I-Hypoglycemia yisimo esingesihle empilweni lapho izinga likashukela egazini lehla khona ngaphansi kwe-3.3 mmol / L. Kuhambisana nemizwa engathandeki yomzimba emzimbeni, futhi ezimweni ezinzima ngaphandle kokwelashwa okufika ngesikhathi, kungaholela ekulimaleni kobuchopho be-organic ngisho nokukhohlisa. Ukuqonda ukuthi kune-hypoglycemia enjalo ku-mellitus yesifo sikashukela nokuthi kungani kuyingozi, ungamsiza umuntu ogulayo ngesikhathi futhi alondoloze impilo yakhe, futhi kwesinye isikhathi impilo yakhe.
Kungani ushukela wegazi ophansi uyingozi kwabanesifo sikashukela?
Kubukeka sengathi ukwehlisa ushukela wegazi yikho konke isiguli esilwela. Manje-ke kungani i-hypoglycemia kushukela singekho kahle? Iqiniso ngukuthi kulesi simo izinga likashukela lehla kakhulu, okungaholela ekuphazamisweni okukhulu ekusebenzeni kwengqondo nezinye izitho ezibalulekile. Ngaphezu kwalokho, ngesifo sikashukela, ushukela omncane wegazi awulungile ngaso sonke isikhathi.
Izici ze-hypoglycemia kuhlobo 2 sikashukela zingatholakala ngokuningiliziwe kule ndatshana.
Kumuntu ngamunye onesifo sikashukela, amanani afanele we-glycemia (ushukela wegazi) angawodwana. Ngokufanelekile, kufanele bahambisane nezinombolo ezifanayo zale nkomba kumuntu ophilile. Kepha kaningi, impilo yangempela iyazenza izinguquko zayo, khona-ke kufanele uqale kusuka enhlalakahleni yesiguli ngamanani ahlukahlukene kashukela wegazi.
Ingozi ye-hypoglycemia ukuthi, ngenxa yokuntuleka kweglucose eyanele, ubuchopho buzwa indlala yamandla. Izimpawu zalo zivele ngokushesha okukhulu, futhi esimeni esibi kakhulu, umuntu angaba ne-hypoglycemic coma. Yimbi ngemiphumela yayo engxenyeni yohlelo lwezinzwa futhi ngokwayo isongela impilo yomuntu.
Ngenxa ye-hypoglycemia, umuntu angacasuka noma athukuthele, kepha icala lakhe alikho lapha. Lokhu kungenxa yokuthi ingqondo yakhe ayikwazi ukusebenza kahle ezimeni zokuntuleka kweglucose
Izimpawu
Izimpawu ze-hypoglycemia kwisifo sikashukela zingahlukaniswa ngaphambi kwesikhathi nangemva kwalokho, ezibonakala lapho kungekho khona ukwelashwa. Okokuqala, ukwehla ushukela wegazi kuboniswa yizimpawu ezinjalo:
- indlala enkulu;
- isicanucanu (ukuhlanza kwesinye isikhathi kungenzeka);
- injabulo enkulu, ukungaphatheki kahle ngokomzwelo;
- ukukhuphuka kwenhliziyo;
- indlala yesikhumba;
- ikhanda kanye nesiyezi;
- ukuthuthumela ngokuzithandela kwemisipha nemilenze;
- ukukhuphuka kokujuluka;
- ukuqhekeka.
Uma uthatha izinyathelo ezidingekayo futhi wenzela ukusweleka kwe-glucose emzimbeni, lezi zibonakaliso ezingemnandi zizodlula ngokushesha, futhi umuntu abuye azizwe esejwayelekile. Kepha uma ungazinaki isikhathi eside, isimo sesiguli siya ngokuba sibi, okuzivela ngezibonakaliso ezinjengalezi:
- ukudideka kwemicabango, ukugxila kwenkulumo;
- ukuhlangana okungahambi kahle kokunyakaza;
- ukuphazamiseka okubukwayo;
- ukungakwazi ukugxila, umuzwa wokukhathazeka kwangaphakathi, ukwesaba noma ukungakhululeki;
- ukwehla kwemisipha okuphoxayo;
- ukulahlekelwa ukwazi.
I-Hypoglycemic coma
I-Hypoglycemic coma yenzeka ezimweni lapho kwakungekho khona ukumisa ukuqala kwe-hypoglycemia ngesikhathi. Ngenxa yalokhu, isimiso sezinzwa esiyinhloko siqala ukuhlupheka. Okokuqala, i-cortex yamakhokho kanye ne-cerebellum iyathinteka, ngakho-ke inhliziyo ishaya ngokushesha, futhi nokuxhumana kokunyakaza kuphazamisekile. Ngemuva kwalokho ukukhubazeka kwezingxenye zobuchopho lapho izikhungo ezibalulekile zigxile khona (isibonelo, isikhungo sokuphefumula) kungenzeka.
Uma ushukela wegazi wehlela ngezansi kwe-1,3-1,6 mmol / L, amathuba okulahlekelwa kokuqwashisa nokukhula komqondo kuphakama kakhulu
Izimpawu zokukhohlisa, yize zithuthuka ngokushesha, kepha zibonakaliswa ngokulandelana okuthile:
- Isiguli sizwa umuzwa wokukhathazeka, siphumule futhi singacasuki. Isikhumba sakhe simbozwe umjuluko, ngenkathi kungaba nekhanda nesiyezi. Inhliziyo iqala ukushaya ngokushesha.
- Ukuthukuthela kuyanda, ubuso sebubomvu. Umuntu akakwazi ukulawula ngokuphelele izenzo zakhe, ukwazi kwakhe kudidekile. Umbono ukhubazekile - izinto ezizungezile zibukeka zifiphele noma zingahle ziphindwe kabili.
- Umfutho wegazi uyakhuphuka, ishayela liba livama kakhulu. Imisipha iphimbo elikhulayo, izinkontileka zabo ezikhohlisayo zingaqala.
- Abafundi bayancipha futhi bakhukhumale bayathuthuka, futhi ngokushesha ukuqunjelwa kwabanesifo sikashukela. Isikhumba simanzi kakhulu ekuthinteni, ingcindezi iyanda, izinga lokushisa lomzimba alikuvamuki.
- Ithoni yemisipha iyancipha, abafundi abaphenduli ngokukhanyayo, umzimba uyaqina futhi ube limp. Ukuphefumula nokushayeka kuyaphazamiseka, umfutho wegazi wehla kakhulu. Kungahle kube nokuntuleka kwezikhanyisi ezibalulekile. Uma kulesi sigaba umuntu engasizwa, angafa ngenxa yokuboshwa kwenhliziyo noma i-edema yamakhemikhali.
Usizo lokuqala kulesisimo ukuphathwa okufakwa ngokushesha kwe-glucose solution (ngokwesilinganiso, 40-60 ml ka-40% wezidakamizwa kuyadingeka). Ngemuva kokuba umuntu ephinde aqaphele, kufanele azidle ngokushesha ama-carbohydrate asheshe adle kanye nokudla okuwumthombo woshukela okufakwa egazini isikhathi eside. Ngesikhathi lapho isiguli singazi lutho, akufanele siphoqelele iziphuzo ezinoshukela noma isixazululo sikashukela emphinjeni wakhe, ngoba lokhu ngeke kube yinzuzo, kepha kungadala ukujaha.
Imbangela eyingozi kakhulu ye-hypoglycemic coma ngotshwala. Inqanda kakhulu ukuvela kwe-glucose emzimbeni futhi ifake izimpawu zokuqala kokunciphiswa koshukela (ngoba ifana nokudakwa)
Izizathu
Ukwehla kukashukela wegazi kuvame ukuhlotshaniswa namaphutha ekwelashweni kwezokwelapha noma ukwephulwa kwendlela yokuphila nokudla kwesiguli. Ezinye izici zomzimba nezifo zingathinta lokhu. Izici ezihambisana nezidakamizwa:
- kukhethwe ngendlela engafanele (ephezulu kakhulu) i-insulin noma amaphilisi okwelapha isifo sikashukela;
- ukushintshwa kusuka kumkhiqizi kusuka kumkhiqizi oyedwa kuya kwisidakamizwa esifanayo kusuka kwenye inkampani;
- ukwephulwa kwendlela yokuphathwa kwezidakamizwa (ukungena emisipha esikhundleni sesifunda esinqenqemeni);
- ukujova umuthi endaweni yomzimba ongakaze usetshenziselwe lokhu ngaphambili;
- umthelela esizeni somjovo wamazinga okushisa aphezulu, ukukhanya kwelanga okuqondile noma ukushushuluza kwayo okusebenzayo, ukugcoba.
Kuyadingeka ukuhlola ngezikhathi ezithile impilo yamapensela e-insulin, ngoba umthamo ongalungile wesidakamizwa ngokudla okujwayelekile ungaholela ezinguquko ezibukhali emazingeni kashukela egazini. Isimo se-hypoglycemic singakhula kulezo zimo lapho isiguli siguqukela ekusebenziseni iphampu singena emijovo ejwayelekile. Ukuvimbela lokhu, udinga ukubheka njalo ushukela bese ubala ngokucophelela inani le-insulin.
Imitha kufanele isebenze kahle nangendlela efanele, ngoba izinkomba zayo ezingamanga kungaholela ekubalweni okungalungile kwenani lemithi elidingekayo
Ukudla kunomthelela obalulekile kumazinga kashukela, ngakho-ke ukudla komuntu nakho kungaba yingozi kwezinye izimo.
Izizathu zokwehla kakhulu kwegazi glucose elihambisana nokudla:
- ukudla ukudla okuncane kakhulu;
- Izikhathi ezinde zokudla phakathi kokudla;
- ukweqa ukudla okulandelayo;
- ukuphuza utshwala (ikakhulukazi ngokudla noma ngesikhathi sokulala);
- ukusebenza ngokomzimba okusebenzayo ngaphandle kokulungiswa kokudla nokulawula ushukela wegazi.
Ngaphezu kwalokho, izimo ezinjalo zomzimba nezifo zingadala i-hypoglycemia:
- ukukhulelwa kanye nokuncelisa;
- ukwehluleka okungapheli kwezinso;
- isikhathi sokufika kwangaphambi kokubeletha;
- ukuntuleka kwama-enzymes e-pancreatic, aqinisekisa ukugaya okwejwayelekile kwemikhiqizo;
- ukuncipha komsebenzi wezindlala ze-pituitary and adrenal;
- okokuqala ngemuva kokuhlaselwa yisiphi isifo esithathelwanayo esibuhlungu;
- ukugaya kancane ukudla esiswini ngenxa yokulimala kwezinzwa zesifo sikashukela kule ndawo.
Ungayinikeza kanjani usizo lokuqala?
Indlela elula yokusiza isiguli nge-hypoglycemia emnene, ngenkathi ingakasongeli kakhulu impilo nempilo. Esigabeni sokuguga, ubuthakathaka nesiyezi, udinga ukusebenzisa i-glucometer, futhi uma ukwesaba kuqinisekisiwe, qala ukwenza. Ukuze wenzele ukuntuleka kwama-carbohydrate, ungadla ibha ye-chocolate, isangweji enesinkwa esimhlophe noma uphuze isiphuzo esimnandi.
Ungaphuza ukudla okumnandi ngetiye elishisayo - ukushisa kuzosheshisa ukumuncwa kweglucose
Uma isiguli sazi, kepha isimo saso sesiseduze kakhulu, into engcono kakhulu engenziwa ekhaya ukumnika ikhambi le-glucose (noma ulungiselele ushukela namanzi). Ngemuva kokufika komuntu, udinga ukukala ushukela. Kumele aphumule. Kubalulekile ukuthi uqiniseke ukuthi isiguli asiminyanisi isiphuzo, akufanele sishiywe sodwa, futhi uma isimo siba sibi, kufanele ushayele i-ambulensi ngokushesha.
Ukuvimbela
Njengoba kunikezwe ukuthi abanesifo sikashukela batuswa ukudla okunempilo, umuzwa wokulamba kakhulu kufanele ube yinsimbi ethusayo nethuba lokuphinda bahlole ushukela. Uma ukwesaba kuqinisekisiwe futhi neglucose isondele emkhawulweni, udinga ukudla.
Ukuvimbela ukwehla okungazelelwe koshukela wegazi, iziguli ezinesifo sikashukela sohlobo 1 kufanele:
- bambelela kumbuso othile wosuku noma okungenani ugcine izikhathi ezifanayo phakathi kokudla nemithi;
- lazi izinga lakho likashukela egazini futhi uzame ukuligcina likhona;
- qondisisa umehluko phakathi kwama-insulin wezikhathi ezahlukahlukene zokwenziwa futhi ukwazi ukuguqula indlela odla ngayo nemithi;
- yehlisa umthamo we-insulin ngaphambi kokuzivocavoca okukhulu ngokomzimba (noma wandise inani lokudla okudliwayo ngaphambi kwalapho, okuqukethe ama-carbohydrate);
- yenqaba ukuphuza utshwala;
- qaphela njalo ushukela wegazi lakho.
Isifo sikashukela kufanele ngaso sonke isikhathi sihambisane noshokoledi, amaswidi noma umuthi weglue uma kwenzeka kuba ne-hypoglycemia. Kubalulekile ukuthi udokotela azise isiguli ngengozi yalesi simo futhi azifundise imigomo yosizo lokuqala uma kwenzeka lwenzeka.
Uma umisa i-hypoglycemia esiteji sokuqala sokukhula kwayo, izodlula ngaphandle komkhondo emzimbeni futhi ngeke ikulimaze kakhulu
Ingabe kukhona i-hypoglycemia kubantu abangaguli nesifo sikashukela?
I-Hypoglycemia ingakhula kumuntu ngaphandle kwesifo sikashukela. Kunezinhlobo ezimbili zalesi simo:
- ukuzila kwe-hypoglycemia;
- ukunciphisa ushukela, ukuthuthukisa njengempendulo ekudleni.
Esimweni sokuqala, amazinga kashukela angancipha ngenxa yotshwala noma eminye imishanguzo kusihlwa. Futhi, lesi simo singavusa ukwehluleka kwe-hormonal emzimbeni. Uma i-hypoglycemia ivela emahoreni ambalwa ngemuva kokudla, khona-ke kungenzeka ihlotshaniswe nokungabekezelelani kwe-fructose noma ukuntuleka kwe-glucagon (lokhu kuyi-pancreatic hormone ebandakanyeka ekuthatheni i-glucose). Lokhu kwenzeka futhi ngemuva kokusebenza esiswini, ngenxa yokuthi ukufakwa kwezakhi zomgudu emgodini wokugaya ukudla kukhubazeka.
Izimpawu ze-glycemia ziyefana nokuvela kwayo kwizazi zesifo sikashukela, futhi zenzeka ngokuzumayo. Umuntu angaphazanyiswa umuzwa wokulamba, ukuthuthumela emzimbeni, ubuthakathaka, isicanucanu, ukukhathazeka, ukujuluka okubandayo nokudangala. Usizo lokuqala kulesi simo luyafana nesifo sikashukela. Ngemuva kokumisa ukuhlaselwa, kufanele ngaso sonke isikhathi ubonane nodokotela ukuthola imbangela ye-hypoglycemia nokuxilongwa okuningiliziwe kwesimo sakho sempilo.
