Tsvaga Usati Wava Mumatambudziko
Kana iwe uonekwa kuti une chirwere cheshuga , pane zvakawanda zvokudzidza. Mukuwedzera kune zvisikwa zvezuva nezuva zvekutarisira chirwere cheshuga uye kurapwa, pane kudzidza kudzidzira zviratidzo nezviratidzo zvevanhu vaviri vanogona kugadzirisa chirwere cheshuga: hypoglycemia (shuga shoma yeropa) uye hyperglycemia (shuga yepamusoro yeropa). Zvakakosha kunzwisisa chii chinogona kukonzera ropa rako sutu kune yakakwirira kana kuti inodonha zvakanyanya uye kuziva kuti muviri wako unonzwa sei kana, kana pavanoita.
Kunzwisisa zvinhu izvi kunogona kubatsira kudzivirira chirwere chinokurumidzira.
Zvinokonzera Hyperglycemia
Vanhu vane chirwere cheshuga vanofanira kuve nechinangwa chekudzivirira huwandu hwemashuga eropa, hunowanzotsanangurwa hukuru kupfuura kana hunoenzana ne 180 mg / dL maawa maviri mushure mekudya uye kupfuura 130 mg / dL mushure memaawa masere kusvika gumi ekutsanya. Chikonzero cheizvi ndechekuti kusingaperi kwemashuga eropa kunowedzera dambudziko rekushaya chirwere cheshuga chemazuva anotevera, chakadai seziso, mwoyo, tsvete uye chirwere chetsvo.
Uye apo iwe unogona kuva neshuga yeropa inenge isina kubva kune dzimwe nguva, zvakakosha kuti ukwanise kuona nengozi yepamusoro yeropa (inowanzosanangurwa yakawanda kudarika kana yakaenzana nayo 250 mg / dL nguva dzinotevera). Iropa rako rinotapira rinogona kukwira kune zvinokonzera njodzi kana iwe wanyora insulini yako kana usina kutora insulin yakawandisa (kunyanya kana iwe une chirwere cheshuga chechirwere) kana apo insulin yako yakagadzikana isiri kushanda sezvainofanira (pamwe nerudzi rwechipiri).
Kunyanya kudya gorohaidhadhi uye kushungurudzika kunogona kukonzera kuti suga yega iwedzere.
Chero hupi hwehutano, kana huri huwandu hunopisa, chirwere, kana chimwe chinhu, unoisa dambudziko pamuviri, izvo zvinogona kukanganisa shuga yeropa. Kunyange zvazvo muviri uchiedza kurwisana nechirwere ichi, glucose-kukura mahomoni akaita seglucagon anosunungurwa.
Mukuwedzera pakusimudza glucose, aya mahomoni anopindirawo neropa-glucose kuderedza migumisiro ye insulin, kuita kuti chirwere cheshuga chiwedzere kuedza. Iwe unobata sei chirwere cheshuga kana iwe uchirwara kunokosha nokuti zvakanyanya zvikuru sutu yeropa munguva yechirwere zvinogona kukonzera kukurumidza. Kuumba chirwere chezuva nezuva nehutano hwekupa utano , zvinogona kukubatsira kuronga nekugadzirisa zvinetso zvehuga zvine chokuita nehuga munguva dzekurwara.
Zviratidzo Zvinoda Kushanyirwa
Kana iwe iwe usingafungi zvakanaka uye funga kuti shuga yako yeropa yakakwirira, uedze kuti uone. Kana shuga yako yeropa ichikwiridzirwa uye iwe unoziva nezvechechi, uye iwe uri chiitiko chega, iwe unogona kunge uchigadzirisa iwe pachako-zvakakodzera mune rimwe chiito chekuedza, kunwa mvura yakawanda, uye utore mushonga wako sezvaunorayirwa. Kana kune rumwe rutivi, shuga yako yeropa yakanyanya kwazvo uye iwe une zviratidzo izvi chinyoraidza unyanzvi hwehutano hwehutano uye / kana kuenda kune imwe nzvimbo yekukurumidzira:
- Nyota yakawedzera
- Kuwedzerwa kukwidza
- Nausea / kurutsa
- Kuonda
- Kufema uye / kana kukurumidza kufema
- Marwadzo emudumbu
- Fruity felling breath
- Kurasikirwa kwekuziva
Zvimwe Hyperglycemia Emergencies
Hyperglycemic Hyperosmolor Nonketotic Syndrome
Hyperglycemic hyperosmolar nonketotic coma (HHNKC) isinganzwisisiki zvakakomba zvinogona kuitika kune vanhu vane chirwere cheshuga 1 kana chirwere cheshuga , asi kazhinji chinowanikwa kune avo vasina insulin vanovimba (rudzi rwechipiri cheshuga).
Izvi zvinorondedzerwa semushuga wekutsvaga weropa zvinotyisa> 600 mg / dL. Iko inowanzoendeswa pamwe nehutachiona, zvakadai sepineumonia kana kuti urinary tract infection, kana kutadza kushandiswa kwehuga rako reropa. Kana isina kusiya, inogona kukonzera coma uye kunyange rufu.
Zviratidzo nezviratidzo zvinosanganisira:
- nyota yakanyanya
- kuvhiringidzika
- fever (kazhinji inopfuura 101 degrees Fahrenheit)
- kushaya simba kana kuparara kune rumwe rutivi rwemuviri
Nzira yakanakisisa yekudzivirira HHNKC ndeyokutora mishonga yako sezvinorayirwa uye kuramba uchikurukura neboka rako rehutano kana shuga yako yeropa isingaperi> 300 mg / dL.
Diabetic Ketoacidosis
Hyperglycemia inogona kukonzera kune imwe mamiriro ezvinhu ane ngozi, anonzi sediabheti ketoacidosis (DKA), iyo inowanzoitika kune vanhu vane chirwere cheshuga chechirwere uye inowanzova chiratidzo chekutanga chechirwere cheshuga.
DKA inokonzerwa kana muviri usina zvishoma kana kuti pasina insulini yekushandisa uye, somugumisiro, shuga yeropa inokwira kumatambudziko uye ropa rinowedzera. Kuparara kwema cell kunogona kuitika uye kana kuchiri kufambira mberi, kunogona kukonzera kufanana kana kufa. DKA inoda rubatsiro rwekurapa munguva pfupi.
Zvinokonzera Hypoglycemia
Hypoglycemia inoitika apo shuga yako yeropa inowira pasi zvakanyanya (kazhinji iri pasi pe 70 mg / dl), kunyange zvazvo chikwata chinogona kusiyana kubva kumunhu kusvika kumunhu. Zvinogona kuitika mushure mekunwa doro, kutora mishonga yakawandisa, kusadya makodhihydrates akakwana, kana panguva kana mushure mekuita zvekudzidzira. Hypoglycemia inogona kurapwa pamusha kana zviratidzo zvisati zvanyanya uye shuga yeropa haina kuwira pasi.
Zviratidzo Zvinoda Kushanyirwa
Kana iwe uchitanga kunzwa uchinetseka, uchitya, uchizununguka kana wakavhiringidzika, uye iwe une mera yako inowanikwa, edza iwe shuga yeropa. Kana iyo isingapfuuri 70mg / dL inoripira nekukurumidza kudya ma carbohydrate, zvakadai semapiritsi e 3-4 glucose, maounces mana ejusi, matanhatu ounces soda. Dzokorora zvakare mumaminitsi gumi nemashanu uye dzokorora mishonga kana shuga yako yeropa isina kukwira. Kana iwe usina mamiro ako, asi uzive kuti shuga yako yeropa yakadzika, taura nayo zvisinei-izvi zvichakubatsira kuti udzivise dambudziko. Kana iwe wakabata chirwere chako cheropa, uye hachikwira, uye iwe unoramba uine zviratidzo, tapota tanaidza unyanzvi hwehutano hwehutano kana kuenda kune imwe nzvimbo yekukurumidzira. Zviratidzo zvekutarisa zvinosanganisira:
- Kutya kana kushaya simba
- Kusina kubatana
- Kukurova kana kuvhiringidzika
- Headache
- Chizutu
- Chiono chechipiri
- Kushungurudzika kana kusaziva
Kana zvasvika pakunetseka kwekukurumidzira, shandisa zviratidzo izvi semutungamiri, asi zvakare teerera maitiro ako. Kana iwe uchinzwa kuti pane chimwe chinhu chakashata, hachisi chinhu chisina kunaka kuti utane unyanzvi hwehutano hwehutano kana kuenda kune imwe nzvimbo yepamhanho.
Kana Ropa Rako Sukari Rine Chimiro Chokuwira Zvikuru
Kana shuga yako yeropa ine chimiro chekuwisira pasi, nekukurumidza zvikuru, kana kuti yasvika pane imwe pfungwa ye hypoglycemia inokosha, inotsanangurwa neAmerica Diabetes Association seropa rekuisa ropa pasi kana kuenzana ne 54 mg / dL (3.0 mmol / L), glucagon inofanira kunyorwa. Glucagon ihomoni inobatsira chiropa kusunungura glucose kuitira kuti isimudze shuga yeropa. Inopihwa kuburikidza nejena musungo uye inogona kuzvidzora. Inowanzounza shuga yeropa kusvika kune imwe yakagamuchirwa mukati maminitsi gumi nemashanu.
Muchiitiko chakanyanya kuti iwe hauzivi uye haugoni kupa glucagon iwe pachako, mumwe munhu achada kukupa iwe, pasinei nevashandi vanokurumidzira kana mumwe munhu mumba mako. Kana iwe ukararama nevamwe, vanofanirwa kuziva nzira yekupa glucagon. Kana kana uine mwana ane chirwere cheshuga chechirwere chepabonde, vadzidzisi vavo vanofanira kudzidziswa pamusoro pekushandisa glucagon. Muchiitiko ichocho, iwe uri woga, ukapfeka rumwe ruzivo rwekuzivikanwa runobvumira vashandi vekukurumidzira kuziva kuti iwe une chirwere cheshuga, sechiratidzo chekudzivirira kana chimiro chinogona kupfeka chinogona kutaurira iwe kana iwe usingagoni kutaura iwe pachako.
Zvirwere zvinogonawo kutungamirira kune chirwere cheshuga chinotyisa
Vanhu vane chirwere cheshuga vanowanzowedzera kutapurirwa uye kana vasina kurapwa nokukurumidza, zvirwere zvinogona kukonzera zvinetso zvakanyanya zvechirwere cheshuga. Zvirwere zvinogona kuchinja kushandiswa kwehomoni kana nzira iyo muviri unopindira nemishonga yechirwere cheshuga. Somugumisiro, sirasi yeropa inomuka, kuwedzera kungozi ketoacidosis.
Muvanhu vane chirwere cheshuga chisina kunaka, zvirwere zveganda kana kukuvadzwa kwetsoka, zvinogona kutungamirira kune zvipembenene zvinogona kuwedzera njodzi yekudzikwa.
Muchiitiko chako une rumwe rudzi rwehutachiona, zvakakosha kudana boka rako rekuchengetedza utano pakarepo kuitira kuti ugone kurapwa nokukurumidza. Iwe unodawo kuziva nzira yekurapa chirwere chako cheshuga apo muviri wako uri pasi pedambudziko. Iwe unogona kudiwa kutora mishonga yakawanda panguva ino.
Ungaronga Sei Chirwere Cheshuga Zvichiitika?
Nzira yakanakisisa yekuronga zvekukurumidzira ndeyekuita zuva rerwere / chirongwa chekukurumidzira. Gadzira rimwe neboka rako rezvechiremba, chengeta kopi mumba mako uye utakure kopi pamwe chete newe paunobuda. Mukati peurongwa, iva nechokwadi chokuti inosanganisira, urongwa hwemishonga yako yose, vanachiremba, uye nhamba dzavo dzekubatana. Iwe unofanirwa kugara uchipfeka fomu yekuzivikanwa kwechiremba, zvakare.
Pakupedzisira, iva nechokwadi chokuti unotakura makaridhahydrates anoshanda zvakasimba (mahwendefa eglucose, jisi jipi), zvimwe zvinotapira (zviyo zvinokonzera zviyo, nuts, mafuta mashoma, snack bar, michero itsva) , ropa rako glucose mamita nemishonga yako newe.
Ndeipi Inzira Yakanakisisa Yokudzivisa Njodzi Dzekuitika?
Kuita zvakanaka chirwere cheshuga chekuzvibata ndiyo nzira yakanakisisa yekudzivirira njodzi dzinenge dzisati dzaitika. Izvi zvinosanganisira: kudya kudya kwakanaka, kushandiswa kwemakrohydrate, kutora mishonga yako sezvazvakatemwa, kuedza shuga yako yeropa nguva dzose, kutora maitiro ekugadzirisa nguva dzose, kuchengetedza vanachiremba vanowanzogadzwa, nekudzivisa maitiro ekukanganisa, zvakadai sekushandisa zvakanyanya doro. Dzimwe nguva, kunyange zvakadaro, iwe unogona kuita zvose nenzira yakakodzera uye zvakadaro, unozviwana iwe nehuga yega yepamusoro kana yakadzika. Muchiitiko ichi, nzira yakanakisisa yekudzivisa njodzi ndeyekutaurirana nehutano hwehutano hwako pakarepo kana kuenda kunzvimbo yekukurumidzira. Nguva dzose zviri nani kuva wakangwarira kupfuura kudzivisa kana kuregeredza zviratidzo zvisingaoneki.
Shoko Rinobva
Kana uine chirwere cheshuga, zvakakosha kuziva kuti zviratidzo zvinorevei kuti udzivirire chirwere chekurapa. Kazhinji yenguva, njodzi dzinokonzerwa nehuwandu hwepamusoro kana hutsika zvakanyanya sutu yeropa. Kuchengetedza njodzi dzekukurumidza kuburikidza nekuita zvakanaka chirwere cheshuga chekushushikana nekuzvibata kunokosha zvakanyanya, zvisinei, dzimwe nguva izvi zviitiko zvezviitiko hazvisi zvekutonga kwako. Ndicho chikonzero kuronga mberi uye kudzidzisa iwe uye nhengo dzemhuri yako zvakakosha.
Sources:
> American Diabetes Association. Maitiro ekurapa muShuga - 2017. Chirwere cheshuga. 2017 Jan; 40 Isa 1: S1-S132.
> American Diabetes Association. Hyperglycemia (High Blood Sugar). http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/hyperglycemia.html
> American Diabetes Association. Hypoglycemia (Low Blood Sugar). http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/hypoglycemia-low-blood.html