Ingabe ushukela wakho wegazi uyehla ngokuzumayo? Ake sixoxe nge-hypoglycemia!

Ingabe unesifo sikashukela? Uma kunjalo, ingabe ngezinye izikhathi uvele ujuluke ngokuzumayo, uqhaqhazele, futhi uzizwe ungakhululekile? Mhlawumbe uzizwa ulambile, unesiyezi, noma ukushaya kwenhliziyo yakho kuyashesha. Lokhu yilokho esikubiza ngokuthi 'i-hypoglycemia' ngokwezokwelapha. Kalula nje, inani likashukela umzimba wethu ongalisebenzisa njengoba amandla ehla ngokuzumayo.

Kuyini i-hypoglycemia?

Cabanga ngemizimba yethu njengemoto. Njengoba nje imoto idinga uphethiloli ukuze isebenze, nomzimba wethu udinga amandla ukuze wenze imisebenzi yansuku zonke, njengokucabanga, ukuphefumula, ukuhamba, nokugijima. Umthombo oyinhloko wamandla emzimbeni wethu yi-glucose, noma nje 'ushukela'. Lapho izinga likashukela emzimbeni womuntu onesifo sikashukela lehla ngokuzumayo kakhulu, umzimba ulahlekelwa 'uphethiloli' owudingayo ukuze usebenze. Ngokuvamile, lezi zimpawu ziqala ukuvela lapho izinga likashukela egazini lehla ngaphansi kuka-70 mg/dL (ama-milligram nge-deciliter).

Yiziphi izimpawu ngesikhathi esinjengalesi?

Izimpawu ze-hypoglycemia azifani kuwo wonke umuntu. Uma unesifo sikashukela, kancane kancane uzoqaphela ukuthi umzimba wakho usabela kanjani kulesi simo. Lezi zimpawu zingahlukaniswa ngezigaba ezimbili: izimpawu zokuqala kanye nezimpawu ezinzima kakhulu.

Kungani ushukela egazini wehla kanje?

Kunezizathu eziningana zalokhu. Eziyinhloko imithi esiyiphuzayo yesifo sikashukela kanye nezindlela zethu zokudla.

Eminye imithi yesifo sikashukela

Kubaluleke kakhulu ukubuza udokotela wakho ukuthi imithi yesifo sikashukela oyithathayo ingabangela ushukela wegazi ophansi yini.

• Ukwelashwa Nge-insulini: I-insulini iyi-hormone eyinhloko elawula amazinga kashukela egazini. Uma uthatha i-insulini ngaphandle, ngezinye izikhathi uma umthamo othathwayo uphakeme kunalokho umzimba okudingayo, amazinga kashukela egazini angase ehle.
• Ama-Sulfonylurea: Lawa uhlobo oluvamile lwemithi esetshenziselwa ukwelapha isifo sikashukela. Asebenza ngokuvuselela ama-pancreas ukuthi akhiqize i-insulin eningi. Lokhu ngezinye izikhathi kungabangela amazinga aphansi kashukela egazini. Ezinye izibonelo zifaka:
• I-Glimepiride (i-Amaryl)
• I-Glipizide (i-Glucotrol)
• I-Glibenclamide (i-Glyburide, i-Micronase)

Ngaphezu kwalokho, uma uphuza utshwala kanye nemithi yakho yesifo sikashukela, noma uma uthatha eminye imithi efana ne-allopurinol, i-aspirin, noma i-warfarin, ingasebenzisana futhi ibangele amazinga aphansi kashukela egazini. Ngakho-ke, yazisa udokotela wakho ngayo yonke imithi oyithathayo.

Umphumela wokudla nokuphuza

Uma uthatha amaphilisi e-insulin noma esifo sikashukela angalingani nenani lama-carbohydrate (isitashi/ushukela) owadlayo, ushukela wakho wegazi ungase wehle.

• Ukweqa noma ukulibazisa ukudla: Uma ungadli ngesikhathi esifanele ngemva kokuthatha imithi yakho, amazinga kashukela egazini lakho azokwehla ngoba ushukela omncane ungena emzimbeni wakho.
• Ukudla ukudla okunoshukela omningi: Uma udla ukudla okuningi okunoshukela omningi (isib. iziphuzo ezimnandi, amakhekhe) konke ngesikhathi esisodwa, umzimba wakho uzokhiqiza i-insulini eningi ngokuzumayo. Lokhu kungabangela amazinga kashukela egazini lakho ehle ngokuzumayo.
• Ukuphuza utshwala esiswini esingenalutho: Ukuphuza utshwala ngaphandle kokudla kungavimbela inqubo yokukhiqizwa kukashukela esibindini futhi kubangele i-hypoglycemia.
• Ukuzivocavoca: Uma uzivocavoca, umzimba wakho usebenzisa ushukela ukuze uthole amandla. Ngakho-ke kudingeka uqaphele amazinga akho kashukela ngaphambi nangemva kokuzivocavoca.

Wenzani uma ushukela wakho wegazi uphansi?

Uma ucabanga ukuthi ubhekene nezimpawu ze-hypoglycemia, ungesabi bese ulandela lezi zinyathelo.

1. Hlola izinga likashukela egazini lakho ngokushesha: Uma kungenzeka, hlola izinga likashukela egazini lakho nge-glucometer yakho. Uma lingaphansi kuka-70 mg/dL, thatha isinyathelo ngokushesha.

2. Landela umthetho 'we-15-15':

• Isinyathelo 1: Yidla noma uphuze cishe amagremu ayi-15 ama-carbohydrate asebenza ngokushesha.
• Amaphilisi e-glucose angu-3-4
• Ama-sweet toffee angu-4-6 (angenashukela)
• I-1/2 indebe yejusi yezithelo (engenashukela)
• 1 inkomishi yobisi olunoshukela
• 1/2 indebe yesiphuzo esithambile esinoshukela
• Isipuni soju (lokhu kusheshe kungene egazini uma kufakwa ngaphansi kolimi)
• Isinyathelo 2: Linda imizuzu eyi-15.
• Isinyathelo 3: Hlola ushukela wakho wegazi futhi. Uma usengaphansi kuka-70 mg/dL, yidla amagremu angu-15 okunye kokudla okubalwe ngenhla futhi.

3. Uma amazinga kashukela egazini lakho esebuyele esimweni esijwayelekile: Uma amazinga kashukela egazini lakho esebuyele esimweni esijwayelekile, yidla ukudla okulula okuncane okuqukethe amaprotheni nama-carbohydrate ayinkimbinkimbi (isb., ibhisikidi le-cream cracker elinoshizi) ukuze ugcine amazinga kashukela egazini lakho ezinzile.

Kuthiwani uma umuntu elahlekelwa ingqondo?

Kwezinye izimo ezinzima, i-hypoglycemia ingabangela ukulahlekelwa ukwazi. Lesi yisimo esiphuthumayo.

• Ungalokothi unike umuntu oqulekile ukudla noma isiphuzo ngomlomo. Ukwenza kanjalo kungabangela ukuthi kungene emgodini womoya futhi kwenze isimo sibe sibi kakhulu.
• Shayela i-ambulensi ngokushesha noma umyise e -Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
• Uma udokotela wakho ekucebisile ukuthi usebenzise umjovo obizwa ngokuthi i-glucagon, kubaluleke kakhulu ukuthi ufundise umndeni wakho nabangani ukuthi ungawusebenzisa kanjani esimweni esiphuthumayo. I-Glucagon iyi-hormone ekhuphula amazinga kashukela egazini ngokushesha.

Qaphela lapho ushayela!

Ukushayela unoshukela ophansi egazini kuyingozi kakhulu . Uma uzwa izimpawu ze-hypoglycemia ngenkathi ushayela, misa imoto ngokushesha endaweni ephephile emgwaqweni. Bese uhlola ushukela wakho wegazi, udle okuthile okumnandi, ulinde imizuzu eyi-15, uhlole futhi, bese ushayela futhi kuphela uma ushukela wakho wegazi usubuyele esimweni esijwayelekile. Hlala ugcina ukudla okumnandi (i-toffee, i-glucose) emotweni yakho uma kunezimo eziphuthumayo.

Indlela yokuvimbela i-hypoglycemia?

• Landela uhlelo lokudla olunikezwe ngudokotela wakho noma isazi sokudla okunempilo ngqo.
• Yidla ukudla kwakho okuyinhloko okuthathu ngezikhathi ezijwayelekile. Ungavumeli igebe phakathi kokudla lidlule amahora angu-4-5.
• Uma uzivocavoca, kwenze isigamu sehora noma ihora ngemva kokudla. Hlola amazinga kashukela egazini lakho ngaphambi nangemva kokuzivocavoca.
• Ngaphambi kokuthatha umuthi, hlola kabili ukuthi uthatha umuthi ofanele kanye nomthamo ofanele .
• Uma uphuza utshwala, nciphisa. Gwema ukuphuza utshwala esiswini esingenalutho.
• Buza udokotela wakho ngamazinga aphezulu emithi oyithathayo.
• Hlola amazinga kashukela egazini lakho njalo njengoba utshelwa udokotela wakho .
• Ukugqoka ikhadi lomazisi noma isongo elibonisa ukuthi unesifo sikashukela kungaba yinto ebaluleke kakhulu esimweni esiphuthumayo.

Uma amazinga kashukela egazini lakho ephansi izikhathi eziningana ngesonto ngaphandle kwesizathu esibonakalayo, khuluma nodokotela wakho ngakho. Gcina irekhodi lesikhathi, usuku, nalokho obukwenza ngaleso sikhathi. Lokhu kuzosiza udokotela wakho ukuthi athole iphethini futhi enze noma yiziphi izinguquko ezidingekayo ekwelashweni kwakho.