Mtundu woyamba wa shuga mu ana. Mtundu woyamba wa shuga mu ana

Mwana kapena wachinyamata akayamba kudwala matenda ashuga, ndiye kuti pamakhala mwayi woposa 85% woti akhale mtundu woyamba wa matenda a shuga. Ngakhale m'zaka za zana la 21, matenda a shuga a 2 nawonso ndi "achichepere" kwambiri. Tsopano ana onenepa kwambiri wazaka 10 zadwala. Mwana akayamba kudwala matenda ashuga, ndiye kuti ili ndi vuto lalikulu la moyo wautali kwa achinyamata ndi makolo awo. Musanayang'anire mankhwala a ana 1 a matenda ashuga mu ana, werengani nkhani yathu yayikulu, "Matenda a shuga mu Ana ndi Achinyamata."

Munkhaniyi, muphunzira zonse zomwe mukufuna pokhudzana ndi kupezeka kwa matenda a shuga 1 a ana. Kuphatikiza apo, timasindikiza zofunikira mu Russian kwa nthawi yoyamba. Iyi ndi njira yathu "yapadera" (chakudya chamagulu owonjezera) kuti muthane ndi shuga m'magazi a shuga. Tsopano, odwala matenda ashuga amatha kukhalabe ndi moyo wabwino, ngati anthu athanzi.

Choyamba, adotolo ayenera kudziwa mtundu wa matenda omwe mwana akudwala nawo. Izi zimatchedwa kuzindikira kusiyanitsa mtundu 1 ndi matenda ashuga 2. Palinso mitundu ina ya matendawa, ngakhale ndiyosowa.

Zizindikiro za matenda amtundu wa 1 ana

Funsoli likufotokozedwa mwatsatanetsatane m'nkhani yakuti "Zizindikiro za matenda a shuga kwa ana." Zizindikiro za matenda ashuga amtundu woyamba zimasiyana mu makanda, ana amasukulu, ana amasukulu oyambira, ndi achinyamata. Izi ndizothandiza kwa makolo ndi madotolo a ana. Madokotala nthawi zambiri "amalemba" zizindikiro za matenda ashuga kufikira mwana atakomoka chifukwa cha shuga wambiri.

Matenda A shuga ndi Matenda a Chithokomiro

Matenda a shuga a Type 1 ndi matenda a autoimmune. Zimayambitsidwa ndi kulephera kwa chitetezo cha mthupi. Chifukwa cha kuvulala kumeneku, ma antibodies amayamba kuukira ndikuwononga ma cell a pancreatic beta omwe amapanga insulin. Zosadabwitsa kuti matenda ena a autoimmune nthawi zambiri amapezeka mwa ana omwe ali ndi matenda ashuga 1.

Nthawi zambiri, chitetezo cham'makampani chokhala ndi maselo a beta chimatsutsana ndi chithokomiro cha chithokomiro. Izi zimatchedwa autoimmune chithokomiro. Ana ambiri odwala matenda amtundu wa 1 alibe zizindikiro. Koma m'mawu osavutikawa, chithokomiro cha autoimmune chimayambitsa kuchepa kwa chithokomiro. Palinso milandu yochepa kwambiri pomwe iye, M'malo mwake, amawonjezera ntchito yake, ndipo hyperthyroidism imachitika.

Mwana yemwe ali ndi matenda a shuga a mtundu woyamba amayenera kuyesedwa kuti asamatayike. Muyeneranso kuyesedwa chaka chilichonse kuti muwone ngati matenda a chithokomiro akula nthawi imeneyi. Kwa izi, kuyesa kwa magazi kwa mahomoni olimbikitsa chithokomiro (TSH) kumachitika. Ndi mahomoni omwe amadzutsa chithokomiro cha chithokomiro. Ngati mavuto apezeka, endocrinologist amalembera mapiritsi, ndipo adzasintha kwambiri thanzi la odwala matenda ashuga.

Chithandizo cha matenda amtundu 1 a ana

Chithandizo cha matenda a shuga 1 amtundu wa ana ndichilengedwe:

• maphunziro pakudziyang'anira pawokha magazi ndi glucometer;
• kudziyang'anira pafupipafupi kunyumba;
• kudya;
• jakisoni wa insulin;
• masewera olimbitsa thupi (masewera ndi masewera - machiritso olimbitsa thupi a shuga);
• thandizo lamalingaliro.

Iliyonse mwa mfundozi ndiyofunikira kuti chithandizo cha matenda amtundu wa shuga 1 chikhale bwino. Amachitidwa, nthawi zambiri, pamtunda wopita kunja, i.e kunyumba kapena masana kukayikidwa ndi dokotala. Ngati mwana yemwe ali ndi matenda ashuga ali ndi zizindikiro zowopsa, ndiye kuti ayenera kuyamwa kuchipatala. Nthawi zambiri, ana omwe ali ndi matenda amtundu woyamba amakhala kuchipatala kawiri pachaka.

Cholinga chothandizira matenda ashuga amtundu woyamba kwa ana ndikuwonetsetsa kuti shuga ali pafupi kwambiri ndi momwe angathere. Izi zimatchedwa "kulipiritsa anthu odwala matenda ashuga." Ngati matenda ashuga amalipidwa bwino ndi chithandizo, ndiye kuti mwana adzakula bwino ndipo amakula, zovuta zake zidzakhazikitsidwa mochedwa kapena sizidzawonekeranso.

Zolinga zochizira matenda a shuga kwa ana ndi achinyamata

Kodi ndi mfundo ziti za shuga zomwe ndimalimbikitse ana omwe ali ndi matenda ashuga 1? Asayansi ndi akatswiri amavomereza mogwirizana kuti kufupika kwa shuga wamagazi kumakhala kosavuta, ndibwino. Chifukwa pamenepa, odwala matenda ashuga amakhala ngati munthu wathanzi, ndipo samakula.

Vutoli ndikuti odwala omwe ali ndi matenda a shuga omwe amalandiridwa jakisoni wa insulin, atayandikira kwambiri magazi abwinobwino, amakhala pachiwopsezo chotenga matenda a hypoglycemia, kuphatikizapo oopsa. Izi zikugwira ntchito kwa odwala onse omwe ali ndi matenda a shuga 1. Kuphatikiza apo, mwa ana odwala matenda ashuga, chiopsezo cha hypoglycemia ndi chokwera kwambiri. Chifukwa amadya mosasamala, ndipo kuchuluka kwa zolimbitsa thupi kwa mwana kumatha kukhala kosiyana kwambiri pamasiku osiyana.

Kutengera izi, tikulimbikitsidwa kuti tisachepetse shuga m'magazi a ana omwe ali ndi matenda ashuga 1 kuti akhale abwinobwino, koma kuti akhalebe ndi moyo wokwanira. Ayi sichoncho. Pambuyo kuchuluka kwa manambala, zinaonekeratu kuti kukulitsa kwa vuto la mtima wamatenda a shuga ndizowopsa kuposa chiwopsezo cha hypoglycemia. Chifukwa chake, kuyambira 2013, American Diabetes Association yalimbikitsa kuti azisunga hemoglobin wa glycated mwa ana onse odwala matenda ashuga ochepera 7.5%. Mfundo zake zapamwamba ndizovulaza, osati zofunika.

Mulingo wama glucose wamagazi, kutengera zaka za mwana yemwe ali ndi matenda a shuga 1

Zindikirani manambala a hemoglobin omwe ali mgulu lomaliza la tebulo. Ichi ndi chizindikiro chomwe chikuwonetsa kuchuluka kwa shuga m'magazi atatu apitawa. Kuyesedwa kwa magazi kwa hemoglobin kwa glycated kumatengedwa pakapita miyezi ingapo kuti awone ngati wodwalayo adalandiridwa bwino kale.

Kodi ana omwe ali ndi matenda a shuga 1 amatha kukhalabe ndi shuga?

Pazidziwitso zanu, momwe zimakhalira ndi glycated hemoglobin m'magazi a anthu athanzi popanda kunenepa kwambiri ndi 4.2% - 4.6%. Titha kuwona kuchokera pagome pamwambapa kuti mankhwala amalimbikitsa kusunga shuga m'magazi mwa ana omwe ali ndi matenda amtundu wa 1 osachepera 1.6 nthawi zoposa zofanana. Izi zimaphatikizidwa ndi chiopsezo chowonjezeka cha hypoglycemia mwa achinyamata odwala matenda ashuga.

Tsamba lathu lidapangidwa ndi cholinga chofalitsa chidziwitso cha chakudya chamagulu ochepa a matenda a shuga a mtundu 1 ndi mtundu 2. Zakudya zokhala ndi choletsa chamagulu ochulukirapo m'zakudya zimalola anthu akuluakulu ndi ana omwe ali ndi matenda ashuga kukhalabe ndi shuga m'magazi ofanana ndi anthu athanzi. Kuti mumve zambiri, onani pansipa m'gawo lakuti "Zakudya za mtundu woyamba wa shuga kwa ana."

Funso lofunika kwambiri: mukamachiza matenda ashuga amitundu 1 mwa mwana, kodi kuli koyenera kuyesetsa kuti muchepetse shuga? Makolo angachite izi “pangozi zawo.” Kumbukirani kuti ngakhale gawo limodzi lokha la hypoglycemia lingawononge ubongo kosatha ndikupangitsa mwana kukhala wolumala kwa moyo wake wonse.

Komabe, zakudya zochepa zomwe mwana amadya, ndiye kuti angafunikire insulini yochepa. Ndipo kuchepa kwa insulin, kumachepetsa chiopsezo cha hypoglycemia. Mwana akapitirira kudya zakudya zamagulu ochepa, ndiye kuti mlingo wa insulin umachepetsedwa kangapo. Amatha kukhala osafunikira kwenikweni, poyerekeza ndi kuchuluka kwa insulin kale. Likukhalira kuti mwayi wa hypoglycemia nawonso umachepetsedwa.

Kuphatikiza apo, ngati mwana atayamba kudya zakudya zamagulu ochepa atazindikira mtundu woyamba wa matenda a shuga, ndiye kuti gawo la "tchuthi" lidzatha. Imatha kutalika kwa zaka zingapo, ndipo ngati muli ndi mwayi, ndiye kuti moyo wanu wonse. Chifukwa choti katundu wazakudya zam'mimba paz kapamba amachepa, ndipo maselo ake a beta sangawonongeke mwachangu.

Kutsiliza: ngati mwana yemwe ali ndi matenda a mtundu woyamba 1, kuyambira m'badwo wa "kindergarten", amasinthana ndi kudya zakudya zamagulu ochepa, ndiye kuti pali zabwino zake. Shuga wamagazi amatha kusungidwa pamlingo wofanana ndi wa anthu athanzi. Chiwopsezo cha hypoglycemia sichingachuluke, koma kuchepa, chifukwa mlingo wa insulin udzachepetsedwa kangapo. Nthawi yaukwatiyo imatha kukhala nthawi yayitali.

Komabe, makolo omwe amasankha mankhwalawa amtundu wa matenda ashuga amtundu wa mwana wawo amatenga pangozi yawo. Adokotala anu a endocrinologist atenga izi "mwaukali", chifukwa zimatsutsana ndi malangizo a Unduna wa Zaumoyo, omwe tsopano akuchita. Tikupangira kuti muyambe muwonetsetsa kuti mukugwiritsa ntchito mita yolondola ya shuga. M'masiku ochepa a "moyo watsopano", yeretsani magazi pafupipafupi, yang'anani zochitika mosalekeza. Konzekerani kuyimitsa hypoglycemia nthawi iliyonse, kuphatikiza usiku. Mudzaona momwe shuga mumagazi limatengera kusintha kwa zakudya zake, ndikuti mumvetsetse momwe njira yoyenera yothandizira odwala matenda ashuga iliri yoyenera.

Momwe mungabayire insulin mwa mwana yemwe ali ndi matenda ashuga

Kuti mumvetsetse momwe mtundu woyamba wa matenda ashuga wa ana umathandizira ndi insulin, muyenera kuphunzira zowerengera:

• Momwe mungayezere shuga ndi magazi ndi glucometer osapweteka;
• Kuwerengera Mlingo ndi njira ya insulin yoyendetsera;
• Malangizo a insulin;
• Momwe mungapangire insulin kuti mupeze molondola Mlingo wotsika.

Mwa ana aang'ono, insulin yochepa komanso ya ultrashort imachepetsa shuga la magazi mwachangu komanso mwamphamvu kuposa ana ndi akulu omwe. Nthawi zambiri, mwana akadali aang'ono, amakula bwino ndi insulin. Mulimonsemo, ziyenera kutsimikiziridwa payekhapayekha kwa mtundu uliwonse wa odwala matenda ashuga 1. Momwe mungachitire izi akufotokozedwa mu nkhani ya "Dose calculation and Technique for Insulin Administration", ulalo womwe waperekedwa pamwambapa.

Matenda a shuga a insulin ana

Posachedwa, Kumadzulo, komanso ku dziko lathu, ana ochulukirachulukira ndi achinyamata ambiri amagwiritsa ntchito mapampu a insulin pochiritsa matenda awo a shuga. Ichi ndi chipangizo chomwe nthawi zambiri chimakulolani kuphatikiza insulini mwachangu kwambiri posakhalitsa. Nthawi zambiri, kusinthira kukhala ndi insulin pampu ya matenda 1 a shuga m'magazi kumathandizira kusintha kwa shuga kwa magazi ndi moyo wa mwana.

Pulogalamu ya insulin

Zochitika zamankhwala a insulin ngati mwana wodwala matenda ashuga ali ndi zakudya zamagulu ochepa

Pamodzi ndi zakudya, ndibwino kuti musagwiritse ntchito mankhwala osagwiritsa ntchito mankhwalawa, koma "aafupi" a insulin. Munthawi yakusinthika kuchokera ku chakudya chazakudya chambiri mpaka kudya zakudya zamagulu ochepa, pamakhala chiopsezo cha hypoglycemia. Izi zikutanthauza kuti muyenera kuyang'anitsitsa shuga wamagazi ndi glucometer mpaka 7-8 pa tsiku. Ndipo malinga ndi zotsatira za izi, punguza kwambiri mlingo wa insulin. Zitha kuyembekezeredwa kuti zidzacheperachepanso katatu kapena kupitirira apo.

Mwambiri, mutha kuchita mosavuta popanda pampu ya insulin. Ndipo chifukwa chake, musatenge zowonjezera zowopsa zomwe zimagwiritsidwa ntchito. Mutha kulipira bwino shuga yemwe ali ndi Mlingo wochepa wa insulin, womwe umayendetsedwa ndi syringes yachikhalidwe kapena zolembera za syringe mukukula kwa mayunitsi a 0,5.

Zakudya za matenda a shuga 1 amtundu wa ana

Chithandizo cha boma chimalimbikitsa kudya zakudya zoyenera za matenda amishuga 1, momwe zimapatsa mphamvu kwa 55-60% ya kashiamu. Zakudya zotere zimabweretsa kusinthasintha kwakukulu m'magazi a shuga omwe sangathe kuwongolera jakisoni wa insulin. Zotsatira zake, nthawi yotsika shuga kwambiri imatsatiridwa ndi nthawi ya shuga ochepa.

Kutumphuka kwakukulu mu shuga m'magazi kumayambitsa kukula kwa mitsempha ya shuga, komanso zimayambitsa magawo a hypoglycemia. Ngati mumadya zakudya zochepa, ndiye kuti izi zimachepetsa kusinthasintha kwa shuga. Mwa munthu wathanzi pazaka zilizonse, msambo wabwinobwino wa shuga ndi pafupifupi 4.6 mmol / L.

Ngati mungachepetse shuga 1 wamitundu yosiyanasiyana m'zakudya zanu ndikugwiritsa ntchito Mlingo wa insulin wocheperako, mungasunge shuga yanu pamlingo womwewo, ndikupatuka kosaposa 0.5 mmol / l mbali zonse ziwiri. Izi zipeweratu zovuta za matenda ashuga, kuphatikizapo hypoglycemia.

Onani nkhani kuti mumve zambiri:

• Insulin ndi chakudya chamafuta: chowonadi chomwe muyenera kudziwa;
• Njira zabwino zochepetsera shuga wamagazi ndikuzisunga bwino.

Kodi zakudya zamagulu ochepa zimapangitsa kuti mwana akule ndikukula? Ayi. Pali mndandanda wa amino acid ofunikira (mapuloteni). Ndikofunikira kudya mafuta achilengedwe athanzi, makamaka ma omega-3 acids. Munthu akapanda kudya mapuloteni ndi mafuta, amafa chifukwa chotopa. Koma simupeza mndandanda wazakudya zofunika kwina kulikonse, chifukwa sizipezeka. Nthawi yomweyo, michere (kupatula fiber, i.e. fiber) imakhala yoyipa mu shuga.

Kodi mwana angathe kusamutsira ku chakudya chochepa cha mtundu woyamba wa shuga? Mutha kuyesa kuchita izi atayamba kudya zakudya zomwezo ngati akulu. Pofika nthawi yosinthira ku chakudya chatsopano, muyenera kukonzekera ndikuwonetsetsa:

1. Mvetsetsani momwe mungayimitsire hypoglycemia. Sungani maswiti ngati mukufuna.
2. Pakusintha, muyenera kuyeza shuga wamagazi ndi glucometer musanadye chilichonse, ola limodzi pambuyo panu, komanso usiku. Amakhala osachepera 7 pa tsiku.
3. Malinga ndi zotsatira za kayendedwe ka magazi m'magazi - omasuka kuti muchepetse mulingo wa insulin. Muwona kuti angathe ndipo akuyenera kuchepetsedwa kangapo. Apo ayi padzakhala hypoglycemia.
4. Munthawi imeneyi, moyo wa mwana wodwala matenda ashuga uyenera kukhala wodekha momwe ungathere, wopanda nkhawa komanso kulimbitsa thupi mwamphamvu. Mpaka njira yatsopano itakhala chizolowezi.

Momwe mungalimbikitsire mwana kudya

Momwe mungapangire mwana kuti azitsatira zakudya zabwino komanso maswiti okanira? Mwana amene ali ndi matenda a shuga a 1 atatsata zakudya “zoyenera” zomwe zingachitike, adzakumana ndi mavuto otsatirawa:

• chifukwa cha "kudumpha" m'magazi a magazi - thanzi labwino nthawi zonse;
• hypoglycemia nthawi zina kumachitika;
• matenda osiyanasiyana opweteka amatha kuvutikira.

Nthawi yomweyo, ngati wodwala matenda ashuga amatsatira mosamala zakudya zamagulu ochepa, ndiye kuti patatha masiku angapo amapeza zabwino:

• shuga wamagazi ndimakhalidwe abwino, ndipo chifukwa cha izi, thanzi labwinolo, mphamvu yake imachuluka;
• chiopsezo cha hypoglycemia ndichotsika kwambiri;
• Matenda ambiri okadwala akuchepa.

Muloleni mwana azindikire “pakhungu lake” momwe akumvera ngati amatsatira boma ndipo akaphwanyidwa. Ndipo adzakhala ndi chidziwitso chachilengedwe chakuwongolera matenda ake a shuga ndikulimbana ndi ziyeso za kudya "zoletsedwa", makamaka pagulu la abwenzi.

Ana ambiri ndi akulu akulu omwe ali ndi matenda amtundu wa 1 samadziwa bwino momwe angamverere pakudya zakudya zamagulu ochepa. Adazolowera kale ndikuyanjananso kuti amakhala ndi kutopa nthawi zonse komanso matenda. Amakhala othandizira kupitiliza kudya zakudya zamafuta ochepa atangoyesa ndikumva zotsatira zabwino za njirayi.

Mayankho kwa Makolo Ofunsidwa Kanthawi Zonse

Glycated hemoglobin imakula chifukwa sizingatheke kulipira shuga pachakudya pamene zakudya zimakhalabe "zopatsa thanzi," kutanthauza kuti zimadzaza ndi chakudya. Ngakhale mutawerenga mosamala magawo a mkate, sipakhala ogwiritsa ntchito pang'ono. Sinthani ku chakudya chamafuta ochepa omwe tsamba lathu amalalikira. Werengani zokambirana ndi makolo a mwana wazaka 6 yemwe ali ndi matenda a shuga 1 omwe adachotsedwa kwathunthu ndikulumphira insulin. Sindikulonjeza kuti inunso muchita zomwezo, chifukwa nthawi yomweyo adayamba kuthandizidwa molondola, osadikira chaka chathunthu. Koma mulimonsemo, chindapusa cha matenda a shuga chikhala bwino.

Mwana amakula ndikukula osati bwino, koma mosasamala. Pakakula msanga, kufunika kwa insulini kumachulukirachulukira, chifukwa mayendedwe amakulu amasintha. Mwina tsopano gawo lotsatira lokhala ndi chidwi chatha, ndiye kuti kufunika kwa insulini kukugwa. Inde, m'chilimwe insulin imafunikira yocheperako chifukwa imawotha. Izi zimachitika. Mwina simuyenera kuda nkhawa. Mosamala shuga, khalani ndi kudziyang'anira kwathunthu wamagazi m'magazi. Ngati mukuzindikira kuti insulini siyikulimbana ndi chiphuphu cha matenda a shuga, ndiye kuti muwonjezere mlingo wake. Werengani apa za zolephera za pampu ya insulin poyerekeza ndi ma syringe akale.

Ndikuganiza kuti simungamuletse "machimo", osati chakudya basi. Msinkhu waunyamata umayamba, kusamvana wamba ndi makolo, kumenyera ufulu wawo, ndi zina zotere. Simudzakhala ndi mwayi woletsa chilichonse. Yesani kukopa m'malo mwake. Onetsani zitsanzo za odwala akulu amtundu wa matenda ashuga omwe tsopano akuvutika ndi zovuta ndipo alapa kuti anali zitsiru m'maubwana awo. Koma nthawi zonse muziyanjanitsa. Pankhaniyi, simungathe kukopa. Yesani kuvomereza mwanzeru. Dzitengere nokha galu ndikusokonezedwa ndi izo. Kuphatikiza pa nthabwala.

Mlingo wa insulin m'magazi umadumpha kwambiri. Onani kufalikira kwa zikhalidwe - pafupifupi nthawi 10. Chifukwa chake, kuyesedwa kwa magazi kwa insulin sikuchita mbali yapadera pakuwazindikira. Mwana wanu, mwatsoka, ali ndi 100% 1 shuga. Yambani mwachangu kulipirira matendawa ndi jakisoni wa insulin komanso zakudya zamagulu ochepa. Madokotala amatha kukokera nthawi, koma sizakukonda. Mukayamba chithandizo chamanthawi, kumakhala kovuta kwambiri kuchita bwino. Kukoka insulini ndikutsatira zakudya zovuta sikokwanira kusangalatsa. Koma muubwana, simukufuna kukhala wolephera chifukwa cha zovuta za shuga. Chifukwa chake musakhale aulesi, koma osamaliridwa.

Kupeza chiphuphu choyenera ndi chikhumbo chodziwika bwino cha makolo omwe akumana ndi matenda amtundu woyamba wa ana awo. M'masamba ena onse mudzatsimikiziridwa kuti izi ndizosatheka, ndipo muyenera kupirira ndi ma shuga pa shuga. Koma ndili ndi mbiri yabwino kwa inu. Werengani kuyankhulana ndi makolo a mwana wazaka 6 yemwe ali ndi matenda ashuga a 1 omwe akhululukidwa kwathunthu. Mwana wawo amakhala ndi shuga wabwinobwino, makamaka wopanda jakisoni wa insulin, chifukwa cha zakudya zamagulu ochepa. Ndi matenda amtundu woyamba 1, pali nthawi ya tchuthi. Ngati simukulola kudya michere yambiri, ndiye kuti mutha kukulitsa zaka zingapo, kapenanso kwa moyo wonse.

Zoyenera kuchita - choyambirira, muyenera kusinthira ku chakudya chamafuta ochepa. Kuti muwone mndandanda wonse wazakudya zololedwa komanso zoletsedwa, onani malangizo azakudya. Kupatula ufa, maswiti ndi mbatata kuchokera muzakudya ndizofunikira theka, zomwe sizokwanira. Werengani kuti mudziwe nthawi yanthawi ya chikondwerero cha shuga 1. Mwinanso mothandizidwa ndi chakudya chochepa chamafuta mudzatha kuchikulitsa kwa zaka zingapo, kapenanso kwa moyo wonse. Nayi kukambirana ndi makolo a mwana wazaka 6 yemwe anachita. Amapatsa insulin yonse komanso amasunganso shuga wokhazikika, monga mwa anthu athanzi. Mwana wawo sanakonde insulini kwambiri kotero kuti anali wokonzeka kutsatira zakudya, ngati palibe jakisoni. Sindikulonjeza kuti mudzachita bwino zomwezo. Koma mulimonse momwe zingakhalire, chakudya chamafuta ochepa ndi gawo lalikulu la chisamaliro cha matenda a shuga.

Mtundu woyamba wa shuga mu ana: zopezeka

Makolo afunika kudziwa kuti mwana yemwe ali ndi matenda a shuga 1 kapena wazaka 12, kapena kupitilira apo, sangapereke mwayi wopitilira muyeso wa mtima. Kuwopseza mavuto omwe atenga nthawi yayitali sikungamukakamize kuti azilamulira kwambiri shuga. Mwanayo amangokonda ndi mphindi zapano, ndipo pa zaka zazing'ono izi ndizabwinobwino. Onetsetsani kuti mwawerenga nkhani yathu yayikulu, Matenda a shuga mu Ana ndi Achinyamata.

Chifukwa chake, mudazindikira kuti ndi mtundu wanji wa matenda ashuga wa mtundu woyamba mwa ana. Ana oterowo amafunika kupendedwa pafupipafupi ngati chithokomiro chawo chikugwira ntchito mwachizolowezi. Mwa ana ambiri omwe ali ndi matenda amtundu woyamba, kugwiritsa ntchito pampu ya insulin kumathandizira kuwongolera shuga. Koma ngati mwana atsatira zakudya zamagulu ochepa, ndiye kuti mungathe kukhalabe ndi shuga mothandizidwa ndi jakisoni wa insulin.