Tsarin sukari na jini a cikin yara 3 years: nawa glucose yake?

An nuna ƙudurin sukari na jini ga yara waɗanda ke da haɗarin haɓakar ciwon sukari ko kuma suna da alamun waɗanda zasu iya zama halayyar wannan cutar.

Bayyanar cututtukan cututtukan cututtukan mellitus a cikin ƙuruciya na iya bayyana ba zato ba tsammani kuma ci gaba a cikin nau'in coma ko zama mai saurin kamuwa da cuta, mai kama da cututtukan gastrointestinal, cututtuka.

Bayyanar cutar sankarar cutar sankarar hanta na iya hana tsaran yaro da ci gabanta, haka kuma kaurace wa matsanancin rikice-rikice, lalacewar kodan, yanayin gani, jijiyoyin jini, da kuma juyayi.

Gwajin jini don sukari a cikin yara

Wani fasalin jikin yarinyar shi ne cewa sukari da ke cikin yaro ya ƙunshi ƙananan juzu'i fiye da manya. Don ƙayyade shi, ana yin gwajin jini a kan komai a ciki.

Yaran da shekarunsu basu wuce shekaru uku ba zai iya tsayawa awanni 10 bayan ciyarwa ta karshe, wanda aka bada shawarar bada jini. Sabili da haka, zaku iya ba shi ya sha ruwan sha mai dumi a safiyar ranar bincike, amma yawan abinci, madara, duk wani abin sha tare da sukari ya kamata a cire shi.

Kafin bincike, jariri bai kamata ya sami damuwa ta jiki ko tausayawa ba. Ba'a gudanar da binciken don cututtukan cututtuka, kuma duk magunguna da aka ba da shawarar an soke su cikin yarjejeniyar tare da likitan yara.

Tsarin sukari na jini a cikin yara na shekaru 3 alama ce ta 3.3 - 5.0 mmol / L. A cikin yaro ɗan shekara daya, matakin ya bambanta tsakanin 2.75 - 4.35 mmol / L, bayan shekara shida ka'ida daidai yake da na manya - 3.3-5.5 mmol / L. Idan gwajin jini ya nuna glycemia ƙasa da ƙananan matakin al'ada, wanda aka tsara don shekaru, to an yi gwajin cutar hypoglycemia.

Tare da alamun da suka wuce al'ada, amma suna tsakanin 6.1 mmol / l, ana yin gwajin farko na ciwon suga. A wannan yanayin, an sake ba da bincike. Idan an sami sakamako mai haɓaka sau 2, to, an wajabta gwajin haƙuri mai haƙuri.

Dokoki na gwajin haƙuri a cikin yara:

1. Kwana uku kafin binciken, tsarin sha da abincin yaran bai kamata ya canza ba.
2. Ba a yin gwajin idan yaron ya sha wahala daga cutar ko kuma an yi masa allurar cikin mako guda kafin ta.
3. Da farko, ana gwada matakin sukari na azumi (bayan awowi 8-12 na azumi).
4. Ana ba da maganin glucose a cikin nauyin 1.75 g a kilo kilogram na nauyin yaro.
5. Bayan awa biyu, ana sake auna sukari. A wannan lokacin, yaron ya kamata ya kasance cikin kwanciyar hankali.

An kimanta sakamakon gwajin ta wannan hanyar: idan a cikin shekaru 3 bayan tsawan sa'o'i biyu daga ciwan glucose, yaro yana da hankalin jini sama da 11.1 mmol / l, sannan an tabbatar da bayyanar cutar sankarau, a matakin har zuwa 7.8 mmol / l - ƙa'ida, duk sakamakon tsakanin waɗannan iyakokin ciwon suga.

Sanadin ragewa da haɓaka sukari na jini a cikin yara

Rage sukari na jini a cikin yaro ana haifar dashi ta hanyar matakan insulin, abinci mara kyau ko malabsorption na carbohydrates a cikin hanji. Amma mafi yawan gama gari shine cikakkiyar alaƙa ko rashin lafiyar hyperinsulinism.

Dalilin da ke haifar da wuce haddi na insulin a cikin jini a cikin yara shine ƙari shine islet tissue na pancreas, yana shafar sel. Ana kiran shi insulinoma. Dalili na biyu na cututtukan jini a cikin yara na farkon shekara shine nezidoblastoz. Tare da wannan ilimin, yawan ƙwayoyin beta suna ƙaruwa.

Yawan sukari na jini na iya raguwa a cikin jarirai da haihuwa yayin haihuwa daga mahaifiya wacce ke da ciwon suga. Hypoglycemia yana haɗuwa da cututtukan cututtukan endocrine, ciwace-ciwacen hanta, hanta da cututtukan koda, da na haihuwar fermentopathies. An haifar da shi ta hanyar magunguna masu rage sukari da salicylates a cikin manyan allurai.

Idan ƙirar jinin ɗan yaro ta ɗaukaka, to, dalilan hakan na iya zama:

• Pathology na endocrine: mellitus na sukari, thyrotoxicosis, hauhawar cikin adrenal gland shine yake.
• Cutar Pancreatic.
• Damuwa
• Raunin haihuwa.
• Cutar hanta.
• Pathology na kodan.

Mafi sau da yawa, tare da hyperglycemia, ana gano ciwon sukari. Yawancin lokaci yana nufin nau'in farko.

Haɓaka cutar a cikin yara yawanci yana da sauri, saboda haka yana da mahimmanci a gano wannan cutar da wuri-wuri kuma a tsara maganin insulin.

Me yasa ciwon sukari na yara ke faruwa?

Babban abin da ke haifar da faruwa na ciwon sukari na 1 a cikin yara shine tsinkayar gado. Shaida akan wannan an samo asali ne daga yawan cututtukan iyali da ke tattare da cutar da kasancewar cutar sankarar cuta a cikin dangi na kusa (iyaye, 'yan'uwa mata da kakaninki).

Nau'in na 1 na ciwon sukari yana haɓaka azaman ciwon kansa na kansa. Lokacin da aka fallasar da abu mai haifar da abubuwa, samar da ƙwayoyin cuta a kan ƙwayoyin kansu suna farawa da haɓakar insulin na kullum. Kwayoyin Beta suna lalacewa, tare da rage adadin su, karancin insulin ya ci gaba.

Abubuwan da ke ba da hankali ga ci gaban ciwon sukari a cikin yara sune cututtukan hoto ko bidiyo mai zaga. A wannan yanayin, kwayar cutar na iya lalata tsoka ko kuma haifar da kumburi da ke ciki. Waɗannan kaddarorin sun mallaki: retroviruses, Coxsackie V, ƙwayar cuta ta Epstein-Barr, mumps, cytomegalovirus, cutar hepatitis da kumburi, kyanda, rubella.

Baya ga cututtukan hoto ko bidiyo mai zagaya yanar gizo da sauri a cikin yara masu cututtukan ƙwayar cuta, sankarar mama ya lalace ta:

1. Nitrates a abinci.
2. Yanayin wahala.
3. Ciyar da wuri tare da madara saniya.
4. Abincin carbohydrate mai narkewa.
5. Ayyukan tiyata.

Likitocin yara sun lura cewa mafi yawan lokuta ana gano ciwon sukari a cikin manyan yara da aka haife su da nauyin fiye da 4.5 kilogram ko tare da kiba, tare da rashin motsa jiki, a cikin rukuni na yara masu rashin lafiya akai-akai tare da diathesis daban-daban.

Alamar kamuwa da cutar sankarau a cikin yara

Bayyanar cututtukan sukari a cikin yaro na iya faruwa a kowane zamani. An lura da kololuwar halayyar bayyanar 2 - a shekaru 5-8 kuma a shekaru 10-14, lokacin da aka sami ci gaba mai girma kuma ana inganta matakan haɓaka. Yawancin lokaci, haɓakar ciwon sukari yana zuwa daga kamuwa da cuta ko kwayar cutar sankara ko cutar sankara na hanta ko hanta.

Mafi sau da yawa, ciwon sukari a cikin yara yana bayyana kanta sosai, kuma ana gano shi lokacin da coma mai ciwon sukari ya faru. Wannan na iya zuwa kafin wani lalacewa na asymptomatic na huhu. Yana ɗaukar watanni da yawa, kuma alamun asibiti suna faruwa lokacin da kusan duk ƙwayoyin da suke samar da insulin sun lalace.

Alamun alamu na yau da kullun, tare da bayyanar wanda likita ba shi da shakku game da kamuwa da cuta, ƙishirwa mai tsanani, ƙara yawan ci da nauyi a kan asalinta, ƙaru da saurin urination, musamman da daddare, rashin daidaituwa na urinary.

Tsarin bayyanar fitowar fitowar fitsari yana da alaƙa da abubuwan da ke tattare da ƙwayoyin glucose. Tare da hauhawar jini sama da 9 mmol / l, kodan bazai jinkirta fitarwar ba, kuma ya bayyana a fitsari na biyu. A wannan yanayin, fitsari ya zama mara launi, amma takamaiman nauyinsa yana ƙaruwa saboda yawan yawan sukari.

Alamomin kamuwa da cutar sun hada da:

• A cikin jarirai, fitsari fitsari ne m, da kuma diapers kama tauraro.
• Yaron ya nemi abin sha, sau da yawa yakan farka cikin dare da ƙishirwa.
• Fatar ta rage zama mai kauri, fatar da mucous membranes sun bushe.
• Seborrheic dermatitis yana tasowa akan fatar kan mutum.
• Fatar kan tafin hannu da ƙafafunku ba ta shuɗe, tsayayyiyar diaper na faruwa.
• M pustular fyaɗe da furunlera.
• Cigaban candidiasis na bakin ciki da na al'aura.

Yaran da ke dauke da nau'in ciwon sukari na farko suna da rauni da kuma ruɓewa. Wannan na faruwa ne saboda tsananin kuzarin sel sakamakon asarar glucose a cikin fitsari da kuma lalacewar ƙura. Tare da karancin insulin, akwai kuma karyewar kariyar sunadarai da mai a jiki, wanda idan aka hada shi da bushewar jiki yakan haifar da asara mai yawa a jiki.

Rashin rikicewar tsarin rigakafi yana ba da gudummawa ga cututtuka na yau da kullun, ciki har da fungal, cututtukan da ke iya haifar da ciwo mai tsanani da maimaitawa, da juriya ga maganin gargajiya.

Decompensated ciwon sukari mellitus a yara yana faruwa tare da nakasa aiki na zuciya da jijiyoyin jini - aikin zuciya gunaguni ya bayyana, bugun zuciya zuciya, ƙwanƙwasa yana ƙaruwa, da kuma na koda kasawa. Bidiyo a cikin wannan labarin yayi magana game da ciwon sukari a cikin yara.