Abantu abaningi bangaba noshukela ophansi wegazi. Lokhu kufakazelwa yizimpawu eziningi, ezinjengesiyezi, isicanucanu, ukungaphatheki kahle, “i-haze” phambi kwamehlo njalonjalo.
Ukuze isimo singaqali ukwanda, wonke umuntu kufanele azi ukuthi angalandisa kanjani ushukela wegazi. Izinyathelo ezithathwe ngesikhathi zizosiza ukuvimba ukuthuthukiswa kwezinkinga ezinkulu.
Ukuhlaziywa kwe-glucose yegazi kanye nezizathu zokuncipha kwaso
Ukuze bathole imiphumela enembile kunazo zonke ezingeni le-glucose egazini, odokotela basebenzisa izindlela ezahlukahlukene zaselebhu:
- ukuhlaziywa kwe-lactate;
- urinalysis kashukela;
- ukuhlolwa kwegazi kwe-biochemical;
- ukuhlolwa kokubekezelela ushukela ngomthwalo (ukuze uthole ukuhlaziya okuthembekile, kufanele ufike kwinqubo esiswini esingenalutho);
- isivivinyo sokubekezelela ushukela we-C-peptides;
- ukuhlaziywa kwezinga le-fructosamine;
- isivivinyo sokuvumela ukubekezelela ushukela kwabesifazane abakhulelwe;
- Ukuhlaziywa kwe-hemoglobin ye-glycated
Kukhona ezinye izindlela zokuthola ushukela wakho wegazi. Isibonelo, kungenzeka ukuthi uzazise ekhaya usebenzisa ithuluzi elikhethekile - i-glucometer.
Ngezansi kwe-2 mmol / L
Uma kutholakala isilinganiso se-glucose esingaphansi kuka-2 mmol / l, lezi zimo ezilandelayo zingavela esigulini:
- ukuhlaselwa kakhulu;
- ukugoba okukhulu;
- ukwehla kwezinga lokushisa lomzimba ngaphansi kwesijwayelekile;
- ukuwa ukhubazekile (lesi simo kungenzeka ukuthi siholele ekufeni).
Kuhle ukukhumbula ukuthi ukwehla kakhulu ushukela wegazi kuholela kulezi zimo ezingenhla, futhi ukuhlala isikhathi eside kwe-glucose enkombeni yamanje kuthinta izitho zomzimba, kulimaze ubuchopho kanye nohlelo lwenhliziyo. Ngaphezu kwalokho, isiguli singazizwa sinezimpawu ze-pathology esimweni sokuthatha i-beta-blockers.
2.2-3 mmol / l
Uma umuntu ehlisa ushukela wegazi kuye ku-3 nangaphansi mmol / l, izimpawu ezilandelayo zingavela:
- ukugoba emzimbeni wonke;
- umuzwa wobuthakathaka obujwayelekile;
- ukukhuluma kancane futhi okungekho emthethweni;
- umuzwa ongapheli wokubanda;
- isimo esingokomzwelo esingalawulwa;
- ukuhlangana okungahambi kahle kokunyakaza;
- ukulahleka kokuhlushwa;
- ukungazi kahle.
Okokuqala, lapho izinga likashukela wegazi lifinyelela kuleli zinga, kuyadingeka ukuyeka ukusetshenziswa kwezidakamizwa ezinciphisa ushukela bese wenza isikhathi sokubonisana nodokotela ukuze anqume ngokunembile isimo samanje futhi anikeze ukwelashwa okufanele.
3.3-3.5 mmol / L
Lapho izinga likashukela wegazi liwela ngaphansi kwezinkomba ze-3.5 ne-3.8 mmol / l, kufanele kukhunjulwe ukuthi esimweni samanje isiguli sidinga ukusebenzisa okuthile ngokugcwala okukhulu kwe-sucrose noma senze itiye elimnandi.
Umuntu uzobona lezi zimpawu ezilandelayo:
- isiyezi esinzima;
- ukuphazamiseka kusigqi senhliziyo;
- ukulahleka kwengqondo;
- ukukhuphuka kokujuluka (ikakhulukazi kuboniswa esifundeni senhloko nentamo);
- umuzwa ongapheli wendlala;
- Ukudana
- isicanucanu (esivame ukuhambisana nokuhlanza);
- ukungahambi kahle;
- umuzwa wenkungu phambi kwamehlo;
- ukusindeka nokudinwa kweminwe ezandleni nasezindebeni.
Izimpawu nezimpawu ze-hypoglycemia
Ngokuvamile, ukuba khona kwe-hypoglycemia kunganqunywa umuzwa onamandla wendlala uhambisana nezimpawu ezahlukahlukene ze-adrenergic ne-neurological.
Okuvame kakhulu yilezi:
- ikhanda elibuhlungu;
- iminyakazo
- ukudideka kokwazi;
- ukungaboni kahle
- isiyezi esiqhubekayo;
- i-paresthesia;
- i-hypoglycemic coma;
- ukukhathazeka.
Izimpawu ezinokwehla okukhulu kwamazinga kashukela:
- ukuzindla kwenhliziyo;
- i-arterial hypertension;
- Ukukhathazeka
- ukuhlaselwa kwe-angina;
- umuzwa wokuhluleka kwenhliziyo;
- ukuzamazama kwemilenze;
- ukukhuphuka kokujuluka.
Yini esongela ukwehla okukhulu kwezinkomba zabantu?
Uma ungathathi sinyathelo ukwandisa ushukela wegazi, khona-ke umuntu angaquleka, noma i-hypoglycemic coma ivele, futhi lesi simo kungenzeka ukuthi sivele ngokufa ngenxa ye-edema yamakhemikhali.
Kubalulekile ukuvikela ukukhula kokuhlaselwa kwe-hypoglycemia, ngoba uma umuntu ehlupheka lokhu, kungenzeka ukuthi aqhamuka nezifo ezilandelayo:
- Isifo sikaParkinson;
- isithuthwane
- i-encephalopathy (kulesi simo, ukubhujiswa kwamangqamuzana ezinzwa kwenzeka).
Uma kuba ne-hypoglycemic coma, isiguli kufanele silaliswe esibhedlela ngokushesha ukuze isimo singavumeli ukuthuthuka kwezinkinga ezahlukahlukene futhi kungaholeli ekufeni. Udokotela uzosebenzisa isisombululo se-glucose ye-jet intravenous ukuletha isiguli ukwazi.
Izimpawu ezibonisa ukwehla okukhulu kwamazinga kashukela egazini:
- umuzwa ongapheli wendlala;
- amakhaza, izihlakala zeminwe nezinyawo ziba nzima;
- isicanucanu esikhulu, esivame ukuhambisana nokuhlanza;
- ubukhulu bezingalo nemilenze;
- ubuthakathaka bemisipha;
- ukungabekezeleleki nokukhathala okukhulu;
- ukukhuphuka kokujuluka;
- ukulahleka kwe-visual acuity.
Ushukela wegazi ophansi, kufanele ngenzeni?
Uma kutholakala izimpawu zokudonsa ushukela, kunconywa okokuqala ukuthi udle okuthile okumnandi noma ukuphuza itiye noshukela, futhi isimo sizobuyela kwesejwayelekile.
Lezi zenzo kumele zigcwaliswe ngokushesha okukhulu, ngoba uma lesi simo sikhula, umuntu uzolahlekelwa ingqondo, futhi ngeke ukwazi ukukwenza ngaphandle kokulaliswa esibhedlela.
Lokhu kubizwa ngokuthi uhlobo olunamandla lwe-hypoglycemia, futhi isiguli singasindiswa kuphela ngomjovo weglucagon. Kuyadingeka ukunaka izimpawu ezibonakala zinjenge-banal, ezinjengokuthi: isicanucanu, ukuqubuka okuvamile nokuhlanza - azikwazi ukukhombisa isisu esidabukisayo, kepha sibe yisibonakaliso sesigaba sokuqala sokukhula komqondo we-hyperglycemic coma. Kulesi simo, isiguli sidinga ukwenza ukuphathwa kwe-insulin okuhlala njalo.
Ungalwandisa kanjani ushukela wegazi ngokushesha ngemithi?
Ukhuphula ushukela wegazi, ungasebenzisa le mithi:
- IGlucophage;
- Elkar;
- IGlucose
- IGlucagen;
- I-Glucosteril.
Ungazikhulisa kanjani izinkomba usebenzisa amakhambi esintu?
Ungangezela ushukela wakho wegazi ngo:
- i-chicory. Leli khambi le-herbal liqukethe i-insulin, enomphumela onenzuzo ku-pancreatic acid;
- uwoyela ongahluziwe;
- itiye elisuka kumaqabunga amnyama;
- Ujinja Ingasetjenziswa njengamaqabunga etiye noma aqweqwe;
- usinamoni. Kunconywa ukuthatha ingxenye yesine yezipuni amasonto amathathu;
- Esebenzayo kuzo zonke izithelo nemifino.
I-Hypoglycemia nokudla
Uma isifo sikashukela sinokuhlasela okuvamisile kwe-hypoglycemia, khona-ke indlela yokudla eyenzelwe ngokukhethekile kufanele ilandelwe.
Iqiniso lokuthi nalesi sifo liyadingeka ukudla inani elikhulu lama-carbohydrate kuwumbono ongalungile. Bazonikela ngegalelo ekunyukeni okubukhali koshukela, kepha futhi kuzokuwa ngokushesha, futhi umuntu uzofuna ukudla futhi.
Ukudla kwe-hypoglycemic kususelwa ekusetshenzisweni kwemikhiqizo enjalo:
- imifino
- itiye ngamakhambi;
- amaqanda enkukhu;
- izinhlobo ezinamafutha amancane enhlanzi nenyama;
- okusanhlamvu;
- isinkwa rye.
Ukudla okuvinjelwe ngoshukela ophansi:
- iziphuzo ezidakayo;
- amaswidi;
- ubhanana
- ukubhaka
- ikhofi, ukudla neziphuzo eziqukethe i-caffeine;
- izinsuku;
- omisiwe.
Ushukela kanye ne-hemoglobin yehlile ku-mellitus yesifo sikashukela: ukwelashwa kanjani?
Ukuqeda lesi simo ngokuphelele, kusetshenziswa ukwelashwa okuyinkimbinkimbi ngamavithamini.
Okuvame kakhulu yilezi:
- Ferrum Lek;
- Tardiferon;
- I-Ferroplex;
- I-Actiferrin;
- I-Sorbifer durules;
- Totem.
Ungadla futhi izinhlobo ezahlukahlukene zokudla ezothuthukisa impilo yonke kanye nezinqubo ezijwayelekile ze-metabolic, ukwandisa izinga le-hemoglobin kushukela.
Ukhuphula izinga le-hemoglobin kuzosiza:
- turkey
- squid;
- iparsley nesipinashi;
- ama-walnuts;
- ama-apricots nama-plums;
- raspberries;
- isibindi senyama yenkomo;
- isibindi senkukhu;
- isikhupha seqanda;
- ubhontshisi kanye nophizi oluhlaza;
- imbewu ye-sesame nekajongilanga;
- ama-buckwheat groats.
Ividiyo elusizo
Ungalwandisa kanjani futhi kanjani ushukela wegazi:
Izindlela zokwandisa ushukela wegazi ngezindlela eziningi zincike ekutheni yiziphi izindinganiso zalo. Uma izinga lingazange lehle liye ezingeni elibucayi, khona-ke ngokuyisisekelo kwanele ukudla okuthile okumnandi, okunjengoswidi.
Uma isimo sishubile, futhi ushukela wehle ngokweqile, khona-ke umzimba uba ne-hypoglycemic coma, eqedwa ngezinye izindlela: okokuqala, kufanele ushayele i-ambulensi.
