Ushukela omncane wegazi uyabonakala kubantu abanesifo sikashukela.
Izizathu zokwakhiwa kwesimo se-pathological ziningi futhi zincike ezintweni ezahlukahlukene.
Kunezimo eziyimbangela yokuthuthuka kokuwohloka kwenhlala-kahle:
- Ukudla okubandakanya ukusetshenziswa kokudla okungenawo ama-carbohydrate alula.
- Ukuthatha umuthi onomphumela we-antidiabetesic kwesinye isikhathi kusongela nge-hypoglycemia (imithi yezizukulwane ezedlule iholela esimweni se-glycemia).
- Ukuphuza ngaphandle kokudla.
- Ukuphuza umuthi noma utshwala ngasikhathi sinye njengemithi yokwehlisa ushukela.
- Ukwephulwa kokudla, ukweqa ingxenye elandelayo yokudla.
- Isingeniso ngesikhathi sokujova kwenani elikhulayo le-insulin.
- Ukuzivocavoca ngokweqile.
Izimpawu zoshukela osezingeni eliphansi kwiplasma yegazi zihlukile. Uhlu lufaka ukonakala okubukhali enhlalakahleni, kubuthakathaka, ekulahlekelweni kwesifiso sokudla, ukubanda, njll.
Izimpawu zoshukela omncane wegazi zingavela ezigulini ezinesifo sikashukela. Kulokhu, ushukela wegazi ophansi, izimbangela zazo eziboniswe ngezansi, ziholela ekuqalwa kwe-hypoglycemia ehambisana nesifo sikashukela.
Okuqukethwe ushukela ophansi kungenzeka ngenxa:
- ukuphuza utshwala obuningi;
- ngenxa yokuthatha imishanguzo ethile;
- ngenxa yezifo eziphazamisa ukusebenza okuvamile kwesibindi, izinso, izindlala ze-adrenal, amanyikwe;
- ekuhlolweni kokuphazamiseka komzimba emzimbeni;
- ngemuva kokuzivocavoca ngokweqile komzimba;
- njengomphumela wokudla okwedliwayo, ikakhulukazi uma uqukethe okuqukethwe kwe-carbohydrate ephansi kakhulu;
- izikhawu zesikhathi esikhulu phakathi kokudla (kusuka emahoreni angama-8).
Zonke lezi zizathu zingadala ukuncipha okukhulu kweshukela legazi kumuntu ophilile. Ngakho-ke, kubalulekile ukuvikela izimo ezinjalo.
Lesi sifo sikhonjiswa kanjani?
Ukwehlisa ushukela wegazi kunezimpawu ezithile. Ukubazi, ungazama ukugwema imiphumela emibi futhi uvikele ukuthuthuka kokhokho.
Kumuntu ngamunye, izinkomba zikashukela ophansi zingahluka, kuya ngokuthi ukwehla kwenzekani.
Ukuqala kwezimpawu zezimpawu ezahlukahlukene nakho kuya ngesilinganiso sokunciphisa ushukela.
Uma izinga likashukela lehla laya kwamathathu akhombe ishumi lesishiyagalombili le-mmol / L noma eliphansi. Lapho ushukela ophansi onjalo ubonwa, izimpawu zingaba ngokulandelayo:
- Izimpawu zokuqala zingaba buthakathaka, zathuthumela emzimbeni wonke futhi zibanda.
- Ukwehla ushukela wegazi kuhambisana nokujuluka okunzima, kumjuluka umjuluko obandayo, imvamisa ikhanda lijuluka kuqala, ikakhulukazi intamo.
- Isiyezi siyabonakala.
- Umuzwa wendlala.
- Olunye uphawu kungaba isicanucanu.
- Ubuhlungu, ukukhathazeka nokukhathazeka.
- I-palpitations yenhliziyo (tachycardia).
- Lapho ushukela wehla, ukudonsela phansi noma umuzwa wokuqina kwezindebe, kungabonakala nasendaweni yeminwe.
- Uma ushukela wegazi wehliswa ngaphansi kwesimo esinqunyelwe ngokomzimba, khona-ke isiguli singakhalaza ngokubona okusobala.
Noma yiziphi kulezi zimpawu ezingenhla zingadala imiphumela emibi kakhulu. Ngakho-ke, uma umuntu ezizwa enye yalezi zimpawu, khona-ke kuyadingeka ukuthi abize udokotela ngokushesha okukhulu. Yiziphi izindlela zokwelashwa okufanele zenziwe ukuze kuncishiswe ushukela omningi futhi iguqule izinga lakhona, umuthi we-hypoglycemic kufanele uthathwe.
Kungani ukuwohloka okunje empilweni? Izizathu zokwehla ngukuthi isiguli singakulandeli ukudla noma ukuzikhandla ngokweqile komzimba. Imbangela yokwehla kungaba ukucindezela.
Qiniseka ukuthi unikeza ukudla okunoshukela ophansi. Kubandakanya ukusetshenziswa kwemikhiqizo ekhethekile enomthelela ekuqinisekisweni kwale nkomba.
Kuyadingeka ukuqeda izimbangela zikashukela ophansi bese ukhumbula ukuthi isifo esifana nesifo sikashukela sidinga ukubheka irejimeni efanelekile yosuku kanye nakho konke okunye ukuncoma kukachwepheshe.
Ungayibona kanjani ingozi?
Ukunciphisa amazinga kashukela kungenzeka ngezigaba eziningana.
Isigaba sokuqala sentuthuko yalesi simo sichazwe ngenhla, lapho isiguli sikwazi ukubona ngokuzimela ukwehla kwempilo yaso bese sibiza udokotela noma sizisize ngokwaso.
Kwesinye isikhathi ukwehla okubukhali koshukela wegazi kungenzeka kwisifo sikashukela. Ukwehla kweshukela egazini kuya ku-3 mmol ilitha linye kuthathwa njengeyingozi kubantu.
Izimpawu zokuncipha okunjalo okubukhali futhi okuphansi kukashukela zibonakala kakhulu, lesi simo sihambisana nezimpawu ezilandelayo:
- isiguli sicasuka kakhulu futhi sithukuthele;
- ukudideka kuvela, kuba nzima ukuthi isiguli sigxile;
- ukuwa ushukela kuvuselela ukudideka esikhaleni;
- ukuqina kwemisipha kuyabonakala;
- umuntu unenkulumo ethambile futhi engekho emthethweni;
- Izinga leshukela elincane liphazamisa ukuhlangana kokunyakaza, i-gait iba engazinzile futhi iguquguqukayo;
- ukozela
- ukozela kuyanda futhi buthakathaka kakhulu ubuthakathaka;
- imvamisa yokuswelakala kweglucose kubangela ukuthi ogulayo akhale.
Kungenzeka yini ukuthi isiguli sibe sibi kakhulu? Impendulo inguyebo. Lapho kunoshukela omncane kakhulu egazini, okungukuthi, izinga lawo lehlela ku-1.9 mmol / l, izinga lokushisa lomzimba lomuntu lehla kakhulu, ukuqaqanjelwa kuyabonakala, futhi kuqubuka unhlangothi kanye nokukhubazeka. Ngenxa yalokho, uma ushukela wehla kakhulu, isimo singabulala.
Ngokuphathelene nokuthi yini okufanele yenziwe kuqala, kuleli cala, udinga ukubiza ngokushesha i-ambulensi bese uthatha izinyathelo eziphuthumayo zokunciphisa izinga le-glucose egazini lesiguli.
Uma umuntu ekwazi, ungazama ukumnika okuthile okumnandi, kungaba ngamanzi ajwayelekile, lapho kuphekelwa khona izipuni ezimbalwa zikashukela noma uju.
Ukuzizwa ukhathele - yini ingozi?
Akuzona zonke iziguli ezinamathisela ukukhathala okukhulu, zikubheka njengokujwayelekile kwazo, okubangela ukuwohloka okubukhali enhlalakahleni.
Lesi simo siyingozi ikakhulukazi kwabobulili obuhle. Kusho ukuthi umzimba wowesifazane uthambile kakhulu futhi izinqubo ezingenakuphikiswa ziqala ukukhula kuwo.
Imvamisa, ushukela wegazi kubantu abanesifo sikashukela wehla ebusuku. Ngenxa yalokho, ekuseni umuntu uvuka enekhanda elibuhlungu. Lesi simo sihambisana nezimpawu eziningi, zonke ezibonisa ukuthi umuntu uhlushwa i-hypoglycemia ebusuku.
Lezi zimpawu yilezi:
- Ukujuluka okukhulu.
- Izimo ziyenzeka futhi lapho isiguli siwela embhedeni.
- Ukwehlisa ushukela wegazi ebusuku kungadala isiguli ukuthi sizungeze igumbi ngephupho.
- Ukuziphatha kuphumula kakhulu.
- Amaphupho amnyama angavela;
- Kwezwakala imisindo engajwayelekile eyenziwe ngumuntu.
Konke lokhu kusho ukuthi isiguli kufanele ngokushesha sifune usizo kudokotela onguchwepheshe futhi senze ukuhlolwa okugcwele. Ukuhlaziywa ngokuphelele okuzobonisa ukuthi kungani kuba kubi kuphela ebusuku.
Ukuze uqale ukuzizwa ujabule futhi, kuzofanela ulandele izincomo zochwepheshe. Uma ushukela uphezulu kakhulu, khona-ke udinga ukuphuza izidakamizwa ezikhethekile ezinciphisa ushukela, kepha lapho izinga seliphansi ngokweqile, into yokuqala okufanele yenziwe ukuthola imbangela yalolu shintsho bese kuphela uhlakulela irejimeni yokwelashwa.
Ukuxilongwa nokwelashwa ushukela ophansi
Zonke lezi zimpawu ezingenhla zoshukela osezingeni eliphansi kumuntu omdala zingabhekwa, lapho ushukela wehla ufinyelela ezingeni le-6.8 mmol ngelitha. Lokhu kuyabonakala ezigulini ezinesifo sikashukela. Ngaphezu kwalokho, uma isikhathi lesi sifo sesiqhubeka, izibonakaliso zokuwohloka kwempilo ziba namandla ngokwengeziwe.
Izingane azinandaba kangako noshukela wegazi ophansi. Esimweni sokuncipha okukhulu kwezinkomba eziya ku-2.6-2.2 mmol / lit, izimpawu ezichazwe ngenhla zingaziveza. Kepha lapho izinga likashukela lisesifundeni esingu-3.6-2.2 mmol / ilitha, khona-ke noma yikuphi ukubonakaliswa enganeni kungenzeka kungabikho ngokuphelele. Ngenkathi ukuntuleka koshukela egazini kumuntu omdala kuqala ukuzibonakalisa ngezimpawu ezingenhla esivele enkombeni ye-3.8 mmol ilitha ngalinye.
Ukuthola lesi simo ngokunembile, udinga ukwenza isifundo esikhethekile. Ukuxilongwa kwenziwa uma ukuhlaziya kukhombisa ushukela wegazi ophansi emadodeni noma kwabesifazane, futhi kunezimpawu ezishabalala ngemuva kokudla ukudla okumnandi noma isiphuzo.
Lesi siphetho siholela ekuhlolweni okugcwele kwesiguli ngudokotela ofanelekayo. Udokotela uhlola isiguli, athole ukuthi isiguli sidlani nokuthi siphi, yiphi indlela aphila ngayo futhi unaka ezinye izinto eziningi ezibalulekile.
Ukwelashwa kwenziwa kuphela ngemuva kokuba kunqunywe imbangela enkulu kashukela ophansi. Futhi vele ngemuva kokuthi odokotela bethole ukuthi yini ehambisana nokuntuleka kweglucose, ukwelashwa kungaqala.
Isiguli ngasinye kufanele siqonde ukuthi yini esongela yena ngalesi simo nokuthi angayiqapha kanjani impilo yakhe kahle, ukuze angehli ushukela wakhe kakhulu. Impela, kwesinye isikhathi kuba nezimo lapho iziguli ezinesifo sikashukela ziphathwa ngokuzimele ngokweseluleko sezinye iziguli, zithi, yehlisa ushukela wakho ngomuthi othile wabantu, lesi sifo ngeke sibe nzima kangako. Kepha imvamisa, ukuzelapha okunjalo kuholela eqinisweni lokuthi isiguli simenza abe muhle kakhulu enhlalakahleni yakhe.
Ngakho-ke, kungcono ukwelashwa ngaphansi kokuqashwa ngudokotela okuqinile, futhi ungavumeli amazinga ashukela ngokweqile.
Yini ebalulekile okufanele uyikhumbule?
Lapho ushukela uqala ukwehla kahle, isiguli sisengakwazi ukubhekana nesimo esinikelwe. Uzizwa izimpawu ezichazwe ngenhla futhi angasilungisa ngokushesha leso simo.
Isibonelo, ngokwehla okuncane, kwanele ukuphuza isixazululo sikashukela noma ungadla isipuni soju nocezu kashukela, bese impilo yakho ibuyela kwesejwayelekile. Kuliqiniso, kuleli cala, kwenqatshelwe ngokuphelele ukudla ikhekhe elimnandi nanoma yikuphi ukudla okunamafutha kanye nalokhu okutholwa isikhathi eside, kuzolimaza isimo sesiguli kuphela.
Lapho ushukela wehla kakhulu kakhulu noma lapho izinga lawo lingaphansi kwesilinganiso, isiguli singalahlekelwa ukwazi. Kulokhu, kufanele ushayele i-ambulensi. Ukuze inkomba iqale ukwanda, isiguli sifakwa kancane ngekhambi le-glucose ngaphakathi noma i-glucagon, engahanjiswa hhayi emthanjeni kuphela, kodwa nge-intramuscularly noma ngokuziqhelanisa. Ngemuva kwengxenye yehora, izinga likashukela wegazi linqunywa kusetshenziswa i-electrochemical glucometer. Uma isiguli sizizwa singcono, asilaliswa esibhedlela, ezimweni ezinzima, ukwelashwa kwenziwa esibhedlela.
Okokuqala, lapho ushukela eqala ukwehla, isiguli sinikezwa ingilazi yamanzi yokuphuza. Le ndlela kufanele isize ekulinganiseni isilinganiso. Futhi ngemuva kwalokho, ungathumela isiguli kudokotela ukuthi ayohlolwa ngokuphelele.
Esimweni lapho izinga ushukela seliphezulu kakhulu, kubalulekile ukwazi izimpawu zesikhombisi esikhuphukile. Okufanayo kusebenza ezimweni uma kukhulunywa ngamazinga we-glucose aphansi kakhulu. Kunconywa ukubonana nodokotela lapho lesi simo siqoshwa okokuqala.
Ukuze wazi ngesikhathi esifanele lezo zinguquko empilweni, kubaluleke kakhulu ukuba ne-glucometer ekhaya. Kulula kakhulu ukuphatha, futhi ngenxa yalokhu awudingi ukuba nemfundo ephakeme.
Izimbangela ze-glucose ephansi yegazi zinganqunywa kuphela ngudokotela onolwazi. Ngakho-ke, ngokwehla okubukhali noma okubushelelezi kushukela, ngokushesha udinga ukubonana nodokotela wakho noma nge-endocrinologist yendawo.
Ngaphandle kokungabaza, isilinganiso esiphansi sama-carbohydrate egazini sibonisa ubukhona bokuphazamiseka okukhulu ezinqubweni ze-metabolic emzimbeni. Lesi simo somzimba sibucayi futhi sidinga ukungenelela okuphuthumayo kwezokwelapha emzimbeni ukuze kulungiswe izinqubo ze-metabolic ezenzeka kuwo.
Izimbangela nokuvinjwa kwe-hypoglycemia kuchazwe kuvidiyo kule ngxenye.
