Ciwon sukari mellitus a cikin yara: alamu da alamu, ganewar asali, magani da rigakafin

Ciwon sukari a cikin yara da matasa, da kuma bayyanar cututtuka da alamu suna kara dacewa a zamaninmu. Ciwon yara na yara bai zama ruwan dare gama gari fiye da sauran cututtukan, amma ba kamar yadda aka saba kamar yadda aka yi tsammani ba. Mitar cututtuka ba ta dogara da jinsi ba. Marasa lafiya da yara na kowane zamani, fara daga farkon watan haihuwar. Amma kololuwar ciwon sukari yana cikin yara yana da shekaru 6-13. Yawancin masu bincike sunyi imanin cewa cutar galibi ana samun ta yayin lokacin haɓaka yara.

An gano bullar wannan cutar sau da yawa bayan cututtukan cututtukan:

• alade
• cutar hepatitis
• kamuwa da cuta na cutar kansa,
• zazzabin cizon sauro
• kyanda da sauran su

Syphilis a zaman babban mai kawo cutar a halin yanzu ba a tabbatar dashi ba. Amma raunin kwakwalwa, duka ciwo mai zurfi da na dogon lokaci, har da raunin jiki, musamman raunin kai a cikin kai da ciki, rashin abinci mai gina jiki tare da kima da ƙwayoyi mai yawa - duk waɗannan abubuwan ba kai tsaye suna ba da gudummawa ga ci gaban latti na rashin ƙarfi na islet na kayan aikin fitsari.

The pathogenesis na ciwon sukari ba muhimmanci daban-daban daga pathogenesis wannan cuta a cikin manya.

Tsarin girma, wanda haɓakar ƙwayar furotin yana faruwa, yana da alaƙa da halartar insulin da haɓaka ƙwayar nama. Tare da ƙarancin islet mara ƙarfi na ƙwayar cuta, raguwar aikinta na iya faruwa, sakamakon wanda mellitus na sukari ke tasowa.

Masu binciken sun kuma yi imanin cewa hormone na yau da kullun yana karfafa aikin β-sel na kayan islet kuma, tare da haɓaka samar da wannan hormone a lokacin haɓaka, na iya jagorantar (tare da kayan aiki mai rauni) ga nakasa.

Wasu masana a cikin wannan fanni sunyi imanin cewa hormone girma yana kunna aikin α - sel na tsibirin, wanda ke samar da yanayin hyperglycemic - glucagon, wanda, tare da rashin isasshen aikin β - sel, zai iya haifar da ciwon sukari. Tabbatar da halartar yawaitar samar da hormone na yau da kullun a cikin pathogenesis na ciwon sukari na yara shine hanzari na haɓaka da har ma da aiwatar da ƙoshin yara a farkon cutar.

Course da bayyanar cututtuka

Farkon cutar ta kasance mai saurin, ba sau da yawa - mai sauri, kwatsam, tare da saurin gano yawancin alamun. Na farko alamun bayyanar cutar ita ce:

• ƙishirwa ta ƙaru
• bushe bakin
• m urination mai yawa, sau da yawa dare har ma da rana urinary rashin jituwa,
• daga baya, a matsayin alama, asarar nauyi yakan faru tare da mai kyau, wani lokacin harda kyawun ci,
• janar gaba daya
• ciwon kai
• gajiya.

Bayyanar fata - itching da sauransu (pyoderma, furunlera, eczema) suna da wuya a yara. Hyperglycemia a cikin yara shine babban kuma alamace alama ta yau da kullun. Glycosuria yakan faru kusan koyaushe. Takamaiman ƙarfin fitsari ba koyaushe yake dacewa da yawan sukari mai yawa ba, sabili da haka ba zai iya zama gwajin bincike ba. Babu sau da yawa cikakkiyar daidaituwa tsakanin sukarin jini da digiri na glycosuria. Hyperketonemia yana haɓaka a karo na biyu tare da lalata ƙwayar hanta mai narkewa, wanda ke faruwa ta hanyar asarar aikin lipotropic na pancreas.

Canje-canje a cikin gabobin da tsarin jikin mutum ya bambanta

Rubeosis da xanthosis da aka gani a cikin manya suna da wuya a cikin yara. A cikin marasa lafiya marasa magani, an lura da bushe fata da peeling. Tare da raunin gaske, edema na iya bayyana.

Harshen bushe bushe mai haske mai launi, sau da yawa tare da papillae mai santsi. Yawancin lokaci ana lura da cutar ta hanji, kuma wani lokacin maganin ƙwayoyin cuta, wanda yafi rauni a cikin yara fiye da na manya. Tsarin aiki mai hakora a cikin hakora yana iya zama izuwa ci gaba.

Sauti na zuciya bebe ne, wani lokacin kuma anayin gunaguni a cikin gwaggon biri, wanda ke nuna raguwar sautin jijiyoyin jiki. bugun yayi karami, mai taushi, lafazi. Hawan jini, duka mafi girma da ƙarami, kusan ana raguwa koyaushe. Tare da maganin capillaroscopy, ana lura da yanayin ja sosai mai ƙarfi da fadada gwiwa a gwiwa, electrocardiogram yana nuna canje-canje a cikin myocardium.

A wasu halaye, ana rage adadin ƙwayoyin ja da adadin haemoglobin. Daga gefen farin jini, dabarar leukocyte alama ce ta lubic:

• A cikin nau'ikan nau'ikan kamuwa da cutar sankara - lymphocytosis, wanda ke raguwa tare da ƙara yawan cutar.
• A cikin pre-coma mai tsanani kuma tare da coma - lymphopenia. Neutrophilic motsi da raguwar eosinophils.

Yawan acidity na ruwan 'ya'yan itace na ciki ana yawan rage shi. Akwai abubuwan mamakin dyspeptik. Hankalin hanta a cikin mafi yawan marasa lafiya yana ƙaruwa (musamman a cikin yara masu ciwon sukari na dogon lokaci.), Dense, wani lokacin mai raɗaɗi.

A cikin fitsari, albuminuria da silinda ba a bayyana su. A cikin mawuyacin hali da tsawan lokaci, yawan silinda da karuwar sunadarai, ƙwayoyin jini suna iya bayyana. A wasu halaye, rashin iya sarrafa kodan shima ya lalace.

Tuni a farkon cutar ta bayyana:

• ciwon kai
• tsananin farin ciki
• haushi
• sabbinna
• gajiya,
• bari, rauni,
• ƙwaƙwalwar ƙwaƙwalwar ajiya.

Rage damuwa daga raunin jijiya na gefe yana bayyana ta hanyar jin rauni a cikin gabar jiki, cuta ta jijiyoyin fata da rauni ko gushewar lalacewar jijiya.

Al'adu na hangen nesa

A ɓangaren ophthalmology a cikin yara masu ciwon sukari mellitus, rikicewar masauki sun fi yawa fiye da na manya. Canja wurin shakatawa zuwa ga hyperopia da zuwa mnopia, kuma a cikin mawuyacin halaye, hypotension na gira.

Wani lokacin akwai cututtukan fata da cututtukan cututtukan cututtukan zuciya, da saurin kamuwa da shi. Rashin ciwon sukari, cututtukan ƙwayar tsoka ta ido a cikin yara ƙalilan ne.

Siffofin cutar

Ciwon sukari a cikin yara kusan babu banbanci da girma, an kasu gida uku:

Amma nau'i mai laushi a cikin yara yana da ɗan wuya. Tsarin tsaka-tsaki da sikari mai rauni ana samun sauƙin ganewa, tare da na ƙarshen, lalacewar hanta ba sabon abu ba ne, musamman maƙasashinta. Wannan na iya zama saboda asarar ba kawai insulin bane, amma kuma lipocaine. Kuma, haɓakar haɓakar hormone girma, wanda ke da aikin adipokinetic kuma yana haifar da ƙwayar mai.

Cystic fibrosis (cystic fibrosis) a cikin yara

Ciwon sukari a cikin yara saboda cystic fibrosis ne da farko saboda karancin insulin. Amma juriya insulin sakandare a cikin rashin lafiya mai wahala saboda rikice-rikice masu rikice-rikice da kuma yin amfani da magungunan magunguna (bronchodilators da glucocorticoids) na iya ba da gudummawa ga ci gaban haƙuri da rashin haƙuri na sukari mellitus.

Ciwon sukari saboda cystic fibrosis yana faruwa ne a ƙarshen matakan cutar, yawanci a lokacin samartaka da kuma lokacin ƙuruciya. Idan akwai cirrhosis, wannan yana taimakawa juriya insulin. Haɓaka ciwon sukari saboda cututtukan ƙwayar cuta shine alama mara kyau ta haihuwa kuma yana da alaƙa da ƙarancin nakasa da mace-mace. Rashin kula da ciwon sukari mara kyau yana ma'amala tare da martani na rigakafi ga kamuwa da cuta da kuma haɓaka catabolism.

Shawarwarin nunawa suna nunawa ne ta hanyar gwajin glucose kowace rana ga duk yara masu fama da ƙwayar cystic fibrosis (cystic fibrosis) years 14 years old zuwa gwajin haƙuri glucose na baki a kowace shekara ga yara sama da 10, amma ma'aunin gargajiya kamar su azaman ƙwayar plasma mai azumi, PGTT, da HbA1c bazai zama dole hanyoyin bincike na cututtukan ƙwayar cuta ba a cikin mutane masu fama da ƙwayar cystic fibrosis.

Da farko, maganin insulin ya zama dole ne kawai ga cututtukan numfashi, matsanancin cuta ko mawuyacin hali, amma na tsawon lokaci, farjin insulin ya zama dole koyaushe. Magungunan insulin na farko yawanci kadan ne (fiye da ƙari kamar yadda ake amfani da inshoran insulin). A wasu marasa lafiya, farkon maganin insulin kafin farkon alamun bayyanar cututtuka yana haifar da tasirin sakamako na rayuwa wanda ke inganta haɓaka, nauyin jiki da aikin huhu.

Cutar sukari a cikin yara

Sau da yawa, yara suna kamuwa da cutar sankara (latin diabetes), wanda yawanci zasu iya tafiya tare da jujjuya jiki - kiba ta kundin tsarin mulki ko cututtuka masu yaduwa:

• zazzabin cizon sauro
• dysentery
• cutar hepatitis, da sauransu.

Marasa lafiya mafi yawan lokuta ba sa nuna gunaguni. Yin azumi sugar jini wani lokaci al'ada, babu sukari a cikin fitsari, wani lokacin akwai jigilar jini a jiki (hyperglycemia) da glycosuria. Amma, a matsayin mai mulkin, suna da wuyar fahimta tare da jarrabawa guda.

Zai yuwu a gano sankarar sukari na latti a cikin yaro kawai ta hanyar yin lissafin ɓarkewar sukari na jini bayan saukar da glucose (ga yara na shekarun makaranta, nauyin 50 na sukari ya isa). Tashi mai zurfi tare da jinkirta karantawa matsakaicin matakin da kuma jinkirin zurfafawa, bayan 3 hours ba a kai ga farkon adadi na sukari na jini ba, halayyar ciwon sukari na latent ne.

Fahimtar farkon cutar sankarar sankara na da matukar muhimmanci, saboda yana bada damar gudanar da jiyya a farkon matakan ci gaba da hana kamuwa da cutar sankarar hanji daga fili.

Ya yi matukar wahalar nema fiye da na manya, yana da saurin ci gaba. Tare da balaga, lokacin aiwatarwa yana aiki, mai yiwuwa saboda dakatarwa (tare da farawa da cikakkiyar ci gaban dukkanin gabobin da tsarin) na wuce haddi mai yawa na ci gaban hormone a cikin jiki.

Tashin hankali

An gano shi a farkon matakin haɓaka da madaidaiciyar cutar sankara a cikin yara a cikin 90% na lokuta ba ya ba da rikitarwa. Tare da kulawa mara kyau, hoton asibiti yana daɗa ƙaruwa, kuma rikitarwa da yawa suna haɓaka:

• ci gaba da ba da baya, da mafi yaduwar cututtukan ƙwayar cutar sankarau da ke ci gaba da shekaru,
• matsalar rashin jima'i,
• polyneuritis
• kamawa
• mai aiki mai ɗaukar hoto,
• cirrhosis na hanta.

A lokacin ƙuruciya da balaga tare da ciwon suga da kuma sanadin kamuwa da cutar tarin fuka, ana buƙatar saka idanu akan yanayin huhu. Sakamakon gano ciwon sukari da kulawa da ta dace, tarin fuka ya zama ba a gama gari ba da jimawa ba.

Alamomin cutar sankarau a cikin yara

Bayyanar cutar sankarau a cikin yara ba su da latti.

• ƙishirwa
• bushe bakin
• urination akai-akai
• asarar nauyi
• rauni wani lokaci ana daukar mamayewa helminthic ko kuma wata cuta.

Bambancin ganewar asali

Tare da ciwon sukari na koda, kamar yadda tare da sukari, fitsari an cire shi, amma yawanci mara lafiya da ke fama da cutar sankarar koda ba ya nuna gunaguni, sukari na jini, a matsayin mai mulkin, al'ada ne, kuma wani lokacin ma an ɗan rage kadan. Ba a canza juye sauƙaƙe ba. Sugar a cikin fitsari an keɓe shi cikin matsakaici kuma baya dogaro da adadin carbohydrates da aka karɓa tare da abinci. Rashin ciwon sukari a cikin matasa ba ya buƙatar takamaiman magani tare da insulin. Dole ne a kula da mara haƙuri akai-akai, kamar yadda wasu suka yi imani da cewa cutar sankaran ƙwayar cuta ta yara a cikin farkon farkon masu ciwon sukari, ko kuma tsaka-tsakin sifa.

Babban alamun cututtukan insipidus na sukari ba su da bambanci da sukari, yana ƙaruwa da ƙishirwa, bushewar baki, urination akai-akai, asarar nauyi. Gwanin jini da kuma glycemic curge a cikin insipidus na ciwon suga ba masu aminci bane.

Hasashen kai tsaye ya dogara da lokacin bayyanar cutar. Godiya ga binciken kwalliyar da aka yi a baya da kuma ci gaba da kulawa ta yau da kullun a karkashin kulawa ta likitanci, yara na iya jagorantar rayuwar da babu bambanci da yara masu lafiya kuma suna samun nasarar yin karatu a makaranta.

Tare da mummunan acidotic, har ma da siffofin rikitarwa, tsinkayen ba shi da fa'ida. Gwararrun zubar da ciki musamman a cikin iyalai waɗanda ba a ba yaro cikakkiyar kulawa dangane da tsarin janar, ingantaccen abinci mai gina jiki, da kuma kula da insulin na lokaci. Yaran da ke da cutar sankara sun fi kamuwa da cututtuka daban-daban fiye da yara masu lafiya. Cututtuka na iya zama mafi tsananin ƙarfi har ma da kisa.

Komawa ko lokaci na "amaryar amaryar" a cikin nau'in 1 ciwon sukari

A kusan kashi 80% na yara da matasa, buƙatar insulin ta rage sau ɗaya bayan fara aikin insulin. Har zuwa kwanan nan, ba a fayyace ma'anar lokaci na sakewa ba; yanzu an yarda da shi gaba ɗaya don la'akari da lokaci na sakewa yayin da mai haƙuri ya buƙaci ƙasa da raka'a insulin ɗari na kilogiram na nauyin jiki kowace rana a matakin glycated haemoglobin.

Marasa lafiya suna buƙatar isasshen abinci mai gina jiki da kuma maganin insulin. Kowane mara lafiya yana buƙatar tsarin mutum na gaba ɗaya don rubuta hanyarsa ta magani, gwargwadon yanayin da ya zo ƙarƙashin kulawa na likita, da shekaru. Tare da ciwon sukari na latent, kawai rage cin abinci na ilimin halittar jiki tare da madaidaitan rabo na furotin, fats da carbohydrates.

Ba sabon ciwon sukari ba a cikin yara a cikin tsari mai sauƙi, an kuma tsara abincin mai ilimin halayyar. A cikin abin da wasu hyperglycemia da glycosuria zasu iya kasancewa, ba su wuce 5-10% na darajar sukari na abinci (sunadaran carbohydrates + 1/2 sunadarai). A wannan yanayin, yakamata a sami ingantacciyar lafiya, cikakken kiyaye ƙarfin aiki, nauyin al'ada.

Insulin rage cin abinci

Yawancin marasa lafiya ana tilasta musu karɓar insulin tare da kayan abinci na dabbobi. Ana gudanar da insulin a cikin subcutaneously, dangane da zaton cewa ɗayan sashi ɗaya yana haɓaka sha na 5 g na carbohydrates. A wasu halaye, wannan rubutu ya faskara sakamakon rashin aiki na insulin a cikin jiki. Dole ne a gudanar da insulin a cikin adadin wanda ke samar da kusan cikakkiyar kimar carbohydrates. An bada shawarar barin glycosuria yau da kullun har zuwa 20 g na sukari, irin wannan glycosuria ba mai cutarwa ba kuma a lokaci guda yana gargaɗin mai haƙuri daga hypoglycemia. Don rage yawan hyperglycemia zuwa lambobin al'ada bai kamata ba.

Ya kamata a rarraba abinci a cikin kullun yayin la'akari da insulin ɗin da aka karɓa. Don tsayar da kashi na insulin kuma mafi daidaitaccen rarrabuwa yayin rana, yakamata a aiwatar da bayanin martaba na yau da kullun (glycosuria a cikin kowane yanki na fitsari sau 3 da jimlar glycosuria kowace rana).

Zai iya kyau yin allurar da ake buƙata kafin karin kumallo da abincin rana, guje wa allurar maraice ko sanya shi mafi ƙanƙanta. Abincin da ya fi dacewa shine kasha kasha 5: karin kumallo, alwashi da abincin dare, da ƙarin abinci sa'o'i 3 bayan gabatarwar insulin, karin kumallo na biyu da abincin rana. Irin wannan abinci mai narkewa yana samar da ƙarin koda na carbohydrates kuma yana hana yiwuwar maganin cututtukan jini.

Hypoglycemia

Hypoglycemia yawanci shine sakamakon rashin daidaituwa tsakanin adadin insulin allura da kuma carbohydrates da aka karɓa tare da abinci, wani lokacin yakan faru ne bayan yawan motsa jiki. Ya tashi cikin sauri:

• rauni yana bayyana
• girgiza hannu
• jin zafi da kadan sanyi,
• tare da nau'ikan masu nauyi - duhu mai duhu,
• amosanin-rashin zuciya,
• cikakken asarar hankali - rashin lafiyar hypoglycemic.

A cikin matakan farko na mai haƙuri, zaka iya cire saurin halin hypoglycemia, yana ba shi carbohydrates mai sauƙi: shayi mai zaki, gurasa, jam. Idan aka yi asarar hankali, ana gudanar da glucose ne a ciki (40% na maganin 20-40 ml), gwargwadon tsananin zafin jiki. Idan ba za a iya sarrafa glucose ba, alal misali, yayin raɗaɗi, 0.5 ml na 1: 1000 adrenaline bayani za'a iya gudanar dashi (azaman makoma ta ƙarshe!).

Marasa lafiya yawanci suna zuwa ƙarƙashin kulawar likita a cikin yanayin rashin lafiya, wanda shine sakamakon rashin kyawun kulawa, rashin cin abinci, cin zarafin mai, katsewa a cikin aikin insulin. Coma na faruwa a hankali, cikin rashin lafiya, marasa lafiya sun koka da:

• rauni
• tin zafi
• nutsuwa
• ci abinci yana ƙaruwa
• tashin zuciya da amai suna bayyana.

Farkon Cutar Cirema a cikin yara a wasu yanayi yana haɗuwa da raɗaɗi mai ratsa ciki.
Idan mara lafiyar ta wahala:

• rasa hankali
• akwai warin acetone daga bakin,
• jini sukari da jikin ketone suna haɓaka,
• glycosuria yana ƙaruwa
• amsawar acetone a cikin fitsari tabbatacce ne,
• sautin tsoka da tohon girare an rage su,
• numfashi yana ta karawa da hayaniya.

A cikin irin waɗannan halayen, yana da gaggawa don fara sarrafa ƙananan sassan insulin a ƙarƙashin kowane rabin sa'a, la'akari da yanayin mai haƙuri da yawan insulin da aka samu a baya. Lokaci guda tare da gabatarwar insulin, wajibi ne don gabatar da adadin carbohydrates mai yawa a cikin nau'i mai kyau na compote, shayi, ruwan 'ya'yan itace, idan mai haƙuri zai iya sha. A cikin yanayin da ba a san shi ba, ana gudanar da glucose cikin hanji (maganin 40%) da subcutaneously (5% bayani). Ana bayar da sakamako mai kyau sosai ta hanyar jijiyoyin ciki na maganin 10% na sodium chloride. Ya kamata mai haƙuri ya kamata a warmed sosai. Dangane da alamu, an tsara saukar da bugun zuciya.

Cutar sankarar mama

A cikin nau'ikan cututtukan cututtukan acidotic tare da hanta mai narkewa, abinci mai yawa na carbohydrate tare da ƙayyade kitsen, tsarin yanki na insulin ya zama dole. Abincin yakamata ya zama mai arziki a cikin bitamin. Za'a iya amfani da insulin wanda yake yin aiki a hankali kawai ga tsofaffi yara waɗanda basu da alamun acidosis da halayyar yawan zubar jini a jiki.

Yanayin gabaɗaya da makaranta

Jumlar jama'a iri ɗaya ce kamar a cikin yara masu lafiya. Yakamata a yarda da wasannin motsa jiki tare da likitanka.

Ba a hana aikin makaranta ba. Ya danganta da cutar, a wasu halaye ana buƙatar ƙarin ranar hutu. Hutun hutu da amfani a matsayin sabuntawa.

Kulawa da rikitarwa da cututtukan concomitant ana aiwatar da su kamar yadda aka saba. A waje na tushen magani tare da abinci da insulin, babu contraindications ga hanyoyin tiyata na magani. Ana buƙatar ingantattun matakan ƙarfafa ƙarfi: abinci mai kyau ba tare da wuce gona da iri ba. Tare da mummunan gadar hali da kasancewar ciwon sukari a cikin yawancin dangi, ya zama dole irin wannan yara su kasance karkashin kulawa na likita koyaushe. (Nazarin tsari na jini da fitsari don abubuwan sukari).

Musamman mahimmanci shine rigakafin rikicewar cututtukan ciwon sukari. Iyayen yaran da ke dauke da wannan cutar ya kamata su kware sosai a kan manyan lamuran da suka shafi jiyya, abinci, insulin, da sauransu. Duk yaran da ke dauke da cutar sankarau, yana da kyau a sanya shi a asibiti kowace shekara, don cikakken bincike. Tare da ci gaba da tabarbarewa, ya kamata a kwantar da haƙuri nan da nan.

Tambayoyi don tattaunawa tare da ma'aikatan makaranta

Tuntuɓi gaggawa

• Wanene zan kira idan akwai matsala mai wahala?
• Lambar wayar wani memba na iyali idan ba za ka iya zuwa gare ka ba.

Tsarin aiki na rashin ƙarfi na aiki

• Waɗanne alamun cututtuka ne zan duba kuma menene ya kamata a yi da waɗannan alamun?
• Menene kayan kwantar da hankali na gaggawa na hypoglycemia yayi kama kuma a ina?
• Makarantar tana da ofisoshin likita? Lokacin aikin sa? Shin akwai glucagon a cikin ofis (wani magani da likitocin ke amfani da su don magance cututtukan jini)?
• Shin malami yana samun damar zuwa ofis a lokacin aiki ba tare da aiki ba kuma zai iya sarrafa glucagon ga yaro idan ya cancanta?

Abinci da abun ciye-ciye

• Idan yaro yana buƙatar cin abinci a cikin lokutan ƙayyadadden sa'o'i, ta yaya za a iya shirya wannan don yin la'akari da jadawalin aji?
• Shin yara suna zuwa da abinci a shirye tare da su daga gida ko kuma suna ci a ɗakin karatun makaranta?
• Shin yaron zai buƙaci taimako na manya a cikin ƙididdigar sassan carbohydrate?
• Shin yaron yana buƙatar abun ciye-ciye kafin motsa jiki?

Jinin jini

• Yaushe yaro yana buƙatar auna sukari na jini? Shin yana buƙatar taimako?
• Shin yaron zai iya fassara sakamakon aunawa ko ana buƙatar taimakon manya?

Ayyuka don hyperglycemia

• Me zai yi da cutar hawan jini? (Insulin allura!)
• Shin yaronka yana buƙatar yin allurar insulin yayin da yake makaranta? Shin yana buƙatar taimakon dattijo?
• Idan yaro ya yi amfani da famfon na insulin, zai iya yin amfani da kansa?
• Zai yiwu a yi amfani da firiji don adana insulin idan ya cancanta (alal misali, a cikin yanayin zafi)?
• Shin akwai wani daki daban wanda zaku iya allurar insulin? Dole ne ka tabbata cewa ɗanka yana da duk abin da ya zama dole don bin ka'idojin aikin likita da aka tsara lokacin ranar makaranta. Yakamata a duba insulin dinka akai-akai kuma a sake hada kayan idan ya cancanta.

Yadda ciwon sukari ya balaga ya shafi ‘yan’uwa

Ciwon sukari yana shafar yaro ba kawai ba, har ma da iyalin baki ɗaya. A matsayinku na iyaye, zaku fara fara samun lokacin zama tare da yaranku, tunda akwai abubuwa da yawa da ya kamata ku tattauna, musamman a farkon cutar. Yaronku zai iya jin shi kaɗaici, ba kamar kowa, ba wanda ya sami baƙin ciki ko kuma bai tabbata a game da makomarsa ba, kuma zai fahimta, da ƙarin kulawa da kulawa Idan kuna da yara da yawa, to wannan rashin daidaituwa na iya haifar da tashin hankali a cikin iyali. Yana da mahimmanci ku tsara lokacinku yadda yakamata don rage tasirin cutar sankarau a cikin yaro akan alaƙar ku da sauran danginku, da kuma dangantakar brothersan uwan ​​juna.

Kishiya tsakanin yara

Ba koyaushe ba ne mai sauƙi don cimma daidaito a cikin rarraba lokaci tsakanin yara, tun da, a matsayin mai mulkin, ɗan da ke da ciwon sukari yana buƙatar ƙarin kulawa da kulawa. Yi sha'awar a cikin zuciyar duk yaranku. Wasu yara na iya jin an watsar, ba su da mahimmanci, ko kuma an manta da su. Wasu suna tsoron makomar ɗan'uwansu ko 'yar'uwarsu kuma suna damuwa cewa suma za su iya yin sukari. Ko dai za su iya jin daɗin laifi saboda ba su da ciwon suga, ko kuma su zargi kansu don ba wa wasu 'yan uwansu shaye-shaye a baya.

Haɗin kai mai ƙarfi na iyaye da waɗanda ke da kusancin yaro mara lafiya na iya haifar da kishi a cikin wasu yara. Shin suna jin cewa ba sa samun ɗayan hankalin kamar dā? Wasu yara na iya mai da hankali sosai ga ɗan’uwa ko ’yar’uwa da ke da ciwon sukari. Yaran da ba su da lafiya na iya gajiya ko kuma suna tunanin cewa kullun ana kallon sa.

Wasu yara, a gefe guda, na iya yin kishi saboda yaro mara lafiya yana karɓar ƙarin gata ko ragi. Don haka, ya zama dole mu hada kan ‘yan’uwa maza a cikin wani tattaunawa ta bude game da batun cutar sankara kuma a tattauna wannan da daukacin dangi. Bayyana wa dukkan yaranku menene cutar siga da kuma yadda yake shafar rayuwar su ta yau da kullun. Bayan haka, yana da matukar muhimmanci a gabatar da bayanai ga kowane yaro daban-daban, gwargwadon shekarunsa da matakin ci gabansa. Tryoƙarin shigar da wasu membobin dangi cikin kula da yaro da ke ɗauke da ciwon sukari.