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

Kodi nthawi zina mumamva kutopa, kugwedezeka, thukuta, komanso chizungulire nthawi imodzi? Muthanso kumva nkhawa komanso njala pang'ono. Izi nthawi zambiri ndi zizindikiro zazikulu za shuga wotsika m'magazi, kapena zomwe timazitcha kuti hypoglycemia. Izi zimachitika kwambiri kwa anthu omwe ali ndi matenda a shuga, komanso zimatha kuchitika kwa anthu omwe alibe matenda a shuga. Tiyeni tikambirane izi mwachidule lero.

Kodi hypoglycemia ndi chiyani?

Mwachidule, hypoglycemia imachitika pamene shuga m'magazi mwanu, kapena shuga m'magazi, watsika pansi pa mlingo wofunikira. Shuga iyi ndiye mafuta akuluakulu omwe amapereka mphamvu ku matupi athu, monga mafuta a galimoto.

Matendawa nthawi zambiri amapezeka mwa anthu omwe ali ndi matenda a shuga omwe amasintha mankhwala, zakudya, kapena masewera olimbitsa thupi. Koma amathanso kuchitika kwa anthu omwe alibe matenda a shuga. Angachitike m'njira ziwiri zazikulu:

• Kuchepa kwa shuga m'magazi (reaction hypoglycemia): Izi zimachitika maola angapo mutadya chakudya.
• Kusala kudya kwa hypoglycemia: Izi zimachitika ngati simunadye kwa kanthawi. Zingagwirizanenso ndi mankhwala ena kapena matenda ena.

Kusiyana pakati pa hypoglycemia ndi hyperglycemia

Ngakhale kuti mawu awiriwa amamveka mofanana, matanthauzo awo ndi osiyana kwambiri.

Kodi shuga imachepa bwanji?

Kuchuluka kwa shuga m'magazi kumayesedwa mu ma milligrams pa decilita (mg/dL). Kawirikawiri, kuchuluka kwa shuga m'magazi mwa munthu wathanzi kumakhala mkati mwa mulingo winawake. Komabe, ngati kuchuluka kwa shuga m'magazi anu kumatsika pansi pa 70 mg/dL, kumaonedwa kuti ndi hypoglycemia.

Ngati izi zikutsika pansi pa 54 mg/dL, ndiye kutiKuchuluka kwa shuga m'magazi (hypoglycemia) m'magazi. Mutha kukomoka panthawiyi. Mungafunike wina kuti akupatseni mankhwala monga glucagon ngati chithandizo chadzidzidzi.

N’chifukwa chiyani shuga m’magazi mwanga umatsika chonchi?

Tikamadya, makamaka tikamadya zakudya zomwe zili ndi chakudya monga buledi ndi mpunga, zimasanduka shuga m'thupi mwathu ndipo zimawonjezeredwa m'magazi. Pali munthu amene amathandiza maselo m'thupi kugwiritsa ntchito shugayu ngati mphamvu. Ndi mahomoni otchedwa insulin . Insulin ndi yomwe imatenga shuga m'magazi ndikuipereka ku maselo.

Pamene shuga m'magazi ayamba kutsika, monga pakati pa chakudya, timadzi tina timatulutsidwa. Timatchedwa glucagon . Timatembenuza shuga wosungidwa m'chiwindi ndi minofu yathu (wotchedwa glycogen) kukhala shuga ndikuutulutsa m'magazi. Umu ndi momwe timasungira shuga m'magazi mwathu kukhala wokhazikika ngakhale titadya.

Tangoganizirani, ngati china chake chalakwika panthawiyi, shuga m'magazi mwanu akhoza kutsika mwadzidzidzi. Ndicho chimene chimayambitsa hypoglycemia.

Zifukwa zomwe anthu opanda matenda a shuga amakhala ndi shuga wochepa m'magazi

Ngakhale kuti vutoli nthawi zambiri limagwirizanitsidwa ndi matenda a shuga, limathanso kuchitika kwa anthu omwe alibe matenda a shuga. Pali zifukwa zingapo zomwe zimayambitsa izi.

• Mankhwala ena: Mankhwala ena, monga quinine, omwe amagwiritsidwa ntchito pochiza malungo, angayambitse shuga m'magazi. Izi zitha kuchitikanso ngati mwamwa mwangozi mankhwala a shuga a munthu wina.
• Matenda ena: Matenda monga matenda aakulu a chiwindi (hepatitis, cirrhosis), kulephera kwa impso, matenda oopsa, ndi matenda a mtima zingakhudze kuchuluka kwa shuga m'magazi.
• Kusowa zakudya m'thupi: Matenda monga anorexia angayambitse kuchepa kwa glycogen m'thupi komanso kutsika kwa shuga m'magazi.
• Kumwa mowa mopitirira muyeso: Mukamwa mowa wambiri osadya, chiwindi sichingathe kupanga shuga kuchokera ku glycogen. Izi zimapangitsa kuti shuga m'magazi achepe.
• Khansa zina: Khansa zina za kapamba zimapangitsa thupi kupanga insulin yochuluka, zomwe zimapangitsa shuga m'magazi kulowa mwachangu m'maselo, zomwe zimapangitsa kuti shuga m'magazi akhale ochepa.
• Mavuto a mahomoni: Matenda ena a adrenal glands ndi pituitary glands amatha kukhudza mahomoni monga insulin ndi glucagon.

Zifukwa zomwe anthu odwala matenda ashuga amakhala ndi shuga wochepa m'magazi

Ngati muli ndi matenda a shuga, thupi lanu limavutika kupanga kapena kugwiritsa ntchito insulin. Izi zimachiritsidwa ndi jakisoni wa insulin kapena mankhwala ena. Koma ngati mumwa mankhwala ochulukirapo , musala kudya, kapena kuchita masewera olimbitsa thupi kuposa masiku onse , mungakhale ndi chiopsezo chachikulu chotenga matenda a shuga.Shuga m'magazi angachepe mwadzidzidzi.

Kodi zizindikiro za izi ndi ziti?

Pamene shuga m'thupi la munthu watsika, munthu aliyense akhoza kukumana ndi zizindikiro zosiyanasiyana. Zizindikirozi zimasiyananso malinga ndi momwe shuga watsika.

Ngati shuga m'magazi mwanu watsika usiku (nocturnal hypoglycemia) , mutha kukhala ndi zizindikiro monga kufuula mu tulo, kulota maloto oipa, ndi kudzuka thukuta litanyowa.

Kusadziwa za Hypoglycemia

Izi ndi zoopsa pang'ono. Kwa anthu ena, makamaka omwe akhala ndi matenda a shuga kwa zaka zoposa 5-10, shuga m'magazi mwawo akatsika pafupipafupi, matupi awo amazolowera. Kenako, matupi awo amasiya kupereka zizindikiro zochenjeza monga kugwedezeka ndi njala shuga m'magazi mwawo akatsika. Izi zimawaika pachiwopsezo chachikulu chotenga matenda oopsa chifukwa sadziwa kuti shuga m'magazi mwawo ndi wotsika.

Choncho, ndikofunikira kwambiri kuti anthu omwe ali ndi matenda a shuga aziyang'ana shuga wawo nthawi zonse.Pachifukwa ichi, tsopano pali zipangizo monga ma glucometer, omwe amatenga dontho la magazi kuchokera pa chala ndikuliyesa, ndi `Continuous Glucose Monitor (CGM),` yomwe imayikidwa pansi pa khungu ndikuyang'anira kuchuluka kwa shuga nthawi zonse.

Kodi mungachite chiyani ngati shuga m'magazi mwanu mwatsika mwadzidzidzi?

Mukangoyamba kumva zizindikiro za shuga wotsika m'magazi, muyenera kuchitapo kanthu mwachangu.

1. Choyamba, idyani chakudya chotsekemera: Idyani kapena imwani chakudya chomwe chingakweze shuga m'magazi mwanu mwachangu. Magalamu 15-20 a chakudya ndi okwanira pa izi.

• Mapiritsi 3-4 a shuga
• Galasi limodzi la theka la chakumwa chotsekemera (monga cola, osati zakudya)
• Galasi limodzi la theka la madzi a zipatso
• Supuni imodzi ya shuga kapena uchi
• Zakudya zokoma monga nyemba za jelly ndi toffee

2. Dikirani mphindi 15: Mukadya chinthu chotsekemera, dikirani moleza mtima kwa mphindi 15.

3. Yang'ananinso shuga m'magazi mwanu: Ngati mungathe, yang'ananinso shuga m'magazi mwanu. Ngati ikadali pansi pa 70 mg/dL, kapena ngati mukuvutikabe, bwerezaninso gawo loyamba.

4. Ngati vuto silikuyenda bwino: Ngati vuto lanu silikuyenda bwino ngakhale mutayesetsa kuchita izi, kapena ngati mukupeza zizindikiro zazikulu (monga chisokonezo), imbani nthawi yomweyo 1990 kuti muyitanitse ambulansi kapena pitani ku chipatala chapafupi cha Emergency Department (ETU).

Ngati munthu wakomoka (Hypoglycemia Yoopsa)

Ngati munthu wakomoka chifukwa cha kuchepa kwakukulu kwa shuga m'magazi, ndi vuto lachipatala.

• Musayese kupereka chakudya kapena chakumwa kwa munthu wosadziwa chifukwa zingayambitse kutsamwa.
• Ngati mukulandira chithandizo cha matenda a shuga, dokotala wanu mwina anakupatsani jekeseni wa glucagon . Phunzitsani banja lanu ndi anzanu momwe mungagwiritsire ntchito panthawi yadzidzidzi.
• Ngati muwona munthu atakomoka, imbani ambulansi nthawi yomweyo. Akufunika thandizo lachipatala.

Kodi vutoli lingapewedwe bwanji?

Pali zinthu zingapo zomwe mungachite kuti muchepetse hypoglycemia ndikupewa kupitirira muyeso.

• Musamadumphe chakudya: Idyani zakudya zitatu zazikulu patsiku ndipo pakati pa chakudyacho muzidya zokhwasula-khwasula.
• Samalani ndi masewera olimbitsa thupi: Muzichita masewera olimbitsa thupi theka la ola kapena ola mutatha kudya. Yang'anani kuchuluka kwa shuga m'magazi mwanu musanayambe komanso mutatha kuchita masewera olimbitsa thupi.
• Imwani mankhwala anu monga momwe mwalangizidwira: Imwani mankhwala omwe dokotala wanu wakupatsani, mu mlingo woyenera, panthawi yoyenera. Yang'ananinso mlingo.
• Chepetsani mowa:Ngati mumamwa mowa, chepetsani kumwa mowa. Pewani kumwa mowa m'mimba mulibe chakudya.
• Khalani okonzeka nthawi zonse: Mukatuluka, tengani chinthu chokoma (mapiritsi a shuga, tofi) m'thumba lanu.
• Uzani ena: Uzani achibale anu, anzanu, ndi anzanu akuntchito kuti muli ndi matenda a shuga. Angakuthandizeni pakagwa ngozi.
• Pitani kwa dokotala: Ngati nthawi zambiri mumakhala ndi zizindikiro za shuga wotsika m'magazi, kaya muli ndi matenda a shuga kapena ayi, onetsetsani kuti mwaonana ndi dokotala wanu kuti mudziwe chomwe chikuyambitsa matendawa ndikupeza chithandizo choyenera komanso upangiri.