Unonzwa kubvunda kamwe kamwe here? Kudikitira, kunzwa dzungu, uye kunzwa nzara zvakanyanya? Izvi zvinogona kuva zviratidzo zvekuti huwandu hweshuga muropa rako hwakaderera pane hutano. Mukurapa, tinodana chirwere ichi kuti hypoglycemia . Izvi zvinowanzoitika kuvanhu vane chirwere cheshuga. Asi dzimwe nguva zvinogona kuitikawo kune vanhu vasina chirwere cheshuga. Saka, musavhunduka. Ngatitaurei nezvazvo zviri nyore uye zvakajeka.
Zvichitaurwa zviri nyore, chii chinonzi hypoglycemia?
Hypoglycemia inoitika kana huwandu hweglucose, kana shuga sezvatinoidaidza, muropa rako huchidzikira pasi pehuwandu hunodiwa nemuviri.
- Kune vanhu vazhinji vane chirwere cheshuga, huwandu hweshuga muropa huri pasi pe70 mg/dL (milligrams pa deciliter) kana 3.9 mmol/L (millimoles pa litre) hunoonekwa sehypoglycemia.
- Kune munhu asina chirwere cheshuga, hypoglycemia inowanzotsanangurwa sehuwandu hweshuga muropa huri pasi pe55 mg/dL (3.1 mmol/L).
Kana chirwere ichi chikaitika, chinofanira kurapwa nekukasika nekudya kana kunwa chimwe chinhu chine shuga kana makabhohaidhiretsi. Dzimwe nguva izvi zvinogona kukonzera chirwere chakakomba (hypoglycemia yakanyanya). Kana izvi zvikaitika, zvinogona kuisa upenyu panjodzi uye zvinoda kurapwa nekukurumidza.
Sei shuga ichikosha zvikuru kumiviri yedu?
Miviri yedu inowana glucose (shuga) kubva mumakabhohaidhiretsi atinodya. Iyi ndiyo sosi huru yemuviri wedu. Yakafanana nepeturu yemotokari. Kunyanya, glucose inokosha kuti uropi hwedu hushande. Uropi hunoda huwandu hweglucose hunogara huripo.
Kana usina chirwere cheshuga, miviri yedu inochengetedza huwandu hweshuga muropa mukati memhando yakati kuburikidza nenzira dzakasiyana-siyana dzechisikigo. Homoni huru inobatsira neizvi i insulin, inogadzirwa nepancreas. Homoni inonzi glucagon inokoshawo pakuita izvi.
Zvisinei, kuvanhu vane chirwere cheshuga, maitiro aya haashande nemazvo. Nokudaro, vanofanirwa kudzora huwandu hweshuga muropa ravo kuburikidza nemishonga (semuenzaniso, majekiseni e insulin) uye kuchinja mararamiro avo. Chikonzero chikuru chekuderera kweshuga muropa ndiko kuwedzera kwehuwandu hwe insulin mumuviri.
Ndezvipi zviratidzo zveshuga shoma muropa?
Zviratidzo zvehypoglycemia zvinogona kutanga kamwe kamwe. Uye zvinogona kusiyana kubva pamunhu nemunhu. Kunyangwe zviratidzo izvi zvichigona kusafadza, inyevero yakanaka inotiudza kuti, "Shuga yako yakaderera, ita chimwe chinhu nekukurumidza."
| Zvinhu Zvikuru/Zvakajairika | Zviratidzo zvakakomba (zvinoda rubatsiro rwechiremba nekukurumidza) |
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Zviratidzo zvakakomba zvinogona kuisa upenyu panjodzi. Kurapwa nekukurumidza kunokosha mumamiriro ezvinhu akadaro. Kana zvikasarapwa, munhu anogona kufirwa nehope kana kutofa.
Shuga shoma muropa panguva yekurara (Nocturnal Hypoglycemia)
Dzimwe nguva, huwandu hweshuga muropa hunogona kudzikira kunyangwe takarara. Heano mamwe ezviratidzo:
- Kunetseka nehope
- Kudikitira zvakanyanya zvekuti machira acho anyorova
- Kushevedzera uri kurara
- Zviroto zvinotyisa
- Kunzwa kuneta zvakanyanya uye kuvhiringidzika pakumuka mangwanani
Shuga yeropa inogona kudonha pasina zviratidzo here? (Hypoglycemia Kusaziva)
Ehe, iyi inyaya ine njodzi. Kune vamwe vanhu, kunyanya vane chirwere cheshuga vane shuga shoma muropa, nekufamba kwenguva, huwandu hweshuga muropa ravo hunogona kudzikira vasingaratidze zviratidzo. Muviri unojaira huwandu hweshuga muropa hwakaderera uye unorega kupa zviratidzo zvekunyevera. Izvi zvinonzi hypoglycemia kusaziva .
Vanhu vane chirwere ichi vanowanzo kurwara zvakanyanya kamwe kamwe. Kana izvi zvikaitika kwauri, zvakakosha kuudza mhuri yako neshamwari nezvazvo. Kuti vagone kukubatsira kana paine dambudziko. Zvakare,
- Kushandisa mudziyo unoramba uchiyera huwandu hweshuga (Continuous Glucose Monitoring - CGM) kunogona kukubatsira kuziva kana shuga yako yeropa yakaderera.
- Zvakanakawo kuongorora shuga yako yeropa kakawanda pazuva uchishandisa glucometer yenguva dzose.
Ndezvipi zvinokonzera kuderera kweshuga muropa?
Zvikonzero zvinogona kukamurwa mumapoka maviri: avo vane chirwere cheshuga nevaya vasina chirwere cheshuga.
Zvikonzero zvinoita kuti munhu ane chirwere cheshuga ave neshuga shoma muropa
Izvi zvinoitika kana paine kusawirirana pakati pekudya, kurovedza muviri, uye mishonga yechirwere cheshuga.
- Kupinza insulin yakawanda kupfuura zvinodiwa: Kubaya insulin yakawanda kupfuura zvinodiwa.
- Zvikanganiso pakushandisa mishonga nenguva yekudya: Kutora insulin worega kudya kwenguva yakareba.
- Kutora mapiritsi echirwere cheshuga asina kunaka: Kutora mapiritsi echirwere cheshuga akawandisa (semuenzaniso sulfonylureas) kunogona kukonzera kudzikira kweshuga muropa.
- Kurovedza muviri kupfuura zvakajairika: Kurovedza muviri zvakanyanya uye kusadya zvakakwana kuti zvikubatsire.
- Kunwa doro usina chinhu mudumbu: Kunwa doro usina kudya.
- Kusadya chikafu: Kusadya nenguva.
Sei munhu asina chirwere cheshuga aine shuga shoma muropa?
Izvi hazviwanzoitiki. Kune mhando mbiri huru.
1. Kukurumidza Kukurumidza Kuwanda Kweshuga Muropa: Izvi zvinoitika maawa maviri kusvika mana mushure mekudya . Kunyanya kana ukadya chikafu chine makabhohaidhiretsi akawanda senge mupunga, chingwa, nembatatisi, muviri unongoerekana wagadzira insulin yakawanda, zvichideredza huwandu hweshuga muropa rako.
2. Shuga shoma muropa panguva yekutsanya (Kutsanya Hypoglycemia): Izvi zvinogona kukonzerwa nezvinhu zvakawanda.
- Kushandisa doro zvakanyanya: Kunwa doro rakawandisa usina kudya zvakanaka kwemazuva akati wandei.
- Zvirwere zvakakomba: Zvirwere zvakaita sekutadza kushanda zvakanaka kwechiropa kana itsvo.
- Matambudziko emahormone: Matambudziko akadai sekushaya simba kweadrenal.
- Mabundu: Mabundu asingawanzoonekwi mupancreas, akadai se insulinoma, anokonzera kugadzirwa kwe insulin yakawanda.
Kana uine zviratidzo izvi usina chirwere cheshuga, unofanira kuona chiremba kuti uwane chikonzero chacho.
Chii chekuita kana shuga yaderera? Nzira dzekurapa
Chatiri kuita pano ndechekupa muviri shuga (carbohydrates) nekukurumidza.
Mumamiriro ezvinhu akajairika, "Mutemo we15-15"
Iyi inzira iri nyore kwazvo uye iri nyore kurangarira.
1. Danho 1: Idya kana kunwa magiramu gumi nemashanu emacarbohydrate anoshanda nekukurumidza .
2. Danho rechipiri: Mira kwemaminitsi gumi nemashanu .
3. Danho rechitatu: Yera huwandu hweshuga muropa rako zvakare uchishandisa glucometer yako.
4. Danho rechina: Kana huwandu hweshuga huchiri pasi pe70 mg/dL, dzokorora matanho 1, 2, 3.Ita izvi kusvika huwandu hweshuga yako hwadzokera pahwakajairika.
Ndezvipi zvekudya zvine magiramu gumi nemashanu emacarbohydrate?
- Mapiritsi eglucose 3-4
- Hafu yegirazi (hafu yekapu) yemuto wemichero kana chinwiwa chinotapira
- Chipunu cheshuga, huchi, kana manyuchi emumaple
- Hafu yebhanana diki
Kurapa muzviitiko zvakakomba (Hypoglycemia Yakanyanya)
Kana munhu aine shuga shoma muropa uye akavhiringidzika, asingakwanise kutaura, kana kuti asina chaanoziva , usambomupa chikafu kana chinwiwa nemuromo! Kuita izvi kunogona kuita kuti agare ari mumhepo.
1. Jekiseni reGlucagon: Kune vanhu vane chirwere cheshuga, chiremba wenyu anogona kunge akakunyorerai jekiseni reglucagon kana paine dambudziko. Itai shuwa kuti mhuri yenyu inoziva mashandisirwo aro.
2. Enda kuchipatara nekukasika!: Kana usina glucagon kana kuti usingazive mashandisirwo ayo, fonera amburenzi ye1990 nekukurumidza kana kuti tora munhu wacho kuEmergency Treatment Unit (ETU) yechipatara chiri pedyo.
3. Tendeudza murwere parutivi: Murwere anogona kurutsa mushure mekupengenuka. Saka, tendeudza murwere parutivi kudzivirira kudzipwa.
Chii chingaitwe kudzivirira mamiriro ezvinhu aya?
Zvingave zvakaoma kuti munhu ane chirwere cheshuga adzivise izvi zvachose, asi zvinokwanisika kuderedza kuwanda kwechirwere ichi.
- Tevedzera mazano echiremba: Inwa mushonga wawakanyorerwa nachiremba wako panguva chaiyo uye yakakodzera.
- Chenjerera nezvekudya uye kurovedza muviri: Usarega kudya. Kana uchiita maekisesaizi, taura nachiremba wako nezvazvo uye chinja kudya kwako kana zvichidikanwa.
- Tarisa huwandu hweshuga muropa rako nguva nenguva: Zvakakosha zvikuru kuongorora huwandu hweshuga muropa rako usati wadya uye wapedza kudya, usati waita maekisesaizi uye wapedza, uye usati warara.
- Chengeta gwaro: Nguva dzese dzaunenge uine shuga shoma muropa, nyora nguva, huwandu hweshuga muropa rako, zvawaidya kare, uye kana wairovedza muviri. Izvi zvichabatsira chiremba wako kugadzira hurongwa hwekurapwa kwako.
Chinhu chinonyanya kukosha ndechekuteerera muviri wako. Ita zvinhu nekukurumidza kana ukanzwa zviratidzo zvekutanga zveshuga yakaderera muropa.
Mharidzo Yekuenda Nayo Kumba
- Hypoglycemia chirwere chinokonzerwa nekuti huwandu hweshuga muropa hunoderera zvakanyanya. Izvi zvinogona kuva nengozi kana zvikasarapwa.
- Chenjerera zviratidzo zvakaita sekubvunda, kudikitira, kuvhiringidzika, uye nzara yakanyanya.
- Gara uine chimwe chinhu newe, senge mapiritsi eglucose, paketi yeshuga, kana katoni kadiki kemuto wemichero.
- Mumamiriro ezvinhu akajairika, shandisa mutemo we "15-15": inwa magiramu gumi nemashanu eglucose, mirira kwemaminitsi gumi nemashanu, woongorora shuga yako yeropa zvakare.
- Kana munhu asina chaanoziva, usamupa chero chinhu nemuromo. Fonera amburenzi nekukasika kana kuti uende naye kuchipatara chiri pedyo neEmergency Department (ETU).
- Kana uchigara uchinzwa shuga shoma muropa kana uine zviratidzo zveshuga shoma muropa usina chirwere cheshuga, iva nechokwadi chekuona chiremba wako.
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