Jiki a cikin jini wata cuta ce mai mahimmanci ga jikin ɗan adam wanda ke faruwa sakamakon raguwar raguwa cikin yawan glucose a cikin jini. Yana buƙatar kulawa da gaggawa na likita, kamar dai idan ya jinkirta, yana iya haifar da mutuwa cikin sauƙi.
Lokacin samar da matakan farfadowa na farko, ya zama dole don tantance yanayin da bambanta hypoglycemia daga hyperglycemia. Sau da yawa, kulawar likita ba daidai ba ta zama sanadin ci gaba da mummunan cututtukan cututtukan jijiyoyi ko tsarin jijiyoyin jini.
Dalilai
Hypoglycemia wani sabon abu ne wanda matakan glucose a cikin jini ya ragu a ƙasa 3.5 mmol / lita. Wannan halin ana iya haifar dashi ta hanyar dalilai masu zuwa:
- Tsawon lokaci rashin kulawa da cututtukan jini;
- Shan giya mai yawa;
- Gabatar da manyan allurai na insulin;
- Shan wasu magunguna;
- Wucewar aiki a jiki;
- Abincin da ba a daidaita ba.
A mafi yawan lokuta, rashin lafiyar hypoglycemic coma shine gabanin allurar insulin. Wannan sakamakon yana nuna ba daidai ba hanya.
Likitocin sun gano kurakuran da suka biyo baya lokacin da, saboda rashin kulawarsu, mai haƙuri ya fuskance wannan lamarin:
- Take hakkin sashi: maimakon maganin da aka bayar na 40 PIECES / ml, mara lafiya ya gabatar da kansa 100 PIECES / ml. Wannan sau 2.5 kenan sama da yadda aka saba kuma an tabbatar shi zai iya haifar da irin wannan sakamako.
- Ana sarrafa insulin koyaushe kawai. Wasu lokacin da allura suka shiga cikin tsoka, wanda shine dalilin da ya sa aikin mai gyara ya kasance mai haɓaka sosai.
- Bayan allurar, mara lafiya ya manta da cin abinci mai-carbohydrate.
- Likita ba ya yin la’akari da cututtukan da ke damun mai haƙuri: ƙarancin kiba, cirrhosis da ƙarancin na koda yana rage rage aiwatar da cire insulin daga jiki.
- Mai haƙuri yana tsunduma cikin nauyi mai nauyi ko kuma baya kula da matakin ci gaban jikinsa kwata-kwata.
Kwayar cutar
Cutar cututtukan zuciya na haihuwar ciki yana haɓaka ta hanzarta haɓaka. Koyaya, ana iya raba hanyarsa zuwa matakai daban.
Likitocin sun yarda da wannan nau'in:
- Mataki na farko - a wannan lokacin jikin mutum yana fuskantar matsanancin iskar oxygen, wanda ke da haɗari ga cortex cortex. Hypoxia na sel mai juyayi na tsakiya yana faruwa, wanda shine dalilin da yasa halin mutum ya canza sosai. Yana cikin damuwa ko baƙin ciki. Hakanan, marasa lafiya suna koka da ciwon kai, jin damuwa, rauni na tsoka. Wasu mutane, a kan tushen rage girman sukari, suna jin yunwa, matsin lamba yana ƙaruwa, yawan bugun jini yana raguwa, fata kuma ya zama daɗaɗa.
- A mataki na biyu, karancin sukari yana haifar da lalacewar yanki na kwakwalwa. Ana iya gane shi ta hanyar tashin hankali na motsa jiki, fashewar fuskoki, halayen da basu dace ba da diplopia.
- Mataki na uku ana saninsa da lalacewar ayyukan tsakiyar kashi. Saboda wannan, ana lalata aiki na magnesium, wanda ke haifar da faruwar gusar da kai game da asalin sautin tsoka. Takaitaccen lokaci na iya kama da mawuyacin hali, tunda yara a cikin mutum suna ƙaruwa da ƙaruwa. Weaukar ruwa da tachycardia sun karu.
- A mataki na huɗu, akwai babban laifi a cikin aiki na ɓangarorin sama na medulla oblongata. Mutumin yana rasa sani, gyangyadi da kuma yawan zafin jiki. Saukad da gumi mai sanyi shima ya bayyana akan fuskarsa, bugun jini da hawan jini ya yawaita sosai, numfashinsa ya daidaita. Lokaci ne a matakai 4 mutum ya fadi cikin matsalar rashin haihuwa.
- Na biyar, mataki na ƙarshe, yana shafar ƙananan sassa na medulla oblongata. Suna da alhakin tsari a cikin jiki. Saboda wannan, mutum yakan fara rashin daidaituwa. Godiya ga wannan, likita ya kammala da cewa matakan pathogenic sun haifar da raguwar sautin tsoka, kammalawa da gumi mai yawa, raguwar matsin lamba, da hargitsi a cikin bugun zuciya.
Idan ka kawo jihar mutum zuwa mataki na biyar, akwai babban hadarin mutuwa. Raguwar ƙuraje a cikin matakan glucose na jini na iya haifar da ƙwayar cuta na hanji, a cikin abin da ake lalata cortex. Nan gaba, wannan zai shafi dukkan matakai a cikin jiki.
Ana iya gane alamun farko na cututtukan ƙwayar mahaifa ta hanyar gazawar numfashi, zazzabi, canje-canje a cikin zuciya, tashin zuciya da amai.
Hakanan, mutum na iya samun sakamako na dogon lokaci. Yawancin lokaci ana iya lura dasu kawai bayan 'yan watanni. Sau da yawa mutanen da suka ɗanɗano cutar tarin ƙwaƙwalwar ƙwayar cuta ta jiki, suna fuskantar ƙwayar cuta, encephalopathy, ko hutun shakatawa.
Jiki ya hauhawa cikin yara
Ka'idojin haɓakar ƙwayar cuta cikin ɗimama yayi daidai da na manya. Zasu iya tsokanar wannan lamarin ta hanyar tsawan yunwar ko kuma karancin abinci mai kalori, da kuma insulin rashin dacewar su ko kuma sakamakon cututtukan da ke damun su.
Hakanan, dalilin na iya zama rashin abinci mai gina jiki ko rashin enzymes. Kwamfutar sankara a cikin yara babban haɗari ne, tunda ba koyaushe ake yiwuwa a gano shi a farkon matakan ba. Yaron ba zai iya yin daidai kuma a fili ya bayyana abin da ke damun sa.
Yawanci, iyaye sun fara sautin kararrawa yayin da 'ya'yansu suka fara nuna damuwa ko suka yi kuka mai yawa. Sakamakon girma a cikin ciki, abincinsu yana raguwa ko ba ya nan. Yunwar yunwar ce ainihin alamar haɓakar haɓaka. A kwana a tashi, yara sun zama marasa hankali, basa hulɗa, basu kula da duk abin da ya faru. Duk waɗannan canje-canje ya kamata su tabbata don faɗakar da kowane mahaifa.
Hyungiyar hypoglycemic a cikin yara, kamar yadda a cikin manya, ke wucewa ta hanyar ƙwayar fata mai wuce kima ta fata, rawar jiki daga ƙarshen, ƙara yawan zufa. Tare da kowane motsi kwatsam, halin da yake ciki na tasowa, yaro ya rasa kansa cikin sakanni da yawa.
Dole ne a ɗauka a hankali cewa bayyanar wannan yanayin a cikin yara yana haɓaka da sauri fiye da na manya. Kwayar cutar wannan yanayin ba ta bambanta kwata-kwata. Da zaran ka kira motar asibiti, mafi girman hadarin kiyaye aikin jiki yake.
Binciko
A cikin farkon matakan, yana da wuya a ƙayyade cutar rashin lafiyar mahaifa. Kwayar cutar wannan yanayin za a iya rikita ta tare da wasu cututtukan, saboda wanda mutum baya karɓar magani mai mahimmanci. Da farko dai, ya wajaba a bincika mutum, a auna karfin sa, bugun jini, kimanta yanayin gaba daya. Koyaya, don faɗi daidai wannan shin rashin lafiyar haila ce ko a'a, kawai gwajin jini zai iya.
Yawancin lokaci yana nuna sakamako mai zuwa:
- Alamar farko ta bayyana koda matakin glucose na jini ya fadi kasa da 3.5 mmol / L.
- Lokacin da sukari ya sauka zuwa 1.66-2.77 mmol / L, duk alamun hypoglycemia suna bayyana a cikin mutum.
- A cikin taro na sukari na 1.38-1.65 mmol / l, mutum ya rasa hankali.
Lokacin da ake bincika yanayin hypoglycemic, ƙayyade yawan raguwa a cikin glycemia yana da mahimmanci musamman. Idan mara lafiyar yana da ƙwayar insulin-insulin-insulin-da ke fama da cutar kansa, yana haɓakawa tare da haɓaka ko al'ada na glycemia - 11.1 mmol / lita. Wannan na faruwa ne idan raguwar ta faru daga matsanancin matakan.
Sauran karatuttukan bincike na ƙwayar cutar mahaifa ba su da mahimmancin amfani. Babu wani glucose a cikin fitsari, binciken nazarin halittu yana nuna raguwa a cikin taro na enzymes hanta. An gano cutar ne kawai bayan an tabbatar da ƙananan ƙwayar cutar glycemia.
Taimako na farko
Yawancin lokaci a cikin wannan yanayin, don haɓaka kyautatawar mai haƙuri, ana yin amfani da waɗannan manipulations:
- An ba shi wani abu mai daɗi tare da yawan sukari mai yawa: shayi, kofi, alewa, ice cream, ruwan 'ya'yan itace mai laushi.
- Ana sanya mara lafiya a kwance ko a zaune-daki don samar da kwararar iska. Idan mara lafiyar ya rasa hankali, an sanya shi a gefen sa. Ana yin wannan ne domin idan har na amai baya birgewa. Hakanan saka wani sukari a kuncin.
- Bayan wannan, dole ne a kira motar asibiti nan da nan.
Mafi inganci wajen dakatar da kai hari na cutar haihuwar jini shine maganin sukari. Ana iya amfani dashi kawai idan mutumin yana da hankali. Don shirya irin wannan magani, ya zama dole don narke da yawa daga sukari na sukari a cikin gilashin ruwan zãfi.
Idan kana sane da cutar mutum kuma kana da ilimin likitanci, zaku iya bashi ƙurar adrenaline da kuma maganin glucose mai narkewa. Koyaya, ka tuna cewa duk sakamakon zai same ka.
Jiyya
Idan kuna tsammanin fara kai harin a cikin lokaci, zaka iya dakatar da kanka da kanka. Don yin wannan, kawai ku ɗan ci abinci kaɗan kuma ku sha ɗanɗano mai sha: shayi ko kuma maganin sukari na yau da kullun.
Hakanan zaka iya cin sauran abinci tare da carbohydrates mai sauri: zuma, Sweets, gari, tafasa. Foodsauki abinci a cikin tazara na mintina 10-15 har zuwa lokacin tashin hankali ya ragu. Idan babu wani sakamako, kai tsaye kira likita.
Idan wani ya kasa gano cutar ta rashin kuzari a cikin lokaci, ƙwararrun likitoci za su ba da taimako. A cikin lokuta masu tsaurara tare da asarar ƙwaƙwalwar ƙwayar cuta, an shigar da mai haƙuri tare da maganin glucose a cikin ciki. Yawancin lokaci wannan ya isa don dawo da aikin jiki na al'ada. Idan bayan mintina 15 babu wani ci gaba da aka biyo, ƙwararren ya maimaita hanyar, amma tare da magudanar ruwa.
Hakanan an ba da izinin 1 ml na glucagon wanda aka sanya shi ta hanyar ciki, intramuscularly da subcutaneously. Irin waɗannan matakan suna taimakawa wajen dawo da mutum cikin nutsuwa a cikin mintuna 10-20. Idan ya cancanta, ana iya maimaita aikin glucagon.
Tare da babban mawuyacin halin hypoglycemic coma, an wajabta mai haƙuri ta wucin gadi ko gudanarwa na wucin gadi na 150-200 ml na hydrocortisone. Zai taimaka wajen dawo da cutar koda. Idan mara lafiyar bai sake murmurewa ba, zai ci gaba da allura tare da maganin glucose a ciki.
Don hana ci gaban kumburi na meninges, ƙwararren masanin ya gabatar da mafita na mannitol ga mai haƙuri. Yana taimakawa wajen daidaita hanyoyin tafiyar da rayuwa, sannan kuma yana hana yawo. Idan ya cancanta, ana gudanar da magunguna na jijiyoyin jini. Bayan dakatarwa, mutumin zai zauna a karkashin kulawar likita na wasu kwanaki.
Yin rigakafin
Yin rigakafin cututtukan cututtukan ƙwayar cuta na jiki shine bi duk umarnin likitan halartar. Mutanen da ke fama da ciwon sukari yakamata suyi amfani da maganin a cikin tsayayyen zabi kuma tsarin.
Hakanan ya zama dole bi abinci na musamman da kuma lura da tsananin duk wani aiki na jiki.
Yi ƙoƙarin magance damuwa da damuwa na damuwa kamar yadda zai yiwu. Zasu iya cutar da tasirin aikin glandon ginanniya.
Kafin kowane fita daga gidan, tabbatar cewa kana da wani irin alewa, sukari ko yanki na burodin talakawa a kusa. Idan kun sha fuskantar hare-hare na ƙwaƙwalwar ƙwayar cuta daga lokaci zuwa lokaci, tabbatar da ɗauka tare da ku game da wannan cutar. Don haka zai zama sauƙi ga likitocin da suka sami ceto, da sauri za su fara ba ku taimakon da ya dace.
Yi ƙoƙarin jagorantar salon rayuwa mai kyau, daina azumi kuma sha shaƙar bitamin a kai a kai. Hakanan, kar ku manta kuyi gwajin glucose na jini akai-akai, haka kuma ku bi duk shawarar likitan ku.