Iswekile esezantsi yegazi

Iswekile esezantsi yegazi yimeko eyenzeka xa iswekile yegazi lomzimba (iswekile) incipha kwaye iphantsi kakhulu.

Iswekile yegazi engaphantsi kwe-70 mg / dL (3.9 mmol / L) ithathwa njengephantsi. Iswekile yegazi kwinqanaba elingaphantsi okanye elingaphantsi kweli inokuba yingozi.

Igama lonyango leswekile esezantsi yegazi yi-hypoglycemia.

I-insulin yincindi yedlala eyenziwa yipancreas. I-insulin iyafuneka ukuhambisa iswekile kwiiseli apho igcinwe khona okanye isetyenziselwa amandla. Ngaphandle kwe-insulin eyaneleyo, iswekile iyanda egazini endaweni yokungena kwiiseli. Oku kukhokelela kwiimpawu zeswekile.

Iswekile esezantsi yegazi yenzeka ngenxa yezi zinto zilandelayo:

• Iswekile yomzimba wakho (iswekile) isetyenziswa ngokukhawuleza okukhulu
• Imveliso yeglucose ngumzimba iphantsi kakhulu okanye ikhutshelwa kwigazi ngokuthe chu
• Ininzi i-insulin egazini

Iswekile esezantsi yegazi ixhaphakile kubantu abanesifo seswekile abathatha i-insulin okanye amanye amayeza ukulawula isifo seswekile. Nangona kunjalo, uninzi lwamayeza eswekile awabangeli iswekile esezantsi yegazi.

Ukuzivocavoca kunokukhokelela kwiswekile esezantsi yegazi ebantwini abathatha i-insulin ukunyanga isifo seswekile.

Iintsana ezizalwe ngoomama abanesifo seswekile zinokuba nokwehla okumandla kwiswekile yegazi kanye emva kokuzalwa.

Kubantu abangenaso isifo seswekile, iswekile esezantsi yegazi inokubangelwa:

• Ukusela utywala
• I-Insulinoma, isisu esinqabileyo kwi-pancreas evelisa i-insulin eninzi
• Ukunqongophala kwehomoni, njenge-cortisol, ukukhula kwehomoni, okanye ihomoni yedlala lengqula
• Intliziyo ebukhali, izintso, okanye ukusilela kwesibindi
• Usulelo oluchaphazela umzimba wonke (sepsis)
• Ezinye iintlobo zotyando lokulahleka kobunzima (ngesiqhelo iminyaka emi-5 okanye nangaphezulu emva kotyando)
• Amayeza angasetyenziswanga ukunyanga isifo seswekile (ii-antibiotics ezithile okanye iziyobisi zentliziyo)

Iimpawu onokuba nazo xa iswekile yegazi lakho iphantsi kakhulu zibandakanya:

• Umbono ophindwe kabini okanye umbono ophazamisayo
• Ukukhawuleza okanye ukubetha kwentliziyo
• Ndiziva ndinyabile okanye ndlongondlongo
• Ndiziva ndisoyika
• Intloko ebuhlungu
• Indlala
• Ukuxhuzula
• Ukungcangcazela okanye ukungcangcazela
• Ukubila
• Ukuncipha okanye ukuba ndindisholo kolusu
• Ukudinwa okanye ukuba buthathaka
• Ingxaki yokulala
• Ukucinga okungacacanga

Kubantu abaninzi abanesifo seswekile, iswekile esezantsi yegazi ibangela iimpawu ezifanayo ngalo lonke ixesha kusenzeka. Ayinguye wonke umntu oziva eswekile yegazi ephantsi ngendlela efanayo.

Ezinye iimpawu, njengokulamba okanye ukubila, zenzeka xa iswekile esegazini iphantsi kancinci. Iimpawu ezibi kakhulu, njengokucinga okungacacanga okanye ukubanjwa, kwenzeka xa iswekile yegazi isezantsi kakhulu (ngaphantsi kwe-40 mg / dL okanye i-2.2 mmol / L).

Nokuba awunazo iimpawu, iswekile yegazi lakho isengaphantsi kakhulu (ibizwa ngokuba kukungazi kakuhle ngehypoglycemic). Usenokungazi nokuba uneswekile esezantsi yegazi de uphelelwe ngamandla, uxhuzule, okanye ungene isiqaqa. Ukuba unesifo seswekile, buza umboneleli wakho wezempilo ukuba ukunxiba esweni iswekile engagungqiyo kunokukunceda ubone xa iswekile yegazi lakho isezantsi kakhulu ukunceda ukuthintela imeko kaxakeka kwezonyango. Abanye abagadi beglucose abaqhubekayo banokukuxwayisa kunye nabanye abantu obachazayo xa iswekile yegazi lakho incipha ngaphantsi kwenqanaba elimiselweyo.

Ukuba unesifo seswekile, ukugcina ulawulo lweswekile yegazi kunokunceda ukuthintela iswekile esezantsi yegazi. Thetha nomboneleli wakho ukuba awuqinisekanga ngezizathu kunye neempawu zeswekile esezantsi yegazi.

Xa uneswekile esezantsi yegazi, ukufundwa kuya kuba sezantsi kune-70 mg / dL (3.9 mmol / L) kwisiliso sakho seglucose.

Umboneleli wakho unokucela ukuba unxibe esweni esincinci esilinganisela iswekile yakho yegazi rhoqo kwimizuzu emi-5 (esweni iswekile eqhubekayo). Isixhobo sihlala sinxitywa kangangeentsuku ezi-3 okanye ezisi-7. Idatha iyakhutshelwa ukufumanisa ukuba unamaxesha eswekile esezantsi yegazi engabonakaliyo.

Ukuba ungeniswe esibhedlele, uya kuba neesampuli zegazi ezithathwe kumthambo wakho ukuya:

• Linganisa inqanaba leswekile yegazi
• Ukuchonga unobangela weswekile esezantsi yegazi (ezi mvavanyo kufuneka zenziwe ixesha ngononophelo ngokunxulumene neswekile esezantsi yegazi ukwenza uxilongo oluchanekileyo)

Injongo yonyango kukulungisa inqanaba leswekile esezantsi yegazi. Kubalulekile ukuba uzame ukuchonga isizathu sokuba iswekile esezantsi isezantsi ukuthintela esinye isiqendu seswekile esezantsi ukuba singenzeki.

Ukuba unesifo seswekile, kubalulekile ukuba umboneleli wakho akufundise indlela yokuzinyanga ngokwakho kwiswekile esezantsi yegazi. Unyango lunokubandakanya:

• Ukusela ijusi
• Ukutya ukutya
• Ukuthatha iipilisi zeswekile

Okanye usenokuba uxelelwe ukuba uzinike ifoto yeglucagon. Eli liyeza eliphakamisa iswekile yegazi.

Ukuba iswekile esezantsi yegazi ibangelwa yi-insulinoma, kuya kucetyiswa utyando lokususa ithumba.

Iswekile esezantsi yegazi yimeko engxamisekileyo yezonyango. Ingabangela ukuxhuzula kunye nokonakala kwengqondo. Iswekile esezantsi yegazi ebangela ukuba ungabikho zingqondweni ibizwa ngokuba yi-hypoglycemic okanye i-insulin shock.

Nokuba isiqephu esinye seswekile esezantsi yegazi singenza kungabi lula ukuba ube neempawu ezikuvumela ukuba uqaphele esinye isiqendu seswekile esezantsi yegazi. Iziqendu zeswekile esezantsi yegazi zinokwenza abantu boyike ukuthatha i-insulin njengoko kumiselwe ngumboneleli wabo.

Ukuba iimpawu zeswekile esezantsi yegazi aziphucukanga emva kokuba utye i-snack eneswekile:

• Khwela uye kwigumbi likaxakeka. Musa ukuziqhuba.
• Fowunela inombolo yongxamiseko yendawo (enje nge-911)

Fumana uncedo lwezonyango kwangoko kumntu onesifo seswekile okanye iswekile esezantsi yegazi:

• Uba ngumlindi omncinci
• Awunakuvuswa

Hypoglycemia; Ukutshatyalaliswa kwe-insulin; Ukuphendula kwe-insulin; Seswekile - hypoglycemia

• Ukutya kunye nokukhutshwa kwe-insulin
• 15/15 umthetho
• Iimpawu zeswekile esezantsi yegazi

Umbutho weSwekile yaseMelika. 6. Iithagethi zenyango: imigangatho yokhathalelo lonyango kwisifo seswekile-2020. Unonophelo lweSwekile. 2020; 43 (iSuppl 1): S66-S76. IINKCUKACHA: 31862749 pubmed.ncbi.nlm.nih.gov/31862749/.

I-Cryer PE, uArbeláez AM. Hypoglycemia. Ku: UMelmed S, uAuchus, RJ, uGoldfine AB, uKoenig RJ, uRosen CJ, ii-eds. Incwadi ebhaliweyo kaWilliam ye-Endocrinology. Umhla we-14. IPhiladelphia, PA: Elsevier; 2020: isahluko 38.