Zizindikiro za shuga ochepera m'magazi

Mawu akuti chipatala amatanthauza kuchepa kwa shuga m'munsi mwa chizolowezi, komwe ndikofunikira kuti ziwalo zonse zizigwira ntchito yonse komanso ubongo makamaka. Chiwopsezo cha hypoglycemia chawonjezeka posachedwa chifukwa cha zakudya zosiyanasiyana komanso kuperewera kwa zakudya m'thupi.

Mlingo wabwinobwino wamagazi m'magazi a munthu wathanzi amachokera ku 3,8 mpaka 6.5 mmol / L. Ngati chizindikirochi chikutsikira ku 3,3 kapena kutsika, hypoglycemia imayamba.

Awa ndi mkhalidwe wamavuto omwe ungawononge moyo wa wodwala ngati sanayime. Nthawi zambiri, kutsika kwamphamvu kwa glucose kumachitika mwa odwala matenda ashuga omwe amadzipaka okha ndi mankhwala ochuluka a insulin kapena osatsatira zakudya zomwe dokotala amafunikira.

Koma hypoglycemia ndi vuto lomwe limatha kupezeka mwa anthu athanzi labwino. Kudya shuga wokwanira m'zakudya, kuwononga mphamvu zambiri, kupsinjika kapena kumwa mankhwala enaake kungayambitse matenda amenewa.

Aliyense amene wakumanapo ndi vuto losangalatsa chotere mwina sangamvetse tanthauzo la liwu loti "hypoglycemia." Izi ndi chiyani? Hypoglycemia imakhala ndi mawu awiri: "hypo (hypo)" - - akuwonetsa kuchepa komanso "glycemia (glycemia)" - mulingo wa glucose m'magazi.

Likukhalira kuti uwu ndi gawo lomwe shuga ya magazi imachepetsedwa, mwachitsanzo, hypoglycemia imafanana ndi kuchuluka kwa shuga m'magazi. Khodi ya ICD-10 ya hypoglycemia ndi E 16.

Mosiyana ndi izi, shuga wotsika kwambiri ndi hyperglycemia, pomwe "hyper" imatanthawuza china chake chomwe chimakonda kukula. Ndiye kuti, amatanthauza shuga wambiri wamwazi.

Aliyense amadziwa popanda ine kuti kuchuluka kwa mankhwala osokoneza bongo kapena kudumpha chakudya kumatha kuyambitsa "hypo". Ndikufuna kukambirana pazomwe sizili mu nthawi yomwe hypoglycemia imayamba, i.e. nthawi zomwe simumayembekezera konse.

Hypoglycemia: zomwe zimayambitsa

Izi, monga lamulo, zimayamba chifukwa chopanga insulin kwambiri. Zotsatira zake, njira yokhazikika yosinthira chakudya chamaguluu m'magazi imasokonekera. Choyambitsa matenda ambiri, mwachidziwitso, ndi matenda a shuga. Zifukwa zina zilinso ndi mwayi wokhala muzochita zachipatala. Tiyeni tiwone mwatsatanetsatane, ndi zina ziti zomwe zingayambitse hypoglycemia.

Hypoglycemia (yotanthauziridwa kuchokera ku Chigriki chakale kuti "magazi osakoma") ndi kanthawi kochepa ka thupi komwe shuga (shuga) m'magazi limatsika kwambiri (kwa odwala matenda ashuga - pansipa 3.3-3.5 mmol / l) .

Ngati magazi a shuga sabwerera kwakanthawi, kukomoka, kukomoka, kusazindikira, ndipo pamapeto pake, matenda oopsa a hypoglycemic akhoza kufa.

Magawo otukuka

Zizindikiro za hypoglycemia zimasiyanasiyana malinga ndi kuopsa kwa matendawa. Pali magawo atatu: opepuka, apakati komanso olemera.

Ndi hypoglycemia yofatsa, kuchuluka kwa shuga kumatsika pansi 3.8 mmol / L. Munthu akhoza kukhala ndi njala, kapena, nseru, amayamba kuzizira, kugunda kwa mtima wake kungachuluke.

Pali nkhawa yosasinthika, kusakwiya. Anthu athanzi nthawi zambiri samalumikizana ndi zizindikiro zoyambirira izi za hypoglycemia ndendende ndi kuchepetsa shuga.

Maganizo amenewa amachititsa kuti magazi azikhala ochepa komanso kuti magazi azikhala ochepa.

Mulingo wake ukafika 2.8 mmol / l, hypoglycemia imakula. Pankhaniyi, zizindikiro zonse zimakulitsidwa: kusakwiya, kuda nkhawa, kusokonezeka kwa chikumbumtima komanso kukumbukira.

Maso a wodwalayo akuipiraipira, ndipo mutu wake ukupindika. Kufooka kwamphamvu kumakula, kugwirizanitsa kwamayendedwe kumatha kusokonezeka.

Ngati nthawi siyithandiza ndi kuchuluka kwa hypoglycemia, imangokhala gawo lotsiriza. Komanso, kuwonongeka kumatha kuyamba mwachangu kwambiri.

Kwenikweni mphindi 20-30, hypoglycemia imadutsa gawo lovuta kwambiri.

Hypoglycemia mwa ana

• Kuperewera kwa chakudya chamagulu.
• Kupsinjika (onaninso - momwe mungachotsere kupsinjika).
• Kuchita zolimbitsa thupi kwambiri.
• Kukhalapo kwa matenda ashuga.
• Matenda amanjenje.
• Kusalolera kwatsopano kwa leucine.
• Masewera okwera amthupi a ketone.

Zizindikiro za hypoglycemia mwa ana zidzakhala: kununkhira kwa acetone kuchokera mkamwa, khungu lotumbululuka, kusowa kwa chakudya, komanso kusanza. Kusanza mobwerezabwereza kumatha kuyambitsa kusowa kwamadzi, kusokonezeka kwa chikumbumtima, kutentha kwa thupi. Nthawi zina, zingakhale bwino kugwiritsa ntchito odwala omwe ali ndi shuga komanso mankhwala kuchipatala moyang'aniridwa ndi madokotala.

Ngati kuchepa kwa shuga kwa mwana sikugwirizana ndi matenda amkati, ndiye kuti zizindikiro zoyambirira zikaonekera, muyenera kum'patsa kena kake kotsekemera (chidutswa cha shuga, supuni ya uchi).

Shuga atachepetsedwa, ndikofunikira kukhazikitsa zakudya zoyenera ndi masamba ambiri, zipatso, zakudya zam'nyanja. Ndikofunika kudya pafupipafupi pang'onopang'ono kuti musalemedwe ziwalo zamkati.

Pamaso pa leucine hypoglycemia, yomwe imakhala yachilendo komanso imadziwika ndi kuperewera kwa kagayidwe kachakudya, njira yofunika kwambiri yothandizira imafunika. Potere, adotolo amasankha chakudyacho, popeza kusintha kwina kogwiritsa ntchito zakudya zamapuloteni ndikofunikira pano (kupatula mazira, nsomba, mtedza ndi zinthu zina).

Mkhalidwe wa hypoglycemia umakhala ndi zoyipa kwambiri pakukula kwa mwana. Komanso, ndiyowopsa chifukwa cha kusokonezeka kwakukulu kwa metabolic.

Zizindikiro ndi hypoglycemia

Chizindikiro cha matenda a hypoglycemia ndikuti zimatha kusiyanasiyana mwa odwala osiyanasiyana. Komabe, pali zina zomwe zimadziwika zomwe zitha kupezeka mosasamala mtundu ndi zaka za odwala. Amafunika kuwayang'aniridwa mwachidwi, chifukwa amathandizira kwambiri kuzindikira matendawa. "alt =" ">

Zizindikiro zakuchepetsa shuga sizimawoneka pang'onopang'ono. Nthawi zina pamatha kugwa kwambiri pomwe chikomokere mkati mwa theka la ola. Chifukwa chake, ndikofunikira kudziwa momwe kuukira kwa hypoglycemia kumakhalira kuti mukhale ndi nthawi yopereka thandizo. Ndikofunikira kuchitapo kanthu ngati zizindikiro zotsatirazi zikuwonekera:

• kufooka mwadzidzidzi, kugona,
• njala yayikulu
• nseru
• thukuta, kuzizira,
• kugwirana chanza
• tachycardia
• kumverera kwa mantha
• masomphenya awiri, ozungulira pamaso,
• kusokonezeka kwa malankhulidwe ndi kuzindikira.

Ngati simukweza shuga, ndiye kuti pamakhala kutayika, chikomokere ndi imfa. Chifukwa chake, wodwalayo, akadakali mkhalidwe, ayenera kudya kena kake kokoma kapena kumwa madzi a zipatso.

Poyambirira, munthuyu amadziwa bwino za momwe zinthu ziliri, amatha kukweza, ndikukula msanga magazi. Kachiwiri, munthu amatha kudziwa, koma samazindikira komwe ali, sangathe kuwunika kukula kwa vuto lakelo, ndikuzithandiza yekha. Izi zimatchedwa stupor. Hypoglycemic coma imatchulidwanso kuti hypoglycemia.

Zizindikiro za shuga wochepa kwathunthu sizimasiyana kutengera zomwe zimayambitsa. Chifukwa chake, chiganizo chotsatira ndi choyenera kwa aliyense yemwe ali ndi hypoglycemia.

Zizindikiro za shuga ochepera m'magazi: zimayambitsa ndi zizindikiro

Kuchepetsa shuga m'magazi ndichinthu chomwe chimapezeka nthawi zambiri mwa akazi akamakalamba komanso kukalamba. Magazi ndi madzi ofunikira m'thupi, ali ndi ntchito zambiri. Mkhalidwe wamagazi uyenera kuyang'aniridwa nthawi zonse.

Ngati amayi ali ndi kuchuluka kwa magazi oyera kapena kuchuluka kwa mapuloteni, izi zimawonetsa kuwoneka kwa matenda ena. Chizindikiro chimodzi chofunikira kwambiri ndicho kuchuluka kwa shuga m'magazi. Shuga amawonekera m'magazi ndi chakudya.

Kuchuluka kwa shuga kochepa kumavulaza ubongo poyamba. Thupi sililandira chakudya chofunikira; kutopa msanga kumayamba. Pakapita kanthawi, mayiyo amayamba kuwuma komanso zotsatirapo zina zoopsa.

Mankhwala, kusala kudya kwamisempha kwamwazi kwa 3.3 - 5.5 mmol / l kuvomerezeka. Matenda a shuga ndi mkhalidwe momwe phindu la glucose limaposa 6.7 mmol / L.

Mafuta otsika a m'magazi amatha kuonera osati odwala matenda ashuga okha. Zitha kukhala zikhalidwe za ana komanso achikulire athanzi. Muzochitika izi, pali mitundu iwiri ya hypoglycemia:

• pamimba yopanda kanthu (munthu samadya maola 8 kapena kuposerapo),
• mayankho hypoglycemia (2-4 mawola kudya).

Shuga wochepa amatha kuchitika chifukwa cha:

1. kuperewera kwa zakudya m'thupi ndi chakudya chochuluka,
2. zolimbitsa thupi mukamadya ndi zopatsa mphamvu zochepa,
3. kugwiritsa ntchito ufa ndi zakudya zotsekemera,
4. kusuta ndi kumwa mowa,
5. zotupa zapachifuwa.

Hypoglycemia imatha kuwoneka pamimba yopanda kanthu chifukwa:

• kumwa mankhwala ena
• kusala kudya kwanthawi yayitali, kuperewera kwa zakudya m'thupi, kapena kusowa madzi m'thupi,
• chakudya chopanda pake
• cholakwika ndi kapamba ndi chiwindi,
• Mitundu ina ya zotupa zopweteka,
• kunenepa
• zochita za thupi ndi insulin,
• matenda ashuga oyamba
• aimpso ndi kulephera kwa mtima,
• mimba yoyambirira
• kulimbitsa thupi mwamphamvu,
• kulowerera m'mimba,
• matenda a idiopathic
• kusagwira bwino ntchito kwa mahomoni ena,
• zochita za acetylsalicylic acid ana,
• Matenda omwe amachititsa kuti munthu adye shuga kwambiri,
• kutenga beta blockers komanso kulimbitsa thupi mwamphamvu.

Zizindikiro za shuga wotsika wamagazi mwa akazi

Shuga wotsika wamagazi, Zizindikiro zake mwa akazi, amaphunziridwa ndi mankhwala kwazaka zambiri. Mpaka pano, zizindikiritso za shuga ochepa zimadziwika:

1. thukuta kwambiri
2. khungu
3. kunjenjemera
4. minofu hypertonicity
5. nkhawa komanso kupsa mtima
6. tachycardia
7. kuthamanga kwa magazi.
8. mydriasis

Mwa akazi, shuga ochepa amakhala ndi zizindikiro za parasympathetic:

• kufooka kwa thupi,
• kusanza ndi kusanza
• kumverera kwachilendo kwanjala.

1. chizungulire ndi kupweteka kwapang'ono,
2. kukomoka
3. kuda nkhawa ndi matenda amnesia,
4. zodziwika bwino zamanjenje,
5. nthawi zina, kuchepa kwakwanira.

Chifukwa cha kuchepa kwa shuga m'magazi, diplopia ndi paresthesia zimawonedwa nthawi zina.

Nthawi zina, zizindikiro zake zimakhala zofatsa, anthu samatopa kwambiri ndipo amafotokoza za moyo wawo mokwanira. Muzochitika izi, kuwodzera pamasiku opuma kungakhale chizindikiro cha matenda.

Zizindikiro zotere zimachepetsa shuga m'magazi zimawonedwa nthawi zambiri. Zizindikiro zitha kukhala payekha. Ngati pali zizindikiro zonse, ndipo zikubwerezedwa tsiku ndi tsiku, ndikofunikira kupita kwa dokotala nthawi yomweyo.

Adzalembetsa maphunziro, azindikiritse chizindikiro chabwinobwino cha shuga wamagazi ndi kupewa kupitiliza kwa matenda.

Pali njira zingapo zoyezera shuga. Munthu akakhala ndi zizindikiro zomwe zatchulidwa pamwambapa, muyenera kuyang'anitsitsa kuwerenga kwanu. Izi zitha kuchitika pogwiritsa ntchito kuyeserera kwa m'mimba yopanda kanthu, ndikuyesera pambuyo poyambitsa shuga.

Chiyeso china chodziwika bwino ndicho kuyesa kwa glucose. Phunziroli, pezani magalamu ochepa a shuga, omwe amasungunuka m'madzi. Pambuyo maola ochepa, wothandizira ma labotale amayenera kutenga magazi.

Zotsatira zabwino zitha kupezeka pochita maphunziro awiri nthawi imodzi. Asanayambe mayeso, munthu ayenera kutsatira malamulo ena azakudya. Sizoletsedwa kusuta, kumwa mowa ndi kudya zakudya yokazinga.

Kuyamwa magazi kumachitika m'mimba yopanda kanthu m'mawa, pambuyo pa mphindi zochepa munthu amapatsidwa yankho la shuga. Pakatha maola angapo, kuyesanso magazi kwachiwiri kumachitika.

Ngati zindikiridwa kuti shuga ayamba kutsika, muyenera kufunsa dokotala.

Zizindikiro za shuga wochepa mwa akazi sizinyalanyazidwa. Ndikofunika kufunsa dokotala nthawi yomweyo yemwe ayenera kudziwa zoyenera kudya. Chithandizo chokwanira ndicho njira yayikulu yothetsera vutoli.

Ngati chifukwa cha kuthamanga kwa shuga ndi kupezeka kwa matenda osokoneza bongo, chithandizo cha matendawa chiyenera kuyambitsidwa ndikusintha momwe moyo umakhalira. Ndikofunikira kukhazikika pamiyeso ya shuga ndikudya zakudya zokha zomwe zimaloledwa ndi matendawa.

Kuchiza kungaphatikizepo kugwiritsa ntchito mankhwala omwe ali ndi glucose. Munthu akakhala kuti ali ndi vuto la hypoglycemic, timu ya ambulansi imayenera kuyitanidwa nthawi yomweyo. Nthawi zambiri, kukhazikitsidwa kwa mankhwala omwe amatithandizira kupanga insulin kumasonyezedwa.

Shuga wocheperako amathanso kuyambitsidwa ndi zotupa mu kapamba. Pankhaniyi, adotolo amafotokozera opareshoni kuti athetse chotupacho. Ngati chotupa chili chocheperako, ndiye kuti kuchitapo kanthu kwa opaleshoniyo kuli ndi chiyembekezo chabwino, ndipo munthuyo amuchotsa vutoli.

Mankhwala aliwonse sayenera kugwiritsidwa ntchito popanda kufunsa dokotala. Ndi iye yekhayo amene amasankha ndalama zofunika ndikufotokozera momwe angalandire chithandizo.

Ndi shuga wochepetsedwa, simungathe kudzilimbitsa.

Ngati pali shuga wocheperako, endocrinologist imayambitsa kudya kwa munthu payekhapayekha, poganizira zovuta za momwe zinthu zilili, kukhalapo kwa matenda amishuga amitundu inayake komanso momwe alili masiku ano.

Ndikofunikira kuwonjezera kudya kwa zovuta zamoto, pogwiritsa ntchito:

1. masamba
2. durum tirigu
3. buledi wathunthu.

Ndikofunikira kupatula zakumwa zoledzeretsa, semolina, kuphika, sopo wamafuta ndi mitundu yonse yamafuta amnyama azakudya. Sitikulimbikitsidwanso kudya mpiru, tsabola, zonunkhira komanso nyama yofuka. Ndikofunika kuchepetsa kuchuluka kwa uchi, maswiti, misuzi ndi makeke.

Ndikofunikira kudya zogawika komanso pang'ono, mpaka kasanu patsiku. Kumbukirani kufunika kwa zakudya zama protein ndi mafuta ochepa. Muyenera kudya zakudya zambiri ndi fiber yambiri, zimachepetsa kuyamwa kwa glucose. Zosankha zabwino kwambiri ndi mbatata, chimanga ndi mbatata.

Ndikofunikira kuphatikiza zipatso zatsopano ndi zouma pamenyu, koma ndi shuga wochepa.

Muyenera kusankha zakudya zamafuta ochepa zomwe zimakhala ndi mapuloteni ambiri:

Muchepetse kudya kwa caffeine, yomwe imalimbikitsa kukula kwa hypoglycemia mu shuga. Zakumwa zokhala ndi mpweya ziyenera kusinthidwa ndi mchere wam'madzi wopanda mpweya.

Mutha kupeza mapuloteni ofunikira kuchokera ku thupi kuchokera ku mtedza ndi mafuta ochepa amkaka.

Miyeso ya Zizindikiro za shuga m'magazi

Ngati zizindikiro za kusowa kwa glucose m'magazi zikupezeka, koma zomwe zimayambitsa sizikudziwika, pali malingaliro angapo oyambira.

Choyamba, muyenera kudya bwino, pogwiritsa ntchito zopangidwa ndi mafuta. Simungagwiritse ntchito maswiti, chifukwa zidzatsogolera kuchuluka kwa shuga, kenako kutsika kwake.

Mutha kugwiritsa ntchito chipangizo chapadera - electrochemical glucometer, yomwe imalola kuchuluka kwa tsiku ndi tsiku shuga.

Ndikofunika kukumbukira kuti ndi dokotala woyenera yekha yemwe angazindikire zomwe zimayambitsa matenda ndikupereka njira yoyenera yolingana ndi machitidwe a mkazi.

Hypoglycemia imatha kuthandizidwa mosavuta ngati kuyimbira foni kwa dokotala kunali ndi nthawi, ndipo malingaliro onse azachipatala amatsatiridwa molondola. Ngati munthu anyalanyaza malamulo a mankhwalawo, ndiye kuti kuchepa kwa glucose kumapangitsa kuti zinthu zisinthe kwambiri m'thupi komanso mavuto akulu.

Zizindikiro za hypoglycemia mwa akazi ndizowopsa kunyalanyaza kapena kudzichitira pawokha.

Katswiri mu kanema mu nkhani iyi azikambirana za zomwe akuwonetsa ndi chithandizo cha hypoglycemia.

Madokotala nthawi zambiri amatanthauza shuga wochepa wa magazi ndi hypoglycemia, chizindikiro cha m'magazi chomwe chikuwonetsa kuchepa kwa shuga m'magazi m'miyezi yomwe ambiri amavomereza. Vutoli limayambitsidwa ndi zinthu zingapo, zomwe zimayambitsa kukula kwa hypoglycemic syndrome ndi zovuta / mavuto osiyanasiyana.

Kafukufuku adawonetsa kuti kuchuluka kwa shuga m'magazi kudagwa 3.3 mmol / L? Uwu ndi mkhalidwe wowopsa, womwe umatsogolera ma syndromes angapo osakhazikika, ndipo nthawi zina umayambitsa kukomoka (mkhalidwe wowopsa pakati pa moyo ndi imfa, wodziwika ndi kutayika kwa chikumbumtima, kufooka kowopsa kapena kusowa poyankha ndi mkwiyo wakunja). Monga tafotokozera pamwambapa, zifukwa zingapo zimatha kuyambitsa matenda a hypoglycemia, kuchokera kuzinthu zakuthupi zomwe zimapangitsa thupi kukhala matenda komanso kusadya bwino. Tizilombo toyambitsa matenda vutoli zimasiyana kwambiri ndi zomwe zimayambitsa kuchepa kwa ndende ya magazi kosamvetseka kwathunthu ndi asayansi.

Zizindikiro zazikulu za hypoglycemia ndi izi:

1. Matenda a adrenergic - mydriasis, thukuta kwambiri, khungu la khungu, kunjenjemera, minofu yayikulu, kukhumudwa pamodzi ndi nkhawa, kuda nkhawa komanso kupsa mtima, tachycardia komanso kuchuluka kwa magazi.
2. Zizindikiro za parasympathetic - kufooka kwathupi lathupi, nseru ndi kusanza, kumverera kwachabe kwanjala.
3. Mawonetseredwe a Neuroglycopenic - chizungulire komanso kupweteka kwa mutu kupweteka kwambiri, kusokonezeka kwapakati komanso kupuma, kusokonezeka ndi kukomoka, kusokonezeka kwa chikumbumtima ndi amnesia, zoyang'ana ndi zamitsempha zamitsempha zam'mimba, kuwonetsa kwa zochitika zakale, nthawi zina zosayenera. Pafupipafupi, paresthesia ndi diplopia zimawonedwa.

Kuchepa kwa shuga m'magazi kungayambike chifukwa chotsatira:

1. Mlingo wambiri wa insulin ndi mankhwala a hypoglycemic mu shuga.
2. Kuthetsa madzi m'thupi.
3. Zakudya zochepa komanso zopanda pake zomwe zimapangitsa kuti pakhale michere yambiri komanso mavitamini ochepa, michere, mchere.
4. Kuchita zolimbitsa thupi mwamphamvu.
5. Mowa
6. Zosiyanasiyana mosiyanasiyana - zamtima, zamanjazi, impso.
7. Kutopa kwathunthu kwa thupi.
8. Kuperewera kwa mahomoni ndi zoletsa za kaphatikizidwe wa glucagon, adrenaline, cortisol, somatropin.
9. Zotupa zowonjezera, insulinomas ndi zovuta zatsopano za mawonekedwe a autoimmune.
10. Kuchuluka kwa mchere wa m'magazi ndi njira yoviyikira.
11. Matenda opatsirana owoneka bwino.
12. Kusamba.

Magazi a shuga m'munsi mwa 3.5 mmol / L m'magulu onse awiriwa ndi chizindikiro chodziwika bwino kuti pali vuto m'thupi. Monga momwe machitidwe akusonyezera, nthawi zambiri, hypoglycemia mwa akulu imachitika ndi chithandizo cha matenda a shuga. Ngati njira yodziwika masana ndi zakudya sizisamalidwa kwambiri, ndipo kuphwanya mitsempha ya circadian kumathandizidwa ndi zochitika zolimbitsa thupi, ndiye kuti kumwa mankhwala ochepetsa shuga m'magazi kapena jakisoni wa insulin kungachepetse ndende ya glucose kuposa momwe muyenera.

Anthu ambiri omwe ali ndi zakumwa zoledzeretsa amakumananso ndi kuchepa kwamphamvu kwa shuga m'magazi chifukwa cha zotsatira zoyipa za ethanol, zomwe zimatulutsa kuchepa kwamasitolo a glucogen ndipo, motero, zoletsa zamtundu wawo wogwirizana. Ndikofunikira kuyang'anira kuchuluka kwamakono a shuga m'magazi tsiku lonse, chifukwa hypoglycemia singakhale yangozi kuposa hyperglycemia: imayambitsanso kuperewera, ngakhale siyowopsa m'thupi.

Mu ana, hypoglycemia imachitika makamaka chifukwa cha otsika-kalori zakudya komanso mipata yayikulu pakati pa chakudya motsutsana ndi maziko olimbitsa thupi komanso kupsinjika kwamphamvu kwa malingaliro. Mitundu ya tsikulo kugona mokwanira kumathandizanso.

Nthawi zambiri mu ana pamakhala mawonekedwe a idiopathic a mabanja a hypoglycemia, omwe amapezeka ndikuwonetsedwa mwa mwana wosakwana zaka ziwiri. Kuchepa kwa shuga m'magazi kumachitika chifukwa cha kukhudzika kwambiri kwa thupi kulocha leucine mwaulere. Zimagwira ngati chothandizira kwa kaphatikizidwe ka insulin yachilengedwe ndipo kumatseketsa gluconeogenesis m'chiwindi.

Hypoglycemia mu makanda amafunika chisamaliro chapadera. Monga lamulo, chizindikiritso chimapezeka m'mimba mwa ana osakhazikika omwe ali ndi hypothermia, kupuma kwamatenda ndi asphyxia pakubala. Imadziwonekera yokha mumaola oyamba amoyo. Zowonjezera zowopsa ndizo mayi amene ali ndi matenda a shuga a 2 komanso kumwa mankhwala ochepetsa shuga. Pankhaniyi, kuthana kwambiri ndi kukhazikitsa shuga, glucagon ndi hydrocortisone m'thupi ndikofunikira.

Zotheka ndi shuga

Kuphatikiza pa mawonekedwe a neuroglucopenic ndi adrenergic omwe afotokozedwa pamwambapa ndikusowa pambuyo pa chithandizo choyenera, odwala amatha kukhala ndi hypoglycemic coma, komanso kusokonezeka kwa mitsempha, mpaka kuchuluka kwakukulu kwa dementia. Kuphatikiza apo, shuga wochepa wa m'magazi ndi njira yowonjezera yowopsa ndipo imakwiyitsa zotupa za m'mimba, mikwingwirima komanso kulowetsedwa kwa mtima ndi mtima kwa odwala omwe ali ndi matenda a mtima.

Kuchiza kumakhazikitsidwa pochiza matenda oyambitsidwa ndi matenda komanso kuchepa kwa zizindikiro za hypoglycemia.

1. Mitsempha yosakanikirana yamitsempha yamagalasi ndi njira yodontha kapena makonzedwe amkamwa mwa dextrose monosaccharide, yomwe imadutsa pamimba, imayamwa nthawi yomweyo m'magazi.
2. Kuphatikiza chakudya chopatsa mphamvu “chofulumira” komanso chochepa pang'onopang'ono m'thupi mochepera.
3. Ndi kusagwira ntchito kwa zomwe tafotokozazi, jekeseni wa glucagon.
4. M'mikhalidwe yovuta, jakisoni wa corticosteroids - hydrocortisone, komanso adrenaline amaloledwa.
5. Kutsatira kwambiri zakudya zapadera.

Zomwe zili pamwambapa zamankhwala azikhalidwe, zoperekedwa pansipa, ziyenera kuvomerezedwa ndi dokotala!

1. Katatu patsiku, imwani madontho a 1520 a tincture wa Leuzea, omwe angagulidwe ku mankhwala. Kwezerani kaye mlingo mu supuni ya kutentha kwa chipinda.
2. Tengani magawo awiri a 2 agrigass, St. John wa wort, hemophilus, chamomile, sinamoni wa gingerbread ndi plantain, onjezerani gramu imodzi ya licorice ndi chowawa pa chopereka. Thirani osakaniza ndi malita 0,5 a madzi otentha ndipo muulole amwe kwa mphindi 25. Tsanulira madzi kudzera m'magawo atatu a gauze ndi kutenga othandizira a 50 magalamu, katatu patsiku kwa mwezi umodzi.
3. Thirani supuni imodzi ya zipatso zosankhuka zosaphika ndi makapu awiri amadzi otentha. Lolani kuti lidutse kwa mphindi khumi ndi zisanu, kudutsa cheesecloth ndi kumwa chikho ½ kawiri pa tsiku kwa masabata awiri.
4. Gwiritsani adyo ndi lingonberry pafupipafupi, makamaka mwatsopano.

Mndandanda wazinthu zoyenera kupewa kuti muchepetse kuchepa kwa shuga m'magazi umaphatikizapo chakudya chopatsa thanzi komanso chizolowezi chatsiku ndi tsiku, komanso kukonza mankhwalawa matenda a shuga. Kuphatikiza apo, tikulimbikitsidwa kuti muthe kutenga ma multivitamini ovuta okhala ndi chromium mwa iwo, kukana kumwa mowa ndi kusuta fodya, kuchita masewera olimbitsa thupi, komanso kuwadziwa onse omwe ali ndi vuto ndi kuwalangiza pazoyenera ngati pakuwoneka chizindikiro.

Ndi shuga wotsika magazi, endocrinologist amakupangira zakudya zomwe munthu angadye, poganizira zovuta zake, kupezeka kwa matenda a shuga a mtundu winawake, komanso momwe thupi lilili masiku ano.

1. Onjezani kudya kwanu zovuta zamatumbo mwa kudya masamba, masamba ndi tirigu wam'mimba, ndi buledi wopanda tirigu.
2. Osapatula mowa, semolina, pasitala kuchokera ku mitundu ya tirigu yofewa, makeke, mafuta ndi msuzi wamphamvu kwambiri, mitundu yonse ya mafuta a zophikira ndi nyama, zonunkhira, zakudya zosuta, tsabola ndi mpiru.
3. Idyani maswiti, makeke, uchi ndi msuzi kwambiri.
4. Idyani pang'ono, m'magawo ang'onoang'ono, musaiwale kudya zakudya zamapuloteni ndi mafuta ochepa.
5. Muziyang'ana kwambiri pazakudya zomwe zimakhala ndi fiber yambiri, zomwe zimachepetsa kuyamwa kwa shuga kuchokera ku chakudya chovuta. Zosankha zabwino kwambiri ndi chimanga, nandolo, mbatata za jekete.
6. Onetsetsani kuti muphatikiza pa menyu zipatso, zatsopano ndi zouma, kapena mu msuzi wanu womwe, wokhala ndi shuga pang'ono kapena pang'ono.
7. Sankhani magwero a protein - nsomba, nyemba, nkhuku kapena nyama ya kalulu.
8. Muchepetse kugwiritsa ntchito tiyi wa khofi kwambiri momwe mungathere, komwe kumachulukitsa zochuluka pakukula kwa hypoglycemia.
9. M'malo zakumwa za carbonated ndi zakumwa zopanda mafuta.
10. Mutha kupeza mapuloteni omwe mumafunikira thupi kuchokera kuzinthu zina - mtedza, mafuta ochepa amkaka.

1. Tikhala ndi mazira awiri owiritsa ndi tiyi wopanda mafuta ndi chidutswa chochepa cha mkate.
2. Tili ndi zodetsa zilizonse ndi kapu imodzi ya mkaka kapena chipatso chimodzi chofiyira.
3. Tili ndi nkhomaliro ndi msuzi pa msuzi wamafuta nyama ndi saladi wamasamba. Kuphatikiza apo - gawo la nsomba zotentha ndi tiyi.
4. Khalani ndi zoziziritsa kukhosi masana ndi zipatso zingapo komanso tiyi yazitsamba. Njira ina ndi magalamu 50 a walnuts.
5. Chakudya chamadzulo cha nkhuku kapena nyama ya kalulu yokhala ndi mbale yamasamba. Monga m'malo mwa tiyi ndi khofi, mutha kugwiritsa ntchito chicory.
6. Maola awiri asanagone - kapu ya 1 kefir.

Penyani zakudya zanu, idyani moyenera, samalani zochitika zamasiku onse ndipo nthawi zambiri mutha kuthana ndi hypoglycemia popanda mankhwala!

Zizindikiro zoyambirira ndi chithandizo cha hypoglycemia

Mutha kuonjezera kuchuluka kwa shuga m'magazi kudzera m'njira zingapo:

1. Kukonzekera kwa pakamwa kwa mawonekedwe a dextrose monosaccharide.
2. Drip mtsempha wamagazi.
3. Mgwirizano makonzedwe a glucagon.
4. Kuphatikiza zakudya zomwe zili ndi zakudya zophatikizika, kuphatikizidwa m'zakudya zamafuta ambiri osaphatikizidwa ndi zomwe zimapezeka mu dengu zomwe zimapezeka ndi leucine, komanso chakudya cham'mimba mosavuta.
5. Zakudya zochepa zokhala ndi zovuta komanso zosavuta "zopatsa" - zomwe zimachitika mwachangu, pomwe zotsalazo zimakonza zotsatira (ma cookie owuma, mkate).
6. Kuchepetsa zolimbitsa thupi.

Kodi pali ngozi yotani ya shuga m'magazi panthawi ya pakati?

Hypoglycemia imasokoneza mwana wosabadwayo, kuchepetsa kwambiri kuchuluka kwa glucose omwe amalowetsa mwana wosabadwa kudzera mu placenta, yomwe imakhudza kukula kwake. Kuphatikiza apo, kusowa kwa magazi kungayambitse kubadwa msanga ndikukulitsa mwayi wokhala wolakwika.

Onetsetsani kuti mukuwonetsetsa kuchuluka kwa shuga pa nthawi yomwe muli ndi pakati, makamaka ngati muli ndi matenda ashuga kapena zizindikiro zoyambirira za vutoli zimawonekera - kugona, kutuluka thukuta kwambiri, kunjenjemera m'malire, kumangokhala ndi njala, ndi zina zambiri.

Njira “yodzidzimutsa” yochotsa matenda a hypoglycemia mofatsa kapena pang'ono ndiyo kugwiritsa ntchito kamodzi "chakudya chambiri" (timadziti, maswiti ndi shuga.) Komabe, mulimonsemo, dziwitsani dokotala za vutoli, pambuyo pake akupatseni mayeso a magazi ndi kukupatsani chithandizo choyenera.

Kodi chingapangitse kuti shuga ya m'magazi akhale yatsopano mwa mwana ndi chiyani?

Nthawi zambiri, hypoglycemia mu wakhanda m'maola ochepa a moyo wake chifukwa cha zinthu zingapo zoyipa - asphyxia pa nthawi yobereka, kufalikira kwamphamvu kapena kwapakati, kupuma. Zowonjezera zowopsa zimachokera kwa amayi omwe ali ndi matenda ashuga ndipo nthawi zonse amamwa mankhwala ochepetsa shuga.

Vutoli liyenera kuthetsedwa mwachangu: nthawi zambiri wakhanda amasamutsidwira kumalo osungirako odwala kwambiri, glucose amalowetsedwa m'thupi (kudzera m'mitsempha). Ndi mphamvu yochepa, makonzedwe a glucagon ndi hydrocortisone amadziwikiratu mpaka kuchuluka kwa ndende ya magazi ndikukhazikika.

Zizindikiro zazikulu za shuga m'magazi ndi ziti?

Ndi hypoglycemia, wodwalayo amakhala ndi zovuta zingapo. Odziwika kwambiri a iwo:

1. Ululu wam'mutu komanso chizungulire.
2. Kukomoka, kusokonezeka kwa chikumbumtima, amnesia.
3. Diplopia ndi paresthesia.
4. Zovuta zingapo zamtundu wapakati wamtima wamtima (nthawi zambiri arrhythmias).
5. Kulephera kopindulitsa.
6. Zambiri kufooka kwa thupi lonse, nseru ndi kusanza.
7. Kumva njala.
8. Kutuluka thukuta kwambiri, khungu la khungu, kuchepa kwa minofu.
9. Tremor, mydriasis.
10. Kuda nkhawa, kusakwiya, kuchita ziwawa.

Ngati mwazindikira zina mwazina mwazomwe mwadzinazo - pimani kuyeza kapena kuyeza kuchuluka kwa shuga m'magazi ndi glucometer.

Shuga wotsika magazi, kapena hypoglycemia: Zizindikiro mwa akazi, thandizo loyamba komanso chithandizo cha zakudya

Kapangidwe ka magazi kamatenda kamatengera zinthu zambiri, kuphatikiza kuchuluka kwa mahomoni a mkazi.

Zifukwa zochepetsera shuga m'magazi zimatha kukhala chifukwa cha kusintha kwokhudzana ndi ukalamba, kutenga pakati, komanso kufinya thupi. Kuyesedwa kwa Laborator kwa kapangidwe ka mankhwala ndi mahomoni kungathandize kudziwa shuga wochepa wa magazi mwa azimayi munthawi yoyenera.ads-pc-2

Glucose imatenga mphamvu yama cell, motero kuchuluka kwake kosakwanira kumakhudza mbali zonse za thupi.

Choyambirira, shuga ndi wofunikira muubongo;

Kuunika kwa biochemical kungathandize kuzindikira mtundu wa hypoglycemia, kuwonetsa kuchuluka kwa kuchepetsa shuga.ads-mob-1

Hypoglycemia yeniyeni imalembedwa pamasamba a shuga omwe ali pansi pa 3.3 mmol / L, mwina chifukwa cha kanthawi kochepa chifukwa cha zinthu zoyipa. Hypoglycemia wonamizira akuwonetsa kuchepa msanga kwa shuga. Amapezeka ndi mayeso ololera a glucose, pomwe kuchuluka kwa shuga kumayesedwa kwa maola awiri ndi theka la ora.

Shuga wochepa akakhalapo, zizindikiro mwa akazi zimatha kufotokozeredwa ndi zizindikiro zakunja. Chizungulire cham'mawa, mphwayi, kupweteka kwa pakhungu, khungu ndi chizindikiro chachikulu kwambiri cha shuga wochepa mwa akazi. Mphamvu yanjala yamaselo imasinthidwa ndi zakudya, zolimbitsa thupi zolondola, boma lochita ntchito komanso kupumula.

Zizindikiro zazikuluzikulu za shuga m'magazi:

• mawonetseredwe apadera: kupweteka m'mutu kosiyanasiyana, kusamva bwino ngakhale mutatha kudya, kuda nkhawa komanso kukwiya.
• zovuta zamagulu: tachycardia yowona, miyendo yanjenjemera, kupindika, kuwonetsa kuyenda kwa magazi kudutsa thupi. Kudumphadumpha mu glucose pansi kumayambitsa arrhasmia, pallor lakuthwa, kupumira mwachangu. Dongosolo la parasympathetic limathandizira kuthamanga kwam'mimba, komwe kumabweretsa njala, kugwedezeka m'mimba,
• kuchokera ku mitsempha: pre-syncope, mitambo ya chikumbumtima, pulsation m'matumbo (kugogoda mutu). Mitundu ikuluikulu ya hypoglycemia imayambitsa kulumikizana kwa magawo ena a ubongo, zomwe zimakhala zoopsa pambuyo pake. Mwina kumayambiriro kwa glycemic chikomokere ndi shuga msanga 2.7-2.3 mmol / l (wotsimikiza ndi glucometer). Kuthekera kwa kuthekera kwa matenda ndi vuto la m'maganizo pambuyo pa kupuma,
• kagayidwe amasokonekera, mapuloteni ndi mafuta sizinapangidwe bwino, thupi limafunikira chakudya chamoto chambiri. Kuchepetsa kwa glucose m'magazi kumapangitsa kuti mumve njala, zomwe zimabweretsa kulemera.

Zizindikiro zochepa za glycemic zimalembedwa osati kokha mwa odwala omwe ali ndi matenda a shuga, komanso zimawonetsa kusowa kwa kapamba, grencia, gonad.

Amayambitsa shuga wochepa m'magazi, azimayi amatha kudziwa momwe matenda amkati amathandizira:

• kusokonezeka kwa chiwindi (zomwe zimayambitsa shuga wochepa m'magazi mwa azimayi, odziwika ndi kusowa kwa kapangidwe ka mahomoni a steroid),
• zovuta zam'mimba (ma carbohydrate samayamwa),
• kupsinjika kwa thanzi ndi malingaliro osalamulirika (maselo atopa mphamvu zawo),
• matenda a impso (palibe kusintha kwina kwa impso),
• kusowa kwa chakudya m'zakudya (panthawi yopanda chakudya chamafuta) kapena kumwa kwambiri maswiti okhala ndi shuga wambiri,
• kumwa mowa pafupipafupi, Mowa umalepheretsa kuchuluka kwa shuga m'chiwindi,
• endocrinopathies (hyperinsulinism, kuperewera kwa mphamvu ya hyperglycemic: kukula, glucagon, glucocorticoids, catecholamines),
• chisonyezero chosaopsa ndi kupweteka kwa kapamba, kuchititsa mapangidwe a insulin osalamulirika.

Kusayang'anira chakudya chomwe mayi wapakati amakhala ndi nthawi yayitali yopuma kumabweretsa mphamvu yanjala ndipo, chifukwa chake, kukulira thanzi, kutsitsa magazi, kusiya kugona.

Kusanthula kwa Laborator kumawonetsa shuga m'magazi omwe ali ndi amayi omwe akuchita ntchito yopanga masewera olimbitsa thupi.

Polembetsa m'chipatala cha amayi oyembekezera, azimayi oyembekezera amapatsidwa setifiketi yosavutikira pantchito zovuta.

Kuchepetsa shuga kwa azimayi kumawonedwa ndi kuperewera kwa mahomoni: mimba yabodza, opaleshoni yokakamiza, kusintha kwa thupi, matenda a gynecological. Kuchepa kwa msambo kumabweretsa kusalingalira kwam'magazi komwe kumayambitsa matenda a hypoglycemia.

Ndikotheka kuwonjezera shuga posintha zolimbitsa thupi, zakudya. Ngati zizindikiro za hypoglycemia sizinathere, ndiye kuti kuwunika ma labotale komanso kuchezera akatswiri akatswiri kungakuthandizeni kudziwa chomwe chimayambitsa vuto la kuperewera kwa magazi m'thupi la magazi.ads-mob-2

Kuchepa kwambiri kwa msanga shuga kumayambitsa chikomokere, chomwe chimatseka ubongo. Kuthandizira pa nthawi yake kupatula zovuta zina zomwe zingasinthe pamavuto amanjenje: stroke, aphasia, khunyu, encephalopathy, matenda ammimba. Kwa odwala omwe amadalira insulin komanso anthu omwe ali ndi matenda a shuga, ndikofunikira kuti athandizidwe mphindi 15 mpaka 10 kumayambiriro kwa kuphwanya.

Odwala omwe ali ndi hypoglycemia amalimbikitsidwa kuti azitha kupereka gwero la shuga wofinya msanga: zakumwa zotsekemera, caramel, kagawo ka shuga, chokoleti. Ngati kuukira kungoyamba kumene, ndiye kuti mutha kuyimitsa nokha.

Ndi choopsa ngati shuga yochepa, zizindikiro mwa akazi zimatha kuzindikirika ndi mawonekedwe akunja: nkhope yotuwa, khungu lonyowa, tachycardia yokhala ndi kugwedezeka kowonjezereka.

Thandizo liyenera kuperekedwa mwachangu ambulansi isanabwere. Wodwala sangathe kusankha payekha chifukwa cha kupuma chifukwa cha zovuta kapena zinthu zina zokhumudwitsa.

Al shuga yochepa kwambiri

1. perekani malo abwino: malo oyimirira ndi mutu wokweza pang'ono,
2. munjira yodziwira, yokhala ndi ntchito zomeza zosungika, imwani zakumwa zotsekemera kapena kuyika shuga pansi pa lilime (ndikofunikira kugwiritsa ntchito magwiridwe amodzi). Chakumwa chija chidzalowa m'magazi, ndikweza shuga, zomwe sizingachitike ndi caramel kapena manyowa,
3. mwadzidzidzi, odwala ali ndi syringe ndi glucagon, imayendetsedwa kamodzi kapena kudzera m'mitsempha kamodzi, osapitirira 1 ml. Kuyang'anira kapangidwe kazomwe magazi amapanga kumateteza ubongo kuti usasinthe.
4. itanani mwachangu ambulansi kuti agonekere kuchipatala.

Anazindikira hypoglycemia kumayambiriro koyambirira kumawongolera ndi zakudya. Menyu imasankhidwa poganizira chakudya cha metabolism.

Zakudya zokhala ndi fiber yayitali-yopukutira (masamba, chimanga, nyemba, zipatso, mbewu, zipatso zamtundu wolimba) zimathandizira kupanga insulini pang'onopang'ono.

Zakudya zamafuta othamanga komanso zotsekemera zotsekemera zimaperekedwa kunja, zimasiyidwa kuti ziyimitse kuwukiraku ndipo sizapangidwa kuti zizigwiritsidwa ntchito tsiku lililonse.

Ndikosatheka kusiyanitsa kwathunthu chakudya cha zakudya m'zakudya, komanso m'malo mwake. Shuga (kuphatikiza chobisika), zopangidwa m'makampani opanga mafakitale zimayambitsa kulumpha kwa glucose, zomwe zimapangitsa kuchepa kwambiri kwa shuga.

Zodzaza ndi hypoglycemia mu kanema:

Kukhala ozindikira kuumoyo, kudutsa mayeso a kuchipatala panthawi yake ndikuthandizani kupewa zotsatira zosasinthika. Mchere wamagazi ochepa mwa akazi kwa nthawi yayitali umatsogolera ku matenda a machitidwe ena a thupi. Myocardial infarction, zotupa m'mimba ndi mkati mwa retina zimawonedwa. Gawo loyamba la hypoglycemia liyenera kukhala chifukwa cholumikizirana ndi katswiri, endocrinologist, ndi diabetesologist.

• Imakhazikika pamisempha ya shuga kwa nthawi yayitali
• Imabwezeretsa kapangidwe ka insulin

1. 
   C. Kilo, J. Williamson “Matenda a shuga ndi otani? Mfundo ndi malingaliro. ” M, Mir, 1993
2. 
   Ametov A., Kasatkina E., Franz M. ndi ena. Momwe mungaphunzirire kukhala ndi matenda a shuga. Moscow, Interpraks Publishing House, 1991, masamba 112, kufalitsa kowonjezera kwa makope 200,000.
3. 
   Pervushina, E.V. Matenda a shuga ndi kupewa kwake. Endocrine system / E.V. Pervushina. - M: Amphora, 2013 .-- 913 p.

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

Shuga wochepa wamagazi - zimayambitsa komanso zotsatira zake

Njira yogwiritsira ntchito pathogenetic yokhudza kukula kwa hypoglycemia ndiyomwe imathandizira kugwiritsa ntchito shuga ndi minofu, kuchuluka kwa insulini komanso kusakwanira kwa glucose pazakudya. Pofuna kumvetsetsa zifukwa zomwe shuga m'magazi zimatsikira, lingaliro la glucose metabolism liyenera kumveka.

Kugwiritsa ntchito zovuta kwa chakudya kumafunikira magwiridwe antchito a kapamba, kutulutsa insulin. Kufunika kwambiri kwa insulin kumachitika mu mphamvu yake yothandiza kuphatikiza mapuloteni am'magazi a cell omwe amayendetsa ma molekyulu a glucose.

Chifukwa chake, mkhalidwe wa hyperinsulism (kuchuluka kwa kuchuluka kwa mahomoni) kumakhudza mwachindunji kuchuluka kwa shuga m'maselo a anthu ndi minofu.

Pali mitundu iwiri ya hyperinsulism: exo (kunja) ndi amkati (mkati).

Zomwe zimapangitsa kuti kunja kwakhale kuyamwa kwambiri kwa mahomoni panthawi ya jakisoni wa insulini (kuwerengera kolakwika kwa magawo a mkate ndi kusowa kwa chakudya chamagulu a zakudya panthawi ya jakisoni wa insulin).

Mwa zina zomwe zimayambitsa matendawa, insulin imadzipatula - chotupa cha kapamba, yemwe nthawi zambiri amakhala wopanda vuto, yemwe amayamba kupanga mahomoni mosasamala. Poterepa, insulin katulutsidwe sikamayikidwa mwanjira iliyonse yoyendetsera thupi. Kuchotsa neoplasm kumabweretsa kuchira kwathunthu kwa wodwalayo, ndipo kudziwikiratu kwa chotupa choyipa kwambiri kumadalira malo ake komanso kukhalapo kwa metastases.

Shuga wotsika magazi amakhalanso ndi zotupa zazikuluzikulu zilizonse, zomwe zimatha. Kuphatikiza apo, ma neoplasms ena owopsa (zotupa zopanga mahomoni) amatha kupanga zinthu monga insulin komanso kutsitsa shuga wambiri.

Nthawi zambiri anthu akamwalira ndi hypoglycemic coma amakhala ocheperako poyerekeza ndi odwala matenda ashuga. Komabe, kuperewera kwa shuga m'magazi kumatha kubweretsanso mavuto azaumoyo - matenda amiseche, mavuto obwera chifukwa cha tachyarrhythmias, matenda oopsa, kukomoka, hypoglycemic coma, ndi zina zambiri.

Hypoglycemia mwa akhanda

M'masiku oyamba a moyo, mwana amatha kukhala ndi hypoglycemia wolimbitsa. Amakonda kwambiri ana akhanda asanakwane, komanso ndi zizindikiro za kupuma thirakiti ndi hypothermia. Ngati mayi wa mwana wapezeka ndi matenda a shuga, ndiye kuti maola 6 oyamba amoyo, mwana wake wobadwa kumene amatha kukhala ndi shuga wambiri.

Komanso, hypoglycemia imatha kuyamwa ndi osakwanira yoyamwitsa.

Chofunikira: hypoglycemia wakhanda imafunikira chithandizo chamankhwala mwachangu, ngakhale mwamphamvu.

Monga lamulo, chithandizo cha mankhwala chimakhala ndi jakisoni wambiri wa 40% shuga, ndipo pakapanda kusintha kwakukulu pomwe chitsitsimutso chibwerera mwachizolowezi, mahomoni (hydrocortisone ndi glucagon) amawathandizira intramuscularly.

Kodi ndichifukwa chiyani shuga amayamba kugwera munthu wathanzi?

Zizindikiro za shuga wochepa wamagazi zimawonedwa mwa anthu athanzi pochita zolimbitsa thupi mwamphamvu. Kuphatikiza kwamasewera ndi kusala kapena kudya pang'ono kumapangitsanso kutsika kwakuthwa kwa chizindikirocho.

Mchere wotsika wamagazi mwa azimayi amalembedwa nthawi yakusamba.

Hypoglycemia yamatenda ikhoza kuchitika ndi kuledzera. Kugwiritsa ntchito zakumwa zakumwa zoledzeretsa kumabweretsa mphamvu yogwiritsa ntchito mphamvu yofunikira pantchito ya michere yomwe imawola ethanol. Nthawi zambiri, mowa umayamba mwa anthu omwe ali ndi uchidakwa. Komabe, kukula kwa kanthawi kochepa kwa hypoglycemia mwa anthu omwe amamwa mowa nthawi zina, makamaka pamimba yopanda kanthu, sikumayikidwa padera.

Shuga wamba wamagazi mwa akazi

Mtengo wambiri wololedwa wamagazi kwa mkazi ndi:

• kwa venous magazi - 6.2 mmol / l,
• ndi magazi a capillary, 5.6 mmol / L.

Kwa amuna, kufunikira kwa muyezo wamagazi ndi venous ndi capillary kumawonjezeka mpaka 6.5 ndi 5.5 mmol / l, motsatana.

Makhalidwe ocheperako: 3, 5 - 4 mmol / l kwa amuna ndi akazi onse.

Ngati zophatikiza phunziroli zidatengedwa mwachangu, ndipo chakudya chomaliza chisanathe maola opitilira awiri, ndiye kuti kusintha kwazinthu zatsopano kumakhala kosinthika. Potere, mulingo wovomerezeka ndi 10 - 11 mmol / L.

Pambuyo pa zaka 60, magwiridwe antchito a maselo a pancreatic amatsika, ndiye kuti malingaliro abwinobwino amakhala osiyanasiyana kuyambira 4.5 mpaka 7 mmol / l (pamimba yopanda kanthu).

Momwe mungakulitsire shuga kunyumba?

Mashuga akapezeka pamlingo wa 3 - 3.5 mmol / l, ndikokwanira kuti munthu amwe mafuta okwanira 10-15 g. Njira yabwino ndikumamwa masukidwe osavuta (mwachitsanzo, dextrose), chifukwa safunikira nthawi yopatikirana ndipo nthawi yomweyo amalowa munjira yoyendetsa pakamwa.

Mutha kupatsa wodwalayo kapu ya madzi kapena madzi ndi shuga osungunuka mmalo mwake, kudya chokoleti, kupanikizana, ndi zina zambiri.

Hypoglycemia yayikulu imayimitsidwa pakumwa chakudya chamafuta ambiri. Chifukwa chake, nthawi yomweyo muyenera kugwiritsa ntchito zosachepera 15 - 20 magalamu a zosavuta zosavuta, ndipo pambuyo pake magalamu 20 a dzuwa ovuta (zinthu zophikira buledi kapena makeke).

Algorithm yoletsa pang'ono pang'ono kusowa kwa shuga m'thupi:

• kugwiritsa ntchito glucometer, yezani mtengo wa chizindikiro, tsimikizirani mkhalidwe wa hypoglycemia,
• kumwa magalamu 15 a shuga wosavuta,
• yeretsaninso shuga.

Pakusintha kwamphamvu zabwino, mfundo za 2 ndi 3 zimabwerezedwanso mpaka chizindikirocho chimabwezeretsedwa pamikhalidwe yokhazikika.

Ngati munthu sakudziwa, ndiye kuti jakisoni wa 1 mg ya glucagon amathandizidwa ndi intramuscularly. Glucagon ndi mahomoni apuloteni omwe angayambitse kuwonongeka kwa glycogen m'maselo a chiwindi. Pomaliza, izi zimabweretsa kuwonjezeka kwa milingo ya shuga.

Panthawi yachipatala, wodwalayo amapaka jekeseni 40% kudzera m'mitsempha, yomwe imabwerera mwachangu.

Kuphatikiza apo, pali ma gels apadera ndi mapiritsi otengera shuga wosavuta wa dextrose. Ndikofunikira kuwerengera mulingo woyenera, popeza kuchuluka kwake kungapangitse munthu kukhala ndi vuto lowopsa la hyperglycemia.

Ndi zakudya ziti zomwe zimawonjezera shuga?

Muyezo watsiku ndi tsiku la shuga kwa munthu ndi magalamu 38 kwa amuna ndi 25 magalamu a akazi. Kugwiritsa ntchito kwambiri kumabweretsa katundu pa kapamba ndi kuchuluka kwambiri.

Chofunika kwambiri poyimitsa Hypoglycemic syndrome ndi mndandanda wa glycemic wowerengedwa kuti agulitse zinthu. Zimawonetsa kuchuluka komwe ma carbohydrate osavuta amapunthidwa ndi thupi laumunthu ndikupangitsa kuti magazi azikhala ndi magazi ambiri.

Mndandanda wazinthu zomwe zimachulukitsa shuga wamagazi, poganizira index ya glycemic.

Zakudya zokhala ndi chisonyezo chotsika cha hypoglycemic, monga mafuta amafuta, masamba kapena zipatso, komanso zinthu zophika mkate zatsopano, ndizoyenera kuyimitsa kuperewera kwa shuga.

Iyenera kutsimikiziridwa kuti zakudya zamasamba zomwe zimakhala ndi fiber yayikulu sizikhala zothandiza komanso zothandiza mu pathological state of hypoglycemia, chifukwa chake, sizoyenera kugwiritsa ntchito.

Kupewa

Njira zopewera ndizophatikizana ndi malingaliro otsatirawa:

• zolimbitsa thupi
• zakudya zopatsa thanzi, kuthetsa kudya zakudya zamafuta kwambiri komanso mowa,
• kutsatira mlingo wa mankhwala ngati kuli kotheka, jakisoni wa insulin.

Tiyenera kudziwa kuti kutsatira lamulo limodzi motsutsana ndi maziko a kunyalanyaza ena sikungabweretse zotsatira zomwe mukufuna. Ngati wina m'banjamo ali ndi matenda ashuga, ndiye kuti achibale ayenera kudziwa njira zoletsa matenda a hypo- kapena hyperglycemia kuti athandizidwe panthawi yake komanso popanda cholakwika.

Julia Martynovich (Peshkova)

Omaliza maphunziro, mu 2014 adachita maphunziro apamwamba ku Federal State Budget Educational Institution of Higher Education ku Orenburg State University ndi digiri ya Microbiology. Omaliza maphunziro a digiri yoyamba FSBEI HE Orenburg State Agrarian University.

Mu 2015 Institute of Cellular and Intracellular Symbiosis of the Ural Nthambi ya Russian Academy of Science inachita maphunziro apadera pansi pa pulogalamu yowonjezera yaukadaulo "Bacteriology".

Laureate mpikisano wa All-Russian pantchito yabwino yasayansi mukutchedwa "Biological Science" wa 2017.