Abin da ya kamata ku sani game da nau'in ciwon sukari na 2 a cikin yara

Ciwon sukari mellitus wani nau'in cuta ne na yau da kullum wanda ke faruwa ta hanyar lalata ƙwayar ƙwayar cuta ta ƙwayar ƙwayar cuta ta jiki - karuwa a cikin taro na jini. Cutar ta kasu kashi biyu: insulin-insulin - nau'in 1 da kuma wanda ba shi da insulin-type 2.

Cutar ta shafi manya da yara. Fahimtar abubuwan da ke haifar da cutar, alamunta da hanyoyin magani, yana yiwuwa a sauƙaƙe yanayin yaran kuma a hana rikice-rikice.

A baya can, an sami ƙarin yawan cututtukan nau'in 1 na yara a cikin yara. A cikin 'yan shekarun nan, wani nau'in cutar ta nau'in na biyu a cikin yara yana rajista a cikin 10-40% na lokuta.

Etiology na cutar

An san cewa cutar sankarau cuta ce mai gado.

Idan iyayen biyu ba su da lafiya, yiwuwar kamuwa da cuta a cikin yaro kusan kashi 100%.

Idan mahaifin ko mahaifiyarsa ba shi da lafiya, to matsalar cutar sankara tana kama da kashi 50%.

Wani nau'in ciwo na nau'in 2 a cikin yara na iya haifar da kowane zamani.

Wajibi ne yin la'akari da abubuwan da ke haifar da wannan cutar:

• cutar a dangi har zuwa gwiwa ta uku,
• cututtuka
• kabilanci
• nauyin haihuwa fiye da kilo hudu,
• tsawanta amfani da magunguna da aka zaba,
• canje-canje na hormonal a cikin matasa,
• kiba da abinci mara kyau,
• take hakki game da tsarin yau da rana,
• yanayi na damuwa
• zagi gari, abinci mai dadi da abinci,
• kumburi a cikin farji da sauran cututtukan ta,
• m salon
• wuce gona da iri aiki,
• Canjin yanayi zuwa sabanin haka,
• m jini.

Sakamakon wadannan dalilai, cuta na rayuwa ke faruwa, don haka kumburin yana samar da karancin insulin, kuma akwai karin jini a cikin jini.

Jikin yaron ba shi da lokacin da zai dace da canje-canje, insulin ya zama ƙarami, ana yin nau'in cututtukan da ba su da insulin ba.

Alamomin cutar

Yawancin yara suna zuwa likitoci riga masu ciwon sukari masu tasowa.

Wani lokaci a karo na farko ana bincikar su a cikin cibiyar likita inda yara suka ƙare da ketoacidosis ko ciwon sukari.

Yawancin yara ba sa lura da tabarbarewa cikin wadatar lafiya na dogon lokaci, don haka da wuya su koka da gajiya da rauni.

Sau da yawa, ana yin watsi da gwaje-gwajen likita kuma ɗaya ko wata alama ta halayyar cutar ba ta da alaƙa da Pathology.

Babban alamun cutar a cikin yara:

1. urination akai-akai
2. matsananciyar ƙishirwa
3. karuwa sosai a yawan fitsari
4. hare-hare na yunwar, wanda ke canzawa tare da rage yawan ci,
5. maƙarƙashiya, zawo,
6. rashin lafiya, rauni,
7. karin nauyi mai sauri ko asarar nauyi mai nauyi,
8. takamaiman wari daga bakin.

Tare da nau'in ciwon sukari na 2 na ciwon sukari, alamu suna ƙaruwa a hankali, saboda haka ba a kula da su na dogon lokaci. Don ganewar asali, kulawar iyaye ba kawai ba, har ma na gamawar malamai, a cikin al'umma wacce yarinyar ke ciyar da lokaci mai yawa, yana da matukar mahimmanci.

Ketoacidosis a cikin nau'in ciwon sukari na 2 a cikin yara yana da wuya. Yawancin sukari a cikin fitsari ana ƙaddara shi, amma babu jikin ketone. Saurin saurin kuzari da ƙishirwa koyaushe ba za'a iya faɗi.

A matsayinka na mai mulkin, marasa lafiya a wannan rukuni suna da kiba ko kiba. A matsayinka na mai mulkin, an lura da yanayin gado, saboda cututtukan dangi na kusa. Ba'a gano hanyoyin sarrafa kansa ba.

A halaye da yawa, yara suna haɓaka aiki tare:

• cututtukan fungal
• Mai ɗaukar cututtuka na lokaci-lokaci
• polycystic ovary,
• hawan jini
• dyslipidemia.

Ana lura da juriya na insulin a cikin fiye da rabin lokuta. Hyperinsulinism ma ya zama ruwan dare gama gari. A matsayinka na mai mulkin, ana rubuta kasancewar fata lokacin fata a cikin gwiwar gwiwar hannu, yatsun hannu da wuya.

A hadarin yara ne wadanda uwayensu ke da cutar suga yayin daukar ciki.

Binciko

Idan ana zargin yaro da ciwon sukari na 2, likitan yara ya kamata ya bincika shi. Likita zai tattauna da iyaye da yaro don kamuwa da cuta a tsakanin dangi, koya game da tsawon lokacin bayyanar cututtuka, abinci mai gina jiki da sauran abubuwan rayuwar.

Ana iya yin gwajin duban dan tayi na peritoneum, pancreas. An kuma nuna binciken Doppler game da yaduwar jini Likita ne yakamata ya yi nazari kan kwarewar yara.

Yakamata mai haƙuri kuma ya kamata a bincika, musamman, fata da ƙwayoyin mucous. Bayan binciken, an tsara waɗannan gwaje-gwaje masu zuwa:

1. gwajin glucose na jini
2. urinalysis
3. binciken hormonal
4. gwaje-gwaje na haemoglobin da cholesterol.

Hanyoyin kwantar da hankali

Bayan samun sakamakon gwajin, an sanya magani bisa la'akari da kiyaye sukari na al'ada. Hakanan aikin shine don hana ci gaban rikice-rikice.

Ana iya ƙara matakan glucose na jini kaɗan. A wannan yanayin, an wajabta yaro:

• Abincin abinci tare da abinci waɗanda ke da ƙarancin glycemic index,
• Darasi na motsa jiki (gudu, motsa jiki, yin iyo, dumama).

Magungunan sukari na rage sukari ne da likita ya umarta, a bisa alamu na alamomin glucose na jini. Mafi girman girman glucose, da karfin magunguna. Mafi sau da yawa, ana sanya magungunan hormonal cewa ƙananan matakan sukari, kazalika da kwayoyi waɗanda ke inganta ingantaccen ƙwayar glucose.

A cikin matsanancin matakai na cutar, an wajabta allurar insulin. Kuna buƙatar sanin cewa an zaɓi insulin dangane da halayen mutum na marasa lafiya.

Ikon cutar

Ana buƙatar kula da ciwon sukari akai-akai. Ana auna matakin sukari na jini yau da kullun tare da na'urar ta musamman - glucometer. Sau ɗaya a wata, malamin ilimin endocrinologist ya kamata ya fara bincika kuma ya ɗauki gwaje-gwajen da suka dace.

Dangane da yanayin yaro na yanzu, likita ya yanke shawara game da gyare-gyare ga maganin da ake da shi. Ana iya maye gurbin kwayoyi ko canje-canje na abinci.

Tattaunawa tare da ƙwararren likitan ƙwaƙwalwa, likitan kwalliya, ophthalmologist da nephrologist ya zama dole, tunda ciwon sukari ya cutar da gabobin da yawa. Tare da kula da yanayin yadda yakamata, za’a iya samun sauƙin raunin masu ciwon sukari.

Ciwon sukari mellitus shima yana haifar da cututtukan zuciya da dama da kuma rauni mai ƙarfi na neuralgia.

Fata na masu ciwon sukari ya daina aiki kuma yana murmurewa koyaushe. Saboda haka, kowane ƙaramin raunuka yana warkarwa da daddaɗa na dogon lokaci.

Matsaloli da ka iya yiwuwa

Rashin daidaituwa ko ƙin yarda daga gareta na iya haifar da sauyawa zuwa nau'in cutar ta farko da kuma buƙatar allurar insulin akai-akai. Ofaya daga cikin rikitarwa masu haɗari shine ƙwayar glycemic, a sakamakon ƙi magunguna masu rage ƙwayar sukari, ci abinci na iya ɓacewa, rauni mai rauni kuma coma na iya faruwa.

Hypoglycemia tare da kasha da asarar hankali na iya haɓaka sakamakon yawan ƙwayoyi, shan taba, ko shan giya.

Irin waɗannan rikice-rikice suna haɓaka da sauri. Bayan 'yan sa'o'i bayan an wucewa ko tsallake maganin, rikice-rikice na iya faruwa tare da sakamako mai yuwuwar in ba a ba da taimakon farko ba.

Yawancin rikice-rikice ana nuna su ta hanyar jinkirin ci gaba. Misali, hangen nesa na iya lalacewa - retinopathy, cikakkiyar asarar hangen nesa saboda raunin ganuwar tasoshin suma hakan zai yiwu. A yawancin halaye, ana lura da ƙwanƙwasa jini da asarar ji a cikin kafafu.

Kafafu suna yawan yin rauni, ciwon kai da kumbura. Footafarin mai ciwon sukari na iya samin tsari, wanda aka san shi da rarrashi da mutuwar wasu sassan akan kafafu. Kajin ciwon sukari a cikin mawuyacin hali yana haifar da yanke kafa na.

Sau da yawa akwai matsaloli tare da kodan, ciki har da gazawar koda. Sakamakon haɓakar furotin a cikin fitsari, cututtukan fata suna faruwa waɗanda ke cike da bayyanar cututtuka daban-daban.

Bugu da kari, cututtukan da ke gudana suna kara dagulewa, don haka muradin al'ada na iya karewa cikin mutuwa.

Ba a dauki nau'in ciwon sukari na 2 a cikin yara da matasa ba a matsayin dalilin samun matsayin nakasa. Koyaya, akwai fa'idodi ga yaro mai ɗauke da cutar sankara, waɗanda ke buƙatar ba da takaddun baƙi zuwa wurin shakatawa na kiwon lafiya da kuma wasu ƙwayoyi da yawa.

Rikice-rikice na ciwon sukari, alal misali, rashin cinikin yara, makanta da sauran cututtuka, suna haifar da matsayi na nakasa.

A cikin bidiyon a cikin wannan labarin, Dr. Komarovsky yayi magana dalla-dalla game da ciwon sukari na yara.

Clinical bayyanar cututtuka

Duk wani karkacewa daga dabi'a a dabi'a, hutawa, cin abinci, yana magana game da kowace cuta.

Kuna buƙatar sanin alamun cutar sankarar mamaye yara a cikin yara:

• ƙishirwabushe mucosa hanci
• urination akai-akai
• rashin jin daɗi na jinsi - itching, kona (fitsari ya ƙunshi glucose a cikin adadi mai yawa, yana da ƙarfi haushi)
• m coldscututtuka
• kaifi raguwa ko karuwa a jiki tare da abinci na yau da kullun
• tashin zuciyagagging
• m matsalolin hangen nesa
• haushi
• numbashi na wata gabar jiki
• itching da fata, fata cututtuka (purulent rashes, furunlera).

Nau'in nau'in ciwon sukari a cikin yara yana da haɗari saboda a wasu lokuta ba a bayyana alamun ba, iyaye da yawa sun danganta ƙishirwa ko haushi don yawan aiki.

Ciwon da ba shi da insulin-da-ƙwayar cutar kansa na iya ci gaba cikin natsuwa, har zuwa rikitarwa wanda ba zai yuwu ba idan ba a dauki matakin ba.

A nan za ku iya sanin kanku da alamun cutar sankarau a cikin jarirai da yara 1an shekara 1, wannan labarin yana bayyana alamun cutar a cikin yara underan shekaru 3, kuma wannan alamar alamun yaran 4an shekaru 4 zuwa 12 ne.

Hanyoyin jiyya

Dangane da sakamakon bincike da gwaje-gwaje, an wajabta magani, wanda ya danganta da kiyaye yanayin al'ada. Babban abu shine hana rikice-rikice.

Zai yiwu a ƙara matakin sukari na jini kaɗan, sannan a wajabta wa yaro:

• low glycemic index (low carbohydrate) rage cin abinci
• Motsa jiki (motsa jiki, motsa jiki, iyo, gudu) - motsa jiki yana inganta haɓaka metabolism, hakan zai bawa jiki damar ɗaukar ƙarin insulin nasa.

Magungunan sukari na rage sukari ana bayar da shi ta likita dangane da sakamakon sukari na jini, yawan sukari, da ƙwayoyi masu ƙarfi. yana iya zama:

• hormones da ke rage karfin jini
• wakilai waɗanda ke haɓaka dacewar shan glucose.

A cikin matsanancin matakai na cutar (yiwuwar canzawa zuwa nau'in dogaro da insulin), an wajabta allurar insulin. Yana da daraja sanin cewa insulin kowane ɗayan mutane ne.

Yadda ake sarrafawa?

Dole ne a sanya idanu a kan cutar yayin zama dole.

Kowace rana Yana da kyau a duba matakin sukari sau da yawa tare da glucometer.

Watan Zai dace a shiga cikin binciken likitancin endocrinologist, shan gwaje-gwaje - don haka likita zai fahimci ko yin riko da maganin da yake akwai ko idan gyara ya zama dole (maye gurbin magungunan, zabi wani nau'in abincin).

Hakanan ana buƙata kula da likitan mahaifa, likitan fata, mai cutar nephrologist, therapist - ciwon sukari yana shafar dukkanin gabobin ciki.

Tare da tallafin da ya dace don yanayin, rayuwar da ta dace, da saka idanu a hankali gaba ɗayan - ciwon sukari kusan ba a san shi ba ne a farkon shekarun da suka gabata. Tare da irin wannan cutar, babban ɓangare na duniya yana rayuwa.

Koyaya, yakamata a sani cewa cuta zata biyo kanta:

• cututtukan zuciya
• koda da cutar hanta
• narkewar cuta
• reshen neuralgia (ƙafafun sukari).
• Fata na mutanen da ke fama da ciwon sukari mellitus ya daina zuwa daidai, duk wani ƙaramin raunuka ya warkar da dogon lokaci, na iya farawa.

Kammalawa

Ciwon sukari na 2 ga yara yana da haɗari saboda ba za a iya gano shi nan da nan ba. Tashin hankali na iya farawa, sakamakon abin da ba zai yiwu ba. Sanin dalilai masu haɗari da alamun cutar, zaku iya kare yaranku. Bugu da kari, wajibi ne a koyar da yaro ya ci daidai, ya lallashe shi ya dauki kwayoyin, motsa jiki.