Hypoglycemia mu shuga

Hypoglycemia ndi vuto losavomerezeka lomwe kuchuluka kwa glucose m'magazi kumatsika pansi 3.3 mmol / L. Zimayendera limodzi ndi zosangalatsa m'thupi, ndipo m'malo ovuta kwambiri, popanda chithandizo chamankhwala, zimatha kuwononga ubongo ndi kuwonongeka kwa chikomokere. Kuzindikira kuti pali hypoglycemia mu shuga mellitus komanso chifukwa chake nkoopsa, mutha kuthandiza wodwala pakapita nthawi ndikusamalira thanzi lake, ndipo nthawi zina moyo wake.

Kodi ndichifukwa chiyani shuga yochepa magazi ndi owopsa kwa odwala matenda ashuga?

Zingawoneke kuti kutsika shuga m'magazi ndikomwe wodwala aliyense amafunafuna. Ndiye chifukwa chiyani hypoglycemia mu shuga sichikhala bwino? Chowonadi ndi chakuti mu mkhalidwe uwu shuga amatsika kwambiri, zomwe zingayambitse kusokonezeka kwakukulu pakugwira ntchito kwa ubongo ndi ziwalo zina zofunika. Kuphatikiza apo, ndi shuga, shuga wamagazi ochepa sikuyenda bwino nthawi zonse.

Zolemba za hypoglycemia mu mtundu 2 wa shuga zitha kupezeka mwatsatanetsatane m'nkhaniyi.

Kwa aliyense wodwala matenda ashuga, mulingo woyenera wa glycemia (shuga wamagazi) ndi munthu payekha. Zoyenera, akuyenera kufanana ndi ziwonetsero zofanana ndi izi mwa munthu wathanzi. Koma nthawi zambiri, moyo weniweniwo umasintha zake, kenako uyenera kuyamba kuchokera ku thanzi la wodwalayo ndimitundu yosiyanasiyana ya shuga.

Kuopsa kwa hypoglycemia ndikuti, chifukwa cha kuchepa kwa glucose wokwanira, ubongo umakumana ndi vuto la njala. Zizindikiro zake zimawonekera mwachangu, ndipo zikavulala kwambiri, munthu amatha kudwala matenda opweteka kwambiri. Ndizowopsa zazotsatira zake chifukwa chamatsenga ndipo paokha umaopseza moyo wa munthu.

Chifukwa cha hypoglycemia, munthu amatha kukwiya kapena kukwiya, koma kulakwa kwake kulibe pano. Izi ndichifukwa choti ubongo wake sungagwire ntchito mokwanira mikhalidwe ya kusowa kwa glucose

Zizindikiro

Zizindikiro za hypoglycemia mu shuga zitha kugawidwa m'mbuyomu komanso pambuyo pake, zomwe zimawoneka ngati palibe chithandizo. Choyamba, kuchepa kwa shuga m'magazi kumawonetsedwa ndi zizindikiro zotere:

• njala yayikulu;
• kusanza (kusanza nthawi zina kumatheka);
• kusangalala pang'ono, kusokonezeka m'maganizo;
• kuchuluka kwa mtima;
• kutsekeka kwa khungu;
• mutu ndi chizungulire;
• kunjenjemera kwa minofu ndi miyendo;
• thukuta;
• kusweka.

Ngati mutenga njira zoyenera ndikupanga kufooka kwa shuga m'thupi, mawonekedwe osasangalatsa awa adzadutsa mofulumira, ndipo munthuyo adzakhalanso wabwinobwino. Koma ngati simuwanyalanyaza kwanthawi yayitali, vuto la wodwalayo limakulirakulira, zomwe zimawonekera ndi zizindikilo zotere:

• chisokonezo chamalingaliro, kusokonekera kwa malankhulidwe;
• kusokoneza kayendedwe ka kayendedwe;
• zosokoneza zowoneka;
• kulephera kukhazikika, kumva nkhawa zamkati, mantha kapena kusasangalala;
• minofu yogwira mtima;
• kulephera kudziwa.

Hypoglycemic chikomokere

Hypa ya hypoglycemic imachitika mu nthawi zomwe sizinathetse kuyambika kwa hypoglycemia munthawi. Chifukwa cha izi, mantha am'mimba amayamba kuvutika. Choyamba, chotupa cham'mimba ndi ubongo zimakhudzidwa, kotero mtima umagunda mwachangu, ndipo mgwirizano wogwirizana umasokonekera. Kenako ziwalo zam'bongo momwe malo ofunikira amakhudzidwa (mwachitsanzo, malo opumira) amatha kuchitika.

Ngati magazi a magazi agwera pansi 1.3-1.6 mmol / L, mwayi wokhala ndi chikumbumtima komanso kukula kwa chikomokere ndi wokwera kwambiri

Zizindikiro za kukomoka, ngakhale zikukula msanga, koma zimadziwika ndi mndandanda wina:

• Wodwalayo amamva kuda nkhawa, amakhala wopanda nkhawa komanso wosakwiya. Khungu lake limakutidwa ndi thukuta, pomwe pamakhala mutu ndi chizungulire. Mtima umayamba kugunda mwachangu.
• Thukuta likuchulukirachulukira, nkhope ikusanduka yofiira. Munthu sangathe kuyang'anira machitidwe ake, chikumbumtima chake chimasokonezeka. Kuwona sikumveka bwino - zinthu zomwe zikuzungulira zikuwoneka zopanda pake kapena zitha kuwirikiza.
• Kupsinjika kwa magazi kumakwera, kugunda kumakhala kochulukira. Minofu ikulankhula, mphamvu zawo zitha kuyamba.
• Ophunzirawo amachepa ndipo kukokana kumapita patsogolo, ndipo posakhalitsa matenda ashuga. Khungu limakhala lonyowa kwambiri kukhudza, kukakamizidwa kumachulukitsidwa, kutentha kwa thupi sikusintha nthawi zambiri.
• Minofu kamvekedwe amachepetsa, ana satsatira kuwala, thupi limakhala loopsa komanso lore. Kupuma ndi kukoka kumasokonekera, kuthamanga kwa magazi kumatsika kwambiri. Pakhoza kusowa zofunika kuzindikira. Ngati panthawiyi munthu samathandizidwa, amatha kufa chifukwa chomangidwa ndi mtima kapena edema yam'mimba.

Thandizo loyamba pazomwezi ndikupatsidwa njira yofikira ya shuga (pafupifupi, 40-60 ml ya 40% ya mankhwalawa amafunikira). Munthu akazindikira, ayenera kudya zakudya zopatsa mphamvu komanso zakudya zomwe zimapangitsa kuti pasakhale shuga womwe umalowa m'magazi kwa nthawi yayitali. Panthawi yomwe wodwalayo sakudziwika, sayenera kukakamiza zakumwa zakumwa za shuga kapena khosi lake m'magazi, chifukwa izi sizingakhale zopindulitsa, koma zingayambitse kutsamwa.

Choyambitsa choopsa kwambiri cha hypoglycemic coma ndi mowa. Zimalepheretsa kaphatikizidwe ka shuga m'thupi ndipo limaphimba zizindikiro za kuyambika kwa kuchepetsa shuga (chifukwa ndi ofanana ndi kuledzera)

Zifukwa

Kutsika kwa glucose wamagazi nthawi zambiri kumalumikizidwa ndi zolakwika zamankhwala kapena kuphwanya njira yomwe amakhala akudya ndi wodwala. Zochitika zina za thupi ndi matenda zimatha kuthana ndi izi. Zinthu zomwe zimagwirizanitsidwa ndi mankhwala:

• osankhidwa bwino (kuchuluka kwambiri) mlingo wa insulin kapena mapiritsi zochizira matenda a shuga;
• kusintha kuchokera ku insulin kuchokera ku wopanga wina kupita ku mankhwala omwewo kuchokera ku kampani ina;
• kuphwanya njira yoperekera mankhwala osokoneza bongo (kulowa mu minofu m'malo mwa subcutaneous dera);
• jakisoni wa mankhwala m'dera lamthupi lomwe silinagwiritsidwepo ntchito kale izi;
• kukhudzidwa kwa jekeseni malo otentha kwambiri, kuwala kwadzuwa kapena kukonza masisitimu.

Ndikofunikira kuti nthawi zonse mupeze thanzi la zolembera za insulin, chifukwa cholakwika cha mankhwalawa chokhala ndi chakudya chokwanira chitha kupangitsa kuti magazi asinthe kwambiri. Mkhalidwe wa hypoglycemic ukhoza kukhalapo nthawi ngati wodwalayo asintha kuti agwiritse ntchito pampu kupita jakisoni wokhazikika. Kuti mupewe izi, muyenera kuyang'anira kuchuluka kwa shuga ndikuwonetsetsa kuchuluka kwa insulini.

Mamita amayenera kugwira ntchito molondola komanso molondola, popeza zizindikiro zake zabodza zimatha kuwerengera molakwika kuchuluka kwa mankhwalawo

Chakudyachi chimakhudzanso shuga, chifukwa chake zakudya zomwe munthu amadya zingakhalenso pachiwopsezo nthawi zina.

Zifukwa zakuchepera kwambiri kwa shuga m'magazi ogwirizana ndi chakudya:

• kudya zakudya zochepa kwambiri;
• kangapo pakati pa chakudya;
• kudumpha chakudya chotsatira;
• kumwa mowa (makamaka ndi chakudya kapena pogona);
• yogwira zolimbitsa thupi popanda zakudya kukonza komanso magazi shuga.

Kuphatikiza apo, mikhalidwe yotere yamthupi ndi matenda imatha kuyambitsa hypoglycemia:

• mimba ndi kuyamwitsa;
• aakulu aimpso kulephera;
• nthawi yobereka;
• kusowa kwa michere ya pancreatic, yomwe imawonetsetsa kugayidwa kwazomwe zimapangidwira;
• kuchepa kwa ntchito ya pituitary ndi adrenal gland;
• nthawi yoyamba atadwala matenda opatsirana pachimake;
• kugaya chakudya pang'onopang'ono m'mimba chifukwa cha kuwonongeka kwa mitsempha ya shuga m'derali.

Momwe mungaperekere chithandizo choyamba?

Njira yosavuta yothandizira wodwala ndi hypoglycemia wofatsa, pomwe sichinawopseze kwambiri thanzi ndi moyo. Pa magawo a malaise, kufooka ndi chizungulire, muyenera kugwiritsa ntchito glucometer, ndipo ngati mantha atsimikiziridwa, yambani kuchitapo kanthu. Kuti mupange chakudya choperewera, mutha kudya chokoleti, sangweji yokhala ndi mikate yoyera kapena kumwa chakumwa chokoma.

Mutha kumwa chakudya chotsekemera ndi tiyi wotentha - kutentha kumathandizira kuyamwa kwa shuga

Ngati wodwalayo akudziwa, koma vuto lakelo lili pafupi kwambiri, chinthu chabwino chomwe chingachitike kunyumba ndikumupatsa njira yothetsera shuga (kapena konzani nokha ndi shuga ndi madzi). Munthu akazindikira, amafunika kuyeza kuchuluka kwa shuga. Ayenera kupumula. Ndikofunika kuonetsetsa kuti wodwalayo sapunthwitsa zakumwa, siziyenera kungosiyidwa nokha, ngati vutolo likukula, muyenera kuyimbira ambulansi nthawi yomweyo.

Kupewa

Popeza kuti anthu odwala matenda ashuga amalimbikitsidwa kuti azikhala ndi zakudya zopatsa thanzi, kumangokhala ndi njala yayikulu kumakhala kodetsa nkhawa komanso mwayi wowonanso shuga. Ngati mantha atatsimikiziridwa komanso kuchuluka kwa shuga kuyandikira malire, muyenera kudya.

Popewa kuchepa kwadzidzidzi kwa shuga m'magazi, odwala matenda a shuga 1 ayenera:

• kutsatira boma linalake la tsikulo kapena kusamala nthawi yofanana pakati pazakudya ndi mankhwala;
• dziwani mulingo wa shuga wamagazi anu ndikuyesetsa kuti mukhale;
• mumvetsetse kusiyana pakati pa ma insulin a nthawi zosiyanasiyana zochita ndikutha kusintha zakudya zanu kukhala mankhwala;
• kuchepetsa mlingo wa insulin musanayambe kuchita masewera olimbitsa thupi (kapena onjezerani kuchuluka kwa chakudya chomwe chamadya kale, chomwe chimakhala ndi chakudya chamafuta);
• kukana kumwa mowa;
• yang'anirani shuga yanu yamagazi.

Anthu odwala matenda ashuga ayenera kumayendera limodzi ndi chokoleti, maswiti kapena mankhwala a glucose ngati hypoglycemia itakula. Ndikofunika kuti adotolo adziwitse wodwalayo za kuopsa kwa matendawa ndikudziphunzitsa yekha mfundo zothandizira ngati zingachitike.

Ngati mungayimitse hypoglycemia koyambirira koyamba kwa chitukuko, imadutsa popanda kuthamangitsa thupi ndipo sikubweretsa mavuto ambiri

Kodi pali hypoglycemia mwa anthu omwe samadwala matenda ashuga?

Hypoglycemia imatha kukhala mwa munthu wopanda matenda a shuga. Pali mitundu iwiri ya izi:

• kusala hypoglycemia;
• kuchepetsa shuga, kupanga monga yankho la chakudya.

Poyamba, kuchuluka kwa shuga kumatha kutsika chifukwa cha mowa kapena mankhwala ena madzulo. Komanso, vutoli limatha kupangitsa kulephera kwa mahomoni m'thupi. Ngati hypoglycemia imachitika patangotha ​​maola ochepa mutatha kudya, ndiye kuti imakhudzidwa kwambiri ndi kusakanikirana kwa fructose kapena kusowa kwa glucagon (iyi ndi mahomoni apanchipisoni omwe akukhudzidwa ndi kuyamwa kwa glucose). Izi zimachitika pambuyo pa ntchito m'mimba, chifukwa cha momwe amachepetsa michere m'mimbamo.

Zizindikiro za glycemia ndizofanana ndi mawonetseredwe ake omwe ali ndi matenda ashuga, ndipo zimachitika mwadzidzidzi. Munthu amatha kusokonezedwa ndi kumva njala, kunjenjemera m'thupi, kufooka, nseru, nkhawa, thukuta lozizira komanso kuwodzera. Thandizo loyamba pamkhalidwewu ndilofanana ndi matenda a shuga. Mukayimitsa kuukira, muyenera kufunsa dokotala kuti mudziwe zomwe zimayambitsa matenda a hypoglycemia komanso kudziwa mwatsatanetsatane matenda anu.