Hypoglycemia ndi matenda okhala ndi kuchepa kwakukulu kwa kuchuluka kwa shuga m'magazi.
Ngati mulingo wa chinthu ichi sukafika pa 2.2 mmol / L, matenda akulu amatha kukhala ndi chitsogozo komanso kuwonongeka kwakukulu.
Choopsa kwambiri ndi hypoglycemia mwa ana, chifukwa chakuti ubwana umakula, umakula ndi kupanga thupi. Kodi zifukwa zazikulu za hypoglycemia mwa ana ndi chifukwa chiyani ndizowopsa ndipo zimathandizidwa bwanji?
Zomwe zimachitika
Kuneneratu kwa nthawi yonse ya matendawa kumadalira kuti zomwe zimayambitsa kutsika kwa glucose m'mwana zimadziwika. Malinga ndi zifukwa, chithandizo chofunikira cha matendawa chimapangidwanso.
Nthawi zambiri, hypoglycemia ndi chizindikiro cha mavuto mu endocrine ya mwana, makamaka, chifukwa cha ntchito yolakwika ya adrenal gland.
Inde, imodzi mwazinthu zazikulu zomwe amagwira ndi kuphatikiza kwa glucocorticoids - mahomoni apadera omwe amakhudza thupi mwamphamvu, amawateteza ku kutsika kwa glucose. Ma enzymes a steroidal awa amathandizira kupanga shuga mu chiwindi, amalepheretsa kuyamwa kwa zinthuzi ndi minyewa yapadera ya minofu, komanso amachepetsa ntchito ya mahomoni okhudzidwa ndi glycolysis.
Chifukwa chotsatira cha izi, makamaka makanda, chitha kukhala cholowa. Pafupifupi ana onse a mayi yemwe ali ndi matenda ashuga amakhala ndi vuto lobadwa nalo. Izi zimachitika chifukwa cha kuchepa kwa mphamvu ya mahomoni a mwana wosabadwayo komanso kuchuluka kwa kagayidwe kosayenera ka mayi pa kakulidwe ka mwana komanso mapangidwe a thupi lake. Pali hyperinsulinism yoyamba komanso yachiwiri.
Yaikulu imayamba chifukwa cha kuwonongeka kwa kapamba, mwachitsanzo, insulinoma - chotupa chokhala ndi khansa yapakhungu. Kuchita, insulinoma imakhala yofala kwambiri, yomwe imatheka kwambiri pakuchita opareshoni.
Hyperinsulinism yachiwiri ndi yotsatira yankho la thupi pakulimbikitsa kulikonse. Zomwe zimayambitsa kupezeka kwake ndi izi:
- zochitika zolimbitsa thupi;
- mankhwala osokoneza bongo ochepetsa shuga;
- kupsinjika kwanthawi yayitali.
Hypoglycemia mwa mwana wopanda matenda a shuga amathanso kuyamba chifukwa cha kuperewera kwa zakudya m'thupi. Mwana akamakula komanso kuwononga mphamvu zake ngati sanalandire michere yofunikira mokwanira, kuchuluka kwa shuga kumangokhalira kutsika.
Kupatula apo, thupi la mwana sadziwa "kupulumutsa" mphamvu monga munthu wamkulu.
Zakudya zopanda pake, kusowa kwa regimen kumathandizanso kuti mwana azikhala ndi shuga wochepa wa magazi.
Pomaliza, matendawa amathanso chifukwa cha makolo.
Herederal hypoglycemia imakonda kupezeka mwa ana osakwana zaka ziwiri, ndipo ndi anyamata ambiri omwe amadwala matendawa. Nthawi zambiri, pamenepa, tikulankhula za Mac Curry syndrome - chinthu chosasangalatsa cha enzyme yochititsa manyazi ya insulin.
Mwa ana omwe ali ndi vuto lotere, insulinase imawola insulin kwambiri pang'onopang'ono, chifukwa chake pali kuchepa kwa glucose m'thupi. Matendawa amatha kukhala ndi zotsatirapo zoyipa kwambiri. Nthawi zambiri ndimatenda awa, kupezeka kwa zotupa zingapo za bongo kumadziwika.
Oopsa kwambiri kwa ana omwe ali ndi Mack Curry syndrome ali ndi zaka ziwiri kapena zisanu. Komanso, kuyambira zaka zisanu ndi chimodzi, chikhululukiro chozama chimachitika, chodziwika ndi kusowa kwathunthu kwa zizindikiro za hypoglycemia.
Zikondamoyo
Mchere wachepetsedwa ungakhalenso wosagwirizana ndi kapamba. Kuphwanya zinthu m'magawo a mwana kumapangitsanso hypoglycemia. Chowonadi ndi chakuti m'mimba ndi matumbo, ma polysaccharides omwe amapezeka muzinthu amawonetsedwa ndi ma enzyme, makamaka ma amylase ndi ma nyansi. Zinthu izi zimaswa ma polysaccharides ku glucose, omwe amakamizidwa kudzera m'makoma am'mimba.
Ngati mapangidwe a michereyi ali ndi vuto, thupi silingathe kupanga michere yambiri, motero, glucose simalowa mthupi kuchokera mu chakudya. Izi zimachitika mwanjira yoti kugonjetsedwa kwa dongosolo la chimbudzi ndi ziphe zina, komanso zitha kuchitika chifukwa chotupa.
Zizindikiro za matendawa
Popeza hypoglycemia mwa iyo yokha ndiyowopsa kwa thanzi ndi moyo wa mwana, ndipo, kuphatikiza apo, imatha kupezeka ndi matenda oopsa, kuzindikira kwake koyambirira ndikofunikira kwambiri.
Mosatengera zomwe zimayambitsa, hypoglycemia mwa ana ali ndi zofanana.
Poyamba, mwana amayamba kukwiya komanso kuda nkhawa. Momwe wodwalayo amasinthira kwambiri ndipo nthawi zambiri amasintha, amakhala wosalamulirika.Pankhaniyi, kusakonda kumawonekera nthawi ndi nthawi, kusakhudzidwa ndi chilichonse komanso ulesi.
Khungu lokhala ndi shuga wochepa limayera kuposa masiku onse. Palibe blush, ngakhale mutatha masewera olimbitsa thupi, magazi samathamangira kumaso. Kutuluka thukuta kumachulukirachulukira, kugona ndi kudikira kumatha kuchitika - masana mwana akafuna kugona, ndipo usiku amakonda masewera osangalatsa.
Popita nthawi, zizindikiritso za kuwonongeka kwamanjenje zimawonekera - miyendo imanjenjemera, dzanzi, kukokana kwa minofu, komanso kusokonezeka kwa m'mimba, zomwe zimafotokozeredwa zimpando ndi kusanza. Kuchepa kwakukulu kwa glucose, mutu umayamba, kutentha kwa thupi kumatsika kuposa 36,5 ° C. Kuchulukitsa kochita masewera ena kumayamba, ndipo kupsinjika kumatha kutsika kwambiri.
Zizindikiro zina zimakonda kuonekera, monga kuwonongeka kwakanthawi kowonekera, kuchepa tulo, ndi tachycardia.
Nthawi zambiri kumakhala njala yadzaoneni komanso kuzizira. Pakakhala kutsika kwakukulu m'magazi a shuga, chizungulire komanso kufooka kwa chikumbumtima ndikotheka.
Ngati pali zingapo mwazizindikirozi, kapena chimodzi chikubwerezedwa kwa nthawi yayitali, simuyenera kuchedwa kuonana ndi adokotala. Katswiri woyenerera yekha atalandira zotsatira za mayeso oyenera ndi omwe amatha kudziwa matendawa ndikuwapatsa chithandizo.
Njira zochizira
Ndi hypoglycemia yayikulu, limodzi ndi zoopsa za mwana, njira zamankhwala zimayambira nthawi yomweyo, osadikirira zotsatira za mayeso.Choyamba, amatenga njira yotsekemera ya glucose khumi. Ngati hypoglycemia yayamba kukomoka, kulowetsedwa kwamkati mwa njira yotsekemera ya glucose kumachitika.
Kuphatikiza apo, kuikidwa mankhwala opha maantibayotiki, komanso othandizira omwe amathandizira pamankhwala ofooka ndi matendawa, kumachitika. Pambuyo pochita izi pamaziko a kuyeserera, zomwe zimayambitsa kuchepa kwa shuga m'magazi zimadziwika, ndipo chithandizo chotsatira chimayikidwa malinga ndi zomwe zimayambitsa matendawa.
Mulimonsemo, chithandizo chamankhwala chimaphatikizapo zakudya zapadera zomwe zimafunikira zakudya zazing'ono zisanu mpaka zisanu ndi chimodzi patsiku, komanso kutsatira kwambiri malamulo omwe adalipo. Nthawi yomweyo, njira zikuyamba kuchitira zomwe zimayambitsa hypoglycemia - mankhwala osokoneza bongo kapena opaleshoni.
Makanema okhudzana nawo
Mu kathathuyu, mupeza mayankho a mafunso okhudza hypoglycemia ndi zomwe muyenera kuchita zikachitika:
Ngati mukuyendera madokotala ndikuyamba kulandira chithandizo choyenera, kuchotsedwa kwa nthawi yayitali kumatha kuchitika. Ngati chachikulu chomwe chimayambitsa matendawa chizindikirika ndikuchotsedwa, nthawi zambiri mwana samadwala ndikuchepa koopsa kwa shuga wamagazi, makamaka ngati atsatira malangizo a kadyedwe.
