Hypoglycemia a cikin nau'in ciwon sukari na 2 na cutar siga - alamu da hana rikice-rikice

Muna ba da shawarar ku karanta labarin a kan taken: "Hypoglycemia a cikin alamun bayyanar cututtuka da hanyoyin magani" tare da sharhi daga kwararru. Idan kana son yin tambaya ko rubuta ra'ayi, zaka iya yin wannan a ƙasa, bayan labarin. Kwararrun masanan ilimin likitancin mu zasuyi muku amsar.

Bidiyo (latsa don kunnawa).

Hypoglycemia a nau'in ciwon sukari na 2 na cuta - alamu da magani

Hypoglycemia ana kiranta rage yawan sukarin jini. Wannan yanayin na iya ci gaba kuma yana haifar da mummunan sakamako: lalacewar kwakwalwa da mutuwa. Dangane da magani na hukuma, hypoglycemia yana rage glucose zuwa 2.8 mmol / l, lokacin da mutum ya ji rashin jin daɗin fili, ko zuwa 2.2 mmol / l, lokacin da mai haƙuri ba ya jin wata alama. More sau da yawa tashin hankali yana faruwa a cikin nau'in ciwon sukari na 2.

Hanyar wannan yanayin cutar guda ɗaya ce: akwai ƙarin insulin fiye da glucose. Jiki yana fara rashin carbohydrates, wanda ke samar da makamashi. Jiki da gabobin ciki suna jin “yunwar,” kuma idan ba a dauki matakai cikin lokaci ba, sakamakon na iya zama mai muni har ma da m.

Bidiyo (latsa don kunnawa).

Sanadin faruwa bambanta.

  • Doaukewar yawan insulin insulin ko lissafin kashi mara daidai.
  • Amfani da sulfonylureas, da yumbu. Yawancin lokaci suna haifar da rikice-rikice kuma suna haifar da mummunar tasiri kan aikin wasu tsarin da gabobin. Magungunan zamani basu bada shawarar amfani da su don magani ba.
  • Alkalami na insulin kuskure
  • Glucometer daidaitawa (yana fara nuna tsananin ƙwayar cuta wanda ba ta dace da ainihin jihar ba)

  • Kuskuren Doctor lokacin da yake rubuta sigogin magunguna masu rage sukari
  • Yawancin yawan zubar insulin ta hanyar marasa lafiya da kansu tare da yanayin rashin damuwa
  • Kuskure a cikin gabatarwar magunguna - allurar intramuscular maimakon subcutaneous
  • Canje-canje a wurin allura ko tasiri a kansa. Lokacin da aka shigar da shi wani sashi na jiki wanda yafi dacewa da motsa jiki, ko tausa wurin allura, yana karuwa da sauri kuma yana ba da haɓaka ta yawan insulin.
  • Amfani da sabon nau'in magani, wanda ba'a amfani da jikin mutum
  • Rashin cire insulin daga jini sakamakon cutar koda ko hanta
  • Gabatar da "gajere" insulin maimakon "tsayi" a cikin adadin
  • Yin hulɗa da ba a sani ba tare da sauran magungunan magunguna. Sulfonylurea na iya haɓaka hankalin mutum zuwa ga allurar insulin mai zuwa. Yin amfani da barbiturates, asfirin, anticoagulants, antihistamines na iya haifar da wannan sakamakon.
  • M motsa jiki ko tsawan lokaci
  • Warm, ƙara yawan zafin jiki na iska
  • Hormones mara nauyi ko kuma jijiyar glandon gland shine yake
  • Ciki, Haihuwar, da shayarwa

    Yawancin lokuta na cututtukan jini suna haɗuwa ba tare da magunguna ko cututtuka na kullum ba, amma tare da matsalolin abinci da abinci mai gina jiki.

    • Malabsorption syndrome. Wannan ba shi da ƙima ga mahimmancin abubuwan gina jiki da jiki ya karɓa saboda ƙarancin narkewar abinci.
    • Abincin da ba a saba ba ko tilasta wani abin ciye-ciye.
    • Abincin da ba a daidaita shi ba wanda ke low a cikin carbohydrates.
    • Babban aiki na jiki wanda ba'a tsammani ba, kafin ko kuma nan da nan bayan hakan ba zai yiwu a ɗauki glucose ba.
    • Shan giya.
    • Sha'awar rage nauyi tare da tsayayyen abinci ko cikakken ƙin abinci. A wannan yanayin, mai ciwon sukari baya rage yawan insulin da sauran magunguna.
    • Mai saurin narkewa daga ciki da ƙoshin abinci a sakamakon ciwon sukari mai narkewa.
    • Amfani da insulin cikin sauri kafin abinci da jinkirta abincin.

    Marasa lafiya da ciwon sukari 2 fadama bai kamata su ji hare-hare masu ƙarfi na yunwar ba don lafiyar al'ada - wannan Alamar farko ta rashin karancin jini. Sabili da haka, ya kamata a kula da canje-canje a cikin abinci da magani a hankali.

    Shan magungunan rage sukari, dole ne a haɗu da shi cewa kowane mai haƙuri yana da matakin al'ada na glycemia. Significantarancin rashin sukari ana ɗauka shine raguwa na 0.6 mmol / L daga mai nuna alamar yau da kullun. Da kyau, masu nuni yakamata su yi daidai da wadanda aka lura cikin koshin lafiya. Amma a wasu yanayi masu ciwon sukari dole su tozarta cutar sankara na wani ɗan lokaci.

    Alamun rashin carbohydrates suna fara bayyanawa a cikin yanayi mai sauƙi kuma a ƙarshe ake samun ƙarfin magana.

    Alamar farko ita ce jin yunwar. Hakanan ana iya lura da hypoglycemia:

    • pallor
    • cin gindi
    • matsananciyar yunwa
    • palpitations da katako
    • rage hankali da natsuwa
    • tashin hankali, damuwa
    • tashin zuciya

    Lokacin da glycemia ta faɗi zuwa matakin haɗari, ana iya lura da masu zuwa:

    • rauni
    • tsananin farin ciki da matsanancin ciwon kai
    • karancin magana, matsalolin hangen nesa
    • jin tsoro
    • rikicewar motsi
    • cramps, asarar sani

    Kwayar cutar ba zata iya faruwa lokaci guda. kuma ba duka bane. A wasu halaye, waɗanda galibi suna da tsalle-tsalle a cikin glycemia, ciwon sukari na dogon lokaci, tsofaffi na iya jin su kwata-kwata ko jin ƙarancin rashin lafiya.

    Wasu masu ciwon sukari suna sarrafawa don sanin lokacin da glycemia tayi ƙasa da yadda aka saba, auna matakan sukari da shan glucose. Kuma wasu sun rasa hankali kuma suna iya samun ƙarin rauni. Mutanen da ke fama da ciwon sukari suna iya haifar da ƙarfin jini, haramun ne a fitar da abin hawa ko kuma yin wani aiki wanda rayuwar wasu mutane ya dogara da shi. Shan wasu magunguna na iya yin illa ga matsalar ku.

    A wasu halaye, marasa lafiya da irin waɗannan bayyanar cututtuka na iya yin halayen da basu dace ba, suna da tabbacin cewa lafiyar su tana cikin tsari har zuwa lokacin rasa hankali. Rage tashin hankali yana yiwuwa akan shawara don shan magunguna, ko akasin haka, farmaki na rauni, rashin barci, sanyin hankali.

    Ya kamata a ba da kulawa ta musamman ga marasa lafiya da ke fama da ciwon sukari, a cikin su wayewar jini ke faruwa a cikin mafarki. A irin waɗannan halayen, bacci ba shi da hutawa, numfashi yana yankewa da rikicewa, fatar jiki tana da sanyi, musamman a wuya, an rufe jikinsa da tsananin zufa. A cikin yara a irin waɗannan halayen, yana da kyawawa don auna glycemia da dare kuma rage kashi maraice na insulin ko sake duba abincin. A cikin jarirai, bayan ƙarshen shayarwa, ya zama dole a hanzarta haɓaka al'adar abinci mai ƙarancin-carb.

    Hanya guda daya da za'a kaurace wa rikice-rikice ita ce koyaushe kula da sukarin ku. Idan kana jin yunwa, sai ka auna sukari ka dauki matakan dakile harin. Idan babu bayyanar cututtuka, amma a bayyane yake cewa babu wani abun ciye-ciye na lokaci ko aiki na jiki, ɗauki glucose na kwamfutar hannu don hana matsaloli. Tana aikatawa da sauri da tsinkaya. Lissafin kashi mai sauki ne, yana shiga cikin jini a cikin 'yan mintuna. Bayan minti 40-45, kuna buƙatar auna matakin sukari kuma, idan ya cancanta, maimaita, ku ɗan ƙara yawan glucose.

    Wasu masu ciwon sukari a cikin irin waɗannan halayen sun fi son cin gari, Sweets, 'ya'yan itãcen marmari, ruwan' ya'yan itace mai sha ko sodas na sukari. Wannan na iya haifar da farmaki na hyperglycemia, tunda waɗannan samfuran ba su ƙunshi "sauri" ba, amma har da carbohydrates "mai jinkirin". Sun fi tunawa da hankali, saboda tsarin narkewa dole ne a ɗauki lokaci don sarrafa su. Yawancin carbohydrates "jinkirin" a cikin 'yan awanni bayan cin abinci zai haifar da tsalle mai yawa a cikin sukari. Ana amfani da glucose tare da ruwa kai tsaye daga kogon roba. Ba lallai ba ne ma hadiye shi.

    Zaka iya tantancewa nawa kwalane gulubia nawa ke haifar da yawan glycemia. Wannan yana da wahala a yi tare da samfurori. Tare da tsoro ko cikin yanayin rashin isasshen yanayin, akwai haɗarin wuce gona da iri har ma da cutar cutarwa ga lafiya.

    Idan ba zai yiwu ba ku sayi glucose, zaku iya ɗaukar ragowar sukari mai ladabi tare da ɗaukar cubes 2-3 don hana cutar yawan kumburi.

    Idan mai ciwon sukari baya cikin iko kuma baya iya daukar mataki, taimakon wasu zai buƙaci.

    Yawancin lokaci mai haƙuri yana da rauni, mai kisa kuma kusan bai san komai ba. Ba zai iya dandana wani abu mai daɗi ko cin kwaya ba, akwai haɗarin cakulan. Zai fi kyau ba da abin sha mai laushi, alal misali, shayi mai ɗumi tare da sukari, ko bayani na glucose. Akwai wasu mala'iku na musamman waɗanda za a iya amfani da su don sa mai da bakin ciki da harshe. Ana iya maye gurbinsu da zuma ko matsawa. Ya kamata a kula da marasa lafiya yayin wani hari. Lokacin da matakanku zasu yi aiki, kuma zai iya amsa tambayoyi, ya zama dole yi amfani da glucose a cikin hanzari ka gano yadda ake bukatar karin glucose zuwa al'ada da kuma abinda ya haifar da malalar.

    Dalilin wannan yanayin na iya zama ba kawai hypoglycemia ba, har ma da bugun zuciya ko ciwon koda, tsalle a cikin karfin jini, don haka kuna buƙatar yin hankali sosai.

    Idan mai ciwon sukari ya suma, shawarar:

    • Sanya sandar katako a cikin hakoranka domin kada a lokacin jijiyoyin mara lafiya basu ciji harshensa ba
    • juya kan ka gefe daya domin kada ya narke a narke ko amai
    • yi allura na glucose, a kowane hali kokarin sha ko ciyar
    • kira motar asibiti

    Sakamakon irin wadannan hare-hare, akwai haɗarin rashin ingantacciyar lafiya.
    Tare da hypoglycemia daga rashin ƙarfi, mkwakwalwa da jijiyoyin jini na iya wahala ba tare da jinkiri ba.

    Rashin ingantaccen fita daga yanayin yana haifar da tsalle-tsalle cikin sukari da sabon rauni a cikin lafiya, tsalle cikin hauhawar jini, bugun zuciya, da gajiya koda.

    Rashin hankali zai iya haifar da mummunan rauni. Duk wani rashin daidaituwa a cikin sukari na jini zai zama mai illa ga zaman lafiyar gaba ɗaya.

    Siffofi na haɓakar Pathology

    Hanyar haɓakar haɓakar hypoglycemia ana haifar da ita idan yawan haɗuwar glucose a cikin jini ya kasance 3.3-4 mmol / L kuma ƙananan (ana ɗaukar 3.5-5.5 mmol / L a matsayin al'ada). Babban dalilin shine yawan wuce haddi na insulin, don haka glucose ya daukeshi. Jikin yana ƙoƙarin dawo da matakan sukari na yau da kullun, abubuwanda ke ajiye wanda aka ajiye a cikin hanta a cikin nau'i na glycogen.

    Don juya wannan abu zuwa glucose, kwayoyin hodar iblis (adrenaline, glucagon, cortisol) suka shiga cikin jini.

    Idan ba zai yiwu a cika ƙarancin sukari ba, mummunan sakamako ya ɓaci. Rikicin hypoglycemic yana da mummunar tasiri a cikin kwakwalwa, yunwar makamashi na jijiyoyi yana haifar da tsinkaye mara nauyi, rikicewar jiki, coma.

    Akwai matakai 4 na haila da yawa:

    1. Hypoxia na sel na jijiya, wasu wuraren kwakwalwa, suna haɓaka. Mai haƙuri yana jin rauni na tsoka, ciwon kai, damuwa, matsananciyar yunwar. Ajiyar zuciya da zufa suna bayyana.
    2. A rauni na subcortical-diencephalic yankin yana ƙaruwa. Fuskar mutumin tana jujjuyawa, motsin ya zama ya cika fuska, kuma halin ya zama bai isa ba.
    3. Halin da ya yi kama da harin cututtukan fata. Tashin hankali yana bayyana, hawan jini ya tashi, tachycardia da zufa suna ƙaruwa.
    4. Ayyukan ɓangarorin na sama na medulla oblongata an keta, ƙima ta girma.

    Iri Hypoglycemia

    Akwai nau'ikan cututtukan cuta guda 2:

    1. Azumi na hauhawar jini. Suga ta fadi bayan bacci.
    2. Hypoglycemia bayan cin abinci. Ya bayyana bayan sa'o'i 2-3 bayan cin abinci.


    Babu rashin jinin haila. Tana da haɗari saboda alamun ta ba zai yiwu a gane ba. Mai haƙuri yana yin zufa, mafarki mai ban tsoro ya fara mafarkinsa.

    Hypoglycemia a cikin nau'in 1 na ciwon sukari na mellitus ba ya bambanta musamman a cikin kayan ci gaba, amma yana faruwa da sauri. Hare-hare suna faruwa sau da yawa (kusan sau 10), sun fi tsanani fiye da marasa lafiya da ke fama da ciwon sukari na 2. Alamar faduwar sukari wani lokaci kusan ba ya nan, mutum na iya rasa hankali nan da nan.

    Sau da yawa, cututtukan hypoglycemia na faruwa a lokacin lura da ciwon sukari na nau'in 2 tare da magunguna na sulfonylurea ko kuma idan aka sami ƙarin magunguna masu yawa. Sugar yana sauka a ƙasa na al'ada, wani lokacin a cikin kwanaki 3 bayan fara shan irin waɗannan magunguna. Yin amfani da magunguna masu rage sukari a cikin matakin biyan diyya na haifar da raguwar glucose idan mutum ya dauki maganin a kaso daya.

    1. Lissafin kashi mara inganci na insulin ko yawan zubar jini.
    2. Ba daidai ba an gudanar da maganin ba (allurar cikin ciki maimakon subcutaneous).
    3. Canza wurin allurar ko bayyanar shi. Misali, tausa yana haifar da saurin shan magungunan, yana haifar da tsalle cikin insulin.
    4. Adana sabon magani, wanda mara lafiya bashi da lokacin daidaitawa.
    5. Yin hulɗa tare da wasu magunguna. Abun hankali ga karuwar insulin: anticoagulants, barbiturates, antihistamines, asfirin.
    6. Ciki, shan nono.
    7. Wucewar motsa jiki, wuce gona da iri.
    8. Rashin cika abincin, tsallake abinci.
    9. Rashin abinci mai gina jiki, ƙarancin kalori.
    10. Rage gudu da aiwatar da rage abinci, fanko da na ciki.
    11. Rashin lafiyar yara, hanta.
    12. Shan giya, musamman akan komai a ciki.

    Bayyanar cututtukan hypoglycemia

    Mai haƙuri da ciwon sukari yakamata ya iya gane alamun hypoglycemia a lokaci. Idan baku dakatar da harin ba, canje-canjen da ba a iya jujjuyawa ba suna faruwa a jiki, mutum na iya mutuwa ko ya zama nakasassu. Akwai mai laushi da tsananin ciwo. A farkon lamari, yanayin cututtukan cuta yana bayyana ta alamomin halayyar, wanda ya haɗa da:

    • Haɗaɗɗa
    • Girma
    • Fata fata,
    • Yawan zuciya
    • Kwatsam akan yunwar
    • Rashin Gaggawa
    • Damuwa
    • Gajiya
    • Rashin rauni
    • Dizziness
    • Jin zafi a kai
    • Bayyanar "gosebumps" akan fatar,
    • Rashin gani
    • Numbness of yatsan
    • Ciwon hanci, zawo,
    • Urination akai-akai.


    Idan mai haƙuri ba zai iya dawo da matakin glucose ba, tare da faduwar gaba (zuwa matakin 1.7 mmol / L da ƙananan) mummunan ciwan jini na haɓaka. Mutum na iya fadawa cikin halin rashin lafiya, wanda ke tattare da rikicewar rikitawa. Bayyanar cututtukan cututtukan cututtukan jini sun hada da:

    • Mai raunin hankali, hangen nesa, daidaituwa,
    • Changesarfafa canje-canje a cikin halayyar (alal misali, bayyananniyar rashin hankali),
    • Haƙiƙa
    • Rashin sani
    • Cramps
    • Muscle inna
    • Bugun jini

    Tare da haɓaka mummunan yanayi, mutum ba zai iya taimakon kansa ba.

    Likitoci sun lura cewa, yawan hare-haren hypoglycemic a cikin kowane mara lafiya yana bayyana kansu daban, don haka alamun yanayin yanayin cututtukan na iya zama mutum ɗaya zalla.

    Ba duk masu ciwon sukari ke jin kusancin cututtukan hypoglycemia ba, a cikin haɗarin sune marasa lafiya waɗanda ke da ciwon sukari na dogon lokaci, tsofaffi da waɗanda ke da hare-hare sau da yawa. Wani lokacin mara lafiya yana jin kamar zazzabin cizon saƙo.

    Areunanan cututtukan cututtukan jini suna haushi saboda wasu dalilai. Wadannan sun hada da:

    • Fibrosis, necrosis na adrenal gland tissue,
    • Kyakkyawan nau'in neuropathy, wanda ke haɓakawa da asalin yanayin lalacewar jijiyoyi,
    • Gluarancin glucose na dogon lokaci,
    • Shan magungunan beta, irin waɗannan magungunan ana umurce su ne bayan bugun zuciya,
    • Abincin da ba daidai ba ya ƙunshi carbohydrates da yawa.

    A cikin waɗannan halayen, ana bada shawara don auna glucose a kai a kai tare da glucometer. Tare da sakamako a ƙasa da 3.5 mmol / l, dole ne a dauki matakan haɓaka shi.

    Hadaddun cututtukan jini

    Rage sukari yana haifar da rikitarwa masu zuwa:

    • Mai ƙarancin aiki na kwakwalwa,
    • Visara yawan ganin jini
    • Bugun zuciya, bugun jini,
    • Rashin lafiyar hypoglycemia,
    • A cikin yara - ƙwaƙwalwar kwakwalwa, raunin jijiyoyin jiki.

    Hypoglycemia a lokacin daukar ciki yana kara hadarin lahani ga haihuwa a cikin jariri.

    Yiwuwar rikice-rikice yana ƙaruwa ga tsofaffi, musamman idan sun cika nauyi.Wani mawuyacin rikicewa shine cutar mahaifa, wanda ke haifar da nakasa ko mutuwa.

    Abin da za a yi idan wani harin na hypoglycemia

    Matakan gaggawa suna da mahimmanci idan alamun alamun hypoglycemia mai sauƙi suka bayyana. An tsayar da harin idan kun tabbatar da samar da carbohydrates cikin sauri. Don yin wannan, dace:

    • Shayi mai dadi
    • Biscuits
    • Zuma (2-3 tebur. L.),
    • Ruwan lemu
    • Alewa (yana da kyau a bayar da fifiko ga caramel)
    • Sukari



    Allunan glucose suna da tasiri sosai. Tare da nau'in ciwon sukari na 2, akwai dangantaka ta kai tsaye tsakanin adadin carbohydrates da aka ƙone da haɓaka sukari: yana tashi da raka'a 2. bayan shan 2 g na glucose. Irin waɗannan kwayoyin hana daukar ciki suna kawar da buƙatar cin abinci ba bisa ƙa'ida ba kuma suna hana ƙwayar cuta. Bayan haka, ka rage yunwar ka ta hanyar cin abinci marassa carb.

    Bayan shan carbohydrates, jira minti 15. Idan babu cigaba, ku sake cin zaki. Ragewa da jin dadi shine kyakkyawan dalili don kula da lafiyar gaggawa.

    Idan mutum yana gab da rasa hankali, to ba zai iya tauna sukari ko magungunan ba. Ba shi maganin glucose (ana siyar dashi a kantin magani). Madadin haka, zaku iya yin syrup din kanku. Tabbatar cewa mai haƙuri zai iya hadiye maganin. Samfurin zai yi tasiri na mintina 5. Bayan haka, kuna buƙatar auna matakin sukari.

    Dole ne a saka mutumin da ya baci da hankali akan gado (a gefe ko a hancinsa). Yi amfani da adiko na goge baki don 'yantar bakinsa gamsai, tarkace abinci. Samun damar shiga cikin iska mai kyau ta buɗe taga. Sannan a kira motar asibiti.

    Tare da coma, za a buƙaci gabatarwar glucagon da mafita na glucose mai mahimmanci, likitocin gaggawa ke yin wannan. Kuna iya siyan takamaiman kayan da ake kira Glucagon don kulawa ta gaggawa. An sake shi kan takardar sayan magani. Ana yin allurar kamar yadda ya saba, bayan minti 20. mutumin zai sake samun nutsuwa.

    Yin rigakafin

    Yana da mahimmanci a kula da matakan rigakafin ci gaban hauhawar jini, tunda tashe-tashen hankula ko tsawan lokaci suna haifar da mummunan sakamako.

    1. Kula da sukarinka na yau da kullun tare da mitirin glucose na jini.
    2. Idan ana zargin hypoglycemia, auna sukari da wuri-wuri. Idan mai nuna alama ya faɗi ta 0.6 mmol / L (idan aka kwatanta da na yau da kullun), aiwatar da matakan da aka nuna a sama.
    3. Tuntuɓi ƙwararren mai abinci mai gina jiki don abincin da ya dace.
    4. Ku ci ko'ina cikin yini tare da ɗan gajeren lokaci. Servres yakamata yayi karami. An bada shawara a ci kowane 3 hours.
    5. Zaɓi matakin aiki na jiki dangane da yanayin kiwon lafiya, ɗabi'ar mutum daban-daban.
    6. Tare da yin aiki na jiki na tsawan lokaci, cinye abinci na furotin da abinci wanda ke dauke da carbohydrates a kowace awa (sanwic nama ya dace).
    7. Barin barasa
    8. Ryauki allunan glucose (ko Sweets, sukari).
    9. Kula da tsawon lokacin hutu tsakanin cin abinci da insulin.
    10. Tuntuɓi likitan ku don yiwuwar dakatar da shirye-shiryen sulfonylurea. Zai yiwu yiwuwar yawan hypoglycemia lokacin amfani da insulin ta hanyar ƙananan kashi.
    11. Sanar da dangi, abokai da abokan aiki game da alamun cututtukan hypoglycemia, yadda za a dakatar dashi, saboda su iya taimaka muku idan ya cancanta.
    12. Noteauki bayanin kula inda za'a nuna alamun cutar. Zaka iya sayan munduwa na asali mai nuna alama. Wannan zai bawa wasu damar ba da isasshen taimako idan kwatsam kuka rasa hankali.

    Hypoglycemia a cikin nau'in ciwon sukari na 2 na cutar siga - alamu da hana rikice-rikice

    Hypoglycemia a cikin nau'in ciwon sukari na 2 cuta ce mai wahala, tare da raguwa mai yawa a cikin sukarin jini. Pathology yana haɓaka da sauri, a zahiri a cikin rabin sa'a. Idan babu matakan da sukakamata, toshewar jini zai haifar da lalacewar kwakwalwa, mutuwa.

    Hanyar haɓakar haɓakar hypoglycemia ana haifar da ita idan yawan haɗuwar glucose a cikin jini ya kasance 3.3-4 mmol / L kuma ƙananan (ana ɗaukar 3.5-5.5 mmol / L a matsayin al'ada). Babban dalilin shine yawan wuce haddi na insulin, don haka glucose ya daukeshi. Jikin yana ƙoƙarin dawo da matakan sukari na yau da kullun, abubuwanda ke ajiye wanda aka ajiye a cikin hanta a cikin nau'i na glycogen.

    Don juya wannan abu zuwa glucose, kwayoyin hodar iblis (adrenaline, glucagon, cortisol) suka shiga cikin jini.

    Idan ba zai yiwu a cika ƙarancin sukari ba, mummunan sakamako ya ɓaci. Rikicin hypoglycemic yana da mummunar tasiri a cikin kwakwalwa, yunwar makamashi na jijiyoyi yana haifar da tsinkaye mara nauyi, rikicewar jiki, coma.

    Akwai matakai 4 na haila da yawa:

    1. Hypoxia na sel na jijiya, wasu wuraren kwakwalwa, suna haɓaka. Mai haƙuri yana jin rauni na tsoka, ciwon kai, damuwa, matsananciyar yunwar. Ajiyar zuciya da zufa suna bayyana.
    2. A rauni na subcortical-diencephalic yankin yana ƙaruwa. Fuskar mutumin tana jujjuyawa, motsin ya zama ya cika fuska, kuma halin ya zama bai isa ba.
    3. Halin da ya yi kama da harin cututtukan fata. Tashin hankali yana bayyana, hawan jini ya tashi, tachycardia da zufa suna ƙaruwa.
    4. Ayyukan ɓangarorin na sama na medulla oblongata an keta, ƙima ta girma.

    Akwai nau'ikan cututtukan cuta guda 2:

    1. Azumi na hauhawar jini. Suga ta fadi bayan bacci.
    2. Hypoglycemia bayan cin abinci. Ya bayyana bayan sa'o'i 2-3 bayan cin abinci.

    Babu rashin jinin haila. Tana da haɗari saboda alamun ta ba zai yiwu a gane ba. Mai haƙuri yana yin zufa, mafarki mai ban tsoro ya fara mafarkinsa.

    Hypoglycemia a cikin nau'in 1 na ciwon sukari na mellitus ba ya bambanta musamman a cikin kayan ci gaba, amma yana faruwa da sauri. Hare-hare suna faruwa sau da yawa (kusan sau 10), sun fi tsanani fiye da marasa lafiya da ke fama da ciwon sukari na 2. Alamar faduwar sukari wani lokaci kusan ba ya nan, mutum na iya rasa hankali nan da nan.

    Sau da yawa, cututtukan hypoglycemia na faruwa a lokacin lura da ciwon sukari na nau'in 2 tare da magunguna na sulfonylurea ko kuma idan aka sami ƙarin magunguna masu yawa. Sugar yana sauka a ƙasa na al'ada, wani lokacin a cikin kwanaki 3 bayan fara shan irin waɗannan magunguna. Yin amfani da magunguna masu rage sukari a cikin matakin biyan diyya na haifar da raguwar glucose idan mutum ya dauki maganin a kaso daya.

    1. Lissafin kashi mara inganci na insulin ko yawan zubar jini.
    2. Ba daidai ba an gudanar da maganin ba (allurar cikin ciki maimakon subcutaneous).
    3. Canza wurin allurar ko bayyanar shi. Misali, tausa yana haifar da saurin shan magungunan, yana haifar da tsalle cikin insulin.
    4. Adana sabon magani, wanda mara lafiya bashi da lokacin daidaitawa.
    5. Yin hulɗa tare da wasu magunguna. Abun hankali ga karuwar insulin: anticoagulants, barbiturates, antihistamines, asfirin.
    6. Ciki, shan nono.
    7. Wucewar motsa jiki, wuce gona da iri.
    8. Rashin cika abincin, tsallake abinci.
    9. Rashin abinci mai gina jiki, ƙarancin kalori.
    10. Rage gudu da aiwatar da rage abinci, fanko da na ciki.
    11. Rashin lafiyar yara, hanta.
    12. Shan giya, musamman akan komai a ciki.

    Mai haƙuri da ciwon sukari yakamata ya iya gane alamun hypoglycemia a lokaci. Idan baku dakatar da harin ba, canje-canjen da ba a iya jujjuyawa ba suna faruwa a jiki, mutum na iya mutuwa ko ya zama nakasassu. Akwai mai laushi da tsananin ciwo. A farkon lamari, yanayin cututtukan cuta yana bayyana ta alamomin halayyar, wanda ya haɗa da:

    • Haɗaɗɗa
    • Girma
    • Fata fata,
    • Yawan zuciya
    • Kwatsam akan yunwar
    • Rashin Gaggawa
    • Damuwa
    • Gajiya
    • Rashin rauni
    • Dizziness
    • Jin zafi a kai
    • Bayyanar "gosebumps" akan fatar,
    • Rashin gani
    • Numbness of yatsan
    • Ciwon hanci, zawo,
    • Urination akai-akai.

    Idan mai haƙuri ba zai iya dawo da matakin glucose ba, tare da faduwar gaba (zuwa matakin 1.7 mmol / L da ƙananan) mummunan ciwan jini na haɓaka. Mutum na iya fadawa cikin halin rashin lafiya, wanda ke tattare da rikicewar rikitawa. Bayyanar cututtukan cututtukan cututtukan jini sun hada da:

    • Mai raunin hankali, hangen nesa, daidaituwa,
    • Changesarfafa canje-canje a cikin halayyar (alal misali, bayyananniyar rashin hankali),
    • Haƙiƙa
    • Rashin sani
    • Cramps
    • Muscle inna
    • Bugun jini

    Tare da haɓaka mummunan yanayi, mutum ba zai iya taimakon kansa ba.

    Likitoci sun lura cewa, yawan hare-haren hypoglycemic a cikin kowane mara lafiya yana bayyana kansu daban, don haka alamun yanayin yanayin cututtukan na iya zama mutum ɗaya zalla.

    Ba duk masu ciwon sukari ke jin kusancin cututtukan hypoglycemia ba, a cikin haɗarin sune marasa lafiya waɗanda ke da ciwon sukari na dogon lokaci, tsofaffi da waɗanda ke da hare-hare sau da yawa. Wani lokacin mara lafiya yana jin kamar zazzabin cizon saƙo.

    Areunanan cututtukan cututtukan jini suna haushi saboda wasu dalilai. Wadannan sun hada da:

    • Fibrosis, necrosis na adrenal gland tissue,
    • Kyakkyawan nau'in neuropathy, wanda ke haɓakawa da asalin yanayin lalacewar jijiyoyi,
    • Gluarancin glucose na dogon lokaci,
    • Shan magungunan beta, irin waɗannan magungunan ana umurce su ne bayan bugun zuciya,
    • Abincin da ba daidai ba ya ƙunshi carbohydrates da yawa.

    A cikin waɗannan halayen, ana bada shawara don auna glucose a kai a kai tare da glucometer. Tare da sakamako a ƙasa da 3.5 mmol / l, dole ne a dauki matakan haɓaka shi.

    Rage sukari yana haifar da rikitarwa masu zuwa:

    • Mai ƙarancin aiki na kwakwalwa,
    • Visara yawan ganin jini
    • Bugun zuciya, bugun jini,
    • Rashin lafiyar hypoglycemia,
    • A cikin yara - ƙwaƙwalwar kwakwalwa, raunin jijiyoyin jiki.

    Hypoglycemia a lokacin daukar ciki yana kara hadarin lahani ga haihuwa a cikin jariri.

    Yiwuwar rikice-rikice yana ƙaruwa ga tsofaffi, musamman idan sun cika nauyi. Wani mawuyacin rikicewa shine cutar mahaifa, wanda ke haifar da nakasa ko mutuwa.

    Matakan gaggawa suna da mahimmanci idan alamun alamun hypoglycemia mai sauƙi suka bayyana. An tsayar da harin idan kun tabbatar da samar da carbohydrates cikin sauri. Don yin wannan, dace:

    • Shayi mai dadi
    • Biscuits
    • Zuma (2-3 tebur. L.),
    • Ruwan lemu
    • Alewa (yana da kyau a bayar da fifiko ga caramel)
    • Sukari

    Allunan glucose suna da tasiri sosai. Tare da nau'in ciwon sukari na 2, akwai dangantaka ta kai tsaye tsakanin adadin carbohydrates da aka ƙone da haɓaka sukari: yana tashi da raka'a 2. bayan shan 2 g na glucose. Irin waɗannan kwayoyin hana daukar ciki suna kawar da buƙatar cin abinci ba bisa ƙa'ida ba kuma suna hana ƙwayar cuta. Bayan haka, ka rage yunwar ka ta hanyar cin abinci marassa carb.

    Bayan shan carbohydrates, jira minti 15. Idan babu cigaba, ku sake cin zaki. Ragewa da jin dadi shine kyakkyawan dalili don kula da lafiyar gaggawa.

    Idan mutum yana gab da rasa hankali, to ba zai iya tauna sukari ko magungunan ba. Ba shi maganin glucose (ana siyar dashi a kantin magani). Madadin haka, zaku iya yin syrup din kanku. Tabbatar cewa mai haƙuri zai iya hadiye maganin. Samfurin zai yi tasiri na mintina 5. Bayan haka, kuna buƙatar auna matakin sukari.

    Dole ne a saka mutumin da ya baci da hankali akan gado (a gefe ko a hancinsa). Yi amfani da adiko na goge baki don 'yantar bakinsa gamsai, tarkace abinci. Samun damar shiga cikin iska mai kyau ta buɗe taga. Sannan a kira motar asibiti.

    Tare da coma, za a buƙaci gabatarwar glucagon da mafita na glucose mai mahimmanci, likitocin gaggawa ke yin wannan. Kuna iya siyan takamaiman kayan da ake kira Glucagon don kulawa ta gaggawa. An sake shi kan takardar sayan magani. Ana yin allurar kamar yadda ya saba, bayan minti 20. mutumin zai sake samun nutsuwa.

    Yana da mahimmanci a kula da matakan rigakafin ci gaban hauhawar jini, tunda tashe-tashen hankula ko tsawan lokaci suna haifar da mummunan sakamako.

    Alamun hypoglycemia a cikin nau'in ciwon sukari na II na mellitus

    Mene ne hypoglycemia ko ƙananan sukari a cikin ciwon sukari wani yanayi ne mai nauyi wanda aka kwatanta shi da ƙananan glucose na jini na 3.5 mmol / L, tare da alamu daban-daban - fatar fata, rawar jiki da rikicewa. Hypoglycemia a cikin nau'in ciwon sukari na 2 ba ya bambanta da hypoglycemia a cikin nau'in 1 na ciwon sukari.

    Hyarfin jini mai ƙarfi tare da sakamakonsa. Don hana waɗannan sakamakon, kuna buƙatar bin dokoki masu sauƙi. Za ku koya game da waɗannan dokoki a cikin labarin.

    Na daɗe ina nazarin matsalar Cutar DIABETES. Yana da ban tsoro yayin da mutane da yawa suka mutu, har ma da yawa suna zama masu rauni saboda cutar sankara.

    Na yi hanzarin ba da labari mai daɗi - Cibiyar Binciken Endocrinological na Kwalejin Kimiyya ta Rasha ta sami nasarar inganta maganin da ke warkar da ciwon sukari gaba daya. A yanzu, ingancin wannan magani yana gab da kusan kashi 100%.

    Wani albishir mai kyau: Ma'aikatar Lafiya ta tabbatar da ɗaukar wani shiri na musamman wanda zai biya duk farashin magunguna. A Rasha da kasashen CIS masu ciwon sukari a da na iya samun magani - KYAUTA!

    A cikin nau'in ciwon sukari na II, sarrafa glucose ya kamata ya zama ƙasa da nau'in ciwon sukari na type I. Tare da bayyananne da ikon sarrafawa, za a iya kawar da hypoglycemia.

    Ana buƙatar sarrafa sukari na jini da auna shi ba kawai kafin abinci ba.

    • A kan komai a ciki da safe
    • Kafin kuma bayan manyan abinci,
    • Kafin a kwanta
    • Yayin motsa jiki
    • A kan tafiya
    • Musamman saka idanu a lokacin daukar ciki,
    • Kafin tuki
    • Bayan wahala,
    • A lokacin sanyi ko wasu cututtuka.

    Ba wai kawai masu ciwon sukari tare da gwaninta ba, har ma da farawa suna fuskantar cututtukan jini. Halin hypoglycemic yana da abubuwanda suka dace: rauni, tsananin yunwa, da sauransu. Hypoglycemia na faruwa ne saboda dalilai da yawa:

    Alamar cututtukan hypoglycemia suna bayyana kansu ta hanyoyi daban-daban tare da ciwon sukari. Yana da mahimmanci a lura da abin da alamun cutar kumburi ta bayyana kanta. Wannan zai taimaka don gane cututtukan hypoglycemia a farkon farawa kuma dakatar da shi da sauri. Bayyanar cututtukan cututtukan jini a cikin manya da yara masu fama da ciwon sukari na 2:

    A cewar hukumar ta WHO, a kowace shekara a duniya mutane miliyan biyu ke mutuwa sanadiyar kamuwa da cutar sankarau da kuma rikicewar ta. Idan babu ingantaccen tallafi ga jiki, ciwon suga yana haifar da matsaloli iri daban-daban, sannu-sannu suna lalata jikin mutum.

    Mafi rikice-rikice na yau da kullun sune: ciwon sukari na gangrene, nephropathy, retinopathy, ulcers trophic, hypoglycemia, ketoacidosis. Ciwon sukari kuma na iya haifar da ci gaban ciwan kansa. A kusan dukkanin lokuta, mai ciwon sukari ko dai ya mutu, yana fama da wata cuta mai raɗaɗi, ko ya juya ya zama ainihin mutumin da yake da tawaya.

    Me mutane masu ciwon sukari suke yi? Cibiyar Binciken Endocrinological na Kwalejin Kimiyya ta Rasha ta yi nasarar yin magani wanda ke warkar da ciwon sukari gaba daya.

    Yanzu haka ana shirin shirin 'Federal Health Nation', a tsarin wanda aka bai wa wannan magani ga kowane mazaunin Tarayyar Rasha da CIS - KYAUTA . Don ƙarin bayani, duba shafin yanar gizon hukuma na MINZDRAVA.

    • Jin ba zato ba tsammani
    • Nan da nan yanayi yake juyawa,
    • Jin ba zato ba tsammani
    • Karin gumi
    • Sharp rashi na gani,
    • Pallor na fata,
    • Matsalar wahalar da hankali,
    • Hannun girgiza
    • Ciwon kai
    • Dizziness
    • Damuwa
    • Son zuciya.

    Kada ku firgita. Anan akwai alamun cutar sananniya. Yawanci, mai ciwon sukari yana da alamomin hypoglycemia na 2-4 daga wannan jerin. Yawanci, tare da hypoglycemia, mai ciwon sukari ya ce yana "girgizawa."

    Idan hakan ya faru da cewa ƙarfin jini ya same ka, to wannan ba tsoro bane. Yana da muhimmanci a dauki mataki kan lokaci.

    1. Auna sukari. Ee, kun ji rawar jiki. Amma, yana jin kamar sukari ya kasance mai tsawo na dogon lokaci, kuma bayan miyagun ƙwayoyi ya ragu zuwa matakin da aka tsara, kwakwalwa yana ba da siginar cewa sukari ya ragu - kuna buƙatar cin abinci.
    2. Lokacin da mit ɗin ke ƙasa da 4.0 mmol / L, kuna buƙatar ku ci carbohydrates mai kyau ko “sauri”, wato, abinci mai ɗauke da babban glycemic index.Misali, gilashin ruwan 'ya'yan itace (200 ml) raka'a biyu ne. Idan babu ruwan 'ya'yan itace a hannu, to ba matsala. Ku ci 4-5 na sukari. Yana da mahimmanci a sha ruwan dumi ko abin sha mai sha. Kafin fara aiwatar da ma'amala, ciki "abinci" yake, kuma kawai sai ya inganta shi. Abun da aka yi amfani da shi wanda ke motsawa yana saurin kwashe abubuwan saboda gas.
    3. Bayan kun ci abinci, bayan mintuna 15 kuna buƙatar bugu da sugarari akan sukari na jini. Don tabbatar da cewa sukari bai sake raguwa ba.
    4. Lokacin da aka kawar da hypoglycemia, kuna buƙatar yin tunani game da abin da ya sa ya faru. Yi la’akari da wannan batun don kada wannan ya same ka.

    Masu ciwon sukari da ke lura da yanayin ciwon sukari daidai za su iya jure rashin ƙarfi a cikin jiki. Amma akwai wasu lokuta da mara haƙuri ba zai iya taimakon kansa ba. Dole ne a dogara da wasu. Fashion ya zo daga Amurka don jarfa tare da rubutu "Ni mai ciwon sukari ne" da sauransu. Ga masu goyon bayan matakan marasa tsattsauran ra'ayi, akwai kuma zaɓi. Munduwa tare da zanen da takamaiman rubutu.

    Idan hanta na masu ciwon sukari suna da ƙoshin lafiya, to wannan ƙwayar cuta ta zo da ƙwaƙwalwar ƙwayar cuta. Idan carbohydrates bai shiga cikin jiki ba a cikin minti 30, hanta tana “sakewa” glycogen, hormone wanda ke haɓaka sukari mai jini zuwa 15 mmol / L, cikin jini. Ee, yana da yawa, amma kada a firgita, zai faɗi ga al'ada yayin rana. Idan hanta ta kamu da ciwon sukari, to ba zata iya samun ceton ta ba. Mutumin ya fadi cikin rashin lafiya.

    Narke sukari da ruwa mai ɗumi, shan mai haƙuri da kanka. Akwai wani madadin - syrup sukari a cikin bututu. Zuba a ƙarƙashin harshen. Hakanan, a ƙarƙashin harshe, zaku iya saka alewar caramel, sukari mai ladabi, glucose foda.

    Da zarar kun taimaka wa masu ciwon sukari, kuna buƙatar kiran motar asibiti. Ka tuna ka duba matakin glucose dinka bayan mintina 15.


    1. Bessessen, D.G. Yawan kiba da kiba. Yin rigakafin, ganowa da magani / D.G. Mai rauni. - M.: Binom. Labarin Ilimin, 2015. - 442 c.

    2. Akhmanov M. Ciwon suga ba magana bane. Game da rayuwa, rabo da bege na masu ciwon sukari. SPb., Gidan wallafawa "Nevsky Prospekt", shafuka 2003, 192, zagayawar kwafi 10,000.

    3. Kruglov, V.I. Binciko: ciwon sukari mellitus / V.I. Kruglov. - M.: Phoenix, 2010 .-- 241 p.

    Bari in gabatar da kaina. Sunana Elena. Na kasance ina aiki a matsayin endocrinologist fiye da shekaru 10. Na yi imanin cewa a halin yanzu ni ƙwararre ne a fagen aikina kuma ina so in taimaka wa duk baƙi zuwa shafin don warware matsalolin da ba ayyuka sosai ba. Duk kayan don rukunin yanar gizon an tattara su kuma ana aiwatar dasu da kyau don isar da sanarwa gwargwadon iko. Kafin amfani da abin da aka bayyana akan gidan yanar gizon, tattaunawa mai mahimmanci tare da kwararru koyaushe wajibi ne.

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