Chiitiko chinoda kuongororwa kwechiremba kutsvaga mutadzi
Apo vanhu vazhinji vanonzwa shoko rokuti " shuga shoma yeropa ," vanobva vangosangana nayo nechirwere cheshuga . Zvisinei, apo shuga yakaderera yeropa (inonzi hypoglycemia) inowanzoonekwa pakati pevanhu vane chirwere cheshuga, inogonawo kuitika kune vanhu vasina chirwere cheshuga.
Kunyanya, shuga yakaderera yeropa inogona kuitika mukati maawa mashomanana mushure mekudya, chiitiko chinonzi reactive hypoglycemia kana postprandial hypoglycemia.
Symptoms of Reactive Hypoglycemia
Zviratidzo zvekushanda kwepabonde hypoglycemia inobva kune unyoro uye kusagadzikana (somuenzaniso, kunzwa kunetseka, kusuruvara, kunetseka, kana kushaya nzara) kune zvakakomba (somuenzaniso, kukura chiratidzo chisina kunaka, uye / kana kupera).
Zvisinei, kuona imwe kana zvimwe zvezviratidzo izvi hazvireve kuti iwe une shuga shoma yeropa. Zviratidzo izvi zvinogona kuratidzira dambudziko rakasiyana zvachose, semwoyo kana dambudziko rehutano. Ichi ndicho chikonzero kuongororwa nenyanzvi yehutano inokosha.
Kuongororwa kweReactive Hypoglycemia
Kuti uongororwe kuti uite hutano hwehyglycemia, chiremba wako achawana shuga yako yeropa (inonzi ropa rako glucose level) mukati maawa mana kusvika mashanu mushure mekudya kudya, paunenge uine zviratidzo zvinoenderana ne hypoglycemia.
Anonyanya kuwana gorosi rako rega nekuunganidza ropa kubva mune mutsva (inonzi kuputika). Izvi zvakanyatsonaka kudarika kuwana shuga yako yeropa kubva pakuchengeta glucose.
Kana iwe uwanikwa uine yega yega shuga yepamusoro (kazhinji isingapfuuri 60mg / dL), uye zviratidzo zvako zvinosunungurwa kana shuga yeropa ichisimudzwa, chiremba wako achada kutsvaga etiology mushure mekunyora kwako hypoglycemia, uye pano ndipo kuongororwa kwekudya kwakavhenganiswa kunoitika.
Mixed Meal Test
Munguva yeruzhinji rwakavhenganiswa kudya, munhu anodya kudya uye anowanikwa kwemaawa mashanu. Usati wadya uye mushure memaawa makumi matatu (kusvikira maawa mashanu ari kumusoro), munhu anozoongorora ropa kuti aongorore mazinga anotevera:
- Ropa shuga (glucose)
- Insulin
- C-peptide
- Proinsulin
Munguva yekudya, pancreas yako inodzinga insulin, iyo inodzora kusvuta uye kushandiswa kweshuga inobva pakudya kwako. Proinsulin ndiyo inoparadzaniswa mupancreas kuti iumbe imwe molecule yeC-peptide uye imwe molecule ye insulini; Zvakafanana nehutachiona hwehutukutu, kutaura.
Kududzira zviyero izvi zvinobatsira vanachiremba kuti vawane "nei" mushure mekunyora kwaunoita hypoglycemia.
Zvakakosha kucherechedza, asi, pane dzimwe nguva hapana chakajeka kuongororwa kuti nei munhu ari kunetseka mumadonhwe mune shuga yavo yeropa mushure mekudya. Mune mamwe mazwi, kurapwa kwechiremba kunoratidzikisa hapana mhosva imwe chete. Muchiitiko ichi, zvirongwa zvekudya zvinokurudzirwa kuchengetedza uye kubata zvirwere zve hypoglycemic mushure mekudya.
Kunyange zvakadaro, heano mienzaniso mitatu yemishonga inogona kukonzera postprandial hypoglycemia:
Insulinoma
An insulinoma isingawanzoitiki, iyo isingaenzaniswi tumarara inoramba ichibudisa insulini mumuviri. Kana insulinoma ichigadzirisa, chirongwa chakavhenganiswa chekudya chicharatidza huwandu hwakanyanya hwe insulini, C-peptide, uye proinsulini (apo shuga yeropa iri pasi).
Kunyanya kuwedzerwa kana kujekesa insulin kuwanikwa
Kana munhu ari kutora insulin yakawandisa, (ngatiti ivo vane chirwere cheshuga kana kuti vachishandisa chokwadi insulini), nhamba ye insulini ichave yakakwirira kwazvo, asi proinsulini neC-peptide iyo ichave yakaderera (nokuti insulini iri kuuya ichibva kunze muviri, kwete pancreas).
Gastric Bypass Surgery
Gastric chirwere chekuvhiya chinogona kukonzera kushandiswa kwehyglycemia yakagadzikana nokuti zvokudya zvinogona kudarika zvakakurumidza kuburikidza nekugadzirisa chirongwa, kunze kwezvose kuchigadzirwa uye kuchinjwa seglucose muropa. Muchiitiko ichi, se insulinoma, mazinga matatu (insulin, C-peptide, proinsulin) inowanzosimudzwa.
Kutarisira Kuita Zvemagariro Hypoglycemia
Kana iwe uchiudzwa kuti une chirwere chinokonzerwa nehana yeglyglycemia, chiremba wako achachibata maererano nechikonzero chinokonzera. Somuenzaniso, kana vanachiremba vachifungidzira insulinoma, iwe uchatumidzwa kuti upiwe kuti uibvise.
Kana maitiro ako epamusoro ekunyora hypoglycemia asingakanganisiki kana zvikonzero zvisingazivikanwi, heano maitiro mashomanana aunofanira kutora kuti udzivirire shuga shoma yeropa kubva pakuitika mushure mekudya:
- Deredza zvipembenene zvine hombe yeglycemic index, kunyanya pane dumbu risina chinhu. Semuenzaniso, kudya chinhu chinotanga kuita mangwanani mangwanani kunogona kukonzera chirwere che hypoglycemic.
- Idya zviduku, zvokudya zvinowanzogara uye zvinodya zvinosanganisira fiber uye mapuroteni.
- Idya zvakasiyana-siyana, zvakanyanya fiber, kudya zvakakwana zveprotheni, zviyo zvose zvegorosi nemiriwo, michero, uye marisi
Kana iwe uchinetseka nechirwere che hypoglycemic episode, matanho aya anogona kuunza shuga yako kumusoro:
- Edya kana kunwa makirogiramu makumi mana emakrobohydrates pakarepo, zvakadai seounces mana emujisi wearangi, maawa matanhatu eesodha yakatapira nguva dzose, imwe yepunikosi ye shuga kana uchi, kana mafurapu maviri emashizha emazambiringa akaomeswa. Izvi zvinofanira kubvisa zviratidzo mumaminitsi gumi nemashanu. Iwe unogona kuda kudzokorora matanho ari pamusoro apa kana ropa rako rega rega rinoramba riri pasi.
- Iva nechokwadi chekudya zvokudya zviduku zvakaringana kana nyoka mushure mekunge zviratidzo zvaenda. Semuenzaniso, apuro ane peanut butter kana turkey sandwich pachikafu chechingwa chakakwana. Izvi zvichadzivirira imwe shuga yeropa yakasvibiswa uye zvinokonzera kudonha.
Shoko Rinobva
Kunyange zvazvo uine zvikamu zvehuga shuga shoma mushure mekudya zvinogona kunge zvisina kunetseka uye zvinogumbura, kune nzira dzekugadzirisa zvakanaka. Zvichida mutori wezvokudya zvinogona kukubatsira kuti uwane nzira nekutora pasi chirwere chepasi cheglycemic uye maitiro anozoita kuti shuga yako iwedzere.
Pakupedzisira, iva wakachengeteka, zvakadaro, uye ona chiremba kutanga.
> Sources:
> National Institute of Diabetes and Digestive and Kidney Diseases. Low Blood Sugar (Hypoglycemia).
> Basa FJ, Vella A. (2017). Hypoglycemia kuvanhu vakuru vasina chirwere cheshuga mellitus: Kuongorora nzira. Hirsch IB, ed. Kusvika pari zvino. Waltham, MA: UpToDate Inc.
> Basa FJ, Vella A. (2017). Postprandial (reactive) hypoglycemia. Natani DM, ed. Kusvika pari zvino. Waltham, MA: UpToDate Inc.
> Stuart K, Munda A, Raju J, Ramachandran S. Postprandial reactive hypoglycemia: Kudaidzira mharidzo maitiro ekuwedzera kweglucose kuvhiringidzika kuongororwa uye zvingaita nzira dzokurapa. Case Rep Med . 2013; 2013: 273957.