Thola Ngaphambi Kokuhlupheka
Uma uthola ukuthi unesifo sikashukela , kuningi okufanele ufunde. Ngaphezu kokusekela kwansuku zonke ukuphathwa kwesifo sikashukela kanye nokwelashwa, kufunda ukuqaphela izimpawu nezimpawu zezimo ezimbili ezihlobene nesifo sikashukela: i- hypoglycemia (ushukela wegazi ophansi) kanye ne- hyperglycemia (ushukela ephezulu wegazi). Kubalulekile ukuqonda ukuthi yini engabangela ushukela wegazi lakho nge-spike eliphezulu kakhulu noma ulahle phansi kakhulu futhi uqaphele ukuthi umzimba wakho uzozizwa kanjani uma, noma uma wenza.
Ukuqonda lezi zakhi kungasiza ekuvimbeleni ukuphuthumayo kwezokwelapha.
Izimbangela ze-Hyperglycemia
Abantu abanesifo sikashukela kufanele bahlose ukugwema amazinga aphezulu ashukela egazi, ngokuvamile echazwe ukuthi angaphezu kuka-180 mg / dL amahora amabili emva kokudla futhi ngaphezulu kuka-130 mg / dL ngemuva kokudla okuyihora lesishiyagalolunye kuya kweyishumi. Isizathu salokhu kungenxa yokuthi ukuphakama kweshukela egazini kungaphakamisa ingozi yezinkinga zesifo sikashukela esikhathini esizayo, ezifana neso, inhliziyo, izinso nesifo sezinzwa.
Futhi ngenkathi ungaba ushukela wegazi ongekho ebangeni ngezikhathi ezithile, kubaluleke kakhulu ukuthi ukwazi ukubona izishukela zegazi eziyingozi (ngokuvamile ezichazwe ngokuthi zinkulu noma zilingana nama-250 mg / dL izikhathi ezilandelanayo). Ama-sugars akho egazi angakhuphuka emazingeni angozini uma usuke weqa i-insulini yakho noma ungathathi i- insulin eyanele (ikakhulukazi uma unesifo sikashukela sohlobo 1 ) noma lapho ama-receptor wakho engasebenzi njengakufanele (ngehlobo 2).
Ukudla ama-carbohydrates nokucindezeleka kungabangela ukuba ushukela wegazi uphakame.
Noma yiluphi uhlobo lokugula, kungakhathaliseki ukuthi lubandayo, umkhuhlane, noma okunye okunye, kugcizelela umzimba, okungathinta amazinga kashukela egazini. Ngesikhathi umzimba uzama ukulwa nalesi sifo, kukhululwa ama-hormone-ukukhulisa i-glucose njengeglucagon.
Ngaphezu kokuphakamisa i-glucose, la mahomoni nawo aphazamisa imiphumela ye-blood-glucose yehlisa i-insulini, okwenza isifo sikashukela sibe nzima ukulawula. Indlela olawula ngayo isifo sikashukela uma ugula kubalulekile ngoba ushukela ophezulu kakhulu wegazi ngesikhathi sokugula kungabangela ukuphuthumayo. Ukwakha uhlelo lwezinsuku ezigulayo nomhlinzeki wakho wezempilo , kungakusiza ukuba uhlele futhi ulungiselele izinselele ezihlobene noshukela egazini ngezikhathi zokugula.
Izimpawu Ezidinga Ukunakwa
Uma wena uzizwa ulungile futhi ucabange ukuthi ushukela wegazi lakho liphakeme, yivivinye ukuze uqinisekise. Uma ushukela wakho wegazi uphakanyisiwe futhi uyazi ukuthi ngubani owehlayo, futhi kuyisenzakalo esikude, kungenzeka ukuthi ungayilungisa ngokwakho ukuzivocavoca, uphuze amanzi amaningi, futhi uthathe imithi yakho njengoba ishiwo. Uma ngakolunye uhlangothi, ushukela wegazi lakho liphakeme kakhulu futhi unayo lezi zimpawu sicela ubize ochwepheshe bakho bokunakekela impilo kanye / noma uye ekamelweni eliphuthumayo:
- Ukoma okwengeziwe
- Ukwandisa ukuchama
- Nausea / ukuhlanza
- Ukulahlekelwa kwesisindo
- Ukuphefumula okujulile kanye / noma okusheshayo
- Ubuhlungu besisu
- Ukuphefumula okunempilo
- Ukulahlekelwa kokwazi
Ezinye izimo eziphuthumayo ze-Hyperglycemia
I-Hyperglycemic Hyperosmolor Nonketotic Syndrome
I-hya-glycemic hyperosmolar non-ketotic coma (HHNKC) iyinkimbinkimbi enzima kakhulu engenzeka kubantu abanohlobo lwe-1 noma uhlobo lwesifo sikashukela , kodwa ngokuvamile kuvame kulabo abangenciki-insulin (isifo sikashukela sesi-2).
Lokhu kuchazwa ngokuthi ushukela wegazi eliyingozi owu> 600 mg / dL. Kuvame ukulethwe noma yi-infection, njenge-pneumonia noma ukutheleleka kwamagciwane, noma ukuphathwa kabi kwe-ushukela wegazi lakho. Uma ishiywe ingalashwa, ingabangela i-coma ngisho nokufa.
Izimpawu nezimpawu zifaka:
- ukoma ngokweqile
- ukudideka
- imfiva (evame ngaphezu kwama-degrees Fahrenheit angu-101)
- ubuthakathaka noma ukukhubazeka ohlangothini olulodwa lomzimba
Indlela engcono kakhulu yokuvimbela i-HHNKC ukuthatha imithi yakho njengoba iqondiswe futhi uhlale uxhumane neqembu lakho lokunakekelwa kwezempilo uma ushukela wegazi lakho lihlala njalo> 300 mg / dL.
I-Diabetes Ketoacidosis
I-hyperglycemia ingaholela kwesinye isimo esiyingozi kakhulu, esibizwa ngokuthi i-ketoacidosis yesifo sikashukela (i-DKA), esenzeka kakhulu kakhulu kubantu abane-type 1 yesifo sikashukela futhi ngokuvamile uyisibonakaliso sokuqala sohlobo lwesifo sikashukela.
I-DKA ibangelwa lapho umzimba uncane noma kungekho-insulini ongayisebenzisa futhi, ngenxa yalokho, ushukela wegazi uphela emazingeni anobungozi futhi igazi liyaqina. Umonakalo weselula ungenzeka futhi uma uqhubeka uqhubeka, kungabangela i-coma noma ukufa. I-DKA idinga ukungenelela kwezokwelapha ngokushesha.
Izimbangela ze-Hypoglycemia
I-Hypoglycemia iyenzeka uma ushukela wegazi lakho lihla kakhulu kakhulu (ngokuvamile ngaphansi kwe-70 mg / dl), nakuba iphuzu lokuphazamisa lingashintsha umuntu ngamunye. Kungenzeka ngemuva kokuphuza utshwala, ukuthatha imithi eningi kakhulu, ukungadli ama-carbohydrate okwanele, noma ngesikhathi noma ngemva kokuzivocavoca. I-Hypoglycemia ingase iphathwe ekhaya uma izimpawu zingakabi nzima futhi ushukela wegazi alizange liwele phansi kakhulu.
Izimpawu Ezidinga Ukunakwa
Uma uqala ukuzizwa ukhululekile, uthuthukile, udizizi noma udidekile, futhi unemitha yakho etholakalayo, uvivinye ushukela wegazi. Uma ingaphansi kuka-70mg / dL ukuyiphatha nge-carbohydrate esebenza ngokushesha, njengamaphilisi e-3-4 we-glucose, ama-ounces amane wejusi, ama-ounces ayisithupha e-soda. Phinda uphinde uhlole ngemizuzu engu-15 bese uphinda ukwelapha uma ushukela wegazi lakho lingakakhuphuki. Uma ungenayo imitha yakho, kodwa wazi ukuthi ushukela wegazi lakho liphansi, lilaphe kungakhathaliseki-lokhu kuzokusiza ukuvimbela okuphuthumayo. Uma ngabe uphathe ushukela wegazi lakho, futhi awukwenyuka, futhi uqhubeka ube nezimpawu, sicela ushayele ucwaningo lwakho lwezempilo noma uhambe ekamelweni eliphuthumayo. Izimpawu zokubheka zihlanganisa:
- Ukuthuthumela noma ubuthakathaka
- Ukungabi nokuxhumana
- Ukulala noma ukudideka
- Izinwele
- Isizungu
- Umbono kabili
- Ukudumala noma ukungabi nalutho
Uma kuziwa ekunakekelweni okuphuthumayo, sebenzisa lezi zimpawu njengesiqondiso, kodwa futhi ulalele ukukhanya kwakho. Uma unomuzwa wokuthi kukhona okungahambi kahle, akuyona into embi ukubiza ucingo wakho wezempilo noma ukuya ekamelweni eliphuthumayo.
Uma i-Blood Your Sugar inomkhuba wokuwa phansi kakhulu
Uma ushukela wakho wegazi unomkhuba wokuwela phansi kakhulu, ngokushesha kakhulu, noma usufinyelele iphuzu le-hypoglycemia ephawulekayo emitholampilo, echazwe yi-American Diabetes Association njengegazi glucose ngaphansi noma elilingana no 54 mg / dL (3.0 mmol / L), i-glucagon kufanele inqunywe. I-Glucagon iyi-hormone esiza isibindi sokukhululwa kwesibindi ukuze sikhulise amazinga kashukela egazi. Ihlinzekwa nge-injection ye-muscular futhi ingaba yedwa. Kuvame ukuletha ushukela wegazi kuze kube sezingeni elimukelekile kungakapheli imizuzu engu-15.
Esikhathini esibi kakhulu ukuthi awukwazi futhi awukwazi ukuphatha i-glucagon ngokwakho, omunye umuntu uzodinga ukukunika, kungakhathaliseki ukuthi uyisisebenzi esiphuthumayo noma othile ekhaya lakho. Uma uhlala nabanye, kufanele bazi indlela yokuphatha i-glucagon. Noma uma unomntwana onesifo sikashukela sohlobo 1, othisha bazo kufanele bafundiswe ngokusetshenziswa kweglucagon. Kulesi sibonelo, wena wedwa, ugqoke uhlobo oluthile lokuzibonakalisa oluvumela abasebenzi besimo esiphuthumayo ukuthi unesifo sikashukela, njengesigqebhezana se- ID noma isibonakaliso esikugqoka singakhuluma ngawe uma ungakwazi ukukhuluma wena.
Ukutheleleka Kungaphinde Kuholele Esiphuthumayo Esiphuthumayo
Abantu abanesifo sikashukela bavame ukujwayela ukutheleleka futhi uma bengelashwa ngokushesha, ukutheleleka kungabangela izinkinga ezinkulu zesifo sikashukela. Izifo zingashintsha ukukhiqizwa kwe-hormone noma indlela umzimba osebenza ngayo emithini yesifo sikashukela. Ngenxa yalokho, ushukela wegazi ukhula, ukwandisa ingozi ye-ketoacidosis.
Kubantu abanesifo sikashukela esingalawulwa kahle, izifo zesikhumba noma ukulimala ezinyaweni, kungaholela ezilonda ezingabangela ingozi yokuqunywa.
Uma kwenzeka une uhlobo oluthile lokutheleleka, kubalulekile ukubiza ithimba lakho lokunakekela impilo ngokushesha ukuze ukwazi ukuphathwa ngokushesha. Uzofuna ukwazi ukuthi ungaphatha kanjani isifo sikashukela ngenkathi umzimba wakho uphansi kokucindezeleka. Kungase kudingeke uthathe imithi eminingi ngalesi sikhathi.
Ungayilungiselela Kanjani Isimo Esiphuthumayo Soshukela?
Indlela engcono kakhulu yokuhlela isimo esiphuthumayo ukuthi ube nosuku olugulayo / uhlelo lokuphuthumayo. Yakha eyodwa ngethimba lakho lezokwelapha, gcina ikhophi ekhaya lakho futhi uphathe ikhophi kanye nawe uma uphuma. Ngaphakathi kwepulani, qiniseka ukuthi ihlanganisa, uhlu lwawo wonke imithi yakho, odokotela, nezinombolo zabo zokuxhumana. Kufanele njalo ugqoke ifomu lokuhlonza kwezokwelapha, futhi.
Okokugcina, qiniseka ukuthi uthwala ama-carbohydrate abenza ngokushesha (amaphilisi e-glucose, i-candy juice), ukudla okulula okunye (ama-crackers egcwele okusanhlamvu, amantongomane, ama-fat-fat, i-snack bar, izithelo ezintsha) , imitha yakho yegazi kanye nemithi yakho.
Iyiphi indlela engcono yokuvimbela ukuphuthuma okuvela ekusenzeni?
Ukwenza isifo sikashukela esihle ukuphathwa komzimba kuyindlela engcono yokuvimbela izimo eziphuthumayo ukuba zenzeke. Lokhu kuhlanganisa: ukudla ukudla okunempilo, okuguqulwe kwe-carbohydrate, ukuthatha imithi yakho njengoba kunqunyiwe, ukuhlola ushukela wegazi njalo, ukulawula umshini wokuzivocavoca njalo, ukugcina odokotela abaqashwe njalo, nokugwema ukuziphatha okuyingozi, njengokusebenzisa utshwala ngokweqile. Ngezinye izikhathi, ungakwazi ukwenza konke ngokufanele futhi nokho, uzithola ushukela wegazi kakhulu noma uphansi kakhulu. Kulesi sibonelo, indlela engcono kakhulu yokugwema ukuphuthumayo ukuxhumana nochwepheshe wakho wokunakekelwa kwezempilo ngokushesha noma ukuya ekamelweni eliphuthumayo. Kungcono ngaso sonke isikhathi ukuba uqaphe ngokweqile kunokugwema noma ukunganaki izimpawu ezingavamile.
Izwi elivela
Uma unesifo sikashukela, kubalulekile ukwazi ukuthi yiziphi izimpawu okufanele uziqaphele ukuvimbela ukuphuthumayo kwezokwelapha. Esikhathini esiningi, izimo eziphuthumayo zibangelwa ushukela wegazi ophakeme noma ophansi kakhulu. Ukuvimbela izimo eziphuthumayo ngokwenza isifo sikashukela esihle ukuphathwa kwakho kubaluleke kakhulu, kodwa ngezinye izikhathi lezi zinhlobo zezenzakalo azikho ngaphansi kokulawula kwakho. Yingakho uhlela phambili futhi uzifundisa wena namalungu omndeni wakho kubaluleke kakhulu.
Imithombo:
> I-American Diabetes Association. Amazinga Wokunakekelwa Kwezokwelapha Esifo Sikashukela - 2017. Ukunakekelwa Kweshukela. 2017 Jan; 40 I-Suppl 1: S1-S132.
> I-American Diabetes Association. I-Hyperglycemia (High Blood Sugar). http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/hyperglycemia.html
> I-American Diabetes Association. I-Hypoglycemia (I-Low Blood Sugar). http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/hypoglycemia-low-blood.html