Shawarwarin asibiti don ganewar asali da kuma lura da ciwon sukari a cikin yara

Iyayen kowane yaro da aka kamu da cutar sankara suna karɓar shawarwari na likita daga likita don haɓaka dabarun magani daidai kuma gyara rayuwar yarinyar. Koyaya, shawara da umarnin likita ba su da wata kafa.

A yayin aiwatar da bincike da kuma tantance hanyoyin magani, likitan ya dogara ne da tsarin da aka gindaya akasarin su a cikin kasar ko kuma kungiyoyin likitoci na duniya don yakar cutar sankara.

Jagororin asibiti don maganin ciwon sukari a cikin yara

Shawarwarin likitoci game da lura da nau'in 1 da nau'in ciwon sukari na 2 zai bambanta, saboda nau'ikan cututtukan da aka lissafa sun bambanta a hanya da hanyoyin magani.

Nau'in 1

Yawanci, yawancin yara suna fama da ciwon sukari irin na 1 Hakanan, a cikin ƙananan marasa lafiya, an hadu da nau'in 1 na ciwon sukari, haɓakar abin da ya haifar da matsananciyar damuwa.

Idan yaro yana da nau'in ciwon sukari na 1 (ba tare da la'akari da yanayin asalinsa ba), babban shawarar asibiti shine amfani da insulin.

Wannan ma'aunin ya zama dole don daidaita yanayin mai haƙuri, tare da tsawan rayuwarsa. Da zaran an dauki matakan da suka dace na iyaye, mafi girman ingancin rayuwar jariri zai kasance, da kuma yiwuwar kamuwa da cutar siga ko ketoacidosis tare da sakamako mai ƙarewa na raguwa.

Yawancin lokaci, yayin aiwatar da aikin jiyya, ana wajabta wa marasa lafiya tsawan maganin insulin, lokacin da kashi na yau da kullun na maganin ya kasu kashi da yawa. Yana da mahimmanci cewa girman insulin ya isa ya rage yawan glucose a jikin mutum, ta haka ne ke nuna yanayin dabi'ar koda.

Nau'ikan 2

Nau'in nau'in ciwon sukari a cikin yara ba shi da yawa fiye da zaɓi na baya.

A matsayinka na mai mulkin, rashin hankalin ƙwayoyin sel zuwa insulin da raguwa a cikin samarwarsa yana faruwa ne sakamakon yanayi na damuwa ko a cikin raunin metabolism a cikin yara masu tsufa. Jariri kusan basu taɓa shan wahala daga ciwon sukari na 2 ba.

Babban shawarwarin likita don nau'in ciwon sukari na 2 shine tsayayyen abinci. A wannan yanayin, matakan warkewa zasu zama ƙari ƙari fiye da babban tsarin kula. Amma yin ba tare da su ba, kuma, ba zai yi aiki ba.

Kawar da kayan cutarwa daga abincin yarinyar yakamata a hankali, saboda kada jiki ya sami alamar girgiza abinci. Yayinda mai haƙuri ya ci gaba da cinye abincin da aka hana, yana buƙatar ci gaba da amfani da magunguna masu rage sukari.

Sharuddan ganewar asali

Ka'idar sukari na jini shine mil 3.3 - 5.5 a kowace lita (mmol / l) bayan bacci na dare, wanda yakan wuce awanni 8, a lokacin da yaron bai ci abinci ba.

Idan binciken ya nuna cewa matakin sukari a cikin jinin da aka karɓa daga yaro akan komai akan ciki shine 5.6 - 6.9 mmol / l, wannan yana nuna babban matakin yiwuwar kamuwa da ciwon sukari.

A irin waɗannan yanayi, an aiko yaro don ƙarin bincike. Idan matakin sukari ya kasance 7.0 mmol / l yayin gwaji na biyu, to za a gano mara lafiyar da ciwon sukari mellitus.

Wata hanyar da za a tantance idan yaro yana da nakuda masu ciwon sukari shine a bincika azumtar sukari mai azumi bayan cin abinci na g 75 na glucose. Ana ba da gwajin na sa'o'i 2 bayan da yaron ya sha ruwan daɗin daɗi.
Ka'idojin tantance yanayin a wannan yanayin zai kasance kamar haka.

Mai nuna alamar 7.8 - 11.1 mmol / l yana nuna cin zarafin glucose.

Sakamakon da ya wuce bakin 11,1 mmol / L yana nuna kasancewar ciwon sukari mellitus. Idan ɓacewa daga ƙa'idar ta zama ƙarami, za a sanya mara lafiya a jarrabawa ta biyu, wanda zai buƙaci kammala shi a cikin makonni 2-3.

Hoto na asibiti

Hoton asibiti na ciwon sukari yana da alamun biyu. Dukkanta ya dogara da nau'in cutar da yarinyar take fama dashi. Wannan na faruwa ne sakamakon rashin isasshen insulin a jiki.

Game da ƙarancin insulin a cikin yaro, ana ganin alamu masu zuwa:

• karuwar fitowar fitsari;
• kasancewar fitsari a cikin manyan fitsarin glucose;
• ƙara yawan sukari na jini;
• m ƙishirwa;
• nauyi asara a tsakanin matsanancin yunwar.

Matsakaicin yanayin da ke nuna yanayin karancin insulin shine ketoacidosis har ma da cutar sikari.

Idan rashin insulin na kullum ne, hoton asibiti zaiyi kama da haka:

• take hakkin aikin Majalisar Wakilai;
• haɓaka rashin cin nasara na koda;
• take hakkin yaduwar jini sakamakon karuwar sautin jijiyoyin bugun jini;
• cuta cuta na rayuwa;
• lahani ga ƙananan tasoshin kwakwalwa.

Abubuwan da aka lissafa na abubuwan da suka faru a yanayin yanayin cutar na sannu sannu kuma sannu a hankali.

Protocol na gudanarwar marasa lafiya da masu ciwon sukari

Bayan an gano yarinyar, likitan ya cika yarjejeniya wanda ke nuna cewa:

• nau'in ciwon sukari;
• lokaci na cutar (rama ko diyya, tare da ko ba tare da ketosis, coma);
• kasancewar microangiopathies wanda cutar ta haifar;
• kasancewar rikice-rikice;
• tsawon lokacin cutar (a cikin shekaru);
• haɗuwa tare da wasu cututtuka na tsarin endocrine.

Siffofin jiyya

Kula da ciwon sukari a cikin marasa lafiya matasa yana da tarin yawa a cikin yanayi kuma ya haɗa da abubuwan da aka haɗa:

• abinci
• yin amfani da allurar insulin;
• matsakaici na jiki;
• koyar da yaro mahimmancin dabarun;
• lura da yanayin a gida;
• taimakon ilimin halin dan Adam.

Magungunan abinci yana ɗaya daga cikin mahimman abubuwan wannan jerin. Ba tare da gyaran abinci ba, ba shi yiwuwa a cimma ramuwa game da cutar.

Ka'idojin zamani game da abincin da mai cutar siga yake kamar haka:

1. madaidaicin rabo na abubuwan gina jiki: carbohydrates - 50-60%, fats - 25-30%, sunadarai - 15-20%;
2. cikakken ƙin karɓa na carbohydrates mai ladabi da matsakaici;
3. kusan cikakken maye gurbin fats na dabba tare da kayan lambu;
4. wadataccen abinci na abinci mai dauke da bitamin da fiber na abinci mai lafiya;
5. samar da abinci mai narkewa (har sau 6 a rana).

Rarraba rikitarwa na ciwon sukari a cikin yara

Matsalolin ƙarancin ciki (ketoacidosis da coma) sune mafi haɗari a cikin yanayi, tunda galibi suna ɗaukar fewan awanni don haɓaka, kuma da alama sakamako mai ƙisa yana da girma sosai.

A lokacin ketoacidosis, adadi mai kitse da jikokin ketone suna haɗu a cikin jini, sakamakon abin da jikin ke lalata kansa.

Amma ga coma, zai iya haifar da ko dai haɓaka sukari na jini saboda rashin ruwa, ko haɓaka taro na lactic acid wanda ya haifar da koda, ƙwayar jijiya ko gazawar hanta.

Rashin rikicewar na faruwa bayan shekaru 4-5 daga farawa na ci gaba da cutar a cikin yaro. A wannan yanayin, lalacewar aikin kowane bangare ko tsarin yana faruwa a hankali.

Mafi rikice rikice-rikice na yau da kullun sun hada da:

• ma'asumi (raunin gani a hankali);
• ciwon kai (bakin ciki ganuwar jijiyoyin jini, wanda ya haifar da thrombosis ko atherosclerosis);
• polyneuropathy (lalacewar hankali a hankali a cikin jijiyoyin tsarin yanki);
• ƙafa mai ciwon sukari (bayyanar raunuka da microcracks a saman ƙafafun).

Yarda da matakan kariya na iya rage gudu, kuma a wasu halaye ko da hana ci gaban rikice rikice.

Bidiyo masu alaƙa

Dr. Komarovsky game da ciwon sukari a yara:

Matsalar gano cutar mellitus na yara a cikin yara ya ta'allaka ne cewa kananan marasa lafiya basu da ikon iya bayyana wa iyayensu ainihin abin da abin da suke ji.

A sakamakon haka, cutar a mafi yawan lokuta an riga an gano shi a ƙarshen matakan ci gaba, lokacin da yaro ya sami rashin lafiya. Don guje wa irin wannan haɓaka na abubuwan da suka faru, iyaye suna buƙatar saka idanu akan halaye da kyautata rayuwar childrena wellansu.