Hypoglycemia

Janar bayanin cutar

Wannan yanayin cuta ne wanda yawan sikarin suga ke raguwa zuwa mawuyacin hali - kasa da 3,33 mmol / l, sakamakon hakan ya bunkasa cututtukan hypoglycemic.

Matsayin glucose a cikin jinin mu ya samu ne daga abinci mai dauke da carbohydrate, wanda daga shi ake ciro shi kuma a rarraba shi cikin jikin mu. Idan ba tare da wannan man ba, jikin mutum ba zai iya aiki ba. Lokacin da sukari ya shiga cikin jini, pancreas na samar da insulin, tare da taimakon wanda kwayayen dake jiki suke samun kuzari daga glucose.

Tare da saurin saukar da sikari na jini, mutum na iya mutuwa cikin rabin sa'a. Abu mafi mahimmanci a cikin irin wannan halin ba firgita bane. Daidaitawa da daidaito aiki zai taimaka don kauce wa haɗarin.

Iri hypoglycemia

Ya kasance insulin dogara nau'in hypoglycemia da insulin mai zaman kanta… Mutanen da ke fama da ciwon sukari mai dogaro da insulin ba za su iya yin ba tare da allurar insulin na yau da kullun ba, wanda ake yi domin ya isa ya sarrafa sukari daga abinci. Ana ba da allurar insulin a lokaci-lokaci, la'akari da yawan abinci. An tsara sashi da yawan allurar ne kawai daga likitan ilimin likitan halitta.

Idan mai haƙuri mai ciwon sukari ya karɓi insulin fiye da yadda ake buƙata don sarrafa glucose da aka karɓa tare da abinci, to tsarin ajiyar glycogen ya shiga cikin jini daga hanta. Amma matsalar ita ce marasa lafiya da ke da ciwon sukari ba su da madaidaicin ajiyar glycogen ga mutum mai lafiya.

Sanadin hypoglycemia

1. 1 sashin insulin da aka zaɓa ba daidai ba;
2. 2 lokaci mai tsayi ba tare da cin abinci ba (sama da awanni 6);
3. 3 yin amfani da magunguna waɗanda ba a haɗasu da kyau tare da ƙwayoyin antidiabetic da haɓaka tasirin insulin;
4. 4 yawan shan giya;
5. 5 cutar hanta;
6. 6 gazawar koda;
7. 7 hypothyroidism;
8. 8 lokacin daukar ciki da lactation;
9. 9 yanayin kwayoyin halitta;
10. 10 cututtukan pancreatic;
11. 11 motsa jiki;
12. 12 rashin wadataccen ruwan sha;
13. 13 damuwa yana kunna tsarin endocrin, wanda ke haifar da saurin amfani da glucose;
14. 14 lokacin al'ada;
15. 15 maganin cikin jini mai yawa;
16. 16 cututtukan ciki suna haifar da rikicewar shayarwar carbohydrate;
17. 17 sepsis;
18. 18 cirrhosis da necrosis na hanta suna haifar da take hakkin aiwatar da samuwar glucose^[1].

Kwayar cututtukan hypoglycemia

Alamomin farko na hypoglycemia sun bayyana yayin da matakin glucose ya fadi kasa da yadda aka saba - 3 mmol / l. Zasu iya bayyana kansu ta hanyoyi daban-daban, don haka yana da mahimmanci a san manyan alamun cutar.

Hypoglycemia na iya zama na 3 tsanani: siffofin haske, matsakaici da masu tsanani. Dangane da haka, ƙananan matakin glucose yana faɗuwa, mafi mahimmancin alamun bayyanar sun bayyana. Tare da raguwar suga kadan a cikin jini tachycardia na iya farawa, mutum ya sami damuwa mara ma'ana, tashin zuciya, yawan gumi, yunwa, lebe da yatsan hannu na iya suma.

Tare da hypoglycemia na matsakaici mai tsanani mai haƙuri ya zama mai jin haushi, ba zai iya tattara hankali kan wani abu ba, akwai rikicewar hankali. A wannan yanayin, mutum yana fuskantar ciwon kai da raɗaɗi, hangen nesa ya zama cikin girgije, saboda rauni, daidaituwa tsakanin ƙungiyoyi sun rikice.

Don tsananin hypoglycemia lambobin akan nuni na glucometer sun fadi kasa da 2,2 mmol / l. Wannan nau'i na hypoglycemia na iya haifar da kamuwa da cutar farfadiya da rashin hankali har zuwa suma.

Kar ka manta cewa ire-iren alamun hypoglycemia na iya zama sababin wasu cututtuka, don haka babu ma'ana a binciki kanku da kanku, amma kuna buƙatar tuntuɓar likita. Mutanen da suka kamu da ciwon suga tsawon lokaci zasu iya gane hypoglycemia da alamun 1-2. Koyaya, ba duk marasa lafiya bane ke da alamomin bayyanar cututtuka iri ɗaya kuma alamun ba koyaushe suke bayyana a cikin kowane takamaiman tsari ba. Sabili da haka, ya fi kyau kuma mafi aminci don ƙayyade ƙimar glucose ta jini ta amfani glucometer.

Matsalolin hypoglycemia

Tare da saurin kama hypoglycemic, ƙananan jiragen ruwa na gefe sun fara durƙushewa, wanda da farko ya shafi idanu da ƙafafu; idan ba a magance shi da kyau ba, wannan na iya haifar da makanta da angiopathy.

Levelsananan matakan sikarin cikin jini ba shi da sakamako mafi kyau ga aikin ƙwaƙwalwa. Kwakwalwar na cin glucose mai yawa kuma baya iya yin shi tsawon lokaci, sabili da haka, lokacin da sukarin ya sauka zuwa matakin 2 mmol / l, mai haƙuri ya kamu da cutar hypoglycemic coma. Idan ba a aiwatar da matakan farfaɗowa a kan lokaci ba, to ƙwayoyin ƙwaƙwalwa za su mutu kuma mutumin zai mutu.

Sauran sassan jiki ma suna yin aiki mai zafi saboda rashi glucose a cikin jini.

Rigakafin cutar hypoglycemia

Duk marasa lafiyar da ke amfani da insulin ya kamata koyaushe suna da allunan glucose, alewa, ko kuma sukarin sukari tare da su. Idan mai haƙuri tare da ciwon sukari yana fuskantar tsananin motsa jiki, to kafin hakan, don dalilai masu kariya, kuna buƙatar ɗaukar 30-50 g na carbohydrates.

Mutanen da ke da hypoglycemia suna buƙatar auna sikari na jini tare da glucometer kowace safiya a cikin komai a ciki, zaɓi magungunan da ke ƙunshe da sukari da taka tsantsan, zaɓi ƙwayar insulin da kyau, da kuma lura da yawan carbohydrates da aka cinye.

Jiyya na hypoglycemia a cikin maganin al'ada

Marasa lafiya masu saukin kamuwa da cutar hypoglycemic ya kamata su auna glucose na jini kowace rana kuma su kula da lafiyarsu sosai. Wajibi ne a kula da alamun farko na hypoglycemia kuma a ɗauki mataki cikin lokaci. Yana da kyau koyaushe ka kasance da annoba ko cirewa daga katin likita tare da kai idan an kama wani hari daga gida.

Mutanen da ke fama da cutar hypoglycemia yayin kai hari na iya rasa hankali, a wani yanayi za a taimaka musu da allurar glycogen, wacce ke daidaita matakan sukarin jini.

Don taimako mai sauri, kuna buƙatar samun shirye-shirye dauke da glycogen ko dextrose tare da ku. Taimako na farko, a kowane hali, ya kamata a fara da auna ma'aunin sukarin jini; ya zama dole a ci gaba da auna yayin lokacin magani.

Ba da taimako dangane da matsayin hypoglycemia:

• Fom mai nauyi. Mai haƙuri zai iya dakatar da irin wannan harin ta kansa ta hanyar shan kwamfutar hannu ta glucose. A lokaci guda, yana da sauki a kirga yawan: 1 g na d-glucose yana kara glucose na jini da 0,22 mmol / l. Yawancin lokaci yanayin haƙuri yana daidaita cikin sa'a ɗaya;
• Mai tsananin tsari. Idan mai haƙuri zai iya haɗiye, to wajibi ne a ba shi sauƙi mai sauƙin narkewar abinci ko shan ruwa mai zaki. Gel-like glucose yana taimakawa sosai, wanda ake shafawa gumis tare dashi, sukari, saboda haka, nan take ya shiga cikin jini;
• Cikakken aikin hypoglycemic A wannan halin, mai haƙuri kusan ya sume, don haka an cire cin abinci na carbohydrates da ruwa. A cikin asibiti, taimakon farko ya ƙunshi aikin intravenous na maganin glucose 40%; a gida, allurar intramuscular na glucagon zai isa. Idan mai haƙuri bai dawo cikin hayyacinsa ba, to an yi masa allurar adrenaline ta hanyar subcutaneous.

Hankali!

Gwamnati ba ta da alhakin kowane yunƙuri na amfani da bayanin da aka bayar, kuma ba ta da tabbacin cewa ba zai cutar da kai da kanka ba. Ba za a iya amfani da kayan don wajabta magani da yin ganewar asali ba. Koyaushe tuntuɓi likitan ku!