Iqhosha elidinga ukuphononongwa ngonyango ukukhangela isigwebo
Xa abaninzi abantu beva igama elithi " iswekile ephantsi kwegazi ," baxhuma ngokukhawuleza kwisifo sikashukela . Nangona kunjalo, ngelixa i-sugar inferior yegazi (ebizwa ngokuba yi-hypoglycemia) iyaxhaphaka kubantu abanesifo sikashukela, sinokufumaneka kubantu abangenayo isifo sikashukela.
Ngokukhethekileyo, ishukela ephantsi yegazi ingenzeka emva kweeyure ezimbalwa emva kokutya, into ebizwa ngokuba yi-hypoglycemia echanekileyo okanye i-hypoglycemia yangemva kwesikhashana.
Iimpawu zeHypoglycemia esebenzayo
Iimpawu zesifo se-hypoglycemia esiphumelelayo ukusuka kumnxeba kunye nokuxhatshazwa (umzekelo, ukuziva uxhalabile, ukuthukuthela, ukuzonda, okanye ukulambile) kumbi (umzekelo, ukuphuhlisa umbono obonakalayo, kunye / okanye ukuphazamiseka).
Nangona kunjalo, ukufumana enye okanye ngaphezulu kwezi zimpawu akuthethi ukuba uneshukela eliphantsi kwegazi. Ezi zimpawu zingabonisa ingxaki ehluke ngokupheleleyo, njengentliziyo okanye ingxaki yengqondo. Yingakho uvavanyo lwezonyango lwezempilo luyimfuneko.
Ukuxilongwa kwe-Activity Hypoglycemia
Ukuze uhlolwe i-hypoglycemia esebenzayo, ugqirha wakho uya kufumana iswekile yegazi (ebizwa ngezinga lakho legazi le-glucose) emva kweeyure ezine ukuya ezintlanu emva kokutya ukutya, xa ufumana iimpawu ezihambelana no-hypoglycemia.
Ngokuqinisekileyo uya kufumana iswekile yegazi ngokuqoqa igazi kwi-vein (ebizwa ngokuba yindawo yokuhlanjululwa). Oku kuchanekile ngakumbi kunokufumana iqondo lakho leshukela legazi kwi-monitor yeglucose.
Ukuba ufumene ukuba neqondo eliphantsi lokushukela ngegazi (ngokuqhelekileyo lingaphantsi kwama-60mg / dL), kwaye iimpawu zakho ziyaxinwa xa i-sugar sugar iphakanyiswa, ugqirha wakho uya kufuna ukukhangela i-etiology emva kwe-hypoglycemia yakho yangemva kwayo, kwaye yilapho Uvavanyo lokutya oluxubekileyo luya kudlala.
Uvavanyo lweMixed Meal
Ngethuba lovavanyo lokutya oluxubekileyo, umntu udla ukutya kwaye ugcinwa kwiiyure ezingama-5. Ngaphambi kokuba sidle kwaye emva kwemizuzu engama-30 (de kube ziiyure ezintlanu), umntu uya kuhlolwa kwegazi ukujonga amanqanaba alandelayo:
- Igazi leswekile (i-glucose)
- Insulin
- C-peptide
- Proinsulin
Ngethuba lokutya, i-pancreas yakho ikhupha i-insulin, elawula ukutywala kunye nokusetyenziswa kweswekile evela kukutya kwakho. I-proinsulin yinto eyahlukana phakathi kwepakreta ukwenza i-molecule yeC-peptide kunye ne-molecule ye-insulin; Kufana ne-insulin precursor, oko kuthetha.
Ukutolika ezi xabiso zokuhlola kusiza oogqirha ukuba bafumane "isizathu" emva kwe-hypoglycemia yakho yangemva.
Kubalulekile ukuba uqaphele, nangona kunjalo, ngamanye amaxesha akukho ukuxilongwa ngokuchanekileyo malunga nokuba kutheni umntu efumana amaconsi kwishukela legazi emva kokutya. Ngamanye amazwi, uvavanyo lwezokwelapha alubonakalisi mntu. Kule meko, izicwangciso zondlo zicetyiswa ukuba zithinte kwaye ziphathe iipasiti ze-hypoglycemic emva kokutya.
Nangona kunjalo, nayi imimiselo emithathu yeemeko zonyango ezingabangela u-hypoglycemia postpandial:
Insulinoma
I-insulinoma iyimvumba engavumelekanga, engekho yinkinga engakwazi ukukhupha i-insulin emzimbeni ngokungalawulekiyo. Ukuba i-insulinoma iyona nto, i-test mix mix will reveal a high level of insulin, C-peptide, kunye neproinsulin (xa isetyhu egazini iphantsi).
Ukugqithisa ngokweqile okanye okuQinisekile kwi-Intulin Intake
Ukuba umntu uthatha i-insulin engaphezulu, (masithi banesifo sikashukela okanye besisebenzisa i-insulin ngenene), inqanaba le-insulin liya kuba phezulu, kodwa i-proinsulini kunye ne-C-peptide level iya kuba phantsi (kuba i-insulin ivela ngaphandle umzimba, kungekhona i-pancreas).
Ugqirha lwe-Gastric Bypass
Utyando lwe-gastric surpass lungabangela i-hypoglycemia esebenzayo kuba ukutya kunokudlulela ngokukhawuleza kwinkqubo yokutya, ngaphandle kokuba yonke igalelwe kwaye ifakwe njenge-glucose kwigazi. Kulo mzekelo, njengesi-insulinoma, onke amanqanaba amathathu (insulin, C-peptide, proinsulin) ngokuqhelekileyo iphakanyisiwe.
Ukulawula i-Hypoglycemia esebenzayo
Ukuba uxelelwa ukuba unesifo sengqondo sokunyuka kwe-hypoglycemia, ugqirha wakho uya kuwuphatha ngokubhekiselele kwisizathu esiyintloko. Ngokomzekelo, ukuba oogqirha basolisa i-insulinoma, uya kuthunyelwa ukuba utyunjwe ukuba ususwe.
Ukuba i-hypoglycemia yakho esebenzayo isisifo esingenakugula okanye esingaziwayo, nakhu izicwangciso ezimbalwa omele uzimisele ukukhusela ushukela ophantsi wegazi ukususela emva kokutya:
- Ukunciphisa ukutya ngesalathisi esiphezulu se-glycemic, ingakumbi kwisisu esingenalutho. Ngokomzekelo, ukutya umnikelo wokuqala kuqala ekuseni kungabangela isiqhelo se-hypoglycemic.
- Yidla amancinci, ukutya okutya rhoqo kunye nokutya okutywala okuquka i-fiber kunye neprotheni.
- Yidla ukutya okuhlukahlukeneyo, okuphezulu kwendlela yokutya, kunye neenkonzo ezinokwaneleyo zeprotheni, i-carbour whole grain kunye nemifuno, iziqhamo kunye nokutya kobisi
Ukuba ufumana isiqhelo esincinci se-hypoglycemic, la ma nyathelo angakuzisa isantya sakho phezulu:
- Yidla okanye uphuze iigremu ezili-15 ze-carbohydrate ngokukhawuleza, njengee-ounces ezine zelisi ye-orange, ii-ounces ezithandathu ezivuthiweyo, i-tablespoon enye yeeshukela okanye i-honey Oku kufuneka kukhutshwe iimpawu zingakapheli imizuzu engama-15. Unokudinga ukuphinda amanyathelo angentla apha ukuba igazi lakho i-glucose iyaqhubeka iphantsi.
- Qinisekisa ukuba udle isidlo esincinci okanye umlenze emva kokugqitywa kweempawu. Ngokomzekelo, i-apula enebhokisi ye-peanut okanye i-sandkey yesi-turkey kwisonka esipheleleyo sesonka. Oku kuya kuthintela enye i-sugar spike kunye ne-drop consequence.
ILizwi
Nangona ufumana iziqwenga zeeshukela eziphantsi kwegazi emva kokutya kunokungonwabi kwaye kuphazamise, kukho iindlela zokuzilawula kakuhle. Mhlawumbi isondlo sondlo sinokukunceda ukuba ufumane umkhondo kunye nokuthobela i-index ye-glycemic index yokutya kunye neendlela zokuziphatha eziza kulungiselela ukulinganiswa kweswekile.
Ekugqibeleni, khusela, kodwa, ubone udokotela kuqala.
> Imithombo:
> Isizwe seSizwe soSifo sikashukela kunye neeNtsholongwane zeNtsholongwane. I-Blood Low Sugar (Hypoglycemia).
> IiNkonzo FJ, Vella A. (2017). I-Hypoglycemia kubantu abadala abanesifo sikashukela: Indlela yokuchonga. Hirsch IB, ed. Isemgangathweno. Waltham, MA: UpToDate Inc.
> IiNkonzo FJ, Vella A. (2017). I-Postprandial (isenzo esisebenzayo) i-hypoglycemia. UNathan DM, ed. Isemgangathweno. Waltham, MA: UpToDate Inc.
> Stuart K, I-Field A, uRaju J, iRamachandran S. I-hypoprlycemia esebenzayo yokuthatha i-Postprandial: Iipatheni zokubonisa i-Varying kwiimvavanyo zokunyamezela kwe-glucose kunye neendlela ezikhoyo zokuthintela. Rep Med Med . 2013; 2013: 273957.