Oxygen da glucose sune tushen asalin rayuwa don jiki. Bayan hyperbilirubinemia, hypoglycemia na jariri ana ɗauka abu na biyu da ke buƙatar tsawon kwanciyar hankali a asibiti bayan haihuwa. Yaron da ke da irin wannan cutar yana buƙatar cikakken bincike, tunda cututtuka da yawa na iya haɗuwa da cututtukan jini.
Kuma ƙarancin jinin sukari na jariri da jariri na shekarar farko ta rayuwa ana ɗaukar matsayin mai matukar hatsari ga lafiya. Yana tasiri sosai game da abinci mai kwakwalwa da dukkan kyallen takarda.
Ba da jimawa ba (na lokaci) neonatal hypoglycemia
Lokacin da aka haifi jariri, yakan sami damuwa sosai. Lokacin aiki da kuma lokacin wucewar jariri ta hanyar canjin mahaifiyar, ana fitar da glucose daga glycogen a cikin hanta, kuma dabi'ar sukari na jini a cikin yara yana da damuwa.
Wannan ya zama dole don hana lalata lalacewar kwakwalwar jariri. Idan yaro yana da karancin glucose, jigilar jini a jiki ya samu ci gaba a jikin sa.
Wannan yanayin ba ya daɗewa, saboda godiya ga matakan sarrafa kai na matakin glucose a cikin jini, maida hankali da sauri ya koma al'ada.
Mahimmanci! Ya kamata a shayar da jariri jariri tun da wuri. Wannan zai yi nasara da sauri cikin karfin jiki wanda ya faru lokacin da kuma bayan haihuwa.
Sau da yawa wannan yanayin na iya haɓaka saboda halin sakaci na ma'aikatan lafiya (hypothermia), wannan gaskiya ne musamman ga jariran da ba su girma ba ko kuma yara masu ƙarancin haihuwa. Tare da hypothermia, hypoglycemia na iya faruwa a cikin jariri mai ƙarfi.
Gestational
Yara masu cikakkiyar lafiya suna da manyan shagunan glycogen a cikin hanta. Yana iya sauƙaƙe jariri don jimre wa damuwa da ke tattare da haihuwa. Amma idan haɓakar mahaifa ta ci gaba tare da kowane irin cuta, toshewar jini a cikin wannan yaro yana tsawan lokaci yana buƙatar ƙarin gyara tare da amfani da kwayoyi (gudanarwar glucose).
Tsawo mai tsawan jini a jiki da farko yana haɓaka cikin masu tsufa, jarirai masu nauyin nauyi da jarirai masu dogon shekaru. A matsayinka na mai mulkin, wannan rukunin sababbin jarirai yana da karancin kayan gina jiki, nama adipose da glycogen hepatic. Bugu da ƙari, saboda ƙarancin enzymes a cikin waɗannan yara, tsarin glycogenolysis (glycogen breakdown) yana da raguwa sosai. Wadancan hannun jari da aka karba daga uwa suna cinyewa cikin sauri.
Mahimmanci! Ana kulawa da kulawa ta musamman ga waɗannan yaran waɗanda ke haife ga mata masu ciwon sukari. Yawancin lokaci waɗannan jariran suna da girma sosai, kuma yawan haɗuwar glucose a cikin jininsu yana raguwa da sauri. Wannan saboda hyperinsulinemia.
Jariri wanda aka Haifa a gaban rikici na Rhesus suna fuskantar matsaloli iri ɗaya. Ya juya cewa tare da nau'ikan rikice-rikice na serological, hyperplasia na ƙwayoyin ƙwayar ƙwayar cuta na iya yin haɓaka, wanda ke samar da insulin na hormone. A sakamakon haka, kyallen takarda suna dauke glucose da sauri.
Kula! Shan taba da shan giya yayin daukar ciki yana haifar da raguwar yawan sukarin jini! Bugu da ƙari, ba kawai aiki ba, har ma masu shan sigari masu wahala suna wahala!
Perinatal
Ana kimanta yanayin jariri akan sikelin Apgar. Wannan shine yadda aka ƙaddara matakin hypoxia na yara. Da farko dai, yara suna fama da hawan jini, wanda haihuwar sa tayi sauri kuma yana tare da raunin jini.
Halin hypoglycemic shima yana haɓaka cikin yara masu ƙwaƙwalwar ajiyar zuciya. Hakanan yana bayar da gudummawa ga amfani da uwa yayin daukar ciki na wasu magunguna.
Sauran abubuwan da ke haifar da rashin jinkirin hauhawar jini
Jiki na ɗai-ɗai a jiki sau da yawa yakan haifar da cututtuka daban-daban. Duk wani nau'ikansa (pathogen ba shi da mahimmanci) yana haifar da hypoglycemia. Wannan ya faru ne saboda gaskiyar cewa ana kashe babban adadin kuzari don yaƙar kamuwa da cuta. Kuma, kamar yadda kuka sani, glucose shine tushen samar da makamashi. Mai tsananin tsananin cututtukan cututtukan zuciya na zuciya ya dogara da tsananin cutar rashin lafiyar.
Wani babban rukuni ya ƙunshi jarirai waɗanda ke da lahani na zuciya da kewaya jini. A cikin irin wannan yanayin, hypoglycemia yana haifar da mummunan wurare dabam dabam na jini a cikin hanta da hypoxia. Bukatar allurar insulin ta ɓace cikin kowane ɗayan waɗannan masu zuwa, an samar da kawar da lokaci na rashin matsala na sakandare:
- gazawar jini;
- anemia
- hypoxia.
Cutar daskarewa
A yayin cututtukan da yawa a cikin jiki akwai keta tsarin tafiyar matakai. Akwai yanayi wanda matsaloli marasa daidaituwa suka taso wanda ke kawo cikas ga cigaban jariri kuma yana jefa rayuwarsa cikin haɗari.
Bayan bincike mai zurfi, irin waɗannan yaran an zaɓi abincin da ya dace da magani. Yaran da ke shan wahala daga cututtukan cututtukan ƙwayar cuta na yara, an bayyana alamun ta daga kwanakin farko na rayuwa.
Bayan 'dan lokaci kadan, yara kan inganta fitsarin. Wannan ya faru ne saboda gaskiyar cewa ana samun fructose a cikin kayan lambu da yawa, zuma, ruwan 'ya'yan itace, kuma waɗannan samfurori ana gabatar dasu a cikin abincin yarinyar nan gaba. Kasancewar cututtukan biyu suna buƙatar tsayayyen abinci don rayuwa.
Haɓaka haɗarin hypoglycemia na iya haifar da wasu rikicewar hormonal. A farkon wuri a wannan batun shine rashin isasshen ƙwayoyin pituitary da adrenal gland. A cikin irin wannan yanayin, yaro yana kullun ƙarƙashin kulawar ƙwararren masaniyar endocrinologist.
Bayyanar cututtuka na waɗannan cututtukan na iya faruwa a cikin jariri da kuma a shekaru masu zuwa. Tare da haɓakar ƙwayoyin ƙwayar ƙwayar ƙwayar cuta, adadin insulin yana ƙaruwa kuma, saboda haka, yawan haɗuwa da glucose a cikin jini yana raguwa.
Gyara wannan yanayin ta hanyoyin gargajiya bashi yiwuwa. Ana iya samun sakamako kawai ta hanyar tiyata.
Hypoglycemia da alamunta
- Saurin numfashi.
- Jin damuwa.
- Wuce kima.
- Remarfin wata gabar jiki.
- Rashin yarda da yunwar.
- Ciwon ciki.
- Rashin numfashi har sai ya daina gaba daya.
- Jihar bari.
- Rashin rauni.
- Damuwa.
Ga yaro, mafi haɗari sune raɗaɗi da gazawar numfashi.
Mahimmanci! Babu wani cikakken matakin glucose wanda a ciki za'a iya bayyanar alamun cututtukan hypoglycemia! Wannan fasalin sababbin yara da jarirai! Ko da tare da isasshen glycogen a cikin waɗannan yara, hypoglycemia na iya haɓaka!
Mafi yawancin lokuta, ana rikodin hypoglycemia a farkon ranar rayuwar jariri.
Bayyanar cutar
A cikin yara na farkon rayuwa da jarirai, ana ɗaukar gwaje-gwaje masu zuwa don gano ƙwararraki ko tsawan tsoka:
- tarowar jini;
- mai nuna alamun acid na kyauta;
- tabbatar da matakan insulin;
- ƙuduri na matakin girma hormone (cortisol);
- yawan jikin ketone.
Idan yaro yana cikin haɗari, ana yin bincike a cikin sa'o'i 2 na farko na rayuwarsa. Dangane da waɗannan alamomin, an ƙaddara yanayin da matsayin ilimin cututtukan cututtukan ƙwaƙwalwar ƙwayar cuta, wanda ke sa ya yiwu a tsara ingantaccen magani ga jariri.
Wanda ke cikin hadarin
Hypoglycemia na iya faruwa a cikin kowane yaro, amma har yanzu akwai wasu ƙungiyar haɗari waɗanda suka haɗa da yara:
- gestationally m;
- wanda bai kai ba
- tare da alamun hypoxia;
- haife uwaye masu cutar sankarau.
A cikin irin waɗannan jarirai, ana ƙaddara matakan sukari na jini nan da nan bayan haihuwa (a cikin awa 1 na rayuwa).
Yana da matukar muhimmanci a gano cutar sikila da wuri a cikin jarirai, saboda magani da rigakafin lokaci zai kare jariri daga haɓaka mummunan rikicewar wannan yanayin.
Jiyya
Tsakanin lura da ka'idodinta na cigaban rayuwar mutum. Wajibi ne a fara shayar da jarirai da wuri-wuri, don hana haɓakar haila, da hana haɓakar ciwon sukari.
Da farko dai, tare da cututtukan cututtukan jini na tsohuwar haihuwa, likitocin yara na allurar maganin glucose 5% a cikin ciki. Idan jaririn ya riga ya fi rana guda, ana amfani da maganin glucose 10%. Bayan haka, ana yin gwaje gwaje na jini da aka dauka daga diddigin jariri nan da nan zuwa tsiri gwajin.
Bugu da ƙari, an ba wa ɗan yaron abin sha a cikin nau'i na maganin glucose ko ƙara a cikin cakuda madara. Idan waɗannan hanyoyin ba su kawo sakamako da ake so ba, ana amfani da magani na hormonal tare da glucocorticoids. Hakanan yana da mahimmanci a gano dalilin cutar sanƙuwar jini, wannan yana ba da damar samun hanyoyi masu inganci don kawar da ita.
