Kapangidwe ka magazi kamatenda kamatengera zinthu zambiri, kuphatikiza kuchuluka kwa mahomoni a mkazi.
Glucose imayendetsedwa ndi adrenal glands (adrenaline, glucocorticoids), kapamba (insulin, glucagon), gland ya gululi (steroid mahomoni).
Zifukwa zochepetsera shuga m'magazi zimatha kukhala chifukwa cha kusintha kwokhudzana ndi ukalamba, kutenga pakati, komanso kufinya thupi. Kuyesedwa kwa Laborator kwa kapangidwe ka mankhwala ndi mahomoni kungathandize kuzindikira nthawi yayitali magazi a akazi.
Zizindikiro za hypoglycemia
Glucose imatenga mphamvu yama cell, kotero kuchuluka kwake kosakwanira kumakhudza mbali zonse za thupi.
Choyambirira, shuga ndi wofunikira muubongo;
Kuunika kwa biochemical kumathandizira kuzindikira mtundu wa hypoglycemia, kuwonetsa kuchepa kwa shuga.
Hypoglycemia yeniyeni imalembedwa pomwe mitengo ya shuga ili pansi 3.3 mmol / L, mwina chifukwa cha kanthawi kochepa chifukwa cha zinthu zoyipa. Hypoglycemia wonamizira akuwonetsa kuchepa msanga kwa shuga. Amapezeka ndi mayeso ololera a glucose, pomwe kuchuluka kwa shuga kumayesedwa kwa maola awiri ndi theka la ora.
Mukakhala ndi shuga yochepa ya magazi, Zizindikiro mu azimayi zimatha kufotokozedwa ndi zizindikiro zakunja. Chizungulire cham'mawa, mphwayi, kupweteka kwa pakhungu, khungu ndi chizindikiro chachikulu kwambiri cha shuga wochepa mwa akazi. Mphamvu yanjala yamaselo imasinthidwa ndi zakudya, zolimbitsa thupi zolondola, boma lochita ntchito komanso kupumula.
Zizindikiro zazikuluzikulu za shuga m'magazi:
- mawonetseredwe apadera: kupweteka mutu mosiyanasiyana, kusamva bwino ngakhale mutatha kudya, kuda nkhawa komanso kukwiya;
- zovuta zamagulu: tachycardia yowona, miyendo yanjenjemera, kupindika, kuwonetsa kuyenda kwa magazi kudutsa thupi. Kudumphadumpha mu glucose pansi kumayambitsa arrhythmia, pallor lakuthwa, kupumira mwachangu. Dongosolo la parasympathetic limathandizira kukhala ndi m'mimba motility, yomwe imayambitsa njala, ikugunda pamimba;
- kuchokera ku mitsempha: pre-syncope, chikumbumtima chosavomerezeka, kupindika m'matumbo (kugogoda mutu). Mitundu ikuluikulu ya hypoglycemia imayambitsa kulumikizana kwa magawo ena a ubongo, zomwe zimakhala zowopsa ndikusokonezeka kwamtsogolo. Mwina kumayambiriro kwa glycemic chikomokere ndi shuga msanga 2.7-2.3 mmol / l (wotsimikiza ndi glucometer). Kusintha kwanyengo ndi kuphwanya kwa malingaliro pambuyo pakukanika.
- kagayidwe amasokonekera, mapuloteni ndi mafuta sizinapangidwe bwino, thupi limafunikira chakudya chamoto chambiri. Kuchepetsa kwa glucose m'magazi kumapangitsa kuti mumve njala, zomwe zimabweretsa kulemera.
Zomwe Zimayambitsa shuga A m'mwazi mwa Akazi
Indices zama glycemic ochepa amalembedwa osati odwala omwe ali ndi matenda osokoneza bongo, komanso amawonetsa kuchepa kwa kapamba, grencia grenc, ndi gonads.
Zomwe zimayambitsa shuga wochepa m'magazi azimayi, poganizira momwe matendawo amakukhalira:
- kusokonezeka kwa chiwindi (chifukwa cha shuga m'magazi ochepa mwa azimayi, omwe amadziwika ndi kusowa kwa kapangidwe ka mahomoni a steroid);
- zovuta zam'mimba (chakudya chamoto sichimamwa);
- kupsinjika kosalamulira kwakuthupi ndi m'malingaliro (maselo atopa mphamvu zawo);
- matenda a impso (palibe chosinthanso cha glucose ndi impso);
- kusowa kwa zakudya m'zakudya (panthawi yopanda chakudya chamafuta) kapena kumwa kwambiri maswiti okhala ndi shuga wambiri;
- kumwa pafupipafupi, Mowa umaletsa kaphatikizidwe ka shuga m'chiwindi;
- endocrinopathies (hyperinsulinism, kuperewera kwa mphamvu ya hyperglycemic: kukula, glucagon, glucocorticoids, catecholamines);
- chosaopsa ndi kupweteka kwapalendia, kupangitsa kusakhazikika kwa insulin.
Kusayang'anira chakudya chomwe mayi wapakati amakhala ndi nthawi yayitali yopuma kumabweretsa mphamvu yanjala, motero, thanzi labwinoko, kutsika magazi, komanso kusazindikira.
Kusanthula kwa Laborator kumawonetsa shuga m'magazi omwe ali ndi amayi omwe akuchita ntchito yopanga masewera olimbitsa thupi.
Polembetsa m'chipatala cha amayi oyembekezera, azimayi oyembekezera amapatsidwa setifiketi yosavutikira pantchito zovuta.
Kuchepetsa shuga kwa azimayi kumawonedwa ndi kuperewera kwa mahomoni: mimba yabodza, opaleshoni yam'mimba, kusintha kwa thupi, matenda a gynecological. Kuchepa kwa msambo kumapangitsa kuti pakhale vuto la biochemical lomwe limadzetsa vuto la hypoglycemia.
Kupewa kwa hypoglycemia, thandizo loyamba
Ngati shuga m'magazi ndi ochepa, zizindikiritso mu azimayi omwe alibe mayeso a labotale zimatha okha.Ndikotheka kuwonjezera shuga posintha zolimbitsa thupi, zakudya. Ngati zizindikiro za hypoglycemia sizinathere, ndiye kuti kuwunika ma laboratori ndi kuyendera akatswiri ochepa thupi kungathandize kudziwa chomwe chimayambitsa kuperewera kwa magazi m'thupi.
Kuchepetsa kwambiri msinkhu wa shuga kumayambitsa chikomokere, chomwe chimatseka ubongo. Kuthandizira pa nthawi yake sikuthandizira zovuta zina zomwe zingasinthe pakati pa matenda amanjenje: stroke, aphasia, khunyu, encephalopathy, matenda ammimba. Kwa odwala omwe amadalira insulin komanso anthu omwe ali ndi matenda a shuga, ndikofunikira kuti athandizidwe mphindi zoyambirira mpaka 10a.
Odwala omwe ali ndi hypoglycemia amalimbikitsidwa kuti azitha kupeza gwero la shuga wofinya msanga: zakumwa zotsekemera, caramel, kagawo ka shuga, chokoleti. Ngati kuukira kukungoyamba kumene, ndiye kuti kutha kuyimitsidwa kokha ndi mankhwala okoma.
Ndi choopsa choopsa monga shuga wochepa, zizindikiro mwa akazi zimatha kuzindikirika ndi mawonekedwe akunja: nkhope yotuwa, khungu lonyowa, tachycardia yokhala ndi kugunda kowonjezereka.
Thandizo liyenera kuperekedwa mwachangu ambulansi isanabwere. Wodwala sangathe kusankha payekha chifukwa cha kupuma chifukwa cha zovuta kapena zinthu zina zokhumudwitsa.
Al shuga yochepa kwambiri
- perekani malo abwino: malo opingasa ndi mutu wokweza pang'ono;
- ozindikira, pogwiritsa ntchito ntchito zomeza mosamala, perekani chakumwa chakumwa chokoma kapena kuyika shuga pansi pa lilime (ndikofunikira kugwiritsa ntchito mabatani amodzi). Chakomacho chimalowa m'magazi mosavuta, ndikulimbikitsa kuchuluka kwa shuga, zomwe sizingatheke ndi caramel kapena manyowa;
- mwadzidzidzi, odwala ali ndi syringe ndi glucagon, imayendetsedwa kamodzi kapena kudzera m'mitsetse kamodzi, osapitirira 1 ml. Kuyang'anira kapangidwe kake ka magazi ka magazi kumapangitsa kuti zisasinthe;
- itanani mwachangu ambulansi kuti agonekere kuchipatala.
Zakudya
Zakudya za hypoglycemia kumayambiriro koyambirira zimakonzedwa ndi zakudya. Menyu imasankhidwa poganizira chakudya cha metabolism.
Zakudya zokhala ndi fiber yayitali-yopukutira (masamba, chimanga, nyemba, zipatso, mbewu, nyama zamtundu wa pasitala) zimapangitsa kupanga insulini pang'onopang'ono.
Zakudya zamafuta othamanga komanso zotsekemera zotsekemera zimaperekedwa kunja, zimasiyidwa kuti ziyimitse kuwukiraku ndipo sizapangidwa kuti zizigwiritsidwa ntchito tsiku ndi tsiku.
Ndikosatheka kusiyanitsa kwathunthu chakudya cha zakudya m'zakudya, komanso m'malo mwake. Shuga (kuphatikiza chobisika), zopangidwa m'makampani opanga mafakitale zimayambitsa kulumpha kwa glucose, zomwe zimapangitsa kuti shuga achepe kwambiri.
Makanema okhudzana nawo
Zodzaza ndi hypoglycemia mu kanema:
Kukhala ozindikira kuumoyo, kudutsa mayeso a kuchipatala panthawi yake ndikuthandizani kupewa zotsatira zosasinthika. Mchere wamagazi ochepa mwa akazi kwa nthawi yayitali umatsogolera ku matenda a machitidwe ena a thupi. Myocardial infarction, zotupa m'mimba ndi mkati mwa retina zimawonedwa. Gawo loyambirira la hypoglycemia liyenera kukhala chifukwa chopita kwa akatswiri, a endocrinologist, ndi a matenda ashuga.