Mwazi wa Magazi 2 mpaka 2

Mu thupi la munthu, njira zonse zimalumikizidwa. Nthawi zambiri, akatha kudya, anthu amakhala ndi shuga wamagazi pafupifupi 7 mmol / L. Ichi ndichizindikiro chabwinobwino.

Ngati adadzuka mpaka 9, muyenera kuwona dokotala. Izi zitha kuwonetsa kukula kwa matenda ashuga.

Makamaka muyenera kulabadira ngati zomwe glucose zili sizikugwa kwa nthawi yayitali.

Nthawi kapena kupatuka

Amawerengedwa kuti ndi chizindikiro choyenera cha 5.5 mmol / l. Gome ili pansipa likuwonetsa chikhalidwe cha shuga:

Ngati munthu ali ndi mtundu uliwonse wa matenda ashuga, 9 mmol / L osati pamimba yopanda kanthu ndichizolowezi.

Simungathe kudya zakudya zambiri zopatsa mphamvu. Izi zikuwopseza kuchuluka kwam shuga kwambiri.

Mlingo wa shuga ndiwopitilira muyeso. Zoyenera kuchita

Chinthu choyamba muyenera kuwona dokotala. Yesetsani ku chipatala. Ngati zotsatira zake ndi 6.6 mmol / L, muyenera kubwereza mayesowo kwakanthawi. Magwiridwe akhoza kukhala otsika. Zotsatira kuti kuyesa matenda ashuga okha sikokwanira.

Mkhalidwe usanachitike shuga. Izi zimatchedwa chizolowezi cha matenda ashuga. Malingaliro oterowo amatengedwa pazotsatira zingapo za kusanthula zomwe ndizokwera pang'ono kuposa zabwinobwino. Mwachitsanzo, ngati venous test index ndi yoposa 7 mmol / l, ndipo shuga yonse ya chala imaposa 6.1 mmol / l, zitha kunenedwa motsimikiza pafupifupi 100% kuti munthu ali ndi matenda ashuga.

Tisaiwale kuti kuchuluka kwa glucose m'magazi osiyanasiyana amasiyana. Mu venous - 3.5-6.1 mmol / L, mu capillary - 3.5-5,5 mmol / L.

Zotheka

Zifukwa zotheka zakukweza shuga m'magazi mpaka 9 mmol / l:

• kumwa mankhwala
• onenepa kwambiri
• cholesterol yosavomerezeka,
• ovary polycystic,
• kudya zakudya zachangu, mafuta kapena shuga (zakudya zambiri),
• zizolowezi zoipa (kusuta, kugwiritsa ntchito mankhwala osokoneza bongo komanso mowa),
• kupezeka kwa matenda m'banjamo,
• nkhawa
• kumangokhala.

Choyamba, matenda ashuga amalephera. Nthawi zambiri, amayamba chifukwa cha kuphwanya kwa insulin. Zimapangidwa mu kapamba. Nthawi zambiri, mavuto amakhala pamenepo.

Mtundu woyamba wa shuga

Kutanthauzira monga kudalira insulin. Zimachitika chifukwa chosowa chinthu. Zikondazo zimatulutsa insulini yocheperako kwambiri kapena sizitulutsa ayi. Chifukwa chake, palibe chomwe chingapangitse shuga. Milingo ya shuga imakwera kwambiri.

Nthawi zambiri, matenda amtundu 1 amakhudza anthu ochepa thupi. Zaka - mpaka zaka 30. Popewa, Mlingo wothandiza wa mahomoniwo umaperekedwa.

1. Nthawi ya matenda owopsa a viral / matenda opatsirana. Zowopsa makamaka kwa anthu omwe atchulidwa kale.
2. Chiwonongeko, matenda a kapamba.
3. Zinthu zopsinja mwadzidzidzi.
4. Kuyankha kwa thupi ku mankhwala. Mlandu wa kulephera kwa kapamba chifukwa cha poyizoni wazoyipa wanenedwapo.

Matendawa amagawidwa m'mitundu iwiri: a (mwa ana), b (mibadwo ina).

Type 2 shuga

Matenda amtunduwu amapezeka chifukwa cha kukana insulini. Kuchuluka kwa mahomoni amapangidwa m'thupi. Izi zikutanthauza kuti zimakhala ndi ziwalo zimasinthana. Zinthu zake ndi:

• odwala ambiri amadwala matenda amtunduwu (pafupifupi 85%),
• azimayi ambiri azaka zoyambira 50 amadwala,
• kunenepa ndi khalidwe (70% ya milandu).

1. Kuzunza. Anthu amadya zakudya zopatsa thanzi komanso zakudya zambiri.
2. Mtundu. Anthu omwe ali ndi matenda amtundu woyamba ali ndi mwayi wokhala cholowa (2-6%). Pankhani ya matenda a shuga a 2, 35-39% ali ndi matenda 1 kholo, 60-70%, ngati onse.
3. Kuchuluka kwa shuga chiwindi. Zinthu: Munthu sanadye kwa maola angapo. Msuzi wa shuga wagwa. Chiwindi chinayamba kupanga shuga. Atatha kudya, ayenera kusiya kuchita izi ndikukhala pazinthuzo. Mwa anthu omwe ali ndi matenda ashuga, thupi limapitilirabe kupanga shuga.
4. Kumwa mankhwala omwewo. Zomwe zimayambitsa zonse ziwiri ndi mtundu 1.

Amapasa (monozygous), mwayi wamatenda amodzi ndi 58-65%, mu heterozygous - 16-30%.

Momwe mungadziwire mtundu wake

Madokotala nthawi zambiri molondola komanso mwachangu amadziwa ngati wodwala ali ndi matenda ashuga. Izi zimachitika ndikumayesa mayeso.

Za munthu wodwala ndi mtundu wanji, mkhalidwe wake udziwa. Ndikofunikira kuchita kafukufuku wokwanira, osamala ndi zomwe zikuwonetsa.

Mtundu weniweni wa matenda ashuga wakula, zizindikilo ndi mawonekedwe ali pamwambapa a mitundu 1 ndi 2 a matenda osokoneza bongo adzawonetsa.

Zoyenera kuchita kuti muchepetse shuga

Zina zomwe zimapangitsa kuti shuga achulukane ndizinthu:

• ludzu losalamulirika
• khungu lowuma
• pafupipafupi kupita kuchimbudzi.

Choyamba, muyenera kutsatira zakudya. Pazakudya zilizonse ziyenera kuchotsedwa:

• masoseji
• zakumwa zoziziritsa kukhosi
• tchizi tchizi, tchizi ndi nsomba (mafuta ambiri),
• mafuta (masamba, nyama),
• phukusi laphikidwa
• kuphika
• shuga.

Onjezani komwe mukufuna zinthu zomwe zimakhala ndi mavitamini ambiri:

• amadyera (katsabola, parsley),
• masamba (onse atsopano komanso owiritsa),
• tiyi (tikulimbikitsidwa kumwa zobiriwira).

Mankhwala

Iyi ndi njira yothandiza kwambiri yochepetsera shuga. Amatha kuthandizira pafupifupi mukangogwiritsa ntchito.

• kupanga insulin
• kutsitsa shuga m'magazi,
• kusintha insulin bwino.

Ubwino wa ndalama ndikuchepera kwa zomwe zimakhudza boma. Izi ndichifukwa cha Mlingo wotsika. Mankhwala amalimbikitsa thupi. Izi ndi:

• limbitsani
• Tetezani zombo
• kukondera kuchepa kwa mafuta ochulukirapo.

Mu kupera, mapangidwe a chikondwerero chachikulu chimadziwika. Mukanyalanyaza zakudya zomwe mumayikira, sikuti shuga yokha imatha kukula, komanso kulemera.

Ngati wodwala wodwala matenda a shuga atsatira malangizo onse a dokotala yemwe akupita, moyo wake udzakhala wosavuta. Munthu wolingalira za matendawa, koma osadwala, ayenera kukhalabe wathanzi.

Shuga 2: zimayambitsa ndi zifukwa zake

Musanadziwe tanthauzo la shuga kutanthauza mayunitsi 2.7-2.9, muyenera kuganizira za miyezo iti ya shuga yomwe imalandiridwa mu zamakono.

Magulu ambiri amapereka chidziwitso chotsatira: zizindikiro zomwe kusinthika kwawo kukuchokera ku 3.3 mpaka 5.5 amayesedwa kuti ndiwomwe amakhala. Pakakhala kupatuka kuzinthu zomwe zidalandiridwa mumagawo a 5.6-6.6, ndiye kuti titha kulankhula za kuphwanya kulekerera kwa shuga.

Vuto lololekerera ndi mkhalidwe wam'mizere, ndiye kuti, mtanda pakati pa zoyenera ndi matenda. Ngati shuga m'thupi akwera mpaka magawo 6.7-7, ndiye kuti titha kulankhula za matenda "okoma".

Komabe, izi ndizomwe zimachitika ponseponse. Muzochita zamankhwala, pali zowonjezera komanso kuchepetsedwa kwa shuga mu thupi la wodwala. Mafuta ochepera a glucose amapezeka osati motsutsana ndi maziko a shuga mellitus, komanso ndi ma pathologies ena.

Machitidwe a hypoglycemic akhoza kugawidwa m'magulu awiri:

• Shuga wochepa pamimba yopanda kanthu pamene munthu sanadye kwa maola asanu ndi atatu kapena kupitirira.
• Yankho hypoglycemic boma anati awiri kapena atatu chakudya.

M'malo mwake, ndi matenda ashuga, shuga amathanso kukhudzidwa ndi zinthu zambiri zomwe zingasinthe mbali imodzi. Chifukwa chiyani shuga amatsikira kumagawo a 2.8-2.9?

Zomwe zimapangitsa kuti shuga achepetse ndi:

1. Mlingo wa mankhwala osokoneza.
2. Mulingo waukulu wahomoni wobayidwa (insulin).
3. Kuchita zolimbitsa thupi mwamphamvu, kuchuluka kwa thupi.
4. Kulephera kwa impso.
5. Chithandizo cha mankhwala. Ndiye kuti, mankhwala amodzi adasinthidwa ndimankhwala ofananawo.
6. Kuphatikiza kwa mankhwala angapo kuti muchepetse shuga.
7. Mowa wambiri.

Dziwani kuti kuphatikiza kwa mankhwala achikhalidwe ndi chikhalidwe kumatha kuchepetsa magazi. Pankhaniyi, mutha kupereka chitsanzo: munthu wodwala matenda ashuga amamwa mankhwala omwe adokotala amuuza.

Koma akuganiza zowongolera glucose wogwiritsa ntchito mankhwala ena. Zotsatira zake, kuphatikiza kwa mankhwalawa ndi chithandizo chanyumba kumayambitsa kutsika kwa kutchulidwa kwa shuga m'magazi ku magulu a 2.8-2.9.

Ichi ndichifukwa chake nthawi zonse amalimbikitsidwa kukaonana ndi dokotala ngati wodwala akufuna kuyesa azitsamba kuti achepetse shuga.

Kodi shuga wotsika wamagazi amatanthauza chiyani?

Shuga wocheperako amatchedwa asayansi yotchedwa hypoglycemia. Monga lamulo, amakula pamene kuchuluka kwa glucose kutsikira pansi 3.3 mmol / L mwa akuluakulu. Mwa anthu omwe ali ndi matenda ashuga, mawu oti "hypo" amagwiritsidwa ntchito, omwe amatanthauzanso shuga wochepa wamagazi.

Okondedwa, lero ndikufuna ndikhudze mutu wovuta kwambiri womwe umagwira ntchito kwa odwala onse omwe ali ndi matenda ashuga, kuphatikiza ana. Vutoli limathanso kuchitika mwa mtundu wofatsa mwa munthu wathanzi labwino.

Zomwe zimawopseza kuchepa kwa shuga m'magazi

Kutsitsa magazi ndi vuto lalikulu la matenda ashuga. Koma kodi hypoglycemia imakhala yoopsa nthawi zonse? Choyipa chachikulu ndi chiyani: hypoglycemia kapena ma glucose okwanira? Mawonekedwe amachepetsa shuga m'magazi amatha kukhala osiyanasiyana: kuyambira ofatsa mpaka akulu. Kuchuluka kwambiri kwa "hypo" ndi kupusa kwa hypoglycemic.

Pokhudzana ndi kulimba kwa njira yolipirira anthu odwala matenda ashuga, yomwe ndidalemba munkhani yakuti "Mfundo za mankhwalawa matenda a shuga mellitus 2015", pali chiopsezo chokhala ndi vuto la hypoglycemic. Ngati mungawazindikire munthawi yake ndikuyimitsa, ndiye kuti palibe vuto.

Hypoflycemia yofatsa mu kuchuluka kwa 2-3 pa sabata sikukhudza thanzi la ana ndi kukula kwa ana. Kumayambiriro kwa zaka za zana lino, maphunziro adachitika pa ana omwe ali ndi matenda osokoneza bongo, pomwe izi zidapezeka kuti ana omwe amakhala ndi nthawi yochepa yoletsa magazi sanali otsika kwa ana asukulu popanda matenda ashuga pochita kusukulu.

Masamba ochepa a shuga ndi mtundu wa mtengo wolipirira shuga wambiri kuti alepheretse zovuta zina za shuga.

Zomwe mungaganizire shuga wochepa

M'malo mwake, kwa munthu aliyense, njira yolumikizira shuga wochepa wa magazi imatengera:

1. M'badwo.
2. Kutalika kwa matenda ashuga komanso kuchuluka kwake kwakulipira.
3. Mlingo wa kugwa m'magulu a shuga.

M'mibadwo yosiyanasiyana, shuga yafupika imachitika mosiyanasiyana. Mwachitsanzo, ana samvera kwambiri shuga wotsika kuposa akuluakulu. Mu ana, shuga wa 3.8-2.6 mmol / L amatha kuwonedwa ngati kungowonongeka mkati popanda mawonekedwe a hypoglycemia, ndipo zizindikiro zoyambirira zimawonekera ndi shuga pa 2.6-2.2 mmol / L. Mwa ana obadwa kumene, chizindikirochi chimakhala chocheperako - chochepera 1.7 mmol / L, ndipo makanda osakhazikika amakumana ndi hypoglycemia kokha ndi glucose wochepera 1.1 mmol / L.

Ana ena samva konse zoyamba za "hypo" konse. Mwachitsanzo, mwana wanga wamwamuna amayamba kufooka kwambiri pamene kuchuluka kwa shuga m'magazi sikungakhale 2,5 mmol / L.

Mwa akulu, zonse ndizosiyana kotheratu. Wokhala ndi shuga wambiri ya 3.8 mmol / L, wodwalayo amatha kumva zizindikiro zoyambirira za shuga wochepa. Makamaka ndi anthu okalamba komanso osakhazikika, komanso omwe ali ndi vuto la mtima kapena stroko, popeza ubongo wawo pakadali pano umaganizira kuchepa kwa mpweya ndi glucose, womwe umalumikizidwa ndi chiwopsezo chachikulu chokhala ndi ngozi zam'mitsempha. Ichi ndichifukwa chake odwala otere safunikira zizindikiro zabwino za kagayidwe kazakudya.

Hypoglycemia sayenera kuloledwa m'magulu awa:

1. Okalamba.
2. Odwala ndi mtima matenda.
3. Odwala odwala matenda ashuga retinopathy ndi chiopsezo retinal hemorrhage.
4. Odwala omwe samva kuchepa pang'ono kwa shuga. Amatha kudwala mwadzidzidzi.

Kutalika kwa matenda ashuga komanso kuchuluka kwa chiphuphu

Ndizomveka kuti kutalika kwa nthawi yayitali ya matenda ashuga, kumachepetsa kumva kuwonetsedwa koyamba kwa hypoglycemia. Kuphatikiza apo, pakakhala matenda ashuga osakwaniritsidwa kwa nthawi yayitali, mwachitsanzo, kuchuluka kwa glucose kumapitilira 10-15 mmol / L, kuchepa kwa glucose pamunsi pa mfundo izi ndi mmol / L, mwachitsanzo, mpaka 5-6 mmol / L, kumatha kuputa hypoglycemic reaction.

Chifukwa chake, ngati mukufuna kusintha kuchuluka kwa shuga, ndiye kuti muyenera kuchita izi pang'onopang'ono kuti thupi lizolowera zinthu zatsopano. Nthawi zambiri, njira imeneyi imapezeka mu mankhwala osokoneza bongo ambiri a insulin, pomwe glycated hemoglobin amaposa 6.5%.

Kutsika kwa shuga m'magazi

Kukhazikika kwa zizindikiro za hypoglycemia zimatanthauzanso kuchuluka kwa shuga m'magazi kumachepera. Mwachitsanzo, mudali ndi shuga m'magazi a 9-10 mmol / l, insulin idapangidwa, koma muyeso udawerengedwa bwino, ndipo m'mphindi 30-45 shuga adatsika ndi 4.5 mmol / l. Pankhaniyi, "hypo" imayamba chifukwa chakuchepa msanga. Tidakhalapo ndi zoterezi pamene zizindikiro zonse za "hypo" zidawonekeratu, komanso shuga m'magazi - 4.0-4.5 mmol / l.

Zomwe zimayambitsa shuga wa Magazi Otsika

M'malo mwake, kulumpha kwa shuga kumachitika osati kokha mwa odwala omwe ali ndi matenda ashuga, komanso m'malo ena ndi matenda ena, koma sindingalankhule pankhaniyi, chifukwa alembera anthu omwe ali ndi matenda ashuga. Chifukwa chake, ndikukuuzani chifukwa chake komanso chifukwa chake shuga ya magazi amatsika mu odwala matenda ashuga.

Chifukwa chiyani shuga limadumphira mu shuga

• Mankhwala osokoneza bongo kapena insulin.
• Kudumpha chakudya kapena kudya zokwanira.
• Zosakonzekereka kapena kukonzekera, koma zosapatsidwa zochita zolimbitsa thupi.
• Kulephera kwa impso.
• Kusintha kwa mankhwala kukhala kwina.
• Powonjezera mankhwala ena ochepetsa shuga ku mankhwala.
• Kugwiritsa ntchito njira zina zochepetsera shuga wamagazi popanda kuchepetsa milingo ya mankhwala ofunikira.
• Kumwa mowa ndi mankhwala osokoneza bongo.

Zizindikiro za shuga wochepa wa magazi mwa munthu wamkulu

Monga ndanenera pamwambapa, hypoglycemia ikhoza kukhala yofatsa komanso yowopsa. Zizindikiro zake ndizosiyana kwambiri mwa amuna ndi akazi. Shuga wamagazi akatsika, zizindikiro monga:

• thukuta lozizira (thukuta pamutu pa kukula kwa tsitsi, lalitali kumbuyo kwa khosi)
• kumverera kwa nkhawa
• njala
• kuzizira kwa chala
• kunjenjemera pang'ono m'thupi
• kuzizira
• nseru
• mutu ndi chizungulire
• dzanzi la nsonga ya lilime

Kupitilira apo, matendawa amatha kukulirakulira. Pali chisokonezo pamlengalenga, kusakhazikika kwa gait, kuwonongeka kowopsa mumkati (amatha kuyamba kukuwa ndi kutukwana, ngakhale izi sizinawonedwe kale, kapena kulira kopanda nzeru), chisokonezo ndi kuyankhula pang'onopang'ono. Pakadali pano, wodwalayo amawoneka ngati woledzera, ndipo izi ndizowopsa, chifukwa amawonedwa ndi ena otere, ndipo thandizo silofunikira limaperekedwa, ndipo wodwalayo sangathenso kudzithandiza.

Ngati simukuthandiza, ndiye kuti mkhalidwewo umakulanso. Kukhumudwitsana, kuiwalako chidwi kumachitika, ndipo kumayamba kupweteka. Pakukoma, edema yam'mimba imamera, ndipo zotsatira zake ndi imfa.

Nthawi zina hypoglycemia imayamba nthawi yolakwika kwambiri, pomwe munthu sanakonzekere izi - usiku. Mwazi wamagazi ukachepa usiku, izi zimayendera limodzi ndi zizindikiro zapadera.

• Kuyesera kuti mugone kapena mwangozi mugwere.
• Zochita usiku.
• Kuyenda mu loto.
• Choyambitsa phokoso chachilendo.
• Kuda nkhawa.
• Kutukwana.

M'mawa pambuyo pa usiku wotere, nthawi zambiri odwala amadzutsidwa mutu.

Zizindikiro zakuchepa kwa shuga kwa ana

Monga ndidanenera, ana samvera kwambiri shuga wotsika, koma izi sizitanthauza kuti samva kutentha ndi hypoglycemia.Nthawi zambiri ana ang'ono, mwachitsanzo, akhanda, sangathe kung'ung'udza monga, amapanga mawu kuti tizimvetsetsa zomwe zili pangozi.

Ndiye zingatheke bwanji kuti munthu adziwe kuti mwana ali ndi vuto la hypoglycemia panthawi yake? Mutha kuyesa kuzigwira izi popanda chifukwa.

• Zodandaula za kupweteka kwa mwendo kapena kutopa
• Mwadzidzidzi njala, kudandaula za kupweteka m'mimba
• Kudekha ndi bata kumachitika pambuyo pamasewera amphokoso
• Kuletsa komanso kuchedwa ndi yankho la funso lanu
• Kutuluka thukuta kwamutu mwadzidzidzi
• Kufuna kugona pansi ndi kupumula

Momwe mungakhazikitsire shuga m'magazi mwachangu

Mukawona kuti shuga yanu ikugwa ndikuwona zizindikiro za shuga wochepa, ndiye kuti zingakhale bwino kuyeza ndi glucometer.

Ngati mukukumana ndi izi kwa nthawi yoyamba, ndiye kuti muzikumbukira, mtsogolomo zikuthandizira kusiyanitsa, ndipo mudzadziwanso pazomwe mumakhala ndi hypoglycemia. Kuphatikiza apo, muyenera kufunika koyamba kuti muunike luso la zomwe mungachite kuti muchepetse zizindikiro.

Zoyenera kuchita ngati shuga m'magazi ali ocheperako

Hypoflycemia yofatsa, monga lamulo, imachotsedwa ndi wodwalayo. Potere, muyenera kukweza kuchuluka kwa glucose kuchokera ku 2-3 mmol / l mpaka 7-8 mmol / l ndi zakudya zomwe zimachulukitsa shuga. Zochuluka motani? Hmm ... funsoli ndilovuta, chifukwa apa pali mafuta ambiri otha kuchotsa "hypo" iliyonse yake.

Mutha, mwachidziwikire, kudya 20 g ya chakudya cham'madzi = 2 XE (masipuni 4 a shuga, mwachitsanzo), monga momwe amalangiziridwa ndi malangizo, kenako kuchepetsa shuga wambiri mopitirira muyeso kwa nthawi yayitali. Ndipo mutha kupeza kuti mukuyesera ndikuganiza kuti chinthu china chake (shuga, msuzi, maswiti, ndi zina) chidzaukitsa shuga m'miyeso yovomerezeka (osatinso kupitiliza kutero), komanso kuti shuga iyi iwonjezeke.

Mukatha kudya china kapena kumwa zakudya zopatsa mphamvu “mwachangu,” muyenera kuyang'ananso kuchuluka kwa shuga pambuyo pa mphindi 5 mpaka 10, ngati panthawiyi palibe kuchuluka, ndiye kuti muyenera kudya chakudya chochuluka komanso kuyeza pambuyo pa 5- Mphindi 10, etc.

Momwe mungachotsere kufupika kwa shuga

Pamakhala funso lanzeru: choti ndidye ndi kumwa chiyani? Mutha kuyang'ananso pagome la zinthu zomwe zili ndi glycemic indices. Munkhani yapita, "Ndi zakudya ziti zomwe zimachepetsa shuga la magazi?" Ndidayankhula za zakudya zomwe zimachulukitsa shuga pang'onopang'ono ndikupereka ulalo wotsitsira pagome. Ngati simunalandirebe, zichite. Chifukwa chake, muyenera kugwiritsa ntchito malonda kuchokera mndandanda omwe ali ndi index yayikulu ya glycemic kuti muimitse hypoglycemia.

• shuga woyengetsa
• kupanikizana
• wokondedwa
• maswiti a caramel
• msuzi wa zipatso kapena mandimu

Zina zomwe sizingagwiritsidwe ntchito kuwonjezera shuga:

• makeke
• ayisikilimu
• chokoleti ndi chokoleti
• zinthu zotsekemera
• chipatso
• Zakudya zoziziritsa kukhosi "zoperewera" (chimanga, mkate, pasitala)
• chakudya chotsatira (choyamba muyenera kuchotsa "hypo", ndikungokhala pansi kuti mukhale ndi chakudya chamasana)

Ngati mumadya zakudya zosakwanira kapena mukanyalanyaza kuwonongeka (pomwe agogo anga adakhala ndi vuto la "hypoglycemia") chifukwa chita manyazi kuyamba kudya patebulo pomwe palibe wina akudya), pali zotsatira ziwiri:

1. mwina kuchepa kwa shuga m'magazi kumapitilizabe ndipo vutoli limakulirakulirabe kotero kuti thandizo kuchokera kwa akunja kapena ambulansi likufunika
2. kapena chifukwa chakuchepa kwa shuga, mahomoni olimbana ndi shuga (mtundu wa chitetezo chochepa kwambiri) atulutsidwa m'magazi, omwe atulutse shuga ku chiwindi ndikuwonjezera shuga

Koma njirayi sitha kutchedwa yotchinjiriza, chifukwa makinawa atayamba, sangayime kwa nthawi yayitali. Mphepo yamkuntho ikuwomba m'thupi, zomwe zimapangitsa kuti shuga asayerekezedwe. Mphepo yamtunduwu imatha kukhala kwa masiku angapo mpaka shuga atabwerera pazomwe amachita.

Pofuna kuti izi zisachitike, muyenera kumakhala ndi zakudya zamagazi ndi "mwachangu", chifukwa osati kulikonse komwe mumagonekedwa ndi hypoglycemia, mutha kugula zomwe mukufuna. Pali njira ina yopangira zinthu - mapiritsi a dextrose, omwe amayamba kuchita ngakhale pakamwa patakamizidwa. Ndiwosavuta kunyamula.

Momwe mungayankhire ngati hypoglycemia yapita kutali kwambiri

Achibale okha omwe amadziwa ena kapena ogwira ntchito kuchipatala ndi omwe angathandize pano. Ngati munthu akadali ndi chidwi, ayenera kumwa tiyi wokoma, kuchipatala amapanga iv glucose. Ngati munthu ali kale wosazindikira, ndiye kuti osayika chilichonse pakamwa pake, choncho mutha kungovulaza. Munthawi imeneyi, munthu akhoza kutsutsana ndi zomwe mwayika kapena kutsanulira mwa iye. Ndikwabwino kuyimba ambulansi ndikuwonetsa kuti wodwalayo ali ndi matenda ashuga komanso kuti mwina ali ndi hypoglycemia.

Mukudikirira ambulansi, mutha kuyika wozunzayo kumbali yake, ndikugwada mwendo wake wapamwamba pa bondo. Chifukwa chake sadzakwanira pachilankhulo chake. Ngati muli ndi unamwino ndipo muli ndi 40% glucose kunyumba, ndiye kuti mutha kubaya bwino 20 ml ya yankho. Mutha kubayira ndi 0,5 ml ya adrenaline, imatulutsa shuga ku chiwindi. Ngati munthu ali ndi glucagon (wotsutsana ndi insulin), ndiye kuti mumupatseni. Osati zonse nthawi imodzi, koma chinthu chimodzi, mwachitsanzo, shuga ndi adrenaline kapena shuga ndi glucagon.

Hypoglycemia ikhoza kukupezani kulikonse, ndikofunikira kuti anthu okuzungulirani azindikire za matenda anu ndipo amaphunzitsidwa zoyenera kuchita ndipo ASAKHALE mutakumana ndi zotere. Zingakhale bwino kunyamula nanu chinthu ngati cholembera papasipoti kapena chikwama chanu pagalimoto, pomwe chidziwitso chanu chidzafotokozedwenso, koposa zonse, kuzindikira kwanu ndi malingaliro.

Tsopano achinyamata ambiri amatenga ma tattoo ndi mawu akuti "Ndili ndi matenda ashuga" kapena kuvala zibangili zomwe zimawonetsa kuzindikira ndikuti anene zoyenera kuchita ngati mwini wawo wapezeka kuti sakudziwa.

Awa ndi mathero a nkhaniyi. Ndikulakalaka musadzakhale m'malo mwa omwe akuvutika ndi hypoglycemia. Dinani pamabatani ochezera ochezera pansi pa cholembedwacho, lembetsani ku zosintha zamabulogu ndikuwona posachedwa!

Ndi chisangalalo ndi chisamaliro, endocrinologist Lebedeva Dilyara Ilgizovna

Zizindikiro za Mwazi Pansi

Ndikofunikira kuphunzira kukhulupilira thupi lanu, ngati kuphwanya njira zambiri zamatenda a glucose, zimapereka ma alarm. Popeza mwazipeza, munthawi yake ndizotheka kupewa kuukira kwa hypoglycemia.

Zizindikiro zoyambirira za shuga wochepa:

• kufooka
• hyperhidrosis
• chizungulire
• zosokoneza kanthawi kochepa,
• gawani zithunzi kapena mawonekedwe achikaso pamaso,
• njala
• kuzizira
• nseru
• zala zam'manja kapena milomo ziyamba kuyamba kugwira ntchito.

Ndi kuchepa kwa shuga mpaka 3 mmol / l, munthu amakwiya, amavutika kuganizira komanso kuganiza. Kukomoka komanso kusowa chikumbumtima ndikothekanso.

Kuzindikira matenda ashuga

Kuzindikira kwa hypoglycemia kumachitika chifukwa cha madandaulo a wodwala, mbiri yachipatala ndi zotsatira za labotale. Tsopano matenda a shuga atsimikiza kugwiritsira ntchito mayeso ololera a glucose.

Amapereka magazi pamimba yopanda kanthu, kenako wodwalayo amapatsidwa njira yothetsera shuga, ndipo pambuyo maola 2 mayeso amabwerezedwa. Kuti mudziwe zamtunduwu, ndikofunikira kupeza cholumikizana ndi chithunzi chachipatala ndi shuga wochepa kwambiri.

Ndi mtundu wa 2 wodwala, odwala ambiri ndi onenepa kwambiri, amavutika ndi umunthu woposa zaka 40.

Zoyenera kuchita kuti matenda a shuga asamachitike

Kuthamanga kwa chithandizo choyamba cha hypoglycemia makamaka kumatsimikizira kudwala. Chifukwa chake, abwenzi apamtima, makolo ndi abale akuyenera kulangizidwa pa zoyenera kuchita ngati munthu wakomoka kapena wakomoka.

Ndi digiri yofatsa, shuga m'magazi amakwezedwa ndi chakudya. Mwachitsanzo, idyani 2 tsp. shuga. Madokotala ena amalimbikitsa kugwiritsa ntchito 4pp yomweyo. shuga, koma osachita. Mluza umadzuka msanga, ndiye zimatenga nthawi yayitali kuti achepetse kuthana kwambiri.

Timapereka kuchotsera kwa owerenga tsamba lathu!

Mphindi 5 mutatha kudya chakudya chamafuta othamanga, shuga wamagazi amayendera, pambuyo pa mphindi 30, ola limodzi ndi maola awiri pambuyo pake.

Ngati vutoli ndi lalikulu (izi zikutanthauza kuti shuga ali pamlingo wa 3 mmol / L kapena kuchepera), muyenera kum'patsa kuti amwe tiyi wokoma, ngati akadali ndi chidwi. Ku chipatala, wodwala amapatsidwa dontho lokhazikika ndi 40% shuga. Choyamba jekeseni ndi 20 ml ya yankho ndi 0,5 ml ya adrenaline, zimathandizira kumasula shuga chiwindi (chomwe chakhala kale glycogen). Adrenaline imasinthidwa ndi glucagon.

Ngati munthu wasowa chikumbumtima, simungathe kudzaza chilichonse pakamwa pake, akhoza kutsamwitsa. Pakudya zakudya, munthu atatsala pang'ono kufa, chilichonse chitha kumapeto. Izi sizingachitike. Imbani ambulansi ndikuyambitsa kukhudzanso mtima

Mavuto

Ndikosavuta kupewa hypoglycemia, imaletseka mosavuta. Komabe, kutsika kosalekeza kwa shuga mpaka 3,5.5 mmol / L kumabweretsa zotsatira zoyipa zazitali.

Izi zimabweretsa kufooka kwa thupi lonse, chitetezo cha mthupi, dongosolo lamitsempha lamathupi limadwala. Kuperewera kwa glucose kumayambitsa kusokonezeka kwa njira za metabolic. Zinthu zowola nthawi ya kuwonongeka kwa mapuloteni ndi mafuta zimatseka thupi.

Izi zikuwopseza kusokoneza kugwira ntchito kwa malo akuluakulu amanjenje komanso kusokoneza thanzi la ubongo.

Kuchepa kwambiri kumatha kuyambitsa kukula kwa stroko komanso vuto la mtima, mwina kuwonongeka m'malingaliro am'maganizo, chifukwa kuperewera kwa ubongo kumapangitsa kufa kwa maselo amitsempha.

Matenda a shuga nthawi zonse amayambitsa zovuta zakupha. Mwazi wamagazi ochulukirapo ndi woopsa kwambiri.

Aronova S.M. adafotokoza za chithandizo cha matenda ashuga. Werengani kwathunthu