Buga na 1 ciwon sukari a cikin yara da matasa

Lokaci na zamani yana buƙatar sabon hanyoyin dabarun magance cututtuka. Nau'in ciwon sukari na 1, hakika, yana ɗaya daga cikin cututtukan da ke buƙatar ci gaba da haɓaka hanyoyin magani, kamar yadda yawan mutanen da ke fama da wannan cuta har yanzu suna ƙaruwa. Masana kimiyya da likitoci a duk faɗin duniya suna ƙoƙarin gano yadda za su inganta rayuwar irin waɗannan masu haƙuri da tsawaita rayuwarsu.
Ganin gaskiyar cewa galibi yara suna fama da wannan cuta, babban aikin warware matsalar shine inganta kulawar glycemic a wannan rukunin shekarun. Wannan ba kawai kyakkyawan matakin glucose bane a cikin jini, amma kuma halayyar ɗan adam, yanayin rayuwarsa mai sassauci da ikon yin komai wanda ya kamanta su da ƙungiyar masu koshin lafiya.

Maganin gargajiya na maganin ciwon sukari na 1 shine ta hanyar injections na insulin. Wannan magani ya gamsar da mutane da yawa, kuma ba sa bukatar yin canje-canje. A gefe guda, akwai yara waɗanda suke gabatar da buƙatu mafi girma akan ingancin rayuwarsu waɗanda suke so su zama masu sassauƙa. A gare su, akwai magani tare da famfo na insulin, wanda shine mafi girman hanyar kimiyyar lissafi don cimma ingantaccen matakin glucose a cikin jini.

Nau'in ciwon sukari na 1 a cikin yara - abubuwan gado

Nau'in na 1 na ciwon sukari mellitus na iya samun cancantar azaman ƙwayar cuta mai yawa, ƙwayar cuta ta polygenic, saboda duka abubuwan da suka shafi ƙwayoyin halitta da waɗanda ba su da dangantaka da juna an ƙaddara su a cikin pathogenesis.

Cutar tana kama da polygenic saboda yiwuwar kamuwa da wata cuta ta hanyar hulɗar da abubuwan halittu da yawa ko hadaddun hanyoyin kwayoyin. Hatsarin mutum guda ɗaya na cutar a cikin cututtukan da ke haifar da cututtukan cuta da yawa da wuya a kafa, kuma ba zai yiwu a yi wannan ba a yanayin mai ciwon sukari na 1. Marasa lafiya da wannan cuta suna da iri ɗaya na haɗuwar ƙwayoyin cuta kamar mutane masu lafiya. Akwai marasa lafiya da ke fama da cutar sankarar jini wadanda ke da dangi da ke fama da wannan cutar, amma, akwai wani alamu da ba a rasa tabbas ga wannan cutar. Yaron da ke da dangi da ke fama da cutar sankara yana da cutar sau 25 mafi ƙarancin cuta fiye da mutanen da ba su da tarihin cutar sankara.

Jiyya don kamuwa da ciwon sukari na 1 a cikin yaro

Ya kamata a saita shirin kulawa da akayi daban-daban don cimma daidaitaccen iko na ciwon sukari, dangane da shekaru, aiki, aikin jiki, kasancewar rikice-rikice, cututtukan da ke tattare da yanayin, yanayin zamantakewa da halayen yaro. Kula da lafiyar marasa lafiya da yakamata yakamata ya kai ga cimma burin cimma burin kula da yara, a cikin yara da matasa yakamata a yi la’akari da biyan diyya daidai da yarjejeniya.

Tsarin magani ya hada da:

shawarwarin abinci na mutum tare da cikakken koyarwa,
shawarwari don canje-canjen rayuwa (aiki na jiki),
ba da shawara ga marassa lafiya da danginsu (musamman ma dangane da cutar sankarau a cikin yaro),
kafa manufofin warkewa da ilmantar da marassa lafiya game da kamun kai (gami da canje-canje a tsarin),
magani na kamuwa da cutar sankarau da sauran cututtukan concomitant,
psychosocial kula da marasa lafiya da type 1 ciwon sukari.

Rashin ilimin magunguna na cututtukan ƙwayar cuta a cikin yaro

Wannan nau'i wani bangare ne na kulawa da cutar, ciki har da nau'in ciwon sukari na 1. Yana nufin shi a matsayin ƙuntatawa yanayin, i.e. zaɓi na aikin motsa jiki da ya dace, kazalika da ƙuntatawa na abinci, waɗanda aka zaɓa daban-daban, yin la'akari da shekaru, ayyuka da nau'in maganin maganin da ake amfani da shi.

Tare da kyakkyawan tsarin kula da marasa lafiya da masu ciwon sukari na 1 wanda ba su da kiba, kuma waɗanda suke da jijiyoyin insulin, waɗanda ake kira. abincin mutum (abinci mai sarrafa kansa). Don yaro mai kiba, yana da kyau a ba da shawarar irin waɗannan matakan waɗanda cimma daidaituwa na makamashi yana haifar da asarar nauyi. Wani sashi mai mahimmanci na matakan magunguna ba shi ne ilimi mai zurfi na marasa lafiya ba.

Magunguna ga yaro mai ciwon sukari

Don nau'in 1 na ciwon sukari, ya kamata a ba da magani nan da nan a lokacin ganewar asali. Ya ƙunshi yin amfani da insulin, zai fi dacewa da magunguna masu yawa na yau da kullun. Ya kamata a zabi kashi ɗin ta hanyar da zai haifar da raguwa a hankali a matakan glucose na jini, wanda yakamata a ƙididdige shi bisa tsarin. Ci gaban hypoglycemia a wannan matakin farko ba a ke so bane. A cikin lokuta masu tsauraran (glucose mai ƙarfi, ketoacidosis), ya zama dole don kula da yaro a asibiti ta hanyar yin amfani da sarrafawar ci gaba da sarrafa insulin cikin ciki tare da matsananciyar ƙarfi daidai da ƙa'idodi don magance cutar ta masu ciwon sukari. Yaro mai ciwon sukari a cikin yanayin mu wasu lokuta ya zama dole a kula da shi da insulin a cikin yanayin tsinkaye. Bayan cimma sakamako mai gamsarwa a cikin bayanin martaba, ana tura magani zuwa ɗayan zaɓuɓɓuka don maganin insulin mai zurfi, wanda ya haɗa da akalla kashi ɗaya na insulin dogon aiki da dare, yawanci a hade tare da insulin mai saurin aiki, ana sarrafawa kafin manyan abinci. An zaɓi magani mai zurfi, gami da haɗakar abubuwa tare da daddations daban-daban na aiki daban-daban don dacewa da yanayin ciwon sukari da yaro mara lafiya, halayensa, ayyukansa da shekaru kuma, a lokaci guda, suna haifar da sakamako mafi kyawu don cutar.

Sanadin ciwon sukari a cikin yara

Ciwon sukari a cikin yara ana haifar dashi ta hanyar rikice-rikice na rayuwa daban-daban, amma tsarin su shine kusan iri ɗaya: tsibirin na Langerhans, waɗanda ke da alhakin samar da insulin da suka wajaba don kula da daidaituwar glucose, suka mutu akan lokaci kuma suka daina aiwatar da ayyukansu.

A cikin lamura da yawa, ciwon sukari mellitus yana faruwa ne bayan kamuwa da cuta, tunda rigakafin yarinyar, yana gwagwarmaya da cutar, an tilasta shi kai hari cikin sel.

Akwai tabbacin cewa dalilin ƙarfafa cutar sankarau a cikin yaro shine:

kwayoyin halittar jini
tsoro, danniya,
kiba, kiba.

Bayan haihuwa, jariri ya kamata ya kasance ƙarƙashin kulawar likitan yara, ana nuna nauyi, tsayi tsayi. Idan ya cancanta, sanya gwaje-gwaje na yau da kullun, sun taimaka wa likita don tantance yanayin lafiyar yaro a wurare daban-daban a rayuwarsa. A gaban dalilai masu rikitarwa, ana bincika yaro sau da yawa, wanda ba zai rasa farkon farawar cutar ba. Wani mawuyacin hali na iya zama mellitus na ciwon sukari da ke cikin iyaye ko ɗayansu.

Lokacin da yaro ya wuce kima, yana jagorantar rayuwa mai taushi, sai likitan endocrinologist ya nuna shi don cire yiwuwar cutar hauka. Likita ya ba da shawarar daidaitattun alamun nuna nauyi, kawar da yawan motsa jiki, sanya ayyukan jiki ya dace da shekaru, haka kuma iyawar yaro. Irin waɗannan matakan sauki suna taimakawa wajen kawo metabolism cikin yanayin jituwa, kuma zasu zama rigakafin cutar sankara.

Kuna buƙatar sanin cewa a cikin rayuwar yaro akwai wasu lokuta lokacin da ya kasance mafi haɗari musamman. Yawancin lokaci, ana gano alamun cutar sankara yayin shekaru 4-6, shekaru 12-15.

Wato, yaro ɗan shekara 3 ba shi da saukin kamuwa da cutar fiye da shekara 5.

Bayyanar farko na cutar sankarau a cikin yara

Lokacin da binciken ya nuna maki mafi girma, akwai karuwar haɗarin cewa yaro ya kamu da ciwon sukari. Idan akwai abubuwan haɗari, ana bayar da jini don sukari aƙalla sau ɗaya a cikin rabin shekara, amma mafi sau da yawa.

Tun ma kafin a yi gwajin jini, iyaye za su iya ɗauka cewa yaron yana da ciwon sukari saboda alamun halayen. Cutar a farkon tana bayyana ne ta hanyar gajiya mai saurin sabawa, kishirwar wuce kima, bushewa daga fata, mucous membranes. Nau'in 1 na ciwon sukari mellitus yana haifar da raguwa mai yawa a cikin nauyin jiki, ƙarancin gani.

Kowane alamomin suna da alaƙa da gaskiyar cewa tare da hyperglycemia, tasoshin jini da gabobin ciki suna da farko shafawa, yana da wahala jiki ya iya mu'amala da bayyanar abubuwan maye. Idan ɗaya ko uku ko fiye da bayyanar cututtuka nan da nan suka ji kansu, ana nuna cewa neman shawarar likitan yara, likitan dangi, ko endocrinologist.

Don yin bincike, kuna buƙatar yin gwajin sukari na jini:

sau da yawa ana yin samfurin samin jini a kan komai a ciki, sakamakon ya zama kusan 4.6 mmol / l,
bayan cin abinci, wannan lambar tana ƙaruwa da maki 8-10.

Tsarin cuta

Yawancin lokaci ana yin gwajin cutar a yara da manya a digiri. A digiri na farko, glycemia bai wuce 8 mmol / l ba, ba ya canzawa yayin rana, glucosuria ya kusan 20 g / l, magani ba lallai ba ne, wani lokacin abincin da ya dace ya isa.

Digiri na biyu yana da matakin glycemia har zuwa 14 mmol / l da safe, kuma glucosuria bai wuce 40 g / l ba, mai haƙuri yana haɓaka ketosis, an nuna shi injections na insulin, kwayoyi don ciwon sukari.

Tare da digiri na uku, matakin sukari ya tashi zuwa 14 mmol / l kuma mafi girma, a cikin ranar wannan alamar tana canzawa. Glucosuria - aƙalla 50 g / l, ketosis ya faru, an nuna shi allurar insulin a kai a kai.

Ciwon sukari yana da manyan nau'ikan 2, da kuma nau'ikan iri iri, ana kamanta su da pathogenesis da etiology. Don haka, cutar ta bambanta:

Nau'i 1 (ciwon suga da ya dogara da insulin). Tare da shi, raunin insulin na iya zama cikakke, lalacewa ta hanyar lalata ƙwayoyin ƙwayar ƙwayar cuta, yana buƙatar maye gurbin insulin akai-akai,
Nau'ikan 2 (mai zaman kansa insulin). A wannan yanayin, ana samar da kwayoyin halittar, amma kashin jikin mutum ya rasa hankalinsa, ba sa shan insulin. Akwai buƙatar ɗaukar magunguna don rage matakan glucose.

Yadda za a warke?

A cikin 98% na lokuta, yara kan haifar da nau'in ciwon sukari da ke dogara da sukari, a wannan lokacin ba za a iya warkewa har abada ba.

Kwayoyin cutar ta Pancreatic a wannan yanayin basu sami damar asarar adadin insulin na hormone ba, don haka ya zama dole a sake shi.

Ya kamata mai haƙuri ya karɓi insulin tare da injections na yau da kullun.

Mafi mahimmancin maganin shine kulawa da sukari na jini idan ma'auni na dindindin:

zaku iya kiyaye matakin glycemia a matakin karba,
don haka rage haɗarin rikitarwa.

Iyaye su kasance cikin shiri don farawa da mummunan yanayi wanda ke faruwa da tushen ciwon sukari. Abinda yafi firgita su shine coma na rashin jini, yana faruwa ne akan asalin saukar da glucose din jini. Yaro na iya fadawa cikin wannan halin a kowane lokaci. Sabili da haka, wajibi ne a yi la’akari da tsarin abincin da ya keɓance bambance-bambance a cikin yawan sukari. Idan yaro yana motsawa sosai, dole ne ya ɗauki ciye-ciye tsakanin abinci.

Wani muhimmin batun shine cikakken isasshen abincin. Likita ya zaɓi kashi na hormone, daga abin da abincin da yaro yakan saba ci, abinci yana da ƙimar kuzari daban-daban. Dalili don auna samfuran samfuran sukari shine sashin gurasa (XE). Likita wanda zai lura da yaro zai samarwa da iyaye kayan da zasu bayyana raka'a gurasar da samfurin ya kunsa, misali:

3 XE - 6 tablespoons na oatmeal,
9 XE - wannan shine 9 tablespoons na hatsi (a bushe bushe).

Hyperglycemia yana haifar da barazana ga rayuwar ɗan adam, tare da shi, bayan maye shekara rabin maye, yanayin bangon jijiyoyin jini, gabobin ciki masu mahimmanci.

Lokacin da hyperglycemia ke faruwa akai-akai, yana da muhimmanci a sake duba yadda ake samar da insulin, wanda hakan zai iya zama sanadiyyar warkewar cutar siga.

Abin da kuma ya kamata la'akari

Toari ga ci gaba da daidaitaccen tsarin rayuwa, wanda ya danganta da abinci na musamman, aikin motsa jiki, da ilimin insulin, yana da muhimmanci a ci jarabawa ta lokaci kuma a ɗauki gwaje-gwaje. Idan kun yi watsi da wannan shawarar, ciwon sukari yana shafar gabobin ciki da tsarin: jijiyoyin jini, fata, zuciya, hanta, idanu.

Likitoci suna ba da shawara don kula da tsabta, don kula da fata, musamman yanayin ƙafafun yaro. Tare da cin zarafin metabolism na carbohydrate, raunuka sau da yawa suna tasowa waɗanda ba su warkar da dogon lokaci ba, suna buƙatar likita ta duba shi. Akalla sau biyu a shekara, ana nuna neman shawara:

Lokacin da aka tambaye shi ko yana yiwuwa a warkar da ciwon sukari a cikin yaro, babu takamaiman amsa. Ana iya samun sakamako mai kyau idan aka fara magance nau'in cuta ta 2 a daidai farko. A cikin wasu halaye, yana yiwuwa a kayar da cututtukan wannan nau'in kuma a cikin mafi girman siffofin.

Lokacin da yaro ya kamu da ciwon sukari na 1, ana nuna shi lokacin rayuwa, yana kaɗai hanyar rayuwa. Sigogin cutar da ke buƙatar yin amfani da matakan tsattsauran ra'ayi.

Shin za a iya warkar da ciwon sukari ta hanyoyin gargajiya? Haka ne, amma batun yarda da likitan ku ne. Koyaya, lokacin da yaro yana da tsari mai dogaro da insulin, magungunan ciwon sukari suna da mahimmanci.

Tasirin matakan da aka ɗauka ya dogara da abubuwan da yawa:

irin ciwon sukari
shekarun yaro (jinsi ba shi da mahimmanci),
horo cikin aiwatar da shawarwari,
Mataki a inda aka gano cutar.

Lokacin da yaro yana da yanayin gado game da ciwon sukari kuma iyaye suna fama da hyperglycemia, an nuna shi ta hanyar auna glucose jini a cikin tsari tare da glucometer kuma yayi gwajin rigakafin. Wadannan matakan suna taimakawa wajen tsayar da ilimin cuta a farkon farkon ci gabanta, kuma magani zai yi tasiri.

Sabili da haka, yana da wuya a amsa tambayar ko ana iya warkewar cutar sankara, ko wani magani zai taimaka, ya zama dole a yi la’akari da takamaiman shari’ar.

Yadda za'a hana rikicewa

Akwai wata dama ta hana ci gaban nau'in cutar ta sakaci idan muka ware daga abincin abincin yaran da ke cutar da masu cutar siga wanda ke kara yawan sukari:

mai nama, kifi,
abinci, burodi, lemo, taliya,
'ya'yan itãcen marmari, dankali, legumes,
man shanu, man alade.

Lokacin da iyaye suka san sha'awar yaro na ƙara yawan sukari, ya kamata su sa ido a kan abincinsu.

Tare da ƙididdigar glucose na jini na 14 mmol / l, ana buƙatar ba ɗan yaron ya ci a ƙananan rabo, abincin farko dole ne ya daidaita. Yayi kyau a kan lafiyar yaron da aka nuna a cikin wasanni, har ma da ƙarfin rabin. A cikin abin da ya faru da cewa matakin glycemia ya yi yawa sosai, an haramta motsa jiki, yana iya haifar da lahani.

A cewar kididdigar, kusan 6% na mutane a duniya suna rayuwa tare da ciwon sukari, kuma, rashin alheri, akwai yara da yawa a cikin marasa lafiya. Sabili da haka, ko an kula da ciwon sukari, tambayar ta fi dacewa da mutane da yawa.

A yau, rigakafin ciwon sukari a cikin yara na kowane zamani an haɓaka shi. Ofaya daga cikin jagororin aikinta shine kayan aikin da ke taimakawa ci gaba da ƙwayoyin beta idan cutar ta fara bulla. Don aiwatar da wannan ra'ayin, ya zama dole don kare cututtukan fata daga harin na rigakafi.

A cikin bidiyon a cikin wannan labarin, Dr. Komarovsky zai gaya muku duk game da ciwon sukari na yara.

Ka'idodin insulin far don kamuwa da ciwon sukari na 1

Ana gudanar da aikin kwantar da hankali tare da insulin ɗan adam ko analogues ɗin sa, don gabatarwar wanda ake amfani da masu nema.
An zaɓi adadin allurai ta wannan hanyar don samar da mafi kyawun iko na glycemic daidai da rayuwar yau da kullun na yaro.
Girman adadin allurai yakamata a keɓance shi don rage rashin daidaituwa tsakanin glycemic kuma a lokaci guda riƙe da ƙimar mafi kyau. Ya kamata a kimanta sashi koyaushe tare da hoton hoton mara lafiya da nauyin jikinsa. Rashin nauyi mai mahimmanci a cikin yaro wanda ke da mummunan yanayin cutar alama ce ta yawan wucewar insulin, wanda ke buƙatar yin bita. A matsayinka na mai mulki, a irin waɗannan halayen ya wajaba don zaɓar mafi ƙarancin tasiri na maganin.
Magungunan da suka dace sun dogara da nau'in insulin, amma a maimakon haka, zaɓin tsarin insulin, ilimin haƙuri da haɗin gwiwa.
Wani bangare mai mahimmanci na kulawa mai zurfi shine aiwatar da ikon sarrafa kansa na glycemia, i.e. kimantawa na daidaitaccen glucose na jini da bayanin martaba na glycemic.
Game da rashi mara kyau ga masu ciwon sukari, wanda aka tantance daban-daban (a kan komai a ciki, ƙasan glucose na jini ya kasance sama da 6.5 mmol / L ko bayan abinci - sama da 9 mmol / L da HbA1c sama da 5.3%), ya zama dole a sake nazarin tsarin magani (matakan regimen, pharmacotherapy ) don sanin dalilin shi.
Tare da biyan diyya mara ƙima, ya kamata ku gwada maganin gargajiya tare da nau'ikan insulin daban-daban, ciki har da analogues dinsa, kuma zaɓi haɗuwa wanda zai haifar da haɓaka yanayin yanayin yarinyar.
Game da sakamakon da ba a gamsu da shi ba na yau da kullun tare da insulin da isasshen diyya don ciwon sukari, za a iya amfani da maganin insulin na famfo idan an cika yanayin amfani da shi.
Halin gaggawa don rama irin nau'in 1 na ciwon sukari ya dogara da matakan da ba magunguna ba, musamman a cikin yanayin motsa jiki da abinci na yarinyar, wanda ya dace da ilimin insulin.
Sakamakon dogon lokaci na magani na nau'in 1 na ciwon sukari mellitus ya dogara ne akan hanyar haɗin kai kuma, sabili da haka, ba kawai kan ilimin insulin ba.

Matakan hanyoyin kariya

Manufar jiyya don ciwon sukari na 1 shine ci gaba da ƙoƙarin rage rikicewar jijiyoyin mara. Matakan kariya sun hada da:

} o} arin da ake yi na haɓaka sikirin sarrafa ciwon sukari (dangane da wani haƙuri),
kokarin inganta biyan diyya hawan jini (tsarin kulawa da hauhawar jini),
ingantaccen magani ga dyslipidemia,
kokarin inganta lafiyar jikin yarinyar,
kokarin aiwatar da kyawawan halaye na zamantakewa (aikin jiki),
Nazarin yau da kullun na ƙananan ƙarshen, a matsayin ɓangare na tsari guda,
bincike na yau da kullun da kuma ƙungiyar albuminuria a cikin tsararrakin lokaci.

Iyayen yara da matasa masu fama da ciwon sukari na 1

Babu shakka iyaye suna da babban tasiri wajen lura da cutar da yaransu. Sakamakon gaskiyar cewa yawanci ana gano cutar sankarau a cikin yara ƙanana, a farkon shekarun, magani ya dogara ne akan iyayen kawai. Ciwon sukari mellitus cuta ce da ba ta shafi yaro kaɗai ba, amma duka dangi, ayyukanta na zamantakewa, abinci mai gina jiki, abubuwan wasanni, tafiye-tafiye ko hutu. Gano cutar sankarar mellitus tana nufin cewa dole ne iyaye su koyi sababbin bayanai da yawa kuma su sami dabaru masu yawa dangane da gudanar da insulin.

Iyayen yaro mara lafiya suna ƙaura daga rayuwarsu ta yau da kullun, abubuwan da suke so, wani lokacin har ma da abokai. Yawancin iyaye da farko suna jin warin ciki na tsoro da fargabar cewa ba za su iya yin haƙuri ba. Sau da yawa yakan faru cewa mahaifiyar tana ɗaukar mafi girman nauyin, kuma mahaifin yarinyar kawai yana duba "daga waje." Amma wannan ba zai zama haka ba, don haka uba ya kamata ya san komai game da ciwon sukari na 1 don kula da yaro a cikin gaggawa kuma taimaka masa a cikin mawuyacin hali.

Iyayen kananan yara

Iyayen iyayen jarirai da yara kanana suna da manyan matsalolin abinci saboda basu taɓa sanin irin wannan ƙaramin ɗan da ake ci ba, har ma da ɗan canje-canje a cikin sinadarin insulin na iya haifar da hauhawar jini ko hauhawar jini. Ga irin waɗannan yara ƙanana, jiyya tare da famfo na insulin abu ne mai kyau, tunda tare da wannan hanyar zaku iya shigar da ƙananan ƙananan basal da kashi na bolus bayan abinci, lokacin da ya bayyana a fili yawan abin da yaron ya ci.

Har ila yau, matsaloli suna tasowa yayin da yara suka fara neman kayan saƙar, waɗanda a cikin adadi mai yawa ba su dace da su ba. Wajibi ne a bayyana matsalolin ciwon sukari da kuma iyayen kakanin yarinyar don guje wa rashin fahimta yayin kulawa.

Iyayen matasa

Yayin da yara ƙanana, sun dogara gaba ɗaya ga iyayensu. Canje-canje suna faruwa lokacin da yaro ya girma kuma ya fara nuna 'yanci a wannan batun. Iyaye, har zuwa wani ɗan lokaci, sun rasa ikon kulawa da yaro da rashin lafiyarsa. Matsalar yawanci yakan faru ne a lokacin balaga, lokacin da insulin na insulin yayi zurfi kuma ya zama dole yaduwar yawan insulin. Bugu da kari, rashin daidaituwa na tsarin mulki, gazawar kame kai da kuma amfani da abubuwa masu maye sun kasance alamu na wannan lokacin. Ganin wannan, akwai haɗarin haɓaka rikitattun ƙwayoyin cuta. Sabili da haka, a wannan lokacin yana da kyau a yi la’akari da batun farfaɗo tare da famfowar insulin da analogues mai sauri. Budurwa takamaiman tawaye ne, yunƙurin rarrabe kai da wasu kuma, sama da duka, don aikata sabanin abin da iyayen suka faɗi. Don haka, wannan lokacin don iyaye da ilimin likita aiki ne mai wuya. Mutunta juna tsakanin yaro da mahaifa yana da mahimmanci. Yana da kyau a tattauna wasu ka’idoji tare da saurayi, kiyaye abin da ya kamata ya kawo wa yara wasu fa'idodi, yayin watsi da su zai haifar da sakamako.

AMSA TAMBAYA

Jiyya ga nau'in cutar sankarar mahaifa ba ya ba da magani. Abin sani kawai nasarar da mafi girman zai yiwu na biyan diyya ga ƙwayoyin carbohydrate, hanawar hypo- da hyperglycemia, da rigakafin, sabili da haka, ana la'akari da rikitarwa na ciwon sukari. Wato, nadin sauya magani (shirye-shiryen insulin) tsawon rai ne.

AMSA MAGANAR

Yana da wuya ba a yarda da abin da ke sama ba, amma, alal misali, saboda wasu dalilai, mai haƙuri ya fara bayyana doguwar ɓarkewar jini a kan tushen farfadowa mai gudana tare da shirye-shiryen insulin. A wannan yanayin, alamu masu nuna halin halin marasa lafiya suna da kyau, ba wai ana lura da biyan diyya ba ne.

Glycated haemoglobin - 5. Alamar haɓakar haɓakar basal na C-peptide, bincike yana nuna yanayin ƙwayoyin-kwayoyin masu aiki waɗanda ke haifar da insulin. Rashin "kai harin" a jikin kwayar halitta a jikin immunogram (ba wai kawai bayan shekara guda ba).

Tambayar kanta ita ce menene mafi ra'ayin mazan jiya na endocrinologist zai yi a wannan yanayin? Da farko, zai ba da shawarar “ci sama” XE, amma yayin da yanayin rashin ƙarfin jini na haɓakawa, babu makawa zai fara rage yawan insulin. Amma sai al'ajibai suka fara.

A cikin shekaru goma da suka gabata, marasa lafiya waɗanda suka fada cikin wannan yanayin sau da yawa suna zama ba tare da maganin insulin ba kwata-kwata, in ba haka ba, za a fara aukuwa na mummunan yanayin rashin ƙarfi, wanda a cikin yanayi na al'ada (a asibitin) za a iya sauƙaƙe cire shi ta hanyar gabatar da adadin XE.

Amma waɗannan marasa lafiya an lura da su anan kuma maimakon "cinyewa" XE mai yawa, an shawarce su da rage yawan sashin insulin. Sakamakon haka, bayan watanni shida, sannan shekara guda ko fiye, ba cewa yanayin mai haƙuri ba ya canzawa mafi muni, an tura mai haƙuri zuwa IEC ... don sauƙaƙe nakasa! Ba a cire maganin ba. Ga tambayoyin iyaye - me yasa - sau da yawa amsar tana da sauƙi: wanda ke nufin ba ku da ciwon sukari ...

- Wannan ita ce, ta yaya? Kai da kanka ka yi wannan binciken!?

Na zo da irin wannan sabon abu hanya na faruwa. Anan, bangarorin biyu sun fada cikin mawuyacin hali lokaci guda - duka marasa lafiya da likitoci!

Na farko saboda (kar a yi mamakin) bai so a cire tawaya ba. Wadannan wasu fa'idodi ne, kebewa daga aikin soja da sauransu. Latterarshe kawai bai fahimci yadda hakan ke yiwuwa ba, tunda an koya masu cewa wannan ba zai taɓa kasancewa ba, a kowane yanayi. Amma yana iya zama. Yawancin marasa lafiya tare da dawo da C-peptide, normoglycemia na shekaru da yawa ba za a iya kiran su "amaryar amarci ba."

SAURARA: Ina so in yi bayani ga abin da ke sama cewa wasu lokuta ana cire nakasa (suna ƙoƙarin cire shi) kawai a kan tushen diyya tare da kowane kashi na insulin. Ina so in nanata cewa a wannan yanayin, ba a yin amfani da ilimin insulin fiye da shekara 1.

Ina takamaiman post gwaje-gwaje na ainihi don basal kuma yana motsa C-peptide akan gidan yanar gizonmu, likita na yau da kullun ba zai iya ba da shawarar yiwuwar sake dawo da sashin endocrine na pancreas ba, muna magana ne game da sabuntawa (farfadowa) na β-sel, shine batun ƙirƙirar sabbin β-sel daga nasu tushe, kamar yadda a cikin embryogenesis a ƙarƙashin rinjayar wasu dalilai.

A shekara ta 2000, mun sami lamban kira don ƙirƙirar "Hanyar da za a bi don magance cututtukan da ke fama da cutar insulin" (duba Karin bayanai), amma ba mu ne na farko ba. Abin mamaki shine, babban jagorar likitocin "Diabetology" wanda M. I. Balabolkin yayi bayani game da irin wannan damar har ma ya bayyana irin wannan tsarin.

Amma kwanan nan muna da few yan waɗanda ke karanta littattafan buga littattafai, ƙari kuma da ƙari daga labarai a kan yanar gizo. Daga baya, yiwuwar samuwar sabbin kwayoyin halittu a karkashin tasirin DIFFERENT (!) An buga abubuwan da suka sazu a kasashe daban daban ta kungiyoyin kimiyya daban daban. Dukansu don dabbobi na dabbobi (beraye) da mutane.

Zai zama mai hankali a yarda cewa wannan tsari ne mai sauki kuma mai sauri. Alas, abu ne mai wuyar ganewa, mai tsawo, kuma mafi rashin tausayi, daidaitaccen mutum. Abin da ya sa ya zama ba shi da cikakkiyar rinjaye ga masu rinjaye. A kowane yanayi, tsarin aikin likita ya sha bamban. Me yasa? Zan amsa wannan a ƙasa amma babban abu shine cewa yiwuwar cimma daidaituwa na metabolism na metabolism, hana tasirin autoimmune na jiki da kuma dawo da aikin al'ada na ɓangaren endocrine na pancreas mai yiwuwa ne.

Zuwa yanzu, marubucin bashi da isasshen bayanai game da lura na dogon lokaci na manyan samfurori na marasa lafiya a cikin yanayin dawwama ta wuce shekaru 10, amma muna aiki akan hakan. A lokaci guda, tarin bayanai sama da mummunar tasiri akan tasirin kariya ta wasu ƙungiyoyin halittun da ke da alaƙa da masu cutar siga a cikin marasa lafiyarmu a cikin yanayin ci gaba, abin takaici waɗannan karatun masu tsada ne.

Kimanin shekaru goma da suka gabata, a cikin wasu tarurruka daban-daban waɗanda suka kasance suna tattaunawa game da aikinmu na dogon lokaci mai tsananin gaske, babu abin da ya canza: duk mutane ɗaya, sassan, ban da wanda ya mutu, kuma mafi mahimmanci hanyoyin.

Ana ɗaukar talakawa na yau da kullun a matsayin abin al'ajabi ne, amma famfo ita ce na'urar injiniya wanda yawanci yakan lalace kuma baya inganta yanayin yara da matasa tunda ƙarshen suna jagorantar rayuwa mai kyau wanda farashinsa ba "a shirye".

Ba na kushewa, Ina kawai a kwantar da hankula, ban yi gwagwarmaya tare da "iska mai ƙarfin iska ba", ba tare da tabbatar da kowa ga kowa ba, yana yin aiki mai ban sha'awa da ƙauna. Wataƙila wannan shine dalilin da yasa muke da kyakkyawan sakamako.

Masu sukan lokaci lokaci suna ɗaga batun "lambar yabo ta Nobel." Kuma wa ya gaya muku cewa, tun da kafaffen hujjoji tabbatacce, ba za mu buga a cikin manyan mujallolin kimiyya ba kuma ta hanyar da'irorin ilimi na Turai ba za mu gabatar da kayan ba a can kuma?

Duk kun zama marasa amfani a banza, kawai a garemu wannan ba ƙarshen ba ne a cikinmu. Kuma yin duk wannan ba abu bane mai wahala. Dole ne kawai kuyi aiki, ba magana. Gabaɗaya, idan muna tattaunawa game da wannan mawuyacin al'amari, ya kamata a lura cewa ingancin hanyoyin binciken da aka gudanar a likitancinmu ya ƙanana, ana gabatar da bincike na yau da kullun ga jama'a mafi kyawun, amma akwai 'yan waɗannan ayyukan.

Mafi yawan wallafe-wallafen suna sadaukar da kai ne ga karatun lura tare da karancin marassa lafiya, kuma ana gudanar da su ne bisa tsarin kulawa, idan manyan rukunan batutuwa suka sami takamaiman magani, amma kulawar ba ta yi ba.

Yin watsi da tsarin bazuwar, hanyar makanta na gudanar da bincike, ba amfani da placebo a matsayin mai iko ba, kasancewar lokacin bin diddigin bayan kammala maganin, sakaci da mummunan halayen da ke haɓaka yayin aikin jiyya sune manyan alamun 99% na aikin gida.

Wani sabon abin da ya shafi gida shi ne ƙarshen ƙwararrun masana masani kan ɗaya ko wani dalili ba tare da wani dalili ba, kuma shawarwari masu amfani masu zuwa sun biyo baya.

M yanke shawara suna ba da izinin yankewa da sauri, wanda zai haifar da shawarwari masu tsaurin ra'ayi, amma amsawa daga walƙiya “daga bisa” - “ƙasa” a cikin halayen haruffa da sauran abubuwa. Wataƙila wannan shine dalilin da ya sa a ƙasashen waje mafi yawan labaran ake kula da su tare da rudani.

A lokaci guda, yin daruruwan nassoshi a cikin littattafansa na kimiyya musamman ga binciken ƙasashen waje, kowane masanin ilimin gida yana lokaci-lokaci yana ɗaukar shi aikinsa ne don jaddada cewa digiri na ilimi a Yammacin ƙasa ba ƙarami bane. fiye da tare da mu ... wannan ba koyaushe yake ba.