Ushukela wegazi ophansi obangelwa izidakamizwa

Ushukela wegazi ophansi obangelwa izidakamizwa yi-glucose ephansi yegazi ebangelwa ukuthatha umuthi.

Ushukela wegazi ophansi (i-hypoglycemia) uvamile kubantu abanesifo sikashukela abathatha i-insulin noma eminye imithi ukulawula isifo sikashukela.

Ngaphandle kwemithi ethile, okulandelayo kungadala nokuthi izinga likashukela egazini (ushukela) lehle:

• Ukuphuza utshwala
• Ukuthola umsebenzi omningi kunokujwayelekile
• Ukweqisa ngamabomu ngamabomu noma ngokungenhloso emithini esetshenziselwa ukwelapha isifo sikashukela
• Ukudla okungekho

Noma isifo sikashukela siphethwe ngokucophelela, imithi esetshenziselwa ukwelapha isifo sikashukela ingaholela kushukela wegazi ophansi obangelwa izidakamizwa. Isimo singenzeka futhi lapho umuntu ongenasifo sikashukela ephuza umuthi osetshenziselwa ukwelapha isifo sikashukela. Ezimweni ezingavamile, imithi engahlobene nesifo sikashukela ingadala ushukela ophansi wegazi.

Imithi engadala ushukela wegazi ophansi obangelwa izidakamizwa ihlanganisa:

• Ama-beta-blockers (njenge-atenolol, noma i-propanolol overdose)
• I-Cibenzoline ne-quinidine (izidakamizwa ze-arrhythmia yenhliziyo)
• I-Indomethacin (isiqeda izinhlungu)
• I-insulini
• I-Metformin lapho isetshenziswa ne-sulfonylureas
• Ama-inhibitors we-SGLT2 (njenge-dapagliflozin ne-empagliflozin) ane noma ngaphandle kwe-sulfonylureas
• I-Sulfonylureas (njenge glipizide, glimepiride, glyburide)
• I-Thiazolidinediones (njenge-pioglitazone ne-rosiglitazone) uma isetshenziswa ne-sulfonylureas
• Izidakamizwa ezilwa nezifo (njenge-gatifloxacin, i-pentamadine, i-quinine, i-trimethoprim-sulfamethoxazole)

I-Hypoglycemia - eyenziwe yizidakamizwa; I-glucose ephansi yegazi - eyenziwe yizidakamizwa

• Ukukhishwa kokudla kanye ne-insulin

I-Cryer PE. Izinhloso ze-glycemic kwisifo sikashukela: ukuhweba phakathi kokulawulwa kwe-glycemic ne-iatrogenic hypoglycemia. Isifo sikashukela. 2014; 63 (7): 2188-2195. PMID: 24962915 www.ncbi.nlm.nih.gov/pubmed/24962915.

IGale EAM, Anderson JV. Isifo sikashukela. Ku: Kumar P, Clark M, ama-eds. I-Kumar and Clarke's Clinical Medicine. Umhlaka 9. IPhiladelphia, PA: Elsevier; I-2017: isahluko 27.