Shuga wochepa wamagazi - zimayambitsa ndi zizindikiritso mwa amayi, abambo kapena ana, chithandizo ndi kupewa

Shuga wochepa wamagazi mwa odwala omwe ali ndi matenda amtundu wa 1 ndi mtundu wa 2, komanso anthu athanzi - pezani zonse zomwe mukufuna. Werengani za kupewa, zoyambitsa, zizindikiritso, kuzindikira komanso chithandizo cha vutoli. Glucose wotsika amatchedwa hypoglycemia. Mukatha kuwerenga nkhaniyi, muphunzira kuti mubwezeretse ngati zakhazikika (siyani hypoglycemia), kupewa zotsatira zoyipa. Chidwi chachikulu chimaperekedwa pakupewa komanso kuchiza kwa shuga ochepa mwa ana ndi amayi apakati. Komanso, odwala matenda ashuga omwe ali ndi nthawi yayitali ya matendawa, omwe zizindikiro za hypoglycemia zimadodometsedwa, adzadzipeza okha chidziwitso chofunikira.

Tsambali limafotokoza njira zabwino zochiritsira zomwe zimakupatsani mwayi wopewa magazi 3.9-5,5 mmol / L khola maola 24 patsiku, monga mwa anthu athanzi. Dongosolo la Dr. Bernstein, amene akhala ndi matenda ashuga kwa zaka zopitilira 70, amalola akuluakulu ndi ana odwala matenda ashuga kudziteteza ku zovuta zowopsa. Kuti mumve zambiri, onani njira 2 yothetsera matenda ashuga kapena mtundu wa pulogalamu yothetsera matenda a shuga.

Shuga wochepa magazi: nkhani yatsatanetsatane

Hypoglycemia ndi yamitundu iwiri - yofatsa komanso yowopsa. Kuwala - ndipamene wodwalayo amatha kutenga shuga m'mapiritsi kapena mawonekedwe amadzimadzi kuti abwezeretse shuga. Hypoglycemia yayikulu imatanthawuza kuti sizingatheke popanda thandizo lakunja.

Nthawi zina zimachitika kuti wodwala matenda ashuga asamagwire khungu, koma chifukwa cha kusayenda bwino kwa kayendedwe, adafunikira thandizo lakunja kuti amuchiritse chakudya. Zolemba zotere za shuga wochepetsetsa ziyenera kuonedwa ngati zowopsa, ngakhale pakanapanda kutaya chikumbumtima ndipo sanayitane ambulansi. Amawonetsa kuti dongosolo lanu loyendetsa matenda a shuga liyenera kuwunikiridwa mozama ndikuwongoleredwa. Werengani zambiri pansipa.

Kodi ndi shuga uti wamagazi omwe amawonedwa kuti ndi wotsika?

Kuchuluka kwa shuga m'magazi kumawerengedwa ngati otsika kwambiri pa 2.8 mmol / L ndi kupezeka kwa zizindikiro za hypoglycemia wodwala, zomwe zalembedwa pansipa. Ngati imatsikira ku 2.2 mmol / l, ndi yotsika kwambiri ndipo imafunikira chithandizo (kumwa mapiritsi a glucose) mosasamala kanthu za kukhalapo kwa zisonyezo. M'pofunika kuti muleletse osachepera 3.5 mmol / l, kuti munthu wamkulu kapena mwana asayambe kuvutika chikumbumtima.

Shuga wabwinobwino kwa akulu ndi 4.0-5,5 mmol / L. Kwa ana mpaka kufika paunyamata, momwe zimakhalira ndi pafupifupi 0,6 mmol / L. Ndi kuwerenga kwa glucose mita 2.9-3.9 mmol / L, palibe njira zadzidzidzi zofunika. Kupatula pokhapokha pakhala pali mankhwala osokoneza bongo ambiri a insulin kapena a shuga ndipo mukuyembekeza kuti shuga angatsike.

Anthu omwe amakhala ndi njala nthawi yayitali kuposa masiku 3-5 motsatira amakhala ndi shuga wamagazi pafupifupi 2.5-2.9 mmol / L. Nthawi yomweyo, amamva bwino ngati salola kuchepa thupi, kupewa mantha ndi nkhawa. Kumbali inayi, odwala omwe ali ndi matenda otsogola kwambiri amatha kudziwa zizindikiro za hypoglycemia ngakhale shuga yawo itatsika kuchoka pa 13-16 mpaka 7-8 mmol / L. Chifukwa chake mulingo wa shuga wotsika kwa munthu aliyense ndi munthu payekha.

Anthu ambiri odwala matenda ashuga omwe amathandizidwa ndi insulin sawona kuti ndizotheka kupewa kukhala ndi vuto la hypoglycemia. M'malo mwake, izi siziri choncho. Mutha kusunga shuga wokhazikika ngakhale ndi matenda oopsa a autoimmune. Ndipo makamaka, ndi matenda a shuga a 2 ochepa. Palibe chifukwa chakuwonjezera kuchuluka kwa shuga m'magazi anu kuti muthe kutsutsana ndi hypoglycemia yoopsa. Onerani kanema pomwe Dr. Bernstein akufotokoza nkhaniyi ndi bambo wa mwana yemwe ali ndi matenda a shuga 1.

Zakudya zophatikiza ndi mapuloteni pang'ono zimawonjezera kuchuluka kwa shuga, komanso kutulutsa shuga m'magazi ndi chiwindi m'misika yake. Hemuloni insulin imachita mwanjira ina. Imachepetsa shuga m'magazi, ndikupangitsa minyewa kuyamwa glucose. Maselo a pancreatic beta amatulutsa insulin. Amatha kumasula timadzi tambiri m'magazi chifukwa cha chakudya chomwe amadya, komanso pang'ono pang'ono mosakhalitsa.

Kuphatikiza pa chakudya, kutulutsidwa kwa insulin ndi maselo a beta kumalimbikitsidwa ndi mapiritsi owopsa a matenda a shuga a 2, omwe amatchedwa sulfonylurea derivatives (Diabeteson, Maninil, Amaril ndi ena). Kuphatikiza pa kapangidwe kake, insulin imatha kulowa mthupi kuchokera kunja mothandizidwa ndi jakisoni.

Ngati shuga m'magazi amatsika, pancreatic insulin secretion imasiya yomweyo. Komabe, zochitika za sulfonylurea zochokera sizingathetsedwe mosavuta. Muyenera kudikirira maola ambiri kuti impso ndi chiwindi zichotse mankhwalawa. Komanso, simungathe kuyimitsa insulini, yomwe idalowa m'magazi mutatha jekeseni ndi syringe kapena cholembera.

Hypoglycemia imachitika pakakhala insulin yambiri mthupi, ndipo magwero a glucose ndi osakwanira. Mu chiwindi, glucose amasungidwa bwino monga glycogen. Katundu wa zinthu izi akhoza kutha. Wodwala matenda ashuga atha kulakwitsa ndi Mlingo wa insulin kapena zotumphukira za sulfonylurea. Poterepa, shuga sangakwanire kulipiritsa insulin, yomwe imazungulira m'magazi.

Chifukwa chiyani pali shuga wochepa wamagazi?

Ndiponso, chifukwa cha shuga wochepa ndimapulogalamu okwanira a insulini pokhudzana ndi kudya kwa michere kuchokera kunja komanso kutulutsa shuga m'magazi ndi chiwindi. Kusavomerezeka kungachitike chifukwa cha mankhwala osokoneza bongo a insulin kapena mapiritsi owopsa a shuga 2. Nthawi zambiri zimachitika kuti wodwala amamwa mankhwala ake a shuga nthawi zonse, koma pazifukwa zina, thupi lake limadandaula ndi insulin komanso mapiritsi achulukitsa, ndipo izi zadzetsa hypoglycemia.

Zoyambitsa zomwe zalembedwa pansipa:

• Mankhwala osokoneza bongo a insulini kapena mapiritsi ambiri chifukwa chosowa luso lotha kudzisamalira
• Kuperewera kwa makolo a ana odwala matenda ashuga, kusowa kwa insulin dilution
• Cholembera cholakwika cha insulin chomwe chidayambitsa bongo
• Glucometer yolakwika, yomwe imapatsa zizindikiro kwambiri kuposa zenizeni
• Adaganiza kwambiri ndi zolinga zodzipha kapena zokuthandizira
• Mlingo wa kukonzanso kwachulukidwe posintha insulin
• Kuchepetsa pang'onopang'ono kwa insulin kuchokera mthupi chifukwa cha impso kapena chiwindi
• Njira yolakwika yoperekera insulin - jakisoni wozama kwambiri, malo opaka jakisoni
• Mankhwala ena adathandizira zotsatira za sulfonylurea
• Kuzindikira insulin ndi mapiritsi kuchuluka chifukwa cholimbitsa thupi kwakanthawi
• Mimba mu trimester yoyamba, nthawi yoyamwitsa
• Kuzindikira kwa insulin kumawonjezeka mwa azimayi atabereka
• Ndi kuchepa kwa thupi, kugwiritsa ntchito insulin kapena mapiritsi osachepetsa
• Kusokonezeka kwa kayendedwe ka chakudya kuchokera m'mimba kupita m'matumbo (diabetesic gastroparesis)
• Kusokoneza chimbudzi chifukwa cha matenda am'mimba

Payokha, ziyenera kunenedwa za hypoglycemia yomwe imayamba chifukwa chomwa mowa kwambiri. Nthawi zambiri, chiwindi chimaphwanya glycogen ndikutulutsa shuga m'magazi chifukwa cha kutsika kwa shuga. Komabe, kumwa mitundu yayikulu ya mowa kumaletsa njirayi. Mulingo wotetezeka wa insulin kapena mapiritsi a mtundu 2 wa shuga omwe amamwa mowa kwambiri amatha kuyambitsa hypoglycemia. Komanso, ena adzaganiza kuti wodwalayo amagona chifukwa cha kuledzera. Sangoganiza kuti munthu amafunika chithandizo chamankhwala chodzidzimutsa.

Anthu odwala matenda ashuga omwe amamwa jakisoni kapena kumwa mapiritsi owononga a 2 matenda a shuga sayenera kuledzera. Mowa hypoglycemia ndimtundu wamba wa imfa ndi kuwonongeka kwakanthawi kwa ubongo. Komabe, kumwa moyenera pang'ono kumaloledwa. Werengani nkhani yoti “Mowa wa Matendawa” kuti mumve zambiri.

Kodi zimayambitsa hypoglycemia mwa anthu athanzi?

Hypoglycemia nthawi zina imatha kupezeka mwa anthu omwe alibe shuga, osatinso insulin, komanso osamwa mapiritsi omwe amachepetsa shuga. Nthawi zambiri, amayamba chifukwa cha zakudya zosayenera zomwe zimakhala ndi wowuma yambiri, shuga ndi fructose. Potsatira kukondoweza kwa chakudya chamafuta, kapamba amatha kutulutsa insulin yambiri. Zakudya zamafuta zimawonjezera shuga m'magazi. Komabe, kuchuluka kwa insulin mwachangu kumatsitsa kukhala kwabwinobwino, kenako kutsika, chifukwa chake munthu amamva zosakomera.

M'malo mwake, kuti muchepetse shuga wamagazi muyenera kudya michere. Komabe, zakudya zamafuta ochepa zimathandiza anthu athanzi kulimbana ndi hypoglycemia, chifukwa sizodabwitsa. Chifukwa imakhazikika m'magazi a glucose pamlingo wamba. Kuphatikiza pa kulekerera kwa chakudya chamafuta, anthu athanzi nthawi zambiri samakhala ndi zifukwa zina za hypoglycemia. Mwachitsanzo, kupanga shuga. Ndi mahomoni omwe amachititsa chiwindi kuti chimasule glucose m'magazi ake. Tsoka ilo, zovuta zachilendo ngati izi zilibe chithandizo chovuta komanso chothandiza.

Kodi kudya odwala matenda ashuga asanagone kuti apewe usiku hypoglycemia?

Choyambitsa shuga chochepa usiku chimatha kukhala jakisoni wa insulin, yomwe imachitika musanagone. Kumbukirani kuti jekeseni wa nthawi yayitali madzulo ndikofunikira kuti shuga azikhala wathithika m'mimba yopanda kanthu. Werengani nkhani yoti "Shuga pamimba yopanda kanthu m'mawa: momwe mungabwezeretsere zodabwitsa". Mwa odwala ena, shuga m'mawa ali kale bwino. Sayenera kubaya insulin yayitali usiku.

Anthu odwala matenda ashuga omwe akufuna kudzuka ndi shuga wabwinobwino m'mawa ayenera kudya chakudya chamadzulo osachepera maola 18-19. Odwala ena amadya chakudya chamadzulo mochedwa, asanagone, kuyesa kupewa usiku hypoglycemia. Komabe, chifukwa chakudya cham'mawa, matendawa amawonjezera shuga m'mawa ndipo pamapeto pake amakumana ndi zovuta za matenda ashuga.

Tsoka ilo, Mlingo wambiri wa insulin nthawi yayitali samakwanira mpaka m'mawa. Odwala omwe akukumana ndi vutoli amayenera kudzuka pakati pausiku pa koloko ya alamu, kubaya jekeseni lina, kenako kugona. Njira yosavuta koma yodula ndikusinthira ku Treshiba, komwe kumatenga nthawi yayitali kuposa Lantus, Levemir ndi Protafan.

Poyankha kuchepa kwakukulu kwa shuga, glucagon ya mahomoni imayamba kugwira ntchito. Zimapangitsa chiwindi kuti chitulutse shuga m'magazi. Ngati glucagon siigwira ntchito mokwanira, adrenaline, mahomoni okula ndi cortisol nawonso amalumikizidwa. Pafupifupi zizindikiro zonse za hypoglycemia zimachitika chifukwa cha adrenaline.

Zizindikiro za shuga wochepa zimapangitsa munthu kumvetsetsa kuti vutoli ndi loopsa komanso lofunikira kudya ma carbohydrate. Kugwedezeka, kunjenjemera, khungu pakhungu, thukuta, kugona kwambiri, nseru, nkhawa, kupsa mtima, ana atapukusika amatha kuonedwa. Zizindikiro zamavuto am'kati mwa ubongo chifukwa cha hypoglycemia: kufooka, kusokonekera kwa kayendedwe, chizungulire, kupweteka mutu, mantha, kuyankhula, mavuto ammaso, kugona, kumva kuwawa kapena "kukwawa" pakhungu, kusokonezeka, kukokana.

Zizindikiro za shuga ochepera magazi ndizofanana mu azimayi ndi abambo, ana ndi akulu. Komabe, mwa odwala omwe amathandizidwa molakwika matenda a shuga kwa nthawi yayitali, zizindikirazo zimasokonekera chifukwa cha kuwonongeka kwa mitsempha ya mitsempha (neuropathy). Chizindikiro choyamba chowoneka cha shuga chotsika mwa iwo chingakhale kutaya mwadzidzidzi. Zikatero, ngozi ya zotsatirapo zambiri imawonjezeka.

Mowa hypoglycemia ndi woopsa kwambiri chifukwa zizindikiro zake ndizofanana ndi kuledzera kwambiri. Sizingavomerezedwe popanda kuyeza shuga ndi glucometer. Ena sazindikira kuti munthu wodwala matenda ashuga amene amalephera akaledzera amafunika kuthandizidwa mwachangu. Hypoglycemia yoyambitsidwa ndi kuchita zolimbitsa thupi kwambiri nthawi zambiri imachitika ndi kuchedwa ndipo imakhala ndi njira yoyambira. Zovuta zake zimatha kubwerezedwanso ndipo nthawi iliyonse amafunikira mapiritsi ena a shuga.

Kodi mungasiyanitse bwanji hypoglycemia ndi hyperglycemia?

Hypoglycemia ndi shuga wochepa, ndipo hyperglycemia ndi shuga wamagazi ambiri. Zinthu zonsezi zimatha kuyambitsa zofanana ndi zomwe wodwala amachita. Amafuna chithandizo chosiyana. Pankhani ya hyperglycemia, jakisoni waifupi kapena wa ultrashort insulin uyenera kuperekedwa kuti muchepetse shuga. Ndi hypoglycemia, glucose amatengedwa pamapiritsi, kuti akweze m'malo mwake. Ngati waphatikiza, vutoli limakulitsidwa mpaka pakufunika kuyitanira ambulansi.

Mwa zizindikiro zakunja, nthawi zambiri zimakhala zosatheka kusiyanitsa hypoglycemia ndi hyperglycemia. Osayesera konse kuchita izi. Ngati wodwala matenda ashuga sakwiya komanso amakhala wankhalwe, muyenera kumunyengerera kuti ayesere shuga ndi glucometer, kenako pitani malingana ndi momwe zinthu zilili. Umu ndiye njira yokhayo yothandizirana ndi akulu ndi ana omwe ali ndi vuto la shuga.

Ngati munthu wodwala matenda ashuga mosasamala amafuna maswiti, izi sizitanthauza kuti ali ndi shuga m'magazi. Kuonjezera shuga kungapangitsenso chilako chosalamulirika cha maswiti.

Ndi mankhwala ati omwe amachepetsa zizindikiro za hypoglycemia?

Beta blockers amaonedwa ngati mankhwala omwe nthawi zambiri amabisa zizindikiro za hypoglycemia. Awa ndi mapiritsi omwe amathandizira kuthamanga kwa magazi, matenda a mtima komanso kuchepa kwa mtima. Zodziwika kwambiri mwa izo ndi bisoprolol (Concor ndi analogues), nebivolol (Nebilet), carvedilol, metoprolol, atenolol ndi propranolol.

Zobetcha za Beta mwachionekere sindiwo mankhwala okhawo omwe amalepheretsa kukula kwa shuga m'magazi. Mwinanso, mankhwala amphamvu osokoneza bongo komanso ochita zachinyengo amathanso kuchitapo kanthu. Lankhulani ndi dokotala wanu za mankhwala onse omwe mumamwa.

Kodi ndichifukwa chiyani wodwala matenda ashuga ali ndi zizindikiro za hypoglycemia wokhala ndi shuga wabwinobwino?

Pali odwala ambiri omwe ali ndi matenda otsogola kwambiri, omwe shuga amatha 13-16 mmol / l ndi kupitilira. Nthawi zina amatenga malingaliro ndikuyamba kuchira mosamala. Odwala otere amatha kuwona zizindikiro za hypoglycemia pomwe shuga yawo imatsikira ku 7-8 mmol / L, ngakhale zochepa. Chowonadi ndi chakuti thupi lawo limazolowera kuchuluka kwa shuga m'magazi. Amafuna nthawi kuti amangenso.

Mwa anthu odwala matenda ashuga, nthawi zambiri sizikhala zotayika, koma thanzi limatha kuwonjezeka kwakanthawi. Komanso, ngati vuto lalikulu lakuwona kale, zotupa m'maso zimatha kulimba ndipo ngakhale khungu lingachitike. Odwala oterewa sangasinthe mwadzidzidzi ku chakudya chochepa cha carb, koma muyenera kusintha bwino zakudya zanu, regimen kumwa mapiritsi ndi jakisoni wa insulin.

Anthu omwe shuga yawo yakhala pamwamba 13 mmol / L kwa nthawi yayitali ayenera kutsika pang'onopang'ono mpaka 8-9 mmol / L. Lolani thupi kuzolowera, ndipo pakatha milungu isanu ndi umodzi muchepetse gawo lanu la glucose mpaka magawo a 4.0-5,5 mmol / L. Anthu odwala matenda ashuga omwe amapezeka ndi retinopathy (zovuta m'maso) amafunikira kukayezetsa magazi kuti apange insulin ngati kukula kwa chinthu (IGF). Ngati zotsatira zake zakwezedwa, khalani osamala kwambiri. Sinthani mosinthana ndi njira yatsopano, osati modzidzimutsa, kuti muchepetse mavuto anu amaso.

Zizindikiro

Zizindikiro za shuga wochepa wamagazi ndizofanana ndi zizindikiro zamatenda ena ambiri. Zomwe zili pamwambazi zikufotokoza kufanana kwa chidakwa cha hypoglycemia ndi kuledzera kwakadwala. Shuga wochepa komanso wotsika kwambiri amatha kubweretsa njala yayikulu. Hypoglycemia iyenera kusiyanitsidwa ndi mantha ndi khunyu. Mothandizidwa ndi mayeso akunja a wodwalayo, sizingatheke kuzindikira bwinobwino. Onetsetsani kuti mumayeza shuga wamagazi ndi glucometer. Ndipo mufunika chida cholondola chogulitsidwa.

Hypoglycemia: mankhwala

Algorithm yotsika ndi shuga ya Ndalama Zothandiziridwa pansipa ndi ya odwala omwe amagwiritsa ntchito njira ya 2 yothandizira odwala matenda ashuga kapena pulogalamu ya matenda a shuga 1.Amaganiza kuti mumasinthira zakudya zamafuta ochepa ndipo mumalowetsa insulin yaying'ono yofanana ndi insulin. Ndipo akana kale kumwa mapiritsi owopsa a shuga 2, omwe angayambitse hypoglycemia. Pansi pa mikhalidwe imeneyi, makamaka, mankhwala osokoneza bongo okwanira sangakhale. Kuti muimitse hypoglycemia, palibe chifukwa chofunikira kudya chakudya chamagetsi m'magawo a 1.5-2 mkate, monga madokotala amalimbikitsa.

Dr. Bernstein akuti mapiritsi a glucose okha ndi omwe ayenera kugwiritsidwa ntchito pochiza shuga ochepa. Woopsa milandu, wodwalayo amatha kumeza, - yankho lamchere la shuga. Osapatsa shuga, zopangidwa ndi ufa, uchi, sodas, masangweji kwa odwala matenda ashuga. Muyenera kumwa mlingo wochepetsetsa, wowerengeka wa glucose, womwe umakweza shuga mpaka 3.5-4,5 mmol / l, koma osakwezeka. Kuti muthane ndi vutoli, mapiritsi okha ndi shuga, omwe amagulitsidwa ku pharmacy, ndi oyenera. Palibe zakudya zomwe zimayenera kugwiritsidwa ntchito chifukwa zimachedwa komanso sizolondola.

Kodi ndi shuga uti wofunika kuti muimitse hypoglycemia?

Hypoglycemia ikachitika, ndiye kuti tachedwa kwambiri kupita kuchipatala kuti tikapeze miyala ya glucose. Musanayambe kuchiza matenda ashuga ndi insulini, muyenera kusunga mankhwalawa ndikuyandikira. Mapiritsi a glucose amagulitsidwa ku pharmacy iliyonse ndipo ndiokwera mtengo. Kuti mupeze mlingo, muyenera kudziwa momwe 1 gramu ya glucose imakwezera shuga. Zimatengera kulemera kwamthupi la wodwalayo. Dr. Bernstein pazaka zochizira matenda ake a shuga ndikugwira ntchito ndi odwala adapeza zambiri zomwe adatifotokozera.

Tiyeni tiwone chitsanzo cha kuwerengetsa kuchuluka kwa glucose pakuyimitsa hypoglycemia. Mamita adawonetsa kuti wodwala matenda ashuga omwe amalemera 86 kg ali ndi shuga wamagazi a 2.6 mmol / L. Gawo lakulinga ndi 4.5 mmol / L. Kusiyanitsa: 4.5 mmol / L - 2.6 mmol / L = 1,9 mmol / L. Kufunika kwa kulemera kwa thupi kwa makilogalamu 86 kulibe patebulo. Onani zamtengo wapatali pafupi ndi pansipa, kuwerengera pafupifupi: (0.22 mmol / L + 0.18 mmol / L) / 2 = 0,2 mmol / L. Chifukwa chake, timaganiza kuti 1 g ya glucose mwa odwala athu iwonjezera shuga wamagazi ndi 0,2 mmol / L. Tsopano mutha kuwerengera muyeso wofunikira: 1.9 mmol / L / 0.2 mmol / L = 9.5 g. Musatenge shuga wambiri kuposa kuchuluka kwake. Mutha kuzungulira mpaka 9,0 g chifukwa ngati shuga atakwera mpaka 3.5-4.0 mmol / L, akadali zotsatira zabwino.

Chonde dziwani kuti mwachitsanzo, kuchuluka kwa glucose kuwerengera munthu wodwala bwino wokhala ndi thupi lolemera makilogalamu 86. Kwa akuluakulu oonda, komanso makamaka kwa ana, mlingo wofunikira ukhoza kuchepetsedwa kangapo. Siziyenera kupitilira. Muyesenso shuga ndi glucometer pambuyo mphindi 15-30. Imwani shuga wambiri ngati pangafunike kutero. Simuyenera kugwiritsa ntchito mapiritsi angapo ochepa kuti muthane ndi vutoli.

Kodi machiritso a hypoglycemia ndi ati?

Ndi shuga ochepa magazi, wodwalayo amatha kudya shuga m'mapiritsi kapena kumwa yankho lamadzi. Hypoglycemia yayikulu ndi pomwe simungathe kuchita popanda thandizo lakunja. Ngati munthu wasowa chikumbumtima, ayenera kuyikika mbali yake ndikutsuka pakamwa pake pazakudya. Sizoletsedwa kutsanulira zakumwa zotsekemera mumkamwa wamkamwa! Chifukwa cha izi, wodwala matenda ashuga amatha kutsekereza ndi kufa. Imbani ambulansi. Pomwe akuyendetsa, mutha kubayidwa glucagon kuchokera ku 1 ml syringe chubu. Ma syringe omwe anali okonzeka kugwiritsa ntchito amagulitsidwa m'masitolo ogulitsa mankhwala.

Glucagon ndi mahomoni omwe amachititsa chiwindi kuti chimasule glucose m'magazi ake. Pambuyo kumayambiriro kwake, wodwalayo ayenera kuchira pakatha mphindi 5 mpaka 10. Ngati izi sizingachitike, jakisoni wa glucagon akhoza kubwerezedwa. Mankhwalawa sagwira ntchito kwa chidakwa cha hypoglycemia chifukwa, chifukwa cha kuledzera, chiwindi chimalephera kutulutsa shuga m'magazi. Komanso, glucagon sichithandiza ngati pachitika kale hypoglycemia m'maola 24 apitawa. Chifukwa malo ogulitsira a shuga m'chiwindi amathetsa kugunda komaliza ndipo alibe nthawi yoti achepe.

Ndi mtundu wanji wa chithandizo chamankhwala omwe akuyenera kupatsidwa kwa wodwala?

Dokotala wa ambulansi amayenera kupereka yomweyo 60 ml ya shuga 40% m'mitsempha, kenako ndikupititsa wodwalayo kuchipatala. Mukamayendetsa komanso kupitirira apo, glucose imathandizidwa mosalekeza kudzera ma dontho mpaka chikumbumtima chimabwezeretsedwa. Yang'anani chifukwa cha kuvulala kwamatenda a craniocerebral, heracranial hemorrhage. Kupukusa kwa m'mimba kumachitika ndikuthira makala operekedwa ngati mankhwala osokoneza bongo a shuga 2 amawonjezera. Pankhani ya mankhwala osokoneza bongo a insulin ambiri pasanathe maola atatu apitawo, opareshoni ya malo a jakisoni amachitidwa. Ngati wodwalayo sakudziwika bwino amatha maola opitirira 4, ndiye kuti matenda am'mimba ndi zotsatira zoyipa zomwe zili zotsatirapo zake zimakhala zotheka.

Zochizira kunyumba zakumwa za shuga zochepa za mankhwala osokoneza bongo, ndiye glucagon wa syringe chubu ndi glucose m'magome omwe amagwiritsidwa ntchito. Glucagon ndiokwera mtengo komanso ali ndi moyo wa alumali ochepa. Sikoyenera kuti mugule ndikuisunga kunyumba kosungirako. Odwala omwe amathandizidwa ndi matenda a shuga pogwiritsa ntchito njira zomwe zanenedwa patsamba lino nthawi zambiri amachepetsa mwayi wokhala ndi hypoglycemia. Iwo sangakhale ofunikira glucagon. Koma mapiritsi a shuga amalimbikitsidwa kuti agulidwe ndikusungidwa pafupi. Anthu odwala matenda ashuga omwe amadzipaka insulin okha angafunike kumwa mankhwalawa osati kokha kuti athandize hypoglycemia, komanso kupewa shuga yochepa. Mapiritsi a Glucose sangathe kugawidwa nthawi yayitali, yophunzitsa masewera olimbitsa thupi komanso yolimbitsa thupi.

Kodi ndiziwonjezera shuga wochuluka motani ndi hypoglycemia kuti ndikonzenso shuga kukhala wabwinobwino?

Jakisoni wa glucose amafunika kwambiri ngati wodwala matenda ashuga ataya chikumbumtima chifukwa cha hypoglycemia. Monga lamulo, dokotala wa ambulansi amavulala 60 ml ya 40% ya shuga m'mitsempha. Nthawi zina glucagon wa mahomoni amathandizidwanso. Pambuyo pake, ikani dontho ndi njira ya shuga ya 10%. Wodwalayo amasungidwa pansi mpaka atapezekanso. Amatha kumutengera kuchipatala ali osakomoka, ndikupitiliza kukhetsa glucose.

Anthu odwala matenda ashuga, omwe amadziwa, amatha kupatsidwa shuga m'mapiritsi osatembenuza jakisoni. Odwala omwe amatsata zakudya zamafuta ochepa amakhala ndi insulin Mlingo wa 2-7 nthawi yochepera kuposa yoyenera. Iwo alibe kwambiri bongo. Kweza shuga ku chikhalidwe cha 4-5 mmol / l, amafunika shuga wa glu gose m'magome atatu. Osagwiritsa ntchito mkate, zipatso, maswiti, ndi zina zambiri.

Shuga wochepa wa magazi mwa mwana

Algorithm yochizira shuga m'magazi mwa ana ndi chimodzimodzi kwa akulu. Komabe, pali ma nuances omwe amafotokozedwa pansipa. Makolo ambiri otanganidwa amatenga kuchuluka kwa glucose wa mwana monga chizolowezi cha hypoglycemia. Zikatero, amakhala ndi nkhawa komanso amakangana pachabe, amavutitsa madotolo. Choyipa kwambiri, amatha kupangitsa mwana wodwala matenda ashuga kudya zakudya zam'thupi zomwe sizabwino kwa iye. Izi zimawonjezera matendawa.

Kwa akuluakulu, shuga wabwinobwino wamwazi ndi 4.0-5,5 mmol / L. Kwa ana kuyambira paubwana mpaka unyamata, mulingo wabwinobwino ndi 0,6 mmol / L wotsika. Ndi 3,4-4.9 mmol / L. Mlingo wa glucose wa mwana wa 2.9-3.2 mmol / L nthawi zambiri si hypoglycemia. Simuyenera kuchita chilichonse kupatula milandu ya insulin. Ngati imagwera ku 2.8 mmol / L ndikuchepera, muyenera kupatsa mwana shuga pang'ono m'mapiritsi popanda mantha kuti akweze shuga mpaka 3.5 mmol / L.

Onaninso kanema pamankhwala a shuga a ana. Mu kanemayi, Dr. Bernstein akufotokoza za kuchuluka kwa shuga ndi njira zomwe angakwaniritsire izi ndi bambo wa mwana yemwe ali ndi matenda a shuga 1. Fananizani ndi malingaliro a endocrinologist wanu, komanso mabungwe a matenda ashuga oweta.

Ana aang'ono nthawi zambiri amakhala ndi zizindikiro pansipa 2.8 mmol / L atatha kuthamanga ndikusewera. Nthawi yomweyo, acetone imatha kuwonekera mkodzo. Zonsezi sizovuta, koma chizolowezi. Pofuna kudya, dyetsani mwana wanu wodwala matenda ovomerezeka. Madzi ambiri. Mapiritsi a glucose mu zochitika zotere safunikira kupatsidwa. Amafunika pokhapokha ngati pakhale mankhwala osokoneza bongo ambiri. Kuphatikiza apo, maswiti, zopangidwa ndi ufa ndi zina zamafuta sikufunika.

Kodi mungachepetse chiopsezo cha hypoglycemia mwa mwana wa matenda ashuga?

Chovuta chokhacho chomwe chimayambitsa shuga m'magazi mwa ana ndi kuchuluka kwa insulin. Tsoka ilo, ndizovuta kwambiri kukana, kotero kuti poyamba simupaka insulin kwambiri mwa mwana wa matenda ashuga. Mwa ana osanenepa kwambiri, kufikira unyamata, chidwi cha timadzi timeneti ndi chachikulu kwambiri. Dziwani kuti mwana amafunika Mlingo wa insulin wotsika kwambiri, pafupifupi homeopathic. Pa mlingo wochepa womwewo, shuga amayenera kuperekedwa ngati ali ndi hypoglycemia.

Phunzirani momwe mungawerengere kuchuluka kwa insulin yochepa komanso ya ultrashort musanadye. Chonde dziwani kuti kwa ana, mlingo woyambira wa jekeseni woyamba uyenera kuchepetsedwa maulendo 8. Kenako imakulitsidwa pang'onopang'ono molingana ndi zotsatira za jakisoni wam'mbuyomu. Phunzirani zamomwe mungapangire insulin. Makolo a ana odwala matenda ashuga sangachite izi popanda izi. Musakhale ndi chiyembekezo kuti shuga ikhoza kuthandizidwa popanda insulini konse. Pakazizira komanso matenda ena opatsirana, jakisoni amayenera kupangidwa mulimonse. Chifukwa chake, pitilizani mapiritsi a insulin ndi shuga.

• kukulitsa nthawi yoyamba ya tchuthi,
• choti achite pamene acetone awonekera mkodzo,
• momwe mungasinthire mwana wa matenda ashuga kusukulu,
• Zomwe zimayimira shuga wamagazi mwa achinyamata.

Kodi ndiyenera kubayira insulin ndi shuga wochepa?

Yankho losavuta la funso ili silingaperekedwe. Mlingo wa insulin yochepa kapena ya ultrashort yomwe imalowetsedwa musanadye chakudya imakhala ndi chakudya komanso kukonza. Zakudya zam'mimba zimapangidwa kuti azitha kudya zakudya zama protein ndi mapuloteni omwe amadyedwa. Pomanga pangafunike kuchepetsa matenda ambiri. Ngati kuchuluka kwa shuga m'magazi ndi kotsika, ndiye kuti sayenera kupaka jekeseni. Mutha kuchepetsa kuchepetsedwa kwa chakudya. Werengani zambiri mu nkhani "Kusankha kwa mlingo waifupi ndi wa insulin ya m'mimba musanadye".

Mlingo wa shuga madzulo asanagone sugwirizana ndi mlingo wa insulin yowonjezera yomwe imabayidwa panthawiyi. Mlingo wa insulin yayitali yomwe odwala matenda ashuga amalandira usiku imakhudzanso kuchuluka kwa shuga m'mawa wotsatira. Chifukwa chake, ngati shuga m'mimba yopanda kanthu idayamba kuchepetsedwa, zidzakhala zofunikira kuchepetsa mlingo wa insulin yochulukirapo madzulo, kuti tsiku lotsatira chizindikirocho chikuyandikira kwambiri. Werengani zambiri mu nkhani "Kuwerengera kuchuluka kwa insulin yayitali usiku ndi m'mawa."

Zotsatira zake

Hypoglycemia ikhoza kuchititsa kuti mutha kudziwa, kufa, kapena kuwonongeka kwa ubongo kosatha. Mwakuchita izi, sizimachitika kawirikawiri, osaposa 3-4% ya milandu. Gawo lovuta kwambiri ndikuchotsa mavuto obwera chifukwa cha kuchuluka kwa insulin kapena mapiritsi a shuga a mtundu 2 kuti adziphe. Komanso, zidakwa za hypoglycemia nthawi zambiri zimakhala zotsatira zoyipa. Zifukwa za izi tafotokozazi. Muyenera kusamala ndikayambitsa ngozi yapamsewu chifukwa cha shuga wamagazi ochepa. Mukamayendetsa galimoto, odwala matenda ashuga ayenera kuyeza shuga ndi glucometer kamodzi pa ola, kapena ngakhale mphindi 30 zilizonse.

Odwala omwe adakumana ndi gawo limodzi lalikulu la hypoglycemia nthawi zina amakhala ndi mantha osaneneka a insulin. Odwala ali okonzeka kupirira shuga wambiri ndi kukhazikika kwa zovuta zovuta, pokhapokha kuchepetsa mpaka zero chiopsezo chotayika. Kuganiza motere kumawadzetsera mavuto akulu. Muyenera kuphunzira njira yochepetsera matenda a shuga a 2 kapena kutsata mtundu wa matenda a shuga a 1 ndikutsatira malangizowo. Chonde dziwani kuti njira za Dr. Bernstein zimalepheretsa kugwiritsa ntchito mapiritsi owopsa a shuga a 2 omwe amachepetsa kwambiri shuga.

Momwe mungagwiritsire matenda a shuga ndi insulin popanda chiopsezo cha hypoglycemia?

Chifukwa cha kusinthika kwa chakudya chamafuta ochepa, mapiritsi a insulin amachepetsedwa ndi 2-8 nthawi. Chiwopsezo chimachepetsedwa kotero kuti shuga yanu igwere pansi. Komabe, kwa odwala matenda ashuga omwe glucose metabolism imalephera kwambiri, insulini sangatheretu. Osawopa chida ichi, phunzirani kugwiritsa ntchito mwanzeru. Maluso abwino a shuga omwe amadziyang'anira amachepetsa chiopsezo cha hypoglycemia pafupifupi zero. Werengani nkhani zina:

Odwala omwe ali ndi matenda ashuga omwe amathandizidwa malinga ndi njira zodziwika bwino amakumana ndi zovuta pakapita nthawi. Matenda a diabetes a neuropathy ndi chotupa cha manjenje. Mawonekedwe ake odziwika kwambiri ndi kutayika kwa miyendo.

Komabe, neuropathy imatha kubweretsanso mavuto ena ambiri. Makamaka, akakhala ndi matenda ashuga osagwiritsidwa ntchito molondola, anthu amasiya kuona zizindikiro za hypoglycemia yofatsa komanso yolimbitsa thupi. Chifukwa cha kutaya mtima, amalephera mipata kutenga glucose panthawi yake kuti asakhale ndi vuto logontha. Awa odwala matenda ashuga ali ndi kuthekera kokulirapo kwa zotsatira zoyipa za hypoglycemia. Komabe, neuropathy ndikusinthanso kwina. Mawonekedwe ake onse amachoka pang'onopang'ono shuga m'magazi atayamba kuzimiririka ndikukhazikika. Dr. Bernstein ndi endocrin-patient.com amaphunzitsa momwe angachitire izi.

Kodi shuga wotsika umakhala ndi vuto lotani pamimba?

Mu gawo loyambirira la pakati mwa amayi, kuzindikira kwa insulin kumakulitsidwa kwambiri. Chifukwa cha izi, odwala matenda amtundu wa 1 omwe amadziphatikiza ndi insulin ali ndi chiopsezo chowonjezeka cha hypoglycemia. Nkhani yabwino: zigawo za shuga wochepa m'mayi, monga lamulo, zimadutsa kwa mwana wosabadwa popanda vuto. Chifukwa ali ndi chotetezera shuga, chomwe chimapangitsa kupirira popanda mavuto. Komabe, kuwerengera kuchuluka kwa insulini panthawi yoyembekezera mosamala, osayikanso pachiwopsezo. Onani nkhani za Pregnant Diabetes ndi Gestational Diabetes. Chitani monga kwalembedwa mwa iwo.

Kodi shuga wotsika magazi ndi chiyani

Kuperewera kwa shuga wamagazi kapena hypoglycemia ndi njira yokhazikitsidwa ndi shuga m'magazi imagwera pansi pazomwe zimachitika, zomwe mwa munthu wathanzi pamimba yopanda 3.3 - 5.5 mmol / L. Glucose ndiye mafuta a ubongo wathu, ndipo kusayenda bwino kwa kayendetsedwe kake kamayambitsa zotsatira za hypoglycemic, ngakhale mpaka kukomoka. Shuga wochepa wam magazi amayamba chifukwa cha zifukwa zambiri: matenda, zolimbitsa thupi, kusowa kwa zakudya m'thupi.

Zomwe zimayambitsa shuga wa Magazi Otsika

Zomwe zimayambitsa matendawa ndi kusokonezeka kwa kuchuluka kwa insulin ya m'magazi komanso kudya kwa mafuta azakudya nthawi yolimbitsa thupi komanso chakudya. Provocateur wamkulu ndi chakudya chopanda thanzi, pamene thupi sililandira chakudya chofunikira, ndipo limodzi nawo - mphamvu. Monga lamulo, kuchepa kwambiri kwa shuga m'magazi kumachitika mu shuga, koma mwa anthu athanzi izi zimathekanso. Zomwe zimayambitsa matenda:

• kuchuluka kwa insulin, mankhwala ochepetsa shuga a shuga,
• zakudya zosayenera (kusowa kwa fiber, mchere wamchere ndi mavitamini okhala ndi zophatikizika zamagulu omanga thupi),
• kusowa kwamadzi
• kuchita masewera olimbitsa thupi mopitirira malire
• uchidakwa
• kusowa kwa ziwalo (kapamba, chiwindi, mtima, impso, ma adrenal gland),
• kutopa
• kusowa kwa mahomoni ndi zoletsa kupanga shuga, somatropin, adrenaline, cortisol,
• zotupa zamkati, zotupa zam'mimba, zoopsa za autoimmune,
• kukoka kwa mkati kwamchere yambiri,
• matenda osachiritsika
• nthawi yayitali pakati pa chakudya (m'mimba yopanda kanthu),
• kusamba.

Magazi ochepa a m'magazi mwa ana amapezeka, monga lamulo, chifukwa cha kuperewera kwa zakudya zopatsa mphamvu, nthawi yayitali pakati pa chakudya motsutsana ndi zochitika zolimbitsa thupi, nkhawa zamavuto, kusowa tulo.Chomwe chimawonedwa kwambiri ndi idiopathic (spontaneous) hypoglycemia pamaziko a pathogenetic, omwe amawonekera mwa ana osakwana zaka ziwiri. Chothandizira ndi chidwi chachikulu cha khansa, chimathandizira kapangidwe ka insulin ndikutchingira gluconeogeneis m'chiwindi, zomwe zimapangitsa kuchepa kwa shuga.

Hypoglycemia mu makanda asanakwane, yomwe imawonetsedwa ndi hypothermia, vuto la kupuma, cyanosis, imadziwikanso ngati chodabwitsa. Komabe, amathanso kukhala asymptomatic, momwemo imatha kupezeka m'maola oyamba amoyo kokha ndikuwunika koyenera. Mayi nayenso ali pachiwopsezo cha mwana ngati ali ndi matenda a shuga a 2 ndipo akumwa mankhwala ochepetsa shuga. Mosasamala za kuchuluka kwa mawonetsedwe azachipatala, mwana amafunikira chithandizo chamankhwala - kukhazikitsidwa kwa glucose kapena glucagon ndi hydrocortisone.

Ndi vuto la hypoglycemia, thanzi la munthu limadalira kuthamanga ndi kuchuluka kwa shuga. Zizindikiro za shuga wochepa wa magazi zimatha kuchitika ngati kuchuluka kwa glucose kumatsika kwambiri, koma kukhalabe m'malire oyenera. Zomwe zikuluzikulu zimaphatikizapo:

• Matenda a adrenergic - thukuta lakukula, kulumpha m'magazi, kutsekeka kwa khungu, kukwiya, nkhawa, tachycardia,
• zizindikiro za parasympathetic - kufooka, nseru, kusanza, njala,
• zochitika za neuroglycopenic - kukomoka, chizungulire, chisokonezo, mayendedwe osayenera.

Mwazi wotsika wamagazi ungathe kufotokozedwa mofooka, chizindikirocho chimawonetsedwa kokha mwakuwodzera ndi kutopa. Amayi amakhala ndi chizolowezi chotere, makamaka kusintha kwa mahomoni pa nthawi yomwe ali ndi pakati, kusintha kwa thupi komanso matenda amtundu wa endocrine, kusowa kwa ovarian. Koma zizindikiro zotsatirazi zitha kuwoneka:

• thukuta
• kuda nkhawa, kukwiya,
• khungu lotuwa
• minofu hypertonicity
• tachycardia
• minofu ikunjenjemera
• kukakamizidwa
• mydriasis
• kufooka wamba
• kusanza, kusanza,
• njala
• chizungulire, amnesia,
• kukomoka, kusokonezeka kwa chikumbumtima.

Kuzungulira kwa glucose wamagazi kumatha kusintha mwa amuna ndi akazi omwe ali ndi zaka, chifukwa cha kusintha kwa moyo wawo komanso chizolowezi chochita zoipa. Lingaliro loti mkhalidwe wa shuga kwa amuna ndiwokwera kuposa wa amayi sizoyenera. Chizindikirocho chimadalira pa zakudya, kusuta, mavuto, kupsinjika kwambiri. Kutsika kwa shuga m'magazi kumawonetsedwa ndi zizindikiro zotsatirazi:

• mutu
• kutopa,
• kukomoka mtima,
• wodekha pang'onopang'ono
• chisangalalo chamanjenje
• kusowa mphamvu
• kukokana.

Kuopsa kwa shuga m'magazi

Mawonetseredwe a Neuroglycopenic ndi adrenergic amapezeka ndi chithandizo choyenera, komabe, kuwonjezera pa iwo, kutsika kwa shuga m'magazi kumakhala kowopsa pakukula kwa hypoglycemic coma, dysfunctions ya ubongo, mpaka dementia. Kuphatikiza apo, vutoli limakhala lowopsa kwa anthu omwe ali ndi matenda amtima, limatha kupweteka stroko komanso mtima. Mwa amayi apakati, hypoglycemia imasokoneza chitukuko cha mwana wosabadwayo, kuchepetsa kuchuluka kwa shuga omwe amaperekedwa.

Zoyenera kuchita ngati magazi ochepa

Mutha kuthana ndi vuto losowa shuga panu nokha: kumwa njira yothetsera shuga, msuzi wokoma, kudya chidutswa cha shuga, caramel, supuni ya uchi. Komabe, sizakudya zilizonse zotsekemera zomwe zikulimbikitsidwa: mwachitsanzo, simungadye pasitala, makeke, chimanga, chokoleti, ayisikilimu, zipatso, mikate yoyera. M'mavuto akulu, munthu amatha kukumbukira ndipo kungolowera chithandizo chamwadzidzidzi ndi komwe kungamuthandize.

Wodwala amafunikira kukhazikitsidwa kwa glugagon kapena glucose, atatha theka la ola, kuyezetsa magazi ndikofunikira. Ndikofunikira panthawi yamankhwala kuti muthane ndi kuchuluka kwa makonzedwe kotero kuti kalozera wama shuga amasungidwe m'malo osiyanasiyana a 5-10 mmol / L. Chithandizo chotsatira zimatengera zifukwa zake (insulin yambiri, kulephera kwaimpso, matenda a chiwindi), pamaziko a nthawi yomwe kulowetsedwa kwa shuga kumatsimikiziridwa.

Magazi a shuga a Magazi

Kwa odwala omwe akutenga insulin, komanso abale omwe akukhala ndi odwala matenda ashuga, kukhalapo kwa mankhwala omwe ali ndi dextrose (glucose), glucagon, kuyenera kuvomerezedwa, komanso kudziwa momwe angagwiritsire ntchito moyenera. Pakudziyang'anira nokha kwa hypoglycemia, pali njira zotsatirazi:

• Mapiritsi a glucose. Zakudya zam'magazi zimadziwika ndi mayamwa mwachangu komanso mwachangu. Ubwino: kulosera, mtengo wotsika mtengo. Chuma: ayi. Monga njira yabwinoko, ascorbic acid ndi glucose amagulitsidwa ndi pharmacy iliyonse.
• Mapiritsi a Dex4. Mapiritsi otsekemera okhala ndi dextrose safunikira chimbudzi, amamwe nthawi yomweyo. Ubwino: zosiyana zosiyanasiyana. Zoyimira: zochepa zoyimitsidwa pamsika.
• Dextro4. Amapezeka mu mawonekedwe a gel, mapiritsi, ngati gawo la D-glucose. Mofulumira amalimbana ndi hypoglycemia. Mapulogalamu: kupatsa chidwi kwa kusankha mitundu yosiyanasiyana. Zopezeka: sizikudziwika.

Pakusowa kwa shuga, dokotalayo amamulembera zakudya zomwe azidya, poganizira zovuta zazomwe zikuchitika ndi matenda. Malangizo ambiri ndikuwonjezera zovuta zam'makanidwe mu chakudya - buledi, tirigu, masamba, pasitala wopangidwa ndi tirigu. Muyenera kusankha zakudya zamafuta ochepa, nsomba, nkhuku, kalulu, nyemba. Osati zipatso zokoma kwambiri siziphatikizidwa ndi chakudya.

Choletsedwa chimakhala ndi zakumwa zoledzeretsa, zakumwa zoziziritsa kukhosi, semolina, msuzi wamafuta, makeke, makeke, caffeine, mafuta othamanga omwe amakhala ndi index yayikulu ya glycemic (uchi, maswiti, makeke) ndi ochepa. Ndikofunikira kudya pang'ono, m'magawo ang'onoang'ono, kupewa yopuma yayitali pakati pa chakudya chokhazikika. Musaiwale za magwero ena a mapuloteni - mtedza, mankhwala amkaka, zakudya zam'nyanja.

Hypoglycemia Katetezedwe

Popewa matendawa, malamulo osavuta ayenera kutsatiridwa:

• kutsatira zakudya, kupewa kupuma pakati pa zakudya zopitilira maola 4,
• lawani shuga
• yang'anirani mlingo wa insulin (ngati mukumwa),
• muzikhala ndi chidutswa cha shuga kapena zakudya zofananira ndi inu,
• khalani ndi nthawi yokwanira yopuma
• Pewani mikangano, mavuto
• musiye kusuta.

Mwazi wamagazi mwatsatanetsatane

Poyambirira, ndikofunikira kunena kuti kuyezetsa magazi kwa shuga ndi kofotokozedwa kovomerezeka, koma mu mawonekedwe amakono amakono siowona. Mawu oti "shuga wamagazi" amachokera ku Middle Ages. Madokotala ndi ochiritsa a nthawi imeneyo amakhulupirira kuti kuchuluka kwa shuga kumakhudzana mwachindunji ndikuwoneka kwa ludzu kwambiri, matenda amtundu wa pustular komanso kukodza pafupipafupi.

Lero, sichinsinsi kwa madokotala kuti palibe shuga wotchedwa shuga (sucrose) m'magazi, chifukwa nthawi yamaphunziro idatsimikiziridwa kuti shuga zosavuta zimasinthidwa kukhala glucose pogwiritsa ntchito mankhwala. Ndipo iyenso, amachita kale zinthu zotsogola. Ndipo tsopano, zikafika pachikhalidwe cha shuga m'magazi, zomwe zimakhala m'magazi zimatanthauzidwa, chinthu chonse chomwe chimapereka mphamvu kuzinthu zonse zamunthu ndi ziwalo.

Mwa kutenga nawo gawo, kutulutsa kutentha kumachitika, ubongo ndi dongosolo lonse lamanjenje limadyetsedwa, ndipo zinthu zapoizoni zimachotsedwa m'thupi. Akaperekedwa ndi chakudya, glucose amadyedwa ndi minofu, komanso amamuyika ndikuwunjikizika mu minofu ndi chiwindi mu mawonekedwe a glycogen, omwe, ngati pakufunika, amatha kusinthidwa kukhala mashupi osavuta ndikubwerera magazi.

Chifukwa chake, kufalikira kwa glucose m'thupi kumathandizira kayendedwe kake, chifukwa chake, thanzi la munthu. Glucose (C₆H₁₂O₆) amatanthauza chinthu chofunikira kwambiri pokhudzana ndi kagayidwe, ndipo kuphwanya kulikonse komwe kumapangitsa kungayambitse zovuta zazikulu.

Kuphatikiza pa glucose, mukagawa sucrose m'matumbo am'mimba (thirakiti la m'mimba), fructose imapangidwanso, yomwe imakhalanso saccharide yosavuta, monga yoyamba. Mu shuga mellitus, pali kuchepa kwa mahomoni omwe amalimbikitsa kuyamwa kwa glucose, chifukwa chomwe amasungidwa m'magazi, m'malo motembenukira ku glycogen.

Kuchuluka kwa shuga m'magazi, komanso mkodzo, ndizizindikiro zowonekera zasayansi za matendawa, ndipo zimayika moyo wa munthu ndi thanzi. Mapulogalamu omwe amapangira odwala oterewa amathandiza kusintha shuga wa m'magazi kukhala glycogen.

Pankhaniyi, nthawi zambiri zimachitika kuti mlingo wosankhidwa bwino wa insulin kapena chakudya chosayenera ungayambitse kusowa kwa glucose komanso kukula kwa hypoglycemia, yomwe ili yofanana ndi hyperglycemia. Nthawi zina, zotsatira zoyipa zaumoyo zimatha kukhalanso ndi glycemia yochepa, makamaka ngati msangawo umagwa mwachangu kwambiri.

Zifukwa zakuchepa

Kutsika kwa shuga m'magazi kumatha kukhala kwachilengedwe, kutanthauza kuti kumawonedwa mwa anthu athanzi, kapena matenda, chifukwa cha matenda ena. Zoyambitsa zazikulu za shuga wopanda matenda ndi izi:

• kudya zakudya zochepa za calorie patsiku chifukwa cha kuperewera kwa chakudya, komwe kumatha kukhala ndi chakudya chokhazikika, mwachitsanzo, kuti muchepe mofulumira mapaundi owonjezera.
• kuledzera kwa mankhwala osokoneza bongo ndi kuledzera, poyizoni wa thupi ndi mchere wa arsenic, chloroform, kusowa kwamadzi,
• nthawi yayitali pakati pa chakudya, chokwanira maola opitilira 8, mavuto a kudya (bulimia, anorexia), ludzu,
• kutsitsa kwa mkati mwamchere popanda kuwonjezera shuga kwa iwo,
• kuchita masewera olimbitsa thupi mopambanitsa, mwachitsanzo, kugwira ntchito molimbika pantchito kapena masewera olimbitsa thupi,
• kuchuluka kwa chakudya chamafuta, ndiko kuti, maswiti ochulukirapo, confectionery, zakumwa zozizilitsa kukhosi zomwe zimakhala ndi shuga wambiri, komanso chakudya chomwe chimakhala ndi index yayikulu ya glycemic.

Muzochitika zotere, pamakhala kusowa kwa mphamvu, komwe thupi limachotsera mkati mwa "nkhokwe" zamkati - kudzera mukusinthika kwa glycogen komwe kumasungidwa m'matumbo ndi chiwindi. Ndiponso, kuchepa kwa shuga m'magazi kumatha kuchitika chifukwa cha matenda osiyanasiyana, monga:

• lembani 1 ndipo lembani matenda a shuga 2 - kuchuluka kwa glucose nthawi zambiri kumatsika chifukwa cha kuchuluka kwa insulin kapena mankhwala ena omwe amachititsa kuti kuchepa kwake,
• impso, matenda adrenal kapena chiwindi,
• aimpso ndi kulephera kwa mtima, sitiroko,
• kunenepa kwambiri, kapamba, sarcoidosis, matenda am'mimba,
• insulinoma ndi chotupa cha kapamba, ma cell omwe amatha kupanga insulini, potero amapanga owonjezera m'thupi.

Nthawi zambiri, kuchepa kwa shuga m'magazi kumadziwika ndi insulin yolakwika yomwe imatanthawuza kuti hypoglycemia ndiyowopsa kwambiri kwa anthu omwe ali ndi matenda a shuga, ndipo amakakamizidwa kumwa mahomoni awa.

Malo achiwiri amapatsidwa kutopa kwakuthupi komwe kumabwera chifukwa cha njala kapena kuperewera kwa zakudya m'thupi. Zosankha zina ndizosowa kwambiri, sizimayenda nthawi zonse ndi zowonjezera, ndipo popanda dokotala sizingatheke kudziwa chifukwa chake shuga adagwa.

Mawonekedwe a hypoglycemia wolimbitsa

Kuti mukhale osamala nthawi zonse ndikutha kuyankha mwachangu kusintha kwa thanzi lanu kapena la munthu wapafupi, muyenera kudziwa zizindikilo zazikulu zomwe zimatsagana ndi shuga wochepa wamagazi. Mawonetsedwe otsatirawa nthawi zambiri amapezeka mwa munthu wamkulu:

• kufooka wamba, kutopa kosasimbika,
• mutu, chizungulire,
• kunjenjemera (kunjenjemera) mu miyendo, dzanzi,
• tachycardia (palpitations)
• kugunda kwamtima kosalekeza, kugona,
• mantha ambiri, kusokonekera,
• njala, thukuta,
• kusowa koyanjana, kayendedwe ka khungu
• ana adasupika, owona kawiri m'maso, akuchita khungu.

Zizindikiro zonse pamwambapa za shuga m'magazi zimatha kuonedwa mutakhala osagwedezeka kapena kugona, kapena kugona. Amakhala chifukwa chakuti ubongo umadya glucose pafupifupi minofu yomweyo, ndipo ikasowa, imakhalanso ndi njala.

Monga lamulo, munthu amakhala ndi tulo tofa nato, ndipo nthawi zambiri amakhala limodzi ndi zolota usiku, amatha kukhala ndi phokoso, kuyesa kudzuka osadzuka. Zotsatira zake, wodwalayo nthawi zambiri amagona, kugona thukuta kwambiri, kudzuka m'makwalala, ndipo m'mawa amadwala mutu.

Ngati shuga satumizidwa kwa munthu panthawiyi ya hypoglycemia (bwino kwambiri m'mimba yakudya: shuga, maswiti, uchi, mkate, ndi zina), ndiye kuti mkhalidwe wake udzakulirakulira. Kutsika kwina kwamagalamu ya glucose kumatha kuyambitsa zovuta komanso zowopsa thanzi la wodwalayo komanso moyo:

• chisokonezo,
• kuyankhula kosayenera
• zopweteketsa mtima.

Kutsika komanso kuchuluka kwa glucose nthawi zina kumayambitsa stroko komanso / kapena kupweteka, nthawi zambiri pambuyo pake kumatha kufa.

Zizindikiro zakuchepa kwa shuga

Kutsika kwamphamvu kwa glucose nthawi zambiri kumachitika mwa odwala omwe ali ndi matenda amtundu wa 1 omwe amafunika jakisoni wokhazikika wa insulin. Nthawi zina, kutsika kwamphamvu kwa shuga kumayambitsa insulin chifukwa chosagwiritsa ntchito molakwika.

Nthawi yomweyo, imatha kuchepa kwambiri odwala omwe ali ndi matenda amtundu wa 2 omwe amamwa mankhwala omwe amalimbikitsa kuphatikiza kwa insulin ndi kapamba. Nthawi zambiri izi zimachokera ku sulfonylurea ndi kukonzekera kwa gulu la meglitinide. Madzi a m'magazi akayamba kugwa kwambiri, munthu amakula ndi zizindikiro, monga:

• tachycardia, miyendo yanjenjemera,
• khungu
• kutayika kwa kuyenda mu malo,
• kuchedwetsa mayendedwe kapena, mosinthana, khalidwe losakhazikika, mwamakani.

Shuga wotsika wamagazi mwa amayi apakati

Zizindikiro za shuga wamagazi ochepa mwa akazi sizosiyana kwambiri ndi mawonekedwe a mkhalidwewu mwa abambo. Ndi kuchepa kwa zomwe tafotokozazi, nthumwi za theka lofooka laanthu zitha kukumana:

• kuchuluka kwa mtima, komanso mantha osasinthika komanso nkhawa.
• chizungulire, kuwonongeka kwa mawonekedwe, kunjenjemera ndi kufooka miyendo.
• thukuta lomwe limawonjezeka komanso kuwoneka ngati ndi njala yayikulu.

Mchere wochepetsetsa nthawi zambiri umawonedwa mwa amayi omwe ali ndi mwana, makamaka pa trimester yoyamba ya kutenga pakati. Izi zimachitika chifukwa cha kusintha kwakukulu kwa mahomoni, komwe kumapangitsa chidwi cha insulin m'maselo a thupi. Zotsatira zake, minofu ya thupi ya mayi woyembekezera imagwiritsa ntchito shuga mwachangu kwambiri.

Komanso fetal organism imafunika shuga. Mosiyana ndi matenda ashuga omwe amakhala mwa azimayi oyembekezera, shuga wamagazi ochepa mwa akazi omwe akukonzekera kukhala amayi siowopsa, koma amangofunika zakudya zopatsa thanzi. Ndiye kuti, amafunika kudya nthawi zambiri, koma m'magawo ang'onoang'ono.

Ndimuonane ndi dokotala liti?

Kuyandikira kwa kuchepa kwa glucose komwe zizindikiro za hypoglycemia zimawonekera zimadalira aliyense wodwala. Anthu ena amadzimva kuti ali ndi vuto lililonse poyerekeza ndi 2.2 mmol / L, pomwe ena, mtengo wa 3 umakhala wovuta, ndipo amatha kupsa mtima.

Odwala omwe ali ndi matenda amtundu wa 1 ayenera kuyeza shuga awo kangapo patsiku pogwiritsa ntchito shuga ya magazi ake. Iwo omwe sagwiritsa ntchito chipangizochi, ndipo nthawi zambiri samakayikira kupezeka kwa matenda ashuga (makamaka, awa ndi achikulire omwe apanga mtundu wa matenda ashupi achikulire), ayenera kuchenjeza ndikukhala mwayi wokaonana ndi endocrinologist:

• kuwonjezeka kosayembekezereka pakupuma kwamtima
• kumva kutopa ndi kufooka m'miyendo yam'munsi,
• kutuluka thukuta popanda kulimbitsa thupi,
• kugwedezeka kwa mantha opanda pake, manja akunjenjemera
• kulephera kulolera
• kufooka kapena chizungulire,
• kuwonongeka kwamawonekedwe.

Pakakhala chiwonetsero chimodzi kapena zingapo, zoyambirira za munthu ziyenera kukhala kufunafuna thandizo kuchipatala ndikumayesedwa. Adotolo azilangizira wodwalayo mwatsatanetsatane, kukuwuzani zoyenera kuchita muzochitika zotere, ndipo mwina angakulimbikitseni kusintha kwamoyo.

Nthawi ndi zopatuka

Pofuna kuti musaponye dontho lakuthwa komanso lalikulu la glucose, koma, m'malo mwake, kuti mutsate hypoglycemia panthawi, muyenera kubwera ku labotale pamimba yopanda kanthu ndikuyesa magazi kuchokera ku chala chanu. Kunyumba, izi zitha kuchitika pogwiritsa ntchito glucometer, yomwe aliyense wodwala matenda ashuga ayenera kukhala nawo.

Mwazi wamagazi uli m'magulu 3-6 mmol / l, ndiwo:

• wakhanda wakhanda 2.7-4,5 mmol / l,
• ana okulirapo - 3-5,5 mmol / l,
• akuluakulu - 3.5-6 mmol / l.

Tisaiwale kuti kwa anthu akuluakulu kufunika kwa 5.5-6 mmol / l kumawerengedwa ngati belu la alamu, lomwe mu zamankhwala limatchedwa boma la prediabetes. Kusuntha kwa kokwanira mpaka kumunsi kotsika kwa chizolowezi kumatha kuwonetsa kuchepa kwa thupi kapena hypoglycemia yokhazikika.

Mkhalidwe womwe glucose wamagazi amachepetsedwa kwambiri, ndipo nthawi yomweyo imayendera limodzi ndi mawonekedwe amitsempha: kupweteketsa mtima, kulephera kudziwa zinthu, kuli koopsa, motero kuyenera kulandira chithandizo kuchipatala msanga. Pakukonza chithandizo ndikuwongolera kuchuluka kwa shuga m'magazi, zowonjezera zowerengeka zidzachitika, zomwe zingathandize kumvetsetsa chifukwa cha kupatuka uku.

Komanso adotolo azikambirana ndi wodwalayo za momwe angathandizire kukonza thupi, zomwe zimaphatikizapo kudya, kusiya zizolowezi, kulimbana ndi kunenepa kwambiri komanso kupuma mokwanira. Monga lamulo, kusintha kwa moyo, kadyedwe, ndi kadyedwe m'magawo oyamba a matenda amathandizira kuchepetsa mwayi wokhala ndi mavuto akulu azaumoyo.

Momwe mungathandizire kwambiri hypoglycemia?

Mkhalidwe wa pachimake wopezeka mwadzidzidzi wa hypoglycemia uyenera kuyimitsidwa mkati mwa mphindi 5 mpaka 10, apo ayi pamakhala mwayi wokomoka komanso mavuto ena owopsa m'moyo. Kuti mupange kuperewera kwa shuga m'magazi, muyenera kudya kapena kumwa china chokoma kapena chamafuta.

Zinthu zogwira mtima kwambiri zomwe zimathandizira kuukira kwa mphindi 5-10 ndi:

• msuzi wazipatso (theka chikho ndi chokwanira),
• shuga (supuni 1-2),
• uchi (supuni ziwiri),
• kupanikizana (supuni 1-2),
• caramel (1-2 ma PC.),
• mandimu kapena chakumwa china chotsekemera (1 chikho).

Mukatha kudya, kuukira kumayimitsidwa, koma sikuli koyenera kunyalanyaza zomwe zimayambitsa, ngakhale siziyambitsa vuto lalikulu. Kumbukirani kuti mphindi iliyonse (ndi mulingo woyenera wa mankhwala ochepetsa shuga kapena kuthina), kuukiraku kumatha kubwereranso, ndipo sikudziwika kuti udzakhala wamphamvu bwanji.

Kwa odwala. Chizindikiro chilichonse cha hypoglycemia chikuyenera kukhala mwayi wopita kwa adotolo ndikuwunika mozama. Ngati palibe pathologies omwe apezeka, ndiye kuti ndikofunikira kugwiritsa ntchito kulangizidwa ndi adokotala kuti muchepetse kuyambikanso kwa zizindikiro zoopsa. Ngati matenda atapezeka - pezani upangiri ndi chithandizo chamankhwala chomwe chikhazikitse mkhalidwe wa endocrine system.

Chifukwa chiyani hypoglycemia imachitika?

Mu thupi lathanzi, kuchuluka kwa shuga m'magazi kumayendetsedwa ndi njira zingapo za metabolic. Pamaso pa malo ogulitsira a glycogen m'chiwindi, shuga sayenera kuchepa. Chifukwa chake, mwa munthu wathanzi, hypoglycemia simachitika.

Nthawi zina chomwe chimayambitsa kutsika kwa shuga m'magazi ndimathamanga kwambiri, ngakhale kuti thupi limatha kuzolowera popanda kutsitsa shuga. Nthawi zambiri, hypoglycemia imapezeka mwa odwala omwe ali ndi matenda ashuga - amagwiritsa ntchito mankhwala ochepetsa shuga, omwe amachulukitsa chiopsezo cha hypoglycemia. Ndipo kuwonetsedwa pafupipafupi kwa hypoglycemia kumabweretsa chifukwa choti munthu amazolowera ndipo amasiya kumva zizindikiro.

Kwa odwala omwe alibe matenda a shuga, insulinoma imapangitsa kuchepa kwa shuga m'magazi. Ichi ndi chotupa chomwe chimatulutsa insulini, chimapezeka m'mapapo. Chifukwa cha ntchito zake, kuchuluka kwa shuga kumatha kutsika kwambiri - ngakhale pansi pa 1 mmol / L. Popeza chotupacho chili m'thupi la munthu nthawi zonse ndipo insulin imapangidwa nthawi zonse, munthuyo amalekeranso kumva kuwonetsa kwa hypoglycemia.

Kodi izi zikutanthauza chiyani?

Kafukufuku adawonetsa kuti kuchuluka kwa shuga m'magazi kudagwa 3.3 mmol / L? Uwu ndi mkhalidwe wowopsa, womwe umatsogolera ma syndromes angapo osakhazikika, ndipo nthawi zina umayambitsa kukomoka (mkhalidwe wowopsa pakati pa moyo ndi imfa, wodziwika ndi kutayika kwa chikumbumtima, kufooka kowopsa kapena kusowa poyankha ndi mkwiyo wakunja). Monga tafotokozera pamwambapa, zifukwa zingapo zimatha kuyambitsa matenda a hypoglycemia, kuchokera kuzinthu zakuthupi zomwe zimapangitsa thupi kukhala matenda komanso kusadya bwino. Tizilombo toyambitsa matenda vutoli zimasiyana kwambiri ndi zomwe zimayambitsa kuchepa kwa ndende ya magazi kosamvetseka kwathunthu ndi asayansi.

Zizindikiro za hypoglycemia

• njala
• mantha
• mantha
• kugwedezeka kwa dzanja
• kukopa kwa pakhungu
• thukuta.

Ndi kwambiri hypoglycemia, munthu amasiya kuzindikira. Zizindikiro za hypoglycemia yayikulu imakhala yovuta kwambiri. Munthu amene ali mu mkhalidwewu sakhala womasuka. Monga lamulo, chikhumbo chake choyamba ndikudya china.

Ngati tizingolankhula za hypoglycemia (chifukwa chake ndi insulinoma kapena mankhwala osokoneza bongo a insulin), chizindikiro china chingaoneke: kuwonjezereka kwapang'onopang'ono kwa kulemera. Chifukwa cha anabulin katundu wa insulin, mafuta amadziunjikira m'thupi.

Zoyenera kuchita ngati zizindikirozi zikuwoneka

Chifukwa chiyani simungodalira zizindikiro zokha? Pali anthu omwe amakhala ndi shuga wambiri kuposa wamkulu. Mukasala kudya, amakhala ngati odwala omwe ali ndi hypoglycemia - iyi imatchedwa pseudohypoglycemia. Pali odwala matenda ashuga omwe ali ndi shuga pafupifupi 13 mmol / L, ndipo akatsika mpaka 7 mmol / L, amamva zizindikiro zonse za hypoglycemia. Zizindikiro zake zimatha kukhala ndi shuga wambiri, pomwe sizingachitike ndi hypoglycemia yoopsa kwambiri - chifukwa chogwirizana nayo. Chifukwa chake, ngati akukayikira kuchuluka kwa shuga, munthu amadutsa kuyezetsa magazi kwa shuga. Ngati shuga ali pansi pa 3.3 mmol / L, ndi motsimikizika kwa hypoglycemia.

Mukatsimikizira hypoglycemia, gawo lotsatira ndikuwonetsetsa zomwe zimayambitsa, pomwe njira zakuzindikira zitha kukhala zosiyana - zidzayikidwa ndi adokotala. Mwachitsanzo, kuzindikira kwa insulinoma kumafuna kufa ndi njala komanso kuyesedwa kwapadera, komwe kumachitika moyang'aniridwa ndi dokotala.

Zomwe muyenera kudziwa kwa munthu yemwe ali ndi vuto la hypoglycemia, komanso abale ake

Mu hypoglycemia yayikulu, glucagon ikhoza kutumikiridwa, imayang'aniridwa pang'onopang'ono. Ichi ndi syringe yapadera yomwe wodwala angagule. Pali njira yachiwiri yoimitsira hypoglycemia, yomwe imagwira ntchito nthawi zonse: kukonzekera kwa 40% ya shuga.

Zotheka

Kuchepa kwa shuga m'magazi kungayambike chifukwa chotsatira:

1. Mlingo wambiri wa insulin ndi mankhwala a hypoglycemic mu shuga.
2. Kuthetsa madzi m'thupi.
3. Zakudya zochepa komanso zopanda pake zomwe zimapangitsa kuti pakhale michere yambiri komanso mavitamini ochepa, michere, mchere.
4. Kuchita zolimbitsa thupi mwamphamvu.
5. Mowa
6. Zosiyanasiyana mosiyanasiyana - zamtima, zamanjazi, impso.
7. Kutopa kwathunthu kwa thupi.
8. Kuperewera kwa mahomoni ndi zoletsa za kaphatikizidwe wa glucagon, adrenaline, cortisol, somatropin.
9. Zotupa zowonjezera, insulinomas ndi zovuta zatsopano za mawonekedwe a autoimmune.
10. Kuchuluka kwa mchere wa m'magazi ndi njira yoviyikira.
11. Matenda opatsirana osiyanasiyana.
12. Kusamba.

Shuga wotsika wamagazi mwa amuna ndi akazi

Magazi a shuga m'munsi mwa 3.5 mmol / L m'magulu onse awiriwa ndi chizindikiro chodziwika bwino kuti pali vuto m'thupi. Monga momwe machitidwe akusonyezera, nthawi zambiri, hypoglycemia mwa akulu imachitika ndi chithandizo cha matenda a shuga. Ngati njira yodziwika masana ndi zakudya sizisamalidwa kwambiri, ndipo kuphwanya mitsempha ya circadian kumathandizidwa ndi zochitika zolimbitsa thupi, ndiye kuti kumwa mankhwala ochepetsa shuga a mkamwa kapena jakisoni wa insulin kungachepetse ndende ya glucose kuposa momwe muyenera.

Anthu ambiri omwe ali ndi zakumwa zoledzeretsa amakumananso ndi kuchepa kwamphamvu kwa shuga m'magazi chifukwa cha zotsatira zoyipa za ethanol, zomwe zimapangitsa kuti maselo a glucogen achepetse, ndipo chifukwa chake, zoletsa zamtundu wawo wogwirizana. Ndikofunikira kuyang'anira kuchuluka kwamakono a shuga m'magazi tsiku lonse, chifukwa hypoglycemia singakhale yangozi kuposa hyperglycemia: imayambitsanso kuperewera, ngakhale siyowopsa m'thupi.

Shuga wochepa wa magazi mwa mwana

Mu ana, hypoglycemia imachitika makamaka chifukwa cha otsika kalori zakudya ndi mipata yayikulu pakati chakudya kudya maziko a zolimbitsa thupi mwamphamvu nkhawa yamavuto. Mitundu ya tsikulo kugona mokwanira kumathandizanso.

Nthawi zambiri mu ana pamakhala mawonekedwe a idiopathic a mabanja a hypoglycemia, omwe amapezeka ndikuwonetsedwa mwa mwana wosakwana zaka ziwiri. Kuchepa kwa shuga m'magazi kumachitika chifukwa cha kukhudzika kwambiri kwa thupi kulocha leucine mwaulere. Zimagwira ngati chothandizira kwa kaphatikizidwe ka insulin yachilengedwe ndipo kumatseketsa gluconeogenesis m'chiwindi.

Hypoglycemia mu makanda amafunika chisamaliro chapadera. Monga lamulo, chizindikiritso chimapezeka m'mimba mwa ana osakhazikika omwe ali ndi hypothermia, kupuma kwamatenda ndi asphyxia pakubala. Imadziwonekera yokha mumaola oyamba amoyo. Zowonjezera zowopsa ndizo mayi amene ali ndi matenda a shuga a 2 komanso kumwa mankhwala ochepetsa shuga. Pankhaniyi, kuthana kwambiri ndi kukhazikitsa shuga, glucagon ndi hydrocortisone m'thupi ndikofunikira.

Zotheka ndi shuga

Kuphatikiza pa mawonekedwe a neuroglucopenic ndi adrenergic omwe afotokozedwa pamwambapa ndikusowa pambuyo pa chithandizo choyenera, odwala amatha kukhala ndi hypoglycemic coma, komanso kusokonezeka kwa mitsempha, mpaka kuchuluka kwakukulu kwa dementia. Kuphatikiza apo, shuga wochepa wa m'magazi ndi njira yowonjezera yowonjezera ndipo imakwiyitsa kukwiya kwam'mimba, mikwingwirima komanso kulowetsedwa kwa mtima ndi mtima kwa odwala omwe ali ndi matenda a mtima.

Mankhwala osokoneza bongo komanso mankhwala

1. Mitsempha yosakanikirana yamitsempha yamagalasi ndi njira yodontha kapena makonzedwe amkamwa mwa dextrose monosaccharide, yomwe imadutsa pamimba, imayamwa nthawi yomweyo m'magazi.
2. Kuphatikiza chakudya chopatsa mphamvu “chofulumira” komanso chochepa pang'onopang'ono m'thupi mochepera.
3. Ndi kusagwira ntchito kwa zomwe tafotokozazi, jekeseni wa glucagon.
4. M'mikhalidwe yovuta, jakisoni wa corticosteroids - hydrocortisone, komanso adrenaline amaloledwa.
5. Kutsatira kwambiri zakudya zapadera.

Zithandizo za anthu

Zomwe zili pamwambapa zamankhwala azikhalidwe, zoperekedwa pansipa, ziyenera kuvomerezedwa ndi dokotala!

1. Katatu patsiku, imwani madontho a 1520 a tincture wa Leuzea, omwe angagulidwe ku mankhwala. Kwezerani kaye mlingo mu supuni ya kutentha kwa chipinda.
2. Tengani magawo awiri a 2 agrigass, St. John wa wort, hemophilus, chamomile, sinamoni wa gingerbread ndi plantain, onjezerani gramu imodzi ya licorice ndi chowawa pa chopereka. Thirani osakaniza ndi malita 0,5 a madzi otentha ndipo muulole amwe kwa mphindi 25. Tsanulira madzi kudzera m'magawo atatu a gauze ndi kutenga othandizira a 50 magalamu, katatu patsiku kwa mwezi umodzi.
3. Thirani supuni imodzi ya zipatso zosankhuka zosaphika ndi makapu awiri amadzi otentha. Lolani kuti lidutse kwa mphindi khumi ndi zisanu, kudutsa cheesecloth ndi kumwa chikho ½ kawiri pa tsiku kwa masabata awiri.
4. Gwiritsani adyo ndi lingonberry pafupipafupi, makamaka mwatsopano.

Zakudya zoyenera komanso zakudya zoyenera

Ndi shuga wotsika magazi, endocrinologist amakupangira zakudya zomwe munthu angadye, poganizira zovuta, kupezeka kwa matenda a shuga a mtundu wina, komanso momwe thupi liliri.

1. Onjezani kudya kwanu zovuta zamatumbo mwa kudya masamba, masamba ndi tirigu wam'mimba, ndi buledi wopanda tirigu.
2. Osapatula mowa, semolina, pasitala kuchokera ku mitundu ya tirigu yofewa, makeke, mafuta ndi msuzi wamphamvu kwambiri, mitundu yonse ya mafuta a zophikira ndi nyama, zonunkhira, zakudya zosuta, tsabola ndi mpiru.
3. Idyani maswiti, makeke, uchi ndi msuzi kwambiri.
4. Idyani pang'ono, m'magawo ang'onoang'ono, musaiwale kudya zakudya zamapuloteni ndi mafuta ochepa.
5. Yang'anani pa zakudya zomwe zimakhala ndi fiber yambiri, zomwe zimachedwetsa kuyamwa kwa shuga ndi thupi kuchokera ku chakudya chovuta. Zosankha zabwino kwambiri ndi chimanga, nandolo, mbatata za jekete.
6. Onetsetsani kuti muphatikiza pa menyu zipatso, zatsopano ndi zouma, kapena mu msuzi wanu womwe, wokhala ndi shuga pang'ono kapena pang'ono.
7. Sankhani magwero a protein - nsomba, nyemba, nkhuku kapena nyama ya kalulu.
8. Muchepetse kugwiritsa ntchito tiyi wa khofi kwambiri momwe mungathere, komwe kumachulukitsa zochuluka pakukula kwa hypoglycemia.
9. M'malo zakumwa za carbonated ndi zakumwa zopanda mafuta.
10. Mutha kupeza mapuloteni omwe mumafunikira thupi kuchokera kuzinthu zina - mtedza, mafuta ochepa amkaka.

Pafupifupi tsiku lililonse

1. Tikhala ndi mazira awiri owiritsa ndi tiyi wopanda mafuta ndi chidutswa chochepa cha mkate.
2. Tili ndi zodetsa zilizonse ndi kapu imodzi ya mkaka kapena chipatso chimodzi chofiyira.
3. Tili ndi nkhomaliro ndi msuzi pa msuzi wamafuta nyama ndi saladi wamasamba. Kuphatikiza apo - gawo la nsomba zotentha ndi tiyi.
4. Khalani ndi zoziziritsa kukhosi masana ndi zipatso zingapo komanso tiyi yazitsamba. Njira ina ndi magalamu 50 a walnuts.
5. Chakudya chamadzulo cha nkhuku kapena nyama ya kalulu yokhala ndi mbale yamasamba. Monga m'malo mwa tiyi ndi khofi, mutha kugwiritsa ntchito chicory.
6. Maola awiri asanagone - kapu ya 1 kefir.

Penyani zakudya zanu, idyani moyenera, samalani zochitika zamasiku onse ndipo nthawi zambiri mutha kuthana ndi hypoglycemia popanda mankhwala!

Momwe mungakulitsire shuga?

Pali njira zingapo zokulitsira shuga wanu wamagazi:

1. Kukonzekera kwa pakamwa kwa mawonekedwe a dextrose monosaccharide.
2. Drip mtsempha wamagazi.
3. Mgwirizano makonzedwe a glucagon.
4. Kuphatikiza zakudya zomwe zili ndi zakudya zophatikizika, kuphatikizidwa m'zakudya zamafuta ambiri osaphatikizidwa ndi zinthu zomwe zimapezeka mu dengu zomwe zimapezeka ndi leucine, komanso chakudya cham'mimba chambiri.
5. Zakudya zochepa zokhala ndi zovuta zosavuta komanso zosavuta "zovuta" - zomwe zimachitika mwachangu msanga, pomwe zotsalazo zimakonza zotsatira zake (ma cookie owuma, mkate).
6. Kuchepetsa zolimbitsa thupi.

Kodi pali ngozi yotani ya shuga m'magazi panthawi ya pakati?

Hypoglycemia imasokoneza mwana wosabadwayo, kuchepetsa kwambiri kuchuluka kwa glucose omwe amalowa mwana osabadwa kudzera mwa placenta, yomwe imakhudza kukula kwake. Kuphatikiza apo, kusowa kwa magazi kungayambitse kubadwa msanga ndikukulitsa mwayi wokhala wolakwika.

Onetsetsani kuti mwawongolera kuchuluka kwa glucose panthawi yomwe muli ndi pakati, makamaka ngati mukudwala matenda ashuga kapena zizindikiro zoyambirira zavutozi zikuwonekera - kuwodzera, thukuta kwambiri, kunjenjemera kumapeto, kumangokhala ndi njala, ndi zina zambiri.

Njira "yodzidzimutsa" yochotsa hypoglycemia mwachangu pang'ono kapena pang'ono ndiyo kugwiritsa ntchito kamodzi "chakudya chambiri" (timadziti, maswiti ndi shuga.). Komabe, mulimonsemo, dziwitsani dokotala za vutoli, pambuyo pake akupatseni mayeso a magazi ndi kukupatsani chithandizo choyenera.

Kodi chingapangitse kuti shuga ya m'magazi akhale yatsopano mwa mwana ndi chiyani?

Nthawi zambiri, hypoglycemia wakhanda mu maora oyambirira a moyo wake chifukwa cha zinthu zingapo zoyipa - asphyxiation pa nthawi yobereka, kufalikira kwamphamvu kapena kwapakati, kupsinjika. Zowonjezera zowopsa zimachokera kwa amayi omwe ali ndi matenda ashuga komanso kumwa mankhwala ochepetsa shuga nthawi zonse.

Vutoli liyenera kuthetsedwa mwachangu: nthawi zambiri wakhanda amasamutsidwira kumalo osungirako odwala kwambiri, glucose amalowetsedwa m'thupi (m'mitsempha). Ndi mphamvu yochepa, makonzedwe a glucagon ndi hydrocortisone amadziwikiratu mpaka kuchuluka kwa ndende ya magazi ndikukhazikika.

Zizindikiro zazikulu za shuga m'magazi ndi ziti?

Ndi hypoglycemia, wodwalayo amakhala ndi zovuta zingapo. Odziwika kwambiri a iwo:

1. Ululu wam'mutu komanso chizungulire.
2. Kukomoka, kusokonezeka kwa chikumbumtima, amnesia.
3. Diplopia ndi paresthesia.
4. Zovuta zingapo zamtundu wapakati wamtima wamtima (nthawi zambiri arrhythmias).
5. Kulephera kopindulitsa.
6. Zambiri kufooka kwa thupi lonse, nseru ndi kusanza.
7. Kumva njala.
8. Kutuluka thukuta kwambiri, khungu la khungu, kuchepa kwa minofu.
9. Tremor, mydriasis.
10. Kuda nkhawa, kusakwiya, kuchita ziwawa.

Ngati mwazindikira zina mwazina mwazomwe mwadzinazo - pimani kuyeza kapena kuyeza kuchuluka kwa shuga m'magazi ndi glucometer.

Makhalidwe wamba

Tsiku lililonse, munthu aliyense amapezanso mphamvu mosungirako ndi chakudya, momwe glucose amalowa m'thupi. Mulingo woyenera ndi 3.5-5,5 mmol / l. Ngati shuga ndi ochepa, zikutanthauza chiyani? Thupi limaperewera mphamvu, hypoglycemia imayamba. Shuga wamagazi ochepa amakhala ndi zotsatirapo zoyipa kwambiri.

Zifukwa zakuchepa

Matenda akulu komanso zinthu zazing'ono za tsiku ndi tsiku zimatha kudzutsa kuchuluka kwa shuga. Milandu yotsalira kawirikawiri imawonedwa ngati yovomerezeka, koma ngati shuga wambiri amawonetsetsa, zoyambitsa ziyenera kufufuzidwa mwachangu.

Shuga wochepa, amayambitsa:

• Ntchito yakuthupi. Pambuyo pakuchita masewera kapena masewera ena olimbitsa thupi kwanthawi yayitali, mphamvu zamagetsi, zomwe zimayimiriridwa ndi shuga, zimatha.
• Chakudya chopatsa thanzi. Zakudya zosavomerezeka, zakudya zazitali, makamaka zakudya zamafuta ochepa, zakudya zopanda thanzi, zonse ndi zifukwa zabwino zopanga kuchepa kwa shuga.
• Kubwezeretsa hypoglycemia. Uku ndikuyankha kwa thupi pakuwonjezeka kwa shuga, mwachitsanzo, pambuyo pambiri lokoma.
• Mowa ndi kusuta. Poyamba wonjezerani zisonyezo, kenako kutsika kwawo mofulumira.
• Mankhwala osokoneza bongo ambiri. Nthawi zambiri, mankhwala a mahomoni amakhala olakwa.
• Matenda. Matenda a shuga omwe alipo, vuto la chithokomiro, mavuto ndi kapamba, matumbo, chiwindi, kulephera kwaimpso.

Chofunikira: kuyankha kwa hypoglycemia kumalumikizidwa ndi kupanga kwa insulin pambuyo pakudya shuga ambiri. Zotsatira zake, glucose imakonzedwa kwathunthu ndipo izi zikufotokozera chifukwa chake kuchuluka kwake kumatsikira patatha maola 1-2 chakudya chatha.

Mimba ndi chochitika chosangalatsa kwa mkazi, komanso ndizovuta komanso zosadalirika kwa dokotala. Poyerekeza ndi nthawi yomwe mayi ali ndi pakati, kukonzanso kwakukwana kwa mahomoni kumachitika, ndipo ndizosatheka kuneneratu momwe izi zidzakhalira ndi thanzi la mayi. Chifukwa chake, ndikofunikira kuyang'anira nthawi zonse, kuphatikizapo kuperekedwa kwa magazi kwa shuga.

Thandizo Loyambirira ndi Chithandizo Chowonjezera

Kutsika pang'ono pang'onopang'ono komanso pang'ono kwa shuga sikubweretsa chiwopsezo china ndipo kungathetsedwe mwa kudya. Izi zimachitika ndi kutopa kwambiri komanso kuchepa mphamvu kwa mphamvu zolimbitsa thupi. Koma bwanji ngati mulingowo utatsika pansi 3 mmol / l ndikupitilira kugwa? Anthu odwala matenda ashuga pamenepa amakhala ndi maswiti nawo: chidutswa cha shuga, kapu ya chokoleti, maswiti, madzi okoma. Komanso mufamu mungagule mapiritsi a shuga.

Chidutswa cha shuga chingathandize kuwonjezera shuga mwachangu

Pokhala ndi matenda oopsa kwambiri komanso chiwopsezo chakugwa mwa wina kuti achulukitse kuchuluka kwa shuga m'magazi, kulowetsedwa kwamankhwala kumathandiza. Dontho lokhazikika ndi glucose limagwiritsidwa ntchito kapena jekeseni wamkati amachitika. Kugoneka kwa wodwala ndikofunikira.

Gome: Zotsatira za hypoglycemia ndi njira yochizira

Mawonekedwe Amphamvu

Chofunika kwambiri pa chithandizo chilichonse ndi moyo komanso zakudya, kuphatikizapo. Ndi hypoglycemia, kudya kwapadera kumalimbikitsidwa. Zimakhazikitsidwa ndikuwongolera kwa index ya glycemic ya zinthu. Kutengera ndi mtengo wake, ndizotheka kudziwa katundu pa thupi ndi shuga, ndiye kuti, zakudya zomwe zimachuluka. Tebulo likuwonetsa magulu atatu. Kuchokera muzakudya muyenera kuthetseratu gulu lofiira ndikukhala menyu obiriwira.

Glycemic Index ndi Zogulitsa Zogulitsa

Zofunika! Malonda omwe ali ndi shuga wambiri amathandizira kuzisonyeza kwakanthawi ndipo amakwiyitsa kuchepa kwake, akumasula ma metabolic. Ichi ndichifukwa chake amafunika kuchepetsedwa ndikugwiritsidwa ntchito pokhapokha pakukweza shuga.

Iyenera kuphatikizidwa muzakudya zomwe zimachepetsa shuga. Imasinthasintha kagayidwe ndipo imalepheretsa kulumpha kugwira ntchito. Awa ndi masamba ndi zipatso, Yerusalemu artichoke, parsley ndi saladi, nsomba zamafuta ochepa ndi nyama.

Popewa hypoglycemia, muyenera kusintha zakudya zanu, nkudya maola atatu aliwonse, osamwa moledzera. Sinthanso ntchito yolimbitsa thupi. Kukhala ndi moyo wathanzi ndiye njira yabwino yopewera matenda.