Shuga wochepa wamagazi omwe amayamba chifukwa cha mankhwala osokoneza bongo

Shuga wochepa wamagazi omwe amayamba chifukwa cha mankhwala osokoneza bongo ndimagazi otsika omwe amadza chifukwa chogwiritsa ntchito mankhwala.

Shuga wamagazi ochepa (hypoglycemia) amapezeka mwa anthu omwe ali ndi matenda ashuga omwe amatenga insulin kapena mankhwala ena kuti athetse matenda awo ashuga.

Kupatula mankhwala ena, zotsatirazi zitha kupangitsanso kuti shuga (glucose) wamagazi atsike:

• Kumwa mowa
• Kupeza zochitika zambiri kuposa masiku onse
• Kuledzera mwadala kapena mosakonzekera mankhwala omwe amagwiritsidwa ntchito pochiza matenda ashuga
• Kusowa chakudya

Ngakhale matenda ashuga atayang'aniridwa mosamala kwambiri, mankhwala omwe amagwiritsidwa ntchito pochiza matenda ashuga amatha kubweretsa shuga wotsika magazi. Vutoli limatha kukhalanso ngati munthu wopanda matenda a shuga atenga mankhwala omwe amachiza matenda ashuga. Nthawi zina, mankhwala osagwirizana ndi shuga amatha kuyambitsa shuga wambiri.

Mankhwala omwe angayambitse shuga wambiri wamagazi ndi awa:

• Beta-blockers (monga atenolol, kapena overdose wa propanolol)
• Cibenzoline ndi quinidine (mtima arrhythmia mankhwala)
• Indomethacin (othandizira kupweteka)
• Insulini
• Metformin ikagwiritsidwa ntchito ndi sulfonylureas
• SGLT2 inhibitors (monga dapagliflozin ndi empagliflozin) ali ndi kapena opanda sulfonylureas
• Sulfonylureas (monga glipizide, glimepiride, glyburide)
• Thiazolidinediones (monga pioglitazone ndi rosiglitazone) ikagwiritsidwa ntchito ndi sulfonylureas
• Mankhwala omwe amalimbana ndi matenda (monga gatifloxacin, pentamadine, quinine, trimethoprim-sulfamethoxazole)

Hypoglycemia - mankhwala osokoneza bongo; Magazi otsika-opangidwa ndi mankhwala osokoneza bongo

• Chakudya ndi insulin kumasulidwa

Kulira PE. Zolinga za glycemic mu matenda ashuga: kugulitsa pakati pa glycemic control ndi iatrogenic hypoglycemia. Matenda a shuga. 2014; 63 (7): 2188-2195. PMID: 24962915 www.ncbi.nlm.nih.gov/pubmed/24962915. (Adasankhidwa)

Gale EAM, Anderson JV. Matenda a shuga. Mu: Kumar P, Clark M, eds. Kumar ndi Clarke's Clinical Medicine. 9th ed. Philadelphia, PA: Elsevier; 2017: mutu 27.