Unogona kushamisika kana uchienderera mberi nemishonga yako yehuga uye insulini apo iwe unorwara uye iwe hauna kudya. Zvakakosha kupfuurira nemishonga yako uye kuziva nguva yekudana chiremba wako kuti aone kana regimen yako inofanira kuchinjwa.
Kana uchitambura nehutano, chirwere, kana kuti chero humwe humwe hutano, muviri unoiswa pasi pekunyanya kunetseka mumuviri mukuedza kurwisana nehutachiona.
Sezvimwe chikamu chekutapukirwa-kurwisa, muviri unobudisa glucose yakawanda nenzira yeglucagon, hormone inomutsa mashiga eropa.
Kune vane chirwere cheshuga, iyi glucose yakawedzerwa muropa inogona kutungamirira kune ngozi ine shuga yakakwirira yeropa. Nokudaro, zvakakosha kuramba uchingotora mishonga inorayirirwa yemuromo (yerudzi rwechipiri chirwere cheshuga) uye insulin (yerudzi rwekutanga 1 kana chirwere cheshuga chechipiri) apo unorwara uye kugara uchitsvaga mazinga ehuga eropa kuti uone kana insulini yakawanda inokosha.
Inowanzoita Sei Ropa Mazinga Okusvika Anongororwa Panguva Yechirwere?
Ropa rega shuga rinogona kuchinja zvikuru panguva yehutano, zvinoda kuongorora nguva dzose zuva rose, kakawanda seawa.
Kana mashiga eropa ari kumusoro-pamusoro pe 300 mg / dL - zvakare inofanirwa kutarisa ketone muropa kana mumurini, iyo inotorwa kubva mumuviri uchishandisa mafuta semhepo. Kuvapo kweketoni kunoratidza kuti chirwere cheshuga chinonzi ketoacidosis (DKA), iyo inotyisa kuvaka-up yemaidhi mumuviri nekuda kweshuga yeropa.
Vanhu vane chirwere cheshuga chechipiri chirwere chinokonzera hyperosmolar hyperglycemic state (HHS), iyo inopisa upenyu hunofanana neDKA, kunze kwekuti hapana maketoni aripo. Utachiona ndicho chikonzero chinonyanya kukosha cheDKA nerudzi rwekutanga 1 chirwere cheshuga mu30% kusvika ku40% chemhosva uye neHHS nerudzi rwechipiri diabhesi mu 32% kusvika 60% emhosva.
Kurasikirwa Kwirwere-Kurasikirwa Kwokudya Kunobata Maitiro Eropa Rokudya
Kazhinji muviri unonyanya kuvimba nezvokudya kuti upe glucose ropa. Kuenda pasina kudya kwenguva refu, kunyanya kana uchiramba uchirapa chirwere cheshuga nemuromo wemishonga uye / kana insulin, zvinogona kutungamirira kuhutachiona hwehuga hwehutachiona hwehutachiona (hypoglycemia) zvichikonzera zviratidzo zvakadai sepalpitations, shakiness, nzara, kuvhiringidzika, uye kunyange kuora mwoyo uye coma.
Zvisinei, panguva yekurwara kana zvimwe zvinetso, muviri wemuviri unoita kuti glucose inogadzirwa kana kuti kwete glucose yeropa inokurudzirwa nekudya. Ichokwadi, mashuga eropa, uye saka insulini inoda, inowanzopfuura mumazuva ekurwara asina kudya kunze kwemazuva anogara aine zvokudya zvinowanzoitika.
Kunyange kana zvokudya zvakasimba zvisingaitiki, zvakakosha kuchengetedza kudya kwakakwana kwemvura kudzivirira kupera simba . Zvinobatsira kunwa mvura yakadzika ine makhahydrates uye munyu kuti uchengetedze kuyerwa kwe electrolyte mumuviri. Kusagadzikana kwemahydration uye electrolyte kunokonzera kuwandisa asidi muropa neropa risina kukwirira. Kunetseka kwemvura kunowanzoda mu-kurapwa muchipatara nemvura inopisa.
Ko kana Izvo Zvisingaiti Kuchengeta Zvokudya Pasi?
Dzimwe nguva zvirwere zvinokonzera kushungurudza uye kusakwanisa kuchengeta chero kudya kana mishonga pasi.
Kunyange zvazvo zvingava zvichiedza kuregera mishonga yemuromo, munyaya iyi, zvakakosha kuitora kuti vateerere huwandu hwehuga hwehuga hunowanzoitika kana huri kurwara, uyewo kuisa insulini saizvozvo, kunyange kana kurwara kuchidzivirira kudya.
Kunyange zvazvo vachirwara nechirwere, vanhu vakawanda vane chirwere cheshuga chechirwere chechirwere chechirwere vacharamba vachitsvaga kuwedzera kwenguva yakaita insulini, pamwe chete nemaitiro. Saizvozvowo, vanhu vane chirwere cheshuga chechirwere cheshuga vanopedza chirwere ichi zvachose nekudya uye nemishonga yeminzwi zvinogona kudikanwa nekuita kwenguva shoma insulin panguva yekurwara kunobata shuga yakakosha yeropa.
Iko Kunopfuura-Ku-Kurapa Mishonga Yakachengeteka Kutora Here?
Kazhinji kana vanhu vachirwara, vanotarisa mishonga yekurapa zviratidzo zvakasiyana-siyana, zvakadai sekukanganiswa kana fivha.
Kunyange zvazvo mishonga iyi isingabhadharwi inowanikwa zvakanaka kuvanhu vane chirwere cheshuga, zvinokosha kuyeuka kuti inogona kukanganisa mashiga eropa uye inogona kuyanana nemishonga yeshuga. Semuenzaniso, sirafu yekukanganiswa kazhinji ine shuga, iyo inomutsa shuga yeropa. Mimwe mishonga inorwisa mabhakitiriya inogona kuyanana nemuromo wemishonga yehuga yehuga uye inokonzera mazinga ega ega ega.
Zvakakosha kutaura neboka rekuchengetedza chirwere cheshuga usati watora mimwe mishonga yemishonga kana kuti isina kunyorwa kuti uone chii, kana chiripo, kuchinja kune chirwere cheshuga chichave chakakosha.
Apo Anofanira Kuongorora Chiremba
Usati urwere hukauya, zvinobatsira kuva ne chirongwa chekugadzira chigadziko panzvimbo yemazuva ekurwara. Zvirongwa izvi zvinogona kusiyana nekufamba kwenguva, sezvo chirwere cheshuga uye zvimwe zvinhu zvinoshanduka panguva yekuchengetedzwa kwechirwere cheshuga. Mukuwedzera, chimiro uye chiyero che-over-the-counter mishonga inogona kusiyanana nekushandura zvirongwa zvekuchengeta glucose. Zvingave zvichirwara kana zvakanaka, zvinogara zvakakosha kutaura neboka rekuchengetedza chirwere cheshuga usati watora chero kupfuura-the-counter kana mishonga yemishonga kana kuwedzera.
Munguva yekurwara, zvinokosha kugovera zvakasiyana-siyana zvehutano neboka rekuchengetedza chirwere cheshuga, kusanganisira zviratidzo - zvakadai sokunyunyutira, kurutsira, chirwere chemashuga, kana fivhiri - muwandu we insulini inopiwa, kudya uye kushandiswa kwemvura, kushaya mwoyo, kufema kufema, uye ikozvino muviri uremu. Idzi ruzivo ruchatsigira vashandi vehutano vanopa varwere nzira yekugadzirisa mazinga ehuga eropa uye dzimwe zviratidzo panguva yekurwara nechinangwa chekudzivirira kupera simba uye kukura kwehutachiona hwehutachiona, DKA, kana HHS.
Sources:
American Diabetes Association. "Nzvimbo Chirevo: Hyperglycemic Crises muShuga." Diabetes Care (2004) 27 (Suppl 1): S94-S102. 16 Nov. 2007. http://care.diabetesjournals.org/cgi/content/full/27/suppl_1/s94
"Paunenge Uchirwara." Diabetes.org. American Diabetes Association. 15 Nov. 2007. http://diabetes.org/pre-diabetes/when-you're-sick.jsp
Kitabchi, Abbas E. uye Haleh Haerian. "Epidemiology uye Pathogenesis yeDeabetic Ketoacidosis uye Hyperosmolar Hyperglycemic State." UpToDate.com 2007. UpToDate. 16 Nov. 2007 (kubhadhara).
McCulloch, David K. "Mifananidzo Inoratidza Kuwedzera Kwepachirwere cheIndulin Munzvimbo Dzakasiyana." UpToDate.com 2007. UpToDate. 15 Nov. 2007.