Amazinga kashukela angawa noma kunini, ngisho nasebuntwaneni. Lesi simo sibizwa ngokuthi i-hypoglycemia, inkambo ende yayo eholela ekulimaleni kwengqondo.
I-glucose iyinto ebalulekile yomzimba womuntu, ngoba iyondla ngamandla adingekayo ekusebenzeni okujwayelekile. Ushukela ungena emangqamuzaneni omzimba ngokudla, nasezintweni ezisanda kuzalwa ngobisi lukamama. Ngaphezu kwalokho, ngemuva kokudla ngakunye, okuqukethwe ushukela kuyanda, futhi uma izinga likashukela liyancipha, khona-ke ingane inomuzwa onamandla wendlala.
I-Glycemia ilawulwa ngamahomoni kubandakanya i-insulin elawula ukuthathwa koshukela nokufakwa emzimbeni. Kepha lapho ukungasebenzi kahle kwe-hormonal kwenzeka, izinga likashukela likhuphuka noma lihle, okungaba okwesikhashana noma unomphela.
Izimbangela kanye nezinhlobo ze-hypoglycemia ezinganeni
Kuya ngeminyaka, ushukela ungahluka. Ngakho-ke, ngonyaka wokuqala wokuphila, amanani amukelekayo aqala ku-2.8 kuya ku-4,4 mmol / L. Ngemuva kweminyaka emihlanu, ushukela ubhekwa njengento evamile uma usukela ku-3.3 kuya ku-5.0 mmol / L.
Imvamisa, i-glycemia ibhekelwa kahle isifo sikashukela. Iziguli ezinjalo ziphoqelelwa ukuthi ziphuze izidakamizwa nezidambisigciwane ezisuselwa kushukela. Kulokhu, izimbangela ezilandelayo zikashukela ophansi ezinganeni ziyavela:
- ukweqisa izidakamizwa;
- ukusebenza ngokweqile komzimba ngokungabikho kokudla okufanele;
- izidakamizwa ziphuzwa kumthamo ofanele, kepha isiguli singadli ukudla okwenele.
Ukwehla ushukela wegazi enganeni kuyaqapheleka nge-pathologies ye-National Assembly (ukulimala, izifo zokuzala), ukukhuluphala, ukwehluleka kwe-metabolic kanye nezifo zesisu, kufaka phakathi i-gastroduodenitis, i-pancreatitis, i-gastritis kanye ne-gastroenteritis. Ngaphezu kwalokho, i-hypoglycemia yenzeka ngenxa yokuphelelwa ngamandla, ukubulawa yindlala, noma ukungondleki njalo. Futhi, izimbangela zokuvela kwesimo esinjalo zilele lapho kunesimila kumanyikwe, esinoshevu ngamakhemikhali, nge-sarcoidosis nezifo ezingamahlalakhona ezinzima.
Kwenzeka ukuthi umphumela wezinto zangaphandle kuma-hormone abhekene nokulawula ukujikeleza kweglucose egazini kuholela ekushintshashintsheni kwe-glycemia. Isibonelo, i-insulin yehlisa ushukela, ne-adrenaline, i-glucagon, ama-hormone e-hypothalamus, i-pituitary kanye nama-pancreas akhulisa amazinga kashukela, ikakhulukazi ngesikhathi sokuxineka noma ukusebenza kweenqubo ze-metabolic.
Izimbangela ezivamile ze-hypoglycemia ezinganeni ezisanda kuzalwa zingakazalwa ngaphambi kwesikhathi kanye ne-hypothermia. Namanje ushukela ophansi uyaziwa uma ngesikhathi sokubeletha ingane iye yaba nosizi lokuphefumula kanye nokuphefumula.
Futhi, amathuba okuba nentuthuko ye-hypoglycemia ayanda uma umama egula ngesimo esizimele sikashukela futhi ethatha amaphilisi okwehlisa ushukela. Kulokhu, kudingeka ukwelashwa okuphuthumayo, okubandakanya ukuphathwa kwekhambi le-glucose, hydrocortisone ne-glucagon.
Izinhlobo zesifo zinquma izimbangela zaso. Ngakho-ke, i-hypoglycemia ingaba yile:
- i-congenital - kuvela uma umzimba ungaboni ukuthi yi-fructose ne-galactose;
- i-hormonal - kwenzeka ngokweqile kwe-insulin, ukungasebenzi okwanele kwama-pituitary hormone kanye nezindlala ze-adrenal;
- I-leucine - ikhula ngokumelene nesizinda se-hypersensitivity ku-leucine.
Futhi, ukugxila kwe-glucose kuyancipha ngezizathu ezingaziwa noma eziyinkimbinkimbi. Lokhu kufaka phakathi i-hypoglycemia, ebivela ezinganeni ezinesisindo esiphansi, i-ketone, ifomu le-ideopathic nokuqukethwe ushukela ophansi nge-hypotrophy.
ISymbomatology
Izinga le-glucose esegazini kumele libejwayelekile, uma kungenjalo umzimba awutholi amandla. Ngakho-ke, kuzoba nezimpawu ezimbalwa ezibonisa ukushoda kwe-glucose enganeni:
- ubuqili;
- Isiyezi
- i-hyperhidrosis;
- ikhanda
- ukuzamazama kwemilenze;
- ukungahambi kahle;
- isicanucanu kanye nomuzwa kanyekanye wendlala;
- ukunganaki.
Futhi, isiguli sinokuphazamiseka okubukwayo (kumnyama emehlweni), imilenze nezingalo zakhe ziba nzima futhi zikindiki. Kodwa-ke, uba nexhala, ukhathazekile ngokubanda nokushiswa okuvuthayo.
Izimpawu ezinjalo zikhombisa ukuthi amazinga kashukela egazi angaphansi kwe-3 mmol / L, njengoba kungabonakala lapho usebenzisa imitha.
Uma ngabe kulokhu ingane inganikezwa ama-carbohydrate asheshayo (ushokoledi, umqulu, isiphuzo esimnandi), kuzoba nezimpawu ezingathi sína:
- iminyakazo
- inkulumo engafundile;
- ukwehluleka
- i-gait engalingani;
- ukunganakwa;
- coma.
Kungani ukuswelakala kweglucose kuyingozi?
Inkomba kashukela eyehlisiwe iyingozi kakhulu enganeni engakashayi isikhathi, ngoba umzimba wayo awuthathelwa kangako ekuthuthukisweni okuzimele kunabanye. Ngaphezu kwalokho, i-hypoglycemia ingakhombisa ezinye izinkinga eziningi.
Ukukhathazeka cishe nge-2.2 mmol / L. Ngaphezu kwalokho, ezimweni eziningi, izingane ezine-hyperglycemia enkulu ziyafa. Enye ingxenye yengane esanda kuzalwa ingahle ibe nokukhubazeka kwengqondo bese iba nezinkinga ngokuthuthuka kwengqondo.
Ngaphezu kwezimpawu ze-adrenergic ne-neuroglucopenic, lapho ungekho khona ukwelashwa ezinganeni, i-hypoglycemic coma nazo zonke izinhlobo zokungasebenzi kahle kwengqondo, kufaka phakathi i-dementia wide spectrum. Ngaphezu kwalokho, i-glucose ephansi iyisici esengeziwe sobungozi ekubonakala kwe-hemorrhage ku-retina kanye nasekuthuthukisweni kwe-vascular and inhliziyo inhliziyo pathologies.
Ngaphezu kwalokho, ezinye izingane zingaba nokuhlaselwa yisifo sohlangothi nokuhlaselwa yisifo senhliziyo.
Ungayilungisa kanjani i-glycemia?
Ukuze uvikele ukwehla kokuxineka koshukela osanda kuzalwa, kubaluleke kakhulu ukukunikeza ubisi lwebele ezinsukwini zokuqala zokuphila. Futhi, ingane idinga ukuvikeleka ekucindezelweni, ngakho-ke umama kufanele abe seduze kwakhe njalo.
Izingane ezindala ezine-hypoglycemia kufanele zinikezwe uhlobo oluthile lobumnandi noma isiphuzo noshukela. Ngemuva kwalokho, isiguli kufanele siyiswe ku-endocrinologist. Kodwa-ke, uma kwenzeka ulahlekelwe ukwazi, kuyadingeka ukubiza i-ambulensi, lapho ifika isisombululo seglucose siphathwe isiguli ngendlela efanele.
Lapho izinga likashukela selizinzile, udinga ukondla ingane ngokudla okunempilo (inyama, inhlanzi, isaladi, iphalishi), okuzovimbela ukwenzeka kokuhlaselwa kwesibili. Uma kunesidingo, udokotela uzonikeza imithi ekhethekile. Ukwelashwa kwe-inpatient kanye ne-antibiotic therapy kwesinye isikhathi kuyadingeka.
Uma i-hypoglycemia yenzeka ku-mellitus yesifo sikashukela, khona-ke ukuvimbela ukuhlaselwa kwesibili, kufanele ulinganise ushukela wegazi njalo usebenzisa i-glucometer noma imichilo yokuhlola. Izingane zesikole kumele zifundiswe ukwenza zona lezo zinqubo ngokwazo. Ngaphezu kwalokho, umuntu onesifo sikashukela kufanele aphathe amaswidi ambalwa, isiphuzo noma izithelo ezomile, angazidla uma engathandi, ngenxa yokuthi isimo sakhe sizosenza sihambisane nemizuzu engu-15 elandelayo.
Ukwelashwa kwezidakamizwa kanye nokusetshenziswa kwama-carbohydrate kungasekelwa ngokuthatha ama-decoction ahlukahlukene kanye ne-infusions. Zilungiselelwe ngesisekelo sezitshalo ezilandelayo:
- chokeberry;
- ISt. Wort
- ulwandle lwenhlazi yasemanzini;
- calendula
- thyme.
Kodwa-ke, izingane eziningi zithambekele ekuguleni komzimba. Ngakho-ke, ngaphambi kokuqala ukwelashwa ngamakhambi abantu, kubalulekile ukuqiniseka ukuthi umzimba wengane uvame ukubekezelela amakhambi athile.
Ukwelashwa kokudla
Ukuze izinkomba ze-glucose zizinze, ukwelashwa kwesifo sikashukela kuyadingeka, lapho kubaluleke kakhulu ukulandela indlela ekhethekile yokudla. Imenyu kufanele ibe yi-endocrinologist ikhumbula izici ngazinye zesiguli.
Kepha kukhona ama-trailer wokudla ajwayelekile okufanele wonke umuntu othambekele kwi-hypoglycemia abambelele kuwo. Okokuqala, udinga ukwandisa ukungena kwama-carbohydrate ayinkimbinkimbi. Lokhu kufaka phakathi isinkwa sokusanhlamvu okuphelele, okusanhlamvu okuhlukahlukene kanye ne-pasta kusuka kukolweni we-durum.
I-Semolina ne-pasta esezingeni eliphansi kufanele ilahlwe. Futhi, ungadli ama-buns, umhluzi ocebile, amafutha wezilwane, izinongo nokudla okubhemayo. Futhi inani lejusi, uju, amakhukhi namaswidi kufanele kukhawulelwe.
Kubalulekile ukudla ngokwamaqhezu, uthathe izingxenye ezincane zokudla ngasikhathi. Kulokhu, umthetho omkhulu kufanele ubhekwe - amaprotheni amaningi namafutha amancane.
Ngaphezu kwalokho, lokhu kudla kufanele kunothiswe ekudleni okune-fiber eningi. Le nto inciphisa ukumuncwa kwe-glucose kusuka kuma-carbohydrate. Imikhiqizo enjalo ifaka amazambane (abilisiwe, abhakwe), ama-legumes nommbila
Inani lezithelo eziphakathi livumelekile. Zingaba zintsha, zomiswe noma ziphekwe kushukela wazo. Kepha ukukhetha kufanele kunikezwe lezo zithelo namajikijolo lapho ushukela uqukethwe khona ngokulingana noma ngokungabalulekile.
Okubaluleke kakhulu ngamaphrotheni anamafutha aphansi - inhlanzi, inkukhu, unogwaja, isicubu, ushizi wekhokho, amantongomane nokuningi. Iziphuzo ze-Carbonated ne-caffeine kufanele zilahlwe, ngoba zizonciphisa ukugcwala kweglucose egazini.
Ngezikhathi ezithile, udinga ukunika ingane yakho amavithamini, aqukethe i-chromium. Kufanele futhi usabalalise kahle izinhlobo zokuphumula nokulala ukuze zingasebenzi kakhulu. Ividiyo ekulesi sihloko ikhuluma ngoshukela omncane wegazi.
