Цитата:
Сообщение от Anna2003
А с чем может быть связано учащение приступов?
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возраст, рост и вес ребенка, что с аппетитом, подвижностью, мышечной массой, жировой тканью?, если вам интересен механизм, то переведите ниже-следующее:
hypoglycemia attributed to
poor oral intake or illness [3, 9, 39]. In a series of 62 children with KH, 29% had, however, no history of a precipitating event that could explain the hypoglycemia [40]. To the authors’ experience,
increased physical activity and poor food intake the day before can be identified in a higher number of patients after detailed evaluation at the time of a KH event.
Remission of IKH is classically thought to occur between
6–7 years of age when
children have increased their muscle mass and decreased their glucose requirement per unit of body mass [40, 41]. In some patients, episodes of KH may persist past puberty into adulthood, and family investigations may reveal parents with a history of KH...
Children with KH may exhibit a wide range of symptoms and signs. Younger children cannot be relied upon to accurately recognize and communicate symptoms of hypoglycemia [13, 37, 38, 43,44,45]...Episodes frequently occur in the morning after an overnight fast (10–12 h).
The presence of
neuroglycopenic symptoms despite the brain-protective hyperketonemia may suggest a
ketone utilization or ketone transport defect in these patients. What makes KH particularly complex is that some of the symptoms, such as muscle cramps, headache and abdominal pain, may result from either hypoglycemia or hyperketonemia.
Some children with IKH are
small and thin for their age, with minimal fat deposits or muscle development [41]. Such children have little to no tolerance for fasting and often display poor eating habits.
The poor appetite may be caused by hyperketonemia, inducing a vicious cycle provoking further KH.