Kuwonongeka kwadzidzidzi kumatha kuchitika ndi kusokonezeka kwakanthawi komanso kwakanthawi m'magazi amitsempha yamagazi. Izi zimachitika ndi Reflex syncope yopweteka kwambiri, kupsinjika, kulimbitsa thupi.
Kuthamanga kwa magazi, kuthamanga kwa kutentha, hypoxia, poyizoni wa m'mimba, komanso kuchepa kwa hemoglobin m'magazi kungayambitse kukomoka.
Kuyiwalika kwa matenda ashuga kumachitika ndi matenda a hypoglycemia. Kuchepetsa shuga m'magazi kungakhale chifukwa cha kuchuluka kwa mankhwala kapena zolakwika mu zakudya za odwala matenda ashuga.
Zifukwa zochepetsera shuga
Kutsika kwa shuga m'magazi kumachitika mwa anthu athanzi omwe ali ndi vuto la kuperewera kwa m'thupi. Izi zimatha kudzetsa njala - kukakamizidwa kapena kuzindikira mukamawona kusala kwachipembedzo, kudya zakudya zoletsedwa, kapena kugwiritsa ntchito zakudya zopanda mavitamini, fiber.
Ngati, mutatha kudya, mutadya chakudya chochuluka ndi mafuta osavuta, ndiye kuti yankho lidzakulitsidwa kutulutsidwa kwa insulin, ndipo popeza malo ogulitsira a glycogen amachepetsa, ndiye kuti kuchepa kwa glucose kumakhala kotsika ndizofunikira.
Pakakhala vuto la madzi osakwanira, glucose imalipidwa kuti ikhale ndi njira zofunika kwambiri ndipo mulingo wake m'magazi umatsika. Ndi kupsinjika ndi kulimbitsa thupi mwamphamvu, kugwiritsa ntchito shuga kumachuluka chifukwa cha mahomoni a adrenal.
Ngati chakudyacho chili ndi maswiti ambiri ndi zinthu zopangidwa ndi ufa, ndiye kuti kapamba amagwira ntchito mopitirira muyeso, ndipo insulin yambiri imatsitsa shuga. Asanayambe kusamba, kupanga estrogen ndi progesterone kumachepa, zomwe zimapangitsa kuchuluka kwa glucose.
Odwala omwe ali ndi matenda ashuga, zinthuzi zingayambitse kuchepa kwa shuga. Palinso zifukwa zina zomwe zimapangitsa kukomoka m'matenda a shuga:
- Kudumpha chakudya mukamamwa mankhwala ochepetsa shuga kapena insulin.
- Insulin siilowetsedwa pakhungu, koma intramuscularly (singano yayitali kapena mwadala). Mu mawonekedwe awa, ntchito yake imawonekera mwachangu komanso mwamphamvu.
- Mankhwala osokoneza bongo a insulin kapena mapiritsi ochepetsa shuga.
- Kumwa mowa pamimba yopanda kanthu.
- Kubweretsa mankhwala mu dontho lokhala ndi mchere wambiri.
- Mental kapena m'maganizo.
Komanso, kwa odwala omwe ali ndi matenda ashuga, matenda ofanana ndi chiwindi, kuchepa kwa chithokomiro, zotupa za adrenal, malabsorption m'matumbo, matenda ndi zotupa.
Kumwa ma anabolic steroid, komanso osagwiritsa ntchito beta-blockers, kumatha kudzetsa hypoglycemia komanso kukomoka ndi matenda ashuga.
Zizindikiro zakuchepetsa shuga
Kwa odwala matenda ashuga, hypoglycemia ndi yoopsa, popeza sangathe kudziwa chiyambi chake nthawi zonse. Mothandizidwa ndi matendawa komanso kugwiritsa ntchito mankhwala ochepetsa shuga, Zizindikiro zimatha kusintha ndipo odwala awo akunyalanyaza. Ngati sanachitepo kanthu m'nthawi yake, ndiye kuti mukumwetulira.
Komanso, pakuchepetsa shuga m'magazi kuchokera pamitengo yambiri, odwala omwe ali ndi shuga amatha kumva kuti hypoglycemia, yomwe imadutsa mwachangu popanda chithandizo. Chifukwa chake, njira yayikulu ndikutsimikizira shuga la magazi kuti mumvetse machitidwe ena.
Ndi zizindikiro kuchokera ku 2.7 mpaka 3.3 mmol / l, wodwalayo amatha kubwezeretsa payekha shuga panjira yotseka. Ngati glycemia ndi yotsika kuposa 2 mmol / l, ndiye kuti chikomokere chimayamba, chofuna chithandizo chamankhwala.
Kuthamanga kwa kutsika kwa shuga m'magazi ndikofunikira. Mu shuga mellitus wa mtundu woyamba wokhala ndi mawonekedwe opukusika, chikomacho chimatha kukula bwino komanso ngakhale ndi glycemia wowonjezera. Milandu yotere imachitika ndi kuchepa msanga kwa magazi.
Njira zina zasayansi, kuwonjezera pa kudziwa kuchuluka kwa glucose m'magazi panthawi ya hypoglycemia, sizothandiza. Zizindikiro za hypoglycemia zimachitika motere:
- Mwadzidzidzi kufooka kumachitika.
- Njala imawoneka.
- Kuchepetsa mseru
- Zotsatira.
- Kutukwana kumachuluka.
- Manja akugwedezeka.
- Kusakwiya, mantha, nkhanza zikukula.
- Chizungulire
Pa magawo aliwonse awa, ndikosavuta kubweretsanso kuchuluka kwa shuga m'magawo oyambira, koma ngati izi sizinachitike, ndiye kuti masomphenyawo amayamba kupindika, kuwirikiza kawiri m'maso, mabwalo achikuda amawonekera, kugona kumatuluka. Ndi kupitiliza kwa hypoglycemia, kusokoneza, kusokonezeka kwa mawu kumawonekera, wodwalayo akuwuma.
Pambuyo powonetsera koteroko, ngati chithandizo sichiperekedwa, ndiye kuti matendawa amakula, zomwe zotsatira zake zimakhala imfa.
Hypoglycemia imatha kudwala wodwala matenda ashuga ngakhale atagona. Nthawi yomweyo, amakhala ndi ziloto, kumugwetsa thukuta. M'mawa mumakhala mutatopa.
Kodi mungapewe bwanji kukomoka ndi matenda ashuga?
Kuti muchepetse kuukira kwa hypoglycemia koyambirira, mutha kugwiritsa ntchito mafuta osavuta omwe wodwala matenda ashuga ayenera kukhala nawo nthawi zonse, ndipo abale ndi abwenzi apamtima ayenera kudziwa momwe angathandizire pakachitika zotere.
Shuga asanachuluke, ndibwino kuti muyiyeza ndi glucometer, chifukwa zomwe zimapangitsa odwala matenda ashuga kukhala osalondola. Ndikofunika kumwa glucose pamapiritsi, podziwa kuti 1 g ya glucose idzaonjezera shuga ndi 0,2 mmol / L.
Muthanso kumwa mafuta osavuta aliwonse omwe ali ndi kuchuluka kwa 12-15 g Mukhoza kukhala magawo awiri a shuga, supuni ya uchi, 150 g ya msuzi uliwonse wokoma wopanda zamkati, makamaka mphesa kapena apulo, chakumwa cha shuga, nthochi imodzi, zidutswa 6 za maapulo owuma. Zogulitsa zilizonse zokhala ndi shuga m'malo mwake ndizopanda ntchito.
Pambuyo pa mphindi 15, muyenera kuyesanso magazi m'magazi, ngati sichikula, ndipo zizindikirozo zikatsalira, ndiye kuti mlingo womwewo wa michere uyenera kutengedwanso.
Ngati wodwala ali ndi digiri yayikulu, koma amadziwa, ndiye kuti muyenera kuchita izi:
- Apatseni 15-20 g mafuta ochepa osavuta, makamaka mapiritsi a shuga.
- Pambuyo mphindi 20, muyenera kudya zopatsa mphamvu zovuta za 15-20 (buledi, phala, cracker, makeke).
- Pambuyo mphindi 15, kuyeza shuga.
Kugwedezeka kwambiri popanda kudziwa komwe kumachitika mu chipatala ndi kukonzekera kwa 40% shuga ndi jakisoni wa glucagon.
Zisonyezo zamankhwala amkati mwa mankhwalawa ndi hypoglycemia, yomwe singabwezeretsedwe ndi jakisoni wambiri wama glucose, komanso ngati wodwalayo ali ndi vuto la kuchepa kwa mitsempha, kusokonezeka kwa mitsempha kapena kusokonezeka kwa mtima.
Popewa kukula kwa chifuwa cha hypoglycemic, wodwala aliyense amafunika:
- Dziwani kaye zoyambitsa matenda ndi momwe mungazithetsere.
- Onetsetsani kuti mwapeza insulini ndi thanzi la syringe kapena njira zina zoperekera insulin.
- Muziwona shuga m'magazi tsiku lililonse m'mawa, musanagone, musanadye chilichonse.
- Kuwongolera glycemia panthawi yovuta yakuthupi komanso yamaganizidwe.
- Onani mitundu yonse ya chakudya, makamaka ndi insulin.
- Pewani chakudya chamafuta pang'ono ndikugwiritsa ntchito pokhapokha kuti muchepetse vuto la hypoglycemia.
- Mukamamwa mankhwalawa kuchiza matenda ena, dziwani momwe amachezera ndi shuga (Aspirin, Warfarin, Alopurinol).
- Onani mitundu yonse ya zakumwa zoledzeretsa.
Popewa hypoglycemia yausiku, ndikofunikira kwambiri kuyeza shuga m'magazi ola limodzi asanagone. Ngati insulin imayendetsedwa musanadye, ndikofunikira kudziwa kuchuluka kwa shuga maola atatu mutatha kudya. Pazizindikiro zomwe zili pansipa.
Mavuto omwe angakhalepo okhudzana ndi matenda a shuga afotokozeredwa mu kanema munkhaniyi.
