Hypoglycemia mu mtundu 2 matenda a shuga - Zizindikiro ndi kupewa zovuta

Hypoglycemia mu mtundu 2 wa shuga ndi zovuta kwambiri, zomwe zimayendera limodzi ndi kuchepa kwenikweni kwa shuga m'magazi. Pathology imayamba msanga, kwenikweni mkati mwa theka la ola. Pokhapokha pakufunika njira zoyenera, hypoglycemia imabweretsa kuwonongeka kwa ubongo ndi kufa kosasinthika.

Zomwe zimachitika pakukula kwa matenda a zam'tsogolo

Makina a chitukuko cha hypoglycemia amayamba ngati kuchuluka kwa shuga m'magazi ndi 3.3-4 mmol / L ndikutsikira (3.5-5.5 mmol / L kumawoneka ngati kwachilendo). Chifukwa chachikulu ndi kuphatikiza kwambiri kwa insulin, chifukwa chake glucose imakumwa kwathunthu. Thupi likuyesetsa kubwezeretsa shuga, momwe amasungidwira omwe amasungidwa m'chiwindi ngati glycogen.

Kusintha zinthuzi kukhala glucose, ma contrainsular mahomoni (adrenaline, glucagon, cortisol) amalowa m'magazi.

Ngati sikutheka kudzaza kuchepa kwa shuga, zotsatira zoyipa zimayamba. Kuukira kwa hypoglycemic kumabweretsa vuto muubongo, mphamvu yokhala ndi vuto la kupweteka kwa mitsempha imabweretsa kusokonezeka kwa chikumbumtima, kukhumudwa, chikomokere.

Pali magawo anayi a hypoglycemia:

1. Hypoxia ya maselo amanjenje, malo ena a ubongo. Wodwalayo amamva kufooka kwa minofu, kupweteka mutu, kuda nkhawa, kugona kwambiri. Kusweka kwamtima ndi thukuta kumawonekera.
2. Zilonda za subcortical-diencephalic dera zimakulirakulira. Nkhope ya munthu imakhala yofiyira, mayendedwe amakhala osokonekera, ndipo khalidwe limakhala losakwanira.
3. Mkhalidwe wofanana ndi kuukira kwa khunyu umayamba. Kutembenuka kumawonekera, kuthamanga kwa magazi kumakwera, tachycardia ndi thukuta limakulitsa.
4. Ntchito zakumtunda kwa medulla oblongata zimasokonekera, chikomokere chimayamba.

Mitundu ya Hypoglycemia

Pali mitundu iwiri ya matenda:

1. Kuthamanga kwa hypoglycemia. Shuga amagwera pambuyo pogona.
2. Hypoglycemia atatha kudya. Amawonekera patatha maola awiri ndi atatu atatha kudya.

Pali nocturnal hypoglycemia. Ndiwopsa chifukwa Zizindikiro zake ndizosatheka kuzindikira. Wodwala akutuluka thukuta, zolota zimayamba kumulota.

Hypoglycemia mu mtundu 1 wa matenda ashuga samasiyana pakapangidwe kake, koma zimachitika mwachangu. Zowopsa zimachitika pafupipafupi (pafupifupi nthawi 10), zimakhala kwambiri kuposa odwala omwe ali ndi matenda a shuga a 2. Zizindikiro zakuchepa kwa shuga nthawi zina zimatsala pang'ono kusowa, munthu amathanso kuzindikira.

Zifukwa

Nthawi zambiri, hypoglycemia imachitika pochiza matenda a shuga a mtundu wachiwiri omwe ali ndi mankhwala a sulfonylurea kapena ngati mankhwala osokoneza bongo ochuluka. Shuga amatsika pang'onopang'ono, nthawi zina mkati mwa masiku atatu mutangomwa mankhwalawa. Kugwiritsa ntchito mankhwala ochepetsa shuga mu gawo la chiphuphu cha shuga kumabweretsa kuchepa kwa shuga ngati munthu amwa mankhwalawo muyezo womwewo.

Zifukwa zina:

1. Kuwerenga molakwika kwa insulin kapena bongo.
2. Makulidwe olakwika a mankhwalawa (jekeseni wa chiberekero m'malo mwa subcutaneous).
3. Kusintha tsamba la jakisoni kapena kudziwonetsa. Mwachitsanzo, kutikita minofu kumabweretsa kuyamwa mwachangu kwa mankhwalawa, zomwe zimapangitsa kulumpha kwa insulin.
4. Kupanga mankhwala atsopano, omwe wodwalayo analibe nthawi yoti azolowere.
5. Kuchita ndi mankhwala ena. Kuzindikira kuchuluka kwa insulin: anticoagulants, barbiturates, antihistamines, aspirin.
6. Mimba, yoyamwitsa.
7. Kuchita masewera olimbitsa thupi mopitirira muyeso.
8. Kulephera kutsatira zakudya, kudumpha zakudya.
9. Zakudya zopanda pake, zakudya zochepa zama calorie.
10. Adachepetsa njira zogwirira ntchito, kuthira m'mimba.
11. Kusokonezeka kwa impso, chiwindi.
12. Kumwa mowa, makamaka pamimba yopanda kanthu.

Zizindikiro za hypoglycemia

Wodwala wodwala matenda a shuga ayenera kuzindikira zizindikiro za hypoglycemia munthawi. Ngati simuletsa kuukira, kusintha kosasintha komwe kumachitika m'thupi, munthu akhoza kufa kapena kulumala. Pali hyperglycemia wofatsa komanso wowopsa. Poyambirira, mkhalidwe wa pathological ukuwonetsedwa ndi mawonekedwe amtundu, omwe akuphatikizapo:

• Kutuluka thukuta kwambiri;
• Kutentha;
• Kukhazikika kwa khungu;
• Kuchuluka kwa mtima;
• Kuyamba kwadzidzidzi kwa njala;
• Kusokonekera;
• Kuda nkhawa
• Kutopa
• Kufooka minofu;
• Chizungulire
• Ululu m'mutu;
• Maonekedwe a "goosebumps" pakhungu;
• Zowonongeka;
• Kuchuluka kwa zala;
• Khansa ya m'mimba, kutsegula m'mimba,
• Kukodza pafupipafupi.

Ngati wodwalayo sangathe kubwezeretsa shuga, ndikuchepa kwake (mpaka 1.7 mmol / L ndi kutsika) hypoglycemia imayamba. Munthu amatha kugwa, komwe kumayendetsedwa ndi zosokoneza zina. Zizindikiro za hypoglycemia yayikulu ndi:

• Kuphwanya chidwi, masomphenya, mgwirizano;
• Kusintha kwamphamvu pamakhalidwe (mwachitsanzo, kuwonetsa kwaukali);
• Zowona;
• Kutha kwa chikumbumtima;
• Zingwe
• Kufa ziwalo;
• Stroko

Ndi kukula kwa mawonekedwe owopsa, munthu sangathe kudzithandiza wokha.

Madokotala amati kuwukira kwa hypoglycemic mwa wodwala aliyense kumadziwonetsera mosiyana, kotero, zisonyezo za matenda zitha kukhala zokhazokha.

Si onse odwala matenda ashuga omwe amadzimva kuti hypoglycemia ikuyandikira; pachiwopsezo ndi odwala omwe ali ndi matenda ashuga kwa nthawi yayitali, okalamba ndi omwe amadwala pafupipafupi. Nthawi zina wodwalayo amangomva kupindika pang'ono.

Zizindikiro za hypoglycemia zimapangidwira pazifukwa zina. Izi zikuphatikiza:

• Fibrosis, adrenal gland necrosis;
• Mawonekedwe owopsa a neuropathy, omwe amapanga motsutsana ndi maziko a kusokonezeka kwa mitsempha;
• Mkulu wa glucose amakhala pansipa kwa nthawi yayitali;
• Kutenga beta-blockers, mankhwalawa nthawi zambiri amadziwikiridwa pambuyo pa vuto la mtima;
• Zakudya zoyipa zomwe zili ndi chakudya chamagulu ambiri.

Mu izi, tikulimbikitsidwa kuyeza glucose pafupipafupi ndi glucometer. Zotsatira zake zimatsika ndi 3.5 mmol / l, njira ziyenera kuchitidwa kuti ziwonjezeke.

Mavuto a hypoglycemia

Kutsika kwa shuga kumayambitsa zovuta izi:

• Kuwonongeka kwa ubongo ntchito;
• Kuchulukitsa kwamitsempha yamagazi;
• Kukula kwa vuto la mtima, sitiroko;
• Kuchepetsa chidwi cha hypoglycemia;
• Mu ana - kubweza m'maganizo, kusokonezeka kwa mitsempha.

Hypoglycemia pa nthawi yapakati imawonjezera mwayi wokhala ndi vuto lobadwa m'mwana wosabadwa.

Kuchepa kwa zovuta kumakulirakulira mwa anthu achikulire, makamaka akakhala onenepa kwambiri. Vuto lalikulu ndi kuperewera kwa mutu kumene kumabweretsa kulumala kapena kufa.

Zoyenera kuchita ngati vuto la hypoglycemia

Kuchita zinthu mwachangu ndikofunikira kale ndi mawonekedwe a Hypoglycemia wofatsa. Kuukira kumayendetsedwa ngati mutsimikizira kuti chakudya chamagulu am'mimba otentha chitha msanga. Kuti muchite izi, yenere:

• Tiyi wokoma;
• Ma cookie
• Wokondedwa (tebulo la 2-3. L.);
• Madzi a lalanje
• Maswiti (ndibwino kupatsa chidwi ndi caramel);
• Shuga

Mapiritsi a glucose amatha kugwiranso ntchito. Mtundu wachiwiri wa matenda ashuga, pali ubale wolunjika pakati pa kuchuluka kwa chakudya chamafuta ndi kuwonjezereka kwa shuga: imakwera ndi magawo awiri. mutatha kumwa 2 g shuga. Mapiritsi oterowo amathetsa kufunika kwa kudya zakudya zosavomerezeka ndikuletsa kukomoka. Pambuyo pake, kuthetsa njala yanu pakudya zakudya zovomerezeka zotsika mtengo.

Mutatha kumwa chakudya, dikirani mphindi 15. Ngati palibe kusintha, idyani lokoma. Kuwonongeka kwa thanzi ndi chifukwa chabwino chothandizira kuchipatala mwachangu.

Ngati munthu watsala pang'ono kufa, sangathe kutafuna shuga kapena mapiritsi. Mpatseni yankho la shuga (amagulitsidwa ku pharmacy). M'malo mwake, mutha kudzipangira nokha shuga. Onetsetsani kuti wodwalayo akumeza yankho. Malondawa amakhala ndi mphamvu kwa mphindi 5. Pambuyo pake, muyenera kuyeza kuchuluka kwa shuga.

Munthu amene wasowa chikumbumtima ayenera kukhazikitsidwa pabedi (pambali pake kapena pamimba pake). Gwiritsani ntchito chopukutira kuti mumasule pakamwa pake padzulu, zinyalala za chakudya. Pezani mpweya wabwino potsegula zenera. Kenako itanani ambulansi.

Ndi chikomokere, kuyambitsidwa kwa glucagon ndi yankho la shuga wokhazikika pamafunika, izi zimachitika ndi madokotala azadzidzidzi. Mutha kugula zida zapadera zomwe zimatchedwa Glucagon pa chisamaliro chodzidzimutsa. Amamasulidwa pa mankhwala. Jakisoni amachitidwa intramuscularly, pakatha mphindi 20. munthuyo adzakhalanso kuzindikira.

Kupewa

Ndikofunika kulabadira njira zopewera matenda a hypoglycemia, chifukwa kugwidwa pafupipafupi kapena kwanthawi yayitali kumabweretsa zotsatirapo zosasinthika.

1. Yang'anani shuga lanu lamoto tsiku lililonse ndi mita ya shuga.
2. Ngati hypoglycemia ikukayikira, pimani shuga posachedwa. Ngati chizindikirocho chikutsika ndi 0,6 mmol / L (poyerekeza ndi chizolowezi), gwiritsani ntchito njira zomwe zanenedwa pamwambapa.
3. Funsani katswiri wazakudya kuti adye zakudya zoyenera.
4. Idyani tsiku lonse ndi nthawi yayifupi. Mautumiki azikhala ochepa. Ndikulimbikitsidwa kudya maola atatu aliwonse.
5. Sankhani kuchuluka kwa zochita zolimbitsa thupi kutengera ndi thanzi, thanzi lanu.
6. Ndi masewera olimbitsa thupi omwe amakhala nthawi yayitali, imwani zakudya za mapuloteni ndi zakudya zokhala ndi chakudya chambiri ola lililonse (sangweji ya nyama).
7. Siyani mowa.
8. Kunyamula mapiritsi a shuga (kapena maswiti, shuga).
9. Yang'anirani kutalika kwa nthawi yopuma pakati pa kudya ndi insulin.
10. Funsani dokotala kuti muthane ndi kukonzekera kwa sulfonylurea. Kuchepa kwa hypoglycemia kumachepetsedwa pogwiritsa ntchito insulin ndi njira yotsika mtengo.
11. Adziwitseni achibale, abwenzi ndi anzanu za zizindikiro za hypoglycemia, momwe mungaletsere, kuti akuthandizireni ngati pakufunika.
12. Tengani cholembera limodzi ndi pomwe chidziwitso chikuwonetsedwa. Mutha kugula chibangili chapadera. Izi zipangitsa ena kuti azikupatsani thandizo lokwanira ngati mwadzidzidzi mwadzidzimuka simukuzindikira.