The objectives for the control of the different components of the SM and to prevent the DCV, in children and adolescents with DM1 (SMELTZER; BARE, 1998). The chronic illness requires an entire life of behaviors special of autocuidado: diet, physical activity, medication and emotional control. These factors can affect the control of diabetes, in view of that the people attacks for diabetes they must prevent the alteration in the sanguine glucose, as well as must incorporate its style of life many other behaviors, in order to prevent the complications that occur in the long run. The professional nurse must participate of an effective education and aconselhamento to the patient and to its family (SMELTZER; BARE, 1998). Kidney Foundation addresses the importance of the matter here. According to authors, it is important to point out that these general objectives can in accordance with be individualizados the clinical condition and stadium of the DM1. In a similar way, the therapeutical interventions with sensibilizadores to the insulina, such as the metformina and rosiglitazona, still little are studied in the DM1 with characteristics of the SM. Occurrence the Diabetes Mellitus Type 1 is more common in children, adolescents and young adults reach 10% of the total of diabetic (NETTO, 2000).
Signals and Symptoms the symptoms appear suddenly, as: > much headquarters, > much will of urinar, > loss of weight and, > fatigue. For Brazil (2001), Amongst the acute complications of diabetes, they can be cited: ) hipoglicemia the definite one, as being a symptomatic state that occurs in the presence of inferior glicmicos levels 50mg/dl. It presents as symptoms: tremors, taquicardia, giddiness, fatigue, irritability, sudorese, cold skin and blurred vision, that the ingestion of carboidratos improves after. It has, as main causes: excess of physical exercises, hourly volunteers of the meals, insufficient calrica ingestion and high dose of insulina (NETTO, 2000); b) cetoacidose diabetic or cetose, this complication means absence or increased necessity of insulina.
The main one of the confrontation to the fiction is to take off the thought in the drug. Our emotions are directly on to the breath. Thus, breathing deeply, ten times, the trend will be of if calming. To bind for to other will help people to stop to think it about the drug, deviating its attention. The volunteer to this action must prepare to deal with the other people during the period of abstinence, therefore ‘ ‘ the nerves will be to the flower of pele’ ‘. Beyond the fiction, the other symptoms as irritability, anxiety and inquietude will make it difficult the interpersonal relations. It will have to monitor its behavior not to leave the normal standards and not ‘ ‘ to blow up for little coisa’ ‘.
After the displayed one above, follows tips important to try to tolerate these symptoms: To look health professionals is an excellent suggestion. Psychologists and nutritionists are good indications, exactly that the nutritionist participates in the change of the quality of the feeding and ceasing of weight profit (will be the case). Also a farmacolgica intervention will have to be recommended in case of raised degree more of the abuse of the substance (more than 30 cigarettes/day). However, the essence of ‘ ‘ Menu of Estratgias’ ‘ it is the definition of the goals and strategies for the reduction or ceasing of the tobaccoism. In these terms, it becomes stimulation of the patient so that it obtains to diminish or to curtail the use of the tobacco in a period shorter than it considers that he obtains to fulfill. It will be a species of conciliation, with the stipulation of goals. In these terms, it must be observed the strategies of gradation of the reduction, and the considered time. He takes yourself in account, also, if the patient possesss some farmacolgico aid (exactly natural or those that they do not need medical lapsing as the gums to chew or adhesives).
The superior colculos, act as reflected centers, that govern the movements of the eyes, the head and the neck, in reply the visual stimulatons and to other stimulatons. The inferior rises are reflected centers for the movements of the head and the trunk, in reply the stimulatons auditory. Mesencfalo contains diverse nuclei, also the left and the right, the black substances, that control the muscular activities, the red nuclei, rich sanguineous suppliment and of a pigment, I contend iron, in its neuronais cellular bodies. The known medial lemnisco as white substance, contains axnios that lead impulses related with the sensations of tato (TORTORA; GRABOWSKI, 2002). The cerebellum occupies the faces inferior and posterior of the craniana socket, located subsequent to the bulb and to the bridge, and inferior to the posterior part of the brain is separate of the brain for fiction transversa, and the tent of the brain. The previous wolf and the posterior wolf govern the subconscious movements of the esquelticos muscles; the wolf to flculo-nocular, in the inferior surface, is related with the direction of the balance.
One of the main functions of the cerebellum is to evaluate if the movements initiated for the motor areas, beyond co-ordinating the dependent movements of abilities, are the main one region of encfalo regulating of the position and rocking (TORTORA; GRABOWSKI 2002). Diencfalo extends of the enceflico trunk until the brain and surrounds the third ventricle; it includes the thalamus, hipotlamo, epitlamo and subtlamo. The thalamus is the main retransmissora station for the sensorial impulses in its way for the brain, come of the spinal marrow, of the enceflico trunk, the cerebellum and other parts of the brain. It allows the perception of some sensations as to the ones of pain, temperature and pressure. The nuclei, in each half of the thalamus, have some papers: the medial geniculado nucleus transmits impulses auditory; the lateral geniculado nucleus transmits impulses visual; the posterior ventral nucleus transmits impulses for the palate and the somatic sensations, as of tato, vibration, heat, cold (TORTORA; GRABOWSKI, 2002).