Hypoglycemia: ọgwụgwọ, ihe ị ga-eme iji kwụsị ọgụ, mgbochi
N'ime ahụ mmadụ ọ bụla, glucose bụ isi iyi dị mkpa nke ike.
Mgbe ọkwa ya na-ebelata, ọnọdụ dị ize ndụ na-apụta, nke ndị dọkịta na-akpọ hypoglycemia.
Ekwuru na mbelata ọbara shuga dị n'ọbara ma ọ bụrụ na edobere ya n'okpuru akara 2.8 mmol / L.
Ihe na - akpata ya na ihe mgbaàmà nke ọrịa shuga
Ọ bụghị hypoglycemia mgbe niile bụ nsonaazụ nke ọrịa shuga, nke mmadụ na-ata ahụhụ, mana ọ bụ megide nzụlite nke nsogbu endocrine a ka nsogbu ndị a na-ebikarị.
N'ọtụtụ oge, a na-eme nchọpụta ahụ nye ndị ọrịa na-arịa ụdị ọrịa shuga 1, n'ọnọdụ ndị a na-adịghị ahụkebe, nsogbu ahụ na-emetụta ndị nwere ọrịa shuga 2.
Maka ìgwè nke mbụ, ọnọdụ ahụ dị oke egwu, ebe ọ bụ na shuga nwere ike ịda nke ọma ma ozugbo ka ụkpụrụ dị oke mkpa. Otu nke abụọ na-ebu jumps dị mfe karịa, ihe ize ndụ nke ịdaba ma ọ bụ ịnwụ dị obere.
Isi ihe kpatara hypoglycemia na-ebilite megide mmalite nke ọrịa shuga bụ iji ọgwụ na-adịghị mma emebere iji mezie ọkwa shuga dị n'ọbara.
Ihe karịrị 90% ọgwụ ọgwụ dị na hypoglycemic otu na-akpali mkpụrụ ndụ beta nke pancreas, na-eme ka ha mepụta insulin. Ọ bụrụ na ị theụ ọgwụ na-ezighi ezi, oke nke homonụ ahụ ga-abawanye nke ukwuu, nke ga-eduga n'eziokwu ahụ na ọkwa glucose na plasma na-ebelata nke ukwuu.
Ihe ndị ọzọ:
- na-a alcoholụ mmanya
- ogologo oge n’etiti nri,
- n'ụzọ dị iche iche na-atọ ụtọ,
- Emegodi ihe oriri nke dibia gwara gị,
- nchịkwa insulin na-adịghị mma.
Mgbe nsogbu ọgbụgba hypoglycemic malitere, ụbụrụ na-ata ahụhụ na mbụ. Nke a nwere ike ibute ọnwụ nke mkpụrụ ndụ ya, coma, yana ọnwụ onye ọrịa.
- n'oké ikpere + na-ama jijiji mgbe niile,
- egbugbere ọnụ na ire,
- obi obi
- nchegbu a na-amaghị ama
- mgbakasị ahụ
- oke agụụ
- ike ọgwụgwụ, iro ụra na ike ọgwụgwụ nke na-apụta na mberede,
- ọsụsọ.
Ọ bụrụ na enyereghị onye ọrịa ahụ aka, ma nwee shuga ka na-ada, ọgbụgbọ, ọgbụgbọ, ọgba aghara, ihe mgbu, ọgụ nke oke iwe, mwepu nke mmụọ nwere ike ime. Mgbaàmà nwere ike ịbụ otu, ma ọ bụ enwere ọtụtụ.
Ọrịa na-adịghị ala ala na hypoglycemia: enwere njikọ
N'ihe banyere ọnya na-akpata nnukwu ọrịa, nke gụnyere ọrịa pancreatitis na-adịghị ala ala, mmadụ nwere ike ịmalite "ụdị oria 3", nke a na-akpọ pancreatogenic. Mmebi nke glucose metabolism na ọrịa dị otú a bụ nke abụọ.
Ọnọdụ nke dysfunction endocrine fọrọ nke nta ka ọ bụrụ ihe na-enweghị ike ịtụle, dị ka otu isi si kwuo, glycemia na-arịa ọrịa na 10-15% nke ndị ọrịa nwere ọrịa na-adịghị ala ala, dịka isi mmalite ndị ọzọ - na 80-90%.
Ihe ndị na-akpata ajọ ihe bụ:
- na -ebi abụba, ọgaranya carbohydrates ma ọ bụ nri eghe,
- ị alcoholụbiga mmanya ókè
- ihe ị na-eme na pancreas,
- na-ewere ụfọdụ ọgwụ ọgwụ na oge na-aga n'ihu (dịka ọmụmaatụ, corticosteroids).
Pancreatogenic ọrịa shuga mellitus nwere foto aha ya nke ọma. Na mgbakwunye na akara nke hypoglycemia, enwere ihe mgbu na mpaghara epigastric, obi mgbawa, afọ ọsịsa.
Kedu ihe ga - eme hypoglycemia?
Ọ bụrụ na mgbada shuga dị ntakịrị, ọ bụ ezuru onye ọrịa ị eatụ mmiri ọ sweetụ sweetụ, swiiti.
Simplezọ a dị mfe ma dị irè na-arụ ọrụ n'ime nkeji ole na ole. A na-eji usoro ọgwụgwọ dị otú ahụ maka ọgụ dị njọ.
Ikwusi ọnọdụ ahụ site na ọgwụ (nsogbu ndị siri ike) nwere ike ịme naanị n'okpuru nlekọta dọkịta. Agbanyeghị, ọ bụrụ na onye ọrịa ahụ adabala n'ọnọdụ dịka akpịrị, tupu ụgbọ ihe mberede abịarute, ọ nwere ike ịgba ntụtụ 40-60 ml nke glucose 40% n'ime intraven.
Withgwọ ọgwụgwọ na usoro ọgwụgwọ ndị mmadụ bụ ụzọ ụlọ iji luso hypoglycemia. Iji hụ na ọ dịghị emerụ ahụ, ọ dị mkpa iji lelee ọnọdụ bụ isi: usoro ọgwụgwọ ọzọ kwesịrị ịgbakwunye ọgwụgwọ ọgwụ maka ọrịa shuga, ọ bụghị dochie ya.
Kedu ihe enwere ike iji hypoglycemia:
- levzea n'ụdị tincture ma ọ bụ wepụpụta ya,
- galik ọhụrụ
- Jerusalem artichoke
- rosehip infusions na decoctions,
- lingonberry
- ahịhịa dị ndụ (infusions),
- St Jọn wort (infusions),
- lemongrass ọhụrụ.
Etu esi eji nri?
Erimeri kwesiri ibido mmachi nke carbohydrates na nri. Nri kwesịrị ịbụ nke pere mpe ma na-eme ugboro ugboro (ọbụlagodi ugboro ise na isii kwa ụbọchị).
Ihe oriri na ihe ọ drinksụyụ dị mma:
- ihe ọmụmụ izizi na “abụọ” efere,
- Ngwaahịa mmiri ara ehi dị obere
- nsen sie-nro
- Azụ nwere obere abụba,
- ọka, sie mmiri: brọdụ, ọka bali, ọka bali, millet, oat,
- mkpụrụ osisi na bred ọhụrụ. Ihe bara uru karịsịa bụ mkpụrụ osisi citrus (oroma, mkpụrụ osisi), yana cherị, currants, aprịkọt na ndị ọzọ,
- inine ọ bụla. Mkpa bụ naanị carrots, beets, peas na poteto,
- a ga-eri butter site na ịgbakwunye ya na nri nri,
- anụ ezi siri ike kachasị mma: toki, oke bekee, anụ ehi,
- sausages na nri nwere ike kwere, mana ha kwesịrị ịdị nwayọ dịka o kwere mee,
- ihe ọ drinksụ :ụ: ofe anụ ọhịa, ahịhịa, ihe ọ fruitụ fruitụ mkpụrụ osisi, ihe ọ juụ ,ụ sitere na inine na mkpụrụ osisi na-akọghị, obere kọfị,
- enwere ike irico ihe ato uto na obere oge, ma obu naanị ndị ejiri ya na-atọ ụtọ.
- mmanụ a honeyụ na-agbake, ma na obere ego,
- Ekwesịrị ịhọrọ achịcha ọka ma ọ bụ site na ntụ ọka nke ọkwa nke abụọ na bran.
Ngwaahịa na ọ chọrọ ka ewepu nri:
- ọgazị, ọbọgwụ, anụ ezi,
- semolina, onyinye, osikapa,
- nri ọ bụla mkpọ mkpọ, na-ata m anụ,
- mmanya
- ufuoku, achịcha achịcha, achịcha, kuki,
- jam na jam
- ice cream
- Chocolate na swiiti
- pickles na pickles,
- ọgaranya ahịhịa,
- abuba umu anumanu n’odi abuba
- azu mmanu
- mkpụrụ osisi dị ụtọ: mkpụrụ vaịn, unere, tangerines,
- ụfọdụ ụdị mkpụrụ osisi akpọnwụwo: mkpụrụ osisi, mkpụrụ vaịn, fig,
- ụlọ ahịa
- ụtọ sodas
- ezigbo shuga.
Mgbochi
Enwere naanị otu ụzọ: ịente ntị n ’akara nke ahụ gị, ọkachasị ma ọ bụrụ na ị bụ onye ọrịa mamịrị.
N'iji glucometer dị nso, ị nwere ike nyochaa ọkwa glucose n'oge ọ bụla, nke pụtara na ị ga - ewere usoro mgbochi.
Ọ dị mkpa na ị ga-eri nri, were ọgwụ dọkịta nyere gị, wee gaa nyocha niile dị mkpa n'oge. Ikwesiri ịbanye insulin n'ụzọ kwekọrọ na ntuziaka dọkịta gị nyere. N'okpuru ọnọdụ ndị a, spikes in sugar nwere ike izerekarị.
Na mgbakwunye, ịkwesịrị ịkwụsị mwakpo n'oge ọ bụla, otu ezuru iburu gị ihe dị ụtọ, ndị ọzọ chọrọ ọgwụ.
Egwuregwu vidiyo bara uru
Banyere ụzọ kachasị dị mma iji gwọọ hypoglycemia na vidiyo:
Hypoglycemia bụ ọnọdụ dị ize ndụ nke nwere ike ibute nsonaazụ dị mwute. Ọ bụrụ n ’ị na-arịa ụdị ọrịa ahụ, hụ na iwepụta mpempe akwụkwọ na ndetu gbasara ahụhụ ị na-ata, yana akwụkwọ enyemaka mbụ. Ikekwe otu ụbọchị ọ ga - azọpụta ndụ gị.
- Na-akwadokwa ọkwa shuga ruo ogologo oge
- Weghachi weghachi ọgwụ insulin
Mụtakwuo. Ọ bụghị ọgwụ. ->
Ofdị iweda shuga dị ala
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Na ọgwụ, a na-amata ụdị hypoglycemia abụọ:
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- na-ebu ọnụ, ya bụ, ibili n’afọ na-enweghị afọ,
- hypoglycemia mgbe ị risịrị nri.
A na-ewere oke hypoglycemia dị njọ karịa ọgwụgwọ. N'ọnọdụ nke mbuso agha hypoglycemia, inye ọgwụ ngwa-ngwa na nlekọta ahụike chọrọ.
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Mgbe ị na-eme nchọpụta nchọpụta ọdịiche na-achọpụta ihe kpatara hypoglycemic syndrome, a na-enye usoro ọgwụgwọ dị mgbagwoju anya.
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Ibu oria hypoglycemia bu nke ana ekpebisi ike site na nnwale shuga mgbe o busesịrị ugbede asatọ, yana mgbe abali iri nri di iche. Ebe ọ bụ na ọ dabere na mmụba nke insulin n'ime ọbara, a na-akpọkwa ya insulin hypoglycemia.
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A na-ekpebikarị ụdị hypoglycemia ọzọ na ụmụ nwanyị nke ọrịa asthenic, 2-3 awa mgbe ha risịrị nri. Ole shuga na-ebili ngwa ngwa mgbe obere ọdịda gasịrị. Ekwenyela mmebi iwu site na ịnara ọbara maka shuga n'oge ọgụ.
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Otu ụdị hypoglycemia nwere ike ime n'ụdị dị nfe na nke siri ike.
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Na-ebelata hypoglycemia dị nro
Maka ọgwụgwọ nke ụdị ọrịa ahụ, dịka iwu, a na-eji carbohydrates digestible:
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- ngwaahịa nwere mkpụrụ osisi fructose ma ọ bụ nke agịga,
- chọkọleti chọkọleti
- mmanụ a honeyụ, ngwaahịa akeepingụ,
- achịcha ọcha.
Ọzọkwa, usoro ndị dị otú ahụ enweghị ike ịtụle nke zuru oke ma nwee olileanya maka enyemaka ha mgbe niile. Mwakpo nwere ike bụrụ ihe siri ike ma na-enweghị ike nchịkwa.
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Nkwụsị hypoglycemia siri ike
Mgbaàmà nke ụdị ọrịa ahụ gosipụtara onwe ya na ọfụma n'ụzọ doro anya na mgbaàmà ndị a:
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- mgbagwoju anya nke nsụhọ, ikwu okwu na ịhazi ọnụ,
- Ọnọdụ na-ama jijiji, nsị akwara,
- ịkụda mmụọ, ruo coma.
Enyemaka ọgwụ mbụ bụ iji 50 ml nke ihe glucose 40%, nke a ga-enye ozugbo enwere ike.
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Nhọrọ nke abuo bu inyere gi aka igba Glucagon, nke ozo di na insulin.
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Mgbe onye ọrịa laghachiri na mmụọ, ọ dị mkpa inye ya nri nwere nnukwu ọdịnaya nke carbohydrates, n'obere akụkụ yana obere oge n'etiti usoro doses.
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Ihe ị ga-eme n'ọnọdụ ndị gabigara ókè?
Kedụ ka esi agwọ hypoglycemia ma ọ bụrụ na mmadụ enwetaghị mmachi?
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N'okwu a, dọkịta na-ahụ maka ịga na-amalite usoro ọgwụgwọ hypoglycemia siri ike na usoro nhazigharị ndị a:
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- Ruo ọtụtụ ụbọchị, a na-agbakwunye ngwakọta glucose ise n'ime mgbakwunye na mgbakwunye nke ngwọta prednisolone.
- A na-edozi nkwadebe cocarboxylase.
- Ihe ewebata 5% nke ascorbic acid na-abawanye ọkwa glucose.
- Jiri adrenaline mee subcutaneously tupu irite glucose ọ bụla.
Site na mmụba nke ọkwa shuga dị elu karịa 12 mmol / l, a na-amalite itinye insulin obere.
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Ọ bụrụ na mmadụ abịaghị onwe ya ruo ogologo oge, ọ dị mkpa igbochi ụbụrụ ụbụrụ.
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Maka nke a, a na-eji ọgwụ ndị a:
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- osiso mannitol
- Ọgwụ Lasix
- magnesium sulfate,
- ngwọta prednisone
- inha ikuku oxygen.
Mgbe Coma kwụsịrị, were iji meziwanye metabolism na sel nke Central ụjọ usoro:
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- acid glutamic
- Stugeron
- Aminalon
- Cerebrolysin
- Cavinton.
A na-arụ ọgwụgwọ idozi otu ọnwa.
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Ọgwụ: mbadamba na gels
Ejiri mbadamba na gels ndị a na-esote iji kwụsị hypoglycemia ngwa ngwa n'ụlọ:
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- Blisters na mbadamba nkume Girofri, nke ọ bụla nwere 4 g. dextrose (glucose).
- Fastrose n'ụdị mbadamba, 4 g. Mbadamba nkume dị nro dị mfe ịta, detụ ire.
- Dextro 4 mbadamba na gel, nke mejupụtara glucose D-glu dị ọcha, nwere usoro a na-eme ngwa ngwa ozugbo n'ọnụ.
A na-eji ndị na-akwụsị ihe dị ka mmanụ na-enyere ndị na-amaghị onwe ha aka.
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Candị ọgwụ a nwere ike ịbanye n’ime goms ma ọ bụ tinye ya n’etiti ezé. Gel na-agbaze nke ọma n'ọnụ.
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Ọrịa ọgbụgba na obere glucose
Nchọpụta dị iche iche nke hypoglycemia bụ nkewapụ nke ọrịa a na ọtụtụ ọrịa ndị ọzọ nke usoro endocrine.
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Ihe gbasara ọghọm na ịkọwapụta mgbake na-adabere na usoro ziri ezi nke nchọpụta nchọpụta bụ isi.
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A na-ahụ ụzọ ihe ndị a dị mkpa, nke na-eduga n'ọbara hypoglycemic:
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- etuto nke agwaetiti nke Langerhans,
- pathologies nke imeju, congenital na enwetara,
- iweda okpukpo ọbara n’ime ụmụ nwanyị dị ime,
- gbasara akwara
- mmalite nke ọrịa shuga
- mmanya ma ọ bụ ihe ọ ,ụ foodụ nri,
- ihe ogwugwo n’ubi nke igha ahihia.
N'iji usoro ichota ozi banyere onye ọrịa, a nwekwara ike ikpebi ihe ndị a na-emetụta hypoglycemic index:
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- nrụgide
- neurosis
- nsogbu uche.
Na mgbakwunye na akụkọ banyere ahụike, dọkịta maka nchọpụta nchọpụta ọdịiche ga-achọ data ultrasound nke akụkụ dị n'ime ya, yana nyocha kemịkalụ ogologo oge ọbara ọbara onye ọrịa.
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Dabere na nsonaazụ nyocha ndị a, ị nwere ike ịkọpụta ọgwụgwọ zuru oke maka ọrịa na-akpata, nke na-eduga n'ọbara shuga.
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Ọgwụgwọ hypoglycemia na-ebu ọnụ
A na-edozi ụdị ọrịa a site na mmụba nke carbohydrates na nri. Ọgwụ, ndị na - egbochi insulin, dị ka Dilatin na Anaprilin, na-arụ ezigbo ọrụ nke a.
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Kama ha na - ewepụ ụfọdụ ihe mgbaàmà nke ọnọdụ glucose ọbara dị ala, ebe ọ dị mkpa ilebara ihe kpatara ya.
Gwọ shuga dị ala n’ime ụmụ amụrụ ọhụrụ
Nlekọta izizi maka ụmụ amụrụ ọhụrụ nwere hypoglycemia bụ njikọta ọgbụgba nke ọgwụgwọ glucose.
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Ọ bụrụ na nlọghachi na syndrome nke shuga dị ala mere, mgbe ahụ ha nwere ike ịmalite iji hydrocortisone, nke a na-agbakọ site na ibu. A na-eji ya awa anọ ọ bụla.
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Site na usoro ọgwụgwọ dị mma, a na-agwọ ọnọdụ na-adịghị njọ nke ụmụ amụrụ ọhụrụ n'ime izu 1 mgbe amuchara nwa, ebe ọ bụ na ka ọ dị ugbu a, ngwa insulin bụ ihe nkịtị.
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Ule ndi choro?
Nchọpụta ziri ezi chọrọ nsonaazụ nke ọtụtụ nyocha:
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- nnwale na insulin hypoglycemia,
- ule nyocha nke ihe ọmụmụ
- urinalysis.
Isi ihe iji chọpụta ogo ọrịa ahụ bụ nyocha nke nyocha na insulin hypoglycemia. Nke a bụ nnwale pụrụ iche, nke gụnyere itinye ntinye insulin nke onye ọrịa ahụ, ma, mgbe ọ ruru ogo hypoglycemic nke 2.2 mmol / L, a na-anwale ọbara maka cortisol.
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Ọ bụrụ na ego nke cortisol erughị 540 nmol / l, mgbe ahụ ka egosipụtara na hypoglycemia bụ eziokwu.
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Nnwale ahụ chọrọ nlekọta pụrụ iche site n'aka ndị ọrụ ahụike, onye ọrịa nọ n'ụlọ ọgwụ n'okpuru nlekọta nke ndị dọkịta ụbọchị niile mgbe ule ahụ gasịrị.
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Integratedzọ ejikọtara na hypoglycemia
Onye ọrịa chọpụtara hypoglycemia kwesịrị ịgoụ usoro ọgwụgwọ ndị a:
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- ọgwụ mweghachi,
- ahụike gwọọgị
- nri nke nwere protein protein na carbohydrates,
- ogwu ogwu.
Enyemaka dị mma n'ọgụ megide hyperglycemia tincture nke leuzea, akwụkwọ nke lemongrass. Ngwunye Rosehip ga-eme ka okpueze bulie elu, kamakwa ịgbakwunye vitamin C na nke dị mkpa.
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Nwere ike ịgwọ hypoglycemia ruo mgbe ebighị ebi? Enwere ike idozi steeti ọbara ọbara dị elu n'ụdị dị nwayọ ma debe ya na usoro glucose na dextrose.
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Formsdị siri ike chọrọ nleba anya mgbe niile. A na-eme ka mkpochapu ha dị mma site na ọgwụgwọ ịga nke ọma nke ọrịa na-akpata, nke bụ ihe kpatara ọnọdụ hypoglycemic steeti.