M rikice-rikice na ciwon sukari: hypoglycemia da hypoglycemic coma
Hypoglycemia - yanayin da matakan glucose a cikin jini da ke ƙasa da ƙaƙƙarfan iyaka yana ƙasa ko daidai yake da 3.9 mmol / L. Sakamakon wannan, ƙwayoyin ba su samun abincin da yakamata;
Tare da hypoglycemia, kuna buƙatar yin aiki da sauri. Hadarin hypoglycemic coma yana da girma sosai.
- gabatarwar wani kaso mai yawa na insulin ko shan magunguna masu wuce gona da iri,
- karancin carbohydrates a cikin jini yayin tayin mafi girman tasirin insulin ko kuma allunan rage sukari, rashin daidaituwa na kololuwar aikin insulin da kuma samun karuwar carbohydrates,
- aiki na jiki (aikin gida, wasanni) tare da ƙwarewar hankali ga insulin kuma ba tare da cinye carbohydrates don daidaita matakan sukari ba,
- shan giya (barasa yana hana kwararar glucose daga hanta, yayin da yake rage rage karfin glycogen),
- na iya zama sakamakon tsawan amfani da magunguna da dama (obzidan, anaprilin, biseptol, sulfadimethoxin),
- da sanya insulin aiki mai aiki a cikin jiki da sabon kashi na bolus don abinci,
- lokacin dawowa bayan hanyoyin kumburi, lokacin da aka rage bukatar insulin.
Menene coma mai haihuwar jini?
Jiki tare da cutar rashin daidaituwa shine babban bayyanuwar cutar rashin ƙarfi a cikin jini. Na farko, alamun bayyanar suna ci gaba tare da raguwa a cikin glucose a cikin kwakwalwa - yanayin da ake kira neuroglycopenia. Anan, rikicewar halayen mutum, rikicewa, sannan asarar hankali shine halayyar mutum, rashi kuma, a ƙarshe, coma yana yiwuwa.
Idan ba zato ba tsammani kuna da ciwon kai mai kaifi, kuna da mummunan jin yunwar, yanayinku yana canzawa ba gaira ba dalili, kuna da haushi, kuna jin rashin iya tunani sosai, kun fara yin gumi kuma kuna jin ƙwanƙwasa a cikinku, kamar yadda tare da canjin matsin lamba - kai tsaye ku auna matakin sukari! Babban abu shine dakatar da yanayin a lokaci ta hanyar ɗaukar wani yanki na carbohydrates mai sauri a cikin adadin 15 grams kuma, idan ya cancanta, ƙari. Aiwatar da doka 15: ku ci 15 na carbohydrates, jira na mintina 15 kuma ku auna sukari, idan ya cancanta, ɗauki wani 15 grams na carbohydrates.
A wani ɓangare na mutane, halayen mutum mai ciwon sukari tare da yanayin hypoglycemic na iya kama da halin maye. Kawo mai ganowa wanda zai taimakawa wasu damar fahimtar abin da ke faruwa da kuma amsa daidai. Bayyana wa dangi, abokai, da abokan aiki abin da za a yi a wannan yanayin. Faɗa mana cewa a cikin wannan jihar kuna buƙatar sha shayi mai dadi, soda tare da sukari (ba haske), ruwan 'ya'yan itace. Hakanan yana da kyau kar a motsa, don kada ku haifar da ƙarin raguwa a cikin sukarin jini saboda aikin jiki.
Idan akwai gaggawa, kuna buƙatar samun glucagon tare da umarnin.
Tare da haɓakar haɓakar hypoglycemia mai haƙuri, mai haƙuri da gaggawa yana buƙatar kiran motar asibiti.
Ko da za a iya dakatar da hypoglycemia akan lokaci, Akwai wasu dalilai na zuwa asibiti:
- an samu nasarar dakatar da ciwon sikila, amma mutumin da ke ɗauke da ciwon sukari ya riƙe shi ko kuma ya sami alamun cututtukan zuciya, cutawar hanji, raunin jijiyoyin jiki waɗanda ba alamu ba a cikin yanayin al'ada,
- Ana maimaita halayen hypoglycemic jim kaɗan bayan faruwar farko (yana iya zama dole don daidaita sashin insulin na yanzu).