Kodi Glucagon imagwira ntchito bwanji pochiza Hypoglycemia? Zowona ndi Malangizo

Zamkati

• Momwe glucagon imagwirira ntchito
• Glucagon ndi insulin: Ndi kulumikizana kotani?
• Mitundu ya glucagon
• Liti jekeseni wa glucagon
• Momwe mungapangire glucagon
• Mlingo wa glucagon
• Zotsatira zoyipa za glucagon
• Pambuyo popereka glucagon
• Kuchiza shuga wotsika magazi pomwe glucagon sikofunikira
• Kutenga

Chidule

Ngati inu kapena munthu wina yemwe mumamudziwa ali ndi matenda a shuga a mtundu woyamba, mwina mumadziwa za shuga wotsika magazi, kapena hypoglycemia. Thukuta, chisokonezo, chizungulire, ndi njala yayikulu ndi zina mwazizindikiro zomwe zimachitika shuga akamatsika pansi pa 70 mg / dL (4 mmol / L).

Nthawi zambiri, munthu yemwe ali ndi matenda ashuga amatha kudzichitira yekha shuga wotsika magazi. Komabe, ngati sanalandire mankhwala mwachangu, magazi otsika kwambiri atha kukhala vuto lachipatala.

Hypoglycemia imawerengedwa kuti ndi yovuta pamene shuga wamagazi amunthu amatsika kwambiri kotero kuti amafunikira thandizo kuchokera kwa wina kuti awathandize kuchira. Izi zitha kuphatikizira kugwiritsa ntchito mankhwala otchedwa glucagon.

Momwe glucagon imagwirira ntchito

Chiwindi chanu chimasunga shuga wambiri mthupi lanu nthawi zina pamene shuga wamagazi amatsika kwambiri. Ubongo wanu umadalira shuga kuti mupeze mphamvu, motero ndikofunikira kuti gwero la mphamvuzi lipezeke mwachangu.

Glucagon ndi timadzi timene timapangidwa m'matumbo. Mwa munthu yemwe ali ndi matenda ashuga, glucagon wachilengedwe sagwira ntchito moyenera. Mankhwala a glucagon amatha kuthandizira chiwindi kuti chimasule shuga wosungidwa.

Chiwindi chikatulutsa shuga womwe umasunga, kuchuluka kwa shuga m'magazi anu kumakwera mwachangu.

Ngati muli ndi matenda a shuga a mtundu woyamba, dokotala wanu angakulimbikitseni kuti mugule chida cha glucagon pakagwa shuga wotsika kwambiri wamagazi. Wina akakhala ndi shuga wotsika kwambiri wamagazi, amafunikira wina kuti amupatse glucagon.

Glucagon ndi insulin: Ndi kulumikizana kotani?

Mwa munthu wopanda matenda ashuga, mahomoni a insulin ndi glucagon amagwirira ntchito limodzi kuti athane ndi shuga. Insulini imagwira ntchito yochepetsa shuga m'magazi ndipo glucagon imayambitsa chiwindi kutulutsa shuga wosungidwa kuti uchere shuga. Mwa munthu wopanda matenda ashuga, kumasulidwa kwa insulin kumayimiranso pamene shuga wamagazi akutsika.

Mwa munthu yemwe ali ndi matenda a shuga amtundu woyamba, maselo opangira insulin m'thupi amawonongeka, motero insulin iyenera kubayidwa pogwiritsa ntchito singano kapena pampu ya insulin. Vuto lina mu mtundu wa shuga woyamba ndikuti mkati, shuga wotsika magazi samayambitsa kutulutsidwa kwa glucagon yokwanira kukweza shuga m'magazi mulingo woyenera.

Ndichifukwa chake glucagon imapezeka ngati mankhwala othandizira pakakhala hypoglycemia yoopsa, pomwe munthu sangathe kudzichitira yekha. Mankhwala a glucagon amachititsa kuti shuga atuluke m'chiwindi kuti iwonjezere shuga m'magazi, monga momwe timayenera kuchitira mahomoni achilengedwe.

Mitundu ya glucagon

Pali mitundu iwiri ya mankhwala ojambulidwa a glucagon ku United States. Izi zimapezeka pokhapokha mwa mankhwala:

• GlucaGen HypoKit
• Chida Chodzidzimutsa cha Glucagon

Mu Julayi 2019, a FDA adavomereza glucagon nasal powder yotchedwa. Ndi mtundu wokhawo wa glucagon womwe ungathe kuchiza matenda a hypoglycemia omwe safuna jakisoni. Ikupezekanso kokha mwa mankhwala.

Ngati muli ndi mankhwala a glucagon, onetsetsani kuti mumayang'ana tsiku lomaliza. Glucagon ndiyabwino kwa miyezi 24 kuchokera tsiku lopangidwa. Glucagon iyenera kusungidwa kutentha, kutali ndi kuwunika kwenikweni.

Liti jekeseni wa glucagon

Pamene munthu yemwe ali ndi matenda a shuga a mtundu woyamba sangathe kudzichitira yekha shuga wotsika magazi, angafunike glucagon. Mankhwalawa atha kugwiritsidwa ntchito ngati munthu ali:

• osayankha
• atakomoka
• kukana kumwa kapena kumeza gwero la shuga pakamwa

Musayese kukakamiza munthu kudya kapena kumwa gwero la shuga chifukwa munthuyo akhoza kutsamwa. Ngati simukudziwa ngati mungagwiritse ntchito glucagon, dziwani kuti ndizosatheka kuti munthu azidutsitsa pa glucagon. Mwambiri, ngati simukudziwa, ndibwino kuti mupereke.

Momwe mungapangire glucagon

Ngati munthu akukumana ndi vuto lalikulu la hypoglycemic, itanani 911 kapena nambala yanu yadzidzidzi kuti mupeze chithandizo chamankhwala nthawi yomweyo.

Kuti muchiritse hypoglycemia yayikulu pogwiritsa ntchito chida cha glucagon, tsatirani izi:

1. Tsegulani zida za glucagon. Mumakhala syringe (singano) yodzaza ndi madzi amchere komanso botolo laling'ono la ufa.Singanoyo imakhala ndi choteteza pamwamba pake.
2. Chotsani kapu mu botolo la ufa.
3. Chotsani pamwamba pachitetezo cha singano ndikukankhira singano mpaka mu botolo.
4. Thirani madzi onse amchere kuchokera mu singano mu botolo la ufa.
5. Sungani botolo modekha mpaka ufa wa glucagon utasungunuka ndipo madziwo awonekeratu.
6. Tsatirani malangizo a dosing pa chida kuti mutenge kuchuluka kolingana kwa glucagon mu singano.
7. Jeketsani glucagon m'kati mwa ntchafu yakunja, mkono wakumtunda, kapena matako. Ndi bwino kubaya kudzera mu nsalu.
8. Pindutsani munthuyo mbali yake, ikani bondo lake lakumtunda pangodya (ngati kuti akuthamanga) kuti akhazikike. Izi zimadziwikanso kuti "kuchira."

Osamupatsa munthu glucagon pakamwa chifukwa sizigwira ntchito.

Mlingo wa glucagon

Pa mitundu yonse iwiri ya jakisoni wa glucagon ndi:

• 0.5 mL wa glucagon yankho la ana azaka 5 kapena kupitilira apo, kapena ana omwe amalemera ochepera 44 lbs.
• Yankho la 1 mL la glucagon, lomwe lili ndi zida zonse za glucagon, la ana azaka 6 kapena kupitirira komanso akulu

Mphuno yamphongo ya glucagon imabwera muyezo umodzi wokha wa 3 mg.

Zotsatira zoyipa za glucagon

Zotsatira za glucagon nthawi zambiri zimakhala zazing'ono. Anthu ena amatha kusanza kapena kusanza atagwiritsa ntchito jekeseni wa jakisoni.

Kumbukirani kuti nseru ndi kusanza zitha kukhalanso zizindikiro za hypoglycemia yoopsa. Zingakhale zovuta kudziwa ngati wina akukumana ndi vuto la glucagon kapena chizindikiro chokhudzana ndi hypoglycemia.

Kuphatikiza pa nseru ndi kusanza, malipoti akuti nasal glucagon amathanso kuyambitsa:

• maso amadzi
• Kuchuluka kwa mphuno
• mkwiyo wa chapamwamba kupuma thirakiti

Ngati zizindikiro za mseru komanso kusanza zimalepheretsa munthu kudya kapena kumwa gwero la shuga atakhala ndi glucagon, pitani kuchipatala.

Pambuyo popereka glucagon

Zitha kutenga mphindi 15 kuti munthu adzuke atalandira glucagon. Ngati sadzuka patatha mphindi 15, amafunikira thandizo lachipatala mwadzidzidzi. Amathanso kulandira mulingo wina wa glucagon.

Akadzuka, ayenera:

• onetsetsani kuchuluka kwa shuga m'magazi awo
• idyani gwero la magalamu 15 a shuga wogwira ntchito mwachangu, monga soda kapena madzi okhala ndi shuga, ngati angathe kumeza bwinobwino
• idyani chotupitsa tating'onoting'ono monga tchipisi ndi tchizi, mkaka kapena bala la granola, kapena idyani chakudya pasanathe ola limodzi
• onetsetsani kuchuluka kwa shuga m'magazi ola lililonse kwa 3 kapena 4 yotsatira

Aliyense amene akukumana ndi shuga wotsika kwambiri wamagazi yemwe amafunikira chithandizo ndi glucagon ayenera kulankhula ndi dokotala za zomwe zachitikazi. Ndikofunikanso kupeza chida chobweretsera glucagon nthawi yomweyo.

Kuchiza shuga wotsika magazi pomwe glucagon sikofunikira

Ngati shuga wochepa amathandizidwa mwachangu, nthawi zambiri samatsika pang'ono kuti ungaganizidwe kuti ndiwowopsa. Glucagon imangofunika pakakhala hypoglycemia yayikulu, pomwe munthu sangathe kudzichitira yekha.

Nthawi zambiri, munthu yemwe ali ndi matenda ashuga amatha kudzichitira yekha shuga wochepa kapena osathandizidwa pang'ono. Mankhwalawa ndi kudya magalamu 15 azakudya zothamanga, monga:

• Juice kapu yamadzi kapena koloko yomwe imakhala ndi shuga (osati zakudya)
• Supuni 1 uchi, madzi a chimanga, kapena shuga
• mapiritsi a shuga

Kutsatira chithandizo, ndikofunikira kudikirira mphindi 15 kenako kuyambiranso kuchuluka kwa shuga m'magazi anu. Ngati shuga m'magazi anu akadali ochepa, idyani magalamu ena 15 a chakudya. Pitirizani kuchita izi mpaka magazi anu atapitirira 70 mg / dL (4 mmol / L).

Kutenga

Matenda ambiri a hypoglycemia amatha kudziyendetsa wokha, koma ndikofunikira kukonzekera. Hypoglycemia yayikulu imayenera kuthandizidwa ndi glucagon.

Mutha kulingalira kuvala ID yachipatala. Muyeneranso kuuza anthu omwe mumakhala nawo nthawi yayitali kuti muli ndi matenda a shuga 1 komanso komwe mungapeze mankhwala anu a glucagon.

Kuunikanso njira zomwe mungagwiritsire ntchito mankhwala a glucagon ndi ena kungakuthandizeni kuti mukhale omasuka kwa nthawi yayitali. Mudzadziwa kuti wina ali ndi luso lokuthandizani ngati mungafunike.