Zizindikiro za Hypoglycemia

Mowa mosakayikira ndiye chifukwa chachikulu kwambiri cha hypoglycemia mwa anthu omwe alibe shuga. Poyamba, matendawa amatchulidwa chifukwa cha zakumwa zina zoledzera zomwe zimapangidwa modabwitsa, osati chifukwa cha ethanol yomwe. Komabe, malingaliro awa adayenera kusiyidwa atawonetsedwa kuti zotsatira zofananazo zimatha kuyambitsidwa ndi ethanol koyera mwa anthu osowa zakudya m'thupi kapena wathanzi omwe amakhala ndi njala kwa maola 48-72.

Mowa hypoglycemia ndi wofala kwambiri pakati pa anthu omwe amamwa omwe samadya kapena kudya pang'ono kwa tsiku limodzi kapena angapo. Hypoglycemia imayamba kupezeka patatha maola 6 mpaka atamwa mowa, chifukwa chake fungo la mkamwa mwa wodwalayo silingamveke. Monga lamulo, anthuwa amapezeka kuti ali ndi vuto la uchidakwa, omwe amamwa kwa masiku angapo ndipo nthawi yomweyo amadya pang'ono. Mbiri yosanza mobwerezabwereza nthawi zambiri imadziwika, yomwe imawonetsa kudya kosakwanira kwa zopatsa mphamvu m'thupi, kupatula omwe ali ndi zakumwa zoledzeretsa. Anthu ena amatengeka kwambiri ndi vuto la mowa. Izi ndi monga: 1) ana aang'ono omwe amatha kumwa mowa mwangozi, 2) odwala matenda ashuga, kulandira insulin, 3) odwala omwe ali ndi matenda a pituitary-adrenal system (mwachitsanzo, hypopituitarism, kuchepa kwa ACTH ndi matenda a Addison).

Kuzindikiritsa zakumwa zoledzeretsa kumachitika pokhapokha pa mbiri yomwa m'mbuyomu komanso kudziwika kwa hypoglycemia limodzi ndi kuchuluka pang'ono kwa mowa ndi lactic acid m'magazi. Pambuyo kukonza kwa hypoglycemia ndikuyambiranso kwa zakudya kwa odwala, mayeso azidziwitso siothandiza kwambiri. Pambuyo pakupereka kwa glycogen pakubwezeretsanso pakumayambanso kwa zakudya, kutsitsimuka kwa mowa sikuti kumayambitsa hypoglycemia, komanso m'malo okhala ndi njala kwa nthawi yayitali, motsutsana ndi maziko a kutsika kwa malo ogulitsira glycogen, alibe phindu lozindikira. Popeza kuledzera kumakhala kofala ndipo nthawi zambiri kumachulukitsa hypoglycemia chifukwa cha zifukwa zina, mwayi wodziwikiratu ukhoza kusiyidwa mokwanira, makamaka ngati hypoglycemia imakula mobwerezabwereza. Kuyesedwa kwa maola 72 kungakhale kofunikira kuti mupeze zina zomwe zimayambitsa kusala kudya kwa hypoglycemia. Ngati mowa ndi chifukwa chokhacho chomwe chimayambitsa hypoglycemia, ndiye kuti kufa ndi njala (bola kumwa mowa mopatula panthawiyi) sikungawonekere mawonekedwe ake.

Limagwirira a chidakwa hypoglycemia amatsimikiza ndi kagayidwe ka ethanol mu chiwindi ndi kutsika kwa glycogen m'masamba (mkuyu. 11-4). Ethanol imaphatikizidwa makamaka ndi cytoplasmic enzyme mowa dehydrogenase. Zotsatira izi, acetaldehyde imapangidwa ndipo NAD ku NAD • H yafupika. Acetaldehyde yotere imapangidwira kuti acetate mothandizidwa ndi aldehyde dehydrogenase pamaso pa NAD, yomwe imagwira ngati hydrogen amavomereza. Mwanjira imeneyi. ndi kagayidwe kachulukidwe ka ethanol, kuchuluka kwa NAD • N kamapangidwa ndipo chiŵerengero cha NAD • N / NAD m'maselo a chiwindi chimakula kwambiri. Kudzikundikira kwa NAD-H kumathandizira kubwezeretsa pyruvate kuti ichite mkaka. Popeza kupangidwa kwa glucose kuchokera ku main mainors of gluconeogenesis a lactate ndi alanine monga gawo loyamba kumafuna kutembenuka kwawo kukhala pyruvate, kubwezeretsa kwa pyru-

Mkuyu.11—4. Limagwirira a chidakwa hypoglycemia. Mukusinthana kwa ethanol, NAD-H imapeza, chifukwa chomwe glycolysis imadutsidwa ndikupanga lactate kuchokera ku pyruvate. Popeza gluconeogenesis kuchokera ku alanine kapena lactate amafunika kaye kusinthika kukhala pyruvate, shunt yotere imalepheretsa gluconeogenesis. Kuperewera kwakuthupi koyambirira ndikofunikira, popeza kuvuta kwa mowa pa gluconeogeneis kumawonekera pokhapokha pakutha kwa masitolo a glycogen m'chiwindi.

thonje ndi mapangidwe lactate bwino linalake ndipo tikulephera gluconeogeneis. Kuphatikiza apo, kuchuluka kwa NAD • N / NAD m'chiwindi kumachepetsa kupereka kwa glycerol ku gluconeogeneis. Glycerin amalowa mu gulu la gluconeogenesis mwa makutidwe ndi okosijeni a a-glycerophosphate kupita ku dioxiacetone phosphate, ndipo izi zimadalira kuchepa kwa NAD ku NAD • N. Mphamvu yoletsa mphamvu ya hepatic gluconeogeneis pa mowa idawonekeranso mwa anthu omwe amagwiritsa ntchito isotopes. Kreisberg et al. zinawonetsa kuti kudya kwa ethanol ndi munthu wathanzi kumalepheretsa kuphatikizidwa kwa lactate mu glucose mu kusala komanso panthawi yayitali (maola 48-72). Kuphatikiza apo, mowa unachepetsa kutembenuka kwa alanine (main glucogenic amino acid) kukhala glucose. Popeza hepatic glucose amapanga pambuyo panjala usiku chifukwa cha 75% glycogenolysis, mphamvu ya hypoglycemic imadziwonetsera pokhapokha poyambira kutsika kwa masitolo a glycogen (i.e., atatha masiku angapo osowa bwino m'thupi), pamene glucose homeostasis imadalira makamaka kuwonongeka kwa gluconeogenesis njira. Izi zikufotokozera kuti kumwa mowa mwauchidakwa kumawonedwa pafupifupi ndi anthu osowa m'thupi komanso / kapena mwa anthu omwe amamwa mowa kwa masiku angapo pomwe akudya pang'ono.

Chithandizo cha mowa hypoglycemia chithupsa mpaka mtsempha wamagazi kukhazikitsa. Kukhazikitsidwa kwa glucagon sikuwonetsedwa, popeza mumikhalidwe yotsika ya glycogen nkhokwe, palibe zomwe zimachitika mu hormone iyi.

Tsiku Lowonjezeredwa: 2015-01-19, Views: 1278, POPHALA YOPHUNZITSA KUKHALA

Mowa hypoglycemia - kapangidwe ka chitukuko ndi momwe mungathetsere

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Kuledzera ndi chimodzi mwazomwe zimayambitsa hypoglycemia, makamaka ngati mowa umamwa pamimba yopanda kanthu kapena ndi chakudya chosakwanira. Mofananamo timapezanso zakumwa zozizilitsa kukhosi pambuyo pogwira minofu yambiri kapena kupumira pakudya. Udindo wofunikira umaseweredwa ndi zomwe zakumwa zaledzera zomwe zalowa mthupi ndi mawonekedwe ake.

Hypoglycemia wokwiyitsidwa ndimankhwala nthawi zambiri amakula motsutsana ndi maziko a kuledzera. Ethanol imatha kuchepetsa mita ya shuga m'magazi ndi zowopsa komanso zowopsa.

Momwe mowa umasokoneza hypoglycemic syndrome

Khalidwe la ethanol m'magazi ndi losamveka:

• Choyamba, zimawonjezera ntchito ya insulin ndi mapiritsi ochepetsa shuga.
• Kuletsa chiwindi, Mowa umalepheretsa kupanga kwa glucogen - gwero lina la shuga.
• Limagwirira a mowa ndi ofanana ndi ntchito ya lipids: Kutha mafuta, kumawonjezera kuchuluka kwa mafuta maselo. Kudzera m'matumbo owonjezera, glucose wochokera m'magazi amalowa mu cell. Zomwe zili m'magazi zimagwa, njala yofunikira imawoneka.

Kuphatikiza apo, ethanol imakonza magwiridwe antchito a mahomoni amakula ndipo imasokoneza mayankho oyenera a thupi pakusintha kwa plasma. Ichi ndi chimodzi mwazomwe chimayambitsa hypoglycemia mwa anthu omwe amamwa mowa mopitirira muyeso, chifukwa kukula kwa ma hormone kumayendetsa glucometer.

Chifukwa cha zopatsa mphamvu "zopanda kanthu" zomwe ethanol imakhala, zimalepheretsa kugwiritsa ntchito mafuta m'thupi.

Limagwirira kukula kwa chidakwa hypoglycemia

Anthu odwala matenda ashuga omwe ali ndi "chidziwitso" cholimba cha matendawa amadziwa za kutsetsereka kwa mowa. Mlingo wa glucose umakwera m'njira ziwiri: kudya mafuta ochulukirapo ndi chakudya komanso kupanga glycogen ndi chiwindi. Kukhazikika kwa glucose kosakhazikika kumachirikiza shuga pafupifupi 3,3 mmol / L. Ngati mowa ungalepheretse gluconeogeneis poletsa chiwindi, taganizirani zomwe zimachitika m'thupi pamene shuga sayatsidwa. Mwayi wopeza hypoglycemia ndiwopamwamba mu odwala matenda a shuga omwe amadalira insulin, popeza kusintha mlingo woganizira zakumwa sikophweka.

Ethanol imayambitsa hypoglycemia chifukwa cha kusokoneza njira ya gluconeogeneis ndikusintha kwa chiyezo cha cytosolic NAD H2 / NAD. Kukonza mowa mu chiwindi kumapangitsa mowa dehydrogenase. Cofactor ya enzyme, NAD (nicotinamide adenine dinucleotide) ndi gawo lofunikira la glucogenesis. Mowa wambiri m'magazi am'magazi umayambitsa kugwiritsidwa ntchito kwa NAD komanso kutsekeka kwa nthawi imodzi kwa chiwindi.

Mwachiwonekere, mowa hypoglycemia umayamba motsutsana ndi kumbuyo kwa kuchepa kwa zinthu za glycogen, pomwe kuthekera kwa chiwindi kwa glucogenesis ndikofunikira kwambiri kuti matenda a shuga asinthe. Pangozi ndi anthu omwe amamwa mowa pafupipafupi ndi zakudya zochepa.

Matenda a hypoglycemic state

Mowa ndi chizoloŵezi chofunikira kuti chitukuko cha hypoglycemia chithandizire kwa omwe amapezeka popanda matenda a shuga. Poyamba, ziwerengero zotere zidalungamitsidwa ndi zosayenera zomwe zimakhala ndi zakumwa zoledzeretsa zamtengo wapatali. Koma atayesa mafuta oyera a ethanol, omwe adaperekedwa kwa odzipereka athanzi labwino omwe adakhala ndi njala kwa masiku awiri kapena atatu ndikuwonetsa zotsatira zofananira, malingaliro awa adayenera kusintha.

Mowa hypoglycemia nthawi zambiri umapezeka pakati paokonda zakumwa zoledzeretsa omwe amapita osagwiritsa ntchito tsiku limodzi kapena awiri. Vuto limayamba patadutsa maola 6 mpaka 24 Mowa atalowa m'magazi, ndiye kuti sizingatheke kuzindikira vuto la fungo lochokera mkamwa, kufunikira kwa labotale ndikofunikira. Pali mbiri ya zizolowezi zosinthidwa mobwerezabwereza, izi zikuwonetsa kukwiya kwamanjenje ndi m'mimba ndi mowa, kusowa kwa calorie pomwe zakudya zomwe zimakhala ndi ethanol zimalowa m'mimba.

Ziwopsezo, chifukwa chotenga kachilombo ka HIV chifukwa chomwa mowa:

• Odwala odwala matenda a shuga
• Odwala omwe ali ndi pathologies a pituitary-adrenal system,
• Ana omwe ali ndi mwayi wakumwa mowa mwangozi.

Kuopsa kwa khunyu komanso chizolowezi cha hypoglycemia kumakhalapo kwa ana osaposa zaka 5. Mlingo wowopsa wa ethanol weniweni wa ana ndi 3 g / kg (mwa akulu - 5-8 g / kg).

Hypoglycemia woledzera wa mowa nthawi zambiri umatha. Ndikosavuta kusiyanitsa dziko lino ndi poyizoni wa mowa.

Mowa hypoglycemia amadziwika ndi zofunika zizindikiro matenda:

Kuyesa kwa hepatatic kumawonetsa chizolowezi, ndikotheka kuzindikira zokhazo pokhapokha ndi mbiri yakale yomwa mowa yotchulidwa mu anamnesis. Pambuyo pobwezeretsa chuma cha glycogen, kutsitsimutsa mowa sikuyambitsa hypoglycemia.

Hypoglycemia wokhala ndi zakumwa zoledzeretsa zimadalira mlingo: kwambiri pamene wovutikayo watenga, glucogeneis yotalikirapo imapindika. Choopsa chachikulu ndi mtundu wachedwa wa hypoglycemia. Ngati madzulo adamwa zakumwa zoledzeretsa, vuto limatha kuyamba usiku. Chifukwa cha kuchuluka kwa glycogen m'chiwindi, izi sizovuta kuchiza. Kuledzera kwa uchidakwa kumathandizira kunyalanyaza zizindikiritso zam'mbuyomu za hypoglycemia, chifukwa chake, njira zopewera panthawi yake sizitengedwa.

Momwe mungathetsere hypoglycemia ya mowa

Popanda chidziwitso chanthawi yake komanso chithandizo chokwanira, anthu omwe amamwalira mu vutoli amawonedwa 25% ya ana komanso 10% ya achikulire omwe akuchitiridwa nkhanza.

Mwa kukhazikitsa glucagon, vuto lomwe lidayambitsidwa ndi kuledzera silingathetse, chifukwa kulibenso nkhokwe zambiri za glycogen, komanso momwe thupi limachitidwira ndi timadzi timeneti. Jakisoni wa glucose ndiwothandiza kuchepetsa milingo ya lactate komanso kusintha momwe mulili acid-base. Mosiyana ndi mtundu wa hypoglycemia, wodwala safuna kulowetsedwa kwa shuga. Mu ana omwe ali ndi zizindikiro zotere, amayamba ndi shuga, ndipo dontho lokhala ndi glucose-electrolyte solution imakwaniritsa.

Monga chithandizo choyambirira (ngati wozunzidwayo akudziwa) amaloledwa kugwiritsa ntchito zakudya zamafuta - maswiti, msuzi wokoma. Kupumanso kwa hypoglycemia kumaletsedwa ndi chakudya chamagulu. Mapiritsi a glucose ali ndi kuchuluka kwa chakudya chamagulu.

Njira zabwino zothanirana chikomokere ndi kupewa:

1. Anthu odwala matenda ashuga ayenera kuchepetsa kumwa mowa.
2. Mowa sungakhale njira yochepetsera glycemia.
3. Ndi chiwindi chathanzi, amaloledwa kudya 50 g ya mowa wamphamvu ndi cognac kapena 150 mg wa vinyo wouma (chofunikira chachikulu cha chakumwa ndi kusowa kwa shuga ndi zoperewera pang'ono).
4. Nthawi zina mumatha kumwa mowa - mpaka 300 g (kuvulaza kwa chakudya chamafuta kumalipidwa ndi zabwino za yisiti yofulula).
5. Zakumwa zonse zokoma zaukali ndizoletsedwa - zotsekemera ndi viniga wokhala ndi mipanda yolimba, zakumwa zoledzeretsa, zakumwa, ndi zina zambiri. Kwa azimayi oyembekezera, palibe chosankha pankhaniyi: mowa ndi woletsedwa pachikhalidwe.
6. Kumbukirani kuti mowa umatseka zizindikiro za hypoglycemia, kuphatikizapo kuchedwa. Chenjerani za mavuto anu kwa omwe ali pakali pano.
7. Zakudya zoledzeretsa ziyenera kudyedwa mukatha kudya.
8. Musanagone, onetsetsani kuti mumawerengera za shuga ndikudya zina ndi zopatsa mphamvu.
9. Mukamawerengera zakudya zanu zopatsa mphamvu, lingalirani zakumwa za calorie: 1 g mapuloteni kapena chakudya - 4 kcal, 1 g yamafuta - 9 kcal, 1 g ya ethanol - 7 kcal.
10. Khalani okonzekera kuti mowa udzakulitsa kuchuluka kwa triglycerides, kumapangitsa chiwonetsero cha matenda amitsempha ya matenda a shuga.

Kwa zakumwa zoledzeretsa (40% mowa), mlingo wa chiopsezo cha hypoglycemia ndi 50-75 g pamaso pa zokhwasula-khwasula monga mawonekedwe a mbatata ndi zakudya zina. Kwa ma vinolo okhala ndi mafuta ochepa komanso osachepera mafuta ambiri (vinyo wouma, brut), chiopsezo cha 50 ml. Werengani zidziwitso zomwe zalembedwa ndipo muzilembapo zomwe dokotala wanu sanakulembeni ndi "mankhwala" omwe akumwa.

Matenda a shuga m'magalu

Matenda a shuga mu agalu ndi anthu ali ndi chinthu china chofanana. Komabe, makina a chitukuko cha matendawa ndi mawonekedwe ake amatha kusiyanasiyana. Izi zikutanthauza kuti njira yothandizira mankhwalawo ndi yosiyana.

• Kodi matenda ashuga agalu ndi chiyani?
• Zoyambitsa matenda a shuga agalu
• Zizindikiro za matenda a shuga agalu
• Matenda a galu
• Kuzindikira matenda ashuga mu agalu
• Mavuto a shuga agalu
• Chithandizo cha Matenda a Agalu
• Hypoglycemic mankhwala a shuga agalu
• Kodi kuwomba alarm?
• Kodi kudyetsa galu ndimatenda a shuga?
• Zoletsa Matenda a shuga
• Agalu chakudya cha shuga
• Zonena za Matenda a Galu
• Pomaliza

Mankhwala ambiri omwe amagwiritsidwa ntchito pochiritsa anthu amakhala opanda ntchito kwa agalu. Nthawi zambiri, matendawa amapezeka ndi ziweto kuyambira azaka zisanu ndi ziwiri mpaka zisanu ndi zinayi. Malinga ndi ziwerengero, akazi osadalirika amakhala pachiwopsezo.

Matenda a shuga m'magalu ndi matenda omwe sangathe kuchiritsidwa kwathunthu, koma amatha kuthandizidwa. Njira zoyenera zithandizira galuyo kukhala ndi moyo wonse ndipo palibe amene angakayikire kuti chiweto chanu chimakhala ndi mavuto. Gawo lalikulu la machiritso ndi zakudya zoyenera.

Kodi matenda ashuga agalu ndi chiyani?

Matenda a shuga ndi matenda osachiritsika, omwe ali ndi mikhalidwe iyi:

• kuphwanya zakudya
• kusowa kwa insulini
• mphamvu ya thupi yopanda mphamvu ya glucose,
• kupanga mkodzo mokulira.

Matendawa ndi amitundu iwiri:

• kusakwanira kokwanira komwe kumalumikizidwa ndi kuchepa kwa insulin,
• kuperewera kwa wachibale, komwe kumazikidwa pakukokana kwa minofu pakuchitika kwa insulin.

Gwero lalikulu lamphamvu la agalu ndi glucose. Shuga amalowa m'magazi kudzera mu chakudya. Maselo a pancreatic amamwa shuga mpaka shuga m'magazi amachepa.

Matendawa amatenga zifukwa ziwiri izi:

1. Kapamba samatulutsa insulini.
2. Maselo opanga samasiyanitsa shuga.

Ziribe kanthu momwe zinthu zimakhalira, mulimonse, maselo a kapamba sangathe kuthana ndi ntchito yawo ndipo sasintha glucose kukhala mphamvu. Zotsatira zake, hyperglycemia imachitika, ndipo ma cell a gland amamva njala.

Kuwonongeka kwakukulu kwamafuta kumabweretsa kupangidwa kwa matupi ambiri a ketone m'thupi, omwe amatha kupezeka mkodzo. Mwini wakeyo amatha kununkhanso acetone mu mpweya wa chiweto. Izi zimabweretsa kuwonjezeka kwa acidity. Zotsatira zake, mkhalidwe womwe umawopseza moyo wagalu ukhoza kukulira.

Zoyambitsa matenda a shuga agalu

Udindo wofunikira pakupanga matendawa umachitika ndi cholowa chamabadwa. Komabe, nthawi zambiri, zifukwa zenizeni zimayambitsa matenda.

Pali zinthu zingapo zoyambitsa zomwe zimayambitsa kuwonekera kwa hyperglycemia:

• mankhwala a mahomoni
• onenepa kwambiri
• kusasamala kwa mahomoni,
• kutupa kwa kapamba,
• mimba
• miyezi yoyamba itatha estrus.

Zizindikiro za matenda a shuga agalu

Zizindikiro zodziwika bwino za matenda ashuga agalu ndi:

• polyuria
• polydyspepsia
• kusowa kwamadzi
• glucosuria. Muli shuga wambiri m'magazi kuti amayamba kutuluka ndi mkodzo. Glucose pamodzi ndi iyo imachotsa madzi ambiri,
• kufooka, ulesi,
• kufooka kwa miyendo yakumbuyo chifukwa cha kuwonongeka kwa ulusi wamanjenje,
• kulakalaka kwamphamvu. Chifukwa chakuti maselo a pancreatic samachita glucose, thupi limatulutsa izi m'njira yanjala.
• cystitis. Mafuta ochulukirapo amakhumudwitsa kubereka kwapang'onopang'ono kwa microflora,
• kutayika kwamaso. Hyperglycemia imatsogolera pakufalikira kwa mandala
• kunenepa
• kuwonda. Thupi limadya zosungira zam'mimbamo, pambuyo pake kuwonongeka kwa mapuloteni ndi mafuta kumachitika. Zotsatira zake, galu amatenga chakudya chochuluka, koma osalemera, koma m'malo mwake amataya.
• mkodzo umakhala wamadzimadzi, wotumbulika chikasu. Ili ndi fungo labwino la shuga.

Zizindikiro zomwe tafotokozazi zimatha kuwoneka payekha kapena kuphatikiza. Kunenepa kwambiri kumatha kukhala chifukwa cha vuto la kuperewera kwa zakudya m'thupi, polyuria ndi polydyspepsia - kulephera kwaimpso, komanso kuwonongeka kwakanthawi kungayambike chifukwa cha ukalamba.

Woopsa milandu, kuyezedwa kwamankhwala kwa nyamayo kumawulula mawonekedwe:

• Mtima wofooka,
• kufooka kwa mtima
• kugwedezeka kwamphamvu ndizochepa
• tachycardia
• kutupa
• kutsitsa kutentha
• kutaya tsitsi
• kutha kwa malingaliro achiwerewere,
• chikanga, furunculosis,
• khungu liuma komanso lolimba
• hypotension.

Matendawa amadziwika ndi pang'onopang'ono, nthawi zina ngakhale kwa zaka zingapo. Matenda a shuga amatha kuchitika mwanjira inayake komanso osayendera limodzi ndi zizindikiro za matenda.

Matenda a galu

Mtunduwu ndi chifukwa chakuti galu wagalu samazindikira timadzi tating'onoting'ono. Izi zimabweretsa kuphwanya kwamchere wamchere wamadzi ndi kuchuluka kwa mchere. Njira ya pathological imawonekera mu mawonekedwe a zisonyezo zotere:

• ludzu lalikulu
• kukodza pafupipafupi,
• ulesi
• kuwonda.

Mwini galu amatha kulabadira chizindikiro chimodzi: chipendacho chimakana kuyanika chakudya. Zili choncho chifukwa zimakhala ndi madzi ochepa komanso mchere wambiri.

Kuzindikira matenda ashuga mu agalu

Kuti mupeze matenda omaliza, sikokwanira kungopeza chimodzi mwazizindikirozi. Chizindikiro chilichonse chimatha kuwonetsa kupezeka kwa matenda ena, sikuti ndi matenda a shuga.

Hyperglycemia ikhoza kukhala chifukwa cha kupsinjika, kuchuluka kwa chilakolako - chiwopsezo cha helminthic. Ndi chifukwa ichi njira zosiyanasiyana zozindikira zimachitika.

Pochizira mafupa, owerenga athu adagwiritsa ntchito DiabeNot bwino. Kuwona kutchuka kwa malonda, tidaganiza zoperekera chidwi chanu.

Kuzindikira kumathandizira kukhazikitsa matenda, komanso kudziwa zovuta ndi zovuta. Kuti mudziwe bwino, muyenera kuchita maphunziro angapo:

• kuyesa kwamagazi ndi kwamilandu yambiri,
• urinalysis, kuphatikizapo matope microscopy,
• kuyesa kwa mkodzo kwa acetone,
• acid-base balance
• glucosometry
• kufufuza kwamafuta
• kuwongolera kuchuluka kwa madzimadzi am'madzi ndi diuresis,
• X-ray
• ECG
• Ultrasound

Mavuto a shuga agalu

Kutalika kwa shuga kumatha kukhala kovuta - ketoacidosis. Mafuta oxidation amapha. Matenda ashuga ketoacidosis amawonetsedwa ndi zizindikiro zotsatirazi:

• Kununkhira kwa acetone kuchokera mkamwa,
• ulesi
• kukana chakudya
• kupumira msanga
• kusanza ndi kusanza
• kutsegula m'mimba
• kutentha pang'ono
• chikomokere.

Nyama imafunikira chithandizo chachikulu komanso kugwiritsa ntchito insulin yochepa.

Chithandizo cha Matenda a Agalu

Mankhwalawa ikuchitika magawo:

1. Kufufuza koyambirira komanso kutsimikizira kwachipatalacho kuti mwazindikira. Kufufuza kokwanira ndi kutsimikiza kwa njira zamankhwala othandizira.
2. Kuphunzitsa mwini wake njira yothira magazi chifukwa cha glucometry, komanso kufotokozera za mfundo za insulin mankhwala: malamulo osungira, kufunsanso anthu ndi kuwongolera.
3. Pambuyo kukhazikika kwa glucose, opaleshoni yamatumbo amachitidwa, ngati pakufunika kutero, komanso samatalala.
4. Kuyendera kwapanjira ndi kusintha kwa maselo a insulin. Kusankhidwa kwa chakudya chamagulu.

Ngati mwini wake amasamalira ziweto zake moyenera, ndiye kuti matendawo sanawonekere. Jakisoni wa insulin angafunikire. Mlingo amasankhidwa ndi dokotala, kutengera kulemera kwa nyamayo ndi zomwe adakumana nazo kale. Kuchulukana komanso pafupipafupi kwa kayendetsedwe ka insulini kumasinthidwa kuzinthu zomwe zimachitika pet.

Eni ake omwe ali ndi chisamaliro amapanga ngakhale pang'onopang'ono. Insulin ikaperekedwa, kuchuluka kwa shuga m'magazi kumayendera ola lililonse kwa maola 24. Izi zimakupatsani mwayi kuti muzindikire nthawi yoyambira kuchita, nthawi yayitali bwanji komanso kuchuluka kwake.

Zofunika! Pambuyo chosawilitsidwa (kuchotsa chiberekero ndi thumba losunga mazira) mfundo, kufunika kwa insulin kumachepetsedwa.

Malangizowa amathandizira kuchepetsa chiwopsezo cha matenda ashuga m'zinyama: kuwunika kuchuluka kwa chakudya chamafuta, kuyezetsa kuchipatala pafupipafupi, kuyenda mu mpweya watsopano.

Nthawi zina, sizotheka kukhazika mtima pansi. Izi zikufotokozedwa ndi zifukwa zotsatirazi:

• kugwiritsa ntchito molakwika insulin
• insulini yotsika mtengo
• ma antibodies a insulin
• kunenepa
• insulin kukana
• Njira zopatsirana.

Hypoglycemic mankhwala a shuga agalu

Ganizirani mndandanda wamankhwala omwe mungagwiritse ntchito pakamwa.

• Metformin. Amapangitsa zimakhala zofunikira kuzindikira insulin. Nthawi zambiri amagwiritsidwa ntchito ngati thupi limakhalabe ndi mphamvu yopanga insulini, koma chifukwa cha kusanza kapena kuwonda, kugwiritsa ntchito insulin kumachepa,
• Vanadium Ili ndi katundu wofanana ndi insulin. Amapezeka ngati mavitamini owonjezera,
• Acarbose. Zimathandizira kuonetsetsa kuti glucose amalowa m'matumbo pang'onopang'ono. Zotsatira zake, magazi amakhala ndi shuga wambiri kapena mochepera. Zitha kuyambitsa mavuto, chifukwa chake zimagwiritsidwa ntchito pokhapokha ngati insulini simalola kuthana ndi hyperglycemia.

Kodi kuwomba alarm?

Ngati zizindikiro zotsatirazi zikuchitika, muyenera kufunsa dokotala:

• kufooka ndi kunjenjemera
• kusakhazikika bwino
• kukokana
• kulephera kudziwa.

Dokotala asanafike, manyuchi a uchi kapena shuga ayenera kufalikira pa chingamu kapena lilime la nyama. Hypoglycemia ikhoza kupha pokhapokha ngati pali chisamaliro waluso.

Kodi kudyetsa galu ndimatenda a shuga?

Thanzi limagwira ntchito yofunika kwambiri pothandizira matenda ashuga. Mwiniwake ayenera kuyang'anitsitsa kapangidwe kazakudya ndi kuchuluka kwa zakudya. Glucose amayenera kulowa m'magazi a magazi pang'onopang'ono komanso moyenera. Kupanda kutero, thupi silingathe kupirira ndi shuga wambiri.

Ndikofunika kuyang'anira kulemera kwa chiweto chanu. Kulemera kwambiri, maselo a kapamba amatha kuwona insulin. Maziko a galu ayenera kukhala olemera komanso osachepera muzakudya za shuga. Zakudya zokazinga, zamafuta, zophika, zakudya zam'chitini - zonsezi zingakhale zakufa kwa nyama.

Amachitira agalu ogulitsa ali bwino kuti asawapeze. Nthawi zambiri, zinthu zopangidwa m'mafakitale zimakhala ndi shuga komanso mafuta ambiri. Ngati mukufuna kulimbikitsa chinyama, ndiye bwino kupereka zokonda zazing'ono, zomwe zimaphatikizapo mapuloteni ndi ulusi: nkhuku, zukini.

Agalu chakudya cha shuga

Zakudya zamasiku onse sizigwira ntchito. Ili ndi chakudya komanso mafuta ambiri. Chakudya chamagulu omwe amakhala ndi zopatsa mphamvu zochuluka ndizabwino. Chithandizo chapadera cha agalu omwe ali ndi matenda a shuga amagulitsidwa. Mu zakudya zotere, zakudya zosavuta zamafuta zimasinthidwa ndi zovuta za chakudya monga tirigu ndi fayilo. Amagulitsidwa youma komanso zamzitini.

Zonena za Matenda a Galu

Masiku ano, pali malingaliro olakwika ambiri omwe amatha kusokoneza chithandizo chokwanira ngakhale kuwononga nyama. Ganizirani zinthu zingapo zabodza zomwe anthu ambiri amakhulupirira:

1. Palibe ntchito kuchiza chiweto, ndikungotaya nthawi ndi ndalama, amwalira. M'malo mwake, njira zochizira zakhala zikugwiritsidwa ntchito kale ndikugwiritsa ntchito bwino. Zakudya zoyenera, chisamaliro ndikuwongolera zithandizira kukulitsa moyo wa galu. Njira zoyezera shuga ndi ma insulin m'magulu ambiri ndizodziwikiratu ndipo sizipweteka konse.
2. Insulin ndi mankhwala oopsa omwe angawonongeke kuposa abwino. Ma insulin amakono ndi othandiza komanso otetezeka. Zimangotulutsa shuga wamagazi. Malinga ndi akatswiri, kwazaka zopitilira khumi pogwiritsa ntchito insulin yamakono, palibe mavuto omwe adapezeka.
3. Ngati galuyo ali ndi shuga wambiri, koma akumva bwino, ndiye kuti zonse zili bwino. M'malo mwake, ngakhale zikuwonekera, njira zowonongeka zamkati ndi zamanjenje zikupanga mwachangu. Sikokwanira kungosintha pang'ono pang'ono shuga, izi sizingayime pang'onopang'ono.
4. Insulin yapadera ya Canine ndiyovuta kwambiri kupeza ndipo imodula. Palibe insulin yapadera ya agalu; ma insulin opangidwa ndi chibadwa cha anthu amagwiritsidwa ntchito pochizira nyama.
5. Ngati zovuta zamatsenga zidayambika motsutsana ndi maziko a matenda ashuga, ndiye kuti palibe chomwe mungachite, galuyo angachite khungu. Izi siziri choncho; matendawa ndi othandizika pakuchita opareshoni.

Pomaliza

Matenda a shuga m'magalu si nthano chabe, koma zenizeni za masiku athu. Zakudya zopanda pake, kusakwanira kwa mahomoni, kudziwikiratu kwamtundu - zonsezi zimatha kuyambitsa kusakhazikika kwa bwino mu chakudya.

Zowonetsera zazikulu zamatendawa ndi ludzu, kukodza pafupipafupi, kulakalaka kudya, kuwonda. Matenda a shuga amatha kuyambitsa mikhalidwe yomwe imawopseza moyo wa chiweto.

Chithandizo chimaphatikizapo chithandizo cha mankhwala osokoneza bongo komanso zakudya. Mlingo ndi pafupipafupi za insulin zimatsimikiziridwa ndi adokotala. Muyenera kusiya chakudya cham'masitolo, ndikugula zakudya.

Kumbukirani, thanzi la galu wanu lili m'manja mwanu. Dotolo afotokozanso kuchuluka, nthawi komanso kangati kudyetsa nyama. Kutsatira upangiri wa zamankhwala kungathandize kuti moyo wa chiweto chanu ukhale wangwiro!

Amayambitsa, Zizindikiro, mankhwala ndi kuzindikira kwa hyperinsulinism mwa ana ndi akulu

• Kodi chiwopsezo cha hyperinsulinism ndi chiyani?
• Zizindikiro za matendawa
• Zomwe zimachitika
• Gulu la Hyperinsulinism
• Matenda a Pathology
• Chithandizo ndi Thanzi
• Kupewa komanso kudwala

Hyperinsulinism amatchedwa matenda a hypoglycemic. Mkhalidwe wamatumbo ungatengedwe kapena kubereka. Kachiwiri, matendawa ndi osowa kwambiri, makamaka amodzi mwa akhanda 50,000. Hyperinsulinism yopezeka yomwe imapangidwa nthawi zambiri imapangidwa zaka zapakati pa 35 ndi 50, ndipo nthawi zambiri zimakhudza azimayi.

Kodi chiwopsezo cha hyperinsulinism ndi chiyani?

Mkhalidwe womwe umaperekedwa koopsa ndi chifukwa cha zovuta zake, zomwe zitha kugawidwa koyambirira komanso mochedwa. Gulu loyambalo limaphatikizapo omwe amapangidwira maola angapo otsatira atawukira, awa:

• sitiroko
• myocardial infaration
• kukulira kwakukuru kwa kagayidwe kazigawo zam'mimba ndi ubongo,
• Pazovuta kwambiri, chikomokere chimapangidwa.

Mavuto omaliza omwe amadza chifukwa cha hyperinsulinemia amakula miyezi ingapo kapena zaka pambuyo pa matenda. Amadziwika ndi zovuta zingapo, monga: kusokonezeka kukumbukira ndi kuyankhula, parkinsonism, encephalopathy (kuwonongeka kwa ubongo ntchito).

Kuperewera kwa chidziwitso ndikuchizira matenda kumayambitsa chiwopsezo cha kapamba ndi mapangidwe a shuga, komanso matenda a metabolic komanso kunenepa kwambiri.

Congenital mawonekedwe a hyperinsulinism mu 30% yamilandu imakhumudwitsa mawonekedwe a ubongo hypoxia, komanso kukula kwachulukidwe kwamaganiza a ana. Chifukwa chake, hyperinsulinism ndi vuto lomwe limakhala ndi zovuta zambiri komanso zotsatira zoyipa.

Zizindikiro za matendawa

Kuukira kumayambira ndikusintha kudya, kuoneka thukuta ndi kufooka, komanso tachycardia, njala yayikulu. Kenako mayiko ena mwamantha amalumikizana: mantha, nkhawa, kusakwiya komanso kunjenjemera miyendo. Pomwe chiwopsezo cha hyperinsulinemia chikukula, zotsatirazi zadziwika:

• kusanja m'mlengalenga,
• diplopia (kuchuluka kwa zinthu zooneka),
• paresthesia (dzanzi, kumva kukoma) m'miyendo, mpaka mawonekedwe a kugwidwa.

Ngati chithandizo sichikupezeka, kutha kwa chikumbumtima komanso kukomoka kwa hypoglycemic kumatha kuchitika. Nthawi yolumikizidwa imakhudzana ndikukulira kukumbukira, kusakhazikika m'maganizo, kusaganizira, komanso zizindikiro zina zosasangalatsa. Poyerekeza zakumbuyo chakudya chambiri chomwe chimadzaza ndi chakudya cham'mimba mosavuta, kuwonjezeka kwa thupi komanso kunenepa kwambiri kumayamba.

Akatswiri azindikira madigiri atatu a hyperinsulinism, zomwe zimatengera kuopsa kwa maphunzirowa: ofatsa, odziletsa komanso okhwima. Zowunikira kwambiri zimagwirizanitsidwa ndi kusakhalapo kwa mawonetseredwe munthawi pakati pa kukomoka ndi kuwonongeka kwa organic ku colortex. Kuchulukitsa kwa matendawa kumawonekera kangapo kamodzi pamwezi. Imaletsedwa mwachangu ndi mankhwala kapena zakudya zotsekemera.

Ndi zovuta zolimbitsa thupi, kukomoka kumachitika kangapo pamwezi, kuchepa kwa mawonekedwe a ntchito ndi chikomokere ndikotheka. Nthawi pakati povutitsidwa imawonetsedwa ndikuphwanya malamulo, mwachitsanzo, kuyiwalako kapena kuchepa kwa malingaliro. Mulingo wadzaoneni umayamba chifukwa cha kusintha kosasintha kwa ubongo. Zovuta zimachitika kawiri kawiri ndipo zimapangitsa kuti anthu asamadziwe. Munthawi yakukhudzidwa, wodwala amataya malo, kukumbukira kumakulitsidwa, kugwedezeka kwamphamvu kumadziwika. Khalidwe ndikusintha kwa kusintha kwamkati komanso kusokonekera kwambiri. Popeza zonsezi, ndikofunikira kumvetsetsa mwatsatanetsatane zomwe zimayambitsa, chithandizo ndi kuzindikira kwa vutoli.

Zomwe zimachitika

Mawonekedwe obadwa nawo amapezeka chifukwa cha kukomoka kwa intrauterine mu chitukuko, chifukwa cha kuchedwa pakupanga mwana wosabadwayo. Matenda a m'mimba amathanso kukhala ndi masinthidwe amtundu. Zomwe zimayambitsa matendawa mwa anthu omwe amapezeka ndi matendawa amagawidwa m'magulu:

• kapamba, kamene kamayambitsa kupangitsa matenda a hyperinsulinemia,
• yopanda pancreatic, kupangitsa kuchuluka kwa insulin,
• mawonekedwe a pancreatic amapezeka mu zilonda zapakhosi kapena benign neoplasms, komanso pancreatic beta cell hyperplasia.

Njira yopanda pancreatic ya hyperinsulinism mwa ana ndi akulu imatha kuyamba chifukwa cha zovuta zakudya (kusala kudya kwa nthawi yayitali, kutsegula m'mimba, ndi zina), kuwonongeka kwa chiwindi (oncology, cirrhosis, hepatosis yamafuta). Poyankha funso chifukwa chomwe matenda amapangira matenda, iwo amatenga chidwi ndi mayina osachepetsa a shuga, ma endocrine pathologies ena. Mwachitsanzo, myxedema, matenda a Addison, kapena pituitary dwarfism.

China chomwe chingakhale kuperewera kwa ma enzymes omwe amaphatikizidwa ndi glucose metabolism (hepatic phosphorylase, aimpso insulinase, glucose-6-phosphatase).

Momwe mowa umayambitsa hypoglycemia

Chimodzi mwazomwe chiwindi chimachita ndikuonetsetsa kuti shuga atulutsidwa m'magazi. Zachilengedwe zomwe zikuwonetsa kuchuluka kwa shuga m'magazi athu zimathandizira kutulutsidwa kwa mahomoni ofunika (kapamba). Nayo, imakhumudwitsa chiwindi kuti chimasule shuga m'magazi ndikuwongolera glycemic control.

Tsoka ilo, mowa umaletsa izi, kutiwonongera chitetezo chofunikira pa zotsatira zoyipa zathu. Mowa ukalowa m'thupi la munthu, nthawi yomweyo chiwindi “chimasiya” ntchito zina ndikuchita ndi machitidwe omwe amachitika chifukwa cha kusweka kwa magazi. Kuchita chidwi kwa thupi lathu kotereku kumachitika chifukwa cha kupezeka kwa zinthu zakumwa zoledzeretsa, ndipo kuchotsa zakumwa zoledzeretsa ndizofunikira kwambiri pachiwindi.

Hypoglycemia ndi chiyani ndi mowa

Kutengera ndi zomwe tafotokozazi, limodzi ndi insulin kapena mankhwala omwe amalimbikitsa kupangika kwake, kumwa zakumwa zoledzeretsa zam'kamwa kumatha kubweretsa kuchepa kwakukulu mu mkhalidwe wabwinobwino wamagulu la shuga. Mchitidwe wama hypoglycemic uwu kuchokera ku mowa umatha mpaka maola 12 atalowa m'thupi lathu!

Masewera a hypoglycemia ndi jakisoni wamaguluu

Ngati inu kapena wina m'dera lanu akukumana ndi vuto lalikulu la hypoglycemia lomwe likufuna jekeseni wa glucagon, onetsetsani kuti mwadziwitsa dokotala wanu za zakumwa zoledzeretsa ngati zingachitike maola 12 otsatira. Jekeseni wovulalayo atha kukhala osathandiza pamenepa, chifukwa chiwindi chomwe chimakhudzana ndi metabolism ya mowa sichinyalanyaza mankhwalawa omwe adalandiridwa.

Nthawi zina dokotala amatha kusankha kuperekera jakisoni wa glucose.

Kupewera kwa hypoglycemia pambuyo komanso moledzera

Mukatsatira malangizo onse omwe aperekedwa, ndiye kuti chiopsezo chokhala ndi zakumwa zoledzeretsa komanso zosafunikira za thupi lanu pakumwa zakumwa zitha kuchepetsedwa.

Malangizo ofunikira oteteza hypoglycemia:

• idyani zakudya zabwino phwando lisanachitike
• Nthawi zonse muziwonetsetsa kuchuluka kwa shuga m'magazi ndi pambuyo pake,
• ngati mukumva kena kachilendo, ikhoza kukhala chizindikiro cha hypoglycemia, ndiye, pofuna chitetezo chanu, yesani magazi kuti mutsimikizire kuti matendawa ndi olondola.
• osamamwa mowa pambuyo pochita masewera olimbitsa thupi,
• musanagone, idyani chakudya chomwe chimakhala ndi chakudya chamagulu ambiri kapena kuchepetsa insulin yanu.

Malangizo oyendetsedwa

Mukamaganiza za kumwa mowa, muyenera kusamala mukamapereka mankhwala a insulin.

• Chifukwa cha kuwopsa kwa hypoglycemia mukamamwa, muyenera kuyesetsa kuti shuga yanu ikhale yayitali kuposa masiku onse.
• Ngati mukumwa mankhwala a insulin kwambiri, jakisoni mukamwa simulimbikitsidwa.
• Kupanda kutero, mlingo wa mankhwalawa umadzachulukana, ndipo mukatha maola awiri mutha kutenga chiwopsezo chachikulu.
• Payenera kukhala yopumulitsa mphindi 45 pakati pa jakisoni.

Momwe mowa umabisira zizindikiro za hypoglycemia

Kumwa zakumwa zoledzeletsa zakumwa ndizofanana ndi hypoglycemia, kotero ndikosavuta kuphonya zizindikiro zake ngati muledzera. Zitha kuchitika kuti simunazindikire nthawi yomenyedwa. Izi zikutanthauza kuti mbali zazikulu za matenda zitha kuoneka popanda chenjezo, ndipo simungathe kudzithandiza.

Pofuna kupewa kuyamwa mwadzidzidzi m'thupi, yesani kuunika pafupipafupi momwe ma glucose amasinthira akamamwa komanso akamamwa. Ngakhale mukumva bwino. Kuphatikiza apo, chizindikiro chilichonse chosazolowereka kapena kumverera kwa nkhawa kuyenera kukuchenjezani. Onani ngati mphindi yabwino, ndipo yesani.

Chinthu chabwino chomwe mungachite kuti mupewe chizindikiro chowopsa ndikuwonetsetsa kuti zinthu zomwe zili bwino kwa odwala matenda ashuga sizili bwino. Panthawi imeneyi, ndizotheka kuchepetsa chiopsezo chakuwopsezedwa.

Kuchepetsa usiku ndi zakumwa zamowa

Ngati mwamwa mowa madzulo, usiku mutha kugwidwa ndi matenda, omwe ndi owopsa, popeza muli m'tulo, ndipo ichi ndi chiwonetsero chowopsa. Mutha kukayika, ndipo, nthawi zina, mumagwa chikomokere kapena kufa. Ichi ndichifukwa chake ndikofunikira kuti odwala omwe atenga insulini, sulfonylureas kapena ma dongo amadziwa zomwe hypoglycemia ili ndi kusamalira hyperglycemia pang'ono asanagone.

Ngati mumamwa madzulo, onetsetsani kuti muli ndi ma carbs okwanira musanagone. Njira ina ndikuchepetsa mlingo wa insulin yomwe mumatenga usiku. Funsani dokotala wanu kuti akuthandizeni kusankha njira yabwino yopewa kuyankha moopsa usiku.

Chibale cha hypoglycemia, mowa ndi zochita zolimbitsa thupi

Kumwa zakumwa zoledzeretsa zamkati, vinyo, champagne musanapite kusewera masewera ndi gawo lowopsa. Zinthu ziwirizi ndizosagwirizana, komanso, zimachepetsa shuga lomwe lili m'magazi anu.

Muyenera kudziwa kuti sizoyenera kuti mukonzekere kutenga nawo gawo lalitali komanso mozama pambuyo pa phwando.

Kuphatikiza apo, kumbukirani kuti phwando lalitali, limodzi ndi kugwiritsa ntchito antioxidant, limathandizira kuukira kwa glycemia tsiku likatha. Kutengera kudziwa komwe hypoglycemia ili, muyenera kuganizira mosamala njira zonse, kuphatikizapo zakumwa zoledzeretsa, kuti mupewe kupewetsa shuga kwambiri.