Rashin ƙarfi, rashin jin nauyi, ciwon kai, gumi mai ɗumi, pallor, haushi, tsoro, rashin iska ... waɗannan alamu mara kyau sun saba da yawancinmu.
Na dabam, za su iya zama alamun yanayi iri-iri. Amma marasa lafiya da ke da cutar sankara sun san cewa waɗannan alamun hypoglycemia ne.
Hypoglycemia shine yanayin karancin sukari na jini. A cikin mutane masu lafiya, yana faruwa saboda yunwar, a cikin marasa lafiya da ciwon sukari yana haɓaka saboda wucewar wakilai na hypoglycemic da aka ɗauka ko insulin cikin yanayin ƙarancin abinci, aikin jiki ko shan barasa. Koyaya, wannan yanayin yana buƙatar cikakken bayani dalla-dalla. Asan da ke ƙasa zamu kalli dalilin, alamu da kuma hanyoyin magance hypoglycemia.
Muna yin nazarin batun daga matsayin kimiyya
Don fahimtar abin da ke cikin hypoglycemia shine, ya kamata ka tuna da babban bayani game da metabolism na carbohydrates a jiki.
Carbohydrates daga abinci suna shiga cikin gastrointestinal tract bayan mun ci abinci. Carbohydrates “mai sauri” ko kuma “mai sauƙaƙa”, irin su sukataccen sukari (glucose), suna haɗuwa cikin sauri cikin jini. Abubuwan carbohydrates masu “Complex”, kamar sitaci, da farko an karye su cikin narkewa zuwa cikin abubuwa masu sauki, sannan kuma suma suna shiga jini. A wannan yanayin, bayan cin abinci, sukari jini ya tashi. A cikin mutane ba tare da ciwon sukari ba, ana kunna fitsari a wannan lokacin, yana sakin insulin homon a cikin jini. Yana taimaka wa sukari samu daga magudanar jini zuwa sel, inda ake bukatar glucose a matsayin mai. Marasa lafiya da ciwon sukari mellitus suka yiwa insulin ko shan magungunan rage sukari kafin cin abinci don rage glucose na jini.
Amma sukari na jini baya sauka zuwa sifili. Matsakaicin matakinsa akan komai a ciki cikin koshin lafiya ba ya faɗi a ƙasa da 3.5 mmol / l. Wannan ya zama dole saboda ƙwayar jijiya da ƙwaƙwalwar ƙwayoyin cuta suna buƙatar abinci mai gina jiki koyaushe kuma "jawo" glucose daga jini ba tare da taimakon insulin ba. Idan ba zato ba tsammani matakin sukari na jini ya faɗi ƙasa da iyakar da aka nuna, to, lafiyayyen mutum zai sami alamun rashin jin daɗi, daga bayanin abin da muka fara wannan labarin - wannan shine yadda yanayin hypoglycemic jihar ke nuna kanta.
Yanzu an fahimci manyan abubuwan da ke haifar da rashin lafiyar hypoglycemia. Idan kun yi aiki a kan komai a ciki na dogon lokaci ko kuma idan abincinku bai ƙunshi sukari ba (hadadde ko mai sauƙi), to ko da lafiyayyen mutum zai sami waɗannan alamun. Tabbas, da yawa daga cikin mu suna jin haushi ko raunana akan komai a ciki.
Shin wannan yanayin yana da haɗari ga mutane? Hypoglycemia ga lafiyayyen mutum ba shi da haɗari. Mafi yawan lokuta, muna da damar da za mu ci ko sha shayi mai ban sha'awa, jiki kuma da sauri ya koma al'ada. Bugu da ƙari, akwai ajiyar ƙwayoyin glycogen polysaccharide a cikin tsokoki da hanta, wanda shine babban ma'aunin carbohydrate a cikin abubuwa masu rai. Wannan tanadin makamashi tare da karancin glucose a cikin jini cikin sauri zai rushe kuma ya shiga cikin jini. Tabbas, shima ba shi da iyaka, amma yana taimakawa dakatarwa har zuwa wani lokaci kuma yana bawa wanda ya gaji da yunwa damar samun abinci. Amma yayin da muke magana game da mutum lafiya.
Hypoglycemia a cikin ciwon sukari
Komai yana canzawa lokacin da muka fara tattauna batun hypoglycemia a cikin mutane masu ciwon sukari. A cikin mutane masu lafiya, ana tsara matakan sukari na jini ta atomatik "kuma za'a iya kiyaye raguwarsa mai mahimmanci. Amma tare da ciwon sukari, hanyoyin canzawa kuma wannan yanayin na iya zama barazanar rayuwa. Duk da gaskiyar cewa yawancin marasa lafiya suna sane da abin da hypoglycemia yake, yawancin ka'idoji sun cancanci maimaitawa.
Abubuwan da ke haifar da ciwon sukari a cikin cututtukan sukari sune ainihin iri ɗaya a cikin mutane ba tare da ciwon sukari ba. Bambancin kawai shi ne cewa suna buƙatar a san su da bin diddigin su don hana wannan yanayin. Wadannan sun hada da:
- tsallake abinci, karancin adadin carbohydrates a cikin abinci;
- rashin daidaituwa na kashi na insulin ko allunan zuwa yawan sukari da abinci;
- hauhawar insulin na ruwa ko allunan rage sukari saboda kuskure;
- matsanancin aiki ko rashin daidaituwa na jiki;
- karfin shan barasa;
- wasu kwayoyi (lokacin da kake rubuta sababbin magunguna, bincika likitanka game da yiwuwar hulɗa da insulin).
Haɗin waɗannan dalilan na iya zama daban. Kowane halaye na jikin bai kamata ba a kuma kashe. Abin da ya sa babbar hanyar hana hypoglycemia shine saka idanu akan matakan sukari na jini akai-akai da matakan da suka dace don gyara shi.
Yaya za a iya magance hypoglycemia?
Ga mutanen da ke fama da ciwon sukari, rage yawan sukari na jini ba cuta ce ta daban ba kuma sun san menene hypoglycemia. Sabili da haka, yawanci ba ma magana ne game da magance cututtukan hypoglycemia. Amma mutanen da ke da ciwon sukari da ƙaunatattun su ya kamata su san abin da za su yi da cutar ƙwacewar jiki.
Da farko dai, bayan jin alamun cututtukan hypoglycemia, ya kamata ku zauna kuyi samfurori dauke da sukari: abin sha mai dadi (shayi tare da sukari, ruwan 'ya'yan itace).
Mahimmanci - kuna buƙatar samfura tare da sukari, kuma ba tare da maye gurbin sukari ba!
Don irin wannan yanayin, ana samar da samfurori na musamman, alal misali, glucose mai narkewa a cikin bututu, wanda kawai kuke buƙatar matse cikin harshe.
Idan abin mamakin bai wuce tsakanin mintuna 5 ba, to, zaku iya sake ɗaukar ma'amala da yawa. Don ƙarin yanayi mai tsanani, marasa lafiya da ciwon sukari da likitoci suna amfani da glucagon hormone. Yana sa hanta bada glucose ga jini cikin sauri, yana haɓaka matakan sukari. An ba da Glucagon ga marasa lafiya a cikin nau'in alkalami na sirinji, wanda zaka iya shigar da magani cikin sauri. Ana iya sarrafa shi ko dai intramuscularly ko subcutaneously. Yawancin lokaci sashi shine 1 MG ko an ƙididdige shi ta hanyar ninka nauyin mai haƙuri ta hanyar microgram 20-30 na miyagun ƙwayoyi. Yawanci, ana yin lissafin likita ta hanyar likita, yana jagorantar shekaru, nauyi da nau'in ciwon sukari.
Bayan gudanar da glucagon, ya zama dole kuma a ɗauki abincin da ke ɗauke da carbohydrates. Kuma a cikin taron cewa bayan mintuna 12 glucagon bai gyara halin ba, an bada shawarar sake shiga ciki. Abin farin, irin waɗannan lokuta suna da wuya sosai kuma yawancin marasa lafiya suna da shayi mai zaki.
A cikin mawuyacin yanayi, dole ne a kira motar asibiti nan da nan. Babban abu shine a yi kokarin hana asarar sani. Kuma wannan mai yiwuwa ne idan kuna sane kuma kuna bin ƙa'idodi masu sauƙi na hali.
Hypoglycemia da Alcohol
Ba mu ba da shawarar kowa ya sha giya mai ƙarfi, amma kuna buƙatar sanin menene haɗarin su ga masu ciwon sukari. Alcoholarfin giya mai ƙarfi na iya rage sukarin jini. Wannan yana da haɗari musamman a cikin yanayin da ake shan barasa akan komai a ciki. A cikin irin wannan yanayin, raguwar shagunan glucose a cikin hanta na iya faruwa kuma mummunan hypoglycemia na iya haɓaka, wanda zai buƙaci asibiti.
Don hana hypoglycemia, kafin fara idin, ya kamata ku auna matakin sukari jini da tantance halin da ake ciki don daidaita yanayin insulin ko allunan rage sukari. Ya kamata ku fara cin abincin da ke dauke da carbohydrate, kuna fifita waɗanda ke ɗauke da "carbohydrates mai tsawo." Zai iya zama dankalin turawa ko salatin shinkafa, alal misali.
Lokacin shan giya, lallai ne, a matsakaici, a matsakaici kuma a hana maye. Gaskiyar ita ce alamun hypoglycemia suna da alaƙa da halayen mutum mai farauta. Kuskuren wasu na iya haifar da bala'i. Don haka kula da kanku. A lokacin idi, zaku iya sake gwada matakin sukari na jini ta amfani da glucometer don kiyaye yanayin a ƙarƙashin kulawa.
Motsa jiki da tsotsar jini
Rayuwa mai aiki yana taimakawa ci gaba da matakan sukari na al'ada. Amma motsa jiki mai aiki na iya haifar da hypoglycemia. Yayin da ake motsa jiki a cikin dakin motsa jiki ko yin iyo a cikin tafkin, yin tsegumi ko tafiya a cikin wurin shakatawa, tabbas za ku duba matakin sukari ku ɗauki abun ciye-ciye tare da ku idan har cutar tarin yawa ce.
Za'a yanke hukuncin da ya dace tare da wani wanda yasan cewa kana da cutar sankara, wanda idan wani abu ya faru, zai iya tuna maka cewa kana bukatar ka huta kuma ka ciji. Ciwon sukari ba wata hanya ba ce mai hana motsa jiki aiki. Marasa lafiya da ciwon sukari har ma sun zama zakarun Olympic, don haka wasanni da ciwon sukari sun dace sosai. Babban abu shine sanya idanu akan lokaci na matakan sukari na jini.
Yana da mahimmanci a tuna cewa tsokoki suna ci gaba da cinye glucose ko da bayan kammala motsa jiki. Saboda haka, yawan zubar jini zai iya faruwa awanni biyu bayan motsa jiki. Kuna buƙatar tunawa da wannan kuma ku ci akan lokaci, duba matakin glucose a cikin jini. Samun kwanciya bayan motsa jiki yana da daraja kaɗan na sukari fiye da yadda aka saba don hana sukari fadowa a cikin mafarki.
Barci da hauhawar jini
Wani lokacin sukari na iya yin ƙasa yayin bacci. Cutar cututtukan cututtukan cututtukan jini na iya zama da daɗi ko da daddare, kuma da safe mutum ya fahimci cewa yana yin ɗumi sosai da daddare. A lokaci guda, sukari da safe za a iya ƙaruwa.
A cikin wannan halin, kuna buƙatar fahimta - menene ya haifar da yawan bacci na dare (aikin jiki, giya, ƙarancin insulin) kuma kuyi ƙoƙarin kawar da dalilin gaba.
Amma me yasa sukari da safe bayan rashin lafiyar hyctglycemia mai zafi? Ka sake tunawa cewa a cikin jiki, shagon sukari a cikin hanta a cikin nau'i na glycogen. Ta hanyar ba da amsa ga hypoglycemia, hanta zata daina ɗaukar ajiyar ta. Amma saboda rashin kyakkyawan tsari, matakan sukari da safe na iya tashi sosai. Dole ne a tuna da wannan don kada a rikice.
Sakamakon cututtukan hypoglycemia
Matsakaici hypoglycemia, a matsayin mai mulkin, ba shi da haɗari. Koyaya, tare da raguwa mai yawa a cikin sukari na jini, aiki na tsarin juyayi da ƙwayoyin kwakwalwa ke rushewa; Halin ƙananan tasoshin jirgi ya tsananta. Wannan na iya haifar da ci gaban neuropathy da angiopathy na tsawon lokaci. Saboda haka, dole ne a yi musu gargaɗi.
Poaryawar jini
Wannan lamari ne mai mahimmanci wanda ya kamata kuma a ambaci shi, duk da cewa a cikin 'yan shekarun nan ana haɗuwa da ƙasa. A cikin marasa lafiya da ciwon sukari mellitus, wanda a cikin kullun ana kiyaye matakan sukari a cikin manyan darajar (15-20 mmol / l), alamun hypoglycemia na iya faruwa yayin da aka rage su zuwa ƙananan (na al'ada). Amma a cikin wannan halin, ba shakka, babban sukari yana da tasiri sosai ga jiki. Don haka, ya zama dole a hankali a rage matakinsa zuwa al'ada, duk da wasu alamu marasa jin daɗi.
Don takaitawa
- Ana kiran hypoglycemia a cikin raguwar sukari na jini a ƙasa da ƙimar al'ada (ƙasa da 3-4 mmol / l). Yana haɗuwa da alamu mara kyau kuma yana iya haifar da asarar hankali.
- Hypoglycemia na iya lalacewa ta hanyar rashin cin abinci, yawan shan insulin ko magungunan ƙwayar cuta, yawan motsa jiki ko shan giya.
- Don dakatar da hypoglycemia, zaku iya amfani da sukari, abubuwan sha masu maye ko abinci na musamman. A cikin mawuyacin hali, ana gudanar da glucagon, wanda marasa lafiya masu ciwon sukari na iya ɗaukar su tare da insulin.
- Marasa lafiya tare da masu ciwon sukari suna buƙatar saka idanu akan matakan sukari na yau da kullun don hana ci gaban wannan yanayin. Hanyar sarrafa kai ta zamani sanya wannan mai sauƙi da sauri.
- Yana da mahimmanci a tuna cewa ciwon sukari wani salon rayuwa ne na musamman wanda zai ba ku damar yin tsawon rai, ƙarƙashin wasu ƙa'idodi.
