Izindlela ezi-4 zokufumana ulawulo olungcono lwe-insulin kubantwana
Uhlobo lwe-1 lweswekile, uhlobo oluqhelekileyo lwesifo sikashukela kubantwana, yimeko apho umzimba ungaphumeleli ukuvelisa i- insulin . Ikwahlula njengengxaki yokuzimela, oko kuthetha ukuba isistim somzimba, ngenxa yezizathu ezingaziwa, ihlasele iiseli zayo. Kwimeko ye-type 1 yeswekile, yileli ye-beta iiseli ze- pancreas ezijoliswe ekuhlaselweni.
Akukho naluphi unyango lwesifo sikashukela, kwaye isizathu asikaziwa. Ngaloo ndlela, kuyakufuneka ufunde indlela yokulawula eso sifo ngokubeka iliso rhoqo ishukela legazi lomntwana, ukutya, kunye nokuzivocavoca okuhambisa ii-insulin injections xa kufuneka.
Ukujongana neGlucose yegazi
I-insulin i-hormone eveliswa yi-pancreas enceda umzimba ukusebenzisa kunye nokugcina iswekile (i-glucose) yeoli. Ngaphandle kokungena kwe-insulini, i-glucose egazini inokuqokelela, eyenza i- hyperglycemia (ishukela ephezulu yegazi). Ukuba ngakolunye uhlangothi, kukho ngokukhawuleza kwehla kwi-insulin, izinga le-glucose lingashenxisa, elikhokelela kwi- hypoglycemia ( isishukela sezantsi eliphantsi). Zombini zinokubangela iimpawu ezinobungozi kwaye zikhokelela kwiinkathazo zempilo zexesha elide.
Ukuze ugweme oku, kuya kufuneka uvavanye igazi legazi lomntwana wakho ngaphambi kokutya kunye ngexesha lokulala. Umbutho we-American Diabetes Association uncoma iiparitha ezilandelayo kubantwana:
| Iinqanaba zeGlucose zeGazi eziphakanyisiweyo | ||
| Ubudala | Ngaphambi kokutya | Ixesha lokulala / Ubusuku |
| Abantwana abangaphantsi kwe-6 | 100-180 | 110-200 |
| Yobudala 6-12 | 90-180 | 100-180 |
| Yobudala 13-19 | 90-130 | 90-150 |
Amanqanaba anconywayo aphakamileyo kakhulu kunabantu abadala kuba abantwana abaneesifo sikashukela basengozini enkulu kakhulu ye-hypoglycemia kwaye ngokuyimfuneko bayayidinga le ndlela engaphezulu, ekhuselayo.
Xa kuphakanyiswa amanqanaba, kubalulekile ukugcina iphepha lokutya, amaxesha okutya, ukufundwa kwegazi kwi-glucose, kunye nemisebenzi yomzimba ukuze ufumane ingqondo engcono yezinto eziphezulu kunye nokuhlaselwa ngumntwana wakho.
Ngale ndlela, unokufumana ukulawula okuphezulu kwe-insulin kwaye ugweme ukugula.
Ukuhambisa i-insulin
Ngenxa yokuba umzimba womntwana wakho awukwazi ukuvelisa i-insulin, kufuneka ithathelwe endaweni yonke imihla, ngokuqhelekileyo nge-injection. Kukho iindlela ezintathu ezilandelayo:
- Umntwana unokumiselwa umlinganiselo osisigxina we -insulin esebenza ngokukhawuleza kunye nokukhawuleza . Ngomlinganiselo osisigxina, umntwana kufuneka abe nokutya xa amanqanaba e-insulin ephezulu. Ukutya kufuneka kudliwe ngexesha elifanayo yonke imihla kunye nenani elifanayo le-carbohydrates, amafutha kunye namaprotheni.
- Abanye abantwana banokuzuza ngokudibanisa i-insulin esebenza ngokukhawuleza kunye ne- long-acting one . Ezi ziya ku funeka zithathwe ngexesha lokudla. I dose ye-insulin esebenza ngokukhawuleza iya kubalwa ngokusekelwe kumxholo we-carbohydrate yomtya.
- Abanye abantwana bangacelwa ukuba basebenzise ipompo ye-insulin , isicatshulwa sezokwelapha esilungiselela ukuhamba kwamachiza rhoqo. I-insulin yokusebenza ngokukhawuleza nayo iya kufuneka kunye namayeza ahlengahlengiswa nge-carbohydrates intake.
Ukulawula i-Low Blood Sugar
Iimpawu ze-hypoglycemia zisoloko zingaqatshelwa ngabantwana abangazi ukuba kwenzekani kubo okanye abanako ukuchaza indlela abavakalelwa ngayo. Oku kufuna ukuba wena, njengomzali, ubukele imiqondiso uze uthathe isinyathelo ngokukhawuleza xa kufuneka.
Imiqondiso ye-hypoglycemia iya kubonakala ngathi i-glucose yegazi iyancipha ngaphantsi kwe-70 kwaye ingakhokelela kwiimpawu ezinjengokucaphuka, ukulala, ubuthathaka, ukuthuthumela, ukudideka, intloko, kunye nesisu. Kwiimeko ezinzima, umbono ombini, ukuxubana, ukuhlanza nokungazi.
Xa kwenzeka ukuhlaselwa kwe-hypoglycemic, yenza umntwana wakho asele okanye adle isantya (esingaba ngu-10 ukuya ku-15 amagremu) ukuphakamisa ixabiso le-glucose ngaphezu kwama-80. Oku kusetshenziselwa ukufezekisa oku:
- Iipilisi ezimbini ze-glucose
- I-tube encinci ye-gel decorator's gel
- Iziqendu ezimbini ukuya kwezine
- Isiqingatha sesininzi sesoda
- Ingqungqutyisi yesigaxa yesiphumo esiphucukileyo esiphucukileyo (njengelunxweme okanye iidiliya)
- Iibhontshisi ze-jelly eziyisixhenxe ukuya kwi-10
- I-one to two tablespoons yobusi
Ingcinga enhle ukuhlala ugcina uncedo oluphuthumayo kwigumbi leglavu lemoto yakho. Ukuba umntwana wakho akakwazi ukutya okanye ukusela, unokusebenzisa i- glucagon kit yexakeka . I-Glucagon yimi hormone ejojayo eyenza isibindi sikhiphe iswekile egazini, ngokuqhelekileyo i-normalizing levels in half half. Iikhamera zeGlucagon zifumaneka kunye nomyalelo ogqirha ugqirha.
Ukutya kunye nokuzivocavoca
Ukulawulwa kokutya komntwana kukubalulekileyo ekugcineni ukulawulwa kwe-insulin eqinile. Iquka ukulawulwa kwengxenye eqinile kunye nokunamathela kwimilinganiselo echanekileyo ye-carbohydrate, amafutha kunye neprotheni nganye ngesidlo.
Xa uqala, uya kufuneka usebenze kunye nesondlo sokutya esibhalisiweyo, isondlo sesondlo, okanye i- endocrinologist yezilwanyana ukuphuhlisa isicwangciso sesidlo seswekile . Ngokuhamba kwexesha, njengoko ufumana ingqalelo kwizinto ezithinta ushukela wegazi lomntwana wakho, uya kuhlakulela umqondo ongasemgangathweni wesicwangciso sendlela yokutya okusebenzayo kwaye engenzi.
Umsebenzi wezinto ezibonakalayo unceda ekunciphiseni i-glucose level. Ngaloo ndlela, abantwana abanesifo sikashukela kufuneka bafumane rhoqo, baqhelise imihla ngemihla, bephantsi kweliso ukuba bajonge nayiphi na ingozi ye-hypoglycemia. Isikolo somntwana kunye nabaqeqeshi kufuneka bavezwe ukuze bakwazi ukuphendula ngokufanelekileyo xa kwenzeka ukuhlaselwa.
Ekugqibeleni, umntwana naye kufuneka agqoke uhlobo oluthile lokubonakaliswa kwezokwelapha, njenge- bracelet yesilumkisi okanye umqala .
> Umthombo:
> I-American Diabetes Association. "Imigangatho yoLondolozo lwezoNyango kwiSwekile-2016." Uncedo lweSwekile . 2016; 39 (iSiza 1): S1-S106. INGXELO: 10.2337 / dc16-S003.
> Nansel, T .; Iannotti, R .; kunye no-Liu, A. "I-Clinic-Integrated Intervention Practice Intervention for the Family of Youth With Type 1 Isifo sikashukela: Uvavanyo lweNzululwazi olungalindelekanga." Pediatrics . 2012; 129 (4): e866-e873. I-DOI: 10.1542 / iipedi.2011-2858.