The DM1 incidence increases during the puberty and the pregnancy can take to the manifestation of a DM1 sub-physician daily pay-gestacional. The resistance to the insulina, associate to the infections, also it can contribute for the deterioration of the glicemia, and is frequent the story of these intercorrncias for the patients or its familiar ones, for occasion of the clinical diagnosis of the DM1. Studies that had directly evaluated sensitivity to the insulina, during the phase daily pay-clinic, in the DM1 are rare. The first works, although to demonstrate that relatives in first degree of DM1, with positive auto-antibodies anti-islet, present different degrees of resistance to the insulina, had not obtained to verify the influence of alterations in sensitivity to the insulina in the speed of evolution for the manifest DM1 (GIUFFRIDA et al., 2005). The authors still complement that two interesting findings, in another experimental model of DM1, the mice non-obese diabetic, are that the hiperinsulinemia, a marker of resistance to the insulina, precedes diabetes physician, and the incidence of diabetes is reduced the treatment with rosiglitazona after, a drug that diminishes the resistance to the insulina. A prospectivo study that evaluated resistance to the insulina and the secretion of insulina in a group of relatives in first degree of DM1 (PPGDM1) and positives for the auto-antibodies anti-islets, to verify if the resistance to the insulina, by itself, is a factor of risk of progression for the clinical illness in human beings, was published recently. In this study, a group of individuals that had evolved for the clinical DM1 in 4 years, had been compared with others that had not evolved, but that they had standard of genetic factors the same Hystocompatibility Leucocyte Antigen (HLA) of risk and imunolgicos (number of auto-antibodies anti-islets), with regard to the secretion of insulina (PFSI) and resistance to the insulina (HOMA-R). (GIUFFRIDA et al., 2005).
In accordance with ALMEIDA (2004), the indirect hiperbilirrubinemia can be caused by sanguine, decurrent extravasations of extensive hematomas in superior and inferior members had to the traumatic childbirth, or for hemorrhage to intraperiventricular, particularly in lesser neonatos of 34 weeks of gestacional age. According to MARGOTTO et al. (2009), the hiperbilirrubinemia can be schematized of the following form: A.AUMENTO OF the PRODUCTION Isoimunizao Rh, ABO and sub-groups; Esferocitose hereditary; enzymatic Deficincia of the eritrcito: G-6 PD; piruvatoquinase and others; Hematomas; Policitemia; Drogas (Vitamin K 3) B.AUMENTO OF CIRCULATION NTERO-HEPTICA Jejum drawn out Sangue deglutido intestinal Obstruo leo paralytic (induced for drugs) C.DIMINUIO OF the CONJUGAO congenital Deficincia of glucoronil-transferase; congenital Hipotireoidismo; enzymatic Inibio; Drogas and hormones (novobiocina and pregnanediol); Galactosemia (initial); Sndrome of Lucey-Driscol; human Leite; Recm-been born (RN) of diabetic; Prematuridade; Sndrome of Down. 3,3 Fototerapia the fototerapia is the used treatment that has as objective to diminish the circulating bilirubin taxes, transforming it into fotoismeros, that are excretados by saw without the necessity of the heptica conjugao through the mechanism of fotoisomerizao (Almeida et biliary and urinria al in: SBP, 2007). In accordance with Segre (2002), is indicated in the cases of Neonatal Jaundice, having been its mechanism of action based on luminous energy that transforms Bilirubin into hidrossolveis products so that the same one can be eliminated by the organism without metabolic alterations. One admits that about 15% of all the RN they are submitted to this treatment in the first years of life. 3.3.1 Complications the complications include: Increase of the intestinal with semifluid excrement presence and esverdeado transit; Hipertermia for the increase of the sanguine flow of the skin and muscles; Increase of the respiratory and cardiac frequency with consequent increase of insensitive loss of water; The occlusion of the eyes can provoke irritability, aerophagia and transitory abdominal distenso; Eritema and bronzing of the skin; In long stated period no alteration is not proven (OAK, 2001in: CORREA et al, 2001).
In a study carried through in the Caribbean Islands, they had arrived at the following conclusion: the diabetic ones present a risk to die of what the people who do not possess this disease, and the gotten data stand out the urgent necessity to idealize clinical strategies and of public health directed in such a way for the prevention of diabetes as to prevent or to reduce loads of clinical complications that suffer the people affected for this disease and despite the measures adopted for the prevention of this picture must on the basis of be the interventions the life styles that favor one better feeding and practical of exercises fsicos.6. Physical Educator is a professional specialist in physical activities in all its manifestations (physical gymnasticses, exercises, games, sports, fights, dances, among others), having as intention auxiliary in the development of the education and health, contributing for the acquisition and/or reestablishment of adequate levels of performance fsiocorporal conditioning (DAYS et al., 2007). Before initiating a program of physical exercises, the diabetic individuals, they must pass for a medical evaluation detailed with methods and adequate disgnostic. Initially traced a history clinical and carried through a physical examination, with particular attention in the possible macrovascular complications micron and (cardiovascular neuropatia, retinopatia, illnesses, glicmico control), that they can be aggravated by the program of exercise . The program of physical exercises for diabetic is extremely complex, demands the attention of a team to multidiscipline, needing to be complemented and to be interpreted by a series of clinical and laboratoriais examinations, that help the team (doctor, nutritionist, physiotherapist and physical educator) to materialize and to adapt the specific requirements of each diabetic its real conditions of health . In accordance with Bindaco, Machado and Santiago (2011), still become important these evaluations, therefore the patient, when carrying through definitive exercises can come to suffer some compensation to articulate or muscular injury.
The prevalence of diabetes comes in recent years growing, what it is associated with the changes in the style of life of the population. The present work has as objective to after understand the psicossociais repercussions in the individual the diagnosis of Diabetes Mellitus. For this BA with the referring use of bibliographies to subject, giving to me one searched to carry through a research of field with applied interviews well the carriers of this pathology in the city of Paripiranga arcabouo scientific theoretician/in the quarrels of the results what it allowed to compare with the joined reality. One is about a descriptive study with a quantitative boarding. The majority of the interviewed ones told that the diagnosis after did not have significant change in the life style and that they deal well with the fact to have a chronic illness. PALAVRAS-CHAVE: Diabetes Mellitus; Psicossociais repercussions; Quality of life. 1 Academic of the course of nursing of 6 period for the college YOU ACT.
In any circumstance, a positive tracing implies in the execution of a PTOG with 100 glucose g, for confirmation of the DG. So that this test is valid, it is necessary that the woman has made a normal feeding in the three days had preceded that it and that the dosages have been effected per the morning, in rest and after one jejum of 10 the 14 hours. The positividade criteria are following: Jejum 95 mg/dl; 1 Hour 180 mg/dl; 2 155 Hours mg/dl; 3 140 Hours mg/dl. The DG will be confirmed, in the case of positividade of two or more than these values.
Consensus in relation to the sick people does not exist who present positividade for only one of the values of glicemia. It has evidence of that these pregnant present comparable insulinorresistncia to the sick people with DG. . After the establishment of the DG diagnosis, the control and accompaniment of the pregnant must be effected by one equip to multidiscipline specifically vocacionada and with experience in this pathology. The sick people must be observed at least biweekly until the 36 weeks, and weekly from this height.
The therapeutical one of the pregnant woman with DG has some sources that include measured farmacolgicas in such a way, as the related ones with the nutrition, education and programming of the physical activity. Research shows that the nutricionais recommendations with diabetes type 1 they are well similar of the gestantes that do not present the illness. Therefore, we must leave well clearly that the phrase ‘ I am eating for dois’ it can be a little risky. During the gestation, the woman passes for innumerable hormonais alterations and the feeding must be followed to the scratch to guarantee to the good baby growth and development and better quality of life to the gestante.
Metabolic syndrome in diabetes mellitus of the type the 1 clinical experience has shown that, to the mediated one that the DM1 evolves, this starts to present some components of the SM, what potentially can contribute for an increase in the risk of occurrence of events cardiovascular. However, the prevalence and the meaning of the SM in the context of the natural history of the DM1 are not so well studied as in the DM2 (ZANETTI et al., 2001). Zanetti et al., (2001) affirms that the exercise, associate to the balanced feeding and the insulinoterapia, contributes for the treatment of the person with diabetes mellitus, improving the degree of glicmico control and auto-they esteem. However, the physical activity must be folloied with control of the glicemia and the glicosria, to prevent the hipoglicemia. Exactly knowing of the benefits that the physical activity provides, one sends regards that the child and/or adolescent consider: intensity, duration, schedule of the exercise, been of the metabolic control, time after the last meal and time of insulina. For the authors, the obesidade is present in the great majority of the individuals with SM, and classically the individuals with DM1 are lean.
The effect of the profit of weight in patients with DM1 have not been very studied. A story of that exists patients who had received the intensive treatment in the DCCT were inside of the last quartile of alteration in the IMC. These 14 patients had on average gained kg during the course of the study. The degree of profit of weight in these individuals was about two times the profit of weight equivalent to the third quartile of the same ones and the last quartile of the patients in conventional treatment. The patients with the biggest profit of weight presented the biggest values of relation C/Q, arterial pressure and necessities of insulina, when compared with the group with the same degree of glicmico control and also in intensive treatment, but that they had not gained as much weight.
Nowadays a bigger life expectancy is had, therefore, is importantssimo to determine the mechanisms for which the exercise can improve the health, the functional capacity and the quality of life of this population. Corazza (2001) quotation that the physical activity provides to the third age the following benefits: attainment of health, corporal domain, increase of mobility, cure against the depression, a healthful breath, positive vitality, autoconfiana, reactions, reduced tension and ansiedades, emagrece, prevents illnesses (cardiorespiratorias, hipertenso, diabetes and others), promotes the socialization and improves the functional capacity. The carried through physical activity with regularity is one of the main bases for maintenance of the health in any age. According to Olimpio et al. (2003) in the third age the physical activity is basic in such a way for the cardiovascular functions and pulmonary, as well as in the maintenance of the mental health, we only must remember I exaggerate that it in the activity is always harmful; as well as in all the ages the rest for the third age if makes still more. As Grandson (1999), the increase in 15% of the daily production of calories – about 30 minutes of moderate physical activities – can make with that sedentary individuals start to be part of the group of considered people active, diminishing, thus, its possibilities to develop diseases associates to the little active life. Our organism suffers physiological changes with passing of the time, being thus, the oldness if it becomes part of the nature of our life.
According to N3obrega (1999), the aging is a continuous process during which a gradual decline of all occurs the physiological processes. Rauchabach (2001) ' ' The aging is understood that it is a multiple and complex process of changes throughout the life, with increment of reductions and reorganizaes of functional character estrutural' '. One ponders that with the biggest life expectancy folloied of some circumstances the man if saw getting new knowledge of these alterations in its organism leading to study and to have knowledge on its aging.
The Yan is an excellent food for the diabetic ones. In the truth, it seems a potato, but its flavor is of pear. Beyond being indicated for the diabetic ones, it also it has the power to deal with policsticos ovrios and still it can be indicated for those with reactive hipoglicemia. The main nutrient found in this potato functions as a intestinal prebitico. This product is the oligossacardeo fruit, that is a type of carboidrato and that it has this power.
The mineral found in the Yacn, of bigger concentration is the potassium, later in lesser amount has: match, calcium, sodium, magnesium, iron, have covered and zinc. In small amount it has still lipdeos. This tubercle is rich in a type of carboidrato, that easily is not digested by our intestine, this makes with that it functions better, preventing some intestinais illnesses, making with that our organism, does not increase the glicemia in the blood, helping in the treatment of diabetes and its prevention. Moreover, it helps much in the mineral absorption, preventing the swell, cimbras, osteoporose and still the arterial hipertenso. It improves the absorption of some minerals in the intestine, because it leavens more and has low digestibilidade, since it is rich in staple fibres.
This potato is less calrica, therefore also it can be indicated for regimes of emagrecimento. The best form to usufruct of this tubercle is consuming it raw and as its flavor is very similar with the one of the pear, nothing better of what beating it with juices of any fruit, or if preferring with milk. If you to want to vary you can also use this potato yacn in saladas raw, with carrot, cucumber, string bean, at last, with the vegetable of its preference, but I believe that in virtue of its flavor to be similar to the one of the pear, juices with fruits are the best option. It confers here plus a prescription. The main one is you to know this tubercle, importantssimo for diabetic and also for all the people, who are always looking an feeding healthful. It refines its diet and it becomes its more healthful routine. It knows what it is Max Burn and as this fitoterpico can help it.
During the assays, the instructor observes each one of the participants intently, being that, depending on the reactions of each one during the assays, and he calls to the front somebody that had some peculiarity and asks for so that they say a little on the sensations to be singing that one or this music and makes questions as: ' ' When he closed you the eyes, about what he was thinking when singing this music to you? ' '. Get all the facts and insights with Stanley Biber, another great source of information. it answered: ' ' Youngster, I remembered when I young age, and was gotten passionate by a young woman and wanted to conquer it of all skill. But unhappyly it did not want ' to me; ' We unite with this sequncia, lectures on rights of the aged one, sexuality and prevention and medicamentoso and not medicamentoso treatment for Hipertenso and Diabetes and others. To the end, we make the therapy I hug of it and we fire in them. Amongst as many stories, we reproduce here following phrase said for one of the gifts: ' ' Professor, this group is a blessing. I am the week all waiting per this day, therefore when I leave daqui, it is an immense happiness.
It is very good for singing here with all ' ' Consideraes Final The implementation of this group has been extremely rewarding mainly for the way as the participants had hugged the idea and if they had compromised to the same one. It is observed that the aged ones are anxiously waiting for the thursday per the morning, therefore is a moment of descontrao, nostalgia and enormous happiness for each one of them. The frequency is also observed that is steady with about 30 the 40 aged always gifts. Moreover, to each week 1 or 2 invited people if it has joined to ' ' coral' '.
The trajectory of the analysis of the data if gave of the following form: they had been described, systemize, categorized, evaluated and presented in form of graphs, which had received an analysis descriptive. It was directed for the responsible nurse for the institution involved, a document explicitando the main objective of this research and requesting the concession of the field for accomplishment of the same one, which was granted immediately. The research did not involve human beings directly, but, however we enter in contact with personal information of the patients, therefore the determined ethical norms in Resolution 196/96 had been considered, of the National Advice of Health, that presents the more including regulamentadoras lines of direction concerning research involving human beings in Brazil, in the perspective to guarantee the anonymity of the patients. This Resolution incorporates, under the optics of the individual and the collective, basic the referenciais quatros of the biotica: autonomy, not slander, beneficence and justice, among others, and aims at to assure the rights and duties that say respect to the scientific community, the citizens of the research and the State (HEALTH DEPARTMENT, BRAZIL, 2000b). RESULTS In the documentary research, were possible to observe and to catch given, references and information of great value for the study, mainly concerning daily and the life of the gestantes. Such data described and will be argued in the graphs below.
Graph 1: Percentage of the Gestantes Age Had according to participated of the present study 150 gestantes of high risk being that 12% were lesser of 15 years, 66.67% had age between 15 and 35 years, and 21.33% had age above of 35 years. Graph 2: Percentage of the Gestantes according to phase: Children and Adolescents Of the studied gestantes had been evidenced that 2.66% were children, 36% adolescents and 61.34% adults. Graph 3: Percentage of the Gestantes Antecedent according to Familiar Graph 4: Percentage of the Gestantes according to Defining Situation of Risk In what it says respect to the defining situation of risk evidenced that: 21.33% were gestantes with bigger age of 35 years; 18.67% had sistmica arterial hipertenso; 12% had lesser age that 15 years; 10% had suffered threat from abortion; 9.33% possuam other situations of risk that added include low weight fetal, fetal biometria modified, pain in low gravdica womb and hipermese; 6.67% had diabetes; 5.33% had infection of the urinrio treatment; 4.67% had suffered depression; 4.67% had multiple pregnancy; 4% were gestantes Rh- and 3.33% had some type of sexually transmissible illness.