Momwe mungazindikire ndikupewa kuchepa kwa shuga m'magazi: Zizindikiro ndi njira zodzikonzera
Chifukwa chiyani hypoglycemia imachitika?
Hypoglycemia ndi mkhalidwe wam'magazi, umadziwika ndi kuchepa kwa shuga m'magazi m'munsi 3.3 mmol / L. Ichi ndi chizindikiro cha cholinga, mtengo womwe uli pansi pa 3.5 mmol / l umaloledwa pa glucometer.
Mu thupi lathanzi, kuchuluka kwa shuga m'magazi kumayendetsedwa ndi njira zingapo za metabolic. Pamaso pa malo ogulitsira a glycogen m'chiwindi, shuga sayenera kuchepa. Chifukwa chake, mwa munthu wathanzi, hypoglycemia simachitika.
Nthawi zina chomwe chimayambitsa kutsika kwa shuga m'magazi ndimathamanga kwambiri, ngakhale kuti thupi limatha kuzolowera popanda kutsitsa shuga. Nthawi zambiri, hypoglycemia imapezeka mwa odwala omwe ali ndi matenda ashuga - amagwiritsa ntchito mankhwala ochepetsa shuga, omwe amachulukitsa chiopsezo cha hypoglycemia. Ndipo kuwonetsedwa pafupipafupi kwa hypoglycemia kumabweretsa chifukwa choti munthu amazolowera ndipo amasiya kumva zizindikiro.
Kwa odwala omwe alibe matenda a shuga, insulinoma imapangitsa kuchepa kwa shuga m'magazi. Ichi ndi chotupa chomwe chimatulutsa insulini, chimapezeka m'mapapo. Chifukwa cha ntchito zake, kuchuluka kwa shuga kumatha kutsika kwambiri - ngakhale pansi pa 1 mmol / L. Popeza chotupacho chili m'thupi la munthu nthawi zonse ndipo insulin imapangidwa nthawi zonse, munthuyo amalekeranso kumva kuwonetsa kwa hypoglycemia.
Chithunzi: shutterstock.com Hypoglycemia imagawidwa m'magulu awiri: ofatsa komanso ovuta. Zizindikiro za hypoglycemia yofatsa ndi monga:
Ndi kwambiri hypoglycemia, munthu amasiya kuzindikira. Zizindikiro za hypoglycemia yayikulu imakhala yovuta kwambiri. Munthu amene ali mu mkhalidwewu sakhala womasuka. Monga lamulo, chikhumbo chake choyamba ndikudya china.
Ngati tizingolankhula za hypoglycemia (zomwe zimayambitsa ndi insulinoma kapena mankhwala osokoneza bongo a insulin), chizindikiro china chitha kuonekera: kuwonjezereka kwapang'onopang'ono kwa kulemera. Chifukwa cha anabulin katundu wa insulin, mafuta amadziunjikira m'thupi.
Zoyenera kuchita ngati zizindikirozi zikuwoneka
Chithunzi: shutterstock.com Muyenera kupita kwa dokotala. Nthawi zonse. Zifukwazi zimakhala zosiyana kwambiri. Kuzindikira kumakhazikika pazizindikiro, koma makamaka pamaziko a kuyezetsa magazi.
Chifukwa chiyani simungodalira zizindikiro zokha? Pali anthu omwe amakhala ndi shuga wambiri kuposa wamkulu. Mukasala kudya, amakhala ngati odwala omwe ali ndi hypoglycemia - iyi imatchedwa pseudohypoglycemia. Pali odwala matenda ashuga omwe ali ndi shuga pafupifupi 13 mmol / L, ndipo akatsika mpaka 7 mmol / L, amamva zizindikiro zonse za hypoglycemia. Zizindikiro zimatha kuchitika ndi shuga wambiri, pomwe sizingachitike ndi hypoglycemia yoopsa kwambiri chifukwa chogwirizana nayo. Chifukwa chake, ngati akukayikira kuchuluka kwa shuga, munthu amadutsa kuyezetsa magazi kwa shuga. Ngati shuga ali pansi pa 3.3 mmol / L, ndi motsimikizika kwa hypoglycemia.
Mukatsimikizira hypoglycemia, gawo lotsatira ndikuwonetsetsa zomwe zimayambitsa, pomwe njira zakuzindikira zitha kukhala zosiyana - zidzayikidwa ndi adokotala. Mwachitsanzo, kuzindikira kwa insulinoma kumafuna kufa ndi njala komanso kuyesedwa kwapadera, komwe kumachitika moyang'aniridwa ndi dokotala.
Zomwe muyenera kudziwa kwa munthu yemwe ali ndi vuto la hypoglycemia, komanso abale ake
Chithunzi: shutterstock.com Onse odwala matenda ashuga ayenera kunyamula 200 ml ya madzi kapena zidutswa zinayi za shuga limodzi nawo. Njira imeneyi imathandizira kupumula kwa hypoglycemia. Ngati munthu wafota chifukwa cha kuchuluka kwa shuga, sangatengedwe pakamwa, sangathe kumeza, izi zimapangitsa kuti asphyxiation komanso mwina afe.
Mu hypoglycemia yayikulu, glucagon ikhoza kutumikiridwa, imayang'aniridwa pang'onopang'ono.Ichi ndi syringe yapadera yomwe wodwala angagule. Pali njira yachiwiri yoimitsira hypoglycemia, yomwe imagwira ntchito nthawi zonse: kukonzekera kwa 40% ya shuga.
Chithunzi: shutterstock.com Njira yayikulu yolepheretsira ndikuchotsa zomwe zimayambitsa hypoglycemia. Dokotala yekha ndi amene angadziwitse zolondola. Hypoglycemia nthawi zambiri imakhala yosowa kwa anthu athanzi popanda zovuta za metabolic. Anthu ambiri amatha kudziwa zizindikiro za shuga wochepa, monga kufa ndi njala, koma alibe hypoglycemia. Zolemba zofananira Zonse zokhudzana ndi matenda ashuga: Zizindikiro, mankhwala ndi kupewa Broccoli amatha kuthana ndi matenda a shuga Zipatso ndizabwino kwa matenda ashuga
Mbiri ya "Chifukwa chiyani shuga imatha kugwa komanso chochita nayo" idayamba kupezeka patsamba la The-Challenger.ru.
Hypoglycemia imawonetsedwa ndi kuchepa kwa shuga m'magazi ochepera 2.8 mmol / L. Maselo amthupi samalandira mphamvu yofunikira, yomwe imawatsogolera kuti afe. Matendawa ndi owopsa ku thanzi, amawopseza kuti apangidwe ndi insulin coma ndipo amatha kupha.
Glucose ndimphamvu zolimbitsa thupi, kuphatikiza ubongo. Neurons zimachepetsa shuga popanda thandizo la insulin, ndipo hypoglycemia imatsogolera ku njala yawo. Izi zimasokoneza thanzi labwino ndipo zimayambitsa zowonetsa zingapo. Kutsika kwa shuga m'magazi kumatha kubweretsa zovuta kapena kufa, kotero muyenera kudziwa zizindikiro zazikulu za hypoglycemia ndikupereka thandizo la panthawi yake kwa munthu. Ngati shuga wochepa amawonedwa kwa nthawi yayitali, chikomokere mu ubongo chimatha.
Hypoglycemia imadutsa magawo atatu a kukula. Amasiyana mu chithunzi cha chipatala, njira zothandizira ndi chithandizo choyambirira.
Chizindikiro chachikulu cha gawo loyamba ndikumverera kwa njala. Nthawi zambiri anthu amasiya chizindikiro ichi popanda chidwi, zomwe zimangokulitsa vutoli. Ngati thupi limasowa shuga kwa chakudya kwanthawi yayitali, zizindikiro zatsopano zimawonekera: kutuluka thukuta, kufooka m'miyendo ndi minyewa yonse, kufooka kwa khungu ndi mutu. Zizindikiro zonse zimatchulidwa ndikupatsa wodwalayo zovuta zazikulu - ndizosatheka kuphonya kapena kuwasiya osakhudzidwa. Kuti mubwezeretsedwe kwamagulu a shuga, muyenera kudya kachidutswa kakang'ono ka shuga kapena mafuta ambiri okhala ndi index yayikulu ya glycemic (zipatso, maswiti, timadziti timakhala tofunikira).
Chizindikiro choyamba cha kuchepa kwa shuga m'magazi ndikumverera kwa njala, ndiye kuti pali thukuta lochulukirapo, kufooka m'thupi, pallor ndi mutu.
Gawo lachiwiri, thanzi la wodwala likuipiraipira. Zizindikiro zotsatirazi zimawonedwa:
- kusokonezeka kwa malankhulidwe, kuyamba kuzimiririka ndi kusokonezeka,
- dzanzi la lilime ndi kuwona kawiri, kutayika kwa chikumbumtima,
- kukokana, kuchuluka kwa mkwiyo ndi kufooka kwa minofu,
- Nthawi zina, mseru ndi kusanza ndizotheka.
Gawo lachitatu limadziwika ndi kutaya chikumbumtima ndikugwa. Mkhalidwe uwu ndi wowopsa kwambiri, ndipo zotsatira zake zimatengera kuthamanga kwa thandizo loyamba.
Zomwe kuchepa kwa shuga m'magazi mwa munthu wathanzi kumatatha kudya. Thupi sililandira kuchuluka kwa michere ndi michere kuti muzichita zinthu zofunikira, kupatsa mphamvu kwambiri komanso kuchuluka kwamagulu a shuga. Zakudya zamagulu ochepa kapena zopatsa mphamvu zopatsa mphamvu zimatha kubweretsanso mavuto ena. Chakudya chochepa chimalowetsedwa mwachangu, ndipo patapita maola ochepa malo ogulitsa glucose onse amatha.
Zimathandizira kutsitsa shuga. Pankhaniyi, kapamba amapanga insulin yambiri, yomwe mwa njira yolimbikitsa imagawa shuga m'thupi lonse, kuchepetsa kukhathamira kwake m'magazi. Izi ndi zomwe zimapangitsa kuti pakhale kusintha kwakukulu mdziko la munthu mutadya maswiti: choyamba, chisangalalo ndi chisangalalo zimamveka, ndipo patapita kanthawi - kufooka ndi kufooka.
Hypoglycemia ingayambitsenso uchidakwa wa zakumwa zoledzeretsa, kuchita masewera olimbitsa thupi mopambanitsa. Nthawi zina zomwe zimayambitsa zimakhala matenda amkati (impso, chiwindi) kapena kuphwanya kwa gren ya gren ndi gland. Nthawi zina, kukula kwa chotupa mu kapamba ndizomwe zimapangitsa, zomwe zimakulitsa kupanga insulin.
A shuga Achepetsa shuga
Kwa odwala matenda a shuga, kuchepa kwa shuga m'magazi kumawonedwa pafupipafupi. Zifukwa zake zimakhala zosiyanasiyana, koma nthawi zambiri zimakhala za insulin.
Kuledzera kumatheka nthawi zingapo: yolakwika makonzedwe olakwika, zotsatira zolakwika za glucometer, kusagwira cholembera, kupukusira malo a jakisoni kapena jakisoni wa mankhwala. Nthawi zina izi zitha kukhala zosankha zolondola zomwe dokotala kapena wodwala wodwala matenda ashuga a mtundu 1 samadziwa za malamulo omwe amaperekera mankhwalawo.
Chochulukitsa chomwe chimayambitsa kutsika kwa shuga mu mtundu wa 2 odwala matenda ashuga ndichosokoneza chakudya. Kwa odwala omwe ali ndi vuto lotere, ndikofunikira kwambiri kuti azitsatira zakudya okhwima komanso zakudya zomwe dokotala wamupatsa. Chochititsa chidwi ndikumadumphira chakudya, kusowa kwa chakudya kapena kusowa kwa chakudya chamafuta, omwe samakhudza kuchuluka kwa insulin.
Zina zomwe zalembedwa pansipa zimayambitsa matenda a shuga.
- Kusintha kwa mankhwalawa, komwe kunapangitsa kuti zinthu zisachitike bwino mthupi.
- Kuchuluka kwamphamvu kwa sulfonylurea.
- Kuchepa kwa impso kapena chiwindi, komwe kumalepheretsa kuchotsa insulin m'magazi.
- Kuchita masewera olimbitsa thupi, mwachitsanzo, kutsika kwa shuga kumachitika pambuyo pa kulimbitsa thupi komwe kwadutsa mphamvu kwambiri kapena pamimba yopanda kanthu.
- Kuphwanya kachulukidwe ka chakudya, chifukwa chomwe, ngakhale mutadya, shuga wamagazi amakhalabe otsika kwambiri.
- Kuledzera kapena kumwa mankhwala osokoneza bongo. Ndi kuphatikiza uku, kuchuluka kwa shuga m'magazi kumachepetsedwa kwambiri, koma odwala matenda ashuga ambiri amasiya izi osaziyang'anira, popeza zizindikiro zake zimatengedwa ngati zizindikiro za kuledzera.
Zomwe Zimayambitsa Kuwonongeka
Hypoglycemia nthawi zambiri imayamba chifukwa cha zifukwa zingapo, monga:
- Kuchuluka kwa insulin mu kapamba.
- Kugwiritsa ntchito kuchuluka kwa mankhwala omwe ali ndi mlingo waukulu wa insulin.
- Kusagwira bwino ntchito kwa pituitary ndi adrenal glands.
- Matenda a shuga
- Chakudya cholakwika chomanga thupi m'chiwindi.
Zomwe zimayambitsa hypoglycemia zimagawidwa mu mankhwala osokoneza bongo komanso osagwiritsa ntchito mankhwala. Nthawi zambiri, anthu odwala matenda ashuga amakonda kupezeka mankhwala osokoneza bongo a hypoglycemia. Ngati mlingo wa insulin womwe umaperekedwa kwa wodwalayo amawerengedwa molakwika ndikuwonjezera pazomwe zimachitika, ndiye kuti izi zimatha kuyambitsa zovuta zosiyanasiyana mthupi. Pazifukwa zosakhudzana ndi kugwiritsa ntchito mankhwala molakwika kumaphatikizapo kufa ndi njala. Nthawi zambiri pambuyo popewa kudya kwa nthawi yayitali, thupi la munthu limatha kuyamwa kudya zakudya zamafuta pang'ono pochepetsa shuga.
Nthawi zambiri, odwala matenda ashuga amakhala ndi vuto la hypoglycemia chifukwa cha kuperewera kwa zakudya m'thupi. Ngati miyambo ya kapangidwe ka zinthu sizinawonedwe, insulini imachuluka mthupi la munthu. Zotsatira zake, mankhwalawa amayamba kuthandiza kuchepetsa kuchuluka kwa shuga m'magazi. Odwala omwe ali ndi matenda a shuga kwa nthawi yayitali amakonda kwambiri chitukuko cha hypoglycemia. Izi zimayamba chifukwa chogwiritsa ntchito molakwika ziphuphu ndi adrenal. Zomwe zili m'magulu akuti glucagon ndi adrenaline amapangidwa moperewera. Izi zikutanthauza kuti thupi limakhala ndi chitetezo chokwanira ku hypoglycemia. Osati mankhwala a odwala matenda ashuga okha, komanso mankhwala ena ambiri atha kukhala omwe amayambitsa kukula kwa matendawa.
Zomwe zimayambitsa kukula kwa matendawa nthawi zina zobisika m'maganizo a wodwalayo. Ngati munthu atenga zovuta zambiri zamaganizidwe, ndiye kuti izi zitha kupangitsa kuti ma hypoglycemia aoneke.Anthu osakhala bwino m'maganizo amatha kubaya insulini makamaka ngati angathe kuigwiritsa. Chithandizo cha odwala chotere chimachitika m'makliniki apadera.
Zomwe zimapangitsa kutsika kwa shuga m'mwazi nthawi zambiri kumakhala mowa kwambiri ndi munthu. Ngati munthu ali ndi vuto loledzera kwa nthawi yayitali ndipo nthawi yomweyo anyalanyaza zakudya zoyenera, ndiye kuti thupi limayamba kuchepa pang'onopang'ono. Pambuyo pake, kuukira (stupor) nthawi zina kumachitika ngakhale ndi magazi ochepa.
Kodi matendawa amawonekera bwanji?
Kutsitsa shuga wamagazi kumakhala ndi zizindikilo zina. Kuzidziwa, mutha kuyesa kupewa kupewa komanso kupewa kuti musakhale ndi vuto lotere.
Kwa munthu aliyense, Zizindikiro za shuga wochepa zimasiyana, zimatengera kuchuluka kwa kuchepa komwe kunachitika.
Kuyambika kwa zizindikiro zosiyanasiyana kumadaliranso kuchuluka kwa shuga.
Ngati shuga atsika mpaka atatu kuloza zakhumi zisanu ndi zitatu za mmol / L kapena kutsikira. Ngati shuga wochepetsetsa wotere amawonedwa, zizindikiro zake zingakhale motere:
- Zizindikiro zoyambirira zimatha kukhala kufooka, kunjenjemera m'thupi lonse komanso kuzizira.
- Kuchepa kwa shuga m'magazi kumayendetsedwa ndi thukuta lalikulu, thukuta lozizira, lomwe limakhazikika, limawonedwa, nthawi zambiri mutu umayamba thukuta, makamaka khosi.
- Chizungulire zimawonedwa.
- Kumva njala.
- Chizindikiro china chitha kukhala nseru.
- Mantha, nkhawa komanso nkhawa.
- Mtima palpitations (tachycardia).
- Mkulu akayamba kutsika, kugunda kapena milomo ikawoneka, itha kuonedwa m'dera la zala.
- Ngati shuga amachepetsedwa pang'onopang'ono pazomwe zimatsimikizika mwakuthupi, ndiye kuti wodwalayo angadandaule chifukwa cha kusawona bwino.
Chizindikiro chilichonse pamwambapa chimatha kuyambitsa mavuto. Chifukwa chake, ngati munthu akumva chimodzi mwazizindikirozi, ndiye kuti ayenera kuyimbira foni dokotala posachedwa. Njira zochiritsira zomwe zikuyenera kuchitika kuti muchepetse shuga wambiri ndi kusintha mulingo wake, mankhwala a hypoglycemic ayenera kumwa.
Kodi nchifukwa ninji kuwonongeka kotere kuli ndi thanzi? Zomwe zimatsikira ndizoti wodwalayo samatsata zakudya kapena amakhala ndi mphamvu zolimbitsa thupi kwambiri. Zomwe zimayambitsa kutsika kumatha kukhala nkhawa.
Onetsetsani kuti mwapereka zakudya zokhala ndi shuga ochepa. Zimaphatikizanso kugwiritsidwa ntchito kwa zinthu zapadera zomwe zimathandizira kuti chizindikirachi chidziwike.
Ndikofunikira kuthetsa zomwe zimayambitsa shuga wochepa ndikukumbukira kuti matenda monga matenda ashuga amafunikira kuwona dongosolo loyenera la tsikulo ndi malingaliro ena onse a katswiri.
Momwe mungadziwire ngozi?
Kuchepetsa kuchuluka kwa shuga kumatha kuchitika kangapo.
Gawo loyamba lokhala ndi vutoli likufotokozedwa pamwambapa, pomwe wodwalayo amatha kuzindikira kuwonongeka kwake pamtunda ndikuyitanitsa adokotala kapena kudzithandiza yekha.
Nthawi zina kutsika kwamphamvu kwa shuga m'magazi kumatha kupezeka mwa anthu odwala matenda ashuga. Kutsika kwa shuga m'magazi mpaka 3 mmol pa lita imodzi kumawerengedwa kuti ndi kowopsa kwa anthu.
Zizindikiro zakugwa kopanda shuga ndikucheperako kumawonekera kwambiri, zinthu zimayendera limodzi ndi izi:
- Wodwalayo amakwiya kwambiri ndipo amakwiya,
- chisokonezo chikuwonekera, zimakhala zovuta kuti wodwalayo akhazikika,
- Kugwa kwa shuga kumayambitsa chisangalalo m'malo,
- minofu kukokana
- munthu amalankhula pang'onopang'ono komanso mosamveka,
- shuga wotsika amasokoneza magalimoto, magayala amakhala osakhazikika komanso osagwedezeka,
- kugona
- kugona kuwonjezeka ndipo kufooka kwambiri kumawonekera,
- Nthawi zambiri kuperewera kwa shuga kumapangitsa wodwalayo kulira.
Kodi wodwalayo akhoza kukhala woipirapo? Yankho ndi lakuti inde.Pakakhala shuga pang'ono m'magazi, kutanthauza kuti, magazi ake amatsika mpaka 1,9 mmol / L, kutentha kwa thupi la munthu kumatsika kwambiri, kukomoka kumawonedwa, ndipo kumenyedwa ndi stroke kumatha kuchitika. Zotsatira zake, ngati shuga atatsika kwambiri, vutoli likhoza kufa.
Pankhani yoyambira, pankhaniyi, muyenera kuyimba ma ambulansi mwachangu ndikuwachitapo kanthu mwachangu kuti mulingo wa shuga ugwere m'magazi a wodwala.
Ngati munthu akudziwa, mutha kuyesa kum'patsa kena kake kokoma, akhoza kukhala madzi wamba, momwe supuni zingapo za shuga kapena uchi zimaphatikizidwira.
Kumva kutopa - chiwopsezo chake ndi chiani?
Si odwala onse omwe amafunikira kutopa kwakukulu, poganiza kuti ndiwokhazikika, komwe kumapangitsa kuti moyo ukhale wovuta.
Vutoli limakhala lowopsa makamaka kwa abambo. Zikutanthauza kuti thupi la mzimayi ndi lofooka kwambiri ndipo njira zosasintha zimayamba kukhazikikamo.
Nthawi zambiri, shuga m'magazi a shuga amachepetsa usiku. Zotsatira zake, m'mawa munthu amadzuka ndi mutu wovuta. Vutoli limatsatiridwa ndi zizindikiro zingapo, zonse zomwe zimawonetsa kuti munthuyo adadwala usiku hypoglycemia.
Zizindikiro zake ndi:
- Kutuluka thukuta kwambiri.
- Zomwe zimapangidwanso zimatha wodwala atagona.
- Kutsitsa shuga m'magazi usiku kumatha kupangitsa kuti wodwalayo azungulira m'chipindacho m'maloto.
- Khalidwe limakhala losakhazikika.
- Zowawa zitha kuwoneka
- Phokoso losakhalitsa lopangidwa ndi munthu limamveka.
Zonsezi zikutanthauza kuti wodwalayo ayenera kufunafuna chithandizo kuchokera kwa katswiri ndikuwunika. Kupenda kwathunthu komwe kudzawonetse chifukwa chake kumakhala koipa kokha usiku.
Kuti muyambenso kumva bwino, muyenera kutsatira malangizo a katswiri. Ngati shuga ndiwambiri kwambiri, ndiye kuti muyenera kumwa mankhwala apadera omwe amachepetsa shuga, koma ngati mankhwalawo ndi otsika kwambiri, chinthu choyambirira kuchita ndikupeza chomwe chimayambitsa kusinthaku ndikuti pokhapokha mukhale ndi regimen.
Kuzindikira ndi kuchiza shuga ochepa
Zizindikiro zonse pamwambapa za shuga m'magazi mwa munthu wamkulu zimatha kuwonedwa, pamene glucose imatsikira mpaka 6.8 mmol pa lita. Izi zimawonedwa mwa odwala omwe ali ndi matenda ashuga. Kuphatikiza apo, matendawa atapitilira, matendawa amakhala olimba kwambiri.
Ana samvera kwambiri shuga wotsika. Pokhapokha kuchepa kwambiri kwa zizindikiro mpaka 2.6-2.2 mmol / lita, zizindikiro zomwe zafotokozedwa pamwambapa zimatha kudziwonetsa. Koma kuchuluka kwa glucose komwe kuli m'chigawo cha 3.6-2.2 mmol / lita, ndiye kuti mawonekedwe aliwonse mwa mwanayo atha kusakhalapo. Pomwe kuchepa kwa shuga m'magazi akulu kumayamba kudziwonetsa ndi zizindikiro zomwe zili pamwambazi kale pa 3,8 mmol pa lita.
Kuti mudziwe bwino za vutoli, muyenera kuchititsa maphunziro apadera. Kuzindikiritsa kumachitika ngati kuwunikako kunawonetsa shuga m'magazi mwa amuna kapena akazi, ndipo pali zizindikiro zomwe zimasowa pambuyo kudya chakudya kapena zakumwa zotsekemera.
Kutsiriza kumeneku kumabweretsa kuunika koyenera kwa dokotala woyenera. Dokotala amawunika wodwalayo, amadziwa momwe amadya komanso zomwe amadya, moyo womwe amamutsatira ndikuganizira zina zambiri zofunika.
Kuchiza kumachitika pokhapokha chifukwa chachikulu cha shuga chotsika chatsimikizika. Ndipo kale madotolo atazindikira zomwe zimayenderana ndi kusowa kwa shuga, chithandizo chitha kuyamba.
Wodwala aliyense ayenera kumvetsetsa zomwe zimamuwopseza ndi vutoli komanso momwe angayang'anire bwino thanzi lake, kuti asachepetse shuga yake kwambiri. Zowonadi, nthawi zina pamakhala zochitika zomwe odwala omwe ali ndi matenda ashuga amathandizidwa palokha malinga ndi malangizo a odwala ena, akuti, muchepetse shuga yanu ndi mankhwala enaake, matenda sangakhale ovuta. Koma nthawi zambiri, kudzichitira nokha mankhwala kumapangitsa kuti wodwalayo amangokulitsa thanzi lakelo.
Chifukwa chake, ndibwino kuthandizidwa ndikuyang'aniridwa ndi dokotala, osalola kuti shuga yochepa kwambiri.
Kodi muyenera kukumbukira chiyani?
Shuga akamayamba kutsika bwino, wodwalayo amatha kulimbana ndi zomwe wadzipereka.Amamva zomwe zafotokozedwa pamwambapa ndipo amatha kuwongolera zinthu mwachangu.
Mwachitsanzo, kuchepa pang'ono, ndikokwanira kumwa njira yothetsera shuga kapena mutha kudya supuni ya uchi ndi chidutswa cha shuga, ndipo thanzi lanu limabwereranso. Zowona, pankhaniyi, ndizoletsedwa kudya keke yokoma ndi zakudya zilizonse zamafuta ndi zomwe zimatenga nthawi yayitali, zimangovulaza mkhalidwe wa wodwalayo.
Mafuta akamagwera kwambiri kapena ngati mulingo wake uli wocheperako, wodwalayo amatha kuzindikira. Pankhaniyi, muyenera kuyitanira ambulansi. Kuti chizindikirocho chiyambe kuchuluka, wodwalayo amapepuka pang'onopang'ono ndi njira ya glue kapena glucagon, yomwe imatha kuperekedwa osati mu mtsempha, koma intramuscularly kapena subcutaneally. Pambuyo pa theka la ola, shuga m'magazi amatsimikiza kugwiritsa ntchito gluroeterical glucometer. Ngati wodwala akumva bwino, sagonekedwa m'chipatala, mozunzika kwambiri, chithandizo chimachitika kuchipatala.
Choyamba, shuga akamayamba kutsika, wodwalayo amapatsidwa kapu yamadzi kuti amwe. Njirayi ikuyenera kuthandiza kuzolozera chizindikiro. Zitatha izi, mutha kutumiza wodwalayo kwa dotolo kuti akamupimikize kwathunthu.
Pazifukwa zomwe kuchuluka kwa shuga kuli okwera kwambiri, ndikofunikira kudziwa zizindikiro za chizindikiro chowonjezeka. Zomwezo zimagwiranso ntchito mikhalidwe ikafika yochepa kwambiri shuga. Ndikulimbikitsidwa kukaonana ndi dokotala pamene izi zalembedwera kwa nthawi yoyamba.
Kuti muzindikire panthawi yake kusintha koteroko, ndikofunikira kwambiri kukhala ndi glucometer kunyumba. Ndiosavuta kuyang'anira, ndipo chifukwa cha izi simuyenera kukhala ndi maphunziro apamwamba.
Zomwe zimayambitsa shuga m'magazi zingathe kutsimikiziridwa ndi dokotala wodziwa zambiri. Chifukwa chake, ndi dontho lakuthwa kapena losalala la shuga, muyenera kufunsa dokotala kapena endocrinologist wam'deralo.
Mosakayikira, kuchuluka kwamafuta m'magazi kumawonetsa kukhalapo kwa kusokonezeka kwakukulu mu njira za metabolic mthupi. Mkhalidwe wamtunduwu ndi wofunikira kwambiri ndipo umafunika kulowererapo kwakanthawi kachipatala mthupi kuti kakonzedwe kazomwe kagayidwe kameneka kamachitika.
Zomwe zimayambitsa ndi kupewa hypoglycemia zikufotokozedwa mu kanema m'nkhaniyi.
Kodi magazi a shuga amatsika kwambiri chifukwa chiyani?
Glucose mu thupi la munthu liyenera kusamalidwa pazikhalidwe zovomerezeka. Kupanda kutero, zovuta zazikulu zathanzi ndizotheka.
Ndikofunika kudziwa kuti shuga mumagazi athanzi labwino komanso odwala matenda ashuga omwe ali ndi matenda osiyanasiyana amachepetsa pazifukwa zotsutsana kwathunthu.
Ndikofunikira kwambiri kukonza izi posachedwa. Izi zitha kuchitika pokhapokha mukalumikizana ndi katswiri munthawi yake kuti adziwe ndi kuchiza matenda abwinowa.
Zofunika kudziwa nthawi yomweyo kuti hypoglycemia ikhoza kukhala ndi zotsatirapo zoopsa. Zoopsa kwambiri mwa izo ndi: mkhalidwe wokhazikika pansi ndi imfa.
Hypoglycemia imachitika chifukwa cha kusowa kwambiri kwa shuga m'mapangidwe amthupi, zomwe ndizofunikira kupereka maselo opatsa thanzi. Ngati magazi a glucose ali otsika kwambiri, ndiye kuti njira zosafunikira zam'magazi zimayamba nthawi yomweyo. Nanga ndizomwe zimayambitsa matenda?
Ndi matenda ashuga
Anthu omwe ali ndi matenda a shuga amakonda kuvutitsidwa ndi funso: Kodi chimayambitsa matendawa ndi chiyani? Makamaka shuga ya magazi ikatsika kwambiri.
Pakadali pano, zinthu zotsatirazi zikudziwika zomwe zimakhudza kuchepa kwa kuchuluka kwa shuga m'magazi a wodwala matenda ashuga:
- kugwiritsa ntchito zakudya zomwe zadzadza ndi michere yamagetsi mosavuta,
- Mankhwala osankhidwa bwino osapangidwa kuti muchepetse shuga,
- kumwa mowa pamimba yopanda kanthu.Izi zimatha kubweretsa hypoglycemia, chifukwa mowa umaletsa kapangidwe ka shuga m'magazi a chiwindi,
- kumwa mankhwala omwe cholinga chake ndi kuthandiza mitundu yonse ya matenda a shuga, nthawi imodzimodzi ndi zakumwa zoledzeretsa,
- Ndi zakudya zosankhidwa kulemba (pomwe sizidagwiritsidwe nthawi yomweyo),
- jakisoni wa gawo lopanda kuwerenga la insulin (mahomoni am'mapapo a zoyambira),
- munthu amene akudwala matenda ashuga amatha kulimbitsa thupi nthawi zonse. Pankhaniyi, ndikofunikira kufunsa dokotala wanu za kusintha kwamankhwala oyamba a mankhwala.
Munthu wathanzi
Zomwe zimayambitsa kutsika kwa shuga wamagazi mwa munthu wathanzi kwathunthu:
- ngati mankhwala ena adatengedwa popanda kudziwa katswiri. Mwachitsanzo, mankhwala omwe amachepetsa shuga ya magazi,
- matenda amkati,
- uchidakwa
- ngati munthu amakhala wopsinjika nthawi zonse komanso amavutika ndi nkhawa,
- ngati atsatira zakudya zokhwima komanso zovutitsa. Makamaka iwo omwe ali ochepa mafuta.
- ngati pali zovuta pakati pa chakudya choposa maola naini,
- atadzuka mwachindunji, popeza kunalibe chakudya kwa nthawi yayitali,
- chifukwa chake zakudya zimatengera chakudya chochuluka chomwe chimakhala ndi chakudya chambiri kwambiri.
Mu pakati
Mwa amayi omwe amakhala ndi mwana, shuga m'magazi amatsika pazifukwa izi:
- ndi kuwonjezeka kwa enzymatic ntchito,
- ngati pali kuthamanga kwamphamvu kwa kagayidwe kachakudya ka thupi mthupi,
- mukukonza magwiridwe antchito a kapamba ndi chithokomiro.
Nthawi zambiri mu trimester yoyamba ya kubereka, mkazi amadwala toxosis. Ndi zizindikiro zamphamvu za malaise, kusanza kumatha kuchitika, ndipo, chifukwa chake, kuchepa kwa chinyezi. Thupi la mayi woyembekezera limasowa mu michere, kuphatikizapo kuchepa kwa shuga m'magazi. Chifukwa chake hypoglycemia imachitika.
Ndikofunikira kudziwa kuti nthawi zambiri zomwe zimatsimikiza ndizakuti kapamba amapanga mahomoni ambiri, omwe pambuyo pake amatha kukhala othandizira pakukula kwa hypoglycemia.
Shuga wamagazi adatsika: Zizindikiro ndi zizindikiro
Kutsika kwa shuga m'magazi ndi chinthu chabwinobwino, chifukwa hypoglycemia imatha kupweteka, kugwidwa, edema yam'mimba, ndi kufa.
Komanso, kufikira nthawi inayake, munthu amene ali ndi vuto lakelo amamva bwino.
Koma izi zikufika pamenepa. Pambuyo pake, kuchepa kwa glucose komwe kumachitika mthupi kungapangitse kusintha kwamphamvu kwambiri komanso kowopsa mdziko lake.
Chizindikiro chodziwika kwambiri chotsika kwambiri mu shuga m'magazi amadziwika kuti ndi thukuta kwambiri, lomwe limatha kuwoneka pamtunda wotsika kwambiri. Komanso munthu amatha thukuta kwambiri kugona. Inali nthawi imeneyi kuti kuchepa kwakukulu kwa shuga m'thupi kumadziwika.
Zofunda zofunda zitha kuwonetsa chizindikiro ichi. Masana, ndizosavuta kudziwa kukhalapo kwa thukuta kwambiri. Kuti muchite izi, ndikokwanira kungogwira pakhungu kumbuyo kwa mutu.
Kuphatikiza apo, mwa zina zodziwika za kuchepa kwa shuga m'magazi, izi:
- kumva kwamphamvu njala
- kufooka kosalephera
- chizungulire
- kugwedezeka
- kuyera mumaso
- kuchuluka kukwiya
- nkhawa
- nkhanza.
Zoyenera kuchita ndi kuchepa kwamphamvu pakugwira ntchito?
Matenda a shuga amawopa mankhwalawa, ngati moto!
Muyenera kungolemba ...
Ngati, mutayesa shuga ndi glucometer, ndikuwoneka kuti chizindikiro chake chatsikira mpaka 0,6, ndiye kuti mafuta ammimbamo amayenera kudya nthawi yomweyo.
Izi zichitike ngakhale pakalibe zizindikiro zotchulidwa za hypoglycemia. Musaiwale kuti kutsitsa glucose wamagazi popanda zizindikiro zake ndizowopsa kuposa momwe ulili nawo.
Zowopsa zomwe zimayambitsa kuchepetsa shuga
Chifukwa chiyani shuga amatsika? Chifukwa chake chingakhale kuchita zolimbitsa thupi. Chotupa chotere chimatha kuchitika ngakhale mwa munthu wathanzi kwambiri. Nthawi zina zomwe zimayambitsa kutsika kwamphamvu mu shuga kumakhala kuphwanya kwa tchire. Chiwindi chikawonongeka, kuphatikiza kwa chakudya m'm michere kumachepetsedwa kwambiri. Izi zikutanthauza kuti thupi la munthu silingakhale ndi shuga lokwanira.
Nthawi zina hypoglycemia imatha kuchitika ndi odwala omwe ali ndi matenda a chiwindi atatha kudya kwa maola angapo. Anthu otere ayenera kutsatira zakudya okhwima ndikudya chakudya mogwirizana ndi dongosolo. Wodwala sakakwaniritsa izi, ndiye kuti kuchuluka kwa shuga m'magazi ake kumatha kutsika kwambiri. Ana osakwana chaka chimodzi amathandizanso kukula kwa hypoglycemia.
Kuchita opaleshoni kungayambitse hypoglycemia. Ngati wodwalayo am'chita opareshoni pamimba, ndiye kuti izi zitha kupangitsa kuti magazi achepe. Nthawi zambiri, kupatuka kotereku kumayambitsidwa chifukwa chosagwirizana ndi zakudya panthawi ya opaleshoni. Shuga amayamba kuyamwa mwachangu kwambiri, ndipo izi zimakwiyitsa kupanga insulin yambiri. Nthawi zambiri, ndikawonongeka kwa m'mimba, hypoglycemia imatha kuchitika popanda chifukwa chapadera.
Pali mtundu wina wa matenda omwe amatchedwa reactive hypoglycemia. Uwu ndi vuto lomwe limachitika mwa anthu ndipo limatsatana ndi dontho lakuthwa mu kuchuluka kwa shuga m'magazi. Mpaka pano, izi ndizosowa kwambiri mwa achikulire. Dontho la shuga m'magazi limalembedwa panthawi yomwe akukana chakudya pang'ono, koma zotsatira za phunzirolo zimasintha mukangodwala. Izi siziri zowona za hypoglycemia.
Matenda ofala kwambiri omwe ali nawo kwa ana mpaka chaka chimodzi. Panthawi imeneyi, amatha kugwiritsidwa ntchito mosavuta ndi kumwa kwa fructose kapena lactose. Zakudya izi zimatha kulepheretsa chiwindi kuti chisatulutse shuga momasuka. Ndipo kumwa kwa leucine kumadzetsa kupanga kwakukulu kwa insulin ndi kapamba. Mwana akamadya zakudya zambiri zomwe zimakhala ndi izi, ndiye kuti akuponya shuga m'magazi atangodya. Akuluakulu, zimachitikanso chimodzimodzi mukamamwa zakumwa zoledzeretsa zokhala ndi shuga wambiri.
Kupititsa patsogolo Mankhwala
Kuti muchepetse shuga pang'ono wamagazi, ndikofunikira kumwa mitundu ya mankhwalawa monga: calcium blockchain, njira zakulera zam'mlomo ndi mankhwala omwe amaphatikiza mahomoni a pancreatic, mapiritsi ogona, ndi mapiritsi a antibacterial.
Koma, ndikofunikira kulipira kuti awa ndi mndandanda wawung'ono wa mankhwala omwe amathandizira kusintha mkhalidwe wa thupi pomwe akuchepetsa shuga.
Ndikofunikira kukumbukira kuti mankhwalawa amatha kumwa kokha ngati atchulidwa ndi dokotala.
Kuchiza ndi wowerengeka azitsamba
Chithandizo chokwanira chikuyenera kukhala ndi maphikidwe a mankhwala ena. Koma, zoona, sangathe kuchiritsa chikomokere.
Amagwiritsidwa ntchito kokha kuti aletse kuukira. Njira zina ndizodabwitsa chifukwa zimagwiritsidwa ntchito poletsa mtundu uliwonse wa hypoglycemia.
Izi zitha kuthetsedwa pogwiritsa ntchito wort wa St.
Zakudya zamankhwala
Zakudya za ana ndi akazi zimakhudza kuwonekera kwa zosafunikira za hypoglycemia. Pofuna kupewa izi, muyenera kutsatira zakudya zopatsa mphamvu.
Onetsetsani kuti mumadya maswiti omwe cholinga chake ndi odwala matenda ashuga.
Madzi ayenera kuphatikizidwa muzakudya. Amaloledwa kumwa mkaka, kudya uchi. Zakudyazo ziyenera kukhala zosiyanasiyana ndi chimanga ndi ndiwo zamasamba.
Amayi omwe ali ndi hypoglycemia ayenera kudya maola atatu aliwonse.
Makanema okhudzana nawo
Zizindikiro zakuthwa kwakuthwa m'magazi muvidiyo:
Kwa anthu onse, hypoglycemia ndi chiopsezo chachikulu. Ngakhale kupatuka pang'ono kwa shuga kozolozeka m'magazi kuyenera kuthandizidwa kuti pasadzakhale zovuta mtsogolo. Mukayamba izi, ndiye kuti mutha kukumana ndi maonekedwe okoka omwe amasokoneza moyo wabwinobwino.
Mavuto
Hypoglycemia ndi chiopsezo ku thanzi la munthu ndi moyo. Choyambirira, maselo aubongo amadwala chifukwa cha kusowa kwa glucose, ndipo mphamvu yam'mimba imatha. Vutoli limasokoneza ntchito ya thupi lina. Mwina kufa kwa maselo aubongo, kukulitsa zotsatira zosasintha.
Pathology imatha kuyambitsa kusokonezeka kwa malingaliro, khunyu komanso psychoses zingapo. Kuchepa kwa shuga m'magazi kumakhudza kayendedwe ka mtima, kupuma komanso mantha am'magazi, kugunda kwa mtima ndi kotheka.
Mankhwala a hypoglycemia, ndikofunikira kukhazikitsa zomwe zimayambitsa. Ngati dontho la shuga m'magazi limayambitsa matenda a ziwalo zamkati, mankhwala amathandizidwa kuti athetse vuto.
Mkhalidwe uwu ndiwopseza anthu, motero ndikofunikira kwambiri kupereka thandizo panthawi yake. Mu gawo loyamba ndi lachiwiri la matenda, ndikofunikira kupatsa wodwala chidutswa cha shuga kapena chakumwa chokoma, uchi, kupanikizana. Izi zimathandizira kudya kwa glucose komanso kukhala wathanzi.
Kupuma msanga kwa zizindikiro, mankhwala ochokera mndandanda wa ma beta-blockers amapatsidwa. Ndikofunika kuwatenga pokhapokha ngati adokotala adalangiza ndipo atatsimikizira zenizeni za hypoglycemia.
Zomwe zimayambitsa kutsika kwa shuga m'magazi a matenda ashuga ndiosiyana. Chifukwa chake, matendawa amatha kuchitika ndi mankhwala osayenera kapena chifukwa chophwanya lamulo.
Vutoli limatchedwa "" ndipo limatsimikiziridwa ndi kuchepa kwa glucose wamagazi kukhala wamtengo wapatali wa 2.8 mmol / L kapena kutsikira.
Kuti mumvetse bwino nkhaniyi, muyenera kumvetsetsa momwe zimapangidwira shuga. Iye ali monga choncho.
Ndipo ntchito yayikulu pano ndi mlingo woyenera wa insulin woperekedwa ndi wodwala. Ngati chikhala chambiri, ndipo kuchuluka kwa mahomoni kulowa m'thupi, kusowa kwa shuga kudzachitika - kusowa kwa shuga. Pankhaniyi, timapulumutsidwa, yomwe, mwa kuphwanya glycogen yomwe ilimo, imabwezeretsa magazi ndi shuga.
Koma mu odwala matenda ashuga, mwatsoka, chiwindi chimakhala ndi glycogen yaying'ono (poyerekeza ndi munthu wathanzi), motero, ndi matenda a shuga amakhala apamwamba kwambiri. Ndi matenda ambiri. Pankhani ya hypoglycemia, nthawi zambiri amakula wodwala akamalandira jakisoni wa insulin.
Nthawi zina wodwalayo samazindikira matenda omwe akubwera (izi zimachitika ndi chidziwitso), ndipo ndi abale ake okha omwe amatha kuzindikira zovuta zina pamachitidwe a odwala matenda ashuga.
- Popeza munthu amadziwa, samazindikira zenizeni ndipo samayankha mafunso,
- mayendedwe ake sakudziwika, ndipo mgwirizano umasweka.
- wodwala amawonetsa mwadzidzidzi komanso mopanda nzeru kapena, m'malo mwake, amakhala wokondwa kwambiri,
- Khalidwe la odwala limafanana ndi kuledzera.
Ngati munthu wotere sathandizidwa mwachangu, ndiye kuti shuga lakugwa limayambitsa hypoglycemia, yomwe ingayambitse. Komanso, kumenyedwa pafupipafupi ndi matenda kumawonongera ubongo ndi mitsempha, yomwe imawopseza moyo.
Kuyambira chiyambi cha hypoglycemia, momwe odwala matenda ashuga ayenera kuyang'aniridwa ndi achipatala pafupipafupi.
Mawonetsero oyamba kumene a hypoglycemia amadziwika ndi kumva pang'ono panjala, pomwe wodwala sangamvetsetse ngati zili zowona kapena ayi. Mamita afika populumutsa. Ngati chipangizocho chikuwonetsa zabwino pafupi ndi 4.0, ndiye kuti chizindikiro choyamba cha matendawo chimachitika.Kuti muimitse, ingodya gawo limodzi ndikumwa ndi lokoma kapena madzi.
Zogwirizana ndi Dokotala Therapy
Cholinga chachikulu cha hypoglycemia mu matenda ashuga ndicho makamaka mphamvu ya mankhwala ambiri okhala ndi shuga.
Mankhwalawa amalimbikitsa ntchito yowonjezereka ya maselo a pancreatic beta, ndikupangitsa kuti ipange insulin yambiri.
Mtundu wachiwiri wa matenda ashuga, chithandizo choterechi ndichothandiza kwambiri: shuga ndi wabwinobwino. Koma ngati malamulo a wodwala omwe amamwa mankhwalayo aphwanyidwa, ndipo akamwa mankhwala ochuluka, pamakhala kutsika kwamphamvu kwa shuga.
Izi ndizodzaza ndi zovuta zazikulu za organic, mwachitsanzo, kuwonongeka kwa maselo aubongo. Ndi matenda awa, ziwalo zonse zimakumana ndi kuperewera kwamphamvu kwa chakudya, ndiko kuti, mphamvu. Ndipo ngati palibe thandizo la panthawi yake kwa wodwalayo, imfa imatha kuchitika.
Palinso zifukwa zina zomwe zimayambitsa hypoglycemia:
- pamene cholembera cholakwika chikagwiritsidwa ntchito,
- wodwalayo amatenga mankhwala a sulfonylurea omwe angayambitse zovuta zosiyanasiyana. Madokotala ambiri amalangiza kukana mankhwalawa, popeza amachititsa kuti kapamba azipanga insulin yowonjezera,
- kumwa mankhwala atsopano omwe kale sanawadziwe,
- kutikita minofu pa malo jakisoni. Zotsatira zake, kutentha kwa thupi kumakwera m'derali, ndipo timadzi timadzi tomwe timatulutsa mwachangu kuposa momwe timafunikira,
- . Kusintha kwa insulin yayitali ndi yochepa (voliyumu yomweyo),
- Mtengo wolakwika ukuwonetsa zosankha zolakwika (zotsekedwa). Zotsatira zake, wodwalayo amadzivulaza ndi insulin yambiri,
- Kusagwirizana pakati pa mankhwala omwe amagwiritsidwa ntchito pochiza matendawa,
- Kuwerengeredwa molakwika kwa dokotala wa insulin.
Zakudya zogwirizana
Wodwala matenda ashuga akamadya zakudya zambiri zosavuta, akumwa kapenanso amadumphanso chakudya china, amatha kudwala matenda a hypoglycemia. Chifukwa chake, ndikofunikira kwambiri kwa odwala matenda ashuga, makamaka pamene zakudya zimaphatikizidwa ndi mankhwala antidiabetes.
Mavuto otsatirawa angathandizire kukulitsa matendawa:
- wodwala kaphatikizidwe ka michere. Zikatero, kuyamwa bwino chakudya kumachitika, ndipo kuchuluka kwa shuga m'madzi am'magazi kumachepera,
- kudumpha zakudya: pamene kuchuluka kwa chakudya chamafuta kumakhala sikokwanira kulipirira mlingo wa insulin,
- zakudya zosakhazikika
- kudya kwambiri (kudya njala) ndi kugwiritsa ntchito mankhwala ochepetsa thupi. Pankhaniyi, mlingo wa insulin utengedwa popanda kutsika,
- chakudya chopanda malire, chochepa kwambiri,
- ndi gastoparesis opangidwa bwino (kutulutsa bwino m'mimba) Ayi.
- mu 1 trimester.
Kwa thanzi labwino, odwala matenda ashuga sayenera kufa ndi njala. Ngati izi zikuwoneka (zomwe ndi chizindikiro cha hypoglycemia mu shuga), muyenera kusintha zakudya nthawi yomweyo.
Mowa
Phwando Izi ndizabwino kwambiri, chifukwa zizindikiritso zamatenda zoopsa zimafanana kwambiri ndi chikhalidwe cha munthu woledzera, ndipo ena amatha kulakwitsa wodwala chifukwa cha chidakwa. Ndipo sitikhala nawo makamaka.
Mowa hypoglycemia ndi imodzi mwamantha owopsa.
Kodi chikuchitika ndi chiani? Chowonadi ndi chakuti mamolekyulu a ethanol amachedwetsa kupanga shuga wambiri ndi chiwindi, kusokoneza kukula kwake. Nthawi yomweyo, mankhwala ochepetsa shuga ali m'magazi a wodwala.
Choopsa chachikulu ndikugwiritsa ntchito limodzi mankhwala othandizira odwala matenda ashuga komanso amphamvu. Mowa wokhala ndi digiri yayikulu umachepetsa shuga, ndipo zizindikiro za hypoglycemia pamenepa zimafanana ndi zizindikiro za kuledzera.
Mowa umachepetsa kapena ngakhale kutsitsa kwathunthu mankhwalawo, ndipo izi zimakhala ndi zotsatirapo zoyipa kwa odwala matenda ashuga.
Ntchito zolimbitsa thupi
Nthawi yochepa osakonzekereratu, koma mwamphamvu kwambiri, imatha kuchitika: kuthamangitsa magalimoto obwerera kapena masewera a mpira ndi mdzukulu wanu wokondedwa.
Nthawi yomweyo, wodwalayo sadzalingaliranso kuti shuga itha kuchepa.
Ndi kupsinjika kwakutali kwa thupi (kupitirira ola limodzi), mwachitsanzo, kuyika phula kapena kutsitsa ma pallet ndi njerwa, chiopsezo chotenga matendawa ndi chambiri. Ngakhale munthu atadya chakudya chokwanira chopatsa mphamvu, vuto la hypoglycemia limatha kuchitika patadutsa maola angapo pambuyo pogwira ntchito molimbika.
Nthawi zambiri, kusokonezeka kumachitika usiku, chifukwa nthawi imeneyi minyewa yam'mimba imayamba kuchira chifukwa cha kulowetsedwa kwa glucose. Ndipo ngakhale izi sizichitika kwa aliyense, ndikofunikira kudziwa za izi.
Nthawi zonse muyenera kukhala ndi mankhwalawa a hypoglycemia.
Kwa odwala matenda ashuga, onse amtundu wa insulin ndipo amawerengedwa mosiyanasiyana. Izi zimaganizira katundu wapakati komanso wosasunthika: kusambira kwaulere ndikungoyenda chete kapena kuyenda mwachangu.
Ndipo kupsinjika kwakuthupi kumatha kupewetsa kuyesa konse kwamankhwala. Chifukwa chake, yesetsani kusunga katunduyo kukhala ocheperako koma okhazikika.
Kodi hypoglycemia ndi chiyani?
Glucose, kapena momwe amachitchulidwira - shuga, amapezeka nthawi zonse m'magazi a anthu. Amapereka mphamvu ku maselo makamaka ubongo. Glucose amalowa m'thupi ndi chakudya, ndipo wophatikiza wake ndi chakudya chamoto.
Ndiwo gwero lalikulu lamphamvu, lomwe limalola thupi lonse kugwira ntchito moyenera. Ngati munthu adya moyenera, ndikupeza chakudya chokwanira cha chakudya chopatsa thanzi, shuga wambiri amawasunga ngati glycogen m'chiwindi ndi minofu. Kuchoka pamenepo komwe kumatengedwa ndikusowa.
Ngati ilipo ndipo palibe malo osungirako glycogen, ndiye kuti mkhalidwe wa hypoglycemia umachitika - kusowa kwa glucose. Nthawi yomweyo, kagayidwe ka ma cell kamasokonekera, ndipo mtima ndi ubongo zimavutika ndi izi makamaka. Kutsika kwamphamvu kwa shuga m'magazi kumabweretsa kufa kwa maselo ake. Ngati mulingo wake wagwera kwambiri, ndiye kuti munthu wakomoka amatha kugwa.
Chifukwa chake, muyenera kusamala ndi anthu omwe ali ndi matenda ashuga omwe akuyesera kuti achepetse shuga m'magazi mwachangu - kuthamanga kwake sikumabweretsa zotsatira zowopsa. Koma chikhalidwe cha hypoglycemia chitha kuonedwa mwa anthu athanzi. Zowona, malaise nthawi zambiri imagwirizanitsidwa ndi kuchepa kwa shuga m'magazi. Ndipo zimachitika kuti popanda kuchita panthawi yake, izi zimabweretsa zotsatira zosasintha.
Zizindikiro za Low shuga
Kugona kwamavuto, maloto am'mawa komanso kudzutsidwa pafupipafupi,
M'mawa, munthu amene ali ndi shuga yochepa magazi, amatopa komanso watopa, mutu umatha.
Kusakwiya ndi nkhawa,
Kutopa kwambiri
Miyendo imatha kunjenjemera ndikunjenjemera, kufooka kwamphamvu kumveka m'misempha,
Mutu wapafupipafupi komanso chizungulire,
- amakhala ndi njala nthawi zonse, koma nthawi yomweyo mseru umamveka,
Thupi limafunikira zakumwa, makamaka khofi, tiyi ndi koloko.
Chifukwa chiyani pali shuga wochepa wamagazi?
Izi zitha kuchitika mwa munthu wathanzi. Ndipo sizotheka nthawi zonse kudziwa zifukwa zomwe zimayambitsa matendawo komanso njira zoyenera. Chifukwa chake, ndikofunikira kudziwa zomwe zingayambitse kuchepa kwa shuga:
Zakudya zoperewera kwa nthawi yayitali, zakudya, komanso zopanda thanzi komanso zopanda thanzi m'thupi, makamaka chakudya, chakudya,
Kupuma kwakukulu kwambiri pakati pa chakudya. Zakudya zamafuta zimasowa mwachangu, ndipo ngati munthu sakudya kwa maola opitilira 8, ndiye kuti shuga ya magazi ayamba kutsika.
Kuchita masewera olimbitsa thupi kwambiri kapena masewera olimbitsa thupi kwambiri
Kugwiritsa ntchito maswiti pafupipafupi, confectionery, zakumwa zoziziritsa kukhosi kapena zakumwa zoledzeretsa, zomwe zimabweretsa kutulutsidwa kwambiri kwa insulin. Pankhaniyi, shuga wamagazi amatsika mofulumira.
Ndi matenda ati omwe angayambitse vutoli?
- Chochititsa chachikulu kwambiri cha hypoglycemia ndi matenda ashuga.
- Zotupa za pancreatic zingayambitsenso shuga m'magazi.
- Matenda ena a chiwindi ndi m'mimba, mwachitsanzo, momwe zimakhalira pakuchepa kapena kuperewera kwa enzyme.
- Matenda a adrenal gland, pituitary gland kapena hypothalamus, omwe akuphatikizidwa ndi kayendedwe ka kagayidwe kazachilengedwe.
Momwe mungachepetse shuga kunyumba?
Odwala odwala matenda ashuga nthawi zambiri amadziwika kuti ali ndi mankhwalawa kuti azitha kuwongolera shuga. Koma zimatengera zinthu zambiri, chifukwa chake ndizovuta kusankha mlingo woyenera. Ndipo ndikofunikira kuti odwala oterowo azidziwa momwe angachepetse shuga kunyumba. Pankhaniyi, mutha kuchita popanda kudumpha kwadzidzidzi ndi zotsatira zosasangalatsa. Kuti muchite izi, zakudya ziyenera kuphatikizapo:
Oatmeal, makamaka phala ndi zipatso zam'mawa,
Munthu amafunika mtedza tsiku lililonse osati kungokhala ndi shuga wamba,
Ndimu ya mandimu imachepetsa mndandanda wazinthu zonse zomwe umadya nawo.
Mkate wamba ndi bwino kusinthitsa tirigu wathunthu,
Yesani kudya anyezi wambiri, adyo ndi masamba amtundu.
Kodi shuga wochepa angayambitse chiyani?
Ngati simukuwona zizindikiro za hypoglycemia munthawi yake ndipo simukuchita, ndiye kuti wodwalayo azikulirakulira.
Ubongo umavutika kwambiri ndi izi, chifukwa umakhala ndi "njala." Chifukwa chake, zotsatirazi zimawonjezeredwa pazizindikiro zomwe zili pamwambapa:
Kuzunzika Kwambiri,
Pali kufooka kwambiri komanso kunjenjemera miyendo.
Popita nthawi, kuwonongeka kwa ubongo kumayamba, komanso kusokonezeka kwa malankhulidwe ndi chikumbumtima, zopweteka zimatha kuonedwa. Nthawi zambiri zimatha ndi stroko kapena chikomokere. Popanda chithandizo, imachitika.
Momwe mungachepetse shuga
Pofuna kuthana ndi phenological, njira yophatikizika imagwiritsidwa ntchito:
- zifukwa zopitilira muyeso wama chizindikiro a shuga zimadziwika,
- zakudya zimasinthidwa
- Mankhwala, mankhwala azitsamba amagwiritsidwa ntchito kuti athetse matenda ofanana, kubwezeretsa magwiridwe antchito a ziwalo ndi machitidwe, kuchepetsa matenda a shuga,
- Kulemera kwa thupi kumapangidwa modabwitsa
- zolimbitsa thupi ndi bwino.
Ganizirani zamomwe mungapangire chitukuko cha hyperglycemia, njira zodziwira matenda ndi njira zothandiza zochiritsira.
Mwazi umalowa bwanji m'magazi a anthu
Glucose ndi gawo limodzi la zinthu zambiri, zomwe zimatengedwa m'magazi kudzera m'matumbo a matumbo limodzi ndi michere ina, zomwe zimapangitsa kuti shuga azikhala ndi magazi ambiri. Ntchito zamaguluwa “glucose” zimapatsidwa kwa chiwindi, chomwe chimasunga shuga wambiri mwa glycogen. Pakufunika, maselo amamwa shuga (shuga) kuti adzazitse kuchepa kwa mphamvu.
Kutenga kwa glucose wa glucose kumafunikira insulini yopangidwa ndi kapamba. Ngati kuchuluka kwa insulini yotulutsidwa sikokwanira, kapena kupangika kwake kwa maselo ndikusokonekera, shuga yamagazi imayamba kukwera. Kuti mudziwe chifukwa chake kuchuluka kwa shuga kwachulukira, kuchitapo kanthu kuchipatala ndikuwonetsetsa bwino.
Zomwe zimayenera kukhala za shuga m'thupi
Mphamvu yozungulira (yovomerezeka) ya glucose, yowerengedwa mamililita pa 1 cubic decimeter / lita imodzi ya magazi (mmol / l), zimatengera nthawi yanthawi yomwe chizindikirocho chimayesedwa.
Mukamachita kusanthula kwa magazi kuchokera mu chala pamimba yopanda kanthu (chakudya ndi madzi sizimamwa maola angapo musanawunikidwe), malingaliro omwe ali pamlingo wa 3.5 - 5.5 amawonedwa ngati abwinobwino. Mukatha kudya, pamakhala kuchuluka kwachilengedwe kwa glucose - mpaka 7.8 ndi kuchepa pang'onopang'ono m'magawo a glucose kuzinthu zawo zoyambirira. Zoyimira shuga zovomerezeka zimasinthidwa kwa ana osakwana chaka chimodzi (2.8 - 4.4) komanso kwa anthu azaka zopitilira 60 (4.6 - 6.7).
Zotheka kupatuka pamachitidwe:
- hypoglycemic chikomokere - ochepera 2.2,
- hypoglycemia - 3,3 ndi m'munsi,
- hyperglycemia - 6.7 ndi apamwamba,
- hyperglycemic chikomokere - 33 ndi kupitirira,
- Hyperosmolar chikomokere - 55 ndi pamwambapa.
Kusiyana kwakukulu pakati pa mulingo wamba komanso wabwinobwino shuga, wodwalayo amadwala kwambiri komanso kukulitsa zovuta zake (kuphatikizapo zosasinthika).
Zizindikiro za Kuwala Kwakukulu
Zizindikiro za hyperglycemia nthawi zina zimakhala zofanana ndikuwonetsa kutopa kwambiri, chimfine, komanso matenda opatsirana. Kuwonjezeka kwa ndende ya magazi kumayendera limodzi ndi:
- kusweka
- kugona
- kusakhazikika
- ludzu
- njala yayikulu
- kukodza pafupipafupi
- kusintha kwamphamvu kwa thupi,
- kuwoneka ma mitambo, kuwoneka kwa zolakwika zooneka, zotchedwa "ntchentche",
- nthawi yayitali yovulala yovulala,
- pruritus, furunculosis, dermatitis,
- kuwoneka ngati fungo la acetone mumlengalenga wopaka mpweya,
- kuphwanya kwamphamvu kwamiyendo,
- chitetezo cha chitetezo chamthupi.
Zizindikiro zomwe zimawonetsa kuchuluka kwa shuga m'magazi kumathandizidwa ndi matenda obwera ndi ukazi, kuyimitsa nyini, kutulutsa, kutembenuka kwamatenda oyamba a dongosolo la kubereka.
Ngati zizindikiro zomwe zafotokozedwazo zadziwika, ndikofunika kuchita kuyezetsa magazi kwa odwala.
Momwe mungayesere mayeso
Laborator sample ya venous kapena capillary (kuchokera chala) magazi amachitidwa m'mawa pamimba yopanda kanthu. Nthawi yolimbikitsidwa kusala shuga asanayesedwe ndi maola 8 mpaka 12. Mowa, womwe umakhudza shuga wamagazi, umachotsedwa pakudya maola 48 isanachitike. Ndikofunika kuti musamadye kokha, komanso osatinso kuchuluka kwa zinthu zochuluka, kusuta, kugwiritsa ntchito mankhwala, physiotherapy.
Ndondomeko, pomwe zosalimba zimagwiritsidwa ntchito, zimaphatikizapo kupha tiziromboti, kupaka khungu (mitsempha), zitsanzo zamankhwala osokoneza bongo m'miyeso yoyeserera, kugwiritsa ntchito mowa wa thonje ku malo opumira. Mwazi umayikidwa mu chosanthula chapadera chomwe chimawerengera kuchuluka kwa shuga ndi zina zofunika kuzisanthula.
Kuphatikiza pa mayeso, kuyesa kwa glucose kumachitika monga momwe adanenera dokotala. Magazi a shuga amaperekedwa pamimba yopanda kanthu, wodwalayo amamwa 200 ml. glucose solution, patatha maola awiri, kuyesedwa kwachiwiri kwa magazi kumachitika.
Chipangizo chachipatala cha glucometer
Njira yowonekera yophunzirira kuchuluka kwa shuga imaphatikizanso kugwiritsa ntchito chipangizo chapadera - glucometer. Dontho la magazi limayikidwa pa Mzere wakuyesa, zotsatira zake (shuga) zimawonetsedwa. Ubwino wa njirayi ndikutha kudzifufuza nthawi iliyonse. Zoyipa zake zimaphatikizaponso kulondola kwapang'onopang'ono kwa zotsatirazi poyerekeza ndi magazi a labotale.
Zokhudza chithandizo cha shuga m'magazi
Kodi ndiyenera kuchita chiyani ngati shuga wambiri wapezeka ndi zotsatira za mayeso? Kuyambitsa kwakukulu kwa akatswiri ndikupewa kuti asachite mantha. Popeza pali mwayi wolakwitsa, ndikofunikira kuchita kuyezetsa magazi mobwerezabwereza. Kusanthula kambiri kudzakuthandizani kuti mupeze chithunzi cholondola cha kusinthika kwa kuchuluka kwa shuga m'magazi, kuti mutsimikizire kupezeka kwa chizindikiro cha matenda a hyperglycemia. Kuti muchepetse shuga, muyenera kukaonana ndi endocrinologist.
Mankhwala
Kugwiritsa ntchito mankhwala opangidwa kuti muchepetse shuga wamwazi kumangovomerezedwa kokha ndi mankhwala a katswiri wazachipatala. Mankhwala osokoneza bongo, poganizira mawonekedwe a chithunzi cha matenda, amaphatikizapo ntchito:
- "Insulin" (imapereka kuchepa kwa kuchuluka kwa glucose munthawi yochepa),
- "Siofora" (amasintha mawonekedwe a "Insulin"),
- "Glucophage" (imalepheretsa mayamwidwe m'matumbo, imakhala ndi zotsatirapo za insulin chiwopsezo),
- "Victoza", "Bayeta" (zimathandizira kuti makulidwe azakudya),
- "Manilin" (imalimbikitsa ntchito ya insulin ya kapamba),
- "Metformin" (amalepheretsa kupanga shuga m'magazi a chiwindi),
- "Actos" (umawonjezera kukhudzidwa kwa ma insulin),
Aktos
Kugwiritsa ntchito mankhwala kumayendera limodzi ndi kuwunika kwamisempha yamagazi. Ngati ndi kotheka, mlingo wa mankhwalawa umasinthidwa. Ngati mitundu yopepuka (yosawopseza thanzi) ya hyperglycemia yapezeka, njira zoyendetsedwa zimatengedwa, kuyang'aniridwa kwa achipatala kumaperekedwa, ndipo mankhwala amphamvu sagwiritsidwa ntchito.
Zithandizo za anthu
Pofuna kuchepetsa shuga m'magazi, mutha kugwiritsa ntchito wowerengeka azitsamba. Maphikidwewa amaphatikiza kugwiritsa ntchito mbewu, zomwe zimaphatikizapo zinthu zachilengedwe monga insulin. Ndikofunikira kuchitira mankhwala a hyperglycemia ndi wowerengeka azitsamba, poganizira kuopsa kwa zotsatira zoyipa. Kutsika kwa glucose ndende kumachitika pogwiritsa ntchito:
- Mizu ya Dandelion. Supuni ya tiyi ya zinthu zoponderezedwa imathiridwa mu 200 ml. madzi otentha, kunena kwa mphindi 30, gwiritsani ntchito utatha kusefa 50 ml. kanayi pa tsiku.
- Saladi wa Dandelion. Amakonzedwa ndimasamba othiridwa m'madzi oyera, othandizira ndi kirimu wowawasa, zitsamba, mafuta a masamba.
- Udzu wambuzi. Supuni zinayi za udzu wouma umathiridwa ndi madzi otentha (800 ml.). Gwiritsani ntchito patatha maola awiri kulowetsedwa kwa 100 ml. 4 pa tsiku.
- Chinyengo cha peyala zadothi. Zipatso ziwiri zimaphikidwa mu lita imodzi yamadzi (kotala la ola).
- Nyemba Matumba a nyemba 35 mpaka 40 amawonjezeredwa ndi madzi okwanira theka ndi theka, ophika kwa maola atatu osamba. Ndondomeko ya Mlingo: 100 ml iliyonse. kanayi patsiku mu maphunziro a miyezi itatu.
- Elecampane. Supuni imodzi ya udzu imathiridwa mu kapu yamadzi ndikubwera kwa chithupsa.
- Msuzi wa oat. Makapu amodzi ndi theka a mbewu za oat amathiridwa mumalita 1.8. madzi otentha, kuphika pamoto wochepa kwa maola 1 - 1,2. Msuzi wosenda wosunthika umagwiritsidwa ntchito ngati njira ina yabwino kwambiri yopangira ma compote, tiyi, madzi.
- Kulowetsedwa kwa masamba a lilac. Ma supuni awiri a 2 a phyto-zosaphika amatsanulidwa ndi theka la lita imodzi ya madzi otentha. Pambuyo 6 maola kulowetsedwa ndi kupsinjika, iwo amadya masana (kwa 4 mpaka 5 waukulu).
- Anyezi wophika. Anyezi wophika amadyedwa musanadye chakudya cham'mawa.
- Mbewu yaampiru. Zakudya za tsiku ndi tsiku ndi supuni 0,5.
- Decoction wa masamba a mabulosi. Masamba ochepa amathira 200 ml. madzi otentha, bweretsa kwa chithupsa, kunena kwa maola awiri, fyuluta, kumwa katatu patsiku mu kapu imodzi.
- Muzu wa Horseradish. Muzu wokakamizidwa umasakanizidwa ndi mkaka wowawasa muyezo wa 1 mpaka 10, tengani osakaniza musanadye katatu patsiku.
Muzu wa Horseradish
Musanagwiritse ntchito mankhwala azitsamba, onani dokotala.
Zochita zolimbitsa thupi
Maphunziro akuthupi ndi chida chosavuta koma chothandiza chomwe chimathandiza kuchepetsa kuchuluka kwa shuga m'magazi kunyumba, kukonza bwino, kumanga minofu, kusintha minofu ya adipose.
Masewera olimbitsa thupi amakhala ndi kutambasula, kuyenda, kuthamanga m'malo, squat, masana, kusuntha miyendo, mikono, kuwerama, kutembenuza mutu, kutembenuza mapewa, "kuyendetsa njinga" ofunda, kukankha. Ndi chilolezo cha dokotala, kugwiritsa ntchito ma dumbbells ndikuloledwa.
Ndi kulimbitsa thupi komanso kuchita masewera olimbitsa thupi, kuyang'anira mosamala kuchuluka kwa shuga mumagazi ndikofunikira kuti muchepetse kusintha kwadzidzidzi mu chisonyezo, chomwe chikuwopseza thupi.
Zakudya ndi zakumwa zomwe zimachepetsa shuga
Kuledzera kwa zakumwa ndi zakudya zomwe zimachepetsa kuchuluka kwa shuga m'magazi ndi gawo limodzi la maphunziro othandizira. Mwakugwirizana ndi akatswiri azachipatala, chakudyacho chitha kukhutitsidwa:
- masamba obiriwira, beets, biringanya, tomato, radara, adyo, mapeyala, ma plamu, maapulo, yamatcheri,
- Zipatso za malalanje
- amadyera
- nsomba zam'nyanja
- buledi wathunthu
- nyemba, mbewu
- mtedza
- Yerusalemu artichoke
- mafuta a azitona
- sinamoni
- madzi amchere, zipatso zachilengedwe zosakhazikika, ma compotes zipatso (ololedwa kugwiritsa ntchito).
Chakudyacho chimakonzedwa poganizira kuopsa kwa ziwengo ndi zina zovuta. Pofuna kupewa kusinthasintha kwa glucose m'magazi, gawo lililonse la mankhwala limakhazikitsidwa.
Zakudya zamagulu a shuga
Kutsatira zakudya zomwe zimaperekedwa ndi shuga wambiri, mutha kuchepetsa zovuta za hyperglycemia. Mfundo zachikhalidwe za zakudya ndi:
- kuwongolera mosamala mafuta owonetsa chakudya chamafuta,
- kuchuluka kwa zakudya
- kukhathamiritsa zopatsa mphamvu pamenyu (kupewa kudya kwambiri, kunenepa kwambiri),
- kumwa maola ochepa mpaka 2 maola atatu,
- kuchuluka kwa masamba azakudya pamenyu,
- kusunga madzi osasamala (kumwa madzi oyera tsiku lililonse - kuyambira malita 2.5),
- Kuchepetsa kumwa kwamchere, mafuta a nyama,
- kugwiritsa ntchito zotsekemera m'malo mwa shuga.
Mitengo yolimbikitsidwa yamafuta / protein / carbohydrate zakudya za hyperglycemia: 35% / 20% / 45%.
Pokhala ndi shuga wambiri wamwazi, amaloledwa kudya zipatso ndi ndiwo zamasamba, buledi wopanda tirigu wokwanira mafuta ochepa, nyama yophika yophika, zakudya zamkaka (mpaka magalamu 400 patsiku), mazira (mpaka zidutswa ziwiri patsiku), chimanga (kupatula semolina) , tiyi wa mabulosi, zakudya zonunkhira, zakumwa za uchi.
Zomwe sizingatheke ndi shuga wambiri
Ndi hyperglycemia yomwe ikupita patsogolo, munthu ayenera kupewa kudya:
- mowa
- chakudya chopanda pake
- zakudya zokhala ndi index wosatetezeka,
- chakudya chochuluka shuga (kupatulapo kufunika koyimitsa kuukira kwa hypoglycemia),
- bowa
- caviar
- Zakudya zokazinga, zosuta, zonunkhira, zamzitini,
- zakudya zamafuta ambiri.
Zimatenga nthawi yayitali kuti muchepetse hyperglycemia, kotero chithandizo cha zakudya chimatenga miyezi, zaka komanso makumi.
Ngati magazi a shuga aposa miyezo yovomerezeka, njira zochiritsira mwachangu ziyenera kumwedwa kupewa mavuto obwera chifukwa cha hyperglycemia. Mutha kugawana njira zochepetsera shuga m'magazi ndikusiya ndemanga pazomwe mukugwiritsa ntchito mawonekedwe omwe ali pansipa.
Kodi mungapewe bwanji kuchepetsa shuga?
Anthu omwe ali ndi matenda a shuga amadziwa momwe angayang'anire kuchuluka kwa shuga. Kwa iwo, ndikofunikira kwambiri kuti athe, m'malo mwake, kuchepetsa shuga m'magazi mwachangu. Ndipo pakuyamba kwa hypoglycemia, nthawi zonse amakhala ndi maswiti kapena china chokoma. Komabe, mankhwala onse omwe amachepetsa shuga ya magazi amayenera kumwedwa pokhapokha ngati dokotala walonjeza.
Ndipo musaiwale kuwunikira nthawi zonse momwe muliri. Koma anthu athanzi labwino, omwe nthawi zambiri amakumana ndi zovuta, ndikofunikira kuyang'ana kuchuluka kwa shuga ndikuletsa kuti asachepe. Kuti muchite izi, muyenera:
Siyani kusuta ndi kumwa mowa, zomwe zimapangitsa kupanga insulin,
Chepetsani kumwa kwa khofi, zakumwa zoziziritsa kukhosi ndi zopopera,
Pewani kusala kudya kwanthawi yayitali: Idyani pang'ono m'malo ochepa, koma 5-6 patsiku,
Idyani nsomba zambiri, nsomba zam'madzi ndi zakudya zamafuta acid,
Musanaphunzitsidwe kwambiri, muyenera kudya china chake chotseguka mosavuta, koma champhamvu kwambiri.
Kuphatikiza apo, anthu omwe nthawi zambiri amakhala ndi hypoglycemia, makamaka omwe ali ndi matenda ashuga, ayenera kuchepetsa kuchuluka kwawo kwa zitsamba ndi zakudya zomwe zimachepetsa kwambiri magazi.Izi zitha kukhala tsamba, clover, udzu wa dandelion, masamba a nyemba, komanso Yerusalemu artichoke, sipinachi, parsley, zinanazi, mabulosi abulu ndi masamba ena ndi zipatso.
Mkhalidwe wa shuga wotsika magazi mulinso wowopsa kuposa kuwonjezeka kwa glucose kuposa zofunikira, chifukwa chake ndikofunikira kuti abambo ndi amayi adziwe chifukwa chake kuchepa kotereku kumachitika komanso zomwe zimadziwika ndi matendawa. Ndikofunikira kuti musangoyang'anira kuyamwa kwa shuga, komanso kumvetsetsa zomwe akuyenera kuchita ndi hypoglycemia, popeza nthawi yovuta ili ndi zovuta zambiri, mpaka pakuwopseza moyo.
Kodi shuga wotsika magazi ndi chiyani
Kuperewera kwa shuga wamagazi kapena hypoglycemia ndi njira yokhazikitsidwa ndi glucose m'magazi imagwera pansi pazomwe zimachitika, zomwe mwa munthu wathanzi pamimba yopanda 3.3 - 5.5 mmol / L. Glucose ndiye mafuta a ubongo wathu, ndipo kusayenda bwino kwa kayendetsedwe kake kamayambitsa zotsatira za hypoglycemic, ngakhale mpaka kukomoka. Shuga wochepa wam magazi amayamba chifukwa cha zifukwa zambiri: matenda, zolimbitsa thupi, kusowa kwa zakudya m'thupi.
Zomwe zimayambitsa shuga wa Magazi Otsika
Zomwe zimayambitsa matendawa ndizovuta za kuchuluka kwa insulin yamadzi m'magazi komanso kudya zamagulu azakudya nthawi yolimbitsa thupi komanso chakudya. Provocateur wamkulu ndi chakudya chopanda thanzi, pamene thupi sililandira chakudya chofunikira, ndipo limodzi nawo - mphamvu. Monga lamulo, kutsika kowopsa kwa shuga m'magazi kumachitika mu shuga, koma mwa anthu athanzi izi zimathekanso. Zomwe zimayambitsa matenda:
- kuchuluka kwa insulin, mankhwala ochepetsa shuga a shuga,
- zakudya zosayenera (kusowa kwa fiber, mchere wamchere ndi mavitamini okhala ndi zophatikizika zamagulu omanga thupi),
- kusowa kwamadzi
- kuchita masewera olimbitsa thupi mopitirira malire
- uchidakwa
- kusowa kwa ziwalo (kapamba, chiwindi, mtima, impso, ma adrenal gland),
- kutopa
- kusowa kwa mahomoni ndi zoletsa kupanga shuga, somatropin, adrenaline, cortisol,
- zotupa zakunja, zotupa zam'mimba, zoopsa za autoimmune,
- kukoka kwa mkati kwamchere yambiri,
- matenda osachiritsika
- yopuma yayitali pakati pa chakudya (m'mimba yopanda kanthu),
- kusamba.
Magazi ochepa a m'magazi mwa ana amapezeka, monga lamulo, chifukwa cha kuchepa kwa chakudya chochepa mphamvu, nthawi yayitali pakati pa chakudya pamasiku olimbitsa thupi, nkhawa zamavuto, kusowa tulo. Chomwe chimawonedwa kwambiri ndi idiopathic (spontaneous) hypoglycemia pamaziko a pathogenetic, omwe amawonekera mwa ana osakwana zaka ziwiri. Chothandizira ndi chidwi chachikulu cha khansa, chimathandizira kapangidwe ka insulin ndikutchingira gluconeogeneis m'chiwindi, zomwe zimapangitsa kuchepa kwa shuga.
Hypoglycemia mu makanda asanakwane, yomwe imawonetsedwa ndi hypothermia, vuto la kupuma, cyanosis, imadziwikanso ngati chodabwitsa. Komabe, amathanso kukhala asymptomatic, momwemo imatha kupezeka m'maola oyamba amoyo kokha ndikuwunika koyenera. Mayi nayenso ali pachiwopsezo cha mwana ngati ali ndi matenda a shuga a 2 ndipo akumwa mankhwala ochepetsa shuga. Mosasamala za kuchuluka kwa mawonetsedwe azachipatala, mwana amafunikira chithandizo chamankhwala - kukhazikitsidwa kwa glucose kapena glucagon ndi hydrocortisone.
Ndi vuto la hypoglycemia, thanzi la munthu limadalira kuthamanga ndi kuchuluka kwa shuga. Zizindikiro za shuga wochepa wa magazi zimatha kuchitika ngati kuchuluka kwa glucose kumatsika kwambiri, koma kukhalabe m'malire oyenera. Zomwe zikuluzikulu zimaphatikizapo:
- Matenda a adrenergic - thukuta lakukula, kulumpha m'magazi, kutsekeka kwa khungu, kukwiya, nkhawa, tachycardia,
- Zizindikiro za parasympathetic - kufooka, nseru, kusanza, njala,
- zochitika za neuroglycopenic - kukomoka, chizungulire, chisokonezo, mayendedwe osayenera.
Mwazi wotsika wamagazi ungathe kufotokozedwa mofooka, chizindikirocho chimawonetsedwa kokha mwakuwodzera kugona ndi kutopa. Amayi amakhala ndi chizolowezi chotere, makamaka kusintha kwa mahomoni pa nthawi yomwe ali ndi pakati, kusintha kwa thupi komanso matenda amtundu wa endocrine. Koma zizindikiro zotsatirazi zitha kuwoneka:
- thukuta
- kuda nkhawa, kukwiya,
- khungu lotuwa
- minofu hypertonicity
- tachycardia
- minofu ikunjenjemera
- kukakamizidwa
- mydriasis
- kufooka wamba
- kusanza, kusanza,
- njala
- chizungulire, amnesia,
- kukomoka, kusokonezeka kwa chikumbumtima.
Kuzungulira kwa glucose wamagazi kumatha kusintha mwa amuna ndi akazi omwe ali ndi zaka, chifukwa cha kusintha kwa moyo wawo komanso chizolowezi chochita zoipa. Lingaliro loti mayeso a shuga kwa amuna ndi okwera kuposa azimayi sizomveka. Chizindikirocho chimadalira pa zakudya, kusuta, mavuto, kupsinjika mtima. Kutsika kwa shuga m'magazi kumawonetsedwa ndi zizindikiro zotsatirazi:
- mutu
- kutopa,
- kukomoka mtima,
- wodekha pang'onopang'ono
- chisangalalo chamanjenje
- kusowa mphamvu
- kukokana.
Kuopsa kwa shuga m'magazi
Mawonetseredwe a Neuroglycopenic ndi adrenergic amapezeka ndi chithandizo choyenera, komabe, kuwonjezera pa iwo, kutsika kwa shuga m'magazi kumakhala kowopsa pakukula kwa hypoglycemic coma, dysfunctions ya ubongo, mpaka dementia. Kuphatikiza apo, vutoli limakhala lowopsa kwa anthu omwe ali ndi matenda amtima, limatha kupweteka stroko komanso mtima. Mwa amayi apakati, hypoglycemia imasokoneza chitukuko cha mwana wosabadwayo, kuchepetsa kuchuluka kwa shuga omwe amaperekedwa.
Zoyenera kuchita ngati magazi ochepa
Mutha kuthana ndi vuto losowa shuga panu nokha: kumwa njira yothetsera shuga, msuzi wokoma, kudya chidutswa cha shuga, caramel, supuni ya uchi. Komabe, sizakudya zilizonse zotsekemera zomwe zikulimbikitsidwa: mwachitsanzo, simungadye pasitala, makeke, chimanga, chokoleti, ayisikilimu, zipatso, mikate yoyera. M'mavuto akulu, munthu amatha kukumbukira ndipo kungomuthandiza mwadzidzidzi ndi chithandizo chamankhwala.
Wodwala amafunikira kukhazikitsidwa kwa glucagon kapena glucose, atatha theka la ola, kuyezetsa magazi ndikofunikira. Ndikofunikira panthawi yamankhwala kuti muthane ndi kuchuluka kwa makonzedwe kotero kuti mndandanda wama shuga umasungidwa pamlingo wa 5-10 mmol / L. Chithandizo chotsatira chimatengera zomwe zimayambitsa (insulin overdose, aimpso kulephera, matenda a chiwindi), pamaziko omwe nthawi ya kulowetsedwa kwa shuga imatsimikiziridwa.
Magazi a shuga a Magazi
Kwa odwala omwe akutenga insulin, komanso abale omwe akukhala ndi odwala matenda ashuga, kukhalapo kwa mankhwala omwe ali ndi dextrose (glucose), glucagon, kuyenera kuvomerezedwa, komanso kudziwa momwe angagwiritsire ntchito moyenera. Pakudziyang'anira nokha kwa hypoglycemia, pali njira zotsatirazi:
- Mapiritsi a glucose. Zakudya zam'magazi zimadziwika ndi mayamwa mwachangu komanso mwachangu. Ubwino: kulosera, mtengo wotsika mtengo. Chuma: ayi. Monga njira yabwinoko, ascorbic acid ndi glucose amagulitsidwa ndi pharmacy iliyonse.
- Mapiritsi a Dex4. Mapiritsi otsekemera okhala ndi dextrose safunikira chimbudzi, amamwe nthawi yomweyo. Ubwino: zosiyana zosiyanasiyana. Zoyimira: zochepa zoyimitsidwa pamsika.
- Dextro4. Amapezeka mu mawonekedwe a gel, mapiritsi, ngati gawo la D-glucose. Mofulumira amalimbana ndi hypoglycemia. Mapulogalamu: kupatsa chidwi kwa kusankha mitundu yosiyanasiyana. Zopezeka: sizikudziwika.
Zowonjezera za hypoglycemia
Nthawi zosowa kwambiri, kutsika kwa shuga kumayamba chifukwa cha chotupa cha maselo opanga insulini omwe amapezeka m'matumbo. Zotsatira zake, kuchuluka kwa ma cell amenewa kumawonjezeka, ndipo kuchuluka kwa insulin komwe kumapangidwa kumawonjezeka. Komanso, neoplasms iliyonse yomwe imatuluka kunja kwa kapamba, koma imathandizira pakuwonjezeka kwa insulin, imayambitsa kuchepa kwa shuga.
Sipangokhala shuga wokwanira ngati munthu akudwala matenda a autoimmune. Mwanjira imeneyi, kulephera kumachitika m'thupi, ndipo kumayamba kupanga ma antibodies kuti apange insulin. Potere, mulingo wa chinthu mthupi umayamba kuchuluka kapena kuchepa kwambiri. Izi zimabweretsa kusintha kwa shuga m'magazi ndipo zimathandizira kukula kwa hypoglycemia. Kupita patsogolo kwa matenda otere ndikosowa kwambiri.
Shuga wamagazi ochepa nthawi zina amapezeka mwa odwala omwe ali ndi impso kapena mtima. Hypoglycemia imatha kudwala chifukwa cha matenda ena (mwachitsanzo, matenda enaake a chiwindi, hepatitis ya viral, matenda oopsa a virus kapena kutupa). Pangozi ndi anthu omwe amadya zakudya zopanda pake komanso odwala omwe ali ndi chotupa choyipa.
Zizindikiro za hypoglycemia
Pali magawo osiyanasiyana owonetsera matendawa. Mwa odwala ena, shuga amatsika kwambiri m'mawa wokha. Izi zimaphatikizidwa ndi kamvekedwe kachepera, kugona, ndi kufooka. Kuti tichotse zizindikiro za matendawa ndikuyambiranso kuyenda bwino, ndikokwanira kuti wodwalayo azikhala ndi chakudya cham'mawa ndikubwezeretsa mphamvu zake. Nthawi zina hypoglycemia imayamba kuwonekera, m'malo mwake, itatha kudya. Vuto lotere nthawi zambiri limapezeka mwa odwala matenda a shuga. Pali zizindikiro zomwe mutha kudziwa kutsika kwamphamvu kwa shuga m'magazi:
- Chilichonse.
- Kumva njala.
- Kuchepa mwadzidzidzi kwa zowoneka bwino.
- Chilala, miyendo imazizira kwambiri.
- Kusakwiya komanso kutopa mwadzidzidzi.
- Kuchuluka kwa mikono ndi miyendo.
- Kufooka minofu.
- Kuchulukitsa thukuta.
Zizindikiro zotere zimawoneka ngati chifukwa chosowa zakudya zomwe sizilowa mu ubongo. Nthawi zambiri pamenepa, kugwiritsa ntchito chakudya chamafuta chimathandiza. Musanadye komanso mutatha kudya, muyenera kuyeza shuga lanu lamagazi. Ngati chakudya atatha kudya, palibe chifukwa chodera nkhawa. Ngati simumamwa mankhwala okhala ndi chakudya panthawi, mkhalidwe wa wodwalayo ungakulire, ndipo zizindikiro zotsatirazi ziziwoneka:
- Zingwe.
- Kusakhazikika m'miyendo.
- Kulimbikitsa kuyankhula.
Ngati kuchuluka kwa glucose sikulowa m'thupi, ndiye kuti munthu akhoza kulephera kuzindikira. Vutoli lingachitike ndi wodwala wofanana ndi kukomoka.
Nthawi zina, chifukwa cha nthendayi, sitiroko komanso kuwonongeka koopsa kwa ubongo kumatha.
Matendawa ndi oopsa kwambiri kwa anthu odwala matenda ashuga, chifukwa amatha kudwala.
Zikomo chifukwa cha ndemanga yanu.
Ndemanga
Megan92 () masabata 2 apitawo
Kodi pali amene wakwanitsa kuchiza matenda ashuga? Amati ndizosatheka kuchiritsa kwathunthu.
Daria () masabata 2 apitawo
Ndinaonanso kuti sizingatheke, koma nditawerenga nkhaniyi, ndidayiwaliratu za matenda "osachiritsika" awa.
Megan92 () masiku 13 apitawa
Daria () masiku 12 apitawo
Megan92, kotero ndidalemba mu ndemanga yanga yoyamba) Chitani izi molingana ndi - ulalo wa nkhani.
Sonya masiku 10 apitawo
Koma kodi uku si kusudzulana? Chifukwa chiyani akugulitsa pa intaneti?
Yulek26 (Tver) masiku 10 apitawo
Sonya, mukukhala m'dziko liti? Amagulitsa pa intaneti, chifukwa masitolo ndi mafakitala amaika chizindikiro chawo. Kuphatikiza apo, kulipira kokha atalandira, ndiko kuti, ankayang'ana koyamba, kufufuzidwa kenako ndi kulipira. Inde, ndipo tsopano amagulitsa chilichonse pa intaneti - kuchokera ku zovala kupita kuma TV ndi mipando.
Kuyankha Kwa mkonzi masiku 10 apitawa
Sonya, moni. Mankhwalawa othandizira matenda osokoneza bongo a shuga samagulitsika kudzera pa intaneti ya mankhwala kuti asawonongeke kwambiri. Mpaka pano, mutha kuyitanitsa pa tsamba lovomerezeka. Khalani athanzi!
Sonya masiku 10 apitawo
Pepani, poyamba sindinazindikire zambiri zandalama. Kenako chilichonse ndichabwino, ngati mwalandira mukalandira.
Mwazi wamagazi (kapena shuga) ndi gawo lofunikira mthupi la munthu.Pokhala chopanga cha kagayidwe kazakudya, umalowa m'magazi, ndikusunga mphamvu ya zinthu zopangidwa ndikuthandizira ziwalo zonse zamkati. Nthawi zambiri, mulingo wa glucose umatha kukhala ndi mitundu yosiyanasiyana ndipo kuchokera pa 3.5 mpaka 6.0 mmol / L. Shuga wochepa wotchedwa hypoglycemia.
Kuchepa kwa ndende ya magazi kumawonetsera kuphwanya kagayidwe kachakudya mu chiwindi, komwe ma glucose amalandila. Poganizira zomwe zikutanthauza ngati shuga amatsitsidwa mwa munthu wamkulu, ziyenera kudziwika kuti hypoglycemia ikhoza kukhala yabodza komanso yowona:
- Kutsika kwabodza kwa glucose amadziwika ndi anthu omwe ali ndi matenda osokoneza bongo a mellitus insulin komanso osadalira insulin. Makhalidwe abwinobwino mu omwe ali ndi matenda ashuga amawonjezereka, motero kusintha kwa glucose kuyambira 15.8 mmol / L mpaka 5.2 (kapena m'munsi) kumawerengedwa kuti ndi hypoglycemia yabodza.
- Ndi dontho lowona mukukhazikika, kuchuluka kwa shuga sikupitirira 3,3 mmol / L.
Kuchepetsa shuga m'thupi, komwe kumakhala nthawi yayitali, kuthekera kwakukulu kumatanthawuza kukula kwa njala ya okosijeni ya ziwalo zofunika. Hypoglycemia imakhala yocheperako kuposa hyperglycemia, ndipo imabweretsa chiwopsezo makamaka kwa amayi ndi abambo omwe ali ndi mtundu wodwala matenda a insulin.
Zifukwa zomwe zidagwera
Zomwe kuchuluka kwa shuga m'magazi kumatha kukhazikitsidwa ndikuzindikiritsa chomwe chimayambitsa matenda. Monga lamulo, shuga wotsika ndi chotsatira chotsatira cha matenda ena. Cholinga chachikulu ndikupanga insulini yambiri. Zinthu zomwe zimayambitsa shuga wambiri zimaphatikizapo:
- ndi m'mimba;
- kukana kwakudya kapena njala,
- kutsatira zakudya zamafuta ochepa,
- poyizoni wa mowa
- mochedwa gestosis mwa amayi apakati,
- kusokoneza kwa endocrine
- matenda a impso,
- matenda njira pachimake maphunziro.
Zomwe zimapangitsa kuti shuga achepetse ndi shuga omwe alipo alipo akhoza kukhala mopitilira muyeso wovomerezeka wa mankhwala a insulin kapena hypoglycemic. Shuga wocheperako amatha kupangitsa kuti akhale chikomokere, chovuta kwambiri kutulukamo.
Zomwe zimayambitsa shuga wochepa ndizocheperako, ndiye kuti, posintha mtundu wachilendo wa zakudya kapena kupatula katundu wolemera, kuchuluka kwa glucose kumabwezeretsa lokha. Nthawi zambiri, kuchepa kumalumikizidwa ndi zochitika zowonjezera nkhawa, zomwe zimapangitsa kuti kusiyanitsidwa kwa mavuto amanjenje kumathandizira kubwezeretsanso kwa kaphatikizidwe kabwino.
Mulimonse kuchuluka kwa shuga komwe kumatsikira, kuyezetsa kofunikira ndikofunikira kulikonse.
Zizindikiro ndi zizindikiro mwa munthu wamkulu
Zizindikiro za matenda am'mimba zimadalira kuchuluka kwa shuga m'magazi. Ikamagwa pang'ono, zizindikiro zotsatirazi zimayamba:
- mphwayi
- kugona
- mutu wofatsa
- chizungulire pang'ono podzuka,
- kumangokhalira kumva njala.
Mwa amayi apakati, chiwonetsero cha matendawa ndi chakanthawi ndipo chimazimiririka nthawi yachisangalalo ikamawonjezeka, koma ndi kutsika kwamphamvu kwa shuga (osakwana 3.8 mmol / l), Zizindikiro zodziwika monga kupweteka kwa mutu ndi mseru kukulira.
Zizindikiro zazikulu za shuga wochepa
Chithunzi cha chipatala munthawi yamaphunziro olimbitsa, pamene chizindikiro chikugwa kuchokera pa 3.0 mpaka 2.2 mmol / l, chimadziwika ndi zotsatirazi:
- mantha
- hyperhidrosis
- kusapilira ndi kuzunza,
- kuwonongeka kwamawonedwe
- pafupipafupi kusintha kosinthika
- kusakhala pamtunda kwa nthawi yayitali,
- kuyerekezera zinthu zina kumachitika
- kuyenda
- musade nkhawa popanda chifukwa
- kusowa tulo kapena zolakwika.
Ndi zizindikiro zoterezi, pali mwayi wopanga chikomokere, makamaka kwa achikulire ndi anthu omwe ali ndi matenda a shuga 1.
Ndi shuga wamagazi a 2.0 - 1.1 mmol / L, zizindikiro zimayamba m'magawo, koma mwachangu kwambiri:
- Poyamba, malankhulidwe amazimiririka, chilankhulo chimapindika.
- Kukokana kumachitika.
- Kutaya chikumbumtima.
- Coma
- Imfa yopanda chithandizo kapena kulandira chithandizo chamankhwala.
Zofunika! Kukomoka kwa Hypoglycemic kumatha kubweretsa zotsatira zosasinthika komanso zovuta mu mawonekedwe a kulumala kwa wodwalayo kapena imfa yake, chifukwa chake ndikofunikira kuzindikira zomwe zimayambitsa shuga m'magazi panthawi ndikupanga chithandizo choyenera.
Kufuula kowopsa kwa zamatenda zomwe zikubwera nthawi zambiri kumachitika m'mutu pambuyo pa kuwuka, kufoka, komanso kutopa. Ndi shuga wochepetsedwa, Zizindikiro mwa amuna ndi akazi sizimasiyana.
Mafuta otsika a m'magazi ndi osakhalitsa, sangadziwonetse okha ndi chizindikiro chilichonse, ndipo chifukwa chake chikakhazikitsidwa, chimayamba kutha popanda kufunsa chithandizo. Kwenikweni, palibe chochiza hypoglycemia: mankhwala apadera omwe kulibe.
Chithandizo chachikulu ndikutsatira zakudya ndikudya zakudya zomwe zili ndi shuga wambiri.
Mankhwala ena a antihypertensive ali ndi lactose, womwe ndi chakudya china ndipo amatenga mphamvu ya kuphatikiza kwa glycogen. Nditazindikira chomwe chimayambitsa matendawa ndikupereka chithandizo choyenera,.
Zoyenera kuchita
Kuchepetsa kwambiri shuga, matenda a hypoglycemic amakula, amafunika kulowererapo kwakanthawi. Kutsika kotero kumawonedwa mu shuga. Mwa anthu opanda endocrine matenda, izi sizingatheke.
Nazi zoyenera kuchita mukazindikira shuga yochepa:
- Imbani ambulansi.
- Ngati munthuyo akudziwa, afunseni ngati ali ndi matenda ashuga.
- Gona pa ndege yopingasa, ndikukweza miyendo yake ndikutembenuzira mutu wake kumbali.
- Musamayimitse kapena chovulani cholimba cha oxygen.
Musanachite chilichonse, musanakweze shuga yanu, ndikofunikira kudziwa ngati mulingo wambiri wa shuga uli pansi kapena wotsika. Ndi chowonjezera, mawonekedwe a mawonekedwe ndi mawonekedwe a fungo linalake la acetone ndipo nthawi zambiri munthu samataya chikumbumtima, koma amadandaula chizungulire. Onaninso zomwe mungachite ngati shuga atatsika molimbika.
Kodi kulera?
Pofuna kukonza kwakanthawi kokhazikika kwa chakudya, ndikofunikira kumwa tiyi wokoma, kuyika chidutswa cha chokoleti, shuga kapena caramel pansi pa lilime. Kudzinyenga kotero kumachitika asanachitike gulu la madokotala.
M'moyo watsiku ndi tsiku, mulingo uyenera kuyanjanitsidwa mutalandira kusanthula kwa labotale kwa shuga. Ndikofunikira kusintha zakudya, kusiya kudya komanso kuchita masewera olimbitsa thupi mopitirira muyeso. Gona mokwanira ndikupumula. Ngati hypoglycemia imayamba chifukwa cha zovuta zapachibale, ndiye kuti njira izi ndizokwanira.
Zakudya zowonjezera shuga m'magazi zimaphatikizapo:
- shuga
- Zipatso za malalanje, makamaka malalanje,
- chimanga (mpaka pang'ono).
Powonjezera zakudya zofunika pachakudya cha tsiku ndi tsiku modekha, kagayidwe kazakudya umabwezeretsa, ndipo thupi limasowa shuga. Mankhwalawa akuphatikizapo glycine, wogwiritsidwa ntchito kukonza ubongo. Zomwe zimapangidwira zimawonjezera chakudya m'magazi otumphukira.
Zipatso ndizowonjezera bwino ku chakudya chopatsa thanzi.
Zotsatira zaumoyo
Kuzindikira koyambira kwa matenda kumathandizira kuchepetsa kuwonekera kwa matendawa komanso kumathetsa chiopsezo chotsatira zoyipa. Kuchepetsa shuga kwa magazi kwakanthawi kumayambitsa zovuta za neurotic ndi chikhalidwe cha ubongo. Kuchita bwino ndi kukana kupsinjika kumachepetsedwa.
Mukuwonetsedwa kowonjezereka kwa njira ya pathological, kukomoka, kusabala mphamvu ndi chikomokere.
Yang'anani! Chifukwa cha kusowa kwa chithandizo chamankhwala, zimakhala zovuta kwambiri kutuluka mu phokoso lomwe limadza chifukwa cha kutsika kwa shuga.
Kuchepa kwamphamvu kwa shuga m'magazi okalamba kumabweretsa kudwala kwa maganizo.
Pomaliza
- Mwazi wotsika wamagazi umafanana ndi zofunikira m'munsi mwa 2,5 mmol / L mwa amuna ndi 1.9 mmol / L mwa azimayi.
- Pathology ndiyosowa ndipo nthawi zambiri sikhala ndi njira yothandizira, komabe, njira zothandizira ndi chithandizo ndizofunikira.
- Anthu omwe ali ndi matenda amtundu wa 1 komanso a 2 amakhala ovuta kuvomereza. Kwa iwo, kutsika kwa glucose kumatha kukhala koopsa.
Glucose ndiye gwero lofunikira kwambiri lamasamba onse amthupi, kuphatikiza maselo aubongo. Dontho la shuga m'magazi limatchedwa hypoglycemia. Zizindikiro zoyambirira za matenda am'mimba zimalumikizidwa ndi kuwonongeka konsekonse mu thanzi, mutu, ndi kufooka. Munthu amakhala wotopa nthawi zonse, machitidwe ake amachepa, chizungulire chimatha kuchitika. Woopsa milandu, kukomoka ndikotheka. Ndi vuto la hypoglycemic, wodwalayo atha kufa chifukwa chokhala ndi mphamvu yakufa ya maselo aubongo ndi kufa kwawo.
Pofuna kupewa zovuta, ndikofunikira kuwongolera kuchuluka kwa shuga m'magazi pogwiritsa ntchito chipangizo chapadera - glucometer - kapena nthawi ndi nthawi mumayesedwa shuga ku chipatala (muyenera kuchita izi miyezi isanu ndi umodzi). Ngati wodwala ali ndi matenda a shuga m'magazi, ndikofunikira kukaonana ndi katswiri ndikupita kokayezetsa. Osangokhala thanzi la wodwalayo, komanso moyo wake zimadalira thandizo la kuchipatala lomwe limalandira panthawi yake.
Wodwala amapezeka ndi hypoglycemia ngati kutsika kwa shuga kumakhala ndi koopsa. Mitundu yosiyanasiyana ya mayeso ingagwiritsidwe ntchito kutsimikizira matenda. Ngati kuchuluka kwa shuga kumatsimikiziridwa m'mitsempha, ndiye kuti hypoglycemia imapezeka pamitengo yotsika ndi 3.5 mmol / L. Ngati magazi oyipa (magazi omwe amayenda kudzera m'matumbo kunja kwa ziwalo za hematopoietic) adatengedwa kuti awunike, chizindikiro ichi chikhoza kutsika pang'ono - 3,3 mmol / L.
Kutsika kwakukulu kwa shuga m'magazi kumadziwika kuti ndi chizindikiro≤ 2.2 mmol / L. Ndi zizindikiro zoterezi zam'magazi, munthu amayamba kudwala matenda oopsa, kuiwala, kuwonekanso. Chisamaliro chachipatala chokhala ndi chithunzi choterechawa ziyenera kuperekedwa mkati mwa mphindi 20 - apo ayi chiopsezo cha kufa chidzaposa 85%.
Njala hypoglycemia
Nthawi zambiri limapezeka m'mawa, mutangodzuka, munthu asanakhale ndi nthawi ya chakudya cham'mawa. Mchere wochepera panthawi imeneyi umawoneka ngati wabwinobwino, koma pokhapokha ngati mulingo wa mita sukugwera pansi pa 3.0 mmol / L. Kusala nthawi yayitali (maola oposa 8-10) kungayambitsenso kusowa kwa shuga ndikukula kwa zizindikiro za pathological.
Kubwezeretsa hypoglycemia
Shuga wamagazi ochepa, omwe amachitika chifukwa choyankha pakumwa chakudya (amapezeka pambuyo pa maola 1.5-2), amadziwika kwambiri pambuyo popanga opaleshoni m'mimba, komanso m'mayambiriro a shuga. Matenda ena odziyimira pawokha omwe amapezeka padera pa ma pathologies ena a thupi amatha kuthandizanso kukulitsa kuyankha kwa hypoglycemia.
Zizindikiro zake
Kutsika kowopsa kwa shuga m'magazi nthawi zonse kumayendetsedwa ndi zizindikiro, zomwe zimayesedwa palimodzi. Zizindikiro zofala kwambiri zamatenda, akatswiri amaphatikizapo mawonetsedwe otsatirawa:
- khungu losakhala lachilengedwe (ngati shuga yatsika kwambiri, mthunzi wa mabo ukhoza kuwoneka)
- kugwedezeka kwamalire (nthawi zambiri manja)
- kumangokhala ndi njala komwe kumatha osatha kudya chakudya chamtima (kapena kumawonekanso maola 1-1,5 mutatha kudya),
- kuchuluka kwa madzi ndi madzi ena chifukwa cha ludzu,
- kugunda kwa mtima ndi kugunda kwa mtima
- chizungulire
- kupuma msuzi (osasanza)
- thukuta, fungo losasangalatsa la thukuta, lomwe limapezeka pafupifupi mukangotha kusamba kwaukhondo.
Mwa akazi, hypoglycemia nthawi zambiri imayendera limodzi ndi kukodza pafupipafupi.Zowawa, kuwotcha, ululu ndi zizindikiro zina za pathological nthawi zambiri sizimayang'aniridwa. Kuchepetsa shuga m'magazi kumatha kubweretsa kufooka kwa minofu, kulemera kwamiyendo, komanso kumva ngati kuuma. Pafupifupi odwala onse omwe ali ndi mitundu yosiyanasiyana ya hypoglycemia amadandaula zopanda chidwi, kuchuluka kwa tulo, kusayenda bwino komanso kuchepa mphamvu.
Zizindikiro mwa ana
Ana amamvera kwambiri kuchepa kwa shuga poyerekeza ndi anthu achikulire, ngakhale nthawi zambiri samakhala ndi chizindikiro chilichonse. Atadzuka, mwana wotereyu amapha kwambiri, amadzuka movutikira, amatha kuvutika m'mawa. Mwana akaponya shuga m'magazi, amakhala ndi kufooka kosatha ndipo amatha kukana kudya (ngakhale akumva njala). Mu kindergarten ndi sukulu, ana otere amadziwika ndi kupirira koperewera, chidwi chochepa komanso kusafuna kuchita nawo masewera olumikizana.
Mu hypoglycemia wokhazikika mwa ana a zaka 3 mpaka 10, Zizindikiro zake zimatha kuwoneka kugona tulo. Izi zikuphatikiza:
- kukuwa ndi kuyankhula m'maloto,
- thukuta kwambiri, lomwe limadziwoneka usiku,
- kwambiri kudzuka m'mawa.
Kutsika kwakuthwa kwa glucose muubwana kumatha kukhala ndi zotsatirapo zoopsa kwambiri (mpaka pakufa kwa mwana), motero, chimodzi mwazinthu zazikulu za makolo ndikuwonetsetsa kuti zakudya za ana ndizokwanira komanso kusamalira ana.
Kodi shuga chikugwa chifukwa chiyani?
Pali zifukwa zambiri zomwe zingayambitse kuchepa kwa glucose. Nthawi zambiri zimagwirizanitsidwa ndi kusala kudya kwanthawi yayitali. Izi zimachitika kwa azimayi omwe amadya zakudya zam'madzi ndipo amadzipatsa chakudya chokwanira, komanso anthu omwe satsatira malamulo ndi zakudya zomwe amapatsa thanzi ndipo amalola kupuma kwakanthawi pakati pa chakudya.
Chochititsa china chofala cha hypoglycemia pa msinkhu uliwonse ndi kusowa kwamadzi. Zakudya zosakwanira zamadzimadzi (makamaka madzi akumwa oyera) zimatha kuyambitsa matenda, chifukwa chake ndikofunikira kuyang'anira zakumwa ndi kumwa malita osachepera 1.5-1.8 patsiku. Ndikofunikira kuti osewera komanso anthu omwe ali ndi masewera olimbitsa thupi owonjezereka, komanso omwe akutenga acetylsalicylic acid kapena oteteza magazi, kuti achulukitse madzi. Mu nyengo yotentha, kuchuluka kwa madzimadzi a tsiku ndi tsiku kuyenera kuwonjezeka ndi 300-400 ml.
Zomwe zimayambitsa hypoglycemia:
- mowa kwambiri kapena kuledzera,
- osakhala wathanzi kapena operewera
- kusasamala kwa mahomoni,
- Matenda a kapamba, chiwindi ndi ziwalo zina zam'mimba,
- kunenepa
- kuchuluka kwa nthawi yayitali,
- kumwa mankhwala ena (mwachitsanzo, Aspirin kapena beta-blockers).
Pa nthawi yoyembekezera, shuga ochepa amapezeka makamaka mwa atsikana azaka za 16 mpaka 21.
Nthawi zina, kutsika kwa glucose kumatha kukhala kuyankha kwa thupi kukukula kwa maselo owopsa, chifukwa chake, pomwe matenda amapezeka ndi matenda osatsimikizika, amafunika kufufuza koyenera.
Zakudya Zamchere Zochepa
Maziko a mankhwalawa amitundu yonse ya hypoglycemia ndikutsatira zakudya zapadera zomwe zili ndi zakudya zambiri zokhala ndi index ya glycemic yotsika. Gawo la chakudya liyenera kukhala magulu otsatirawa:
- zopangidwa mkaka ndi mafuta okhala ndi 2% mpaka 5%,
- masamba ophika (kuchepetsa kumwa mbatata, beets ndi kaloti chifukwa cha kuchuluka kwazosakaniza),
- nsomba ndi nsomba zam'madzi (nsomba, sardines, shrimp ndizothandiza kwambiri),
- mtedza
- nyama yokonda (ndikwabwino kugwiritsa ntchito ng'ombe kapena veal tendloin).
Mwa zakumwa, zokonda ziyenera kuperekedwa kwa tiyi wazitsamba (ndi kuwonjezera kwa chamomile, linden, thyme), zipatso ndi masamba, zakumwa za mabulosi, zipatso zowuma zosaphatikizidwa popanda shuga.
Zakumwa zoledzeretsa zambiri (makamaka vodika) zimachepetsa shuga, motero ndibwino kusiya zonse zomwe zimagwiritsidwa ntchito. Ngati izi sizikugwira ntchito, ndikofunika kutsatira njira zotsatirazi:
- osamwa mowa pamimba yopanda kanthu,
- pa 50 ml ya mowa aliyense payenera kukhala zofanana zokhwasula-khwasula zomwe zimakhala ndi mapuloteni kapena zakudya zovuta za nyama (nyama, mkate wopanda bulauni, ndi zina zambiri),
- mlingo woyenera wovomerezeka wa odwala omwe ali ndi matenda ashuga ndi 250-300 ml (kwa mowa - 450 ml).
Pa phwando lililonse, muyenera kukhala ndi glucometer nanu kuti muone momwe shuga yanu ilili komanso kuchitapo kanthu panthawi yake ngati mungathe kugwa mwamphamvu kwambiri.
Momwe mungalerere shuga: wowerengeka njira
Njira yabwino yothandizira matenda a hypoglycemia ndi mandimu. Kukonzekera mankhwalawa kunyumba, muyenera kupera zinthu zotsatirazi ndi chopukusira nyama kapena kuphatikiza wokolola:
- mandimu okhala ndi zest ndi maenje - 1 makilogalamu,
- parsley watsopano - gulu limodzi lalikulu (pafupifupi 250-300 g),
- adyo a peeled - mitu 4.
Ikani zosakanikiranazo mumtsuko wagalasi ndikuyika malo ozizira kwa masiku 5. Pambuyo pake, pofinya zomwe zili mumtsuko kudzera cheesecloth. Tengani chifukwa madzi katatu patsiku musanadye. Mlingo umodzi ndi 5 ml. Njira ya mankhwala osachepera mwezi umodzi.
Kulowetsedwa anyezi kumatha kupatsanso zabwino machiritso a shuga atatsika kwambiri. Ndiosavuta kuphika. Anyezi atatu okukulika pakati amayenera kusenda ndi kudula bwino. Pindani anyezi pachidebe chilichonse ndikutsanulira 200 ml ya madzi otentha. Phimbani mbale ndikusiya kwa maola atatu.
Kulowetsedwa ayenera kumwedwa 1 supuni 3-4 pa tsiku kwa masabata 3-4.
Kodi ndiyimbikire liti ambulansi?
Ena sakudziwa chifukwa chake glucose wotsika ndi owopsa, motero amalabadira zizindikiro zam'magazi. Ngati shuga agwera kwambiri, wodwalayo angagwe. Chiwopsezo cha kufa mwadzidzidzi ndichoposa 80%, motero ndikofunikira kudziwa zizindikiro zowopsa. Itanani chithandizo chamankhwala ngati zizindikiro zotsatirazi zikuwoneka:
- kukhudzika ndi zopweteka,
- kulephera kudziwa
- magalimoto oyendetsa,
- kuyankhula kosayenera
- kusowa kwa chidwi ndi zinthu komanso kulowererapo (wodwalayo amayang'ana nthawi imodzi).
Chimodzi mwazonse mwazizindikirozi chingawonetse kukula kwa vuto la hypoglycemic, chifukwa chake ndikofunikira kuti musataye nthawi ndikuyimbira ambulansi nthawi yomweyo. Ngati njira zadzidzidzi zikuchitika mkati mwa mphindi 20-30 kuchokera ku kuwonekera kowopsa, simungangopewa zovuta zambiri, komanso kupulumutsa moyo wa munthu.
Hypoglycemia, kapena kutsika kwa shuga m'magazi, sikuwonso wowopsa pakukweza. Matendawa ndi amodzi mwa zovuta za mtundu 2 shuga. Chifukwa cha kuchuluka kwa glucose mwadzidzidzi, wodwalayo amayamba kuvulala msanga, chikomokere kapena, kawirikawiri, imfa imatha kuchitika.
Zoyambitsa Shuga Drop mu Type 2 Diabetes Patients
Malinga ndi ziwerengero, mwa chiwerengero chonse cha odwala matenda a shuga, pafupifupi 80% amadwala matenda amtundu wachiwiri. Mu shuga omwe amadalira insulin, kapamba amapanga insulin yokwanira, koma thupi silimayankha. Zotsatira zake, glucose amadziunjikira m'magazi, koma osalowa m'maselo a thupi. Anthu odwala matenda ashuga amtundu wa 2 amakhala ndi shuga m'magazi, mosiyana ndi matenda a shuga. Kutsika kowonjezereka kwa glucose kumatha kuchitika mwazifukwa izi:
- Kudya zakudya zamafuta ambiri osavuta. Odwala omwe ali ndi matenda ashuga ayenera kukhala okonzekera kuti moyo wawo wonse azitsatira zakudya zina.Amasankhidwa ndi adotolo ndipo zimatengera zomwe wodwala akuonetsa. Zakudya zomanga thupi zosavuta zimapezeka mkaka, makeke, zipatso ndi masamba. Amakimbidwa mwachangu mthupi, ndipo kumva kumatha kumva njala patatha maola angapo. Zakudya zamafuta osasinthika zimadutsa minofu ya adipose.
- Kugwiritsa ntchito mosiyanasiyana mankhwala a shuga komanso zakumwa zoledzeretsa. Zakumwa zoledzeretsa zamphamvu zimatsitsa shuga m'magazi, ndipo zizindikiro za hypoglycemia ndizofanana ndi zizindikiro za kuledzera. Mowa umalepheretsa zochita za mankhwalawa ndipo izi zimawopseza odwala matenda ashuga.
- Mowa. Aliyense wodwala matenda ashuga amadziwa kuti kumwa mowa kumatha kukhala ndi zotsatirapo zoipa. Ngati munthu amamwa kunyumba, osachita masewera olimbitsa thupi, adadya izi zonse ndi keke yokoma ndi tiyi, ndiye, makamaka, payenera kukhala zovuta. Komabe, zinthu zimasintha kwambiri ngati wodwala matenda ashuga atamwa, kenako nkumayenda makilomita angapo, osadya maswiti konse, mwayi wa hypoglycemia ndiwambiri.
- Nthawi yayitali yopumira chakudya chotsatira. Zakudya za odwala matenda ashuga ayenera kukhala ndi magawo ang'onoang'ono, pafupifupi kasanu mpaka kasanu ndi tsiku. Ngati munthu amatsatira mndandanda wophatikizidwa ndi nthawi yokhazikika yodyera, siziyenera kukhala mwadzidzidzi kuchuluka kwa glucose m'magazi. Komabe, ngati mumadumphira chakudya chimodzi, shuga yanu imatha kutsika kwambiri. Mwachitsanzo, m'bwalo la zisudzo kapena mumsewu silivomerezedwa, koma kukhala ndi maswiti otsekemera m'thumba mwanu mwanjira imeneyi ndikofunikira.
- Mlingo umodzi wa insulin. Pulogalamu yamankhwala amtundu wa insulin imapangidwa molumikizana ndi adokotala, ndipo kupatuka kwina kulikonse kungakhudze thanzi la wodwala, mwachitsanzo, hypoglycemia ikhoza kuchitika.
- Ntchito zolimbitsa thupi kwambiri. Mankhwala a insulin komanso chakudya chamagulu am'kati amasankhidwa payekhapayekha pa wodwala aliyense. Koma mulimonsemo, zonsezi zimawerengeredwa potengera kuti munthu akukumana ndi zochitika zolimbitsa thupi - kuthamanga pang'onopang'ono, kusambira, kuyenda mwamphamvu. Koma katundu wambiri amatha kuchoka pamankhwala onse omwe asankhidwa. Chifukwa chake, musagwiritse ntchito molakwika maphunziro akuthupi, lolani kuti katunduyo azikhala nthawi zonse komanso ochepa.
Kuopsa kokaponya shuga
Ndi kuchepa kwakukulu kwa shuga m'magazi, hypoglycemia imachitika. Ubongo ndi woyamba kudwala nazo. Chiwalo cha munthu ndichophatikizika kwambiri, ndipo kuperewera pang'ono pantchito yake kungachititse kuti thupi lonse liwonongeke. Mothandizidwa ndi magazi, zakudya zonse zofunika zimaperekedwa m'maselo aubongo, ma neuron. Zachilengedwe zimapangidwa kuti glucose ilowe m'maselo aubongo popanda thandizo la insulin. Chifukwa chake, mosasamala kuchuluka kwa insulini m'thupi, ma neurons amakhala ndi inshuwaransi pakulimbana ndi shuga. Ndi hypoglycemia, bongo samalandira kuchuluka kwa shuga komwe amafunikira, ndipo mphamvu yokhala ndi vuto la neurons imayamba. Ichi ndichifukwa chake ndiwotsika kwambiri shuga. Njira yofuna kufa ndi maselo imachitika pakangotha mphindi zochepa, ndipo nthawi imeneyi ndi yokwanira kuti munthu athe kumva ndikuyamba kugona. Kuchokera ku zomwe zikuchitika mu ubongo nthawi ya chikomokere, zotsatira zake zingagwere wodwala.
Mu shuga mellitus wamtundu wachiwiri, wodwala aliyense amakhala ndi chisonyezo chake chokhala ndi shuga m'magazi. Madokotala amachitidwa kanthu ndi avareji ya 3 mmol / L.
Zizindikiro za Kuchepa kwa Mwazi
Kutsika kwa glucose sikungadutse wodwala osazindikira, pali zingapo zomwe zimadziwika ndi izi:
- Gawo la Zero. Pali kumverera kwanjala, ndipo ndikuwunika kwambiri kuti wodwalayo samatha kumvetsetsa - ndizoona kapena zabodza.Potere, glucometer imakhala othandizira, yomwe ingathandize kudziwa ngati mulingo wambiri wa magazi amachepetsedwa kapena ayi. Ngati chizindikirocho chikuyamba kugwa ndikuyandikira mulingo wa 4 mmol / l, ndiye ichi ndiye chizindikiro choyamba cha hypoglycemia. Kuti zinthu zisinthe, ndikokwanira kudya chidutswa cha shuga ndikumwa ndi madzi a apulosi.
- Gawo loyamba. Kumva bwino kwanjala. Kuti muchepetse njira ya hypoglycemia munthawi yake, muyenera kudya zipatso zambiri, zamkaka, mkate. Ngati palibe mwayi wakudya, wodwalayo amayamba thukuta, kufooka kumawoneka m'miyendo, kunjenjemera m'mawondo, mutu, zopindika za khungu zimayamba kutuwa. Zizindikiro zomwe zimawonekera zimanenedweratu kotero kuti kuyambika kwa hypoglycemia sikungaphonyedwe. Gawo loyamba, mutha kukonzanso - chikumbumtima chimakhala ndi mitambo pang'ono, koma munthu amatha kutafuna chidutswa cha shuga kapena kumwa sowa wokoma.
- Gawo lachiwiri. Kumayambiriro kwa gawo lachiwiri, anthu odwala matenda ashuga amawonjezereka. Wodwala amakhala ndi lilime lonyansa, kuyankhula kumakhala kokhazikika, kawiri m'maso. Ngati munthu akadali ndi chidwi, amangofunika kumwa chakumwa chilichonse chabwino. Muyenera kuyiwala za chidutswa cha shuga - pali kuthekera kwakukulu kotsimikizika. Ngati njirayi singayime munthawi yake, gawo lachitatu liyamba, pomwe chidutswa cha shuga kapena koloko sizingathandizenso.
- Gawo lachitatu. Ndi kuyamba kwa gawo 3, munthu amayamba kuzindikira ndipo amagwa. Zowopsa zomwe munthu amakhala wopanda chifukwa chokhala kuti ali ndi vuto losakhudzidwa ndizomwe zimadalira anthu omwe akuzungulirani komanso kuthekera kwawo kupereka thandizo. Mukayamba gawo lachitatu, zochitika zimachitika mbali ziwiri:
- Pafupi ndi odwala matenda ashuga munthu amadziwa zoyenera kuchita. Choyambirira, muyenera kuyeretsa pakamwa pa wovulalayo kuti musadye chakudya mwachangu. Kenako, gulu la ambulansi limayitanidwa, ndipo pamene iye akuyenda, mutha kuyika kachidutswa kakang'ono ka shuga pansi pa lilime la wodwala. Nthawi zambiri, ambulansi imafika msanga kwa munthu wodwala matenda ashuga amene wasintha. Madokotala amapereka jakisoni wa shuga m'mitsempha, kenako amayembekeza kuti zinthu zikhala bwino.
- Ngati wodwalayo sanamvere ndipo amamufotokozera pafupi ndi anthu osawadziwa omwe akudwala. Ma ambulansi akuyenda, pomwe akuyesera kuti apeze chomwe chimapangitsa kuti asamve, mphindi zamtengo zimachoka. Nthawi yonseyi, ubongo umakhala ndi njala ya okosijeni ndipo zotsatira zake zimakhala zowopsa kwambiri.
Hypoglycemia Chithandizo
Mkhalidwe wa hypoglycemic ndi wowopsa chifukwa maselo aubongo amafa patapita mphindi zochepa. Njira zoyendetsera mwachangu zimatengedwa kuti zomwe wodwalayo ali nazo, pamakhala mwayi woti atuluke pompano ndikutaya pang'ono. Pakadali pano pali mankhwala omwe angabwezeretse zomwe zimachitika kuti shuga alipere. Awa ndimankhwala ochokera ku beta blocker.
Kuti muchepetse vuto la kuchepetsa shuga pakanthawi kochepa, mutha kugwiritsa ntchito njira izi:
- Gwiritsani ntchito shuga "mwachangu" - shuga womasuka kapena mafuta. Mukhozanso kumwa tiyi wokoma ndi uchi kapena kupanikizana,
- Idyani shuga, ndipo pakapita mphindi zochepa, ilume ndi apulo ndikugona. M'magawo zero ndi oyamba, izi zidzakwanira kuyimitsa kuukira,
- Mothandizidwa ndi shuga "pompopompo", kuthana kwambiri komwe kumatha kupewedwa, koma kuthananso kwachiwiri kwa hypoglycemia kumabwera. Kuti mupewe, muyenera kudya shuga aliyense "wosakwiya", monga mpukutu wa batala.
Ngati syncope singapewe, jakisoni wokhala ndi glucose, yemwe amachitika ndi dokotala pokhapokha ndi dokotala, angathandize.
Matenda osagwirizana ndi insulin omwe ali ndi vuto la shuga ndiwotsika. Anthu omwe ali ndi matenda ashuga omwe ali ndi chidziwitso amamva kale njira yakuukira kwa hypoglycemia ndipo poyambira amatha kuyimitsa. Chifukwa chiyani shuga amagwera mu 2 diabetes? Pakhoza kukhala zifukwa zambiri: zakumwa zoledzeretsa, kupatuka pakudya, kuwonjezereka kwakuthwa kwa zolimbitsa thupi.Kupatula kuchuluka kwa glucose, muyenera kutsatira malangizo a dokotala ndikusunga shuga nthawi zonse. Palibenso chifukwa choopa kuukira komwe kukuyandikira - koyambirira ndikosavuta kuthana nako.
Hypoglycemia ndi pamene shuga m'magazi amatsika pansi pazenera. Hypoflycemia yofatsa imayambitsa zizindikiro zosasangalatsa, zomwe zalongosoledwa pansipa. Ngati hypoglycemia itayamba, ndiye kuti munthuyo amasiya kuzindikira, ndipo izi zimatha kubweretsa imfa kapena kulumala chifukwa chakuwonongeka kwa ubongo kosasinthika. Tanthauzo la hypoglycemia: kuchepa kwa shuga m'magazi mpaka kutsika 2.8 mmol / l, komwe kumayendera limodzi ndi zovuta ndipo kungayambitse kuda nkhawa. Komanso, hypoglycemia ndi kuchepa kwa shuga m'magazi mpaka kufika pansi pa 2.2 mmol / l, ngakhale munthu asamve zambiri.
Hypoglycemia mu shuga angayambitse zifukwa zazikulu ziwiri:
- jakisoni wa insulin
- kumwa mapiritsi omwe amachititsa kuti kapamba apange zambiri za insulin yake.
Jakisoni wa insulin pochiza matenda amtundu wa 2 komanso matenda amitundu iwiri ndizofunikira kwambiri, ndipo maubwino awo amapitilira chiwopsezo cha hypoglycemia. Kuphatikiza apo, mukatha kudziwa bwino komanso kugwiritsa ntchito bwino ma insulin, chiopsezo cha hypoglycemia chimakhala chochepa kwambiri.
Tikukulimbikitsani kuti mutaye mapiritsi omwe amachititsa kuti kapamba apange insulin yambiri. Izi zimaphatikizapo mankhwala onse a shuga ochokera ku sulfonylurea zotumphukira ndi makalasi a meglitinides. Mapiritsi awa sangangoyambitsa hypoglycemia, komanso amathanso kuvulaza munjira zina. Werengani "". Madotolo omwe ali kuseri kwa nthawi akupitilizabe kuwapatsa mankhwala kwa odwala omwe ali ndi matenda ashuga a 2. Njira zina, zomwe zalongosoledwa, zimakupatsani mwayi wolamulira shuga wa magazi popanda chiwopsezo cha hypoglycemia.
Zizindikiro za hypoglycemia zimawonekera bwino, kutsika kwamphamvu kwa glucose kumachitika.
Zizindikiro zoyambirira za hypoglycemia (kufunika kodya zakudya zopatsa mphamvu mwachangu, makamaka mapiritsi a shuga):
- kukopa kwa pakhungu
- thukuta
- kunjenjemera, palpitations
- njala yayikulu
- kulephera kulolera
- nseru
- kuda nkhawa, kukwiya.
Zizindikiro za hypoglycemia, pamene shuga m'magazi ndi otsika kwambiri, ndipo hypoglycemic coma ili pafupi kwambiri:
- kufooka
- chizungulire, kupweteka mutu,
- kumverera kwa mantha
- zolankhula ndi zowonekera pamachitidwe,
- chisokonezo,
- mgwirizano wolakwika,
- kutayika kwa malo mu malo,
- miyendo yanjenjemera, kukokana.
Sizizindikiro zonse za glycemic zomwe zimawoneka nthawi imodzi. Momwemonso matenda ashuga omwewo, zizindikiro za hypoglycemia zimatha kusintha nthawi iliyonse. Odwala ambiri, kumvetsetsa kwa zizindikiro za hypoglycemia ndi "kuzimiririka". Odwala matenda ashuga oterewa amadzidzimuka nthawi iliyonse chifukwa cha chikomokere. Amakhala ndi chiopsezo chachikulu cha kulumala kapena kufa chifukwa cha kwambiri hypoglycemia. Chifukwa cha izi zikuchitika:
- shuga wambiri wotsika kwambiri
- munthu wakhala akudwala matenda a shuga kwa nthawi yayitali,
- ukalamba
- ngati hypoglycemia imachitika kawirikawiri, ndiye kuti sizikutchulidwa.
Anthu otere sayenera kuvulaza ena panthawi ya hypoglycemia mwadzidzidzi. Izi zikutanthauza kuti amaphatikizika kwa iwo kuti agwire ntchito yomwe miyoyo ya anthu ena imadalira. Makamaka, odwala matenda ashuga samaloledwa kuyendetsa galimoto ndi zoyendera pagulu.
Odwala ena omwe ali ndi matenda a shuga amazindikira kuti ali ndi hypoglycemia. Amakhala ndi malingaliro okwanira kuti athe kupeza glucometer, kuyeza shuga awo ndikuletsa kugwidwa kwa hypoglycemia. Tsoka ilo, odwala matenda ashuga ambiri omwe amazindikira kuti ali ndi hypoglycemia ali ndi mavuto akulu. Ubongo ukasowa shuga, munthu amatha kuyamba kuchita zosayenera. Odwala oterowo amakhalabe ndi chidaliro chakuti ali ndi shuga wabwinobwino, mpaka pano mpaka atha kuzindikira.Ngati wodwalayo adakumana ndi zovuta zingapo za hypoglycemia, ndiye kuti atha kukhala ndi mavuto pozindikira nthawi yotsatira. Ichi ndichifukwa cha kukomoka kwa adrenergic receptors. Komanso, mankhwala ena amasokoneza kuzindikira kwa hypoglycemia pa nthawi. Awa ndi ma beta blockers omwe amachepetsa kuthamanga kwa magazi ndi kugunda kwa mtima.
Nayi mndandanda wina wa zizindikiro za hypoglycemia, womwe umayamba kuwuma:
- Kuyankha pang'onopang'ono pazinthu zozungulira - mwachitsanzo, mumkhalidwe wa hypoglycemia, munthu sangathe kuwongolera panthawi yoyendetsa galimoto.
- Khalidwe lonyansa, lankhanza. Pakadali pano, wodwala matenda ashuga ali ndi chidaliro kuti ali ndi shuga wabwinobwino, ndipo amakana mwamphamvu zoyeserera za ena kuti amukakamize kuyeza shuga kapena kudya zakudya zopatsa mphamvu.
- Kukhazikika kwa chikumbumtima, kuyankhula kovuta, kufooka, kuchepa. Zizindikiro zimatha kupitilira pomwe shuga wabwereranso mwakale, ngakhale mpaka mphindi 45-60.
- Kugona, ulesi.
- Kuwonongeka kwa chikumbumtima (osowa kwambiri ngati simukubaya insulin).
- Kutembenuka.
- Imfa.
Nocturnal hypoglycemia m'maloto
Zizindikiro za noogurnal hypoglycemia m'maloto:
- wodwala amakhala ndi khungu lozizira, lotupa, makamaka pakhosi,
- Kusokoneza kupuma
- kugona osagona.
Ngati mwana wanu ali ndi matenda ashuga amtundu woyamba, ndiye kuti muyenera kumuyang'ana nthawi zina usiku, kuyang'ana khosi lake pakukhudza, mutha kumudzutsanso, mwina mungatero, kuyeza shuga m'magazi pakati pausiku. Kuti muchepetse mulingo wa insulini komanso ndi chiopsezo cha hypoglycemia, tsatirani. Tumizani mwana yemwe ali ndi matenda a shuga 1 kukhala zakudya zamagulu ochepa mukamaliza kuyamwitsa.
Ngati zizindikiro za hypoglycemia zimakhala zosalimba
Mwa odwala ena omwe ali ndi matenda ashuga, Zizindikiro zoyambirira za hypoglycemia ndizopepuka. Ndi hypoglycemia, manja akunjenjemera, pallor of the khungu, kufulumira kwamkati, ndi zizindikiro zina zimayambitsa mahomoni epinephrine (adrenaline). M'mitundu yambiri ya ashuga, kupanga kwake kumakhala kofooka kapena ma receptors samvera kwenikweni. Vutoli limayamba nthawi yayitali odwala omwe ali ndi shuga yochepa kwambiri kapena amene amalumpha kuchokera shuga wambiri kupita ku hypoglycemia. Tsoka ilo, awa ndi magulu a odwala omwe nthawi zambiri amakhala ndi vuto la hypoglycemia ndipo angafunike kuzindikira kwa adrenaline kuposa ena.
Pali zifukwa zisanu ndi zina zomwe zingapangitse kuwongolera kwa ziwonetsero za hypoglycemia:
- Sever autonomic diabetesic neuropathy ndi zovuta za shuga zomwe zimayambitsa kuphwanya kwamitsempha.
- Adrenal minofu yam'mimba. Uku ndi kufa kwa minofu ya adrenal - tiziwalo timene timatulutsa adrenaline. Zimayamba kudwala ngati wodwala amakhala ndi matenda a shuga kwa nthawi yayitali, ndipo adam'thandizira mwaulesi kapena molakwika.
- Mwazi wa m'magazi umakhala wotsika kwambiri.
- Wodwala matenda a shuga amwe mankhwala - beta-blockers - chifukwa cha kuthamanga kwa magazi, matenda a mtima, kapena kupewa.
- Mwa odwala matenda ashuga omwe amadya zakudya zoyenera, odzaza ndi mafuta, motero amakakamizidwa kubaya Mlingo waukulu wa insulin.
Ngati mita ikuwonetsa kuti shuga yanu ili m'munsi mwa 3.5 mmol / L, tengani mapiritsi a glucose, ngakhale ngati palibe zizindikiro za hypoglycemia. Mumangofunika shuga pang'ono kuti muwonjezere shuga kuti akhale abwinobwino. 1-3 magalamu a chakudya chokwanira - awa ndi mapiritsi 2-6 a shuga. Osamadya chakudya chopatsa thanzi!
Odwala ena omwe ali ndi matenda a shuga amakana kumwa mapiritsi a glucose ngakhale atayetsa shuga awo ndi kupeza kuti ndi yochepa. Amati akumva bwino ngakhale alibe mapiritsi. Anthu oterewa ndi omwe amakhala "makasitomala" akulu kwa madotolo azadzidzidzi, kuti athe kuyeseza kuchotsa munthu pakhungu. Amakhalanso ndi ngozi zapamsewu.Mukamayendetsa, yeretsani shuga la magazi anu ndi mita ya glucose ola lililonse, ngakhale mutakhala ndi hypoglycemia kapena ayi.
Anthu omwe amakhala ndi gawo la hypoglycemia kapena shuga m'magazi nthawi zambiri amakhala "osokoneza" izi. Adrenaline m'magazi awo nthawi zambiri amawoneka ochulukirapo. Izi zimabweretsa kuti chidwi cha zolandilira ku adrenaline chifooke. Momwemonso, Mlingo wa insulin yambiri m'magazi umapangitsa chidwi cha insulin zolandirira khungu.
Zimayambitsa hypoglycemia mu shuga
Hypoglycemia imayamba m'magazi momwe insulin yochulukirapo imazungulira m'magazi, molingana ndi kudya kwa glucose kuchokera ku chakudya komanso m'masitolo a chiwindi.
Zimayambitsa hypoglycemia
A. Mwachindunji amagwirizana ndi mankhwala othandizira kuti muchepetse shuga | |
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Mankhwala osokoneza bongo a insulin, sulfonylurea kapena ma dongo |
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Kusintha mu pharmacokinetics (mphamvu ndi kuthamanga kwa kuchitapo kanthu) kwamapiritsi a insulin kapena shuga |
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Kuchulukitsa kumva kwa minofu | |
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Chithandizo cha boma chimati ngati wodwala matenda ashuga amathandizidwa bwino ndi mapiritsi a insulin kapena kuchepetsa shuga, ndiye kuti adzakumana ndi zovuta za hypoglycemia 1-2 kawiri pa sabata ndipo palibe cholakwika ndi izi. Tikulengeza: ngati mumachita kapena, ndiye kuti hypoglycemia imachitika kangapo. Chifukwa ndi matenda a shuga a 2, tinasiya omwe angayambitse. Zokhudza jakisoni wa insulin, yemwe ali ndi matenda amtundu wa 1 ndi mtundu wa 2, amaloleza kangapo kuchepetsa ma insulin motero amachepetsa chiopsezo cha hypoglycemia.
Zomwe zimayambitsa hypoglycemia mwa omwe amathandizidwa pogwiritsa ntchito njira zamasamba:
- Sanadikire maola 5 mpaka mlingo wofulumira wa insulin atamaliza kuchita, ndikuyika jekeseni yotsatira kuti athetse shuga wowonjezereka m'magazi. Izi ndizowopsa usiku.
- Iwo adabayira insulin mwachangu asanadye, kenako adayamba kudya kwambiri. Chimodzimodzi ngati mumamwa mapiritsi musanadye, ndikupangitsa kuti kapamba apange insulin yambiri. Ndikokwanira kuyamba kudya mphindi 10-15 pambuyo poti muyenera kumva zizindikiro za hypoglycemia.
- Matenda a shuga a gastroparesis - anachedwetsa kuchotsa m'mimba mutatha kudya.
- Matendawa atatha, kukana insulini kumafooka, ndipo wodwala matenda ashuga amayiwala kuti abwerere kuchokera ku mapiritsi a insulini kapena mapiritsi ochepetsera shuga mpaka masiku ake.
- Wodwala matenda ashuga kwa nthawi yayitali adadziyambitsa "kufooka" insulin kuchokera m'botolo kapena katoni, komwe kamasungidwa molakwika kapena kutha ntchito, kenako ndikuyamba kubayirira insulin yatsopano “popanda kutsitsa.
- Kusintha kuchokera pampu ya insulini ndikupanga jakisoni ndi ma insulin syringes komanso mosemphana ndi zina ngati zingachitike popanda kuwunikira nokha shuga.
- Wodwalayo adadzipaka yekha ndi ultrashort insulin yowonjezera mphamvu muyezo womwewo womwe nthawi zambiri umalandira jekeseni.
- Mlingo wa insulin sufanana ndi kuchuluka kwa chakudya chomwe wadya. Muzidya zakudya zochepa komanso / kapena mapuloteni kuposa momwe mumapezera chakudya cham'mawa, nkhomaliro kapena chakudya chamadzulo. Kapenanso adadya mochuluka momwe iwo amafunira, koma pazifukwa zina adabayira insulin yambiri.
- Munthu wodwala matenda ashuga amachita masewera olimbitsa thupi osakonzekera kapena amaiwala kuyamwa shuga tsiku lililonse pochita zolimbitsa thupi.
- Mowa, makamaka musanadye komanso nthawi ya chakudya.
- Wodwala wodwala matenda ashuga yemwe amadzibaya jekeseni wa NPH-insulin wodzivulaza yekha ndi vial, adayiwala kugwedeza bwino vial asanatengere insulin.
- Intramuscularly jekeseni insulin m'malo subcutaneous.
- Adapanga jakisoni woyenera wa insulin, koma m'gawo ilo la thupi lomwe limakhudzidwa kwambiri.
- Chithandizo cha nthawi yayitali ndi mtsempha wa gamma globulin. Zimayambitsa kuchira mwangozi komanso kosayembekezereka kwa gawo la maselo a beta mwa odwala omwe ali ndi matenda a shuga 1, omwe amachepetsa kufunika kwa insulin.
- Kumwa mankhwala awa: aspirin mu waukulu Mlingo, anticoagulants, barbiturates, antihistamines ndi ena ambiri. Mankhwalawa amachepetsa shuga m'magazi kapena kuletsa kupanga kwa shuga ndi chiwindi.
- Kutentha kwanyengo. Pakadali pano, odwala ambiri omwe ali ndi matenda ashuga amafunikira insulini yochepa.
Njala ndi chizindikiro chodziwika bwino cha malo oyamba a hypoglycemia. Ngati mumayendetsa bwino matenda anu, ndiye kuti simuyenera kumakhala ndi njala yayikulu. Musanadye chakudya, muyenera kukhala ndi njala pang'ono. Komabe, nthawi zambiri njala imangokhala chizindikiro cha kutopa kapena kupsinjika, koma osati hypoglycemia. Komanso, shuga m'magazi akakhala kwambiri, m'malo mwake, maselo sikhala ndi glucose, ndipo amatumiza ma njaa mwamphamvu. Kutsiliza: ngati mukumva njala - yikani magazi anu ndi glucometer.
Zowopsa za hypoglycemia:
- wodwala kale anali ndi vuto la hypoglycemia,
- wodwalayo samva zizindikiro za hypoglycemia munthawi yake, motero amakhala ndi chikomokere mwadzidzidzi,
- pancreatic insulin secretion palibe,
- otsika mayendedwe wodwala.
Momwe mungamvetsetse zomwe zimayambitsa hypoglycemia
Muyenera kubwereza zochitika zonse zomwe zimatsogolera ku gawo pamene shuga ya magazi anu ndi yotsika kwambiri. Izi zimayenera kuchitika nthawi iliyonse, ngakhale ngati pakadakhala kuti palibe chizindikiro chowoneka kuti mupeze zomwe mumalakwitsa. Kuti zochitika zitha kuchira, odwala matenda a shuga omwe amadalira insulin amafunika kukhala ndi moyo wopitilira muyeso, kutanthauza kuti, amayeza, amalemba zotsatira zake ndi zina.
Hypoglycemia yayikulu imatha kubweretsa ku zomwe zimachitika maola angapo zisanathetsedwe konse kuchokera kukumbukira kwa wodwala matenda ashuga. Ngati asungabe chidule chake cha kudziletsa, pamenepo pazomwezi zingakhale zothandiza. Sikokwanira kungolemba zotsatira za shuga wa magazi, ndikofunikira kulemba zochitika. Ngati muli ndi zigawo zingapo za hypoglycemia, koma osamvetsetsa chifukwa chake, onetsani kwa adotolo. Mwina adzakufunsani mafunso momveka bwino.
Chithandizo (kuyimitsa) cha hypoglycemia
Ngati mukukumana ndi zilizonse za zizindikiro za hypoglycemia zomwe taziwonetsa pamwambapa - makamaka njala yayikulu - nthawi yomweyo yikani magazi anu ndi glucometer. Ngati ndi 0,6 mmol / L pansi pazomwe mukufuna kapena kutsika, ndiye kuchitapo kanthu kuti muimitse hypoglycemia. Idyani chakudya chamagulu ochulukirapo, makamaka mapiritsi a shuga, kuti mukweze shuga yanu mpaka mulingo womwe mukufuna. Ngati palibe zizindikiro, koma mwayeza shuga m'magazi ndikuwona kuti ndi otsika, chinthu chomwecho ndikofunika kudya mapiritsi a glucose mu mlingo wowerengeka. Ngati shuga ndiwotsika, koma palibe zizindikiro, ndiye kuti mafuta ochulukirapo amafunika kudya. Chifukwa hypoglycemia yopanda zizindikiro ndiyowopsa kuposa yomwe imayambitsa zisonyezo zoonekeratu.
Kodi muyenera kuchita chiyani ngati mulibe glucometer nanu? Ili ndi tchimo lalikulu kwa odwala matenda a shuga omwe amadalira insulin. Ngati mukukayikira kuti muli ndi hypoglycemia, ndiye kuti musataye mwayi ndikudya shuga wina kuti akweze shuga wanu ndi 2.4 mmol / L. Izi zidzakutetezani ku hypoglycemia, yomwe ili ndi zovuta zosasintha.
Momwe mita ingakulowereni - yeretsani shuga. Imatha kukwezedwa kapena kutsitsidwa. Mubwezereni ku zoyenera ndipo osachimwanso, ndiye kuti, sungani mita nthawi zonse nanu.
Gawo lovuta kwambiri ndilakuti ngati magazi anu atayika chifukwa chobayira jakisoni kwambiri kapena kumwa kwambiri. Zikakhala zotere, shuga amatha kugwiritsidwanso ntchito atamwa mapiritsi a shuga. Chifukwa chake, onaninso shuga wanu ndi glucometer Mphindi 45 mutatha kutenga mankhwala a hypoglycemic. Onetsetsani kuti chilichonse ndichabwino. Ngati shuga alinso wotsika, imwani mapiritsi ena, kenako mubwerezenso pambuyo pamphindi 45 zilizonse. Ndipo zina zotero, mpaka chilichonse chimadzayamba bwino.
Momwe mungachiritsire hypoglycemia popanda kukweza shuga kuposa zabwinobwino
Pachikhalidwe, odwala omwe ali ndi matenda ashuga kusiya hypoglycemia amadya ufa, zipatso ndi maswiti, amamwa misuzi ya zipatso kapena koloko yabwino. Njira zamankhwala izi sizigwira ntchito pazifukwa ziwiri. Mbali imodzi, imagwira pang'onopang'ono kuposa zofunika. Chifukwa zakudya zopezeka m'zakudya, thupi limafunikabe kugaya usanayambe kukweza shuga m'magazi. Komabe, "chithandizo" choterechi chimachulukitsa shuga wamagazi kwambiri, chifukwa ndizosatheka kuwerengera molondola kuchuluka kwa chakudya, ndipo mwamantha, wodwala matenda ashuga amadya kwambiri.
Hypoglycemia imatha kuwononga kwambiri matenda ashuga. Kuukira kwambiri kungachititse kuti wodwala matenda ashuga kapena wolumala chifukwa cha kuwonongeka kwa ubongo kosasinthika, ndipo sizivuta kudziwa kuti izi ndi ziti zomwe zili zoyipa kwambiri. Chifukwa chake, timayesetsa kukweza shuga m'magazi kuti akhale abwinobwino msanga. Zakudya zomanga thupi, fructose, mkaka wa shuga, lactose - onsewa amayenera kugwiritsidwa ntchito popukusa thupi asanayambe kukweza shuga. Zomwezi zimagwiranso ngakhale kwa wowuma ndi shuga a pagome, ngakhale njira yovomerezeka ili yachangu kwambiri kwa iwo.
Gwiritsani ntchito mapiritsi a glucose popewa ndi kusiya hypoglycemia. Gulani iwo ku mankhwala, osakhala aulesi! Zipatso, timadziti, maswiti, ufa - osafunika. Idyani shuga wambiri monga mungafunikire. Musalole shuga kuti "ayimbe" mutatha kuthana ndi hypoglycemia.
Zinthu zomwe talemba pamwambazi zimakhala ndi mafuta osakanikirana othamanga komanso osakwiya, omwe amachitika pang'onopang'ono, kenako amawonjezera shuga m'magazi osakonzekera. Nthawi zonse zimatha ndi chakuti atayimitsa kuukira kwa hypoglycemia, shuga mwa wodwala yemwe ali ndi matenda ashuga "amapitilira". Madokotala osazindikira amakhulupirirabe kuti pambuyo pa gawo la hypoglycemia ndizosatheka kupewa kuchuluka kwa shuga m'magazi. Amawona kuti ndizabwinobwino ngati pambuyo maola ochepa shuga m'magazi odwala matenda a shuga ndi 15-16 mmol / L. Koma izi sizowona ngati uchita mwanzeru.Ndi njira yanji yomwe imatulutsa shuga m'magazi mwachangu ndipo ikulosera? Yankho: shuga mu mawonekedwe ake oyera.
Mapiritsi a glucose
Glucose ndiye chinthu chomwe chimazungulira m'magazi chomwe timachitcha "shuga wamagazi". Glucose wa chakudya amatengedwa kulowa m'magazi ndikuyamba kuchitapo kanthu. Thupi silifunikira kuligaya; silimagwira chiwindi chilichonse. Ngati mukutafuna piritsi la glucose mkamwa mwanu ndikumwa madzi, ndiye kuti ambiri amadzalowetsa m'magazi kuchokera pakamwa panu kamkamwa, ngakhale kumeza sikofunikira. Zina zimalowa m'mimba ndi m'matumbo ndipo zimayamwa nthawi yomweyo.
Kuphatikiza kuthamanga, mwayi wachiwiri wama mapiritsi a glucose ndikudziwikiratu. Pakati pa hypoglycemia wodwala wokhala ndi matenda amtundu wa 1 kapena mtundu wa 2 wolemera makilogalamu 64, gramu imodzi ya glucose imakweza shuga la magazi ndi 0.28 mmol / L. Munthawi imeneyi, wodwala yemwe ali ndi matenda a shuga a 2, kupanga insulin ndi kapamba kumazimiririka, pomwe wodwala wokhala ndi matenda amtundu wa 1 sapezeka konse. Ngati shuga m'magazi siwotsika kuposa masiku onse, ndiye kuti wodwala yemwe ali ndi matenda a shuga a 2 sangayambitse shuga, chifukwa kapamba "amamaliza" ndi insulin yake. Kwa wodwala yemwe ali ndi matenda a shuga 1, komabe gramu imodzi ya glucose imawonjezera shuga m'magazi ndi 0.28 mmol / L, chifukwa alibe kupanga insulin.
Munthu akayamba kulemera, mphamvu ya glucose imam'chepetsera, komanso amachepetsa thupi. Kuti muwerenge kuchuluka kwa gramu imodzi ya glucose yomwe ingakulitse shuga m'magazi anu kulemera kwanu, muyenera kupanga gawo. Mwachitsanzo, kwa munthu amene ali ndi thupi lolemera makilogalamu 80, padzakhala 0.28 mmol / L * 64 kg / 80 kg = 0.22 mmol / L, ndipo kwa mwana wolemera 48 kg, 0.28 mmol / L * 64 kg / 48 kg = 0,37 mmol / l.
Chifukwa chake, poletsa hypoglycemia, mapiritsi a shuga ndi chisankho chabwino kwambiri. Amagulitsidwa muma pharmacies ambiri ndipo ndi otsika mtengo kwambiri. Komanso, m'misika yamagolosale komwe amakhala, mapiritsi a ascorbic acid (vitamini C) okhala ndi shuga amagulitsidwa nthawi zambiri. Itha kugwiritsidwanso ntchito motsutsana ndi hypoglycemia. Mlingo wa vitamini C mwa iwo nthawi zambiri amakhala wotsika kwambiri. Ngati ndinu aulesi kuti musunge mapiritsi a shuga - tengani magawo a shuga abwino. Zambiri 2-3 zokha, osati zochulukirapo. Maswiti, zipatso, timadziti, ufa - siabwino kwa odwala omwe amachita pulogalamu yothana ndi matenda a shuga 1 kapena mtundu wa 2 wa matenda a shuga ..
Ngati mwakhudza mapiritsi a shuga, sambani m'manja musanayeze shuga ndi magazi. Ngati kulibe madzi, gwiritsani ntchito nsalu yonyowa. Monga chomaliza, nyambita chala chomwe mukufuna kubaya, kenako ndikupukuta ndi nsalu yoyera kapena mpango. Ngati pali shuga pakhungu la chala, zotsatira za kuyeza shuga m'magazi zidzasokonekera. Sungani mapiritsi a glucose kutali ndi mita ndikuwonetsetsa kuti akupita.
Funso lofunika kwambiri ndilakuti ndiyenera kudya mapiritsi angati a shuga? Ikulume zokwanira kukweza shuga m'magazi anuwo, koma osatinso. Tiyeni titenge chitsanzo chothandiza. Tinene kuti mumalemera 80 kg. Pamwambapa, tidawerengera kuti gramu imodzi ya glucose iwonjezera shuga m'magazi anu ndi 0.22 mmol / L. Tsopano muli ndi shuga wamagazi a 3.3 mmol / L, ndipo mulingo wotsogola ndi 4.6 mmol / L, i.e. muyenera kuwonjezera shuga ndi 4.6 mmol / L - 3.3 mmol / L = 1.3 mmol / l. Kuti muchite izi, tengani 1.3 mmol / L / 0.22 mmol / L = 6 magalamu a shuga. Mukamagwiritsa ntchito mapiritsi a glucose olemera gramu imodzi iliyonse, amatuluka mapiritsi 6, osatinso pang'ono.
Zoyenera kuchita ngati shuga m'magazi asanakudya
Zitha kuchitika kuti mumapezeka kuti muli ndi shuga ochepa musanayambe kudya. Ngati mukutsatira mtundu wa 2 kapena mtundu wa matenda a shuga, ndiye kuti musadye mapiritsi a shuga, kenako ndi chakudya chenicheni. Chifukwa chakuti zakudya zamagulu ochepa zimapangidwa pang'onopang'ono. Ngati simuletsa hypoglycemia, ndiye kuti izi zitha kudzetsa kudya kwambiri komanso kulumpha mu shuga m'maola ochepa, zomwe zimakhala zovuta kutulutsa.
Momwe mungathanirane ndi kuukira kwa kususuka ndi hypoglycemia
Hypoglycemia yofatsa komanso yofatsa imatha kuyambitsa mavuto osaneneka komanso nkhawa. Kulakalaka kudya zakudya zodzaza ndi zomanga thupi kumatha kukhala kosalamulirika.Zikakhala zotere, wodwala matenda ashuga amatha kudya kilogalamu imodzi ya ayisi kapena ufa wa zipatso kapena kumwa lita imodzi ya zipatso. Zotsatira zake, shuga m'magazi ochepa amatha kukhala ochulukirapo. Pansipa muphunzira zoyenera kuchita ndi hypoglycemia kuti muchepetse kuvulaza kwa thanzi lanu chifukwa cha mantha komanso kudya kwambiri.
Choyamba, yesani kudziwiratu ndikuwonetsetsa kuti mapiritsi a glucose amalosera kwambiri, makamaka ndi matenda amtundu wa 1 shuga. Ndi magalamu angati a shuga omwe mwadya - momwemonso shuga yanu yamagazi imakwera, osatinso mochepera. Dziyang'anireni nokha, mudzionere nokha pasadakhale. Izi ndizofunikira kuti mukakhala ndi vuto la hypoglycemia musachite mantha. Mutatha kumwa mapiritsi a glucose, mudzakhala otsimikiza kuti kusiya kuzindikira ndi kufa sizowopsa.
Chifukwa chake, tidalamulira mantha, chifukwa tidakonzekeratu pasadakhale vuto la hypoglycemia. Izi zimathandiza wodwala matenda ashuga kuti akhale chete, asamaganize, ndipo pali mwayi wochepa woti chidwi chofuna kususuka chingathe kuchoka. Koma bwanji ngati mutatha kumwa mapiritsi a glucose, simungathe kuletsa njala yakuthengo? Izi zitha kukhala chifukwa chakuti theka la moyo wa adrenaline m'mwazi ndi wautali kwambiri, monga tafotokozera m'gawo lapita. Pankhaniyi, kutafuna ndikudya zakudya zamafuta ochepa.
Kuphatikiza apo, ndikofunikira kugwiritsa ntchito zinthu zomwe sizikhala ndi mafuta konse. Mwachitsanzo, kudula nyama. Muno, simungathe kudya mtedza chifukwa simungathe kukana ndikudya zambiri zake. Mtedza umakhala ndi chakudya chamagulu angapo, ndipo zochuluka zimachulukanso ndimagazi, zimayambitsa. Chifukwa chake, ngati njala siyingalekerere, ndiye kuti mumamiza ndi zakudya zamafuta ochepa.
Shuga wokhazikika bwino, ndipo zizindikiro za hypoglycemia sizimatha
Mu vuto la hypoglycemia, kutulutsa kwakatulu kwa timadzi ta epinephrine (adrenaline) kumachitika m'magazi. Ndiye amene amayambitsa zambiri zosasangalatsa. Mwazi wa magazi ukatsika kwambiri, tiziwalo timene timatulutsa adrenaline potengera izi ndikuchulukitsa kuchuluka kwake m'magazi. Izi zimachitika mwa odwala onse omwe ali ndi matenda ashuga, kupatula okhawo omwe adalepheretsa kuzindikira kwa hypoglycemia. Monga glucagon, adrenaline imapatsa chiwindi chizindikilo kuti glycogen iyenera kusinthidwa kukhala glucose. Zimawonjezeranso kugunda kwa mtima, zimayambitsa pallor, manja akunjenjemera ndi zizindikiro zina.
Adrenaline ali ndi theka la moyo pafupifupi mphindi 30. Izi zikutanthauza kuti ngakhale ola limodzi pambuyo poti vuto la hypoglycemia lithe, ¼ adrenaline akadali m'magazi ndikupitilizabe kuchita. Pazifukwa izi, Zizindikiro zitha kupitiliza kwakanthawi. Ndikofunikira kuvutika ola limodzi mutatha kutenga mapiritsi a shuga. Munthawi imeneyi, chinthu chofunikira kwambiri ndikupewa chiyeso chofuna kudya kwambiri. Ngati patatha ola limodzi, zizindikiro za hypoglycemia sizikuchoka, yeretsaninso shuga ndi glucometer ndikuchitanso zina.
Khalidwe lonyansa la wodwala matenda ashuga mu mtundu wa hypoglycemia
Ngati wodwala yemwe ali ndi matenda ashuga ali ndi hypoglycemia, ndiye kuti izi zimasokoneza kwambiri moyo wa abale ake, abwenzi ndi anzawo. Pali zifukwa ziwiri izi:
- mu mkhalidwe wa hypoglycemia, odwala matenda ashuga nthawi zambiri amakhala mwamwano komanso mwamwano,
- wodwalayo atha kuzindikira mwadzidzidzi ndipo akufunika chithandizo chamankhwala mwadzidzidzi.
Momwe mungachite ngati wodwala matenda ashuga ali ndi vuto lalikulu la hypoglycemia kapena atayika, tikambirana m'gawo lotsatira. Tsopano tiyeni tikambirane zomwe zimayambitsa khwawa komanso momwe mungakhalire ndi wodwala matenda ashuga popanda kusamvana.
Pa vuto la hypoglycemia, wodwala matenda ashuga amatha kuchita zachilendo, mwamwano komanso mwamwano pazifukwa ziwiri zazikulu:
- adalephera kudziletsa
- Kuyesa kwa ena kuti amudyetse maswiti kumatha kuvulaza.
Tiyeni tiwone zomwe zimachitika mu ubongo wa wodwala yemwe ali ndi matenda ashuga pakamenyane ndi hypoglycemia.Ubongo umasowa glucose wogwira ntchito bwino, ndipo chifukwa cha izi, munthu amakhala ngati waledzera. Zochita zamisili zimalephera. Izi zitha kuwonetsedwa ndi zizindikiro zosiyanasiyana - kupha mphamvu kapena, m'malo mwake, kusakwiya, kukoma mtima kopitirira muyeso kapena kuipidwa nayo. Mulimonsemo, zizindikiro za hypoglycemia zimafanana ndi kuledzera. Wodwalayo akutsimikiza kuti tsopano ali ndi shuga wabwinobwino, monganso munthu woledzera amakhala ndi chitsimikizo kuti ali wodekha. Mowa woledzera komanso hypoglycemia amasokoneza ntchito zomwe zimachitika m'magawo amodzimodzi a ubongo.
Wodwala matenda ashuga aphunzira kuti shuga wambiri ndi wowopsa, amawononga thanzi, motero ayenera kupewedwa. Ngakhale atakhala kuti ali ndi hypoglycemia, amakumbukirabe izi. Ndipo pakadali pano, akutsimikiza kuti shuga ake ndi abwinobwino ndipo, mwanjira zonse, amakhala wozama. Ndipo kenako wina akufuna kumudyetsa zakudya zamafuta owopsa ... Mwachidziwikire, m'mikhalidwe yotere, wodwala matenda ashuga angaganize kuti ndiwachiwiri yemwe akuchita nawo zomwe zikuyenda bwino ndikuyesera kuti zimupweteke. Izi zimachitika makamaka ngati wokwatirana naye, kholo kapena mnzake kale anayesanso kuchita zomwezo, kenako zidapezeka kuti wodwalayo ali ndi shuga wabwinobwino.
Choyipa chachikulu chodzetsa mkwiyo wa wodwala matenda ashuga ndikuyesetsa kuponya maswiti mkamwa mwake. Ngakhale, monga lamulo, kukopa pakamwa ndikwanira izi. Ubongo, wokwiyitsidwa ndi kusowa kwa glucose, amauza mwini wake malingaliro opusitsawo kuti mnzawo, kholo kapena mnzake amamufunira zabwino ngakhalenso kumupha, kumuyesa chakudya chabwino chovulaza. Muzochitika zoterezi, woyera mtima yekha ndi amene akadakana kutsutsa ... Anthu ozungulira ife nthawi zambiri amakhumudwa ndikuwopsezedwa ndi zovuta za wodwala matenda ashuga poyesa kumuthandiza.
Mnzake kapena makolo a wodwala matenda ashuga amatha kuopa kwambiri matenda opatsirana, makamaka ngati wodwala matenda ashuga atalephera. Nthawi zambiri maswiti amasungidwa m'malo osiyanasiyana m nyumbayo kuti akhale pafupi ndipo odwala matenda ashuga amawadyera nthawi yomweyo zikafunika. Vuto ndiloti theka la milandu, anthu omwe amakhala nawo amawayikira hypoglycemia wodwala matenda a shuga, pomwe shuga yake ndiyabwino. Izi zimachitika nthawi zambiri pamilandu yabanja chifukwa chazifukwa zina. Otsutsa akuganiza kuti wodwala wodwala matenda ashuga ndiwosokonekera chifukwa ali ndi hypoglycemia tsopano. Mwanjira imeneyi amayesetsa kupewa zifukwa zenizeni, zovuta kwambiri zomwe zimachititsa kuti anthu ena azinyinyirika. Koma mu theka lachiwiri la milandu yachilendo, hypoglycemia ilipo, ndipo ngati wodwala matenda ashuga akutsimikiza kuti ali ndi shuga yokhazikika, ndiye kuti akudziika pachiswe.
Chifukwa chake, mu theka la milandu pamene anthu pafupi ayesa kudyetsa wodwala matenda a shuga ndi maswiti, akulakwitsa, chifukwa kwenikweni alibe hypoglycemia. Kudya zakudya zopatsa thanzi kumayambitsa kudumpha m'magazi, ndipo izi zimapweteketsa thanzi la munthu wodwala matenda ashuga. Koma mu theka lachiwiri la milandu pomwe hypoglycemia ilipo, ndipo munthu akakana, amapanga mavuto osafunikira kwa ena, amadziika pachiwopsezo chachikulu. Momwe mungakhalire kwa onse? Ngati wodwala yemwe ali ndi matenda ashuga amachita mosazolowereka, ndiye muyenera kumunyengerera kuti asadye maswiti, koma kuyeza shuga lake la magazi. Pambuyo pake, theka la milandu limapezeka kuti palibe hypoglycemia. Ndipo ngati zili choncho, ndiye kuti mapiritsi a shuga amapulumutsidwa, omwe tawasungitsa kale ndipo taphunzira kuwerengera bwino momwe awerengetsera. Komanso, onetsetsani kuti mita ndi yolondola () pasadakhale. Zitapezeka kuti mita yanu yagona, ndiye siyani yomweyo ndikulondola.
Njira yachikhalidwe, pamene wodwala matenda ashuga akakamizidwa kudya maswiti, sizivuta ngakhale pang'ono.Njira zomwe tanena m'ndime yapitayi ziyenera kubweretsa mtendere m'mabanja ndikuwonetsetsa kuti onse akukhudzidwa. Zachidziwikire, ngati simupulumutsa pamiyeso ya glucometer ndi lancets. Kukhala ndi wodwala matenda ashuga kuli ndi mavuto ambiri monga omwe wodwala matenda ashuga ali nawo. Kuyeza shuga panu pokhapokha ngati anthu am'banja lanu kapena omwe mukugwira nawo ntchito yanu ndiudindo wa odwala matenda ashuga. Kenako ziwoneka kale ngati hypoglycemia iyenera kuyimitsidwa pakumwa mapiritsi a shuga. Ngati mwadzidzidzi mulibe glucometer pafupi kapena mizere yoyeserera yatha, ndiye idyani mapiritsi a glucose okwanira kuti akweze shuga lanu la magazi ndi 2.2 mmol / L. Izi ndizotsimikizika kuti muteteze ku hypoglycemia yayikulu. Ndipo ndi shuga wowonjezereka, mudzamvetsetsa momwe kupezeka kwa mita kumawonekera.
Zoyenera kuchita ngati wodwala matenda ashuga ali kale pafupi kutaya chikumbumtima
Ngati munthu wodwala matenda ashuga ali kale pafupi kufa, ndiye kuti uku ndikumachepetsa kwambiri. Panthawi imeneyi, wodwalayo amawoneka wotopa kwambiri, wopanda nkhawa. Samayankha pazopempha, chifukwa sangathe kuyankha mafunso. Wodwalayo akadali wamantha, koma salinso wokhoza kudzithandiza. Tsopano zonse zimatengera omwe ali pafupi nanu - kodi amadziwa momwe angathandizire ndi hypoglycemia? Komanso, ngati hypoglycemia sikulinso kosavuta, koma kwambiri.
Zikakhala zotere, ndikachedwa kuyesa shuga ndi glucometer, mungotaya nthawi yamtengo wapatali. Mukapatsa wodwala mapiritsi a shuga kapena maswiti, ndiye kuti sangayendetse. Nthawi zambiri, amatha kulavulira chakudya cholimba kapena kutsamwitsa kwambiri. Pa nthawi iyi ya hypoglycemia, ndikulondola kuthira wodwala matenda ashuga ndi yankho la glucose. Ngati sichoncho, ndiye kuti yankho la shuga. Maupangiri a matenda ashuga aku America amalimbikitsa kuti magwiritsidwe ntchito a ma glucose a gel, omwe amapaka mafuta m'mkamwa kapena m'matumbo, chifukwa kulibe chiopsezo choti wodwala wa shuga angatsetsere madzi ndi kutsamwa. M'mayiko olankhula Chirasha, tili ndi njira yothetsera shuga wa mankhwala osokoneza bongo kapena yankho lomwe limapangidwa kunyumba mwachangu.
Njira yothetsera shuga imagulitsidwa ku malo ogulitsa mankhwala, ndipo odwala omwe ali ndi matenda ashuga kwambiri amakhala nawo kunyumba. Amatulutsidwa kuti athe kuyesa mayeso okhudzana ndi glucose a maola 2 m'magulu azachipatala. Mukamamwa munthu wodwala matenda ashuga ndi shuga kapena njira ya shuga, ndikofunikira kuti muwonetsetse kuti wodwalayo sakutsamwa, koma akameza madziwo. Ngati mutha kuchita izi, ndiye kuti zizindikiro zoopsa za hypoglycemia zitha mofulumira. Pakatha mphindi 5, odwala matendawa azitha kuyankha mafunso. Pambuyo pake, amafunika kuyeza shuga ndi glucometer ndikuchepetsa kuti ikhale yofanana ndi jakisoni wa insulin.
Kusamalira mwadzidzidzi ngati wodwala matenda ashuga atha
Muyenera kudziwa kuti wodwala matenda ashuga amatha kukhala osazindikira chifukwa cha hypoglycemia yokha. Zomwe zimayambitsa zingakhalenso vuto la mtima, kugunda, kugwa kwamwadzidzidzi magazi. Nthawi zina odwala matenda ashuga samatha kudziwa ngati ali ndi shuga wambiri (22 mmol / L kapena kwambiri) masiku angapo motsatana, ndipo izi zimaphatikizidwa ndi kusowa kwamadzi. Izi zimatchedwa, zimachitika kwa okalamba omwe ali okhaokha odwala matenda ashuga. Ngati mwalangidwa kuti muchite kapena, ndiye sizokayikitsa kwambiri kuti shuga yanu idzakwera kwambiri.
Monga lamulo, ngati muwona kuti wodwalayo wasowa chikumbumtima, palibe nthawi yoti mudziwe zifukwa zake, koma chithandizo chiyenera kuyambika nthawi yomweyo. Wodwala wodwala matenda ashuga akamwalira, ndiye kuti ayenera kupeza jakisoni wa glucagon, kenako ayenera kudziwa zifukwa zake. Glucagon ndi timadzi tomwe timadzutsa shuga m'magazi, zomwe zimapangitsa kuti chiwindi ndi minofu zisinthe m'masitolo awo a glycogen kukhala glucose ndikudzaza magazi ndi shuga. Anthu omwe amadwala matenda ashuga ayenera kudziwa:
- komwe zida zamwadzidzidzi zimasungidwa,
- momwe mungapangire jakisoni.
Chithandizo chadzidzidzi cha jakisoni wa glucagon chimagulitsidwa ku malo ogulitsa mankhwala. Umu ndi vuto lomwe syringe yokhala ndi madzi imasungidwa, komanso botolo lokhala ndi ufa oyera. Palinso malangizo omveka bwino pazithunzi momwe angapangere jakisoni. Ndikofunikira kupaka jakisoni kuchokera mu syringe kulowa kudzera pachivindikizo, kenako ndikuchotsa singano pachikuto, ndikugwedeza vial bwino kuti yankho lithe, ndikubwezeretsanso syringe. Wachikulire amafunika kubaya buku lonse la syringe, subcutaneally kapena intramuscularly. Jakisoni itha kuchitika m'malo onse omwe insulin nthawi zambiri imabayidwa. Wodwala yemwe ali ndi matenda a shuga amalandira jakisoni wa insulin, ndiye kuti am'banja akhoza kuyeseza pasadakhale, ndikumupangira jakisoni, kuti pambuyo pake athe kupirira ngati angafunike jekeseni wa glucagon.
Ngati palibe zida zadzidzidzi zomwe zili ndi glucagon pafupi, muyenera kuyimbira ambulansi kapena kuperekera wodwala yemwe ali ndi matenda osowa shuga kuchipatala. Ngati munthu wasowa chikumbumtima, ndiye kuti musayesetse kuyika kenakake kudzera pakamwa pake. Osayika mapiritsi a shuga kapena chakudya cholimba pakamwa pake, kapena yesani kuthira zakumwa zilizonse. Zonsezi zimatha kulowa mumtundu wa kupuma, ndipo munthu amadzaza. Wosazindikira, wodwala matenda ashuga sangathe kutafuna kapena kumeza, chifukwa chake simungamuthandize motere.
Wodwala wodwala matenda ashuga akamwalira chifukwa cha hypoglycemia, akhoza kukomoka. Pankhaniyi, malovu amamasulidwa kwambiri, ndipo mano akung'ung'udza ndikumeta. Mutha kuyesa kulowetsa ndodo m'm mano a wodwala wosazindikira kuti asathe kuluma lilime lake. Ndikofunika kuti mumulepheretse kuluma zala zanu. Iikeni mbali yake kuti malovu amatuluka mkamwa, ndipo osakakamira.
Glucagon imatha kuyambitsa mseru komanso kusanza mu matenda ashuga. Chifukwa chake, wodwalayo ayenera kugona mbali yake kuti masanzi asalowe m'mapazi. Wodwala shuga, wodwala matenda ashuga ayenera kuyamba kupanga mkati mwa mphindi 5. Pasanathe mphindi 20, ayenera kuyankha mafunso kale. Ngati pakadutsa mphindi 10 palibe umboni wowoneka bwino, wodwala yemwe ali ndi vuto la matenda ashuga osafunikira ayenera kuthandizidwa mwachangu. Dokotala wa ambulansi amupatsa shuga m'magazi.
Jekeseni imodzi ya glucagon imatha kuwonjezera magazi mpaka 22 mmol / L, kutengera kuchuluka kwa glycogen yomwe yasungidwa m'chiwindi. Munthu akazindikira bwino, wodwala matenda ashuga ayenera kuyeza shuga m'magazi ndi glucometer. Ngati maola 5 kapena kupitirira adadutsa kuyambira jakisoni womaliza wa insulin yothamanga, ndiye kuti muyenera kupaka insulin kuti mubwezeretse shuga. Izi ndizofunikira chifukwa iyi ndi njira yokhayo chiwindi chimayambiranso kubwezeretsa malo ake ogulitsira. Iwo adzachira pasanathe maola 24. Ngati wodwala yemwe ali ndi matenda ashuga ataya kawiri kawiri mzere kwa maola angapo, ndiye kuti jekeseni wachiwiri wa glucagon sangathandize, chifukwa chiwindi sichinabwezeretse malo ake ogulitsa glycogen.
Wodwala wodwala matenda ashuga atatsitsimutsidwa ndi jakisoni wa glucagon, tsiku lotsatira amafunika kuyeza shuga ndi glucometer maola 2,5 onse, kuphatikiza usiku. Onetsetsani kuti hypoglycemia siyikuchitikanso. Ngati shuga wa magazi atsika, nthawi yomweyo gwiritsani ntchito mapiritsi a glucose kuti achulukitse. Kuwunikira mosamala ndikofunikira kwambiri, chifukwa ngati wodwala matenda ashuga ayambiranso, ndiye kuti jekeseni wachiwiri wa glucagon sangamuthandize kudzuka. Chifukwa - tidafotokozera pamwambapa. Nthawi yomweyo, shuga wokwezeka amafunika kusinthidwa pafupipafupi. Jekeseni wachiwiri wa insulin yothamanga sangathe kutero osapitirira maola 5 mutatha.
Ngati hypoglycemia ili yoopsa kwambiri mwakuti mumalephera kudziwa bwino, muyenera kuunikanso njira yanu yothandizira anthu odwala matenda ashuga kuti mumve molakwika.Werengani werengani mndandanda wazomwe zimayambitsa hypoglycemia, zomwe zimaperekedwa pamwambapa.
Masheya a hypoglycemia ndi magome a glucose, zida zamwadzidzidzi, zomwe zili ndi shuga, komanso makamaka njira yothetsera shuga. Kugula zonsezi pamankhwala ndikosavuta, osati mtengo, ndipo kungapulumutse moyo wa wodwala matenda ashuga. Nthawi yomweyo, zinthu zothandizira pa vuto la hypoglycemia sizithandiza ngati anthu omwe akuzungulirani sadziwa komwe asungidwa, kapena sakudziwa momwe angathandizire mwadzidzidzi.
Sungani zothandizira za hypoglycemia nthawi yomweyo m'malo angapo oyenera kunyumba ndi kuntchito, ndipo lolani abale ndi abale kudziwa komwe asungidwa. Sungani mapiritsi a glucose m'moto wanu, chikwama chanu, chikwama chanu chaching'ono ndi chikwama chanu chonyamula m'manja. Mukamayenda pa ndege, sungani zofunikira pazovala zanu mu katundu wanu, komanso zongobwereza zomwe muli nazo. Izi ndizofunikira ngati katundu aliyense atayika kapena kuba kwa inu.
Sinthani zida zodzidzimutsa ndi glucagon nthawi yake ikatha. Koma mukakhala mu vuto la hypoglycemia, mutha kupanga jakisoni, ngakhale itatha. Glucagon ndi ufa pang'ono. Popeza ndi youma, imakhalabe yogwira ntchito kwa zaka zingapo pambuyo poti ithe. Inde, izi zimachitika pokhapokha ngati sizinawonekere kutentha kwambiri, monga zimachitika mchilimwe mgalimoto yotsekedwa padzuwa. Ndikofunika kusunga zida zadzidzidzi ndi glucagon mufiriji pamoto wa + 2-8 digiri Celsius. Njira yokhazikika ya glucagon itha kugwiritsidwa ntchito pokhapokha maola 24.
Ngati mugwiritsa ntchito china chake kuchokera m'matangadza anu, azibwezereni mwachangu. Sungani miyala yambiri ya glucose ndi mizere yama glucose mita. Nthawi yomweyo, mabakiteriya amakonda kwambiri shuga. Ngati simugwiritsa ntchito mapiritsi a glucose kwa miyezi 6-12, ndiye kuti atha kukumbidwa ndi mawanga akuda. Izi zikutanthauza kuti mabakiteriya akhazikitsa. Ndikofunika nthawi yomweyo kusintha magomewo ndi atsopano.
Zibangiri za ID, zingwe ndi ma medallions a odwala matenda ashuga ndizodziwika bwino m'maiko olankhula Chingerezi. Ndiwothandiza kwambiri ngati munthu wodwala matenda ashuga afafaniza chifukwa amapereka chidziwitso chofunikira kwa akatswiri azachipatala. Wodwala matenda a shuga a ku Russia sayenera kuyitanitsa izi kuchokera kunja. Chifukwa sizokayikitsa kuti dokotala wadzidzidzi amvetsetsa zomwe zalembedwa mu Chingerezi.
Mutha kudzipangira kukhala chibangili chazidziwitso polamula cholemba. Chingwe ndichabwinoko kuposa loko, chifukwa mwina akatswiri azachipatala amazindikira.
Hypoglycemia mu shuga: mawu omaliza
Mwina mwamvapo nkhani zambiri zowonetsa kuti odwala omwe ali ndi matenda ashuga 1, hypoglycemia imachitika ndipo imakhala yovuta kwambiri. Nkhani yabwino ndiyakuti vutoli limangokhudza anthu omwe ali ndi matenda ashuga omwe amatsata zakudya zoyenera ", kudya zakudya zambiri ndipo chifukwa chake amafunika kubaya insulini yambiri. Ngati mutachita zathu, ndiye kuti chiopsezo cha hypoglycemia ndichotsika kwambiri. Kuchepetsa kambiri pachiwopsezo cha hypoglycemia ndikofunikira, koma osakhala chifukwa chofunikira kwambiri chosinthira mtundu wathu 1 wodwala matenda a shuga.
Mukasinthira, zosowa zanu za insulin zidzatsika kwambiri. Komanso, odwala athu samamwa mapiritsi owononga a shuga omwe amayambitsa hypoglycemia. Pambuyo pa izi, hypoglycemia imatha kupezeka kamodzi mwa milandu iwiri: munadzivulaza mwangozi insulin kuposa momwe mukufunikira, kapena jekeseni wa insulin yofulumira osadikirira maola 5 mpaka mlingo watha. Khalani omasuka kufunsa am'banja mwanu ndi ogwira nawo ntchito kuti aphunzire nkhaniyi. Ngakhale chiwopsezo chimachepetsedwa, mutha kukhalabe mu vuto la hypoglycemia, pomwe simungathe kudzipulumutsa nokha, ndipo anthu okhawo omwe akuzungulirani ndi omwe angakupulumutseni kuti musataye chikumbumtima, imfa kapena kulumala.
Shuga wamba wamagazi
Zowonetsa za shuga wamagazi zimadalira ngati muyeso umapangidwa pamimba yopanda kanthu kapena mutatha kudya. Poyamba, mwa munthu wathanzi, kuchuluka kwa shuga m'magazi am'magazi sayenera kupitirira 5.0 mmol / lita, ndipo chachiwiri - sayenera kukhala apamwamba kuposa 5.5 mmol / lita.
Kwa anthu omwe ali ndi matenda ashuga, pali zisonyezo zingapo za chizolowezi, zomwe zimasiyana mosiyanasiyana. Chifukwa chake, ngati wodwala wodwala matenda ashuga amtundu woyamba amatha kukhala ndi shuga m'magazi kuyambira 4 mmol / lita mpaka 10 mmol / lita kwa nthawi yayitali, ndiye kuti izi zitha kuonedwa ngati kupambana.
Momwe mungayesere shuga m'magazi ndi glucometer
Kukula kwa mankhwala kwathandizira kwambiri miyoyo ya odwala omwe ali ndi matenda a shuga 1 - kukhazikitsidwa kwa insulin yoyamba kukonzekera zaka pafupifupi 100 zapitazo kunali kopambana mu endocrinology. Tsopano odwala ambiri omwe ali ndi mtundu uwu wa shuga amadzibaya jakisoni kangapo patsiku.
Komabe, insulin iyenera kuperekedwa osati "ndi wotchi", koma kutengera kuchuluka kwa glucose m'magazi a wodwalayo ... Chifukwa chake, zaka makumi angapo zapitazo, mainjiniya omwe amapanga chitukuko cha zida zamankhwala anali ndi ntchito yovuta - kupanga chida chosavuta kugwiritsa ntchito, chomwe chingapangitse odwala matenda ashuga kuyeza mulingo shuga wamagazi ndekha kunyumba.
Chifukwa chake ma glucometer oyamba adawonekera.
Pali mitundu yosiyanasiyana ya ma glucometer, koma ntchito pafupifupi mitundu yonse imakhazikika pa mfundo imodzi: kudziwa mtundu wa kusintha kwa mtundu woyambirira wa mzere wapadera woyeretsa pambuyo pothira magazi a wodwala kwa iwo.
Munthu aliyense payekha amalandira gawo la magazi ake mothandizidwa ndi lancet yaying'ono (yocheperako). Dontho la magazi limayikidwa pa njira yoyesera yoyeserera, yomwe imayikidwa mu mita ndipo pambuyo masekondi angapo zotsatira zake zimawonekera pakawonetsero kake.
Mothandizidwa ndi shuga omwe ali m'magazi, mzerewo umasintha mtundu wake - pamlingo wabwinobwino, kusintha koteroko sikungakhale kopanda tanthauzo ndipo chipangizocho sichinyalanyaza.
Ma glucometer amathandizira ndi mabatire osiyanasiyana, palinso mitundu yomwe imatha kulumikizidwa ndi netiwiti ya V2 kudzera pa adapter ya netiweki, yomwe imachepetsa mphamvu zamagetsi ndikusintha zosinthira zamakono kuti ziziwongolera zamakono.
Shuga wamagazi amatsitsa zizindikiro
Zizindikiro zazikulu zomwe zikuwonetsa kuchepa kwa shuga m'magazi zitha kugawidwa m'magulu awiri a anthu: amodzi ndi amisala.
Oyamba ayenera kuphatikiza pa malo oyamba:
- kutuluka thukuta kwambiri
- kumverera kosagwirizana ndi njala
- zokonda mtima
- kufooka wamba
- chizungulire
- kulemera m'miyendo ndikugwedezeka miyendo.
Gulu lazikhalidwe la "malingaliro" a hypoglycemia limaphatikizapo zovuta monga:
- nkhawa zochulukirapo
- mantha
- kusakhazikika
- kukwiya kapena mosinthanitsa
- chisokonezo
Zizindikiro zakuchepa kwa shuga m'magazi
Kutsika kwa shuga m'magazi ndichinthu chobisika kwambiri, chifukwa hypoglycemia (monga momwe madokotala amatchulira kuchepa kwambiri kwa ndende yamagazi) imatha kubweretsa kukomoka, sitiroko, edema yam'mimba, ndi kufa. Nthawi yomweyo, mpaka pamlingo wina, munthu amene amakhala ndi vuto la hypoglycemia amadzimva kuti ndi wabwinobwino, koma kuchepa kowonjezereka kwa shuga kumatha kuyambitsa kusintha kwamphamvu pamagetsi komanso kowopsa pamkhalidwe wake.
Chizindikiro chimodzi chodziwika bwino cha kutsika kwa shuga m'magazi ndikutuluka thukuta kwambiri, komwe kumathanso kutentha pang'ono. Zofunda zam'madzi, pilo yonyowa, kapena ma pajamas zimatha kuwonetsa thukuta kwambiri pakugona, pakakhala kuchepa kwakukulu kwa shuga m'magazi.
Mukadzuka masana, ndikosavuta kudziwa kukhalapo kwa thukuta kwambiri ngati mungakoke chala chanu pakhungu kumbuyo kwa mutu mdera lakumaso.
Zizindikiro zina zodziwika za kuchepa kwa shuga m'magazi ndi monga:
- njala yamphamvu
- kufooka koopsa
- chizungulire
- miyendo yanjenjemera
- kuyera mumaso
- kusakhazikika, kuda nkhawa
- nkhanza
Mwazi wotsika magazi chochita
Kukula kwathunthu kwa hypoglycemia kapena kuchepa kwambiri kwa shuga m'magazi ndimafanizo kwa anthu omwe ali ndi matenda a shuga 1. Pankhaniyi, kuchuluka kwa insulin mwangozi kapena kuphwanya dongosolo la jakisoni kungayambitse kutsika kwa magazi.
Zizindikiro zoyambirira za hypoglycemia zikaonekera, wodwalayo ayenera kupatsidwa chakudya chokhala ndi shuga wambiri komanso cholozera cha glycemic - ndiko kuti, pomwe glucose amalowetsedwa m'magazi mwachangu momwe angathere. Uwu ndi shuga mu mchenga kapena shuga woyengedwa, uchi, kupanikizana, maswiti, zipatso zatsopano zomwe zili ndi shuga wambiri (ma apricots, vwende, chivwende).
Odwala omwe ali ndi matenda amtundu woyamba 1, omwe amadziwa kuopsa kotsika magazi m'thupi, nthawi zambiri amakhala ndi mapiritsi am'magazi, omwe amapulumutsa mofulumira kuchokera ku zizindikiro za hypoglycemia.
Mu milandu yoopsa kwambiri, mankhwalawa a hypoglycemia amachitika pogwiritsa ntchito njira ya glucose.
Chiwopsezo cha kukhala ndi hypoglycemia chimachepetsedwa kwambiri popenyetsetsa zakudya - kotero kuti nthawi yolumikizana ndi zakudya isapitilira maola 3-4.
Momwe mungakulitsire shuga lamwazi mwachangu
Mwa anthu ena omwe ali ndi matenda ashuga a mtundu woyamba, kakulidwe ka hypoglycemia, ndiye kuti, kuchepa kwakukulu kwa shuga m'magazi, kumatha kuchitika patangopita mphindi zochepa. Zizindikiro zoyambirira zikawoneka (thukuta lowonjezera, kufooka, kumva kwamphamvu njala), odwala oterowo ayenera kumwa mapiritsi a glucose mwapadera.
Ngati mulibe mapiritsi ngati awa ndi inu, mutha kusintha m'malo mwake ndi masikono ochepa a shuga, maswiti, supuni 2-3 za uchi, kupanikizana kwambiri, makeke kapena makeke okoma.
Pankhaniyi, msuzi wokoma umatha kupindulanso - mitundu "yovuta kwambiri" pakati pa madokotala: imodzi yomwe ili ndi shuga yachilengedwe, osati m'malo mwake.
Poyesedwa shuga wamagazi ndi glucometer
Kupanga kwa ma glucometer onyamula, omwe amakulolani kuyeza shuga kunyumba, kwasintha kwenikweni mu endocrinology.
Posachedwa, odwala omwe apeza mtundu wachiwiri wa matenda ashuga, omwe, monga lamulo, amawayankha bwino chithandizo, akuwonjezerapo kugwiritsa ntchito mita yamagazi a nyumba.
Ndipo kwa iwo omwe ali ndi matenda a shuga a 2, ndikofunika kuti azichita zinthu zosachepera kamodzi pa sabata.
Ndi zakudya ziti zomwe zimawonjezera shuga
Zakudya zambiri zodziwika bwino zomwe zimatha kukweza shuga m'magazi - kusiyana pakati pawo kumangoyenda mwachangu momwe kuwonjezeraku kumachitika.
Uchi, kupanikizana, mapeyala atsopano, ma apricots akakhwala, vwende ndi mavwende azikulitsa shuga msanga kwambiri. Chidutswa chophika ndi keke kapena chofufumitsa chimapangitsa kuti chizikhala pang'onopang'ono, ndipo pasitala ndi zakudya zamphaka ndizomwe zili kunja kwa mndandandawu.
Komabe, kuwonjezeka kwapang'onopang'ono kwa shuga m'magazi ndi chakudya kumadziwikanso ndi kuchepa kwake pang'ono pang'onopang'ono pakukumba.
Chifukwa chake, anthu omwe ali ndi matenda ashuga amatha kupanga njira ndi njira zothandizira kupewa hypoglycemia - mwachitsanzo, amaphatikiza chimanga mu zakudya zawo ndipo nthawi yomweyo nthawi zonse azisunganso botolo la uchi kapena kupanikizana "m'malo mwake".
Kofi imawonjezera shuga
Mabuku azachipatala ali ndi zosiyana zotsutsana za momwe khofi wachilengedwe amakhudzira kuchuluka kwa shuga m'magazi. Komabe, kafukufuku wambiri wazaka zaposachedwa wasonyeza kuti khofi wambiri womwe umamwa pafupipafupi kuchuluka kwa makapu anayi a espresso patsiku kumakulitsa chidwi cha maselo amthupi kupita ku insulin.
Chifukwa chake, zakumwa zonunkhizi sizimathandizira kuchuluka kwa shuga m'magazi, koma m'malo mwake zitha kugwiritsidwa ntchito ngati njira yolepheretsa matenda ashuga a 2. (Pokhapokha mutayika zidutswa za shuga 10 mukapu iliyonse ya khofi ...).
Buckwheat amalimbikitsa shuga
Zakudya za Buckwheat zimadziwika kuti zimakhala ndi thanzi labwino. Buckwheat ndi wolemera kwambiri wama mavitamini a B ndi ma microelements. Nthawi yomweyo, lingaliro la buckwheat ngati chofufumira chokhacho chothandiza kwa odwala matenda ashuga ndi nthano - phala la buckwheat limathandizira kukulitsa kuchuluka kwa shuga m'magazi.
Kusiyana kuli pokhapokha kuwonjezeka kwa ndende ya glucose mutatha kudya zakudya zotere. Chifukwa cha kuchuluka kwa michere, yomwe imachepetsa mayamwidwe am'matumbo m'matumbo, shuga m'magazi pambuyo pa mbale yotsekemera imakwera pang'onopang'ono kuposa phala la mpunga.
Chifukwa chake, titha kuvomerezana kwathunthu ndi mawu oti "buckwheat amawonjezera shuga" - ngakhale imachita pang'onopang'ono ...
Shuga (glucose) ndiye gwero lamphamvu lothandizira thupi la munthu. Zimabwera mu zovuta zam'mimba, zimatulutsidwa m'matumbo, ndipo zimatengedwa m'magazi. Kenako imagawidwa ndikusamutsidwa kupita ku maselo ndi minofu.
Thupi laumunthu limayesetsa kukhalabe ndi shuga m'magazi nthawi zonse m'malo mwake, zomwe ndizokwanira kukwaniritsa zosowa komanso njira zina zofunika kuzitsatira. Komabe, pali nthawi zina pamene zizindikiro zikuwonjezeka kapena kuchepa. Izi zitha kuwonetsa zochita za thupi kapena kukula kwa matendawa.
Kodi shuga ndi chiyani m'thupi?
Glucose ndi monosaccharide. Poyerekeza ndi kuwonjezeka kwa magawo ake a magazi atatha kudya, kapamba amalandila chizindikiro kuchokera kuubongo kuti mulingo wa glycemia uyenera kuchepetsedwa. Tizilombo timene timatulutsa timadzi tambiri timene timatulutsa timadzi tambiri, timene timafunika kuti 'titsegule' maselo a ma cell a glucose.
Shuga, kuwonjezera pakupatsa thupi mphamvu, imagwiranso ntchito zina zingapo zofunika:
- ndi gawo la ma nucleic acid, ndi gawo la ma nucleotide,
- amatenga nawo gawo pakupanga ma amino acid, kagayidwe kazinthu zina zamafuta, chakudya,
- kubwezeretsa thupi pambuyo matenda oyenda bwino, kutopa, kufa ndi njala,
- zopindulitsa pa psycho-maikutlo mkhalidwe, bwino mikhalidwe,
- kumapangitsa kugwira ntchito kwa machitidwe ambiri amthupi.
Glucose - monosaccharide, yomwe ndi "mafuta" m'thupi la munthu
Kusowa kwa shuga
- Kuperewera kwa mahormone - shuga yochepa ya m'magazi imakhala chiwonetsero chakuyenda bwino kwa tchire la anterior pituitary, momwe kupanga mahomoni angapo (somatotropin, prolactin, thyrotropin, etc.) amachepetsedwa kwambiri. Zotsatira zake ndi matenda a tezi m'magazi a endocrine ambiri, omwe amachepetsa kuchuluka kwa shuga m'magazi, amawonjezera kugwiritsidwa ntchito kwake pazowonjezera.
- Kuperewera kwa glucocorticoids (mahomoni a adrenal cortex) - njira yopanga matenda am'thupi ndi chimodzimodzi. Shuga imatha kutsitsidwa onse chakudya chisanalowe mthupi, ndipo maola ochepa pambuyo pochita izi.
- Kuperewera kwa glucagon - Hormone iyi imawonedwa ngati wotsutsana ndi insulin. Pamene glucagon ilowa m'magazi, kuwonjezeka kwa glycemia kumawonedwa, ndikulephera - kuchepa kwa zizindikiro.
Glucagon - timadzi tating'onoting'ono timene timatulutsidwa ndi ma cell a pancreatic alpha
Kuperewera kwa enzyme
Chimodzi mwazomwe zimayambitsa hypoglycemia ndi matenda a Girke. Ichi ndi cholowa chamabadwa, chomwe chimadziwika ndi kulephera kwa maselo otenga nawo gawo popanga enzyme inayake, chifukwa chomwe njira yopanga shuga m'magazi imasokonekera.
Zofunika! Ngati kuchepa kwa mkhalidwe wa odwala kotereku kumakhala kwachepera, amakhalapobe mpaka atakula, koma thanzi lawo komanso njira zamkati zimachepa kwambiri.
Matenda enanso ndi matenda a chikuku. Chomwe chimatithandizanso kumatenda ndi kusowa kwa enzyme inayake. Ntchito yake ndikuwonongeka kwa nthambi za glycogen, kudula kwa shuga kwa iwo.Pathology ili ndi maphunziro ochepetsetsa kwambiri poyerekeza ndi matenda a Girke.
Kuperewera kwa zakudya m'thupi
Ngati chakudya sichilowa mthupi mokwanira, izi nthawi zonse zimatsogolera kuti shuga imagwera kwambiri m'magazi. Maselo, makamaka ubongo, samalandira kuchuluka kofunikira kwa mphamvu zomwe zimafunikira kuti zizigwira ntchito moyenera.
Njira yofananira yopanga hypoglycemia imawonedwa ndi zochitika zolimbitsa thupi. Zida zama minofu "zimatha" glucose kuposa momwe thupi limakwanitsira kupangira kapena amabwera ndi chakudya.
Mimba
Munthawi ya bere, kusintha kwakukulu kumachitika m'thupi la mzimayi, zomwe zimagwirizana ndi kusintha kwa mahomoni ake komanso machitidwe a enzymatic. Shuga, yemwe amalowa m'thupi la mayi wapakati, ayenera kupereka mphamvu osati ku maselo ndi minyewa yake, komanso thupi la mwana. Kufunika kukuchulukirachulukira mwezi uliwonse.
Ma mahomoni a placenta ndi adrenal cortex, omwe ndi insulin antagonists, akupangidwira mwachangu, koma chinsinsi cha insulin chokha chimakulitsidwa kuti mulingo wa shuga ukhale mthupi la mkazi.
Miyezo ya glucose nthawi zambiri imagwera theka lachiwiri la mimba
Matenda a chiwindi
Kodi nchifukwa chiyani manambala a shuga m'magazi amatsika kwambiri ndi kuwonongeka kwa chiwindi? Izi ndichifukwa chakulephera kwake kutenga nawo gawo pakupanga shuga. Zitha kuchitika motsutsana ndi maziko a matenda otsatirawa:
- chiwindi necrosis
- kutupa kwa kachilombo,
- pachimake hepatic encephalopathy,
- zotupa za chiwindi kapena metastasis mu minofu yake,
- kulephera kwa chiwindi.
Mowa ndi mankhwala
Kuledzera ndi chimodzi mwazomwe zimayambitsa chikhalidwe cha hypoglycemic. Mowa wa ethyl ukalowa m'thupi la munthu, ma enzymewo amatha, omwe amafunikira kupanga shuga. Pakapanda kusungidwa zinthu za enzymatic izi, shuga amapezeka m'magazi.
Ana, osamvetseka mokwanira, amatha kuyambanso kumwa glycemia. Izi ndichifukwa chakumwa mwangozi kapena mwadala.
Zofunika! A pathological mkhalidwe atha kukhalanso pasukulu ya ana motsutsana ndi maziko ogwiritsira ntchito zakumwa zoledzeretsa pochiza matenda am'mapapo.
Kuchepa kwa shuga m'magazi kungayambitse kugwiritsa ntchito mankhwala otsatirawa:
- opanga beta
- salicylates,
- mankhwala osapweteka a antiidal.
NSAIDs - gulu la mankhwala omwe amachepetsa glycemia
Kuchuluka kwa shuga
- insulinoma - chotupa cha pancreatic, kubisala kwa insulin kosalamulirika,
- Hyperplasia ya maselo omwe amapanga insulin mwa ana ndi akhanda,
- microadenomatosis - dysplasia ya maselo a islets a Langerhans-Sobolev,
- hypoglycemia of a hyperinsulinulin nature,
- kuchepa kwa shuga m'magazi odwala matenda ashuga.
Zofunika! Pali glycemia yotsika yomwe imayamba chifukwa cha njira zochita kupanga. Vutoli limadziwika chifukwa chakuti munthu amadzimva kuti ali ndi vuto la kuyambitsa matenda a insulin. Osatinso kwa anthu onse.
Zomwe zimayambitsa kutsika kwa shuga m'magazi?
Provocateur wamkulu wa hypoglycemia ndikuphwanya kupanga kwa insulin ndi kapamba. Ndi hyperfunction ya chiwalo ichi, insulini m'magazi imachulukanso kwazonse, chifukwa chomwe glucose amatsika kwambiri, osakhala ndi nthawi yogwira ntchito. Kuphwanya kotere kumachitika pazifukwa zosiyanasiyana, zina zomwe zimakhudza kuchepa kwambiri kwa shuga m'magazi ndi izi:
- Mlingo wolakwika wa mankhwala okhala ndi insulin,
- mipata yayikulu pakati pa chakudya
- kuphwanya zakudya zamitundu mitundu 1
- Kukana mwadala chakudya ndi kutopa,
- kuphwanya mulingo wamchere wamadzi,
- neoplasms mu kapamba,
- kupsinjika kwakuthupi ndi m'maganizo.
Ndi shuga wotsika kwambiri m'magazi, munthu amatha kukhala ndi vuto la hypoglycemic, zomwe zimachitika mosayembekezereka, ndipo nthawi yake yochira imatenga nthawi yayitali. Chifukwa chake, ndikofunikira kuyang'anira shuga wa plasma tsiku lililonse, makamaka ndi matenda a shuga a shuga.
Ngati shuga wanu wamagazi amatsika, sizimangonena kuti muli ndi matenda ashuga.
Ngati glucose wa m'magazi akuchepa mwachangu, izi sizingakhale zongonena za matenda ashuga nthawi zonse. Nthawi zambiri, komabe, zochitika zotsatirazi zimakhudza kuchepa kwa shuga m'magazi:
- matenda a pituitary gland,
- matenda a chiwindi osachiritsika
- opaleshoni pamimba kapena m'matumbo,
- yogwira hypoglycemia, yomwe imadziwonekera pokhapokha ngati munthu sanadye panthawi, atatha kudya zizindikirozo akazimiranso ndipo matendawo akukhala bwino,
- vuto la autoimmune
- mtima ndi aimpso.
Ndi ziti zomwe zikukuvutitsani?
Ndi shuga wochepetsedwa, munthu amakula ngati izi:
- maonekedwe akhungu amachepa, khungu limakhala m'maso, ntchentche zimawonekera,
- munthu akumva njala yayikulu komanso akufuna kudya maswiti,
- manja ndi mapazi ayamba kuzizira, dzanzi,
- poyenda, kufooka ndi kusakhazikika kumamveka,
- Wodwala amaponya thukuta lakumwa kozizira,
- Zaumoyo zambiri zimayamba kufooka, kufooka, kugona, ndipo kumakupangitsani kukhala amantha.
Zizindikiro zotere zimawonetsa kusowa kwa glucose komanso kufa ndi njala. Mwa anthu odwala matenda ashuga, Zizindikiro zake zimakhala zowawa kwambiri, komanso chifukwa chokhala ndi hypoglycemia, womwe umatha. Chifukwa chake, ndikofunikira kuti odwala oterowo azilamulira shuga pafupipafupi, zomwe zingathandize kupewa zovuta. Ngati zidachitika mwa munthu wathanzi, koma shuga atatha kudya wabwereranso, ndiye kuti palibe chifukwa chodera nkhawa, popeza zizindikiro zotere ndi zathupi. Ngati zinthu sizikuchitika, munthu samamvanso bwino, ndi bwino kuyimbira ambulansi ndikupeza chifukwa chomwe ali.
Ngati shuga agwera kwambiri, ubongo umayamba kuvutika.
Ngati munthu wagwetsa kwambiri shuga, chiwalo choyamba chomwe chimadwala matenda am'mimba ndi ubongo. Chifukwa cha kuchepa kwa glucose, chiwalochi chimafa ndi njala, kulumikizana pakati pa ma neuron kumatha, mkhalidwe wa wodwalayo umachepa, ndi matenda ashuga, vutoli litha kutha ndi vuto la hypoglycemic, zotulukapo zake zomwe sizimadziwika.
Ngati matenda a shuga apezeka mwa mwana, makolo ayenera kuyang'anitsitsa shuga wamagazi ndikutsatira njira ya jakisoni ya mankhwala okhala ndi insulin. Ndi insulin yochulukirapo, yomwe imalowa m'thupi la mwana chifukwa chosagwirizana ndi kumwa, shuga wa m'magazi amachepetsa, zomwe zimabweretsa zotsatirapo zomvetsa chisoni.
Glucose ndiye gwero lofunikira kwambiri lamasamba onse amthupi, kuphatikiza maselo aubongo. Dontho la shuga m'magazi limatchedwa hypoglycemia. Zizindikiro zoyambirira za matenda am'mimba zimalumikizidwa ndi kuwonongeka konsekonse mu thanzi, mutu, ndi kufooka. Munthu amakhala wotopa nthawi zonse, machitidwe ake amachepa, chizungulire chimatha kuchitika. Woopsa milandu, kukomoka ndikotheka. Ndi vuto la hypoglycemic, wodwalayo atha kufa chifukwa chokhala ndi mphamvu yakufa ya maselo aubongo ndi kufa kwawo.
Pofuna kupewa zovuta, ndikofunikira kuwongolera kuchuluka kwa shuga m'magazi pogwiritsa ntchito chipangizo chapadera - glucometer - kapena nthawi ndi nthawi mumayesedwa shuga ku chipatala (muyenera kuchita izi miyezi isanu ndi umodzi). Ngati wodwala ali ndi matenda a shuga m'magazi, ndikofunikira kukaonana ndi katswiri ndikupita kokayezetsa. Osangokhala thanzi la wodwalayo, komanso moyo wake zimadalira thandizo la kuchipatala lomwe limalandira panthawi yake.
Wodwala amapezeka ndi hypoglycemia ngati kutsika kwa shuga kumakhala ndi koopsa. Mitundu yosiyanasiyana ya mayeso ingagwiritsidwe ntchito kutsimikizira matenda.Ngati kuchuluka kwa shuga kumatsimikiziridwa m'mitsempha, ndiye kuti hypoglycemia imapezeka pamitengo yotsika ndi 3.5 mmol / L. Ngati magazi oyipa (magazi omwe amayenda kudzera m'matumbo kunja kwa ziwalo za hematopoietic) adatengedwa kuti awunike, chizindikiro ichi chikhoza kutsika pang'ono - 3,3 mmol / L.
Kutsika kwakukulu kwa shuga m'magazi kumadziwika kuti ndi chizindikiro≤ 2.2 mmol / L. Ndi zizindikiro zoterezi zam'magazi, munthu amayamba kudwala matenda oopsa, kuiwala, kuwonekanso. Chisamaliro chachipatala chokhala ndi chithunzi choterechawa ziyenera kuperekedwa mkati mwa mphindi 20 - apo ayi chiopsezo cha kufa chidzaposa 85%.