Ukushaqeka kwesifo sikashukela kuyisimo esibi esingaba yingozi esigulini esinesifo sikashukela. I-hypoglycemia enkulu, ekhula njengomphumela wehla kakhulu ushukela wegazi noma ukwanda kokuxineka kwe-insulin ye-hormone, kuholele ekuthuseni kwesifo sikashukela.
Ngaphandle kosizo olufika ngesikhathi, ukushaqeka kwe-insulin, noma njengoba ibizwa nangokuthi ushukela usizi, kungaholela ezinkingeni ezinkulu, kufaka phakathi ukulimala kwengqondo. Ngakho-ke, kubalulekile ukuthi isiguli esinesifo sikashukela sazi izimbangela zokushaqeka, sikwazi ukubona izimpawu zayo zokuqala ngesikhathi futhi sihlale sikulungele ukusimisa.
Izizathu
Inkinga ye-glycemic ivame kakhulu ukuthinta abantu abanesifo sikashukela sohlobo 1. Ingozi yokuthola le nkinga iphakeme kakhulu ezimweni ezinzima zalesi sifo, lapho isiguli singena ngokuqinile emazingeni kashukela egazini.
Izici ezilandelayo zingavusa ukukhula kwenhlekelele yesifo sikashukela:
- Ukuphathwa kokufakelwa komthamo omkhulu we-insulin;
- Ukwethulwa kwe-hormone hhayi kwezicubu ezi-subcutaneous, kodwa kwizicubu zemisipha. Lokhu kungenzeka ngengozi uma isiguli sinikeza umjovo ngokushesha noma sithathe isirinji enenalithi ende kakhulu. Kepha kwesinye isikhathi iziguli zishayela ngamabomu umuthi we-insulin emisipha, zizama ukuqinisa umphumela wazo;
- Ukwenza umthamo omkhulu wokuzivocavoca ngokomzimba, ngokwesibonelo, ngesikhathi sokusebenza noma sokudlala imidlalo, ngemuva kwalokho isiguli singadli ukudla okugcwele ama-carbohydrate;
- Uma isiguli sikhohliwe noma sakwazi ukudla ngemuva komjovo we-insulin;
- Ukusetshenziswa kweziphuzo eziqukethe utshwala;
- Ukwehlisa indawo yomjovo ukusheshisa ukufakwa komuthi;
- Ukukhulelwa kwabesifazane, ikakhulukazi izinyanga ezintathu zokuqala;
- Ukwehluleka kwesibindi;
- I-Steatosis yesibindi (ukonakala kwamafutha).
Ikakhulu kaningi, ukushaqeka kwe-insulin kutholakala ezigulini ezinesifo sikashukela esinezifo ezihlobene nesibindi, izinso, ipheshana lesisu nohlelo lwe-endocrine.
Enye imbangela ejwayelekile yokuthuthuka kwenkinga kashukela ukusetshenziswa kwemithi ethile.
Lesi simo ngesinye isikhathi sibonwa njengomphumela oseceleni ngemuva kokwelashwa ngama-salicylates, ikakhulukazi uma ehlanganiswa nama-sulfonamides.
Izimpawu
Kwesinye isikhathi isifo sikashukela singakhula ngokushesha okukhulu. Lokhu kwenzeka lapho ushukela wegazi lesiguli wehlela emazingeni aphansi ngokunamandla. Ngalesi sikhathi, umuntu angahle aqaphele, bese kuthi ngemuva kwemizuzwana nje ewele ekhefini elijulile.
Ukuvimbela lokhu, isiguli esinoshukela kufanele sikwazi ukwahlukanisa izimpawu zokuqala ze-hypoglycemia, ezivezwa kanjena:
- Umuzwa onamandla wendlala;
- Ubuhlungu bekhanda, isiyezi;
- Ukuvutha okushisa okusakazeka emzimbeni wonke;
- Ubuthakathaka obukhulu, ukungakwazi ukwenza umzamo omncane womzimba;
- Ukuzindla kwenhliziyo, umuntu angazizwa ukuthi inhliziyo yakhe ishaya kanjani;
- Ukwanda kokujuluka;
- Ubuningi bezandla nezinyawo;
- Ukuthuthumela emzimbeni wonke, ikakhulukazi emikhawulweni ephezulu nangaphansi.
Okwamanje, ukubhekana ne-glycemia kulula kakhulu. Kuyadingeka kuphela ukunikeza isiguli noma yimuphi umkhiqizo ngama-carbohydrate alula wokudla, ngokwesibonelo, ujusi ovela ezithelo ezimnandi, uju noma ucezu kashukela nje.
Futhi, ukwenza ngcono isimo sesiguli, isisombululo se-glucose noma amaphilisi singasetshenziswa.
Ebusuku I-Diabetesic Shock
Inkinga kashukela ivame ukuhlangatshezwa kakhulu yiziguli ezisebenzisa isikhathi eside ukusebenza kwe-insulin ekwelapheni isifo sikashukela. Kulokhu, ukushaqeka kwe-insulin kuvame ukubamba umuntu ntambama noma ebusuku ngesikhathi sokulala.
Icala lesibili liyingozi kakhulu, ngoba umuntu olele akasiboni isimo esandayo. Kulokhu, ukuhlaselwa ebusuku kwe-hypoglycemia kukhula isikhathi eside futhi kungaholela emiphumeleni emibi, kuze kufike ku-coma.
Ukuze uvimbele ukukhula kwe-glycemic shock, isiguli uqobo kanye nezihlobo zayo kufanele banake lezi zimpawu ezilandelayo zalesi simo:
- Isifo sokulala. Amaphupho aba nesiphithiphithi, kanti iphupho ngokwalo likhulu ngaphezulu. Iziguli eziningi ezine-hypoglycemia zihlushwa amaphupho amabi;
- Isiguli singathoma ukukhuluma ephusheni, siklabalaze ngize sikhale. Lokhu kuyiqiniso ikakhulukazi ezinganeni ezinesifo sikashukela;
- Retrograde amnesia. Ukuvuka, isiguli singase singakhumbuli ukuthi baphuphi, noma ngabe kwakunjani ubusuku obandulele;
- Ukudideka. Isiguli singase singakuqondi ukuthi sikuphi, kunzima kuso ukugxila kokuthile futhi senze izinqumo.
Uma isiguli sikwazile ukuvuka ngesikhathi futhi siyeke ukuthuthukiswa kwe-hypoglycemia, khona-ke uzokwazi ukuzivikela ekushoneni kwesifo sikashukela. Kodwa-ke, ukuhlaselwa okunjalo kuthinta kakhulu isimo sakhe futhi ngosuku lonke olulandelayo uyozizwa ekhubazekile futhi ubuthakathaka emzimbeni wakhe wonke.
Ngaphezu kwalokho, i-hypoglycemia ithinta i-psyche yesiguli, ngenxa yokuthi ingakwazi ukungathandeki, ingacasuki, iinyembezi, inovalo, futhi ibuye iwele esimweni sokunganaki.
Ukushaqeka kwesifo sikashukela
Uma izimpawu zokuqala ze-hypoglycemia zingazange zinikeze isiguli ukunakekelwa okudingekile kwezokwelapha, khona-ke isimo sakhe siyoqhubeka kancane kancane aze abe nesifo sikashukela.
Esigabeni sokuqala, lezi zimpawu ezilandelayo zimpawu zalesi simo:
- Ukufakelwa isikhumba nokujuluka;
- I-Palpitations
- Zonke izicubu zesiguli zixinekile.
Ngokuthuthuka okuqhubekayo kwezinkinga, isiguli siqala ukubonisa izimpawu ezingathi sína zokuphelelwa ushukela emzimbeni, okungukuthi:
- Umfutho wegazi ophansi;
- Imisipha ilahlekelwa yizwi futhi iba yingozi;
- Izinga lenhliziyo lehla kakhulu;
- Ukuphefumula kuvama futhi kungashoni;
- Imidlwane yamehlo ayisabeli ekuvuseleleni, kufaka phakathi ukukhanya;
- Ukungabikho okuphelele kokuphendula kwemisipha.
Kulesi simo, isiguli sidinga ukunakekelwa okufanele kwezokwelapha. Uma ingekho, angawela ebuthakathakeni, obuvame ukuholela ekufeni.
Ukuthuthuka okulandelayo kwezinkinga kubonakaliswa yizimpawu ezibucayi kakhulu ezibonisa ukuqala kwesimo esihle:
- I-Trismus, umsipha wezicubu zemisipha yobuso;
- Ukuqina emzimbeni wonke;
- Isicanucanu nokuhlanza;
- Isasasa elinamandla, eliye lathathelwa indawo ukunganakwa okuphelele.
Lesi sigaba, njengomthetho, sithatha isikhathi esincane kakhulu, ngemuva kwalokho isiguli siphelelwa amandla bese siwela kobuhlungu. Kulokhu, kuyadingeka ukuthi esibhedlela umuntu aguliswe esibhedlela ngokushesha, lapho ukwelashwa kwakhe kuyokwenziwa ngaphansi kokunakekelwa okuningile nangokusebenzisa izidakamizwa ezinamandla.
Kubalulekile ukuqaphela ukuthi ukuze kuthuthukiswe ukushaqeka kwe-glycemic, izinga likashukela akufanele liwele emazingeni aphansi. Ezigulini osekuphele isikhathi eside ziphila nesifo sikashukela futhi zijwayele izinga eliphakeme lokudla ushukela emzimbeni, ukwehla kweshukela kuze kufike ku-7 mmol / L kungadala i-hypoglycemia ne-coma.
Usizo lokuqala
Okubaluleke kakhulu ekwelashweni kwenhlekelele kashukela ukuhlinzekwa kosizo lokuqala okufika kulo ezigulini. Lokhu kuzosiza ukugwema izinkinga ezinkulu futhi mhlawumbe kusindise impilo yakhe.
Kodwa-ke, okokuqala udinga ukwenza isiqiniseko sokuthi isizathu sempilo engeyinhle yomuntu yikuyiqiniso kwe-glucose ephansi, lapho kudingeka khona ukuthi uhlole izinga likashukela wegazi. Uma umphumela uphansi kakhulu kunenani elijwayelekile lesiguli, khona-ke ukhula nge-hypoglycemia.
Ukusiza isiguli ngale nkinga enzima yesifo sikashukela, kufanele kwenziwe izinyathelo ezilandelayo:
- Shayela i-ambulensi futhi ushayele iqembu lodokotela, uqiniseke ukubatshela ukuthi isiguli sihlushwa isifo sikashukela futhi manje unokwethuka kwe-glycemic;
- Ngaphambi kokufika kodokotela, udinga ukusiza isiguli ukuthi sithathe indawo enhle kakhulu, ngokwesibonelo, simhlalisa esihlalweni noma elele kusofa;
- Nikeza isiguli ukuthi sidle noma siphuze okuthile okumnandi, njengejusi yezithelo, itiye noshukela, uju wemvelo, ujamu noma uswidi. Iziguli eziningi, ziyazi usongo lwe-hypoglycemia, imvamisa zihlala ziphethe okuthile okumnandi nazo;
- Uma isiguli salahlekelwa ukwazi futhi ukubuyela nomuzwa akunakwenzeka. Ngemuva kwalokho kuleli cala, ungabeka ngobumnene ucezu olunoshukela noswidi esihlathini sakhe.
Ngokwenza lezi zinyathelo ezilula, ungamsindisa umuntu ezinkingeni ezinzima ngisho nasekufeni, okungaholela enkingeni kashukela.
Lapho isibhedlela sidingeka
Kwesinye isikhathi udokotela obizelwe endlini kungenzeka angakwazi ukusiza isiguli ngaphandle kokulashwa esibhedlela ngokushesha. Ukwelashwa kwesikhashana kuyadingeka ezimweni ezilandelayo:
- Uma imijovo emibili yeglucose enikezwe ngezikhathi ezithile ingasibuyiseli isiguli ukwazi;
- Lapho isiguli sikhula kakhulu i-hypoglycemia kaningi;
- Uma udokotela ekwazile ukuvimba ukushaqeka kwesifo sikashukela, kepha isiguli sinezinkinga ezinkulu zenhliziyo noma nesistimu yezinzwa ephakathi, ngokwesibonelo, ubuhlungu noma ukuphazamiseka kwengqondo obekungakaze kubonakale esigulini.
Kubalulekile ukukhumbula ukuthi ukushaqeka kwe-insulin kuyinkinga enkulu yesifo sikashukela, ethinta amangqamuzana obuchopho futhi kubangele imiphumela engenakuphikiswa kubo.
Ngakho-ke, udinga ukukuthatha konke ukungathí sina futhi unikeze isiguli lonke usizo oludingekayo.
Ukwelashwa
Ukwelashwa kokushaqeka kwesifo sikashukela njalo kuqala ngokungenisa cishe u-100 ml we-40% we-glucose solution egulayo kwesiguli. Isilinganiso esiqondile somuthi sincike ekujuleni kwesimo sesiguli nokuthi angalulama kanjani ngokushesha.
Lapho welapha iziguli esimweni esibucayi kakhulu, kusetshenziswa amalungiselelo e-glucagon hormone, futhi imijovo ye-glucocorticoids ne-intrausous nayo iyenziwa. Uma isiguli siphinda siqaphela futhi singenza ukunyakaza kokugwinya, khona-ke uyamphuzisa njalo ngesisombululo se-glucose noma nganoma yisiphi isiphuzo esimnandi.
Lapho isiguli sisesimweni sokungazi noma se-comatose, khona-ke ukuze siphakamise izinga likashukela wegazi, kufakwa isisombululo sikashukela emlonyeni wakhe esifundeni se-hyoid, lapho lesi sidakamizwa singangenwa egazini ngisho nangomkhaza obunzima. Kodwa-ke, kubalulekile ukuthi uqiniseke ukuthi uketshezi alungeni umphimbo wesiguli, uma kungenjalo ungakhukhumala.
Manje, ukuphepha kwesiguli, kusetshenziswa ijeli ekhethekile ene-glucose, elisetshenziswa kumgodi womlomo, lapho lithwalwa ngumzimba. Kwesinye isikhathi isetshenziswa uju owuketshezi esikhundleni sejeli, engasebenzi kahle.
Kumele kugcizelelwe ukuthi ngesikhathi senkinga ye-hypoglycemic akunakwenzeka ukuphatha i-insulin, ngoba lokhu kuzothusa isimo sakhe futhi kungadala ukufa kwesiguli. Ngesikhathi sokwelashwa, kufanele uthathe ikhefu ekwelashweni kwe-insulin kuze kube yilapho ushukela ukhuphukela ezingeni olifunayo.
Ukuthi wenzeni ngokunqwabelanisa nesifo sikashukela kuzotshela uchwepheshe kule vidiyo ekulesi sihloko.
