Ushukela wegazi ophansi

Ushukela wegazi ophansi yisimo esenzeka lapho ushukela wegazi (glucose) womzimba uncipha futhi uphansi kakhulu.

Ushukela wegazi ongaphansi kwama-70 mg / dL (3.9 mmol / L) uthathwa njengophansi. Ushukela egazini noma ngaphansi kwaleli zinga ungaba yingozi.

Igama lezokwelapha likashukela wegazi ophansi yi-hypoglycemia.

I-insulini yihomoni eyenziwe ngamanyikwe. I-insulin iyadingeka ukuhambisa i-glucose kumaseli lapho igcinwa khona noma isetshenziselwe amandla. Ngaphandle kwe-insulin eyanele, i-glucose yakhela egazini esikhundleni sokungena kumaseli. Lokhu kuholela ezimpawu zesifo sikashukela.

Ushukela wegazi ophansi uvela ngenxa yanoma ikuphi kokulandelayo:

• Ushukela womzimba wakho (i-glucose) usetshenziswa ngokushesha okukhulu
• Ukukhiqizwa kweglucose ngumzimba kuphansi kakhulu noma kukhishwa egazini kuhamba kancane
• I-insulin eningi isemgudwini wegazi

Ushukela wegazi ophansi uvamile kubantu abanesifo sikashukela abathatha i-insulin noma eminye imithi ethile ukulawula isifo sikashukela. Kodwa-ke, eminye imithi yesifo sikashukela ayibangeli ushukela ophansi wegazi.

Ukuzivocavoca umzimba kungaholela noshukela wegazi ophansi kubantu abathatha i-insulin ukwelapha isifo sikashukela.

Izingane ezizalwa ngomama abanesifo sikashukela zingaba nokwehla okunzima kushukela wegazi ngemuva nje kokuzalwa.

Kubantu abangenaso isifo sikashukela, ushukela wegazi ophansi ungabangelwa:

• Ukuphuza utshwala
• I-Insulinoma, okuyisigaxa esingajwayelekile kumanyikwe esikhiqiza insulini eningi kakhulu
• Ukuntuleka kwehomoni, njenge-cortisol, i-hormone yokukhula, noma i-hormone yegilo
• Ukwehluleka kwenhliziyo, izinso, noma isibindi
• Ukutheleleka okuthinta umzimba wonke (sepsis)
• Ezinye izinhlobo zokuhlinzwa kwesisindo (imvamisa iminyaka emihlanu noma ngaphezulu ngemuva kokuhlinzwa)
• Imithi engasetshenziswanga ukwelapha isifo sikashukela (ama-antibiotics athile noma izidakamizwa zenhliziyo)

Izimpawu ongahle ube nazo lapho ushukela wegazi lakho wehla kakhulu zifaka:

• Umbono ophindwe kabili noma umbono ofiphele
• Ukushaya kwenhliziyo okusheshayo noma okushaya ngamandla
• Ukuzizwa u-cranky noma wenza ulaka
• Ukuzizwa wethukile
• Ubuhlungu bekhanda
• Indlala
• Ukuquleka
• Ukuthuthumela noma ukuthuthumela
• Ukujuluka
• Ukuncipha noma ukuba ndikindiki kwesikhumba
• Ukukhathala noma ubuthakathaka
• Inkinga yokulala
• Ukucabanga okungacacile

Kubantu abaningi abanesifo sikashukela, ushukela wegazi ophansi ubangela cishe izimpawu ezifanayo njalo lapho kwenzeka. Akuwona wonke umuntu ozwa izimpawu zeshukela eliphansi ngendlela efanayo.

Ezinye izimpawu, njengokulamba noma ukujuluka, zenzeka lapho ushukela wegazi uphansi nje kancane. Izimpawu ezinzima kakhulu, njengokucabanga okungacacile noma ukubanjwa, kwenzeka lapho ushukela wegazi uphansi kakhulu (ngaphansi kuka-40 mg / dL noma u-2.2 mmol / L).

Noma ungenazo izimpawu, ushukela wegazi lakho usengaphansi kakhulu (obizwa ngokuthi ukungazazi nge-hypoglycemic). Ungahle ungazi nokuthi unoshukela ophansi wegazi uze uquleke, ubanjwe yisifo sokuwa noma ungene ku-coma. Uma unesifo sikashukela, cela umhlinzeki wakho wezokunakekelwa kwezempilo ukuthi ukugqoka i-glucose Monitoring okuqhubekayo kungakusiza yini ukubona lapho ushukela wegazi lakho uphansi kakhulu ukusiza ukuvimbela isimo esiphuthumayo sezokwelapha. Abanye abahloli be-glucose abaqhubekayo bangakuxwayisa nabanye abantu obabekayo lapho ushukela wegazi lakho wehla ngaphansi kwezinga elibekiwe.

Uma unesifo sikashukela, ukulawula kahle ushukela wegazi lakho kungasiza ekuvimbeleni ushukela ophansi wegazi. Khuluma nomhlinzeki wakho uma ungaqiniseki ngezimbangela nezimpawu zeshukela eliphansi legazi.

Uma unoshukela ophansi wegazi, ukufundwa kuzoba ngaphansi kuka-70 mg / dL (3.9 mmol / L) kumqapha wakho we-glucose.

Umhlinzeki wakho angakucela ukuthi ugqoke imonitha encane elinganisa ushukela wegazi njalo ngemizuzu emi-5 (i-glucose monitor eqhubekayo). Idivayisi ivame ukugqokwa izinsuku ezi-3 noma ezi-7. Idatha ilandelwa ukuthola ukuthi ngabe unezikhathi zoshukela wegazi ophansi ezingabonakali.

Uma ungeniswa esibhedlela, ungahle ube namasampula egazi athathwe emthanjeni wakho aya:

• Linganisa izinga likashukela egazini lakho
• Thola imbangela kashukela wakho ophansi wegazi (lezi zivivinyo zidinga ukubekelwa isikhathi ngokucophelela ezihlobene noshukela ophansi wegazi ukuthola ukuxilongwa okunembile)

Inhloso yokwelashwa ukulungisa izinga lakho leshukela eliphansi egazini. Kubalulekile futhi ukuzama ukuthola ukuthi kungani ushukela wegazi ubuphansi ukuvimbela esinye isiqephu sikashukela esezansi ukuthi singenzeki.

Uma unesifo sikashukela, kubalulekile ukuthi umhlinzeki wakho akufundise ukuthi ungazelapha kanjani ushukela wegazi ophansi. Ukwelashwa kungafaka:

• Ukuphuza ijusi
• Ukudla ukudla
• Ukuthatha amaphilisi kashukela

Noma kungenzeka ukuthi utshelwe ukuthi uzinikeze i-glucagon. Lo muthi okhulisa ushukela egazini.

Uma ushukela ophansi wegazi ubangelwa i-insulinoma, kuzonconywa ukuhlinzwa ukuze kususwe isimila.

Ushukela wegazi ophansi kakhulu kuyisimo esiphuthumayo kwezokwelapha. Kungadala ukuquleka nokulimala kwengqondo. Ushukela wegazi omuncu obangela ukuthi uquleke ubizwa ngokuthi yi-hypoglycemic noma i-insulin shock.

Ngisho nesiqephu esisodwa sikashukela wegazi ophansi kakhulu singenza ukuthi kube namathuba amancane okuthi ube nezimpawu ezikuvumela ukuthi ubone esinye isiqephu soshukela ophansi wegazi. Iziqephu zikashukela wegazi ophansi kakhulu zingenza abantu besabe ukuthatha i-insulin njengoba kubekiwe kumhlinzeki wabo.

Uma izimpawu zeshukela ephansi egazini zingathuthuki ngemuva kokudla isidlo esinoshukela:

• Gibela uye egumbini lezimo eziphuthumayo. UNGAZISHAYELI.
• Shayela inombolo yendawo ephuthumayo (efana ne-911)

Thola usizo lwezokwelapha ngokushesha kumuntu onesifo sikashukela noma ushukela wegazi ophansi:

• Uba uqaphile kancane
• Ayikwazi ukuvuswa

I-hypoglycemia; Ukushaqeka kwe-insulini; Ukusabela kwe-insulin; Isifo sikashukela - i-hypoglycemia

• Ukukhishwa kokudla kanye ne-insulin
• 15/15 umthetho
• Izimpawu zeshukela ezisezingeni eliphansi

I-American Diabetes Association. 6. Izinhloso zeGlycemic: 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.