Ingabe uzizwa uqhaqhazela ngokuzumayo? Ukujuluka, ukuzizwa udidekile, nokuzizwa ulambile kakhulu? Lokhu kungaba izimpawu zokuthi izinga likashukela egazini lakho liphansi kunelinempilo. Ngokwezokwelapha, lesi simo sibizwa ngokuthi i-hypoglycemia . Lokhu kuvame kakhulu kubantu abanesifo sikashukela. Kodwa ngezinye izikhathi kungenzeka nakubantu abangenaso isifo sikashukela. Ngakho-ke, ungesabi. Ake sixoxe ngalokhu kalula nangokucacile.
Kalula nje, kuyini i-hypoglycemia?
I-Hypoglycemia yilapho inani le-glucose, noma ushukela njengoba sivame ukukubiza kanjalo, egazini lakho lehla ngaphansi kwezinga elifanele umzimba.
- Kubantu abaningi abanesifo sikashukela, izinga likashukela egazini elingaphansi kuka-70 mg/dL (ama-milligram nge-deciliter) noma u-3.9 mmol/L (ama-millimole ngelitha) kubhekwa njenge-hypoglycemia.
- Kumuntu ongenaso isifo sikashukela, i-hypoglycemia ivame ukuchazwa njengezinga likashukela egazini elingaphansi kuka-55 mg/dL (3.1 mmol/L).
Uma lesi simo sivela, kufanele selashwe ngokushesha ngokudla noma ukuphuza okuthile okunoshukela noma ama-carbohydrate. Ngezinye izikhathi lokhu kungaholela esimweni esibucayi (i-hypoglycemia enzima). Uma lokhu kwenzeka, kungaba yingozi empilweni futhi kudinga ukunakekelwa kwezokwelapha okusheshayo.
Kungani i-glucose ibaluleke kangaka emizimbeni yethu?
Imizimba yethu ithola ushukela (ushukela) kuma-carbohydrate esiwadlayo. Lona umthombo oyinhloko wamandla emizimbeni yethu. Kufana nophethiloli emotweni. Ikakhulukazi, ushukela ubalulekile ukuze ubuchopho bethu busebenze. Ubuchopho budinga ukuhlinzekwa njalo kweglucose.
Uma ungenaso isifo sikashukela, imizimba yethu igcina amazinga kashukela egazini ngaphakathi kwebanga elithile ngezinqubo eziningana zemvelo. I-hormone eyinhloko esiza ngalokhu yi -insulin, ekhiqizwa yi-pancreas. I-hormone ebizwa ngokuthi i-glucagon nayo ibalulekile kulokhu.
Kodwa-ke, kubantu abanesifo sikashukela, le nqubo ayisebenzi kahle. Ngakho-ke, kufanele balawule amazinga abo kashukela egazini ngemithi (isibonelo, imijovo ye-insulin) kanye nokushintsha indlela yokuphila. Isizathu esiyinhloko sokwehla kukashukela egazini ukwanda kwamazinga e-insulin emzimbeni.
Yiziphi izimpawu zoshukela wegazi ophansi?
Izimpawu ze-hypoglycemia zingaqala ngokuzumayo. Futhi zingahluka kumuntu nomuntu. Nakuba lezi zimpawu zingase zingakhululeki kancane, ziyisixwayiso esihle esisitshela ukuthi, "Ushukela wakho uphansi, yenza okuthile ngokushesha."
| Izici Eziyisisekelo/Ezijwayelekile | Izimpawu ezinkulu (zidinga usizo lwezokwelapha ngokushesha) |
|---|---|
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Izimpawu ezibucayi zisongela ukuphila. Ukunakekelwa kwezokwelapha okusheshayo kubalulekile ezimweni ezinjalo. Uma kungelashwa, i-coma noma ngisho nokufa kungavela.
Ushukela ophansi egazini ngesikhathi ulele (i-Nocturnal Hypoglycemia)
Ngezinye izikhathi, amazinga kashukela egazini angase ehle ngisho nalapho silele. Nazi ezinye zezimpawu:
- Ukulwa nokulala
- Ukujuluka kakhulu kangangokuthi amashidi amanzi
- Ukumemeza ebuthongweni bakho
- Ama-Dreams Amabi
- Ukuzizwa ukhathele kakhulu futhi udidekile lapho uvuka ekuseni
Ingabe ushukela egazini ungehla ngaphandle kokubonisa izimpawu? (Ukungazi nge-Hypoglycemia)
Yebo, lesi simo siyingozi kancane. Kwabanye abantu, ikakhulukazi abanesifo sikashukela abanoshukela wegazi ophansi njalo, ngokuhamba kwesikhathi, amazinga abo kashukela egazini angase ehle ngaphandle kokubonisa izimpawu. Umzimba uyajwayela amazinga kashukela egazini aphansi futhi uyeke ukunikeza izimpawu zokuxwayisa. Lokhu kubizwa ngokuthi ukunganaki kwe-hypoglycemia .
Abantu abanalesi simo banamathuba amaningi okugula kakhulu ngokuzumayo. Uma lokhu kwenzeka kuwe, kubaluleke kakhulu ukutshela umndeni wakho nabangani bakho ngalokhu. Ukuze bangakusiza esimweni esiphuthumayo. Futhi,
- Ukusebenzisa idivayisi ekala amazinga kashukela njalo (Continuous Glucose Monitoring - CGM) kungakusiza ukuthi wazi ukuthi ushukela wakho wegazi uphansi nini.
- Kungumqondo omuhle futhi ukuhlola ushukela wakho wegazi izikhathi eziningana ngosuku nge-glucometer evamile.
Yiziphi izimbangela zokwehla koshukela egazini?
Izizathu zingahlukaniswa ngamaqembu amabili: labo abanesifo sikashukela kanye nalabo abangenaso isifo sikashukela.
Izizathu zokuthi kungani umuntu onesifo sikashukela engase abe noshukela wegazi ophansi
Lokhu kwenzeka uma kukhona ukungalingani phakathi kokudla, ukuvivinya umzimba, kanye nemithi yesifo sikashukela.
- Ukweqisa i-insulin: Ukujova i-insulin eningi kunokudingekile.
- Amaphutha ngesikhathi sokwelashwa nangesikhathi sokudla: Ukuthatha i-insulin nokungadli isikhathi eside.
- Ukuthatha amaphilisi esifo sikashukela angafanele: Ukuthatha amaphilisi esifo sikashukela amaningi kakhulu (isib. i-sulfonylureas) kungabangela ushukela wegazi ophansi.
- Ukuzivocavoca umzimba ngaphezu kokujwayelekile: Ukuzivocavoca umzimba kakhulu futhi ungadli ngokwanele ukuze ubuyisele isisindo.
- Ukuphuza utshwala esiswini esingenalutho: Ukuphuza utshwala ungadli.
- Ukungadli ngesikhathi: Ukungadli ngesikhathi.
Kungani umuntu ongenaso isifo sikashukela enoshukela wegazi ophansi?
Lokhu akuvamile. Kunezinhlobo ezimbili eziyinhloko.
1. I-Reactive Hypoglycemia: Lokhu kwenzeka emahoreni amabili kuya kwamane ngemva kokudla . Ikakhulukazi uma udla ukudla okunama-carbohydrate amaningi njengelayisi, isinkwa, namazambane, umzimba ngokuzumayo ukhiqiza i-insulin eningi, yehlisa amazinga kashukela egazini lakho.
2. Ushukela ophansi egazini ngesikhathi uzila ukudla (Ukuzila i-Hypoglycemia): Lokhu kungabangelwa yizinto eziningana.
- Ukusebenzisa utshwala ngokweqile: Ukuphuza utshwala obuningi ngaphandle kokudla kahle izinsuku eziningana.
- Izifo ezimbi kakhulu: Izimo ezinjengokwehluleka kwesibindi noma izinso.
- Izinkinga zama-hormone: Izimo ezinjengokungakwazi ukusebenza kahle kwe-adrenal.
- Izimila: Izimila ezingavamile kuma-pancreas, njenge-insulinoma, zibangela ukukhiqizwa kwe-insulin ngokweqile.
Uma unalezi zimpawu ngaphandle kokuba nesifo sikashukela, kufanele nakanjani ubone udokotela ukuze uthole imbangela.
Yini okufanele uyenze uma ushukela uphansi? Izindlela zokwelapha
Esikwenzayo lapha ngokuyisisekelo ukunikeza umzimba ushukela (ama-carbohydrate) ngokushesha.
Ezimweni ezivamile, "uMthetho we-15-15"
Lena indlela elula kakhulu futhi elula ukuyikhumbula.
1. Isinyathelo 1: Yidla noma uphuze amagremu angu-15 ama-carbohydrate asebenza ngokushesha .
2. Isinyathelo 2: Linda imizuzu eyi-15 .
3. Isinyathelo 3: Kala izinga likashukela egazini lakho futhi nge-glucometer yakho.
4. Isinyathelo 4: Uma izinga likashukela lingaphansi kuka-70 mg/dL, phinda izinyathelo 1, 2, 3.Yenza lokhu kuze kube yilapho amazinga akho kashukela ebuyela esimweni esijwayelekile.
Yikuphi ukudla okuqukethe amagremu angu-15 ama-carbohydrate?
- Amaphilisi e-glucose angu-3-4
- Ingilazi eyodwa (1/2 indebe) yejusi yezithelo enoshukela noma isiphuzo esibandayo
- Isipuni sikashukela, uju, noma isiraphu ye-maple
- Ingxenye yebhanana elincane
Ukwelashwa ezimweni ezinzima kakhulu (i-Hypoglycemia Enkulu)
Uma umuntu enoshukela ophansi egazini futhi edidekile, engakwazi ukukhuluma, noma engazi lutho , ungalokothi umnike ukudla noma isiphuzo ngomlomo! Ukwenza kanjalo kungabangela ukuba angene emoyeni.
1. Umjovo we-Glucagon: Kubantu abanesifo sikashukela, udokotela wakho kungenzeka ukuthi ubhale umjovo we-glucagon ezimweni eziphuthumayo. Qiniseka ukuthi umndeni wakho uyazi ukuthi uyisebenzisa kanjani.
2. Yiya esibhedlela ngokushesha!: Uma ungenayo i-glucagon noma ungazi ukuthi uyisebenzisa kanjani, shayela ngokushesha isevisi ye-ambulensi ka-1990 noma umyise e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze.
3. Jikisa isiguli eceleni: Isiguli singase sihlanze ngemva kokuthola ingqondo. Ngakho-ke, jikisa isiguli eceleni ukuze uvimbele ukuminza.
Yini engenziwa ukuvimbela lesi simo?
Kungaba nzima kumuntu onesifo sikashukela ukuvimbela lokhu ngokuphelele, kodwa kungenzeka ukunciphisa ukuvama kwalesi simo.
- Landela iseluleko sezokwelapha: Phuza imithi udokotela wakho ayinikezayo ngesikhathi esifanele nangesikhathi esifanele.
- Qaphela ukudla nokuzivocavoca: Ungayeki ukudla. Uma uvivinya umzimba, khuluma nodokotela wakho ngakho bese wenza izinguquko ekudleni kwakho uma kudingeka.
- Hlola amazinga kashukela egazini lakho njalo: Kubaluleke kakhulu ukuhlola amazinga kashukela egazini lakho ngaphambi nangemva kokudla, ngaphambi nangemva kokuzivocavoca, nangaphambi kokulala.
- Gcina umbhalo: Njalo uma unoshukela wegazi ophansi, bhala phansi isikhathi, izinga lakho likashukela egazini, lokho okudlile ngaphambilini, nokuthi ngabe uke wazivocavoca yini. Lokhu kuzosiza udokotela wakho ukuthi akwakhele uhlelo lokwelashwa.
Into ebaluleke kakhulu ukunaka umzimba wakho. Thatha isinyathelo ngokushesha uma uzwa izimpawu zokuqala zokwehla koshukela egazini.
Umlayezo Wokuya Nawe Ekhaya
- I-Hypoglycemia yisimo lapho amazinga kashukela egazini ehla khona kakhulu. Lokhu kungaba yingozi uma kungelashwa.
- Qaphela izimpawu ezifana nokuthuthumela, ukujuluka, ukudideka, kanye nendlala enkulu.
- Hlala ugcina okuthile kuwe, njengamaphilisi e-glucose, iphakethe likashukela, noma ibhokisi elincane lejusi yezithelo.
- Ezimweni ezivamile, sebenzisa "umthetho we-15-15": thatha amagremu angu-15 e-glucose, linda imizuzu engu-15, bese uhlola ushukela wakho wegazi futhi.
- Uma umuntu equlekile, ungamniki lutho ngomlomo. Shayela i-ambulensi ngokushesha noma umyise eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.
- Uma uvame ukuba noshukela wegazi ophansi noma unezimpawu zoshukela wegazi ophansi ngaphandle kwesifo sikashukela, qiniseka ukuthi ubona udokotela wakho.
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