Hypoglycemia mu shuga: Zizindikiro ndi chithandizo

Hypoglycemia ndi pamene shuga m'magazi amatsika pansi pazenera. Hypoflycemia yofatsa imayambitsa zizindikiro zosasangalatsa, zomwe zalongosoledwa pansipa. Ngati hypoglycemia itachitika, munthuyo amasiya kuzindikira, ndipo izi zimatha kubweretsa imfa kapena kulumala chifukwa chakuwonongeka kwa ubongo. Tanthauzo la hypoglycemia ndi kuchepa kwa glucose wamagazi mpaka osakwana 2.8 mmol / l, omwe amatsatana ndi zizindikiro zosasangalatsa ndipo amatha kupangitsa kuti azikhala ndi vuto la matenda. Komanso, hypoglycemia ndi kuchepa kwa shuga m'magazi mpaka kufika pansi pa 2.2 mmol / l, ngakhale munthu samva zizindikiro.

Tanthauzo lathu la hypoglycemia: Apa ndipamene wodwala matenda ashuga ali ndi dontho la shuga la magazi lomwe limakhala 0.6 mmol / L pansi pa mulingo wake. Hypoflycemia yofatsa ndi shuga wamagazi 0,6-1.1 mmol / L pansi pazomwe mukufuna. Ngati shuga akupitilizabe kugwa, ndiye kuti hypoglycemia imakula kwambiri pamene shuga ayamba kukhala wosakwanira kudyetsa ubongo. Chosangalatsa ndichakuti wodwala aliyense amakhala ndi shuga. Monga lamulo, muyenera kuyesa kukhala ndi shuga wamagazi, monga mwa anthu athanzi opanda shuga. Koma ovuta kwambiri a shuga, odwala ayenera kukhala ndi shuga wambiri kwa nthawi yoyamba. Kuti mumve zambiri, onani nkhani yakuti “Zolinga za chisamaliro cha matenda ashuga. Zomwe shuga amafunika kukhala nazo. ”

Hypoglycemia mu shuga angayambitse zifukwa zazikulu ziwiri:

• jakisoni wa insulin;
• kumwa mapiritsi omwe amachititsa kuti kapamba apange zambiri za insulin yake.

Jakisoni wa insulini pochiza matenda amtundu wa 2 ndi matenda amtundu wa 2 ndizofunikira kwambiri, ndipo maubwino awo amapitilira chiwopsezo cha hypoglycemia. Kuphatikiza apo, mukatha kudziwa njira zazing'ono zomwe mungagwiritse ntchito ndipo mutha kuyang'anira ndi insulin yaying'ono, chiopsezo cha hypoglycemia chitha kutsika kwambiri.

Timalimbikitsa kwambiri kutaya mapiritsi omwe amachititsa kuti kapamba apange insulin yambiri. Izi zimaphatikizapo mankhwala onse a shuga ochokera ku sulfonylurea zotumphukira komanso makalasi a meglitinides. Mapiritsi awa sangathe kungoyambitsa hypoglycemia, komanso amathanso kuvulaza munjira zina. Werengani: "Ndi mankhwala ati a shuga omwe amapweteketsa kuposa abwino." Madotolo omwe ali kuseri kwa nthawi amapitilizabe kuwapatsa mankhwala kwa odwala omwe ali ndi matenda ashuga a 2. Njira zina, zomwe zikufotokozedwa mu pulogalamu ya chithandizo cha matenda a shuga a 2, zimakupatsani mwayi wopewa magazi popanda chiwopsezo cha hypoglycemia.

Zizindikiro za hypoglycemia

Zizindikiro za hypoglycemia zimawonetseredwa momveka bwino, kutsika kwamphamvu kwamagazi a glucose kumachitika.

Zizindikiro zoyambirira za hypoglycemia (kufunika kodya zakudya zopatsa mphamvu mwachangu, makamaka mapiritsi a shuga):

• kutsekeka kwa khungu;
• thukuta
• kunjenjemera, palpitations;
• njala yayikulu;
• kulephera kulolera;
• nseru
• nkhawa, kukwiya.

Zizindikiro za hypoglycemia, pamene shuga m'magazi ndi otsika kwambiri, ndipo hypoglycemic coma ili pafupi kwambiri:

• kufooka
• chizungulire, kupweteka mutu;
• kumverera kwa mantha;
• mawu ndi mawonekedwe osokoneza pamachitidwe;
• chisokonezo cha chikumbumtima;
• kusokoneza kayendedwe ka kayendedwe;
• kutayika kwakukhazikika m'malo;
• miyendo yanjenjemera, kukokana.

Sizizindikiro zonse za glycemic zomwe zimawoneka nthawi imodzi. Momwemonso matenda ashuga omwewo, zizindikiro za hypoglycemia zimatha kusintha nthawi iliyonse. Odwala ambiri, kumvetsetsa kwa zizindikiro za hypoglycemia ndi "kuzimiririka". Anthu onga matenda ashuga nthawi iliyonse amadzidzimuka mwadzidzidzi chifukwa cha kukomoka kwa hypoglycemic coma. Amakhala ndi chiopsezo chachikulu cha kulumala kapena kufa chifukwa cha kwambiri hypoglycemia. Chifukwa cha izi zikuchitika:

• shuga wambiri wotsika kwambiri;
• munthu wakhala akudwala kwa nthawi yayitali;
• ukalamba;
• ngati hypoglycemia imachitika kawirikawiri, ndiye kuti sizimamveka bwino.

Anthu oterewa sayenera kuvulaza ena panthawi ya hypoglycemia mwadzidzidzi. Izi zikutanthauza kuti amaphatikizika kwa iwo kuti agwire ntchito yomwe miyoyo ya anthu ena imadalira. Makamaka, odwala matenda ashuga samaloledwa kuyendetsa galimoto ndi zoyendera pagulu.

Odwala ena a shuga amazindikira kuti ali ndi hypoglycemia. Amakhala ndi malingaliro okwanira kuti athe kupeza glucometer, kuyeza shuga awo ndikuletsa kugwidwa kwa hypoglycemia. Tsoka ilo, odwala matenda ashuga ambiri omwe amazindikira kuti ali ndi hypoglycemia ali ndi mavuto akulu. Ubongo ukasowa shuga, munthu amatha kuyamba kuchita zosayenera. Odwala oterowo amakhalabe ndi chidaliro chakuti ali ndi shuga wabwinobwino, mpaka pano mpaka atha kuzindikira. Ngati wodwalayo adakumana ndi zovuta zingapo za hypoglycemia, ndiye kuti atha kukhala ndi mavuto pozindikira nthawi yotsatira. Izi zimachitika chifukwa cha kukomoka kwa adrenergic receptors. Komanso, mankhwala ena amasokoneza kuzindikira kwa hypoglycemia pa nthawi. Awa ndi beta blockers omwe amachepetsa kuthamanga kwa magazi ndi kugunda kwa mtima.

Nayi mndandanda wina wa zizindikiro za hypoglycemia, womwe umayamba kuwuma:

• Kuchita pang'onopang'ono pazinthu zozungulira - mwachitsanzo, mumkhalidwe wa hypoglycemia, munthu sangathe kuthana ndi nthawi yoyendetsa galimoto.
• Khalidwe lonyansa, lankhanza. Pakadali pano, wodwala matenda ashuga ali ndi chidaliro kuti ali ndi shuga wabwinobwino, ndipo amakana mwamphamvu zoyeserera za ena kuti amukakamize kuyeza shuga kapena kudya zakudya zopatsa mphamvu.
• Kukhazikika kwa chikumbumtima, kuyankhula kovuta, kufooka, kuchepa. Zizindikiro zimatha kupitilira pambuyo poti shuga abwereranso mwakale, ngakhale mpaka mphindi 45-60.
• Kugona, ulesi.
• Kuwonongeka kwa chikumbumtima (osowa kwambiri ngati simukubaya insulin).
• Kutembenuka.
• Imfa.

Nocturnal hypoglycemia m'maloto

Zizindikiro za noogurnal hypoglycemia m'maloto:

• wodwala amakhala ndi khungu lozizira, thukuta, makamaka pakhosi;
• kupuma kosokoneza;
• kugona osagona.

Ngati mwana wanu ali ndi matenda ashuga amtundu woyamba, ndiye kuti muyenera kumuyang'ana nthawi zina usiku, kuyang'ana khosi lake pakukhudza, mutha kumudzutsanso, ngati mungathe, kuyeza shuga wamagazi ndi glucometer pakati pausiku. Kuti muchepetse mulingo wa insulin, ndipo mutakhala ndi vuto la hypoglycemia, tsatirani pulogalamu ya matenda a shuga 1. Tumizani mwana yemwe ali ndi matenda a shuga 1 kukhala zakudya zamagulu ochepa mukamaliza kuyamwitsa.

Ngati zizindikiro za hypoglycemia zimakhala zosalimba

Mwa odwala ena omwe ali ndi matenda ashuga, Zizindikiro zoyambirira za hypoglycemia ndizopepuka. Ndi hypoglycemia, manja akunjenjemera, kukhuthala kwa khungu, kuthamanga kwa mtima komanso zizindikiro zina zimayambitsa epinephrine (adrenaline) ya mahomoni. M'mitundu yambiri ya ashuga, kupanga kwake kumakhala kofooka kapena ma receptors samvera kwenikweni. Vutoli limayamba nthawi yayitali odwala omwe ali ndi shuga yochepa kwambiri kapena amene amalumpha kuchokera shuga wambiri kupita ku hypoglycemia. Tsoka ilo, awa ndi magulu a odwala omwe nthawi zambiri amakhala ndi vuto la hypoglycemia ndipo angafunike kuzindikira kwa adrenaline kuposa ena.

Pali zifukwa zisanu ndi zina zomwe zingapangitse kuwongolera kwa ziwonetsero za hypoglycemia:

• Sever autonomic diabetesic neuropathy ndi zovuta za shuga zomwe zimayambitsa kuphwanya kwamitsempha.
• Adrenal minofu yam'mimba. Uku ndi kufa kwa minofu ya adrenal - tiziwalo timene timatulutsa adrenaline. Zimayamba kudwala ngati wodwala amakhala ndi matenda a shuga kwa nthawi yayitali, ndipo adam'thandizira mwaulesi kapena molakwika.
• Mwazi wa m'magazi umakhala wotsika kwambiri.
• Wodwala matenda a shuga amwe mankhwala - beta-blockers - azithamanga magazi, atakumana ndi vuto la mtima, kapena chifukwa cha kupewa.
• Mwa odwala matenda ashuga omwe amadya zakudya zabwino ", odzaza ndi chakudya, motero amakakamizidwa kubaya Mlingo waukulu wa insulin.

Ngati mita ikuwonetsa kuti shuga yanu ili m'munsi mwa 3.5 mmol / L, tengani mapiritsi a glucose ngakhale mulibe zizindikiro za hypoglycemia. Mumafunikira pang'ono shuga kuti mukweze shuga kuti ikhale yabwinobwino. 1-3 magalamu a chakudya chokwanira - awa ndi mapiritsi 2-6 a shuga. Osamadya chakudya chopatsa thanzi!

Odwala ena omwe ali ndi matenda a shuga amakana kumwa mapiritsi a glucose, ngakhale atayeza shuga wawo ndikupeza kuti anali ocheperako. Amati akumva bwino ngakhale alibe mapiritsi. Anthu oterewa ndi omwe amakhala "makasitomala" akuluakulu kwa madotolo azadzidzidzi, kuti athe kuyeseza kuchotsa munthu pakhungu. Amakhalanso ndi ngozi zambiri zapamsewu. Mukamayendetsa, yeretsani shuga ndi magazi anu mita iliyonse, ngakhale mutakhala ndi hypoglycemia kapena ayi.

Anthu omwe amakhala ndi gawo la hypoglycemia kapena shuga m'magazi amakhala ocheperako, amakhala ndi "vuto" ili. Adrenaline m'magazi awo nthawi zambiri amawonekera komanso ambiri. Izi zimabweretsa kuti chidwi cha zolandilira ku adrenaline chifooke. Momwemonso, kuchuluka kwa insulin kwambiri m'magazi kumapangitsa chidwi cha insulin zolandirira khungu lanu.

Zizindikiro zoyambirira za hypoglycemia - kunjenjemera kwa khungu, kuthamanga kwa mtima, ndi zina - ndizizindikiro zochokera m'thupi zomwe wodwala matenda ashuga ayenera kulowererapo kuti apulumutse moyo wake. Ngati chizindikirocho sichikugwira ntchito, ndiye kuti mwadzidzidzi wamkulu amadzimva chifukwa chayamba kupsa mtima. Anthu oterewa amakhala ndi chiopsezo chachikulu cha kulumala kapena kufa chifukwa cha kwambiri hypoglycemia. Njira yokhayo yothanirana ndi vutoli, ngati yakula, ndikuwayeza shuga wanu wamagazi pafupipafupi ndikuwukonza. Werengani werengani zonse zomwe zimayimira shuga m'magazi ndi momwe mungayang'anire ngati mita yanu ili yolondola.

Zimayambitsa hypoglycemia mu shuga

Hypoglycemia imayamba m'magazi momwe insulin yochulukirapo imazungulira m'magazi, molingana ndi kudya kwa glucose kuchokera ku chakudya komanso m'masitolo a chiwindi.

Zimayambitsa hypoglycemia

Chithandizo cha boma chimati ngati wodwala matenda ashuga amathandizidwa bwino ndi mapiritsi a insulin kapena kutsitsa shuga, ndiye kuti adzakumana ndi zovuta za hypoglycemia 1-2 kawiri pa sabata, ndipo palibe cholakwika ndi izi. Tikulengeza kuti ngati mukukhazikitsa pulogalamu yothana ndi matenda a shuga 1 kapena pulogalamu yachiwiri ya matenda ashuga, ndiye kuti hypoglycemia imachitika kangapo. Chifukwa ndi matenda a shuga a mtundu wachiwiri, tidakana mapiritsi oyipa (sulfonylureas ndi ma dongo) omwe angayambitse. Ponena za jakisoni wa insulin, njira ya katundu wocheperako wa mtundu 1 ndi mtundu wa 2 wa shuga umalola kangapo kuchepetsa ma insulin ndipo motero amachepetsa chiopsezo cha hypoglycemia.

Zomwe zimayambitsa hypoglycemia mwa omwe amathandizidwa malinga ndi njira ya tsamba la Diabetes-Med.Com:

• Sanadikire maola 5 mpaka mlingo wofulumira wa insulin atamaliza kuchita, ndikuyika jekeseni yotsatira kuti athetse shuga wowonjezereka m'magazi. Izi ndizowopsa usiku.
• Anabayira insulin mwachangu asanadye, kenako adayamba kudya kwambiri. Chimodzimodzi ngati mumamwa mapiritsi musanadye, ndikupangitsa kuti kapamba apange insulin yambiri. Ndikokwanira kuyamba kudya mphindi 10-15 pambuyo poti muyenera kumva zizindikiro za hypoglycemia.
• Matenda a shuga a gastroparesis - anachedwetsa kuchotsa m'mimba mutatha kudya.
• Matendawa atatha, kukana insulini kumafooka, ndipo wodwalayo amaiwala kuti abwerere kuchokera ku mapiritsi akulu a insulin kapena mapiritsi ochepetsera shuga mpaka masiku ake.
• Wodwala matenda ashuga kwa nthawi yayitali adadziyambitsa "kufooka" insulini kuchokera m'botolo kapena katoni, komwe kamasungidwa molakwika kapena kutha ntchito, kenako ndikuyamba kubaya insulin yatsopano “popanda kutsitsa.
• Kusintha kuchokera pampu ya insulini ndikupanga jakisoni wa ma insulin komanso mosemphana ndi zina ngati zingachitike popanda kudzipenda mosamala ndi shuga.
• Wodwala matenda a shuga adadzipaka yekha ndi ultrashort insulin yowonjezera mphamvu mu gawo lomwelo lomwe nthawi zambiri limakhala lalifupi.
• Mlingo wa insulin sufanana ndi kuchuluka kwa chakudya chomwe wadya. Muzidya zakudya zopatsa mphamvu pang'ono komanso / kapena mapuloteni kuposa momwe mumapangira chakudya cham'mawa, nkhomaliro kapena chakudya chamadzulo. Kapenanso adadya mochuluka momwe iwo amafunira, koma pazifukwa zina adabayira insulin yambiri.
• Munthu wodwala matenda ashuga amachita masewera olimbitsa thupi osakonzekera kapena amaiwala kuyamwa shuga tsiku lililonse pochita zolimbitsa thupi.
• Mowa, makamaka musanadye komanso nthawi ya chakudya.
• Wodwala wodwala matenda ashuga yemwe amadzivulaza ndi NPH-insulin wodzivulaza yekha ndi vial, adayiwala kugwedeza vial asanalowe ndi insulin.
• Intramuscularly jekeseni insulin m'malo subcutaneous.
• Adapanga jakisoni woyenera wa insulin, koma m'gawo ilo la thupi lomwe limakhudzidwa kwambiri.
• Chithandizo cha nthawi yayitali ndi mtsempha wa gamma globulin. Zimayambitsa kuchira mwangozi komanso kosayembekezereka kwa gawo la maselo a beta mwa odwala omwe ali ndi matenda a shuga 1, omwe amachepetsa kufunika kwa insulin.
• Kumwa mankhwala awa: aspirin mu waukulu Mlingo, anticoagulants, barbiturates, antihistamines ndi ena ambiri. Mankhwalawa amachepetsa shuga m'magazi kapena amalepheretsa kupanga shuga kwa chiwindi.
• Kutentha kwanyengo. Pakadali pano, odwala matenda ashuga ambiri amafunikira insulin yochepa.

Njala ndi chizindikiro chodziwika bwino cha malo oyamba a hypoglycemia. Ngati mukutsatira pulogalamu yothana ndi matenda a shuga 1 kapena pulogalamu ya 2 yokhala ndi matenda a shuga ndipo mukuwongolera matenda anu, ndiye kuti simuyenera kumakhala ndi njala yayikulu. Musanadye chakudya chomwe mudakonzekera muyenera kukhala ndi njala pang'ono.Komabe, nthawi zambiri njala imangokhala chizindikiro cha kutopa kapena kupsinjika, koma osati hypoglycemia. Komanso, shuga m'magazi akakhala kwambiri, m'malo mwake, maselo sikhala ndi glucose, ndipo amatumiza amanjenje mwamphamvu. Kutsiliza: ngati mukumva njala - yikani magazi anu ndi glucometer.

Zowopsa za hypoglycemia:

• wodwala kale anali ndi milandu ya hypoglycemia;
• odwala matenda ashuga samva zizindikiro za hypoglycemia munthawi yake, chifukwa chake chikomokere chimachitika mwadzidzidzi;
• pancreatic insulin secretion kulibe kwathunthu;
• otsika mayendedwe wodwala.

Momwe mungamvetsetse zomwe zimayambitsa hypoglycemia

Muyenera kubwereza zochitika zonse zomwe zimatsogolera ku gawo pamene shuga ya magazi anu ndi yotsika kwambiri. Izi ziyenera kuchitika nthawi iliyonse, ngakhale ngati pakadakhala kuti palibe chizindikiro chowoneka kuti mupeze zomwe mumalakwitsa. Kuti zochitika zithandizike, odwala matenda a shuga omwe amadalira insulin amafunika kupitiliza kukhala muulamuliro wamagazi owongolera shuga, i.e., nthawi zambiri amayeza, amalemba zotsatira zake komanso zochitika zina.

Hypoglycemia yayikulu imatha kubweretsa kuchitika kuti zochitika zingapo maola angapo zisanachotsedwepo kumbali ya kukumbukira kwa wodwala matenda ashuga. Ngati asungabe chidule chake cha kudziletsa, ndiye kuti zoterezi zingakhale zothandiza kwambiri. Sikokwanira kungolemba zotsatira za shuga wa magazi, ndikofunikira kulemba zochitika zomwe zikugwirizana. Ngati muli ndi zigawo zingapo za hypoglycemia, koma osamvetsetsa chifukwa chake, onetsani mankhwalawo kwa dotolo. Mwina adzakufunsani mafunso momveka bwino.

Chithandizo (kuyimitsa) cha hypoglycemia

Ngati mukukumana ndi zilizonse za zizindikiro za hypoglycemia zomwe taziwonetsa pamwambapa - makamaka njala yayikulu - nthawi yomweyo yikani magazi anu ndi glucometer. Ngati ndi 0,6 mmol / L pansi pazomwe mukufuna kapena kutsika, tsatani kuti muchepetse hypoglycemia. Idyani chakudya chamafuta ochulukirapo, makamaka mapiritsi a shuga, kuti mukweze shuga yanu mpaka mulingo womwe mukufuna. Ngati palibe zizindikiro, koma mwayeza shuga m'magazi ndikuwona kuti ndi otsika, chinthu chomwecho ndikofunika kudya mapiritsi a glucose mu mlingo wowerengeka. Ngati shuga ndiwotsika, koma palibe zizindikiro, ndiye kuti mafuta ochulukirapo amafunika kudya. Chifukwa hypoglycemia yopanda zizindikiro ndiyowopsa kuposa yomwe imayambitsa zisonyezo zoonekeratu.

Kodi muyenera kuchita chiyani ngati mulibe glucometer nanu? Ili ndi tchimo lalikulu kwa odwala matenda a shuga omwe amadalira insulin. Ngati mukukayikira kuti muli ndi hypoglycemia, ndiye kuti musataye mwayi ndikudya shuga wina kuti akweze shuga wanu ndi 2.4 mmol / L. Izi zidzakutetezani ku hypoglycemia, yomwe ili ndi zovuta zosasintha.

Momwe mita ingakulowereni - yeretsani shuga. Imatha kukwezedwa kapena kutsitsidwa. Mubwezereni ku zachirengedwe kuti asachimwenso, i.e. samalani nthawi zonse mita.

Chovuta kwambiri ndikuti ngati shuga lanu lamwazi latsika chifukwa mwalowa insulini kwambiri kapena munamwa mankhwala oopsa a shuga. Zikakhala zotere, shuga amatha kumwanso atatha kumwa mapiritsi a shuga. Chifukwa chake, onaninso shuga wanu ndi glucometer Mphindi 45 mutatha kutenga mankhwala a hypoglycemic. Onetsetsani kuti chilichonse ndichabwino. Ngati shuga alinso wotsika, imwani mapiritsi ena, ndiye kuti mubwerezenso mphindi 45. Ndi zina zotero, mpaka zonse zitabweranso.

Momwe mungachiritsire hypoglycemia popanda kukweza shuga kuposa zabwinobwino

Pachikhalidwe, odwala omwe ali ndi matenda ashuga kusiya hypoglycemia amadya ufa, zipatso ndi maswiti, amamwa misuzi ya zipatso kapena koloko yabwino. Njira zamankhwala izi sizigwira ntchito pazifukwa ziwiri. Mbali imodzi, imagwira pang'onopang'ono kuposa zofunika. Chifukwa zakudya zopezeka m'zakudya, thupi limafunikabe kugaya usanayambe kukweza shuga m'magazi. Komabe, "chithandizo" choterechi chimachulukitsa shuga m'magazi, chifukwa ndizosatheka kuwerengera molondola kuchuluka kwa chakudya, ndipo mwamantha, wodwala matenda ashuga amadya kwambiri.

Hypoglycemia imatha kuwononga kwambiri matenda ashuga. Kuukira kwambiri kumatha kupangitsa kuti wodwala yemwe ali ndi matenda ashuga kapena wolumala chifukwa cha kuwonongeka kwa ubongo kosasinthika, sizivuta kudziwa kuti izi ndi ziti zomwe zili zoyipa kwambiri. Chifukwa chake, timayesetsa kukweza shuga m'magazi kuti akhale abwinobwino msanga. Zakudya zomanga thupi, fructose, shuga mkaka, lactose - onsewa amayenera kugwiritsidwa ntchito popukusa mgonero asanayambe kukweza shuga. Zomwezi zimagwiranso ngakhale kwa wowuma ndi shuga a pagome, ngakhale njira yovomerezeka ili yachangu kwa iwo.

Gwiritsani ntchito mapiritsi a glucose kuti muchepetse ndi kusiya hypoglycemia. Gulani iwo ku mankhwala, osakhala aulesi! Zipatso, timadziti, maswiti, ufa - osafunika. Idyani shuga wambiri monga mungafunikire. Musalole shuga kuti "ayimbe" mutatha kuthana ndi hypoglycemia.

Zinthu zomwe talemba pamwambazi zimakhala ndi mafuta osakanikirana othamanga komanso osakwiya, omwe amachitika pang'onopang'ono, kenako amawonjezera shuga m'magazi mosayembekezereka. Nthawi zonse zimatha ndi chakuti atayimitsa kuukira kwa hypoglycemia, shuga wodwala yemwe ali ndi matenda ashuga "amapitilira". Madokotala achinyengo akhulupirirabe kuti patachitika gawo la hypoglycemia sikungapewe kuchuluka kwa shuga m'magazi. Amawona kuti ndizabwinobwino ngati pambuyo pa maola ochepa shuga wa magazi mwa wodwala yemwe ali ndi matenda a shuga ndi 15-16 mmol / L. Koma izi sizowona ngati uchita mwanzeru. Ndi njira yanji yomwe imatulutsa shuga m'magazi mwachangu kwambiri ndipo ikulosera? Yankho: shuga mu mawonekedwe ake oyera.

Mapiritsi a glucose

Glucose ndiye chinthu chomwe chimazungulira m'magazi chomwe timachitcha "shuga wamagazi". Glucose wa chakudya amatengedwa m'magazi ndikuyamba kuchitapo kanthu. Thupi silifunikira kuligaya; silichita kusintha kwa chiwindi. Ngati mutafuna piritsi la shuga mkamwa mwanu ndi kumamwa ndi madzi, ndiye kuti ambiri amadzalowetsa m'magazi kuchokera pakamwa panu kamkamwa, ngakhale kumeza sikofunikira. Zina zimalowa m'mimba ndi m'matumbo ndipo zimayamwa nthawi yomweyo.

Kuphatikiza kuthamanga, mwayi wachiwiri wama mapiritsi a glucose ndi kulosera. Nthawi ya hypoglycemia wodwala yemwe ali ndi matenda amtundu wa 1 kapena 2, omwe akulemera makilogalamu 64, gramu imodzi ya glucose imakweza shuga ndi magazi pafupifupi 0.28 mmol / L. Mothandizidwa ndi wodwala yemwe ali ndi matenda a shuga a mtundu wachiwiri, kupanga insulini kapamba kumazimiririka, pomwe wodwala wokhala ndi matenda amtundu wa 1 sapezeka. Ngati shuga m'magazi siwotsika kuposa masiku onse, ndiye kuti wodwala yemwe ali ndi matenda a shuga a 2 sangachititse glucose chifukwa ziphuphu zake "amazimitsa" ndi insulin yake. Kwa wodwala yemwe ali ndi matenda a shuga 1, komabe gramu imodzi ya glucose imawonjezera shuga m'magazi ndi 0.28 mmol / l, chifukwa alibe kupanga insulin.

Munthu akayamba kulemera, mphamvu ya glucose imachepa, komanso kuchepa kwa thupi, kumalimbikira. Kuti mupeze momwe gramu imodzi ya glucose ingakulitsire shuga m'magazi anu kulemera kwanu, muyenera kupanga gawo. Mwachitsanzo, kwa munthu amene ali ndi thupi lolemera makilogalamu 80, pamakhala 0.28 mmol / L * 64 kg / 80 kg = 0.22 mmol / L, ndipo kwa mwana wolemera makilogalamu 48, 0.28 mmol / L * 64 kg / 48 kg = 0,37 mmol / l.

Chifukwa chake, poletsa hypoglycemia, mapiritsi a shuga ndi chisankho chabwino kwambiri. Amagulitsidwa m'mafakitala ambiri ndipo ndi otsika mtengo kwambiri. Komanso, m'misika yogulitsa masamba komwe amakhala, mapiritsi a ascorbic acid (vitamini C) okhala ndi shuga amagulitsidwa nthawi zambiri. Itha kugwiritsidwanso ntchito motsutsana ndi hypoglycemia. Mlingo wa vitamini C mwa iwo nthawi zambiri amakhala wotsika kwambiri. Ngati ndinu aulesi kuti musunge mapiritsi a shuga - tengani magawo a shuga abwino. Zambiri 2-3 zokha, osati zochulukirapo. Maswiti, zipatso, timadziti, ufa - siabwino kwa odwala omwe amachita pulogalamu yothana ndi matenda a shuga 1 kapena pulogalamu yachiwiri yamatenda a shuga ...

Ngati mwakhudza mapiritsi a glucose, sambani m'manja musanayeze shuga ndi magazi. Ngati kulibe madzi, gwiritsani ntchito nsalu yonyowa. Monga chomaliza, nyambita chala chomwe mukufuna kubaya, kenako ndikupukuta ndi nsalu yoyera kapena mpango. Ngati shuga watsala pakhungu la chala, ndiye kuti zotsatira za kuyeza shuga m'magazi zidzasokonekera. Sungani mapiritsi a glucose kutali ndi mita ndikuwonetsetsa kuti akupita.

Funso lofunika kwambiri ndilakuti ndiyenera kudya mapiritsi angati a shuga? Ikulume zokwanira kukweza shuga m'magazi anuwo, koma osatinso. Tiyeni titenge chitsanzo chothandiza. Tinene kuti mumalemera 80 kg. Pamwambapa, tidawerengera kuti gramu imodzi ya glucose iwonjezera shuga m'magazi anu ndi 0.22 mmol / L. Tsopano muli ndi shuga wamagazi a 3.3 mmol / L, ndipo mulingo woyenera ndi 4.6 mmol / L, i.e. muyenera kuwonjezera shuga ndi 4.6 mmol / L - 3.3 mmol / L = 1.3 mmol / l. Kuti muchite izi, tengani 1.3 mmol / L / 0.22 mmol / L = 6 magalamu a shuga. Ngati mugwiritsa ntchito miyala ya glucose yolemera gramu imodzi iliyonse, imakhala ndi mapiritsi 6, osatinso ochepa.

Zoyenera kuchita ngati shuga m'magazi asanakudya

Zitha kuchitika kuti mumapezeka kuti muli ndi shuga ochepa musanayambe kudya. Ngati mutsatira zakudya zamagulu ochulukitsa kuti muchepetse matenda a shuga 1 kapena mtundu 2, ndiye kuti mumadya mapiritsi a glucose nthawi yomweyo, kenako ndikudya "zenizeni". Chifukwa chakuti zakudya zamagulu ochepa zimapangidwa pang'onopang'ono. Ngati simuletsa hypoglycemia, ndiye kuti izi zitha kudzetsa kudya kwambiri komanso kulumpha mu shuga m'maola ochepa, zomwe zimakhala zovuta kutulutsa.

Momwe mungathanirane ndi kuukira kwa kususuka ndi hypoglycemia

Hypoglycemia yofatsa komanso yofatsa imatha kuyambitsa mavuto osaneneka komanso nkhawa. Kulakalaka kudya zakudya zodzaza ndi zomanga thupi kumatha kukhala kosalamulirika. Zikakhala zotere, wodwala matenda ashuga amatha kudya kilogalamu imodzi yokha ya ayisikilimu kapena mankhwala a ufa kapena kumwa lita imodzi ya zipatso. Zotsatira zake, shuga m'magazi ochepa amatha kukhala ochulukirapo. Pansipa muphunzira zoyenera kuchita ndi hypoglycemia kuti muchepetse zovuta ku thanzi lanu chifukwa cha mantha komanso kudya kwambiri.

Choyamba, kuyesa kusanachitike ndikuwonetsetsa kuti mapiritsi a glucose amalosera kwambiri, makamaka mtundu wa matenda ashuga. Ndi magalamu angati a shuga omwe mwadya - momwemonso shuga yanu yamagazi imakwera, osatinso mochepera. Dziyang'anireni nokha, mudzionere nokha pasadakhale. Izi ndizofunikira kuti mukakhala ndi vuto la hypoglycemia musachite mantha. Mutatha kumwa mapiritsi a glucose, mudzakhala otsimikiza kuti kusiya kuzindikira ndi kufa sizowopsa.

Chifukwa chake, tidalamulira mantha, chifukwa tidakonzekeratu pasadakhale vuto la hypoglycemia. Izi zimathandiza wodwala yemwe ali ndi matenda ashuga kuti azikhala wodekha, kuti asamaganize bwino, ndipo pali mwayi wochepa woti chidwi chofuna kususuka chingathe kuchoka. Koma bwanji ngati, mutatha kumwa mapiritsi a glucose, njala yakuthengo siyikulibe vuto? Izi zitha kukhala chifukwa chakuti theka la moyo wa adrenaline m'mwazi ndi wautali kwambiri, monga tafotokozera m'gawo lapita. Pankhaniyi, kutafuna ndikudya zakudya zamafuta ochepa pamndandanda wololedwa.

Komanso, ndikofunikira kugwiritsa ntchito zinthu zomwe zilibe chakudya. Mwachitsanzo, kudula nyama. Muno, simungathe kudya mtedza, chifukwa simungathe kukana ndikudya zambiri zake. Mtedza umakhala ndi chakudya chamagulu angapo, ndipo zochulukirapo zimawonjezera shuga m'magazi, zomwe zimapangitsa zotsatira za malo odyera achi China. Chifukwa chake, ngati njala siyingalekerere, ndiye kuti mumamiza ndi zakudya zamafuta ochepa.

Shuga wokwanitsidwa bwino, ndipo zizindikiro za hypoglycemia sizimatha

Mu vuto la hypoglycemia, kutulutsa kwakatulu kwa timadzi ta epinephrine (adrenaline) kumachitika m'magazi. Ndiye amene amayambitsa zambiri zosasangalatsa. Shuga wamagazi akatsika kwambiri, ndiye poyankha izi, tiziwalo timene timatulutsa adrenaline ndikuwonjezera kuchuluka kwake m'magazi. Izi zimachitika mwa odwala onse omwe ali ndi matenda ashuga, kupatula okhawo omwe adalepheretsa kuzindikira kwa hypoglycemia. Monga glucagon, adrenaline imapatsa chiwindi chizindikilo kuti glycogen iyenera kusinthidwa kukhala glucose. Imafulumizanso kukoka, imayambitsa khungu, manja akunjenjemera ndi zizindikiro zina.

Adrenaline ali ndi theka la moyo pafupifupi mphindi 30. Izi zikutanthauza kuti ngakhale ola limodzi pambuyo poti vuto la hypoglycemia lithe, ¼ adrenaline akadali m'magazi ndikupitilizabe kuchita. Pazifukwa izi, Zizindikiro zitha kupitiliza kwakanthawi. Ndikofunikira kuvutika ola limodzi mutatha kumwa mapiritsi a shuga. Munthawi imeneyi, chinthu chofunikira kwambiri ndikupewa chiyeso chofuna kudya kwambiri. Ngati patatha ola limodzi, zizindikiro za hypoglycemia sizikuchoka, yeretsaninso shuga ndi glucometer ndikuchitanso zina.

Khalidwe lonyansa la wodwala matenda ashuga mu mtundu wa hypoglycemia

Ngati wodwala yemwe ali ndi matenda ashuga ali ndi hypoglycemia, ndiye kuti izi zimasokoneza kwambiri moyo wa abale ake, abwenzi ndi anzawo. Pali zifukwa ziwiri izi:

• mu mkhalidwe wa hypoglycemia, odwala matenda ashuga nthawi zambiri amakhala mwamwano komanso mwamwano;
• wodwalayo atha kufa mwadzidzidzi, ndipo akufunika kuchipatala mwachangu.

Momwe mungachitire ngati wodwala matenda ashuga ali ndi vuto lalikulu la hypoglycemia kapena atayika, tikambirana m'gawo lotsatira. Tsopano tiyeni tikambirane zomwe zimayambitsa khwawa komanso momwe mungakhalire ndi wodwala matenda a shuga popanda mikangano yopanda pake.

Pa vuto la hypoglycemia, wodwala matenda ashuga amatha kuchita zachilendo, mwamwano komanso mwamwano pazifukwa ziwiri zazikulu:

• adalephera kudziletsa;
• Kuyesa kwa ena kuti amudyetse maswiti kumatha kuvulaza.

Tiyeni tiwone zomwe zimachitika mu ubongo wa wodwala yemwe ali ndi matenda ashuga pakamenyane ndi hypoglycemia. Ubongo mulibe glucose wokwanira wogwira ntchito bwino, ndipo chifukwa cha izi, munthu amakhala ngati waledzera. Zochita zamisili zimalephera. Izi zitha kuwonetsedwa ndi zizindikiro zosiyanasiyana - kuwopsa, kapena kusasinthika, kukoma mtima kwakukulu kapena kukwiya kosagwirizana ndi izi. Mulimonsemo, zizindikiro za hypoglycemia zimafanana ndi kuledzera. Wodwala matenda ashuga ali ndi chidaliro kuti tsopano ali ndi shuga wabwinobwino, monganso munthu woledzera amakhala wotsimikiza kuti ndi wodekha. Mowa woledzera komanso hypoglycemia amasokoneza ntchito zomwe zimachitika m'magawo amodzimodzi a ubongo.

Wodwala matenda ashuga aphunzira kuti shuga wambiri ndi wowopsa, amawononga thanzi, motero ayenera kupewedwa. Ngakhale atakhala kuti ali ndi hypoglycemia, amakumbukirabe izi. Ndipo pakadali pano, akutsimikiza kuti shuga ake ndi abwinobwino ndipo, kwakukulu, amakhala ndi nyanja yakuya. Ndipo kenako wina akufuna kumudyetsa zakudya zamafuta owopsa ... Mwachidziwikire, m'mikhalidwe yotere, wodwala matenda ashuga adzaganiza kuti ndiwachiwiri yemwe akuchita nawo zomwe zikuyenda bwino ndikuyesera kuti zimupweteke. Izi zimachitika makamaka ngati wokwatirana naye, kholo kapena mnzake kale anayesanso kuchita zomwezo, kenako zidapezeka kuti wodwalayo ali ndi shuga wabwinobwino.

Choyipa chachikulu chodzetsa mkwiyo wa wodwala matenda ashuga ndikuyesetsa kuponya maswiti mkamwa mwake. Ngakhale, monga lamulo, kukopa pakamwa ndikwanira izi. Ubongo, wokwiyitsidwa ndi kusowa kwa glucose, amauza mwini wake malingaliro opusitsawo kuti mnzawo, kholo kapena mnzake amamufunira zabwino ngakhalenso kumupha, kumuyesa chakudya chabwino chovulaza. Muzochitika zotere, woyera mtima yekha ndi amene akadakana kutsutsana ... Anthu ozungulira ife nthawi zambiri amakhumudwa ndikuwopsezedwa ndi zovuta za wodwala matenda ashuga poyesa kumuthandiza.

Mnzake kapena makolo a wodwala matenda ashuga amatha kuyamba kuopa kuvutitsidwa kwambiri ndi hypoglycemia, makamaka ngati wodwala matenda ashuga anali atalephera kuchita zomwezi.Nthawi zambiri maswiti amasungidwa m'malo osiyanasiyana m nyumbayo kuti akhale pafupi ndipo odwala matenda ashuga amawadyera nthawi yofunikira. Vuto ndilakuti theka la milandu, anthu omuzungulira amakaikira hypoglycemia wodwala matenda ashuga pamene shuga lake limakhala labwinobwino. Izi zimachitika nthawi zambiri pamilandu yabanja chifukwa chazifukwa zina. Otsutsa amaganiza kuti wodwala wodwala matenda ashuga ndiwosokonekera chifukwa ali ndi hypoglycemia tsopano. Mwanjira imeneyi amayesa kupewa zifukwa zenizeni, zovuta kwambiri zomwe zimachititsa kuti anthu ena azinyinyirika. Koma mu theka lachiwiri la milandu yachilendo, hypoglycemia ilipo, ndipo ngati wodwala matenda ashuga akutsimikiza kuti ali ndi shuga yokhazikika, ndiye kuti akudziika pachiswe.

Chifukwa chake, mu theka la milandu pamene anthu pafupi ayesa kudyetsa wodwala matenda a shuga ndi maswiti, akulakwitsa, chifukwa kwenikweni alibe hypoglycemia. Kudya zakudya zopatsa thanzi kumayambitsa kudumpha m'magazi, ndipo izi sizoyipa kwa odwala matenda ashuga. Koma mu theka lachiwiri la milandu yomwe hypoglycemia ilipo, ndipo munthuyo nkuikana, amapanga mavuto osafunikira kwa ena, amadziika pachiwopsezo chachikulu. Momwe mungakhalire moyenera kwa onse? Ngati wodwala matenda ashuga amachita mosazolowereka, ndiye muyenera kumunyengerera kuti asadye maswiti, koma kuyeza shuga lake. Pambuyo pake, theka la milandu limapezeka kuti palibe hypoglycemia. Ndipo ngati zili choncho, ndiye kuti mapiritsi a shuga amapulumutsidwa, omwe tawasungitsa kale ndipo taphunzira kuwerengera bwino Mlingo wawo. Komanso, onetsetsani kuti mita ndi yolondola (momwe mungachitire izi). Zitapezeka kuti mita yanu yagona, ndiye siyani yomweyo ndikulondola.

Njira yachikhalidwe, pamene munthu wodwala matenda ashuga akakakamizidwa kudya maswiti, zimavulaza kwambiri. Njira ina yomwe tafotokoza m'ndime yapitayi iyenera kubweretsa mtendere m'mabanja ndikuwonetsetsa kuti onse akukhudzidwa. Zachidziwikire, ngati simupulumutsa pamitengo yoyesera ya mita ndi lancets. Kukhala ndi odwala matenda ashuga kumakhala ndi mavuto ambiri monga omwe wodwala matenda ashuga ali nawo. Kuyeza shuga panu pokhapokha ngati anthu am'banja lanu kapena omwe mukugwira nawo ntchito yanu ndiudindo wa odwala matenda ashuga. Kenako ziwoneka kale ngati hypoglycemia iyenera kuyimitsidwa pakumwa mapiritsi a shuga. Ngati mwadzidzidzi mulibe glucometer pafupi kapena mizere yoyeserera yatha, ndiye idyani mapiritsi a glucose okwanira kuti akweze shuga lanu la magazi ndi 2.2 mmol / L. Izi zimatsimikiziridwa kuti muteteze motsutsana ndi hypoglycemia yayikulu. Ndipo mudzazindikira ndi shuga wowonjezereka ngati mwayi wopezeka wa mita upezeka.

Zoyenera kuchita ngati wodwala matenda ashuga ali kale pafupi kufa

Ngati munthu wodwala matenda ashuga ali kale pafupi kufa, ndiye kuti ichi ndi chiwerewere, nkusintha kwambiri. Panthawi imeneyi, wodwalayo amawoneka wotopa kwambiri, wopanda nkhawa. Samayankha pazopempha, chifukwa sangathe kuyankha mafunso. Wodwalayo akadali wamantha, koma salinso wokhoza kudzithandiza. Tsopano zonse zimatengera omwe ali pafupi nanu - kodi amadziwa momwe angathandizire ndi hypoglycemia? Komanso, ngati hypoglycemia siivuta, koma kwambiri.

Zikakhala zotere, ndikachedwa kuyesa shuga ndi glucometer, mudzataya nthawi yamtengo wapatali. Mukapatsa wodwala mapiritsi a shuga kapena maswiti, ndiye kuti sangayendetse. Nthawi zambiri, amatha kulavulira chakudya cholimba kapena kutsamwitsa kwambiri. Pa nthawi iyi ya hypoglycemia, ndikulondola kuthira wodwala matenda ashuga ndi njira yothetsera shuga. Ngati sichoncho, ndiye kuti yankho la shuga. Maupangiri a matenda ashuga aku America amalimbikitsa kuti magwiritsidwe ntchito a ma glucose a gel, omwe amapaka mafuta m'mkamwa kapena m'matumbo, chifukwa kulibe chiopsezo choti wodwala wa shuga angatsetsere madzi ndi kutsamwa. M'mayiko olankhula Chirasha, tili ndi njira yothetsera shuga wa mankhwala osokoneza bongo kapena yankho lomwe timapanga kunyumba.

Njira yothetsera shuga imagulitsidwa ku malo ogulitsa mankhwala, ndipo odwala omwe ali ndi nzeru kwambiri a shuga amakhala nawo kunyumba. Amatulutsidwa kuti athe kuyesa mayeso okhudzana ndi glucose a maola 2 m'magulu azachipatala. Mukamamwa munthu wodwala matenda ashuga ndi shuga kapena njira ya shuga, ndikofunikira kuti muwonetsetse kuti wodwalayo sakutsamwa, koma akameza madziwo. Ngati mutha kuchita izi, ndiye kuti zizindikiro zoopsa za hypoglycemia zitha mofulumira. Pakatha mphindi 5, wodwalayo amatha kuyankha mafunso. Pambuyo pake, amafunika kuyeza shuga ndi glucometer ndipo, mothandizidwa ndi jakisoni wa insulin, achepetse ngati yokhazikika.

Kusamalidwa mwadzidzidzi ngati wodwala matenda ashuga atha

Muyenera kudziwa kuti wodwala wodwala matenda ashuga amatha kutaya mtima osati chifukwa cha hypoglycemia. Zomwe zimayambitsa zingakhalenso vuto la mtima, kugunda, kugwa kwamwadzidzidzi magazi. Nthawi zina odwala matenda ashuga samatha kudziwa ngati ali ndi shuga wambiri (22 mmol / L kapena kwambiri) masiku angapo motsatana, ndipo izi zimaphatikizidwa ndi kusowa kwamadzi. Izi zimatchedwa hyperglycemic coma, zimachitika kwa wodwala wosakwatiwa amene ali ndi matenda ashuga. Ngati mwalangidwa ndi pulogalamu yanthete ya matenda a shuga 1 kapena mtundu wachiwiri wa matenda a shuga, ndizokayikitsa kwambiri kuti shuga yanu imakwera kwambiri.

Monga lamulo, ngati muwona kuti wodwalayo wasowa chikumbumtima, palibe nthawi yoti mudziwe zifukwa zake, koma chithandizo chiyenera kuyambika nthawi yomweyo. Wodwala wodwala matenda ashuga akamwalira, ndiye kuti ayenera kupeza jakisoni wa glucagon, kenako ayenera kumvetsetsa zifukwa zake. Glucagon ndi timadzi tomwe timadzutsa shuga m'magazi, zomwe zimapangitsa kuti chiwindi ndi minofu zisinthe m'masitolo awo a glycogen kukhala glucose ndikudzaza magazi ndi shuga. Anthu omwe amadwala matenda ashuga ayenera kudziwa:

• pomwe zida zodzidzimutsa zimasungidwa;
• momwe mungapangire jakisoni.

Chithandizo chadzidzidzi cha jakisoni wa glucagon chimagulitsidwa ku pharmacies. Umu ndi vuto lomwe syringe yokhala ndi madzi imasungidwa, komanso botolo lokhala ndi ufa oyera. Palinso malangizo omveka bwino pazithunzi momwe angapangere jakisoni. Ndikofunikira kupaka jakisoni kuchokera mu syringe kulowa mu kapu, kenako ndikuchotsa singano mu kapu, kugwedeza bwino vial kuti yankho likasakanikirana, ndikubwezeretsanso syringe. Wachikulire amafunika kubaya buku lonse la syringe, subcutaneally kapena intramuscularly. Jakisoni itha kuchitika m'malo onse omwe insulin nthawi zambiri imabayidwa. Wodwala yemwe ali ndi matenda a shuga amalandira jakisoni wa insulin, ndiye kuti anthu am'banjamo amatha kuyeseza pasadakhale pomupatsa jakisoniyo kuti athe kupirira pambuyo pake ngati akufunika kuti apange jekeseni wa glucagon.

Ngati palibe zida zadzidzidzi zomwe zili ndi glucagon pamanja, muyenera kuyimbira ambulansi kapena kuperekera wodwala yemwe ali ndi matenda osowa shuga kuchipatala. Ngati munthu wasowa chikumbumtima, ndiye kuti musayesetse kuyika kenakake kudzera pakamwa pake. Osayika mapiritsi a glucose kapena chakudya cholimba pakamwa pake, kapena yesani kuthira zakumwa zilizonse. Zonsezi zimatha kulowa mumtunda wopumira, ndipo munthu amadzaza. Wosazindikira, wodwala matenda ashuga sangathe kutafuna kapena kumeza, chifukwa chake simungamuthandize motere.

Wodwala wodwala matenda ashuga akamwalira chifukwa cha hypoglycemia, amatha kukomoka. Pankhaniyi, malovu amasulidwa mokwanira, ndipo mano akung'ung'udza ndikumeta. Mutha kuyesa kulowetsa ndodo m'm mano a wodwala wosazindikira kuti asathe kuluma lilime lake. Ndikofunika kuti mumulepheretse kuluma zala zanu. Iikeni mbali yake kuti malovu amatuluka mkamwa, ndipo osakakamira.

Glucagon nthawi zina amayambitsa mseru komanso kusanza mu matenda ashuga. Chifukwa chake, wodwalayo ayenera kugona mbali yake kuti masanzi asalowe m'mapazi. Wodwala shuga, wodwala matenda ashuga ayenera kuyamba kupanga mkati mwa mphindi 5. Pasanathe mphindi 20, ayenera kukhala atayamba kuyankha mafunso. Ngati pakadutsa mphindi 10 palibe umboni wowoneka bwino, wodwala yemwe ali ndi vuto la matenda ashuga osafunikira ayenera kuthandizidwa mwachangu. Dokotala wa ambulansi amupatsa shuga m'magazi.

Jekeseni imodzi ya glucagon imatha kuwonjezera magazi mpaka 22 mmol / L, kutengera kuchuluka kwa glycogen yomwe yasungidwa m'chiwindi. Ngati chikumbumtima chatha, wodwala matenda ashuga ayenera kuyeza shuga m'magazi ake ndi glucometer. Ngati maola 5 kapena kupitirira adadutsa kuyambira jakisoni womaliza wa insulin yothamanga, ndiye kuti muyenera kupaka insulin kuti mubwezeretse shuga. Izi ndizofunikira kuchita chifukwa njira yokhayo yomwe chiwindi chimayamba kubwezeretsa m'masitolo ake a glycogen. Iwo adzachira pasanathe maola 24. Ngati wodwala matenda ashuga ataya kawiri kawiri mu mzere kwa maola angapo, ndiye kuti jekeseni wachiwiri wa glucagon sangathandize, chifukwa chiwindi sichinabwezeretse malo ake ogulitsira glycogen.

Wodwala matenda ashuga atatsitsidwanso jakisoni wa shuga, tsiku lotsatira amafunika kuyeza shuga ndi glucometer maola 2,5 onse, kuphatikiza usiku. Onetsetsani kuti hypoglycemia siyikuchitikanso. Ngati shuga wa magazi atsika, nthawi yomweyo gwiritsani ntchito mapiritsi a glucose kuti achulukitse. Kuwunikira mosamala ndikofunikira kwambiri, chifukwa ngati wodwala matenda ashuga ayambiranso, ndiye kuti jekeseni wachiwiri wa glucagon sangamuthandize kudzuka. Chifukwa - tidafotokozera pamwambapa. Nthawi yomweyo, shuga wokwanira ayenera kusinthidwa pafupipafupi. Jekeseni wachiwiri wa insulin yothamanga sangathe kutero osapitirira maola 5 mutatha.

Ngati hypoglycemia ili yoopsa kwambiri mwakuti mumalephera kudziwa bwino, muyenera kuunikanso njira yanu yothandizira odwala matenda ashuga kuti mumve molakwika. Werengani werengani mndandanda wazomwe zimayambitsa hypoglycemia, zomwe zimaperekedwa pamwambapa.

Sungani ku hypoglycemia pasadakhale

Masheya a hypoglycemia ndi magome a glucose, zida zamwadzidzidzi ndi glucagon, ndi yankho la glucose yofunikiranso ndikofunikira. Kugula zonsezi pamankhwala ndikosavuta, osati mtengo, ndipo kungapulumutse moyo wa wodwala matenda ashuga. Nthawi yomweyo, zopereka za hypoglycemia sizithandiza ngati anthu okuzungulirani sakudziwa komwe zasungidwa, kapena sakudziwa momwe mungathandizire mwadzidzidzi.

Sungani zothandizira za hypoglycemia nthawi yomweyo m'malo angapo oyenera kunyumba ndi kuntchito, ndipo lolani abale ndi abale kudziwa komwe asungidwa. Sungani mapiritsi a glucose m'moto wanu, chikwama chanu, chikwama chanu chaching'ono ndi chikwama cha dzanja. Mukamayenda pandege, sungani zofunikira zanu zama hypoglycemic pamalonda anu, komanso katundu wapawiri mumtolo womwe mukuyang'ana. Izi ndizofunikira ngati katundu aliyense atayika kapena kuba kwa inu.

Sinthani zida zodzidzimutsa ndi glucagon pomwe nthawi yake ikatha. Koma mukakhala mu hypoglycemia, mutha kupanga jakisoni, ngakhale itatha. Glucagon ndi ufa pang'ono. Popeza ndi youma, imakhalabe yogwira ntchito kwa zaka zingapo pambuyo pake kumaliza ntchito. Inde, izi zimachitika pokhapokha ngati sizinawonekere kutentha kwambiri, monga zimachitika mchilimwe mgalimoto yotsekedwa padzuwa. Ndikofunika kusunga zida zadzidzidzi ndi glucagon mufiriji pamtunda wa + 2-8 digiri Celsius. Njira yokhazikika ya glucagon itha kugwiritsidwa ntchito pokhapokha maola 24.

Ngati munagwiritsa ntchito china kuchokera m'matangadza anu, azibwezereni mwachangu. Sungani miyala yambiri ya glucose ndi mizere yama glucose mita. Nthawi yomweyo, mabakiteriya amakonda kwambiri shuga. Ngati simugwiritsa ntchito mapiritsi a glucose kwa miyezi 6-12, ndiye kuti atha kukumbidwa ndi mawanga akuda. Izi zikutanthauza kuti mabakiteriya akhazikitsa. Ndikofunika nthawi yomweyo kusintha magomewo ndi atsopano.

Chizindikiro Chazindikiritso za Matenda a shuga

M'mayiko olankhula Chingerezi, zingwe za ID, zingwe ndi ma medallions a odwala matenda a shuga ndizodziwika. Ndiwothandiza kwambiri ngati munthu wodwala matenda ashuga afafaniza chifukwa amapereka chidziwitso chofunikira kwa othandizira azaumoyo. Wodwala matenda a shuga a ku Russia sayenera kuyitanitsa izi kuchokera kunja. Chifukwa sizokayikitsa kuti dokotala wa ambulansi amvetsetsa zomwe zalembedwa mu Chingerezi.

Mutha kudzipangira kukhala chibangili chazidziwitso polamula cholemba. Bangili ndibwino kuposa medallion chifukwa mwina akatswiri azachipatala amazindikira.

Hypoglycemia mu shuga: mawu omaliza

Mwina mwamvapo nkhani zambiri zowonetsa kuti odwala omwe ali ndi matenda ashuga 1, hypoglycemia imachitika ndipo imakhala yovuta kwambiri. Nkhani yabwino ndiyakuti vutoli limangokhudza anthu odwala matenda ashuga omwe amatsata zakudya "zopatsa thanzi", kudya zakudya zambiri ndipo motero amafunika kubaya insulini yambiri. Ngati mukutsatira pulogalamu yathu yothandizira odwala matenda ashuga a mtundu woyamba, chiopsezo cha hypoglycemia ndichotsika kwambiri. Kuchepetsa kambiri pachiwopsezo cha hypoglycemia ndikofunikira, koma osakhala chifukwa chofunikira kwambiri chosinthira mtundu wathu 1 wodwala matenda a shuga.

Ngati mupita zakudya zamafuta ochepa, insulin yanu imatsika kwambiri. Komanso, odwala athu samamwa mapiritsi owononga a shuga omwe amayambitsa hypoglycemia. Pambuyo pa izi, hypoglycemia imatha kupezeka kamodzi mwa milandu iwiri: munadzivulaza mwangozi insulin kuposa momwe mukufunikira, kapena jekeseni wa insulin yofulumira osadikirira maola 5 mpaka mlingo watha. Khalani omasuka kufunsa am'banja mwanu ndi ogwira nawo ntchito kuti aphunzire nkhaniyi. Ngakhale chiwopsezo chimachepetsedwa, mutha kukhalabe mu vuto la hypoglycemia, pomwe simungathe kudzipulumutsa nokha, ndipo ndi anthu okhawo omwe okuzungulirani omwe angakupulumutseni kuti musataye chikumbumtima, imfa kapena kulumala.