Thandizo lopuwala kwa ana omwe ali ndi matenda ashuga

Ana omwe ali ndi matenda ashuga ndi gulu losiyana la odwala omwe akufunika kwambiri kutetezedwa ndi kulandira chithandizo chamankhwala. Nthawi zambiri matendawa amapezeka adakali aang'ono, pomwe mwana samamvetsetsa kufunika kotsatira zakudya, ndipo sangadziwe jakisoni payekha. Nthawi zina matendawa amakhudza ana akhanda ngakhale akhanda, amapanga chithandizo ndi chisamaliro, chomwe chimakhala chovuta kwambiri. Mulimonsemo, zovuta zonse zimagwera pamapewa a makolo kapena abale, ndipo posakhalapo - pa oyang'anira boma oyang'anira. Kupanga kulumala kumatha kuchepetsa ndalama zomwe zimagwirizana ndi chithandizo chamankhwala ndikupatsa mwana chisamaliro chofunikira.

Zolemba za matendawa ali mwana

Matenda a shuga ndi matenda osokoneza bongo omwe amakhala owopsa chifukwa cha zovuta zake. Mavuto amtundu wa Endocrine muubwana ndi owopsa kwambiri, chifukwa chamoyo chosalimba chikukulabe ndipo sichingakane matendawa. Ngakhale kwa akulu, matenda ashuga ndi mayeso ovuta, chifukwa chomwe munthu amayenera kusintha moyo wawo wonse, ndipo kwa odwala ochepa, matendawa amawopseza kwambiri.

Koma mwatsoka, ngakhale atadwala bwino, palibe amene angatsimikize kuti mawa sadzachoka ndipo sadzayambitsa kusokonekera kwakukulu mthupi. Ndiye chifukwa chake kulephera kwa kulumala kwa ana omwe ali ndi matenda ashuga ndi mutu womwe umakondweretsa makolo onse a ana odwala ndi achinyamata.

Zizindikiro zakuthandizadi komanso kuperekera chindapusa cha matenda ashuga ali ana:

• kusala kudya kwa glucose sikokwanira kuposa 6.2 mmol / l;
• kusowa kwa shuga mu mkodzo (ndi kusanthula kwina konse komanso mwa njira ya mkodzo watsiku ndi tsiku);
• glycated hemoglobin sapitirira 6.5%;
• kuchuluka kwa shuga mutatha kudya zosaposa 8 mmol / l.

Ngati shuga wanu wamagazi akwera nthawi zambiri, zimatha kubweretsa zovuta za matenda ashuga. Mwana akhoza kuyamba kuwona kwambiri, akhoza kuyamba kukhala ndi mavuto ndi mafupa ndi msana, minofu, mtima, ndi zina zambiri. Matenda opatsirana bwino a shuga amatha kukhala olumala mtsogolo (popanda kukhoza kugwira ntchito ndikukhala ndi moyo wabwinobwino), chifukwa chake, kuwonongeka kochepa muumoyo, makolo ayenera kuyendera endocrinologist wa ana ndi mwana.

Popeza kuti mwana sangathe kuyang'anira kuchuluka kwa shuga m'magazi ake, izi ziyenera kukumbukiridwa ndi makolo kapena abale omwe amamusamalira.

Phindu

Nthawi zambiri, ana amakumana ndi matenda ashuga amtundu woyamba, omwe amafunikira chithandizo cha insulin (ngakhale pali ana ochepa odwala omwe akudwala matenda osokoneza bongo omwe amadalira insulin). Ngati wodwala amafunikira jakisoni wa mahomoni nthawi zonse, osaganizira kuopsa kwa matendawo komanso kupezeka kwake kapena kusapezeka kwa matendawa, amapatsidwa vuto la kulumala.

Ubwino wa ana odwala matenda ashuga:

Kodi kulemala kumachitika mu shuga

• insulin yaulere ya jakisoni;
• chithandizo chaulere cha spa chaulere (ndi malipiro oyendera kupita kuchipatala osati kwa anthu olumala okha, komanso kwa makolo awo);
• kupatsa makolo a wodwalayo chipangizo choyezera shuga ndi zowononga zake (zoyesa zoyesa, zoperewera, zothetsera mayankho, etc.);
• kuperekera kwaulere kwa ma syringe ndi ma antiseptics a subcutaneous makonzedwe a insulin;
• ngati kuli kotheka - kupereka kwaulere ndi mankhwala oikidwa ndi mankhwala a matenda a shuga;
• kuyenda kwaulere muzonyamula.

Ngati vuto la mwanayo likuipiraipira, dokotala amamulembera kalata woti amulandire chithandizo chakumwa kwina. Komanso, kuyambira koyambirira kwa chaka cha 2017, makolo ali ndi ufulu, m'malo mwa insulin ndi mankhwala ena ofunikira, kuti alandire chipepeso chazandalama zofanana.

Mwana yemwe ali ndi matenda ashuga ali woyenera kuvomerezedwa kupita ku sukulu yaukapena

Ana awa sakhululukidwa mayeso amasukulu komanso mayeso olowera ku yunivesite. Maphunziro awo omaliza amapangidwa pamaziko a magwiridwe antchito pachaka, ndipo m'maphunziro apamwamba a anthu odwala matenda ashuga, monga lamulo, pali malo omwe amakonda ndalama. Izi ndichifukwa choti kupsinjika ndi mantha amanjenje zitha kuyambitsa kukula kwa zovuta za matenda (mpaka kukomoka kwa chikumbumtima ndi chikomokere).

Malinga ndi dongosolo la Unduna wa Zantchito ndi Chitetezo Chaanthu Nambala 1024n pa Disembala 17, 2015, mwana akafika zaka 14, ayenera kukayezetsa (kuchipatala), kutengera kulumala komwe kuchotsedwa kapena kutsimikiziridwa. Pakukonzekera maphunziro owunika komanso kuwunika madokotala, mkhalidwe waumoyo, kupezeka kwa zovuta, komanso kuthekera kodziyimira payekha ndi kuthekanso kuwerengetsa mlingo wake moyenera.

Ufulu wa makolo

Makolo kapena omwe akuwalera atha kukafunsira penshoni ngati sagwira ntchito, chifukwa chakuti nthawi yawo yonse amakhala kuti akusamalira mwana wodwala. Kuchuluka kwa zandalama kumakhudzidwa ndi anthu olumala komanso zinthu zina zachitukuko (kuchuluka kwake kumapangidwa motsatira malamulo a boma). Asanakwanitse zaka 14, gulu linalake la olumala silinakhazikitsidwe, ndipo pambuyo pake limapangidwa kuti liziwunika izi:

• zomwe chisamaliro cha achinyamata amafunikira - chokhazikika kapena pang'ono;
• momwe matenda amawalipiridwira;
• zovuta za matenda zomwe zimachitika panthawi yomwe mwana amalembetsa ndi endocrinologist;
• kuchuluka kwa momwe wodwalayo amatha kusunthira ndikudzipereka yekha popanda thandizo.

Kuti alipire nyumba yomwe munthu wolumalayo amakhala, makolo amatha kufunsira thandizo kapena thandizo. Ana odwala omwe sangathe kupita kusukulu ali ndi ufulu wamaphunziro apanyumba aulere. Kuti izi zitheke, makolo ayenera kutumiza zikalata zonse zoyenera ndi satifiketi kwa mabungwe achitetezo aboma.

Kodi nchifukwa ninji mwana angalandidwe ulesi?

Nthawi zambiri, kulumala kumachotsedwa ali ndi zaka 18, pomwe wodwalayo amakhala "wamkulu" mwadzidzidzi ndipo salinso m'gulu la ana. Izi zimachitika ngati matendawa akupezeka osavuta, ndipo munthuyo alibe zovuta zomwe zimamulepheretsa kukhala ndi moyo wamba komanso kugwira ntchito.

Pankhani ya matenda oopsa a mtundu 1 shuga, kulumala kumatha kulembetsedwanso ngakhale patatha zaka 18, ngati zikuwonetsa zambiri

Koma, nthawi zina, wodwalayo amakomoka ndipo akafika zaka 14. Kodi izi zimachitika nthawi ziti? Wodwala akhoza kukanidwa kulembetsa gulu la olumala ngati waphunzitsidwa pasukulu ya matenda ashuga, waphunzira kuperekera insulin payekha, amadziwa mfundo zopangira menyu, ndipo amatha kuwerengetsa mankhwala ofunikira. Nthawi yomweyo, sayenera kukhala ndi zovuta za matenda zomwe zimasokoneza moyo wabwinobwino.

Ngati, molingana ndi malingaliro a komiti yachipatala, wodwala wazaka 14 ndi kupitilira angathe kuyendayenda mozungulira, kudzifufuza moyenera zomwe zikuchitika, kudzisamalira ndikuyang'anira zochita zake, kulumala kungachotsedwe. Wodwala akakhala ndi zododometsa zambiri pakugwira ntchito kwa ziwalo zofunika kwambiri ndi machitidwe ake omwe amakhudza kuthekera kwake kuchita izi, atha kupatsidwa gulu linalake.

Zoyenera kuchita pamikangano?

Ngati makolowo akukhulupirira kuti mwana wodwala matendawa adachotsedwapo vuto linalake, atha kulembera kufunsanso kuti ayesenso. Mwachitsanzo, ngati mwana amadwala kawirikawiri, zambiri zomwe zili pamalopo ziyenera kukhala pamakadi otuluka. Ayenera kujambulidwa ndi kutumizidwa kuti awonedwe. Muyeneranso kusanthula deta yonse kuchokera kumayeso a labotale omwe amangidwa kumene komanso mayeso othandizira. Zotulutsa m'zipatala momwe mwana adagonekedwira ziyenera kukhala zogwiritsidwanso ntchito.

Asanayambe ntchito yachipatala, mwana amafunika kuchita kaye mayeso:

• kusala shuga
• kutsimikiza kwa tsiku lililonse shuga;
• kuyezetsa magazi konse;
• kusanthula mkodzo wambiri;
• glycated hemoglobin;
• urinalysis kwa ketone matupi ndi shuga;
• kuyesa kwamwazi wamagazi.

Komanso, poganizira, madokotala a komitiyi amafunikira zotsimikiza za endocrinologist, opaleshoni (ndikuwunika kwa fundus), kuyesedwa ndi akatswiri a mitsempha, ma ultrasound am'mimba. Ngati pali zisonyezo, kuyezetsa kwa opaleshoni ya mtima, dokotala, ma ultrasound a ziwiya zamagawo am'munsi ndikufunsira ndi dokotala wa mtima wa ana angafunikirebe.

Pakadali pano, Unduna wa Zantchito ndi Chitetezo cha Anthu wakhala ukuchita ndi mavuto a anthu olumala, koma nthawi zambiri munthu amamva zonena za nduna kuti mavutowa akuyenera kuthana ndi Unduna wa Zaumoyo. Atsogoleri andale ambiri adaganiza kale kuti ndi madokotala okha, omwe amamvetsetsa kusatsimikizika ndi kusakhazikika kwa matenda ashuga, omwe amatha kupanga zisankho zofunikira pamenepa.