Momwe mungamvere ndikupewa hypoglycemia mu shuga

Mwinanso, aliyense wodwala matenda ashuga samadziwa kusangalatsa komanso kukhala koopsa pamoyo komanso thanzi - hypoglycemia. Pa matenda ashuga, amangotchedwa "hypa". Osati popanda chifukwa, katswiri wodziwika bwino wa endocrin Elliot Joslin anachenjeza m'zaka zapitazi kuti "insulin ndi mankhwala a anthu anzeru, osati opusa," chifukwa kuchuluka kwa shuga ndimatenda a hypoglycemia mwa anthu omwe ali ndi matenda a shuga amadalira mtundu wa insulin. Koma, zinthu zoyamba.

Zimayambitsa hypoglycemia

Hypoglycemia (yotanthauziridwa kuchokera ku Chigriki chakale kuti "magazi osakoma") ndi kanthawi kochepa ka thupi komwe shuga (m'magazi) limatsika (kwa odwala matenda ashuga - pansipa 3.3-3.5 mmol / l) . Ngati magazi a shuga sabwerera kwakanthawi, kukomoka, kukomoka, kusazindikira, ndipo pamapeto pake, matenda oopsa a hypoglycemic akhoza kufa.

Kuyamba kwa hypoglycemia kumakhalanso ndi zifukwa zina zosagwirizana ndi shuga wochepa wa odwala matenda ashuga. Maonekedwe ake akhoza kulimbikitsidwa ndi: kusadya bwino osagwiritsa ntchito mafuta osakanizidwa okhala ndi vuto la fiber ndi mavitamini mu chakudya, zolimbitsa thupi mosazolowereka, matenda osiyanasiyana, makamaka a endocrine system, kuperewera kwa mahomoni, kumwa mowa mwauchidakwa.

Limagwirira a mapangidwe a shuga lotsatira. Zotsatira zake zamafuta azakudya zokhala ndi mafuta, glucose amalowa m'thupi, omwe amalowa m'magazi ndikufalikira m'maselo onse amthupi. Potengera kudya kwa shuga, kapamba amapanga insulin, timadzi timene timathandiza maselo kugwiritsa ntchito shuga monga gwero lamphamvu. Mwa munthu wathanzi, insulini imabisidwa ndendende momwe ingafunikire pokonza shuga wolandiridwa.

Odwala omwe ali ndi vuto la matenda a shuga 1, kapamba sangathe kubisa insulini yoyenera, motero amakakamizidwa kubaya insulin kuchokera kunja. Ntchito yayikulu ya odwala matenda ashuga ndikulowetsedwa muyezo wa insulin, monga momwe angafunikire kuyamwa kwa shuga omwe amapezeka m'thupi (odwala matenda ashuga amawona shuga m'magawo a mkate - XE).

Ngati insulin yochulukirapo ikupangika kuposa momwe ikufunikira, kusowa kwa magazi kumachitika m'thupi - chifukwa, chiwindi chimayamba kuphwanya malo ake ogulitsira ndikumatulutsa shuga m'magazi, kuthandiza thupi kuthana ndi kuchuluka kwa insulin. Ngati pali chiwindi chokwanira mu chiwindi, ndiye kuti hypoglycemia singachitike (kapena kudutsa imperceptibly). Mu anthu odwala matenda ashuga, monga lamulo, masitolo a glycogen m'chiwindi ndi otsika kwambiri kuposa anthu athanzi, motero chiopsezo chotenga hypoglycemia ndichoposa.

Chifukwa chake, zoyambitsa zazikulu za hypoglycemia ndi izi:

• Mlingo wosayenera wa insulini (woperekedwa kuposa momwe amafunikira)
• kudumpha chakudya
• zolimbitsa thupi, chifukwa chomwe magazi a shuga amachepa,
• mowa. Zakumwa zamphamvu, makamaka vodika, shuga wotsika magazi kwakanthawi,
• kumwa mankhwala omwe, mukamayanjana ndi insulin, mumathandizanso shuga m'magazi. Mwachitsanzo, mankhwala ena apakamwa a hypoglycemic (mapiritsi) amatha kukulitsa kuchuluka kwa insulin m'magazi. Izi zikuphatikizapo Diabines, Prandin, Starlix, DiaBeta, Glinaz, Yanuvia ndi ena.
  

Zizindikiro ndi kuwonetsa kwa hypoglycemia

Hypoglycemia nthawi zambiri imayamba modzidzimutsa, koma m'mphindi 5-10 zoyambirira nthawi zambiri zimakhala zofatsa ndipo zimachotsedwa mwachangu potenga maswiti. Ngati shuga salowa mthupi, ndiye kuti chikomero chachikulu cha hypoglycemic chingachitike pakadutsa mphindi 20-30.

Pali zisonyezo zambiri za hypoglycemia ndipo zonse zimawonekera payekhapayekha. Zizindikiro zazikulu:

• kufooka wamba
• njala
• kusanza, kusanza,
• arrhythmia (tachycardia),
• thukuta (ndi shuga wochepa kwambiri,

Ambiri odwala matenda ashuga, monga lamulo, amatha kuzindikira zizindikiro zoyambirira za hypoglycemia - izi zimadza ndi chidziwitso. Odwala omwe ali ndi mbiri yochepa ya shuga ayenera kuwona momwe akumvera panthawi ya hypoglycemia kuti aphunzire momwe angadziwire vutoli ndi zizindikilo zake zoyambirira.

Hypoglycemia m'maloto ndiyowopsa. Itha kutsagana ndi zolota, wodwala, monga lamulo, adzuka pa pepala lonyowa kuchokera thukuta. Hypoglycemia ikhoza kudutsa osadzutsa wodwala, ndiye m'mawa amatha kutopa, kusweka komanso kusakwiya.

Momwe mungachiritsire hypoglycemia ndikuwonjezera shuga m'magazi?

Pankhani ya hypoglycemia yofatsa (2.7-3.3 mmol / l), ndikofunikira kudya mwachangu china chokoma (15-20 g ya carbohydrate yosavuta ndikokwanira):

• imwani magalamu 150 a msuzi wa zipatso zotsekemera,
• imwani tiyi wofunda ndi supuni ziwiri za shuga kapena uchi,
• Idyani zipatso zisanu ndi ziwiri za ma apricots kapena zipatso kapena nthochi.
• idyani magawo angapo a chokoleti kapena maswiti.

Mwachidule, muyenera kudya chilichonse chomwe chili ndi mafuta osavuta. Sangweji ya buledi wopanda tirigu kapena phala sigwira ntchito pano, chifukwa ndiophatikiza ndimatumbo ndipo amatenga nthawi yayitali m'matumbo.

Chonde dziwani kuti ndi hypoglycemia simukufunika kudya maswiti ambiri (ngakhale mutaganizira kuti hypoglycemia nthawi zambiri imayendera limodzi ndi njala yayikulu). Kudya mafuta ochulukirapo sikungobweretsanso shuga pabwino, koma kumachulukitsa mofulumira kuposa momwe kuli kofunikira, kuwonjezera apo kumapangitsa kulumpha kwamphamvu mu glucose m'thupi, zomwe zimakhala zovulaza kwambiri kwa zombo zazing'ono.

Wodwala akagonekedwa m'chipatala, chikomokere cha hypoglycemic nthawi zambiri chimayimitsidwa ndi njira yolumikizira 40% ya shuga - njirayi imakhala yotsika mtengo kuposa jakisoni wa glucagon komanso imathandizira kubwereranso msanga.

Kodi mungapewe bwanji hypoglycemia?

Pofuna kupewa matenda a hypoglycemia, aliyense wodwala matenda ashuga ayenera kutsatira malamulo angapo ofunikira:

- kudziwa mtundu wa insulin, mumvetsetse bwino mfundo zomwe mungapangire insulini ndipo mudziwe momwe mungayimitsire hypoglycemia,

- tsatirani zochitika za tsiku ndi tsiku, ndandanda ya jakisoni wa insulin komanso kudya,

- nthawi zonse muziwonetsetsa kuchuluka kwa shuga m'magazi. Akatswiri amakono a endocrinologists amalimbikitsa kuyeza shuga musanadye maulendo 4-5 patsiku, komanso pogona komanso pamimba yopanda kanthu,

- kusintha kusintha kwa insulin musanayambe kuchita masewera olimbitsa thupi - motere, mlingo wa insulini uyenera kuchepetsedwa kapena, pakumwa kamodzi, ndikofunikira kumwa zakudya zambiri,

- samalani mowa. Mowa wamphamvu (monga vodika), makamaka ngati umwedwa pamimba yopanda kanthu, umachepetsa shuga la magazi. Mwazi wa mowa umafutukuka. Ndikulimbikitsidwa kwa odwala omwe ali ndi matenda ashuga kuti achepetse kuchuluka kwa mowa, koma ngakhale zili choncho kuti kumwa kwake sikungapewere, ndiye kuti kuyenera kudyedwa nthawi yomweyo ndi chakudya kapena zokhwasula-khwasula.

Zotsatira ndi zovuta za hypoglycemia

Monga tafotokozera pamwambapa, aliyense wodwala matenda ashuga amakumana ndi hypoglycemia. Ngati zimachitika zoposa kawiri pa sabata - muyenera kulumikizana ndi endocrinologist kuti musinthe mlingo wa insulin, ndizotheka kuti mukuyika mlingo waukulu kwinakwake.

Kuukira pafupipafupi kwa hypoglycemia kumakhudzanso ziwiya zazing'ono - makamaka maso ndi miyendo, izi zimayambitsa kukula kwa angiopathy.

Anthu omwe amakhala ndi vuto lalikulu la hypoglycemic nthawi zambiri amakhala ndi vuto la mtima komanso kuwonongeka kwa ubongo.

Zimayambitsa hypoglycemia

Hypoglycemia (kutsitsa shuga m'magazi pansi pazobwinobwino) kumawonekera ngati thupi lili ndi insulin yochulukirapo kuposa momwe iyenera kuphatikizira chakudya. Zofooka zawo zimachitika:

• chakudya chokwanira,
• kapangidwe kofooka m'chiwindi (kumakhala malo ogulitsira ochepa a glycogen kapena kupanga mamolekyulu atsopano kuchokera pamapuloteni ndi mafuta amakhala ndi vuto),
• kulimbitsa thupi, zomwe zimapangitsa kuti misempha idye kwambiri.

Mu shuga, kutsika kwa shuga kumachitika pazifukwa zotsatirazi:

• Mlingo waukulu wa insulin unayambitsidwa ndi kulakwitsa (kusawona bwino, cholembera cholakwika, pampu, mita ya shuga m'magazi),
• Wodwalayo adalipira ma hormone ochulukirapo kapena kuwalowetsa mu minofu m'malo mwa njira yodukiza, ndikusintha jekeseni
• wodwala sadziwa kuwerengera kuchuluka kapena kusintha kwake ndi kuchepa kwa glycemia,
• Dokotala adafotokozera kuchuluka kwa insulin, mapiritsi okhala ndi hypoglycemic,
• kusinthira ku mankhwala ena kapena kusakaniza kolakwika ndi mankhwala ena,
• Chakudyacho chinang'ambika kapena panali mafuta ochepa mkati mwake,
• mowa wotengedwa
• Zakudya zochepa zama calori zimagwiritsidwa ntchito kunenepa popanda kusintha kuchuluka kwa mankhwala a shuga,
• chifukwa cha zovuta za matendawa, m'mimba mukupumira,
• kusanza kwambiri, kupweteka m'matumbo,
• Mimba, kuyamwa,
• Kuyankha kwa munthu payekha pa insulin kwasintha.

Ndipo nazi zambiri za zipatso za matenda ashuga.

Gulu la chiwopsezo cha Hypoglycemia

Matendawa amatchedwa "chiopsezo pantchito" ya munthu aliyense wodwala matenda ashuga ndipo amapezeka mukayamba kugwiritsa ntchito insulin. Pafupifupi 45% ya odwala amadwala matendawa, pomwe 3% ya hypoglycemia imatsogola. Kutengera pafupipafupi kwa kuchulukana kwa mankhwalawa, odwala adadziwika omwe angayembekezere kutsika kwa shuga:

• shuga zaka 7 zapitazo
• wazaka 58
• zochizira, mapiritsi a insulin kapena glibenclamide amagwiritsidwa ntchito,
• Zizindikiro za hypoglycemia "zimatsekedwa" ndi beta-blockers kapena sedative,
• kusokonekera kwa mtima, impso, chiwindi,
• Wodwalayo amathandizidwa kuti azikhala ndi shuga.

Mitundu ya Hypoglycemia

Matenda amtunduwu siwofatsa, wodwala m'modzi amakhala ndi mitundu yosiyanasiyana ya kukomoka. Mitundu zotsatirazi za dontho la magazi zimasonyezedwa:

• wodwala - wodwalayo ali chikomokere kapena sakomoka, ali ndi nkhawa, amafunika thandizo la ena kuti amwe shuga, jekeseni glucagon,
• zatsimikiziridwa - pali zizindikiro, kuyezetsa magazi kunawonetsa glycemia pansipa 3.9 mmol / l,
• asymptomatic - shuga yagwa, koma wodwalayo samva kusintha kwa thanzi,
• zotheka - madandaulo wamba, miyezo ya shuga ya m'magazi satengedwa, ndipo wodwalayo amayang'ana kwambiri zamankhwala ndikumamwa chakudya,
• wachibale - glucose ndiwokwera kuposa 3.9 mmol / l, koma wodwalayo amakhala ndi zizindikiro zake.

Zomwe zimachitika ndi dontho la shuga m'magazi

Chiwalo chodziwika kwambiri ku hypoglycemia ndi ubongo. Izi ndichifukwa cha ntchito yake yayikulu komanso kulephera kusunga glucose kapena kupanga. Ndi kuchepa kwa shuga, kumasulidwa kwa adrenaline ndi glucagon kumayendetsedwa ndipo insulin synthesis imaletsa. Kuchita koteroko kumayeneranso kuteteza matenda a glycemia okha panja pachakudya. Pambuyo pake, cortisol, norepinephrine ndi somatotropin akuphatikizidwa pantchito yowonjezera shuga.

Homoni wofulumira kwambiri, glucagon, amayamba chifukwa cha kuphulika kwa glycogen m'chiwindi (kupatsira shuga) komanso kupanga mamolekyulu atsopano. Ngati zimapangidwa mwanjira zabwinobwino, ndiye kuti ndizokwanira kubwezeretsa zofananira. Ndi kuchepa kwake, gawo la "opulumutsa" limapita ku adrenaline, norepinephrine.

Nthawi zambiri, munthu sangamve kukhala glycemia mpaka 3,3 mmol / L, popeza ali ndi mphamvu yosungiramo glycogen, ndipo chifukwa cha zochita za mahormone, imaphwanyidwa kuti ikhale ndi shuga. Mu matenda ashuga, njira zonse zothandizira anthuwa zimaphwanyidwa, kuphatikiza apo, pali malire a munthu omwe pali zizindikiro zakutsika kwa shuga. Pa kuchuluka kwa glucose koyambirira, odwala amafotokoza kufooka, chizungulire, komanso vuto lanjala pafupifupi lililonse.

Mawonetsero oyambira

Amalumikizidwa ndi njala ya okosijeni yam'mizere ya ubongo. Amasiyana, ngakhale mwa wodwala m'modzi, kukomoka ndizosiyana. Zizindikiro zakutsogolo ndizophatikizira:

• chisokonezo kapena choletsa,
• kukangana
• kusinthasintha
• mutu
• thukuta
• zokonda mtima.

Onerani kanemayo kuti awone ngati pali hypoglycemia:

Pakadali pano, odwala nthawi zambiri samazindikira hypoglycemia. Mwa mawonetsedwe ake onse, pakhoza kukhala chizindikiro chimodzi kapena ziwiri. Kenako mchitidwewo umakhala wowonetsa, wosakwanira, mwinanso wankhanza. Kutuluka thukuta kwambiri, kutentha kwa moto, kunjenjemera kwa dzanja, kutsika kwa magazi, kunjenjemera.

Odwala amamva kugwedezeka ndi dzanzi m'miyendo, kufooka kwambiri komanso chizungulire. Kuyankhula kumatha kumveka bwino komanso kuyanjana, ndipo wodwala sazindikira komwe ali. Mayendedwe ake ndi osagwirizana. Kutengera mawonekedwe akunja, wodwala matenda ashuga okhala ndi vuto la hypoglycemia amatha kulakwitsa munthu woledzera.

Gawo latsatanetsatane

Ngati njira zowalipirira sizinali zokwanira, ndipo glucose sanalandiridwe, ndiye kuti mphamvu yanjala imaphimba tsinde la ubongo. Izi zimadziwika ndi mawonekedwe a:

• Gwidwa ngati msambo,
• kukulitsa mawu.
• wophunzira wosenda
• kufooka komanso pafupipafupi.

Coma

Zimachitika pamene zochitika za medulla oblongata zisokonekera, pomwe malo ofunika amakhala. Odwala atangoyamba kumene, amapeza:

• kusazindikira
• kuchuluka
• ana opukutira, ma eye owoneka bwino,
• khungu lonyowa pa kutentha wamba
• zimachitika pafupipafupi,
• kupanikizika ndikwabwinobwino kapena kukwera.

Kenako njira za kusokonekera kwa ubongo zophimba pafupifupi magawo onse a ubongo ndi chikumbumtima zikupita patsogolo:

• kutsitsa minofu kamvekedwe ndi ma eye
• palibe zomvera
• khungu lowuma
• kupuma kosakhazikika
• kupsinjika
• kugunda kwa mtima kwasokonezeka.

Atypical hypoglycemia akuukira

Odwala ena alibe mndandanda wowonekera wa kuwonjezeka kwa zizindikiro. Nthawi zina, pambuyo pa zizindikiro zoyambirira za mseru komanso kufooka, makulidwe a odwala amadzuka, kusokonekera kwa chisangalalo, kukwiya. Mawonekedwe oterewa amagwirizanitsidwa ndi kusayenda bwino kwa machitidwe aubongo, omwe amachititsa kudukiza ndi ntchito ya thupi. Pazifukwa izi, odwala angapo mwadala amabayira insulini kuposa momwe amafunikira.

Momwe mungadziwire usiku

Kwa odwala matenda ashuga, kuukira kwa usiku kwa hypoglycemia ndi kotchuka. Zitha kuchitidwa ndi:

• kudya chakudya chokwanira cha chakudya chamadzulo,
• kuyambitsa mitundu iwiri ya insulin (yochepa musanadye chakudya komanso nthawi yayitali musanagone) ndi machitidwe olimbikitsidwa a mankhwala,
• kuchuluka kwa mitsempha ya vagus, yomwe imalepheretsa kutulutsa kwa adrenaline, ndikuwonjezera kupanga kwa insulin.

Hypoglycemia, ngakhale masana, siziwonetsa mobwerezabwereza ndipo usikuwo odwala ake amafotokoza kuchuluka kwa thukuta, kugona pang'ono ndi kugona kosagona, maloto omwe amalota usiku kapena amalota chakudya. Chifukwa chake, pofuna kutsimikizira kutsika kwa shuga panthawiyi, ndikofunikira kuti mumayeze ndi glucometer.

Ngati wodwala sachita izi, koma amayang'anitsitsa zolingalira zake ndikudziletsa payekha insulin, ndiye kuti izi zimabweretsa kuwonongeka kwa matenda ashuga.

Ndi vuto lalikulu la insulini komanso shuga wambiri, kumatha kumva njala, zizindikiro za hypoglycemia, chifukwa glucose simalowa m'maselo. Kutukwana, manja akunjenjemera komanso kuchuluka kwa mtima kwa wodwala ndikuwonetsa kusokonezeka kwa kamvekedwe ka autonomic system (neuropathy) yomwe imachitika pakuwonongeka kwa matendawa. Afunika kuwonjezera mlingo, osachepetsa kuchuluka kwa mahomoni.

Njala

Kodi chiwopsezo cha hypoglycemic ndichani

Ngati wodwalayo adayamba kuchepa shuga, ndiye kuti atatenga chakudya chosavuta (juwisi, tiyi wokoma, maswiti kapena kagawo ka shuga woyengedwa), moyo wake umabwezeretsedwa.Izi zimapangitsa kukhala ndi malingaliro opanga bwino. Zotsatira zazitali zimachitika pakapita kanthawi, nthawi zina ngakhale pakatha miyezi yochepa. Izi zikuphatikiza:

• kuwonongeka kwa minofu ya muubongo (encephalopathy),
• khunyu
• kunjenjemera matenda a ziwalo (parkinsonism),
• myocardial infaration
• kumangidwa kwadzidzidzi kwamtima
• arrhasmia,
• sitiroko.

Woopsa kwambiri ndi magawo a shuga omwe amachitika mu zakumwa zoledzeretsa komanso odwala okalamba. Mobwerezabwereza zochitika za hypoglycemia:

• dementia (dementia),
• mafupa a mtima wofatsa
• kusokonezeka kwa kukumbukira
• kuchepa kwamphamvu kwa ntchito zaluso,
• psychosis
• wosakhazikika pakuyenda,
• hemiparesis (kufooka miyendo mbali imodzi).

Ndi kudziwitsidwa mochedwa kwa hypoglycemia ndikuyambitsa insulini kapena kuchulukitsa kwa njira yokhazikika ya glucose, matenda a ubongo angachitike. Amawonetsedwa ndi kusanza, kuwonongeka kwa mtima, kulephera kupuma, kupweteka kwambiri m'mutu.

Kuzindikira kwa hypoglycemia ndi zotsatira zake

Ndi matenda ashuga, momwe ma Horona thupi limasinthira, kotero zotengeka ndi hypoglycemia zimasinthika, zimasintha ndi vuto lililonse. Kuyeza shuga m'magazi ndikofunikira pakuwongolera matendawa. Pazizindikiro zoyambirira, wodwalayo ayenera kuyeza glycemia.

Pazomwe zimachitika mobwerezabwereza, nthawi yayitali, kupweteka kwa mitsempha ndikulimbikitsidwa. Mulinso:

• kudziwa kwa dokotala wamatsenga,
• electroencephalography,
• tomography (MRI kapena CT, PET).

Kukambirana ndi mtima ndi ECG kumasonyezedwanso kwa odwala, makamaka pambuyo pa zaka 45.

Ndi kuwala

Wodwala amafunika kutenga mkate umodzi kapena ziwiri, zomwe zimafanana ndi 20-24 g malinga ndi shuga. Ndalamayi ili ndi:

• supuni ziwiri za shuga (makamaka ndi tiyi), uchi kapena kupanikizana,
• kapu ya zipatso zamchere
• theka la kapu ya keke iliyonse ya msuzi wabwino,
• magome asanu a glucose okhazikika kapena akulu ndi ascorbic acid

Awiri a XE adzakweza shuga mpaka 5.5 mmol / l, ndiye kuti. Ngati kuukira kumawonekera m'mawa musanadye kapena mutatha kusewera masewera, ndiye kuti mlingowo umakulitsidwa kamodzi ndi theka, chifukwa nthawi imeneyi pamakhala chiwindi chochepa kwambiri m'chiwindi.

Zolemba za nthawi yausiku nthawi zambiri zimawonekera kumbuyo koyambitsa insulin. Amafunikira atatenga gawo loyambirira kudya zakudya zambiri zopatsa mphamvu pang'onopang'ono (chidutswa cha mkate, zigawo zingapo za phala) kuti muchepetse shuga.

Zowopsa

Zochita pa wodwala wosazindikira:

1. Gonani mbali yake.
2. Tulutsa zamkati zamkati pazomwe zili.
3. Onjezerani mpweya.
4. Imbani ambulansi nthawi yomweyo.

Ndi zoletsedwa kwa wodwalayo kuthira yankho lililonse mkamwa kapena kupereka shuga, monga momwe angakhalire. Kuyambira 30 mpaka 100 ml ya glucose wokhazikika amathandizira kudzera m'mitsempha. Ma ambulansi isanafike, achibale amatha kubaya glucagon kuchokera ku chubu cha syringe. Koma ziyenera kudziwika kuti idzagwira ntchito ngati pali glycogen m'chiwindi. Mukamagwiritsa ntchito Maninil kapena analogue, kuledzera, mankhwalawa sangathandize.

Glucagon

Ngati palibe chizindikiritso pambuyo pa kulowetsedwa kwa shuga, ndiye kuti wodwalayo amalizidwa kuchipatala mwachangu. Ku chipatala, kuphwanya kwa kufalikira kwa ziwonetserozi kumachotsedwa ndipo ngati pakufunika kutero, mankhwalawa amayamba kuwongolera, njira zopulumutsira moyo zimachitika.

Kupewa

Popewa kuukira, wodwala matenda ashuga ayenera kudziwa zomwe adayamba kuchita ndikupereka mankhwala osavuta a chakudya. Dokotala ku phwando angayang'anire wodwalayo amadziwa kuchuluka kwa magawo a shuga. Kuti achite izi, amafunsira wodwalayo kuti asonyeze kupezeka kwa mandimu kapena mapiritsi a shuga.

Zimafunikanso kuphunzitsidwa ka insulini ndikukonzanso mlingo wake kutengera chakudya. Ngati bongo wakhungu wakayikiridwa, kufunsira kwa psychiatrist ndikofunikira. Ngati hypoglycemia ikuwonekera motsutsana ndi momwe amagwiritsidwira ntchito mapiritsi ochepetsa shuga, ndizotheka kusintha m'malo mwa owopsa.

Ndipo pali zambiri zokhudza matenda a shuga kwa ana.

Hypoglycemia mu odwala matenda ashuga amawoneka ndi kukhazikitsidwa kwa insulin yayikulu, kumwa mapiritsi kuti muchepetse shuga. Zimapangitsa kusowa kwa chakudya mu chakudya, kuphwanya kwawo kwa chiwindi kapena zolimbitsa thupi. Zizindikiro zoyambirira ndi chizungulire, kuwukira kwa njala, manja akunjenjemera, thukuta. Kenako vuto la mitsempha limalowa, kukomoka komwe kumapha munthu ndikotheka.

Kuti mutsimikizire, kuyezetsa magazi kwa shuga ndikofunikira, ndipo kuyezetsa magazi kumafunika kuti mupeze zotsatirazo. Mitundu yofatsa, wodwalayo amatenga chakudya chosavuta, ndipo pamavuto akulu, jakisoni wa shuga ndi glucagon amafunikira.

Chakudya chamtundu wa 2 shuga chikufunika kuti matenda asamadutse komanso zovuta zake. Zakudya zopatsa thanzi kwa okalamba ndi achinyamata zimaphatikizapo mndandanda wazithandizo zapadera. Ngati matenda a shuga ali ndi matenda oopsa, ndiye kuti palinso malingaliro ena.

Muyenera kudya zipatso za matenda ashuga, koma si onse. Mwachitsanzo, madokotala amalimbikitsa mitundu 1 ndi 2, yamatenda a shuga kwa amayi apakati. Mungadye chiyani? Ndani amachepetsa shuga? Zomwe sizotheka?

Metformin imakonda kutumikiridwa ndi matenda a shuga a mtundu wachiwiri. Komabe, kugwiritsa ntchito mapiritsi kumaloledwa ngakhale chifukwa chopewa. Mlingo wa mankhwalawa amasankhidwa payekha. Za mphamvu ya mankhwala a Metformin, nthawi yochuluka motani, werengani munkhaniyi.

Matenda a matenda ashuga amapewedwa mosasamala mtundu wake. Ndikofunikira mu ana panthawi yomwe ali ndi pakati. Pali zovuta zoyambira ndi sekondale, pachimake komanso mochedwa mu mtundu 1 ndi matenda ashuga 2.

Nthawi zambiri kubadwa kwa ana kuchokera kwa makolo omwe ali ndi matenda osokoneza bongo kumabweretsa kuti akudwala matenda. Zomwe zimatha kukhala mu matenda a autoimmune, kunenepa kwambiri. Mitundu imagawidwa pawiri - yoyamba ndi yachiwiri. Ndikofunikira kudziwa zomwe zili mu achinyamata ndi achinyamata kuti muzindikire ndikuthandizira panthawi. Pali kuletsa kubadwa kwa ana omwe ali ndi matenda ashuga.

Kufotokozera kwa hypoglycemia mu mtundu 2 shuga

Matenda a shuga ndi matenda ofala omwe amatha limodzi ndi zovuta komanso zowopsa m'moyo. Imadziwoneka yokha mu mawonekedwe owopsa kapena osakhazikika. Chimodzi mwazosankha zake zovuta ndi hypoglycemia. Mkhalidwe uwu umadziwika ndi kuchepa kwakuthwa kwa glucose wamagazi. Kuukira kumayamba msanga, nthawi zambiri mkati mwa theka la ola. Zoyambilira zake ndi izi: hyperhidrosis, njala, kufooka. Nthawi zina, sizimawoneka, ndipo nthawi yomweyo munthu amayamba kuzindikira.

Amakhulupirira kuti odwala okha omwe ali ndi matenda amtundu wa 2 amatha kudwala hypoglycemia. Komabe, sizolondola. Zizindikiro za matendawa nthawi zina zimachitika mwa anthu athanzi labwino. Mwachitsanzo, kutsika kwa shuga m'magazi kumawonedwa ndi kulimbitsa thupi kwambiri kapena kudya.

Matenda a shuga a Mtundu Wachiwiri samadalira insulin. Chifukwa chake, poyambira kukula, hypoglycemia imachotsedwa mosavuta ndi kulimbitsa thupi kosavuta, chakudya. Nthawi zina, ndikofunikira kumwa mankhwala omwe zochita zake zimachepetsa shuga. Komabe, njira yolumikizana ndi kuwonongeka kwakanthawi imayambitsa kuchepa, kenako kutsiriza kwa kupanga insulini. Chifukwa chake, kulandira chithandizo chamankhwala kumakhala chofunikira kwambiri.

Zifukwa zazikulu

Hypoglycemia mu mtundu 2 wa shuga imachitika chifukwa cha kuchuluka kwa insulin mthupi. Kuchuluka kwa timadzi timeneti kumatulutsa pang'ono kuposa zomwe zimafunikira kuti thupi lipezeke.

Pochiza matenda a shuga, wodwalayo nthawi zambiri amapatsidwa mankhwala omwe mankhwalawo amathandizira popanga insulin. Awa ndimankhwala otetezeka komanso othandiza kwambiri. Kumbali ina, amatha kuyambitsa hypoglycemia motsutsana ndi maziko a matenda ashuga. Chomwe ndikuchitachi ndichakuti, “mosakwiya” mosalekeza, kufupika pang'onopang'ono kwa zinthu zomwe zimapangitsa kupanga insulin kumachitika.

Mwa zina zazikulu zomwe zimayambitsa chitukuko, madokotala amasiyanitsa izi:

1. Kugwiritsa ntchito sulfonylureas pachigawo choyambirira cha matenda ashuga. Wodwala akamagwirizana ndi zakudya zomwe dokotala amafunsa, thupi limayenda bwino ndi shuga. Ngati, mwa izi, simuleka kumwa mankhwalawa, shuga adzapitilirabe kuchepa. Chifukwa chake, chithandizo chamankhwala chimatanthawuza kuti kuthetseratu, kapena kuchepetsa kuchuluka kwa mankhwala ochepetsa shuga.
2. Kuperewera kwa zakudya. Kumwa mankhwala omwe amachepetsa kuchuluka kwa shuga m'magazi kumafunika kusintha kwa zakudya. Ngati mumadya kwambiri kapena kulumpha zakudya, matenda a shuga akupita patsogolo.
3. Kuchita zolimbitsa thupi mokwanira, pambuyo pake kapena pambuyo pake, wodwalayo alibe mwayi wotenga shuga.
4. Mowa.
5. Mankhwala ochepetsa shuga amamuchotsa impso. Kugwira kwawo kolakwika kumatha kupangitsa kuti anthu azigwira ntchito moyenera.
6. Mankhwala ena amalimbikitsa zotsatira za sulfonylureas. Chifukwa chake, kusankha kwakokha kwa mankhwala sikovomerezeka. Amatha kuikidwa ndi dokotala, poganizira momwe mankhwalawa amachitikira.

Hypoglycemia imatha kuyambitsa matenda omwe amapezeka motsutsana ndi maziko a matenda ashuga. Mwachitsanzo, kuwonongeka kwa maubongo ndi ubongo wamkati kumapangitsa kuphwanya kagayidwe kokwanira.

Chithunzi cha kuchipatala

Zizindikiro za hypoglycemia mu mtundu 2 wa shuga zimatha kusiyanasiyana kutengera kwa kuperewera kwa njira ya pathological. Munthu aliyense yemwe ali ndi matenda ayenera kudziwa nthawi yake moyenera. Pakakhala chisamaliro chamankhwala, ziwalo zamkati mwa ziwalo zamkati zimatha kuchitika.

Zizindikiro za "mofatsa" hypoglycemia

Zizindikiro za hypoglycemia zimayamba kuwoneka modekha. Pankhaniyi, wodwalayo angadandaule za hyperhidrosis komanso kunjenjemera kwa malekezero. Ena ali ndi tachycardia, pallor pakhungu. Chithunzi chachipatalachi ndi chotsatira cha kuchepetsedwa kwa kupanga kwa pancreatic hormone.

Kuperewera kwa zakudya m'thupi m'thupi kumayendera limodzi ndi zizindikiro zina:

• kusakhazikika
• mutu
• kuvuta kwamomwemo
• kuwonongeka kwamawonekedwe
• kufooka m'miyendo yakumunsi,
• njala yakuthwa
• kusabala.

Thupi limasowa glucose nthawi zonse ngati imodzi mwazinthu zopanga mphamvu. Ndikofunikira pakugwira kwathunthu kwa kachitidwe kofunikira ka ziwalo zamkati. Chifukwa chake, thupi la munthu limakhudzana kwambiri ndi kutsika kwa zizindikiro za glucose mpaka 3,3 mmol / l kapena kuposa.

Monga mukudziwa, shuga amasungira m'chiwindi mumtundu wa glycogen. Kuti thupili lisinthe bwino kukhala glucose, kugwiritsa ntchito mahomoni otsutsana kumafunikira. Amayimiridwa ndi cortisol, adrenaline ndi glucagon. Kuukira kwa Hypoglycemic mu matenda a shuga nthawi zonse kumayendetsedwa ndi kukwiya, mantha komanso kutsekeka kwa khungu. Pazizindikiro zotere, kutulutsa lakuthwa kwa adrenaline m'magazi ndi udindo. Komanso ndi chifukwa chachikulu cha hyperhidrosis. Kupanda mphamvu m'maselo kumapangitsa kuti khungu lizigwira ntchito komanso kuti lizilakalaka kwambiri.

Njira zazikulu za matenda

Ngati mkati mwa hypoglycemic yotsatira ikadzaukira thupi sililandira gawo lofunikira la shuga, mulingo wake umatsikira mpaka 1,7 mmol / L. Ili ndi vuto lalikulu, lotchedwanso chikomokere. Pankhaniyi, kusintha kosiyanasiyana kumatha kuchitika m'thupi la wodwalayo, ndipo zina mwa izo zimabweretsa zotsatira zakupha:

• kulephera kudziwa
• kukokana
• sitiroko
• kuchuluka kwamkwiyo
• kusokoneza kayendedwe ka kayendedwe.

Odwala ena amatha panthawi yake kuti atsimikizire kuchepa kwa shuga m'magazi ndikumwa mapiritsi. Ena mwadzidzidzi amayamba kuzindikira, chifukwa chotsatira amatha kuvulazidwanso. Chifukwa chake, odwala matenda ashuga, omwe amakonda kuchita hypoglycemia, saloledwa kuyendetsa magalimoto kapena kugwira ntchito yomwe moyo wa alendo umadalira.

Milandu yazovuta kumva

Nthawi zina, zizindikiro za hypoglycemia mu mtundu 2 wa shuga zimatha kukhala zofatsa kwambiri. Uku ndi kuwonekera kwa zizindikiro, zomwe nthawi zambiri zimachitika mothandizidwa ndi izi:

• matenda osokoneza bongo
• pafupipafupi mankhwala osokoneza bongo a hypoglycemia,
• mfundo zotsika shuga.

Pangozi ndi okalamba odwala komanso anthu omwe amatenga beta-blockers - mankhwalawa kuti achulukitse kuthamanga kwa magazi komanso kupewa mtima.

Mwa odwala ena, vuto lotsutsana limatha kuchitika, shuga atabwezeretsedwa, ndipo zizindikiro za hypoglycemia zikupitirirabe. Kuphwanya kumeneku kumachitika chifukwa chotulutsidwa kwambiri kwa adrenaline m'magazi mkati mwa ntchito yayikulu ya adrenal. Kusintha zizindikirazi ndikuyimitsa zizindikiro zosasangalatsa, muyenera kufunsa dokotala wazambiri.

Kusamalira mwadzidzidzi

Wodwala yemwe ali ndi hypoglycemia wodwala matenda a 2 sangathe kuwongolera matenda ake, thandizo lakunja limafunikira. Nthawi zambiri akamalimbana, thupi lake limakhala loopsa komanso lopanda mphamvu. Munthu yemweyo mu nthawi ngati imeneyi sangathe kudya china chake chokoma kapena kumwa mapiritsi. Chifukwa chake, kuti tisiye kuukira, ndibwino kugwiritsa ntchito miyala yapadera ndi glucose, yomwe imagwiritsidwa ntchito pamwamba pa mano. Ngati wodwala amatha kumeza, akhoza kupatsidwa tiyi wokoma kapena msuzi wa zipatso.

Wodwalayo akasiya kudziwa komwe akuwukira, akuyenera kutembenukira kumbali imodzi. Ikani ndodo yamtengo kapena chilichonse pakamwa panu. Mwanjira imeneyi mungapewe kuluma lilime lanu. Pambuyo pa izi, ndikofunikira kuyitanitsa gulu la ogwira ntchito zamankhwala ndikupanga jekeseni wa glucose kudzera m'mitsempha.

Njira Zowonjezera

Palibe chithandizo chamankhwala cha mtundu wa shuga wachiwiri. Pofuna kuletsa kuukira, mankhwala amakono amapereka njira zotsatirazi:

• Imwani mapiritsi atatu a shuga,
• idyani maswiti
• chakudya chamafuta ambiri osavuta.

Ngati pakapita mphindi 15 palibe kusintha kowoneka bwino, muyenera kubwereza njira yosankhidwa. Zikagwiritsidwanso ntchito, zimalimbikitsidwa kuti mupeze chithandizo chamankhwala.

Malangizo a akatswiri

Malinga ndi madotolo, pankhani ya momwe mungachitire bwino odwala matenda ashuga amtundu wa 2, kuopsa kwa matenda a hypoglycemia sikukwaniritsidwa. Komanso chiopsezo chokhala ndi matenda amachepetsa ngati wodwala agwiritsa ntchito insulin mwa njira yotsika mtengo.

Zizindikiro zoyambirira zikayamba kuwonekera, muyenera kuyeza kuchuluka kwa magazi. Izi zitha kuchitika palokha mothandizidwa ndi zida zamakono - glucometer. Mwina sangawonetse chithunzi chonse, koma azitha "kuchenjeza" za ngozi yomwe ikubwera. Pankhani yotsika kwa ma shuga a 0,6 mmol / l poyerekeza ndi zotsatira zake, muyenera kuchita zinthu zomwe zakhala zikuwoneka bwino pang'ono.

Zotsatira za matenda

Sikuti odwala onse omwe ali ndi matenda a shuga 2 amakhala ogwidwa nthawi iliyonse. Zikatero, kusintha kwamakhalidwe kumawonedwa ndi abwenzi kapena abale. Ma alamu amaphatikizapo kulumikizana bwino komanso kusinthasintha kwa zochitika. Wodwalayo amasiya kuzindikira zomwe zikuchitika mozungulira. Satha kuyankha mafunso oyambira.

Zizindikiro zotere zikaonekera mwa wokondedwa, muyenera kuyimbira foni dokotala ndikuyesera kumuthandiza. Ngati simungathe kugwira ntchito, matendawa amatha kuyamba. Pankhaniyi, wodwalayo amasiya, kukhudzika sikumachotsedwa.Choyamba, ubongo umavutika ndikusowa mphamvu. Kuchoka kosayenera kuchokera ku chikomokere nthawi zambiri kumayendetsedwa ndi kulumpha kwatsopano kwa shuga, komwe kumakhudzanso thanzi.

Zifukwa zachitukuko

Limagwirira a matenda boma ndi amodzi: pali zambiri insulin kuposa shuga. Thupi limayamba kusowa chakudya, lomwe limapatsa mphamvu. Minofu ndi ziwalo zamkati zimamva kuti ndi "njala", ndipo ngati sizikugwiritsidwa ntchito munthawi yake, zotsatirapo zake zimakhala zokulirapo komanso zowopsa.

Zomwe zimachitika zosiyanasiyana.

• Kuwonjezera kwadzidzidzi kwa insulin kapena kuwerengetsa kolakwika kwa mankhwalawo.
• Kugwiritsa ntchito sulfonylureas, komanso dongo. Nthawi zambiri zimayambitsa zovuta komanso zimawononga magwiridwe antchito a ziwalo zina ndi ziwalo. Mankhwala amakono salimbikitsa kugwiritsa ntchito mankhwalawa.
• Choipa cholakwika cha insulin
• Kusintha kwa glucometer (iyayamba kuwonetsa glycemia yayikulu kwambiri yomwe siyikugwirizana ndi boma lenileni)

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

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

• Chakudya chosasinthika kapena kukakamizidwa kakhwimidwe wina.

• Chakudya chopanda malire chomwe chimakhala ndi mafuta ochepa.

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

• Kumwa mowa.

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

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

• Kugwiritsa ntchito insulin mwachangu musanadye komanso kuchedwa kudya.

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

Zizindikiro zake

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

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

Chizindikiro choyamba ndikumverera kwa njala. Komanso ndi hypoglycemia amati:

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

Glycemia ikatsika kwambiri, zotsatirazi zingaoneke:

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

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

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

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

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

Kuchiza ndi kupewa zovuta

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

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

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

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

Thandizo loyamba la hypoglycemia

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

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

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

Ngati wodwala matenda ashuga wafafaniza, analimbikitsa:

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

Zotheka ndi hypoglycemia

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

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

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

Kodi hypoglycemia ndi chiyani?

Chimodzi mwazizindikiro za matenda a endocrine dongosolo ndi hypoglycemia. Nthawi zambiri kumachitika, kuwonetsa mulingo woyenera wa mankhwala omwe amachepetsa shuga. Kupanga kwa insulin, kudzikundikira kwake m'thupi kumabweretsa mavuto. Pathology singakhale zotsatira za matenda ashuga okha.

Hypoglycemia mu mtundu 1 ndi shuga yachiwiri ndi vuto lomwe glucose amachepetsa kwambiri. Vutoli limayamba mwadzidzidzi ndipo limatha kutha ola limodzi.

Komanso, kuchepa kwa shuga kungakhale chifukwa chakuchulukitsa kwa mankhwala a insulin, ndikuthandizira kuyamwa kwathunthu. Adrenaline, glucagon, ndi cortisol amafunikira kuti asinthe glycogen kukhala glucose. Ngati sizingatheke kubwezeretsanso njira zomwe sizinasinthidwe zimayamba.

Palibe kusiyana kwamphamvu pakati pa maphunziro a mtundu wa hypoglycemic 1 ndi matenda 2. Odwala a mtundu 1 amamva kusowa kwa shuga mwachangu. Kuukira kwawo kumachitika mobwerezabwereza mwamphamvu kwambiri ndipo amalimba. Nthawi zambiri, odwala matenda ashuga satha kuzindikira popanda chifukwa.

Kunyalanyaza hypoglycemia mu matenda ashuga kumayambitsa matenda a ubongo kugwira ntchito. Pambuyo pake, munthu amakhalabe olumala, nthawi zina - imfa.

Magawo otsatirawa a hypoglycemia mu shuga mellitus amadziwika:

• Hypoxia yamitsempha yama minyewa, kuwonongeka kwa gawo la minyewa yaubongo. Ndi chitukuko cha matenda a m'mitsempha, odwala amakumana ndi kufooka kwa minofu yayikulu, kupweteka mutu, ndi njala yosalekeza.
• Kulimbitsa matenda aubongo. Zimaphatikizidwa ndi kufiira kwa nkhope, mayendedwe okangana komanso kusachita bwino.
• Matenda a wodwalayo amafanana ndi khunyu. Kukomoka kwa malekezero kumawonekera, kuthamanga kwa magazi kulumpha, thukuta ndi kufupika kwa mpweya kumawonjezeka.
• Kulephera kwa ntchito yofananira kwa kumtunda kwa medulla oblongata kumakhudza chikomokere.

Pakati pa magawo a hypoglycemia, ndikofunikira kubwezeretsa chizindikiritso cha shuga kukhala chabwinobwino. Nthawi zina, kuthamanga kwa magazi kumatsika, zovuta zam'magazi amtima zimayamba.

Kuika chithandizo choyamba kumayambitsa matenda a edema ndi kufa.

Zizindikiro

Popereka mankhwala kuti muchepetse shuga, dokotala ayenera kukumbukira kuti kwa wodwala aliyense, chizindikiro cha glycemia chimawoneka ngati chachilendo pamlingo wosiyanasiyana. Kutsika kwakukulu kwa glucose mpaka 0,6 mmol / l, mosasamala kanthu zaumunthu, kumawonetsa kukula kwa hypoglycemia.

Zizindikiro zoyambirira zakuchepa kwa shuga zikuwonetsa kufunikira kwa kuchuluka kwamphamvu kwa shuga, kuposa bwino, kwakanthawi kochepa.

Thupi likasowa chakudya chamafuta, zizindikilo zoyamba zimawoneka mitundu yochepa, ndipo nthawi yokhayo odwala zimayamba kufooka. Hypoglycemia imayambitsa zizindikiro zotsatirazi, momwe thandizo loyamba limafunikira:

• khungu limasandulika
• kutulutsa thukuta kumachuluka
• kumakhala njala yosatha,
• kugunda kwa mtima kumamveka
• mwendo kukokana
• chidwi chimachepa, ndikovuta kukhazikika pa mfundo imodzi,
• wodwala amakhala waukali komanso wosakhazikika popanda chifukwa
• amayamba kudwala.

Ndi kuchepa kwa glucose mpaka gawo lovuta, vutoli likhoza kuthandizidwa:

• kufooka kwa thupi
• mutu wosagwedezeka, chizungulire, khungu mumaso,
• mavuto ndi malankhulidwe osamveka, kuwonongeka kwamaso,
• nkhawa, mantha osaneneka,
• kulephera kusuntha.

Zizindikirozi zimawonekera pang'onopang'ono osati zonse nthawi imodzi. Kwa odwala omwe akudziwa bwino, omwe nthawi zambiri amakhala ndi vuto la hypoglycemia, komanso okalamba, kuwonekera kwa zovuta sikungawoneke.

Timapereka kuchotsera kwa owerenga tsamba lathu!

Pakapita nthawi, mutatsimikiza kuchepa kwa glycemia, mutha kusintha matenda anu mwakukula mwa kudya shuga. Kuphatikiza apo, ena odwala matenda ashuga amakomoka, nthawi zambiri amalandilidwa zatsopano.

Gawo lalikulu la hypoglycemia limaganiziridwa pamlingo wa 1.7 mmol / L. Pambuyo pa chikhalidwe ichi, pali mwayi wokhala wopanda nkhawa komanso womwalira. Zizindikiro za kupindika kwa hypoglycemia ndi:

• kusintha kwakukulu pamakhalidwe, kusinthasintha kwa malingaliro,
• kusokonezeka kwamawonedwe, kusalumikizana, kusasamala,
• maonekedwe
• kuiwalika nthawi yomweyo
• chitukuko cha stroke.

Kuti muchepetse chiwopsezo cha zovuta izi, ndikofunikira kuyamba kuchitira hypoglycemia panthawi.

Maphikidwe a anthu

Ambiri odwala matenda ashuga okalamba amayesa kudzutsa shuga mwa kudya ufa, confectionery, zipatso, zodzazidwa ndi masaccharides achilengedwe, pogwiritsa ntchito misuzi, koloko.

Njira zoterezi zimagwira, koma zimayambitsa hyperglycemia. Tiyenera kukumbukira kuti zinthu zambiri sizokhala ndi chakudya cham'mimba zokha, komanso zochepa.

Ndi pafupipafupi matenda a hypoglycemia, tikulimbikitsidwa kugwiritsa ntchito:

• zipatso manyuchi
• uchi, zogwirizana,
• zoumba
• mkaka
• mitundu ina ya obera.

Kuti mudye matenda ashuga omwe ali ndi vuto la hypoglycemia, muyenera njira yokhotakhota. Chifukwa chake mutha kusintha kuchuluka kwa glucose tsiku lonse ndi usiku. Kutalika pakati pa chakudya - zosaposa maola atatu. Onetsetsani kuti mukusamalira zokhwasula-khwasula kunja kwa khoma lanyumba.

Kupanga menyu, sikungakhale kopitilira muyeso kuti muwonjezere mapuloteni omwe amwedwa, omwe amachedwetsa kuyamwa kwa chakudya chamagulu. Zinthu zomwe zimakhala ndi mapuloteni ofunikira kwa odwala matenda ashuga:

• nyama yokonda
• nsomba zamafuta ochepa
• mtedza
• mkaka
• phala la mpunga
• mkate, mkate,
• nyemba.

Komanso, mapuloteni amapezeka mu mawonekedwe a ufa pamashelefu a mafakisi.

Mavuto

Matenda amatha kuyambitsa zovuta zina.

Izi zikuphatikiza:

• kuchepa kwa ntchito zaubongo,
• kuchuluka kwamphamvu m'mitsempha,
• chiopsezo cha matenda a stroko kapena mtima,
• kuchepa kwa chidwi pakusintha kwa glucose,
• kuletsa kukula kwa malingaliro kwa ana, makamaka akhanda.

Mwa kupereka chithandizo munthawi yake, chiwopsezo cha zovuta za matenda obwera chifukwa cha matenda a shuga chingathe kupewedwa.