Isimo se-hypoglycemic yilapho ukugcwala koshukela emzimbeni womuntu kwehla ngaphansi kwemingcele eyamukelekayo. Uma kunokwehla okuncane kwe-glucose, khona-ke izimpawu zalesi simo azikhulunyelwa kakhulu.
Kwi-hypoglycemia enkudlwana, lapho ushukela wegazi ungunithi ezingama-1,0-1,5, umuntu angalahlekelwa ukwazi, futhi lokhu kungaholela ekufeni noma ukukhubazeka, ngoba kulimala ukubonwa komqondo ongaguquki.
Ngokususelwa emithonjeni yezokwelapha, kungashiwo ukuthi isimo se-hypoglycemic sitholakala lapho okuqukethwe kweglue emzimbeni womuntu kungaphansi kwamayunithi angama-2.8, futhi lesi simo sihambisana nesithombe somtholampilo esingesihle.
Ngaphezu kwalokho, i-hypoglycemia ibizwa ngokuthi ukuncipha koshukela wegazi iye kwizilinganiso ezingaphansi kwezingu-2.2, kepha izimpawu zesimilo azitholakali.
Kuyadingeka ukuthi ubheke iziphi izimpawu ezibonisa ukuncipha koshukela wegazi, futhi siyini isimo se-hypoglycemic yasesikhathini? Yini ebangela ukwehla ushukela, futhi ungayithola kanjani?
Izimpawu zokunciphisa ushukela
Njengoba kushiwo ngenhla, ukwelashwa kusho ukuthi i-hypoglycemia ibonwa ushukela ongaphansi kwama-2.8 amayunithi, uma kunezimpawu, nangama-glucose angaphansi kwamayunithi angama-2.2 lapho kungekho zimpawu.
Kepha le mininingwane ihambelana kakhulu nabantu abanempilo. Ngokuqondene nesifo sikashukela, kunemithetho ehluke kancane. Isimo se-hypoglycemic ngokumelene nesizinda sesifo esimnandi singabhekwa njengokuncipha kwe-glucose amayunithi angama-0.6 maqondana nezinga lokuqondisa lesiguli ngalinye.
I-nuance ukuthi ezigulini ezinesifo sikashukela alikho izinga elijwayelekile leshukela elihlosiwe, esigulini ngasinye siyohluka ngakolunye uhlangothi. Kuvame ukunconywa ukuthatha isigaba sethagethi njengesisekelo, njengasemuntwini ophilile ngaphandle kwe-pathologies.
Ukubonakaliswa kwezimpawu kuya ngesilinganiso sokwehla kokuxineka kwe-glucose emzimbeni womuntu.
Izimpawu zokuqala nezincane ze-hypoglycemia:
- Kukhulisa umjuluko.
- Ukuqina kwesikhumba.
- Amacala, izihlokwana.
- Umuzwa onamandla wendlala.
- Ukuhlaselwa isicanucanu, ukungaphatheki kahle.
Uma izimpawu ezinjalo ziphawuliwe, isiguli sidinga ngokuphuthumayo ukudla noma yimiphi i-carbohydrate, noma amaphilisi we-glucose ambalwa. Ukunganaki isimo se-hypoglycemic kuholela ekwehlelweni ushukela okukhombisa kakhulu ukuqala komqondo.
Kulesi simo, ubulukhuni bezimpawu buyathuthukiswa, kufakwa izimpawu ezintsha zokuqina kwesimo:
- Isiyezi, ikhanda.
- Ukungakhathali, ukubulala, ukukhathazeka okungenasizathu.
- Ukulimazeka kokubonakalayo.
- Ukulimazeka kwenkulumo.
- Ukuxhumana kokunyakaza kuyaphazamiseka.
- Ukulahleka kokumosheka, ukuthuthumela kwemilenze.
- Izimo ezivuselelayo.
Ngokuqinisekile, uma ushukela wegazi ungenye noma ungaphezulu kwe-mmol / l, lokhu akusho ukuthi isiguli sizokhombisa isithombe esiphelele somtholampilo salesi simo.
Njengoba umkhuba ukhombisa, ukuncipha ngakunye koshukela kubonakaliswa yizimpawu ezihlukile kushukela elilodwa.
I-Nocturnal hypoglycemia
Abanye abanesifo sikashukela bangakuzwa ukwehla kweshukela ngesikhathi, futhi ngokufanele, bathathe izinyathelo ezifanele zokumisa ukuhlaselwa. Kwabanye, ukuzwela ku-pathology enjalo kungancishiswa ngenxa yobude besifo, okwenza isimo sibe sibi kakhulu.
Ngeshwa, ngobuningi bamacala, iziguli eziningi zinezinkinga ezinkulu ngokutholwa kwesimo se-hypoglycemic state. Lapho ubuchopho buhlupheka ngenxa yokushoda kwe-glucose, indlela yokuziphatha kwesiguli iba yanele.
Njengoba umkhuba ukhombisa, lesi sigaba seziguli sihlala sithembele ngokuphelele ukuthi sinamanani ajwayelekile eglucose, kuze kube yisikhathi size siphelelwe ingqondo. Lapho isiguli sizwa amaconsi ambalwa abukhali ushukela, ngokuzayo angaba nezinkinga ngokuqashelwa kwehla kwakhe ngesikhathi.
Kungakho bonke odokotela bethi ukulawulwa kwesifo sikashukela kuyimpilo ephelele ngaphandle kwezinkinga zesifo esijwayelekile.
Ushukela uncishiswa hhayi kuphela phakathi nosuku, kodwa futhi nasebusuku, futhi lesi simo sinezimpawu ezilandelayo:
- Ukujuluka okukhulu, isikhumba esibandayo nesigudlayo.
- Ukuphefumula okungenamsindo okunamandla.
- Ukulala ngokungagodli namaphupho amabi.
Ukwehla ushukela ebusuku akudluleli ngaphandle komkhondo, imvamisa ekuseni kukhona ikhanda elibuhlungu, elihlushwa usuku lonke.
Dull hypoglycemia izimpawu
Kwenzeka kaningi ukuthi ngokwemuva kwesifo sikashukela kukhona ukwehla okubukhali koshukela, kuze kufike kuyunithi elilodwa, kepha izimpawu azibonakali ngobukhulu, kunalokho, ziba buthuntu.
Ukwehla kweshukela, ukwehla kwamandla emikhawulo, ukushayeka kwesikhumba, ukushaya kwenhliziyo okusheshayo kanye nezinye izibonakaliso eziningi, kubangela i-adrenaline ye-hormone. Kodwa-ke, ezigulini eziningi, ukukhiqizwa kwayo kuncishiswa kakhulu noma ukuzwela kwama-receptors kule hormone kuncishisiwe.
Kulokhu, lapho ushukela wehla kakhulu, isiguli sizwa okuthile "emaphethelweni okwazi", kepha hhayi ngaso sonke isikhathi ukukala lokho, okumsondeza ekulahlekelweni kokungazi. Ngakho-ke, udinga ukwazi izimbangela ezithile ezinganciphisa izimpawu:
- Uhlobo olunzima lwe-autonomic diabetesic neuropathy. Lokhu kuyinkimbinkimbi yesifo sikashukela ngenxa yokuphazamiseka kokufakwa kwezinzwa.
- I-Fibrosis yezicubu ezithambile ze-adrenal gland. Uma ngamanye amagama, kuba yi-necrosis yezicubu, ikakhulukazi kwizindlala, ezifaka isandla ekukhiqizeni i-adrenaline. Lesi simo siyabonakala ezimweni lapho isiguli sinomlando omude walesi sifo, noma singalashwa.
- Ama-blocker e-Beta ukwehlisa umfutho wegazi akho angawenza buthaka umuzwa wakho wehlise ushukela wegazi.
Lapho ubheka ngisho nezimpawu ezibucayi, kunconywa ukuthi ulinganise ushukela ngokushesha. Uma idivaysi ikhombisa ukuqoqwa kwamayunithi angama-3.5, udinga ukuthatha amaphilisi kashukela ukuwakhulisa.
Futhi lokhu kumele kwenziwe, noma ngabe kungekho zimpawu ezibonakalayo. Umzimba awunawo ushukela omningi kangangokuba ungaphansi kwemingcele ejwayelekile. Amathebhulethi kashukela amabili kuya kwayisihlanu azoyixazulula le nkinga.
Kungani ushukela wegazi wehliswe?
Isimo se-hypoglycemic sivele lapho inani elikhulu le-insulin lijikeleza ohlelweni lokujikeleza, kepha ngasikhathi sinye ushukela omncane wegazi, kanye nezitolo ze-glycogen. Futhi kunezizathu eziningi zalo mbuso.
Isibonelo, umthamo omkhulu we-insulin, we-sulfonylurea derivatives noma ama-glinides. Kungaba nenombolo enkulu yamaphutha kule ndawo: umuntu onesifo sikashukela akaqeqeshekile kahle, ipeni lesirinji elinemiphumela emibi, imiphumela engalungile ye-glucometer.
Ngaphezu kwalokho, iphutha lezokwelapha alikhishwa. Udokotela angancoma izinga eliphakeme ngokweqile le-glucose kuleli cala elithile, noma imithamo emikhulu ye-insulin, imithi.
Ukwehla okukhulu ushukela kungabonakala ngalezi zizathu ezilandelayo: ukufakwa kwe-insulin eyodwa kwesinye isidakamizwa, ukuphathwa ngendlela engafanele kwehomoni, ukubambezeleka kokuchithwa kwe-insulin emzimbeni (uma kungasebenzi kahle isibindi).
Izizathu zokuncipha okubukhali nokubucayi koshukela azihlobene nezidakamizwa kuphela, kepha nokudla kwesiguli. Izimo ezilandelayo zingaholela ku-hypoglycemia:
- Yeqa ukusetshenziswa okuhleliwe kokudla, ukusetshenziswa kwenani lama-carbohydrate, ngenxa yalokho umthamo we-insulin ungambozwa.
- Ukuzivocavoca okungahleliwe, ukusetshenziswa kotshwala.
- Indlala, izitsha zekhalori ezincishisiwe, kodwa ngasikhathi sinye ngemuva kokungafani kwemithamo yangaphambi yezidakamizwa.
- Isikhathi sokuncelisa, isikhathi sokuzala ingane.
Kumele kuqashelwe ukuthi uma isiguli siphonsa kaningi ushukela wegazi kakhulu, khona-ke sikhulisa amathuba okuthi sibe nesimo esibucayi se-hypoglycemic size sifike ku-coma yesifo sikashukela.
Izici zobungozi ze-hypoglycemia ezinzima yilezi: umlando onzima we-hypoglycemia; isiguli asiziboni izimpawu zokuncipha koshukela; ukuntuleka kokukhiqizwa kwama-hormone.
Ungaqonda kanjani ukuthi kungani kwakwehla ushukela?
Ngokuqinisekile, cishe sonke isiguli sibuze ukuthi kungani isimo se-hypoglycemic senzeka. Njengoba kushiwo ngenhla, kunezizathu eziningi. Kepha ungayithola kanjani eyodwa?
Ukuqonda, udinga ukuphinda ulandelelanise konke ukulandelana kwemicimbi okuholele eziqeshini zokuncipha okukhulu koshukela emzimbeni wesiguli. Futhi lokhu kufanele kwenziwe ngaso sonke isikhathi lapho kugxilwa kweglucose kwehliswa. Futhi noma bekungekho zimpawu ezingezinhle.
Ukuze ukwazi ukuqhathanisa yonke into, iziguli kumele ngokuqhubekayo ziphile ekubuseni kokulawulwa koshukela emzimbeni wonke. Ngamanye amagama, bonke kufanele balungise:
- Inani lezilinganiso ushukela ngosuku, imiphumela.
- Ukudla obekudliwa ngosuku.
- Izinga lomsebenzi womzimba.
- Ukuthatha umuthi, imithamo.
- Ezinye izimo ezihlobene.
Njengoba umkhuba ukhombisa, uhlobo olunzima lwesimo se-hypoglycemic lungaholela ekutheni umuntu onesifo sikashukela asule amahora amaningi kwimemori. Kodwa-ke, uma ebhala konke kudayari, khona-ke lesi simo sizosiza ekutholeni izizathu.
Uma ungakwazi ukuthola ngokuzimela ukuthi kungani ushukela wehlisiwe, ungakhombisa amanothi kudokotela. Uchwepheshe wezokwelapha uzohlaziya ngokushesha isithombe bese uthola izimbangela.
I-Hypoglycemia therapy
Uma isiguli sizwa izimpawu eziningana zesimo se-hypoglycemic, futhi ikakhulukazi isifiso sokudla, khona-ke kuyadingeka ukukala masinyane ukugcwala koshukela egazini. Lapho ushukela uphansi, ushukela osezibhebheni angawukhulisa.
Esimweni lapho ushukela sehlile, kepha akukho zimpawu ezimbi ezibonakalayo, kusamele kuphakanyiswe, ngoba lesi simo sithinta kabi ukusebenza kwengqondo.
Yini okufanele uyenze uma kunezimpawu, kepha ayikho indlela yokulinganisa ushukela? Ngokuqinisekile, i-gluroeterical ye-electrochemical kufanele ihlale inawe njalo, kepha akekho ophephile ezimweni ezingalindelekile. Kulokhu, ungadla ama-carbohydrate ngokwengozi yakho nangobungozi. Lokhu kuzovikela ngokumelene ne-hypoglycemia enzima nemiphumela engenakuphikwa.
Kungani amaphilisi we-glucose eyindlela engcono yokukhulisa ushukela? Eqinisweni, iningi labanesifo sikashukela abanoshukela ophansi bazama ukukukhulisa ngokudla okulandelayo:
- Itiye elimnandi, ushukela omsulwa.
- Ujamu, sithandwa, ujamu.
- Izithelo ezimnandi, amanzi acwebezelayo.
- Ushokoledi, uswidi, amakhekhe nokunye.
Kodwa-ke, le ndlela imbi ngempela. Okokuqala, ukudla kuhamba kancane kakhulu kune-glucose esezibhebheni. Ngemuva kwakho konke, umzimba udinga kuqala ukugaya imikhiqizo, futhi kuphela ngemuva kwale nqubo i-glucose esegazini.
Ngaphezu kwalokho, cishe akekho umuntu onesifo sikashukela ongakwazi ukubala ukuthi angakanani amanzi amnandi wokuwaphuza ukuze kuphakanyiswe ushukela wezinga lokuqondiwe. Ngenxa yalokhu, uzodla okungaphezulu kakhulu kwalokho okudingekayo, okubuye kukhuphule ushukela ngokweqile.
Ngokufanelekile, ngemuva kokuthi kudingekile ukuthatha izinyathelo ezizosiza ukunciphisa ushukela emzimbeni.
Kumele kuqashelwe ukuthi imikhiqizo yokudla inyusa ushukela ngokungalingani nangokungalindeleki, futhi imvamisa ukuvimba ukuhlasela kwe-hypoglycemic kuholela ekutheni i-glucose imane "igoqele".
Ushukela ojwayelekile onezimpawu ze-hypoglycemia
Kwenzeka kaningi ukuthi bakwazile ukumisa ngokushesha ukuhlaselwa kwe-hypoglycemic, kepha izimpawu zikashukela ophansi azange zisuke. Ukwehla ushukela, kuvela i-adrenaline rush, nayo eba nezimpawu eziningi ezingezinhle.
Lapho i-glucose incipha, izindlala ze-adrenal zikhiqiza le hormone, enikeza isibindi isibonakaliso sokuthi i-glycogen kufanele iguqulwe ushukela, umphumela wokukhuphuka kwenhliziyo, isikhumba esidabukile, ukuqhaqhaqhaqha nezinye izimpawu.
I-Adrenaline iphuka emzimbeni kungakapheli isigamu sehora. Lokhu kusikisela ukuthi ngisho nehora ngemuva kokukhululeka kokuhlaselwa, cishe ingxenye eyodwa kwesine yama-hormone ijikeleza ohlelweni lokujikeleza, ngenxa yalokho, ibangela izimpawu eziyingozi.
Ngakho-ke, udinga ukulinda elinye ihora ngemuva kokuthatha ushukela. Ngalesi sikhathi, into esemqoka ukunqoba indlala yakho futhi ungadli lutho. Imvamisa, imizuzu engama-60 yanele ukuthi izimpawu zikashukela ophansi zikwazi ukuphuma, futhi isiguli sizwa kahle.
Isazi sizokhuluma nge-hypoglycemia kuvidiyo ekulesi sihloko.
