Zomwe zimayambitsa shuga wochepa wamagazi, Zizindikiro ndi chithandizo cha hypoglycemia

Mwazi wamchere wochepa umabweretsa kuphwanya gawo lofunika kwambiri m'moyo - kukhalapo kwa mkati mwa thupi. M'mabuku azachipatala, izi zimawonetsedwa ndi liwu la hypoglycemia, lomwe limamasulira kuchokera ku chilankhulo cha Latin kuti "glucose wotsika."

Anthu ambiri amamvetsa chifukwa chake shuga wambiri ndiwosavulaza. Cholinga cha izi ndi kuchuluka kwambiri kwa matenda ashuga - anthu ambiri amadziwa bwino matendawa. Koma ndi anthu ochepa omwe amadziwa kuti hypoglycemia ikhoza kukhala ndi ngozi yayikulu kwambiri pamoyo.

Chifukwa chiyani thupi likufunika shuga

Glucose ndi amodzi mwa michere yofunika kwambiri. Chifukwa cha monosaccharide, maselo ambiri amthupi amakhala ndi kupuma kwam'mero, pomwe khungu, monga chothandizira cha nyukiliya, limadzipatsa mphamvu.

Ubongo ndiye gawo lofunikira kwambiri pakuchepetsa shuga, chifukwa ma neuron amafunikira mphamvu zambiri zapamtunda (ATP) pantchito yawo ndipo satha kuuphatikiza ndi michere ina. Izi ndichifukwa choti mamolekyu akulu sangadutse mu makina oteteza ubongo - chotchinga-magazi chotchinga - ndikulowa mu neuron.

Maselo ena amthupi samvera kwenikweni hypoglycemia. Kuphatikiza apo, sizivutika kwambiri ngati zitulutsa mphamvu kuchokera kwazinthu zina. Koma pakalibe glucose, amatha "kupuma" posakhalitsa ndi michere ina, popeza zinthu zina zimapanga mphamvu zochepa.

Kodi hypoglycemia ndi chiyani?

Hypoglycemia ndi mkhalidwe pomwe shuga m'magazi amatsika pansi pa 3.0 mmol / L, ndipo kuchepa kwake kwakanema kungayambitse kuchepa kwa hypoglycemic ngakhale ndi shuga wamagazi a 2.5 mmol. Zakuti kuchepa kwa 1 unit kungakhale koopsa m'moyo kuposa kuchuluka kwa shuga ndi mayunitsi 20-30, ndipo ngozi yeniyeni ya izi ndi yobisika.

Iatrogenic

Nthawi zambiri, amayamba chifukwa cha kuperewera kwa mankhwala osokoneza bongo omwe amachepetsa matenda a shuga a mitundu yoyamba ndi yachiwiri. Zinthu ngati izi zimachitika osati chifukwa chawerengera molakwika kuchuluka kwa mankhwalawa, komanso chifukwa chakuti mulingo woyenera umatha kusintha molakwika chifukwa cha zinthu zakunja ndi zamkati. Zitsanzo za zochitika zotere ndi izi.

Zolakwika pakuwerengera kuchuluka kwa insulin. Insulin ndi mahomoni amphamvu kwambiri opangidwa m'thupi la munthu ndi kapamba. Kuperewera kwake chifukwa cha kuwonongeka kwa maselo a pancreatic beta kumabweretsa chitukuko cha matenda a shuga 1. Chifukwa chake, timadzi tonenepa timaloledwa kupanga ndi analogue yopanga yomwe imabayidwa. Koma posankha mlingo, odwala amalakwitsa nthawi zambiri, ndipo mlingo waukulu kwambiri ungayambitse kuchepa kwa shuga m'magazi m'munsi molondola.
Kuphwanya zakudya. Ndi matenda a shuga, ndikofunikira kudya munthawi yochepa komanso moyenera. Zimachitika kuti wodwala atatha kulandira insulin amaiwala kudya. Mwa zochita zake, insulin imayendetsa glucose mu depot, ndipo glucose watsopano sanalandiridwe chifukwa chosowa chakudya. Pankhaniyi, mphindi zochepa pambuyo pake, zizindikiro za shuga wochepa wamagazi zimawonekera.
Kuchulukitsa zolimbitsa thupi. Ngakhale ndi insulin yokwanira, hypoglycemia imatha kuchitika motsutsana ndi maziko olimbitsa thupi kwambiri, chifukwa thupi lidadya glucose ochulukirapo kuposa momwe adawerengetsera.
Impso kapena chiwindi kulephera. Izi zimafunanso kuchepa kwa insulin, chifukwa amasintha kagayidwe kazinthu, kuphatikiza shuga ndi insulin palokha.
Matenda owopsa komanso kupsinjika. Njira ina yankho losakwanira kwa mankhwala ochepetsa shuga ndikusintha kwamalingaliro a ma cell receptors kwa iwo motsutsana ndi maziko a matenda kapena kupsinjika. Matenda oyamba ndi mavairasi, matenda am'mimba, chibayo, kapena kupsinjika kwambiri kumawonjezera kufunikira kwa mphamvu kwa amisala, chifukwa chotsatira chake insulin yayikulu kwambiri, imayambitsa hypoglycemia. Chifukwa chake, ndikofunikira kusintha mlingo wa gawo lililonse la matenda omwe ali pachimake.
Mapiritsi ochepetsa shuga. Anthu omwe ali ndi matenda a shuga a 2 amwa mapiritsi ochepetsa shuga. Kuchuluka kwambiri kwa zinthu zotere kumatha kuyambitsanso hypoglycemia.

Amakumana ndi mbiri yakudwala kapena moyo wopanda ulemu wa munthu yemwe sanadwalidwepo kale ndi matenda ashuga. Zitsanzo zoterezi zalembedwa pansipa.

Tumor (insulinoma). Pancreatic chotupa chotulutsa insulin. Nthawi zambiri zimakhala zopanda pake. Zimachitika kawirikawiri, nthawi zambiri pakatikati. Mwachilengedwe, amachokera ku ma cell a beta a kapamba, chifukwa chake ndi adenoma - chotupa cha glandular. Pankhaniyi, kapamba amapanga insulin yayikulu mosalamulirika, imayambitsa matenda a hypoglycemia. Oncology iyi imadzithandizira pakuchita opareshoni, yomwe imakuthandizani kuti muchotse chotupacho kamodzi. Koma ndikofunikira kudziwa kuti pambuyo pochotsa kuchuluka kwakukulu kwa neoplasm, chithandizo chotsatira cha insulini chotsatira ndikofunikira, chifukwa maselo otsalawo sakwanira kuphatikiza kuchuluka kokwanira kwa mahomoni.
Zakudya zopanda pake. Zakudya zosakwanira pakusala kudya kumabweretsa kuchepa kwa shuga m'magazi. Ndikofunika kudziwa kuti matendawo samakula msanga - mkati mwa miyezi isanu mpaka isanu ndi umodzi ya kuchepetsedwa kwa zakudya kapena masabata atatu atatha kukana chakudya kwathunthu. Kulipidwa kwakanthawi kotereku kumachitika chifukwa chiwindi chimakhala ndi gawo lalikulu lama glucose precursor - glycogen, omwe pamavuto ena amasintha kukhala shuga wofunikira m'thupi. Hypoglycemia imatha kuchitika ngakhale nditakhala ndi chakudya chokwanira, koma chopanda thanzi, pakakhala mafuta ochepa mu chakudya.
Kupanikizika kwambiri. Pogwira ntchito molimbika, thupi limadya glucose kangapo kuposa momwe limakhalira, zomwe zingayambitse kuchepa kwa shuga m'magazi. Gululi liyeneranso kuphatikizira kupsinjika kwa malingaliro. Osaneneka kokwanira, kuwerenga kosawerengeka, kuwerengera, kapena kupanga mapulani kumayambitsa hypoglycemia.
Nthawi ya bere. Mwazi wochepa wamagazi mwa akazi ukhoza kukhala chifukwa cha pakati.
Mlingo waukulu wa mowa. Kumwa zakumwa zoledzeretsa kumangokulitsa kuchuluka kwa shuga kwakanthawi kochepa, kenako kumachepa kwambiri. Chifukwa chake, anthu omwe ali ndi vuto loledzera amakhala ndi zizindikiro za hypoglycemia.

Mawonetseredwe azachipatala

Hypoglycemia ndi hypoglycemic coma ndi magawo osiyanasiyana amomwewo. Nthawi yomweyo, hypoglycemia imasinthika mosakhazikika ngati kuchuluka kwa shuga sikungakonzedwe panthawi.

Zizindikiro zoyambirira za hypoglycemia ndi:

chizungulire
kuyera mumaso
kufooka
nseru
tinnitus
kuzindikira kwakutali mtunda / nthawi,
nkhanza zosakwiya komanso kusakwiya,
kutuluka thukuta kwambiri.

Zizindikiro zakuchepa kwa glycemia zikuphatikiza:

kunjenjemera [kanjenjemera] kwamanja ndi miyendo,
kukokana
kupuma kosakhazikika
chisokonezo,
kulephera kudziwa
chikomokere.

Zizindikiro zomwe zili pamwambazi sizitanthauza kuti zimathandizana wina ndi mnzake. Kutsika kwakukulu kwa glucose, zonse zimachitika pa liwiro la mphezi - zimatha kutenga mphindi zochepa kuchokera pakukhutira mpaka kumapeto kwa chikomokere. Awa ndi vuto lalikulu lomwe munthu sachita nawo chidwi zakunja. Koma poyerekeza ndi ma comma ena, ndichabwino kwambiri komanso chokwanira ndikulandira chithandizo chokwanira.

Ana amamvera kwambiri kusinthasintha kwa shuga. Zizindikiro zawo za hypoglycemia zimatchulidwa kwambiri ndipo zimakula mwachangu kuposa akulu. Hypoglycemia imatha kukhalanso mwa mwana wobadwa kwa mayi wa matenda ashuga. Izi ndichifukwa choti m'thupi la mayi mwana wosabadwayo amakhala mu vuto la hyperglycemia. Kansa ya mwana imayamba kutulutsa insulin yochuluka kwambiri kuti ivute. Mwana akangobadwa kumene, mphamvu za magazi a mayi zimazimiririka, ndipo insulin yakeyo imatsala. Munthawi imeneyi, kuchuluka kwa mahomoni ambiri a hypoglycemic kungayambitse mwana ku hypoglycemia ngakhalenso kukomoka. Chifukwa chake, pakatha masiku owerengeka, ana otere amafunika kuyang'aniridwa ndi madokotala.

Kuzindikira

Njira zotsatirazi zimakupatsani mwayi wodziwikitsa ndikudziwa zomwe zimayambitsa hypoglycemia.

Mbiri kutenga. Njira iyi imakuthandizani kuti mudziwe za provocateurs a hypoglycemia. Kwa odwala matenda ashuga, ndikofunikira kubwereza kuyesa kwa magazi ndikusintha kuchuluka kwa mankhwala ochepetsa shuga. Popeza taphunzira kuchokera kwa wodwalayo komanso abale ake, pambuyo pake zomwe zachitika, ndizotheka kuzindikira zomwe zimayambitsa kuperewera kwa zakudya, kupsinjika kwakukulu. Palibe zifukwa zomveka, ndikofunikira kuganizira zachilengedwe zomwe zikuchitika (chotupa) ndikupanga kafukufuku wowonjezera.
Laborator diagnostics. Kuyesedwa kwa shuga kumakupatsani mwayi wolondola kuchuluka kwa shuga panthawi yophunzirira. Aliyense wodwala matenda ashuga ali ndi glucometer yake, yomwe tsiku ndi tsiku mumayang'anitsitsa njira ya glycemia komanso maminiti ochepa kuti mupange mayeso a magazi. Chida choterechi ndi chosavuta komanso chosavuta kugwiritsa ntchito. Zizindikiro zolondola kwambiri za glycemia zitha kutsimikizika pokhapokha ngati mukupenda ma plasma a magazi.
Kafukufuku wa G-peptides. Njirayi ndiyabwino kuzindikira molondola za hypoglycemia ndipo imagwiritsidwa ntchito kwambiri ndi mankhwala amakono. Phunziroli limasiyanitsa mtundu wa iatrogenic wa hypoglycemia ndi wowona. G-peptide ndi chinthu chopangidwa ndi insulin. Ndikupanga chotupa chotsutsana ndi maziko a kuchuluka kwa mahomoni, kaphatikizidwe ka peptide kameneka kamawonjezereka, komwe kungatsimikizidwe pogwiritsa ntchito kusanthula kwa labotale. Pomwe mlingo wambiri wa insulin umayendetsedwa, mahomoni ake omwe amaleka kupangidwa, chifukwa chake, kuphatikizidwa kwa G peptide kumacheperanso.
Njira zowonera. Magnetic resonance imaging kapena spiral computed tomography imatsimikiza kapena kutsutsa kukhalapo kwa neoplasms ndikusintha momwe iwo adzachitidwire opareshoni. Kuphatikiza apo, neoplasm biopsy ikhoza kuchitidwa ndi maphunziro aposachedwa a cytological ndi histological.

Momwe mungathandizire wodwala

Osatengera chomwe chimayambitsa hypoglycemia, thandizo loyamba kwa wodwala liyenera kukhala ndi cholinga chokulitsa shuga. Zolemba zamakono zamankhwala azidzidzidzi zimati musayese ngakhale mutayesa kudziwa ngati kukomoka kumayambitsa hypoglycemia kapena hyperglycemia - mukungofunika kukweza shuga. Izi ndichifukwa choti hypoglycemia imakhala yowopsa m'moyo ndipo imafuna kuwongoleredwa nthawi yomweyo, mosiyana ndi hyperglycemia.

Kunyumba komanso mumsewu

Munthawi zapakhomo kapena pamsewu, ngakhale anthu osadziwa zambiri amatha kupulumutsa moyo wamunthu. Kuti izi zitheke, ngati munthu adakali wodziwa chilichonse, ndi bwino kumupatsa kena kotsekemera:

Ngati munthu akadali ndi chidwi, muyenera kudziwa ngati ali ndi zotsutsana ndi malonda ake - mu mawonekedwe a ziwengo ku uchi kapena maswiti. Zowonadi, mu mawonekedwe awa, chamoyo chokhala ndi hypersensitive chingayankhe kwa allergen ndi mantha a anaphylactic.

Kunyumba, mutha kutenthetsa kapu yamadzi mwachangu kuti mutenthedwe kutentha ndikupukuta supuni zitatu za shuga mkati mwake. Madzi a shuga oterowo amayenera kuperekedwa kwa wodwala kuti amwe kudzera chubu - yankho limalowa mwachangu m'matumbo aang'ono, ndipo kuchokera pamenepo amalowe m'magazi. Zithandizo monga wowerengeka monga rosehip kulowetsedwa ndi chinangwa sizili zoyenera gawo la hypoglycemia, popeza m'magazi mulibe shuga. Ndikwabwino kupatsa wodwalayo shuga.

Mu chipatala

Hypoglycemic chikomacho chimachiritsidwa kumalo osamalitsa odwala, monga momwe matendawa amapumira komanso ma palpitation amatha, omwe amafunika kuti ayambitsenso. Kuti achulukitse shuga m'magazi, madokotala amapereka ma glucose ndi glucagon njira mwachangu komanso kuthetseratu insulini.

Chithandizo cha opaleshoni ya insulinoma chimachitika ndi njira zotsekedwa kapena zotseguka. Njira ya laparoscopic (yotsekedwa) imakhala ndi zotsatira zabwino, nthawi yochepa yothandizirana komanso zovuta zochepa. Koma kugwiritsa ntchito kwake kuli ndi malire. Chifukwa chake, madokotala nthawi zambiri amagwiritsa ntchito njira yotseguka ya opareshoni. Insulinoma nthawi zambiri imakhala ndi vuto loyipa, chifukwa chake, chemotherapy imachitika pokhapokha.

Kupewa

Kupewa kwa magawo a hypoglycemia mu odwala matenda ashuga umalimbana ndi kusankha mankhwala oyenera a hypoglycemic. Kuphatikiza apo, munthu aliyense amene amamwa mankhwalawa amayenera kumvetsetsa kuti kusintha zakudya, zochita zolimbitsa thupi kapena matenda oyambitsidwa ndi majeremusi kumayambitsa hypoglycemia. Muzochitika izi, muyenera kufunsa dokotala wanu kuti akupatseni malangizo. Anthu odwala matenda ashuga ayenera kutsatira mndandanda wosamalitsa ndikulimbikitsa moyo kuti asasinthe mlingo wa mankhwalawo. Gluceter ndi glucagon wa jekeseni amayenera kunyamulidwa nanu pafupipafupi.

Hypoglycemia motsutsana ndi maziko osadya mokwanira kapena katundu wambiri amafuna kulimbikitsidwa kwamakhalidwe. Mutachepetsa katundu ndikudya zakudya zopatsa thanzi, Zizindikiro za hypoglycemia zimatha ndipo safunikira chithandizo chilichonse chamankhwala. Hypoglycemia mu zakumwa zoledzeretsa zimakonzedwa pokana kumwa mowa ndikuyamba moyo wathanzi.

Anthu omwe ali ndi vuto la hypoglycemia ayenera kupewa kupsinjika ndi kudya, kudya kwambiri komanso moyenera. Zakudya ziyenera kukhala ndi zinthu zonse zofunika: mapuloteni, mafuta, chakudya, mavitamini ndi zinthu zina. Zakudya ziyenera kubwerezedwa (kanthawi kasanu ndi kamodzi patsiku), muzigawo zochepa.

Osapeputsa shuga wotsika magazi. Ndi owopsa osati thanzi, komanso moyo. Ngakhale gawo limodzi litachitika, muyenera kufunsa dokotala.