Lapho kwenzeka i-hypothermia, ukusabela kokuzivikela komzimba ngendlela yokubanda kwenzeka. Kuhloswe ngayo ukugcina izinga lokushisa lomzimba langaphakathi futhi kuboniswa yi-vasospasm, ukuqina kwemisipha nokuqhaqhazela.
Ekushiseni komzimba okuphezulu, izimo ezinjalo zibangelwa isenzo sobuthi obuphathekayo. Amacala angahambisana noshukela.
Lokhu kungenxa yokuhlukahluka kwezinqubo ze-metabolic, nokulawulwa okungahambi kahle kwethoni ye-vascular, kanye nokuphazamiseka kwemizwa.
Izimbangela zokushiswa kwesifo sikashukela
Kunezindlela ezimbili zokugcina ukushisa emzimbeni: izicubu zomzimba, i-contrmotile thermogenesis, lapho izinkontileka zemisipha yamathambo, kanye ne-metabolic - ukuqhekeka kwamafutha, ukuqhekeka kwe-glycogen, kanye nokuphendula kwe-glucose oxidation.
Ku-mellitus yesifo sikashukela, indlela yesibili yephulwa, ngoba ngenani elincishisiwe le-insulin noma imizwa yokulimala kwama-insulin receptors, kunokushoda kwe-glucose kwezicubu, ikakhulu ezithinta i-insulin, okubandakanya isibindi, izicubu zemisipha kanye nokugcinwa kwezicubu ezinamafutha.
Njengoba umuzwa wokufudumala uncike ekusebenzeni kwalezi zitho nezicubu, umuzwa wokuphamba komoya, ogcwele ushukela wesifo sikashukela, ukuthuthumela kwemisipha yizikhalazo ezivame ukwenziwa kubantu abanesifo sikashukela. Iziguli zingahlala zilinciphise izinga lokushisa lomzimba, zibambe imilenze nezandla, ngisho nasendlini efudumele.
Imikhawulo ebandayo ihambisana nokubonakaliswa kwesifo sikashukela i-angio- ne-neuropathy, lapho kulinyuka khona imithambo emithanjeni nasemithanjeni yezinzwa ebangelwa ukwehla kweglucose egazini elijikelezayo.
Ukugeleza kwegazi okunciphile kanye nokubuthakathaka okungalingani kokuziphatha kubangela izicubu ze-tischemia, ukwehla kwezinqubo ze-metabolic kuzo, okuholela ekuholeni kokuphazamiseka kwe-trophic ngokwakhiwa konyawo lwesifo sikashukela.
Ngaphezu kwesifo sikashukela uqobo, ukubanda kungabangelwa yi-concomitant pathology:
- Ukucindezelwa okungokomzwelo, ukucindezela.
- Ukuphazamiseka kwe-Hormonal nge-menopause.
- Ukuntuleka kwama-hormone egilo.
- I-pathology ye-Neurological.
- I-post-traumatic syndrome.
- I-hypertension ye-arterial, ingcindezi yehla.
- Izifo ezithathelwanayo.
Kulokhu, ukuthola ukuxilongwa okuyikho nokwelashwa okufanele, iziguli ezinesifo sikashukela ngokwenzeka kwezifo ezibandayo, ukwethuka kwemisipha kufanele kubonane nodokotela, futhi kuqiniseke ukuthi zilawula ushukela wegazi ukuvimbela ukuguquguquka okunamandla okukuwo.
I-Hypoglycemia iyabanda
Isikhala semithambo yegazi engeyona eyejwayelekile, umuzwa wokubanda, ohambisana nokuthuthumela kwemisipha emithanjeni ye-masticatory, izicubu zomxhumo wehlombe, izinyawo nomhlane kungaba uphawu lwesimo esinjalo esiyingozi ku-mellitus yesifo sikashukela njengokuncipha koshukela wegazi - ukuhlaselwa kwe-hypoglycemic.
Ushukela omncane wegazi utholwa ngumzimba njenge-alamu. Ukuphendula kulokhu, ukukhiqizwa nokukhululwa kwama-hormone okuxinzelela, ama-catecholamines, akhiqizwa ku-adrenal medulla, akhuphuka egazini. Babangela i-vasospasm ukuze banikeze izondlamzimba ezithweni ezibalulekile - inhliziyo nobuchopho.
Ukuqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqha futhi kuyachazwa futhi nokusebenza kwesistimu yezinzwa enozwela, efuna ukuvimbela ukufa koshukela egazini, okuyingozi empilweni.
Kumuntu ngamunye onesifo sikashukela, izinga elibucayi lokwehla kwegazi glucose umuntu ngamunye, ngobuningi babo baqala ukuzizwa izimpawu zokuqala lapho behla baye ku-3.9 mmol / L. Izimpawu eziyinkimbinkimbi zeziguli ezahlukahlukene nazo zingashiyana. Ezivame kakhulu yilezi:
- Ubuthakathaka.
- Kuthuthumela emzimbeni wonke.
- Isiyezi
- Umuzwa wendlala.
- Ubuhlungu bekhanda.
- Ukukhathazeka nokungaxakwa.
- Kukhulisa umjuluko.
Imvamisa, iziguli ezinesifo sikashukela zizizwa zinezimpawu zokuqala futhi zinesikhathi sokuthatha izinyathelo zokunciphisa ukuhlaselwa, kepha uma lokhu kungenziwa ngesikhathi, khona-ke ukwephulwa kokuxhumana kokunyakaza, ukudideka, ukudideka esikhaleni, ukukhubazeka kwemilenze.
Ngokuzayo, isiguli siwela ku-hypoglycemic coma.
Izimbangela ze-hypoglycemia kushukela
Esikhathini esiningi, ukwehla kweshukela emzimbeni kuhlotshaniswa nokwelashwa nge-insulin kumthamo ongafanele, ukuthatha ukudla okuncane, ukweqa ukudla, ukushintshela kwelinye i-insulin, ukukhuphuka kwengcindezi engokomzimba noma yengqondo, ukuphuza uphuzo oludakayo, ikakhulukazi esiswini esingenalutho.
Ekwelashweni kwesifo sikashukela i-mellitus ngohlobo lwesibili lwemithi, amalungiselelo we-sulfanilurea, ikakhulukazi isizukulwane sokuqala i-Glibenclamide, Manninil, imvamisa iholela ku-hypoglycemia. Ngaphezu kwabo, umphumela onjalo ubonakala wama-meglitinides - Starlix, NovoNorm, kanye nezidakamizwa eziqukethe i-tolbutamide, chloropramide.
Ukuphathwa kanyekanye kwe-aspirin, i-warfarin noma i-allopurinol ngemithi elwa nesifo sikashukela nakho kudinga ukulungiswa kwamthamo ukunciphisa ushukela, kanye nokuqapha ngokucophelela amazinga weglucose egazini.
I-hypoglycemia esebenzayo ingadalwa ngokudla ukudla ngama-carbohydrate alula:
- Ujamu, sithandwa, ujamu.
- Amaswidi, i-confectionery.
- Iziphuzo ezimnandi.
- Ijusi elihlanganisiwe.
- Ukubhaka
- Izithelo ezimnandi, amakhompiyutha, izithelo ezikheniwe.
- Ukudla okusheshayo.
Lapho uthatha ukudla okunjalo, izinga le-glucose egazini likhuphuka kakhulu, okucasulayo ukukhishwa kwe-insulin eseleyo, futhi ngenxa yalokho - i-hypoglycemia.
Ungakuvimbela kanjani ukubanda kwe-hypoglycemia?
Ukuze uvikele ukuhlaselwa okuhambisana nokwehla koshukela wegazi, udinga ukulungisa indlela odla ngayo ngendlela yokuthi ungabeki ikhefu elide ekudleni kokudla kanye nokuvela kwendlala engalawulwa, lapho kunesifiso esikhulu sokudla ukudla okumnandi.
Ukudla okunesifo sikashukela kufanele kube ngokuqinile kuwashi, ikakhulukazi ngokwelashwa kwe-insulin. Kunconywa ukuthi udle kaningi, kepha ngezingxenye ezincane, ulawula umthamo wama-carbohydrate. Uma ngabe weqa isidlo, lapho-ke udinga okwesikhashana ukudla okungenamsoco ngokudla kwamaphrotheni noma okuqukethe i-carbohydrate eyinkimbinkimbi - iyogathi engafakiwe, ushizi ngesinkwa esimnyama, idlanzana lamantongomane.
Uma isiguli sizwa izimpawu ze-hypoglycemia, khona-ke kufanele nakanjani uthathe ama-carbohydrate alula, anconyelwa ukuthi asondele ngaso sonke isikhathi. Lokhu kuyiqiniso ikakhulukazi kulezi ziguli ezinomsebenzi wazo ohambisana nokuphathwa kwezokuthutha noma ezinye izindlela, kanye nokuthambekela kwe-hypoglycemia enkambweni yokuthola ulwazi ngesifo sikashukela.
Ama-boosters okushukela anjalo asheshayo afaka:
- Izibhebhe ze-glucose - izingcezu ezi-2-3.
- Amaswidi noshukela - izingcezu ezi-4-6.
- Ijusi yezithelo - 100 ml.
- Ingilazi yobisi.
- Isipuni soju.
- Tea ngamasipuni amabili kashukela.
- Isipuni isiraphu yezithelo noma isiraphu ye-rosehip.
Ngemuva kwalokhu, udinga ukukala ushukela wegazi ngemuva kwemizuzu engu-15, uma namanje iphansi, khona-ke udinga ukuthatha umthamo ophindaphindwe kakhudlwana wama-carbohydrate, kodwa okungcono ngesimo sokudla okujwayelekile. Uma isimo siba sibi kakhulu, lapho-ke udinga usizo ngokuphuthumayo. Kwi-hypoglycemia enkulu, i-40% glucose ihanjiswa ngaphakathi kanye ne-glucagon intramuscularly. Ividiyo ekulesi sihloko izokusiza ekuboneni izimpawu zokuqala zesifo sikashukela.
