I-Hypoglycemia (isishukela segazi eliphantsi) lwenzeka xa izinga lakho leswekile (i-glucose) liphantsi okanye lilingana no-70 mg / dL kunye neempawu zikhoyo. Ingabangelwa yimibandela yamanani, kuxhomekeka nokuba ngaba unayo isifo sikashukela okanye awukho. Kwizifo zesifo sikashukela, izibangela ziquka ukungadli i-carbohydrates ngokwaneleyo, ukusetyenziswa, ukusetyenziswa kotywala, ukuthatha imithi ngokungalungile, kunye nokulahleka kwesisindo.
Kubantu abangenayo i-diabetes, i-hypoglycemia ingabangelwa ngamachiza, ukusela utywala kakhulu, kunye nezifo ezithile kunye nezifo.
Izizathu eziqhelekileyo
I-Hypoglycemia iyenzeka xa kungekho glucose ngokwaneleyo egazini ukubonelela umzimba wakho ngamandla. Izizathu ezinokubangela ukuba kuxhomekeke ukuba okanye unesifo sikashukela. Kwakhona kubalulekile ukuqaphela ukuba i-hypoglycemia ngokuqhelekileyo ayifumaneki kubantu abanesifo sikashukela se-2 abasisebenzisa kuphela ukuguqulwa kokutya ukulawula isifo sikashukela.
Abantu abaneSwekile
Ukuba unesifo sikashukela kwaye uthatha imithi ye- insulin okanye imithi eyenza ukukhuselwa kwe-insulin, kukho izinto ezinokubangela u-hypoglycemia, kuquka:
- Ukungabikho kwe-carbohydrates: I- Carbs yimizimba ebalulekileyo ye- glucose , ngoko ukuba ungadli okwaneleyo kubo, ushukela lakho wegazi lingadibanisa, ngokukodwa xa unciphisa inani leetrobhu ozithathayo, kodwa ungayitshintshi yakho amayeza ngokufanelekileyo.
- Ukulahla okanye ukunqumla ukudla: Ukuba uthatha i-insulin okanye imithi yomlomo yesifo sikashukela, ukutya isidlo kamva kunokucwangcisa okanye ukusiqhawula ngokupheleleyo kunokubangela u-hypoglycemia. Qinisekisa ukuba uthetha ugqirha wakho malunga nokuba ngaba awufanelekanga nokuba unqamle imithi yakho xa usuqa isidlo.
- Ukuzivocavoca: Nangona usebenziso lukhulu ekuncedeni ukunciphisa izinga lakho leswekile, ukunciphisa umzimba, ukutshisa iikhalori, kwaye unamandla amaninzi, ukuba unesifo sikashukela kwaye usebenzise ngaphandle kokutya, sebenzisa okungakumbi kunokuba uyenze ngokuqhelekileyo, okanye ukulibazisa ukutya kwakho noba yi-hypoglycemic. Qinisekisa ukuba une-snack kunye nawe ngaphambi okanye emva kokuzivocavoca kwakho, kunye nomthombo wokusebenza ngokukhawuleza we-carbohydrate njengomvini, ijusi, okanye i-jellybeans, ukuba kwenzeka ukuba ushukela wegazi lakho liphantsi kakhulu.
- Ukuthatha amayeza angalunganga amayeza okanye i-insulin: Uninzi lwe-insulin okanye imithi yesifo sikashukela yomlomo ingabangela u-hypoglycemia.
- Ukungathathi i-insulin okanye imithi rhoqo: Abantu bahlala bebona ugqirha wabo ngenxa yokuba ishukela legazi liphezulu kakhulu, kodwa kwezinye iimeko, oku kungenxa yokuba abawuthathi amachiza abo. Ukuba ugqirha wakho ungaphantsi kwengcinga yokuba uhlala uthabatha amayeza akho, kodwa ushukela wakho wegazi usaphakamileyo (ngenxa yokuba ungayithathi), unokunika i-dose ephezulu ukuzama ukunciphisa iswekile yegazi ngaphandle kokwazi ukuba awuthathi. Emva koko, ukuba uthatha isigqibo sokuthatha iyeza lakho, ubeka ingozi ye-hypoglycemia. Ukuze ugweme oku, nyaniseka ngogqirha wakho malunga nendlela osebenza ngayo ngokuthatha amayeza akho kunye nokuba kutheni ukuba awukho ukuba awukho. Kufuneka ukuba abe nomfanekiso ochanekileyo wendlela ohambelana ngayo ukuphatha ngokufanelekileyo kwaye uya kusebenza nawe ukuba afune enye indlela, ukuba kuyimfuneko.
- Ukusela utywala: Ukuba uthatha i-insulin okanye umlomo wesifo sikashukela, ukusela utywala kungabangela u-hypoglycemia. Oku akuthethi ukuba awukwazi ukunwabela iziyobisi, kodwa kufuneka uwaphelise ngokukhuselekileyo kwaye uqaphele ngokujonga iqondo lakho lokushukela ngegazi ngelixa uyenza.
- Ukulahleka kwesisindo: Ukulahlekelwa isisindo kunokukwenza ube nefuthe kakhulu kwi-insulin, obangela ukuba unyango olungaphantsi okanye olungekho. Nangona kunjalo, kuba ukulahleka kwesisindo kukukwenza ukuba ukhululeke kakhulu kwi-insulin, kunokubangela u-hypoglycemia ukuba ungathathi ngephutha i-insulin. Qiniseka ukuba uthethe ugqirha wakho malunga nokunciphisa umthamo wakho xa ulahlekelwa isisindo.
- Ukulawula utyhukela wegazi: Kubalulekile ukuqaphela ukuba ulawulo lwakho lwe-glucose oluqinileyo, luphakamisa umngcipheko we-hypoglycemia, ingakumbi kwangoko unyango. Ukuba ulawulwa ngogqirha oqinileyo, kufuneka unikezwe izixhobo ezifanelekileyo, ulwazi, kunye nenkxaso ekukhuseleni iziqhekeza ezinkulu ze-hypoglycemic ngelixa uqhubeka nokugcina amanqanaba e-glucose kwicala elijoliswe kuyo. Ngesinye isikhathi, i-hypoglycemia iyinto eqhelekileyo, kodwa ukuba iyaqhubeka isenzeka, kufuneka uxoxe nodokotela wakho malunga namanyathelo okumisa iswekile yegazi ukuba ungene phantsi kakhulu ngaphambi kokuba ibe yimeko engxamisekileyo.
- Izifo zengqondo : Enye inkathazo yesifo sikashukela isifo sesifo, esenza ukuba iintso zakho zithathe ixesha elide ukucima i-insulin kwinkqubo yakho, enokubangela u-hypoglycemia.
Abantu abangenayo i-Diabetes
I-Hypoglycemia iqhubela phambili kakhulu kubantu abangenayo i-diabetes. Ukuba unesifo sikashukela kwaye uhlakulela i-hypoglycemia, oku kubonisa ukuba enye into eyenziwa emzimbeni wakho. Izizathu ezinokwenzeka ziquka:
- Amachiza: I-Hypoglycemia ingabangelwa ngamachiza athile, ingakumbi kubantwana okanye abantu abanokuphelelwa kweengtso. Imithi edibene neyobangela ukuba i-hypoglycemia ibandakanye ukuthatha imithi yesifo sikashukela somnye umntu, isilonda se-Qualaquin (quinine), i-antibiotic cibenzoline, i-Pentam (pentamidine) yezidakamizwa ezingekho komzimba (non-steroidal anti-inflammatory drug) I-NSAID) i-Indocin ne-Tivorbex (i-indomethacin) kunye ne-glucagon.
- Ukusela utywala kakhulu: Ukuba ungadli okwaneleyo okanye ungadli nonke kwaye uphuza utswala obugqithiseleyo, ngokukodwa emva kweentsuku ezimbalwa, unokuba no-hypoglycemic. Ukudibanisa utywala obuninzi kunye nokungabikho kokutya kunokunqanda isibindi sakho ekufakeni i-glucose egazini lakho, okwenza ukuba izinga lakho leswekile legazi liyeke.
- Izifo eziphambili: Izifo zengqondo, i-hepatitis enkulu, i-anorexia ende, ixesha elide le-anorexia, i-malaria kunye ne-sepsis (ingxaki yokufumana isifo) yizo zigulo ezinokubangela u-hypoglycemia.
- Ukuntuleka kweHormon: Izifo ezibangelwa yi-Adrenal ezifana nesifo se-Addison kunye neengxaki ezithile ze-pituitary zingabangela u-hypoglycemia, njengokuba akanako ukukhula okwaneleyo kwe-hormone kubantwana.
- Ukuvelisa i-insulin eninzi: Abanye abantu bane-overproduction ye-insulin engabangela u-hypoglycemia. Ezinye izicubu zinokubangela ukuba kuphuculwe i-overproduction, njengoko kunako ukukhulisa iiseli ze-beta kwi-pancreas.
- I-insulin autoimmune syndrome: Yiyo imeko engavumelekanga apho umzimba wakho wenza ama-antibodies ahlasela i-insulin, edala i-hypoglycemia. Ingaba yinxalenye yesinye isifo esisodwa okanye singabangelwa ngamachiza athile.
Izinto zobungozi
Kukho izinto ezinobungozi ezinokunyusa amathuba akho ekuphuhliseni i-hypoglycemia.
Abanye abantu
Abantwana abanesifo sikashukela se-1, asebekhulile kunye nabantu abane-hypoglycemia unwareness bafumana ingozi enkulu yokuphuhlisa i-hypoglycemia. Ulwaphulo lwe-Hypoglycemia lungenzeka xa ufumana ama-suga aphantsi egazi, okukwenza ukuba umzimba wakho ungabi nakwezinye iimpawu. Ukungakwazi ukuziva iimpawu, njengokukhupha, ukuthuthumela, ukwanda kwentliziyo, ukuxhalaba okanye indlala, kuyingozi ngenxa yokuba kunokungaqondi okanye kwanokufa. Ukuba ufumana u-hypoglycemia rhoqo, kubalulekile ukuthetha nodokotela wakho malunga nalo ukuze ufumane phantsi kolawulo olungcono kwaye ugweme uxinzelelo.
Ukuthatha iMithi ethile
Ukuba uthatha amayeza athile e-type 2 yeswekile, njenge- sulphonylureas , i-insulini, okanye inhlanganisela ye-insulin kunye ne-insulin engenayo , unomngcipheko ophezulu we-hypoglycemia. Ukudibanisa iipilisi kunye nemithi ethile engeyiyo isifo sikashukela nayo inokunyusa umngcipheko we-ushukela ophantsi wegazi. Thetha ugqirha wakho malunga nokuba nini na malini amayeza akho ukuthatha ukuze ungenzi iphutha ekulandiseni. Musa ukuthatha amayeza amaninzi kwaye uzama ukunamathela kwi-regimen yokutya ehleliweyo ukuze uncede ukugcina iswekile yegazi ilawulwa.
Ukutshaya
Ukuba unesifo sikashukela kwaye uthatha i-insulin, ukutshaya kwandisa umngcipheko wokuphuhlisa i-hypoglycemia. I-nicotine kwimigayi, iigayira kunye nemibhobho inokubangela ishukela eliphantsi kwegazi, mhlawumbi ngenxa yokuba utshintshe iiseli zakho ngendlela engacacisi i-insulin okanye ngokukhawuleza.
Ukuzalwa kwangaphambili
Xa usana lwakho luzalwa ngaphambi kwangoko, usemngciphekweni wokuphuhlisa i-hypoglycemia kwiintsuku ezilandelayo emva kokuzalwa, ngokukodwa ngeeyure ezingama-48 zokuqala. Isizathu salokhu kukuba xa ukhulelwe, ususa ishukela kumntwana wakho ngokusebenzisa intambo yomlomo. Ngasekupheleni kokukhulelwa kwakho, umntwana wakho uya kuqala ukugcina enye ushukela owamnika kwisibindi sakhe ukusebenzisa emva kokuzalwa kwakhe. Uya kufumana lonke ishukela ayifunayo emva kokuzalwa ngokutya okuqhelekileyo kwefomula okanye isifuba.
Xa usana lwakho luzalwa ngaphambi kwesikhathi, isamba seeshukela asigcineleyo siphantsi kunokuba umntwana osisigxina ngokupheleleyo ekubeni isibindi sakhe asizalwanga ngokupheleleyo. Ekubeni iinjongo ezininzi zineengxaki zokutya ekuqaleni, ingenako ukufumana i-glucose ayifunayo xa itshisa ngomlinganiselo omncinci ushukela ayigcinayo. Izinto ezongezelelweyo ezingenza umngcipheko we-hypoglycemia phezulu kwiintshaba zibandakanya:
- Ubunzima bokuphefumula
- Ubunzima bokugcina ubushushu bomzimba
- Sulelo
- Ukutya kufuneka kulibazise ekuqaleni
- Unina unesifo sikashukela ngelixa ekhulelwe, ekwakheni i-insulin eninzi kwigazi lomntwana wakho
- Nayiphi na imeko yempilo ebangela u-hypoglycemia
Nangona i-hypoglycemia ingaba yingozi kwimeko xa ishiywe ingaphathwa, yinto yesikhashana kwiintshaba kwaye iphathwa ngokukhawuleza nangempumelelo. Kukho iingxaki ezinokubangela ishukela ephantsi kwexesha elide, kodwa ezi nqabile.
> Imithombo:
> I-American Diabetes Association. ImiGangatho yoLondolozo lwezoNyango kwiSwekile-2017. Uncedo lweSwekile. NgoJanuwari 2017; 40 (iSongezelelo 1): S1-S2. ne \: 10.2337 / dc17-S001.
> Clinical Mayo. Hypoglycemia. Abasebenzi beKliniki yabasebenzi. Ukuhlaziywa ngoFebruwari 16, 2018.
> Iziko leSizwe loPhuhliso lweeNguqulelo zeSayensi. I-Insulin Autoimmune Syndrome. AmaZiko eZiko lezeMpilo. ISebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu. Ukuhlaziywa ngoNovemba 2016.
> Isizwe seSizwe soSifo sikashukela kunye neeNtsholongwane zeNtsholongwane. I-Blood Low Glucose (Hypoglycemia). AmaZiko eZiko lezeMpilo. ISebe lezeMpilo laseMelika kunye neeNkonzo zoLuntu. Ukuhlaziywa kukaAgasti 2016.
> IiNkonzo zeFJ, i-Cryer PE, i-Vella A. i-Hypoglycemia kwiBantu abadala: iMiboniso yezonyango, iNkcazo, kunye nezizathu. Isemgangathweno. Ukuhlaziywa kweyoKwindla 14, 2017.