Kumuntu ophile kahle, umzimba uqobo ulawula izinkomba ze-glucose - umthombo omkhulu wamandla. Uma kukhona ukwehla okukhulu kushukela wegazi, khona-ke amaseli obuchopho aqala ukuzwa indlala, ngenxa yalokho afa. Izimpawu ze-hypoglycemia (ukuntuleka kweglucose egazini) zihlala zishiwo, futhi kulula kakhulu ukuzazi. Kungani isimo esinjalo singenzeka, futhi okufanele ukwenze ukukugwema? Ungakuvimbela kanjani i-pathology futhi uvikele izinkinga ezingaba khona?
Kungani ushukela wegazi uwe kubantu abaphilile nabanesifo sikashukela
Kumuntu onesifo sikashukela, umsebenzi oyinhloko ukugcina ushukela ojwayelekile, ukuvimbela ukwanda kwawo okubukhali. Kepha akunakubungozi kangako ukwehla kweshukela.
Okubalulekile: I-Hypoglycemia - kusuka kwezimpawu kuya kosizo lokuqala
Isifo sikashukela nokucindezela kuzoba yinto yesikhathi esedlule
- Ukwehlela ushukela -95%
- Ukuqedwa kwe-vein thrombosis - 70%
- Ukuqedwa kokushaya kwenhliziyo okuqinile -90%
- Ukuqeda umfutho wegazi ophakeme - 92%
- Ukwanda kwamandla ngesikhathi sosuku, ngcono ukulala ebusuku -97%
Nikeza isimo esifanayo:
- ukudla ama-carbohydrate akhanyayo;
- umthamo ongalungile wemithi yokwehlisa ushukela;
- ukuphuza utshwala ngaphandle kokudla (utshwala buvimba ukukhiqizwa kwe-glucose esibindini);
- ukudla okhethwe ngokungafanele nokungahambelani nevolumu yensiza;
- ukwethulwa kwe-insulin kumthamo ongafanele;
- ukusebenza ngokweqile kwesifo sikashukela.
I-Hypoglycemia kumuntu ophile kahle kungenzeka nge:
- ukuthatha imishanguzo ethize, ngokwesibonelo, izidakamizwa ezinciphisa ushukela ngaphandle kokuthinta uchwepheshe;
- izifo zezitho zangaphakathi;
- ukuphuza utshwala obuningi;
- ukulandela ukudla okuqinile;
- isikhawu eside phakathi kokudla / ukungadli;
- ukudla okusobala okusetshenziswayo kwe-carbohydrate;
- ukusebenza ngokweqile komzimba;
- izimo ezicindezelayo, injabulo enkulu;
- ukuvuka ngemuva kokulala ubusuku, ngoba kwakungekho kudla okwathatha isikhathi eside.
Ezimweni ezingavamile, ukwehla okungazelelwe ushukela kungabangelwa ukukhula kwezinqubo zesimila kumanyikwe. Ngenxa yalokhu, inani lamaseli akhiqiza i-insulin kanye nenani le-insulin lenyuka ngokungalawuleki. Futhi, ukwehla ushukela kungabangelwa ngamanye ama-neoplasms (kaningi amabi) anomthelela ekwandeni kwe-insulin.
Kuqabukela kubonwa amazinga aphansi eglucose ekwakhiweni kwezifo ze-autoimmune. Kulokhu, umzimba uqala ukukhiqiza amasosha omzimba ukungena ku-insulin, okwenza ukuthi kube ukwehla okuqinile noma ukwanda okubukhali kwenani laleli hormone. Ushukela oncishisiwe uyatholakala nasezigulini ezinokulimala kwezinso noma inhliziyo (i-cirrhosis, i-hepatitis, ukutheleleka ngegciwane - imbangela ejwayelekile kashukela wegazi ophansi).
Izimpawu zokuncipha okubukhali koshukela
Ukugwema izinkinga eziyingozi ze-hypoglycemia, kubalulekile ukwazi ukuthi iziphi izimpawu ezihambisana nokwehla okubukhali koshukela.
Ochwepheshe ngesikhathi se-pathology bahlukaniswe:
- Iphaphu lapho amanani kashukela ehla khona ngaphansi kuka-3.5 mmol / L.
- Isilinganiso, sokwehla kwezinkomba kuya kumayunithi ama-3 nangaphansi.
- Kakhulu, kubonakaliswa ukwehla koshukela ngaphansi kuka-1.9 mmol / L.
Ngenkambo emnene ye-hypoglycemia, isisulu sihlushwa:
- ubuqili obungenakuqhathaniswa;
- ukukhuphuka kokujuluka;
- isiyezi esincane;
- indlala
- umuzwa ngaphambi kokuhlanza;
- ukuqunjelwa;
- Ukukhathazeka
- isimo sokudangala;
- izibuko
- ukushuba kwemilenze;
- ukungaboni kahle
- izindebe ezibuthanayo.
Ezimweni ezinjalo, kwanele ukuba umuntu ophilile adle noma aphuze okumnandi. Esimweni sikashukela, isiguli esinezimpawu ezifanayo sidinga ukukala ushukela wegazi ngokuphuthumayo. Uma kunenkambo evamile ye-hypoglycemia, khona-ke kuvela izimpawu ezinjalo:
- uvalo
- ukungahambi kahle;
- ukunaka kokuphazamiseka kwengqondo;
- ukugoba komzimba;
- ukungazi kahle;
- ukukhuluma okushisayo;
- ushintsho lwe-gait;
- i-malaise ejwayelekile;
- ubuthakathaka obukhulu;
- imizwa engalawuleki.
Kulesi simo, ukuphathwa kwezidakamizwa ezinciphisa ushukela kuyamiswa ngokushesha futhi kuqashwe ngokucophelela izinkomba ze-glucose.
Kwi-hypoglycemia enzima, okulandelayo kuyabonakala kusisulu:
- ukuhlaselwa okukhokhisayo;
- ukuwela ku-hypoglycemic coma;
- isifo sohlangothi;
- yehla ekushiseni komzimba - izinga lokushisa eliphansi kushukela.
Uma into enjalo iqhubeka isikhathi eside, khona-ke imiphumela ingadabukisa kakhulu, noma ibulale. Amangqamuzana obuchopho kanye nesistimu yenhliziyo kuthinteka, umsebenzi wezitho zangaphakathi uphazamiseka. Kodwa kwesinye isikhathi izimpawu zokwehla kakhulu ushukela zihlala zingabonakali. Lokhu kwenzeka ngenkathi kuthathwa i-beta blockers.
Imbangela yoshukela ophansi ngemuva kokudla kuma-diabetes ngohlobo 1 no-2 kungaba ukusetshenziswa kwemithi esebenzela ukwehlisa ushukela. Lapho isifo sikashukela sithatha iminyaka engaphezu kwengu-15, izimpawu ze-hypoglycemia ziba ngaphansi. Lapha kubalulekile ukukala izinkomba nsuku zonke futhi kugadwe yi-endocrinologist ukuze ulungise isikhathi umthamo we-insulin.
Uma ingane inoshukela, khona-ke izosabela kabi kakhulu kwi-pathology, futhi izimpawu zokuqala ze-malaise zizovela uma izinkomba zehlela ku-3.3 mmol / L. Kubantu abadala, inkinga izwakala kahle lapho i-glucose yehlela ku-3.7 mmol / L.
Yini ubungozi besimo se-hypoglycemic?
Ushukela wegazi kufanele ube ngaphakathi kwemikhawulo ejwayelekile, ngaphandle kwalokho izinkinga ezinkulu zempilo azinakugwenywa. I-Hypoglycemia iyingozi ebuchosheni. Lesi yisitho esikhulu sohlelo lwezinzwa, oluyinkimbinkimbi kakhulu ngesakhiwo. Ekwehlulekeni okuncane kakhulu emsebenzini wakhe kunezinkinga eziningi nezinye izitho nezinhlelo.
Ngenxa yegazi, izakhi zomzimba nomoya-mpilo kungena ama-neurons. IGlucose ingahanjiswa kumaseli obuchopho ngaphandle kwe-insulin. Ngakho-ke, akunandaba ukuthi ingakanani le-hormone ekhona emzimbeni - igazi lisazohambisa zonke izinto ezidingekayo kuma-neurons. Nge-hypoglycemia, inani elanele loshukela alingene ebuchosheni, amaseli aqala ukubulawa yindlala. Ngemuva kwemizuzu embalwa yesimo se-pathological, umuntu uzwa izimpawu zakhe kuye: amehlo afiphele, izindebe ezibuthakathaka, ukujuluka, ukubhuqa.
Umphumela oyingozi kakhulu wokuswelakala kwe-glucose emaqenjini egazi yi-hypoglycemic coma. Ingakhula lapho izinkomba ziwela ngaphansi kwe-2.2 mmol / L. Futhi, isimo se-pathological sesiguli singahambisana ne-edema yamakhemikhali, ukufa kwezingxenye zayo, ukuphazamiseka kokujikeleza kwezicubu nezakhi.
Ochwepheshe bakhomba amaqembu amabili okungenzeka abhekane nezinkinga ze-hypoglycemia:
- Abaseduze kakhulu abathuthuka emahoreni okuqala esimweni se-hypoglycemic state: infyoction myocardial, stroke, ukukhubazeka kwamalunga nemilenze, i-strabismus, ukukhubazeka kwenkulumo, i-hemiparesis, ukunyusa ithoni yemisipha emilenzeni.
- Okude, ukuthuthukisa isikhashana emva kwe-hypoglycemia enzima. Lokhu kufaka phakathi ukunxunguphala, i-encephalopathy, iparkinsonism.
Okufanele ukwenze uma ushukela wegazi wehla
Uma kunoshukela wegazi ophansi omnene kuya kobukhulu obulinganisile, khona-ke izingcezu ezi-2 ushukela noma wezipuni ezi-2 zoju zizosiza ukubhekana nale nkinga. Ukusuka eziphuzweni ungaphuza itiye elimnandi noma ujusi nge-pulp. Ngaphezu kwalokho, ochwepheshe bakweluleka ukuthi usebenzise:
- I-1-2 caramels;
- izigcawu zamashokoleti;
- ubhanana;
- ama-apricots omisiwe;
- amakhiwane;
- ama-prunes.
Kodwa ukudla ukudla okungakhethi nge-glucose ephezulu akudingekile. Isibonelo, uma kunamafutha amaningi ekudleni, lapho-ke kuzophazamisa ukuthathwa koshukela, ngenxa yalokho ongeke ukwazi ukuxazulula inkinga ngokushesha. Ezimpawu zokuqala zokuhlaselwa kwe-hypoglycemic, okuhambisana nokulahlekelwa ukwazi, udinga ukwazi ukuthi ungamsiza kanjani ohlukunyeziwe.
Udinga ukwenza kanjena:
- ukutshala noma ukubeka isiguli ukuze ikhululeke;
- nikeza isiphuzo sikashukela noma unikeze ucezu kashukela ocolisisiwe;
- shiya isisulu sodwa kuze isimo sibe ngcono.
Lapho ushukela wehla kushukela likashukela futhi isimo sihlolwa njengengathi sína, kufanele kubizwe i-ambulensi. Ochwepheshe kufanele bafake i-glucose ukuthuthukisa ukubalwa kwegazi. Uma, ngemuva kwengxenye yehora ngemuva kokulinganisa izinga le-glucose, isiguli singazizwa singcono, sizoyiswa esibhedlela. Lapho, bazophatha i-glucose eyehlayo aze azizwe esejwayelekile.
Uma ushukela wehla ngokungazelelwe, iningi labasebenzi bezempilo beluleka ngokuthatha amaphilisi kashukela. Izakhi zawo zingeniswa ngokushesha egazini bese ziqala ukwenza isenzo ngokushesha. Ngenxa yalokho, umzimba awudingi ukuchitha isikhathi ukugaya ukudla ukuthola umthombo wamandla. Uma ushukela wehla kakhulu, i-1 g yesidakamizwa ingakhulisa ukusebenza ngo-0.28 mmol / L. Njengoba kunenkinga ye-hypoglycemic, lesi yisisombululo esihle kakhulu senkinga.
Ukwelashwa okuhlukile
Ekuhambeni kwezokwelapha, ochwepheshe baluleka ukusebenzisa izindlela zendabuko zokwelashwa besebenzisa izitshalo zokwelapha. Basiza ukubuyisela izinqubo ze-metabolic futhi baguqule amazinga kashukela kwabanesifo sikashukela nabantu abanempilo. Isitshalo esisebenzayo i-lingonberry, i-wort yase-St. John, okhalweni lwe-rose, i-plantain, i-garlic (kunconywa ukuyidla okusha).
Ama-decoction awusizo kanye nama-tinctures enziwe kusuka ezitshalweni, ezivumela umzimba ukuthi ululame ngesikhathi esifushane kunazo zonke. Ungasebenzisa le ndlela yokupheka: 1 isipuni esikhulu sama rose esanda sifakwa ezinkomweni ezi-2 zamanzi abilayo, sihlunga futhi siphuze isigamu sengilazi kabili ngosuku.
Ngaphezu kwalokho, lokhu kudla kunomphumela omuhle esimweni sesiguli. Isiguli sikashukela sidinga ukwazi ukuthi yikuphi ukudla okufanele kufakwe ekudleni, nokuthi yikuphi okufanele kugwenywe:
- Imikhiqizo ewusizo. Ukudla komuntu onesifo sikashukela kufanele kufake phakathi: ukhukhamba, utamatisi, iklabishi, i-zucchini, ukudla kwasolwandle, isinkwa esiphelele sokusanhlamvu, inyama enamafutha amancane, iziphuzo zobisi olunoshukela, amantongomane, ama-legamu.
- Ukudla okuvinjelwe. Amaswidi, ubhanana, amagilebhisi, iziphuzo ezinekhofi, utshwala abukhishwa kwimenyu yesifo sikashukela - uhlu lwemikhiqizo enqatshelwe kwabanesifo sikashukela.
Ukuvimbela ukwehla kushukela wegazi
Ukuvimbela ukwehla okubukhali kushukela wegazi, abanesifo sikashukela batusa:
- shintsha ekudleni bese wengeza ukudla okuzodonswa isikhathi eside;
- yidla ngezingxenye ezincane, okungenani izikhathi ezi-5 ngosuku;
- uma izimpawu ze-hypoglycemia zenzeka ebusuku, khona-ke ebusuku kunconywa ukuthi kudliwe ukudla okufakwa isikhathi eside;
- ngokwelashwa kwe-insulin, kuyadingeka ukulungisa umthamo ukuvimbela ukwehla okubukhali kweglucose.
Uma i-hypoglycemia ivela kumuntu ophile kahle, kuyadingeka ukuthola imbangela yokuvela kwayo. Ungadinga ukucabanga kabusha ngokudla kwakho nendlela ophila ngayo, ususe ukusetshenziswa kophuzo oludakayo, ucebise imenyu ngokudla kwezitshalo. Uma kungenzeki ngokwakho ukuthola isisusa esivumayo ngokwakho, kungcono ukubonana nodokotela.
Uma okuqukethwe kweglucose okuphansi kubonwa kowesifazane okhulelwe, khona-ke kufanele anamathele ekudleni okuthile ukuze agweme izinkinga ezingezinhle. Ukudla okunempilo kufanele kube okucashunayo futhi kube lusizo ngangokunokwenzeka.
Ochwepheshe batusa iziguli ezinjengalezi:
- kudla njalo ama-carbohydrate avikelwe: okusanhlamvu, imifino;
- faka izithelo ekudleni kwansuku zonke, kufaka nezithelo zamawolintshi;
- thatha amaprotheni njengengxenye yenyama ebomvu engenamafutha;
- kudla imikhiqizo yobisi (ushizi, yoghurt, ushizi wekotishi, i-kefir, ubisi olubilisiwe olubilisiwe).
Nge-hypoglycemia, isiguli akufanele singazinaki izimpawu zesimo se-pathological. Kungcono ukuzivikela okwesikhashana ekwenzeni umsebenzi osindayo womzimba futhi ushintshele ekuqeqeshweni ngemithwalo elinganiselayo (ukubhukuda, ukugijima ukukhanya, ukuhamba) Kunezizathu eziningi zokuwa kweshukela, kepha ukulonda impilo enempilo nokubuka ukudla okufanele kuzoxazulula izinkinga eziningi futhi kuvikele nezinkinga ezinkulu. Into esemqoka ukubonana nodokotela ngesikhathi esifanele uma isimo siba sibi. Esikhathini sikashukela, le nkinga kufanele ixazululwe kanye nochwepheshe.
