Pali kusintha kosiyanasiyana kwa chizindikiritso cha glucose m'thupi, chitha kugwa pansi pokhazikitsidwa ndikukula kwambiri. Kutsika kwa shuga kumayambitsa matenda a hypoglycemia, matenda omwe akupha anthu ambiri atha kufa.
Kupewa zotsatira zoyipa, ndikofunikira kumvetsetsa kuopsa kwa shuga wochepa komanso momwe mungadziwire matendawa moyenera. Ngati munthu ali ndi vuto lofananalo, ziwalo zonse zamkati ndi minofu sizilandira michere yokwanira, zomwe zimapangitsa kuti magazi awonongeke, dongosolo lamkati laubongo ndi ubongo zimavutika kwambiri, ndipo wodwalayo amagwa.
Kudziwa zofunikira zazikulu za shuga wochepa wamagazi, mutha kupewa zoyipa ndikuwongolera vutolo. Akatswiri amalimbikitsa, ngati patachitika zovuta nthawi zina ndi zomwe zimayambitsa matenda a shuga, kuti mudziwe zomwe zili zowopsa ndi shuga wochepa wamagazi ndikuwonetsetsa kwake.
Zomwe zimayambitsa shuga wochepa zimatha kukhala zosiyana, nthawi zina sizigwirizana ndi shuga. Zomwe zimapangitsa kuti shuga asachepetse magazi zitha kunama chifukwa chakuti munthu sanadye chakudya kwa maola opitilira 8.
Zifukwa zochepetsera shuga pamimba yopanda kanthu?
Chifukwa chiyani chimayamba kuvuta pamimba yopanda kanthu ngati chakudya chatha maola asanu ndi atatu?
Pali zifukwa zingapo zoyipa.
Kuti mudziwe zomwe zimayambitsa kusokonekera muumoyo amatha kupita kwa akatswiri azachipatala atawunika.
Zomwe zimayambitsa thanzi labwino:
- Pali madzi ochepa mthupi;
- munthu amadwala nthawi zonse;
- Amadya zakudya zopanda pake;
- amamwa mowa wambiri;
- ziwalo zamkati pali zotupa zoyipa;
- pali mavuto ndi chiwindi kapena kapamba.
Zomwe zimapangitsa kuti shuga asachepetse magazi zitha kunamiziranso chifukwa:
- Pali vuto ngati kunenepa kwambiri.
- Amadziwika ndi hyperinsulinism, yomwe imachitika chifukwa cha kusalinganika kwa mahomoni;
- Pali mtima kapena kulephera kwa impso.
Ngati shuga m'magazi ndi otsika mwachangu, kuyezetsa kosafunikira kumafunikira kuti mudziwe chomwe chimayambitsa matendawa. Kupanda kutero, vuto la wodwalayo limakulirakulira.
Kuphatikiza pa matenda, shuga wambiri kapena wotsika akhoza kukhala zotsatira za wodwala kutsogolera moyo wopanda thanzi. Chakudya choyenera ndi chimodzi mwazofunikira kwambiri.
Pafupifupi munthu aliyense amene amadya zakudya zopanda pake ndipo amakhalanso ndi zizolowezi zoyipa amatha kudwala kwambiri.
Kuti mupewe zoterezi, muyenera kumayesedwa ndi madokotala nthawi zonse ndikutsatira malangizo awo. Nthawi zambiri, kutsika kwa shuga mwa abambo kumawonetsa kukula kwa mavuto okhudzana ndi prostate. Ngakhale izi zimatha kuchitika chifukwa cha matenda ena.
Popanda kupenda mozama, ndizovuta kuzindikira chomwe chimayambitsa kukula kwa chikhalidwe monga hypoglycemia.
Zomwe zimayambitsa hypoglycemia
Izi nthawi zambiri zimagwirizanitsidwa ndi katundu pa thupi. Kuphunzitsidwa kwambiri kapena kugona kwambiri kungapangitse kuti muzindikire. Kutopa kosalekeza komwe munthu amakumana nako, kupweteka mutu pafupipafupi, nseru, izi ndi zizindikiro za shuga wamagazi ochepa.
Funso loti chifukwa chani munthu wamkulu kapena mwana angayambe kukhala ndi mavuto okhudzana ndi shuga wa magazi ndizovuta kwambiri, chifukwa zotsatira zake zimakhala zazikulu.
Kuphatikiza pa chithandizo chamankhwala, ndikofunikira kumvetsetsa zomwe zakudya zomwe zili ndi shuga wochepa zimathandiza kuthana ndi matenda otere.
Pali zifukwa zingapo za shuga wamagazi ochepa, zazikulu ndiz:
- chitukuko cha matenda a shuga;
- opaleshoni yam'mimba;
- matenda omwe amayambitsa kudya shuga wambiri ndi thupi;
- kutsika kwa shuga m'magazi mwa mwana kumachitika ndi zolimbitsa thupi zolimbitsa thupi;
- Zizindikiro zofananira ndizotheka ngati msungwanayo ali ndi pathupi adakali aang'ono;
- nthawi zina mwa ana zimachitika asidi acetylsalicylic;
- shuga amatha kugwa chifukwa cha mankhwala ena ake.
Ndi shuga ochepa, ndikofunikira kudziwa nthawi yomwe yayamba kuchepa kwa shuga ndikuyamba kuyimitsidwa kwake nthawi yomweyo.
Kodi mkhalidwe wa hypoglycemia umawonekera bwanji?
Choyamba muyenera kunena kuti izi zitha kuchitika nthawi ina iliyonse masana. Nthawi zambiri izi zimachitika m'mawa, munthu akangodzuka. Izi ndichifukwa choti akadzuka, wodwalayo alibe nthawi yakudya cham'mawa motero kuchuluka kwa shuga mwa akazi kapena amuna sikunakhale ndi nthawi yobwereranso kwina.
Kusintha kwa zomwe zimadziwika kuti kuyankha hypoglycemia, komwe kumachitika mutatha kudya chakudya, ndizotheka. Pankhaniyi, titha kunena bwinobwino kuti wodwalayo ayamba kudwala matenda a shuga.
Nthawi zambiri izi zimachitika ndi matenda ashuga. Kuphatikiza apo, muzochitika zomwe wodwala samayang'anira payokha payokha kapena kunyalanyaza malangizo a dokotala.
Kuti muzindikire thanzi lanu munthawi yake, muyenera kuphunzira zomwe zimayambitsa kuchepa kwa shuga m'magazi.
Zizindikiro zake ndi izi:
- Kugwedeza manja, kunjenjemera, m'malo osowa, kutentha kwadzidzidzi.
- Kuchulukitsa thukuta.
- Kuthamanga kofulumira.
- Kumva kwamphamvu njala.
- Polydipsia (ludzu).
- Kuwonongeka kowoneka - chophimba m'maso, khungu lakuda kapena masomphenya awiri, ntchentche.
- Chizungulire, kupweteka mutu.
- Kuchepetsa mseru
- Chisoni, kugona, kusakwiya.
- Khungu la nkhope, miyendo imakhala yotuwa.
- Kufooka mu minofu, dzanzi, kulemera kwa malekezero otsika.
- Tachycardia (mtima palpitations).
- Kukodza mwachangu (polyuria).
- Kusesa ma kanjedza nthawi yachisanu.
Ndi shuga wochepa, kusintha kwamtundu wamunthu musanagone kumatha kuchitika, kumawoneka:
- thukuta kwambiri (pepalalo limakhala lonyowa);
- kuyankhula, kukuwa m'maloto;
- kukwiya, ulesi pambuyo pogona.
Zina zonsezi zimatanthawuza kuti ubongo wa wodwalayo ukuvutika ndi kusowa kwa glucose. Zikakhala zoterezi, ndikofunikira kuti muphunzire funso la zoyenera kuchita poyamba kuti musawonongeke. Choyamba muyenera kukhala ndi chizolowezi chomayezera shuga mukatha kudya komanso m'mawa, kukayezetsa ndi kulandira chithandizo choyenera. Makamaka ngati shuga ya m'magazi imatsika pansi 3.3 mmol pa lita.
Mukanyalanyaza zizindikiro zoyambirira, zotsatirapo zake zingakhale zazikulu. Choyamba, wodwalayo amakhala ndi mavuto osayankhula, amakhala osavomerezeka, ndiye kuti pogona kuwonekera, ulendowo umakhala wosakhazikika ndipo pamakhala chizindikiritso chododometsa.
Zonse zimatha ndi chikomokere ndi imfa.
Momwe mungazindikire kukhala wathanzi munthawi yake?
Mkhalidwe wokhala ndi shuga wochepetsedwa umatha kumuwopseza munthu wakwiya. Ndikofunika kumvetsetsa momwe mungazindikire bwino kuwonongeka kwaumoyo wabwino, komanso momwe mungachotsere izi.
Aliyense amene ali ndi vuto la mayamwidwe a shuga m'thupi ayenera kumvetsetsa kuti hypoglycemia ndiyotani, momwe angathanirane molondola.
Zokambirana za momwe tingathandizire matenda matendawa nthawi zonse zimayamba ndi kufotokozera, chifukwa chake pamakhala kusintha kotero, komanso momwe zimakhudzira ntchito ya ziwalo zonse zamkati.
Muyenera kudziwa bwino momwe matendawa angadziwire munthawi yake, komanso momwe mungakulitsire shuga.
Dotolo amaliza chimaliziro chomaliza pamaziko a wodandaula komanso kufufuzidwa kwathunthu kwa wodwalayo. Kuti muchite izi, kwakanthawi, muyenera kuphunzira momwe munthu amagwirira ntchito ndikuyesa mayeso okhudzana ndi shuga. Kafukufuku wamtunduwu amachitika ndikukhazikitsidwa kwa chipatala kuchipatala. Mukufunikabe kuyezetsa magazi pogwiritsa ntchito glucometer. Ndiosavuta kunyamula kunyumba, mutha kuyeza kuchuluka kwa shuga mwa mwana kapena munthu wamkulu. Mitundu ya shuga yabwinobwino imayambira 3.3 mpaka 5,5 mmol pa lita. Chilichonse chotsika kapena chapamwamba kuposa magawo angalankhule za kukula kwa mavuto azaumoyo.
Madokotala onse amavomereza mogwirizana kuti mtundu wa shuga wachiwiri, ndikofunikira kuti azitha kuyeza mayeso kunyumba. Mu mtundu woyamba wa matenda, izi zimayenera kuchitika pafupipafupi. Mtundu wachiwiri wa matenda ashuga, chiopsezo chakukula kwambiri.
Ndi shuga wochepa, muyenera kufunafuna chithandizo chamankhwala nthawi yomweyo.
Kupanda kutero, zovuta za thupi m'thupi zimatha, zomwe zimayambitsa zovuta zazikulu.
Njira zazikulu zamankhwala
Pambuyo pazomwe zimapangitsa kuti shuga asakhale ndi magazi ochepa, njira zodziwikiratu zidadziwika, muyenera kudziwa zoyenera kuchita ndi vutoli.
Choyamba, muyenera kusintha shuga m'magazi ndi kupewa kupititsa patsogolo kwa hypoglycemia.
Mosasamala mtundu wa matenda omwe akukhudzidwa, muyenera kumwa mankhwala ochepetsa shuga kapena insulini malinga ndi malingaliro a katswiri.
Matenda a 2 a matenda a shuga amafunikira kugwiritsa ntchito pafupipafupi mankhwala ochepetsa shuga. Koma ndi matenda amtundu wa 1 shuga, mankhwala a insulin ndi omwe amapatsidwa. Zonsezi ndi zina zikutanthauza kuti ndikofunikira kuvomereza mogwirizana ndi malingaliro a katswiri.
Chifukwa china chomwe munthu angayambire kukhala ndi hypoglycemia chimawerengedwa ngati chakudya chosayenera. Chifukwa chake, kutsatira zakudya kumathandiza kupewa izi. Ndikofunika kudya zakudya pafupifupi zisanu, kapena kangapo patsiku m'magawo ang'onoang'ono, muyenera kusankha mosamala zakudya ndikuonetsetsa kuti palibe zakudya zoletsedwa pamenyu.
Koma choyambirira, ngati chizindikirocho chikuyamba kutsika kwambiri, muyenera kufunafuna thandizo kwa katswiri. Achita kafukufuku wokwanira ndikukulembetsani mtundu woyenera wa mankhwala ndikuwuzani choti mudye komanso kuchuluka kwake.
Monga tanena kale, nthawi zambiri zimachitika kuti hypoglycemia imayamba motsutsana ndi zovuta za thanzi la wodwalayo.
Pankhaniyi, muyenera kuyamba chithandizo chamankhwala omwe akudwala.
Njira zina zochizira
Kuphatikiza pa njira zoyenera zochizira hypoglycemia, mankhwala wowerengeka azitha kugwiritsidwa ntchito. Amathandiza onse pochiritsa mwana komanso odwala okalamba.
Koma muyenera kukumbukira nthawi zonse kuti ana, monga akulu, ayenera kulandira chithandizo motsogozedwa ndi akatswiri. Pambuyo pofunsana ndi adokotala, ndikotheka kusankha njira zina zamankhwala, ndizoletsedwa kuti muzigwiritsa ntchito nokha.
Mutha kupeza maphikidwe ambiri omwe angakuthandizeni kuthana ndi shuga m'magazi. Kuti maphikidwe azigwira ntchito bwino, muyenera kudziwa momwe mungazigwiritsire ntchito moyenera komanso momwe mungasankhire chopangira china.
Chinsinsi chotchuka kwambiri chimaphatikizapo kugwiritsa ntchito mandimu, adyo ndi parsley watsopano, mudzafunika zosakaniza zambiri:
- kilogalamu imodzi ya zipatso;
- magalamu mazana awiri a adyo;
- magalamu mazana atatu obiriwira.
Zigawozo ziyenera kuphwanyidwa bwino ndipo osakaniza amayenera kutetezedwa kwa masiku asanu. Zotsatira zake, amapatsa madzi, omwe amayenera kudyedwa kuchuluka kwa supuni katatu patsiku.
Monga mankhwala, mutha kugwiritsa ntchito babu. Iyenera kudulidwa bwino ndikuthira madzi otentha. Ikatha maola atatu, madziwo (madziwo) amayenera kudyedwa katatu patsiku mphindi makumi atatu asanadye. Pankhaniyi, mlingo umodzi ndi supuni imodzi.
Pali maphikidwe ena ambiri omwe amaphatikizapo kugwiritsa ntchito zitsamba ndi mbewu zosiyanasiyana.
Kodi hypoglycemia imauza katswiri wa kanemayu munkhaniyi.