Imininingwane ngokwenzeka kwe-hypoglycemia ku-mellitus yesifo sikashukela: kuyini futhi kuselashwa kanjani?

I-Hypoglycemia kusifo sikashukela yisimo esiyingozi lapho kudingeka khona usizo oluphuthumayo lwezokwelapha.

Kungani kuvela? Yini okufanele uyenze nokuthi ungasiza kanjani?

Ake sizame ukuthola.

Kuyini i-hypoglycemia kushukela?

Ngokuncipha okukhulu koshukela wegazi wesifo sikashukela, i-hypoglycemia ingenzeka. I-glucose ingumthombo oyinhloko wamandla emzimbeni wethu. Lapho izinga layo liwela ngaphansi kokujwayelekile, izinkinga ziqala.

Isimo esiyingozi senzeka uma ushukela ungaphansi kuka-3.5 mmol / L.

Imvamisa, ama-carbohydrate angena emzimbeni ngokudla aphulwe abe ngamangqamuzana kashukela. Enye yazo ushukela. Ayikwazi ukungena esitokisini ngaphandle kosizo lwe-insulin, i-hormone ekhiqizwa ama-pancreas ethu.

Ukwanda kwe-glucose kunikeza isibonakaliso kumaseli we-beta esiswini, bese, nawo, aqala ukukhipha i-insulin. I-insulin "ivula" amaseli ekungeneni kwe-glucose, futhi athola amandla adingekayo. Ushukela ongasetshenziswanga unqwabelana esibindini nasemisipha futhi ugcinwa ngendlela ye-glycogen.

Uma ungadli ngesikhathi, ushukela wakho wehla ngokushesha. Ngomzimba womuntu ophilile, akukho okubi okwenzekayo.

Enye i-pancreatic hormone ebizwa nge-glucagon ithumela isibonakaliso esibindini ukuze iqale ukubhidliza ukugcinwa kwe-glycogen, ikhulule ushukela. Ngakho-ke, ushukela wegazi uhlala uvamile kuze kube isidlo esilandelayo.

Kubantu abanesifo sikashukela, lolu hlelo alusebenzi. Ku-diabetes mellitus I degree, i-insulin ayakhiqizwa, noma inani layo lincane kakhulu. Kuhlobo lwesifo sikashukela sohlobo II, amangqamuzana uqobo awanqunyelwe i-insulin, futhi ushukela umane uqongelela egazini liye emazingeni ayingozi.

Izizathu zokuthuthuka

Ekwelapheni lesi sifo, umthamo we-insulin ubalwa ngokuqinile kucatshangelwa inani lokudla oluthathiweyo.

Uma ngenxa yesizathu esithile kuthathwa i-insulin isilinganiso, noma kungenzekanga ukudla ngendlela evamile ngemuva kokuthatha umuthi, i-hypoglycemia kungenzeka.

Isizathu singaba futhi nokuzivocavoca okwengeziwe komzimba, lapho umzimba usebenzisa amandla amaningi, futhi ngenxa yalokho ushukela.

Ukweqisa kwe-insulin kuvame ukwenzeka ngenxa yephutha lesifo sikashukela uqobo, ngenxa yokunganakwa noma iphutha ekudla.

Izimpawu nezimpawu

Ukubonakaliswa kwemitholampilo kwe-hypoglycemia cishe njalo kwenzeka kungazelelwe.

Isigaba sokuqala siqala ngezimpawu ezilandelayo:

• ukubonakala kokuzwa kokushisa;
• ukuthuthumela izandla nezinyawo;
• ukukhuphuka kokujuluka;
• ubuthakathaka obujwayelekile kanye nomuzwa wokukhathala;
• izibuko
• kwesinye isikhathi kungaqhamuka ikhanda.

Lezi zibonakaliso zingaqedwa kalula ngokusebenzisa ukudla okufika ngesikhathi noma ucezu kashukela. Ngokuvamile, abanesifo sikashukela baphatha i-cube noma i-glucose amaphilisi acwengekile uma kunesimo esifanayo.

Uma ungaziboni izimpawu ze-hypoglycemia ngesikhathi futhi ungathathi izinyathelo ngokushesha, khona-ke isimo sizokhula bese siya esigabeni esilandelayo - ukukhululeka kwe-hypoglycemic kuzoqala ukukhula.

Ukuthuthukiswa kwe-hypoglycemic coma kubonakaliswa ngu:

• ukuvela kokuqanjwa kwamaqembu ahlukahlukene emisipha;
• I-Trismus - isikhala semisipha yokuhlafuna;
• injabulo enkulu;
• ukuhlanza
• ukusitha nokulahlekelwa ukwazi.

Ukuthuthukiswa okujwayelekile kwe-hypoglycemic reaction kuhlukaniswe izigaba ezinhlanu:

1. ukuvela komzwelo onamandla wendlala. Indoda ilungele ukudla noma yini. Kulesi simo, ukuqubuka kuvela, ukuguquguquka kwemizwa bese kuvela ikhanda. Isiguli siziphatha ngokwanele. Ekuhlolweni, kuba nokushaya kwenhliziyo okusheshayo kanye nomswakama esikhunjeni;
2. yokuziphatha okungafanele. Ukuthuthumela kuya ngokuya kukhula, ukuswakama ngokweqile kwenzeka, ukuqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaqhaxu okubona. Umuntu uziphathe kabi - ngolaka kakhulu noma okuphambene nalokho, kumnandi kakhulu;
3. ithoni yemisipha ikhuphuka kakhulu. Ukuqunjelwa okufana nokuhlaselwa kokuwaxhuga. Izitshudeni ziyahlanjululwa, futhi ingcindezi iyanda, umswakama wesikhumba nokuqina kwenhliziyo kuyaqhubeka;
4. umuntu ulahlekelwa ukwazi. Ukuphefumula kuyinto ejwayelekile, abafundi baxubekile, isikhumba simanzi, ingcindezi ijwayelekile noma iphakanyisiwe kancane, ishayela liyashesha;
5. coma. Zonke izikhawu zincishisiwe noma azikho. Isilinganiso senhliziyo siyaphazamiseka, ukujuluka kuyamiswa, ingcindezi iphansi.

I-complication eyingozi ingaba yi-edema yamakhemikhali, efaka ukungaphumeleli kokuphefumula kanye nomsebenzi wenhliziyo.

Usizo lokuqala

Njengoba i-hypoglycemia ikhula ngokuzumayo, khona-ke usizo kufanele lunikezwe ngokushesha okukhulu. Njengomthetho, izihlobo zomuntu onesifo sikashukela ziyazi ukuthi zingamsiza kanjani.

Imisebenzi yosizo imi ngalendlela elandelayo:

1. uma i-reflex yokugwinya igcinwa, isiguli sinikezwa isiphuzo sikashukela omnandi, isixazululo sikashukela noma nje ushukela oncibilikisiwe emanzini;
2. uma kungekho i-Reflexing egwinyayo kanye ne-dilated pups engaphenduli ukukhanya, imithamo emincane yeglucose idonswa ngaphansi kolimi. Lokhu kufanele kwenziwe ngokucophelela ukuze isiguli singakhungatheki. Ungasebenzisa uju, futhi olungeniswa kahle emgodini womlomo.

Lezi zinyathelo zizosiza ukulinda i-ambulensi. Udokotela uzohlola isimo sesiguli futhi, uma kudingeka, afake umuthi.

Kuyavela ukuthi izinja ziyayizwa indlela ye-hypoglycemia. Lokhu kungenxa yokuthi ngaphambi kokuhlasela, umzimba womuntu onesifo sikashukela sokuqala, ukhipha into ebizwa ngokuthi yi-isoprene.

Izinja ziyayiphunga bese iqala ukukhombisa ukukhathazeka. Ngakho-ke, abanikazi bezinja bangafunda kusengaphambili ngezimo eziya ziba zimbi futhi bavikele ukuhlaselwa ngesikhathi.

Ukwelashwa nokuvimbela

Ukwelashwa kwesigaba sokuqala se-hypoglycemia kubandakanya ukunikezwa kosizo okufika ngesikhathi. Ezimweni ezimbi kakhulu, ngokuqala kokuphelelwa ngamandla, ukulaliswa esibhedlela esiphuthumayo kuyadingeka.

Esigabeni sokunakekelwa okujulile, ushukela uphethwe ngaphakathi futhi, uma kunesidingo, kunikezwa imijovo yeglucagon.

Ukusetshenziswa kwe-adrenaline kwesinye isikhathi kuyakhonjiswa. Uma lokhu kwelashwa kungasizi, sebenzisa izidakamizwa ze-hormonal njengeHydrocortisone. Njengomthetho, isimo sesiguli siyazinza. Ngemuva kokuphuma ekhefini, kunqunywa imishanguzo ethuthukisa izinqubo ze-microcirculation emzimbeni.

Izindlela zokuvimbela zifaka nokugcina umthamo we-insulin nokudla okufana nakho. Lapho ulandela ukudla, kubaluleke kakhulu ukudla ngesikhathi, ugweme imizwa yendlala.

Kunemikhawulo ekuthweni kwemikhiqizo efana:

• i-confectionery ehlukahlukene eyenziwe ngofulawa kakolweni;
• imifino emnandi nezithelo;
• uju;
• ushukela
• ikhofi
• Cocoa
• imimoya;
• okunye ukudla okune-carbohydrate-eningi.

Ukudla okunjalo kuzokuvumela ukuthi ulawule amazinga kashukela egazini futhi uvikele i-insulin engaphezulu, engenakuvinjwa ukwephula lokho kudla.

Imiphumela

Ukuhlaselwa okuvame ukwenziwa kwe-hypoglycemic kuholela ezinguquko ezingaphenduki emzimbeni. Ngesikhathi ukwehla okubukhali kweglucose, ukubukeka kwegazi akuvumeli ubuchopho ukuthola inani elijwayelekile le-oxygen.

I-Hypoglycemia ithinta ukuthuthukiswa kwezifo ezifana:

• ukwehluleka kwenhliziyo - ischemia yenhliziyo noma ukushaya kwenhliziyo;
• izifo ze-vascular - umfutho wegazi ophakeme;
• isifo sohlangothi;
• ukwehluleka kwezinso;
• izifo zamehlo - i-cataract, glaucoma;
• abanye.

Akuvamile ukuba kube njalo lapho i-hypoglycemia iholela ekuguleni kwengqondo. Ama-Psychosesa akhula ngemuva kokubulawa yindlala komoya. Mhlawumbe ukuthuthukiswa kwesithuthwane, ikakhulukazi ezigulini eziye zaba nefomu elinamandla le-hypoglycemia noma i-coma.

Amavidiyo ahlobene

Izimbangela, izimpawu, izindlela zokuvikela i-hypoglycemia:

Izinyathelo ezingenhla zizosiza ukugwema imiphumela emibi futhi ulondoloze impilo enhle. Umsebenzi womuntu onesifo sikashukela ukuvimbela ukuvela kwe-hypoglycemia. Izinga eliphakeme lokuzithiba lizosiza ukugcina izinga elijwayelekile lokuphila ngisho noma unesifo esinjengesifo sikashukela.