Okokuqala, sincoma ukuthi ufunde isihloko esikhulu, esithi, “Izimpawu Zesifo Sikashukela.” Futhi lapha uzofunda ngokuningana ngokuthi yiziphi izimpawu zesifo sikashukela ezingasolwa enganeni. Izimpawu zesifo sikashukela ezinganeni zivame ukuba nephutha ekuqaleni kokubonakaliswa kwezinye izifo. Ngenxa yalokhu, kuyaqabukela ukuthola ukuthi ingane inesifo sikashukela empeleni.
Emsebenzini odokotela bezingane, isifo sikashukela siyivelakancane kakhulu. Ngakho-ke, kusolwa ekujikeni kokugcina njengembangela yezimpawu ezithile enganeni.
Imvamisa, ukwelashwa kuqala sekwephuzile, ngakhoke ushukela wegazi ophakeme ukwazile ukubanga izimpawu zokuwohloka, kuze kufinyelele ku-coma yesifo sikashukela. Futhi kuphela emva kwalokho, abazali nodokotela baqagela ukuthi kwenzekani. Ngemuva kokufunda i-athikili yethu, "uzoqapha" ngezimpawu zesifo sikashukela ezinganeni. Sizobuye sixoxe ngokuthi bashintsha kanjani kuya ngeminyaka ingane eqala ngayo isifo.
Izingane nentsha, ingxenye enkulu, iba nesifo sikashukela sohlobo 1. Yize eminyakeni yamuva nje, isifo sikashukela sohlobo 2 sesibe “mncane” kakhulu, futhi manje senzeka nasezinganeni ezikhuluphele ezingaphezu kweminyaka eyi-10.
Uyacelwa uqaphele uma ingane inezimpawu ezilandelayo:
- ukoma okukhulu (lokhu kubizwa ngokuthi yi-polydipsia);
- ukuwohloka komchamo kwavela, yize kwakungekho lapho ngaphambili;
- ingane ilahlekelwa isisindo ngokweqile
- ukuhlanza
- ukungaphatheki kahle, ukwehla kokusebenza kwesikole;
- ukutheleleka kwesikhumba kuvame ukuphindwa - amathumba, ibhali, njll;
- emantombazaneni ngesikhathi sokuthomba - i-candidiasis sowesifazane sangasese.
Izimpawu ezimbi zesifo sikashukela ezinganeni
Izimpawu ezinamandla (ezinobunzima) zesifo sikashukela ezinganeni zidinga ukunakekelwa ngokushesha kwezokwelapha. Uhlu lwabo lubandakanya:
- ukuhlanza njalo
- ukopha kakhulu, futhi ingane iyaqhubeka nokuba nesifo sikashukela;
- Ukwehla kwesisindo esinamandla ngenxa yokuphelelwa ngamanzi emzimbeni, ukulahleka kwamaseli wamafutha nomsipha womzimba;
- ingane inokuphefumula okungajwayelekile - Ukuphefumula kukaKussmaul - kuyafana, kuyaqabukela, kunomoya omkhulu onomsindo nokuphefumula okuthuthukile;
- emoyeni ophelile - iphunga le-acetone;
- ukuphazamiseka kokungazi: i-lethargy, ukudideka esikhaleni, okuvame kakhulu - ukulahlekelwa ukwazi ngenxa yethonya;
- isimo sokushaqeka: ukushaya ngamandla, izinyawo eziluhlaza okotshani.
Kuyiqiniso, kungaba yinto efiselekayo ukuthola isifo sikashukela enganeni ngesikhathi, ukuze ngosizo lwezokwelapha ukuvimbela ukuqala kwezimpawu ezinzima. Kepha lokhu akuvamile ukwenzeka. Odokotela bavame ukuqala ukusola isifo sikashukela ebuntwaneni lapho isiguli sesivele sikhiqize i-ketoacidosis (iphunga le-acetone emoyeni ophelile), ukuphuma komzimba kakhulu, noma ngisho nalapho ingane iba nesifo sikashukela.
Izimpawu zesifo sikashukela ezinsaneni
Ishukela ezinganeni zonyaka wokuqala wokuphila akuvamile, kodwa kwenzeka kwesinye isikhathi. Inkinga yokuxilonga ukuthi usana alukakwazi ukukhuluma. Ngakho-ke, akakwazi ukukhononda ngokoma nempilo yakhe engeyinhle. Uma ingane isise-diaper, khona-ke abazali ngeke babone ukuthi waqala ngokuchama umchamo omningi kakhulu.
Izimpawu zesifo sikashukela ezinganeni ezincane kunazo zonke:
- ingane ayitholi isisindo, yize inesifiso esihle sokudla, i-dystrophy ikhula kancane kancane kuye;
- iziphatha kabi, ikhombisa ukwehlisa umoya ngemuva kokuphuza kuphela;
- ukuqubuka njalo kwe-diaper, ikakhulukazi endaweni yangaphandle yofuzo, futhi ayelapheki;
- ngemuva kokuba umchamo usuwomile, isinaphi siba yindlala;
- uma umchamo ungena phansi, kunezindawo ezinamathelayo;
- Izimpawu ezinkulu zesifo sikashukela ezinsaneni: ukugabha, ukudakwa, ukomisa kakhulu.
Isifo sikashukela sibonakaliswa kanjani ezasenkulisa nasezikoleni zamabanga aphansi
Izingane ezincane zinezimpawu “ezijwayelekile” nezizimbi kakhulu zesifo sikashukela, esizibalile ngenhla. Abazali nodokotela banobunzima bokubona isifo sikashukela enganeni ngesikhathi esifanele. Ngoba ukubonakaliswa kwalesi sifo “kufihliwe” njengezimpawu zezinye izifo.
Ezigulini zeqembu elincane leminyaka, isifo sikashukela sivame ukuba nzima, singazinzi. Kungani lokhu kwenzeka nokuthi ungenza kanjani ngendlela efanele kubazali - funda i-athikili yethu eyinhloko "Isifo sikashukela ezinganeni." Ingane enesifo sikashukela imvama ingaba ne-hypoglycemia. Ngakho-ke, lapha sinikeza uhlu lwezimpawu ze-hypoglycemia ezinganeni:
- ingane iziphatha kabi, iye ingalawuleki;
- noma okuphambene nalokho, uba yingozi ngokubulala, alale phakathi nosuku ngesikhathi esingajwayelekile;
- yenqaba ukudla, ngenkathi izama ukondla okumnandi - ukuhlanza.
Ukondla izingane ngamaswidi ngokushesha kuyadingeka kuphela uma ene-hypoglycemia yangempela, hhayi “ukuqhuma ngokomzwelo”. Ngakho-ke, kuyo yonke i-hypoglycemia esolwayo, ushukela wegazi kufanele ulinganiswe kusetshenziswa i-glucometer. Ngasikhathi sinye, i-hypoglycemia enzima ingaholela ekulimaleni kwengqondo nokungakhubazeki.
Ngabe zikhona yini izimpawu ezikhethekile zesifo sikashukela entsheni?
Izimpawu zesifo sikashukela ebusheni nakwabadala cishe ziyefana. Zibhalwe ngokuningiliziwe esihlokweni esithi “Izimpawu zesifo sikashukela. Izimpawu zokuqala zesifo sikashukela kubantu abadala. ” Ngasikhathi sinye, isithombe somtholampilo sikashukela ezinganeni zeqembu labantu asebekhulile sinama-nuances aso.
Uma isifo sikashukela siqala enganeni sisakhula, khona-ke kuvame ukukhula ngokushelela ukwedlula ezinganeni ezincane. Isikhathi sokuqala kwesifo sikashukela eshumini nambili singathwala izinyanga eziyi-6 noma ngaphezulu. Izimpawu zesifo sikashukela sokuthomba kulezi zinyanga zivame ukuba nephutha lokubonakaliswa kokutheleleka kwe-neurosis noma ukuvilapha. Okwamanje, iziguli zikhononda ngalokhu:
- ukukhathala;
- ubuthakathaka
- ikhanda
- ukungahambi kahle;
- uyeke ukusebenza kwesikole.
Futhi, izinyanga ezimbalwa ngaphambi kokuqala kwesifo sikashukela kungaba yi-hypoglycemia eyinqaba. Akuhambisani nokulahlekelwa ukwazi noma ukwehluleka, kepha osemusha unesifiso esinamandla sokudla amaswidi. Kuphakanyiswa ukuthi lama glycemia azenzakalelayo avela esikhathini sokuqala kwesifo sikashukela sokuthomba, lapho amasosha omzimba ehlasela amaseli we-pancreatic beta.
Kuze kube kuvela izimpawu zesifo sikashukela, osemusha angaba nezifo zesikhumba eziphikelelayo, ibhali kanye ne-furunculosis. Uma i-ketoacidosis iba ngokushesha, khona-ke kubuhlungu besisu, isicanucanu, nokuhlanza kungenzeka. Lokhu kuvame ukubukwa njengezimpawu zokuqina kwesibindi noma ukuvinjwa kwamathumbu, futhi ingane isetafuleni lodokotela ohlinzayo.
Ngesikhathi sokuthomba, intsha ingaba nezimpawu ezinzima zesifo sikashukela ikakhulukazi. Ngoba izinguquko ze-hormonal emzimbeni kule minyaka zinciphisa ukuzwela kwezicubu zibe yi-insulin, i.e., ukumelana ne-insulin kukhula. Ngaphezu kwalokho, intsha ivame ukuphazamisa ukudla kwayo, ukuzivocavoca kanye nemijovo ye-insulin.
Izimpawu zohlobo 2 sikashukela ezinganeni
Kusukela ekuqaleni kwekhulu lama-21, isifo sikashukela sohlobo 2 sesibe “mncane” kakhulu. E-United States, kuye kwavela amacala ngalesi sifo ngisho nasezinganeni ezineminyaka eyi-10. Iqembu lengcuphe lifaka izingane nentsha eye yazwakalisa izimpawu ze-metabolic syndrome:
- ukukhuluphala kohlobo lwesisu;
- i-arterial hypertension;
- amazinga aphezulu e-triglycerides ne "cholesterol" emibi egazini;
- ukukhuluphala kwesibindi (okunamafutha angenawo utshwala) i-hepatosis).
Isifo sikashukela sohlobo 2 ngokuvamile siqala eminyakeni yobusha phakathi kokuthomba. Le nkathi ingahlala kubafana kusuka eminyakeni eyi-12 kuye kweyi-18, emantombazaneni - kusuka kwengu-10 kuye kwengu-17. Iningi labantu abanesifo sikashukela sohlobo 2 besebancane bane okungenani isihlobo esisodwa esiseduze esinenkinga efanayo, noma ngisho nabambalwa.
Azikho ngaphezu kwe-20% zentsha ezinesifo sikashukela sohlobo 2 ezikhononda ngezimpawu ezinzima: ukoma, ukuchama kaningi, ukunciphisa umzimba. Iningi leziguli ezisencane ezinale nkinga linezinkinga eziningi zezempilo, kepha zonke "zivamile":
- izifo ezingalapheki ezinzima;
- ukukhuluphala
- ukuchama kobunzima (dysuria);
- ukungasebenzi komchamo (i-enuresis).
Isifo sikashukela sohlobo 2 kubantu abasha sivame ukutholakala kakhulu lapho kuhlolwa odokotela, ngenxa yokuhlolwa kwegazi noma komchamo ushukela. Futhi Thayipha isifo sikashukela ebuntwaneni kuyaqabukela kutholakale ezimweni ezinjalo. Ngoba kuvame ukudala izimpawu ezinzima ukuthi abazali nodokotela bazinaka.
Ngakho-ke, ufunde ngokuningiliziwe yiziphi izimpawu zesifo sikashukela ezinganeni. Kubalulekile ukukhumbula lolu lwazi kodokotela, kepha nakubazali. Kungakusiza futhi ukuthi ufunde esihlokweni sethu esikhulu esithi “Isifo Sikashukela ezinganeni” isigaba esithi “Ungathola kanjani ukuthi uluhlobo luni lwesifo sikashukela ingane onaso”. Khumbula ukuthi isifo sikashukela siyivelakancane kakhulu ekusebenzeni kodokotela bezingane. Ngakho-ke, bayasola njengembangela yezimpawu ezithile enganeni ekugcineni.
