Ukulahlekelwa okungazelelwe kwengozi kungenzeka ngeziphazamiso ezimfishane nezesikhashana zokugeleza kwegazi lobuchopho. Lokhu kwenzeka nge-Reflex syncope enobuhlungu obukhulu, ukucindezelwa, ukuzikhandla komzimba.
Umfutho wegazi ophansi, ukushiswa ukushisa, i-hypoxia, ubuthi bekhabhoni, kanye nokwehla kwe-hemoglobin egazini kungadala isimo sokukhubazeka.
Ukulahlekelwa ukwazi ushukela kwenzeka ngokuhlaselwa kwe-hypoglycemia. Ushukela wegazi oncishisiwe ungaba umphumela wokweqisa kwemithi noma amaphutha ekudleni kwabanesifo sikashukela.
Izizathu zokunciphisa ushukela wegazi
Ukwehla kwamazinga kashukela egazini kwenzeka kubantu abaphilile abangondlekile. Lokhu kungaholela ekubulambeni - ukuphoqelelwa noma ukuqaphela lapho ubuka ukuzila okungokwenkolo, ukudla okunemikhawulo eqinile, noma ukusetshenziswa kokudla okungenawo amavithamini, i-fiber.
Uma, ngemuva kokubulawa yindlala, uthatha ukudla ngenani elikhulu lama-carbohydrate alula, khona-ke impendulo izonyuswa ngokukhishwa kwe-insulin, futhi njengoba izitolo ze-glycogen zincishisiwe, khona-ke kukhona ukwehla kwamazinga eglucose ngaphansi kwamanani ajwayelekile.
Uma kwenzeka kungenwa okunganele kwamanzi, ushukela unxephezelwa ukuze kugcinwe izinqubo ezibalulekile futhi nezinga lawo egazini liyancipha. Ngokucindezela nokuzivocavoca okunamandla ngokomzimba, ukusetshenziswa kwe-glucose kuyanda ngenxa yesenzo samahomoni e-adrenal.
Uma ukudla kuqukethe amaswidi amaningi nemikhiqizo kafulawa, khona-ke ama-pancreas asebenza ngemodi yokuqile, kanti i-insulin eyeqile yehlisa izinga le-glucose. Ngaphambi kokuya esikhathini, ukukhiqizwa kwe-estrogen ne-progesterone kuyancipha, okwandisa amazinga kashukela.
Ezigulini ezinesifo sikashukela, lezi zinto zingadala ukwehla kwamazinga kashukela. Kukhona nezimbangela ezithile zokukhubazeka kwisifo sikashukela:
- Yeqa ukudla lapho uthatha izidakamizwa ezinciphisa ushukela noma i-insulin.
- I-insulin ayifakwa ngaphansi kwesikhumba, kepha i-intramuscularly (inaliti ende noma ngenhloso). Kulesi sifanekiselo, isenzo sawo sizozibonakalisa ngokushesha nangamandla.
- I-overdose ye-insulin noma amaphilisi ukwehlisa ushukela.
- Ukuphuza utshwala esiswini esingenalutho.
- Ukwethulwa kwezidakamizwa ku-dropper ngenani elikhulu le-saline.
- Ukweqisa kwengqondo noma kwengqondo.
Futhi, ezigulini ezinesifo sikashukela, izifo zesibindi ezihambisanayo, ukwehla kokusebenza kwe-yegilo yegilo, izindlala ze-adrenal, ukungasebenzi kahle kwamathumbu emathunjini, izifo kanye namathumbu kuyingozi.
Ukuthatha ama-anabolic steroid, kanye ne-beta-blockers engakhethi, kungaholela ku-hypoglycemia futhi kufiphale nesifo sikashukela.
Izimpawu zokunciphisa ushukela wegazi
Ezigulini ezinesifo sikashukela, i-hypoglycemia iyingozi, ngoba ayikwazi ukubona ukuqalwa kwayo ngaso sonke isikhathi. Ngokuhamba kwesifo kanye nokusetshenziswa kwemithi enciphisa ushukela, izimpawu zingashintsha futhi iziguli zazo azizinaki. Uma izinyathelo zingathathwanga ngesikhathi, lapho-ke ikomisa iba khona.
Ngakolunye uhlangothi, lapho kwehliswa ushukela wegazi kusuka phezulu kuya kumanani ajwayelekile, iziguli ezinesifo sikashukela zingazizwa zi-hypoglycemia, ezidlula ngokushesha ngaphandle kokwelashwa. Ngakho-ke, indlela enenhloso enkulu ukuthola ukuthi ushukela wegazi uzwisise yini ezinye izenzo.
Izinkomba ezisuka ku-2.7 kuye ku-3.3 mmol / l, isiguli singabuyisela ngokuzimele isilinganiso sezinga likashukela ngokuthatha amaswidi. Uma i-glycemia ingaphansi kuka-2 mmol / l, khona-ke ikoma ye-hypogicemic ikhula, idinga ukungenelela kwezokwelapha.
Ijubane lokwehla kwezindaba ezinoshukela wegazi. Esikhathini sikashukela i-mellitus yohlobo lokuqala ngenkambo ebolile, ikoma ingakhula ngokujwayelekile noma ngisho nange-glycemia ekhulayo. Amacala anjalo avela ngehle ngokushesha ushukela wegazi.
Ezinye izindlela zaselaborathri, ngaphezu kokunquma izinga le-glucose esegazini ngesikhathi sokuqalwa kwe-hypoglycemia, azifundisi. Izimpawu ze-hypoglycemia zinokulandelana kokuvela:
- Masinyane buthakathaka.
- Indlala iyavela.
- Isicanucanu
- I-Palpitations.
- Ukujuluka kuyanda.
- Izandla ziyavevezela.
- Ukucasuka, ukwesaba, ulaka luyakhula.
- Isiyezi
Ngasinye salezi zigaba, kulula ukubuyisa izinga le-glucose kumagugu okuqala, kepha uma lokhu kungenakwenziwa, khona-ke umbono uqala ukungathikamezwa, kuphindwe kabili emehlweni, kuvele imibuthano enemibala, kukhule ukudonsa. Ngokuqhubeka okuqhubekayo kwe-hypoglycemia, ukudideka, ukudideka kwenkulumo kuvela, isiguli siyaqina.
Ngemuva kokubonakaliswa okunjalo, uma usizo lunganikezwa, khona-ke i-glycemic coma iba khona, umphumela wayo ezimweni ezinzima ukufa.
I-Hypoglycemia ingakhula esigulini sikashukela ngisho noma silele. Ngasikhathi sinye, unamaphupho amabi, amphonsa izithukuthuku. Ekuseni uzizwa ukhathele.
Ungakuvimbela kanjani ukwehluleka ngesifo sikashukela?
Ukuze unciphise ukuhlaselwa kwe-hypoglycemia esigabeni sokuqala, ungasebenzisa noma yiziphi izithako ezithwala umzimba umuntu onesifo sikashukela okufanele abe nazo njalo, futhi izihlobo zakhe nabangane abaseduze kufanele bazi ukuthi bangasiza kanjani ezimweni ezinjalo.
Ngaphambi kokuba ushukela ukhuphuke, kufanelekile ukukalwa ngokulinganisa ne-glucometer, ngoba imizwa evamile yeziguli ezinesifo sikashukela ingahle ingalungile. Kungcono ukuthatha ushukela ezibhebheni, wazi ukuthi i-1 g ye-glucose izokhuphula ushukela ngo-0,2 mmol / L.
Ungathatha noma yiliphi i-carbohydrate elula ngesilinganiso se-12-15 g. Kungaba izingcezu ezi-2 zoshukela, isipuni soju, i-150 g yanoma yiliphi ijusi elimnandi ngaphandle kwe-pulp, mhlawumbe igilebhisi noma i-apula, isiphuzo esinezhukela, ubhanana owodwa, izingcezu eziyisithupha zama-apricots omisiwe, uswidi. Noma yimiphi imikhiqizo enezindawo ezinoshukela ezimeni ezinjalo ayisebenzi.
Ngemuva kwemizuzu engu-15, udinga ukukala ushukela wegazi futhi, uma ungakhuphuki, bese izimpawu zihlala, khona-ke umthamo ofanayo wama-carbohydrate kufanele uphinde uthathwe.
Uma isiguli sineziqu ezibucayi, kepha siqaphele, kuzodingeka wenze kanjena:
- Nikeza i-15-20 g ye-carbohydrate elula, okungcono ngendlela yamaphilisi kashukela.
- Ngemuva kwemizuzu engama-20, udinga ukudla ama-carbohydrate ayinkimbinkimbi (isinkwa, iphalishi, i-cracker, amakhukhi).
- Ngemuva kwemizuzu engu-15, ukukala ushukela wegazi.
Ukugwazwa okukhulu lapho ungekho lapho kwelashwa kuphethwe esibhedlela ngabaphathi abangama-40% bejovo ne-glucagon injekweni.
Izinkomba zokwelashwa kwe-inpatient yi-hypoglycemia, engenakudambisa imijovo ye-glucose ephindaphindwa, futhi nokuthi isiguli sijoyine yini izimpawu zokulimala kwe-cerebrovascular, ukuphazamiseka kwemizwa noma ukuphazamiseka kohlelo lwezinhliziyo.
Ukuvikela ukukhula kwe-hypoglycemic coma, isiguli ngasinye sidinga:
- Yazi izimpawu zokuqala zokuhlaselwa nokuthi ungakususa kanjani.
- Qiniseka ngethamo le-insulin elisetshenzisiwe kanye nempilo yesirinji noma ezinye izindlela zokuphatha i-insulin.
- Kala ushukela wegazi nsuku zonke ekuseni, ngaphambi kokulala, ngaphambi kokudla ngakunye.
- Ukulawula i-glycemia ngesikhathi sokucindezelwa ngokomzimba nangokwengqondo.
- Bheka uhlobo olunembile lokudla, ikakhulukazi ngokwelashwa kwe-insulin.
- Khipha i-carbohydrate elula ekudleni futhi uyisebenzise kuphela ukudambisa ukuhlaselwa kwe-hypoglycemia.
- Lapho usebenzisa izidakamizwa ukwelapha ezinye izifo, cabanga ngomphumela wazo ushukela wegazi (Aspirin, Warfarin, Alopurinol).
- Bheka ukwenqatshwa okuphelele kweziphuzo ezidakayo.
Ukuvimbela i-hypoglycemia yasebusuku, kubaluleke kakhulu ukukala ushukela wegazi ngehora elilodwa ngaphambi kokulala. Uma i-insulin ikhishwa ngaphambi kokudla kwakusihlwa, kubalulekile ukunquma izinga le-glucose amahora amathathu ngemuva kokudla. Kuzinkomba ezingezansi kwesilinganiso esinconyiwe, udinga ukudla ukudla okungalawula amazinga kashukela isikhathi eside: amantongomane, ubhontshisi ngebhotela lamantongomane.
Izinkinga zesifo sikashukela zizohlanganiswa kuvidiyo ekulesi sihloko.
