Ingabe ushukela wakho egazini uphansi? (I-Hypoglycemia) Ake sixoxe ngalokhu ngokuningiliziwe!

Namuhla sizokhuluma ngesimo esingathinta abantu abaningi, ikakhulukazi labo abanesifo sikashukela, futhi ngezinye izikhathi ngisho nalabo abangenaso isifo sikashukela. Lokho kusho ukuthi ushukela wegazi uphansi, noma ngokwezokwelapha, i-hypoglycemia. Kubalulekile ukuqaphela lokhu ngoba kungaba kubi kakhulu.

Kuyini i-hypoglycemia? Ake sikuqonde kalula.

Kalula nje, i-hypoglycemia yenzeka lapho ushukela wakho wegazi, noma i-glucose, wehla ngaphansi kwezinga elifanele. Siphinde sikubize ngokuthi 'ushukela ophansi egazini.' Lesi yisimo esivame kakhulu kubantu abanesifo sikashukela, ikakhulukazi labo abanesifo sikashukela sohlobo 1.

Ngokuvamile, kumuntu onesifo sikashukela, i-hypoglycemia ibhekwa lapho izinga likashukela egazini lehla ngaphansi kuka-70 mg/dL (ama-milligram nge-deciliter) noma u-3.9 mmol/L (ama-millimole ngelitha). Kumuntu onesifo sikashukela, i-hypoglycemia iwukuthi izinga lehla ngaphansi kuka-55 mg/dL (3.1 mmol/L). Ngezikhathi ezinjalo, udinga ukudla noma ukuphuza okuthile okunoshukela noma ama-carbohydrate ngokushesha okukhulu. Kodwa-ke, uma lesi simo siba sibi kakhulu (i-hypoglycemia enzima), singaba yingozi empilweni. Kuleso simo, ukwelashwa okuphuthumayo kwe-glucagon noma usizo lwezokwelapha kuyadingeka ngokushesha.

Kungani 'ushukela egazini' ubaluleke kangaka emizimbeni yethu?

Imizimba yethu ithola ushukela, noma ushukela, ekudleni esikudlayo, ikakhulukazi ekudleni okuqukethe ama-carbohydrate. Lo shukela uwumthombo oyinhloko wamandla emzimbeni wethu. Ufana nophethiloli wemoto. Lo shukela uthwalwa yigazi lethu uye kuwo wonke amaseli emzimbeni ukuze ukhiqize amandla. Lo shukela ubaluleke kakhulu ebuchosheni bethu. Ukuze ubuchopho busebenze kahle, budinga ukuhlinzekwa njalo kwe-glucose.

Uma ungenaso isifo sikashukela, umzimba wakho ngokwemvelo usiza ukugcina amazinga kashukela egazini lakho esezingeni elifanele ngezinqubo eziningana. I-hormone i-insulin – ekhiqizwa yi-pancreas yethu – iyona ebangela lokhu kakhulu. I-Glucagon ingenye i-hormone ebalulekile kule nqubo.

Kodwa-ke, abantu abanesifo sikashukela kudingeka bathathe imithi yesifo sikashukela yomlomo kanye ne-insulin yokwenziwa ukuze balawule amazinga abo kashukela egazini. Badinga futhi ukwenza izinguquko endleleni yokuphila. Ushukela ophansi egazini uvame ukubangelwa yi-insulin eningi emzimbeni - kungaba ngoba ikhiqizwa ngokwemvelo noma ngoba unikezwe i-insulin eningi kakhulu. Ushukela ophansi egazini ungabangelwa nezinye izinkinga zamahomoni kanye ne-metabolic.

Uma izinga likashukela egazini lakho lehla ngaphansi kwezinga elinempilo, uqala ukuzwa izimpawu ezifana nokuqhaqhazela kanye nokushaya kwenhliziyo okusheshayo. Uma lehla kakhulu, kungaba yingozi empilweni. Ngoba, njengoba ngishilo ngaphambili, ubuchopho budinga ukuhlinzekwa njalo kwe-glucose ukuze busebenze kahle. Uma i-glucose ingekho eyanele, ubuchopho ngeke bukwazi ukusebenza.

Kuvame kangakanani ukwehla kwe-hypoglycemia?

I-Hypoglycemia ivame kakhulu kubantu abanesifo sikashukela, ikakhulukazi labo abasebenzisa i-insulin. Ucwaningo olulodwa luthole ukuthi abantu abane kwabahlanu abanesifo sikashukela sohlobo 1, kanye nengxenye yabantu abanesifo sikashukela sohlobo 2 abathatha i-insulin, babike ukuthi banoshukela wegazi ophansi okungenani kanye emasontweni amane.

Abantu abathatha i-meglitinides noma i-sulfonylureas yesifo sikashukela sohlobo 2 nabo basengozini enkulu yokuba noshukela ophansi egazini. Ungaba ne-hypoglycemia noma ungenaso isifo sikashukela, kodwa akuvamile kakhulu.

Ziyini izimpawu ze-hypoglycemia (ushukela wegazi ophansi)?

Izimpawu ze-hypoglycemia zingaqala ngokushesha kakhulu. Zingahluka futhi kumuntu nomuntu. Ngisho nakumuntu ofanayo, izimpawu zingahluka kusukela kwesinye isiqephu kuya kwesinye.

Lezi zimpawu ziyinkimbinkimbi kancane. Kodwa zikunikeza isixwayiso esihle sokuthi uthathe isinyathelo ngaphambi kokuba ushukela wakho wegazi wehle kakhulu. Nazi ezinye zezimpawu:

• Imvelo ethuthumelayo noma ethuthumelayo.
• Umzimba ongenampilo.
• Ukujuluka nokuzizwa ubanda.
• Indlala enkulu (i-polyphagia).
• Isilinganiso senhliziyo siyanda.
• Ukuzizwa unesizungu noma uzizwa ujikeleza.
• Ubunzima bokugxilisa ingqondo noma ukudideka.
• Ukukhathazeka noma ukucasuka okuqhubekayo.
• Ukushintsha kombala wesikhumba (ubumthubi).
• Umuzwa wokuba ndikindiki ezindebeni, olimini, noma ezihlathini.

Izimpawu ze-hypoglycemia enkulu zifaka:

• Umbono ofiphele noma umbono ophindwe kabili.
• Inkulumo engaqondakali.
• Ukulahlekelwa ibhalansi noma ubunzima bokwenza imisebenzi.
• Ukudideka.
• Ukuquleka.
• Ukulahlekelwa ukwazi.

Ukwehla okukhulu kwe-hypoglycemia kusongela impilo! Kudinga ukunakekelwa kwezokwelapha okusheshayo. Nakuba kungavamile, uma kungelashwa, kungaholela ekukhomeni ngisho nasekufeni.

Ngezinye izikhathi ushukela wakho wegazi ungehla ngenkathi ulele. Lokhu sikubiza ngokuthi i-nocturnal hypoglycemia. Izimpawu zingafaka:

• Ukungalali kahle noma ukulala okungaphumuli.
• Izingubo noma imibhede imanzi ngenxa yokujuluka.
• Ukumemeza ebuthongweni bakho.
• Amaphupho amabi.
• Ukuzizwa ukhathele kakhulu, udidekile, noma udidekile lapho uvuka.

Zivela nini izimpawu ze-hypoglycemia?

Izinga likashukela egazini eliqala ngalo izimpawu kubantu abanesifo sikashukela liyahlukahluka kuye ngomuntu nomuntu. Ngokuvamile, abantu abanesifo sikashukela baqala ukuzwa izimpawu lapho ushukela wabo wegazi wehla uye ku-70 mg/dL noma ngaphansi. Kodwa-ke, uma ushukela wakho wegazi wehla ngokushesha, ungase uzwe izimpawu ngisho nangaphambi kwesikhathi.

Abanye abantu abanesifo sikashukela bangathola izimpawu ze-hypoglycemia ngisho noma amazinga kashukela ephezulu. Lokhu kungenxa yokuthi lapho amazinga kashukela egazini ephezulu isikhathi eside (i-hyperglycemia engapheli), umzimba uyajwayela lokho okubhekwa njengamazinga 'avamile'. Izinga lapho izimpawu zoshukela wegazi ophansi zibonakala khona liyashintsha.

Abanye abantu banoshukela ophansi egazini kodwa ababi nazo izimpawu, noma abaziboni. Odokotela bakubiza lokhu ngokuthi ukungaqondi kahle kwe-hypoglycemia . Laba bantu banamathuba amaningi okuba ne-hypoglycemia enzima futhi badinga usizo lwezokwelapha.

Ukungazi nge-hypoglycemia kungenzeka kubantu abanesifo sikashukela asebenamazinga aphansi kashukela egazini isikhathi eside. Imizimba yabo ayibe isabonisa izimpawu lapho amazinga abo kashukela egazini ehla.

Uma unesifo sokuphazamiseka kwe-hypoglycemia, kubalulekile ukutshela abangani bakho nomndeni wakho ngakho ukuze bakusize uma ushukela wakho wegazi wehla kakhulu. Ungase uthole nalezi zinto ziwusizo:

• Ukusebenzisa idivayisi yokuqapha i-Glucose eqhubekayo (i-CGM) ekwazisayo uma ushukela wakho wegazi uphansi.
• Hlola amazinga kashukela egazini lakho ngesandla njalo.
• Inja exwayisa ngesifo sikashukela - Lezi zinja ziqeqeshwe ngokukhethekile ukukwazisa uma ushukela wakho wegazi uphansi.

Yiziphi izinkinga ezingaba khona ngenxa yokwehla koshukela egazini?

I-hypoglycemia enkulu ehlala isikhathi eside ingaba yingozi empilweni. Ingaholela nasezinkingeni ezifana nalezi:

• Ukwehluleka kwezitho eziningi.
• I-arrhythmia yenhliziyo.
• Ukuboshwa kwenhliziyo.
• Ukulimala kobuchopho okungapheli.
• Isimo se-Coma.
• Ukufa.

Futhi, ukusebenzisa imishini esindayo, njengokushayela, lapho ushukela wakho wegazi uphansi kuyingozi kakhulu. Usengozini enkulu yokuba nengozi. Uma unesifo sikashukela, hlola njalo amazinga kashukela egazini lakho ngaphambi kokusebenzisa imishini esindayo.

Yini ebangela i-hypoglycemia (ushukela ophansi egazini) kubantu abanesifo sikashukela?

I-Hypoglycemia yenzeka lapho izinga likashukela egazini lakho lehla ngaphansi kwezinga elifanele. Lokhu kungenzeka ngezizathu eziningana kubantu abanesifo sikashukela. I-Hypoglycemia ingenzeka uma ukudla kwakho, ukuzivocavoca, kanye nemithi yesifo sikashukela kungalingani.

Lezi yizimo ezivame kakhulu lapho abantu abanesifo sikashukela bengathola khona i-hypoglycemia:

• Ukuthatha i-insulin eningi kakhulu, ukuthatha uhlobo olungalungile lwe-insulin, noma ukufaka i-insulin emisipheni esikhundleni sezicubu zamafutha.
• Ukungasithathi isikhathi esifanele sokudla i-insulini nama-carbohydrate (isibonelo, ukulinda isikhathi eside kakhulu ngaphambi kokudla ngemva kokuthatha i-insulini ngaphambi kokudla).
• Ukuthatha imithi yesifo sikashukela eningi kakhulu noma ngaphezulu komthamo onqunyiwe.
• Ukuba matasa kakhulu (ukuzivocavoca) kunokujwayelekile.
• Ukuphuza utshwala ngaphandle kokudla.
• Ukudla sekwephuzile noma ukungadli ukudla.
• Ukudla akuqukethe ibhalansi yamafutha, amaprotheni, kanye ne-fiber.

Uma ukhulelwe futhi unesifo sikashukela sohlobo 1, kungenzeka kakhulu ukuthi ube noshukela wegazi ophansi phakathi nekota yokuqala ngenxa yezinguquko zamahomoni.

Yini ebangela i-hypoglycemia kubantu abangenaso isifo sikashukela?

Kunezinhlobo ezimbili eziyinhloko ze-hypoglycemia kubantu abangenaso isifo sikashukela: i-respiratory hypoglycemia kanye ne-fasting hypoglycemia.

I-Hypoglycemia Esabelayo

I-hypoglycemia esabelayo iwukuba izinga likashukela egazini eliphansi ngemva kokudla. Ngokuvamile kwenzeka zingakapheli amahora amabili kuya kwamane ngemva kokudla.

Abacwaningi abazi kahle ukuthi kungani lokhu kwenzeka, kodwa bacabanga ukuthi kungenxa yokuthi ukudla ukudla okuthile, ikakhulukazi ama-carbohydrate alula njengelayisi elimhlophe, amazambane, isinkwa, amakhekhe, namaswidi, kubangela ukwanda okungazelelwe koshukela egazini, kulandelwe ukwehla okungazelelwe.

Futhi, ezinye izinhlinzeko zokwehlisa isisindo (ukuhlinzwa kwe-bariatric) zingabangela i-hypoglycemia ephindaphindayo. Ngemva kokuhlinzwa njengokuhlinzwa kwe-gastric bypass, umzimba umunca ushukela ngokushesha kakhulu. Lokhu kubangela ukuthi kukhiqizwe i-insulin eningi. Lokhu kungabangela i-hypoglycemia.

Umzimba uvame ukulungisa lesi simo ngokwawo, kodwa ukudla ama-carbohydrate athile kunganciphisa ngokushesha izimpawu.

Ukuzila Ukudla Okuphansi Kwe-Hypoglycemia

Iningi labantu abangenaso isifo sikashukela alibi nesifo sikashukela ngisho nangemva kokuzila ukudla isikhathi eside. Lokhu kungenxa yokuthi ama-hormone omzimba kanye ne-glucose egciniwe kulawula amazinga kashukela egazini.

Kodwa-ke, ezinye izifo nezimo zingabangela i-hypoglycemia yokuzila ukudla kubantu abangenaso isifo sikashukela. Lokhu kufaka phakathi:

• Ukuphuza utshwala ngokweqile:Utshwala buvimbela ikhono lomzimba lokwenza amaseli amasha e-glucose (gluconeogenesis). Uma ungadli kahle izinsuku eziningana futhi uphuza kakhulu, umzimba wakho ungaqeda i-glucose egciniwe (glycogen). Lokhu kungabangela i-hypoglycemia, okuyilapho umzimba wakho ungakwazi ukulawula kahle amazinga kashukela egazini lakho.
• Ukugula Okubi: I-Hypoglycemia ingenzeka ezifweni ezimbi kakhulu, njengesifo sesibindi esisesigabeni sokugcina, i-sepsis, ukuzila ukudla, noma ukwehluleka kwezinso. Lokhu kungenxa yokuthi umzimba wakho usebenzisa i-glucose ekhona ukuze uthole amandla ngokushesha kunokuba ungenza i-glucose entsha ekudleni okudlayo.
• Ukungasebenzi kahle kwezinso: Kulesi simo, amazinga e-cortisol aphansi kunokuvamile. Njengoba i-cortisol isiza ukulawula ushukela wegazi ngokuwukhulisa, amazinga aphansi e-cortisol angaholela ku-hypoglycemia.
• I-hypoglycemia ye-non-islet cell tumor (NICTH): Lesi yisimo esingavamile kodwa esibucayi. Kulesi simo, isimila sikhipha i-hormone eningi kakhulu ebizwa ngokuthi i-Insulin-like Growth Factor 2 (IGF-2). Le hormone isebenza njenge-insulin. Uma i-IGF-2 iphakanyisiwe, i-hypoglycemia iyenzeka. I-NICTH ingabangelwa izinhlobo ezahlukene zezimila ezingenobungozi (ezingenabo umdlavuza) nezimbi (ezinomdlavuza).
• I-Insulinoma: Lona umdlavuza ongavamile okhula kuma-pancreas. Ukhiqiza i-insulin eningi kakhulu, okubangela i-hypoglycemia - ngokuvamile ekuseni kakhulu.

Nakuba kungavamile, i-hypoglycemia ingabangelwa nemithi engahlobene nesifo sikashukela, njenge-beta-blockers kanye namanye ama-antibiotic.

Uma uhlangabezana nokwehla kwe-hypoglycemia ngaphandle kwesifo sikashukela, kubalulekile ukubona udokotela.

Abantu abanesifo sikashukela babona kanjani ukuthi i-hypoglycemia iyanda?

Ukuphela kwendlela yokwazi ngokuqinisekile ukuthi une-hypoglycemia ukuhlola izinga likashukela egazini lakho nge-glucometer. Iningi lala madivayisi lisebenzisa inalithi encane ebizwa ngokuthi i-lancet ukuze lithathe ithonsi legazi esicongweni somunwe wakho.

Idivayisi yokuqapha ushukela okuqhubekayo (i-CGM) iyithuluzi elihle lokukusiza ukuthi ubone futhi uvimbele ushukela wegazi ophansi. Ngoba ungayisetha ukuze ikuxwayise lapho ushukela wakho wegazi uphansi. Lezi zixwayiso ze-CGM ziwusizo kakhulu ezimweni lapho ushukela wegazi ophansi ungaba yingozi, njengalapho ulele noma ushayela.

Uma unezimpawu ze-hypoglycemia, kodwa kungekho ndlela yokuhlola ushukela wakho wegazi, yelapha i-hypoglycemia.

Abantu abangenaso isifo sikashukela bayibona kanjani i-hypoglycemia?

Uma udokotela wakho esola ukuthi une-hypoglycemia, angase ahlole ushukela wakho wegazi njalo emahoreni ambalwa ngenkathi uzila ukudla izinsuku ezimbalwa. Ezinye izivivinyo zingenziwa ukuthola imbangela eyisisekelo ye-hypoglycemia. Isibonelo, izivivinyo zesithombe zingenziwa ukuze kubonakale ukuthi umdlavuza ubangela ushukela wegazi ophansi yini.

Uma une-hypoglycemia ephindaphindayo, udokotela wakho angase ancome ukuhlolwa okubizwa ngokuthi i-Mixed-Meal Tolerance Test (MMTT). Kule MMTT, uqala ngokuphuza isiphuzo esikhethekile esiqukethe amaprotheni, amafutha, noshukela. Lesi siphuzo siphakamisa amazinga kashukela egazini lakho, okube sekwenza umzimba wakho ukhiqize i-insulin eningi. Ngemuva kwalokho, udokotela uhlola amazinga kashukela egazini lakho izikhathi eziningana emahoreni amahlanu alandelayo.

Iphathwa kanjani i-hypoglycemia (ushukela ophansi egazini)?

I-hypoglycemia encane nephakathi nendawo iphathwa ngokudla noma ukuphuza okuthile okunoshukela (ama-carbohydrate).

I-American Diabetes Association itusa "umthetho we-15-15" wokwelapha isiqephu se-hypoglycemia esithambile noma esimaphakathi:

• Yidla noma uphuze amagremu angu-15 ama-carbohydrate asebenza ngokushesha ukuze ukhuphule amazinga kashukela egazini lakho.
• Ngemva kwemizuzu eyi-15, hlola izinga likashukela egazini lakho.
• Uma kusengaphansi kuka-70 mg/dL, thatha amanye amagremu angu-15 ama-carbohydrate asebenza ngokushesha.
• Phinda lokhu kuze kube yilapho izinga likashukela egazini lakho okungenani lingama-70 mg/dL.

Ukuze uthole ukuthi zingaki ama-carbohydrate ekudleni okudlayo, funda amalebula okudla okunomsoco. Nazi ezinye zokudla eziqukethe cishe amagremu ayi-15 ama-carbohydrate asebenza ngokushesha:

• Ingcezu encane yesithelo, isibonelo uhhafu webhanana.
• Ama-ounces angu-4 (isigamu sendebe) yejusi yezithelo noma isiphuzo esivamile esibandayo (hhayi ukudla okunempilo).
• Isipuni sikashukela, uju noma isiraphu.
• Ishubhu lejeli ye-glucose esheshayo (bheka imiyalelo).
• Amaphilisi e-glucose angu-3 noma angu-4 (bheka imiyalelo).

Uma unezimpawu ze-hypoglycemia, kodwa kungekho ndlela yokuhlola ushukela wakho wegazi, sebenzisa umthetho we-15-15 uze uzizwe ungcono.

Izingane ezincane zingadinga inani elincane lama-carbohydrate ukuze zelaphe i-hypoglycemia. Buza udokotela wengane yakho ngalokhu.

Iphathwa kanjani i-hypoglycemia enzima?

Ukwehla okukhulu kwe-hypoglycemia kudinga ukwelashwa okuhlukile kunokwehla okuncane kwe-hypoglycemia. Uma othile omaziyo ene-hypoglycemia futhi ekhuluma amazwi angacacile, edideka, noma elahlekelwa ukuqonda,Ungaziniki ukudla noma uketshezi. Zingaminza.

Ezimweni ze-hypoglycemia enzima, kufanele kusetshenziswe i-glucagon ephuthumayo. Lolu uhlobo lwe-glucagon yokwenziwa. Kuye ngohlobo, inganikezwa njengomjovo noma njengempuphu yamakhala (isifutho samakhala esomile). I-glucagon yokwenziwa itshela isibindi sakho ukuthi sikhiphe i-glucose egciniwe. Lokhu kubangela ukuthi izinga likashukela egazini lakho likhuphuke.

Uma i-glucagon ingumjovo, yifake esinqeni sakhe, engalweni, noma ethangeni lakhe ngokwemiyalelo esekhithini. Uma i-glucagon iyimpuphu yekhala, yifake ekhaleni elilodwa ngokwemiyalelo esephaketheni.

Uma esephinde waqonda (ngokuvamile phakathi nemizuzu emi-5 kuya kwengu-15), angase azizwe enesicanucanu futhi ahlanze. Uma elele phansi, mphendulele ohlangothini lwakhe ukuze agweme ukuminza uma ehlanza.

Ungangabazi ukushayela u-911 ukuze uthole usizo. Uma othile equlekile, engenayo i-glucagon, noma ungazi ukuthi uyisebenzisa kanjani, shayela u-911 ngokushesha.

Ingabe ushukela ophansi egazini ungavinjelwa?

Ngeshwa, kunzima ukuvimbela ngokuphelele ushukela wegazi ophansi uma unesifo sikashukela. Kodwa ungazama ukushintsha uhlelo lwakho lokuphatha isifo sikashukela ukuze unciphise inani lezigameko ze-hypoglycemia obhekana nazo.

Lokhu kungenziwa kalula uma wena nodokotela wakho niqonda ukuthi yini ebangela ushukela wakho wegazi ophansi. Nikeza udokotela wakho imininingwane eminingi ngangokunokwenzeka ngezigameko zakho zoshukela wegazi ophansi. Into elula njengokushintsha isikhathi ophuza ngaso imithi yakho, ukudla, kanye nokuzivocavoca kungase kukwazi ukuxazulula inkinga.

Lezi zinyathelo zingasiza ekuvimbeleni ushukela wegazi ophansi:

• Phuza yonke imithi yakho njengoba uyalelwe.
• Landela iseluleko sikadokotela wakho mayelana nokudla nokuzivocavoca.
• Sebenzisa idivayisi yokuqapha ushukela njalo (i-CGM), noma uhlole amazinga kashukela egazini lakho njalo - ngaphambi nangemva kokudla, ngaphambi nangemva kokuzivocavoca, kanye nangesikhathi sokulala.
• Ngemva kokwelapha isiqephu soshukela ophansi egazini, bhala phansi imininingwane yesiqephu. Faka imininingwane efana nesikhathi, lokho okudlile muva nje, ukuthi ngabe uzivivinye umzimba, ukuthi zaziyini izimpawu zakho, nokuthi amazinga akho kashukela ayengakanani. Lokhu kuzokusiza wena nodokotela wakho ukuthi nithuthukise uhlelo lokuphatha ukuvimbela ushukela ophansi egazini esikhathini esizayo.

Kwenzekani uma ngine-hypoglycemia?

Umbono we-hypoglycemia kubantu abangenaso isifo sikashukela uncike embangela eyinhloko. Uma unesifo sikashukela, i-hypoglycemia evame ukwenzeka ingaba yingozi. Kungaholela ekungazini kwe-hypoglycemia. Lokhu kusho ukuthi ungase ungaziboni izimpawu eziyisixwayiso zoshukela wegazi ophansi.Uma unoshukela wegazi ophansi njalo, kubaluleke kakhulu ukuthola udokotela ongakusiza ukuphatha isifo sakho sikashukela.

Ngizinakekela kanjani?

Uma unesifo sikashukela noma esinye isimo esibangela ukwehla kwe-hypoglycemia, gqoka umgexo noma isongo lezokwelapha, noma uphathe ikhadi le-ID yezokwelapha ukuze abanye bazi ukuthi bangakusiza kanjani esimweni esiphuthumayo.

Nazi izinyathelo ongazithatha ukuvimbela i-hypoglycemia enkulu:

• Hlala ugcina ukudla okulula nawe ekhaya nalapho uphuma – izinto ezifana nokudla okulula kwezithelo, amathebhu e-glucose, noma amabhokisi ejusi.
• Chaza labo ochitha isikhathi nabo mayelana nokwehla kwe-hypoglycemia kanye nokwehla kwe-hypoglycemia okukhulu, nokuthi bangakusiza kanjani uma unesigameko.
• Hlala uphatha i-glucagon ephuthumayo. Fundisa abathandekayo bakho ukuthi bayisebenzise kanjani nokuthi nini.

Uma unesifo sikashukela, ungazami ukweqisa ushukela wegazi lakho ngokudla ama-carbohydrate amaningi kakhulu. Lokhu kungabangela ukuthi ushukela wegazi lakho uphinde ukhuphuke. Kungaba nzima ukuyeka ukudla ngokweqile ngenxa yempendulo yomzimba wakho "yokulwa noma yokubaleka". Ngemva kokuthi usuziphathe ngamagremu angu-15 ama-carbohydrate, setha isikhathi imizuzu engu-15 ngaphambi kokudla noma yiluphi olunye ushukela.

Kufanele ngimbone nini udokotela wami mayelana nokwehla kwe-hypoglycemia?

Uma unesifo sikashukela futhi uvame ukuba nezigameko zoshukela wegazi ophansi, khuluma nodokotela ozokusiza ukuphatha isifo sakho sikashukela. Angakusiza ukuthi wakhe uhlelo lokuphatha. Lokhu kungafaka phakathi izinguquko ohlelweni lwakho lwemithi, uhlelo lokudla, noma uhlelo lokuzivocavoca.

Uma unoshukela wegazi ophansi ngaphandle kwesifo sikashukela, khuluma nodokotela wakho. Kuzodingeka enze izivivinyo ukuze athole imbangela eyisisekelo. Kwezinye izimo, isimo esiyisisekelo singaba sibi kakhulu. Ngakho-ke, kubaluleke kakhulu ukubona udokotela wakho.

Uyini umehluko phakathi kwe-Hypoglycemia kanye ne-Hyperglycemia?

Kalula nje, i-hypoglycemia iwushukela ophansi egazini. 'Hypo-' isho 'phansi'. I-Hyperglycemia iwushukela ophezulu egazini. 'Hyper-' isho 'phezulu' noma 'okweqile'.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Hypoglycemia yisimo esivamile esithinta abantu abanesifo sikashukela. Uma singelashwa ngokushesha, singasongela impilo. Kubalulekile ukufunda izimpawu zakho zokuxwayisa nokuhlola amazinga kashukela egazini lakho njalo ukuze uvimbele i-hypoglycemia enzima.Uma unesifo sikashukela esiphansi njalo, sebenzisana nodokotela wakho ukuze wakhe uhlelo lokuphatha isifo sikashukela. Uma wazi okwengeziwe ngalokho okubangela izigameko zakho, kuzoba lula kakhulu ukuthuthukisa uhlelo lwakho.

Uma uneshukela egazini eliphansi ngaphandle kwesifo sikashukela, kufanele nakanjani ubone udokotela. Nakuba kungavamile ukuba imbangela eyinhloko ibe yingozi, kungenzeka. Ngakho-ke, kungcono ukuhlolwa ngokushesha kunokuba kamuva. Nakekela impilo yakho!

I- Hypoglycemia, ushukela wegazi ophansi, isifo sikashukela, ushukela wegazi ophansi, izimpawu, ukwelashwa, i-glucagon