- Matenda omwe amayamba ndi shuga wochepa kwambiri. Mwambiri, mulingo wake uli pansi pa 3.2 mmol / L.

Pambuyo pa makonzedwe, glucose yekha amasiyanitsidwa ndi iwo ndikugawidwa kumakona onse a thupi la munthu.

Uwu ndi mtundu wamafuta, wopanda munthu womwe sangathe kugwira ntchito moyenera. Glucose atalowa m'madzi a m'magazi, kapamba amunthu amapanga mahomoni ena apadera - insulin, omwe amalola maselo a thupi lathu kulandira mphamvu kuchokera ku shuga.

Kutsika kwakanthawi m'mlingo wake ndi ngozi ku moyo, chifukwa munthu amatha kufa theka la ola. Nanga zifukwa zenizeni za hypoglycemia ndi momwe mungapewere?

Hypoglycemia imatha kuchitika chifukwa cha shuga osakwanira omwe amadya.

China chomwe chayambitsa vutoli ndi kupangika kwa mahomoni a kapamba ndi thupi - insulini, yomwe imayang'anira kugwiritsa ntchito shuga.

Monga momwe anthu ambiri amadziwira, matenda a shuga amagawika m'mitundu iwiri yayikulu: wodalira insulin komanso osadalira insulin. Odwala a endocrinologists omwe ali ndi matenda amtundu woyamba amakakamizidwa kuti azikhala ndi thupi lawo lonse kudzera jakisoni wa insulin.

Ndikofunikira kwambiri kuwerengera molondola kuchuluka kwake kotero kuti kuchuluka kwa mahomoni kumakwanira kukonzekera kuchuluka komweko kwa glucose komwe thupi lidalandira kuchokera ku chakudya. Monga lamulo, ndi dokotala-endocrinologist yekhayo amene amaphatikizidwa pakusankhidwa kwa mlingo.

Ngati wodwalayo adadzipatsa insulini yocheperako kuposa momwe amafunikira, ndiye kuti chiwindi chimayamba kuponyera m'magazi njira yayikulu yokhala ndi wowuma - glycogen. Koma, pamene malo awa palibe, kuwukira kwa hypoglycemia sikungapeweke.

Ndizomveka kuti anthu odwala matenda ashuga alibe malo oti zinthu zoterezi sizingachitike. Izi zili choncho chifukwa amadya zakudya zochepa kwambiri. Ichi ndichifukwa chake anthu awa ali ndi chakudya chilichonse pa akaunti yoyipa kwambiri.

Pakadali pano, pali zifukwa zingapo zoyambitsa hypoglycemia:

• kukhazikitsidwa kwa Mlingo wa kapamba wosapanganika,
• kupeza nthawi yayitali popanda chakudya (nthawi yotalikirapo kuposa maola 6),
• kuchita zolimbitsa thupi kwambiri, zomwe zingayambitse kuwonongeka kwazigawo zonse za glucose zomwe zilipo (izi zimaphatikizanso kupezeka kwa glycogen yomwe ilipo m'chiwindi),
• kutsitsa shuga wamagazi kungakhale chifukwa chakumwa,
• matendawa amatha kuchitika chifukwa cha kusamala kwa zakudya zosayenera komanso kugwiritsa ntchito mankhwala apadera omwe ali osavomerezeka kwambiri omwe amaphatikizidwa ndi ena othandizira odwala matenda a shuga omwe amalimbikitsa zochitika za insulin.

Monga lamulo, kutsika kwakukuru m'magazi a glucose kumatha kuyambitsa matenda otchedwa hypoglycemic syndrome osati mwa anthu odwala matenda a shuga.

Amuna ndi akazi ena omwe ali onenepa komanso okalamba, amasankha kuchotsa mapaundi owonjezera osati kudzera pamasewera, koma malinga ndi zakudya zapadera.

Kuphatikiza apo, zomalizazi sizipangidwa molondola ndipo, monga lamulo, munthu amangofa ndi njala, chifukwa chake, mulingo wa shuga m'magazi ake umatsikira kwambiri.

Ngati munthu alibe matenda ashuga, ndiye kuti hypoglycemia ikhoza kukhala chizindikiro cha matenda osiyana kwambiri ndi omwe ali pangozi ya endocrine system.Kuti mudziwe matenda olondola, muyenera kukayezetsa ndi kuthandizira matenda omwe akuyambitsa matenda.

Pofuna kuti musakhale ndi hypoglycemia, muyenera kudziwa zomwe zimayambitsa mawonekedwe ake ndikupatsanso thupi kupewa. Ndikofunikira kwambiri kupewa zinthu zomwe zingayambitse kuchepa kwambiri kwa glucose.

Mwa anthu athanzi

Osati odwala matenda ashuga okha, komanso anthu athanzi labwino omwe ali ndi matenda ochepa a shuga. Pali zinthu zambiri zomwe zingayambitse matenda abwinowa.

Nthawi zambiri, hypoglycemia imapezeka mwa anthu omwe amakonda zakudya zapadera zomwe zimaletsa kugwiritsa ntchito chakudya.

Ndikofunikanso kudziwa kuti imatha kukhazikika chifukwa chosala kudya kwanthawi yayitali. Kutsika kwamwadzidzidzi kwa shuga kungayambike chifukwa cholimbikira ntchito kwambiri, makamaka ngati munthu sanadye nawo. Ndi vuto lalikulu losowa mphamvu, thupi liyenera kugwiritsa ntchito zonse zomwe zimasungidwa kale, zomwe zingayambitse kuchepa kwa shuga.

Zomwe zimayambitsa hypoglycemia nthawi zina ndimamwa kwambiri zakudya zopezeka ndi shuga. Monga lamulo, izi zikugwiranso ntchito kwa anthu omwe akhala akudya chakudya chopatsa thanzi kwa nthawi yayitali. Nthawi yomwe shuga wambiri masiku angapo ndi yochepa, thupi la munthu limafunitsitsa kudya china chake chokhala ndi carb.

Kuphatikiza apo, atapeza zomwe akufuna, zakudya zamafuta zomwe zimayamwa zimamwa nthawi yomweyo, ndipo shuga amayamba kupanga zochuluka, zomwe zimakhala m'magazi kwa nthawi yayitali. Pofuna kuthana ndi kuchuluka kwa shuga, ziphuphu zimayamba kutulutsa insulini mowonjezera.

Komabe, mutatha kulimbana ndi shuga, gawo lina la mahomoni limatsalirabe, zomwe zimakwiyitsa maonekedwe a zizindikirozi. Izi zitha kupewedwa ngati kusinthasintha kwakuthwa kwamlingo wa glucose ndi insulini sikuloledwa ngakhale mutakhala ndi zakudya zoyenera.

Zotsatira zotsatirazi za hypoglycemia mwa anthu athanzi zimasiyanitsidwa:

• kuchepa kwamafuta a pancreatic,
• matenda ogwirizana ndi magwiridwe antchito a endocrine system,
• matenda a chiwindi ndi ziwalo za zotumphukira dongosolo,
• kapamba,
• kuchepa kwamisempha
• kumwa mankhwala ena ake
• kuphwanya kapangidwe ka adrenaline,
• kuperewera kwa adrenal,
• kumwa kwambiri mowa.

Zomwe zimayambitsa hypoglycemia mwa munthu wathanzi zitha kukhala kuchuluka kosakwanira kwa glucagon ya mahomoni, omwe amatchedwa insulin antagonist. Ndi kuchepa kwake, vuto lalikulu la metabolism limachitika, insulini imapangidwa mopitilira muyeso, shuga ikugwa pang'onopang'ono, zomwe zimatsogolera ku thanzi labwino.

Etiology ya hypoglycemia

Zotsatirazi zingapangitse kuti izi zitheke:

• kusowa kwamadzi
• mankhwala ozunza
• mankhwala a pancreatic a shuga,
• kudya mochedwa
• kusowa kwa masewera olimbitsa thupi
• matenda akuluakulu osiyanasiyana
• kusamba
• uchidakwa
• aimpso, chiwindi, mtima ndi mitundu ina ya kulephera,
• kusowa kwa mahomoni
• osati chotupa cha p-cell,
• insulinoma
• mtsempha wowerengeka wamchere ndi dontho.

Hypoglycemia ndimatenda omwe amawoneka ndi kuchepa kwambiri m'magulu a shuga. Ngakhale kuyambika kwa vutoli kumatha kukhudzidwa ndi nkhawa kwambiri. Monga mukudziwira, kuthamangitsidwa kwachisoni ndi munthu wopanda pake kumayambitsa dongosolo la endocrine, lomwe limabweretsa kuchuluka kwa shuga mu nthawi yayitali.

Muyenera kusamala kwambiri ndi kuchepa thupi mothandizidwa ndi zakudya zokhwima. Posakhalitsa, thupi limaperewera, zomwe zimabweretsa mavuto ambiri.

Zizindikiro za matendawa potengera pafupipafupi zomwe zimachitika

Monga lamulo, hypoglycemia imatha kukhala ndi kusintha kwakukuru mu chakudya, komwe kumakhala kochepa mu chakudya.

Pafupipafupi chitukuko cha matenda a m'matumbo ndi awa:

• kuyamba kwa kufooka kwa thupi,
• kupirira njala,
• kusanza ndi kusanza
• kukomoka mtima,
• thukuta kwambiri
• kugwirana chanza
• kupsa mtima, mantha komanso kusokonekera,
• chizungulire
• masomphenya apawiri
• kugona
• kuyankhula kokhazikika komanso kumvetsetsa zomwe zikuchitika,
• kukomoka
• chikomokere
• zotsatira zakupha.

Ngakhale zingaoneke zowopsa bwanji, koma zoterezi zimachitika ngati simulankhula ndi katswiri munthawi yake.

Kodi ndichifukwa chiyani shuga amayamba kugwidwa kwambiri mu mtundu 2 wa shuga?

Zina mwazomwe zimayambitsa kutsika kwam'magazi a shuga kwa odwala omwe ali ndi matenda a shuga a 2 ndi awa:

• kudya zakudya zamafuta ambiri osavuta,
• kugwiritsa ntchito mankhwala osokoneza bongo a shuga ndi zakumwa zoledzeretsa,
• uchidakwa
• nthawi yayikulu pakudya chotsatira,
• mankhwala osokoneza bongo amodzi a pancreatic hormone.
• ntchito yayikulu.

Pochitika ndi endocrinologist, mutha kumufunsa chifukwa chake shuga m'magazi a 2 odwala matenda ashuga, ndi momwe angapewere. Ndikofunika kutsatira malingaliro ake onse ndikuwonetsetsa njira zopewa kupewa.

Makanema okhudzana nawo

Amayambitsa ndi kupewa hypoglycemia:

Ndikofunika kudziwa kuti mawonekedwe osokoneza bongo omwe amadalira insulin ndi ngozi yayikulu kwa wodwala aliyense. Odwala omwe ali ndi luso amatha kumva kuyandikira. Kuti tisunge thanzi ndi moyo, ndikofunikira kupewa zinthu zomwe zimakhudza chitukuko cha matenda. Izi zimaphatikizapo kumwa mowa kwambiri, kupatuka pakudya ndi kuwonjezereka kwamphamvu zolimbitsa thupi.

1. Fotokozani tanthauzo la hypoglycemia.
Mkhalidwe wa hypoglycemia unatanthauzidwa ndi Third International Symposium pa Hypoglycemia monga kuchuluka kwa glucose m'magazi omwe ali pansi pa 2.8 mmol / l (50.4 mg / dl).

2. Ndi zizindikiro zofunika ziti zamankhwala zomwe zimapezedwa pakupezeka kwa hypoglycemia?
Kuyamba koyambirira kwa zizindikiro zomwe zimapezeka pamimba yopanda kanthu kapena mutatha kudya kumathandizira kuzindikira mosiyanitsa, ngakhale mutakhala osiyanasiyana. Zovuta zazikulu, zowopsa m'moyo zimayikidwa ngati kusala kudya kwa hypoglycemic. Zakudya zochepa kwambiri komanso zomwe zimapangidwa nthawi zambiri pakudya zitatha kudya (hypoglycemia) Nthawi zambiri zizindikiro zokhudzana ndi kusala kudya kwa hypoglycemia ndi zizindikiro za neuroglycopenia, zomwe zimayendera limodzi ndi mawonekedwe osinthika a malingaliro kapena mawonekedwe a neuropsychic. Mavuto omwe amachitika pambuyo pakulowetsa (hypoglycemia) omwe amayamba chifukwa cha magazi amathandizidwa ndi kuchepa msanga kwa plasma glucose, monga zimachitika ndi insulin. Zizindikiro zomwe zawonedwera pamenepa zimachitika chifukwa cha kusokonekera kwacatecholamia ndipo zimawonetsedwa mwa thukuta lomwe likuwonjezeka, palpitations, nkhawa, mantha, mutu, "zophimba pamaso" ndipo, nthawi zina, kupita patsogolo ndi kusintha kwa neuroglycopenia ndi chisokonezo. Ngakhale kuti kupatukana uku ndikofunikira pakugawidwa pachipatala, odwala ena amatha kukhala ndi zizindikiro zosakanikirana.

3. Kodi zimayambitsa kusala kudya kwa hypoglycemia ndi ziti?

Matenda a kapamba
Hyperfunction (maselo atatu a ma islets a Langerhans (adenoma, carcinoma, hyperplasia) Hypofunction kapena kusakwanira kwa ma cell a islets.

Matenda a chiwindi
Matenda akulu a chiwindi (cirrhosis, hepatitis, carcinomatosis, kulephera kwa magazi, kukwera kwa matenda a cholangitis).

Fermentopathy (glycogen, galactosemia, chibadwa cha fructose tsankho, kupezeka kwa galactose ndi fructose tsankho, kusowa kwa fructose-1-6-diphosphatase).

Matenda a pituitary-adrenal (hypopituitarism, matenda a Addison, adrenogenital syndrome).

Matenda a chapakati mantha dongosolo (hypothalamus kapena tsinde laubongo).
Minofu (hypoalaninemia?).
Neoplasms yopanda pancreatic Mesodermal zotupa (spindle cell fibrosarcoma, leiomyosarcoma, mesothelioma, rhabdomyosarcoma, liposarcoma, neurofibroma, reticulocellular sarcoma). Adenocarcinoma (hepatoma, cholangiocarcinoma, chapamimba carcinoma, adrenocorticocarcinoma, cecum carcinoma.

Zosadziwika
Kuwonongeka kwambiri kapena kugwiritsa ntchito shuga komanso / kapena gawo lofooka (kuchita masewera olimbitsa thupi kwa nthawi yayitali kapena kulimbitsa thupi, kutentha thupi, limodzi ndi matenda otsekula m'mimba, kuperewera kwa njala. Ketotic hypoglycemia mu ubwana (idiopathic ubwana hypoglycemia).

Zomwe zimayambitsa
Iatrogenic (wogwirizanitsidwa ndi chithandizo cha mankhwala a insulin kapena shuga ochepetsa omwe amagwiritsidwa ntchito pakamwa).
Zachilendo (zimawonedwa, monga lamulo, pakati pa anamwino). Pharmacological (Ackee nati, salicylates, antihistamines, monoamine oxidase inhibitors, propranolol, phenylbutazone, pentamidine, phenotol-min, mowa, angiotensin-kutembenuza enzyme zoletsa).

4. Ndi ziti zomwe zimayambitsa postprandial hypoglycemia kapena reactive hypoglycemia?

Zakudya zoziziritsa kukhosi (shuga, sucrose)
The yogwira hypoglycemia.
Alimentary hypoglycemia (imaphatikizapo odwala omwe adachitidwa opaleshoni yam'mimba, zilonda zam'mimba, matenda am'mimba motility matenda am'mimba komanso matenda a m'mimba thirakiti.

Mtundu woyambira II matenda a shuga.
Hormonal (imaphatikizapo hyperthyroidism ndi syndromes osakwanira a cortisol,
adrenaline, glucagon, mahomoni a chithokomiro komanso mahomoni okula).
Idiopathic.

Zina.
Kuperewera kwa chiwindi choyambirira cha gluconeogenesis (kuchepa kwa fructose-1-6-di-phosphatase).

Mankhwala a narcotic (mowa gin ndi tonic, lithiamu).

Insulin kapena autoantibodies ku insulin receptors.

Kuchitiranso gawo lina (fructose, leucine, galactose).

6. Hypoglycemia ikachitika, ndi zochitika ziti zamagetsi zomwe zimasinthidwa zomwe zimasunga shuga wa metabolism yaubongo?
Glucagon ndi adrenaline ndiye mahomoni akuluakulu obwezeretsanso malamulo. Ma mahomoni ena omwe amayankha kupsinjika kwa hypoglycemic ndi noradrepaln, cortisol ndi mahomoni okula, koma zotsatira zake zimachedwa.
Zotsatira za metabolic za glucagon ndi adrenaline zimachitika mwachangu: kukondoweza kwa glycogenolysis mu chiwindi ndipo, pambuyo pake, gluconeogeneis amachititsa kuchuluka kwa shuga kwa chiwindi. Glucagon mwina ndi mahomoni ofunikira kwambiri pakubweza panthawi ya hypoglycemia. Ngati chinsinsi cha glucagon sichisokonezedwa, ndiye kuti zizindikiro za hypoglycemia zimachotsedwa mwachangu. Ngati glucagon secretion yafupika kapena kulibe, ndiye kuti makatekisamaoni ndi mahomoni ofunikanso kusintha mobwerezabwereza.

7. Ndi mayeso ati a labu omwe amathandizira kuyeza kusala kudya kwa hypoglycemia?
Poyamba, kutsimikiza komweko kusamala kwa shuga wamagazi ndi milingo ya insulin ndikofunikira. Hypoglycemia yokhala ndi hyperinsulinemia yosayenera imafotokoza za kukhalapo kwa chitetezo chokwanira cha insulin, chomwe chimatheka mwa odwala omwe ali ndi insulinoma (carcinoma ndi hyperplasia) kapena pogwiritsa ntchito mankhwala osokoneza bongo a insulin kapena shuga.Hypoglycemia ikaphatikizidwa ndi mfundo zotsika za insulin, ndikofunikira kuti mufufuze zinthu zomwe siziri insulin-mediated pazomwe zimapangitsa kuti kusala kudya kwambiri kugwiritse ntchito.

8. Kodi ndi mayeso ati a labotale omwe amathandizira kuyesa odwala omwe ali ndi insulin yolingalira?
Odwala omwe ali ndi insulinomas, kusokonezeka kwa insulin kutulutsa kumabweretsa kuchuluka kwa insulin, ngakhale kukhalapo kwa hypoglycemia. Pa hypoglycemia yodziwika bwino, odwala amakhala ndi insulini yambiri komanso kuchuluka kwa insulini ku glucose. Mawonekedwe oterewa amatha kuonekanso kwa odwala omwe amatenga sulfonylurea mkatikati; kuwunika mankhwala kumathandizira kupatula mitundu iwiri iyi ya nosological. Kuwerengeka kwa insulini pakusala kudya m'magazi a glucose nthawi zambiri kumakhala kochepa kuposa 0.33. Nthawi zambiri, immunoreactive proinsulin ndi ochepera 10-20% ya insulin immunoreactivity, kuchuluka kwake kumawonjezeka kwa odwala omwe ali ndi insulinoma, koma izi sizimawonedwa mwa odwala omwe ali ndi bongo wa sulfonylurea, omwe amatengedwa pakamwa.

9. Ndi mayeso ati omwe amathandizira kusiyanitsa zomwe zimachitika chifukwa cha kutenga insulinoma?
Kuphatikiza pa mayeso omwe adafotokozedwa pamwambapa kuti apezeke insulinoma, kuyeza zomwe zili mu C-peptide pakuwukira kwa hypoglycemia kumathandizira kusiyanitsa pakati pa zinthu ziwiri izi. Odwala ndi insulinoma pali umboni wambiri wa katulutsidwe wa insulin mu mawonekedwe apamwamba a insulin, proinsulin ndi C-peptide motsutsana maziko a hypoglycemia. Odwala omwe amapaka insulin palokha, m'malo mwake, ntchito ya amkati (3-cell) imalephereka ndipo zomwe zili mu C-peptide zimatsika ndi hypoglycemia, pomwe mfundo za insulin zimakwezedwa. Pali kuponderezana pazomwe zili ndi C-peptide yosakwana 0,5 mg / ml.Iyenera kudziwidwa kuti mwa odwala omwe mosasamala kapena popanda kupereka dokotala amatenga sulfonylurea pakamwa, zotsatira za mayeso a labotale ndizofanana ndi zomwe zili ndi odwala omwe ali ndi insulinoma, mwachitsanzo, kuchuluka kwa C-peptide, komabe, kuchuluka kwa oinsulina iwo yachibadwa.

10. Ngati kukayikiridwa kwa insulin ndikofunikira, ndipo zotsatira za mayeso sizikukhutiritsa, ndiye maphunziro ena owonjezereka omwe angachitikebe?
Kuyesedwa kwa kukopa ndi kuletsa sikuthandiza, ndipo zotsatira zake nthawi zambiri zimakhala zolakwika. Kusala kudya kwa maola makumi awiri ndi awiri ndi glucose komanso maola 6 aliwonse kuthandizira kuwonetsa hypoglycemia yaposachedwa mwa odwala ambiri omwe ali ndi insulinoma. Hypoglycemia imadziwonetsera yokha mkati mwa maola 24 akusala. Ndikofunikira kutenga zitsanzo zamagazi pomwe wodwala akayamba kukhala ndi hypoglycemia. Ngati wodwalayo ali asymptomatic patatha maola makumi awiri ndi awiri, ndiye kuti wodwalayo ayenera kuchita zinthu zolimbitsa thupi kuti ayambe kudwala matenda a hypoglycemia.

11. Kodi ndimikhalidwe iti yomwe imayambitsa (3-cell hyperinsulinemia?
Mu 75-85% ya milandu, chachikulu chomwe chimapangitsa insulinoma ndi adenoma ya islet minofu ya kapamba. Pafupifupi 10% ya milandu, ma adenomatosis ambiri amadziwika. Mu milandu ya 5-6%, ma hyperplasia a maselo obisika amawonekera.

12. Ngati ena m'banjamo ali ndi zotupa zapancreatic, kodi akuyembekezeranji?
Multiple endocrine neoplasia (MEN-1) imachitika ngati chotupa chodziwika bwino cha m'mabanja omwe ali ndi zotupa zomwe sizigwira ntchito, zotupa za parathyroid kapena hyperplasia ndi islet cell, zina mwazomwe zimatha kuphatikizira insulin ndi hastrinoma (Zollinger-Ellis syndrome). Zotupa zotumphukira zoterezi zimatha kupangitsa polypeptides ena ambiri, kuphatikiza glucagon, pancreatic polypeptide, somatostatin, ACTH, melanocytostimulating hormone (MSH), serotonin, kapena kukula kwa hormone yotulutsa.Ngati MEN-1 ikukayikiridwa, ndiye kuti ndikofunikira kupenda ambiri m'mabanja kuti muwone mbali za zovuta za polyglandular zomwe zimayambitsidwa ndi chotupacho.

13. Kodi nezidioblastoz ndi chiyani?
Necidioblastosis ndi mtundu wa maselo obisika omwe ma cell ofunikira a kapamba amasiya maselo ang'onoang'ono omwe amatha kupatula secretion ya polyhormonal (gastrin, pancreatic polypeptide, insulin ndi glucagon). Matendawa ndi omwe amatsogolera hyperinsulinulin hypoglycemia mu makanda ndi makanda, koma amathanso kuyambitsa hypoglycemia mwa achinyamata ndi akulu.

14. Kafukufuku wa pancreatic islet-cell hyperinsulinemia akakhazikitsidwa, ndi njira ziti zomwe zingathandize kudziwa komwe chotupacho chili?
Njira monga ma ultrasound diagnostics, m'mimba angiography, aortography ndi kusanthula kwamkati pamatumbo am'mimba nthawi zambiri sizosintha ndikuwonetsa kutulutsa kwa insulin pafupifupi 60%. Ma insulinomas ena ndi ochepa kwambiri (ochepera mamilimita ochepa) ndipo amadziwika mosavuta. Endoscopic ultrasound ikhoza kukhala yothandiza. Transhepatic, transdermal venous blood sampling ingathandize ndi kutulutsa kwa zotupa zam'mimba komanso kusiyanasiyana kwa insulinomas yokhayokha ndikusokoneza zotupa (adenomatosis, hyperplasia kapena non-idioblastosis). Chothandiza kwambiri pa ultrasound nthawi ya opaleshoni kuti muzindikire zotupa za kapamba.

15. Ngati chithandizo chakuchita opaleshoni sichingatheke, kapena ngati wodwala ali ndi carcinoma ya metastatic kapena yogwira, adenomatosis, hyperplasia, kapena non-idioblastosis, ndimankhwala ati omwe angaimitse hypoglycemia?
Nthawi zambiri, pakachitika izi, diazoxide, analog yokhala yaitali somatostatin, kapena streptozocin, imagwiritsidwa ntchito. Maziko a chisamaliro chamankhwala ndichakudya chomwe ndimadya pafupipafupi. Mankhwala othandizira ndi mankhwala ena nthawi zambiri amakhala osagwira ntchito, koma amatha kuyesedwa pazovuta. Mankhwala omwe mungathe kusankha ndi monga calcium calcium blockers, propranolol, phenytoin, glucocorticoids, glucagon ndi chlorpromazine. Mankhwala ena a chemotherapy a khansa amaphatikizapo mitramycin, adriamycin, fluorouracil, carmustine, mitomycin-C, L-asparaginase, doxorubicin, kapena chlorozotocin.

16. Kodi ndi zinthu ziti zomwe zimayambitsa matenda aubwana?
Pafupipafupi milandu ya hypoinsulinemic hypoglycemia mu makanda ndi ana ang'onoang'ono imakupatsirani matenda obadwa nawo, monga glycogenoses, kusokonekera kwa gluconeogene ", kuchepa kwa carnitine ndi ketotic hypoglycemia. Kuperewera kwa Hormonal (glucagon, kukula kwa mahomoni, chithokomiro ndi mahomoni a adrenal) amathanso kuyambitsa hypoglycemia. Komanso, ana amakonda kwambiri mankhwala osokoneza bongo mwangozi, makamaka ma salicylates ndi mowa. Monga tanena kale, ana omwe ali ndi hyperinsulinemic hypoglycemia atha kukhala ndi nezidioblastosis kapena kupatsira insulin cell hyperplasia.

17. Kodi ndi mankhwala ati omwe angayambitse hypoglycemia mwa akulu?
Akuluakulu, zomwe zimayambitsa kwambiri hypoglycemia yomwe ili ndi mankhwala osokoneza bongo zimaphatikizapo antidiabetesic (yogwiritsidwa ntchito pakamwa) sulfonylurea, insulin, ethanol, propranolol ndi pentamidine. Mndandanda wathunthu wa mankhwala ogwirizana ndi hypoglycemia mu milandu ya 1418 imaperekedwa ndi Zeltzer.

18. Kodi mowa umabweretsa bwanji hypoglycemia?
Ethanol imatha kuyambitsa hypoglycemia mwanjira zabwinobwino, odzipereka athanzi pambuyo pothamanga kwa maola 36-72 mofulumira.Kumwa mowa wochepa kumatha kuchita (pafupifupi 100 g). Mowa umayambitsa hypoglycemia ikalumikizidwa ndi kusadya bwino kapena kusala kudya, komwe kumachepetsa masitolo a glycogen m'chiwindi. Mowa umayambitsa hypoglycemia mu izi mwa kuphwanya njira ya metabolic ya glucopeogeneis kudzera pakusintha kwa chiyezo cha cytosolic cha NADH 2 / H AD. Kuphatikiza pa njira za intracellular, ethanol imalepheretsanso kuyamwa kwa lactate, alanine ndi glycerol ndi chiwindi, zonse zomwe zimathandizira kupanga glyconeogenic kupanga chiwindi. Ethanol amachepetsa kwambiri kuchuluka kwa alanine m'magazi poletsa kuchuluka kwake kwa minofu.

19. Nthawi zina hypoglycemia siimayamba chifukwa cha insulomas. Ndi zotupa ziti zomwe zikutchulidwa ndipo makina a hypoglycemia ndi ati?
Mitundu yosiyanasiyana ya mesenchymal tumors (mesothelioma, fibrosarcoma, rhabdomyosarcoma, leiomyosarcoma, liposarcoma ndi hemangiopericytoma) ndi ma organic accincincincinoma (hepatic, adrenocortical, urogenital ndi mammary). Hypoglycemia imatha kuphatikizidwa ndi pheochromocytoma, carcinoid, ndi matenda am'magazi owopsa (leukemia, lymphoma, ndi myeloma). Makinawo amasiyanasiyana malinga ndi mtundu wa chotupa, koma nthawi zambiri, hypoglycemia imalumikizidwa ndi vuto la kusowa kwa thupi chifukwa cha chotupa komanso kuchepa kwa thupi chifukwa cha mafuta, minofu ndi minyewa yofinya, yomwe imasokoneza chiwindi glyconeogenesis. Nthawi zina, kugwiritsidwa ntchito kwa shuga ndi zotupa zazikulu kwambiri kungayambitse hypoglycemia. Ma tumors amathanso kubisa zinthu zina za hypoglycemic, monga zinthu zina zosaponderezedwa za insulin komanso zinthu monga kukula kwa insulini, zomwe zimatchulidwanso kwambiri ngati insulin ngati ukukhula factor-P (IGF-P). Mwa kumangiriza ma insulin receptor mu chiwindi, IGF-P ikulepheretsa kupanga kwa chiwindi ndi chiwindi ndikupititsa patsogolo hypoglycemia. Tumor cytokines amaganiziridwanso, makamaka chotupa necrosis factor (cachectin). Nthawi zambiri, chotupa chimabisira insulin yowonjezera.

20. Ndi ma syndromes otani a autoimmune omwe angagwirizane ndi hypoglycemia?
Autoantibodies yoyendetsedwa motsutsana ndi insulin kapena ma receptor ake imatha kupangitsa kukula kwa hypoglycemia. Ma insulinomimetic antibodies kupita ku ma insulin receptors amamangirira ma receptors ndikutsatira zomwe zimapangitsa insulini pakukulitsa kugwiritsidwa ntchito kwa glucose odziwika mu minofu yomwe ikukhudzidwa. Ma Autoantibodies omwe amamanga insulini amatha kukhala osadzipatula, nthawi yayitali atangodya, ndipo ma cell a insulin omasuka amawonjezeka kwambiri, motero amachititsa hypoglycemia. Vutoli yotchedwa autoimmune insulin syndrome imakhala yofala kwambiri kwa odwala aku Japan ndipo nthawi zambiri imaphatikizidwa ndi matenda ena a autoimmune, monga matenda a Graves, nyamakazi, systemic lupus erythematosus, ndi mtundu wa shuga.

21. Ndi liti pamene hypoglycemia imagwirizananso ndi matenda ena?
Nthawi zambiri, odwala amakhala ndi njira zingapo zopangira hypoglycemia, kuphatikizapo kulephera kwa impso, matenda a chiwindi, mankhwala othandizira, komanso kuperewera kwa zakudya m'thupi. Kulephera kwa hepatatic kumabweretsa hypoglycemia chifukwa cha gawo la chiwindi mu gluconeogeneis. Hypoglycemia mu congestive mtima kulephera, sepsis ndi lactic acidosis amagwirizananso ndi mapangidwe a hepatic. Hypoglycemia imachitika, ngakhale nthawi zambiri, mu kusakwanira kwa adrenal. Mikhalidwe yofulumira, monga anorexia manthaosa komanso mapuloteni osakwanira, imayambitsanso hypoglycemia.

22. Ndi mikhalidwe yotani ya endocrine yomwe imagwirizana ndi hypoglycemia?
Kuphatikiza pa kusokonezeka kwa islet cell minofu, hypoglycemia imatha kuwonedwa ngati kusakwanira kwa gongo lakuthwa kwamkati, komwe kubisalira kwa kukula kwa mahomoni, ACTH ndi mahomoni olimbikitsa a chithokomiro sikokwanira.Kuphatikiza apo, choyambirira cha adrenal insufficiency ndi hypothyroidism yoyambilira imatha kuphatikizidwa ndi yogwira hypoglycemia kapena hypoglycemia yofulumira.

23. Ndi liti pamene hypoglycemia imagwirizanitsidwa ndi kulephera kwa impso?
Chithunzi cha kuchipatala cha kulephera kwa impso chimaphatikizapo kuperewera kwa zakudya m'thupi ndi mafuta-rexia, kusanza ndi kuyamwa bwino kwa chakudya chamagulu. Kuchepa kwa minyewa ya impso kumatha kukhala vuto lotsogolera matenda a hypoglycemia, popeza impso imatenga gawo limodzi pafupifupi 1/3 la gluconeogenesis pa nthawi ya mavuto a hypoglycemic. Kulephera kwamkati kumabweretsa kusintha kwa kagayidwe kazakumwa, kamene kamathandizanso pakukula kwa hypoglycemia. Kulephera kwa hepatatic kumatha kukhala limodzi ndi kufooka kwa impso. Sepsis mwa odwala omwe amalephera aimpso amathandizira kwambiri ku hypoglycemia. Nthawi zina, dialysis imagwirizanitsidwa ndi hypoglycemia, chifukwa impso ndi malo ofunikira pakuwonongeka kwa insulin. Ndi kutaya kwa impso, odwala matenda ashuga ayenera kutsika insulin.

24. Kodi ndi mikhalidwe iti yomwe imayambitsa kugwiritsidwa ntchito kwa hypoglycemia?
Mwa odwala ambiri, ndi idiopathic mwachilengedwe, popeza analibe matenda amtundu wamatumbo (anamentary reactive hypoglycemia), kuperewera kwa mahomoni, kapena matenda ashuga okosijeni. Odwala ambiri omwe ali ndi idiopathic reactive hypoglycemia amakhala ndi kuchepetsedwa kwa insulin (dysinsulinism), yomwe sikokwanira panthawi yake ndipo amaphatikizidwa ndi dontho la glucose m'madzi a m'magazi, ena mwa iwo amakhala ndi hyperinsulinemia atatha kudya. Nthawi zina wodwala yemwe ali ndi insulinoma amatha kukhala ndi hypoglycemia, yomwe imawoneka yolimba, chifukwa imayamba kudya. Odwala omwe ali ndi insulin autoantibodies, insulin-antibody dissociation imatha kuchitika pambuyo chakudya. Reactive hypoglycemia imadziwika mu odwala omwe amatenga tambala - gin ndi tonic - ndipo mwa odwala ena omwe amatenga lifiyamu molingana ndi dokotala.

25. Kodi ndi mikhalidwe iti yomwe iyenera kuganiziridwa ngati wodwala wapezeka ndi matenda oopsa?
Odwala ambiri omwe amadandaula kuti amenyedwa ndikatha kudya alibe hypoglycemia, m'malo mwake amatha kukhala ndi zina mwazinthu zingapo zomwe zimawoneka ngati zosamveka bwino, zovuta za episodic, zomwe nthawi zambiri zimakhala zachilendo.

Kusiyanitsa kodziwika kwa khunyu

Arrhythmias (sinus node kuponderezedwa, kumangidwa kwa mtima, tachycardia, atraya fibrillation-flutter, tachibradi-cardiac syndromes, kuphatikizapo sinus nodeofo syndrome, atrioventricular dissociation ndi Adams-Stokes)
Embolism ndi / kapena microembolism ya m'mapapo
Orndostatic Hypotension Syndromes
Neurocirculatory dystonia (p-adrenergic
hyperreactive state) Mitral valve kukanika Kulimbitsa mtima kulephera

Hyperthyroidism
Hypothyroidism
The yogwira hypoglycemia
Kuthamanga kwa hypoglycemia
Pheochromocytoma
Carcinoid syndrome
Anasokonekera angioedema
Pigment urticaria
Hyperbradikinesia
Matenda a Addison
Hypopituitarism
Kuchepa kwa kusamba kwa hypothalamic-pituitary
Matenda a shuga
Matenda a shuga

Matenda a neuropsychiatric

Mavuto a Epileptiform
Autonomic mantha dongosolo
Thupi la diencephalic (wodziyimira pawokha
khunyu)
Hyperventilation Syndrome Catalepsy
Mantha a neurosis Hysteria Migraine Swoon
Psychophysiological reaction
Kutembenuka kwamanyazi

Sepsis Anemia Cachexia
Hypovolemia (kuchepa madzi m'thupi) Kugwiritsa ntchito okodzetsa a Clonidine achire matenda
Monoamine Oxidase Inhibitors Plus
tyramine (tchizi, vinyo)
Asthma Idiopathic Syndrome Pambuyo pa Chakudya

Matenda am'mimba

Kutaya matumbo pambuyo pakuchita opareshoni pamimba
Kutaya thupi kutaya pambuyo kudya popanda opareshoni yam'mimba thirakiti
Matenda a "malo odyera achi China"
Matumbo osakwiya
Kusalolera chakudya

26. Kodi wodwala matenda obwera chifukwa cha hypoglycemia amapezeka bwanji?
Reactive hypoglycemia ndi matenda omwe amapezeka pokhapokha, pambuyo poti zinthu zambiri zomwe zimayambitsa "kukhudzika." Ndi hypoglycemia yeniyeni yokhudza matenda, zovuta zomwe zimagwirizana ndi zakudya, ndizotheka kuti wodwalayo amatha kudya zakudya zochulukirapo kapena zakudya zoperewera kwambiri za glycemic Low Low shuga wamagazi ndim zotsatira za hyperinsulinism mutatha kudya kapena kuphwanya insulin Zakudya zoziziritsa kukhosi zomwe zimadya zakudya zamafuta osakanikirana kapena zakudya zokhala ndi chidziwitso chachikulu cha glycemic zitha kuwoneka pofunsa wodwalayo za zakudya zake Kudya mafuta okhazikika nthawi zonse mpaka 8-10% ya kuchuluka kwa chakudya komwe kumatsirizidwa kumathetsa vuto la odwala omwe ali ndi matendawa. - matenda amisala, mantha kapena mawonekedwe a kupsinjika ndi zomwe zimayambitsa matenda a episodic, omwe wodwalayo amadzidziwitsa yekha yogwira hypoglycemia Zoona zotakasika hypoglycemia ndizosowa.

Pali matenda ambiri omwe samasokoneza moyo wa munthu, koma amatha kumuwopseza posachedwa. Nthawi zambiri, matendawa amakhudzana ndi kusayenda bwino kwa ziwalo zazikuluzikulu komanso zofunikira kwambiri mthupi la munthu: kuzungulira, kuchotsera, mahomoni, musculoskeletal, ndi zina zambiri. Lero tikulankhula za matenda monga hypoglycemia: Zizindikiro, thandizo loyamba, zomwe zimayambitsa, njira zamankhwala.

Kodi hypoglycemia ndi bwanji?

- kachidindo ka michere 10 E 16.2 ndimatenda osowa omwe amadziwika ndi shuga, kapena shuga, m'magazi. Aliyense amadziwa kuti glucose ndi wofunikira, pafupifupi chofunikira kwambiri pakukula kwa ubongo, kugwira ntchito kwake moyenera, kumathandizira kukumbukira ndikuyang'anitsitsa. Kuphatikiza apo, shuga ndi gawo lofunikira kwambiri lamphamvu ndipo limakhudzidwa mwachindunji ndi mavitamini ena ndi ma amino acid. Ndikosavuta kulingalira momwe thupi limasilira bwino pakusowa kwofunikira.

M'mkhalidwe wabwinobwino, shuga wa magazi a munthu ayenera kukhala 3,8 - 6.5 mmol / L. Koma pazifukwa zina, nthawi zina msambo uwu umatha kutsika mpaka 3,3 mmol / L ndikukhala wotsika kwambiri. Poterepa, pali chiwopsezo chenicheni ku thanzi la wodwalayo ngakhale moyo wake wonse.

Zimayambitsa hypoglycemia

Nthawi zambiri, mavuto a shuga wamagazi amapezeka mwa anthu odwala matenda ashuga komanso anthu omwe amadalira insulin. Chifukwa chake, zikuwoneka kuti hypoglycemia imakhudza makamaka iwo omwe amatenga matenda. Mwambiri, umu ndi momwe zilili, koma hypoglycemia imayambitsa zina, monga:

1. Mankhwala osokoneza bongo kwambiri a insulin, izi zimakhudzanso odwala matenda ashuga. Ngati munthawi ya chithandizo wodwalayo amagwiritsa ntchito molondola mlingo wa mankhwalawa, ndiye kuti izi zitha kubweretsa kutsika kwamphamvu m'magazi ndikupangitsa hypoglycemia.
2. Kukhumba kosalekeza kwa kuwonda. Zomwe azimayi okha sangachite chifukwa chocheperako komanso mawonekedwe okongola! Zakudya zamitundu mitundu, masiku osala kudya, kusala kudya, chifukwa cha bulimia, anorexia, hypoglycemia. Thanzi liyenera kukhala loyenera, ndipo sizoyenera kuti munthu wina azichotsera pachakudya chilichonse kapena zida zingapo zomangira zomwe ndizofunikira kwa thupi. Izi zimaphatikizapo shuga ndi shuga. Chilichonse chikuyenera kukhala chopumira.
3. Kuchita zolimbitsa thupi kwambiri.Ndizodziwikiratu kuti pamasewera ndi zochitika zina zakunja timagwiritsa ntchito mphamvu zambiri, ndipo ngati sichitulutsidwa ndi shuga, nthendayi yosasangalatsa imatha kuyamba.
4. Kupsinjika kwakukulu kumatha kugwira ntchito ya endocrine system, kupititsa patsogolo kupanga mahomoni, kuyambitsa ntchito yake yonse. Chifukwa chake, mphamvu zambiri zimafunikira kuti zibwezeretsedwe, pomwe glucose imagwiritsidwa ntchito mwachangu ndikudya. Ngati simubwezeranso nthawi yake, ndiye kuti ibwera mofulumira ku hypoglycemia.
5. Hypoglycemia pa nthawi ya pakati imachitika kangapo, chifukwa nthawi zambiri m'malo osangalatsa pamasinthasintha kuchuluka kwa shuga m'magazi. Zofananazi zingatchulidwe ndi azimayi oyamwitsa. Chifukwa chake, panthawiyi, ndikofunikira kuyang'anitsitsa zakudya zanu.
6. Kuledzeretsa kuledzera kumapangitsanso hypoglycemia. Izi sizitanthauza kuti wodwala ayenera kukhala chidakhwa, koma ngakhale pambuyo poti mwapita ", kuchitika kwa hypoglycemia kumatha kuchitika.
7. Matenda angapo, kuphatikiza ndi matenda ashuga, amathanso kuyambitsa kukula kwa hypoglycemia ngati nthenda yolumikizana. Zina mwa izo ndi matenda a impso ndi adrenal tiziwalo timene timatulutsa mtima, mtima, chotupa, matenda ammimba, chiwindi, meningitis. Nthawi zina pamakhalanso zovuta za kubadwa kwa insulin mthupi ndi mayamwidwe a shuga.

Mukuwona kuti odwala matenda ashuga okha ndi omwe ali pachiwopsezo cha hypoglycemia.

Zizindikiro za hypoglycemia

Pamwambapa tidayankha funso, hypoglycemia - ndi chiyani? Zizindikiro zake mwa amayi ndi abambo zimawonetsedwa pafupifupi, komabe matendawa amapitilira theka lokongola laumunthu, chifukwa chake tikambirana za zizindikiro za matendawa.

Ndiye, kodi hypoglycemia imadziwika ndi zizindikilo ziti?

• thukuta
• kumangokhalira kumva njala
• dzanzi ndi kubinya kwa milomo ndi zala.
• khungu loyera,
• manja ndi miyendo akunjenjemera

Zizindikiro izi za hypoglycemia zimatha kudwala matenda amitundu iwiri komanso mwa anthu omwe ali ndi thanzi labwino akangoyamba kumene. Ndipo ngati mukumva, ndiye kuti muyenera kuchitapo kanthu kuti muwonjezere kuchuluka kwa shuga m'magazi. chifukwa mukapanda kuyambitsa chilichonse, chitha kukhala chipongwe cha hypoglycemic. Itha kuzindikirika ndi zizindikiro izi:

• tachycardia
• thukuta kwambiri
• dontho lakuthwa pang'ono kutentha ndi kuponderezedwa,
• kutaya kwathunthu kwa chidwi chakunja, kuphatikizapo zomwe zimabweretsa zowawa.

Mukangozindikira chimodzi mwazizindikiro zomwe zili pamwambapa, itanani ambulansi, ndipo pamene akuyenda, mutha kuyeserera kudzithandiza kuwonjezera kuchuluka kwa shuga.

Kuphatikiza pazizindikiro zomwe zili pamwambapa, anthu omwe ali ndi hypoglycemia amathanso kuchita zinthu zina zamisala, ngati amamwa mowa kapena kugwiritsa ntchito mankhwala osokoneza bongo: atha kukhala kuti asokoneza mgwirizano, amakhala ndi nkhawa, samva bwino komanso kumva. khalani tcheru kwambiri ndi malingaliro anu kapena machitidwe a okondedwa, ngati matendawa adawakhudza kuti athe kupereka chithandizo chofunikira munthawi yake.

Mitundu ya Hypoglycemia

Kusowa kwa glucose, kapena hypoglycemia, kumatchulidwa m'mitundu iwiri yayikulu.

1. The yogwira hypoglycemia. Madokotala amachitanso kuti "postprandial" ndikumvetsetsa kwake ngati kuchepa kwa shuga wamagazi pambuyo chakudya chachikulu. Zitha kuwoneka kuti ndizododometsa - mutatha kudya, kuchuluka kwa shuga pambali yake kuyenera kuchuluka. koma pamenepa, thupi limayamba kutulutsa insulin yambiri, ndipo zotsatirapo zake zimachitika. Nthawi zambiri mtundu uwu wa hypoglycemia umapezeka mwa iwo omwe adachitidwapo opaleshoni yam'mimba pamimba.
2. Osakhalitsa hypoglycemia. Amayamba mwa iwo omwe amakonda zakudya zolimba, kusala, kumwa mankhwala osiyanasiyana kuti muchepetse kunenepa.Nthawi zambiri amapezeka mwa makanda obadwa pasadakhale, omwe minyewa yake yambiri imakhala yaying'ono. ndi mtundu wowopsa wa hypoglycemia womwe uyenera kuthandizidwa.

Chithandizo choyamba cha matenda a shuga

Mankhwala a hypoglycemia ndi ovuta komanso aatali. Nthawi zonse muyenera kumvetsetsa kuti matendawa okha sangathe; nthawi zonse amakhala chotsatira kapena cholumikizira cha matenda ena oyambitsidwa, matenda a shuga. Chifukwa chake, pofuna kuchiritsa hypoglycemia, muyenera choyamba kuyika mphamvu zanu zonse pachipatala chachikulu.

Koma nthawi yomweyo, muyenera kukhala okonzeka nthawi zonse kudzipereka nokha kapena kwa anansi chithandizo choyamba cha hypoglycemia. Simungadziwe komwe kuukira kwamatenda oyipa kumeneku kungakupezeni, ndipo ngati simutenga nthawi moyenera, ndiye kuti chilichonse chitha kukhala chodetsa nkhawa kwambiri.

Kuti muchepetse vuto la hypoglycemic mwachangu momwe mungathere, nthawi zonse muyenera kukhala ndi china chokoma ndi inu: caramel, chidutswa cha shuga, chidutswa cha chokoleti, zipatso zotsekemera kapena mapiritsi a shuga. Onetsetsani kuti mwabwera ndi glucometer yomwe mumatha kuyang'anitsitsa shuga yanu yamagazi ndikuisintha moyenerera.

Chifukwa chake, palibe kuukira komwe kungadabwe. Koma kuwonjezera pa chisamaliro chadzidzidzi cha hypoglycemia, mukufunikabe kutsatira malamulo ena omwe angapewe kudwala, kapena kupangitsa kuti akhale osowa.

Choyamba, simungathe kulumpha zakudya, zodyera zazing'ono zimafunikira mutatha kulimbitsa thupi. Osasokoneza izi ndi kudya kwambiri komanso kususuka. Chilichonse chikuyenera kukhala chopumira.

Kachiwiri, muyenera kutsatira zakudya zapadera za hypoglycemia. Monga lamulo, odwala oterewa amasamutsidwa "otchedwa" tebulo 9 ". Nthawi yomweyo, zovuta za chakudya zamagulu zimayenera kukhala m'zakudya zanu za tsiku ndi tsiku, mwachitsanzo, buledi wathunthu, tirigu wophika zipatso, zipatso. Athandizira thupi lanu kukhala ndi mphamvu komanso osasungidwa m'malo ovuta kwambiri, zomwe zimakonda kukhala ndi chakudya champhamvu kwambiri. Mwa kudya zakudya zotere nthawi zonse, mutha kukhalabe ndi shuga wamagulu.

Kuzindikira matendawa

Mungamvetse bwanji kuti mumadwala matenda a shuga? Kodi kudziwika kwa hypoglycemia pogwiritsa ntchito kachilombo kakang'ono kwambiri 10 E 16.2 ndi kotani?

Timalankhula za njira zazikulu zitatu zomwe madokotala amagwiritsa ntchito kuti adziwe matenda. Izi nthawi zambiri amatchedwa Whipple triad.

Chizindikiro chimodzi cha matenda ashuga ndi hypoglycemia, chomwe chikuwonetsa kuchepa kwambiri kwa shuga m'magazi chifukwa cha mankhwala osokoneza bongo omwe amachepetsa shuga kapena insulin. Zotsatira za matenda amtunduwu, hypoglycemic syndrome imayamba, pomwe pakakhala chithandizo chanthawi yake chimayambitsa matenda a ubongo, mpaka matenda a dementia. Kuti mupewe kuchitika mwadzidzidzi munthawi yake, ndikofunikira kudziwa mwatsatanetsatane zomwe zimayambitsa hypoglycemia komanso kupewa kuwonetsa zifukwa zoyambitsa.

Zomwe zimachitika

Ndi kuchepa kwakukulu kwa shuga m'magazi a wodwala matenda ashuga, kuukanso kwina kumayembekezeredwa, chikomokere sichimaphatikizidwa. Ngakhale mkhalidwe wofala utatha chifukwa cha mankhwala ena, masitolo a glycogen omwe akubwera mtsogolo akhoza kubweretsanso chakudya champhamvu mobwerezabwereza. Kuti athane ndi vuto la kuperewera kwa shuga, ndikofunikira kuti mudziwe za etiology. Anthu odwala matenda ashuga nthawi zambiri amakhala pachiwopsezo, pomwe hypoglycemia imatha kuchitika ngati:

• wodwalayo sanadye chakudya pambuyo pa chizolowezi chomwa mankhwala kuti muchepetse magazi,
• sanasankhe molondola mlingo wa insulin kapena mankhwala ochepetsa shuga,
• ochita kudzichitira pawekha mankhwala.

Popanda matenda a shuga

Matenda owoneka nthawi zambiri sachititsidwa chifukwa cha matenda omwe amapezeka m'thupi, zomwe zimayambitsa zimatha kukhala zosiyana, komanso zimawonetsa mavuto azaumoyo. Mwachitsanzo, kuukira kumalumikizidwa ndi kugona ndi usiku kapena kusowa madzi m'thupi. Kuphatikiza apo, hypoglycemia yobwerezabwereza imachitika pamene:

• kupsinjika kwakuthupi ndi m'maganizo,
• matenda endocrine
• kusala kudya kwanthawi yayitali (chakudya),
• kuvutika kwamafuta,
• matenda a impso
• matenda a autoimmune
• matenda a chiwindi
• matenda am'mimba thirakiti yolumikizidwa ndi mayamwidwe othamanga a chakudya,
• kuledzera pachimake (kukula kwa zidakwa hypoglycemia kumachitika),
• chibadwa.

Popeza munthu wodwala matenda ashuga amayang'anitsitsa index ya glucose wamagazi, chinthu choyamba chomwe chimayenera kumuchenjeza pochita kafukufuku wina wapanyumba ndizovuta za shuga 3.3 mmol / L. Ichi ndiye chizindikiro chachikulu cha matendawa, chomwe chimafuna kukonzedwa mwachangu ndi njira zamankhwala. Zizindikiro zina zodwala matenda amaperekedwa pansipa:

• kuchuluka kwanjala
• khungu
• kuchuluka kukwiya
• kuzizira ndi kusakhazikika kwa boma la kutentha,
• kugunda kwa mtima
• kutuluka thukuta kwambiri
• migraine.

Neuroglycopenic

Poterepa, tikulankhula zakusintha kwatsatanetsatane kwa odwala omwe ali ndi vuto laubongo polimbana ndi vuto la njala:

• kusanja m'mlengalenga,
• mgwirizano wolakwika,
• mantha
• kuwonjezeka kwa mutu,
• khunyu
• aneurysms oyambira,
• aphasia, diplopia,
• chisokonezo, chikomokere,
• paresthesia
• unalatialalalal,
• mantha
• zovuta zamakhalidwe.

Njira zoyesera

Hypoglycemia ndi matenda omwe amachititsa shuga wamagazi ochepa. Kuti mudziwe za matendawa, ndikofunikira kuchititsa maphunziro ena. Choyamba, kuyezetsa magazi kumachitika.

Pakusanthula, kuchuluka kwa shuga kumatsimikizika. Ngati ndizabwinobwino, ndiye kuti matenda a hypoglycemia sanapangidwe. Ndi kuchepa kwa mulingo, maphunziro owonjezera amachitika, chifukwa chomwe digiri ndi mitundu ya matendawa imatsimikiziridwa.

Koma nthawi zambiri dokotala samapezeka ndikuwonetsa matendawa, ndipo kuwunika pogwiritsa ntchito glucometer panyumba sikungawululire matendawa. Chifukwa cha izi, kuyambiranso kwa matenda kungakhale mochedwa. Nthawi zambiri, maphunziro amayamba ndi chiyambi cha matenda azachipatala. Pankhaniyi, kusanthula kwapamwamba komanso kwanthawi yayitali kumachitika.

Kufufuza kumachitika motere:

• Wodwalayo amayamba kugunda kwamtendere, komwe kumatenga maola makumi awiri ndi awiri.
• Kutengera ndi njirayi, magazi amatengedwa kuti awunikidwe maora aliwonse asanu ndi anayi kapena awiri.
• Ngati kuchuluka kwa shuga mu seramu yamagazi kumatsikira pansi pa 60 mg / dl, ndiye izi zikuwonetsa kukhalapo kwa matenda. Ngati kukana sikunakhazikike, ndiye kuti palibe chifukwa choopera.

Menyedwe yolamulidwa yokha imatha patatha maola makumi awiri ndi awiri. Dokotala wanu akhoza kukusokoneza mayeso anu ngati seramu ya glucose imatsika pansi pa 45 mg / dl. Kugwa kotereku kungasokoneze thanzi la wodwalayo.

Kuti ayambe kulandira chithandizo ndikumubweretsa wodwalayo bwinobwino, vuto la hypoglycemia likapanda kuchitika, munthu ayenera kudziwa zomwe zimayambitsa matenda.

Zamasamba

Kusintha kosasinthika kumachitika m'mitsempha yam'mimba, kusokoneza zochitika za myocardium ndi dongosolo lonse la mtima. Izi ndi kusintha koopsa paumoyo wonse:

• kugwedeza kwa minofu (kugwedeza),
• tachycardia
• kusiyanasiyana kumutu
• arrhasmia,
• mydriasis
• khungu komanso zimagwira pakhungu.
• kugwedezeka miyendo,
• kukokana
• ochepa matenda oopsa
• thukuta kwambiri
• mantha
• kupumira msanga.

Hypoglycemia mwa ana

Matendawa ali paubwana amakhudza kwambiri luntha la ana komanso kulimba kwa ana, motero ndikofunikira kuchepetsa kuchuluka kwa nthawi zonse. Zakudya zopanda pake, nkhawa komanso kulimbitsa thupi ndizofunikira kuti muchepetse magazi, koma nthawi zambiri ana omwe ali ndi matenda a shuga amakumana ndi matendawa. Zizindikiro za mavutowo mwa akhanda ndi odwala okalamba afotokozedwera pansipa:

• mpweya wa acetone
• kukomoka
• kusanza kwanthawi yayitali
• chizungulire
• thukuta kwambiri
• kukopa kwa pakhungu.

Gulu

Mitundu itatu ya hypoglycemia ikhoza kusiyanitsidwa malinga ndi kuopsa kwa njira yodutsamo. Kulongosola mwachidule kwa chilichonse kumaperekedwa pansipa:

1. Digiri yosavuta. Mloza wama glucose umasiyanasiyana pakati pa 2.7-3.3 mmol / l, pomwe wodwalayo akadali wachidziwitso, amatha kudzipangira payekha njira zonse zofunika kuti aletse kuukira.
2. Madigiri akulu (2-2.6 mmol / L). Wodwala sangathe kuthana ndi vuto laumoyo pawokha; amafunikira chithandizo chamankhwala mwachangu.
3. Hypoglycemic coma (

Kodi choopsa hypoglycemia ndi chiyani

Zotsatira zaumoyo zitha kukhala zosasinthika, motero pakufunika kowonjezera kwa makonzedwe a shuga okhala ndi zizindikiro zowopsa zakuwonekanso kwina. Kupanda kutero, wodwala aliyense wachiwiri amakumana ndi vuto laimpso komanso chiwindi, pomwe zina, zovuta zowopsa zamtundu wa chilengedwe sizimayikidwa pambali:

• kuwonongeka kwa ziwiya zazing'ono ndi chitukuko cha angiopathy ndi khungu,
• vuto la mtima kapena stroko,
• kanthawi kochepa kugunda,
• kufalikira kwamatumbo ndi kayendedwe kazinthu,
• hypoglycemic coma,
• Imfa ya wodwala wazaka zilizonse.

Zachilengedwe

Ndiye kuti, zizindikiro za hypoglycemia zimatha kukhalanso mwa munthu wathanzi ndi izi:

• Njala, kuperewera kwa zakudya m'thupi, zakudya zamagulu (kuchepa kwa mchere, michere, mavitamini). Izi ndizomwe zimayambitsa kukula kwa zizindikiro za hypoglycemia mwa munthu wathanzi. Ngati mumakana kudya zakudya zabwinobwino kwa nthawi yayitali, kenako ndikudya zakudya zamafuta, shuga wamagazi amatuluka msanga, komanso mwachangu ndipo amadyedwa mpaka kutsika kuposa masiku ena.
• Zakumwa zokwanira. Kuperewera kwa madzi m'thupi kumapangitsa kuti shuga azikhala ndi magazi osafunikira.
• Kupsinjika Kupsinjika kwa m'maso kumayambitsa dongosolo la endocrine, lomwe limayambitsa kuthamanga kwa shuga m'magazi munthawi yochepa.
• Mankhwala osokoneza bongo omwe amayatsidwa mu zakudya. Zikondwerero zoyambira kumbuyo kwa maswiti ochulukirachulukira zimagwiritsidwa ntchito kupangira insulin yambiri. Ndi insulin yochulukirapo, kuchuluka kwa shuga m'magazi kumatha kuchepa. . Thupi limachulukitsa kumwa kwa glycogen osungika ndi kumwa shuga m'magazi pophunzira kwambiri kapena kulimbikira, zomwe zimapangitsa kutsika kwazinthu zamagazi m'magazi.
• Msambo. Kuchepa kwa shuga kumatha kuchitika motsutsana ndi maziko akugwa popanga zinthu, ndipo, mwamagetsi, kumachulukitsa (estrogen) ndikusintha shuga ya magazi.
• Zokhudza thupi hypoglycemia yatsopano ya tsiku loyamba la moyo. Mwana akangobadwa, mphamvu za mwana zimakhudzidwa ndi shuga wa amayi ake, ochepa omwe amasungidwa m'mitsempha yama umbilical. Koma kuchepa msanga kwa masitolo a glycogen kumabweretsa kutsika kwama glucose kwa maola 1-2 amoyo. Pang'onopang'ono, pakukhazikitsa zakudya mwa ana athanzi, chizindikirochi chimabwezeretseka. Komabe, matenda obadwanso mwatsopano amathanso kuchitika.
• Kukhazikitsidwa kwa voliyumu yayikulu yamchere (NaCl) kudzera m'mitsempha, kutsitsa kuchepa kwa shuga m'magazi.

Zoyambitsa Zoyambitsa Zimayambitsa mwa Anthu Opanda Matenda A shuga

Zomwe zalembedwa pansipa zingathenso kuzindikirika mwa anthu odwala matenda ashuga, kokha hypoglycemia imakhala yowala komanso yachangu kuposa anthu opanda shuga.

• Kuthetsa madzi m'thupi. Ndikusowa kwamadzi m'magazi otumphukira, kuchepa kwa mavitamini, kufufuza zinthu ndi shuga wamagazi kumayang'aniridwa, chifukwa amasiya thupi ndi thukuta komanso mkodzo ndipo samalipidwa kuchokera kunja (onani).
• Kutopa. Akatha, glycogen yosungirako imatsika kwambiri, motero, glucose samachokera kunja ndipo sangaperekedwenso ndi ndalama zomwe zimasungidwa mkati.
• Matenda a chiwindi (, necrosis, kulephera kwa chiwindi), momwe mawonekedwe a shuga amasokonezeka (onani).
• Kuperewera kwa Hormone: cortisol (ikhoza kuchitika pomwe mankhwala a corticosteroid atachotsedwa), mahomoni okula, adrenaline ndi glucagon, omwe amathandizira kukweza kwa chiwindi mu chiwindi, hypopituitarism (kuperewera kwa pituitary gland)
• Kuchepetsa chakudya - kuphatikiza matenda am'mimba (colitis, enteritis, kutaya matenda).
• Meningitis, encephalitis, sarcoidosis
• Mowa, uchidakwa. Metabolism ya Ethanol imachitika m'chiwindi pogwiritsa ntchito enzyme mowa dehydrogenase. The cofactor yomwe imayambitsa njirayi ndi NAD - chinthu chapadera chomwe chimakhudzidwa ndi kapangidwe ka shuga. Mowa wambiri umalowa m'thupi, kumamwa kwambiri NAD, pomwe tikulepheretsa dongosolo la gluconeogeneis ndikupangitsa kutsika kwa glucose m'magazi.
• Kusakwanira kwenikweni kwa ziwalo zofunika: mtima, chiwindi, impso (onani) - zomwe zimatsogolera kusokonezeka kwa thupi lonse komanso kusokonezeka kwa shuga m'magazi.
• Sepsis. Kuchulukitsa kwa glucose komwe kumachitika ndi minofu yambiri yokhala ndi macrophages ambiri, mofanananira, kupanga kwa insulin kumawonjezera kwambiri komanso kaphatikizidwe ka shuga chiwindi kumachepetsedwa kwambiri.
• Pancreatic insulinoma (chosaopsa kapena cholakwika neoplasms), motsutsana ndi kumbuyo kwake komwe kumagwiritsa ntchito shuga.
• Kubadwa kwatsopano: autoimmune hypoglycemia, 5-cell hypersecretion, 7-ectopic insulin secretion, momwe mulibe shuga wopanga.

Limagwirira a kupanga magazi

Mutatha kudya chakudya chamafuta, thupi limalandila shuga, yemwe amafalitsidwa ndi magazi m'maselo onse. Masewera a glucose akangoyamba kulowa m'magazi (otengedwa kuchokera kugaya chakudya), kapamba amayamba kubisalira insulin, yomwe imathandiza maselo kugwiritsa ntchito shuga omwe akubwera ngati gwero lamphamvu. Mwa anthu athanzi, kuchuluka kwa glucose omwe amalandiridwa komanso gawo la insulin nthawi zonse limakhala lofanana.

Odwala omwe ali ndi matenda a shuga omwe amadalira insulin, kapamba sangathe kupanga kuchuluka kwa insulini, ndipo amayenera kuperekedwa kuchokera kunja, komanso muyezo woyenera.

Zizindikiro za hypoglycemia pafupipafupi mwadzidzidzi:

• Kufooka mwadzidzidzi
• Njala
• Kusanza, kusanza,
• Kutukwana
• Zida zopanda nkhawa komanso mantha
• Masomphenya apawiri, ozungulira akhungu,
• Kugona
• Kusokonezeka kwa malankhulidwe ndi kumvetsetsa kwa zomwe zikuchitika,
• Kukhumudwitsa
• Coma
• Imfa.

Sizikumveka zowopsa, koma zoterezi zimachitika ngati chithandizo sichingaperekedwe pa nthawi!

Kuthandizidwa ndi hypoglycemia - chipatala choyambirira komanso zamankhwala

Kuti muthandizidwe msanga, thupi limapanga mapiritsi okhala ndi d-glucose (dextrose) kapena glucagon. Malangizo a mankhwalawa ayenera kudziwika kwa onse omwe ali ndi matenda ashuga komanso anthu omwe akukhala nawo. Odwala omwe amakonda hypoglycemia ayenera kumatenga mankhwala nthawi zonse nawo!

Munthawi yakusowa kwa shuga, zonse kulephera kulipidwa komanso kuchuluka kwa glucose ndizowopsa. Mankhwala osokoneza bongo a glucose mosakayikira amatsogolera ku hyperglycemia, osakhala yangozi kwa odwala matenda ashuga.

Thandizo liyenera kuyamba kuyeza shuga m'magazi anu ndi mita kuti mutsimikizire kuchepa kwa shuga wamagazi. Mwazi wa magazi uyenera kuyesedwa ngati thandizo liperekedwa.Ngati izi sizingatheke, muyenera kuyimitsa nthawi yomweyo.

Ofatsa

Mutha kuyimitsa pambali panu pakumwa makilogalamu 12-15 osavuta, othandizira kugaya chakudya kuchokera mndandanda pansipa:

• d-glucose (pamapiritsi). Njira yokondedwa kwambiri yokhala ndi chowonetseratu cha zochitika, i.e. kuchuluka kosavuta kwa shuga m'magazi. 1 gramu ya glucose imawonjezera shuga m'magazi ndi 0.22 mmol / L. Kudziwa kuchuluka koyamba kwa shuga m'magazi, ndizosavuta kuwerengera kuchuluka kwa mapiritsi,
• 150 g la msuzi wa zipatso zotsekemera kapena chakumwa chokoma,
• tiyi wofunda ndi supuni ziwiri za shuga,
• 1 nthochi
• 5-6 magawo a maapulo owuma,
• magawo angapo amkaka amkaka kapena maswiti 1,
• Supuni ziwiri za uchi kapena shuga (sungunulani),
• Magawo awiri a shuga woyengeka.

Chidwi Idyani kapena imwani china mwanjira zomwe mwasankhazo! Kuchuluka kwachuma sikuyenera kupitilira.

Ngati pambuyo pa mphindi 15 mpaka 20 shuga wa magazi sanathenso, ndipo mkhalidwewo sukhalabe wosakhutira, mukuyenera kutenganso magalamu 15-20 a mafuta osavuta. Mkhalidwe wa munthu umayenda bwino mkati mwa ola limodzi mutatha kupatsa chakudya, i.e. osadikirira kuti mupumule nthawi yomweyo mutamwa piritsi la glucose.

Madigiri akulu

• Mwansanga mupatseni munthu magalamu 12-16 mpaka 20 a chakudya chambiri. Pakatha mphindi 20, munthu ayenera kudya magalamu ena 15-20 a chakudya (mkate, makeke osokoneza bongo, masikono a mkate, phala).
• Ngati munthu ali wolepheretsa kwambiri, kuti ameza, koma osathanso kutafuna, shuga ayenera kuperekedwa mwa njira yothetsera vutoli, atatha kuchuluka kwa mapiritsi m'madzi ochepa. Kapena mungopereka madzi okoma.
• Kunja, glucose amagulitsidwa mumtundu wa gel, womwe ungagwiritsidwe ntchito mafuta opaka pakamwa, pomwe shuga amayamba kuyamwa m'magazi.

Hypoglycemic chikomokere

Ngati munthu wakomoka kapena chikumbumtima chake chasokonezeka, samamwa zakumwa zam'madzi ndi zinthu zina. Imbani ambulansi.

Thandizo loyamba limakhala ndi jakisoni waminyewa wa 1 ml ya glucagon - zida za Express ndi 1 syringe ndi mankhwala zimagulitsidwa muma pharmacies. Mu chipatala, mankhwalawa a hypoglycemia amachitika ndi intravenous makonzedwe a 40% shuga. Ngati vutolo silikutha, yambani kugwiritsa ntchito njira zina za adrenaline ndi njira zina zokutsitsimutsira.

Zotsatira za hypoglycemia

Kugwedezeka pafupipafupi kwa vutoli kumatha kuyambitsa ziwengo zam'miyendo ndi m'maso, kuonjezera mwayi wokhala ndi matenda a mtima, mitsempha yamagazi, ndi ubongo. Imfa ya munthu yemwe wagwa mu vuto la hypoglycemic imachitika chifukwa cha kufa kwa maselo aubongo omwe amadya glucose. Izi ndizowopsa, koma zenizeni, ngati simuthandiza munthu nthawi.

Momwe mungapewere matenda a hypoglycemia mu mtundu 1 ndi mtundu 2 wa shuga

• Dziwani ndi mtima momwe mungaimire izi ndi zizindikilo zake.
• Dziwani kuchuluka kwa mankhwala a insulin ndipo musawonjezere.
• Onani zakudya ndi jakisoni.
• Pimani shuga m'magazi m'mawa, musanadye chakudya chilichonse, komanso musanakagone.
• Lekani kumwa mowa.
• Nthawi zonse tengani mapiritsi okhala ndi shuga kapena chilichonse chomwe chili ndi mafuta osavuta (caramel wokoma, chokoleti, ma apricots owuma).
• Ngati mukufunika kumwa mankhwala aliwonse, werengani mosamala momwe zimakhudzira kuchuluka kwa insulini ndi shuga wamagazi (onjezerani mphamvu ya insulin, aspirin, allopurinol, warfarin, probenecid, ndi mankhwala ena).

Kuchepetsa kwambiri milingo ya m'magazi a m'magazi kumatsutsa matenda a hypoglycemic. Mwa munthu wathanzi, kuchuluka kwa glucose kumakhala komwe kumakhala mu nthawi zonse, koma ngati ma pathologies owopsa apezeka m'thupi, kuchitika kwa hypoglycemia kumatha kuchitika, komwe kumakhala kowopsa kwa munthu, chifukwa ndi ma cell aubongo ndi ziwalo zamkati zimafa ndi njala.

Zifukwa zake ndi ziti?

Kutsimikiza kwa matendawa ndikuwonjezereka kwa insulin ya m'magazi, yomwe pamlingo wothamanga imachepetsa glucose, ndipo misempha ya shuga imatsika kwambiri.Matenda oterewa nthawi zambiri amapezeka mwa odwala omwe ali ndi matenda a shuga, koma mwa anthu athanzi, zizindikiro za hypoglycemia nthawi zina zimatha kuonedwa. Mtundu woyamba wa shuga, komanso chifukwa chachiwiri cha hypoglycemia,:

• osagwirizana ndi Mlingo wokhazikitsidwa ndi adotolo pamene insulini ya mahomoni idalowetsedwa kuposa momwe adalembera,
• ngati munthu, mwakufuna kwake, amagwiritsa ntchito mankhwala omwe amakhudza kuchepetsa shuga,
• Ngati munthu amadya nthawi yayitali pakati pa chakudya.

Zomwe zimayambitsa matendawa mwa munthu wathanzi

Hypoglycemia imatha kupezeka osati mwa odwala matenda ashuga. Matendawa amapezeka mwa anthu athanzi, koma alibe zoopsa, chifukwa zotsatira zosayembekezereka zimatha. Akuluakulu omwe sanadwalidwe, shuga amatha kuchepa pazifukwa zotsatirazi:

• Endocrine matenda. Ngati chithokomiro cha chithokomiro chikutha, hypoglycemia ikhoza kuchitika.
• Matenda a matenda am'mimba. Shuga wotsika wa plasma atha kukhala chifukwa chophwanya njira yachilengedwe yogaya chakudya, kenako wodwalayo amakula kwambiri hypoglycemia, zomwe siziyenera kunyalanyazidwa.
• Nthawi ndi nthawi mumakhala njala. Zochitika zoterezi zimawonedwa makamaka mwa amayi omwe ali ndi vuto lakudya.
• Kuphwanya kachitidwe ka ziwalo zofunika zamkati:
  • chiwindi
  • Mitima
  • impso.
• Zithaphwi za kapamba. Neoplasms imatsogolera kugwedeza kwamankhwala, komwe kumakhudza kwambiri shuga ndikupangitsa kutsika kwake.
• Zokhudza thupi hypoglycemia. Nthawi zambiri ndimapangidwe obadwa nawo, omwe amadziwika chifukwa chopanga shuga.
• Kuthetsa madzi m'thupi. Matenda a Hypoglycemic amatha kuyamba chifukwa chosagwirizana ndi mchere wamchere m'thupi. Zotsatira zake, glucose ofunikira, yaying'ono ndi zazikulu zazikulu zimachoka m'thupi ndi thukuta, pomwe sizigwirizana.

Zizindikiro zake ndi ziti?

Zizindikiro zazikulu za hypoglycemia zimachitika msanga. Pofuna kupewa zovuta, munthu akayamba kukulira, ndikofunikira kuzindikira vutoli munthawi yake ndikuchira moyenera. Zizindikiro zake za hypoglycemia ndi izi:

• thukuta usiku,
• kufooka musanayambe kumva bwino,
• kukomoka pafupipafupi komanso thanzi labwino,
• kulakalaka
• kusakhazikika
• kusokonezeka kwa mtima,
• minofu kukokana.

Ngati sizotheka kudziwa momwe limagwirira ntchito la hypoglycemia, odwala matenda ashuga komanso anthu omwe nthawi zina amadwala matendawa amatha kusintha njira zina zomwe zingapangitse kuti ntchito ya ziwalo zamkati zokha zisokonezedwe. Ndikakumana ndi pafupipafupi, ma cell am'magazi amakhala ndi njala, ndipo izi zimayambitsa mavuto m'mitsempha yamkati, wodwalayo amatha kulemala.

Zolemba Za Mimba

Hypoglycemic syndrome imatha kupezeka mwa amayi apakati, pomwe sikuyenera kupezeka ndi matenda a shuga. Vutoli limatha kusintha mkhalidwe wa mwana wosabadwa. Ndi kupanikizika kwa pancreatic mwa mayi wapakati, kukula ndi kukula kwa mwana wosabadwayo kumayima, ziwalo zake zamkati zimasowa zakudya zofunika, ndichifukwa chake zimasiyira kukula. Ndi matenda a shuga a 2, ndikofunikira kuwunika kwambiri momwe zinthu zilili komanso kuchita zomwe dokotala angakulangizeni. Kutsatira malangizo okhwima, ndizotheka kupewa mavuto obwera chifukwa cha inu ndi mwana wosabadwa.

Thandizo loyamba la hypoglycemia

Kupanikizika ndi hypoglycemia kumatsika kwambiri, ndikofunikanso kuwunika momwe amakhalira.

Thandizo loyamba panthawi yopuma ya hypoglycemia ndi kusintha matendawo ndikuchotsera zoopsa zake. Wodwala aliyense yemwe ali ndi matenda ashuga ayenera kukhala ndi mapiritsi a shuga, omwe amayenera kumwa nthawi yomweyo akangokulira. Ndikofunika kumwa mankhwalawa, malinga ndi kuchuluka kwa mankhwalawa, apo ayi, chifukwa cha kuchuluka kwambiri kwa shuga wa m'magazi, hypoglycemia imasinthira ina, osakhala yoopsa yotchedwa hyperglycemia.Mutatenga mankhwala okhala ndi shuga, ndikofunikira kuyeza kuchuluka kwa shuga, ngati munthu akudwala kwambiri, ndikofunikira kuyitanira ambulansi.

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

Kodi hypoglycemia ndi chiyani?

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

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

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

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

Amayambitsa matenda a hypoglycemic

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

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

Zomwe zimadzetsa vuto la hypoglycemic:

Thandizo loyamba

Thandizo loyambirira kuthetsa zizindikiro za hypoglycemia limaphatikizapo magawo awiri:

1. Zakudya zopatsa thanzi
2. Glycemia control mpaka mfundo zake zikhale bwino.

Kuyimitsa zizindikiro za hypoglycemia kunyumba ndizotheka mwa magawo awiri oyambilira ake. Kuti muchite izi, ndikokwanira kugwiritsa ntchito magawo angapo a mkate (XE).

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

Pakadutsa kotala la ola, shuga ayenera kuyezedwa pogwiritsa ntchito glucometer. Ngati mulingo wa glucose uli pansipa 3.9 mmol / L, ndiye kuti muyenera kugwiritsa ntchito 1.5 XE ina, kuyeza shuga pambuyo mphindi 15.

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

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

Mankhwala othandizira

Kusamalira mwadzidzidzi kwa wodwala yemwe sakomoka kapena ali ndi vuto lodzaza mutu kumakhala ndikuthandizira odwala kuchipatala malinga ndi dongosolo lotsatira:

1. Njira ya shuga (40%) imayendetsedwa kudzera mu magazi a 40-60 ml limodzi ndi mankhwala a Glucagon. Ngati shuga wambiri akadalipobe wabwinobwino, ndiye kuti dontho limalumikizidwa ndi 5% yankho lomwelo mpaka wodwalayo akayambanso kuzindikira.
2. Jakisoni wa adrenaline amagwiritsidwa ntchito kubwezeretsa kupuma ndi palpitations.
3. Popewa matenda a edema, jakisoni wa Magnesia amachitidwa.
4. Ndi isanayambike chikomokere, 150 mg ya hydrocortisone imayendetsedwa kudzera mwa wodwala.

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

Zotsatira za thupi

Kuukira pafupipafupi kwa hypoglycemia kumawononga ntchito ya ziwalo zonse zamkati.

Zotsatira zake zazikulu:

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

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

Kodi mungapewe bwanji ngozi?

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

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

Chifukwa chake shuga m'magazi amatsika kwambiri:

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

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

Anthu ambiri amadandaula ndi nseru, kutopa nthawi zonse, kupweteka mutu. Mukawunika, ndikotheka kudziwa za kukhalapo kwa chinthu monga hypoglycemia. Nthawi zambiri, imakhala ndi odwala matenda ashuga. Komabe, anthu athanzi amathanso kukumana ndi izi zosasangalatsa.

Hypoglycemia: zomwe zimayambitsa

Izi, monga lamulo, zimayamba chifukwa chopanga insulin kwambiri. Zotsatira zake, njira yokhazikika yosinthira chakudya chamaguluu m'magazi imasokonekera. Choyambitsa matenda ambiri, mwachidziwitso, ndi matenda a shuga. Zifukwa zina zilinso ndi mwayi wokhala muzochita zachipatala. Tiyeni tiwone mwatsatanetsatane, ndi zina ziti zomwe zingayambitse hypoglycemia.

• Kupezeka kwa neoplasms m'mimba thirakiti.
• Kumwa mankhwala angapo (salicylates, sulfure okonzekera, quinine, mankhwala ogwiritsira ntchito matenda a shuga mellitus).
• Mowa. Njira yowopsa kwambiri ya hypoglycemia, itha kutsagana ndi kusokonekera ndi kuyendetsa malingaliro athunthu.
• Kuchita zolimbitsa thupi kwambiri.
• Zakudya zopanda thanzi ndimayendedwe azakudya zambiri za chakudya.
• Matenda opatsirana owopsa (omwe amayenera kuchitika).
• Kulephera kwa mtima.
• Kulephera kwina.
• Njala yayitali.
• Kuwonongeka kwa chiwindi, matenda enaake, michere yopanga.
• Kagayidwe kolakwika (onaninso -).
• Njira za m'matumbo mu ma gren adrenal.
• Madzi osakwanira ().
• Idiopathic hypoglycemia chifukwa cha vuto lobadwa nalo la insulinase pamlingo wa jini.
• Ntchito ya chithokomiro yafupika.
• Kulephera kwakukulu kwazungulira.
• Osakwanira kaphatikizidwe ka alanine.

Hypoglycemic syndrome: zimayambitsa odwala matenda ashuga komanso anthu athanzi. Hypoglycemia

Hypoglycemia imatchulanso zikhalidwe za kanthawi kochepa komwe kuchuluka kwa glucose m'magazi a zotumphukira kumagwera pansi pamalire ochepa a 3.5 mmol / L. Ndi kupatuka uku, kupangika kwapadera kwa chizindikiro kumapangidwa, komwe kumatchedwa hypoglycemic syndrome.

Vutoli limakhala loopsa kwambiri kwa odwala matenda a shuga, chifukwa pakakhala kuti palibe chindapusa chomwenso chitha kupezeka m'magazi a shuga, matendawa amatha kuyamba.

Mavuto ndi zotsatira za hypoglycemia, hypoglycemic syndrome

Ngati chithandizo sichinayambike munthawi yake, ndiye kuti kulumpha kosalekeza m'magazi a shuga kudzatsogolera pakuwonongeka kwa ziwiya zazing'ono zam'mphepete. Izi, zimabweretsa kukula kwa angiopathy ndi khungu.

Choopsa chachikulu ku ubongo wa munthu wosakhalitsa hypoglycemia. Ubongo wathu sungathe kuchita popanda kuchuluka kwa shuga komwe kumafunikira kwa nthawi yayitali. Amafuna mphamvu zochuluka. Chifukwa chake, ndikuchepa kwakukula kwa glucose, nthawi yomweyo amayamba kupereka zikwangwani ndikufuna chakudya.

Kutsika kwa shuga m'munsi mwake (pafupifupi 2 mmol / L) kumathandizira kuti chitukuko cha hypoglycemic chikomokere . Pakapanda kuchitapo kanthu mwachangu pobwezeretsa, pali kufa kwakukulu kwa maselo aubongo. Ndi hypoglycemia, kufooka kwa ntchito zaubongo kumachitika, komwe ndi nthaka yachonde yopanga mikwingwirima, amnesia, ndi zovuta zina zamkati.

Hypoglycemic syndrome -Malingaliro omwe amaphatikiza zizindikiro zingapo za chikhalidwe cham'maganizo, chamanjenje komanso chamasamba. Nthawi zambiri amapanga shuga wamagazi akatsika m'munsi mwa 3.5 mmol / L. Amatha kukhala pamimba yopanda kanthu ndikatha kudya.

Chithandizo cha hypoglycemia, mankhwala a hypoglycemic

Gawo lachiwirili limafunikira kugwiritsidwa ntchito kwapompopopopopopopopopopopopopopoka (tiyi wokoma, compote, jamu). Zinthu zoterezi zimalepheretsa kupititsa patsogolo kwa hypoglycemia ndikuthandizira wodwalayo.

Chisamaliro chodzidzimu chimafunikira gawo lachitatu. Intravenous makonzedwe a shuga 40% tikulimbikitsidwa kupewa matenda edema. Kugonekedwa pachipatala kwawonetsedwa kale kuti kupewa zovuta zomwe zingachitike ndikusintha kwa mankhwala othandizira kuchepetsa shuga.

Mankhwala onse a hypoglycemic ali ndi machitidwe ofanana. Agawidwa m'magulu angapo:

• Zochokera ku sulfonylureas (Glibenclamide, Glikvidon). Ili ndiye gulu lodziwika bwino lazida zomwe zimagwiritsidwa ntchito.
• Meglitinides ("Repaglinide").
• Thiazolidinediones (Rosiglitazone, Troglitazone).
• Biguanides ("Glucophage", "Siofor").
• Alfa glucosidase inhibitors (Miglitol, Acarbose).

Posankha mankhwala kwa wodwala wina, ndikofunikira kuganizira za zomwe wodwalayo ali ndi zovuta zomwe zingachitike chifukwa cha mankhwala. Kuphatikiza apo, ndikofunikira kuwerengera molondola mlingo womwe mukufuna.

Hypoglycemic chikomokere Nthawi zonse amathandizidwa kuchipatala. Mokulira, jekeseni wa glucose wamkati ndi jekeseni wa glucagon amagwiritsidwa ntchito. Nthawi zina, kuyambitsidwa kwa adrenaline kumasonyezedwa kuti mukulitse luso la mankhwala.

Ngati palibe mwanjira iliyonse yomwe yatchulidwayi itulutsa zotsatira, makulidwe amkati kapena mu mnofu wa hydrocortisone ndi mankhwala. Izi nthawi zambiri zimabweretsa kukhazikika kwa wodwalayo.

Pofuna kupewa matenda a edema, magnesium sulfate imatha kutumikiridwa kudzera m'mitsempha.

Zotsatira zabwino pa matenda a hypoglycemic state zawonetsedwa muzochita zamankhwala. mankhwala a oxygen .

Wodwala akachotsedwa pakhungu, amamulembera mankhwala kuti athandizire kusintha kwa ma cellcirculation (Cavinton, Cerebrolysin, glutamic acid).

Zakudya za hypoglycemia

Ponena za chakudyacho, muyenera kudzipatula kuti muchepetse zakudya zamagulu ochepa monga mawonekedwe a confectionery, ufa wa tirigu, uchi, zipatso zotsekemera ndi masamba.

Zachidziwikire, poyamba zimakhala zovuta kutsatira izi, chifukwa thupi limagwiritsidwa ntchito maswiti. Koma muyenera kukhala opirira pang'ono, ndipo milungu ingapo kulakalaka kutha. Zokonda ziyenera kuperekedwa kwa zovuta zomanga thupi ndi mapuloteni.

Hypoglycemia ndi mkhalidwe wam'magazi womwe umadziwika ndi kuchuluka kwa shuga m'magazi (pansi pa 3.3 mmol / L).

Kodi mulingo wina wa shuga umapezeka bwanji m'magazi athu, ndipo chifukwa chiyani umatha kukhala wovuta kwambiri? Tikatha kudya zamafuta okhala ndi chakudya chamaguluku, timatulutsa glucose kuchokera kwa iwo ndikugawa m'makona onse a thupi. Awa ndi mafuta omwe sitingakhale nawo popanda. Poyankha glucose kulowa m'magazi, kapamba amapanga mahomoni ena apadera - insulin, omwe amalola maselo athu kulandira mphamvu kuchokera ku glucose.

Kutsika kwakuthwa kwa shuga m'magazi ndikowopsa, chifukwa munthu amatha kutaika mphindi 30. Pakati pa odwala matenda ashuga, mawu akuti: "insulin ndi mankhwala ochiritsira." Chifukwa chiyani amatero? Chifukwa omwe akuvutika ndi hypoglycemia nthawi zambiri amakhala osaganizira komanso osasamala omwe amanyalanyaza malangizo a dokotala ndipo amadzibaya ndi Mlingo wosalimba wa insulin poyambira chizindikiro chakudwala. Palibenso chifukwa chochitira mantha. Mutha kupewa mavuto ngati mumachita molondola komanso mosasinthasintha.

Hypoglycemia imatha kuchitika chifukwa cha kuchuluka kwa shuga omwe amadya mu chakudya, komanso chifukwa cha kuchuluka kwa mahomoni a insulin omwe amachititsa kuti shuga agwidwe ndi thupi.

Zoyambitsa Hypoglycemia

Matenda a shuga ndi osiyanasiyana. Sinthani nkhani yathu ndikuti pali mtundu wa shuga womwe umadalira shuga, ndipo pali insulin-yodziyimira payokha. Chifukwa chake, anthu omwe ali ndi matenda oyamba amakakamizika kudziphatika ndi insulini kotero ndikokwanira kukonza kuchuluka kwa glucose (mu XE - magawo a mkate) omwe amapezeka kuchokera ku chakudya. Zilonda zimaperekedwa nthawi zonse, zimaphatikizidwa ndi zakudya, ndipo mlingo umatsimikiziridwa ndi kupezeka kwa endocrinologist.

Ngati wodwalayo wadzibaya insulini yochulukirapo kuposa momwe amafunikira kuchepa kwa shuga omwe amalandidwa m'thupi, chiwindi chimayamba kupulumutsa vutoli ndikupaka njira yothandiza ya wowuma - glycogen - m'magazi. Koma zitakhala kuti zilibe kanthu, kuukira kwa hypoglycemia sikungapeweke.

Ndilo zovuta, chifukwa anthu odwala matenda ashuga alibe malo omwe angapeze glycogen yayikulu kapena yosakwanira. Anthu awa amadya zakudya zochepa zokhazikika, amakhala ndi chakudya chilichonse pa akaunti (komanso, pa akaunti yoyipa).

Tikulemba mndandanda zonse zomwe zimayambitsa hypoglycemia:

Mlingo wolakwika wa insulin,

Nthawi yayitali yopanda chakudya konse (zoposa maola 6),

Kuchita zolimbitsa thupi kwambiri, zomwe zimaphatikizapo kuwonongeka kwathunthu kwa thupi kuchokera ku shuga (kuphatikizapo kupezeka kwa glycogen m'chiwindi),

Hypoglycemia - Zizindikiro, zimayambitsa, mankhwala ndi wowerengeka azitsamba. Hypoglycemic syndrome: zimayambitsa odwala matenda ashuga komanso anthu athanzi

Tsiku labwino, owerenga pafupipafupi komanso alendo a blog "Shuga ali bwino!"

Lero ndilankhula za hypoglycemia syndrome, makamaka za zomwe zimayambitsa, Zizindikiro, thandizo loyamba komanso chithandizo, zotsatira zakuwopseza akhanda, ana ndi akulu.

Ili ndi nkhani yofunika kwambiri ndipo ndikupemphani kuti muiwerenge mosamala, chifukwa zambiri tsiku lina zingapulumutse moyo wanu.

Aliyense wodwala matenda ashuga amakhala ndi magazi kamodzi kapena kamodzi pamoyo wawo wonse. Wina wakwanitsa ndi zizindikiro zowoneka bwino, ndipo wina adakomoka. Ndikwabwino ngati munthuyu wamusiya mosamala. Zimachitikanso kuti amapita kudziko lina lokha. Koma tisamakambe za zinthu zachisoni. Lero tikambirana za momwe mungayimire mofulumira komanso molondola zizindikiro zoyambirira.

Kodi hypoglycemia (hypoglycemia)

Aliyense amene wakumanapo ndi vuto losangalatsa chotere mwina sangamvetse tanthauzo la liwu "hypoglycemia." Izi ndi chiyani? Hypoglycemia imakhala ndi mawu awiri "hypo" - - akuwonetsa kuchepa ndi "glycemia" - mulingo wa glucose m'magazi. Likukhalira kuti uwu ndi gawo lomwe shuga ya magazi imachepetsedwa, mwachitsanzo, hypoglycemia imafanana ndi kuchuluka kwa shuga m'magazi. Khodi ya ICD-10 ya hypoglycemia ndi E 16.

Mosiyana ndi shuga wochepa - pomwe "hyper" imatanthawuza china chake chomwe chikufuna kukula. Ndiye kuti, amatanthauza shuga wambiri wamwazi.

Zomwe mungaganizire shuga wochepa

Kwa ana ndi akulu, kuchuluka kwa glucose kumawonetsedwa mosiyanasiyana. Akuluakulu amakhala tcheru kwambiri kutsitsa glucose wamagazi kuposa ana, chifukwa chake mawonekedwe awo a hypoglycemia amapezeka pamlingo wotsika 2.8-3.0 mmol / L.

Ana okhala ndi mtengo wotere amatha kumverera mwabwinobwino, makamaka akhanda osabereka msanga kapena obadwa panthawi yake. Kwa ana, mulingo wa 1.7-2.2 mmol / l umawerengedwa kuti ndi wofunika kutengera zaka. Mwana akamakula, amayamba kukonda kwambiri shuga.

Koma muyenera kumvetsetsa kuti ziwerengero zonsezi ndizofunikira ndipo nthawi zambiri sizigwirizana.

Chifukwa chiyani hypoglycemia imawonedwa mu mtundu woyamba wa 2 ndi mtundu wa 2 shuga?

Aliyense amadziwa popanda ine kuti kuchuluka kwa mankhwala osokoneza bongo kapena kudumpha chakudya kumatha kuyambitsa "hypo". Ndikufuna kukambirana pazomwe sizili mu nthawi yomwe hypoglycemia imayamba, i.e. nyengo zomwe simumayembekezera konse.

Hypoglycemia imachitika ndipo imawonedwa ndi:

• osakonzekera kwakanthawi kochepa thupi kapena pambuyo pake
• kulimbitsa thupi (kuchechedwa hypoglycemia pakapita nthawi)
• "Regipoglycemia"
• mowa
• kumwa mankhwala osokoneza bongo
• kumwa mankhwala osiyanasiyana ndi mankhwala azitsamba omwe ali ndi vuto la hypoglycemic
• kupitirira kwa aimpso kulephera
• Zida zoyipa za insulin makonzedwe (syringe zolembera ndi mapampu a insulin)
• kudzipha (kudabwitsidwa kwa achibale ndi abwenzi)

Zochita zolimbitsa thupi

Pali zifukwa zambiri. Tiyeni tiwonjezere mwachangu chilichonse. Kuchita masewera olimbitsa thupi osakonzekereratu kungakhale mwamphamvu iliyonse, mwachitsanzo, kuthamangira magalimoto otuluka kapena kusewera mpira ndi mdzukulu. Zonsezi zitha kukhala zopanda dongosolo ndipo mwina simungakhale ndi lingaliro loti lalifupi kwambiri. katundu akhoza kuswa shuga.

Izi zimadziwika mukakhala mankhwala osokoneza bongo am'mbuyomu, onse a insulin ndi mapiritsi. Kutuluka: nthawi zonse mumakhala ndi njira yoyimitsira hypo. Ndi ziti? Zambiri za izi mtsogolo ...

Ntchito yayitali yayitali

Kugwira ntchito molimbika monga, mwachitsanzo, kutsitsa magalimoto kapena kuyala phula kapena kungokoka mapilogalamu 20 a njerwa mdziko muno. Ngakhale mutadya michere nthawi ya masewera olimbitsa thupi kuti mukhale wathanzi, ndiye kuti maola angapo mutatha kuchita masewera olimbitsa thupi, makamaka usiku, hypoglycemia imatha kuchitika.

Chifukwa chiyani? Chifukwa panthawiyi, minofu imayamba kuyamwa mwachangu glucose kuti ichiritse, motero masiku ano muyenera kukhala osamala. Komabe, uku sikuwolamulira, ndipo si aliyense amene amachitika, koma ndikofunikira kudziwa za nkhaniyi.

"Regipoglycemia" ndi chodabwitsa pamene, atasiya kuyimitsa gipa, kugwedezekanso kwachiwiri. Mukuwoneka kuti mudya chakudya chamagulu ochulukirapo, koma pali insulin kapena mapiritsi ambiri m'magazi kotero kuti amakhalapo kwakanthawi kochepa ndipo zizindikiro za shuga wochepa zimawonekera.

Ngati pali mankhwala osokoneza bongo omveka bwino ndipo mukudziwa za izi, ndiye kuti kuyimitsa matendawa ndikwabwino osati ndi chakudya champhamvu chokhacho, komanso modekha komwe kungalepheretse funde lachiwiri.

Mowa hypoglycemia

Kumwa mowa kwambiri nthawi zambiri kumayendera limodzi ndi hypoglycemia, makamaka kugona.Imeneyi ndi nthawi yoopsa, chifukwa zizindikiritso za hypoglycemia ndizofanana ndi zizolowezi za munthu woledzera ndipo zimatha kuganiziridwa ndi ena chifukwa chomwa mowa. Ndipo sakonda kuthana ndi oledzera.

Chifukwa chiyani izi zikuchitika? Chifukwa ethanol imaletsa kumasulidwa kwa glucose ku chiwindi chawo, i.e. zimasokoneza shuga wabwinobwino woyambira, pomwe m'magazi mumakhala mankhwala omwe ali ndi vuto la hypoglycemic. Tulukani: onjezerani pang'onopang'ono chakudya chambiri ndipo nthawi zonse muziyang'anitsitsa shuga asanagone kapena kuupereka kwa wina wochokera munyumba. Mukudziwa mawa, koma hypoglycemia iyenera kuopedwa.

Kulandila kwa mankhwala osiyanasiyana okhala ndi mbali ya hypoglycemic

Pali mitundu yosiyanasiyana ya mankhwala ndi mankhwala azitsamba omwe sanafotokozedwe ngati ma hypoglycemic othandizira, koma ali ndi mbali yochepetsera shuga m'magazi. Mankhwala omwe amatha kutsitsa shuga m'magazi ndi awa:

• thioctic acid
• alpha lipoic acid
• mafupa
• pentoxifylline
• machez
• salicylates (paracetamol, aspirin)
• phentolamine
• cytostatics
• osasankha beta blockers (anaprilin)

Zimakhudza kuchepa kwa insulin ndipo zimayambitsa hypoglycemia yosayembekezereka. Iliyonse ili ndi kachitidwe kake kogwiritsa ntchito, sindinganene za iyo. Kutuluka: onaninso kuchepetsa kuchepetsa mankhwala mukamagwiritsa ntchito mankhwalawa. Mungafunike kuchepetsedwa kwa chithandizo chachikulu cha matenda a shuga.

Mankhwala azitsamba amathanso kuyambitsa shuga. Nthawi zambiri, anthu amakhala ndi chidwi kwambiri ndi mankhwala achilengedwe ndipo amayamba kumwa onse motsatizana, ndipo pakakhala njira yodzikongoletsera ndi zinthu zokhudzana ndi zamankhwala ndipo kufunika kwa insulin kumatsika kapena kukana kwa insulini kumatsika ndikutsikira kwa shuga. Pano, mukufunikiranso kukumbukira kuti izi ndizotheka ndikuwunika kwambiri shuga kuti muchepetse kuchuluka kwa mankhwalawa munthawi yake.

Kulephera kwina

Mu gawo la teminal kulephera kwa impso, pali kuchepa kwakukulu kwa zosowa ndi Mlingo wa insulin, kotero hypoglycemia yokhazikika imatha kupanga. Pathogenesis ya hypoglycemia imalumikizidwa ndi kutulutsa magazi kwambiri mkodzo. Sichiyamwa mmbuyo, monga ziyenera kukhalira.

Kuletsa kuphatikizika kwa enzyme insulinase, yomwe nthawi zambiri imawononga insulin, kumabweretsa shuga yochepa m'magazi. Zotsatira zake, insulin imazungulira m'magazi kwa nthawi yayitali, ndikupereka mphamvu ya hypoglycemic. Komanso, chifukwa cha uremia, kuchuluka kwa kaphatikizidwe ka glucose kuchokera kuzinthu zopanda mafuta - gluconeogenesis - kumachepa.

Vutoli ndi njira yothandizira insulin

Kulephera kwa zida zoperekera insulin (zolembera ndi ma pompo a insulin) ndizosowa kwenikweni, koma sitiyenera kuiwala kuti izi zimachitika. Ngati mwatsutsa zifukwa zonse zam'mbuyomu, ndiye yesani kusintha njira zoperekera insulin ndi zatsopano.

Ndipo pamapeto pake, kudzipha ngati chifukwa cha hypoglycemia yokumba. Makamaka a insulin kapena mapiritsi ambiri omwe akudziwa angadziwe kuti adzipha. Izi ndizofala pakati pa achinyamata odwala matenda ashuga kapena anthu ofuna kudzipha popanda matenda a shuga.

Zosangalatsa

Ndikufuna kuphatikiza chifukwa chosangalatsa pano - kusangalala ndi boma la hypoglycemia. Anthu ena amakhala ndi vuto lalikulu ngati shuga amakhala ochepa. Izi zimatchedwa Munchausen syndrome. Nthawi zambiri, achinyamata omwewa amachimwa, makamaka atsikana. Amapanganso zinthu ngati izi kuti apeze zotsekemera, zomwe ndizoletsedwa m'banjamo.

Etiology ya hypoglycemia yopanda matenda a shuga

Pakadali pano, matenda onse ndi mikhalidwe yomwe mumachepa shuga m'magazi amatha kugawidwa m'magulu atatu:

• zinthu zomwe zimapangitsa kuti shuga asakwanitse kubisidwa ndi chiwindi ndi minofu
• zinthu limodzi ndi okwera insulin
• hypoglycemia yokhala ndi maselo ambiri amtundu wa insulin

Wowerengeka azitsamba zochizira hypoglycemia

Mwa zina zamera zothandiza kwambiri titha kuziwona kuti wort wa St. John, nthochi, lingonberry, duwa lakutchire ndi ena ambiri. Lingonberry imagwiritsidwa ntchito mwatsopano monga chinthu chodziyimira pawokha kapena kuwonjezera pambale zosiyanasiyana.

Garlic, yomwe imagwiritsidwanso ntchito mwatsopano, ingathandize kuteteza kagayidwe m'thupi.

Wort ndi St. John amagwiritsidwa ntchito ngati kulowetsedwa. Rosehip imanenanso. Supuni imodzi ya zipatso zosweka imathiridwa ndi magalasi awiri amadzi otentha. Njira yotsalazo imaphika kwa mphindi khumi ndi zisanu ndi madzi osamba, kenako kusefa ndi kupukutidwa. Kulowetsedwa uku kumayenera kuledzera kawiri pa tsiku kwa theka lagalasi.

Chida chabwino kwambiri polimbana ndi hypoglycemia chimatha kukhala leuzea. Chomera chamankhwala ichi chimathanso kusintha magazi. Ndi chithandizo chake, kuchuluka kwa maselo ofiira am'magazi ndi maselo oyera oyera kumatheka, ndipo mulingo wa hemoglobin umakulanso.

Chomera chogulitsira chimagulitsidwa ngati tincture. Muyenera kumwa katatu patsiku kwa madontho 15-20 pa supuni imodzi ya madzi owiritsa.

Chomera china chamafuta chomwe chitha kuthandiza wodwala ndi lemongrass. Chida ichi chimathandizira kukonza machitidwe a thupi, komanso kulimbikitsa chitetezo cha mthupi.

Schisandra imatha kudyedwa yaiwisi. Dulani masamba atsopano a mbewu, onjezani anyezi pang'ono ndi nyengo ndi kirimu wowawasa kapena mafuta a mpendadzuwa. Kuti muwonjezere ntchito, mutha kuwonjezera masamba a dandelion, nettle kapena zitsamba zina zatsopano ku saladi.

Mikhalidwe yomwe imathandizira kubisala kwa glucose yokwanira

Ndi panhypopituitarism (kuchepa kwa katulutsidwe ka adrenocorticotropin, prolactin, FSH, LH, somatotropin ndi chithokomiro) cha ziwalo za anterior pituitary, ziwalo zonse za zotumphukira za endocrine.

Pakhoza kukhalanso chotupa chachikulu cha zotumphukira za endocrine, zokhala ndi chindende chathanzi. Kuperewera kwa Adrenal (matenda a Addison), hypothyroidism, kusokonezeka kwa kubereka kwa adrenal cortex (ADCD), kusowa kwa glucagon, hypofunction ya adrenal medulla, yomwe imapangira catecholamines pazizindikiro zawo, ili ndi hypoglycemia syndrome.

Ma mahormone onsewa amapanga contra-vascular ndipo, zikalephera, kaphatikizidwe ka glucose m'chiwindi kamayima (gluconeogenesis), kugwiritsidwa ntchito kwa glucose pazowonjezera kumakulitsidwa, ndipo kaphatikizidwe ka ma amino acid mumisempha amachepa.

Ndi ma syndromes ena omwe amaphatikizidwa ndi ntchito ya hypothalamus ndi gitu planditary, kuukira kwa shuga m'magazi kumachitikanso. Sindingafotokoze zonse apa, apo ayi ndimakhala pangozi kuti ndimalize kulemba nkhaniyi. Pitani ku thandizo lanu.

• Lawrence - Mwezi - Beadle - Borde Syndrome
• Debreu-Marie Syndrome
• Pehkranets - Babinsky Syndrome

Njira yogwiritsira ntchito shuga ndikupanga maselo ndi njira zingapo komanso zovuta. Mukusintha kovuta uku kwa glucose kukhala mphamvu, michere yambiri imakhudzidwa ndipo kutayika kwa chimodzi kapena zingapo kungayambitse hypoglycemia.

Pansipa ndalemba zomwe zolakwika za enzyme zingachitike:

• Glucose-6-phosphatase encyme chilema (matenda a Girke)
• Amylo-1,6-glucosidase akusowa
• Hepatic phosphorylase chilema (matenda a hers)
• Glycogen synthetase akusowa
• Phosphoenolpyruvate carboxy kinase kuchepa

Kutsika kwa michere ya michere kumayambitsa hypoglycemia mwa anthu athanzi. Kusala kwakanthawi kochepa kumatha kuchitika popanda hypoglycemia, popeza kuchuluka kwa glucose kumathandizidwa ndi kuwonongeka kwa chiwindi ndi minofu ya glycogen. komanso kaphatikizidwe ka glucose kazinthu zopanda mafuta (gluconeogeneis). Koma njala yotalikilapo imatsala pafupifupi malo ogulitsira kwathunthu a glycogen komanso kuchuluka kwa shuga m'magazi kungakhale kotsika kwambiri.

Izi ndizofala makamaka pamene anthu awona zikondwerero zachipembedzo.Ochita masewera amathanso kupanga mtundu uwu wa hypoglycemia, pamene, pogwiritsa ntchito mphamvu yayitali komanso minofu yambiri, minyewa imayamba kudya magasi ochulukirapo, zotopa kwambiri za glycogen.

Izi zimaphatikizanso hypoglycemia panthawi yapakati. Ngati mu magawo apambuyo pake chifukwa cha kuchepa mphamvu kwa nkhokwe ndi njira zowalipirira azimayi, zizindikiro za shuga wochepa zimatha kuonekera.

Momwe zimagwiritsidwa ntchito mopitirira 80% ya minyewa ya chiwindi, munthu amathanso kumva za hypoglycemia. Pathogenesis ndikuphwanya kuthekera kwa chiwindi kuphatikiza glycogen ndikugwiritsa ntchito ngati kuli kofunikira, kuwonjezera pa izi, njira ya gluconeogenesis imavutika.

Nayi matenda ena a chiwindi omwe amaphatikizidwa ndi shuga wochepa wamagazi:

• pachimake tizilombo hepatitis
• pachimake chiwindi necrosis
• Matenda a Reye
• kulephera kwa mtima ndi matenda oopsa a portal
• matenda a chiwindi
• Matenda a Hellp

Impso zabwino zimatha kuphatikiza glucose chifukwa cha gluconeogenesis. Ndi kukula kwa aimpso kulephera, njirayi imaponderezedwa. Impso imapanganso insulinase, enzyme yomwe imawononga insulin, yomwe, ngati singakwanitse kugwira ntchito, imayambitsa kuchepa kwa enzyme iyi ndipo insulini siyikuwonongeka, ikuzungulira m'magazi ndikuchepetsa shuga.

Ethanol amatha kuletsa kapangidwe ka shuga ndi chiwindi ndipo amachititsa kukula kwa hypoglycemia. Ethanol adamamatira ku acetaldehyde ndi gawo la enzyme mowa dehydrogenase. Enzyme iyi imangogwira ntchito pamaso pa coenzyme NAD (nicotinamidine nucleotide). Munthu akamamwa zakumwa zomwe zimakhala ndi zakumwa zoledzeretsa, coenzyme yamtengo wapatali iyi imatha msanga.

Ngakhale ndikofunikira kutenga nawo gawo pa gluconeogeneis. Zotsatira zake, njira ya glucose kaphatikizidwe ndi chiwindi imalephereka chifukwa kulibe coenzyme NAD. Chifukwa chake, mowa woledzera umayamba usiku kapena m'mawa, pomwe malo ogulitsira a chiwindi amatha, ndipo thupi limakakamizidwa kusinthana ndi gluconeogenesis, yomwe imaletseka. Zotsatira zake, shuga yamagazi imagwera mwachangu m'maloto.

Mwachizolowezi, izi zimatha kuchitika mwa zidakhwa zakumwa zoledzeretsa, komanso zimatha kupezeka mwa anthu athanzi akamamwa mowa wambiri pamimba "yopanda kanthu." Izi zitha kuchitika mu ana, makamaka ana osaposa zaka 6 ndi ovuta kwambiri. Milandu ya hypoglycemia mwa ana atatha kumwa compress ya mowa.

Njira zamachiritso

Musanamvetsetse momwe mungagwiritsire hypoglycemia, ndikofunikira kuti mudziwe njira zazikulu zamankhwala. Chithandizo cha matenda amtunduwu titha kugawidwa m'magawo awiri.

Poyambirira, njira zadzidzidzi zimatengedwa kuti ziziwukire zokha. Gawo lachiwiri la chithandizo ndi njira zodzitetezera. Ngati wodwalayo atayamba kuwonetsa zizindikiro za hypoglycemia mu mawonekedwe owopsa, ndiye kuti ayenera kudya mankhwala okhala ndi mafuta ambiri opepuka.

Izi zikuphatikiza:

• Kuyenga shuga
• maswiti, marshmallows, chokoleti chokoma,
• kupanikizana,

Pankhaniyi, ndikofunikira kumwa mankhwalawa ndi tiyi wofunda. Chakumwa ichi chithandizira kuti mayamwidwe azopanga azithamanga. Nthawi zina, wodwalayo sangathe kuchita izi, ndiye kuti wachibale kapena mnzake amene akudziwa za matendawo ayenera kumuthandiza.

Kuphatikiza apo, mitundu iwiri ya insulin imagwiritsidwa ntchito. Mankhwala osakhalitsa amaperekedwa kwa wodwala nthawi yomweyo asanadye. Zimathandizira kuyamwa kwamphamvu kwa chakudya chamoto. Insulin yokhala ndi nthawi yayitali imayendetsedwa m'mawa kapena tsiku lonse. Ndikofunikira kuti wodwalayo apulumuke bwinobwino pachimake cha kuthyoka kwa mafuta m'thupi mwake.

Ndikofunikira kwambiri kukhala ndi zakudya zoyenera. Wodwala ayenera kudya pafupipafupi, osachepera kasanu patsiku. Poterepa, magawo sayenera kukhala akulu. Ndikofunikira kuyang'anitsitsa kuchuluka kwa mafuta omwe amalowa mthupi la wodwalayo. Dongosolo ili liyenera kuvomerezana ndi adokotala ndikuwonetsetsa.

Nthawi zina, zizindikiro za matendawa zimawonekera kwambiri. Wodwala akayamba kugona chifukwa chosintha shuga m'magazi, ndiye kuti sizingatheke "kumudyetsa". Munthu amayikidwa pambali pake ndipo chidutswa cha shuga chimayikidwa pansi pa tsaya lake.

Pambuyo pa izi, muyenera kuyimbira ambulansi nthawi yomweyo. Zikatero, madokotala a ambulansi amapatsira shuga mwachindunji m'mitsempha. Kenako wodwalayo amalowetsa kuchipatala, komwe amapitilizabe kulandira jakisoni wa glucose munthawi imodzimodziyo ya insulin.

Monga njira zodzitetezera, malamulo otsatirawa ayenera kuonedwa:

• Siyani kumwa mowa ndi kusuta.
• Kugwirizana ndi adokotala kuchuluka kwa zinthu zokhala ndi shuga zomwe zimatengedwa, komanso dongosolo la kumwa insulin.
• Nthawi zonse khalani ndi chilichonse chokoma ndi inu (chidutswa cha shuga, maswiti kapena shuga).
• M'thumba la zovala la wodwalayo nthawi zonse pamayenera kukhala ndi cholembedwa chokhala ndi zambiri chokhudza iye ndi matenda ake. Izi zikuthandizira kupereka mwachangu chithandizo chamankhwala povulaza kwambiri matendawa.

Kuti muthane ndi chiwonetsero chakuthwa cha matendawa, mankhwala ena amagwiritsidwa ntchito. Ngati ndizosatheka kudya shuga kapena glucose, mwachitsanzo, pamene wodwalayo sakudziwa, ndiye kuti wodwalayo amapaka jekeseni wa 40% ya dextrose kudzera m'mitsempha.

Ngati mlingo woyamba suthandizira, ndiye kuti kulowetsako kumachitika mobwerezabwereza. Ana amapatsidwanso njira yokhazikika ya dextrose, pokhapokha 10%.

M'mayiko akunja, ntchito yaukatswiri wa mankhwala osokoneza bongo amachitidwa. Chida ichi chimathandiza kuthana ndi mawonetsedwe amitsempha a matendawo. Komanso, ngati mpumulo suwonekera mkati mwa mphindi 15 mpaka 20, kukonzanso kwa glucagon wa mankhwala sikovomerezeka.

Kupewa

Pofuna kupewa matenda a hypoglycemia pafupipafupi kapena kutha kwathunthu, njira zotsatirazi ziyenera kuonedwa:

1. Ndikofunikira kuti muphunzire zotsatira za insulin bwino ndikudziwa mtundu wanu. Wodwalayo ayenera kumvetsetsa nthawi komanso kuchuluka kwa mankhwalawa omwe angafunike kubayidwa, komanso momwe angakhudzire thupi.
2. Ndikofunikira kuwonetsa bwino komanso mosamalitsa makonzedwe azakudya ndi kukonzekera kwa insulin, komanso osaphwanya lamulo ili.
3. Kupitiliza kosalekeza kwa shuga wamagazi ndikofunikira. Pakulangizidwa ndi madokotala, cheke ichi chizenera kuchitika musanadye chakudya chilichonse (kangapo patsiku), komanso m'mawa komanso musanagone.
4. Funsani katswiri pankhani yosintha kuchuluka kwa insulini komanso kudya zakudya zokhala ndi shuga mukamasintha zolimbitsa thupi, ndikutsatira mosamala malangizo ake.
5. Ndikofunika kupeweratu kumwa zakumwa zoledzeretsa. Malinga ndi madotolo, kumwa mowa wamphamvu kwambiri kumachepetsa kuchuluka kwa shuga m'magazi, ndipo mowa umakhala ndi zotsatirapo zina. Ngati mowa sungapewe, ndiye kuti uyenera kutsagana ndimankhwala abwino owonjezera m'thupi.

Kuwona njira zopewerazi kokha kungachepetse mawonetseredwe a matendawa. Zachidziwikire, maulamuliro oterowo ndikuwongolera kwambiri zaumoyo kumatha kuchepetsa kwambiri moyo wanu, koma kumathandizira kuti muzisamalira.

Nawa malangizo asanu ochokera kwa akatswiri omwe angathandize wodwala yemwe ali ndi hypoglycemia kuthana ndi matenda ake:

Ndikukonzekera kowonjezera zolimbitsa thupi kapena kukwera	uzikhala ndi kena kokoma ndi iwe, maswiti, chidutswa cha shuga, chokoleti kapena chinthu chilichonse chokhala ndi shuga chizikhala mthumba lanu nthawi zonse, Zomwezi zimagwiranso ntchito mukamamwa mowa.
Ngati munthu safuna kudya kuchuluka kokoma	Zakudya zokhala ndi shuga zitha kulowedwa m'malo ndi zina zathanzi, mwachitsanzo, uchi, maapulo owuma, mphesa zamphesa kapena nthochi zimabweretsa zabwino zambiri mthupi kuposa chidutswa cha shuga, komabe, izi zimathandizanso kuthana ndi chiwonetsero cha matendawa.
Kuti muchepetse kuyamwa kwa glucose ndi kulowa kwake m'magazi	Ndikofunika kudya zakudya zokhala ndi shuga ndi zakumwa zotentha, Kwenikweni gawo ili ofunda tiyi limayandikira.
Ndi kuwonjezeka kwa chiwonetsero cha hypoglycemia	funsani katswiri, kuwonjezeka kotereku kukhoza kukhala chifukwa cha kuchuluka kwa insulin.

Tsoka ilo, nthawi zambiri anthu amadwala matenda angapo nthawi imodzi. Ngati mukufunika kumwa mtundu wina wa mankhwala kuti muchiritse matenda ena, ndiye kuti werengani malangizo ake mosamala. Ndikofunikira kudziwa momwe mankhwalawa amathandizira ndi insulin.

Gawo lofunika la mankhwala amakono lingalimbikitse zotsatira zake, ndipo izi zidzatsogolera ndikuwonetsa kwambiri kuwukira kwa hypoglycemia.

Hypoglycemia ndi kuchepa kwa shuga m'magazi m'munsimu 4 mmol / L. Vutoli limawonedwa ngati lowopsa ndipo lifunika kuchitapo kanthu mwachangu komanso moyenera.

Chachikulu Zizindikiro za hypoglycemia : njala, kunjenjemera kakang'ono m'thupi, kuchuluka, kulimba, malingaliro opanda nkhawa, mantha.

Kuphatikiza pazinthu zosasangalatsa za subjective, zochitika za hypoglycemic zimatha kubweretsa stroke, myocardial infarction, komanso kuwonongeka kwakukulu kwa ziwalo zamkati.

Kuopsa kwa hypoglycemia kuli poti odwala ambiri amangomva kufooka kapena thukuta ndikuwayanjana nawo osati kutsika kwa shuga m'magazi, koma, mwachitsanzo, ndi kugwirira ntchito bwino kwamitsempha yamagazi, kuwonetsa kusintha kwa msambo, komanso kuchuluka kwa magazi. Ngati muli ndi matenda ashuga, muyenera kusamala nthawi iliyonse yosamveka: nthawi zonse muziyezera kuchuluka kwa glucose m'magazi pogwiritsa ntchito chipangizo chimodzi chowongolera - glucometer.

Ndikamachitika kawirikawiri ma epogopi a hypoglycemic, ma neuron a ubongo amakhudzidwa makamaka, chifukwa glucose amawagwiritsa ntchito ngati mphamvu yokhayo, mosiyana ndi maselo ena mthupi omwe amatha kugwiritsa ntchito michere ina pazinthu izi. Pambuyo pake, izi zitha kukhala chifukwa chakuchepa kwa luntha ndi kuthekera kwaumunthu kuti athe kuzolowera kusintha kozungulira kozungulira.

Momwe mungapewere hypoglycemia

Yesetsani kuti musadumphe zakudya. Onetsetsani kuti muphatikiza muzakudya (pasitala kuchokera ku tirigu wa durum, mkate wa phala, nyemba, masamba).

Musanayambe kuchita masewera olimbitsa thupi, gwiritsani ntchito kunyumba kapena ku kanyumba, kuyeza kuchuluka kwa shuga m'magazi. Ngati ndi otsika kuposa 7.8 mmol / L, khalani kuluma musanayambe kugwira ntchito (buledi wa phala, apulo). Tenga kanthu kena kokoma ndi iwe ngati shuga atagwa mwadzidzidzi.

Osamamwa mowa wopanda mafuta okwanira, koma ndibwino kusiya zonse zoipa. Nthawi zonse muziyang'anira kuchuluka kwa glucose anu ndikukhala ndi diary.

Ayenera kudziwa

Mulingo wambiri wa glucose wolemba mwadzidzidzi pa mita ungatchulenso hypoglycemia yam'mbuyo. Vutoli limatchedwa "posthypoglycemic hyperglycemia." Poterepa, kuwunika bwino chifukwa chake izi zidachitika kuyenera kuchitika. Zomwe zimayambitsa kuchuluka kwa shuga:

• Carbohydrate zimachitika bwanji (keke, mayina),
• Zomwe zidachitika posachedwa hypoglycemia (kumbukirani ngati mudakhala ndi maola 1-2 apitawo panjenjemera, mantha, thukuta, kuchuluka kwamtima),
• Kukula (motsutsana ndi maziko a njira yotupa, thupi limafunikira insulin yambiri, kotero pali kusowa kwake, komwe kumadziwonetsera mu kuchuluka kwa shuga).

Hypoglycemia Chakudya chopatsa thanzi

Kwa anthu omwe ali ndi matenda a shuga a 2, asayansi aku Canada amalimbikitsa kuti aziphatikiza nyemba monga nandolo, mphodza, ndi zina zotere. Izi zimathandiza kuchepetsa shuga wamagazi komanso zimachepetsa chiopsezo cha zovuta zamtima.

Chowonadi ndi chakuti ma legamu amakhala ndi chindapusa chotsika kwambiri cha glycemic - chizindikiro chomwe chikuwonetsa mphamvu ya zomwe zimachitika pamisempha yamagazi.Asayansi amalimbikitsa kudya magalamu 200 a nyemba patsiku.

Kodi mwawona cholakwika? Unikani kwambiri ndikusindikiza Ctrl + Lowani.

Hypoglycemia Ndi mkhalidwe wodziwika ndi shuga wambiri m'magazi (shuga wa magazi), omwe ali gwero lalikulu lamphamvu mthupi lanu. Hypoglycemia nthawi zambiri imagwirizanitsidwa ndi chithandizo cha matenda ashuga. Komabe, matenda osiyanasiyana, omwe ambiri ndi osowa kwambiri, amatha kuyambitsa shuga m'magazi mwa anthu opanda matenda a shuga. Monga kutentha thupi, hypoglycemia si nthendayo yokha - ndi chizindikiro cha vuto laumoyo.

Kuchiza kwaposachedwa kwa hypoglycemia kumaphatikizanso miyeso yofulumira yobwezeretsa kuchuluka kwa shuga m'magazi wamba (kuyambira 0,9 mpaka 6,1 mamililita pa lita kapena mmol / l) pakudya zakudya zopatsa shuga zambiri kapena mankhwala apadera. Chithandizo choyambirira chimafuna kuzindikiridwa komanso chithandizo cha chomwe chimayambitsa hypoglycemia.

Mukaonana ndi dokotala

Pitani kuchipatala msanga ngati:

• Muli ndi zizindikiro za hypoglycemia, koma palibe matenda ashuga.
• Muli ndi matenda ashuga, ndipo hypoglycemia siyankha chithandizo. Chithandizo choyambirira cha hypoglycemia ndikumamwa madzi a msuzi kapena zakumwa zoledzeretsa zilizonse zosakhala zoledzeretsa, kudya maswiti kapena mapiritsi a shuga. Ngati mankhwalawa sawonjezera shuga m'magazi ndipo sathanso kusintha zizindikiro, pitani kuchipatala mwachangu.

Imbani ambulansi ngati:

• Munthu yemwe ali ndi matenda a shuga kapena a hypoglycemia omwe ali ndi matendawa amakhala ndi zizindikiro zamphamvu kwambiri kapena amatha kuzindikira.

Kayendedwe ka Mwazi

Mukakumba, thupi lanu limaphwanya zakudya zamafuta kuchokera ku zakudya monga mkate, mpunga, pasitala, masamba, zipatso, ndi zinthu zamkaka mumamolekyulu osiyanasiyana a shuga. Imodzi mwa mamolekyulu a shuga awa - glucose, ndiye gwero lamphamvu lamphamvu mthupi lanu. Glucose amalowetsedwa m'magazi anu mutatha kudya, koma osalowa mkati mwa maselo ambiri a minofu yanu popanda thandizo la insulin, timadzi tating'onoting'ono timene timatulutsidwa ndi ma pancreas anu.

Mwazi wanu wamagazi ukakwera, amaimira ma cell ena (a beta cell) m'mapazi anu omwe ali kuseri kwa m'mimba mwanu kuti atulutse insulin. Insulin, imatsegulanso maselo anu kuti shuga azilowa ndikuwapatsa mphamvu, zomwe zimapangitsa kuti maselo anu azigwira ntchito moyenera. Magazi ena owonjezera omwe amasungidwa mu chiwindi ndi minofu mu mawonekedwe a glycogen.

Njirayi imachepetsa shuga wamagazi ndikulepheretsa kuti ikule mpaka kukhala oopsa kwambiri.

Ngati simunadye kwa maola angapo ndipo shuga mumagazi anu, shuga wina kuchokera ku kapamba wanu, glucagon, amasonyeza kuti chiwindi chanu chimaphwanya glycogen osungidwa ndikubweza shuga m'magazi anu. Izi zimasunga shuga wamagazi anu mulingo woyenera kufikira mutadyanso.

Kuphatikiza pa chiwindi, chomwe chimatembenuza glycogen kukhala glucose, thupi lanu limakhalanso ndi mphamvu yotulutsa shuga kudzera mwa njira yotchedwa gluconeogeneis. Izi zimachitika makamaka m'chiwindi, komanso impso, ndipo zimagwiritsa ntchito zinthu zosiyanasiyana zomwe ndizatsogolera shuga.

Zomwe Zimayambitsa Matenda A shuga

Ngati muli ndi matenda ashuga, mphamvu ya insulin m'thupi lanu imachepa kwambiri chifukwa chimodzi mwazifukwa ziwiri:

1. Kasitomala wanu samatulutsa insulin yokwanira (mtundu 1 wa shuga).
2. Maselo anu sagwidwa ndi insulin (mtundu wachiwiri wa matenda ashuga), chifukwa chake, shuga amayamba kudziunjikira m'magazi ndipo amatha kufikira kwambiri. Kuti muthane ndi vutoli, mwina mukumwa mankhwala a insulin kapena mankhwala ena omwe amachepetsa magazi anu.

Ngati mumamwa insulini yochuluka kwambiri poyerekeza ndi kuchuluka kwa shuga m'magazi, izi zimatha kutsitsa kwambiri shuga wambiri, zomwe zimayambitsa hypoglycemia. Hypoglycemia imathanso kuchitika, mutatha kumwa mankhwala anu a shuga, simudya kwambiri monga momwe mumakhalira (mwa kudya glucose wocheperako), kapena mukuchita zolimbitsa thupi kwambiri (pogwiritsa ntchito shuga) kuposa masiku onse. Kuti izi zisachitike, muyenera kufunsa ndi dokotala mulingo woyenera womwe umagwirizana ndi zomwe mumadya komanso zomwe mumachita.

Zoyambitsa popanda matenda ashuga

Hypoglycemia mwa anthu opanda matenda a shuga siachilendo. Zomwe zimayambitsa izi:

• Mankhwala . Kumwa mwangozi mankhwala a anthu ena omwe ali ndi shuga ndizotheka chifukwa cha hypoglycemia. Mankhwala ena amathanso kuyambitsa vutoli - makamaka kwa ana kapena anthu omwe ali ndi vuto la impso. Chitsanzo chimodzi ndi Qualaquin, yomwe imagwiritsidwa ntchito pochiza malungo.
• Mowa wambiri . Kumwa mowa wambiri popanda chakudya kungalepheretse kutulutsidwa kwa glucose komwe kumasungidwa m'magazi, ndikupangitsa hypoglycemia.
• Matenda owopsa . Matenda owopsa a chiwindi, monga hepatitis yayikulu, amatha kuyambitsa hypoglycemia. Nthenda ya impso, yomwe nthawi zambiri imachotsa mankhwala m'thupi, imatha kukhudza kuchuluka kwa glucose chifukwa cha kuchuluka kwa mankhwalawa. Kusala kudya kwanthawi yayitali, komwe kumatha kukhalanso ndi vuto lakudya lomwe limatchedwa anorexia manthaosa, kungayambitse kuchepa kwa zinthu zomwe thupi lanu limafunikira pa 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.
• Maselo a Pancreatic Beta omwe amapanga insulini (nezidioblastosis) angayambitse kutulutsa kwambiri kwa insulin, ndikupangitsa hypoglycemia.
• Hormone kuchepa . Matenda ena a adrenal gland ndi pituitary gland angayambitse kuchepa kwa mahomoni akuluakulu omwe amalamulira kupanga shuga. Ana omwe ali ndi zovuta izi amakonda kwambiri hypoglycemia, mosiyana ndi akuluakulu.

Hypoglycemia atatha kudya

Hypoglycemia nthawi zambiri imachitika pamene simunadye (pamimba yopanda kanthu), koma sizikhala choncho nthawi zonse. Nthawi zina hypoglycemia imachitika mutatha kudya, chifukwa thupi limapanga insulini yambiri kuposa momwe amafunikira.

Hypoglycemia yamtunduwu imatchedwa reactive kapena postprandial hypoglycemia, yomwe imatha kupezeka mwa anthu omwe adachitidwa opaleshoni pamimba zawo. Vutoli limathanso kuchitika mwa anthu omwe sanachitidwe opareshoni.

Mavuto a hypoglycemia

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

Ndikofunikira kuzindikira zizindikiritso za hypoglycemia m'mayambiriro oyambirira, chifukwa hypoglycemia yopanda tsankho ingayambitse:

Hypoglycemic umbuli

Popita nthawi, magawo obwereza a hypoglycemia angayambitse umbuli wa hypoglycemic. Thupi ndi ubongo sizibwereranso zizindikilo ndi zochenjeza za shuga m'magazi, monga kunjenjemera m'thupi kapena kugunda kwamtima kosagwirizana. Izi zikachitika, chiopsezo chokhala ndi hypoglycemia yoopsa, yowonjezereka.

Matenda a shuga osaphatikizidwa

Ngati muli ndi matenda ashuga, magawo a shuga ochepa magazi sakhala omasuka ndipo akhoza kukhala owopsa. Zolemba zobwereza za hypoglycemia zimatha kukupangitsani kuti muchepetse insulini yochepa kwambiri kotero kuti shuga yanu yamagazi sichepa kwambiri.Koma shuga wotalika kwa nthawi yayitali amatha kukhala owopsa pakuwononga mitsempha yanu, mitsempha yamagazi, ndi ziwalo zosiyanasiyana.

Kuyesa ndi Kuzindikira

Dokotala wanu adzagwiritsa ntchito njira zitatu (zomwe zimadziwika kuti Whipple Triad) kuti adziwe hypoglycemia. The Whipple Triad imaphatikizapo zinthu izi:

• Zizindikiro zake za hypoglycemia . Simungathe kuwona zizindikiro ndi hypoglycemia paulendo wanu woyamba wa adokotala. Pankhaniyi, dokotala angakulimbikitseni kuti mugone usiku pamimba yopanda kanthu. Izi zimalola kuti zizindikiro za hypoglycemic ziwonekere, zomwe zingathandize dokotala kuti azindikire. Muyenera kukhala ndi kusala kudya kwanthawi yayitali kuchipatala. Kapena ngati zizindikiro zanu zimachitika mutatha kudya, dokotala adzafuna kuyesa kuchuluka kwa shuga wanu mutatha kudya.
• Zolemba za shuga m'magazi ocheperako okhala ndi zizindikilo ndi zizindikiro . Dokotala wanu adzakuyeserani kuti mukayezetsedwe magazi kuti mutha kuyeza molondola ndikulemba magazi anu.
• Zizindikiro ndi zizindikiro zimatha . Gawo lachitatu la diagnostic triad ndikuti zizindikiro ndi zizindikiro zanu zimatha magazi anu akamatuluka.

Kuphatikiza apo, dokotala wanu ayenera kuti akakufufuzeni ndikuyang'ana mbiri yanu yakuchipatala.

Chithandizo cha hypoglycemia chimaphatikizapo:

• Poyamba chithandizo kuti muwonjezere shuga.
• Kuchiza kwamatenda oyamba omwe amachititsa kuti hypoglycemia ipewe 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 zimasinthidwa mosavuta kukhala shuga mthupi, monga maswiti, misuzi ya zipatso, zakumwa zosachepera zakudya, mapiritsi a shuga, kapena gel. Zakudya zokhala ndi mafuta kapena mapuloteni sakhala mankhwala abwino a hypoglycemia chifukwa mapuloteni ndi mafuta amachepetsa kuyamwa kwa shuga mthupi.

Onaninso shuga m'magazi anu patatha mphindi 15 mutalandira chithandizo. Ngati shuga wanu wamagazi akadali pansi 3.9 mmol / L, yesani magalamu ena 15-20 am'madzi othamanga ndikuwonetsetsa shuga wanu wamagazi pambuyo mphindi 15. Bwerezani izi mpaka shuga wanu wamagazi ataposa 3,9 mmol / L.

Mwazi wanu wamagazi ukayamba kukhala wabwinobwino, ndikofunikira kuluma kapena kudya kuti muchepetse. Zimathandizanso thupi kubwezeretsa m'misika yama glycogen, yomwe itha kutha panthawi ya hypoglycemia.

Ngati zizindikiro zanu zili zazikulu kwambiri, chifukwa cha kusatha kudya shuga mkati, mungafunike jakisoni wa glucagon kapena glucose wamkati. Osapatsa chakudya kapena chakumwa kwa iwo omwe sadziwa, chifukwa munthu akhoza kungomva.

Ngati muli ndi vuto lalikulu la hypoglycemia, afunseni dokotala ngati mankhwala a glucagon azakuyenerani. Mwambiri, anthu omwe ali ndi matenda ashuga omwe amathandizidwa ndi insulin ayenera kukhala ndi chipinda cha glucagon ngati magazi abwera. Achibale ndi abwenzi ayenera kudziwa komwe angapezeko chida ichi, ndikuphunzira momwe angagwiritsire ntchito nthawi yadzidzidzi isanachitike.

Chithandizo cha zomwe zimayambitsa matenda

Kupewera kwa vuto la hypoglycemia kumafuna kuti dokotala azindikire chomwe chimayambitsa matendawa ndikuchiza. Kutengera zomwe zimayambitsa, chithandizo chitha kuphatikizirapo:

• Mankhwala . Ngati kumwa mankhwala ndi chifukwa cha hypoglycemia, dokotala akhoza kukuthandizani kuti musinthe mankhwalawo kapena kusintha mankhwalawo.
• Chithandizo cha tumor . Chotupa mu kapamba wanu amathandizidwa ndi opaleshoni yochotsa. Nthawi zina, kuchotsa pang'ono kapamba ndikofunikira.

Zoyenda limodzi ndi milingo yayikulu ya insulin

Insulinoma ndi chotupa chopanga insulin chomwe chimapangidwa kuchokera ku maselo a beta a pancreatic. Ndi chotupa ichi, kusala kwa hypoglycemic syndrome kumayamba.

Posachedwa ndipereka cholemba chapadera ndi matenda, chifukwa chake, kuti musaphonye.

Beta cell hyperplasia ndi hypoglycemia mwa akhanda

Mawu akuti beta-cell hyperplasia mu makanda amatanthauza kuwonjezeka kwa iwo, zomwe zimapangitsa kuchuluka kwa insulin, yomwe imayambitsa kugunda kwa hypoglycemia. Amadziwikanso kuti neonatal hypoglycemia. Pansipa ndalemba zifukwa, koma onani momwe mungafotokozere Google, chonde. Nkhaniyi ndi yayikulu kwambiri ndipo ilibe chilichonse.

Hyperplasia mu akhanda ndi ana a chaka choyamba cha moyo amapezeka ndi:

• nezidioblastosis (kobadwa nako hyperinsulinism)
• fetal erythroblastosis
• Beckwith - Matenda a Wiedemann

Hypoglycemia syndrome imapezekanso mwa ana obadwa kwa amayi omwe ali ndi matenda ashuga. Pankhaniyi, hypoglycemia imakhalapo mwachilengedwe. Komanso, kudutsa hypoglycemia kumatha kukhala mwa ana osabadwa, mapasa, ana omwe ali ndi kukula kwa intrauterine.

The yogwira hypoglycemia kapena postprandial hypoglycemia

Anthu omwe ali ndi mankhwala ambiri a insulin (hyperinsulinism) amatha kukhala ndi vuto laifupi. matendawa amatchedwanso alimentary hypoglycemia. Izi ndichifukwa choti, poyankha kudya zakudya zokhala ndi index yayikulu ya glycemic, insulin yochulukirapo imapangidwa ndi kapamba, yemwe amachepetsa kwambiri shuga m'magazi maola atatha kudya.

Izi zimachitika mphindi 30-60 mutatha kudya. Munthu amayamba kuona zizindikiro zapamwamba za hypoglycemia. Zotsatira zake, njira zoteteza zimayambira ndipo mahomoni olimbana ndi mahomoni amatulutsidwa m'm magazi, omwe amachepetsa masitolo a glycogen m'chiwindi ndikuwonjezera kuchuluka kwa shuga.

Vutoli limapezeka kawirikawiri kwa anthu omwe ali ndi vuto la prediabetes (kuvutika kwa glucose) komanso omwe amachitidwa opaleshoni pamimba, omwe nthawi zonse amakhala ndi vuto la caroglycemia pambuyo pa chakudya. Kuzindikira za vutoli ndikupangitsa kuyesa kwa glucose.

Nthawi zina, pali idiopathic alimentary hypoglycemia, yomwe imapezeka mwa anthu athanzi ndipo imachitika maola 3-4 mutatha kudya.

Autoimmune hypoglycemic syndrome

Ndi chosowa kwambiri kwa anthu opanda matenda a shuga, koma omwe ali ndi ma antibodies a insulin ndi ma receptor ake, kuchitika kwa shuga m'magazi kumatha kuchitika. Izi ndichifukwa choti autoimmune complexes dissociate, i.e., imasokonezeka ndipo kuchuluka kwakukulu kwa insulin kumalowa m'magazi kapena ma receptor ambiri omwe amawoneka.

Chifukwa

Zomwe zimayambitsa matendawa zimatha kukhala zosiyana kwambiri, komabe, nthawi zambiri timalankhula za kuti insulin yambiri imapangidwa m'thupi la munthu. Komabe, zomwe zimayambitsa hypoglycemia zitha kukhala zosiyana. Zotsatira zake ndi izi zomwe zimachitika kuti kusintha kwachilendo kwamankhwala kukhala shuga, zomwe zimapangitsa kuti pakhale gulu la hypoglycemic.

Komabe, ngati taphunzira kuti hypoglycemia ndiyomwe imayambitsa, ndiye kuti vuto lomwe ndi matenda a shuga mellitus, limafala kwambiri. Komabe, ntchito zamankhwala zimakonzanso zifukwa zina za hypoglycemia. Ndipo mukuyenera kudziwa mwatsatanetsatane mikhalidwe yomwe munthu angadutsidwe nayo:

• m'mimba mumatha kupanga ma neoplasms ena,
• munthu amatenga mankhwala ambiri (pamakhala kukonzekera kwa sulufu, quinine, mankhwala osiyanasiyana ochizira matenda ashuga),
• kumwa kwambiri zakumwa zoledzeretsa, mopitilira apo, mtundu uwu wa matendawa ndiwowopsa kwambiri, apa munthu atha kukhala wopsinjika kapena malingaliro ake amatha kusokonezeka,
• thupi limachita zolimbitsa thupi kwambiri,
• munthu samadya moyenera, zakudya zomwe zimakhala ndi chakudya chamagulu ambiri m'makudya ake
• thupi limakhudzidwa ndi matenda amtundu uliwonse opatsirana,
• kupezeka kwa aimpso kapena mtima kulephera,
• Thupi limakhala ndi ludzu kwa nthawi yayitali,
• chiwindi chimayamba kugwira ntchito ndi zina zamtunduwu, matenda amitsempha amatha kuchitika, ma enzyme amapangidwa mosayenera,
• kagayidwe kachakudya
• gren adrenal imakhudzidwa ndi pathological process,
• thupi sililandira kuchuluka kwa madzi, ndiye kuti, kusowa kwamadzi kumachitika.
• angakhale ali ndi vuto la kubala,
• chithokomiro chimachepa,
• kufalikira kwa magazi kumayendetsedwa ndi mtundu wolephera,
• Alanine kaphatikizidwe sikokwanira.

Dziwani kuti ngakhale mutakhala ndi hypoglycemia ya zomwe zimayambitsa, ndikofunikira nthawi zonse kuyang'anitsitsa thanzi lanu kuti muwone zoyipa zilizonse panthawi.

Mankhwala

Polimbana ndi kutaya chikumbumtima ndi zizindikiro zina za hypoglycemia, madokotala amapereka mankhwala ambiri a magulu angapo a mankhwala. Mwa awa:

• zotengera sulfonylurea: glibenclamide, glycidone,
• thiazolidinediones: rosiglitazone, troglitazone,
• meglitinides: Repaglinide,
• biguanides: Glucophage, Siofor,
• alpha glucosidase zoletsa: Miglitol, Acarbose.

Mankhwala othandiza pa matenda oopsa a hypoglycemia, madokotala amasiyanitsa zotsatirazi zamankhwala omwe amatsutsa shuga wochepa:

1. Glucagon. Njira yothetsera makonzedwe a intramuscularly kuti muwonjezere msanga kuchuluka kwa shuga m'thupi lanu. Mlingo umodzi ndi 1-2 ml, kuchitira mankhwala mpaka khola lina.
2. Glucophage. Mankhwalawa amapezeka monga mapiritsi, omwe amayenera kumwedwa katatu kapena katatu tsiku lililonse pakudya kapena atangomaliza kudya. Mlingo watsiku ndi tsiku ndi 1500-2000 mg, upamwamba ndi 3000 mg. Maphunzirowa amasankhidwa payekha.

Ndi matendawa, muyenera kutsatira kwambiri zakudya zomwe madokotala amapereka, onetsetsani kuti thupi lanu lili ndi mavitamini ambiri. Kuti muchepetse kuchuluka kwa vuto loopsa, chakudya chofunikira ndichofunika kwa moyo wonse wa wodwala yemwe ali ndi matenda ashuga. Mndandanda wazakudya zopatsa thanzi:

• buledi, tirigu,
• Zipatso zopanda zipatso ndi zipatso,
• Zatsopano zamasamba
• Mitundu yamafuta ochepa ndi nyama ndi nsomba,
• zopangidwa mkaka
• mazira.

Pali zoletsa zopatsa thanzi, kuphwanya komwe kumabweretsa kukula kwa magazi m'magazi. Zakudya zoletsedwa zalembedwa motere:

• Confectionery
• zipatso zokoma
• mafuta a ufa wa tirigu,
• masamba okhuthala

Momwe mungapewere matenda amtundu wa 2 komanso wa 2

Ngati hypoglycemia itakula mutatha kudya kapena kusala kudya kwakanthawi, wodwalayo komanso malo omwe amakhala nawo amayenera kuchitapo kanthu mwachangu. Ndipo ndikwabwino kusamalira nthawi yopewa kupewa ndi kupewa kuukiridwa komwe kumakomoka pafupipafupi komanso kunjenjemera kwa malekezero. Nazi njira zothandiza kupewa:

• kudziwa mtundu wa insulini ndipo musasinthe mosavomerezeka,
• tsatirani njira ya jakisoni wa insulin,
• kutsatira zakudya zinazake,
• Kuyeza magazi m'mimba yopanda kanthu m'mawa, mutatha kudya komanso musanagone,
• musiye zizolowezi zoipa.

Matenda a shuga ndi matenda omwe amafunikira chidziwitso komanso kulangidwa kwakukulu kuchokera kwa wodwala. Ngati sichingalandiridwe, posachedwa pamakhala zotsatirapo za kuwonongeka kwa minyewa yamitsempha yamagazi ndi mitsempha yamagazi, ngati itagwiritsidwa ntchito molimbika, kuchuluka kwa mankhwalawa kwa mankhwala, hypoglycemia imayamba.

Ndikofunikira kudziwa! Nkhani yatsopano yomwe ikulangizidwa ndi ma endocrinologists a Kuwunika Kwachisawawa Kokulu! Ndi zofunika tsiku lililonse.

Kuchepetsa kwambiri shuga m'magazi kumakhala koopsa kwambiri kuposa shuga wambiri, chifukwa kusintha m'thupi kumachitika mwachangu kwambiri, ndipo thandizo la kuchipatala limatha kuchedwa. Kuti mudziteteze ku zovuta za hypoglycemia, aliyense wodwala matenda ashuga ayenera kumvetsetsa bwino dongosolo la chitukuko ichi, athe kudziwa kuchepetsedwa kwa shuga ndi zizindikiro zoyambirira, kudziwa momwe angayimitsire hypoglycemia yamisala yosiyanasiyana.

Chifukwa chakuti izi zimapangitsa kuti azindikire komanso kukomoka, sizingakhale zopweteka kwenikweni kuphunzira malamulo osamalira mwadzidzidzi abale anu ndi anzanu.

Hypoglycemia - ndi chiyani

Hypoglycemia imaganiziridwa kuchepetsedwa kulikonse kwa shuga m'magazi mpaka 3,3 mmol / L kapena kutsika mukamayezedwa ndi glucometer yosunthika, mosasamala kanthu zomwe zimachitika komanso kupezeka kapena kusowa kwa zizindikiro. Kwa magazi a venous, kuchepa mpaka 3.5 kumawoneka koopsa.

Anthu athanzi saganiza nkomwe za zovuta zomwe zimachitika m'matupi awo mukatha kudya chakudya cham'mawa. Ziwalo zogaya zimakonzanso chakudya chamafuta, zimadzaza magazi ndi shuga. Kasitomala, poyankha kuwonjezeka kwa glucose, amapanga insulini yoyenera. Yotsirizirayi, imayimira minofu kuti nthawi yakudya, ndipo amathandizira kuti shuga alowe m'selo. Mphamvu zingapo zimachitika mchipindamu, pomwe glucose amagwera mu kaboni dayokiti ndi madzi, ndipo thupi limalandira mphamvu zomwe zimafunikira. Munthu akapita kukaphunzitsidwa, akatumba amafunika shuga wambiri, osowa adzabweza chiwindi. Mukamadya chakudya chotsatira, masitolo ogulitsa shuga m'chiwindi ndi minofu yake adzabwezeretsedwa.

Matenda a shuga ndi kupsinjika kudzakhala chinthu chakale

Matenda a shuga ndi omwe amayambitsa pafupifupi 80% yonse yamikwingwirima ndi kuduladula. Anthu 7 mwa anthu 10 amafa chifukwa cha mitsempha ya mtima kapena ubongo. Pafupifupi nthawi zonse, chifukwa chomaliza chomaliza ndi chimodzimodzi - shuga wamwazi.

Shuga akhoza ndipo amayenera kugwetsedwa, apo ayi. Koma izi sizichiritsa matendawa, koma zimangothandiza kulimbana ndi kufufuza, osati zomwe zimayambitsa matendawa.

Mankhwala okhawo omwe amavomerezeka pamankhwala othandizira odwala matenda ashuga komanso amagwiritsidwa ntchito ndi ma endocrinologists pantchito yawo ndi awa.

Kugwiritsa ntchito bwino kwa mankhwalawa, kuwerengera malinga ndi njira yokhazikika (kuchuluka kwa odwala omwe achiwonjezere kuchuluka kwa odwala omwe ali pagulu la anthu 100 omwe adachitiridwa chithandizo):

• Matenda a shuga - 95%
• Kuthetsa kwa mitsempha thrombosis - 70%
• Kuthetsa kwa kugunda kwamtima kwamphamvu - 90%
• Kuthana ndi kuthamanga kwa magazi - 92%
• Kulimbitsa tsiku, kukonza kugona usiku - 97%

Opanga si bungwe lazamalonda ndipo amalipidwa ndi chithandizo cha boma. Chifukwa chake, tsopano wokhala aliyense ali ndi mwayi.

Mu matenda a shuga, odwala amakakamizika kuwongolera mankhwalawa pogwiritsira ntchito shuga ndikuwongolera kudya kwake komanso kusinthitsa mphamvu yake m'maselo omwe amagwiritsa ntchito mankhwala ochepetsa shuga ndi insulin. Mwachilengedwe, kukonza kwa glucose m'magazi sikungachite popanda kulakwitsa. Mwazi wamagazi ukakhala wopitilira, umayamba kuwononga ziwiya ndi mitsempha ya wodwala, zimachitika. Nthawi zina glucose sikokwanira, ndipo hypoglycemia imayamba.

Ntchito ya wodwala wodwala matenda ashuga ndikuwonetsetsa kuti kusinthaku kumakhala kocheperako, munthawi yake kuti athetse shuga wa magazi pang'onopang'ono. Shuga wopanda spikes mu shuga amatchedwa kulipidwa. Kuperekera kwa shuga kwa nthawi yayitali kokha komwe kumatsimikizira moyo wakhama komanso wautali.

Zizindikiro ndi hypoglycemia

Momwe mungazindikire hypoglycemia? Malinga ndi kuzika, gawo la hypoglycemic litha kugawidwa:

Poyambirira, munthuyu amadziwa bwino za momwe zinthu ziliri, amatha kukweza, ndikukula msanga magazi.Kachiwiri, munthu amatha kudziwa, koma samazindikira komwe ali, sangathe kuwunika kukula kwa vuto lakelo, ndikuzithandiza yekha. Izi zimatchedwa stupor. Hypoglycemic coma imatchulidwanso kuti hypoglycemia.

Zizindikiro za shuga wochepa kwathunthu sizimasiyana kutengera zomwe zimayambitsa. Chifukwa chake, chiganizo chotsatira ndi choyenera kwa aliyense yemwe ali ndi hypoglycemia.

Zambiri mwatsatanetsatane zachipatala cha anthu ochepa odwala ndi ana, ndalemba m'nkhaniyi. Pamenepo mupeza zizindikiro zamatenda a nocturnal hypoglycemia. Ndikupangira kuti mupite kukawerenga nkhaniyi kuti mudziwe mwatsatanetsatane.

Thandizo loyamba komanso chithandizo cha hypoglycemia

Zoyenera kuchita ndi momwe muyenera kuchitira? Ngati hypoglycemia ndi shuga wochepa, ndiye kuti chikhala chinthu chabwino kudya china chake chopatsa mphamvu. Popeza anthu ambiri amamva njala yankhanza akakhala ndi shuga yochepa kapena hypoglycemia, amayesa kudya china chake mwachangu. Apa, vuto lina likukuyembekezerani.

Chofunika kwambiri ndichomwe mumadya makamaka panthawi ya hypoglycemia. Nthawi zambiri ndimazindikira kuti amadya chilichonse, koma osati zomwe amafunikira. Izi ndi masangweji ndi soseji, ndi makeke okhala ndi tiyi, komanso chokoleti kapena chokoleti, komanso msuzi. Zakudya ndi zakudya zoterezi ndizosatha komanso osavomerezeka ndi vuto.

Zonsezi pamwambapa sizitha kukweza msanga magazi, ndipo ndi hypoglycemia, kuchuluka kwa glucose kumayenera kukwezedwa mwachangu kwambiri. Zimachitika kuti mphindi iliyonse imawerengeka.

Momwe mungathane ndi hypoglycemia?

Osamvetseka mokwanira, koma ndi shuga basi. Zomwe zimapangidwanso chimodzimodzi zomwe zimapezeka m'nyumba iliyonse, ngakhale muofesi iliyonse kapena sitolo, zimatha kupezeka. Musaganize zithandizo lililonse lazithandizo la mankhwala Palibe chomwe chimadzutsa shuga wamagazi kuposa shuga.

Chotsatira chachiwiri chothamanga kwambiri ndi caramel. Maswiti osavuta a caramel omwe amakwaniritsa bwino chikwama kapena cholembera cha amuna. Kuchita kwa hypoglycemia, ngakhale kwa ana, kudzakondweretsa.

Muthanso kunyamula msuzi wokoma ngati "Ine" kapena "wabwino". Amapezeka mu 200 ml. Koma, mwa lingaliro langa, siabwino kuvala, ndipo amakweza shuga kwambiri. Kunyumba, simungagwiritse ntchito shuga wokha, komanso uchi kukweza shuga wochepa wamagazi.

Koma njira yabwino kwambiri yotsatsira shuga ndi shuga. Popeza shuga, maswiti, uchi ndi msuzi zimakhala ndi glucose komanso fructose pakati, shuga yochepa imalowa. Ndipo mukamamwa mapiritsi a glucose oyera, mumawapeza ochulukirapo, ndipo thupi siliyenera kuwononga chilichonse. Glucose amabwera wokonzeka.

Komabe, pofuna kupewa kukonzanso hypoglycemia atangovutika, ndipo zimachitika kawirikawiri, fructose wokhala mumadzi kapena caramel azikhala ndi shuga pakapita nthawi. Kupatula apo, gawo la fructose limasandulika kukhala glucose m'thupi.

Chifukwa chake, onani zomwe zili zosavuta kwa inu komanso momwe mungachitire pazinthu zina. Banja lathu limagwiritsa ntchito njira zosiyanasiyana zoletsa kukhudzana kwa hypoglycemic. Timagwiritsa ntchito mapiritsi amadzimadzi ndi shuga (asvitol), maswiti a caramel ngakhale zidutswa za shuga woyengedwa.

Hypoglycemia mankhwala ndi zinthu

• ENERGYLIFE
• Dextro4
• Mphamvu za Dextro

Mutatha kudya chakudya kuchokera pazomwe zakulimbikitsani, musapume nthawi yomweyo. Muyenera kuwonetsetsa kuti hypoglycemia yadutsa bwino ndipo siyibweranso. Ndipo pochita izi muyenera kuonanso kuchuluka kwa shuga m'mphindi 5 mpaka 10 mpaka 15. Ngati mulingo wa shuga wakwera pamwamba pamunsi, ndiye kuti mutha kukhala wodekha.

Tsopano muyenera kupenda zinthuzo ndikudzifunsa funso: "Chifukwa chiyani hypoglycemia idachitika?" Izi zitha kukhala zochitika zolimbitsa thupi, kulumpha chakudya kapena kusakwanira kudya, komanso kuchuluka kwa mankhwalawa.Munthawi zonsezi, pali chifukwa, ndipo mukazindikira, muyenera kuyesetsa kukhala ndi chidwi ndikukonzekera nthawi ina.

Funso lina lomwe limadza mukayimitsa hypoglycemia. Mafuta angati omwe mumafunikira kuti muwonjezere shuga, koma pamlingo woyenera? Yankho lake lasakanizika. Tonse tikudziwa kuti munthu aliyense ali ndi zomwe amachita pazinthu zosiyanasiyana. Zimatengera zaka. Mwachitsanzo, mwa ana shuga amamera kuchokera ku chakudya chochepa kwambiri, pomwe akuluakulu sadzaonjezereka.

Chifukwa chake, apa muyenera kuyesa nthawi zonse ndikuzindikira kuchuluka kwa chakudya chamagulu amtundu wa m'magazi. Chofunikanso kwa odwala matenda ashuga pa insulin yochepa ndikuti kwambiri momwe insulin ilili m'magazi. Mwachitsanzo, ngati shuga ali ochepa pazofunikira za insulin yochepa, ndiye kuti michere ndi yofunika mwapadera kuposa shuga yochepa pa insulin.

Kusamalira mwadzidzidzi munthu yemwe ali ndi vuto la hypoglycemic

Chochita chanu choyamba chikhale - EMERGENCY CALL. Ngati mukuwona kuti wachibale kapena mnzanu yemwe ali ndi matenda ashuga asakomoka, osangoyika chilichonse pakamwa kapena kuthira tiyi.

Mothandizidwa ndi izi, chakudya chimatha kulowa mumayendedwe ammlengalenga ndikupatsa chidwi. Bwino mumgone mbali imodzi, tsegulani pakamwa pake pang'ono, napinda mwendo wake wapansi pa bondo. Ngati wodwala ali ndi syringe ndi adrenaline kapena glucagon, ndiye kuti muyenera kulowamo mwachangu ndikudikirira ambulansi. Ngati mukudziwa njira ya jekeseni wa intravenous, ndiye kuti mutha kuyesa kulowa 40 ml ya glucose 40%. Mokulira kwambiri, jekeseni 40% shuga m'mitsempha.

Yakanthawi insulin kukana pambuyo hypoglycemia

Odwala omwe ali ndi matenda ashuga nthawi zambiri amawona kuti pambuyo poti pali shuga wotsika wamagazi, kuchuluka kwa shuga m'magazi kumakhala kwakanthawi. Chifukwa chiyani shuga amakwera kwambiri pambuyo pa hypoglycemia? Yankho lake ndi losavuta. Izi zimachitika chifukwa cha vuto la kuchuluka kwa mahomoni opanga, makamaka glucagon, omwe amapatsa mphamvu chiwindi ndi kutulutsa shuga m'magazi.

Mitundu ndi zizindikiro za hypoglycemia

Muzochitika za hypoglycemia, mitundu ingapo yamawonekedwe amtundu amasiyana:

• Hypoglycemic reaction - imawoneka ndi kuchepa kwakanthawi kuchuluka kwa shuga m'magazi, imadziwika ndi kunjenjemera kwa minofu, kukhumudwa kwa mtima, kumverera pang'ono panjala. Mawonekedwe awa ndi ofooka, amakula ndi kupsinjika kapena kuchita zolimbitsa thupi.
• Hypoglycemic syndrome - pali kuchepa kosalekeza kwa zizindikiro za shuga m'magazi, pomwe ntchito zina za CNS zimasokonekera. Kuda nkhawa ndi kuwopa kufa kumalumikizana ndi kunjenjemera kwa minofu ndi tachycardia, thukuta, kupweteka mutu, kubwereza m'maganizo, kuzindikira kwa khungu ndi ntchito yowoneka.
• Hypoglycemic chikomokere - kuchuluka kwa shuga m'magazi kumatsika pansi pa 2.0 mmol / l, pomwe kukhudzika, kuyerekezera zinthu m'magazi kumaonekera, kuthamanga kwa magazi kumachepa, odwala amasiya kuzindikira. Chifukwa chophwanya mphamvu yama cell amaselo amthupi, njira zambiri zofunika zimasokonekera, cortex yam'mimba imatha, ndipo zotsatira zake zimakhala zowopsa.

Kusiyana pakati pa chikomokere kwa hypoglycemic ndi hyperglycemic coma ndiko kusowa kwa fungo la acetone kuchokera mkamwa ndi kukomoka kwa hypoglycemic. Acetonemia (acetone yayikulu yamagazi) imatha kukhazikika pokhapokha maola ochepa.

Mitundu iwiri ya hypoglycemia imasiyanitsidwa:

• Kuthamanga kwa hypoglycemia - imasiyana mgawo lolemera, imafunika kuyang'anira bwino. Zimadziwika ndi kuchuluka kwa glucose m'magazi pambuyo pa kusala maola makumi awiri ndi awiri.
• Hypoglycemia atatha kudya - kumawonekera pakatha maola 2-3 mutadya, odwala amadandaula za kufooka, chizungulire, tachycardia. Kenako shuga m'magazi amapezeka pang'onopang'ono.

Hyperglycemia - Mchere Wapamwamba

Mlingo wabwinobwino wamagazi m'magazi ukayezedwa pamimba yopanda kanthu umatsimikizika kuchokera pa 3.3 mpaka 5.5 mmol / L.Ndi kuwonjezeka kwa zizindikirozi, hyperglycemia imayamba, yomwe imagawidwa m'magulu angapo azovuta:

• Kuwala - 6-10 mmol / L.
• Pafupifupi 10-16-16 mmol / L.
• Chachikulu - pamwambapa 16 mmol / l.

Miyezi yapamwamba kwambiri, kumatha kukomoka kwa hyperglycemic, komwe, mosagwirizana ndi chithandizo chamankhwala, kumabweretsa kudwala.

Zimayambitsa hypoglycemia

Pali zifukwa zambiri zochepetsera shuga wamagazi:

• Zovuta zam'chiwindi mu chiwindi chifukwa cha matenda omwe amatenga kapena cholowa.
• Matenda am'mimba, momwe kupasuka kwapafupipafupi komanso kuperewera kwa zakudya zamthupi kumakhala kosatheka.
• Zovuta mu ntchito ya impso pomwe kugwidwa kwa glucose kumasokonekera mwa iwo.
• Zosintha mu ntchito ya gwero la endocrine: gland ya chithokomiro, England.
• Kusala kudya kwanthawi yayitali, mwachitsanzo, pakudya.
• Kugwira ntchito yayitali kwakutali ndi katundu wambiri.
• Kusankha molakwika wa mlingo wa insulin (mankhwala osokoneza bongo) pochizira matenda a shuga 1. Kuphatikiza apo, mwa odwala matenda a shuga, hypoglycemia imatha kuyambitsa kudya kosayenera.
• Hypoglycemia yofatsa imatha kuchitika kunenepa kwambiri.
• Matenda ena a mtima.
• Organic hyperinsulinism ndimatenda omwe amayamba chifukwa cha chotupa cha benign (chosavulaza) zotupa za kapamba.
• Kukhumudwa, mitsempha, kupsinjika, matenda amisala.
• Kumwa mowa, mankhwala ena.

Hypoglycemia ali mwana

Nthawi zambiri, ana amachepetsa shuga m'magazi. Makolo amawona kuwoneka kugona, kutuluka thukuta kwambiri, kufoka, nthawi zina, kuyamwa, kumangokhala kugona kwa mwana. Mukamayesedwa, kusokonezeka kwa mtima komanso kusowa kwa magazi kosakwana 2.2 mmol / L kumapezeka.

Hypoglycemia ndiyowopsa m'thupi la mwana, chifukwa zimapangitsa kuchepa kwamtundu wamaganizidwe ndi thupi, mawonekedwe a khunyu, kupweteka kwa mutu, komanso kusokonezeka kwa metabolic.

Ngati zikuwopsa zikuwoneka, muyenera kuwonetsa mwanayo kwa dokotala.

Zovuta za hypoglycemic zinthu

Kuthandizidwa mosavomerezeka ndi hypoglycemia kumatha kubweretsa zovuta izi:

• Cerebrovascular ngozi.
• Myocardial infaration.
• Stroko
• Zowonongeka.
• Hemiplegia (ziwalo za minofu ndi miyendo).
• Kuponderezedwa kwa ntchito zamaganizidwe.
• Hypoglycemia mwa amayi apakati imatha kubweretsa kusokonezedwa kwa khanda.
• Mu makanda - kubwezeretsa m'maganizo, kusokonezeka kwa mitsempha.

Chofunika kwambiri popewa kuwonetsera kwa hypoglycemic ndikukonza zakudya. Chakudya chimagawidwa malinga ndi chizolowezi cha tsiku ndi tsiku, kusinthasintha kwa tsiku ndi tsiku m'magazi a magazi. Chakudya chizikhala chopindika, osamadya kwambiri komanso kuperewera kwa chakudya m'thupi, kukana mowa kwathunthu.

Pokonzekera menyu, zakudya zamagulu amakumbu zimawaganiziridwa, ndikugawa kudya kwawo wogawana tsiku lonse. Ngati hypoglycemia imachitika mutatha kudya, chakudya chamagulu ochepa, ndipo hypoglycemia yomwe imachitika pamimba yopanda kanthu imatero. Mulimonsemo, upangiri waluso umayenera kujambulidwa mndandanda woyenera.

Zochita zolimbitsa thupi zimatengera mawonekedwe amunthu.

Odwala omwe ali ndi matenda ashuga ayenera kupewa kupuma kwakutali pakati pa zakudya ndi jakisoni wa insulin.

Anthu omwe amakonda kuchita hypoglycemia amayenera kusiyanitsa pakati pa zoopsa kuti athe kutenga njira yochokera panthawiyi. Ndikofunika kukhala ndi cholembera limodzi nanu chomwe chikuwonetsa kuti ali ndi matendawa komanso zina zofunikira zachipatala zothandizira kuti musataye chikumbumtima.

Ngakhale kuti pali zovuta kuti muchepetse vuto la hypoglycemia mothandizidwa ndi mbale zotsekemera, musapeputse ngozi yake.Popita nthawi, odwala amachepetsa kuzindikira kwa matendawa ndikuwonjezera vuto la chikumbumtima cha hypoglycemic, zomwe zimatha kubweretsa zovuta.

Hypoglycemia ndi njira ya m'magazi yomwe imagwirizanitsidwa ndi shuga ochepa magazi. Anthu omwe ali ndi matenda a shuga, matenda oopsa a chiwindi ndi kapamba, mavuto am'mimba, matenda a endocrine gland dysfunctions (adrenal cortex, pituitary gland, ndi zina), ndi matenda ena opatsirana (encephalitis, meningitis) amatha kukumana ndi vuto la hypoglycemia. Pamavuto palinso anthu omwe amalimbikira kugwiritsa ntchito zakudya zamafuta ochepa, zomwe masiku ano ndizodziwika kwambiri ndi kuchepa thupi.

Tizidziwitsa bwino izi za hypoglycemia, zomwe palibe zomwe zinganyalanyazidwe.

Njala yokhazikika

Ndi mtundu wofatsa wa hypoglycemia, njala imachitika mwadzidzidzi. Uku ndikuyankha kwa kogwirizanitsa kwa ubongo komwe kumayambira kuchuluka kwa shuga m'magazi. Njala yodzidzimutsa imakonda kuoneka mwa anthu odwala matenda ashuga motsutsana ndi kuzolowera thupi, mavuto azakudya kapena kugwiritsa ntchito molakwika mankhwala ochepetsa shuga. Njala ikhoza kukhala limodzi ndi nseru.

Mwa anthu athanzi omwe amatsata zakudya zama carb otsika, njala yosayembekezereka imawonekanso chifukwa chokana zakudya zomwe zimakhala ndi fiber (masamba, zipatso, chimanga). Iwo, kulowa m'mimba, amapanga kumverera kwamuyaya kwakukwiya. Ndi kukana kwathunthu chakudya, munthu amatha kukhala ndi njala nthawi zonse, ngakhale atangodya.

Mutu

Kutsika kwakukulu kwa shuga m'magazi kumabweretsa kutsika kwa magazi. Zotsatira zake, mutu umayamba, nthawi zambiri umakhala limodzi ndi chizungulire. Kusokonezeka kwakanthawi kochepa ndi mawonekedwe owoneka (mwachitsanzo, kufalikira kwa chithunzicho kapena mawanga amtundu pamaso pa maso) nthawi zina zimawonekera.

Zovuta zamkati zamanjenje

Thupi laumunthu limagwiritsa ntchito glucose ngati gwero la mphamvu ponseponse. Ndi kuchepa kwake m'magazi, maselo am'mitsempha amakhudzidwa makamaka, motero, zizindikiro zakuchepa kwa ntchito yaubongo zimachitika nthawi yomweyo.

Hypoglycemia imayendera limodzi ndi mawonekedwe awa:

• kugona, ulesi,
• zovuta zovuta kuzungulira pamlengalenga,
• vuto la magalimoto,
• kulephera kulolera
• kusokonezeka kwa kukumbukira
• kugwedezeka kwa dzanja
• kukomoka
• khunyu.

Kupanda thandizo ndi maonekedwe ndi kuwonjezeka kwa zizindikirozi kumabweretsa chikomokere, chitha kupha.

Matenda a Thermoregulatory

Kusowa kwa "mafuta apadziko lonse lapansi" kumakhala ndi zotsatira zoyipa pamagawo ndi ziwalo zonse zamunthu. Pakadutsa hypoglycemia, wodwalayo amatha kumva kuwawa, kudandaula chifukwa cha kuzizira kwa zala ndi zala. Thukuta lakuzizira lingachitike (kumbuyo kwa khosi ndipo khungu lonse likusesa thukuta). Ngati vuto la hypoglycemia litachitika usiku, thupi lonse limasilira kwambiri: munthu amadzuka atavala zovala zamkati.

Kulimbitsa thupi mukamadya

Anthu omwe akuyesera kuti achepetse kulemera kwakukulu ndi zakudya zama carb otsika nthawi zambiri amawona kuti pamlingo wina, kulemera kwawo kumasiya kuchepa, ngakhale amadya zakudya zochepa. Izi zitha kukhala chizindikiro cha hypoglycemia. Chowonadi ndi chakuti osadya chakudya chokwanira, chiwindi chimayamba kukonza masitolo a glycogen kukhala glucose, ndipo mphamvu yakuwonongeka kwamafuta osungidwa imachepa.

Munkhani yapita, takambirana za owopsa omwe ali ndi matenda ashuga hypoglycemia, mankhwala zomwe ndizovuta. Koma panthawi imodzimodziyo, kusazindikira mfundo zoyambirira zamankhwala othandizira hypoglycemia kumatha kuyambitsa zovuta zambiri mpaka kukulira kwa hypoglycemic coma ndi kufa kwa wodwala.

Malinga ndi ziwerengero, 4% ya odwala omwe amadwala matenda a shuga amafa chaka chilichonse chifukwa chodwala matenda operewera. Mwatsoka, m'nkhaniyi "" sitinathe kuyang'ana pazovuta kuti tithetse vutoli. Pazifukwa izi, timasindikiza zokhazokha pamutuwu, zomwe mungaphunzire lero powerenga nkhaniyi mpaka kumapeto.

Tikukulimbikitsani kutenga zolemba zanu ndikulemba mfundo zoyenera kuchitira hypoglycemia ndi hypoglycemic coma mwa iwo, komanso kuzidziwa bwino ndi abale anu apamtima komanso anthu omwe mumakhala nawo, kuti muthe kupeza thandizo loyenerera.

Hypoglycemia: chithandizo ndi kuthetseratu kwathunthu

Palibe chifukwa chomwe muyenera kuyesa kuchitira hypoglycemia pakudya makeke, chokoleti, ndi zina zambiri za ayisikilimu. Kukhalapo kwa mafuta muzakudya kumachepetsa kwambiri kuyamwa kwa chakudya cham'madzi, ndipo ayisikilimu, kuphatikiza zina zonse, kumakhalanso kozizira, komwe kumakhudzanso njirayi osati bwino. Izi zidanenedwa kale m'nkhaniyi "".

Izi ndi zabwino kuyimitsa funde lachiwiri la hypoglycemia, lomwe nthawi zambiri limachitika patadutsa maola angapo zitatha zizindikiro zoyambirira za boma la hypoglycemic zitachotsedwa. Nthawi zonse yesetsani kuyimitsa hypoglycemia mu gawo loyambirira kapena la zero, osaloleza kuti ilowe m'malo ovuta kwambiri.

Pansipa tinafotokoza njira zoyenera zothetsera kuwonetsa zizindikiro za hypoglycemia:

1. Gwiritsani ntchito chinthu chomwe chili ndi shuga pompopompo. Itha kukhala uchi (supuni 2-3), apulo kapena msuzi wa mphesa, kvass (250 ml), shuga wamafuta (supuni 2-3) kapena shuga woyengedwa (zidutswa 4-5). Mutha kudzikonzera nokha chiphuphu: sungunulani supuni zitatu za mchenga m'madzi ofunda ndikumwa yomweyo.
2. Bodza pabedi ndikuyesera kudya apulo imodzi yaying'ono nthawi iyi. Pambuyo pa mphindi 10-15, zizindikiro za hypoglycemia kuchokera ku mankhwalawa zimayenera kutha.
3. Pofuna kupewa kubwereza kwa hypoglycemia, pakadali pano pamafunika kuchita zinthu zina, monga kudya zakudya, koma panthawiyi muli shuga "wosakwiya" (sangweji yokhala ndi bulawuni, masikono, makeke, ndi zina zambiri). Odwala ambiri omwe ali ndi matenda ashuga samadziwa za mfundoyi, chifukwa chake amayenera kukumananso ndi hypoglycemia patapita nthawi kuchokera ku zizindikiro zoyambirira. Izi zimakulitsa kwambiri matendawa, ndipo nthawi zina zimatha kukhala pachiwopsezo cha moyo.

Chifukwa chiyani funde lachiwiri limatuluka? Chilichonse ndichopepuka: zinthu zopangidwa ndi shuga "pompopompo" zimathandizira kuti magazi azikhala ochulukirapo, koma kuwonjezeraku ndikochepa, popeza insulini m'magazi imapitilirabe mphamvu yake.

Kuphatikiza apo, ngati wodwalayo sanagone kwakanthawi mkati mwa funde loyamba, koma akupitiliza ntchito yake (kubwerera kunyumba, kukagwira ntchito, kupita kusitolo, kugwira ntchito zapakhomo, ndi zina), zochitika zolimbitsa thupi zimakulitsa zochitika, ndipo hypoglycemia ibwerera, koma nthawi ino mwaukali.

Ichi ndichifukwa chake ndikofunikira kuti mudziwitsidwe mu mfundo zoyambira ndi machitidwe a kudzizunza kwa hypoglycemia. Izi ndizofunikira kwambiri kwa odwala omwe asinthidwa kwambiri kuti apatsidwe insulin, ngati ziwonetserozo za hypoglycemia zitha kubwerezedwanso pafupipafupi mpaka wodwalayo aphunzira kulipira bwino kuchuluka kwa shuga ndi insulin.

Madokotala ena amalimbikitsa kugwiritsa ntchito kabichi, saladi wobiriwira kapena kaloti pambuyo pomwe zizindikiro zonse za hypoglycemia zitathetsedwa. Zogulitsa zoterezi zimakhala ndi zinthu zake zopangidwa ndi ballast zomwe sizimalola shuga kukwera m'magazi kwambiri, chifukwa zimachepetsa kuyamwa kwa chakudya.

Chithandizo cha hypoglycemic chikomokere

Ngati mulibe nthawi yoti mudzipereke nokha chithandizo choyambira gawo lachitukuko cha hypoglycemia, imatha kufika pakukomoka komanso kukula kwa chikomokere. Koma ngakhale zitakhala izi, mutha kutuluka mosazindikira kuchokera kwa akatswiri azachipatala, ngati kuli anthu omwe amadziwa bwino nkhaniyi pafupi nanu.

Chifukwa chake, achite chiyani: kuyimbira ambulansi, ndipo pakadali pano (ngati nkotheka) ndi kubaya 1 ml ya glucagon subcutaneally kapena intramuscularly. Monga lamulo, munthu aliyense amatha kupanga jakisoni wa intramuscular kapena subcutaneous, choncho yesetsani kukhala ndi yankho la glucagon "mungatero" ndi moto.

Ngati simunazimbe kaye ndipo mutha kumeza, muyenera kumamwa zakumwa zoziziritsa kukhosi musanamwe glucagon. Ngati sangathe kumeza, amatsuka pakamwa panu, kuyika mbali zawo, kuyika shuga woyengeka pansi pa lilime (ndibwino kupukusa uchi m'mkamwa), kuchotsa mano, jekeseni glucagon ndikudikirira ambulansi.

Hypoglycemia: Chithandizo chodzidzimutsa

Choyamba, 70-80 ml ya 40% dextrose solution imalowetsedwa mu mtsempha. Pakatha mphindi 20, ngati wodwalayo sakudziwika, yankho la dextrose la 5-10% limalowetsedwa m'mitsempha mpaka chikumbumtima chabwezeretsedwa. Kuwongolera kumapitilizidwa mpaka glycemia ifikire 11.1 mmol / L.

Kuwonetsedwa kwa hypo- ndi hyperglycemic (ketoacidotic) com ndizofanana. Komabe, ngakhale zili choncho, ngati madotolo alibe nthawi yoti amvetsetse chifukwa cha chikomokere, njira yothetsera shuga imaperekedwa koyamba kwa wodwala, ngakhale ngati hyperglycemia imachitika.

Hypoglycemia ndi malo owopsa komanso owopsa, chifukwa chake, madokotala akuyesera kuti apulumutse malingaliro ndi moyo wa wodwalayo. Ndipo ngati tikulankhula za ketoacidosis, jekeseni wowonjezera wa shuga sangaphe.

Ngati wodwalayo ali pachiwopsezo cha hypoglycemic kwa nthawi yayitali, 4-8 mg wa dexamethasone kapena 30-60 mg wa prednisolone amalowetsedwa m'mitsempha kuti athane ndi edema yaubongo.

Nocturnal hypoglycemia: mankhwalawa

Ndikufunanso kuti ndizingokhala nthawi yochotsa matenda obwera usiku, omwe masiku ano ali ponseponse, ndipo amaopseza thanzi ndi moyo wa odwala omwe ali ndi matenda ashuga. Kupatula apo, usiku munthu samadzimva kuti ali ndi hypoglycemia, ndipo ngati njira zoyenera sizinatenge nthawi, zinthu zitha kupita patali.

Zizindikiro zobisika za nocturnal hypoglycemia ndizovuta zam'mawa (kudya maloto), kugona osagona, kupweteka mutu, thukuta komanso hyperglycemia (pamwambapa mwachizolowezi) pakudzuka.

Njira zamomwe mungalimbane ndi nocturnal hypoglycemia ndi motere:

• musamaperekenso Mlingo wambiri wamadzulo insulin, ndipo musamwe jekeseni pambuyo pa 23:00.
• musanagone, yikani shuga. Ngati ili pansipa 6.5 mmol / L, chitanipo kanthu.
• madzulo, gwiritsani ntchito mankhwala a 1-2 XE omwe ali ndi shuga "osachedwa" (kapu yamkaka, sangweji yokhala ndi mkate wopanda bulauni).
• dziwitsani munthu wapafupi za zazikulu za nocturnal hypoglycemia, ndikufotokozera njira zoyenera kuchitira.

Tsoka ilo, ndizosatheka kuti tipewe kwathunthu chitukuko cha hypoglycemia mwa odwala matenda a shuga (makamaka omwe amalandira insulin). Sitikulankhula za gawo lachiwiri ndi lachitatu la vuto ili, lomwe wodwalayo sangakumane nalo ngati akudziwa njira yankhayo yosankhira Mlingo wa insulin pachakudya ndi maziko.

Komabe, hypoglycemia yofatsa (zigawo zoyambira komanso zoyambirira) zidzachitika nthawi ndi nthawi, makamaka kumayambiriro kwa chithandizo. Sikoyenera kuwawopa; ndikofunikira kuphunzira momwe angachitire molondola komanso munthawi yake.

Musaiwale kuti shuga yabwinoko imalipidwa, kukwera kwakukulu kwa hypoglycemia Ngati mwatsimikiziridwa kuti simungatero, musayankhe mopepuka!

Kubwezeredwa kwabwino kumatanthauza kuyerekezera mosiyanitsa - kuyambira 4.5 mpaka 9 mmol / L.Kuphatikiza apo, kuyerekezera kumeneku sikungachitike ndi kapamba, monga anthu athanzi, koma mwa kuyesetsa kwanu komanso kugwiritsa ntchito njira zopitilira muyeso - glucometer, strip test, zakudya, insulin, poganizira zolimbitsa thupi.

Kodi mukuganiza kuti mutha kutsata molondola za 100% machitidwe amomwe amachitika mthupi la munthu wathanzi? Ayi sichoncho! Mudzakhala olakwitsa, ndipo zolakwika koposa kamodzi. Nthawi zina msinkhu wa glycemia udzakhala pansi pa 4 mmol / l, ndipo nthawi zina kupitirira 9 mmol / l!

Ndi chiphuphu chovuta, munthu amakhala ndi shuga wambiri (18-20 mmol / l). Sangakhale ndi hypoglycemia yowona, koma nthawi yomweyo akuyamba kupanga liwiro modabwitsa (retinopathy, nephropathy, neuropathy, etc.).

Chifukwa chake, sankhani nokha: kukhala ndi moyo nthawi zonse ndi hyperglycemia ndi kuzimiririka pamaso panu, koma kuti mudziwe za zomwe zimapangitsa kuti shuga asachepetse ndikumangomva? Kapenanso mutha kukhala pamalipiro abwino, nthawi ndi nthawi kuti musinthe, koma mukhale ndi chidziwitso, ndikukulitsa kukula kwa zovuta zovuta za matenda nthawi yayitali.

Mu zolemba zotsatirazi padzakhala tsatanetsatane wa mitundu ya hyperglycemic coma ndi momwe mungathanirane nawo, pofalitsa pamalowo.

Siyani ndemanga ndikupeza MPHATSO!

- Matenda omwe amayamba ndi shuga wochepa kwambiri. Mwambiri, mulingo wake uli pansi pa 3.2 mmol / L.

Pambuyo pa makonzedwe, glucose yekha amasiyanitsidwa ndi iwo ndikugawidwa kumakona onse a thupi la munthu.

Uwu ndi mtundu wamafuta, wopanda munthu womwe sangathe kugwira ntchito moyenera. Glucose atalowa m'madzi a m'magazi, kapamba amunthu amapanga mahomoni ena apadera - insulin, omwe amalola maselo a thupi lathu kulandira mphamvu kuchokera ku shuga.

Kutsika kwakanthawi m'mlingo wake ndi ngozi ku moyo, chifukwa munthu amatha kufa theka la ola. Nanga zifukwa zenizeni za hypoglycemia ndi momwe mungapewere?

Hypoglycemia imatha kuchitika chifukwa cha shuga osakwanira omwe amadya.

China chomwe chayambitsa vutoli ndi kupangika kwa mahomoni a kapamba ndi thupi - insulini, yomwe imayang'anira kugwiritsa ntchito shuga.

Monga momwe anthu ambiri amadziwira, matenda a shuga amagawika m'mitundu iwiri yayikulu: wodalira insulin komanso osadalira insulin. Odwala a endocrinologists omwe ali ndi matenda amtundu woyamba amakakamizidwa kuti azikhala ndi thupi lawo lonse kudzera jakisoni wa insulin.

Ndikofunikira kwambiri kuwerengera molondola kuchuluka kwake kotero kuti kuchuluka kwa mahomoni kumakwanira kukonzekera kuchuluka komweko kwa glucose komwe thupi lidalandira kuchokera ku chakudya. Monga lamulo, ndi dokotala-endocrinologist yekhayo amene amaphatikizidwa pakusankhidwa kwa mlingo.

Ngati wodwalayo adadzipatsa insulini yocheperako kuposa momwe amafunikira, ndiye kuti chiwindi chimayamba kuponyera m'magazi njira yayikulu yokhala ndi wowuma - glycogen. Koma, pamene malo awa palibe, kuwukira kwa hypoglycemia sikungapeweke.

Ndizomveka kuti anthu odwala matenda ashuga alibe malo oti zinthu zoterezi sizingachitike. Izi zili choncho chifukwa amadya zakudya zochepa kwambiri. Ichi ndichifukwa chake anthu awa ali ndi chakudya chilichonse pa akaunti yoyipa kwambiri.

Pakadali pano, pali zifukwa zingapo zoyambitsa hypoglycemia:

• kukhazikitsidwa kwa Mlingo wa kapamba wosapanganika,
• kupeza nthawi yayitali popanda chakudya (nthawi yotalikirapo kuposa maola 6),
• kuchita zolimbitsa thupi kwambiri, zomwe zingayambitse kuwonongeka kwazigawo zonse za glucose zomwe zilipo (izi zimaphatikizanso kupezeka kwa glycogen yomwe ilipo m'chiwindi),
• kutsitsa shuga wamagazi kungakhale chifukwa chakumwa,
• matendawa amatha kuchitika chifukwa cha kusamala kwa zakudya zosayenera komanso kugwiritsa ntchito mankhwala apadera omwe ali osavomerezeka kwambiri omwe amaphatikizidwa ndi ena othandizira odwala matenda a shuga omwe amalimbikitsa zochitika za insulin.

Monga lamulo, kutsika kwakukuru m'magazi a glucose kumatha kuyambitsa matenda otchedwa hypoglycemic syndrome osati mwa anthu odwala matenda a shuga.

Amuna ndi akazi ena omwe ali onenepa komanso okalamba, amasankha kuchotsa mapaundi owonjezera osati kudzera pamasewera, koma malinga ndi zakudya zapadera.

Kuphatikiza apo, zomalizazi sizipangidwa molondola ndipo, monga lamulo, munthu amangofa ndi njala, chifukwa chake, mulingo wa shuga m'magazi ake umatsikira kwambiri.

Ngati munthu alibe matenda ashuga, ndiye kuti hypoglycemia ikhoza kukhala chizindikiro cha matenda osiyana kwambiri ndi omwe ali pangozi ya endocrine system. Kuti mudziwe matenda olondola, muyenera kukayezetsa ndi kuthandizira matenda omwe akuyambitsa matenda.

Pofuna kuti musakhale ndi hypoglycemia, muyenera kudziwa zomwe zimayambitsa mawonekedwe ake ndikupatsanso thupi kupewa. Ndikofunikira kwambiri kupewa zinthu zomwe zingayambitse kuchepa kwambiri kwa glucose.

Kodi zovuta ndi zotsatila zake ndi ziti?

Monga zikuwonekera, thupi lamtunduwu limakhala ndi chiwopsezo chachikulu, chifukwa sizachilendo kuti zovuta zazikulu zomwe zingayambitse zomwe zingayambitse imfa. Komanso, ngakhale kuchuluka kwa shuga m'magazi a munthu kumasinthasintha pafupipafupi, izi zitha kubweretsanso mavuto akulu. Ndikofunikira kuti muyambe kulandira chithandizo munthawi yake, ngati izi sizinachitike, ndiye kuti kutsika kwa magazi m'magazi kungayambitse ziwengo za zotumphukira, zomwe ndizochepa kwambiri. Zotsatira zimatha kukhala zovutitsa kwambiri - kuyambira khungu mpaka khungu, kotero, zizindikiro za hypoglycemia zimayenera kupezeka nthawi yake.

Tiyenera kudziwa kuti ngozi yayikulu kwambiri pamenepa imakhala ndi matenda osakhalitsa. Chowonadi ndi chakuti ubongo waumunthu umangokhala wopanda mphamvu yogwira ntchito bwino ngati kulibe kuchuluka kwa shuga, popeza pamafunika mphamvu zambiri. Chifukwa chake, shuga atayamba kusowa kwambiri, ubongo umayamba kupanga zidziwitso zakusowa kwa chakudya, komwe kumatha kupanga hypoglycemic.

Mkulu wa glucose akagwera pansi pamlingo wokhazikitsidwa, ndiye kuti izi zimapangitsa kuti pakhale kupendekeka kwa mtundu wa hypoglycemic. Pano njira zodzithandizira kuti tithandizire ntchito zikufunika kale, ngati izi sizinachitike, ndiye kuti ma cell a ubongo amayamba kufa m'mizere. Komanso, ntchito zoyambira mu ubongo zimayamba kufooka kwambiri, ndipo izi zimayamba kukhala chifukwa chopititsa sitiroko, pakhoza kukhalanso amnesia, komanso ziwalo zamkati zimakumana ndi zovuta zina.

Palinso chinthu monga hypoglycemic syndrome, apa malingaliro a malingaliro, am'mimba komanso amanjenje amaphatikizidwa. Nthawi zambiri, matenda a hypoglycemic amayamba kupanga kumbuyo kwa kuperewera kwa shuga m'thupi la munthu. Hypoglycemic syndrome imatha kuyamba pamimba yopanda kanthu, koma sizikhala choncho nthawi zonse, imatha kuyamba munthu atatha kudya. Ndipo zotsatira za hypoglycemia zitha kukhala zoyipa kwambiri, motero ndikofunikira kuchita zonse kuti chidziwitso cha hypoglycemia chiritsidwe msanga.

Zochitika za matendawa mu ana

Choyamba, ziyenera kunenedwa pazifukwa:

• mwana samalandira zakudya zopatsa thanzi,
• zochitika zopsinja nthawi zonse
• kuchuluka kwa thupi
• pali shuga wa mtundu wa shuga
• dongosolo lamanjenje limakonda matenda ena,
• leucine silivomerezedwa, kuposa pamenepo, limavala mawonekedwe obadwa nawo,
• magazi amakhala ndi matupi amitundu yambiri ya ketone.

Ngati tirikulankhula za ana za hypoglycemia zomwe zingakhale mwa ana, ndiye kuti ndi awa:

• imanunkhiza kwambiri acetone
• Khungu limayamba kusinthika
• mwana safuna kudya nkomwe,
• kusanza ndi kusanza pafupipafupi (izi zingayambitse kudabwitsidwa kwa hypoglycemic).

Popeza kusanza kwambiri komanso pafupipafupi kumatha kupangitsa kuti madzi asowe madzi m'thupi, mwana amatha kuzindikira, kutentha kwa thupi kumakwezedwa nthawi zambiri, ndizodziwikiratu chifukwa chake matenda otere amakhala ndi chiopsezo chachikulu kwa ana. Ngati tirikulankhula za chithandizo, pakhoza kukhala kuti pali dontho lokhazikika ndi kuwonjezera kwa shuga, koma ndikofunikira kuthandizidwa pang'onopang'ono, kuti madokotala azitha kumuyang'ana wodwalayo.

Komabe, kutsika kwa shuga m'magazi a mwana sikuti kumakhudzana ndi matenda ena aliwonse. Ngati siliri vuto la matenda, ndiye kuti ndikokwanira kuti mwana apatse chakudya chotsekemera (uchi ndi njira yabwino pankhaniyi - zonse ndi zabwino komanso zathanzi). Komabe, kuchepa kwa shuga mulinso kumatanthawuza kukonza zakudya, ndipo izi ziyenera kuchitidwa munthawi yake. Mwanayo azidya zipatso ndi ndiwo zamasamba zatsopano zambiri, zamitundu yosiyanasiyana zam'nyanja. Kuphatikiza apo, ndikofunikira kuti musamalire osati zokhazokha zokha, komanso momwe - muyenera kupanga zigawozo ndizochepa koma pafupipafupi, ndiye kuti ziwalo zamkati sizikhala ndi nkhawa zosafunikira.

Ngati pali matenda a leucine (ndiwobadwa nawo ndipo amathandizana ndi zovuta za metabolic), ndiye kuti chithandizo chamankhwala chikuyenera kukhala chovuta kwambiri. Zokhudza zakudyazi, ndizofunikira kwambiri, dokotala amatenga nawo mbali pakusankhidwa kwake, chowonadi ndichakuti kukonza mankhwalawa kumakhala kwachindunji ndikamamwa ma protein (simungadye mazira, mtedza, nsomba ndi mitundu yonse).

Mwana akaona zinthu zodabwitsa monga machitidwe a hypoglycemic, ndiye kuti thupi lake limakumana ndi mavuto oyipa kwambiri. Komabe, izi sizimathetsa ngozi, pakhoza kukhala chiwopsezo cha moyo pamene njira ya metabolic ikusokonezedwa. Chifukwa chake, mikhalidwe ya hypoglycemic imatha kupha, makamaka ngati chiwopsezo cha hypoglycemia chachitika.

Momwe mungachitire hypoglycemia

Chithandizo cha hypoglycemia chimachitika m'njira zosiyanasiyana, apa zimadalira pazinthu zosiyanasiyana. Ngati tikulankhula za chithandizo chamankhwala cha matenda oterewa koyambira, ndiye kuti muyenera kutsatira zakudya zinazake, makamaka, muyenera kudya zakudya zambiri zokhala ndi chakudya. Potsatira, muyenera kudya zakudya zamafuta ambiri, zomwe zimakhala ndi mawonekedwe osakanikirana (njira yabwino ndi tiyi wokhala ndi shuga, kupanikizana, compote wokoma). Ngati mumadya chakudya chotere, ndiye kuti matendawo amaleka, zomwe zimapangitsa kuti munthu akhale ndi matenda ake. Komabe, ziyenera kunenedwanso kuti hypoglycemia, zizindikiro zake, zoyambitsa zamankhwala ziyenera kuphunziridwa ndikuchitika kokha ndi akatswiri odziwa ntchito.

Ngati tikulankhula za gawo lachitatu, ndiye kuti thandizo ladzidzidzi likufunika pano ndipo thandizo loyamba la hypoglycemia liyenera kuperekedwa ndi akatswiri oyenerera. Ndikofunikira kubaya yankho la glucose 40 mg mu mtsempha, izi ziyenera kuchitidwa kuti pasapezeke edema. Pakadali pano pa wodwalayo, ndikofunikira kuti agonekere kuchipatala kuti pasakhale zovuta zazikulu zamtsogolo, palinso chithandizo chamankhwala chomwe chimalimbikitsa kuchepetsa shuga. Kusamalira odwala mwadzidzidzi kwa hypoglycemia ndikofunikira kwambiri kuti matenda oopsa a hypoglycemic asamapitirire.

Pochiza matenda otere, pali mitundu yambiri yamankhwala, komabe, muyenera kuwasankha kuti machitidwe a thupi la wodwalayo azikumbukiridwa. Popeza mankhwala ali ndi mavuto. Ndikofunikanso kukhazikitsa mlingo woyenera, ndiye kuti mutha kusintha pang'onopang'ono kuukira kwa hypoglycemia. Ndipo kupuma kwa hypoglycemia, ndi chiyani? Uwu ndi mkhalidwe wovuta kwambiri womwe umakhala ndi zotsatira zoyipa kwambiri.

Ngati ndi chikomokere, ndiye kuti mankhwalawo amachitika mosamala kwambiri, pomwe glucose wambiri amaphatikizidwa ndimitsempha, ndipo jekeseni wa glucagen amalowetsedwa mu minofu. Nthawi zina zitha kukhala zofunikira kuperekera adrenaline, motero kuwonjezeka kwa othandizira.

Komabe, zitha kukhala choncho kuti njira zonse zochiritsirazi sizinakhale ndi zotsatira zofunika, ndiye kuti ndikofunikira kugwiritsa ntchito hydrocortisone, yomwe imayambitsidwa mkati mwa minofu. Nthawi zambiri, izi zitachitika, wodwalayo amakhala wodekha. Pofuna kupewa kutumphuka kwa ubongo, magnesia amtundu wa sulfate amagwiritsidwa ntchito, omwe amabailidwa m'mitsempha. Wodwala akatuluka chikomokere, amafunika kugwiritsa ntchito mankhwala omwe angapangitse kuti njira ya microcirculation ipangidwe.

Zikuwonekeratu kuti zizindikirazo ndi chithandizo zingakhale zosiyana, koma chithandizo chokwanira nthawi zonse chimakhala chofunikira, zomwe zikutanthauza kuti ndi katswiri wodziwa bwino yemwe angachite mankhwalawo. Matenda owopsa awa sangathe kuthandizidwa pawokha, komanso palibe mankhwala omwe angatengedwe mosasamala, kuphatikiza mankhwala opatsirana kuti asinthe matenda a glycemic. Zochita zawo zimatha kukhala ndi zotsatirapo zoyipa ngati sizitengedwa moyenera, hyperinsulism, komanso zovuta zina, zimatha kuchitika.

Matendawa amayenera kuthandizidwa mokwanira, ndipo ndibwino kuti dotolo adziwe momwe masana ndi njira zamadzulo zimafunikira, ndi mayeso ati omwe amafunikira. Ndipo izi zimachitika pamaziko azindikira. Zimachitika kuti kudya shuga wocheperako ndikokwanira kulandira chithandizo, ndiye kuti, zizindikiro zonse zowopsa ndi chenjezo kuti munthu sakudya moyenera. Izi zikutanthauza kuti ndikofunikira kusintha zakudyazo ndipo zonse zikhala zabwinobwino, zovuta za matendawo sizingavutike.

Kodi zakudya ziyenera kukhala chiyani?

Zakudya zomwe zili ndi matenda otere ziyenera kukhala zakuti munthu sangamve ludzu. Ngati tikulankhula za kusankha kwa zakudya, ndiye kuti tifunika kuchepetsa kumwa kwa zinthu za confectionery, zinthu zoyera za ufa, zipatso zotsekemera ndi masamba, komanso uchi. Mosakayikira, munthu amene amakonda kudya maswiti ambiri amakhala ndi vuto linalake chifukwa cha ziletso zovuta chotere, komabe, mavuto ngati amenewo sadzakhala lalitali, pakatha milungu ingapo thupi lizolowera komanso kukhala losavuta. Muyenera kudya zakudya zambiri zomwe zimakhala ndi zomanga thupi komanso zomanga thupi.

Zomwe zimawonedwa

Kukula kwa zizindikiro kumawonjezeka pamene shuga m'magazi akutsikira. Hypoglycemia yofatsa imafunikira chithandizo mkati mwa theka la ola pambuyo poyambira, apo ayi kuchepa kwa glucose kumachitika. Nthawi zambiri, zizindikirazo zimatchulidwa ndipo zimadziwika ndi odwala. Ndi hypoglycemia pafupipafupi, kuchuluka kwambiri kwa shuga, mwa anthu okalamba komanso odwala matenda ashuga, Zizindikiro zimatha. Odwala oterewa, kuthekera kwambiri ndi kwakukulu.

Gawo la hypoglycemia	Zizindikiro za shuga, mol / l	Kutha kwa kuyimitsidwa	Zizindikiro
Zosavuta	2,7 Kwa ma ruble 147 okha! Kodi ndingatani ndikuletsa hypoglycemia Wodwala matenda ashuga atayamba kale kufa ndi matenda aubongo, sangathe kudzithandiza yekha. Ndikosavuta kuthana ndi kuphwanya kwa kuthekera kwa kutafuna chakudya, ndiye kuti glucose iyenera kuperekedwa mu mawonekedwe amadzimadzi: mwina ndi mankhwala ena apadera ochokera ku pharmacy, kapena shuga kapena uchi wosungunuka m'madzi.Ngati pali chizolowezi chochita bwino, kuwonjezera apo wodwalayo ayenera kupatsidwa chakudya chambiri cha 15 g cha chakudya. Itha kukhala mkate, phala, makeke. Wodwala matenda ashuga akayambanso kugona, samatha kupatsidwa shuga wa pakamwa chifukwa choopseza kukomoka. Pankhaniyi, mankhwalawa a hypoglycemia amachitika pogwiritsa ntchito jakisoni wamitsempha kapena subcutaneous wa glucagon. Mankhwala amagulitsidwa ku pharmacy monga zida zadzidzidzi za shuga. Kitayo imaphatikizapo kesi ya pulasitiki, syringe yokhala ndi zosungunulira komanso botolo la glucagon ufa. Chophimba cha vial chimalowetsedwa ndi singano, madzi amamwekedwa. Popanda kufikira singano, vialyo imagwedezeka bwino, ndipo mankhwalawo amatengedwanso mu syringe. Glucagon imathandizira kutuluka kwa shuga, ndikupangitsa chiwindi ndi minofu kusiya zotsalira za glycogen. Pakatha mphindi 5 jakisoni, wodwalayo abwererenso kuzindikira. Ngati izi sizingachitike, malo ogulitsira a glucose wodwala amakhala atamaliza kale ndipo jekeseni wachiwiri sikungathandize . Muyenera kuyitanira ambulansi, yomwe ingabayire shuga m'mitsempha. Ngati matenda ashuga ali bwino, pakatha mphindi 20 amatha kuyankha mafunso, ndipo patatha ola limodzi, pafupifupi zonse zimatha. Pakupita tsiku limodzi pambuyo pa kukhazikitsidwa kwa glucagon, shuga wamagazi amayenera kuthandizidwa, maola 2 aliwonse kugwiritsa ntchito glucometer. Kutsika mobwerezabwereza kwa zizindikiro pakadali pano kumakhala kofulumira komanso koopsa. Zoyenera kuchita munthu wodwala matenda ashuga akafa: Ngati pali glucometer, yesani shuga. Potsika kwambiri, yesani kutsanulira madzi okoma mkamwa mwake, kuonetsetsa kuti wodwalayo akumeza. Ngati palibe glucometer, tiyenera kulingalira kuti kupereka chakudya kwa odwala matenda ashuga sikwangozi kuposa kusaupatsa. Ngati kumeza kuli ndi vuto, perekani glucagon. Ikani wodwala kumbali yake, chifukwa amayamba kusanza. Ngati zinthu sizikuyenda bwino, itanani ambulansi. Kuopsa kotani? Popanda thandizo, chikomokere cha hypoglycemic chimachitika, chifukwa chosowa zakudya, maselo a ubongo amayamba kufa. Ngati njira zoyambitsanso sizinayambike pakadali pano, zotsatila za hypoglycemia zitha kupha. Kodi chiwopsezo cha hypoglycemia ndi chiani: Zolemba pafupipafupi zimapangitsa kuti zizindikirazo zitheke, kupangitsa kuti kuphonya shuga kuchulukuke. Kuperewera kwambiri kwaubongo kumapangitsa kuti muzitha kukumbukira, kusanthula, kuganiza moyenera. Chiwopsezo cha ischemia ndi myocardial infarction chikukula. Pali miyendo ndi retina. Mlandu uliwonse wa hypoglycemia umayenera kupendedwa mosamala, zomwe zimayambitsa ndikuzindikiritsa. Chifukwa cha amnesia, izi sizotheka nthawi zonse, chifukwa chake, ndi matenda ashuga, ndikofunikira kusunga zolemba. Zikuwonetsa kusinthasintha kwa shuga masana, kuchuluka kwa chakudya chamafuta ndi mankhwala omwe alandiridwa, zolimbitsa thupi zachilendo, milandu ya zakumwa zoledzera komanso kuchuluka kwa matenda ophatikizika amalembedwa. Onetsetsani kuti mwaphunzira! Kodi mukuganiza kuti kuyamwa kwa mapiritsi ndi insulini kwa nthawi yonse yokhayo ndi njira yokhayo yosungira shuga m'manja? Sichowona! Mutha kutsimikizira izi nokha ndikuyamba kuzigwiritsa ntchito. Njira yopititsira patsogolo Insulin imapangidwa ndi ma isanc apancancic apadera. Mu matenda a shuga mellitus, mtundu woyamba wa insulini palibe kapena wochepa kwambiri, chifukwa chake kuyendetsedwa kwake kuchokera kunja kumafunikira. Mu matenda a shuga amtundu wachiwiri muli insulin, koma ndi yopanda pake kapena siyigwira ntchito, ndiye ndikofunikira kuyambitsa mankhwala apadera omwe amachepetsa shuga. Maselo ambiri amafunika insulin kuti ayamwe glucose, amadyera. Koma si ma cell onse omwe amapanga glucose ndi insulin (mwachitsanzo, ubongo ndi minofu "zimadya" glucose popanda iwo). Mukapanikizika, ntchito yochulukirapo, kapena ntchito yamisala, glucose amamwa mwachangu ndi maselo omwe safunikira insulin, ndipo kuchuluka kwa insulin komwe mumayambitsa kumakhala kokwanira kwa kuchuluka kwa shuga.Kusungitsa ubongo ndi minofu yathanzi, nthawi zonse payenera kukhala ndi kuchuluka kwa glucose m'magazi, osachepera 3,3 mmol, pansi pa izi, zizindikiro za hypoglycemia zimayamba. Ndi kuchepa kwambiri kwa glucose pansi pa 2.7 mmol, chikumbumtima chitha kuperewera, chokhala ndi 2.3-2.5 mmol, kufa kumatha kuchitika. Zizindikiro zazikulu za hypoglycemia zimawonekera pang'onopang'ono kapena pang'ono, zonse zimatengera kutsika kwa shuga m'magazi. Zizindikiro zambiri za hypoglycemia ndi: njala yayikulu kufooka koopsa thukuta lalikulu komanso thukuta lozizira, manja ndi miyendo akunjenjemera tachycardia mutu wakuthwa Mavuto am'maso ndi zinthu zopanda pake, ntchentche ndikuwonera kawiri, chizungulire kusokonekera ndi kukwiya, kupsa mtima, dzanzi pamilomo ndi lilime. Sizizindikiro zonse zomwe zimawoneka nthawi yomweyo, ochepa okha ndi omwe angapezeke. Zimakhala zovuta kwambiri kuzindikiridwa kwa hypoglycemia mwa ana, makamaka akhanda ndi makanda. Zizindikiro zotsatirazi zimawonetsa hypoglycemia mwa iwo: amayi anali ndi matenda ashuga isanachitike kapena panthawi yoyembekezera, Mwanayo wakwiya kapena walimba kwambiri. Akugwedezeka miyendo ndi kunjenjemera, Amakhala wotuwa kwambiri, wotupa komanso thukuta ali ndi tachycardia lakuthwa komanso amapumira mofulumira, ali ndi kuphwanya kwa chikumbumtima. Anthu omwe ali ndi matenda a shuga a nthawi yayitali mwina sangamve kuyambika kwa hypoglycemia. Kenako zizindikiro zoyambirira za hypoglycemia zitha kudziwikanso ndi ena - uku ndi kusakwanira, kofanana ndi kuledzera, chikhalidwe chachilendo, kupsa mtima, thukuta lalikulu. Nthawi yomweyo, mayendedwe samayanjanitsidwa bwino, zolankhula zimasokonekera. Ngati chithandizo choyambirira sichingaperekedwe munthawi yake, ndiye kuti matendawa akhoza kukhala operewera kwambiri mphindi 20 mpaka 30. Wodwalayo amasiya kuzindikira, amakhala ndi vuto lalikulu la minofu, pallor, khungu limanyowa, ndipo pakhoza kukhala kukokana. Kusinthasintha kowopsa kwa shuga m'magazi kumayambitsa zotsatira zoyipa zamavuto amitsempha yamagazi m'matumbo ndi ubongo, zomwe zimakhudza kwambiri njira ya matenda ashuga. Mankhwalawa onse a hypoglycemia amatha kugawidwa mwadzidzidzi panthawi ya kuukira ndi prophylactic, kupewa kuyambika kwake. Pazizindikiro zoyambirira za hypoglycemia, ndikofunikira kudya chilichonse chomwe chili ndi mafuta pang'ono - shuga, maswiti, kupanikizana, uchi, kumwa ndi tiyi wofunda, zomwe zingapangitse kuyamwa kwa chakudya. Ngati zikuvuta kuti wodwala achite izi, ndikofunikira kuti wina athandizike. Ndikofunikira kuti muzikhala ndi chakudya chokhazikika chokhala ndi chakudya chokhazikika komanso kuchuluka kwa chakudya. Pochiza matenda a shuga, insulin yochepa (imabayidwa musanadye) ndikuchita kwakanthawi (imabayidwa m'mawa kapena masana ndikuyembekeza zotsatira zazitali). Ndikofunikira kuti nsonga zamapulogalamu azovuta zovuta azigwera chifukwa cha insulin yayitali, komanso kuyamwa kwa chakudya champhamvu kwambiri - pa insulin yayifupi. Thanzi la shuga kuti muchepetse hypoglycemia liyenera kukhala lokhazikika komanso logwirizana, powerengera mkate. Ngati munthu wataya chikumbumtima, simungamupatse shuga kapena tiyi wokoma, muyenera kumuyika mbali imodzi, kuyika chidutswa cha shuga patsaya lake ndipo nthawi yomweyo muyitane ambulansi. Madokotala amadzamupatsa shuga wambiri ndi kupitiliza kuchipatala kale ndi insulin. Kufotokozera kwapfupi Hypoglycemia - kuchepa kwa shuga wamagazi osakwana 3.33 mmol / L. Hypoglycemia imatha kukhala mwa anthu athanzi pambuyo masiku ambiri osala kudya kapena maola angapo atatsitsa shuga, zomwe zimapangitsa kuchuluka kwa insulin komanso kuchepa kwa shuga m'magazi osagwirizana ndi hypoglycemia. Kwambiri, hypoglycemia imadziwonetsa ndi kuchepa kwa glucose m'munsi mwa 2.4-3.0 mmol / L. Chinsinsi cha matenda ndi Whipple Triad:. mawonetseredwe a neuropsychic mukasala kudya. shuga m'magazi ochepera 2.78 mmol / l. kumasuka kwa kuukira kwapakamwa kapena kudzera pakhungu pa p - ra dextrose.Kuwonetsedwa kwakukulu kwa hypoglycemia ndi hypoglycemic coma. Zowopsa. Mankhwala a insulin. Zomwe zakhala zikuchitika kwa matenda ashuga (zoposa zaka 5). Ukalamba. Matenda a impso. Matenda a chiwindi. Kulephera kwa mtima. Hypothyroidism Gastroenteritis Njala. Mowa Mitundu. Hypoglycemia ndi chizindikiro chotsogolera cha mitundu ingapo yamafuko olimbitsa thupi, mwachitsanzo:. Hypoglycemia chifukwa cha kuchepa kwa glucagon (231530, r) - kobadwa nako hypoglycemia wokhala ndi misempha yambiri komanso kuchepa kwa glucagon. Hypoglycemia ndi kuchepa kwa glycogen synthetase (# 240600, r). Makamaka: kobadwa nako hypoglycemia, hypoglycemia ndi hyperketonemia pakusala, hyperglycemia ndi hyperlactatemia pakudya, matenda opatsirana. Laborator: glycogen synthetase akusowa. Kuperewera kwa Fructose - 1,6 - phosphatase (229700, r). Leucine - anachititsa hypoglycemia (240800, r) - mitundu ingapo ya kubadwa kwa hypoglycemia. Hypoketotic hypoglycemia (# 255120, carnitine Palmitoyl transferase I * 600528, 11q akusowa, CPT1, r gene chilema). Etiology ndi pathogenesis Kusala kudya kwa hypoglycemia .. Insulinoma .. Kupanga hypoglycemia kumachitika chifukwa cha kugwiritsa ntchito mankhwala a insulin kapena mkamwa a hypoglycemic (ocheperako chifukwa cha salicylates, b - adrenergic blocking agents kapena quinine) .. Ma extrapancreatic zotupa zimatha kuyambitsa hypoglycemia. Nthawi zambiri awa amakhala zotupa zazikulu zomwe zimapezeka m'mimba, ndipo nthawi zambiri zimachokera ku mesenchymal chiyambi (mwachitsanzo, fibrosarcoma), ngakhale chiwindi carcinomas ndi zotupa zina zimawonedwa. Makina a hypoglycemia samamveka bwino, amafotokoza kutulutsa kwa glucose kwakukulu ndi zotupa zina ngati mapangidwe a insulin .. Hypoglycemia yoyambitsidwa ndi ethanol imapezeka mwa anthu omwe amachepetsa kwambiri malo ogulitsa glycogen chifukwa cha uchidakwa, nthawi zambiri maola 12-24 atamwa. Imfa yoposa 10%, motero, kuzindikira mwachangu ndi kuyang'anira p - dextrose ndikofunikira (panthawi yomwe makutidwe ndi okosijeni amtundu wa acetaldehyde ndi acetate, NADP imadziunjikira komanso kupezeka kwa NAD kofunikira kwa gluconeogenesis kumachepa). Kuphwanya glycogenolysis ndi gluconeogeneis, kofunikira popanga shuga m'chiwindi pakusala kudya, kumayambitsa matenda a hypoglycemia. Matenda a chiwindi amayamba kuwonongeka mu glycogenolysis ndi gluconeogeneis, okwanira mawonekedwe a kusala kwa hypoglycemia. Mikhalidwe yofananayi imawonedwa ndi virphine hepatitis kapena kuwonongeka kwa chiwindi pachimake, koma osati povuta kwambiri pamatenda a cirrhosis kapena hepatitis .. Zina zomwe zimayambitsa kusala hypoglycemia: kuchepa kwa cortisol ndi / kapena GH (mwachitsanzo, kuchepa kwa adrenal kapena hypopituitarism). Kulephera kwamkati ndi mtima nthawi zina kumayendetsedwa ndi hypoglycemia, koma zomwe zimapangitsa kuti zikhalepo sizimamveka bwino. The yogwira hypoglycemia kumachitika maola angapo pambuyo kudya chakudya .. Alimentary hypoglycemia limapezeka mwa odwala pambuyo gastrectomy kapena zina opaleshoni yolowera, zomwe zimabweretsa kulowa kwa zakudya mofulumira m'matumbo aang'ono. Kuthiridwa msanga kwa chakudya kumapangitsa kuti pakhale chitetezo champhamvu kwambiri cha insulin, zomwe zimapangitsa kuti hypoglycemia idya nthawi yayitali. Nthawi zina, odwala omwe ali ndi matenda ashuga, pambuyo pake, koma kutulutsidwa kwambiri kwa insulin kumachitika. Mukatha kudya, kuchuluka kwa shuga m'magazi kumatha pambuyo pa maola awiri, koma kenako kumachepa mpaka kufika pa hypoglycemia (maola 3-5 mutatha kudya) .. Ntchito hypoglycemia imapezeka mwa odwala omwe ali ndi vuto la kutopa kwa neuropsychiatric (mwachitsanzo, omwe ali ndi matenda otopa kwambiri). Zizindikiro (Zizindikiro) Chithunzi cha kuchipatala Kutanthauzidwa ndi njala yophatikizidwa ndi minyewa ndi ma adrenergic. Zizindikiro zamitsempha zimapezekanso ndi kuchepa kwapang'onopang'ono kwa shuga. Chizungulire .. Kupweteka mutu .. Kusokonezeka .. Kuwonongeka kwamawonedwe (mwachitsanzo, diplopia) ..Paresthesia .. Convulsions .. Hypoglycemic coma (nthawi zambiri imayamba mwadzidzidzi). Zizindikiro za Adrenergic zimapezeka ndi kuchepa kwamphamvu kwamankhwala a shuga .. Hyperhidrosis .. Kuda nkhawa .. Kutunda kwa malekezero .. Tachycardia ndi kumva zosokoneza mu mtima .. Kuchulukitsa kwa magazi .. Zowopsa za angina pectoris. Mawonekedwe azaka. Ana: osakhalitsa a hypoglycemia a neonatal nyengo, hypoglycemia ya ana aang'ono ndi akulu. Okalamba: nthawi zambiri, hypoglycemia imalumikizidwa ndi matenda othandizira kapena kugwiritsa ntchito mankhwala a hypoglycemic. Mimba Nthawi zambiri zimayambitsa kuchepa kwa hypoglycemia. Hypoglycemia mu matenda a shuga - zimayambitsa, Zizindikiro, chithandizo Mwinanso, aliyense wodwala matenda ashuga samudziwa kosangalatsa komanso kowopsa 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 ndi kuchuluka kwa hypoglycemia mwa anthu omwe ali ndi matenda osokoneza bongo kumadalira mlingo wa insulin. Koma, zinthu zoyamba. 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