Umhlahlandlela we-Low Blood Sugar ezitheni
Izitha zibhekene nezinselele eziningi. Enye yezinkinga ezivamile izingane ezisanda kuzalwa kufanele zibhekane neshukela eliphansi legazi. Uma i-preemie ine-sugar ephansi yegazi, ibizwa ngokuthi i-hypoglycemia ye-neonatal.
Ushukela wegazi yi-ushukela, noma i-glucose, ejikeleza egazini. Igazi legazi libalulekile ngoba umzimba nobuchopho basebenzisa i-glucose yamandla nokukhula. Uma izinga leshukela egazini liphansi kakhulu isikhathi eside, kungaba yingozi.
Iyini i-Sugar Low Sugar ezinganeni ezingaphambi kwesikhathi?
Lapho izinga le-glucose legazi liwela ngaphansi kwe-40 mg / dl, ngokuvamile libhekwa njengeshukela eliphansi legazi noma i-hypoglycemia. Kodwa-ke, odokotela, izibhedlela kanye nochwepheshe abavumelani nonke ngenombolo ethize ushukela wegazi kufanele ube ngaphambi kokuba ubizwa ngokuthi u-hypoglycemia futhi udinga ukwelashwa. Ngakho-ke, inombolo yodwa ayichazi ishukela segazi eliphansi. Ezinye izinto ezifana nobudala bokubeletha kwengane, sekube isikhathi eside kangakanani kusukela umntwana ezalwa, futhi izimpawu zomntwana nazo zicatshangelwa uma kunquma ukuxilongwa nokuphathwa kweshukela eliphansi legazi ezinganeni ezingakabiphi. Nazi iziqondiso ezijwayelekile ze-hypoglycemia ye-neonatal ngokusekelwe emiphumeleni ye-laboratory ye-plasma glucose test .
Ingane engakazalwa ngaphambi kokuzalwa phakathi kwamasonto angu-34 no-37:
- Noma yimuphi umntwana onayo izimpawu: ngaphansi kuka 40 mg / dl
- Kusukela ekubelethweni kuya kumahora angu-4 ngaphandle kwempawu: ngaphansi kuka 40 mg / dl
- Kusukela kumama amahora amane kuya ku-24 ubudala ngaphandle kwempawu: ngaphansi kuka-45 mg / dl
Ingane engakazalwa ngaphambi kokuzalwa kwamaviki angama-34:
- Nakuba kungekho isiqondiso esithile sezitha ezizalwa ngaphambi kwamasonto angu-34, i-hypoglycemia ingacatshangwa nge-glucose yegazi ngaphansi kwe-45 mg / dl (ububanzi bungaba phakathi kwama-40 mg / dl- 50 mg / dl).
Izitha kanye ne-Hypoglycemia
Ngesikhathi sokukhulelwa, umama udlulisa ushukela kumntanakhe.
Ngasekupheleni kokukhulelwa, umntwana uzogcina ezinye zalawo ushukela ukusebenzisa ezinsukwini emva kokuzalwa. Uma izingane ezisanda kuzalwa zisebenzisa i-glucose yazo egcinwe, zingathola okuningi ngokuncelisa noma ukuthatha ibhodlela. Ukunakekelwa njalo ngobisi lwebele noma ifomula lesana kuhlinzeka izinsana ezigcwele zesikhathi esizayo ngalokho okudingayo ukuze kugcinwe izinga lokushukela egazini.
Kodwa, lapho umntwana ezalwa kakhulu kakhulu, inani leshukela elakhiwe futhi elondolozwe liphansi kakhulu kunalokho uma umntwana ezalwa ngesikhathi esigcwele. Ngaphezu kwalokho, izitha eziningi eziningi azikwazi ukungenisa izakhi ngokusebenzisa ukudla okusheshayo ngokushesha. Lokho kwenza izingane ezingenakusasa engozini enkulu yokuthuthukisa ushukela wegazi ophansi emahoreni nezinsuku ngemuva kokuzalwa.
Izimbangela ze-Low Blood Sugar Eziswini
Ishukela izingane ezigcina ngaphambi kokuba zizalwe zingatholakala esibindi. Njengoba izitha zinezibindi ezincane, azikho inani elifanayo le-glucose egcinwe njengezingane ezigcwele. Umntwana ongakabi usheshe angasebenzisa ngokushesha ushukela omncane ogcinwe futhi ahlakulele i-hypoglycemia uma:
- Ukuphuza kunzima ngemva kokuzalwa
- Kunzima ukugcina ukushisa komzimba okunempilo
- Kukhona ukutheleleka okwamanje
- Ukondla ubisi lwebele noma i-preemie formula kubambezeleka ngenxa yokugula nokuguqulwa kwangaphambili
- Kukhona insulin eningi emzimbeni womntwana ngoba umama unesifo sikashukela ngesikhathi sokukhulelwa
- Ingane izalwa ngesimo sempilo esibangela ushukela ophansi wegazi
Izimpawu Nezibonakaliso Ze-Hypoglycemia Neonatal
Ngezinye izikhathi azikho izimpawu noma izimpawu zeshukela egazini eliphansi. Kodwa, uma izimpawu zibonakala, zingabandakanya:
- Ama-jitters kanye nokuthuthumela
- I-Lethargy (ubuthakathaka namandla aphansi)
- Iphutha elincane le-muscle
- Ukucindezeleka ngokuphefumula
- Umbala wesikhumba ophaphathekile noma obuhlaza
- Ukushisa komzimba okuphansi
- Ukuphuza okuncane nokudla
- Ukukhala okubuthakathaka noma okuphakeme
Njengoba eziningi zalezi zibonakaliso nezimpawu nazo zihlotshaniswa nokuphelelwa isikhathi sokuqala nezinye izimo ezisanda kuzalwa, kunzima ukutshela ukuthi zivela ushukela wegazi ophansi noma okunye okunye.
Lesi esinye sezizathu ukuthi kubaluleke kangaka ukubuka zonke izingane ezingase zisengozini.
Ukuhlola i-Low Blood Sugar
Odokotela bahlola amazinga kashukela egazi ngokuhlola igazi. Ukuze uhlolisise ingane yakho nge-hypoglycemia, umhlengikazi uzovama ukuthatha ihlombe legazi ohlangothini lwesithende somntanakho bese ulibeka emgqeni wokuhlola emgqeni weglucose wegazi lombhede. I-glucometers yebhede iyithuluzi elihle kakhulu lokuhlola, kodwa umphumela awuwona onembile njengomphumela we-laboratory. Ngakho-ke, uma umqapha we-glucose ubonisa izinga lokushukela egazini eliphansi, kufanele liqinisekiswe ngokushesha ngangokunokwenzeka. Enye isampula yegazi izodonswa ngqo kusuka emithanjeni yengane yakho noma umugqa osevele unamathele kumntanami njengengqimba yomzimba noma umugqa we-PICC. Izofakwa endaweni yokuqoqwa kwegazi futhi ithunyelwe ebhokisatri ukuqinisekisa.
Ziningi kangakanani izitha zokuhlola ezihlolwayo nge-Low Blood Sugar?
Uma ingane yakho ifika kuqala ku-NICU noma i-unit yokunakekelwa okukhethekile, ukuhlolwa kweshukela egazini kungathathwa ngokushesha futhi njalo njalo njengamahora amabili. Uma ingane yakho ingathatha ukudlala, ushukela wegazi ngokuvamile uhlolwe ngaphambi kokudla ngamunye. Lapho amazinga kashukela egazini ezinzile, ukuhlolwa kuzokwenzeka kaningi. Futhi-ke, noma iyiphi ingane ebonisa izimpawu ze-hypoglycemia izohlolwa ngokushesha.
Ingabe I-Hypoglycemia Iyingozi?
Esikhathini esiningi, i-hypoglycemia yisimo sesikhashana esithatha izinsuku ezimbalwa noma amasonto ambalwa. Ngokuvamile ibanjwe futhi iphathwe ngaphambi kokuba ibe yingozi. Kodwa-ke, kunezinhlobo ezithile ze-hormonal ezingavamile nezimpikiswano zofuzo ingane engabalelwa ngayo leyo engabangela izinkinga zoshukela ephansi zesikhathi eside. Uma ingelashwa isikhathi eside, amazinga aphansi e-ushukela wegazi angabangela izinkinga ezinkulu eziholela ekulimazeni komqondo, ukukhubazeka kokufunda, ukukhulelwa, izinkinga zombono, nokukhubazeka kwengqondo .
I-Treatment of Hypoglycemia ezinsaneni ezingaphambi kwesikhathi
Uma kuziwa ku-hypoglycemia, wonke umntwana uphathwa ngokuzikhethela. Odokotela banquma ukuthi bangabhekana kanjani necala ngalinye kuye ngokuthi yiliphi izinga leshukela legazi, ukuthi umntwana wazalwa kanjani kuqala, izimpawu, kanye nempilo yakhe yonke.
Nazi ezinye zezindlela odokotela abaphatha ngayo ushukela ophansi wegazi ezinkulweni:
- Uma ingane ingakwazi ukubekezelela ukondla, inganciphisa, ithathe ibhodlela, noma isetshenziswe ithubhu (ubisi lwebele noma ifomula ye-preemie ifakwa ngethubhu encane, eguquguqukayo, enjengomshini ophuma ekhaleni noma emlonyeni kuya esiswini). Ushukela ebisi lwebele noma ifomula kungenzeka ukuthi wonke umntwana udinga ukuletha izinga lokushukela egazini.
- Ingane ingase idinge umugqa ovuthayo (IV) ukuthola ama-fluids aqukethe ushukela owengeziwe. Ushukela oluthe xaxa luya ngqo egazini lomntwana.
- Uma kunesidingo, kunemithi efana ne-steroids enganikwa ingane ukukhulisa amazinga kashukela.
- Ezimweni ezinzima, ezimbi kakhulu, umntwana angase adinge ukuhlinzwa. I-pancreas iyisitho esenza i-hormone insulin futhi ilawula amazinga kashukela egazini emzimbeni. Kodwa, uma kune-insulini eningi, ukususwa kwengxenye noma yonke i-pancreas kungadingeka.
Izwi elivela
Kungaba ukwesaba futhi kuphazamise ukuzwa ukuthi ingane yakho ine-hypoglycemia noma yimuphi omunye uhlobo lwezokwelapha kulolo daba. Kodwa, i-hypoglycemia ingenye yezindaba ezivamile ezinganeni ezingaphambi kwesikhathi. Ngokujabulisayo, njengoba kukhona ukuhlolwa okuqhubekayo nokuhlolwa ku-NICU nendawo ekhethekile yokunakekelwa, ushukela ophansi wegazi ezinkundleni zezitha ngokuvamile ukhonjwa futhi uphathwa ngokushesha.
Uma ingane yakho inomthelela omncane we-sugar ephansi e-NICU ephathwa ngokushesha, akufanele iholele kunoma yiziphi izinkinga zesikhathi esizayo. Uma usuthatha ingane yakho ekhaya futhi udla kahle, i-hypoglycemia akufanele ibuyele. Uma ingane yakho izalwa ngesimo sempilo esiholela ezindabeni zesikhathi eside nge-hypoglycemia, kuyoba yinselelo encane kakhulu, kodwa kuyoba kuhle. Uzofunda ukuthi ungamnakekela kanjani ingane yakho, futhi ingane yakho izoqhubeka nokuthola ukunakekelwa kokunakekelwa kanye nokwelashwa ngemuva kokuphuma esibhedlela.
> Imithombo:
> Adamkin DH. I-homeostasis ye-glucose yangaphambi kokubeletha ngasekupheleni kwesikhathi sokuqala kanye nezingane ezisenesikhathi. Izingane zokwelapha. 2011 Mar 1; 127 (3): 575-9.
> Gomella TL, Cunningham MD, Eyal FG. I-Neonatology: Ukuphathwa, Izinqubo, I-On-Call, Izinkinga, Izifo, Nezidakamizwa. Mc Graw Hill & Lange. 2013: 409-410; 427-436.
> Goode RH, Rettiganti M, Li J, Lyle RE, Whiteside-Mansell L, Barrett KW, Casey PH. Imiphumela yokuthuthukiswa kwezinsana zangaphambi kokuzalwa kwe-hypoglycemia ye-neonatal. Izingane zokwelapha. 2016 Dec 1; 138 (6): e20161424.
> Lee BS. I-Glucose Homeostasis Izinkinga Emantwaneni Asengaphambi Kokuqala. Imithi ye-Neonatal. 2015 Aug 1; 22 (3): 133-41.