I-hypoglycemia ikhombisa kanjani: izimpawu nezindlela zosizo lokuqala

I-Hypoglycemia yenzeka kubantu abaningi.

Ukuvezwa kwalesi simo kushiwo, futhi ukungazinaki kungaholela ezinkingeni ezinkulu.

Ngakho-ke, uma umuntu enezimpawu zokuqala ze-hypoglycemia, udinga ukwazi ukuthi ungamnika kanjani usizo lokuqala futhi umlethele ekuqapheleni.

I-Hypoglycemia - kuyini?

I-hypoglycemia iqondwa isimo esibonakaliswa yisixaka sikashukela egazini ngaphansi kobubanzi obujwayelekile.

IGlucose ingumthombo oyinhloko wamandla womzimba. I-Hypoglycemia akusona isifo.

Esikhundleni salokho, kuyinkomba yezinkinga zempilo. Uma ungangezi ukugcwala koshukela, okuwohloka ngokushesha, umuntu angafa.

Ushukela ojwayelekile

I-plasma glycemia, eqinisekisa ukusebenza okujwayelekile komzimba womuntu, ilawula i-insulin.

Uma le hormone ikhiqizwa ngamanani anganele, noma izicubu ziqala ukuphendula kuleyo nto ngokunganele, khona-ke ukugcwala koshukela egazini kuyanda.

Kunamazinga athile avunyelwe abesifazane, abesilisa, izingane nabesifazane abakhulelwe.

Kwabesifazane abadala kanye nabesilisa

Kwabesilisa nabesifazane abaneminyaka engama-20 kuye kwengama-49, ukugcwala kwe-plasma glucose of 3.5-5.5 mmol / L kubonwa njengokujwayelekile.

Njengoba ukhula, ukuzwela kwezicubu kwe-insulin kuyancipha. Lokhu kuchazwa iqiniso lokuthi ingxenye yama-receptors iyafa, isisindo sanda.

Ngakho-ke, kubamele abaneminyaka engu-50-90 ubudala, amanani we-4.6-6.4 mmol / l athathwa njengalawa kakhulu Kubantu asebedabule ingqophamlando yeminyaka engama-90, ushukela we-plasma uye ku-6.7 mmol / L ubonwa ngodokotela njengokujwayelekile.

Enganeni

Izinga likashukela ezinganeni alifani nakwabadala. Ezinganeni ezisanda kuzalwa ezinempilo ezisukela ezinsukwini ezi-2 kuya onyakeni, ushukela usezingeni lika-2.8-4.4 mmol / l. Esikhathini esivela onyakeni owodwa kuya eminyakeni eyi-14, lesi sikhombisi sikhuphukela ku-3.3-5.0 mmol / L. Kwabaneminyaka engu-15 kuya kwengama-19, okujwayelekile ngu-3.3-5.3.

Ekhulelwe

Imvamisa, kwabesifazane abaphethe ingane, imvamisa ye-glycemic ingu-3.5-6.6 mmol / l.

Kepha, uma ukukhulelwa kwenzeka eneminyaka engama-30, khona-ke ukuphambuka okuncane kuyamukeleka.

Omama besikhathi esizayo kufanele baqaphele amazinga abo kashukela: ngoba kunengozi yokuba nesifo sikashukela sokuzivocavoca ngenxa yokwehla kwama-amino acid kanye nokwanda kwesibalo semizimba ye-ketone. Imvamisa, ngesikhathi sokukhulelwa okujwayelekile, ushukela ukhuphuka usondele ekugcineni kwe-trimester yesibili noma yesithathu. Ngemuva kwalokho inani elifanelekile lize lifike ku-7.8 mmol / L.

Izimbangela zokwenzeka

I-Hypoglycemia ijwayelekile kakhulu kwiziguli ezinenkinga yesifo sikashukela sohlobo lokuqala (lwesibili). Kepha kwesinye isikhathi kuyabonakala nakubantu abakhiqiza i-insulin eyanele nokuthathwa koshukela okujwayelekile. Ukuze uvikele isimo se-hypoglycemic, umuntu kufanele azi izimbangela zokwenzeka kwaso futhi, uma kungenzeka, ugweme izinto ezisikhathazayo.

Kubantu abangenaso isifo sikashukela

Izizathu zokuncipha kokuxineka koshukela kubantu abangenaso isifo sikashukela yilezi:

• ukuphazamiseka kwe-metabolic;
• i-pathology ye-adrenal genesis (ngokwesibonelo, ukwehluleka kwezitho);
• ukuzila isikhathi eside;
• ukungasebenzi kahle kwesibindi (ngokwesibonelo, i-cirrhosis);
• ukwehluleka kwenhliziyo;
• umsebenzi oqinile womzimba (kuholele ekuchithekeni okuphelele kwezindawo zokugcina ushukela);
• umdlavuza wesisu;
• ukonakala kwesophagus;
• izifo ezithathelwanayo ezinzima;
• ukuthatha amaqembu athile emithi (amalungiselelo wesibabule, ama-salicylates, i-quinine);
• ukusetshenziswa kabi kotshwala.

Kuhlobo 1 nohlobo 2 sikashukela

Imbangela enkulu ye-hypoglycemia kubantu abanesifo sikashukela ukutholakala komuthi we-hypoglycemic kumthamo ophakeme kunokuba umzimba udinga.

Futhi, lesi simo senzeka uma umuntu enze umjovo we-insulin futhi angadli ngesikhathi. Umphumela wecala unazo izidakamizwa ezifana nalezi: i-Diabines, Glucotro, Diabeteson.

Isifo sikashukela siholela ezinkingeni ezahlukahlukene. Umphumela ovame kakhulu ngalesi sifo ukwehluleka kwezinso, lapho ushukela wegazi uphonsa khona ngokwejwayelekile. Uma lowo muntu engasizwanga, kuzovela ukoma nokufa kwesifo sikashukela.

Izimpawu nezimpawu ze-hypoglycemia

Ukwehla kancane ushukela we-plasma kwesinye isikhathi akuyithinti inhlala-kahle yomuntu. Kepha ngokuwa okuningana kwamanani, izimpawu zomlingiswa zihlala ziphakama.

Isibonakaliso esiyinhloko sibhekwa njengobuthakathaka obukhulu, obonwa ngisho nangemva kokuphumula.

Phakathi kokunye ukubonakaliswa: isiyezi, i-hyperhidrosis, i-tachycardia, i-pallor, ukwazi ukungasebenzi kahle, ukuquleka.

Isiyezi kanye nokungasebenzi

Lapho ushukela wehla ngaphansi kwe-3.5 mmol / l, umuntu uqala ukuzizwa eyisiyezi, futhi kukhona ukuphazamiseka kokuqwashisa. Isiyezi yisigaba sokuqala sokufeyila, lapho kukhona ukuphazamiseka emsebenzini wezinhlelo zokuphefumula nezenhliziyo. Ngokuphazamiseka okukhulu kokwazi, ukozela kuyaphawulwa.

Ukujuluka nokubanda

Ukujuluka okwandayo kuvame ukuhambisana nokuhlasela kwe-hypoglycemic.

Lokhu kuchazwa yiqiniso ukuthi ngokutholakala kweshukela elincane lezinzwa kuthinteka, okuthinta ukusebenza kwezindlala zamathumbu. Umzimba uvuselelwa ukwenza ngokwejwayelekile i-plasma glucose.

Kukhipha umjuluko ngalesi sikhathi, umzimba uba manzi. Kwesinye isikhathi kuba nokuzamazama okuncane ezandleni, ukubanda.

Isilinganiso senhliziyo

Isimo se-hypoglycemic, ukungasebenzi kahle kwemithambo yenhliziyo nemithambo yegazi kuyimpawu. Kuqala i-arrhythmia: ishayela lingakhuphuka lifike ku-90-100 ukushaywa ngomzuzu. Njengoba ushukela uncipha, i-tachycardia iyaqina. Cishe ukuhlaselwa kwe-angina.

Ukuqina nokulahlekelwa ukwazi

Ngokuhlushwa ushukela ophansi, ama-cramps ajwayele ukuba nomlingiswa we-tonic (izicubu zisesimweni sokuxaka isikhathi eside), kepha futhi zingaba yi-clonic (inkontileka yemisipha futhi iphumule).

Uma isiguli singasizwa ngokuququnjelwa, isimo siwohloka kakhulu: uzolahlekelwa ingqondo, uzowela ekwehleni.

Kulokhu, ukuphefumula kuzoba okuphezulu, ingcindezi izoncipha, futhi ishayela liba buthakathaka.

Ukuqina kwesikhumba

Ngokuncipha kwe-glucose ku-plasma, umuntu uphenduka ophuzi phambi kwamehlo, kuvela ithoni yesikhumba engenampilo. Iwebhu yama-venous ibonakala kahle. Lolu phawu alubonwa njalo futhi lubonakala kakhulu nge-hypoglycemia enzima, esondelene nokwehla komqondo.

Ukwelashwa

Ngokwezibalo, ama-4% eziguli ezitholakala zinesifo sikashukela zifa minyaka yonke ngenxa ye-hypoglycemic coma. Cishe i-10% yabantu (hhayi abanesifo sikashukela) bathola izimpawu ezingemnandi zokwehla okunamandla kweglucose. Ukuze ugweme imiphumela emibi, kufanele wazi ukuthi ungayinikeza kanjani usizo lokuqala lwe-hypoglycemia, ukuthi ungayiqeda kanjani ukuhlaselwa okuhlala kwenzeka.

Usizo lokuqala lokuhlasela kwe-hypoglycemic

Uma amazinga eglucose ehlile ngenxa yendlala, ukungondleki kahle, nokudla okweqile kwemithi yesifo sikashukela, lapho-ke udinga ukudla ukudla okuqukethe ama-carbohydrate asheshayo:

• ukuhlafuna ama-candies ama-4-6;
• thatha amaphilisi kashukela angama-2-3;
• phuza ingilazi yobisi;
• udle isipuni soju;
• phuza isigamu senkomishi yesiphuzo esimnandi;
• udle isipuni sikashukela.

Ngemuva kwekota yehora, ukuhlolwa kweglucometer kuyasiza. Uma impilo yakho ingazange yathuthuka, futhi idivaysi ikhombisile umphumela ongaphansi kuka-3.5 mmol / l, khona-ke kusadingeka udle okuthile okuvela ngaphezulu. Uma isimo singejwayelekile, kusho ukuthi kunakekelwa abezimo eziphuthumayo.

Imithi

Ukumisa ukuhlaselwa ngamandla kwe-hypoglycemia, isixazululo sikashukela esingama-40% esilinganisweni sama-40-60 ml sinikezwa umuntu ngaphakathi. Uma lokhu kunganikeli umphumela oyifunayo, khona-ke u-0.3-0.5 ml wesisombululo se-0,1% se-adrenaline hydrochloride uphethwe ngabazali. I-Diazoxide noma i-Octreotide nayo iyasetshenziswa.

Umuthi Octreotide

I-hypoglycemia engalapheki ingelashwa ngalezi zidakamizwa ezilandelayo:

• I-Prednisone;
• I-Dexamethasone;
• I-Glucagon.

Amakhambi esintu

Ezinye izitshalo zinezindawo ezinomfutho wegazi, zenze kube ngokwejwayelekile i- glucose metabolism. Lesi isibungu saseSt. John, i-rose hip, i-lingonberry, i-garlic, i-oregano, i-sea sihlahla sivulekile Izinyathelo zazo zivame ukusetshenziselwa ukwelapha nokuvimbela i-hypoglycemia.

Izimali ezilandelayo ziyasebenza futhi:

• i-plantain, ukolweni, i-chamomile, i-wort yase-St. Amakhambi ahlanganiswe futhi agcwaliswa ngo-400 ml wamanzi. Pheka imizuzu engama-45 futhi ugcizelele. Umuthi ophumelelayo uthathwa njalo ngenyanga kathathu ngosuku;
• I-leuzea ne-lemongrass kuxutshwe, kwenziwa kabusha futhi kudakwe kathathu ngosuku.

Ukudla

Kuyadingeka ukugwema ukusetshenziswa kwama-carbohydrate alula futhi unikeze okuthandwa yinkimbinkimbi.

Kuyadingeka ukudla ngezingxenye ezincane, kepha kaningi. Ukudla i-calorie kukhuphuke kangcono kwaba ngu-2500 kcal.

Uma ukuvela kweshukela kuphakama ngenxa yokuntuleka kwevithamini C, khona-ke imenyu idinga ukugcotshwa ngemifino emisha, amakhambi nezithelo. Isibindi esinconyiwe, ama-walnuts, izinso, amaqanda, inhliziyo, ushizi, i-bran. Izitsha zamazambane zilinganiselwe kangcono: ziyakwazi ukuphazamisa i-glucose metabolism.

Amavidiyo ahlobene

Izimpawu eziphambili ze-hypoglycemia kuvidiyo:

Ngakho-ke, i-hypoglycemia ingenzeka hhayi kubantu abanesifo sikashukela kuphela, kodwa futhi nakubantu abangenakho ukuxilongwa okunjalo. Izizathu zalesi sifo ziningi: kusuka ekudleni okungondlekile kanye nokusetshenziswa kwemithi ukuya kwezifo ezinkulu. Kunoma ikuphi, udinga ukuhlolwa futhi uthathe izinyathelo zokuqinisa izinga loshukela.