Mwazi wa magazi unagwa kwambiri - chifukwa chiyani odwala matenda ashuga ali ndi hypoglycemia ndipo angathane nawo bwanji?

Hypoglycemia, kapena kutsika kwa shuga m'magazi, sikuwonso wowopsa pakukweza. Matendawa ndi amodzi mwa zovuta za mtundu 2 shuga. Chifukwa cha kuchuluka kwa glucose mwadzidzidzi, wodwalayo amayamba kuvulala msanga, chikomokere kapena, kawirikawiri, imfa imatha kuchitika.

Zomwe zimayambitsa shuga kutsika kwamitundu yachiwiri ya odwala ashuga

Malinga ndi ziwerengero, mwa chiwerengero chonse cha odwala matenda a shuga, pafupifupi 80% amadwala matenda amtundu wachiwiri. Mu shuga omwe amadalira insulin, kapamba amapanga insulin yokwanira, koma thupi silimayankha. Zotsatira zake, glucose amadziunjikira m'magazi, koma osalowa m'maselo a thupi. Anthu odwala matenda ashuga amtundu wa 2 amakhala ndi shuga m'magazi, mosiyana ndi matenda a shuga. Kutsika kowonjezereka kwa glucose kumatha kuchitika mwazifukwa izi:

• Kudya zakudya zamafuta ambiri osavuta. Odwala omwe ali ndi matenda ashuga ayenera kukhala okonzekera kuti moyo wawo wonse azitsatira zakudya zina. Amasankhidwa ndi adotolo ndipo zimatengera zomwe wodwala akuonetsa. Zakudya zomanga thupi zosavuta zimapezeka mkaka, makeke, zipatso ndi masamba. Amakimbidwa mwachangu mthupi, ndipo kumva kumatha kumva njala patatha maola angapo. Zakudya zamafuta osasinthika zimadutsa minofu ya adipose.
• Kugwiritsa ntchito mosiyanasiyana mankhwala a shuga komanso zakumwa zoledzeretsa. Zakumwa zoledzeretsa zamphamvu zimatsitsa shuga m'magazi, ndipo zizindikiro za hypoglycemia ndizofanana ndi zizindikiro za kuledzera. Mowa umalepheretsa zochita za mankhwalawa ndipo izi zimawopseza odwala matenda ashuga.
• Mowa. Aliyense wodwala matenda ashuga amadziwa kuti kumwa mowa kumatha kukhala ndi zotsatirapo zoipa. Ngati munthu amamwa kunyumba, osachita masewera olimbitsa thupi, kudya zonsezo ndi keke yokoma ndi tiyi, ndiye kuti payenera kukhala zovuta zina. Komabe, zinthu zimasintha kwambiri ngati wodwala matenda ashuga atamwa, kenako nkumayenda makilomita angapo, osadya maswiti konse, mwayi wa hypoglycemia ndiwambiri.
• Nthawi yayitali yopumira chakudya chotsatira. Zakudya za odwala matenda ashuga ayenera kukhala ndi magawo ang'onoang'ono, pafupifupi kasanu mpaka kasanu ndi tsiku. Ngati munthu amatsatira mndandanda wophatikizidwa ndi nthawi yokhazikika yodyera, siziyenera kukhala mwadzidzidzi kuchuluka kwa glucose m'magazi. Komabe, ngati mumadumphira chakudya chimodzi, shuga yanu imatha kutsika kwambiri. Mwachitsanzo, m'bwalo la zisudzo kapena mumsewu silivomerezedwa, koma kukhala ndi maswiti otsekemera m'thumba mwanu mwanjira imeneyi ndikofunikira.
• Mlingo umodzi wa insulin. Pulogalamu yamankhwala amtundu wa insulin imapangidwa molumikizana ndi adokotala, ndipo kupatuka kwina kulikonse kungakhudze thanzi la wodwala, mwachitsanzo, hypoglycemia ikhoza kuchitika.
• Ntchito zolimbitsa thupi kwambiri. Mankhwala a insulin komanso chakudya chamagulu am'kati amasankhidwa payekhapayekha pa wodwala aliyense. Koma mulimonsemo, zonsezi zimawerengeredwa pamaziko akuti munthu amakumana ndi zovuta zolimbitsa thupi - kuthamanga pang'onopang'ono, kusambira, kuyenda mwachangu. Koma katundu wambiri amatha kuchoka pamankhwala onse omwe asankhidwa. Chifukwa chake, musagwiritse ntchito molakwika maphunziro akuthupi, lolani kuti katunduyo azikhala nthawi zonse komanso ochepa.

Kuopsa kokaponya shuga

Ndi kuchepa kwakukulu kwa shuga m'magazi, hypoglycemia imachitika. Ubongo ndi woyamba kudwala nazo.Thupi lamunthu limapangidwa modabwitsa, ndipo kulephera pang'ono pantchito yake kumatha kuwononga thupi lonse. Mothandizidwa ndi magazi, zakudya zonse zofunika zimaperekedwa m'maselo aubongo, ma neuron. Zachilengedwe zimapangidwa kuti glucose ilowe m'maselo aubongo popanda thandizo la insulin. Chifukwa chake, mosasamala kuchuluka kwa insulini m'thupi, ma neurons amakhala ndi inshuwaransi pakulimbana ndi shuga. Ndi hypoglycemia, bongo samalandira kuchuluka kwa shuga komwe amafunikira, ndipo mphamvu yokhala ndi vuto la neurons imayamba. Ichi ndichifukwa chake ndiwotsika kwambiri shuga. Njira yofuna kufa ndi maselo imachitika pakangotha ​​mphindi zochepa, ndipo nthawi imeneyi ndi yokwanira kuti munthu athe kumva ndikuyamba kugona. Kuchokera ku zomwe zikuchitika mu ubongo nthawi ya chikomokere, zotsatira zake zingagwere wodwala.

Mu shuga mellitus wamtundu wachiwiri, wodwala aliyense amakhala ndi chisonyezo chake chokhala ndi shuga m'magazi. Madokotala amachitidwa chipongwe ndi avareji ya 3 mmol / L.

Zizindikiro za Kuchepa kwa Mwazi

Kutsika kwa glucose sikungadutse wodwala osazindikira; pali zingapo zomwe zimadziwika ndi izi:

• Gawo la Zero. Pali kumverera kwanjala, ndipo ndikuwunika kwambiri kuti wodwalayo samatha kumvetsetsa - ndizoona kapena zabodza. Potere, mita idzakhala othandizira osafunikira, omwe angathandize kudziwa ngati kuchuluka kwa shuga kumachepetsedwa kapena ayi. Ngati chizindikirocho chikuyamba kugwa ndikuyandikira mulingo wa 4 mmol / l, ndiye ichi ndiye chizindikiro choyamba cha hypoglycemia. Kuti zinthu zisinthe, ndikokwanira kudya chidutswa cha shuga ndikumwa ndi madzi a apulosi.

• Gawo loyamba. Kumva bwino kwanjala. Kuti muchepetse njira ya hypoglycemia munthawi yake, muyenera kudya zipatso zambiri, zamkaka, mkate. Ngati palibe mwayi wakudya, wodwalayo amayamba thukuta, kufooka kumawoneka m'miyendo, kunjenjemera m'mawondo, mutu, zopindika za khungu zimayamba kutuwa. Zizindikiro zomwe zimawonekera zimanenedweratu kotero kuti kuyambika kwa hypoglycemia sikungaphonyedwe. Gawo loyamba, mutha kukonzanso - chikumbumtima chimakhala ndi mitambo pang'ono, koma munthu amatha kutafuna chidutswa cha shuga kapena kumwa sowa wokoma.
• Gawo lachiwiri. Kumayambiriro kwa gawo lachiwiri, anthu odwala matenda ashuga amawonjezereka. Wodwala amakhala ndi lilime lonyansa, kuyankhula kumakhala kokhazikika, kawiri m'maso. Ngati munthu akadali ndi chidwi, amangofunika kumwa chakumwa chilichonse chabwino. Muyenera kuyiwala za chidutswa cha shuga - pali kuthekera kwakukulu kotsimikizika. Ngati njirayi singayime munthawi yake, gawo lachitatu liyamba, pomwe chidutswa cha shuga kapena koloko sizingathandizenso.
• Gawo lachitatu. Ndi kuyamba kwa gawo 3, munthu amayamba kuzindikira ndipo amagwa. Zowopsa zomwe munthu amakhala wopanda chifukwa chokhala kuti ali ndi vuto losakhudzidwa ndizomwe zimadalira anthu omwe akuzungulirani komanso kuthekera kwawo kupereka thandizo. Mukayamba gawo lachitatu, zochitika zimachitika mbali ziwiri:
  • Pafupi ndi odwala matenda ashuga munthu amadziwa zoyenera kuchita. Choyambirira, muyenera kuyeretsa pakamwa pa wovulalayo kuti musadye chakudya mwachangu. Kenako, gulu la ambulansi limayitanidwa, ndipo pamene iye akuyenda, mutha kuyika kachidutswa kakang'ono ka shuga pansi pa lilime la wodwala. Nthawi zambiri, ambulansi imafika msanga kwa munthu wodwala matenda ashuga amene wasintha. Madokotala amapereka jakisoni wa shuga m'mitsempha, kenako amayembekeza kuti zinthu zikhala bwino.
  • Ngati wodwalayo sanamvere ndipo amamufotokozera pafupi ndi anthu osawadziwa omwe akudwala. Ma ambulansi akuyenda, pomwe akuyesera kuti apeze chomwe chimapangitsa kuti asamve, mphindi zamtengo zimachoka. Nthawi yonseyi, ubongo umakhala ndi njala ya okosijeni ndipo zotsatira zake zimakhala zowopsa kwambiri.

Hypoglycemia Chithandizo

Mkhalidwe wa hypoglycemic ndi wowopsa chifukwa maselo aubongo amafa patapita mphindi zochepa. Njira zomwe angachite kuti wodwalayo athetse vuto lawo, pamakhala mwayi woti atuluke pompano ndikutaya pang'ono. Pakadali pano pali mankhwala omwe angabwezeretse zomwe zimachitika kuti shuga alipere. Awa ndimankhwala ochokera ku beta blocker.

Kuti muchepetse vuto la kuchepetsa shuga pakanthawi kochepa, mutha kugwiritsa ntchito njira izi:

• Gwiritsani ntchito shuga "mwachangu" - shuga womasuka kapena mafuta. Mukhozanso kumwa tiyi wokoma ndi uchi kapena kupanikizana,
• Idyani shuga, ndipo pakapita mphindi zochepa, ilume ndi apulo ndikugona. M'magawo zero ndi oyamba, izi zidzakwanira kuyimitsa kuukira,
• Mothandizidwa ndi shuga "pompopompo", kuthana kwokhawo komwe kungalepheretsedwe, koma kenako kuwombanso kwachiwiri kwa hypoglycemia Kuti mupewe, muyenera kudya shuga aliyense "wosakwiya", monga mpukutu wa batala.

Ngati syncope singapewe, jakisoni wokhala ndi glucose, yemwe amachitidwa kudzera m'mankhwala ndi dokotala wokha, angathandize.

Matenda osagwirizana ndi insulin omwe ali oopsa amakhala ndi vuto la kuchepa kwa shuga wamagazi. Anthu omwe ali ndi matenda ashuga omwe ali ndi chidziwitso amamva kale njira yakuukira kwa hypoglycemia ndipo poyambira amatha kuyimitsa. Chifukwa chiyani shuga amagwera mu 2 diabetes? Pakhoza kukhala zifukwa zambiri: zakumwa zoledzeretsa, kupatuka pakudya, kuwonjezereka kwakuthwa kwa zolimbitsa thupi. Kupatula kuchuluka kwa glucose, muyenera kutsatira malangizo a dokotala ndikusunga shuga nthawi zonse. Palibenso chifukwa choopa kuukira komwe kukuyandikira - koyambirira ndikosavuta kuthana nako.

Chifukwa chiyani odwala matenda ashuga amatsitsa magazi kwambiri?

Kuti mumvetse bwino nkhaniyi, muyenera kumvetsetsa momwe zimapangidwira shuga. Iye ali monga choncho.

Mukamadya zakudya zokhala ndi chakudya chamagulugi, shuga enaake amalowa m'thupi. Imalowa m'magazi ndipo imazungulira thupi lonse, nkulimbitsa maselo onse. Kasitomala amayankha mtundu wina watsopano wa glucose wopanga insulin.

Ntchito yake ndikusintha shuga kukhala mphamvu ndikufotokozera ziwalo zonse. Ngati munthu ali wathanzi, kuchuluka kwa insulin kumafanana ndendende ndi shuga omwe walowa m'magazi. Pankhani ya matenda ashuga, kapamba sangatulutse kuchuluka kwa timadzi tambiri, motero kuchepa kwake kumalipidwa ndi jakisoni.

Ndipo ntchito yayikulu pano ndi mlingo woyenera wa insulin woperekedwa ndi wodwala. Ngati chikhala chambiri, ndipo kuchuluka kwa mahomoni kulowa m'thupi, kusowa kwa shuga kudzachitika - kusowa kwa shuga. Mwakutero, chiwindi chimapulumutsa, chomwe, mwa kuphwanya glycogen yomwe ilimo, imabwezeretsanso magazi ndi shuga.

Koma mu odwala matenda ashuga, mwatsoka, chiwindi chimakhala ndi glycogen yaying'ono (poyerekeza ndi munthu wathanzi), motero, chiopsezo cha hypoglycemia mu matenda ashuga ndichokwera kwambiri. Mtundu woyamba wa matenda ashuga, matenda ndiofala. Pankhani ya insulin-yodziimira payokha, hypoglycemia imayamba kukula pomwe wodwala akalandira jakisoni wa insulin.

Nthawi zina wodwala samazindikira matenda omwe akubwera (izi zibwera ndi chidziwitso), ndipo ndi abale ake okha omwe amatha kuzindikira zovuta zina pamachitidwe a odwala matenda ashuga.

• Popeza munthu amadziwa, samazindikira zenizeni ndipo samayankha mafunso,
• mayendedwe ake sakudziwika, ndipo mgwirizano umasweka.
• wodwalayo amawonetsa mwadzidzidzi komanso mopanda nzeru kapena, m'malo mwake, amakhala wokondwa kwambiri,
• Khalidwe la odwala limafanana ndi kuledzera.

Ngati munthu wotere sathandizidwa mwachangu, ndiye kuti shuga lakugwa kwambiri limayambitsa hypoglycemia, yomwe ingayambitse kudwala. Komanso, kumenyedwa pafupipafupi ndi matendawa kumawononga ubongo ndi mitsempha, yomwe imawopseza kulumala kwa moyo wonse.

Mawonetsero oyamba kumene a hypoglycemia amadziwika ndi kumva pang'ono panjala, pomwe wodwala sangamvetsetse ngati zili zowona kapena ayi. Mamita afika populumutsa.Ngati chipangizocho chikuwonetsa zabwino pafupi ndi 4.0, ndiye kuti chizindikiro choyamba cha matendawo chimachitika. Kuti muimitse, ingodya shuga imodzi ndikumwa ndi madzi otsekemera kapena madzi.

Ndi zinthu ziti zomwe zimapangitsa kuchepa kwa shuga?

Chifukwa chiyani shuga amatsika kwambiri?

Zomwe zimapangitsa kutsika kwa shuga kungakhale chiwerengero chachikulu.

Hypoglycemia imatha kuchitika chifukwa chokhala ndi zinthu zosiyanasiyana za mankhwala osokoneza bongo.

Zambiri zomwe zimayambitsa chitukuko chake ndizophatikiza:

• kuchuluka kwa mankhwala a insulin m'thupi la munthu,
• kulakwitsa kwa pituitary kapena adrenal cortex,
• njira zosayenera kagayidwe kachulukidwe ka michere m'chiwindi,
• kukula kwa matenda ashuga, omwe nthawi zambiri amaphatikizidwa ndi ma spikes akuthwa mu shuga,
• kudziletsa kwa nthawi yayitali ku chakudya kapena kufa ndi njala kumakhala kofunikira m'thupi pakudya pambuyo pake.

Tiyenera kudziwa kuti nthawi zambiri zomwe zimapangitsa kuti pakhale zovuta zina mwa munthu (kuphatikiza hypoglycemia) ndimaganizo amunthu. Mavuto osiyanasiyana amisala ndi zovuta zina zimakhudza kwambiri kuchuluka kwa shuga m'magazi, ndikuchepetsa mpaka magwiridwe. Kuphatikiza apo, chimodzi mwazinthu zomwe zingayambitse kutsika kwakukulu kwa shuga ndi kumwa kwambiri zakumwa zoledzeretsa. Mwa anthu omwe amadalira mowa, mkhalidwe wa hypoglycemia ndimachitika pafupipafupi.

Kuchita masewera olimbitsa thupi mopitirira muyeso ndi zina mwa zinthu zosagwiritsa ntchito mankhwala zomwe zimapangitsa kuchepa kwambiri kwa shuga m'magazi. Gululi lomwe lili ndi chiopsezo chowonjezeka cha hypoglycemia limaphatikizanso omwe amachita masewera olimbitsa thupi (olimbitsa thupi) komanso anthu omwe ntchito zawo zimagwirizana ndi zolimbitsa thupi. Pofuna kupewa kutsika kwa shuga, muyenera kuyang'anitsitsa kadyedwe kanu ndikubwezeretsanso mphamvu zanu m'malo anu onse.

Tiyenera kudziwa kuti ngati pituitary gland ndi matenda a chiwindi asokonezeka, chakudya chamafuta m'thupi chimachepa, chomwe chimakhudza kwambiri kuchuluka kwa glucose ndikupangitsa kutsika kwakukulu mkati mwake. Ngati pali matenda oopsa a chiwindi, muyenera kuyang'anitsitsa zakudya zanu, kupewa kudumphadumpha chakudya komanso kusala kudya. Kupanda kutero, boma la hypoglycemic ndilosatheka kupewa.

Zina mwazifukwa zomwe zimathandizira kukulitsa kwa hypoglycemia zimaphatikizapo kuchitapo kanthu kwa opaleshoni pamimba. Nthawi zambiri, kutsika kwa shuga kumadziwonekera pakokha panthawi yakukonzanso, makamaka ngati chithandizo chamankhwala sichinatsatidwe. Shuga omwe amalowa mthupi amayamba kulowetsedwa kwambiri, zomwe zimapangitsa kuti mahomoni azitulutsa, zomwe zimapangitsa kuti pakhale hypoglycemia.

Chochitika chosowa kwambiri mwa akulu ndikuwonetsa kwa yogwira hypoglycemia. Izi zimadziwika ndi kutsika kwakuthwa komanso kwakukuru mu mulingo wa shuga m'magazi a anthu. Tiyenera kudziwa kuti makamaka ana aang'ono (mpaka chaka chimodzi) amadwala matendawa. Zakudya zomwe zimakhala ndi fructose ndi lactose sizilola chiwindi kuti chingapatse shuga. Nawonso kudya kwa leucine kumakwiyitsa kapamba kuti apange insulini yambiri, zomwe zimapangitsa kuti shuga asamayende bwino m'thupi la mwana.

Zogwirizana ndi Dokotala Therapy

Chifukwa chachikulu chomwe chitukuko cha hypoglycemia imayambira mu shuga ndicho makamaka mphamvu ya mankhwala ambiri okhala ndi shuga.

Mankhwalawa amalimbikitsa ntchito yowonjezereka ya maselo a pancreatic beta, ndikupangitsa kuti ipange insulin yambiri.

Mtundu wachiwiri wa matenda ashuga, chithandizo choterechi ndichothandiza kwambiri: shuga ndi wabwinobwino.Koma ngati malamulo a wodwala omwe amamwa mankhwalayo aphwanyidwa, ndipo akamwa mankhwala ochuluka, pamakhala kutsika kwamphamvu kwa shuga.

Izi ndizodzaza ndi zovuta zazikulu za organic, mwachitsanzo, kuwonongeka kwa maselo aubongo. Ndi matenda awa, ziwalo zonse zimakumana ndi kuperewera kwamphamvu kwa chakudya, ndiko kuti, mphamvu. Ndipo ngati palibe thandizo la panthawi yake kwa wodwalayo, imfa imatha kuchitika.

Palinso zifukwa zina zomwe zimayambitsa hypoglycemia:

• Ndi mankhwala a insulin, cholembera cholakwika chimagwiritsidwa ntchito,
• wodwalayo amatenga mankhwala a sulfonylurea omwe angayambitse zovuta zosiyanasiyana. Madokotala ambiri amalangiza kukana mankhwalawa, popeza amachititsa kuti kapamba azipanga insulin yowonjezera,
• kumwa mankhwala atsopano omwe kale sanawadziwe,
• kutikita minofu pa malo jakisoni. Zotsatira zake, kutentha kwa thupi kumakwera m'derali, ndipo timadzi timadzi tomwe timatulutsa mwachangu kuposa momwe timafunikira,
• matenda a impso. Kusintha kwa insulin yayitali ndi yochepa (voliyumu yomweyo),
• Mtengo wolakwika ukuwonetsa zosankha zolakwika (zotsekedwa). Zotsatira zake, wodwalayo amadzivulaza ndi insulin yambiri,
• Kusagwirizana pakati pa mankhwala omwe amagwiritsidwa ntchito pochiza matendawa,
• Kuwerengeredwa molakwika kwa dokotala wa insulin.

Zakudya zogwirizana

Wodwala matenda ashuga akamadya zakudya zambiri zosavuta, akumwa mowa kapena kudumpha chakudya china, akhoza kuyamba kudwala matenda ena. Chifukwa chake, ndikofunikira kwambiri mu shuga kuti mudye bwino, makamaka pamene zakudya zimaphatikizidwa ndi mankhwala antidiabetes.

Mavuto otsatirawa angathandizire kukulitsa matendawa:

• wodwala kaphatikizidwe ka michere. Zikatero, kuyamwa bwino chakudya kumachitika, ndipo kuchuluka kwa shuga m'madzi am'magazi kumachepera,
• kudumpha zakudya: pamene kuchuluka kwa chakudya chamafuta kumakhala sikokwanira kulipirira mlingo wa insulin,
• zakudya zosakhazikika
• kudya kwambiri (kudya njala) ndi kugwiritsa ntchito mankhwala ochepetsa thupi. Pankhaniyi, mlingo wa insulin utengedwa popanda kutsika,
• chakudya chopanda malire, ndi zinthu zochepa zomwe zimakhala ndi shuga,
• diabetesic neuropathy yokhala ndi gastoparesis (kutulutsa bwino m'mimba) Ayi.
• Mimba mu 1 trimester.

Mwazi wa magazi unagwa kwambiri - chifukwa chiyani odwala matenda ashuga ali ndi hypoglycemia ndipo angathane nawo bwanji?

Zomwe zimayambitsa kutsika kwa shuga m'magazi a matenda ashuga ndiosiyana. Chifukwa chake, matendawa amatha kuchitika ndi mankhwala osayenera kapena chifukwa chodwala.

Vutoli limatchedwa "hypoglycemia" ndipo limatsimikiziridwa ndi kuchepa kwa glucose wamagazi kukhala wamtengo wapatali wa 2.8 mmol / L kapena kutsikira.

Kuti mumvetse bwino nkhaniyi, muyenera kumvetsetsa momwe zimapangidwira shuga. Iye ali monga choncho.

Mukamadya zakudya zokhala ndi chakudya chamagulugi, shuga enaake amalowa m'thupi. Imalowa m'magazi ndipo imazungulira thupi lonse, nkulimbitsa maselo onse. Kasitomala amayankha mtundu wina watsopano wa glucose wopanga insulin.

Ntchito yake ndikusintha shuga kukhala mphamvu ndikufotokozera ziwalo zonse. Ngati munthu ali wathanzi, kuchuluka kwa insulin kumafanana ndendende ndi shuga omwe walowa m'magazi. Pankhani ya matenda ashuga, kapamba sangatulutse kuchuluka kwa timadzi tambiri, motero kuchepa kwake kumalipidwa ndi jakisoni.

Ndipo ntchito yayikulu pano ndi mlingo woyenera wa insulin woperekedwa ndi wodwala. Ngati chikhala chambiri, ndipo kuchuluka kwa mahomoni kulowa m'thupi, kusowa kwa shuga kudzachitika - kusowa kwa shuga. Mwakutero, chiwindi chimapulumutsa, chomwe, mwa kuphwanya glycogen yomwe ilimo, imabwezeretsanso magazi ndi shuga.

Koma mu odwala matenda ashuga, mwatsoka, chiwindi chimakhala ndi glycogen yaying'ono (poyerekeza ndi munthu wathanzi), motero, chiopsezo cha hypoglycemia mu matenda ashuga ndichokwera kwambiri. Mtundu woyamba wa matenda ashuga, matenda ndiofala. Pankhani ya insulin-yodziimira payokha, hypoglycemia imayamba kukula pomwe wodwala akalandira jakisoni wa insulin.

Nthawi zina wodwala samazindikira matenda omwe akubwera (izi zibwera ndi chidziwitso), ndipo ndi abale ake okha omwe amatha kuzindikira zovuta zina pamachitidwe a odwala matenda ashuga.

• Popeza munthu amadziwa, samazindikira zenizeni ndipo samayankha mafunso,
• mayendedwe ake sakudziwika, ndipo mgwirizano umasweka.
• wodwalayo amawonetsa mwadzidzidzi komanso mopanda nzeru kapena, m'malo mwake, amakhala wokondwa kwambiri,
• Khalidwe la odwala limafanana ndi kuledzera.

Ngati munthu wotere sathandizidwa mwachangu, ndiye kuti shuga lakugwa kwambiri limayambitsa hypoglycemia, yomwe ingayambitse kudwala. Komanso, kumenyedwa pafupipafupi ndi matendawa kumawononga ubongo ndi mitsempha, yomwe imawopseza kulumala kwa moyo wonse.

Kuyambira chiyambi cha hypoglycemia, momwe odwala matenda ashuga ayenera kuyang'aniridwa ndi achipatala pafupipafupi.

Mawonetsero oyamba kumene a hypoglycemia amadziwika ndi kumva pang'ono panjala, pomwe wodwala sangamvetsetse ngati zili zowona kapena ayi. Mamita afika populumutsa. Ngati chipangizocho chikuwonetsa zabwino pafupi ndi 4.0, ndiye kuti chizindikiro choyamba cha matendawo chimachitika. Kuti muimitse, ingodya shuga imodzi ndikumwa ndi madzi otsekemera kapena madzi.

Zifukwa zazikulu

Chifukwa chachikulu chomwe chitukuko cha hypoglycemia imayambira mu shuga ndicho makamaka mphamvu ya mankhwala ambiri okhala ndi shuga.

Mankhwalawa amalimbikitsa ntchito yowonjezereka ya maselo a pancreatic beta, ndikupangitsa kuti ipange insulin yambiri.

Mtundu wachiwiri wa matenda ashuga, chithandizo choterechi ndichothandiza kwambiri: shuga ndi wabwinobwino. Koma ngati malamulo a wodwala omwe amamwa mankhwalayo aphwanyidwa, ndipo akamwa mankhwala ochuluka, pamakhala kutsika kwamphamvu kwa shuga.

Izi ndizodzaza ndi zovuta zazikulu za organic, mwachitsanzo, kuwonongeka kwa maselo aubongo. Ndi matenda awa, ziwalo zonse zimakumana ndi kuperewera kwamphamvu kwa chakudya, ndiko kuti, mphamvu. Ndipo ngati palibe thandizo la panthawi yake kwa wodwalayo, imfa imatha kuchitika.

Palinso zifukwa zina zomwe zimayambitsa hypoglycemia:

• Ndi mankhwala a insulin, cholembera cholakwika chimagwiritsidwa ntchito,
• wodwalayo amatenga mankhwala a sulfonylurea omwe angayambitse zovuta zosiyanasiyana. Madokotala ambiri amalangiza kukana mankhwalawa, popeza amachititsa kuti kapamba azipanga insulin yowonjezera,
• kumwa mankhwala atsopano omwe kale sanawadziwe,
• kutikita minofu pa malo jakisoni. Zotsatira zake, kutentha kwa thupi kumakwera m'derali, ndipo timadzi timadzi tomwe timatulutsa mwachangu kuposa momwe timafunikira,
• matenda a impso. Kusintha kwa insulin yayitali ndi yochepa (voliyumu yomweyo),
• Mtengo wolakwika ukuwonetsa zosankha zolakwika (zotsekedwa). Zotsatira zake, wodwalayo amadzivulaza ndi insulin yambiri,
• Kusagwirizana pakati pa mankhwala omwe amagwiritsidwa ntchito pochiza matendawa,
• Kuwerengeredwa molakwika kwa dokotala wa insulin.

Mowa

Kumwa mowa kwambiri kumadzetsa chitukuko cha hypoglycemia. Izi ndizabwino kwambiri, chifukwa zizindikiritso zamatenda zoopsa zimafanana kwambiri ndi chikhalidwe cha munthu woledzera, ndipo ena amatha kulakwitsa wodwala chifukwa cha chidakwa. Ndipo sitikhala nawo makamaka.

Mowa hypoglycemia ndi imodzi mwamantha owopsa.

Kodi chikuchitika ndi chiani? Chowonadi ndi chakuti mamolekyulu a ethanol amachedwetsa kupanga shuga wambiri ndi chiwindi, kusokoneza kukula kwake. Nthawi yomweyo, mankhwala ochepetsa shuga ali m'magazi a wodwala.

Pali njira imodzi yokhayo - muyenera kudya chakudya ndi chakudya pang'onopang'ono ndipo onetsetsani kuti ali ndi shuga wamagazi musanagone. Mutha kufunsa okondedwa anu za izi.

Choopsa chachikulu ndikugwiritsa ntchito pamodzi mankhwala antidiabetesic ndi mowa wamphamvu. Mowa wokhala ndi digiri yayikulu umachepetsa shuga, ndipo zizindikiro za hypoglycemia pamenepa zimafanana ndi zizindikiro za kuledzera.

Mowa umachepetsa kapena ngakhale kutsitsa kwathunthu mankhwalawo, ndipo izi zimakhala ndi zotsatirapo zovuta kwa odwala matenda ashuga.

Ntchito zolimbitsa thupi kwambiri

Osakonzekereratu kwakanthawi, koma zolimbitsa thupi kwambiri zitha kuchitika: kuthamangira kumbuyo kwa magalimoto obwerera kapena kusewera mpira ndi mdzukulu wanu wokondedwa.

Nthawi yomweyo, wodwalayo sadzalingaliranso kuti shuga itha kuchepa.

Ndi kupsinjika kwakutali kwa thupi (kupitirira ola limodzi), mwachitsanzo, kuyika phula kapena kutsitsa ma pallet ndi njerwa, chiopsezo chotenga matendawa ndi chambiri. Ngakhale munthu atadya chakudya chokwanira chopatsa mphamvu, vuto la hypoglycemia limatha kuchitika patadutsa maola angapo pambuyo pogwira ntchito molimbika.

Nthawi zambiri, kusokonezeka kumachitika usiku, chifukwa nthawi imeneyi minyewa yam'mimba imayamba kuchira chifukwa cha kulowetsedwa kwa glucose. Ndipo ngakhale izi sizichitika kwa aliyense, ndikofunikira kudziwa za izi.

Nthawi zonse muyenera kukhala ndi mankhwalawa a hypoglycemia nanu.

Kwa odwala matenda ashuga, onse chakudya chamafuta ndi insulin amawerengedwa mosiyanasiyana. Izi zimaganizira katundu wapakati komanso wosasunthika: kusambira kwaulere ndikungoyenda chete kapena kuyenda mwachangu.

Ndipo kupsinjika kwakuthupi kumatha kupeputsa kuyesayesa konse kwamankhwala. Chifukwa chake, yesetsani kusunga katunduyo kukhala ocheperako koma okhazikika.

Makanema okhudzana nawo

Zomwe zimapangitsa shuga m'magazi kutsika kwambiri:

Hypoglycemia imatha kuchitika kunyumba, kuntchito kapena mumsewu. Chifukwa chake, ndikofunikira kuti anthu omwe mukuwadziwa adziwe vutoli ndikudziwa zomwe siziyenera kuchitika ngati wina atakuwuzani. Masiku ano mumatha kuwona anthu omwe ali ndi tattoo "Ndine wodwala" kapena chibangili, pomwe amadziwika kuti amadziwika ndi zomwe akufuna kudziwa ngati mwiniwake sakudziwa.

Ndibwino kunyamula cholembera (pamodzi ndi zikalata), chomwe chidzakhala ndi zambiri za inu komanso za matenda omwe alipo ndi malingaliro ofunikira.

Chifukwa chiyani shuga amatha kugwa mwa munthu wathanzi

Glucose mu thupi iyenera kusungidwa mkati mwa chovomerezeka chazigawo, apo ayi mavuto azaumoyo angachitike.

Ndikofunika kudziwa kuti kuchuluka kwa shuga m'magazi (hypoglycemia) kumagwera munthu wathanzi komanso mu mtundu wa matenda ashuga oyamba pazifukwa zosiyanasiyana, ndipo muyenera kumvetsetsa chifukwa chake adagwa kwambiri komanso kuti ali ndi zizindikiro zanji.

Ndikofunikira kuchita izi, kuti pakatha nthawi kuyamba njira ya chithandizo ndikupewa zosasinthika.

Kuphatikiza apo, zovuta zovuta zimatheka mu hypoglycemia, mpaka kukomoka kwambiri ndi kufa. Vuto lotere limachitika chifukwa cha kuchepa kwa glucose m'thupi, omwe maselo amanjenje amadyerapo, chifukwa chomwe njira zoyipa za m'magazi zimayambitsidwa.

Zomwe zimayambitsa matendawa

Anthu odwala matenda ashuga nthawi zambiri amavutitsidwa ndi funso kuti bwanji shuga satsika, chifukwa ndi chomwe chimayambitsa matendawa, koma chikatsika, chinthu chofunikira kwambiri ndichoti mudziwe zomwe zimachokera, makamaka mwa munthu wathanzi. Zomwe zimakhudza njirayi mu shuga mellitus (DM) zitha kukhala motere:

• Mukamadya chakudya chamafuta othamanga, (osavuta),
• Ngati mlingo wa mankhwala ochepetsa shuga sunasankhidwe molondola,
• Pambuyo kumwa mowa wopanda chakudya. Izi zimatha kubweretsa hypoglycemia, popeza zakumwa zoledzeretsa zimalepheretsa kuphatikiza kwa shuga m'chiwindi.
• Ngati mumagwiritsa ntchito mankhwala apadera pochiza matenda a shuga ndi mowa,
• Ndi zosankha zosasankhidwa bwino kapena ngati chakudya sichidyedwa nthawi imodzi komanso nthawi yomweyo,
• Ngati mukubaya jakisoni wolakwika wa insulin,
• Ngati wodwala matenda ashuga amatha kuchita zolimbitsa thupi mosalekeza. Inde, pankhaniyi, muyenera kufunsa dokotala kuti musinthe mankhwalawa.

Zomwe zimapangitsa kutsika kwamphamvu kwa shuga m'magazi a shuga kumveka, koma mwa anthu athanzi zina zomwe zimayambitsa izi ndi kutsika kwa shuga chifukwa cha zinthu izi:

• Zikuchitika kuti, popanda chidziwitso cha dokotala, mankhwala enieni adagwiritsidwa ntchito, mwachitsanzo, mankhwala ochepetsa shuga.
• Ndi matenda amkati,
• Mukamwa mowa wambiri
• Ngati munthu akuthamangitsidwa ndi kupsinjika ndi kulimbitsa thupi kwambiri,
• Gwiritsani ntchito zakudya zokhwima zomwe zimadya chakudya chambiri,
• Pakakhala magawo akuluakulu pakati pa chakudya (zoposa maola 8-9),
• Pambuyo podzuka, popeza kunalibe chakudya kwa nthawi yayitali,
• Ngati chakudyacho chili ndi chakudya chochuluka ndi chakudya chofulumira.

Kutengera mndandandandawu, ndizosavuta kumvetsetsa chifukwa chake shuga amatsika kwambiri, koma ndikofunikira kudziwa zizindikiro za hypoglycemia, zomwe zimagawidwa m'mitundu itatu molingana ndi nthawi ya matendawa.

Kodi chimayambitsa matenda a shuga ndi chiyani?

Mu shuga mellitus, kukula kwa hypoglycemia kumatha kuchitika chifukwa cha kuperewera kwa zakudya kapena kusatsata malamulo a mankhwala othandizira kuchepetsa shuga.

Machitidwe a hypoglycemic omwe amapezeka m'thupi amathandizira kuoneka ngati akusokoneza magwiridwe antchito amthupi.

Pokhapokha ngati pali chithandizo choyenera, vuto la hypoglycemic lingayambitse kukomoka komanso kufa.

Nthawi zambiri, madontho akuthwa m'magawo a glucose mu odwala matenda ashuga amapezeka:

1. Kuchuluka kwa insulin. Vuto lotere limadziwonetsera, monga chifukwa, ya mankhwala osankhidwa molakwika, kugwiritsidwa ntchito molakwika kwa glucometer yakunyumba kapena kusagwira kwa cholembera.
2. Palinso zolakwika zachipatala pomwe katswiri wa zamankhwala amasankha molakwika wodwala mankhwala ake kapena akuwalimbikitsa kumwa mankhwala ochepetsa shuga pamiyeso yambiri.
3. Nthawi zina, kusintha kwa mankhwala omwe mumagwiritsa ntchito mankhwala ena a hypoglycemic kungayambitsenso kuchepa kwamphamvu kwa glucose.
4. Odwala omwe ali ndi matenda a shuga, okhala ndi matenda opatsirana (makamaka, chiwindi kapena kulephera kwaimpso), kuyang'ana pang'onopang'ono kwa insulin ya mahomoni. Ndi chifukwa chake, kuchuluka kwa mankhwalawa kumakhala kofunikira kwambiri pagulu la odwala ndipo nthawi zambiri kumayambitsa kukula kwa hypoglycemia.
5. Kugwiritsa ntchito kwa nthawi yayitali kapena yayikulu mankhwala ochokera ku gulu la mankhwala a sulfonylurea. Mukamapangira mankhwala achire, muyenera kukumbukira kuti mankhwalawa angayambitse kuchepa kwa glucose.
6. Kwa odwala omwe amapatsidwa mankhwala a insulin, ndikofunikira kuti muphunzire malamulo onse mosamala ndi kayendetsedwe koyenera ka mankhwala. Chimodzi mwa zolakwitsa zazikulu zomwe zimatsogolera ku hypoglycemia ndiko kukhazikitsa insulin intramuscularly. Potere, mahomoni amayenera kuperekedwa kokha pakhungu. Kuphatikiza apo, kukonza maselo a jekeseni kumathandizanso kusokoneza shuga ndikuwatsitsa pansi poyandikira.
7. Kuchita masewera olimbitsa thupi kwambiri m'matenda a shuga (makamaka pamimba yopanda kanthu) kungayambitse mkhalidwe wa hypoglycemia wodwala matenda ashuga. Kukhala ndi moyo wogwira ntchito ndikofunikira kwa munthu aliyense, kuphatikiza matenda ashuga, kuchuluka ndi kutalika kwa katunduyu ndizomwe ziyenera kusankhidwa bwino.
8. Kulephera kutsatira zakudya komanso zosemphana ndi zakudya zoyambira.
9. Odwala omwe amadalira insulin amayenera kusankha mosamala mlingo wa mankhwala osakhalitsa malinga ndi mphamvu ya mbale zomwe zimayenera kudya. Nthawi zambiri, kusankha molakwika mlingo wa insulin ndi mafuta ochepa omwe amalandiridwa panthawi ya chakudya kumabweretsa kutsika kwa shuga m'magazi.
10. Zakumwa zoledzeretsa zimatha kuchepa kwambiri m'magazi m'thupi.
11. Mkhalidwe wa malabsorption.
12. M'nyengo yotentha (makamaka pakutentha), pakhoza kukhala zochitika zambiri za chitukuko cha hypoglycemia.

Pali mankhwala omwe amatha kukulitsa kumwa mankhwala ochepetsa shuga, omwe nthawi zambiri amayambitsa kukula kwa hypoglycemia.Mankhwala akuluakulu omwe angayambitse kutsika kwa shuga (osaphatikizidwa ndi gulu la mankhwala a hypoglycemic) ndi awa:

• antibacterial mankhwala ochokera ku gulu la sulfonamides,
• mowa wa ethyl
• amphetamine (mankhwala osokoneza bongo),
• mankhwala ena a anticholesterol (fibrate),
• Pentoxifylline ankakonda kuchiza matenda amitsempha,

Kuphatikiza apo, mankhwala a cytostatic omwe amagwiritsidwa ntchito pochiza khansa kapena rheumatism angayambitse kutsika kwa shuga m'thupi.

Wofatsa hypoglycemia

Magazi akayamba kutsika ndi 3.5-3.8 mmol / l, ndiye kuti muyenera kuyamba kuchita zina kuti muchepetse, chifukwa mukapanda kuchita chilichonse, vutoli limakulirakulira, koma mutha kuzindikira mosavuta hypoglycemia ndi zizindikiro zotsatirazi:

• Kufooka wamba, kumva kuzizira (kuzizira),
• Kuthukuta, makamaka kuzungulira mutu ndi khosi,
• Kuzunguzika
• Kuthamangitsa njala
• Kusanza, mpaka kusanza,
• Kukwiya kapena kukhumudwa
• Kulephera pamlingo wamtima
• Kuchuluka kwa mankhusu ndi manja ndi manja komanso milomo.
• Kuwonongeka kwa zowoneka bwino. Kuphatikiza apo, kumverera kwa chifunga pamaso pa maso kumatha kuchitika.

Muzochitika zoterezi, ndikokwanira kudya kena kake kokhala ndi sucrose yambiri kapena kupanga tiyi wokoma. Pambuyo pake, zimayamba kukhala zosavuta, koma ngati ndi mtundu wa shuga wachiwiri mtunduwu shuga umatsikira mpaka 3,5 mmol / L ndikutsika, ndiye kuti wodwalayo samadziwa mwachangu za izi ndipo mutha kupewa vutoli poyang'anira glucose wamagazi, mwachitsanzo, kugwiritsa ntchito glucometer.

Zizindikiro za hypoglycemia

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

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

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

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

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

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

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

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

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

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

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

Nocturnal hypoglycemia m'maloto

Zizindikiro za noogurnal hypoglycemia m'maloto:

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

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

Hypoglycemia wolimbitsa thupi

Ngati kuchepa kwakukulu kwa shuga m'magazi mpaka 3 ndi pansi pa mmol / l, ndiye kuti njirayi ikhoza kutsagana ndi zizindikiro zotere:

• Kukwiya pa chilichonse
• Kuwonongeka kwa ndende
• Chikumbumtima. Poterepa, munthu amalephera kuyenda m'malo,
• Mikwingwirima thupi langa lonse
• Ndi matenda awa, malankhulidwe amakhala osamveka komanso osakwiya,
• Mavuto oyenda, monga mgwirizano wamagulu amasokonezedwa,
• Zofooka zambiri
• Makhalidwe osalamulirika, kuphatikizapo kulira.

Ponena za zizindikiritsozo mu odwala matenda ashuga, ayenera kusiya kwakanthawi insulin kapena mankhwala ena (asanakayendere endocrinologist) ndikuwonetsetsa mozama kuchuluka kwa shuga.

Zambiri hypoglycemia

Mochulukitsa matenda, kutsika kwamphamvu kwa shuga mpaka 1.9 mmol / L kapena kutsikira m'mwazi kumakhala ndi zizindikiro zotsatirazi:

• Kukokana kwakukulu
• Kugwera mchisoni ndi kumwalira,
• Stroko yowonjezera,
• Kutentha kwa thupi kumatsikira pansi.

Ndizofunikira kudziwa kuti kuchepa kwambiri kwa shuga m'magazi kumakhala ndi zotsatira zoyipa, koma ngati izi zimakhalapo kwanthawi yayitali, ubongo ndi mtima zimawonongeka. Kuphatikiza apo, nthawi zina zizindikiro za matenda zimamvedwa ngati munthu atenga ma beta blockers.

Kuchepetsa glucose ndende

Njira yotereyi imatha kuchitika ngakhale m'maloto ndipo m'mawa wodwalayo amadwala mutu. Zikakhala zotere, hypoglycemia imawonekera motere:

• Kuchuluka thukuta,
• Zochita usiku
• Kuda nkhawa
• Zosangalatsa zopangidwa modabwitsa pakati pa kugona.
• Kugona (kuyenda mu loto), kuphatikizapo kugona.

Zizindikiro zotere zimafunikira kulowererapo mwachangu, chifukwa ngati simungachite chilichonse, matendawa amatha kukulirakusefukira ndipo amadziwika ndi zovuta zakuyenda bwino. Dokotala wa endocrinologist yemwe amatha kuyeserera ndi kukonza mayeso angathandize pavutoli.

Chizindikiro chofotokozedwachi ndichikhalidwe cha anthu amtundu wathanzi komanso odwala 1-2, koma zimasiyana pakawonekera kwawo ndipo pali zifukwa zotere:

• Mu shuga mellitus a mitundu yoyamba komanso yachiwiri, odwala nthawi zambiri amakhala ndi zizindikiro za hypoglycemia atatha kudya, popeza kuchuluka kwa shuga m'magazi kumachepa chifukwa cha mankhwala apadera kapena insulin. Pankhaniyi, kuchuluka kwa glucose sikungakhale otsika kuposa masiku onse, komanso ngakhale pamlingo wa 5-7 mmol / l,
• Ngati matenda ashuga ali ndi zaka zopitilira 10-15, ndiye kuti kuchuluka kwa shuga kwayamba kuchepa.
• Ana amadzuka kwambiri pazotsalira zama glucose ndipo alibe zizindikiro mpaka 3,3-3.5 mmol / L. Pankhaniyi, mawonetseredwe oyamba amayamba pafupi ndi 2.4-2.7 mmol / L. Nawonso achikulire, vutoli limayamba kugwiritsidwa ntchito kale pa 3,7 mmol / L.

Njira ya mankhwala

Ngati hypoglycemia ili pamalo ochepetsetsa pang'ono, ndiye kuti chidutswa cha shuga, supuni 1-2 za uchi kapena maswiti okwanira ngati caramel nthawi zambiri amakhala okwanira. Kuchokera ku zakumwa mumatha kumwa tiyi wokoma kapena msuzi. Ndikofunika kudziwa kuti simukufunika kudya chilichonse chokhala ndi sucrose yayikulu, mwachitsanzo, ngati pali mafuta m'zinthuzo, ndiye kuti sizingalole glucose kuyamwa mwachangu, chifukwa chomwe vutoli silithetsa.

Kuphatikiza apo, matendawa atadwala kwambiri, amafunika kuyitanitsa ambulansi. Kufika madokotala amapanga jakisoni wa glucose kuti athetse vutoli ndipo pambuyo mphindi 20-30 ayang'anitse kuchuluka kwake m'magazi.

Ngati vutolo silikuyenda bwino, wodwala amapititsidwa kuchipatala ali pantchito. Mwambiri, chithandizo chimadalira chomwe chimayambitsa shuga wochepa chonchi, chifukwa muyenera kudziwa chomwe chinamubweretsera munthu chomwe chimapangitsa kuti zisadzachitikenso. Kuphatikiza apo, nthawi yomwe wodwalayo amakhala pansi pa dontho ndi glucose zimatengera zomwe zidayambitsa hypoglycemia.

Kodi glucose angafanizidwe bwanji?

Ndi shuga wamagazi ochepetsedwa, adokotala ayenera, kupereka mankhwala enieni a zakudya.

Chakudya chapadera chimathandizira kubwezeretsanso zakudya m'thupi ndikukwaniritsa thupi ndi mavitamini ofunikira komanso mchere.

Zakudya zochizira matenda a shuga ziyenera kutengera mbali zomwe wodwalayo ali nazo, poganizira zovuta ndi matenda, kuchuluka kwa Hypoglycemia komanso kuchuluka kwa wodwalayo.

Mfundo zazikuluzikulu zomwe mukuzilingalira mukamakonza mndandanda watsiku ndi tsiku:

1. Ndikofunikira kuwonjezera kudya zovuta zamankhwala. Zakudya zoterezi zimayenera kukhala zopezeka muzakudya zanu za tsiku ndi tsiku. Zakudya izi ndi ndiwo zamasamba zatsopano, pasitala wolimba ndi mkate wopanda tirigu.
2. Mwa zinthu zoletsedwa kuti zizigwiritsidwa ntchito zizikhala monga pasitala wamba, zotsekemera zotsekemera ndi zinthu zophika mkate, semolina, zakumwa zoledzeretsa, zakudya zamafuta, msuzi wolemera, nyama yamafuta, zakudya zonunkhira komanso zosuta.
3. Mbale za uchi ndi zipatso zimayenera kudyedwa pang'ono.
4. Chiwerengero cha zakudya ziyenera kukhala zosachepera zisanu; chakudya chimatengedwa m'malo ochepa.
5. Zakudya zoyenera za nyemba, chimanga ndi mbatata m'matumba awo, chifukwa zimathandizira kuchepetsa kukula kwa shuga m'magazi am'magazi, otengedwa ndi thupi la munthu kuchokera ku zovuta zam'mimba.
6. Zipatso zosanenedwa ziyenera kukhalapo pakudya. Nthawi yomweyo, zonse zatsopano komanso zouma ndizabwino.
7. Mapuloteni ndibwino kudya mumtundu wa tchizi wopanda mafuta ambiri komanso nkhuku, nsomba kapena nsomba zam'nyanja.
8. Zoyenera, khofi iyenera kutayidwa kapena kuchepetsedwa pang'ono. Chowonadi ndi chakuti caffeine imalimbikitsa kukhazikika kwa hypoglycemia ndipo ingayambitse kutsika kwakukulu kwa shuga.

Menyuyi iyenera kukonzedwa kuti kangapo pa sabata pakhale msuzi kapena msuzi wa nyama odedwa. Pali kusintha kwa kagayidwe kachakudya mthupi.

Mutha kuthetsa zizindikirazo ndikuyibwezera shuga pogwiritsa ntchito magulu otsatirawa:

• mulingo wofunikira wa glucose umaperekedwa kudzera m'mitsempha kapena mankhwala am'kamwa amagwiritsidwa ntchito omwe amawonjezera msanga shuga, popeza amatha kuthira chakudya ndipo nthawi yomweyo amalowetsa m'magazi, monga lamulo, dextrose monosaccharide imagwiritsidwa ntchito,
• kugwiritsa ntchito mafuta opepuka komanso owonjezera mu chakudya,
• m'malo ovuta kwambiri, jakisoni wa glucagon angafunike ngati imodzi mwa mankhwala amphamvu kwambiri.

M'mikhalidwe yovuta, kuwuka kwadzidzidzi kwa shuga m'magazi kumafunika. Amaganizira zotere kuti kugwiritsidwa ntchito kwa jakisoni wa zida zamankhwala kuchokera pagulu la corticosteroids. Nthawi zambiri, mankhwalawa amaphatikiza hydrocortisone kapena adrenaline.

Zomwe zimapangitsa kuchepetsa shuga m'magazi zafotokozedwa muvidiyoyi m'nkhaniyi.

Mankhwala a hypoglycemia mu shuga

Anthu odwala matenda ashuga atha kuletsa kapena kukonza zomwe zikuchitika pogwiritsa ntchito malangizo otsatirawa:

• Ndi kuchepa kwa glucose mutatha kudya ndi mafuta ambiri osavuta, muyenera kusintha kadyedwe ndikuwonjezera chakudya chomwe chimayamwa kwa nthawi yayitali,
• Mautumiki azikhala ochepa
• Chakudya patsiku chizikhala pafupifupi 5-6,
• Ndi zizindikiro za hypoglycemia m'maloto, ndibwino kudya chakudya chomwe chimakhala ndi zovuta zamafuta ndipo timatha nthawi yayitali,
• Ndi mankhwala a insulin, kutsika kwa shuga kumatha kuyimitsidwa pochepetsa mlingo wa mankhwalawa.

Njira zochizira munthu wathanzi

Anthu opanda ma pathologies amayenera kuganizira zomwe zingayambitse matendawa. Mwinanso panali kusintha kulikonse pakudya kapena m'moyo, chifukwa chilichonse ndichofunikira.

Ngati sizotheka kudziwa zomwe zikuyambitsa nokha, ndiye kuti muyenera kufunsa dokotala yemwe amakafunsira wodwala, ndikumutumiza kukayesa.

Komanso, ngati chinthu chomwe chidayambitsa hypoglycemia chidatsimikizika, ndiye kuti ndikokwanira kudya maswiti kapena ma cookie ndipo zonse zitha ndipo osalakwitsa mtsogolo zomwe zidabweretsa vutoli.

Pali zifukwa zambiri zakugwa kwa shuga, koma wokhala ndi moyo wathanzi komanso wathanzi, akhoza kupewedwa. Kuphatikiza apo, vuto lotere limachitika ngakhale ndi matenda ashuga ngati zakudya sizinasankhidwe molakwika kapena kumwa mankhwala olakwika.

Shuga wamagazi amunthu

Mlingo wa shuga wam'madzi wamunthu wathanzi umatha kusinthasintha tsiku lonse. M'mawa, kuchuluka kwa glucose nthawi zambiri kumakhala kotsika. Mitundu yambiri yokhala ndi shuga komanso magazi zomwe zimawonetsa kuchuluka kwa matenda osokoneza bongo kapena matenda a shuga zimaperekedwa pansipa mu “tebulo la shuga”.

Kutsimikizika kwakukulu ndikuwonjezereka kwa kuchuluka kwa glucose m'magazi (hyperglycemia) - kumbali ina, ziyenera kudziwika kuti kutsitsa shuga wambiri mpaka osachepera 2.8 mmol / l kungayambitse kuwonongeka kwa thanzi ndikuwonekera kwa zizindikiro zowopsa mwa anthu ambiri.

Ngati kuchuluka kwa shuga kumatsika mpaka kutsika kwambiri, titha kulankhula za chitukuko cha hypoglycemia. Vutoli limafunikira chithandizo chamankhwala mwadzidzidzi ngakhale pakakhala kuti palibe zizindikiro zoyipa, popeza nthawi iliyonse kuwonongeka koopsa m'magazi kungachitike.

Mafuta a shuga

Shuga wamba wamagazi

Zowonetsa za shuga wamagazi zimadalira ngati muyeso umapangidwa pamimba yopanda kanthu kapena mutatha kudya. Poyamba, mwa munthu wathanzi, kuchuluka kwa glucose m'madzi am'magazi sayenera kupitirira 5.0 mmol / lita, ndipo chachiwiri - sayenera kukhala apamwamba kuposa 5.5 mmol / lita.

Kwa anthu omwe ali ndi matenda ashuga, pali zisonyezo zingapo za chizolowezi, zomwe zimasiyana mosiyanasiyana. Chifukwa chake, ngati wodwala wodwala matenda ashuga amtundu woyamba amatha kukhala ndi shuga m'magazi kuyambira 4 mmol / lita mpaka 10 mmol / lita kwa nthawi yayitali, ndiye kuti izi zitha kuonedwa ngati kupambana.

Momwe mungayesere shuga m'magazi ndi glucometer

Kupanga mankhwala kwathandizira kwambiri miyoyo ya odwala omwe ali ndi matenda amtundu wa 1 - kukhazikitsidwa kwa kukonzekera kwa insulin pafupi zaka 100 zapitazo kunali kopambana mu endocrinology. Tsopano odwala ambiri omwe ali ndi mtundu uwu wa shuga amadzibaya jakisoni kangapo patsiku.

Komabe, insulin iyenera kuperekedwa osati "ndi wotchi", koma kutengera kuchuluka kwa glucose m'magazi a wodwalayo ... Chifukwa chake, zaka makumi angapo zapitazo, mainjiniya omwe amapanga chitukuko cha zida zamankhwala anali ndi ntchito yovuta - kupanga chida chosavuta kugwiritsa ntchito, chomwe chingapangitse odwala matenda ashuga kuyeza mulingo shuga wamagazi ndekha kunyumba.

Chifukwa chake ma glucometer oyamba adawonekera

Pali mitundu yosiyanasiyana ya ma glucometer, koma ntchito pafupifupi mitundu yonse imakhazikika pa mfundo imodzi: kudziwa kukula kwa kusintha kwa mtundu woyambirira wa mzere wapadera woyeserera pambuyo pothira magazi a wodwala kwa iwo.

Munthu aliyense payekha amalandira gawo la magazi ake mothandizidwa ndi lancet yaying'ono (yocheperako). Dontho la magazi limayikidwa pa njira yoyesera yoyeserera, yomwe imayikidwa mu mita ndipo pambuyo masekondi angapo zotsatira zake zimawonekera pakawonetsero kake.

Mothandizidwa ndi shuga omwe ali m'magazi, mzerewo umasintha mtundu wake - pamlingo wamba, kusintha koteroko sikungakhale kopanda tanthauzo ndipo chipangizocho sichinyalanyaza.

Ma glucometer amathandizira ndi mabatire osiyanasiyana, palinso mitundu yomwe imatha kulumikizidwa ndi netiwiti ya V2 kudzera pa adapter ya netiweki, yomwe imachepetsa mphamvu zamagetsi ndikusintha zosinthika zamakono kuti ziziwongolera zamakono.

Shuga wamagazi amatsitsa zizindikiro

Zizindikiro zazikulu zomwe zikuwonetsa kuchepa kwa shuga m'magazi zitha kugawidwa m'magulu awiri okha: amodzi ndi amisala.

Oyamba azikuphatikizira pamalo oyamba:

• kutuluka thukuta kwambiri
• kumverera kosagwirizana ndi njala
• zokonda mtima
• kufooka wamba
• chizungulire
• kulemera m'miyendo ndikugwedezeka miyendo.

Gulu lazikhalidwe la "malingaliro" a hypoglycemia limaphatikizapo zovuta monga:

• nkhawa zochulukirapo
• mantha
• kusakhazikika
• kukwiya kapena mosinthanitsa
• chisokonezo

Zizindikiro zakuchepa kwa shuga m'magazi

Kutsika kwa shuga m'magazi ndichinthu chobisika kwambiri, chifukwa hypoglycemia (monga momwe madokotala amatchulira kuchepa kwambiri kwa ndende yamagazi) imatha kubweretsa kukomoka, sitiroko, edema yam'mimba, ndi kufa.

Nthawi yomweyo, mpaka pamlingo wina, munthu amene amakhala ndi vuto la hypoglycemia amadzimva kuti ndi wabwinobwino, koma kuchepa kowonjezereka kwa shuga kungayambitse kusintha kwamphamvu pamagetsi ndikuwopsa kwake.

Chizindikiro chimodzi chodziwika bwino cha kutsika kwa shuga m'magazi ndikutuluka thukuta kwambiri, komwe kumathanso kutentha pang'ono. Kutuluka thukuta kwambiri tulo, pakakhala kuchepa kwakukulu kwa shuga m'magazi, kumatha kuwonetsa chivundikiro chonyowa, pilo yonyowa, kapena mapisi.

Mukadzuka masana, ndikosavuta kudziwa kukhalapo kwa thukuta kwambiri ngati mungakoke chala chanu pakhungu kumbuyo kwa mutu mdera lakumaso.
Zizindikiro zina zodziwika za kuchepa kwa shuga m'magazi ndi monga:

• njala yamphamvu
• kufooka koopsa
• chizungulire
• miyendo yanjenjemera
• kuyera mumaso
• kusakhazikika, kuda nkhawa
• nkhanza

Mwazi wotsika magazi chochita

Kukula kwathunthu kwa hypoglycemia kapena kuchepa kwambiri kwa shuga m'magazi ndimafanizo kwa anthu omwe ali ndi matenda a shuga 1. Pankhaniyi, kuchuluka kwa insulin mwangozi kapena kuphwanya dongosolo la jakisoni kungayambitse kutsika kwa magazi.

Zizindikiro zoyambirira za hypoglycemia zikaonekera, wodwalayo ayenera kupatsidwa chakudya chokhala ndi shuga wambiri komanso cholozera cha glycemic - ndiko kuti, pomwe glucose amalowetsedwa m'magazi mwachangu momwe angathere. Uwu ndi shuga mu mchenga kapena shuga woyengedwa, uchi, kupanikizana, maswiti, zipatso zatsopano zomwe zili ndi shuga wambiri (ma apricots, vwende, chivwende).

Odwala omwe ali ndi matenda amtundu woyamba 1, omwe amadziwa kuopsa kotsika magazi m'thupi, nthawi zambiri amakhala ndi mapiritsi am'magazi, omwe amapulumutsa mofulumira kuchokera ku zizindikiro za hypoglycemia.

Mu milandu yoopsa kwambiri, mankhwalawa a hypoglycemia amachitika pogwiritsa ntchito njira ya glucose.

Chiwopsezo cha kukhala ndi hypoglycemia chimachepetsedwa kwambiri popenyetsetsa zakudya - kotero kuti nthawi yolumikizana ndi zakudya isapitilira maola 3-4.

Momwe mungakulitsire shuga lamwazi mwachangu

Mwa anthu ena omwe ali ndi matenda ashuga a mtundu woyamba, kakulidwe ka hypoglycemia, ndiye kuti, kuchepa kwakukulu kwa shuga m'magazi, kumatha kuchitika patangopita mphindi zochepa. Zizindikiro zoyambirira zikawoneka (thukuta lowonjezera, kufooka, kumva kwamphamvu njala), odwala oterowo ayenera kumwa mapiritsi a glucose mwapadera.

Ngati mulibe mapiritsi ngati awa ndi inu, mutha kusintha m'malo mwake ndi masikono ochepa a shuga, maswiti, supuni 2-3 za uchi, kupanikizana kwambiri, makeke kapena makeke okoma.

Pankhaniyi, msuzi wokoma umatha kupindulanso - mitundu "yovuta kwambiri" pakati pa madokotala: imodzi yomwe ili ndi shuga yachilengedwe, osati m'malo mwake.

Poyesedwa shuga wamagazi ndi glucometer

Kupanga kwa ma glucometer onyamula, omwe amakulolani kuyeza shuga kunyumba, kwasintha kwenikweni mu endocrinology.

Posachedwa, odwala omwe ali ndi matenda ashuga a 2, omwe, monga lamulo, amawayankha bwino chithandizo, akuwonjezeranso kugwiritsa ntchito magazi a nyumba.

Madokotala amalimbikitsa kuyeza shuga wamagazi ndi glucometer yokhala ndi matenda a shuga 1 kawiri pa tsiku - atatha kudya komanso asanagone.

Ndipo kwa iwo omwe ali ndi matenda a shuga a 2, ndikofunika kuti azichita zinthu zosachepera kamodzi pa sabata.

Mulimonsemo, malingaliro omwe angapangidwe poyesa shuga wamagazi ndi glucometer amapezeka bwino kuchokera kwa dokotala.

Ndi zakudya ziti zomwe zimawonjezera shuga

Zakudya zambiri zodziwika bwino zomwe zimatha kukweza shuga m'magazi - kusiyana pakati pawo kumangoyenda mwachangu momwe kuwonjezeraku kumachitika.

Uchi, kupanikizana, mapeyala atsopano, ma apricots akakhwala, vwende ndi mavwende azikulitsa shuga msanga kwambiri. Chidutswa chophika ndi keke kapena chofufumitsa chimapangitsa kuti chizikhala pang'onopang'ono, ndipo pasitala ndi zakudya zamphaka ndizomwe zili kunja kwa mndandandawu.

Komabe, kuwonjezeka kwapang'onopang'ono kwa shuga m'magazi ndi chakudya kumadziwikanso ndi kuchepa kwake pang'ono pang'onopang'ono pakukumba.

Chifukwa chake, anthu omwe ali ndi matenda ashuga amatha kupanga njira ndi njira zothandizira kupewa hypoglycemia - mwachitsanzo, amaphatikiza chimanga mu zakudya zawo ndipo nthawi yomweyo nthawi zonse azisunganso botolo la uchi kapena kupanikizana "m'malo mwake".

Kofi imawonjezera shuga

Mabuku azachipatala ali ndi zosiyana zotsutsana za momwe khofi wachilengedwe amakhudzira kuchuluka kwa shuga m'magazi. Komabe, kafukufuku wambiri wazaka zaposachedwa wasonyeza kuti khofi wambiri womwe umamwa pafupipafupi kuchuluka kwa makapu anayi a espresso patsiku kumakulitsa chidwi cha maselo amthupi kupita ku insulin.

Chifukwa chake, zakumwa zonunkhizi sizimathandizira kuchuluka kwa shuga m'magazi, koma m'malo mwake zitha kugwiritsidwa ntchito ngati njira yolepheretsa matenda ashuga a 2. (Pokhapokha mutayika zidutswa za shuga 10 mukapu iliyonse ya khofi ...).

Buckwheat amalimbikitsa shuga

Zakudya za Buckwheat zimadziwika kuti zimakhala ndi thanzi labwino. Buckwheat ndi wolemera kwambiri wama mavitamini a B ndi ma microelements. Nthawi yomweyo, lingaliro la buckwheat ngati chofufumira chokhacho chothandiza kwa odwala matenda ashuga ndi nthano - phala la buckwheat limathandizira kukulitsa kuchuluka kwa shuga m'magazi.

Kusiyana kuli pokhapokha kuwonjezeka kwa ndende ya glucose mutatha kudya zakudya zotere. Chifukwa cha kuchuluka kwa michere, yomwe imachepetsa mayamwidwe am'matumbo m'matumbo, shuga m'magazi pambuyo pa mbale yotsekemera imakwera pang'onopang'ono kuposa phala la mpunga.

Chifukwa chake, titha kuvomerezana kwathunthu ndi mawu oti "buckwheat amawonjezera shuga" - ngakhale imachita pang'onopang'ono ...

Chifukwa chiyani shuga amatsika kwambiri?

Kuchepa kwambiri kwa shuga m'magazi ndi vuto lotchedwa hypoglycemia. Ichi ndi matenda oopsa omwe amayamba chifukwa cha kuchuluka kwa shuga m'thupi. Ziwalo zonse za anthu sizilandira zakudya zokwanira, ndipo kagayidwe kake kamatupa.

Izi zitha kubweretsa kuwonongeka kwakukulu pakugwira ntchito kwa thupi. Mukabweretsa wodwalayo pamavuto, akhoza kuyamba kudwala. Zizindikiro za matenda zimatha kukhala zosiyanasiyana ndi kuchuluka pamene matendawa akupita patsogolo.

Pali zifukwa zambiri zomwe zimayambitsa kuphwanya thupi m'thupi la munthu.

Zomwe Zimayambitsa Kuwonongeka

Hypoglycemia nthawi zambiri imayamba chifukwa cha zifukwa zingapo, monga:

1. Kuchuluka kwa insulin mu kapamba.
2. Kugwiritsa ntchito kuchuluka kwa mankhwala omwe ali ndi mlingo waukulu wa insulin.
3. Kusagwira bwino ntchito kwa pituitary ndi adrenal glands.
4. Matenda a shuga
5. Chakudya cholakwika chomanga thupi m'chiwindi.

Zomwe zimayambitsa hypoglycemia zimagawidwa mu mankhwala osokoneza bongo komanso osagwiritsa ntchito mankhwala. Nthawi zambiri, anthu odwala matenda ashuga amakonda kupezeka mankhwala osokoneza bongo a hypoglycemia.

Ngati mlingo wa insulini womwe umaperekedwa kwa wodwala amawerengedwa molakwika ndipo umapitirira muyeso, izi zimatha kuyambitsa zovuta zosiyanasiyana mthupi. Pazifukwa zosakhudzana ndi kugwiritsa ntchito mankhwala molakwika kumaphatikizapo kufa ndi njala.

Nthawi zambiri pambuyo popewa kudya kwa nthawi yayitali, thupi la munthu limatha kuyamwa kudya zakudya zamafuta pang'ono pochepetsa shuga.

Nthawi zambiri, odwala matenda ashuga amakhala ndi vuto la hypoglycemia chifukwa cha kuperewera kwa zakudya m'thupi. Ngati miyambo ya kapangidwe ka zinthu sizikusamaliridwa, insulini imachuluka mthupi la munthu. Zotsatira zake, mankhwalawa amayamba kuthandiza kuchepetsa kuchuluka kwa shuga m'magazi.

Odwala omwe ali ndi matenda a shuga kwa nthawi yayitali amakonda kwambiri chitukuko cha hypoglycemia. Izi zimayamba chifukwa chogwiritsa ntchito molakwika ziphuphu ndi adrenal. Zomwe zili m'magulu akuti glucagon ndi adrenaline amapangidwa moperewera. Izi zikutanthauza kuti thupi limakhala ndi chitetezo chokwanira ku hypoglycemia.

Osati mankhwala a odwala matenda ashuga okha, komanso mankhwala ena ambiri amatha kukhala chifukwa chodwala.

Zomwe zimayambitsa kukula kwa matendawa nthawi zina zobisika m'maganizo a wodwalayo. Ngati munthu atenga zovuta zambiri zamaganizidwe, ndiye kuti izi zitha kupangitsa kuti ma hypoglycemia aoneke. Anthu osakhala bwino m'maganizo amatha kubaya insulini makamaka ngati angathe kuigwiritsa. Chithandizo cha odwala chotere chimachitika m'makliniki apadera.

Zomwe zimapangitsa kutsika kwa shuga m'mwazi nthawi zambiri kumakhala mowa kwambiri ndi munthu. Ngati munthu ali ndi vuto lauchidakwa kwa nthawi yayitali komanso nthawi yomweyo anyalanyaza zakudya zoyenera, ndiye kuti thupi limayamba kuchepa pang'onopang'ono. Pambuyo pake, kuukira (stupor) nthawi zina kumachitika ngakhale ndi magazi ochepa.

Zowopsa zomwe zimapangitsa kuchepetsa shuga

Chifukwa chiyani shuga amatsika? Chifukwa chake chingakhale kuchita zolimbitsa thupi.Chotupa chotere chimatha kuchitika ngakhale mwa munthu wathanzi kwambiri.

Nthawi zina zomwe zimayambitsa kutsika kwamphamvu mu shuga kumakhala kuphwanya kwa tchire. Chiwindi chikawonongeka, kuphatikiza kwa chakudya m'm michere kumachepetsedwa kwambiri.

Izi zikutanthauza kuti thupi la munthu silingakhale ndi shuga lokwanira.

Nthawi zina hypoglycemia imatha kuchitika ndi odwala omwe ali ndi matenda a chiwindi atatha kudya kwa maola angapo. Anthu otere ayenera kutsatira zakudya okhwima ndikudya chakudya mogwirizana ndi dongosolo. Wodwala sakakwaniritsa izi, ndiye kuti kuchuluka kwa shuga m'magazi ake kumatha kutsika kwambiri. Ana osakwana chaka chimodzi amathandizanso kukula kwa hypoglycemia.

Kuchita opaleshoni kungayambitse hypoglycemia. Ngati wodwalayo anachitidwa opaleshoni pamimba, ndiye kuti izi zitha kupangitsa kuti magazi a shuga achepe.

Nthawi zambiri, kupatuka kotereku kumayambitsidwa chifukwa chosagwirizana ndi zakudya panthawi ya opaleshoni. Shuga amayamba kuyamwa mwachangu kwambiri, ndipo izi zimakwiyitsa kupanga insulin yambiri.

Nthawi zambiri, ndikawonongeka kwa m'mimba, hypoglycemia imatha kuchitika popanda chifukwa chapadera.

Pali mtundu wina wa matenda omwe amatchedwa reactive hypoglycemia. Uwu ndi vuto lomwe limachitika mwa anthu ndipo limatsatana ndi dontho lakuthwa mu kuchuluka kwa shuga m'magazi.

Mpaka pano, izi ndizosowa kwambiri mwa achikulire. Dontho la shuga m'magazi limalembedwa panthawi yomwe akukana chakudya pang'ono, koma zotsatira za phunzirolo zimasintha mukangodwala.

Izi siziri zowona za hypoglycemia.

Matenda ofala kwambiri omwe ali nawo kwa ana mpaka chaka chimodzi. Panthawi imeneyi, amatha kugwiritsidwa ntchito mosavuta ndi kumwa kwa fructose kapena lactose. Zakudya izi zimatha kulepheretsa chiwindi kuti chisatulutse shuga momasuka.

Ndipo kumwa kwa leucine kumadzetsa kupanga kwa insulin kwambiri ndi kapamba. Mwana akamadya zakudya zambiri zomwe zimakhala ndi izi, ndiye kuti akuponya shuga m'magazi atangodya.

Akuluakulu, zimachitikanso chimodzimodzi mukamamwa zakumwa zoledzeretsa zokhala ndi shuga wambiri.

Zowonjezera za hypoglycemia

Nthawi zosowa kwambiri, kuchepa kwa shuga kumayamba chifukwa cha chotupa cha maselo opanga insulin omwe amapezeka m'matumbo.

Zotsatira zake, kuchuluka kwa ma cell amenewa kumawonjezeka, ndipo kuchuluka kwa insulini komwe kumapangidwa kumawonjezeka.

Komanso, neoplasms iliyonse yomwe imachitika kunja kwa kapamba, koma imathandizira pakuwonjezeka kwa insulin, imayambitsa kuchepa kwa shuga.

Sipangokhala shuga wokwanira ngati munthu akudwala matenda a autoimmune. Mwanjira imeneyi, kulephera kumachitika m'thupi, ndipo kumayamba kupanga ma antibodies kupita ku insulin.

Potere, mulingo wa chinthu mthupi umayamba kuchuluka kapena kuchepa kwambiri. Izi zimabweretsa kusintha kwa shuga m'magazi ndipo zimathandizira kukula kwa hypoglycemia.

Kupita patsogolo kwa matenda kotereku ndikosowa kwambiri.

Shuga wamagazi ochepa nthawi zina amapezeka mwa odwala omwe ali ndi impso kapena mtima. Hypoglycemia imatha kudwala chifukwa cha matenda ena (mwachitsanzo, matenda enaake a chiwindi, hepatitis ya viral, matenda oopsa a virus kapena kutupa). Pangozi ndi anthu omwe amadya zakudya zopanda pake komanso odwala omwe ali ndi chotupa choyipa.

Ngati zizindikiro za hypoglycemia zimakhala zosalimba

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

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

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

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

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

Zizindikiro zoyambirira za hypoglycemia - kunjenjemera kwa khungu, kuthamanga kwa mtima, ndi zina - ndizizindikiro zochokera m'thupi zomwe wodwala matenda ashuga ayenera kulowererapo kuti apulumutse moyo wake. Ngati chizindikirocho sichikugwira ntchito, ndiye kuti mwadzidzidzi wamkulu amadzimva chifukwa chayamba kupsa mtima. Anthu oterewa amakhala ndi chiopsezo chachikulu cha kulumala kapena kufa chifukwa cha kwambiri hypoglycemia. Njira yokhayo yothanirana ndi vutoli, ngati yakula, ndikuwayeza shuga wanu wamagazi pafupipafupi ndikuwukonza. Werengani werengani zonse zomwe zimayimira shuga m'magazi ndi momwe mungayang'anire ngati mita yanu ili yolondola.

Zimayambitsa hypoglycemia mu shuga

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

Zimayambitsa hypoglycemia

Chithandizo cha boma chimati ngati wodwala matenda ashuga amathandizidwa ndi mapiritsi a insulin kapena kutsitsa shuga, ndiye kuti adzakumana ndi zovuta za hypoglycemia 1-2 kawiri pa sabata ndipo palibe cholakwika ndi izi. Tikulengeza kuti ngati muli pa mtundu wa chithandizo cha matenda a shuga 1 kapena mtundu wa 2 wa matenda a shuga, ndiye kuti hypoglycemia imakhala yocheperako. Chifukwa ndi matenda amtundu wa 2 shuga, tidakana mapiritsi oyipa (sulfonylureas ndi ma dongo) omwe angayambitse. Ponena za jakisoni wa insulin, njira ya katundu wocheperako wa mtundu 1 ndi mtundu wa 2 wa shuga imachepetsa kuchuluka kwa insulin kangapo ndikuchepetsa chiopsezo cha hypoglycemia.

Zomwe zimayambitsa hypoglycemia mwa omwe amathandizidwa malinga ndi njira ya tsamba la Diabetes-Med.Com:

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

Njala ndi chizindikiro chodziwika bwino cha malo oyamba a hypoglycemia. Ngati mukutsatira pulogalamu yothana ndi matenda a shuga 1 kapena pulogalamu ya 2 yokhala ndi matenda a shuga ndipo mukuwongolera matenda anu, ndiye kuti simuyenera kumakhala ndi njala yayikulu. Musanadye chakudya, muyenera kukhala ndi njala pang'ono. Komabe, nthawi zambiri njala imangokhala chizindikiro cha kutopa kapena kupsinjika, koma osati hypoglycemia. Komanso, shuga m'magazi akakhala kwambiri, m'malo mwake, maselo sikhala ndi glucose, ndipo amatumiza ma njaa mwamphamvu. Kutsiliza: ngati mukumva njala - yikani magazi anu ndi glucometer.

Zowopsa za hypoglycemia:

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

Momwe mungamvetsetse zomwe zimayambitsa hypoglycemia

Muyenera kubwereza zochitika zonse zomwe zimatsogolera ku gawo pamene shuga ya magazi anu ndi yotsika kwambiri. Izi zimayenera kuchitika nthawi iliyonse, ngakhale ngati pakadakhala kuti palibe chizindikiro chowoneka kuti mupeze zomwe mumalakwitsa. Kuti zochitika zithandizike, odwala matenda a shuga omwe amadalira insulin amafunikira kupitiliza kukhazikika pakulamulira kwazonse za shuga, i.e., nthawi zambiri amayeza, amalemba zotsatira zake komanso zochitika zina.

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

Chithandizo (kuyimitsa) cha hypoglycemia

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

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

Chovuta kwambiri ndikuti ngati shuga lanu lamwazi latsika chifukwa cha kupaka jakisoni wambiri kapena kumwa mankhwala oopsa a mapiritsi a shuga. Zikakhala zotere, shuga amatha kugwiritsidwanso ntchito atamwa mapiritsi a shuga. Chifukwa chake, onaninso shuga wanu ndi glucometer Mphindi 45 mutatha kutenga mankhwala a hypoglycemic. Onetsetsani kuti chilichonse ndichabwino. Ngati shuga alinso wotsika, imwani mapiritsi ena, kenako mubwerezenso mphindi zina 45. Ndipo zina zotero, mpaka chilichonse chimadzayamba bwino.

Momwe mungachiritsire hypoglycemia popanda kukweza shuga kuposa zabwinobwino

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

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

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

Mapiritsi a glucose

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

Kuphatikiza kuthamanga, mwayi wachiwiri wama mapiritsi a glucose ndikudziwikiratu. Pakati pa hypoglycemia wodwala wokhala ndi matenda amtundu wa 1 kapena mtundu wa 2 wolemera makilogalamu 64, gramu imodzi ya glucose imakweza shuga ndi magazi pafupifupi 0.28 mmol / L. M'mawonekedwe awa, mwa wodwala yemwe ali ndi matenda a shuga a 2, kupanga insulin ndi kapamba kumazimitsidwa, ndipo mwa wodwala matenda amtundu wa 1 kulibe. Ngati shuga m'magazi siwotsika kuposa masiku onse, ndiye kuti wodwala yemwe ali ndi matenda a shuga a 2 sangachititse shuga, chifukwa kapamba "amamaliza" ndi insulin yake. Kwa wodwala yemwe ali ndi matenda a shuga 1, komabe gramu imodzi ya glucose imawonjezera shuga m'magazi ndi 0.28 mmol / L, chifukwa alibe kupanga insulin.

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

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

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

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

Zoyenera kuchita ngati shuga m'magazi asanakudya

Zitha kuchitika kuti mumapezeka kuti muli ndi shuga ochepa musanayambe kudya. Ngati mutsatira zakudya zamagulu ochulukirapo kuti muchepetse matenda a shuga 1 kapena mtundu wa 2, ndiye kuti mumadya mapiritsi a glucose nthawi yomweyo, kenako ndikudya "zenizeni". Chifukwa chakuti zakudya zamagulu ochepa zimapangidwa pang'onopang'ono. Ngati simuletsa hypoglycemia, ndiye kuti izi zitha kudzetsa kudya kwambiri komanso kulumpha mu shuga m'maola ochepa, zomwe zimakhala zovuta kutengera matenda.

Momwe mungathanirane ndi kuukira kwa kususuka ndi hypoglycemia

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

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

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

Kuphatikiza apo, ndikofunikira kugwiritsa ntchito zinthu zopanda mafuta. Mwachitsanzo, kudula nyama. Muno, simungathe kudya mtedza chifukwa simungathe kukana ndikudya zambiri zake. Mtedza umakhala ndi chakudya chamagulu angapo, ndipo zochulukirapo zimawonjezera shuga m'magazi, zomwe zimapangitsa zotsatira za malo odyera achi China. Chifukwa chake, ngati njala siyingalekerere, ndiye kuti mumamiza ndi zakudya zamafuta ochepa.

Shuga wokhazikika bwino, ndipo zizindikiro za hypoglycemia sizimatha

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

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

Khalidwe lonyansa la wodwala matenda ashuga mu mtundu wa hypoglycemia

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

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

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

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

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

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

Wodwala matenda ashuga aphunzira kuti shuga wambiri ndi wowopsa, amawononga thanzi, motero ayenera kupewedwa. Ngakhale atakhala kuti ali ndi hypoglycemia, amakumbukirabe izi. Ndipo pakadali pano, akutsimikiza kuti shuga ake ndi abwinobwino ndipo, mwanjira zonse, amakhala wozama. Ndipo kenako wina akufuna kumudyetsa zakudya zamafuta owopsa ... Mwachidziwikire, m'mikhalidwe yotere, wodwala matenda ashuga angaganize kuti ndiwachiwiri yemwe akuchita zomwe zikuchitika kuti akuyenda bwino ndikuyesayesa kumuvulaza. Izi zimachitika makamaka ngati wokwatirana naye, kholo kapena mnzake kale anayesanso kuchita zomwezo, kenako zidapezeka kuti wodwalayo ali ndi shuga wabwinobwino.

Choyipa chachikulu chodzetsa mkwiyo wa wodwala matenda ashuga ndikuyesetsa kuponya maswiti mkamwa mwake. Ngakhale, monga lamulo, kukopa pakamwa ndikwanira izi. Ubongo, wokwiyitsidwa ndi kusowa kwa glucose, amauza mwini wake malingaliro opusitsawo kuti mnzawo, kholo kapena mnzake amamufunira zabwino ngakhalenso kumupha, kumuyesa chakudya chabwino chovulaza.Muzochitika zoterezi, woyera mtima yekha ndi amene akadakana kutsutsa ... Anthu ozungulira ife nthawi zambiri amakhumudwa ndikuwopsezedwa ndi zovuta za wodwala matenda ashuga poyesa kumuthandiza.

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

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

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

Zoyenera kuchita ngati wodwala matenda ashuga ali kale pafupi kutaya chikumbumtima

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

Zikakhala zotere, ndikachedwa kuyesa shuga ndi glucometer, mungotaya nthawi yamtengo wapatali. Mukamupatsa odwala mapiritsi a shuga ndi maswiti odwala, ndiye kuti sangakonde kutameza. Nthawi zambiri, amatha kulavulira chakudya cholimba kapena kutsamwitsa kwambiri. Pa nthawi iyi ya hypoglycemia, ndikulondola kuthira wodwala matenda ashuga ndi njira yothetsera shuga. Ngati sichoncho, ndiye kuti yankho la shuga.Maupangiri a shuga ku America amalimbikitsa kugwiritsa ntchito mankhwala amtunduwu m'magazi, omwe amatsuka m'mkamwa kapena m'matumbo, chifukwa kulibe chiopsezo choti wodwala matenda ashuga angadzaze madzi ndi kutsamira. M'mayiko olankhula Chirasha, tili ndi njira yothetsera shuga wa mankhwala osokoneza bongo kapena njira yokhazikitsidwa ndi shuga yomwe ingapangidwe ndi anafe.

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

Kusamalira mwadzidzidzi ngati wodwala matenda ashuga atha

Muyenera kudziwa kuti wodwala matenda ashuga amatha kukhala osazindikira chifukwa cha hypoglycemia yokha. Zomwe zimayambitsa zingakhalenso vuto la mtima, kugunda, kugwa kwamwadzidzidzi magazi. Nthawi zina odwala matenda ashuga samatha kudziwa ngati ali ndi shuga wambiri (22 mmol / L kapena kwambiri) masiku angapo motsatana, ndipo izi zimaphatikizidwa ndi kusowa kwamadzi. Izi zimatchedwa hyperglycemic coma, zimachitika kwa wodwala wosakwatiwa amene ali ndi matenda ashuga. Ngati mungalangize pulogalamu yanu yothana ndi matenda a shuga 1 kapena pulogalamu yachiwiri ya matenda ashuga, ndizokayikitsa kwambiri kuti shuga yanu imakwera kwambiri.

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

• komwe zida zamwadzidzidzi zimasungidwa,
• momwe mungapangire jakisoni.

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

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

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

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

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

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

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

Sungani ku hypoglycemia pasadakhale

Masheya a hypoglycemia ndi magome a glucose, zida zamwadzidzidzi, zomwe zili ndi shuga, komanso makamaka njira yothetsera shuga. Kugula zonsezi pamankhwala ndikosavuta, osati mtengo, ndipo kungapulumutse moyo wa wodwala matenda ashuga. Nthawi yomweyo, zinthu zothandizira pa vuto la hypoglycemia sizithandiza ngati anthu omwe akuzungulirani sadziwa komwe asungidwa, kapena sakudziwa momwe angathandizire mwadzidzidzi.

Sungani zothandizira za hypoglycemia nthawi yomweyo m'malo angapo oyenera kunyumba ndi kuntchito, ndipo lolani abale ndi abale kudziwa komwe asungidwa. Sungani mapiritsi a glucose m'moto wanu, chikwama chanu, chikwama chanu chaching'ono ndi chikwama chanu chonyamula m'manja. Mukamayenda pa ndege, sungani zofunikira pazovala zanu mu katundu wanu, komanso zongobwereza zomwe muli nazo. Izi ndizofunikira ngati katundu aliyense atayika kapena kuba kwa inu.

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

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

Chizindikiro Chazindikiritso za Matenda a shuga

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

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

Hypoglycemia mu shuga: mawu omaliza

Mwina mwamvapo nkhani zambiri zowonetsa kuti odwala omwe ali ndi matenda ashuga 1, hypoglycemia imachitika ndipo imakhala yovuta kwambiri. Nkhani yabwino ndiyakuti vutoli limangokhudza anthu omwe ali ndi matenda ashuga omwe amatsata zakudya zoyenera ", kudya zakudya zambiri ndipo chifukwa chake amafunika kubaya insulini yambiri. Ngati mukutsatira pulogalamu yathu yothandizira odwala matenda ashuga a mtundu woyamba, chiopsezo cha hypoglycemia ndichotsika kwambiri. Kuchepetsa kambiri pachiwopsezo cha hypoglycemia ndikofunikira, koma osakhala chifukwa chofunikira kwambiri chosinthira mtundu wathu 1 wodwala matenda a shuga.

Ngati mupita zakudya zamafuta ochepa, insulin yanu imatsika kwambiri. Komanso, odwala athu samamwa mapiritsi owononga a shuga omwe amayambitsa hypoglycemia. Pambuyo pa izi, hypoglycemia imatha kupezeka kamodzi mwa milandu iwiri: munadzivulaza mwangozi insulin kuposa momwe mukufunikira, kapena jekeseni wa insulin yofulumira osadikirira maola 5 mpaka mlingo watha. Khalani omasuka kufunsa am'banja mwanu ndi ogwira nawo ntchito kuti aphunzire nkhaniyi. Ngakhale chiwopsezo chimachepetsedwa, mutha kukhalabe mu vuto la hypoglycemia, pomwe simungathe kudzipulumutsa nokha, ndipo anthu okhawo omwe akuzungulirani ndi omwe angakupulumutseni kuti musataye chikumbumtima, imfa kapena kulumala.