I-Hypoglycemia (ushukela wegazi ophansi) kwenzeka lapho amazinga e-ushukela wegazi (glucose) ephansi noma elingana no-70 mg / dL nezimpawu zikhona. Kungabangelwa izici eziningana, kuye ngokuthi ngabe unesifo sikashukela noma cha. Eyesifo sikashukela, izimbangela zihlanganisa ukungadli okwanele ama-carbohydrates, ukuvivinya umzimba, ukuphuza utshwala, ukuthatha imithi ngokungalungile, nokulahlekelwa isisindo.
Kubantu abangenayo isifo sikashukela, i-hypoglycemia ingabangelwa imithi, ukuphuza kakhulu utshwala, nezifo ezithile kanye nezifo.
Izimbangela ezivamile
I-hypoglycemia iyenzeka uma kungekho glucose ngokwanele egazini ukunikeza umzimba wakho amandla. Izimbangela ezingase zivele zixhomeke ekutheni unesifo sikashukela noma cha. Kubalulekile ukuqaphela ukuthi i-hypoglycemia ngokuvamile ayitholakali kubantu abane- type 2 yesifo sikashukela abasebenzisa kuphela ukuguqulwa kokudla ukulawula isifo sikashukela.
Abantu abanesifo sikashukela
Uma unesifo sikashukela futhi uthatha imithi ye- insulin noma yomlomo ekhuthaza ukuvimba ukuvikela i-insulin, kunezici eziningi ezingabangela i-hypoglycemia, kuhlanganise:
- Ukuntuleka kwama-carbohydrate: I- Carbs iyimthombo oyinhloko yomzimba we- glucose , ngakho-ke uma ungadli okwanele kubo, ushukela wakho wegazi ungagcoba, ikakhulukazi uma unciphisa inani lama-carbs owenzayo, kodwa ungalungisi imithi ngokufanele.
- Ukuyeka noma ukuphumula: Uma uthatha i-insulin noma imithi yomlomo yesifo sikashukela, ukudla isidlo kamuva kunalokho owawuhlelile noma ukuwuqeda ngokuphelele kungaholela ku-hypoglycemia. Qinisekisa ukuthi ukhuluma nodokotela wakho mayelana nokuthi kufanele yini futhi weqa imithi yakho uma ungaqedi ukudla.
- Ukuzivocavoca: Nakuba ukuzivocavoca kuhle kakhulu ekusizeni ukunciphisa amazinga okushukela egazini, ukunciphisa isisindo, ukushisa uketshezi, nokuthola amandla amaningi, uma unesifo sikashukela nokuzivocavoca ngaphandle kokudla, ukuvivinya umzimba okungaphezu kwalokho okuvamile, noma ukulibala ukudla kwakho, wena ingaba ne-hypoglycemic. Qinisekisa ukuthi une-snack kanye nawe ngaphambi noma emva kokuzivocavoca kwakho, kanye nomthombo osebenza ngokushesha wama-carbohydrate afana nosawoti, ijusi, noma i-jellybeans, uma kwenzeka ushukela wegazi lakho liphansi kakhulu.
- Ukuthatha imithi engalungile yemithi noma i-insulini: Imithi eminingi yesifo sikashukela noma isifo sikashukela ingayenza i-hypoglycemia.
- Ukungathathi i-insulini yakho noma imithi njalo: Abantu bavame ukubona udokotela wabo ngoba ushukela wabo wegazi uphakeme kakhulu, kodwa kwezinye izimo, lokhu kungenxa yokuthi abaphuzi imithi yabo. Uma udokotela wakho engaphansi komqondo wokuthi uhlala uthatha imithi yakho, kodwa ushukela wakho wegazi usuphakeme (ngoba awuzange uthathe), angase abeke umthamo ophakeme ukuzama ukwehlisa ushukela wegazi ngaphandle kokwazi ukuthi awuthathi. Khona-ke, uma ukhetha ukuthatha imithi yakho, ubeka ingozi ye-hypoglycemia. Ukuze ugweme lokhu, qiniseka nodokotela wakho mayelana nokuthi wenza kahle kanjani ngokuthatha imithi yakho nokuthi kungani ungekho uma ungekho. Kumele abe nesithombe esinembile sokuthi uvumelana kahle kangakanani ukuphatha ngendlela efanele futhi uzosebenza nawe ukuthola enye indlela, uma kunesidingo.
- Ukuphuza utshwala: Uma uthatha i-insulin noma imithi yesifo sikashukela, ukuphuza utshwala kungabangela i-hypoglycemia. Lokhu akusho ukuthi awukwazi ukujabulela utshwala, kodwa kudingeka udle ngokuphepha futhi uqaphele ngokuhlola amazinga ashukela egazini lakho ngenkathi wenza.
- Ukulahlekelwa isisindo : Ukulahlekelwa isisindo kungenza ube nozwela kakhulu kwi-insulin, okuholela ekudleni imithi encane noma engekho. Kodwa-ke, ngoba ukulahlekelwa isisindo kukwenza ube nozwela kakhulu kwi-insulin, kungabangela i-hypoglycemia uma ungenanga i-insulin engafanele. Qinisekisa ukuthi ukhuluma nodokotela wakho mayelana nokunciphisa umthamo wakho uma ulahlekelwa isisindo.
- Ukulawula ushukela wegazi: Kubalulekile ukuqaphela ukuthi ukulawula kwakho kwe-glucose kunamandla, kuphakamisa ingozi yakho ye-hypoglycemia, ikakhulukazi ekuqaleni kokwelashwa. Uma ungaphansi kokulawulwa kwe-glucose okuqinile, udinga ukunikezwa amathuluzi afanele, ulwazi, nokusekela ukugwema iziqephu ezinkulu ze-hypoglycemic ngenkathi uqhubeka nokugcina amazinga we-glucose ebangeni elibhekiswe kulo. Ngesinye isikhathi, i-hypoglycemia iyinto evamile, kodwa uma iqhubeka isebenza, kufanele ukhulume nodokotela wakho mayelana nezinyathelo zokumisa ushukela wegazi lakho ekufikeni phansi kakhulu ngaphambi kokuba kube isimo esiphuthumayo.
- Isifo sezinso: Ukuphikisana okukodwa kwesifo sikashukela kuyisifo sezinso, okungenza izinso zakho zithathe isikhathi eside ukuze zisuse i-insulin ohlelweni lwakho, okungenzeka kube ne-hypoglycemia.
Abantu abangenayo isifo sikashukela
I-hypoglycemia iyenzeka kakhulu kubantu abangenayo isifo sikashukela. Uma ungenayo isifo sikashukela futhi uthuthukisa i-hypoglycemia, lokhu kubonisa ukuthi kukhona okunye okuqhubekayo emzimbeni wakho. Izimbangela eziyinhloko zihlanganisa:
- Imithi: I- Hypoglycemia ingabangelwa imithi ethile, ikakhulukazi ezinganeni noma kubantu abanezinkinga zezinso. Imithi ehlotshaniswa nokudala i-hypoglycemia ihlanganisa ukuthatha imithi yesifo sikashukela somunye umuntu, i-Qualaquin (quinine) yezidakamizwa ze-antimalarial (quinine), i-antibiotic Zymaxid (gatifloxacin), i-anti-hydrhythmic cibenzoline, i-Pentam (pentamidine) yezidakamizwa ezilwa namagciwane (anti-stroidal anti-inflammatory drug) I-NSAID) i-Indocin ne-Tivorbex (i-indomethacin), ne-glucagon.
- Ukuphuza kakhulu utshwala: Uma ungadli okwanele noma ungadli nhlobo futhi uphuza utshwala ngokweqile, ikakhulukazi phakathi nezinsuku ezimbalwa, ungaba ne-hypoglycemic. Ukuhlanganiswa kotshwala obuningi nokuntuleka kokudla kungamisa isibindi sakho ekufakeni i-glucose egazini lakho, okwenza izinga lakho likashukela egazini lishayeke.
- Izifo ezibucayi: Izinkinga zezinso, isifo sofuba esinamandla, i-anorexia yesikhathi eside, i-malaria, kanye ne-sepsis (isifo sokuthola isifo) yizo zonke izifo ezingase zibangele u-hypoglycemia.
- Ukuntuleka kwe- Hormonal : Izifo ezinjenge-Adrenal ezifana nesifo se-Addison nezinkinga ezithile ze-pituitary zingabangela i-hypoglycemia, njengoba ingenakho ukutholakala kwe-hormone eyanele ezinganeni.
- Ukukhiqiza i-insulini eningi kakhulu: Abanye abantu bane-overproduction ye-insulin engabangela i-hypoglycemia. Ama-tumors athile angabangela lokhu kukhishwa ngokweqile, njengoba kungakhulisa amaseli e-beta ema-pancreas.
- I-insulin autoimmune syndrome: Lesi isimo esingavamile lapho umzimba wakho wenza ama-antibodies ahlasela i-insulin, edala i-hypoglycemia. Kungaba yingxenye yesinye isifo esizimele noma singabangelwa imithi ethile.
Izingozi Zezingozi
Kunezici ezithile ezingozini ezingase zenze amathuba akho okuthuthukisa i-hypoglycemia.
Ezinye iziPhakathi
Izingane ezinesifo sikashukela se-type 1, asebekhulile, nabantu abanokuqwashisa nge-hypoglycemia basengozini enkulu yokuthuthukisa i-hypoglycemia. Ukungaqapheli kwe-hypoglycemia kungenzeka uma ubhekana neshukela ephansi yegazi njalo, okungenza umzimba wakho unqabile izimpawu. Ukungakwazi ukuzwa izimpawu, njengokuthuthumela, ukuthuthumela, ukwanda kwenhliziyo, ukukhathazeka noma indlala, kuyingozi ngoba kungabangela ukungabi nalutho noma ngisho nokufa. Uma uzwa u-hypoglycemia njalo, kubalulekile ukukhuluma nodokotela wakho ngakho ukuze ukwazi ukuwuthola ngaphansi kokulawulwa okungcono futhi ugweme ukuphuthumayo.
Ukuthatha Imithi Eqinisekile
Uma uthatha imithi ethile ye-type 2 yesifo sikashukela, njenge- sulfonylureas , i-insulini, noma inhlanganisela ye-insulin kanye ne- non-insulin injectables , unengozi ephakeme ye-hypoglycemia. Inhlanganisela ethile yamaphilisi kanye nemithi ethile engeyona isifo sikashukela ingakwandisa ingozi yeshukela ephansi yegazi. Khuluma nodokotela wakho mayelana nokuthi imithi yakho ingakanani futhi ukuthi ungayithatha kanjani iphutha ekulandiseni. Ungathathi imithi eminingi futhi uzame ukunamathela kuhlelo lokudla oluhleliwe ukusiza ukugcina ushukela wakho wegazi ulawulwa.
Ukubhema
Uma unesifo sikashukela futhi uthatha i-insulini, ukubhema kwandisa ingozi yokuthuthukisa i-hypoglycemia. I-nicotine e-cigarettes, i-cigar, kanye namapayipi ingabangela ushukela ophansi wegazi, mhlawumbe ngoba itshintsha amangqamuzana akho ngendlela yokuthi ingacacisi i-insulin noma ngokushesha.
Ukuzalwa kwangaphambi kwesikhathi
Uma ingane yakho izalwa ngaphambi kwesikhathi, ingabe isengozini yokuthuthukisa i-hypoglycemia ezinsukwini ezilandela ukuzalwa, ikakhulukazi phakathi kwamahora angu-48 okuqala. Isizathu salokhu ukuthi uma ukhulelwe, udlulisa ushukela kumntanakho ngokusebenzisa intambo yomlomo. Ngasekupheleni kokukhulelwa kwakho, ingane yakho izoqala ukugcina enye ushukela omnika yona esibindi sayo ukusebenzisa emva kokuzalwa kwakhe. Uzothola konke okushukela akudingayo ngemuva kokuzalwa ngokuphakelayo okuvamile kwefomula noma isifuba.
Uma ingane yakho izalwa ngaphambi kwesikhashana, inani leshukela alilondolozile liphansi kunelokugcina ingane ephelele kusukela isibindi sakhe singakhiwa ngokugcwele. Njengoba izitha eziningi zinezinkinga zokudla ekuqaleni, ingase ingakwazi ukuthola inani le-glucose eliyidinga lapho ilishisa ngesamba esincane seshukela ayibeke. Ezinye izici ezingenza ingozi ye-hypoglycemia ephakeme emazwini zihlanganisa:
- Izinkinga zokuphefumula
- Kunzima ukulondoloza ukushisa komzimba
- Ukutheleleka
- Ukudla kufanele kubambezeleke ekuqaleni
- Umama wayenesifo sikashukela ngenkathi ekhulelwe, ekwakheni i-insulin eningi egazini lomntanakho
- Noma yisiphi isimo sezempilo esibangela u-hypoglycemia
Nakuba i-hypoglycemia ingaba isimo esiyingozi uma ishiywe ingalashwa, ngokuvamile yesikhashana ezithakalweni futhi iphathwa ngokushesha nangempumelelo. Kunezinkinga ezithile ezingabangela ushukela ophansi wegazi ode isikhathi eside, kepha lezi zingavamile.
> Imithombo:
> I-American Diabetes Association. Amazinga Wokunakekelwa Kwezokwelapha Esifo Sikashukela-2017. Ukunakekelwa yisifo sikashukela. Januwari 2017; 40 (Ungezelelo 1): S1-S2. I-doi \: 10.2337 / dc17-S001.
> I-Mayo Clinic. Hypoglycemia. Abasebenzi beMayo Clinic. Kubuyekezwe ngo-Februwari 16, 2018.
> Isikhungo Sikazwelonke sokuthuthukisa iSayensi yokuhumusha. I-Insulin Autoimmune Syndrome. Izikhungo zezempilo zikazwelonke. UMnyango WezeMpilo waseMelika kanye Nezinsizakalo Zabantu. Kubuyekezwe ngoNovemba 2016.
> Isikhungo Sikazwelonke Sesifo Sikashukela kanye Nezifo Zokugula Nezinso Zokugaya. I-Low Blood Glucose (Hypoglycemia). Izikhungo zezempilo zikazwelonke. UMnyango WezeMpilo waseMelika kanye Nezinsizakalo Zabantu. Kubuyekezwe u-Agasti 2016.
> Isevisi FJ, Cryer PE, Vella A. Hypoglycemia kubantu abadala: Ukubonakaliswa kwemitholampilo, incazelo, kanye nezimbangela. Kusesikhathini. Kubuyekezwe ngomhla ka-14 Mashi, 2017.