wowunika mwachangu komanso kunyumba.
Ndipo ndimagwira fungo la acetone kuchokera mkamwa mwa mwana nthawi yomweyo: zokumana nazo ndi mwana wa zolakwika zovuta ...

Ndikuganiza kuti pakapita nthawi, jakisoni wa insulin komanso kuyesa shuga amakhala nkhani. Kuboola chala kwanga sikumayankhanso insulin kukugwetsa tulo, makamaka m'mimba. Zikuwoneka kuti ndizosavuta iye akayamba kudzipangira yekha, osadzipweteka. Zili ngati kupindika nsidze: m'chipindamo simumalephera, koma kunyumba zimawoneka ngati kanthu.

Dilyara, mudapeza kuti mwayi woti musinthe kuchokera ku nkhani ina kupita pa ina (yakale, yatsopano)? Zinali zosavuta. Ndipo zidakhala zabwino ndi ndemanga zonga mitengo!

Ndidapempha mwachindunji kuyeretsa, chinthu chomwe sindimakonda. Ndipo ndemanga zake ndizabwino. Pulogalamuyi ndi yabwino!

Ngati mapiritsi a insulin okha atapangidwa! Timalowetsa mawuwo mlengalenga, tikupanga ma nanotechnologies, koma zonse zili pano ...

Chifukwa chake pambuyo pa zonsezi panali ma inshuine ophatikizidwa kuchokera ku Abbot, mu lingaliro langa, kotero mu 2006 kumasulidwa kwawo kuyimitsidwa. Zopanda phindu, ndalama zambiri kuposa kubwezeretsa ndalama, ndi bioavailability wotsika. Ndi T2DM ndikadali wamba, koma zoyipa kwambiri ndi T2DM. Amanena china kuti akonzekere mtsogolo, mtundu wina wa "bomba", china ngati kapamba wochita kupanga.

Fulumira kale! Mbadwo wachikulire ukudziwa, motero adzapirira, koma ana okoma ndiwachisoni.
Ndizachisoni kuti chilichonse padziko lapansi pano chimayeza
Ndinkangowona nkhani mu nkhani: tsopano wopereka yemwe akufuna kuchita ntchito yabwino ndikupereka magazi amayenera kupereka ndalama zachifundo pafupifupi $ 7 kuti agule zotengera zamagazi. Kodi tikupita kuti?!

Mukugona bwanji, kadzidzi wausiku? Ngati zonse zapadziko lapansi zikadangoyesedwa ndi zofunikira zokha, chikominisi chikadabwera)))) Ndani adzalipira? Kukwera kwambiri kwaukadaulo, kumakhala okwera mtengo kwambiri. Chifukwa chake timagwiritsa ntchito kudzidalira tokha, mmalo mongolira malipiro opemphetsa. Zomwe ndikufuna kwa aliyense. Iwo amene safuna kuchita chilichonse amadandaula. Ena onse amapindula nawo. Ndidakonda mawu awa: "Phunzirani pomwe ena akugona, gwiranani ntchito pomwe ena akusokonezeka, khalani okonzeka pomwe ena akusewera, ndipo maloto pomwe ena akulolera."

Ndemanga yosangalatsa idapezeka: kwenikweni, gawo lachiwiri ndi yankho kwa woyamba. bola ngati pali mwayi wochita kanthu ndikuphunzira, ndimayesetsa kuchita, motero ndimakhala nthawi yambiri pa intaneti. Koma udayiwala za nthawi zosiyana)))
Ndipo komabe ... simulandila ndalama zonse (komanso nthawi zonse) m'moyo, ndiye kuti "mulibe ma ruble 100, koma khalani ndi abwenzi 100" - izi siziyenera kuyiwalika!

Ndipo pamutu wankhani: Ndidafuna kukufunsani za matenda a shuga kwa odwala ochepa (mpaka miyezi 6). Kodi matenda a shuga a neonatal ali ndi chilengedwe china chilichonse? Makamaka, matenda a neonatal shuga, omwe amatha miyezi inayi, ndi chinsinsi kwa ine. Kodi amapezeka ku Russia konse? Kodi makolo angaganize bwanji kuti mwana ali ndi matenda ashuga? Mwanayo nthawi zambiri amamuyika pachifuwa.

Zachidziwikire kuti simupeza ndalama zonse. Sindikuvomereza zonena. Ndipo ngati abwenzi nthawi zonse amayitanitsa kumwa, kusangalala ndikumacheza pazomwe sizingachitike, ndibwino kukhala ndi ma ruble 100 kuposa anzanu. Moona mtima, ndikuchotsa mwakachetechete "omwe amadya nthawi" m'moyo wanga. Kunena zowona, inenso sindidziwa zambiri pankhaniyi, popeza ma neonatologists ndi ana a endocrinologists amagwira nawo ntchito, ndipo ndimawagwiritsa ntchito akuluakulu. Koma ndiyesetsa kuti nditsekere pakapita nthawi, ndipo awa ndi malo oyera mchidziwitso changa.

Kwa nthawi yayitali ndakhala ndikuvutitsidwa ndi funso la ana asukulu omwe ali ndi matenda ashuga .. Pambuyo pake, sukulu simwana wamtokoma, simukhala kunyumba ... Koma bwanji za chakudya?
Kapena kodi kuwonjezera kwa ana okoma nthawi zambiri sikovomerezeka, chisamaliro chanyumba chokha komanso menyu?

Ndipo tikuyenera kudziwa muzaka 1-2, ndiye kuti ndisiya kulemba. Ngakhale sitiri ovuta kwenikweni ndi nkhaniyi, tidakali ana. mundawo suyenda komwe timapita kusukulu.

Ndidawerengapo chilamulo pa tchuthi (chathu Chiyukireniya): amayi amapatsidwa tchuthi kuti asamalire mwana mpaka zaka 3, vuto lililonse (ana kapena odwala kwambiri), tchuthi chitha kupitilizidwa mpaka zaka 6. Ndi amayi a ana omwe ali ndi matenda a shuga tchuthi chimaperekedwa kwa zaka 14 (ngati sindikukulakwitsa) Izi zimathetsa vutolo, koma mbali ya ndalama ndi nyimbo ina ...

Inde, ndinamva zoterezi, koma pakadali pano sindinachite bwino ndi nkhaniyi, chifukwa pakadali pano ndakhala ndi wachichepere ndipo ndikukonzekera kupereka wamkuluyo kwa ana. m'mundamo.

Mudandidabwitsa, kunena zochepa ... Ndidayenera kutenga zanga m'munda popanda matenda ashuga, chifukwa menyu pamenepo (timadziti tadzadza ndi chakudya cham'mawa, nyama yokhala ndi minofu ndi mafuta a chiwindi osachokera, zipatso zosapsa, phwetekere, ma cookie amkaka ...) zinakwiyitsa DZhVP, gastritis, kusintha kwa chiwindi, kupangitsa kusintha kwa kapamba - kutopa kumamwa mankhwala osokoneza bongo komanso kudya (((
Chithunzichi chimatha kuyambira mwezi wa Okutobala. M'mawa akuyamba ndi mawu oti: "Amayi, m'mimba mwanga mukupweteka", ndikufuna kulira ngati nkhandwe!
Ndikuopa kuti zonsezi zitha kuyipitsa ... Mwana amafunitsitsa kudya, koma pali zinthu zingapo zomwe zilipo.
Kuchokera pachomera chomera, timaloledwa kokha beets wophika, kaloti ndi kolifulawa; satha kuwawonanso.
Koma kunja kwazenera ndi chilimwe: amadyera, zipatso ...
Zinthu zitakhazikika pang'onopang'ono, adayamba kupita naye ku makalasi ku kindergarten kuti asayendetsere nkhomaliro: chakudya cham'mawa kunyumba, nkhomaliro kunyumba .. Kuyambira 9 mpaka 12 m'munda.
Chomvetsa chisoni ndichakuti ndimadzimva ngati ndili ndi Stone Age: palibe matenda, koma njira yothandizira ndi zakudya za kapamba, gastritis yokhala ndi chinsinsi komanso DZHP yama kinesis osiyanasiyana nthawi zina imasiyana.

Zachidziwikire kuti padzakhala kunyumba, sindikhulupirira kuwerengera ndi majekeseni a anthu amanzere, kotero ndi izi ndikuganiza kuti zonse zikhala mwadongosolo. Mwanayo sayenera kumva kuti ali kutali ndi anthu ena, mwana akufuna kale kulankhulana kwathunthu. Ndalemba za zotsatira za kuyesa kwathu kotchedwa "Kindergarten".

Fungo la acetone, likuwonekeratu mwachindunji, ngati kuchokera m'botolo lopaka zosungunulira? Kodi imayambira pati, pakamwa kapena ndi thukuta?

Osati lakuthwa kwambiri, koma ofanana kwambiri. Imasungidwa kwina kulikonse kuchokera ku mapapu, ndi thukuta, ndi mkodzo.

Moni, Dilyara! Funso ndi mutu pang'ono, ine ndimafuna kudziwa kuti ndi mankhwala ati omwe angapezeke kuchipatala kwa odwala matenda ashuga? Ndine wodwala wam'madera, ndili ndi zaka 22. Madokotala amalemba mankhwala a insulini okha, ndipo amati amatha kungokulembera, koma zinkawoneka ngati zachilendo kwa ine, chifukwa adotolo wa endocrinologist wandipatsa zingwe zoyeserera ndi insulin, masingano a zolembera zopangira syringe, etc. Sindikufuna kugwiritsa ntchito ndalama zanga zonse pa mankhwala osokoneza bongo komanso zingwe zoyeserera.
Ndimakhala ku Almetyevsk, kupatula kumene malo anga amathandizira kuyankha funsoli.
Zikomo patsogolo.

Tsoka ilo, pamaneti achikulire, zonse ndizosiyana. Mumangofunika insulini + ndimankhwala ena monga akuwonetsera, palibe zingwe zoyeserera ndi singano. Dera lililonse lili ndi mndandanda wawo wamagawo ndipo limalandira ndalama kuchokera ku bajeti yakomweko, kotero zomwe olamulira avomereza zidzakhala. Amapereka mikwingwirima yaying'ono kwa akuluakulu aboma, koma kuti mukhale ndi gulu la matenda ashuga muyenera kukhala munthu wolumala kwambiri.

masana! Ndiuzeni, kodi matenda ashuga 1 amatha kukhala mwa ana 1.5 atalandira katemera? achibale apafupi palibe amene anali ndi matenda ashuga.
Kodi ana aang'ono otere ayenera kulandira chithandizo chotani? mwina ma syringe ena?

Inde, izi ndizotheka ngati katemera sanachite bwino. Chithandizo cha matenda a shuga kwa ana omwe ali ndi insulin yokha komanso makonzedwe okhala ndi cholembera

Moni, Dilyara. Pazifukwa zina, sindikuwona ndemanga yanga yapitayo ndi yankho lanu pa ichi apa. Ndinawerenga kuchokera kumakalata. Ndikufuna kufotokozera: kodi ndiyenera kuyesa mayeso a glucose, ndikuwonera c-peptide pamimba yopanda kanthu komanso nditatha maola awiri? Kodi muyenera kumwa ma antibodies? Ndinaiwala kuti mwana wanga wamwamuna anayamba thukuta kwambiri. Tithokoze chifukwa cha thandizo lanu!

Ndipo mwayankha chifukwa kwa ine pa makalata, koma osati pano pa blog. C-peptide imafunikira zonse pamimba yopanda kanthu komanso katundu. Mutha kupatsanso ma antibodies kuti muchepetse.

Masana abwino Ndiuzeni chonde, zikuyenda bwanji ndi mwana wamtokoma? Mungamudyetse bwanji mwana wanu? Momwe mungapangire menyu kuti musagwiritse ntchito zakudya zoletsedwa, koma osalepheretsa mwana mavitamini ndi zinthu zofunika pakukula koyenera? Ndizunzidwa kwambiri ndi mafunso awa! Mwana wanga wamkazi ali ndi chaka chimodzi ndi miyezi iwiri, panthawi yapakati ndidadwala matenda ashuga. Wakhala akutsatira shuga kuyambira pakubadwa, mitengo yaosala kudya kuyambira 4.5 mpaka 6.3! Pambuyo kudya pambuyo mphindi 10 ndi nyumba magazi shuga mpaka 9,7! Sitimabaya jakisoni, tinalembedwera ku endocrinologist, adalemba "zakudya No. 9" momwe ziyenera kukhalira, mwana amafuna zonse zatsopano ndi zatsopano, amafunsa zomwe timadya, koma iye amangophika padera, ndipo sindikudziwa kusiyanitsa zakudya zake ... . chifukwa ndimaphika phala la mpunga (ndizothandiza), koma ndikuganiza kuti mwanjira yoti sizingatheke, ndimaika mbatata mu msuzi puree (wokwanira), koma ziyenera kuchepera. Palibe amene mungafunse, madokotala athu sanakumanepo ndi mawonetseredwe oyambirirawa ... Ndiuzeni, zikuyenda bwanji? momwe mungafotokozere mwana zomwe sizingatheke? Kodi mwana wamkaka amakumverani? Ndi zina ... Kodi mukuganiza kuti chiyembekezo changa chikuyenda bwino chifukwa cha kuchuluka kwanga kwa shuga mkati mwa mwana, mwana adazolowera izi m'mimba, tsopano thupi la mwana wamkazi limangokhala ndi shuga mwachizolowezi. Mwina ndiye zonse zitha? Kapena ndikuyembekeza zopanda pake komanso kuchuluka kwa kusala kudya kwa 6.3 kukuwonetsa kale kuti matendawa sangayambike? Pa miyezi 9, glycosylate wathu anali 5.7, ndipo mchaka 1 - 5.9. Tithokoze chifukwa cha yankho lanu! Ndikukhulupirira kuti lingaliro lanu ndi upangiri wanu!

Lidiya, iwo anasiya kupita ku sukulu ya ana. Mawa tikupita giredi yoyamba)) Koma pamene tinapita, ndinabweretsa zonse ndi ine ndipo iye anapeza chakudya kumeneko, ndinayang'ana shuga ndikuyika insulini pazambiri zomwe ndinganene. Ankadya zakudya zabwino zathanzi. Tsopano timadya pang'ono mosiyanasiyana, sitimadya mkate ndi zakudya zina zopanda gluten, maswiti amakhala otetezeka, mapuloteni ochulukirapo komanso mafuta. Pazakudya izi, simufunikira kuganizira za mavitamini ndi michere, chifukwa zakudya zotere zimakhala ndi zokwanira kuposa YANKHANI-chakudya kapena chakudya. Kuphatikiza ndimapatsa Vit C, E ndi Omega 3 kuwonjezera.

Ndikukhulupirira kuti mukupanga cholakwika chachikulu chimodzi - dyetsani mwana amene inu simumadya. Tikati tidya kapena osadya, ndikutanthauza banja lathu lonse, kuphatikiza ife tokha, mnzathu, komanso mwana wathu wachiwiri wathanzi. Tonsefe timadya chimodzimodzi. Kodi mfundo yodyetsa mwana payokha ndi yotani? Izi ndizovulaza psyche koyamba, imakula, ndipo zizolowezi zoyenera sizipangidwa. Idatuluka m'manja mwasungidwe anu ndikusilira zakudya zopanda pake. Kodi mukuganiza kuti izi ndi zowona?

Madokotala athu ali ndi lingaliro lachilendo pankhani ya chakudya chamagulu komanso zakudya. Tsopano kumadzulo, piramidi ya chakudya idakonzedweranso, koma ku Russia m'dziko lathu chakudya chachikulu ndikadali chimanga ndi mkate. Yesetsani nokha ndi mnzanu kuti mumayezetse magazi pambuyo pa chakudya chomwecho, 100% mudzaona zotsatira zomwezo, mwina pang'ono, pambuyo pa mphindi 20-30. Mwamuna wanga wathanzi amakhala ndi shuga pambuyo pa mavwende 10 mmol / L, ndili ndi 8 mmol / L. Malinga ndi momwe mankhwalawa amawonera, izi ndizabwinobwino, chifukwa shuga amakhala bwino maola awiri atatha kudya. Ndiye chifukwa chake masiku ano samayesa shuga ola limodzi atatha kuchita masewera olimbitsa thupi, kuti asawone shuga wambiri, mmalo mwake amasintha mfundo zachakudya zathanzi ndikuchepetsa kudya kwa chakudya.

Mukuganiza kuti bwanji phala la mpunga ndilabwino? Kodi zimachokera kumapunga amtchire ndikusungidwa kwa zipolopolo zonse? Ngati sichoncho, ndiye kuti ichi ndi chopanda ntchito kwathunthu. Komanso mbatata. Tili ndi zinthu zambiri zofunikira zomwe tili nazo, koma aliyense akuwopa. Nyama, nsomba, nkhuku, mazira, masamba, nsomba zam'madzi, mkaka, nyemba zazing'ono, zipatso ndi zipatso zathu.

PALIBE zofunika kufotokozera mwana zomwe sizotheka, ndikofunikira kufotokoza chifukwa chake zimakhala zovulaza komanso zomwe zingachitike. Koma popeza mwana akadali wocheperako, mumangofunika kuchita chilichonse kuti mwana asaone izi, ndipo izi ndizotheka pokhapokha ngati palibe amene wazidya ndipo palibe panyumba, pewani madipatimenti ogulitsa ndikuletsa kuyesa kwa anthu ena kuti ayike ulusi chokoma kwa mwana. Pambuyo pake amadzazindikira, zabwino kwa aliyense.

Mukuti "kindergarten amamvera" just Tidangogwirizana ndi wotsogolera ndipo kindergarten sizinali zophweka, koma ndi ana omwe ali ndi ziwengo ndi shuga. Ndikuganiza kuti nthawi zonse mutha kupeza zokhumudwitsa. Kuphatikiza apo, adadziwa kuti ndinali wa endocrinologist. Ndikuganiza kuti alibe mwayi wokana (kuseka). Mumtima, ophunzitsa, wotsogolera ndi anamwino amavomereza kuti kudyetsa ana mu kindergartens sikulakwitsa, koma sangachite chilichonse, chifukwa pali miyezo. Malinga ndi muyezo, supuni 3 kapena 4 za shuga zimayikidwa pa mwana tsiku lililonse. Kodi izi zili bwino? Ana Mundawo ungasokonekere ngati udyetsa ana ndi nyama ndi ndiwo zamasamba. Maphala, ufa ndi shuga ndizotsika mtengo kwambiri.

Ndi zina ... Kodi mukuganiza kuti chiyembekezo changa chikuyenda bwino chifukwa cha kuchuluka kwanga kwa shuga mkati mwa mwana, mwana adazolowera izi m'mimba, tsopano thupi la mwana wamkazi limangokhala ndi shuga mwachizolowezi. Mwina ndiye zonse zitha? Kapena ndikuyembekeza zopanda pake komanso kuchuluka kwa kusala kudya kwa 6.3 kukuwonetsa kale kuti matendawa sangayambike? Mimba yanu ndi matenda ashuga sizikugwirizana ndi manifesto a shuga mwa mwana, ngati izi zichitika. Kodi malingaliro awa amachokera kuti?

Tsiku labwino.
Ndili ndi funso lotere - inenso ndakhala ndikugwira ntchito ndi zaka 20. Ana awiri.
Chaka chino anali ku Turkey ndipo wam'ng'ono kwambiri - wazaka 3 - ali ndi kachilombo ka Koksaki (ndikuganiza choncho, kuweruza ndi zizindikiro). Adawonekera kale atafika kunyumba, koma dotolo adangotulutsa zilonda zapakhosi pamimba. Ngakhale panali zotupa mikono ndi miyendo.
Tinabwerako pafupifupi masiku 20 apitawa.
Ndidawona kuti kangapo usiku mwana adadzilongosola. Ngakhale zisanachitike - ngakhale munthawi yachinyengo kuchokera kwa ma diaper - izi sizinachitike. Ndipo pomwepo chidandikuta kuti ichi chikhoza kukhala chimodzi mwazowonetsa za matenda ashuga. Pankhaniyi, shuga pa khungu pr glucometer 4,7. Pambuyo kudya 6.9.
Chonde ndiuzeni, kodi zikayikira zanga ndi zolondola?
Kodi kuyesa kwanga kwa glucometer ndikokwanira? Ngati sichoncho, ndimayeso ena ati omwe angadutsidwe?
Kodi matenda ashuga angawonekere nthawi yayitali bwanji?

Ndikuganiza kuti palibe chomwe mungadandaule nacho mpaka pano. Yang'anani, yang'anani shuga nthawi zosiyanasiyana. Mamita akukwana. Mutha kudutsa GG pambuyo pa miyezi itatu ngati muli ndi nkhawa kwambiri. Matenda a shuga amatha kuonekera patadutsa zaka zingapo ngati njira ya auto yayamba.

M'miyezi isanu ndi umodzi yapitayi, mwana wanga wamkazi wazaka chimodzi amakhala ngati akuwotcha pamoto wake ndipo sakonda kutulutsa botolo m'manja mwake, kumwa madzi, ndipo amakodzanso mkodzo pafupipafupi! Ndiuzeni kuti mwina ndi matenda ashuga?

Eugene, zomwe mukufotokoza (kuwotcha) ndizofanana kwambiri ndi ziwengo. Mwa ana aang'ono, zimadziwonetseranso chifukwa kumakhumudwitsa mucosa wam'mimba. Ngati amamwa kwambiri, ndiye kuti akungowiritsa mkodzo moyenerera. Mwachidziwitso, amatha kukhala ndi matenda a shuga, komabe muyenera kutsimikizira

Dilyara, moni! Ndikuwerenga nkhani yanu ndipo misozi ikugundanso ... Tidwala pa Meyi 16, 16 ... Ndipo moyo udagawikidwapo kale ndi pambuyo pake. Palinso kumverera kuti izi ndizongowopsa zomwe zitha posachedwa ... Chifukwa chiyani? Chifukwa chiyani mwana wanga? Mungachite bwanji? Osapeza mayankho a mafunso awa ...
mukulemba kuti mudatembenukira kuchipatala cha republican, kodi sili ku republic of Bashkortostan?

Elena, zonse zikhala bwino. Ndinkakambirana za Tatarstan

Moni a Dilyara. Ndili ndi funso kwa inu. Ndili ndi zaka 27. Ndinayamba kudwala matenda ashuga a 1 ndili ndi zaka 18. Zaka zitatu m'mbuyomu ndinali ndi vuto lalikulu la angina ku Chipatala. Madotolo adakakamizidwa kubaya jakisoni wa kukula. Patadutsa zaka zitatu ndikuyambitsa matenda anga .. M'banja, palibe amene adwala ndi matenda ashuga, kunalibe zipsinjo. Zikomo patsogolo pake !.

zilonda zapakhosi zimatha kuyambitsa

Mwana wanga wamwamuna ali ndi chaka chimodzi. Adabadwa wolemera 3980. Atakula bwino mpaka miyezi isanu ndi umodzi, madotolo adatinso kuti ndamwa. Pa miyezi isanu ndi iwiri, adataya magalamu 100. Sindinalandire mphambu zisanu ndi zitatu ... Zimalemera makilogalamu 11 pachaka. Nthawi yonseyi ndakhala ndikuyamwitsa. Ndipo chaka chino chonse, mwana amadya mabele usiku uliwonse maola awiri. M'chaka chomwe adadutsa mayeso a shuga ndipo adawonetsa 6.2. Kupatukana pakati pa kudya komaliza ndi kuyesedwa ndi maola atatu. Ndiuzeni, kodi ndi matenda ashuga?

Izi ndi zomwe zimachitika mosiyanasiyana, chifukwa nthawi yochepa idya. Ngati muli ndi nkhawa, ndiye kuti pezani magazi pa glycated hemoglobin.

Masana abwino mwana wazaka 3 kuyezetsa magazi adawonetsa insulin 2.7, shuga ndi wabwinobwino, acetone mu mkodzo ndiwosakhazikika, koma fungo lina limapezeka kuchokera mkamwa ... Sindingamvetsetse acetone kapena ayi (((mwana akhoza kukhala ndi mavuto am'matumbo chifukwa cha izi ndi ... thukuta lalikulu mukagona tulo (pali mavuto amitsempha) ndikukhala ndi chilakiko pang'ono ... amamwa madzi pang'ono, samapita kuchimbudzi nthawi zambiri ... kodi uku kungakhale kuyamba kwa matenda ashuga? Ndi mayeso ati omwe amayenera kuchitika? mwina chifukwa china chotsitsira insulin?

Mpweya woyipa ungakhale chifukwa cha zovuta ndi matumbo. Thukuta limatanthauzira kupanda ungwiro kwa machitidwe am'madzi pazaka izi. Zambiri za matenda a shuga sizokwanira. Kusanthula kwathunthu ndikofunikira ngati pali kukayikira kulikonse.

Moni, ndikulemba nkhani yakale, ndikuyembekeza kuwona ndemanga. Dzulo adadutsa kuyesa magazi ndi mkodzo kwa mwana (anamwali, wazaka 4), chifukwa kutentha, amnesic sekondale pyelonephritis, PMR wa 2 tbsp, amapanga ureteroplasty, sitikudziwa zotsatira zake (pambuyo pa miyezi 2 yokha), ndiye kuti ndimavuto aliwonse. Magazi adawonetsa kachilombo ka bakiteriya, ndi mkodzo 2+. Ndinawerenga kuti ichi chikhoza kukhala chizindikiro cha matenda ashuga, ndipo tsiku lisanafike lisanachitike kuti likhale lokoma (inde, linali, ndinadya masikono awiri). Sabata yapitayo adadutsa mkodzo monga momwe adakonzera ndipo zonse zidakhala zachilendo. Mawa tidzadutsa mkodzo, koma kuda, chifukwa Ndimayang'anira blog yanu pafupipafupi (amayi ndi apongozi anga ali ndi shuga wambiri, koma matenda ashuga sanatchulidwepo). Kodi ndiyenera kuchita mantha? Amamwa masiku awiri omaliza kwambiri komanso ma pisses. Fungo limachokera mkamwa, koma sindikutsimikiza kuti acetone, ndi acetone mumkodzo ndizabwinobwino. Zikomo

Svetlana, kuti tisadandaule ndi china, ndibwino kuti mupange hemoglobin wa glycated komanso osachepera shuga. Ndi mavuto a impso, shuga mumkodzo nawonso amachitika.

moni, mwana wazaka 5 anapezeka ndi matenda a shuga 1. kuwululidwa
kwa nthawi yoyamba. Ndiuzeni, chonde, mwana ayenera kugwiritsa ntchito pampu ya matenda ashuga? Simukugwira ntchito kwa mwana? mtengo wake ndi wokwanira + zokwanira.

Pakadutsa, mwana wamng'ono amakhala ndi Mlingo wochepa kwambiri wa insulin. Izi zimatha kubowola cannula chifukwa insulin imayenda pang'onopang'ono. Chifukwa chake, ndibwino kudikira zaka zingapo. Sitigwiritsa ntchito pampu, chifukwa tili ndi chindapusa chokwanira pamakutu, chifukwa mwana wamwamuna akukana kuvala pampu.

Masana abwino, Dilyara! Tsamba losangalatsa kwambiri makamaka. Mwana wathu wamkazi, wazaka 9, adapezeka ndi matenda a shuga m'mwezi wa Meyi chaka chino atadwala. Pazonse, ndi angati omwe adamva kale kuti zizindikiro za ana zimawonekera pambuyo pa ma virus kapena matenda - izi zikuwoneka kuti ndizowopsa kwa chamoyo chofooka m'njira inayake. 🙁 Lizka alinso pa Novorapid ndi Levemire tsopano, akudzibaya.
Ndili ndi malingaliro kuti ngakhale amati ana amakula ndi matenda ashuga msanga, akhala nawo kwa chaka choposa chaka chimodzi. Zizindikiro zonsezi, kupatula ludzu (iye samakondabe kumwa, mosiyana ndi ine - ndimakonda madzi ndipo ndimayesedwa ngakhale matenda a shuga ali mwana chifukwa cha izi), anali kale ndi zaka zitatu. Ndi kuyambitsa kwa insulin, ngakhale masomphenyawo abwerera kwachilendo! Kodi kuthekera kotereku kumatha? Tidachipeza, kuchuluka kwa shuga m'magazi anali 23, pomwe kunalibe ma ketones - adotolo adati thupi lidapeza njira yobwezera. Pafupifupi, chaka chimodzi asanazindikire, panali opareshoni yaying'ono pansi pa opaleshoni yayikulu, cyst yaying'ono idayatsidwa. Ndipo mwina ikanagwetsa chitetezo cha mthupi?
Zaumoyo kwa inu ndi ana anu!

Moni, Yana.
"Ndimamva kuti ngakhale iwo amati ana amatenga matenda ashuga msanga, anali nawo kwa nthawi yoposa chaka chimodzi." - Antibodies inabuka zaka zingapo izi zisanachitike. Mwakutero zili choncho. Ndizovuta kunena chomwe chinapangitsa izi.

Moni. Funso limodzi lingakhale ili: mwana wanga wamkazi adapezeka ndi matenda amtundu 1, ngakhale ali ndi insulin komanso c-peptides. Ali ndi zaka 14 (madera okulira atatsekedwa pa 12), ndiye kuti, adayamba kale kupanga. Ndipo kudziwikiratu kumapangidwa pokhapokha chifukwa cha shuga komanso kusowa kwambiri. Ndipo izi ndi zoyenereradi, chifukwa ali ndi Down syndrome ndipo ndimadziwiratu kuti ndi onenepa kwambiri, kuyambira nditabadwa ndidapanga malingaliro olondola pakudya. Funso: ndi chiyani chomwe chitha kuvulaza mapiritsi? Kupatula apo, mutha kusinthana ndi insulin nthawi zonse. Zikomo!

Moni Dilyara! Ndikuyembekezera mwachidwi yankho lanu, lero ndinatenga ana anga aakazi aakazi anayi ndi wazaka 6 kuti ndikamayesedwe, wocheperapo anali ndi shuga wa 4,3, wamkulu anali ndi 5.2, ndiye anadya ndikumwa lalanje tsopano ndipo patatha maola awiri shuga anayeza kwa wachichepere 4.9 ndipo wachikulire 6.8, ndidayamba kuda nkhawa kwambiri kuti bwanji wamkulu atatha maola awiri sanabwerere? Ndikukhulupirira yankho lanu

ana onse amakhala ndi zabwinobwino

Tidatembenukira kwa endocrinologist wokhala ndi mwana wazaka 10 wokhala ndi kulemera kwambiri komanso zotupa m'masaya ndi manja (kuyambira phewa mpaka m'chiwuno). kuyesedwa kwa shuga ndi insulin. Glucose kuchokera ku mtsempha wa 7.4, insulin yofanana. Kuwunikira kowonjezereka kwa kulolera kwa glucose kunayikidwa ndi katundu mu ola limodzi ndi awiri, ndipo kuwunikiranso kumadaliranso malire. Mwa zisonyezo zowonjezera: kupuma kwambiri, kukodza nthawi zambiri sikulowa kuchimbudzi, kugona tulo tofa nato, chilakolako chake chimakhala chosiyana tsiku lililonse, safuna kudya, m'malo mwake, nthawi zambiri amapempha chakudya, amamwa malita 1.5. zamadzimadzi patsiku (mkaka, tiyi, madzi).Zapitirira chaka chimodzi kuchokera pameneulendo woyamba kupita kwa a endocrinologist ndipo kuwunika kotsiriza sikunayikidwe .. Kuyambira pamenepo nthawi zambiri timayesa magazi kuchokera chala pamimba yopanda kanthu ndikuwonetsanso 6.6 nthawi zina, chizolowezi. chomwe chingakhale, pali mwayi kuti sichidwalidwe cha shuga, kulemera kwa mwana kwabwereranso mwakale. Palibe amene anali ndi matenda ashuga m’banjamo.

Katherine, mwina awa anali boma lakale. Matenda a shuga a mtundu 2 mwa ana tsopano siachilendo. Ntchito yanu tsopano ndikuyang'anira kulemera, chifukwa ndi iye amene amasankhiratu zamtsogolo.

Zikomo kwambiri.

Zikomo kwambiri Dilyara!

Ndidawerenga nkhaniyi ndipo zidawoneka kuti zikuthandizira anthu omwe amadziwa bwino matenda ashuga.
Mwana wanga wamwamuna yekhayo ali ndi zaka 16.5. Palibe vuto. Koma mwadzidzidzi chibwenzi changa, kutalika 176, adayamba kuchepa thupi (adapanga dzenje latsopano lamba ndi lamba la wotchi), woyamba wina kenako, adakhala wowopsa, woganiza, kumwa madzi kosatha. Zachidziwikire, ine ndine mayi woipa kwambiri, koma sizingandichitikire ine kuti ali kale ndi ife. Ngakhale ndinali mwana pang'ono, ndimadziwa za matendawa. (Mwana wa mwana wanga wamwamuna wakhala akukhala ndi matenda ashuga kuyambira zaka 4.5) Tidayenda tikudziwana ndi kuyezetsa GK mosangalatsa, ndipo panali 20.5. Tidakumana ndimaso ndi mwana wathu wamwamuna, mantha, kusamvana komanso kukana kuti zoona zake zonse ndi ine ndi iye.Pamene tidapita ku shopu ndikukagula glucometer, mkuyembekeza kuti wakale wachabe uja adatiwonetsa zabodza. Iwo anathamangira kunyumba ... .. atangonyamuka, koma palibe chithunzi 21.3. Mmawa patsiku lopanda shuga 14.7. Ndidapangana ndi endocrinologist. Adapita kusukulu, ine ndikupita kuntchito. Uku ndi kupusa kotere, koma zili choncho ... Ku ntchito, adauza namwino za zomwe takumana nazo. Ndi msungwana, adandithamangitsa pantchito. Ndikuthamangira kusukulu. Ayi, osati naye yekhayo, izi sizingatheke. Ambulansi. Shuga 25,6. Kubwezeretsa. Sindikumvetsetsabe momwe "kukoma" uku kumalowera m'miyoyo yathu? zonse zidayamba liti? Ndipo kodi ndizotheka kusintha china chake? Tili ndi miyezi isanu ndi umodzi yokha ya matenda a shuga. Chifukwa pali mafunso ambiri. Chibwenzi changa chinali champhamvu kuposa ine, adavomereza matenda ake ndipo akuphunzira kucheza naye. Amaphunzira zolakwa, osasewera masewera nthawi yayitali komanso jakisoni wa insulin atatha kudya, monga ziyenera kukhalira, hypo coma yachitika. Ndi kukonzanso. Mulungu, ndithokoza kwambiri dokotala wathu amene adatiwuza tsamba lanu. Zikomo chifukwa chokhala osangalatsa.

Moni Olga. Zongoyambira kumene, ndimachita maphunziro mu inshuwaransi yonse ya mankhwala a insulin http://lp.saxarvnorme.ru/tr2

Dilyara, masana abwino. Ndili ndi ana atatu, apakati komanso achichepere, omwe ndinabereka ndi GDM, omwe amadyedwa ndi chakudya. M'mimba yachitatu, zakudya zinali zovuta kwambiri. Pokhala ndi zolakwika zazing'ono muzakudya, shuga amatha kukwera ku 9.5 mu ola limodzi, mwachitsanzo, pambuyo pa phala, ma ketoni nthawi zambiri amatsikira mkodzo. M'mimba yonseyi, ana amabadwa ocheperako kulemera: 3050 ndi 2850.
Mwana wamkazi wam'ng'ono anali ndi masiku 2.4 shuga 2.4. Pambuyo poyambira kuyamwitsa, adabweranso kwawamba.
Tsopano mwanayo ali ndi zaka 4, mwana wamkazi 1.8. Ndinadwala matenda ashuga mwezi wathawu. Kusala shuga malinga ndi GTT 6.3 pambuyo 2 maola 6.5.
Pankhaniyi, ndinasankha kuyesa ana
Mwana wamwamuna ali ndi shuga 4.4, GG 5.2.
Mu mwana wamkazi yemwe ali ndi peptide ya 0.88, chizolowezi chimachokera ku 1.1 mpaka 4.1. Glycated 5.44 ndi mitsempha ya shuga 3.92 pamimba yopanda kanthu. .
Kunyumba, adayeza ndi glucometer asanadye mwana wake wamkazi, nthawi zonse 4.7-4.8. Nditatha kudya nditatha maola awiri kuchokera pa 5.2 mpaka 6.5 (kutengera zomwe ndidadya, masamba kapena chimanga, zipatso).
Mwana wanga wamwamuna ali ndi vuto m'mimba pa glucometer kuyambira 4,6 mpaka 5.1. Pambuyo pa maola awiri kuchokera ku 4.8 mpaka 6.7.
Kamodzi phala lamatalala ndidapita pambuyo pa maola atatu - 6.6 ndizotsatira.
Ndiuzeni, kodi nkoyenera kudandaula? Kapena kuchepa ndi peptide ndi shuga pamunsi komanso kumtunda kwa malirewo simunena chilichonse?

osadandaula

Wogulitsa, zikomo yankho lako. Lero mwana wanga wamkazi anayeza shuga ndi glucometer maola awiri atatha kudya ndipo glucometer adawonetsa 7.4. Ndadya 200g buckwheat porridge ndi 100g zipatso puree. Mita imayatsidwa ndi kukhudza kamodzi kosankha plasma. Chifukwa chiyani shuga samachepetsedwa pambuyo pa zakudya zam'madzi? Awa ndi ake, ndalemba uthenga pamwambapa, unatsitsidwa kuchokera ku peptide malinga ndi kusanthula mwezi wapitawu 0.88 ndipo anali 5.44 glycated. Sindinayeze ck kwa mwezi umodzi, koma lero ndinadziyesa ndekha ndipo nthawi yomweyo ndaganiza kuyang'ana.

Chifukwa phala ndi mbatata zosenda ndi chakudya chabwino kwambiri. Ngati pali warness, ndiye kuti muyenera kulumikizana ndi dokotala wa ana endocrinologist ndikuyezetsa

Moni, Dilyara. Mwana wanga wamwamuna ali ndi chaka chimodzi, shuga pamimba yopanda kanthu (zidapezeka kuti ndi maola pafupifupi 5, maola 8. Sitingathe kuzipirira, osangolola maola 10) pamametala pachipatalachi adawonetsa 6.4, patatha pafupifupi mphindi 40-50 tidapereka magazi kuchokera m'mitsempha mwachinsinsi zotsatira zamankhwala 4.1. Tsiku loti mayeso ayambike, tinadya mochedwa. Kunali phala yambiri, zotsekemera, magalamu 150 ndipo osati tchizi chokomachi, ndinamuyamwitsa usiku. Sindimayang'anira zonse zomwe zalembedwa za matenda ashuga, kupatula kuti mwana amakhala wozindikira kwambiri ndipo tili ambiri mu lingaliro langa kwa mwana wazaka 11 kg 400gr., Height 78 cm. Tionana ndi ana athu pokhapokha masabata awiri (kapena ndiyenera kupita kwa endocrinologist?), Koma kwenikweni kuda nkhawa, kodi ndi matenda ashuga, shuga kapena kale? Chonde ndiuzeni!

Mwana wanga nthawi zambiri ankadwaladwala komanso nseru. Sindinadziwe chochita ndi shuga. Mnansi adandiuza kuti ndiyesere diabenot. Patatha sabata limodzi, mwana adawona kuwala m'maso mwake komanso chidwi ndi moyo.

Moni, zikomo chifukwa cha nkhaniyi, koma mwana akhoza kudwala matenda am'mimba pomwe amafunafuna chomwe chimayambitsa kupweteka, adapeza shuga 7.44, insulin 7.92, yokhala ndi peptide 0.94, glycylimirs. Hemoglobin 6.3, ma antibodies kuma cell a beta Js-wofooka. Palibe chizindikiro cha kuuma, kununkhiza ndi kukodza. Mwanayo ndi wakhama, akuphunzira, akuyenda, ski, skating ice. Anachotsa chakudya chamafuta okoma komanso othamanga. Kodi mutha kuyankhapo kanthu? Izi ndi chiyani? Ndidadula mutu wanga wonse. Sizovuta kupeza dokotala wabwino, ndipo akayankha amayesa izi kapena izo, ndimakaikira. Ndinalembetsa sabata limodzi, ndiye kuti nthawi yatha, muyenera kuchita zina (ndimakhala ndikuopa kuphonya nthawi) ....

Zakuti mudasintha zakudya zanu zimatanthawuza zambiri. Ndikofunikira kubwezeretsanso patatha miyezi itatu. Ngati mukunenepa kwambiri, ndiye kuti muchepetseni thupi. M'malo mwanu, nkovuta kunena za mtundu wamatenda osokoneza thupi osayang'ana

Moni. Ndiuzeni chonde. Zonse zidayamba pa 6 February, tsiku loyamba kuchokera pa mndandanda wa odwala, kuchokera ku sukulu ya kindergarten, ndidatenga yoyera ngati chipale chofewa. Zakudya zokanidwa tsiku lonse, ulesi, osachita chilichonse. Anapereka magazi a shuga, anawonetsa 6.2. Tidapita kukazitenga mu masiku angapo, zinali 8.3, adazitumiza kwa endocrinologist m'derali. Tinapita ndipo tinapereka magazi a 5.8 chifukwa cha shuga awo, ndipo magazi ndi zotsatira zake kwa miyezi itatu - 4,7, mulibe shuga mkodzo, mulibe acetone. Tinatumizidwa kunyumba, tinali pa 21 February. Tsopano, mkatikati mwa Marichi, sitipita ku kindergarten, kuchotsa zakudya zamafuta m'makampani ndi kudula maswiti, chifukwa chake, tidagula glucometer ndikuyamba kuyeza kuyambira pa Marichi 1, shuga satsika pansipa 7 m'mawa, kamodzi m'mawa anali 13, ndiye 14.2, ndipo pafupifupi kwa masiku 7 adawonetsera 6.7, atadya maola awiri pambuyo pake nawonso mkati mwa 7, ndipo nthawi zambiri kwambiri, mpaka 9. Amapereka kuchipatala katatu, ndipo sanawonetsere zosakwana 10 pansipa. Amamwa pafupipafupi, kupita kuchimbudzi pafupipafupi. Koma palibe fungo la acetone. Atakweza shuga mpaka 13, khungu louma lomwe likuyamwa kwambiri, adayikidwanso ndiididerm. Momwe ndimamvetsetsa, sitingapewerenso matenda a shuga, 18 tikupitanso kwa endocrinologist, ndipo ndimatundu otani omwe angawonekere, ngati shuga yasiya kugwa, mwana wadwala, safuna chilichonse, akudya kwambiri, ndiye kuti amadya tsiku lonse, kenako amakana chakudya chonse. Ali ndi zaka 4.5.