Emahlathini aseRussia, kufinyelela kubantu abayizinkulungwane eziyi-15 ngonyaka. Kunzima ukulahleka emahlathini wesimanje noma ukuwela imfucuza yesilwane esifuyayo. Lapho kunyamalala khona abantu abaningi?
Umoya omusha, umjaho omude, isifiso sokudla kwe-wolfish kanye nokuntuleka kwenani elanele lokudla okudliwayo kwakha zonke izimo zokuthuthukisa i-hypoglycemia.
Ukwehla okukhulu kokuxineka kwe-glucose kuyingozi ngenxa yezinkinga zayo ngendlela yokulahlekelwa ingqondo ne-hypoglycemic coma, lapho kungebona bonke abaphuma khona.
Umkhawulo ophezulu lapho izinguquko ze-hypoglycemic zingatholakala khona ngu-3.3 mmol / L (akukho umthwalo wokudla). Imvamisa ukuhlasela ku-asymptomatic. Kuphela ngokunikezela ngokushesha esimweni, ungathatha izinyathelo eziphuthumayo zokuguqula ushukela ukuze usinde.
Ingozi kashukela ophansi
Kubantu abaphilile, umzimba ulawula izinga le-glycemic uqobo. Kuma-diabetes, le nqubo ayikwazi ukwenziwa ngokwezifiso noma. Umthombo omkhulu wamandla womzimba ubelokhu ushukela. Noma kungabikho kwayo isikhashana, ama-neurons obuchopho ayabulawa yindlala.
Izimpawu zokushoda zingabonakala ngokuziphatha komuntu: okokuqala, ukukhathazeka kuyaphaphama, ukwesaba okungaqondakali, akazilawuli izenzo zakhe, ukwazi kwakhe kudidekile. Ezingeni le-3.5 mmol / l, i-glycogen reservity ivuliwe, ubuchopho obusebenza ku-glucose buvaliwe.
Kungakapheli nemizuzu eyi-15, umuntu usasebenza, yize ehlala phansi, njengemoto ephethe uphethiloli iphelelwa yisikhathi. IGlycogen emisipha isheshe idliwe, kuqhamuke ubuthakathaka obukhulu, igagasi limboza izithukuthuku, umfutho uyaconsa, umuntu uphenduka onsundu, i-arrhythmia iyakhula, ikhanda liyaphenduka futhi limnyama emehlweni, imilenze iyagoba.
Kungani kukhona amaconsi abukhali ushukela
Ngokufakwa njalo kwamaswidi amaningi, izinyo elimnandi lakha i-hypoglycemia. Ama-pancreas agcwele kakhulu namaseli alo e-b asebenza emkhawulweni wamandla awo, ehlanganisa ubuningi be-insulin. I-glucose idonswa izicubu. Ngemuva kokukhululeka okufushane, buthakathaka kanye nokukhula kwesifiso sokudla.
Imbangela yoshukela ophansi akuyona nje kuphela izintandokazi ezikhethekile, kepha futhi nezifo ze-pancreatic zemvelo ye-oncological. Ama-pathologies amakhulu ezinso, isibindi, i-hypothalamus nawo ahambisana ne-hypoglycemia.
Ngokudla kwe-hypocaloric, ukwehla okubukhali kwe-glucose nakho kungenzeka. Uma kungenasifo sikashukela, khona-ke izinkomba zakhona zijwayelekile ngemuva kokudla, ngoba i-insulin yendabuko izohambisa ushukela kumaseli ngendlela esifike ngesikhathi.
Ku-mellitus yesifo sikashukela, umzimba noma awukhiqizi i-insulin, noma ungasebenzi ngokwanele, njengoba ukuzwela kwama-cell receptors kuncishiswa. Ngakho-ke, ingxenye ye-glucose ayigwenywa, kepha iguqulwa ibe ngamafutha.
Uma ushukela wegazi wehla kakhulu, okufanele ukwenze kuya ngezimo ezithile. Ebantwini abaphilile, ukuncipha okubukhali koshukela kungenzeka ngamakhefu amade okudla noma okuqukethwe okunganele kwekhalori, kanye nokuthi kukhona imithwalo yemisipha esebenzayo emoyeni omusha osesiswini esingenalutho (abathumeli, abahlengi, abasebenzi basemgwaqweni, abagawuli bezinkuni, abahlali basehlobo, abazingela amakhowe.
Yehlisa ukusetshenziswa kothukela. Ngemuva kwamahora ambalwa, ungawubona lo mphumela. Futhi ngokuziluma isikhathi eside, futhi noma ungondlekanga kahle, ungawela enkomeni ngisho nokuxinana komoya utshwala egazini.
Odokotela banegama elithi "ukufa kwe-brothel" lapho, ngemuva kocansi olusebenzayo esiswini esingenalutho, asebekhulile befa ngenxa yokuhlaselwa yisifo senhliziyo, kuthi abaneminyaka engamashumi amane babulawe yi-hypoglycemia. Ngakho-ke, eJapan, i-geisha iqala ukuxhumana nekhasimende ngomkhosi wetiyi namaswidi amaningi.
Isibonelo esihle se-hypoglycemia ukushona komdlali we-hockey othembisayo u-Alexei Cherepanov, amaMelika ayefuna ukumthengela ama- $ 19 wezigidi, ngakho-ke ahlola impilo yawo ngokucophelela. Umsubathi ushone khona lapho phakathi nomdlalo, njengoba ayephuma eqhweni elambile, futhi walala ubusuku ngaphambi kokuphumula okujwayelekile, ngosuku lwezithandani. Umholi weqembu lesizwe elineminyaka eyishumi nesishiyagalolunye wasindiswa ekuhlaselweni yisifo senhliziyo emizuzwini yokugcina yomdlalo, futhi konke akudingayo kwakuwukujova kweglue emthanjeni.
Ngaphansi kokubusa kweSoviet, izindinganiso zokunakekelwa okuphuthumayo uma kungenzeka ulahlekelwe ukwazi ngenxa yezizathu ezingaziwa kufaka phakathi umjovo: amashubhu angama-20 eglucose angama-40. Ngenkathi udokotela eqoqa i-anamnesis (ukushaya kwenhliziyo, ukushaywa unhlangothi, ukudakwa, ukulimala kobuchopho obuhlungu, ubuthi, isifo sokuwa), umhlengikazi kufanele ajobe ushukela ngokushesha emzimbeni.
Ngaphezu kwe-glycemia engeyona yezidakamizwa, eyenzeka kubantu abanempilo enhle, kukhona nokuhlukahluka kwezidakamizwa kwe-pathology. Abantu abanesifo sikashukela bavame ukuba nezimo ze-hypoglycemic, ngoba i-hypoglycemia ingenye yemiphumela emibi yemithi eminingi enciphisa ushukela, ingasaphathwa eyokweqile.
Iqembu lengcuphe ngokuyinhloko labanesifo sikashukela abanesipiliyoni, ngoba ukwehla kokusebenza kwama-pancreas kanye nezindlala ze-adrenal kusiza ukunciphisa ukukhiqizwa kwe-glucagon ne-adrenaline, evikela umzimba ku-hypoglycemia. Isiguli nezinto ezizungezile zidinga ukwazi ukuthi zingasinikeza kanjani usizo lokuqala kohlukunyezwa, ngoba amaphuzu akulesi simo yimizuzu.
Isendlalelo se-hypoglycemia kuma-diabetes
Kungani ushukela wehla kushukela?
- Ukweqisa kwe-insulin okuhambisana nokubalwa kwamthamo okungalungile, ukungasebenzi kahle kwemitha nepeni yesirinji.
- Iphutha lodokotela abahlanganiswe ngokungalungile irejimeni yokwelashwa.
- Ukusetshenziswa okungalawulwa kwezidakamizwa ze-sulfonylurea ezikhuthaza i-hypoglycemia.
- Ukufakwa esikhundleni kwemithi ngaphandle kokubheka isikhathi sokuvezwa kwayo isikhathi eside.
- Ukubambezeleka kwe-insulin nezinye izidakamizwa ze-hypoglycemic emzimbeni ngenxa yokusebenza kabi kwezinso nesibindi.
- Umjovo wokungafundi we-insulin (esikhundleni sokukhohlisa ngaphansi kwesikhumba - umjovo we-intramuscular).
- Uma uthambisa isayithi lomjovo ngokushesha ngemuva komjovo, i-hypoglycemia iyaqina.
- Ukungasebenzi kahle komzimba, ikakhulukazi lapho ulambile.
- Yeqa ukudla noma isidlo esibuthakathaka.
- Ukudla kilojoule ephansi yokulahlekelwa isisindo ngaphandle kokubheka izinkambiso ze-insulin yabo.
- Lapho uphuza utshwala obunamandla, ushukela ungawa kakhulu.
- Nge-malabsorption, lapho ukudla kungangeni kahle, nge-neuropathy yokuzilawula, ebambezela ukuphuma kokuqukethwe kwesisu, ngisho nangemva kokudla okunenhliziyo, amazinga kashukela angahlala evamile.
Ushukela wegazi wehlile: izimpawu, okufanele ukwenze
Ungasibona isimo ngezimpawu ezilandelayo:
- Ubuthakathaka obukhali;
- Ukwanda kokujuluka;
- Ukuphazamiseka kwesigqi senhliziyo;
- Ukuqina kwemilenze;
- Ukuhlaselwa ukwethuka;
- Indlala engalawulwa;
- Ukuphazamiseka kwengqondo;
- Iyahluleka
- I-Glycemic coma.
Isifiso esingalawulwa siwumngane ojwayelekile we-hypoglycemia osondelayo. Ku-diabetes, izidakamizwa eziningi zivusa ukwehla kwesifiso sokudla noma ukulamba kwezimpisi.
Ngemuva kokusebenza kanzima ngokomzimba, indlala ingaba nje uphawu lokukhathala, noma kungaba ngenye yezimpawu zokushintsha kwe-glucose, lapho amaseli ephelelwa amandla futhi athumela izibonakaliso ebuchosheni. Ngendlala, umuntu onesifo sikashukela kufanele aqale ahlole ushukela wakhe nge-glucometer.
Ingozi ye-hypoglycemia ebukhali yanda ngezikhathi uma:
- Umlando - amacala we-hypoglycemia enzima;
- Lokhu kuhlasela kuba ngokungazelele, futhi ukukhohlisa kungahle kwenzeke ngokungazelelwe;
- Ku-diabetes, i-insulin yendabuko ayakhiqizwa nhlobo;
- Isimo esiphansi senhlalo asivumeli ukuqinisekisa ikhwalithi yempilo ejwayelekile.
Isifo sikashukela, nanoma ngubani othambekele kwi-hypoglycemia, kufanele aqale idayari ukuqapha iphrofayili yabo ye-glycemic ngencazelo yazo zonke izimpawu ezithile zezimo zabo.
Ushukela wegazi wehle - yini okufanele uyenze?
Kungasiphi isizathu ushukela ungawi, kubalulekile ukubuyisa ngokushesha ukuntuleka koshukela. Ngenkathi isisulu sazi, udinga ukumnika ukudla ngama-carbohydrate asheshayo kanye nenkomba ye-glycemic ephezulu, evele igxishwe egazini.
I-cube efanelekile ushukela, uju, uswidi, ujamu, ujusi omnandi nezithelo ezivuthiwe ezinokuqukethwe okuphezulu kwe-fructose (banana, izinsuku, ama-apricots, ikhabe, amagilebhisi). Lokhu kuzosiza ukudambisa izimpawu ezivele zisesigabeni sokuqala sesimo se-pathological.
I-Hypoglycemia iyingozi ngokuhlaselwa okuphindaphindiwe, ukuvikela igagasi elilandelayo le-hypoglycemic, ama-carbohydrate ayinkimbinkimbi ayadingeka, adonswa kancane. Isamentshisi elinebhotela nekhofi elimnandi noma itiye, kanye nezinhlamvu zokudla zihamba kahle.
Ukuqala okusheshayo kwezimo ze-hypoglycemic kusongela kakhulu abantu abanesifo sikashukela ngesifo sohlobo 1, lapho ukweqisa komuthi noma ukwephula uhlelo lokuphathwa kwalo kungaholela ekwehlekeni ushukela okukhulu. Ama-diabetes, njengomthetho, ayazi ngezinkinga zawo, ngakho-ke i-glucose kumathebhulethi, akhulula ngokushesha ukuhlaselwa, uhlala enabo.
Ingozi yemiphumela ye-hypoglycemic izonciphisa kakhulu ukugcinwa kokudla: ukudla okulula ngokudla njalo emahoreni angama-3-4. Ushukela wabanesifo sikashukela sohlobo lwe-1 lesifo kufanele ulinganiswe esiswini esingenalutho, ngaphambi komjovo ngamunye nasebusuku.
Ngohlobo 2 lwesifo sikashukela, alukho uhlelo olunzima kangako, kepha kanye ngeviki kungakuhle ukuthi ubhale ukufundwa kwemitha kudayari. Kunikezwa izincomo ezinembile ngokuqonde kakhulu kuhlobo lwemithi nokusabela komzimba ngudokotela.
Ungayivimba kanjani ingozi
Uma imitha iqophe ukuhla kweshukela ngo-0.6 mmol / L ngaphansi kwesilinganiso sakho, kufanele udle kalula ama-carbohydrate angamasimba. Noma ngabe kungekho zimpawu ze-hypoglycemia, ukuncipha okunjalo kashukela akunakwa, ngoba ukwehla kwe-asymptomatic kushukela kubi kakhulu.
Ngokuthambekela kwezimo ze-hypoglycemic, kubalulekile ukuthi njalo uphathe isikhwama sikashukela nawe, kanye nemininingwane ngezinkinga zakho.
Ama-diabetesics ancike ku-insulin maningi amathuba okuba ahlaselwe yi-hypoglycemia, ngakho-ke kubaluleke kakhulu ukubala umthamo womuthi ngqo ngesikhathi sokutholwa kokudla. Kwesinye isikhathi kungakuhle ukuthi uthathe i-insulin emfishane kabili: ekuqaleni naphakathi kokudla kwakusihlwa, uma isidlo kufanele kube yinde.
I-dosing titration iyadingeka ukuze ukulayishwa ngokweqile ngokomzimba nangokomzwelo, kushintshe indlela yokuphila. Uma uhlobo lwe-hypoglycemia lungabonakali futhi imvamisa yokubanjwa kokukhuphuka inyuka, kuyingozi ukuzindla. Lapho imbangela yokudonsela phansi ushukela yaziwa, kufanele okokuqala uphathe lesi sifo esiyimbangela.
Ukwehla okunoshukela okubukhali njalo kuyingozi, futhi okokuqala - ngengqondo. Ngokushoda kwe-glucose, umthombo oyisisekelo wamandla, ukuxhumana phakathi kwama-neurons kubhujiswa, futhi nesimo sesisulu siba sibi phambi kwamehlo. Ukuqapha okuhleliwe kuphela kwamapharamitha abalulekile owodwa nokulandela izincomo ezisohlwini kuzosiza ukuvimbela inhlekelele.
Ongakwenza nge-hypoglycemia engalindelekanga, bheka ividiyo.
