Shuga wamagazi ochepa

Shuga wambiri wamagazi ndimikhalidwe yomwe imachitika shuga wamagazi (glucose) wamthupi akamachepa komanso amakhala otsika kwambiri.

Shuga wamagazi osakwana 70 mg / dL (3.9 mmol / L) amadziwika kuti ndi otsika. Shuga wamagazi pamunsi kapena pansi pamlingowu akhoza kukhala owopsa.

Dzina lachipatala la shuga wotsika magazi ndi hypoglycemia.

Insulini ndi timadzi timene timapangidwa ndi kapamba. Insulini imafunika kusunthira shuga m'maselo momwe imasungidwa kapena kugwiritsidwa ntchito ngati mphamvu. Popanda insulini yokwanira, shuga mumakhala m'magazi m'malo mopita m'maselo. Izi zimabweretsa zizindikilo za matenda ashuga.

Shuga wamagazi ochepa amapezeka chifukwa cha izi:

• Shuga ya thupi lanu (shuga) imagwiritsidwa ntchito mofulumira kwambiri
• Kupanga shuga kwa thupi kumakhala kotsika kwambiri kapena kumatulutsidwa m'magazi pang'onopang'ono
• Kuchuluka kwa insulini kumagazi

Shuga wamagazi ochepa amapezeka mwa anthu omwe ali ndi matenda ashuga omwe amatenga insulin kapena mankhwala ena kuti athetse matenda awo ashuga. Komabe, mankhwala ena ambiri a shuga samayambitsa shuga wotsika magazi.

Kuchita masewera olimbitsa thupi kumathandizanso kuti magazi azikhala ndi shuga wochepa kwambiri mwa anthu omwe amatenga insulini kuti athe kuchiza matenda ashuga.

Ana obadwa kwa amayi omwe ali ndi matenda ashuga atha kukhala ndi madontho akulu ashuga yamagazi atangobadwa.

Mwa anthu omwe alibe matenda ashuga, shuga wotsika magazi amatha chifukwa cha:

• Kumwa mowa
• Insulinoma, yomwe ndi chotupa chosowa kwambiri m'mankhwala omwe amapanga insulin yochulukirapo
• Kusowa kwa hormone, monga cortisol, kukula kwa hormone, kapena hormone ya chithokomiro
• Kutaya mtima kwambiri, impso, kapena chiwindi
• Matenda omwe amakhudza thupi lonse (sepsis)
• Mitundu ina ya opaleshoni yochepetsa thupi (nthawi zambiri zaka 5 kapena kupitilira opaleshoni)
• Mankhwala osagwiritsidwa ntchito pochiza matenda ashuga (maantibayotiki ena kapena mankhwala amtima)

Zizindikiro zomwe mungakhale nazo mukamatsikira shuga wotsika kwambiri ndi monga:

• Masomphenya awiri kapena masomphenya owala
• Kuthamanga kapena kugunda kwamtima
• Kudzimva wopanda pake kapena kuchita ndewu
• Kukhala wamanjenje
• Mutu
• Njala
• Kugwidwa
• Kugwedezeka kapena kunjenjemera
• Kutuluka thukuta
• Kuuma kapena dzanzi pakhungu
• Kutopa kapena kufooka
• Kuvuta kugona
• Maganizo osamveka bwino

Kwa anthu ambiri omwe ali ndi matenda ashuga, shuga wotsika m'magazi amayambitsa zizindikilo nthawi zonse zikachitika. Sikuti aliyense amamva kuchepa kwa shuga m'magazi chimodzimodzi.

Zizindikiro zina, monga njala kapena thukuta, zimachitika shuga m'magazi akatsika pang'ono. Zizindikiro zowopsa, monga kusamvetsetsa bwino kapena kugwidwa, zimachitika shuga m'magazi akatsika kwambiri (ochepera 40 mg / dL kapena 2.2 mmol / L).

Ngakhale ngati mulibe zizindikilo, shuga m'magazi anu akhoza kukhala otsika kwambiri (otchedwa hypoglycemic unawareness). Mwina simukudziwa kuti muli ndi shuga wotsika kwambiri magazi mpaka mutakomoka, kukomoka, kapena kukomoka. Ngati muli ndi matenda ashuga, funsani omwe akukuthandizani ngati akuvala shuga mosalekeza angakuthandizeni kudziwa ngati shuga wamagazi akutsika kwambiri kuti muchepetse vuto lachipatala. Ena owunika mosalekeza a glucose amatha kukuchenjezani inu ndi anthu ena omwe mungasankhe mukamatsika shuga m'magazi mwanu.

Ngati muli ndi matenda ashuga, kusamalira bwino magazi anu m'magazi kumathandiza kupewa magazi otsika. Lankhulani ndi omwe amakupatsani ngati simukudziwa zomwe zimayambitsa komanso kuchepa kwa magazi.

Mukakhala ndi shuga wotsika magazi, kuwerenga kumatsika kuposa 70 mg / dL (3.9 mmol / L) pakuwunika kwanu kwa glucose.

Wothandizira anu akhoza kukupemphani kuti muvale chovala chaching'ono chomwe chimayeza shuga wanu wamagazi mphindi zisanu zilizonse (kuwunika mosalekeza kwa glucose). Chipangizocho chimavalidwa masiku atatu kapena 7. Detayi imatsitsidwa kuti mudziwe ngati mukukhala ndi shuga wotsika magazi yemwe sakudziwika.

Ngati mwalandiridwa kuchipatala, mudzakhala ndi zitsanzo zamagazi zotengedwa mumtambo wanu kupita ku:

• Yesani msinkhu wanu wa shuga
• Dziwani chomwe chimayambitsa shuga wochepa m'magazi (mayesowa amafunika kuti azisungidwa munthawi yake moyenera chifukwa chotsika ndi magazi ochepa kuti adziwe bwinobwino)

Cholinga cha chithandizo ndikuchepetsa kuchuluka kwa shuga m'magazi anu. Ndikofunikanso kuyesa kudziwa chifukwa chomwe shuga wamagazi anali ochepa kuti muchepetse gawo lina la shuga wotsika kuti lisachitike.

Ngati muli ndi matenda ashuga, ndikofunikira kuti omwe akukuthandizani akuphunzitseni momwe mungadzichiritsire shuga wotsika magazi. Chithandizo chingaphatikizepo:

• Kumwa madzi
• Kudya chakudya
• Kutenga mapiritsi a shuga

Kapena mwina adauzidwa kuti mudziponye nokha ku glucagon. Awa ndi mankhwala omwe amakweza shuga wamagazi.

Ngati shuga wotsika magazi amayamba chifukwa cha insulinoma, amalimbikitsidwa kuchitidwa opaleshoni kuti achotse chotupacho.

Shuga wambiri wamagazi ndimavuto azachipatala. Zingayambitse khunyu ndi kuwonongeka kwa ubongo. Shuga wambiri wamagazi yemwe amakupangitsani kukomoka amatchedwa hypoglycemic kapena insulin shock.

Ngakhale gawo limodzi la shuga wotsika kwambiri wamagazi lingapangitse kuti musakhale ndi zizindikilo zomwe zimakupatsani mwayi wodziwa gawo lina la shuga wotsika magazi. Zigawo za shuga wotsika kwambiri m'magazi zimatha kupangitsa anthu kuopa kutenga insulini monga momwe wowalamulira amafotokozera.

Ngati zizindikiro za shuga wochepa m'magazi sizikuyenda bwino mutadya chotupitsa chomwe chili ndi shuga:

• Kukwera kuchipinda chadzidzidzi. Musayendetse nokha.
• Imbani nambala yadzidzidzi yakomweko (monga 911)

Pezani chithandizo chamankhwala nthawi yomweyo kwa munthu yemwe ali ndi matenda ashuga kapena shuga wotsika magazi yemwe:

• Sakhala osamala kwambiri
• Sangathe kudzutsidwa

Hypoglycemia; Kusokonezeka kwa insulini; Kuyankha kwa insulini; Matenda a shuga - hypoglycemia

• Chakudya ndi insulin kumasulidwa
• 15/15 lamulo
• Zizindikiro za shuga m'magazi ochepa

Bungwe la American Diabetes Association. 6. Zolinga za Glycemic: miyezo ya chithandizo chamankhwala ashuga-2020. Chisamaliro cha shuga. 2020; 43 (Suppl 1): S66-S76. PMID: 31862749 adasankhidwa.ncbi.nlm.nih.gov/31862749/.

Kulira PE, Arbeláez AM. Matenda osokoneza bongo. Mu: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, olemba. Buku la Williams la Endocrinology. Wolemba 14th. Philadelphia, PA: Elsevier; 2020: chap 38.