Matenda a shuga ndi vuto lalikulu lomwe lingakhale lowopsa kwa wodwala matenda ashuga. Hypoglycemia yayikulu, yomwe imayamba chifukwa cha kuchepa kwambiri kwa shuga m'magazi kapena kuwonjezeka kwa kuchuluka kwa insulin, kumabweretsa kudwala kwa matenda ashuga.
Popanda thandizo la panthawi yake, kudwala insulin, kapena monga kumatchedwanso vuto la shuga, kumatha kubweretsa zovuta zambiri, kuphatikizapo kuwonongeka kwa ubongo. Chifukwa chake, ndikofunikira kuti wodwala wodwala matenda ashuga azindikire zomwe zimayambitsa mantha, kuti athe kuzindikira zizindikilo zake zoyambirira mu nthawi komanso akhale wokonzeka kuziletsa.
Zifukwa
Mavuto a glycemic nthawi zambiri amakhudza anthu omwe ali ndi matenda ashuga a mtundu woyamba. Chiwopsezo chokhala ndi vutoli ndichokwera kwambiri chifukwa cha matenda, pamene wodwalayo alumpha kwambiri m'magazi a shuga.
Zotsatirazi zingayambitse vuto la matenda ashuga:
- Subcutaneous makonzedwe a kuchuluka kwambiri kwa insulin;
- Kukhazikitsidwa kwa mahomoni osati mu minofu yaying'ono, koma minyewa. Izi zitha kuchitika mwangozi ngati wodwalayo apereka jakisoni mwachangu kapena atatenga syringe yotalika kwambiri. Koma nthawi zina odwala mwadala amayendetsa mankhwala a insulin mu minofu, kuyesera kulimbikitsa mphamvu yake;
- Kuchita zinthu zambiri zolimbitsa thupi, mwachitsanzo, mukamagwira ntchito kapena kuchita masewera olimbitsa thupi, pomwepo wodwalayo sanadye zakudya zokhala ndi michere yambiri;
- Ngati wodwalayo adayiwala kapena amatha kudya jakisoni wa insulin;
- Kugwiritsa ntchito zakumwa zoledzeretsa;
- Kusintha jekeseni malo kuti uthandizire kuyamwa kwa mankhwala;
- Mimba mwa amayi, makamaka miyezi itatu yoyamba;
- Kulephera kwa chiwindi;
- Steatosis ya chiwindi (mafuta osowa).
Makamaka nthawi zambiri, matenda a insulin amadziwika kwambiri ndi odwala omwe ali ndi matenda a chiwindi, impso, matenda am'mimba komanso endocrine system.
Chochititsa china chodziwika bwino cha zovuta za shuga ndikugwiritsa ntchito mankhwala ena.
Vutoli nthawi zina limawonedwa ngati njira yothira mankhwala a salicylates, makamaka akaphatikizidwa ndi sulfonamides.
Zizindikiro
Nthawi zina kudwala matenda ashuga kumayamba msanga. Izi zimachitika magazi a wodwala akamatsika kwambiri. Pakadali pano, munthu amatha kukumbukira, ndipo patapita mphindi zochepa amayamba kugwa pansi.
Pofuna kupewa izi, wodwala wodwala ayenera kusiyanitsa zizindikiro zoyambirira za hypoglycemia, zomwe zikuwonetsedwa motere:
- Kumva kwamphamvu njala;
- Mutu, chizungulire;
- Magetsi otentha omwe amafalikira thupi lonse;
- Kufooka kwakukulu, kulephera kupanga zolimbitsa thupi ngakhale pang'ono;
- Matenda amtima, munthu amatha kumva momwe mtima wake ukugunda;
- Kuchulukitsa thukuta;
- Kuchuluka kwa manja ndi miyendo;
- Amanjenjemera m'thupi lonse, makamaka m'madera akumtunda komanso otsika.
Pakadali pano, kuthana ndi glycemia ndikosavuta. Ndikofunikira kupatsa wodwala mankhwala aliwonse okhala ndi chakudya chambiri, mwachitsanzo, msuzi wochokera ku zipatso zotsekemera, uchi kapena chidutswa cha shuga.
Komanso, kukonza mkhalidwe wa wodwala, njira ya shuga kapena mapiritsi angagwiritsidwe ntchito.
Mankhwala Atsiku Atsikulo
Mavuto a shuga nthawi zambiri amakumana ndi odwala omwe amagwiritsa ntchito insulin pokonzekera matenda a shuga. Zikatere, kudwala kwa insulin nthawi zambiri kumagwira munthu masana kapena usiku kugona.
Mlandu wachiwiri ndiwowopsa kwambiri, chifukwa munthu wogona saona vuto lomwe likukula. Pankhaniyi, kuukira kwa hypoglycemia usiku kumatenga nthawi yayitali ndipo kumatha kubweretsa zovuta, mpaka kutha.
Pofuna kupewa kufalikira kwa glycemic, wodwalayo payekha komanso abale ake ayenera kulabadira izi:
- Vuto la kugona. Maloto amasokonezeka, ndipo malotowo nawonso amakula kwambiri. Odwala ambiri omwe ali ndi hypoglycemia amadwala zoopsa;
- Wodwalayo amatha kuyamba kulota m'maloto, kufuula ngakhale kulira. Izi ndizowona makamaka kwa ana omwe ali ndi matenda ashuga;
- Kubwezeretsa amnesia. Kudzuka, wodwalayo mwina sangakumbukire zomwe adalota, kapena ngakhale zomwe zinali usiku wathawu;
- Chisokonezo. Wodwala sangamvetsetse komwe akupezeka, zimamuvuta kuti azingoyang'ana zina ndi kusankha zochita.
Ngati wodwala akwanitsa kudzuka panthawi ndikuletsa kukula kwa hypoglycemia, ndiye kuti adziteteza ku matenda a shuga. Komabe, zodabwitsazi zimakhudza kwambiri mkhalidwe wake ndipo tsiku lotsatira adzamva kupuma komanso kufooka thupi lonse.
Kuphatikiza apo, hypoglycemia imakhudza psyche ya wodwalayo, chifukwa chake amatha kukhala osanunkha kanthu, osakwiya, amisodzi, amanjenje, komanso amatha kukhala osachita chidwi.
Matenda a shuga
Ngati zizindikiro zoyambirira za hypoglycemia sizinapatse wodwalayo chithandizo chamankhwala choyenera, ndiye kuti matenda akewo adzakulirakulira pang'onopang'ono mpaka atayamba kudwala matenda ashuga.
Pa gawo loyamba, zizindikiro zotsatirazi ndi izi:
- Khungu pakhungu ndipo kumatuluka thukuta;
- Zotsatira
- Minyewa yonse ya wodwala imakhala yovuta kwambiri.
Ndi chitukuko chowonjezeka cha zovuta, wodwalayo amayamba kuwonetsa zizindikiro zazikulu za kuchepa kwa shuga m'thupi, ndizo:
- Kuthamanga kwa magazi;
- Minyewa imatha kumvekera ndipo imakhala yowopsa;
- Kuthamanga kwa mtima kumatsika kwakukulu;
- Kupuma kumakhala pafupipafupi komanso kosaya;
- Ana amaso samayang'ana kukoka, kuphatikizapo kuwala;
- Kusapezeka kwathunthu kwa kutikita minofu.
Panthawi imeneyi, wodwala amafunikira chithandizo choyenera chamankhwala. M'malo mwake, amatha kugwa, komwe nthawi zambiri kumabweretsa kufa.
Kukula kwaposachedwa kwamavuto kumawonetsedwa ndi zizindikiro zowopsa kwambiri zomwe zikuwonetsa kuyambika kwa dziko loyipa:
- Trismus, kuphipha kwa minofu yokhudza nkhope;
- Kukakamira mthupi lonse;
- Kusanza ndi kusanza;
- Chisangalalo champhamvu, chomwe chimasinthidwa ndi chidwi chathunthu.
Gawo ili, monga lamulo, limatenga nthawi yochepa kwambiri, kenako wodwalayo amasiya kuzindikira ndikugwa. Pankhaniyi, ndikofunikira kuchipatala odwala nthawi yomweyo kuchipatala, komwe chithandizo chake chikuchitika mosamala kwambiri komanso kugwiritsa ntchito mankhwala amphamvu.
Ndikofunika kudziwa kuti pakukula kwa glycemic kugwedezeka, shuga sayenera kugwa. Odwala omwe akhala ndi matenda a shuga kwa nthawi yayitali ndipo azolowera shuga wambiri mthupi, kutsika kwa shuga mpaka 7 mmol / L kungayambitse hypoglycemia ndi chikomokere.
Thandizo loyamba
Chofunika kwambiri pothana ndi vuto la shuga ndi kupereka thandizo kwa nthawi yake kwa wodwala. Izi zithandiza kupewa zovuta zazikulu komanso kupulumutsa moyo wake.
Komabe, choyamba muyenera kuwonetsetsa kuti chifukwa chovutikira cha thanzi la munthu ndendende kuperewera kwa shuga, komwe ndikofunikira kuyang'ana kuchuluka kwa shuga. Ngati zotsatira zake zimakhala zotsika kwambiri kuposa mtengo wokhazikika kwa wodwalayo, ndiye kuti amakhala ndi hypoglycemia.
Kuthandiza wodwala ndi zovuta izi za matenda ashuga, zotsatirazi ziyenera kuchitika:
- Imbani ambulansi ndipo itanani gulu la madokotala, onetsetsani kuti muwadziwitsa kuti wodwala akudwala matenda ashuga ndipo tsopano ali ndi vuto la glycemic;
- Madokotala asanafike, muyenera kuthandiza wodwalayo kutenga malo abwino kwambiri, mwachitsanzo, kumukhazika pampando kapena kugona pa sofa;
- Patsani wodwala kuti azidya kapena kumwa china chokoma, monga msuzi wa zipatso, tiyi wokhala ndi shuga, uchi wachilengedwe, kupanikizana kapena maswiti. Odwala ambiri, akudziwa kuopseza kwa hypoglycemia, nthawi zambiri amakhala atatenga chinthu chokoma ndi iwo;
- Ngati wodwalayo ataya chikumbumtima ndikubwezeretsani kuti mumve sizotheka. Kenako pankhaniyi, mutha kumuyika pang'ono kachidutswa kakang'ono ka shuga ndi maswiti patsaya lake.
Pogwiritsa ntchito njira zosavuta izi, mutha kupulumutsa munthu pamavuto akulu komanso ngakhale kufa, zomwe zingayambitse vuto la shuga.
Pamafunika kuchipatala
Nthawi zina dokotala amene amafunsidwa kunyumba sangathe kuthandiza wodwala popanda kuchipatala. Chithandizo cha mankhwala othandizira amafunika kutsatira:
- Ngati ma jakisoni awiri a shuga omwe amaperekedwa pakatikati pake samabweza wodwalayo;
- Wodwala akakula kwambiri hypoglycemia nthawi zambiri;
- Ngati dotolo adatha kuyimitsa kudwala matenda ashuga, koma wodwalayo ali ndi mavuto akulu ndi mtima kapena dongosolo lamanjenje, mwachitsanzo, kupweteka kapena matenda a m'magazi omwe kale sanawonekere kwa wodwalayo.
Ndikofunika kukumbukira kuti insulin mantha ndi vuto lalikulu kwambiri la matenda ashuga, lomwe limakhudza maselo aubongo ndipo limayambitsa masinthidwe osasinthika mwa iwo.
Chifukwa chake, muyenera kuzitenga ndi kuzindikira kwambiri ndikupatsa wodwalayo chithandizo chonse chofunikira.
Chithandizo
Chithandizo cha matenda ashuga nthawi zonse chimayamba ndi kukhazikitsa pafupifupi 100 ml ya 40% yankho la shuga m'mitsempha. Mlingo weniweni wa mankhwalawa zimatengera kuuma kwa mkhalidwe wa wodwalayo komanso momwe angachiritsire msanga.
Pochiza odwala omwe ali pamavuto akulu, kukonzekera kwa ma glucagon kumagwiritsidwa ntchito, ndipo jekeseni wa intramuscular kapena intravenous wa glucocorticoids amachitidwanso. Wodwalayo akayambanso kuzindikira komanso kuti ayambe kumeza mayendedwe ake, ndiye kuti amathiridwe madzi nthawi zonse ndi njira yothetsera shuga kapena ndi zakumwa zilizonse zotsekemera.
Wodwalayo akakhala kuti sakudziwika kapena ali ndi vuto la mtima, kenako kuti akweze magazi ake, njira yatsopano ya m'magazi imalowetsedwa mkamwa mwake m'dera locheperako, pomwe mankhwalawa amatha kumizidwa m'magazi ngakhale atakhala ndi chikomokere. Komabe, ndikofunikira kuonetsetsa kuti madzi samalowa pakhosi la wodwalayo, apo ayi akhoza kutsamwitsidwa.
Tsopano, pofuna chitetezo cha wodwalayo, galasi yapadera yokhala ndi glucose imayamba kugwiritsidwa ntchito, yomwe imayikidwa pakamwa lamkamwa, kuchokera komwe imalowa ndi thupi. Nthawi zina uchi wamadzimadzi umagwiritsidwa ntchito m'malo mwa gel, lomwe silimachita bwino.
Tiyenera kudziwa kuti panthawi yamavuto a hypoglycemic ndizosatheka kuperekera insulin, chifukwa izi zimakulitsa mkhalidwe wake ndipo zitha kupangitsa kuti wodwalayo afe. Panthawi ya chithandizo, muyenera kupuma insulin mpaka shuga atafika pamlingo womwe mukufuna.
Zomwe mungachite pakuwonongeka kwa matenda ashuga auza katswiri muvidiyoyi.
