Kodi hypoglycemia ndi chiyani?

Hypoglycemia
magazi shuga mita
ICD-10	E 16.0 16.0 -E 16.2 16.2
ICD-10-KM	E16.2
ICD-9	250.8 250.8 , 251.0 251.0 , 251.1 251.1 , 251.2 251.2 , 270.3 270.3 , 775.6 775.6 , 962.3 962.3
ICD-9-KM	251.2 ndi 251.1
Diseasesdb	6431
Medlineplus	000386
eMedicine	hlaha / 272 med / 1123 med / 1123 med / 1939 med / 1939 ped / 1117 ped / 1117
Mesh	D007003

Hypoglycemia (kuchokera kwachi Greek ena ὑπό - kuchokera pansipa, pansi pa + γλυκύς - okoma + αἷμα - magazi) - mkhalidwe wam'mwazi womwe umadziwika ndi kuchepa kwa magazi m'magazi a glucose pansi pa 3.5 mmol / l, magazi ozungulira pansipansi (3.3 mmol / l ), gwero silinatchulidwe tsiku la 2771 Zotsatira zake, hypoglycemic syndrome imachitika.

Pathogenesis

kusowa kwamadzi
Zakudya zopanda pake ndikugwiritsa ntchito mankhwala osakanikirana bwino, omwe ali ndi vuto lodana ndi mavitamini, mchere, mchere,
Chithandizo cha matenda a shuga a mellitus insulin, mankhwala a pakamwa a hypoglycemic ngati bongo
Zakudya zosakwanira kapena mochedwa,
kuchita masewera olimbitsa thupi mopitirira malire
matenda
kusamba kwa akazi
uchidakwa
Kulephera kwapakati: aimpso, hepatic kapena mtima, sepsis, kutopa,
kusowa kwa mahomoni: cortisol, mahomoni okula kapena onse awiriwa, glucagon + adrenaline,
osati chotupa cha p-cell,
chotupa (insulinoma) kapena obadwa nako - 5-cell hypersecretion, autoimmune hypoglycemia, 7-ectopic insulin secretion,
hypoglycemia mu makanda ndi ana,
mtsempha wowerengeka wamchere ndi dontho.

Sinthani ya Pathogenesis |

Mukaonana ndi dokotala

Pitani kuchipatala msanga ngati:

Muli ndi zizindikiro za hypoglycemia ndipo mulibe matenda ashuga.
Muli ndi matenda ashuga ndipo hypoglycemia siyankha chithandizo. Chithandizo choyambirira cha hypoglycemia ndi kumwa juwisi kapena zakumwa zozizilitsa kukhosi, kudya maswiti, kapena mapiritsi a shuga. Ngati mankhwalawa sawonjezera shuga wamagazi ndikuwongolera zizindikiro, pitani kuchipatala msanga.

Pezani thandizo ladzidzidzi ngati:

Wina yemwe ali ndi matenda a shuga kapena wodwala yemwe amakhala akudwala matenda enaake oopsa amakhala ndi zizindikiro zamphamvu kwambiri kapena amayamba kuzindikira

Hypoglycemia imachitika shuga m'magazi (shuga) akatsika kwambiri. Pali zifukwa zingapo zomwe izi zimachitikira, zotsatira zoyipa zomwe zimagwiritsidwa ntchito pochiza matenda ashuga.

Magazi a shuga

Koma kuti mumvetsetse momwe hypoglycemia imachitikira, zimathandizira kudziwa momwe thupi lanu limapangira shuga wamagazi. Mukamadya, thupi lanu limaphwanya zakudya zamafuta m'zakudya - monga mkate, mpunga, pasitala, masamba, zipatso, ndi zinthu zamkaka - m'mamolekyulu osiyanasiyana a shuga, kuphatikizapo shuga.

Glucose ndiye gwero lalikulu lamphamvu kwa thupi lanu, koma singalowe m'misempha yambiri ya minofu yanu popanda thandizo la insulin, mahomoni opangidwa ndi kapamba anu. Miyezi ya glucose ikakwera, maselo ena (a beta cell) m'mapazi anu amatulutsa insulin. Izi zimapangitsa kuti glucose alowe m'maselo ndikupereka mafuta momwe maselo anu amayenera kugwira ntchito moyenera. Mafuta ena owonjezera amasungidwa mu chiwindi ndi minofu ngati glycogen.

Ngati simunadye kwa maola angapo ndipo shuga wanu wamagazi wakhala akuchepa, mahomoni ena ochokera ku kapamba anu, omwe amatchedwa glucagon, amasaina chiwindi chanu kuti mugwe glycogen osungidwa ndikutulutsa shuga m'magazi anu. Izi zimathandiza kuti shuga wanu wamagazi azikhala bwino mpaka mutadyanso.

Kupatula kuti chiwindi chanu chimaphwanya glycogen kukhala glucose, thupi lanu limakhalanso ndi mphamvu yotulutsa shuga. Izi zimachitika makamaka m'chiwindi, komanso impso.

Zomwe Zimayambitsa Matenda A shuga

Anthu omwe ali ndi matenda a shuga sangapange insulin yokwanira (mtundu 1 wa shuga) kapenanso sangathenso kutero (mtundu 2 wa matenda ashuga). Zotsatira zake, shuga amayamba kudziunjikira m'magazi ndipo amatha kufikira milingo yoopsa. Kuti athane ndi vutoli, munthu amene ali ndi matenda ashuga amatha kumwa insulin kapena mankhwala ena kuti achepetse shuga.

Koma kuchuluka kwambiri kwa insulin kapena mankhwala ena a shuga kumatha kuchepetsa shuga m'magazi anu, ndikupangitsa hypoglycemia. Hypoglycemia imathanso kuchitika ngati simudya kwambiri monga momwe mumakhalira mutamwa mankhwala a shuga, kapena ngati mumachita masewera olimbitsa thupi mopitilira apo.

Zoyambitsa popanda matenda ashuga

Hypoglycemia mwa anthu opanda matenda a shuga siachilendo. Zifukwa zitha kuphatikizaponso izi:

Mankhwala Kutenga matenda a shuga a pakamwa a munthu wina mwangozi ndi chifukwa chomveka cha hypoglycemia. Mankhwala ena amatha kuyambitsa hypoglycemia, makamaka kwa ana kapena anthu omwe ali ndi vuto la impso. Chitsanzo chimodzi ndi quinine (Qualaquin), omwe amagwiritsidwa ntchito pochiza malungo.
Mowa wambiri. Kumwa kwambiri popanda chakudya kungalepheretse chiwindi chanu kutulutsa shuga m'magazi anu, zomwe zimayambitsa hypoglycemia.
Matenda ena owopsa. Matenda owopsa a chiwindi, monga hepatitis yayikulu, amatha kuyambitsa hypoglycemia. Matenda a impso omwe angapangitse kuti thupi lanu lisabise mankhwala oyenera amatha kukhudza kuchuluka kwa glucose chifukwa cha kuchuluka kwa mankhwalawa. Njala yotalika, monga momwe zimachitikira mu anorexia manthaosa, imatha kutsitsa zomwe thupi limafunikira kuti lipange gluconeogeneis, zomwe zimayambitsa hypoglycemia.
Kuchulukitsa kwa insulin. Chotupa chachilendo cha pancreatic (insulinoma) chimatha kupangitsa kuti insulini ichulukane kwambiri, zomwe zingayambitse hypoglycemia. Zotupa zina zimatha kuyambitsa kupanga kwambiri zinthu monga insulin. Kukula kwa maselo a pancreatic beta omwe amapanga insulin (nesidioblastosis) kungayambitse kutulutsidwa kwakukulu kwa insulin, ndikupangitsa hypoglycemia.
Kuperewera kwa mahormone. Zovuta zina za adrenal gland ndi pituitary gland zimatha kupangitsa kuchepa kwa mahomoni ofunikira omwe amawongolera kupanga kwa shuga. Ana atha kukhala ndi hypoglycemia ngati ali ndi vuto la kuchepa kwa mahomoni.

Zovuta

Mukanyalanyaza zizindikiro za hypoglycemia motalika kwambiri, mutha kuiwala. Izi ndichifukwa chakuti ubongo wanu umafunika kuti glucose agwire ntchito moyenera.

Ndili m'mawa kwambiri kuzindikira zizindikiritso za hypoglycemia chifukwa chakuti hypoglycemia

Hypoglycemia ingathandizenso ku:

Hypoglycemia akusowa

Popita nthawi, magawo obwereza a hypoglycemia angayambitse kusazindikira kwa hypoglycemia. Thupi ndi ubongo sizimapangitsanso zizindikilo ndi zochenjeza za shuga zamagazi, monga kunjenjemera kapena kugunda kwamtima kosagwirizana. Izi zikachitika, chiopsezo cha hypoglycemia yoopsa, yowopsa yakula.

Palibe matenda ashuga okwanira

Ngati muli ndi matenda ashuga, magawo a shuga ochepa magazi sakhala omasuka ndipo akhoza kukhala owopsa. Magawo obwerezabwereza a hypoglycemia angayambitse insulini yochepa kwambiri kotero kuti kuchuluka kwa shuga m'magazi sikumatsika. Koma shuga wa magazi kwa nthawi yayitali amatha kukhala owopsa, omwe angawononge mitsempha, mitsempha yamagazi komanso ziwalo zosiyanasiyana.

Woyang'anira glucose wopitilira

Ngati muli ndi matenda ashuga Yang'anirani mozama dongosolo la kasamalidwe ka shuga lomwe inu ndi dokotala mwapanga. Ngati mukumwa mankhwala atsopano, kusintha chakudya kapena njira yanji wamankhwala, kapena kuwonjezera masewera olimbitsa thupi, lankhulanani ndi dokotala za momwe kusintha kumeneku kungakukhudzire kasamalidwe kanu ka matenda ashuga komanso chiopsezo chanu cha shuga wochepa wamagazi. kwa anthu ena, makamaka anthu omwe ali ndi hypoglycemia. Zipangizozi zimayikirira zingwe yaying'ono pansi pa khungu zomwe zimatha kutumiza kuwerenga kwa glucose kwa wolandila.

Ngati shuga wanu wamagazi akatsika kwambiri, mitundu ina ya CGM ikudziwitsani kuti musakhale ndi nkhawa. Mapampu ena a insulin tsopano amaphatikizidwa ndi CGM ndipo amatha kuletsa kutulutsa kwa insulin pamene shuga ya magazi itsika mofulumira kwambiri kuti mupewe hypoglycemia.

Onetsetsani kuti nthawi zonse mumakhala ndi zakudya zamafuta monga juwisi kapena shuga kuti muthane ndi shuga wamagazi musanatsike moyipa.

Ngati mulibe matenda a shuga, koma mumakhala ndi magawo ambiri a hypoglycemia, kudya zakudya zochepa pafupipafupi tsiku lililonse ndi njira yoletsa yomwe imathandizira kupewa magazi ochepa. Komabe, njira imeneyi si njira yothandiza yayitali. Gwiranani ndi dokotala wanu ndi umunthu wanu ndikuchiza zomwe zimayambitsa hypoglycemia.

Ngati mumagwiritsa ntchito insulin kapena mankhwala ena a shuga omwe amadziwika kuti amachepetsa shuga ndipo mumakhala ndi zizindikiro ndi zizindikiro za hypoglycemia, yang'anani shuga yanu ndi mita yamagazi. Ngati zotsatira zake zikuwonetsa shuga wochepa (mpaka 70 mg / dl), alangizeni. Ngati simukugwiritsa ntchito mankhwala omwe amayambitsa hypoglycemia, dokotala adzafuna kudziwa:

Kodi zizindikiro ndi zizindikiro zanu zinali chiani? Simungathe kuwonetsa zizindikiro za hypoglycemia paulendo wanu woyamba ndi dokotala. Pankhaniyi, dokotala wanu amatha kukhala othamanga usiku (kapena kwanthawi yayitali). Izi zikuthandizani kuzindikira zizindikiritso za shuga wochepa kuti apezeke. Komanso ndizotheka kuti mukupita nthawi yayitali mchipatala. Kapena, ngati zizindikiro zanu zikuwoneka mutatha kudya, dokotala adzafuna kuyang'ana kuchuluka kwa glucose mutatha kudya.
Kodi shuga wanu wamagazi mumakhala ndi chiyani? Dokotala wanu amasankha magazi anu kuti aziwunika mu labotale.
Kodi zizindikiro zanu zimatha shuga wanu akamatuluka?

Kuphatikiza apo, dokotala wanu amayesereranso thupi ndikuwunikiranso mbiri yanu yachipatala.

Chithandizo cha hypoglycemia chimaphatikizapo:

Mankhwala oyambiranso kuti muchepetse shuga
Chithandizo cha vuto lomwe limayambitsa hypoglycemia, pewani kubwereza

Chithandizo chaposachedwa

Chithandizo choyambirira chimadalira zomwe mukumva. Zizindikiro zoyambirira zimatha kuchiritsidwa pakudya magalamu 15 mpaka 20 a chakudya chofunikira kwambiri.

Zakudya zamagalimoto othamanga kwambiri ndizakudya zomwe zimasandikizidwa mosavuta kukhala shuga m'thupi, monga mapiritsi a glucose kapena gel, zipatso zamadzimadzi, zomwe zimachitika nthawi zonse, osati zakudya - zakumwa zoziziritsa kukhosi ndi maswiti a shuga monga licorice. Zakudya zokhala ndi mafuta kapena mapuloteni sakhala mankhwala abwino a hypoglycemia, chifukwa zimakhudza kuyamwa kwa shuga mthupi.

Onaninso shuga m'magazi anu patatha mphindi 15 mutalandira chithandizo. Ngati magazi anu akadali pansi pa 70 mg / dl (3.9 mmol / L), thandizani wina 15-20 g wamafuta ochulukirapo ndipo onani shuga m'magazi anu pakatha mphindi 15. Bwerezani izi mpaka kuchuluka kwa shuga m'magazi kuposa 70 mg / dl (3.9 mmol / L).

Magazi a shuga akayamba kukhala abwinobwino, ndikofunikira kuti muzikhala ndi zokhwasula-khwasula kapena chakudya chothandiza kukhazikika shuga. Zimathandizanso thupi kutulutsanso m'misika yama glycogen, yomwe mwina inatha nthawi ya hypoglycemia.

Ngati zizindikiro zanu ndizolakwika, zomwe zimapangitsa kuti musalole kumwa mkamwa, mungafunike jakisoni wa glucagon kapena glucose wamkati. Osamapatsa chakudya kapena chakumwa kwa munthu amene sadziwa, chifukwa amatha kusilira zinthuzi kulowa m'mapapu.

Ngati mumakonda kwambiri zochitika zapadera za hypoglycemia, funsani dokotala wanu ngati glucagon wanyumba yanu atakhala oyenera kwa inu. Mwambiri, anthu omwe ali ndi matenda ashuga omwe amathandizidwa ndi insulin ayenera kukhala ndi chipinda cha glucagon pazovuta zadzidzidzi ndi shuga wochepa wamagazi. Achibale ndi abwenzi ayenera kudziwa komwe angapezeko zidazo, ndipo zimafunikira kuphunzitsidwa momwe angagwiritsire ntchito nthawi yadzidzidzi isanachitike.

Chithandizo cha zomwe zimayambitsa matenda

Kupewera kwa vuto la hypoglycemia kumafuna kuti dokotala azindikire chomwe chiri makamaka ndi chithandizo. Kutengera zomwe zimayambitsa, chithandizo chitha kuphatikizirapo:

Mankhwala Ngati mankhwalawa ndi omwe amachititsa kuti mupeze hypoglycemia, dokotala wanu angakulangizeni kuti musinthe mankhwalawa kapena kusintha mankhwalawa.
Chithandizo cha tumor Chotupa mu kapamba amachitidwa ndi opaleshoni yochotsa chotupa. Nthawi zina, kuchotsa pang'ono kapamba ndikofunikira.

Kukonzekera nthawi yokumana

Hypoglycemia ndi yodziwika mu mtundu woyamba wa shuga, wokhala ndi Hypoglycemia wochitika pafupipafupi kawiri pa sabata. Koma mukazindikira kuti muli ndi hypoglycemia yambiri, kapena ngati shuga wanu wamagazi atsika kwambiri, lankhulanani ndi dokotala kuti mudziwe momwe mungafunikire kusintha kasamalidwe kanu ka matenda ashuga.

Ngati simukupezeka ndi matenda a shuga, konzanani ndi dokotala wanu woyambira.

Nazi zambiri zokuthandizani kukonzekera nthawi yanu ndikupeza zomwe mungayembekezere kuchokera kwa dokotala.

Mungatani

Lembani chizindikiro chanu mkati kuphatikiza m'mene zimayamba komanso nthawi yomwe zimachitika.
Lembani zambiri zazidziwitso zanu zaumoyo kuphatikiza pazinthu zina zilizonse zomwe mukugwiriridwa, ndi mayina amankhwala, mavitamini, kapena zowonjezera zilizonse zomwe mumamwa.
Lembani zambiri za matenda anu a shuga aposachedwa,ngati muli ndi matenda ashuga. Phatikizani masiku ndi zotsatira za mayeso aposachedwa a shuga, komanso ndandanda yomwe mumamwa mankhwala anu ngati alipo.
Lembani zomwe mumachita tsiku ndi tsiku kuphatikizapo mowa, zakudya, komanso masewera olimbitsa thupi. Komanso samalani ndi zosintha zilizonse zaposachedwa m'zochita izi, monga chizolowezi chatsopano chochita masewera olimbitsa thupi kapena ntchito yatsopano yomwe yasintha nthawi yomwe mumadya.
Tengani wachibale kapena bwenzi, ngati zingatheke. Wina amene akupita nanu angakumbukire zomwe mwaphosazo kapena kuyiwala.
Lembani mafunso oti mufunse dokotala wanu. Kupanga mndandanda wanu wam mafunso pasadakhale kungakuthandizeni kupeza zambiri kuchokera nthawi yanu ndi dokotala.

Mafunso kufunsa dokotala ngati muli ndi matenda ashuga:

Kodi Zizindikiro zanga ndi zizindikiro zanga zimayambitsa hypoglycemia?
Kodi mukuganiza kuti chimayambitsa hypoglycemia ndi chiyani?
Kodi ndiyenera kusintha njira yanga yodzithandizira?
Kodi ndikuyenera kusintha zina mwa zakudya zanga?
Kodi ndiyenera kusintha zina ndizolimbitsa thupi?
Ndili ndi matenda ena. Kodi ndingakwaniritse bwanji zinthuzi limodzi?
Kodi ndi chiyani chomwe mungandipangire kuti chindithandizire kuthana ndi vuto langa?

Mafunso oti mufunse ngati simunapezeka ndi matenda ashuga ndi awa:

Kodi hypoglycemia ndiyomwe imayambitsa zizindikiro ndi zizindikiro zanga?
Ndi chiani china chomwe chingayambitse izi?
Ndimayeso ati?
Kodi zovuta zoterezi ndi ziti?
Kodi amathandizira bwanji?
Ndi njira ziti za chisamaliro pandekha, kuphatikizapo kusintha kwa moyo, zomwe ndingachite kuti ndithandizire kukonza zizindikilo zanga?
Kodi ndiyenera kuwona katswiri?

Zomwe mungayembekezere kuchokera kwa dokotala

Dokotala yemwe amakuwona kuti muli ndi vuto la hypoglycemia akhoza kukufunsani mafunso angapo. Dokotala angafunse:

Kodi zizindikiro ndi chizindikiro chanu ndi chiani, ndipo munayamba liti kuzizindikira?
Kodi zizindikiro ndi zizindikiro zanu zimawoneka liti?
Kodi pali china chomwe chikuwoneka ngati chikuyambitsa zomwe muli nazo ndi zizindikiro zanu?
Kodi mwapezeka kuti muli ndi matenda ena alionse?
Kodi mukumwa mankhwala otani pakalipano, kuphatikiza mankhwala ndi mankhwala othandizira, mavitamini, ndi zowonjezera?
Kodi zakudya zanu zatsiku ndi tsiku ndi ziti?
Kodi mumamwa mowa? Ngati ndi choncho, zingati?
Kodi masewera anu olimbitsa thupi ndi otani?