Zoyenera kuchita ngati mayeso am'magazi amwana amatsika: zoyambitsa zazikulu ndi zizindikiro za matenda, njira zochizira

Aliyense amadziwa za zoopsa zomwe zimapezeka m'magazi. Koma palibe kuvulaza thupi ndikuchepa kwa glucose, omwe amatha kukumana osati ndi munthu wamkulu, komanso ndi mwana. Hypoglycemia imapezeka m'magulu akhanda, ana a kindergarten, achinyamata pa nthawi yogwira ntchito. Ngati shuga la magazi mwa mwana ligwa, muyenera kumuonana ndi dokotala yemwe angadziwe chomwe chimayambitsa kuphwanya kwanu ndikulembetsa dongosolo lamankhwala. Zotsatira zakuphwanya ndi zomwe zimayambitsa vutoli zimapezeka mu kanema pansipa. Ndi ziti zomwe zikuwonetsa matenda ndi zomwe ziyenera kuchitidwa kuti matenda a shuga achulukane?

Kodi ndi shuga wanji amene amawonedwa kuti ndi wotsika?

Mitengo ya shuga imasiyana malinga ndi zaka za mwana. Mutha kuyankhula za hypoglycemia ngati zizindikiro zikugwera pansi pazotsatira:

2 mmol / L atangobadwa,
6 mmol / l mpaka chaka,
2mmol / l ana a sukulu yasukulu,
Ophunzira 2 mmol / l osakwana zaka 17.

Matendawa amakula kwambiri mwa makanda, popeza kapamba wawo sanapangidwe. Thupi la ana okulirapo limakhala losavuta kuthana ndi kusinthasintha kwa shuga kochititsidwa ndi njira zazikulu za kagayidwe.

Mitundu ya matenda

Endocrinologists agawa hypoglycemia m'mitundu itatu:

shuga wochepetsedwa chifukwa cha kusagwirizana kwa kubereka kwa fructose kapena galactose,
matenda omwe amayamba chifukwa cha kusokonekera kwa mahomoni, kuchepa kwa ntchito ya pituitary gland kapena ma adrenal mahomoni.
hypoglycemia ya etiology yovuta (ideopathic, hypotrophic, ketone). Hypoglycemia wopezeka mwa makanda okhala ndi thupi lochepera nawonso ali mu fomu iyi.

Zofunika! Mtundu uliwonse ukhoza kuchitika mu magawo atatu. Pa gawo loyamba, kuukira kumatenga mphindi zingapo ndipo kumayimitsidwa mosavuta ndi pang'ono chakudya (gawo la ayisikilimu, nthochi kapena supuni ziwiri za jamu). Gawo lapakati limatenga nthawi yayitali - mphindi 30. Shuga umakulitsidwa m'magawo angapo. Pa gawo lomaliza, kukomoka, kukomoka, kukomoka kumayamba.

Zizindikiro zake

Zizindikiro zakuphwanya, zambiri zomwe zafotokozedwa mu kanemayo ndi mitundu yake ndizofanana.

Makolo ayenera kuyang'anira thanzi la mwana ngati zizindikiro zotsatirazi zikuwonekera:

kugona kwadzaoneni ndi kufooka,
kugunda kwa mtima
thukuta kwambiri
khungu komanso zimagwira pakhungu.
kugwirana chanza
chizungulire
kuwonongeka kowoneka (madontho akuda pamaso pa maso, kuwona kawiri),
ludzu lalikulu ndi njala yosalamulirika,
mayiko okhumudwitsa, kuyerekezera zinthu zina,

Zizindikiro mwa ana

Kufunika koyeserera kumachitika ngati khanda, mwana wamisukulu kapena wachinyamata ali pachiwopsezo, kapena zizindikiro zamankhwala zimawoneka zomwe zikuwonetsa kukula kwa matendawa. Zizindikiro za shuga zamtundu uliwonse zimaphatikizapo:

W ludzu. Komanso, ndi champhamvu kwambiri kotero kuti mwana amatha kumwa magalasi angapo amadzi ndi kusapeza mpumulo. Zomwe zimachitika ndi makanda ndizofanana. Mwana amalira pansi ndikumangokhala chete akamwa botolo.
Kulakalaka. Njala yomwe imakhala nthawi zonse imachitira umboni za kukula kwa matenda ashuga osaposa ludzu. Mwanayo amadya mokwanira ndipo samadyanso chakudya chachikulu, akumamiza chikhumbo chokhazikika ndi chakudya (maswiti, zakudya zopanda pake). Makanda satopa kufunsa mawere nthawi zambiri kuposa masiku onse.
Kukodza pafupipafupi. Anthu odwala matenda ashuga amapita kuchimbudzi nthawi zambiri kuposa ena. Mkodzo umakhala womata komanso wowoneka bwino, mwa ana pama diapoti ndi ma diapoti mutha kuwona mawonekedwe oyera oyera.
Kuchepetsa thupi.Ngakhale kudya kwambiri, kulemera kumachepetsa, pomwe mwana ayamba kutsalira pambuyo kakulidwe - pambuyo pake amayamba kugwira mutu wake, kukhala, kuyenda. Zimakhala zovuta kuti ophunzira aphunzire.
Zowonongeka. Mu khanda, kusintha koteroko kumakhala kovuta kuzindikira popanda kupita kwa dokotala, ndipo ana asukulu zamsukulu zakubadwa komanso zaka zoyambira sukulu amayamba kupindika, kutsamira zolemba, kukhala pansi pafupi ndi TV.
Chitetezo chofooka. Kuchuluka kwa shuga wambiri kumabweretsa kuti mwana nthawi zambiri amayamba kudwala matenda opatsirana pachimake, matenda a fuluwenza, ndi matenda a virus.
Kuchira pang'ono. Mabala ndi mikwingwirima imachiritsidwa kwakanthawi, nthawi zambiri zimayatsidwa, zotupa ndi zithupsa zimawonekera.
Mafangayi. Mu matenda a shuga, matenda oyamba ndi mafangasi amakhala otakataka ngati momwe mungathere. Candidiasis (thrush), cystitis, ndi matenda otupa amtundu wa genitourinary amapezeka pafupipafupi ndi ana omwe ali ndi shuga ambiri kapena otsika.
Zosintha zina. Mwana amakhala woopsa komanso woopsa, amasiya kukhala ndi chidwi ndi dziko lomwe limazungulira, kusangalala ndi masewera komanso kuyenda. Kukhudzika, kukwiya, manjenje, kugona komanso ndi zizindikilo za matenda omwe amabweretsa matenda a shuga.

Kodi shuga chikugwa chifukwa chiyani?

Milingo ya shuga imagwera pazifukwa zosiyanasiyana, osati zonse zomwe zimagwirizanitsidwa ndi matendawa. Hypoglycemia mwa ana, zizindikilo zazikulu zomwe makolo amawona, zitha kuchitika motsutsana ndi maziko a:

madzi osakwanira olowa mthupi,
kuphwanya zakudya (kuchepetsa kuchuluka ndi chakudya),
kulimbitsa thupi kwambiri:
kunenepa
zakudya zamagulu ochulukirapo m'zakudya (confectionery),
kusinthasintha kwachilengedwe m'magazi a shuga m'mawa,
matenda a kagayidwe kachakudya, kuphatikiza cholowa cha michere,
kuchuluka kwa matenda opatsirana,
kuvulala kwam'mutu
zolakwika mu malamulo amanjenje,
kutupa kwa ziwalo zam'mimba, limodzi ndi kusanza, kutsekula m'mimba,
zotupa zapachifuwa,
kudya kosayenera kwa mankhwala opatsirana,
mankhwala a matenda osiyanasiyana, mwachitsanzo, maantibayotiki, amathanso kuyambitsa hypoglycemia,
opaleshoni imapangitsa kutsika kwa shuga.

Ana amakonda maswiti. Ndipo, modabwitsa, chizolowezi chotere chimatha kubweretsa hypoglycemia. Pambuyo podya keke lina, shuga amayamba kukwera kwambiri, ndipo pambuyo pake imatsanso mosayembekezereka.

Makolo a makanda amakhala ndi shuga wochepa wa magazi mwa mwana wawo kangapo.

ngati mayi ali ndi matenda ashuga ndipo amamwa mankhwala a antipyretic,
pambuyo pobadwa msanga
chifukwa cha kuperewera kwa chakudya,
mukalakwira unyolo wamoto pambuyo pobadwa,
asphyxia wamakina pakubala,
kuperewera kwa fetal,
matenda a autoimmune.

Zofunika! Mtundu wokhazikika (wodalirika wa insulini) wa hypoglycemia mwa ana akhanda umalandira nthawi zambiri. Matenda osakhalitsa a matendawa, shuga akatsika akagwiritsidwa ntchito ndi kusakhazikika kwa kapamba, amalandira chithandizo, chomwe amayamba kuchipatala cha amayi oyembekezera.

Zakudya Zamchere Zochepa

Mchere wotsika ungathe ndipo uyenera kumenyedwa. Kuphatikiza pa chithandizo chamankhwala osokoneza bongo, endocrinologists amasintha zakudya za mwana ndi amayi oyamwitsa ngati kusowa kwa glucose kumapezeka mwa mwana. Kusintha kukuchitika pakudya kwa ana okulirapo. M'pofunika kukana kuphika, maswiti, zakumwa zoziziritsa kukhosi. Zinthu zothandiza kwambiri zomwe zimakhudza thupi ndi glycemia komanso kupewa zotheka kukhala:

njere zonse
buledi wabwino
masamba
zipatso, makamaka maapulo,
zipatso (zakuda, mabuluni),
kudya nyama
mazira
nsomba ndi nsomba zam'nyanja,
mtedza
mkaka ndi mkaka,
tiyi azitsamba, ma compotes, timadziti.

Muyenera kudya mobwerezabwereza (5 kawiri pa tsiku) m'magawo ang'onoang'ono, kukula kwake komwe kumatsimikiziridwa ndi zaka, kuchuluka kwa magalimoto oyendetsa galimoto ndi zamaganizidwe a mwana.Kuchepetsa kapena kuwonjezera kuchuluka kwa kalori popanda kuvomerezedwa ndi dokotala sikuyenera kukhala. Chakudya choterocho chimakupatsani mwayi wolimbitsa shuga ndikusunga zotsatira kwa nthawi yayitali. Mwana akakhala kuti shuga akuchepa, ndiye kuti shuga wa m'magazi amayenera kuyezedwa pafupipafupi kuti athe kuchitapo kanthu panthawi yake. Momwe mungachitire izi kunyumba komanso mita yomwe mungasankhe ingapezeke mu kanema wotsatira:

Momwe mungalerere shuga: wowerengeka njira

Mutha kudzutsa shuga mwachangu ndi chidutswa cha chokoleti, nthochi, zipatso zouma zingapo, kapu ya tiyi wokometsedwa ndi uchi kapena shuga, kapu yamadzi amchere ndi zamkati, supuni zochepa za jamu. Kutha kuchulukitsa glucose kumakhalanso ndi: vwende, chivwende, mphesa. Komabe, simuyenera kutenga nawo mbali pazakudyazi, kuti musachulukitse kuchuluka kwa shuga m'magazi pazofunikira.

Palibe maphikidwe ambiri wowerengeka omwe angapulumutse mwana kapena munthu wamkulu kuchokera ku shuga yochepa monga pali maupangiri amomwe mungachepetse shuga. Koma ndi othandiza ndipo, kuphatikiza pakuwona kuyamikiridwa kwa zakudya komanso chithandizo chamankhwala, kungapangitse kuti insulin ipange. Mwachitsanzo:

Ma infusions azitsamba, omwe amaphatikizapo: hawthorn, clover, linden, masamba a blackcurrant. Kumwa kuyenera kutengedwa mofunda, kutsekemera ndi uchi ndikuwonjezera kagawo ka mandimu.
Njira yabwino yothetsera hypoglycemia ndi msuzi wa rosehip ndi kuwonjezera kwa chinangwa. Rosehip imapangidwa mwanjira ya 100 g ya zipatso zouma pa 1 lita imodzi yamadzi mu thermos. Pambuyo maola ochepa, ochepa manja amawonjezeredwa ndi kulowetsedwa kwa vitamini ndikuumirizidwa theka lina la ola. Imwani ofunda ngati vitamini ndi shuga normalization chakumwa.

Kodi ndiyimbikire liti ambulansi?

Kuperewera kwa mankhwalawa kwa hypoglycemia koyambirira kwa ana kumatha kubweretsa zovuta, kuphatikiza: kupweteka kwambiri kwa mutu, arrhythmia, kusazindikira, ngakhalenso kukomoka kwa hypoglycemic. Ngati simungathe kuthana ndi shuga ochepa, ndiye kuti muyenera kufunafuna thandizo mwadzidzidzi. Poona kuti mwathedwa nzeru kapena kuuma, kuyimbira ambulansi ndiye chisankho chokhacho choyenera kwa makolo.

Nkhani ya m'modzi wa owerenga athu, Inga Eremina:

Kulemera kwanga kunali kovutitsa, ndimalemera ngati 3 sumo wrestler ophatikizidwa, omwe ndi 92kg.

Momwe mungachotsere kulemera kwathunthu? Kodi mungathane ndi kusintha kwa mahomoni ndi kunenepa kwambiri? Koma palibe chomwe chimasokoneza kapena chinyamata kwa munthu monga kuchuluka kwake.

Koma chochita kuti muchepetse kunenepa? Opaleshoni ya laser liposuction? Ndinazindikira - osachepera 5000 dollars. Njira zama Hardware - kutikita minofu ya LPG, cavitation, kukweza kwa RF, myostimulation? Zotsika mtengo zochepa - maphunzirowa amatenga ndalama zokwana ma ruble 80,000 ndi katswiri wazakudya zothandizira. Mutha kuyesa kuthamanga, mpaka kumisala.

Ndipo kupeza nthawi yonseyi? Inde komanso okwera mtengo kwambiri. Makamaka tsopano. Chifukwa chake, ndekha, ndidasankha njira ina.

Hypoglycemia imawonetsedwa ndi kuchepa kwa shuga m'magazi ochepera 2.8 mmol / L. Maselo amthupi samalandira mphamvu yofunikira, yomwe imawatsogolera kuti afe. Matendawa ndi owopsa ku thanzi, amawopseza kuti apangidwe ndi insulin coma ndipo amatha kupha.

Glucose ndimphamvu zolimbitsa thupi, kuphatikiza ubongo. Neurons zimachepetsa shuga popanda thandizo la insulin, ndipo hypoglycemia imatsogolera ku njala yawo. Izi zimasokoneza thanzi labwino ndipo zimayambitsa zowonetsa zingapo. Kutsika kwa shuga m'magazi kumatha kubweretsa zovuta kapena kufa, kotero muyenera kudziwa zizindikiro zazikulu za hypoglycemia ndikupereka thandizo la panthawi yake kwa munthu. Ngati shuga wochepa amawonedwa kwa nthawi yayitali, chikomokere mu ubongo chimatha.

Hypoglycemia imadutsa magawo atatu a kukula. Amasiyana mu chithunzi cha chipatala, njira zothandizira ndi chithandizo choyambirira.

Chizindikiro chachikulu cha gawo loyamba ndikumverera kwa njala. Nthawi zambiri anthu amasiya chizindikiro ichi popanda chidwi, zomwe zimangokulitsa vutoli. Ngati thupi limasowa shuga kwa chakudya kwanthawi yayitali, zizindikiro zatsopano zimawonekera: kutuluka thukuta, kufooka m'miyendo ndi minyewa yonse, kufooka kwa khungu ndi mutu. Zizindikiro zonse zimatchulidwa ndikupatsa wodwalayo zovuta zazikulu - ndizosatheka kuphonya kapena kuwasiya osakhudzidwa. Kuti mubwezeretsedwe kwamagulu a shuga, muyenera kudya kachidutswa kakang'ono ka shuga kapena mafuta ambiri okhala ndi index yayikulu ya glycemic (zipatso, maswiti, timadziti timakhala tofunikira).

Chizindikiro choyamba cha kuchepa kwa shuga m'magazi ndikumverera kwa njala, ndiye kuti pali thukuta lochulukirapo, kufooka m'thupi, pallor ndi mutu.

Gawo lachiwiri, thanzi la wodwala likuipiraipira. Zizindikiro zotsatirazi zimawonedwa:

kusokonezeka kwa malankhulidwe, kuyamba kuzimiririka ndi kusokonezeka,
dzanzi la lilime ndi kuwona kawiri, kutayika kwa chikumbumtima,
kukokana, kuchuluka kwa mkwiyo ndi kufooka kwa minofu,
Nthawi zina, mseru ndi kusanza ndizotheka.

Gawo lachitatu limadziwika ndi kutaya chikumbumtima ndikugwa. Mkhalidwe uwu ndi wowopsa kwambiri, ndipo zotsatira zake zimatengera kuthamanga kwa thandizo loyamba.

Zomwe kuchepa kwa shuga m'magazi mwa munthu wathanzi kumatatha kudya. Thupi sililandira kuchuluka kwa michere ndi michere kuti muzichita zinthu zofunikira, kupatsa mphamvu kwambiri komanso kuchuluka kwamagulu a shuga. Zakudya zamagulu ochepa kapena zopatsa mphamvu zopatsa mphamvu zimatha kubweretsanso mavuto ena. Chakudya chochepa chimalowetsedwa mwachangu, ndipo patapita maola ochepa malo ogulitsa glucose onse amatha.

Zimathandizira kutsitsa shuga. Pankhaniyi, kapamba amapanga insulin yambiri, yomwe mwa njira yolimbikitsa imagawa shuga m'thupi lonse, kuchepetsa kukhathamira kwake m'magazi. Izi ndi zomwe zimapangitsa kuti pakhale kusintha kwakukulu mdziko la munthu mutadya maswiti: choyamba, chisangalalo ndi chisangalalo zimamveka, ndipo patapita kanthawi - kufooka ndi kufooka.

Hypoglycemia ingayambitsenso uchidakwa wa zakumwa zoledzeretsa, kuchita masewera olimbitsa thupi mopambanitsa. Nthawi zina zomwe zimayambitsa zimakhala matenda amkati (impso, chiwindi) kapena kuphwanya kwa gren ya gren ndi gland. Nthawi zina, kukula kwa chotupa mu kapamba ndizomwe zimapangitsa, zomwe zimakulitsa kupanga insulin.

Kwa odwala matenda a shuga, kuchepa kwa shuga m'magazi kumawonedwa pafupipafupi. Zifukwa zake zimakhala zosiyanasiyana, koma nthawi zambiri zimakhala za insulin.

Kuledzera kumatheka nthawi zingapo: yolakwika makonzedwe olakwika, zotsatira zolakwika za glucometer, kusagwira cholembera, kupukusira malo a jakisoni kapena jakisoni wa mankhwala. Nthawi zina izi zitha kukhala zosankha zolondola zomwe dokotala kapena wodwala wodwala matenda ashuga a mtundu 1 samadziwa za malamulo omwe amaperekera mankhwalawo.

Chochulukitsa chomwe chimayambitsa kutsika kwa shuga mu mtundu wa 2 odwala matenda ashuga ndichosokoneza chakudya. Kwa odwala omwe ali ndi vuto lotere, ndikofunikira kwambiri kuti azitsatira zakudya okhwima komanso zakudya zomwe dokotala wamupatsa. Chochititsa chidwi ndikumadumphira chakudya, kusowa kwa chakudya kapena kusowa kwa chakudya chamafuta, omwe samakhudza kuchuluka kwa insulin.

Zina zomwe zalembedwa pansipa zimayambitsa matenda a shuga.

Kusintha kwa mankhwalawa, komwe kunapangitsa kuti zinthu zisachitike bwino mthupi.
Kuchuluka kwamphamvu kwa sulfonylurea.
Kuchepa kwa impso kapena chiwindi, komwe kumalepheretsa kuchotsa insulin m'magazi.
Kuchita masewera olimbitsa thupi, mwachitsanzo, kutsika kwa shuga kumachitika pambuyo pa kulimbitsa thupi komwe kwadutsa mphamvu kwambiri kapena pamimba yopanda kanthu.
Kuphwanya kachulukidwe ka chakudya, chifukwa chomwe, ngakhale mutadya, shuga wamagazi amakhalabe otsika kwambiri.
Kuledzera kapena kumwa mankhwala osokoneza bongo. Ndi kuphatikiza uku, kuchuluka kwa shuga m'magazi kumachepetsedwa kwambiri, koma odwala matenda ashuga ambiri amasiya izi osaziyang'anira, popeza zizindikiro zake zimatengedwa ngati zizindikiro za kuledzera.

Hypoglycemia ndi chiopsezo ku thanzi la munthu ndi moyo. Choyambirira, maselo aubongo amadwala chifukwa cha kusowa kwa glucose, ndipo mphamvu yam'mimba imatha. Vutoli limasokoneza ntchito ya thupi lina. Mwina kufa kwa maselo aubongo, kukulitsa zotsatira zosasintha.

Pathology imatha kuyambitsa kusokonezeka kwa malingaliro, khunyu komanso psychoses zingapo. Kuchepa kwa shuga m'magazi kumakhudza kayendedwe ka mtima, kupuma komanso mantha am'magazi, kugunda kwa mtima ndi kotheka.

Mankhwala a hypoglycemia, ndikofunikira kukhazikitsa zomwe zimayambitsa. Ngati dontho la shuga m'magazi limayambitsa matenda a ziwalo zamkati, mankhwala amathandizidwa kuti athetse vuto.

Mkhalidwe uwu ndiwopseza anthu, motero ndikofunikira kwambiri kupereka thandizo panthawi yake. Mu gawo loyamba ndi lachiwiri la matenda, ndikofunikira kupatsa wodwala chidutswa cha shuga kapena chakumwa chokoma, uchi, kupanikizana. Izi zimathandizira kudya kwa glucose komanso kukhala wathanzi.

Kupuma msanga kwa zizindikiro, mankhwala ochokera mndandanda wa ma beta-blockers amapatsidwa. Ndikofunika kuwatenga pokhapokha ngati adokotala adalangiza ndipo atatsimikizira zenizeni za hypoglycemia.

Ngati chiwopsezo cha shuga chikuchepa ndipo kuwonongeka kwawonedwa, ambulansi iyenera kuyitanidwa. Pakutaya chikumbumtima, chidutswa chaching'ono cha shuga chimayikidwa pansi pa lilime la wodwalayo, ndipo atafika dokotala amapanga jakisoni wambiri wa shuga.

Kuthana ndi njira zosavuta zodzitetezera kuthandizira kupewa hypoglycemia.

Kutsatira kwambiri zakudya zoyenera komanso zakudya.
Kukhazikitsidwa koyenera kwa jakisoni wa insulin malinga ndi mlingo womwe dokotala wakupatsani.
Kukana mowa, makamaka kuphatikiza ndimankhwala othana ndi matenda a shuga.
Kuwunikira pafupipafupi shuga ndi magazi a nyumba.
Kuchepetsa mphamvu zolimbitsa thupi, makamaka pamimba yopanda kanthu.

Kuchepa kwa shuga m'magazi ndimikhalidwe yowopsa yomwe ingayambitse kusintha kosasintha m'thupi. Popewa zovuta zoyipa, muyenera kudziwa zizindikiro zazikulu za hypoglycemia ndi malamulo a thandizo loyamba.

Hypoglycemia, gipa, shuga wotsika magazi. Zizindikiro, Zizindikiro, chithandizo. Kuchepetsa, dontho, shuga wochepa.

Hypoglycemia, momwe zimakhalira mwa ine, zomverera zanga, miyezo. Kufotokozera Kutsika kowopsa kwa shuga m'magazi a shuga. (10+)

Hypoglycemia, shuga wotsika wamagazi. Zizindikiro, Zizindikiro, chithandizo

Hypoglycemia nthawi ndi nthawi zimapezeka pafupifupi odwala onse omwe ali ndi matenda ashuga omwe amalandila chithandizo chamankhwala ochepetsa shuga. Cholinga chake ndikuti mwa munthu wathanzi, kuchuluka kwa shuga m'magazi kumangoyendetsedwa. Ngati ndi wamtali kwambiri (mwadya mwamphamvu), ndiye kuti insulini imabisidwa, ndipo shuga imakamizidwa, amasinthidwa kukhala malo ogulitsa mphamvu ndi mafuta. Ngati shuga ndi ochepa (simunadye kwa nthawi yayitali, mwamphamvu), chiwindi chimatulutsa shuga m'magazi (chifukwa chake zimapweteka mukathamanga), ndipo mafuta nawonso amawonongeka. Mwa odwala matenda ashuga, izi zokha sizingachitike. Munthu amakakamizidwa kugwira ntchito yoyang'anira. Zachidziwikire, mtundu wa kuwongolera pamanja ndi woyipa kuposa wokha.

Chifukwa chake, mu matenda ashuga, hypoglycemia (kuchepa kwa shuga m'munsi zovomerezeka) ndi hyperglycemia (kuchuluka kwa shuga pamlingo wothandiza) nthawi ndi nthawi. Ndizowopsa za hypoglycemia (mchiuno) zomwe zimalepheretsa shuga kuti munthu ashuga matenda ashuga achepetse.Zowonadi, tikakhazikitsa zofunikira za shuga pamlingo wofanana ndi wathanzi, kuchuluka kwake kwa zovuta za hypoglycemic kumangokulira.

Kuchepetsa kwanga shuga kumadziwonetsera ngati kunjenjemera m'malire, kunachepetsa maonedwe, chizungulire, kuperewera ndi kugona. Thukuta limachulukirachulukira. Miyendo, mphuno ndi makutu zikuyamba kuzizira. Kuthamanga kwa kuchitako kumachepa. Kuchepetsa kwambiri shuga kumayendetsedwa ndi nseru.

Yang'anani! Mawonetsero anu a hypoglycemia atha kusiyana ndi anga.

Kuyambira kumayambiriro kwa zisonyezo zoyambirira za hypoglycemia kufikira kukhazikika kwakuya, nthawi yambiri imadutsa, yokwanira kuchitapo kanthu.

Mwambiri, machitidwe a hypoglycemic tsopano sawonedwa ngati owopsa. Ngati, palokha, mankhwalawo amasankhidwa bwino, chiwindi chanu chimakhala chathanzi, ndipo mumachita zinthu moyenera, kutsatira mosamalitsa njira yolipirira anthu odwala matenda ashuga, kuyang'anira shuga nthawi zonse, kumakhala ndi maswiti, ndiye kuti simungakhale ndi hypoglycemia yozama, ndipo thupi limatha kulipira kachidutswa kakang'ono kwambiri pawokha chifukwa cha kutuluka kwa glucose ku chiwindi.

Muyenera kuwonetsetsa kuti matenda anu amayamba chifukwa cha hypoglycemia (shuga). Nthawi zina zinthu zomwe zimafanana ndi hype zimandigwera pazifukwa zosiyanasiyana, mwachitsanzo, chifukwa cha kupsinjika. Nthawi yomweyo, shuga ndi wabwinobwino.

Ngati shuga ndiwotsika kwenikweni, ndiye kuti muyenera kumwa msuzi wokoma. Zomwe ndawonetsa zawonetsa kuti ndi msuzi wokoma womwe umabweretsa shuga m'magazi mwachangu kwambiri. Ndikokwanira kuti nditsuke pakamwa panga ndi Coke, osameza, kuti shuga yakula ndi magawo awiri. Ingosamala, koloko ikuyenera kukhala ndi shuga, osati ndi zotsekemera (osati zopepuka). Mukumvetsetsa kuti ndi chifukwa chabwinobwino chofulumira kotero kuti pazochitika zina zilizonse kupatula m'chiwuno, simuyenera kumwa madzi otsekemera.

Madzi otentha otsekemera ndi abwino kuphatikiza furu, chifukwa imasungidwa mosavuta, sikhala wowawasa, ndipo imatha kukhala pafupi. Ndikosavuta kugwiritsa ntchito madzi m'mabotolo okhala ndi screw cap, chifukwa simudzafunika botolo lonse nthawi imodzi.

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Muyenera kumwa m'magawo ang'onoang'ono, kuwongolera shuga. Nthawi zambiri ndimalandira magalamu 100 a kola. Ndimamwa gawo limodzi mwa magawo atatu a botolo 0,33, nditatha mphindi 20 ndimayetsa shuga. Ngati ndizochepa, ndiye kuti ndimamwa magalamu ena 100 ndikubwereza muyeso pambuyo pa mphindi 20.

Kuchepa kwa shuga wokhala ndi mankhwala osokoneza bongo a shuga ochepetsa (insulin kapena pakamwa) nthawi zambiri kumachitika pazifukwa ziwiri.

Choyamba, opaleshoni yochita zolimbitsa thupi. Mwachitsanzo, ndimayenera kuyenda ma kilomita angapo kapena kukumba fosholo.

Kachiwiri, kusintha mu liwiro ndi magawo a mayamwidwe a shuga m'matumbo. Matenda am'mimba amatsogolera spikes mu shuga mbali imodzi kapena ina, koma osati okhawo. Kusintha mtundu wa chiphuphu cha matenda ashuga, kungosintha kapangidwe ka bakiteriya m'matumbo am'mimba ndi kuthamanga kwa njira yodutsa kudzera pakukwanira.

Kuchokera pachangu changa ndinena kuti, mwachitsanzo, kusinthana ndikudya tchizi ndi mkate (wachikhalidwe cha Swiss) kuchokera ku borscht yathu yanthawi yomweyo kumabweretsa kuwonjezeka kwa shuga. Kusintha kosinthika kumapereka hypoglycemia. Izi ndichifukwa chakuti borsch amapangidwa ndi masamba ndipo amasiya matumbo athu mwachangu kwambiri kuposa mkate wophika ndi tchizi.

Chifukwa chokhala ndi shuga wabwinobwino ndikuchotsa hypoglycemia, zochitika zolimbitsa thupi ziyenera kuganiziridwanso muzakudya ndipo m'matumbo amayenera kukhazikika.

Malangizo ochepetsa mlingo wa insulin kapena mankhwala pakamwa panthawi yolimbitsa thupi amawonedwa ngati chinyengo. Ndinayesera kuchita izi m'mbuyomu, koma izi zimabweretsa ketoacidosis. M'malo mwake, ndikulimbitsa thupi kowonjezereka, mumangofunika kudya kuchuluka kokwanira kwa zopatsa mphamvu.M'malo mwake, ngati lero mukugona pakama, m'malo mwa kuyenda mwachizolowezi, siyani mankhwalawo mankhwalawo, koma idyani pang'ono.

Ntchito yamatumbo osasunthika komanso kapangidwe kake kakang'ono kwambiri kosavuta ndikuwonetsetsa kuti imatenga pang'ono kefir ndi bifidobacteria musanadye chilichonse. Ndinakumana ndi nkhaniyi mwangozi. Anali pa bizinesi ku Azerbaijan. Pachikhalidwe chawo amadya yogati asanadye. Shuga wanga wabwerera mwakale, matako anazimiririka. Pobwerera kunyumba, adatenga ukadaulo muutumiki. Monga kefir yotere, mutha kugwiritsa ntchito biokefir yomwe idagulidwa kapena kudzipaka nokha kuchokera mkaka wabwino.

Mwa njira, ngati mkaka umadzaza mu yogati, ndiye ichi ndichizindikiro chaubwino wake komanso zopatsa thanzi. Nthawi zambiri mkaka wochokera m'mapaketi samatupa, sikuti umapanga unyinji wolimba wa kefir, ndi exfoliates. Ndibwino kuti musagule kapena kumwa mkaka uliwonse.

Ndidapanga supuni ya yogati yotereyi kuchokera pa kugula biokefir, ndikuwonjezera kwa nthawi yoyamba kuti ndikampatsa mkaka. Tsopano kvash kale, pogwiritsa ntchito zodulira zakudya yogati kuyambira kale.

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Ndikusintha ntchito yamatumbo motere ndikulemba ndendende kuchuluka kwa zakudya zowonjezera zomwe ziyenera kudya mitundu yambiri ya zochitika zolimbitsa thupi, ine, pamodzi ndi endocrinologist, ndidasankha bwino Mlingo wa insulin, ndikusintha shuga yonse, ndikuchepetsa kwambiri vuto la hypoglycemia.

Tsoka ilo, zolakwika zimachitika nthawi ndi nthawi muzolemba, zimakonzedwa, zolemba zimathandizidwa, zopangidwa, zatsopano zimakonzedwa. Amvera ku nkhani kuti mudziwe zambiri.

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Miyezi itatu ya shuga imatsika mpaka 2,5, ngakhale ndimakonda kudya pa nthawi komanso kuchuluka komweko. M'mbuyomu, izi sizinali, koma posachedwapa zakhala zikuchitika kawirikawiri. Anayamba kupanga insulini yocheperako, koma zimathandiza pang'ono, shuga amatsika. Ndipo madzulo kupsinjika kumakwera kufika pa 160, ndipo m'mawa otsika 102. Kodi chifukwa chake ndi chiani? Pepani koma kuti ndisamale. Ndimamva kutsika kwa shuga, Pokhapokha 2.5. Ndinkakonda kumva 3.8. Wodwala zaka 8 Werengani yankho.

Pafupifupi zaka 1.5, shuga amatha 20-25, atadwala mwadzidzidzi (atapezeka ndi mtima wamatumbo, adadzipaka jekeseni wa morphine, furosemide ndi chigoba cha oxygen) atatha maola 8, magazi a magazi atatsikira 5, kodi izi ndizabwinobwino kapena ayi? Wochiritsayo akuti muyenera kudya zambiri ndikumwa madzi otsekemera. Zolowedwa kuma unit a 8.00 20. Combi + magawo a 8 mwachangu, pa mayendedwe 13.00-10 ofulumira, pa 2000 mayunitsi 12. combi. + 6 Mwachangu Werengani yankho.

Chifukwa chiyani muli ndi njala nthawi zonse? Chifukwa chiyani ndikayamba kunenepa.
Nthawi zonse amakhala ndi njala. Chifukwa chiyani? Zifukwa zitha kukhala zotsatirazi.

Momwe mungachiritsire matenda ashuga kwathunthu? Kutsatsa njira zamankhwala.
Kodi a shuga azichiritsidwa bwanji ndikuchira mawa. Zamakono komanso zopatsa chiyembekezo.

Zoyambitsa matenda ashuga. Zizindikiro, zizindikiro. Zowopsa. Zizindikiro
Zizindikiro, shuga

Ketoacidosis. Acetone Ketones Mimbulu, magazi. Acetone, ketone poyizoni.
Kupezeka kwa ketoacidosis. Poyizoni wa acetone. Zifukwa ndi chithandizo.

Kugogoda. Openwork adafunsira. Zojambula. Zolinga za mapatani.
Momwe mungalumikizire mawonekedwe awa: Openwork adasankha. Malangizo atsatanetsatane ofotokozera.

Shuga wochepa wamagazi (hypoglycemia): Zizindikiro, zimayambitsa, chithandizo

Pali zifukwa zambiri zochepetsera shuga wamagazi (kapena hypoglycemia), ndipo vutoli limatsatiridwa ndi zingapo zosasangalatsa, ndipo mwazoopsa, zizindikiro zowopsa. Amawonetsedwa kuchepa kwamphamvu kwa glucose ndipo amatha kuwunika onse odwala omwe ali ndi matenda osokoneza bongo, komanso anthu athanzi, kapena matenda ena. Nthawi zina, kutsitsa shuga sikuli koopsa, koma ndi hypoglycemia yayikulu, wodwalayo amatha kukhala ndi vuto lowopsa ngati chikwangwani cha hypoglycemic.

Mutu wa buku lino sudzathandiza kwa anthu odwala matenda ashuga okha, komanso osadwala matendawa. Munkhaniyi, tikufotokozerani za zomwe zimayambitsa, zomwe zimayambitsa, ndi njira zochizira hypoglycemia. Izi zitha kukhala zothandiza kwa inu, ndipo mudzatha kupewa zovuta ndi zotsatirazi zomwe zimabweretsa, kapena mudzatha kupereka thandizo kwa wokondedwa amene akudwala matenda a shuga.

mankhwala osokoneza bongo a insulini kapena shuga ochepetsa shuga kuchokera pagulu la sulfonylureas kapena ma buganides, meglitidines (Chlorpropamide, Tolbutamide, Maninil, Amaryl, Novonorm, Hexal, Metformin, Siofor, etc.),
kusala
kuphwanya zakudya
nthawi yayitali pakudya
matenda a impso ndi chiwindi
matenda opatsirana pachimake
kulimbitsa thupi kwambiri,
kumwa mankhwala akuluakulu.

Chovuta chofananacho cha odwala ena omwe ali ndi matenda osokoneza bongo, omwe amatsogolera kuchepa kwa shuga, ndi kuphatikiza kwa kutenga insulin kapena othandizira a hypoglycemic ndi njira zina zochepetsera shuga. Izi zikuphatikiza:

kukulitsa mphamvu ya kutsika kwa shuga kwa nthakayo: clover, tsamba la bay, masamba a nyemba, udzu wa dandelion, lingonberry ndi masamba a mabulosi, udzu wa burdock, maluwa a linden, blackcurrant, rosehip ndi zipatso za hawthorn, udzu wa chicory,
masamba omwe amachepetsa shuga ndi masamba: parsley, horseradish, dzungu, sipinachi, tebulo, adyo, biringanya, anyezi, letesi, phwetekere, nkhaka, kabichi yoyera, tsabola wazipilala, katsitsumzukwa, zukini, radishi, Yerusalemu artichoke,
zipatso zothetsa shuga ndi zipatso: zipatso za malalanje, mabulosi abulu, mitundu yaiwisi ya maapulo kapena mapeyala, mabulosi akuda, lingonberries, phulusa lamapiri, viburnum, zinanazi, rasipiberi, mabulosi amajinja.

Pogwiritsa ntchito ndalamazi kuti muchepetse kuchuluka kwa shuga m'magazi, wodwalayo nthawi zonse azigwirizana ndi dokotala komanso kuyang'anira kuchuluka kwa shuga pogwiritsa ntchito mita ya shuga m'magazi.

Choyambitsa china cha hypoglycemia chimatha kukhala pancreatic neoplasm, yomwe imatha kupanga insulin - insulinoma. Chotupachi chikuyambitsa kuchuluka kwambiri kwa insulin, komwe "kumalowa" shuga m'magazi ndikupangitsa kutsika kwake.

Kuphatikiza pa matenda awa, kuchepa kwa shuga m'magazi kumatha kuchitika chifukwa cha zovuta ndi mikhalidwe:

matenda oopsa a chiwindi
mawonekedwe atakhala m'matumbo kapena m'mimba,
kuperewera kwa michere yomwe imakhudza kagayidwe kazakudya,
matenda a hypothalamus ndi pituitary gland,
matenda a adrenal glands.

Mwa anthu athanzi, kuchepa kwa shuga m'magazi kumatha chifukwa cha izi:

mimba ndi mkaka wa m`mawere
kulimbitsa thupi kwambiri,
kudya pafupipafupi komanso zakudya zopatsa thanzi,
zakudya zopanda pake, zakudya zopanda pake kapena kuperewera kwa zakudya m'thupi.

Mwa anthu athanzi, Zizindikiro zakuchepa kwa shuga m'magazi zimayamba kuonekera 3.3 mmol / L, ndipo odwala omwe ali ndi matenda osokoneza bongo amawoneka kale, chifukwa thupi lawo limagwiritsidwa ntchito kale kuti azikhala ndi hyperglycemia. Wodwala yemwe akudwala matendawa kwa nthawi yayitali, zizindikiro zoyambirira zitha kuwoneka ndi kulumpha lakuthwa muzizindikiro za glucose (mwachitsanzo, kuyambira 20 mpaka 10 mmol / l). Ana ndi gulu lapadera la odwala matenda a shuga omwe samvera kwenikweni shuga. Samamva nthawi yoyamba izi, ndipo makolo kapena madokotala omwe akukayikira kuyambika kwa hypoglycemia amayenera kugwiritsa ntchito glucometer kuti idziwe.

Kuopsa kwa zizindikiro zakuchepetsa shuga m'magazi kumatha kugawidwa m'magawo atatu: ofatsa, odziletsa komanso owopsa.

Zizindikiro zakuchepa pang'ono kwa shuga mpaka 3.3 mmol / L ndi:

chizungulire ndi mutu
mantha
kufooka
kunjenjemera m'thupi
thukuta kwambiri
pang'ono nseru
njala yayikulu
masomphenya osalala.

Zizindikiro zakucheperachepera kwamasewera a shuga kupita ku 2.2 mmol / L ndi awa:

kusakhazikika
kulephera kulolera
kumverera kwadzidzidzi poyimirira kapena mutakhala,
kuchedwa kuyankhula
minofu kukokana
kulira kopanda nzeru, kupsa mtima kapena kukwiya.

Zizindikiro zakuchepa kwambiri kwa shuga m'magazi m'munsimu 1.1 mmol / L ndi awa:

kutaya chikumbumtima (hypoglycemic coma),
kulanda
sitiroko
imfa (nthawi zina).

Nthawi zina dontho la shuga limachitika usiku ukagona.Mutha kumvetsetsa kuti munthu amene wagona wayamba hypoglycemia ndi izi:

kuwoneka kwamaphokoso achilendo
nkhawa
atagwa mwangozi kapena kuyesera kuti atuluke,
kuyenda mu loto
thukuta kwambiri
zolota.

Ndi vuto la usiku la hypoglycemia, munthu amatha kumva kupweteka mutu m'mawa.

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.

Njala yayikulu
kugona
kufooka
hypotension
Kusintha kwa momwe mukumvera: kuchoka pakuyamba kulira mpaka kusangalala kosasiyidwa,
kusakhazikika.

Njala yosalephera
womvera
thukuta lozizira
tachycardia
kumva kugunda kwamtima
masomphenya osalala
kunjenjemera m'thupi ndi miyendo
kumva kuopa kufa.

Mkhalidwe wofanana ndi kuledzera,
chisangalalo
kusadziletsa kwamakhalidwe,
kutha kwa mantha
osakwanira (mpaka kukana kutenga maswiti kapena mankhwala akazindikira kufunika kwawo).

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.).

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.

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.

Ndi zinthu ziti zomwe zimapangitsa kuchepa kwa shuga?

Chifukwa chiyani shuga amatsika kwambiri?

Zomwe zimapangitsa kutsika kwa shuga kungakhale chiwerengero chachikulu.

Hypoglycemia imatha kuchitika chifukwa chokhala ndi zinthu zosiyanasiyana za mankhwala osokoneza bongo.

Zambiri zomwe zimayambitsa chitukuko chake ndizophatikiza:

kuchuluka kwa mankhwala a insulin m'thupi la munthu,
kulakwitsa kwa pituitary kapena adrenal cortex,
njira zosayenera kagayidwe kachulukidwe ka michere m'chiwindi,
kukula kwa matenda ashuga, omwe nthawi zambiri amaphatikizidwa ndi ma spikes akuthwa mu shuga,
kudziletsa kwa nthawi yayitali ku chakudya kapena kufa ndi njala kumakhala kofunikira m'thupi pakudya pambuyo pake.

Tiyenera kudziwa kuti nthawi zambiri zomwe zimapangitsa kuti pakhale zovuta zina mwa munthu (kuphatikiza hypoglycemia) ndimaganizo amunthu. Mavuto osiyanasiyana amisala komanso zochitika zina zovuta zimakhudza kuchuluka kwa shuga m'magazi, ndikumachepetsa kwambiri. Kuphatikiza apo, chimodzi mwazinthu zomwe zingayambitse kutsika kwakukulu kwa shuga ndi kumwa kwambiri zakumwa zoledzeretsa. Mwa anthu omwe amadalira mowa, mkhalidwe wa hypoglycemia ndimachitika pafupipafupi.

Kuchita masewera olimbitsa thupi mopitirira muyeso ndi zina mwa zinthu zosagwiritsa ntchito mankhwala zomwe zimapangitsa kuchepa kwambiri kwa shuga m'magazi. Gululi lomwe lili ndi chiopsezo chowonjezeka cha hypoglycemia limaphatikizanso omwe amachita masewera olimbitsa thupi (olimbitsa thupi) komanso anthu omwe ntchito zawo zimagwirizana ndi zolimbitsa thupi. Pofuna kupewa kutsika kwa shuga, muyenera kuyang'anitsitsa kadyedwe kanu ndikubwezeretsanso mphamvu zanu m'malo anu onse.

Tiyenera kudziwa kuti ngati pituitary gland ndi matenda a chiwindi asokonekera, chakudya chamafuta m'thupi chimachepa, chomwe chimakhudza kwambiri kuchuluka kwa glucose ndikupangitsa kutsika kwakukulu mkati mwake. Ngati pali matenda oopsa a chiwindi, muyenera kuyang'anitsitsa zakudya zanu, kupewa kudumphadumpha chakudya komanso kusala kudya. Kupanda kutero, boma la hypoglycemic ndilosatheka kupewa.

Zina mwazifukwa zomwe zimathandizira kukulitsa kwa hypoglycemia zimaphatikizapo kuchitapo kanthu kwa opaleshoni pamimba. Nthawi zambiri, kutsika kwa shuga kumadziwonekera pakokha panthawi yakukonzanso, makamaka ngati chithandizo chamankhwala sichinatsatidwe. Shuga omwe amalowa mthupi amayamba kulowetsedwa kwambiri, zomwe zimapangitsa kuti mahomoni azitulutsa, zomwe zimapangitsa kuti pakhale hypoglycemia.

Chochitika chosowa kwambiri mwa akulu ndikuwonetsa kwa yogwira hypoglycemia. Izi zimadziwika ndi kutsika kwakuthwa komanso kwakukuru mu mulingo wa shuga m'magazi a anthu. Tiyenera kudziwa kuti makamaka ana aang'ono (mpaka chaka chimodzi) amadwala matendawa. Zakudya zomwe zimakhala ndi fructose ndi lactose sizilola chiwindi kuti chingapatse shuga. Nawonso kudya kwa leucine kumakwiyitsa kapamba kuti apange insulini yambiri, zomwe zimapangitsa kuti shuga asamayende bwino m'thupi la mwana.

Kodi chimayambitsa matenda a shuga ndi chiyani?

Mu shuga mellitus, kukula kwa hypoglycemia kumatha kuchitika chifukwa cha kuperewera kwa zakudya kapena kusatsata malamulo a mankhwala othandizira kuchepetsa shuga.

Machitidwe a hypoglycemic omwe amapezeka m'thupi amathandizira kuoneka ngati akusokoneza magwiridwe antchito amthupi.

Pokhapokha ngati pali chithandizo choyenera, vuto la hypoglycemic lingayambitse kukomoka komanso kufa.

Nthawi zambiri, madontho akuthwa m'magawo a glucose mu odwala matenda ashuga amapezeka:

Kuchuluka kwa insulin. Vuto lotere limadziwonetsera, monga chifukwa, ya mankhwala osankhidwa molakwika, kugwiritsidwa ntchito molakwika kwa glucometer yakunyumba kapena kusagwira kwa cholembera.
Palinso zolakwika zachipatala pomwe katswiri wa zamankhwala amasankha molakwika wodwala mankhwala ake kapena akuwalimbikitsa kumwa mankhwala ochepetsa shuga pamiyeso yambiri.
Nthawi zina, kusintha kwa mankhwala omwe mumagwiritsa ntchito mankhwala ena a hypoglycemic kungayambitsenso kuchepa kwamphamvu kwa glucose.
Odwala omwe ali ndi matenda a shuga, okhala ndi matenda opatsirana (makamaka, chiwindi kapena kulephera kwaimpso), kuyang'ana pang'onopang'ono kwa insulin ya mahomoni. Ndi chifukwa chake, kuchuluka kwa mankhwalawa kumakhala kofunikira kwambiri pagulu la odwala ndipo nthawi zambiri kumayambitsa kukula kwa hypoglycemia.
Kugwiritsa ntchito kwa nthawi yayitali kapena yayikulu mankhwala ochokera ku gulu la zotumphukira za sulfonylurea. Mukamapangira mankhwala achire, muyenera kukumbukira kuti mankhwalawa angayambitse kuchepa kwa glucose.
Kwa odwala omwe amapatsidwa mankhwala a insulin, ndikofunikira kuti muphunzire malamulo onse mosamala ndi kayendetsedwe koyenera ka mankhwala. Chimodzi mwa zolakwitsa zazikulu zomwe zimatsogolera ku hypoglycemia ndiko kukhazikitsa insulin intramuscularly. Potere, mahomoni amayenera kuperekedwa kokha pakhungu. Kuphatikiza apo, kukonza maselo a jekeseni kumathandizanso kusokoneza shuga ndikuwatsitsa pansi pofunikira.
Kuchita masewera olimbitsa thupi kwambiri m'matenda a shuga (makamaka pamimba yopanda kanthu) kungayambitse mkhalidwe wa hypoglycemia wodwala matenda ashuga. Kukhala ndi moyo wogwira ntchito ndikofunikira kwa munthu aliyense, kuphatikiza matenda ashuga, kuchuluka ndi kutalika kwa katunduyu ndizomwe ziyenera kusankhidwa bwino.
Kulephera kutsatira zakudya komanso zosemphana ndi zakudya zoyambira.
Odwala omwe amadalira insulin amayenera kusankha mosamala mlingo wa mankhwala osakhalitsa malinga ndi mphamvu ya mbale zomwe zimayenera kudya. Nthawi zambiri, kusankhidwa bwino kwa mulingo wa insulin ndi chakudya chochepa cha mafuta omwe amapezeka panthawi ya chakudya kumabweretsa kutsika kwa shuga m'magazi.
Zakumwa zoledzeretsa zimatha kuchepa kwambiri m'magazi m'thupi.
Mkhalidwe wa malabsorption.
M'nyengo yotentha (makamaka pakutentha), pakhoza kukhala zochitika zambiri za chitukuko cha hypoglycemia.

Pali mankhwala omwe amatha kukulitsa kumwa mankhwala ochepetsa shuga, omwe nthawi zambiri amayambitsa hypoglycemia. Mankhwala akuluakulu omwe angayambitse kutsika kwa shuga (osaphatikizidwa ndi gulu la mankhwala a hypoglycemic) ndi awa:

antibacterial mankhwala ochokera ku gulu la sulfonamides,
mowa wa ethyl
amphetamine (mankhwala osokoneza bongo),
mankhwala ena a anticholesterol (fibrate),
Pentoxifylline ankakonda kuchiza matenda amitsempha,

Kuphatikiza apo, mankhwala a cytostatic omwe amagwiritsidwa ntchito pochiza khansa kapena rheumatism angayambitse kutsika kwa shuga m'thupi.

Kodi glucose angafanizidwe bwanji?

Ndi shuga wamagazi ochepetsedwa, adokotala ayenera, kupereka mankhwala enieni a zakudya.

Chakudya chapadera chimathandizira kubwezeretsanso zakudya m'thupi ndikuwonjezera thupi ndi mavitamini ofunikira komanso mchere.

Zakudya zochizira matenda a shuga ziyenera kutengera mbali zomwe wodwalayo ali nazo, poganizira zovuta ndi matenda, kuchuluka kwa Hypoglycemia komanso kuchuluka kwa wodwalayo.

Mfundo zazikuluzikulu zomwe mukuzilingalira mukamakonza mndandanda watsiku ndi tsiku:

Muyenera kuwonjezera kuchuluka kwa zovuta zamankhwala. Zakudya zoterezi zimayenera kukhala zopezeka muzakudya zanu za tsiku ndi tsiku. Zakudya izi ndi ndiwo zamasamba zatsopano, pasitala wolimba ndi mkate wopanda tirigu.
Mwa zinthu zoletsedwa kuti zigwiritsidwe ntchito zizikhala monga pasitala wamba, zotsekemera zotsekemera ndi zinthu zophika mkate, semolina, zakumwa zoledzeretsa, zakudya zamafuta, msuzi wolemera, nyama yamafuta, zakudya zonunkhira komanso zosuta.
Mbale za uchi ndi zipatso zimayenera kudyedwa pang'ono.
Chiwerengero cha zakudya ziyenera kukhala zosachepera zisanu; chakudya chimatengedwa m'malo ochepa.
Zakudya zoyenera za nyemba, chimanga ndi mbatata m'matumba awo, chifukwa zimathandizira kuchepetsa kukula kwa shuga m'magazi am'magazi, otengedwa ndi thupi la munthu kuchokera ku zovuta zam'mimba.
Zipatso zosanenedwa ziyenera kukhalapo pakudya. Nthawi yomweyo, zonse zatsopano komanso zouma ndizabwino.
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.

Menyu imayenera kupangidwa mwanjira yoti osachepera kangapo pa sabata pamakhala msuzi kapena msuzi wa nyama odedwa. Pali kusintha kwa kagayidwe kachakudya mthupi.

Mutha kuthetsa zizindikirazo ndikuyibwezeretsanso shuga pogwiritsa ntchito magulu otsatirawa:

mulingo wofunikira wa glucose umaperekedwa kudzera m'mitsempha kapena mankhwala am'kamwa amagwiritsidwa ntchito omwe amawonjezera msanga shuga, popeza amatha kuthira chakudya ndipo nthawi yomweyo amalowetsa m'magazi, monga lamulo, dextrose monosaccharide imagwiritsidwa ntchito,
kugwiritsa ntchito mafuta opepuka komanso owonjezera mu chakudya,
m'malo ovuta kwambiri, jakisoni wa glucagon angafunike ngati imodzi mwa mankhwala amphamvu kwambiri.

M'mikhalidwe yovuta, kuwuka kwadzidzidzi kwa shuga m'magazi kumafunika. Amaganiziridwa mu zoterezi kugwiritsa ntchito jakisoni wambiri wa zida zamankhwala kuchokera pagulu la corticosteroids. Nthawi zambiri, mankhwalawa amaphatikiza hydrocortisone kapena adrenaline.

Zomwe zimapangitsa kuchepetsa shuga m'magazi zafotokozedwa muvidiyoyi m'nkhaniyi.

Zomwe zili ndi shuga ndi shuga

Mwa munthu wathanzi, shuga wamagazi amasinthika zokha. Kwa munthu wodwala matenda ashuga, kuchitika koteroko sikungapangike mwangozi.

Ma cell a thupi amagwiritsa ntchito glucose ngati gwero lamphamvu. Kuphatikiza apo, magawo aubongo amatha kuyamwa glucose osakhudzana ndi insulin (ubongo umayendetsa thupi, ndipo ngakhale kusakhalitsa kwakanthawi kwa glucose monga gwero lamphamvu kumabweretsa kuti wodwalayo angafe). Chifukwa chake ma neurons ali ndi gwero lamphamvu mwachindunji.

Ngati shuga wa magazi agwa kwambiri, ma neurons amamva njala. Zizindikiro za izi zimadziwika nthawi yomweyo: munthu amene ali mdziko muno sangathe kuganiza moyenera ndikuwongolera zochita. Amafunikira kupulumutsidwa mwachangu. Ngati palibe chomwe chachitika posakhalitsa kukhazikika kwa glucose, vutoli lachiwopsezo limakula.Zovuta za hypoglycemic coma ndizopweteka kwa anthu.

Chifukwa chiyani shuga wamagazi amatsika kwambiri

Shuga amachepetsedwa kwambiri mwa iwo omwe amadya zolimbitsa thupi. Ngati munthu amene alibe matenda ashuga amatenga chakudya, shuga wake wamagazi amabwerera mwakale. Pankhaniyi, kapamba amapanga insulini yofunika kuti ipewe.

Insulin ndi yofunika kwambiri m'thupi, chifukwa glucose (gwero lalikulu lamphamvu) imatengedwa kupita ku maselo, komwe imagwiritsidwa ntchito kapena kusungidwa ngati mafuta. Kuchuluka kwa shuga kumatha kukhala kwabwinobwino (3.3-5,5 mamililita pa lita) kokha chifukwa cha insulin. Ngati kapamba amatulutsa insulini yaying'ono, kapena ngati maselo ndi minyewa yathupi lake sizigwirizana nayo, matenda a shuga amakula.

Mwa anthu athanzi, kutsika kwa shuga m'magazi kumayamba chifukwa cha zinthu zotere.

Kupuma kofunikira pakudya.
Kudya m'magawo ang'onoang'ono (ngati izi zachitika, ndiye kuti patangotha maola ochepa mutatha kudya izi, malo ogulitsira azikhala atatha, zomwe zimapangitsa kutsika kwa zinthuzi m'magazi).
Zakudya zochepa zopatsa mphamvu (hypoglycemia ndiye zimachitika ngati chisonyezo chokhudza kuperewera kwa zakudya m'thupi).
Kugwiritsa ntchito maswiti (musadabwe: ngati timadya china chotsekemera kapena ufa, pamakhala kuwonjezeka kwa shuga ndi magazi kutuluka kwa insulini. Ndipo izi zimabweretsa kukula kwa hypoglycemia .Ndichifukwa chake munthu akadya maswiti ambiri, pamakhala kusefukira, kenako kutopa, kufooka, kufooka, kufooka, kufooka, kufooka, kufooka, kufooka, kufooka, kufooka, kufooka, kufooka, kufooka, kufooka, kufooka, kufooka, kufooka, kufooka, kufooka, kufooka, kufooka, kufooka, kufooka )
Kugwiritsa ntchito zakumwa zoledzeretsa (mowa kumathandizira kuchepetsa shuga - izi zimadziwika pambuyo pakupita maola ochepa).

Odwala omwe ali ndi matenda a shuga, hypoglycemia ndi zizindikiro zake zimachitika nthawi zambiri. Odwala amawonjezera kuchuluka kwa shuga atatha kudya zotsekemera kapena kumwa mapiritsi a shuga. Ngati izi sizingachitike, chizindikiro cha mita chingagwere mtsogolo. Pamodzi ndi izi, zizindikiro zowopsa zimachuluka. Ngati simukuchita zinthu mwachangu, mutha kutaya munthu, komanso mphindi. Ichi ndichifukwa chake ndikofunikira kwambiri kuchitapo kanthu posintha zina ndi zina m'moyo wa munthu.

Amayambitsa hypoglycemia mwa odwala matenda a shuga

Odwala omwe ali ndi matenda ashuga, zifukwa zomwe zimachepetsa shuga ndizosiyanasiyana. Zonsezi zimagwirizanitsidwa ndi zolakwika zamankhwala komanso zopatsa thanzi. Ganizirani chifukwa chake shuga amatsika odwala matenda ashuga.

Mankhwala osokoneza bongo kwambiri a insulin, amatha kuphatikizidwa ndi cholakwika cha kuchuluka kwa mankhwalawa (ochulukirapo), komanso maphunziro osawerengeka a odwala. Kuphatikiza apo, hypoglycemia imatha kukhazikika chifukwa cholephera kugwira ntchito cholembera, molondola kwa mita.
Vuto lachipatala (dokotala atha kukulembera wodwala mlingo waukulu).
Kuchuluka kwa sulfonylurea, pambuyo pake milingo ya shuga imachepa.
Kusintha kwa mankhwala.
Kuchepetsa kuchepa kwa insulin chifukwa cha chiwindi kapena impso.
Makulidwe olakwika a insulin (jekeseni wa mnofu m'malo mwa subcutaneous). Kutsika kwa shuga kumakhalanso ndi kutikita minofu pamalo a jakisoni, pambuyo pake hypoglycemia imayenda mofulumira.
Kuchita zolimbitsa thupi mosalekeza. Pazifukwa zomwezi, hypoglycemia imayamba chifukwa cha zolimbitsa thupi "pamimba yopanda kanthu." Zizindikiro za hypoglycemia zimapanganso pambuyo pochita masewera olimbitsa thupi.
Kudumpha chakudya.
Ngati thupi lilandira chakudya chochepa kuti apereke insulin. Zimachitikanso kuchepetsa zopatsa mphamvu zama calorie chifukwa chofuna kuchepetsa thupi (ngati wodwalayo sanachepetse kuchuluka kwa insulini).
Mukamwa mowa, kuchepa kwa glucose amadziwikanso, nthawi zina kumachitika mwadzidzidzi.
Malabsorption, i.e. kulowetsedwa kwa chakudya. Autonomic neuropathy imatha kuyambitsa kuchepa kwa kutuluka kwa zomwe zili m'mimba. Pankhaniyi, mutatha kudya, shuga wambiri amakhalabe otsika.
Kuwotcha kumayambitsanso zizindikiro za hypoglycemia. Munthawi imeneyi, odwala ambiri amafunika kuti timadzi timeneti timachepa kwambiri.

Zoyenera kuyang'ana

Chizindikiro chodziwika bwino cha kukhala ndi hypoglycemia ndi njala. Ngati munthu amalamulira matenda a shuga ndikukwaniritsa malingaliro onse a dokotala, ndiye kuti sayenera kumva njala yayikulu konse. Munthu amakhala ndi ludzu pang'ono chakudya chokha chisanachitike.

Komabe, kumverera kwa njala kumatha kukhala chizindikiro cha kutopa kwakuthupi. Hypoglycemia mu nkhani iyi siyingakhale. Nthawi yomweyo, njala ikukhala chizindikiro cha shuga wambiri. Zikatero, maselo ndi minyewa zimasowa mphamvu ndipo zimayamba kutumiza ziwonetsero za njala ku ubongo. Chifukwa chake, ngati wodwalayo amva zofunikira za njala, ayenera kuyeza msanga shuga ndi glucometer. Chiwopsezo cha kutsika kwakukulu kwa shuga chikuwonjezereka ndi:

mbiri yakale ya hypoglycemia,
ngati munthu samva kuyambika kwa zizindikiro za hypoglycemia (chikomokere chitha kuchitika mwadzidzidzi),
Ngati alibe katemera wa insulin,
Nthawi zina mkhalidwe wotsika wodwala umathandizanso pakukula kwa hypoglycemia.

Munthu ayenera kuyesa kukumbukira zochitika zomwe zimatsogolera ku hypoglycemia. Izi zimachitika bwino ndi kuwongolera kwamwazi wamagazi. Mukapanda kuchita izi, zovuta za matenda ashuga zimakhaladi ndi zotsatirapo zake. Chojambulachi chimafunikira kuti athe kuwongolera chilichonse chomwe chimatsogolera ku hypoglycemia. Zowonadi, munthu amakhala ndi zomwe amakumbukira.

Kupewera dontho lakuthwa la shuga

Ngati, mutayesa shuga ndi glucometer, titha kuwona kuti chizindikiro chake chinagwa mamilimita 0.6 pansi pa gawo la chandamale, chakudya cham'mimba chambiri chimadyedwa. Ngati palibe zizindikiro za hypoglycemia, muyenera kudya michere.

Kumbukirani kuti kutsitsa glucose wopanda zizindikiro ndizowopsa kwambiri!

Hypoglycemia yayikulu imasokoneza thupi. Wodwala aliyense ayenera kukhala ndi glucometer. Ngati mukukayikira kuti kuchuluka kwa glucose ndi kotsika, muyenera kudya zonunkhira pang'ono kuti mukulitse.

Chidziwitso: hypoglycemia yoopsa imawonedwa kakhumi kwambiri mwa odwala matenda a shuga omwe amadalira insulin. Chifukwa chake pobayira insulin, muyenera kuganizira nthawi yakudya. Ndikofunikira kuwerengera kuchuluka kwa insulini kuti poti iyambe kugwira ntchito m'thupi panali shuga.

Ndikofunika kwambiri kuwunika kuchuluka kwa glucose musanagone. Koma zoterezi zimadza ndi nthawi. Mutha kusintha kuchuluka kwa insulini yoyendetsedwa molingana ndi zochitika zolimbitsa thupi ndi chakudya chomwe mumadya.

Chifukwa chake, kutsika kwakuthwa kwa glucose mu shuga ndi koopsa kwambiri. Komabe, kuwunikira mosamala kungalepheretse kuyambika kwa hypoglycemia, komanso kukula kwa zovuta za matenda ashuga.

Kuopsa kwa shuga wochepa

Mwa anthu athanzi, thupi limayendetsa gawo la glycemic lokha. Mwa anthu odwala matenda ashuga, njirayi siyingafanizidwe mwanjira ina. Gwero lalikulu lamphamvu zolimbitsa thupi lakhalapo ndi glucose. Ngakhale kusakhalapo kwakanthawi, ubongo wamanjenje umakhala ndi njala.

Zizindikiro zakuchepera zimatha kuzindikiridwa ndi zomwe munthu akuchita: choyamba, nkhawa imadzuka, mantha osamveka, samalamulira zochita zake, chikumbumtima chake chimasokonezeka. Pa mulingo wa 3.5 mmol / l, malo osungirako glycogen amatsegulidwa, ubongo wogwira ntchito pa glucose umazimitsidwa.

Pakadutsa mphindi 15, munthu adagwirabe ntchito, ngakhale amakhala pansi, ngati galimoto yokhala ndi mafuta okutha. Glycogen m'misempha imatha msanga, kufooka mwamphamvu kumawonekera, kusefukira kumaphimba thukuta, kupsinjika kumatsika, munthu amasandulika wotumbululuka, arrhythmia imayamba, mutu ukupindika ndipo kumada khungu m'maso, miyendo ikugunda.

Chifukwa chiyani pali madontho akuthwa mu shuga

Ndikamamweta maswiti ambiri, dzino lokoma limayamba kukhala ndi hypoglycemia. Pancreas yodzaza ndi ma cell ake a b amagwira ntchito molingana ndi mphamvu zawo, ndikupanga insulini yambiri. Glucose imalowetsedwa ndi zimakhala. Patatha kanthawi kochepa, kufooka ndi chidwi champhamvu chimalimba.

Zomwe zimayambitsa shuga wochepa sizongokonda zokonda, komanso matenda a pancreatic a oncological chikhalidwe. Zambiri za impso, chiwindi, hypothalamus zimaperekedwanso ndi hypoglycemia.

Ndi zakudya zama hypocaloric, kuchepa kwakanthawi kwa shuga kumatha. Ngati palibe matenda a shuga, ndiye kuti zizindikiro zake zimasinthasintha mukatha kudya, popeza kuti insulin yakumaso imapereka shuga m'maselo mu nthawi yake.

Mu shuga mellitus, thupi silipanga insulin, kapena siligwira ntchito mokwanira, chifukwa mphamvu ya ma cell receptors imachepetsedwa. Chifukwa chake, gawo la glucose silimamwa, koma limasinthidwa kukhala mafuta.

Ngati shuga wa magazi atsika kwambiri, zoyenera kuchita zimatengera momwe zinthu zilili. Mwa anthu athanzi, kuchepa kwambiri kwa mashupi kumatha kukhala ndi kupuma kwakutali m'zakudya kapena zoperewera zama calorie, komanso ngati pali katundu wolimbitsa minofu mu mpweya watsopano (otumiza, osuntha, ogwira ntchito pamsewu, odulira mitengo, okhalamo chilimwe, osaka bowa, osaka).

Amachepetsa kumwa mowa. Pambuyo maola ochepa, mutha kuzindikira zotsatirazi. Ndipo ndikadumwa kwakanthawi, komanso osakhala wathanzi, mutha kugwa ngakhale mutakhala ndi magazi ochepa.

Madokotala ali ndi mawu akuti "kufa kwa brothel" pomwe, atagonana mwakugonetsa pamimba yopanda kanthu, okalamba amwalira ndi vuto la mtima, ndipo ana azaka makumi anayi afa ndi hypoglycemia. Chifukwa chake, ku Japan, geisha amayamba kulumikizana ndi kasitomala ndimwambo wa tiyi ndi maswiti ambiri.

Chitsanzo chabwino cha hypoglycemia ndi imfa ya wosewera wolonjeza hockey waku Russia Alexei Cherepanov, omwe aku America amafuna kumugulira $ 19 miliyoni, chifukwa chake adasanthula thanzi lawo mosamala. Wothamanga adamwalira pomwepo pamasewerawa, pamene iye amapita ndi madzi oundana ali ndi njala, ndipo adagona tulo tofa nato tsiku lomaliza. Mtsogoleri wadziko lino wazaka khumi ndi zisanu ndi zinayi adapulumutsidwa ku vuto la mtima m'maminiti omaliza a masewerowo, ndipo zomwe adafunikira ndi jakisoni wamagazi m'mitsempha.

Muulamuliro wa Soviet, miyezo ya chisamaliro chodzidzimutsa ngati mwazindikira mwadzidzidzi pazifukwa zosadziwika zinaphatikizira jakisoni: ma 20 20 a glucose 40. Pomwe dotolo amatenga anamnesis (matenda a mtima, stroke, uchidakwa, kuvulala koopsa muubongo, poyizoni, khunyu ...), namwino amayenera kupangira jakisoniyo m'mitsempha.

Kuphatikiza pa glycemia osagwiritsa ntchito mankhwala, omwe amachitika mwa anthu athanzi labwino, palinso mitundu ina ya mankhwala a matenda. Anthu odwala matenda ashuga nthawi zambiri amakhala ndi vuto la hypoglycemic, chifukwa hypoglycemia ndi chimodzi mwazotsatira zoyipa zomwe zimapangitsa ambiri kuchepetsa shuga, osanenapo za mankhwala osokoneza bongo.

Gululi lomwe liri pachiwopsezo makamaka ndi odwala matenda ashuga omwe ali ndi chidziwitso, popeza kuchepa kwa ntchito ya kapamba ndi ndulu za adrenal kumathandizira kuchepetsa kupanga kwa glucagon ndi adrenaline, omwe amateteza thupi ku hypoglycemia. Wodwalayo komanso malo omwe amakhala nawo akuyenera kudziwa momwe angaperekere thandizo kwa wozunzidwayo, popeza kuchuluka kwa izi ndi mphindi.

Poyambira Hypoglycemia mu ashuga

Kodi ndichifukwa chiyani shuga amatsika m'magayidwe ashuga?

Mankhwala osokoneza bongo omwe amaphatikizidwa ndi kuwerengera kolakwika kwa mankhwalawa, kusagwira bwino kwa mita ndi cholembera.
Kulakwitsa kwa madotolo omwe adalemba molakwika dongosolo la chithandizo.
Kugwiritsa ntchito mosagwiritsa ntchito mankhwala a sulfonylurea omwe amachititsa hypoglycemia.
M'malo mwa mankhwala osaganizira kutalika kwa nthawi yayitali.
Kuchepetsa insulin ndi mankhwala ena a hypoglycemic mthupi chifukwa chazonono impso ndi chiwindi.
Jekeseni wa insulin wosagwira (m'malo momangika pansi pakhungu - jakisoni wamkati).
Ngati mutisisita jakisoni jakisoni mutangodziba kale, hypoglycemia imakulirakulira.
Kuchita masewera olimbitsa thupi osakwanira, makamaka panjala.
Kudumpha chakudya kapena chovutirapo pang'ono.
Zakudya zama calorie ochepera chifukwa chochepetsa thupi osaganizira zikhalidwe za insulin yawo.
Mukamamwa zakumwa zoledzeretsa zamkati, shuga amatha kutsika kwambiri.
Ndi malabsorption, pamene chakudya sichidziyamwa bwino, komanso chodziyimira pang'onopang'ono, chomwe chimachepetsa kutuluka kwa m'mimba, ngakhale mutatha kudya chakudya chopatsa thanzi, shuga sangakhalebe yotsika.

Shuga wamagazi adatsika: Zizindikiro, choti achite

Mutha kuzindikira momwe zinthu ziliri ndi izi:

Zofooka zakuthwa
Kuchulukitsa thukuta
Kusokonezeka kwa mtima
Kutalika kwa miyendo
Mantha
Njala yosalamulirika
Kusokonezeka kwa malingaliro
Kukhumudwitsa
Glycemic chikomokere.

Chilango chosalamulirika ndi mnzake wofikira kwa hypoglycemia. Mwa anthu odwala matenda ashuga, mankhwala ambiri amachititsa kuti munthu azikhala ndi chidwi chofuna kudya, kapena kuti nkhandwe izikhala yanjala.

Pambuyo pogwira ntchito molimbika, njala ikhoza kukhala chizindikiro cha kutopa, kapena imatha kukhala chimodzi mwazizindikiro za kusintha kwa glucose, maselo atasowa mphamvu ndipo amatumiza maubongo ku ubongo. Ndi njala, wodwala matenda ashuga ayenera kuyamba ayang'ana shuga wake ndi glucometer.

Chiwopsezo cha hypoglycemia chikukula nthawi zina ngati:

Mbiri ya Hypoglycemia,
Kuukira kumachitika modzidzimutsa, ndipo kukomoka kumatha kuchitika mosayembekezereka,
A odwala matenda ashuga, amsulin amkati samapangidwa konse,
Okhala ocheperako salola kuti munthu akhale ndi moyo wabwino.

Anthu odwala matenda ashuga, komanso aliyense yemwe amakonda kuchita hypoglycemia, ayenera kuyambitsa diary kuwunikira mbiri yawo ya glycemic ndikulongosola bwino kwazomwe zikuwonekera muzochitika zawo.

Mwazi wamagazi udatsika - choti achite?

Pazifukwa zilizonse zomwe shuga sagwa, ndikofunikira kuti thupi lanu lipererenso mwachangu. Momwe wovutikayo akudziwira, muyenera kum'patsa zakudya zokhala ndi chakudya chambiri komanso cholimba kwambiri cha glycemic, chomwe chimatenge nthawi yomweyo m'magazi.

Mafuta abwino a shuga, uchi, maswiti, kupanikizana, msuzi wokoma ndi zipatso zakupsa zomwe zili ndi zipatso zambiri za fructose (nthochi, madeti, ma apricots, vwende, mphesa). Izi zikuthandizira kuchepetsa zizindikiro zomwe zili kale mu gawo la matenda.

Hypoglycemia ndiyowopsa pakumwedwa mobwerezabwereza, kuti tipewe gawo lotsatira la hypoglycemic, michere yambiri yofunikira, yomwe imatengedwa pang'onopang'ono. Sangweji yokhala ndi batala ndi khofi wokoma kapena tiyi, komanso monga chimanga ndilabwino.

Kuyamba mwachangu kwa zochitika za hypoglycemic makamaka kumawopseza anthu odwala matenda ashuga a mtundu woyamba, pamene mankhwala osokoneza bongo kapena kuphwanya dongosolo la kumwa kungayambitse kutsika kwamphamvu kwa shuga. Anthu odwala matenda ashuga, monga lamulo, amadziwa zovuta zawo, motero glucose omwe mapiritsi ake, omwe amathandizira msanga kuukira, amakhala nawo nthawi zonse.

Chiwopsezo cha zotsatira za hypoglycemic chingachepetse kuyang'anira kudya: zokhwasula kwina kulikonse kwa maola 3-4. Shuga wa anthu odwala matenda ashuga omwe ali ndi mtundu woyamba wa matenda ayenera kuwayeza pamimba yopanda kanthu, jakisoni iliyonse komanso usiku.

Ndi matenda a shuga a mtundu 2, palibe ndondomeko yovuta ngati imeneyi, koma kamodzi pa sabata ndikofunika kuti alembe kuwerenga kwa glucometer mu diary. Malangizo mosamala kwambiri kutengera mtundu wa mankhwalawo komanso momwe thupi limaperekera zipatala.

Momwe mungapewere ngozi

Ngati mita ikulephera ndi shuga ndi 0,6 mmol / L pansi pazomwe mukukula, muyenera kudya zakudya zopatsa mphamvu mosavuta. Ngakhale pakalibe zizindikiro za hypoglycemia, madontho a shuga oterowo sangathe kunyalanyazidwa, chifukwa kuchepa kwa asymptomatic m'magazi a shuga ndikokulirapo.

Ndi chizolowezi cha zochitika za hypoglycemic, ndikofunikira kuti nthawi zonse muzinyamula thumba la shuga, komanso chidziwitso cha mavuto anu.

Anthu odwala matenda a shuga omwe amadalira insulin nthawi zambiri amakhala ndi vuto la hypoglycemia, choncho ndikofunikira kwambiri kuwerengetsa kuchuluka kwa mankhwalawa panthawi yovomerezeka ya chakudya. Nthawi zina ndikofunikira kupaka insulin yochepa kawiri: koyambirira komanso pakati pa chakudya, ngati chakudyacho chikuyenera kukhala chotalika.

Mlingo wothandizira: Ngati chikhalidwe cha hypoglycemia sichinazindikiridwe komanso kuchuluka kwa kukomoka kumawonjezeka, ndizowopsa kudzizindikira. Zomwe zimapangitsa kuti dontho la shuga lithe, muyenera kuyamba kuchiza matendawo.

Kuchepetsa kwambiri shuga nthawi zonse kumakhala koopsa, ndipo choyamba - kwa ubongo. Ndi kuchepa kwa glucose, gwero lalikulu lamphamvu, kulumikizana pakati pa ma neuron kumawonongeka, ndipo mkhalidwe wa wozunzayo umakulirakulira pamaso. Kungowunikira mwadongosolo magawo ofunika amodzi ndikutsatira malingaliro omwe atchulidwa ndi omwe angathandize kupewa tsoka.

Zomwe mungachite ndi hypoglycemia yosayembekezereka, onani vidiyo.

Chifukwa chiyani shuga limagwera mwa anthu athanzi komanso odwala matenda ashuga

Kwa odwala matenda ashuga, ntchito yayikulu ndikusunga shuga wabwinobwino, kupewa kuthamanga kwake. Koma choopsa chilichonse ndicho kutsika kwa shuga.

Yerekezerani izi:

kudya zakudya zopepuka,
Mlingo wolakwika wa mankhwala ochepetsa shuga,
kumwa mowa wopanda chakudya (mowa umaletsa kupanga shuga mu chiwindi),
Zakudya zopanda pake ndi kusowa kwa kukula kwake,
kuyambitsa insulin mu Mlingo wolakwika,
kulimbitsa thupi kwa odwala matenda ashuga.

Hypoglycemia mwa munthu wathanzi imatha kuchitika ndi:

kumwa mankhwala enieni, mwachitsanzo, mankhwala ochepetsa shuga popanda kufunsa katswiri,
matenda amkati,
kumwa mowa wambiri
kutsatira zakudya zokhwima,
nthawi yayitali pakati pa chakudya / osadya,
zakudya zopatsa mphamvu zopatsa mphamvu zamagalimoto
kulimbitsa thupi kwambiri
mavuto, chisangalalo chachikulu,
kudzuka tulo tofa tulo usiku, chifukwa kunalibe chakudya kwa nthawi yayitali.

Nthawi zina, kutsika kwadzidzidzi kwa shuga kungayambike chifukwa cha chotupa cha zotupa mu kapamba. Zotsatira zake, kuchuluka kwa ma cell a insulin komanso kuchuluka kwa insulin kumawonjezeka mosadzilamulira. Komanso, kuchepa kwa shuga kumatha kuyambitsidwa ndi ma neoplasms ena (omwe nthawi zambiri amakhala ovulala) omwe amachititsa kuti insulin iwonjezeke.

Nthawi zambiri samazindikira kuchuluka kwa glucose popanga matenda a autoimmune. Mwanjira imeneyi, thupi limayamba kupanga ma antibodies ku insulin, ndikupangitsa kuti dontho lakuthwa kapena chiwopsezo chambiri cha kuchuluka kwa timadzi timeneti. Mchere wochepetsedwa umapezekanso mwa odwala omwe amatsutsana ndi impso kapena mtima (cirrhosis, hepatitis, matenda a virus - omwe amayamba chifukwa cha shuga m'magazi).

Zizindikiro zakuchepa kwambiri kwa shuga

Kuti mupewe mavuto oopsa a hypoglycemia, ndikofunikira kudziwa zomwe zimayendera limodzi ndi shuga.

Akatswiri pa matenda am'magazi agawidwa m'magulu:

Mapapu pomwe shuga amatsika pansi pa 3.5 mmol / L.
Pakati, ndi kuchepa kwa zizindikiro mpaka magulu atatu ndi pansi.
Zambiri, zodziwika ndi dontho la shuga pansi 1.9 mmol / L.

Ndi njira yofatsa ya hypoglycemia, wozunzidwayo amakumana:

ulesi wosaletseka
kutuluka thukuta kwambiri
khalidal
njala
kumverera kusanachitike kusanza
akukumbutsa
nkhawa
dziko lokhumudwitsa
kugunda kwa mtima
dzanzi la miyendo
kuwonongeka kwamawonekedwe
milomo yoluma.

Zikatero, zimakhala zokwanira kuti munthu wathanzi azitha kudya kapena kumwa china chokoma. Mu matenda ashuga, wodwala wokhala ndi zizindikiro zofananazo ayenera kuyezetsa magazi mwachangu. Ngati pali wastani wa hypoglycemia, ndiye kuti izi zimachitika:

mantha
kusakhazikika
kusumika chidwi
kukokana thupi
chikumbumtima
mawu achipongwe
kusintha
general malaise
kufooka koopsa
malingaliro osalamulirika.

Munthawi imeneyi, kuyendetsa mankhwala ochepetsa shuga kumayimitsidwa ndipo kuyang'aniridwa bwino kwa shuga kumachitika.

Mu hypoglycemia yayikulu, zotsatirazi zimawonedwa mwa wozunzidwayo:

Ngati zoterezi zikupitilira kwa nthawi yayitali, ndiye kuti zotsatirapo zake zimakhala zoipa kwambiri, ngakhale kupha kumene. Maselo am'bongo ndi mtima dongosolo zimakhudzidwa, ntchito ya ziwalo zamkati imasokonekera. Koma nthawi zina chizindikiro cha dontho lakuthwa la shuga sichimawonekanso. Izi zimachitika ndikumwa beta blockers.

Zomwe zimayambitsa shuga wochepa mutatha kudya diabetes ndi mtundu 1 ndi 2 mwina ndikugwiritsa ntchito mankhwala omwe amagwira ntchito kuti muchepetse shuga. Matenda a shuga akamatha zaka 15, zizindikiritso za hypoglycemia zimayamba kutchulidwa. Apa ndikofunikira kuyeza zizindikiro tsiku lililonse ndikuwonetsetsa ndi endocrinologist kuti muthane ndi kusintha kwa insulin.

Ngati mwana ali ndi shuga, ndiye kuti amayamba kudwala matenda opatsirana, ndipo zizindikiro zoyambirira za malaise zitha kuonekera ngati Zizindikiro zimatsika mpaka 3,3 mmol / L. Akuluakulu, vutoli limakhala lalikulu pomwe glucose amatsika mpaka 3,7 mmol / L.

Kodi chiwopsezo cha vuto la hypoglycemic ndi chiyani?

Mwazi wamagazi uyenera kukhala wopyola malire, pokhapokha mavuto akulu azaumoyo sangathe kupewedwa. Hypoglycemia ndi owopsa bongo. Ili ndiye chiwalo chachikulu cha dongosolo lamanjenje, lomwe ndi lovuta kwambiri kapangidwe kake. Polephera pang'ono pantchito yake pamakhala mavuto ambiri ndi ziwalo zina ndi machitidwe ena.

Chifukwa cha magazi, michere ndi okosijeni zimalowa mu ma neurons. Glucose imatha kuperekedwa m'maselo aubongo popanda insulini. Chifukwa chake, zilibe kanthu kuchuluka kwa momwe timadzi timeneti timapezekera m'thupi - magazi amaperekabe zinthu zonse zofunikira ku ma neurons. Ndi hypoglycemia, shuga wokwanira sakalowa mu ubongo, maselo amayamba kufa ndi njala. Pakangotha mphindi zochepa za matenda, munthu amayamba kudzimva yekha: maso osalala, milomo yosokosera, thukuta, mtima.

Zotsatira zoyipa kwambiri za kuchepa kwa shuga m'magulu amwazi ndi kuperewera kwa hypoglycemic. Zimatha kukulira pamene zizindikiro zikugwera pansi pa 2.2 mmol / L. Komanso, momwe wodwalayo angakhalire wodwala angayende limodzi ndi matenda a ubongo, kufa kwa ziwalo zake, kusokonekera kwa magazi m'thupi ndi zida zake.

Akatswiri azindikira magulu awiri omwe angathe kukhala a hypoglycemia:

Omwe ali chapafupi kwambiri omwe amakhala mu maola oyamba a matenda a hypoglycemic: myocardial infarction, stroko, ziwalo zam'manja, strabismus, kusokonekera kwa mawu, hemiparesis, kukweza mamvekedwe ka minofu.
Wosakhazikika, kukulitsa kanthawi pambuyo pa hypoglycemia yayikulu. Izi zikuphatikiza khunyu, encephalopathy, parkinsonism.

Zoyenera kuchita ngati magazi a magazi agwera

Ngati pali shuga wochepa wamagazi wofatsa pang'ono, ndiye kuti zidutswa za shuga kapena supuni ziwiri zitatu za uchi zithandizira kuthana ndi vutoli. Kuyambira zakumwa mutha kumwa tiyi wokoma kapena msuzi ndi zamkati. Kuphatikiza apo, akatswiri amakulangizani kuti mugwiritse ntchito:

1-2 caramel,
awiri mabwalo a chokoleti,
nthochi
ma apricots owuma
nkhuyu
prunes.

Koma kudya mosasamala zakudya zokhala ndi glucose wambiri sikofunikira. Mwachitsanzo, ngati pali chakudya chamafuta ambiri, ndiye kuti zimasokoneza kukoka kwa glucose, chifukwa chomwe sichingatheke kuthana ndi vutoli mwachangu. Pazizindikiro zoyambirira za vuto la hypoglycemic, osatsagana ndi kuzindikira, muyenera kudziwa momwe mungathandizire wovutikayo.

Muyenera kuchita izi:

kuyika kapena kuyika wodwala kuti akhale bwino,
perekani chakumwa cha shuga kapena perekani chidutswa cha shuga woyengetsa,
Siyani wozunzidwayo yekhayo mpaka mkhalidwe wake utakhala bwino.

Shuga ikatsika m'matenda a matenda ashuga ndipo matendawa amayesedwa kuti ndi oopsa, ambulansi iyenera kuyitanidwa. Akatswiri amafunika kupaka jakisoni wabwino kuti achepetse kuchuluka kwa magazi.Ngati, atatha theka la ola pambuyo poyesa kuchuluka kwa shuga, wodwalayo samva bwino, amapititsidwa kuchipatala. Kumeneko, amathandizira shuga kusiya mpaka azimva bwino.

Doctor of Medical Science, Mutu wa Institute of Diabetesology - Tatyana Yakovleva

Ndakhala ndikuphunzira matenda a shuga kwa zaka zambiri. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinology Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsiratu matenda ashuga. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 98%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipira mtengo wa mankhwalawo. Ku Russia, odwala matenda ashuga mpaka Meyi 18 (kuphatikiza) nditha kuipeza - Kwa ma ruble 147 okha!

Ngati shuga agwera mwadzidzidzi, akatswiri ambiri azaumoyo amalangizidwa kumwa mapiritsi a shuga. Zida zake zimatengedwa mwachangu m'magazi ndikuyamba kuchitapo kanthu nthawi yomweyo. Zotsatira zake, thupi silisowa kutaya nthawi kugaya chakudya kuti mupeze mphamvu. Ngati shuga agwera kwambiri, 1 g ya mankhwalawa imatha kuwonjezera ntchito ndi 0.28 mmol / L. Ndi vuto la hypoglycemic, iyi ndiye njira yabwino yothetsera vutoli.

Njira zina

Muzochita zamankhwala, akatswiri amalangizidwa kugwiritsa ntchito njira zachikhalidwe zamankhwala pogwiritsa ntchito mankhwala azomera. Amathandizira kubwezeretsa kagayidwe kachakudya kagayidwe kachakudya komanso kusintha matendawa kukhala ndi shuga komanso anthu athanzi. Chomera chothandiza ndi lingonberry, wort wa St. John, m'chiuno chamaluwa, plantain, adyo (tikulimbikitsidwa kuti muzidya mwatsopano).

Kuchokera pazomera zimapanga zofunikira komanso zomata zomwe zimaloleza thupi kuti liziwonekanso munthawi yochepa kwambiri. Mutha kugwiritsa ntchito izi: 1 supuni yayikulu yodzaza m'chiuno imaphatikizira 2 makapu amadzi otentha, osasankhidwa ndikuledzera theka kapu kawiri patsiku.

Kuphatikiza apo, chakudyacho chimakhudzanso wodwala. Wodwala matenda ashuga ayenera kudziwa zakudya zomwe ziyenera kuphatikizidwa m'zakudya, komanso zomwe ziyenera kupewa:

Zinthu zothandiza. Zakudya za munthu wodwala matenda ashuga ziyenera kuphatikizapo: nkhaka, phwetekere, kabichi, zukini, zakudya zam'nyanja, mkate wopanda tirigu, nyama yamafuta ochepa, zakumwa za mkaka wowawasa, mtedza, nyemba.
Chakudya choletsedwa. Maswiti, nthochi, mphesa, zakumwa zoziziritsa kukhosi, mowa samachotsedwa pamndandanda wa odwala matenda ashuga - mndandanda wazinthu zoletsedwa kwa odwala matenda ashuga.

Kupewa kutsika kwa shuga wamagazi

Popewa kuchepa kwambiri kwa shuga m'magazi, odwala matenda ashuga amalimbikitsa:

sinthani chakudyacho ndikuwonjezera chakudya chomwe chitha kumamwa nthawi yayitali,
Idyani m'magawo ang'onoang'ono, osachepera 5 patsiku,
ngati zizindikiro za hypoglycemia zimachitika usiku, ndiye kuti usiku kumalimbikitsidwa kudya chakudya chomwe chimatenga nthawi yayitali,
Ndi mankhwala a insulin, ndikofunikira kusintha mlingo kuti muchepetse kwambiri shuga.

Ngati hypoglycemia imapezeka mwa munthu wathanzi, ndikofunikira kupeza zomwe zimachitika. Mungafunike kuganiziranso za kadyedwe kanu ndi moyo wanu, kupatula zakumwa zoledzeretsa, kuphatikiza menyu ndi zakudya zamasamba. Ngati simungathe kupeza nokha zomwe zikukuchititsani, ndibwino kukaonana ndi dokotala.

Ngati shuga wochepa amawonedwa mwa mayi wapakati, ndiye kuti ayenera kutsatira zakudya zinazake kuti apewe zovuta. Thanzi liyenera kukhala logwirizana komanso lothandiza momwe mungathere.

Akatswiri amalimbikitsa odwala otere:

kudya zakudya zopatsa mphamvu nthawi zonse: chimanga, masamba,
monga zipatso zanu zamasiku onse, kuphatikiza zipatso za zipatso,
imwani mapuloteni ngati mbali yanyama yofiira,
imwani zakudya zamkaka (tchizi, yogati, tchizi chanyumba, kefir, mkaka wowotchera).

Ndi hypoglycemia, wodwalayo sayenera kunyalanyaza zizindikiro za momwe akumvera. Ndikwabwino kudziteteza kwakanthawi kuti musamagwire ntchito zolimbitsa thupi komanso kusinthira ku maphunziro olimbitsa thupi pang'ono (kusambira, kuthamanga pang'ono, kuyenda). Pali zifukwa zambiri zakugwa kwa shuga, koma kukhalabe ndi moyo wathanzi ndikukhalanso ndi chakudya choyenera kumathetsa mavuto ambiri ndikuletsa zovuta zazikulu. Chachikulu ndikuyang'ana dokotala munthawi yake ngati vutolo likuipiraipira. Mu shuga, vutoli liyenera kuthetsedwa limodzi ndi katswiri.

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. werengani zambiri >>