Zomwe zimayambitsa komanso Zizindikiro za shuga m'magazi

Hypoglycemia imawonetsedwa ndi kuchepa kwa shuga m'magazi ochepera 2.8 mmol / L. Maselo amthupi samalandira mphamvu yofunikira, yomwe imawatsogolera kuti afe. Matendawa ndi owopsa ku thanzi, amawopseza kuti apangidwe ndi insulin coma ndipo amatha kupha.

Glucose ndimphamvu zolimbitsa thupi, kuphatikiza ubongo. Neurons zimachepetsa shuga popanda thandizo la insulin, ndipo hypoglycemia imatsogolera ku njala yawo. Izi zimasokoneza thanzi labwino ndipo zimayambitsa zowonetsa zingapo. Kutsika kwa shuga m'magazi kumatha kubweretsa zovuta kapena kufa, kotero muyenera kudziwa zizindikiro zazikulu za hypoglycemia ndikupereka thandizo la panthawi yake kwa munthu. Ngati shuga wochepa amawonedwa kwa nthawi yayitali, chikomokere mu ubongo chimatha.

Hypoglycemia imadutsa magawo atatu a kukula. Amasiyana mu chithunzi cha chipatala, njira zothandizira ndi chithandizo choyambirira.

Chizindikiro chachikulu cha gawo loyamba ndikumverera kwa njala. Nthawi zambiri anthu amasiya chizindikiro ichi popanda chidwi, zomwe zimangokulitsa vutoli. Ngati thupi limasowa shuga kwa chakudya kwanthawi yayitali, zizindikiro zatsopano zimawonekera: kutuluka thukuta, kufooka m'miyendo ndi minyewa yonse, kufooka kwa khungu ndi mutu. Zizindikiro zonse zimatchulidwa ndikupatsa wodwalayo zovuta zazikulu - ndizosatheka kuphonya kapena kuwasiya osakhudzidwa. Kuti mubwezeretsedwe kwamagulu a shuga, muyenera kudya kachidutswa kakang'ono ka shuga kapena mafuta ambiri okhala ndi index yayikulu ya glycemic (zipatso, maswiti, timadziti timakhala tofunikira).

Chizindikiro choyamba cha kuchepa kwa shuga m'magazi ndikumverera kwa njala, ndiye kuti pali thukuta lochulukirapo, kufooka m'thupi, pallor ndi mutu.

Gawo lachiwiri, thanzi la wodwala limawonjezeka kwambiri. Zizindikiro zotsatirazi zimawonedwa:

kusokonezeka kwa malankhulidwe, kuyamba kuzimiririka ndi kusokonezeka,
dzanzi la lilime ndi kuwona kawiri, kutayika kwa chikumbumtima,
kukokana, kuchuluka kwa mkwiyo ndi kufooka kwa minofu,
Nthawi zina, mseru ndi kusanza ndizotheka.

Gawo lachitatu limadziwika ndi kutaya chikumbumtima ndikugwa. Mkhalidwe uwu ndi wowopsa kwambiri, ndipo zotsatira zake zimatengera kuthamanga kwa thandizo loyamba.

Zomwe kuchepa kwa shuga m'magazi mwa munthu wathanzi kumatatha kudya. Thupi sililandira kuchuluka kwa michere ndi michere yambiri kuti muzikhala ndi ntchito zofunika, kupatsa mphamvu komanso kuchuluka kwamagulu a shuga. Zakudya zamagulu ochepa kapena zopatsa mphamvu zopatsa mphamvu zimatha kubweretsanso mavuto ena. Chakudya chochepa chimalowetsedwa mwachangu, ndipo patapita maola ochepa malo ogulitsa glucose onse amatha.

Zimathandizira kutsitsa shuga. Pankhaniyi, kapamba amapanga insulin yambiri, yomwe mwa njira yolimbitsa thupi imagawa shuga m'thupi lonse, kuchepetsa kukhathamira kwake m'magazi. Izi ndi zomwe zimapangitsa kuti pakhale kusintha kwakukulu pamunthu pakudya maswiti: choyamba, chisangalalo ndi chisangalalo zimamveka, ndipo kwakanthawi, kufooka ndi kufooka kumamveka.

Hypoglycemia ingayambitsenso kumwa mowa mwauchidakwa, kuchita masewera olimbitsa thupi mopitirira muyeso. Nthawi zina zomwe zimayambitsa zimakhala matenda amkati (impso, chiwindi) kapena kuphwanya kwa gren ya gren ndi gland. Nthawi zina, kukula kwa chotupa mu kapamba ndizomwe zimapangitsa, zomwe zimakulitsa kupanga insulin.

A shuga Achepetsa shuga

Kwa odwala matenda a shuga, kuchepa kwa shuga m'magazi kumawonedwa pafupipafupi. Zifukwa zake zimakhala zosiyanasiyana, koma nthawi zambiri zimakhala za insulin.

Mankhwala osokoneza bongo amatha kuchitika kangapo: kuyendetsa molakwika kwa njira yolakwika, zotsatira zosakwanira za glucometer, kusungirako zolembera, kupopera jakisoni kapena jakisoni wa mankhwala. Nthawi zina kumakhala kusankha kolakwika kwa dotolo kapena wodwala yemwe ali ndi vuto la matenda ashuga 1 osazindikira malamulo operekera mankhwala.

Chochulukitsa chomwe chimayambitsa kutsika kwa shuga mu mtundu wa 2 odwala matenda ashuga ndichosokoneza chakudya. Kwa odwala omwe ali ndi vuto lotere, ndikofunikira kwambiri kuti azitsatira zakudya okhwima komanso zakudya zomwe dokotala wamupatsa. Chochititsa chidwi ndikumadumphira chakudya, kusowa kwa chakudya kapena kusowa kwa chakudya chamafuta, omwe samakhudza kuchuluka kwa insulin.

Zina zomwe zalembedwa pansipa zimayambitsa matenda a shuga.

Kusintha kwa mankhwalawa, komwe kunapangitsa kuti zinthu zisachitike bwino mthupi.
Kuchuluka kwamphamvu kwa sulfonylurea.
Kuchepa kwa impso kapena chiwindi, komwe kumalepheretsa kuchotsa insulin m'magazi.
Kuchita masewera olimbitsa thupi, mwachitsanzo, kutsika kwa shuga kumachitika pambuyo pa kulimbitsa thupi komwe kwadutsa mphamvu kwambiri kapena pamimba yopanda kanthu.
Kuphwanya kachulukidwe ka chakudya, chifukwa chomwe, ngakhale mutatha kudya, kuchuluka kwa shuga m'magazi kumakhalabe otsika kwambiri.
Kuledzera kapena kumwa mankhwala osokoneza bongo. Ndi kuphatikiza uku, kuchuluka kwa shuga m'magazi kumachepetsedwa kwambiri, koma odwala matenda ashuga ambiri amasiya izi osakhudzidwa, chifukwa zizindikiro zake zimatengedwa ngati zizindikiro za kuledzera.

Mavuto

Hypoglycemia ndi chiopsezo ku thanzi la munthu ndi moyo. Choyambirira, maselo aubongo amadwala chifukwa cha kusowa kwa glucose, ndipo mphamvu yam'mimba imatha. Vutoli limasokoneza ntchito ya thupi lina. Mwina kufa kwa maselo aubongo, kukulitsa zotsatira zosasintha.

Pathology imatha kuyambitsa kusokonezeka kwa malingaliro, khunyu komanso psychoses zingapo. Kuchepa kwa shuga m'magazi kumakhudza kayendedwe ka mtima, kupuma komanso mantha am'magazi, kugunda kwa mtima ndi kotheka.

Mankhwala a hypoglycemia, ndikofunikira kukhazikitsa zomwe zimayambitsa. Ngati dontho la shuga m'magazi limayambitsa matenda a ziwalo zamkati, mankhwala amathandizidwa kuti athetse vuto.

Mkhalidwe uwu ndiwopseza anthu, motero ndikofunikira kwambiri kupereka thandizo panthawi yake. Mu gawo loyamba ndi lachiwiri la matenda, ndikofunikira kupatsa wodwala chidutswa cha shuga kapena chakumwa chokoma, uchi, kupanikizana. Izi zimathandizira kudya kwa glucose komanso kukhala wathanzi.

Kupuma msanga kwa zizindikiro, mankhwala ochokera mndandanda wa ma beta-blockers amapatsidwa. Ndikofunika kuwatenga pokhapokha ngati adokotala adalangiza ndipo atatsimikizira zenizeni za hypoglycemia.

Ngati chiwopsezo cha shuga chikuchepa ndipo kuwonongeka kwawonedwa, ambulansi iyenera kuyitanidwa. Pakutaya chikumbumtima, chidutswa chaching'ono cha shuga chimayikidwa pansi pa lilime la wodwalayo, ndipo atafika dokotala amapanga jakisoni wambiri wa shuga.

Kupewa

Kuthana ndi njira zosavuta zodzitetezera kuthandizira kupewa hypoglycemia.

Kutsatira kwambiri zakudya zoyenera komanso zakudya.
Kukhazikitsidwa koyenera kwa jakisoni wa insulin malinga ndi mlingo womwe dokotala wakupatsani.
Kukana mowa, makamaka kuphatikiza ndimankhwala othana ndi matenda a shuga.
Kuwunikira pafupipafupi shuga ndi magazi a nyumba.
Kuchepetsa mphamvu zolimbitsa thupi, makamaka pamimba yopanda kanthu.

Kuchepa kwa shuga m'magazi ndimikhalidwe yowopsa yomwe ingayambitse kusintha kosasintha m'thupi. Popewa zovuta zoyipa, muyenera kudziwa zizindikiro zazikulu za hypoglycemia ndi malamulo a thandizo loyamba.

Shuga wamba wamagazi

Zowonetsa za shuga wamagazi zimadalira ngati muyeso umapangidwa pamimba yopanda kanthu kapena mutatha kudya. Poyamba, mwa munthu wathanzi, kuchuluka kwa glucose m'madzi am'magazi sayenera kupitirira 5.0 mmol / lita, ndipo chachiwiri - sayenera kukhala apamwamba kuposa 5.5 mmol / lita.

Kwa anthu omwe ali ndi matenda ashuga, pali zisonyezo zingapo zodziwika bwino, zomwe zimasiyana pakafalikira. Chifukwa chake, ngati wodwala wodwala matenda ashuga amtundu woyamba amatha kukhala ndi shuga m'magazi kuyambira 4 mmol / lita mpaka 10 mmol / lita kwa nthawi yayitali, ndiye kuti izi zitha kuonedwa ngati kupambana.

Momwe mungayesere shuga m'magazi ndi glucometer

Kukula kwa mankhwala kwathandizira kwambiri miyoyo ya odwala omwe ali ndi matenda a shuga 1 - kukhazikitsidwa kwa insulin yoyamba kukonzekera zaka pafupifupi 100 zapitazo kunali kopambana mu endocrinology. Tsopano odwala ambiri omwe ali ndi mtundu uwu wa shuga amadzibaya jakisoni kangapo patsiku.

Komabe, insulin iyenera kuperekedwa osati "ndi wotchi", koma kutengera kuchuluka kwa glucose m'magazi a wodwalayo ... Chifukwa chake, zaka makumi angapo zapitazo, mainjiniya omwe amapanga chitukuko cha zida zamankhwala anali ndi ntchito yovuta - kupanga chida chosavuta kugwiritsa ntchito, chomwe chingapangitse odwala matenda ashuga kuyeza mulingo shuga wamagazi ndekha kunyumba.

Chifukwa chake ma glucometer oyamba adawonekera.

Pali mitundu yosiyanasiyana ya ma glucometer, koma ntchito pafupifupi mitundu yonse imakhazikika pa mfundo imodzi: kudziwa mtundu wa kusintha kwa mtundu woyambirira wa mzere wapadera woyeretsa pambuyo pothira magazi a wodwala kwa iwo.

Munthu amadzilandira yekha magazi ake pogwiritsa ntchito lancet (chocheperako). Dontho la magazi limayikidwa pa njira yoyesera yoyeserera, yomwe imayikidwa mu mita ndipo pambuyo masekondi angapo zotsatira zake zimawonekera pakawonetsero kake.

Mothandizidwa ndi shuga omwe ali m'magazi, mzerewo umasintha mtundu wake - pamlingo wabwinobwino, kusintha koteroko sikungakhale kopanda tanthauzo ndipo chipangizocho sichinyalanyaza.

Ma glucometer amathandizira ndi mabatire osiyanasiyana, palinso mitundu yomwe imatha kulumikizidwa ndi netiwiti ya V2 kudzera pa adapter ya netiweki, yomwe imachepetsa mphamvu zamagetsi ndikusintha zosinthira zamakono kuti zikongolere zamakono.

Shuga wamagazi amatsitsa zizindikiro

Zizindikiro zazikulu zomwe zikuwonetsa kuchepa kwa shuga m'magazi zitha kugawidwa m'magulu awiri okha: amodzi ndi amisala.

Oyamba ayenera kuphatikiza pa malo oyamba:

kutuluka thukuta kwambiri
kumverera kosagwirizana ndi njala
zokonda mtima
kufooka wamba
chizungulire
kulemera m'miyendo ndikugwedezeka miyendo.

Gulu lazikhalidwe la "malingaliro" a hypoglycemia limaphatikizapo zovuta monga:

nkhawa zochulukirapo
mantha
kusakhazikika
kukwiya kapena mosinthanitsa
chisokonezo

Zizindikiro zakuchepa kwa shuga m'magazi

Kutsika kwa shuga m'magazi ndichinthu chobisika kwambiri, chifukwa hypoglycemia (monga momwe madokotala amatchulira kuchepa kwambiri kwa ndende yamagazi) imatha kubweretsa kukomoka, sitiroko, edema yam'mimba, ndi kufa. Nthawi yomweyo, mpaka pamlingo wina, munthu amene amakhala ndi vuto la hypoglycemia amadzimva kuti ndi wabwinobwino, koma kuchepa kowonjezereka kwa shuga kungayambitse kusintha kwamphamvu pamagetsi ndikuwopsa kwake.

Chizindikiro chimodzi chodziwika bwino cha kutsika kwa shuga m'magazi ndikutuluka thukuta kwambiri, komwe kumathanso kutentha pang'ono. Kutuluka thukuta kwambiri tulo, pakakhala kuchepa kwakukulu kwa shuga m'magazi, kumatha kuwonetsa chivundikiro chonyowa, pilo yonyowa, kapena mapisi.

Mukadzuka masana, ndikosavuta kudziwa kukhalapo kwa thukuta kwambiri ngati mungakoke chala chanu pakhungu kumbuyo kwa mutu mdera lakumaso.
Zizindikiro zina zodziwika za kuchepa kwa shuga m'magazi ndi monga:

njala yamphamvu
kufooka koopsa
chizungulire
miyendo yanjenjemera
kuyera mumaso
kusakhazikika, kuda nkhawa
nkhanza

Mwazi wotsika magazi chochita

Kukula kwathunthu kwa hypoglycemia kapena kuchepa kwambiri kwa shuga m'magazi ndimafanizo kwa anthu omwe ali ndi matenda a shuga 1. Pankhaniyi, kuchuluka kwa insulin mwangozi kapena kuphwanya dongosolo la jakisoni kungayambitse kutsika kwa magazi.

Zizindikiro zoyambirira za hypoglycemia zikaonekera, wodwalayo ayenera kupatsidwa chakudya chokhala ndi shuga wambiri komanso cholozera cha glycemic - ndiko kuti, pomwe glucose amalowetsedwa m'magazi mwachangu momwe angathere. Uwu ndi shuga mu mchenga kapena shuga woyengedwa, uchi, kupanikizana, maswiti, zipatso zatsopano zomwe zili ndi shuga wambiri (ma apricots, vwende, chivwende).

Odwala omwe ali ndi matenda amtundu woyamba 1, omwe amadziwa kuopsa kotsika magazi m'thupi, nthawi zambiri amakhala ndi miyala ya mapiritsi, yomwe imapereka mpumulo posachedwa ndi zizindikiro za hypoglycemia.

Mu milandu yoopsa kwambiri, mankhwalawa a hypoglycemia amachitika pogwiritsa ntchito njira ya glucose.

Chiwopsezo cha kukhala ndi hypoglycemia chimachepetsedwa kwambiri popenyetsetsa zakudya - kotero kuti nthawi yolumikizana ndi zakudya isapitilira maola 3-4.

Momwe mungakulitsire shuga lamwazi mwachangu

Mwa anthu ena omwe ali ndi matenda ashuga a mtundu woyamba, kakulidwe ka hypoglycemia, ndiye kuti, kuchepa kwakukulu kwa shuga m'magazi kumatha kuchitika patangopita mphindi zochepa. Zizindikiro zoyambirira zikawoneka (thukuta lowonjezera, kufooka, kumva kwamphamvu njala), odwala oterowo ayenera kumwa mapiritsi a glucose mwapadera.

Ngati mulibe mapiritsi otere ndi inu, amatha kusintha shuga ndi masipi angapo, maswiti, supuni 2-3 za uchi, kupanikizana, makeke kapena makeke okoma.

Pankhaniyi, msuzi wokoma umatha kupindulanso - mitundu "yovuta kwambiri" pakati pa madokotala: imodzi yomwe ili ndi shuga yachilengedwe, osati m'malo mwake.

Poyesedwa magazi ndi glucometer

Kupanga kwa ma glucometer onyamula, omwe amakulolani kuyeza shuga kunyumba, kwasintha kwenikweni mu endocrinology.

Posachedwa, odwala omwe ali ndi matenda ashuga a 2, omwe, monga lamulo, amawayankha bwino chithandizo, akuwonjezeranso kugwiritsa ntchito magazi a nyumba.

Madokotala amalimbikitsa kuyeza shuga wamagazi ndi glucometer ya mtundu woyamba wa shuga 1 kapena kawiri pa tsiku - atatha kudya komanso asanagone.

Ndipo kwa iwo omwe ali ndi matenda a shuga a 2, ndikofunika kuti azichita zinthu zosachepera kamodzi pa sabata.

Mulimonsemo, malingaliro omwe angapangidwe poyesa shuga wamagazi ndi glucometer amapezeka bwino kuchokera kwa dokotala.

Ndi zakudya ziti zomwe zimawonjezera shuga

Zakudya zambiri zodziwika bwino zomwe zimatha kukweza shuga m'magazi - kusiyana pakati pawo kumangoyenda mwachangu momwe kuwonjezeraku kumachitika.

Uchi, kupanikizana, mapeyala atsopano, ma apricots akakhwala, vwende ndi mavwende azikulitsa shuga msanga kwambiri. Chidutswa chophika ndi keke kapena chofufumitsa chimapangitsa kuti chizikhala pang'onopang'ono, ndipo pasitala ndi zakudya zamphaka ndizomwe zili kunja kwa mndandandawu.

Komabe, kuwonjezeka kwapang'onopang'ono kwa shuga m'magazi ndi chakudya kumadziwika ndi kuchepa kwapang'onopang'ono pa nthawi ya kugaya.

Chifukwa chake, anthu omwe ali ndi matenda ashuga amatha kupanga njira ndi njira zothandizira kupewa hypoglycemia - mwachitsanzo, amaphatikiza chimanga mu zakudya zawo ndipo nthawi yomweyo nthawi zonse azisunganso botolo la uchi kapena kupanikizana "m'malo mwake".

Kofi imawonjezera shuga

Mabuku azachipatala ali ndi zosiyana zotsutsana za momwe khofi wachilengedwe amakhudzira kuchuluka kwa shuga m'magazi.Komabe, kafukufuku wambiri wazaka zaposachedwa wasonyeza kuti khofi wambiri womwe umamwa pafupipafupi kuchuluka kwa makapu anayi a espresso patsiku kumakulitsa chidwi cha maselo amthupi kupita ku insulin.

Chifukwa chake, zakumwa zonunkhizi sizimathandizira kuchuluka kwa shuga m'magazi, koma m'malo mwake zitha kugwiritsidwa ntchito ngati njira yolepheretsa matenda ashuga a 2. (Pokhapokha mutayika zidutswa za shuga 10 mukapu iliyonse ya khofi ...).

Buckwheat amalimbikitsa shuga

Zakudya za Buckwheat zimadziwika kuti zimakhala ndi thanzi labwino. Buckwheat ndi wolemera kwambiri wama mavitamini a B ndi ma microelements. Nthawi yomweyo, lingaliro la buckwheat ngati chofufumira chokhacho chothandiza kwa odwala matenda ashuga ndi nthano - phala la buckwheat limathandizira kukulitsa kuchuluka kwa shuga m'magazi.

Kusiyana kuli pokhapokha kuwonjezeka kwa ndende ya glucose mutatha kudya zakudya zotere. Chifukwa cha kuchuluka kwa michere, yomwe imachepetsa mayamwidwe am'matumbo m'matumbo, shuga m'magazi pambuyo pa mbale yotsekemera imakwera pang'onopang'ono kuposa phala la mpunga.

Chifukwa chake, titha kuvomerezana kwathunthu ndi mawu oti "buckwheat amawonjezera shuga" - ngakhale imachita pang'onopang'ono ...

Zifukwa zochepetsera shuga

Kutsika kwakuthwa m'magazi a shuga kumatha kubweretsa kukula kwa hypoglycemic coma. Zizindikiro zowopsa za shuga (pamimba yopanda kanthu) - 2.5 mmol / L (amuna), 2.2 mmol / L (akazi).

Pali zifukwa zoyambitsa ndi mankhwala osokoneza bongo. Zoyambirira zimakhudzana ndi kuperewera kwa mulingo wa insulin, mapiritsi a hypoglycemic ndi kuchuluka kwa shuga m'magazi. Kuwerengera molakwika kwa mlingo wa mankhwalawa, pamene mukumwa mankhwala omwe amathandizira hypoglycemic zotsatira za kuchepetsa shuga kumapangitsa kutsika kwamphamvu kwa shuga komanso thanzi labwino.

Zomwe sizoyambitsa mankhwalawa zimagwirizanitsidwa ndi kuperewera kwa zakudya m'thupi, komanso kukula kwa ma pathologies omwe amakhudza kupanga / kugwiritsa ntchito insulin ndi glucose.

Mankhwala osokoneza bongo a insulin

Mtundu woyamba wa shuga, ndikofunikira kuwerengera molondola kuchuluka kwa insulini malinga ndi kudya kwa mafuta ochulukirapo. Izi zimathandizidwa ndikusunga zolemba zodziyang'anira pawokha, momwe zakudya za anthu odwala matenda ashuwere zimawonetsedwa mwatsatanetsatane, kuwerengera XE. Chovuta chitha kupititsa patsogolo kuchuluka kwa insulin ndipo, chifukwa chake, kutsika kwakuthwa kwamapikidwe a shuga.

Kuphwanya njira yoperekera insulini kungayambitsenso kukula kwa hypoglycemia. Musamasefukize jakisoni siteji, kuti muchepetse kuchuluka kwa mayamwidwe. Chomwe chimawerengetsera molakwika cha kuchuluka kwa insulini ndikuyenda bwino kwa mita, syringe cholembera.

Hypoglycemic bongo

Ndi matenda 2 a shuga, ndikofunikira kutsatira njira zamankhwala zochepetsera shuga. Kuwonjezeka kosalamulirika kwamankhwala kungayambitse hypoglycemia. Muyenera kutsatira malangizo apiritsi. Kusintha kwa mankhwala odana ndi matenda a antiidiabetes kuyenera kuchitika moyang'aniridwa ndi adokotala.

Kuzindikira kwa shuga - ingomwani tsiku lililonse.

Pankhani yokhala ndi matenda a shuga a mtundu wachiwiri, ndizosatheka kuwonjezera kuchuluka kwa mankhwala a hypoglycemic, kusintha othandizira a hypoglycemic ndi njira yotengera mapiritsi popanda mgwirizano ndi endocrinologist.

Mankhwala ena amatha kupititsa patsogolo kuchuluka kwa mankhwala a antidiabetes. Mankhwalawa amaphatikizapo, mwachitsanzo, sulfonamides omwe amagwiritsidwa ntchito pochiza matenda a bacteria. Chifukwa chake, musanayambe kumwa mankhwala atsopano, muyenera kufunsa dokotala za momwe amathandizira mapiritsi ochepetsa shuga.

Endocrine matenda oyambitsa kukula kwa hypoglycemia

Kubisirana kwa insulin sikumakhudzidwa kokha ndi kapamba, komanso ndi timinyewa tina ta endocrine, makamaka timinyewa ta pituitary ndi adrenal. Kuchepa kwa ziwalozi (mapangidwe a chotupa ndi zina) kungapangitse kuti ntchito zambiri za maselo otulutsa insulin ndi kutsika kwa shuga m'magazi.

Matenda a chiwindi ndi impso

Mu chiwindi, glycogen imayikidwa. Ngati ndi kotheka, glycogen imasinthidwa kukhala glucose ndikutulutsidwa m'magazi. Matenda a chifuwa (cirrhosis, hepatitis) amasokoneza ntchito ya mchitidwewu, womwe umabweretsa hypoglycemia. Matenda a impso akuipiraipira nthawi ya matenda a shuga, kupewa matenda a shuga.

Zakudya zopanda thanzi, njala

Chimodzi mwazinthu zazikuluzikulu zomwe zimapangitsa kuti hypoglycemia ikhale yokhudzana ndi zakudya. Ndi mtundu uliwonse wa matenda a shuga, ndikofunikira kuti pakhale pakati pa zakudya zomwe thupi limalandira shuga ndikugwiritsa ntchito mankhwala othandizira kugwiritsa ntchito shuga ochulukirapo.

Kuchepetsa koperewera kwa zakudya zamafuta kumatha kuyambitsa hypoglycemia pakalibe kusintha kwa shuga komwe kumachepetsa shuga. Mwachitsanzo, mukasinthana ndi zakudya zama calorie ochepa komanso kuchepa kwa chakudya chamagulu ochulukirapo. Kunenepa kwambiri nthawi zambiri kumakhala matenda amtundu wa 2 shuga. Chithandizo cha matenda amtunduwu zimaphatikizapo kusintha kwa zakudya zomwe amayang'aniridwa ndi achipatala.

Ndikofunikanso kuti aliyense payekha aziwerenga mosamala kapangidwe kazomwe zimapangira chakudya chamagulu komanso GI yawo. Izi zimathandiza kuti anthu odwala matenda ashuga apange chakudya moyenera, kuti apewe kuchuluka kwa shuga m'magazi. Mulimonsemo, ndi matenda ashuga sikwabwino kuti muchepetse zakudya zopatsa thanzi kuchokera ku masamba ndi zipatso. Kuchepetsa kunenepa kwambiri, kuchepetsa katundu pa kapamba ndi m'mimba, poyambirira kumakhala kothandiza kuchepetsa (kapena kuthetseratu) kugwiritsa ntchito zopatsa mphamvu "zopatsa mphamvu: maswiti a confectionery, makeke, pasitala, mbatata, mikate yoyera.

Timapereka kuchotsera kwa owerenga tsamba lathu!

Mu shuga, ndikofunikira kumamatira zakudya zazakanthawi panthawi inayake.

Kukula kwa zizindikiro za hypoglycemia kumatha kudumphitsa chakudya. Makamaka kuphatikiza ndi kuchita masewera olimbitsa thupi mopitirira muyeso komanso / kapena kukokomeza mtima.

Kusala nthawi yayitali ndi shuga sikuvomerezeka. Ngati pakufunika kusala kudya mokwanira, ndikofunikira kutenga nkhaniyi mozama, kokha ndikuyang'aniridwa ndi endocrinologist ndi katswiri wazakudya.

Hypoglycemia imatha kuledzera. Mu shuga mellitus, ndibwino kukana kumwa mowa kuti musawononge chikhalidwe cha kapamba ndi chiwindi.

Kupsinjika kwakuthupi, kwamaganizidwe

Kuchita masewera olimbitsa thupi kwambiri komanso kulimbitsa thupi kumafuna mphamvu zambiri. Thupi laumunthu limapeza mphamvu kuchokera kuma chakudya. Chifukwa chake, zolimbitsa thupi nthawi zonse zimayendera limodzi ndi kuchepa kwa shuga m'magazi.

Ndikofunikira kwambiri kuti odwala matenda ashuga azindikire izi ndikubwezeretsanso kugwiritsa ntchito shuga panthawi. Kuopsa kwambiri kwa matenda ashuga kuchita masewera olimbitsa thupi kapena kugwira ntchito pamimba yopanda kanthu.

Tiyenera kudziwa kuti zochita nthawi yogonana zitha kufanana ndi zolimbitsa thupi.

Kutsika kwa shuga m'magazi kumachitika ndi zochitika zazikulu zamaganizidwe. Ubongo ndi chinthu chomwe chimadya glucose wambiri. Chifukwa chake, ntchito yamaganizidwe yayikulu imagwirizananso ndi chiopsezo cha hypoglycemia.

Mavuto amisala, kupsinjika

Ndikofunikira kuwongolera zochita za wodwala matenda ashuga ngati ali ndi mavuto amisala. Pali chiopsezo cha kusokonezeka kwakukulu pakukhazikitsa mankhwala a hypoglycemic ndi makonzedwe a insulin pomwe akuchepetsa kuyenera kwa zochita. Kupsinjika kwakukuru ndi kusangalala m'malingaliro zingathenso kusokoneza malingaliro akudzindikira kwa zochita zawo.

Ngati shuga agwera kwambiri

Kugwa kwamphamvu kwa shuga kumawonedwa kwambiri mtundu 1 wa shuga, pamene sizingatheke kuwerengera bwino insulini. Ndi chizolowezi chokulitsa hypoglycemia, muyenera kukhala ndi glucometer nanu nthawi zonse, kotero kuti pazizindikiro zoyambirira za kusokonekera mu thanzi, yang'anani kuchuluka kwa shuga.

Ndi kuchepa kwamphamvu kwa glucose, muyenera kudya chakudya "chofulumira":

chidutswa cha shuga kapena supuni ya uchi wabwino,
zipatso zokoma (nthochi, mphesa, masiku, ndi zina).

Kutenga mapiritsi a Glucose kumathandizanso kuti matendawo asinthike.

Zizindikiro za hypoglycemia

Zakudya zaubongo zimagwirizana mwachindunji ndi shuga. Thupi limagonjera kwambiri kuperewera kwa chakudya ichi, chifukwa hypoglycemia imatha kuwononga ubongo. Zizindikiro zimatengera kuuma kwa vutoli.

Hypoflycemia yofatsa imatha kuwonetsedwa ndi nkhawa komanso kupezeka kwa "nkhandwe" yanjala. Ngati sanatengepo ndipo shuga sangakhale munthawi yomweyo, vutoli limakulirakulira. Kukula kwakukulu (hypoglycemic coma) kumadziwika ndi kutayika kwa chikumbumtima komanso vuto la ziwalo zofunika.

kuda nkhawa, mantha
"Wolf", njala yosalamulirika,
thukuta kwambiri,
chizungulire, kupweteka mutu,
mantha akulu
kunjenjemera
arrhasmia,
kuwonongeka kwamawonekedwe
kufooka m'miyendo
kuchepa kudziletsa,
kukokana
kulephera kudziwa
hypoglycemic chikomokere.

Kuchiza kumalimbikitsidwa ndikuwonetsetsa kwake kwa zizindikiro za hypoglycemia, kuwunika momwe zinthu zilili komanso kupewa kuteteza matenda.

Momwe mungapewere matenda osokoneza bongo a hypoglycemic

Ngati wodwala akudziwa ndipo amadziwika bwino kuti choyambitsa matenda osavomerezeka ndi hypoglycemia, amafunika kum'patsa chakudya chambiri.

Kuti mupeze chithandizo cha odwala matenda ashuga panthawi yake, muyenera kukhala ndi cholembera ponena za matendawa. Komanso za zomwe zikuyenera kuchitika ambulansi isanabwere ngati munthuyo wasokonezeka chifukwa cha hypoglycemia. Ngati matendawo akuipiraipira, wodwalayo ayenera kugona pansi, miyendo itakwezedwa, mutu kutembenukira kumbali. Ndipo yeserani kuyimba ambulansi posachedwa.

Simungayese kudyetsa kapena kumwa munthu ngati ali ndi vuto losazindikira.

Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Mwazi wamagazi ochulukirapo ndi woopsa kwambiri.

Aronova S.M. adafotokoza za chithandizo cha matenda ashuga. Werengani kwathunthu

Nkhani ya m'modzi wa owerenga athu, Inga Eremina:

Kulemera kwanga kunali kovutitsa, ndimalemera ngati 3 sumo wrestler ophatikizidwa, omwe ndi 92kg.

Momwe mungachotsere kulemera kwathunthu? Kodi mungathane ndi kusintha kwa mahomoni ndi kunenepa kwambiri? Koma palibe chomwe chimasokoneza kapena chinyamata kwa munthu monga kuchuluka kwake.

Koma chochita kuti muchepetse kunenepa? Opaleshoni ya laser liposuction? Ndinazindikira - osachepera 5000 dollars. Njira zama Hardware - kutikita minofu ya LPG, cavitation, kukweza kwa RF, myostimulation? Zotsika mtengo zochepa - maphunzirowa amatenga ndalama zokwana ma ruble 80,000 ndi katswiri wazakudya zothandizira. Mutha kuyesa kuthamanga, mpaka kumisala.

Ndipo kupeza nthawi yonseyi? Inde komanso okwera mtengo kwambiri. Makamaka tsopano. Chifukwa chake, ndekha, ndidasankha njira ina.

Hypoglycemia imadutsa magawo atatu a kukula. Amasiyana mu chithunzi cha chipatala, njira zothandizira ndi chithandizo choyambirira.

Chizindikiro choyamba cha kuchepa kwa shuga m'magazi ndikumverera kwa njala, ndiye kuti pali thukuta lochulukirapo, kufooka m'thupi, pallor ndi mutu.

Gawo lachiwiri, thanzi la wodwala limawonjezeka kwambiri. Zizindikiro zotsatirazi zimawonedwa:

kusokonezeka kwa malankhulidwe, kuyamba kuzimiririka ndi kusokonezeka,
dzanzi la lilime ndi kuwona kawiri, kutayika kwa chikumbumtima,
kukokana, kuchuluka kwa mkwiyo ndi kufooka kwa minofu,
Nthawi zina, mseru ndi kusanza ndizotheka.

Gawo lachitatu limadziwika ndi kutaya chikumbumtima ndikugwa. Mkhalidwe uwu ndi wowopsa kwambiri, ndipo zotsatira zake zimatengera kuthamanga kwa thandizo loyamba.

Kwa odwala matenda a shuga, kuchepa kwa shuga m'magazi kumawonedwa pafupipafupi. Zifukwa zake zimakhala zosiyanasiyana, koma nthawi zambiri zimakhala za insulin.

Zina zomwe zalembedwa pansipa zimayambitsa matenda a shuga.

Kusintha kwa mankhwalawa, komwe kunapangitsa kuti zinthu zisachitike bwino mthupi.
Kuchuluka kwamphamvu kwa sulfonylurea.
Kuchepa kwa impso kapena chiwindi, komwe kumalepheretsa kuchotsa insulin m'magazi.
Kuchita masewera olimbitsa thupi, mwachitsanzo, kutsika kwa shuga kumachitika pambuyo pa kulimbitsa thupi komwe kwadutsa mphamvu kwambiri kapena pamimba yopanda kanthu.
Kuphwanya kachulukidwe ka chakudya, chifukwa chomwe, ngakhale mutatha kudya, kuchuluka kwa shuga m'magazi kumakhalabe otsika kwambiri.
Kuledzera kapena kumwa mankhwala osokoneza bongo.Ndi kuphatikiza uku, kuchuluka kwa shuga m'magazi kumachepetsedwa kwambiri, koma odwala matenda ashuga ambiri amasiya izi osakhudzidwa, chifukwa zizindikiro zake zimatengedwa ngati zizindikiro za kuledzera.

Mankhwala a hypoglycemia, ndikofunikira kukhazikitsa zomwe zimayambitsa. Ngati dontho la shuga m'magazi limayambitsa matenda a ziwalo zamkati, mankhwala amathandizidwa kuti athetse vuto.

Kuthana ndi njira zosavuta zodzitetezera kuthandizira kupewa hypoglycemia.

Kutsatira kwambiri zakudya zoyenera komanso zakudya.
Kukhazikitsidwa koyenera kwa jakisoni wa insulin malinga ndi mlingo womwe dokotala wakupatsani.
Kukana mowa, makamaka kuphatikiza ndimankhwala othana ndi matenda a shuga.
Kuwunikira pafupipafupi shuga ndi magazi a nyumba.
Kuchepetsa mphamvu zolimbitsa thupi, makamaka pamimba yopanda kanthu.

Hypoglycemia, gipa, shuga wotsika magazi. Zizindikiro, Zizindikiro, chithandizo. Kuchepetsa, dontho, shuga wochepa.

Hypoglycemia, momwe zimakhalira mwa ine, zomverera zanga, miyezo. Kufotokozera Kutsika kowopsa kwa shuga m'magazi a shuga. (10+)

Hypoglycemia, shuga wotsika wamagazi. Zizindikiro, Zizindikiro, chithandizo

Hypoglycemia nthawi ndi nthawi zimapezeka pafupifupi odwala onse omwe ali ndi matenda ashuga omwe amalandila chithandizo chamankhwala ochepetsa shuga. Cholinga chake ndikuti mwa munthu wathanzi, kuchuluka kwa shuga m'magazi kumangoyendetsedwa. Ngati ndi wamtali kwambiri (mwadya mwamphamvu), ndiye kuti insulini imabisidwa, ndipo shuga amatengedwa, amasinthidwa kukhala malo ogulitsa mphamvu ndi mafuta. Ngati shuga ndi ochepa (simunadye kwa nthawi yayitali, mwamphamvu), chiwindi chimatulutsa shuga m'magazi (chifukwa chake zimapweteka mukathamanga), ndipo mafuta nawonso amawonongeka. Mwa odwala matenda ashuga, izi zokha sizingachitike. Munthu amakakamizidwa kugwira ntchito yoyang'anira. Zachidziwikire, mtundu wa kuwongolera pamanja ndi woyipa kuposa wokha.

Chifukwa chake, odwala matenda ashuga nthawi ndi nthawi amakhala ndi hypoglycemia (kutsitsa shuga m'munsi zovomerezeka) ndi hyperglycemia (kuwonjezera shuga kuposa gawo lothandiza). Amaopa za hypoglycemia (mchiuno) zomwe zimalepheretsa shuga kuti munthu wodwala matenda ashuga achepetse pakulibwino. Zowonadi, tikakhazikitsa zikhalidwe za shuga pamlingo wofanana ndi wathanzi, kufalikira ndi kusakhazikika kwa machitidwe a hypoglycemic kumakula.

Kuchepa kwa shuga komwe ndimadziwonetsera kumawoneka ngati kunjenjemera kumapeto, kuchepa kwa mawonekedwe a chidwi, mawonekedwe a chizungulire, kuperewera ndi kugona. Thukuta limachulukirachulukira. Miyendo, mphuno ndi makutu zikuyamba kuzizira. Kuthamanga kwa kuchitako kumachepa. Kuchepetsa kwambiri shuga kumayendetsedwa ndi nseru.

Yang'anani! Mawonetsero anu a hypoglycemia atha kusiyana ndi anga.

Kuyambira kumayambiriro kwa zisonyezo zoyambirira za hypoglycemia mpaka kumayamwa kwambiri, nthawi yayitali imadutsa, yokwanira kuchitapo kanthu.

Mwambiri, machitidwe a hypoglycemic tsopano sawonedwa ngati owopsa. Ngati, palokha, mankhwalawo amasankhidwa bwino, chiwindi chanu chimakhala bwino, ndipo mutachita zinthu moyenera, tsatirani njira yolipirira anthu odwala matenda ashuga, kuyang'anira shuga nthawi zonse, kumakhala ndi maswiti, ndiye kuti simungakhale ndi hypoglycemia yozama, ndipo thupi limatha kulipira kachidutswa kakang'ono ka matenda pawokha chifukwa cha kutuluka kwa glucose ku chiwindi.

Muyenera kuwonetsetsa kuti matenda anu amayamba chifukwa cha hypoglycemia (shuga). Nthawi zina zinthu zomwe zimafanana ndi hype zimandigwera pazifukwa zosiyanasiyana, mwachitsanzo, chifukwa cha kupsinjika. Nthawi yomweyo, shuga ndi wabwinobwino.

Ngati shuga alidi otsika, ndiye kuti muyenera kumwa msuzi wokoma. Zomwe ndawonetsa zawonetsa kuti ndi msuzi wokoma womwe umabweretsa shuga m'magazi mwachangu kwambiri. Ndikokwanira kuti nditsuke pakamwa panga ndi Coke, osameza, kuti shuga yakula ndi magawo awiri. Ingosamala, koloko ikuyenera kukhala ndi shuga, osati ndi zotsekemera (osati zopepuka). Mukumvetsetsa kuti ndi chifukwa chabwinobwino chofulumira kotero kuti pazochitika zina zilizonse kupatula m'chiwuno, simuyenera kumwa madzi otsekemera.

Madzi otentha otsekemera ndi abwino kuphatikiza furu, chifukwa imasungidwa mosavuta, sikhala wowawasa, ndipo imatha kukhala pafupi. Ndikosavuta kugwiritsa ntchito madzi m'mabotolo okhala ndi screw cap, chifukwa simudzafunika botolo lonse nthawi imodzi.

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Muyenera kumwa m'magawo ang'onoang'ono, kuwongolera shuga. Nthawi zambiri ndimalandira magalamu 100 a kola. Ndimamwa gawo limodzi mwa magawo atatu a botolo 0,33, nditatha mphindi 20 ndimayetsa shuga. Ngati ndizochepa, ndiye kuti ndimamwa magalamu ena 100 ndikubwereza muyeso pambuyo pa mphindi 20.

Kuchepa kwa shuga wokhala ndi mankhwala osokoneza bongo a shuga ochepetsa (insulin kapena pakamwa) nthawi zambiri kumachitika pazifukwa ziwiri.

Choyamba, opaleshoni yochita zolimbitsa thupi. Mwachitsanzo, ndimayenera kuyenda ma kilomita angapo kapena kukumba fosholo.

Kachiwiri, kusintha mu liwiro ndi magawo a mayamwidwe a shuga m'matumbo. Matenda am'mimba amatsogolera spikes mu shuga mbali imodzi kapena ina, koma osati okhawo. Kusintha mtundu wa chiphuphu cha shuga, kungosintha kapangidwe ka bakiteriya m'matumbo am'mimba ndi kuthamanga kwa chakudya kudzera mokwanira.

Kuchokera pachangu changa ndinena kuti, mwachitsanzo, kusinthana ndikudya tchizi ndi mkate (wachikhalidwe cha Swiss) kuchokera ku borscht yathu yanthawi yomweyo kumabweretsa kuwonjezeka kwa shuga. Kusintha kosinthika kumapereka hypoglycemia. Izi ndichifukwa chakuti borsch imapangidwa ndi masamba ndipo imasiya matumbo athu mwachangu kwambiri kuposa mkate wophika ndi tchizi.

Chifukwa chokhala ndi shuga wabwinobwino ndikuchotsa hypoglycemia, zochitika zolimbitsa thupi ziyenera kuganiziridwanso muzakudya ndipo m'matumbo amayenera kukhazikika.

Malangizo ochepetsa mlingo wa insulin kapena mankhwala pakamwa pa zochitika zolimbitsa thupi amadziwika kuti ndi achinyengo. Ndinayesera kuchita izi m'mbuyomu, koma izi zimabweretsa ketoacidosis. M'malo mwake, ndikulimbitsa thupi kowonjezereka, mumangofunika kudya kuchuluka kokwanira kwa zopatsa mphamvu. Osati m'malo mwake, ngati lero mukugona pakama, m'malo mwa kuyenda mwachizolowezi, siyani mankhwalawo mankhwalawo, koma idyani pang'ono.

Ntchito yamatumbo osasunthika komanso kapangidwe kake kakang'ono kwambiri kosavuta ndikuwonetsetsa kuti imatenga pang'ono kefir ndi bifidobacteria musanadye chilichonse. Ndinakumana ndi nkhaniyi mwangozi. Anali pa bizinesi ku Azerbaijan. Pachikhalidwe chawo amadya yogati asanadye. Shuga wanga wabwerera mwakale, matako anazimiririka. Pobwerera kunyumba, adatenga ukadaulo muutumiki. Monga kefir yotere, mutha kugwiritsa ntchito biokefir yomwe idagulidwa kapena kudzipaka nokha kuchokera mkaka wabwino.

Mwa njira, ngati mkaka umayatsidwa mu yogati, ndiye ichi ndichizindikiro chaubwino wake komanso zopatsa thanzi. Nthawi zambiri mkaka wochokera m'mapaketi samatupa, sikuti umapanga unyinji wolimba wa kefir, ndi exfoliates. Ndi bwino kuti asagule kapena kumwa mkaka uliwonse.

Ndidapanga supuni ya yogati yotere kuchokera ku biokefir, ndikuwonjezera kwa nthawi yoyamba kuthira mkaka. Tsopano kvash ikugwiritsa ntchito yogati yotsala kuyambira kale.

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Ndikusintha ntchito yamatumbo mwanjira iyi ndikupanga tebulo loyeneranso kuchuluka kwa momwe mungagwiritsire ntchito zolimbitsa thupi, ine, pamodzi ndi endocrinologist, ndidasankha bwino Mlingo wa insulin, ndikusintha shuga yonse, ndikuchepetsa kwambiri vuto la hypoglycemia.

Tsoka ilo, zolakwika zimachitika nthawi ndi nthawi mzolemba, zimakonzedwa, zolemba zimathandizidwa, zopangidwa, zatsopano zimakonzedwa. Amvera ku nkhani kuti mudziwe zambiri.

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Miyezi itatu ya shuga imatsika mpaka 2,5, ngakhale ndimakonda kudya pa nthawi komanso kuchuluka komweko. M'mbuyomu, izi sizinali, koma posachedwapa zakhala zikuchitika kawirikawiri. Anayamba kupanga insulini yocheperako, koma zimathandiza pang'ono, shuga amatsika. Ndipo madzulo kupsinjika kumakwera kufika pa 160, ndipo m'mawa otsika 102. Kodi chifukwa chake ndi chiani? Pepani koma kuti ndisamale. Ndimamva kutsika kwa shuga, Pokhapokha 2.5. Ndinkakonda kumva 3.8. Wodwala zaka 8 Werengani yankho.

Pafupifupi zaka 1.5, shuga amatha 20-25, atadwala mwadzidzidzi (atapezeka ndi mtima wamatumbo, adadzipaka jekeseni wa morphine, furosemide ndi chigoba cha oxygen) atatha maola 8, magazi a magazi atatsikira 5, kodi izi ndizabwinobwino kapena ayi? Wochiritsayo akuti muyenera kudya zambiri ndikumwa madzi otsekemera. Zolowedwa kuma unit a 8.00 20. Combi + magawo a 8 mwachangu, pa mayendedwe 13.00-10 ofulumira, pa 2000 mayunitsi 12. combi. + 6 Mwachangu Werengani yankho.

Chifukwa chiyani muli ndi njala nthawi zonse? Chifukwa chiyani ndikayamba kunenepa.
Nthawi zonse amakhala ndi njala. Chifukwa chiyani? Zifukwa zitha kukhala zotsatirazi.

Momwe mungachiritsire matenda ashuga kwathunthu? Kutsatsa njira zamankhwala.
Kodi a shuga azichiritsidwa bwanji ndikuchira mawa. Zamakono komanso zopatsa chiyembekezo.

Zoyambitsa matenda ashuga. Zizindikiro, zizindikiro. Zowopsa. Zizindikiro
Zizindikiro zake, matenda am'mimba, matenda am'mimba, zomwe zimayambitsa kupezeka, zosungidwa kuchokera ku mawu b.

Ketoacidosis. Acetone Ketones Mimbulu, magazi. Acetone, ketone poyizoni.
Kupezeka kwa ketoacidosis. Poyizoni wa acetone. Zifukwa ndi chithandizo.

Kugogoda. Openwork adafunsira. Zojambula. Zolinga za mapatani.
Momwe mungalumikizire mawonekedwe awa: Openwork adasankha. Malangizo atsatanetsatane ofotokozera.

Shuga wochepa wamagazi (hypoglycemia): Zizindikiro, zimayambitsa, chithandizo

Pali zifukwa zambiri zochepetsera shuga wamagazi (kapena hypoglycemia), ndipo vutoli limatsatiridwa ndi zingapo zosasangalatsa, ndipo mwazoopsa, zizindikiro zowopsa. Amawonetsedwa kuchepa kwamphamvu kwa glucose ndipo amatha kuwunika onse odwala omwe ali ndi matenda osokoneza bongo, komanso anthu athanzi, kapena matenda ena. Nthawi zina, kutsitsa shuga sikuli koopsa, koma ndi hypoglycemia yayikulu, wodwalayo amatha kukhala ndi vuto lowopsa ngati chikwangwani cha hypoglycemic.

Mutu wa buku lino sudzathandiza kwa anthu odwala matenda ashuga okha, komanso osadwala matendawa. Munkhaniyi, tikufotokozerani za zomwe zimayambitsa, zomwe zimayambitsa, ndi njira zochizira hypoglycemia. Izi zitha kukhala zothandiza kwa inu, ndipo mudzatha kupewa zovuta ndi zotsatirazi zomwe zimabweretsa, kapena mudzatha kupereka thandizo kwa wokondedwa amene akudwala matenda a shuga.

mankhwala osokoneza bongo a insulini kapena shuga ochepetsa shuga kuchokera pagulu la sulfonylureas kapena ma buganides, meglitidines (Chlorpropamide, Tolbutamide, Maninil, Amaryl, Novonorm, Hexal, Metformin, Siofor, etc.),
kusala
kuphwanya zakudya
nthawi yayitali pakudya
matenda a impso ndi chiwindi
matenda opatsirana pachimake
kulimbitsa thupi kwambiri,
kumwa mankhwala akuluakulu.

Chovuta chofananacho cha odwala ena omwe ali ndi matenda a shuga, zomwe zimatsogolera kuchepa kwa shuga, ndikuphatikiza kwa kutenga insulin kapena othandizira a hypoglycemic ndi njira zina zochepetsera shuga. Izi zikuphatikiza:

kukulitsa mphamvu ya kutsika kwa shuga kwa nthakayo: clover, tsamba la bay, masamba a nyemba, udzu wa dandelion, lingonberry ndi masamba a mabulosi, udzu wa burdock, maluwa a linden, blackcurrant, rosehip ndi zipatso za hawthorn, udzu wa chicory,
masamba omwe amachepetsa shuga ndi masamba: parsley, horseradish, dzungu, sipinachi, tebulo, adyo, biringanya, anyezi, letesi, phwetekere, nkhaka, kabichi yoyera, tsabola wazipilala, katsitsumzukwa, zukini, radishi, Yerusalemu artichoke,
zipatso zothetsa shuga ndi zipatso: zipatso za malalanje, mabulosi abulu, mitundu yaiwisi ya maapulo kapena mapeyala, mabulosi akuda, lingonberries, phulusa lamapiri, viburnum, zinanazi, rasipiberi, mabulosi amajinja.

Pogwiritsa ntchito ndalamazi kuti muchepetse kuchuluka kwa shuga m'magazi, wodwalayo nthawi zonse azigwirizana ndi dokotala komanso kuyang'anira kuchuluka kwa shuga pogwiritsa ntchito mita ya shuga m'magazi.

Choyambitsa china cha hypoglycemia chimatha kukhala pancreatic neoplasm, yomwe imatha kupanga insulin - insulinoma. Chotupachi chikuyambitsa kuchuluka kwambiri kwa insulin, komwe "kumalowa" shuga m'magazi ndikupangitsa kutsika kwake.

Kuphatikiza pa matenda awa, kuchepa kwa shuga m'magazi kumatha kuchitika chifukwa cha zovuta ndi mikhalidwe:

matenda oopsa a chiwindi
mawonekedwe atakhala m'matumbo kapena m'mimba,
kuperewera kwa michere yomwe imakhudza kagayidwe kazakudya,
matenda a hypothalamus ndi pituitary gland,
matenda a adrenal glands.

Mwa anthu athanzi, kuchepa kwa shuga m'magazi kumatha chifukwa cha izi:

mimba ndi mkaka wa m`mawere
kulimbitsa thupi kwambiri,
kudya pafupipafupi komanso zakudya zopatsa thanzi,
zakudya zopanda pake, zakudya zopanda pake kapena kuperewera kwa zakudya m'thupi.

Mwa anthu athanzi, Zizindikiro zakuchepa kwa shuga m'magazi zimayamba kuonekera 3.3 mmol / L, ndipo odwala omwe ali ndi matenda osokoneza bongo amawoneka kale, chifukwa thupi lawo limagwiritsidwa ntchito kale kuti azikhala ndi hyperglycemia. Wodwala yemwe akudwala matendawa kwa nthawi yayitali, zizindikiro zoyambirira zitha kuwoneka ndi kulumpha lakuthwa muzizindikiro za glucose (mwachitsanzo, kuyambira 20 mpaka 10 mmol / l). Ana ndi gulu lapadera la odwala matenda a shuga omwe samvera kwenikweni shuga. Samamva nthawi yoyamba izi, ndipo makolo kapena madokotala omwe akukayikira kuyambika kwa hypoglycemia amayenera kugwiritsa ntchito glucometer kuti idziwe.

Kuopsa kwa zizindikiro zakuchepetsa shuga m'magazi kumatha kugawidwa m'magawo atatu: ofatsa, odziletsa komanso owopsa.

Zizindikiro zakuchepa pang'ono kwa shuga mpaka 3.3 mmol / L ndi:

chizungulire ndi mutu
mantha
kufooka
kunjenjemera m'thupi
thukuta kwambiri
pang'ono nseru
njala yayikulu
masomphenya osalala.

Zizindikiro zakucheperachepera kwamasewera a shuga kupita ku 2.2 mmol / L ndi awa:

kusakhazikika
kulephera kulolera
kumverera kwadzidzidzi poyimirira kapena mutakhala,
kuchedwa kuyankhula
minofu kukokana
kulira kopanda nzeru, kupsa mtima kapena kukwiya.

Zizindikiro zakuchepa kwambiri kwa shuga m'magazi m'munsimu 1.1 mmol / L ndi awa:

kutaya chikumbumtima (hypoglycemic coma),
kulanda
sitiroko
imfa (nthawi zina).

Nthawi zina dontho la shuga limachitika usiku ukagona. Mutha kumvetsetsa kuti munthu amene wagona wayamba hypoglycemia ndi izi:

kuwoneka kwamaphokoso achilendo
nkhawa
atagwa mwangozi kapena kuyesera kuti atuluke,
kuyenda mu loto
thukuta kwambiri
zolota.

Ndi vuto la usiku la hypoglycemia, munthu amatha kumva kupweteka mutu m'mawa.

Ndi kuchepa kwambiri kwa shuga m'magazi, wodwalayo amakhala ndi hypoglycemic syndrome. Nthawi yomweyo, zizindikiro za hypoglycemia zimachulukana mwachangu kuposa kuchepa kwa chizindikirochi. Ndiye chifukwa chake, kwa thandizo loyamba, wodwala aliyense yemwe ali ndi matenda ashuga ayenera kunyamula shuga kapena maswiti komanso cholembera.

Momwemo, maphunziro a hypoglycemic syndrome amatha kugawidwa m'magawo anayi akuluakulu.

Njala yayikulu
kugona
kufooka
hypotension
Kusintha kwa momwe mukumvera: kuchoka pakuyamba kulira mpaka kusangalala kosasiyidwa,
kusakhazikika.

Njala yosalephera
womvera
thukuta lozizira
tachycardia
kumva kugunda kwamtima
masomphenya osalala
kunjenjemera m'thupi ndi miyendo
kumva kuopa kufa.

Mkhalidwe wofanana ndi kuledzera,
chisangalalo
kusadziletsa kwamakhalidwe,
kutha kwa mantha
osakwanira (mpaka kukana kutenga maswiti kapena mankhwala akazindikira kufunika kwawo).

Kugwedezeka m'thupi lonse komanso kupindika, kenako ndikugwidwa.
kutayika kwamaso
kukomoka komanso kukomoka.

Magawo oyamba a hypoglycemic syndrome nthawi zambiri amakhala oopsa bongo ndipo samasiya zotsatira zosasintha. Ndi isanayambike chikomokere komanso kusowa kwa chithandizo chakanthawi komanso chofunikira, osati kuchepa kwa kukumbukira ndi luso la luntha ndizotheka, komanso zotsatira zoyipa.

Kuthana ndi zizindikiro za hypoglycemia, thandizo liyenera kuperekedwa mkati mwa mphindi 10-15. Zakudya zotsatirazi zimatha kuthetsa kuukira mkati mwa mphindi 5 mpaka 10:

shuga - supuni 1-2,
uchi - supuni ziwiri,
caramel - 1-2 ma PC.,
mandimu kapena chakumwa china chotsekemera - 200 ml,
madzi a zipatso - 100 ml.

Kuyamba koteroko kwakanthawi kwamankhwala nthawi zambiri kumathandizira kuchuluka kwa shuga m'magazi ndipo kumalepheretsa kukula kwowonekera kwambiri kwa matendawa. Zitatha izi, wodwalayo akulimbikitsidwa kuti athetse vuto la hypoglycemia (kudya chakudya, kusiya zakudya zofooketsa kapena zosakonzekera bwino, kumwa insulin yayikulu, etc.).

Ndi chitukuko cha hypoglycemic syndrome, mkhalidwe wa wodwalayo umasintha mwachangu kwambiri ndipo thandizo liyenera kuperekedwa nthawi yomweyo (ngakhale gulu la ambulansi lisanachitike). Muli zinthu zotsatirazi:

Ikani wodwalayo pamalo oyimirira ndikukweza miyendo yake.
Imbani ambulansi, kuti mudziwe zomwe zingayambitse kuyimbira foni.
Vulani zovala zomwe zimapumira.
Patsani mpweya wabwino.
Patsani kuti mutenge maswiti okhala ngati zakumwa.
Ngati wodwalayo wataya chikumbumtima, ndiye kuti ndi kofunikira kuti mutembenukire kumbali yake (kuteteza kutsitsa lilime ndi asphyxiation ndi masanzi), ndikuyika maswiti (mwanjira ya shuga, etc.) kuseri kwa tsaya.
Ngati pali syringe chubu ndi Glucagon, gwiritsani 1 ml subcutaneally kapena intramuscularly.

Gulu la ambulansi limapanga jakisoni wambiri wa shuga 40% ndikuyambitsa kukoka kwa shuga 5%. Zitatha izi, wodwalayo amatengedwera kumalo osungirako odwala kwambiri ndipo jakisoni wowonjezera wa mankhwala amatha kuthandizidwa poyenda.

Pambuyo kuchipatala, wodwalayo amakhala ndi ma catheters awiri: mtsempha wa mkodzo ndi mkodzo. Pambuyo pake, diuretics imayambitsidwa kuti iteteze matenda a edema. Poyamba, osmotic diuretics (Mannitol kapena Mannitol) amagwiritsidwa ntchito. Emergency diuretics (Furosemide) ndi mankhwala pambuyo pake.

Insulin yogwira ntchito mwachidule imangoperekedwa mothandizidwa ndi shuga wamagazi. Mankhwalawa amayamba kugwiritsidwa ntchito pokhapokha pali chizindikiro cha glucose monga 13-17 mmol / l, chifukwa kuyambitsa kwake koyambirira kungayambitse kuyambika kwa chiwopsezo chatsopano cha hypoglycemic syndrome komanso kuyambika kwa chikomokere.

Wodwalayo adayesedwa kuti ayesedwe ndi katswiri wa zamitsempha ndi wamtima pazantchito, yemwe amayesa ECG ndi electroencephalogram. Zomwe mwaphunzirazi zikutipatsa mwayi wolosera zam'tsogolo komanso kusintha momwe tingalandire chithandizo.