Ushukela ophansi wegazi (i- hypoglycemia ) akuyona nje ukukhathazeka kwabantu abanesifo sikashukela sohlobo 1. Nakuba kungenzeki njalo, abantu abanesifo sikashukela se-type 2 nabo bangabe besengozini futhi kufanele bazi kahle izimpawu zeshukela ephansi legazi.
Izinga likashukela egazini libhekwa liphansi kakhulu uma liwela ngaphansi kwe-70 mg / dL. Ngesinye isikhathi, abantu bangakwazi ukubona izimpawu ezingeni eliphakeme likashukela egazini, ikakhulukazi uma ushukela wabo wegazi uphakanyisiwe isikhathi eside.
Lapho ushukela wegazi wehla ngaphansi kwe-70 mg / dL, umzimba ungase ungabi neshukela elanele legazi (i-glucose) ukuhlinzeka ngezidingo zamandla. Uma izimpawu ziba nzima ngaphandle kokwelashwa noma ukulungiswa, amazinga ashukela ephansi egazi angabangela ukulimala noma ngisho nokufa. Ukwazi izimpawu nendlela yokuphatha ushukela ophansi wegazi kungakusiza ugweme ukuphuthumayo .
Izingozi Nezimbangela Ezikhulayo
Izingane, abadala Abadala, nalabo abane-Hypoglycemia Unawareness
Labo abasengozini enkulu ye-hypoglycemia kubandakanya izingane, abadala asebekhulile, nalabo bantu abangakwazi ukukhomba ushukela ophansi wegazi-igama elibhekwa njengokungaziwa kwe-hypoglycemia. Ukungaziwa kwe-hypoglycemia kungenzeka uma ungumuntu ozwa njalo ushukela wegazi njalo. Ukuvama kweshukela ephansi yegazi kungenza umzimba unqabeke ezimpawu. Ukungakwazi ukuzwa izimpawu, njengokuthuthumela, ukuthuthumela, ukushaya kwenhliziyo, ukukhathazeka noma indlala, kungenza ungakwazi ukuphatha okuphansi okungabangela ukungabi nalutho noma ngisho nokufa .
Ngakho-ke, kubalulekile ukwazi ukuthi usengozini ukuze uvimbele futhi uphathe ushukela ophansi wegazi ngokushesha futhi ngokuphepha.
Imithi ethile:
Abantu bathatha imithi ethile ye-type 2 yesifo sikashukela, njenge- sulfonylureas , i-insulini, noma inhlanganisela ye-insulin kanye ne- non-insulin injectables. Inhlanganisela ethile yamaphilisi kanye nemithi ethile engeyona isifo sikashukela ingakwandisa ingozi yeshukela ephansi yegazi.
Buza ithimba lakho lokunakekelwa ngezempilo mayelana nokulondoloza isikhathi nokulondoloza imithi futhi ufunde ukuze ungenzi iphutha ekulandiseni. Qaphela ukuthi ungathathi imithi eminingi futhi uzame ukugcina ohlelweni lokudla oluhleliwe.
Ezinye izimbangela:
Ukuphuza utshwala ngokweqile nakho kungabangela ushukela ophansi wegazi. Ukwengeza, ezinye izimbangela zibandakanya ukuzivocavoca okuningi ngaphandle kokudla okwanele ukumboza izidingo zamandla, ukuphuka ukudla, ukudla okuncane, izinkinga zezinso, kanye nezimo zezokwelapha ezifana ne-hypothyroidism nesifo sika-Addison.
Izimpawu ze-Low Blood Sugar
Izimpawu Ezitholile
- Ushukela wegazi ngaphansi kuka 70 mg / dL
- Ukucindezela
- Ukuthuthumela, ukuthuthumela noma ukwesaba
- Umlomo noma izindebe zikhahlela, ulimi lwama-numb numbness, noma ukunambitheka kwe-metallic
- Ubumbulu noma ukubetha kwezintambo
- Indlala
- Ukushaya kwenhliziyo okusheshayo
- Ukungabi namandla
- Ukulala
- Ukudideka noma ukungakwazi ukulalela
- Kunzima ukukhuluma
- Imodi iyashintsha njengokuhlukumeza, ukukhathazeka, ukucasula noma ukukhala
- Usizi, insizwa noma umbono ongenalutho
- Ukuhlushwa, ukuhlanzeka, nezinkinga zokuxhumana
- Kunzima ukuhamba
- Ubukhulu
Izimpawu ezibalulekile emitholampilo
- Ishukela legazi ngaphansi kwe-54mg / dL
- Ukushisa komzimba okuphansi
- Ukudumala noma ukugubha
- Ukulahlekelwa kokwazi noma i-coma
- Ukulahlekelwa yocwaningo kuyodinga injection yeglucagon noma ukwelashwa okuphuthumayo. Vumela abangani nomndeni ukuthi bangakwazi ukulawula uketshezi, ukudla, noma i-insulin uma ulahlekelwa ukwazi. Fundisa abangani nomndeni mayelana nezimpawu ze-hypoglycemia, ukunikeza umjovo we-glucagon, nokuthi nini ukubiza 911.
- Uma ujwayele ushukela wegazi ophansi qinisekisa ukuthi uhlale uguze uhlobo oluthile lokuhlonza kwezokwelapha
Qaphela : Uma ushukela wegazi oluphansi lwenzeka ngesikhathi ubuthongo, ungase ubhekane nezinkinga zokulala, ukuthuka ebusuku, ukuthukuthela, ukudideka nokuzwa ukhathele ekuvukeni, noma ukuhlaselwa kwe-hyperglycemia.
Ukwelapha
Uma uzizwa noma yiziphi izimpawu ezingenhla, hlola ushukela wegazi lakho . Uma ingaphansi kuka-70 mg / dL, landela uMthetho we-15:
- Yidla amagremu angu-15 we -carbohydrate esheshayo .
- Linda imizuzu engu-15 uphinde uhlole ushukela wegazi futhi.
- Phinda kuze kube yilapho ushukela egazini lingaphakathi.
- Yidla umthamo we-carbohydrate ka-15-30 gram oqukethe i-fibre namaprotheni uma ungadli ukudla ngaphakathi kwehora.
Abantu abathatha i-acarbose (Precose) noma i-miglitol (i-Gyset) kufanele baphathe nge-glucose ehlanzekile noma i-dextrose, ezayo njengethebulethi noma i-gel. Lezi imithi zinciphisa ukugaya kanye nezinye izinhlobo ze-carbohydrate esheshayo zingenakuthola ngokushesha.
Ukuvimbela
Uma usengozini enkulu ye-hypoglycemia:
- Hlola amazinga kashukela egazi njalo, ikakhulukazi ngaphambi kokushayela, ngaphambi nangemva kokuzivocavoca, nangaphambi nangemva kocansi. Uma amazinga akho engaphansi kuka-100 mg / dL ngaphambi komsebenzi, adle isiphuzo.
- Landela ukwelashwa kwakho okunqunyiwe kanye nohlelo lokudla. Zama ukungadli ukudla noma ukudla okulula.
- Gcina i-carbs esebenza ngokusheshayo.
- Uma ukhetha ukuphuza utshwala, cela ithimba lakho lokunakekelwa kwezempilo ukuthi ungayifaka kanjani utshwala ohlelweni lwakho lokudla . Uma uphuza isiphuzo sokuphuza utshwala, uphuze ngokudla noma ukudla.
- Fundisa abangane nomndeni mayelana nezimpawu zeshukela negazi eliphansi.
Imithombo:
Association of American Diabetes Association. Amazinga Wokunakekelwa Kwezokwelapha Esifo Sikashukela - 2017. Ukunakekelwa Kweshukela . 2017 Jan; 40 (I-Suppl 1): S1-132.
Hypoglycemia. I-National Diabetes Clearinghouse. https://www.niddk.nih.gov/health-information/diabetes/overview/preventing-problems/low-blood-glucose-hypoglycemia
Hypoglycemia. Impilo ye-Pub Med. Izikhungo zezempilo zikazwelonke. https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0024699/
Ukuphila nesifo sikashukela. Association of American Diabetes Association. http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/hypoglycemia-low-blood.html