Zvinodhaka-zvinokonzerwa yakaderera ropa shuga

Zvinodhaka-zvinokonzerwa neshuga yeropa yakaderera ishuga yeropa yakadzika inoguma nekutora mushonga.

Shuga yeropa yakaderera (hypoglycemia) yakajairika kune vanhu vane chirwere cheshuga vari kutora insulin kana mimwe mishonga kudzora chirwere cheshuga.

Zvimwe kunze kwemimwe mishonga, zvinotevera zvinogona zvakare kukonzera shuga yeropa (glucose) danho kudonha:

• Kunwa doro
• Kuwana zvimwe zviitiko kupfuura zvakajairwa
• Nechinangwa kana kusaziva kuita ovhosi pamishonga inoshandiswa kurapa chirwere cheshuga
• Kudya kusipo

Kunyangwe kana chirwere cheshuga chikachengetedzwa zvakanyatsonaka, mishonga inoshandiswa kurapa chirwere cheshuga inogona kukonzera shuga-yakakonzerwa neshuga yeropa. Mamiriro acho anogona kuitikawo kana mumwe munhu asina chirwere cheshuga achitora mushonga unoshandiswa kurapa chirwere cheshuga. Mune zvisingawanzoitika zviitiko, isiri-chirwere cheshuga-inosangana mishonga inogona kukonzera yakaderera ropa shuga.

Mishonga inogona kukonzera zvinodhaka-zvinokonzerwa neshuga yeropa inosanganisira:

• Beta-blockers (senge atenolol, kana propanolol kudarika)
• Cibenzoline uye quinidine (moyo arrhythmia zvinodhaka)
• Indomethacin (inoderedza marwadzo)
• Insulin
• Metformin painoshandiswa ne sulfonylureas
• SGLT2 inhibitors (senge dapagliflozin uye empagliflozin) ine kana isina sulfonylureas
• Sulfonylureas (senge glipizide, glimepiride, glyburide)
• Thiazolidinediones (senge pioglitazone uye rosiglitazone) painoshandiswa ne sulfonylureas
• Mishonga inorwisa hutachiona (senge gatifloxacin, pentamadine, quinine, trimethoprim-sulfamethoxazole)

Hypoglycemia - inokanganisa zvinodhaka; Yakaderera ropa glucose - zvinodhaka-zvinokonzereswa

• Kudya uye insulin kusunungurwa

Kuchema PE. Glycemic zvinangwa mune chirwere cheshuga: kutengeserana pakati peglycemic control uye iatrogenic hypoglycemia. Chirwere cheshuga. 2014; 63 (7): 2188-2195. PMID: 24962915 www.ncbi.nlm.nih.gov/pubmed/24962915.

Gale EAM, Anderson JV. Chirwere cheshuga mellitus. Mune: Kumar P, Clark M, eds. Kumar uye Clarke's Clinical Medicine. 9th ed. Philadelphia, PA: Elsevier; 2017: chitsiko 27.