Kumwa mowa kwambiri kumatha kudwalitsa thanzi. Ikhozanso kukhala chifukwa chachikulu cha hypoglycemia mwa anthu opanda matenda a shuga.
Chifukwa cha kusazindikira, matendawa adayamba kuonedwa ngati chifukwa chogwiritsa ntchito mankhwala osokoneza bongo omwe amawonjezeredwa ku zakumwa zoledzeretsa m'masitolo amisili.
Koma, monga momwe zidakhalira pambuyo pake, izi ndizotsatira zoyipa za ethanol, zomwe zimapezeka mu mowa onse. Monga mukudziwa, matendawa amapezeka makamaka mwa anthu omwe nthawi zina amasowa galasi kapena awiri. Nanga mowa ndi hypoglycemia ndi chiyani ndipo zotsatira zake ndi chiyani kwa thupi?
Kodi mowa hypoglycemia ndi chiani?
Kupukusa kwa ethanol m'chiwindi kumagwidwa ndi mowa wambiri.
Kukhazikika kwa ethanol kungayambitse kuchepa kwa gluconeogeneis m'chiwindi.
Ichi ndichifukwa chake zimadziwika kuti hypoglycemia yotchedwa zakumwa zoledzeretsa zimachitika ndi kutsika kwakukulu kwa masitolo onse a glycogen pomwe gluconeogenesis ikufunika kuti ikhale yolimba. Izi nthawi zambiri zimawonedwa ndi zopanda thanzi komanso zoperewera.
Nthawi zambiri, matendawa amapezeka mwa anthu osowa m'thupi omwe ali ndi vuto la uchidakwa. Koma, komabe, pamakhala zochitika zina ngakhale ngakhale mwa anthu athanzi labwino, ndikamwa mowa umodzi wambiri, matendawa amapezeka. Izi zimachitika nthawi zambiri munthu akamamwa mowa pamimba yopanda kanthu. Tiyenera kudziwa kuti ethanol amachepetsa kwambiri kuchuluka kwa shuga m'magazi omwe chiwindi chawo chimagwira bwino ntchito.
Zizindikiro
Vutoli limatha kupezeka makamaka kwa anthu omwe amakonda kumwa mowa.
Kuphatikiza apo, ndikofunikira kudziwa kuti nthawi imeneyi amakana kudya kapena kudya pang'ono zopweteka.
Matendawa amayambira pafupifupi maola ochepa kapena tsiku litatha kuchuluka kwa ethanol pamimba yopanda kanthu. Ichi ndichifukwa chake kupuma koyipa sikumveka.
Monga lamulo, anthuwa amadwala chifukwa chomwa mowa kwambiri chifukwa amamwa pafupifupi tsiku lililonse ndipo samadya chilichonse. Atavomereza kuchipatala, akatswiri amawona kuti anthu oterewa amadandaula za kusanza kosalekeza, sikuti chifukwa cha mowa, koma kuchuluka kosakwanira kwa ma calories komwe kumalowa mthupi.
Dziwani kuti anthu ena amakhudzidwa makamaka ndi ethanol. Izi zikuphatikiza:
- ana aang'ono omwe amatha kuyesa mowa kwathunthu mwangozi;
- anthu omwe akhala akuvutika ndi matenda a shuga kwa nthawi yayitali ndipo amalandila insulin, yomwe ndi mahomoni azunguzi;
- odwala omwe ali ndi matenda a pituitary-adrenal system (mwachitsanzo, hypopituitarism, kuchepa kwa ACTH ndi matenda a Addison).
Vutoli lowopsya komanso loopsa nthawi zambiri limabweretsa kukomoka popanda zizindikiro zomwe zimawoneka kale za zomwe zimadziwika kuti adrenergic. Popeza munthu amene waledzera sangamve fungo pambuyo pa tsiku, ndizovuta kwambiri kuzindikira matendawa. Nthawi zambiri, popanda kafukufuku wapadera wa labotale, ndizosatheka kudziwa izi. Akatswiri ambiri amalakwitsa atazindikira kuti ali ndi poizoni woopsa.
Ndikofunika kukumbukira kuti mowa hypoglycemia ali ndi zizindikiro, zomwe zimaphatikizanso hypothermia ndi kupuma movutikira, chifukwa cha lactacytosis yothandizirana.
Komanso, mutatenga magazi kuti muwoneke, mutha kuzindikira kuti kuchuluka kwa ethanol mmalo mwake kumachepetsedwa kwambiri kuti mudzindikire. Zambiri zomwe zili m'm shuga ndizotsika kwambiri, zomwe zimafotokoza bwino zomwe wodwala akuchita.
Ngakhale glucagon atalowetsedwa m'mitsempha, sizimayenda bwino, zomwe zikuwonetsa kukhalapo kwa zovuta zazikulu. Ndizofunikira kudziwa kuti zovuta za metabolic acidosis zomwe zimachitika pambuyo podzikundikira kuchuluka kwa lactic acid zimawonedwanso pakuwunika kwa wodwalayo.
Odwala ena amalandila ketoacidosis wokhala ndi ena. Ndikofunika kudziwa kuti pamenepa, ndizopanda phindu kuchita mayesero apadera a chiwindi.
Chithunzi cha kuchipatala
Mowa hypoglycemia ndimayendedwe ogulitsa hypoglycemia.
Ngakhale kumwa mowa pamimba yopanda kanthu, chiopsezo cha hypoglycemia chimakulanso pambuyo pa kumwa kumapeto kwa masewera olimbitsa thupi.
Chofunika kwambiri pano si mtundu wa mowa, koma chinthu chachikulu chomwe chimatchedwa ethanol ndi kuchuluka kwake, chomwe chimakamwa pakamwa.
Mwa zina, pali zochitika zina za hypoglycemia chifukwa chogwiritsa ntchito mankhwala ena omwe amawoneka motsutsana ndi chiyambi cha kumwa mowa mosiyanasiyana.
Monga mukudziwa, chakumwa chilichonse choledzeretsa chimatha kuchepetsa shuga m'magazi. Ngati mulingo wake ukugwa mwachangu, ndiye kuti izi zitha kukhala ngozi yayikulu ku moyo wa munthu.
Ndi anthu ochepa omwe amadziwa kuti mowa ungapangitse kusintha kwa mahomoni a kapamba ndi mankhwala ena apadera a glucose, koma panthawi imodzimodziyo imachepetsa mapangidwe a shuga m'magazi.
Kuphatikiza apo, zakumwa zoledzeretsa zimakonda kukhala ngati zosungunulira zina zamafuta.
Ethanol imachulukitsa kuchuluka kwa ma cell, omwe amakhala ndi ma lipids omwewo. Glucose imadutsa pores yokulitsidwa mu nembanemba kuchokera kumagazi kupita ku maselo.
Chifukwa chake, zomwe zimapezeka m'magazi zimatsika nthawi yomweyo ndikumakhala osagwirizana ndimanjala, zomwe zimakhala zovuta kwambiri kuzilamulira. Zotsatira zake, munthu amaponyera chakudya ndipo amatenga chilichonse chomwe amapeza. Zotsatira za chakudya choterocho ndi kudya kwambiri.
Ponena za chithunzi cha matenda oopsawa, ali pafupifupi:
- munthu amalamulidwa ndi zomwe amadziwika kuti amanjenje mu hypoglycemia;
- ndikadali m'thupi la wodwala, zizindikiro zina za adrenergic zimakhala zofatsa kapena sizipezeka konse. Monga lamulo, izi zimachitika chifukwa cha kuchepa kwapang'onopang'ono kwa shuga m'magazi amunthu.
Kuukira kwa hypoglycemia ndi hyperglycemia mu matenda ashuga ndi zochitika zodziwika bwino. Kulumpha mwadzidzidzi m'magazi a shuga kumatha kuchitika nthawi iliyonse, ndipo wodwalayo ayenera kuwakonzekera.
Chifukwa chiyani pali hypoglycemia mwa azimayi komanso momwe angaperekere thandizo pamkhalidwe wowopsa, werengani apa.
Ndipo kuti mupewe zovuta zamtundu uliwonse za matenda ashuga, muyenera kusintha moyo wanu, kusintha chikhalidwe chanu cha zakudya, kupanga mndandanda wazakudya mlungu umodzi ndikupanga ntchito yaying'ono yazolimbitsa thupi.
Chithandizo
Monga lamulo, chithandizo cha odwala omwe ali ndi chidakwa hypoglycemia chimayamba ndi kuperekera kwa shuga kwamitsempha. Koma jakisoni wa glucagon amaletsedwa chifukwa pamikhalidwe yomwe ilipo, pomwe masitolo onse a glycogen atatha, palibe zomwe zimachitika mu hormone iyi.
Zambiri zamankhwala oledzera a hypoglycemia, ali ndi awa:
- Choyamba, muyenera kulumikizana ndi kuchipatala choyenerera kuti dokotala wopezekayo ayesetse wodwalayo mosamala;
- ndiye kuti wodwala adzatumizidwa kukayesedwa ndi mayeso oyenera. Kuzindikira kwakanthawi ndi chithandizo chovuta mwadzidzidzi kumatha kukonza mkhalidwe wamthupi ndikubwezeretsa thanzi lakale;
- Monga lamulo, chithandizo ndi glucagon sichimagwira ntchito konse, chifukwa panthawi yomwe mawonekedwe a matendawa amapezeka mthupi lonse atatha;
- pamaso pa matenda, mosiyana ndi hypoglycemia, wodwala safuna kulowetsedwa kwa shuga;
- kubweranso kwa matendawa kumapanikizika ndi kupangika kwapakati, koma zokwanira zamagulu othandiza m'thupi zilizonse.
Musaiwale kuti chowopsa kwambiri sichichedwa hypoglycemia.
Ndikofunikanso kusamala, chifukwa ngati munthu adamwa mowa, zovuta kwambiri zimatha kuchitika nthawi yomweyo usiku. Matendawa amakhala ovuta kwambiri ndipo amayima chifukwa cha malo otsika a glycogen m'chiwindi.
Kanema wothandiza
Njira zabwino kwambiri zochizira komanso kupewa hypoglycemia:
Nkhaniyi ili ndi chidziwitso chothandiza pokhudzana ndi matenda oyipawa, omwe amatha kupha munthu. Wikipedia ikuthandizani kuti mudziwe bwino zomwe zimachitika mu hypoglycemia. Ndikofunika kukumbukira kuti sikulimbikitsidwa kumwa mowa pamimba yopanda kanthu, chifukwa mutha kupeza mavuto osafunikira. Ngati mukukonzekera phwando, ndiye kuti muyenera kudya zolimba musanadye komanso kumwa. Izi zimateteza thupi ku mawonekedwe osayipa.
Ngati mavuto sangathenso kupewedwa, ndipo zizindikiro zoyambirira zimawonedwa, ndiye kuti muyenera kulumikizana ndi katswiri kuti akuthandizeni. Chithandizo chanthawi yake komanso chapamwamba mu chipatala chapadera chithandiza kuti izi zitheke mwachangu, zomwe zingayambitse imfa.
