Ubuthakathaka, isiyezi, ikhanda, ukujuluka okunamathelayo, i-pallor, ukungazweli, ukwesaba, ukuntuleka komoya ... lezi zimpawu ezingezinhle ziyazazi eziningi zethu.
Ngokwehlukana, zingaba yizimpawu zezimo ezahlukahlukene. Kepha iziguli ezinesifo sikashukela ziyazi ukuthi lezi yizimpawu ze-hypoglycemia.
I-Hypoglycemia yisimo sikashukela wegazi ophansi. Ebantwini abaphilile, kwenzeka ngenxa yendlala, ezigulini ezinesifo sikashukela sikhula ngenxa yokungezwani kwama-hypoglycemic agents noma i-insulin yokulimala ezimeni zokudla okunomkhawulo, ukusebenza komzimba noma ukuphuza ngokweqile. Kodwa-ke, lesi simo sidinga incazelo eningilizayo. Ngezansi sibheka izimbangela, izimpawu nezindlela zokwelapha i-hypoglycemia.
Sifunda le ndaba ngombono wesayensi
Ukuqonda ukuthi iyini i-hypoglycemia, kufanele ukhumbule imininingwane ejwayelekile mayelana nokudla kwama-carbohydrate emzimbeni.
Ama-carbohydrate avela ekudleni angena emgodini wesisu ngemuva kokudla. Ama-carbohydrate “asheshayo” noma “alula,” anjengoshukela omsulwa (ushukela) omuncu, adonswa egazini. Ama-carbohydrate "ayinkimbinkimbi", afana nesitashi, aqala ukudilizwa emgodini wokugaya ukudla abe lula, abese efaka egazini. Kulokhu, ngemuva kokudla, kuphakama ushukela wegazi. Kubantu abangenaso isifo sikashukela, i-pancreas ivulwa ngalesi sikhathi, ikhiphe i-insulin ye-hormone egazini. Isiza ushukela usuka egazini ungene emangqamuzaneni, lapho kudingeka khona ushukela njengophethiloli. Iziguli ezinesifo sikashukela i-mellitus injin insulin noma ziphuza amaphilisi okwehlisa ushukela ngaphambi kokudla ukwehlisa ushukela wazo.
Kepha ushukela wegazi awulokothi wehle ufike ku-zero. Izinga layo elincane esiswini esingenalutho kumuntu ophilile aliweli ngaphansi kuka-3.5 mmol / l. Lokhu kuyadingeka ngoba izicubu zezinzwa nezinhlayiya zobuchopho zihlala zidinga ukondleka futhi “zikhiphe” ushukela egazini ngaphandle kosizo lwe-insulin. Uma kungazelelwe izinga likashukela wegazi likhala ngaphansi komkhawulo okhonjisiwe, khona-ke umuntu ophilile uzobona izimpawu ezingathandeki, kusukela encazelweni esiliqale ngalo lo mbhalo - le yindlela isimo se-hypoglycemic esiveza ngayo.
Izimbangela eziphambili ze-hypoglycemia manje ziyaqondakala. Uma usebenze esiswini esingenalutho isikhathi eside noma uma ukudla kwakho bekungekho ushukela (kuyinkimbinkimbi noma kulula), khona-ke nomuntu ophile kahle uzozithola lezi zimpawu. Impela, abaningi bethu bayacasuka noma babe buthakathaka esiswini esingenalutho.
Ingabe lesi simo siyingozi kubantu? I-Hypoglycemia kumuntu ophilile akuyona ingozi. Kaningi, sinethuba lokudla noma lokuphuza itiye elimnandi, futhi umzimba usheshe ubuyele kokujwayelekile. Ngaphezu kwalokho kukhona izinqolobane ze-glycogen polysaccharide emisipha nasezibindini, okuyi-carbohydrate esemqoka ezintweni eziphilayo. Leli gazi lamandla ngokuntuleka kweglucose egazini liwohloka ngokushesha lingene egazini. Vele, futhi akunamkhawulo, kepha kuyasiza ukubambelela isikhashana futhi kunikeza umuntu okhathele nolambile ithuba lokuthola ukudla. Kepha ngenkathi sikhuluma ngomuntu ophilile.
I-Hypoglycemia kushukela
Konke kuyashintsha lapho siqala ukuxoxa nge-hypoglycemia kubantu abanesifo sikashukela. Ebantwini abaphilile, amazinga kashukela wegazi alawulwa "ngokuzenzakalelayo", futhi ukuncishiswa kwawo okubalulekile kungagwenywa. Kepha ngesifo sikashukela, izindlela zokulawula ziyaguquka futhi lesi simo singaba yingozi empilweni. Naphezu kweqiniso lokuthi iningi leziguli liyazi ukuthi kuyini i-hypoglycemia, kunemithetho eminingana efanele ukuphindwa.
Izimbangela ze-hypoglycemia ku-mellitus yesifo sikashukela ziyefana kubantu abangenaso isifo sikashukela. Umehluko kuphela ukuthi badinga ukwaziwa nokulandelelwa ukuze bavikele lesi simo. Lokhu kufaka phakathi:
- ukweqa ukudla, inani elanele lama-carbohydrate ekudleni;
- ukungaphathwa kahle komthamo we-insulin noma amaphilisi kufinyelela ushukela nokudla;
- ukweqisa kwe-insulin noma amaphilisi okwehlisa ushukela ngenxa yephutha;
- ukusebenza komzimba okukhulu noma okuphezulu ngokungjwayelekile;
- ukuphuza utshwala obunamandla;
- ezinye izidakamizwa (lapho unquma izidakamizwa ezintsha, hlola nodokotela wakho mayelana nokusebenzisana kwabo ne-insulin).
Ukuhlanganiswa kwalezi zizathu kungahluka. Izici zomuntu ngazinye nazo akumele zicinywe. Kungakho indlela enkulu yokuvikela i-hypoglycemia ukubheka amazinga kashukela egazini nezinyathelo ezifika ngesikhathi zokulilungisa.
Ungabhekana kanjani ne-hypoglycemia?
Kubantu abanesifo sikashukela, ukwehlisa ushukela wegazi akusona isifo esihlukile futhi bayazi ukuthi yini i-hypoglycemia. Ngakho-ke, imvamisa asikhulumi ngokwelashwa kwe-hypoglycemia. Kepha abantu abanesifo sikashukela nabathandekayo babo kufanele bazi kahle ukuthi benzeni nge-hypoglycemia.
Okokuqala, ngemuva kokuzwa izimpawu ze-hypoglycemia, kufanele uhlale phansi uthathe imikhiqizo equkethe ushukela: isiphuzo esimnandi (itiye elinoshukela, ujusi).
Kubalulekile - udinga imikhiqizo enoshukela, hhayi ngokufaka ushukela!
Ngokwesimo esinjalo, kukhiqizwa imikhiqizo ekhethekile, ngokwesibonelo, isiraphu ye-glucose emnandi kwi -hubhu, okudingayo nje ukunitha olimini.
Uma imizwa ingadluleli kungakapheli imizuzu emi-5, ungathatha futhi amaswidi futhi. Ngezimo ezinzima kakhulu, iziguli ezinesifo sikashukela nodokotela zisebenzisa i-glucagon ye-hormone. Kwenza isibindi sinikeze ushukela egazini ngokushesha, kuphakamisa amazinga kashukela. I-Glucagon inikezwa iziguli ngendlela yepeni yesirinji, ongangena ngayo umuthi ngokushesha. Ingahanjiswa ngokungaqondile noma ngokungaqondakali. Imvamisa umthamo ungu-1 mg noma ubalwa ngokuphinda usayizi wesiguli ngama-20- 30- 000 womuthi. Ngokuvamile, ukubalwa kwenziwa ngudokotela, kuqondiswa iminyaka, isisindo nohlobo lwesifo sikashukela.
Ngemuva kokuphathwa kwe-glucagon, kuyadingeka futhi ukuthatha ukudla okuqukethe ama-carbohydrate. Futhi uma kwenzeka ukuthi ngemuva kwemizuzu eyi-12 i-glucagon ingasilunganga lesi simo, kunconywa ukusifaka kabusha. Ngenhlanhla, amacala anjalo awavamile kakhulu futhi iziguli eziningi zimane zine itiye elimnandi.
Ezimweni ezinzima, kufanele ushayele i-ambulensi ngokushesha. Into esemqoka ukuzama ukuvimba ukulahlekelwa ukwazi. Futhi lokhu kungenzeka uma uyazi futhi ulandela imithetho elula yokuziphatha.
I-Hypoglycemia kanye notshwala
Asincomi noma ngubani ukuthi aphuze iziphuzo ezinamandla, kepha udinga ukwazi ukuthi yini eziyingozi kwisifo sikashukela. Utshwala obunamandla bunokwehlisa ushukela wegazi. Lokhu kuyingozi ikakhulukazi esimweni lapho utshwala buthathwa khona esiswini esingenalutho. Esimweni esinjalo, ukwehla kwezitolo ezinoshukela esibindini kungenzeka futhi i-hypoglycemia enamandla ingaqhamuka, okuzodinga ukulaliswa esibhedlela.
Ukuvimbela i-hypoglycemia, ngaphambi kokuqala umkhosi, kufanele ulinganise izinga likashukela wegazi futhi uhlole isimo ukuze kulungiswe umthamo wamaphilisi we-insulin noma kashukela. Kufanele uqale udle ukudla okuqukethe i-carbohydrate, unikeze okuthandwa yilawo aqukethe "ama-carbohydrate amade." Kungaba isaladi lamazambane noma elayisi, ngokwesibonelo.
Lapho uphuza utshwala, kufanele, ube olinganiselayo futhi uvikele ukudakwa. Iqiniso ngukuthi izimpawu ze-hypoglycemia ziyefana kakhulu nokuziphatha komuntu we-hungover. Iphutha labanye lingaholela enhlekeleleni. Ngakho zinakekele. Ngesikhathi somkhosi, ungaphinde ubheke izinga likashukela wegazi usebenzisa i-glucometer ukugcina isimo silawulwa.
Ukuzivocavoca ne-hypoglycemia
Indlela yokuphila esebenzayo isiza ukugcina amazinga kashukela evamile. Kodwa ukuzivocavoca okusebenzayo kungaholela ku-hypoglycemia. Ngenkathi uzijwayeza ukuzivocavoca noma ukubhukuda echibini, ukuya endaweni yokubaleka noma ukuhamba epaki, kufanele uhlole izinga likashukela bese uthatha nawe ukudla okungenzeka ukuthi une-hypoglycemia.
Isinqumo esifanele sizokwenziwa kanye nomuntu owaziyo ukuthi unesifo sikashukela, okuthi uma kwenzeka okuthile, kukukhumbuze ukuthi udinga ukuphumula futhi ukulume. Isifo sikashukela asikona ukweqa ukusebenza komzimba. Iziguli ezinesifo sikashukela zaze zaba ngompetha bama-Olimpiki, ngakho-ke ezemidlalo nesifo sikashukela kuyahambisana ngokuphelele. Into esemqoka ukuqapha okufika ngesikhathi kwamazinga kashukela wegazi.
Kubalulekile ukukhumbula ukuthi izicubu ziyaqhubeka nokudla ushukela ngisho nangemva kokuba umsebenzi usuqediwe. Ngakho-ke, i-hypoglycemia ingenzeka amahora ambalwa ngemuva kokuzivocavoca. Udinga ukukhumbula lokhu futhi udle ngesikhathi, uhlola izinga le-glucose egazini. Ukulala ngemuva kokuzivocavoca kuwufanele ushukela omncane ophakeme kunokwejwayelekile ukuvikela ushukela ukuwa ephusheni.
Ukulala kanye ne-hypoglycemia
Kwesinye isikhathi ushukela ungancipha ngesikhathi sokulala. Izimpawu ze-hypoglycemia enjalo zingaba ezingemnandi noma ziphuphe kabi, kuthi ekuseni umuntu aqaphele ukuthi usejuluka kakhulu ebusuku. Ngesikhathi esifanayo, ushukela ekuseni ungandiswa.
Kulesi simo, udinga ukuthola ukuthi yini ebangele i-nocturnal hypoglycemia (ukusebenza ngokomzimba, utshwala, umthamo onganele we-insulin) bese uzama ukuqeda imbangela yekusasa.
Kodwa kungani ushukela ekuseni ngemuva kwe-nocturnal hypoglycemia ephezulu? Khumbula futhi ukuthi emzimbeni, ushukela ugcina esibindini ngesimo se-glycogen. Ngokuphendula kwe-hypoglycemia, isibindi sizodela ingxenye yezindawo ezihlala kuyo. Kepha ngenxa yokuntuleka komthethonqubo ofanele, amazinga kashukela ekuseni angakhuphuka kakhulu. Lokhu kumele kukhunjulwe ukuze kungabikho ukudideka.
Imiphumela ye-hypoglycemia
I-hypoglycemia emnene, njengomthetho, ayinangozi. Kodwa-ke, ngokwehla okubukhali koshukela wegazi, ukusebenza kwesistimu yezinzwa namaseli obuchopho kuyaphazamiseka; isimo semikhumbi emincane siya ngokuba sibi. Lokhu kungaholela ekukhuleni kwe-neuropathy kanye ne-angiopathy ngokuhamba kwesikhathi. Ngakho-ke, kufanele baxwayiswe.
I-hypoglycemia yamanga
Le wudaba olubalulekile oludinga nokukhulunywa ngalo, yize iqiniso ukuthi eminyakeni edlule bekulokhu kuhlangana kancane futhi kuncane. Ezigulini ezinesifo sikashukela i-mellitus, lapho izinga likashukela lihlala ligcinwa khona ngamanani aphezulu (15-20 mmol / l), izimpawu ze-hypoglycemia zingavela lapho zincishiswa zibe ngamanani aphansi (ajwayelekile). Kepha kulesi simo, kusobala, ushukela ophezulu unomphumela olimaza kakhulu emzimbeni. Ngakho-ke, kuyadingeka ukunciphisa kancane kancane izinga layo libe elijwayelekile, naphezu kwezimpawu ezithile ezingathandeki.
Ukufingqa
- I-Hypoglycemia ibizwa ngokuthi ukwehla kweshukela egazini ngaphansi kwamanani ajwayelekile (ngaphansi kuka-3-4 mmol / l). Kuhambisana nezimpawu ezingemnandi futhi kungaholela ekutheni ulahlekelwe ukwazi.
- I-Hypoglycemia ingadalwa izinkinga zokudla, i-insulin noma izidakamizwa ze-hypoglycemic, ukusebenza ngokomzimba noma ukuphuza utshwala.
- Ukumisa i-hypoglycemia, ungasebenzisa ushukela, iziphuzo ezinoshukela noma ukudla okukhethekile. Esimweni esinzima, i-glucagon iyabhalwa, iziguli ezinesifo sikashukela esingaziphatha kanye ne-insulin.
- Iziguli ezinesifo sikashukela zidinga ukubhekwa njalo kwamazinga kashukela wegazi ukuvimbela ukuthuthukiswa kwalesi simo. Izindlela zanamuhla zokuzithiba zenza lokhu kube lula futhi kusheshe.
- Kubalulekile ukukhumbula ukuthi isifo sikashukela yindlela ekhethekile ekuvumela ukuba uphile isikhathi eside, ngokuya ngemithetho ethile.
