Matenda a shuga ana: Zizindikiro, matenda, mankhwala, kupewa

Nthawi zambiri ndi matenda ashuga, mutha kusunga shuga wokhazikika popanda jakisoni wa tsiku ndi tsiku. Dziwani momwe mungachitire.

Mwana yemwe ali ndi matenda a shuga 1 amadzisungira shuga wokhazikika chifukwa chotsatira zakudya zoyenera. Palibe chifukwa chobayira insulin tsiku lililonse.

Kapamba, wofowoka ndi shuga, sangathe kuthana ndi katundu wamafuta. Chifukwa chake, shuga amadzuka. Pambuyo pa masiku ena atatu, mayi wa mwana adasiya kudzaza zolemba ndi kulumikizana ndi Skype. Mwina alibe chilichonse chodzitama.

Kupewa

Palibe matenda a shuga kwa ana omwe atsimikizira kuti ndi othandiza. Lero ndizosatheka kupewa matenda oyambawa. Palibe katemera, mapiritsi, mahomoni, mavitamini, mapemphero, kudzipereka, chiwembu, kulera, ndi zina zotere .. Ku ana a makolo omwe ali ndi matenda amtundu woyamba, kuyesedwa kwa majini kutha kuchitika kuti mupeze chiwopsezo. Muthanso kukayezetsa magazi a antibodies. Koma ngakhale ma antibodies apezeka m'magazi, palibe chomwe mungachite kuti muteteze matendawa.

Ngati m'modzi wa makolo, abale kapena alongo akudwala matenda ashuga 1 - ganizirani zosinthira banja lonselo kukhala chakudya chochepa kwambiri chamagulu, kuti mudzitha kupewa. Zakudya izi zimateteza maselo a beta kuti asawonongedwe ndi chitetezo cha mthupi. Zomwe izi zimachitika sizikudziwika. Koma pali zotheka, monga masauzande a odwala matenda ashuga awona kale.

Pakadali pano, asayansi akugwira ntchito popanga njira zothandiza kupewa matenda ashuga ana. Gawo lina lofunikira - amayesa kusunga gawo la maselo a beta mwa odwala omwe apezeka posachedwa. Kuti muchite izi, muyenera kuteteza maselo a beta kuti asateteze chitetezo chathupi. Ngati mwana wanu ayesedwa pachiwopsezo chachikulu choyezetsa chibadwa kapena ali ndi magazi m'magazi ake, atha kupemphedwa kuchita nawo ziyeso zamankhwala. Izi zikuyenera kusamalidwa mosamala. Chifukwa njira zatsopano zowathandizira komanso kupewa zomwe asayansi akukumana nazo zitha kuvulaza kuposa zabwino.

• Nkhani yabanja. Mwana akakhala ndi makolo ake, azichimwene kapena azilongo omwe amadwala matenda a shuga, ndiye kuti ali pachiwopsezo chowonjezereka.
• Makamaka. Kuyesedwa kwa majini kutha kuchitika kuti mupeze chiwopsezo. Koma iyi ndi njira yokwera mtengo, ndipo koposa zonse - yopanda pake, chifukwa pakadali pano palibe njira zabwino zopewera.

• Matenda a ma virus - nthawi zambiri amayambitsa kuyambika kwa matenda ashuga 1. Ma virus owopsa - Epstein-Barr, Coxsackie, rubella, cytomegalovirus.
• Kuchepetsa mavitamini D m'magazi. Kafukufuku akutsimikizira kuti vitamini D amachepetsa chitetezo cha mthupi, kuchepetsa chiyembekezo cha matenda obwera chifukwa cha insulin.
• Kukhazikitsidwa koyambirira kwa mkaka wa ng'ombe mu chakudya. Izi akuti ziziwonjezera ngozi ya matenda ashuga amtundu 1.
• Kumwa madzi osakanizidwa ndi nitrate.
• Kuyamba koyambirira kukopa mwana zinthu zamphesa.

Zowopsa zomwe zimayambitsa matenda a shuga 1 sichitha, koma zina zimayang'aniridwa ndi makolo. Osathamanga kuti muyambitse khanda. Ndikulimbikitsidwa kuti mpaka miyezi isanu ndi umodzi mwana ayenera kudya mkaka wa m'mawere okha. Kudyetsa thupi kumaganiziridwa kuti kumakulitsa chiopsezo cha matenda omwe amadalira insulin, koma izi sizinatsimikiziridwe. Samalani kuti mupereke madzi oyera akumwa. Osayesa kupanga malo osabala kuti muteteze mwana wanu ku ma virus - sizothandiza. Vitamini D ingaperekedwe kokha mwa mgwirizano ndi dokotala, mawonekedwe ake osokoneza bongo ndi osayenera.

Zizindikiro

1. Kodi mwana ali ndi matenda ashuga?
2. Ngati kagayidwe kakang'ono ka shuga kamalephera, ndiye mtundu wanji wa shuga?

Ngati makolo kapena adotolo awona zizindikiritso za shuga zomwe tafotokozazi, ndiye muyenera kungoyesa shuga ndi glucometer. Izi sizofunikira kuchita pamimba yopanda kanthu. Ngati palibe mita ya shuga m'magazi, pitani kuyezetsa magazi mu labotale kuti mupeze shuga, pamimba yopanda kanthu kapena mutatha kudya. Phunzirani shuga Fananizani ndi iwo zotsatira za kusanthula - ndipo zonse zikhala zomveka.
Tsoka ilo, nthawi zambiri, makolo amanyalanyaza zizindikirazo kufikira mwana atachokapo. Ambulansi afika. Madokotala omwe ali ndi maso ophunzitsidwa amazindikira matenda a shuga a ketoacidosis ndi njira zopulumutsira. Ndipo zimangokhala kudziwa mtundu wa shuga. Chifukwa cha izi, kuyezetsa magazi kwa ma antibodies amatengedwa.

Kuti mudziwe mtundu wa wodwala yemwe ali ndi matenda asayansi amayitanidwa kuti “azindikire mosiyanasiyana” pakati pa matenda amtundu 1 komanso matenda amitundu iwiri, komanso mitundu ina yamatenda. Mtundu Wachiwiri mwa ana m'maiko olankhula Chirasha ndi osowa. Nthawi zambiri amapezeka mwa achinyamata omwe ali onenepa kwambiri kapena onenepa kwambiri, wazaka 12 kapena kupitirira. Zizindikiro za matendawa zikukula pang'onopang'ono. Mtundu woyamba wambiri nthawi zambiri umayambitsa matenda owopsa nthawi yomweyo.

• ku maselo a zisumbu za Langerhans;
• glutamate decarboxylase;
• kwa tyrosine phosphatase;
• kwa insulin.

Amatsimikizira kuti chitetezo chamthupi chimatsutsana ndi ma cell a pancreatic beta. Mtundu wachiwiri wa matenda ashuga, ma antibodies awa samakhala m'magazi, koma nthawi zambiri pamakhala kudya kwakukulu ndi insulin pambuyo chakudya. Komanso, mumtundu wachiwiri, kuyesa kwa mwana kumawonetsa kukana insulini, i.e, chidwi cha minyewa pakuchitanso cha insulin chimachepetsedwa. Mwa odwala ambiri achinyamata omwe ali ndi matenda amtundu wa 2, matendawa amadziwika chifukwa cha kuyesedwa kwa magazi ndi mkodzo panthawi yoyeserera chifukwa cha zovuta zina zaumoyo. Komanso, vuto la chibadwa limatha kukhala chifukwa chofufuzira (kuchipatala) ngati kagayidwe kachakudya kagayidwe kachakudya kali m'modzi mwa abale

Pafupifupi 20% ya achinyamata omwe ali ndi matenda a shuga a 2 amadandaula za ludzu lalikulu, kukodza pafupipafupi, kuwonda. Zodandaula zawo zimagwirizana ndi zomwe zimachitika pachimake matenda ashuga a mtundu woyamba. Kuti zitheke kuti madokotala azitha kudziwa mtundu wa matenda, tebulo lotsatirali lithandiza.

• kuchuluka kwa thupi - kunenepa kwambiri kapena ayi;
• ma antibodies m'magazi;
• kuthamanga kwa magazi ndi kwapamwamba kapena kwabwinoko.

Acanthosis nigricans ndi mawanga amdima apadera omwe amatha kukhala pakati pa zala ndi zala zakumanja, kumbuyo, komanso kumbuyo kwa khosi. Ichi ndi chizindikiro cha kukana insulini. Acanthosis nigricans amawonedwa mu 90% ya ana omwe ali ndi matenda a shuga a 2, ndipo samakonda ndi matenda amtundu 1.

Chithandizo

Chithandizo cha matenda a shuga kwa ana ndi muyezo wa shuga wamagazi kangapo patsiku, jakisoni wa insulin, kusunga diary, kadyedwe kabwino komanso kuchita zinthu zolimbitsa thupi nthawi zonse. Muyenera kuthana ndi matendawa tsiku lililonse, popanda yopuma sabata, tchuthi kapena patchuthi. Pakupita milungu yochepa chabe, mwana ndi makolo ake amdziwa. Pambuyo pake, njira zonse zochizira sizitenga mphindi zosaposa 10-15 patsiku. Ndipo nthawi yonseyo mutha kukhala ndi moyo wabwinobwino.

Timalingalira kuti matenda ashuga omwe amapezeka muubwana ali kwamuyaya. Zotheka kuti posachedwa pakhale chithandizo chomwe chidzakulolani kusiya zakudya ndi jakisoni wa tsiku ndi tsiku wa insulin. Koma izi zikachitika - palibe amene akudziwa. Masiku ano, ma charlatans okha ndi omwe angapereke chithandizo chokwanira kwa mwana wanu wodwala matenda ashuga. Amakopa makolo kuti achotse ndalama zawo - sizoyipa kwambiri. Chifukwa chogwiritsa ntchito njira zosafunikira, matendawa amakula kwambiri - izi zimadzetsa vuto. Tifunikabe kukhala moyo wosinthira chithandizo cha matenda ashuga. Ndipo ndikofunikira kuti mpaka nthawi iyi mwana asakumane ndi zovuta zosasintha.

Mwana amakula ndikukula, mikhalidwe ya moyo wake imasintha. Chifukwa chake, chithandizo nthawi zambiri chimayenera kusinthidwa, makamaka, Mlingo wa insulin ndi ma menus amayenera kufotokozedwa. Ngati mwana wanu ali ndi matenda ashuga, yesani kumvetsetsa njira zolimbana ndi matendawa kuposa momwe amagwiritsira ntchito "average" endocrinologist. Madokotala ayenera kuphunzitsa makolo za ana odwala, koma pochita izi samachita izi. Chifukwa chake phunzirani nokha - werengani tsamba la Diabetes-Med.Com kapena zida zoyambirira za Chingerezi za Dr. Bernstein. Lembani zambiri tsiku lililonse mu diary. Chifukwa cha izi, posachedwa mumvetsetsa momwe shuga m'magazi a mwana amakhalira, momwe amachitikira jakisoni wa insulin, zakudya zosiyanasiyana komanso zolimbitsa thupi.

Kuwongolera shuga

Muyenera kuyeza shuga osachepera kanayi pa tsiku, kapenanso kangapo. Izi zikutanthauza kuti nthawi zambiri mumayenera kuboola zala zanu ndikugwiritsa ntchito ndalama zochulukirapo pazoyesa mita. Choyamba, werengani momwe mungayang'anire mita yanu kuti ikhale yolondola. Kenako onetsetsani kuti chida chanu ndi cholondola. Osagwiritsa ntchito glucometer yomwe ili kunama, ngakhale mayesedwe ake ndiotsika mtengo, chifukwa izi zimapangitsa kuti chithandizo chonse chisapindike. Osasunga pazingwe zoyeserera, choncho simuyenera kupita kukaphwanya chithandizo cha zovuta.

Muyenera kudziwa kuti kuwonjezera pa ma glucometer, pali zida zowunikira shuga. Amavala lamba ngati pampu ya insulin. Wodwala matenda a shuga amakhala ndi chida chotere. Singano imalowetsedwa mthupi mopitilira. Sensor imayesa shuga m'magazi mphindi zochepa zilizonse ndikugawa deta kuti mutha kuigwiritsa ntchito bwino. Zipangizo zowunikira glucose mosalekeza zimapereka cholakwika chachikulu. Chifukwa chake, osavomerezeka kuti mugwiritse ntchito ngati mukufuna kuyesa matenda mu mwana. Mitsempha yamagazi yachilengedwe imakhala yolondola kwambiri.

Miyeso ya shuga pafupipafupi ndiyo njira yokhayo yothanirana ndi matenda a shuga kwa ana. Lembani pansipa nthawi ya muyezo uliwonse, zomwe mwapeza komanso zomwe zatsatana - zomwe mudadya, kuchuluka ndi insulin yamtundu wanji, zolimbitsa thupi, matenda opatsirana, nkhawa.

Osagwiritsa ntchito zomwe zimasungidwa kukumbukira, chifukwa zochitika sizinalembedwe pamenepo. Sungani cholemba, osakhala aulesi! Yesani kutenga magazi kuti mupeze osati kuchokera zala, koma kuchokera kumadera ena pakhungu.

Chida chowunikira mosamala shuga kuphatikiza ndi pampu ya insulin - chidzakhala ngati kapamba wochita kupanga. Tsopano zida zamtunduwu zikupangidwa, koma sizinayambebe zofala. Inglembetsani nkhani ya a Diabetes-Med.Com imelo kuti mumve zambiri. Musamagwiritse zida zatsopano, mankhwala, mitundu ya insulin, ikangowonekera pamsika. Yembekezani zaka zosachepera 2-3 kufikira atayesedwa ndi gulu lalikulu la odwala matenda ashuga. Musapange mwana wanu zinthu zoyeserera zoyesayesa.

Jakisoni wa insulin

Aliyense amene ali ndi matenda a shuga 1 amafunika jakisoni wa insulini kuti asafe. Tsoka ilo, ngati mumamwa insulin mkamwa, ma enzyme m'mimba amawononga. Chifukwa chake, njira yokhayo yoyendetsera ntchito ndi kudzera jakisoni. Mitundu ina ya insulin yotsitsa shuga msanga, koma lekani kuchitapo kanthu pambuyo maola ochepa. Ena amachita zinthu mosamala kwa maola 8-24.

Kuthira matenda a shuga ndi insulin ndi chidziwitso chochuluka. Muyenera kuwerengera nkhaniyi mosamala kwa masiku angapo kuti mudziwe. Mutha kubaya jakisoni wambiri nthawi zonse, koma izi sizimalola kuti muwerenge matenda bwino. Muyenera kudziwa momwe mungawerengere mulingo woyenera musanalowe jekeseni iliyonse malinga ndi momwe shuga ndi magazi zilili. Pali mitundu yosiyanasiyana ya insulin. Dr. Bernstein salimbikitsa kugwiritsa ntchito kwawo. Komanso, ngati mukusankhidwa kuti Protafan insulini yaulere, ndi bwino kusintha kuchokera ku Levemir kapena Lantus.

Ma insulin Syringes, Syringe Pens, ndi mapampu

Nthawi zambiri, ma syringe kapena ma syringe amapadera amapangira jakisoni wa insulin. Ma syringe a insulini ali ndi singano zopyapyala zapadera kuti jakisoni asayambitse kupweteka. Khola la syringe lili ngati cholembera chokhazikika, pomwe bokosi lake limakhala lodzaza ndi insulin, osati inki. Ngati mwana wanu wasamutsa chakudya chamagulu ochepa, musamujoze ndi cholembera cha insulin. Ngakhale gawo limodzi la insulin lingakhale lalitali kwambiri. Insulin ifunika kuchepetsedwa. Ikveni kuchotsekeramo cholembera, kenako ubayire insulini ndi syringe.

Pampu ya insulin ndi chipangizo chofanana ndi foni ya m'manja. Pompo pali chosungira chokhala ndi insulin komanso chipangizo chowongolera pakompyuta. Chubu yowoneka bwino imachokera, yomwe imatha ndi singano. Chipangizocho chimavalidwa pa lamba, ndi singano yomata pansi pa khungu pamimba ndikukhazikika. Pampu imapangidwa kuti ipereke insulin nthawi zambiri m'magawo ang'onoang'ono odwala. Ku West, mapampu a insulin nthawi zambiri amagwiritsidwa ntchito kuwongolera matenda a shuga kwa ana. Komabe, zidazi ndizodula kwambiri. Poyerekeza ndi syringe yachizolowezi, ali ndi zovuta zina. Werengani nkhani "Pampu ya Insulin: Zabwino ndi Zowawa" mwatsatanetsatane.

Mankhwala opanda insulin

Kuthandiza ana popanda insulini ndi mutu womwe umasangalatsa makolo ambiri omwe mwana wawo wadwala posachedwapa. Kodi matenda amshuga 1 angachiritsidwe popanda insulini? Mphekesera zakuti mankhwala adapangidwa kuyambira kalekale omwe amachiritsa matenda osokoneza bongo kwa ana ndi akulu mpaka kalekale. Makolo ambiri a ana odwala amakhulupirira zikhulupiriro zabodza. Amakhulupirira kuti olamulira amadziwa njira yochizira matenda ashuga a autoimmune, koma abiseni.

Mwaukadaulo, mankhwala amatsenga adalibe. Palibe mapiritsi, opaleshoni, mapemphero, zakudya zosaphika, bioenergy, kapena njira zina zamankhwala zimapangitsa kuti anthu odwala matenda a shuga akane jakisoni wa insulin. Komabe, ngati mutasamutsa wodwalayo chakudya chamagulu ochepa, ndiye kuti nthawi ya kukondana kwake imatha kupitilira - kwa miyezi yambiri, zaka zingapo, komanso moyenerera.

Charlatans alonjeza kuchiritsa matenda osokoneza bongo kwa mwana wopanda insulin

Kuti mwana yemwe ali ndi matenda a shuga a mtundu woyamba azitha kukhala bwino ndi shuga wabwinobwino popanda jakisoni tsiku lililonse, ayenera kutsatira kwambiri zakudya zamagulu ochepa. Ndi kuthekera kwakukulu, izi zimapangitsa kuti shuga asakhazikike kuposa 4-5,5 mmol / L. Komabe, zakudya ziyenera kuyang'aniridwa mosamalitsa. Simungathe kudya zipatso, komanso, zakudya zina zoletsedwa. Izi nthawi zambiri zimakhala zovuta kwa wodwala komanso abale ena.

Chakudya chamafuta ochepa sichimapangitsa kukana jakisoni wa ana ndi akulu omwe ali ndi mbiri yakale ya matenda ashuga 1 omwe pambuyo pake adaphunzira za njirayi. Mu odwala oterewa, amachepetsa Mlingo wa insulin tsiku lililonse 2-7, amathandizira shuga m'magazi motero amakhala bwino ndi matendawa. Ngati wodwala matenda ashuga apita zakudya zamagulu ochepa pambuyo pake matendawa, pomwepo tchuthi chake chimakhala kwa miyezi yambiri, zaka zingapo, kapenanso kwa moyo wonse. Mulimonsemo, muyenera kuyeza shuga kangapo tsiku lililonse. Muyeneranso kubayira insulin nthawi ya chimfine ndi matenda ena opatsirana.

Zochita zolimbitsa thupi

Munthu aliyense amafunika kuchita masewera olimbitsa thupi nthawi zonse. Ana omwe ali ndi matenda ashuga - makamaka. Kuchita masewera olimbitsa thupi kumathandizira matenda amtundu wa 2 shuga, koma sikuchotsa zomwe zimayambitsa matenda 1. Osayesa kuyimitsa kuukira kwa autoimmune pama cell a pancreatic beta okhala ndi zochitika zolimbitsa thupi. Komabe, maphunziro akuthupi amasintha moyo wabwino. Maphunziro a zovina ndi mtundu wina wa masewera adzapindula. Yesani kuyeserera naye.

Mwa anthu omwe ali ndi matenda amtundu woyamba wa shuga, kuchita masewera olimbitsa thupi kumakhudza kwambiri shuga. Nthawi zambiri zimatsitsa, ndipo zotsatira zake zimatha kumveka maola 12 mpaka 4 kuchokera kumapeto kwa kulimbitsa thupi. Komabe, nthawi zina masewera olimbitsa thupi amawonjezera shuga. Zimakhala zovuta kuzolowera izi. Mukamasewera masewera, mumayenera kuyeza shuga ndi glucometer pafupipafupi kuposa masiku onse. Komabe, maphunziro azolimbitsa thupi amapindulitsa nthawi zambiri kuposa kuvutikira. Kuphatikiza apo, ngati kuli kotheka kuwongolera matenda osokoneza bongo kwa mwana ndi zakudya zamagulu ochepa, nthawi zambiri popanda jakisoni wa insulini kapena kuchuluka kwake.

Maluso a kholo

Makolo a mwana yemwe ali ndi matenda ashuga ndiwo amachititsa. Kusamalira kumatenga nthawi yambiri komanso khama. Kuphunzitsa munthu kuchokera kunja kudzakusinthani ndizokayikitsa. Chifukwa chake, m'modzi wa makolo angafunike kukhala ndi mwana nthawi zonse.

Mndandanda wa maluso omwe makolo ayenera kuphunzira:

• Dziwani Zizindikiro ndi kuchitapo kanthu mwadzidzidzi pamavuto owopsa: hypoglycemia, shuga wokwera kwambiri, ketoacidosis;
• Pimani shuga m'magazi ndi glucometer;
• Muwerenge kuchuluka kwa insulin, kutengera mphamvu ya shuga;
• Kupereka jakisoni wa insulin mopweteka;
• Dyetsani chakudya choyenera, mulimbikitseni kutsatira zakudya;
• Pitilizani kuchita masewera olimbitsa thupi, kuchitira limodzi zolimbitsa thupi;
• Pangani ubale ndi aphunzitsi amasukulu ndi oyang'anira;
• Yesetsani kuchita bwino kuchipatala mukagonekedwa matenda a shuga kapena matenda ena.

Mavuto owopsa a shuga 1 amtundu wa ana ali ndi shuga wambiri (hyperglycemia, ketoacidosis), shuga wochepa (hypoglycemia), ndi kusowa kwamadzi. Mu mwana aliyense, zizindikiro za zovuta zowopsa zimadziwonetsa mosiyanasiyana. Ana ena amakhala owopsa, ena amakhala osokonekera, osokonekera komanso ankhanza. Kodi ndizizindikiro ziti za mwana - makolo ayenera kudziwa, komanso aliyense amene amalankhula naye masana, makamaka antchito aku sukulu.

Nthawi Yachisoni (Kuchotsedwa)

Wodwala yemwe ali ndi matenda a shuga 1 amayamba kulandira jakisoni wa insulin, ndiye kuti thanzi lake limayenda bwino patatha masiku kapena milungu ingapo. Iyi imatchedwa nthawi ya tchuthi. Pakadali pano, kuchuluka kwa glucose m'magazi kumatha kutengera zomwe zimapangitsa kuti insulini itheretu. Shuga wamagazi amasungidwa bwino popanda jakisoni wa insulin. Madokotala nthawi zonse amachenjeza ana ndi makolo awo kuti nthawi ya tchuthi sichitali. Phwando laukwati sizitanthauza kuti matenda ashuga achiritsidwa. Matendawa amangodzerera kwakanthawi.

Ngati, atazindikira, mwanayo amatha kusintha zakudya zamagulu ochepa, ndiye kuti gawo laukwati lidzakhala nthawi yayitali. Imatha kutalika kwa zaka zingapo. Mwachidziwitso, tchuthi cha tchuthi chitha kutalikitsidwa kwa moyo wonse.

Mwana wa matenda ashuga kusukulu

Monga lamulo, m'maiko olankhula Chirasha, ana omwe ali ndi matenda ashuga amapita kusukulu yokhazikika. Izi zimatha kukhala vuto kwa iwo eni, komanso kwa iwo omwe amakhala nawo pafupi. Makolo ayenera kukumbukira kuti:

• aphunzitsi satha kudziwa za matenda ashuga;
• mavuto anu apadera, kuyika pang'ono, alibe chidwi;
• ndipo, ngati cholakwika chichitikira mwana, ogwira ntchito kusukulu ndi amene amakhala ndi mlandu, ngakhale wolakwa.

Ngati mungasankhe sukulu yabwinobwino, ndikugwiritsanso ntchito njira ya "karoti ndi kumamatira" kwa ogwira nawo ntchito, pamenepo makolo ayenera kuonetsetsa kuti zonse zili bwino ndi mwana wodwala matenda ashuga kusukulu. Koma kuti muchite izi, muyenera kuyesa, kenako nthawi yonseyo kuti muziwongolera zinthu, osangozisiyira zokha.

Makolo afunika kukambirana za izi pasadakhale ndi mphunzitsi wa kalasi, mphunzitsi wamkulu pasukulu, ngakhale ndi aphunzitsi onse omwe amaphunzitsa mwana wawo. Mphunzitsi wophunzitsa masewera olimbitsa thupi omwe amaphunzitsa masewera olimbitsa thupi ayenera kusamalidwa mwapadera ngati mungapite nawo m'makalasi ngati amenewa.

Zakudya zopatsa thanzi komanso jakisoni wa insulin

Nkhani yofunikira ndi zakudya m'chipinda chodyera cha sukulu, komanso jakisoni wa insulin musanadye. Ogwira ntchito aku Canteen ayenera kudziwa mtundu wa chakudya chomwe mwana wanu angapatse komanso chomwe sangathe. Chachikulu ndikuti iye mwini ayenera kudziwa ndikumva "pakhungu lake" zomwe zimapangitsa zinthu zomwe zaletsedwa zimamuchitira.

Pangani dongosolo ladzidzidzi la mwana wanu kusukulu, komanso panjira yobwerera komanso kuchokera kusukulu. Nanga bwanji ngati chikwama cham'mabuku chokhala ndi chakudya chatsekedwa mkalasi? Kodi muyenera kuchita chiyani ngati anzanu akusukulu atanyoza? Kutsamira pamalo okwera? Ndataya kiyi yanu yanyumba?

Ndikofunika kuti mwana apeze zomwe amakonda. Yesetsani kukulitsa luso lake. Ndiosayenera kuletsa mwana kusewera masewera, kuyendera maulendo, ma mugs, ndi zina zotere. Pazonsezi, ayenera kukhala ndi lingaliro la momwe angapewere hypoglycemia kapena kusiya kaye zomwe akuonetsa.

Zadzidzidzi Kusukulu

Osadalira kwambiri aphunzitsi ndi namwino wasukulu. Mwana wazaka sukulu ayenera kuphunzitsidwa kuti azidzisamalira. Inu ndi iye muyenera kuganizira zochulukirapo pasadakhale ndi kukhazikitsa dongosolo loti muchitepo kanthu. Nthawi yomweyo, ntchito yayikulu ndikuyimitsa hypoglycemia munthawi yake, ngati zingachitike, kuti musataye chikumbumtima.

Ana omwe ali ndi matenda ashuga ayenera kukhala ndi magawo ochepa a shuga kapena maswiti ena omwe amakakamizidwa msanga. Zakumwa zokoma ndizoyeneranso. Mwana akapita kusukulu, maswiti ayenera kukhala m'matumba a jekete, chikhoto, yunifomu ya kusukulu, komanso gawo lina muzochitika.

Kuvutitsidwa kwa ana kuposa anzawo osatetezeka ndi kovuta. Ana omwe ali ndi matenda a shuga ali pachiwopsezo cha hypoglycemia yayikulu chifukwa cha kupsinjika, ndewu, komanso ngati ophunzira mkalasi atabisa chikwama chokhala ndi maswiti osungira. Ndikofunikira kuti makolo awonetsetse kuti mphunzitsi wa mwana wawo wamaphunziro akhale wokwanira.

Mwanayo ayenera kumvetsetsa bwino kuti ndi zizindikiro zoyambirira za hypoglycemia, ayenera kudya ndi kudya kapena kumwa chinthu chokoma. Izi zikuyenera kuchitika nthawi yomweyo, phunziroli. Ayenera kutsimikiza kuti mphunzitsiyo sadzamulanga chifukwa cha izi, ndipo ophunzira anzake sadzaseka.

Ana omwe ali ndi shuga yayikulu amakhala ndi chidwi chofuna kukodza, chifukwa chake nthawi zambiri amapempha chimbudzi mkalasi. Makolo akuyenera kuwonetsetsa kuti aphunzitsi azindikira izi mwachizolowezi ndikusiya mwana wawo kuti apite. Ndipo ngati pali kunyozedwa kuchokera kwa anzanu akusukulu, ndiye kuti ayimitsidwa.

Ino ndi nthawi yabwino kukumbutsaninso: Zakudya zamafuta ochepa zimathandizira kukhala ndi shuga wabwinobwino ndi shuga, komanso kuchepetsa matalikidwe ake.Zakudya zocheperako zomwe mwana yemwe ali ndi matenda a shuga atha kukhala nazo, zovuta zochepa zomwe adzakhala nazo. Kuphatikiza, palibe chifukwa chothamangira ku chimbudzi mkalasi. Mwina zitheka kupezeka popanda jakisoni wa insulin konse, kupatula nthawi ya chimfine.

Mavuto a shuga kwa ana

Matenda a shuga ndi matenda oopsa chifukwa cha zovuta zake. Mavuto a kagayidwe ka glucose amasokoneza ntchito pafupifupi machitidwe onse mthupi. Choyamba, mtima ndi mitsempha yamagazi yomwe imadyetsa, komanso dongosolo lamanjenje, maso ndi impso, zowonongeka. Ngati matenda a shuga sawongoleredwa bwino, ndiye kuti kukula ndi kukula kwa mwana kumalepheretsa, IQ yake imachepa.

Matenda a matenda amtundu 1 amakula ngati shuga m'magazi akwezedwa mokhazikika kapena kudumphira mmbuyo ndi mtsogolo. Nayi mindandanda yazifupi:

• Matenda a mtima. Chiwopsezo cha angina pectoris (kupweteka pachifuwa) ndichulukirapo nthawi zambiri, ngakhale mwa ana. Paubwana, atherosclerosis, vuto la mtima, stroke, komanso kuthamanga kwa magazi kumatha kuchitika.
• Neuropathy - kuwonongeka kwamanjenje. Kuchuluka kwa shuga m'magazi kumasokoneza kugwira ntchito kwa mitsempha, makamaka m'miyendo. Izi zimatha kubweretsa nkhawa, ululu, kapena mosemphanitsa, kulephera kumva m'miyendo.
• Nephropathy ndi kuwonongeka kwa impso. Pali glomeruli mu impso zomwe zimasefa zinyalala kuchokera magazi. LED imawonongera zinthuzi. Popita nthawi, kulephera kwa impso kumayamba, kuyimba kapena kufalitsa impso kukufunika. Izi sizichitika muubwana komanso unyamata, koma kale ali ndi zaka 20-30 ndizotheka.
• Retinopathy ndikusinthika kwa masomphenya. Kuwonongeka kwa mitsempha yamagazi yomwe imadyetsa maso kumatha kuchitika. Izi zimayambitsa zotupa m'maso, chiopsezo chowonjezeka chamatumbo ndi glaucoma. Ovuta kwambiri, odwala matenda ashuga amakhala khungu.
• Mavuto amendo. Pali zosokoneza pakumverera kwamanjenje kumapazi, komanso kuwonongeka kwa kayendedwe ka magazi m'miyendo. Chifukwa cha izi, kuwonongeka kulikonse kwa miyendo sikuchira bwino. Ngati ali ndi kachilomboka, zimayambitsa matenda osokoneza bongo, ndipo ayenera kuduladula. Muubwana ndi unyamata, izi sizimachitika kawirikawiri, koma dzanzi kumapazi - zimachitika.
• Khungu losauka. Odwala, khungu limakhala pachiwopsezo cha mabakiteriya ndi bowa. Itha kuyimilira ndi kusenda.
• Matendawa Maminolo amatsukidwa mafupa. Mafupa osalimba amatha kubweretsa mavuto ngakhale paubwana komanso unyamata. Osteoporosis mu ukalamba ndizotheka kwambiri.

1. Ngati matenda a shuga amawongoleredwa mosamala, zovuta sizimachitika;
2. Kusunga shuga wambiri m'magazi ndikosavuta ngati muthanso kudya zakudya zamagulu ochepa.

Mavuto a mtima (osachedwa) a shuga kwa ana ndi osowa. Chifukwa chakuti alibe nthawi yopeza matendawa. Komabe, mwana yemwe ali ndi matenda a shuga a mtundu woyamba kapena wachiwiri amafunika kumuunika chaka chilichonse kuti awone momwe impso zake zimagwirira ntchito komanso ngati pali zovuta zina m'maso mwake.

Mavuto akayamba, madokotala amakupatsani mankhwala, ndikuthandizanso m'njira zosiyanasiyana. Mwanjira inayake, zonsezi zimathandiza kuchepetsa kuchepa kwa thanzi. Koma choyenera kwambiri pakuchiza ndi kupewa zovuta ndizotheka ndikukwaniritsa shuga yabwinobwino.

Pangani shuga wanu pafupipafupi ndi glucometer - ndipo onetsetsani kuti zakudya zamafuta ochepa zimathandiza, koma zopatsa thanzi sizithandiza.

Palibe njira zinanso zomwe zingapatse gawo limodzi mwa magawo anayi alionse momwe glucose amabweretsera zotsatira zabwino. Wodwala akamatha kusungitsa shuga m'magazi ake pafupipafupi, zovuta zambiri za matenda ashuga zimatha. Ngakhale kuwonongeka kwambiri kwa impso ndi mitsempha yamagazi kumadutsa.

Ngati makolowo ndi mwana wakeyo akufuna kupewetsa zovuta, ndiye kuti ayesetsa kuti alandire chiphuphu chifukwa cha matendawa. Njira zabwino zochitira izi ndikudya zakudya zochepa za anthu odwala matenda ashuga. Amayenera kudya zakudya zokhala ndi mapuloteni ambiri, mafuta abwinobwino achilengedwe.

Ulendo wapachaka

Akangozindikira kuti ali ndi matenda, mwana ayenera kupita naye kwa ophthalmologist kuti akamufufuze. M'tsogolomu, mutakhala ndi shuga kuyambira 2 mpaka 5, muyenera kuyesedwa ndi akatswiri a zamankhwala chaka chilichonse, kuyambira zaka 11. Ndi matenda atatenga zaka 5 kapena kupitilira - kuyezetsa kwapachaka ndi ophthalmologist, kuyambira zaka 9. Ndikofunika kuti musachite m'chipatala, koma kuchipatala chapadera cha odwala matenda ashuga.

Kodi katswiri wa maso amatenga chidwi ndi chiyani poyang'ana ana omwe ali ndi matenda ashuga:

• amayesa matope ndimaso;
• visiometry;
• kuchuluka kwa mavuto a intraocular - otsimikiza kamodzi pachaka kwa odwala omwe ali ndi nthawi yayitali zaka 10 kapena kuposerapo;
• amachititsa biomicroscopy wa anterior eye.

• mandala ndi vitreous biomicroscopy pogwiritsa ntchito nyali;
• kusinthanitsa mwachindunji ndi mwachindunji kwa ophthalmoscopy kumachitika - motsatizana kuyambira pakatikati mpaka kufalikira kowopsa, mu meridians yonse;
• pendani mosamala malo a optic disc ndi dera la macular;
• kupenda thupi lamphamvu ndi retina pa nyali yoyaka pogwiritsa ntchito mandala atatu a Goldman;
• kujambula fundus pogwiritsa ntchito kamera yotsogola kapena kamera yopanda masewera; Lembani zomwe zalandilidwa mwamagetsi.

Njira zodziwika kwambiri za matenda a retinopathy (kuwonongeka kwa maso ndi matenda ashuga) ndi kujambula zithunzi za stereoscopic fundus ndi angiography ya fluorescein. Kutengera ndi zotsatira za mayeso, dokotalayo atha kukuwuzani ndondomeko ya panretinal laser Photocoagulation. Mwa odwala ambiri, njirayi imachepetsa kuwonongeka kwamaso ndi 50%.

Mavuto a Matenda a Impso

Pofuna kudziwa momwe impso zimakhudzira nthawi, wodwalayo amafunika kuyesa magazi nthawi zonse kuti apange protein. Ngati mapuloteni awonekera mkodzo, zikutanthauza kuti ntchito yosefera impso yaipiraipira. Choyamba, Albinin amapezeka mkodzo, kenako mamolekyulu a mapuloteni ena, okulirapo kukula. Ngati mkodzo mulibe mapuloteni, ndibwino.

Ndi matenda atatha zaka 2-5 - kuyesa kwa mkodzo kwa albuminuria, mwana ayenera kumwedwa chaka chilichonse, kuyambira ali ndi zaka 11. Ngati matenda a shuga amatha zaka 5 kapena kupitilira - kuyambira zaka zapakati pa 9. Albumin mkodzo amatha kuwoneka osati chifukwa cha kuwonongeka kwa impso, komanso chifukwa china, makamaka, atatha kulimbitsa thupi.

Masiku 2-3 asanafike pakubwera mayeso a mkodzo kwa albuminuria, simungathe kusewera masewera. Poletsa zina, funsani kwa dokotala komanso mu labotale komwe mukayezetsa.

Creatinine ndi mtundu wa zinyalala zomwe impso zimachotsa magazi. Ngati impso imagwira ntchito molakwika, ndiye kuti mlingo wa creatinine m'magazi umakwera. Zomwe sizofunikira si indexin yaini, koma kuchuluka kwa impso. Kuti muwerenge, muyenera kudziwa zotsatira za kuyezetsa magazi kwa creatinine, komanso kuganizira za jenda ndi zaka za wodwalayo. Kuwerengera pogwiritsa ntchito ma Calculator apadera omwe amapezeka pa intaneti.

Nthawi yayitali

Matenda a shuga kwa mwana ndi matenda osachiritsika. Njira zoyendetsera kagayidwe ka glucose ziyenera kulangizidwa tsiku lililonse, popanda kusokonezedwa. Gwiritsani ntchito mfundo yoti uwu ndi moyo wonse. Chithandizo cham'magazi a matenda amtundu wa 1 chiziwoneka posachedwa, koma zikachitika, palibe amene akudziwa. Zochita tsiku ndi tsiku zopewetsa matenda a shuga ndizoyenera kugwiritsa ntchito nthawi, khama komanso ndalama. Chifukwa amachepetsa chiopsezo chovuta kwambiri komanso chovuta. Mwana adzakula ndikukula bwino, monga anzanu athanzi.

• Mulimbikitseni kuti azilamulira yekha shuga, osadalira makolo ake.
• Kambiranani ndi mwana wanu za kufunika kokhalitsa mosamala tsiku ndi tsiku.
• Wodwalayo ayenera kuphunzira kuyesa shuga wake wamagazi, kuwerengetsa kuchuluka kwa insulini ndikupereka jakisoni.
• Thandizani kutsatira zakudya, gonjetsani chiyeso chodya zakudya zoletsedwa.
• Chitani masewera olimbitsa thupi limodzi, khalani chitsanzo chabwino.

Mwana akalandira jakisoni wa insulin, ndiye kuti ndikofunika kuvala chibangili. Panthawi yovuta, izi zidzathandizira ntchito ya madotolo ndikuwonjezera mwayi woti zonse zitha mosangalala. Werengani zambiri mu nkhani ya "othandizira odwala matenda ashuga. Zomwe muyenera kukhala kunyumba komanso nanu. "

Mavuto azamisala, momwe mungathetsere

Matenda a shuga amakhudza kwambiri momwe akumvera, mwachindunji komanso m'njira zosamveka. Shuga wochepa amachititsa kukwiya, manjenje, kukwiya. Makolo ndi anthu ena odwala matenda ashuga ayenera kudziwa zoyenera kuchita pankhaniyi. Werengani nkhani "Hypoglycemia - Zizindikiro, Kupewa ndi Chithandizo." Kumbukirani kuti wodwalayo alibe zolinga zoyipa. Muthandize kuletsa kuukira kwa hypoglycemia - ndipo abwereranso ku nthawi yake yokhazikika.

Ana amakhala ndi nkhawa kwambiri pamene matendawa amawasiyanitsa ndi anzawo. Ndikofunika kuti mwana kusukulu amayeza shuga yake ndi kubayirira insulini kuti asayang'ane ndi ophunzira anzake. Popeza azidzadya mosiyana ndi omwe amakhala pafupi naye, mulimonsemo adzakopa chidwi. Koma izi ndizosatheka kupewa. Ngati mumadya zakudya wamba, ndiye kuti mavuto amakula. Zotsatira zoyeserera ziyamba kuwonongeka kuyambira paunyamata, ndipo zizindikilo zizindikirika panthawi yomwe anthu athanzi amayambitsa mabanja. Zakudya zamafuta ochepa ziyenera kutsatiridwa mwachangu chomwe Achisilamu ndi Ayuda achi Orthodox amakana nkhumba.

Achinyamata amakhala ndi mavuto apadera amisala. Nthawi zambiri amayesa kubisa matenda awo kwa abwenzi ndi atsikana. Atsikana amachepetsa ma insulin kuti achepetse thupi, ngakhale kuti shuga yawo imakwera. Ngati wachinyamata samvetsa chifukwa chake ayenera kutsatira zakudya, amadya mobisa zakudya.

Ndizowopsa kwambiri ngati mwana apandukira makolo ake, naphwanya boma, osalipira insulin, sayeza shuga, etc. Izi zitha kubweretsa zotsatira zosasinthika, kuwononga zotsatira za chithandizo zaka zambiri zomwe zachitika kuyambira ali mwana.

Makolo sangakhale ndi zovuta zamavuto aunyamata, omwe alembedwa pamwambapa. Olemba magawo adalangiza makolo kuti azilankhula ndi psychotherapist ngati azindikira kuti mwana wawo wachinyamata ali ndi mavuto - magwiridwe antchito aku sukulu atsika, kugona tulo tambiri, kuchepa thupi, kuwoneka wokhumudwa, etc. Koma pochita, wakunja sangayerekeze kuthandiza . Ngati mwana wanu ali ndi matenda ashuga, yesetsani kukhala ndi ana ambiri. Samalani nawonso, osati kwa wachibale wina amene akudwala.

Mapeto

Zindikirani kuti mkhalidwe womwe muliwo ndi waukulu. Palibe piritsi yamatsenga yomwe imatha kuchiritsa matenda amtundu wa shuga 1 ilipo. Kuchepa kwa glucose kagayidwe kachakudya komwe kumakhudza kwambiri ubongo komanso thanzi la mwana, ndikamupangitsa kukhala wolumala. Komabe, zakudya zamagulu ochepa zam'mimba komanso ma jakisoni ochepa a insulin amalola kuyendetsa bwino matenda.

Ana omwe zakudya zawo ndizochepa mu chakudya zimakula bwino, monga anzawo athanzi. Chifukwa chakudya samatenga nawo mbali panjira za kukula ndi kukula. Phunzirani kusunga shuga wokhazikika - ndipo zovuta zimatsimikiziridwa kuti zikukudutsani. Pomwe muli nazo pali ndalama zokwanira kukwaniritsa cholinga ichi. Palibenso chifukwa chomwa insulin kapena chida china chodula. Chinthu chachikulu chomwe mukufuna ndi kulanga. Werengani nkhani za anthu omwe amawongolera matendawa ana awo patsamba la Diabetes-Med.Com ndipo mutengere zitsanzo.