Matenda a shuga ndi matenda osachiritsika omwe, popanda chithandizo choyenera, amatha kukhala ovuta ndikupangitsa zovuta zingapo. Makamaka mkhalidwewu umayenera kuyang'aniridwa mwa ana.
Mavuto samangokhala pakusankhidwa kwa mankhwala a insulin, komanso kuti panthawi ya mankhwala a insulin mwana ayenera kudya pakapita nthawi yayitali. Momwe mungapangire jakisoni komanso mutatha kudya nthawi yanji, nkhaniyo ikufotokozerani.
Chifukwa chiyani matenda ashuga amawonekera?
Makolo ambiri omwe akukumana ndi vuto la matenda osokoneza bongo amafunsa kuti: chifukwa ninji matendawa adawonekera, kodi amachiritsidwa?
Matenda a shuga a Type 1 amapezeka adakali aang'ono.
Amakhulupirira kuti chinthu chofunikira kwambiri cha matenda ashuga mwa ana ndi makolo ndi abale apamtima, amenenso ali ndi matenda otere. Kupatula apo, matendawa amakula mwa anthu okonzedweratu.
Kuwonongeka kwa maselo a beta mu ma pancreatic islets poyamba sizimayambitsa kuphwanya kwa kagayidwe ka chakudya. Koma pakadali pano, ma autoantibodies kupita ku insulin amapezeka nthawi zambiri. Autoimmune shuga mellitus imayamba chifukwa cha zovuta zapamimba.
Ntchito yofunikira pakuwonekera kwa matenda ashuga mwa ana amasewera ndi ma virus. Amapanga protein yofanana ndi protein ya beta cell. Zotsatira zake, thupi limayamba kuyankha, lomwe limatsogolera kuukira kwa maselo ake omwe. Komanso ma virus amatha kuwononga ma cell a islet.
Zomwe zimapangitsa kuti matenda ashuga amtundu woyamba akhale:
- mavuto obwera chifukwa cha mankhwala;
- kudya zakumwa zoopsa zamankhwala;
- mavuto;
- kuperewera kwa zakudya m'thupi.
Chifukwa chake, ngati mwana ali pachiwopsezo, ndikofunikira kumuwunikira mosamala kuti muchepetse kukula kwa matenda.
Kodi chodabwitsa cha maphunziro a mwana ndi chiani?
Pakati pa matenda onse okhalitsa, matenda ashuga mwa ana ndi achiwiri kwambiri. Matendawa amayambitsa mavuto ambiri kuposa akuluakulu.
Inde, ndizovuta m'malingaliro kwa mwana yemwe ali ndi vuto la glucose metabolism kuti azolowere gulu la anzawo. Zimakhala zovuta kwa iye kuti amvetse chifukwa chake ena amaloledwa kudya maswiti, koma satero, chifukwa jakisoni wowawa amafunikira tsiku lililonse.
Jakisoni wa insulin
Ana omwe adapezeka ndi matenda amtundu wa 1 amafunika jakisoni wa insulin tsiku lililonse.
Palibe vuto kumwa mankhwala pakamwa. Chifukwa michere m'mimba imawononga insulin.
Kukonzekera kumabwera m'njira zambiri.
Ena amachepetsa shuga mosavuta, koma amasiya kuchita pambuyo pa maola 3-4. Ena amachepetsa shuga bwino komanso pang'onopang'ono, oposa maola 8-24.
Kuti mukhale ndi matenda abwinobwino ashuga, ndikofunikira kuti muphunzire zambiri zokhudzana ndi matendawa. Mutha kubayira pafupipafupi mankhwala omwewa a hypoglycemic, koma sizingathandize kulimbana ndi matendawa. Ndikofunika kumvetsetsa momwe mungawerengere mulingo woyenera wa mankhwalawa malinga ndi zakudya komanso shuga ya magazi.
Yankho la jakisoni Lantus SoloStar
Madokotala amapanga mitundu yosiyanasiyana ya insulin. Koma akatswiri odziwa za endocrinologists salimbikitsa kugwiritsa ntchito. Odwala nthawi zambiri amamasulidwa insulin Protafan yaulere. Ndikofunika kusamutsa mwanayo kupita ku Lantus kapena Levemir, omwe amawerengedwa bwino. Zabwino kwambiri masiku ano ndizoyimitsidwa kwa insulin-zinc ndi protamine. Mankhwalawa amathandizidwa mosavuta. Chochitikacho chimatha kwa maola 18-24.
Makolo ambiri nthawi zambiri amafunsa ngati kuli koyenera kupereka jakisoni wa insulini ngati mwana wadwala posachedwa, kapena ndi kotheka kuwongolera vutoli kudzera m'zakudya. Pa intaneti, nthawi zambiri pamakhala zotsatsa za machiritso ozizwitsa omwe amachotsa matenda ashuga kotheratu. Koma mwalamulo, mankhwalawa sapezeka. Madokotala amadziwa kuti palibe zakudya zosaphika zazakudya, mapemphero, bioenergy, mapiritsi omwe amatha kuchiza matenda oyamba.
Kodi kudya ndi insulin mankhwala?
Zakudya za matenda ashuga zimadalira mwachindunji mankhwala a insulin. Kuti mupange regimen regimen, ndikofunika kuyankha mafunso angapo:
- Ndi mtundu wanji wa mankhwala a hypoglycemic omwe amagwiritsidwa ntchito?
- Kodi mankhwalawa amaperekedwa kangati?
- Kodi jakisoni amaperekedwa nthawi yanji?
Ngati insulin yochepa imagwiritsidwa ntchito, imaperekedwa kwa theka la ola musanadye. Kutsika kwakukulu m'magazi a shuga kumachitika patatha maola atatu. Chifukwa chake, pofika nthawi ino, mwana ayenera kudyetsedwa zakudya zamafuta ambiri. Kupanda kutero, hypoglycemia imayamba.
Insulin yapakatikati (yayitali) imachepetsa shuga monga momwe ndingathere pambuyo pa maola 5-12. Apa zambiri zimatengera wopanga, mayankho a wodwalayo ku mankhwalawo komanso zinthu zina zingapo. Palinso insulin ya ultrafast. Amapatsidwa mphindi zisanu asanadye. Pambuyo mphindi 30-60, mankhwalawa amachepetsa shuga.
Pali insulin yosakanikirana. Chidachi m'magawo osiyanasiyana chimakhala ndi insulini yapakati komanso yochepa. Mankhwala oterewa kawiri kawiri amayambitsa kuchepa kwa shuga. Ndi mankhwala a insulin, njira zosiyanasiyana zimagwiritsidwa ntchito. Poganizira njira yomwe yasankhidwa, njira yamphamvu imasankhidwa. Mwachitsanzo, mankhwalawa amaperekedwa kawiri patsiku: m'mawa amapereka jakisoni wa 2/3 tsiku lililonse la mankhwalawa, ndipo madzulo - 1/3.
Njira yamagetsi yolingana ndi dera lofananalo ikuwonetsedwa pansipa:
- kadzutsa woyamba. Ndikofunika kupanga zochepa. Kupatula apo, mankhwalawa sanatchulidwebe;
- chakudya cham'mawa chachiwiri. Maola anayi pambuyo pa jekeseni. Ndikofunikira kudyetsa mwana mwamphamvu;
- nkhomaliro - Patatha maola 6 jekeseni. Chakudya chizikhala chopatsa thanzi, chamafuta ambiri;
- chakudya chamadzulo. Zitha kupangidwa kukhala zosavuta. Popeza kuchuluka kwa glucose panthawiyi kudzakulitsidwa pang'ono;
- kwa usiku. M`pofunika kudyetsa mwana mwamphamvu, kuganizira mlingo wa mankhwala kutumikiridwa madzulo.
Izi zimathandizira kukhala ndi thanzi labwino, kuletsa kukula kwa hypoglycemia. Koma ndi yoyenera pokhapokha ngati tsiku lililonse insulin ili yochepa.
Nthawi zina mankhwala ochepetsa shuga amalandilidwa kasanu: wodwala yemwe amakhala pakati - asanadye chakudya cham'mawa komanso asanagone, ndikuchita pang'ono - asanadye.
Zakudyazi ziyenera kukhala motere:
- kadzutsa woyamba
- chakudya cham'mawa chachiwiri;
- nkhomaliro
- tiyi wamadzulo
- chakudya chamadzulo choyamba;
- chakudya chachiwiri.
Zokhwasula ayenera kukhala pa nthawi ya pazipita zochita yochepa insulin.
Sitikulimbikitsidwa kugwiritsa ntchito malonda okhala ndi index yotsika kwambiri kapena yapamwamba kwambiri. Ndikofunika kumvetsetsa kuti nsomba, nyama, mazira, tchizi, soseji ndi zakudya zina zofanana zopanda chakudya sikulepheretsa kukula kwa hypoglycemia. Chakudya chilichonse chimayenera kuphatikiza 80 magalamu a chakudya.
Pali zinthu zina zokhudza insulin zomwe zimachitika mwa mwana. Chifukwa chake, kwa ana nthawi zambiri amasankha makina awiri kapena atatu wowongolera insulin. Kuti muchepetse kuchuluka kwa jakisoni pang'ono, gwiritsani ntchito mankhwala osakanikirana pang'ono komanso achidule. Zokhudzana ndi insulini mwa ana ndizochepa pang'ono poyerekeza ndi akulu.
Chifukwa chake, ndikofunikira kuti muchite kusintha kwa gawo la hypoglycemic.
Chololedwa kusintha mlingo pakati kuchokera 1 mpaka 2 mayunitsi. Kuti muwone kusintha, ndikofunikira kuwunika momwe mwanayo alili masiku angapo.
Mu tsiku limodzi, kusintha kwamadzulo ndi m'mawa mulingo osavomerezeka. Pamodzi ndi zakudya, madokotala nthawi zambiri amalemba mankhwala a pancreatin, lipocaine, mavitamini ambiri. Mu magawo oyamba, mankhwala a sulufa nthawi zambiri amapatsidwa mankhwala. Mwachitsanzo, cyclamide, bukarban, chlorpropamide. Ndalama zonsezi zimapatsa mphamvu ndikulimbitsa thupi la ana ofooka.
Mavuto omwe angakhalepo
Jakisoni wa insulin ndi zakudya zofunika kwambiri kwa ophunzira. Makolo ayenera kuchenjeza khomalo kuti mwana ali ndi matenda ashuga ndipo ayenera kupatsidwa zakudya zina.
M'pofunika kuthetsa pasadakhale ndi oyang'anira sukulu mafunso otsatirawa:
- Kodi mwana angapange kuti jakisoni wa insulin: mu ofesi ya namwino kapena mkalasi?
- Nanga bwanji ngati ofesi ya namwino yatsekedwa?
- Ndani angawonetsetse kuti mwana ayamba ndi mankhwala ati?
Ndikofunika kupangira mwana wanu dongosolo lochitira ngati zinthu sizinachitike mwadzidzidzi kusukulu kapena panjira yopita.
Mwachitsanzo, bwanji ngati chikwama cham'mabuku chokhala ndi chakudya chatsekedwa mkalasi? Kapena chochita ngati chifungulo cha nyumbayo chatayika? Muzochitika zonsezi, mwana ayenera kudziwa bwino momwe angayimire msanga zizindikiro za hypoglycemia komanso momwe angapewerere matendawa.
Makanema okhudzana nawo
Mitundu ya insulini, kutengera kuthamanga ndi nthawi yake:
Chifukwa chake, ana amapezeka ndi matenda ashuga amtundu woyamba. Matendawa ndiosatheka kuthana nawo. Mavuto akulu amatuluka popanda njira yabwino komanso zakudya zabwino. Chifukwa chake, muyenera kudziwa mawonekedwe a insulin yomwe mumagwiritsa ntchito, nthawi yomwe muyenera kudyetsa mwana pambuyo jakisoni, komanso chakudya chomwe mukufuna kupatsa.
