Hypoglycemia a cikin ciwon sukari yanayi ne mai haɗari wanda ake buƙatar kulawa da gaggawa na likita.
Me yasa hakan ya tashi? Me za a yi da kuma yadda za a taimaka?
Bari muyi kokarin gano ta.
Menene hypoglycemia a cikin ciwon sukari?
Tare da raguwa mai yawa a cikin sukarin jini na masu ciwon sukari, cututtukan jini na iya faruwa. Glucose shine babban tushen kuzari a jikin mu. Lokacin da matakinsa ya faɗi ƙasa da al'ada, matsaloli fara.
Yanayi mai haɗari yana faruwa idan sukari ya ƙasa da 3.5 mmol / L.
A al'ada, carbohydrates da suka shiga jiki tare da abinci suna rushe cikin kwayoyin sukari. Ofayansu shine glucose. Ba zai iya shiga cikin tantanin ba tare da taimakon insulin ba, wani sinadari wanda ƙwaƙwalwar mu yake samarwa.
Increaseara yawan glucose yana ba da sigina ga sel beta a cikin gland, kuma su, bi da bi, sun fara sakin insulin. Insulin "yana buɗe" sel don shiga cikin glucose, kuma suna karɓar ƙarfin da suke buƙata. Glucose din da ba a amfani dashi yana tarawa a cikin hanta da tsokoki kuma an adana shi a cikin nau'i na glycogen.
Idan ba ku ci abinci a kan lokaci, matakin sukari zai sauka nan da nan. Tare da jikin mutum lafiya, babu wani mummunan abu da ya faru.
Wani kwayar halittar kirji da ake kira glucagon tana aika da sigina ga hanta domin ya fara rushewar glycogen, yana fitar da glucose. Don haka, sukarin jini ya kasance al'ada har zuwa lokacin cin abinci na gaba.
A cikin mutane masu ciwon sukari, wannan tsarin ba ya aiki. A cikin cututtukan sukari na mellitus I, ba a samar da insulin ba, ko kuma adadinsa yana da kaɗan. A cikin nau'in ciwon sukari na II, ƙwayoyin kansu ba su da saurin kamuwa da insulin, kuma sukari kawai ya tara cikin jini zuwa matakan haɗari.
Dalilai na ci gaba
A cikin lura da wannan cuta, sashi na insulin yana ƙididdige yawan adadin shan abincin da aka ɗauka.
Idan saboda wasu dalilai to insulin insulin ya wuce, ko kuma ba zai yiwu a ci abinci ba na yau da kullun bayan shan magungunan, hypoglycemia na iya faruwa.
Dalilin kuma na iya zama ƙarin aiki na jiki, wanda jiki ke ba da ƙarin kuzari, kuma daga nan ya haifar da glucose.
Yawan yawan insulin yawanci yawanci yakan faru ne saboda laifin masu ciwon sukari da kansa, saboda rashin kulawa ko kuskure a cikin abincin.
Bayyanar cututtuka da alamu
Bayyanannin asibiti na hypoglycemia kusan koyaushe yana faruwa ba zato ba tsammani.
Mataki na farko yana farawa da alamomin masu zuwa:
- bayyanar jin zafi;
- hannuwa da ƙafa.
- karuwar gumi;
- rauni na gaba daya da kuma jin gajiya;
- palpitations
- wani lokacin ciwon kai na iya bayyana.
Wadannan alamu ana iya kawar da su ta hanyar abinci na lokaci ko kuma wani sukari. Yawanci, masu ciwon sukari suna ɗaukar katako mai ƙoshin lafiya ko allunan glucose tare da su idan akwai wani yanayi mai kama da haka.
Idan baku gane alamun bayyanar cututtukan hypoglycemia a cikin lokaci ba kuma ba ku ɗauki matakan nan da nan ba, to yanayin zai tsananta kuma ya tafi mataki na gaba - cutar sikila zai fara haɓaka.
Haɓaka ƙwayar ƙwayar cuta cikin jiki yana da alaƙa da:
- bayyanar cututtukan cututtukan tsokoki daban-daban;
- Trismus - spasm na tabarma.
- babban farin ciki;
- amai
- girgije da asarar sani.
An rarraba cigaban ci gaban haila a kashi biyar:
- bayyanar da tsananin jin yunwar. Wani mutum ya shirya cin komai. A wannan yanayin, haushi ya bayyana, yanayi yana canzawa kuma ciwon kai yana faruwa. Mai haƙuri yayi halayya sosai. A kan bincike, akwai saurin bugun zuciya da danshi a cikin fata;
- hali da bai dace ba. Sweating yana ƙaruwa, salivation wuce haddi yana faruwa, rawar jiki ya bayyana - rawar jiki hannaye da dukan jiki, bifurcation na hangen nesa. Wani mutum yana nuna halin son kai - mai taurin kai ne ko kuma mummunar magana, yana da matukar daɗi;
- sautin tsoka ya tashi sosai. Raunin dake kama da cututtukan hanji da ke faruwa. Thealiban sun yi kama da juna, kuma matsin lamba suna ƙaruwa, danshi na fata da bugun zuciya.
- mutum ya rasa sani. Yin numfashi al'ada ne, ɗalibai suna dila, fata tana da laushi, matsin lamba al'ada ce ko dan ƙarami ne, bugun kansa yana hanzarta;
- coma. Dukkanin shakatawa suna raguwa ko ba su nan. Canjin zuciya ya rikice, gumi ya tsaya, matsin lamba ya yi kasa.
Rashin haɗari mai haɗari yana iya zama burar kwakwalwa, wanda ya haifar da gazawar numfashi da aikin zuciya.
Taimako na farko
Tun da hypoglycemia ya taso ba zato ba tsammani, to ya kamata a ba da taimako cikin sauri. A matsayinka na mai mulkin, dangin mutumin da ke da ciwon sukari sun san yadda za su taimaka masa.
Ayyukan Taimako sune kamar haka:
- idan an kiyaye narkewa na narkewa, ana bai wa mai haƙuri shan ruwan 'ya'yan itace mai zaƙi, maganin glucose ko sukari kawai ya narke cikin ruwa;
- Idan babu isasshen nutsuwa da ɗaliban da suka ƙi amsa haske, ƙaramin glucose ana narkewa a ƙarƙashin harshen. Wannan ya kamata a yi a hankali domin mara lafiyar baya shaƙa. Zaka iya amfani da zuma, wanda kuma yana da kyau sosai a cikin kogon motsi.
Wadannan matakan zasu taimaka wajen jira motar asibiti. Likita zai tantance yanayin mai haƙuri kuma, idan ya cancanta, nemi magani.
Sai dai itace cewa karnuka zasu iya fahimtar kusancin cututtukan jini. Wannan ya faru ne saboda gaskiyar cewa kafin a kai hari, jikin mutumin da ke fama da ciwon sukari na digiri na farko, yana fitar da wani abu da ake kira isoprene.
Karnuka na jin ƙyamar sa kuma suka fara nuna damuwa. Sabili da haka, masu kare kare zasu iya koyo a gaba game da yanayin taɓarɓarewa kuma suna hana farmaki cikin lokaci.
Jiyya da rigakafin
Kulawa da matakin farko na hypoglycemia ya ƙunshi bayar da taimako na kan lokaci. A cikin mawuyacin hali, tare da farawar ƙwayar cuta, asibiti cikin gaggawa ya zama dole.
A cikin rukunin kulawa mai zurfi, ana gudanar da glucose a cikin ciki kuma, idan ya cancanta, ana ba da allurar glucagon.
Amfani da adrenaline wani lokaci ana nuna shi. Idan wannan ilimin bai taimaka ba, yi amfani da magungunan hormonal kamar Hydrocortisone. A matsayinka na mai mulkin, yanayin mai haƙuri yana kwantar da hankali. Bayan fitowa daga cikin kwaro, an sanya magunguna waɗanda ke haɓaka tsarin microcirculation a cikin jiki.
Matakan rigakafin sun hada da kiyaye insulin sashi da rage cin abinci. Lokacin bin abinci, yana da matukar muhimmanci a ci akan lokaci, a guji jin yunwar.
Akwai hani akan cin kayayyakin kamar:
- nau'ikan kayan kwalliya da aka yi da garin alkama;
- kayan lambu da kayan marmari;
- zuma;
- sukari
- kofi
- Koko
- ruhohi;
- sauran abinci mai gina jiki na carbohydrate.
Irin wannan abincin zai ba ku damar sarrafa matakin sukari a cikin jini kuma ya hana yawan yawan insulin, wanda ba makawa ya keta cin abincin.
Sakamakon
Yawancin hare-haren hypoglycemic suna haifar da canje-canje ba a canzawa a jiki. A yayin raguwar glucose, danko jini baya barin kwakwalwa damar karbar adadin oxygen.
Hypoglycemia yana shafar ci gaban cututtuka kamar:
- raunin zuciya - ischemia na bugun zuciya ko bugun zuciya;
- cututtukan jijiyoyin jiki - hauhawar jini;
- bugun jini;
- gazawar koda
- cututtukan ido - cataract, glaucoma;
- wasu.
Ba haka ba ne mai wuya ba lokuta idan hypoglycemia yake haifar da rashin lafiyar kwakwalwa. Ilimin halin dan Adam ya samo asali ne daga asarar oxygen din kwakwalwa. Wataƙila haɓakar cututtukan fata, musamman a cikin marasa lafiya waɗanda suka sami mummunar nau'in cututtukan hypoglycemia ko coma.
Bidiyo masu alaƙa
Sanadin, alamu, hanyoyin da za a iya hana hypoglycemia:
Matakan da aka ambata a sama zasu taimaka wajen kawar da mummunan sakamako da kuma kula da ƙoshin lafiya. Aikin mutumin da ke dauke da cutar siga shine hana faruwar cututtukan jini. Babban iko na kamun kai zai taimaka wajan daidaita matsayin rayuwa koda da cuta irin su ciwon suga.