Hypoglycemia mu mtundu 2 matenda a shuga - Zizindikiro ndi kupewa zovuta

Milandu yambiri ya hypoglycemia imagwiritsidwa ntchito osati ndi mankhwala kapena matenda osakhazikika, koma ndi zakudya komanso mavuto azakudya.

• Malabsorption syndrome. Uku ndikulingalira koperewera kwa michere yolandilidwa ndi thupi chifukwa chakusowa kwa michere yam'mimba.

• Chakudya chosasinthika kapena kukakamizidwa kakhwimidwe wina.

• Chakudya chopanda malire chomwe chimakhala ndi mafuta ochepa.

• Kuchita masewera olimbitsa thupi mosayembekezereka, isanachitike kapena pambuyo pake sizinatheke kutenga shuga.

• Kumwa mowa.

• Chikhumbo chochepetsa thupi ndi kudya kwambiri kapena kukana chakudya kwathunthu. Poterepa, odwala matenda ashuga sateteza mlingo wa insulin ndi mankhwala ena.

• Pang'onopang'ono kutulutsa kwam'mimba komanso kudya chakudya chifukwa cha matenda ashuga a m'mimba.

• Kugwiritsa ntchito insulin mwachangu musanadye komanso kuchedwa kudya.

Odwala omwe ali ndi matenda ashuga a 2 osambira sayenera kumva kuwawa kwamphamvu kwaanjala konse kuti akhale ndi thanzi labwino - ichi Chizindikiro choyamba cha kusowa kwa magazi. Chifukwa chake, kusintha kwa zakudya ndi chithandizo ziyenera kuthandizidwa mosamala.

Kumwa mankhwala ochepetsa shuga, ziyenera kukumbukiridwa kuti wodwala aliyense ali ndi glycemia yake yabwinobwino. Kuperewera kwakukulu kwa shuga kumawerengedwa ngati kuchepa kwa 0,6 mmol / L kuchokera pachizindikiro chazomwe chimadziwika. Moyenera, Zizindikiro ziyenera kugwirizana ndi zomwe zimawonedwa mwa munthu wathanzi. Koma nthawi zina odwala matenda ashuga ayenera kupangitsa matenda a hyperglycemia kwa kanthawi.

Zizindikiro zakusowa kwa chakudya zimayamba kuonekera modekha ndipo pamapeto pake zimayamba kutchulidwa.

Chizindikiro choyamba ndikumverera kwa njala. Komanso ndi hypoglycemia amati:

• womvera
• tuluka thukuta
• njala yayikulu
• palpitations ndi kukokana
• anachepetsa chidwi ndi chidwi
• ukali, kuda nkhawa
• nseru

Glycemia ikatsika kwambiri, zotsatirazi zingaoneke:

• kufooka
• chizungulire komanso kupweteka kwambiri mutu
• kusokonezeka pakulankhula, mavuto amawonedwe
• kumverera kwa mantha
• mayendedwe osuntha
• kukokana, kusazindikira

Zizindikiro sizingachitike nthawi imodzi. osati onse. Nthawi zina, anthu omwe amakonda kudumphadumpha, amakhala akudwala matenda ashuga, okalamba, mwina sangawamve kapena samva bwino.

Ena odwala matenda ashuga amakwanitsa kudziwa kuti mu nthawi yake glycemia ndi yotsika kuposa masiku onse, amayeza shuga komanso kumwa shuga. Ndipo ena ambiri amalephera kuzindikira ndipo amatha kuvulazidwa kowonjezereka. Anthu odwala matenda ashuga amakonda kwambiri hypoglycemia, Sizoletsedwa kuyendetsa galimoto kapena kugwira ntchito yomwe moyo wa anthu ena umadalira. Kumwa mankhwala ena amathanso kusokoneza vuto lanu.

Nthawi zina, odwala omwe ali ndi zizindikiro zotere amatha kuchita zosayenera, khalani otsimikiza kuti thanzi lawo lili mwadongosolo mpaka mphindi yakutha kwa chikumbumtima. Zomwe zimachitika mwaukali zimatheka pa upangiri woti amwe mapiritsi, kapena m'malo mwake, kuukira kwa kufooka, kugona, kufoka.

Makamaka chidwi chake chikuyenera kuperekedwa kwa odwala omwe ali ndi matenda ashuga, omwe hypoglycemia imachitika m'maloto. Zikatero, tulo timapuma, kupuma kumachitika pang'onopang'ono komanso kusokonezeka, khungu limazizira, makamaka khosi, thupi limayamba thukuta kwambiri. Mu ana otere, ndikofunikira kuyeza glycemia usiku ndikuchepetsa kumwa kwa insulin kapena kubwereza zakudya. Mwa makanda, kutha kwa kuyamwitsa, ndikofunikira kuti mupange chizolowezi chamadyedwe ochepa a carb.

Njira yokhayo yopewera zovuta ndi yang'anirani kuchuluka kwa shuga anu. Ngati mukumva kuti muli ndi njala, yikani shuga ndikuchita zina kuti muchepetse kuukira. Ngati palibe zizindikiro, koma zikuwonekeratu kuti kunalibe kudya kwakanthawi kapena kuchita masewera olimbitsa thupi, tengani glucose piritsi kuti muchepetse mavuto. Amachitapo kanthu mwachangu komanso mwachidziwikire. Kuwerengera mlingo ndikosavuta, kumalowa m'magazi m'mphindi zochepa. Pambuyo pa mphindi 40-45, muyenera kuyeza kuchuluka kwa shuga ndipo ngati kuli kotheka, bwerezaninso kudya shuga yina pang'ono.

Ena odwala matenda ashuga nthawi zotere amakonda kudya ufa, maswiti, zipatso, zakumwa za zipatso kapena mashuga a shuga. Izi zimatha kudzetsa vuto la hyperglycemia, chifukwa mankhwalawa samakhala ndi "othamanga", komanso "osakwiya" ochulukirapo. Amamezedwa pang'onopang'ono, chifukwa dongosolo la m'mimba limataya nthawi ndikuwasintha. Kuchuluka kwa chakudya "chochepa" m'mahora ochepa mutatha kudya kumapangitsa kulumpha kwakuthwa mu shuga. Glucose wophatikizidwa ndi madzi amatengedwa nthawi yomweyo kuchokera pamlomo wamkamwa. Sikuti nkofunika kumeza.

Mutha kudziwa mosavuta kuchuluka kwa mapiritsi a shuga kuchuluka kwa glycemia. Izi ndizovuta kuchita ndi zinthu. Ngati tili ndi mantha kapena matenda enaake, pamakhala chiwopsezo cha kudya kwambiri komanso kuvulaza thanzi lathu.

Ngati sizotheka kugula shuga, mutha kunyamula nanu magawo a shuga woyengedwa ndikutenga ma cubes awiri awiri kuti muchepetse hypoglycemia.

Ngati wodwalayo salinso kuwongolera ndipo sangathe kuchitapo kanthu, thandizo la ena lidzafunika.

Nthawi zambiri wodwalayo amakhala ofooka, oopsa komanso amakhala kuti alibe chikumbumtima. Sadzatha kutafuna chilichonse chotsekemera kapena kudya piritsi; Ndikwabwino kumwa zakumwa zotsekemera, mwachitsanzo, tiyi wofunda ndi shuga, kapena shuga. Pali ma gels apadera omwe angagwiritsidwe ntchito kupaka mkamwa ndi lilime. Zitha kusinthidwa ndi uchi kapena kupanikizana. Odwala ayenera kuyang'aniridwa pakakhala kuwukira. Njira zanu zikagwira ntchito, ndipo adzatha kuyankha mafunso, zidzakhala zofunikira gwiritsani ntchito mwachangu gluceter kuti mupeze kuchuluka kwa glucose ofunikira mwabwinobwino komanso zomwe zidayambitsa khungu.

Zomwe zimapangitsa izi sizingokhala hypoglycemia zokha, komanso vuto la mtima kapena kupweteka kwa impso, kulumpha mu kuthamanga kwa magazi, chifukwa chake muyenera kusamala kwambiri.

Ngati wodwala matenda ashuga wafafaniza, analimbikitsa:

• chonga ndodo m'mano kuti mano akakomoka asalume lilime lake
• tembenuza mutu wanu mbali imodzi kuti isakunyengeni mate kapena kusanza
• pangani jakisoni wa shuga, osayesa kumwa kapena kudyetsa
• itanani ambulansi

Chifukwa cha izi, pali ngozi ya thanzi.
Ndi hypoglycemia chifukwa chosowa mphamvu, mubongo ndi mtima zimatha kuvutika mosalephera.

Kuchoka osachita bwino kumayambitsa kudumpha mu shuga komanso kuwonongeka kwatsopano muumoyo, kulumpha mu matenda oopsa, vuto la mtima, komanso kulephera kwa impso.

Kulephera kuzindikira kungayambitse kuvulala kwambiri. Kusavomerezeka kulikonse m'magazi kumakhala kovulaza thanzi lathunthu.

Zomwe zikuchitika pakukula kwa matenda amisala

Makina a chitukuko cha hypoglycemia amayamba ngati kuchuluka kwa shuga m'magazi ndi 3.3-4 mmol / L ndikutsikira (3.5-5.5 mmol / L kumawoneka ngati kwachilendo). Chifukwa chachikulu ndi kuphatikiza kwa insulini kwambiri, motero glucose imatha. Thupi likuyesetsa kubwezeretsa shuga, momwe amasungidwira omwe amasungidwa m'chiwindi mu mawonekedwe a glycogen.

Kusintha zinthuzi kukhala glucose, ma contrainsular mahomoni (adrenaline, glucagon, cortisol) amalowa m'magazi.

Ngati sikutheka kudzaza kuchepa kwa shuga, zotsatira zoyipa zimayamba. Kuukira kwa hypoglycemic kumabweretsa vuto muubongo, mphamvu yokhala ndi vuto la kupweteka kwa mitsempha imabweretsa kusokonezeka kwa chikumbumtima, kukomoka, chikomokere.

Pali magawo anayi a hypoglycemia:

1. Hypoxia ya maselo amanjenje, malo ena a ubongo. Wodwalayo amamva kufooka kwa minofu, kupweteka mutu, kuda nkhawa, kugona kwambiri. Kusweka kwamtima ndi thukuta kumawonekera.
2. Zilonda za subcortical-diencephalic dera zimakulirakulira. Nkhope ya munthu imakhala yofiyira, mayendedwe amakhala osokonekera, ndipo machitidwewo amakhala osakwanira.
3. Mkhalidwe wofanana ndi kuukira kwa khunyu umayamba. Kutembenuka kumawonekera, kuthamanga kwa magazi kumakwera, tachycardia ndi thukuta limakulitsa.
4. Ntchito zakumtunda kwa medulla oblongata zimaphwanyidwa, chikomokere chimakula.

Mitundu ya Hypoglycemia

Pali mitundu iwiri ya matenda:

1. Kuthamanga kwa hypoglycemia. Shuga amagwera pambuyo pogona.
2. Hypoglycemia atatha kudya. Amawonekera patatha maola awiri ndi atatu atatha kudya.

Pali nocturnal hypoglycemia. Ndiwopsa chifukwa Zizindikiro zake ndizosatheka kuzindikira. Wodwala akutuluka thukuta, zolota zimayamba kumulota.

Hypoglycemia ya mtundu woyamba wa matenda a shuga siinasiyana pakukonzekera, koma imachitika mofulumira. Zowopsa zimachitika pafupipafupi (pafupifupi nthawi 10), zimakhala kwambiri kuposa odwala omwe ali ndi matenda a shuga a 2. Zizindikiro zakuchepa kwa shuga nthawi zina zimatsala pang'ono kusowa, munthu amathanso kuzindikira.

Nthawi zambiri, hypoglycemia imachitika pochiza matenda a shuga a mtundu wachiwiri omwe ali ndi mankhwala a sulfonylurea kapena ngati mankhwala osokoneza bongo ochuluka. Shuga amatsika pang'onopang'ono, nthawi zina mkati mwa masiku atatu mutangomwa mankhwalawa. Kugwiritsa ntchito mankhwala ochepetsa shuga mu gawo la chiphuphu cha shuga kumabweretsa kuchepa kwa shuga ngati munthu amwa mankhwalawo muyezo womwewo.

1. Kuwerenga molakwika kwa insulin kapena bongo.
2. Makulidwe olakwika a mankhwalawa (jekeseni wa chiberekero m'malo mwa subcutaneous).
3. Kusintha tsamba la jakisoni kapena kudziwonetsa. Mwachitsanzo, kutikita minofu kumabweretsa kuyamwa mwachangu kwa mankhwalawa, zomwe zimapangitsa kulumpha kwa insulin.
4. Kupanga mankhwala atsopano, omwe wodwalayo analibe nthawi yoti azolowere.
5. Kuchita ndi mankhwala ena. Kuzindikira kuchuluka kwa insulin: anticoagulants, barbiturates, antihistamines, aspirin.
6. Mimba, yoyamwitsa.
7. Kuchita masewera olimbitsa thupi mopitirira muyeso.
8. Kulephera kutsatira zakudya, kudumpha zakudya.
9. Zakudya zoperewera, chakudya chamafuta ochepa.
10. Adachepetsa njira zogwirira ntchito, kuthira m'mimba.
11. Kusokonezeka kwa impso, chiwindi.
12. Kumwa mowa, makamaka pamimba yopanda kanthu.

Zizindikiro za hypoglycemia

Wodwala wodwala matenda a shuga ayenera kuzindikira zizindikiro za hypoglycemia munthawi. Ngati simuletsa kuukira, kusintha kosasintha komwe kumachitika m'thupi, munthu akhoza kufa kapena kulumala. Pali hyperglycemia wofatsa komanso wowopsa. Poyambirira, mkhalidwe wa pathological ukuwonetsedwa ndi mawonekedwe amtundu, omwe akuphatikizapo:

• Kutukwana
• Kutentha
• Khungu,
• Kufika pamtima
• Kuyamba kwadzidzidzi kwanjala
• Kusakwiya
• Kuda nkhawa
• Kutopa
• Kufooka minofu
• Chizungulire
• Ululu m'mutu
• Maonekedwe a "goosebumps" pakhungu,
• Zowonongeka
• Kuchuluka kwa zala
• Khansa ya m'mimba, kutsegula m'mimba,
• Kukodza pafupipafupi.

Ngati wodwalayo sangathe kubwezeretsa shuga, ndikuchepa kwake (mpaka 1.7 mmol / L ndi kutsika) hypoglycemia imayamba. Munthu amatha kugwa, komwe kumayendetsedwa ndi zosokoneza zina. Zizindikiro za hypoglycemia yayikulu ndi:

• Kuika chidwi, masomphenya, mgwirizano,
• Kusintha kwamphamvu pamakhalidwe (mwachitsanzo, kuwonetsera wankhanza),
• Zizindikiro
• Kutaya chikumbumtima
• Zingwe
• Kufa ziwalo
• Stroko

Ndi kukula kwa mawonekedwe owopsa, munthu sangathe kudzithandiza wokha.

Madokotala amati kuwukira kwa hypoglycemic mwa wodwala aliyense kumadziwonetsera mosiyana, kotero, zisonyezo za matenda zitha kukhala zokhazokha.

Si onse odwala matenda ashuga omwe amawona njira ya hypoglycemia, omwe ali pachiwopsezo ndi odwala omwe ali ndi matenda ashuga kwa nthawi yayitali, okalamba ndi omwe amadwala pafupipafupi. Nthawi zina wodwalayo amangomva kupindika pang'ono.

Zizindikiro za hypoglycemia zimapangidwira pazifukwa zina. Izi zikuphatikiza:

• Fibrosis, necrosis ya minofu ya adrenal gland,
• Mitundu yayikulu ya neuropathy, yomwe imayamba motsutsana ndi maziko a kusokonezeka kwa mitsempha,
• Glucose wotsika kwa nthawi yayitali,
• Kutenga beta blockers, mankhwalawa nthawi zambiri amadziwikiritsa pambuyo pa vuto la mtima,
• Zakudya zoyipa zomwe zili ndi chakudya chamagulu ambiri.

Mu izi, tikulimbikitsidwa kuyeza glucose pafupipafupi ndi glucometer. Zotsatira zake zimatsika ndi 3.5 mmol / l, njira ziyenera kuchitidwa kuti ziwonjezeke.

Mavuto a hypoglycemia

Kutsika kwa shuga kumayambitsa zovuta izi:

• Kuchepetsa ubongo ntchito,
• Kuchulukitsa mamasukidwe amwazi,
• Matenda a mtima, sitiroko,
• Hypersensitivity to hypoglycemia,
• Mu ana - kubweza m'maganizo, kusokonezeka kwa mitsempha.

Hypoglycemia pa nthawi yapakati imawonjezera mwayi wokhala ndi vuto lobadwa m'mwana wosabadwa.

Kuchepa kwa zovuta kumakulirakulira mwa anthu achikulire, makamaka akakhala onenepa kwambiri.Vuto lalikulu ndi kuperewera kwa mutu kumene kumabweretsa kulumala kapena kufa.

Zoyenera kuchita ngati vuto la hypoglycemia

Njira zothamangira ndizofunikira kale ngati zizindikiro za hypoglycemia zikuwoneka. Kuukira kumayendetsedwa ngati mutsimikizira kuti chakudya chamagulu am'mimba otentha chitha kuchepa. Kuti muchite izi, yenere:

• Tiyi yabwino
• Mabisiketi
• Wokondedwa (tebulo la 2-3. L.),
• Madzi a lalanje
• Maswiti (ndibwino kupatsa chidwi ndi caramel)
• Shuga

Mapiritsi a glucose amatha kugwiranso ntchito. Ndi matenda a shuga a 2, pali ubale wolunjika pakati pa kuchuluka kwa chakudya chamafuta ndi kuwonjezereka kwa shuga: imakwera ndi magawo awiri. mutatha kumwa 2 g shuga. Mapiritsi oterowo amathetsa kufunika kwa kudya zakudya zosavomerezeka ndikuletsa kukomoka. Pambuyo pake, kuthetsa njala yanu pakudya zakudya zovomerezeka zotsika mtengo.

Mutatha kumwa chakudya, dikirani mphindi 15. Ngati palibe kusintha, idyani izi. Kuwonongeka kwa thanzi ndi chifukwa chabwino chothandizira kuchipatala mwachangu.

Ngati munthu watsala pang'ono kufa, sangathe kutafuna shuga kapena mapiritsi. Mpatseni yankho la shuga (amagulitsidwa ku pharmacy). M'malo mwake, mutha kudzipangira nokha shuga. Onetsetsani kuti wodwalayo akumeza yankho. Malondawa amakhala ndi mphamvu kwa mphindi 5. Pambuyo pake, muyenera kuyeza kuchuluka kwa shuga.

Munthu amene wasowa chikumbumtima ayenera kukhazikitsidwa pabedi (pambali pake kapena pamimba pake). Gwiritsani ntchito chopukutira kuti mumasule pakamwa pake padzulu, zinyalala za chakudya. Pezani mpweya wabwino potsegula zenera. Kenako itanani ambulansi.

Ndi chikomokere, kuyambitsidwa kwa glucagon ndi yankho la shuga wokhazikika pamafunika, izi zimachitika ndi madokotala azadzidzidzi. Mutha kugula zida zapadera zotchedwa Glucagon kuti zithandizire mwadzidzidzi. Amamasulidwa pa mankhwala. Jakisoni amachitika intramuscularly, pakatha mphindi 20. munthuyo adzakhalanso kuzindikira.

Kupewa

Ndikofunika kulabadira njira zopewera matenda a hypoglycemia, chifukwa kugwidwa pafupipafupi kapena kwanthawi yayitali kumabweretsa zotsatirapo zosasinthika.

1. Yang'anani shuga lanu lamoto tsiku lililonse ndi mita yamagazi.
2. Ngati hypoglycemia ikukayikira, pimani shuga posachedwa. Ngati chizindikirocho chikutsika ndi 0,6 mmol / L (poyerekeza ndi chizolowezi), gwiritsani ntchito njira zomwe zanenedwa pamwambapa.
3. Funsani katswiri wazakudya kuti adye zakudya zoyenera.
4. Idyani tsiku lonse ndi nthawi yayifupi. Mautumiki azikhala ochepa. Ndikulimbikitsidwa kudya maola atatu aliwonse.
5. Sankhani kuchuluka kwa zochita zolimbitsa thupi kutengera ndi thanzi, thanzi lanu.
6. Ndi masewera olimbitsa thupi omwe amakhala nthawi yayitali, imwani zakudya za mapuloteni ndi zakudya zokhala ndi chakudya chambiri ola lililonse (sangweji ya nyama ndi yoyenera).
7. Siyani mowa.
8. Kunyamula mapiritsi a shuga (kapena maswiti, shuga).
9. Yang'anirani kutalika kwa nthawi yopuma pakati pa kudya ndi insulin.
10. Funsani dokotala wanu kuti muthe kuleka kukonzekera kwa sulfonylurea. Kuchepa kwa hypoglycemia kumachepetsedwa pogwiritsa ntchito insulin ndi njira yotsika mtengo.
11. Adziwitseni achibale, abwenzi ndi anzanu za zizindikiro za hypoglycemia, momwe mungaletsere, kuti akuthandizireni ngati pakufunika.
12. Tengani cholembera limodzi ndi pomwe chidziwitso chikuwonetsedwa. Mutha kugula chibangili chapadera. Izi zipangitsa kuti ena akupatseni thandizo lokwanira ngati mwadzidzidzi mwadzidzimuka simukuzindikira.

Hypoglycemia mu mtundu 2 matenda a shuga - Zizindikiro ndi kupewa zovuta

Hypoglycemia mu mtundu 2 wa shuga ndi zovuta kwambiri, zomwe zimayendera limodzi ndi kuchepa kwenikweni kwa shuga m'magazi. Pathology imakula mwachangu, kwenikweni mkati mwa theka la ola. Pokhapokha pakufunika njira zoyenera, hypoglycemia imabweretsa kuwonongeka kwa ubongo, imfa.

Makina a chitukuko cha hypoglycemia amayamba ngati kuchuluka kwa shuga m'magazi ndi 3.3-4 mmol / L ndikutsikira (3.5-5.5 mmol / L kumawoneka ngati kwachilendo). Chifukwa chachikulu ndi kuphatikiza kwa insulini kwambiri, motero glucose imatha. Thupi likuyesetsa kubwezeretsa shuga, momwe amasungidwira omwe amasungidwa m'chiwindi mu mawonekedwe a glycogen.

Kusintha zinthuzi kukhala glucose, ma contrainsular mahomoni (adrenaline, glucagon, cortisol) amalowa m'magazi.

Ngati sikutheka kudzaza kuchepa kwa shuga, zotsatira zoyipa zimayamba. Kuukira kwa hypoglycemic kumabweretsa vuto muubongo, mphamvu yokhala ndi vuto la kupweteka kwa mitsempha imabweretsa kusokonezeka kwa chikumbumtima, kukomoka, chikomokere.

Pali magawo anayi a hypoglycemia:

1. Hypoxia ya maselo amanjenje, malo ena a ubongo. Wodwalayo amamva kufooka kwa minofu, kupweteka mutu, kuda nkhawa, kugona kwambiri. Kusweka kwamtima ndi thukuta kumawonekera.
2. Zilonda za subcortical-diencephalic dera zimakulirakulira. Nkhope ya munthu imakhala yofiyira, mayendedwe amakhala osokonekera, ndipo machitidwewo amakhala osakwanira.
3. Mkhalidwe wofanana ndi kuukira kwa khunyu umayamba. Kutembenuka kumawonekera, kuthamanga kwa magazi kumakwera, tachycardia ndi thukuta limakulitsa.
4. Ntchito zakumtunda kwa medulla oblongata zimaphwanyidwa, chikomokere chimakula.

Pali mitundu iwiri ya matenda:

1. Kuthamanga kwa hypoglycemia. Shuga amagwera pambuyo pogona.
2. Hypoglycemia atatha kudya. Amawonekera patatha maola awiri ndi atatu atatha kudya.

Pali nocturnal hypoglycemia. Ndiwopsa chifukwa Zizindikiro zake ndizosatheka kuzindikira. Wodwala akutuluka thukuta, zolota zimayamba kumulota.

Hypoglycemia ya mtundu woyamba wa matenda a shuga siinasiyana pakukonzekera, koma imachitika mofulumira. Zowopsa zimachitika pafupipafupi (pafupifupi nthawi 10), zimakhala kwambiri kuposa odwala omwe ali ndi matenda a shuga a 2. Zizindikiro zakuchepa kwa shuga nthawi zina zimatsala pang'ono kusowa, munthu amathanso kuzindikira.

Nthawi zambiri, hypoglycemia imachitika pochiza matenda a shuga a mtundu wachiwiri omwe ali ndi mankhwala a sulfonylurea kapena ngati mankhwala osokoneza bongo ochuluka. Shuga amatsika pang'onopang'ono, nthawi zina mkati mwa masiku atatu mutangomwa mankhwalawa. Kugwiritsa ntchito mankhwala ochepetsa shuga mu gawo la chiphuphu cha shuga kumabweretsa kuchepa kwa shuga ngati munthu amwa mankhwalawo muyezo womwewo.

1. Kuwerenga molakwika kwa insulin kapena bongo.
2. Makulidwe olakwika a mankhwalawa (jekeseni wa chiberekero m'malo mwa subcutaneous).
3. Kusintha tsamba la jakisoni kapena kudziwonetsa. Mwachitsanzo, kutikita minofu kumabweretsa kuyamwa mwachangu kwa mankhwalawa, zomwe zimapangitsa kulumpha kwa insulin.
4. Kupanga mankhwala atsopano, omwe wodwalayo analibe nthawi yoti azolowere.
5. Kuchita ndi mankhwala ena. Kuzindikira kuchuluka kwa insulin: anticoagulants, barbiturates, antihistamines, aspirin.
6. Mimba, yoyamwitsa.
7. Kuchita masewera olimbitsa thupi mopitirira muyeso.
8. Kulephera kutsatira zakudya, kudumpha zakudya.
9. Zakudya zoperewera, chakudya chamafuta ochepa.
10. Adachepetsa njira zogwirira ntchito, kuthira m'mimba.
11. Kusokonezeka kwa impso, chiwindi.
12. Kumwa mowa, makamaka pamimba yopanda kanthu.

Wodwala wodwala matenda a shuga ayenera kuzindikira zizindikiro za hypoglycemia munthawi. Ngati simuletsa kuukira, kusintha kosasintha komwe kumachitika m'thupi, munthu akhoza kufa kapena kulumala. Pali hyperglycemia wofatsa komanso wowopsa. Poyambirira, mkhalidwe wa pathological ukuwonetsedwa ndi mawonekedwe amtundu, omwe akuphatikizapo:

• Kutukwana
• Kutentha
• Khungu,
• Kufika pamtima
• Kuyamba kwadzidzidzi kwanjala
• Kusakwiya
• Kuda nkhawa
• Kutopa
• Kufooka minofu
• Chizungulire
• Ululu m'mutu
• Maonekedwe a "goosebumps" pakhungu,
• Zowonongeka
• Kuchuluka kwa zala
• Khansa ya m'mimba, kutsegula m'mimba,
• Kukodza pafupipafupi.

Ngati wodwalayo sangathe kubwezeretsa shuga, ndikuchepa kwake (mpaka 1.7 mmol / L ndi kutsika) hypoglycemia imayamba. Munthu amatha kugwa, komwe kumayendetsedwa ndi zosokoneza zina. Zizindikiro za hypoglycemia yayikulu ndi:

• Kuika chidwi, masomphenya, mgwirizano,
• Kusintha kwamphamvu pamakhalidwe (mwachitsanzo, kuwonetsera wankhanza),
• Zizindikiro
• Kutaya chikumbumtima
• Zingwe
• Kufa ziwalo
• Stroko

Ndi kukula kwa mawonekedwe owopsa, munthu sangathe kudzithandiza wokha.

Madokotala amati kuwukira kwa hypoglycemic mwa wodwala aliyense kumadziwonetsera mosiyana, kotero, zisonyezo za matenda zitha kukhala zokhazokha.

Si onse odwala matenda ashuga omwe amawona njira ya hypoglycemia, omwe ali pachiwopsezo ndi odwala omwe ali ndi matenda ashuga kwa nthawi yayitali, okalamba ndi omwe amadwala pafupipafupi. Nthawi zina wodwalayo amangomva kupindika pang'ono.

Zizindikiro za hypoglycemia zimapangidwira pazifukwa zina. Izi zikuphatikiza:

• Fibrosis, necrosis ya minofu ya adrenal gland,
• Mitundu yayikulu ya neuropathy, yomwe imayamba motsutsana ndi maziko a kusokonezeka kwa mitsempha,
• Glucose wotsika kwa nthawi yayitali,
• Kutenga beta blockers, mankhwalawa nthawi zambiri amadziwikiritsa pambuyo pa vuto la mtima,
• Zakudya zoyipa zomwe zili ndi chakudya chamagulu ambiri.

Mu izi, tikulimbikitsidwa kuyeza glucose pafupipafupi ndi glucometer. Zotsatira zake zimatsika ndi 3.5 mmol / l, njira ziyenera kuchitidwa kuti ziwonjezeke.

Kutsika kwa shuga kumayambitsa zovuta izi:

• Kuchepetsa ubongo ntchito,
• Kuchulukitsa mamasukidwe amwazi,
• Matenda a mtima, sitiroko,
• Hypersensitivity to hypoglycemia,
• Mu ana - kubweza m'maganizo, kusokonezeka kwa mitsempha.

Hypoglycemia pa nthawi yapakati imawonjezera mwayi wokhala ndi vuto lobadwa m'mwana wosabadwa.

Kuchepa kwa zovuta kumakulirakulira mwa anthu achikulire, makamaka akakhala onenepa kwambiri. Vuto lalikulu ndi kuperewera kwa mutu kumene kumabweretsa kulumala kapena kufa.

Njira zothamangira ndizofunikira kale ngati zizindikiro za hypoglycemia zikuwoneka. Kuukira kumayendetsedwa ngati mutsimikizira kuti chakudya chamagulu am'mimba otentha chitha kuchepa. Kuti muchite izi, yenere:

• Tiyi yabwino
• Mabisiketi
• Wokondedwa (tebulo la 2-3. L.),
• Madzi a lalanje
• Maswiti (ndibwino kupatsa chidwi ndi caramel)
• Shuga

Mapiritsi a glucose amatha kugwiranso ntchito. Ndi matenda a shuga a 2, pali ubale wolunjika pakati pa kuchuluka kwa chakudya chamafuta ndi kuwonjezereka kwa shuga: imakwera ndi magawo awiri. mutatha kumwa 2 g shuga. Mapiritsi oterowo amathetsa kufunika kwa kudya zakudya zosavomerezeka ndikuletsa kukomoka. Pambuyo pake, kuthetsa njala yanu pakudya zakudya zovomerezeka zotsika mtengo.

Mutatha kumwa chakudya, dikirani mphindi 15. Ngati palibe kusintha, idyani izi. Kuwonongeka kwa thanzi ndi chifukwa chabwino chothandizira kuchipatala mwachangu.

Ngati munthu watsala pang'ono kufa, sangathe kutafuna shuga kapena mapiritsi. Mpatseni yankho la shuga (amagulitsidwa ku pharmacy). M'malo mwake, mutha kudzipangira nokha shuga. Onetsetsani kuti wodwalayo akumeza yankho. Malondawa amakhala ndi tanthauzo kwa mphindi 5. Pambuyo pake, muyenera kuyeza kuchuluka kwa shuga.

Munthu amene wasowa chikumbumtima ayenera kukhazikitsidwa pabedi (pambali pake kapena pamimba pake). Gwiritsani ntchito chopukutira kuti mumasule pakamwa pake padzulu, zinyalala za chakudya. Pezani mpweya wabwino potsegula zenera. Kenako itanani ambulansi.

Ndi chikomokere, kuyambitsidwa kwa glucagon ndi yankho la shuga wokhazikika pamafunika, izi zimachitika ndi madokotala azadzidzidzi. Mutha kugula zida zapadera zotchedwa Glucagon kuti zithandizire mwadzidzidzi. Amamasulidwa pa mankhwala. Jakisoni amachitika intramuscularly, pakatha mphindi 20. munthuyo adzakhalanso kuzindikira.

Ndikofunika kulabadira njira zopewera matenda a hypoglycemia, chifukwa kugwidwa pafupipafupi kapena kwanthawi yayitali kumabweretsa zotsatirapo zosasinthika.

Zizindikiro za hypoglycemia mu mtundu II matenda a shuga

Kodi hypoglycemia kapena shuga ochepa mu shuga ndi vuto lalikulu lokhala ndi shuga m'magazi a 3.5 mmol / L, limodzi ndi zizindikiro zosiyanasiyana - khungu lotumbululuka, kunjenjemera ndi chisokonezo. Hypoglycemia mu mtundu 2 wa shuga siosiyana ndi hypoglycemia ya mtundu woyamba wa shuga.

Hypoglycemia wowopsa ndi zotsatira zake. Popewa izi, muyenera kutsatira malamulo osavuta. Muphunzira za malamulowa m'nkhaniyi.

Kwa zaka zambiri ndakhala ndikuphunzira za zovuta za DIABETES. 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 100%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipilira mtengo wonse wa mankhwalawo. Ku Russia ndi mayiko a CIS odwala matenda ashuga kale Titha kupeza yankho - ZAULERE!

Mtundu wachiwiri wa shuga, mtundu wa glucose uyenera kukhala wocheperako poyerekezera ndi shuga wa mtundu woyamba. Ndiwongolera momveka bwino komanso moyenera, hypoglycemia ikhoza kupewedwa.

Shuga wamagazi amafunika kuwongoleredwa komanso kuyezetsa musanadye kaye.

• M'mimba yopanda kanthu m'mawa
• Musanadye chakudya chachikulu komanso cham'tsogolo,
• Asanagone
• Mukamachita masewera olimbitsa thupi
• Paulendo
• Kuwunika makamaka padera pa nthawi yomwe muli ndi pakati,
• Musanayendetse
• Pambuyo pamavuto,
• Pa nthawi ya chimfine kapena matenda ena.

Osati odwala matenda ashuga okhaokha, komanso oyamba amakumana ndi hypoglycemia. Mkhalidwe wa hypoglycemic uli ndi zotsogola: kufooka, njala yayikulu, ndi zina zotero. Hypoglycemia imachitika pazifukwa zingapo:

Zizindikiro za hypoglycemia zimawonekera mosiyanasiyana ndi matenda ashuga. Ndikofunikira kuzindikira zomwe hypoglycemia imadziwika. Izi zikuthandizira kuzindikira hypoglycemia koyambirira ndikuyimitsa mwachangu. Zizindikiro za hypoglycemia mwa akulu ndi ana omwe ali ndi matenda a shuga a 2:

Malinga ndi WHO, chaka chilichonse padziko lapansi anthu 2 miliyoni amafa chifukwa cha matenda ashuga komanso zovuta zake. Pokhapokha pakhale thandizo loyenerera la thupi, shuga imabweretsa zovuta zosiyanasiyana, pang'onopang'ono kuwononga thupi la munthu.

Mavuto ambiri omwe amakonda ndi awa: matenda ashuga a m'mimba, nephropathy, retinopathy, zilonda zam'mimba, hypoglycemia, ketoacidosis. Matenda a shuga amathanso kuyambitsa kukula kwa zotupa za khansa. Pafupifupi nthawi zonse, wodwala matenda ashuga amwalira, akulimbana ndi matenda opweteka, kapena amasintha kukhala munthu wolumala.

Kodi anthu odwala matenda ashuga amatani? Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsiratu matenda ashuga.

Dongosolo la Federal "Mtundu Wathanzi" likuchitika, mkati mwa momwe mankhwalawa amaperekedwa kwa aliyense wokhala ku Russian Federation ndi CIS - ZAULERE . Kuti mumve zambiri, onani tsamba lovomerezeka la MINZDRAVA.

• Kudzimva kwadzidzidzi kwanjala
• Kusintha kwadzidzidzi,
• Kumva kutopa kwadzidzidzi
• Kuchulukitsa thukuta
• Kuwonongeka kowoneka bwino,
• Chikopa
• Zovuta kuyang'ana kwambiri,
• Kudzanja kwamanja
• Mutu
• Chizungulire
• Kugona
• Zosangalatsa pamtima.

Musachite mantha. Izi ndi zizindikiro zofala kwambiri. Nthawi zambiri, wodwala matenda ashuga amakhala ndi zofunikira za 2-4 za mndandanda. Nthawi zambiri, ndi hypoglycemia, wodwala matenda ashuga akuti "amanjenjemera."

Ngati zidachitika kuti hypoglycemia idakupezani, ndiye izi sizowopsa. Ndikofunikira kuchitapo kanthu pa nthawi.

1. Pangani shuga. Inde, mukumva kutentha kwambiri. Koma, zimamveka ngati shuga akhalabe wamphamvu kwa nthawi yayitali, ndipo mankhwalawo atatsika mpaka pamlingo wokhazikitsidwa, ubongo umapereka chisonyezo chakuti shuga watsika - muyenera kudya.
2. Pamene mita ili pansi pa 4.0 mmol / L, muyenera kudya zakudya zotsekemera kapena zothamanga, ndiye kuti, zakudya zomwe zimakhala ndi index yayikulu ya glycemic.Mwachitsanzo, kapu yamadzi (200 ml) ndi magawo awiri a buledi. Ngati palibe madzi m'manja, zilibe kanthu. Idyani magawo 4-5 a shuga. Ndikofunika kumwa madzi ofunda kapena chakumwa cha carbonated. Musanayambe njira yodalitsira, chakudya cha m'mimba “chimawotcha,” ndipo kenako chimayamba. Chakumwa cha kaboni chimafulumizitsa njira yoyamwa chifukwa cha mpweya.
3. Mukatha kudya, pakatha mphindi 15 muyenera kuwonjezera kuyang'anira shuga. Kuonetsetsa kuti shuga sanatsikenso.
4. Hypoglycemia ikathetsedwa, muyenera kuganizira chifukwa chake zidachitika. Ganizirani izi kuti izi zisakuchitikireni.

Anthu odwala matenda ashuga omwe amayang'anitsitsa njira ya matenda ashuga amatha kuthana ndi hypoglycemia. Koma pali nthawi zina pomwe wodwala sangathe kudzipulumutsa yekha. Muzidalira ena. Mafashoni achokera ku America kwa ma tatoo okhala ndi mawu akuti "Ndine wodwala matenda ashuga" ndi zina zotero. Kwa othandizira osagwirizana ndi miyambo, palinso njira. Chingwe cholumizira ndi zolemba zina.

Ngati chiwindi cha munthu wodwala matenda ashuga ali ndi thanzi, ndiye kuti chiwalochi chimapulumutsa ndi hypoglycemia. Ngati chakudya chamafuta sichilowa m'thupi mkati mwa mphindi 30, chiwindi "chimatulutsa" glycogen, timadzi tomwe timadzutsa shuga m'magazi mpaka 15 mmol / L. Inde, ndizambiri, koma osakhumudwitsidwa, adzagwera masana. Ngati chiwindi chikugwidwa ndi matenda a shuga, ndiye kuti sichingathenso kudzipulumutsa. Munthu amakhala ndi nkhawa kapena kusazindikira.

Sungunulani shuga ndi madzi ofunda, imwani wodwalayo. Palinso njira ina - madzi a shuga mu chubu. Thirani pansi pa lilime. Komanso, pansi pa lilime, mutha kuyika maswiti a caramel, shuga woyengeka, shuga wa glucose.

Mukathandizira odwala matenda ashuga, muyenera kuyimbira ambulansi. Kumbukirani kukumbukiranso kuchuluka kwa shuga pambuyo pa mphindi 15.

1. 
   Bessessen, D.G. Kunenepa kwambiri komanso kunenepa kwambiri. Kupewa, kuzindikira ndi kuchiza / D.G. Zopanda mphamvu. - M: Binom. Laborator of Chidziwitso, 2015. - 442 c.
2. 
   Akhmanov M. Matenda a shuga si sentensi. Za moyo, tsogolo ndi chiyembekezo cha odwala matenda ashuga. SPb., Nyumba yosindikiza "Nevsky Prospekt", 2003, masamba 192, kufalitsa makope 10,000.
3. 
   Kruglov, V.I. Kudziwitsa: matenda ashuga mellitus / V.I. Kruglov. - M: Phoenix, 2010 .-- 241 p.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.