Shuga shoma yeropa

Shuga yeropa yakaderera chiitiko chinoitika kana shuga yemuviri (glucose) yemuviri yadzikira uye yakanyanya kuderera.

Shuga yeropa pazasi pe 70 mg / dL (3.9 mmol / L) inoonekwa yakaderera. Ropa shuga kana pazasi peiyi nhanho inogona kukuvadza.

Zita rekurapa rehuga yakaderera muropa ndeye hypoglycemia.

Insulin ihormone inogadzirwa nerwatata. Insulin inodikanwa kufambisa glucose mumasero umo inochengeterwa kana kushandiswa kwesimba. Pasina insulini yakakwana, glucose inovakwa muropa pane kupinda mumasero. Izvi zvinotungamira kuzviratidzo zveshuga.

Shuga yeropa yakaderera inoitika nekuda kwechero ipi inotevera:

• Shuga yemuviri wako (glucose) inoshandiswa kumusoro nekukurumidza
• Kugadzirwa kweglucose nemuviri kwakaderera zvakanyanya kana kunosunungurwa muropa zvishoma nezvishoma
• Yakawandisa insulin iri muropa

Shuga yeropa yakaderera yakajairika kune vanhu vane chirwere cheshuga vari kutora insulin kana mimwewo mishonga kudzora chirwere cheshuga. Nekudaro, mimwe mimwe mishonga yeshuga haikonzere shuga yakadzika muropa.

Kurovedza muviri kunogona zvakare kutungamira kune yakaderera ropa shuga mukati mevanhu vanotora insulin kurapa chirwere cheshuga.

Vacheche vanozvarwa naamai vane chirwere cheshuga vanogona kuve nemadonhwe akakomba mushuga yeropa vachangoberekwa.

Mune vanhu vasina chirwere cheshuga, shuga shoma yeropa inogona kukonzerwa ne:

• Kunwa doro
• Insulinoma, rinova bundu risinganzwisisike mupancreas rinogadzira yakawandisa insulin
• Kushaikwa kwehormone, senge cortisol, kukura hormone, kana thyroid kemikari
• Yakasimba moyo, itsvo, kana chiropa kutadza
• Utachiona hunokanganisa muviri wese (sepsis)
• Dzimwe mhando dzekuremerwa-kurasikirwa nekuvhiyiwa (kazhinji makore mashanu kana anopfuura mushure mekuvhiyiwa)
• Mishonga isiri kushandiswa kurapa chirwere cheshuga (mamwe maantibhakitiriya kana madhiragi emwoyo)

Zviratidzo zvaungave nazvo kana shuga yako yeropa ikadzika zvakanyanya inosanganisira:

• Kuona kaviri kana kuona kwakashata
• Kurumidza kana kurova kurova kwemoyo
• Kunzwa kupenga kana kuita zvehasha
• Kunzwa kutya
• Kutemwa nemusoro
• Nzara
• Kufenda
• Kubvunda kana kubvunda
• Kudikitira
• Kuchenesa kana kuti chiveve cheganda
• Kuneta kana kushaya simba
• Kunetseka kurara
• Kufunga kusina kujeka

Muvanhu vazhinji vane chirwere cheshuga, shuga shoma yeropa inokonzeresa izvo zvakafanana zviratidzo nguva dzese pazvinoitika. Haasi munhu wese anonzwa akadzika shuga mashuga zviratidzo nenzira imwecheteyo.

Zvimwe zviratidzo, senzara kana dikita, zvinoitika kana shuga yeropa ichingori yakaderera zvishoma. Zvimwe zviratidzo zvakakomba, senge kufunga kusinganzwisisike kana kubatwa, kunoitika kana shuga yeropa yakadzika kwazvo (isingasvike 40 mg / dL kana 2.2 mmol / L).

Kunyangwe iwe usina zviratidzo, shuga yako yeropa inogona kunge ichiderera zvakanyanya (inonzi hypoglycemic unawareness). Iwe unogona kusatomboziva iwe une yakaderera ropa shuga kusvikira wafenda, kubatwa, kana kuenda mukuenda pakoma. Kana iwe uine chirwere cheshuga, bvunza wako mupi wezvehutano kana kupfeka inoenderera yeglucose yekutarisa kunogona kukubatsira iwe kuona kana shuga yako yeropa iri kudzikira zvakanyanya kuti ubatsire kudzivirira emergency kwekurapa. Vamwe vanoramba vachiongorora glucose vanogona kukunyevera iwe nevamwe vanhu vaunosarudza kana shuga yako yeropa yadzikira pazasi peyakaiswa seti.

Kana iwe uine chirwere cheshuga, kuchengetedza kwakanaka kweshuga yako yeropa kunogona kubatsira kudzivirira yakaderera ropa shuga. Taura nemupi wako kana usina chokwadi nezvezvinokonzera uye zviratidzo zveshuga muropa.

Paunenge uine shuga shoma yeropa, kuverenga kwacho kuchadzikira kupfuura 70 mg / dL (3.9 mmol / L) pane yako glucose yekutarisa.

Mupiki wako anogona kukukumbira kuti upfeke kacheche kadiki kanoyera shuga yako yeropa yega yega maminetsi mashanu (inoenderera glucose glucose). Chigadzirwa chacho chinowanzopfekwa kwemazuva matatu kana manomwe. Iyo data inotorwa kuti uone kana iwe uine nguva dzeshuga yakaderera muropa iyo iri kuenda isingazivikanwe.

Kana iwe ukatambirwa kuchipatara, uchave uine sampuli dzeropa dzakatorwa kubva mutsinga yako kuenda ku:

• Edza huwandu hweshuga yeropa rako
• Ziva chinokonzeresa chako cheshuga yeropa yakaderera (bvunzo idzi dzinofanirwa kuve dzakatariswa nguva zvine chekuita neshuga yeropa yakadzika kuti uwane kunyatso kuongororwa)

Chinangwa chekurapa ndechekugadzirisa yako yakaderera ropa shuga pashuga. Izvo zvakakoshawo kuyedza uye kuona chikonzero nei iyo shuga yeropa yaive yakaderera kudzivirira imwe yakaderera yeropa episode kubva pakuitika.

Kana iwe uine chirwere cheshuga, zvakakosha kuti mupi wako akudzidzise maitiro ekuzvibata iwe kune yakaderera ropa shuga. Kurapa kunogona kusanganisira:

• Kunwa muto
• Kudya chikafu
• Kutora mahwendefa eglucose

Kana iwe unogona kunge wakaudzwa kuti uzvipe iwe pfuti yeglucagon. Uyu ndiwo mushonga unomutsa shuga yeropa.

Kana shuga yakaderera muropa ichikonzerwa ne insulinoma, kuvhiyiwa kubvisa bundu kunokurudzirwa.

Yakanyanya yakaderera shuga yeropa chirwere chekukurumidzira. Inogona kukonzera pfari uye kukuvara kwehuropi. Shuga yakadzika yeropa inokonzeresa kuti ufende inonzi hypoglycemic kana insulin kuvhunduka.

Kunyangwe chimwe chiitiko cheshuga yakadzika yeropa inogona kuita kuti zvive zvishoma kuti iwe uve nezviratidzo zvinokutendera kuti uone imwe chikamu cheshuga yeropa yakaderera. Zvikamu zveshuga yakadzika yeropa zvinogona kuita kuti vanhu vatye kutora insulin sekurairwa nemupi wavo.

Kana zviratidzo zveshuga yakadzika muropa zvikasavandudzika mushure mekunge wadya chikafu chine shuga:

• Tora kukwira kuenda kuimba yekukurumidzira. Usazvifambisa.
• Fonera yemuno emergency emergency number (se911)

Wana rubatsiro rwechiremba ipapo ipapo kune munhu ane chirwere cheshuga kana shuga shoma yeropa uyo:

• Anova mashoma kusvinura
• Haugone kumutswa

Hypoglycemia; Insulin kuvhunduka; Insulin reaction; Chirwere cheshuga - hypoglycemia

• Kudya uye insulin kusunungurwa
• 15/15 kutonga
• Zviratidzo zveshuga zveropa

American Chirwere cheshuga Association. 6. Zvinangwa zveGlycemic: zviyero zvekurapwa mune cheshuga-2020. Chirwere cheshuga. 2020; 43 (Chishandiswa 1): S66-S76. PMID: 31862749 pubmed.ncbi.nlm.nih.gov/31862749/.

Kurira PE, Arbeláez AM. Hypoglycemia. Mune: Melmed S, Auchus, RJ, Goldfine AB, Koenig RJ, Rosen CJ, eds. Williams Chinyorwa cheEndocrinology. 14th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 38.