Mphatso ndi Malangizo

Dizzy, kufooka ndi mutu? Mukuwoneka wotapira, ndipo zimachitika bwanji? Mwina izi zimachitika chifukwa cha hypoglycemia - dontho lakuthwa la shuga m'magazi. Vutoli nthawi zambiri limawonedwa ngati chifukwa cha matenda ashuga, koma limatha kuchitika lokha. Pazifukwa zomwe zovuta zimachitika komanso momwe mungazindikirire, AiF.ru inauza Mutu wa Dipatimenti ya Endocrine and Metabolic Surgery, MKSC, Ph.D. Sergey Mosin .

Pansi pazabwino

Mukatha kudya, glucose amalowa m'magazi, omwe ndi gwero lalikulu lamphamvu m'maselo onse m'thupi. Kuti athe kugwiritsa ntchito bwino mphamvuzi, kapamba amapanga insulini - timadzi tambiri timene timaloledwa kulowa m'maselo. Magazi a shuga azikhala nthawi zonse movomerezeka. Chifukwa chake, ziwalo zofunika zimadwala chifukwa chosowa glucose, makamaka ubongo, womwe umafunikira mphamvu kwambiri.

Ndiosavuta kumvetsetsa zomwe zimayambitsa hypoglycemia: glucose imalowa m'magazi ochepa kwambiri, kapena "imatuluka" kwambiri m'maselo. Poyamba, vutoli limachitika ngati munthu amadumphira chakudya nthawi zonse, monga chakudya cham'mawa. Mimba yopanda kanthu, mphamvu panjira yopita ku ntchito zatha, ndipo apa mutha kumva kuti mutu wanu ukuphulika. Komanso, iwo omwe amadya kapena kudya zakudya zabwino kwambiri nthawi zambiri amakhala ndi vuto la hypoglycemia, makamaka ndi "skew" pakudya. Palibe michere yokwanira, thupi palibe poti lingatenge mphamvu. Njira yachiwiri ikhoza kuwonekera kwa odwala omwe ali ndi matenda a shuga omwe amalandira insulin. Pambuyo jakisoni, ayenera kudya kena kake - osachepera bun. Koma ngati zikuchitika kuti insulini idabayidwa, ndipo chakudya sichinalandiridwe, ndiye kuti mphamvu yogwira ya m'magazi imatsitsa shuga.

Zimachitika kuti kuperewera kwa magazi kumachitika chifukwa chotupa cha inshuwaransi - insulinomas. Nthawi zambiri, ichi ndi mawonekedwe osakhazikika omwe nthawi zonse mosasamala amatulutsa insulini yambiri. Vutoli limatha kupezeka pokhapokha atafufuza komanso kupenda. Chifukwa chake, ngati maulendo ochepetsa shuga abwerezedwa pafupipafupi popanda chifukwa, muyenera kulumikizana ndi endocrinologist.

Kodi hypoglycemia ndi chiyani?

Glucose, kapena momwe amachitchulidwira - shuga, amapezeka nthawi zonse m'magazi a anthu. Amapereka mphamvu ku maselo makamaka ubongo. Glucose amalowa m'thupi ndi chakudya, ndipo wophatikiza wake ndi chakudya chamoto.

Ngati shuga wochepa wamagazi amawonedwa, ndipo palibe malo ogulitsira a glycogen, ndiye kuti mkhalidwe wa hypoglycemia umachitika - kusowa kwa shuga. Nthawi yomweyo, kagayidwe ka ma cell kamasokonekera, ndipo mtima ndi ubongo zimavutika ndi izi makamaka. Kutsika kwamphamvu kwa shuga m'magazi kumabweretsa kufa kwa maselo ake. Ngati mulingo wake wagwera kwambiri, ndiye kuti munthu wakomoka amatha kugwa.

Chifukwa chake, muyenera kusamala ndi anthu omwe ali ndi matenda ashuga omwe akuyesera kuti achepetse shuga m'magazi mwachangu - kuthamanga kwake sikumabweretsa zotsatira zowopsa. Koma chikhalidwe cha hypoglycemia chitha kuonedwa mwa anthu athanzi. Zowona, malaise nthawi zambiri imagwirizanitsidwa ndi kuchepa kwa shuga m'magazi. Ndipo zimachitika kuti popanda kuchita panthawi yake, izi zimabweretsa zotsatira zosasintha.

Zizindikiro za Low shuga

- kugona osagona, malodza am'mawa komanso kudzutsidwa pafupipafupi,

- m'mawa, munthu amene shuga ya m'magazi ake ndi yotsika, amakhala wotopa komanso watopa, mutu umayamba.

- kusakwiya ndi kuda nkhawa,

- mkhalidwe wotopa kwambiri,

- miyendo imakhoza kunjenjemera ndi kuzimiririka, kufooka kwamphamvu kumamveka mu minofu,

- pafupipafupi mutu komanso chizungulire,

- amakhala ndi njala nthawi zonse, koma nthawi yomweyo mseru umamveka,

- thupi limafunikira zakumwa, makamaka khofi, tiyi ndi koloko.

Chifukwa chiyani pali shuga wochepa wamagazi?

Izi zitha kuchitika mwa munthu wathanzi. Ndipo sizotheka nthawi zonse kudziwa zifukwa zomwe zimayambitsa matendawo komanso njira zoyenera. Chifukwa chake, ndikofunikira kudziwa zomwe zingayambitse kuchepa kwa shuga:

- kuperewera kwa zakudya m'thupi kwa nthawi yayitali, zakudya, komanso kusapatsa thanzi komanso kuperewera zakudya m'thupi, makamaka chakudya, chakudya,

- yopuma yayikulu kwambiri pakati pa chakudya. Zakudya zamafuta zimasowa mwachangu, ndipo ngati munthu sakudya kwa maola opitilira 8, ndiye kuti shuga ya magazi ayamba kutsika.

- masewera olimbitsa thupi kapena masewera olimbitsa thupi,

- Kugwiritsa ntchito maswiti pafupipafupi, confectionery, zakumwa zoziziritsa kukhosi kapena zakumwa zoledzeretsa, zomwe zimabweretsa kubisalira kwambiri kwa insulin. Pankhaniyi, shuga wamagazi amatsika mofulumira.

Ndi matenda ati omwe angayambitse vutoli?

Chochititsa chachikulu kwambiri cha hypoglycemia ndi matenda ashuga.
Zotupa za pancreatic zingayambitsenso shuga m'magazi.
Matenda ena a chiwindi ndi m'mimba, mwachitsanzo, momwe zimakhalira pakuchepa kapena kuperewera kwa enzyme.
Matenda a adrenal gland, pituitary gland kapena hypothalamus, omwe akuphatikizidwa ndi kayendedwe ka kagayidwe kazachilengedwe.

Momwe mungachepetse shuga kunyumba?

Odwala odwala matenda ashuga nthawi zambiri amadziwika kuti ali ndi mankhwalawa kuti azitha kuwongolera shuga. Koma zimatengera zinthu zambiri, chifukwa chake ndizovuta kusankha mlingo woyenera. Ndipo ndikofunikira kuti odwala oterowo azidziwa momwe angachepetse shuga kunyumba. Pankhaniyi, mutha kuchita popanda kudumpha kwadzidzidzi ndi zotsatira zosasangalatsa. Kuti muchite izi, zakudya ziyenera kuphatikizapo:

- oatmeal, makamaka phala ndi zipatso zam'mawa,

- mtedza umafunika ndi munthu tsiku lililonse osati kungokhala ndi shuga wamba,

- pafupipafupi momwemo ndikofunikira kuti aonjezere sinamoni ku mbale,

- mandimu amachepetsa mayeso a glycemic a zinthu zonse zomwe zimadyedwa nawo,

- buledi wamba ndibwino kusinthitsa tirigu wathunthu,

- Yesetsani kudya anyezi ambiri, adyo ndi masamba azamba.

Kodi shuga wochepa angayambitse chiyani?

Ngati simukuwona zizindikiro za hypoglycemia munthawi yake ndipo simukuchita, ndiye kuti wodwalayo azikulirakulira.

- kuphwanya ndende,

- pali kufooka kwamphamvu ndikugwedezeka kwamiyendo.

Popita nthawi, kuwonongeka kwa ubongo kumayamba, komanso kusokonezeka kwa malankhulidwe ndi chikumbumtima, zopweteka zimatha kuonedwa. Nthawi zambiri zimatha ndi stroko kapena chikomokere. Popanda chithandizo, imachitika.

Kodi mungapewe bwanji kuchepetsa shuga?

Anthu omwe ali ndi matenda a shuga amadziwa momwe angayang'anire kuchuluka kwa shuga. Kwa iwo, ndikofunikira kwambiri kuti athe, m'malo mwake, kuchepetsa shuga m'magazi mwachangu. Ndipo pakuyamba kwa hypoglycemia, nthawi zonse amakhala ndi maswiti kapena china chokoma. Komabe, mankhwala onse omwe amachepetsa shuga ya magazi amayenera kumwedwa pokhapokha ngati dokotala walonjeza.

- siyani kusuta ndi kumwa mowa, zomwe zimalimbikitsa kupanga insulin,

- chepetsa kumwa khofi, zakumwa zozizilitsa kukhosi ndi maswiti,

- kupewa nthawi yayitali yanjala: idyani makamaka m'magawo ang'onoang'ono, koma nthawi 5-6 patsiku,

- idyani nsomba, nsomba zam'madzi komanso zakudya zamafuta ambiri nthawi zambiri,

- Musanaphunzitsidwe kwambiri, muyenera kudya china chake chotseguka mosavuta, koma champhamvu kwambiri.

Kuphatikiza apo, anthu omwe nthawi zambiri amakhala ndi hypoglycemia, makamaka omwe ali ndi matenda ashuga, ayenera kuchepetsa kuchuluka kwawo kwa zitsamba ndi zakudya zomwe zimachepetsa kwambiri magazi. Izi zitha kukhala tsamba, clover, udzu wa dandelion, masamba a nyemba, komanso Yerusalemu artichoke, sipinachi, parsley, zinanazi, mabulosi abulu ndi masamba ena ndi zipatso.

Zizindikiro zakukula kwa hypoglycemic syndrome

Ndi kuchepa kwambiri kwa shuga m'magazi, wodwalayo amakhala ndi hypoglycemic syndrome. Nthawi yomweyo, zizindikiro za hypoglycemia zimachulukana mwachangu kuposa kuchepa kwa chizindikirochi. Ichi ndichifukwa chake, kwa chithandizo choyamba, wodwala aliyense yemwe ali ndi matenda ashuga ayenera kunyamula shuga kapena maswiti ndi cholembera cha syringe ndi glucagon.

Momwemo, maphunziro a hypoglycemic syndrome amatha kugawidwa m'magawo anayi akuluakulu.

Zifukwa zazikulu zochepetsera shuga

Masiku ano, hypoglycemia ndi matenda omwe nthawi zambiri amadziwoneka ngati ali ndi mawonekedwe osavuta ndipo ndi ovuta kuchiza.

Kuperewera kwa shuga m'magazi kumatha kuyambitsidwa ndi zinthu zotsatirazi:

mankhwalawa matenda a shuga, mankhwala ochepetsa shuga amagwiritsidwa ntchito pazochulukirapo, zomwe zimapangitsa kutsika kwa shuga m'magazi pofika muyezo wofanana
kusowa kwamadziꓼ
kuchita masewera olimbitsa thupi kwambiri kapena kugwira ntchito molimbika hard
uchidakwaꓼ
kutopa kwambiri kapena kufooka
Zakudya zopanda pake, chifukwa mavitamini ochepa komanso michere yambiri imalowa m'thupi, nthawi zambiri kuperewera kwa shuga kumachitika ngati zakudya zamakono zimatsatiridwa kapena pakudya
Kugwiritsa ntchito mchere wambiri kudzera pakadontha
matenda osiyanasiyana mawonekedwe. Izi zimaphatikizapo matenda a impso, chiwindi, kulephera kwa mtima
kukula kwa vuto la kusakwanitsa kwa mahomoni m'thupi, lomwe limadziwonetsera mu mawonekedwe osakwanira a mahomoni ena, omwe amaphatikizidwa ndi kulepheretsa kaphatikizidwe ka glucone, adrenaline, cortisol ndi somatropinꓼ
pa msambo mu akaziꓼ
chifukwa cha kuledzera ndi mowa kapena chinthu chomwe chili ndi arsenicꓼ
ndi matumbo matenda omwe amalumikizidwa ndi kuchepa kwa mayamwidwe a michere полез

Kuperewera kwa glucose kumatha kuchitika mthupi pakakhala matenda a kapamba, njira zingapo zotupa kapena ma neoplasms mkati mwake, ndipo kusowa kwa glucose kumachitika chifukwa chosowa mpweya.

Zizindikiro ndi zizindikiro zazikulu za hypoglycemia

Kukula kwa glycemia ndi kusowa kwa glucose m'magazi kumatha kuyamba ndikuwonetsa zizindikiro ndi zizindikiro zosiyanasiyana.

Chizindikiro chachikulu chomwe muyenera kulabadira ndicho kutopa kosalekeza kwa thupi komanso kusowa mphamvu kwa moyo wabwinobwino. Ngakhale mwa anthu athanzi labwino, atadzuka, pamakhala shuga wambiri m'magazi. Izi zimawerengedwa ngati zabwinobwino, ndipo zimadziwonetsera mu kugona, kuwonjezeka kukwiya komanso ulesi. Ngati munthu alibe magazi tsiku lonse, zizindikilo zotere zimayenda naye nthawi zonse.

Kuphatikiza apo, Zizindikiro za hypoglycemia zimatha kudziwoneka mwa mawonekedwe otsatirawa omwe amaperekedwa ndi thupi:

kuzizira kotsatira kutenthaꓼ
hand hand hand
kufooka thupi lonse
thukuta lambiriꓼ
kupweteka kwambiri kwa mutu kumayendera limodzi ndi chizungulire
kupweteka m'misempha, dzanzi la miyendo, kumva kuwawa kwamiyendoꓼ
anjala yosalekeza, kulephera kokwaniraꓼ
nseru, nthawi zina ndimasanzaꓼ
kuda m'maso, kuwoneka ngati chophimba choyera kapena mawanga.

Zotsatira za kunyalanyaza njira ya hypoglycemia, mkhalidwe wa munthu ungakulire. Pankhaniyi, zizindikiro zotsatirazi ndizotheka:

miyendo yakuthwa kwambiri
kulephera kuyankhula otaikaꓼ
Kugwirizana koyenda kwamayendedwe, komwe kumawonetsedwa ndi gaitꓼ yosakhazikika
chidwi chabalalika, ndikosatheka kukhazikika.

Ngati muli ndi zizindikiro zofananazo, muyenera kufunsa dokotala, kukayezetsa magazi kuti mupeze kuchuluka kwa shuga ndikutsatira malangizo onse a dokotala.

Momwe mungasinthire shuga wotsika?

Ndi shuga wotsika magazi, dokotala wopezekapo ayenera, choyamba, kupereka mankhwala apadera azakudya. Mankhwala othandizira zakudya ayenera kutengera mbali zomwe wodwala aliyense ali nazo, poganizira kupezeka kwa matenda oyanjana, kuchuluka kwa chitukuko cha hypoglycemia komanso thanzi la wodwalayo.

Pali mfundo zina zomwe zimaganiziridwa mukamapanga zosankha zamasiku onse.

Muyenera kuwonjezera kuchuluka kwa zovuta zamankhwala. Monga lamulo, zinthu zotere ziyenera kupezeka muzakudya za tsiku ndi tsiku. Choyambirira, ndiwo zamasamba zatsopano, pasitala kuchokera ku mitundu ya durum ndi mkate wopanda tirigu. Zakudya zoterezi za shuga ndizothandiza kwambiri.

Zakudya zoletsedwa ziziphatikiza pasitala wamba, zotsekemera zotsekemera ndi zinthu zophika mkate, semolina, zakumwa zoledzeretsa, zakudya zamafuta, msuzi wolemera, nyama yamafuta, zonunkhira komanso zakudya zosuta.

Mbale ndi uchi ndi zipatso zimayenera kudyedwa pang'ono. Chiwerengero cha zakudya ziyenera kukhala zosachepera zisanu, pomwe chakudya chimayenera kudyedwa m'magawo ang'onoang'ono.

Ndikofunikira kugwiritsa ntchito ma nyemba, chimanga ndi mbatata m'matumba awo, chifukwa zimathandizira kuchepetsa kutsika kwa shuga m'magazi, omwe amachokera m'thupi la munthu kuchokera ku zovuta zam'mimba.

Zipatso zosanenedwa ziyenera kukhalapo pakudya. Nthawi yomweyo, zipatso zatsopano ndi zouma zimakhala zangwiro.

Mapuloteni ndibwino kudya mumtundu wa tchizi wopanda mafuta ambiri komanso nkhuku, nsomba kapena nsomba zam'nyanja.

Zoyenera, khofi iyenera kutayidwa kapena kuchepetsedwa pang'ono. Chowonadi ndi chakuti caffeine imalimbikitsa kukhazikika kwa hypoglycemia ndipo ingayambitse kutsika kwakukulu kwa shuga. Pankhaniyi, matendawa amatha kupweteka.

Menyu imayenera kupangidwa mwanjira yoti osachepera kangapo pa sabata pamakhala msuzi kapena msuzi wa nyama odedwa. Chifukwa chake, pali kusintha kwa kagayidwe kazakudya mthupi.

Zakudya zonse zimaphika bwino kapena kuwotchera.

Izi sizingathandize kuchepetsa matenda a shuga, komanso zimapindulitsa thanzi lonse la wodwalayo.

Gawo lachinayi

Kugwedezeka m'thupi lonse komanso kupindika, kenako ndikugwidwa.
kutayika kwamaso
kukomoka komanso kukomoka.

Magawo oyamba a hypoglycemic syndrome nthawi zambiri amakhala oopsa bongo ndipo samasiya zotsatira zosasintha. Ndi isanayambike chikomokere komanso kusowa kwa chithandizo chakanthawi komanso chofunikira, osati kuchepa kwa kukumbukira ndi luntha komanso luso, komanso zotsatira zoyipa.

Kuthana ndi zizindikiro za hypoglycemia, thandizo liyenera kuperekedwa mkati mwa mphindi 10-15. Zakudya zotsatirazi zimatha kuthetsa kuukira mkati mwa mphindi 5 mpaka 10:

shuga - supuni 1-2,
uchi - supuni ziwiri
caramel - 1-2 ma PC.,
mandimu kapena chakumwa china chotsekemera - 200 ml,
madzi a zipatso - 100 ml.

Kuyamba koteroko kwakanthawi kwamankhwala nthawi zambiri kumathandizira kuchuluka kwa shuga m'magazi ndipo kumalepheretsa kukula kwowonekera kwambiri kwa matendawa. Zitatha izi, wodwalayo akulimbikitsidwa kuti athetse vuto la hypoglycemia (kudya chakudya, kusiya zakudya zofooketsa kapena zosakonzekera bwino, kumwa insulin yayikulu, etc.).

Chithandizo cha mankhwala osokoneza bongo ndi mankhwala achikhalidwe

Mankhwala osiyanasiyana amagwiritsidwa ntchito pochiza hypoglycemia, yomwe pamodzi ndi mankhwala omwe amaperekedwa pakudya amabweretsa tanthauzo lalitali.

Mutha kuthetsa zizindikirazo ndikuyibwezeretsanso shuga pogwiritsa ntchito magulu otsatirawa:

Mlingo wofunikira wa glucose umaperekedwa kudzera m'mitsempha kapena mankhwala am'kamwa amagwiritsidwa ntchito omwe amawonjezera kuchuluka kwa shuga, popeza amapititsa gawo logaya chakudya ndipo nthawi yomweyo amalowetsa m'magazi, monga lamulo, dextrose monosaccharide imagwiritsidwa ntchito.
Kuphatikiza kugwiritsa ntchito zopepuka ndi zophatikiza zamafuta ambiri munthawi yake.
Nthawi zina zoopsa, jakisoni wa glucagon angafunike, ngati imodzi mwa mankhwala amphamvu kwambiri.
Mikhalidwe yovuta yomwe imafunikira kukwera kwatsopano kwamwazi wa magazi kuyembekezera kugwiritsa ntchito majakisoni a mankhwala a corticosteroid. Nthawi zambiri, mankhwalawa amaphatikiza hydrocortisone kapena adrenaline.
Mu mgwirizano ndi adotolo, mungagwiritse ntchito mitundu ingapo yolimbikitsa shuga yomwe imakupatsani mankhwala achikhalidwe. Zothandiza kwambiri masiku ano ndi njira zotsatirazi zochotsekera shuga wambiri.
Piritsi ingagule tinolo ya Leuzea ndikuyitenga ngati madontho khumi ndi asanu ndi awiri mpaka makumi awiri mu madzi osungunuka ndi madzi. Zimatenga madzi pang'ono, ndikwanira supuni imodzi yokwanira.
Pukuta m'chiuno cha rose (pafupifupi supuni imodzi) ndikuthira makapu awiri amadzi otentha. Siyani kukapatsa kwa mphindi makumi atatu kapena makumi atatu, ndiye kuti unasi. The kulowetsedwa ayenera kumwedwa mu theka chikho kawiri pa tsiku. Njira yovomerezedwa imayenera kukhala milungu iwiri.

Kuti mubwezere msanga glucose mwachangu kunyumba, mutha kugwiritsa ntchito njira izi:

Idyani pang'ono kagawo kakang'ono ka chokoleti
imwani kapu ya tiyi ndi uchiꓼ
zipatso zochepa zouma zimathandizanso shuga. Itha kukhala zouma ma apricots, zoumba zouma kapena zouma
nthochi kapena misuzi yazipatso zithandizanso kukulitsa kuchuluka kwa shuga.

Njira zoterezi zimapangidwira kungowonjezera kwakanthawi ndipo siziyenera kugwiritsidwa ntchito pafupipafupi ngati "chithandizo" chachikulu. Ngati pali zovuta ndi kuchepa kwamphamvu kwa glucose, ndikofunikira kugwiritsa ntchito mankhwala othandizira okhazikika omwe adokotala adapereka. Kanemayo munkhaniyi akuwuzani zomwe mungachite ndikusowa shuga.

Thandizo loyamba la hypoglycemic syndrome

Ndi chitukuko cha hypoglycemic syndrome, mkhalidwe wa wodwalayo umasintha mwachangu kwambiri ndipo thandizo liyenera kuperekedwa nthawi yomweyo (ngakhale gulu la ambulansi lisanachitike). Muli zinthu zotsatirazi:

Ikani wodwalayo pamalo oyimirira ndikukweza miyendo yake.
Imbani ambulansi, kuti mudziwe zomwe zingayambitse kuyimbira foni.
Vulani zovala zomwe zimapumira.
Patsani mpweya wabwino.
Patsani kuti mutenge maswiti ngati chakumwa.
Ngati wodwalayo wataya chikumbumtima, ndiye kuti ndi kofunikira kuti mutembenukire kumbali yake (kuteteza kutsitsa lilime ndi asphyxiation ndi masanzi), ndikuyika maswiti (mwanjira ya shuga, etc.) kuseri kwa tsaya.
Ngati pali syringe chubu ndi Glucagon, gwiritsani 1 ml subcutaneally kapena intramuscularly.

Gulu la ambulansi limapanga jakisoni wambiri wa shuga 40% ndikuyambitsa kukoka kwa shuga 5%. Zitatha izi, wodwalayo amatengedwera kumalo osungirako odwala kwambiri ndipo majakisoni ena owonjezera amatha kuthandizanso poyenda.

Chithandizo cha odwala ndi hypoglycemic chikomokere

Pambuyo kuchipatala, wodwalayo amakhala ndi ma catheters awiri: mtsempha wa mkodzo ndi mkodzo. Pambuyo pake, diuretics imayambitsidwa kuti iteteze matenda a edema. Poyamba, osmotic diuretics (Mannitol kapena Mannitol) amagwiritsidwa ntchito. Emergency diuretics (Furosemide) amalembedwa pambuyo pake.

Insulin yogwira ntchito mwachidule imangoperekedwa mothandizidwa ndi shuga wamagazi. Mankhwalawa amayamba kugwiritsidwa ntchito pokhapokha pali chizindikiro cha glucose monga 13-17 mmol / l, chifukwa kuyambitsa kwake koyambirira kungayambitse kuyambika kwa chiwopsezo chatsopano cha hypoglycemic syndrome komanso kuyambika kwa chikomokere.

Wodwalayo adayesedwa kuti ayesedwe ndi katswiri wa zamitsempha ndi wamtima pazantchito, yemwe amayesa ECG ndi electroencephalogram. Zomwe mwaphunzirazi zikutipatsa mwayi wolosera zam'tsogolo komanso kusintha momwe tingalandire chithandizo.

Atasiya chikomokere, wodwalayo amayang'aniridwa nthawi zonse, ndipo endocrinologist amasintha njira zake zamankhwala ndikudya kudzera pamawu omwe amapezeka kuchokera ku maphunziro a labotale ndi othandizira. Pa gawo lomaliza la mankhwalawa, wodwalayo amapatsidwa mankhwala othandizira kupatsanso madzi m'thupi komanso kuchotsa detoxification, zomwe zimaloleza kuthana ndi acetone m'magazi ndikubwezeretsanso madzi otayika.

Asanatuluke kuchipatala, wodwalayo amapatsidwa malangizo othandizira akatswiri osiyanasiyana, omwe amalola kuti adziwe zovuta zonse za hypoglycemic coma - ngozi ya ubongo, kukula kwa kulowerera kwa myocardial kapena stroko, kuchepa kwa luntha, umunthu umasintha.

Chocolate ngati mankhwala

Zizindikiro zochititsa chidwi kwambiri, zomwe nthawi yomweyo zimafotokozera dokotala za matendawa, ndikoyamba chizungulire, kuzizira komanso kusamva bwino. Mankhwala amawonongeka, omwe amakhala ndi mutu, kuthamanga mwachangu, thukuta lozizira komanso khungu lakhungu. Kuphatikiza apo, wodwala yemwe ali ndi hypoglycemia amasiyanitsidwa ndi zovuta ndikugwirizanitsa kayendedwe, amatha kukomoka mosavuta.

Hypoglycemia imawonetsedwa ngati mulingo wamagazi otsatirawa: kwa abambo, 2.5-2.8 mmol / l; kwa akazi, 1.9-2.2 mmol / l. Hypoglycemia ikhoza kutsimikizidwanso palokha - masiku ano pali njira zambiri zoyezera shuga m'magazi.

Thandizo loyamba limayang'ana kukonza magawo a shuga. Ngati munthu ali ndi chizungulire komanso kumazindikira pang'ono kwamitambo, kungoluma. Kapenanso, mutha kugwiritsa ntchito chakudya cha "mwachangu" - chokoleti, makeke, etc.

Ngati munthu wasowa chikumbumtima, ayenera kumayikidwa pamalo osalala, kukhazikika kolala ndikupereka mpweya wabwino. Tiyenera kuyesetsa kumuwukitsa. Akadzazindikira, ayenera kupatsidwa tiyi wokhala ndi shuga kapena magawo angapo a shuga kuti asungunuke. Kuyeza kumeneku kumakupatsani mwayi wowonjezera shuga wamagazi ndikukonza zinthu.

Kuukira kamodzi sikumakhala koopsa. Koma ndi chitukuko cha hypoglycemia, mpaka kukomoka pafupipafupi, makamaka ngati zifukwa zake sizili zomveka, muyenera kulumikizana ndi endocrinologist. Dongosolo la chithandizo limapangidwa potengera zotsatira za kuyesa kwa magazi kwa glucose, insulin, mahomoni ena, ndi mitundu ina ya maphunziro.

Timazindikira vutoli

Zomwe zimatsogolera

Kuda nkhawa osafotokozeredwa, njala ndi nseru, kudzala kwamilomo, zala, milomo, kuzizira

Kuchepa kwa kusunthika, kusokonezeka kwakanthawi mu zochitika zam'maganizo, nkhawa, kusokonezeka, kulephera kukhazikika, kupweteka mutu, mavuto amawonedwe, kusokonekera kwa magalimoto (zovuta kuyenda, kuvuta kulankhula)

Kuwonongeka kwa chikumbumtima, kukokana, kugona kwa nthawi yayitali, kuchepa thupi kutentha, mavuto a mtima ndi mitsempha, kuwonongeka kwa ubongo

Kufunika kwa shuga kwa thupi kungafanizidwe ndi kufunika kwagalimoto mu mafuta: ngati sikokwanira, galimoto sidzapita patali. Mwakufanizira ndi chitsanzo ichi, glucose imaperekanso maselo a thupi ndi mphamvu, popanda iwo sangathe kukula ndikukula. Chifukwa chake, ngati mayesowa adawonetsa shuga wochepa wamagazi, zomwe zimayambitsa ziyenera kufotokozedwa. Izi zikapanda kuchitika, maselowo amayamba kumva njala ndikufa, zomwe zimatsogolera pakupanga njira za pathological m'thupi ndipo zimatha kufa.

Hypoglycemia ndiye mkhalidwe wamthupi pamene kuchuluka kwa glucose m'magazi kumakhala kovomerezeka. Izi sizowopsa ngati shuga wambiri, chifukwa maselo samalandira mphamvu ndipo akumva njala. Ubongo ndi woyamba kumva kusowa kwa glucose, komwe kumadyetsa pafupifupi makumi awiri a shuga omwe amalowa mthupi.

Kuchepetsa shuga kwa ubongo kumapangitsa kuti ma neurons ayambe kufa ndipo ubongo umalephera pang'onopang'ono. Izi zimachitika motsutsana ndi mphamvu yakusowa kwamphamvu ya minyewa ndi ziwalo zina, chifukwa cha zomwe njira zake za m'magazi zimayamba mwa iwo. Mukanyalanyaza vutoli ndipo simukuchita zinthu zothandiza kuti muchepetse shuga, munthu akhoza kuyamba kudwala matenda ashuga.

Ngakhale ambiri amaganiza kuti shuga ndi omwe amayambitsa kuchuluka kwa shuga m'magazi, kwenikweni izi sizowona, chifukwa kudwala kumeneku ndi chimodzi mwazomwe zimayambitsa. yosakhazikika, kotero ngati siyingayang'aniridwe, imatha kusintha kuchokera koopsa mpaka pamunsi kwambiri. Anthu odwala matenda ashuga amadziwa za ngoziyi, motero amakhala ndi chidutswa cha shuga kapena maswiti m'manja, omwe pamavuto ena amatha kukweza shuga.

Koma nthawi zina pamakhala kuchuluka kwa shuga mwa munthu wathanzi kumatsika kwambiri. Chimodzi mwazifukwa zomwe kuchepa kwa shuga ndi chakudya chokhwima, momwe glucose amalowetsedwa ndi chakudya chamagulu pang'ono. Zotsatira zake, zosunga zamkati mwathupi zimatha. (Glucose imasungidwa mu chiwindi monga glycogen, komanso minofu ya adipose), pambuyo pake palibe chomwe chingatengepo mphamvu.

Chomwe chimapangitsa kuti shuga akhale ochepa ndikuyenda kwakutali pakati pa chakudya. Chakudya chikalowa mthupi, chimasweka, pambuyo pake zimatulutsa chakudya, kenako shuga. Pambuyo pakulowa m'magazi, insulin imanyamula m'thupi lonse, ndikuipereka ku khungu lililonse m'thupi.

Ngati nthawi pakati pa chakudya yoposa maola eyiti, ndiye kuti mwina shuga sangakhale bwino. Chifukwa chake, shuga m'munsi mwa mulingo woyenera nthawi zambiri amakhala m'mawa chifukwa usiku anthu samadya, ndipo zopatsa mphamvu za thupi sizilowa mthupi.

Zakudya zowonjezera, zotsekemera, zamafuta, zosuta, zakumwa zoziziritsa kukhosi, zakumwa zoziziritsa kukhosi ndi zinthu zina zomwe zimadziwika ndi index yayikulu ya glycemic, zimatha kugwa msanga mu glucose, ndikuzipangitsa kuti zikule msanga. Koma zikutanthauzanso kuti pambuyo pokula mwachangu, kuchuluka kwa glucose kumatsikanso mwachangu ndikutsika pansi. Chifukwa chake, madokotala amalimbikitsa kudya zakudya zokhala ndi chisonyezo chotsika kapena chapakati cha glycemic. Zogulitsa zotere zimamwidwa nthawi yayitali, chifukwa chomwe kuchuluka kwa glucose m'magazi kumakwera ndikucheperachepera, ndikuchepetsa katundu pa kapamba, omwe amapanga insulin.

Chimodzi mwazomwe zimapangitsa shuga kukhala ocheperapo ndizolimbitsa thupi: panthawiyi, minofu imafunikira mphamvu, ndipo imasiyanasiyana mosiyanasiyana. Ndizosangalatsa kuti thupi limapangidwa kuti masewera olimbitsa thupi azitha kuchititsanso kuchuluka kwa glucose chifukwa pamasewera, glucose amachotsedwa mwachangu m'masitolo a glycogen ndi mafuta.

Zizindikiro za Glucose Otsika

Shuga wochepetsedwa amatha kudzipangitsa kukhala ndi zizindikiro zosiyanasiyana. Ngati chikuchitika pokhapokha m'mawa, kuchepa kwa shuga kumatha kuzindikirika ndi kufooka, kugona, kusakwiya. Malinga ndi akatswiri, ngati pakadali pano kuchuluka kwa glucose m'magazi kumayesedwa ndi glucometer, zotsatira zake zimakhala m'munsimu, zomwe ziyenera kukhala kuyambira 3,3 mpaka 5.5 mol / L. Ngati munthu ali wathanzi kotero kuti msambo wabwinobwino umakhala wabwinobwino, zimakhala zokwanira kuti azikhala ndi chakudya cham'mawa.

Nthawi zina shuga amangokhala bwino pokhapokha atatha kudya, zomwe zimatha kupereka shuga. Zizindikiro za matendawa zimayamba pang'onopang'ono, kotero wodwala amakhala ndi nthawi yolabadira zizindikiro za shuga wochepa ndikuyang'ana kwa dokotala.

Choyamba, ndi:

kufooka, kutopa, mantha
kugwedeza kwa dzanja, kuzizira, kapena kutentha.
thukuta kwambiri
kufooka kwa minofu, kulemera kwamiyendo, dzanzi la miyendo,
kuda m'maso, ntchentche, chophimba choyera pamaso,
nseru
kumverera kwa njala yayikulu.

Kutuluka kambiri komwe kumayambitsidwa ndi shuga wochepa kumayendetsedwa ndi ubongo, komwe kumakhala ndi vuto la kusowa kwa mphamvu, popeza mphamvu zake zimangokhala mphindi makumi awiri zokha, pomwe minofu ina imakhala motalika chifukwa chokhoza kuchotsa shuga mu minofu ya adipose. Pankhaniyi, akatswiri omwe ali ndi glucometer akulangizidwa kuti ayesere, ndipo ngati shuga ali pansipa, idyani msanga mankhwala okhala ndi index yayikulu ya glycemic (mwachitsanzo, maswiti).

Ngati mita palibe, ndipo pakakhala zizindikiro zosasangalatsa, muyenera kufunsa dokotala ndikuyezetseni magazi. Mukanyalanyaza kuchuluka kwa shuga pang'onopang'ono, mkhalidwe wa munthuwo umakulirakulira: kukomoka kumawonekera, chidwi chimasokonezeka, kuyankhula kumakhala kosagwirizana, ndipo gitala ndi yosakhazikika. Pakapita kanthawi, munthu atha kuzindikira, adzagwidwa ndi kukakamizidwa kofanana ndi kuukira kwa khunyu. Vuto lachiwopsezo limapezekanso pomwe vuto lalikulu la ubongo limachitika, lomwe limatha kufa.

Zomwezo zitha kuchitika ndi odwala matenda ashuga, ngati pazifukwa zina sangathe kukhazikitsa shuga, sanalabadire kuchepa kwake ndi nthawi. Munthu pamenepa amatha kudwala matenda ashuga, kenako nkufa. Chifukwa chake, ndikofunikira kwambiri kwa anthu omwe ali pafupi naye kuti asachite mantha, ndipo nthawi yomweyo ayimbire ambulansi.

Momwe mungachepetse shuga?

Ngati kuchepetsa shuga sikugwirizana ndi matenda ashuga, kuti muthe kusintha, muyenera kutsata zakudya zapadera ndikudya moyenera. Mukamapangira zakudya, muyenera kuyang'ana pa tebulo lokhala ndi index ya glycemic, yomwe ndi yosavuta kupeza pa intaneti. Mndandandawu mutha kudziwa zambiri zamitundu ingapo.

Mlozera wotsika kwambiri wa glycemic ndi wofanana ndi zipatso ndi ndiwo zamasamba, pomwe muyenera kukumbukira kuti mukaphika umatuluka, motero m'pofunika kudya zinthu izi mwatsopano. Zofunikanso ndizakudya zam'madzi, zamkaka, mafuta a masamba. Koma kuchokera batala, mafuta a nyama muyenera kukana, komanso kuchokera ku chakudya chokazinga, chamafuta.

Chakudya chimayenera kuthandizidwa pakanthawi kochepa, zomwe zimapangitsa kuti chakudya chifike nthawi zonse, zomwe zimachepetsa mwayi wa hypoglycemia. Izi ndizofunikira makamaka kuganizira azimayi omwe amatsatira zakudya, kulimbitsa thupi kuti muchepetse kunenepa. Pankhaniyi, akatswiri amalimbikitsa kuonana ndi dokotala ndikupanga menyu kuti kuchuluka kwa chakudya komwe kumalowetsa thupi kumakwanira molondola ndi mphamvu yomwe imadyedwa panthawi yophunzitsira.

Mowa uyenera kuthandizidwa mosamala kwambiri. Makamaka sangathe kuledzera pamimba yopanda kanthu, chifukwa hypoglycemia imatha kuyipidwa. Anthu omwe ali ndi matenda ashuga ayenera kumamvetsera dokotala ndikutsatira malangizo ndendende. Ngati munthu akufuna kusewera masewera, adotolo sayenera kusankha mankhwalawo komanso mankhwalawo, ndipo izi zikugwiranso ntchito kwa anthu omwe amakhala ndi jakisoni, komanso kwa iwo omwe amamwa mankhwala ochepetsa shuga.

Glucose ndi m'gulu la monosaccharides, ndiye kuti ndi shuga wosavuta. Thupi, monga fructose, lili ndi fomula C6H12O6. Zonsezi ndizoyenda zokha ndipo zimasiyana wina ndi mzake pakukonzedwa kwa malo.

Glucose womasuliridwa kuchokera ku Chigriki amatanthauza "shuga ya mphesa", koma imatha kupezeka osati mu mphesa zokha, komanso zipatso zina zokoma komanso uchi. Glucose amapangidwa chifukwa cha photosynthesis. Mu thupi la munthu, chinthucho chimakhala ndi zochuluka kwambiri kuposa shuga wina wosavuta.

Kuphatikiza apo, ma monosaccharides otsala omwe amadyedwa ndi chakudya amasinthidwa m'chiwindi kukhala glucose, womwe ndi gawo lofunikira kwambiri la magazi.

Zofunika! Ngakhale kuperewera pang'ono kwa glucose kumatha kupangitsa munthu kuti azikomoka, kuyamba kuchita mantha, ngakhale kufa.

Glucose monga gawo lopangidwira limatenga nawo mbali pakapangidwe ka polysaccharides, makamaka:

Ikalowa m'thupi laumunthu, glucose ndi fructose zimatengedwa mwachangu kuchokera kumimba yamagazi ndikulowetsa m'magazi, omwe amawanyamula ziwalo zonse ndi minyewa.

Kugawanika, shuga amachititsa adenosine triphosphoric acid, omwe amapatsa munthu 50% mphamvu zonse zofunika kuti akhale ndi moyo.

Ndi kufooka kwenikweni kwa thupi, glucose amagwiritsidwa ntchito ngati mankhwala omwe amathandiza:

kuthana ndi zizindikiro za kuchepa mphamvu kwa thupi kapena kuledzera kwamtundu uliwonse,
limbitsa olimbitsa,
thandizirani ntchito za chiwindi, mtima,
kubwezeretsa mphamvu
chepetsani kugaya chakudya: kusanza, kusanza, kutsekula m'mimba.

Kufunika kwa shuga kwa kagayidwe koyenera ka chakudya

Zakudya zonse zomanga thupi m'thupi zimawonongeka. Gawo limodzi limalowetsedwa m'magazi ena, enawo amasinthidwa kukhala malo ena osungirako mphamvu - glycogen, yomwe, ngati pakufunika, imasungidwanso mpaka glucose.

M'munda wazomera, wowuma amatenga gawo losungidwa. Pazifukwa izi, odwala matenda ashuga sayenera kudya masamba ndi zipatso zomwe zimakhala ndi wowuma kwambiri. Ngakhale wodwalayo sanadye maswiti, koma amangodya ndi mbatata yokazinga, adadzuka kwambiri. Izi ndichifukwa choti wowuma wasintha kukhala glucose.

Glycogen polysaccharide imapezeka m'maselo ndi ziwalo zonse za thupi. Koma malo ake osungirako bwino ali m'chiwindi. Ngati pakufunika kuwonjezera ndalama zamagetsi, glycogen, mphamvu, imaphwanya shuga.

Kuphatikiza apo, ngati pali kuchepa kwa mpweya, kuwonongeka kwa glycogen kumachitika mumsewu wa anaerobic (popanda kutenga mpweya). Njira yovuta chonchi imachitika mothandizidwa ndi masinthidwe 11 amitsempha ya cytoplasm of cell. Zotsatira zake, kuwonjezera pa shuga, lactic acid imapangidwa ndipo mphamvu imamasulidwa.

Hulin insulin, yomwe imayang'anira kuchuluka kwa shuga m'magazi, imapangidwa ndi maselo a pancreatic beta. Komabe, kuchuluka kwa kuchepa kwamafuta ndi insulin kumachepetsa.

Zomwe zimawopseza kusowa kwa shuga m'thupi

Lero ku pharmacy iliyonse mungagule glucometer. Ndi chida chodabwitsa ichi, anthu ali ndi mwayi wopimizira kuchuluka kwa shuga m'magazi popanda kuchoka kunyumba.

Chizindikiro chotsika 3.3 mmol / L pamimba yopanda kanthu chimawerengedwa kuti ndichoperewera ndipo ndi mkhalidwe wa pathological wotchedwa hypoglycemia. Hypoglycemia imatha kupezeka chifukwa cha matenda a impso, matenda a impso, chiwindi, kapamba, hypothalamus, kapena kuperewera kwa vuto la kuperewera kwa thupi.

Kumva njala.
Kugwedezeka ndi kufooka miyendo.
Tachycardia.
Zovuta zam'mutu.
Kusangalala kwambiri kwamanjenje.
Kuopa imfa.
Kuwonongeka kwa chikumbumtima ().

Odwala okhala ndi hypoglycemia nthawi zonse azikhala ndi maswiti kapena chidutswa cha shuga.

Ngati zizindikiro zoyambirira za hypoglycemia zikuwoneka, kukoma uku kuyenera kudyedwa nthawi yomweyo.

Hyperglycemia

Kuchuluka kwa shuga m'magazi kulinso kwangozi. Inde, aliyense amadziwa matenda osokoneza bongo a matenda ashuga, koma si aliyense amene amamvetsetsa kuwopsa kwa matendawa.

Ndikofunikira kuchitapo kanthu ngati shuga yothamanga ili 6mmol / l ndikukwera.

Zizindikiro zina zokhala ndi matenda ashuga:

Chilala chosasangalatsa.
Ludzu losasunthika.
Kukodza pafupipafupi.
Kuchuluka kwa miyendo.
Lethargy.
Kuchepetsa thupi mwadzidzidzi.

Ndizodabwitsa, koma mu shuga amatsata zotsatirazi zimachitika: mumakhala glucose wambiri m'magazi, ndipo maselo ndi minyewa zimasowa.

Izi ndichifukwa cha mavuto okhala ndi insulin. Matenda a Type 1 ndi 2 ndi oopsa kwambiri kwa anthu chifukwa cha zovuta zake, zomwe nthawi zambiri zimamupha.

Chifukwa chake, kupatula, anthu azidya moyenerera ndikukhala ndi moyo wathanzi. Kupanda kutero, mutha kupeza khungu, nephropathy, kuwonongeka m'mitsempha ya bongo ndi malekezero otsika, mpaka ku gangrene komanso kudulanso zina.

Kodi ndichifukwa chiyani muyenera kudziwa kuchuluka kwa shuga? Ichi ndi chinthu chomwe chimagwira gawo lalikulu lobadwa mthupi la munthu. Pazambiri zomwe ali ndimagazi, tanena m'nkhani yomwe yatchulidwa.

Zambiri

Zachidziwikire kuti aliyense wa inu kamodzi kamodzi m'moyo wanu adapereka magazi kuti azindikire kuchuluka kwa shuga. Imeneyi ndi njira yodziwika bwino mukamayesedwa. Dziwani kuti mawu akuti "glucose" adachokera ku Greek Greek λυκύς, lomwe limamasulira kuti "lokoma".

Ichi ndiye chinthu chachikulu komanso chopezeka mphamvu zonse kuwonetsetsa kuti zochita zonse za metabolic zikuchitika mthupi la munthu. Imapezeka m'masamba ambiri zipatso ndi zipatso, kuphatikizapo mphesa.

Tiyeni tiwone pamodzi omwe adapangidwira matenda ngati awa:

anthu onenepa
anthu omwe ali ndi vuto la mtima.

Zifukwa zomwe zingathandizire kukulitsa matenda:

Zizindikiro zazikuluzikulu za glucose

Kuti mumvetse shuga amene muli nawo, muyenera kuyezetsa magazi. Komabe, pali zina zomwe mungathe kumvetsetsa kuti thupi lanu likuvutika ndi chinthu china:

kutopa,
Kuchepetsa thupi ndi chidwi,
kufooka
ludzu losalekeza
kutulutsa ndi kukodza pafupipafupi,
kamwa yowuma
mutu.

Kuphatikiza apo, zizindikiro zotsatirazi ndizowonjezera kuchuluka kwa shuga m'magazi: kukodza usiku, zotupa pakhungu, zilonda zochiritsa zolimba ndi zilonda, mabala amachiritso a nthawi yayitali komanso zipsera, kuchepa kwakukulu kwa chitetezo chokwanira, kuchepa kwa ntchito, kuzizira pafupipafupi, kuchepa kwamaso.