Dokta Komarovsky ya bayar da hujjar cewa ciwon sukari a cikin yara shine mafi yawanci dogaro da insulin, wanda ƙwayar ta yanke ta samar da hormone wanda ke sarrafa glucose zuwa makamashi. Wannan cuta ce mai saurin kamuwa da cuta, wanda a yayin da ake lalacewar ƙwayoyin beta na tsibirin na Langerhans. Yana da mahimmanci a lura cewa a cikin lokacin bayyanar cututtuka na farko, yawancin waɗannan sel sun riga sun lalace.
Sau da yawa, nau'in 1 na ciwon sukari shine saboda abubuwan gado. Don haka, idan wani na kusa da yaron ya kamu da cututtukan ƙwayar cuta na kullum, to yuwuwar cutar za a gano cutar a kansa shine 5%. Kuma hadarin kamuwa da cutar wasu tagwaye masu kama da juna kusan 40%.
Wani lokaci wani nau'in na biyu na ciwon sukari, wanda kuma ake kira insulin-dogara, na iya haɓaka lokacin balaga. Komarovsky ya lura cewa tare da wannan nau'in cutar, ketoacidosis yana bayyana ne kawai saboda matsananciyar damuwa.
Hakanan, yawancin mutane masu ciwon sukari suna da kiba, wanda sau da yawa yakan haifar da juriya na insulin, wanda zai iya ba da gudummawa ga raunin glucose. Bugu da ƙari, nau'in sakandare na cutar na iya haɓaka saboda rashin lafiyar ƙwayar cuta ko tare da wuce haddi na glucocorticoids.
Alamomin cutar sankarau a cikin yara
Da yake magana game da alamun cututtukan cututtukan ƙwayar cuta a cikin yaro, Komarovsky ya mayar da hankali ga iyaye akan gaskiyar cewa cutar ta bayyana kanta da sauri. Wannan na iya haifar da haɓakar rashin ƙarfi, wanda aka bayyana shi ta halayyar ilimin yara. Waɗannan sun haɗa da rashin kwanciyar hankali na tsarin juyayi, haɓaka metabolism, aiki mai ƙarfi, da rashin ci gaba na tsarin enzymatic, saboda wanda ba zai iya yaƙi da ketones ba, wanda ke haifar da bayyanar cutar siga.
Koyaya, kamar yadda aka ambata a sama, wani lokacin yaro yakan kamu da ciwon sukari na 2. Kodayake wannan cin zarafin ba kowa bane, saboda yawancin iyaye suna ƙoƙarin saka idanu kan lafiyar yaransu.
Bayyanar cututtukan nau'in 1 da nau'in ciwon sukari guda 2 iri ɗaya ne. Bayyananniyar farko shine yawan shan ruwa mai yawan gaske. Wannan saboda ruwa yana wucewa daga sel zuwa jini don narke sukari. Sabili da haka, yaro ya sha har zuwa lita 5 na ruwa kowace rana.
Polyuria kuma ɗayan manyan alamun cututtukan cututtukan zuciya ne. Haka kuma, a cikin yara, yawan urination yakan faru ne a lokacin bacci, saboda yawan ruwa ya bugu a ranar da ta gabata. Bugu da kari, iyaye mata kan rubuta rubutu a wuraren tattaunawa wanda idan sigar yara ta bushe kafin tayi wanka, sai ta zama kamar an sanya tauraro zuwa abin taɓawa.
Yawancin masu ciwon sukari sun rasa nauyi. Wannan shi ne saboda gaskiyar cewa tare da rashi na glucose, jiki yana fara rushe tsokoki da ƙashin mai.
Idan akwai alamun cutar mellitus na yara a cikin yara, Komarovsky ya ba da hujjar cewa matsalolin hangen nesa na iya faruwa. Bayan haka, bushewar jiki ana kuma nuna shi a cikin ruwan tabarau na ido.
A sakamakon haka, mayafin ya bayyana a gaban idanun. Koyaya, wannan sabon abu ba a ɗaukarsa a matsayin alama ba, amma rikicewar ciwon sukari, wanda ke buƙatar jarrabawar kai tsaye ta likitan likitan ido.
Bugu da ƙari, canji a cikin halayen yaro na iya nuna rushewar endocrine. Wannan saboda sel ba su karbar glucose, wanda ke haifar da yunwar makamashi kuma mai haƙuri ya zama mai aiki da damuwa.
Ketoacidosis a cikin yara
Wani alamar halayyar ciwon sukari shine ƙi ci ko, ba daɗi, yunwa kullum. Hakanan yana faruwa tsakanin matsananciyar yunwar.
Tare da ketoacidosis mai ciwon sukari, ci ya ɓace. Wannan bayyanin yana da haɗari sosai, wanda ke buƙatar kiran gaggawa na gaggawa da kuma asibiti mai zuwa na mara lafiya, saboda wannan ita ce hanya ɗaya tak da za a iya hana ci gaban nakasa da sauran mummunan sakamako.
A cikin nau'in ciwon sukari na 2, cututtukan fungal na yau da kullun suna zama bayyanuwa ta hali. Kuma tare da nau'in insulin-da ya shafi cutar, yana da wahala koda jikin yaron yaƙar SARS na yau da kullun.
A cikin masu ciwon sukari, acetone na iya zama ƙanshi daga bakin, kuma a wasu lokuta ana samun gawarwakin ketone a cikin fitsari. Baya ga cutar sankara, waɗannan alamu na iya haɗuwa da wasu cututtuka masu ƙima, kamar kamuwa da cuta ta rotavirus.
Idan yaro zai iya jin acetone kawai daga bakin, kuma babu sauran alamun ciwon sukari, to, Komarovsky yayi bayanin wannan ta karancin glucose. Wani yanayi mai kama da haka yana faruwa ba wai kawai a kan asalin cututtukan endocrine ba, har ma bayan aiki na zahiri.
Za'a iya magance wannan matsala a sauƙaƙe: ana buƙatar bawa mara lafiya na teburin glucose ko kuma a ba shi sha sha mai dadi ko a ci alewa. Koyaya, warin acetone a cikin ciwon sukari za'a iya kawar dashi kawai tare da taimakon insulin therapy da abinci.
Haka kuma, hoton asibiti na cutar an tabbatar da shi ta hanyar gwaje-gwaje:
- ƙara yawan glucose na jini;
- kasancewar cikin jinin kwayoyin dake lalata cututtukan fata;
- immunoglobulins zuwa insulin ko kuma enzymes da ke taka rawa wajen samar da kwayoyin halittu ba kasafai ake gano su ba.
Wani likita na likitan yara ya lura cewa kwayoyin cuta ana samun su ne kawai a cikin ciwon sukari da ke dogaro da insulin, wanda ake ɗauka a matsayin cutar kansa. Kuma nau'in cuta ta biyu ana nuna shi ta hanyar hauhawar jini, hauhawar jini a cikin jini da kuma bayyanar baƙin duhu a cikin yatsun hannu da tsakanin yatsunsu.
Ko da hyperglycemia tare da insulin-da-kwayar cutar da cutar yana tare da blanching na fata, rawar jiki daga ƙarshen, dizziness da malaise. Wani lokacin ciwon sukari yana tasowa a asirce, wanda yake da haɗari ta ƙarshen binciken cutar da haɓaka sakamakon da ba a warwarewa.
Wani lokaci, ciwon sukari yana fitowa a cikin shekarar farko ta rayuwa, wanda ke haifar da bayyanar cututtuka cikin wahala, saboda yaro ba zai iya bayanin menene alamun damuwa ke damun sa ba. Bugu da kari, diapers suna da matukar wahala a tantance yawan fitsari yau da kullun.
Sabili da haka, iyayen jarirai ya kamata su kula da yawancin alamomi kamar haka:
- Damuwa
- rashin ruwa a jiki;
- karuwar ci, saboda abin da ba a samun nauyi, sai dai asara;
- amai
- bayyanar murfin diaper a saman gabobin ciki;
- samuwar alamomin tabo a saman saman inda fitsari ya samu.
Komarovsky ya jawo hankalin iyaye zuwa ga cewa ba da daɗewa ba yaro ya kamu da ciwon sukari, da wuya cutar ta kasance a nan gaba.
Sabili da haka, a gaban abubuwan gado, yana da mahimmanci don sarrafa matakin glycemia daga haihuwa, lura da halayyar yara a hankali.
Yaya za a rage yiwuwar kamuwa da ciwon siga kuma me za a yi idan an tabbatar da cutar?
Tabbas, ba shi yiwuwa a jimre da ƙarancin gado, amma don saukaka rayuwa ga yaro da ke ɗauke da cutar ta zahiri ne. Don haka, don dalilai na hanawa, jarirai masu haɗarin ya kamata musamman a hankali zaɓi zaɓin abinci da kuma amfani da gaurayaɗɗaɗɗa idan shayarwar ba ta yiwuwa.
Lokacin da ya tsufa, yaro yana buƙatar saba da rayuwa mai aiki tare da nauyin matsakaici. Hakan yana da mahimmanci ga dalilai na hanawa da warkewa don koya wa yara su bi cin abinci na musamman.
Babban ka'idodin abinci mai dacewa shine cewa rabo na abinci mai gina jiki da adadin kuzari a cikin menu na yaro ya zama irin wannan cewa zai iya rama don yawan kuzari, girma da haɓakawa na yau da kullun. Don haka, kashi 50% na abincin ya kamata ya zama carbohydrates, 30% ana ba shi don mai, kuma 20% - ga furotin. Idan mai ciwon sukari yana da kiba, to makasudin maganin rage cin abinci shine a hankali a rasa nauyi sannan a kiyaye nauyi a daidai matakin.
Tare da fom wanda ya dogara da insulin, abinci yana da mahimmanci don daidaitawa tare da gudanar da insulin. Sabili da haka, kuna buƙatar cin abinci a lokaci guda, yayin da koyaushe kuna girmama rabon sunadarai, carbohydrates da fats.
Tun da yake insulin ya gudana daga wurin allura, in babu ƙarin abubuwan ciye-ciye tsakanin babban abincin, mai haƙuri na iya haɓaka hypoglycemia, wanda zai haɓaka tare da aikin jiki. Don haka, yaran da aka basu allura 2 a rana lallai zai iya samun abun ciye-ciye tsakanin karin kumallo, abincin rana da abincin dare.
Maɓallin menu na ɗan ya ƙunshi manyan nau'ikan samfura guda 6 waɗanda za'a iya maye gurbinsu da juna:
- nama;
- madara
- burodi
- kayan lambu
- 'ya'yan itace
- fats.
Abin lura ne cewa masu ciwon sukari sau da yawa suna inganta atherosclerosis. Sabili da haka, yawan kitsen yau da kullun a cikin wannan cutar ya zama bai wuce 30% ba, kuma cholesterol - har zuwa 300 MG.
Ya kamata a zaɓi fifiko ga ƙwayoyin kitse na polyunsaturated. Daga nama ya fi kyau a zabi kifi, turkey, kaji, da kuma amfani da naman alade da naman sa. Dr. Komarovsky kansa a cikin bidiyo a cikin wannan labarin zai yi magana game da ciwon sukari da sukari a cikin yara.
