Ishukela eliphantsi kwegazi (u- hypoglycemia ) akuyona nje inkxalabo kubantu abane-type 1 yeswekile. Nangona kungenzeki ngokuqhelekileyo, abantu abanesifo sikashukela se-2 nabo bangasengozini kwaye bafanele baqhelane nemiqondiso yeshukela ephantsi yegazi.
Igalelo legazi lesakile libhekwa liphantsi kakhulu xa liwela phantsi kwe-70 mg / dL. Ngamanye amaxesha, abantu banokubona iimpawu kwizinga eliphezulu leshukela legazi, ingakumbi xa iishukela zabo zegazi ziphakanyisiwe ixesha elide.
Xa iishukela zegazi ziwela phantsi kwe-70 mg / dL, umzimba ungenayo ishukela elaneleyo legazi (i-glucose) ukubonelela ngezidingo zamandla. Ukuba iimpawu ziba nzima ngaphandle kokonyango okanye ukulungiswa, iqondo eliphantsi lokushukela kwegazi linokubangela ingozi okanye nokufa. Ukwazi iimpawu kunye nendlela yokuphatha ishukela ephantsi yegazi kunokukunceda ukhuphe ukukhawuleza .
Iingozi kunye neZibangela
Abantwana, abadala abakhulileyo kunye nabo abane-Hypoglycemia Ukungazi
Abo basengozini ephezulu ye-hypoglycemia kubandakanya abantwana, abadala abadala kunye nabo bantu abangakwazi ukuchonga ushukela wegazi ophantsi-igama elibhekiselwe kwi-hypoglycemia ukungazi. Ukwahluleka kwe-Hypoglycemia kungenzeka ukuba ungumntu ofumana iishukela eziphantsi kwegazi rhoqo. Ubungakanani beeshukela ephantsi kwegazi lenza umzimba uphupheliswe kwiimpawu. Ukungakwazi ukuziva iimpawu, ezifana nokukrokra, ukugubha, ukunyuka kwentliziyo, ukuxhalaba okanye ukulamba, kunokukwenza ungakwazi ukunyanga okungekho nto leyo kunokubangelwa kukungaqondi okanye ukufa .
Ngoko ke, kubalulekile ukwazi ukuba usengozini ukwenzela ukuba unokuthintela uphinde uphathe iishukela eziphantsi kwegazi ngokukhawuleza nangokukhuselekileyo.
Amanye amayeza:
Abantu bathatha amachiza athile kwi-type 2 yeswekile, njenge- sulphonylureas , i-insulini, okanye inhlanganisela ye-insulin kunye ne-insulin. Ukudibanisa iipilisi kunye nemithi ethile engeyiyo isifo sikashukela nayo inokunyusa umngcipheko we-ushukela ophantsi wegazi.
Buza iqela lakho lezempilo malunga nexesha kunye nokuxilongwa kweyeza kunye nokufundiswa ukuze ungenzi iphutha ekulandiseni. Qaphela ukuba ungathathi amachiza amaninzi kwaye uzama ukugcina kwi-regimen yokutya.
Ezinye izizathu:
Ukusetyenziswa kotywala okugqithiseleyo kunokubangelwa neshukela eliphantsi kwegazi. Ukongezelela, ezinye izizathu zibandakanya ukuzivocavoca kakhulu ngaphandle kokutya okwaneleyo ukujongana neemfuno zamandla, ukusila ukudla, ukutya okuncinci, iingxaki zeengtso, kunye neemeko zonyango ezifana ne-hypothyroidism kunye nesifo se-Addison.
Iimpawu zeXhasi eliPhantsi kweTyhure
Izibonakaliso ezintle
- Isetyhu yegazi ephantsi kwe-70 mg / dL
- Ukupasa
- Ukuxubha, ukuthuthumela okanye ukuvakalelwa
- Emlonyeni okanye emlonyeni ukubetha, ulwimi oluncibilikiweyo, okanye inkanuko yensimbi
- Ubungqina okanye ukubetha kweminwe
- Walamba
- Intliziyo esheshayo
- Ubuthathaka
- Ukulala
- Ukudideka okanye ukukwazi ukuhlawula ingqalelo
- Unzima ukuthetha
- Umoya utshintsho olunjengobundlobongela, ukuxhalaba, ukucaphuka okanye ukukhala
- Ukuxakeka, utyumbulo okanye umbono otyhafisiweyo
- Ukuqhaqhaqhaqha, ubungqina, kunye neengxaki zokuququzelela
- Unzima ukuhamba
- Ubukhulu
Izibonakaliso ezibalulekileyo zeSikliniki
- Igazi legazi liphantsi kwe-54mg / dL
- Iqondo lobushushu obuphantsi
- Ukuxinana okanye ukuthintela
- Ukulahlekelwa kwengqondo okanye i-coma
- Ukulahlekelwa kwengqondo kuya kufuna i- glucagon injection okanye unyango lwezonyango. Vumela abahlobo kunye nosapho ukuba bangakwazi ukulawula umbane, ukutya, okanye i-insulin xa ulahlekelwa ingqondo. Fundisa abahlobo kunye nosapho malunga nemiqondiso ye-hypoglycemia, indlela yokunika i-glucagon injection, kwaye nini ukubiza 911.
- Ukuba ulungele isifo segazini eliphantsi ukuqinisekisa ukuba uhlala uguze uhlobo oluthile lokuchongwa kwezokwelapha
Qaphela : Ukuba ushukela ophantsi wegazi lwenzeka ngexesha lokulala, unokufumana ubusuku, ubusuku busuku, ukuthukuthela, ukudideka nokuziva ukhathele ekuvukeni, okanye ukuhlaziya i-hyperglycemia.
Unyango
Ukuba uvakalelwa nayiphi na impawu ekhankanywe apha ngasentla, vavanya ishukela legazi lakho . Ukuba liphantsi kwe-70 mg / dL, landela uMthetho we-15:
- Yidla iigramu ezili-15 ze -carbohydrate esheshayo .
- Lindela imizuzu eyi-15 kwaye uvavanye ishukela legazi kwakhona.
- Phinda uphinde ude ushukela wegazi luhlala kwindawo eqhelekileyo.
- Yidla i-snam ye-carbohydrate e-15-gram ene-carbohydrate ene-fiber kunye neprotheni ukuba awuyi kudla isidlo kwisithuba seyure.
Abantu abathatha i- acarbose (Precose) okanye i-miglitol (Gyset) kufuneka baphathe nge-glucose ecocekileyo okanye i-dextrose, ezayo njengebhebhethi okanye i-gel. Ezi zonyango zicotha ukugaya kunye nezinye i-carbohydrate ezisebenza ngokukhawuleza zingenakunyuswa ngokukhawuleza.
Thintelo
Ukuba usengozini enkulu ye-hypoglycemia:
- Ukubeka iliso kwizinga leshukela legazi rhoqo, ingakumbi ngaphambi kokuqhuba, ngaphambi nangemva kokuzivocavoca, nangaphambi nangemva kwesondo. Ukuba amanqanaba akho angaphantsi kwe-100 mg / dL ngaphambi komsebenzi, yidla i-snack.
- Landela lwakho unyango oluchanekileyo kunye nesicwangciso sokutya. Zama ukungagqiba ukutya okanye ukutyiwa.
- Gcina ii-carbs ezisebenza ngokukhawuleza.
- Ukuba ukhetha ukusela utywala, cela iqela lakho lononophelo lwempilo ukuba ungene njani utywala kwisicwangciso sakho sokutya . Ukuba usela isiselo esinxilisayo, siphuze kunye nesidlo okanye ukutya.
- Fundisa abahlobo kunye nosapho malunga neempawu zeshukela legazi kunye neyeza.
Imithombo:
Umbutho weSwekile waseMelika. ImiGangatho yoLondolozo lwezoNyango kwiSwekile-2017. 2017 Jan; 40 (iSiza 1): S1-132.
Hypoglycemia. Isifo seSwebe sikaZwelonke. https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/low-blood-glucose-hypoglycemia
Hypoglycemia. Health Med Med. AmaZiko eZiko lezeMpilo. https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0024699/
Ukuphila neSifo sikashukela. Umbutho weSwekile waseMelika. http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/hypoglycemia-low-blood.html