Asanga (wazaka 38), mkulu wa malonda, anabwera ku chipatala changa Lachisanu madzulo. Anali ndi nkhawa kwambiri.
"Dokotala Priya, ndinamwa mabotolo awiri a mowa ndi anzanga Lachisanu lapitali. Patatha mphindi 20 nditamwa, ndinamva chizungulire kwambiri ndipo thupi langa lonse linayamba kugwedezeka. Kuphatikiza apo, ndinatuluka thukuta lozizira. Ndinkaganiza kuti ndi kukoma kwamphamvu kwa mowa wamba. Koma sindinathe kuyenda mumsewu ndipo ndinayamba kukomoka. Nditayang'ana ndi glucometer yomwe mnzanga anali nayo, shuga wanga m'magazi unatsika kufika pa 55 mg/dL! Ndine wodwala matenda a shuga. N’chifukwa chiyani izi zinandichitikira dokotala?" Asanga anafunsa.
Ndinafotokozera Asanga kuti: "Asanga, mukukumana ndi vuto la hypoglycemia , lomwe ndi shuga wochepa kwambiri m'magazi. Nthawi zambiri, shuga m'thupi lathu akatsika, chiwindi chimasandutsa shuga wosungidwa, kapena glycogen, kukhala shuga ndikuutulutsa m'magazi. Koma mukamwa mowa, chiwindi chimayenera kuika patsogolo ntchito yowotcha ndi kutulutsa mowa, womwe ndi poizoni m'thupi. Panthawiyo, chiwindi chimasiya kupanga shuga kwakanthawi. Chifukwa chake, ngati munthu amwa mapiritsi a shuga amwa mowa m'mimba yopanda kanthu kapena wopanda chakudya chokwanira, shuga wake umatsika mofulumira."
🚨 Zizindikiro zofiira zomwe zimafuna chithandizo chamankhwala mwachangu
Anthu ambiri amalakwitsa zizindikiro za shuga wotsika m'magazi (hypoglycemia) akamwa mowa ngati zizindikiro za kuledzera mwachibadwa (monga kumva chizungulire). Komabe, ngati zizindikiro zotsatirazi zichitika, ndi vuto lachipatala ndipo liyenera kuthandizidwa nthawi yomweyo:
- Kugwedezeka kwambiri kwa thupi komanso thukuta lozizira mosalekeza.
- Kulankhula movutikira (kusalankhula bwino mawu) ndi kusokonezeka kwakukulu.
- Kulephera kuyenda, kusawona bwino, komanso kukomoka.
- Zizindikiro monga kutaya chidziwitso kapena khunyu.
Momwe mowa umakhudzira anthu odwala matenda a shuga
Kumwa mowa kumakhudza mwachindunji kuchuluka kwa shuga m'magazi ndi thanzi m'njira zotsatirazi:
1. Kusagwirizana ndi mankhwala: Mankhwala a shuga monga sulfonylureas ndi meglitinides amalimbikitsa kapamba kupanga insulin yambiri. Kumwa mowa pamene mukumwa mankhwalawa kungayambitse kuchepa kwa shuga m'magazi mwachangu.
2. Kuchepa kwa shuga m'magazi mochedwa: Pali chiopsezo chotsika shuga m'magazi mkati mwa mphindi zochepa mpaka maola 12-24 mutamwa mowa. Makamaka ngati mumamwa mowa usiku ndikugona, shuga m'magazi mwanu amatha kutsika pamene mukugona.
3. Kuwonjezeka kwa mavuto: Kugwiritsa ntchito mowa pafupipafupi kumawonjezera chiopsezo cha matenda a mtima ndi mitsempha yamagazi, zomwe ndi mavuto akuluakulu a matenda a shuga.Mkhalidwewu ukuipiraipira mofulumira.
Njira zoti mutenge ngati pakhala ngozi (Lamulo la 15)
Ngati shuga m'magazi mwanu watsika pansi pa 70 mg/dL mutamwa mowa, chitani izi nthawi yomweyo:
1. Patsani thupi magalamu 15 a shuga nthawi yomweyo: mapiritsi 3-4 a shuga, theka la chikho cha madzi a zipatso, kapena supuni imodzi ya shuga wosungunuka m'madzi ndipo imwani.
2. Dikirani mphindi 15: Dikirani mphindi 15 osadya chilichonse kenako muyezenso shuga m'magazi mwanu.
3. Ngati shuga ali pansi pa 70 mg/dL: Perekani magalamu 15 a shuga kachiwiri ndipo yesani shuga m'mphindi zina 15.
4. ⚠️ Chofunika: Ngati wodwalayo ali ndi chikumbumtima kapena akuvutika kumeza, musamupatse chilichonse pakamwa ndipo mupite naye kuchipatala nthawi yomweyo. Jakisoni wa glucagon, womwe umaperekedwa kuti uwonjezere shuga m'magazi mutamwa mowa, sugwira ntchito (chifukwa chiwindi chimakhala chotanganidwa kuchotsa mowa).
Zoyenera kuchita ndi zosayenera kuchita
| ✔️ Zinthu zoti muchite (kuchita) | ❌ Zosayenera kuchita |
|---|---|
| Onetsetsani kuti mwayang'ana kuchuluka kwa shuga m'magazi mwanu musanamwe mowa komanso mutamwa. | Musamwe mowa muli ndi njala. Idyani chakudya chokhala ndi chakudya cham'mimba mukumwa mowa. |
| Mukamwa mowa, gwiritsani ntchito soda, madzi, kapena zinthu zosakaniza zakudya zopanda shuga. | Pewani kumwa zakumwa zotsekemera monga soda, vinyo wotsekemera, kapena mowa. |
| Valani khadi kapena chibangili chosonyeza kuti muli ndi matenda a shuga. | Musamwe mowa usiku, yang'anani kuchuluka kwa shuga m'magazi mwanu, ndipo pitani kukagona osadya chakudya chowonjezera. |
❓ Mafunso ena omwe mungakhale nawo (FAQ)
Kodi munthu wodwala matenda a shuga ayenera kumwa mowa wochuluka bwanji?▼
Malire abwino ndi chakumwa chimodzi (yuniti imodzi) patsiku kwa akazi omwe ali ndi matenda ashuga ndi chakumwa ziwiri (yuniti ziwiri) patsiku kwa amuna. Mowa sayenera kupitirira mayuniti 14 pa sabata ndipo ndikofunikira kumwa masiku angapo osamwa mowa pa sabata.
Kodi kumwa mowa kumawonjezera shuga m'magazi? ▼
Popeza mowa uli ndi chakudya chambiri, poyamba ukhoza kukweza shuga m'magazi. Koma thupi likayamba kugaya mowa (makamaka patatha maola ochepa), shuga m'magazi amayamba kuchepa mofulumira.
Kodi ndingathe kumwa mowa pamene ndikumwa metformin ?
Kumwa mowa wochuluka mukumwa metformin kungakhale koopsa kwambiri. Kungayambitse matenda osowa koma oopsa otchedwa lactic acidosis, omwe ndi kuchuluka kwa ma asidi owopsa m'thupi.
Kodi mungapewe bwanji hypoglycemia usiku? ▼
Onetsetsani kuti mwayang'ana kuchuluka kwa shuga m'magazi mwanu pogwiritsa ntchito chipangizo choyezera shuga musanagone mutamwa mowa. Ngakhale zitakhala zachilendo, idyani chakudya chopatsa thanzi chokhala ndi chakudya chopatsa mphamvu pang'onopang'ono, monga sangweji kapena oats, musanagone.
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