Njira 4 zopezera insulini yabwino ku ana
Mtundu wa shuga 1, mtundu wambiri wa shuga mwa ana, ndi chikhalidwe chimene thupi limalephera kutulutsa insulini . Amadziwika kuti ndi matenda omwe amadzimadzimadzimadzi, omwe amatanthauza kuti chitetezo cha thupi, chifukwa cha zifukwa zosadziwika, chimaukira maselo ake. Pankhani ya mtundu wa shuga 1, ndi maselo a beta omwe amapanga insulini omwe amapangidwira.
Palibe mankhwala a shuga a mtundu wa 1, ndipo chifukwa chake sichikudziwika. Momwemonso, muyenera kuphunzira momwe mungayendetsere matendawa nthawi zonse poyang'ana shuga, zakudya, ndi masewera olimbitsa thupi omwe amapereka majekeseni a insulini.
Kuwonetsetsa Shuga Lagazi
Insulini ndi mahomoni opangidwa ndi mphutsi zomwe zimathandiza thupi kugwiritsira ntchito ndikusunga shuga (shuga) ngati mafuta. Ngati palibe insulini, shuga mu magazi ikhoza kuunjikana, kuchititsa hyperglycemia (shuga wapamwamba wa magazi). Ngati, pang'onopang'ono, kuchepa kwa insulini, mlingo wa shuga ukhoza kuthamanga, motsogolera ku hypoglycemia (shuga wotsika magazi). Zonsezi zingayambitse zizindikiro zoopsa ndipo zimayambitsa matenda aakulu.
Pofuna kupewa izi, muyenera kuyesa magazi a mwana wanu musanadye chakudya komanso nthawi yogona. Bungwe la American Diabetes Association limalimbikitsa magawo otsatirawa kwa ana:
| Ovomerezedwa Maseŵera a Shuga a Magazi | ||
| Zaka | Asanayambe Kudya | Nthawi Yogona / Usiku |
| Ana osapitirira 6 | 100-180 | 110-200 |
| Zaka 6-12 | 90-180 | 100-180 |
| Zaka 13-19 | 90-130 | 90-150 |
Mavuto omwe amalimbikitsidwawa ndi aakulu kwambiri kuposa akuluakulu chifukwa ana omwe ali ndi shuga amakhala pa chiopsezo chachikulu cha hypoglycemia ndipo amafunikira chigawo ichi chowonjezera, chotetezera.
Pamene kuyang'anitsitsa, n'kofunika kusunga magazini, zakudya, kuwerenga kwa magazi, ndi zochitika za thupi kuti mudziwe bwino zomwe mwana wanu akukumana nazo.
Mwanjira iyi, mutha kupeza mphamvu yowonjezera insulini ndikupewa matenda.
Kutulutsa insulini
Chifukwa thupi la mwana wanu silingathenso kutulutsa insulini, liyenera kusinthidwa tsiku lonse, kawirikawiri ndi jekeseni. Pali njira zitatu izi:
- Mwanayo akhoza kuuzidwa mlingo wokhazikika wa insulini yogwira ntchito yapakati ndi yofulumira . Ndi mankhwala osakwanira, mwanayo ayenera kudya pamene insulini ili pamwambamwamba. Zakudya ziyenera kudyedwa panthawi imodzimodzi tsiku ndi tsiku ndi chakudya chofanana, mafuta, ndi mapuloteni.
- Ana ena angapindule mwa kuphatikiza insulini yogwira mofulumira ndi yaitali . Izi zidzafunikiranso kutengedwa nthawi ya chakudya. Mlingo wa insulin yogwira mofulumira udzawerengedwa motengera chakudya chamagazi.
- Ana ena angafunikire kugwiritsa ntchito mankhwala a insulini , chipangizo chamankhwala chomwe chimapereka mankhwala opitirira nthawi zonse. Kuwonjezera apo, insulin yochita mofulumira iyenso imafunika kuti doses likhale loyendetsedwa ndi chakudya.
Kusamalira Mphamvu ya Magazi Ochepa
Zizindikiro za hypoglycemia nthawi zambiri zimadziwika ndi ana omwe sadziwa zomwe zikuchitika kwa iwo kapena sangathe kufotokoza momwe akumvera. Izi zimafuna kuti inu, monga kholo, muziyang'ana zizindikiro ndikuchitapo kanthu mwamsanga pakufunika.
Zizindikiro za hypoglycemia ziwoneka ngati magazi amagawidwa m'magazi pansi pa makumi asanu ndi awiri (70) ndipo amatha kuwonetsa zizindikiro monga kukwiya, kugona, kufooka, kunjenjemera, kusokonezeka, mutu, ndi chizungulire. Milandu yoopsa, masomphenya awiri, kupweteka, kusanza, ndi kusowa chidziwitso zingachitike.
Mukamayambitsa matenda a hypoglycemic, mwana wanu amwe kapena adye shuga (pafupifupi 10 mpaka 15 magalamu) kuti apange thanzi labwino kuposa 80. Zotsatirazi zingagwiritsidwe ntchito kuti izi zitheke:
- Mapiritsi awiri a glucose
- Gel yaing'ono ya gelisi yokongoletsera mkate
- Maswiti awiri mpaka anayi
- Gawo lachitsulo cha soda nthawi zonse
- Chikho cha hafu cha madzi okoma zipatso (monga lalanje kapena mphesa)
- Zisanu ndi ziwiri mpaka 10 nyemba zoumba
- Supuni imodzi kapena ziwiri za uchi
Ndibwino kuti nthawi zonse mupitirize kupezeka mwadzidzidzi m'chipinda chamagetsi cha galimoto yanu. Ngati mwana wanu sangakwanitse kudya kapena kumwa, mungagwiritse ntchito glucagon kachipangizo m'malo mwake. Glucagon ndijakisoni yomwe imathandiza chiwindi kumasula shuga m'magazi, kawirikawiri imawoneka bwino mkati mwa theka la ora. Mankhwala a glucagon angapezeke ndi mankhwala kuchokera kwa dokotala wanu.
Zakudya Zabwino ndi Kuchita Zochita
Udindo wa zakudya za mwana ndizofunikira kwambiri kuti mukhale ndi mphamvu yoletsa kuteteza insulini. Zimaphatikizapo kulamulira kochepa ndikugwiritsira ntchito chakudya, mafuta, ndi mapuloteni pa chakudya.
Poyambira, nthawi zambiri mumayenera kugwira ntchito ndi odyetsa zakudya, odyetsa zakudya kapena odwala matenda odwala matenda a shuga . Pakapita nthawi, pamene mukudziŵa zomwe zimakhudza shuga ya mwana wanu, mumakhala ndi njira yowonjezera yomwe njira zodyera zimagwirira ntchito ndi zomwe sizili.
Zochita za thupi zimathandizanso kuchepetsa ma shuga. Choncho, ana omwe ali ndi matenda a shuga ayenera kupeza nthawi zonse, kuchita masewera olimbitsa thupi tsiku ndi tsiku, poyang'aniridwa kuti ayang'ane pa ngozi iliyonse ya hypoglycemia. Sukulu ya mwanayo ndi makosi ayenera kuyesedwa kuti adziwe momwe angayankhire moyenerera pakuchitika chiwembu.
Pomaliza, mwanayo ayenera kuvala mawonekedwe ena azachipatala, monga chithandizo chamankhwala kapena mkanda .
> Chitsime:
> Chigwirizano cha ku America cha shuga. "Malamulo a Zamankhwala pa Matenda a Shuga-2016." Chisamaliro cha shuga . 2016; 39 (Suppl 1): S1-S106. DOI: 10.2337 / dc16-S003.
> Nansel, T .; Iannotti, R .; ndi Liu, A. "Kupitiramo Kachilombo-Kuphatikizidwa Kwabwino kwa Mabanja a Achinyamata Amene Ali ndi Matenda a Shuga 1: Randomzed Clinical Trial." Matenda . 2012; 129 (4): e866-e873. DOI: 10.1542 / peds.2011-2858.