Ushukela wegazi ophansi - ukuzinakekela

Ushukela wegazi ophansi yisimo esenzeka lapho ushukela wegazi (glucose) wakho uphansi kunokujwayelekile. Ushukela wegazi ophansi kungenzeka kubantu abanesifo sikashukela abathatha i-insulin noma eminye imithi ethile ukulawula isifo sikashukela. Ushukela wegazi ophansi ungadala izimpawu eziyingozi. Funda ukuthi ungazibona kanjani izimpawu zikashukela wegazi ophansi nokuthi ungazivikela kanjani.

Ushukela wegazi ophansi ubizwa ngokuthi yi-hypoglycemia. Izinga likashukela egazini elingaphansi kuka-70 mg / dL (3.9 mmol / L) liphansi futhi lingakulimaza. Izinga likashukela egazini elingaphansi kwama-54 mg / dL (3.0 mmol / L) liyimbangela yesenzo esisheshayo.

Usengozini yokuba noshukela ophansi wegazi uma unesifo sikashukela futhi uthatha noma imiphi yale mithi yesifo sikashukela elandelayo:

• I-insulini
• IGlyburide (Micronase), glipizide (Glucotrol), glimepiride (Amaryl), repaglinide (Prandin), noma nateglinide (Starlix)
• I-Chlorpropamide (i-Diabinese), i-tolazamide (i-Tolinase), i-acetohexamide (i-Dymelor), noma i-tolbutamide (i-Orinase)

Usengozini eyengeziwe yokuba noshukela ophansi wegazi uma uke waba namazinga kashukela egazi angaphambilini.

Yazi ukuthi ungasho kanjani uma ushukela wegazi lakho usuphansi. Izimpawu zifaka:

• Ubuthakathaka noma ukuzizwa ukhathele
• Kuthuthumela
• Ukujuluka
• Ubuhlungu bekhanda
• Indlala
• Ukuzizwa ungakhululekile, unovalo, noma ukhathazekile
• Ukuzizwa u-cranky
• Unenkinga yokucabanga kahle
• Umbono ophindwe kabili noma ofiphele
• Ukushaya kwenhliziyo okusheshayo noma okushaya ngamandla

Kwesinye isikhathi ushukela wegazi lakho ungaba phansi kakhulu noma ungenazo izimpawu. Uma kwehla kakhulu, unga:

• Ukuphela amandla
• Yiba nokuquleka
• Iya kwikhoma

Abanye abantu asebenesifo sikashukela isikhathi eside bayayeka ukukwazi ukuzwa ushukela wegazi ophansi. Lokhu kubizwa ngokungazi nge-hypoglycemic. Buza umhlinzeki wakho wezokunakekelwa kwempilo uma ukugqoka i-glucose Monitor ne-sensor okuqhubekayo kungakusiza ukuthi ubone lapho ushukela wegazi lakho usuphansi kakhulu ukuze usize ukuvimbela izimpawu.

Khuluma nomhlinzeki wakho mayelana nokuthi kufanele uhlole nini ushukela wegazi nsuku zonke. Abantu abanoshukela ophansi wegazi kudingeka bahlole ushukela egazini labo kaningi.

Izimbangela ezivame kakhulu zikashukela wegazi ophansi yilezi:

• Ukuthatha umuthi wakho we-insulin noma wesifo sikashukela ngesikhathi esingalungile
• Ukuphuza kakhulu i-insulin noma umuthi wesifo sikashukela
• Ukuthatha i-insulin ukulungisa ushukela wegazi ophakeme ngaphandle kokudla noma yikuphi ukudla
• Ukungadli ngokwanele ngesikhathi sokudla noma ukudla okulula ngemuva kokuba uthathe umuthi we-insulin noma wesifo sikashukela
• Ukweqa ukudla (lokhu kungasho ukuthi umthamo wakho we-insulin esebenza isikhathi eside uphezulu kakhulu, ngakho-ke kufanele ukhulume nomhlinzeki wakho)
• Ukulinda isikhathi eside ngemuva kokuthatha umuthi wakho ukuze udle ukudla kwakho
• Ukuzivocavoca kakhulu noma ngesikhathi okungajwayelekile kuwe
• Ukungabheki ushukela wegazi lakho noma ukungalungisi umthamo wakho we-insulin ngaphambi kokuzivocavoca
• Ukuphuza utshwala

Ukuvimbela ushukela wegazi ophansi kungcono kunokulapha. Njalo yiba nomthombo woshukela osebenza ngokushesha nawe.

• Uma uzivocavoca umzimba, hlola amazinga kashukela egazini lakho. Qiniseka ukuthi unokudla okulula nawe.
• Khuluma nomhlinzeki wakho ngokunciphisa imithamo ye-insulin ezinsukwini ozivocavoca ngazo.
• Buza umhlinzeki wakho uma udinga isidlo sokulala ukuze uvikele ushukela ophansi wegazi ubusuku bonke. Ukudla okulula kwamaprotheni kungaba ngcono kakhulu.

UNGABUPHUZI utshwala ngaphandle kokudla ukudla. Abesifazane kufanele banciphise utshwala kwisiphuzo esingu-1 ngosuku futhi abesilisa kufanele banciphise utshwala kuziphuzo ezi-2 ngosuku. Umndeni nabangane kufanele bazi ukuthi bangasiza kanjani. Kufanele bazi:

• Izimpawu zikashukela wegazi ophansi nokuthi ungasho kanjani ukuthi unazo.
• Kungakanani nokuthi hlobo luni lokudla okufanele bakunikeze lona.
• Ungalufonela nini usizo oluphuthumayo.
• Ungayifaka kanjani i-glucagon, i-hormone ekhulisa ushukela wegazi lakho. Umhlinzeki wakho uzokutshela ukuthi uwusebenzisa nini lo muthi.

Uma unesifo sikashukela, hlala ugqoke isongo noma umgexo wezokwelashwa. Lokhu kusiza abasebenzi bezokwelapha eziphuthumayo bazi ukuthi unesifo sikashukela.

Hlola ushukela wegazi noma nini lapho unezimpawu zeshukela eliphansi egazini. Uma ushukela wegazi lakho ungaphansi kwama-70 mg / dL, zilaphe ngokushesha.

1. Yidla okuthile okunama-gramu ayi-15 (g) ama-carbohydrate. Izibonelo yilezi:

• 3 amaphilisi kashukela
• Indebe eyodwa uhhafu (ama-ounces ama-4 noma ama-237 mL) wejusi yezithelo noma isoda ejwayelekile, engadli
• Amaswidi ama-5 noma ama-6 aqinile
• Isipuni esingu-1 (tbsp) noma u-15 mL ushukela, osobala noma oncibilikisiwe emanzini
• 1 tbsp (15 ml) woju noma isiraphu

2. Linda imizuzu eyi-15 ngaphambi kokudla okunye. Qaphela ukuthi ungadli kakhulu. Lokhu kungadala ushukela ophakeme wegazi nokuzuza kwesisindo.

3. Hlola ushukela wakho egazini futhi.

4. Uma ungazizwa ungcono emizuzwini engu-15 futhi ushukela wegazi lakho usengaphansi kuka-70 mg / dL (3.9 mmol / L), yidla esinye isidlo esinama-15 g we-carbohydrate.

Ungahle udinge ukudla isidlo esinama-carbohydrate kanye namaprotheni uma ushukela wegazi lakho usebangeni eliphephile - ngaphezulu kuka-70 mg / dL (3.9 mmol / L) - kanti ukudla kwakho okulandelayo kungaphezu kwehora.

Buza umhlinzeki wakho ukuthi angasiphatha kanjani lesi simo. Uma lezi zinyathelo zokukhulisa ushukela wegazi zingasebenzi, shayela udokotela wakho ngokushesha.

Uma usebenzisa i-insulin futhi ushukela wegazi lakho uphansi kaningi noma ngokungaguquguquki, buza udokotela wakho noma umhlengikazi uma:

• Ingabe ujova i-insulin yakho ngendlela efanele
• Udinga uhlobo olwehlukile lwenaliti
• Kufanele ushintshe ukuthi uthatha i-insulin engakanani
• Kufanele ushintshe uhlobo lwe-insulin oyithathayo

UNGENZI ushintsho ngaphandle kokukhuluma nodokotela wakho noma unesi kuqala.

Kwesinye isikhathi i-hypoglycemia ingabangelwa ukuthatha imithi engafanele. Hlola imithi yakho nosokhemisi wakho.

Uma izimpawu zikashukela wegazi ziphansi zingathuthuki ngemuva kokudla isinongo esiqukethe ushukela, cela othile akushayele egumbini labezimo eziphuthumayo noma ashayele inombolo yangakini yezimo eziphuthumayo (njenge-911). UNGAHAMBI lapho ushukela wegazi uphansi.

Thola usizo lwezempilo ngokushesha kumuntu oneshukela eliphansi egazini uma umuntu engaqaphile noma engakwazi ukuvuswa.

Hypoglycemia - ukuzinakekela; I-glucose egazini eliphansi - ukuzinakekela

• Isongo lesaziso sezokwelapha
• Ukuhlolwa kweglucose

I-American Diabetes Association. 6. Okuhlosiwe yi-Glycemic: Amazinga Wokunakekelwa Kwezokwelapha Kusifo Sikashukela-2020. Ukunakekelwa yisifo sikashukela. 2020; 43 (Suppl 1): S66 – S76. I-PMID: 31862749 pubmed.ncbi.nlm.nih.gov/31862749/.

I-Cryer PE, i-Arbeláez AM. I-Hypoglycemia. Ku: Melmed S, Auchus RJ, Goldfine AB, Koenig RJ, Rosen CJ, abahleli. Incwadi kaWilliams ye-Endocrinology. Umhlaka 14. IPhiladelphia, PA: Elsevier; 2020: isahluko 38.

• Thayipha isifo sikashukela sokuqala
• Thayipha 2 sikashukela

• Ama-ACE inhibitors
• Isifo sikashukela nokuzivocavoca umzimba
• Ukunakekelwa kwamehlo sikashukela
• Isifo sikashukela - izilonda ezinyaweni
• Isifo sikashukela - ukuhlala sisebenza
• Isifo sikashukela - ukuvimbela isifo senhliziyo nesifo sohlangothi
• Isifo sikashukela - ukunakekela izinyawo zakho
• Ukuhlolwa kwesifo sikashukela nokuhlolwa
• Isifo sikashukela - uma ugula
• Ukuphatha ushukela wegazi lakho
• Thayipha i-2 yesifo sikashukela - okufanele ubuze udokotela wakho

• Isifo sikashukela
• Imithi Yesifo Sikashukela
• Uhlobo lwesifo sikashukela 1
• I-Hypoglycemia