Hypoglycemia (shuga shoma yeropa) inowanikwa apo mashizha ako eropa (glucose) ari pasi kana kuti akaenzana ne 70 mg / dL uye zviratidzo zviripo. Inogona kukonzerwa nehuwandu hwezvimwe zvinhu, zvichienderana nokuti kana iwe haunawo chirwere cheshuga. Muvanhu vane chirwere cheshuga, zvinokonzera zvinosanganisira kusadya makakidhihydrates akakwana, kurovedza muviri, kunwa doro, kutora mishonga zvisakarurama, uye kuora kurasikirwa.
Muvanhu vasina chirwere cheshuga, hypoglycemia inogona kukonzerwa nemishonga, kunwa doro rakawandisa, uye dzimwe zvirwere uye zvinetso.
Zvinowanzokonzera
Hypoglycemia inoitika kana pasina glucose yakakwana muropa kupa muviri wako nesimba. Zvimwe zvinokonzera zvinokonzera kana iwe uri chirwere cheshuga. Zvakakoshawo kuziva kuti hypoglycemia kazhinji haina kuitika kune vanhu vane chirwere cheshuga chechirwere cheshuga avo vari kushandisa chete zvirongwa zvekugadzirisa kuti varware chirwere cheshuga.
Vanhu vane Chirwere cheshuga
Kana uine chirwere cheshuga uye utora insulini kana mishonga yemuromo inokurudzira kuvhara ropa, kune zvimwe zvinhu zvinogona kukonzera hypoglycemia, kusanganisira:
- Kusava kweakaginhadhiroti: Carbs ndiyo inokonzera glucose , naizvozvo kana iwe usingadyi zvakakwana, shuga yako yeropa inogona kuvhara, kunyanya kana iwe uchideredza nhamba ye carbs uri kutora, asi usachinja mishonga zvinoenderana.
- Kuderedza kana kupedzisira kudya: Kana iwe ukatora insulini kana kunwa mishonga yemukirwere cheshuga, kudya kudya mushure mekunge wakaronga kana kuchibvisa zvachose kunogona kukonzera hypoglycemia. Iva nechokwadi chokuti unotaura nachiremba wako nezvekuti iwe kana iwe haufaniriwo here kutsika mishonga yako kana iwe ukanyura kudya.
- Kudzidzira muviri: Kunyange zvazvo kurovedza muviri kwakakura pakubatsira kuderedza shuga dzehuga rako, kurasikirwa, kupisa makorikori, uye kuva nesimba rakawanda, kana iwe une chirwere cheshuga uye iwe unofambisa muviri usingadyi, ita zvekuita kupfuura iwe unowanzoita, kana iwe unonoka kudya kwako, iwe inogona kuva nehupenzi. Iva nechokwadi chokuti une snack pamwe chete newe yekutanga kana shure kwekudzidzira kwako, pamwe chete nekutsanya-kuita basa remakinehydrates semafuta akaomeswa, jisi, kana jellybeans, kana chirwere chako cheropa chichikwira.
- Kutora mishonga isina kukodzera yemishonga kana insulini: Kuwandisa kwe insulin kana kuti chirwere cheshuga chemumuromo chinogona kukonzera hypoglycemia.
- Kusatora inshuini yako kana mishonga nguva dzose: Vanhu vanowanzoona chiremba wavo nokuti shuga yavo yeropa yakakwirira kwazvo, asi pane dzimwe nguva, izvi ndechokuti havasi kutora mishonga yavo. Kana chiremba wako ari pasi pekufunga kuti iwe unogara uchitora mishonga yako, asi shuga yako yeropa ichiri yakakwirira (nokuti iwe hauna kutora iwo), iye anogona kupa chirwere chakakwirira kuti aedze kuderedza shuga yako yeropa asingazivi kuti hausi kuitora. Zvadaro, kana iwe ukasarudza kutora mushonga wako, iwe unotyisa ngozi ye hypoglycemia. Kuti udzivise izvi, iva wakatendeseka nachiremba wako pamusoro pekuti uri kuita zvakadini nokutora mishonga yako uye nei iwe usingati iwe kana iwe usisiri. Anofanirwa kuva nemufananidzo wakajeka wekuti iwe uri kutevedzera sei kukubata iwe zvakakodzera uye uchashanda newe kuti uone imwe nzira, kana zvichifanira.
- Kunwa doro: Kana uri kutora insulini kana chirwere chinorwara cheshuga, kunwa doro kunogona kukonzera hypoglycemia. Izvi hazvirevi kuti haugoni kunwa doro, asi unofanirwa kuzvidya nekuchengeteka uye chenjerera nezvekutarisa huwandu hwemashuga eropa rako paunoita.
- Kurasikirwa kwemahombeksi : Kurasika kunogona kukuita kuti uwedzere kushaya insulin, zvichiita kuti uwane mishonga shoma kana kuti kwete. Zvisinei, nokuti kurasikirwa kwemazivi kunokuita kuti uwedzere kushaya insulin, zvinogona kukonzera hypoglycemia kana iwe usingatori kutora insulin yakawanda. Iva nechokwadi chekutaura nachiremba wako pamusoro pokugona kuderedza dambudziko rako kana iwe uchirasikirwa.
- Ita kuti ushuga utarwe: Zvakakosha kuziva kuti iwe unotarisa kutarisa glucose, inowedzera njodzi yako ye hypoglycemia, kunyanya kutanga kwekurapa. Kana iwe uri pahutano hwakasimba hweglucose, iwe unoda kupiwa zvakakodzera mashandisi, ruzivo, uye ruvimbo kuti urege kudzivirira zvipembenene zvakanyanya zvemugodhi kana uchiramba uchichengetedza glucose mazinga pane chinangwa. Pane imwe nguva zvishoma, hypoglycemia inowanzoitika, asi kana ichiramba ichiitika, unofanira kutaura nachiremba wako pamusoro pezviito zvekumisa shuga rako reropa kubva pakadzika pasi risati rava mamiriro ekukurumidzira.
- Chirwere chepfungwa: Chimwe chinetso chechirwere cheshuga chirwere chepfungwa, izvo zvinogona kuita kuti itsvo dzako dzitore nguva refu kuti dzibudise insulini kubva mumamiriro ako, izvo zvinogona kuita kuti uite hypoglycemia.
Vanhu Vasina Chirwere Cheshuga
Hypoglycemia inoitika zvishoma nezvishoma kune vanhu vasina chirwere cheshuga. Kana iwe usina chirwere cheshuga uye iwe unokurudzira hypoglycemia, izvi zvinoratidza kuti chimwe chinhu chiri kuitika mumuviri wako. Zvimwe zvinokonzera zvinosanganisira:
- Mishonga: Hypoglycemia inogona kukonzerwa nemimwe mishonga, kunyanya muvana kana vanhu vane mafungiro akashaya. Mishonga yakabatanidzwa nekukonzera hypoglycemia inosanganisira kutora mumwe munhu mushonga wekurwara chirwere cheshuga, chirwere chemishonga chepachivande Qualaquin (quinine), ma antibiotic Zymaxid (gatifloxacin), antiarrhythmic drug cibenzoline, pestimidrobial Pentam (pentamidine), nonsteroidal anti-inflammatory drug ( NSAID) Indocin uye Tivorbex (indomethacin), uye glucagon.
- Kunwa doro rakawandisa: Kana iwe usingadyi zvakakwana kana usadye zvachose uye iwe unonwa doro rakawandisa, kunyanya kupfuura kwemazuva mashomanana, unogona kunge uine hypoglycemic. Kubatwa doro rakawandisa uye kusakosha kwezvokudya zvinogona kusimbisa chiropa chako kubva pakuisa glucose muropa rako, zvichiita kuti chirwere chako cheshuga cheropa chipararire.
- Zvirwere zvinokonzera: Matambudziko etsvo, chirwere chakakura chehepatitis, nguva refu anorexia, malaria, uye sepsis (chinetso chekuwana chirwere) zvose zvirwere zvinogona kukonzera hypoglycemia.
- Hormonal inoshaiwa: Matambudziko eAdrenal akadai seAdisonison uye zvimwe zvirwere zvepituitary zvinogona kukonzera hypoglycemia, sezvo isingakwanisi kuwedzera hormone yakakwana kuvana.
- Kubudisa insulini yakawandisa: Vamwe vanhu vane kunyanya kuderedza insulini inogona kukonzera hypoglycemia. Mimwe matumbo inogona kukonzera ichi kudarika, sezvo inogona kuwedzera masero e beta mu pancreas.
- Insulin autoimmune syndrome: Ichi chinhu chisingawanzoitiki umo muviri wako unoita zvirwere zvinorwisa insulini, zvichiita hypoglycemia. Inogona kuva chikamu cheimwe chirwere chinopedza muviri kana chinogona kukonzerwa nemamwe mishonga.
Risk Factors
Pane zvimwe zvinokonzera ngozi zvinogona kuwedzera mikana yako yekuvandudza hypoglycemia.
Some Populations
Vana vane chirwere cheshuga, chirwere cheshuga, vanhu vakwegura, uye vanhu vane hypoglycemia unawareness vari pangozi yakakura yokudzikisa hypoglycemia. Hypoglycemia unawareness inogona kuitika kana iwe uchinge uchinge uchinge uchinge uchinge uchinge uwedzere ropa rega, izvo zvinogona kuita kuti muviri wako ushushike zviratidzo. Kusakwanisa kunzwa zviratidzo, zvakadai sokuputika, kuzununguka, kuwedzera kwemwoyo, kushungurudzika, kana nzara, kune ngozi nokuti zvinogona kukonzera kusaziva kana kunyange rufu. Kana uine hypoglycemia nguva dzose, zvakakosha kutaura nachiremba wako pamusoro pazvo kuitira kuti uwane zviri pasi pekutonga kwakanaka uye kudzivisa dambudziko.
Kutora Mimwe Mishonga
Kana uri kutora mamwe mishonga yerudzi rwechipiri chirwere cheshuga, sulfonylureas , insulin, kana kusanganiswa kwe insulin uye kwete-insulin injectables , une dambudziko rakakura re hypoglycemia. Mamwe mapiritsi akabatanidzwa uye vamwe vasina chirwere cheshuga vanogonawo kuwedzera njodzi yehuga yeropa shoma. Taura nachiremba wako nezvekuti ndeipi uye kuti mishonga yako yakawanda inotora sei kuitira kuti urege kuita chikanganiso mukuraira. Usatora mishonga yakawandisa uye edza kunamatira pane regimen yekudya yakarongwa kuti ubatsire kuchengeta shuga yako yeropa inotongwa.
Kusvuta
Kana uine chirwere cheshuga uye utora insulini, kusvuta kunowedzera mukana wako wekuvandudza hypoglycemia. Iyo nikotine mumidzanga, cigai, uye mapaipi zvinogona kukonzera shuga shoma shoma, zvichida nokuti inoshandura masero ako nenzira yakadai kuti haichenese insulini zvakare kana kuti nokukurumidza.
Kuberekwa Kwokutanga
Kana mwana wako akaberekwa nguva isati yasvika, anenge ari pangozi yekuvandudza hypoglycemia mumazuva anotevera kuberekwa, kunyanya munguva yekutanga maawa 48. Chikonzero cheizvi ndechekuti kana iwe uri nepamuviri, unoisa shuga kumwana wako kuburikidza nemudonzvo wembilical. Kusvika pakuguma kwehutano hwako, mwana wako anotanga kuchengeta imwe shuga yauri kumupa muchiropa chake kushandisa mushure mokuberekwa kwake. Anowana humwe shuga inoda iye mushure mekuberekwa kubva pakugadziriswa kwemafuro kana mazamu.
Kana mwana wako akaberekwa nguva isati yasvika, chiyero cheshuga chaakachengetedza chiri pasi kudarika chechechechesechese kubvira nguva yake chiropa chisina kunyatsogadzirwa. Sezvo vazhinji vanoparidzirwa zvakare vane kudyidzana kwekutanga pakutanga, angave asingakwanisi kuwana huwandu hwehuga hunofanirwa kamwechete kana achipisa kuburikidza nehomwe shoma yaakachengeta. Zvimwe zvikonzero zvinogona kuita kuti njodzi ye hypoglycemia yakakwirira muvavengi inosanganisira:
- Kuporesa zvinetso
- Dambudziko kuchengeta kutonhora kwemuviri
- Kurwara
- Zvokudya zvinofanira kunonoka pakutanga
- Amai vaiva nechirwere cheshuga pavakanga vane pamuviri, vachigadzira insulin yakawanda muropa remwana wenyu
- Chero hupi hutano hunokonzera hypoglycemia
Kunyange zvazvo hypoglycemia inogona kuchinja mamiriro ezvinhu ane ngozi kana yasara isingateereri, inowanzotora nguva pfupi muvengi uye inobatwa nekukurumidza nekubudirira. Kune zvimwe zvinetso zvinogona kukonzera shuga kwenguva refu yeropa, asi izvi hazviwanzoitiki.
> Sources:
> American Diabetes Association. Maitiro ekurapa muShuga-2017. Chirwere cheshuga. January 2017; 40 (Kuwedzera 1): S1-S2. doi \: 10.2337 / dc17-S001.
> Mayo Clinic. Hypoglycemia. Mayo Clinic Staff. Yakapedzwa musi waFebruary 16, 2018.
> National Centre Yokufambisa Shanduro Sciences. Insulin Autoimmune Syndrome. National Institutes of Health. Dhipatimendi reUnited Health Health and Human Services. Yakavandudzwa munaNovember 2016.
> National Institute of Diabetes and Digestive and Kidney Diseases. Ropa Ropa Glucose (Hypoglycemia). National Institutes of Health. Dhipatimendi reUnited Health Health and Human Services. Yakavandudzwa August 2016.
> Basa FJ, Cryer PE, Vella A. Hypoglycemia muVakuru: Zviitiko zveKliniki, Tsanangudzo, uye Zvinokonzera. Kusvika pari zvino. Yakarongwa musi waChirungu 14, 2017.