Hypoglycemia mu mtundu 2 matenda a shuga: Zizindikiro ndi mankhwala

Vutoli, lomwe limapezeka m'magazi, ndi amodzi mwa ma mahomoni angapo omwe amatchedwa kuti odana ndi ma cell omwe amasunga shuga ndi insulini m'magazi nthawi zonse. Limodzi mwa ma hormone amenewo ndi epinephrine, lotchedwanso adrenaline. Glucagon imabisidwa ndi kapamba, ndipo ntchito yake ndikwukweza shuga wamagazi ikatsika kwambiri.

Asayansi apeza kuti anthu ambiri omwe ali ndi matenda ashuga amtundu umodzi amalephera pang'onopang'ono kutulutsa glucagon chifukwa chotsika shuga. Vutoli limapangidwa zaka zisanu zoyambirira za matendawa.

Popanda "mayankho a glucagon" kutsika a shuga, odwala matenda ashuga ali pachiwopsezo cha zovuta zazikulu za hypoglycemic, makamaka ngati atsatira dongosolo lolimba la insulin. Anthu awa nthawi zambiri amawonetsa kuti ali ndi vuto la kusatha chifukwa samakhalanso ndi nkhawa, samawoneka akunjenjemera kapena zizindikilo zina.

Hypoglycemia ndi kuchepa kwa shuga m'magazi ochepera 3.5 mmol / L.

Komabe, ndizodabwitsa kuti ngati mwakhala mukusunganso shuga wambiri kwanthawi yayitali (kupitirira 7.5-8.0 mmol / L), thupi lanu limawona shuga wocheperako (4.0-4.9 mmol / L) monga hypoglycemia. Izi zimatchedwa hypoglycemia. Ndipo kuti muleke, ndiye kuti, kuti muthane ndi izi, mufunika njira inayake, osati yofanana ndi hypoglycemia yakale.

Zimayambitsa hypoglycemia

Limagwirira a matenda boma ndi amodzi: pali zambiri insulin kuposa shuga. Thupi limayamba kusowa chakudya, lomwe limapatsa mphamvu. Minofu ndi ziwalo zamkati zimamva kuti ndi "njala", ndipo ngati sizikugwiritsidwa ntchito munthawi yake, zotsatirapo zake zimakhala zokulirapo komanso zowopsa.

Kuwerengera molakwika kwa insulin
Mankhwala ochulukirapo a mankhwala ochepetsa shuga kuchokera ku gulu la sulfonylurea (Diabetes, Glimepiride / Amaryl / Diameride, Maninil, Glibomet / Gluconorm, Glukovans / Bagomet Plus)
Dumphani chakudya chotsatira
Kupuma yayitali pakati pa chakudya
Zopanda chakudya chokwanira mu chakudya
Kuchita masewera olimbitsa thupi mopitirira muyeso
Zochita zolimbitsa thupi zazitali
Mowa wambiri

Kukula kwa hypoglycemia kuphwanya zakudya

Kuyambitsa kukomoka kwa hypoglycemic m'thupi, mavuto azakudya ndi kugaya kwam'mimba dongosolo ndizotheka. Zolakwikazo zingaphatikizepo izi:

Zosakwanira kaphatikizidwe kazakudya zam'mimba. Kuphwanya lamulo kotereku kumatha kupangitsa kuti shuga azisowa m'magazi chifukwa chosamwa shuga m'magazi am'mimba.
Zakudya zopanda pake komanso kudumpha zakudya.
Chakudya chopanda malire chomwe chimakhala ndi shuga osakwanira.
Katundu wamkulu m'thupi, womwe ungayambitse kusowa kwa shuga mwa anthu, ngati sizotheka kutenga shuga wowonjezera.
Nthawi zambiri, wodwala yemwe ali ndi matenda ashuga oopsa amatha chifukwa chomwa mowa.
Hypoglycemia imayamba ndi mankhwala ochepetsa thupi komanso kudya mosamalitsa, ndikumamatira mlingo wa insulin.
Matenda a shuga a shuga, omwe anapangitsa kuti pang'onopang'ono kuthira chakudya.
Kugwiritsa ntchito insulin mwachangu musanadye ndikuwachedwa kudya kwakanthawi.

Odwala omwe ali ndi vuto la matenda ashuga a 2 sayenera kumva kuti ali ndi njala yathanzi. Maonekedwe a njala ndiye chizindikiro choyamba chosowa shuga m'magazi a wodwala yemwe ali ndi mtundu wina wa matenda ashuga. Izi zimafuna kusinthidwa kosalekeza kwa chakudya cha wodwala pamaso pa odwala matenda amtundu wa 2.

Mukamamwa mankhwala osokoneza bongo kuti muchepetse shuga, muyenera kukumbukira kuchuluka kwa glycemia, komwe kumakhala kwa munthu aliyense. Zizindikiro zoyenera ndizomwe zimagwirizana ndi chikhalidwe chathupi mwa munthu wathanzi kapena pafupi nazo.

Ngati kuchuluka kwa shuga kumatsikira mbali yotsika, wodwalayo amayamba kugonja - amayamba kuwonetsa zizindikiro za hypoglycemia, zomwe zimapangitsa kuti pasakhale shuga m'magazi am'magazi.

Zizindikiro zoyambirira za kusowa kwa chakudya zimayamba kuonekera m'mitundu yofatsa ndipo imayamba kutchulidwa pakapita nthawi.

Chizindikiro choyamba cha kusowa kwa chakudya cham'mimba ndikumverera kwa njala yayikulu. Ndi chitukuko cha hypoglycemia, zizindikiro zotsatirazi zimawonekera mwa munthu:

khungu
kutuluka thukuta kwambiri
kumva kwamphamvu njala
kuchuluka kwamtima,
minofu kukokana
Anachepetsa chidwi ndi kuyika chidwi,
maonekedwe aukali.

Kuphatikiza pazizindikirozi, hypoglycemia imatha kudwalitsa wodwala nkhawa komanso kupusa.

Zizindikirozi zimachitika ndi hypoglycemia, ngakhale atakhala kuti ndi wodwala.

Milandu ikachulukanso mu shuga m'thupi la wodwala yemwe akudwala matenda osokoneza bongo apitilira, wodwalayo amakula:

kufooka
chizungulire
kupweteka kwambiri m'mutu
kugwira ntchito kwa mkatikati mwa mawu mu ubongo,
kumverera kwa mantha
kusokoneza kayendedwe ka kayendedwe
kukokana
kulephera kudziwa.

Zizindikiro sizingachitike nthawi imodzi. Pa gawo loyamba la hypoglycemia, chizindikiro chimodzi kapena ziwiri zimatha kuonekera, zomwe enawo aphatikizanso pambuyo pake.

Ngati wodwala matenda ashuga sangathe kuwongolera vutoli ndipo sangatenge njira zodzitetezera popewa kupititsa patsogolo kwa dziko la hypoglycemic, thandizo la anthu owazungulirani lifunika.

Nthawi zambiri, pakayamba zovuta, thupi la wodwalayo limafooka komanso kuletseka panthawi ya hypoglycemia. Munthu munthawi imeneyi amakhala kuti alibe chikumbumtima.

Pakadali pano, wodwalayo sangathe kutafuna piritsi kapena kudya china lokoma, popeza pamakhala kuwopsa kotsinidwa. Zikatero, ndibwino kugwiritsa ntchito miyala yapadera yokhala ndi glucose wambiri kuti muchepetse kuukira.

Zikatero, ngati wodwalayo amatha kumeza mayendedwe, ndiye kuti akhoza kupatsidwa chakumwa chokoma kapena msuzi wa zipatso, tiyi wotsekemera amakhala ndi vuto lililonse. Mukakumana ndi hypoglycemia, muyenera kuyang'anitsitsa momwe wodwalayo alili.

Wodwalayo atakhazikika, kuchuluka kwa shuga mthupi kuyenera kuwerengedwa komanso kuchuluka kwa glucose omwe amayenera kulowetsedwa m'thupi kuti athetse thupi lonse.

Ngati wodwala matenda ashuga atulutsa, ndiye ayenera:

Ikani ndodo pakati pa nsagwada mkamwa mwa wodwala kuti lilime lisakulume.
Mutu wa wodwalayo uyenera kutembenukira kumbali imodzi kuti wodwalayo asakodomeredwe ndi zodukiza.
Ikani jekeseni wa shuga wambiri.
Chitanani mwachangu ambulansi.

Ndi chitukuko cha hypoglycemia, ubongo umakhala ndi vuto loperewera mphamvu. Momwe matenda osagonjetseka amatha kuchitika, kuchuluka kwa shuga kumakhudza kwambiri mtima wamtima ndi mtima.

Kutuluka kosayenera kuchokera ku boma la hypoglycemic kumabweretsa kudumphadumpha mu shuga, izi zimatha kuyambitsa matenda oopsa komanso kuthana ndi mtima. Ndi kuwonjezeka kowopsa kwa shuga m'magazi, kukulitsa kulephera kwaimpso ndikotheka. Kanemayo munkhaniyi apitiliza mutu wa hypoglycemia.

Zizindikiro za hypoglycemia

Mavuto osaneneka amayenda ndi shuga wosadwala, mwachitsanzo, wodwala amatha kukhala ndi matenda a shuga. Chithandizo cha nthawi yoyambira, mankhwala a insulin, amapewa izi. Kuthandizira zamkati, komabe, kumakhala ndi zovuta zake: sizingatheke kusintha kusinthasintha koyenera pakuchitika kwa mahomoni ndi shuga m'magazi. Nthawi zina, kuchuluka kwa shuga kumatha kutsika kwambiri, ndipo zotsatira zake zimakhala zoopsa.

Zizindikiro zopezeka munthawi yake za hypoglycemia zimakupatsani mwayi wofunikira kuti muchepetse kuukira. Matendawa amakula msanga, pali magawo atatu a hypoglycemia:

Ndikosavuta kuzindikira zoyamba za hypoglycemia ndikuchita zinthu mwachangu.

Zizindikiro zonse za hypoglycemia zimagawika m'magulu awiri:

Zizindikiro zomwe zimakhudzana ndi kutulutsidwa kwa mahomoni (adrenaline) m'magazi.
Zizindikiro zophatikizana ndi kuperewera kwa glucose kulowa mu ubongo.

Zowonjezera zoyambira kumenyera (gawo lofatsa) ndi:

Zofooka
Miyendo Yanjenjemera
Zovuta
Njala
Tachycardia
Kukongola kwa khungu
Thukuta lozizira
Kuchuluka kwa milomo ndi zala.

Kwa gawo loyenera la matendawa ndi:

Kuperewera kwa mgwirizano
Kusintha kosasintha (ukali, kufuula, kukwiya),
Kusakwiya
Kuyankhula zopanda pake
Chizungulire, kupweteka mutu,
Zowonongeka.

Ngati sanatengepo kanthu kutiletsa kuukira, pali zizindikiro za hypoglycemia zofanana ndi gawo lomaliza, loopsa la matendawa:

Khalidwe losayenera
Maonekedwe okongola
Kugona.

Kenako wodwalayo amagwa, ndipo wakomoka. Ngati ali ndi vutoli palibe munthu wina pafupi ndi iye yemwe angadziwe kuchuluka kwa magazi nthawi yomweyo, zotsatira zakupha sizingalephereke.

Nocturnal hypoglycemia (m'maloto)

Kusintha kwa shuga mkati mwa kugona, kuchepa kwake m'munsi mwabwinobwino, nthawi zambiri kumadutsa osazindikira. Wodwala matenda ashuga ayenera kukhala watcheru atadzuka ngati:

Zogona pabedi,
Panali zolota
Zochitika pambuyo pa kukomoka.

Kuukira pafupipafupi usiku kwa hypoglycemia kumakhala koopsa. Kupereka kuphwanya kufalikira kwa magazi mu ubongo, kumatha kupangitsa kuchepa kwa luntha ndi kukumbukira. Kumangidwa kwa mtima ndi arrhasmia. Milandu yakukula kwa khunyu komanso vuto la mtima.

Kuti mupeze shuga ochepa magazi usiku, ndikofunikira kugwiritsa ntchito glucometer kwa maola atatu mpaka 4 - ino ndi nthawi yayikulu kwambiri yowonetsera hypoglycemia. Ngati misempha ya shuga ithothoka usiku, zotsatirazi zikulimbikitsidwa:

Musanagone, imwani mkaka, idyani ma cookie kapena sangweji.
Yang'anani shuga musanagone. Ngati mulingo watsika m'munsi mwa 5.7 mmol / L, pali kuthekera kwakukulu koukira usiku.
Jakisoni wa insulin sachita pambuyo pa 11 pm.

Ngati wodwalayo sagona yekha, mnzakeyo ayenera kumudzutsa poyambira kuwopseza kwa hypoglycemia ndikuwathandiza.

Akatswiri amapanga chida chapadera chomwe chitha kuthandiza wodwala akakhala pamavuto. Chipangizocho, chopangidwa ndi zinthu zofewa, chimavalidwa padzanja kapena pachifuwa. Amakumana ndi kutentha kwa khungu ndi chinyezi chake. Kutentha kukatsika komanso / kapena thukuta kwambiri, chipangizocho chimanjenjemera ndikupanga mawu kuti amudzutse wodwalayo. Musaiwale kuti momwe munthu wathanzi m'chipinda chodzidziramo amadzionetsera momwemo - amalumbira. Chifukwa chake, musanagone, ndikofunikira kuti pakhale mpweya wabwino m'chipindacho.

Ngati zizindikiro za hypoglycemia zimakhala zosalimba

Asymptomatic hypoglycemia ndi yoopsa chifukwa sichimalola kuti muimitse kuukira komwe kumayambira matendawa ndipo kungayambitse matendawa. Njira yotere ya matendawa imatha kuoneka mwa odwala omwe ali ndi matenda ashuga ngati:

Kutalika kwa matendawa kumatha zaka 5.
Mwazi wa wodwalayo umasungidwa mkati mwa chimango cholimba.

Ngati munthu ali ndi matenda ashuga kwa nthawi yayitali ndipo nthawi zambiri amakhala ndi hypoglycemia, adrenaline, yomwe imapereka zizindikiritso zoyambirira za matendawa, pang'onopang'ono zimaleka kupanga. Pali kuchepa kwamphamvu kwa mahomoni.

Kuti zizindikiro za hypoglycemia ziwonekere, kusinthasintha kwa ndende ya magazi kuyenera kukhala kofunika. Kuzindikira kwa hypoglycemia kumacheperanso ngati mulimbitsa kukula kwa shuga mulingo woyenera. Nthawi zambiri izi zimawonedwa mwa amayi apakati omwe ali ndi matenda ashuga.

Odwala omwe amadziwika ndi kusowa kwa zizindikiro za hypoglycemia nthawi zambiri amalimbikitsidwa:

Ikani shuga kangapo patsiku panthawi zosiyanasiyana.
Musanayendetse, onetsetsani kuti muyeza magazi. Iyenera kukhala pamwamba pa 5 mmol / L.
Pangani njira yochiritsira ndi dokotala kuti mupewe kuukira.
Onetsetsani kuti mukuvala bangili ndi mawu oyenera.
Sungani maswiti / maswiti / mapiritsi a shuga.
Chenjezani "bwalo lanu lamkati" ponena za kuukiridwa. Kuti muwadziwitse njira zoyambirira zopangira thandizo: gawanani nawo zomwe mungawonjezere shuga m'magazi mukukula kwa vuto la hypoglycemia.

Zomwe zimayambitsa hypoglycemia

Glycemic angayambike ngati:

Kudumpha chakudya.
Zakudya zopatsa thanzi zokwanira.
Mankhwala osokoneza bongo a insulin amaloledwa.
Mankhwala osokoneza bongo amachepetsa shuga.
Tsamba lolakwika la jakisoni.
Thupi limalumikizidwa kwambiri.
Mowa umaletsedwa pamimba yopanda kanthu.

Chakudya chodumpha chiyenera kusinthidwa nthawi yomweyo ndi zokhoma.
Ngati mukufuna kuchepetsa zakudya zanu kuti muchepetse kunenepa, sankhani nthawi yoyenera ya jakisoni wa insulin ndi dokotala.
Musati mupeze insulin m'tchafu musanathamangire - kuthamanga kwa magazi kumathandizira kutuluka kwa insulin kulowa m'magazi.
Musanasewera masewera, kuyeretsa nyumba, kugula malo, kulima, muyenera kudya kwambiri.
Zakumwa zoledzeretsa zamkati mwa doha yaying'ono zitha kumudya zokha.

Chithandizo (kuyimitsa) cha hypoglycemia

Nthawi zina, matenda a hypoglycemia amapezeka kwambiri mwa anthu odwala matenda ashuga. Kudziwa momwe mungawonjezere shuga pakumenyedwa kudzapulumutsa miyoyo yawo. Malangizo otsatirawa athandiza kuchepetsa kukhumudwa pafupipafupi:

Jakisoni wa insulini uyenera kuchitidwa mosamalitsa monga momwe anagwirizanirana ndi adokotala.
Ikani shuga mobwerezabwereza masana.

Ngati shuga ali m'munsi mwa gawo lomwe mwakonzekera, muyenera kudya zakudya zamagulu (monga mapiritsi a shuga) ndi kuyeza shuga pambuyo pa mphindi 45. Kudya zakudya zamagulu ochulukirapo komanso kuchuluka kwa shuga m'magazi kuyenera kubwerezedwanso mpaka mutakwaniritsa kuchuluka kwa shuga.

Ngati sikutheka kuyeza shuga, pakukayikira kulikonse komwe kungayambitse hypoglycemia, chakudya chamagwiritsidwe katemera uyenera kutengedwa nthawi yomweyo. Ngakhale shuga atakweza kuposa pamenepa, sizowopsa ngati chikomokere.

Momwe mungachiritsire hypoglycemia ndikusunga shuga yabwinobwino

Chikhalidwe chomwe chimalimbikitsidwa pachikhalidwe cha hypoglycemia chokhala ndi chakudya chamafuta ambiri chili ndi zovuta zotsatirazi:

Zakudya zomanga thupi zopezeka m'zakudya zimalowa m'magazi chifukwa chayamba kupukusa kwa nthawi yayitali.
Kusamwa mosasamala kwa zakudya za shuga kumatha kukulitsa shuga.

Kugwiritsa ntchito mapiritsi a shuga kuti muchepetse vuto la hypoglycemia kungathandize kupewa kuchuluka kosalamulira kwa shuga.

Mapiritsi a glucose

Mapiritsiwo ali ndi shuga. Ngati mumafuna kutafuna piritsi ndi kumwa ndi madzi, glucose imalowa m'magazi m'mitsempha yake. Mlingo weniweni wa glucose piritsi umakuthandizani kuwerengera moyenera kuchuluka kwa mankhwalawo.

Ngati mwazindikira zizindikiro za hypoglycemia, dalirani izi. Mapiritsi a Glucose amagulitsidwa ku pharmacy. M'masitolo akuluakulu mutha kugula ascorbic acid ndi shuga.

Pofuna kuti musasokoneze kuwerenga kwa glucometer, sambani manja anu mutatha kudya piritsi la glucose.Mapiritsi a glucose osavomerezeka amasungidwa pamodzi ndi zingwe zoyeserera.

Momwe mungagwere mu gluttony ndi hypoglycemia

Kuperewera kwa glucose kumayambitsa njala yonyenga m'thupi. Kuti mubwezere zachuma, muyenera kudya china chake. Zakudya zamafuta othamanga, omwe amatengedwa kuti aletse kuukira kwa hypoglycemia, mwanjira imeneyi amapereka ntchito yoyipa - amasinthidwa mwachangu, ndipo mphamvu yanjala sitha.

Mkhalidwe wa mantha ndiwotheka "kulanda." Ngati kuchuluka kwa shuga kwabwerera mwakale, musapitirize kudya maswiti osalamulirika. Thanzi lanu limayang'aniridwa. Tsopano mutha kudya mosamalitsa chidutswa cha nyama ndikukwaniritsa njala yanu kwa nthawi yayitali.

Shuga ndi kale kale, koma zizindikiro za hypoglycemia sizitha

Thupi limayankha kutsika kwa shuga m'magazi mwakuwonjezereka kwa adrenaline, kuwonetsa kugwedezeka kwamphamvu, kutsekeka kwa khungu, komanso kugunda kwa mtima kwachangu. Hormone ya adrenaline imawonongeka kwa nthawi yayitali (pafupifupi ola limodzi), kotero, zizindikiro zosasangalatsa zimatha kukhumudwitsa kwa nthawi yayitali ngakhale pambuyo poti matenda a shuga achulukane.

Amadziwika kuti kuwonongeka kwa adrenaline kumalimbikitsa kupuma. Ndikofunika kwa wodwala matenda ashuga kudziwa njira zopumulira kuti athetse msanga zizindikiro za hypoglycemia.

Anthu odwala matenda ashuga okhathamira ndi hypoglycemia

Kusakwanira kwa matenda ashuga chifukwa cha kuchepa kwa shuga m'magazi. Maselo aubongo amavutika, ntchito zamaganizidwe zimalephera. Munthu amakhala wokondwa, wosangalala, kulephera kudziletsa. Nthawi zambiri amamutengera kuledzera kapena matenda osokoneza bongo.

Pali zifukwa zomveka zotheka kuchita izi: shuga wochepa amakhumudwitsa, mlingo waukulu wa adrenaline umalowa m'magazi. Panthawi imeneyi, wodwala matenda ashuga nthawi zina amachita nkhanza kwa iwo omwe akufuna kumuthandiza.

Gangrene wa m'munsi malekezero a shuga

Malingaliro ake amakhudzika mtima akukhulupirira kuti shuga imakhumudwitsidwa kwambiri. Pamene ena ayesa kumuthandiza ndikupereka kudya "maswiti oletsedwa", wodwala matenda ashuga omwe ali ndi vuto la hypoglycemia amatsutsa mwankhanza.

Ndikofunikira kutsimikizira munthu ndikumupatsa mayeso a shuga. Chidziwitso chofunikira cha kuchuluka kwa shuga m'magazi ake chithandiza wodwalayo mozama kuti adziwe momwe zinthu ziliri.

Matenda a shuga ali patatsala pang'ono kutaya chikumbumtima: choti achite

Nthawi zambiri hypoglycemia imayamba pang'onopang'ono. Pazizindikiro zoyambirira, muyenera kumwa kapena kudya china lokoma pamitundu 10 - 20 magalamu:

Madzi (galasi).
Zakumwa zotsekemera / Pepsi-cola, Coca-Cola (galasi).
Lollipops / caramel (zidutswa zingapo).
Wokondedwa (1 - 2 tsp).
Mapiritsi a Glucose / dextrose (zidutswa za 3-5).

Gwirani maswiti ochepa pakamwa panu. Izi zikufulumizitsa kuyamwa kwa shuga m'magazi. Thandizo liyenera kubwera pakadutsa mphindi 15. Ndikulimbikitsidwa kuyeza shuga pakatha mphindi 20 ndipo ngati mulingo wake uli m'munsi mwa 4 mMol./l, gwiritsani ntchito maswiti ndikubwereza mayesowo.

Ngati shuga abwerera mwachizolowezi, idyani kena kena ka “mafuta ambiri” - sangweji, makeke. Kuchita izi kukuthandizani kuti mupewe kuonanso kwa glycemia.

Mankhwala othandizira kuletsa kuukira kwa hypoglycemia ndi utsi wokhala ndi dextrose. Zilonda zochepa ndizokwanira mderalo, ndipo dextrose imalowa muubongo nthawi yomweyo.

Pazakudya zotsekemera zamafuta, ayisikilimu ndi chokoleti siziyenera kugwiritsidwa ntchito kuletsa kuukira kwa hypoglycemia. Mafuta amachepetsa kuyamwa kwa glucose, ndipo amalowa m'magazi pokhapokha theka la ola. Malinga ndi akatswiri azamisala, mankhwala "abwino" amatha kuganiziridwa ndi odwala ngati mphotho yakuzunzika ndipo mosazengereza satenga njira zoletsa kuukira.

Odwala odwala matenda ashuga - chisamaliro chodzidzimutsa

Wodwala akasiya kuzindikira, ndizoletsedwa kuti amuyesetse kapena kum'patsa chakudya. Munthu atakomoka, akhoza kutsamira.

Panthawi imeneyi, jakisoni wa glucagon amathandiza wodwalayo. Jakisoni adapanga intramuscularly pambuyo mphindi 10. Chikumbumtima chikangomaliza, ndikofunikira kudyetsa wodwalayo: perekani tiyi ndi makeke kapena china chofunikira kwambiri.

Magazi a glucagon amadzutsa shuga m'magazi, zomwe zimapangitsa chiwindi kuti asinthe masitolo a glucagon kukhala glucose. Ngati jakisoni, analog ya glucagon ya anthu yopangidwa kuchokera ku zikondamoyo zamphongo kapena nkhumba zimagwiritsidwa ntchito. Phukusi la zadzidzidzi nthawi imodzi limakhala ndi glucagon mu mawonekedwe a ufa, syringe yokhala ndi zosungunulira, komanso malangizo atsatanetsatane.

Itanani ambulansi mwachangu kapena pititsani wodwala kuchipatala ngati:

Wosazindikira sakhala ndi pulogalamu yadzidzidzi.
Simulimba mtima kudzipeza nokha.
Mphindi 10 pambuyo pa kubayidwa, palibe kusintha pamlingo wa wodwalayo.

Kulephera kuthandiza wodwala yemwe ali ndi vuto la matenda oopsa a hypoglycemia kumapangitsa kuti aphedwe.

Sungani ku hypoglycemia pasadakhale

Wodwala wodwala matenda ashuga amatha kusewera hypoglycemia nthawi iliyonse. Ndi bwino nthawi zonse kukhala ndi "chakudya champhamvu"

Mapiritsi a glucose.
Ma caramel angapo.
Zakumwa zotsekemera - juwisi / cola / tiyi.

Kuletsa kugwidwa pang'ono kwa hypoglycemia, ndikokwanira kudya zilizonse zili pamwambazi.

Nyamula zida za glucagon nanu. Mukalephera kudziwa, odutsa omwe ali pafupi azakuthandizani mwadzidzidzi.

Zibongo zakuzindikiritsa odwala omwe ali ndi matenda ashuga

Ngati munthu wafwa mumsewu, ngakhale madokotala a ambulansi amavutika kuti azindikire nthawi yomweyo. Kuzindikira moyenera zomwe zimayambitsa matenda omwe akudwala kudzalola kuti pakhale njira zopulumutsira panthawiyo.

Ndikofunikira kuti munthu wodwala matenda ashuga azilemba kuti awachenjeze ena za matenda ake. Mutha kunyamula khadi ndi chidziwitso chofunikira mthumba lanu kapena kupachika kiyi unyolo. Njira yosavuta kwambiri ndi chibangili padzanja lanu.

Chibangiri chimapangidwa ndi zinthu zosiyanasiyana - silicone, zikopa, pulasitiki, zitsulo. Ndikofunikira kuti zizioneka bwino pakati pazodzikongoletsera zanu, ndipo chidziwitso chofunikira chimagwiritsidwa ntchito kwa iwo. Njira yomwe ingatheke: & lt, ndine wodwala matenda ashuga. Ndikufuna shuga & gt ,. Ngati munthu ali ndi zizindikiro za hypoglycemia, ndipo ali m'malo omwe amayambitsa nkhawa pakati pa ena, chidziwitso pachibangiri chiziwathandiza kuyankha mokwanira pazomwezo ndikuwathandiza wodwalayo.

Zibongo zimalimbikitsidwa kwambiri kwa ana. Ngati mukuyenda kunja kwa Russia, zambiri pazangiri ziyenera kufotokozedwa m'Chingerezi. Chikhalidwe chovala zibangazi kumayiko ena ndizofala.

Akatswiri opanga ku Taiwan posachedwapa apanga zida zothandiza kwambiri ngati mkongo. Adaziphatikiza mu chipangizo chimodzi chomwe chimayeza shuga ya magazi (chosasokoneza), ndi chigamba cha insulin chomwe chili ndi ma miconeedles. Chipangizocho chimalumikizidwa ndi foni yamakono yokhala ndi pulogalamu yapadera yoyikidwa. Pakuwonjezeka kwa ndende ya shuga, mlingo woyenera wa insulin umadzipaka nokha. Ngati chida chazindikira kuti shuga yachepetsedwa, zimapereka chenjezo.

Ndizowopsa kuti odwala matenda ashuga azitha kuyendetsa galimoto

Hypoglycemia yofulumira kwambiri imakhala yoopsa kwambiri kwa oyendetsa ndege. Zitha kuyambitsa ngozi yayikulu pamsewu chifukwa cha kupweteketsa mtima kwa oyendetsa. Woyendetsa ayenera kutsatira mosamalitsa malamulo otsatirawa:

Ndi magazi omwe ali ndi shuga mpaka 5 Mmol / L, simuyenera kuyendetsa.
Pamaso panjira kuti mudye.
Yang'anani kuchuluka kwanu kwa shuga 2 iliyonse.
Tengani "matenda a shuga".

Ngati mukumva kusowa kolowera panjira, imani, idyani chakudya chofulumira, khalani ndi zokhoma panjira yokhotakhota, kuyeza shuga. Chokani ndi shuga wovomerezeka, mutapuma pafupifupi ola limodzi pambuyo poti waukire.

Zizindikiro zake

Kumwa mankhwala ochepetsa shuga, ziyenera kukumbukiridwa kuti wodwala aliyense ali ndi glycemia yake yabwinobwino. Kuperewera kwakukulu kwa shuga kumawerengedwa ngati kuchepa kwa 0,6 mmol / L kuchokera pachizindikiro chazomwe chimadziwika.

Moyenera, Zizindikiro ziyenera kugwirizana ndi zomwe zimawonedwa mwa munthu wathanzi. Koma nthawi zina, odwala matenda ashuga amayenera kuchititsa hyperglycemia kwakanthawi.

Zizindikiro zakusowa kwa chakudya zimayamba kuonekera modekha ndipo pamapeto pake zimayamba kutchulidwa.

Chizindikiro choyamba ndikumverera kwa njala. Komanso ndi hypoglycemia amati:

womvera
tuluka thukuta
njala yayikulu
palpitations ndi kukokana
Anachepetsa chidwi ndi chidwi
ukali, kuda nkhawa
nseru

Glycemia ikatsika kwambiri, zotsatirazi zingaoneke:

kufooka
chizungulire komanso kupweteka kwambiri mutu
kusokonezeka pakulankhula, mavuto amawonedwe
kumverera kwa mantha
zoyenda
kukokana, kusazindikira

Zizindikiro sizingachitike nthawi imodzi ndipo si onse. Nthawi zina, anthu omwe amakonda kudumphadumpha, amakhala akudwala matenda ashuga, okalamba, mwina sangawamve kapena samva bwino.

Ena odwala matenda ashuga amakwanitsa kudziwa kuti mu nthawi yake glycemia ndi yotsika kuposa masiku onse, amayeza shuga komanso kumwa shuga. Ndipo ena ambiri amalephera kuzindikira ndipo amatha kuvulazidwa kowonjezereka.

Anthu odwala matenda ashuga omwe amakonda kuchita hypoglycemia saloledwa kuyendetsa galimoto kapena kugwira ntchito yomwe miyoyo ya anthu ena imadalira. Kumwa mankhwala ena amathanso kusokoneza vuto lanu.

Nthawi zina, odwala omwe ali ndi zizindikiro zotere amatha kuchita zosayenera, khalani otsimikiza kuti thanzi lawo lili mwadongosolo mpaka mphindi yakutha kwa chikumbumtima. Zomwe zimachitika mwaukali zimatheka pa upangiri woti amwe mapiritsi, kapena m'malo mwake, kuukira kwa kufooka, kugona, kufoka.

Makamaka chidwi chake chikuyenera kuperekedwa kwa odwala omwe ali ndi matenda ashuga, omwe hypoglycemia imachitika m'maloto. Zikatero, tulo timapuma, kupuma kumachitika pang'onopang'ono komanso kusokonezeka, khungu limazizira, makamaka khosi, thupi limayamba thukuta kwambiri.

Mu ana otere, ndikofunikira kuyeza glycemia usiku ndikuchepetsa kumwa kwa insulin kapena kubwereza zakudya. Mwa makanda, kutha kwa kuyamwitsa, ndikofunikira kuti mupange chizolowezi chamadyedwe ochepa a carb.

Zizindikiro zoyambirira za hypoglycemia:

kufooka
kunjenjemera
njala yayikulu
kuzizira ndi khungu
thukuta kwambiri
kugunda kwa mtima
mutu
kumverera kwa nkhawa komanso kusakwiya.

Mwa zina zowonetsa, zazikuluzikulu ndi mutu, malingaliro osokoneza komanso chizungulire. Woopsa, munthu atha kumugwira kapena kumugwira. Chithandizo cha insulin yayikulu imafuna thandizo lakunja, popeza iye mwini sangathe kudzipulumutsanso.

Zitha kuwoneka kuti Zizindikirozo ndizowonekera bwino komanso kuti kwa anthu ambiri atha kukhala chenjezo lokwanira. Tsoka ilo, anthu ambiri amapezeka kuti ali munthawi yomwe amakana.

Kuchita kwa insulin nthawi zambiri kumachitika mwa anthu omwe amagwiritsa ntchito mankhwala a insulin kapena pakamwa hypoglycemic, makamaka amakhala ndi anthu omwe ali ndi matenda amtundu wa 1 omwe amatsatira njira yolamulira shuga.

Kukwaniritsa shuga wabwinobwino kumatanthauza kukhalabe wolimba pakati pa shuga ndi insulin. Ngati insulini ikakhala yocheperako, kusweka sikulephera.

Zowonadi zake ndi zakuti munthu amatha kumwa mankhwala ochuluka a insulin kapena mlingo waukulu kwambiri wamankhwala otuluka m'magazi a hypoglycemic, zomwe zimapangitsa kuti magazi achepe.

Munthu amene akumwa mankhwala a insulin kapena mankhwala ena, ali ndi zotheka zina chifukwa chosasamala kwambiri amachepetsa shuga la magazi.

kumwa kwambiri ma insulin
wachedwa ndi chakudya kapena kulumpha,
chakudya choperewera mu chakudya,
kuchita zolimbitsa thupi kwambiri, mosayembekezereka kapena panthawi yopambana tsiku.

Nthawi zina kuchuluka kwa shuga kumatha kusokonezeka atamwa mowa waukulu.

Kuchiza ndi kupewa zovuta

Njira yokhayo yopewa zovuta ndizowunika shuga yanu nthawi zonse. Ngati mukumva kuti muli ndi njala, yikani shuga ndikuchita zina kuti muchepetse kuukira.

Ngati palibe zizindikiro, koma zikuwonekeratu kuti kunalibe kudya kwakanthawi kapena kuchita masewera olimbitsa thupi, tengani glucose piritsi kuti muchepetse mavuto. Amachitapo kanthu mwachangu komanso mwachidziwikire.

Kuwerengera mlingo ndikosavuta, kumalowa m'magazi m'mphindi zochepa. Pambuyo pa mphindi 40-45, muyenera kuyeza kuchuluka kwa shuga ndipo ngati kuli kotheka, bwerezaninso kudya shuga yina pang'ono.

Ena odwala matenda ashuga nthawi zotere amakonda kudya ufa, maswiti, zipatso, zakumwa za zipatso kapena mashuga a shuga. Izi zimatha kudzetsa vuto la hyperglycemia, chifukwa mankhwalawa samakhala ndi "othamanga", komanso "osakwiya" ochulukirapo.

Amamezedwa pang'onopang'ono, chifukwa chimbudzi chimayenera kutaya nthawi ndikuzikonzera. Kuchuluka kwa chakudya "chochepa" m'mahora ochepa mutatha kudya kumapangitsa kulumpha kwakuthwa mu shuga.

Glucose wophatikizidwa ndi madzi amatengedwa nthawi yomweyo kuchokera pamlomo wamkamwa. Sikuti nkofunika kumeza.

Mutha kudziwa mosavuta kuchuluka kwa mapiritsi a glucose omwe amalimbikitsa glycemia. Izi ndizovuta kuchita ndi zinthu. Ngati tili ndi mantha kapena matenda enaake, pamakhala chiwopsezo cha kudya kwambiri komanso kuvulaza thanzi lathu.

Ngati sizotheka kugula shuga, mutha kunyamula nanu magawo a shuga woyengedwa ndikutenga ma cubes awiri awiri kuti muchepetse hypoglycemia.

Choyamba thandizo la glycemia ndi zotsatira za zovuta

Ngati wodwalayo salinso kuwongolera ndipo sangathe kuchitapo kanthu, thandizo la ena lidzafunika.

Nthawi zambiri wodwalayo amakhala ofooka, oopsa komanso amakhala kuti alibe chikumbumtima. Sadzatha kutafuna chilichonse chotsekemera kapena kudya piritsi;

Ndikwabwino kumwa zakumwa zotsekemera, mwachitsanzo, tiyi wofunda ndi shuga, kapena shuga. Pali ma gels apadera omwe angagwiritsidwe ntchito kupaka mkamwa ndi lilime.

Zitha kusinthidwa ndi uchi kapena kupanikizana. Odwala ayenera kuyang'aniridwa pakakhala kuwukira.

Njira zanu zikamagwira, ndipo amatha kuyankha mafunso, muyenera kugwiritsa ntchito gulometer ndi kudziwa kuchuluka kwa glucose omwe amafunikira kwazomwe zikuchitika komanso zomwe zidayambitsa kudwala.

Zomwe zimapangitsa izi sizingokhala hypoglycemia zokha, komanso vuto la mtima kapena kupweteka kwa impso, kulumpha mu kuthamanga kwa magazi, chifukwa chake muyenera kusamala kwambiri.

Ngati munthu wodwala matenda ashuga auma, tikulimbikitsidwa:

chonga ndodo m'mano kuti mano akakomoka asalume lilime lake
tembenuza mutu wanu mbali imodzi kuti isakunyengeni mate kapena kusanza
pangani jakisoni wa shuga, osayesa kumwa kapena kudyetsa
itanani ambulansi

Kuchiza ndi kupewa zovuta

Zotsatira zake sizambiri, koma sikuti zili zovulaza. Chovulaza kwambiri chomwe chingakhale mutu, chidzadutsa chokha, popanda mankhwala a analgesic. Koma kuchepetsa shuga kumachepetsa ululu. Ngati palibe njira yopiririra, ndiye imwani mankhwala anu opweteka.

Maselo aubongo amadyetsanso, ndipo amadya glucose. Ngati chakudya sichiperekedwa, ndiye kuti ma cell aubongo amafa, necrosis imachitika. Osanyoza pafupipafupi hypoglycemia. Chitani zinthu zofunika.

Choyipa chachikulu chomwe chingachitike ndi vuto la hypoglycemic. Simungachite popanda thandizo la kuchipatala.

Chitanani mwachangu ambulansi. Kugonekedwa kuchipatala ndikofunikira osachedwa.

Kutalika kwa chikomokere kumatengera zomwe thupi limapanga. Imatha kukhala kwa mphindi zingapo mpaka masiku angapo.

Ngati matendawa ndi oyamba, ndiye kuti odwala matenda ashuga atuluka posachedwa, zinthu zikavuta kwambiri, thupi lidzachira ndikukhazikika kwa iwo.

Zotsatira za kuukiridwa kotereku, pamakhala chiopsezo chowonjezera chikhalidwe chaumoyo .. Ndi hypoglycemia, ubongo ndi mtima zimatha kudwala matenda osowa mphamvu.

Kuchoka osachita bwino kumayambitsa kudumpha mu shuga komanso kuwonongeka kwatsopano muumoyo, kulumpha mu matenda oopsa, kugunda kwa mtima, komanso kulephera kwa impso.

Kulephera kuzindikira kungayambitse kuvulala kwambiri. Kusavomerezeka kulikonse m'magazi kumakhala kovulaza thanzi lathunthu.