Kwayoyin kwakwalwa suna buƙatar isasshen wadatar glucose a matsayin abinci mai gina jiki. Tare da rashinsa, mutum zai iya rasa hankali kuma ya faɗi cikin matsalar rashin haihuwa, idan ba ku ba da taimakon farko a lokaci ba.
Menene hypoglycemia?
Hypoglycemia wani yanayi ne wanda raguwar glucose jini ke faruwa, lambar don ICD-10 shine 16.0. Wannan yanayin yana shafan mutane masu cutar siga. A cikin mutum mai lafiya, cutar na iya faruwa sakamakon azumin gaggawa.
Hypoglycemia wani yanayi ne wanda raguwar glucose jini ke faruwa.
Masu fama da cutar sankara suna amfani da kwayoyi waɗanda ke rage sukarin jini. A wannan batun, haɗarin hauhawar jini yana ƙaruwa. Bayyanannun alamun bayyanar cututtuka suna haifar da gaskiyar cewa mutum ya daina jin alamun, yana amfani da wannan yanayin, yayin da adadin insulin yake samarwa yana raguwa.
Nocturnal hypoglycemia a cikin mafarki
Jiki na iya jurewa munafunci na rashin wayewa kai tsaye, amma ga wanda yake da cutar siga, wannan yanayin yana da haɗari. Dole ne a hana shi ta hanyar daidaitawa da adadin magungunan da ke rage matakan sukari.
Alamun rashin haihuwar tsoka:
- sweara yawan ɗumi, a sakamakon abin da pajamas ko zanen gado ya zama rigar;
- barcin dare, jin rauni da ciwon kai da safe;
- kasancewar jikin ketone a cikin fitsari na safe a cikin matakan karancin glucose;
- da tsalle mai tsalle a cikin glucose da safe.
Babban abubuwanda ke haifar da yawan kuzari a cikin sukari
Haɓaka haɗarin hypoglycemia na iya hade da magani don rage sukari. Dalilin na iya zama:
- Anaruwar kashi na insulin a sakamakon kuskure ko rashin aiki na alƙalami ko alƙaluma.
- Doarɓin adadin ƙwayoyin hypoglycemic da aka yi amfani da su a cikin nau'ikan allunan, ko kuma karuwa da ba a sarrafa shi ba a cikin adadin ƙwayoyi.
- Idan ba a shigar da allurar da ba ta dace ba (canza zurfin aikin insulin, canjin ba daidai ba na wurin allura, tausa wurin allura ko dumama wurin da aka allura da maganin).
- Sensara ƙwaƙwalwar insulin a sakamakon aiki na jiki.
Suga na iya sauka saboda dalilan abinci mai gina jiki:
- Contentarancin carbohydrate a cikin abinci ko abincin tsallakewa.
- Tare da karuwa a tsakanin tazara tsakanin abinci da insulin.
- Tare da matsanancin aiki na ɗan gajeren tsari ba tare da ɗaukar carbohydrates ba.
- Yin amfani da giya.
- Tare da abinci mai gina jiki a cikin carbohydrates don asarar nauyi ko yunwa, amma riƙe babban adadin kwayoyi don rage sukarin jini, kamar Metformin.
Digiri na cuta
Hypoglycemia yana da sauki, matsakaici da tsaurara matakan:
- Poarancin hypoglycemia yana faruwa lokacin da ƙididdigar ke ƙasa da 2.8 mmol / L. Mutum zai iya taimakon kansa ta hanyar ɗaukar kayan aikin da ya dace.
- Tsarin tsakiya na iya rikita shi tare da ɗan maye giya. Mutum yana buƙatar taimako: yana buƙatar ba da glucose ta bakinsa.
- Ana nuna babban digiri ta hanyar disorientation a sarari da lokaci, rashi. Mutum na iya fadawa cikin rashin lafiya.
Bayyanar cututtukan hypoglycemia
Tare da digiri mai sauƙi, ana lura da alamun cututtukan:
- Jin ba zato ba tsammani, yalwata ci - alamar farko ta rashin ƙarfi.
- Son zuciya.
- Numbness na tip na harshe da lebe.
- Attentionarancin kulawa.
- Rashin rauni a kafafu.
- Haushi, bayyanar tashin hankali mara dalili ko bacin rai.
Cutar cututtukan da aka kara tare da tsananin rauni:
- Haske jikin girgiza, rawar jiki, rauni.
- Rashin hangen nesa kaɗan ("goosebumps" a gaban idanun).
- Saurin aiki na hankali.
- Rashin sani na ayyuka waɗanda suke baƙuwa ga wasu.
- Rashin daidaituwa a cikin lokaci da sarari.
Ana nuna babban digiri ta hanyar asarar sani, a wasu halayen cramps mai girma suna faruwa.
Tare da matakai masu sauƙi da matsakaici na hypoglycemia, ƙwaƙwalwar ba ta lalace ba, kuma mummunan tsari tare da bayyananniyar bayyanannun na iya haifar da ƙwaƙwalwar ƙwaƙwalwa da inna. Idan digiri na uku ya bunkasa da wuya, to kuwa sakamakon gawar ba ya tashi.
A cikin mata
Hypoglycemia a cikin mata yana haifar da mafi yawan lokuta saboda ciwon sukari. Idan babu wannan cutar, yanayin na iya haɓakawa a ƙarshen sati na ƙarshe na ciki.
Matakan sukari na jini na iya faduwa sosai sakamakon matsananciyar yunwa ko kuma amfani da abinci don asarar nauyi.
A cikin yara
Karkashin shekara 1 shekara, yana da wahala ka gano cutar sikila, saboda alamomin maras tabbas ne kuma ba sa cikin wannan yanayin:
- cyanosis;
- fata mai launin fata;
- rage sautin tsoka;
- apnea (kamawar numfashi);
- rawar jiki, wata murguda baki;
- nystagmus (mirgina kwallon ido).
Halin haihuwar ɗan majalisa yana haɗu da babban-fruited (nauyin jikin jariri yana sama da al'ada), kumburi.
A makarantan nasare da shekarun makaranta, an gano wani mummunan yanayin insulinoma. A cikin irin waɗannan yara, barci yana rikicewa, akwai rashin aiwatarwa da safe, da farkawa mai tsanani. An rage yawan maida hankali. Sha'awar ƙwaƙwalwar ƙwayar cuta don Sweets. An nuna halayyar ƙarancin sukari mai jini tare da ƙaruwa a tsakanin tsaka-tsakin abinci.
A cikin tsofaffi
A cikin tsufa, hypoglycemia a cikin ciwon sukari yana da haɗari musamman, saboda yana haifar da rashin abinci mai kyau na sel kwakwalwa. Wannan yana barazanar bugun jini da cutar ischemic, infarction na zuciya da sauran cututtukan da ke barazanar rayuwar mutum.
Jiyya na hypoglycemia a cikin ciwon sukari
Kafin zuwa asibiti, an yi wa mai haƙuri allurar glucagon (10%) ko glucose (40%).
A cikin asibiti, ana gudanar da glucose a ciki. Tare da maganin cutar hypoglycemic, ana ɗaukar matakan kulawa mai zurfi, an sanya mai haƙuri a cikin sashin kulawa mai zurfi don magani mai wahala. Bayan an cire shi daga cutar rashin lafiya, ana kula da babban dalilin da ya haifar da wannan yanayin.
Abin da za a yi idan wani harin na hypoglycemia
Idan matakin glucose na jini ya yi kasa da 3.9 mmol / L, to dokar 15x15 tana aiki:
- dauki 15 g na carbohydrates mai sauri (3-4 tsp ko 1 tbsp sukari a narkar da ruwa, gilashin ruwan 'ya'yan itace 1, lozenges 4-5) ko glucose a cikin allunan (15 g na abu mai aiki);
- bayan mintina 15, auna glucose.
Idan mai nuna alama ba su ƙaruwa ba, to, ɗauki glucose (15 g) kuma jira minti 15.
Wajibi ne a bincika lamarin, gano abubuwan da ke haifar da raguwar sukarin jini. Domin kada ku tsokani maimaita yawan sukari a cikin glucose, ba za ku iya tsallake abinci na gaba ba. Idan bayyanar cututtuka ta ci gaba, nemi likita kai tsaye.
Taimako na farko
Idan mara lafiyar yana da hankali, to ana aiwatar da ayyuka masu zuwa:
- mutum yakamata ya dauki matsayin jin dadi yayin kwanciya ko zaune;
- ba mara lafiya mai shayi, sukari, Sweets ko cakulan, kukis (ba a amfani da abun zaki saboda ba ya taimaka);
- ba da kwanciyar hankali har sai an daidaita yanayin mutumin.
Game da asarar hankali, ya zama dole a sanya mara lafiya a gado, a lura da yanayin kafin motar asibiti ta iso. Kasance cikin shirin sake tsigewa.
Hadaddun cututtukan jini
A cikin nau'in 1 da nau'in ciwon sukari na 2, hypoglycemia yana da wuya kuma ba a tsoron rikice-rikice. Amma tare da hare-hare akai-akai, aikin ƙwaƙwalwar zuciya da jijiyoyi, ƙwaƙwalwar ƙwaƙwalwa ta tarwatse, sauran gabobin suna wahala.
Hadarin Coma
Coma na rashin lafiya na jini na iya haifar da rikicewar ƙwayar cuta wanda ke tsokani ƙin jini na zuciya, basur, da kumburi.
Mafi rikitarwa rikice rikicewar haila.
Yin rigakafin hauhawar jini
Yin rigakafin cututtukan hypoglycemia ya ƙunshi waɗannan shawarwari masu zuwa:
- Ku ci akalla sau 6 a rana. Idan ana gudanar da insulin a cikin dare, to mai haƙuri yana buƙatar karamin abun ciye-ciye tare da abinci tare da jinkirin carbohydrates (gurasa, kayan kiwo, buckwheat da oatmeal, sandwiches tare da man shanu, cuku, tsiran alade) a cikin adadin raka'a 1-2.
- Koyaushe saka idanu kan matakin glucose a cikin jini ta amfani da glucometer. Mai nuna alamar 5.7 mmol / l yana da mahimmanci. Za a jinkirta gabatarwar insulin cikin awa 22 ko kuma daga baya. Kuna iya rage kashi kuma ku ci kafin lokacin kwanciya.
- Koyaushe kuna ɗaukar glucose a cikin allunan, fewan guna na sukari, abin sha mai ban sha'awa, kuma don tafiye-tafiye mafi tsayi, yana da daraja a tara tarin amon ɗin Glucagon da sirinji mai allura.
- Guji barasa, shan sigari da sauran munanan halaye.
- Guji cin zarafin abincin, don kada ku tsokani kwatsam a cikin sukari na jini.
Dangi da abokai na mara lafiya ya kamata su iya ba da taimako a kowane lokaci don hana cutar ta zama.