Isimo esidinga ukuhlolwa kwezokwelapha ukufuna lowo muntu
Lapho abantu abaningi bezwa igama elithi " ushukela ophansi wegazi ," ngokushesha bayalixhumanisa nesifo sikashukela . Kodwa-ke, nakuba ushukela ophansi wegazi (obizwa ngokuthi i-hypoglycemia) uvamile kubantu abanesifo sikashukela, kungenzeka futhi kubantu abangenayo isifo sikashukela.
Ngokuqondile, ushukela wegazi ophansi ungase ungakapheli amahora ambalwa emva kokudla, into ebizwa ngokuthi i-hypoglycemia esisebenzayo noma i-hypoglycemia yangemva kokuhamba.
Izimpawu ze-Hypoglycemia esebenzayo
Izimpawu zohlu lwe-hypoglycemia elisebenzayo kusukela ekunciphiseni nasekukhuliseni (ngokwesibonelo, ukuzwa ukhathazekile, ukuthukuthela, ukuthukuthela noma ukulamba) okweqile (isibonelo, ukuthuthukisa umbono obonakalayo, kanye / noma ukuphazamiseka).
Kodwa-ke, ukubhekana nalunye noma ngaphezulu kwalokhu kumpawu akusho ukuthi uneshukela eliphansi legazi. Lezi zimpawu zingabonisa inkinga ehluke ngokuphelele, njengenhliziyo noma inkinga yezinzwa. Yingakho ukuhlolwa kochwepheshe bezempilo kubalulekile.
Ukuxilongwa kwe-Hypoglycemia esebenzayo
Ukuze uhlolwe nge-hypoglycemia esebenzayo, udokotela wakho uzothola ushukela wakho wegazi (obizwa ngezinga lakho legazi glucose) phakathi kwamahora amane kuya kwamahlanu emva kokudla ukudla, uma uhlangabezana nezimpawu ezihambisana ne-hypoglycemia.
Ngokuqinisekile uzothola ushukela wakho wegazi ngokuqoqa igazi kusuka emthonjeni (obizwa ngokuthi ukuhlushwa). Lokhu kunembile kunokwamukela izinga lakho likashukela egazini kusuka kumqapha we-glucose.
Uma uthola ukuthi unezinga eliphansi lokushukela egazini (ngokuvamile elingaphansi kuka-60mg / dL), futhi izimpawu zakho zikhululekile uma ushukela wegazi uphakanyiswa, udokotela wakho uzofuna ukuhlola i-etiology ngemuva kwe-hypoglycemia yakho yangemva kwesikhashana, futhi yilapho kuhlolwa ukudla okuxubile.
Ukuhlolwa kokudla okuxubile
Ngesikhathi sokuhlolwa kokudla okuxubile, umuntu udla ukudla bese egcinwa amahora angamahlanu. Ngaphambi kokudla bese njalo ngemizuzu engu-30 (kuze kufike amahora amahlanu), umuntu uzothola ukuhlolwa kwegazi ukuhlola amazinga alandelayo:
- I-sugar sugar (i-glucose)
- I-insulini
- C-peptide
- I-proinsulin
Ngesikhathi sokudla, ama-pancreas akho akhipha i-insulin, elawula ukumuncwa nokusetshenziswa ushukela ovela ekudleni kwakho. I-proinsulin yilokho okuhlukaniswa phakathi kwamaphakethe ukuze enze i-molecule eyodwa ye-C-peptide kanye ne-molecule eyodwa ye-insulini; kufana ne-insulin precursor, okushoyo.
Ukuchaza lezi zindinganiso zokuhlola kusiza odokotela ukuthi bathole ukuthi "kungani" ngemuva kwe-hypoglycemia yakho ye-postprandial.
Kubalulekile ukuqaphela, noma kunjalo, ngezinye izikhathi akukho ukuxilongwa okucacile ngokuthi kungani umuntu ehlaselwa ushukela wegazi ngemuva kokudla. Ngamanye amazwi, ukuhlolwa kwezokwelapha akuvezi muntu oyedwa. Kulesi simo, amasu okudla anconywa ukuvikela nokuphatha iziqephu ze-hypoglycemic ngemuva kokudla.
Noma kunjalo, izibonelo ezintathu zezimo zezokwelapha ezingabangela u-hypoglycemia postpandial:
I-insulinoma
I-insulinoma iyisisu esingavamile, esingenakunqamuzana esingalawuleki sikhipha i-insulin emzimbeni. Uma i-insulinoma iyinhloko, ukuhlolwa kokudla okuxubile kuyodalula izinga eliphezulu le-insulini, i-C-peptide, ne-proinsulin (uma ushukela wegazi liphansi).
Ukunciphisa ngokweqile noma okuyiqiniso okuyi-Insulin
Uma umuntu ethatha i-insulini eningi, (asho ukuthi unesifo sikashukela noma esebenzisa i-insulini ngokweqiniso), izinga le-insulin lizophakama kakhulu, kodwa izinga le-proinsulini ne-C-peptide lizobe liphansi (ngoba i-insulin ivela ngaphandle umzimba, hhayi ama-pancreas).
Ukwelashwa kwe-Gastric Bypass
Ukwelashwa kwe-gastric forpass can also cause hypoglycemia esebenzayo ngoba ukudla kungadlula ngokushesha kakhulu ohlelweni lokugaya, ngaphandle kokugaya konke futhi kufakwe njengeglucose egazini. Kulesi sibonelo, njenge-insulinoma, wonke amazinga amathathu (i-insulin, i-C-peptide, i-proinsulin) ivame ukuphakanyiswa.
Ukuphatha i-Hypoglycemia esebenzayo
Uma utshelwe ukuthi une-hypoglycemia esebenzayo, udokotela wakho uzoyiphatha ngokusho kwesizathu esiyinhloko. Ngokwesibonelo, uma odokotela becabanga ukuthi i-insulinoma, uzothunyelwa ukuhlinzwa ukuze isuswe.
Uma i-hypoglycemia yakho esebenzayo isifo esingenakuphefumula noma esingaziwa, nansi amasu ambalwa okufanele uwasebenzise ukuvimbela ushukela ophansi wegazi okwenzeka ngemuva kokudla:
- Ukunciphisa ukudla nge index high glycemic, ikakhulukazi esiswini esingenalutho. Isibonelo, ukudla isidlo sokuqala kuqala ekuseni kungabangela isiqephu se-hypoglycemic.
- Yidla ukudla okuncane, okuvamile kanye nokudla okulula okubandakanya i-fibre namaprotheni.
- Yidla ukudla okunhlobonhlobo, okuphezulu kwefayibha, ngokuhlinzeka okwanele kwamaprotheni, i-carbs egcwele okusanhlamvu nemifino, izithelo, nokudla kobisi
Uma uhlangabezana nesiqephu se-hypoglycemic esicacile, lezi zinyathelo zingaletha izinga lakho likashukela:
- Yidla noma uphuze amagremu angu-15 we-carbohydrate ngokushesha, njengama-ounces amane ejusi le-orange, ama-ounces ayisithupha e-soda ephuziwe njalo, isipuni esisodwa soshukela noma uju, noma amabili wezipuni ezomileyo. Lokhu kufanele kukhululeke izimpawu zingakapheli imizuzu engu-15. Ungadinga ukuphinda izinyathelo ezingenhla uma i-glucose yegazi yakho iqhubeka iphansi.
- Qiniseka ukuthi udla ukudla okuncane okulinganiselayo noma isidlo emva kokuba izimpawu zingekho. Isibonelo, i-apula enebhokisi le-peanut noma isangweji le-turkey on isinkwa sonke sesinkwa. Lokhu kuzovimbela enye i-spike ye-sugar spike kanye nokuwa kwehla okulandelayo.
Izwi elivela
Ngenkathi uhlangabezana neziqephu zeshukela ephansi egazini ngemuva kokudla kungase kungakhululekile futhi kuphazamise, kunezindlela zokuziphatha kahle. Mhlawumbe umsoco ongakusiza angakusiza ukuba uhambe endleleni bese uthola ukudla okuphansi kwe-glycemic index kanye nokuziphatha okuzokwenza ukwandisa ushukela wakho ushukela.
Ekugcineni, phephile, kodwa, ubone udokotela kuqala.
> Imithombo:
> Isikhungo Sikazwelonke Sesifo Sikashukela kanye Nezifo Zokugula Nezinso Zokugaya. I-Low Blood Sugar (Hypoglycemia).
> Isevisi FJ, Vella A. (2017). I-Hypoglycemia kubantu abadala abangenayo isifo sikashukela: Indlela yokuxilonga. Hirsch IB, u-Ed. Kusesikhathini. Waltham, MA: UpToDate Inc.
> Isevisi FJ, Vella A. (2017). I-postprandial (esebenzayo) i-hypoglycemia. UNathan DM, ed. Kusesikhathini. Waltham, MA: UpToDate Inc.
> Stuart K, Field A, Raju J, Ramachandran S. Postprandial hypoglycemia esebenzayo: Ukuphazamisa amaphethini wokufakazela ukuhlolwa kwe-glucose ukubekezelela ukubekezela kanye nezindlela zokwelashwa ezingase zibe khona. I-Rep Rep Med . 2013; 2013: 273957.