I-Hypoglycemia kushukela: izimpawu nokwelashwa

I-Hypoglycemia yilapho ushukela wegazi wehla ngezansi ngokujwayelekile. I-hypoglycemia emnene ibangela izimpawu ezingathandeki, ezichazwe ngezansi esihlokweni. Uma kwenzeka i-hypoglycemia enkulu, umuntu ulahlekelwa ukuqaphela, futhi lokhu kungaholela ekufeni noma ukukhubazeka ngenxa yokulimala kobuchopho okungalungiseki. Ukuchazwa okusemthethweni kwe-hypoglycemia ukuncipha kweglucose yegazi kuya ezingeni elingaphansi kuka-2.8 mmol / l, okuhambisana nezimpawu ezimbi futhi kungadala ukungaboni kahle. Futhi, i-hypoglycemia ukuncipha koshukela wegazi kuya ezingeni elingaphansi kuka-2.2 mmol / l, noma ngabe umuntu akazizwa izimpawu.

Ukuchazwa kwethu kwe-hypoglycemia: yilapho isiguli esinesifo sikashukela sehla noshukela wegazi ongu-0,6 mmol / L ngaphansi kweleveli yakhe yokuqondisa noma kungaphansi kwalokho. I-hypoglycemia emnene ushukela wegazi 0,6-1.1 mmol / L ngaphansi kwezinga lokuqondiwe. Uma ushukela uqhubeka nokuwa, khona-ke i-hypoglycemia iba namandla lapho ushukela usuqala ukunganele ukondla ingqondo. Umqondo uthi isiguli ngasinye sinezinga likashukela egazini eliqondiwe. Njengomthetho, udinga ukuzama ukugcina ushukela wegazi, njengabantu abanempilo ngaphandle kwesifo sikashukela. Kepha ezimweni ezinzima zesifo sikashukela, iziguli kufanele zilondoloze ushukela ophezulu okokuqala. Ukuthola eminye imininingwane, bheka isihloko esithi “Izinjongo zokunakekelwa kwesifo sikashukela. Okudingwa ushukela wegazi. ”

I-Hypoglycemia kwisifo sikashukela ingadala izizathu ezimbili ezinkulu:

• imijovo ye-insulin;
• ukuthatha amaphilisi adala ukuthi ama-pancreas akhiqize amanye ama-insulin awo.

Imijovo ye-insulin yokwelashwa kwesifo sikashukela sohlobo 1 nohlobo 2 ibaluleke kakhulu, futhi izinzuzo zazo zedlula kude ingozi engenzeka ye-hypoglycemia. Ngaphezu kwalokho, lapho usuyazi indlela yemithwalo emincane futhi ukwazi ukuphatha ngemithamo emincane ye-insulin, ubungozi be-hypoglycemia buzoba ngaphansi kakhulu.

Sincoma kakhulu ukulahla amaphilisi abangela ukuthi ama-pancreas akhiqize i-insulin eningi. Lokhu kufaka yonke imishanguzo yesifo sikashukela evela ezigabeni ze-sulfonylurea kanye nezigaba ze-meglitinides. Lawa maphilisi awanakubangela i-hypoglycemia kuphela, kodwa futhi angalimaza nangezinye izindlela. Funda ukuthi "Imiphi imishanguzo yesifo sikashukela elimaza kakhulu kunokuhle." Odokotela abasemuva kwezikhathi basaqhubeka nokubabhalela iziguli ezinesifo sikashukela sohlobo 2. Izindlela ezihlukile, ezichazwe ohlelweni lokwelapha isifo sikashukela sohlobo 2, zikuvumela ukuba ulawule ushukela wegazi ngaphandle kwengozi ye-hypoglycemia.

Izimpawu ze-hypoglycemia

Izimpawu ze-hypoglycemia zibonakaliswa ngokucace kakhudlwana, ukwehla ngokushesha kwamazinga kashukela egazini.

Izimpawu zokuqala ze-hypoglycemia (isidingo esiphuthumayo sokudla ama-carbohydrate “asheshe”, amaphilisi kashukela):

• indlala yesikhumba;
• ukujuluka
• ukuthuthumela, izibuko;
• indlala enkulu;
• ukungakwazi ukugxila;
• isicanucanu
• ukukhathazeka, ulaka.

Izimpawu ze-hypoglycemia, lapho ushukela wegazi uphansi kakhulu, futhi i-hypoglycemic coma isivele isondele kakhulu:

• ubuthakathaka
• isiyezi, ikhanda;
• umuzwa wokwesaba;
• ukuphazamiseka kwenkulumo nokubonakalayo ekuziphatheni;
• ukudideka kokwazi;
• ukuhlangana okungahambi kahle kokunyakaza;
• ukulahleka kokuma endaweni;
• izitho eziqhaqhazelayo, izihlakala.

Akuzona zonke izimpawu ze-glycemic ezibonakala ngasikhathi sinye. Esikhathini sikashukela esifanayo, izimpawu ze-hypoglycemia zingashintsha isikhathi ngasinye. Ezigulini eziningi, umuzwa wezimpawu ze-hypoglycemia “uthambile”. Abantu abanjalo abanesifo sikashukela njalo lapho kungazelelwe balahlekelwa ingqondo ngenxa yokuthuthuka kwe-hypoglycemic coma. Banobungozi obukhulu bokukhubazeka noma ukufa ngenxa ye-hypoglycemia enzima. Ngenxa yalokho okwenzekayo:

• ushukela wegazi ophansi kakhulu;
• umuntu kade agula isifo sikashukela;
• ubudala
• uma i-hypoglycemia ivela kaningi, khona-ke izimpawu azizwakali kahle.

Abantu abanjalo kumele bangabi yingozi kwabanye ngesikhathi se-hypoglycemia engazelelwe. Lokhu kusho ukuthi kuvunyelwe kubo ukwenza umsebenzi izimpilo zabanye abantu ezincike kuzo. Ikakhulu, abanesifo sikashukela abavunyelwe ukushayela imoto nokuhamba komphakathi.

Ezinye iziguli ezinesifo sikashukela ziyaqaphela ukuthi zine-hypoglycemia. Bagcina ukucaca okwanele komcabango wokuthola i-glucometer, balinganise ushukela wabo futhi bayeke ukuhlaselwa kwe-hypoglycemia. Ngeshwa, abanesifo sikashukela abaningi ngokuqashelwa kwe-hypoglycemia yabo banezinkinga ezinkulu. Lapho ubuchopho buswela ushukela, umuntu angaqala aziphathe ngendlela engafanele. Iziguli ezinjalo zihlala ziqiniseka ukuthi zinoshukela wegazi ojwayelekile, kuze kube manje kuze kube yilapho sezingazi. Uma umuntu onesifo sikashukela eye wahlangabezana neziqephu eziningana ezinzima ze-hypoglycemia, khona-ke angaba nezinkinga ngokuqashelwa ngesikhathi kweziqephu ezilandelayo. Lokhu kungenxa yokuqedwa kwama-adrenergic receptors. Futhi, eminye imithi iphazamisa ukuqashelwa kwe-hypoglycemia ngesikhathi. Lawa ama-beta blockers anciphisa umfutho wegazi kanye nenhliziyo.

Nalu olunye uhlu lwezimpawu ezijwayelekile ze-hypoglycemia, ezikhula njengoba ubulukhuni bayo bukhula:

• Ukusabela okuhamba kancane kwemicimbi ezungezile - ngokwesibonelo, esimweni se-hypoglycemia, umuntu angeke akwazi ukubamba ngesikhathi lapho eshayela.
• Ukuziphatha okucasulayo, okunolaka. Ngalesi sikhathi, umuntu onesifo sikashukela uqiniseka ukuthi ushukela ojwayelekile, futhi ulwa nodlame imizamo yabanye yokumphoqa ukuthi alinganise ushukela noma adle ama-carbohydrate asheshayo.
• Ukugcwala kokuzwa, ubunzima bokukhuluma, ubuthakathaka, ukuquleka. Lezi zimpawu zingaqhubeka ngemuva kokuba ushukela esebuyele kokujwayelekile, aze afike kumaminithi angama-45-60.
• Ukomela, ukhathala.
• Ukulahlekelwa ukwazi (kuyaqabukela uma ungayifaki i-insulin).
• Convulsions.
• Ukufa.

I-Nocturnal hypoglycemia ephusheni

Izimpawu ze-hypoglycemia yasebusuku ephusheni:

• isiguli sinesikhumba esibandayo, esimjulukayo, ikakhulukazi entanyeni;
• ukuphefumula odidekile;
• ukulala ngokungagodli.

Uma ingane yakho inesifo sikashukela sohlobo 1, kuyodingeka ukuthi uyibuke ngesinye isikhathi ebusuku, uhlole intamo yayo ngokuthinta, ungayivusa futhi kungenzeka, ikala ushukela wegazi nge-glucometer phakathi nobusuku. Ukwehlisa umthamo wakho we-insulin, kanye nengozi yakho ye-hypoglycemia, landela uhlelo lokwelapha isifo sikashukela sohlobo 1. Dlulisela ingane enesifo sikashukela sohlobo 1 ekudleni okune-carbohydrate ngokushesha lapho uqeda ukuncelisa.

Uma izimpawu ze-hypoglycemia zithambile

Kwezinye iziguli ezinesifo sikashukela, izimpawu zokuqala ze-hypoglycemia ziba buthuntu. Nge-hypoglycemia, izandla eziqhaqhazelayo, isikhumba sesikhumba, ukushaya kwenhliziyo okusheshayo nezinye izimpawu zibangela i-epinephrine (adrenaline) ye-hormone. Kuma-diabetes amaningi, ukukhiqizwa kwawo kubuthakathaka noma ama-receptors awazweli kangako kuwo. Le nkinga iba ngokuqhubeka kwesikhathi ezigulini ezinoshukela osezingeni eliphansi noma abagxuma njalo besuka kushukela omningi baye kwi-hypoglycemia. Ngeshwa, lezi izigaba ezifanele zeziguli ezivame kakhulu ukuzwa i-hypoglycemia futhi ezodinga ukuzwela okujwayelekile kwe-adrenaline ngaphezu kwabanye.

Kunezizathu nezimo ezi-5 okungaholela ekuchithekeni kwezimpawu zezimpawu ze-hypoglycemia:

• I-neuropathy yesifo sokuqaqamba kwengqondo enzima yesifo esidala siyinkimbinkimbi yesifo sikashukela esidala ukungasebenzi kahle kwezinzwa.
• I-Adrenal tishu fibrosis. Lokhu kufa kwezicubu ze-adrenal - izindlala ezikhiqiza i-adrenaline. Kuba khona uma isiguli sinomlando omude wesifo sikashukela, futhi saphathwa ngobuvila noma ngendlela engafanele.
• Ushukela wegazi ungaphansi kokujwayelekile.
• Isifo sikashukela sithatha imishanguzo - i-beta-blocker - yomfutho wegazi ophakeme, ngemuva kokuhlaselwa yisifo senhliziyo, noma ukuvimbela lokho.
• Ku-diabetics edla ukudla “okunokulinganisela”, okugcwele kakhulu ama-carbohydrate, ngakho-ke kuphoqelelwa ukuthi kufakwe imithamo emikhulu ye-insulin.

Uma imitha ikhombisa ukuthi ushukela wakho wegazi ungaphansi kuka-3.5 mmol / L, thatha amaphilisi kashukela noma ngabe awunazimpawu ze-hypoglycemia. Udinga ushukela omncane ukukhulisa ushukela ube okwejwayelekile. Amagremu ama-1-3 ama-carbohydrate azokwanela - leli yizingcweti ezi-2-6 zikashukela. Ungadli ama-carbohydrate amaningi!

Ezinye iziguli ezinesifo sikashukela zenqaba ukuthatha amaphilisi kashukela, noma ngabe zilinganisa ushukela wazo futhi zathola ukuthi yayingaphansi kwelejwayelekile. Zithi zizizwa zihamba kahle yize zingenawo amaphilisi. Abantu abanjalo abanesifo sikashukela "bangamakhasimende" amakhulu odokotela abaphuthumayo, ukuze bazijwayeze ukukhipha umuntu enkomeni ye-hypoglycemic. Banethuba eliphezulu kakhulu lezingozi zemoto. Lapho ushayela, ukukala ushukela wegazi lakho nge-glucose metres njalo ngehora, kungakhathalekile ukuthi une-hypoglycemia noma cha.

Abantu abaneziqephu ezivame kakhulu ze-hypoglycemia noma ushukela wegazi bangaphansi kokujwayelekile, bakhulisa "umlutha" kulesi simo. I-Adrenaline egazini labo ihlala ivela futhi ngamanani amakhulu. Lokhu kuholela eqinisweni lokuthi ukuzwela kwama-receptors ku-adrenaline kubuthakathaka. Ngendlela efanayo, imithamo ye-insulin ethe xaxa egazini ilimaza ukuzwela kwama-insulin receptors endaweni yeseli.

Izimpawu zokuqala ze-hypoglycemia - ukuqhaqhazela kwesikhumba, ukushisa kwenhliziyo, nabanye - kuyizimpawu zomzimba ezidinga ukuthi umuntu onesifo sikashukela angenelele ngokushesha ukuze asindise impilo yakhe. Uma uhlelo lwezimpawu lungasebenzi, khona-ke olukhulu luvele luphelelwe ngumqondo ngenxa yokuqamba komqondo we-hypoglycemic. Abantu abanjalo abanesifo sikashukela basengozini enkulu yokukhubazeka noma yokufa ngenxa ye-hypoglycemia enkulu. Ukuphela kwendlela yokubhekana nale nkinga, uma sekukhulile, ukukala ushukela wegazi lakho kaningi bese ulilungisa. Funda futhi ukuthi yikuphi ukulawulwa ushukela wegazi okuphelele nokuthi ungabheka kanjani ukuthi imitha yakho inembile.

Izimbangela ze-hypoglycemia kushukela

I-Hypoglycemia ikhula ezimweni lapho ijikeleza kakhulu i-insulin egazini, maqondana nokudla ushukela okuvela ekudleni nasezitolo ezisesibindi.

Izimbangela ze-hypoglycemia

Umuthi osemthethweni uthi uma isiguli sikashukela selashwa ngempumelelo ngamaphilisi e-insulin noma anciphisa ushukela, khona-ke kuyofanela ukuthi libone izimpawu ze-hypoglycemia izikhathi ezi-1-2 ngesonto, futhi akukho lutho olungahambi kahle ngalokho. Simemezela ukuthi uma usebenzisa uhlelo lokwelapha isifo sikashukela sohlobo 1 noma uhlelo lokulashwa kwesifo sikashukela, khona-ke i-hypoglycemia izokwenzeka kaningi kakhulu. Ngoba ngesifo sikashukela sohlobo 2, senqaba amaphilisi ayingozi (ama-sulfonylureas kanye ne-ironides) angawudala. Ngokuqondene nemijovo ye-insulin, indlela yemithwalo emincane yohlobo 1 nohlobo 2 lwesifo sikashukela ivumela ukunciphisa umthamo we-insulin kaningana futhi ngaleyo ndlela inciphise ingozi ye-hypoglycemia.

Izimbangela ezijwayelekile ze-hypoglycemia kulabo abaphathwa ngokwezindlela zewebhusayithi yeDiabetes-Med.Com:

• Abalindanga amahora ama-5 kuze kube yilapho sekuqediwe umthamo wangaphambilini we-insulin, futhi bafaka umjovo olandelayo ukuze wehlise ushukela owengeziwe egazini. Lokhu kuyingozi ikakhulukazi ebusuku.
• Bafaka i-insulin ngokushesha ngaphambi kokudla, base beqala nokudla sekwedlule isikhathi. Into efanayo uma ngabe uthathe amaphilisi ngaphambi kokudla, okwenza ama-pancreas akhiqiza i-insulin eningi. Kwanele ukuqala ukudla imizuzu eyi-10-15 ngemuva kwalokho kufanele uzizwe izimpawu ze-hypoglycemia.
• Isifo sikashukela se-gastroparesis - sibambezele ukukhipha isisu ngemuva kokudla.
• Ngemuva kokuphela kwesifo esithathelwanayo, ukumelana ne-insulin kungazelele amandla, bese kuthi lowo onesifo sikashukela akhohlwe ukubuya kusuka kumthamo ophakeme we-insulin noma amaphilisi okwehlisa ushukela kumthamo wakhe ojwayelekile.
• Umuntu onesifo sikashukela isikhathi eside wazikhuza ethi "buthaka" i-insulin ebhodleleni noma ebhokisini, eligcinwe ngokungesilo noma liphelelwe yisikhathi, wabe eseqala nokufaka i-insulin evamile “entsha” ngaphandle kokwehlisa umthamo.
• Ukushintsha kusuka kwimpompo ye-insulin kufakwe kumjovo we-insulin syringes kanye okuphambene nalokho uma kwenzeka ngaphandle kokuziqapha ngokucophelela ushukela wegazi.
• Isifo sikashukela sizilimaze nge-insulin ye-ultrashort yamandla akhuphukile kumthamo ofanayo ovame ukuba mfushane.
• Umthamo we-insulin awuhambelani nenani lokudla okudliwayo. I-cartehydrate engatheni kanye / noma amaprotheni kunokuba kuhlelwe isidlo sasekuseni, isidlo sasemini noma isidlo sakusihlwa. Noma badla kakhulu ngendlela ababehlose ngayo, kepha ngasizathu simbe bajova i-insulin ngaphezulu.
• Umuntu onesifo sikashukela wenza imisebenzi engokomzimba engahleliwe noma akhohlwe ukulawula ushukela wegazi njalo ngehora ngesikhathi sokuzivocavoca umzimba.
• Ukusebenzisa kabi utshwala, ikakhulukazi ngaphambi nangesikhathi sokudla.
• Isiguli sesifo sikashukela esifaka i-NPH-insulin eyisibalo esimaphakathi sizilimaza nge-vial, sikhohliwe ukuyixhawula kahle i-vial ngaphambi kokuthatha isilinganiso se-insulin esitokisini.
• I-insulin engaphakathi kwe-intramuscularly injosed subcutaneous.
• Benze umjovo ofanele we-insulin, kodwa kuleyo ngxenye yomzimba engaphansi komzimba.
• Ukwelashwa isikhathi eside nge-intravenous gamma globulin. Kubangela ukululama ngengozi nokungalindeleki kwengxenye yama-beta cell ezigulini ezinesifo sikashukela sohlobo 1, okunciphisa isidingo se-insulin.
• Ukuthatha le mithi elandelayo: ama-aspirin emithanjeni emikhulu, ama-anticoagulants, ama-barbiturates, ama-antihistamines nabanye. Le mishanguzo yehlisa ushukela wegazi noma ivimbela ukukhiqizwa kweglue ngesibindi.
• Ukufudumeza okungatheni. Ngalesi sikhathi, iziguli eziningi ezinesifo sikashukela zidinga i-insulin encane.

Indlala iyisibonakaliso esivame kakhulu se-hypoglycemia yokuqala yesigaba. Uma ulandela uhlelo lokwelashwa kwesifo sikashukela sohlobo 1 noma uhlelo lokulashwa kwesifo sikashukela futhi ulawula kahle isifo sakho, ngakho-ke akufanele ulambe kanzima. Ngaphambi kokudla okuhleliwe kufanele ulambe kancane.Ngakolunye uhlangothi, indlala imvamisa iyisibonakaliso nje sokukhathala noma sokuxineka ngokomzwelo, kepha hhayi i-hypoglycemia. Futhi, lapho ushukela wegazi uphezulu kakhulu, kunalokho, amangqamuzana awanalo ushukela, futhi athumela ngokuqinile amasiginali endlala. Isiphetho: uma uzizwa ulambile - masinyane sikala ushukela wegazi lakho nge-glucometer.

Izici zobungozi ze-hypoglycemia enkulu:

• isiguli sike saba nezimo ze-hypoglycemia ezinzima;
• onesifo sikashukela akazizwa izimpawu ze-hypoglycemia ngesikhathi, ngakhoke ukuphefumula kwenzeka ngokuzumayo;
• secretion ye-pancreatic insulin ayikho ngokuphelele;
• isikhundla esiphansi senhlalo nesiguli.

Ukuqonda kanjani ukuthi yini ebangele i-hypoglycemia

Udinga ukuphinda wenze konke ukulandelana kwezigameko okuholela kuziqephu lapho ushukela wakho wegazi uphansi kakhulu. Lokhu kumele kwenziwe ngaso sonke isikhathi, noma ngabe zazingekho izimpawu ezibonakalayo zokuthola ukuthi ngabe yini ongalungile ngayo. Ukuze izehlakalo zilulame, iziguli ezinoshukela ezincike ku-insulin zidinga ukuhlala ngokuqhubekayo ekubuseni kokulawulwa ngokuphelele kweshukela egazini, i.e., kuvame ukukala, kuqoshwe imiphumela yokulinganisa nezimo ezihambisanayo.

I-hypoglycemia enkulu ingaholela eqinisweni lokuthi izehlakalo amahora amaningi ngaphambi kokuba zisuswe ngokuphelele kwimemori yeziguli ezinesifo sikashukela. Uma egcina ngokucophelela idayari yakhe yokuzithiba, khona-ke esimweni esinjalo amanothi ayoba usizo olukhulu. Akwanele ukurekhoda kuphela imiphumela yokulinganiswa kashukela wegazi, kuyadingeka futhi ukurekhoda izimo ezihambisanayo. Uma uneziqephu eziningana ze-hypoglycemia, kepha ungakwazi ukuqonda isizathu, ukhombise udokotela amanothi. Mhlawumbe uzokubuza imibuzo ecacisa bese uthola ukuthi yini.

Ukwelashwa (ukuyeka) kwe-hypoglycemia

Uma uhlangabezana nanoma yiziphi izimpawu ze-hypoglycemia esizibalile ngenhla - ikakhulukazi indlala ebabazekayo - masinyane sikala ushukela wegazi lakho nge-glucometer. Uma ingu-0.6 mmol / L ngaphansi kweleveli yakho eqondisiwe noma iphansi kakhulu, bese uthatha izinyathelo zokumisa i-hypoglycemia. Yidla ama-carbohydrate anele, ikakhulukazi amaphilisi kashukela, ukukhuphula ushukela wakho ezingeni lokuhlosiwe. Uma kungekho zimpawu, kepha ulinganisele ushukela wegazi futhi uqaphele ukuthi uphansi, into efanayo iyadingeka ukuthi udle amaphilisi eglucose emthanjeni wokubala ofanele. Uma ushukela uphansi, kepha kungekho zimpawu, khona-ke ama-carbohydrate asheshayo adinga ukudliwa. Ngoba i-hypoglycemia ngaphandle kwezimpawu iyingozi ukwedlula lena ebangela izimpawu ezisobala.

Yini okufanele uyenze uma ungenayo i-glucometer nawe? Lesi yisono esingathí sina kumuntu onesifo sikashukela esincike ku-insulin. Uma usola ukuthi une-hypoglycemia, khona-ke ungathathi amathuba futhi udle ushukela othile ukukhulisa ushukela wakho ngo-2.4 mmol / L. Lokhu kuzokuvikela ku-hypoglycemia enzima, enemiphumela engenakuphikwa.

Lapho nje imitha yakho isenakho - linganisa ushukela wakho. Kungenzeka iphakanyiswe noma yehliswe. Mbuyisele kokujwayelekile futhi angabe esona, i.e. njalo ugcine imitha nawe.

Into enzima kunazo zonke ukuthi ushukela wegazi wakho wehlile ngoba ulimale kakhulu i-insulin noma uthathe umthamo ngokweqile wamaphilisi sikashukela ayingozi. Esimweni esinjalo, ushukela ungahle uphinde uwe ngemuva kokuthatha amaphilisi kashukela. Ngakho-ke, linganisa futhi ushukela wakho nge-glucometer imizuzu engama-45 ngemuva kokuthatha i-ejenti ye-hypoglycemic. Qiniseka ukuthi konke kuvamile. Uma ushukela uphinda uphansi, thatha elinye ipilisi lamathebulethi, bese uphinde ulinganise ngemuva kweminye imizuzu engama-45. Futhi njalonjalo, kuze kube yilapho yonke into ibuyele kokujwayelekile.

Ungayelapha kanjani i-hypoglycemia ngaphandle kokuphakamisa ushukela ngaphezulu kokujwayelekile

Ngokwesiko, iziguli ezinesifo sikashukela sokumisa i-hypoglycemia zidla ufulawa, izithelo namaswidi, ziphuze iziphuzo zezithelo noma usawoti oshukela. Le ndlela yokwelashwa ayisebenzi kahle ngenxa yezizathu ezimbili. Ngakolunye uhlangothi, isebenza kancane kunokuba kunesidingo. Ngoba ama-carbohydrate atholakala ekudleni, umzimba kusamele ugaye ngaphambi kokuqala ukuphakamisa ushukela wegazi. Ngakolunye uhlangothi, "ukwelashwa" okunjalo kukhulisa ushukela wegazi ngokweqile, ngoba akunakwenzeka ukubala ngokunembile umthamo wama-carbohydrate, futhi ngokwesaba, isiguli sikashukela sidla iningi laso.

I-Hypoglycemia ingenza umonakalo omubi kushukela. Ukuhlaselwa kakhulu kungaholela ekufeni kwesiguli sikashukela noma ukukhubazeka ngenxa yokulimala kwengqondo okungalungiseki, futhi akulula ukuthola ukuthi iyiphi imiphumela emibi kakhulu. Ngakho-ke, silwela ukukhuphula ushukela wegazi ukuba ube ngokwejwayelekile ngokushesha okukhulu. Ama-carbohydrate ayinkimbinkimbi, i-fructose, ushukela wobisi, i-lactose - konke lokhu kufanele kwenziwe inqubo yokugaya emzimbeni ngaphambi kokuqala ukuphakamisa ushukela wegazi. Okufanayo kusebenza ngisho nasositashi nasoshukela wethebula, yize inqubo yokutholwa ishesha kakhulu kubo.

Sebenzisa amaphilisi kashukela ukuvimbela nokumisa i-hypoglycemia. Zithenge ekhemisi, ungabi lazy! Izithelo, ujusi, amaswidi, ufulawa - kuyinto engathandeki. Yidla ushukela omningi njengoba udinga. Ungavumeli ushukela ukuthi “ukhwehle” ngemuva kokubhekana nokuhlaselwa kwe-hypoglycemia.

Imikhiqizo esikubalile ngenhla iqukethe inhlanganisela yama-carbohydrate asheshayo futhi ahamba kancane, enza ngokubambezeleka, bese andisa ushukela wegazi engalindele. Kuhlala njalo ngeqiniso lokuthi ngemuva kokumisa ukuhlaselwa kwe-hypoglycemia, ushukela esigulini esinesifo sikashukela "luqhuqha". Odokotela abangenangqondo basaqiniseka ukuthi ngemuva kwesiqephu se-hypoglycemia akunakwenzeka ukugwema ukwanda oshukela egazini. Bakubheka njengokujwayelekile uma ngemuva kwamahora ambalwa ushukela wegazi esigulini esinesifo sikashukela ngu-15-16 mmol / L. Kepha lokhu akulona iqiniso uma wenza ngobuhlakani. Yimuphi umuthi ophakamisa ushukela wegazi ngokushesha kakhulu futhi ongabikezelwa? Impendulo: ushukela ngendlela yakhe emsulwa.

Izibhebhe ze-glucose

I-glucose yiyona kanye into ejikeleza egazini futhi esiyibiza ngokuthi "ushukela wegazi". Ushukela wokudla udonswa egazini bese uqala ukusebenza. Umzimba awudingi ukuwugaya; awudingi izinqubo zenguquko esibindini. Uma uhlafuna ithebhulethi kashukela emlonyeni wakho futhi uyiphuza ngamanzi, khona-ke iningi layo liyothelwa egazini lisuka kulwelwesi lwe-mucous lomlomo, noma ukugwinya akudingekile. Okunye okunye kuzongena esiswini namathumbu futhi kuzodonswa khona lapho.

Ngaphezu kwesivinini, inzuzo yesibili yamatafula we-glucose ukubikezela. Ngesikhathi se-hypoglycemia esigulini esinohlobo 1 noma 2 sikashukela, esinesisindo esingu-64 kg, igremu elilodwa likashukela lizophakamisa ushukela wegazi cishe ngo-0,28 mmol / L. Kulesi simo, esigulini esinesifo sikashukela sohlobo 2, ukukhiqizwa kwe-insulin yi-pancreas kuvaliwe ngokuzenzakalelayo, kuyilapho isiguli esinesifo sikashukela sohlobo 1, sikhona nhlobo. Uma ushukela wegazi ungeyona into ephansi kunokwejwayelekile, isiguli esinesifo sikashukela sohlobo 2 sizoba nethonya elibuthakathaka ku-glucose ngoba ama-pancreas “ayicima” nge-insulin yayo. Esigulini esinesifo sikashukela sohlobo loku-1, namanje i-gram eyodwa yeglucose izonyusa ushukela wegazi ngo-0.28 mmol / l, ngoba ayinawo umkhiqizo wayo we-insulin.

Lapho umuntu eba nesisindo, umphumela we-glucose kuye ube buthaka, nesisindo somzimba esincane, namandla. Ukubala ukuthi igremu elilodwa lika-glucose lizolukhulisa kanjani ushukela wegazi kusisindo sakho, udinga ukwenza isilinganiso. Ukwenza isibonelo, kumuntu onesisindo somzimba esingamakhilogremu angama-80, kuzoba no-0.28 mmol / L * 64 kg / 80 kg = 0.22 mmol / L, kuthi enganeni enesisindo esingu-48 kg, kutholakale u-0.28 mmol / L * 64 kg / 48 kg = 0,37 mmol / l.

Ngakho-ke, ngokumisa i-hypoglycemia, amaphilisi we-glucose ayindlela engcono kakhulu. Athengiswa emakhemisi amaningi futhi ashibhile kakhulu. Futhi, ezitolo zokudla ezisendaweni yokuphuma, amaphilisi e-ascorbic acid (uvithamini C) nge-glucose avame ukuthengiswa. Zingasetshenziswa futhi ngokulwa ne-hypoglycemia. Imithamo ka-vithamini C kuzo ivame kakhulu. Uma uvila ngokuphelele ukugcwala amaphilisi kashukela - phatha izingcezu zoshukela ezihlanjululwe nawe. Izingcezu ezi-2-3 nje, hhayi ngaphezulu. Amaswidi, izithelo, iziphuzo, ufulawa - azilungele iziguli ezenza uhlelo lokuthola isifo sikashukela sohlobo 1 noma uhlobo lwenkinga yesifo sikashukela ...

Uma uthinte amaphilisi kashukela, geza izandla zakho ngaphambi kokulinganisa ushukela wakho wegazi nge-glucometer. Uma kungekho manzi, sebenzisa indwangu emanzi. Njengendlela yokugcina, khotha umunwe osuzowubhoboza, bese uwusula ngendwangu ehlanzekile noma ngenduku. Uma ukulandela ushukela kusala esikhunjeni somunwe, khona-ke imiphumela yokulinganisa ushukela wegazi izohlanekezelwa. Gcina amaphilisi we-glucose kude nemitha bese ubeka imichilo kuwo.

Umbuzo obaluleke kakhulu ngukuthi kufanele ngidle amaphilisi amangaki kashukela? Zilume ngokwanele ukukhuphula ushukela wegazi lakho zibe ezijwayelekile, kodwa hhayi ngaphezulu. Ake sithathe isibonelo esisebenzayo. Ake sithi unesisindo esingu-80 kg. Ngaphezulu, sibala ukuthi i-1 gram ye-glucose izonyusa ushukela wegazi lakho ngo-0.22 mmol / L. Manje ushukela wegazi ongu-3.3 mmol / L, futhi izinga lokuqondisa ngu-4.6 mmol / L, i.e. udinga ukukhulisa ushukela ngo-4.6 mmol / L - 3.3 mmol / L = 1.3 mmol / l. Ukuze wenze lokhu, thatha i-1,3 mmol / L / 0.22 mmol / L = 6 amagremu kashukela. Uma usebenzisa amaphilisi kashukela enesisindo esingu-1 gram ngayinye, kuzophuma amaphilisi ayi-6, kungabe kusaba khona futhi kungaphansi.

Okufanele ukwenze uma ushukela wegazi uphansi ngaphambi kokudla

Kungenzeka ukuthi uzithola ushukela usanda kuqala ngaphambi kokuqala ukudla. Uma ulandela ukudla okune-carbohydrate ephansi ukulawula uhlobo 1 noma isifo sikashukela esingu-2, khona-ke kulokhu, yidla amaphilisi eglucose khona lapho, bese ukudla “kwangempela”. Ngoba ukudla okungenama-carbohydrate amaningi adonswa kancane. Uma ungayeki i-hypoglycemia, khona-ke lokhu kungaholela ekudla ngokweqile kanye nokugxuma ushukela emahoreni ambalwa, okuzoba nzima ukujikisa.

Ungabhekana kanjani nokuhlaselwa ubudlova nge-hypoglycemia

I-hypoglycemia emnene ne “ngokulinganiselayo” ingadala indlala enkulu futhi ingabekezeleli. Isifiso sokudla ukudla okugcwala ama-carbohydrate singacishe singalawuleki. Esimweni esinjalo, umuntu onesifo sikashukela angadla ngokushesha ikhilogremu yonke ka-ayisikhilimu noma ngemikhiqizo kafulawa noma aphuze ilitha lejusi yezithelo. Ngenxa yalokhu, ushukela wegazi emahoreni ambalwa uzoba phezulu kakhulu. Ngezansi uzofunda ukuthi wenzeni nge-hypoglycemia ukuze unciphise ukulimala kwempilo yakho kusuka ekushayweni nasekudleni ngokweqile.

Okokuqala, ukuhlola kuqala futhi uqiniseke ukuthi amaphilisi we-glucose abikezela kakhulu, ikakhulukazi ngohlobo 1 sikashukela. Mangaki amagremu kashukela owudlile - ngakho-ke noshukela wegazi lakho uzokhuphuka, ungabe usaba khona futhi ungekho ngaphansi. Zihlole, zibone kusengaphambili. Lokhu kuyadingeka ukuze esimweni se-hypoglycemia ungatatazeli. Ngemuva kokuthatha amaphilisi e-glucose, uzoqiniseka ukuthi ukulahlekelwa ukwazi kanye nokufa akusongelwa.

Ngakho-ke, sathatha amandla okwethuka, ngoba sasilungiselele kusengaphambili ngesimo se-hypoglycemia. Lokhu kuvumela isiguli esinesifo sikashukela ukuthi sihlale sizolile, sigcine ingqondo yakhe, futhi mancane amathuba okuba isifiso sobudlova siphume silawulwa. Kepha kuthiwani uma, ngemuva kokuthatha amaphilisi kashukela, indlala yasendle isalawulwa? Lokhu kungenzeka ngenxa yokuthi impilo yengxenye ye-adrenaline esegazini yinde kakhulu, njengoba kuchaziwe esigabeni esedlule. Kulokhu, hlafuna futhi udle ukudla okune-carb okuluhlu oluvunyelwe.

Ngaphezu kwalokho, kuyalulekwa ukusebenzisa imikhiqizo engenawo ama-carbohydrate. Isibonelo, ukusikwa kwenyama. Kulesi simo, awukwazi ukudonsa amantongomane, ngoba awukwazi ukumelana nokudla okuningi kwawo. Amantongomane aqukethe inani elithile lama-carbohydrate, futhi ngobuningi bawo futhi andisa ushukela wegazi, obangela imiphumela yokudlela yamaShayina. Ngakho-ke, uma indlala ingabekezeleleki, uyilahla ngemikhiqizo yezilwane enama-carbohydrate amaningi.

Ushukela ophakanyiselwe kokujwayelekile, kanti nezimpawu ze-hypoglycemia azihambi

Esimweni se-hypoglycemia, ukukhipha okubukhali kwe-hormone epinephrine (adrenaline) kwenzeka egazini. Nguye obangela iningi lezimpawu ezingezinhle. Lapho ushukela wegazi wehla ngokweqile, khona-ke ephendula kulokhu, izindlala ze-adrenal zikhiqiza i-adrenaline futhi zandisa ukuqina kwayo egazini. Lokhu kwenzeka kuzo zonke iziguli ezinesifo sikashukela, ngaphandle kwalabo abaye bahlukunyezwa ukuqashelwa kwe-hypoglycemia. Njenge-glucagon, i-adrenaline inikeza isibindi isibonakaliso sokuthi i-glycogen idinga ukuguqulwa ibe ushukela. Iphinde isheshise ukushaya ngamandla, ibangele ukuqina kwesikhumba, izandla eziqhaqhile nezinye izimpawu.

I-Adrenaline inempilo enesigamu semizuzu engaba ngu-30. Lokhu kusho ukuthi ngisho nehora ngemuva kokuhlaselwa kwe-hypoglycemia, i-adrenaline isesegazini futhi iyaqhubeka nokwenza. Ngalesi sizathu, izimpawu zingaqhubeka isikhashana. Kuyadingeka ukuhlupheka ihora eli-1 ngemuva kokuthatha amaphilisi kashukela. Ngalelihora, into ebaluleke kunazo zonke ukumelana nesilingo sokudla ngokweqile. Uma ngemuva kwehora izimpawu ze-hypoglycemia zingahambi, linganisa ushukela wakho nge-glucometer futhi uthathe izinyathelo ezengeziwe.

Ukuziphatha okuxakile kwesifo sikashukela esimweni se-hypoglycemia

Uma isiguli esinesifo sikashukela sine-hypoglycemia, khona-ke lokhu kuyinkimbinkimbi kakhulu impilo yamalungu omndeni wakhe, abangane kanye nozakwabo. Kunezizathu ezimbili zalokhu:

• esimweni se-hypoglycemia, abanesifo sikashukela bavame ukuziphatha kabi nangokuhlukumezana;
• isiguli singalahlekelwa ingqondo ngokuzumayo, futhi kudingeka usizo lwezokwelashwa oluphuthumayo.

Ungasenza kanjani uma isiguli esinesifo sikashukela sine-hypoglycemia enzima noma siphelelwa amandla, sizoxoxa esigabeni esilandelayo. Manje ake sixoxe ngokuthi yini ebangela ukuba nolaka kanye nokuthi ungahlala kanjani nesiguli sikashukela ngaphandle kwezingxabano ezingadingekile.

Esimweni se-hypoglycemia, umuntu onesifo sikashukela angaziphatha ngendlela eyinqaba, ngokunenkani nangolaka ngenxa yezizathu ezimbili ezibalulekile:

• wehluleka ukuzibamba;
• Imizamo yabanye yokumondla amaswidi ingalimaza ngempela.

Ake sibheke ukuthi kwenzekani ebuchosheni besiguli esinesifo sikashukela ngesikhathi sokuhlasela kwe-hypoglycemia. Ingqondo ayinalo ushukela owanele wokusebenza okujwayelekile, futhi ngenxa yalokhu, umuntu uziphatha ngokungathi udakiwe. Ukusebenza kwengqondo kukhubazekile. Lokhu kungabonakaliswa yizimpawu ezahlukahlukene - ukubulimaza, noma ukuphambana ngokungafanele, umusa ngokweqile noma ulaka olubi kuyo. Kunoma yikuphi, izimpawu ze-hypoglycemia zifana nokudakwa. Umuntu onesifo sikashukela unethemba lokuthi manje ushukela ojwayelekile wegazi, njengomuntu odakiwe uqinisekile ukuthi ushibhile ngokuphelele. Ukudakwa ngokweqile kanye ne-hypoglycemia kuphazamisa ukusebenza kwezikhungo ezifanayo zomsebenzi wezinzwa eziphakeme ebuchosheni.

Isiguli sikashukela sifunde ukuthi ushukela wegazi ophezulu uyingozi, uchitha impilo, ngakho-ke kufanele kugwenywe. Noma esesimweni se-hypoglycemia, ukukhumbula ngokuqinile lokhu. Futhi manje, uyaqiniseka ukuthi ushukela ojwayelekile futhi, ngokuvamile, ujulile emadolweni olwandle. Futhi-ke umuntu uzama ukumondla nge-carbohydrate eyingozi ... Ngokusobala, esimweni esinjalo, onesifo sikashukela uzocabanga ukuthi uyena obambe iqhaza wesibili kulesi simo aziphatha kabi futhi uzama ukumlimaza. Lokhu kungenzeka ikakhulukazi uma oshade naye, umzali noma osebenza naye ngaphambili bezama ukwenza okufanayo, bese kuvela ukuthi isiguli sikashukela sinoshukela ojwayelekile.

Amathuba amakhulu okucasulwa yisiguli sikashukela uma uzama ukudonsa amaswidi emlonyeni wakhe. Noma, njengomthetho, ukukholisa ngomlomo kwanele kulokhu. Ingqondo, icasulwe ukuntuleka kweglucose, itshela umnikazi wayo imibono ecashile ethi lowo oshade naye, umzali noma osebenza naye umfisela ukulimaza aze azame nokumbulala, emlinga ngokudla okumnandi okuyingozi. Esimweni esinjalo, kuphela osanta abengamelana nobudlova… Abantu abasizungezile bavame ukucasuka futhi bashaqiswe isimo esingesihle sesiguli sikashukela emizameni yabo yokumsiza.

Umlingani noma abazali besiguli sikashukela bangaba nokwesaba kokuhlaselwa kakhulu kwe-hypoglycemia, ikakhulukazi uma umuntu onesifo sikashukela ayekade elahlekile ezimweni ezinjalo.Imvamisa amaswidi agcinwa ezindaweni ezahlukene endlini ukuze asondele futhi onesifo sikashukela asheshe azidle lapho kudingeka. Inkinga ukuthi engxenyeni yamacala, abantu abasondele kuye basola i-hypoglycemia esigulini sikashukela lapho ushukela wakhe usujwayelekile. Lokhu kwenzeka kaningi ngesikhathi sokuchithwa kwemindeni ngenxa yezizathu ezithile. Abaphikisi bacabanga ukuthi isiguli sethu sikashukela simanyala ngoba une-hypoglycemia manje. Ngale ndlela bazama ukugwema izimbangela zangempela zokuxaka. Kepha engxenyeni yesibili yamacala okuziphatha okungajwayelekile, i-hypoglycemia ikhona ngempela, futhi uma isiguli sikashukela siqinisekile ukuthi sinoshukela ojwayelekile, lapho-ke lokho kuzibeka engcupheni.

Ngakho-ke, engxenyeni yesigameko lapho abantu abasondele bezama ukondla isiguli sikashukela ngamaswidi, abanephutha, ngoba empeleni akanayo i-hypoglycemia. Ukudla ama-carbohydrate kubangela ukugxuma kushukela wegazi, futhi lokhu akunampilo kakhulu kumuntu onesifo sikashukela. Kepha engxenyeni yesibili yamacala lapho i-hypoglycemia ikhona, bese umuntu eyiphika, udalela abanye izinkinga ezingadingekile, azibeka engcupheni enkulu. Ungaziphatha kanjani ngokufanele kubo bonke abahlanganyeli? Uma isiguli sikashukela siziphatha ngendlela engajwayelekile, kuzodingeka umncenge ukuthi angadli amaswidi, kepha ukukala ushukela wakhe wegazi. Ngemuva kwalokho, engxenyeni yamacala kuvela ukuthi akukho-hypoglycemia. Futhi uma kunjalo, khona-ke amaphilisi kashukela asiza ngokushesha asisize, esivele siwaqokile futhi sifunde ukuthi singabale kahle kanjani isilinganiso sawo. Futhi, qiniseka ukuthi imitha inembe (ungakwenza kanjani lokhu). Uma kuvela ukuthi imitha yakho ilele, bese uyifaka enye enembile.

Indlela yendabuko, lapho umuntu onesifo sikashukela ekholwa ukuthi adle amaswidi, okungenani alimaze njengokulungile. Enye indlela esike sayichaza endimeni edlule kufanele ilethe ukuthula emindenini futhi iqinisekise impilo ejwayelekile kubo bonke abathintekayo. Vele, uma ungagcini emishinini yokuhlola yemitha nama-lancets. Ukuphila nesiguli sikashukela kunezinkinga ezicishe zibe ziningi njengoba unesifo sikashukela uqobo. Ukulinganisa ushukela wakho lapho ucelwa amalungu omndeni noma osebenza nabo kuwumsebenzi oqondile wesifo sikashukela. Ngemuva kwalokho kuzobonakala ukuthi ngabe i-hypoglycemia kufanele imiswe ngokuthatha amaphilisi kashukela. Uma ungenayo imitha kashukela wegazi osusondele, noma uma imichilo yokuhlola iphela, yidla amaphilisi kashukela okugcoba ushukela wakho wegazi ngo-2.2 mmol / L. Lokhu kuqinisekisiwe ukuvikela ngokumelene ne-hypoglycemia enzima. Futhi uzothola ngoshukela owandayo lapho ukufinyelela amamitha kutholakala.

Yini okufanele uyenze uma umuntu onesifo sikashukela esevele esengozini yokulahlekelwa ukwazi

Uma umuntu onesifo sikashukela esevele esengozini yokulahlekelwa ukwazi, lokhu kuyi-hypoglycemia elinganiselayo, kuphenduka ibe nzima. Kulesi simo, isiguli sikashukela sibukeka sikhathele kakhulu, singenakuvinjwa. Akaziphenduli izikhalo, ngoba akakwazi ukuphendula imibuzo. Isiguli siyaqaphela, kepha asisakwazi ukuzisiza. Manje konke kuncike kulabo abaseduze kwakho - bayazi ukuthi bangasiza kanjani nge-hypoglycemia? Ngaphezu kwalokho, uma i-hypoglycemia ingekho lula, kepha inzima.

Esimweni esinjalo, sekwephuze kakhulu ukuzama ukukala ushukela nge-glucometer, uzolahlekelwa isikhathi esiyigugu kuphela. Uma unika amaphilisi kashukela noma uswidi onesifo sikashukela, cishe akunakuwatsenga. Ngokunokwenzeka, uzokukhipha ukudla okuqinile noma kuminyanise okubi kakhulu. Kulesi sigaba se-hypoglycemia, kunembile ukunisela isiguli sikashukela ngesisombululo se-glucose ewuketshezi. Uma kungenjalo, khona-ke okungenani isisombululo sikashukela. Imihlahlandlela yesifo sikashukela saseMelika incoma kulezi zimo ukusetshenziswa kweglucose, ethambisa izinsini noma izihlathi kusuka ngaphakathi, ngoba kunengozi encane yokuthi isiguli sikashukela sizokhipha uketshezi futhi siqhume. Emazweni akhuluma isiRussia, sinesisombululo se-glucose kuphela noma isisombululo soshukela esenziwe ekhaya esinawo.

Isixazululo sikashukela sithengiswa emakhemisi, kanti iziguli ezinesifo sikashukela esihlakaniphe kunazo zonke sinazo ekhaya. Kuyakhishwa ukuze kwenziwe isivivinyo sokukhuthazelela i-glucose somlomo esisebenza amahora angama-2 ezikhungweni zezokwelapha. Uma uphuza ushukela onesifo sikashukela noma ushukela, kubalulekile kakhulu ukuthi uqiniseke ukuthi isiguli asigugi, kepha empeleni siginya uketshezi. Uma ukwazi ukwenza lokhu, khona-ke izimpawu ezesabekayo ze-hypoglycemia zizodlula ngokushesha. Ngemuva kwemizuzu emi-5, umuntu onesifo sikashukela uzovele akwazi ukuphendula imibuzo. Ngemuva kwalokho, udinga ukukala ushukela wakhe nge-glucometer futhi, ngosizo lomjovo we-insulin, wehlise ube ojwayelekile.

Ukunakekelwa okuphuthumayo uma isiguli sikashukela siphela

Kufanele wazi ukuthi isiguli sikashukela singalahlekelwa ukuqaphela hhayi nje nge-hypoglycemia. Imbangela nayo ingaba ukushaya kwenhliziyo, unhlangothi, ukwehla okungazelelwe komfutho wegazi. Kwesinye isikhathi abanesifo sikashukela balahlekelwa ukuqaphela uma benoshukela omningi kakhulu wegazi (22 mmol / L noma ngaphezulu) izinsuku eziningana zilandelana, futhi lokhu kuhambisana nokukhipha umunyu. Lokhu kubizwa ngokuthi yi-hyperglycemic coma, kwenzeka esigulini esisodwa esikhulile esinesifo sikashukela. Uma uqondiswa ngohlelo lwe-1 lwesifo sikashukela sohlobo lwe-1 noma uhlelo lokwelapha isifo sikashukela, cishe akulindelekile ukuthi ushukela wakho ukhuphuke kakhulu.

Njengomthetho, uma ubona ukuthi umuntu onesifo sikashukela ulahlekelwe yingqondo, asikho isikhathi sokuthola izizathu zalokhu, kepha ukwelashwa kufanele kuqale ngokushesha. Uma isiguli sikashukela sikhala, khona-ke kuqala kudingeka sithole umjovo we-glucagon, khona-ke kufanele siqonde izizathu. IGlucagon yi-hormone evusa ushukela wegazi ngokushesha, okwenza isibindi nemisipha iguqule izitolo zazo ze-glycogen zibe ushukela bese kugcwala igazi ngale glucose. Abantu abazungeze umuntu onesifo sikashukela kufanele bazi:

• lapho i-kit ephuthumayo ene-glucagon igcinwa khona;
• ungenza kanjani umjovo.

Ikhithi ephuthumayo yomjovo we-glucagon iyathengiswa emakhemisi. Leli yisimo lapho i-syringe enoketshezi igcinwa khona, kanye nebhodlela elinompuphu omhlophe. Kukhona nomyalo ocacile ezithombeni zokwenza umjovo. Kuyadingeka ukujova uketshezi kusuka kwisirinji ungene ku-vial ngokusebenzisa i-cap, bese ukhipha inaliti ku-cap, unikine kahle i-vial ukuze isixazululo sixube, siphinde siyibuyisele kwisirinji. Umuntu omdala udinga ukujova lonke ivolumu lokuqukethwe kwesirinji, ngokunqenqemeni noma nge-intramuscularly. Umjovo ungenziwa kuzo zonke izindawo ezifanayo lapho i-insulin ijwayele ukujova khona. Uma isiguli esinesifo sikashukela sithola imijovo ye-insulin, khona-ke amalungu omndeni angazijwayeza kusengaphambili ngokumnikeza lemijovo ukuze akwazi ukubhekana nakho ngokuhamba kwesikhathi uma kudingeka ukuthi afakwe i-glucagon.

Uma ingekho i-kit ephuthumayo ene-glucagon esesandleni, udinga ukubiza i-ambulensi noma ukuletha isiguli sikashukela esingazi lutho. Uma umuntu elahlekelwe yingqondo, ngakho-ke akunakufanele uzame ukufaka okuthile ngomlomo wakhe. Musa ukubeka amaphilisi kashukela noma ukudla okuqinile emlonyeni wakhe, noma uzame ukuwathela kunoma yiluphi uketshezi. Konke lokhu kungangena epheshaneni lokuphefumula, futhi umuntu uyaqina. Esimweni esingazi lutho, umuntu onesifo sikashukela akakwazi ukuhlafuna noma ukugwinya, ngakho-ke ngeke umsize ngale ndlela.

Uma isiguli sikashukela sikhipha umunyu ngenxa ye-hypoglycemia, khona-ke ingahle ihlangabeze. Kulokhu, amathe akhululwa kakhulu, futhi amazinyo ayaxoxa futhi acwebe. Ungazama ukufaka induku yokhuni emazinyweni esiguli esingazi lutho ukuze singakwazi ukuluma ulimi lwaso. Kubalulekile ukumvimbela ukuluma iminwe yakho. Beka ngasohlangothini lwayo ukuze amathe aphuma emlonyeni, futhi angakhungatheki kuwo.

I-Glucagon kwesinye isikhathi ibangela isicanucanu nokuhlanza kwisifo sikashukela. Ngakho-ke, isiguli kufanele silale ohlangothini lwaso ukuze ukuhlanza kungangeni epheshaneni lokuphefumula. Ngemuva komjovo we-glucagon, isiguli sikashukela kufanele sikhiqizwe kungakapheli imizuzu emi-5. Kungakapheli nemizuzu engama-20, kufanele athole amandla okuphendula imibuzo. Uma kungakapheli imizuzu eyi-10 kungekho zimpawu zokuthuthuka okusobala, isiguli sikashukela esingazi lutho sidinga ukunakekelwa okuphuthumayo kwezokwelapha. Udokotela we-ambulensi uzomnika ushukela egazini.

Umjovo owodwa we-glucagon ungakhuphula ushukela wegazi ufike kuma-22 mmol / L, kuya ngokuthi iglycogen ingakanani egcinwe esibindini. Lapho ukwazi ukwazi sekubuye ngokuphelele, isiguli sikashukela sidinga ukukala ushukela wegazi lakhe nge-glucometer. Uma sekudlule amahora angama-5 noma ngaphezulu selokhu kwangena umjovo wokugcina we-insulin, khona-ke udinga ukufaka umjovo i-insulin ukubuyisela ushukela kokujwayelekile. Lokhu kubalulekile ukukwenza ngoba ukuphela kwendlela isibindi esiqala ngayo ukubuyisela izitolo zayo ze-glycogen. Bazolulama kungakapheli amahora angama-24. Uma isiguli sikashukela silahlekelwa ukuqaphela izikhathi ezi-2 zilandelana amahora amaningi, khona-ke ukujova kwesibili kwe-glucagon kungangasizi, ngoba isibindi asikabuyisi ezitolo zayo ze-glycogen.

Ngemuva kokuba isiguli sikashukela sivuselelwe ngomjovo weglucagon, ngosuku olulandelayo kudingeka alinganise ushukela wakhe nge-glucometer njalo ngamahora ayi-2,5, kufaka phakathi ebusuku. Qiniseka ukuthi i-hypoglycemia ayiphinde yenzeke. Uma ushukela wegazi wehla, ngokushesha sebenzisa amaphilisi kashukela ukukwengeza kokujwayelekile. Ukuqapha ngokucophelela kubaluleke kakhulu, ngoba uma isiguli sikashukela siphinde sivele, lapho-ke ukujova kwesibili kweglue kungamsizi ukuthi avuke. Kungani - sichaze ngenhla. Ngasikhathi sinye, ushukela wegazi ophakeme udinga ukulungiswa kancane. Umjovo wesibili we-insulin esheshayo awunakwenziwa kungaphambi kwamahora angama-5 emva kwawedlule

Uma i-hypoglycemia ilukhuni kangangokuba ulahlekelwe yingqondo, udinga ukubukisisa irejimeni yakho yokwelashwa sikashukela ukuze uqonde lapho wenza khona iphutha. Phinda ufunde uhlu lwezimbangela ezejwayelekile ze-hypoglycemia, ezinikezwe ngenhla esihlokweni.

Hola ku-hypoglycemia ngaphambi kwesikhathi

Amasheya we-hypoglycemia amaphilisi kashukela, ikhithi ephuthumayo ene-glucagon, nekhambi le-glucose ewuketshezi nalo lifiseleka. Ukuthenga konke lokhu ekhemisi kulula, akubizi, futhi kungasindisa impilo yesiguli sikashukela. Ngasikhathi sinye, izinsiza ze-hypoglycemia ngeke zisize uma abantu abasondele kuwe abazi ukuthi zigcinwa kuphi, noma abazi ukuthi banganikeza kanjani usizo oluphuthumayo.

Gcina okuphathelene ne-hypoglycemia ngasikhathi sinye ezindaweni eziningana ezilungele ekhaya nasemsebenzini, bese wenza amalungu omndeni kanye nozakwabo bazi lapho zigcinwa khona. Gcina amaphilisi eglucose emotweni yakho, esikhwameni sakho, esikhwameni sakho nakwikhwama lakho lesandla. Lapho uhamba ngendiza, gcina izesekeli zakho ze-hypoglycemic emithwalweni yakho, kanye nesitoko esiphindaphindekile emithwalweni oyihlolile. Lokhu kuyadingeka uma kwenzeka noma imuphi umthwalo ulahleka noma webiwe kuwe.

Faka esikhundleni ikhithi ephuthumayo nge-glucagon lapho usuku lokuphela kwalo luphela. Kepha esimweni se-hypoglycemia, ungenza umjovo ngokuphepha, noma ngabe uphelelwe yisikhathi. I-Glucagon iyi-powder ku-vial. Njengoba yomile, ihlala isebenza iminyaka eminingana ngemuva kosuku lokuphelelwa yisikhathi. Vele, lokhu kwenzeka kuphela uma kungazange kuvezwe amazinga okushisa aphakeme kakhulu, njengoba kwenzeka ehlobo emotweni ebiyelwe elangeni. Kungcono ukugcina ikhithi yezimo eziphuthumayo nge-glucagon esiqandisini ezingeni lokushisa lika + 2-8 degrees Celsius. Isisombululo se-glucagon esenziwe ngomumo singasetshenziswa kuphela emahoreni angama-24.

Uma usebenzise okuthile kusuka ezitokisini zakho, bese uziphindisela ngokushesha ngokushesha. Gcina amatafula eglucose ngokweqile nemichilo yokuhlola ushukela. Ngasikhathi sinye, amagciwane ayalithanda kakhulu ushukela. Uma ungasebenzisi amaphilisi we-glucose izinyanga eziyizi-6-12, khona-ke zingambozwa ngamabala amnyama. Lokhu kusho ukuthi amakoloni angamagciwane asungule phezu kwawo. Kungcono ukubuyisela amaphilisi anjalo ngokushesha esikhundleni sawo amasha.

Isongo Sokukhonjwa Kwesifo Sikashukela

Emazweni akhuluma isiNgisi, amasongo omazisi, imichilo kanye nama-medallions eziguli ezinesifo sikashukela ziyathandwa. Zilusizo olukhulu uma ushukela onesifo sikashukela ngoba enikezela ngemininingwane ebalulekile kubahlinzeki bezempilo. Isiguli sikashukela esikhuluma isiRussia asikufanele uku-oda into enjalo siphesheya. Ngoba akunakwenzeka ukuthi udokotela we-ambulense aqonde okubhalwe ngesiNgisi.

Ungazenzela isongo lokuhlonza ngoku-oda ukuloba komuntu ngamunye. Isongo lingcono kune-medallion ngoba kungenzeka ukuthi ochwepheshe bezokwelapha bakubone.

I-Hypoglycemia kushukela: iziphetho

Cishe uke wezwa izindaba eziningi ezesabekayo ukuthi ezigulini ezinesifo sikashukela sohlobo 1, i-hypoglycemia ihlala ivela futhi iba nzima kakhulu. Izindaba ezimnandi ukuthi le nkinga ithinta kuphela abanesifo sikashukela abalandela ukudla “okunokulinganisela,” badla ama-carbohydrate amaningi ngakho-ke kufanele bafake insulin eningi. Uma ulandela uhlelo lwethu lokwelashwa sikashukela sohlobo lwe-1, ubungozi be-hypoglycemia ephansi kakhulu. Ukwehliswa okuningana kwengozi ye-hypoglycemia kubalulekile, kepha akusona isizathu esibaluleke kakhulu sokushintshela kuhlobo lwethu lokulawulwa kwesifo sikashukela sohlobo 1.

Uma uqhubeka nokudla okune-carbohydrate ephansi, izidingo zakho ze-insulin zizokwehla kakhulu. Futhi, iziguli zethu aziphuzi amaphilisi sikashukela ayingozi abangela i-hypoglycemia. Ngemuva kwalokhu, i-hypoglycemia ingenzeka kuphela kwelinye lamacala amabili: uzilimalele ngengozi i-insulin kakhulu kunesidingo, noma walimaza umthamo we-insulin esheshayo ngaphandle kokulinda amahora angama-5 kuze kube yilapho sekudlule umthamo owedlule. Zizwe ukhululekile ukubuza amalungu omndeni wakho kanye nabasebenza nabo ukuthi batadishe le ndatshana. Noma ubungozi buncishisiwe, usengaba sesimweni se-hypoglycemia enzima, lapho ungakwazi ukuzisiza, futhi ngabantu abasondele kuwe kuphela abangakusindisa ekulahlekelweni ukwazi, ukufa noma ukukhubazeka.