I-Hypoglycemia iyindlela yokusebenza equkethe ukwehla okukhulu ekugayeni kwe-glucose egazini.
Uma izinga lale nto lingafiki ku-2.2 mmol / L, izifo ezingathí sina zingakhula eziholela ekuwohlokeni kokusebenza okusebenzayo ngisho nokufa.
Okuyingozi kakhulu i-hypoglycemia ezinganeni, ngenxa yokuthi ebuntwaneni kukhona ukukhula okusebenzayo, ukuthuthukiswa kanye nokwakheka komzimba. Yiziphi izimbangela eziphambili ze-hypoglycemia ezinganeni, kungani ziyingozi futhi ziphathwa kanjani?
Izimbangela zokwenzeka
Ukuqagela kwenkambo yalesi sifo kuncike kakhulu ekutheni izimbangela zangempela zokuncipha kwamazinga eglucose enganeni zitholiwe yini. Ngokuhambisana nezizathu, ukwelashwa okudingekayo kwalesi sifo kuyakhiwa.
Kaningi, i-hypoglycemia iyisibonakaliso sezinkinga ohlelweni lwe-endocrine yengane, ikakhulukazi, ngenxa yokusebenza okungafanele kwe-adrenal gland.
Ngempela, omunye wemisebenzi yabo eyinhloko ukwakheka kwama-glucocorticoids - ama-hormone akhethekile athinta umzimba ngokuyisisekelo, awavikele ekwehleni ngokweqile kwamazinga kashukela. Lama enzymes e-steroidal anegalelo ekwenzeni i-glucose esibindini, avimbele ukumuncwa kwalesi zinto ngamangqamuzana ezitho zomzimba, futhi futhi anciphise nomsebenzi wama-hormone abandakanyeka ku-glycolysis.
Isizathu esilandelayo salokhu, ikakhulukazi ezinsaneni, singaba yifa. Cishe zonke izingane zowesifazane onesifo sikashukela zine-hypoglycemia yokuzalwa. Lokhu kungenxa yobucwayi be-hormonal metabolism ye-fetus kanye nomphumela we-metabolism ongafanele womama ekukhuleni kwengane nokwakheka komzimba wakhe Futhi i-hypoglycemia enganeni ingenzeka nge-hyperinsulinism - ukukhiqizwa ngokweqile kwe-insulin. Kukhona i-hyperinsulinism eyisisekelo neyesibili.
Kuqala ukwenzeka ngenxa yomonakalo wamanyikwe, ngokwesibonelo, i-insulinoma - isimanganiso se-benign, noma i-carcinoma - umdlavuza wepancreatic. Ekusebenziseni, i-insulinoma ivame kakhulu, okukhona ukuthi kungenzeka ukuthi welashwa ngokuhlinzwa.
I-Hyperinsulinism yesibili ingumphumela wokuphendula komzimba kunoma yikuphi ukuvuselela. Izimbangela eziphambili zokuvela kwayo yilezi:
- umsebenzi obalulekile womzimba;
- ukweqisa izidakamizwa okwehlisa ushukela;
- ukucindezela isikhathi eside.
I-Hypoglycemia enganeni ngaphandle kwesifo sikashukela nayo ingaqala ngenxa yokungondleki. Uma ingane ikhula futhi ichitha amandla ingatholi izakhamzimba ezidingekayo ngamanani anele, izinga le-glucose lihlala liwohloka njalo.
Yize kunjalo, umzimba wengane awazi ukuthi ungawonga kanjani amandla njengoba umuntu omdala enza.
Ukudla okungenamsoco, ukuntuleka kohlobo lwemithi nakho kungadala ingane ukuba noshukela omncane wegazi.
Ekugcineni, lesi sifo singabangelwa nayifa.
I-hemered hypoglycemia ivame ukwenzeka ezinganeni ezingaphansi kweminyaka emibili, futhi ikakhulukazi abafana abahlushwa yiyo. Imvamisa, kulokhu, sikhuluma nge-Mac Curry syndrome - isici esingajabulisi se-enzyme esonakalisa insulin, i-insulinase.
Ezinganeni ezinalesi sifo, i-insulinase ibola i-insulin ngokweqile, ngenxa yalokho kuba nokuntuleka kweglucose emzimbeni. Lesi sifo singaba nemiphumela emibi kakhulu, kuze kufike ku-coma. Imvamisa ngalesi sifo, kuvame ukuvela kwezilonda ezahlukahlukene zobuchopho.
Okuyingozi kakhulu ezinganeni ezine-Mack Curry syndrome kuphakathi kweminyaka emibili kuya kwemihlanu ubudala. Ngaphezu kwalokho, kusukela eminyakeni eyisithupha, ukuxolisa okujulile kuvame ukwenzeka, kuboniswa ukungabikho ngokuphelele kwezimpawu ze-hypoglycemia.
Amanyikwe
Amazinga kashukela anciphile futhi angahlotshaniswa nama-pancreas. Ukwephulwa komgudu wokugaya ukudla kwengane kungaholela ku-hypoglycemia. Iqiniso ngukuthi esiswini namathumbu, ama-polysaccharides aqukethe imikhiqizo avezwa ama-enzyme, ikakhulukazi ama-amylase kanye nokulimala. Lezi zinto zidiliza ama-polysaccharides kuya kushukela, odonswa odongeni lwesistimu yokugaya ukudla.
Uma ukukhiqizwa kwala ma-enzyme kukhubazekile, umzimba awukwazi ukucubungula i-carbohydrate eyinkimbinkimbi, ngokulandelana, i-glucose ayingeni emzimbeni kusuka ekudleni. Lesi simo sijwayelekile ukwehlulwa kwesistimu yokugaya ukudla okwenziwa yizinto ezithile ezibucayi, futhi kungenzeka futhi ngenxa yokuqhuma kwesimila.
Izimpawu zesifo
Njengoba i-hypoglycemia ngokwayo iyingozi kakhulu empilweni nasempilweni yengane, futhi, ngaphezu kwalokho, ingabangelwa yizifo ezinkulu, ukutholakala kwayo kusenesikhathi kubaluleke kakhulu.
Kungakhathalekile ukuthi ziyini izimbangela, i-hypoglycemia ezinganeni inezimpawu ezifanayo.
Kuqala, ingane iba nolaka nokukhathazeka. Isimo sesiguli sibukhali futhi kwesinye isikhathi sishintsha, uba ongalawuleki.Kulokhu, ukunganaki kuvela ngezikhathi ezithile, ukunganakwa kwakho konke kanye nokushiswa ngamandla.
Isikhumba esinoshukela ophansi simhlophe kunokwejwayelekile. Akukho blush, noma ngemuva kwemidlalo esebenzayo, igazi alijahi ubuso. Ukuvela kokujuluka kuyavela, izinkinga zokulala nokuphaphama kungenzeka - phakathi nosuku umntwana afuna ukulala ngalo, futhi ebusuku uthambekele emidlalweni enomsindo.
Ngokuhamba kwesikhathi, kuvela izimpawu zomonakalo ohlelweni lwezinzwa - kuvela imilenze ethuthumela, ukuzindla, imisipha, kanye nokuphazamiseka kokugaya ukudla, okuvezwa ezitobhini ezivulekile nokuhlanza. Ukwehla okungatheni kwamazinga kashukela, kuqalwa ikhanda, izinga lokushisa lomzimba liphansi kuka-36,5 ° C. Ukuqhubeka kwe-hyperension ye-arterial kukhula, futhi ingcindezi ingehla kakhulu.
Ezinye izimpawu zivame ukuvela, njengokukhinyabezeka okwesikhashana kokubonakalayo, ukuncipha kokuqaphile, kanye ne-tachycardia.
Imvamisa kunendlala enkulu namakhaza. Uma kwenzeka kwehla kakhulu amazinga kashukela, isiyezi nokulahlekelwa ukwazi kungenzeka.
Uma kunezimpawu ezimbalwa lezi, noma eyodwa iphindwa isikhathi eside, akufanele ukubambezele ukuqokwa kudokotela. Uchwepheshe oqeqeshiwe kuphela ngemuva kokuthola imiphumela yokuhlolwa okufanelekile onokwazi ukubona lesi sifo futhi anqume ukwelashwa kwayo.
Izindlela zokwelapha
Nge-hypoglycemia enzima, ehambisana nezimpawu ezisongela impilo yengane, izindlela zokwelashwa ziqala ngokushesha, ngaphandle kokulinda imiphumela yezivivinyo.Okokuqala, bathatha isisombululo se-glucose somlomo samaphesenti ayishumi. Uma kwenzeka i-hypoglycemia ibanga ukuquleka, ukufakwa kwamakhambi kwesisombululo se-glucose oyinyumba kuyenziwa.
Ngaphezu kwalokho, ukuqashwa kwemithi elwa namagciwane, kanye nama-ejenti asekela inqubo eyenziwe buthakathaka yilesi sifo, kuyenziwa. Ngemuva kokwenza lezi zinyathelo ngesisekelo sokuhlolwa, kukhonjwa imbangela yokwehla kwezinga likashukela wegazi, bese kuthi ukwelashwa okulandelayo kubangelwe izimbangela zesifo.
Kunoma yikuphi, ukwelashwa kufaka ukudla okhethekile okudinga ukudla okuncane okuhlanu kuya kweziyisithupha ngosuku, kanye nokubambelela ngokuqinile kwirejimeni enqunyelwe. Ngaso leso sikhathi, izinyathelo seziqala ukwelapha izimbangela ze-hypoglycemia - ukwelashwa ngezidakamizwa noma ukuhlinzwa.
Amavidiyo ahlobene
Kule khathuni, uzothola izimpendulo zemibuzo ngokuthi iyini i-hypoglycemia nokuthi yini okufanele uyenze uma kwenzeka:
Endabeni yokuhambela odokotela nokuqokwa kwempatho efanele, ukuxolelwa isikhathi eside kungenzeka. Uma imbangela eyinhloko yalesi sifo ikhonjwa futhi iqedwa, ingane ngokuvamile ayihlushwa ukwehla okuyingozi kakhudlwana kushukela wegazi, ikakhulukazi uma inamathela ezincomeni zokudla.
