Hypoglycemia a cikin marasa lafiya da nau'in ciwon sukari na 2

Ka tuna cewa yawan haila - Wannan raguwa ne cikin sukari na jini a ƙasa da ƙasan ƙarancin al'ada, wato, ƙasa da 3.3 mmol / L. Hypoglycemia zai iya haɓaka ne kawai a cikin haƙuri tare da ciwon sukari wanda ke karɓar insulin ko allunan rage sukari. Ba tare da kwayoyi ba, bin tsarin abinci da amfani da aikin motsa jiki, hypoglycemia ba za a iya jin tsoro ba.

Hypoglycemia yana tasowa da sauri, ba zato ba tsammani, yayin da mai haƙuri ya ji rauni mai kaifi, gumi, hannayensa na iya rawar jiki ko jin motsi na ciki na iya bayyana. Damuwa, tsoro, palpitations ma halaye ne. Yana iya yin duhu a idanu, ciwon kai. Wasu marasa lafiya suna jin yunwa, wasu ba su lura da wannan ba.

A wasu halaye, idan ba a cire hypoglycemia da sauri ba, zai iya ƙaruwa kuma ya haifar da mummunan yanayi, lokacin da mara lafiya ya faɗi cikin wawa kuma ba zai iya taimakon kansa ba. Arin ci gaba da ƙin jinin haihuwar cuta ya cika da ƙwayar cutar hauhawar jini - yanayi tare da asarar sani, wanda ke haifar da barazana ga rayuwa.

Tabbas, hypoglycemia mai sauƙi na iya wucewa ta kansa, ba tare da shiga cikin mummunan tsari ba har ma ba tare da magani ba, saboda a cikin jikin mutum akwai tsarin kariya idan akwai raguwa sosai a matakin sukari: hanta tana shirin adana sukari daga glycogen, tana kawo shi ga jini. Koyaya, wannan bai kamata a fata ba - kowane ƙwaƙwalwar jini na da haɗari.

Tambayar wani lokacin ta taso, shin abin mamaki ne irin na hypoglycemia da gaske hypoglycemia? A ƙarshe, babu wani takamaiman takamaiman a cikin waɗannan abubuwan jin daɗin. Haƙiƙa, wanene lokaci-lokaci ba ya fuskantar rauni, farin ciki, jin zafin kwatsam? Bugu da kari, a cikin marasa lafiya masu fama da cutar sikari, raunin hypoglycemia yakan faru lokacin da matakan sukari na jini suka kai matakin al'ada. Wannan yana tsoratar da mai haƙuri, yana ganin irin wannan yanayin kamar hypoglycemia na ainihi.

Idan akwai shakku, ya zama dole a tantance matakin sukarin jini a lokacin tsinkayewar hawan jini, wato, tabbatar dashi. Amma a lokaci guda, kada a ja tsayi tare da cin abinci na carbohydrates mai sauƙin lalacewa!

Sanadin hauhawar jini

Hypoglycemia ya haɗu a cikin yanayin da sakamakon tasirin magunguna masu rage sukari: insulin ko allunan - yana wuce kima. Wannan na iya faruwa lokacin da aka wuce kashi ɗaya ko ɗayan, misali, mara lafiya ya yi kuskure kuma ya shigar da ƙarin raka'a insulin fiye da yadda aka saba ko da gangan, saboda mantuwa, ya ɗauki allunan sau biyu. A gefe guda, hypoglycemia na iya haɓaka yayin shan kashi na yau da kullun na miyagun ƙwayoyi, idan mai haƙuri ya ci abinci tare da isasshen abin da ke cikin carbohydrate ko bai ci abinci ba kwata-kwata, kuma ya sha magungunan rage sukari.

Wasu lokuta hypoglycemia na iya faruwa ba tare da wani kuskure ba a ɓangaren mai haƙuri. A cikin waɗannan halayen, a matsayin mai mulkin, kowane canje-canje a cikin jikin yana faruwa, alal misali, nauyi yana raguwa, sakamakon abin da hankalin insulin ya inganta. Irin waɗannan yanayi suna buƙatar rage yawan magunguna masu rage sukari.

Akwai wasu dalilai guda biyu waɗanda zasu iya haifar da haifar da cutar rashin ƙarfi ta jiki.

Da fari dai, aikin jiki ne. Motsa jiki da ke aiki a jiki mai yawa yana ɗaukar sukari daga jini, sakamakon abin da matakin sa cikin jini ya fara raguwa. A karkashin yanayi na yau da kullun, amsar da mutum zaiyi akan wannan zai rage adadin insulin da aka samar kuma a sakamakon haka, matakin sukarin jini zai kasance cikin iyaka. A cikin haƙuri tare da ciwon sukari wanda ya sha magungunan rage ƙwayar sukari ko ya shiga cikin insulin, tasirin su yana ci gaba ba tare da la'akari da tasirin motsa jiki ba. Sakamakon haka, sukarin jini zai iya zubar da ruwa mai yawa, watau hypoglycemia yana haɓaka.

Abu na biyu da ke ba da gudummawa ga ci gaban hawan jini shine yawan shan barasa. Alkahol an san yana da mummunar illa a hanta. Tasirinsa yana haifar da hypoglycemia shima yana hade da hanta. A ƙarƙashin rinjayar barasa, an samar da tsari na samar da sukari daga shagunan glycogen zuwa jini a ciki, saboda wanda matakin sa cikin jini ya ragu. Idan mara lafiyar mai ciwon sukari ya ɗauki allunan maganin hypoglycemic ko insulin allura, zai yiwu a ɗaukar jinin haihuwar.

Ya kamata a sani cewa barasa, ba shakka, ba za a iya amfani da shi azaman hanyar rage yawan sukari na jini a cikin ciwon suga ba. Bayan duk, kamar yadda aka bayyana, ba ya rage sukarin jini ta hanyar kawar da lahani da ke cikin ciwon suga. Ba ya inganta haɓakar insulin kuma baya haɓaka ayyukan ƙwayar cuta, kuma tasirinsa akan hanta gabaɗaya ba shi da kyau.

Tsarin cututtukan hypoglycemia

Don sauri ƙara matakan sukari na jini, yana da buƙatar ɗaukar carbohydrates mai sauƙi a hankali, shine, abin da mai ciwon sukari yawanci ya guji: sukari, zuma, abubuwan sha masu sa maye (duba Hoto 19).

Hoto na 19 cikin sauki sitaci carbohydrates.

A sakamakon haka, bayan wasu 'yan mintoci, matakin sukari na jini zai fara dawowa al'ada, kuma alamun cutar sanyin hankali a hankali zai ɓace.

Yana da mahimmanci a san adadin carbohydrates wanda ke cire dogaro daga hypoglycemia.

Ya kamata a ci sukari 4-5, - ƙaramin adadin mai yiwuwa ba isasshen.

Sha ruwan 'ya'yan itace ko wani abin sha mai tsami (lemun tsami, Pepsi-Cola) 200 ml, watau gilashi. Za'a iya amfani da ruwan 'ya'yan itace a zahiri ba tare da ƙara sukari ba.

Marasa lafiya mai ciwon sukari da ke karbar magunguna masu rage sukari koyaushe yana ɗaukar carbohydrates tare da shi mai sauƙi!

A wannan batun, sukari a cikin guda, karamin kunshin ruwan 'ya'yan itace ko wani abin sha mai dadi sun fi dacewa don sauƙaƙe cututtukan jini.

Kudin zuma ba su da matsala ga kashi, Sweets suna da wahalar ɗanɗana (caramel), ko kuma suna ɗauke da abubuwan da ke rage jinkirin shan ƙwayoyin carbohydrates (cakulan, soya), don haka amfanin waɗannan samfuran ba shi da amintacce.

Tare da mummunan hypoglycemia (numbness tare da yiwuwar cikakken isasshen ayyuka ko cikakkiyar asarar hankali - ƙawancen hypoglycemic), mai haƙuri ba zai iya taimakon kansa ba, ba shakka. Tunda ana buƙatar taimakon wasu, yana da kyau a sanar da ƙaunatattunku game da yiwuwar irin wannan yanayin.

Af, alamun cututtukan cututtukan jini wanda zai iya zama sananne ga wasu sune pallor da canji kwatsam a cikin ɗabi'a: haushi ko ɓarna, da sauransu.

Taimako tare da matsanancin rashin ƙarfi kamar haka. Idan an kiyaye hankali, kuna buƙatar sha ko ciyar da mai haƙuri daɗin rai. Idan akayi asarar hankali, to ba za'a iya yin wannan ba, kamar yadda mara lafiyar baya iya hadiye shi. Don haka kuna buƙatar kwance mai haƙuri a gefen sa, ku saki kogon na baki (alal misali, daga hakora, abinci) don numfashi kyauta, sannan ku kira motar asibiti. Dole ne a sanar da likita cewa mara lafiyar yana da ciwon sukari.

Ana amfani da coma na hypoglycemic tare da glucose na cikin jiki.

Hakanan akwai shirye-shiryen glucagon (alal misali, GlucagenGipoKit), waɗanda ake amfani da su don hypoglycemia. Ana sarrafa Glucagon intramuscularly ko subcutaneously sabili da haka ana iya amfani da shi ba kawai daga kwararrun likitoci ba, har ma da ƙwararrun dangin marasa lafiya da masu ciwon sukari.

Ana buƙatar kulawa da hankali sosai (duka kafin da bayan motsa jiki) da wadatar da wadataccen carbohydrates mai sauƙin narkewa, kawai idan fiye da yadda aka saba. Idan kuna da motsa jiki da tsawaita jiki, a wannan ranar ƙila kuna buƙatar rage allurai na rage ƙwayoyin sukari. Amma irin wannan shawarar ba a son ranka don ɗaukar kanka, kana buƙatar shawarar likita.

Zai yi wuya a ba da shawarwari bayyananne game da barasa, musamman saboda hankalin mutum daban-daban game da shi da kuma abubuwan da ba a iya faɗi ba a yanayi daban-daban. Yana da mahimmanci kada a sha babban allurai na barasa. An dauki lafiya mai sauƙin ɗaukar 30-40 g na giya a mako. Dangane da abubuwan sha mai ƙarfi, kamar vodka, wannan zai zama kusan 100 g.

Barasa an contraindicated a cikin hanta cututtuka.

Maimaita yawan hypoglycemia yana buƙatar ziyarar likita ta wajibi. Wataƙila kuna buƙatar sake duba tsarin kulawa: nau'ikan da allurai na rage ƙwayoyin sukari.

I.I. Dedov, E.V. Surkova, A.Yu. Majors

Siffofin bayyanar asibiti

Gabaɗaya, alamun cututtukan hypoglycemia ba su bambanta da juna ba, ya danganta da irin cutar. Ba sa ingantawa da sauri, amma kawo ƙarancin rashin jin daɗi. Mutum zai iya jin irin waɗannan alamun:

• tsananin farin ciki
• rauni
• kara yin gumi
• palpitations
• fargaba ko rikicewa,
• Goosebumps
• gajiya
• yunwa.

Idan akai la'akari da irin wannan nau'in ciwon sukari na 2 na mellitus yana tasowa a cikin tsofaffi da tsofaffi, ban da alamu na gargajiya tare da ƙarancin glucose a cikin jini, suna da alamun cutar. Za a iya bayyana shi ta hanyar irin waɗannan abubuwan:

• matsaloli cikin kokarin daidaita ayyukan hannu da kafafu (har da mafi sauki),
• mai girman kai game da wasu, tuhuma da rashin amana,
• hawaye
• karancin magana
• furta rawar jiki
• rikicewar gani.

Taimako na farko ya kamata ya zama na al'ada - kuna buƙatar tabbatar da ciwan carbohydrates cikin sauri a jiki. Shayi mai dadi, farin burodi tare da cuku, Sweets ko sanduna mai dadi suna dacewa da wannan. Yana da mahimmanci a ba mutumin hutawa kuma a kwantar da shi a kan gado mai jin daɗi. Dakin da yake wurin da mai ciwon sukari ya kasance yana da sabon iska da dumin haske. Idan a cikin mintina 15 bai ji daɗi ba ko kuma alamu sun fara ƙaruwa da wuri, ya kamata ku nemi taimakon likita cikin gaggawa.

Sanadin

Matsayin hypoglycemic mafi yawan lokuta yana tasowa saboda irin waɗannan dalilai:

• tsawon lokaci na azumi (hutu tsakanin abinci sama da awanni 6),
• yi yawa jiki aiki,
• shan giya
• karamin rabo na abinci mai karancin abinci
• wani magani da bai dace ba don rage sukari ko yawan abin sama da ya dace na maganin da ya dace,
• lokaci guda na gudanar da kwayoyi masu jituwa tare da allunan don lura da cututtukan cututtukan cututtukan da ba na insulin ba.

Magungunan don rage matakan sukari da fari sune ke fitar da kodan. Idan aikinsu ya lalace, matakin ƙwayoyi a cikin jini yana kasancewa ya zama mai girma kuma yana raguwa a hankali. Wannan tara kuɗi a cikin jiki na iya haifar da ci gaban hypoglycemia.

Ba za ku iya takamaiman kiyaye sukari ba a matakin da ƙasa da ƙwarku daga likitanku. Artificially motsa jikin cikin yanayin damuwa, zaku iya cutar da shi sosai. Magunguna na magani don lura da nau'in ciwon sukari na 2 na mellitus an zaɓa daban-daban ta hanyar endocrinologist, bisa ga bayanan dakin gwaje-gwaje da ƙarar haƙuri. An yi niyya don riƙe wani matakin sukari, wanda ba za a yi ƙoƙarin ƙara ƙasa ba tare da izinin likita mai halartar ba. Sakamakon irin waɗannan gwaje-gwajen na iya zama jurewar hypoglycemia, ba shi da magani.

Wasu lokuta cututtukan haɗin gwiwa na ƙwayar ƙwayar ƙwayar cuta na ciki tare da damuwa ko mummunar cuta na rayuwa wanda ba shi da alaƙa da ciwon kai tsaye zai iya haifar da cutar hypoglycemia. Amma tun da wannan cuta ta mamaye dukkanin tsarin da gabobin, yawancin cututtukan da ke tattare da juna suna ci gaba kuma suna haɓaka haɓaka daga tushe.

Mene ne bayanin martaba na glycemic?

Bayanin glycemic shine alamomi da ke nuna canje-canje a cikin glucose jini a cikin tsawon sa'o'i 24. Zai iya nuna rashin ƙarfi a cikin jini har ma a waɗancan matakan yayin da yake asymptomatic, kodayake wannan ba wuya ba ne. Sakamakon wannan binciken na iya zama wani yanayi a mafi yawan lokuta don sarrafa matakan sukari da kansa kuma idan cutar sikari ta hana daukar matakan da suka dace cikin lokaci.

Hakanan, wannan bincike yana ba ku damar tantance matakin ingantaccen tsarin abinci da magani. Magungunan da aka zaɓa ba su da ƙima sosai a cikin magunguna masu yawa a haɗe tare da rage cin abinci maras nauyi na iya haifar da raguwar yawan sukarin jini da haɓaka rikitarwa masu haɗari. Kuma godiya ga wannan binciken, zaku iya daidaita tsarin kulawa da abincin mai haƙuri cikin lokaci. Yana da kyau a rinka yin wannan bincike sau da yawa a gajerun tazara don tantance sauye sauyen jihar.

Me yasa magungunan rage sukari na haifar da rashin karfin jini?

Abin takaici, babu magungunan gargajiya da suka dace na maganin cututtukan type 2. Wasu daga cikinsu suna aiki da sauri, amma suna da sakamako masu illa. Wasu suna da ƙananan sakamako mara kyau, amma sukari kuma an rage shi a hankali. Akwai kwayoyi waɗanda, tare da tsawanta amfani da su, suna datse hanji. Likita ne kawai zai iya zaɓar madaidaicin magungunan zamani don haƙuri, wanda zai kawo masa mafi girman fa'ida tare da ƙarancin haɗarin sakamako masu illa.

Ofaya daga cikin illa mara amfani na shan wasu magunguna don rage sukari shine haɓaka yanayin rashin lafiyar mutum. Zuwa mafi girma, wannan dabi'a ce ga sulfonylureas da amo, kodayake ingantattun ɗakunan magunguna da kuma sanya idanu akai-akai game da matakan glucose suna hana hakan. A cikin matakan farko na nau'in ciwon sukari na 2 na cututtukan zuciya, endocrinologists sau da yawa suna ba da shawarar ƙoƙarin yin ba tare da magungunan kwayoyi ba, ba da kulawa ta musamman game da abinci, matsakaiciyar motsa jiki da kuma kulawa da jin dadi. Idan cutar ba ta ci gaba ba, yayin da ake riƙe da matakin sukari a matakin da aka yarda da shi, to a cikin maganin ƙwayar cuta, a matsayin mai mulkin, ba shi da ma'ana.

Hypoglycemia a cikin ciwon sukari na kowane nau'in yanayi ne mai haɗari ga lafiyar mai haƙuri. Amma tare da nau'in 2 na wannan cuta, haɗarin rikice-rikice yana ƙaruwa saboda shekarun mai haƙuri, jiki mai rauni da haɓaka mai kiba. Kodayake yawan rashin lafiya na faruwa sau da yawa akai-akai, yana da mahimmanci kada a manta game da yiwuwar wannan ilimin sannan ku mai da hankali ga alamu masu ba da tsoro.

Jiyya don taƙasasshen hypoglycemia

Me zai biyo baya?

Idan har yanzu ya daɗe sosai kafin cin abinci na gaba (alal misali, hauhawar jini ya haɗu da daddare), to bayan dakatar da ƙin jini yana da kyau ku ci 1 da sannu a hankali XE (yanki 1 na abinci, alal misali,
ko craan 'yan fasa, ko sandar muesli).

Ba bu mai kyau a dakatar da ƙin jini tare da cakulan da cakulan, sandwiches tare da man shanu, cuku, tsiran alade, kamar yadda aka ƙunshi
A cikinsu kitse yana rage jinkirin shaye-shayen carbohydrates.

Jiyya don tsananin hypoglycemia

Sharuɗɗa don kawar da cututtukan jini mai guba:

• Kira motar asibiti
• Babban hanyar magani shine sarrafa jet na ciki na 40-100 ml na maganin glucose 40%
  har zuwa cikakken dawowar hankali.

Menene za a iya yi kafin jirgin motar motar asibiti ya isa?

• A cikin hypoglycemia mai tsanani, yawan shan carbohydrates a cikin m ko nau'i na ruwa ta bakin ya karye
  saboda hadarin kamuwa da cutar siga, (shaƙa),
• Idan ƙwaƙwalwar hankali da ikon haɗiye suna kiyayewa, to shafa mai gel da ke ɗauke da glucose
  zu, ko zuma,
• Mafi kyawun madadin gabatarwar glucose a gida kafin zuwan likitoci shine gabatarwar
  glucagon.

Glucagon shine hormone na farji wanda yake saki
glucose daga hanta don haka yana ƙaruwa da matakinsa a cikin jini.
Kuna iya siyan sa a kantin magani.

Bayan gudanar da glucagon, hankali yakan murmurewa a cikin mintuna 5 zuwa 10. Idan wannan bai faru ba, za a iya maimaita gabatarwar. Bayan murmurewa, ya zama dole a dauki carbohydrates na digestible don dawo da shagunan glycogen a cikin hanta. Tattauna tare da likitan ku game da yiwuwar samun magungunan da kuma dabarar sarrafa ta, domin a nan gaba za ku iya ilmantar da wadanda suka iya maganin sa.

Ka tuna cewa aikin jiki yana buƙatar ƙarin ɗaukar carbohydrates ko rage a cikin kashi na insulin. Karanta ƙarin game da wannan a cikin labarin "aiki na jiki".

Don amintaccen tsaro, koyaushe sa munduwa na wucin gadi / keychain / abin wuya tare da bayananku da bayanai game da cutar.

Kuna iya ɗaukar fasfo na “masu haƙuri na masu cutar sukari” tare da ku, inda za a rubuta game da cutar da ake bi, buƙatar kiran gaggawa ga ƙungiyar motar asibiti idan ba a nuna halayyar da ba ta dace ba ko kuma rashin hankali, lambar wayar likitanku da sauran mutanen da suke buƙatar sanar da su game da abin da ya faru.

Karanta ƙa'idojin aminci, gami da hawan jini,
a cikin sukari da sashin tuki.

Tare da cutar, mai haƙuri na iya haɓaka hypoglycemia
Kemii (asymptomatic hypoglycemia). Za ku dakatar da jin kwatankwacin farkon, zaku iya jin daɗi ko da tare da matakin glucose na jini a ƙasa da 3.9 mmol / L, kuma zaku fara fuskantar alamun kawai a ƙananan matakan da haɗari na haɓaka coma. Tattauna wannan yanayin tare da likitanka: wataƙila kuna iya yin kwaskwarimar jiyya da ƙwayar sukari, kamar Idan har ba a gano shi ba, zai zama mafi aminci a kula da glucose na jini a cikin babban adadin.

Ana buƙatar kulawa ta musamman da daddarewar dare, dalilan da za su iya zama yawan insulin na basal kafin lokacin bacci ko insulin prandial kafin abincin dare, shan giya ko tsananin motsa jiki da rana. Abubuwan bacci na dare da aka ɓata ta hanyar mafarki mai ban tsoro, zanen gado, ciwon kai da safe, ƙimar glucose ta safiya a cikin jini. Idan kuna tsammanin rashin jinin haila, to sai ku auna glucose ɗinku da jini a 2-4 a.m. Ana iya yin wannan a kai a kai - sau ɗaya a mako, misali.