He aha ka Maʻi Kānā Type 1 i nā Keiki? Nā Hōʻailona, Nā Kumu, a me ka Lapaʻau

ʻO ka maʻi kānā type 1 i nā keiki kahi kūlana kahi e hoʻōki ai ka pancreas i ka hana ʻana i ka insulin, kahi hormone e kōkua ana i ke kino e hoʻohana i ke kō no ka ikehu. Hana kēia ke hoʻouka a luku aku ka ʻōnaehana pale kino i nā cell e hana ana i ka insulin. ʻAʻole like me ka maʻi kānā type 2, kahi e ulu mālie ai, ulu koke ka maʻi kānā type 1 a pono i ka mālama ʻana o ke kauka a me ka lapaʻau insulin mau loa.

He aha ka Maʻi Kānā Type 1?

ʻO ka maʻi kānā type 1 kahi kūlana autoimmune e pili ana i ke ʻano o ka hoʻoponopono ʻana o ke kino o kāu keiki i ke kō koko (glucose). Loaʻa i ka pancreas, kahi ʻōpū liʻiliʻi ma hope o ka ʻōpū, nā cell kūikawā i kapa ʻia ʻo nā beta cell e hana mau ana i ka insulin. I ka maʻi kānā type 1, kuhi hewa ka ʻōnaehana pale kino o kāu keiki i kēia mau beta cell he poʻe komo malihini a luku aku iā lākou.

Me ka ʻole o ka insulin, ʻaʻole hiki i ka glucose ke komo i nā cell o kāu keiki e hāʻawi i ka ikehu. Ma kahi o ia mea, piʻi ka kō i loko o ke kahe koko, e alakaʻi ana i nā kiʻekiʻe o ke kō koko. Ua kapa ʻia kēia kūlana i ka maʻi kānā ʻōpiopio no ka mea pinepine ia e ulu ana i ka wā kamaliʻi, ʻoiai hiki ke loaʻa i kēlā me kēia makahiki.

ʻO ka maʻi kānā type 1 ka mea ʻokoʻa mai ka maʻi kānā type 2, kahi i ʻoi aku ka nui i nā mākua a pili i ka pale ʻana i ka insulin ma mua o ka nele piha i ka insulin. Pono nā keiki me ka maʻi kānā type 1 i nā inikini insulin a i ʻole kahi pump insulin no ke koena o ko lākou ola e ola ai.

He aha nā Hōʻailona o ka Maʻi Kānā Type 1?

ʻO nā hōʻailona o ka maʻi kānā type 1 i nā keiki pinepine e ulu koke ana, i kekahi manawa ma nā lā a i ʻole nā pule wale nō. Ma ke ʻano he mākua, hiki i ka ʻike ʻana i kēia mau hōʻailona mua ke kōkua iā ʻoe e loaʻa i kāu keiki ka mālama olakino e pono ai i ka wā koke.

Eia nā hōʻailona maʻamau e nānā ai:

• Makewai nui a me ka mimi pinepine: Hiki i kāu keiki ke inu i ka nui o ka wai a pono e mimi pinepine, me ka hoʻomake wai ʻana i ka moena ma hope o ka hoʻomaʻamaʻa ʻana i ka potty
• Pōloli nui: ʻOiai ke ʻai mau ana a ʻoi aku paha ma mua o ka maʻamau, hiki i kāu keiki ke manaʻo mau i ka pōloli
• Kaumaha nalowale wehe ʻole: Hiki i kāu keiki ke nalowale i ka kaumaha wikiwiki, ʻoiai ke ʻai maikaʻi nei, ʻoiai ʻaʻole hiki i ko lākou kino ke hoʻohana i ka glucose no ka ikehu
• Luhi a nāwaliwali: Hiki i kāu keiki ke manaʻo luhi, palaualelo, a i ʻole nele i ko lākou mau pae ikehu maʻamau
• ʻIke ʻike ʻole: Hiki i ke kō koko kiʻekiʻe ke hoʻopuka i nā loli manawa i ka ʻike, e hana ana i nā mea e ʻike ʻole a maopopo ʻole
• ʻAla ʻala hua: Hiki i kahi ʻala ʻono, hua ma ka hanu o kāu keiki ke hōʻike i kahi pilikia nui i kapa ʻia ʻo ka diabetic ketoacidosis
• Nausea a me ka luaʻi: Hiki i kāu keiki ke manaʻo maʻi i ko lākou ʻōpū a luaʻi paha, ʻoi aku inā e ulu ana ka ketoacidosis

Hiki i kekahi mau keiki ke loaʻa pū nā loli i ke ʻano, e lilo ana i mea huhū a paʻakikī paha ke kūkākūkā. Hana ʻia kēia mau hōʻailona no ka mea ʻaʻole e loaʻa i ko lākou lolo a me ke kino ka ikehu e pono ai mai ka glucose.

He aha nā Kumu o ka Maʻi Kānā Type 1?

E ulu ana ka maʻi kānā type 1 ke hana hewa nui ka ʻōnaehana pale kino o kāu keiki. Ma kahi o ka pale ʻana i ke kino mai nā mea komo ʻino e like me nā mea hoʻomaʻi a me nā bacteria, huli ia i ka pancreas a luku i nā beta cell e hana ana i ka insulin.

Manaʻo nā kānaka ʻepekema he nui nā mea e hana pū ana e hoʻoulu i kēia pane autoimmune:

• Hoʻonāukiuki genetic: Hana kekahi mau gene i kekahi mau keiki i ʻoi aku ka maʻalahi i ka ulu ʻana o ka maʻi kānā type 1, ʻoiai ʻaʻole hōʻoia ka loaʻa ʻana o kēia mau gene e ulu ana ke kūlana.
• Nā mea hoʻouluulu kaiapuni: Hiki i nā maʻi viral, ʻoi aku hoʻi nā enteroviruses a me nā coxsackievirus, ke hoʻoulu i ke kaʻina autoimmune i nā keiki genetic susceptible.
• Nā kumu geographical: ʻOi aku ka nui o ke kūlana i kekahi mau wahi, e hōʻike ana i nā kumu kaiapuni e like me ke aniau, ka ʻai, a i ʻole ka hōʻike ʻana i nā pathogens kikoʻī paha e pāʻani ana i kahi kuleana.
• Nā hiʻohiʻona kau: Hoʻomaka nā helu ʻike ma ka hāʻule a me nā malama hoʻoilo, e kākoʻo ana i ka manaʻo e hiki i nā maʻi viral ke hoʻoulu i ke kūlana.

He mea nui e hoʻomaopopo ʻaʻole i hana ʻia ka maʻi kānā type 1 ma muli o ka ʻai nui ʻana i ke kō, ke kaumaha, a i ʻole kekahi hana a kāu keiki a i ʻole ʻohana paha i hana ai. He kūlana autoimmune kēia e ulu ana ma o ka hewa ʻole o kekahi mea i komo.

ʻOiai ke hoʻonui iki nei ka loaʻa ʻana o kahi lālā ʻohana me ka maʻi kānā type 1 i ka pilikia, ʻaʻohe mōʻaukala ʻohana o ia mea i ka hapanui o nā keiki e ulu ana i ke kūlana. He mea paʻakikī ka ʻāpana genetic, e komo ana i nā gene he nui e hāʻawi ana i kahi liʻiliʻi i ka pilikia holoʻokoʻa.

I ka wā e ʻike ai i ke Kauka no ka Maʻi Kānā Type 1?

Pono ʻoe e hoʻokaʻaʻike koke i ke kauka o kāu keiki inā ʻike ʻoe i kekahi hui o nā hōʻailona maʻi kānā maʻamau. He mea nui ka ʻike mua a me ka mālama ʻana no ka pale ʻana i nā pilikia nui a me ke kōkua ʻana i kāu keiki e ʻoluʻolu koke.

E ʻimi i ka mālama olakino pilikia koke inā hōʻike kāu keiki i kēia mau hōʻailona hoʻomaopopo o ka diabetic ketoacidosis (DKA):

• Hanu ʻala hua
• Nausea a me ka luaʻi
• ʻEha ʻōpū
• Hanu wikiwiki, hohonu
• ʻIli ʻulaʻula, maloʻo
• Kuhihewa a paʻakikī paha ke moe

ʻO ka DKA kahi pilikia weliweli i ke ola e hiki ke ulu ke hoʻomaka ke kino e wāwahi i ka momona no ka ikehu ma mua o ka glucose. Hana kēia kaʻina i nā mea ʻino i kapa ʻia ʻo nā ketones e hana i ke koko acidic.

Mai kali e ʻike inā e hoʻomaikaʻi nā hōʻailona ma o lākou iho. Pinepine nā hōʻailona maʻi kānā type 1 e hoʻonui koke ana me ka ʻole o ka mālama ʻana, a hiki i ka hoʻokaʻulua ʻana i ka ʻike ke alakaʻi i nā pilikia nui a i ʻole ka coma.

He aha nā Pilikia no ka Maʻi Kānā Type 1?

Me ka mālama kūpono, hiki i nā keiki me ka maʻi kānā type 1 ke ola i nā ola piha, olakino. Eia naʻe, ke kōkua nei ka hoʻomaopopo ʻana i nā pilikia hiki ke kōkua iā ʻoe e ʻike i nā hōʻailona hoʻomaopopo a me ka hoʻoikaika ʻana i ke koʻikoʻi o ka mālama maikaʻi ʻana i ke kō koko.

ʻO nā pilikia pōkole e hiki ke ulu koke:

• Diabetic ketoacidosis (DKA): Kahi kūlana weliweli i ke ola kahi e hana ai ke kino i nā pae weliweli o nā ketones, e pono ai ka mālama pilikia koke.
• Kō koko haʻahaʻa nui (hypoglycemia): Hiki ke hoʻopuka i ka kuhihewa, nā hoʻouka ʻana, a i ʻole ka nalowale o ka ʻike inā ʻaʻole i mālama koke ʻia.
• Kō koko kiʻekiʻe (hyperglycemia): Hiki ke alakaʻi i ka maloʻo, ka luhi, a me ka hoʻonui ʻana i ka pilikia o nā maʻi.

ʻO nā pilikia lōʻihi pinepine e ulu ana ma hope o nā makahiki he nui o ka maʻi kānā, ʻoi aku inā ʻaʻole i mālama maikaʻi ʻia nā pae kō koko:

• Maʻi naʻau a me nā moku koko: Hiki i ke kō koko kiʻekiʻe ma ka manawa lōʻihi ke hōʻino i nā moku koko, e hoʻonui ana i ka pilikia o nā pilikia naʻau ma hope i ke ola.
• Hōʻino ʻana i nā puʻupaʻa (diabetic nephropathy): Hiki ke hōʻino ʻia ka ʻōnaehana kānana o nā puʻupaʻa e nā pae kō koko kiʻekiʻe mau.
• Nā pilikia maka (diabetic retinopathy): Hiki ke hōʻino ʻia nā moku koko i nā maka, e hiki ke hoʻopilikia i ka ʻike.
• Hōʻino ʻana i nā aʻalolo (diabetic neuropathy): Hiki i ke kō koko kiʻekiʻe ke hōʻino i nā aʻalolo, ʻoi aku hoʻi i nā lima a me nā wāwae.
• Nā maʻi ʻili a me nā ʻiʻo: Hiki i ke kō koko kiʻekiʻe ke hoʻemi i ka hiki o ke kino ke hakakā i nā maʻi.

ʻO ka lono maikaʻi, ʻo ka mālama ʻana i ke kō koko maikaʻi e hoʻemi nui ana i ka pilikia o kēia mau pilikia lōʻihi. Nui nā mākua i ulu i ka maʻi kānā type 1 i nā keiki e ola ana i nā ola ʻole pilikia mahalo i nā mea hana a me nā ʻenehana mālama maʻi kānā hou.

Pehea ka ʻIke ʻana o ka Maʻi Kānā Type 1?

ʻO ka ʻike ʻana i ka maʻi kānā type 1 pinepine e komo pū ana i nā hoʻokolohua koko e ana i nā pae kō koko a e ʻimi ana i nā mea hōʻailona kikoʻī o ke kūlana. E hoʻomaka paha ke kauka o kāu keiki me nā hoʻokolohua maʻalahi a kauoha paha i nā mea hou aku e hōʻoia i ka ʻike.

ʻO nā hoʻokolohua ʻike nui e komo pū ana:

• Hoʻokolohua kō koko kūpono ʻole: ʻO kahi pae kō koko o 200 mg/dL (11.1 mmol/L) a ʻoi aku paha, me nā hōʻailona, ​​e hōʻike ana i ka maʻi kānā.
• Hoʻokolohua kō koko wikiwiki: ʻO kahi pae o 126 mg/dL (7 mmol/L) a ʻoi aku paha ma hope o ka wikiwiki ʻana no ka liʻiliʻi o 8 mau hola e hōʻike ana i ka maʻi kānā.
• Hoʻokolohua Hemoglobin A1C: Hōʻike kēia hoʻokolohua i nā pae kō koko awelika ma luna o nā mahina 2-3 i hala; ʻo kahi pae o 6.5% a ʻoi aku paha e hōʻike ana i ka maʻi kānā.
• Nā hoʻokolohua autoantibody: E ʻimi kēia mau hoʻokolohua koko i nā antibodies e hoʻouka ana i nā cell e hana ana i ka insulin, e kōkua ana e hoʻokaʻawale i ka type 1 mai ka type 2 diabetes.
• Hoʻokolohua C-peptide: E ana kēia i ka nui o ka insulin e hana nei i ka pancreas o kāu keiki.

Hiki i ke kauka ke nānā pū no nā ketones i loko o ka mimi a i ʻole ke koko o kāu keiki, ʻoi aku inā kiʻekiʻe loa ko lākou kō koko. ʻO ke alo o nā ketones e hōʻike ana e wāwahi ana ke kino i ka momona no ka ikehu no ka mea ʻaʻole hiki ke hoʻohana pono i ka glucose.

I kekahi mau hihia, pono paha nā hoʻokolohua hou aku e kāpae i nā kūlana ʻē aʻe a i ʻole e loiloi no nā pilikia pili i ka maʻi kānā. Hiki i kēia ke komo pū i nā hoʻokolohua hana puʻupaʻa, nā pae cholesterol, a i ʻole nā hoʻokolohua hana thyroid.

He aha ka Lapaʻau no ka Maʻi Kānā Type 1?

Hoʻokumu ʻia ka mālama ʻana i ka maʻi kānā type 1 ma ka hoʻololi ʻana i ka insulin ʻaʻole hiki i ka pancreas o kāu keiki ke hana hou. Pono kēia i kahi ala hoʻoponopono piha e komo pū ana i ka lapaʻau insulin, ka nānā ʻana i ke kō koko, ka hoʻolālā ʻai, a me ka hana kino maʻamau.

ʻO nā ʻāpana nui o ka mālama ʻana e komo pū ana:

• Lapaʻau insulin: Pono kāu keiki i ka insulin i kēlā me kēia lā ma o nā inikini a i ʻole kahi pump insulin e hoʻomalu i nā pae kō koko.
• Nānā ʻana i ke kō koko: Ke kōkua nei ka nānā mau ʻana i nā pae glucose koko e alakaʻi i ka hoʻonui ʻana i ka insulin a me ka ʻike ʻana i nā ʻano.
• Helu ʻana i nā carbohydrate: Ke aʻo nei e hoʻohālikelike i nā nui insulin i ka nui o nā carbohydrates e ʻai ai kāu keiki.
• Hana kino maʻamau: Ke kōkua nei ka hoʻoikaika kino i ke kino e hoʻohana i ka insulin me ka maikaʻi a kākoʻo i ke olakino holoʻokoʻa.
• Nānā glucose mau (CGM): Kahi mea hana e hahai ana i nā pae kō koko i ka lā a me ka pō.

Loaʻa ka insulin i nā ʻano like ʻole e hana ana i nā wikiwiki a me nā lōʻihi like ʻole. Pono ka hapanui o nā keiki i ka insulin lōʻihi e hāʻawi i ka uhi kumu a me ka insulin wikiwiki e uhi i nā meaʻai a me nā meaʻai.

E hana pū kāu hui mālama maʻi kānā o kāu keiki me ʻoe e hoʻomohala i kahi hoʻolālā mālama pilikino. ʻO kēia hui pinepine e komo pū ana i ka endocrinologist (kānā loea), kumu aʻo maʻi kānā, mea ʻai, a i kekahi manawa he mea hana pilikanaka a i ʻole psychologist.

Ua hoʻomaikaʻi nā mea hana mālama maʻi kānā hou i ka mālama ʻana i ka maʻalahi a me ka maikaʻi ma mua o ka wā ma mua. Nui nā keiki e hoʻohana ana i nā pump insulin a i ʻole nā mea nānā glucose mau e hana maʻalahi a pololei ai ka mālama ʻana i ka maʻi kānā.

Pehea e Hāʻawi ai i ka Mālama Home i ka wā o ka Maʻi Kānā Type 1?

ʻO ka mālama ʻana i ka maʻi kānā type 1 o kāu keiki ma ka home e komo pū ana i ka hana ʻana i nā hana maʻamau a me ka aʻo ʻana i nā mākau e lilo i mea maʻamau ma hope o ka manawa. ʻOiai paha e manaʻo nui ia i ka hoʻomaka, hoʻololi maikaʻi ka hapanui o nā ʻohana a loaʻa nā ala maikaʻi e hoʻokomo i ka mālama maʻi kānā i ke ola o kēlā me kēia lā.

ʻO nā ʻāpana nui o ka mālama home e komo pū ana:

• Ke hoʻokumu nei i nā hana ʻai a me nā meaʻai: Ke kōkua nei ka manawa kūlike e wānana i nā pono insulin a mālama i nā pae kō koko paʻa.
• Ke aʻo nei e ʻike i nā hōʻailona kō koko haʻahaʻa: Pono nā hōʻailona e like me ka haʻalulu, ka hou, a i ʻole nā loli i ke ʻano i ka mālama koke ʻana me ka glucose wikiwiki.
• Ke mālama nei i nā lako pilikia: Pono e maʻalahi ke loaʻa nā papa glucose, nā pahu wai, a me nā mea hana pilikia glucagon.
• Ke mālama nei i nā moʻolelo kikoʻī: Ke kōkua nei ka hahai ʻana i nā kō koko, nā nui insulin, nā meaʻai, a me nā hana e ʻike i nā ʻano a hoʻomaikaʻi i ka mālama ʻana.
• Ke hoʻomākaukau nei no nā lā maʻi: Hiki i ka maʻi ke hoʻopilikia i ke kō koko i ka wānana ʻole, e pono ai ka nānā pinepine a me nā hoʻoponopono insulin.

He mea nui ka kamaʻilio ʻana me ke kula o kāu keiki no ka mālama maʻi kānā palekana i ka wā kula. Pono nā kahu kula a me nā kumu e hoʻomaopopo i nā pono o kāu keiki, me ka manawa ʻai, ka nānā ʻana i ke kō koko, a me nā kaʻina pilikia.

ʻO ka hana ʻana i kahi kaiapuni kākoʻo home e komo pū ana i ka ʻohana holoʻokoʻa i ka hoʻomaopopo ʻana i ka maʻi kānā. Pono nā kaikuaʻana a me nā lālā ʻohana ʻē aʻe e ʻike i nā ʻoiaʻiʻo kumu e pili ana i ke kūlana a pehea e kōkua ai i nā pilikia.

Pehea ʻoe e Hoʻomākaukau ai no kāu Hālāwai Kauka?

Ke hoʻomākaukau nei no nā hālāwai maʻi kānā o kāu keiki e kōkua i ka hōʻoia ʻana e loaʻa iā ʻoe ka waiwai nui loa mai kāu manawa me ka hui mālama olakino. Ke alakaʻi nei ka hoʻomākaukau maikaʻi i nā kūkākūkā hua a me nā hoʻoholo mālama maʻi kānā maikaʻi.

Ma mua o ka hālāwai, e hōʻiliʻili i ka ʻike ma lalo nei:

• Nā moʻolelo kō koko: E lawe mai i nā helu glucose koko hou, me nā lā, nā manawa, a me nā memo e pili ana i nā ʻano maʻamau.
• Nā moʻolelo insulin: E palapala i nā nui insulin, nā ʻano, a me ka manawa, me nā nui i nalowale a i ʻole nā hoʻoponopono āu i hana ai.
• Papa inoa o nā lāʻau lapaʻau i kēia manawa: E komo pū i nā lāʻau lapaʻau, nā lāʻau lapaʻau ma luna o ka counter, nā huaora, a me nā mea hoʻohui.
• Nā nīnau a me nā hopohopo: E kākau i nā nīnau kikoʻī e pili ana i ka mālama ʻana, nā pilikia kula, nā hana, a i ʻole nā pilikia āu i ʻike ai.
• Nā hanana hou: E hoʻomaopopo i nā maʻi, nā loli papa hana, a i ʻole nā kūlana maʻamau i hoʻopilikia i ka mālama ʻana i ke kō koko.

E hoʻomākaukau i kāu keiki no ka hālāwai ma ka wehewehe ʻana i ka mea e hana a paipai iā lākou e nīnau i kā lākou nīnau ponoʻī. I ka wā e ulu ai nā keiki, pono lākou e lawe i ka kuleana nui i ka kamaʻilio ʻana me kā lākou hui mālama olakino.

E noʻonoʻo e lawe mai i kahi puke e kākau i ka ʻike nui, nā ʻōlelo hou, a i ʻole nā pane i kāu mau nīnau. Hoʻokomo ka mālama ʻana i ka maʻi kānā i nā kikoʻī he nui, a he mea maʻalahi ke poina i nā kikoʻī nui i kūkākūkā ʻia i ka wā hālāwai.

He aha ka Mea Nui e pili ana i ka Maʻi Kānā Type 1?

ʻO ka maʻi kānā type 1 i nā keiki kahi kūlana koʻikoʻi akā hiki ke mālama ʻia e pono ai ka nānā a me ka mālama i kēlā me kēia lā. ʻOiai paha e manaʻo nui ka ʻike i ka hoʻomaka, hiki i nā keiki me ka maʻi kānā type 1 ke komo i nā hana kamaliʻi maʻamau a ulu a ola i nā ola piha, olakino.

ʻO ka mea nui loa e hoʻomanaʻo ai, ʻaʻole hewa o kekahi ka maʻi kānā type 1. He kūlana autoimmune ia e ulu ana ma o ka hui ʻana o nā kumu genetic a me nā kumu kaiapuni ma waho o ka mana o kekahi. Me ka mālama kūpono a me ke kākoʻo, hiki i kāu keiki ke ulu maikaʻi ʻoiai he maʻi kānā.

ʻO ka holomua i ka mālama ʻana i ka maʻi kānā type 1 e hele mai ana mai ka hana ʻana i nā maʻamau maikaʻi i kēlā me kēia lā, ka hana pili me kāu hui mālama olakino, a me ka mālama ʻana i ka manaʻo maikaʻi. Ke hoʻomau nei ka ʻenehana e hoʻomaikaʻi i nā koho mālama maʻi kānā, e hana maʻalahi ai ke kūlana ma mua o ka wā ma mua.

E hoʻomanaʻo ʻaʻole ʻoe wale nō i kēia huakaʻi. Loaʻa nā hui kākoʻo maʻi kānā, nā kaiāulu pūnaewele, a me nā hui mālama olakino e kōkua iā ʻoe a me kāu keiki e hoʻokele i nā pilikia a hoʻolauleʻa i nā holomua ma ke ala.

Nā Nīnau Pinepine e pili ana i ka Maʻi Kānā Type 1

Hiki ke pale ʻia ka maʻi kānā type 1?

I kēia manawa, ʻaʻohe ala i hōʻoia ʻia e pale aku ai i ka maʻi kānā type 1. Mai ka mea he kūlana autoimmune ia i hoʻoulu ʻia e ka hui ʻana o nā kumu genetic a me nā kumu kaiapuni, ʻaʻole pili nā ʻano pale ʻana e hana ana no ka maʻi kānā type 2 (e like me ka ʻai a me ka hoʻoikaika kino) i ka type 1. Ke noiʻi nei nā kānaka noiʻi i nā ʻano pale hiki, akā ʻaʻohe mea i loaʻa no ka hoʻohana ākea.

E hiki anei i kāu keiki me ka maʻi kānā type 1 ke pāʻani i nā haʻuki?

ʻAe! Hiki i nā keiki me ka maʻi kānā type 1 ke komo i nā haʻuki a me nā hana kino a pau me ka hoʻolālā kūpono a me ka mālama ʻana i ke kō koko. Nui nā mea pāʻani ʻoihana he maʻi kānā type 1. ʻO ke kī, ʻo ka aʻo ʻana pehea e hoʻopilikia ai ka hoʻoikaika kino i nā pae kō koko a hoʻoponopono i ka insulin a me ka ʻai e like me ia. Hiki i kāu hui mālama maʻi kānā ke kōkua i ka hoʻomohala ʻana i nā ʻano no ka komo ʻana i nā haʻuki palekana.

Pehea pinepine e pono ai kāu keiki ke nānā i ko lākou kō koko?

Pono ka hapanui o nā keiki me ka maʻi kānā type 1 e nānā i ko lākou kō koko ma ka liʻiliʻi o 4 mau manawa i ka lā: ma mua o kēlā me kēia meaʻai a i ka wā moe. Pono paha nā nānā hou aku ma mua a ma hope o ka hoʻoikaika kino, ke manaʻo maʻi, a i ʻike ʻia nā hōʻailona o ke kō koko kiʻekiʻe a haʻahaʻa paha. Hiki i nā mea nānā glucose mau ke hoʻemi i ka nui o nā hoʻokolohua manamana lima e pono ai ʻoiai e hāʻawi ana i ka ʻike kō koko ākea.

Hiki i kāu keiki ke ʻai i ke kō a me nā mea ʻono me ka maʻi kānā type 1?

ʻAe, hiki i nā keiki me ka maʻi kānā type 1 ke ʻai i nā mea ʻono a me nā mea ʻono ma ke ʻano he ʻāpana o ka ʻai kaulike. ʻO ke kī, ʻo ka aʻo ʻana e helu i nā carbohydrates a hāʻawi i nā nui insulin kūpono e uhi i nā meaʻai a pau, me nā mea ʻono. ʻAʻohe meaʻai i pani ʻia loa, akā he mea nui ka hoʻohaʻahaʻa a me ka mālama insulin kūpono no ka mālama ʻana i ke kō koko maikaʻi.

He aha kāu e hana ai inā haʻahaʻa loa ke kō koko o kāu keiki?

No ke kō koko haʻahaʻa māmā (ma lalo o 70 mg/dL), e hāʻawi i kāu keiki i 15 grams o nā carbohydrates wikiwiki e like me nā papa glucose, wai, a i ʻole soda maʻamau. E kali i 15 mau minuke, a laila e nānā hou i ke kō koko. Inā haʻahaʻa mau ia, e hana hou i ka mālama ʻana. I ka wā e hoʻomaʻamaʻa ai ke kō koko, e hāʻawi i kahi meaʻai me ka protein a me nā carbohydrates. No ke kō koko haʻahaʻa nui kahi i ʻike ʻole ai kāu keiki a i ʻole nā hoʻouka ʻana, e hoʻohana i ka lāʻau pilikia glucagon a kāhea koke i ka 911.