Ongakwenza ngoshukela ophansi: izimbangela ze-glucose ephansi yegazi

Ushukela omncane wegazi ngolimi lodokotela ubizwa ngokuthi yi-hypoglycemia futhi izimbangela zalo ziyehluka. Isilulumagama esivamile seziguli ezinesifo sikashukela sisebenzisa igama elifushanisiwe elithi "hypo" ukubhekisa kulesi simo.

Lesi sihloko sibaluleke kakhulu futhi sisebenza kubo bonke abantu abatholakala benesifo sikashukela, futhi nabantu abanempilo ephelele bangaba nenkinga emfushane enjalo isikhathi esifushane, okusho ukuthi izimpawu zoshukela osezingeni eliphansi kufanele zijwayeleke kuwo wonke umuntu.

Ingozi kashukela ophansi kubantu abadala

Ukwehla kukashukela wegazi, ukuntuleka kwayo, kuyinkinga enkulu yesifo sikashukela. Umbuzo ophakamayo: ingabe ushukela wegazi ophansi uhlala eyingozi futhi yini ebi kakhulu - izinga likashukela elijwayelekile noma isimo esithile se-hypoglycemia?

Izimpawu namazinga kashukela aphansi angabonakala ngamazinga ahlukahlukene - kusuka kumnene kuya kokhona, kumuntu okhulile nengane. Izinga eleqile i-hypoglycemic coma, okuholela kulo ushukela ophansi.

Muva nje, izindlela zokunxephezela isifo sikashukela ziqinisiwe, manje kungenzeka ukuthi i-hypoglycemia yenzeke. Uma uqaphela lezi zimo ngesikhathi futhi uzivimbe kahle, ngeke kube khona eziyingozi kuzo.

Ushukela wegazi ophansi we-degree degree ephansi, i-hypoglycemia, ephindaphindwe kaningi ngeviki, awunawo umphumela ekuthuthukisweni nenhlala-kahle yezingane. Ngeminyaka yo-2000, izingane eziningi ezinesifo sikashukela zahlolwa futhi kwatholakala ukuthi iziqephu ezinobunzima ngezikhathi ezithile zokuncipha kokuxineka kwe-glucose azizange zithinte ukusebenza kwesikole futhi ubuhlakani bezingane ezinjalo abuhlukile kunobuhlakani bontanga babo abangenaso isifo sikashukela.

Isimo soshukela osezingeni eliphansi sivela njengohlobo lokubuyiselwa kwesidingo sokugcina ukugxila kwe-glucose kusondele kokujwayelekile ukuze kuvikeleke ukwanda kwezinkinga eziyingozi kakhulu zesifo futhi imbangela ayikhona kwisifo sikashukela kuphela.

Umuntu ngamunye unomkhawulo ngamunye wokuzwela kwe-glucose ephansi, futhi lapho ewa, umkhawulo uxhomekeka:

• iminyaka
• ubude besifo kanye nezinga lokulungiswa kwaso;
• izinga lokudonsa ushukela.

Enganeni

Kubantu abamaqembu ahlukahlukene yobudala, umuzwa we-glucose ophansi ubonwa ngamanani ahlukile. Isibonelo, izingane azizizwa ziphansi ushukela njengabantu abadala. Amaphethini amaningana angaphawulwa:

1. Enganeni, ukugcwala kweglucose engu-2,6 kuya ku-3.8 mmol / ilitha kungahle kusenze sibi isimo esijwayelekile, kepha ngeke kube nezimpawu ze-hypoglycemia.
2. Izimpawu zokuqala zokuncipha koshukela enganeni ziqala ukuvela ezingeni lika-2.6-2.2 mmol / lit.
3. Ezinganeni ezisanda kuzalwa, lezi zibalo ziphansi ngisho nangaphansi - ngaphansi kuka-1,7 mmol / ilitha.
4. Ezinganeni ezingakazalwa ngaphambi kwesikhathi zingaphansi kuka-1.1 mmol / ilitha.

Enganeni, kwesinye isikhathi izimpawu zokuqala ze-hypoglycemia ngokuvamile azibonakali nhlobo.

Ebudaleni, konke kwenzeka ngendlela ehlukile. Ekuhlolweni kwe-glucose ngisho ne-3.8 mmol / ilitha, isiguli sesivele sizwe izimpawu zokuqala ukuthi ushukela uphansi.

Lokhu kuzwakala ikakhulukazi uma abantu asebekhulile kanye nabagulayo behlaselwa ushukela, ikakhulukazi uma behlaselwa isifo sohlangothi noma isifo senhliziyo. Lokhu kungenxa yokuthi ubuchopho bomuntu ngalesi sikhathi bubuhlungu kakhulu ngokuntuleka komoya-mpilo kanye noshukela futhi ingozi yezinhlekelele ze-vascular yanda kakhulu. Ngakho-ke, iziguli ezinjalo azinazidingo ze-carbohydrate metabolism ukuze zilungele.

Iziguli zeziguli okungamukeleki kuzo i-hypoglycemia:

• abantu abadala
• iziguli ezinezifo zenhliziyo nemithambo yegazi;
• iziguli ezine-retinopathy yesifo sikashukela kanye nengozi eyandayo yokuphefumula kwe-retinal hemorrhage;
• abantu abangakuboni ukwehla okuningana koshukela wegazi, ngoba bangase babe nenkinga engazelele.

Abantu abanjalo kufanele balondoloze izinga labo le-glucose ngenani eliphakeme kakhulu kunezinkambiso ezinconyiwe (cishe i-6 - 10 mmol / ilitha), futhi bathathe izilinganiso kaningi ukuze bayibone ngesikhathi esifanele ukuthi ushukela uphansi.

Inketho ekahle uhlelo lokuqapha oluqhubekayo ekuvumela ukuthi uqaphele amazinga we-glucose ngesikhathi sangempela futhi uthathe izilinganiso.

Isikhathi sikashukela nokunxeshezelwa kwaso

Kudala kwaziwa ukuthi isikhathi eside uma umuntu enesifo sikashukela, kunciphisa amandla akhe okuzwa izimpawu zokuqala ze-hypoglycemia.

Ngaphezu kwalokho, lapho isifo sikashukela singanxephezeli isikhathi eside (ushukela uhlala uphakeme kuno-10-15 mmol / ilitha), futhi uma ukucindezela ushukela kwehla amanani athile aphansi (ngokwesibonelo, kuya ku-6 mmol / ilitha), kungadala i-hypoglycemia.

Ngakho-ke, uma umuntu efuna ukubuyisa izinga le-glucose kubuyela kokujwayelekile, khona-ke lokhu kufanele kwenziwe kahle ukuze umzimba ukwazi ukuzivumelanisa nezimo ezintsha.

Izinga lokuncipha kokuhlushwa ushukela wegazi

Ukukhanya kokubonakaliswa kwezimpawu ze-hypoglycemic kubuye kunqunywe ngokuthi kusheshe kwehliswe kanjani ushukela egazini. Isibonelo, uma ushukela wawugcinwa ezingeni le-9 - 10 mmol / litre futhi kwenziwa umjovo we-insulin, kodwa umthamo wakhethwa ngokungafanele, lapho-ke cishe imizuzu engamashumi amane lelo zinga lizokwehliswa libe ngu-4,5 mmol / ilitha.

Kulokhu, i-hypoglycemia izobangelwa ukwehla ngokushesha. Kunezimo lapho zonke izibonakaliso ze- "hypo" zikhona, kepha ukunqotshwa ushukela kuhla ukusuka ku-4.0 kuye ku-4,5 mmol / ilitha.

Izimbangela Zoshukela Ushukela

Ukugxila kwe-glucose ephansi kunqunywa hhayi kuphela kwiziguli ezinesifo sikashukela i-mellitus, kodwa futhi nasekuthuthukiseni ezinye izifo noma izimo ze-pathological. Kwabashukela, izimbangela ezilandelayo ze-hypoglycemia ziyimpawu:

1. I-overdose ye-insulin noma ezinye izidakamizwa.
2. Akukho ukudla okwanele noma ukweqa isidlo esisodwa.
3. Izimbangela zokuhluleka kwezinso okungamahlalakhona.
4. Umsebenzi ongakahlelwanga ngokomzimba noma ohlelwe, kepha ongabhalisiwe.
5. Ukuguqulwa kusuka kwesinye isidakamizwa kuya kwesinye.
6. Ukungezwa kwirejimeni yokwelashwa kwesinye isidakamizwa sokunciphisa ushukela.
7. Ukusetshenziswa kwezinye izindlela zokwelapha isifo sikashukela ngaphandle kokulungiswa (ukuncishiswa) komthamo womuthi oyinhloko.
8. Ukusetshenziswa kabi kotshwala, nokuthi utshwala buthinta kanjani ushukela wegazi, kuhlala kubonakala ngaso leso sikhathi.

Ukuqonda kanjani ukuthi ushukela wegazi wakho wehlile

I-Hypoglycemia imnene noma iqinile. Ngokwesimo esibuthakathaka, isiguli sikhula izithukuthuku ezibandayo ziqonde ngqo ekukhuleni kwezinwele (ngaphezulu ngemuva kwentamo), kunomuzwa wokulamba, ukukhathazeka, amathiphu weminwe iqala ukubanda, ukuthuthumela kancane kudlule emzimbeni womuntu, umuntu athuke futhi azizwe egula, ikhanda lakhe lishaye ngamandla futhi liba nesiyezi.

Esikhathini esizayo, isimo singaba sibi kakhulu. Ukujwayeka esikhaleni kuyaphazamiseka, i-gait iba ngokungazinzi, ukuguquguquka kwemizwa kushintsha kakhulu, ngisho nabantu abanobuhlakani bangaqala ukumemeza nokufunga, ukukhala okungenasisekelo kungaqala, ukwazi kube nokudideka, ukukhuluma kunciphise.

Kulesi sigaba, isiguli sifana nomuntu odakiwe, othwala ingozi enkulu, njengoba abanye bekholelwa ukuthi empeleni uphuza nje, futhi ungafuni ukumsiza. Ngaphezu kwalokho, le ndoda uqobo ngeke isakwazi ukuzisiza.

Uma izinyathelo zingathathwanga ngesikhathi, isimo sesiguli siba sibi ngokwedlulele, uzothola imithambeka, alahlekelwe yimizwa, futhi ekugcineni aqale ukuba nesifo sikashukela. E-coma, kukhula ubuchopho be-edema, obuholela ekufeni.

Imvamisa, i-hypoglycemia ingenzeka ngesikhathi esingenamsebenzi kakhulu, ngokwesibonelo, ebusuku, lapho umuntu engakulungele ngokuphelele lokhu. Uma ukwehla kweshukela kwenzeka ebusuku, khona-ke kuvela izimpawu zokubonisa izimpawu:

• - ukuwa embhedeni noma ukuzama ukusukuma;
• - amaphupho amabi;
• - ukuhamba ngephupho;
• - Ukukhathazeka, umkhiqizo womsindo ongajwayelekile;
• - ukujuluka.

Kaningi, ekuseni emva kwalokhu, iziguli zihlushwa ikhanda.