Asymptomatic hypoglycemia

Anthu ambiri akamva mawuwa hypoglycemiazodabwitsa - ndi chiyani?

Umu ndi momwe mkhalidwe wama glucose mthupi umachepetsera kwambiri.

Zimagwira makamaka kwambiri kuperewera kwa mphamvu bongo: iye 30 zina zakudya zofunikakuposa ma cell ena.

Zimachitika kuti miniti itatsika ndi shuga m'magazi munthu amakhala pachiwopsezo chokhala kuti akumwa.
Ichi ndichifukwa chake ndikofunikira kudziwa chifukwa chomwe izi zimachitika mthupi, zomwe muyenera kuchita komanso momwe mungapewere.

Anthu ambiri amakhulupirira kuti hypoglycemia imangopezeka mu shuga.

Zowonadi, chiwonetserochi ndichofanana kwa odwala matenda ashuga ndipo amatha kuchitika ndi:

• Mlingo wambiri wa insulin kapena mapiritsi a hypoglycemic,
• nthawi yayitali pakudya,
• kulimbitsa thupi kwambiri
• kusala mowa.

Koma vuto limatha kukhalapo pokhapokha patapezeka kuti pali matenda a shuga.

Hypoglycemia yopanda matenda ashuga (yamanga) imakhala ndi:

• chakudya (chifukwa chopanga insulin)
• kusala kudya kapena kuchita masewera olimbitsa thupi (chifukwa cha kuwononga mphamvu kuchokera kumalo osungirako thupi),
• kuledzera (ndi dontho lakuthwa pamlingo wamafuta m'magazi),
• kuphwanya adrenal ntchito (glucocorticoid kulephera kupanga),
• zotupa mu kapamba (ndi insulin yambiri)
• hypothyroidism (kupanga mahomoni a chithokomiro ndi operewera),
• mimba ndi kuyamwitsa ("Lumpha" muyezo wa shuga).

Njira yopititsira patsogolo

Mchere wotsika umanenedwa kukhala wotsika 3.3 mmol / L kwa akulu.

Pamene shuga ali pansi pa 2.75 mmol / L ntchito zambiri zofunika zimayamba kusokonekera mwa munthu.
Komabe, kuchuluka kwa shuga kumathandizanso.

Ena odwala matenda ashuga amamva kulolera ngakhale glucose wa 2.2 mmol / L.

Ngati glucose wamagazi amatsika pansi pa 1.8 mmol / L, Izi ndizowopsa, chifukwa zimayambitsa kukomoka.

Miyezo ya hypoglycemia

Malinga ndi kukula kwa zizindikiro, madigiri atatu amasiyanitsidwa: ofatsa, odziletsa komanso okhwima.

1 (kufatsa) digiri ya matendawa ndi yodziwika bwino:

• kugwirana chanza
• thukuta
• womvera
• njala
• kusakhazikika.

Ndi degree yofatsa, munthu amatha kupereka thandizo lofunikira kwa thupi lake.

Ndi digiri ya 2 (sing'anga), zizindikiro zimalumikizana:

• kukwiya kwambiri kapena kugona.
• thukuta, thukuta lozizira,
• maonekedwe a dzanzi m'thupi,
• masomphenya osalala
• tachycardia
• "Makondo mawotoni."

Nthawi zambiri gawo ili limasokonezedwa ndi kuledzera. Ndi gawo lachiwiri, munthu akufunika kale thandizo pakulowetsa shuga mkamwa mwake.

Ndi digiri 3 (yoopsa), zizindikiro zimawonekera:

• chisokonezo
• kukokana (kutikumbutsanso khunyu)
• kuphwanya kwa kumeza
• kutaya chikumbumtima ndi kukula kwa chikomokere.

Zizindikiro zakuchepa kwa shuga ndimwazi woteteza, zomwe zikuwonetsa kufunikira kwakanthawi kofikitsa chakudya chamafuta m'thupi.

Zizindikiro zake zitha kuchepa m'magazi a magazi m'magazi:

• thukuta
• kugona
• kutopa
• kulakalaka
• kuda nkhawa kapena kuda nkhawa
• chidwi.

Munthu akhoza kukhala ndi zingapo mwazizindikirozi.

Kuwonetsera kodziwika kwambiri kwa hypoglycemia ndiko kutopa kwambiri ndi kufooka, osadutsa ngakhale mutapuma bwino.

Nthawi zambiri izi amadutsa atatha kudya, makamaka kudya zakudya zotsekemera.

Ngati simugwirizana nawo, izi zitha kuipiraipira.

Momwe mungadziwire kuwukira kwakuopsa kwa hypoglycemia? Imadziwonekera mu mawonekedwe:

• thukuta
• kuchuluka kapena kukwiya mwadzidzidzi kumatha kukomoka,
• kukokana.

Zizindikiro mwa ana

Ana omwe ali ndi kuchepa kwa shuga m'magazi mawonetseredwe monga chizungulire, kufooka ndi kusokonezeka kwa chikhalidwe (kusinthasintha, kusagwira bwino ntchito, kusamvera), kukhudzidwa kumakhala ndi chikhalidwe.

Ana osakwana zaka 5 sangathe kudzipenda kuti athe kudzithandiza okha.

Chifukwa chake, mwa ana, mawonekedwe ofatsa amatha kusintha kukhala okhwima.

Ndikofunika kuti makolo a mwana adziwitse malo awo panthawi za kuthekera kogwidwa khanda lotere komanso kuti samadwala khunyu.

Coma ngozi

Fomu yakuwala zitha kudutsa popanda zotsatira.
Komabe, mitundu yokhazikika ya matendawa imatha kubweretsa zovuta zina mthupi.
Chifukwa chake kugona kwa nthawi yayitali hypoglycemia mu odwala matenda ashuga amakhala ndi vuto la kukumbukira komanso kusamala, myocardial ischemia.

Fomu yolemetsa Itha kutha kukomoka ndipo imabweretsa zotsatirapo zina zosagwirizana ndi vuto la ubongo (mpaka matenda a dementia).

Odwala omwe ali ndi mtima wamitsempha, chikomokere chimatha kuyambitsa matenda a mtima, stroko.
Imfa ya hypoglycemic coma nthawi zambiri imatha.

Thandizo Loyamba la a Hypoglycemia Diabetesics

Zomwe odwala matenda ashuga ayenera kudziwa pavuto ili:

1. Zizindikiro zakuchepa kwa shuga m'magazi zikaonekera koyamba, munthu wodwala matenda ashuga amafunika yerekezani mulingo wake ndi glucometer.
2. Ngati chizindikirochi ndi magawo 0,6 kutsika kuposa masiku onse kapena kutsika, Zakudya zam'mimba zomwe zimafunikira mwachangu (mapiritsi kapena ma ampoules a shuga, madzi otsekemera, shuga, uchi). Nthawi zambiri zokwanira 5-15 g zotere. Ngati pakadutsa mphindi 10 shuga sakukwera, kuchuluka kwa mafuta omwe amapezeka mu mgawo womwewo muyenera kubwereza,
3. Zizindikiro zikawoneka koposera 2 pa sabata, wodwala ayenera kufunsa dokotala,
4. Aliyense amene ali ndi matenda ashuga azikhala ndi nthawi zonse zotsekemera kuti apewe izi. (shuga, madzi otsekemera, mapiritsi a shuga),
5. Ngati munthu sangathe kutenga yekha maswiti payekha, amafunika thandizo pamenepa. Ngati wodwalayo sakuyenda bwino kapena kuti ali ndi chikumbumtima, ndiye kuti mufunika kuyimbira ambulansi.

Asanayambe kuchipatala, kukhazikitsidwa kwa njira ya glucagon 10% kapena 40% shuga kumagwiritsidwa ntchito. Mu chipatala chokhala ndi vuto ili, kulowetsedwa kwamkati mwa njira ya glucose nthawi zambiri amagwiritsidwa ntchito.

Mu gawo la hypoglycemic chikomokere, wodwalayo amaikidwa m'chipinda chamankhwala osamala kwambiri chothandizira kupweteketsa magazi.
M'tsogolo mankhwalawa zikuchitika poganizira zomwe zimayambitsa vutoli.

Kodi chingapangitse matendawa ndi chiyani?

Pali zinthu zambiri zomwe zimayambitsa kutsika kwa shuga. Komabe, zoyambilira kwambiri ndizosiyanitsidwa.

• Njala. Mwa anthu athanzi, kuchepa kwa shuga m'magazi nthawi zambiri kumalumikizidwa ndi kukana kwa nthawi yayitali chakudya. Kupesa ndikosavuta kupeza apa: thupi limagwiritsa ntchito mphamvu nthawi zonse, koma palibe chomwe chimabwezeretsa. Masheya "mafuta" akutha pang'onopang'ono.
• The yogwira hypoglycemia. Cholinga chakuchepa kwa shuga ndi kumwa kwambiri kwa zakudya zamafuta. Zimamveka chachilendo, chifukwa kuyambira pakumwa ma carbohydrate, shuga ayenera kuchuluka. Koma kupanga insulin kumawonjezera pamenepa, komwe kumapangitsa kuti pakhale hypoglycemia.
• Hypoglycemia yomwe imachitika mu shuga. Zikuwoneka kuti ndi matenda ashuga, kuchuluka kwa shuga m'magazi kuyenera kuchuluka, osati kutsitsidwa, koma tikulankhula za kugwiritsa ntchito mankhwala osokoneza bongo omwe cholinga chake ndi kuchepetsa kuchuluka kwa shuga m'magazi. Pankhaniyi, shuga sangabwerere mwachizolowezi, ndipo padzakhala wina - hypoglycemia.
• Mowa woledzera chifukwa chodzetsa vuto la hypoglycemia. Zizindikiro zimayamba chifukwa chakuti mowa umagwiritsidwa ntchito moperewera, kuchuluka kwa mafuta m'thupi m'chiwindi kumatsika kwambiri: mphamvu zonse za chiwalochi zimagwiritsidwa ntchito poyeretsa thupi la poizoni yemwe amapezeka pakumwa.
• Zochita zolimbitsa thupi zazitali. Pazolimbitsa thupi, makamaka ngati zimakhala nthawi yayitali, mphamvu zimagwiritsidwa ntchito kwambiri.Izi zimakonda kugwiritsidwa ntchito ndi othamanga omwe akufuna kuti athetse mafuta osunthika, chifukwa pamene kuphatikiza kwakukulu kwa glucose kumagwiritsidwa ntchito, thupi limayamba kugwiritsa ntchito mphamvu zobisika. Komabe, ndikofunikira kuti osachulukitsa: hypoglycemia yayala ndi zovuta zambiri.
• Insulinoma. Chotupa chamafuta chotere chomwe chimakhala pa kapamba chimatha kutulutsa insulin yochulukirapo, yomwe imayambitsa hypoglycemia.
• Mimba komanso kuyamwa. Mwa amayi omwe amakhala ndi mwana kapena yoyamwitsa, shuga nthawi zambiri "amalumpha", kuphatikizanso, onse pansi ndi kupitilira. Chifukwa chake, panthawi yapakati ndikofunikira kuyang'anira kuchuluka kwa shuga m'magazi kuti tisaphonye gawo la hypoglycemic.
• Hypothyroidism Matendawa amakhala ndi kuphwanya mtundu wa mahomoni a chithokomiro, omwe, pomwepo, angayambitse matenda monga hypoglycemia.
• Kuphwanya milingo ya adrenal. Ntchito za adrenal glands zimaphatikizapo, mwa zinthu zina, kupanga glucocorticoids - mahomoni omwe amaphatikizidwa ndi kagayidwe kazachilengedwe. Pakuperewera kwa adrenal kumachitika, kubisala kwa mahomoni awa kwathunthu ndikosatheka.

Mwa zina, kubadwa kwa thupi kumatha kupangitsa kuti shuga achepetse - nthawi zina kuphwanya kupanga kwa ma enzyme ena kumatsimikiziridwa.

Mwazi wamagazi

Ntchito yofunikira yamthupi imathandizidwa ndi metabolic process. Ichi ndi kagayidwe kamene kamatsimikizira kuti kulowa kwa maselo a zinthu zonse zofunika kufufuza ndi mphamvu, komanso katemera wa zinyalala za maselo. Kuti bongo ndi ziwalo zonse zizigwira ntchito, glucose ndiyofunikira choyamba. Amaperekedwa kwa thupi kokha ndi chakudya. Koma osati shuga wokhawo yemwe amapangitsa kuti shuga azikhala wathanzi. Amapangidwanso kuchokera ku chakudya chilichonse. Zonsezi zimakonzedwa mosiyanasiyana.

Insulini, mahomoni apadera, amafunikira kuti glucose atenge ma cell. Shuga atangolowa m'magazi kuchokera m'matumbo, izi zimayamba kupangidwa kwambiri ndi kapamba. Insulin imathandizira maselo kugwiritsa ntchito shuga omwe amapereka, kuwasandutsa mphamvu. Mwa anthu athanzi, amapangidwa ndendende monga momwe amafunikira kuti shuga a chakudya azichotsa. Kuphatikiza apo, pali zosungirako zam'magazi m'thupi momwe muli glycogen, yomwe imapezeka m'chiwindi. Ndipo zochuluka zamafuta zimasungidwanso m'mafuta.

Chifukwa chake, ndikofunikira kuti shuga azikhala pafupipafupi m'magazi. Kuchulukitsa kumatha kubweretsa kunenepa kwambiri kapena matenda ashuga, ndipo ndi shuga wochepa kwambiri hypoglycemia imayamba. Insulin imagwiritsa ntchito shuga m'magazi, nthawi zambiri izi zimachitika pamene mlingo wa mankhwalawo siolondola kwa odwala matenda ashuga. Koma imathanso kukhala mwa anthu athanzi lokhala ndi zakudya zopanda thanzi.

Kodi hypoglycemia ndi chiyani?

Mlingo wabwinobwino wamagazi m'magazi a munthu wathanzi amachokera ku 3,8 mpaka 6.5 mmol / L. Ngati chizindikirochi chikutsikira ku 3,3 kapena kutsika, hypoglycemia imayamba. Awa ndi mkhalidwe wamavuto omwe ungawononge moyo wa wodwala ngati sanayime. Nthawi zambiri, kutsika kwamphamvu kwa glucose kumachitika mwa odwala matenda ashuga omwe amadzipaka okha ndi mankhwala ochuluka a insulin kapena osatsatira zakudya zomwe dokotala amafunikira. Koma hypoglycemia ndi vuto lomwe limatha kupezeka mwa anthu athanzi labwino. Kudya shuga wokwanira m'zakudya, kuwononga mphamvu zambiri, kupsinjika kapena kumwa mankhwala enaake kungayambitse matenda amenewa.

Magawo otukuka

Zizindikiro za hypoglycemia zimasiyanasiyana malinga ndi kuopsa kwa matendawa. Pali magawo atatu: opepuka, apakati komanso olemera. Ndi hypoglycemia yofatsa, kuchuluka kwa shuga kumatsika pansi 3.8 mmol / L. Munthu akhoza kukhala ndi njala, kapena, nseru, amayamba kuzizira, kugunda kwa mtima wake kungachuluke.Pali nkhawa yosasinthika, kusakwiya. Anthu athanzi nthawi zambiri samalumikizana ndi zizindikiro zoyambirira izi za hypoglycemia ndendende ndi kuchepetsa shuga. Maganizo amenewa amachititsa kuti magazi azikhala ochepa komanso kuti magazi azikhala ochepa.

Mulingo wake ukafika 2.8 mmol / l, hypoglycemia imakula. Pankhaniyi, zizindikiro zonse zimakulitsidwa: kusakwiya, kuda nkhawa, kusokonezeka kwa chikumbumtima komanso kukumbukira. Maso a wodwalayo akuipiraipira, ndipo mutu wake ukupindika. Kufooka kwamphamvu kumakula, kugwirizanitsa kwamayendedwe kumatha kusokonezeka. Ngati nthawi siyithandiza ndi kuchuluka kwa hypoglycemia, imangokhala gawo lotsiriza. Komanso, kuwonongeka kumatha kuyamba mwachangu kwambiri. Kwenikweni mphindi 20-30, hypoglycemia imadutsa gawo lovuta kwambiri.

Mlingo wa glucose pamenepa umafika ku 2.2 mmol / L ndikutsikira pansipa. Wodwalayo amakumana ndi zovuta zambiri, nkhanza ndizotheka. Kutentha kwa thupi kumachepa kwambiri, thukuta limakulirakulira. Nthawi zambiri pamakhala kukokana kwamphongo komwe minofu kwa nthawi yayitali imatha kupumula, kugwedezeka kwa manja. Wodwala amatha kulephera kuzindikira. Munthawi imeneyi, salinso kudzithandiza, chifukwa chake ayenera kupita kuchipatala. Pa mulingo wa shuga pansi pa 2 mmol / L, kumatha kukomoka kwa hypoglycemic, komwe kumatha kupha.

Hypoglycemia: zomwe zimayambitsa

Odwala omwe ali ndi matenda a shuga, matenda oterewa amatha kuchitika chifukwa chamankhwala osayenera kapena kadyedwe koyenera. Ndipo chifukwa chiyani hypoglycemia imakula mwa anthu athanzi? Pali zifukwa zosiyanasiyana zomwe zingayambitse:

Matenda oyambitsa hypoglycemia

Nthawi zambiri, kutsika kwa shuga m'magazi kumayamba chifukwa cha zovuta zosiyanasiyana zaumoyo. Ndi matenda ati omwe amayambitsa hypoglycemia?

• Matenda a shuga.
• Hypothyroidism, adrenal gland.
• Insulinoma ndi chotupa pa kapamba.
• Matenda a chiwindi, makamaka matenda a chiwindi ndi hepatitis.
• Matenda am'mimba thirakiti lomwe limatsogolera kulowetsedwa kwa chakudya.
• Meningitis, encephalitis.
• Kulephera kwa mtima.
• Matenda a impso.
• Sepsis.
• Congenital pathologies a insulin katulutsidwe ndi shuga.

Hypoglycemia mu shuga

Nthawi zambiri, izi zimachitika ngati munthu ali ndi matenda a shuga omwe amadalira insulin. Hypoglycemia imayamba pamene wodwala apereka insulin yayikulu kuposa momwe amafunikira pokonzekera shuga m'magazi. Kupatula apo, odwala matenda ashuga alibe nkhokwe zazikulu za glycogen, amakakamizidwa kuti azilamulira kuchuluka kwa mafuta omwe amalowa mthupi. Ndi matendawa, muyenera kutsatira chakudya chokhazikika, kuwerengetsa kuchuluka kwa glucose omwe muyenera kudya (imawerengedwa mu XE - magawo a mkate) kutengera zolimbitsa thupi. Koma zolakwika zimakhala zotheka m'magawo oyamba a matendawa, komanso kuphwanya malamulo a tsiku ndi tsiku kapena zakudya. Mu matenda ashuga, matenda a hypoglycemia amayamba chifukwa chotsatira:

• Mlingo wolakwika wa insulin
• kumwa mowa
• kudya kwotalikirapo, nthawi zambiri ngakhale kulumpha chakudya chimodzi kumapangitsa kutsika kwamisempha,
• chakudya chamagulu ochepa chakudya,
• kugwiritsa ntchito mankhwala omwe amalimbikitsa zochitika za insulin, monga "Aspirin", "Warfarin", "Glinaza" ndi ena.

Kuphatikiza pa kuchepa kwa m'magazi a shuga, ndimatenda am'mimba, matenda a hypoglycemia amachitika. Wodwalayo amamva zizindikiro zonse za matenda mu nthawi yomwe shuga amatsika kwambiri kuchokera pamlingo wofikira. Kuti mupewe mavuto, odwala matenda ashuga ayenera kutsatira zakudya mosamalitsa, kutsatira malangizo onse a dokotala ndikuwonetsetsa shuga ya magazi kangapo patsiku.

Hypoglycemia syndrome

Magazi a shuga amatha kuchepa pang'onopang'ono, ndipo amatha kutsika kwambiri pakuwerengedwa kovuta. Mlandu wachiwiri, amalankhula za kuukira kwa hypoglycemia, pomwe wodwalayo angagwe.Koma kuchepa kwapang'onopang'ono kwa glucose komanso kutsika kwake kosavomerezeka kumakhalanso koopsa. Pankhaniyi, chizindikiro chapadera chomwe chimadziwika ndi matenda a hypoglycemic chimayamba. Odwala omwe ali ndi matenda amtunduwu, kukumbukira ndi ntchito zaluso zimawonongeka, chidwi chimakhala chovuta, kupweteka mutu kumakhala kowawa komanso chizungulire. Paresthesia kapena dzanzi la miyendo ndizotheka. Khungu la wodwalayo limakhala lotumbululuka, amayamba kuzizira, thukuta kwambiri.

Koma chizindikiro chachikulu cha hypoglycemia syndrome ndi kutopa kwambiri ndi kufooka kwakukulu. Kupatula apo, chifukwa cha kuchuluka kwa shuga, mphamvu sizikhala zokwanira nthawi zonse. Wodwalayo amamva kuwawa, nkhawa, kugona. Amamvanso kutopa m'mawa, kumangogona. Kuphatikiza apo, wodwalayo amakhala akukumana ndi njala yayikulu. Amawona kuti kumwa china chake chokoma, monga msuzi wa zipatso, koloko, kapena maswiti, zimamupangitsa kukhala wabwino. Koma mpumulowo sukumva kwa nthawi yayitali. Kuwonjezeka kowopsa kwa glucose komwe kumayambitsidwa ndi chakudya champhamvu kwambiri kumapangitsa kuti pakhale insulin yambiri, yomwe imayipanga mwachangu. Chifukwa chake, mkhalidwe wa wodwalayo popanda chithandizo umayamba kuipiraipira.

Zizindikiro zakuwukira kwa hypoglycemia

Zizindikiro zakuchepetsa shuga sizimawoneka pang'onopang'ono. Nthawi zina pamatha kugwa kwambiri pomwe chikomokere mkati mwa theka la ola. Chifukwa chake, ndikofunikira kudziwa momwe kuukira kwa hypoglycemia kumakhalira kuti mukhale ndi nthawi yopereka thandizo. Ndikofunikira kuchitapo kanthu ngati zizindikiro zotsatirazi zikuwonekera:

• kufooka mwadzidzidzi, kugona,
• njala yayikulu
• nseru
• thukuta, kuzizira,
• kugwirana chanza
• tachycardia
• kumverera kwa mantha
• masomphenya awiri, ozungulira pamaso,
• kusokonezeka kwa malankhulidwe ndi kuzindikira.

Ngati simukweza shuga, ndiye kuti pamakhala kutayika, chikomokere ndi imfa. Chifukwa chake, wodwalayo, akadakali mkhalidwe, ayenera kudya kena kake kokoma kapena kumwa madzi a zipatso.

Kodi choopsa hypoglycemia ndi chiyani

Kutsika kwamphamvu kwa shuga m'magazi popanda thandizo la panthawi yake kumabweretsa kudwala, monga kufa kwa maselo kumayamba. Ubongo umakhudzidwa makamaka chifukwa cha izi, chifukwa chake, ndi kuchuluka kwa glucose pansi pa 2 mmol / L, kukomoka kwa hypoglycemic kumachitika. Koma kutsika kwake kosalekeza kumakhalanso koopsa. Choyamba, chifukwa chakuti kufa kwa ma capillaries ochepa kumayamba, chifukwa cha khungu kapena matumbo a miyendo.

Zotsatira zoyipa zaumoyo zimachitika pokhapokha ngati pali hypoglycemia yayikulu, kapena ngati magazi ochepa amakhala nthawi yayitali. Izi zimabweretsa kusintha kosasintha mu dongosolo lamanjenje la wodwalayo. Osangowona kusokonezedwa, kusintha kumakhudza kuyankhula, kugwirizanitsa kwamayendedwe ndi mphamvu zonse zazikulu.

Hypoglycemia Chithandizo

Odwala omwe ali ndi matenda ashuga ayenera kudziwitsa dokotala wopezeka ndi matendawa pafupipafupi kuposa kawiri pa sabata. Izi zikutanthauza kuti muyenera kusintha zakudya ndi mlingo wa insulin. Anthu omwe alibe matenda ashuga amafunikanso kukaonana ndi dokotala panthawi. Mulimonsemo, pambuyo pa chithandizo choyamba kwa wodwala, mankhwalawa amakhala ndikuchotsa zomwe zimayambitsa kutsika kwa shuga. Chifukwa chake, kufufuza kwathunthu ndikofunikira. Zithandizanso kudziwa kukhalapo kwa matenda a endocrine, kusokonekera kwa mahomoni ndi matenda ena.

Ngati kuwunika sikunawonetsetse chilichonse cha pathologies, kukula kwa hypoglycemia kungakhale chifukwa cha zifukwa zina. Potere, adokotala angalimbikitse kusintha zakudya. Wodwalayo ayenera kudya chakudya chamafuta. Makamaka chidwi chake chikuyenera kulipira maswiti. Shuga, maswiti, uchi - zinthu izi zitha kuthandiza kuwonjezera kuchuluka kwa shuga ndi hypoglycemia. Koma zomwe zimatchedwa pang'onopang'ono chakudya zimayenera kupezeka muzakudya za tsiku ndi tsiku: chimanga, mkate wathunthu, zipatso, ndiwo zamasamba. Zingothandizenso kubwezeretsanso mphamvu zamagetsi, komanso kupanga glycogen nkhokwe.Izi zithandiza kupewa kuchepa kwa shuga m'tsogolo.

Pakuwopsa kwambiri, ndi malo achipatala okha omwe hypoglycemia angachiritsidwe. Mankhwala okhala ndi glucose amatha kukweza shuga msanga. Jekeseni wa glucose wamkati akuwonetsedwa, mu mnofu - Glucagon. Pofuna kutaya chikumbumtima, 1-2 ml ya Adrenaline imayang'aniridwa mosagwirizana.

Kupewa kuchepetsa shuga

Mwa anthu athanzi, chikhalidwe cha hypoglycemia chimangokhala chokhwima. Kuti mupewe izi, ndikofunikira kuchita masewera olimbitsa thupi, kupewa kusala nthawi yayitali, idyani pomwe. Ndikofunika kwambiri kuti chakudyacho chili ndi zopatsa mphamvu zochepa monga momwe mungathere, koma onetsetsani kuti mumadya chimanga, buledi, tirigu, masamba ndi zipatso tsiku lililonse. Ndi pafupipafupi hypoglycemia, muyenera kukhala ndi chokoleti cha chokoleti, juisi kapena makeke. Koma simungathe kupirira, ndibwino kuti mumangopimidwa ndikuti mudziwe zifukwa zake.

• osapitilira muyeso wa insulin,
• kuyeza shuga msanga kangapo patsiku,
• letsa nthawi yayitali yanjala,
• osamwa mowa
• samalira zakudya
• kumwa mankhwala aliwonse pokhapokha mukaonana ndi dokotala.

Hypoglycemia ndi chikhalidwe chomwe nthawi zambiri chimanyalanyazidwa ndi anthu athanzi. Koma zizindikiritso zake ndi zotheka zake ziyenera kudziwika osati kwa odwala matenda a shuga, komanso kwa munthu aliyense.

Mphamvu yayikulu yogwiritsira ntchito thupi ndi glucose, yomwe imapangidwa chifukwa cha kagayidwe kazakudya. Mphamvu yomwe yatulutsidwa imagwiritsidwa ntchito ndi ubongo ndi minofu ya m'maselo ndi maselo ofiira amwazi. Ngati shuga wambiri watsika pang'ono, ntchito za thupi zimalephereka kwambiri. Pankhaniyi, zizindikiro zazikulu ndi vuto lomwe limabweretsa vuto - hypoglycemia yofuna chithandizo chamankhwala mwachangu.

Kufotokozera kwa matendawa

Mawu oti "hypoglycemia" nthawi zambiri amatanthauza kutsika kwakuthwa m'magazi a magazi, chifukwa choti wodwalayo amakula ndi zizindikilo zambiri zomwe zimakulitsa vutoli. Nthawi zambiri, matenda kuwonekera kwa matenda ndi zovuta pakukonzekera matenda ashuga. Izi zimachitika chifukwa chogwiritsa ntchito antihyperglycemic mankhwala kapena insulin (mulingo wolakwika).

Komanso, kwa odwala matenda ashuga, omwe amatchedwa "insulin shock" amakhala ndi khalidwe. Munthawi imeneyi, kapamba amapanga kwambiri insulini: pali kuchepa kwa shuga chifukwa chatha mphamvu zake zomwe zimasungidwa chifukwa cha kuchuluka kwa mahomoni.

Matenda osagwiritsa ntchito shuga mellitus hypoglycemia ndi ochepa, koma amakhala ndi zovuta kwambiri kuti zimachitika.

Mitundu yotsatirayi imasiyanitsidwa:

• Reactive hypoglycemia (pamimba yopanda kanthu),
• Anayambitsa hypoglycemia (pomutenga zinthu zosiyanasiyana)
• Hypoglycemia yokhudza insulin,
• Hypoglycemia yopanda insulin.

Hypoglycemia, yomwe imayamba chifukwa cha kuperewera kwa insulin, imayamba chifukwa:

• Insulinoma (chotupa chotupa cha pancreatic chotulutsa mahomoni),
• Makonzedwe olakwika a mahomoni kapena zoyambitsa zake zobisika.

Mwa chiyambi, hypoglycemia imatchulidwa kuti:

Malinga ndi maphunziro azachipatala kusiyanitsa pakati pachimake ndi matenda a hypoglycemia.

Ndikusintha, hypoglycemia imachitika:

• Chosintha
• Zosasintha (zosagwiritsidwa ntchito ndi njira zodziwika bwino zamankhwala).

Mitundu yotsatirayi ya hypoglycemia imadziwika ndi makonzedwe opanga chitukuko:

• Endocrine
• Gwiritsani ntchito
• Hepatic
• Zachisoni
• Choyambitsa.

Kupanga kwa hypoglycemia sikumveka bwino. Kutsika kwa matenda m'magazi a glucose kumatha kuchitika pazifukwa zingapo kapena kutengera chinthu chodziwitsa chomwe chimapangitsa kuti matenda ayambire. Kutengera ngati munthu akudwala kapena alibe matenda ashuga, mndandanda wotsatirawu wa zomwe zimayambitsa hypoglycemia umasiyanitsidwa:

• Mlingo wolakwika wa insulin
• Kumwa mankhwala omwe sagwirizana ndi mankhwala omwe amagwiritsidwa ntchito pochiza matenda a shuga kapena omwe amawonjezera zovuta za insulin.

Zomwe zimayambitsa hypoglycemia (m'magulu onse):

• Kuphwanya pakati pa chakudya kwa maola opitilira 6 - 8,
• Mowa
• Kunenepa kwambiri
• Matenda a chiwindi (hepatosis, hepatitis, matenda a Crohn, cirrhosis, necrosis ya organ, etc.),
• Kulephera kwina
• Matenda a chithokomiro (hypothyroidism, etc.),
• Benign kapena neoplasms yoyipa mu kapamba ndi chiwindi,
• Makamaka
• Nthawi yodzikongoletsa, kuyamwa,
• Kuchita zolimbitsa thupi mopanda chindapusa cha panthawi yake chifukwa cha kutayika kwa zinthu ndi ma elekitiroma,
• Kupsinjika kwambiri
• Magulu amchere ambiri pamiyeso yambiri,
• Matenda ndi zonyansa zomwe zimachitika m'matumbo am'mimba,
• Dontho la shuga pakulimbana ndi sepsis.

Kukula kwa hypoglycemia ndi kotchuka kwambiri kwa odwala omwe ali ndi matenda amtundu wa 1 kuposa a shuga omwe amadalira insulin,

Pali zinthu zingapo zomwe hypoglycemia imakula mwa munthu wathanzi. Ena mwa iwo ndi zakudya zamasamba / vegan, kusala nthawi yayitali, nthawi yayitali ya kutenga pakati, kulimbitsa thupi mwamphamvu, kutenga beta blockers pamodzi ndi kuchita masewera olimbitsa thupi, ukalamba, kuyankha kwa aspirin mwa ana aang'ono, kusamba kwa msambo, ndi zina zambiri.

Zizindikiro zake

Poyamba, kuzindikira zizindikiritso za hypoglycemia kumakhala kovuta. Amadzipangitsa kumva ngati kuchuluka kwa glucose m'magazi kumatsika pansi pa 3 mmol / L. Kuti muwone bwino ngati mwadwala matenda a hypoglycemia, muyenera kudziwa kuchuluka kwa shuga m'magazi ndi chipangizo chapadera - glucometer.

Anthu omwe ali ndi matenda ashuga omwe atha kudziwa zambiri amatha kudziwa vuto la hypoglycemia mwa 1 - 2 zizindikiro. Kwa iwo omwe alibe matenda ashuga ndipo sanakumanepo ndi izi ngati kale, zimapangitsa kuti zikhale zovuta. Ngati muli ndi chizolowezi cha hypoglycemic, ndikofunika nthawi zonse kukhala ndi mita yamagazi pafupi ndikuwuzani abale ndi abwenzi kuti mutha kukhala ndi vutoli.

Akuluakulu

Hypoglycemia imadziwulula mosiyanasiyana. Pali magawo atatu akuopsa mawonekedwe:

• Wofatsa hypoglycemia (3.5 - 2.8 mmol / L) - kuchepa pang'ono kwa shuga. Amadziwika ndi kuchuluka kwa kugunda kwa mtima, kusangalala kwambiri, njala yakuthwa, kuchuluka kwa zala ndi milomo, thukuta lochulukirapo, kusanza pang'ono,
• Hypoglycemia wolimbitsa thupi .
• Champhamvu hypoglycemia (pansipa 2.2 mmol / L) - kukhudzika, kusazindikira, mwinanso kukulitsa chikomokere.

Mwana akamakula, amatha kulankhula za momwe akumvera. Chifukwa chake, zizindikiro za hypoglycemia mu ana amasukulu zimapezeka mosavuta. China chake ndikafika pa akhanda ndi ana a zaka 1 mpaka 2. Apa mutha kudziwa zizindikiro zamatenda a hypoglycemia ndi zizindikiro zotsatirazi:

• Kufooka kwa minofu (adynamia),
• Kulira kwanthawi yayitali komanso kulira,
• Khungu lakhungu,
• Kukanidwa kwa chifuwa / mabotolo,
• Kutentha kwa thupi
• Kuthetsa minofu,
• Kutalika kwa miyendo
• Mikhalidwe yopweteka
• Matenda opatsirana panjira yodandaula (SDR),
• Coma

Popeza hypoglycemia mu akhanda angayambitse kufa kanthawi kochepa (osakwana tsiku), chithandizo chamankhwala chofunikira chimafunika. Kuyesa kuchotsa mkhalidwe kunyumba ndikuloledwa, popeza izi zikuwopseza moyo wa mwana.

Zizindikiro

Kuti muzindikire ndikutsimikizira matenda a hypoglycemic mu wodwala, pali zingapo zomwe zimachitika.

Kafukufuku wa Laborator:

• Mayeso a kulolera a glucose
• Kupenda kwa shuga wa m'magazi
• Kafukufuku wodziwitsa mulingo wa C-peptide kuti mudziwe komwe insulin imayambira,
• Kuyesa kwa chiwindi,
• Mayeso a Serum insulin ndi cortisol
• Kusanthula kwa madzi achilengedwe a sulfonylureas,
• Yesani ndi tolbutamide,
• Kuzindikira kwa radioimmune kwamisempha ya insulin.

• Zolemba pamakompyuta,
• Ultrasound kuwunika kwam'mimba ziwalo.

Kukambirana ndi endocrinologist. Kuyendera kwa psychotherapist kumafunikiranso. Ngati mkati mofufuzira palibe kupatuka kwakukulu pamikhalidwe ya zitsanzo zomwe zapezeka, mtundu wa hypoglycemia uyenera kutsimikizika. Mwina wodwalayo amapezeka ndi mtundu wa matenda a psychogenic kapena pseudohypoglycemia. Palinso yogwira hypoglycemia, yomwe ndi zotsatira zoyipa zamagetsi pakugwira ntchito kwa mtima ndi chiwopsezo cha dystonia, makamaka.

Njira zodziwika zochizira hypoglycemia ndi:

• Kugwiritsa ntchito zakudya kapena mankhwala kukweza shuga m'magazi,
• Mlingo kusintha insulin
• Sinthani momwe mumadyera komanso momwe zakudya zimadyera.

Nthawi zina, opaleshoni imafunika kuchotsa neoplasms mu kapamba kapena pituitary gland.

Wodwala yemwe wapezeka ndi hypoglycemia ayenera kukhala ndi chizindikiritso chachipatala naye. Izi ndizofunikira kuti pakakhala vuto ndi kuwonongeka, ena athe kudziwitsa ogwira ntchito kuchipatala kuti alandire malangizo othandizira odwala mwadzidzidzi.

Chithandizo chadzidzidzi

Zimaphatikizapo kukhazikitsa shuga kwa munthu wokhala ndi zizindikiro za hypoglycemia (mkamwa, subcutaneous, mtsempha wa magazi). Odwala omwe ali pachiwopsezo amadziwitsidwa zakufunika kokhala ndi mankhwalawa "Glucagon", omwe amathandizira kukweza shuga m'magazi mwadzidzidzi. Achibale awo ndi anzawo amafunikanso kuphunzira momwe angapangire mankhwalawo.

Ndi vuto lalikulu la hypoglycemia, kuyambitsa othandizira awa kungafunike:

• 5% shuga yankho ndi prednisone,
• Cocarboxylase
• 5% yankho la ascorbic acid,
• Adrenaline (asanafike kulowetsedwa kwa shuga).

Kutalika ndi maphunzirowa maphunzirowa ndi mankhwala omwe adokotala amapatsa. Amasankhidwa kutengera zomwe zimayambitsa matendawa. Ngati wodwala ali ndi mtundu wololera wa hypoglycemia womwe umachitika pambuyo chakudya, alpha-glucosidase inhibitors (acarbose) akuwonetsedwa. Kufunika kotenga mankhwalawa kapena mankhwalawo, mlingo wake ndi kapangidwe kake zimasankhidwa ndi dokotala yemwe amayang'anira momwe wodwalayo alili.

Chithandizo cha anthu

Nthawi zambiri mutha kuchepetsa zizindikiro za hypoglycemia mwa kuphatikiza zakudya zanu. Odwala ambiri amawona kuti kuyambitsidwa kwa amadyera ambiri, zipatso ndi ndiwo zamasamba mu chakudya kumawongolera mkhalidwe wawo. Ayenera kupezeka pamasamba ngati zinthu zazikulu, koma angagwiritsidwenso ntchito ngati mankhwala omwe anakonzedwa molingana ndi maphikidwe a mankhwala azikhalidwe. Mankhwala osiyanasiyana azitsamba ndi kuphatikiza kwake kumagwiritsidwa ntchito pochiza hypoglycemia.

Ndi hypoglycemia, imakhala ndi mphamvu yosintha, yomwe ndiyofunikira kwa iwo omwe amapezeka ndi mtundu wa matenda a psychogenic kapena ofooka. Quoquo ya supuni zitatu za udzu pa 200 ml ya madzi amamwa katatu patsiku musanadye kapena kuwonjezeredwa kusamba kwa phazi asanagone.

Oldberry Ili ndi tonic komanso firming. Itha kudyedwa ngati mawonekedwe a compote, madzi kapena zakudya kuchokera ku zipatso. Kuchokera pamizu ya elderberry, kulowetsedwa kwa madzi kumakonzedwa, komwe kumayenera kuledzera 50 ml katatu patsiku. Njira ya mankhwala osachepera masiku 7 mpaka 10. Lumikizanani ndi dokotala wanu za contraindication.

Zosangalatsa zolimbitsa thupi zidadziwika kalekale. Masamba atsopano a chomera amatha kuwonjezeredwa ku saladi. Ufa ndi zida zosaphika zochokera ku mizu ya chicory ngati mankhwala amagwiritsidwa ntchito popangira tiyi, infusions ndi decoctions. Imathandizanso ngati njira yopewa matenda a shuga.

100 g youma imayikidwa mu ketulo yopanda mafuta, yodzazidwa ndi madzi otentha ndikuyika kwa mphindi 40 - 50. Mutha kuwira osakaniza ndikusiya kusenda m'madzi osamba kwa mphindi 30, kenako ndikulunga mu nsalu ndikubweretsa anthu omwe ali ndi chidwi. Tengani supuni 1 mpaka 3 kawiri pa tsiku, musanadye chakudya cham'mawa komanso musanadye.

Ili ndi mphamvu ya antioxidant.Sakanizani supuni ya masamba owuma ndi 200 ml ya madzi otentha ndikulimbikira pansi pa chivindikiro kwa ola limodzi. Idyani patsiku zazing'ono magawo asanadye.

5 mpaka 6 cloves adyo peel, kusema mbali ndi kutsanulira 500 ml ya madzi otentha. Pambuyo mphindi 20, imwani kulowetsedwa kotentha ngati tiyi (wogawidwa magawo kuti amwe madzi masana). Mukhonzanso kupera clove ndi mpeni ndikuwonjezera lita imodzi ya vinyo wouma wopanda pake. Kusakaniza kumawumitsidwa kwa masiku 14 ndipo kumadyedwa supuni ziwiri musanadye (mphindi 15).

Madzi anyezi amasangalatsa mu kapu ya uchi. Tengani supuni mukatha kudya (mpaka katatu). Pogaya anyezi akuluakulu asanu mu blender kapena kabati. Thirani zamkati ndi madzi ozizira (2000 ml) ndikuumirira tsiku limodzi. Kupanikizana kudzera cheesecloth. The kulowetsedwa amatengedwa 100 ml katatu patsiku musanadye (10 - 15 mphindi). Chida sichitha kugwiritsidwa ntchito pa matenda am'mimba.

20 - 30 magalamu bulwheat pogaya mu chopukusira cha khofi. Kukula kwa tinthu kuyenera kukhala kocheperako. Thirani mu kapu ya mafuta ochepa a kefir ndikumwa musanadye (m'mawa ndi madzulo). Imatsuka matumbo ndikuchepetsa kuchuluka kwa poizoni.

3 – 4 walnuts mu peel wobiriwira kuyikika mu poto, kutsanulira kapu ya madzi (200 ml) ndi simmer kwa theka la ola. Ikani madzi kwa mphindi 20 - 25 ndi kumwa m'malo mwa tiyi musanadye kapena mutatha kudya.

Supuni ya impso zouma lilacs kutsanulira lita imodzi ya madzi otentha ndikulola kuima kwa 1 - 1.5 maola. Okonzeka kumwa kulowetsedwa kwa 30 - 50 ml katatu patsiku.

Zakudya za hypoglycemia

Ngati munthu atenga kachilombo ka hypoglycemic syndrome, gawo loyamba kukhazikitsa bata ndikusintha kapangidwe kake ka zakudya komanso njira yodyera. Choyamba muyenera kusinthana ndi mphamvu zamagetsi.

Mankhwalawa amakonzedwa mochepera: Chakudya chimodzi chimayenera kukhala pa mbale ndi mainchesi 20 cm.

Kupuma pakati pa chakudya kumakhala mpaka maola atatu. Munthu yemwe wapezeka ndi hypoglycemia amakhala ndi zakudya zochepa zoyenera kuzimitsa. Zitha kukhala zipatso (nthochi, apulo, peyala, mphesa yaying'ono), mtedza, mitengo yosaphika kapena mabisiketi ndi zipatso zouma (ma apricots owuma, ma prunes, nkhuyu, zoumba).

Kuti mupange menyu woyenera wa hypoglycemia, muyenera kutsatira mfundo zamitundu yosiyanasiyana, koma onani mapuloteni ndi michere yambiri. Njirayi ingathandize kuchepetsa kuyamwa kwa "kufupi" kwamatumbo ndikuwonetsetsa kuchuluka kwa shuga m'magazi.

• Nyama yodontha (nkhuku, kalulu, ng'ombe yochepa, etc.),
• Nsomba yamafuta ochepa,
• Nthanga ndi chimanga, mtedza,
• Zowaka mkaka wowonda.

Ngati muli ndi vuto la kuperewera kwa protein, mutha kubwezeretsa kuchuluka kwake ndi kugwedezeka kwamapuloteni kapena ufa (koma pokhapokha ndi chilolezo cha dokotala).

Kuchepetsa kuyamwa kwa glucose kumawonedwa motsutsana ndi maziko azogwiritsa ntchito zakudya zomwe zimakhala ndi fiber yambiri.

Kodi sizoyenera kuchita?

Zogulitsa zopatsa mphamvu kapena zosavuta zamafuta ndizowopsa kwa hypoglycemia pazifukwa zingapo. Mulingo wofunikira wazakudya ndi CHIKWANGWANI zidachotsedwa kwa iwo. Kugwiritsa ntchito mafuta osakanikirana kumapangitsa kumva kukhala kosangalatsa kwakanthawi kochepa. Nthawi yomweyo, zikondamoyo "zothamanga" zimatulutsa insulin yambiri m'magazi, zomwe zimapangitsa kuti njala ikule komanso anthu akuwona kuti akufunika kudya china. Nthawi zambiri chisankho chimagwera pazinthu zokhuthala, momwe zimakhalira chimodzimodzi. Kuphwanya bwalo lovuta pankhaniyi ndikovuta. Zonsezi zimatsogolera ku hypoglycemic syndrome. Mu zochitika zapamwamba, kukula kwa matenda ashuga ndikotheka.

Anthu omwe ali ndi hypoglycemia ayenera kukana zakudya zamafuta osavuta. Mndandanda wawo ukuphatikizapo:

• Mitundu yonse yazakudya zamafakitale,
• Njira zopumulira mwachangu
• Shuga
• Mkate wa tirigu Woyera
• Zopera zoyera,
• Mpunga Woyera
• Confectionery
• Zakumwa Zabwino za kaboni,
• Pasitala.

Ngati nthawi zambiri mumagwiritsa ntchito zakudya zomwe zimakhala ndi index yayikulu ya glycemic, ndizotheka, modabwitsa momwe zimamvekera, kukulitsa kwa hypoglycemic syndrome. Kudya zakudya zopatsa mphamvu zamafuta ochulukitsa, mumakhala pachiwopsezo cha kudya kwambiri, chifukwa chake, mumawonjezera mwayi wokhala ndi matenda ambiri.

Kusamalira mwadzidzidzi

Ndi vuto la hypoglycemia, minofu ya muubongo simalandira glucose wokwanira ndi mpweya, chifukwa cha zomwe ntchito zake zimadodometsedwa. Mlingo wovuta wama glucose m'magazi, womwe umadziwika kuti hypoglycemia, umakhazikitsidwa m'malo omwe ali pansi pa 2.2 - 2.8 mmol / L. Izi zimakhudza mwachindunji umunthu, zomwe zimayamba kuvunda modzidzimutsa. Kuchokera kumbali, kuukira kukuwoneka kowopsa. Popeza maselo amitsempha ali ndi vuto la kusoŵa kwa glucose, wodwalayo ali ndi zizindikiro zowoneka bwino zakulephera kwa dongosolo lamanjenje lamkati.

Zizindikiro za hypoglycemia zimapereka chithunzithunzi chotsatira:

• Kuchepetsa pang'ono pazomwe zikuchitika, kuletsa kwam'maganizo - munthu akuwoneka kuti akugona tulo, wofooka amakumana ndi zolankhulidwa ndi iye, machitidwe ake angafanane ndi zakumwa.
• Kutayika kotheka
• Mukamayang'ana njira zonse zili zoyera (ndikofunikira kuti musasokoneze matenda a hypoglycemia ndi ena.),
• Kupuma kumachitika mwachangu komanso kosaya,
• Kuyenda pang'onopang'ono
• Khungu limakhala lotuwa, mwina thukuta lozizira kwambiri,
• Zovuta
• Vertigo, kugona kwambiri,
• Minofu matenda oopsa,
• Zotsatira zoyipa
• Kugwidwa miyendo
• Nystagmus (mayendedwe amaso osokoneza, omwe amakhala ndi pafupipafupi),
• Masomphenya owirikiza
• Kutalika kwa kuyabwa, kumva kulira, ma bumbu (paresthesia)
• Kuyang'anira ndi
• Kumva lakuthwa.

Kuukira kwa hypoglycemic kumachitika pazifukwa zingapo:

• Makulidwe olakwika a insulin kwa odwala - bongo, kukhathamiritsa osati kukakamira, kukanidwa kwa thupi mutalandira mlingo wa mahomoni, etc.
• Katundu wautali wotalikirapo (mwamthupi, m'malingaliro, kupsinjika kwakukulu),
• Pamodzi ndi kuyambitsa kwa insulin, mowa unatengedwa.
• Mankhwala a insulin chifukwa cha insulinocomatous Therapy (njira yachikale muzochita zamisala).

Momwe mungaperekere chithandizo choyamba pamalopo?

Kutengera ngati wozunzidwayo amadziwa kapena sakudziwa, mfundo zoyenera kuchita zikhale zosiyana:

Munthu Wosazindikira

• Thandizani wozunzidwayo kukhala pansi kapena kugona kuti khosi ndi mutu wake zikhazikika,
• Mpatseni chakumwa chomwe chili ndi shuga - mchere wotsekemera wa shuga, maswiti, chidutswa cha chokoleti kapena makeke okoma, zipatso puree kapena msuzi, uchi wothira madzi. Pakakhala vuto lalikulu, amaloledwa kum'patsa madzi ochepa otsekemera.
• Tulutsani kolala ya womenyedwayo, tumizani zinthu za zovala zomwe zimatha kufinya mbali zina za thupi (lamba, lamba, mpango, etc.),
• Ngati munthu akukumana ndi kuzizira, kuphimba ndi kanthu, kusamala kwambiri kuteteza mapazi kuti asazizidwe,
• Yesetsani kumukhazika mtima pansi komanso kukhala naye mpaka madokotala atafika.

Munthu wosazindikira

• Bweretsani wodwalayo pamalo otetezeka - muyeso wochepetsetsa ndikutembenuzira mutu wake kumbali ndikukonza,
• Imbani ambulansi ndipo mukhale pamzere, kutsatira malangizo kuchokera kwa wothandizira.

Pokhapokha ngati pali chithandizo chamankhwala chofunikira mwadzidzidzi, munthu akhoza kudwala matendawa.

Pofuna kupewa izi, wolakwiridwayo amayenera kupita naye kuchipatala kapena gulu la ambulansi liyenera kuyitanidwa kuti lithe nthawi yochepa kwambiri.

Zolemba za ana

Mikhalidwe ya Hypoglycemic muubwana imakhala ndi ma flow omwe amayenderana osati ndi zaka, komanso komanso omwe amayambitsa matendawa.Kutengera izi, njira ndi njira zamankhwala ndizosiyana. Ndi dokotala yekha yemwe ayenera kudziwa ndikuvomereza njira ya mankhwalawa. Njira zodziyimira pawokha sizingangokulitsa mkhalidwe wa mwana, komanso zimabweretsa zotsatira zoyipa kwambiri, kuphatikizapo imfa.

Chithandizo cha hypoglycemia mu acidosis

Ngati mwana amakhala ndi mitsempha yambiri ya ketone m'magazi, hypoglycemia imadzipweteka ndi fungo lamphamvu la acetone kuchokera kumkamwa wamkamwa. Popeza mankhwalawa ali ndi poizoni kwambiri, mphamvu yake yamkati imadziwoneka mwa kugwedezeka, nseru, kusanza, kusokonezeka komanso kusazindikira.

Mukapezeka ndi acidosis, njira yofunikira ndikutsuka m'mimba ndi yankho la sopo, kusanza ndikusanza, pambuyo pake mwana amapatsidwa madzi ambiri.

Kuti ayambenso kuchuluka kwa shuga m'magazi, amapatsidwanso msuzi wa uchi kapena glutamic acid ngati mapiritsi. Zizindikiro zoopsa zikayamba kutsitsimuka, pitilizani kuwunika wodwalayo. Muyenera kufunafuna chithandizo chamankhwala, muyenera kuyesa mayeso a mkodzo kuti pakhale matupi a ketone.

Chithandizo cha ana okalamba

M'makalasi amasukulu ndi ana asukulu, ana ndi achinyamata amakhala ndi zotsatirazi:

• Kuphwanya glycogenolysis chifukwa cha kukanika komanso matenda a chiwindi,
• Kuphwanya kwa neoglucogeneis chifukwa cha pathologies a endocrine system,
• Kupanga kwambiri kwa insulin chifukwa cha hyperplasia kapena dysfunctions zina za kapamba.

Hypoglycemia yamtunduwu imakwiyitsidwa motsutsana ndi maziko azinthu monga:

• Kulandila kwa salicylates (analgesics ndi anapyretics),
• Kumwa mowa wambiri,
• Kukhazikitsa kwa insulini mu mlingo waukulu,
• Kumwa mankhwala a antibacterial kuchokera ku gulu la sulfonamide.

Hypoglycemia iyi imayamba chifukwa cha hyperinsulinism (kutsika kwa shuga m'magazi motsutsana ndi kupanga kwa insulin kwambiri).

Chithandizo cha mitundu iyi ya hypoglycemia imayikidwa pokhapokha patakhala kupatsirana kwakukulu ndikuchitika mosamalitsa woyang'aniridwa ndi achipatala. Sizotheka kusankha nokha mankhwala osokoneza bongo ndikugwiritsa ntchito malingaliro a mankhwala azikhalidwe zina.

Zolemba za zakudya za ana za hypoglycemia

Zakudya zoyenera ndizofunikira kwambiri pa matenda a hypoglycemia mwa ana. Mafuta a nyama ndi zakudya zopatsa mphamvu zamafuta sizimaphatikizidwa muzakudya. Zakudya zake zimatengera mkaka ndi zinthu mkaka wowawasa, zakudya zam'nyanja, masamba ndi zipatso. Patsiku, kuchuluka kwa zakudya zokhwasula-khwasula zizikhala zokwanira zisanu ndi ziwiri.

Ndi leucine hypoglycemia, ndizovuta kwambiri kukhala ndi zakudya zoyenera, chifukwa mkaka, mazira, ndi zinthu zina zomwe zimakhala ndi leucitin (mtedza, nsomba, pasitala, ndi zina) zimachotsedwa pakudya. Kuti mupeze njira yodzaza ndi matenda, dokotala ayenera kuthandizira.

Kumbukirani kuti kuzindikira koyambirira kwa zomwe zimayambitsa ndi zizindikiro za hypoglycemia muubwana zimakhudza mwachindunji kupambana ndi zotsatira za mankhwala.

Zizindikiro za matendawa

Kuti hypoglycemia isakhale ndi mafomu olimba, ndikofunikira kutsatira mawunikidwe ake munthawi yake ndikuwonana ndi katswiri. Zizindikiro izi zitha kuwonetsa kuti munthu ali ndi shuga wochepa kwambiri:

• Kutopa kwambiri. Kuwonetsera kumene kwa hypoglycemic syndrome kumachitika chifukwa chakuti mphamvu sizikhala zokwanira nthawi zonse.
• Kuchulukitsa thukuta.
• Kugona.
• Kusokonezeka kwa ndende.
• Kumva kwamphamvu njala.
• Kuchulukitsa nkhawa, nkhawa.

Zizindikiro zili pamwambazi za hypoglycemia ndizodziwika bwino pamagawo oyamba a kusowa kwa magazi. Zachidziwikire, sikofunikira konse kuti zizindikiro zonsezi zipezeka zonse mwakamodzi. Zizindikiro zina zitha kuoneka kale, zina pambuyo pake, ndipo zina siziwoneka konse. Komabe, chizindikiro chachikulu, chomwe chikuwonetsa shuga ochepa, ndi kufooka kwambiri, ngakhale mutagona kwa nthawi yayitali kapena kupuma. Munthu yemwe ali ndi hypoglycemia watopa kale m'mawa, ndipo madzulo, atatha kuphunzira kapena kugwira ntchito, amakhala ndi mphamvu kuti afike kunyumba.Ndiponso: ngati pafupifupi zonsezi zizindikiro za hypoglycemia zimatha mutatha kudya, makamaka zotsekemera, ndiye, mwina, pali kuchepa kwa shuga m'magazi. Ngati mukuphonya chizindikiro choyambirira cha hypoglycemia, izi zimatha kubweretsa zotsatirazi:

• Kuthekera, kupha ziwopsezo ndizotheka. Mawonetsedwe oterewa a ntchito nthawi zambiri amathera pokana.
• Zingwe. Ndi hypoglycemia, amakhala a tonic (ndiye kuti, minofu imakhala mumkhalidwe wovuta kwa nthawi yayitali, palibe nthawi yopuma). Koma amathanso kukhala ophatikizana, minofu ikayamba kugwira ntchito ndikupuma.
• Kuthukuta kumathandizidwanso.

Ngati pakadali pano simupereka thandizo kwa womenyedwayo, ndiye kuti mkhalidwe wakewo ungakulire. Thukuta pang'onopang'ono limasiya, tachycardia ndi adynamia amayamba. Kutha kugwera mu hypoglycemic coma.

Mitundu yofatsa ya hypoglycemia yokhala ndi chithandizo choyenera imatha kuchita popanda zovuta, pomwe zovuta kwambiri zimatha kuyambitsa kusintha kwamatsenga. Izi ndizodzaza ndi zolankhula zopanda pake, masomphenya ndi malingaliro adziko lonse. Chifukwa chake, ndikofunikira kutsatira malo a hypoglycemic kumayambiriro koyambirira: Kusintha kuchokera koyamba mpaka kowoneka mwamphamvu kumatha kuchitika mwachangu kwambiri.

Momwe mungasinthire mkhalidwe wanu ndi shuga wochepa

Njira yothana ndi hypoglycemia kwakukulu zimatengera zomwe zidayambitsa. Nkhani ya wodwalayo ithandizira mu izi, ndipo ngati thanzi lake sililola kuti afotokoze momwe zinthu zinayambira mu hypoglycemic syndrome, ndiye kuti kafukufuku wa achibale ayenera kuthandizidwa ndikuwunika komwe wodwalayo adamupangira kale. Ngati kuchepa kwa shuga m'magazi kunayamba chifukwa cha kutayika kwa timadzi ta endocrine, ndiye kuti muyenera kuthana ndi zomwe zimayambitsa, osati chizindikiro. A endocrinologist athandizira kusintha kukula kwa mahomoni. Ngati chomwe chikuyambitsa ndichithandizo chambiri chomwe chimatengedwa kuti matenda ashuga achepetse magazi, muyenera kufunsa dokotala ndikusintha mankhwalawo. Nthawi zina, zizindikiro za hypoglycemia sizinayambike chifukwa cha matenda aliwonse, njira zotsatirazi zikuthandizira kuteteza matenda:

• Kukonzanso zakudya. Munthu yemwe ali ndi vuto la hypoglycemic ayenera kudya zakudya zopatsa mphamvu zambiri. Zabwino kwambiri pamenepa ndi omwe amatchedwa chakudya chofulumira, chomwe chimapezeka m'maswiti ambiri. Zipatso, chimanga, mkate - zinthu zonsezi zimatha kulimbikitsa mphamvu zamunthu. Ngati mphamvu zochepa zatsala, maswiti, chokoleti cha chokoleti kapena tiyi wokoma atha kukuthandizani.
• Kuletsa mowa. Hypoglycemic syndrome nthawi zambiri imayamba kuledzera, chifukwa chake zakumwa zoledzeretsa ziyenera kukhala zochepa kwambiri, ndipo ndibwino kuzichotsa kwathunthu.
• Jekeseni wambiri wa glucose monga njira yothana ndi vuto la hypoglycemia.
• Ndi chikumbumtima cha nthawi yayitali chikumbumtima, kupendekera kwa millilita imodzi ya adrenaline tikulimbikitsidwa, ndipo kubayidwa kwa jekeseni wa glucagon mu 1 ml.

Tiyenera kukumbukira kuti ngati shuga m'magazi ndi otsika kwambiri kapena akatsika kwambiri, ndiye kuti zofunikira ziyenera kuchitidwa mwachangu, chifukwa kuukira kwa hypoglycemia kungayambitse kuphwanya kwa hypoglycemic.

Njira zopewera

Ponena za kupewa matenda a hypoglycemic, chinthu chachikulu apa ndikuwunika momwe mulili. Sikoyenera kuwonjezera shuga pa matenda aliwonse, chifukwa kuchuluka kwa glucose sikwabwino kuposa komwe kumatsitsidwa: apa muyenera kuyang'ana pakati. Chifukwa chake, ngati pali chizolowezi chakuchuluka kwa shuga mu shuga, ndiye kuti kuli bwino kugula glucometer ndipo, ndi zizindikilo zamakhalidwe, athe kupeza zolondola pazomwe zili ndi shuga m'magazi. Ndikofunikanso kunyamula nanu chinthu chomwe, ngati ndichofunikira, chitha kuwonjezera shuga m'magazi: maswiti, piritsi la shuga, ndi zina zambiri.

Zizindikiro zoyambirira za hypoglycemia nthawi zambiri zimawoneka zovulaza, koma zovuta zake zimakhala zowopsa, ndipo nthawi zina sizimasintha. Chifukwa chake, ndikofunikira kuthana ndi thanzi lanu mosamalitsa, komanso ngati mukusokoneza ma foni, funsani dokotala nthawi yomweyo.

Kupanga metabolism ndi njira yotembenuzira chinthu chimodzi kukhala china. Mwachitsanzo, lipid metabolism ndi kusintha kwa mafuta. Pokonza kagayidwe kazakudya, insulin imachita mbali yayikulu.

Imakhala ndi mphamvu pa glucose kotero kuti imalowetsedwa bwino ndi maselo. Ndikosavuta kuwerengera kufunika kwa izi, chifukwa glucose ndimphamvu yamoyo yonse.

Insulin imayang'anira shuga. Kuchuluka kwa shuga kukuwoneka ndi mawu akuti "glycemia". Panthawi yomwe kapamba amapanga insulin yochulukirapo kuposa momwe amafunikira, pamakhala kutsika kwambiri kwa shuga - hypoglycemia.

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Hypoglycemia imatha kuchitika pazifukwa zingapo. Izi zitha kukhala chifukwa cha kuchepa kwa shuga m'zakudya, kapena pakupanga kwambiri insulini yomwe imayambitsidwa ndi vuto la shuga m'mbuyomu.

Kumva kutopa pafupi ndi masana kungasonyeze kuchepa kwa shuga wa seramu. Ngati mupereka shuga kwa thupi (ma cookie, mwachitsanzo), mumva bwino. Komabe, izi ndizosintha kwakanthawi kochepa, chifukwa thupi limayankhira kuwonjezeka kwa shuga ndikupanga insulin, yomwe imachotsa, ikulitsa hypoglycemia. Izi zimabwerezedwanso mozungulira ndipo posakhalitsa zimayambitsa matenda akulu.

Akatswiri akuti pali mgwirizano pakati pa kuchepetsa shuga ndi magazi. Hypoglycemia mu chidakhwa imayendera limodzi ndi kuwonongeka m'moyo wabwino komanso kutuluka kwa chidwi chachikulu chotenga gawo latsopano la mowa.

Mowa umasinthidwa mwachangu kukhala glucose, kukulitsa kuchuluka kwa shuga - motero pamakhala kusintha kwamtundu wabwino. Monga momwe zinalili kale, vutoli limakhala lakanthawi kochepa, kotero chidakhwa chimafunikira gawo latsopano la mowa patapita nthawi yochepa.

Chosangalatsa ndichoti asayansi anapeza fanizo m'makhalidwe omwe malembawo amatanthauza kusinthasintha kwa shuga m'magazi akumwa mowa komanso pakumwa kaso. Zizindikiro za hypoglycemia mwa munthu wathanzi zidzakhala zofanana ndi zizindikiro za matenda ashuga. Komabe, pankhaniyi, chomwe chimayambitsa, nthawi zambiri, ndimakudya okhwima.

Njira zoyesera

Mukazindikira hypoglycemia, ndikofunikira kudziwa kuchuluka kwa shuga m'magazi. Ngati chizindikirochi chili chochepera 2.78 mmol pa lita, ndiye kuli kwanzeru kupitanso kuwunika, ngati chizindikirocho chili mkati mwazolowera, ndiye kuti hypoglycemia siikuchotsedwa.

Mukazindikira kuchuluka kwa shuga m'magazi, ndikofunikira kudziwa zowonetsa za serum insulin, C-peptide, proinsulin. Mayeserowa athandiza kukhazikitsa mtundu wa hypoglycemia: insulin -edi-mediated kapena insulin-yodalira, yokumba kapena yokhudza thupi. Kuti muzindikire chotupa cha maselo osakhala pachilumba, ndikofunikira kukhazikitsa mulingo wa kukula kwa insulin-2.

Kuzindikira kumatanthauza kutsatira malamulo ena, monga kusala kudya kwa maola makumi awiri ndi awiri pansi pa nthawi yolamulidwa.

Munthu amaloledwa kumwa zakumwa zoledzeretsa zokha, komanso zakumwa zomwe mulibe caffeine. Poyamba, kuchuluka kwa shuga kotsimikizika kumatsimikiziridwa, ndiye kuti kuwunikirako kumachitika nthawi iliyonse ya maola 4-6 (maora 1-2) pazochitika zomwe chizindikiro chili pansi 3.3 mmol / L.

Kusiyanitsa kosiyanasiyana, komwe kumathandizira kuzindikira mtundu wamtundu wa exulin kapena njira zamtundu wazomwe zimaphatikizira kudziwa kuchuluka kwa insulini mu seramu yamagazi, C-peptide ndi proinsulin, yomwe imachitika panthawi yochepetsera shuga.

Ngati palibe chizindikiro cha hypoglycemia chozindikirika, ndiye kuti kutha kwa chakudya kumatha pambuyo pa maola makumi awiri ndi awiri, ngati kuchuluka kwa glucose kumatsika ndi 2,5 mmol / l, ndiye kuti matendawa atha kumalizidwa kale.

Mapeto akusala limodzi ndi muyeso wa B-hydroxybutyrate (gawo lotsika limawonedwa ndi insulinoma), serum sulfonylurea. Izi ndikuzindikira hypoglycemia yomwe ili ndi mankhwala.

Muzochitika zomwe Symbomatology sinadziwonekere mkati mwa maola makumi awiri ndi awiri atazindikira, wodwalayo amachita masewera olimbitsa thupi kwa theka la ola. Ngati izi siziphatikizidwa ndi kuchepa kwa shuga, ndiye kuti insulinoma imachotsedwa.

Zizindikiro zake zimaphatikizapo:

• hyperhidrosis
• nseru
• nkhawa, kukula kwa phobias,
• kugunda kwa mtima
• njala
• paresthesia.

Mkulu wa glucose akatsikira mpaka 2, 78 mmol / l, zizindikiro zochokera m'mitsempha yapakati zimawonekera. Nthawi yomweyo, zizindikiro zofananira zimatha kukhala ndi shuga wambiri.

Kuukira kwa hypoglycemic kumatha kuchitika usiku. Chowonjezera ndichakuti pamenepa amachitika mosadziwika. Zizindikiro za nocturnal glycemia sizosadziwika: ndizovala zovala, kumva kutopa, kupweteka mutu, kusokoneza.

Wodwalayo amatha kudandaula za zolota. Anthu oyandikira amatha kuzindikira zizindikilo zakunja: kukuchulukitsa thukuta, kunjenjemera. Zomwe zimapangitsa kuti pakhale vuto lodana ndi usiku usiku ndizofunikira za insulin panthawi imeneyi (2-4 a.m.), ndipo insulin, yomwe imayendetsedwa pafupifupi 5-6 a.m, imayambitsa hyperinsulinemia panthawiyi.

Popewa izi, tikulimbikitsidwa:

• kudziwa kuchuluka kwa shuga pa 2-4 a.m.
• kudya zakudya zowonjezera zam'mimba musanagone, ngati 22,00 kuchuluka kwa shuga ndi kosakwana 6 mmol / l,
• gwiritsani insulin mtundu wa Protafan osati pa 17.00-19.00, koma pa 22.00,
• m'malo mokhala ndi insulini yochepa kwambiri, gwiritsani ntchito insulin yayitali.

Hypoglycemia yayikulu ndi vuto lalikulu lomwe lingayambitse zovuta zambiri:

• zovuta zamagazi kupita ku ubongo,
• matenda am'mimba
• kuwonongeka kwakanthawi kapena matenda osokoneza bongo a retinopathy.

Imadziwonetsa yokha mu mawonekedwe a kuchepa kwakuthwa kwa shuga m'magazi ndikudziwonetsa pakadutsa mphindi 30.

Mutha kuphunzira za hypoglycemia pa nthawi yomwe mayi ali ndi pakati komanso zotsatirapo zake za mwana wosabadwayo.

Kuyiwalika chifukwa chakuwombera kumatha kuvulaza kwambiri kapena kufa ngati munthu ameneyo anali akuyendetsa kapena kuchita ntchitoyo pa ngozi zambiri.

Kugwedezeka kwapafupipafupi kumayambitsa kuperewera kwa mphamvu kwa mpweya m'maselo aubongo, ndikuwononga kukumbukira, kuwonongeka kwa ubongo. Odwala amatha kuchepa kwa ntchito zaluntha, kusintha kwa machitidwe. Mu ana, hypoglycemia imatsogolera kuchedwa.

Kuukira komwe kumachitika usiku kumatha kupha munthu chifukwa cha kumangidwa ndi mtima. Zotsatira za zovuta za nocturnal hypoglycemia zimatha kukhala matenda amisala, hemiparesis, aphasia, khunyu, kuchulukitsa, parkinsonism, narcolepsy.

Wodwala panthawi yotere ayenera kuyang'aniridwa ndi dokotala mpaka zovuta

Ndikusowa kwa glucose osakwanira ku ubongo

Ubongo ukasowa glucose, kupweteka mutu, chizungulire, kuwona kawiri, kusokonezeka kwa chikumbumtima komanso kusowa kwa kulankhula kumawonedwa. Kusintha, kukomoka kumatha.

Zizindikiro zimawoneka ngati kuuma kwawo kumawonjezereka:

• Zochitika kuzungulira mochedwa,
• kusakwiya komanso kuchita ukali, munthu atha kulolera kuyankha kuti afotokozere kuchuluka kwa shuga ndipo ndikutsimikiza kuti chilichonse ndichabwino,
• kulira, kufooka, kusokonekera kwa mawu ndi kulumikizana (Zizindikiro zimatha kupitilira ola lina pambuyo pa insulin
• kugona
• kulephera kudziwa
• kukokana.

Coma ndi chiwonetsero cha zochita zamanjenje kutsika kapena kugwera kwa glycemia. Awa ndi mkhalidwe wovuta kwambiri, womwe ndi muyeso wowonetsera wa hypoglycemia.

Coma, monga lamulo, limakula mwachangu. Choyamba, kumakhala kutentha, manja akunjenjemera, hyperhidrosis, kuchuluka kwa mtima, kufooka m'thupi.

Zizindikiro izi zitha kutha chifukwa chodya nthawi ya chakudya chambiri. Chifukwa chake, anthu omwe amagwiritsa ntchito mankhwala a insulin nthawi zonse ayenera kunyamula mankhwala okhala ndi shuga.

Mkhalidwe wa hypoglycemic chikomokoma limodzi ndi khungu ndi chinyezi pakhungu, minyewa yofalikira. Palibe kusintha kupumira, turgor wama eyebatch.

Ngati pakadali pano palibe chithandizo, kupuma kumakhala kotsika, kuthamanga kwa magazi kumachepetsa, zizindikiro, hypothermia zimawonedwa, ma atomu a minofu amakula. Ziphuphu zimanyezimira komanso zochita za ophunzira pakuwala. Kenako kukhumudwitsidwa, kupsinjika, kumayamba, kusanza kumatha kuchitika.

Kuyesaku sikuwonetsa glucose mumkodzo, momwe ma acetone angakhalire abwino kapena osalimbikitsa.

Munthu ayenera kugonekedwa kuchipatala mwachangu ngati:

• sikunali kotheka kuimitsa chiwopsezo ngakhale mothandizidwa ndi shuga.
• Zizindikiro za hypoglycemia pambuyo mankhwala atatha, Komabe, zovuta zina zinachitika - mtima, ubongo, mitsempha, etc.,
• Pakangotha ​​chithandizo, kumenyanso kwachiwiri kumayamba.

Mwinanso, aliyense wodwala matenda ashuga samadziwa kusangalatsa komanso kukhala koopsa pamoyo komanso thanzi - hypoglycemia. Pa matenda ashuga, amangotchedwa "hypa". Osati popanda chifukwa, katswiri wodziwika bwino wa endocrin Elliot Joslin anachenjeza m'zaka zapitazi kuti "insulin ndi mankhwala a anthu anzeru, osati opusa," chifukwa kuchuluka kwa shuga ndi kuchuluka kwa hypoglycemia mwa anthu omwe ali ndi matenda osokoneza bongo kumadalira mlingo wa insulin. Koma, zinthu zoyamba.

Zimayambitsa hypoglycemia

Hypoglycemia (yotanthauziridwa kuchokera ku Chigriki chakale kuti "magazi osakoma") ndi kanthawi kochepa komwe thupi lanu limadutsa shuga . Ngati magazi a shuga sabwerera kwakanthawi, kukomoka, kukomoka, kusazindikira, ndipo pamapeto pake, matenda oopsa a hypoglycemic akhoza kufa.

Kupezeka kwa hypoglycemia kumatha kukhalanso ndi zifukwa zina zomwe sizimagwirizanitsidwa ndi shuga m'magazi odwala matenda ashuga. Maonekedwe ake akhoza kulimbikitsidwa ndi: kusadya bwino osagwiritsa ntchito mafuta osakanizidwa okhala ndi vuto la fiber ndi mavitamini mu chakudya, zolimbitsa thupi mosazolowereka, matenda osiyanasiyana, makamaka a endocrine system, kuperewera kwa mahomoni, kumwa mowa mwauchidakwa.

Kutukwana ndi chizindikiro chotchedwa hypoglycemia, momwe thandizo lofunikira likufunikira. Mu chithunzi cha bambo, kuchuluka kwa shuga m'magazi ake safunikira kudya maswiti ambiri nthawi yomweyo (ngakhale mutaganizira kuti hypoglycemia nthawi zambiri imayendera limodzi ndi njala yayikulu). Kudya mafuta ochulukirapo sikungobweretsanso shuga pabwino, koma kumachulukitsa kuposa momwe kumafunikira, kuphatikiza apo kumapangitsa kulumpha kwamphamvu mu glucose m'thupi, zomwe zimakhala zovulaza kwambiri ziwiya zazing'ono.

Kuthandizira ndi hypoglycemia yapakati (shuga) Zotsatira za shuga wochepa thupi

Selo lililonse la thupi liyenera kukwaniritsa ntchito yake mu mphamvu yomwe thupi limalandira kuchokera ku mapuloteni, mafuta ndi chakudya. Ndi shuga ndi shuga, omwe ali gwero lalikulu lamphamvu, lomwe limaphulika mwachangu kwambiri. Ngati shuga m'magazi amatsika kwambiri, maselo amayamba kumva njala. Kumayambiriro kwenikweni, hypoglycemia imatha kudziwonetsa ndi zizindikiro zazing'ono, koma ngati simupereka shuga msanga m'magazi, zovuta zazikulu zimatha, mpaka kukomoka kwa hypoglycemic.

Shuga wochepa wamwazi amatha kubweretsa mavuto osiyanasiyana m'chigawo chapakati chamanjenje. Zizindikiro zoyambirira zimaphatikizapo kufooka, chizungulire. Mutha kukhala amanjenje, kumva osatekeseka, kukwiya, makamaka mukakhala ndi njala. Kuchepa kwa mgwirizano, kuzizira, khungu la kunjaku, thukuta ndi zizindikiro zofala za hypoglycemia. Kugunda kapena kutseka mkamwa kumatha kukhalanso chizindikiro cha shuga m'magazi. Zizindikiro zina zimaphatikizapo kuwona kwamaso, mutu, komanso chisokonezo. Mutha kukhala ndi zovuta kuchita ntchito zosavuta. Ushu wamagazi ukatsika pakati pausiku, zimatha kuyambitsa mavuto.

Zizindikiro zazikuluzikulu za kuchuluka kwa hypoglycemia ndi izi:

• zimasintha
• kulimbitsa thupi
• tachycardia, palpitations,
• kupuma movutikira
• thukuta, khungu
• mutu
• masomphenya osalala
• zosokoneza tulo
• kukokana
• kulephera kudziwa
• hypoglycemic chikomokere.

Vuto lalikulu la wodwala wokhala ndi shuga yochepa nthawi zina limatchedwa kuti insulin. Popanda chithandizo, matendawa amatha kukhala owopsa kwambiri ndipo amachititsa kuti musakhale ndi chikumbumtima komanso / kapena kufa.

Zomwe Zimayambitsa shuga wa Magazi Otsika

Shuga wocheperako akhoza kukhala chifukwa choti munaphonya chakudya, kapena mwina chotsatira cha kuperewera kwa kapamba. Izi zimachitika ngati kapamba wanu amapanga insulin yochulukirapo kuposa momwe amayenera kudya mukatha kudya.

Choyambitsa matenda ambiri a shuga ndi shuga. Mtundu woyamba wa matenda ashuga, kapamba sangatulutsenso insulin. Mtundu wachiwiri wa matenda ashuga, kapamba satulutsa insulin yokwanira kapena thupi silingagwiritse ntchito moyenera.

Chimodzi mwazifukwa zokhala ndi shuga yochepa ya magazi ndikumwa mowa wambiri, makamaka pamimba yopanda kanthu, zomwe zimatha kuthana ndi mphamvu ya chiwindi kukonzanso ndikusunga shuga. Hepatitis ndi mavuto ena a chiwindi zimatha kubweretsanso magazi ochepa. Zomwe zimayambitsa shuga wochepa zimatha kukhala ndi mavuto a impso, anorexia nervosa, kapamba ndi adrenal zotupa.

Shuga wamba wamagazi

Pali zizindikiro zingapo za shuga wamagazi ochepa, koma njira yokhayo yowonetsetsa kuti glucose wamagazi anu ndi okwera kapena otsika ndikuyesa ndi mizere yoyesa ndi mita yamagazi. Nthawi zambiri, kuchuluka kwa shuga m'magazi pansi pa mamiligalamu 70 pa desilita (mg / dl) amaonedwa kuti ndi otsika kwambiri, monga momwe bungwe la American Diabetes Association limafotokozera.

Chifukwa chiyani nthawi zambiri mumayeza shuga?

Mukangodya, dongosolo lanu la kugaya chakudya limasokoneza ma carbohydrate ndikuwasandutsa glucose kuti athandize thupi.Miyezi ya shuga ikamakwera, kapamba amatulutsa timadzi timene timatchedwa insulin. Insulin imathandizira kuti shuga ayende m'magazi anu, ndikupereka mphamvu m'maselo mthupi lonse. Mafuta aliwonse owonjezera amakonzedwa ndikuwunjenjemera ngati glycogen m'chiwindi kuti asungidwe.

Mukakhala wopanda chakudya kwa maola angapo, shuga wamagazi amatsika. Ngati muli ndi kapamba wathanzi, amatulutsa chinsinsi china chofunikira chomwe chimauza chiwindi kuti chikufunika kubwezeretsanso magazi ndi shuga osungidwa. Ngati chilichonse chikugwira ntchito monga chiyenera, shuga.

Hypoglycemia: chifukwa chiyani ndizowopsa?

Ngati muli ndi matenda ashuga, ndikofunikira kuwunika shuga wanu wamagazi nthawi zambiri. Shuga wochepa amatha kuoneka mwachangu kwambiri, koma nthawi zambiri zimakhala zosavuta kukonza pakudya chidutswa cha chokoleti kapena chidutswa cha shuga. Komabe, ngati simukusamalira shuga yanu, imatha kukubweretserani mavuto akulu ngakhale kufa.

Shuga wopanda magazi angayambitse thukuta, thukuta, kufupika, ndi zizindikiro zina. Komabe, ngakhale mutakhala ndi matenda ashuga, nthawi zonse simungaone zizindikiro zowonekera za shuga m'magazi. Izi zimatchedwa "hypoglycemic mbuli." Mukakhala ndi vuto la shuga wambiri pafupipafupi, amasintha momwe thupi lanu limayankhira.

Mwachilengedwe, shuga yochepa ya magazi imapangitsa thupi lanu kumasula mahomoni opsinjika monga adrenaline. Adrenaline ndiye amachititsa zizindikiro zoyambirira za chenjezo loyambirira la hypoglycemia, monga njala ndi thukuta. Pakaponya magazi shuga nthawi iliyonse mukamaiwala kudya, thupi lanu limatha kusiya kutulutsa kwa mahomoni opsinjika. Ichi ndichifukwa chake ndikofunikira kwambiri kuwunika shuga wamagazi anu nthawi zambiri mokwanira.

Zizindikiro zazikulu za shuga wochepa wamagazi ndi:

• chizungulire
• kumverera ngati mutha kukomoka,
• kukomoka mtima,
• kusakhazikika
• kulephera kudziwa
• kukokana
• shaky gait
• kusintha kwamwadzidzidzi
• thukuta, kuzizira, kapena kumata khungu.

Ngati mukukayikira kuti mwina mwakumana ndi vuto la hypoglycemic, nthawi yomweyo yang'anani shuga yanu ndikuyamba kulandira chithandizo ngati pakufunika kutero.

Ngati mulibe glucometer nanu, koma mukuganiza kuti muli ndi shuga yochepa magazi, muyenera kuibwezeretsa nthawi yomweyo. Anthu omwe ali ndi vuto la hypoglycemia ayenera kukhala ndi mapiritsi angapo a shuga pafupi.

Kodi kuchitira hypoglycemia?

Chithandizo cha hypoglycemia zimatengera kuuma kwa Zizindikiro. Ngati muli ndi zizindikiro zofatsa kapena zolimbitsa thupi, mutha kudzichitira nokha hypoglycemia. Njira zoyambirira zimaphatikizapo kudya zakudya zomwe zimakhala ndi magalamu 15 a shuga kapena zakudya zamafulumira.

Zinthu zomwe zimathandiza ndi hypoglycemia:

• kapu yamkaka
• 3-4 zidutswa za caramel,
• theka chikho cha msuzi wa zipatso monga lalanje,
• supuni imodzi ya shuga kapena uchi.

Mukamaliza kudya magalamu 15 a chakudya chofunikira, dikirani pafupifupi mphindi 15 ndikuyang'ananso shuga.

Ngati mulingo wanu wa shuga ndi 70 mg / dl kapena kuposa, mwapambana gawo ili la hypoglycemic. Ngati akadali pansi pa 70 mg / dl, muyenera kudya magalamu ena 15 a chakudya. Yembekezani mphindi 15 ndikuyang'ananso shuga wamagazi anu kuti muwone ngati wakula.

Ngati magazi anu abwerera mwakale, pangani chakudya chamasana kapena chakudya cham'mawa chotsatira. Ngati njira zomwe sanatenge sizinathandize, muyenera kuyimbira ambulansi.

Kutenga mankhwala ena kumachepetsa kugaya kwa chakudya, motero, shuga wamagazi samayankha mwachangu.Pankhaniyi, muyenera kudya shuga kapena dextrose wangwiro, wopangidwa m'mapiritsi kapena ma gels, omwe amayenera kukhala nthawi zonse ngati mukugwiritsa ntchito mankhwala omwe amachepetsa shuga.

Ngati muli ndi hypoglycemia yofatsa kapena yolimbitsa thupi kangapo pa sabata, kapena zochitika zazikulu za hypoglycemic, pitani kuchipatala. Mungafunike kuganiziranso ndondomeko ya kadyedwe kanu kapena kumwa mankhwala kuti mupewe ziwopsezo zina.

Kodi ndingatani ngati nditha kukumbukira ndi hypoglycemia?

Kutsika kwambiri kwa shuga m'magazi kungayambitse kukomoka, komwe kungakhale pachiwopsezo cha moyo. Nthawi zambiri zimachitika mwa anthu odwala matenda amtundu 1 chifukwa cha kuchuluka kwa insulin.

Phunzitsani banja lanu ndi anzanu zomwe angachite ngati atachita chimodzimodzi. Ndikwabwino ngati wina wapafupi ndi inu aphunzira kubayitsa glucagon ngati mulephera kuzindikira panthawi yanthawi yopumira. Glucagon ndi mahomoni omwe amalimbikitsa chiwindi, ndikusintha glycogen kukhala glucose, yomwe ndiyofunikira kwa thupi lanu panthawi ya hypoglycemia.

Kodi mungapewe bwanji hypoglycemia?

Njira zabwino zopewera hypoglycemia ndikutsatira mosamala ndondomeko yomwe mwapangidwira, musadumphe chakudya ndi mankhwala, penyani kuchuluka kwa shuga m'magazi ndikupatuka kwakwanthawi.

Kuti mupewe zochitika za hypoglycemia ndi hyperglycemic, sinthani mosamalitsa zakudya zanu, zolimbitsa thupi, ndi zotsatira za mankhwala. Ngati chimodzi mwazinthu izi zitatha, mutha kugwidwa ndi hypoglycemia.

Ngati mumagwiritsa ntchito insulini, muyenera kuyang'ana shuga wanu wamagazi katatu kapena kangapo patsiku. Izi zikuthandizani kudziwa zomwe mungachite kuti muchepetse magazi anu mwadzidzidzi kuposa masiku onse. Komabe, simuyenera kupanga masinthidwe osintha kwakanthawi yayitali popanda kulangizidwa ndi dokotala.

Zomwe mungaganizire shuga wochepa

Kwa ana ndi akulu, kuchuluka kwa glucose kumawonetsedwa mosiyanasiyana. Akuluakulu amakhala tcheru kwambiri kutsitsa glucose wamagazi kuposa ana, chifukwa chake kuwonetsa kwawo kwa hypoglycemia kumachitika pamlingo wotsika 2.8-3.0 mmol / L.

Ana okhala ndi mtengo wotere amatha kumverera mwabwinobwino, makamaka akhanda osabereka msanga kapena obadwa panthawi yake. Kwa ana, mulingo wa 1.7-2.2 mmol / l umawoneka wofunika kutengera zaka. Mwana akamakula, amayamba kukonda kwambiri shuga.

Koma muyenera kumvetsetsa kuti ziwerengero zonsezi ndizofunikira ndipo nthawi zambiri sizigwirizana.

Hypoglycemia Amayambitsa

Hypoglycemia imayamba pazifukwa zingapo, zomwe zimaphatikizapo kuchuluka kwa insulini mu kapamba, index yayikulu ya insulin, komanso mankhwala ena mwa odwala omwe ali ndi matenda osokoneza bongo, kusintha kwa magwiridwe antchito a pituitary ndi adrenal gland, ndi kuphwanya kagayidwe kazakudya zam'mimba mu chiwindi.

Komanso, hypoglycemia imatha kugawidwa ndi matenda osokoneza bongo koma osatero. Monga lamulo, hypoglycemia, zomwe zimatengera mankhwalawa, zimapezeka pakati pa odwala omwe ali ndi vuto lodziwika. Kusiyanitsa kwachiwiri kwa matenda a pathological kumawonedwa ngati kusala koopsa kwa hypoglycemia komwe kumachitika pambuyo pa njala, komanso mu mawonekedwe a hypoglycemia omwe amayamba kugwiritsidwa ntchito mutatha kudya chakudya.

Nthawi zambiri, hypoglycemia imatha kuchitika chifukwa cha insulin kapena sulfonylureas, omwe amapatsidwa odwala omwe ali ndi shuga kuti achepetse shuga. Ngati mlingo wa mankhwalawa ndi wokwera kwambiri poyerekeza ndi chakudya chomwe chimadyedwa, mankhwalawa amatha kuchepetsa shuga kukhala wotsika kwambiri. Odwala omwe ali ndi matenda ashuga kwambiri nthawi zambiri amakhala pachiwopsezo cha hypoglycemia. Monga lamulo, izi zimachitika chifukwa chosakwanira kupanga ma islet cell a kapamba wa glucagon, ndi ma adrenaline a adrenaline.Koma ndi mahomoni awa omwe amatengapo gawo mwachindunji machitidwe azodzitetezera koyamba ku hypoglycemia iyi. Matendawa amathanso kuchitika chifukwa cha mankhwala ena.

Nthawi zambiri, hypoglycemia imapezeka mwa anthu osakhazikika m'maganizo omwe amamwa mwachinsinsi mankhwala ochepetsa shuga kapena kudziboola insulin okha. Izi zimachitika chifukwa chofikira kwaulere mankhwala.

Hypoglycemia wokwanira, ndipo nthawi zina stupor, imatha kuwonedwa mwa anthu oledzera, kumwa moledzeretsa komanso kunyalanyaza zakudya zoyenera. Zotsatira zake, kupezeka kwa mafuta m'thupi m'chiwindi kumatha.

Stupor ndi hypoglycemia imatha kuchitika ngakhale ndi mowa wochepa m'mwazi, koma pansipa mulingo womwe umaloledwa kuyendetsa galimoto. Chifukwa chake, sikuti nthawi zonse oyesa apolisi pamsewu kapena wogwira ntchito zachipatala amatha kudziwa kuti munthu ali ndi chibwibwi chifukwa cha matenda, osati chizindikiro choti wakomedwa.

Nthawi zina hypoglycemia imatha kupezeka mwa munthu wathanzi yemwe wachita masewera olimbitsa thupi kwambiri. Ndi njala yayitali, zizindikiro za hypoglycemia zimatha kuchitika nthawi yomweyo ndi matenda a adrenal gland kapena pituitary gland, komanso mukamwa moledzera. Pankhaniyi, pali kuchepa kwamphamvu kwa ma carbohydrate, omwe sangakhalebe ndi shuga wamagazi ambiri. Koma nthawi zina, hypoglycemia imawoneka nthawi yomweyo itatha kufa ndi njala. Mu ana omwe ali ndi vuto la chiwindi chilichonse, zizindikiro za hypoglycemia zimachitika pakati pa chakudya cham'mawa, chakudya chamadzulo komanso chakudya chamadzulo.

Alimentary mawonekedwe a hypoglycemia amapezeka mwa anthu omwe apita kale m'mimba. Pankhaniyi, shuga amalowa msanga, zomwe zimapangitsa kuti insulin ipangike, pomwe yambiri imapangitsa kuchepa kwa shuga m'magazi. Ngati hypoglycemia ya alimentary imayamba popanda chifukwa chomveka, ndiye kuti iyi ndi idiopathic alimentary hypoglycemia.

Zomwe zimayambitsa matendawa zimaphatikizapo zinthu zina zomwe zimakhala ndi fructose kapena galactose, zomwe zimaletsa kutulutsa shuga m'magazi. Ndipo leucine imakhudzidwa ndikulimbikitsa insulin yochulukirapo mu kapamba. Chifukwa chake, zakudya izi zimachepetsa shuga m'magazi patatha nthawi yambiri mutatha kudya.

Kuphatikiza apo, insulinomas imayambitsa hypoglycemia chifukwa chopanga insulin kwambiri. Osowa kwambiri, zotupa zomwe sizikupezeka paliponse zimayambitsa matenda.

Chovuta chosowa cha vuto la hypoglycemic ndimatenda omwe amaphatikizidwa ndi vuto la autoimmune. Pankhaniyi, thupi limayesetsa kupanga ma insulin antibodies, omwe amachititsa kuti magazi asinthe kwambiri, chifukwa kapamba amapanga insulin yambiri kuti athetse mphamvu ya antibodies. Matendawa amapezeka kwa onse omwe ali ndi matenda a shuga komanso kwa omwe alibe matendawa.

Kukula kwa hypoglycemia kumatha kukhudzidwa ndi mtima kapena kulephera kwa impso, matenda oopsa, matenda opweteka a m'mitsempha, zotupa, kuperewera kwa thupi, kugwedezeka, tizilombo ndi matenda amitsempha. Matenda onsewa amatha kuyambitsa vuto la hypoglycemic.

Zizindikiro za Hypoglycemia

Chithunzi cha chipatala cha hypoglycemia chimakhala ndi zizindikilo zomwe zitha kugawidwa m'magulu ena. Amadziwika ndi mavuto wamba, autonomic, neurological and metabolic. Sikuti nthawi zonse amatha kusiyanitsa ndi kujambula kuchuluka kwa shuga m'magazi. Koma pali mtundu wina: ndi hypoglycemia, kuchuluka kwa shuga kumachepa pafupifupi 3 mmol / l. Ndiye kuti zizindikilo za onse komanso zamasamba zimawonekera, ndizowoneka pang'ono.Koma ndi shuga wambiri ya 2.3 mpaka 2.7 mmol / L, chikomokere cha hypoglycemic chimakula.

Zizindikiro zapafupipafupi za hypoglycemia zimadziwika ndi nkhawa, kupweteka mutu, kukwiya, manjenje, kugona mosalekeza ndikuwotcha dera la epigastric. Komabe, zizindikiro zonsezi sizinganene kuti hypoglycemia, koma ndi kuphatikiza kwawo kovuta kumatha kuzindikira mtundu wa hypoglycemic.

Kusokonezeka kwachilengedwe kwamasamba kumachitika chifukwa cha tachycardia ndi mawonekedwe a kugwedezeka kwaminyewa. Ndipo pamakhala kupindika mumutu komanso kufunda kwa thupi, komwe kumalumikizidwa ndi kuthamanga kwa magazi.

Pakati pa zovuta zamasamba, zizindikiro za adrenergic ndi parasympathetic zimasiyanitsidwa. Mbali yoyamba, chipatala cha hypoglycemia chimakhala ndi mawonekedwe a tachycardia, omwe ali ndi chiyembekezo chokwanira, khungu, manja akunjenjemera (kugwedezeka), matenda oopsa kwambiri komanso kuchuluka kwa kupuma. Koma zizindikiritso za chipatala cha parasympathetic zimakhala ndi kumverera kwanjala, kugundana pamimba, chifukwa cha kuchuluka kwa peristalsis m'mimba ndi m'matumbo, komanso mawonekedwe akuwotcha m'chigawo cha epigastric. Chithunzi ichi chonse cha chipatala ndichizindikiro cha chiyambi cha hypoglycemia, chifukwa chake ndikofunikira nthawi zonse kusiyanitsa izi ndi mitundu yambiri ya metabolism.

Ndi mawonekedwe amitsempha a hypoglycemia, mphamvu ya kuperewera kwa mphamvu muubongo imawonekera, yomwe imadziwika ndi chizungulire, kupweteka pamutu ndi pulsation m'matumbo. Kenako nthendayo imakula kwambiri, motero mbali zina za chimbudzi zimalemala pang'ono. Zizindikiro zowoneka bwino zimadziwika mu mawonekedwe amkati mwa ziwalo zina za thupi, ndipo nthawi zina zochitika za mota zimasowa pang'ono.

Vuto limodzi lalikulu kwambiri mu hypoglycemia ndi hypoglycemic coma, lomwe limayamba chifukwa cha kutsika kwamphamvu kwa shuga. Izi zimayambitsa kusokonezeka kwa chikumbumtima ndi kusazindikira kwa mitundu yosiyanasiyana ya mkwiyo, ngakhale kupweteka. Atasiya chikomokere, odwala amakhala ndi kufooka thupi lonse, mantha ndi kusokonezeka, kunjenjemera minofu, kusakwanira, kudziwoneka. Nthawi zina, mwa kugonjetsedwa kwambiri kwa ubongo wa m'magazi, odwala samakumbukira zonse zomwe zinali zisanayambike hypoglycemic coma.

Zizindikiro zonsezi zimawonedwa mpaka osazindikira. Koma wodwala alibe nthawi yoti azindikire izi, chifukwa chidziwitso chimachoka mwachangu. Ndi chithunzi cham'chipatala ichi chomwe chimapangitsa kusiyanitsa chikomokere ndi hypoglycemic, ketoacidotic ndi hyperosmolar coma. Amadziwika ndi kutsekeka pang'onopang'ono kwa chikumbumtima ndi zizindikiro zingapo zamitsempha, zamagulu ndi kagayidwe.

Zizindikiro za hypoglycemia

Ndi hypoglycemia, dziko la hypoglycemic ndi chikomoka cha hypoglycemic zimasiyanitsidwa. Zizindikiro za matendawa sizimawonekera pang'onopang'ono. Nthawi zina, ngakhale mwadzidzidzi, kumakhala kuwonekera modabwitsa kwa hypoglycemia, kupsinjika kapena mtundu wovuta kwambiri wa psychotic syndrome.

Zizindikiro za gawo loyambirira la hypoglycemia ndi njala yayikulu, kugwedezeka kwa manja ndi kusokonezeka kwa magazi pakukhetsa thukuta, kupweteka mutu, kufooka, palpitations, kuyambitsa kukwiya, kupsa mtima komanso mantha. Ndi kuchotsedwa kwadzidzidzi kwa zizindikirazi mothandizidwa ndi chakudya, momwe mumapezeka mafuta ochulukirapo, zizindikilo zina zomwe zimakhala ndi izi zimakulitsa kapena kuwonekera. Pakati pawo, wina amatha kusiyanitsa monga kunjenjemera m'thupi, thukuta la zinthu zambiri, masomphenya awiri, maso okhazikika ndi hemiplegia.

Hypoglycemia imadziwika ndi mawonekedwe amtundu wamalingaliro, kukwiya, dziko losangalatsidwa, kulephera kuyendayenda mozungulira, ndipo nthawi zina kuyerekezera. Nthawi zambiri, zizindikirazi zimalakwitsa kuledzera, chifukwa cha mowa, kapena chifuwa.Ngati mkhalidwe wa hypoglycemic suchotsedwa pano, makina opatsirana a minofu ena amawonekera, makamaka, pankhope ya nkhope, ndipo dziko lokondwereralo limakulanso, kusanza ndi chizindikiro chimodzi cha Babinsky chakumaso kapena kuwoneka komwe kumayambitsa khunyu. kuchepa mphamvu kwa chikumbumtima kenako kumabwera chikomokere.

Chizindikiro chodziwika bwino cha hypoglycemia ndi kusintha kwa mtima wama mtima, komwe kumawonetsedwa kuchepa kwa kuthamanga kwa magazi, kuwoneka kwa mtima wowonjezereka, arrhythmias mwa mawonekedwe amtima wodabwitsa, osachepera kwambiri kugunda kwa mtima, sinus arrhythmia. Ndipo pa ECG, kukhumudwa kwa gawo la S-T kumadziwika, ndipo matalikidwe a mafunde a T akuchepa. Odwala omwe ali ndi kuchepa kwambiri kwa shuga m'magazi, kuukira kwa angina kumadziwika. Leukocytosis yaying'ono ndi lymphocytosis, ndipo nthawi zina leukopenia, imapezeka m'magazi.

Mwanjira yoperekera shuga ya mellitus, hypoglycemia imakhala ndi shuga mu mkodzo komanso zimachitika ndi acetone. Koma hypoglycemia ya matenda opatsirana a shuga imadziwika ndi kuchuluka kwa mahomoni monga glucocorticoids, STH, catecholamines ndi ACTH, omwe amathandizira kukulitsa ketoacidosis ndi acetone mu mkodzo.

Chizindikiro china cha hypoglycemia ndi hypoglycemic coma, yomwe imadziwika ndi thukuta, chinyezi pakhungu, kutsekeka kwa nkhope, mphamvu ya minofu, kunjenjemera, kuwonjezereka kwa tendon komanso kukokana. Mitsempha yamagazi ya diastolic imatsitsidwanso, makamaka, ana amachepetsa, mawonekedwe amaso amakhala omveka bwino kapena amachepetsedwa pang'ono, zizindikiro zamaganizidwe ndi kuyerekezera kopusitsa zimadziwika. Kuchuluka kwa shuga m'magazi ndi kotsika kwambiri ndipo palibe mkodzo mumkodzo. Nthawi zina m'maphunziro kumayambiriro kwa matenda, shuga pang'ono mkodzo wapezeka pafupifupi 1%. Ndipo kuyesedwa mobwerezabwereza pambuyo pa mphindi 30 kumapereka yankho loipa ndi kukodza kwamikodzo kosasinthika.

Hypoglycemia mwa ana

Izi mwa ana sizoyambira zachilendo. Nthawi zambiri, zomwe zimayambitsa ubwana hypoglycemia zimatha kukhala matenda osiyanasiyana amanjenje komanso endocrine, komanso kupsinjika, zolimbitsa thupi komanso kusamwa mokwanira.

Zizindikiro za mkhalidwe wa hypoglycemic mwa ana zimawonetsedwa ngati kupsya mtima, kugona, kukwiya, kutsika, thukuta, njala, komanso kusokonekera kwa mtima. Mitengo ya shuga m'magazi ndi yochepera kuposa 2.2 mmol / L.

Hypoglycemia ndiyowopsa pamiyoyo ya mwana, chifukwa imaphwanya kagayidwe m'thupi ndi kayendetsedwe kayendedwe, imayambitsa kupweteka pamutu, komanso imathandizira kuwoneka ngati akukomoka komanso kukomoka. Nthawi zambiri matenda a hypoglycemic amakumana ndimomwe amawonongera kukula kwa m'maganizo ndi thupi la ana.

Monga lamulo, hypoglycemia mu ana imatha kuchitika matenda ena. Chifukwa chake, ndikofunikira kuti mwana awunikiridwe kwathunthu, popeza ocheperachepera msinkhu wake, zotupa zowopsa za mantha amisempha, kubwezeretsa m'maganizo kapena khunyu kumatha kuchitika chifukwa cha chidwi cha maselo ake amisala mosiyanasiyana ndi shuga m'magazi.

Ana okalamba amakhala ndi zofanana za hypoglycemia atakula. Mwa iwo, izi zimadziwonetsera mu mawonekedwe a nkhawa, kufinya nkhope, kuzizira thupi lonse, kusawona bwino komanso kugwirizanitsa. Kuphatikiza apo, kupweteka kumawonekera, tachycardia imakhala pafupipafupi, amakhala ndi ludzu lamphamvu ndikusowa tulo.

Pali zinthu ziwiri zofunika kwambiri zomwe zimapangitsa kuti mwana akhale ndi vuto la hypoglycemia, monga kuchuluka kwa matupi a ketone m'magazi komanso leucine tsankho.

Ndi hypoglycemia mwa ana, ma acetone amawoneka mu mawonekedwe a matupi a ketone m'magazi, omwe amadziwika ndi mpweya wapadera wa acetone.Popeza acetone ndi poizoni, kupha mseru, kusanza, chizungulire, komanso kukomoka ndi chizindikiro chofananira cha kuthana ndi mantha. Panthawi imeneyi, m'mimba mwa mwana mumatsukidwa sopo yankho kapena madzi amchere, ndikupangitsa kusanza. Ndipo kubwezeretsanso glucose, amapatsa uchi wochepa kapena shuga, ndipo mutha kupezanso piritsi la glutamic acid. Pambuyo pakugwidwa, mwana amayang'aniridwa ndi katswiri, ayenera kuyeza shuga wamagazi pafupipafupi, komanso kupanga urinalysis pamatupi a ketone omwe alipo.

Zochizira ana omwe ali ndi hypoglycemia, zakudya zoyenera zimagwiritsidwa ntchito kupatula mafuta a nyama ndi zakudya zosavuta zamafuta. Zokonda zimaperekedwa ku zinthu zamkaka ndi zakudya zam'nyanja, timadziti, zipatso ndi ndiwo zamasamba. Ndikofunika kudya zakudya kasanu ndi kawiri patsiku komanso zochepa.

Nthawi zina, chifukwa cha kubadwa kwa kagayidwe kachakudya ka ana, thupi siligwirizana ndi leucine amino acid, yomwe ndi gawo la mapuloteni. Vutoli limatchedwa leucine hypoglycemia, lomwe limapezeka kwambiri mwa ana aang'ono. Kanthu kakang'ono ka zotsekemera kamatha kusintha mkhalidwe wa wodwalayo. Koma kudya moyenera ndi mtundu uwu wa hypoglycemia ndikovuta kudziwa, chifukwa thupi lomwe limakula nthawi zonse limafunikira mapuloteni. Monga lamulo, muyenera kupatula mazira ndi mkaka, komanso pasitala, mtedza ndi nsomba. Chifukwa chake, kupangira chakudya cha ana odwala ndi leucine hypoglycemia, thandizo la katswiri wa zakudya ndilofunikira.

Ndikofunika kukumbukira kuti kuzindikira koyambirira kwa zizindikiro za hypoglycemia mwa mwana kumathandizira kuzindikira zomwe zimayambitsa posachedwa, ndipo izi zidzatsogolera ku chithandizocho. Komanso, kupewa mavuto obwera chifukwa cha hypoglycemia yaubwana, ndikofunikira kuyang'anira kuchuluka kwa shuga ndimagazi ake osakhazikika.

Chithandizo cha Hypoglycemia

Nthawi ya mankhwala a hypoglycemia mu gawo loyamba, asanam'gonekere kuchipatala, amakhala ndi chakudya chokwanira chomwe chimakhala ndi zakudya ndipo amaphatikizidwa ndi zakudya zomwe amapezeka nthawi zonse wodwalayo amakhala ndi tiyi wokoma ndi zipatso.

Mu gawo lachiwiri la hypoglycemia, ndikofunikira kugwiritsa ntchito zakudya zomwe mwapang`onopang`ono, monga kupanikizana, compote ndi shuga, tiyi wokoma, maswiti, madzi manyumwa. Monga lamulo, chakudya chotere chomwe chimakhala ndi fructose ndi sucrose chimalepheretsa kupitilira kwa hypoglycemic state komanso kufotokozeranso kuchuluka kwa glycemia komanso mkhalidwe wa wodwalayo. Popanda zisonyezo zina, odwala samagonekedwa m'chipatala.

Mu gawo lachitatu la hypoglycemia, kuti athe kupereka chithandizo chofunikira kwadzidzidzi, ndikofunikira kuyendetsa 40% shuga mpaka 100 ml kudzera m'mitsempha kuti musawoneke ndi edema. Wodwala, monga lamulo, amagonekedwa m'chipatala m'njira iyi kuti ateteze zotsatira zoyambirira za hypoglycemia ndikuwongolera chithandizo chochepetsa shuga.

Hypoglycemic coma kapena gawo lachinayi ndi lachisanu la hypoglycemia amathandizidwa m'chipinda chothandizira kwambiri kapena m'malo osamalira odwala. Ndi mtundu uwu wa hypoglycemia, jekeseni woyambirira wa 80-100 ml ya 40% ya shuga ndi jakisoni wamkati wa 1 ml ya glucagon umayikidwa, kenako kulowerera kwamkati kuchokera pa 200 mpaka 400 ml yankho la shuga 5%. Onetsetsani kuti mulibe shuga wambiri kuyambira 6 mpaka 9 mmol / L. Ngati sizotheka kukwaniritsa bwino mankhwalawa, Adrenaline imayang'aniridwa pang'onopang'ono. Kwenikweni, izi zonse zimapangitsa kuti wodwalayo azindikire. Ndikofunikira kudziwa kuti mahomoni omwe amaperekedwa amakhala okhudzana ndi zochita za glucose amkati, komanso glycogen ku chiwindi. Chifukwa chake, nthawi zambiri simalimbikitsidwa kugwiritsa ntchito mankhwalawa, chifukwa izi zimapangitsa kukula kwa mkhalidwe wa wodwalayo.

Ngati zinthu zomwe zatengedwa sizikubwezeretsa kudwala, ndiye kuti hydrocortisone imayendetsedwa kudzera m'mitsempha.Monga lamulo, zitatha izi, mkhalidwe wodwala umakhazikika, koma kuzindikira sikubwerera mwachangu. Pankhaniyi, kuyambitsidwa kwa Glucose ndi Insulin kukupitilizabe, ndipo kukonzekera kwa potaziyamu kumachitika. Kupititsa patsogolo machitidwe ogwiritsira ntchito shuga, ascorbic acid imayendetsedwa.

Mwa cholinga cha prophylactic cha edema ya m'magazi, pang'onopang'ono magawo a Magnesia sulfate kapena kulowerera kwa Mannitol kuchokera 200 mpaka 250 ml amagwiritsidwa ntchito. Odwala nawonso amathandizidwa ndi okosijeni. Nthawi zina magazi atsopano omwe amaperekedwa amayikidwa magazi.

Wodwala akangotaya chikomokere, amamulembera mankhwala omwe amasintha ma protein ndi kukondoweza kwa mapuloteni, ma carbohydrate okhala m'magazi amanjenje. Izi zikuphatikiza ndi Glutamic acid, Cerebrolysin, Aminalon, Cavinton kwa masabata atatu mpaka asanu ndi limodzi, malinga ndi zomwe akuwonetsa.

Popewa hypoglycemia, ndikofunikira kupereka mankhwala ochepetsa shuga pogwiritsa ntchito Insulin, motero, muyenera kupewetsa bongo wosokoneza bongo. Ndipo gawo lachiwiri la kupewa ndi kufalitsa chakudya moyenera mu chakudya, komanso kuwongolera zolimbitsa thupi tsiku lonse ndi kuwonjezeranso kwa chakudya chamagulu.

Njala yokhazikika

Ndi mtundu wofatsa wa hypoglycemia, njala imachitika mwadzidzidzi. Uku ndikuyankha kwa kogwirizanitsa kwa ubongo komwe kumayambira kuchuluka kwa shuga m'magazi. Njala yodzidzimutsa imakonda kuoneka mwa anthu odwala matenda ashuga motsutsana ndi kuzolowera kwakuthupi, mavuto a kudya kapena kugwiritsa ntchito molakwika mankhwala ochepetsa shuga. Njala ikhoza kukhala limodzi ndi nseru.

Mwa anthu athanzi omwe amatsata zakudya zama carb otsika, njala yosayembekezereka imawonekanso chifukwa chokana zakudya zamafuta ambiri (masamba, zipatso, chimanga). Iwo, kulowa m'mimba, amapanga kumverera kwamuyaya kwakukwiya. Ndi kukana kwathunthu chakudya, munthu amatha kukhala ndi njala nthawi zonse, ngakhale atangodya.

Mutu

Kutsika kwakukulu kwa shuga m'magazi kumabweretsa kutsika kwa magazi. Zotsatira zake, mutu umayamba, nthawi zambiri umakhala limodzi ndi chizungulire. Nthawi zina kusokonezeka kwa kanthawi kochepa ndi mawonekedwe owoneka (mwachitsanzo, chithunzi chogawanika kapena malo owala pamaso pa maso).

Zovuta zamkati zamanjenje

Thupi laumunthu limagwiritsa ntchito glucose ngati gwero la mphamvu ponseponse. Ndi kuchepa kwake m'magazi, maselo am'mitsempha amakhudzidwa makamaka, motero, zizindikiro zakuchepa kwa ntchito yaubongo zimachitika nthawi yomweyo.

Hypoglycemia imayendera limodzi ndi mawonekedwe awa:

• kugona, ulesi,
• zovuta zovuta kuzungulira pamlengalenga,
• vuto la magalimoto,
• kulephera kulolera
• kusokonezeka kwa kukumbukira
• kugwedezeka kwa dzanja
• kukomoka
• khunyu.

Kupanda thandizo ndi maonekedwe ndi kuwonjezeka kwa zizindikirozi kumadzetsa kuperewera kwa hypoglycemic, komwe kumatha kupha.

Matenda a Thermoregulatory

Kusowa kwa "mafuta apadziko lonse lapansi" kumakhala ndi zotsatira zoyipa pamagawo ndi ziwalo zonse zamunthu. Pakadutsa hypoglycemia, wodwalayo amatha kumva kuwawa, kudandaula chifukwa cha kuzizira kwa zala ndi zala. Thukuta lakuzizira lingachitike (kumbuyo kwa khosi ndipo khungu lonse likusesa thukuta). Ngati vuto la hypoglycemia likuchitika usiku, thupi lonse limasesha kwambiri: munthu amadzuka atavala zovala zamkati.

Kulimbitsa thupi mukamadya

Anthu omwe akuyesera kuti achepetse kulemera kwakukulu ndi zakudya zama carb otsika nthawi zambiri amawona kuti pamlingo wina, kulemera kwawo kumasiya kuchepa, ngakhale amadya zakudya zochepa. Izi zitha kukhala chizindikiro cha hypoglycemia. Chowonadi ndi chakuti, chifukwa chosakwanira kudya chakudya cham'magazi, chiwindi chimayamba kupanga masitolo a glycogen kukhala glucose, ndipo mphamvu yakuwonongeka kwamafuta osungidwa imachepa.

Chifukwa chiyani hypoglycemia imawonedwa mu mtundu woyamba wa 2 ndi mtundu wa 2 shuga?

Aliyense amadziwa popanda ine kuti kuchuluka kwa mankhwala osokoneza bongo kapena kudumpha chakudya kumatha kuyambitsa "hypo". Ndikufuna kukambirana pazomwe sizili mu nthawi yomwe hypoglycemia imayamba, i.e. nthawi zomwe simumayembekezera konse.

Hypoglycemia imachitika ndipo imawonedwa ndi:

• osakonzekera kwakanthawi kochepa thupi kapena pambuyo pake
• kulimbitsa thupi (kuchechedwa hypoglycemia pakapita nthawi)
• "Regipoglycemia"
• mowa
• kumwa mankhwala osokoneza bongo
• kumwa mankhwala osiyanasiyana ndi mankhwala azitsamba omwe ali ndi vuto la hypoglycemic
• kupitirira kwa aimpso kulephera
• Zida zoyipa za insulin makonzedwe (syringe zolembera ndi mapampu a insulin)
• kudzipha (kudabwitsidwa kwa achibale ndi abwenzi)

Zochita zolimbitsa thupi

Pali zifukwa zambiri. Tiyeni tiwonjezere mwachangu chilichonse. Kuchita masewera olimbitsa thupi osakonzekereratu kungakhale mwamphamvu iliyonse, mwachitsanzo, kuthamangira magalimoto otuluka kapena kusewera mpira ndi mdzukulu. Zonsezi zitha kukhala zopanda dongosolo ndipo mwina simungakhale ndi lingaliro loti lalifupi kwambiri. katundu akhoza kuswa shuga.

Izi zimadziwika mukakhala mankhwala osokoneza bongo am'mbuyomu, onse a insulin ndi mapiritsi. Kutuluka: nthawi zonse mumakhala ndi njira yoyimitsira hypo. Ndi ziti? Zambiri za izi mtsogolo ...

Ntchito yayitali yayitali

Kugwira ntchito molimbika monga, mwachitsanzo, kutsitsa magalimoto kapena kuyala phula kapena kungokoka mapilogalamu 20 a njerwa mdziko muno. Ngakhale mutakhala kuti mudya zakudya zamagulu mkati mwa masewera olimbitsa thupi kuti mukhale wathanzi, ndiye kuti maola angapo mutatha kuchita masewera olimbitsa thupi, makamaka usiku, hypoglycemia imatha kuchitika.

Chifukwa chiyani? Chifukwa panthawiyi, minofu imayamba kugwira glucose mwachangu kuti ichiritse, motero masiku awa muyenera kukhala osamala. Komabe, uku sikuwolamulira, ndipo si aliyense amene amachitika, koma ndikofunikira kudziwa za nkhaniyi.

"Regipoglycemia" ndi chodabwitsa pamene, atatha kuyimitsa bwino gipa, funde yachiwiri ikugunda. Mukuwoneka kuti mudya chakudya chamagulu ochulukirapo, koma pali insulin kapena mapiritsi ambiri m'magazi kotero kuti amakhalapo kwakanthawi kochepa ndipo zizindikiro za shuga wochepa zimawonekera.

Ngati pali mankhwala osokoneza bongo omveka bwino ndipo mukudziwa za izi, ndiye kuti kuyimitsa matendawa ndikwabwino osati ndi chakudya champhamvu chokhacho, komanso modekha komwe kungalepheretse funde lachiwiri.

Mowa hypoglycemia

Kumwa mowa kwambiri nthawi zambiri kumayendera limodzi ndi hypoglycemia, makamaka kugona. Imeneyi ndi nthawi yoopsa, chifukwa zizindikiritso za hypoglycemia ndizofanana ndi zizolowezi za munthu woledzera ndipo zimatha kuganiziridwa ndi ena chifukwa chomwa mowa. Ndipo sakonda kuthana ndi oledzera.

Chifukwa chiyani izi zikuchitika? Chifukwa ethanol imaletsa kumasulidwa kwa glucose ku chiwindi chawo, i.e. zimasokoneza shuga wabwinobwino woyambira, pomwe m'magazi mumakhala mankhwala omwe ali ndi vuto la hypoglycemic. Tulukani: onjezerani pang'onopang'ono chakudya chambiri ndipo nthawi zonse muziyang'anitsitsa shuga asanagone kapena kuupereka kwa wina wochokera munyumba. Mukudziwa mawa, koma hypoglycemia iyenera kuopedwa.

Kulandila kwa mankhwala osiyanasiyana okhala ndi mbali ya hypoglycemic

Pali mitundu yosiyanasiyana ya mankhwala ndi mankhwala azitsamba omwe sanafotokozeredwe ngati othandizira a hypoglycemic, koma ali ndi mbali yochepetsera shuga m'magazi. Mankhwala omwe amatha kutsitsa shuga m'magazi ndi awa:

• thioctic acid
• alpha lipoic acid
• mafupa
• pentoxifylline
• machez
• salicylates (paracetamol, aspirin)
• phentolamine
• cytostatics
• osasankha beta blockers (anaprilin)

Zimakhudza kuchepa kwa insulin ndipo zimayambitsa hypoglycemia mwadzidzidzi. Iliyonse ili ndi kachitidwe kake kogwiritsa ntchito, sindinganene za iyo. Kutuluka: onaninso kuchepetsa kuchepetsa mankhwala mukamagwiritsa ntchito mankhwalawa. Mungafunike kuchepetsedwa kwa chithandizo chachikulu cha matenda a shuga.

Mankhwala azitsamba amathanso kuyambitsa shuga.Nthawi zambiri, anthu amakhala ndi chidwi kwambiri ndi mankhwala achilengedwe ndipo amayamba kumwa onse motsatizana, ndipo pakakhala njira yodzikongoletsera ndi zinthu zokhudzana ndi zamankhwala ndipo kufunika kwa insulin kumatsika kapena kukana kwa insulini kumatsika ndikutsikira kwa shuga. Pano, mukufunikiranso kukumbukira kuti izi ndizotheka ndikuwunika kwambiri shuga kuti muchepetse kuchuluka kwa mankhwalawa munthawi yake.

Kulephera kwina

Mu gawo la teminal kulephera kwa impso, pali kuchepa kwakukulu kwa zosowa ndi Mlingo wa insulin, kotero hypoglycemia yokhazikika imatha kupanga. Pathogenesis ya hypoglycemia imalumikizidwa ndi kutulutsa magazi kwambiri mkodzo. Sichiyamwa mmbuyo, monga ziyenera kukhalira.

Kuletsa kuphatikizika kwa enzyme insulinase, yomwe nthawi zambiri imawononga insulin, kumabweretsa shuga yochepa m'magazi. Zotsatira zake, insulin imazungulira m'magazi kwa nthawi yayitali, ndikupereka mphamvu ya hypoglycemic. Komanso, chifukwa cha uremia, kuchuluka kwa kaphatikizidwe ka glucose kuchokera kuzinthu zopanda mafuta - gluconeogenesis - kumachepa.

Vuto la insulin

Kulephera kwa zida zoperekera insulin (ma syringe pens ndi mapampu a insulin) ndizosowa kwenikweni, koma sitiyenera kuiwala kuti izi zimachitika. Ngati mwatsimikizira zifukwa zonse zam'mbuyomu, ndiye yesani kusintha njira zoperekera insulin ndi zatsopano.

Ndipo pamapeto pake, kudzipha ngati chifukwa cha hypoglycemia yokumba. Makamaka a insulin kapena mapiritsi ambiri omwe akudziwa angadziwe kuti adzipha. Izi ndizofala pakati pa achinyamata odwala matenda ashuga kapena anthu ofuna kudzipha popanda matenda a shuga.

Zosangalatsa

Ndikufuna kuphatikiza chifukwa chosangalatsa pano - kusangalala ndi boma la hypoglycemia. Anthu ena amakhala ndi vuto lalikulu ngati shuga amakhala ochepa. Izi zimatchedwa Munchausen syndrome. Nthawi zambiri, achinyamata omwewa amachimwa, makamaka atsikana. Amapanganso zinthu ngati izi kuti apeze zotsekemera, zomwe ndizoletsedwa m'banjamo.

Etiology ya hypoglycemia yopanda matenda a shuga

Pakadali pano, matenda onse ndi mikhalidwe yomwe mumachepa shuga m'magazi amatha kugawidwa m'magulu atatu:

• zinthu zomwe zimapangitsa kuti shuga asakwanitse kubisidwa ndi chiwindi ndi minofu
• zinthu limodzi ndi okwera insulin
• hypoglycemia yokhala ndi maselo ambiri amtundu wa insulin

Mikhalidwe yomwe imathandizira kubisala kwa glucose yokwanira

Ndi panhypopituitarism (kuchepa kwa katulutsidwe ka adrenocorticotropin, prolactin, FSH, LH, somatotropin ndi chithokomiro) cha ziwalo za anterior pituitary, ziwalo zonse za zotumphukira za endocrine.

Pakhoza kukhalanso chotupa chachikulu cha zotumphukira za endocrine, zokhala ndi chindende chathanzi. Kuperewera kwa Adrenal (matenda a Addison), hypothyroidism, kusokonezeka kwa kubereka kwa adrenal cortex (ADCD), kusowa kwa glucagon, hypofunction ya adrenal medulla, yomwe imapangira catecholamines pazizindikiro zawo, ili ndi hypoglycemia syndrome.

Ma mahormone onsewa amapanga contra-vascular ndipo, zikalephera, kaphatikizidwe ka glucose m'chiwindi kamayima (gluconeogenesis), kugwiritsidwa ntchito kwa glucose pazowonjezera kumakulitsidwa, ndipo kaphatikizidwe ka ma amino acid mumisempha amachepa.

M'magawo ena ophatikizika ndi ntchito ya hypothalamus ndi gitu planditary, kuukira kwa shuga m'magazi kumachitika. Sindingafotokoze zonse apa, apo ayi ndimakhala pangozi kuti ndimalize kulemba nkhaniyi. Pitani ku thandizo lanu.

• Lawrence - Mwezi - Beadle - Borde Syndrome
• Debreu-Marie Syndrome
• Pehkranets - Babinsky Syndrome

Njira yogwiritsira ntchito shuga ndikupanga maselo ndi njira zingapo komanso zovuta. Mukusintha kovuta kwa glucose uku kukhala mphamvu, michere yambiri imakhudzidwa ndipo kutayika kwa imodzi kapena zingapo kungayambitse hypoglycemia.

Pansipa ndalemba zomwe zolakwika za enzyme zingachitike:

• Glucose-6-phosphatase encyme chilema (matenda a Girke)
• Amylo-1,6-glucosidase akusowa
• Hepatic phosphorylase chilema (matenda a hers)
• Glycogen synthetase akusowa
• Phosphoenolpyruvate carboxy kinase kuchepa

Kutsika kwa michere ya michere kumayambitsa hypoglycemia mwa anthu athanzi. Kufa kwakanthawi kochepa kumatha kuchitika popanda hypoglycemia, chifukwa kuchuluka kwa glucose kumathandizidwa ndi kupasuka kwa chiwindi ndi minofu ya glycogen. komanso kaphatikizidwe ka shuga kochokera ku zinthu zopanda mafuta (gluconeogenesis). Koma njala yotalikirapo imakhala pafupifupi malo ogulitsa kwathunthu a glycogen komanso kuchuluka kwa shuga m'magazi kumatha kukhala kotsika kwambiri.

Izi zimakonda makamaka pamene anthu awona zikondwerero zachipembedzo. Ochita masewera amathanso kupanga mtundu uwu wa hypoglycemia, pamene, pogwiritsa ntchito mphamvu yayitali komanso minofu yambiri, minyewa imayamba kudya magasi ochulukirapo, zotopa kwambiri za glycogen.

Izi zimaphatikizanso hypoglycemia panthawi yapakati. Ngati mu magawo apambuyo pake chifukwa cha kuchepa mphamvu kwa nkhokwe ndi njira zothandizira azimayi, Zizindikiro zakuchepa kwa shuga zitha kuwoneka.

Momwe zimagwiritsidwa ntchito mopitirira 80% ya minyewa ya chiwindi, munthu amathanso kumva za hypoglycemia. Pathogenesis ndikuphwanya kuthekera kwa chiwindi kuphatikiza glycogen ndikugwiritsa ntchito ngati kuli kofunikira, kuwonjezera pa izi, njira ya gluconeogenesis imavutika.

Nayi matenda ena a chiwindi omwe amaphatikizidwa ndi shuga wochepa wamagazi:

• pachimake tizilombo hepatitis
• pachimake chiwindi necrosis
• Matenda a Reye
• kulephera kwa mtima ndi matenda oopsa a portal
• matenda a chiwindi
• Matenda a Hellp

Impso zabwino zimatha kuphatikiza glucose chifukwa cha gluconeogenesis. Ndi kukula kwa aimpso kulephera, njirayi imaponderezedwa. Impso imapanganso insulinase, enzyme yomwe imawononga insulin, yomwe, ngati singakwanitse kugwira ntchito, imayambitsa kuchepa kwa enzyme iyi ndipo insulini siyikuwonongeka, ikuzungulira m'magazi ndikuchepetsa shuga.

Ethanol amatha kuletsa kapangidwe ka shuga ndi chiwindi ndipo amachititsa kukula kwa hypoglycemia. Ethanol adamamatira ku acetaldehyde ndi gawo la enzyme mowa dehydrogenase. Enzyme iyi imangogwira ntchito pamaso pa coenzyme NAD (nicotinamidine nucleotide). Munthu akamamwa zakumwa zomwe zimakhala ndi zakumwa zoledzeretsa, coenzyme yamtengo wapatali iyi imatha msanga.

Ngakhale ndikofunikira kutenga nawo gawo pa gluconeogeneis. Zotsatira zake, njira ya glucose kaphatikizidwe ndi chiwindi imalephereka chifukwa kulibe coenzyme NAD. Chifukwa chake, mowa woledzera umayamba usiku kapena m'mawa, pomwe malo ogulitsira a chiwindi amatha, ndipo thupi limakakamizidwa kusinthana ndi gluconeogenesis, yomwe imaletseka. Zotsatira zake, shuga yamagazi imagwera mwachangu m'maloto.

Mwachizolowezi, izi zimatha kuchitika mwa zidakhwa zakumwa zoledzeretsa, komanso zimatha kupezeka mwa anthu athanzi akamamwa mowa wambiri pamimba "yopanda kanthu." Izi zitha kuchitika mu ana, makamaka ana osaposa zaka 6 ndi ovuta kwambiri. Milandu ya hypoglycemia mwa ana atatha kumwa compress ya mowa.

Zoyenda limodzi ndi milingo yayikulu ya insulin

Insulinoma ndi chotupa chopanga insulin chomwe chimapangidwa kuchokera ku maselo a beta a pancreatic. Ndi chotupa ichi, kusala kwa hypoglycemic syndrome kumayamba.

Posachedwa ndipereka cholemba chapadera ndi matenda, chifukwa chake, kuti musaphonye.

Beta cell hyperplasia ndi hypoglycemia mwa akhanda

Mawu akuti beta-cell hyperplasia mu makanda amatanthauza kuwonjezeka kwa iwo, zomwe zimapangitsa kuchuluka kwa insulin, yomwe imayambitsa kugunda kwa hypoglycemia. Amadziwikanso kuti neonatal hypoglycemia. Pansipa ndalemba zifukwa, koma onani momwe mungafotokozere Google, chonde. Nkhaniyi ndi yayikulu kwambiri ndipo ilibe chilichonse.

Hyperplasia mu akhanda ndi ana a chaka choyamba cha moyo amapezeka ndi:

• nezidioblastosis (kobadwa nako hyperinsulinism)
• fetal erythroblastosis
• Beckwith - Matenda a Wiedemann

Hypoglycemia syndrome imapezekanso mwa ana obadwa kwa amayi omwe ali ndi matenda ashuga. Pankhaniyi, hypoglycemia imakhalapo mwachilengedwe. Komanso, kudutsa hypoglycemia kumatha kukhala mwa ana osabadwa, mapasa, ana omwe ali ndi kukula kwa intrauterine.

The yogwira hypoglycemia kapena postprandial hypoglycemia

Anthu omwe ali ndi mankhwala ambiri a insulin (hyperinsulinism) amatha kukhala ndi vuto laifupi. matendawa amatchedwanso alimentary hypoglycemia. Izi ndichifukwa choti, poyankha kudya zakudya zokhala ndi index yayikulu ya glycemic, insulin yochulukirapo imapangidwa ndi kapamba, yemwe amachepetsa kwambiri shuga m'magazi maola atatha kudya.

Izi zimachitika mphindi 30-60 mutatha kudya. Munthu amayamba kuona zizindikiro zapamwamba za hypoglycemia. Zotsatira zake, njira zoteteza zimayambira ndipo mahomoni olimbana ndi mahomoni amatulutsidwa m'magazi, omwe amachepetsa masitolo a glycogen m'chiwindi ndikuwonjezera kuchuluka kwa glucose.

Vutoli limapezeka kawirikawiri kwa anthu omwe ali ndi vuto la prediabetes (kuvutika kwa glucose) komanso omwe amachitidwa opaleshoni pamimba, omwe nthawi zonse amakhala ndi vuto la caroglycemia pambuyo pa chakudya. Kuzindikira za vutoli ndikupangitsa kuyesa kwa glucose.

Nthawi zina, pali idiopathic alimentary hypoglycemia, yomwe imapezeka mwa anthu athanzi ndipo imachitika maola 3-4 mutatha kudya.

Autoimmune hypoglycemic syndrome

Ndiwosowa kwambiri mwa anthu opanda matenda a shuga, koma omwe ali ndi antibodies a insulin ndi ma receptor ake, kuchitika kwa shuga m'magazi kumatha. Izi ndichifukwa choti autoimmune complexes dissociate, i.e., imasokonezeka ndipo kuchuluka kwakukulu kwa insulin kumalowa m'magazi kapena ma receptor ambiri omwe amawoneka.

Thandizo loyamba komanso chithandizo cha hypoglycemia

Zoyenera kuchita ndi momwe muyenera kuchitira? Ngati hypoglycemia ndi shuga wochepa, ndiye kuti chikhala chinthu chabwino kudya china chake chopatsa mphamvu. Popeza anthu ambiri amamva kuti ali ndi njala yankhanza pamazira ochepa a shuga kapena hypoglycemia, amayesa kudya china chake mwachangu. Apa, vuto lina likukuyembekezerani.

Chofunika kwambiri ndichomwe mumadya makamaka panthawi ya hypoglycemia. Nthawi zambiri ndimazindikira kuti amadya chilichonse, koma osati zomwe amafunikira. Izi ndi masangweji ndi soseji, ndi makeke okhala ndi tiyi, komanso chokoleti kapena chokoleti, komanso msuzi. Zakudya zotere ndi zakudya zotere ndizosatha kuwerenga komanso kusachita chidwi ndi zoopsa.

Zonsezi pamwambapa sizitha kukweza msanga magazi, ndipo ndi hypoglycemia, kuchuluka kwa glucose kumayenera kukwezedwa mwachangu kwambiri. Zimachitika kuti mphindi iliyonse imawerengeka.

Momwe mungathane ndi hypoglycemia?

Osamvetseka mokwanira, koma ndi shuga basi. Zomwe zimapangidwanso chimodzimodzi zomwe zimapezeka m'nyumba iliyonse, ngakhale muofesi iliyonse kapena sitolo, zimatha kupezeka. Musaganize zithandizo lililonse lazithandizo la mankhwala Palibe chomwe chimadzutsa shuga wamagazi kuposa shuga.

Chotsatira chachiwiri chothamanga kwambiri ndi caramel. Maswiti osavuta a caramel omwe amakwaniritsa bwino chikwama kapena cholembera cha amuna. Kuchita kwa hypoglycemia, ngakhale kwa ana, kudzakondweretsa.

Muthanso kunyamula msuzi wokoma ngati "Ine" kapena "wabwino". Amapezeka mu 200 ml. Koma, mwa lingaliro langa, siabwino kuvala, ndipo amakweza shuga kwambiri. Kunyumba, simungagwiritse ntchito shuga wokha, komanso uchi kuti mukweze shuga ochepa wamagazi.

Koma mankhwala abwino kwambiri ndi shuga. Popeza shuga, maswiti, uchi ndi msuzi zimakhala ndi glucose komanso fructose pakati, shuga yochepa imalowa.Ndipo mukamamwa mapiritsi a glucose oyera, mumawapeza ochulukirapo, ndipo thupi siliyenera kuwononga chilichonse. Glucose amabwera wokonzeka.

Komabe, pofuna kupewa kukonzanso hypoglycemia atangovutika, ndipo zimachitika kawirikawiri, fructose wokhala mumadzi kapena caramel azikhala ndi shuga pakapita nthawi. Kupatula apo, gawo la fructose limasandulika kukhala glucose m'thupi.

Chifukwa chake, onani zomwe zili zosavuta kwa inu komanso momwe mungachitire pazinthu zina. Banja lathu limagwiritsa ntchito njira zosiyanasiyana zoletsa kukhudzana kwa hypoglycemic. Timagwiritsa ntchito mapiritsi amadzimadzi ndi shuga (asvitol), maswiti a caramel ngakhale zidutswa za shuga woyengedwa.

Hypoglycemia mankhwala ndi zinthu

• ENERGYLIFE
• Dextro4
• Mphamvu za Dextro

Mutatha kudya chakudya kuchokera pazomwe zakulimbikitsani, musapume nthawi yomweyo. Muyenera kuwonetsetsa kuti hypoglycemia yadutsa bwino ndipo siyibweranso. Ndipo pochita izi muyenera kuonanso kuchuluka kwa shuga m'mphindi 5 mpaka 10 mpaka 15. Ngati mulingo wa shuga wakwera pamwamba pamunsi, ndiye kuti mutha kukhala wodekha.

Tsopano muyenera kupenda zinthuzo ndikudzifunsa funso: "Chifukwa chiyani hypoglycemia idachitika?" Izi zitha kukhala zochitika zolimbitsa thupi, kulumpha chakudya kapena kusakwanira kudya, komanso kuchuluka kwa mankhwalawa. Munthawi zonsezi, pali chifukwa, ndipo mukazindikira, muyenera kuyesetsa kukhala ndi chidwi ndikukonzekera nthawi ina.

Funso lina lomwe limadza mukayimitsa hypoglycemia. Mafuta angati omwe mumafunikira kuti muwonjezere shuga, koma pamlingo woyenera? Yankho lake lasakanizika. Tonse tikudziwa kuti munthu aliyense amakhala ndi zomwe amachita pazinthu zosiyanasiyana. Zimatengera zaka. Mwachitsanzo, mwa ana shuga amamera kuchokera ku chakudya chochepa kwambiri, pomwe akuluakulu siziwonjezereka.

Chifukwa chake, apa muyenera kuyesa nthawi zonse ndikuzindikira kuchuluka kwa chakudya chambiri ndi kuchuluka kwa shuga m'magazi omwe amakwera. Chofunikanso kwa odwala matenda ashuga pa insulin yochepa ndikuti kwambiri momwe insulin imakhalira m'magazi. Mwachitsanzo, ngati shuga ali ochepa pazofunikira za insulin yochepa, ndiye kuti michere ndi yofunika mwapadera kuposa shuga yochepa pa insulin.

Yakanthawi insulin kukana pambuyo hypoglycemia

Odwala omwe ali ndi matenda ashuga nthawi zambiri amawona kuti pambuyo poti pali shuga wotsika wamagazi, kuchuluka kwa shuga m'magazi kumakhala kwakanthawi. Kodi bwanji shuga limakwera kwambiri pambuyo pa hypoglycemia? Yankho lake ndi losavuta. Izi zimachitika chifukwa cha vuto la kuchuluka kwa ma mahomoni opanga, makamaka glucagon, omwe amapatsa mphamvu chiwindi ndi kutulutsa shuga m'magazi.

Zotsatira za hypoglycemia

Ambiri akuwopa kuchepetsa misempha ya m'magazi ndipo izi ndi zolondola, chifukwa izi zitha kukhala zowopsa. Ndikofunikira kuchita chilichonse chotheka kuti mupewe hypoglycemia, ndipo ngati izi zikuchitika, yankho ndi kuchitira munthawi yake.

Mitundu yoopsa yokha ya matendawa ndi oopsa, yomwe imayambitsa matenda osokoneza bongo. Chifukwa cha zigawo zotere, kusokonezeka kwa chidziwitso (kuganiza, kukumbukira, ndi zina) kumatha kuchitika. Oopsa makamaka kwa okalamba omwe ali pachiwopsezo cha ischemic stroke kapena myocardial infarction.

Hypoflycemia yofatsa ilibe zotsatira zoyipa ndipo izi zatsimikiziridwa mwa ana mu maphunziro awo amodzi. Koma izi sizitanthauza kuti simuyenera kulimbana nawo, chifukwa mukadzaphonya china chachikulu, chomwe chingakhudze luso lanu mtsogolo. Yesetsani kupewa magawo a hypoglycemia mwa ana ndi akulu momwe angathere.

Zonsezi ndi zanga. Ndani amasamala, mutha kulimbikitsa padziko lonse lapansi matenda ashuga ndi hypoglycemia mu PDF. Ndikulakalaka aliyense kuti azikhala wathanzi lawo komanso kuti asakhale ndi vuto la hypoglycemia. Kodi mukufuna kulandila zolemba zatsopano molunjika pabokosi lanu?

Ndi chisangalalo ndi chisamaliro, endocrinologist Dilara Lebedeva

Hypoglycemia ndi pamene shuga m'magazi amatsika pansi pazenera. Hypoflycemia yofatsa imayambitsa zizindikiro zosasangalatsa, zomwe zalongosoledwa pansipa. Ngati hypoglycemia itayamba, ndiye kuti munthuyo amasiya kuzindikira, ndipo izi zimatha kubweretsa imfa kapena kulumala chifukwa chakuwonongeka kwa ubongo kosasintha. Tanthauzo la hypoglycemia: kuchepa kwa shuga m'magazi mpaka kutsika 2.8 mmol / l, komwe kumayendera limodzi ndi zovuta ndipo kungayambitse kuda nkhawa. Komanso, hypoglycemia ndi kuchepa kwa shuga m'magazi mpaka kufika pansi pa 2.2 mmol / l, ngakhale munthu asamve zambiri.

Hypoglycemia mu shuga angayambitse zifukwa zazikulu ziwiri:

• jakisoni wa insulin
• kumwa mapiritsi omwe amachititsa kuti kapamba apange zambiri za insulin yake.

Jakisoni wa insulin pochiza matenda amtundu wa 2 komanso matenda amitundu iwiri ndizofunikira kwambiri, ndipo maubwino awo amapitilira chiwopsezo cha hypoglycemia. Kuphatikiza apo, mukatha kudziwa bwino komanso kugwiritsa ntchito bwino ma insulin, chiopsezo cha hypoglycemia chimakhala chochepa kwambiri.

Tikukulimbikitsani kuti mutaye mapiritsi omwe amachititsa kuti kapamba apange insulin yambiri. Izi zimaphatikizapo mankhwala onse a shuga ochokera ku sulfonylurea zotumphukira ndi makalasi a meglitinides. Mapiritsi awa sangangoyambitsa hypoglycemia, komanso amathanso kuvulaza munjira zina. Werengani "". Madotolo omwe ali kuseri kwa nthawi akupitilizabe kuwapatsa mankhwala kwa odwala omwe ali ndi matenda ashuga a 2. Njira zina, zomwe zalongosoledwa, zimakupatsani mwayi wolamulira shuga wa magazi popanda chiwopsezo cha hypoglycemia.

Zizindikiro za hypoglycemia zimawonekera bwino, kutsika kwamphamvu kwa glucose kumachitika.

Zizindikiro zoyambirira za hypoglycemia (kufunika kodya zakudya zopatsa mphamvu mwachangu, makamaka mapiritsi a shuga):

• kukopa kwa pakhungu
• thukuta
• kunjenjemera, palpitations
• njala yayikulu
• kulephera kulolera
• nseru
• kuda nkhawa, kukwiya.

Zizindikiro za hypoglycemia, pamene shuga m'magazi ndi otsika kwambiri, ndipo hypoglycemic coma ili pafupi kwambiri:

• kufooka
• chizungulire, kupweteka mutu,
• kumverera kwa mantha
• zolankhula ndi zowonekera pamachitidwe,
• chisokonezo,
• mgwirizano wolakwika,
• kutayika kwa malo mu malo,
• miyendo yanjenjemera, kukokana.

Sikuti zizindikiro zonse za glycemic zimawoneka nthawi imodzi. Momwemonso matenda ashuga omwewo, zizindikiro za hypoglycemia zimatha kusintha nthawi iliyonse. Odwala ambiri, kumvetsetsa kwa zizindikiro za hypoglycemia ndi "kuzimiririka". Odwala matenda ashuga oterewa amadzidzimuka nthawi iliyonse chifukwa cha chikomokere. Amakhala ndi chiopsezo chachikulu cha kulumala kapena kufa chifukwa cha kwambiri hypoglycemia. Chifukwa cha izi zikuchitika:

• shuga wambiri wotsika kwambiri
• munthu wakhala akudwala matenda a shuga kwa nthawi yayitali,
• ukalamba
• ngati hypoglycemia imachitika kawirikawiri, ndiye kuti sizikutchulidwa.

Anthu otere sayenera kuvulaza ena panthawi ya hypoglycemia mwadzidzidzi. Izi zikutanthauza kuti amaphatikizika kwa iwo kuti agwire ntchito yomwe miyoyo ya anthu ena imadalira. Makamaka, odwala matenda ashuga samaloledwa kuyendetsa galimoto ndi zoyendera pagulu.

Odwala ena omwe ali ndi matenda a shuga amazindikira kuti ali ndi hypoglycemia. Amakhala ndi malingaliro okwanira kuti athe kupeza glucometer, kuyeza shuga awo ndikuletsa kugwidwa kwa hypoglycemia. Tsoka ilo, odwala matenda ashuga ambiri omwe amazindikira kuti ali ndi hypoglycemia ali ndi mavuto akulu. Ubongo ukasowa shuga, munthu amatha kuyamba kuchita zosayenera. Odwala oterowo amakhalabe ndi chidaliro chakuti ali ndi shuga wabwinobwino, ngakhale atha kuzindikira. Ngati wodwala matenda ashuga adakumana ndi zovuta zingapo za hypoglycemia, ndiye kuti atha kukhala ndi mavuto pozindikira nthawi yotsatira. Ichi ndichifukwa cha kukomoka kwa adrenergic receptors.Komanso, mankhwala ena amasokoneza kuzindikira kwa hypoglycemia pa nthawi. Awa ndi ma beta blockers omwe amachepetsa kuthamanga kwa magazi ndi kugunda kwa mtima.

Nayi mndandanda wina wa zizindikiro za hypoglycemia, womwe umayamba kuwuma:

• Kuyankha pang'onopang'ono pazinthu zozungulira - mwachitsanzo, mumkhalidwe wa hypoglycemia, munthu sangathe kuwongolera panthawi yoyendetsa galimoto.
• Khalidwe lonyansa, lankhanza. Pakadali pano, wodwalayo ali ndi chitsimikizo kuti ali ndi shuga wabwinobwino, ndipo amakana mwamphamvu zoyesayesa za ena kuti amukakamize kuyeza shuga kapena kudya zakudya zopatsa mphamvu.
• Kukhazikika kwa chikumbumtima, kuyankhula kovuta, kufooka, kuchepa. Zizindikiro zimatha kupitilira pomwe shuga wabwereranso mwakale, ngakhale mpaka mphindi 45-60.
• Kugona, ulesi.
• Kuwonongeka kwa chikumbumtima (osowa kwambiri ngati simukubaya insulin).
• Kutembenuka.
• Imfa.

Nocturnal hypoglycemia m'maloto

Zizindikiro za noogurnal hypoglycemia m'maloto:

• wodwala amakhala ndi khungu lozizira, lotupa, makamaka pakhosi,
• kupuma mosokoneza
• kugona osagona.

Ngati mwana wanu ali ndi matenda ashuga amtundu woyamba, ndiye kuti muyenera kumuyang'ana nthawi zina usiku, kuyang'ana khosi lake pakukhudza, mutha kumudzutsanso, mwina mungatero, kuyeza shuga m'magazi pakati pausiku. Kuti muchepetse mulingo wa insulini komanso ndi chiopsezo cha hypoglycemia, tsatirani. Tumizani mwana yemwe ali ndi matenda a shuga 1 kukhala zakudya zamagulu ochepa mukamaliza kuyamwitsa.

Ngati zizindikiro za hypoglycemia zimakhala zosalimba

Mwa odwala ena omwe ali ndi matenda ashuga, Zizindikiro zoyambirira za hypoglycemia ndizopepuka. Ndi hypoglycemia, manja akunjenjemera, pallor of the khungu, kufulumira kwamkati, ndi zizindikiro zina zimayambitsa mahomoni epinephrine (adrenaline). M'mitundu yambiri ya ashuga, kupanga kwake kumakhala kofooka kapena ma receptors samvera kwenikweni. Vutoli limayamba nthawi yayitali odwala omwe ali ndi shuga yochepa kwambiri kapena amene amalumpha kuchokera shuga wambiri kupita ku hypoglycemia. Tsoka ilo, awa ndi magulu a odwala omwe nthawi zambiri amakhala ndi vuto la hypoglycemia ndipo angafunike kuzindikira kwa adrenaline kuposa ena.

Pali zifukwa zisanu ndi zina zomwe zingapangitse kuwongolera kwa ziwonetsero za hypoglycemia:

• Sever autonomic diabetesic neuropathy ndi zovuta za shuga zomwe zimayambitsa kuphwanya kwamitsempha.
• Adrenal minofu yam'mimba. Uku ndi kufa kwa adrenal gland minofu - tezi timene timatulutsa adrenaline. Zimayamba kudwala ngati wodwala amakhala ndi matenda a shuga kwa nthawi yayitali, ndipo adam'thandizira mwaulesi kapena molakwika.
• Mwazi wa m'magazi umakhala wotsika kwambiri.
• Wodwala matenda a shuga amwe mankhwala - beta-blockers - azithamanga magazi, atakumana ndi vuto la mtima, kapena chifukwa cha kupewa.
• Mwa odwala matenda ashuga omwe amadya zakudya zoyenera, odzaza ndi mafuta, motero amakakamizidwa kubaya Mlingo waukulu wa insulin.

Ngati mita ikuwonetsa kuti shuga yanu ili m'munsi mwa 3.5 mmol / L, tengani mapiritsi a glucose, ngakhale ngati palibe zizindikiro za hypoglycemia. Mumangofunika shuga pang'ono kuti muwonjezere shuga kuti akhale abwinobwino. 1-3 magalamu a chakudya chokwanira - awa ndi mapiritsi 2-6 a shuga. Osamadya chakudya chopatsa thanzi!

Odwala ena omwe ali ndi matenda a shuga amakana kumwa mapiritsi a glucose ngakhale atayetsa shuga awo ndikupeza kuti ndi yochepa. Amati akumva bwino ngakhale alibe mapiritsi. Anthu oterewa ndi omwe amakhala "makasitomala" akuluakulu kwa madotolo azidzidzidzi, kuti athe kuyeseza kuchotsa munthu wodwala matenda oopsa. Amakhalanso ndi ngozi zapamsewu. Mukamayendetsa, yeretsani shuga ndi magazi anu mita iliyonse, ngakhale mutakhala ndi hypoglycemia kapena ayi.

Anthu omwe amakhala ndi nthawi zambiri za hypoglycemia kapena shuga m'magazi amakhala ocheperako, amakhala "osokoneza" izi. Adrenaline m'magazi awo nthawi zambiri amawoneka ochulukirapo.Izi zimabweretsa kuti chidwi cha zolandilira ku adrenaline chifooke. Momwemonso, Mlingo wa insulin yambiri m'magazi umapangitsa chidwi cha insulin zolandirira khungu.

Zimayambitsa hypoglycemia mu shuga

Hypoglycemia imayamba m'magazi momwe insulin yochulukirapo imazungulira m'magazi, molingana ndi kudya kwa glucose kuchokera ku chakudya komanso m'masitolo a chiwindi.

Zimayambitsa hypoglycemia

B. Zogwirizana ndi Chakudya

Chithandizo cha boma chimati ngati wodwala matenda ashuga amathandizidwa ndi mapiritsi a insulin kapena kutsitsa shuga, ndiye kuti adzakumana ndi zovuta za hypoglycemia 1-2 kawiri pa sabata ndipo palibe cholakwika ndi izi. Tikulengeza: ngati mumachita kapena, ndiye kuti hypoglycemia imachitika kangapo. Chifukwa ndi matenda a shuga a 2, tinasiya omwe angayambitse. Zokhudza jakisoni wa insulin, yemwe ali ndi matenda amtundu wa 1 ndi mtundu wa 2, amaloleza kangapo kuchepetsa ma insulin motero amachepetsa chiopsezo cha hypoglycemia.

Zomwe zimayambitsa hypoglycemia mwa omwe amathandizidwa pogwiritsa ntchito njira zamasamba:

• Sanadikire maola 5 mpaka mlingo wofulumira wa insulin atamaliza kuchita, ndikuyika jekeseni yotsatira kuti athetse shuga wowonjezereka m'magazi. Izi ndizowopsa usiku.
• Adabayira insulin mwachangu asanadye, kenako adayamba kudya kwambiri. Chimodzimodzi ngati mumamwa mapiritsi musanadye, ndikupangitsa kuti kapamba apange insulin yambiri. Ndikokwanira kuyamba kudya mphindi 10-15 pambuyo poti muyenera kumva zizindikiro za hypoglycemia.
• Matenda a shuga a gastroparesis - anachedwetsa kuchotsa m'mimba mutatha kudya.
• Matendawa atatha, kukana insulini kumafooka, ndipo wodwala matenda ashuga amayiwala kuti abwerere kuchokera ku mapiritsi a insulini kapena mapiritsi ochepetsera shuga mpaka masiku ake.
• Wodwala matenda ashuga kwa nthawi yayitali adadziyesa "wofoka" insulini kuchokera m'botolo kapena katoni, komwe kamasungidwa molakwika kapena kutha ntchito, kenako ndikuyamba kubaya insulin yatsopano “popanda kutsitsa.
• Kusintha kuchokera pampu ya insulini ndikupanga jakisoni ndi ma insulin syringes komanso mosemphana ndi zina ngati zingachitike popanda kuwunikira nokha shuga.
• Wodwalayo adadzipaka yekha ndi ultrashort insulin yowonjezera mphamvu muyezo womwewo womwe nthawi zambiri umalandira jekeseni.
• Mlingo wa insulin sufanana ndi kuchuluka kwa chakudya chomwe wadya. Muzidya zakudya zochepa komanso / kapena mapuloteni kuposa momwe mumapezera chakudya cham'mawa, nkhomaliro kapena chakudya chamadzulo. Kapenanso adadya mochuluka momwe iwo amafunira, koma pazifukwa zina adabayira insulin yambiri.
• Munthu wodwala matenda ashuga amachita masewera olimbitsa thupi osakonzekera kapena amaiwala kuyamwa shuga tsiku lililonse pochita zolimbitsa thupi.
• Mowa, makamaka musanadye komanso nthawi ya chakudya.
• Wodwala wodwala matenda ashuga yemwe amadzibaya jekeseni wa NPH-insulin wodzivulaza yekha ndi vial, adayiwala kugwedeza bwino vial asanatengere insulin.
• Intramuscularly jekeseni insulin m'malo subcutaneous.
• Adapanga jakisoni woyenera wa insulin, koma m'gawo ilo la thupi lomwe limakhudzidwa kwambiri.
• Chithandizo cha nthawi yayitali ndi mtsempha wa gamma globulin. Zimayambitsa kuchira mwangozi komanso kosayembekezereka kwa gawo la maselo a beta mwa odwala omwe ali ndi matenda a shuga 1, omwe amachepetsa kufunika kwa insulin.
• Kumwa mankhwala awa: aspirin mu waukulu Mlingo, anticoagulants, barbiturates, antihistamines ndi ena ambiri. Mankhwalawa amachepetsa shuga m'magazi kapena kuletsa kupanga kwa shuga ndi chiwindi.
• Kutentha kwanyengo. Pakadali pano, odwala ambiri omwe ali ndi matenda ashuga amafunikira insulini yochepa.

Njala ndi chizindikiro chodziwika bwino cha malo oyamba a hypoglycemia. Ngati mumayendetsa bwino matenda anu, ndiye kuti simuyenera kumakhala ndi njala yayikulu. Musanadye chakudya, muyenera kukhala ndi njala pang'ono. Komabe, nthawi zambiri njala imangokhala chizindikiro cha kutopa kapena kupsinjika, koma osati hypoglycemia. Komanso, shuga m'magazi akakhala kwambiri, m'malo mwake, maselo sikhala ndi glucose, ndipo amatumiza ma njaa mwamphamvu. Kutsiliza: ngati mukumva njala - yikani magazi anu ndi glucometer.

Zowopsa za hypoglycemia:

• wodwala kale anali ndi vuto la hypoglycemia,
• wodwalayo samva zizindikiro za hypoglycemia munthawi yake, motero amakhala ndi chikomokere mwadzidzidzi,
• pancreatic insulin secretion palibe,
• otsika mayendedwe wodwala.

Momwe mungamvetsetse zomwe zimayambitsa hypoglycemia

Muyenera kubwereza zochitika zonse zomwe zimatsogolera ku gawo pamene shuga ya magazi anu ndi yotsika kwambiri. Izi zimayenera kuchitika nthawi iliyonse, ngakhale ngati pakadakhala kuti palibe chizindikiro chowoneka kuti mupeze zomwe mumalakwitsa. Kuti zochitika zitha kuchira, odwala matenda a shuga omwe amadalira insulin amafunika kukhala ndi moyo wopitilira muyeso, kutanthauza kuti, amayeza, amalemba zotsatira zake ndi zina.

Hypoglycemia yayikulu imatha kubweretsa ku zomwe zimachitika maola angapo zisanathetsedwe konse kuchokera kukumbukira kwa wodwala matenda ashuga. Ngati asungabe chidule chake cha kudziletsa, pamenepo pazomwezi zingakhale zothandiza. Sikokwanira kungolemba zotsatira za shuga wa magazi, ndikofunikira kulemba zochitika. Ngati muli ndi zigawo zingapo za hypoglycemia, koma osamvetsetsa chifukwa chake, onetsani kwa adotolo. Mwina adzakufunsani mafunso momveka bwino.

Chithandizo (kuyimitsa) cha hypoglycemia

Ngati mukukumana ndi zilizonse za zizindikiro za hypoglycemia zomwe taziwonetsa pamwambapa - makamaka njala yayikulu - nthawi yomweyo yikani magazi anu ndi glucometer. Ngati ndi 0,6 mmol / L pansi pa mulingo womwe mukufuna kapena kutsika, tsatani kuti muchepetse hypoglycemia.Idyani chakudya chamagulu ochulukirapo, makamaka mapiritsi a shuga, kuti mukweze shuga yanu mpaka mulingo womwe mukufuna. Ngati palibe zizindikiro, koma mwayeza shuga m'magazi ndikuwona kuti ndi otsika, chinthu chomwechi ndikofunikira kudya mapiritsi a glucose mu mlingo wowerengeka. Ngati shuga ndiwotsika, koma palibe zizindikiro, ndiye kuti mafuta ochulukirapo amafunika kudya. Chifukwa hypoglycemia yopanda zizindikiro ndiyowopsa kuposa yomwe imayambitsa zisonyezo zoonekeratu.

Kodi muyenera kuchita chiyani ngati mulibe glucometer nanu? Ili ndi tchimo lalikulu kwa odwala matenda a shuga omwe amadalira insulin. Ngati mukukayikira kuti muli ndi hypoglycemia, ndiye kuti musataye mwayi ndikudya shuga wina kuti akweze shuga wanu ndi 2.4 mmol / L. Izi zidzakutetezani ku hypoglycemia, yomwe ili ndi zovuta zosasintha.

Momwe mita ingakulowereni - yeretsani shuga. Imatha kukwezedwa kapena kutsitsidwa. Mubwezereni ku zoyenera ndipo osachimwanso, ndiye kuti, sungani mita nthawi zonse nanu.

Chovuta kwambiri ndikuti ngati shuga lanu lamwazi latsika chifukwa chobayira jakisoni wambiri kapena kumwa kwambiri. Zikakhala zotere, shuga amatha kugwiritsidwanso ntchito atamwa mapiritsi a shuga. Chifukwa chake, onaninso shuga wanu ndi glucometer Mphindi 45 mutatha kutenga mankhwala a hypoglycemic. Onetsetsani kuti chilichonse ndichabwino. Ngati shuga alinso wotsika, imwani mapiritsi ena, kenako mubwerezenso pambuyo pamphindi 45 zilizonse. Ndipo zina zotero, mpaka zonse zitabweranso mwakale.

Momwe mungachiritsire hypoglycemia popanda kukweza shuga kuposa zabwinobwino

Pachikhalidwe, odwala omwe ali ndi matenda ashuga kusiya hypoglycemia amadya ufa, zipatso ndi maswiti, amamwa misuzi ya zipatso kapena koloko yabwino. Njira zamankhwala izi sizigwira ntchito pazifukwa ziwiri. Mbali imodzi, imagwira pang'onopang'ono kuposa zofunika. Chifukwa zakudya zopezeka m'zakudya, thupi limafunikabe kugaya usanayambe kukweza shuga m'magazi. Komabe, "chithandizo" choterechi chimachulukitsa shuga wamagazi kwambiri, chifukwa ndizosatheka kuwerengera molondola kuchuluka kwa chakudya, ndipo mwamantha, wodwala matenda ashuga amadya kwambiri.

Hypoglycemia imatha kuwononga kwambiri matenda ashuga. Kugunda kwambiri kumatha kupangitsa kuti wodwala yemwe ali ndi matenda ashuga kapena wolumala chifukwa cha kuwonongeka kwa ubongo kosasinthika, sizivuta kudziwa kuti izi ndi ziti zomwe zili zoyipa kwambiri. Chifukwa chake, timayesetsa kukweza shuga m'magazi kuti akhale abwinobwino msanga. Zakudya zomanga thupi, fructose, shuga mkaka, lactose - onsewa amayenera kupita munjira yogaya thupi mthupi asanayambe kukweza shuga. Zomwezi zimagwiranso ngakhale kwa wowuma ndi shuga a pagome, ngakhale njira yovomerezeka imathamanga kwambiri kwa iwo.

Gwiritsani ntchito mapiritsi a glucose popewa ndi kusiya hypoglycemia. Gulani iwo ku mankhwala, osakhala aulesi! Zipatso, timadziti, maswiti, ufa - osafunika. Idyani shuga wambiri monga mungafunikire. Musalole shuga kuti "ayimbe" mutatha kuthana ndi hypoglycemia.

Zinthu zomwe talemba pamwambazi zimakhala ndi mafuta osakanikirana othamanga komanso osakwiya, omwe amachitika pang'onopang'ono, kenako amawonjezera shuga m'magazi mosayembekezereka. Nthawi zonse zimatha ndi chakuti atayimitsa kuukira kwa hypoglycemia, shuga mwa wodwala yemwe ali ndi matenda ashuga "amapitilira". Madokotala osazindikira amakhulupirirabe kuti pambuyo pa gawo la hypoglycemia ndizosatheka kupewa kuchuluka kwa shuga m'magazi. Amawona kuti ndizabwinobwino ngati pambuyo maola ochepa shuga m'magazi odwala matenda a shuga ndi 15-16 mmol / L. Koma izi sizowona ngati uchita mwanzeru. Ndi njira yanji yomwe imatulutsa shuga m'magazi mwachangu ndipo ikulosera? Yankho: shuga mu mawonekedwe ake oyera.

Mapiritsi a glucose

Glucose ndiye chinthu chomwe chimazungulira m'magazi chomwe timachitcha "shuga wamagazi". Glucose wa chakudya amatengedwa kulowa m'magazi ndikuyamba kuchitapo kanthu. Thupi silifunikira kuligaya; silichita kusintha kwa chiwindi.Ngati mukutafuna piritsi la glucose mkamwa mwanu ndikumwa madzi, ndiye kuti ambiri amadzalowetsa m'magazi kuchokera pakamwa panu kamkamwa, ngakhale kumeza sikofunikira. Zina zimalowa m'mimba ndi m'matumbo ndipo zimayamwa nthawi yomweyo.

Kuphatikiza kuthamanga, mwayi wachiwiri wama mapiritsi a glucose ndikudziwikiratu. Pakati pa hypoglycemia wodwala wokhala ndi matenda amtundu wa 1 kapena mtundu wa 2 wolemera makilogalamu 64, gramu imodzi ya glucose imakweza shuga ndi magazi pafupifupi 0.28 mmol / L. Panthawi imeneyi, wodwala yemwe ali ndi matenda a shuga a mtundu wachiwiri, amapanga insulini kapangidwe kake, pomwe wodwala yemwe ali ndi matenda amtundu wa 1 samapezeka konse. Ngati shuga m'magazi siwotsika kuposa masiku onse, ndiye kuti wodwala yemwe ali ndi matenda a shuga a 2 sangachititse shuga, chifukwa kapamba "amamaliza" ndi insulin yake. Kwa wodwala yemwe ali ndi matenda a shuga 1, komabe gramu imodzi ya glucose imawonjezera shuga ndi 0,28 mmol / l, chifukwa alibe kupanga insulin.

Munthu akayamba kulemera, mphamvu ya glucose imachepa, ndipo amachepetsa thupi, nalonso lamphamvu. Kuti muwerenge kuchuluka kwa gramu imodzi ya glucose yomwe ingakulitse shuga m'magazi anu kulemera kwanu, muyenera kupanga gawo. Mwachitsanzo, kwa munthu amene ali ndi thupi lolemera makilogalamu 80, padzakhala 0.28 mmol / L * 64 kg / 80 kg = 0.22 mmol / L, ndipo kwa mwana wolemera 48 kg, 0.28 mmol / L * 64 kg / 48 kg = 0,37 mmol / l.

Chifukwa chake, poletsa hypoglycemia, mapiritsi a shuga ndi chisankho chabwino kwambiri. Amagulitsidwa m'mafakitala ambiri ndipo ndi otsika mtengo kwambiri. Komanso, m'misika yamagolosale komwe amakhala, mapiritsi a ascorbic acid (vitamini C) okhala ndi shuga amagulitsidwa nthawi zambiri. Itha kugwiritsidwanso ntchito motsutsana ndi hypoglycemia. Mlingo wa vitamini C mwa iwo nthawi zambiri amakhala wotsika kwambiri. Ngati ndinu aulesi kuti musunge mapiritsi a shuga - tengani magawo a shuga abwino. Kungokhala zidutswa 2-3, osati zochulukirapo. Maswiti, zipatso, timadziti, ufa - siabwino kwa odwala omwe amachita mtundu wa chithandizo cha matenda a shuga 1 kapena mtundu wachiwiri wa matenda a shuga ..

Ngati mwakhudza mapiritsi a shuga, sambani m'manja musanayeze shuga ndi magazi. Ngati kulibe madzi, gwiritsani ntchito nsalu yonyowa. Monga chomaliza, nyambita chala chomwe mukufuna kubaya, kenako ndikupukuta ndi nsalu yoyera kapena mpango. Ngati pali glucose pakhungu la chala, zotsatira za kuyeza shuga m'magazi zidzasokonekera. Sungani mapiritsi a glucose kutali ndi mita ndikuwonetsetsa kuti akupita.

Funso lofunika kwambiri ndilakuti ndiyenera kudya mapiritsi angati a shuga? Ikulume zokwanira kukweza shuga m'magazi anuwo, koma osatinso. Tiyeni titenge chitsanzo chothandiza. Tinene kuti mumalemera 80 kg. Pamwambapa, tidawerengera kuti gramu imodzi ya glucose iwonjezera shuga m'magazi anu ndi 0.22 mmol / L. Tsopano muli ndi shuga wamagazi a 3.3 mmol / L, ndipo mulingo woyenera ndi 4.6 mmol / L, i.e. muyenera kuwonjezera shuga ndi 4.6 mmol / L - 3.3 mmol / L = 1.3 mmol / l. Kuti muchite izi, tengani 1.3 mmol / L / 0.22 mmol / L = 6 magalamu a shuga. Mukamagwiritsa ntchito mapiritsi a glucose olemera gramu imodzi iliyonse, amatuluka mapiritsi 6, osatinso pang'ono.

Zoyenera kuchita ngati magazi a shuga ali otsika kwambiri asanadye

Zitha kuchitika kuti mumapezeka kuti muli ndi shuga ochepa musanayambe kudya. Ngati mutsatira mtundu wa 1 kapena matenda a shuga 2 kuti muwongolere, ndiye kuti mumadya mapiritsi a glucose nthawi yomweyo, ndiye chakudya chenicheni. Chifukwa chakuti zakudya zamagulu ochepa zimapangidwa pang'onopang'ono. Ngati hypoglycemia siyimitsidwa, ndiye kuti izi zitha kudzetsa kudya kwambiri komanso kulumpha mu shuga m'maola ochepa, zomwe zimakhala zovuta kutulutsa.

Momwe mungathanirane ndi kuukira kwa kususuka ndi hypoglycemia

Hypoglycemia yofatsa komanso yofatsa imatha kuyambitsa mavuto osaneneka komanso nkhawa. Kulakalaka kudya zakudya zodzaza ndi zomanga thupi kumatha kukhala kosagwirizana. Zikakhala zotere, wodwala matenda ashuga amatha kudya kilogalamu imodzi ya ayisi kapena ufa wa zipatso kapena kumwa lita imodzi ya zipatso. Zotsatira zake, shuga m'magazi ochepa amatha kukhala ochulukirapo. Pansipa muphunzira zoyenera kuchita ndi hypoglycemia kuti muchepetse kuvulaza kwa thanzi lanu chifukwa cha mantha komanso kudya kwambiri.

Choyamba, yesani kudziwiratu ndikuwonetsetsa kuti mapiritsi a glucose amalosera kwambiri, makamaka ndi matenda amtundu wa 1 shuga.Ndi magalamu angati a shuga omwe mwadya - momwemonso shuga yanu yamagazi imakwera, osatinso mochepera. Dziyang'anireni nokha, mudzionere nokha pasadakhale. Izi ndizofunikira kuti mukakhala ndi vuto la hypoglycemia musachite mantha. Mutatha kumwa mapiritsi a glucose, mudzakhala otsimikiza kuti kusiya kuzindikira ndi kufa sizowopsa.

Chifukwa chake, tidalamulira mantha, chifukwa tidakonzekeratu pasadakhale vuto la hypoglycemia. Izi zimathandiza wodwala matenda ashuga kuti akhale chete, asamaganize, ndipo pali mwayi wochepa woti chidwi chofuna kususuka chingathe kuchoka. Koma bwanji ngati mutatha kumwa mapiritsi a glucose, simungathe kuletsa njala yakuthengo? Izi zitha kukhala chifukwa chakuti theka la moyo wa adrenaline m'mwazi ndi wautali kwambiri, monga tafotokozera m'gawo lapita. Pankhaniyi, kutafuna ndikudya zakudya zamafuta ochepa.

Komanso, ndikofunikira kugwiritsa ntchito zinthu zomwe sizikhala ndi mafuta konse. Mwachitsanzo, kudula nyama. Muno, simungathe kudya mtedza chifukwa simungathe kukana ndikudya zambiri zake. Mtedza umakhala ndi chakudya chamagulu angapo, ndipo zochuluka zimachulukanso ndimagazi, zimayambitsa. Chifukwa chake, ngati njala siyingalekerere, ndiye kuti mumamiza ndi zakudya zamafuta ochepa.

Shuga wokhazikika bwino, ndipo zizindikiro za hypoglycemia sizimatha

Mu vuto la hypoglycemia, kutulutsa kwakatulu kwa timadzi ta epinephrine (adrenaline) kumachitika m'magazi. Ndiye amene amayambitsa zambiri zosasangalatsa. Mwazi wa magazi ukatsika kwambiri, tiziwalo timene timatulutsa adrenaline potengera izi ndikuchulukitsa kuchuluka kwake m'magazi. Izi zimachitika mwa odwala onse omwe ali ndi matenda ashuga, kupatula okhawo omwe adalepheretsa kuzindikira kwa hypoglycemia. Monga glucagon, adrenaline imapatsa chiwindi chizindikilo kuti glycogen iyenera kusinthidwa kukhala glucose. Zimawonjezeranso kugunda kwa mtima, zimayambitsa pallor, manja akunjenjemera ndi zizindikiro zina.

Adrenaline ali ndi theka la moyo pafupifupi mphindi 30. Izi zikutanthauza kuti ngakhale ola limodzi pambuyo poti vuto la hypoglycemia lithe, ¼ adrenaline akadali m'magazi ndikupitilizabe kuchita. Pazifukwa izi, Zizindikiro zitha kupitiliza kwakanthawi. Ndikofunikira kuvutika ola limodzi mutatha kutenga mapiritsi a shuga. Munthawi imeneyi, chinthu chofunikira kwambiri ndikupewa chiyeso chofuna kudya kwambiri. Ngati patatha ola limodzi, zizindikiro za hypoglycemia sizikuchoka, yeretsaninso shuga ndi glucometer ndikuchitanso zina.

Khalidwe lonyansa la wodwala matenda ashuga mu mtundu wa hypoglycemia

Ngati wodwala yemwe ali ndi matenda ashuga ali ndi hypoglycemia, ndiye kuti izi zimasokoneza kwambiri moyo wa abale ake, abwenzi ndi anzawo. Pali zifukwa ziwiri izi:

• wodwala matenda ashuga nthawi zambiri amakhala mwamwano komanso mwamwano.
• wodwalayo atha kuzindikira mwadzidzidzi ndipo akufunika chithandizo chamankhwala mwadzidzidzi.

Momwe mungachite ngati wodwala matenda ashuga ali ndi vuto lalikulu la hypoglycemia kapena atayika, tikambirana m'gawo lotsatira. Tsopano tiyeni tikambirane zomwe zimayambitsa khwawa komanso momwe mungakhalire ndi wodwala matenda ashuga popanda kusamvana.

Pa vuto la hypoglycemia, wodwala matenda ashuga amatha kuchita zachilendo, mwamwano komanso mwamwano pazifukwa ziwiri zazikulu:

• adalephera kudziletsa
• Kuyesa kwa ena kuti amudyetse maswiti kumatha kuvulaza.

Tiyeni tiwone zomwe zimachitika mu ubongo wa wodwala yemwe ali ndi matenda ashuga pakamenyane ndi hypoglycemia. Ubongo umasowa glucose wogwira ntchito bwino, ndipo chifukwa cha izi, munthu amakhala ngati waledzera. Zochita zamisili zimalephera. Izi zitha kuwonetsedwa ndi zizindikiro zosiyanasiyana - kupha mphamvu kapena, m'malo mwake, kusakwiya, kukoma mtima mopitirira muyeso kapena kuipidwa nayo. Mulimonsemo, zizindikiro za hypoglycemia zimafanana ndi kuledzera. Wodwalayo akutsimikiza kuti tsopano ali ndi shuga wabwinobwino, monganso munthu woledzera amakhala ndi chitsimikizo kuti ali wodekha.Mowa woledzera komanso hypoglycemia amasokoneza ntchito zomwe zimachitika m'magawo amodzimodzi a ubongo.

Wodwala matenda ashuga aphunzira kuti shuga wambiri ndi wowopsa, amawononga thanzi, motero ayenera kupewedwa. Ngakhale atakhala kuti ali ndi hypoglycemia, amakumbukirabe izi. Ndipo pakadali pano, akutsimikiza kuti shuga ake ndi abwinobwino ndipo, kwakukulu, ali ndi nyanja yakuya. Ndipo kenako wina akufuna kumudyetsa zakudya zamafuta owopsa ... Mwachidziwikire, muzochitika izi wodwala matenda ashuga angaganize kuti ndiwachiwiri yemwe akuchita zomwe zikuyenda bwino ndikuyesera kuti zimupweteke. Izi zimachitika makamaka ngati wokwatirana naye, kholo kapena mnzake kale anayesanso kuchita zomwezo, kenako zidapezeka kuti wodwalayo ali ndi shuga wabwinobwino.

Choyipa chachikulu chodzetsa mkwiyo wa wodwala matenda ashuga ndikuyesetsa kuponya maswiti mkamwa mwake. Ngakhale, monga lamulo, kukopa pakamwa ndikwanira izi. Ubongo, wokwiyitsidwa ndi kusowa kwa glucose, amauza mwini wake malingaliro opusitsawo kuti mnzawo, kholo kapena mnzake amamufunira zabwino ngakhalenso kumupha, akumamuyesa chakudya chosasangalatsa. Muzochitika zotere, woyera mtima yekha ndi amene angakane kuzunzidwa pobwerera ... Anthu padziko lonse lapansi nthawi zambiri amakhumudwa ndikuwopsezedwa ndi zovuta za wodwala matenda ashuga poyesa kumuthandiza.

Mnzake kapena makolo a wodwala matenda ashuga amatha kuyamba kuopa kwambiri matenda a hypoglycemia, makamaka ngati wodwala matenda ashuga anali atalephera kale motero. Nthawi zambiri maswiti amasungidwa m'malo osiyanasiyana m nyumbayo kuti akhale pafupi ndipo odwala matenda ashuga amawadyera nthawi yomweyo zikafunika. Vuto ndiloti theka la milandu, anthu omwe amakhala nawo amawayikira hypoglycemia wodwala matenda a shuga, pomwe shuga yake ndiyabwino. Izi zimachitika nthawi zambiri pamilandu yabanja chifukwa chazifukwa zina. Otsutsa akuganiza kuti wodwala wodwala matenda ashuga ndiwosokonekera chifukwa ali ndi hypoglycemia tsopano. Mwanjira imeneyi amayesetsa kupewa zifukwa zenizeni, zovuta kwambiri zomwe zimachititsa kuti anthu ena azinyinyirika. Koma mu theka lachiwiri la milandu yachilendo, hypoglycemia ilipo, ndipo ngati wodwala matenda ashuga akutsimikiza kuti ali ndi shuga yokhazikika, ndiye kuti akudziika pachiswe.

Chifukwa chake, mu theka la milandu pamene anthu pafupi ayesa kudyetsa wodwala matenda a shuga ndi maswiti, akulakwitsa, chifukwa kwenikweni alibe hypoglycemia. Kudya zakudya zopatsa thanzi kumayambitsa kudumpha m'magazi, ndipo izi zimapweteketsa thanzi la munthu wodwala matenda ashuga. Koma mu theka lachiwiri la milandu pomwe hypoglycemia ilipo, ndipo munthu akakana, amapanga mavuto osafunikira kwa ena, amadziika pachiwopsezo chachikulu. Momwe mungakhalire kwa onse? Ngati wodwala matenda ashuga amachita mosazolowereka, ndiye muyenera kumunyengerera kuti asadye maswiti, koma kuyezetsa magazi ake. Pambuyo pake, theka la milandu limapezeka kuti palibe hypoglycemia. Ndipo ngati zili choncho, ndiye kuti mapiritsi a shuga amapulumutsidwa, omwe tawasungitsa kale ndipo taphunzira kuwerengera bwino momwe awerengetsera. Komanso, onetsetsani kuti mita ndi yolondola () pasadakhale. Zitapezeka kuti mita yanu yagona, ndiye siyani yomweyo ndikulondola.

Njira yachikhalidwe, pamene wodwala matenda ashuga akakamizidwa kudya maswiti, sizivuta ngakhale pang'ono. Njira zomwe tanena m'ndime yapitayi ziyenera kubweretsa mtendere m'mabanja ndikuwonetsetsa kuti onse akukhudzidwa. Zachidziwikire, ngati simupulumutsa pamiyeso ya glucometer ndi lancets. Kukhala ndi wodwala matenda ashuga kuli ndi mavuto ambiri monga omwe wodwala matenda ashuga ali nawo. Kuyeza shuga panu pokhapokha ngati anthu am'banja lanu kapena omwe mukugwira nawo ntchito yanu ndiudindo wa odwala matenda ashuga. Kenako ziwoneka kale ngati hypoglycemia iyenera kuyimitsidwa pakumwa mapiritsi a shuga.Ngati mulibe mita ya shuga m'magazi pafupi, kapena ngati mataye oyesa atha, idyani mapiritsi a shuga okwanira kuti mukweze shuga lanu la magazi ndi 2.2 mmol / L. Izi ndizotsimikizika kuti muteteze ku hypoglycemia yayikulu. Ndipo ndi shuga wowonjezereka, mudzamvetsetsa momwe kupezeka kwa mita kumawonekera.

Zoyenera kuchita ngati wodwala matenda ashuga ali kale pafupi kutaya chikumbumtima

Ngati munthu wodwala matenda ashuga ali kale pafupi kufa, ndiye kuti uku ndikumachepetsa kwambiri. Panthawi imeneyi, wodwalayo amawoneka wotopa kwambiri, wopanda nkhawa. Samayankha pazopempha, chifukwa sangathe kuyankha mafunso. Wodwalayo akadali wamantha, koma salinso wokhoza kudzithandiza. Tsopano zonse zimatengera omwe ali pafupi nanu - kodi amadziwa momwe angathandizire ndi hypoglycemia? Komanso, ngati hypoglycemia sikulinso kosavuta, koma kwambiri.

Zikakhala zotere, ndikachedwa kuyesa shuga ndi glucometer, mungotaya nthawi yamtengo wapatali. Mukapatsa wodwala mapiritsi a shuga kapena maswiti, ndiye kuti sangayendetse. Nthawi zambiri, amatha kulavulira chakudya cholimba kapena kutsamwitsa kwambiri. Pa nthawi iyi ya hypoglycemia, ndikulondola kuthira wodwala matenda ashuga ndi yankho la glucose. Ngati sichoncho, ndiye kuti yankho la shuga. Maupangiri a matenda ashuga aku America amalimbikitsa kuti magwiritsidwe ntchito a ma glucose a gel, omwe amapaka mafuta m'mkamwa kapena m'matumbo, chifukwa kulibe chiopsezo choti wodwala wa shuga angatsetsere madzi ndi kutsamwa. M'mayiko olankhula Chirasha, tili ndi njira yothetsera shuga wa mankhwala osokoneza bongo kapena yankho lomwe limapangidwa kunyumba mwachangu.

Njira yothetsera shuga imagulitsidwa ku malo ogulitsa mankhwala, ndipo odwala omwe ali ndi matenda ashuga kwambiri amakhala nawo kunyumba. Amatulutsidwa kuti athe kuyesa mayeso okhudzana ndi glucose a maola 2 m'magulu azachipatala. Mukamamwa munthu wodwala matenda ashuga ndi shuga kapena njira ya shuga, ndikofunikira kuti muwonetsetse kuti wodwalayo sakutsamwa, koma akameza madziwo. Ngati mutha kuchita izi, ndiye kuti zizindikiro zoopsa za hypoglycemia zitha mofulumira. Pakatha mphindi 5, odwala matendawa azitha kuyankha mafunso. Pambuyo pake, amafunika kuyeza shuga ndi glucometer ndikuchepetsa kuti ikhale yofanana ndi jakisoni wa insulin.

Kusamalira mwadzidzidzi ngati wodwala matenda ashuga atha

Muyenera kudziwa kuti wodwala matenda ashuga amatha kukhala osazindikira chifukwa cha hypoglycemia yokha. Zomwe zimayambitsa zingakhalenso vuto la mtima, kugunda, kugwa kwamwadzidzidzi magazi. Nthawi zina odwala matenda ashuga samatha kudziwa ngati ali ndi shuga wambiri (22 mmol / L kapena kwambiri) masiku angapo motsatana, ndipo izi zimaphatikizidwa ndi kusowa kwamadzi. Izi zimatchedwa, zimachitika kwa okalamba omwe ali okhaokha odwala matenda ashuga. Ngati mwalangidwa kuti muchite kapena, ndiye sizokayikitsa kwambiri kuti shuga yanu idzakwera kwambiri.

Monga lamulo, ngati muwona kuti wodwala matenda ashuga ataya chikumbumtima, palibe nthawi yoti mudziwe zifukwa zake, koma chithandizo chiyenera kuyambika nthawi yomweyo. Wodwala wodwala matenda ashuga akamwalira, ndiye kuti ayenera kupeza jakisoni wa glucagon, kenako ayenera kumvetsetsa zifukwa zake. Glucagon ndi timadzi tomwe timadzutsa shuga m'magazi, zomwe zimapangitsa kuti chiwindi ndi minofu zisinthe m'masitolo awo a glycogen kukhala glucose ndikudzaza magazi ndi shuga. Anthu omwe amadwala matenda ashuga ayenera kudziwa:

• komwe zida zamwadzidzidzi zimasungidwa,
• momwe mungapangire jakisoni.

Chithandizo chadzidzidzi cha jakisoni wa glucagon chimagulitsidwa ku malo ogulitsa mankhwala. Umu ndi vuto lomwe syringe yokhala ndi madzi imasungidwa, komanso botolo lomwe limakhala ndi ufa woyera. Palinso malangizo omveka bwino pazithunzi momwe angapangere jakisoni. Ndikofunikira kupaka jakisoni kuchokera mu syringe kulowa kudzera pachivindikizo, kenako ndikuchotsa singano pachikuto, ndikugwedeza vial bwino kuti yankho lithe, ndikubwezeretsanso syringe. Wachikulire amafunika kubaya buku lonse la syringe, subcutaneally kapena intramuscularly. Jakisoni itha kuchitika m'malo onse omwe insulin nthawi zambiri imabayidwa.Ngati wodwala yemwe ali ndi matenda a shuga alandiridwa jakisoni wa insulin, ndiye kuti am'banja amatha kuyeseza pasadakhale, ndikumupangira jakisoni, kuti pambuyo pake athe kuthana ndi vuto la glucagon.

Ngati palibe zida zadzidzidzi zomwe zili ndi glucagon pamanja, muyenera kuyimbira ambulansi kapena kuperekera wodwala yemwe ali ndi matenda osowa shuga kuchipatala. Ngati munthu wasowa chikumbumtima, ndiye kuti musayesetse kuyika kenakake kudzera pakamwa pake. Osayika mapiritsi a shuga kapena chakudya cholimba pakamwa pake, kapena yesani kuthira zakumwa zilizonse. Zonsezi zimatha kulowa mumtundu wa kupuma, ndipo munthu amadzaza. Wosazindikira, wodwala matenda ashuga sangathe kutafuna kapena kumeza, chifukwa chake simungamuthandize motere.

Wodwala wodwala matenda ashuga akamwalira chifukwa cha hypoglycemia, akhoza kukomoka. Pankhaniyi, malovu amamasulidwa kwambiri, ndipo mano akung'ung'udza ndikumeta. Mutha kuyesa kulowetsa ndodo m'm mano a wodwala wosazindikira kuti asathe kuluma lilime lake. Ndikofunika kuti mumulepheretse kuluma zala zanu. Iikeni mbali yake kuti malovu amatuluka mkamwa, ndipo osakakamira.

Glucagon imatha kuyambitsa mseru komanso kusanza mu matenda ashuga. Chifukwa chake, wodwalayo ayenera kugona mbali yake kuti masanzi asalowe m'mapazi. Wodwala shuga, wodwala matenda ashuga ayenera kuyamba kupanga mkati mwa mphindi 5. Pasanathe mphindi 20, ayenera kuyankha mafunso kale. Ngati pakadutsa mphindi 10 palibe umboni wowoneka bwino, wodwala yemwe ali ndi vuto la matenda ashuga osafunikira ayenera kuthandizidwa mwachangu. Dokotala wa ambulansi amupatsa shuga m'magazi.

Jekeseni imodzi ya glucagon imatha kuwonjezera magazi mpaka 22 mmol / L, kutengera kuchuluka kwa glycogen yomwe yasungidwa m'chiwindi. Munthu akazindikira bwino, wodwala matenda ashuga ayenera kuyeza shuga m'magazi ndi glucometer. Ngati maola 5 kapena kupitirira adadutsa kuyambira jakisoni wotsiriza wa insulin, ndiye kuti muyenera kupaka insulin kuti mubwezeretse shuga. Izi ndizofunikira chifukwa iyi ndi njira yokhayo chiwindi chimayambiranso kubwezeretsa malo ake ogulitsira. Iwo adzachira pasanathe maola 24. Ngati wodwala yemwe ali ndi matenda ashuga ataya kawiri kawiri mzere kwa maola angapo, ndiye kuti jekeseni wachiwiri wa glucagon sangathandize, chifukwa chiwindi sichinabwezeretse malo ake ogulitsa glycogen.

Wodwala wodwala matenda ashuga atatsitsimutsidwa ndi jakisoni wa glucagon, tsiku lotsatira amafunika kuyeza shuga ndi glucometer maola 2,5 onse, kuphatikiza usiku. Onetsetsani kuti hypoglycemia siyikuchitikanso. Ngati shuga wa magazi atsika, nthawi yomweyo gwiritsani ntchito mapiritsi a glucose kuti achulukitse. Kuwunikira mosamala ndikofunikira kwambiri, chifukwa ngati wodwala matenda ashuga ayambiranso, ndiye kuti jekeseni wachiwiri wa glucagon sangamuthandize kudzuka. Chifukwa - tidafotokozera pamwambapa. Nthawi yomweyo, shuga wokwezeka amafunika kusinthidwa pafupipafupi. Jekeseni wachiwiri wa insulin yothamanga sangathe kutero osapitirira maola 5 mutatha.

Ngati hypoglycemia ili yoopsa kwambiri mwakuti mumalephera kudziwa bwino, muyenera kuunikanso njira yanu yothandizira anthu odwala matenda ashuga kuti mumve molakwika. Werengani werengani mndandanda wazomwe zimayambitsa hypoglycemia, zomwe zimaperekedwa pamwambapa.

Masheya a hypoglycemia ndi magome a glucose, zida zamwadzidzidzi ndi glucagon, ndi yankho la glucose yofunikiranso ndikofunikira. Kugula zonsezi pamankhwala ndikosavuta, osati mtengo, ndipo kungapulumutse moyo wa wodwala matenda ashuga. Nthawi yomweyo, zinthu zothandizira pa vuto la hypoglycemia sizithandiza ngati anthu omwe akuzungulirani sadziwa komwe asungidwa, kapena sakudziwa momwe angathandizire mwadzidzidzi.

Sungani zothandizira za hypoglycemia nthawi yomweyo m'malo angapo oyenera kunyumba ndi kuntchito, ndipo lolani abale ndi abale kudziwa komwe asungidwa.Sungani mapiritsi a glucose m'moto wanu, chikwama chanu, chikwama chanu chaching'ono ndi chikwama chanu chonyamula m'manja. Mukamayenda pandege, samalani zofunikira zanu za hypoglycemic pamalonda anu, komanso zofananira ndi katundu wanu. Izi ndizofunikira ngati katundu aliyense atayika kapena kuba kwa inu.

Sinthani zida zodzidzimutsa ndi glucagon nthawi yake ikatha. Koma mukakhala mu vuto la hypoglycemia, mutha kupanga jakisoni, ngakhale itatha. Glucagon ndi ufa pang'ono. Popeza ndi youma, imakhalabe yogwira ntchito kwa zaka zingapo pambuyo poti ithe. Inde, izi zimachitika pokhapokha ngati sizinawonekere kutentha kwambiri, monga zimachitika mchilimwe mgalimoto yotsekedwa padzuwa. Ndikofunika kusunga zida zadzidzidzi ndi glucagon mufiriji pamtunda wa + 2-8 digiri Celsius. Njira yokhazikika ya glucagon itha kugwiritsidwa ntchito pokhapokha maola 24.

Ngati mugwiritsa ntchito china chake kuchokera m'matangadza anu, azibwezereni mwachangu. Sungani miyala yambiri ya glucose ndi mizere yama glucose mita. Nthawi yomweyo, mabakiteriya amakonda kwambiri shuga. Ngati simugwiritsa ntchito mapiritsi a glucose kwa miyezi 6-12, ndiye kuti atha kukumbidwa ndi mawanga akuda. Izi zikutanthauza kuti mabakiteriya akhazikitsa. Ndikwabwino kukhazikitsa mapiritsi oterowo mwatsopano.

Zibangiri za ID, zingwe ndi ma medallions a odwala matenda ashuga ndizodziwika bwino m'maiko olankhula Chingerezi. Ndiwothandiza kwambiri ngati munthu wodwala matenda ashuga afafaniza chifukwa amapereka chidziwitso chofunikira kwa akatswiri azachipatala. Wodwala matenda a shuga a ku Russia sayenera kuyitanitsa izi kuchokera kunja. Chifukwa sizokayikitsa kuti dokotala wadzidzidzi amvetsetsa zomwe zalembedwa mu Chingerezi.

Mutha kudzipangira kukhala chibangili chazidziwitso polamula cholemba. Chingwe ndichabwinoko kuposa loko, chifukwa mwina akatswiri azachipatala amazindikira.

Chifukwa chiyani hypoglycemia imayamba?

Insulin imapangidwa ndi zisumbu za payekha zikondamoyo. Mu shuga mellitus, mtundu woyamba wa timadziwu ulibe kapena umapangidwa pang'ono. Mtundu wachiwiri wa matenda a endocrine umakhudzanso kufooka kwa minofu. Kuti akonze vutoli, odwala amagwiritsa ntchito mankhwala apadera. Maselo ambiri m'thupi amadya insulin. Kupsinjika, kupsinjika kwamphamvu m'maganizo ndi m'thupi kumabweretsa kumwa kwa shuga wopanda mahomoni awa. Magazi a shuga amachepa ndipo hypoglycemia imayamba.

Kuti ubongo ukhale ndi minyewa yokhala ngati yabwinobwino, chizindikiro cha glucose sichiyenera kugwera pansi 3.3 mmol / L. Hypoglycemia ndi mkhalidwe womwe mulingo womwe umachepetsedwa kwambiri. Potere, thupi limakhala ndi njala, chifukwa chomwe ubongo ndi ziwalo zina zimasokonekera. Kusiyanitsa pakati pa zenizeni ndi zabodza za hypoglycemia. Kachiwiri, phindu la shuga panthawi yoyezedwa imatha kukwezedwa kapena kukhala yabwinobwino.

Zoyambitsa zazikulu za hypoglycemia zimagwirizanitsidwa ndi matenda a shuga komanso kusintha kosayenera kwa matendawa. Izi zimaphatikizira kuchuluka kwa insulini kumbuyo kwa chakudya chapadera, kudwala kwa nthawi yayitali kwa wodwala, ntchito yamiseche, kupsinjika, kulimbitsa thupi kwambiri. Molumikizana ndi zovuta za metabolic, kugwiritsa ntchito mowa kumayambitsa mawonekedwe apadera a matenda - mowa. Hypoglycemia yofulumira kapena yochepa imakhazikika mwa anthu athanzi pamtundu wa zakudya zofooketsa kapena chithandizo chamanthawi yayitali.

Payokha, ndi koyenera kuganizira zamatsenga mu ana. Matendawa amakula mwa ana akangobadwa mayi akapezeka kuti ali ndi matenda ashuga. Izi ndichifukwa chakuthwa kwakuthwa kwa kapamba wa mwana ku utero. Insulin m'thupi la wakhanda akangobadwa amasintha glucose kukhala maselo. Kuperewera kwa zakudya m'thupi kumatha kupangitsa kuti magazi achepe.Mtundu wina wa matenda ndi hypoglycemic syndrome, womwe umayamba kutsutsana ndi chotupa cha ma cell - ma insulinomas.

Pathology imatha kupsinjika ndi zinthu zosiyanasiyana. Odwala omwe ali ndi matenda ashuga, matendawa amakula chifukwa chimodzi mwa zifukwa izi:

• kutopa
• Mlingo wolakwika wa insulin kapena mankhwala ochepetsa shuga;
• kusowa kwamadzi
• Kudumpha insulin kapena chakudya
• matenda a chiwindi (cirrhosis, kulephera kwa chiwindi),
• meningitis
• kuperewera kwa mphamvu ya mahomoni (corticosteroid achire syndrome, hypopituitarism, kulephera kwamtima (matenda a adrenal insuffence), ndi zina),
• encephalitis
• matenda am'mimba,
• kuledzera
• sarcoidosis
• KNP (kulephera kwa impso),
• kapamba insulinoma
• sepsis
• matenda amtundu (autoimmune hypoglycemia, V cell hypersecretion kapena VII ectopic insulin secretion).

Kuphwanya koopsa ndizowopsa kwa anthu omwe ali ndi matenda a mtima. Pathology mwa odwala amatitsogolera, kukomoka kwamatumbo, myocardial infarction. Mphamvu ya matendawa imayamba mwa akhanda chifukwa cha kuchepa kwa matendawa m'masiku oyamba pambuyo pobadwa. Kutsika pang'ono kwa glucose m'magazi athanzi kumatha kuyambitsidwa ndi izi:

• zopsinjika pafupipafupi
• zakudya zopanda thanzi
• zolimbitsa thupi,
• osagwirizana ndi boma lakumwa,
• kusamba magazi
• intravenous kulowetsedwa kwa saline kwakukulu.

Gulu

Chipangizochi chili ndi code ku ICD (Kugawika Kwa Matenda Padziko Lonse) - 16.0. Kuphatikiza apo, hypoglycemia imagawidwa m'magulu omwe amakhala ndi nambala zotsatirazi:

• zosatchulidwa - E2,
• kuphwanya kapangidwe ka gastrin - 4,
• hypoglycemic coma (odwala popanda matenda a shuga) - E15,
• Zoyipa zina zomwe zimapezeka pofufuza wodwalayo - 8,
• hyperinsulinism ndi encephalopathy - E1.

Komanso matenda amagawidwa pazifukwa . Pansipa pali tebulo lokhala ndi tsatanetsatane:

Neonatal kapena osakhalitsa (mwa akhanda)

• Matenda a mtima
• asphyxia,
• kulephera kwamthupi kuthana ndi shuga,
• matenda opatsirana
• sepsis.

• Mankhwala osokoneza bongo
• kumwa kuchuluka kwakumwa zokhala ndi zakumwa zoledzeretsa pamasamba a chakudya chopanda malire.

• Kuphwanya ntchito za chimbudzi pakapita opaleshoni,

• hypothyroidism.

• Zakudya zopatsa thanzi zokwanira m'zakudya zanu
• zolimbitsa thupi,
• matenda am'mimba thirakiti.

Mlingo wofunika wa insulin musanagone kapena musanadye chakudya chamadzulo (panthawi ya 2 mpaka 4 maola, timadzi timene timakhala kuti thupi silidyedwa ndi thupi).

• Mimba
• pachimake kapena mawonekedwe osalephera aimpso,
• insulin.

• Kuphwanya magetsi am'magetsi kapena acid-base,
• kuwonongeka kwa hypothalamus,
• kulephera kwa mahomoni
• kusala kudya kwanthawi yayitali komanso kuwonongeka kwakanthawi.