Ikani insulin kwa munthu wathanzi zomwe zingachitike mutamwa mankhwala oopsa

Jakisoni wa insulin ndi gawo lofunika la mankhwala komanso njira zothandizira anthu odwala matenda ashuga. Jakisoni wosaiwalika angayambitse zovuta zowopsa. Komabe, zotsatira za mankhwala osokoneza bongo a insulin nthawi zambiri zimakhala zowopsa kwambiri.

Pakalingaliridwa kulikonse, machitidwe ena amafunikira kuchitidwa mwachangu kuti mukhale ndi thanzi labwino. Kwa izi, ndikofunikira kudziwa magawo akuluakulu a vuto la bongo: zomwe zimayambitsa, zizindikiro, zotsatira zake.

Insulin imagwiritsidwa ntchito makamaka ndi odwala matenda ashuga. Koma adagwiritsanso ntchito madera ena - mawonekedwe ake a anabolic amayamikiridwa pakupanga thupi.

Mlingo wa mankhwalawa umayikidwa ndi dokotala malinga ndi machitidwe a thupi. Nthawi yomweyo, kuwerengetsa mwadongosolo komanso kudziwongolera nokha kwa shuga ndikofunikira.

Mlingo wotetezeka wathanzi labwino kuyambira 2 mpaka 4 IU. Omanga a thupi amawonjezera gawo mpaka 20 IU patsiku. Ponena za anthu omwe ali ndi matenda ashuga, kuchuluka kwa mankhwala omwe amagwiritsidwa ntchito kumadalira kukula kwa matendawa - kuyambira 20 mpaka 50 IU.

Mankhwala osokoneza bongo a insulin amatha kupanga zifukwa zotsatirazi:

• cholakwika chachipatala - kukhazikitsidwa kwa insulin kwa munthu wathanzi,
• Mlingo wolakwika
• kugwiritsa ntchito kusiyanasiyana kwatsopano kwa chinthu kapena kusinthira ku mtundu wina wa syringe,
• jakisoni ndi wolakwika
• kuchita zolimbitsa thupi kwambiri popanda kudya chakudya chokwanira,
• Kugwiritsa ntchito insulini pang'onopang'ono komanso mwachangu,
• kusagwirizana ndi malingaliro a dokotala okhudzana ndi kufunika kwa chakudya mutatha jakisoni.

Ndizofunikanso kuzindikira kuti insulin sensitivity imawonjezera:

• ndi kulephera kwa aimpso,
• ndi mafuta a chiwindi,
• koyamba nyengo ya mimba.

Mukamagwiritsa ntchito jakisoni wa insulin, muyenera kuchepetsa kumwa kwanu. Anthu odwala matenda ashuga amalangizidwa kusiya zizolowezi zilizonse zoipa.

Koma zikuwonekeratu kuti upangiri wa dokotala nthawi zambiri umanyalanyazidwa, motero ndikofunikira kutsatira izi:

• musanagwiritse ntchito mowa, muyenera kuchepetsa mlingo wa insulin,
• Ndikofunikira kuti tiziperekanso chakudya chomwe chili ndi mafuta ochulukirapo,
• ndibwino kukonda zakumwa zoledzeretsa zochepa,
• mutatha kugwiritsa ntchito, chidwi chapadera chiyenera kulipidwa poyeza shuga.

Mlingo wowopsa wa insulin kwa odwala matenda ashuga amatha kusiyanasiyana m'njira zosiyanasiyana: zambiri zimatengera magawo ake, komanso momwe thupi liliri panthawi inayake. Mwachitsanzo, kwa ena, zotsatira zakupha zimapezeka pa 100 IU ya mankhwalawa, koma nthawi yomweyo, milandu imadziwika pamene anthu adapulumuka pambuyo pa 3000 IU.

Zizindikiro zoyambira

Tisaiwale kuti bongo wa insulin yambiri imatha kuchita zonse zofunikira komanso zowawa. Poyambirira, izi zimadziwika kudzera pakukhazikitsidwa kwachilengedwe kwa kuchuluka kwa mankhwalawa - izi zimakonda kuphatikizidwa ndi cholakwika pakuwerengera. Kuphatikiza apo, chizolowezi sichidutsa mopitilira muyeso, ndiko kuti, kufa mwa mawonekedwe osachiritsika nkwachilendo kwambiri.

Zizindikiro sizingaonekere pomwepo - zimayamba kuwonjezeka nthawi yayitali. Chifukwa chake, zotsatira zake nthawi zambiri zimachedwa. Ponena za magawo azachipatala omwe ali ndi vuto la kuchuluka kwa mtundu uwu, zotsatirazi zitha kusiyanitsidwa:

• milingo yambiri yaikodzo
• kulemera mwachangu
• masana, kuukira kwa hypoglycemia kumatha kufotokozedwanso.

The pachimake mawonekedwe a bongo amakhala ndi mapangidwe a hypoglycemic syndrome. Izi ndichifukwa choti mankhwala owonjezera amamangira glucose onse, omwe amachititsa kuti pakhale kusowa kwa zinthu. Mwa zina mwa mawonekedwe omwe mungadziwike:

• chikumbumtima
• ana opukusidwa
• chizungulire ndi mutu
• mantha
• nseru
• kutuluka thukuta kwambiri.

Pamapeto pake, zinthu monga hypoglycemic coma zimayamba.

Zotsatira zake

Zotsatira zake ziyenera kuganiziridwa mwatsatanetsatane, chifukwa kudziwa magawo awo akuluakulu mtsogolo akhoza kukhala chinthu chofunikira kwambiri chokhala ndi thanzi.

Choyamba, ndikofunikira kuganizira za hypoglycemia, yomwe imayamba pang'onopang'ono ndipo imatha kutsagana ndi wodwalayo kwa nthawi yayitali. Matendawa ndi oopsa, koma osapha.

Koma ndikofunikanso kukumbukira kuti kuwonetsa pafupipafupi kumatha kubweretsa kusintha kwa umunthu m'maganizo mwa odwala akuluakulu, komanso kukula kwa nzeru m'magulu a odwala.

Pachifukwa ichi, zizindikiro zomwe munthu angazindikire zitha kuzindikirika.

• kunjenjemera pang'ono ndi kugunda kwa zala,
• khungu ladzidzidzi
• thukuta kwambiri
• kugunda kwa mtima kumachuluka
• mutu.

Ndikofunikira kuti zizindikiro izi zikanyalanyazidwa ndikulephera kuchita ntchito, hypoglycemia imatha kulowa mu swoon kapena chikomokere.

Zotsatirazi zimayambanso chifukwa chogwiritsa ntchito mankhwalawa kwambiri komanso kuchepetsedwa msanga kwamisempha. Potsatira mayeso oyamba, chikomicho chimakhala ndi zizindikiro zonse za hypoglycemia, koma pakapita nthawi imakhala ndi zikhalidwe zina:

• kusowa thukuta,
• kuthamanga kwa magazi kumagwa
• pali kuthekera kwakukulu kogwidwa,
• kupuma kumachitika pafupipafupi komanso kwakanthawi,
• ophunzira sachita chidwi ndi kaso kakang'ono,
• ma eyeb eye amayamba kuyenda pafupipafupi komanso asymmetry,
• minofu kamvekedwe kachepa kwambiri,
• tendon ndi m'mimba imagwedezeka - kukomoka ndikotheka.

Mkhalidwe wotere popanda thandizo la kuchipatala panthawi yake umatha kupha.

Thandizo loyamba

Mulimonse momwe mungakhalire ndi insulin yambiri, pamakhala nthawi yayitali kuti mupewe kupitanso patsogolo kwa matendawa.

Makamaka, ngati wodwala ali ndi vuto la hypoglycemic, amagona mbali imodzi, kumwa tiyi wokoma ndipo nthawi yomweyo muitane ambulansi.

Pa kuwonetsedwa koyamba kwa hypoglycemia, muyenera kuyeza kuchuluka kwa glucose m'magazi, ndiye gwiritsani ntchito kuchuluka kwamafuta ena othamanga. Pankhani ya matenda a shuga a mtundu woyamba, tikulimbikitsidwa kuti muzinyamula shuga, mandimu kapena masamba a shuga nthawi zonse.

Chifukwa chake, ndi mankhwala osokoneza bongo ambiri a insulin, kukulira kwa mikhalidwe yoopsa nkotheka. Popewa kupezeka kwawo, tikulimbikitsidwa kuwunika mosamala kuchuluka kwa mankhwalawo, ndikutsatira malangizo onse a dokotala.

Insulin: Mankhwala osokoneza bongo komanso owopsa kwa munthu wathanzi

Malinga ndi akatswiri, ndipo zokumana nazo zikuwonetsa kuti mlingo woyipa wa insulin kwa munthu wathanzi ndi munthu payekha. Pankhaniyi, zonse zimatengera kulemera kwamthupi la wodwalayo. Ngati timalankhula za mahomoni omwe akuwonetsedwa motero, ndiye kuti jakisoni wa insulin amagwiritsidwa ntchito kwambiri pochiza odwala omwe ali ndi matenda osokoneza bongo, komanso othamanga omwe akuchita nawo masewera olimbitsa thupi, kuti apange minofu.

Ndipo popewa zotsatira zoyipa za anthu amtunduwu, ndikofunikira kuti mulingo wa mankhwalawa uzitsimikizika molondola.

Monga chifukwa chofala kwambiri kuti mulingo wa mankhwalawa ukadutsa, akatswiri amatcha njira yodyetsera mahomoni yomwe imasokonezedwa payekhapayekha yosankhidwa ndi katswiri. Chiwopsezo chopitirira cha kuchuluka kwa insulin kwa odwala omwe ali ndi matenda ashuga. Gululi la anthu liyenera kuwunika momwe alili, kuzindikira palokha kuchuluka kwa shuga m'magazi, pogwiritsa ntchito zida zapadera za izi. Mukaphwanya lamulo ili, ndiye kuti mwina pali vuto lomwe lingakhale lokwanira mahomoni m'magazi.

Malo achiwiri m'gulu lachiwopsezo ndi la othamanga omwe amachita masewera olimbitsa thupi. Kwa gulu la anthu awa, akatswiri amadziwa zinthu zotsatirazi zoopsa zomwe zingayambitse kukula kwa hypoglycemia ngati insulin ilowa mthupi:

1. Mankhwala olakwika a kuchuluka kwa mankhwala operekedwa kwa odwala matenda ashuga.
2. Kuthekera kwa hypoglycemia ndi kufa kumatha kuchitika ngati mtundu wa mankhwalawo ndi ma syringe asintha.
3. Pali chiopsezo chochepetsera kuchuluka kwa insulin m'magazi pazowopsa ngati palibe zakudya zopatsa mphamvu zazakudya za othamanga.
4. Kwa anthu omwe akuchita masewera olimbitsa thupi, mwayi wokhala ndi hypoglycemia umapezekanso ndi njira yolakwika yogwiritsira ntchito mahomoni othamanga komanso osakwiya.
5. Ngati wothamanga amaphwanya zakudya ndikudumphira pakudya pambuyo pakubaya insulin.

Kwa munthu wathanzi labwino, kuchuluka kwa insulin patsiku ndi 2-4 IU. Pankhani ya othamanga - omanga thupi - 20 IU, ndi matenda ashuga - kuyambira 20 mpaka 50 IU. Kupitilira Mlingo uwu pagulu lililonse la anthu, ndikufuna kudzazidwa ndi mitundu yambiri ya mankhwala osokoneza bongo. Pankhaniyi, munthuyu ali ndi chithunzi chotsatira cha matenda:

1. Kumverera kwa njala yayikulu, migraine komanso kufooka kwathunthu poyambira gawo lambiri la mlingo womwe wapatsidwa.
2. Kuchita thukuta kwambiri kwa manja ndi masisitere, kukhuthala kwa khungu, dzanzi la manja ndi miyendo, komanso kuchepa kwa zowonekera m'gawo lachiwiri la bongo.
3. Kukula kwa dziko lomwe likuwopseza, kugunda kwamtima komanso kukomoka ndi gawo lachitatu.

Mankhwala osokoneza bongo a insulin komanso kuchuluka kwa mahomoni

Monga taonera kumayambiriro kwake, kuchuluka kwa mahomoniwa kumasiyanasiyana malinga ndi munthu aliyense. Ena amalekerera mosavuta kuchokera kumagulu 300 mpaka 500 a mankhwalawo, kwa ena, ndipo mayunitsi 100 angayambitse chikomokere. Pano pali zifukwa zingapo zomwe zimagwira, kuphatikizapo kulemera kwa wodwalayo. Chifukwa chake, mankhwala oopsa (a insulin) ndi munthu wodwala matenda ashuga amasiyanasiyana.

Mukanyalanyaza zizindikiro zomwe zili pamwambapa, munthu akhoza kuyamba kufooka chifukwa cha hypoglycemia, kapena chikomokere. Zikatere, munthu amatha kugwa mwachangu kwambiri kapenanso mwadzidzidzi. Pokhapokha ngati chithandizo chanthawi yake chachipatala chitayamba chikomokere, chiopsezo cha kufa chikuwonjezeka.

Ngakhale kuti mulingo wowopsa wa mankhwalawa ndiwawokha, kupezeka kwa zotsatira zakupha kumachitika chifukwa cha kulekerera kwamankhwala, komanso zakudya komanso mowa.

Tiyenera kudziwa kuti kuphatikiza pa kubala kamodzi kapena jakisoni wakupha, odwala amatha kudwala kwambiri chifukwa chokhala ndi insulin yambiri m'magazi. Izi zimadziwika ndi zizindikiro zotsatirazi:

• kwambiri matenda
• kulakalaka zabwino nthawi zonse,
• kuchuluka kwambiri kwa thupi
• kuchuluka kwa shuga mthupi,
• kukula kwa ketoacidosis,
• kusakhazikika kwa hypoglycemia.

Zingachitike kuti munthu wapafupi adayamba kudwala chifukwa cha vuto la hypoglycemia, ndiye kuti akatswiri amalimbikitsa kuyika wodwala mbali imodzi, atapatsidwa mwayi womupatsa tiyi wokoma ndikuyitanitsa gulu lachipatala ladzidzidzi.

Zizindikiro za hypoglycemia zikawonetsedwa, timalimbikitsidwanso kudziwa kuchuluka kwa shuga a wodwala pogwiritsa ntchito zida zapadera zomwe zimapangidwira kudziwa kuchuluka kwa shuga kunyumba. Ponena za odwala omwe ali ndi matenda a shuga 1, ayenera kukhala ndi paketi yamadzi aliwonse, chidutswa cha shuga, komanso syringe ndi insulin.

Ndikofunika kukumbukira kuti nthawi zonse, ngakhale pakhale jekeseni wowopsa wa jakisoni wa insulin, zotsatira zoyipa zimatha kupewedwa ngati shuga alowa m'thupi panthawi. Wodwala amamuthandizanso kuchipatala. Ngati ndi kotheka, dokotala azibwereza kulowetsedwa patatha zaka 10.

Pambuyo poti wodwalayo alowetsa kholingo, chithandizo chikhala ndikuchotsa zomwe zingachitike, zomwe zimasiyana mosiyanasiyana. Zotsatira zoyipa kwambiri za kuchuluka kwa mankhwala a insulin kapena kuyambitsa kumwa kwa mankhwala oopsa, akatswiri amatha kusiyanitsa edema ya m'magazi, kukula kwamavuto amisala komanso kupezeka kwa matenda oopsa. Kuphatikiza apo, pakakhala mankhwala osokoneza bongo ambiri, odwala amakhala ndi vuto lokhudzana ndi mtima, lomwe limakhala lodzala ndi matenda a sitiroko, matenda a ziwongo ndi chithokomiro cha m'miyoyo.

Chifukwa chake, ngakhale mlingo woyipa wa insulin utalowetsedwa m'thupi la wodwalayo, ndizotheka kupewa kukula kwa zovuta zazikulu ndi kufa. Ndikofunikira kudziwa momwe mungakhalire moyenera pazinthu zina ndikupatsa wodwalayo chithandizo chokwanira komanso chanthawi yake. Kutsatira malamulo onsewa sikungapulumutse moyo wa munthu, komanso kumamuthandiza kukhalabe ndi moyo wabwino.

Lowetsani insulin kwa munthu wathanzi: zomwe zingachitike mutamwa mankhwala oopsa

Anthu ena ali ndi chidwi ndi zomwe zimachitika ngati, molakwitsa, chifukwa chofuna kudziwa, kapena chifukwa china, jakisoni wa thanzi ndi insulin. Ndikwabwino kuphunzira za zotsatira za lingaliro kuposa kuyesa zowopsa. Anthu ambiri amadziwa kuti insulin ndi mahomoni omwe majekeseni ake ndi ofunika kwa odwala matenda ashuga ambiri. Komabe, monga mankhwala aliwonse, chida chomwe chimathandiza anthu ena kupulumuka chimatha kupha ena.

Mwa anthu omwe alibe ma pathologies omwe amagwirizana ndi ntchito ya kapamba omwe amapanga insulin, kuchuluka kofunikira kwa timadzi timalowa m'thupi. Ntchito yayikulu ya insulini ndikusunga kuchuluka kwa shuga m'magazi.

Kuperewera kwake, komanso mopitilira muyeso, kumawopseza zotsatira zoyipa.

Pankhaniyi, munthu akhoza kugwa, ndipo ndi chithandizo chadzidzidzi, zotheka zimatha. Zotsatira zimatengera mlingo wa mankhwalawo ndi machitidwe a thupi.

Pamene insulin ilowa m'thupi la munthu wathanzi, zosintha zotsatirazi zimawonedwa:

• kuchuluka kwakukulu kwa kupanikizika,
• kupweteka kwambiri m'mutu
• arrhasmia,
• mkhalidwe wamanjenje, wankhanza,
• mgwirizano wolakwika,
• maonekedwe a nseru
• kufooka, chizungulire,
• ana opukusidwa
• khungu
• kukokana
• miyendo / kunjenjemera /,
• kutuluka thukuta kwambiri
• kulephera kudziwa
• fukufuku.

Malingaliro apano ndikuti kuyambitsa insulin yocheperako kwa munthu wathanzi yemwe alibe matenda a shuga, nthawi yomweyo kumabweretsa kugwa. M'malo mwake, chikomokere ndi imfa ndizotheka pokhapokha ngati mulingo wambiri ulowa mthupi. Kwa munthu aliyense, kuchuluka kumeneku ndi kwamunthu payekha ndipo zimatengera zinthu zambiri: thanzi lathunthu, kulemera kwa thupi ndi zinthu zina.

Pamene insulin yaying'ono ilowa m'magazi a munthu wathanzi, chizungulire pang'ono, kumva njala, ndi kufooka. Zizindikiro izi zimatha pang'onopang'ono popanda zovuta. Komabe, ndi mankhwala osokoneza bongo, zizindikiro zotchulidwa zimawonekera. Pankhaniyi, njira zotsatirazi ziyenera kuchitika:

1. Muyenera kupatsa kudya kachakudya ka mkate. Makumi asanu, zana magilamu ndikokwanira.
2. Ngati vuto silinakhalepo patangopita mphindi zochepa, idyani supuni ziwiri za shuga wonenepa, kapena maswiti angapo.
3. Ndi kupitiliza kwa kuukira, idyani chakudya chofanana.

Ndikofunikira kudziwa kuti kukulitsa kwambiri kwa hypoglycemia sikuti sikungachitike mwachangu. Wodwala amakhala ndi nthawi yopempha thandizo asanaonekere zizindikiro monga kukokana, kukomoka, chikomokere.

Ngati bongo wa insulin yoyambitsa kukula kwa hypoglycemia, shuga amaperekedwa kudzera mwa magazi kwa wodwalayo.

Ngati zizindikiro zoyambirira zapezeka, muyenera kuchitapo kanthu kuti mupewe zovuta.

Kodi insulin imaperekedwa liti kwa munthu wathanzi?

Nthawi zina kufooka kwa insulin kumapezeka m'thupi la munthu wathanzi labwino. Izi zimachitika ndikuphwanya kwambiri psychoemotional state, kapena kuchita masewera olimbitsa thupi mopitirira muyeso. Zikatero, madokotala, pamaziko a zidziwitso zamankhwala, amapaka jekeseni wa mahomoni ena kuti aletse kukula kwa vuto la hyperglycemic.

Ochita masewera ena amagwiritsa ntchito insulin kuti apange minofu. Musaiwale za kuwopsa kwa mankhwalawa, kudya komwe kungayambitse hypoglycemia. Kugwiritsa ntchito timadzi tambiri, ndikofunikira kuyang'anira momwe thupi limachitikira ndi mankhwala.

Musanagwiritse ntchito insulin kuti mumange minofu mwachangu, muyenera kuyerekeza zabwino ndi zovuta zake. Mutha kukwaniritsa chiwerengero choyenera kudzera mu masewera olimbitsa thupi osagwiritsa ntchito mankhwalawa. Zimatenga nthawi yambiri, koma zimathandiza kupewa mavuto azaumoyo mtsogolo.

Mwa achinyamata, pali nthano kuti kukhazikitsa insulini kumabweretsa mkhalidwe wofanana ndi kuledzera. M'malo mwake, jakisoni utatha, kutsika kwa glucose kumachitika, zomwe zimayambitsa zofanana ndi hangover syndrome: kupweteka mutu, kunjenjemera, kufooka.

Kuyesera kotereku kumayambitsa kusokonezeka kwa dongosolo la endocrine, ndipo kukhudzana mobwerezabwereza ndi insulin mwa munthu wathanzi, pamakhala chiopsezo chotupa mu kapamba, kukula kwa chikomokere ndi kufa.

Chimachitika ndi chiani ngati mutabaya insulin mwa munthu wathanzi?

Insulin imadziwika kuti ndi imodzi mwama hormone ofunika kwambiri pazomwe zimapangidwa m'thupi la munthu. Amapangidwa ndi kapamba ndikuwongolera kagayidwe kazakudya. Ngakhale kupatuka kofunikira kwambiri kwa hormone iyi kuchokera ku chizindikiridwe chodziwika bwino chomwe njira zamatenda zayamba kukula m'thupi. Koma ndikofunikira kudziwa kuti ngakhale mwa anthu athanzi lathunthu, kuchuluka kwa timadzi tambiri timeneti kumasintha pang'ono, nthawi zambiri izi zimachitika munthawi yovuta. Ndi thanzi labwino, zizindikirozi zimangobwerera mwachangu. Anthu ena amakhala ndi nkhawa chifukwa cha zomwe zimachitika ngati atabaya insulin mwa munthu wathanzi yemwe kapamba wake amagwira ntchito bwino.

Chimachitika ndi chiani mukabaya insulin mwa munthu wathanzi?

Ngati mukulowetsa insulin kwa munthu wathanzi, ndiye kuti izi zidzakhala zofanana ndi chakuti poizoni wina adalowetsa munthu. M'magazi, kuchuluka kwa mahomoni kumakwera kwambiri, zomwe zimapangitsa kutsika kwa glucose ndi hypoglycemia. Izi ndi zoopsa ku thanzi la munthu komanso moyo. Nthawi zambiri, pakuwonjezeka kwa insulini m'magazi, odwala amagwa chikomokere, ndipo ngati chithandizo sichinaperekedwe pa nthawi, ndiye kuti zotsatira zake zingathe. Ndipo zonsezi zimachitika pokhapokha chifukwa timadzi timalowa m'thupi la munthu yemwe samamufuna.

Ngati jakisoni adaperekedwa kwa munthu wathanzi yemwe alibe matenda a shuga, ndiye kuti adzakhala ndi mavuto angapo azaumoyo:

• kuthamanga kwa magazi kukwera
• mndandanda umayamba,
• kunjenjemera miyendo
• migraine ndi kufooka wamba,
• munthu amakhala wankhanza kwambiri
• Pali kumverera kwa njala pakati pa nseru nthawi zonse,
• mgwirizano wa mayendedwe onse wasokonekera,
• ana amatupa kwambiri.

Kutsika kwakukulu kwa shuga m'magazi kumabweretsa amnesia, kukomoka, ndi hyperglycemic coma.

Anthu omwe ali ndi matenda ashuga ayenera kukhala ndi caramel pafupi. Pankhani yotsika kwambiri m'magazi, ndikofunikira kupukuta maswiti.

Nthawi zina madokotala amapereka insulin kwa anthu athanzi opanikizika kwambiri, komanso nthawi yambiri yochita masewera olimbitsa thupi, pomwe timadzi tambiri timeneti sizokwanira m'thupi. Pankhaniyi, mahomoniwo sangatheke, komanso ofunikira, popeza kuchepa kwake kumabweretsa chikomokere cha hyperglycemic.

Ngati munthu wathanzi atabayidwa ndi insulin yochepa kwambiri, ndiye kuti thanzi lake silikhala pachiwopsezo. Kutsika kwa chizindikiritso cha glucose m'magazi kumangoyambitsa kumverera kwanjala ndi kufooka pang'ono. Koma nthawi zina, jakisoni wa ngakhale mlingo wochepa ungayambitse hyperinsulism, yomwe imawonetsedwa ndi zizindikiro zotere:

• Khungu limatembenuka kwambiri
• thukuta limachuluka
• chidwi chachikulu chimachepa
• ntchito ya mtima isokonekera.

Kuphatikiza apo, kunjenjemera kumawoneka m'miyendo, ndipo kufooka wamba kumamveka m'misempha.

Munthu wathanzi labwino kwambiri amatha kupatsidwa insulin kokha malinga ndi zomwe dokotala akuwonetsa komanso motsogozedwa naye.

Kumbukirani kuti kuchuluka koopsa kwa insulin kwa munthu wathanzi ndi 100 PESCES - iyi ndiye syringe yonse ya insulin. Koma pazochitika zapadera, kuchuluka kumeneku kungakhale kokulirapo, zonse zimatengera mkhalidwe wamba waumoyo wa anthu komanso chikhalidwe chake. Pali nthawi zina pamene munthu amakhalabe ndi moyo, ngakhale mlingo wake utaperekedwa nthawi 10-30. Izi zikutanthauza kuti munthu ali ndi mwayi pamoyo ngakhale ali ndi insulin yambiri. Kusekerera kumayamba kwinakwake m'maola atatu, ngati nthawi ino kuonetsetsa kuti magazi atuluka m'magazi, zimayambiranso.

Mlingo wa insulin kwa odwala omwe ali ndi matenda osokoneza bongo amawerengedwa payekhapayekha ndi endocrinologist, kutengera zotsatira za mayeso. Nthawi zambiri, odwala matenda ashuga amawerengeredwa kuchokera 20 mpaka 50 magawo a mahomoni.

Ngakhale kuwonjezeka kochepa kwambiri kwa mlingo womwe dokotala watchulidwa kungam'pangitse kudwala.

Mlingo wowopsa wa insulin kwa odwala matenda ashuga ndi oposa magawo 50. Pogwiritsa ntchito kuchuluka kwa mankhwalawa, vutoli limayamba, lomwe limafunikira chisamaliro chodzidzimutsa.

Chimachitika ndi chiyani ngati mumabayira insulini pafupipafupi mwa munthu wathanzi?

Ndi makonzedwe obwerezabwereza a horoni kwa munthu wathanzi, zotupa za pancreatic, matenda a endocrine komanso matenda a metabolic amakula. Chifukwa chake, anthu athanzi amapatsidwa mankhwalawa pokhapokha pazomwe adokotala akuwonetsa komanso mwadzidzidzi.

Ngati munthu wathanzi amamwa mwangozi kapena makamaka insulin, ndiye kuti palibe chomwe chimachitika. Mankhwalawa amangogaya m'mimba popanda zotsatirapo zaumoyo. Izi zikufotokozera kuti mankhwala am'kamwa a odwala matenda ashuga sanapezebe.

Ngati, jakisoni wa insulin, zizindikiro za mankhwala osokoneza bongo zitayamba kuonekera kwa munthu wathanzi kapena wodwala matenda ashuga, muyenera kumuthandiza nthawi yomweyo.

• Kuchulukitsa chakudya chamafuta mthupi, munthu amaloledwa kudya chidutswa cha mikate yoyera, magalamu 100 okha ndi okwanira.
• Ngati kuukira kumatha kupitirira mphindi 5, tikulimbikitsidwa kudya supuni zingapo za shuga kapena ma caramel angapo.
• Ngati atadya mkate ndi shuga zinthu sizinakhazikika, amagwiritsa ntchito zinthu zomwezi.

Mankhwala osokoneza bongo nthawi zambiri amachitika ndi munthu aliyense wodalira insulin. Koma apa ndikofunikira kuthandizira pakapita nthawi, chifukwa ndimankhwala osokoneza bongo ambiri, ketoacidosis yacute imatha kupezeka, yomwe ingafune kugwiritsa ntchito mankhwala amphamvu. Zikatere, mkhalidwe wodwala umakulirakulira.

Nthawi zina achinyamata amasankha kuyesa koopsa ndi thanzi lawo, ndikudzibaya jakisoni. Mphekesera zikuzungulira pakati pa achinyamata zomwe insulin imathandizira kuti azichita bwino. Koma ndiyenera kunena kuti mphekesera zotere zilibe maziko.

Hypoglycemia imafanana kwambiri ndi kuledzera, koma imakhudzanso thupi.

Komabe, ziyenera kumvedwa kuti zakumwa zoledzeretsa zimawonedwa ngati mphamvu zochepa, zomwe thupi limalandira mosagwiritsa ntchito gawo lake. Koma pankhani yochepetsera kuchuluka kwa shuga, zinthu ndizosiyana pang'ono. M'mawu osavuta, m'malo mwa phokoso lomwe likuyembekezeredwa, munthu amapezeka wolimba kwambiri ndi mutu wovuta komanso kunjenjemera kosalozeka m'miyendo. Tisaiwale kuti kubwereza kwamankhwala mobwerezabwereza kwa munthu wathanzi labwino chifukwa cha zotsatira za kusokonekera kwa dongosolo la endocrine.

Makolo ayenera kuyang'anitsitsa ana awo akamakula ndipo nthawi zambiri amakambirana nawo za kupewa kupewa kumwa mankhwala mosagwiritsa ntchito dokotala.

Insulin ndi yofunika kwambiri kwa anthu omwe ali ndi matenda amtundu wa shuga, koma kwa munthu wathanzi mahomoniwa amatha kugwiritsidwa ntchito mwanjira zina.

Zimachitika bwanji ngati mutabaya insulin mwa munthu wathanzi: mankhwala osokoneza bongo ndi zotsatira zake

Anthu omwe ali ndi matenda amtundu wa 1 amakonda kudziwa jakisoni wa insulin tsiku lililonse kuti akhale ndi moyo. Mankhwala osokoneza bongo a insulin nthawi zambiri amapezeka. Ichi ndi mahomoni ofunikira kwambiri omwe amayang'anira shuga.

Mu matenda a shuga a shuga ndi kuperewera kwa insulin, chikomokere cha matenda ashuga ndi zotsatira zina zowopsa za matendawa zimayamba. Njira yokhayo yosakhalira ndi thanzi labwino ndikuphunzira kuwerengera bwino za insulini.

Ndikofunika kudziwa kuti palibe njira zenizeni zomwe zingatsimikizire kuchuluka kwa chinthu choyenera, motero, mankhwala osokoneza bongo a chinthuchi ndi chinthu chodziwika bwino.

Asanatenge mahomoni, dokotala yemwe amapita amawerengetsa kuchuluka kwa wodwala, kutengera maphunziro ndi zisonyezo zina, motero nthawi zina pamakhala kuchuluka kwa insulin.

Insulin imagwira ntchito pakusunga mphamvu komanso kusintha kwa glucose obwera kukhala minyewa ya adipose, ndikuchita ntchito ya conduction shuga ikakalowa m'maselo a thupi. Insulin ndi chinthu chomwe chimakhudzidwa ndikupanga amino acid ndi kugwiritsa ntchito kwawo.

Pali insulin m'thupi la munthu malinga ndi kuchuluka kwake, koma kusintha kwa kuchuluka kwake kumayambitsa zovuta zingapo za metabolic, zomwe zimakhala zowopsa.

Insulin ili ndi zotsatirapo zabwino komanso zabwino m'thupi la munthu.

• kusintha kwa kapangidwe ka mapuloteni,
• kuteteza kapangidwe ka maselo a mapuloteni,
• kuteteza amino acid mu minofu minofu, yomwe imawonjezera kukula kwawo,
• kutenga nawo gawo kapangidwe ka glycogens, zomwe zimathandizira kuti shuga isungike m'misempha.

Anthu amazindikiranso zinthu zoyipa zomwe zimachitika mthupi ngati muli ndi insulin yambiri m'magazi:

1. zimathandiza kuteteza mafuta,
2. Amapangitsa kuti pakhale zotsekemera za ma cell zolandilira,
3. bwino mafuta acid synthesis,
4. kumawonjezera kuthamanga kwa magazi
5. amachepetsa kutanuka kwa makoma amitsempha yamagazi,
6. zimathandizira kuti pakhale maselo owononga chotupa.

Mu nthawi yokhazikika ya seramu yamagazi, insulin imakhala kuchokera 3 mpaka 28 mcU / ml.

Kuti phunziroli likhale lothandiza, magazi ayenera kumwedwa kokha pamimba yopanda kanthu.

Kwa munthu wathanzi, mlingo wabwino wa thupilo ndi 2-4 IU mu maola 24. Ngati tikulankhula za omanga thupi, ndiye 20 IU iyi. Kwa anthu odwala matenda a shuga, chizolowezi chake ndi 20-25 IU patsiku. Ngati dokotalayo ayamba kuledzera pamankhwala ake, ndiye kuti kuchuluka kwa mahomoniwo kumawonjezera bongo.

Zomwe zimayambitsa hypoglycemia ndi izi:

• kusankha kolakwika kwa mankhwala,
• kusintha mtundu wa syringes ndi mankhwala,
• masewera osapatsa mafuta
• kudya moyenera komanso nthawi yomweyo insulin,
• kuphwanya zakudya pambuyo jekeseni (kunalibe chakudya atangochita),

Munthu aliyense amene amadalira insulin, kamodzi kamodzi m'moyo wake, anali kumva zosasangalatsa zomwe zimayambitsidwa ndi mankhwala osokoneza bongo ambiri. Zizindikiro zazikulu za bongo za insulin:

1. kufooka kwa minofu
2. ludzu
3. thukuta lozizira
4. miyendo yanjenjemera
5. chisokonezo,
6. kuchuluka kwa thambo ndi lilime.

Zizindikiro zonsezi ndi zizindikiro za hypoglycemic syndrome, zomwe zimayamba chifukwa cha kuchepa msanga m'magazi a magazi. Yankho lofananalo ku funso la zomwe zimachitika ngati mutabaya insulin mwa munthu wathanzi.

Matendawa amayenera kuyimitsidwa msanga, apo ayi wodwalayo amagwa, ndipo zimakhala zovuta kwambiri kuti atuluke.

Kugwiritsa ntchito kwambiri mankhwala osokoneza bongo, omwe amatha kutsagana ndi matenda a shuga, nthawi zambiri kumabweretsa mawonekedwe a Somoji. Mkhalidwe uwu umadziwika ndi kupanga corticosteroids, adrenaline ndi glucagon pamitundu yambiri.

Somoji syndrome ndi insulin overdose syndrome, ndiko kuti, mkhalidwe wovuta womwe umabweretsa zotsatira zosasintha ndipo umafunikira chisamaliro chapadera.

Zizindikiro zazikulu za hypoglycemia:

• kulakalaka
• matenda oopsa
• kuchuluka kwa acetone mu mkodzo,
• kuthamanga kwambiri, zomwe zimachitika chifukwa cha kuchuluka kwa shuga mumkodzo,
• malingaliro amunthu pa ketoacidosis,
• shuga amayamba kuchuluka tsiku lililonse,
• hypoglycemia zoposa nthawi 1 patsiku,
• Kulembetsa pafupipafupi kwa shuga wambiri.

Nthawi zambiri, poizoni wa insulin amakhala munthawi yayitali kwa nthawi yayitali. Koma izi nthawi zonse zimadzimva zokha. Somoji syndrome imasiyanitsidwanso ndikuti kukula kwa mkhalidwe wa hypoglycemic mwa munthu kumawonedwa pa 2-4 a.m. Ndi chifukwa cha bongo wa insulin yamadzulo.

Kuti achepetse momwe zinthu zilili, thupi liyenera kuyambitsa njira zowonjezera mphamvu. Koma, popanda kuthandizidwa mwadongosolo komanso mosalekeza, kufooka kwazomwe zimachitika m'thupi kumatha kuonedwa. Chifukwa chake, Somoji syndrome imatha kupha.

Dokotala akapita kutali kwambiri ndi insulin, wodwala matenda ashuga amawonetsa zizindikiro pakapita kanthawi. Ngati mukulowetsa insulin mwa munthu wathanzi, imayambitsa mawonekedwe owopsa a poizoni.

Zikakhala zotere, jakisoni wa insulin amakhala ngati poyizoni, amachepetsa msanga kuchuluka kwa shuga m'magazi.

Ngati munthu waledzera, zikuwoneka:

1. arrhasmia,
2. kukakamizidwa
3. migraines
4. nkhanza
5. mgwirizano wolakwika
6. kumva mantha akulu
7. njala
8. ambiri ofooka.

Ngati insulin ikulowetsedwa mwa munthu wathanzi, chithandizo chinanso chikuyenera kuyang'aniridwa ndi madokotala okha. Anthu nthawi zina amafa chifukwa cha mankhwala osokoneza bongo otere.

Mlingo wowopsa wambiri wa insulin ndi magawo zana, i.e. syringe yonse ya insulin. Nthawi zina munthu amatha kupulumuka ngati mlingo woterowo umakhala wokwera maulendo 30. Chifukwa chake, pogwiritsa ntchito bongo mopitirira muyeso, mutha kukhala ndi nthawi yoyimbira dokotala musanakomoke.

Monga lamulo, chikomokere chimakula mkati mwa maola 3-4 ndipo zomwe zimayimira zitha kuyimitsidwa ngati shuga alowa m'magazi.

Pochiza matenda a shuga, pamakhala chiopsezo cha mankhwala osokoneza bongo ambiri. Munjira imeneyi, pofuna kupewa imfa, thandizo loyenerera lofunikira likufunika. Ndikofunikira kudziwa zoyenera kuchita nthawi yomweyo ndi mankhwala osokoneza bongo ambiri.

Kuti muwonjezere chakudya chamagulu ochulukirapo, muyenera kudya chofufumitsa cha mkate wa tirigu mpaka g 100. Mukapitiliza kuukira kwa mphindi 3-5 muyenera kuwonjezera shuga. Madokotala amalimbikitsa kumwa tiyi ndi supuni zochepa za shuga.

Ngati chochitikacho chitachitika, kuchuluka kwa insulini m'magazi sikumakhala kotakasuka, mukufunikirabe kudya ma protein munthawi yomweyo. Ngakhale kuti bongo wambiri ndi chinthu wamba, ngati inu kunyalanyaza zofunika kuchita, kuwonjezeka kwa Somoji syndrome kumachitika.

Kukula kwa matendawa kumasokoneza kwambiri mankhwalawa komanso kumadzetsa ketoacidosis yovuta kwambiri.

Pankhaniyi, mungafunike kusintha mankhwalawo ndikuyamba kumwa mankhwala amphamvu.

• edema yam'mimba,
• Zizindikiro za meningitis,
• kutha msanga kwa matenda a dementia ndimavuto amisala.

Pakati pa anthu omwe ali ndi vuto la mtima, kuchuluka kwa insulini kungayambitse:

1. sitiroko
2. vuto la mtima
3. retinal hemorrhage.

Mankhwala osokoneza bongo a insulini ndi omwe amafunika kuyankhidwa mwachangu kuchokera kwa wodwala. Ngati ndi kotheka, muyenera kuyitanitsa gulu la ambulansi. Ngakhale kuti hypoglycemia sikuti nthawi zonse imabweretsa imfa, chikhalidwe chowopsa sichitha kuchepetsedwa.

Ngati wodwala ali ndi vuto, ndiye kuti muyenera kuletsa kudzera jakisoni kapena podya zakudya zopepuka. Zina mwazinthu zomwe mwalimbikitsa:

• ma lollipops
• chokoleti
• mikate yoyera
• zakumwa zoziziritsa kukhosi.

Malangizo popewa insulin

Kuchuluka ndi pafupipafupi kwa kayendetsedwe ka insulin kumatsimikiziridwa kokha ndi endocrinologist. Wodwala ayenera kudziwa mawonekedwe onse a jakisoni wa insulin.

Nthawi zambiri anthu omwe ali ndi matenda a shuga amadzibaya; iyi ndi njira yosavuta. Mankhwala amakono apanga ma syringes, safunikira zinthu zingapo mu syringe ndikuti alole kutsata molondola. Dinani voliyumu yomwe mukufuna pa sikelo ndikujambulira musanadye komanso mutadya, malingana ndi malangizo azachipatala.

Malamulo okonzekera insulin:

1. kuchuluka kwa insulin komwe kumakokedwa mu syringe,
2. tsamba la jakisoni limachiritsidwa ndi mowa,
3. pambuyo pa jekeseni, simukufunika kuchotsa singano nthawi yomweyo, ndikofunikira kudikirira masekondi 10.

M'mimba ndikuti gawo la thupi lomwe limasokonekera kwambiri pakulimbitsa thupi, motero ndikotheka kupaka insulin mosamalitsa mbali iyi ya thupi. Ngati chinthucho chingaphatikizidwe ndi minyewa ya manja kapena miyendo, zotsatira zake zimakhala zoipitsitsa.

Zambiri zokhudzana ndi insulin zimaperekedwa mu kanema munkhaniyi.

Chifukwa chiyani simungathe kubayira insulin kwa munthu wathanzi, chiwopsezo chake ndi chiani?

Chimachitika ndi chiani ngati mutabaya insulin mwa munthu wathanzi? Funso limakhala nthawi zambiri kwa anthu omwe ali ndi chidwi. Kuti mupeze yankho loyenera la funsoli, muyenera kumvetsetsa zomwe timadzi timagwira m'thupi, momwe timapangidwira ndi kupukusira.

Funso la kulangizidwa pobayira jakisoni wa insulin limafunsanso kwa anthu omwe adapezeka kuti ali ndi matenda a shuga. Fomu yomwe mwapeza sifunikira jakisoni wowonjezera wa mahomoni. Mutha kuwongolera shuga m'magazi anu ndi zakudya.

Ma hormone aliwonse opanga amakhumudwitsa dongosolo la endocrine. lingaliro pakugwiritsa ntchito kosalekeza limapangidwa ndi adotolo, kuzindikira ndikuwunika zonse zomwe zingachitike chifukwa cha mankhwalawa.

Insulin ndi mahomoni ofunikira omwe ntchito yake yofunika ndikuphwanya chakudya. Ngati mankhwalawa sakwanira mthupi, ndiye kuti glucose amadziunjikira m'magazi, kukhala ndi zotsutsana ndi thanzi la munthu. Kupeza kamodzi kokha m'mwazi kapena mkodzo sikutanthauza kukula kwa matenda ashuga, koma munthu ayenera kusamala kale.

Nthawi zambiri, kuchuluka kwa shuga kumawonjezeka kwambiri mwa amayi apakati, shuga ya gestational imakula. Njirazi zimalumikizana ndi kusowa bwino kwa mahomoni m'thupi la mkazi wonyamula mwana.

Ziwalo zonse zamkati zimavutika ndi katundu wochititsa chidwi, kapamba sangathe kuthana ndi ntchito zake, insulin siyipangidwe moyenera. Zizindikiro zimatha msanga mwana akangobadwa.

Gwiritsani ntchito zakudya zama carb zochepa panthawi imeneyi, osakhala ndi zotsatirapo zoyipa kwa mayi ndi mwana. Kupaka insulin yoyembekezera sikulimbikitsanso. Popita nthawi, thupi lidzazolowera kuti mahomoni amachokera kunja, sizingawapange iwo mwachilengedwe. Mwanjira imeneyi, odwala matenda a shuga amapezekadi.

Ngati munthu wathanzi akapatsidwa mlingo wa insulini, zimakhala zovuta kulosera momwe thupi lingachitire ndi izi. Kuyesa sikuyenera.

Ngati mahomoni opanga amalowa kamodzi, ndiye kuti thupi limazindikira kuti ndi poizoni, ndipo zizindikiro za kuledzera kwambiri zimatulukira. Mankhwala othandizira pakhungu nthawi zina amafunikira, kutsuka m'mimba ndi matumbo kuti achotse zizindikiro za poizoni.

Mawonekedwe a mkhalidwe uwu ali motere:

• Kusanza, kusanza,
• Zofooka zambiri
• Chizungulire, kusakhalitsa kwa chikumbumtima.
• Mutu waukulu
• Kuuma ndi kukoma koyipa mkamwa.

Ngakhale kuti thupi mwanjira iliyonse limapereka chidziwitso kuti ntchito yake ndi yoperewera, insulin imayamba kugwira ntchito, imaphwanya glucose, ndipo kuchuluka kwa shuga kumatsikira pazofunikira kwambiri. Zizindikiro zofananazi zimachitika mwa ana omwe ali ndi acetonemic syndrome.

Njira imodzi yochizira ndikumagulitsa mwana ndi njira yothetsera shuga. Njirayi itha kugwiritsidwanso ntchito kubwezeretsa nyonga mwa munthu wathanzi yemwe adalowetsedwa ndi insulin.

Kubwezeretsa shuga m'magazi kumatenga masiku opitilira tsiku limodzi, koma thanzi lathunthu limasintha mwachangu.

Tsopano timvetsetsa zomwe zingachitike ngati insulini iperekedwa kwa munthu wathanzi labwino. Mankhwala osokoneza bongo a bongo nawonso ndi oopsa kwa odwala matenda a shuga.

Zina zofunikira ndi izi:

1. Mtundu wa makonzedwe ali mu minofu kapena mafuta onunkhira,
2. Kulemera kwa munthu
3. M'badwo wake.

Gawo limodzi la insulini limachepetsa kuchuluka kwa shuga m'magazi a munthu wamba mpaka 8 mmol / L. Ngati mukulowetsa mlingo waukulu panthawi, ndiye kuti izi zimapangitsa kuti mukhale ndi vuto la kufera kwa magazi komanso kumwalira kwa wodwalayo; kuyesa motere ndi koletsedwa. Mphamvu ya insulin yokumba pathupi la munthu wamba siyikudziwika bwinobwino.

Madokotala sanadziwebe zonse zomwe zimayambitsa komanso zofunikira zoyambitsa matenda opatsirana a shuga, chifukwa chake ndizosatheka kugwiritsa ntchito insulin popanda mankhwala a dokotala.

Ngati insulini imaperekedwa kwa munthu wathanzi pamiyeso yaying'ono ndipo nthawi zambiri, zitha kupezeka kuti kapamba sangachite ntchito zake. Mlingo wa mahomoni m'thupi uchulukitsidwa, ubongo umapereka chisonyezo kwa kapamba kuti aletse kupanga izi, koma jakisoni atasiya, gawo la dongosolo la endocrine limasokonekera.

Ndi kusowa kwa insulini, kuchuluka kwa shuga, shuga imayamba.

Nthawi zina, pakumayambitsa matenda oyamba, madokotala amathamangira kukapereka mankhwala othandizira insulin, koma izi sizingachitike mpaka matenda atatsimikiziridwa. M'mitundu ina ya matenda ashuga, jakisoni wa insulini nthawi zonse amasankha.

Mutha kuwongolera ndikusintha kuchuluka kwa glucose wanu ndi zakudya zamafuta ochepa. Zimakhala zovuta kuti wodwalayo azolowere moyo watsopano, koma samadwala chifukwa cha zovuta zoyambira ndi zotsatira za kayendetsedwe ka mahomoni kosalekeza.

Madokotala amakono amavomereza kuti kuyamba kwa mankhwala a insulini kuyenera kuchedweratu. Izi zikugwirizana ndi mtundu wachiwiri wa chitukuko cha matendawa, omwe amapezeka mwa anthu opitilira zaka 35. Matenda a shuga a Type 1 nthawi zonse amathandizidwa ndi insulin.

Osati nthawi zonse kuchuluka kwa shuga m'magazi kumawonetsa matenda a shuga. Kuti mudziwe zamtunduwu, ndikofunikira kuchita kafukufuku wambiri, kuyezetsa osati shuga wamagazi, komanso kulekerera kwa glucose, kuyang'anira kuwuka ndi kugwa kwa chizindikirocho tsiku lonse. Munthu wathanzi sayenera kubayira insulin popanda umboni wachindunji.

Mkhalidwe womwe munthu agwera pambuyo poti mlingo wa mahomoni uli wofanana ndi kuledzera, koma sizingatheke kudziwa kukhalapo kwa zinthu zoletsedwa m'magazi.

Masewera owopsa oterewa ndiofala padziko lonse lapansi. Mu achinyamata, jakisoni wopitilira insulin amakhala ndi zotsatirapo zoyipa. Thupi likakhala kuti likukula, ziwalo zamkati sizinapangidwe kwathunthu, ndizosatheka kwenikweni kusokoneza ntchito zawo m'njira zosiyanasiyana.

Achinyamata omwe "amachita" mwanjira imeneyi amakhala pachiwopsezo chakugwa, akumwalira. Ngakhale zitakhala kuti izi sizingachitike, achinyamata amakhala pachiwopsezo chotenga matenda osachiritsika. Ndicholinga cha makolo ndi okondedwa awo kuti afotokozere za ngozi za zosowa komanso zosangalatsa zosayenera.

Chimodzi mwazotsatira zoyipa zoperekera insulin kwa munthu wathanzi ndi hypoglycemic coma. Amakula motsutsana ndi maziko a dontho lakuthwa komanso lakuthamanga kwambiri mu mulingo wa shuga mthupi motsika kwambiri.

Matendawa amakula pakapita mphindi zochepa. Poyamba, munthu amatha kudandaula chifukwa cha kupweteka kwambiri kwa mutu komanso chizungulire, kenako amataya mwadzidzidzi ndipo sizotheka kumubweretsa.

Thupi lathu limafunikira chakudya, limapereka mphamvu, komanso "kudyetsa" maselo aubongo. Mu mkhalidwe wa hypoglycemic coma, shuga wamagazi ndi ochepa.

Pakukomoka, ziwalo zofunika zimagwira ntchito pazocheperako mphamvu, ndipo maselo ena a muubongo amafa kwathunthu. Wodwalayo akamachotsedwa mu vutoli, zotsatira zoyipa zomwe amakhala nazo.

Mutha kuthamangitsa munthu pakoma poyambira shuga nthawi yomweyo. Ndikofunika kuti muchite izi kudzera m'mitsempha, ngati izi sizingatheke, njira zonse zomwe zapezeka zimagwiritsidwa ntchito. Mu milandu 90%, izi zimapereka zotsatira zabwino.

Ngati wodwala sachira kapena ali ndi zododometsa zamitsempha yamagetsi - kusokonezeka m'malo, kusokonezeka kwa malingaliro, kukhudzika, ndiye kuti kuchipatala kwachangu kumafunikira.

Mobwerezabwereza makonzedwe a insulin pambuyo pa vuto la hypoglycemic amapha wodwala yemwe alibe matenda a shuga. Magazi a magazi amafunika kukhazikika. Kwa izi, kwa masiku angapo chizindikirochi chimayang'aniridwa nthawi zonse.

Ndi zoletsedwa kupereka insulin kwa munthu wathanzi, mosasamala kanthu za mtundu wake, njira yoyendetsera. Izi zili ndi zovuta komanso zotsatilapo zathanzi. kuchuluka kwa mahomoni kumabweretsa zovuta za endocrine.

1. 
   Gurvich, M.M. Zakudya za matenda a shuga mellitus / M.M. Gurvich. - M: GEOTAR-Media, 2006. - 915 p.
2. 
   Neymark M.I., Kalinin A.P. Perioperative nyengo in endocrine surge, Medicine - M., 2016. - 336 p.
3. 
   Vasyutin, A.M. Bweretsani chisangalalo cha moyo, kapena Momwe mungachotsere matenda ashuga / A.M. Vasyutin. - M: Phoenix, 2009 .-- 181 p.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusayiti, kukambirana ndi akatswiri ndizofunikira nthawi zonse.

Zoyambitsa bongo

Chimodzi mwazomwe zimayambitsa kuchuluka kwa insulin ndi kuphwanya malamulo aumwini, omwe amalembedwa ndi adokotala okha. Pa chiopsezo cha bongo ndi anthu omwe ali ndi matenda ashuga.

Ndikofunikira kwa odwala oterowo akamamwa mankhwalawa kuti azitha kuyang'anira thanzi lawo poyesa kuchuluka kwa shuga m'magazi. Ngati njirayi ikuphwanyidwa, ndiye kuti izi zitha kubweretsa insulin yambiri.

Komanso, mosadabwitsa, omanga thupi ali pachiwopsezo. Osewera mbiri iyi nthawi zambiri amagwiritsa ntchito insulin ngati ma steroid kuti apange minofu.

Pakati pazomwe zimayambitsa hypoglycemia, zotsatirazi zimatha kusiyanitsidwa:

• cholakwika chamankhwala (kupereka jakisoni kwa munthu wodwala matenda ashuga),
• cholakwika posankha mtundu wa mankhwala,
• kusintha kwa mankhwala ndi mtundu wa syringe,
• kusewera masewera osadya zakudya zophatikiza ndi chakudya,
• kugwiritsa ntchito molakwa nthawi yomweyo
• kuphwanya zakudya pambuyo jakisoni (kusowa kwa chakudya mutangolowa jekeseni).

Mlingo wabwinobwino wa insulin kwa munthu wathanzi ndi 2-4 IU patsiku, kwa omanga thupi ndi 20 IU, ndipo kwa odwala matenda ashuga nthawi zambiri 20-50 IU patsiku. Kuwonjezeka kwa timadzi tating'onoting'ono ndi mfundo zochepa kungayambitse bongo. Zizindikiro za insulin yowonjezera ikhoza kukhala motere:

• kumva mwamphamvu njala, migraine ndi kufooka wamba poyambira gawo la mankhwala osokoneza bongo,
• thukuta manja, kuchuluka kwa masisitere, kufooka, kunenepa kwa miyendo, kuchepa kwamaso mu gawo lachiwiri.
• kuwoneka kwa kugwidwa, kuwonjezeka kwa mtima, kutayika komanso kuchita chidwi chachitatu.

Ngati kuchuluka kwa glucose m'magazi a wodwala sikukwera munthawi yoyambirira magawo atatu, zotsatira zake zitha kusinthika. Mlingo wowopsa wa insulin umasinthasintha kuchepa kwa 5 mmol / L kuchokera ku shuga wamba la anthu.

Kuperewera kotereku kumatha kuyambitsa matenda a matenda ashuga, omwe ali ndi mawonekedwe owopsa. Ndikosavuta kutuluka wodwala matenda ashuga ndipo nthawi zambiri zimamupha.

sanofi matenda ashuga ... 'alt =' Diaclass: sanofi matenda ashuga ... '>

Anthu ambiri amaganiza kuti insulini imagwiritsidwa ntchito kokha kuthandiza moyo wa anthu odwala matenda ashuga, izi siziri choncho. Insulin imagwiritsidwanso ntchito ngati anabolic pathogen pomanga thupi.