Mankhwala a hypoglycemia (shuga otsika magazi) amapezeka pamene shuga lanu la shuga (shuga) ndilopitirira kapena likufanana ndi 70 mg / dL ndipo zizindikiro zilipo. Zikhoza kuyambitsidwa ndi zifukwa zingapo, malingana ndi ngati mukudwala matenda a shuga kapena ayi. Odwala matenda a shuga, zimayambitsa kusadya chakudya chokwanira, kumwa mowa, kumwa mankhwala molakwika, ndi kulemera.
Kwa anthu omwe alibe shuga, hypoglycemia ingayambitsidwe ndi mankhwala, kumwa mowa kwambiri, ndi matenda ena ndi matenda.
Zomwe Zimayambitsa
Mankhwala a hypoglycemia amapezeka pamene mulibe shuga wokwanira m'magazi kuti mupatse thupi lanu mphamvu. Zomwe zingayambitse zimadalira ngati muli ndi shuga kapena ayi. Ndikofunika kudziwa kuti hypoglycemia kawirikawiri sizimachitika kwa anthu omwe ali ndi matenda a shuga a mtundu wa 2 amene akugwiritsa ntchito zakudya zokhazokha pofuna kuthetsa matenda awo a shuga.
Anthu Amene Ali ndi Matenda a Shuga
Ngati muli ndi matenda a shuga ndipo mutenga mankhwala ochepetsa insulini kapena mankhwala omwe amachititsa kuti thupi lisamatetezedwe, pali zifukwa zingapo zomwe zingayambitse matenda a hypoglycemia, kuphatikizapo:
- Kupanda chakudya: Carbs ndizofunikira kwambiri thupi, kotero ngati musadye mokwanira, shuga lanu la magazi likhoza kuthira, makamaka ngati mumachepetsa chiwerengero cha carbs, koma musasinthe mankhwala moyenera.
- Kuchepetsa kapena kudyetsa chakudya: Ngati mutenga mankhwala a shuga kapena kumwa mankhwala odwala matenda a shuga, kudya chakudya mochedwa kuposa momwe mwakonzekera kapena kuchidula kwathunthu kungayambitse hypoglycemia. Onetsetsani kuti mukulankhulana ndi dokotala wanu ngati mukuyenera kudumphira mankhwala anu ngati simukudya.
- Kuchita masewera olimbitsa thupi: Pamene kuchita masewera olimbitsa thupi ndiwothandiza kwambiri kuchepetsa ma shuga a magazi, kutaya thupi, kutentha mafuta, ndi mphamvu zowonjezera, ngati muli ndi shuga ndi kuchita masewera olimbitsa thupi popanda kudya, kuchita zozizwitsa kuposa momwe mumachitira, kapena kuchepetsa chakudya chanu, inu akhoza kukhala ndi hypoglycemic. Onetsetsani kuti muli ndi zozizwitsa zokha pamodzi ndi inu musanayambe kapena mutangotha masewera olimbitsa thupi, komanso gwero lachitetezo cha zakudya monga zoumba, madzi, kapena odzola, ngati shuga lanu la magazi likuchepa kwambiri.
- Kutenga mankhwala osayenera a mankhwala kapena insulini: Mankhwala ambiri a shuga kapena mankhwala a shuga angayambitse hypoglycemia.
- Osatenga insulini kapena mankhwala nthawi zonse: Anthu nthawi zambiri amawona dokotala chifukwa shuga awo amagazi ndi okwera kwambiri, komabe nthawi zina, chifukwa chakuti samamwa mankhwala awo. Ngati dokotala wanu akuganiza kuti mumamwa mankhwala anu nthawi zonse, komabe shuga lanu la magazi lidali lapamwamba (chifukwa simunatenge), iye akhoza kupereka mlingo wapamwamba pofuna kuchepetsa shuga wanu wa magazi popanda kudziwa kuti simulitenga. Ndiye, ngati mutasankha kumwa mankhwala anu, mumayambitsa matenda a hypoglycemia. Pofuna kupewa izi, onetsetsani dokotala wanu za momwe mukuchitira ndi kumwa mankhwala anu komanso chifukwa chake simuli ngati simuli. Ayenera kukhala ndi chithunzi cholondola cha momwe mukutsatira kukuchitirani moyenera ndikugwira ntchito ndi inu kuti mupeze njira ina, ngati kuli kofunikira.
- Kumwa mowa: Ngati mukudwala mankhwala a shuga kapena kumwa mankhwala a shuga, kumwa mowa kumayambitsa hypoglycemia. Izi sizikutanthauza kuti simungakhoze kumwa zakumwa zoledzeretsa, koma muyenera kuzidya bwino ndikusamala kuti muyang'ane shuga lanu la magazi pamene mukuchita.
- Kulemera kwa thupi: Kutaya thupi kungakuchititseni kuti mukhale ovuta kwambiri kwa insulini, zomwe zimachititsa kuti mukusowa mankhwala ochepa kapena opanda. Komabe, chifukwa kulemera kwa thupi kumakupangitsani kuti mukhale ovuta kwambiri ku insulin, ikhoza kuyambitsa hypoglycemia ngati mukuganiza kuti mumakhala ndi insulini yochuluka kwambiri. Onetsetsani kuti mungalankhule ndi dokotala wanu za kuchepa kwa mlingo wanu ngati mukutopa.
- Kulimbana ndi shuga wa magazi: Ndikofunika kuzindikira kuti kuyendetsa mphamvu kwa shuga, kumawonjezera chiopsezo cha hypoglycemia, makamaka kumayambiriro kwa chithandizo. Ngati muli ndi mphamvu yolimbitsa shuga, muyenera kupatsidwa zipangizo zoyenera, chidziwitso, ndi chithandizo kuti mupewe zigawo zazikulu zokhudzana ndi matenda a hypoglycemic pamene mukupitirizabe kusunga magulu m'magulu. Kamodzi kokha, hypoglycemia ndi yachilendo, koma ngati izi zikuchitika, muyenera kulankhula ndi dokotala wanu za masitepe kuti muletse shuga lanu la magazi kuti lichepetse kwambiri musanayambe kuchitika mwamsanga.
- Matenda a Impso: Chimodzi cha matenda a shuga ndi matenda a impso, zomwe zingapangitse impso zanu kutenga nthawi yaitali kuti zichotse insulini kuntchito yanu, zomwe zingayambitse matenda a hypoglycemia.
Anthu Opanda Chiwindi
Hypoglycemia imapezeka kawirikawiri kwa anthu omwe alibe shuga. Ngati mulibe matenda a shuga ndipo mumayambitsa matenda a hypoglycemia, izi zikusonyeza kuti chinthu china chikuchitika m'thupi lanu. Zowonjezereka zimaphatikizapo:
- Mankhwala: Hypoglycemia ingayambitsidwe ndi mankhwala ena, makamaka kwa ana kapena anthu omwe ali ndi impso kulephera. Mankhwala omwe amagwiritsidwa ntchito pochititsa kuti munthu azidwala matenda a shuga amaphatikizapo kumwa mankhwala a shuga, munthu amene amamwa mankhwala a shuga, qualaquin (quinine), antibiotic Zymaxid (gatifloxacin), antibiotic mankhwala cibenzoline, Pentamidine mankhwala osokoneza bongo (pentamidine), mankhwala osokoneza bongo (nonsteroidal anti-inflammatory drugs) NSAID) Indocin ndi Tivorbex (indomethacin), ndi glucagon.
- Kumwa mowa mopitirira muyeso: Ngati simudya mokwanira kapena simudye konse ndipo mumamwa mowa mopitirira muyeso, makamaka pakapita masiku angapo, mungakhale ndi hypoglycemic. Kusakaniza mowa kwambiri ndi kusowa kwa chakudya kungachititse chiwindi chanu kusaika shuga m'magazi anu, kuchititsa kuti shuga lanu la shuga liwonongeke.
- Matenda ovuta: Matenda a impso, matenda a chiwindi, matenda a chiwindi, malungo, ndi sepsis (vuto la kutenga matenda) ndizo matenda omwe angayambitse matenda a hypoglycemia.
- Kulephera kwa mahomoni: Matenda a Adrenal monga matenda a Addison ndi matenda enaake amachititsa kuti hypoglycemia isakhale ndi homoni yokwanira ya kukula kwa ana.
- Kupanga insulini yambiri: Anthu ena ali ndi insulin yowonjezera kwambiri yomwe imayambitsa hypoglycemia. Ziphuphu zina zingayambitse kuperewera kwamtunduwu, monga momwe zingathetsere maselo a beta mu makanda.
- Matenda a insulin: Ichi ndi chosowa kwambiri chomwe thupi lanu limapanga tizilombo toyambitsa matenda omwe amachititsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda, timayambitsa matenda a hypoglycemia. Ikhoza kukhala mbali ya matenda ena omwe amatha kuzimitsa thupi kapena angayambitsidwe ndi mankhwala ena.
Zowopsa
Pali zifukwa zina zomwe zingachititse kuti mukhale ndi hypoglycemia.
Anthu ena
Ana omwe ali ndi matenda a shuga a mtundu wa 1, okalamba, ndi anthu omwe ali ndi ubongo wa hypoglycemia ali pachiopsezo chachikulu chokhala ndi hypoglycemia. Kusadziwika kwa hypoglycemia kungatheke ngati mumakhala ndi shuga wotsika kwambiri, zomwe zingapangitse thupi lanu kukhala losazindikiritsidwa ndi zizindikiro. Kulephera kuwona zizindikiro, monga kutukuta, kugwedezeka, kuwonjezeka kwa mtima, nkhawa, kapena njala, ndizoopsa chifukwa zingayambitse kuzindikira ngakhale imfa. Ngati mukumva chithandizo cha hypoglycemia nthawi zambiri, ndizofunikira kulankhula ndi dokotala wanu za izo kuti mutha kuzipeza bwino ndikupewa vuto linalake.
Kutenga Mankhwala Ena
Ngati mukugwiritsa ntchito mankhwala enaake a mtundu wa shuga, monga sulfonylureas , insulini, kapena insulini komanso mankhwala osakaniza insulini , muli ndi chiopsezo chachikulu cha hypoglycemia. Mapiritsi ena pamodzi ndi mankhwala ena omwe sali ndi shuga angathe kuonjezera chiopsezo cha shuga wotsika kwambiri. Lankhulani ndi dokotala wanu za nthawi ndi kuchuluka kwa mankhwala anu kuti mutenge kuti musapangire zolakwika poyesa. Musamamwe mankhwala ochulukirapo ndipo yesetsani kumamatira ku dongosolo la chakudya chokonzekera kuti muteteze shuga lanu la magazi.
Kusuta
Ngati muli ndi matenda a shuga ndipo mutenga matenda a shuga, kusuta fodya kumawonjezera chiopsezo chanu chokhala ndi hypoglycemia. Nicotine mu ndudu, ndudu, ndi mapaipi zingayambitse shuga wotsika magazi, mwinamwake chifukwa amasintha maselo anu kuti asatulutse insulini komanso mwamsanga.
Kubadwa Mwamsanga
Mwana wanu atabadwa msanga, iye ali pachiopsezo chachikulu chotenga hypoglycemia masiku atabereka kubadwa, makamaka pa maola 48 oyambirira. Chifukwa cha ichi ndi chakuti pamene uli ndi pakati, umapereka shuga kwa mwana wako kudzera mu chingwe cha umbilical. Chakumapeto kwa mimba yanu, mwana wanu ayamba kusunga shuga amene mumamupatsa m'chiwindi chake kuti agwiritse ntchito atabereka. Adzalandira shuga onse amene amafunikira pambuyo pa kubadwa kuchokera ku chakudya chokwanira kapena chakumwa.
Mwana wanu atabadwa msanga, kuchuluka kwa shuga amene wasungira ndi kochepa kuposa kwa mwana wathanzi kuyambira chiwindi chake sichinayambe. Popeza adani ambiri amawopsa, poyamba sangathe kupeza mlingo wa shuga omwe amawafuna atangotentha pang'ono. Zowonjezera zomwe zingapangitse chiopsezo cha hypoglycemia pamwamba pa adani ndi izi:
- Zovuta kupweteka
- Kuvuta kusunga kutentha kwa thupi
- Kutenga
- Zakudya zimayenera kuchedwa poyamba
- Mayiyo anali ndi matenda a shuga ali pakati, akupanga insulini kwambiri m'magazi a mwana wanu
- Matenda alionse omwe amachititsa kuti azidwala matenda a hypoglycemia
Ngakhale hypoglycemia ingasanduke mkhalidwe woopsa ikapanda kuchiritsidwa, kawirikawiri imakhala nthawi yayitali ku adani ndipo imathandizidwa mwamsanga komanso moyenera. Pali mavuto ena omwe angayambitse shuga wotsika kwa nthawi yayitali, koma izi ndizosowa.
> Zotsatira:
> Chigwirizano cha ku America cha shuga. Malamulo a Zamankhwala pa Matenda a Shuga-2017. Chisamaliro cha shuga. January 2017; 40 (Supplement 1): S1-S2. yambitsani \: 10.2337 / dc17-S001.
> Chipatala cha Mayo. Hypoglycemia. Ophunzira a Mayo Clinic. Idasinthidwa pa February 16, 2018.
> Pulogalamu Yachikhalidwe Yophunzitsa Sukulu Zamasulira. Insulin Autoimmune Syndrome. National Institutes of Health. Dipatimenti ya Zaumoyo ya Ukhondo ku United States. Kusinthidwa November 2016.
> Chitukuko cha National Diabetes ndi Matenda a Kumimba ndi Impso. Gulukosi Yamagazi Ochepa (Hypoglycemia). National Institutes of Health. Dipatimenti ya Zaumoyo ya Ukhondo ku United States. Yasinthidwa August 2016.
> Service FJ, Cryer PE, Vella A. Hypoglycemia mwa Achikulire: Zowonetserako zachipatala, Tanthauzo, ndi Zomwe Zimayambitsa. Zaposachedwa. Kusinthidwa pa March 14, 2017.