Mankhwala a hypoglycemia ndi thandizo la odwala matenda ashuga
Pali matenda ambiri omwe samasokoneza moyo wa munthu, koma amatha kumuwopseza posachedwa. Nthawi zambiri, matendawa amakhudzana ndi kusokonekera kwa ziwalo zazikuluzikulu komanso zofunikira kwambiri mthupi lathu: kuzungulira, kutulutsa, mahomoni, musculoskeletal, ndi zina zambiri. Lero tikulankhula za matenda monga hypoglycemia: Zizindikiro, thandizo loyamba, zomwe zimayambitsa, njira zamankhwala.
Kodi hypoglycemia ndi bwanji?
Hypoglycemia - kachidindo ka ma virus 10 E 16.2 - uwu ndi matenda osowa kwambiri, amadziwika ndi shuga wambiri, kapena shuga, m'magazi. Aliyense amadziwa kuti glucose ndi wofunikira, pafupifupi chofunikira kwambiri pakukula kwa ubongo, kugwira ntchito kwake moyenera, kumathandizira kukumbukira ndikuyang'anitsitsa. Kuphatikiza apo, shuga ndi gawo lofunikira kwambiri lamphamvu ndipo limakhudzidwa mwachindunji ndi mavitamini ena ndi ma amino acid. Ndikosavuta kulingalira momwe thupi limasilira bwino pakusowa kwofunikira.
M'mkhalidwe wabwinobwino, shuga wa magazi a munthu ayenera kukhala 3,8 - 6.5 mmol / L. Koma pazifukwa zina, nthawi zina msambo uwu umatha kutsika mpaka 3,3 mmol / L ndikukhala wotsika kwambiri. Poterepa, pali chiwopsezo chenicheni ku thanzi la wodwalayo ngakhale moyo wake wonse.
Zimayambitsa hypoglycemia
Nthawi zambiri, mavuto a shuga wamagazi amapezeka mwa anthu odwala matenda ashuga komanso anthu omwe amadalira insulin. Chifukwa chake, zikuwoneka kuti hypoglycemia imakhudza makamaka iwo omwe amatenga matenda. Mwambiri, umu ndi momwe zilili, koma hypoglycemia imayambitsa zina, monga:
- Mankhwala osokoneza bongo kwambiri a insulin, izi zimakhudzanso odwala matenda ashuga. Ngati munthawi ya chithandizo wodwala angagwiritse ntchito molondola mlingo wa mankhwalawa, ndiye kuti izi zingayambitse kutsika kwamphamvu kwa shuga m'magazi ndikupangitsa hypoglycemia.
- Kukhumba kosalekeza kwa kuwonda. Zomwe azimayi okha sangachite chifukwa chocheperako komanso mawonekedwe okongola! Zakudya zamitundu mitundu, masiku osala kudya, kusala kudya, chifukwa cha bulimia, anorexia, hypoglycemia. Thanzi liyenera kukhala loyenera, ndipo sizoyenera kuti munthu wina azichotsera pachakudya chilichonse kapena zida zingapo zomangira zomwe ndizofunikira kwa thupi. Izi zimaphatikizapo shuga ndi shuga. Chilichonse chiyenera kukhala choperewera.
- Kuchita zolimbitsa thupi kwambiri. Zikuwonekeratu kuti pamasewera ndi zochitika zina zakunja, timagwiritsa ntchito mphamvu zambiri, ndipo ngati sizipangidwanso ndi shuga, ndiye kuti nthendayi yosasangalatsa imatha.
- Kupsinjika kwakukulu kumatha kugwira ntchito ya endocrine system, kupititsa patsogolo kupanga mahomoni, kuyambitsa ntchito yake yonse. Chifukwa chake, mphamvu zambiri zimafunikira kuti zibwezeretsedwe, pomwe glucose imagwiritsidwa ntchito mwachangu ndikudya. Ngati simubwezeranso nthawi yake, ndiye kuti ibwera mofulumira ku hypoglycemia.
- Hypoglycemia pa nthawi ya pakati imachitika kangapo, chifukwa nthawi zambiri m'malo osangalatsa pamasinthasintha kuchuluka kwa shuga m'magazi. Zofananazi zingatchulidwe ndi azimayi oyamwitsa. Chifukwa chake, panthawiyi, ndikofunikira kuyang'anitsitsa zakudya zanu.
- Kuledzeretsa kuledzera kumapangitsanso hypoglycemia. Izi sizitanthauza kuti wodwala ayenera kukhala chidakhwa, koma ngakhale pambuyo poti mwapita ", kuchitika kwa hypoglycemia kumatha kuchitika.
- Matenda angapo, kuphatikiza ndi matenda ashuga, amathanso kuyambitsa kukula kwa hypoglycemia ngati nthenda yolumikizana. Ena mwa iwo ndi matenda a impso ndi adrenal tiziwalo timene timatulutsa mtima, zotupa zam'mimba, matenda a chiwindi, chiwindi, meningitis. Nthawi zina pamakhalanso zovuta za kubadwa kwa insulin mthupi ndi mayamwidwe a shuga.
Mukuwona kuti odwala matenda ashuga okha ndi omwe ali pachiwopsezo cha hypoglycemia.
Zizindikiro za hypoglycemia
Pamwambapa tidayankha funso, hypoglycemia - ndi chiyani? Zizindikiro zake mwa amayi ndi abambo zimawonekera pafupifupi, komabe, matendawa amapitilira theka lokongola laumunthu, chifukwa chake tikambirana za zizindikiro za matendawa.
Ndiye, kodi hypoglycemia imadziwika ndi zizindikilo ziti?
- thukuta
- kumangokhalira kumva njala
- dzanzi ndi kubinya kwa milomo ndi zala.
- khungu loyera,
- manja ndi miyendo akunjenjemera
- zokonda mtima.
Zizindikiro izi za hypoglycemia zimatha kudwala matenda amitundu iwiri komanso mwa anthu omwe ali ndi thanzi labwino akangoyamba kumene. Ndipo ngati mukumva, ndiye kuti muyenera kuchitapo kanthu kuti muwonjezere kuchuluka kwa shuga m'magazi. chifukwa mukapanda kuyambitsa chilichonse, chitha kukhala chipongwe cha hypoglycemic. Itha kuzindikirika ndi zizindikiro izi:
- tachycardia
- thukuta kwambiri
- dontho lakuthwa pang'ono kutentha ndi kuponderezedwa,
- kukokana
- kutaya kwathunthu kwa chidwi chakunja, kuphatikizapo zomwe zimabweretsa zowawa.
Mukangozindikira chimodzi mwazizindikiro zomwe zili pamwambapa, itanani ambulansi, ndipo pamene akuyenda, mutha kuyeserera kudzithandiza kuwonjezera kuchuluka kwa shuga.
Kuphatikiza pazizindikiro zomwe zili pamwambapa, anthu omwe ali ndi hypoglycemia amathanso kuchita zinthu zina zamisala, ngati amamwa mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo: atha kukhala kuti asokoneza mgwirizano, amakhala ndi nkhawa, samva bwino komanso kumva. khalani tcheru kwambiri ndi malingaliro anu kapena machitidwe a okondedwa, ngati matendawa adawakhudza kuti athe kupereka chithandizo chofunikira munthawi yake.
Mitundu ya Hypoglycemia
Kusowa kwa glucose, kapena hypoglycemia, kumatchulidwa m'mitundu iwiri yayikulu.
- The yogwira hypoglycemia. Madokotala amachitanso kuti "postprandial" ndikumvetsetsa kwake ngati kuchepa kwa shuga wamagazi pambuyo chakudya chachikulu. Zitha kuwoneka kuti ndizododometsa - mutatha kudya, kuchuluka kwa shuga pambali yake kuyenera kuchuluka. koma pamenepa, thupi limayamba kutulutsa insulin yambiri, ndipo zotsatirapo zake zimachitika. Nthawi zambiri mtundu uwu wa hypoglycemia umapezeka mwa iwo omwe adachitidwapo opaleshoni yam'mimba pamimba.
- Osakhalitsa hypoglycemia. Amayamba mwa iwo omwe amakonda zakudya zolimba, kusala, kumwa mankhwala osiyanasiyana kuti muchepetse kunenepa. Nthawi zambiri amapezeka mwa makanda obadwa pasadakhale, omwe minyewa yake yambiri imakhala yaying'ono. ndi mtundu wowopsa wa hypoglycemia womwe uyenera kuthandizidwa.
Chithandizo choyamba cha matenda a shuga
Mankhwala a hypoglycemia ndi ovuta komanso aatali. Nthawi zonse muyenera kumvetsetsa kuti matendawa sangathe kokha, nthawi zonse zimachitika kapena chikugwirizana ndi matenda ena oyambitsidwa, matenda a shuga. Chifukwa chake, pofuna kuchiritsa hypoglycemia, muyenera choyamba kuyika mphamvu zanu zonse pachipatala chachikulu.
Koma nthawi yomweyo, muyenera kukhala okonzeka nthawi zonse kudzipereka nokha kapena kwa anansi anu koyamba kwa hypoglycemia. Simungadziwe komwe kuukira kwa matenda opatsirana kumeneku kungakugwireni, ndipo ngati simutenga nthawi yoyenera, ndiye kuti chilichonse chitha kukhala chodetsa nkhawa kwambiri.
Kuti muchepetse vuto la hypoglycemic mwachangu momwe mungathere, nthawi zonse muyenera kukhala ndi china chokoma ndi inu: caramel, chidutswa cha shuga, chidutswa cha chokoleti, zipatso zotsekemera kapena mapiritsi a shuga. Onetsetsani kuti mwabwera ndi glucometer yomwe mumatha kuyang'anitsitsa shuga yanu yamagazi ndikuisintha moyenerera.
Chifukwa chake, palibe kuukira komwe kungadabwe. Kuphatikiza pa chisamaliro chodzidzimutsa cha hypoglycemia, mukuyenera kutsatira malamulo ena omwe angapewe kudwala, kapena kupangitsa kuti akhale osowa.
Choyamba, simungathe kulumpha zakudya, zodyera zazing'ono zimafunikira mutatha kulimbitsa thupi. Osasokoneza izi ndi kudya kwambiri komanso kususuka. Chilichonse chiyenera kukhala choperewera.
Kachiwiri, muyenera kutsatira zakudya zapadera za hypoglycemia. Monga lamulo, odwala oterewa amasamutsidwa "otchedwa" tebulo 9 ". Pankhaniyi, zakudya zanu za tsiku ndi tsiku ziyenera kukhala ndi zovuta zamafuta, mwachitsanzo, buledi wathunthu, tirigu wophika ndi tirigu wathunthu, zipatso. Athandizira thupi lanu kukhala ndi mphamvu ndipo nthawi yomweyo sadzasungidwa m'malo ovuta kwambiri, omwe nthawi zambiri amachitika ndi mafuta othamanga. Mwa kudya zakudya zotere nthawi zonse, mutha kukhalabe ndi shuga wamagulu.
Kuzindikira matendawa
Mungamvetse bwanji kuti mumadwala matenda a shuga? Kodi kudziwika kwa hypoglycemia pogwiritsa ntchito kachilombo kakang'ono kwambiri 10 E 16.2 ndi kotani?
Timalankhula za njira zazikulu zitatu zomwe madokotala amagwiritsa ntchito kuti adziwe matendawa. Izi nthawi zambiri amatchedwa Whipple triad.
- Kuti muwonetsetse kuti matendawa amayambitsidwa ndendende ndi hypoglycemia, dokotala angakufunseni kuti mugone usiku pamimba yopanda kanthu. Pankhaniyi, ngati matendawa alipo, ndiye kuti m'mawa adzakudziwitsani za zizindikiro zowonjezereka. ngati mwagonekedwa kale m'chipatala, muyenera kufa ndi njala kuchipatala.
- Imafufuzanso shuga wamagazi mukatha kudya. mutatha kudya, wodwalayo amatumizidwa kukayezetsa magazi a shuga, zotsatira zake zalembedwa.
- Kuti tiwonetsetse kuti wodwalayo akuvutika kwambiri ndi hypoglycemia, kukonzekera kwa shuga kumaperekedwa kwa iye, ndipo kusintha kwake kumawonedwa.
Yang'anani thupi lanu ndikukhala athanzi!
Kusintha
Pali magawo atatu a kuopsa kwa hypoglycemia - woopsa, wolimbitsa, komanso wodekha.
- Zizindikiro zotheka: thukuta lakuchulukirachulukira, kuchuluka kwakuchulukirachulukira, tachycardia, dzanzi la lilime, kusokonezeka chidwi, kumva kufooka m'malo otsika, kukhumudwa.
- Giredi yapakatikatiKuphatikiza pazizindikiro zomwe zili pamwambapa, zimawonetsedwanso ndi kunjenjemera kwa thupi, kusokonezeka kowoneka, kuvuta kwambiri kuganiza, kutayika pakulowera zenizeni.
- Madigiri akulu kuwonetsedwa ndi kusazindikira, nthawi zina kumayendetsedwa ndi kukhudzidwa.
Choyamba thandizo kuukira kwa hypoglycemia
Pakakhala vuto la hypoglycemia osataya chikumbumtima, chisamaliro chofunikira chimafunikira:
- pereka wogwiriridwayo ufulu wopumira (kugona pansi kapena kuyika pansi),
- perekani chakumwa chothira shuga ndi madzi (2 tbsp. supuni pa 250 ml ya madzi), idyani chidutswa cha shuga (osapatsa chokoleti, maswiti ndi zotsekemera),
- wodekha akhale wodekha kufikira moyo wake womaliza.
Pakumala kufwa (chikomokere), ndikofunikira kuti mupatse wodwalayo mayendedwe otetezeka, kuyimbira ambulansi, kuwunika momwe wodwalayo asanafike pagululi, ndikukonzekera kutenga njira zodzithandizira ngati pakufunika kutero.
Kodi kuchitira hypoglycemia?
Njira zochizira zimakhala makamaka kuthandizira kuperewera kwa shuga ndi chakudya chamafutamonga glucose mu mawonekedwe a mapiritsi, tiyi wokhala ndi shuga kapena shuga mumtengo.
Anthu akudwala mtundu 1 shugaamakhala ndi vuto la hypoglycemia nthawi zambiri.
Ndikotheka kusintha momwe wodwalayo alili ndi thandizo la mapiritsi a shuga (ogulitsidwa mu mankhwala aliwonse).
Kuphatikiza apo, aliyense amene wakumanapo ndi vuto la hypoglycemia kapena amene akufuna kukhala otetezedwa 100% ayenera kuyambitsa chakudya chamagulu ambiri, zomwe zimakumwa pang'onopang'ono. Zakudya zomanga thupi zotere zimapezeka makamaka mumchenga ndi mkate.
Hypoglycemia Chakudya chopatsa thanzi ziyenera kuchitika nthawi yomweyo, kuchuluka kwa zakudya - osachepera asanu.
Maola atatu aliwonse, muyenera kudya zakudya zazing'ono zomwe zimadzaza ndi mafuta. Nsomba, mpunga, misuzi ya zipatso, kabichi, zopopera, mkaka ndi mtedza ziyenera kukondedwa..
Nthawi yomweyo, kudya zinthu zomwe zimakhala ndi shuga wambiri (ma cookie, maswiti ndi ma confectionery ena) ndizochepa.
Kuchiza ndi wowerengeka azitsamba
Ndimapanga thupit cranberries, adyo, wort wa St. John ndi plantain, kupewa matenda a hypoglycemia.
Garlic ndi Lingonberry chakumwa chatsopano komanso chowonjezera m'mbale, kuchokera ku plantain kapena St. wort mutha kupanga mankhwala.
Zinthu zokhala ndi mavitamini monga hypoglycemia ndizothandiza. blackcurrant, ndimu ndi rosehip.
Chithandizo cha nocturnal hypoglycemia
Mu shuga, ndikofunikira kuwongolera mbiri ya insulin usiku ndikuwona kuchuluka kwa shuga m'magazi pakati pa 1 mpaka 3 m'mawa, komanso pakati pa kudzuka ndi kudya kadzutsa.
Nthawi zina kusintha kwa jakisoni wa insulin wamadzulo kumafunikira maola 17-18 pambuyo pake, ndikuwonjezeka nthawi yomweyo.
Chithandizo cha hypoglycemia mwana
Zimaphatikizapo kudya mkati mwa khumi peresenti yothetsera sucrose kapena shuga, kapangidwe kake komwe sikubweretsa mavuto kwa makolo: ndikofunikira kupasuka 1 tsp. granated shuga mu 50 g madzi.
Mwana akasiya kuzindikirakapena mwadzidzidzi amakomoka pafupipafupi ndi jakisoni wambiri wa shuga (10%), thandizo lachipatala mwadzidzidzi limafunika.
Kupewa
Aliyense yemwe ali ndi matenda a shuga komanso kumwa insulini ayenera kukhala ndi shuga m'mapiritsi, kapena paketi yosavuta ya shuga. Ziwonetsero zoyambirira za hypoglycemia zikachitika, muyenera kumeza pafupifupi 10 g shuga, ndiye ndikofunika (ngati zingatheke) kudya sangweji kapena chidutswa chilichonse cha mkate ndi kumwa tiyi ndi shuga.
Ngati munthu wodwala matenda amtundu wa 1 akumana ndi mphamvu yayikulu, kupewa matenda a hypoglycemic kumafuna kudya kowonjezereka kwa 30 mpaka 40 g.
Chochita ndi hypoglycemia: malangizo kwa wodwala
Mukatha kudya shuga panthawi youkira, muyenera kudya apulo wokoma, kenako kugona kwa mphindi 10kudikirira mpaka zizindikiro zonse zizimiririka.
Chifukwa chake, mutha kuthana ndikuyimira nokha pogwiritsa ntchito zinthu zomwe zimakhala ndi shuga, zomwe zimamwa mwachangu kwambiri ndipo m'mphindi 5 zimachulukitsa kuchuluka kwa shuga m'magazi.
Komabe, izi sizimathandizirabe vuto lililonse, chifukwa shuga yemwe wadyedwa amachititsa kuti shuga azikula kwambiri, omwe amayamba kutsika mofulumira chifukwa cha insulin.
Kuti mulipirire chiwonetsero chachiwiri cha kugunda kwa hypoglycemic, ndikofunikira kutenga mankhwala omwe ali ndi shuga "osachedwa", mwachitsanzo, sangweji yokhala ndi mkate wa rye.
Hypoglycemia - ndi chiyani?
Ndi hypoglycemia imadziwika mkhalidwe womwe umadziwika ndi kuchuluka kwa shuga m'magazi m'munsimu momwe muliri.
Glucose ndiye gwero lalikulu lamphamvu kwa thupi. Hypoglycemia si matenda.
M'malo mwake, ndi chisonyezo cha zovuta zaumoyo. Mukapanda kuwonjezera kuchuluka kwa shuga, omwe amachepetsa mwachangu, munthu akhoza kufa.
Shuga wabwinobwino
Plasma glycemia, yomwe imatsimikizira magwiridwe antchito amthupi la munthu, imayang'anira insulin.
Ngati timadzi timeneti timapangika mosakwanira, kapena minyewa yake imayamba kuyankha zinthu mosakwanira, ndiye kuti kuchuluka kwa shuga m'magazi kumawonjezeka.
Pali miyeso ina yovomerezeka ya azimayi, abambo, ana ndi amayi apakati.
Mwa akazi akulu ndi abambo
Kwa abambo ndi amayi azaka zapakati pa 20 mpaka 49, kuchuluka kwa shuga m'magazi a 3.5-5,5 mmol / L kumadziwika.
Mukamakula, minyewa ya insulin imachepa.Izi zikufotokozedwa ndikuti gawo la zolandila limafa, kulemera kumakulira.
Chifukwa chake, kwa oimira azaka za 50-90, zofunikira za 4.6-6.4 mmol / L zimawerengedwa kuti ndizabwino kwambiri. Kwa anthu omwe adadutsa zaka 90, shuga wa plasma mpaka 6.7 mmol / l amadziwika ndi madokotala ngati abwinobwino.
Miyezo ya shuga kwa ana siyofanana ndi akulu. Mu makanda obadwa kumene wathanzi kuyambira masiku awiri mpaka chaka, shuga amapezeka 2.8-4.4 mmol / l. Pakati pa chaka chimodzi mpaka zaka 14, chizindikiro ichi chimakwera kufika pa 3.3-5.0 mmol / L. Kwa azaka 15-19, muyezo ndi 3.3-5.3.
Mu pakati
Nthawi zambiri, mwa amayi omwe amakhala ndi mwana, vuto la glycemic ndi 3.5-6.6 mmol / l.
Koma, ngati kutenga pakati kumachitika pazaka 30, ndiye kuti zopatuka zazing'ono ndizovomerezeka.
Amayi amtsogolo akuyenera kuwunika kuchuluka kwa shuga: popeza pali chiopsezo chotenga matenda a shuga chifukwa chakuchepa kwa amino acid komanso kuchuluka kwa matupi a ketone. Nthawi zambiri, pakubadwa kwabwinobwino, shuga amadzuka pafupi ndi kutha kwa nyengo yachiwiri kapena yachitatu. Ndiye mtengo wokwanira wafika 7.8 mmol / L.
Posankha kuchuluka kwa shuga, ndikofunikira kuganizira magazi omwe amagwiritsidwa ntchito pokonzanso: kuchokera chala kapena mtsempha. Kupatula apo, zotsatira zake zingasiyane pang'ono. Chifukwa chake, kwa magazi a capillary, mankhwalawa ndi 3.5-5,5, wamagazi a venous - 3.5-6.1 mmol / L.
Zomwe zimachitika
Hypoglycemia imakhala yodziwika bwino kwa odwala omwe ali ndi matenda a shuga a mtundu woyamba (wachiwiri). Koma nthawi zina zimawonedwanso mwa anthu omwe ali ndi insulin yokwanira komanso kuchuluka kwa shuga. Pofuna kupewa matenda a hypoglycemic, ayenera kudziwa zomwe zimachitika ndipo ngati zingatheke, pewani zinthu zomwe zingayambitse vuto lanu.
Omwe amatchedwa "hypoglycemia"
Maselo amthupi amanjenje akufunika kwambiri kwa gwero lamphamvu kwambiri monga glucose (shuga losavuta). Insulin imagwiritsidwa ntchito polimbikitsa kukoka kwa glucose ndi maselo ena amthupi, kuyang'anira kuchuluka kwake m'magazi ndikuchepetsa kupanga ndi chiwindi.
Hypoglycemia ndi mkhalidwe wa wodwala yemwe ali ndi matenda osokoneza bongo pamene jakisoni wa insulin amapangidwa, ndipo kuchuluka kwa shuga m'magazi kumakhala kochepa kwambiri, ndiko kuti, mafuta "amawotchedwa" mwachangu. Izi ndi zomwe zimachitika chifukwa kuthamanga komwe glucose amapangidwira m'chiwindi ndikugwiritsidwa ntchito ndi minofu ina ya thupi sikulingalira bwino ndipo muyenera kudya posachedwa kuti shuga yamagazi isatsike kwambiri.
Zizindikiro zazikuluzikulu ndi hypoglycemia
Ngati shuga m'magazi ndi otsika, adrenaline amapangidwa ndikupanga matenda a hypoglycemia ndi zizindikiro zotsatirazi:
- mawonekedwe a chizungulire,
- nkhawa
- kunjenjemera
- njala ndi thukuta kwambiri.
Izi sizikuwonetsa ngozi, popeza anthu amakakamizidwa kudya zakudya zokhala ndi shuga kapena zakumwa zokha, ndipo adrenaline kapena mahomoni ena omwe amapangidwa munjirayi akuwonetsa kuti kuchuluka kwa shuga m'magazi ndikwabwinobwino.
Komabe, muyenera kukumbukira kuti ngati zizindikiro za hypoglycemia zilipo kwa nthawi yayitali, zimakhala zowopsa, popeza ubongo umalandira pang'ono pang'onopang'ono shuga. Izi zikutanthauza kusokoneza, chisokonezo, mtsogolomo mpaka pakuwonekera kukopeka, ziwalo pang'ono, kapenanso kukayika. Zotsatira zake, ngati simukuthana ndi mankhwalawa a hypoglycemia, ubongo umawonongeka, womwe pamapeto pake umatha kufa.
Momwe mungayimire kuukira kwadzidzidzi ndikupereka chithandizo choyambirira cha hypoglycemia?
Odwala omwe amapezeka ndi matenda osokoneza bongo amadziwa bwino kuti kutsika kwamphamvu kwa shuga m'magazi, kotero amakhala ndi nkhawa nthawi yayitali ponena kuti: bwanji, pakudya milingo yaying'ono ya glucose, kodi kuimitsidwa kwa hypoglycemia kuyimitsidwa?
Tiyeni titenge mwachitsanzo: ngati chimodzi mwazizindikiro za hypoglycemia chikuchitika, ndiye kuti, mukukumana ndi vuto lalikulu la njala, muyenera kuzindikira nthawi yomweyo kukhalapo kwa shuga ndimagazi. Ngati mungadziwe kuti kuchuluka kwa shuga ndikotsika kuposa momwe mumafunira ndi 0,6 mmol / L kapena ngakhale kutsika, muyenera kusiya kuukira kwa hypoglycemia posachedwa.
Ngati mutayezera shuga m'magazi, zimapezeka kuti zachepa, ndipo nthawi yomweyo simukukumana ndi zizindikiro za hypoglycemia, ndikulimbikitsidwa kuwerengera molondola kuchuluka kwa shuga ndi kumwa mapiritsi. Popeza pansi pa shuga, ngakhale mutakhala kuti mulibe zizindikiro, ndikofunikira kudya chakudya cham'thupi mwachangu, chifukwa asymptomatic hypoglycemia ndiowopsa kwambiri kuposa omwe ali ndi zizindikiro zowonekeratu.
Zoyenera kuchita ngati palibe mita pafupi
Zowona zakusowa kwa glucometer ndizosavomerezeka kwa odwala matenda a shuga omwe amadalira insulin. Ngati mukukayikira kuti mwakwanitsa kuthana ndi hypoglycemia, ndibwino kuti musayike pachiwopsezo ndikudya pang'ono shuga kuti mulingo wamagazi ukwere osachepera 2.4 mmol / L. Chifukwa chake, mutha kudziteteza ku hypoglycemia, zotsatira zake zomwe sizingasinthe.
Pimani shuga lanu posachedwa. Mwayi woti ukakulitsidwa kapena kuchepetsedwa ndi wokwera mokwanira. Yesetsani kubwezeretsa shuga ku nthawi zonse komanso osaloleza kusowa kwa glucometer, nthawi zonse muzikhala ndi inu. Ngati kuchuluka kwa mapiritsi a shuga kapena jakisoni wa insulin (momwe mungasungire insulin) yomwe mumayesa kuyimitsa kuukirako ndikwambamwamba kuposa momwe mukufunira, ndiye kuti mudzakhala ndi nthawi yovuta kwambiri.
Kenako, mutatenga mapiritsi a shuga, shuga m'magazi angatsikenso. Chifukwa chake, mphindi 45 mutatha kulandira mankhwala a hypoglycemia, muyenera kuyesanso kuwerenga kwa shuga. Onetsetsani kuti zonse zili bwino. Pokhala ndi shuga wochepa, muyenera kugwiritsa ntchito mapiritsi ena, kenako kubwereza muyeso pambuyo pa mphindi 45. Ndi zina zotero mpaka zinthu zomwe zili m'magazi anu zikubwerera.
Mwa anthu opanda matenda a shuga
Zomwe zimapangitsa kutsika kwa kuchuluka kwa glucose mwa anthu omwe alibe shuga ndi awa:
- kagayidwe kachakudya matenda
- matenda a adrenal genesis (mwachitsanzo, kulephera kwa ziwalo),
- kusala kudya kwanthawi yayitali
- Kugwiritsa ntchito bwino kwa chiwindi (mwachitsanzo, matenda enaake),
- kulephera kwa mtima
- zolimbitsa thupi (zitsogozani kutaya kwathunthu nkhokwe za glucose),
- khansa yam'mimba
- Zovuta za kum'mero,
- matenda opatsirana opatsirana
- kumwa mitundu yina ya mankhwala (kukonzekera sulufule, salicylates, quinine),
- uchidakwa.
Mtundu 1 ndi mtundu wa 2 odwala matenda ashuga
Choyambitsa chachikulu cha hypoglycemia mwa anthu omwe ali ndi matenda osokoneza bongo ndimankhwala osokoneza bongo a hypoglycemic mu mlingo waukulu kuposa momwe thupi limafunira.
Komanso, vutoli limachitika ngati munthu walowetsa insulini ndipo sanadye pa nthawi. Zotsatira zoyipa zimakhala ndi mankhwalawa: Diabines, Glucotro, Diabeteson.
Matenda a shuga amabweretsa zovuta zingapo. Zotsatira zodziwika bwino za matendawa ndi kulephera kwa impso, pomwe shuga m'magazi amatsika pansi. Ngati munthu sanathandizidwe, pamabwera chikomokere ndi matenda a matenda ashuga.
Kuti mudziwe chomwe chimayambitsa hypoglycemia, ndikofunikira kukayezetsa, kukaonana ndi dokotala. Ngati vutoli ndi chakudya, ndiye kuti posintha zakudya, mkhalidwewo umasintha. Ngati pali matenda, muyenera kuchita chithandizo.
Zizindikiro ndi hypoglycemia
Matenda a shuga amawopa mankhwalawa, ngati moto!
Muyenera kungolemba ...
Kutsika pang'ono kwa shuga wa m'madzi nthawi zina kumatha kusokoneza thanzi la munthu. Koma mwakugwa kwina kwamakhalidwe, zizindikilo zamakhalidwe zimabweranso.
Chizindikiro chachikulu chimatengedwa ngati kufooka kwakukulu, komwe kumawonedwa ngakhale kupuma.
Mwa zina mawonekedwe: chizungulire, hyperhidrosis, tachycardia, pallor, kusokonezeka kwa chikumbumtima, kupweteka.
Chizungulire ndi Vutoli
Shuga akamatsika m'munsi mwa 3.5 mmol / L, munthu amayamba kumva chizungulire, ndipo pamakhala zosokonezeka. Chizungulire ndi gawo loyamba kukomoka, momwe zosokoneza mu ntchito ya kupuma ndi mtima dongosolo kumachitika. Ndi zovuta kwambiri za chikumbumtima, kugona kumadziwika.
Tizisesa komanso kuzizira
Kuchita thukuta kwambiri nthawi zambiri kumayenderana ndi kuwukira kwa hypoglycemic.
Izi zikufotokozedwa ndikuti ndimapeto amitsempha yama shuga ochepa amakhudzidwa, zomwe zimakhudza kugwira ntchito kwa thukuta la thukuta. Thupi limapangidwa kuti ligwirizane ndi shuga m'magazi.
Thukuta limamasulidwa nthawi ino, thupi limanyowa. Nthawi zina pamakhala kugwedeza kakang'ono m'manja, kuzizira.
Kukakamira ndi kuwonongeka kwa chikumbumtima
Pokhala ndi shuga yochepa, kukokana nthawi zambiri kumakhala ndi vuto la tonic (minofu imakhala mukuvutikirana kwanthawi yayitali), koma imathanso kukhala clonic (minofu imachita mgwirizano ndikupumula).
Ngati wodwala yemwe wakomoka sathandizidwa, vutoli limuipiraipira: amadzuka, amagwa.
Mwakutero, kupuma kumakhala kopitilira muyeso, kupanikizika kumachepa, ndipo mapangidwe ake amakhala ofooka.
Kukongola kwa khungu
Ndi dontho la glucose m'madzi a m'magazi, munthu amatembenuka pamaso pake, kamvekedwe ka khungu losafunikira. Tsamba la venous likuwoneka bwino. Zizindikirozi sizimawonedwa nthawi zonse ndipo zimakhala ndi vuto lalikulu la hypoglycemia, lomwe lili pafupi ndi chikomokere.
Popeza mwazindikira zoyamba za hypoglycemia, muyenera kuyeza msanga msanga ndi glucometer ndikuchita zoyenera.
Malinga ndi ziwerengero, 4% ya odwala omwe amapezeka ndi matenda osokoneza bongo amamwalira chaka chilichonse chifukwa chokhala ndi vuto la hypoglycemic. Pafupifupi 10% ya anthu (osati odwala matenda ashuga) amakumana ndi zosasangalatsa za kutsika kwamphamvu kwa shuga. Pofuna kupewa zoyipa, muyenera kudziwa momwe mungaperekere chithandizo choyambirira cha hypoglycemia, momwe mungagonjetsere pafupipafupi.
Thandizo loyamba la hypoglycemic
Ngati kuchuluka kwa shuga kwatsika chifukwa cha njala, kuperewera kwa zakudya m'thupi, komanso mankhwala osokoneza bongo a shuga, ndiye kuti muyenera kudya zakudya zomwe zili ndi zakudya zamafuta othamanga:
- kutafuna maswiti 4-6,
- kumwa mapiritsi a shuga atatu,
- imwani kapu imodzi ya mkaka
- idyani supuni ya uchi
- imwani kapu imodzi yachakumwa,
- idyani supuni ya shuga.
Pambuyo pa kotala la ora, kuyesa kwa glucometer ndikofunikira. Ngati thanzi lanu silinayende bwino, ndipo chipangizocho chikuwonetsa zotsatira zosakwana 3.5 mmol / l, ndiye muyenera kudya kena kake kuchokera pamwambapa. Ngati vutoli silikukula, ndiye kuti chithandizo chadzidzidzi chimayitanidwa.
Pofuna kupewa kubwerezanso, timalimbikitsidwa kudya zakudya zomwe zimakhala ndi mafuta (phala, mkate, makeke).
Mankhwala
Kuti muimitse chiwopsezo chachikulu cha hypoglycemia, 40% njira ya glucose mu 40-60 ml imaperekedwa kwa munthu. Ngati izi sizipereka kufunika, ndiye kuti 0,3-0,5 ml ya yankho la 0.1% ya adrenaline hydrochloride imayendetsedwa ndi makolo. Diazoxide kapena Octreotide imagwiritsidwanso ntchito.
Matenda a hypoglycemia amatha kuthandizidwa ndimankhwala otsatirawa:
Zithandizo za anthu
Zomera zina zimakhala ndi matenda oopsa, zimasintha kagayidwe kazakudya. Ichi ndi wort wa St. John, duwa m'chiuno, lingonberry, adyo, oregano, nyanja yamadzi, yarrow. Zochita zake nthawi zambiri amagwiritsidwa ntchito pochiza komanso kupewa hypoglycemia.
Ndalama zotsatirazi ndizothandiza:
- mmera, tirigu, chamomile, wort wa St. John, nyemba zouma, ma hemorrhage otengedwa kuchuluka kwa magalamu awiri, ndi chowawa ndi licorice - gramu imodzi. Zitsamba zimasakanizidwa ndikudzazidwa ndi 400 ml ya madzi. Kuphika kwa mphindi 45 ndikuumiriza. Mankhwala omwe amalandiridwa amatengedwa pamwezi katatu patsiku,
- Leuzea ndi lemongrass zimasakanikirana, zimaswedwa ndikuledzera katatu patsiku.
Mankhwala ndi njira zina ayenera kugwiritsidwa ntchito moyenera kuti asayambitse hyperglycemia. Kuti muchite izi, muyenera kusankha bwino mlingo, kuyang'anira ndi glucometer.
Mutha kupewa kuukira kwa hypoglycemia posintha zakudya zanu, pogwiritsa ntchito chakudya chamagulu.
Zimafunikira kuti musagwiritse ntchito mafuta osavuta opatsirana ndikupatsa chidwi zovuta.
Ndikofunikira kudya m'magawo ang'onoang'ono, koma nthawi zambiri. Kudya calorie bwino kuchuluka kwa 2500 kcal.
Ngati kusinthasintha kwa shuga kumachitika chifukwa chosowa vitamini C, ndiye kuti menyu uyenera kupitilizidwa ndi masamba abwino, zitsamba ndi zipatso. Analimbikitsa chiwindi, walnuts, impso, mazira, mtima, tchizi, chinangwa. Zakudya za mbatata ndizabwino zochepa: amatha kusokoneza kagayidwe kazakudya.
Makanema okhudzana nawo
Zizindikiro zazikulu za hypoglycemia mu kanema:
Chifukwa chake, hypoglycemia imatha kuchitika osati mwa anthu odwala matenda ashuga, komanso mwa anthu omwe alibe matendawa. Zomwe zimayambitsa matenda amtunduwu ndizambiri: kuchokera pa kuperewera kwa vuto la kuperewera kwa zakudya m'thupi komanso kugwiritsa ntchito mankhwala kufikira kukhalapo kwa matenda oopsa. Mulimonsemo, ndikofunikira kuyesedwa ndikuchita zinthu zokhazikika pamlingo wa shuga.