Ukuthuthukiswa kwe-hypoglycemia - kuyini isifo sikashukela, lo mbuzo uyathakazelisa inani elikhulu leziguli ezinalesi sifo.
Ukusebenza kwe-hypoglycemic isenzo se-insulin kuqala emzimbeni wesiguli lapho ukugcwala kwe-glucose ku-plasma yegazi kusondela inani elisondele ku-4 mmol / g.
I-Hypoglycemia kwisifo sikashukela ngumngane ojwayelekile weziguli ezinalesi sifo. Imvamisa, i-hypoglycemia yenzeka ngohlobo 1 sikashukela. I-Hypoglycemia yohlobo 2 sikashukela iba khona uma lesi sifo selashwa ngemijovo yezidakamizwa equkethe i-insulin ye-hormone. Kwezinye izimo, ukuvela kwe-hypoglycemia kusifo sikashukela sohlobo lwesibili lwe-mellitus yesifo sikashukela kungabonakala nasezimweni lapho i-insulin ingasetshenziswa ekwelapheni lesi sifo.
Ukuba khona kwesifo sikashukela i-mellitus kwenza ukuba i-hypoglycemia ivele kaningi ezigulini, ngakho-ke, noma isiphi isifo sikashukela nabantu abasendaweni yakhe eseduze kufanele bazi ukuthi kufanele baziphathe kanjani uma kwenzeka leso simo, nokuthi yiziphi izinyathelo okufanele zithathwe ukuvimba ukuthuthukiswa kwezinkinga emzimbeni.
Izimbangela eziphambili ze-hypoglycemia ku-mellitus yesifo sikashukela ukuthi umphumela wezidakamizwa ezinciphisa ushukela uhlotshaniswa nenqubo yokuvuselela amaseli we-pancreatic beta cell ukuze kwandiswe ukukhiqizwa kwe-hormone insulin. Uhlobo 2 lwesifo sikashukela, ukuthatha izidakamizwa ezinjalo kukhulisa inani le-insulin ekhiqizwayo, okuholela ekuletheni inani loshukela egazini ezinkombeni eziseduze nenkambiso yomzimba.
Uma kwenzeka kube nokwephulwa kwezincomo zikadokotela oholayo futhi isiguli sohlobo lwesibili sikashukela sithathe umthamo omkhulu wezidakamizwa ezinciphisa ushukela, kukhona ukwanda okukhulu kwesibalo se-insulin ngesikhathi se-hypoglycemia, lokhu, kuholela ekunciphiseni okukhulu kokuqukethwe kwe-glucose ku-plasma yesiguli enesifo sikashukela.
Ukuvela kwe-hypoglycemia kushukela kungaholela ekwakhiweni kwemiphumela emibi engenakulungiswa njengokulimazeka kwamangqamuzana obuchopho nokufa. Ngokuhambisana nedatha etholakala ezifundweni zobudokotela, izimpawu ze-hypoglycemia zenzeka esigulini esinezinga likashukela wegazi elilingana noma elisondele ku-2.8 mmol / L.
Izimbangela eziphambili ze-hypoglycemia
Izimpawu ze-glycemia zivela emzimbeni wesiguli kuphela uma isiguli sine-insulin ethe gazi kune-glucose. Lapho kwenzeka lesi simo, amangqamuzana omzimba aqala ukuzwa ukushoda kwama-carbohydrate, asetshenziswa yizakhi zamaselula ukukhipha amandla.
Izitho zangaphakathi zesiguli ziqala ukuzizwa zilambile amandla, futhi uma izinyathelo ezifanele zingathathwanga ngendlela yesikhathi, umuntu angafa.
Izimpawu ze-hypoglycemia zikhula emzimbeni ngenxa yezizathu ezahlukahlukene. Izimbangela ze-hypoglycemia zingokulandelayo:
- Uma isiguli sinesifo sikashukela sohlobo 1, i-hypoglycemia ingenzeka ngenxa yokuqothuka ngokweqile kwe-insulin. Ukushoda koshukela okubangelwa ukweqiwa kwe-insulin kufanele kuqala ukwelashwa ngokufakwa kwengxenye kashukela osheshayo noma ngokuphatha isisombululo se-glucose esangaphakathi.
- Uma amalungiselelo e-sulfonylurea asetshenziswa ekwelashweni? Le mishanguzo ingadala izinkinga emzimbeni.
- Ukusetshenziswa kwe-insulin ngepeni elinamaphutha.
- Ukusebenza kahle kwemitha, okubonisa ukufundwa ngokweqile, okuholela ekwandeni komthamo wokulawulwa kwe-insulin.
- Ukubalwa okuyiphutha komthamo we-insulin ngu-endocrinologist.
- Ukwephulwa kokuphathwa kwe-insulin - ukuphathwa kwemizwa ngaphakathi kwezidakamizwa.
- Massage endaweni yomjovo.
- Kusetshenziswa umuthi omusha umzimba wesiguli ongajwayelekile.
- Isifo sezinso esiphazamisa ukususwa okujwayelekile kwe-insulin emzimbeni.
- Sebenzisa i-insulin emfushane esikhundleni sokuhlala isikhathi eside kwithamo elifanayo.
- Ukuxhumana okungalindeleki phakathi kwemithi esetshenziswe ngesikhathi sokwelashwa.
Ngaphezu kwalokho, isimo se-hypoglycemia singadalwa kumuntu ngisho ngaphandle kwesifo sikashukela uma kunokuphazamiseka emzimbeni okuthinta inqubo yokuqashelwa kwama-hormone yi-adrenal gland noma i-pituitary gland.
Ngaphandle kwesifo sikashukela i-mellitus, okuqukethwe ushukela ku-plasma nakho kungancipha kakhulu ngesikhathi sokukhulelwa nokuqunjelwa.
Ukuthuthukiswa kwe-hypoglycemia ephula isidlo
Ukuvusa ukuquleka kwe-hypoglycemic emzimbeni, izinkinga zokudla kanye nezinkinga zohlelo lokugaya ukudla ziyakwazi. Ukwephulwa okunjalo kungafaka okulandelayo:
- Ukungalingani okwanele kwama-enzyme wokugaya ukudla. Ukwephula okunjalo kungavusa ukuntuleka kashukela egazini ngenxa yokushoda kweglucose emgodini wesisu.
- Ukudla okungajwayelekile kanye nokweqa ukudla.
- Ukudla okungalinganiselwe okuqukethe ushukela onganele.
- Umthwalo omkhulu womzimba emzimbeni, ongadala ukuhlaselwa kokushoda kukashukela kubantu, uma kungenzeki ukuthatha umthamo owengeziwe weglucose.
- Ngokuvamile, isiguli esinesifo sikashukela se-hypoglycemia singabangelwa ukuphuza utshwala.
- I-Hypoglycemia ingabangelwa izidakamizwa zokunciphisa isisindo kanye nokudla okuqinile, ngenkathi kuhambisana nedosi elinconyelwayo le-insulin.
- I-neuropathy yesifo sikashukela, okwavumbulula ukuthululwa kancane kwethumbu lokugaya.
- Ukusetshenziswa kwe-insulin ngokushesha ngaphambi kokudla ngenkathi kubambezeleka ukudla.
Iziguli ezinomdlavuza wesifo sikashukela sohlobo 2 akufanele zizwe umuzwa onamandla wokulamba impilo ejwayelekile. Ukubonakala kwendlala kuwuphawu lokuqala lokuntuleka koshukela egazini lesiguli esinohlobo lwesibili sikashukela. Lokhu kudinga ukulungiswa njalo kokudla kwesiguli lapho kunesifo sikashukela sohlobo 2.
Izimpawu nezimpawu ze-hypoglycemia esigulini esinesifo sikashukela
Lapho uthatha izidakamizwa uyehlisa amazinga kashukela, kufanele ukhumbule izinga elijwayelekile le-glycemia, umuntu ngamunye. Izinkomba ezifanele yilezo ezihambisana nesimo esejwayelekile ngokomzimba womuntu onempilo noma asondele kuso. Uma inani likashukela liphambuka liye ohlangothini oluncane, isiguli siqala ukuzwela - siqala ukukhombisa izimpawu ze-hypoglycemia, okuvusa ukuntuleka koshukela egazini plasma.
Izimpawu zokuqala zokuntuleka kwama-carbohydrate ziqala ukuvela ngezindlela ezithambile ze-malaise futhi zidalulwe ngokuhamba kwesikhathi.
Isibonakaliso sokuqala sokuntuleka kwama-carbohydrate umuzwa wendlala enkulu. Ngokuthuthuka okwengeziwe kwe-hypoglycemia, lezi zimpawu ezilandelayo ziyabonakala kumuntu:
- indlala yesikhumba;
- ukukhuphuka kokujuluka;
- umuzwa onamandla wendlala;
- ukukhuphuka kwenhliziyo;
- izicubu zomsipha;
- kwehlise ukunakwa nokuhlushwa;
- ukubukeka kokufutheka.
Ngaphezu kwalezi zimpawu, i-hypoglycemia ingenza umuntu ogulayo azizwe ekhathazekile futhi enenhliziyo ebuhlungu.
Lezi zimpawu zenzeka nge-hypoglycemia, kungakhathalekile ukuthi hlobo luni lwesifo sikashukela esitholakala esigulini.
Ezimweni lapho ukwehla okuqhubekayo kokuqukethwe ushukela emzimbeni wesiguli okuhlushwa isifo sikashukela kuyaqhubeka, isiguli siyakhula:
- ubuthakathaka
- Isiyezi
- ikhanda likashukela elinzima;
- ukusebenza kokuphazamiseka kwesikhungo senkulumo ebuchosheni;
- umuzwa wokwesaba;
- ukuxhumeka okungahambisani nokunyakaza
- iminyakazo
- ukulahlekelwa ukwazi.
Izimpawu zingahle zenzeke ngasikhathi sinye. Esigabeni sokuqala sokukhula kwe-hypoglycemia, kungabonakala uphawu olulodwa noma ezimbili, lapho abanye bajoyina khona kamuva.
Kwezinye izimo, kubantu abakade benesifo sikashukela kanye nokuhlaselwa njalo kwe-hypoglycemia, ukuvela okuncane okwenzeka kusigaba sokuqala kungenzeka kungabonakali nakancane.
Abanye abantu abanesifo sikashukela bayakwazi ukubona izimpawu zokuqala ngesikhathi, futhi ngokulinganisa amazinga kashukela wegazi, bayeke ngokushesha ukuthuthukiswa kokuphazamiseka, baphakamise izinga le-glucose emzimbeni liye ezingeni elidingakalayo.
Kufanele kukhunjulwe ukuthi ezinye izidakamizwa ezisetshenziswa ekwelapheni zingavimba izimpawu zokuqala zezinkinga.
Ukunakwa ikakhulukazi kufanele kunikezwe iziguli lapho isimo se-hypoglycemia sikwazi ukuthuthukisa ngesikhathi sokulala.
Ukwelashwa nokuvimbela izinkinga
Ukuphela kwendlela yokugwema izingqinamba ukubheka njalo izinga likashukela emzimbeni. Uma isiguli sizwa indlala ebabazekayo, kufanele ilinganise ngokushesha ushukela emzimbeni futhi ithathe nezinyathelo okuhloswe ngazo ukwelapha ukuhlaselwa.
Uma kungekho zimpawu, kepha isidlo esisheshayo asizange senziwe noma sisebenze kakhulu emzimbeni, khona-ke ukuthuthukiswa kwe-hypoglycemia kungavinjelwa ngokuthatha amalungiselelo we-glucose, okuphakamisa ngokushesha ushukela emzimbeni.
Uma ukwelashwa kwezinkinga kwenziwa ngokusebenzisa amalungiselelo e-glucose, khona-ke umthamo wawo kufanele ubalwe ngokufanele. Ngemuva kokuthatha umuthi obhebhekile, ngemuva kwemizuzu engama-40, kufanele ulinganise okuqukethwe ushukela emzimbeni, futhi uma kungekho ushintsho ekuxinekeni, udinga ukuthatha inani elengeziwe le-glucose.
Abanye abanesifo sikashukela, lapho behlisa ushukela wegazi, badla ufulawa, iziphuzo zezithelo noma iziphuzo ezinekhabhoni, kepha uma besebenzisa le mikhiqizo, isimo esiphikisayo singase sivele - i-hyperglycemia. Lokhu kungenxa yokuthi emikhiqizweni enjalo kukhona khona ama-carbohydrate asheshayo futhi ahamba kancane. Ama-carbohydrate ancipha kancane angena egazini futhi ayakwazi ukugcina amazinga aphezulu kashukela isikhathi eside. I-Hypoglycemia ingalashwa ngesisombululo esipholile sikashukela emanzini. Ukwemukelwa kwalesixazululo kuvumela ushukela ukuba ucishe ufakwe egazini ngisho nasekhaleni lomlomo futhi uphakamise ngokushesha ushukela emzimbeni wesiguli.
Uma ukwelashwa kwezinkinga kwenziwa ngokusebenzisa amaphilisi kashukela, khona-ke kulula kakhulu ukubala umthamo kashukela ophuziwe, ongenakwenziwa ngokudla okujwayelekile. Uma kungekho glucose ezibhebheni, isiguli sitshelwa ukuthi njalo siphathe izingcezu eziningana zikashukela bese sizisebenzisa uma kunesimo se-hypoglycemic. Ikakhulu lokhu kunconywa kusebenza ezigulini ezitholakala zinesifo sikashukela sohlobo 1, i-hypoglycemia ingaqhamuka uma kunephutha emthanjeni wamalungiselelo we-insulin.
Wonke umuntu onesifo sikashukela kufanele azi ukuthi iyini i-hypoglycemia futhi azi nezindlela zokuvimbela ukwenzeka kwesimo esinjalo.
Ngale njongo, isiguli kufanele sibonane nodokotela we-endocrinologist.
Usizo lokuqala lokwakhiwa kwe-glycemia kanye nemiphumela yezinkinga
Esimweni lapho isiguli sikashukela singakwazi ukulawula lesi simo futhi singakwazi ukuthatha izinyathelo zokuvimbela ukwanda kokuqhubeka kwesimo se-hypoglycemic, usizo lalabo abaseduze kwakhe luzodingeka.
Imvamisa, ngokuthuthuka kwezinkinga, umzimba wesiguli uya buthaka futhi uvinjelwe ngesikhathi se-hypoglycemia. Umuntu okule nkathi ucishe angazi. Ngomzuzu onjalo, isiguli asikwazi ukuhlafuna iphilisi noma ukudla okuthile okumnandi, njengoba kunengozi enkulu yokujaha. Esimweni esinjalo, kungcono ukusebenzisa ama-gels akhethekile aqukethe inani elikhulu le-glucose ukumisa ukuhlaselwa. Uma kunjalo, uma isiguli sikwazi ukugwinya ukunyakaza, khona-ke singanikezwa isiphuzo esiphundu noma ujusi wezithelo, itiye elimnandi elifudumele lilingana kahle kulesi simo. Ngesikhathi sokuhlaselwa kwe-hypoglycemia, kufanele ubheke ngokucophelela isimo somuntu ogulayo.
Ngemuva kokuthi isimo sesiguli sizinzile, inani loshukela emzimbeni kufanele lilinganiswe nokuthi ingakanani i-glucose okufanele ingeniswe emzimbeni ukuze yenze isimo somzimba sibe ngokuphelele.
Esimweni lapho isiguli esinesifo sikashukela se-mellitus faints, kufanele kufanele:
- Faka induku phakathi kwemihlathi emlonyeni wesiguli ukuze ulimi lungakulumi.
- Inhloko yesiguli kufanele iphendukele kolunye uhlangothi ukuze isiguli singakhungathekisi.
- Faka ikhambi le-glucose elangeni.
- Uphuthume ushayele i-ambulensi.
Ngokuthuthukiswa kwe-hypoglycemia, ubuchopho buhlupheka ngokuntuleka kwamandla. Lapho izinkinga zingalapheki zingavela khona, isimo sokulamba kweglucose sithinta kabi isimo senhliziyo ne-vascular system.
Ukuphuma ngokungafanele kusuka esimweni se-hypoglycemic kuholela ekugxumeni okukhulu kushukela wegazi, lesi simo singavusa ukuthuthukiswa komfutho wegazi ophakeme kanye nokushaya kwenhliziyo. Ngokukhula okubukhali koshukela wegazi, ukuthuthukiswa kokuhluleka kwe-renal kungenzeka. Ividiyo ekulesi sihloko izoqhubeka nesihloko se-hypoglycemia.
