Nau'in cutar sankara 1 a cikin yara

Wataƙila, babu wani sanannan sanannun kuma mai zurfin binciken cuta na endocrine na duniya wanda har yanzu ba a sami cikakkiyar koyon warkarwa - ciwon sukari, jumla ga wasu da sababbin jagororin rayuwa don wasu. A cikin yara a cikin zamani, ana gano cutar sankarau sau da yawa (na biyu wanda aka fi sani a tsakanin cututtukan fata) kuma yana da mahimmanci ba wai kawai don sake gina rayuwar ɗan danginku ba, har ma don canza salon rayuwar ku, halaye da abinci. A cikin wannan labarin zaku koya duk game da cutar sukari na yara, zaku iya koyon yadda ake sarrafa shi da ƙirƙirar yanayi mai kyau don rayuwar jin daɗi ga yaranku, la'akari da matsalar likitan da ake ciki.

Nau'in cutar sankara 1 a cikin yara

Mafi yawan nau'in ciwon sukari a tsakanin yara, wanda kuma ana kiran shi da ciwon sukari na yara. Cutar cuta ce mai ƙyalƙyali mai nauyi kuma ana nuna shi ta rashin cikakkiyar ƙwayar insulin. Ya kasance cikin haihuwa kuma an samo shi, yana haɓaka kowane zamani, a mafi yawan lokuta, ban da abincin gargajiya da hanyoyin warkewa, yana buƙatar kullun injections na insulin.

A cikin 'yan shekarun da suka gabata, mafi girman ƙarancin shekarun gano cutar sankarar cuta mai nau'in 1 ya ragu cikin hanzari - idan a baya an gano wannan cutar a cikin yara' yan ƙasa da shekaru 7-8, yanzu an sami rikice-rikice na cututtukan ƙwaƙwalwar ƙwayar cuta ta farko na nau'in farko a cikin 30 har ma da shekaru 40.

Sanadin Type 1 Ciwon sukari a cikin Yara

Abubuwan da ke haifar da cututtukan type 1 na yara a cikin yara sune lalacewar tsibirin Langerfeld a cikin kugu. Lalacewa ga ƙwayar ƙwayar cuta na iya faruwa saboda dalilai da yawa, alal misali, aikin kamuwa da cuta ko bidiyo mai zagaya yanar gizo da sauri. Amma mafi yawancin lokuta, cutar tana haɓakawa da tushen zalunci na tsarinta na rigakafi. A wannan yanayin, sel da ke samar da insulin na farji sun lalace ta hanyar ƙwayoyin ƙwayar lymphoid, wanda a cikin al'ada jihar harin kawai wakilai na kasashen waje. Wannan tsari ana kiransa “autoimmune” kuma yana nufin tsarin da kwayoyi suke samarda kwayoyi masu kare jikinka.

Cututtukan autoimmune a matsayin sanadin kamuwa da ciwon sukari na 1

Akwai cututtukan cututtukan autoimmune daban-daban, irin su glandon thyroid da adrenal gland, waɗanda suka fi yawa a cikin marasa lafiya da ke ɗauke da ciwon sukari na 1. Wannan yana nuna matsayin asali game da cututtukan cututtukan cututtukan kansa da yanayin lalacewa na rigakafi, wanda wasu abubuwan muhalli zasu iya haifar dashi.

Ba a san ainihin hanyar da ke haifar da cutar ba, amma masana kimiyya sun ba da shawara cewa zazzabin kamuwa da kwayar cuta ko shan madara saniya na iya haifar da cutar kansa. Kuma shi, bi da bi, zai haifar da haɓakar ciwon sukari na 1 a cikin yara.

Menene alamun nau'in ciwon sukari na 1 a cikin yara?

Bayyanar cututtukan type 1 na yara a cikin yara yawanci ciwo ne. Ana iya bayyana wannan a cikin harin kwatsam na rauni da danshi a kan asalin yunwar ko kuma bayan cin abinci. Glucose yana daya daga cikin manyan nau'ikan man da jikin dan adam ke amfani dashi don bukatun makamashi. Kwakwalwa da ƙwayar jijiya suna amfani da glucose kawai, yayin da yawancin ƙwayoyin sel zasu iya canza fats da sauran abubuwan gina jiki zuwa makamashi. Glucose mai narkewa daga kayan abinci na carbohydrate na abinci yana motsa samar da insulin, wanda ke aiki akan masu karɓar membranes da ke haifar da shigar glucose a cikin tantanin halitta. Idan hakan bai faru ba, hanyoyin tarwatsa hanyoyin aiki da kuzarin sel suna rushewa.

Matakan sukari na jini ya tashi, kuma ana fara gano glucose a adadi mai yawa a cikin jini da fitsari. Kamar yadda amfani da glucose ya zama mara amfani sosai, mutumin da ke fama da nau'in 1 na ciwon sukari ya haɗu da alamun nan:

• karuwa da ƙishirwa
• gajiya
• m urination a rana da dare (nocturia),
• nauyi asara (koda yake yawanci yana ƙaruwa)
• itching, musamman a cikin farjin maza, wanda ya haifar da haɓakar kamuwa da cuta ta fungal,
• sauran cututtukan fata (kamuwa da yisti da furunlera).

Idan kullun kuna fuskantar kowane ɗayan waɗannan alamun cututtukan type 1, to ya kamata ku ziyarci likitan ku na gida kuma kuyi gwaji.

Abubuwan da dangi na cutar suka haifar da yiwuwar cutar, amma ciwon sukari na type 1 ba shi da yawa fiye da ciwon sukari na type 2.

Jiyya da cutar sukari irin ta 1 a cikin yara

Jiyya na nau'in ciwon sukari na 1 a cikin yara kusan koyaushe yana da alaƙa da allurar raunin insulin mutum. Hakanan, matakan kwantar da hankali yakamata a daidaita su ta al'ada da kuma karfafa garkuwar yaro.

Gabaɗaya, lura da nau'in ciwon sukari na 1 a cikin yara za'a iya bayyana shi a cikin waɗannan sakin layi:

• Abubuwan insulin na yau da kullun. Ana yin su kowace rana ko sau da yawa a rana, gwargwadon nau'in insulin da aka yi amfani dashi.
• Kula da rayuwa mai aiki (kawar da rashin aiki na jiki).
• Kula da nauyin jikin al'ada.
• Yarda da wani abinci na musamman wanda ya aunshi rage yawan adadin carbohydrates.
• Manufar insulin far shine don kula da daidaitaccen glucose a cikin jini kuma ya daidaita hanyoyin kuzarin kwayar.

Zaɓaɓɓen nau'in ciwon sukari na 1 a cikin yara an zaɓa daban-daban ta ƙwararren likita daga likitancin endocrinologist kuma ya dogara da matakin mataki na alamun da kuma matakin cutar.

Yin rigakafin kamuwa da ciwon sukari na 1 a cikin yara

Yin rigakafin kamuwa da cutar sukari irin ta 1 a cikin yara ya hada da wasu jerin matakai don hana faruwar wasu abubuwan marasa kyau wadanda zasu iya haifar da ci gaban wannan cuta.

1. Kalli duk alamun dake nuna hawan jini ko haɓaka.

2. Idan kana da wata cuta, a kai a kai ka auna gulukanka na jini ta amfani da mitunan glucose na zamani ka daidaita matakan glucose dinka da allurar insulin.

3. Bi abincinku da kyau yadda zai yiwu.

4. Koyaushe kuna da glucose ko sukari tare da ku don magance hypoglycemia (glucose na jini). Glucagon injections (GlucaGen) na iya zama dole don tsananin hypoglycemia.

5. Duba likitanka akai-akai don bincika glucose na jini, yin ido, koda, da gwaje-gwajen ƙafa kuma ka lura da alamun bayyanar cutar sukari.

6. Duba likitan ku a farkon matakin cutar don hana kuɓutar da hanyoyin cutar.

7. Kula da wani "diary diary" kuma yi rikodin nunin alamun ku na glycemic.

Etiology da pathogenesis na nau'in ciwon sukari na 1 a cikin yara

Maganin etiology da pathogenesis na nau'in ciwon sukari na 1 ya nuna cewa keta ka'idoji na rayuwar lafiya yana taka rawa sosai wajen bunkasa alamun cutar. Muhimmiyar rawa a cikin pathogenesis na nau'in ciwon sukari na 1 ana yin shi ta hanyar rayuwa ta hutawa da cin zarafin abinci. Amfani da sinadarin carbon-mai da mai mai yawa yana taimakawa ci gaban cutar. Sabili da haka, don hana kamuwa da ciwon sukari na 1, yana da mahimmanci ku bi ƙa'idodin salon rayuwa mai lafiya.

Aiki na jiki zai taimaka rage haɗarin ci gaba da ci gaba da ciwon sukari, atherosclerosis da cututtukan zuciya, tare da haɓaka lafiyar gaba ɗaya.

Zai iya zama dole don daidaita adadin insulin yayin aiki na jiki, gwargwadon ƙarfin ayyukan jiki. Wuce insulin da motsa jiki na iya rage yawan sukari na jini da haifar da hypoglycemia.

Ku ci abinci mai kyau da ke da wadataccen fiber, daidai a cikin carbohydrates, fats da sunadarai. Kauda ragamar abinci mai nauyin carbohydrates mara nauyi (sukari) da rage cin abinci na carbohydrates bisa manufa.

Yi ƙoƙari ku ci adadin carbohydrates a kowace rana. Ya kamata ku sami manyan abinci uku da abinci sau biyu zuwa uku kowace rana.

Don abincin da aka keɓance mutum, nemi ƙwararren masanin abinci ko ƙwararren masanin ilimin kimiyya.

A halin yanzu, ba shi yiwuwa a hana gaba daya da cutar. Amma masana kimiyya suna binciken wannan cuta a koyaushe kuma suna yin ƙarin ƙari ga magani da ganewar asali.

Matsaloli da ka iya faruwa irin wannan nau'in ciwon sukari na 1 cikin yara

A mafi yawan lokuta, nau'in 1 mellitus na ciwon sukari yana ba da rikice-rikice a cikin gajeren lokaci kawai in babu isasshen magani. Idan ba ku bi umarnin likita ba, rikitarwa masu zuwa na iya faruwa:

1. Sugararancin sukari na jini wanda ke faruwa tare da yawan wuce haddi na insulin, dogon hutu tsakanin abinci, motsa jiki, hauhawar jini, yana haifar da asarar hankali.

2. Rashin cancantar insulin tare da maye gurbin magunguna yana haifar da sukarin jini kuma yana iya haifar da ketoacidosis.

3. Atherosclerosis yana daɗaɗɗɗa cikin ciwon sukari na mellitus kuma yana iya haifar da raunin jini a cikin kafafu (ƙafafun sukari), haɓakar bugun jini da cututtukan zuciya (angina pectoris da infarction na zuciya).

4. Lalacewar koda koda (cutar sankarar mahaifa).

5. Maimaitawar ciwon sukari (lalacewar ciwon sukari).

6. Ciwon sukari na cutar sankara (rashin lafiyar jijiya) da angiopathy, waɗanda ke haifar da cututtukan fata da cututtukan fata.

7. Susara mai saurin kamuwa da cututtuka.

8. Ketoacidotic, hyperosmolar, lactacPs da hypoglycemic coma a cikin manya manyan lokuta na cutar.

Abincin abinci don nau'in 1 na ciwon sukari - tushen jiyya

Babu cikakkiyar magani ga masu ciwon sukari na 1. Abincin abinci don ciwon sukari na 1 shine tushen duk jiyya mai zuwa. Kawai tare da tsayayyen gyaran tsarin abincin zai iya samun tsayayyen ingantaccen haƙuri da kwanciyar hankali na haƙuri.

Amma tare da ingantaccen magani, haɗarin ci gaban ƙarshen matakai na masu ciwon sukari yana raguwa sosai. Wannan yana ƙaddara buƙatar kulawa da kullun da kuma kula da matakan sukari na al'ada.

Marasa lafiya da ciwon sukari waɗanda ke fama da hauhawar jijiyoyin jini na iya rage yiwuwar rikice-rikice tare da yin amfani da magunguna na yau da kullun don magance hawan jini.

Ciwon sukari yana haifar da cututtukan fata (artle sclerosis), kuma wannan haɗarin yana ƙaruwa idan mara lafiya yana shan sigari. Don rage haɗarin rikitarwa, ya kamata ku kasance daga mummunan al'ada.

Nau'in ciwon sukari na 2 a cikin yara

A karkashin nau'in ciwon sukari na 2 a cikin yara, yawanci suna nufin ba ciwon kansa ba ne, amma cutar cuta ce ta kwayar cuta mai wahala. An nuna shi ta hanyar karancin insulin kwatankwacinsu - a zahiri, maida hankali kan kwayar halitta al'ada ce ko ma ya karu, amma huldarsa da kwayoyin halitta tana birgesu. In ba haka ba, wannan tsari na ilimin halittar carbohydrate metabolism rashin daidaituwa ana kiransa juriya ta insulin.

Komawa cikin karni na 20, likitoci sunyi imanin cewa nau'in ciwon sukari na 2 kawai yana faruwa ne kawai a cikin tsofaffi ko tsofaffi, tun yana da alaƙa kai tsaye ga tsarin rage haɓaka metabolism da kiba. Koyaya, kamar yadda ilimin likita na zamani ya nuna, ƙarancin shekarun tsufa yana raguwa tare da kowane ƙarnin kuma yanzu ana gano nau'in ciwon sukari na 2 har ma da yara na shekaru 8-10, galibi suna fama da matsanancin nauyi da abinci mai gina jiki.

A cikin ma'anar gargajiya, nau'in ciwon sukari na 2 yana da insulin-mai zaman kansa kuma baya buƙatar allurar wannan hormone, amma a kan lokaci kuma a cikin rashin ingantaccen magani, nau'in ciwon sukari na 2 na sukari ya shiga na farko (ƙwayoyin beta, waɗanda ke cike da aikin ci gaba, dakatar da samar da insulin a cikin wadataccen adadin) .

Sanadin ciwon sukari a cikin yara

Duk wani taron, ciki har da cututtuka, yana da dalili da alaƙar dangantaka - wannan ƙa'ida ce. Koyaya, ciwon sukari ya fi rikitarwa. Duk da gaskiyar cewa likitoci sun daɗe da sanin wannan cutar ta endocrine, ainihin abubuwan da ke haifar da mummunan yanayin cututtukan metabolism ba a fayyace su ba.

Nau'in nau'in 1 na ciwon sukari a matsayin nau'i na autoimmune na ainihin ciwon sukari mellitus an bayyana shi a cikin lalata ƙwayoyin beta. Masana kimiyya sunyi nazari akan irin wannan lalacewar - ginin kwayar sunadarai, wadanda sune hanyoyin jigilar kayayyaki a cikin tsarin jijiya, sakamakon sananniyar ilmin kimiya wanda yake sananne ya shiga katangar-kwakwalwa kuma ya shiga cikin jini. Tsarin rigakafi, wanda ba a san shi da irin waɗannan abubuwan ba (shingen da aka ambata a cikin yanayin al'ada baya barin abubuwan da ke cikin tsarin kwakwalwa ya wuce zuwa sauran jikin)) ya fara kai farmaki don kare sunadarai ta hanyar keɓance musu ƙwayoyin cuta. Bi da bi, sel da aka samar da insulin suna da alamomi masu kama da ƙwaƙwalwar ƙwaƙwalwar da aka ambata a sama kuma ana lalata su ta hanyar rigakafi, wani ɓangare ko gaba ɗaya yana hana ƙwayar ƙwayar ƙwayar halittar da ake buƙata.

Dangane da ƙididdigar zamani, hadarin da ke tattare da fara wannan aikin shine gado da kuma canja wurin kwatankwacin tsarin halittar haihuwa daga mahaifa mara lafiya zuwa yaro tare da haɓaka da yiwuwar kamuwa da ciwon sukari a ƙarshen daga kashi 10 cikin dari. Bugu da ƙari, ƙarin "mai jawo" don ƙirƙirar matsala na iya zama damuwa akai-akai, ƙwayoyin cuta (musamman rubella da nau'in Koksaki), har ma da abubuwan waje - ɗaukar ƙwayoyi da ƙwayoyi da yawa (streptozocin, guba, da sauransu), suna rayuwa cikin wani yanayi. kashi na biyu (cutar sankara ba a rarraba ta a cikin qasashe daban-daban ba. kuma yaduwa tsakanin yankuna da ke makwabtaka da ita na iya bambanta sau 5-10).

Ciwon sukari na 2 shine, bi da bi, matsala ce ta rayuwa, inda “mai cin zarafin” metabolism din ba shine karancin insulin ba (ana fitar da shi gabaɗaya ko ma sama da shi), amma rashin isasshen ƙwaƙwalwar jikin ta. A wannan yanayin, ciwon sukari mellitus yana ci gaba a hankali, kuma saboda duka kwayoyin halitta da abubuwan ciki, babban abin da ya wuce kima da tsufa da ke tattare da tsarin kwayoyin halitta. Ko da shekaru 30 da suka gabata an yi imani da cewa babu wani nau'in insulin-mai cin gashin kansa a cikin yara (bi da bi, an kamu da ciwon sukari na yara kai tsaye nan da nan yayin tsarin bayyanar cutar), amma a cikin shekarun da suka gabata, likitoci sun kara yin bincike a cikin matsanancin matashi da yara masu nauyin fiye da shekaru 8 zuwa 12 shekaru.

Alamomin cutar sankarau a cikin yara

Daya daga cikin mahimman matsalolin yankewar ciwon sukari a cikin yaro kafin fara rikitarwa daban-daban shine rashin bayyanannun bayyanannun alamomin / alamun wannan cuta a cikin wannan farkon shekarun. Yawancin nau'in ciwon sukari na 1 ana gano shi kwatsam bisa ga gwaji ko kuma a cikin bayyanannun bayyanar cututtuka na hyper / hypoglycemia riga a cikin asibiti.

A cikin jarirai

Daga sifili zuwa shekara ta rayuwa, yana da matukar wahala a hango kowane irin nau'in ciwon sukari ta hanyar bayyanar cututtuka har zuwa farkon bayyanar cututtuka (azaba mai ƙarfi, maye da amai). Ta hanyar alamun kaikaice - rashin girman nauyi da kuma ci gaban dystrophy (a game da cikakken abinci na yau da kullun), yawan kuka ba tare da wani dalili ba, wanda ke raguwa bayan shan ruwa. Hakanan, yarinyar tana cikin damuwa da matsanancin diaper a cikin wuraren gabobin farko na mata, waɗanda suke da wahalar kulawa da kowane irin magani, fitsari na iya barin lambobi masu ɗorewa, da kuma zancen bayan urination ya zama m, kamar dai tauraro ne.

A cikin makarantu, makarantun gaba da yara, yaran makaranta

1. Ruwan rashin ruwa na lokaci-lokaci, yawan fitowar rana da tsananin tashin hankali, yawan bacci a cikin dare.
2. Jin ƙishirwa, asarar nauyi.
3. Tsarin cututtukan fata na yara a cikin yara maza da candidiasis a cikin 'yan mata.
4. Rage hankali, bouts na apathy da fushi.

Mummunan bayyanar cututtuka na ciwon sukari a cikin wannan rukuni na yara sun hada da, ban da alamomin da ke sama, gazawar numfashi (mara saɓuwa, daidaituwa tare da yawan numfashi / ƙoshin iska), ƙanshi na acetone daga ƙwayar roba, ƙwanƙwasa bugun zuciya, kumburi daga ƙwanƙwasawa da mummunan rauni na jijiyoyinsu tare da ƙyalli, da kuma raunin hankali - daga disorientation zuwa cutar kansa. Idan an sami alamun bayyanar cututtukan cututtukan ƙwayar cuta, dole ne a kai tsaye zuwa asibiti!

A cikin samari

Baya ga alamun da ke sama a cikin matasa, matsalar ciwon sukari tana da rikitarwa ta hanyar “gurɓatacciyar” alamomin halayen canji (galibi suna rikice-rikice da cututtukan hawainiya da koda neurosis), amma idan yaranku sun gaji da sauri, yana da ciwon kai a kai a kai yana kuma kai hare-hare na lokaci-lokaci na sha'awar cin Sweets ( amsawar jiki ga hypoglycemia), mummunan rauni wucewar ciki tare da tashin zuciya, raunin hangen nesa na gefe - wannan shine lokaci wanda kwararren masanin ilimin endocrinologist zai bincika.

Alamomin kamuwa da cutar siga ta 2 a cikin yara

Canje-canje na hormonal a cikin jiki yayin balaga (10–an mata 10-16 da boysan shekaru 12-18 years) na iya tayar da haɓakar insulin ƙwayar nama ko nau'in ciwon sukari na 2, musamman idan yaron yana da kiba.

Yaronka yana da nauyin jiki mai yawa na nau'in ciki, hauhawar jini, wahala ko kuma yawan urination, na kullum lokaci-lokaci na cututtukan etiologies, babban cholesterol da triglycerides a cikin jini, da kuma matsalolin hanta (mai ƙoshin jini) da babban, albeit lubricated, alamomin ciwon sukari 1 kamar? Yana yiwuwa wannan yana haifar da duk nau'in ciwon sukari na 2.

Binciko

Mataki na farko cikin bayyanar cutar sankarau a cikin yara bincike ne na alamun bayyanar cututtuka na waje, tarin tarihin rayuwa, kazalika da gwaje gwaje:

1. Jini domin glucose - ana bayarwa da safe akan komai a ciki, kuma tare da kaya a kashi 75 na glucose. Idan 5.5 mmol / l (a kan komai a ciki) da 7 mmol / l (ana ɗaukar nauyin 1-2 1-2 bayan gudanarwar glucose), ana zargin masu ciwon sukari.
2. Jini a cikin glycated haemoglobin. Haemoglobin dake dauke da sinadarin glucose na daya daga cikin tabbatattun alamomin kasancewar ko rashin ciwon sukari. Tare da sakamako sama da kashi 6.5, an tabbatar da ingantaccen nazarin cutar sankarau.

Mataki na biyu na matakan bincike shine tantance nau'in ciwon sukari na mellitus. A saboda wannan, ana aiwatar da cikakken bambancin ganewar asali kuma ana yin gwaje-gwaje da yawa, musamman ga c-peptide da autoantibodies zuwa ƙwayoyin insulin / beta. Idan akwai guda biyu na gaba, likita zai iya gano nau'in 1 na ciwon sukari na mellitus, in ba haka ba an tabbatar da cutar ta nau'in 2 na cutar sankara

Kula da ciwon sukari a cikin yara

Ya kamata a lura da shi nan da nan - magani bai san ingantaccen magani na ciwon sukari na kowane nau'i ba a matakin yanzu na ci gaban kimiyya. Ciwon sukari mellitus matsala ce ta tsawon rayuwa wacce ba za a iya warkewa ba, amma ana iya sarrafa ta don hana lalacewar metabolism da rikice-rikice masu alaƙa.

Jerin manyan matakan matakan kula da masu ciwon sukari a cikin yara yawanci ya hada da abinci na musamman tare da lura da kullun, yawan adadin kuzari da abun da ke cikin abinci, saka idanu kan matakan sukari na yanzu, aikin likitan dabbobi, da kuma ayyukan jiki na yau da kullun cikin tsananin “dogayen lamuran”. Masu ciwon sukari masu nau'in cuta na farko dole ne su yi allurar rigakafin akai-akai kuma suna daidaita allurai gajere, matsakaici ko aiki na tsawon lokaci, kuma ga yaran da ke fama da ciwon sukari na 2, maimakon maganin, zasu dauki magunguna iri-iri:

1. Masu kara kuzari don narkewar insulin (ƙarni na biyu na sulfonylurea, repaglinide).
2. Masu kula da jijiyoyin nama zuwa insulin (biguanides, thiazolinediones).
3. Abubuwan da ke hana shan gulukos a cikin narkewar abinci (acarbose).
4. Alfa masu karɓar Alpha da haɓakar metabolism mai narkewa (fenofibrates).
5. Sauran magunguna.

Baya ga babban jiyya, a cikin yanayin mummunan ko siffofin ci gaba na cututtukan mellitus tare da haɓaka rikice-rikice, ana buƙatar ƙarin magani don matsalolin haɗuwa - a wannan yanayin, likita ko kwamiti da suka dace sun tantance haɗarin marasa lafiya kuma yana tsara magani dangane da kasancewar cutar endocrine.

Tallata dabaru

Kimiyya ba ta tsaya cik ba kuma a cikin shekarun da suka gabata daruruwan ƙungiyoyi masu zaman kansu suna ƙoƙarin haɓaka hanya don ingantacciyar yaƙin cutar kanjamau. Likitoci suna da tabbacin cewa a cikin matsakaiciyar magana, yana yiwuwa ba kawai don ƙirƙirar ba, har ma don aiwatar da manufar kawar da yarinyar cutar sankarau gaba ɗaya. Mafi mashahuri mafi kyau amintattu a yau ana duban su:

1. Canza ɓangaren ɓangaren pancreas / tsibiri na Langerhans / sel beta / ƙwayoyin kara. Hanyar ta ƙunshi a cikin gabatarwar kayan agaji don ci gaba da samar da insulin na halitta ta jiki. Irin waɗannan ayyukan an riga an fara aiki (a matsayin mai mulkin, idan akwai matsala mai rikitarwa, lokacin da haɗarin dasa kwayoyin halitta a cikin nau'ikan ƙwayoyin beta da tushe sun tabbata), amma bayan wani lokaci aikin sel Kwayoyin har yanzu a hankali sun ɓace. A halin yanzu, ana gudanar da gwaje-gwaje don tsawaitawa da inganta sakamako, kazalika don haɓaka matakin haɓaka haƙuri / tsira daga ɓarna bayan tiyata.
2. Cloning na beta Kwayoyin. Hanyar ingantacciyar dabarar tana da niyya don haɓaka samar da tushe don yin insulin daga abubuwan da suka dace da ƙwayoyin beta ta hanyar allurar furotin na musamman ko kuma gabatarwar mahimmancin abubuwan gado. Matsayin da suke samarwa zai zama sama da adadin lalata tushen kwayoyin ta hanyar rigakafi, sakamakon abin da za'a samar da ƙarin insulin na halitta.
3. Alurar riga kafi. Ingantaccen haɓakawa da gwajin allurar da ke raba rigakafi don ƙwayoyin beta, a sakamakon wanda ƙarshensa ya gushe.

Abincin don ciwon sukari a cikin yaro

Abincin shine tushen maganin kowane nau'in ciwon sukari. Yaran da ke da nau'in ciwon sukari na 1 suna buƙatar shi don ƙididdige yawan insulin da aka gudanar, yayin da ga yaran da ke fama da ciwon sukari na 2, idan babu rikitarwa masu wahala, zai iya maye gurbin maganin gaba ɗaya. Abubuwan da ake amfani da su masu zuwa sun dace da maganin cutar siga a cikin laushi ko matsakaici. A cikin mummunan yanayi, kasancewar rikitarwa, da sauransu, mafi yawan tsarin abinci mai gina jiki wanda aka inganta ta endocrinologist ana buƙatar yin la'akari da halin yanzu na jiki da sauran abubuwan.

Don nau'in ciwon sukari na 1

Ga yara masu ciwon sukari na gaskiya da na al'ada / marasa nauyi, ƙwararrun likitoci suna ba da shawarar tsarin abinci mai ma'ana daidai - misali, "Table No. 9". Abin yana da ɗan daɗi ga yaron kuma kodayake yana ƙara haɓaka matakin sukari na yau da kullun (wanda za'a iya rama shi ta hanyar injections), yana samar da jikin yarinyar da cikakke kayan abubuwa masu mahimmanci / microelements / bitamin.

Babban ka'idodinsa shine abinci biyar a rana kowace sa'o'i biyu zuwa uku a cikin ƙananan rabo, kazalika da warwatse masu sauƙin carbohydrates daga abincin da maye gurbinsu da wasu hadaddun waɗanda ke rushewa da sannu a hankali kuma ba sa tsalle mai tsayi a cikin glucose a cikin jini. Abubuwan da ke cikin kalori na wannan abincin shine 2300-2400 kcal, abun da ke tattare da sinadaran yau da kullun sun hada da sunadarai (90 gram), fats (80 grams), carbohydrates (350 grams), gishiri (12 grams) da rabin lita na ruwa mai kyauta.

Haramun ne a ci muffin, mai kitse da broths mai ƙarfi da madara tare da semolina / shinkafa. Ba'a ba da shawarar ƙara nau'ikan mai mai / kifaye ba, nama da aka ƙona, abincin gwangwani, caviar, gyada mai daɗi, marinades da gyada, taliya, shinkafa, cream, sauces, nama / dafaffen mai. Hakanan ba a ba shi damar cinye ruwan lemo mai dadi ba, wasu nau'ikan 'ya'yan itace (innabi, kwanan wata, raisins, ayaba, ɓaure), ice cream, adana, wainar / lemo. Duk haram mai da abinci mai soyayyen haramun ne - ya kamata a dafa shi, a dafa shi, a gasa shi ko dafa shi. Kudan zuma - iyakantacce, ana maye gurbin sukari da sorbitol / xylitol.

Don nau'in ciwon sukari na 2

A cikin ciwon sukari na mellitus na nau'in na biyu, yaro kusan yana da kiba koyaushe - wannan shine sau da yawa yana tsokanar raguwar jijiyar kyallen takarda zuwa insulin. A wannan yanayin, da aka ambata "Table No. 9" ba ingantaccen bayani bane, kuma ba shi yiwuwa a rama koda karamin haɓaka kullun cikin jini tare da insulin (ana samarwa cikin wadataccen adadi har ma sama da al'ada, matsalar ita ce juriya ta insulin), wannan shine dalilin da ya sa masana kimiyyar narkewar abinci da na kimiyyar halittar dabbobi duk ke nan. sau da yawa bayar da shawarar rage-carb rage cin abinci.

Hakan ya fi tsayayye, kodayake, yana taimaka wajan yaƙar ƙwayar cutar hawan jini kamar yadda yakamata kuma a lokaci guda rage rage nauyi, hakanan rage alamun juriya. Ka'idojinsa sune tushen abinci na tsawon lokaci shida, raguwa sosai a yawan amfani da kowane ƙwayar carbohydrates (har zuwa 30-50 grams / rana) da kuma girmamawa ga abincin furotin (har zuwa kashi 50 na adadin abinci na yau da kullun). Resofar calorie shine dubu 2 kcal.

Tare da rage cin abinci mai-carb, ya kamata ku ƙara yawan shan ruwa kyauta (kimanin lita 2-2.5 / rana), yana da kyau a ɗauki ƙarin hadaddun bitamin-ma'adinan. Tushen abinci mai gina jiki shine kayan lambu kore da furotin. A karkashin ƙarin haramcin, idan aka kwatanta da dankali "tebur mai lamba 9", kusan dukkanin 'ya'yan itace / hatsi, manyan nau'ikan burodi, masara, abinci mai dacewa,' ya'yan itacen marmari.

Bayyanar Cutar Rana 1

A matsayinka na mai mulki, tare da nau'in ciwon sukari na 1, alamu suna ƙaruwa da sauri. A cikin 'yan makonni kaɗan, yanayin yarinyar na ta yin muni sosai har ya shiga cikin gaggawa asibiti. Don haka yana da matukar muhimmanci a sami damar sanin alamun farko na cutar, wadanda suka hada da:

1. M ƙishirwa. Wannan ya bayyana ne sakamakon bushewar halittar jikin mutum, yayin da jikin yake kokarin narke glucose din da yake gudana cikin jini ta hanyar zana ruwa daga garesu. Yaron ya nemi ya sha ruwa ko wasu abubuwan sha da yawa.
2. Urin saurin hanzari. Iyaye sun lura cewa yaron ya fara zuwa bayan gida sau da yawa fiye da yadda aka saba, da dare.
3. Rashin nauyi kwatsam. Tushen makamashi (glucose) ya daina shiga sel jikin, sabili da haka, yawan kitsen da ƙwayar furotin ke ƙaruwa. Sakamakon haka, yaron ya daina samun nauyi, amma, akasin haka, yana asarar nauyi da sauri.
4. Gajiya Iyaye suna lura da rashin tausayi da rauni na yaro wanda ya tashi daga rashin ƙarfi.
5. Karuwar yunwar. Hakanan yana faruwa ne sakamakon karancin glucose a cikin kyallen, don haka tare da amfani da abinci mai ɗimbin abinci ɗan ba zai isa ba. Idan yanayin yarinyar ya tsananta sosai har ya fara haɓaka ketoacidosis, to abincinsa zai ragu.
6. Matsalar hangen nesa. Sakamakon ruwa daga ruwan tabarau, yaro na iya haɓaka hazo a gaban idanunsa da mai hangen nesa.
7. Kayar da kamuwa da cuta ta fungal. A cikin yara ƙanana, fyaɗewar diaper yana da wuya a bi da su, kuma a cikin girlsya girlsya, tokar na iya ci gaba

Idan ba ku kula da irin waɗannan alamun cutar ba, yanayin yarinyar ya lalace kuma ketoacidosis yana haɓaka. An bayyanar da shi ta hanyar ciki, bakin ciki, tashin zuciya, yawan hurawar numfashi, bayyanar ƙamshin acetone daga bakin. Yaron na iya rasa sani. Bugu da kari, wannan rikitarwa na iya haifar da mutuwa.

Sanadin

Masana kimiyya ba su gano ainihin abubuwan da ke haifar da haɓakar ciwon sukari ba a cikin yara na nau'in ciwon sukari na farko. A cikin yaro mara lafiya, tsarin rigakafi, wanda dole ne yaƙar ƙwayoyin cuta masu haɗari da ƙwayoyin cuta, ba zato ba tsammani ya fara samun sakamako mai lalacewa a kan ƙwayar cuta (musamman, ƙwayoyin da ke da alhakin haɗin insulin).

An tabbatar da cewa akwai tsinkayar ƙwayar halittar jini ga abin da ya faru na ciwon sukari na 1, saboda haka, a gaban cutar a cikin dangi, haɗarin irin wannan cutar a cikin yaro yana ƙaruwa.

Abinda ke haifar da haifar da ciwon sukari na 1 shine na iya zama kamuwa da cuta ta kwayar cuta (kamar mura ko cutar kumburi) ko matsananciyar damuwa.

Abubuwan haɗari don haɓaka nau'in 1 na ciwon sukari sun haɗa da:

• Kasancewar insulin-dogara da nau'in ciwon sukari a cikin wani daga dangi na kusa (iyaye suna da cuta, har ma da 'yan'uwa mata ko' yan uwan ​​juna).
• Cututtukan da ke haifar da ƙwayoyin cuta. Musamman ma sau da yawa, ciwon sukari yana tasowa bayan raunuka tare da ƙwayar Coxsackie, ƙwayar cutar cytomegalovirus Epstein-Barr ko ƙwayar cutar rubella.
• Vitaminarancin Vitamin D.
• An wuce gona da iri tare da madara saniya ko kayan hatsi.
• Ruwan sha tare da haɓakar abun da ke cikin nitrate.

Ta yaya cutar take ci gaba?

A cikin sel na hanta, an samar da insulin hormone. Babban aikin insulin shine don taimakawa glucose ya wuce cikin sel inda ake amfani da wannan carbohydrate a matsayin mai.

A musayar glucose da insulin akwai kullun ra'ayi. A cikin yaro mai lafiya, bayan ya ci abinci, sai ya fito da insulin a cikin jini, a sakamakon wanda ƙarancin glucose ya ragu (glucose daga jini ya shiga cikin sel). Wannan yana haifar da raguwa ga samar da insulin don kada adadin glucose a cikin jini baya raguwa da yawa. A lokaci guda, ana adana glucose a cikin hanta saboda ana kiyaye matakin sukari na al'ada - yayin raguwa mai ƙarfi a cikin matakinsa cikin jini, ana fitar da kwayoyin glucose daga hanta a cikin jini.

A cikin ciwon sukari na mellitus, ana rage adadin ƙwayoyin beta a cikin ƙwayar ƙwayar cuta, don haka ba a samar da insulin isa ba. Sakamakon zai kasance duka yunƙurin ƙwayoyin, tunda ba za su sami man da suke buƙata ba, da kuma ƙara yawan abubuwan glucose a cikin jini, yana haifar da bayyanar alamun bayyanar cutar.

Menene magani?

Makasudin lura da ciwon sukari na 1 shine samar wa yaro damar haɓaka al'ada, halartar ƙungiyar yara, kuma baya jin ƙushin ƙira idan aka kwatanta da yara masu lafiya. Hakanan, ya kamata a yi amfani da magani don hana mummunan rikice-rikice na ciwon sukari don haka irin waɗannan bayyanannun bayyanannun suna da nisa sosai.

Don lura da cutar koyaushe, yaro yana buƙatar auna sukari na jini sau da yawa a rana, don haka iyaye zasu buƙaci sayan ingantaccen glucometer. A cikin lura da yaro da ke da nau'in ciwon sukari na 1, rage cin abincin carb shima yana da mahimmanci. Ya kamata a sa wani littafin lafazi wanda za'a lura da sakamakon ma'aunin glucose da sifofin abinci mai kyau na yaran.

Tun da ciwon sukari na nau'in 1 ana haifar da rashin insulin, injections na insulin sune ainihin maganin wannan cutar. Akwai nau'ikan shirye-shiryen insulin tare da durations daban-daban na aiki. Don gabatarwar insulin yi amfani da sirinji na musamman tare da allura na bakin ciki, har ma da alƙaluman syringe. Hakanan haɓaka sune na'urori na musamman waɗanda ke ciyar da hormone a cikin ƙananan rabo - famfon insulin.

Iyaye da yawa suna da sha'awar ko yana yiwuwa a daina yin allurar cikin ɗan, ko aƙalla kada a yi shi kullun. Wannan mai yiwuwa ne kawai tare da tsaftataccen abincin carb, idan an kamu da cutar sankara a cikin yaro. Cin abinci tare da mafi ƙarancin carbohydrates yana ba da izinin sakewa na dogon lokaci.

Ciwon sukari da Cutar ta thyroid

Ciwon sukari na 1 shine cutar kansa. Ana haifar dashi ta rashin nasarar tsarin rigakafi. Saboda wannan lalacewa, ƙwayoyin rigakafi sun fara kai hari da lalata ƙwayoyin beta na pancreatic waɗanda ke haifar da insulin. Ba abin mamaki bane, ana samun wasu cututtukan cututtukan cututtukan fata a cikin yara masu fama da ciwon sukari na 1.

Mafi sau da yawa, tsarin garkuwar jikin kamfanin tare da sel beta yana kai hari glandon thyroid. Wannan shi ake kira autoimmune thyroiditis. Yawancin yara da ke fama da ciwon sukari na 1 ba su da alamun cutar. Amma a cikin waɗannan marasa sa'a, cututtukan cututtukan ƙwayar cutar kansa suna haifar da raguwa a cikin aikin thyroid.Akwai ƙananan lokuta idan ya, akasin haka, yana ƙaruwa da aiki, kuma hyperthyroidism yana faruwa.

Yaron da ke da nau'in ciwon sukari na 1 ya kamata a gwada shi don maganin cututtukan thyroid. Hakanan kuna buƙatar bincika kowace shekara don ganin ko cutar ta ta haɓaka lokacin wannan lokacin. Saboda wannan, ana yin gwajin jinin haila (TSH) wanda ke motsa jini. Harshen hormone ne wanda ke karfafa glandar thyroid. Idan an sami matsaloli, endocrinologist zai ba da magungunan ƙwayoyi, kuma za su inganta lafiyar masu ciwon sukari sosai.

Jiyya don kamuwa da cututtukan 1 na yara

Jiyya ga nau'in 1 na ciwon sukari a cikin yara ya ƙunshi waɗannan ayyukan:

• horo a cikin aikin sa-ido na sukari na jini tare da glucometer,
• Kulawa ta yau da kullun a gida,
• cin abinci
• allurar insulin
• motsa jiki (wasanni da wasanni - jiyya ta jiki don ciwon sukari),
• taimakon hankali.

Kowane ɗayan waɗannan abubuwan ya zama dole don lura da ciwon sukari na irin 1 a cikin yaro don cin nasara. Ana yin su, don mafi yawan ɓangare, a kan aikin outpatient, wato, a gida ko lokacin rana a alƙawarin likita. Idan yaro da ke da ciwon sukari yana da alamun bayyanar cututtuka, to yana buƙatar a kwantar da shi a asibiti na asibiti. Yawanci, yara masu fama da ciwon sukari na 1 suna cikin asibiti sau 1-2 a shekara.

Makasudin lura da ciwon sukari irin 1 a cikin yara shine kiyaye sukari na jini kusa da al'ada. Wannan shi ake kira "cimma kyakkyawan raunin raunin cutar ciwon siga." Idan an kula da ciwon sukari sosai ta hanyar magani, to yaron zai sami damar ci gaba al'ada kuma ya girma, kuma za a tura rikice-rikice zuwa ƙarshen zamani ko kuma ba zai fito kwata-kwata ba.

Manufofin don maganin cututtukan siga a yara da matasa

Waɗanne ƙididdigar sukari na jini zan yi nufi ga yara masu fama da ciwon sukari na 1? Masana kimiyya da masu aikin likita gabaɗaya sun yarda cewa ana kiyaye kusancin yanayin glucose na al'ada, mafi kyau. Saboda a wannan yanayin, mai ciwon sukari yana rayuwa kusan kamar mutum mai lafiya, kuma baya inganta rikicewar jijiyoyin jiki.

Matsalar ita ce a cikin marasa lafiya da masu ciwon sukari waɗanda ke karɓar allurar insulin, kusanci ga sukarin jini na al'ada, mafi girman haɗarin haɓakar haɓaka, ciki har da mai tsanani. Wannan ya shafi duk marasa lafiya da ke dauke da ciwon sukari na 1. Bugu da ƙari, a cikin yara masu ciwon sukari, haɗarin hawan jini yana da yawa musamman. Saboda suna cin abinci lokaci-lokaci, kuma matakin motsa jiki a cikin yaro na iya zama da bambanci sosai a cikin ranaku daban-daban.

Dangane da wannan, an bada shawarar kada runtse sukari na jini a cikin yara masu fama da ciwon sukari na 1 zuwa al'ada, amma don kula da shi a cikin manyan dabi'u. Ba haka bane kuma. Bayan ƙididdigar da aka tara, ya zama a bayyane cewa haɓakar rikicewar jijiyoyin bugun ƙwayar cuta ya fi haɗari da haɗarin hypoglycemia. Sabili da haka, tun daga 2013, Diungiyar Ciwon Cutar na Amurka ta ba da shawarar ci gaba da haemoglobin mai narkewa a cikin duk yara masu fama da ciwon sukari a ƙasa da 7.5%. Valuesaukakarta mafi girma suna da lahani, ba kyawawa ba.

Yi niyya matakan glucose na jini, gwargwadon shekarun yaro yana da ciwon sukari na 1

Lura da lambobin haemoglobin glycated a cikin sashin karshe na tebur. Wannan alama ce da ke nuna matsakaicin matsakaicin matakin glucose na watanni 3 da suka gabata. Ana ɗaukar gwajin jini na haemoglobin a kowane 'yan watanni don tantance ko an biya haƙƙin ciwon sukari na wanda ya gabata.

Shin yaran da ke da nau'in ciwon sukari na 1 suna kiyaye sukari na al'ada?

Don bayaninka, dabi'un al'ada na haemoglobin na yau da kullun a cikin jinin mutane masu lafiya ba tare da kiba sune 4.2% - 4.6%. Ana iya gani daga teburin da ke sama cewa magani yana ba da shawarar kiyaye sukari na jini a cikin yara masu fama da ciwon sukari na 1 aƙalla sau 1.6 sama da na al'ada. Wannan yana da alaƙa da haɓakar haɗarin hypoglycemia a cikin matasa masu ciwon sukari.

An kirkiro da rukunin yanar gizon ne da nufin yada ilimin game da karancin abinci mai ƙwayar carbohydrate don nau'in 1 da nau'in ciwon sukari na 2. Abincin tare da ƙuntatawa na carbohydrates a cikin abincin yana ba tsofaffi da yara masu ciwon sukari damar kula da sukari na jini a kusan daidai matakin a cikin mutane masu lafiya. Don cikakkun bayanai, duba ƙasa a sashin “Abinci don Cutar Rana ta 1 a cikin Yara”.

Tambaya mafi mahimmanci: shin yana da mahimmanci a cikin lura da nau'in ciwon sukari na 1 a cikin yaro don ƙoƙari don rage sukarin jininsa zuwa al'ada? Iyaye na iya yin haka “don haɗarinsu.” Ka tuna cewa ko da ɗayan ɓarkewar hypoglycemia mai ƙarfi na iya haifar da lalacewar kwakwalwa na dindindin kuma ya sanya yaro ya zama mai rauni a cikin tsawon rayuwarsa.

Ta wani bangaren, karancin carbohydrates da yaro ke ci, karancin insulin din da zai buƙaci. Kuma ƙarancin insulin, ƙananan haɗarin hauhawar jini. Idan yaro ya ci abinci maras ƙwayar carbohydrate, to za a rage yawan sashin insulin sau da yawa. Zasu iya zama marasa ƙaranci a zahiri, idan aka kwatanta da nawa insulin da aka allura a da. Ya juya cewa yiwuwar rashin lafiyar hypoglycemia shima yana raguwa sosai.

Bugu da kari, idan yaro da sauri ya canza zuwa abincin da yake da karancin carbohydrate bayan ya gano nau'in ciwon sukari na 1, to, yanayin “amarcin” zai daɗe. Zai iya shimfiɗa shekaru da yawa, kuma idan kun yi sa'a sosai, to ko da tsawon rai. Saboda nauyin carbohydrate a kan pancreas zai ragu, kuma ba za'a lalata ƙwayoyin beta ta cikin sauri ba.

Hanyoyin girke-girke don rage cin abinci mai-carbohydrate na nau'in 1 da nau'in ciwon sukari na 2 ana samun su anan.

Kammalawa: idan yaro da ke da nau'in ciwon sukari na 1, wanda ya fara daga shekarun "kindergarten", sai ya sauya zuwa abinci mai ƙayyadaddun carbohydrate, to wannan yana da fa'idodi masu mahimmanci. Ana iya kiyaye sukari na jini a daidai matakin a cikin mutane masu lafiya. Hadarin hypoglycemia ba zai karu ba, amma zai ragu, saboda raguwar insulin zai ragu sau da yawa. Lokacin gudun amarci na iya tsawon lokaci.

Koyaya, iyayen da suka zaɓi wannan nau'in magani don maganin ciwon sukari na 1 a cikin yaransu suna yin hakan ne don kansu. Kwararren likitanku zai ɗauki wannan "da ƙiyayya", saboda ya saɓawa umarnin Ma'aikatar Lafiya, waɗanda ke aiki a halin yanzu. Muna ba da shawara cewa ka tabbatar cewa ka fara amfani da mitar glucose na jini. A cikin 'yan kwanakin farko na "sabon rayuwa", auna sukari jini sau da yawa, saka idanu halin da ake ciki a zahiri ci gaba. Kasance cikin shirye don dakatar da yawan kumburi a kowane lokaci, gami da dare. Za ku ga yadda sukarin jini a cikin yaro ya dogara da canje-canje a cikin abincinsa, ku zana ƙarshen kanku game da abin da dabarun kula da ciwon sukari ya fi dacewa.

Yadda ake allurar insulin a cikin yaro mai ciwon siga

Don fahimtar yadda ake kula da ciwon sukari na 1 a cikin yara tare da insulin, da farko kuna buƙatar nazarin labaran:

A cikin yara ƙanana, insulin ƙarami da na gwaji na rage yawan sukarin jini cikin sauri kuma da ƙarfi sosai fiye da na manya da manya. Gabaɗaya, ƙaramin ɗan, mafi girman hankalinsa ga insulin. A kowane hali, dole ne a ƙaddara shi daban daban ga kowane mai ciwon sukari na 1. Yadda za a yi wannan an bayyana shi a cikin labarin “Dose Calculation and Technique for Insulin Administration”, hanyar haɗin da aka bayar a sama.

Ciwon insulin na ciwon sukari a cikin yara

A cikin 'yan shekarun nan, a Yammacin Yamma, sannan a nan, yara da matasa suna yin amfani da famfunan insulin don kula da ciwon su. Wannan na'ura ce da ke ba da damar shigar da insulin cikin sauri da sauri-mai ɗaukar matakan insulin, cikin ƙananan allurai. A yawancin halaye, canzawa zuwa famfo na insulin don kamuwa da ciwon sukari na 1 a cikin yara na iya inganta sarrafa sukari na jini da kuma darajar rayuwar yaran.

Insulin famfo a aikace

Siffofin insulin magani idan yaro mai ciwon sukari ya bi abinci mai ƙayyadaddun carbohydrate

Tare da abinci yana da kyau a yi amfani da rashin analogues na ultrashort, amma insulin “ɗan gajere” na ɗan adam. A lokacin canji daga abinci na yau da kullun zuwa ga abincin low-carbohydrate, akwai haɗarin hauhawar jini. Wannan yana nufin cewa kuna buƙatar kulawa da hankali na sukari na jini tare da glucometer har zuwa sau 7-8 a rana. Kuma bisa ga sakamakon waɗannan ma'aunai, rage yawan sarkar insulin. Ana iya tsammanin cewa zasu ragu sau biyu zuwa 2-3.

Zai yiwu, zaku iya sauƙi ba tare da famfo na insulin ba. Sabili da haka, kar a ɗauki ƙarin haɗarin waɗanda amfanin sa ke ɗaukar su. Zaka iya biyan daidai ga masu ciwon sukari tare da karancin alluran insulin, wanda aka allura tare da sirinji na gargajiya ko almakashi na sirinji cikin karuwar raka'a 0.5.

Abincin don nau'in 1 na ciwon sukari a cikin yara

Magunguna na hukuma suna ba da shawarar daidaitaccen tsarin abinci don ciwon sukari na 1, wanda a cikin abin da carbohydrates ya ƙunshi 55-60% na yawan adadin kuzari. Irin wannan abincin yana haifar da canji mai yawa a cikin matakan sukari na jini, wanda ba za'a iya sarrafa shi ta hanyar injections na insulin. Sakamakon haka, lokaci na karancin glucose yana tattare da lokutan karancin sukari.

Wutar “tsalle-tsalle” cikin gulkin jini yana haifar da ci gaban cututtukan jijiyoyin bugun jini, haka kuma suna haifar da cututtukan cututtukan jini. Idan kunci ƙarancin carbohydrates, to wannan yana rage amplitude na sukari mai hawa. A cikin mutum mai koshin lafiya a kowane zamani, matakin sukari na yau da kullun ya kai kimanin 4.6 mmol / L.

Idan kun iyakance nau'in ciwon sukari na 1 zuwa carbohydrates a cikin abincinku kuma kuyi amfani da ƙananan, allurai insulin da aka zaɓa a hankali, zaku iya kula da sukarin ku a matakin daidai, tare da ɓarkewa babu fiye da 0.5 mmol / L a cikin duka hanyoyin. Wannan gaba daya zai nisantar da rikice-rikice na cututtukan sukari, ciki har da hypoglycemia.

Duba labaran don ƙarin cikakkun bayanai:

Shin karancin abinci mai ƙwayar carbohydrate zai cutar da haɓaka da haɓaka jariri? Ba ko kaɗan. Akwai jerin mahimman amino acid (sunadarai). Hakanan wajibi ne don cinye ƙoshin lafiyayyen halitta, musamman mayukan omega-3. Idan mutum bai ci sunadaran da mai ba, zai mutu cikin gajiya. Amma ba zaku sami jerin mahimman carbohydrates ko'ina ba, saboda kawai babu su. A lokaci guda, carbohydrates (banda fiber, i.e. fiber) suna da illa a cikin ciwon sukari.

Hanyoyin girke-girke don rage cin abinci mai-carbohydrate na nau'in sukari na 1 ana samun su anan.

A wane shekaru ne yaro zai iya canjawa wuri zuwa abincin da ke da ƙare da ƙwayar carbohydrate don ciwon sukari na 1? Kuna iya ƙoƙarin yin wannan lokacin da ya fara cin abinci iri ɗaya kamar manya. A lokacin canzawa zuwa sabon abinci, kuna buƙatar shirya da kuma tabbatar da waɗannan:

1. Fahimci yadda za a dakatar da ƙin jini. Kiyaye kayan zaki a hannu in dai har za ku.
2. A lokacin canzawa, kuna buƙatar auna sukari na jini tare da glucometer kafin kowane abinci, awa 1 bayan shi, da kuma cikin dare. Yana juya aƙalla sau 7 a rana.
3. Dangane da sakamako na sarrafa glucose na jini - a sami 'yanci don rage yawan insulin. Za ku ga cewa suna iya kuma ya kamata a rage su sau da yawa. In ba haka ba za a sami zubar jini a jiki.
4. A wannan lokacin, rayuwar yaro da ciwon sukari ya kamata ya kasance mai nutsuwa kamar yadda zai yiwu, ba tare da matsananciyar wahala ba. Har sai sabon yanayin ya zama al'ada.

Yadda ake shawo kan yaro ya rage cin abinci

Ta yaya shawo kan yaro ya bi abinci mai kyau ya ƙi ƙoshin Sweets? Lokacin da yaro da ke da nau'in ciwon sukari na 1 ya kiyaye abincin da aka saba da shi, zai iya fuskantar matsaloli masu zuwa:

• saboda "tsalle" a cikin sukari na jini - akai-akai mara kyau,
• wani lokacin yawan rashin jini na faruwa
• cututtuka daban-daban na iya damuwa.

A lokaci guda, idan mai ciwon sukari ya mance da tsarin karancin carbohydrate, to bayan yan kwanaki sai ya sami fa'idodi masu yawa:

• jinin jini yana da daidaituwa na al'ada, kuma saboda wannan, yanayin kiwon lafiya yana inganta, makamashi ya zama ƙari,
• hadarin cutar rashin jini a jiki ta ragu sosai,
• matsaloli da yawa na rashin lafiya suna komawa baya.

Bari yaro ya ɗanɗana “a cikin fatarsa” yaya zai ji daban idan ya bi tsarin mulki kuma idan an keta shi. Kuma a sannan zai sami dalili na halitta don sarrafa ciwon kansa da tsayayya da jaraba don cin abinci "haramtacce", musamman tare da abokan.

Yawancin yara da tsofaffi masu fama da ciwon sukari na 1 ba su da masaniyar yadda za su ji daɗin abinci mai ƙirar carbohydrate. Sun riga sun saba da sulhu cewa suna da gajiya koda da rashin lafiya. Zasu zama cikakkun masu riko da tsarin rashin wadataccen abinci mai gina jiki da zaran sun gwada shi kuma suna jin kyakkyawan sakamakon wannan hanyar.

Amsoshin Iyaye da Aka Nemi

Haemoglobin mai girma yana haɓaka saboda ba shi yiwuwa a rama wa masu ciwon sukari daidai yayin da abincin ya kasance "daidaita," wato, cike da ƙwayoyin carbohydrates. Duk yadda kuka ƙididdige yawan wuraren cin abinci, za a sami amfani kaɗan. Canja zuwa ga abincin low-carbohydrate wanda rukunin mu yayi wa'azin. Karanta wata hira da iyayen wani yaro dan shekaru 6 da ke dauke da ciwon sukari na 1 wanda suka sami cikakkiyar lafiya kuma suka tsallake insulin. Ba na yi alƙawarin cewa za ku yi daidai ba, domin sun fara kula da su nan da nan, kuma ba su jira shekara ɗaya ba. Amma a kowane hali, diyya na ciwon sukari zai inganta.

Yaron ya girma kuma yayi girma ba tare da santsi ba, amma na lokaci-lokaci. Lokacin da akwai haɓaka mai sauri, buƙatar insulin yana ƙaruwa sosai, saboda yanayin asalin hormonal ya canza. Wataƙila yanzu kun kasance zamani na gaba na aiki mai ƙarfi ya ƙare, saboda haka buƙatar insulin yana faɗuwa. Da kyau, a lokacin rani ana buƙatar insulin ƙasa saboda yana da dumama. Wadannan illolin suna hadewa. Wataƙila babu abin da za ku damu. Yi hankali da sukari, gudanar da cikakken kulawa da kai na glucose a cikin jini. Idan kun lura cewa insulin ba zai iya biyan diyya na diba ba, to sai ku yawaita sashi. Karanta nan game da kasawa na famfan insulin idan aka kwatanta da sirinji mai kyau.

Ina tsammanin ba za ku iya dakatar da ita daga "zunubai" ba, kuma daga abinci kawai ... Matasa sun fara, rikice-rikice na hali tare da iyaye, gwagwarmayar neman 'yanci, da sauransu. Ba za ku sami damar hana komai ba. Gwada lallashewa maimakon. Nuna misalai na masu cutar nau'in 1 na masu cutar sukari da ke fama da rikice-rikice kuma yanzu sun tuba cewa su irin waɗannan wawaye ne a cikin samarinsu. Amma gabaɗaya sulhu. A cikin wannan yanayin, da gaske ba za ku iya tasiri ba. Ka yi ƙoƙari ka karɓi hikima. Samun karen da ka raba shi dashi. Baya ga barkwanci.

Matsayin insulin a cikin jini ya fado sosai. Dubi yaduwar cikin al'ada - kusan sau 10. Sabili da haka, gwajin jini don insulin baya taka rawa ta musamman a cikin ganewar asali. Yaronka, da rashin alheri, yana da nau'in ciwon sukari 100% na 100%. Da sauri fara rama don cutar tare da allura ta insulin da abinci mai karancin carbohydrate. Likitocin na iya fitar da lokaci, amma wannan ba don amfanin ku bane. Nan gaba idan kuka fara magani na yau da kullun, hakan zai fi wahalar yin nasara. Insaukar insulin da bin ingantaccen abinci bai isa ba daɗi. Amma a lokacin samartaka, ba za ku so ku zama marasa amfani ba saboda matsalolin ciwon sukari. Don haka kada ku kasance mai hankali, amma a bi da shi a hankali.

Samun cikakken biyan diyya shine babban buri na iyayen da suka ɗanɗana kwanan nan nau'in ciwon sukari na 1 a cikin yaransu. A duk sauran rukunin yanar gizo za a tabbatar muku cewa wannan ba zai yiwu ba, kuma kuna buƙatar jure wa sukari da sukari. Amma ina da wasu albishir a gare ku. Karanta wata hira da iyayen wani yaro dan shekaru 6 da ke dauke da ciwon sukari na 1 wanda suka sami cikakkiyar lafiya. Childa hasansu suna da sukari na jini na yau da kullun, gabaɗaya ba tare da allurar insulin ba, godiya ga abincin da ke cike da carbohydrate. A nau'in ciwon sukari na 1, akwai lokacin amarcin. Idan baku damar carbohydrates suyi yawan fitsarin ba, to zaku iya tsawaita shi tsawon shekaru, ko ma har tsawon rayuwa.

Abin da za ku yi - da farko, kuna buƙatar canzawa zuwa rage cin abinci mai ƙayyadari.Don cikakken jerin abubuwan abinci da aka haramta da haramta, duba jagororin tsarin abinci. Don ware gari, Sweets da dankali daga abinci shine ma'aunin rabin, wanda bai isa ba. Karanta menene lokacin amarcin wani nau'in ciwon sukari na 1. Wataƙila tare da taimakon rage cin abinci mai ƙayyadaddun carbohydrate, zaku iya ƙara shi tsawon shekaru, ko ma har tsawon rayuwa. Ga wata hira da iyayen wani yaro dan shekara 6 suka yi. Suna kwance tare da insulin gaba ɗaya kuma suna kiyaye sukari na yau da kullun, kamar yadda a cikin mutane masu lafiya. Yaronsu ba ya son insulin sosai har yana shirye ya bi abincin, idan da babu allura. Bana alqawarin cewa zaku samu irin nasarorin. Amma a kowane yanayi, abinci mai karancin carbohydrate shine kashin bayan kula da ciwon sukari.

Nau'in cuta guda 1 a cikin yara: binciken

Iyaye su yarda cewa yaro da ke da nau'in ciwon sukari na 1 tsakanin shekarun 12-14 har ma ya fi girma bazai bayar da masaniya game da ci gaban cututtukan jijiyoyin jiki ba. Barazanar waɗannan matsalolin na dogon lokaci ba za ta tilasta masa ya ci gaba da kula da ciwon kansa ba. Yaron yana sha'awar ne kawai a cikin halin yanzu, kuma a ƙarami wannan shine al'ada. Tabbatar karanta babban labarinmu, Ciwon Ciki a cikin Yara da Matasa.

Don haka, kun gano menene alamun nau'in ciwon sukari na 1 a cikin yara. Irin waɗannan yara suna buƙatar a bincika su akai-akai ko ƙwayar cutar ta thyroid tana aiki a kullun. A cikin yara da yawa masu fama da ciwon sukari na 1, amfani da famfo na insulin na taimakawa sosai wajen sarrafa sukari na jini. Amma idan yaro ya bi tsarin abinci na low-carbohydrate, to, wataƙila zaku iya kula da sukari na al'ada tare da taimakon injections na gargajiya.