Shuga shoma yeropa - vacheche vachangozvarwa

Iyo yakaderera shuga yeropa muvacheche vachangozvarwa inonziwo neonatal hypoglycemia. Inoreva shuga shoma yeropa (glucose) mumazuva mashoma ekutanga mushure mekuberekwa.

Vacheche vanoda shuga yeropa (glucose) yesimba. Yakawanda yeglucose inoshandiswa nehuropi.

Mwana anowana glucose kubva kuna amai kuburikidza nepaclacenta asati aberekwa. Mushure mekuzvarwa, mwana anowana glucose kubva kuna amai kuburikidza nemukaka wake, kana kubva mufomula. Mwana anogona zvakare kuburitsa imwe glucose muchiropa.

Glucose level inogona kudonha kana:

• Mune insulini yakawandisa muropa. Insulin ihormone inodhonza glucose kubva muropa.
• Mwana haagone kuburitsa glucose inokwana.
• Muviri wemwana uri kushandisa glucose yakawanda kupfuura iri kugadzirwa.
• Mucheche haakwanise kutora glucose yakakwana nekupa chikafu.

Neonatal hypoglycemia inoitika kana huwandu hweglucose hwemwana achangozvarwa hukonzera zviratidzo kana iri pazasi pehurefu hunofungidzirwa hwakachengeteka kune zera remwana. Inoitika mune ingangoita 1 kusvika ku3 kubva pavanhu 1000 vanoberekwa.

Chikamu cheshuga chepasi cheropa chinowanzoitika mune vacheche vane chimwe kana zvimwe zvezvinhu izvi zvine njodzi.

• Akazvarwa mangwanani, ane hutachiona hwakakomba, kana inodiwa okisijeni achangoberekwa
• Amai vane chirwere cheshuga (ava vacheche vanowanzo kuve vakuru pane zvakajairwa)
• Inononoka kupfuura kutarisirwa kukura mudumbu panguva yekuzvitakura
• Diki kana hombe muhukuru kupfuura zvaitarisirwa zvezera ravo rekubata

Vacheche vane shuga shoma yeropa vanogona kunge vasina zviratidzo. Kana mwana wako aine imwe yenjodzi inokonzera shuga yakaderera muropa, vanamukoti muchipatara vanoongorora huwandu hweshuga yeropa remwana wako, kunyangwe kana pasina zviratidzo.

Zvakare, huwandu hweshuga yeropa hunowanzo kuongororwa vana vane zviratidzo izvi:

• Bhuruu-ruvara kana ganda rakachenuruka
• Zvinetso zvekufema, sekumbomira kufema (kufema), kufema nekukurumidza, kana kurira kwekugunun'una
• Kushatirwa kana kusagadzikana
• Misungo yakasununguka kana yefloppy
• Kudya zvisina tsarukano kana kurutsa
• Matambudziko ekuchengetedza muviri kudziya
• Kudedera, kuzununguka, kudikitira, kana kugwinha

Vacheche vari panjodzi ye hypoglycemia vanofanirwa kuve neropa rekuyera kuyera huwandu hweshuga yeropa kazhinji mushure mekuberekwa. Izvi zvichaitwa uchishandisa chitsitsinho tsvimbo. Anopa hutano anofanira kuramba achitora kuongororwa kweropa kusvikira glucose yemwana irambe yakajairika kwemaawa anenge gumi nemaviri kusvika makumi maviri nemana.

Mimwe bvunzo dzinogona kuitika dzinosanganisira kuongororwa kwevana vachangoberekwa kumatambudziko emagetsi, senge reropa uye weti bvunzo.

Vacheche vane shuga yakaderera muropa vachada kugamuchira kumwe kudyisa nemukaka waamai kana fomula. Vacheche vanoyamwiswa vangangoda kupihwa imwe fomula kana amai vasingakwanise kuburitsa mukaka wakakwana. (Kutaura nemaoko uye kukwiza muviri kunogona kubatsira vanamai kuratidza mukaka wakawanda.) Dzimwe nguva jeli yeshuga inogona kupihwa nemuromo kwenguva pfupi kana mukaka usina kukwana.

Mucheche angangoda mhinduro yeshuga inopihwa kuburikidza netsinga (intravenously) kana isingakwanise kudya nemuromo, kana kana huwandu hweshuga yeropa hwakanyanya.

Kurapa kunoenderera mberi kudzamara mucheche agona kuchengetedza huwandu hweshuga yeropa. Izvi zvinogona kutora maawa kana mazuva. Vacheche vakazvarwa nekukurumidza, vane hutachiona, kana vakazvarwa pahuremu hushoma vangangoda kurapwa kwenguva yakareba.

Kana shuga yakaderera muropa ikaenderera, mune zvisingawanzoitika zviitiko, mwana anogona zvakare kuwana mushonga wekuwedzera huwandu hweshuga yeropa. Muzviitiko zvisingawanzoitika, vana vachangozvarwa vane hypoglycemia yakaoma kwazvo iyo isingavandudze nemushonga ingangoda kuvhiyiwa kubvisa chikamu chepancreas (kudzora kugadzirwa kwe insulin).

Maonero acho akanaka kune vacheche vasina zviratidzo, kana vanopindura zvakanaka pakurapwa. Zvisinei, shuga yakaderera muropa inogona kudzoka muvashoma vacheche mushure mekurapwa.

Mamiriro acho ari mukana wekudzoka kana vacheche vabviswa zvinwiwa zvinopihwa kuburikidza netsinga vasati vagadzirira zvizere kudya nemuromo.

Vacheche vane zviratidzo zvakanyanya zvakanyanya vanowanzo kuve nematambudziko ekudzidza. Izvi zvinowanzoitika kune vacheche vari pazasi-kupfuura-paavhareji uremu kana amai avo vane chirwere cheshuga.

Hwakasimba kana hwakaramba hwakadzika huwandu hweshuga yeropa hunogona kukanganisa mashandiro epfungwa emwana. Muzviitiko zvisingawanzoitika, kutadza kwemoyo kana kubatika kunogona kuitika. Nekudaro, matambudziko aya anogona kunge achikonzerwa nechakakonzera shuga yeropa yakaderera, kwete mhedzisiro yeshuga yeropa pachayo.

Kana iwe uine chirwere cheshuga panguva yepamuviri, shanda pamwe nemupi wako kudzora huwandu hweshuga yeropa rako. Iva nechokwadi chekuti shuga yemwana wako achangozvarwa inotariswa mushure mekuzvarwa.

Neonatal hypoglycemia

Davis SN, Lamos EM, Younk LM. Hypoglycemia uye hypoglycemic syndromes. Muna: Jameson JL, De Groot LJ, de Kretser DM, et al, eds. Endocrinology: Vakuru uye Chiremba. 7th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 47.

Garg M, Devaskar SU. Kukanganisika kwehydrohydrate metabolism mune neonate. Mune: Martin RM, Fanaroff AA, Walsh MC, eds. Fanaroff naMartin's Neonatal-Perinatal Mushonga. 11th ed. Philadelphia, PA: Elsevier Saunders; 2020: chits. 86.

Sperling MA. Hypoglycemia. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chits. 111.