Zambiri pazotsatira za hypoglycemia mu shuga mellitus: ndi chiyani ndipo amathandizidwa bwanji?

Hypoglycemia mu matenda ashuga ndi malo owopsa momwe amafunikira chithandizo chamankhwala mwachangu.

Chifukwa chiyani zimatuluka? Zoyenera kuchita ndi momwe mungathandizire?

Tiyeni tiyese kuzindikira.

Kodi hypoglycemia ndimatenda a shuga?

Ndi kuchepa kwambiri kwa shuga m'magazi a odwala matenda ashuga, hypoglycemia ikhoza kuchitika. Glucose ndiye gwero lalikulu lamphamvu mthupi lathu. Mkulu wake ukayamba kugwa pansi, mavuto amayamba.

Mkhalidwe wowopsa umachitika ngati shuga ali pansi pa 3.5 mmol / L.

Nthawi zambiri, michere yomwe imalowa m'thupi ndi chakudya imawonongeka m'maselo a shuga. Chimodzi mwa izo ndi glucose. Singalowe mu cell mothandizidwa ndi insulin, timadzi tomwe timapangidwa ndi kapamba wathu.

Kukula kwa glucose kumapereka chizindikiro ku maselo a beta mu gland, ndipo nawonso, amayamba kutulutsa insulin. Insulin "imatsegula" maselo kuti alowe m'magazi, ndipo amalandira mphamvu yofunikira. Glucose wosagwiritsidwa ntchito amadziunjikira m'chiwindi ndi minofu ndipo amasungidwa monga glycogen.

Ngati simukudya panthawi, shuga yanu imatsika nthawi yomweyo. Ndi thupi la munthu wathanzi, palibe chomwe chimachitika.

Hormone wina wa pancreatic wotchedwa glucagon amatumiza chizindikiro ku chiwindi kotero kuti amayamba kuphwanya glycogen yosungirako, kumasula glucose. Chifukwa chake, shuga wamagazi amakhalabe wabwinobwino mpaka chakudya chotsatira.

Mwa anthu omwe ali ndi matenda ashuga, izi sizikugwira ntchito. Mu shuga mellitus I digiri, insulin siyipangidwe, kapena kuchuluka kwake ndizochepa kwambiri. Mtundu wachiwiri wa matenda ashuga, maselo enieniwo satenga chiopsezo cha insulin, ndipo shuga amangodziunjikira m'magazi owopsa.

Zifukwa zachitukuko

Pochiza matendawa, Mlingo wa insulin amawerengedwa mosamala poganizira kuchuluka kwa chakudya chomwe chimatengedwa.

Ngati pazifukwa zina mlingo wa insulini udapyola, kapena sakanatha kudya nthawi zambiri mutamwa mankhwalawa, hypoglycemia imatha kuchitika.

Cholinga chake chimakhalanso ntchito zowonjezera zolimbitsa thupi, momwe thupi limagwiritsa ntchito mphamvu zambiri, motero glucose.

Mankhwala osokoneza bongo a insulin nthawi zambiri amapezeka chifukwa cha zovuta za odwala matenda ashuga okha, chifukwa chosasamala kapena cholakwika pakudya.

Zizindikiro zake

Zowonetsera zamankhwala za hypoglycemia pafupifupi nthawi zambiri zimachitika mwadzidzidzi.

Gawo lalikulu limayamba ndi zotsatirazi:

• mawonekedwe akumoto;
• kugwedeza manja ndi miyendo;
• thukuta;
• kufooka kwathunthu ndikumverera kutopa;
• palpitations
• Nthawi zina mutu umatha.

Zizindikiro izi zimatha kuchotsedwa mosavuta pakudya kapena panthawi ya shuga. Nthawi zambiri, anthu odwala matenda ashuga amakhala ndi mapiritsi okhala ndi shuga kapena mapiritsi a shuga pokhapokha atakumana ndi zotere.

Ngati simukuzindikira zizindikiro za hypoglycemia munthawi yake ndipo simukuchitapo kanthu, ndiye kuti vutolo lidzafika gawo lina - kukomoka kwa hypoglycemic kumayamba kukula.

Kukula kwa hypoglycemic coma kumadziwika ndi:

• kuwoneka kwa kugwidwa kwa magulu osiyanasiyana a minofu;
• Trismus - kupindika kwa kutafuna minofu;
• chisangalalo wamba;
• kusanza
• kusefukira ndikulephera kuzindikira.

Kukula kopitilira muyeso kwa hypoglycemic kumagawidwa m'magawo asanu:

1. mawonekedwe akumva kwamphamvu njala. Mwamuna ndi wokonzeka kudya chilichonse. Pankhaniyi, kusokonekera kumawonekera, kusintha kwa masinthidwe ndi mutu kumachitika. Wodwalayo amachita moyenera. Pakufufuzidwa, pamakhala kugunda kwamtima ndi chinyezi pakhungu;
2. machitidwe osayenera. Thukuta limakulirakulira, malovu otambalala amachitika, kunjenjemera kumawoneka - manja akunjenjemera ndi thupi lonse, kuwonetseredwa kwamaso. Munthu amakhala ndi chidwi - monyinyirika kapena mosemphanitsa, ndizosangalatsa kwambiri;
3. minofu kamvekedwe kakukwera kwambiri. Khunyu yofanana ndi khunyu. Ana amapukutidwa, ndipo kupanikizika kumachulukitsidwa, chinyezi cha khungu ndi zolimba mtima
4. munthu amasiya kuzindikira. Kupuma kumakhala kwabwinobwino, ana amapukutidwa, khungu limanyowa, kuthamanga kumakhala kwabwinobwino kapena kukwezedwa pang'ono, zimachitika mwachangu;
5. chikomokere. Ma reflexes onse amachepetsedwa kapena kulibe. Mlingo wamtima wasokonezeka, thukuta limaimitsidwa, kupanikizika kumakhala kotsika.

Vuto lowopsa lingakhale chithokomiro cham'mimba, chomwe chimaphatikizapo kulephera kupuma ndi ntchito ya mtima.

Thandizo loyamba

Popeza hypoglycemia imayamba mwadzidzidzi, ndiye kuti thandizo liyenera kuperekedwa mwachangu kwambiri. Monga lamulo, abale ake a munthu wodwala matenda a shuga amadziwa momwe angamuthandizire.

Ntchito zothandizira ndi izi:

1. ngati kumeza Reflex ikusungidwa, wodwalayo amapatsidwa chakumwa chotsekemera, shuga, kapena shuga wongosungunuka m'madzi;
2. Pakapanda kuwameza zinthu zowala komanso ana osapukusidwa omwe samvera kuwala, milingo yaying'ono ya glucose imayikidwa pansi pa lilime. Izi zikuyenera kuchitika mosamala kuti wodwalayo asakodwe. Mutha kugwiritsa ntchito uchi, womwe umapangidwanso bwino pamlomo wamkamwa.

Njira izi zikuthandizira kuyembekezera ambulansi. Dokotala amayesa momwe wodwalayo alili, ndipo ngati ndi kotheka, amwe mankhwala.

Likukhalira kuti agalu amatha kuwona njira ya hypoglycemia. Izi ndichifukwa choti asanagwidwe, thupi la munthu yemwe akudwala matenda ashuga oyamba, limatulutsa chinthu chotchedwa isoprene.

Agalu amanunkhira ndikuyamba kuwonetsa nkhawa. Chifukwa chake, eni agalu amatha kuphunzira pasadakhale za mikhalidwe yowonjezereka ndi kupewa kuukira nthawi.

Chithandizo ndi kupewa

Chithandizo cha gawo loyambirira la hypoglycemia chimaphatikizapo thandizo la panthawi yake. Woopsa milandu, ndi isanayambike chikomokere, nkofunika kuchipatala mwachangu.

Mchipinda chopangira chisamaliro chachikulu, shuga amathandizidwa mwachangu ndipo ngati kuli kotheka, jakisoni wa glucagon amaperekedwa.

Kugwiritsa ntchito adrenaline nthawi zina kumawonetsedwa. Ngati mankhwalawa sakuthandizira, gwiritsani ntchito mankhwala a mahomoni ngati Hydrocortisone. Monga lamulo, mkhalidwe wa wodwalayo umakhazikika. Mukatuluka chikomokere, mankhwala amathandizidwa kuti apititse patsogolo kusintha kwa zinthu mthupi.

Njira zodzitetezera zimaphatikizapo kusungabe mlingo wa insulin komanso zakudya zina. Mukamaliza kudya, ndikofunikira kudya nthawi yake, kupewa nkhawa.

Pali zoletsa pazakudya za zinthu monga:

• zosiyanasiyana confectionery zopangidwa ndi ufa wa tirigu;
• masamba okoma ndi zipatso;
• wokondedwa;
• shuga
• khofi
• Cocoa
• mizimu;
• zakudya zina zopatsa mphamvu zamafuta ambiri.

Zakudya zoterezi zimakuthandizani kuti muzilamulira shuga m'magazi ndikuletsa insulin yambiri, yomwe singalephereke kuphwanya zakudya.

Zotsatira zake

Kuukira pafupipafupi kwa hypoglycemic kumabweretsa kusintha kosasintha m'thupi. Pakaponya kwambiri glucose, mamasukidwe amwazi samalola kuti ubongo ulandire mpweya wabwino wabwinobwino.

Hypoglycemia imakhudza chitukuko cha matenda monga:

• kulephera kwa mtima - ischemia yamtima kapena kugunda kwa mtima;
• matenda a mtima - matenda oopsa;
• sitiroko;
• kulephera kwaimpso;
• matenda amaso - matenda a m'maso, glaucoma;
• ena.

Osati kawirikawiri nthawi zina pamene hypoglycemia imatsogolera ku matenda amisala. Psychoses imapanga kumbuyo kwa njala yakufa kwa ubongo. Mwina kukula kwa khunyu, makamaka kwa odwala omwe ali ndi vuto lalikulu la hypoglycemia kapena chikomokere.

Makanema okhudzana nawo

Zomwe zimayambitsa, Zizindikiro, njira zopewera hypoglycemia:

Njira zomwe tatchulazi zikuthandizira kupewa zovuta kwambiri ndikukhalanso ndi thanzi labwino. Ntchito ya munthu wodwala matendawa ndikuletsa kupezeka kwa hypoglycemia. Kukhala wodziletsa kwambiri kudzakuthandizani kukhala ndi moyo wabwino ngakhale mutakhala ndi matenda monga matenda a shuga.