Mu shuga mellitus, odwala ambiri amadabwitsidwa ndi shuga wamagazi ambiri, ndipo kuti achepetse, amatsata zakudya zovuta, ndipo ngati pakufunika, amapanganso jakisoni wa insulin kapena mapiritsi. Koma nthawi zina odwala awa amakhalanso ndi nkhawa ndi vuto linalo - hypoglycemia. Ichi ndi chikhalidwe chowopsa chomwe glucose imatsikira pansi pa 3.5 mmol / L. Ngati mungathandize wodwalayo poyambira kukula kwa matendawa, ndiye kuti ali ndi mwayi wopewa zovuta zina zilizonse. Koma ngati hypoglycemia ikasiyidwa mwamwayi, imasinthika kukhala kuwonongeka koopsa kwa thupi, popeza kukweza shuga m'magazi popanda thandizo la madokotala pankhaniyi sikophweka konse.
Amayambitsa ndi zizindikiro za shuga wochepa
Kuti muthandize odwala matenda ashuga kusiya hypoglycemia, muyenera kudziwa zomwe ali ndi vutoli. Monga lamulo, chimawonetsedwa ndi zizindikiro zotere:
- kufooka
- njala yayikulu;
- ludzu
- mutu ndi chizungulire;
- kunjenjemera m'thupi;
- kudumpha mu kuthamanga kwa magazi;
- kukoka kwamtima;
- thukuta kwambiri;
- chisokonezo.
Mwazi ungakhale wotsika kwambiri kuposa momwe mungakhalire wathanzi. Izi zimachitika ndi kulimbitsa thupi kosafunikira (makamaka ngati sizachilendo m'thupi), ndikudikirira kwa nthawi yayitali pakati pa chakudya ndikungopanikizika kwambiri. Kusintha momwe zilili pankhaniyi, nthawi zambiri zimakhala zokwanira kumwa tiyi wokoma ndikudya sangweji yokhala ndi mkate woyera. Koma ndi matenda ashuga, zina zimatha kuyambitsa hypoglycemia. Ili ndiye vuto lolakwika la insulin, ndikulumphira chakudya chotsatira, ndikusintha mtundu wina wa mankhwala kukhala wina.
Choopsa kwambiri ndi hypoglycemia, yomwe imachitika chifukwa cha mowa. Poyamba, mowa umachepetsa kwambiri shuga, womwe umapangitsa munthu kuledzera mwachangu. Zizindikiro za "kuluma" ndi mowa ndizofanana ndi zizindikiro za hypoglycemia, kuphatikiza apo, kugwiritsa ntchito zakumwa zamphamvu kumatha kukhala tcheru, ndipo wodwala matenda ashuga sangathe kumuwunika bwinobwino. Vutoli lilinso chifukwa chakuti kuchepa kwambiri kwa shuga kumatha kuchitika usiku pakudya, ndipo wakumwa sangamve izi.
Mowa ndi matenda ashuga sizigwirizana, chifukwa uchidakwa ungayambitse zotsatira zoyipa zaumoyo, kuphatikizapo kuperewera kwa vuto la hypoglycemic coma
Kuti muzindikire hypoglycemia, ndikokwanira kuyeza shuga m'magazi pogwiritsa ntchito glucometer imodzi. Ngati chizindikirocho ndi 3.5 mmol / L ndipo pansipa, muyenera kuyamba kuthandiza odwala matenda ashuga. Kumayambiriro kwenikweni, kuukira kumayimitsidwa mosavuta pakudya chakudya chamafuta othamanga, koma ndikofunikira kuwongolera momwe kuchuluka kwa shuga m'magazi kumasinthira pakapita nthawi.
Thandizo kunyumba
Kunyumba, mutha kuwonjezera shuga wamagazi ndi chakudya. Kuthana ndi hypoglycemia kungathandize:
Chifukwa chiyani shuga amagwa- maswiti;
- uchi kapena zipatso kupanikizana;
- chakumwa chosapatsa chidwi cha mowa;
- msuzi wa zipatso;
- sangweji;
- makeke
Kuti mafuta osavuta amenewo alowe m'magazi mwachangu, amatha kutsukidwa ndi tiyi wokoma. Komabe, ndikofunikira kuti musamadye mopitilira muyeso, kuti musakhumudwitse kuchuluka kwa shuga. Mukatha kudya zakudya za shuga, nthawi zambiri mumayenera kugwiritsa ntchito glucometer ndikujambulira zizindikiritso zonse kuti mumvetsetse momwe kuchuluka kwa shuga m'magazi kumasinthira.
Zipatso zokoma zimathandizanso kulimbikitsa shuga. Izi zikuphatikiza nkhuyu, mphesa ndi mavwende. Ichi ndichifukwa chake zinthu izi sizikulimbikitsidwa kuti muzidya kwambiri musanakonzedwe kwa glycemia. Amatha kupotoza zotsatirapo ndikuyambitsa kuwonetsa kwawoku. Pazinthu zowonjezera wowerengeka wowerengeka azitsamba zimaphatikizapo zipatso za shuga ndi shuga, komanso zotsekemera zotsekemera zamafuta a zipatso (mwachitsanzo, m'chiuno chamadzuka). Komabe, samagwiritsidwa ntchito kuti aletse kuukira, chifukwa zimatenga nthawi kuti akonzekeretse, ndipo ndi hypoglycemia, muyenera kuchitapo kanthu mwachangu.
Mutha kuwonjezera kuchuluka kwa shuga mothandizidwa ndi zipatso zouma. Muli michere yosavuta, motero amatha kukhala othandiza kwa hypoglycemia.
Mapiritsi a glucose
M'malo mwa zakudya ndi zotsekemera, mutha kugwiritsa ntchito mapiritsi a shuga. Amachita zinthu mwachangu kwambiri, chifukwa nthawi yomweyo atalowa m'thupi, chakudya chamafuta amayamba kulowa m'magazi. Gawo la shuga limaloĊµa m'magazi ngakhale m'kamwa moloza pansi pa zochita za ma michere omwe amatulutsidwa ndi tiziwalo timene timataya.
Ubwino wina wa piritsi ndi kutheka kuwerengera mulingo woyenera. Dokotala wokha ndi amene angakuuzeni momwe mungachitire izi molondola, ndibwino kukambirana izi pasadakhale kuti mudziteteze komanso kugula mapiritsi kuti muthe. Pafupifupi, amakhulupirira kuti gramu imodzi ya shuga wowona imachulukitsa kuchuluka kwa glycemia ndi 0.28 mmol / L. Koma chizindikiro ichi chimatha kusiyanasiyana, chifukwa zimatengera mtundu wa matenda ashuga, magwiridwe antchito a kapamba, kulemera ndi msinkhu wa wodwalayo.
Ndi hypoglycemia yofatsa, nthawi zambiri imakhala yokwanira kutenga 12-15 g ya glucose, ndipo pamafomu owonjezera, kuwonjezera, pakapita nthawi, muyenera kudya zakudya zamafuta pang'ono pang'onopang'ono (chakudya chonse, phala la chimanga, ndi zina). Ngati shuga asintha mosayembekezereka kapena zizindikiro za wodwalayo zikukulirakulira, simungakhale kunyumba - muyenera kuyimba ambulansi ndikugonekedwa kuchipatala kuti mulandire chithandizo. Ku chipatala, madokotala amatha kuyesa thupi lonse ndikuchita zonse zofunika kuti akhale ndi thanzi komanso moyo wa wodwalayo.
Hypoglycemia ndi bwino kupewa, kukumbukira kupewa. Kuti muchite izi, muyenera kudya zakudya zoyenera, muzitha kuwerengera moyenera kuchuluka kwa mkate mu mbale ndikuwongolera izi molondola ndi insulin. Koma zogulitsa ndi mapiritsi omwe amakweza shuga ayenera kukhala pafupi, chifukwa, kuchokera kugwa mwadzidzidzi m'magazi a magazi, mwatsoka, palibe amene ali wotetezeka.
