Maitiro ekubata husiku husiku hwevana vane chirwere cheshuga

Dzidzo yehutano

Apo mwanasikana wake ane makore mapfumbamwe Addison akauya kumba achibva kumutambo wake wekutanga wekutsumwaira, akafara kwazvo, anotsanangura Sarah Paul, weGermantown, Wisconsin. Akazosvika pakuva neshamwari dzake pamba peumwe munhu. Aiziva kuti yaive nhanho hombe.

Addison akararama nemhando 1 chirwere cheshuga (T1D) kubvira zera rechipiri nehafu. Akapfeka tekinoroji yekuponesa hupenyu kumupa insulini uye kuongorora kuchinjika kweshuga yeropa kubvira zera re3. Asi anga asati amboenda kunorara.

Vana vane type 1 diabetes havana kuburitsa insulin, hormone inoshandura chikafu kuita simba. Pasina insulin-kana insulini yakakwana-chikafu chinoshandurwa kuita glucose (kana shuga), asi muviri haugone kuishandisa. Kuwedzera glucose kunogona kukonzera chirwere cheshuga ketoacidosis. Low blood glucose inogona kukonzera kuvhiringidzika, kutuka, kuzununguka, kurasikirwa kwekuziva, uye kubatwa. Mativi ese ari maviri esiteji anogona kuve nenjodzi, kunyange kuuraya, uye kuda kurapwa nekukasira-dzimwe nguva kunyange rwendo rwekuenda kuchipatara kunogadziriswa.

Zvekurara zvakachengeteka bato, mwana uye ivo vanobata vabereki vanofanirwa kuziva maitiro ekuongorora mashuga eropa uye maitiro ekurapa akakwira kana akaderera maererano. Zvinogona kutyisa kuvabereki vevana vane chirwere cheshuga chehucheche. Asi, panogara paine nzira yekuita kuti zvinhu zvishande kuitira kuti vana vane chirwere cheshuga chevechidiki vagone kutora chikamu mukuvata, mumisasa, kana zvimwe zviitiko zvinosanganisira kugara kumwe kunhu husiku vakazvimiririra.

RELATED: Mwana wako akaonekwa aine chirwere cheshuga chechidiki. Chii chinotevera?

Maitiro ekugadzirira kurara nevechidiki chirwere cheshuga

Kungofanana nezvimwe zvinhu zvese zvekurarama nehucheche hweshuga, kugadzirira kwekugara kwehusiku kwakakosha. Mhuri yega yega yakasiyana, asi dai iwe ungadai wakataura hongu kune kurara usina chirwere cheshuga, saka unoshanda kuti utaure nezvayo nechirwere cheshuga, anodaro Diane Herbert, mudzidzisi weshuga anozivikanwa uye mukuru we E1c Nyaya , chirwere cheshuga kubvunza uye nekumiririra yakasimba iri muPhiladelphia.

Ndeipi nzira yakanaka yekugadzirira? Nyanzvi dzechirwere cheshuga - nevabereki vakambozvigonawo - vakagovana nhanho idzi.

Gadzirira bato rekutsumwaira, kana tanga nehope-pasi.

Vamwe vabereki vanorara-pasi, Herbert anokurudzira. Apa ndipo panogara mwana kumba kweshamwari nguva yapera, anochinja ave mapyjama, asi anoenda kumba asati anyatso kurara. Kuita kurara zvakanyanya kunoenderana nezera remwana, anodaro.

Asati agara kwekutanga kumba kweshamwari, mwanasikana waSarah Addison aibvumidzwa kuita shamwari dzekurara kumba kwake - asi aisakwanisa kugara kudzimba dzavo kudzamara azive kuyedza shuga yake yeropa uye marapirwo akareba kana akaderera. mazinga maererano.

Ita bvunzo yekumhanyisa kuvaka rusununguko husati hwagara husiku hwese.

Kana mwana wako achikwanisa mwana wake wechirwere cheshuga, nekuzviongorora wega wega shuga yeropa, kuita insulin kusarudza sarudzo zvichibva pane izvo zvinodyiwa, uye / kana kushandura insulin pombi zvikamu zvakazvimiririra, inguva yekuzviedza kumba usiku.

Sarudza zuva remutambo, kudzoka nemwedzi kana zvakadaro, uye gadzirira munhu wese uye agadzikane, anodaro Herbert. Vaka hunyanzvi nekufamba kwenguva. Iyo nguva yekudzidza haisi iro zuva rekurara.

Taura nevabereki vanogamuchira nezve T1D mabasa.

Amai vaAdisonison vaida kunzwa kugadzikana nezvevabereki vanogamuchira kunzwisisa kwebasa rine chekuita nevechidiki chirwere cheshuga. Amai veshamwari yake vakandibata ndokubvunza kana Addison aigona kuuya uye isu takaita hurukuro kubva ipapo, anodaro Sarah. Hapana chaaiziva nezve chirwere cheshuga, uye ndakaenda kumba kwake ndikamuratidza zvishandiso zvinoshandisa Addison. Amai vacho vakadzikira nekukurumidza mashandiro avo, vakawedzera juisi paruoko, uye vakati vaizochengeta foni yavo husiku hwese kuitira kana ndaizoda kumubata.

Pachinyore, vabereki vevana vane chirwere cheshuga vanofanirwa kunyora chirongwa chekukurumidzira chevabereki vanogamuchira, anodaro Anastasia Albanese-O'Neil, mudzidzisi ane chirwere cheshuga uye mukiriniki mubatsiri purofesa uye director wezve chirwere cheshuga uye mabasa emakiriniki ku Yunivhesiti yeFlorida.

Nyora rondedzero yezvokuita mune mamwe mamiriro.

Inofanira kusanganisira nzira yekutarisa nekurapa yakanyanya low glucose yeropa, zviratidzo zvemaketoni [ayo anoonekwa mumurini kana muropa kana mwero wakakwira] nemazita nenhamba dzerunhare dzekuti ndivanaani vaunobata rubatsiro, anodaro Albanese-O'Neil.

Rongedza zvese zvinoda mwana wako kuti abudirire kuzvibata-kwavo mamiriro avo.

Izvi zvinogona kusanganisira:

• Sirinji uye insulin kana mwana wako achitora pfuti
• Iyo insulin pombi uye neshanduko yemidziyo kana iyo pombi ingangoda kuchinjwa uchiri panguva yekurara
• Imitha yeglucose ine mamwe mabhatiri
• Zvipenga zvekuyedza
• Lancets uye doro swabs
• Kunobva shuga inomhanyisa-kuita senge mashoma emabhokisi ejusi kana mudziyo wemagabhu eglucose
• Kuenderera mberi kweglucose yekutarisa kana mwana wako akashandisa imwe
• Chaja yeiyo insulin pombi uye / kana inoenderera glucose mutariri, kana zvichidikanwa

Dzidzisa mwana wako zvinoreva.

Addison anoshandisa inoramba iripo glucose glucose (CGM) iyo iri kure inonzwa shanduko yeglucose, uye insulin pombi iyo inonunura imwe insulini zuva rese uye zvakare inoita kuti mushandisi atore yakawedzera insulin vasati vadya vasina jekiseni nguva imwe neimwe.

Kune mwana asingashandise CGM kana kujekesa insulin pachinzvimbo chekushandisa insulin pombi, mwana anofanira kuyedza huwandu hweropa glucose nguva dzose uye aite maererano, kana kushanda nemubati anomugamuchira kuti adaro.

Albanese-O'Neil anopa zano kugadzirira mwana wako kuti ataure neshamwari nevabereki vavo nezve mamiriro avo. Vapei mumwe mutauro kuti vataure nezvechirwere cheshuga kuitira kuti vanzwe vakasununguka uye vane chivimbo, anodaro.

Kurudzira mwana wako kuti agare achitaurirana.

Kana mwana achikwanisa, papombi, vanokwanisa kuyedza vozogadzirisa zvakakwirira, kana kufonera kumba votevera mirairo yemubereki yekurapa yakakwira neimwe insulini, anodaro Gary Scheiner, mudzidzisi ane chirwere cheshuga uye muridzi uye kiriniki director we Yakabatanidzwa Diabetes Services yeWynnewood, Pennsylvania.

Kunyangwe kana vana vakura zvakakwana kuti vabate chirwere chavo cheshuga vari vega, hazvimborwadzise kupeta-tarisa muyero naamai nababa, kana kusimbisa kuti vari kuita chaicho chinhu. Vaite kuti vazive kuti zvakanaka kutumira mameseji kana kufona kuti vasimbiswe uye vabatsirwe-zvisinei nekuti inguvai yehusiku.

Dzidza kurega kuenda, zvishoma.

Husiku ihwohwo hwekutanga, achivimba netekinoroji yeshuga yaakange akapfeka kwemakore matanhatu apfuura, Sarah akatarisa mazinga eruglucose eropa reAdisonison kuburikidza neApple yeApple. Nekuti Sarah anoshandiswa kuongorora Addison kumba-kuburikidza nehusiku neyakajairika kumuka-kuwongorora kaviri mazinga eglucose (iyo CGM inoda kuverengerwa neminwe yeminwe) - zvaive zvakaoma kutarisa kubva kure. Ini handina kuwana kurara kumagumo kwangu, asi iye akanzwa kuzvimiririra, anodaro Sarah. Isu tinoedza kumurega ave mwana uye aine zvakajairika sezvaanogona.

Tarisira zvimwe zvisina kufanira.

Nekuda kwekudya kwakasiyana uye zviitiko zvine husiku hwekugara, Scheiner anoti haufanire kuvhundutswa nedzimwe shanduko. Usatarisira sosi yeropa yakajairwa nemhando idzi dzezviitiko, sezvo vachigona kusimuka kana kudonha kana mwana ari kudzingirira vamwe pamba nepakati pehusiku kana kudya maDoritos muhomwe hombe, anodaro. Haufanire kunge uine tsvarakadenga yeshuga yekudzora muzviitiko izvi. Usavhunduke kana mwana wako [aine kuverenga kweshuga muropa] muma200s mumamiriro ezvinhu akadai.

Chirwere cheshuga hachifanirwe kubira mwana wako zviitiko zvakaenzana nezera. Sleepovers ndiyo yakasarudzika tsika yehudiki uye vana vane chirwere cheshuga vanofanirwa kutora chikamu mazviri pazvinogoneka, Albanese-O'Neil anodaro. Kunyangwe zvichizoda kuwedzerwa kuronga uye kudiwa kwekudzidzisa mhuri yekugamuchira, mubairo wezvekurangarira kweupenyu hwese wakakodzera kuyedza.