Chodabwitsa chimene chimafuna kuyeza kwachipatala kukafunafuna wolakwa
Anthu ambiri akamva mawu akuti " shuga otsika magazi ," amayamba kulumikiza ndi shuga . Komabe, ngakhale shuga wotsika kwambiri (yotchedwa hypoglycemia) ndi yofala pakati pa anthu omwe ali ndi shuga, ikhozanso kuchitika kwa anthu omwe alibe matenda a shuga.
Kwenikweni, shuga wotsika m'magazi angayambe patangotha maola angapo mutatha kudya, chodabwitsa chimatchedwa hypoclycemia kapena hypoglycemia.
Zizindikiro za Kugonjera Hypoglycemia
Zizindikiro za chithokomiro chothetsera matenda m'thupi zimakhala zosauka komanso zosasokoneza (mwachitsanzo, kumverera nkhawa, kutukuta, kusokonezeka, kapena njala) kuti zikhale zovuta (mwachitsanzo, kupanga masomphenya ophwanyika, ndi / kapena kutaya).
Komabe, kukhala ndi chizindikiro chimodzi kapena zingapo sizitanthauza kuti muli ndi shuga wotsika kwambiri. Zizindikiro izi zingasonyeze vuto losiyana, monga vuto la mtima kapena ubongo. Ichi ndi chifukwa chake kuyesedwa ndi katswiri wa zaumoyo n'kofunikira.
Kuzindikira za Zosakaniza Hypoglycemia
Kuti muyesedwe kuti muwonetsere kuti mukudwala matenda a shuga, dokotala wanu adzalandira shuga lanu la magazi (lomwe limatchedwa magazi anu shuga) mkati mwa maola anayi kapena asanu mutatha kudya, pamene muli ndi zizindikiro zomwe zimakhala ndi hypoglycemia.
Adzapeza shuga wambiri mwa magazi posonkhanitsa magazi kuchokera ku mitsempha (yotchedwa mpweya). Izi ndi zolondola kwambiri kusiyana ndi kupeza shuga lanu la shuga la magazi kuchokera ku kuyang'anira glucose.
Ngati mumapezeka kuti muli ndi shuga ya m'magazi (nthawi zambiri osachepera 60mg / dL), ndipo zizindikiro zanu zimamasulidwa kamodzi mukasungunuka shuga, dokotala wanu akufuna kufufuza zolemba zamtundu wanu pambuyo pa hypoglycemia yanu ya postpandial, ndipo apa ndi pamene kuyesedwa kwa zakudya zosakaniza.
Mayendedwe Osakaniza
Pakati pa mayeso osakaniza, munthu amadya chakudya ndipo amawoneka kwa maola asanu. Musanayambe kudya ndiyeno mphindi 30 (mpaka maola asanu aliwonse), munthu adziyezetsa magazi kuti awone zotsatirazi:
- Shuga ya magazi (shuga)
- Insulini
- C-peptidi
- Proinsulin
Panthawi ya chakudya, mphukira zanu zimatulutsa insulini, zomwe zimayambitsa kuyamwa ndi kugwiritsa ntchito shuga zomwe zimachokera ku chakudya chanu. Proinsulin ndi imene imagawidwa muziphalaphala kuti ipange molecule imodzi ya C-peptide ndi molekyulu imodzi ya insulini; Zili ngati insulin, wotero.
Kutanthauzira mayeso a mayesowa kumathandiza madokotala kupeza "chifukwa" chotsatira chithokomiro chanu cha postpandial hypoglycemia.
Ndikofunika kuzindikira, komabe nthawi zina palibe chitsimikizo chotsimikizika cha chifukwa chake munthu akudwala shuga m'magazi awo atatha kudya. Mwa kuyankhula kwina, kufufuza kwachipatala kumasonyeza kuti palibe munthu mmodzi. Pachifukwa ichi, njira zowonjezera zakudya zimalimbikitsidwa kupewa ndi kuchiza zizindikiro za hypoglycemic musanadye.
Ngakhale zili choncho, pali zitsanzo zitatu za matenda omwe angayambitse hypoglycemia postprandial:
Insulinoma
Insulinoma ndi chotupa chosadziwika, chomwe chimatulutsira insulini mosalekeza m'thupi. Ngati insulinoma ndi yowonongeka, kuyesera kwa zakudya zosakaniza kudzawonetsa msinkhu wa insulini, C-peptide, ndi proinsulin (pamene shuga wa magazi ndi wotsika).
Kuthamanga kwambiri kapena Kowonjezera kwa insulini
Ngati munthu akumwa insulini yambiri, (tiyeni tiwone kuti ali ndi matenda a shuga kapena akugwiritsa ntchito insulini), mlingo wa insulini udzakhala wapamwamba kwambiri, koma proinsulini ndi C-peptide zidzakhala zochepa (chifukwa insulini ikuchokera kunja thupi, osati ziphuphu).
Kuchita opaleshoni ya m'mimba
Kuchita opaleshoni kwapadera kungachititsenso hypoglycemia yogwira ntchito chifukwa chakudya chingadutse mofulumira kudzera mu dongosolo lakumagazi, popanda kupukutidwa ndi kuyamwa ngati shuga m'magazi. Panopa, monga insulinoma, magulu atatu (insulini, C-peptide, proinsulin) nthawi zambiri amakula.
Kugwiritsa Ntchito Hypoglycemia Yowonongeka
Ngati mwauzidwa kuti muli ndi hypoglycemia yowonongeka, dokotala wanu adzachichiza malinga ndi chifukwa chomwe chimayambitsa. Mwachitsanzo, ngati madokotala akuganiza kuti ndi insulinoma, mudzatumizidwa kuti opaleshoni ichotsedwe.
Ngati hypoglycemia yowonjezereka ndi yovuta kapena yosavomerezeka, pali njira zingapo zomwe muyenera kuzigwiritsa ntchito pofuna kupewa shuga wotsika m'magazi kuti musadye:
- Lembetsani zakudya zokhala ndi chiwerengero chachikulu cha glycemic index, makamaka pamimba yopanda kanthu. Mwachitsanzo, kudya chakudya choyamba mmawa kungayambitse vuto la hypoglycemic.
- Kudya zakudya zochepa, nthawi zambiri zomwe zimaphatikizapo zida zowonjezera komanso mapuloteni.
- Kudya zakudya zosiyanasiyana, zakumwa zam'mimba, ndi zakudya zokwanira za mapuloteni, carbs onse ndi masamba, zipatso, ndi zakudya za mkaka
Ngati muli ndi kachilombo kakang'ono ka chinyengo, zotsatirazi zingabweretse shuga yanu:
- Idyani kapena muzimwa makilogalamu 15 a mavitamini nthawi yomweyo, monga ma ounces anayi a madzi a lalanje, supuni zisanu ndi imodzi za soda okoma nthawi zonse, supuni imodzi ya shuga kapena uchi, kapena supuni ziwiri zazoumba. Izi ziyenera kuthetsa zizindikiro mkati mwa mphindi 15. Mwinanso mungafunike kubwereza masitepewa ngati magazi anu akukhalabe otsika.
- Onetsetsani kuti mudye chakudya chochepa chokwanira kapena chotupitsa pambuyo poti zizindikirozo zatha. Mwachitsanzo, apulo wokhala ndi mandimu kapena supangwe la mkate wa tirigu. Izi zidzateteza shuga wina wamagazi kuti uwonongeke.
Mawu Ochokera
Pamene mukukumana ndi magawo a shuga otsika magazi pambuyo pa kudya kungakhale kosavuta komanso kokhumudwitsa, pali njira zothetsera bwino. Mwinamwake katswiri wathandi akhoza kukuthandizani kuti mukhale ndi njira yowonjezeramo ndikudya zakudya zochepa zomwe zingakuthandizeni kuchepetsa shuga.
Pomaliza, khalani otetezeka, komabe, ndikuwone dokotala poyamba.
> Zotsatira:
> Chitukuko cha National Diabetes ndi Matenda a Kumimba ndi Impso. Low Blood Sugar (Hypoglycemia).
> Service FJ, Vella A. (2017). Hypoglycemia kwa anthu achikulire omwe alibe matenda a shuga: Njira yogonana. Hirsch IB, ed. Zaposachedwa. Waltham, MA: UpToDate Inc.
> Service FJ, Vella A. (2017). Mankhwala otchedwa Postprandial (acitifiketi) a hypoglycemia. Nathan DM, ed. Zaposachedwa. Waltham, MA: UpToDate Inc.
> Stuart K, Field A, Raju J, Ramachandran S. Postprandial othandizidwa ndi hypoglycemia: Kuwonetsa njira zowonetsera zowonjezereka poyeza mayeso okhudzana ndi kulekerera komanso njira zothandizira. Nkhani ya Rep Rep . 2013; 2013: 273957.