ʻO nā ʻōuli maʻamau o ke ʻano diabetes 1 i nā kamaliʻi

Anter

• Nā ʻōuli o ke ʻano 1 i nā keiki
• Nā pēpē
• Nā kamaliʻi
• ʻO nā keiki a me nā ʻōpio ʻōpio
• Kānāwai
• Nā hoʻoponopono
• Insulina o kēlā me kēia lā
• Hoʻokele insulina
• Ka mālama meaʻai
• Hoʻoponopono nohona
• Nā ʻōlelo aʻoaʻo e kūpale ai
• Ka wā e ʻike ai i ke kauka
• Ke laina lalo

ʻO ka maʻi diabetes type 1 kahi maʻi autoimmune nāna e hoʻopōʻino i ke kino i nā hunaola i nā pancreas e hana i ka insulin.

ʻO ka insulin ka hōmona e hōʻailona ai i kāu mau huna koko e lawe i ka glucose, kahi e hoʻoponopono ai i nā pae kō kō. Me ka lawa ʻole o ka insulin, hiki i nā pae kō kō e lilo i kiʻekiʻe loa a hoʻopōʻino i ka wā lōʻihi i kou kino.

Wahi a ka American Diabetes Association, i ka makahiki 2012 kokoke 18,000 mau keiki i ʻike ʻia me ka maʻi diabetes type 1.

Nā ʻōuli o ke ʻano 1 i nā keiki

ʻO nā ʻōuli maʻamau o ka maʻi diabetes type 1 i nā keiki e pili pū me:

• mahuahua ka makewai a me ka pololi
• lilo kaumaha maopopo ʻole
• urination pinepine
• ʻike hihi

ʻO nā ʻōuli maʻamau e pili pū me:

• nausea a me ka luaʻi
• abdominal eha
• ka luhi a me ka nāwaliwali
• hanu hua
• hoola ʻeha maikaʻi ʻole

Ma waho aʻe o nā ʻōuli ma luna, ʻike paha nā kaikamahine ʻōpio i nā maʻi hū hou.

Nā pēpē

ʻAno paʻakikī ke kuhi 1 o ka maʻi diabetes i nā pēpē a me nā kamaliʻi no ka hiki ʻole ke kamaʻilio kūpono i kā lākou mau ʻōuli.

Hiki ke hoʻololi i nā diaper pinepine i kāu pēpē e hoʻonui ai i ka urination, kahi hōʻailona diabetes maʻamau.

I kekahi mau pēpē, hiki i ka pehu diaper hou ke hele hou aku he pilikia ʻē aʻe paha o ka maʻi diabetes type 1.

Nā kamaliʻi

Inā ʻoe e ʻike i ka hoʻopulu ʻana o kāu keiki i ka moena, keu hoʻi ma hope o ka hoʻomaʻamaʻa ʻia ʻana i ka ipu, hiki i kēia ke hōʻailona o ka maʻi diabetes type 1.

ʻO ka nalo koke o ka makemake i kahi keiki hiki ke lilo i hōʻailona o ka maʻi diabetes i hōʻike ʻole ʻia a pono e kamaʻilio ʻia me kā lākou pediatrician i ka wā hiki.

ʻO nā keiki a me nā ʻōpio ʻōpio

Inā ua ʻōlelo aʻe kāu keiki makua a ʻōpio paha i kekahi o nā ʻōuli ma luna, pono ʻoe e lawe iā lākou e ʻike i ke kauka.

I nā keiki a me nā ʻōpio, ʻo nā loli loa o ka lawena ma waho o nā loli maʻamau ke ʻano ʻē aʻe paha o kēia ʻano.

Kānāwai

ʻO ka maʻi maʻamau ʻo 1 i ʻike pinepine ʻia i ka wā kamaliʻi ma waena o nā makahiki o 4 a 7, a 10 a 14.

Inā kānalua kāu kauka he loaʻa paha kāu keiki i ka maʻi diabetes 1, hiki iā lākou ke hoʻohana i nā hoʻokolohua diagnostics e hōʻoia.

ʻO nā hoʻokolohua e kuhikuhi ai i ka maʻi diabetes type 1 i nā keiki (a me nā mākua) e komo pū me:

• ʻO ka glucose glucose wikiwiki. Hana ʻia kēia hōʻike ma hope o ka hoʻokē ʻai ʻana i ka pō hoʻokahi. I ka wā o ka hoʻāʻo ʻana, huki ʻia ke koko a ana ʻia nā pae glucose koko. Inā he 126 mg / dL a ʻoi paha ke kiʻekiʻe o ka kō glucose i ke koko ʻelua, ʻae ʻia ka maʻi kō.
• ʻAukā glucose kūlike ʻole. ʻAʻole koi kēia hōʻike i ka hoʻokē ʻai. I ka wā o ka hoʻāʻo ʻana, huki ʻia ke koko i kahi manawa kaulike i ka lā a ana ʻia nā pae glucose glucose. Inā 200 mg / dL ke kiʻekiʻe o ke kō a ke kō, a aia nā ʻōuli o ka maʻi diabetes type 1, e hoʻokūpaʻa ʻia ka maʻi kō.
• Hōʻike A1C. Ana ke ana o ka A1C i ka nui o hemoglobin glycated i loko o ke koko, ʻo ia ka hemoglobin i pili ka glucose iā ia. Ma muli o ke ola o hemoglobin ma kahi o 3 mau mahina, hiki i kēia hoʻokolohua ke hāʻawi i ke kauka i kahi manaʻo o ka awelika o nā kō kō ma mua o 3 mau mahina. Kuhi kahi pae A1C o 6.5 pakeneka a ʻoi paha e hōʻike i ka maʻi kō.
• Islet autoantibodies. I ka ʻano diabetes he 1, ke hōʻike nei ke alo o nā isant autoantibodies e hōʻike ana i ke kino ke loaʻa ʻana o kahi ʻōnaehana pale pale i nā hunaola liʻiliʻi i nā pancreas e hana i ka insulin. ʻOiai ʻaʻole pono kēia mau autoantibodies i ka maʻi diabetes type 1, ua hōʻike ʻia lākou he māka maikaʻi no ke kūlana.
• Nā ketone mimi. I ka maʻi diabetes ʻole e hoʻomalu ʻia, hiki i nā pae ketones kiʻekiʻe me ke kiʻekiʻe o ke kō glucose ke alakaʻi i ka ketoacidosis diabetic, kahi ola weliweli ia. Hiki iā ʻoe ke hoʻāʻo i nā pae ketone ma ka home me kahi kāʻai mimi ketone. Inā ʻoe e ʻike i ke kiʻekiʻe o ka ketone ma mua o ka maʻamau, ua hiki i ka manawa e kipa ai i ke kauka.

Nā hoʻoponopono

Inā haʻalele ʻole ʻia, hiki i ka maʻi diabetes 1 ke alakaʻi i ka hyperglycemia, a i ʻole ke kō i ke koko kiʻekiʻe, a me ka ketoacidosis diabetic. He mea nui ia e noho ma luna o nā koho lapaʻau i loaʻa inā loaʻa i kāu keiki ka maʻi diabetes type 1.

Insulina o kēlā me kēia lā

ʻO ka insulin ka lāʻau pono no ka maʻi diabetes type 1. Loaʻa kekahi ʻano ʻokoʻa o ka insulin i loaʻa, e like me:

• insulin maʻamau, hana pōkole
• ʻoi loa ka hana ʻana o ka insulin
• insulina hana koke
• insulina hana lōʻihi

Kūlike kēia mau ʻano insulin i ka wikiwiki o ka hana a pehea ka lōʻihi o kā lākou hopena. E kamaʻilio me kāu kauka e pili ana i ka hoʻohui pono o ka insulin no kāu keiki.

Hoʻokele insulina

ʻElua ala e loaʻa ai ka insulin i loko o ke kino: nā injection insulin a i ʻole ka pump insulin.

Hoʻokele pololei ʻia nā injection Insulin ma lalo o ka ʻili, i mau manawa i kēlā me kēia lā, e hālāwai me nā pono o ka insulin e pono ai. Hoʻomalu wale kahi pauma insulin i ka insulin wikiwiki i ke kino i ka lā holoʻokoʻa.

Ma waho aʻe o ka hoʻokele ʻana o ka insulin, hiki ke hoʻohana ʻokoʻa i ka mālama ʻana i ka glucose (CGM) a i ʻole ma ke ʻāpana o kahi pauma insulin. Me kahi CGM, kahi sensor ma lalo o ka ʻili e hoʻomau mau i nā pae glucose i ke koko no ka nānā ʻana. Hoʻouna ia i nā leka ke kiʻekiʻe a haʻahaʻa paha ke kō o ke kō.

Ka mālama meaʻai

He mea nui ka mālama ʻana i ka meaʻai i ka mālama ʻana i ka maʻi diabetes type 1.

ʻO nā ʻōlelo aʻoaʻo papaʻai maʻamau no ka hoʻokele ʻano 1 ka helu ʻana o ka carbohydrate a me ka manawa ʻai.

Pono ka helu ʻana i nā haʻalako i mea e ʻike ai i ka nui o ka insulin e lawelawe ai.

Hiki i ka manawa ʻai ke kōkua i ka mālama ʻana i nā pae kō kō me ka ʻole o ka hāʻule haʻahaʻa a kiʻekiʻe loa paha.

He mea nui ia e ʻike hiki i ka poʻe me ka maʻi diabetes type 1 ke ʻai mau i nā wīwī. Eia nō naʻe, pono ka nānā ʻana i nā carbohydrates paʻakikī me ka nui o ka fiber, ʻoiai ke lohi o ka fiber i ka lawe ʻana o glucose i ke kino.

ʻO nā huaʻai, nā mea ʻai, a me nā mea kanu āpau nā koho kōpelu nui.

Hoʻoponopono nohona

ʻOiai ʻaʻohe mea ola i kēia manawa, ʻo ka maʻi diabetes type 1 kahi kūlana e koi ai i ka nānā ʻana i ke ola a pau.

Inā loaʻa kēia maʻi i kāu keiki, e nānā pono i nā hoʻokolohua koko a me ka mimi e pono ai.

Pono ʻoe e paipai i ka hoʻoikaika kino mau, i hiki ke kōkua i ka mālama ʻana i nā pae kō kō.

He mea nui nō hoʻi e hoʻomaopopo i kā lākou kō kō i mua, i ka wā, a ma hope o ka hoʻoikaika kino e ʻike pono ʻaʻole e hele haʻahaʻa loa.

Nā ʻōlelo aʻoaʻo e kūpale ai

ʻO ka loaʻa ʻana o kahi hōʻailona o ka maʻi diabetes type 1 hiki ke lilo i manawa weliweli no nā mākua a me nā keiki. ʻO ke kiʻi ʻana i kahi ʻōnaehana kākoʻo hiki ke kōkua iā ʻoe e aʻo i nā ʻano hana ola maikaʻi a me nā ʻōlelo ʻē aʻe e pili ana i ka mālama ʻana i kēia ʻano.

No ke kākoʻo keu, hiki i nā mākua ke kiʻi aku i:

• ʻOihana ʻoihana noʻonoʻo. Hiki iā ia ke ninini kino a me ka naʻau e hoʻomau i ka mālama ʻana no ka maʻi diabetes type 1, keu hoʻi ma ke ʻano he makua i kahi keiki ʻōpio me ke ʻano. Hiki i nā loea olakino noʻonoʻo ke hāʻawi i kahi puka olakino no ke koʻikoʻi, hopohopo, a me nā ʻano ʻē aʻe e hiki ke hele pū me ka makua o kahi keiki me ka ʻano 1.
• Nā limahana kaiaulu. ʻO ka hoʻokele ʻana i nā kipa a nā kauka, holo hou ka palapala kuhikuhi, a me ka mālama ʻana i kēlā me kēia lā e pono ai no ka maʻi diabetes type 1 hiki ke lilo i mea kaumaha loa. Hiki i nā limahana kaiaulu ke kōkua i ka hoʻopili ʻana i nā mākua me nā kumuwaiwai e hoʻomaʻalahi ai i ka mālama olakino ʻano 1.
• Nā mea aʻo diabetes. ʻO nā mea aʻo diabetes he ʻoihana olakino i loea i ka aʻo diabetes, mai nā papaʻai papaʻai i nā mālama maʻi o kēlā me kēia lā a me nā mea hou aʻe. Hiki i ka hoʻopili ʻana me nā mea aʻo diabetes ke kōkua i ka mālama ʻana o nā mākua i nā ʻōlelo paipai a me nā noiʻi no kēia maʻi.

No ke kākoʻo hou aʻe ma hope o ke kuhi, loaʻa paha i kāu keiki ke kōkua mai ke kiʻi ʻana iā:

• Nā kākāʻōlelo kula. He ʻōnaehana kākoʻo nui nā kākāʻōlelo no nā keiki ʻōpio, ʻo ia hoʻi ka poʻe e kū nei i nā kūlana olakino. Hāʻawi kekahi mau kula i ka ʻōlelo aʻoaʻo pūʻulu, no laila e nānā me ke kula o kāu keiki e ʻike i ke ʻano o nā hui pūʻulu a lākou e hāʻawi ai.
• Nā pūʻulu kākoʻo. Ma waho o ke kula, aia nā pūʻulu kākoʻo i hiki iā ʻoe a me kāu keiki ke hele pū i ke kanaka a i ʻole ma ka pūnaewele. ʻO nā keiki me ka Diabetes kahi hui nonprofit e hāʻawi i ka ʻike ma nā kahua hoʻomoana, nā ʻaha kūkā, a me nā hanana pili i ka maʻi diabetes e pono ai kāu keiki.
• Hoʻopili mua. ua hōʻike ʻia i ka poʻe mākua me ka maʻi diabetes ʻano 1, hiki i ke kākoʻo manaʻo ke kōkua i ka hoʻomaikaʻi ʻana i nā pae A1C āpau a me ka mālama ʻana i ke ʻano. He mea nui e hoʻoponopono i nā pilikia olakino noʻonoʻo i ke kakahiaka nui e hele pū me kāu maʻi diabetes, e like me ke kaumaha a me ka hopohopo.

Ka wā e ʻike ai i ke kauka

Inā manaʻo ʻoe loaʻa paha i kāu keiki nā ʻōuli o ka maʻi diabetes type 1, e hoʻolālā i kahi manawa me ke kauka no ka hoʻāʻo ʻana. E nānā lākou i ka moʻaukala olakino o kāu keiki a hoʻohana i kekahi o nā hoʻokolohua diagnostical i ʻōlelo ʻia ma luna e hoʻoholo inā loaʻa kāu keiki i ka maʻi diabetes 1.

Hiki i ka maʻi diabetes hoʻokele ʻole ke hōʻino i nā ʻokena a alakaʻi i nā pilikia hou, no laila he mea nui e loaʻa kahi hōʻailona i ka wā hiki.

Ke laina lalo

ʻO ke ʻano he diabetes he ʻano autoimmune e hōʻike pinepine ʻia i ka wā kamaliʻi.

ʻO nā ʻōuli no ka maʻi diabetes type 1 i loko o nā keiki e pili pū me ka hoʻonui ʻana i ka pōloli a me ka make wai, hoʻonui i ka urination, hanu ʻaʻala hua, a me nā mea hou aʻe.

ʻOiai ʻaʻohe lāʻau lapaʻau no ka maʻi diabetes type 1, hiki ke mālama ʻia me ka insulin, ka mālama ʻana i ka papaʻai, a me nā loli nohona.

Inā ʻoe e ʻike i kekahi mau ʻano diabetes he ʻano ʻ 1 i kāu keiki, e hoʻolālā i kahi hālāwai me ke kauka i ka wā hiki loa.