Mwa munthu wathanzi, thupi lokha limawongolera mayendedwe a glucose - gwero lalikulu lamphamvu. Ngati kuchepa kwamphamvu kwa shuga m'magazi, ndiye kuti maselo aubongo amayamba kufa ndi njala, chifukwa chake amafa. Zizindikiro za hypoglycemia (kusowa kwa glucose m'magazi) zimatchulidwa nthawi zonse, ndipo ndizosavuta kuzizindikira. Kodi nchifukwa ninji zoterezi zitha kuchitika, ndipo muyenera kuchita chiyani kuti mupewe? Kodi mungapewe bwanji matenda am'mbuyomu komanso kupewa?
Chifukwa chiyani shuga limagwera mwa anthu athanzi komanso odwala matenda ashuga
Kwa odwala matenda ashuga, ntchito yayikulu ndikusunga shuga wabwinobwino, kupewa kuthamanga kwake. Koma choopsa chilichonse ndicho kutsika kwa shuga.
Chofunikira: Hypoglycemia - kuchokera kuzizindikiro mpaka thandizo
Matenda a shuga ndi kupsinjika kudzakhala chinthu chakale
- Matenda a shuga -95%
- Kuthetsa kwa mitsempha thrombosis - 70%
- Kuthetsa kwa kugunda kwamtima kwamphamvu -90%
- Kuthana ndi kuthamanga kwa magazi - 92%
- Kuwonjezeka kwa mphamvu masana, kukonza kugona usiku -97%
Yerekezerani izi:
- kudya zakudya zopepuka;
- Mlingo wolakwika wa mankhwala ochepetsa shuga;
- kumwa mowa wopanda chakudya (mowa umaletsa kupanga shuga mu chiwindi);
- Zakudya zosankhidwa bwino ndikusagwirizana ndi kuchuluka kwa servings;
- kukhazikitsa insulin mu Mlingo wolakwika;
- kulimbitsa thupi kwa odwala matenda ashuga.
Hypoglycemia mwa munthu wathanzi imatha kuchitika ndi:
- kumwa mankhwala enieni, mwachitsanzo, mankhwala ochepetsa shuga popanda kufunsa katswiri;
- matenda amkati;
- kumwa mowa wambiri;
- kutsatira okhwima zakudya;
- nthawi yayitali pakudya / osadya;
- Zakudya zopatsa mphamvu zophatikiza ndi chakudya;
- kulimbitsa thupi kwambiri;
- zochitika zovuta, chisangalalo chachikulu;
- kudzuka tulo tofa tulo usiku, chifukwa kunalibe chakudya kwa nthawi yayitali.
Nthawi zina, kutsika kwamwadzidzidzi kwa shuga kumatha chifukwa cha chotupa cha zotupa mu kapamba. Zotsatira zake, kuchuluka kwa ma cell a insulin komanso kuchuluka kwa insulin kumawonjezeka mosadzilamulira. Komanso, kuchepa kwa shuga kumatha kuyambitsidwa ndi ma neoplasms ena (omwe nthawi zambiri amakhala ovulala) omwe amachititsa kuti insulin iwonjezeke.
Nthawi zambiri samazindikira shuga wochepa kwambiri popanga matenda a autoimmune. Mwanjira imeneyi, thupi limayamba kupanga ma antibodies ku insulin, ndikupangitsa kuti dontho lakuthwa kapena lakuthwa kwambiri kuchuluka kwa timadzi timeneti. Mchere wochepetsedwa umapezekanso mwa odwala omwe amatsutsana ndi impso kapena mtima (cirrhosis, hepatitis, matenda amtunduwu - omwe amayamba chifukwa cha shuga m'magazi).
Zizindikiro zakuchepa kwa shuga
Kuti mupewe mavuto oopsa a hypoglycemia, ndikofunikira kudziwa zomwe zimatsutsana ndi kutsika kwamphamvu kwa shuga.
Akatswiri pa matenda am'magazi agawidwa m'magulu:
- Papu yomwe mitengo ya shuga imatsika pansi pa 3.5 mmol / L.
- Pakati, ndi kuchepa kwa zizindikiro mpaka magulu atatu ndi pansi.
- Zambiri, zodziwika ndi dontho la shuga pansi 1.9 mmol / L.
Ndi njira yofatsa ya hypoglycemia, wozunzidwayo amakumana:
- ulesi wosaletseka;
- thukuta;
- chizungulire pang'ono;
- njala
- kumverera kusanachitike;
- kuthawa;
- Kuda nkhawa
- dziko lokhumudwa;
- palpitations
- dzanzi la miyendo;
- kuwonongeka kwamawonekedwe;
- milomo yoluma.
Zikatero, zimakhala zokwanira kuti munthu wathanzi azitha kudya kapena kumwa china chokoma. Mu matenda ashuga, wodwala wokhala ndi zizindikiro zofananazo ayenera kuyezetsa magazi ake mwachangu. Ngati pali wastani wa hypoglycemia, ndiye kuti izi zimachitika:
- mantha
- kusokonekera;
- kusokoneza chidwi;
- kukokana thupi;
- chikumbumtima;
- kuyankhula chete;
- kusintha kwa;
- general malaise;
- kufooka koopsa;
- malingaliro osalamulirika.
Munthawi imeneyi, kuyendetsa mankhwala ochepetsa shuga kumayimitsidwa ndipo kuyang'aniridwa mosamala kwa zizindikiro za shuga kumachitika.
Mu hypoglycemia yayikulu, zotsatirazi zimawonedwa mwa wozunzidwayo:
- zopweteketsa mtima;
- kugwa mu chikomokere;
- sitiroko;
- dontho kutentha kwa thupi - kutentha kochepa mu shuga.
Ngati zoterezi zikupitilira kwa nthawi yayitali, ndiye kuti zotsatirapo zake zimakhala zoipa kwambiri, ngakhale kupha kumene. Maselo am'bongo ndi mtima dongosolo zimakhudzidwa, ntchito ya ziwalo zamkati imasokonekera. Koma nthawi zina chizindikiro cha dontho lakuthwa la shuga sichimawonekanso. Izi zimachitika ndikumwa beta blockers.
Zomwe zimayambitsa shuga wochepa mutatha kudya diabetes ndi mtundu 1 ndi 2 mwina ndikugwiritsa ntchito mankhwala omwe amagwira ntchito kuti muchepetse shuga. Matenda a shuga akamatha zaka 15, zizindikiritso za hypoglycemia zimayamba kutchulidwa. Apa ndikofunikira kuyeza zizindikiro tsiku ndi tsiku ndikuwunikidwa ndi endocrinologist kuti musinthe mwakanthawi mlingo wa insulin.
Ngati mwana ali ndi shuga, ndiye kuti ayamba kudwala kwambiri, ndipo zizindikiro zoyambirira za malaise zidzaonekera ngati zizindikirozo zatsikira ku 3,3 mmol / L. Akuluakulu, vutoli limamveka kwambiri pamene glucose imatsikira mpaka 3,7 mmol / L.
Kodi chiwopsezo cha vuto la hypoglycemic ndi chiyani?
Mwazi wamagazi uyenera kukhala wopyola malire, pokhapokha mavuto akulu azaumoyo sangathe kupewedwa. Hypoglycemia ndi owopsa bongo. Ili ndiye chiwalo chachikulu cha dongosolo lamanjenje, lomwe ndi lovuta kwambiri kapangidwe kake. Polephera pang'ono pantchito yake pamakhala mavuto ambiri ndi ziwalo zina ndi machitidwe ena.
Chifukwa cha magazi, michere ndi okosijeni zimalowa mu ma neurons. Glucose imatha kuperekedwa m'maselo aubongo popanda insulini. Chifukwa chake, zilibe kanthu kuchuluka kwa momwe timadzi timene timakhalira m'thupi - magazi amaperekabe zinthu zonse zofunika ku ma neuron. Ndi hypoglycemia, shuga wokwanira sakalowa mu ubongo, maselo amayamba kufa ndi njala. Pakangopita mphindi zochepa za vuto laubongo, munthu amayamba kudzimva yekha: wosalala, milomo yodandaula, thukuta, thukuta.
Zotsatira zoyipa kwambiri za kuchepa kwa shuga m'magulu amwazi ndi kuperewera kwa hypoglycemic. Zimatha kukhazikika pomwe zizindikirozo zikagwera pansi pa 2.2 mmol / L. Komanso wodwala matenda ake amatha kukhala limodzi ndi matenda otupa, kufa kwa ziwalo zake, kusokonekera kwa magazi m'thupi ndi zida zake.
Akatswiri azindikira magulu awiri omwe angathe kukhala a hypoglycemia:
- Omwe ali chapafupi kwambiri omwe amakhala mu maola oyamba a matenda a hypoglycemic: myocardial infarction, stroko, ziwalo zam'manja, strabismus, kusokonekera kwa mawu, hemiparesis, kukweza mamvekedwe ka minofu.
- Wosakhazikika, kukulitsa kanthawi pambuyo pa hypoglycemia yayikulu. Izi zikuphatikiza khunyu, encephalopathy, parkinsonism.
Zoyenera kuchita ngati magazi a magazi agwera
Ngati pali shuga wochepa wamagazi wofatsa pang'ono, ndiye kuti zidutswa za shuga kapena supuni ziwiri zitatu za uchi zithandizira kuthana ndi vutoli. Kuchokera ku zakumwa mumatha kumwa tiyi wokoma kapena msuzi ndi zamkati. Kuphatikiza apo, akatswiri amakulangizani kuti mugwiritse ntchito:
- 1-2 caramels;
- awiri mabwalo a chokoleti;
- nthochi;
- ma apricots owuma;
- nkhuyu;
- prunes.
Koma kudya mosasamala zakudya zokhala ndi shuga wambiri sikofunikira. Mwachitsanzo, ngati pali chakudya chamafuta ambiri, ndiye kuti zimasokoneza kukoka kwa glucose, chifukwa chomwe sichingatheke kuthana ndi vutoli mwachangu. Pazizindikiro zoyambirira za vuto la hypoglycemic, osatsagana ndi kuzindikira, muyenera kudziwa momwe mungathandizire wovutikayo.
Muyenera kuchita izi:
- kubzala kapena kuyala wodwala kuti akhale bwino;
- perekani chakumwa cha shuga kapena perekani chidutswa cha shuga woyengedwa;
- Siyani wozunzidwayo yekhayo mpaka mkhalidwe wake utakhala bwino.
Shuga akamatsika odwala matenda ashuga ndipo matendawa amayesedwa kuti ndi oopsa, ambulansi iyenera kuyitanidwa. Akatswiri amafunika kupaka jakisoni wabwino kuti achepetse kuchuluka kwa magazi. Ngati, atatha theka la ola pambuyo poyesa kuchuluka kwa shuga, wodwalayo samva bwino, amapititsidwa kuchipatala. Kumeneko, amathandizira shuga kusiya mpaka azimva bwino.
Ngati shuga amwa mwadzidzidzi, akatswiri ambiri azaumoyo amalangizidwa kumwa mapiritsi a shuga. Zida zake zimatengedwa mwachangu m'magazi ndikuyamba kuchitapo kanthu nthawi yomweyo. Zotsatira zake, thupi silisowa kutaya nthawi kugaya chakudya kuti mupeze mphamvu. Ngati shuga agwera kwambiri, 1 g ya mankhwalawa imatha kuwonjezera ntchito ndi 0.28 mmol / L. Ndi vuto la hypoglycemic, iyi ndiye njira yabwino yothetsera vutoli.
Njira zina
Muzochita zamankhwala, akatswiri amalangizidwa kugwiritsa ntchito njira zachikhalidwe zamankhwala pogwiritsa ntchito mankhwala azomera. Amathandizira kubwezeretsa kagayidwe kachakudya kagayidwe kachakudya komanso kusintha matendawa kukhala ndi matenda ashuga komanso anthu athanzi. Chomera chothandiza ndi lingonberry, wort wa St. John, m'chiuno chamaluwa, plantain, adyo (tikulimbikitsidwa kuti muzidya mwatsopano).
Ma decoctions ogwiritsira ntchito ndi ma minyewa amapangidwa kuchokera ku zomerazo, zomwe zimaloleza thupi kuti liziwombolera nthawi yayifupi. Mutha kugwiritsa ntchito izi: 1 supuni yayikulu yodzaza m'chiuno imaphatikizira 2 makapu amadzi otentha, osasankhidwa ndikuledzera theka lagalasi kawiri patsiku.
Kuphatikiza apo, chakudyacho chimathandizira wodwalayo. Wodwala matenda ashuga ayenera kudziwa zakudya zomwe ziyenera kuphatikizidwa m'zakudya, komanso zomwe ziyenera kupewa:
- Zinthu zothandiza. Zakudya za munthu wodwala matenda ashuga ziyenera kuphatikizapo: nkhaka, phwetekere, kabichi, zukini, zakudya zam'nyanja, buledi wonse wa tirigu, nyama yamafuta ochepa, zakumwa za mkaka wowawasa, mtedza, ndi nyemba.
- Chakudya choletsedwa. Maswiti, nthochi, mphesa, zakumwa zoziziritsa kukhosi, mowa samachotsedwa pamndandanda wa odwala matenda ashuga - mndandanda wazinthu zoletsedwa kwa odwala matenda ashuga.
Kupewa kutsika kwa shuga wamagazi
Popewa kuchepa kwambiri kwa shuga m'magazi, odwala matenda ashuga amalimbikitsa:
- sinthani chakudyacho ndikuwonjezera chakudya chomwe chitha kumamwa nthawi yayitali;
- idyani m'magawo ang'onoang'ono, osachepera 5 patsiku;
- ngati zizindikiro za hypoglycemia zimachitika usiku, ndiye kuti usiku umalimbikitsidwa kudya chakudya chomwe chimayamba nthawi yayitali;
- Ndi mankhwala a insulin, ndikofunikira kusintha mlingo kuti muchepetse kwambiri shuga.
Ngati hypoglycemia imapezeka mwa munthu wathanzi, ndikofunikira kupeza zomwe zimachitika. Mungafunike kuganiziranso za kadyedwe kanu ndi moyo wanu, kuti muchepetse zakumwa zoledzeretsa, konzekerani zakudya ndi zakudya zamasamba. Ngati sizotheka kupeza nokha zomwe zingakupangitseni nokha, ndibwino kukaonana ndi dokotala.
Ngati shuga wochepa amawonedwa mwa mayi wapakati, ndiye kuti ayenera kutsatira zakudya zinazake kuti apewe zovuta. Thanzi liyenera kukhala logwirizana komanso lothandiza momwe mungathere.
Akatswiri amalimbikitsa odwala otere:
- kudya zakudya zopatsa mphamvu nthawi zonse: chimanga, ndiwo zamasamba;
- phatikizani zipatso muzakudya za tsiku ndi tsiku, kuphatikizapo zipatso za zipatso;
- kutenga mapuloteni ngati mbali y nyama yofiira;
- imwani zakudya zamkaka (tchizi, yogati, tchizi chanyumba, kefir, mkaka wowotchera).
Ndi hypoglycemia, wodwalayo sayenera kunyalanyaza zizindikiro za matenda. Ndikwabwino kudziteteza kwakanthawi kuti musamagwire ntchito yayikulu ndikuyamba kuchita masewera olimbitsa thupi (kusambira, kuthamanga, kuyenda). Pali zifukwa zambiri zakugwa kwa shuga, koma kukhalabe ndi moyo wathanzi ndikuwonetsetsa kuti kudya zakudya zoyenera kumathetsa mavuto ambiri komanso kupewa zovuta. Chachikulu ndikuyang'ana dokotala munthawi yake ngati vutolo likuipiraipira. Mu shuga, vutoli liyenera kuthetsedwa limodzi ndi katswiri.