Kodi shuga m'magazi mwanu amatsika mwadzidzidzi? Tiyeni tikambirane za hypoglycemia!

Kodi muli ndi matenda a shuga? Ngati ndi choncho, kodi nthawi zina mumatuluka thukuta mwadzidzidzi, kugwedezeka, ndikumva kusakhazikika pang'ono? Mwina mukumva njala, chizungulire, kapena kugunda kwa mtima wanu kukuthamanga. Izi ndi zomwe madokotala amati 'hypoglycemia'. Mwachidule, kuchuluka kwa shuga komwe thupi lathu lingagwiritse ntchito pamene mphamvu zimachepa mwadzidzidzi.

Kodi hypoglycemia ndi chiyani?

Taganizirani thupi lathu ngati galimoto. Monga momwe galimoto imafunikira mafuta kuti iziyenda, thupi lathu limafunikira mphamvu kuti ligwire ntchito za tsiku ndi tsiku, monga kuganiza, kupuma, kuyenda, ndi kuthamanga. Gwero lalikulu la mphamvu m'thupi lathu ndi shuga, kapena kungoti 'shuga'. Pamene shuga m'thupi la munthu wodwala matenda a shuga watsika mwadzidzidzi kwambiri, thupi limataya 'mafuta' omwe limafunika kuti ligwire ntchito. Nthawi zambiri, zizindikirozi zimayamba kuonekera pamene shuga m'magazi watsika pansi pa 70 mg/dL (milligrams pa deciliter).

Kodi zizindikiro zake zimakhala zotani nthawi ngati iyi?

Zizindikiro za hypoglycemia sizifanana kwa aliyense. Ngati muli ndi matenda a shuga, pang'onopang'ono mudzazindikira momwe thupi lanu limayankhira vutoli. Zizindikirozi zitha kugawidwa m'magulu awiri: zizindikiro zoyambirira ndi zizindikiro zoopsa kwambiri.

N’chifukwa chiyani shuga m’magazi amatsika chonchi?

Pali zifukwa zingapo zomwe zimapangitsa izi. Zofunika kwambiri ndi mankhwala omwe timamwa a matenda a shuga komanso zakudya zomwe timadya.

Mankhwala ena a matenda a shuga

Ndikofunikira kwambiri kufunsa dokotala wanu ngati mankhwala a shuga omwe mukumwa angayambitse shuga m'magazi.

• Chithandizo cha Insulin: Insulin ndiye mahomoni akuluakulu omwe amalamulira kuchuluka kwa shuga m'magazi. Mukamamwa insulin kunja kwa thupi, nthawi zina ngati mlingo womwe watengedwa ndi wokwera kuposa momwe thupi limafunira, kuchuluka kwa shuga m'magazi kumatha kutsika.
• Sulfonylureas: Awa ndi mankhwala odziwika bwino omwe amagwiritsidwa ntchito pochiza matenda a shuga. Amagwira ntchito polimbikitsa kapamba kuti apange insulin yambiri. Izi nthawi zina zingayambitse shuga m'magazi. Zitsanzo zina ndi izi:
• Glimepiride (Amaryl)
• Glipizide (Glucotrol)
• Glibenclamide (Glyburide, Micronase)

Kuphatikiza apo, ngati mumwa mowa pamodzi ndi mankhwala anu a shuga, kapena ngati mumwa mankhwala ena monga allopurinol, aspirin, kapena warfarin, amatha kusokonezana ndikuyambitsa shuga wotsika m'magazi. Chifukwa chake, dziwitsani dokotala wanu za mankhwala onse omwe mukumwa.

Zotsatira za chakudya ndi zakumwa

Ngati mumwa mapiritsi a insulin kapena a shuga omwe sakugwirizana ndi kuchuluka kwa chakudya (wowuma/shuga) chomwe mumadya, shuga m'magazi mwanu akhoza kutsika.

• Kudumpha kapena kuchedwetsa kudya: Ngati simudya panthawi yoyenera mutamwa mankhwala anu, shuga m'magazi mwanu adzatsika chifukwa shuga wochepa umalowa m'thupi lanu.
• Kudya zakudya zokhala ndi shuga wambiri: Ngati mudya zakudya zambiri zokhala ndi shuga wambiri (monga zakumwa zotsekemera, makeke) nthawi imodzi, thupi lanu lidzapanga insulini yambiri mwadzidzidzi. Izi zingayambitse kutsika kwa shuga m'magazi mwanu mwadzidzidzi.
• Kumwa mowa m'mimba yopanda kanthu: Kumwa mowa popanda chakudya chilichonse kungalepheretse kupanga shuga m'chiwindi ndikuyambitsa hypoglycemia.
• Kuchita Maseŵera Olimbitsa Thupi: Mukamachita maseŵera olimbitsa thupi, thupi lanu limagwiritsa ntchito shuga kuti likhale ndi mphamvu. Choncho muyenera kusamala ndi kuchuluka kwa shuga m'thupi lanu musanayambe komanso mutatha kuchita maseŵera olimbitsa thupi.

Kodi mumatani shuga m'magazi mwanu akachepa?

Ngati mukuganiza kuti mukukumana ndi zizindikiro za hypoglycemia, musachite mantha ndipo tsatirani izi.

1. Yang'anani shuga m'magazi mwanu nthawi yomweyo: Ngati n'kotheka, yang'anani shuga m'magazi mwanu pogwiritsa ntchito glucometer yanu. Ngati ili pansi pa 70 mg/dL, chitanipo kanthu nthawi yomweyo.

2. Tsatirani lamulo la '15-15':

• Gawo 1: Idyani kapena imwani pafupifupi magalamu 15 a chakudya chopatsa mphamvu chomwe chimagwira ntchito mwachangu.
• Mapiritsi 3-4 a shuga
• Ma sweet toffee 4-6 (osati opanda shuga)
• 1/2 chikho cha madzi a zipatso (osati opanda shuga)
• Kapu imodzi ya mkaka wotsekemera
• 1/2 chikho cha chakumwa chofewa chotsekemera
• Supuni imodzi ya uchi (uchi umalowa m'magazi mwachangu ukayikidwa pansi pa lilime)
• Gawo 2: Dikirani mphindi 15.
• Gawo 3: Yang'ananinso shuga m'magazi mwanu. Ngati ikadali pansi pa 70 mg/dL, idyaninso magalamu 15 a chimodzi mwa zakudya zomwe zatchulidwa pamwambapa.

3. Shuga m'magazi mwanu akabwerera mwakale: Shuga m'magazi mwanu akabwerera mwakale, idyani chakudya chopepuka chokhala ndi mapuloteni ndi chakudya chopatsa mphamvu (monga biscuit ya kirimu yokhala ndi tchizi) kuti shuga m'magazi mwanu akhalebe wabwinobwino.

Nanga bwanji ngati wina ataya chikumbumtima?

Nthawi zina, hypoglycemia ingayambitse kutaya chidziwitso. Izi zimachitika mwadzidzidzi.

• Musapatse munthu amene sakudziwa chakudya kapena chakumwa pakamwa. Kuchita zimenezi kungapangitse kuti munthuyo alowe m'njira yopumira mpweya ndikupangitsa kuti vutoli liipireipire.
• Imbani ambulansi nthawi yomweyo kapena tengani munthuyo ku Chipatala cha Emergency Treatment Unit (ETU) chapafupi.
• Ngati dokotala wanu walangiza kuti mugwiritse ntchito jakisoni wotchedwa glucagon, ndikofunikira kwambiri kuti muphunzitse banja lanu ndi anzanu momwe mungaperekere jakisoniyo pakagwa ngozi. Glucagon ndi mahomoni omwe amakweza shuga m'magazi mwachangu.

Samalani mukamayendetsa galimoto!

Kuyendetsa galimoto muli ndi shuga wochepa m'magazi n'koopsa kwambiri . Ngati mukuona zizindikiro za hypoglycemia mukuyendetsa galimoto, imitsani galimoto nthawi yomweyo pamalo otetezeka pamsewu. Kenako yesani shuga m'magazi mwanu, idyani china chake chotsekemera, dikirani mphindi 15, yesaninso, ndipo yendetsaninso kokha shuga m'magazi mwanu akabwerera mwakale. Nthawi zonse sungani chakudya chotsekemera (toffee, glucose) m'galimoto yanu pakagwa ngozi.

Kodi mungatani kuti muchepetse hypoglycemia?

• Tsatirani ndondomeko ya chakudya yomwe dokotala wanu kapena katswiri wa zakudya wakupatsani bwino lomwe.
• Idyani zakudya zanu zazikulu zitatu nthawi zonse. Musalole kuti kusiyana pakati pa chakudya kupitirire maola 4-5.
• Ngati mukuchita masewera olimbitsa thupi, chitani izi theka la ola kapena ola mutadya. Yang'anani kuchuluka kwa shuga m'magazi mwanu musanayambe komanso mutachita masewera olimbitsa thupi.
• Musanamwe mankhwala, onetsetsani kuti mukumwa mankhwala oyenera komanso mlingo woyenera .
• Ngati mumamwa mowa, chepetsani kumwa mowa. Pewani kumwa mowa m'mimba mulibe chakudya.
• Funsani dokotala wanu za kuchuluka kwa mankhwala omwe mukumwa.
• Yang'anani shuga m'magazi mwanu nthawi zonse monga momwe dokotala wanu walangizira.
• Kuvala chiphaso kapena chibangili chosonyeza kuti muli ndi matenda a shuga kungakhale kofunika kwambiri pakagwa ngozi.

Ngati shuga m'magazi mwanu ndi wotsika kangapo pa sabata popanda chifukwa chomveka, lankhulani ndi dokotala wanu za izi. Lembani nthawi, tsiku, ndi zomwe munkachita panthawiyo. Izi zithandiza dokotala wanu kuzindikira njira inayake ndikusintha chithandizo chanu.