Akunakubungozi kangako - ushukela wegazi ophansi: ungenzani ngethonsi likashukela?

Ushukela omncane wegazi ungaholela ekuwohlokeni okubukhali embusweni, ngisho nokufa.

Kusho ukuthini ushukela wegazi ophansi?

Amanani ashukela amancane we-glucose asho ukuthi isimo se-hypoglycemic siyakhula. Lokhu kungakhombisa ama-pathologies okungenzeka abekhona, kepha kwesinye isikhathi kuvela okufanayo isifo kubantu abaphilile.

Cabanga ngengozi kashukela omncane.

Izizathu

Imvamisa, i-hypoglycemia yenzeka kubantu abanesifo sikashukela, besebenzisa inkambo yayo. Lokhu kwenzeka ngenxa yethonya lalokhu okulandelayo:

• imithamo ephezulu kakhulu yemithi equkethe i-insulin noma eyehlisa ushukela;
• isikhathi eside ngaphandle kokudla;
• ukungalandelani kwemithetho yokudla eyamukelwa ushukela;
• izikhathi ezimaphakathi zokudla;
• ukungasebenzi kwesibindi nezinso;
• izimo ezimbi kakhulu ezibangelwa izilonda ezithathelwanayo;
• ukulayisha ngokweqile ngokomzimba;
• ukuphuza imithamo emikhulu yeziphuzo eziqukethe notshwala.

Kaningi, ukwehla kweshukela kushukela sikashukela kwenzeka ngenxa yokuthi imijovo ye-insulin noma amaphilisi okwehlisa ushukela kwenzeka ngokumelene nesizinda sezinye izinyathelo zokwenza ushukela wegazi kube ngokujwayelekile:

• ngakho-ke, izidakamizwa ezinciphisa ushukela zandisa umphumela wazo uma umuntu ephuza i-tee noma i-decoctions yezimbali ze-linden, amajikijolo amnyama, utshani be-chicory, i-clover nezinye izitshalo;
• ugarlic, isitshalo seqanda, iparsley ne-horseradish, ukhukhamba, utamatisi, u-anyanisi, ithanga neminye imifino nakho ukwehlisa amazinga kashukela;
• izithelo namajikijolo anjengamawolintshi nezinye izithelo zomawolintshi, ama-apula angenazithelo, ama-raspberry, amajikijolo, izithelo ezimnyama zama-rowan nokunye kuthinta okufanayo.

Izipho eziningi zemvelo ezisohlwini ziyasiza ngokwazo futhi zikhonjiswa sikashukela. Kodwa ukusetshenziswa kwabo ngokumelene nesizinda semithi yokunciphisa ushukela we-glucose kuhlanganiswa kangcono nodokotela wakho.

Imbangela elandelayo ye-hypoglycemia isimila se-pancreatic esikwazi ukuhlanganisa i-insulin - insulinoma. Kukhulisa kakhulu ukuqina kwayo, kuvuse ukwehla kwenani loshukela.

Ngaphezu kwalokhu okungenhla, isizathu soshukela ophansi ngendlela engajwayelekile emzimbeni kungaba yile:

• ukwephulwa okukhulu kwesibindi;
• izimo ngemuva kokuhlinzwa ukuze kususwe ingxenye yesisu noma amathumbu;
• ukuntuleka kwezakhi zofuzo okunqunywa ngofuzo kanye nokuphazamiseka okuhlobene ne-carbohydrate metabolism;
• i-pathology yohlelo lwe-hypothalamic-pituitary;
• Izinkinga nezindlala ze-adrenal.

Ngokuqondene nabantu abaphilile, ukwehla kwesikhashana kokuhlushwa ushukela kungahle kuhlotshaniswe nemibandela efana:

• ukuzala ingane nokuncelisa;
• ukulayisha ngokweqile ngokomzimba;
• ukuzibophezela ekudleni okungenampilo;
• ukungahambisani nokudla;
• Ukudla okunamakhalori aphansi noma ukungondleki kahle okungapheli.

Izimpawu

Izimpawu ze-hypoglycemia zenzeka kubantu abanempilo enesibalo se-3.3 mmol / L.

Ngo diabetesics, lokhu kwenzeka ngamanani aphakeme kancane, njengoba imizimba yabo isetshenziselwa isimo okuqhubekayo hyperglycemic.

Abantu abanomlando omude wesifo sikashukela bangazizwa izinguquko zesimo ngehla elibukhali lokugxilisa ushukela kusuka ku-10 kuye ku-20 mmol / L.

Izingane ezinesifo sikashukela azizweli kangako ukuvuza okunjalo. Imvamisa, ukuqala kwe-hypoglycemic syndrome kubo kungabonakala kuphela kuyi-glucometer.

Ngokuya ngezinga lokubonakaliswa, izimpawu zokunciphisa amazinga kashukela zihlukaniswa ngezigaba ezintathu:

• ukukhanya;
• isilinganiso;
• esindayo.

Nge degree eliphansi izinkomba zehlela ku-3.3 mmol / l, futhi umuntu uzizwa:

• Ubuhlungu “nokuqhuma” ekhanda;
• Ukukhathazeka
• wehlise ithoni jikelele;
• ukuthuthumela
• ukujuluka
• umoya omncane wokucanuzelelwa kwenhliziyo;
• umuzwa wendlala;
• kwehlise ukuqina kokubonakalayo.

Ukwehla okulinganiselayo kubonakaliswa ukwehla kokuhlushwa ushukela ku-2.2 nezimpawu ezilandelayo:

• ukukhuphuka kokukhathazeka;
• ukugxila kobunzima;
• ukungakwazi ukugcina ibhalansi ngokuhlala nokuma;
• ukweyisa kwenkulumo;
• ukwehla kwemisipha okuphoxayo;
• iinyembezi, ezingashintshana nokuboniswa kwentukuthelo.

I-Hyperglycemia - Izimpawu

Kakhulu ushukela wehlela ku-1.1 mmol / l futhi kuyabonakala:

• ukulahleka kwengqondo;
• iminyakazo
• izehlakalo ezibonisa ukushaywa kwengqondo.

I-Hypoglycemia ingenzeka ebusuku, ngesikhathi sokulala. Lesi simo singahlukaniswa kwabanye ngenani lezimpawu ezinjengokuthi:

• ukulala ngokungagodli ngenxa yobusuku;
• imizamo engaphumeleli yokuphuma embhedeni, ephela ngokuwa;
• ukuhamba usesimweni sokulala;
• ukujuluka ngokweqile.

Ukwelashwa

Izinyathelo zokuqeda i-hypoglycemia zisebenza kakhulu uma zithathwa engxenyeni yokuqala yehora ngemuva kokuqala kwezimpawu.

Okwamanje, umuntu ohluphekayo (uma eseqaphela) angacelwa ukuba afeze kabusha izinqolobane zikashukela ngokudla okumnandi neziphuzo:

• ushukela noma uju (akukho ngaphezu kwezipuni ezi-2);
• amakhandlela e-caramel (izingcezu ezi-2 zanele);
• ulamula (200 ml) noma isigamu sengilazi yejusi yezithelo emnandi.

Le ndlela elula izosiza ukukhulisa ngokushesha ukugcwala kwe-glucose futhi ivikele ukuthuthukiswa okuqhubekayo kwe-hypoglycemic syndrome.

Hypoglycemic syndrome

Izimpawu ze-hypoglycemia, ezingamiswa ngesikhathi, ziholela ekuthuthukisweni kwe-hypoglycemic syndrome, lapho izimpawu ziya ziba zimbi kakhulu isimo kanye nenhlala-kahle. I-Hypoglycemia iba ngokushesha okukhulu. Ukuze ukwazi ukubhekana nesimo esinjalo, kufanele ngaso sonke isikhathi ube namaswidi kanye nawe noma isipikili esikhethekile sokwethula i-glucagon.

Inkambo yesifo ingahlukaniswa izigaba ezi-4 (izigaba).

Isigaba sokuqala ngu:

• indlala enkulu;
• ukozela nobuthakathaka obujwayelekile;
• umfutho wegazi ophansi;
• Ukushintsha kwemizwa - kusuka izinyembezi ezingachazeki kuya ekujabuliseni okuzwakalayo;
• uvalo olubonakalayo.

Isigaba sesibili umemezele izimpawu zokwanda kwezimpawu:

• indlala iyaqina futhi ibekezeleleke;
• isikhumba siguqekile;
• umjuluko wamakhaza osuka ebunzini lakhe;
• i-tachycardia iyakhula;
• umbono uba mfushane;
• ukuthuthumela kwenzeka kuwo wonke umzimba, ikakhulukazi emilenzeni;
• uvalo luba ukwesaba ukufa okungazelelwe.

Isigaba sesithathu okuhlukile:

• ukuqala kwe-euphoria, njengokusebenzisa utshwala;
• isicaphucaphu;
• ukuziphatha okungalawulwa, okubonisa ukungabi nokwesaba;
• Izimpawu zokungafaneleki, ngokwesibonelo, ukwenqaba ukuthatha amaswidi ukwenza ngcono isimo.

Isigaba sesine - Leli zinga lokuwohloka ngokweqile.

Kuhambisana:

• ukwethuka, okungakhonjiswa ngokuquleka;
• ukulahleka kombono;
• ukwehluleka nokuwa ekhefini.

Usizo lokuqala lwe-hypoglycemic syndrome

Usizo lokuqala lwe-hypoglycemic syndrome lubandakanya izenzo ezilandelayo:

• umuntu kufanele abekwe emhlane wakhe, phezu kophahla oluvulekile. Phakamisa imilenze yakho ngokubeka isikhwama noma izingubo ezisongelwe phezulu (ijekethi, ngokwesibonelo) ngaphansi koshaka;
• shayela i-ambulensi ngokuchaza izimpawu zesimo. Uma isisulu saziwa ukuthi sinesifo sikashukela, lokhu kufanele kubikwe;
• vula ikhola yezingubo ukulungiselela ukuphefumula;
• uma konke kwenzeka ngaphakathi endlini - vula iwindi ukuze unikeze umoya omningi;
• mema isisulu ukuba sidle noma siphuze amaswidi;
• lapho kukhona isirinji ene-glucagon, govuza ngokunqophile noma ngokulimana 1 ml umuthi.

I-Hypoglycemic coma

I-Hypoglycemic coma yisimo esibi kakhulu sobunzima esidonswa ukuntuleka kwe-glucose enkulu. Ihlala ihambisana nokudangala kokwazi.

I-glucose ingumthombo oyinhloko wamandla adingekayo kuma-metabolism.

Ama-Neurons obuchopho nawo ayayidinga. Ngakho-ke, ukuncipha kwamandla okongiwa kwemvelo kubonakala emisebenzini yezakhi zobuchopho, okuholela umuntu esimweni esingazi lutho.

I-Hypoglycemic coma iba ngezigaba: okokuqala, kuvela izimpawu zokucacileka, okuthi kungekudala zithathelwe indawo yizimpawu zokuwohloka okuqondile. Ukuwohloka kukhula ngokushesha, imizuzu engama-20-30 kuphela.

• indlala eyandayo;
• ubuthakathaka, obuqina nesiyezi futhi buhambisana nokukhipha izithukuthuku ezibandayo;
• izinkathi zenjabulo nokuxabana, ezithathelwa indawo kakhulu ngokunganaki.
• Izinkinga zokuphefumula - zibekwa ezingandile futhi zijulile.

Ukusabela kwabafundi ekucasukeni okuncane kuncishiswa kakhulu.

Ukwelashwa kweziguli ezine-hypoglycemic coma

Okokuqala udinga ukuthatha amaswidi futhi wethule i-glycogen. Uma ngemuva kwalokhu isimo singekho ngcono, kufanele kubizwe i-ambulensi.

Njengoba kunjalo nge-hypoglycemic syndrome, odokotela be-ambulensi abafikayo baletha isisombululo sikashukela.

Ngokuvamile lokhu kwanele ukwenza uzizwe ungcono.

Uma okunamandla okubonakalayo kungabonakali, khona-ke:

• isikhathi sesilahlekile, futhi inkambo yokuphumula yahamba kakhulu;
• umthelela we-conccomitant pathologies uyenzeka.

Esibhedlela, isisulu sixhunywe kwi-ventilator. Ukwelashwa kusekelwa ngokufakwa kwezidakamizwa ukuze kulondolozwe ithoni yenhliziyo nemithambo yegazi (inotropes). I-glucose elawulwa ngaphakathi ihlathelwa ingxube ye-polarizing (i-insulin ne-potassium chloride iyangezelelwa kushukela).

Isixazululo esinjalo sithuthukisa ukulethwa ushukela kwezicubu kanye nokujwayelekile kwe-electrolyte metabolism. Imithi elwa namagciwane ingabekwa ukuvikela izifo ezithathelwanayo. Ukuze kuqedwe i-edema, ama-diuretics asetshenziswa.

Umuntu onqoba ikhefi udinga ukuqashwa njalo nokubhekisisa isimo sakhe. Ngokusekelwe emiphumeleni yokuhlolwa kwemitholampilo, odokotela balungisa ukwelashwa nokudla.

Okulandelayo, izindlela zokubuyisela amanzi emzimbeni kanye nezokuhambisa emzimbeni zenziwa ukususa i-acetone egazini nokubuyisa ukulahleka kukamanzi.

Ngaphambi kokulahlwa, ukubonisana nodokotela abancane kanye nezifundo ezengeziwe kubekiwe ukuthola izimbangela zokwehla kwesibindi.

I-Hypoglycemic syndrome ne-coma uma kungekho ukunakekelwa kwezokwelapha kungaba nemiphumela emibi. Ukuze ugweme lokhu, kubalulekile ukwazi ukubona izimpawu ezethusayo futhi uphendule kuzo ngokushesha. Lokhu akufanele kwaziwe hhayi kuphela kubantu abanesifo sikashukela, kodwa namalungu emindeni yabo.