Zoyenera kuchita ndikuwopseza matenda ashuga

Kutengera zifukwa zomwe zimalimbikitsa kukoka, angathe kugawidwa m'magulu oyenera:

hyperglycemia
achina,
ketoacidosis.

Mavuto azadzidzidzi a matenda ashuga ali ndi zomwe amayambitsa ndi zizindikiro zawo. The kupezeka kwa pachimake zinthu zimakhudza zakukula kwa matenda. Kuyambika kwakanthawi kwamankhwala kumatha ndikukula kwa chikomokere, matenda a ubongo, ndi kufa.

Ndikosavuta kuneneratu za kuukira. Zachipatala cha njira iliyonse mu magawo oyamba amabisika pansi pa chida cha concomitant pathology.

Chipatala cha mtundu uliwonse wa matenda obadwa ndi shuga chimakhala chobisika.

Njira zoyambira zopangira matenda amtundu wa metabolic ndizovuta kwambiri, zochitika zolimbitsa thupi, komanso kusowa zakudya m'thupi. Choopsa chachikulu ndicho kuwonongeka kwa matenda ashuga a mtundu 2 kwa okalamba.

Hyperglycemia

Amadziwika ndi kuwonjezeka kwakuthwa kwa shuga m'magazi. Kuphwanya insulin popanga maselo a kapamba kumabweretsa chitukuko.

Pazifukwa zingapo, kukhazikitsidwa kwa kusintha kwa kagayidwe kazakudya, kuchuluka kwa mahomoni amtundu wa contra kumakwera. Kuphwanya malamulo kotereku kumapangitsa kuti shuga agulidwe kwambiri, kuphwanya kugwiritsidwa ntchito kwake.

Kufikira gawo lovuta, glucose amawonekera mkodzo, polyuria, polydipsia amakula. Mawonekedwe amankhwala amatengera cholowa chaimpso. Kusowa kwa madzimadzi munthawi imeneyi kumadzetsa kuchepa mphamvu kwa thupi, komwe m'masiku ochepa kumatha ndikukula kwa hyperosmolar coma.

Hypoglycemia

Kuukira kwamtunduwu kumadziwika ndi kusakwanira kapena ntchito zochepa za mahomoni olimbana ndi mahomoni. Pokhala ndi shuga wambiri m'magazi, njira zomwe zimayambitsa dongosolo la sympathyadrenal zimayamba. Kupezeka kwa kuukira kumatengera ndende ndi kuchepa kwa glycemia.

Ananena mtundu wa kuwonongeka kumachitika mwa odwala omwe ali ndi vuto lomwa mankhwala osokoneza bongo. Hypoglycemia yamtunduwu imayamba ndikusintha kwa pharmacokinetics ya mankhwala ena.

Ketoacidosis

Kuukira kwamtunduwu kumachitika motsutsana ndi maziko a kufooka thupi kwambiri. Shuga wamagazi samatengekedwa ndi maselo amthupi, chosowa mphamvu chimapangidwa. Insulin yokwanira ya m'magazi imatsogolera pakugwiritsa ntchito lipids ngati gwero lamphamvu. Mukukonzekera mafuta oxidation, matupi a ketone amapangidwa omwe amachulukitsa acidity ya magazi, omwe amayambitsa kuledzera kwambiri kwa thupi.

Kukula kwa ketoacidosis kumakhala kofala kwambiri ndi mtundu wina wodwala womwe umadalira insulin. Mitundu yonse ya metabolism imaphwanyidwa, chowopseza cha chikomokere ndi imfa chimapangidwa.

Zoyambitsa kuukira

Zoyambitsa zomwe zimayambitsa matenda a hyperglycemia mu shuga ndi monga:

kuchita masewera olimbitsa thupi mopitirira malire
kulephera kwa impso
nthawi yayitali yovuta
matenda opatsirana
zakudya zopatsa mphamvu zopatsa mphamvu zambiri.

Chomwe chimakonda kwambiri pazosankha zonse ndikuphwanya malangizo pakugwiritsa ntchito mankhwala.

Hypoglycemia imayamba chifukwa cha mankhwala osokoneza bongo a insulin. Zomwe zimathandizira kuti chikhalidwe cha hypoglycemic chichitike ndi izi:

katundu wolemera, wautali,
kuphwanya zakudya
matenda a virus omwe amachepetsa chitetezo chokwanira,
uchidakwa
zovuta za endocrine.

Odwala onse amafunikira kusintha kwa mankhwala a hypoglycemic motsutsana ndi maziko a mankhwala ena. Izi zikuthandizira kupewa kukula kwa hypoglycemia.

Choyambitsa chachikulu cha kuukira kwa ketoacidosis ndi insulin yokwanira m'magazi. Zinthu zingapo zikuluzikulu zomwe zimayambitsa kuukira zadziwika. Izi zikuphatikiza ndi izi:

mankhwala osankhidwa bwino
kusagwirizana ndi malingaliro azachipatala,
kuphwanya boma ndi zakudya,
matenda opatsirana pachimake
pachimake mtima pathologies,
kuvulala ndi maopaleshoni,
matenda a endocrine
zinthu zovuta kwambiri
kulephera kwa aimpso
mimba

Nthawi zambiri, mavuto amatha kupewedwa ndikusunga mosamalitsa malamulo a odwala omwe ali ndi matenda ashuga, ndi chithandizo chanthawi yake.

Zizindikiro za Matenda A shuga

Mavuto owopsa a matenda amtunduwu motsutsana ndi shuga wambiri amadziwika ndi zizindikiro zowoneka bwino komanso kukula msanga.

Kuukira kwa glycemia, kunyalanyaza, kukhoza kufa.

Pa milingo ya glycemia yoposa 10 mmol / l, zizindikiro zotsatirazi zimawonekera:

ludzu losalekeza
ziume zopaka ndi khungu,
kukodza pafupipafupi
kuwonda
kupuma kwambiri
mavuto a dyspeptic.

Kufunafuna chithandizo chamankhwala mosadzaza kumabweretsa chitukuko cha hyperosmolar coma.

Kutsika kwa shuga kwa 2,5 mmol / l kumayendetsedwa ndi zizindikiro zotsatirazi:

khungu
kuzirala, kuchuluka kwa chinyezi cha khungu,
kusanja m'mlengalenga,
palpitations
mota, vuto la kulankhula,
kusintha kwamachitidwe,
kukokana
kulephera kudziwa.

Chithunzi cha matenda azadzidzidzi chimakula mofulumira, patangopita maola ochepa. Kugundidwa komwe sikusiyidwa popanda chifukwa kumatha kupha.

Ketoacidosis imayamba pang'onopang'ono. Kuzindikira kumawonedwa nthawi zambiri ngati chiwonetsero cha matenda ena. Ndikofunikira kuyendetsa glucose wamagazi.

Zizindikiro za ketoacidosis ndi:

kufooka kwakukulu
kutopa,
mutu wofooketsa
kupuma pafupipafupi, kwamphamvu
khungu lowuma
kuchepa kwamtima
Zizindikiro zam'maso
kupweteka kwam'mimba
kusokonezeka kwa chikumbumtima.

Chizindikiro chapadera cha ketoacidosis ndi fungo la acetone kuchokera mkamwa.

Chizindikiro chodziwika chifukwa cha kudzikundikira kwa matupi a ketone m'thupi ndi kununkhira kwa acetone kuchokera mkamwa. Palibe chimodzi mwazinthu zomwe zikukuyambitsa mavuto omwe sayenera kunyalanyazidwa.

Thandizo loyamba

Mkhalidwe wa hypoglycemic uyenera kuyimitsidwa nthawi yomweyo. Zizindikiro zoyambirira zikaonekera, wodwalayo amapatsidwa chakumwa cha shuga, kudya maswiti, shuga. Wodwala waikidwa pambali pake kuti apewe kusanza ndi masanzi. Ndi kukhudzidwa kosagwedezeka, ndikofunikira kuti muchepetse kuluma kwa lilime, kuwonetsetsa kuti misewu yayandikira.

Kusamalidwa kwa dokotala pa prehospital siteji imakhala ndi njira yokhazikika ya 40% ya shuga. Mphindi 30 zilizonse, misinkhu ya shuga imayang'aniridwa. Ngati ndi kotheka, njirayi imabwerezedwanso mpaka pakhale kutentha kwina kwa thupi, kumveka bwino kwa chikumbumtima, kusinthika kwa boma. Ntchito yayikulu ndikuchotsa njala yamafuta, zotsatira zake zomwe zimadziwika ndi kusokoneza ziwalo, kusintha kosasinthika.

Odwala a hyperglycemia ndi ketoacidosis amafunikira insulin mwachangu. Pa prehospital siteji, ndi mtundu uliwonse wamatenda otero, ndikofunikira kuyamba chithandizo cha madzi m'thupi. Makonzedwe a insulin yochepa ndi jakisoni nthawi yovomerezeka ndivomerezeka. Ogwira ntchito zamankhwala amapereka kuwongolera ndikuwongolera kupuma, ntchito yamtima.

Mankhwala othandizira

Odwala omwe ali ndi matenda osokoneza bongo amakhala m'chipinda chachipatala cha odwala osamala kwambiri. Kuchuluka kwa chisamaliro chodzidzimutsa ndikugwiritsa ntchito njira zingapo zobwezeretsanso kuchepa kwamadzi, ma elekitiroferi, komanso kusintha matenda moyenera asidi. Mankhwala a insulin amachitika mosalekeza mosapumira kwa mahomoni osakhalitsa. Chithandizo cha Syndrome chimachitika ngati pakufunika. Njira ya maantibayotiki imayikidwa.

Ndi shuga otsika kwambiri, mbiri ya glycemic, zakudya, ndi concomitant pathology imakonzedwa. Woopsa, pokonzekera insulin, mankhwalawa amagwiritsidwa ntchito mwapadera. Muyenera kufufuza bwino.

Njira zopewera

Cholinga cha njira zopewera kupewa ndikuchepetsa kusinthasintha kwa glycemia. Odwala amaphunzitsidwa maluso ofunikira akamagwira ntchito yomwe imafuna nthawi yayitali, komanso masewera olimbitsa thupi. Posintha zakudya zopatsa mphamvu, zakudya zomwe zimaperekedwa, kutsata kuyesedwa kwa magazi, mutha kulepheretsa kuukira.

Kupewa ketoacidosis kumayambira ndi kupezeka kwa Mlingo woyenera wa mankhwala ochepetsa shuga. Ndikofunikanso kutsatira mosamalitsa zakudya, kugwiritsa ntchito mankhwala kwakanthawi, kuyeza kuchuluka kwa shuga m'magazi.

Kuphatikizika kwa njira zodzitetezera kumaphatikiza maphunziro okakamiza muzizindikiro za kuwonongeka kwa matenda, zofunikira pazochitika zotere.

Gulu ndi zizindikiro za matenda ashuga

Kuukira matenda ashuga kungachulukitse komanso kusatha. Amakhala ndikuwopseza kwambiri ndi zizindikiro zake komanso zotsatira zake. Zotsatira za kudwala matenda ashuga zitha kukhala kulanda matenda a khunyu. Kuchulukitsa kwa matenda ashuga kumakhala koopsa kwambiri kwa wodwala ndipo kumafunikira chithandizo chamankhwala choyenerera. Popanda chithandizo chanthawi yake, wodwala matenda ashuga ndiimfa zimatha kuchitika. Khunyu imagawidwa m'mitundu iyi:

Shuga amachepetsedwa nthawi yomweyo! Matenda a shuga m'kupita kwa nthawi angayambitse matenda ambiri, monga mavuto amawonedwe, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba komanso matenda otupa! Anthu amaphunzitsa zinzake zowawa kuti azisintha shuga. werengani.

hyperglycemia
achina,
matenda ashuga ketoacidosis.

Zomwe zimapangitsa kuti ma pathologies apangidwe akhale:

cholakwika cha kapamba,
kuphwanya malangizowo pakugwiritsa ntchito mankhwala,
Zakudya zopanda chizolowezi,
kuchita zolimbitsa thupi kwambiri
shuga wotsika kapena wapamwamba.

Bweretsani ku zomwe zalembedwa

Zizindikiro za matendawa

Ngati munthu wadwala matenda a shuga a hyperglycemic, adzamva izi:

Zinthu zozungulira zikuwoneka zosamveka
Kubweza
Ululu wam'mimba wam'mimba.

Ngati simupereka chithandizo chofunikira pakukula kwa matenda obwera ndi matenda ashuga, munthu akhoza kudwala matenda ashuga a ketoacidosis.

Ngati kuchuluka kwa shuga kumachepera, wodwalayo amapezeka ndi vuto la hypoglycemic mu shuga mellitus, zomwe zimayambira pazifukwa zosiyanasiyana. Mwachitsanzo, izi zitha kuchitika pambuyo pakumwa mankhwala osokoneza bongo omwe amachepetsa shuga la magazi kapena kukula kwa wodwala ndi vuto la impso kapena chiwindi.

Kuukira kwa matenda ashuga kumawonetsa zizindikiro zake ngati munthu adalumidwa ndi insulin molakwika. Mwachitsanzo, singano idayikidwa mozama kwambiri ndipo chinthucho chidalowa mkwatibwi.

Matenda a shuga ali ndi zizindikiro zotsatirazi:

Kuda nkhawa
Kuchulukitsa chilakolako
Pamaso pake pakasunthika
Thukuta kwambiri
Kuchepetsa mseru
Mtima wamphamvu.

Ngati simupereka chithandizo choyambirira kwa munthu, zizindikirazo zimakulanso pakapita nthawi:

Munthu wasokonezeka
Kumva kunjenjemera miyendo
Acuity owoneka amagwa
Minofu kukokana
Mutu wamphamvu kwambiri.

Zotsatira zake, wodwalayo amasiya kuzindikira ndikukhala wodwala matenda ashuga. Woopsa kwambiri, wodwala ayenera kuchipatala.

Ndi ketoacidosis, kufa kwa maselo a pancreatic beta kumawonedwa, zomwe zimapangitsa kutsekeka kwathunthu kwa insulin mthupi. Mkhalidwe wonyentchera ndi wofanana ndi mtundu wa matenda ashuga 1, ndipo mtundu 2 wonyalanyaza ungayambitse chikomokere pamene kuchuluka kwa insulin m'mwazi kufikira kwambiri.

Mwa zina mwazodwala, amuna amatha kusiyanitsa zisonyezo zotere: miyendo imatupa kapena kuyamba kuzimiririka, kumva kumalumikizidwa ndi zala, kukoka pafupipafupi, pomwe mabala amachira pang'onopang'ono.

Mavuto ena okhudzana nawo

Kuukira kotereku m'matenda a shuga kumakhala provocateurs ya chitukuko cha matenda a urogenital zizindikiro pafupifupi theka la odwala. Izi zimachitika chifukwa cha kuvulala kwakanthawi kazotengera zazing'onoting'ono chifukwa cha kubayira pafupipafupi.

Mofananamo, magazi a wodwalayo amayenda mpaka ziwalo za m'chifuwa. Zonsezi pamodzi zimabweretsa mavuto a potency. Mwa amuna, chilakolako chogonana ndi kupangika zimatha kuchepa kwambiri, kusabereka komanso kusabala, zimayamba, ndipo pamakhala kuchepa kwa chotupa. Ngati kuukira kwa matenda ashuga sikuyimitsidwa pakuyamba kukula, si odwala onse omwe angabwezeretse ntchito.

Mavuto ena odziwika ndi monga kuphwanya kwa magazi kwa ziwalo ndi ziwalo za wodwalayo. Kusintha kotereku kumabweretsa kuwonongeka kwa kukumbukira, kupweteka kwa mutu ndi migraine.

Kuukira kwa matenda ashuga kumatha chifukwa cha kunenepa kwambiri. Nthawi zambiri, kudziwika koteroko kumapangidwa kwa amuna omwe ali ndi matenda a mtundu 2. Ali ndi insulin yomwe imaposa zofunikira zonse, choncho alibe nthawi yogwirizanitsa thupi. Zotsatira zake, zimayikidwa mu mafuta.

Kusintha koteroko pa thanzi la munthu kumabweretsa zovuta zazikulu mu ntchito yamtima. Chifukwa chokhala phee, anthu onenepa kwambiri amakhala ndi nkhawa pamafinya.

Mavuto wamba

Kuukira kwa matenda ashuga kumayendera limodzi ndi kukula kwa matenda ena. Chimodzi mwazodziwika kwambiri mwa amuna ndi zilonda zamapazi. Chifukwa chakusokonekera ndi kutsekeka kwa mitsempha yamagazi, magazi omwe amapezeka kumapeto amasiya.

Izi zimabweretsa kumayambiriro kwa malo omwe ali otentha ndi kukhalapo kwa nthawi yayitali. Pakapita kanthawi, dera lowumbiralo silichiritsa, koma likupitilira kukula. Pali malo a necrotic omwe amatsogolera ku gangore.

Mavuto a shuga angayambitse kukula kwa angiopathy, chifukwa mitsempha yaying'ono ya magazi imasweka, mapepala amawoneka omwe amasokoneza kayendedwe kazachilendo kayendedwe ka magazi. Vutoli limakulirakulira chifukwa chosalandira chithandizo mosayenera kapena pambuyo pake pofunafuna thandizo.

Ngati matenda a shuga ayamba, kuukira kumayendera limodzi ndi kuchuluka kwa ziwalo zamkati. Diso lamaso lilinso pamndandanda wazovuta ngati izi. Chifukwa cha kusayenda bwino kwa ziwiya, wodwalayo amatulutsa khungu kapena myopia. Kuthana ndi zoterezi nthawi zina kumakhala kovuta kwambiri komanso kosatheka.

Zowukira ndi chisamaliro chadzidzidzi cha matenda ashuga

Kwa zaka zambiri osalimbana ndi ma DIABETES?

Mutu wa Bungwe: “Mudzadabwitsidwa kuti kumakhala kovuta motani kuchiritsa matenda a shuga tsiku lililonse.

Nthenda yoopsa yotchedwa matenda ashuga yafika anthu padziko lonse lapansi ngati mliri. Matenda a shuga ndi matenda opatsirana. Matenda osachiritsika amawopseza kwambiri pakukula kwa endocrine. Omwe amadwala matenda a shuga amafotokozedwa kuti ndivuto lalikulu. Kuperewera kwa insulin kumayambitsa kuwonjezeka kwa ndende ya glucose; mitundu yonse ya kagayidwe m'thupi la munthu imasokonezeka.

Zothandiza

Matenda a shuga amakhala ndi zovuta zomwe zimakhala zovuta kapena zopweteka. Kwambiri kwamoyo komanso kowopsa kwa wodwalayo ndi vuto lalikulu lomwe limafunikira thandizo la akatswiri.

Mavuto azadzidzidzi a matenda ashuga akuwonetsa mitundu iyi yamatenda:

achina,
ketoacidosis
hyperglycemia
kupezeka kwa shuga mkodzo,
kwa ndani.

Kupezeka kwaphwanyidwa kumathandizidwa ndi zinthu monga:

zakudya zosakhazikika
zolimbitsa thupi
mankhwala osalamulirika
matenda a kapamba,
shuga wamagazi ochepa.

Matenda a shuga monga zovuta

Kukhazikika kwa minofu ya miyendo kumachitika usiku. Pa mtima wa kukomoka matenda a shuga ndi kusokonezeka kwa kugwira ntchito kwa chingwe cha msana.

Wodwalayo amamva kufooka, ululu, kuperewera. Mu magawo oyamba a matendawa, kukokana kumakhala kanthawi kochepa, kuyamba pamisempha ya ng'ombe.

Khunyu likuwonetsa kusintha kwamitsempha yamagazi. Wodwalayo akumva kupindika, kuthinana ndi minofu, kusandulika kukokana. Acidosis phenomena imathandizira kuwonjezeka kwa minofu.

Ndi chitukuko cha matenda ashuga, thupi limalephera kukhala ndi shuga wokwanira m'magazi. Kusintha kwa madzi am'magazi kumapangitsa kuchepa kwamadzi ndi maselo, chikomokere chimayamba, ndi zosokoneza pakusinthana kwamagetsi.

Shuga amathandizidwa mkodzo, mulingo wa acetone ndi ma ketone m'magazi umakwera. Odwala amamva ludzu lochulukirapo, kamwa yowuma, polyuria. Anthu odwala matenda ashuga amakhala ndi khungu loyipa, chilala chimachepa kapena kutha.

Pa chitukuko chakumaso, zizindikiro monga:

mutu
ntchito yamagalimoto
kuphipha kwa minofu mu miyendo.

Wodwalayo amasokonezeka mu ntchito zam'mimba ndi matumbo, kusanza, ulesi, komanso kukana kumwa madzi. Kuwonongeka kwathunthu kumayamba.

Kusamalira mwadzidzidzi matenda ashuga

Mankhwalawa matenda a shuga a paroxysmal, ntchito yofunika kwambiri ndiyofunikira posamalira odwala mwadzidzidzi. Ndi hyperglycemia, ndikofunikira kupatsa wodwalayo ndalama zomwe zimapangitsa asidi owonjezera pamimba. Pazifukwa izi, gwiritsani ntchito mchere wamchere, njira ya koloko. Wodwalayo amapaka jakisoni ndi insulin monga adanenera dokotala.

Ndi chitukuko cha hypoglycemia, moyo wa munthu umadalira kuthamanga kwa thandizo.

Ndikofunikira kupatsa odwala shuga, shuga, shuga m'magome. Kenako muyenera kuyang'ana shuga wanu wamagazi. Vutolo likakulirakulira, amayitanitsa gulu lodzidzimutsa.

Kupewera kukula kwa zovuta za matenda ashuga ndi ntchito yayikulu wothandizidwa ndi dokotala komanso wodwala. Chifukwa cha zoyeserera pamodzi, ndizotheka kuthana ndi matendawa. Matenda a shuga ndi vuto lalikulu, ndizosavomerezeka kusiya matenda osakonzekera.

Mawonekedwe a matendawa

Zowopsa za matenda ashuga mwa amuna ndi akazi zimawonetseredwa chimodzimodzi ndipo ndizovuta zamwadzidzidzi. Amaphatikizapo: hypoglycemia, hyperglycemia, matenda ashuga ketoacidosis, matenda a shuga.

Zonsezi pamwambapa zimafunika chisamaliro chamankhwala.

Koma zadzidzidzi zisanachitike odwala matenda ashuga, zizindikilo zina zimawonekera.

Hypoglycemia imadziwika ndi kuchepa kwakukuru kwa glucose pazowoneka bwino zamagazi. Izi zimatsogozedwa ndikuwonetsedwa kwapadera, malinga ndi momwe matenda a shuga angayikiridwire. Zizindikiro zotere zimachitika nthawi zambiri popanda chifukwa, ndipo zimaphatikizapo:

Kumva lakuthwa.
Thunder ndi kunjenjemera kwa thupi, kuwonetsedwa nthawi iliyonse masana. Makamaka mawonekedwe a miyendo.
Kusokoneza kwa mawu, kusoweka koyang'ana malo.
Minofu kukokana komwe kumatha kulowa.
Tachycardia mwadzidzidzi, chizungulire, kukhuthala kwa khungu.

Nthawi zina, pali kuphwanya chikumbumtima, izi zimachitika chifukwa cha kutsika kwa glucose mpaka 2.8 mmol / l ndikutsika. Nthawi zina munthu amatha kukomoka popanda zizindikiro zam'mbuyomu - uku ndi kupukusa kwa vuto la hypoglycemic. Ikhozanso kuyamba ngati thandizo siliperekedwa munthawi yake.

Hyperglycemia ndi vuto lina, ndiye kuti, limafotokozedwa ndi kuchuluka kwa shuga m'magazi. Muzochita zachipatala, izi zimaganiziridwa kuti zimachokera ku 10 mmol / l. Amadziwika ndi zizindikiro zotsatirazi:

Pakamwa pakamwa pouma. Chizindikiro ichi chimapezeka mwa odwala onse omwe ali ndi vutoli.
Kukodza pafupipafupi komanso kuwonjezeka kwamkodzo.
Masomphenya opanda pake.
Fungo lamphamvu la acetone kuchokera mkamwa.
Kupweteka kwa paroxysmal mu peritoneum.
Kusanza, kusanza.

Ndi hyperglycemia, chizindikiro choyamba ndi pakamwa pouma

Kuukira kwa matenda ashuga ndi zizindikiro ndizogwirizana komanso ndizofunikira. Ngati simupereka chithandizo choyamba cha hyperglycemia, ketoacidosis imatha kuchitika. Mwanjira imeneyi, Zizindikiro zidzachuluka: wodwalayo amamva kupweteka kwambiri m'mutu, kusanza kosalekeza, komwe kumapangitsa kuti madzi atheretu.

Matenda a Ketoacidosis komanso matenda ashuga ndiwovuta kwambiri matenda ashuga omwe amafunikira kuchipatala mwachangu. Ketoacidosis - kusowa kwathunthu kwa insulinase chifukwa cha kufa kwa maselo a pancreatic beta. Zimachitika makamaka ndi mtundu 1. Coma imapezeka makamaka mumtundu 2 ndipo imatsimikiziridwa ndi shuga wambiri.

Thandizo loyenerera

Zovuta zadzidzidzi za matenda ashuga zimafuna kuchitapo kanthu mwachangu komanso koyenera kwa okondedwa. Kuti mumvetsetse bwino nkhaniyi, muyenera kuyeza kuchuluka kwa shuga. Mlingo wambiri uli kuchokera 14 mmol l ndi kupitilira.

Ngati matenda a shuga atsimikizika, muyenera kuchita chiyani? Insulin yogwira ntchito yayifupi iyenera kuperekedwa mwachangu, kenako ndikuyang'anira pambuyo maola ochepa.

Chotsatira, muyenera kuwunika thanzi ndi wodwala. Amayenera kupereka madzi ambiri, omwe angapangitse mtundu wa alkaline acid kukhala. Ngati izi sizinali ndi zotsatira zomwe akufunazo, wodwalayo amapita kuchipatala mwachangu.

Thandizo loyamba la dibweza zakodZimatenga kuti muchepetse zizindikiro zosasangalatsa.

Ngati shuga alipo ochepa, muyenera kum'patsa tiyi wokoma kapena mkate wopanda chofufumitsa, womwe umakulitsa kuchuluka kwake.

Pambuyo pa izi, wodwalayo akhoza kukhalabe ndi kufooka kwakanthawi komanso kusokonezeka, chifukwa chake simuyenera kuyiwala za kuyitanitsa gulu ladzidzidzi.

Pakaperekedwa chithandizo choyambirira cha matenda a shuga, wodwalayo ayenera kutsatira malangizo a adokotala.

Kuchuluka kwa zolimbitsa thupi zofunika
Imwani zamadzi zambiri
Zakudya zoyenera.

Chisamaliro chodzidzidzimutsa chidzafunika ngati munthu ayamba kusazindikira.

Ndiye chochita ndi kuukira? Yoyamba ndikuyitanitsa akatswiri ndikubaya wodwala ndi glucagen intramuscularly. Kenako munthuyo akhale kumanzere kwake, ndikuyika ndodo m'mano kuti asalume. Nthawi zonse yeretsani patsekelo.

Rubric "Shuga - ndi chiyani?"

Ndikofunika kwa aliyense wa ife kudziwa zomwe zimawonetsa kupezeka kwa matenda ashuga, momwe mungazindikire zovuta za metabolic panthawi yomwe zimachitika, komanso njira zodzitetezera zomwe zilipo.

Gawoli lili ndi zolemba zofotokoza za matenda ashuga, ndikusiyana kotani pakati pa mawonetseredwe am matendawa kwa amayi, abambo, achinyamata ndi achikulire. Pali zolemba pazomwe zimagwira ntchito pakuwonekera kwa thupi la munthu: chidziwitso chothandiza chimathandiza kumvetsetsa chifukwa chake zolephera zimachitika pazochitika zathupi komanso momwe tingapewere endocrine pathologies.

Kuchokera pazomwezo mudzalandira chidziwitso chofunikira kwa anthu omwe ali ndi matenda ashuga - zambiri zokhudzana ndi zakudya, mankhwala, moyo, zochita zolimbitsa thupi, kuchepetsa matenda komanso zovuta zake. Izi zithandiza odwala kukhala okhazikika ndikupewa zovuta zoyambitsa matendawa.

Pang'onopang'ono pazovomerezeka zonse zamankhwala, odwala matenda ashuga, ngakhale atakhala ndi malire ambiri, amatha kukhala moyo wonse, kugwira ntchito, kuyendayenda ndikusangalala ndi mabanja.

Magulu omwe ali pachiwopsezo cha matendawa amaphatikizapo magulu ambiri aanthu - okalamba, onenepa kwambiri, osagwira ntchito, amayi oyembekezera, okonda maswiti ndi moŵa, osuta, ogwira ntchito muofesi komanso oyendetsa magalimoto. Mokulira, munthu aliyense ali ndi chiwopsezo chotenga matenda ashuga ngati samvera zakudya zake, samachita nawo masewera, samayang'anira kuchuluka kwa shuga m'magazi.

Adilesi Yaukonzi: 197101 St. Petersburg, ul. Chapaeva 15 (metro Gorkovskaya) gulu: +7 (905) 2884517

Imelo Adilesi *

Matenda a shuga ndi imodzi mwazofooka komanso zowopsa zamatenda a anthu. Madokotala padziko lonse lapansi amanong'oneza bondo chifukwa chowopsa - kuchuluka kwa anthu omwe ali ndi vuto la kuwononga thupi kumawonjezereka pachaka. Malinga ndi kulosera kwa WHO, podzafika chaka cha 2030 kuchuluka kwa odwala matenda ashuga kudzachulukanso ndikufika pa anthu 500 miliyoni. Komanso, ambiri mwa odwala adzakhala anthu azaka zogwira ntchito.

Ndikofunika kwa aliyense wa ife kudziwa zomwe zimawonetsa kupezeka kwa matenda ashuga, momwe mungazindikire zovuta za metabolic panthawi yomwe zimachitika, komanso njira zodzitetezera zomwe zilipo.

Pang'onopang'ono pazovomerezeka zonse zamankhwala, odwala matenda ashuga, ngakhale atakhala ndi malire ambiri, amatha kukhala moyo wonse, kugwira ntchito, kuyendayenda ndikusangalala ndi mabanja.

Momwe mungapewere

Pofuna kupewa mwachindunji kuukira kwa matenda osokoneza bongo, wodwala amafunika kutsatira zakudya zamagulu ochepa, zowerengera tsiku ndi tsiku.

Ndi matenda ashuga, ndikofunikira kuti muchepetse zakudya zanu.

Popeza hyper- ndi hypoglycemia ndizovuta kwambiri, ziyenera kupewa pakapita nthawi. Pofuna kupewa hypoglycemia, ndikofunikira kukhazikitsa zakudya zanu. Zakudya zovomerezeka osachepera 5 pa tsiku, maola anayi aliwonse. Zochita zolimbitsa thupi ziyenera kukhala zopatsa malire. Odwala omwe ali ndi matendawa amalangizidwa kuti alembe tsiku lenileni ndi nthawi ya zovuta zam'mbuyomu ndipo nthawi zonse amakhala ndi mapiritsi a glucose omwe ndi othandiza kwambiri ku hypoglycemia.

Popewa hyperglycemia, ndikofunikanso kuwunika zakudya.

Mafuta oyera komanso zopopera zamagetsi zosafunikira sayenera kuphatikizidwa, chifukwa cha zovuta za carbo, kuchuluka kwawo kuyenera kukhala kochepa. Zakudya ziyenera kuphatikizapo madzi ambiri ndi kuchuluka kwa zakudya zama protein. Kuchita masewera olimbitsa thupi kumathandizanso kuchepetsa shuga. Musanagwiritse ntchito insulin, muyenera kupanga shuga zingapo zosachepera ziwiri. Ndikosavuta kuneneratu za kuukira ndikuzilepheretsa kuposa kuthana nawo.

Kodi hypoglycemia ndi njira zopewera?

OWERENGA ATHANDIZA!

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Kuopsa kwa matenda ashuga kumayambitsa zovuta zomwe zimakhalapo pomwe wodwala aphwanya malamulo oyambira omwe amalimbikitsidwa kuti apatsidwe matendawa. Chimodzi mwazinthu zoterezi ndi hypoglycemia. Vutoli limadziwika ndi kutsika kwa shuga m'magazi m'munsi mwa zovomerezeka.

Kodi hypoglycemia ndi chiyani?

Glucose amadziwika kuti ndi gawo limodzi lamphamvu zopanga mphamvu mthupi. Ndi zomwe zili zochepa m'magazi, moyo wowopsa umayamba - hypoglycemia. Nthawi zambiri, anthu omwe ali ndi matenda amtundu woyamba amakhala ndi matendawa, koma amathanso kuchitika ndi nthenda yachiwiri. Nthawi zina, matendawa amatha kuonetsa matenda ena komanso mavuto azaumoyo.

Kuchuluka kwa shuga m'magazi okhala ndi hypoglycemia mpaka 3,3 mmol / L. Nthawi ngati izi, maselo aubongo amayamba kusowa shuga ndipo, pakakhala kuti pakufunika njira zina zokhalanso ndi moyo, amatha kufa.

Kuperewera kwa glucose kumawononga ntchito ya ma neurons, komwe kumapangitsa kuti kayendedwe ka kusayenda bwino, kulephera kuganiza molondola ndikudziyimira pawokha zochita.

Ndi zizindikirozi, ndikofunikira kuyamba chithandizo nthawi yomweyo. Kupanda kutero, matendawa amatha kupweteka, omwe amatha kupha.

Amayambitsa matenda a hypoglycemic

Anthu omwe ali ndi matenda ashuga ayenera kutsatira malamulo onse amakhalidwe pa matenda awo, monga:

kutsatira zakudya, zakudya,
imwani mankhwala opangira mankhwala omwe ali oyenera mtundu wa shuga kapena jekeseni wa insulin mosalekeza,
lawani shuga.

Kunyalanyaza izi kungapangitse kukula kwa zotsatira zoyipa kwa wodwala, kuphatikizapo hypoglycemia.

Zomwe zimadzetsa vuto la hypoglycemic:

Kuchuluka kwa thupi la insulin. Nthawi zambiri izi zimachitika mwa odwala omwe ali ndi matenda a shuga omwe amadalira insulin.
Kutalikirana kwakukulu pakati pa zokhwasula, kapena kusowa kwa zakudya zofunika kwa thupi chifukwa cha ntchito, khalani m'malo a anthu. Zikatere, munthu akhoza mosazindikira kunyalanyaza zizindikiro zoyambirira za hypoglycemia, kapena kuchita manyazi kukhala ndi chakudya panjira, atalakwitsa kwambiri.
Kuledzera. Pambuyo pomamwa zakumwa zoledzeretsa, kuchuluka kwa shuga kumatha kuchepa kwakanthawi ngati kumwa mowa sikunayendetsedwe ndi kachakudya, kuphatikizapo chakudya chokwanira.
Zochita zolimbitsa thupi sizinatengedwe chidwi. Kulimbitsa thupi kulikonse kumayendetsedwa ndi kuchuluka kwa minofu ya minofu, kotero kusowa kwa zokhwasula-khwasula isanayambe kapena itatha maphunziro kumabweretsa kutsika kwa shuga.
Kumwa mankhwala ena omwe angawononge chidwi cha ziwonetsero za hypoglycemia.
Kukhalapo kwa odwala kwambiri odwala matenda ashuga polyneuropathy, chifukwa cha momwe maselo amitsempha amakhudzidwa, chidwi cha hypoglycemia chimatayika. Munthu amayenera kuyang'ana shuga pafupipafupi ndi glucometer kuti asafooke kwambiri.
Zakumwa zokwanira. Pankhaniyi, thupi limayamba kugwiritsa ntchito kwambiri mphamvu zachilengedwe za glucose, ndikupangitsa kuchepa kwa magazi ake.

Gulu ndi zizindikiro za matendawa

Dera la hypoglycemic limagawika m'magulu osiyanasiyana malinga ndi kuwonekera kwazachipatala, kuuma, kapangidwe kake ka chitukuko ndi komwe adachokera.

Mitundu yayikulu ya hypoglycemia:

Wosakhalitsa (neonatal). Vutoli limakonda kuyenda ndi ana akhanda ndipo limafotokozedwa ndi kusowa kwa glucogenesis panthawi yakukhala m'mimba. Makanda oyamba asanabadwe omwe ali ndi vuto lotakula kapena obadwa kwa amayi omwe ali ndi matenda ashuga amakonda kuwonetsedwa kwa neonatal hypoglycemia.
Yogwira. Imapezeka mwa anthu onenepa kwambiri pomwe insulin yambiri imapangidwa chifukwa cha kudya kwambiri mafuta.
Mowa Zimapezeka mwa anthu omwe amamwa mowa moperewera.
Usiku uliwonse. Hypoglycemia imachitika pakamagona kuyambira maola 2 mpaka 4, pamene thupi limafunikira kwambiri insulin.Choyambitsa kukula kwake ndi mankhwala osokoneza bongo ambiri omwe amaperekedwa usiku.
Makope. Amawonekera atachitidwa opaleshoni yam'mimba (thirakiti la m'mimba) chifukwa cha kuwonongeka kwa glucose m'magazi.

Kuyambira pomwe mawonetseredwe oyamba amachoka ku chikumbumtima, munthu amakumana ndi madigiri atatu a hypoglycemia, iliyonse yomwe imayendera limodzi ndi zizindikiro zapadera.

Mndandanda wazizindikiro ndi madigiri a hypoglycemia:

ZosavutaKukhazikika kwa gawo ili la hypoglycemia nthawi zambiri kumachitika chifukwa cha zovuta zosiyanasiyana, mantha, kapena zokumana nazo kwambiri.Wodwala pakadali pano akhoza kumva kufooka, kuda nkhawa komanso kuda nkhawa pazifukwa zomwe sakudziwika, kumva pang'ono panjala, tachycardia, kuukira kwa mseru kapena chizungulire PakatikatiKusowa akamwe zoziziritsa kukhosi kapena kugona, malinga ndi nthawi, chakudya chachikuluMunthu amakhala ndi thukuta lozizira, kufooka, kunjenjemera m'mabondo ndi manja, mutu, ndikulira m'makutu. Kuzindikira kwa wodwalayo kumayamba kukula. Kusokoneza pakulankhula, kulephera kuwongolera zochita zawo, khungu limadziwika ndi anthu ozungulira. ZovutaKunyalanyaza zizindikiritso za mtundu wina wa matenda, komanso kukana kudya zakudya zopatsa mphamvuMunthu amalephera kuwongolera vutolo. Amatha kukomoka, kuwonetsa kusowa. Kutentha kwa thupi la wodwalayo kumachepa, ndipo kuchuluka kwa glucose kumatsika pansi pa 2.2 mmol / L

Pa matenda osawerengeka a shuga, odwala amakhala ndi vuto la hyperglycemia, pomwe kuchuluka kwa shuga m'magazi kumadutsa zomwe zili zovomerezeka (zoposa 10 mmol / l). Kubwezeretsanso chizindikirocho kumatha kuyambitsa zizindikiro za "zabodza" mwa anthu awa.

Thupi pankhaniyi limatenga kuchuluka kwa glucose omwe ali mkati mwa 5 mmol / L, omwe amadziwika bwino ndi anthu athanzi, pamtengo wotsika kwambiri. Wodwalayo amayamba kudya zakudya zamafuta ndikuwonjezera mkwiyo wa glycemia.

Ndikofunikira kuti anthu odwala matenda ashuga azitha kusiyanitsa zizindikiro za hypoglycemia zenizeni kuchokera kuzowonekera zabodza ndikuwongolera kuchuluka kwa shuga kuti asatenge zotsatira zowopsa zaumoyo chifukwa cha kugwa mwadzidzidzi ndi kupsinjika kwa shuga.

Thandizo loyamba

Thandizo loyambirira kuthetsa zizindikiro za hypoglycemia limaphatikizapo magawo awiri:

Zakudya zopatsa thanzi
Glycemia control mpaka mfundo zake zikhale bwino.

Chigawo chilichonse cha mkate chimaphatikizapo 12 g yamafuta. Ndi glycemia ochepera 3.5 mmol / l, ndibwino kumwa madzi otsekemera kapena tiyi. Chokoleti kapena keke pankhaniyi sizigwira ntchito, chifukwa zimakhala ndi mafuta, omwe amamizidwa pang'onopang'ono.

Pakadutsa kotala la ola, shuga ayenera kuyezedwa pogwiritsa ntchito glucometer. Ngati kuchuluka kwa shuga kuli pansi 3.9 mmol / L, ndiye kuti muyenera kugwiritsa ntchito 1.5 XE ina, kuyeza shuga pambuyo mphindi 15.

Pakakhala kuwonjezereka kwa chisonyezo, kuyimitsa thupi kuyenera kubwerezedwa ndi cheke chovomerezeka cha chizindikiro chamagazi. Zakudya zamagulu ena zowonjezera shuga zomwe zimawongolera shuga ziyenera kukhala mpaka phindu lomwe lipitirire mita sikupita 3,9 mmol / L.

Ngati munthu sangathenso kudya zakudya zamafuta ndipo alibe chikumbumtima, ndiye kuti muyenera kumuyika kumbali yake ndikuyitanira ambulansi. Kupatsa zakumwa kapena chakudya kwa anthu omwe ali ndi vutoli ndizowopsa, chifukwa akhoza kukwanira. Gulu lachipatala lisanafike, achibale a wodwalayo amatha kumubaya jekeseni wa glucagon, yemwe amagulitsidwa mumagulu apadera a mankhwala. Izi zikuthandizani kupulumutsa moyo.

Mankhwala othandizira

Kusamalira mwadzidzidzi kwa wodwala yemwe sakomoka kapena wofooka kumakhala ndikuthandizira odwala kuchipatala malinga ndi zomwe zikutsatirazi:

Njira yothetsera shuga (40%) imayendetsedwa kudzera mu magazi a 40-60 ml limodzi ndi mankhwala a Glucagon. Ngati glucose akadali yochepa, ndiye kuti dontho limalumikizidwa ndi 5% yankho lomwelo mpaka wodwalayo akadziwikanso.
Jakisoni wa adrenaline amagwiritsidwa ntchito kubwezeretsa kupuma ndi palpitations.
Popewa matenda a edema, jakisoni wa Magnesia amachitidwa.
Ndi isanayambike chikomokere, 150 mg ya hydrocortisone imayendetsedwa kudzera mwa wodwala.

Ngati chikumbumtima sichibwerera kwa munthu patatha maola 4 njira zomwe zatengedwa, izi zikuwonetsa mwayi wambiri wa edema, yomwe imatha kutsogola osati kulumala, komanso kufa.

Zokhudza thupi

Kuukira pafupipafupi kwa hypoglycemia kumawononga ntchito ya ziwalo zonse zamkati.

Zotsatira zake zazikulu:

kukula kwa angiopathy kwamitsempha yamagazi,
Chiwopsezo cha matenda a mtima chikuchulukirachulukira,
bongo wasokonezeka,
stroke ndi matenda amisempha
Matenda a odwala matenda ashuga akupita patsogolo
chikomokere chimabwera.

Kukhala pakhungu nthawi yayitali kumayambitsa kufa kwa maselo aubongo ndipo kumatha kupha.

Kodi mungapewe bwanji ngozi?

Mutha kuchepetsa chiopsezo cha matenda pogwiritsa ntchito njira zopewera, zomwe zikuphatikiza ndi malingaliro otsatirawa:

Dziwani njira zoletsa izi ndikuchotsera zizindikiro zake,
athe kusankha kuchuluka kwa insulin molingana ndi kuchuluka kwa XE yomwe mungakonzekere,
osapitilira muyeso wa mahomoni omwe amaperekedwa,
yang'anirani zakudya ndikutsatira ndondomeko ya jakisoni,
musadumphe zakudya zazikulu, komanso zakudya zokhazikika,
glycemia wam'mawa, komanso kusintha kwa glucose mukatha kudya chilichonse ndi glucometer,
osamwa mowa
Nthawi zonse mumakhala ndi ma shuga, shuga m'magome kapena mafuta osavuta kuti muimitse hypoglycemia poyambilira,
Onetsetsani kuti mwawerengera malangizo omwe mankhwalawo atengere kuti mudziwe momwe magawo awo amakhudzira chizindikiritso cha glucose.
pangani zofunikira zowonjezera zakudya musanayambe masewera olimbitsa thupi kapena kusewera masewera.

Phunziro la kanema pazomwe zimayambitsa ndi zotsatira za kutsika kwa shuga m'magazi mpaka pamlingo wovuta:

Kusakhazikika panthawi yoyambira pa hypoglycemia kumathandiza kupewa kuyambika kwa mawonekedwe ake, pamene kudya mafuta sikungatheke.

Zimakhala zovuta kuthandiza munthu amene ali ndi vuto lofooka, makamaka ngati anthu omwe ali pafupi naye sakudziwa za matenda ake. Ndikofunika kumvetsetsa kuti kupewa kuyambika kwa hypoglycemia ndikosavuta kuposa kuchotsa zizindikilo zake.

Shuga wotsika wamagazi mwa akazi

Shuga wochepa akawonedwa, Zizindikiro zake zimakhazikika mu azimayi, koma nthawi zina mutha kulankhula za matenda akulu - hypoglycemia. Chipangizochi chitha kupezeka ndi ma glucose omwe ali pansi pa 3.3 mmol / L. Hypoglycemia ndimatenda oopsa, chifukwa ubongo wa munthu "umadya" shuga ndipo ngati mankhwalawa sakukwanira, wodwala amakumana ndi vuto. Kukhala ndi chidwi mosamala ndi thanzi lanu kumakupatsani mwayi kuti muzindikire zofunikira za matendawa.

Chifukwa chiyani izi zikuchitika

Zizindikiro za shuga ochepera mwa akazi zimatengera mwachindunji zomwe zimayambitsa matenda. Chifukwa, mwachitsanzo, kuchuluka kwa glucose m'magazi kumatha kutsika m'mawa pokhapokha ngati munthu sanadye chakudya cham'mawa. Zizindikiro zosasangalatsa zidzatha ndi chakudya choyamba.

Zoyambitsa zazikulu za shuga wochepa:

Zolakwika mu zakudya. Nthawi zambiri, zizindikiro za hypoglycemia zimapezeka mwa akazi pakudya. Madokotala amaletsa kukana kwathunthu kapena kuchepetsa kudya tsiku lililonse. Zinthu izi ndiye gwero lalikulu lamphamvu kwa thupi.

Nthawi yayitali pakati pa chakudya kapena njala. Ngati munthu akana kudya kwa maola 8 kapena kupitilira apo, kuyezetsa magazi kumawonetsa shuga wochepa. Ichi ndichifukwa chake anthu ambiri m'mawa amamva Zizindikiro zamatsenga awa. Chotsani iwo adzakuthandizani kadzutsa.
Masewera amachepetsa kuchuluka kwa shuga mwa akazi mwachilengedwe, chifukwa chake, ndikulimbitsa thupi kwambiri, thupi limafunanso chakudya chamafuta ambiri.
Kumwa maswiti pafupipafupi, zakumwa zozizilitsa kukhosi, mowa wambiri zimakhudzanso shuga. Poyamba, shuga m'magazi amakwera kwambiri, kenako ndikugwetsa pansi mwachangu.
Mtengo wochepetsedwa wa glucose utha kujambulidwa mu anthu odwala matenda ashuga motsutsana ndi insulin ndi mankhwala ena omwe amapangidwa kuti achepetse shuga.

Izi sizifukwa zonse zomwe zimayambitsa hypoglycemia.

Zizindikiro zambiri za matendawa

Zizindikiro za hypoglycemia zimagawika m'magulu angapo. Zizindikiro za shuga wochepa wamagazi ndi zomwe zimayambitsa matenda awa zimagwirizanitsidwa.

Kuyankha kwa hypoglycemia ndimomwe thupi limagwirira pomwe glucose amatsika atatha kudya. Pankhaniyi, Zizindikiro zimayankhula za matenda ashuga.

kusokonekera, kusasangalala, kutopa ngakhale mutapuma,
mutu, kusefukira kwa malingaliro,
kupweteka kwa minofu, kulemera kwa mikono ndi miyendo,

nseru ndi zovuta kusanza,
kuwonongeka kowoneka - chophimba pamaso, ntchentche, malupu,
kutuluka thukuta kwambiri.

Nthawi zina, kuchuluka kwa glucose kukagwera pansi pa 2.75 mmol / L, wodwalayo amakumana ndi zovuta zazikulu zamanjenje - wodwalayo akugwirana manja, miyendo imanjenjemera. Zizindikiro zonsezi zimawonetsa matenda ashuga, ndipo mankhwala amphamvu amafunikira kuti muchotse zizindikiro zosangalatsa za matendawa. Dokotala atapereka chithandizo, mayankho a hypoglycemia adzaleka kusokoneza.

OWERENGA ATHANDIZA!

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Zomwe zimayambitsa shuga wochepa, monga kusadya bwino, kupumula nthawi yayitali pakati pa chakudya, nkhawa zowonjezereka zimayambitsa kusowa mphamvu.

Zizindikiro zotsatirazi ndi izi:

kukokana m'miyendo ndi miyendo,
kusintha kwa gait, wodwalayo amasiya kukhazikika,
kusamalira chidwi, kusokoneza,
kufooka, kusafuna kusuntha,
Mavuto olankhula, amakhala osagwira ntchito, amafanana ndi zolankhula za munthu ali chidakwa.

Zizindikiro zotere zikuwonetsa kufunikira kukaonana ndi akatswiri. Dokotala ayenera kudziwa zomwe zimayambitsa hypoglycemia ndikuziwachotsa. Nthawi zambiri, izi zidzakhala zokwanira, ndipo munthuyo sadzadwalidwanso ndi izi.

Ngati chithandizo chamankhwala sichiperekedwa munthawi yake, matendawa amatha kupita patsogolo, ndikuyambitsa zovuta zazikulu. Madokotala adazindikiranso kuti popita nthawi, zizindikiro za hypoglycemia zimangokulira.

Njira yapamwamba yamatendawa imadziwika ndi:

kutsitsa kutentha kwa thupi, kumatha kukhala madigiri 35,5 - 36,5,
mikwingwirima

Zizindikiro zonsezi zimanena kuti wodwala amakhala ndi shuga wochepa kwambiri, kufunika kwake kumakhala kovuta kwambiri.

Nthawi zina, zizindikiro za hypoglycemia zitha kupezeka paliponse, izi zimachitika chifukwa chogwiritsa ntchito mankhwala angapo. Mwachitsanzo, gulu la ophatikiza ndi beta "limaletsa" mawonetseredwe oyambilira a matendawa.

Zizindikiro zausiku

Zizindikiro za hypoglycemia zimatha kudwala ngakhale kugona. Nthawi zambiri, wodwalayo kwa nthawi yayitali sakayikira ngakhale pang'ono kutiusiku wake wasintha. Zomwe zimayambitsa kuwoneka kwa zizindikiro za "nocturnal" zingathenso kukhala zosiyana kwambiri - zolakwika zopatsa thanzi, zotupa zapakhosi, matenda akulu am'mimba, ndi ena.

Kuchuluka kwa shuga m'magazi kungasonyeze:

kutuluka thukuta usiku,
mwangozi amagwa posowa tulo,

maulendo owerengeka - kusuntha, kuyenda, kuseka,
kugona kosagona - zophatikizira mbali ndi pang'ono, kudzutsidwa pafupipafupi.

M'mawa mwake, wodwalayo amadzimva kuti watopa, watopa. Nthawi zambiri wodwalayo amadera nkhawa za mutu.

Izi zikuphatikiza:

zovala zofunda ndi kama m'mawa
kusasangalala m'mawa
kudzuka kwadzidzidzi usiku.

Mutha kuwona pawokha ngati hypoglycemia ikuvutitsa kapena ayi. Kuti muchite izi, ndikokwanira kukhala ndi chakudya chamadzulo ndi nthawi ya chakudya cham'tsogolo, nthawi ya 21: 00 mpaka 22: 00 maora. Ngati m'mawa zizindikiro zosasangalatsa sizingakuvuteni, ndiye muyenera kukaonana ndi dokotala ndikukayezetsa.

Odwala omwe ali ndi matenda a shuga amatha kuyang'anitsitsa kuchuluka kwa shuga ndi glucometer usiku - nthawi ya 01: 00-02: 00 hours. Chizindikiro chotsika ndi chifukwa chachikulu chofunsira thandizo lachipatala kuchokera kwa ochiritsira posachedwa.

Ngati hypoglycemia sichichiritsidwa, wodwala amatha kukumana ndi zovuta zambiri. Onsewa anganene kuti magazi a gasi nthawi zonse amakhala otsika.

Zizindikiro zotsatirazi zamatsenga zimapezeka: