Ukuphuza ngokweqile kungaholela ezinkingeni zempilo. Kungaba imbangela enkulu ye-hypoglycemia kubantu abangenaso isifo sikashukela.
Ngenxa yokungazi, lesi sifo ekuqaleni sasibhekwa njengomphumela wokusetshenziswa kwezithako ezingekho ngaphansi ezazifakwa eziphuzweni zotshwala ezitolo ze-clandestine.
Kepha, njengoba kwavela kamuva, lokhu kungumphumela omubi wokusebenzisa i-ethanol, otholakala kubo bonke utshwala. Njengoba wazi, lesi sifo okwamanje sande ikakhulukazi kubantu abaphuthelwa ingilazi noma ezimbili ngezikhathi ezithile. Ngakho-ke buyini i-alcohol hypoglycemia futhi yini imiphumela yako emzimbeni?
Kuyini i-alcohol hypoglycemia?
Ukugaya i-ethanol esibindini kukhubazeka yi-alcohol dehydrogenase.
Ukudla njalo kwe-ethanol kungaholela ekunciphiseni kwe-gluconeogenesis esibindini.
Kungakho kwaziwa ukuthi i-hypoglycemia ebizwa ngokuthi i-alcoholic kwenzeka ngokudangala okukhulu kuzo zonke izitolo ze-glycogen ezitholakalayo lapho i-gluconeogenesis idingeka khona ukuze kugcinwe i-standardoglycemia. Lesi simo sivame ukubonwa ngokudla okungenampilo nokulinganiselwe.
Imvamisa, lesi sifo sitholakala kubantu abangondlekile kahle abahlushwa uphuzo oludakayo. Kodwa, noma kunjalo, kukhona izimo lapho ngisho nakubantu abanempilo ngokuphelele, ngemuva kokuphuza utshwala obuningi, lesi sifo sitholakala. Lokhu kuvame ukwenzeka lapho umuntu ephuza umthamo wotshwala esiswini esingenalutho. Kumele kugcizelelwe ukuthi i-ethanol yehlise kakhulu ukuhlangana koshukela egazini ezigulini ezinesibindi esisebenza ngokujwayelekile.
Izimpawu
Lo mkhuba ungalandelelwa ikakhulukazi kubantu abahlale besebenzisa kabi utshwala.
Ngaphezu kwalokho, kubalulekile ukuqaphela ukuthi ngalesi sikhathi bahlala benqaba ukudla noma ukudla okulimazayo okuncane.
Isifo iqala cishe amahora ambalwa noma ngosuku ngemuva kokudliwa kwenani elikhulu le-ethanol esiswini esingenalutho. Kungakho ukuphefumula kabi kungazwakali.
Njengomthetho, laba bantu bahlushwa wukudakwa okungamahlalakhona ngoba baphuza cishe nsuku zonke futhi abadli lutho. Ngemuva kokungeniswa esibhedlela, ochwepheshe baphawula ukuthi abantu abanjalo bakhala ngokuhlanza njalo, okungewona umphumela wotshwala, kodwa isibalo esinganele samakhalori angena emzimbeni.
Kumele kwaziwe ukuthi abanye abantu bathinta kakhulu amanani amakhulu e-ethanol. Lokhu kufaka phakathi:
- izingane ezincane ezingazama utshwala ngokuphelele ngengozi;
- abantu osekunesikhathi eside behlushwa yisifo sikashukela futhi bethola i-insulin, okuyi-hormonal pancreatic;
- iziguli ezine-pathology ekhona yohlelo lwe-pituitary-adrenal (ngokwesibonelo, i-hypopituitarism, ukuntuleka kwe-ACTH eyedwa nesifo sika-Addison).
Lesi sifo esibi nesiyingozi ezimweni eziningi siholela ekomeni ngaphandle kwezimpawu ezibonakaliswe ngaphambili zemvelaphi okuthiwa yi-adrenergic. Njengoba umuntu osebenzisa kabi utshwala kungenzeka angabhemi ngemuva kosuku, kunzima kakhulu ukuthola lesi sifo. Kaningi, ngaphandle kocwaningo olukhethekile lwelabhoratri, cishe akunakwenzeka ukuthola lesi simo. Ochwepheshe abaningi bathola ngephutha ubuthi obunobungozi obukhulu.
Kubalulekile ukukhumbula ukuthi i-hypoglycemia yotshwala inezimpawu, ezibandakanya ne-hypothermia kanye nokuphefumula, okuvela ku-lactacitosis ehambisanayo.
Futhi, ngemuva kokuthatha igazi ukuze lihlaziywe, ungabona ukuthi ukugcwala kwe-ethanol kulo kuncishiswa kakhulu ekutholeni leso sifo. Okuqukethwe ushukela okukhona nakho kuphansi impela, okuchaza ngokuphelele isimo sesiguli.
Ngisho nangemva kokuba i-glucagon ifakiwe emthanjeni, isimo asithuthuki, okukhombisa ukuba khona kwezinkinga ezinkulu. Kuyaqapheleka ukuthi i-metabolic acidosis eyinkimbinkimbi eyenzeka ngemuva kokuqongelelwa kwenani elikhulu le-lactic acid nayo ibonwa ngesikhathi kuhlolwa isiguli.
Ezinye iziguli zingathola i-ketoacidosis ehambisana notshwala. Kubalulekile ukuqaphela ukuthi kuleli cala, akusizi ngalutho ukwenza ukuhlolwa kwesibindi okukhethekile.
Izithombe zemitholampilo
I-Alcohol hypoglycemia idalwe i-hypoglycemia yokwenziwa.
Naphezu kokuphuza utshwala esiswini esingenalutho, ubungozi be-hypoglycemia buyakhula futhi ngemuva kokubuthatha ekugcineni komzimba.
Ukubaluleka okukhulu lapha akuyona uhlobo lotshwala, kepha into esemqoka esebenzayo ebizwa ngokuthi yi-ethanol nenani layo, elathathwa ngomlomo.
Phakathi kokunye, kunezimo ezithile ze-hypoglycemia ngenxa yokusebenzisa eminye imishanguzo evela emelana nokusetshenziswa kotshwala ngamanani ahlukahlukene.
Njengoba wazi, noma yisiphi isiphuzo esinezidakwa singanciphisa kakhulu ushukela wegazi. Uma izinga layo liwela ngokushesha, khona-ke lokhu kungaba yingozi enkulu empilweni yomuntu.
Bambalwa abantu abaziyo ukuthi utshwala bungakhulisa isenzo sama-pancreas nezidakamizwa ezikhethekile eziqukethe ushukela, kepha ngasikhathi sinye kunciphisa inqubo yokwenziwa kwe-glucose esibindini.
Ngaphezu kwalokho, uphuzo oludakayo luvame ukusebenza njengezithako ezithile zamafutha.
I-Ethanol ikhulisa ukuqina kwezindawo ezihlala amaseli, ezihlanganiswa kakhulu ngama-lipids afanayo. I-glucose idlula kuma-pores akhulisiwe elukhungeni sisuka egazini iye emangqamuleni.
Ngakho-ke, okuqukethwe kwayo esegazini kuncipha ngokushesha futhi umuzwa ongalawulwa wendlala uvele, okunzima kakhulu ukulawula. Ngenxa yalokhu, umuntu uphonsela ngokoqobo ekudleni futhi amunce konke ahlangana nakho. Umphumela wokudla okunjalo ukugcoba ngokweqile.
Ngokuqondene nesithombe somtholampilo salesi sifo esiyingozi, cishe simi ngokulandelayo:
- umuntu ubuswa yizimpawu okuthiwa yi-neurological of hypoglycemia;
- ngenkathi usemzimbeni wesiguli, izimpawu ezithile ze-adrenergic zimnene noma azikho ngokuphelele. Njengomthetho, lokhu kungenxa yokwehla okungajwayelekile kwe-glucose ku-plasma yegazi lomuntu.
Ukuhlaselwa kwe-hypoglycemia ne-hyperglycemia kushukela sikashukela yinto eyenzeka kahle impela. Ukugxuma okungazelelwe ngamazinga kashukela egazini kungenzeka nganoma yisiphi isikhathi, futhi isiguli sidinga ukuzilungiselela.
Kungani kukhona i-hypoglycemia kwabesifazane nokuthi banganikeza kanjani usizo lokuqala kulesi simo esiyingozi, funda lapha.
Futhi ukuze uvikele noma yiluphi uhlobo lwezinkinga kwisifo sikashukela, udinga ukuguqula indlela ophila ngayo, uthuthukise isiko lakho lokudla, wakhe imenyu yesampula evikini bese wenza umsebenzi omncane womzimba.
Ukwelashwa
Njengomthetho, ukwelashwa kweziguli ezine-hypoglycemia yotshwala kuqala ngokuphathwa ngokushesha kwe-glucose ngaphakathi. Kepha imijovo ye-glucagon ayivunyelwe ngoba ngaphansi kwezimo zamanje, lapho zonke izitolo ze-glycogen ziqediwe, akukho ukusabela kule hormone.
Ngokuqondene nokwelashwa okuningiliziwe kwe-hypoglycemia, cishe lokhu okulandelayo:
- Okokuqala, kufanele uthinte isikhungo sezokwelapha esifanele ukuze udokotela ozohlola ahlole isiguli ngokucophelela;
- khona-ke isiguli sizothunyelwa kohlolwa okukhethekile nokuhlolwa okufanele. Ukuxilongwa ngesikhathi kanye nokwelashwa okuyinkimbinkimbi kungathuthukisa isimo somzimba futhi kubuyise impilo yangaphambili;
- njengomthetho, ukwelashwa nge-glucagon akusebenzi ngokuphelele, ngoba ngesikhathi sokubonakala kwalesi sifo zonke izitolo ze-glycogen emzimbeni zaziphelelwe ngokuphelele;
- phambi kwalesi sifo, ngokungafani nezidakamizwa hypoglycemia, isiguli asidingi ukumiliselwa kweglucose okuqhubekayo;
- ukubuya kwalesi sifo kucindezelwa ukuqokwa kwe-carbohydrate elinganiselayo, kepha inani elanele lama-carbohydrate alusizo kunoma yisiphi isidalwa.
Ungakhohlwa ukuthi isimo esiyingozi kakhulu ukubambezeleka kwe-hypoglycemia.
Kubalulekile futhi ukuqaphela, ngoba uma umuntu ephuze utshwala, isimo esibi kakhulu singenzeka ngokufanele ebusuku. Isifo sinzima kakhulu futhi siyama ngenxa yezitolo eziphansi ze-glycogen esibindini.
Ividiyo elusizo
Izindlela eziphumelela kakhulu zokwelashwa nokuvimbela i-hypoglycemia:
Lo mbhalo uqukethe imininingwane ewusizo mayelana nalesi sifo esibi, esingakuholela ekufeni. I-Wikipedia izokusiza ukuthi uzijwayeze nezimpawu ze-hypoglycemia ejwayelekile. Kubalulekile ukukhumbula ukuthi akutuswa ukuphuza utshwala esiswini esingenalutho, ngoba ungathola izinkinga ezingafuneki. Uma uhlela idili, lapho-ke udinga ukudla ngokuqinile ngaphambi nangesikhathi sokuphuza. Lokhu kuzowuvikela kakhulu umzimba ekubonakaleni kwemiphumela engathandeki.
Uma izinkinga zingasakwazi ukugwemeka, futhi kuboniswe izimpawu zokuqala ezethusayo, khona lapho kufanele uthinte uchwepheshe ukuthola usizo. Ukwelashwa ngesikhathi nangezinga eliphakeme emtholampilo okhethekile kuzosiza ukuqeda ngokushesha le nto eyingozi, engaholela ekufeni.
