Hypoglycemia pa nthawi yapakati: kukula kwa hypoklycemic syndrome mwa amayi apakati

Insulin ndi mahomoni omwe amasamutsa shuga kapena magazi m'magazi kupita m'maselo a thupi, pomwe amasungidwa kapena kugwiritsidwa ntchito kuti apange mphamvu. Panthawi yapakati, thupi lanu limatulutsa insulin yambiri yothandizira mwana wanu kukula. Nthawi yomweyo, kukhala ndi pakati kumatha kukupangitsanso kuti usagonje ndi insulin. Ichi ndichifukwa chake azimayi ambiri amakhala ndi matenda ashuga nthawi yapakati.

Ngakhale shuga wambiri (hyperglycemia) amakhala wofala kwambiri panthawi yomwe ali ndi pakati, kusintha kwa thupi lanu pakapita nthawi komanso momwe mumachitira ndi insulin kungapangitsenso kuti magazi anu akhale ochepa. Izi zimayambitsa matenda otchedwa hypoglycemia. Kuwerenga kwa shuga kwama milligram osakwana 60 pa desilita (mg / dl) kumatengedwa ngati hypoglycemia. Hypoglycemia panthawi yapakati imakhala yofala kwambiri mwa azimayi omwe ali ndi matenda ashuga.

Hypoglycemia yolimba mu amayi apakati omwe alibe shuga ndi osowa. Kuchuluka kwa shuga kumatha kutsika kwambiri panthawi yapakati mukachitika chimodzi mwatsatanetsatane:

• Simukudya zokwanira kapena mitundu yoyenera ya zakudya kuti muchepetse shuga. Ngakhale mutakhala ndi zakudya zochuluka motani kapena zingati, mwana wanu adzapitiriza kutulutsa shuga m'thupi lanu. Nthawi zambiri thupi lanu limakwaniritsa izi.
• Mumachita masewera olimbitsa thupi mopitirira muyeso. Ngati thupi lanu lilibe glucose wokwanira kapena simuthanso ndi zina zamafuta, mutha kukhala hypoglycemic.
• Mlingo wanu wa mankhwala a shuga ndiwothandiza kwambiri kuti muchepetse magazi ndipo muyenera kusinthidwa. Ichi ndi chomwe chimayambitsa matenda a hypoglycemia nthawi yapakati.

Hypoglycemia ndi matenda ashuga

Hypoglycemia imatha kukhala mwa amayi apakati omwe alibe shuga, koma izi ndizofala kwambiri mwa azimayi omwe amatenga insulin. Iliyonse mwanjira zotsatirazi za shuga zimawonjezera chiopsezo cha hypoglycemia:

• mtundu 1 shuga
• mtundu 2 shuga
• matenda ashuga

Zizindikiro za hypoglycemia nthawi zambiri zimapezeka mwa amayi apakati komanso mwa anthu omwe alibe pakati. Mulinso:

• kusanza kapena kusanza
• ulemu
• kugwedeza
• kugunda kwa mtima
• thukuta
• nkhawa
• kumangoyandikana pakamwa
• khungu lotuwa

Mwazi wa shuga ukadzuka, zizindikirozi zimazimiririka.

Kuyambukira

Hypoglycemia pa nthawi yapakati ndizofala kwambiri. Amayi omwe ali ndi matenda a shuga amatha kwambiri kuposa azimayi opanda matenda ashuga kuti akumane ndi hypoglycemia. Kafukufuku wina, 23 peresenti ya azimayi omwe ali ndi matenda amtundu woyamba amakhala ndi vuto lalikulu la matenda okomoka kamodzi panthawi yapakati, ndipo ambiri anali ndi angapo. Chovuta chachikulu cha hypoglycemic ndichakuti shuga m'magazi anu amatsika kwambiri kotero kuti mutha kuwonongeka.

Mu kafukufuku wakale, pafupifupi 19-44% ya amayi oyembekezera omwe ali ndi matenda amtundu wamitundu yonse adakumana ndi hypoglycemia.

Zowopsa

Hypoglycemia imatha kuchitika nthawi iliyonse panthawi yapakati. Komabe, zinthu zina zimawonjezera ngozi. Izi zikuphatikiza:

• Kukhalapo kwa matenda ashuga. Zonse ziwiri zamimba komanso matenda a shuga zimayambitsa kusinthasintha kwa insulin. Kuti mupewe shuga wambiri kapena wochepa kwambiri, muyenera kuyang'anira mosamala ndipo mwina mungafunike kusintha mankhwala anu a shuga.
• Khalani mu trimester yanu yoyamba. Hypoglycemia imakhala yodziwika nthawi yoyamba yam'mimba, pomwe azimayi ambiri amakhala ndi mseru komanso kusanza. Pakufufuza kwina, amayi apakati omwe ali ndi matenda amtundu woyamba anali ndi mwayi wofotokozanso katatu za hypoglycemia katatu kuposa momwe anali asanakhalire. Nthawi yovutidwa kwambiri ndi hypoglycemic ndi pakati pa milungu 8 ndi 16 ya bere. Nthawi yocheperako ingakhale yachiwiri.
• Kukhala ndi hypoglycemic khunyu musanabadwe.
• Matendawa. Matenda ambiri amayambitsa kusowa kwa chakudya, ndipo popanda chakudya chokwanira kapena chokwanira, mutha kukhala ndi zigawo za hypoglycemic.
• Kuperewera kwa zakudya m'thupi. Ndikofunikira kumwa zopatsa mphamvu zokwanira panthawi ya pakati. Zakudya zomwe mumadya ziyeneranso kukhala zopatsa thanzi.

Zizindikiro

Dokotala wanu adzakupatsani mtundu wa hypoglycemia malinga ndi zomwe mumawona komanso ma glucose owerenga. Mutha kupemphedwa kuti muwerenge owerenga pang'ono tsiku lililonse ndikujambulitsa. Dokotala wanu angakupatseni mankhwala othandizirana ndi shuga, kapena mutha kuwugula pamalo ogulitsira mankhwala. Shuga wochepa wambiri sizitanthauza kuti muli ndi hypoglycemia yosatha.

Chithandizo ndi kupewa

Mukayamba kuona zizindikiro zilizonse za hypoglycemia:

• Pezani malo pabwino kuti mukhale pansi kapena kunama. Ngati muyendetsa, koka.
• Idyani kapena imwani pafupifupi magalamu 15 a zakudya. Zakudya zopatsa thanzi zambiri nthawi zambiri zimakhala ndi shuga wambiri. Zitsanzo ndi ma 4 a madzi a zipatso (osati chakudya kapena shuga wobwezeretsanso), theka la koloko wowonjezera, mapiritsi 4 a shuga, ndi supuni imodzi ya shuga kapena uchi. Nthawi zonse muzikhala ndi zinthu ngati izi.
• Uzani dokotala wanu za zovuta zilizonse za hypoglycemic zomwe muli nazo.

Ngati muli ndi matenda ashuga, dokotala amayenera kusintha momwe amathandizira kuti azikhala ndi shuga. Simungapatsidwe mankhwala pazomwe zimatchedwa kuti glucagon kit. Chidachi chimakhala ndi mitundu yopanga ya glucagon wamafuta ndi syringe yosabala. Ikaperekedwa, glucagon imapangitsa chiwindi kumasula masitolo a shuga. Izi, zimakweza shuga m'magazi. Amagwiritsidwa ntchito ngati chithandizo chopulumutsa cha hypoglycemia.

Chinsinsi, komabe, chimachepetsa chiopsezo cha hypoglycemia poyambira.

• Idyani zakudya zazing'ono, pafupipafupi, komanso zopatsa thanzi kuti mukhale ndi shuga.
• Mukuthamanga pamene mukugona, onetsetsani kuti mumamwa mu kama wanu kuti mudye ngati mutadzuka usiku kapena chinthu choyamba m'mawa.
• Chitani masewera olimbitsa thupi, pokhapokha ngati dokotala wamukulangizani, koma osapitirira muyeso wanu wanthawi zonse. Zotsatira zakuchulukitsani shuga wamagazi zimatha kukhala mpaka maola 24.

Mavuto

Chiwopsezo cha hypoglycemic mwangozi nthawi yapakati sichitha kuvulaza inu kapena mwana wanu. Izi zikakhala pafupipafupi, pamakhala mavuto. Ubongo umafunika shuga kuti ulandire mauthenga kuchokera mthupi ndikumasulira.

Milandu yayikulu mwa azimayi omwe ali ndi matenda ashuga, hypoglycemia imatha kuyambitsa kukomoka, chikomokere, ngakhale kufa. Mwana wanu amakumananso ndi mavuto omwewo ngati wabadwa ndi hypoglycemia kapena ngati atangobadwa kumene.

Ziyembekezero

Hypoglycemia ndi yachilendo panthawi yapakati ngati mulibe matenda ashuga. Hyprelyent kapena hypoglycemia nthawi zambiri sizimayambitsa vuto lalikulu kwa mayi kapena mwana wake. Palibe njira yodalirika yopewera hypoglycemia, koma mutha kuchepetsa chiopsezo chanu. Idyani pafupipafupi, ndipo ngati muli ndi matenda ashuga, yang'anani shuga wanu wamagazi. Zindikirani zizindikiro za hypoglycemia ndipo auzeni dokotala za zovuta zilizonse zomwe mungakhale nazo.

Kodi vuto la hypoglycemia mwa amayi apakati ndi liti?

Pa nthawi yomwe mayi ali ndi pakati, kukonzanso kwa thupi kumaonekera m'thupi la mayi woyembekezera. Chifukwa cha mahomoni, zosintha zotsatirazi zimachitika mthupi la mayi wapakati:

• Ntchito za Enzymatic zimawonjezeka
• njira za kagayidwe kachakudya mthupi zimathandizira,
• ntchito ya pancreatic ndi chithokomiro imakhala bwino.

Nthawi zambiri zomwe zimatsimikizira ndizakuti kapamba amapanga insulini yambiri, yomwe imatha kukhala chothandizira pakukula kwa hypoglycemia.

Nthawi zambiri m'miyezi itatu yoyamba kubereka, mkazi amakhala ndi nkhawa ya toxosis. Ndi zizindikiro zazikulu, kusanza ndikotheka, ndipo chifukwa chake, kuchepa madzi m'thupi, kuperewera kwa zakudya, kuphatikizapo kuchepa kwa glucose wa plasma komanso kupezeka kwa hypoglycemia.

Hypoglycemia imatha kukhala mwa mayi nthawi yapakati, ngati angaganize kuchepa thupi ndi zakudya zama carb ochepa. Thupi limafunikira michere yochulukirapo kuti munyamule mwana, chifukwa chake, ndikofunikira kudya chakudya moyenera, mogwirizana ndi dokotala.

Wodwala yemwe ali ndi matenda amtundu wa 1 omwe amagwiritsa ntchito insulin, hypoglycemia imatha kuchitika mukamaperewera michere, insulin yambiri, kapena ngati njira yodyetsa mankhwalawo komanso chithandizo chamankhwala sichitsatiridwa bwino. Pafupifupi zifukwa zomwezo zimatha kukhala ndi kuchuluka kwa shuga wa m'magazi ochepetsa matenda a shuga a 2.

Nthawi zambiri, boma la hypoglycemia pa nthawi ya pakati limakhala pa 16-16 milungu. M'miyezi itatu yoyambirira ya mwana, mwana amakula kwambiri, chifukwa chake, kupatuka kulikonse kungakhudze moyo wa mkazi.

Zambiri za hypoglycemia

Kuchuluka kwa glucose m'madzi am'magazi kumachepa, kusowa kwa njira zosiyanasiyana kumachitika. Chikhalidwe cha zovuta izi zimatengera mtundu wa momwe ziliri.

• m'mawonekedwe opepuka
• zolemetsa
• mu otsutsa - hypoglycemic chikomokere.

Vutoli limatha kuchitika mwadzidzidzi kapena pang'onopang'ono. Zimatengera momwe magazi a magazi amatsikira msanga.

Poyamba, momwe zimachitikira zimawonedwa mu ma cell aubongo, chifukwa ndizokhudza kwambiri shuga.

Shuga amathandizira maselo a muubongo. Ubongo umayimira tiziwalo timene timatulutsa adrenaline. Chifukwa cha izi, glycogen yophatikizika pang'ono imasinthidwa kukhala shuga, yomwe imathandiza thupi kwakanthawi kochepa.

Njira yofananira siyingagwiritsidwe ntchito mobwerezabwereza, chifukwa kuchuluka kwa glycogen kumakhala ndi malire. Ngati palibe chomwe chikuchitika pofuna kukhazikitsa shuga m'magazi, ndiye kuti vutoli lidzakulanso.

1. njala yayikulu,
2. chizungulire
3. kumverera kwa nkhawa
4. mutu
5. minofu ikunjenjemera
6. khungu lotuwa
7. arrhasmia,
8. kuchuluka kwa mtima
9. kuthamanga kwa magazi
10. Ndi zovuta, kutha kuzindikira komanso kulephera kwamtima mwadzidzidzi kumatha kuchitika.

Pakubala kwa mwana, hypoglycemia imakhala pachiwopsezo kwa mwana wosabadwayo, yemwe nthawi yomweyo samalandira zakudya zofunikira, kukula kwake kumasokonezeka. Kuchepa kwambiri kwa glucose kapena kulumpha mwachangu m'magazi, mwana wosabadwayo akhoza kufa.

Palinso funso lofunika ngati matenda ashuga amatengera, ndipo sayeneranso kunyalanyazidwa.

Zotsatira za hypoglycemia pa mimba

Hypoglycemia imavulaza mkazi komanso mwana wake wosabadwa. Popeza mkazi amakhala ndi kuphwanya kwa magazi kwa chinthu cham'magazi, amapitiliza kukumbukira ndi kuganiza. Kuphatikiza apo, pankhaniyi, mkazi amatha kudwala matenda a shuga kumapeto kwa pakati pake.

Kwa mwana wosabadwa, vuto la hypoglycemia lingawopseze zotsatirazi:

• mwana akhoza kubadwa ndi chitukuko chamkati, ndiko kuti, ndi kusayenda bwino kwamanjenje, minofu yamitsempha kapena popatuka panjira zosiyanasiyana.
• pali macrosomia wa mwana wosabadwayo, pomwe kulemera kwake kungachuluke, momwe angachitire gawo la cesarean.
• hypoglycemia ikhoza kuyambitsa polyhydramnios,
• kuphwanya ntchito ya placenta,
• kuopseza kuti atayika.

Chinthu chachikulu chomwe muyenera kukumbukira: kuyambitsa chithandizo chofunikira ndikuchotsa zovuta zosafunikira, ndikofunikira kudziwa ngati mayiyo ali ndi hypoglycemia asanafike padera, kapena ngati akuyenera kulandira chithandizo cha matenda a shuga panthawi yapakati.

Poyamba, pali mwayi wopewa matenda ashuga mwa mwana.

Njira zopewera hypoglycemia pa nthawi yapakati

Popewa zovuta zosafunikira, mayi woyembekezera yemwe ali ndi matenda ashuga amayenera kulembetsa kumayambiriro kwa mimba ndi endocrinologist ndi gynecologist kuti amupimidwe pafupipafupi.

Kuteteza mwana wosabadwayo, mayi woyembekezera ayenera kuyang'anira kuchuluka kwa shuga tsiku lililonse. Kuti muchite izi, gwiritsani ntchito glucometer, mwachitsanzo, mawonekedwe a satellite, kapena zingwe zoyeserera.

Shuga yofulumira magazi ndi 3.5-5,5 mmol / L; mukatha kudya, adzakhala 5.5-7.3 mmol / L. Panthawi zosiyanasiyana zobala mwana, kupezeka kwa shuga kumatha kusintha, dokotala amawongolera chizindikirocho.

Ngati mayi woyembekezera ali ndi vuto la hypoglycemia, pomwe akumva kufooka, chizungulire, palpitations, shuga wamagazi osakwana 3.0 mmol / l, ndiye kuti mayiyo amafunika thandizo:

1. Ngati pali kusanza kwambiri, kukhumudwa, wodwala wosazindikira, 1 mg ya glucagon iyenera kutumikiridwa mwachangu. Chida ichi chiyenera kukhala pafupi nthawi zonse.
2. Ngati mayi woyembekezera amatha kumwa, mutha kumupatsa kuti amwe makapu 0,5 a madzi a maapulo, lalanje kapena mphesa. Ndikulimbikitsidwa kuti mumupatse 10 g yankho la 5% shuga. Simuyenera kudya mkaka, zipatso, ndi zakudya zomwe zimakhala ndi fiber, mapuloteni, komanso michere yaying'ono pang'onopang'ono, chifukwa glucose sapangika mwachangu. Kuchedwetsa nthawi kumatha kukulitsa vuto la hypoglycemia.
3. Zowonjezera shuga ziyenera kuyang'aniridwa mphindi 15 zilizonse mpaka zitakhala zabwinobwino. Pokhapokha ngati pali zizindikiro za hypoglycemia, mayi wapakati sayenera kusiyidwa osakhudzidwa ndi madokotala kapena abale, ndikofunikira kupitiliza kum'patsa juwisi m'magawo ang'onoang'ono.

Chithandizo cha hypoglycemia pa mimba

Chithandizo cha hypoglycemia ziyenera kuchitika molingana ndi momwe wodwalayo aliri.

Ngati mayi ali ndi vuto lakuthwa la hypoglycemic ndipo kuchuluka kwake kwa glucose ndi ochepera 3.0 mmol / L, ndiye kuti amafunika chithandizo chamankhwala mwadzidzidzi, glucagon ndi magalamu khumi a yankho la glucose asanu.

Asanafike ambulansi kunyumba, mayi yemwe ali ndi vuto akhoza kupatsidwa theka kapu ya tiyi wokoma kapena madzi a kwawo kuchokera maapulo, lalanje kapena mphesa. Potere, mulingo wa shuga m'magazi ake umayenera kumayezedwa mphindi khumi zilizonse. Kungomusiya yekha sikwabwino, chifukwa ngati vutoli likukulirakulira, mayi woyembekezera sangathe kudzithandiza yekha ndi mwanayo.

Ngati wodwala ayamba kusanza kapena kufinya, ndiye kuti ayenera kubaya jekeseni ya glucagon intramuscularly (10 mg) msanga. Ngati zotere zimachitika kawirikawiri, ndiye kuti nkofunika kuti mkaziyo azikhala ndi mankhwala opangidwa kale.

Ndi mitundu ya shuga yomwe imadalira insulin, ndikofunikira kutenga jakisoni awiri a insulin tsiku lililonse kuti mukhale ndi shuga.

Ndi vuto ili, simuyenera kumwa mkaka, kudya zipatso ndi zinthu zomwe zimakhala ndi mapuloteni, CHIKWANGWANI ndipo pang'onopang'ono chakudya chamafuta, chifukwa glucose wochokera kwa iwo sadzalengedwa msanga.

Ngati, pambuyo pa ola limodzi ndi theka, kuchuluka kwa shuga m'magazi sikumakhazikika, koma kumapitilirabe kugwa, ndiye kuti mayi woyembekezera amayenera kupita kuchipatala mwachangu, komwe amapatsidwa shuga wolimba.

Kupewa

Popewa kukula kwa izi, mayi woyembekezera ayenera kutsatira malamulowa:

Chida china chofunikira chomwe chimayenera kukhala nthawi zonse kwa mayi woyembekezera ndi zingwe zoyeserera kuyeza shuga la magazi. Ubwino wawo ndikuti amatha kudziwa molondola komanso mwachangu kusintha konse kwa shuga, ngakhale mphindi khumi atatha kudya.

Zotsatira zake

Hypoglycemia mwa amayi apakati, monga lamulo, amapezeka pa sabata la khumi ndi chisanu ndi chiwiri la mimba. Ino ndi nthawi yokha yomwe mwana akukula kwambiri, kotero, kusokonezeka kulikonse mu ntchito ya thupi la mayi sikungakhudze thanzi lake lokha, komanso moyo wa mwana wosabadwa.

Nthawi zambiri, hypoglycemia pa mimba imabweretsa zotsatirazi:

Kuphatikiza apo, ngati panthawi yomwe mayi ali ndi pakati makolo onse anali kudwala matenda ashuga, ndiye kuti mwana wosabadwa amakhalanso pachiwopsezo chachikulu chobadwa ndi matendawa.

Pafupipafupi kufala kwa matendawa kuchokera kwa mayi kupita kwa mwana kumakhala pafupifupi 95%. Pofuna kuteteza mwana ku matenda ashuga kwambiri momwe angathere, mayi woyembekezera ayenera kutsatira malangizo onse omwe dokotala amamuwona kuchokera masabata oyamba omwe ali ndi pakati.

Chithandizo chamankhwala kapena chomwe chimakhala kuti “chimasungidwa” sichingakhale chopanda tanthauzo.

Kufotokozera za zomwe zimayambitsa matenda a hypoglycemia titha kupezeka pano.

Tilankhula za zisonyezo za hypoglycemia munkhaniyi.

Ndikofunika kwambiri kukumbukira kuti kuti muthane ndi vuto la hypoglycemia, muyenera kudziwa ngati anali mayi asanakhale ndi pakati kapena ngati anakula motsutsana ndi komwe anakulira. Izi zikuthandizira kusankha njira zoyenera zochizira komanso kuthandiza osati mayi wapakati, komanso khanda.

Mungatani

Chithandizo cha hypoglycemia makamaka chimakhala chofuna kuchepetsa matendawa ndipo chitha kuchitidwa zonse pogwiritsa ntchito mankhwala komanso osagwiritsa ntchito, ndikuwonetsa matendawa mofatsa.

Chifukwa chake, ndi hypoglycemia ya gawo loyamba, kukhala ndi shuga wabwinobwino kumatheka pogwiritsa ntchito chakudya chamagulu, monga zakudya zotsekemera.

Kuwonetsedwa kwa matendawa mu gawo lachiwiri kumafuna kudya kwakanthawi kwamalonda ndi zomanga zam'thupi, monga kupanikizana kapena compote. Monga lamulo, komanso kuchepa kwakanthawi kwamasamba a shuga, ndizotheka kupewa kupita kwa dokotala.

Ndikofunikira kumvetsetsa kuti kudya zakudya monga ayisikilimu, makeke, ndi zina zambiri. osati chifukwa chokwanira chimakhudza thupi, ndikokhala ndi shuga wambiri, zinthu izi zimakhala ndi mafuta omwe amachepetsa mayamwidwe amthupi.

Kodi adotolo amatani?

Mu gawo lachitatu la matendawa, ndikofunikira kufunsa madokotala kuti apereke chithandizo chofunikira chodzidzimutsa, chomwe chili pakupanga njira ya glucose pofuna kupewa edema yaubongo. Nthawi yomweyo, panthawiyi, mayi woyembekezera amagonekedwa m'chipatala kuti aziyang'anira zovuta za hypoglycemia ndikusintha magazi.