Shuga wambiri m'magazi a shuga kwa odwala matenda ashuga: malire oyenera

Matenda a shuga a Type 2 amatchedwa kudalira insulin. Mlingo wa glycemia (glucose m'magazi) mwa odwala omwe ali ndi mtundu wachiwiri ukuwonjezeka chifukwa cha kupangika kwa insulin - kulephera kwa maselo kuti azitha kuyamwa ndikugwiritsa ntchito insulin. Timadzi timene timapangidwa ndi kapamba ndipo timayendetsa glucose m'matupi amthupi kuti apatsidwe zakudya zopatsa thanzi komanso mphamvu.

Zomwe zimayambitsa matenda osokoneza bongo omwe amachititsa kuti anthu azimwa zakumwa zoledzeretsa kwambiri, kumwa kwambiri zakumwa zoledzeretsa, kunenepa kwambiri, chizolowezi chosagwirizana ndi mankhwala osokoneza bongo othamanga, kudziwikiratu chibadwa, matenda obisika a kapamba ndi matenda amtima, matenda a mtima, matenda olakwika ndi mankhwala okhala ndi mahomoni. Njira yokhayo yodziwira matenda a shuga ndikuyesa mayeso a shuga.

Zikhalidwe ndi zopatuka poyesa magazi a shuga

Mthupi lathanzi, kapamba amapanga insulin kwambiri, ndipo maselo amagwiritsa ntchito bwino. Kuchuluka kwa glucose opangidwa kuchokera kuzakudya zomwe zimalandiridwa kumaphimbidwa ndi mtengo wamphamvu wamunthu. Kuchuluka kwa shuga pokhudzana ndi homeostasis (mawonekedwe a mkati mwa thupi) amakhazikika. Kusintha kwa magazi posanthula shuga amapangidwa kuchokera ku chala kapena kuchokera mu mtsempha. Malingaliro omwe amapezeka amatha kusiyanasiyana (magazi am'magazi ocheperako amatsitsidwa ndi 12%). Izi zimawonedwa ngati zabwinobwino ndipo zimaganiziridwa mukayerekezera ndi zomwe zimatchulidwa.

Mitundu ya shuga m'magazi, ndiye kuti, zodziwikiratu zomwe sizingachitike, siziyenera kupitirira malire a 5.5 mmol / l (millimol pa lita ndi gawo la shuga). Magazi amatengedwa kokha pamimba yopanda kanthu, chifukwa chakudya chilichonse chomwe chimalowa m'thupi chimasintha shuga. Ma microscopy oyenera a shuga atatha kudya ndi 7.7 mmol / L.

Kupatuka pang'ono pamalingaliro ofunikira komwe kukuwonjezeka (ndi 1 mmol / l) ndikuloledwa:

• mwa anthu omwe adutsa chopondapo cha zaka makumi asanu ndi limodzi, zomwe zimalumikizidwa ndi kuchepa kwokhudzana ndi zaka zapakati pakumverera kwa maselo kupita ku insulin,
• mwa amayi mu nthawi ya perinatal, chifukwa cha kusintha kwa kuchuluka kwa mahomoni.

Mulingo wamagulu a shuga a shuga 2 amitundu yoyenera kulipidwa ndi ⩽ 6.7 mmol / L pamimba yopanda kanthu. Glycemia atatha kudya amaloledwa mpaka 8.9 mmol / L. Mitsempha yama glucose yoyenera kuperekera matendawa ndi: ≤ 7.8 mmol / L pamimba yopanda kanthu, mpaka 10,0 mmol / L - mukatha kudya. Malipiro a shuga osawerengeka olembedwa pamiyeso yoposa 7.8 mmol / L pamimba yopanda kanthu komanso oposa 10.0 mmol / L atatha kudya.

Kuyeserera kwa glucose

Pozindikira matenda ashuga, kuyesa kwa GTT (kuyeserera kwa glucose) kumachitika pofuna kudziwa momwe maselo akumvera m'magazi. Kuyesedwa kumakhala ndi kuchuluka kwa magazi kuchokera kwa wodwala. Makamaka - pamimba yopanda kanthu, chachiwiri - maola awiri atatha kutenga shuga. Pakuwunika mfundo zomwe zapezeka, boma la prediabetes limapezeka kapena matenda a shuga atapezeka.

Kuphwanya shuga kulolerana ndi prediabetes, apo ayi - dziko lamalire. Ndi chithandizo chanthawi yake, prediabetes imasinthika, apo ayi mtundu wa 2 shuga umayamba.

Mlingo wa glycosylated hemoglobin (HbA1C) m'magazi

Glycated (glycosylated) hemoglobin imapangidwa mkati mwa glucose kuwonjezera pa mapuloteni omwe amapanga maselo ofiira am'magazi (hemoglobin) panthawi yopanda enzymatic glycosylation (popanda kutenga michere). Popeza hemoglobin sasintha kapangidwe ka masiku 120, kusanthula kwa HbA1C kumatilola kuti tiwunikenso mtundu wa metabolism ya carbohydrate pakupezanso (kwa miyezi itatu). Makhalidwe a hemoglobin a glycated amasintha ndi zaka. Akuluakulu, zizindikiro ndi:

Kwa odwala matenda ashuga, kuyesa kwa glycosylated hemoglobin ndi njira imodzi yochizira matenda. Kugwiritsa ntchito mulingo wa HbA1C, kuchuluka kwa chiwopsezo cha zovuta kumatsimikiziridwa, zotsatira za chithandizo chamankhwala zimayesedwa. Kukula kwa shuga kwa matenda a shuga a 2 komanso kupatuka kwa zizindikiritso kumafanana ndi zomwe zimachitika mu mawonekedwe a glycated hemoglobin.

Ubale pakati pa shuga, cholesterol ndi thupi

Type 2 shuga mellitus pafupifupi nthawi zonse amayenda ndi kunenepa kwambiri, matenda oopsa ndi hypercholesterolemia. Popanga kusanthula kwa magazi kwa odwala matenda ashuga, kuchuluka kwa cholesterol kumawerengeredwa, ndi kusiyana pakati pa kuchuluka kwa otsika osalimba a lipotropics ("cholesterol yoyipa") ndi kuchuluka kachulukidwe lipotropics ("cholesterol yabwino"). Amatinso BMI (body mass index) ndi kuthamanga kwa magazi (kuthamanga kwa magazi).

Ndi chipukutiro chabwino cha matendawa, kulemera kwabwinobwino kumakhazikika, kolingana ndi kukula, ndipo kupitirira pang'ono zotsatira za kuthamanga kwa magazi. Kubwezera koyipa (koyipa) kumachitika chifukwa chodandaula nthawi zonse wodwala amadwala matenda ashuga, mankhwala olakwika (mankhwala ochepetsa shuga kapena mlingo wake wasankhidwa mosalakwika), komanso kusayang'anira ntchito ya anthu odwala matenda ashuga komanso yopuma. Pa mulingo wa glycemia, mkhalidwe wama psycho-wodwala amawonekera. Kupsinjika (kupsinjika kwa malingaliro kosalekeza) kumayambitsa kuchuluka kwa shuga m'magazi.

Gawo 2 shuga ndi miyezo ya shuga

Mwa anthu omwe ali ndi matenda ashuga, misinkhu ya shuga imazindikira kukula kwa matendawa:

• Chopingidwa (choyambirira) gawo. Makina olipirira amapereka chida chokwanira chothandizira kuchira kwakanthawi. Ndizotheka kutulutsa kuchuluka kwa shuga m'magazi kudzera mu mankhwala othandizira komanso kuchuluka kwa mankhwala a hypoglycemic (hypoglycemic). Kuopsa kwa zovuta kumathetseka.
• Gawo lolumikizidwa (lokwanira). Pancreas yovala imagwira ntchito mpaka pamlingo, zovuta zimakhalapo pobwezera glycemia. Wodwalayo amapatsidwa chithandizo chokhazikika ndi mankhwala a hypoglycemic osakanikirana ndi zakudya zosasunthika. Pali chiopsezo chachikulu chotenga minyewa ya mtima (angiopathy).
• Kubwezera (gawo lomaliza). Zikondamoyo zimaletsa kupanga insulini, ndipo glucose sangakhale wolimba. Wodwala ndi mankhwala a insulin. Mavuto akakula, ngozi ya matenda ashuga imayamba.

Hyperglycemia

Hyperglycemia - kuchuluka kwa kuchuluka kwa shuga m'magazi. Munthu yemwe alibe matenda ashuga amatha kukhala ndi mitundu itatu ya hyperglycemia: alimentary, atatha kudya chakudya yambiri, mtima, chifukwa chadzidzidzi, mantha am'mimba, akuwuka chifukwa chophwanya maluso a chithokomiro (gawo laubongo), chithokomiro cha chithokomiro, kapena gren adrenal. Kwa odwala matenda ashuga, mtundu wachinayi wa hyperglycemia ndiwofatsa - wodwala.

Zizindikiro zamatenda a shuga a 2

Hyperglycemia imakhala ndi magawo angapo azovuta:

• opepuka - mulingo 6.7 - 7.8 mmol / l
• wapakati -> 8.3 mmol / l,
• zolemetsa -> 11.1 mmol / l.

Kuwonjezeka kwina kwa mafuta a shuga kumawonetsa kukula kwa precoma (kuyambira 16.5 mmol / l) - mkhalidwe wa kupitirira kwa zizindikiro ndi zoletsa za ntchito za mtima dongosolo (chapakati mantha dongosolo). Pakakhala chisamaliro chachipatala, gawo lotsatira ndi chikomokere cha matenda ashuga (kuchokera pa 55,5 mmol / l) - chikhalidwe chodziwika ndi areflexia (kutaya chidwi kwa zinthu), kusazindikira komanso kuyang'ana pazokopa zakunja. Mu kukomoka, zizindikiro za kupuma komanso kulephera kwa mtima zimawonjezeka. Coma ndiwowopsa pamoyo wa wodwalayo.

Glycemic control regimen yamtundu wa 2 shuga

Kuyeza shuga yamagazi kwa odwala matenda ashuga ndi njira yovomerezeka, pafupipafupi yomwe imatengera gawo la matendawa. Pofuna kupewa kuwonjezeka kwa zizindikiro za shuga, miyezo imapangidwa ndi chiphuphu chokhazikika cha shuga - tsiku lililonse (katatu patsiku), ndi chithandizo cha hypoglycemic - musanadye komanso maola awiri pambuyo mu zakudya zatsopano - isanayambe kapena itatha kugwiritsa ntchito.

Popewa hypoglycemia, shuga amayeza usiku. Mu gawo lowonongeka la matenda ashuga a mtundu 2, kapamba wovala amalephera kutulutsa insulin, ndipo matendawa amakhalanso amtundu wa insulin. Ndi mankhwala a insulini, shuga m'magazi amayezedwa kangapo patsiku.

Diary ya Diabetes

Kuyeza shuga sikokwanira kuthana ndi matendawa. Ndikofunikira kuti nthawi zonse mulembe “Diabetesic Diary”, pomwe yalembedwa:

• Zizindikiro zama glucometer
• nthawi: kudya, kuyeza glucose, kumwa mankhwala a hypoglycemic,
• dzina: zakudya zodya, zakumwa zoledzeretsa, mankhwala omwe adamwa,
• zopatsa mphamvu pakudya,
• Mlingo wa mankhwala a hypoglycemic,
• mulingo komanso nthawi yayitali yochita zolimbitsa thupi (maphunziro, ntchito zapakhomo, kulima dimba, kuyenda, ndi zina zambiri),
• kukhalapo kwa matenda opatsirana ndi mankhwala omwe atengedwa kuti athetsedwe,
• kukhalapo kwa zochitika zopsinja
• Kuphatikiza apo, ndikofunikira kujambula kuthamanga kwa magazi.

Popeza kwa wodwala yemwe ali ndi mtundu wachiwiri wa matenda ashuga, imodzi mwamaudindo akuluakulu ndikuchepetsa thupi, zizindikiro za kulemera zimalowetsedwa mu diary tsiku lililonse. Kudziwunikira mwatsatanetsatane kumakupatsani mwayi wotsatira zovuta za matenda ashuga. Kuwunika koteroko ndikofunikira kudziwa zomwe zikukhudza kusakhazikika kwa shuga m'magazi, kugwiritsa ntchito bwino kwa mankhwalawa, zotsatira zake zolimbitsa thupi pa thanzi la odwala matenda ashuga. Pambuyo pofufuza zomwe zalembedwa mu "Diary of a Diabetes", endocrinologist, ngati kuli kotheka, amatha kusintha zakudya, kuchuluka kwa mankhwala, kuchuluka kwa zochita zolimbitsa thupi. Onaninso kuopsa kwa matendawo.

Ndi chindapusa chokwanira cha matenda a shuga a 2, kuphatikiza chithandizo chamankhwala ndi mankhwala osokoneza bongo, shuga yabwinobwino yamagazi ili ndi izi:

• kusala kudya kwa glucose kuyenera kukhala kosiyanasiyana mwa 4,4 - 6.1 mmol / l,
• Zotsatira zakuyimira mukatha kudya sizidutsa 6.2 - 7.8 mmol / l,
• kuchuluka kwa hemoglobin wa glycosylated sikupitilira 7.5.

Kubwezeredwa koyipa kumabweretsa kukula kwa mavuto a mtima, matenda a shuga, ndi kufa kwa wodwalayo.

Mulingo wovuta wa shuga

Monga mukudziwa, kuchuluka kwa shuga musanadye kuchokera pa 3.2 mpaka 5.5 mmol / L, mutatha kudya - 7.8 mmol / L. Chifukwa chake, kwa munthu wathanzi, zofunikira zilizonse za glucose wamagazi pamwamba pa 7.8 ndi pansi pa 2.8 mmol / l zimawerengedwa kale kuti ndizovuta ndipo zimatha kuyambitsa zovuta zina mthupi.

Komabe, mwa anthu odwala matenda ashuga, kuchuluka kwa shuga m'magazi kumakhala kotalikirapo ndipo makamaka zimadalira kuopsa kwa matendawa ndi zina zomwe wodwalayo ali nazo. Koma malinga ndi ambiri a endocrinologists, chizindikiritso cha glucose m'thupi pafupi ndi 10 mmol / L ndizofunikira kwa odwala ambiri omwe ali ndi matenda ashuga, ndipo owonjezera ake ndi osayenera.

Ngati magazi a munthu wodwala matenda ashuga aposa mulingo wabwinobwino ndikukwera pamwamba pa 10 mmol / l, ndiye kuti izi zimamuwopseza ndi matenda a hyperglycemia, omwe ali oopsa kwambiri. Kuphatikizidwa kwa glucose 13 mpaka 17 mmol / l kale kumabweretsa chiopsezo m'moyo wa wodwalayo, chifukwa zimapangitsa kuchuluka kwakukulu mu magazi a acetone komanso kukula kwa ketoacidosis.

Vutoli limapatsa chidwi kwambiri mtima ndi impso za wodwalayo, ndipo zimapangitsa kuti madzi ake achepetse madzi. Mutha kudziwa mulingo wa acetone ndi fungo lokhazikika la mkamwa kuchokera pakamwa kapena ndi zomwe zili mkodzo pogwiritsa ntchito zingwe zoyeserera, zomwe tsopano zikugulitsidwa m'mafakitala ambiri.

Mulingo woyenerera wa shuga wamagazi pomwe wodwala matenda ashuga amatha kusokonezeka kwambiri:

1. Kuyambira 10 mmol / l - hyperglycemia,
2. Kuyambira 13 mmol / l - pachimodzimodzi,
3. Kuyambira 15 mmol / l - hyperglycemic chikomokere,
4. Kuyambira 28 mmol / l - ketoacidotic chikomokere,
5. Kuyambira 55 mmol / l - hyperosmolar chikomokere.

Shuga wakufa

Wodwala aliyense wodwala matenda a shuga ali ndi shuga wawo wambiri. Mwa odwala ena, kukula kwa hyperglycemia kumayamba kale pa 11-12 mmol / L, mwa ena, zizindikiro zoyambirira za izi zimawonedwa pambuyo pa chizindikiro cha 17 mmol / L. Chifukwa chake, mumankhwala palibe chinthu monga limodzi, kwa odwala matenda ashuga onse, kuchuluka koopsa m'magazi.

Kuphatikiza apo, kuuma kwa mkhalidwe wa wodwalayo sikungotengera kuchuluka kwa shuga mthupi, komanso mtundu wa shuga womwe ali nawo. Chifukwa chake shuga yotsika mu mtundu woyamba wa shuga imathandizira kwambiri kuchuluka kwa acetone m'magazi komanso kukula kwa ketoacidosis.

Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri, shuga wokwezeka nthawi zambiri sayambitsa kuchuluka kwa acetone, koma zimapweteka kwambiri, ndipo zimavuta kusiya.

Ngati shuga mu wodwala wodwala yemwe amadalira insulin atha kukhala wamtengo wapatali wa 28 mm mm / l, ndiye kuti atha kukhala ndi vuto limodzi lalikulu la matenda ashuga - ketoacidotic chikomokere. Pa mulingo wa shugawu, supuni 1 imodzi ya shuga imakhala mu lita imodzi ya magazi a wodwala.

Nthawi zambiri zotsatira za matenda opatsirana aposachedwa, kuvulala kwambiri kapena opaleshoni, yomwe imafooketsanso thupi la wodwalayo, imatsogolera pamenepa.

Komanso ketoacidotic coma imatha kuchitika chifukwa chosowa insulini, mwachitsanzo, ndi mankhwala osankhidwa molakwika kapena ngati wodwala wasowa jekeseni nthawi. Kuphatikiza apo, chomwe chimayambitsa vutoli chimatha kukhala mowa.

Ketoacidotic chikomacho chimadziwika ndi chitukuko cha pang'onopang'ono, chomwe chimatha kutenga maola angapo mpaka masiku angapo. Zizindikiro zotsatirazi ndizoyambitsa izi:

• Kukoka pafupipafupi ndi kuphatikiza mpaka malita atatu. patsiku. Izi ndichifukwa choti thupi limayesetsa kupaka ma acetone ambiri momwe angathere kuchokera mkodzo,
• Kuthetsa madzi m'thupi kwambiri. Chifukwa chokodza kwambiri, wodwalayo amataya madzi,
• Masewera okwera amthupi a ketone. Chifukwa chosowa insulini, shuga amasiya kumizidwa ndi thupi, zomwe zimapangitsa kuti azisaka mafuta kuti akhale ndi mphamvu. Zopangidwa ndi njirayi ndi matupi a ketone omwe amatulutsidwa kulowa m'magazi,
• Kupanda mphamvu kwathunthu, kugona,
• Matenda a shuga ndi mseru, kusanza,
• Khungu lowuma kwambiri, lomwe limatha kutuluka ndi kusweka,
• Pakamwa kowuma, mamasukidwe owoneka bwino, kupweteka m'maso chifukwa chosowa madzi akumwa,
• Fungo lonena za acetone kuchokera mkamwa,
• Kupuma mwamphamvu, koopsa, komwe kumawoneka ngati chifukwa cha kuchepa kwa mpweya.

Ngati kuchuluka kwa shuga m'magazi kukupitilirabe, wodwalayo amapanga njira yoopsa kwambiri yoopsa yodwala matenda ashuga - hyperosmolar coma.

Imadziwulula ndi zizindikiro zowopsa kwambiri:

Muzovuta kwambiri:

• Mitsempha yamagazi ili m'mitsempha,
• Kulephera kwina
• Pancreatitis

Popanda chithandizo chanthawi yake, chikomokere chimatha kumwalira.Chifukwa chake, pamene zizindikiro zoyambirira za kupsinjika izi zikuwoneka, kugonekedwa kuchipatala kwa wodwala kuchipatala ndikofunikira.

Chithandizo cha hyperosmolar chikomokereni chimachitika pokhapokha mwa njira zotsitsimutsa.

Chofunikira kwambiri pochiza matenda a hyperglycemia ndiko kupewa kwake. Osamabweretsa shuga m'magazi ovuta. Ngati munthu ali ndi matenda a shuga, ndiye kuti sayenera kuyiwala za izi ndipo nthawi zonse aziwonetsetsa kuchuluka kwa shuga panthawi.

Kusunga shuga wambiri wabwinobwino, anthu odwala matenda ashuga atha kukhala moyo wathunthu kwa zaka zambiri, osakumana ndi zovuta zazikulu zamatendawa.

Popeza mseru, kusanza, ndi kutsegula m'mimba ndi zina mwazizindikiro za hyperglycemia, ambiri amatenga izi poyizoni wazakudya, zomwe zimakhala ndi zotsatirapo zoopsa.

Ndikofunika kukumbukira kuti ngati zizindikiro zoterezi zikuwoneka mwa wodwala yemwe ali ndi matenda ashuga, ndiye kuti vuto silikhala matenda am'mimba, koma kuchuluka kwa shuga m'magazi. Kuti muthandizire wodwala, jakisoni wa insulin ndi wofunika msanga.

Kuti athane ndi bwino ndi zizindikiro za hyperglycemia, wodwalayo ayenera kuphunzira kudziimira payekha mlingo woyenera wa insulin. Kuti muchite izi, kumbukirani njira yosavuta iyi:

• Ngati magazi a shuga ndi 11-12,5 mmol / l, ndiye kuti gawo lina liyenera kuwonjezeka pamankhwala amtundu wa insulin,
• Ngati zomwe glucose aposa 13 mmol / l, ndipo fungo la acetone lilipo mu mpweya wa wodwalayo, ndiye kuti ziwalo ziwiri ziyenera kuwonjezeredwa ku mlingo wa insulin.

Ngati kuchuluka kwa glucose kumatsika kwambiri pambuyo pobayidwa jakisoni wa insulin, muyenera kudya chakudya cham'mimba mwachangu, mwachitsanzo, imwani msuzi wa zipatso kapena tiyi ndi shuga.

Izi zikuthandizira kuteteza wodwala kuti asafe ndi matenda a ketosis, ndiye kuti, nthawi yomwe matupi a ketone m'magazi ayamba kuchuluka, koma zomwe zili m'magaziwo zimakhala zotsika.

Mochepa shuga

Mankhwala, hypoglycemia imawerengedwa ngati kuchepa kwa shuga m'magazi ochepera 2.8 mmol / L. Komabe, izi ndi zoona kwa anthu athanzi okha.

Monga momwe zilili ndi hyperglycemia, wodwala aliyense yemwe ali ndi matenda a shuga amakhala ndi gawo lake lotsika la shuga, pambuyo pake amayamba kukhala ndi hyperglycemia. Nthawi zambiri zimakhala zapamwamba kwambiri kuposa momwe zimakhalira ndi anthu athanzi. Mlozera wa 2.8 mmol / L siliwotsutsa kokha, koma wopha anthu ambiri odwala matenda ashuga.

Kuti mudziwe kuchuluka kwa shuga m'magazi momwe hyperglycemia ingayambire wodwala, ndikofunikira kuchotsa kuchokera ku 0.6 mpaka 1.1 mmol / l kuchokera pamlingo wake womwe akufuna - ichi chizikhala chofunikira kwambiri.

Odwala ambiri odwala matenda ashuga, kuchuluka kwa shuga ndi pafupifupi 4-7 mmol / L pamimba yopanda kanthu komanso pafupifupi 10 mmol / L atatha kudya. Kuphatikiza apo, mwa anthu omwe alibe matenda ashuga, siziposa kuchuluka kwa 6.5 mmol / L.

Pali zifukwa ziwiri zazikulu zomwe zimapangitsa wodwala matenda ashuga:

• Kuchuluka kwa insulin
• Kumwa mankhwala omwe amalimbikitsa kupanga insulin.

Vutoli limatha kukhudza odwala onse omwe ali ndi matenda amtundu 1 komanso mtundu 2. Makamaka nthawi zambiri imawonekera mwa ana, kuphatikiza usiku. Kuti mupewe izi, ndikofunikira kuwerengetsa moyenera kuchuluka kwa insulin tsiku lililonse ndikuyesera kuti osapitirire.

Hypoglycemia imawonetsedwa ndi zizindikiro zotsatirazi:

1. Khungu lakhungu,
2. Kuchuluka thukuta,
3. Kugwedezeka thupi lonse
4. Zosangalatsa pamtima
5. Njala yayikulu
6. Kuwonongeka kwa chidwi, kulephera kuyang'ana,
7. Kusanza, kusanza,
8. Kuda nkhawa, kuchita zinthu mwankhanza.

Pa gawo lowopsa, zizindikiro zotsatirazi zimawonekera:

• Zofooka zazikulu
• Chizungulire ndi matenda ashuga, ululu m'mutu,
• Nkhawa, mantha osasinthika,
• Kusokonekera kwa mawu
• Masomphenya olakwika, masomphenya apawiri
• Chisokonezo, kulephera kuganiza mokwanira,
• Kuyendetsa bwino galimoto, kuvulala kwamatayala,
• Kulephera kuyenda pamtunda nthawi zambiri,
• Kutupa m'miyendo ndi manja.

Izi sizinganyalanyazidwe, chifukwa shuga wochepa kwambiri m'magazi ndiowopsa kwa wodwalayo, komanso wokwera kwambiri. Ndi hypoglycemia, wodwalayo ali pachiwopsezo chachikulu cha kutaya chikumbumtima ndikugwera mu kuphwanya kwa hypoglycemic.

Vutoli limafunikira wodwala kuchipatala. Chithandizo cha hypoglycemic coma chimachitika pogwiritsa ntchito mankhwala osiyanasiyana, kuphatikizapo glucocorticosteroids, omwe amachepetsa msanga shuga m'thupi.

Mankhwala osokoneza bongo a hypoglycemia atha kudwala, amatha kuwononga ubongo komanso kuwononga olumala. Izi ndichifukwa choti glucose ndiye chakudya chokha cha maselo aubongo. Chifukwa chake, ndi kuchepa kwake kwakukulu, amayamba kufa ndi njala, zomwe zimawatsogolera kuti afe mwachangu.

Chifukwa chake, anthu omwe ali ndi matenda ashuga ayenera kuyang'ana kuchuluka kwa shuga m'magazi awo pafupipafupi kuti asaphonye kapena kuwonjezeka kwambiri. Kanemayo munkhaniyi ayang'ana shuga wokwezeka wamwazi.