I-Hypoglycemic syndrome: izimbangela kubantu abanesifo sikashukela kanye nabantu abaphilile

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I-Hypoglycemia yisifo esikhula ngoshukela wegazi ophansi ngokweqile. Imvamisa, izinga layo lingaphansi kuka-3.2 mmol / L.

Ngemuva kokudla okugcwele ama-carbohydrate, kuphela ushukela ohlukaniswa nabo futhi usatshalaliswa kuwo wonke amakhona omzimba womuntu.

Lolu luhlobo logesi, ngaphandle kwalo umuntu angeke akwazi ukusebenza ngokujwayelekile. Ngemuva kokuthi i-glucose ingene kwi-plasma, ama-pancreas womuntu adlulela ekwakhiweni kwe-hormone eyingqayizivele - i-insulin, evumela amaseli omzimba wethu ukuthola amandla ushukela.

Ukwehla kwesikhashana kwezinga layo kuyingozi empilweni, ngoba umuntu angafa engxenyeni yehora. Manje yiziphi izimbangela zeqiniso ze-hypoglycemia nokuthi ungakugwema kanjani?

Izimbangela ze-hypoglycemia kanye nemiphumela yako emzimbeni

I-Hypoglycemia ingenzeka ngenxa yesilinganiso esilinganiselwe sikashukela esidliwayo.

Enye imbangela yalesi simo ukwanda ukwakheka kwe-pancreas hormone ngomzimba - i-insulin, ebhekele ukusetshenziswa kweglucose.

Njengoba abantu abaningi bazi, isifo sikashukela sehlukaniswe izinhlobo ezimbili eziyinhloko: i-insulin-futhi engathembekile kwe-insulin. Iziguli ze-endocrinologists ezinesifo sohlobo lokuqala ziyaphoqelelwa ukuba zigcinele ukusebenza komzimba wazo njalo ngemijovo ye-insulin.

Kubaluleke kakhulu ukubala inani laso ngendlela efanele ukuze umthamo we-hormone unele ukucubungula inani elilinganayo le-glucose umzimba owutholile ekudleni. Njengomthetho, kuphela udokotela-endocrinologist obandakanyeka ekukhetheni umthamo.

Umjovo we-insulin

Uma isiguli sizilimaza nge-insulin ethe xaxa kunokuba sidinga, khona-ke isibindi siqala ukuphonsa egazini ukulethwa okunesitashi - i-glycogen. Kodwa, lapho lezi zinqolobi zingekho, ukuhlaselwa kwe-hypoglycemia akunakugwenywa.

Kunengqondo ukuthi abanesifo sikashukela abanayo nje indawo yokuthola ukunikezwa okumangazayo kwale nto engenakuphikwa. Lokhu kungenxa yokuthi kudla ukudla okune-sitashi okumbalwa kakhulu. Kungakho laba bantu beba nama-carbohydrate wonke kwi-akhawunti embi kakhulu.

Okwamanje, kunezimbangela eziningana ze-hypoglycemia:

  • ukwethulwa komthamo ongalungile ngokuphelele we-pancreatic hormone;
  • ukuthola isikhathi eside ngaphandle kokudla (ubude besikhathi esingaphezu kwamahora ayisithupha);
  • ukusebenza ngokweqile komzimba, okungaholela ekubhujisweni kokugcina kwayo yonke imithombo etholakalayo yama-glucose (lokhu kufaka nokunikezwa kwe-glycogen ekhona kwesibindi);
  • Ukwehla ushukela wegazi kungahle kuhlotshaniswe nokusetshenziswa kweziphuzo eziqukethe utshwala;
  • lesi sifo kungenzeka ngenxa yokuqashelwa kokudla okungafanele kanye nokusetshenziswa kwemithi ekhethekile engahlanganisiwe kahle ehlangene namanye ama-antidiabetic agents aqhakambisa isenzo se-insulin.

Njengomthetho, ukwehla okubucayi kwamazinga kashukela kungavusa lowo obizwa ngokuthi yi-hypoglycemic syndrome, hhayi kubantu abanesifo sikashukela kuphela.

Amanye amadoda nabesifazane abakhuluphele futhi asebegugile, banquma ukukhipha amakhilogremu angeziwe hhayi ngemidlalo, kodwa ngokuya ngokudla okukhethekile.

Ngaphezu kwalokho, lokhu kokugcina akuhlanganiswanga kahle futhi, njengomthetho, umuntu umane nje afe yindlala, ngenxa yalokho, izinga likashukela egazini lakhe lehlela ezingeni elibucayi.

Uma umuntu engenaso isifo sikashukela, khona-ke i-hypoglycemia ingaba uphawu lwesifo esihluke ngokuphelele sohlelo lwe-endocrine olusengozini. Ukuthola ukutholakala kokuxilonga okuyikho, kufanele uhlolwe ngokushesha udokotela bese welapha lesi sifo esidala lesi sifo.

Ukuze ungatholi i-hypoglycemia, udinga ukwazi izimbangela zokuvela kwayo futhi unikeze umzimba ukuvimbela kuwo. Kubaluleke kakhulu ukugwema izici ezingabangela ukuncipha okubukhali kwamazinga kashukela.

Ebantwini abaphilile

Hhayi kuphela abanesifo sikashukela, kodwa futhi nabantu abaphilile abanenkinga yamazinga kashukela amancane. Izici ezahlukahlukene zingavusa ukuhlaselwa okungazelelwe kwalesi simo se-pathological.

Imvamisa, i-hypoglycemia yenzeka kulabo bantu abathanda ukudla okuyisipesheli okwenqabela ukusetshenziswa kwama-carbohydrate.

Kubalulekile futhi ukuqaphela ukuthi ingakhula ngenxa yokuzila isikhathi eside. Ukwehla okungazelelwe kwamazinga kashukela kungabangelwa ukuzikhandla ngokweqile komzimba, ikakhulukazi uma umuntu engazange adle phambi kwabo. Ngokuntuleka okuyinhlekelele kwamandla, umzimba kufanele usebenzise yonke imali ebigcinwe ngaphambili, engaholela ekulahlekelweni ngamandla kweglucose.

Izimbangela ze-hypoglycemia kwezinye izimo ukusetshenziswa ngokweqile kokudla okuqukethe ushukela. Njengomthetho, lokhu kusebenza kulabo bantu osekuphele isikhathi eside bengasebenzisi i-carbohydrate. Esimweni lapho izinga likashukela izinsuku eziningana lingaphansi kwesijwayelekile, umzimba womuntu uveza isifiso esingenakuphikwa sokudla okuthile okune-carb ephezulu.

Imikhiqizo ephezulu yeCarb

Ngaphezu kwalokho, ngokushesha nje lapho esetholile akufunayo, ama-carbohydrate afakwe afakwa khona manjalo, futhi ushukela uqala ukukhiqizwa ngamanani amakhulu, ahlala egazini isikhathi eside. Ukuze ubhekane naleli nani le-glucose, ama-pancreas aqala ukukhiqiza i-insulin ngevolumu ekhangayo.

Kodwa-ke, lapho ubhekane noshukela, ingxenye ethile ye-hormone isasele, okucasulayo ukuvela kwezimpawu zalesi sifo. Lesi simo singagwenywa uma ukuguquguquka okubukhali ezingeni likashukela ne-insulin kungavunyelwe ngenkathi kubhekwa umsoco ofanele.

Izimbangela ezilandelayo ze-hypoglycemia kubantu abaphilile ziyahlukaniswa:

  • ukuntuleka kwe-pancreatic hormone;
  • izifo ezihambisana nokusebenza kohlelo lwe-endocrine;
  • izifo zesibindi nezitho zohlelo lwe-excretory;
  • i-pancreatic neoplasms;
  • ukwehla kwesisindo semisipha;
  • ukuthatha amaqembu athile emithi;
  • ukwephulwa kokukhiqizwa kwe-adrenaline;
  • ukuntuleka kwe-adrenal;
  • ukusebenzisa kabi utshwala ngokweqile.
Imbangela ye-hypoglycemia kumuntu ophile kahle ingaba inani elinganele le-glucagon ye-hormone, okubizwa ngokuthi yi-insulin antagonist. Ngokuntuleka kwayo, ukungasebenzi kahle okukhulu kwenzeka ku-metabolism, i-insulin ikhiqizwa ngokweqile, ushukela wehla ngokuqinile, okuholela empilweni engeyinhle.

I-Etiology ye-hypoglycemia

Izici ezilandelayo zingaba nomthelela kwimvelaphi yalesi simo:

  • ukomisa;
  • ukungondleki kahle ngokuhlukunyezwa kwe-carbohydrate;
  • ukwelashwa kwesifo sikashukela nge-pancreatic hormone;
  • isidlo sekwedlule isikhathi;
  • ukungasebenzi ngokomzimba;
  • izifo ezahlukahlukene ezinkulu;
  • ukuya esikhathini kubantu besifazane;
  • ukusetshenziswa kabi kotshwala;
  • i-renal, i-hepatic, i-cardiac nezinye izinhlobo zokwehluleka;
  • ukuntuleka kwe-hormonal;
  • i-non-p-cell tumor;
  • i-insulinoma;
  • ukuphathwa okuphathelene nosawoti nge-dropper.

I-Hypoglycemia yisifo esibonakala sokwehla okukhulu kwamazinga kashukela. Ngisho nokuqala kwalesi simo kungathinteka ekucindezelekeni okukhulu. Njengoba wazi, ukuxhuma okungokomzwelo okunomlingiswa ongemuhle kusebenze ngokushesha uhlelo lwe-endocrine, okuholela ekukhuphukeni kokusetshenziswa ushukela esikhathini esincane sesikhathi.

Kufanele uqaphele kakhulu ngokunciphisa isisindo ngosizo lokudla okuqinile. Ngokuhamba kwesikhathi, umzimba uzokhipha ukungasebenzi kahle okukhulu, okuzoholela ezinkingeni eziningi.

Izimpawu zesifo ngokuya ngemvamisa yokwenzeka

Njengomthetho, i-hypoglycemia ingakhula ngokushintshwa okubukhali kokudla, okunqunyelwe kuma-carbohydrate.

Imvamisa yokuthuthuka kwe-pathology imi kanje:

  • ukuqala kwemizwa yokuba buthakathaka emzimbeni;
  • indlala ephikelelayo;
  • isicanucanu nokuhlanza;
  • ukuzindla kwenhliziyo;
  • ukujuluka ngokweqile;
  • ukuxhawula isandla;
  • ulaka, uvalo nokuxineka;
  • Isiyezi
  • umbono ophindwe kabili
  • ukozela
  • ukukhuluma okuqondayo nokuqonda okwenzekayo nxazonke;
  • ukwehluleka
  • coma
  • umphumela obulalayo.

Akunandaba ukuthi kungabukeka njengokwethusa kangakanani, kepha isimo esinjalo siyenzeka uma ungaxhumana nochwepheshe ngendlela esifike ngesikhathi.

Kungani ushukela wegazi wehla kakhulu kuhlobo 2 sikashukela?

Ezinye zezimbangela zokuncipha ngokushesha kweshukela egazini ezigulini ezinesifo sikashukela 2 yilezi ezilandelayo:

  • ukudla ukudla ngenani elikhulayo lama-carbohydrate;
  • ukuphathwa kanyekanye kwezidakamizwa zesifo sikashukela neziphuzo eziqukethe utshwala;
  • ukusetshenziswa kabi kotshwala
  • isikhawu esibalulekile sesikhathi sokudla okulandelayo;
  • ukweqisa komthamo owodwa we-pancreatic hormone;
  • umsebenzi omkhulu womzimba.

Ngesikhathi sokuqokwa kwe-endocrinologist, umuntu angambuza ukuthi kungani ushukela wegazi wehla ngohlobo 2 sikashukela, nokuthi ungalugwema kanjani. Kubalulekile ukunamathela kuzo zonke izincomo zayo futhi uqaphele izindlela zokuvimbela ukwenzeka kwezinkinga.

Amavidiyo ahlobene

Izimbangela kanye nokuvimbela i-hypoglycemia:

Kubalulekile ukuqaphela ukuthi ifomu lesifo sikashukela elinganciphisi i-insulin liyingozi enkulu esigulini ngasinye. Iziguli ezinokuhlangenwe nakho ziyakwazi ukuzwa indlela yokuhlasela okuzayo kwe-hypoglycemia futhi esigabeni sokuqala ziyakwazi ukukuvimba. Ukugcina impilo nokuphila, kubalulekile ukugwema izinto ezithinta ukuthuthukiswa kwalesi simo se-pathological. Lokhu kufaka phakathi ukusetshenziswa kabi kotshwala, ukuphambuka ekudleni kanye nokwanda okusheshayo kokuzivocavoca umzimba.

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