Shuga wochepa amatha kupangitsa kuti boma lisamayende bwino, ngakhale kufa.
Kodi shuga wotsika magazi amatanthauza chiyani?
Mikhalidwe yotsika pang'ono ya shuga imatanthawuza kuti dziko la hypoglycemic likukula. Izi zitha kuwonetsa ma pathologies enaake, koma nthawi zina matenda ofananawo amapezeka mwa anthu athanzi.
Ganizirani za kuopsa kwa shuga.
Zifukwa
Nthawi zambiri, hypoglycemia imapezeka mwa anthu omwe ali ndi matenda ashuga, ndipo imakhala yovuta. Izi zimachitika chifukwa cha chimodzi mwazinthu izi:
- Mlingo wambiri wa mankhwala okhala ndi insulin kapena mankhwala ochepetsa shuga;
- nthawi yayitali yopanda chakudya;
- osagwirizana ndi malamulo azakudya omwe adamangidwa a shuga;
- nthawi yayitali pakati pakudya;
- chiwindi ndi impso;
- pachimake zinthu chifukwa cha zotupa matenda;
- kuchuluka kwa thupi;
- kumwa milingo yayikulu ya zakumwa zoledzeretsa.
Nthawi zambiri, kutsika kwa shuga mu shuga kumachitika chifukwa chakuti jakisoni wa insulin kapena mapiritsi ochepetsa shuga amachitika motsutsana ndi maziko a njira zina zothetsera shuga m'magazi:
- chifukwa chake, mankhwala ochepetsa shuga amawonjezera mphamvu zawo ngati munthu amamwa tiyi kapena ma decoctions a linden maluwa, zipatso zakuda, udzu wa chicory, clover ndi mbewu zina;
- adyo, biringanya, parsley ndi horseradish, nkhaka, tomato, anyezi, dzungu ndi masamba ena amathanso kutsitsa shuga;
- zipatso ndi zipatso monga malalanje ndi zipatso zina za malalanje, maapulo osawoneka bwino, rasipiberi, mabulosi akuda, zipatso zakuda mzere ndi zina zotere.
Mphatso zambiri zachilengedwe zomwe zimatchulidwa ndizothandiza mwa izo zokha ndipo zimawonetsedwa kwa matenda ashuga. Koma kugwiritsa ntchito kwawo motsutsana ndi maziko amankhwala kuti muchepetse kuchuluka kwa glucose kumalumikizidwa bwino ndi dokotala.
Choyambitsa chotsatira cha hypoglycemia ndi chotupa chamimba chomwe chimatha kupanga insulin - insulinoma. Ikuwonjezera chidwi chake, ndikupangitsa kutsika kwa shuga.
Kuphatikiza pa zomwe tafotokozazi, chifukwa chomwe shuga amachepera kwambiri m'thupi akhoza kukhala:
- kuphwanya kwambiri chiwindi;
- zinthu pambuyo pa opaleshoni yochotsa mbali yam'mimba kapena matumbo;
- genetically kutsimikiza enzyme akusowa ndi zina zokhudzana carbohydrate kagayidwe;
- matenda a hypothalamic-pituitary system;
- mavuto ndi ndulu za adrenal.
Ponena za anthu athanzi, kutsika kwakanthawi kosungirako shuga kungalumikizidwe ndi mikhalidwe monga:
- kubereka mwana ndi kuyamwitsa;
- kuchuluka kwa thupi;
- kudzipereka pakudya kopanda thanzi;
- kusakhazikika mu zakudya;
- Zakudya zama kalori ochepa kapena kuperewera kwa zakudya m'thupi.
Zizindikiro
Zizindikiro za hypoglycemia zimapezeka mwa anthu athanzi omwe ali ndi shuga wama 3.3 mmol / L.
Mwa odwala matenda ashuga, izi zimachitika pamlingo wokwera pang'ono, chifukwa thupi lawo limagwiritsidwa ntchito ngati matenda a hyperglycemic.
Anthu omwe ali ndi mbiri yayitali ya matenda a shuga amatha kumva kusintha kwa boma ndi kutsika kwakuthwa m'magazi a glucose kuyambira 10 mpaka 20 mmol / L.
Ana omwe ali ndi matenda ashuga samva kwenikweni zotumphukazo. Nthawi zambiri, kuyambika kwa hypoglycemic syndrome mwa iwo kumatha kupezeka chifukwa cha glucometer.
Malinga ndi kuchuluka kwa mawonetseredwe, zizindikiro za kuchepa kwa shuga zimagawidwa m'magulu atatu:
- kuwala;
- pafupifupi;
- zolemetsa.
Ndi digiri yofatsa Zizindikiro zimatsika mpaka 3,3 mmol / l, ndipo munthu akumva:
- kupweteka ndi "kupindika" m'mutu;
- Kuda nkhawa
- utachepa kamvekedwe konse;
- kugwedezeka
- thukuta
- kupuma pang'ono;
- kumverera kwa njala;
- kuchepa kowoneka bwino.
Kuopsa kwambiri yodziwika ndi kuchepa kwa kuchuluka kwa shuga kwa 2.2 ndi zizindikiro zotsatirazi:
- kuchuluka kukwiya;
- kuyang'ana mozama;
- kulephera kukhalabe moyenera pakukhala ndi kuyimirira;
- mawu opopa;
- minofu yogwira mtima;
- misozi, yomwe ingasinthe ndikuwonetsa kukwiya.
Hyperglycemia - Zizindikiro
Chachikulu shuga akutsikira ku 1.1 mmol / l ndipo akuti:
- kulephera kudziwa;
- kukokana
- zochitika zikuwonetsa kupsinjika kwa ubongo.
Hypoglycemia imatha kuchitika usiku, kugona. Izi zitha kusiyanitsidwa ndi ena ndi kuchuluka kwa zizindikiro monga:
- kugona osagonja ku zozizwitsa;
- zoyeserera zopanda pake zotuluka, zomwe zimatha kugwa;
- akuyenda ali mtulo;
- thukuta kwambiri.
Chithandizo
Njira zochotsera hypoglycemia ndizothandiza kwambiri ngati zimatengedwa mu gawo loyamba la ola pambuyo zizindikiritso.
Pakadali pano, munthu wovutikayo (ngati akudziwa) atha kupemphedwa kuti abwezeretsenso nkhokwe zam'magazi ndi zakudya ndi zakumwa zotsekemera:
- shuga kapena uchi (osaposa supuni 2);
- ma caramel maswiti (zidutswa 2 ndizokwanira);
- mandimu (200 ml) kapena theka kapu ya madzi a zipatso okoma.
Njira yosavuta iyi ithandizira kuwonjezera kuchuluka kwa shuga ndikuletsa kupititsa patsogolo kwa hypoglycemic syndrome.
Hypoglycemic syndrome
Zizindikiro za hypoglycemia, osayimitsidwa panthawi, zimayambitsa kukula kwa hypoglycemic syndrome, zizindikiro zikamakulirakulirakulira, kukulira mkhalidwewo ndi thanzi. Hypoglycemia imayamba msanga. Kuti muthane ndi zoterezi, muyenera kukhala ndi maswiti nthawi zonse ndi inu kapena syringe yapadera yoyambitsa glucagon.
Maphunzirowa amatha kugawidwa m'magawo anayi (magawo).
Gawo loyamba ndi:
- njala yayikulu;
- kugona ndi kufooka wamba;
- kuthamanga kwa magazi;
- Kusintha kwa mawonekedwe
- mantha amodzi.
Gawo lachiwiri wanena za kuchuluka kwa zizindikiro:
- Njala imakulirakulira ndikulephera;
- khungu limasandulika;
- thukuta lotupa kuchokera pamphumi pake;
- tachycardia amakula;
- masomphenyawo amakhala opanda tanthauzo;
- kunjenjemera kumachitika mthupi lonse, makamaka m'miyendo;
- mantha amayamba kuopa kufa mwadzidzidzi.
Gawo lachitatu chosiyana:
- kuyambika kwa euphoria, monga kumamwa mowa;
- Hyper kukopa;
- Khalidwe losalamulirika, ndi chiwonetsero cha kupanda mantha;
- Zizindikiro zakulephera, mwachitsanzo, kukana kutenga maswiti kusintha zinthu.
Gawo lachinayi - Kuwonongeka kwakukulu kumeneku.
Zimaphatikizidwa ndi:
- kukhudzika, komwe kumatha kufotokozedwa ndi kukomoka;
- kutayika kwamaso;
- kukomoka ndikugwa.
Thandizo loyamba la hypoglycemic syndrome
Thandizo loyamba la hypoglycemic syndrome limaphatikizapo zinthu zotsatirazi:
- munthu ayenera kuyikidwa kumbuyo kwake, pamalo opingasa. Kwezani miyendo yanu mwaika chikwama kapena zovala zokutira (jekete, mwachitsanzo) pansi pazitsulo;
- itanani ambulansi pofotokoza zomwe zikuchitika. Ngati wovutikayo amadziwika kuti ali ndi matenda a shuga, izi ziyenera kufotokozedwa;
- khazikitsani kolala ya zovala kuti muthandizire kupumira;
- ngati chilichonse chikuchitika mkati - tsegulani zenera kuti mupatse mpweya wabwino;
- itanani wozunzidwayo kuti adye kapena amwe maswiti;
- Pamaso pa syringe ndi glucagon, jekeseni mosavuta kapena mu mnofu 1 ml ya mankhwalawa.
Hypoglycemic chikomokere
Hypoglycemic coma ndi mkhalidwe woipa kwambiri wopsinjika ndi kuperewera kwa shuga m'thupi. Nthawi zonse zimaphatikizidwa ndi kukhumudwa kwa chikumbumtima.
Glucose ndiye gwero lalikulu lamagetsi ofunikira kagayidwe.
Neurons aubongo amafunikiranso. Chifukwa chake, kuchepa kwa mphamvu zamagetsi kumawonekeranso mu ntchito ya zida zaubongo, kumatsogolera munthu kukhala wosazindikira.
Hypoglycemic coma imayamba m'magawo: choyamba, zizindikiritso zam'maso zimayamba, zomwe posachedwa zimasinthidwa ndi zizindikiro za kupweteka mwachindunji. Kuzindikira kukukula mwachangu, kwa mphindi 20-30 zokha.
Nthawi imeneyi, munthu amakumana ndi:- kuchuluka kwawamba;
- kufooka, komwe kumakulirakulira ndi chizungulire ndipo kumayendetsedwa ndi kutulutsidwa kwa thukuta lozizira;
- nthawi zosangalatsa ndi zokangana, zomwe zimasinthidwa mokulira ndi kusayang'anira.
- zovuta zopumira - zimayikidwa kawirikawiri komanso zakuya.
Kuchita kwa ophunzira kuyatsa pang'ono kuyatsidwa kumachepetsedwa kwambiri.
Chithandizo cha odwala ndi hypoglycemic chikomokere
Choyamba muyenera kutenga maswiti ndikuyambitsa glycogen. Zitachitika izi pambuyo poti zinthu sizinayende bwino, pamafunika ambulansi.
Monga ndi hypoglycemic syndrome, madokotala ambulansi omwe adafika amabweretsa njira ya shuga.
Izi nthawi zambiri zimakhala zokwanira kuti mumve bwino.
Ngati kusintha kwamphamvu sikunawonedwe, ndiye:
- nthawi idatayika, ndipo nthawi yotsikirako idapita kwambiri;
- mphamvu ya concomitant pathologies imachitika.
Ku chipatala, wovutikayo amalumikizidwa ndi mpweya wabwino. Mankhwalawa amathandizidwa ndi kuyambitsidwa kwa mankhwalawa kuti mukhalebe kamvekedwe ka mtima ndi mitsempha yamagazi (inotropes). Mafuta ophatikizidwa mozungulira amaloledwa ndi osakaniza polarizing (insulin ndi potaziyamu wa potaziyamu amawonjezera shuga).
Yankho lotere limalimbikitsa kuperekanso shuga kwa minofu komanso kusintha kwa metabolism ya electrolyte. Maantibayotiki atha kutumizidwa kuti ateteze matenda opatsirana. Pofuna kuthetsa edema, okodzetsa amagwiritsidwa ntchito.
Munthu amene wagonjetsa kukomoka amayenera kuyang'aniridwa nthawi zonse. Kutengera ndi zotsatira za mayeso azachipatala, madokotala akusintha chithandizo chamankhwala komanso zakudya.
Chotsatira, kuwabwezeretsanso madzi ndikuchulukitsa kwamizere kumachitika pochotsa acetone m'magazi ndikubwezeretsa kutaya kwamadzi.
Asanatulutsidwe, kufunsira ndi akatswiri ochepa komanso maphunziro owonjezera amalembedwa kuti athe kuzindikira zovuta zomwe zingakhalepo.
Hypoglycemic syndrome ndi kukomoka chifukwa chosowa chithandizo chamankhwala kumatha kukhala ndi zotsatirapo zoyipa. Kuti mupewe izi, ndikofunikira kudziwa zidziwitso zowopsa ndikuwayankha mwachangu. Izi ziyenera kudziwika osati kokha kwa anthu omwe ali ndi matenda a shuga, komanso mamembala a mabanja awo.