Limagwirira a chitukuko cha insulin chikomokere

Kudwala kwa insulin ndi mkhalidwe womwe umadziwika ndi kuchepa kwa shuga m'magazi (hypoglycemia) komanso kuchuluka kwa insulin, mahomoni opangidwa ndi kapamba. Izi pathological mkhalidwe zimachitika motsutsana maziko a matenda ashuga.

Mthupi lathanzi, insulini ndi glucose nthawi zonse zimakhala zovomerezeka, koma ndi matenda ashuga, kagayidwe kake kamachepa, ndipo ngati kusiyidwa, izi zingayambitse kudwala kwa insulin. Kupanda kutero, amathanso kutchedwa vuto la shuga kapena chikomokere mu hypoglycemic.

Matendawo ali pachimake. Monga lamulo, limayambitsidwa ndi nthawi ya oyambilira, koma nthawi zina zimakhala zochepa kwambiri kuti ngakhale wodwalayo mwiniyo alibe nthawi yoti azindikire. Zotsatira zake, kuiwalako mwadzidzidzi kumatha kuchitika, ndipo nthawi zina kuphwanya ntchito zofunika zomwe zimayendetsedwa ndi medulla oblongata zimachitika.

Mavuto a shuga amabwera mofulumira, ndikuchepa kwambiri kwa kuchuluka kwa shuga m'magazi, komanso kuyamwa pang'onopang'ono ndi ubongo. Dziko loyambirira limayendetsedwa ndi njira izi:

1. Neuroglycopenia - kuchepa kwa msanga mu shuga. Amawonetsedwa ndimatenda amitsempha, mitundu yosiyanasiyana yamatenda amisala, kulephera kudziwa, kukhumudwa. Zotsatira zake, imatha kusinthika.
2. Kusangalatsa kwa njira yomvera chisoni-adrenal, yomwe imadziwonetsera mu mawonekedwe a nkhawa kapena mantha, tachycardia, kuphipha kwa mitsempha yamagazi, kusokonezeka kwa dongosolo la mantha aumwini, kusintha kwa polymotor, kuchuluka thukuta.

Kukula kwa chikomokere kwa hypoglycemic kumachitika mwadzidzidzi. Koma zizindikiritso zakutsogolo zimanditsogolera. Pakachepa pang'ono kuchuluka kwa shuga m'magazi am'magazi, wodwalayo amatha kumva kupweteka mutu, kumva njala, kutentha kwambiri. Izi zimachitika motsutsana ndi kufooka wamba. Komanso, pamakhala kuthamanga kwamtima, kuwonjezeka kwa thukuta, kunjenjemera kwa miyendo kapena thupi lonse.

Pakadali pano, kuthana ndi vutoli ndikosavuta ngati mumwa mafuta. Odwala omwe amadziwa matenda awo nthawi zonse amakhala ndi zokonzekera izi kapena zakudya zotsekemera (zidutswa za shuga woyesedwa, tiyi wokoma kapena madzi, maswiti, ndi zina). Zizindikiro zoyambirira zikachitika, ndikokwanira kuzigwiritsa ntchito kuti thupi lizikhala ndi shuga.

Ngati mankhwalawa amachitika ndi insulin yokhala ndi nthawi yayitali, ndiye kuti kuchepa kwakukulu kwa shuga m'magazi kumachitika masana ndi usiku. Ndi panthawiyi pomwe insulin ingayambitse. Pazinthu zomwe izi zimachitika wodwalayo atagona, kwa nthawi yayitali sizimadziwika.

Pankhaniyi, vuto la kugona limakhalapo, limakhala lokhazikika, lopumula, nthawi zambiri zolota. Ngati mwana akudwala matenda, amatha kufuula kapena kulira kugona kwake. Pambuyo podzuka, kuyambiranso amnesia ndi chisokonezo zimawonedwa.

M'mawa, odwala amakhala osasangalala chifukwa chogona osagona. M'mawola awa, shuga wa magazi amakula kwambiri, wotchedwa "glycemia wothandizira." Usiku wonse pambuyo povutitsidwa ndi insulin usiku, wodwalayo amakhalabe wokwiyitsa, wowopsa, wamanjenje, amakhala wopanda chidwi, thupi lofooka.

Mwachindunji panthawi ya chikomokere cha hypoglycemic, zizindikiro zotsatirazi zamankhwala zimadziwika:

• khungu ndi chinyezi pakhungu,
• tachycardia
• minofu hypertonicity.

Nthawi yomweyo, wogwirizira wamaso amakhalabe wabwinobwino, lilime limakhala lonyowa, kupuma kumakhalabe kotsekemera, koma pakakhala chisamaliro chamankhwala chapanthawi yake, pang'onopang'ono chimakhala chapamwamba.

Kudziwikitsa kwa nthawi yayitali mkhalidwe wamavuto a shuga, kuchepa kwa magazi, kuchepa kwa minofu, bradycardia, ndi kutentha kwa thupi kumatsika kuposa masiku onse. Reflexes imathanso kufooka kapena kusowa kwathunthu. Anawo asiya kuyankha kukuwala.

Ngati matenda omwe adapezeka mu gawo loyambirira la insulin adafotokozedwa samafotokozeredwa ndipo mulibe chithandizo chamankhwala, kuwonongeka kwakanthawi kwamunthu kumawonekera. Trismus, kukhumudwa, kunyansidwa komanso kusanza kumatha kuyamba, wodwalayo amakwiya, ndipo pakapita kanthawi amayamba kuzindikira.

Mukamayesa mayeso mu labotale mu mkodzo, shuga sawonekera. Pankhaniyi, momwe angapangire acetone imatha kukhala yolakwika komanso yolimbikitsa. Zotsatira zimatengera kuchuluka kwa kubwezeretsa kwa chakudya cha carbohydrate.

Zizindikiro za hypoglycemia zimatha kuvutitsa odwala omwe ali ndi matenda ashuga kwa nthawi yayitali, ngakhale atakhala ndi glucose wabwinobwino kapena kuchuluka kwake. Izi zikufotokozedwa ndi kusintha kwakuthwa mu glycemia, mwachitsanzo, kuyambira 18 mmol / l mpaka 7 mmol / l ndi mosemphanitsa.

Kugwedezeka kwa insulini kumachitika kwambiri kwa odwala omwe ali ndi mitundu yayikulu ya insulin yodalira matenda a shuga. Kuphatikiza apo, zinthu zotsatirazi zimatha kupangitsa kuti izi zitheke:

• Kukhazikitsidwa kwa mlingo woyipa wa insulin.
• Kukhazikitsa kwa mahomoni siwosinjirira, koma modekha. Izi zitha kuchitika ngati singano yayitali ili mu syringe kapena wodwalayo akuyesera kuti achete mphamvu ya mankhwalawo.
• Kuchita zolimbitsa thupi mozama, pambuyo pake kudya zakudya zokhala ndi chakudya chamafuta sikunatsatire.
• Ngati wodwala sanadye pambuyo pa insulin.
• Kugwiritsa ntchito zakumwa zoledzeretsa.
• Yesani malo komwe jekeseni adapangidwira.
• Trimester yoyamba ya mimba.
• Kulephera kwina.
• Kuwonongeka kwamafuta kwa chiwindi.

Matenda a insulin nthawi zambiri amakhala ndi nkhawa anthu omwe shuga imayamba chifukwa cha matenda a impso, matumbo, chiwindi, endocrine.

Nthawi zambiri, vuto la shuga limachitika mutamwa salicylates kapena munthawi yomweyo kugwiritsa ntchito mankhwalawa limodzi ndi sulfonamides.

Chithandizo cha chikomokere cha hypoglycemic chimayamba ndikuwonetsa shuga m'mitsempha. 40% yankho mu kuchuluka kwa 20-100 ml amagwiritsidwa ntchito. Mlingo umatengera momwe wodwalayo amadzidwiranso.

Woopsa, glucagon amagwiritsidwa ntchito, glucocorticoids amathandizira kudzera m'mitsempha kapena intramuscularly. Njira ya 0.1% ya epinephrine hydrochloride ingagwiritsidwenso ntchito. 1 ml jekeseni wang'onopang'ono.

Ndikusunga wodwala akumeza Reflex, ndikofunikira kumwa ndi zakumwa zotsekemera kapena shuga.

Pofuna kutaya chikumbumtima, kusakhalapo kwa zomwe ophunzira amapita pakuwala ndikumeza Reflex, wodwalayo amkodwa ndi madontho ang'onoang'ono a shuga pansi pa lilime. Ngakhale mu chikomokere, chinthu ichi chimatha kumizidwa mwachindunji kuchokera kumkamwa wamkamwa. Chitani izi mosamala kwambiri kuti wodwalayo asakodwe. Pali ma fanizo amtundu wa gels. Muthanso kugwiritsa ntchito uchi.

Palibe chifukwa chomwe insulin iyenera kuperekedwa ndi hypoglycemic chikomokere, chifukwa zimangokulitsa mkhalidwe wa wodwalayo ndikuchepetsa kwambiri mwayi wowachira. Kugwiritsa ntchito mankhwalawa muzochitika zotere kumatha kupha.

Kuti apewe insulin yoyendetsera, opanga ena amapangira syringe ndi loko yokhoma.

Thandizo loyamba

Kuti mupereke chisamaliro chodzidzimutsa, muyenera kudziwa bwino lomwe zizindikiro za insulin. Ngati mwatsimikiza kuti izi zikuchitika, pitilizani kuthandiza wodwalayo. Muli magawo awa:

1. Imbani ambulansi.
2. Gulu la madokotala lisanafike, thandizani wodwala kuti akhale momasuka: kugona kapena kukhala.
3. Mpatseni zokoma. Ikhoza kukhala shuga, tiyi, maswiti, uchi, ayisikilimu, kupanikizana. Monga lamulo, odwala amakhala ndi izi.
4. Pofuna kuti musakhale ndi chikumbumtima, ikirani wodwalayo chidutswa cha shuga patsaya. Ngakhale akudwala matenda ashuga, sizimavulaza thanzi.

Kugonekedwa kuchipatala mwadzidzidzi ndikofunikira pazinthu zotere:

• Mobwerezabwereza makonzedwe a shuga samabwezeretsa wodwalayo chikumbumtima, pomwe kuchuluka kwa shuga m'magazi kumakhalabe otsika.
• Nthawi zambiri insulin imadzidzimutsa.
• Ngati kunali kotheka kuthana ndi mantha a hypoglycemic, koma pali zovuta ndi mtima, mantha amthupi, zovuta zamatumbo zimawonekera, zomwe kale sizinali.

Mankhwala a insulin ndi vuto lalikulu lomwe lingawononge moyo wodwala. Chifukwa chake, ndikofunikira kuti athe kupereka chithandizo chamankhwala mwadzidzidzi munthawi yake ndikupanga chithandizo chofunikira chamankhwala.

Kodi kudwala kwa insulin ndi chiani?

Kuchepa kwamwadzidzidzi kwa shuga mthupi, kunjenjemera kwa insulin kapena vuto la shuga. Pakadali pano, kuchuluka kwa insulin ya mahomoni kumatha kuwonjezeka kwambiri. Zizindikiro zimayamba msanga komanso ndizovuta.

Chifukwa cha kufa ndi chakudya cham'mimba komanso mpweya wa okosijeni, ntchito zofunika ndizoponderezedwa. Vuto la shuga limayamba chifukwa cha matenda ashuga. Kutsika kwa shuga m'munsi mwa 2.3 mmol / L kumawerengedwa kuti ndi kofunika.

Kuyambira pano, zosintha zosinthika zam'mimba zimachitika m'thupi. Koma ngati munthu wakhala ndi kuchuluka kwa shuga nthawi zonse mpaka 20 mmol / L, ndiye kuti mkhalidwe wovuta kwa iye ukhale dontho la glucose mpaka 8 mmol / L.

Chofunika kwambiri pamkhalidwewu ndi kuperekedwa kwa nthawi yoyamba thandizo. Kuchitapo kanthu pakachitika vuto la insulin kungapulumutse moyo wa munthu.

Zizindikiro ndi zizindikiro zoyambira

Vuto la insulini limatha kukhala m'masiku ochepa, makamaka likadutsa gawo loyambirira. Ndikofunika kwambiri kukonza gawo ili ndikuyamba kulandira chithandizo nthawi yomweyo.

Kuti vutoli lithe kusintha, wodwalayo ayenera kugwiritsa ntchito pang'onopang'ono chakudya - phala, shuga, uchi, zakumwa zotsekemera.

Odwala omwe amadalira insulin amadwala kwambiri chifukwa cha mavuto a shuga usiku. Kwenikweni, ambiri samakonza izi kunyumba.

Zizindikiro zake zimaphatikizapo:

• kugona kopanda tanthauzo
• zolota
• Kuda nkhawa
• fuulani
• akulira
• kusokonezeka kwa chikumbumtima
• kufooka pakudzuka,
• mphwayi
• mantha
• kusinthasintha.

Kugwedezeka kwa insulin kumadziwika ndi kufalikira komanso chinyezi pakhungu. Kutentha kwa thupi kumachepa. Kupsinjika ndi kukoka zimatsika pansi pazowoneka. Palibe zoziziritsa kukhosi - ana sazindikira kuwala. Mitsempha yamagalasi mwadzidzidzi imatha kupezeka ndi glucometer.

Othandizira boma lino ndi awa:

• kuchuluka kwa insulin - Mlingo wolakwika,
• kuyambitsa kwa mahomoni mumsempha, osati pansi pa khungu.
• kunyalanyaza chakudya cham'madzi pambuyo pobayidwa ndi joni,
• kumwa mowa
• katundu wambiri pambuyo pa insulin,
• zotupa malo hemorrhage - zolimbitsa thupi,
• miyezi yoyamba ya mimba
• kulephera kwa aimpso
• mafuta mafuta m'chiwindi,
• matenda matumbo
• matenda a endocrine
• kuphatikiza kosayenera kwa mankhwala.

Mikhalidwe yotereyi imayambitsidwa makamaka mwa odwala matenda amisala omwe amagwiritsa ntchito insulin mantha mankhwala. Njirayi imagwiridwa ndi cholinga chothandizira matenda a schizophrenic pathologies, ndipo ikhoza kugwiritsidwa ntchito pokhapokha ndi chilolezo chodwala. Panthawi zotere, wodwalayo amayang'aniridwa nthawi zonse kuti athe kupereka thandizo nthawi yayitali ngati pakufunika kutero.

Nthawi zina kukomoka kwa hypoglycemic kumatha kupezeka mwa anthu athanzi labwino. Kupsinjika kwamphamvu kwam'maganizo, kadyedwe kakang'ono ka carb, ndikuwonjezera thupi kungayambitse. Zizindikiro zidzakhala zofanana ndi matenda ashuga.

Kusamalira mwadzidzidzi

Ndi insulin chikomokere, ndikofunikira kwambiri molondola komanso mwachangu thandizo loyamba:

1. Imbani ambulansi.
2. Ikani wozunzidwayo malo omasuka.
3. Pezani shuga m'magazi pogwiritsa ntchito glucometer. Ngati izi sizingatheke (palibe chida), ndiye kuti mupereke kwa wodwalayo 20 ml ya 40% shuga. Ngati vuto losokonezekalo likugwirizana ndi kuchepa kwa shuga, ndiye kuti kusintha kumachitika mwachangu. Ndipo ngati kukanika kumagwirizana ndi hyperglycemia, ndiye kuti palibe zosintha zomwe zingachitike.
4. Apatseni omwe akumenyedwayo tiyi wokoma kapena chakumwa chokoma. Lolani kudya chidutswa cha mkate woyera, phala, shuga, uchi kapena kupanikizana. Palibe vuto musapereke ayisikilimu kapena chokoleti - izi zingovulaza, chifukwa zimachepetsa kuyamwa kwa chakudya. Ngati munthu sadziwa kanthu, ndiye kuti muike chidutswa cha shuga patsaya lake.
5. Ndikofunikira kuchita kutulutsidwa kwa adrenaline m'magazi. Ngati chidwi sichitha, ndiye kuti kudzuka, kugwedeza ndi mitundu ina ya ululu wammbuyo kungathandize.
6. Muzovuta kwambiri, shuga wama glucose kapena glucagon amaperekedwa.

Chisamaliro chodzidzimutsa chimayenera kufika kanthawi kochepa, chifukwa izi ndizofunikira. Kupitilira apo, madokotala adzapereka chithandizo choyenera, kuwunika momwe wodwalayo alili. Mu chipatala, kuwunika pafupipafupi kuchuluka kwa shuga ndi glucose wolowerera kumachitika. Woopsa, mankhwala a corticosteroid angagwiritsidwe ntchito.

Ngati mankhwalawa amayamba kuchepa pafupipafupi kapena pambuyo pa zomwe sizinachitike, ndiye kuti muyenera kupeza chithandizo chamankhwala mosachedwa. Ichi ndi chiopsezo chowopsa, chomwe kupezeka kwa chithandizo chanthawi yake kumayambitsa mavuto.

• matenda edema,
• sitiroko
• kuwonongeka kosasintha kwa dongosolo lamanjenje lamkati,
• kusintha kwa umunthu
• kusokonezeka kwa malingaliro
• kunyanyala umunthu
• zotsatira zakupha.

Matendawa amatengedwa kuti ndiowopsa kwa anthu okalamba omwe ali ndi vuto la kuzungulira kwa magazi.

Ndi mtundu wochepetsetsa wamavuto a shuga komanso chithandizo chamankhwala chapanthawi yake, matendawa ndi abwino. Zizindikiro zimathetsedwa mwachangu, ndipo kuchira kwamunthu ndikosavuta. Koma ndi mafomu owopsa, sikuti nthawi zonse munthu amayembekeza kuti zinthu zikhala bwino. Apa gawo lalikulu limaseweredwa ndi mtundu komanso nthawi yake yoyambira thandizo. Chithandizo chowongolera cha nthawi yayitali, mwachidziwikire, chimakhudza zotsatira zake.

Kanema kuchokera kwa katswiri:

Njira zopewera

Hypoglycemia imabweretsa insulin mantha komanso chikomokere. Popewa zovuta zomwe zingachitike, ndikofunikira kukhala ndi moyo wathanzi komanso kusamala.

Munthu amene ali pachiwopsezo ayenera:

1. Phunzitsani achibale komanso othandizira ogwira nawo ntchito pakugwa kwadzidzidzi kwa glucose.
2. Dziwani nokha zamphamvu za zochita muzovuta.
3. Yang'anirani shuga ndi mkodzo pafupipafupi. Ndi matenda a shuga, kangapo pamwezi.
4. Nthawi zonse muzikhala ndi zakudya zamagetsi zopatsa mphamvu - shuga, uchi, madzi a zipatso, mikate yoyera, mapiritsi a shuga. Izi zikuthandizira kuyimitsa zizindikiritso za hypoglycemia.
5. Tsatirani zakudya. Idyani zakudya zazing'ono nthawi zonse. Chepetsani kudya zamafuta pang'ono, ndipo mapuloteni ayenera kupanga theka la zakudya zonse. Makamaka osagwiritsa ntchito shuga.
6. Njira yolondola pakusankha zolimbitsa thupi. Pewani zochitika zolimbitsa thupi zomwe zimachepetsa shuga.
7. Kuwongolera thupi. Izi zimalola thupi kugwiritsa ntchito bwino insulin.
8. Osasokoneza dongosolo la kugona ndi kugona.
9. Yesetsani kuthamanga kwa magazi mokhazikika.
10. Kanani mowa ndi kusuta.
11. Yang'anirani zakukhosi kwanu.
12. Kudya mchere wochepa kwambiri kumachepetsa nkhawa pa impso.
13. Mosamala mosamala mlingo wa insulin kutumikiridwa.Chitani jakisoni - pakhungu.
14. Mankhwalawa amachepetsa shuga.
15. Kuwongolera shuga mukamamwa ma anticoagulants, beta-blockers, salicylates, tetracycline, anti-TB.
16. Pewani thupi pafupipafupi ndi mavitamini apadera a odwala matenda ashuga.
17. Muyenera kuchiza mochulukirachulukira.

Hypoglycemia ndi vuto lalikulu kwa munthu, zomwe zimatha kubweretsa mavuto akulu komanso kufa. Kupewa komanso kuthandizira panthawi yake kumathandizira kuti thupi lizigwira ntchito bwino.

Kodi kudwala kwa insulin

Hulin insulin, yomwe imapangidwa m'matumba a pancreatic pancreatic, imagwira ntchito yofunika kwambiri pakuwongolera kagayidwe kazachilengedwe. Ndi matenda amtundu wa 1 shuga, kapangidwe ka timadzi tating'onoting'ono timayima kwathunthu, ngati tili ndi matenda a shuga a nthawi yayitali, vuto lalikulu la insulin limatha. M'njira zonsezi, wodwalayo amapatsidwa jakisoni wa mahomoni opangidwa ndi mankhwala. Mlingo wa insulin amawerengedwa mosiyanasiyana jekeseni aliyense, pomwe kudya shuga kumatha kuzindikiridwa.

Mankhwalawa atayambitsidwa, shuga amapezeka m'magazi kupita m'matumbo a insulin: minofu, mafuta, komanso chiwindi. Ngati wodwala matenda ashuga wadzipatsa mlingo waukulu kuposa momwe amafunikira, kuchuluka kwa glucose m'magazi kumatsika kwambiri, ubongo ndi msana zimataya mphamvu zawo zazikulu, ndipo vuto lalikulu laubongo limayamba, lomwe nthawi zambiri limatchedwa kuti insulin. Nthawi zambiri, izi zimayamba shuga atatsikira mpaka 2.8 mmol / L kapena kutsikira. Ngati mankhwala osokoneza bongo ndi ochulukirapo ndipo shuga amatsika msanga, Zizindikiro zakugwedezeka zimatha kuyamba 4,5 mmol / L.

Nthawi zina, mankhwalawa amabwera chifukwa cha insulin. Pankhaniyi, chomwe chimayambitsa insulin yambiri m'magazi imatha kukhala insulinoma - chotupa chomwe chimatha kudzipangira payekha ndikuliponya m'magazi ambiri.

Zizindikiro zoyambira ndi zizindikiro

Mankhwala amtundu wa insulin amabwera m'magawo awiri, omwe ali ndi zizindikiro zake:

Ngati hypoglycemia itathetsedwa pamlingo wachifundo, zizindikiritso zam'mimba zimazimiririka, mkhalidwe wa wodwalayo umayamba bwino. Gawo ili ndi la kanthawi kochepa, chisangalalo chimasinthidwa mwachangu ndi zosayenera, chikumbumtima chobisala. Mbali yachiwiri, munthu wodwala matenda ashuga sangathe kudzithandiza yekha, ngakhale atakhala kuti amadziwa.

Ngati magazi a magazi akupitilizabe kuchepa, wodwalayo amagwera pachisokonezo: amakhala chete, amasuntha pang'ono, samayankha kwa ena. Ngati mankhwalawo a insulin sangachotsedwe, munthuyo amayamba kugwa, amagwa ndi vuto la hypoglycemic, kenako nkufa.

Nthawi zambiri, kugwirira kwa insulin kumatha kupewedwa pambuyo pake mawonekedwe ake oyamba. Kusiyana ndi odwala omwe amakhala ndi matenda a shuga a nthawi yayitali, omwe nthawi zambiri amakhala ndi hypoglycemia. Pankhaniyi, magwiridwe antchito a sympadadalal amasokonekera, kumasulidwa kwa mahomoni poyankha shuga wochepa kumachepetsedwa. Zizindikiro zomwe zimayimira hypoglycemia zimawoneka mochedwa kwambiri, ndipo wodwalayo sangakhale ndi nthawi yochita zinthu zina kuwonjezera shuga. Ngati matenda ashuga ali ovuta mitsempha, wodwalayo amatha kutaya chikumbumtima popanda zizindikiro zam'mbuyomu.

Doctor of Medical Science, Mutu wa Institute of Diabetesology - Tatyana Yakovleva

Ndakhala ndikuphunzira matenda a shuga kwa zaka zambiri. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsa odwala matenda ashuga mellitus. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 98%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipira mtengo wa mankhwalawo. Ku Russia, odwala matenda ashuga mpaka Meyi 18 (kuphatikiza) nditha kuipeza - Kwa ma ruble 147 okha!

Momwe mungapewere kuyambiranso

Popewa kudabwitsanso insulin, akatswiri a ma endocrinologists amalimbikitsa:

• yesetsani kudziwa zomwe zimayambitsa hypoglycemia iliyonse kuti muganizire zolakwa zanu mukamawerenga kuchuluka kwa insulin, mukamakonza menyu komanso zolimbitsa thupi.
• chifukwa musadumire chakudya pambuyo pa insulin, musachepetse kukula kwake, musalole zakudya zama protein ndi protein,
• osamamwa mowa mwa matenda ashuga. Munthawi ya kuledzera, kulumpha mu glycemia ndikotheka, chiwopsezo sicholondola kuwerengera kapena kubaya insulin - za mowa ndi matenda ashuga,
• kanthawi pambuyo pa mankhwalawa, nthawi zambiri kuposa masiku, kuyeza shuga, kudzuka kangapo usiku ndi m'mawa.
• sinthani njira ya jakisoni. Onetsetsani kuti insulin imalowa pansi pakhungu, osati minofu. Kuti muchite izi, mungafunike kusintha singano ndi zazifupi. Osapaka, musatenthe, musamakande, musamayesere malo a jakisoni,
• yang'anirani mosamala glycemia nthawi yogwiritsa ntchito, osati thupi komanso mtima,
• konzani za pakati. M'miyezi yoyamba, kufunafuna insulin kumatha kuchepa.
• mukasintha kuchokera ku insulin yaumunthu ndikufanizira, sankhani kuchuluka kwa kukonzekera kwa basal ndi ma coefficients onse kuwerengera insulin yayifupi,
• Musayambe kumwa mankhwala osakambirana ndi endocrinologist. Ena mwa iwo (mankhwala ochepetsa kuthamanga, tetracycline, aspirin, sulfonamides, ndi ena otero) amalimbikitsa zochita za insulin,
• Nthawi zonse mumakhala ndi ma carbohydrate othamanga ndi glucagon,
• dziwitsani abale, abwenzi, anzanu ogwira nawo ntchito za matenda anu ashuga, awadziwitse ndi zizindikiro zakunjenjemera, phunzitsani malamulo othandizira,
• Valani chovala cha matenda ashuga, ikani kakhadi pozindikira komanso mankhwala osankhidwa mu pasipoti kapena chikwama chanu.

Onetsetsani kuti mwaphunzira! Kodi mukuganiza kuti kuyamwa kwa mapiritsi ndi insulini kwa nthawi yonse yokhayo ndi njira yokhayo yothanirana ndi shuga? Sichowona! Mutha kutsimikizira izi nokha ndikuyamba kuzigwiritsa ntchito. werengani zambiri >>