Izimbangela Zoshukela Ophakeme Ushukela

Ushukela (ushukela) wumthombo wamandla oyinhloko womzimba womuntu. Ingena njengengxenye yama-carbohydrate ayinkimbinkimbi, ikhishwa emgodini wesisu, futhi igxiliselwe egazini. Ngemuva kwalokho isatshalaliswa bese ihanjiswa kumaseli nezicubu.

Umzimba womuntu uzama ukugcina amazinga kashukela wegazi njalo ngaphakathi kwemikhawulo ethile, alungele ukufeza izidingo kanye nenkambo yokuphendula okubalulekile. Kodwa-ke, kunezikhathi lapho izinkomba zanda kakhulu noma zincipha. Lokhu kungakhombisa izinqubo zomzimba noma ukukhula kwesifo.

Lokhu okulandelayo kuyimbangela enkulu kashukela omncane wegazi, izici zalesi simo ezinganeni nakubantu abadala, nezindlela zokulungisa.

Yini ushukela womzimba?

IGlucose yi-monosaccharide. Ngokuphikisana nesizinda sokwanda kwezibalo zayo zegazi ngemuva kokudla, amanyikwe athola isibonakaliso esivela ebuchosheni ukuthi izinga le-glycemia kumele lehliswe. I-Iron idedela inani elithile le-insulin esetshenziswa yi-insulin, edingekayo "ukuvula umnyango" kumaseli wamangqamuzana eglucose.

Ushukela, ngaphezu kokuhlinzeka umzimba ngamandla, wenza eminye imisebenzi ebalulekile:

• iyingxenye yama-nucleic acids, iyingxenye yama-nucleotide;
• ubamba iqhaza ekwenziweni kwama-amino acid, umsoco wamafutha athile, ama-carbohydrate;
• ibuyisa isimo somzimba ngemuva kwezifo ezihlelekile nezingamahlalakhona, ukukhathala, ukubulawa yindlala;
• umphumela onenzuzo ku-psycho-psych state
• kuvusa ukusebenza kwezinhlelo eziningi zomzimba.

I-Glucose - yi-monosaccharide, okuyi "petrol" yomzimba womuntu

Kuyini i-hypoglycemia?

I-Hypoglycemia - isimo lapho inani le-glucose esegazini lihamba ngaphezu kwemingcele eyamukelekayo ngezinga elincane. Isimo soshukela siyahluka phakathi kuka-3.3 mmol / L no-5.5 mmol / L. Kwabesifazane nabesilisa abaseminyakeni ephakathi, lezi zinkomba ziyahlangana.

Ushukela wegazi enganeni engaphansi kweminyaka emi-5 nawo uhlukile kumanani aphakathi. Kuze kube unyaka, umkhawulo ophezulu ngu-4.4 mmol / L, ongaphansi - 2.8 mmol / L. Omdala kunonyaka - 3,3-5 mmol / L.

Amanani 2,5-2.9 mmol / L abhekwa njengoshukela wegazi ophansi kubantu abadala. Ngisho ne-glycemia ephansi ikhombisa ukuqhubeka kwesimo se-pathological. I-Hypoglycemia idinga ukungenelela okusheshayo ngochwepheshe nokunakekelwa okuphuthumayo, ngoba igcwele izinkinga ezinzima nemiphumela emibi.

Kungani ushukela wegazi wehla?

Izimbangela ze-glycemia ephansi zihlukahlukene. Zingahlotshaniswa nokuntuleka kwe-glucose synthesis, ukuntuleka kwenani lama-enzyme, amazinga aphezulu we-insulin, nezici zofuzo. Ngaphezu kwalokho, okuningi ukuthi kungani ushukela wegazi uwe, futhi lapho kudinga ukungenelela kodokotela.

Ukushoda kukashukela

Imibandela elandelayo ingelesi sigaba:

• Ukushoda kwama-Hormone - ushukela wegazi ophansi uba isibonakaliso sokungasebenzi kahle kwe-anterior pituitary gland, lapho ukukhiqizwa kwenqwaba yama-hormone (somatotropin, prolactin, thyrotropin, njll.) Kuncishiswa kakhulu. Umphumela uba yi-pathology yezindlala eziningi ze-endocrine, ezinciphisa izinga lokwakheka koshukela ngesibindi, okwandisa ukusetshenziswa kwaso emithanjeni.
• Ukushoda kwe-glucocorticoids (ama-hormone e-adrenal cortex) - indlela yokwakhiwa kwe-pathology iyefana. Ushukela ungancishiswa womabili ngaphambi kokuba ukudla kungene emzimbeni, futhi amahora ambalwa ngemuva kwale nqubo.
• Ukushoda kwe-Glucagon - Leli hormone lithathwa njengelinganisa ne-insulin. Lapho i-glucagon ingena egazini, ukukhuphuka kwe-glycemia kuyabonakala, uma kungenele, ukwehla kwezinkomba.

I-Glucagon - i-hormone evikelwe amaseli we-pancreatic alpha

Ukuntuleka kwe-enzyme

Enye yezimbangela ze-hypoglycemia yisifo sikaGirke. Le yi-pathology eyindlalifa, ebonakala ngokungakwazi kwamaseli ukubamba iqhaza ekwenziweni kwe-enzyme ethile, ngenxa yalokho inqubo yokuqanjwa kwamakhemikhali emzimbeni iphazamiseka.

Enye i-pathology yisifo sesimungumungwane. Isici salesi sifo futhi ukuntuleka kwe-enzyme ethile. Umsebenzi wayo ukubhujiswa kwamagatsha e-glycogen, ukunqamula ushukela wamahhala kubo. I-Pathology inenkambo emnene uma iqhathaniswa nesifo sikaGirke.

Ukungondleki

Ushukela wegazi kuyinto evamile kubantu abadala

Uma ukudla kungangeni emzimbeni ngamanani anele, khona-ke lokhu kuholela eqinisweni lokuthi ushukela wehla kakhulu egazini. Amaseli, ikakhulukazi ubuchopho, awatholi inani lemithombo yamandla adingekayo ekusebenzeni okufanele.

Indlela efanayo yokwakhiwa kwe-hypoglycemia ibonwa ngokusebenza ngokweqile komzimba. Okokusebenza kwemisipha "kuchitha" ushukela omningi kunokuba umzimba ukwazi ukuhlanganisa noma uza nokudla.

Ukukhulelwa

Ngesikhathi sokukhulelwa, kwenzeka izinguquko ezibalulekile emzimbeni wowesifazane, ezihlobene nokulingana kwamahomoni akhe nezinqubo ze-enzymatic. Ushukela, ongena emzimbeni wowesifazane okhulelwe, manje kufanele unikeze amandla hhayi kuphela kumaseli nezicubu zakhe, kodwa nasemzimbeni wengane. Isidingo siyanda njalo ngenyanga.

Ama-hormone e-placenta ne-adrenal cortex, angabaphikisi be-insulin, ayenziwa ngenkuthalo, kepha ukucashelwa kwe-insulin uqobo kuyakhuphuka ukulinganisa izinga likashukela emzimbeni wowesifazane.

Amazinga we-glucose ngokuvamile awela engxenyeni yesibili yokukhulelwa

I-Pathology yesibindi

Kungani izinombolo zikashukela wegazi zehla kakhulu ngomonakalo wesibindi? Lokhu kungenxa yokungakwazi kwayo ukubamba iqhaza kwinqubo yokwakhiwa kweglucose. Kungenzeka kwenzeke ngokumelene nesizinda sezifo ezilandelayo:

• i-necrosis yesibindi;
• ukuvuvukala kwesimo segciwane;
• i-acephalopathy ye-acute hepatic;
• izinqubo zokuqubuka kwesibindi noma i-metastasis kuzicubu zayo;
• ukwehluleka kwesibindi.

Utshwala kanye nemithi

Ukudakwa ngokweqile kungenye yezimbangela ezijwayelekile zesimo se-hypoglycemic. Lapho utshwala be-ethyl bungena emzimbeni womuntu, i-enzyme iyachithwa, okudingekayo ekwakhekeni kweglucose. Lapho izinsalela zalesi zinto ze-enzymatic zincipha, kwehla ushukela obonakalayo egazini.

Izingane, ngokungathandeki ngokwanele, zingabuye zivezwe i-glycemia yotshwala. Lokhu kungenxa yokusebenzisa utshwala ngengozi noma ngamabomu.

Isimo sikashukela segazi eliphansi singadala ukusetshenziswa kwale mithi elandelayo:

• ama-beta blockers;
• ama-salicylates;
• izidakamizwa ezingezona ze-steroidal ezilwa nokuvuvukala.

Ama-NSAIDs - iqembu lezidakamizwa elinganciphisa i-glycemia

Ukwanda kokudla ushukela

Ama-pathologies alandelayo angawlesigaba, lapho izimo ze-hypoglycemic zithuthukisa:

• i-insulinoma - ukuqubuka kwamanyikwe, ukugcinwa kokungalawulwa kwe-insulin;
• i-hyperplasia yamaseli ahlanganisa i-insulin ezinganeni nasezinganeni ezisanda kuzalwa;
• i-microadenomatosis - i-dysplasia yamaseli ama-islets we-Langerhans-Sobolev;
• I-hypoglycemia yemvelo ye-hyperinsulinulin;
• ukwehla kweshukela egazini kuma-diabetes.

Izici zokwelapha

I-Hypoglycemia yisimo esidinga ukunakekelwa okuphuthumayo nokulungiswa kwansuku zonke kwamazinga kashukela emzimbeni. Lapho kuvela izimpawu zokuqala zokuncipha kwe-glucose, kufanele uphuze itiye elimnandi, udle i-gingerbread enoshukela, uswidi noshukela olucwengiwe. Uma umuntu enenkinga yokudideka, udinga ukubiza iqembu le-ambulensi ngokushesha, ngoba lokhu kungakhombisa ukuphazamiseka okukhulu emzimbeni.

Ama-carbohydrate e-digestible azokwandisa ushukela esikhathini esifushane

Ukwelashwa kwe-inpatient kuqukethe ukuphatha isixazululo se-glucose (okokuqala nge-intravenous, bese kudonswa emthanjeni), i-glucagon, i-adrenaline, izidakamizwa ze-hormonal, imithi yokwesekela umsebenzi wenhliziyo nemithambo yegazi, ama-diuretics (ukulwa ne-edema ye-cerebral).

Ngemuva kokukhipha, isiguli kufanele senze ukulungiswa kokudla kwayo. Kuqukethe ukudla okuyindidane emzimbeni, ezingxenyeni ezincane. Uma kungekho sikashukela, kubalulekile ukuthi okungenani i-130 g yama-carbohydrate ihanjiswa nsuku zonke. Kuyadingeka ukwenqaba utshwala, okuthosiwe, okubunjiwe, okubhemayo.

Okuthandwayo kunikezwa ezitsheni ezi-steamed, stewed, abilisiwe, ezibhakiwe. Kuyadingeka ukufaka ekudleni inani elanele lezithelo nemifino, inyama ebusayo, inhlanzi. Kubalulekile futhi ukulandela izincomo zochwepheshe abaqeqeshiwe nokubheka izinkomba ze-glycemia ku-dynamics.