Kodi mumakumananso ndi vuto la shuga m'magazi lomwe limachepa mwadzidzidzi? Tiyeni tikambirane za hypoglycemia!

Kodi mwadzidzidzi mumamva kunjenjemera? Mukutuluka thukuta, kumva chizungulire, komanso kumva njala kwambiri? Izi zitha kukhala zizindikiro zosonyeza kuti shuga m'magazi mwanu ndi wotsika kuposa wathanzi. M'mawu azachipatala, timatcha vutoli hypoglycemia . Izi zimachitika kawirikawiri pakati pa anthu omwe ali ndi matenda ashuga. Koma nthawi zina zimatha kuchitikanso kwa anthu omwe alibe matenda ashuga. Chifukwa chake, musachite mantha. Tiyeni tikambirane izi momveka bwino komanso momveka bwino.

Mwachidule, kodi hypoglycemia ndi chiyani?

Kuchepa kwa shuga m'magazi ndi pamene kuchuluka kwa shuga m'magazi, kapena shuga monga momwe timatchulira nthawi zambiri, kumatsika pansi pa mulingo woyenera wa thanzi m'thupi.

• Kwa anthu ambiri omwe ali ndi matenda a shuga, kuchuluka kwa shuga m'magazi pansi pa 70 mg/dL (milligrams pa deciliter) kapena 3.9 mmol/L (millimoles pa lita) kumaonedwa kuti ndi hypoglycemia.
• Kwa munthu wopanda matenda a shuga, hypoglycemia nthawi zambiri imatanthauzidwa ngati kuchuluka kwa shuga m'magazi komwe kuli pansi pa 55 mg/dL (3.1 mmol/L).

Vutoli likachitika, liyenera kuchiritsidwa nthawi yomweyo mwa kudya kapena kumwa china chake chokhala ndi shuga kapena chakudya. Nthawi zina izi zingayambitse vuto lalikulu (hypoglycemia yayikulu). Ngati izi zitachitika, zitha kukhala zoopsa ndipo zimafuna thandizo lachipatala mwachangu.

Chifukwa chiyani shuga m'magazi ndi wofunikira kwambiri m'thupi lathu?

Matupi athu amapeza shuga (shuga) kuchokera ku chakudya chomwe timadya. Ichi ndiye gwero lalikulu la mphamvu m'thupi lathu. Chili ngati mafuta a galimoto. Makamaka, shuga ndi wofunikira kuti ubongo wathu ugwire ntchito. Ubongo umafunika shuga wokwanira nthawi zonse.

Ngati mulibe matenda a shuga, matupi athu amasunga shuga m'magazi mwa njira zinazake kudzera m'njira zosiyanasiyana zachilengedwe. Homoni yaikulu yomwe imathandiza ndi izi ndi insulin, yomwe imapangidwa ndi kapamba. Homoni yotchedwa glucagon ndi yofunika kwambiri pa izi.

Komabe, mwa anthu omwe ali ndi matenda a shuga, njirayi sigwira ntchito bwino. Chifukwa chake, ayenera kuwongolera kuchuluka kwa shuga m'magazi mwa mankhwala (monga jakisoni wa insulin) ndi kusintha moyo wawo. Chifukwa chachikulu chomwe chimapangitsa kuti shuga m'magazi achepe ndi kuwonjezeka kwa kuchuluka kwa insulin m'thupi.

Kodi zizindikiro za shuga wochepa m'magazi ndi ziti?

Zizindikiro za hypoglycemia zingayambe mwadzidzidzi. Ndipo zimatha kusiyana malinga ndi munthu. Ngakhale kuti zizindikirozi zingakhale zosasangalatsa pang'ono, ndi chenjezo labwino lomwe limatiuza kuti, "Shuga wanu ndi wochepa, chitanipo kanthu mwachangu."

Shuga wochepa m'magazi mukamagona (Nocturnal Hypoglycemia)

Nthawi zina, shuga m'magazi amatha kutsika ngakhale titagona. Nazi zina mwa zizindikiro zake:

• Kuvutika ndi tulo
• Thukuta kwambiri moti mapepala ake anyowa
• Kufuula mu tulo tanu
• Maloto oipa
• Kumva kutopa kwambiri komanso kusokonezeka ndikadzuka m'mawa

Kodi shuga m'magazi angatsike popanda kusonyeza zizindikiro? (Kusadziwa za Hypoglycemia)

Inde, izi ndi zoopsa pang'ono. Kwa anthu ena, makamaka odwala matenda ashuga omwe amakhala ndi shuga wochepa m'magazi nthawi zambiri, pakapita nthawi, shuga m'magazi mwawo amatha kutsika popanda kuwonetsa zizindikiro zilizonse. Thupi limazolowera shuga wochepa m'magazi ndipo limasiya kupereka zizindikiro zochenjeza. Izi zimatchedwa hypoglycemia kusadziwa .

Anthu omwe ali ndi vutoli nthawi zambiri amadwala mwadzidzidzi kwambiri. Ngati izi zikukuchitikirani, ndikofunikira kwambiri kuuza achibale anu ndi anzanu za izi. Kuti athe kukuthandizani pakagwa ngozi. Komanso,

• Kugwiritsa ntchito chipangizo chomwe chimayesa kuchuluka kwa shuga m'magazi mosalekeza (Continuous Glucose Monitoring - CGM) kungakuthandizeni kudziwa nthawi yomwe shuga m'magazi mwanu ali otsika.
• Ndibwinonso kuyesa shuga m'magazi anu kangapo patsiku pogwiritsa ntchito glucometer wamba.

Kodi ndi zinthu ziti zomwe zimayambitsa shuga m'magazi?

Zifukwa zake zitha kugawidwa m'magulu awiri: omwe ali ndi matenda a shuga ndi omwe alibe matenda a shuga.

Zifukwa zomwe munthu wodwala matenda a shuga angakhale ndi shuga wochepa m'magazi

Izi zimachitika pamene pali kusalingana pakati pa zakudya, masewera olimbitsa thupi, ndi mankhwala a matenda ashuga.

• Kuchuluka kwa insulin: Kuika insulin yambiri kuposa momwe mukufunira.
• Zolakwika pa nthawi ya mankhwala ndi chakudya: Kumwa insulin osadya kwa nthawi yayitali.
• Kumwa mapiritsi olakwika a matenda a shuga: Kumwa mapiritsi ambiri a matenda a shuga (monga sulfonylureas) kungayambitse shuga wotsika m'magazi.
• Kuchita masewera olimbitsa thupi kuposa masiku onse: Kuchita masewera olimbitsa thupi kwambiri osadya mokwanira kuti athetse vutolo.
• Kumwa mowa m'mimba yopanda kanthu: Kumwa mowa osadya.
• Kusadya chakudya: Kusadya pa nthawi yake.

Nchifukwa chiyani munthu wopanda matenda a shuga amakhala ndi shuga wochepa m'magazi?

Izi n'zosowa pang'ono. Pali mitundu iwiri ikuluikulu.

1. Kuchepa kwa shuga m'magazi (Reactive Hypoglycemia): Izi zimachitika maola awiri kapena anayi mutadya . Makamaka mukadya zakudya zokhala ndi chakudya chopatsa mphamvu monga mpunga, buledi, ndi mbatata, thupi mwadzidzidzi limapanga insulin yambiri, zomwe zimachepetsa shuga m'magazi.

2. Shuga wochepa m'magazi mukamasala kudya (Kusala Hypoglycemia): Izi zitha kuchitika chifukwa cha zinthu zingapo.

• Kugwiritsa ntchito mowa mopitirira muyeso: Kumwa mowa wambiri osadya bwino kwa masiku angapo.
• Matenda aakulu: Matenda monga kulephera kwa chiwindi kapena impso.
• Mavuto a mahomoni: Matenda monga kulephera kwa adrenal.
• Ziphuphu: Zotupa zomwe sizipezeka kawirikawiri m'thupi la kapamba, monga insulinoma, zimayambitsa kupanga insulin yambiri.

Ngati muli ndi zizindikiro izi popanda kukhala ndi matenda a shuga, muyenera kuonana ndi dokotala kuti mudziwe chomwe chikuyambitsa.

Kodi muyenera kuchita chiyani shuga ikachepa? Njira zochizira

Chomwe tikuchita pano ndikupatsa thupi shuga (chakudya) mwachangu.

Muzochitika wamba, "Lamulo la 15-15"

Iyi ndi njira yosavuta komanso yosavuta kukumbukira.

1. Gawo 1: Idyani kapena imwani magalamu 15 a chakudya chopatsa mphamvu chomwe chimagwira ntchito mwachangu .

2. Gawo 2: Dikirani mphindi 15 .

3. Gawo 3: Yesaninso kuchuluka kwa shuga m'magazi mwanu pogwiritsa ntchito glucometer yanu.

4. Gawo 4: Ngati shuga ali pansi pa 70 mg/dL, bwerezani magawo 1, 2, 3.Chitani izi mpaka shuga wanu utabwerera mwakale.

Ndi zakudya ziti zomwe zili ndi magalamu 15 a chakudya?

• Mapiritsi 3-4 a shuga
• Galasi limodzi (1/2 chikho) la madzi a zipatso otsekemera kapena chakumwa choziziritsa kukhosi
• Supuni imodzi ya shuga, uchi, kapena madzi a mapulo
• Hafu ya nthochi yaying'ono

Chithandizo cha matenda oopsa (Hypoglycemia Yoopsa)

Ngati munthu ali ndi shuga wochepa m'magazi ndipo wasokonezeka, sangathe kulankhula, kapena sakudziwa kalikonse , musamupatse chakudya kapena chakumwa pakamwa! Kuchita zimenezi kungapangitse kuti agoneke m'njira yopumira.

1. Jakisoni wa Glucagon: Kwa anthu omwe ali ndi matenda a shuga, dokotala wanu mwina adakulemberani jakisoni wa glucagon pa nthawi yadzidzidzi. Onetsetsani kuti banja lanu likudziwa momwe angagwiritsire ntchito jakisoniyo.

2. Pitani kuchipatala mwamsanga!: Ngati mulibe glucagon kapena simukudziwa momwe mungagwiritsire ntchito, imbani nthawi yomweyo ku ambulansi ya 1990 kapena pitani munthuyo ku Chipatala cha Emergency Treatment Unit (ETU) chapafupi.

3. Mutembenuzireni wodwalayo kumbali: Wodwalayo akhoza kusanza akachira. Choncho, mutembenuzireni wodwalayo kumbali kuti asatsamwe.

Kodi tingatani kuti tipewe vutoli?

Zingakhale zovuta kwa munthu wodwala matenda a shuga kupewa izi kwathunthu, koma n'zotheka kuchepetsa kuchuluka kwa matendawa.

• Tsatirani malangizo a dokotala: Imwani mankhwala omwe dokotala wanu wakupatsani molondola komanso panthawi yoyenera.
• Samalani ndi zakudya ndi masewera olimbitsa thupi: Musamadumphe chakudya. Ngati mukuchita masewera olimbitsa thupi, lankhulani ndi dokotala wanu za izi ndipo sinthani zakudya zanu ngati pakufunika kutero.
• Yesani kuchuluka kwa shuga m'magazi mwanu nthawi zonse: Ndikofunikira kwambiri kuyang'ana kuchuluka kwa shuga m'magazi mwanu musanayambe kudya ndi mutadya, musanayambe kuchita masewera olimbitsa thupi komanso mutagona.
• Sungani zolemba: Nthawi iliyonse mukakhala ndi shuga wochepa m'magazi, lembani nthawi, kuchuluka kwa shuga m'magazi mwanu, zomwe mudadya kale, komanso ngati mudachita masewera olimbitsa thupi. Izi zithandiza dokotala wanu kupanga dongosolo la chithandizo chanu.