Ingabe ngezinye izikhathi uzizwa ukhathele, uqhaqhazela, ujuluka, futhi unesizungu konke ngesikhathi esisodwa? Ungase futhi uzizwe ukhathazekile futhi ulambile. Lezi zivame ukuba izimpawu eziyinhloko zoshukela ophansi egazini, noma lokho esikubiza ngezokwelapha ngokuthi i-hypoglycemia. Lokhu kuvame kakhulu kubantu abanesifo sikashukela, kodwa kungenzeka nakubantu abangenaso isifo sikashukela. Ake sixoxe ngalokhu ngamazwi alula namuhla.
Kuyini i-hypoglycemia?
Kalula nje, i-hypoglycemia iyenzeka lapho amazinga kashukela egazini lakho, noma i-glucose, ehla ngaphansi kwezinga elidingekayo. Le glucose inguphethiloli oyinhloko ohlinzeka ngamandla emizimbeni yethu, njengophethiloli wemoto.
Lesi simo sivame ukwenzeka kubantu abanesifo sikashukela abashintsha imithi, ukudla, noma ukuzivocavoca. Kodwa singavela nakubantu abangenaso isifo sikashukela. Singavela ngezindlela ezimbili eziyinhloko:
- I-hypoglycemia esabelayo: Lokhu kwenzeka emahoreni ambalwa ngemva kokudla.
- Ukwehla kwe-hypoglycemia ngokuzila ukudla: Lokhu kwenzeka uma ungadlanga isikhathi eside. Kungahlotshaniswa nemithi ethile noma ezinye izimo zezokwelapha.
Umehluko phakathi kwe-hypoglycemia kanye ne-hyperglycemia
Nakuba la magama amabili ezwakala efana, izincazelo zawo zihluke ngokuphelele.
| Isimo | Incazelo |
|---|---|
| I-Hypoglycemia | "Hypo" isho ukuthi 'phansi.' Isho ukuthi ushukela wegazi uphansi . |
| I-Hyperglycemia | "I-Hyper" isho ukuthi 'iphezulu'. Isho ushukela ophezulu egazini. |
Ushukela uncishiswa kangakanani?
Amazinga kashukela egazini akalwa ngama-milligram nge-deciliter (mg/dL). Ngokuvamile, amazinga kashukela omuntu ophilile angaphakathi kwebanga elithile. Kodwa-ke, uma amazinga kashukela egazini lakho ehla ngaphansi kuka-70 mg/dL, kubhekwa njenge-hypoglycemia.
Uma lokhu kwehlela ngaphansi kuka-54 mg/dL,Ukwehla okukhulu kwe-hypoglycemia. Ungase uquleke kulesi sigaba. Ungase udinge omunye umuntu ukuthi akunike okuthile okufana ne-glucagon njengokwelashwa okuphuthumayo.
Kungani ushukela wami wegazi wehla kanje?
Uma sidla, ikakhulukazi uma sidla ukudla okuqukethe ama-carbohydrate njengesinkwa nelayisi, kuphenduka ushukela emzimbeni wethu bese kwengezwa egazini. Kukhona umuntu osiza amangqamuzana emzimbeni ukusebenzisa lo ushukela njengamandla. Leyo yi-hormone ebizwa ngokuthi i-insulin . I-insulin yilokho okuthatha ushukela egazini bese kuwuletha emaseli.
Uma amazinga kashukela egazini eqala ukwehla, njengaphakathi kokudla, kukhishwa elinye i-hormone. Libizwa ngokuthi i-glucagon . Liguqula i-glucose egcinwe esibindini nasemisipheni yethu (ebizwa ngokuthi i-glycogen) ibe yi-glucose bese liyikhipha egazini. Lena yindlela esigcina ngayo amazinga ethu kashukela egazini ezinzile ngisho noma singadli.
Cabanga nje, uma kukhona okungahambi kahle kule nqubo, izinga likashukela egazini lakho lingehla ngokuzumayo. Yilokho okushiwo yi-hypoglycemia.
Izizathu zokuthi kungani abantu abangenaso isifo sikashukela benoshukela wegazi ophansi
Nakuba lesi simo sivame ukuhlotshaniswa nesifo sikashukela, singase senzeke nakubantu abangenaso isifo sikashukela. Kunezizathu eziningana zalokhu.
- Imithi ethile: Eminye imithi, njenge-quinine, esetshenziselwa umalaleveva, ingabangela ushukela wegazi ophansi. Lokhu kungenzeka futhi uma uthatha imithi yesifo sikashukela yomunye umuntu ngengozi.
- Ezinye izimo zezokwelapha: Izimo ezifana nesifo sesibindi esibi kakhulu (i-hepatitis enzima, i-cirrhosis), ukwehluleka kwezinso, izifo ezinzima, kanye nesifo senhliziyo kungathinta amazinga kashukela egazini.
- Ukungondleki: Izimo ezifana ne-anorexia zingabangela ukuthi izitolo ze-glycogen zomzimba ziphele futhi ushukela wegazi wehle.
- Ukuphuza utshwala ngokweqile: Uma uphuza utshwala obuningi ungadli, isibindi asikwazi ukukhiqiza ushukela nge-glycogen. Lokhu kubangela ukuthi amazinga kashukela egazini ehle.
- Eminye imidlavuza: Eminye imidlavuza ye-pancreas ibangela ukuthi umzimba ukhiqize i-insulin eningi kakhulu, okubangela ukuthi ushukela egazini ungene ngokushesha emangqamuzaneni, okubangela amazinga kashukela egazini aphansi.
- Izinkinga zama-hormone: Ezinye izifo zezindlala ze-adrenal kanye nezindlala ze-pituitary zingathinta ama-hormone afana ne-insulin ne-glucagon.
Izizathu zokuthi kungani abantu abanesifo sikashukela benoshukela wegazi ophansi
Uma unesifo sikashukela, umzimba wakho unenkinga yokwenza noma ukusebenzisa i-insulin. Lokhu kwelashwa ngemijovo ye-insulin noma eminye imithi. Kodwa uma uphuza imithi yakho eminingi kakhulu , weqa ukudla, noma uvivinya umzimba kakhulu kunokujwayelekile , ungase ube nengozi enkulu yokuba nesifo sikashukela.Amazinga kashukela egazini angehla ngokuzumayo.
Into ebaluleke kakhulu ukugcina ibhalansi efanele phakathi kokudla kwakho, ukuzivocavoca, kanye nemithi uma uthatha imithi yesifo sikashukela. Khuluma nodokotela wakho ngalokhu bese uthola ukuqonda okuhle.
Ziyini izimpawu zalokhu?
Uma izinga likashukela emzimbeni lehla, umuntu ngamunye angase abe nezimpawu ezihlukile. Lezi zimpawu ziyahlukahluka kuye ngokuthi izinga likashukela lehla kangakanani.
| Uhlobo oluyisici | Izimpawu ezibonisa |
|---|---|
| Izici Eziyisisekelo/Ezithambile |
|
| Uma isimo sibucayi (Sibi kakhulu) |
Uma ushukela wakho wegazi wehla ebusuku (nocturnal hypoglycemia) , ungase ube nezimpawu ezifana nokuklabalasa ebuthongweni bakho, ukuba namaphupho amabi, nokuvuka umanzi te.
Ukungazi Nge-Hypoglycemia
Lesi isimo esiyingozi kancane. Kwabanye abantu, ikakhulukazi labo asebenesifo sikashukela iminyaka engaphezu kwemi-5-10, lapho amazinga abo kashukela egazini ehla njalo, imizimba yabo iyajwayela. Ngemuva kwalokho, imizimba yabo iyayeka ukunikeza izimpawu zokuxwayisa njengokuthuthumela nendlala lapho amazinga abo kashukela egazini ehla. Lokhu kubabeka engcupheni enkulu yokuthola isimo esibucayi ngoba abaqapheli ukuthi ushukela wabo egazini uphansi.
Ngakho-ke, kubaluleke kakhulu kubantu abanesifo sikashukela ukuthi bahlole njalo amazinga abo kashukela.Ngenxa yalokhu, manje sekukhona amadivayisi afana nama-glucometer, athatha ithonsi legazi emunweni bese elihlola, kanye ne-'Continuous Glucose Monitor (CGM),' efakwa ngaphansi kwesikhumba futhi iqaphe amazinga kashukela njalo.
Yini okufanele uyenze uma ushukela wakho wegazi wehla ngokuzumayo?
Uma nje uqala ukuzwa izimpawu zoshukela wegazi ophansi, udinga ukuthatha isinyathelo ngokushesha.
1. Okokuqala, yidla okuthile okumnandi: Yidla noma uphuze okuthile okuzokhuphula ushukela wegazi lakho ngokushesha. Amagremu angu-15-20 ama-carbohydrate anele lokhu.
- Amaphilisi e-glucose angu-3-4
- Ingxenye yengilazi yesiphuzo esinoshukela (njenge-cola, hhayi ukudla okunempilo)
- Ingilazi eyodwa yejusi yezithelo
- Isipuni sikashukela noma uju
- Ezinye izinto ezimnandi ezifana nobhontshisi wejeli kanye ne-toffee
Okubalulekile: Ungadli ukudla okunamafutha amaningi noma i-fiber, njengoshokoledi nobhontshisi, ngalesi sikhathi, ngoba kubambezela ukumuncwa kukashukela emzimbeni.
2. Linda imizuzu eyi-15: Ngemva kokudla into emnandi, linda ngesineke imizuzu eyi-15.
3. Hlola ushukela wakho wegazi futhi: Uma ungakwazi, hlola ushukela wakho wegazi futhi. Uma usengaphansi kuka-70 mg/dL, noma uma usenenkinga, phinda isinyathelo 1 futhi.
4. Uma isimo singathuthuki: Uma isimo sakho singathuthuki naphezu kwalezi zinyathelo, noma uma uba nezimpawu ezinkulu (njengokudideka), shayela ngokushesha u-1990 ukuze uthole i-ambulensi noma uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela esiseduze (i-ETU).
Uma umuntu equleka (i-Hypoglycemia Enkulu)
Uma umuntu equleka ngenxa yokwehla okukhulu kwamazinga kashukela egazini, kuyisimo esiphuthumayo sezokwelapha.
- Ungalokothi uzame ukunikeza umuntu oqulekile ukudla noma isiphuzo. Kungabangela ukuminyana.
- Uma welashwa isifo sikashukela, udokotela wakho kungenzeka ukuthi ukunike ikhithi yokujova i-glucagon . Fundisa umndeni wakho nabangani bakho ukuthi ungayisebenzisa kanjani esimweni esiphuthumayo.
- Uma ubona umuntu equlekile, shayela i-ambulensi ngokushesha. Badinga usizo lwezokwelapha.
Lesi simo singavinjelwa kanjani?
Kunezinto eziningana ongazenza ukuze ulawule futhi uvimbele i-hypoglycemia.
- Ungayeki ukudla: Yidla ukudla okuyinhloko okuthathu ngosuku bese udla ukudla okulula phakathi.
- Qaphela ukuzivocavoca: Vivinya umzimba isigamu sehora noma ihora ngemva kokudla. Hlola amazinga kashukela egazini lakho ngaphambi nangemva kokuzivocavoca.
- Phuza imithi yakho njengoba nje uyalelwe: Phuza imithi udokotela wakho ayinikezayo, ngesilinganiso esifanele, ngesikhathi esifanele. Hlola kabili isilinganiso.
- Nciphisa utshwala:Uma uphuza utshwala, nciphisa. Gwema ukuphuza utshwala esiswini esingenalutho.
- Hlala ulungele: Uma uphuma, phatha okuthile okumnandi (amaphilisi e-glucose, i-toffee) esikhwameni sakho.
- Yazisa abanye: Yazisa umndeni wakho, abangani, kanye nosebenza nabo ukuthi unesifo sikashukela. Bangakusiza esimweni esiphuthumayo.
- Bona udokotela: Uma uvame ukuzwa izimpawu zoshukela wegazi ophansi, kungakhathaliseki ukuthi unesifo sikashukela noma cha, qiniseka ukuthi ubona udokotela wakho ukuze athole imbangela futhi athole ukwelashwa okufanele kanye neseluleko.
Umlayezo Wokuya Nawe Ekhaya
- I-Hypoglycemia iyizinga likashukela egazini eliphansi kakhulu. Izimpawu ezivamile zifaka phakathi ukuqhaqhazela , ukujuluka, isiyezi kanye nendlala enkulu.
- Nakuba lokhu kuvame kakhulu kubantu abanesifo sikashukela, kungenzeka nakubantu abangenaso isifo sikashukela ngezizathu ezahlukene.
- Uma nje uzizwa izimpawu zoshukela ophansi egazini, yidla okuthile okumnandi okumunca ushukela ngokushesha (amaphilisi e-glucose, ijusi yezithelo, ushukela).
- Uma ubhekana nalezi zimpawu njalo noma ziba zimbi kakhulu (njengokulahlekelwa yinkumbulo), funa usizo lwezokwelapha ngokushesha. Kubalulekile ukuthola imbangela bese uyelapha.
- Isivikelo esingcono kakhulu ukukhuluma nodokotela wakho njalo ngokudla kwakho, ukuzivocavoca, kanye nemithi, kanye nokugcina ukuphathwa okuhle.
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