Ushukela osezingeni eliphansi kwezokwelapha uvame ukubizwa ngokuthi yi-hypoglycemia, lesi simo se-pathological asinangozi kangako empilweni yomuntu kune-hyperglycemia. Uma ukufundwa kweglucose kubalulekile, ukoma kungenzeka, ukufa.
Imvamisa, ushukela ophansi uba ngenye yezinkinga zesifo sikashukela, kepha i-hypoglycemia nayo ibonwa ezimweni ezinzima kubantu abaphilile.
Izizathu zingahluka, okokuqala, kumayelana nokudla ngamakhabethe amaningi alula, ukuthatha imishanguzo ethile. Ukweqa ukudla kungadonsela umehluko emazingeni e-glycemia, ukungasebenzi kahle komzimba, ukwethulwa kwenani eleqile le-insulin ye-hormone.
Ezinye izimbangela zifaka i-pathologies yezinso, ama-pancreas, i-adrenal glands, ukuphazamiseka kwe-metabolic emzimbeni, ukuphuza njalo.
Izimpawu ze-hypoglycemia
Lapho i-glucose yehla, abantu abahlukahlukene bayayizwa ngendlela yabo. Izimpawu zizoncika ekutheni wehla kangakanani ushukela kanye nesivinini sale nqubo.
Uma amanani kashukela ehla afike ku-3.8 mmol / litre, umuntu uzobona ukubanda, ubuthakathaka emzimbeni, ukuthuthumela nokuthuthumela kwemikhawulo. Kungenzeka ukuthi kukhuphuka umjuluko, futhi izithukuthuku ziyabanda futhi ziyaqhuma, zime ekhanda nentamo ngemuva.
Abanye abanesifo sikashukela baba nesiyezi, ukugcwala kwenhliziyo kanye nokuhlanza, i-tachycardia, ukukhathazeka, ukwesaba nokukhathazeka okungenangqondo, baneminwe ekhubazekile, izindebe, nombono ofiphele.
Ukuguqula isimo esimweni kuleli cala, kuyadingeka ukuqeda izimbangela - yidla ukudla okune-carbohydrate, ngokwesibonelo, uswidi.
Izimpawu ze-hypoglycemia elinganiselayo zizobonakala kakhulu, manje ushukela wehla ngaphansi kwe-3 mmol / ilitha futhi uboniswa yisimo:
- intukuthelo, imisindo yokufutheka;
- izicubu zomsipha;
- ubuthakathaka, ukukhathala ngisho nangemva kokulala nokuphumula;
- inkulumo engaqondakali;
- ukwephulwa kokuhluka esikhaleni;
- ukudideka, izinkinga zokuhlushwa.
Kwi-hypoglycemia ebabazekayo, ushukela wehlela ku-1.9 mmol / ilitha, okunikeza izimpawu: ukwethuka, ukhehla, unhlangothi, ukwehla kokushisa komzimba okujwayelekile. Uma i-hypoglycemia inganxephezelwanga, ukushoda kwe-glucose kuholela ekutheni umuntu alindele umphumela obulalayo.
Ukwehla okubalulekile nokuhlala isikhathi eside kweglucose kubanga kakhulu futhi, njengomthetho, izinguquko ezingenakuphikwa ebuchosheni, uhlelo lwenhliziyo. Kumele kukhunjulwe ukuthi izimpawu zingase zingabikho ngokuphelele, lokhu kwenzeka ngokusetshenziswa kwemithi ethile, ama-adrenoblockers ngokuvamile abizwa ngokuthi anjalo.
Umuthi uyazi amacala amaningi lapho ushintsho lweglucose lubonwa ephusheni, ekuseni isiguli siphaphama sinekhanda elinzima. I-Hypoglycemia ingasolwa ngezimpawu ze:
- ukungalali kahle ekuziphatheni;
- amaphupho amabi;
- ukujuluka okusindayo;
- ehamba ngephupho futhi ewa embhedeni.
Umuntu ogulayo angenza imisindo engajwayelekile, imisindo ngesikhathi sokulala.
Zonke lezi zimpawu zibonakala kubantu abanempilo uma amazinga evamile kashukela ehla ngokushesha. Ukushoda kwe-glucose okuqhubekayo kuhlobo lwesifo sikashukela sohlobo lwe-I ne-II kunikeza izimpawu ngisho nangamazinga kashukela angu-6-8 mmol / ilitha. Ngakho-ke, lapho isiguli sinesifo sikashukela isikhathi eside, yilapho umzimba wakhe ungezwa kahle isifo.
Uma ushukela wegazi enganeni ungaphansi kokujwayelekile, kungenzeka kungabikho ukubonakaliswa, izingane azinandaba kangako namaconsi kashukela.
Izimpawu ezinenkani zibonakala kuphela nge-glycemic indices esukela ku-2,6 kuya ku-2.2 mmol / lit.
Izindlela zokuxilonga, ukwelashwa
I-Hypoglycemia ingatholakala ngesisekelo sohlolo lwegazi olungenalutho. Ucwaningo olukhona kuleli lubonisa inani elincishisiwe le-glucose, kepha ngemuva kokudla ukudla okumnandi, inempilo yesiguli ibuyela kokujwayelekile.
Ngaphezu kwalokho, i-Therapist noma i-endocrinologist kumele yenze ukuhlolwa ngokomzimba, izobuza lowo muntu ngendlela yakhe yokuphila, imikhuba yokudla, isimo sempilo, ukuthatha imishanguzo kanye nokushintsha kwesisindo okungenzeka
Bambalwa abantu abaziyo ukuthi kungenzeka ukwelapha ukwehla kancane kweshukela egazini usebenzisa izindlela ezilula, udinga ukudla ushukela, uju, uphuze itiye elimnandi. Odokotela abakukhuthazi ukwanda kwe-glycemia ngemikhiqizo yokubhaka, ezinye izinhlobo zama-muffin.
Isimo esibi sigcwele izinkinga, umuntu angavele aqaphele ukungazi. Ngenxa yalesi sizathu, kubaluleke kakhulu ukubiza iqembu le-ambulensi ngokushesha, udokotela uzojova isisombululo se-glucose, i-glucagon. Kwesinye isikhathi kunesizathu sokwethula lezi zixazululo:
- ngokuzithoba;
- intramuscularly.
Amacala amakhulu kakhulu we-hypoglycemia adinga ukulashwa kwesibhedlela isiguli, ukwelashwa kuleli cala kuzoncika ngqo kumbangela yokunciphisa ushukela: ukuhluleka kwezinso, i-pathology yesibindi, umthamo omkhulu we-insulin noma i-sepsis.
Ngokusekelwe oyimbangela yenkinga, odokotela banquma amaqhinga wokwelashwa, banqume isikhathi sokufakwa, ijubane lokuphatha umuthi. Imvamisa, ushukela uphethwe ezingeni le-5-10 mmol / litre.
Uma umuntu enesifo sikashukela futhi ehlaselwa yi-hypoglycemia, kuyadingeka ukuphakamisa okuqukethwe kwe-glucose ngezindlela ezifanayo. Uma ushukela uncishiswa ngokushesha ngemuva kokudla noma yiliphi inani lama-carbohydrate alula, abanesifo sikashukela baboniswa ukuthi babuyekeza ukudla kwabo. Udinga ukufunda ukuthi udla kanjani ngezingxenye ezincane, kaningi (okungenani izikhathi ezi-5 ngosuku).
Ngaphambi kokulala, kunconywa ukusebenzisa inani elincane:
- ama-carbohydrate ayinkimbinkimbi;
- squirrel.
Lapho izinkinga zempilo zihlobene nomjovo we-insulin, kunconywa ukubonana nodokotela oyi-endocrinologist, uzokutshela ukuthi ungawenyusa kanjani amazinga kashukela, kungani ukushoda kungasongela impilo.
Ukuvimbela Ushukela Omncane
Kubalulekile ukwazi ukuthi ushukela wegazi ophansi umuntu angavinjwa kalula, ngoba lokhu kwanele ukunamathela emithethweni ethile. Okuqukethwe ushukela omncane ngeke kwenzeke uma umuntu elokhu elandela ukudla okukhethekile okunconywe udokotela noma umondli wezempilo, ethatha ikhefu phakathi kokudla ejwayelekile kungadluli amahora angama-4.
Elinye iphuzu ukubheka njalo amazinga kashukela, lokhu kuzoba ukuvimbela okuhle kokwehla kweshukela, okunyusa amathuba wezinkinga zempilo ezinkulu. Ukunquma ushukela wegazi ekhaya, ungasebenzisa i-glucometer.
Kufanele futhi uqaphe umthamo womuthi, ovimbela ukwanda koshukela, i-insulin ye-hormone, udinga ukufunda indlela yokusebenza yazo zonke izidakamizwa ezinqunywe ngudokotela. Nganoma yiluphi uhlobo lwe-mellitus yesifo sikashukela, kuyadingeka njalo ukuba nemithi esesandleni equkethe izinto eziqukethe i-glycemia ephansi, ngoba ushukela omncane wegazi ungabhekwa nganoma yisiphi isikhathi.
Akuvunyelwe ukwehlisa ushukela wegazi ezimeni ezinjalo:
- abanesifo sikashukela iminyaka engaphezu kwengu-65;
- kunomlando we-retinopathy, kunethuba lokulimala kwegazi ku-retina;
- kukhona ama-pathologies enhliziyo, imithambo yegazi;
- Izinguquko ze-glycemic zivame ukwenzeka.
Ezigulini ezinjalo, kungakhathalekile ukuthi ziyini imbangela yalesi sifo, kubalulekile ukubheka amazinga kashukela egazini, ugcine ku-6 kuye ku-10 mmol / ilitha.
Kuboniswe ukuvimbela ukwehla okukhulu kwezinga likashukela kungafakwanga isikhathi eside isifo sikashukela sanoma yiluphi uhlobo, ngoba kule ndaba izinga le-glycemia landa njalo, futhi ukuncipha kwalo ngokushesha kuzodala izimpawu ezinzima, kuze kufinyelele ku-coma, ukufa. Lokhu kusho ukuthi ushukela kufanele unciphe kancane.
Uma umuntu engazinaki izigaba ezithambile neziphakathi ze-hypoglycemia, engathathi izidakamizwa ezikhulisa ushukela, lokhu kusho ukuthi lesi simo siphenduka ngokushesha sibe yi-hypoglycemia enkulu, lapho ungalahlekelwa ukwazi khona nganoma yisiphi isikhathi.
Ngokuncipha kweshukela lomuntu, kuyadingeka ukuqala ukwelashwa ngokushesha okukhulu. Uma ushukela wehla kaningi, akunangozi kangako kune-hyperglycemia. Lesi simo se-pathological asikwazi ukunganakwa, kepha kungcono ukuthatha izinyathelo zokuvimbela kusengaphambili, khona-ke izinga le-glycemia lizokwehla kakhulu kuyaqabukela. Kusabalulekile ukulandela indlela yokudla ebekiwe yesifo sikashukela.
Mayelana nezimbangela ezingase zehlise ushukela wegazi uzotshela i-video kulesi sihloko.
