Chithandizo cha hypoglycemia: chithandizo malinga ndi kuopsa kwa kuukiridwa

Mthupi la munthu aliyense, shuga ndi gawo lofunikira lamphamvu.

Mulingo wake ukachepa, pamakhala vuto lowopsa, lomwe madokotala amalitcha kuti hypoglycemia.

Kuchepetsa kwa m'magazi a shuga kumanenedwa kuti ngati kusungidwa pansi pa 2.8 mmol / L chizindikiro.

Zomwe zimayambitsa komanso zizindikiro za matenda ashuga

Sikuti nthawi zonse hypoglycemia imakhala chifukwa cha matenda ashuga, omwe munthu amadwala, koma zimasemphana ndi maziko a vuto la endocrine lomwe limabweretsa mavuto amtunduwu nthawi zambiri.

Nthawi zambiri, matendawa amapezeka kwa odwala omwe ali ndi matenda a shuga 1, osawerengeka, vuto limakhudza anthu omwe ali ndi matenda a shuga a 2.

Kwa gulu loyamba, vutoli ndi loopsa kwambiri, chifukwa shuga amatha kutsika kwambiri komanso nthawi yomweyo pamikhalidwe yovuta. Gulu lachiwiri limanyamula kulumpha mosavuta, ndipo chiopsezo chakugwa kapena kufa ndi chochepa kwambiri.

Chifukwa chachikulu chomwe hypoglycemia imakhalira kumbuyo kwa matenda ashuga ndiko kugwiritsa ntchito molakwika mankhwala omwe amapangidwira kukula kwa shuga m'magazi.

Kuposa 90% ya mankhwala omwe ali mgulu la hypoglycemic amalimbikitsa maselo a beta a kapamba, kuwapangitsa kuti apange insulin. Ngati mumwa mankhwala olakwika a mankhwalawo, kuchuluka kwa mahomoni kumawonjezeka kwambiri, zomwe zingayambitse kuti kuchuluka kwa shuga m'magazi amachepetsa kwambiri.

Zifukwa zina:

kumwa mowa
kangapo pakati pa chakudya,
kugwiritsidwa ntchito molakwika kwa okometsera osiyanasiyana,
osagwirizana ndi zakudya zomwe adotolo adalimbikitsa,
kolakwika insulin.

Pakakhala vuto la hypoglycemic, ubongo umayamba kuvutika. Izi zitha kupangitsa kuti maselo ake afe, asambe, komanso kufa kwa wodwalayo.

Kugwedezeka mwamphamvu kwa mawondo + kunjenjemera thupi lonse.
kuchuluka kwa milomo ndi lilime,
kugunda kwa mtima
kuda nkhawa
kusakhazikika
njala yayikulu
kufooka, kugona komanso kutopa zomwe zimawoneka mwadzidzidzi,
thukuta.

Ngati wodwala sanathandizidwe, ndipo shuga akupitilizabe kugwa, kusanza, chizungulire, chisokonezo, kukwiya, kuukiridwa, kuwonongeka. Zizindikiro zitha kukhala chimodzi, kapena zingakhale zingapo.

Matenda a kapamba ndi hypoglycemia: kodi pali kulumikizana?

Pankhani ya zotupa zazikulu za kapamba, zomwe zimaphatikizapo matenda a kapamba, munthu amatha kukhala ndi "mtundu 3 shuga", womwe umatchedwa pancreatogenic. Kuphwanya shuga kagayidwe kachakudya pamatenda ngati achiwiri.

Kuchulukana kwa endocrine kukanika kumakhala kovuta kuwunika, malinga ndi magwero ena, glycemia imalephera mu 10-15% ya odwala omwe ali ndi pancreatitis yosatha, malinga ndi magwero ena - mu 80-90%.

Zomwe zimasowetsa mtendere ndi izi:

chizolowezi chamafuta, mafuta ochulukirapo a zakudya kapena zakudya yokazinga,
uchidakwa
machitidwe ochitidwa pa kapamba,
kumwa mitundu ingapo ya mankhwala mosalekeza (mwachitsanzo, corticosteroids).

Pancreatogenic shuga mellitus ali ndi chithunzi chotchulidwa mwachipatala. Kuphatikiza pa zizindikiro za hypoglycemia, palinso kupweteka m'dera la epigastric, kutentha kwa mtima, kutsegula m'mimba.

Zoyenera kuchita ndi hypoglycemia?

Ngati kutsika kwa shuga kotsika sikokwanira, ndikokwanira kwa wodwalayo kudya msuzi wokoma, maswiti.

Njira yosavuta iyi komanso yothandiza imagwira ntchito mu mphindi zochepa. Mankhwala oterewa amagwiritsidwa ntchito pothandiza kuti pakhale kupanikizika kwambiri.

Kuimitsa vutoli ndi mankhwala (milandu yovuta) kungachitike kokha moyang'aniridwa ndi dokotala. Komabe, ngati wodwalayo wagundika, monga ma ambulansi, ambulansi isanafike, amatha kubaya 40-60 ml ya njira ya 40% ya shuga m'magazi.

Kuchiza ndi wowerengeka azitsamba njira yakunyumba yolimbana ndi hypoglycemia. Kuti muwonetsetse kuti sizikuvulaza, ndikofunikira kuzindikira momwe ziliri: njira zina zochiritsira zosagwiritsidwa ntchito masiku onse ziyenera kutsata mankhwalawa chifukwa cha matenda ashuga, osasinthanso.

Zomwe zingagwiritsidwe ntchito pa hypoglycemia:

levzea mu mawonekedwe a tincture kapena kuchotsa,
adyo watsopano
Yerusalemu artichoke
rosehip infusions ndi decoctions,
lingonberry
mmera udzu (infusions),
Wort wa St. John (infusions),
lemongrass zatsopano.

Kodi kuchitira ndi chakudya?

Zakudya ziyenera kukhazikitsidwa ndi kuletsa kwakukulu kwa chakudya chamagulu m'zakudya. Chakudya chizikhala chopindika komanso pafupipafupi (kangapo kasanu mpaka kasanu ndi kamodzi patsiku).

Zakudya zopatsa thanzi ndi zakumwa zabwino:

maphunziro oyamba pa msuzi "wachiwiri",
mafuta amkaka ochepa,
mazira ophika owiritsa
nsomba yamafuta ochepa,
chimanga, chophika pamadzi: barewheat, barele, barele, mapira, oat,
zipatso ndi zipatso zatsopano. Zothandiza kwambiri ndi zipatso za malalanje (lalanje, mphesa), komanso ma cherries, currants, apricots ndi ena,
masamba aliwonse. Malire ndi kaloti basi, beets, nandolo ndi mbatata,
batala umatha kuthiriridwa ndikuwonjezera zakudya zabwino,
nyama yotsika ndiyabwino: nkhuku, kalulu, ng'ombe,
soseji pazakudya ndizovomerezeka, koma ziyenera kukhala zopanda mphamvu momwe zingathere,
zakumwa: msuzi wa rose yamtchire, tiyi, zakumwa za zipatso, misuzi ya masamba osapsa ndi zipatso, khofi pang'ono,
maswiti amatha kudya pang'ono, ndipo okhawo omwe adakonzedwa pogwiritsa ntchito zotsekemera,
uchi ndi wabwino, koma wochepa
Mkate umayenera kusankhidwa tirigu wathunthu kapena ufa wa gawo lachiwiri ndi chinangwa.

Zamgululi zomwe ndi zofunika kupatula muzakudya:

tsekwe, bakha, nkhumba,
semolina, pasitala, mpunga,
Zakudya zilizonse zamzitini ndi nyama zofunikira kusuta,
mowa
muffin, puff pastry, makeke, makeke,
kupanikizana
ayisikilimu
Chocolate ndi maswiti
ma pickles ndi ma pickles,
msuzi wonenepa,
mafuta a nyama mwanjira yamafuta
nsomba zamafuta
zipatso zokoma: mphesa, nthochi, ma tangerine,
Mitundu ina ya zipatso zouma: madeti, mphesa zamphesa, nkhuyu,
masitolo ogulitsa
zakumwa zokoma za kaboni
shuga wabwino.

Kupewa

Pali njira imodzi yokha: kumvetsera mosamala zizindikilo za thupi lanu, makamaka ngati mukudwala matenda ashuga.

Ndi glucometer pafupi, mutha kuyang'anira kuchuluka kwa glucose nthawi iliyonse, zomwe zikutanthauza kuti mutha kuchitapo kanthu kupewa.

Ndikofunika kutsatira kadyedwe, kumwa mankhwala operekedwa ndi dokotala, ndikukumaliza mayeso onse ofunikira panthawi. Muyenera kumwa insulini molingana ndi malangizo omwe dokotala amakupatsani. Malinga ndi izi, ma spikes mu shuga amatha kupewedwa.

Kuphatikiza apo, muyenera kuyimitsa kuukira nthawi iliyonse, imodzi ndiyokwanira kunyamula china chake chokoma, ena amafunikira mankhwala.

Kanema wothandiza

Pezani njira zabwino kwambiri zochizira hypoglycemia mu kanema:

Hypoglycemia ndimkhalidwe wowopsa womwe ungayambitse zotsatira zomvetsa chisoni. Ngati mukudwala matendawa, onetsetsani kuti mwabwera ndi pepala lolemba zomwe muli nazo, komanso malangizo achidule oyambira. Mwina tsiku lina adzapulumutsa moyo wanu.

Imakhazikika pamisempha ya shuga kwa nthawi yayitali
Imabwezeretsa kapangidwe ka insulin

Phunzirani zambiri. Osati mankhwala. ->

Mitundu yochepetsera shuga

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Mankhwala, mitundu iwiri ya hypoglycemia imasiyanitsidwa:

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kusala, ndiko kuti, kutuluka pamimba yopanda kanthu,
hypoglycemia atatha kudya.

Kusala kudya kwa hypoglycemia kumaonedwa kuti ndi koipa kuposa kuchiritsidwa. Pakakhala vuto la hypoglycemia, chithandizo chamankhwala chisanachitike komanso chofunikira chamankhwala chimafunika.

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Mukamayambitsa matenda osiyanasiyana ndikuzindikira zomwe zimayambitsa hypoglycemic syndrome, chithandizo chovuta chimayikidwa.

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Kusala kudya kwa hypoglycemia kumatsimikiziridwa ndi kuyesedwa kwa shuga pambuyo maola atatu akusala kudya, komanso pambuyo masiku atatu a chakudya chapadera. Popeza zimatengera kuwonjezeka kwa insulin m'magazi, imatchedwanso insulin hypoglycemia.

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Mtundu wina wa hypoglycemia umakonda kutsimikizika mwa azimayi a thupi la asthenic, patatha maola 2-3 atatha kudya. Kuchuluka kwa shuga kumakwera msanga zokwanira pambuyo pakugwa pang'ono. Kuphwanya kumatsimikiziridwa ndikumatenga magazi a shuga pakuwukira.

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Mtundu uliwonse wa hypoglycemia umatha kuchitika mofatsa komanso mwamphamvu.

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Kuchotsa kufatsa kwa hypoglycemia

Zochizira matenda amtundu wofewa, monga lamulo, zida zam'mimba zomwe zimagwiritsidwa ntchito:

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zinthu zomwe zimakhala ndi fructose kapena sucrose,
mipiringidzo ya chokoleti
uchi, zopangira njuchi,
mikate yoyera.

Komanso, zinthu ngati izi sizingaganizidwe kuti ndizokwanira ndipo tikuyembekeza thandizo lawo nthawi zonse. Ziwopsezo zimatha kukhala zovuta komanso zosakwanira.

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Kuyimitsa kwambiri hypoglycemia

Zizindikiro zamatenda owopsa amadziwonetsa mwamphamvu komanso momveka bwino ndi zizindikiro zotsatirazi:

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kusokonezeka kwa chikumbumtima, malankhulidwe ndi mgwirizano,
maphokoso, minyewa,
kukomoka, mpaka kukomoka.

Thandizo loyamba lachipatala ndikugwiritsa ntchito 50 ml ya shuga 40%, yoyenera kuperekedwa mwachangu.

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Njira yachiwiri ndikukuthandizani kuti mupeze jekeseni wa Glucagon, womwe ndi wosiyana ndi insulin.

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Wodwala akabwereranso ku chikumbumtima, ndikofunikira kumudyetsa chakudya chochuluka mwa chakudya chamagulu, m'magawo ang'onoang'ono okhala ndi zophatikizika zazifupi pakati pa Mlingo.

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Zoyenera kuchita kwambiri?

Momwe mungachitire hypoglycemia ngati munthu sakumbukiranso?

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Pankhaniyi, dokotala wopezekapo amayamba kwambiri mankhwala a hypoglycemia ndi njira zotsatirazi:

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Kwa masiku angapo, njira ya shuga peresenti zisanu imapitilizidwa ndikuwonjezeredwa ndi kuwonjezera kwa yankho la prenisolone.
Kukonzekera kwa cocarboxylase kumayendetsedwa.
Kutulutsa 5% yankho la ascorbic acid kumakulitsa shuga.
Gwiritsani ntchito subcutaneally ndi adrenaline musanayambe kulowetsedwa kwa shuga.

Ndi kuchuluka kwa shuga m'magazi pamwamba pa 12 mmol / l, insulin yaying'ono imayamba kuwonjezeredwa.

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Ngati munthu sazindikira kwa nthawi yayitali, ndikofunikira kupewa edema yam'mimba.

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Mwa izi, mankhwalawa otsatirawa amagwiritsidwa ntchito:

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mannitol yankho
Mankhwala a Lasix
magnesium sulfate solution,
njira ya prednisone
kuvuta kwa mpweya wothira mpweya.

Mpweya ukatha, gwiritsani ntchito njira zothandizira kukonza kagayidwe ka maselo amkati mwa dongosolo lamanjenje:

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glutamic acid
Stugeron
Aminalon
Cerebrolysin
Cavinton.

Chithandizo chobwezeretsa chikuchitika kwa mwezi umodzi.

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Mankhwala: mapiritsi ndi miyala

Mapiritsi ndi miyala yotsatirayi amagwiritsidwa ntchito kuti muchepetse hypoglycemia mwachangu kunyumba:

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Mabulosi okhala ndi mapiritsi Girofri, omwe ali ndi 4 g. dextrose (glucose).
Fastrose monga mapiritsi, 4 g. Mapiritsi ofewa omwe ndi osavuta kutafuna, kulawa bwino.
Mapiritsi ndi Dextro 4 ndi mapiritsi a gel, okhala ndi D-glucose yoyera, amatha kuyamwa mwachangu mkamwa.

Ma gel-like ataimitsa ntchito amagwiritsidwa ntchito kwambiri kuthandiza anthu omwe sadziwa.

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Mankhwala amtunduwu amatha kuzilowetsa mosavuta m'kamwa kapena kufinya pakati mano. Gelalo limasungunuka pakamwa.

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Pathologies komanso shuga wochepa

Kuzindikira kosiyanitsa kwa hypoglycemia ndiko kulekanitsidwa kwa matendawa ndi zina zambiri za endocrine system.

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Kutheka kwa zovuta ndi matendawo kuti achire mwachangu zimatengera kapangidwe koyenera ka matenda.

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Zofunikira izi zimasiyanitsidwa, zomwe zimatsogolera ku dziko la hypoglycemic:

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Zisumbu za ku Langerhans,
matenda a chiwindi, obadwa mwatsopano,
kutsitsa shuga wamagazi mwa amayi apakati,
kulephera kwa aimpso
magawo oyambirira a shuga
mowa kapena kuledzera,
othandizira opaleshoni m'munda wam'mimba.

Pogwiritsa ntchito njira yotolera zambiri za wodwalayo, zifukwa zotsatirazi zingatsimikizidwenso zomwe zimakhudza indexoglycemic index:

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kupsinjika
neurosis
mavuto amisala.

Kuphatikiza pa mbiriyakale yakuchipatala, dotolo kuti adziwitsenso matenda osiyanasiyana amafunika kudziwa kuchuluka kwa ziwalo zamkati, komanso kuwunika kwamomwe magazi am'magazi.

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Kutengera zotsatira za mayesowo, mutha kupereka chithandizo chokwanira cha matenda omwe amayambitsidwa, omwe amachititsa kutsika kwa shuga m'magazi.

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Chithandizo cha kusala kudya kwa hypoglycemia

Matenda amtunduwu amasinthidwa ndikuwonjezereka kwa zakudya m'zakudya. Mankhwala osokoneza bongo, ma insulin inhibitors, monga Dilatin ndi Anaprilin, amagwira ntchito yabwino kwambiri.

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Koma amangochotsa zizindikilo zina zam'magazi ochepera magazi, pomwe kuli kofunikira kuthana ndi zomwe zimayambitsa.

Kuchiza shuga ochepa mwa akhanda

Kusamalira ana akhanda omwe ali ndi hypoglycemia koyambirira ndi njira yoyendetsera yankho la shuga.

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Ngati matenda obwera chifukwa cha shuga m'magazi amayamba, ndiye kuti amatha kuyamba kugwiritsa ntchito hydrocortisone, mlingo womwe umawerengeredwa ndi kulemera. Amagwiritsidwa ntchito maola anayi aliwonse.

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Ndi njira zoyenera zamankhwala, vuto losavulala kwambiri la akhanda limachiritsidwa kwathunthu mkati mwa sabata 1 pambuyo pobadwa, popeza pofika nthawi imeneyi zida za insulini ndizabwinobwino.

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Ndimayeso ati omwe amafunikira?

Kuzindikira koyenera kumafuna zotsatira za mitundu yambiri ya kusanthula:

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mayeso ndi insulin hypoglycemia,
kuyesa kwamwazi wamagazi,
urinalysis.

Chofunikira kwambiri kudziwa kuopsa kwa matendawa ndi kuwunika kwa maselo okhala ndi insulin hypoglycemia. Uku ndikuyesa kwapadera, komwe kumaphatikizapo kuyambitsa kuchuluka kwa insulini kwa wodwala ndipo, atafika pamalo a hypoglycemic a 2.2 mmol / L, kuyezetsa magazi kwa cortisol kumachitika.

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Ngati kuchuluka kwa cortisol ndi kochepera 540 nmol / l, ndiye kuti hypoglycemia imatsimikiziridwa.

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Kuyesaku kumafunikira chisamaliro chapadera kuchokera kwa akatswiri azachipatala, wodwalayo amakhala m'chipatala moyang'aniridwa ndi madokotala tsiku lonse atayesedwa.

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Njira yophatikizira hypoglycemia

Wodwala yemwe wapezeka ndi hypoglycemia ayenera kutsatira njira zotsatirazi:

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mankhwala obwezeretsa,
olimbitsa thupi azachipatala
Zakudya zopatsa mphamvu zama protein ndi zakudya zambiri,
mankhwala azitsamba.

Thandizo labwino polimbana ndi hyperglycemia tincture wa leuzea, masamba a lemongrass. Kulowetsedwa kwa Rosehip sikungangokulitsa shuga, komanso kuwonjezera vitamini C ndi K.

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Kodi hypoglycemia ingachiritsidwe kwamuyaya? Mkhalidwe wa shuga wambiri m'mitundu yofewa imatha kuwongoleredwa ndikuyang'aniridwa ndi shuga ndi kukonzekera kwa dextrose.

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Mitundu ikuluikulu imafunikira kuwunikira nthawi zonse. Kutha kwawo kumathandizidwa ndi chithandizo chopambana cha matenda oyambitsidwa, omwe ndi omwe amachititsa kuti dziko la hypoglycemic lipezeke.