Ta yaya hypoglycemia ya bayyana: alamu da hanyoyin taimakon farko

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Hypoglycemia yana faruwa a cikin mutane da yawa.

Bayyanannun alamun wannan yanayin, kuma yin watsi da su na iya haifar da mummunan rikice-rikice.

Sabili da haka, idan mutum yana da alamun farko na hypoglycemia, kuna buƙatar sanin yadda za ku ba shi taimakon farko da kawo shi cikin hankalinsa.

Hypoglycemia - menene?

Ta hanyar hypoglycemia ana fahimtar yanayin da ke tattare da haɗuwa da sukari a cikin jini da ke ƙasa da al'ada.

Glucose shine babban tushen samar da makamashi ga jiki. Hypoglycemia ba cuta ba ce.

Maimakon haka, alama ce ta matsalolin lafiya. Idan baku ƙara yawan sukari ba, wanda ke raguwa cikin sauri, mutum na iya mutuwa.

Kayan al'ada

Plasma glycemia, wanda ke tabbatar da aiki na yau da kullun na jikin ɗan adam, yana daidaita insulin.

Idan aka samar da wannan kwayar halittar cikin karancin isasshen abinci, ko kuma kyallen takarda ta fara ba da amsa ga abin da bai dace ba, to kuwa yawan kuzarin da ke cikin jini yana karuwa.

Akwai wasu ƙa'idodi da aka amince da su ga mata, maza, yara da mata masu juna biyu.

A cikin mata manya da maza

Ga maza da mata masu shekaru 20 zuwa 49, ana sanin yawan ƙwayar cutar plasma na 3.5-5.5 mmol / L a matsayin al'ada.

Yayin da kake tsufa, ƙwayar jijiyar nama zuwa insulin yana raguwa. Anyi bayanin wannan ta hanyar cewa wani ɓangare na masu karɓa ya mutu, nauyi yana ƙaruwa.

Sabili da haka, don wakilan shekaru 50-90, ana kimanta darajar 4.6-6.4 mmol / l mafi kyau. Ga mutanen da suka tsallake zuwa shekaru 90 na rayuwa, sukarin plasma zuwa 6.7 mmol / L shine likitoci suka gane shi ne na al'ada.

A cikin yaro

Ka'idodin sukari na yara ba iri ɗaya bane da na manya. A cikin jarirai masu lafiya daga kwanaki 2 zuwa shekara, glucose yana a matakin 2.8-4.4 mmol / l. A cikin lokacin daga shekara guda zuwa shekaru 14, wannan alamar ta tashi zuwa 3.3-5.0 mmol / L. Shekaru 15-19 masu zuwa, ma'aunin shine 3.3-5.3.

A ciki

Yawancin lokaci, a cikin mata masu ɗaukar yaro, ƙimar glycemic shine 3.5-6.6 mmol / l.

Amma, idan ciki ya kasance yana da shekaru 30, to, ƙananan rikicewa abin karɓa ne.

Iyaye mata masu zuwa yakamata su lura da matakan sukarinsu: tunda akwai haɗarin haɓakar ciwon sukari a sakamakon raguwar amino acid da karuwar adadin ketone. Yawancin lokaci, yayin daukar ciki na al'ada, sukari yakan tashi zuwa ƙarshen ƙarshen sakan na biyu ko na uku. Sannan ingantaccen darajar ya kai 7.8 mmol / L.

Lokacin ƙayyade abubuwan da ke cikin glucose, yana da mahimmanci a la'akari da wane jini aka yi amfani dashi don bincike: daga yatsa ko jijiya. Bayan duk, sakamakon na iya bambanta dan kadan. Don haka, ga jini mai sassauƙanci, ƙa'idar ita ce 3.5-5.5, don jinin venous - 3.5-6.1 mmol / L.

Sanadin faruwa

Hypoglycemia shine mafi yawan al'ada ga marasa lafiya da ke fama da cutar sankara na ciwon sukari na farkon (na biyu). Amma a wasu lokuta ana kuma lura da shi a cikin mutane tare da isasshen samar da insulin da kuma motsa jiki na al'ada. Don hana yanayin haifuwar jini, dole ne mutum ya san abin da ke sa ya faru kuma, in ya yiwu, a guji abubuwanda ke haifar da fargaba.

A cikin mutane ba tare da ciwon sukari ba

Dalilin raguwar taro a cikin mutanen da basu da ciwon sukari sune:

  • damuwa damuwa na rayuwa;
  • pathology na adrenal genesis (alal misali, gazawar sassan jikin mutum);
  • tsawaita azumi;
  • rashin aiki na hanta (alal misali, cirrhosis);
  • bugun zuciya;
  • aiki mai karfi na jiki (haifar da cikakken ɓarnar ƙwayar glucose);
  • ciwon daji na ciki;
  • abar ciki na esophagus;
  • mummunan cututtukan cututtuka;
  • shan wasu rukuni na magunguna (shirye-shiryen sulfur, salicylates, quinine);
  • shan giya.

A nau'in 1 da nau'in masu ciwon sukari 2

Babban dalilin cutar hypoglycemia a cikin mutane masu ciwon sukari mellitus shine yawan shan magunguna na hypoglycemic a cikin sashi mafi girma fiye da yadda jiki ke buƙata.

Hakanan, wannan yanayin yana faruwa idan mutum yayi allurar insulin kuma bai ci abinci akan lokaci ba. Ana iya samun sakamako masu illa ta hanyar irin waɗannan kwayoyi: Diabines, Glucotro, Diabeton.

Ciwon sukari yana haifar da matsaloli daban-daban. Sakamakon da ya fi haifar da cutar ita ce gazawar koda, yayin da sukari jini ya sauka ƙasa da al'ada. Idan ba a taimaki mutumin ba, za a sami cutar siga da ta mutu.

Don gano ainihin abin da ke haifar da rashin lafiyar hypoglycemia, ya zama dole a yi gwaji, a nemi likita. Idan matsalar abinci mai gina jiki ce, to, ta hanyar daidaita abincin, yanayin zai daidaita. Idan akwai wata cuta, za ku buƙaci yin gwaji.

Bayyanar cututtuka da alamun hypoglycemia

Decreasearamin raguwar sukari na plasma a wasu lokuta ba zai shafi lafiyar mutum ba. Amma tare da ci gaba da faduwa a cikin dabi'u, alamomin halayyar suna tashi koyaushe.

Babban alamar ana ɗaukar rauni mai rauni, wanda aka lura har ma bayan hutawa.

Daga cikin wasu bayyanar: tsananin zafin zuciya, hyperhidrosis, tachycardia, pallor, illa mara nauyi, rashi.

Dizzness da dysfunction

Lokacin da sukari ya faɗi ƙasa da 3.5 mmol / l, mutum yana fara jin danshi, kuma akwai rikicewar hankali. Dizziness shine matakin farko na rashin ƙarfi, wanda akwai hargitsi a cikin ayyukan tsarin numfashi da cututtukan zuciya. Tare da mummunan raunin hankali, an lura da nutsuwa.

Haya da sanyi

Sweara yawan zufa yana haɗuwa da harin bugun jini.

An yi bayanin wannan ta hanyar gaskiyar cewa tare da ƙarancin ƙwayar jijiyoyin jiki ana shafawa, yana tasiri aikin glandan gumi. An kunna jiki don daidaita yanayin glucose na plasma.

Sweat aka saki a wannan lokacin, jiki ya jika. Wani lokaci akwai ƙananan rawar jiki a cikin hannayen, jin sanyi.

Yawan zuciya

Don yanayin jinin haila, lalacewa a cikin aikin zuciya da jijiyoyin jini halaye ne. Tsarin ƙwayar cuta da ke bayyane yana tasowa: bugun jini na iya ƙaruwa har zuwa bugun 90-100 a minti daya. Yayinda sukari ke raguwa, tachycardia yana ƙaruwa. Wataƙila an kai harin angina.

Damuwa da asarar hankali

Tare da ƙarancin taro na sukari, cramps yawanci suna da halin tonic (tsokoki suna cikin yanayin tashin hankali na dogon lokaci), amma kuma zasu iya zama clonic (kwanciyar hankali tsokoki da kwanciyar hankali).

Idan ba a taimaka wa mara lafiya tare da bugun zuciya ba, yanayin zai tabarbare sosai: zai yi hankali, zai fadi cikin rashin lafiya.

A wannan yanayin, numfashi zai zama na sama, matsin lamba zai ragu, kuma bugun ya yi rauni.

Pallor na fata

Tare da raguwar glucose a cikin ruwan jini, mutum ya zage fuska a gaban idanun, sautin fata mara laushi ya bayyana. Yanar gizo mai fili tana bayyane. Ba'a lura da wannan alamar koyaushe kuma yana da halayyar mutum tare da matsanancin rashin ƙarfi, wanda ke kusa da coma.

Bayan lura da alamun farko na hypoglycemia, ya kamata ku auna matakin sukari nan da nan tare da glucometer kuma ku ɗauki matakan da suka dace.

Jiyya

A cewar kididdigar, 4% na marasa lafiya da aka kamu da cutar sukari mellitus suna mutuwa kowace shekara daga cutar sikandirewa. Kimanin 10% na mutane (ba masu ciwon sukari ba) suna fuskantar alamun rashin jin daɗi na raguwar glucose. Don guje wa mummunan sakamako, kuna buƙatar sanin yadda ake ba da taimako na farko don maganin rashin ƙarfi, yadda ake kawar da hare-hare akai-akai.

Taimako na farko don harin hypoglycemic

Idan matakan glucose sun rage saboda yunwa, rashin abinci mai gina jiki, da yawaitar magungunan masu ciwon sukari, to kuna buƙatar cin abincin da ke ɗauke da ƙwayoyin carbohydrates cikin sauri:

  • ci 4-6 alewa;
  • ɗauki Allunan glucose na 2-3;
  • sha gilashin madara;
  • ku ci tablespoon na zuma;
  • sha rabin kofina na wani abin sha mai ɗanɗano;
  • ku ci tablespoon na sukari.

Bayan kwata na awa daya, gwajin glucometer ya dace da shi. Idan lafiyarka ba ta inganta ba, kuma na'urar ta nuna sakamakon da ke ƙasa da 3.5 mmol / l, to har yanzu kuna buƙatar cin wani abu daga abin da ke sama. Idan yanayin bai daidaita al'ada ba, to ana kiran kulawa ta gaggawa.

Don hana sake aukuwar wani hari, ana bada shawara a ci samfurin da ya ƙunshi carbohydrates mai tsayi (farar jaka, burodi, kukis).

Magunguna

Don dakatar da matsanancin tashin hankali na hypoglycemia, ana gudanar da maganin 40% na glucose a cikin adadin 40-60 ml a cikin mutum. Idan wannan bai ba da tasirin da ake so ba, to 0.3-0.5 ml na 0.1% na adrenaline hydrochloride ana gudanar da shi cikin kulawa. Hakanan ana amfani da Diazoxide ko Octreotide.

Magungunan Octreotide

Za'a iya magance cututtukan cututtukan jini na yau da kullum tare da kwayoyi masu zuwa:

  • Prednisone;
  • Dexamethasone;
  • Glucagon.

Magungunan magungunan gargajiya

Wasu tsire-tsire suna da kaddarorin jini, suna daidaita metabolism metabolism. Wannan shine St John's wort, Rose hip, lingonberry, tafarnuwa, oregano, buckthorn teku, yarrow. Abubuwan da aka decoctions daga cikinsu galibi ana amfani dasu don magancewa da hana hypoglycemia.

Hakanan kudade masu zuwa suna da tasiri:

  • plantain, alkama, chamomile, St John's wort, moss bushe mussel, bashin da aka dauka a cikin adadin gram biyu, da kuma daskararre da lasisin - gram daya. Ganye yana hade da cika da 400 ml na ruwa. Cook har tsawon mintuna 45 kuma nace. Ana amfani da maganin da yake haifar da kowane wata sau uku a rana;
  • Leuzea da lemun tsami suna hade, suna sha da sha sau uku a rana.
Dole ne a yi amfani da magunguna da hanyoyin madadin daidai don kada su haifar da cutar haɓaka. Don yin wannan, a hankali zaɓi kashi, saka idanu tare da glucometer.

Abincin

Kuna iya gujewa hare-haren hypoglycemia ta hanyar daidaita abincin ku, ta amfani da daidaitaccen abinci.

An buƙaci don guje wa amfani da carbohydrates mai sauƙi kuma ba da fifiko ga hadaddun.

Wajibi ne a ci a kananan rabo, amma sau da yawa. Calorie ci ya fi dacewa ya karu zuwa 2500 kcal.

Idan motsawar sukari ya tashi sakamakon karancin bitamin C, to menu yana buƙatar samun wadatar abinci tare da kayan lambu, ganyayyaki da 'ya'yan itatuwa. Nasihun hanta, walnuts, kodan, qwai, zuciya, cuku, bran. Dankali ta dafa abinci mafi ƙaranci: sun sami damar rushe metabolism metabolism.

Bidiyo masu alaƙa

Babban alamun hypoglycemia a cikin bidiyon:

Sabili da haka, hypoglycemia na iya faruwa ba kawai a cikin masu ciwon sukari ba, har ma a cikin mutanen da basu da irin wannan binciken. Abubuwan da ke haifar da wannan ciwo suna da yawa: daga rashin abinci mai gina jiki da kuma amfani da magunguna har zuwa gaban cututtuka masu tsanani. A kowane hali, kuna buƙatar bincika ku kuma ɗauki matakai don daidaita matakin sukari.

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