{"id":43262,"date":"2017-10-26T23:17:07","date_gmt":"2017-10-26T20:17:07","guid":{"rendered":"https:\/\/new.mavikadin.com\/?p=43262"},"modified":"2024-09-16T10:47:34","modified_gmt":"2024-09-16T07:47:34","slug":"kucuk-yasta-cocuklarda-seker-hastaligi-neden-olur-seker-kac-olmali","status":"publish","type":"post","link":"https:\/\/www.tgrthaber.com\/mavikadin\/kucuk-yasta-cocuklarda-seker-hastaligi-neden-olur-seker-kac-olmali\/","title":{"rendered":"K\u00fc\u00e7\u00fck Ya\u015fta \u00c7ocuklarda \u015eeker Hastal\u0131\u011f\u0131 Neden Olur \u015eeker Ka\u00e7 Olmal\u0131?"},"content":{"rendered":"

\u00c7ocuklarda g\u00f6r\u00fclebilen \u015feker hastal\u0131\u011f\u0131 yani diyabet t\u00fcrleri \u015funlard\u0131r; Tip 1 diyabet, \u00a0Tip 2 diyabet ve gizli \u015feker (pre-diyabet). \u015eeker hastal\u0131\u011f\u0131n\u0131n di\u011fer ad\u0131<\/p>\n

\u00c7ocuklarda g\u00f6r\u00fclebilen \u015feker hastal\u0131\u011f\u0131 yani diyabet t\u00fcrleri \u015funlard\u0131r; Tip 1 diyabet,  Tip 2 diyabet ve gizli \u015feker (pre-diyabet). \u015eeker hastal\u0131\u011f\u0131n\u0131n di\u011fer ad\u0131 diyabettir. \u015eimdi \u00e7ocuklardaki \u015feker hastal\u0131\u011f\u0131n\u0131n bu t\u00fcrleri hakk\u0131nda bilgi verelim; Tip 1 diyabette \u00e7ocu\u011funuzun v\u00fccudu ins\u00fclin \u00fcretemez. \u0130ns\u00fclin pankreas taraf\u0131ndan \u00fcretilen bir hormondur ve \u015fekerler ile karbonhidratlar\u0131 v\u00fccudun ihtiya\u00e7 duydu\u011fu enerjiye d\u00f6n\u00fc\u015ft\u00fcrmek i\u00e7in gereklidir.<\/strong> \u0130ns\u00fclin ayr\u0131ca, \u015fekerin bir k\u0131sm\u0131n\u0131 daha sonra kullanmak \u00fczere v\u00fccutta depolar. Fakat pankreas bu hormonu \u00fcretmedi\u011finde, v\u00fccudun \u015feker seviyeleri artar ve uzun s\u00fcreli komplikasyonlara neden olur. Tip I diyabet genellikle pankreastaki beta h\u00fccreleri hasar g\u00f6rd\u00fc\u011f\u00fcnde veya yok edildi\u011finde ortaya \u00e7\u0131kar. Tip-1 diyabette pankreas\u0131n ins\u00fclin \u00fcreten h\u00fccrelerin tamam\u0131na yak\u0131na hasarl\u0131 oldu\u011fundan ins\u00fclin \u00fcretimi olduk\u00e7a azd\u0131r.<\/strong> Bu nedenle \u015feker hastas\u0131 olan \u00e7ocuklar\u0131n d\u0131\u015far\u0131dan enjeksiyon ile ins\u00fclin almalar\u0131 gerekir. \u00c7ocu\u011fu \u015feker hastas\u0131 olan anneler bu durumdan endi\u015fe duyarlar ancak \u015feker hastal\u0131\u011f\u0131 do\u011fru bir tedavi y\u00f6ntemiyle \u00e7ocu\u011fun g\u00fcnl\u00fck hayat\u0131n\u0131 olumsuz etkilemez ve ya\u015fam kalitesini d\u00fc\u015f\u00fcrmez.<\/strong><\/p>\n

\u00c7ocuklarda Tip II diyabet, v\u00fccudun ins\u00fcline cevap veremedi\u011fi veya diren\u00e7li oldu\u011fu ilerleyici bir durumdur.Kanda ins\u00fclin hormonu bulunmas\u0131na ra\u011fmen, \u00e7ocu\u011funuzun kan \u015fekeri seviyeleri artar.Tedavi edilmedi\u011finde hastal\u0131k k\u00f6rl\u00fc\u011fe, kalp hastal\u0131klar\u0131na ve b\u00f6brek yetmezli\u011fine neden olabilir.<\/p>\n

Prediyabet olarak da bilinen gizli \u015feker kan \u015fekeri d\u00fczeylerinin normalden y\u00fcksek oldu\u011fu, ancak diyabet olarak durumu te\u015fhis edecek kadar y\u00fcksek olmad\u0131\u011f\u0131 bir durumdur. Prediyabet, kontrol alt\u0131na al\u0131nd\u0131\u011f\u0131nda tip I veya tip II diyabetin ba\u015flamas\u0131n\u0131 geciktirebilir.<\/p>\n

\u00c7ocuklarda \u015eeker Ka\u00e7 Olmal\u0131?<\/u><\/strong><\/span><\/span><\/p>\n

6 ya\u015f\u0131n alt\u0131ndaki \u00e7ocuklarda normal kan \u015fekeri seviyeleri 100-180 mg \/ dL iken, 6-12 ya\u015f aral\u0131\u011f\u0131nda olanlar i\u00e7in ideal kan \u015fekeri seviyesi 90-180 mg \/ dL’dir.<\/p>\n

\u00c7ocuklarda \u015eeker Hastal\u0131\u011f\u0131 Belirtileri<\/u><\/strong><\/span><\/span><\/p>\n

    \n
  1. S\u0131k s\u0131k idrara \u00e7\u0131kma<\/li>\n
  2. \u00c7ok su i\u00e7me<\/strong><\/li>\n
  3. Gece idrar ka\u00e7\u0131rma veya gece idrara kalkma<\/li>\n
  4. Halsizlik, kendini yorgun hissetme<\/strong><\/li>\n
  5. S\u0131k hasta olma, enfeksiyonlara kar\u015f\u0131 ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin zay\u0131flamas\u0131<\/li>\n
  6. A\u015f\u0131r\u0131 yemek yeme fakat kilo alamama, kilo kayb\u0131<\/strong><\/li>\n
  7. Bulan\u0131k g\u00f6rme<\/li>\n
  8. Sinirlilik, \u00e7abuk k\u0131zma<\/strong><\/li>\n
  9. Halsizlik, yorgunluk, uyuma iste\u011fi<\/li>\n
  10. A\u011f\u0131zda \u00e7\u00fcr\u00fck elma kokusu veya meyve kokusu<\/strong><\/li>\n
  11. Kar\u0131n a\u011fr\u0131s\u0131, mide bulant\u0131s\u0131 ve kusma<\/li>\n
  12. Yaralar\u0131n ge\u00e7 iyile\u015fmesi<\/strong><\/li>\n
  13. Ellerde ve ayaklarda uyu\u015fma, kar\u0131ncalanma hissi<\/li>\n
  14. Ciltte ka\u015f\u0131nt\u0131<\/strong><\/li>\n
  15. Tansiyon d\u00fc\u015f\u00fckl\u00fc\u011f\u00fc<\/li>\n
  16. V\u00fccut \u0131s\u0131s\u0131nda d\u00fc\u015f\u00fc\u015f<\/strong><\/li>\n
  17. Ba\u015f a\u011fr\u0131s\u0131<\/li>\n
  18. \u00c7ocukta uyu\u015fukluk ve huysuzluk<\/strong><\/li>\n
  19. \u00c7ocuklarda gece i\u015femesi, yata\u011fa ka\u00e7\u0131rma<\/li>\n
  20. \u0130\u015ftahs\u0131zl\u0131k<\/strong><\/li>\n
  21. Uykudan uyanmakta g\u00fc\u00e7l\u00fck ya\u015fama<\/li>\n
  22. H\u0131zl\u0131 nefes al\u0131p verme<\/strong><\/li>\n
  23. Genital b\u00f6lgede mantar enfeksiyonu<\/li>\n
  24. \u00c7ocuklarda \u00e7ok uyuma, ne kadar uyursa da uykuya doyamama<\/strong><\/li>\n
  25. A\u015f\u0131r\u0131 yemek yeme iste\u011fi (\u0130ns\u00fclin \u00fcretimi yetersiz oldu\u011fundan \u015feker h\u00fccrelere ta\u015f\u0131namaz, \u00e7ocu\u011funuzun kaslar\u0131 ve organlar\u0131 enerjiden mahrum kal\u0131r. Bu durum \u00e7ocukta yo\u011fun a\u00e7l\u0131k hissi meydana getirir)<\/li>\n<\/ol>\n

    \u00c7ocuklarda \u015eeker Hastal\u0131\u011f\u0131 Neden Olur?<\/strong><\/u><\/span><\/span><\/p>\n

    \u00c7ocuklarda g\u00f6r\u00fclen \u015feker hastal\u0131\u011f\u0131 genellikle tip 1 diyabettir. \u00c7ocuklardaki \u015feker hastal\u0131\u011f\u0131n\u0131n nedeni kesin olarak bilinememektedir. Yap\u0131lan klinik \u00e7al\u0131\u015fmalarda tip 1 diyabet hastal\u0131\u011f\u0131ndan muzdarip \u00e7o\u011fu ki\u015finin ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin – ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin normalde g\u00f6revi zararl\u0131 bakteri ve vir\u00fcslerle sava\u015fmas\u0131 – olmas\u0131na ra\u011fmen, tip 1 diyabetli hastalarda ba\u011f\u0131\u015f\u0131kl\u0131k sistemi yanl\u0131\u015fl\u0131kla pankreastaki ins\u00fclin \u00fcreten (adac\u0131k) h\u00fccreleri yok ediyor.<\/strong> Bunun sonucunda \u015feker hastal\u0131\u011f\u0131 ortaya \u00e7\u0131k\u0131yor. Genetik ve \u00e7evresel fakt\u00f6rler bu s\u00fcre\u00e7te \u00f6nemli rol oynamaktad\u0131r. Yani \u00e7ocu\u011fun birinci derece yak\u0131n akrabas\u0131nda (anne, baba, karde\u015f) \u015feker hastas\u0131 olan varsa \u00e7ocukta da \u015feker hastal\u0131\u011f\u0131 g\u00f6r\u00fclmesi riski ortaya \u00e7\u0131kar.<\/strong>  Ayr\u0131ca a\u015f\u0131r\u0131 \u015fekerli, karbonhidratl\u0131 g\u0131dalarla beslenme, hareketsiz ya\u015fam, \u00e7ocu\u011fun obez a\u015f\u0131r\u0131 kilolu olmas\u0131 da \u015feker hastal\u0131\u011f\u0131na yakalanma riskini art\u0131r\u0131r.<\/p>\n

    \u00c7ocukta \u015eeker Hastal\u0131\u011f\u0131 (Diyabet) Neden Olur, Hangi \u00c7ocuklar \u015eeker Hastal\u0131\u011f\u0131 \u0130\u00e7in Risk Alt\u0131ndad\u0131r?<\/strong><\/span><\/span><\/p>\n

    Kal\u0131t\u0131m(Genetik)<\/u><\/strong><\/span><\/span><\/p>\n

    \u015eeker hastal\u0131\u011f\u0131 ana-babadan veya atadan \u00e7ocu\u011fa ge\u00e7ebilen genetik bir hastal\u0131kt\u0131r. Genler Tip I diyabette \u00f6nemli bir rol oynamaktad\u0131r, ancak pankreas\u0131n neden ins\u00fclin \u00fcretmedi\u011fi bu sorunun neden meydana geldi\u011fi hen\u00fcz bilimsel olarak bilinememektedir.<\/p>\n

    Viral enfeksiyonlar:<\/u><\/strong><\/span><\/span><\/p>\n

    \u00c7ocuk viral enfeksiyonu ge\u00e7irdi\u011finde, ba\u011f\u0131\u015f\u0131kl\u0131k sisteminin T h\u00fccreleri vir\u00fcslerle sava\u015fmak i\u00e7in antikorlar \u00fcretir. Ancak vir\u00fcsler, pankreastaki beta h\u00fccreleri (ins\u00fclin yapan h\u00fccrelerle ayn\u0131 veya benzer antijenlere sahipse) T h\u00fccreleri vir\u00fcslerle beraber, ins\u00fclin yapan beta h\u00fccrelerine sald\u0131rabilir ve h\u00fccreleri tahrip edebilir hatta yok edebilir.<\/strong> Bu durum \u00e7ocuklarda Tip I diyabet olu\u015fumunu tetikleyebilir.<\/p>\n

    Erken ya\u015ftan itibaren inek s\u00fct\u00fc t\u00fcketimi<\/u><\/strong><\/span><\/span><\/p>\n

    Yap\u0131lan klinik \u00e7al\u0131\u015fmalarda erken ya\u015flardan itibaren inek s\u00fct\u00fc i\u00e7meye ba\u015flayan ve genetik olarak \u015feker hastal\u0131\u011f\u0131 yatk\u0131nl\u0131\u011f\u0131 olan \u00e7ocuklar\u0131n, \u015feker hastal\u0131\u011f\u0131na yakalanma riskinin artt\u0131\u011f\u0131 g\u00f6r\u00fclm\u00fc\u015ft\u00fcr. Uzmanlar 1 ya\u015f\u0131ndan \u00f6nce \u00e7ocuklara inek s\u00fct\u00fcn\u00fcn verilmemesi gerekti\u011fini bildiriyor.<\/p>\n

    \u00c7evresel fakt\u00f6rler<\/u><\/strong><\/span><\/span><\/p>\n

    K\u00f6t\u00fc beslenme, a\u015f\u0131r\u0131 \u015fekerli, karbonhidratl\u0131 g\u0131da t\u00fcketimi, stresli bir hayat ve di\u011fer d\u0131\u015f etkenler, pankreasdaki beta h\u00fccrelerinin tahrip edilmesine ve \u00e7ocukta Tip I diyabetin meydana gelmesine neden olabilmektedir.<\/p>\n

    Hareketsiz ya\u015fam ve obezite<\/u><\/strong><\/span><\/span><\/p>\n

    Az hareket etmek ve obezite yani a\u015f\u0131r\u0131 \u015fi\u015fmanl\u0131k \u00e7ocukta tip 2 diyabet hastal\u0131\u011f\u0131na yakalanma riskini art\u0131r\u0131r. \u00c7ocuk az hareket edince yediklerini yakamaz, bunun sonucunda v\u00fccutta karbonhidrat birikmeye ba\u015flar. V\u00fccuttaki glikoz miktar\u0131 ile \u00fcretilen ins\u00fclin aras\u0131ndaki dengesizlik, ins\u00fclin direnci olu\u015fturup, bu durum Tip II diyabetle sonu\u00e7lanabilir.<\/p>\n

    \u00c7ocuklarda \u015eeker Hastal\u0131\u011f\u0131 Nas\u0131l Te\u015fhis Edilir?<\/strong><\/span><\/u><\/span><\/p>\n

    Kan testi ile damardan al\u0131nan kan ile \u00e7ocuktaki \u015feker seviyesi  \u00f6l\u00e7\u00fcl\u00fcp \u015feker hastal\u0131\u011f\u0131 te\u015fhis edilebilir. Glikolize hemoglobin testi ve A\u00e7l\u0131k kan \u015fekeri testi de \u00e7ocuklardaki \u015feker hastal\u0131\u011f\u0131n\u0131n te\u015fhisi i\u00e7in kullan\u0131labilir.<\/p>\n

    \u00c7ocuklarda \u015eeker Hastal\u0131\u011f\u0131 Nas\u0131l Ge\u00e7er?<\/u><\/strong><\/span><\/span><\/p>\n

    Tip 1 t\u00fcr diyabetli \u00e7ocuklar\u0131n d\u0131\u015far\u0131dan enjeksiyon ile ins\u00fclin almalar\u0131 gerekmektedir. \u0130ns\u00fclin a\u011f\u0131zdan verildi\u011finde midede par\u00e7aland\u0131\u011f\u0131 i\u00e7in etkisizle\u015fir. Bu nedenle enjeksiyonla verilmesi gerekmektedir.<\/p>\n

    Tip II diyabet tedavisinde ise \u00e7ocu\u011fa doktor taraf\u0131ndan sa\u011fl\u0131kl\u0131 ya\u015fam tarz\u0131 al\u0131\u015fkanl\u0131klar\u0131na ge\u00e7me plan\u0131 bildirilir ve kullanmas\u0131 i\u00e7in baz\u0131 ila\u00e7lar verilir. Bu \u015fekildeki diyabetli \u00e7ocuklar\u0131n g\u00fcnl\u00fck olarak kan \u015fekeri d\u00fczeyleri kontrol alt\u0131nda tutulmaya \u00e7al\u0131\u015f\u0131l\u0131r.<\/p>\n

    \u015eeker Hastas\u0131 \u00c7ocuklarda Hedeflenen Kan \u015eekeri D\u00fczeyleri \u015e\u00f6yledir;<\/u><\/strong><\/span><\/span><\/p>\n

    0-1 ya\u015f:  <\/strong>                 A\u00e7l\u0131kta:                       90-170  mg\/dl<\/p>\n

                                    Toklukta:                    120-200<\/p>\n

                                    Yatmadan \u00f6nce:         110-170<\/p>\n

     <\/p>\n

    Okul \u00f6ncesi: <\/strong>           A\u00e7l\u0131kta:                         80-160<\/p>\n

                                    Toklukta:                      110-190<\/p>\n

                                    Yatmadan \u00f6nce:           110-150<\/p>\n

     <\/p>\n

    Okul \u00e7ocu\u011fu ve: <\/strong>     A\u00e7l\u0131kta:                         80-130     <\/p>\n

    Ergen <\/strong>                      Toklukta:                      110-170<\/p>\n

                                    Yatmadan \u00f6nce:           110-130<\/p>\n

    \u015eeker Hastalar\u0131 Ne Yememeli? \u015eeker Hastalar\u0131n\u0131n Yememesi Gerekenler T\u0131klay\u0131n\u0131z<\/strong><\/a><\/span><\/p>\n

    \u015eeker \u0130la\u00e7lar\u0131, \u015eeker Hastal\u0131\u011f\u0131nda Kullan\u0131labilecek \u0130la\u00e7lar Listesi T\u0131klay\u0131n\u0131z<\/span><\/a><\/strong><\/span><\/p>\n

    \u015eeker Y\u00fckselmesi Ve \u015eeker Hastal\u0131\u011f\u0131 Ba\u015f A\u011fr\u0131s\u0131 Yaparm\u0131? T\u0131klay\u0131n\u0131z<\/a><\/strong><\/span><\/p>\n

    \u015eekerin Y\u00fckseldi\u011fi Nas\u0131l Anla\u015f\u0131l\u0131r? Kan \u015eekeri Y\u00fckselmesi Belirtileri T\u0131klay\u0131n\u0131z<\/span><\/a><\/strong><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

    \u00c7ocuklarda g\u00f6r\u00fclebilen \u015feker hastal\u0131\u011f\u0131 yani diyabet t\u00fcrleri \u015funlard\u0131r; Tip 1 diyabet, \u00a0Tip 2 diyabet ve gizli \u015feker (pre-diyabet). \u015eeker hastal\u0131\u011f\u0131n\u0131n di\u011fer ad\u0131 \u00c7ocuklarda g\u00f6r\u00fclebilen \u015feker hastal\u0131\u011f\u0131 yani diyabet t\u00fcrleri \u015funlard\u0131r; Tip 1 diyabet,  Tip 2 diyabet ve gizli \u015feker (pre-diyabet). \u015eeker hastal\u0131\u011f\u0131n\u0131n di\u011fer ad\u0131 diyabettir. \u015eimdi \u00e7ocuklardaki \u015feker hastal\u0131\u011f\u0131n\u0131n bu t\u00fcrleri hakk\u0131nda bilgi verelim; Tip […]<\/p>\n","protected":false},"author":30,"featured_media":43261,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"rank_math_lock_modified_date":false,"footnotes":""},"categories":[111],"tags":[33940,19776,33943,33941,33942],"class_list":["post-43262","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-anne-cocuk","tag-cocuklarda-diyabet","tag-gizli-seker","tag-kan-sekeri-degerleri","tag-tip-1-diyabet","tag-tip-2-diyabet"],"_links":{"self":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/43262"}],"collection":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/users\/30"}],"replies":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/comments?post=43262"}],"version-history":[{"count":1,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/43262\/revisions"}],"predecessor-version":[{"id":43263,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/posts\/43262\/revisions\/43263"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/media\/43261"}],"wp:attachment":[{"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/media?parent=43262"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/categories?post=43262"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.tgrthaber.com\/mavikadin\/wp-json\/wp\/v2\/tags?post=43262"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}