Ke makewai nui nei kāu keiki ma mua o ka maʻamau i kēia mau lā? Pono anei ʻo ia e mimi pinepine? Manaʻo anei ʻo ia e emi ana kona kaumaha ʻoiai ke ʻai maikaʻi nei ʻo ia? Me he mea lā he mau mea maʻalahi kēia, akā i kekahi manawa hiki iā lākou ke lilo i mau hōʻailona mua o kahi maʻi i kapa ʻia ʻo ka maʻi diabetes Type 1 i nā keiki. He maʻi mau kēia i maʻamau i waena o nā keiki. No laila, ma ke ʻano he mau mākua, he mea nui iā kākou e makaʻala i kēia a ʻaʻole e hopohopo no ia mea.
I ka ʻōlelo maʻalahi, he aha ka maʻi diabetes Type 1 i kēia mau keiki?
He maʻi autoimmune ka maʻi diabetes ʻano 1. I ka pōkole, hoʻouka hewa ka ʻōnaehana pale o ko mākou kino (ka pūʻali koa e pale iā mākou mai nā maʻi) a luku i nā pūnaewele hana insulin (i kapa ʻia he mau pūnaewele beta) i loko o kā mākou pancreas ponoʻī.
E noʻonoʻo e pili ana i ia mea, ʻo ka insulin ke kī e wehe ai i ka puka no ke kō (glucose) i loko o ko kākou koko e komo i loko o nā ʻāpana o ke kino. No laila, i ka wā e luku ʻia ai kēia mau ʻāpana hana insulin, e pau ke kino i ka hana ʻana i ka insulin e pono ai. A laila piʻi nui ke kiʻekiʻe o ke kō koko. Ua kapa ʻia kēia he maʻi diabetes Type 1.
Hoʻohuihui ka poʻe he nui i ka maʻi diabetes Type 1 a me Type 2. I ka maʻi diabetes Type 2, hana ke kino i ka insulin, akā ʻaʻole pane pono nā cell iā ia (kūʻē i ka insulin). Eia naʻe, i ka Type 1, ua pau ka hana ʻana o ka insulin. No laila, pono e hāʻawi ʻia i kahi keiki me ka maʻi diabetes Type 1 i ka insulin mai nā kumu o waho i kēlā me kēia lā e ola ai.
ʻOiai hiki ke loaʻa kēia ʻano i kēlā me kēia makahiki, ʻike pinepine ʻia ma kahi o 5 mau makahiki a i ʻole i ka wā ʻōpio (10-14 mau makahiki).
No ke aha i loaʻa ai kēia maʻi i nā keiki?
ʻAʻohe kumu kūpono hoʻokahi no kēia, akā manaʻo nā kauka he hui pū ʻana ia o nā kumu ʻelua:
1. Kūlana Hoʻoilina: Loaʻa i kekahi mau keiki kahi kūlana hoʻoilina i ka loaʻa ʻana o nā maʻi autoimmune. ʻOi aku hoʻi, ua ʻike ʻia nā ʻokoʻa o ka ʻōnaehana gene i kapa ʻia ʻo ``(HLA)`` e pili ana i kēia.
2. Nā mea hoʻonāukiuki o ke kaiapuni: ʻAʻole ulu wale kēia maʻi ma muli o kahi predisposition genetic. Pono e hoʻoulu ʻia e kekahi kumu kaiapuni. ʻO kekahi o kēia mau mea:
- ʻO kekahi mau mea i pili i ka makuahine ma mua o ka hānau ʻana o ke pēpē.
- ʻO kekahi mau maʻi viral i hiki ke loaʻa i kahi keiki i ka wā kamaliʻi.
- ʻO ka ʻai a ke keiki.
- Ke kaiāulu o nā bacteria maikaʻi i loko o ke kino ('microbiome').
No kēia mau kumu, huikau ka ʻōnaehana pale a hoʻomaka e hana i nā antibodies (`autoantibodies`) e kūʻē i nā cell e hana ana i ka insulin. I ka hala ʻana o ka manawa, i ka wā e luku loa ʻia ai kēia mau cell, hoʻomaka nā hōʻailona o ka maʻi diabetes e ʻike ʻia.
Pehea e ʻike ai? - Nā hōʻailona nui a me nā pilikia
E makaʻala i kēia mau hōʻailona i kāu keiki. Hiki iā lākou ke ʻoi aku ka ʻino i nā lā, nā pule, a i ʻole nā mahina.
| Hōʻailona | Wehewehena |
|---|---|
| Makewai nui | ʻO ka makemake e inu i ka wai ma mua o ka maʻamau. |
| Ke mimi nui nei | Hiki i kahi keiki i aʻo ʻia i ka halepaku ke hoʻomaka e pulu i ka moena i ka pō. Hoʻopiha koke ʻia nā diaper o nā pēpē liʻiliʻi. |
| ʻO ka emi ʻana o ke kaumaha ʻoiai ʻo ka ʻai maikaʻi ʻana | ʻO ka pohō kaumaha i hiki ʻole ke wehewehe ʻia ʻoiai ʻo ka ʻai maikaʻi ʻana. |
| Pōloli nui loa | Ke noi pinepine ʻana i ka meaʻai ma mua o ka maʻamau, me ka ʻōlelo ʻana ua pōloli. |
| Luhi | Ua hiamoe mau ke keiki a make ke ola. |
| ʻIke pōwehiwehi | Hiki paha i ke keiki ke haʻi iā ʻoe e pili ana i kekahi loli i ka ʻike. |
| Pilikia e pono ai ka nānā koke ʻana: DKA (Diabetic Ketoacidosis) | |
| Hanu ʻala hua | ʻAla ka hanu e like me ka hua, ka waina, a i ʻole ka mea wehe pena kui. |
| Ka luaʻi ʻana a me ka ʻeha o ka ʻōpū | Ka luaʻi pinepine ʻana a me ka ʻeha nui o ka ʻōpū. |
| Hanu wikiwiki | Hoʻonui ʻia ka hanu ʻana. |
| Ka huikau a me ka hiamoe | Loli ke ʻano o ke keiki, huikau, hiamoe nui, a nalowale paha ka ʻike. |
He mea nui loa: He pilikia olakino hoʻoweliweli ola ka DKA (`Diabetic Ketoacidosis`). Inā loaʻa i kāu keiki kekahi o nā hōʻailona DKA i luna, e lawe koke iā lākou i ka Emergency Department (ETU) o ka haukapila kokoke loa.
Pehea lā e hiki ai i ke kauka ke hōʻoia i kēia?
Ke lawe ʻoe i kāu keiki i ke kauka, e hana lākou i kekahi mau hoʻāʻo koko maʻalahi e hōʻoia i ka maʻi diabetes.
- Hoʻāʻo Glucose Koko: Ana ʻia nā pae kō koko i ka wā e hoʻokē ʻai ai a i ʻole i kēlā me kēia manawa (random).
- Hoʻāʻo A1c: Hiki i kēia hoʻāʻo ke hoʻoholo i ka awelika o ke kō koko o ke keiki i nā mahina ʻekolu i hala.
- Hoʻāʻo Antibody: Ke hōʻoia ʻia ka maʻi, hoʻāʻo ʻia ke koko no ke alo o nā antibodies ('autoantibodies') e kūʻē i nā cell hana insulin e hōʻoia inā he maʻi diabetes Type 1 ia.
- Pae C-peptide: Kōkua kēia hoʻāʻo e hoʻoholo i ka nui o ka insulin e hana nei ke kino. I ka maʻi diabetes Type 1, haʻahaʻa loa kēia pae.
Pehea e mālama ʻia ai? - Pehea e mālama ai i kēia
ʻAʻole hiki ke ho'ōla ʻia ka maʻi diabetes ʻano 1. Akā me ka mālama pono ʻana, hiki i kāu keiki ke ola i kahi ola olakino a ikaika hoʻi. E kuhikuhi pinepine kāu kauka i kāu keiki i kahi kauka loea i ka maʻi diabetes (he endocrinologist pediatric). ʻEkolu mau ʻāpana nui o ka mālama ʻana.
1. E nānā mau i nā pae kō koko (Ka nānā ʻana i ke kō koko)
Pono e nānā ʻia ke kiʻekiʻe o ke kō koko o ke keiki i nā manawa he nui i ka lā me ka hoʻohana ʻana i ka glucometer. Hiki i nā mea hana hou, i kapa ʻia ʻo Continuous Glucose Monitoring (CGM), ke nānā mau i nā pae kō ma o kahi sensor liʻiliʻi i kau ʻia ma lalo o ka ʻili.
2. Nā inikini insulin
ʻO kēia ka ʻāpana koʻikoʻi loa o ka hoʻokele ʻana. Pono kāu keiki e hoʻokomo i ka insulin i kēlā me kēia lā, i nā manawa he nui i ka lā. I kekahi manawa hiki ke hoʻohana ʻia kahi pamu insulin. ʻOkoʻa ka nui o ka insulin e hāʻawi ʻia ma muli o ka mea a kāu keiki e ʻai ai, ka nui o ka hoʻoikaika kino a lākou e hana ai, a me ka manawa o ka lā. E wehewehe kāu kauka i kēia iā ʻoe.
3. Ka helu ʻana i nā kalapona a me ka ʻai
Pono ʻoe e aʻo e helu i ka nui o nā kalapona i ka ʻai a kāu keiki a hoʻoholo i ka nui o ka insulin e like me ia. He mea nui loa ia e ʻimi i ke kōkua o kahi kauka meaʻai no kēia. ʻO ke kiko ma ʻaneʻi ka hāʻawi ʻana i kahi ʻai kaulike a olakino.
Pehea e hiki ai iā mākou ke kōkua i kahi keiki me ka maʻi diabetes?
He pilikia kēia no nā mākua a me ke keiki. Akā, ʻo kāu kākoʻo a me kou ʻano maikaʻi he ikaika nui ia no ke keiki.
- E noho maikaʻi: ʻO ka hapa nui o ka poʻe me ka maʻi diabetes Type 1 e ola ikaika a olakino hoʻi, no laila mai makaʻu.
- Mai hoʻāhewa i kāu keiki: I kekahi manawa, ʻoiai inā hana ʻoe i nā mea āpau i kūpono, hiki i kou pae kō koko ke piʻi a iho. Ma kahi o ka hoʻohewa ʻana i kāu keiki, e kālele i ka mea e pono ai ke hana i kēlā manawa.
- E hoʻolilo i kāu keiki i kūʻokoʻa: E aʻo mālie i kāu keiki e hoʻokele i ko lākou kūlana. E hoʻomaʻamaʻa i ka nānā ʻana i ko lākou pae kō koko a me ka helu ʻana i ka insulin ma o lākou iho.
- E hoʻomaopopo i nā poʻe ʻē aʻe: E hoʻomaopopo i ka ʻohana o ke keiki, nā kumu, a me nā hoaaloha e pili ana i ke kūlana. E wehewehe iā lākou i ka mea e hana ai i ka wā pilikia.
- E mākaukau no nā pilikia: He pilikia ka pae kō koko haʻahaʻa loa (hypoglycemia). E mālama i kahi mea e like me ka inikini glucagon e hāʻawi ai inā he pilikia. E nīnau i kāu kauka e pili ana i ia mea.
Leka Lawe-Home
- ʻAʻole ka maʻi diabetes ʻano 1 kahi mea i hoʻokumu ʻia e ka hewa o ke keiki. He maʻi autoimmune ia i hoʻokumu ʻia e kahi hana hewa o ka ʻōnaehana pale o ke kino.
- He maʻi kēia no ke ola holoʻokoʻa, akā hiki ke mālama maikaʻi ʻia me ka mālama ʻana i ka insulin, ka ʻai kūpono, a me ka nānā ʻana i nā pae kō koko.
- Inā hōʻike kāu keiki i nā hōʻailona e like me ka make wai nui, ka mimi pinepine, a i ʻole ka pohō kaumaha ʻoiai ʻo ka ʻai maikaʻi ʻana, e ʻike koke i ke kauka.
- ʻO ka hanu hua, ka luaʻi ʻana, ka ʻōpū ʻeha, a me ka hiamoe nui (nā hōʻailona DKA)He pilikia e pono ai ke lawe koke ʻia i ka haukapila.
- Me ke kākoʻo kūpono a me ka hoʻonaʻauao ʻana, hiki i kahi keiki me ka maʻi diabetes Type 1 ke ola i kahi ola hauʻoli loa, olakino, a holomua hoʻi.
💬 Comments (0)
ʻAʻohe manaʻo i kau ʻia. Hoʻohui i kāu manaʻo ma ʻaneʻi no ka manawa mua.
Hoʻohui i kāu manaʻo