I-labile course yesifo sikashukela iyindlela yayo ebukhali kakhulu, ebonakala ngokushintsha okubukhali ekugxambeni kwe-glucose egazini, ayinakuhlotshaniswa nokuphazamiseka kokudla noma ukuphuma kwemithi yokwelapha lesi sifo.
Izinga likashukela elingazinzile liholela ekuthuthukisweni kokuhlaselwa kwe-hypoglycemia, kanye nomonakalo wezinso, uhlelo lwezinzwa, imikhumbi emikhulu nemincane, inhliziyo, ebangela ingozi eyengeziwe yokukhubazeka nokufa kwabantu.
Ubunzima ekukhetheni umthamo we-insulin ukunxenxa lolu hlobo lwesifo sikashukela kufaka isandla ku-coma ejwayelekile, ketoacidosis. Ukuvama kakhulu kuholela kwisidingo sokwelashwa kweziguli, okunciphisa ukusebenza futhi kubhebhethekisa ukuxhumana kweziguli.
Izimbangela zesifo sikashukela esingazinzile
Isifo sikashukela se-Labile sivame ukuhlotshaniswa namaqhinga angalungile wokuphathwa kwe-insulin. Isifo esinjalo sichazwe usosayensi waseMelika uMichael Somogy futhi wasibiza nge- post-hypoglycemic hyperglycemia. Imithamo ephezulu ye-insulin iholela ekwehlekeni kweglucose yegazi.
Impendulo yomzimba ivuselela ukukhishwa kwama-hormone aphikisayo, ngoba ihlolwe njengengcindezi, esisongela impilo. Lokhu kuqala uchungechunge lokuphendula ngokuqalwa kwe-hypothalamus, bese kuba nezindlala zezitho zangasese kanye ne-adrenal. Umsebenzi owandayo wesistimu yezinzwa enozwela nama-hormone kuholela ekukhuleni kweglucose yegazi.
Lesi senzo sitholakala: i-adrenaline, i-adrenocorticotropic hormone, i-cortisol, i-hormone yokukhula ne-glucagon. Umphumela wabo ohlangene uholela ekuqhekekeni kwamafutha nokubonakala kwegazi lezidumbu ze-ketone, ukuthuthukiswa kwe-ketoacidosis.
Emzimbeni ophilile, isinxephezelo se-hypoglycemia sibuyisela amazinga ajwayelekile, futhi kwisifo sikashukela lokhu kuholela ku-hyperglycemia ezinze kahle. Ungahlala kusuka emahoreni ayi-8 kuye kwangama-72.
Izimbangela ze-hypoglycemia kuleli cala zingahlanganiswa hhayi nokuphathwa kwezidakamizwa kuphela, kepha futhi nezizathu ezinjalo:
- Ukungondleki.
- Ukuphuza utshwala.
- Ukuqina komzimba okuqinisiwe.
- Ukuzindla kwengqondo.
Izimpawu zesifo sikashukela esingasebenzi
Kusukela ukuhlaselwa kwe-hypoglycemia noshukela ophezulu wegazi kuhlangana nomunye, izimpawu zomtholampilo zihlukile. Ngasikhathi sinye, i-hypoglycemia ayivezwa njalo, kepha ifihliwe, ngakho-ke iziguli azinaki iziqephu ezinjalo.
Izimpawu ze-latent hypoglycemia zingaba buthakathaka noma isiyezi, ikhanda, elinyamalala ngemuva kokudla. Ukuhlaselwa ebusuku kwenzeka ngendlela yokuphazamiseka kokulala, amaphupho asindayo namaphupho amabi, ukuvuka okunzima nokuntula amandla ngemuva kokulala. Imvamisa kuba nomjuluko owandayo ebusuku, ikhanda.
Izingane, intsha kanye nentsha ekwelashweni kwe-insulin bathambekele kakhulu ekuphindisweni kwe-hyperglycemia. Isifo sikashukela esikhona kuzo sivela ngemuva kwesisindo somzimba esijwayelekile noma esandayo, okuwuphawu olubalulekile lokuxilonga.
Izimpawu eziphambili ezikhombisa ukweqisa okungamahlalakhona kwe-insulin:
- Isifo sikashukela esishintsha ukuguquguquka okubukhali kushukela wegazi phakathi nosuku.
- Ukuthambekela ketoacidosis.
- Imikhawulo evamile noma yokufihla ye-hypoglycemia.
- Ngoshukela wegazi ophezulu, iziguli azilahli isisindo.
- Ukungezelela umthamo we-insulin kubangela inkathi yesifo sikashukela.
- Ukwengezwa kwezifo ezithathelwanayo noma ezinye kuthuthukisa i-carbohydrate metabolism.
- I-acetone itholwa umchamo nge
Isimo sokusebenza kwengqondo siyashintsha futhi - iziguli zibaxaka, zingathandeki, zihlala zizizwa zingathandeki futhi zisabela ngendlela engathandeki kwabathandekayo, ukudangala noma ukunganakwa, nokukhala izinyembezi.
Futhi, isimo esishintsha kakhulu isici - ukulahleka kwenzalo emisebenzini ebikade ithokozisa, ukubabaza, ukuzihlukanisa, bese kubonakala ubudlova noma i-euphoria. Enye yezimpawu - ngokumelene nesizinda sendlala ebukhali, ukunganaki kokudla, ukungabaza ukudla.
Uma ingane egulayo inikezwe imithamo ephezulu ye-insulin yesikhathi eside futhi kugxilwa kakhulu kusihlwa nasebusuku, khona-ke izingane ziyakhala ebuthongweni bazo, zimemeze, kuthi lapho kwenzeka isidididi sakusihlwa, zingakwazi ukukhumbula izehlakalo zobusuku, phakathi nosuku umntwana abulawa ngalo ebabazekayo.
Ukuhlaselwa kobudlova, ukuziphatha kwe-asocial, kanye nokwenqatshwa kokudla kuyimpawu yobusha. Iziguli zabantu abadala zikhononda ngobunzima bokugxilisa ingqondo, ubunzima bokwenza imisebenzi yemisebenzi, ukozela phakathi nosuku, ikhanda.
Kungahle kube nombono wokufiphala we-paroxysmal, ukufiphaza kwamaphoyinti aqhakazile noma "izimpukane" phambi kwamehlo.
Ukwelashwa kwesifo sikashukela esibangelwa yilokho
Ukunquma ukwelashwa, kuyadingeka ukuqinisekisa ukuguquguquka kwamazinga kashukela egazini, embula izindlela zokuphefumula ze-hypoglycemia, ezitholakala ngokuqapha ngokucophelela nokubheka nsuku zonke ushukela wegazi.
Ukuze unciphise umthamo we-insulin, kusetshenziswa izindlela ezimbili: okusheshayo - kwezinsuku eziyi-10-15 futhi kuhamba kancane, lapho umthamo uncishiswa ngamaphesenti ayi-10-20 ezinyangeni ezimbili.
Kepha, njengomthetho, kuphela okwehlisa umthamo akunakwenzeka kakhulu ukuqinisa inkathi yesifo sikashukela. Ukuletha i-carbohydrate metabolism ejwayelekile ezigulini ezinjalo, ushintsho ekudleni olusebenzisa umthamo wama-carbohydrate ayinkimbinkimbi ulethwa kumanani ajwayelekile omzimba.
Ngaphezu kwalokho, kunconywa ukuthi izinyathelo ezinjalo ukuvimbela ukuguquguquka okubukhali kushukela wegazi:
- Ukwethulwa kwe-insulin esebenza ngokufushane, imijovo amahlandla ama-5 ngosuku ngaphambi kokudla ngakunye.
- Ukukalwa kwezinga likashukela kwenziwa njalo emahoreni ama-4 okungenani isonto.
- Ukuqapha impilo yensiza yokulinganisa ushukela wegazi, kanye nempilo yamathuluzi ezokwelapha okuphathelene nokusebenzisa i-insulin.
- Ukuhambisana nohlobo olunconyelwayo lomsebenzi womzimba.
Ividiyo ekulesi sihloko izoveza zonke izimpawu zokuqalwa kwesifo sikashukela.
