Kukula kwa hypoglycemia - ndichani matenda a shuga, funsoli ndilokondweretsa kwa ambiri odwala odwala matendawa.
Limagwirira a hypoglycemic zochita za insulin amayamba mu thupi la wodwalayo pamene kuchuluka kwa shuga mu madzi am`magazi kuyandikira kufunika pafupi 4 mmol / g.
Hypoglycemia mu shuga ndimwazonse wothandizidwa ndi odwala omwe ali ndi matendawa. Nthawi zambiri, hypoglycemia imapezeka mu mtundu 1 wa matenda ashuga. Hypoglycemia mu mtundu 2 wa shuga imayamba ngati matendawa amathandizidwa ndi jakisoni wa mankhwala omwe ali ndi insulin ya mahomoni. Nthawi zina, kupezeka kwa hypoglycemia mu matenda ashuga ndi mtundu wachiwiri wa matenda osokoneza bongo kutha kuwonedwa ngakhale mu milandu pamene insulin imagwiritsidwa ntchito pochiza matendawa.
Kukhalapo kwa matenda osokoneza bongo kumapangitsa kuti hypoglycemia ichitike pafupipafupi mwa odwala, motero, aliyense wodwala matenda ashuga komanso anthu omwe amakhala nawo pafupi ayenera kudziwa momwe angakhalire pochitika izi, ndi zomwe ayenera kuchita kuti alepheretse zovuta mu thupi.
Zoyambitsa zazikulu za hypoglycemia mu shuga mellitus ndikuti zotsatira za mankhwala ochepetsa shuga zimagwirizanitsidwa ndi njira yolimbikitsira maselo a pancreatic beta kuti achulukitse kupanga kwa insulin. Mtundu wachiwiri wa matenda ashuga, kumwa mankhwalawa kumawonjezera kuchuluka kwa insulini yomwe imapangidwa, zomwe zimabweretsa kuchuluka kwa shuga m'magazi kuzizindikiro pafupi ndi chizolowezi cha thupi.
Ngati pakhala kuphwanya malingaliro a adotolo ndipo wodwala yemwe ali ndi mtundu wachiwiri wa matenda osokoneza bongo atenga mlingo waukulu wa mankhwala ochepetsa shuga, pamakhala kuchuluka kwakukulu kwa insulin panthawi ya hypoglycemia, izi, zimayambitsa kuchepa kwamphamvu kwa glucose m'magazi a m'magazi a shuga.
Kupezeka kwa hypoglycemia mu matenda ashuga kumatha kubweretsa kukulitsa zotsatira zosasinthika monga kuwonongeka kwa maselo muubongo ngakhale kufa. Malinga ndi deta yomwe yapezeka m'maphunziro azachipatala, zizindikiro za hypoglycemia zimapezeka mwa wodwala wokhala ndi shuga ya magazi ofanana kapena pafupi ndi 2.8 mmol / L.
Zomwe zimayambitsa hypoglycemia
Zizindikiro za glycemia zimayamba m'thupi la wodwalayo pokhapokha ngati wodwala ali ndi insulin yambiri m'magazi kuposa glucose. Izi zikachitika, maselo amthupi amayamba kumva kuperewera kwa chakudya, zomwe zimagwiritsidwa ntchito ndi ma cell kupangira mphamvu.
Ziwalo zamkati za wodwalayo zimayamba kumva mphamvu zamagetsi, ndipo ngati zofunikira sizitengedwa munthawi yake, munthu akhoza kufa.
Zizindikiro za hypoglycemia zimayamba m'thupi pazifukwa zosiyanasiyana. Zomwe zimayambitsa hypoglycemia ndi izi:
- Ngati wodwala ali ndi matenda amtundu 1, hypoglycemia imatha kuchitika chifukwa chokhala ndi mankhwala osokoneza bongo ambiri. Kuchepa kwa shuga omwe amayamba chifukwa cha kuchuluka kwa insulini kuyenera kuthandizidwa kaye pakulowetsa gawo la mashuga othamanga kapena popereka njira ya shuga.
- Ngati sulfonylurea kukonzekera ntchito mankhwalawa? Mankhwalawa amatha kuyambitsa zovuta m'thupi.
- Kugwiritsa ntchito insulin ndi cholembera chosalongosoka.
- Kulephera kwa mita, komwe kumawerengera kwambiri, komwe kumapangitsa kuti chiwonetsero cha insulin chiwonjezeke.
- Kuwerengera molakwika kwa mlingo wa insulin ndi endocrinologist.
- Kuphwanya insulin makonzedwe - mu mnofu makonzedwe a mankhwala.
- Kutikita minofu m'dera la jakisoni.
- Kugwiritsa ntchito mankhwala atsopano omwe thupi la wodwalayo silikudziwa.
- Matenda a impso omwe amasokoneza ndikuchotsa kwachilendo kwa insulin mthupi.
- Gwiritsani ntchito insulin yayifupi m'malo motalika nthawi yomweyo.
- Kuyanjana kosadziwika pakati pa mankhwala omwe amagwiritsidwa ntchito pakumwa.
Kuphatikiza apo, chikhalidwe cha hypoglycemia chitha kupezeka mwa munthu ngakhale popanda matenda ashuga ngati pali zovuta zina mthupi zomwe zimakhudza njira yotulutsira mahomoni ndi adrenal gland kapena gland ya pituitary.
Popanda matenda a shuga, shuga mu plasma amathanso kuchepa kwambiri pa nthawi yobereka.
Kukula kwa hypoglycemia kuphwanya zakudya
Kuyambitsa kukomoka kwa hypoglycemic m'thupi, mavuto azakudya ndi kugaya chakudya m'mimba amakwaniritsa. Zolakwikazo zingaphatikizepo izi:
- Zosakwanira kaphatikizidwe ka michere yam'mimba. Kuphwanya lamulo kotereku kumatha kupangitsa kuti pasakhale shuga m'magazi chifukwa chosamwa shuga m'matumbo am'mimba.
- Zakudya zopanda pake komanso kudumpha zakudya.
- Chakudya chopanda malire chomwe chimakhala ndi shuga osakwanira.
- Katundu wamkulu m'thupi, womwe ungayambitse kusowa kwa shuga mwa anthu, ngati sizotheka kutenga shuga wowonjezera.
- Nthawi zambiri, wodwala yemwe ali ndi matenda ashuga hypoglycemia amayamba chifukwa chomwa mowa.
- Hypoglycemia imayamba ndi mankhwala ochepetsa thupi komanso kudya mosamalitsa, ndikumamatira mlingo wa insulin.
- Matenda a shuga a shuga, omwe anapangitsa kuti pang'onopang'ono kuthira chakudya.
- Kugwiritsa ntchito insulin mwachangu musanadye ndikudyetsa kudya.
Odwala omwe ali ndi vuto la matenda ashuga a 2 sayenera kumva kuti ali ndi njala yathanzi. Maonekedwe a njala ndiye chizindikiro choyamba chosowa shuga m'magazi a wodwala yemwe ali ndi mtundu wina wa matenda ashuga. Izi zimafuna kusinthidwa kosalekeza kwa chakudya cha wodwala pamaso pa matenda ashuga a 2.
Zizindikiro ndi hypoglycemia wodwala yemwe ali ndi matenda ashuga
Mukamamwa mankhwala osokoneza bongo kuti muchepetse shuga, muyenera kukumbukira kuchuluka kwa glycemia, komwe kumakhala kwa munthu aliyense. Zizindikiro zoyenera ndizomwe zimagwirizana ndi chikhalidwe chathupi mwaumoyo wathanzi kapena zimayandikira. Ngati kuchuluka kwa shuga kwatembenukira kumbali yaying'ono, wodwalayo amayamba kudukiza - amayamba kuwonetsa zizindikiro za hypoglycemia, zomwe zimapangitsa kuti pasakhale shuga m'magazi am'magazi.
Zizindikiro zoyambirira za kusowa kwa chakudya zimayamba kuonekera m'mitundu yofatsa ndipo imayamba kutchulidwa pakapita nthawi.
Chizindikiro choyamba cha kusowa kwa chakudya cham'mimba ndikumverera kwa njala yayikulu. Ndi chitukuko cha hypoglycemia, zizindikiro zotsatirazi zimawonekera mwa munthu:
- kutsekeka kwa khungu;
- thukuta;
- kumva kwamphamvu kwa njala;
- kuchuluka kwa mtima;
- minofu kukokana;
- kuchepa chidwi ndi chidwi;
- maonekedwe aukali.
Kuphatikiza pazizindikirozi, hypoglycemia imatha kudwalitsa wodwala nkhawa komanso kupusa.
Zizindikirozi zimachitika ndi hypoglycemia, ngakhale atakhala kuti ndi wodwala.
Milandu ikamachepera shuga m'thupi la wodwala yemwe ali ndi matenda opatsirana a shuga, wodwalayo amakula:
- kufooka
- Chizungulire
- mutu wodwala matenda a shuga;
- kugwira ntchito kwa mkatikati mwa mawu muubongo;
- kumverera kwa mantha;
- kusokoneza kayendedwe ka kayendedwe
- kukokana
- kulephera kudziwa.
Zizindikiro sizingachitike nthawi imodzi. Pa gawo loyambirira la hypoglycemia, chizindikiro chimodzi kapena ziwiri zimatha kuonekera, pomwe enawo aphatikizanso pambuyo pake.
Nthawi zina, mwa anthu omwe amakhala ndi matenda a shuga kwa nthawi yayitali komanso akuwatsutsa pafupipafupi, kuwuma pang'ono komwe kumachitika koyamba sikungadziwike konse.
Anthu ena omwe ali ndi matenda ashuga amatha kuzindikira zizindikiro zoyambirira munthawi yake, ndipo mwa kuyeza kuchuluka kwa shuga m'magazi, amaletsa msanga kukula kwa vutoli, kukweza kuchuluka kwa glucose m'thupi mpaka muyeso wofunikira.
Tiyenera kukumbukira kuti mankhwalawa omwe amagwiritsidwa ntchito pochiritsa amatha kubisa zizindikiro zoyambirira za zovuta.
Chisamaliro chachikulu chiyenera kuperekedwa kwa odwala omwe boma la hypoglycemia limatha kukulira pakugona.
Chithandizo ndi kupewa zovuta
Njira yokhayo yopewa zovuta ndikuwunika kuchuluka kwa shuga mthupi. Wodwala akakhala ndi vuto lakelo, ayenera kuyeza kuchuluka kwa shuga mthupi ndi kuchitapo kanthu pofuna kuthandiza odwala.
Ngati palibe zizindikiro, koma kudya kwakanthawi sikunapangidwe kapena kulimbitsa thupi kwakukulu, ndiye kuti chitukuko cha hypoglycemia chitha kupewedwa mwa kutenga kukonzekera kwa shuga, komwe kumakweza msanga shuga m'thupi.
Ngati chithandizo cha zovuta chikuchitika pogwiritsa ntchito kukonzekera kwa glucose, ndiye kuti mlingo wake uyenera kuwerengedwa molondola. Mutatha kumwa piritsi, pambuyo pa mphindi 40, muyenera kuyeza shuga zomwe zili m'thupi ndipo ngati palibe kusintha kwa kupsa mtima, muyenera kutenga kuchuluka kwa shuga.
Anthu ena omwe ali ndi matenda ashuga, akamachepetsa shuga m'magazi, amadya ufa, misuzi ya zipatso kapena zakumwa zozizilitsa kukhosi, koma akamagwiritsa ntchito zinthu izi, zinthu zina zingachitike - hyperglycemia. Izi ndichifukwa choti muzinthu zotere mumapezeka mafuta othamanga komanso osakwiya. Zakudya zowonda pang'ono zimalowa m'magazi ndipo zimatha kukhalanso ndi shuga kwa nthawi yayitali. Hypoglycemia imatha kuthandizidwa pogwiritsa ntchito shuga m'madzi. Kuperekedwa kwa yankho lotere kumapangitsa kuti glucose akhale pafupi kulowa m'magazi ngakhale mkati mwamkamwa ndikulimbikitsa msanga kuchuluka kwa shuga mthupi la wodwalayo.
Ngati chithandizo cha zovuta chikuchitika pogwiritsa ntchito mapiritsi a shuga, ndiyetu ndikosavuta kuwerengera kuchuluka kwa shuga womwe umadyeka, womwe sungachitike ndi zakudya wamba. Popanda shuga m'magome, wodwalayo amalangizidwa kuti azikhala ndi shuga ndimagulu angapo ndipo azigwiritsa ntchito ngati ali ndi vuto la hypoglycemic. Makamaka malangizowo akugwira ntchito kwa odwala omwe apezeka ndi matenda a shuga 1, hypoglycemia imatha kuchitika ngati pali cholakwika pakuyamba kwa insulin.
Aliyense wodwala matenda ashuga ayenera kudziwa kuti hypoglycemia ndi chiyani komanso adziwe zoyenera kupewa.
Chifukwa chaichi, wodwalayo ayenera kufunsa wa endocrinologist.
Choyamba thandizo la glycemia ndi zotsatira za zovuta
Ngati wodwala matenda ashuga sangathe kuwongolera vutoli ndipo sangatenge njira zodzitetezera popewa kupititsa patsogolo kwa chikhalidwe cha hypoglycemic, thandizo la iwo omwe ali pafupi ndi iye lidzafunika.
Nthawi zambiri, pakayamba zovuta, thupi la wodwalayo limafooka komanso kuletseka panthawi ya hypoglycemia. Munthu munthawi imeneyi amakhala kuti alibe chikumbumtima. Pakadali pano, wodwalayo sangathe kutafuna piritsi kapena kudya china lokoma, chifukwa pamakhala kuwopseza kokhazikika. Zikatero, ndibwino kugwiritsa ntchito miyala yapadera yokhala ndi glucose wambiri kuti muchepetse kuukira. Zikatero, ngati wodwalayo amatha kumeza mayendedwe, ndiye kuti akhoza kupatsidwa chakumwa chokoma kapena msuzi wa zipatso, tiyi wotsekemera amakhala ndi vuto lililonse. Mukakumana ndi hypoglycemia, muyenera kuyang'anitsitsa momwe munthu akudwala.
Wodwalayo atakhazikika, kuchuluka kwa shuga mthupi kuyenera kuwerengedwa komanso kuchuluka kwa glucose oyenera kubweretsedwa m'thupi kuti athetse thupi lonse.
Ngati wodwala matenda ashuga atulutsa, ndiye ayenera:
- Ikani ndodo pakati pa nsagwada mkamwa mwa wodwala kuti lilime lisakulume.
- Mutu wa wodwalayo uyenera kutembenukira kumbali imodzi kuti wodwalayo asakodwete.
- Ikani jekeseni wa shuga wambiri.
- Chitanani mwachangu ambulansi.
Ndi chitukuko cha hypoglycemia, ubongo umakhala ndi vuto loperewera mphamvu. Momwe matenda osagonjetseka amatha kuchitika, kuchuluka kwa shuga kumakhudza kwambiri mtima wamtima ndi mtima.
Kutuluka kosayenera kuchokera ku boma la hypoglycemic kumabweretsa kudumphadumpha m'magazi, izi zimatha kuyambitsa matenda oopsa komanso kuthana ndi mtima. Ndi kuwonjezeka kwambiri kwa shuga m'magazi, kukulitsa kulephera kwaimpso ndikotheka. Kanemayo munkhaniyi apitiliza mutu wa hypoglycemia.
