Hypoglycemia: matenda a shuga ndi otani?

Hypoglycemia ndi vuto losakhala bwino m'thupi momwe kuchuluka kwa glucose m'magazi kumatsikira pansi 3.3 mmol / L. Zimathandizirana ndi zomverera zosasangalatsa m'thupi, ndipo m'malo ovuta kwambiri osalandira chithandizo chamankhwala, zimatha kuwononga ubongo ndi kuwonongeka kwa chikomokere.

Odwala matenda ashuga ayenera kudziwa! Shuga ndiwabwinobwino kwa aliyense.Kukwanira kumwa makapu awiri tsiku lililonse musanadye ... Zambiri >>

Kuzindikira kuti pali hypoglycemia mu shuga mellitus ndi chifukwa chake ndi kowopsa, mutha kuthandiza wodwala pakapita nthawi ndikusamalira thanzi lake, ndipo nthawi zina moyo wake.

Kodi ndichifukwa chiyani shuga yochepa magazi ndi owopsa kwa odwala matenda ashuga?

Zingawoneke kuti kutsika shuga m'magazi ndikomwe wodwala aliyense amafunafuna. Ndiye chifukwa chiyani hypoglycemia mu shuga sichikhala bwino? Chowonadi ndi chakuti izi zimapangitsa kuti shuga achepetse kwambiri, zomwe zingayambitse kusokonezeka kwakukulu mu ubongo ndi ziwalo zina zofunika. Kuphatikiza apo, ndi shuga, shuga wamagazi ochepa sikuyenda bwino nthawi zonse.

Kwa aliyense wodwala matenda ashuga, mulingo woyenera wa glycemia (shuga wamagazi) ndi munthu payekha. Moyenera, akuyenera kufanana ndi ziwonetsero zofanana ndi izi mwa munthu wathanzi. Koma nthawi zambiri, moyo weniweniwo umasintha zake, kenako uyenera kuyamba kuchokera ku thanzi la wodwalayo ndimitundu yosiyanasiyana ya shuga.

Kuopsa kwa hypoglycemia ndikuti chifukwa cha kusowa kwa glucose wokwanira, ubongo umakhala ndi mphamvu yanjala. Zizindikiro zake zimawonekera mwachangu, ndipo zikavulala kwambiri, munthu amatha kudwala matendawa. Ndizowopsa zazotsatira zake chifukwa chamatsenga ndipo paokha umaopseza moyo wa munthu.

Zizindikiro za hypoglycemia mu matenda osokoneza bongo zimatha kugawidwa m'mbuyomu komanso pambuyo pake, zomwe zimawoneka ngati palibe chithandizo. Poyamba, kuchepa kwa shuga m'magazi kumawonetsedwa ndi zizindikiro zotere:

• njala yayikulu
• kusanza (kusanza nthawi zina kumatheka)
• kusangalala pang'ono, kusakhazikika m'maganizo,
• kugunda kwa mtima
• khungu
• mutu ndi chizungulire,
• kunjenjemera kwa minofu ndi miyendo,
• thukuta kwambiri
• kusweka.

Ngati mutenga njira zoyenera ndikupanga kufooka kwa shuga m'thupi, mawonekedwe osasangalatsa awa adzadutsa mofulumira, ndipo munthuyo adzakhalanso wabwinobwino. Koma ngati simuwanyalanyaza kwanthawi yayitali, vuto la wodwalayo limakulirakulira, zomwe zimawonekera ndi zizindikilo zotere:

• chisokonezo chamalingaliro, kusokonekera kwa malankhulidwe,
• mgwirizano wolakwika,
• zosokoneza zowoneka
• kulephera kulolera, kumva nkhawa mkati, mantha kapena kusasangalala,
• minofu kukokana
• kulephera kudziwa.

Hypoglycemic chikomokere

Hypoglycemic coma imachitika mu mikhalidwe momwe sizinali zotheka kuletsa kuyambika kwa hypoglycemia munthawi. Chifukwa cha izi, mantha am'mimba amayamba kuvutika. Choyamba, chotupa cham'mimba ndi ubongo zimakhudzidwa, kotero mtima umagunda mwachangu, ndipo mgwirizano wogwirizana umasokonekera. Kenako ziwalo zam'bongo momwe malo ofunikira amakhudzidwa (mwachitsanzo, malo opumira) amatha kuchitika.

Zizindikiro za kukomoka, ngakhale zikukula msanga, koma zimadziwika ndi mndandanda wina:

• Wodwalayo amamva kuda nkhawa, amakhala wopanda nkhawa komanso wosakwiya. Khungu lake limakutidwa ndi thukuta, pomwe pamakhala mutu ndi chizungulire. Mtima umayamba kugunda mwachangu.
• Thukuta likuchulukirachulukira, nkhope ikusanduka yofiira. Munthu sangathe kuyang'anira machitidwe ake, chikumbumtima chake chimasokonezeka. Kuwona sikumveka bwino - zinthu zoyandikana nazo zimawoneka zopanda tanthauzo kapena zimatha kuwirikiza.
• Kupsinjika kwa magazi kumakwera, kugunda kumakhala kochulukira. Minofu ikulankhula, mphamvu zawo zitha kuyamba.
• Ophunzirawo amachepa ndipo kukokana kumapita patsogolo, ndipo posakhalitsa matenda ashuga. Khungu limakhala lonyowa kwambiri kukhudza, kukakamizidwa kumachulukitsidwa, kutentha kwa thupi sikusintha nthawi zambiri.
• Minofu kamvekedwe amachepetsa, ana satsatira kuwala, thupi limakhala loopsa komanso lore. Kupuma ndi kukoka kumasokonekera, kuthamanga kwa magazi kumatsika kwambiri. Pakhoza kusowa zofunika kuzindikira. Ngati panthawiyi munthu samathandizidwa, amatha kufa chifukwa chomangidwa ndi mtima kapena edema yam'mimba.

Thandizo loyamba pazomwezi ndikupatsidwa njira yofikira ya shuga (pafupifupi, 40-60 ml ya 40% ya mankhwalawa akufunika). Munthu akazindikira, ayenera kudya nthawi yomweyo chakudya chambiri komanso zakudya zomwe zimapangitsa kuti pasakhale shuga womwe umalowa m'magazi kwa nthawi yayitali. Ngakhale wodwalayo sakudziwa, sayenera kuthira zakumwa zakumwa za pakamwa kapena mwamphamvu khosi lake, chifukwa izi sizingakhale zopindulitsa, koma zingayambitse kutsamwa.

Kutsika kwa shuga m'magazi nthawi zambiri kumalumikizidwa ndi zolakwika zamankhwala kapena kuphwanya kakhalidwe komwe wodwalayo amadya komanso zakudya. Zochitika zina za thupi ndi matenda zimatha kuthana ndi izi. Zinthu zomwe zimalumikizidwa ndi mankhwala:

• Osankhidwa bwino (kuchuluka kwambiri) mlingo wa insulin kapena mapiritsi a shuga
• kusintha kuchokera ku insulini ndikupanga mankhwala omwewo kuchokera ku kampani ina,
• kuphwanya njira yoperekera mankhwala (kulowa mu minofu m'malo mwa zigawo zina),
• jakisoni wa mankhwala m'dera lamthupi lomwe silinagwiritsidwepo ntchito kale.
• kukhudzidwa kwa jekeseni malo otentha kwambiri, kuwala kwadzuwa kapena kukonza masisitimu.

Ndikofunikira kuti nthawi zonse mupeze thanzi la zolembera za insulin, popeza kuti muyezo wolakwika wa mankhwalawo ndi chakudya chokwanira ungapangitse kusintha kwakukulu m'magazi a shuga. Mkhalidwe wa hypoglycemic ukhoza kukhalapo nthawi ngati wodwalayo atasiya kugwiritsa ntchito pampu kupita jakisoni wokhazikika. Kuti mupewe izi, muyenera kuyang'anira kuchuluka kwa shuga ndikuwonetsetsa kuchuluka kwa insulini.

Chakudyacho chimakhudza kwambiri shuga, chifukwa chake chakudya chamunthu chingakhale chiopsezo nthawi zina.

Zifukwa zakuchepera kwambiri kwa shuga m'magazi ogwirizana ndi chakudya:

• kudya zakudya zochepa kwambiri
• kangapo pakati pa chakudya,
• kudumpha chakudya china,
• kumwa mowa (makamaka ndi chakudya kapena pogona),
• yogwira zolimbitsa thupi popanda zakudya kukonza ndi magazi shuga.

Kuphatikiza apo, mikhalidwe ya thupi ndi matenda imatha kuyambitsa hypoglycemia:

• mimba ndi kuyamwitsa,
• aakulu aimpso kulephera
• kumapeto kwa nthawi yoyambirira
• kusowa kwa michere ya pancreatic yomwe imatsimikizira kugaya chakudya mwazomwezo,
• kuchepa kwa ntchito ya nyemba ndi ma adrenal gland
• nthawi yoyamba pambuyo pa matenda aliwonse opatsirana,
• kugaya chakudya pang'onopang'ono m'mimba chifukwa cha kuwonongeka kwa mitsempha ya shuga m'derali.

Momwe mungaperekere chithandizo choyamba?

Njira yosavuta yothandizira wodwala ndi hypoglycemia yofatsa, pomwe sichinafike pangozi thanzi ndi moyo. Pa magawo a khungu, kufooka ndi chizungulire, muyenera kugwiritsa ntchito glucometer, ndipo ngati mantha atsimikiziridwa, yambani kuchita. Kuti mupange kuperewera kwa zakudya zamafuta, mutha kudya chokoleti, sangweji yokhala ndi mikate yoyera kapena kumwa chakumwa chokoma.

Ngati wodwalayo akudziwa, koma matendawo ali kale pafupi ndi vuto lalikulu, chinthu chabwino chomwe mungachite kunyumba ndikumupatsa njira yothetsera shuga (kapena konzani nokha ndi shuga ndi madzi). Munthu akazindikira, amafunika kuyeza kuchuluka kwa shuga. Ayenera kupumula. Ndikofunika kuonetsetsa kuti wodwalayo sapunthwitsa zakumwa, siziyenera kungosiyidwa nokha, ngati vutolo likukula, muyenera kuyimbira ambulansi nthawi yomweyo.

Kupewa

Popeza kuti anthu odwala matenda ashuga amalimbikitsidwa kuti azikhala ndi zakudya zopatsa thanzi, kumakhala ndi njala yayikulu kumakhala kotsatsa komanso chifukwa chomayesanso shuga. Ngati mantha atsimikiziridwa ndipo mulingo wa glucose wayandikira malire, ndiye muyenera kudya.

Popewa kuchepa kwadzidzidzi kwa shuga m'magazi, odwala matenda a shuga 1 ayenera:

• kutsatira mtundu wina watsiku ndi tsiku kapena osamala nthawi yofanana pakati pa chakudya ndi mankhwala,
• Dziwani kuchuluka kwa shuga m'magazi anu ndipo yesani kuusamalira,
• mumvetsetse kusiyana pakati pa ma insulin a nthawi zingapo zochita ndikutha kusintha zakudya zanu ndi mankhwala,
• kuchepetsa mlingo wa insulin musanayambe kuchita masewera olimbitsa thupi (kapena onjezani kuchuluka kwa chakudya chamafuta ambiri omwe amadya kale),
• kukana kumwa mowa,
• yang'anirani shuga yanu yamagazi.

Anthu odwala matenda ashuga ayenera kumayendera limodzi ndi chokoleti, maswiti kapena mankhwala a glucose ngati hypoglycemia itakula. Ndikofunika kuti dokotala azidziwitsa wodwalayo kuopsa kwa vutoli ndikudziphunzitsa yekha mfundo zothandizira ngati zingachitike.

Kodi pali hypoglycemia mwa anthu omwe samadwala matenda ashuga?

Hypoglycemia imatha kukhala mwa munthu wopanda matenda a shuga. Pali mitundu iwiri ya izi:

• kusala hypoglycemia,
• kuchepetsa shuga, kupanga monga yankho la chakudya.

Poyamba, kuchuluka kwa shuga kumatha kutsika chifukwa cha mowa kapena mankhwala ena madzulo. Komanso, vutoli limatha kupangitsa kulephera kwa mahomoni m'thupi. Ngati hypoglycemia imachitika patangotha ​​maola ochepa mutatha kudya, ndiye kuti imakhudzidwa kwambiri ndi kusakanikirana kwa fructose kapena kusowa kwa glucagon (ichi ndi mahomoni apanchipisisi omwe akukhudzidwa ndi kuyamwa kwa glucose). Izi zimachitikanso pambuyo pakuchita opaleshoni pamimba, chifukwa cha momwe zimayamwa michere m'magawo am'mimba.

Zizindikiro za glycemia ndizofanana ndi zomwe zimawonetsa mu odwala matenda ashuga, ndipo zimachitika mwadzidzidzi. Munthu akhoza kusokonezedwa ndi kumva njala, kunjenjemera m'thupi, kufooka, nseru, nkhawa, thukuta lozizira komanso kuwodzera. Thandizo loyamba pamkhalidwewu ndilofanana ndi matenda a shuga. Mukayimitsa kuukira, muyenera kufunsa dokotala kuti mudziwe zomwe zimayambitsa matenda a hypoglycemia komanso kudziwa mwatsatanetsatane matenda anu.

Zomwe zimayambitsa hypoglycemia

Zizindikiro za glycemia zimayamba m'thupi la wodwalayo pokhapokha ngati wodwala ali ndi insulin yambiri m'magazi kuposa glucose. Izi zikachitika, maselo amthupi amayamba kumva kuperewera kwa chakudya, zomwe zimagwiritsidwa ntchito ndi ma cell kupangira mphamvu.

Ziwalo zamkati za wodwalayo zimayamba kumva mphamvu zamagetsi, ndipo ngati zofunikira sizitengedwa munthawi yake, munthu akhoza kufa.

Zizindikiro za hypoglycemia zimayamba m'thupi pazifukwa zosiyanasiyana. Zomwe zimayambitsa hypoglycemia ndi izi:

1. Ngati wodwala ali ndi matenda amtundu 1, hypoglycemia imatha kuchitika chifukwa chokhala ndi mankhwala osokoneza bongo ambiri. Kuchepa kwa shuga omwe amayamba chifukwa cha kuchuluka kwa insulini kuyenera kuthandizidwa kaye pakulowetsa gawo la shuga msanga kapena poyambitsa shuga.
2. Ngati sulfonylurea kukonzekera ntchito mankhwalawa? Mankhwalawa amatha kuyambitsa zovuta m'thupi.
3. Kugwiritsa ntchito insulin ndi cholembera chosalimba.
4. Kugwiritsa ntchito bwino kwa glucometer, komwe kumawerengera kwambiri, zomwe zimapangitsa kuti chiwopsezo cha insulin chiwonjezeke.
5. Kuwerengera molakwika kwa mlingo wa insulin ndi endocrinologist.
6. Kuphwanya insulin makonzedwe - mu mnofu jakisoni wa mankhwala.
7. Kutikita minofu m'dera la jakisoni.
8. Kugwiritsa ntchito mankhwala atsopano omwe thupi la wodwalayo silikudziwika.
9. Matenda a impso omwe amasokoneza ndikuchotsa kwachilendo kwa insulin mthupi.
10. Gwiritsani ntchito insulin yayifupi m'malo motalika nthawi yomweyo.
11. Kuyanjana kosadziwika pakati pa mankhwala omwe amagwiritsidwa ntchito pakumwa.

Kuphatikiza apo, chikhalidwe cha hypoglycemia chimatha kupezeka mwa munthu ngakhale popanda matenda ashuga ngati pali zovuta zina mthupi zomwe zimakhudza njira yotulutsira mahomoni ndi ma adrenal gland kapena gland.

Popanda matenda a shuga, shuga mu plasma amathanso kuchepa kwambiri pa nthawi yobereka.