Zomwe zimayambitsa shuga wochepa wamagazi mwa akulu ndi ana

Munkhaniyi muphunzira:

Kuyesedwa kwa shuga ndi imodzi mwazowerengeka zaphunziro zapachaka kwa anthu azaka zopitilira 30. Ndipo ngati zotsatira za kusanthula pamwambapa ndizowoneka bwino kapena zowonekera pang'ono, ndiye zomwe zimayambitsa shuga wochepa m'magazi, sizidziwika nthawi zonse. Komanso, munthu amatha kukhala ndi nkhawa kwa nthawi yayitali, koma ngakhale dokotala nthawi zambiri sangathe kuphatikiza zizindikirazi ndi shuga wochepa wamagazi.

Zomwe zimapangitsa kutsika shuga wamagazi ndizosiyanasiyana. Nthawi zambiri, iyi ndi njira yolakwika yochizira matenda a shuga a mitundu 1 ndi 2, komanso osagwiritsa ntchito insulin. Komanso, hypoglycemia ikhoza kuwonetsa kukhalapo kwa matenda oopsa a ziwalo zamkati, chotupa cham'mimba, kapena kufa kwa nthawi yayitali.

Zina mwazomwe zimayambitsa kutsika shuga m'magazi ndi izi:

1. Odwala odwala matenda ashuga:
   • kwambiri insulin,
   • kumwa mapiritsi owonjezera,
   • kuphwanya zakudya, kusala,
   • kuchita masewera olimbitsa thupi mopanda kudya zowonjezera,
   • matenda owopsa a ziwalo zamkati,
   • kuledzera.
2. Insulinoma.
3. Matumbo am'mimba matenda, opareshoni.
4. Zakudya zazitali ndizopendekera zakuthwa zamoto mu chakudya.
5. Matenda owopsa a chiwindi (cirrhosis, khansa, chiwindi).
6. Matenda a Endocrine (adrenal insuffuffence, kukanika kwa pituitary gland, thyrotooticosis).
7. Kuchita masewera olimbitsa thupi kwambiri.
8. Mikhalidwe yophatikizidwa ndi kuchuluka kwa shuga (m'mimba, mkaka wa m'mawere, kutsekula m'mimba, kusanza).
9. Tumors (khansa yam'mimba, matumbo, chiwindi, leukemia).
10. Mowa
11. Kumwa mankhwala ena ake.

Zolakwika pakuchiza matenda ashuga

Kutsika kwa shuga m'magazi odwala matenda ashuga kumachitika kawirikawiri. Tiyenera kudziwa kuti kwa odwala oterewa, kuchuluka kwa shuga m'magazi komwe thanzi labwino limawonekera. Nthawi zambiri, ngakhale ndi chizindikiro cha 6-7 mmol / l, chizungulire komanso thukuta limayamba kusokoneza.

Wodwala aliyense yemwe ali ndi matenda ashuga ayenera kudziwa mitundu ya insulin, momwe angalowere molondola komanso pambuyo pake. Ayenera kukumbukira kuti ndi zolimbitsa thupi zomwe zakonzedwa kapena kuchepa kwa kuchuluka kwa chakudya, zakudya za insulin ziyenera kuchepetsedwa. Mlingo waukulu wa mowa saloledwa, chifukwa umaletsa ma enzyme omwe amathandiza kupanga shuga.

Odwala omwe ali ndi matenda ashuga omwe amamwa mankhwala ochepetsa mphamvu ya shuga (glucose), makamaka omwe amachokera ku gulu lomwe limakulitsa kutulutsidwa kwa insulin (glyclazide, glibenclamide, etc.), sayenera kuwonjezera kuchuluka kwa mankhwalawo pawokha, ngakhale misempha ya magazi itakwezedwa. Mankhwala ambiri amakhala ndi mlingo, pambuyo pake amangoleka kukulitsa mphamvu zawo. Komabe, amatha kudziunjikira mthupi ndikupangitsa hypoglycemia yayikulu ndi kusazindikira.

Insulinoma

Insulinoma ndi chotupa cha pancreatic chomwe chimapanga kuchuluka kwakukulu kwa insulin, ndikupangitsa kuchepa kwambiri kwa shuga m'magazi.

Ma insulinomas ambiri ndi zotupa zovomerezeka, pafupifupi 10% yokha ndiyovulaza. Koma amachititsa kwambiri hypoglycemia, kutha ndi kutaya chikumbumtima, kukhumudwa komanso kusokonekera kwamaganizidwe mtsogolo. Chifukwa chake, insulin imayenera kuzindikirika mofulumira komanso kuchotsedwa mwachangu.

Matenda am'mimba

M'matenda ena am'mimba, mayamwidwe a glucose amakhala ndi vuto, zomwe zimayambitsa zochitika za hypoglycemia. Izi zimachitika ndi zilonda zam'mimba ndi duodenum, ulcerative colitis, ntchito kuti muchotse mbali yam'mimba kapena matumbo. Muzochitika izi, mankhwalawa a hypoglycemia ndi ovuta, kudya kwapadera kokhala ndi zakudya kuyenera kutsatiridwa, kumatsatiridwa ndi magawo ang'onoang'ono komanso zakudya zoyendetsedwa bwino.

Matenda akulu a chiwindi

Chiwindi ndi chimodzi mwazinthu zazikulu zomwe kagayidwe ka glucose kamachitika. Ndi pano pomwe imasungidwa mu mawonekedwe a glycogen, kuchokera pano imatulutsidwa panthawi yovutikira kwakuthupi komanso yamisala. Ma enzyme angapo omwe amatenga nawo gawo pa kusintha kwa ntchito ya shuga m'magazi a chiwindi.

Ngati chiwindi chawonongeka ndi njira ya pathological (cirrhosis, matenda, khansa, khansa metastases ya ziwalo zina), siyitha kusunga ndi kutulutsa shuga mokwanira, zomwe zimapangitsa kuchepa kwa shuga m'magazi.

Ma enzymes a chiwindi amathanso kutsekedwa ndi mowa komanso mankhwala ena (antidepressants, aspirin, indomethacin, biseptol, diphenhydramine, tetracycline, chloramphenicol, anaprilin).

Matenda a Endocrine

M'matenda ena a endocrine (adrenal insufficiency, kuchepa kwa gisitini gland ntchito, ndi zina), mapangidwe a mahomoni omwe amatsutsana ndi ntchito ya insulin amachepetsa. Zotsatira za kuchuluka kwa mahomoni awa m'magazi, kutsika kwakukulu kwa shuga kumachitika.

Nthawi zina (ndi chithokomiro, kuwonjezeka kwa chithokomiro), kugwiritsidwa ntchito kwa shuga ndi maselo kumawonjezeka, komwe kumawonetsedwa mwa kuwunika kwa shuga.

Zomwe zimayambitsa shuga wochepa wamagazi

Pakulimbitsa thupi kwambiri, glucose wambiri amawononga ntchito ya minofu. Chifukwa chake, pokonzekera mpikisano, tikulimbikitsidwa kuti pakhale glycogen yokwanira m'chiwindi. Glycogen ndi molekyu ya glucose yolumikizidwa, malo ake.

Mwa akazi, kutenga pakati komanso mkaka wa m'mawere nthawi zambiri kumakhala chifukwa cha shuga wochepa. Pa nthawi yoyembekezera, kuchuluka kwa shuga kumagwiritsidwa ntchito pakukula ndi kukula kwa mwana wosabadwayo. Nthawi zambiri ndichifukwa chake zimakhala zovuta kuti mayi woyembekezera azichita mayeso pamimba yopanda kanthu, nthawi yayitali atatha kudya, amatha kungokhala osazindikira.

Pambuyo pobadwa, shuga amapita kwa mwana ndi mkaka wa m'mawere. Mayi wachichepere sayenera kuiwala kudya bwino ndikudya pafupipafupi, kusowa kwa glucose kumabweretsa zotsatira zoyipa, zochitika komanso kukumbukira.

Maselo a tumor amagwira ntchito mwamphamvu kwambiri. Amadya michere yambiri, kuphatikizapo shuga. Amabisanso zinthu zopanda pake zomwe zimaletsa kupangika kwa mahomoni - insulin antagonists. Zotupa zina zimatha kupanga insulin.

Zizindikiro zake za hypoglycemia

Zizindikiro za shuga wochepa wamagazi ndizofanana kwa abambo ndi amayi, ndipo Zizindikiro zimatha kusiyanasiyana kutengera zaka.

Mu magawo oyamba, kumverera kwanjala, kusakwiya. Kenako kunjenjemera m'manja, kuchuluka thukuta, kuchuluka kwa mtima, kupweteka mutu kumayamba kusokonekera. Ngati thandizo siliperekedwa, kulumala, chisamaliro, kulumikizana, kusokonezeka kumasokonezeka. Milandu yayikulu, kusokonezeka chikumbumtima, kukomoka, chikomokere, edema yam'mimba, kumangidwa kwa kupuma ndi ntchito zamtima ndi zotheka.

Mu ukalamba, poyambira - kusokonezeka kwa chikumbumtima ndi zovuta zamakhalidwe. Odwala amatha kukhala oletsedwa kwambiri kapena osangalala kwambiri.

Pambuyo pa gawo la hypoglycemia, kuiwalika pang'ono ndizotheka. Ngati mavutowa abwerezedwa pafupipafupi, munthu amakhala ndi nkhawa:

• mutu
• chizungulire
• Kuchepetsa kukumbukira ndi liwiro la kuganiza,
• kugona osagona
• mwina chitukuko cha kusinthasintha kwa mtima, kusokonezeka kwa mtima ndi sitiroko.

Shuga wochepa wa magazi mwa mwana

Zomwe zimapangitsa kutsika shuga m'magazi mwa mwana ndizofanana ndi zomwe zimachitika mwa akulu.

Nthawi zambiri, hypoglycemia imayamba kukhanda mwa mwana yemwe mayi ake akudwala matenda a shuga, kuphatikiza masiku. Monga lamulo, ana oterewa amabadwa okulirapo, olemera kuposa makilogalamu anayi, koma osakwanira msinkhu wawo.

Mitundu ya shuga yochepetsedwa imatha kupezeka m'mimba mwa ana osabadwa tsiku loyamba la moyo.

Kwa ana, ma episode a hypoglycemia ndi owopsa makamaka chifukwa masisitimu awo sanapangidwe bwino. Kuwonongeka kwa ubongo, zovuta kukumbukira ndi kuphunzira, pamavuto akulu - khunyu.

Thandizo Loyamba kwa munthu amene ali ndi shuga m'magazi

Algorithm yochitapo kanthu pakuchepa kwambiri kwa shuga m'magazi:

1. Ngati munthuyo akudziwa, mumupatse chakumwa chokoma kapena madzi, kapena chinthu chomwe chili ndi mafuta osavuta (chidutswa cha shuga, caramel, ndi zina).
2. Ngati munthu wakomoka, musayike chilichonse pakamwa pake. Amatha kutsamwitsa chakudya kapena madzi ndi kusokoneza.
3. Muyika munthu wosazindikira mbali imodzi yolimba, kamasuleni khosi lanu ndikuyang'ana chakudya kapena mano a pakamwa panu.
4. Itanani ambulansi.

Monga lamulo, wodwala wodwala matenda a shuga amadziwa za hypoglycemia yomwe ingatheke ndipo akumva njira yawo, komanso ali ndi kuchuluka kwa magawo a shuga kapena mapiritsi a shuga.

Nkhani ya hypoglycemia itatha, muyenera kufunafuna chithandizo chachipatala kuti mupeze zomwe zimayambitsa kutsika kwa shuga m'magazi ndikuchira.