Kukhona izinguquko ezahlukahlukene kwisikhombisi se-glucose emzimbeni, zingangehla ngaphansi kwesilinganiso esejwayelekile futhi zikhuphuke ziphezulu. Ukwehla ushukela kubangela isimo se-hypoglycemia, isifo esisongela impilo esingaholela ekufeni.
Ukuze ugweme imiphumela emibi, kubalulekile ukuqonda ingozi yokuba noshukela osezingeni eliphansi nokuthi usazi kanjani lesi simo. Uma umuntu enesimo esifanayo, zonke izitho zangaphakathi nezicubu azitholi izakhamzimba ezanele, okuholela ekuwohlokeni kwenhlala-kahle yesiguli, isimiso sezinzwa esiyengqondo nengqondo kuhlupheka kakhulu, bese isiguli siwela ebunzimeni.
Ukwazi izimpawu eziphambili zoshukela omncane wegazi, ungavimba imiphumela emibi bese ulungisa isimo. Ochwepheshe batusa, uma kunezinkinga ngezikhathi ezithile nezinkomba ze-glucose, ukuthola ukuthi yini eyingozi ngoshukela omncane wegazi nokuxilongwa kwaso.
Izimbangela zoshukela ophansi zingahluka, kwesinye isikhathi azihlotshaniswa nesifo sikashukela. Isizathu sikashukela wegazi ophansi singalala eqinisweni lokuthi umuntu akakudlanga ukudla isikhathi esingaphezu kwamahora ayi-8.
Izizathu zokunciphisa ushukela esiswini esingenalutho?
Kungani kuba nzima esiswini esingenalutho uma isidlo singaphezu kwamahora ayisishiyagalombili?
Kunezizathu eziningana zokuwohloka.
Ukuthola izimbangela zokuwohloka kwempilo uyakwazi ukuba uchwepheshe wezokwelapha ngemuva kokuhlolwa.
Izimbangela eziphambili zempilo engeyinhle yilezi:
- kukhona uketshezi oluncane kakhulu emzimbeni;
- umuntu uhlala engondlekile;
- udla ukudla okungenamsoco;
- uphuza utshwala obuningi;
- ezithweni zangaphakathi kukhona amathumba amabi;
- kunezinkinga ngesibindi noma namanyikwe.
Izizathu ushukela wegazi ophansi nazo zingaba iqiniso lokuthi une:
- Kunenkinga efana nokukhuluphala.
- Kuxilongwa nge-hyperinsulinism, okwenzeka ngenxa yokungalingani kwe-hormonal;
- Kukhona ukuhluleka kwenhliziyo noma kwezinso.
Uma ushukela wegazi uphansi ngokuphuthumayo, kudingeka uhlolo olungakaxazululwa ukuthola imbangela eyiqiniso yalesi simo. Ngaphandle kwalokho, isimo sesiguli singathukuthela kakhulu.
Ngaphezu kwezifo, ushukela ophakeme noma ophansi kungaba ngumphumela wesiguli esihola indlela yokuphila engenampilo. Ukondliwa okufanele kungenye yezidingo ezibaluleke kakhulu.
Cishe noma yimuphi umuntu odla ukudla okungenamsoco futhi ongumlutha wemikhuba emibi angaba nezinkinga ezinkulu zempilo.
Ukugwema lezi zimo, kumele njalo uhlolwe ngodokotela abahleliwe bese ulandela izincomo zabo. Kaningi, ukwehla kwamazinga kashukela emadodeni kukhombisa ukukhula kwezinkinga ezihambisana ne-prostate. Yize lesi simo singenzeka ngenxa yezinye izifo.
Ngaphandle kokuhlolwa ngokucophelela, kunzima ukuthola ukuthi yini ngempela ebangele ukukhula kwesimo esifana ne-hypoglycemia.
Izimbangela eziphambili ze-hypoglycemia
Lesi simo sivame ukuhlotshaniswa nomthwalo emzimbeni. Ukuqeqeshwa kakhulu noma ukungalali kahle kungadala lokhu kutholwa. Ukukhathala okuhlala njalo umuntu ahlangabezana nakho, ikhanda elibuhlungu njalo, isicanucanu, lezi yizimpawu kashukela omncane wegazi.
Umbuzo wokuthi kungani umuntu omdala noma ingane ingaqala ukuba nezinkinga ngoshukela wegazi umunxa kakhulu, ngoba imiphumela yalesi simo imbi impela.
Ngokungeziwe ekwelashweni kwezidakamizwa, kusadingeka ukuqonda ukuthi yikuphi ukudla okune-glucose ephansi kuzosiza ukubhekana nokugula okunjalo.
Kunezimbangela eziningana kashukela wegazi ophansi, okuyizo eziyinhloko:
- ukuthuthukiswa kwangaphambili kwesifo sikashukela;
- ukuhlinzwa kwesisu;
- izifo ezibangela ukusetshenziswa ngokweqile koshukela ngumzimba;
- ukwehla kweshukela egazini enganeni kwenzeka ngokuzivocavoca ngokweqile komzimba;
- izimpawu ezifanayo kungenzeka uma intombazane ikhulelwa isencane;
- kwesinye isikhathi ezinganeni kusabela i-acetylsalicylic acid;
- ushukela ungawa ngenxa yezidakamizwa ezithile.
Ngo ushukela ophansi, kubaluleke kakhulu ukuthola ngesikhathi imbangela yokuncipha kwe-glucose bese uqala ukuqedwa kwayo ngokushesha.
Isimo se-hypoglycemia sivezwa kanjani?
Okokuqala udinga ukusho ukuthi lesi simo singenzeka nganoma yisiphi isikhathi sosuku. Ngokuvamile lokhu kwenzeka ekuseni, lapho umuntu evuka nje. Lokhu kungenxa yokuthi ngemuva kokuvuka, isiguli simane nje asinaso isikhathi sokudla kwasekuseni ngakho-ke izinga loshukela wegazi kwabesifazane noma emadodeni belingenaso isikhathi sokubuyela kokujwayelekile.
Ukuhlukahluka okubizwa ngokuthi yi-hypoglycemia, okuvela ngemuva kokudla ukudla, kungenzeka. Kulokhu, singasho ngokuphephile ukuthi isiguli siqala ukuba nesifo sikashukela.
Ngokuvamile lokhu kwenzeka ngesifo sikashukela. Ngaphezu kwalokho, kulezo zimo lapho isiguli singalawulwa ngokuzimela ngamazinga kashukela noma singazinaki izincomo zikadokotela.
Ukuxilonga impilo yokugula ngendlela esheshayo, udinga ukutadisha ukuthi yiziphi izimpawu eziphambili zokuncipha koshukela wegazi.
Lezi zibonakaliso yilezi ezilandelayo:
- Ukuqhaqhazela izandla, ukuthuthumela, ezimweni ezingavamile, isivinini sokushisa.
- Kukhulisa umjuluko.
- Ukushayela ngokushesha.
- Umuzwa onamandla wendlala.
- IPolydipsia (ukoma).
- Ukulimazeka okubukwayo - umgubuzelo emehlweni, mnyama noma ubona kabili, izimpukane.
- Isiyezi, ikhanda.
- Isicanucanu
- Ukungakhathali, ukozela, ukungabekezeleleki.
- Isikhumba sobuso, imilensi iba mnyama.
- Ubuthakathaka emisipha, ukusindeka, usizi lwamaphethelo aphansi.
- I-Tachycardia (inhliziyo palpitations).
- Ukuchama okusheshayo (i-polyuria).
- Swayipha izintende ngenkathi ebandayo.
Ngoshukela wegazi ophansi, ushintsho inhlala-kahle ngesikhathi sokulala kungenzeka, kuvela:
- ukujuluka ngokweqile (ishidi liba manzi);
- ekhuluma, ememeza ephusheni;
- ukucasulwa, ukondayo ngemuva kokulala.
Noma yikuphi kwalokhu kushiwo kusho ukuthi ingqondo yesiguli ihlushwa ukuntuleka kweglucose. Esimweni esinjalo, kubalulekile ukutadisha umbuzo wokuthi yini okufanele uyenze kuqala ukuze ugweme ukuwohloka okunjalo. Okokuqala udinga ukuthuthukisa umkhuba wokulinganisa ushukela njalo ngemuva kokudla nasekuseni, uhlolwe ngokuphelele futhi uthole ukwelashwa okufanele. Ikakhulu uma izinga likashukela lehla ngaphansi kwe-3.3 mmol ngelitha.
Uma ungazinaki izimpawu zokuqala, imiphumela ingaba mibi impela. Okokuqala, isiguli sizoba nezinkinga ngenkulumo, sizoshaya indiva, bese kuvela umgodi, uhambo luyobe lungamathambo futhi kungahle kube khona uphawu lokunaka okuphazamisekile.
Konke kugcina ngokukhohlisa nokufa.
Ungakuxilonga kanjani inhlala-kahle ngesikhathi esifanele?
Isimo esinokuqukethwe ushukela okuncishisiwe kusongela umuntu ngokuthukuthela komzimba. Kubalulekile ukuqonda ukuthi ukwazi ukubona kanjani kahle ukonakala enhlalakahleni, nokuthi ungasiqeda kanjani lesi simo.
Noma ngubani onenkinga yokufakwa kweshukela emzimbeni kufanele aqonde ukuthi iyini i-hypoglycemia, ukuthi angabhekana kanjani nayo ngendlela efanele.
Ingxoxo yokuthi ungaselapha kanjani isifo ihlala iqala ngezincazelo, ngenxa yalokho kuba noshintsho olunjalo enhlalakahleni, nokuthi luthinta kanjani umsebenzi wazo zonke izitho zangaphakathi.
Udinga ukuzijwayeza ukuthi usithola kanjani lesi sifo ngendlela esifike ngesikhathi, nokuthi ungawanyusa kanjani amazinga eglucose.
Udokotela wenza isiphetho sokugcina ngesisekelo sezikhalazo zesiguli kanye nokuhlolwa okugcwele kweziguli. Ukuze wenze lokhu, isikhathi esithile, udinga ukutadisha ukuziphatha komuntu futhi wenze isivivinyo sokubekezelela ushukela. Lolu hlobo lokucwaninga lwenziwa esimweni sesibhedlela sesikhungo sezokwelapha. Sisadinga ukwenza ukuhlolwa kwegazi usebenzisa i-glucometer. Kulula ukufeza ekhaya, ungalinganisa izinga likashukela enganeni noma kumuntu omdala. Amanani ashukela ajwayelekile aqala ku-3.3 kuye ku-5.5 mmol ilitha ngalinye. Noma yini ephansi noma ephakeme kunale mikhakha ingakhuluma ngokwakhiwa kwezinkinga zempilo.
Bonke odokotela batusa ngamabomu ukuthi ohlotsheni 2 wesifo sikashukela, kuphoqelekile ukukala izinkomba ze-glucose ekhaya njalo. Ngohlobo lokuqala lwesifo, lokhu kufanele kwenziwe njalo. Ngohlobo lwesibili lwesifo sikashukela, ubungozi bokukhula buba bukhulu.
Ushukela osezingeni eliphansi, kufanele ufune usizo lodokotela ngokushesha.
Ngaphandle kwalokho, i-pathologies eyinkimbinkimbi emzimbeni ingaqala, okuzobangela izinkinga ezinkulu.
Izindlela eziphambili zokwelashwa
Ngemuva kwezimbangela kashukela wegazi ophansi, izindlela zokuxilonga zacacisa, kufanele uthole ukuthi yini okufanele uyenze ukubhekana nalesi simo.
Okokuqala, udinga ukwengeza ushukela wegazi futhi ugweme ukuthuthukiswa okwengeziwe kwe-hypoglycemia.
Kungakhathalekile ukuthi hlobo luni lwesifo olubandakanyekile, ngaso sonke isikhathi kufanele uphuze izidakamizwa ezinciphisa ushukela noma i-insulin ngokuya ngezincomo zochwepheshe.
Isifo sikashukela sohlobo 2 sidinga ukusetshenziswa njalo kwezidakamizwa ezikhethekile ezinciphisa ushukela. Kepha ngesifo sikashukela sohlobo 1, kunqunywa ukwelashwa kwe-insulin. Kokubili lokho nokunye kusho ukuthi kubalulekile ukwamukela ngokuya ngezincomo zochwepheshe.
Esinye isizathu esenza umuntu aqale ukuthuthukisa i-hypoglycemia kubhekwa njengokudla okungafanele. Ngakho-ke, ukuhambisana nokudla kuzosiza ukugwema lesi simo. Kungcono ukusebenzisa ukudla cishe okuhlanu, noma ngisho nesithupha ngosuku emikhakheni emincane, udinga ukukhetha ngokucophelela ukudla okuzoqalwa futhi uqiniseke ukuthi akukho ukudla okuvinjelwe emenyu.
Kodwa okokuqala, uma inkomba iqale ukwehla kakhulu, kufanele ufune usizo kw uchwepheshe. Uzokwenza isifundo esiphelele futhi akunikeze uhlobo lwemithi efanele yokwelashwa bese ekutshela ukuthi udlani nokuthi kungakanani.
Njengoba sekushiwo, kuvame ukwenzeka ukuthi i-hypoglycemia ikhula ibhekene nesizinda sezinkinga ezinzima zempilo yesiguli.
Kulokhu, udinga ukuqala ukwelashwa okuphuthumayo kwezifo ezingaphansi.
Ezinye izindlela zokwelashwa
Ngaphezu kwezindlela ezijwayelekile zokwelapha i-hypoglycemia, amakhambi esintu angasetshenziswa. Ziyasebenza zombili ekwelapheni ingane nasezigulini esezikhulile.
Kepha kufanele uhlale ukhumbula ukuthi izingane, njengabantu abadala, kufanele zithole ukwelashwa ngaphansi kweso elibukhali lochwepheshe. Kungemva kokubonisana nodokotela oqhubekayo, kungenzeka ukhethe ezinye izindlela zokwelashwa, kwenqatshelwe ngokuphelele ukuqala ukuzisebenzisa ngokwakho.
Ungathola izindlela eziningi ezizosiza ukulwa noshukela omncane wegazi. Ukuze izindlela zokupheka zisebenze, kufanele wazi ukuthi ungazisebenzisa kanjani ngendlela efanele nokuthi yimuphi umthamo ukukhetha isithako esithile.
Iresiphi ethandwa kakhulu ifaka ukusetshenziswa kukalamula, ugarlic kanye ne-parsley entsha, uzodinga izithako ngobuningi obunjalo:
- ikhilogremu elilodwa likawolintshi;
- amagremu angamakhulu amabili egalikhi;
- amagremu angamakhulu amathathu aluhlaza.
Izakhi kufanele zichotshozwe ngokuphelele futhi ingxube ephumayo kufanele ivikelwe izinsuku ezinhlanu. Ngenxa yalokho, uzonikeza ujusi, okufanele udliwe ngenani lesipuni kathathu ngosuku.
Njengomuthi, ungasebenzisa isibani. Kufanele uthele kahle uthele amanzi abilayo. Ngemuva kokuhlala isikhathi esingamahora amathathu, uketshezi olukhona (ijusi) kufanele udliwe kathathu ngosuku imizuzu engamashumi amathathu ngaphambi kokudla. Kulokhu, umthamo owodwa isipuni esisodwa.
Kunezinye izindlela eziningi zokupheka ezibandakanya ukusetshenziswa kwamakhambi nezitshalo ezahlukahlukene.
I-hypoglycemia izotshela uchwepheshe kuvidiyo ekulesi sihloko.
