Ko Glucagon Inoshanda Sei Kurapa Hypoglycemia? Chokwadi uye Matipi

Zvemukati

• Mashandiro anoita glucagon
• Glucagon uye insulin: Ndeupi kubatana?
• Mhando dzeglucagon
• Rini jekiseni glucagon
• Maitiro jekiseni glucagon
• Glucagon dosing
• Zvimwe zvinokanganisa glucagon
• Mushure mekupa glucagon
• Kurapa yakaderera ropa shuga kana glucagon isingadiwe
• Kutora

Mhedziso

Kana iwe kana mumwe munhu waunoziva ane chirwere cheshuga cheshuga, ungangove uine ruzivo neshuga yeropa shoma, kana hypoglycemia. Kudikitira, kuvhiringidzika, dzungu, uye nzara yakanyanyisa zvimwe zvezviratidzo nezviratidzo zvinoitika apo shuga yeropa inodonha pasi pe70 mg / dL (4 mmol / L)

Kazhinji yenguva, munhu ane chirwere cheshuga anokwanisa kuzvibatira yega shuga muropa. Nekudaro, kana ikasarapwa nekukasira, shuga yakaderera muropa inogona kuve emergency yechipatara.

Hypoglycemia inoonekwa seyakakomba apo shuga yeropa remunhu inodonha zvakanyanya zvekuti vanoda rubatsiro kubva kune mumwe munhu kuti avabatsire kupora. Izvi zvinogona kusanganisira kushandisa mushonga unonzi glucagon.

Mashandiro anoita glucagon

Chiropa chako chinochengeta imwe glucose mumuviri wako kuitira mamiriro ezvinhu apo shuga yeropa inodonha zvakanyanya. Uropi hwako hunovimba neshuga yesimba, saka zvakakosha kuti sosi yesimba iyi iitwe kuti iwanikwe nekukurumidza.

Glucagon ihormone inogadzirwa mupancreas. Mune munhu ane chirwere cheshuga, glucagon yechisikigo haishande nemazvo. Glucagon mishonga inogona kubatsira kukonzera chiropa kuburitsa yakachengetwa glucose.

Kana chiropa chako chaburitsa glucose yaakachengeta, mashuga eropa rako anokurumidza kusimuka.

Kana iwe uine rudzi rwekutanga chirwere cheshuga, chiremba wako anogona kukurudzira kuti iwe utenge gucagon kit kana paine chiitiko cheshuga yakadzika yeropa. Kana mumwe munhu akasangana neshuga yakadzika yeropa, ivo vanoda mumwe munhu kuti avape glucagon.

Glucagon uye insulin: Ndeupi kubatana?

Mune munhu asina chirwere cheshuga, mahormone insulin uye glucagon anoshanda pamwechete kuti agadzirise huwandu hweshuga yeropa. Insulin inoshanda kudzikisa shuga yeropa uye glucagon inokonzeresa chiropa kuburitsa shuga yakachengetwa kukwidza huwandu hweshuga yeropa. Mune munhu asina chirwere cheshuga, insulin kuburitswa inomirawo kana shuga yeropa ichidonha.

Mune munhu ane chirwere cheshuga cheshuga, maseru anogadzira insulin mumuviri anokuvara, saka insulin inofanirwa kubayiwa jekiseni uchishandisa tsono kana pombi ye insulin. Rimwe dambudziko muType 1 chirwere cheshuga ndechekuti mukati, shuga shoma yeropa haina kukonzera kuburitswa kwakakwana kweglucagon kukwidza huwandu hweshuga yeropa mune yakajairwa renji.

Ndosaka glucagon inowanikwa semushonga wekubatsira mune zvakakomba hypoglycemia, kana munhu asingakwanise kuzvirapa. Mishonga yeglucagon inokonzeresa kuburitswa kweshuga kubva muchiropa kuti iwedzere huwandu hweshuga yeropa, sekungofanirwa kuita kwehormone chaiyo.

Mhando dzeglucagon

Ikozvino pane maviri marudzi ejekiseni yeglucagon mishonga inowanikwa muUnited States. Izvi zvinongowanikwa chete nemushonga:

• GlucaGen HypoKit
• Glucagon Emergency Kit

Muna Chikunguru 2019, iyo FDA yakabvumidza glucagon nasal powder inonzi. Ndiyo chete fomu yeglucagon inowanikwa yekurapa zvakanyanya hypoglycemia isingade jekiseni. Inongowanikwa chete nemushonga.

Kana iwe uine glucagon mishonga, ita shuwa yekugara uchitarisa zuva rekupera. Glucagon yakanaka kwemwedzi makumi maviri nemana mushure mezuva rekugadzirwa. Glucagon inofanirwa kuchengetwa pane tembiricha yemukati, kure nemwenje wakananga.

Rini jekiseni glucagon

Kana munhu ane type 1 chirwere cheshuga asingakwanise kurapa yavo yega shuga shoma yeropa, vangangoda glucagon. Mushonga unogona kushandiswa kana munhu ari:

• kwete kupindura
• asingazivi
• kuramba kunwa kana kumedza sosi yetsvigiri nemuromo

Usambozama kumanikidza munhu kuti adye kana kunwa sosi yetsvigiri nekuti munhu anogona kudzipwa. Kana iwe usina chokwadi chekushandisa glucagon, ziva kuti hazvigoneke kuti munhu awedzere glucagon. Muzhinji, kana iwe usina chokwadi, zviri nani kuzvipa.

Maitiro jekiseni glucagon

Kana munhu ari kusangana nechakanyanya hypoglycemic episode, fonera 911 kana yako yemuno nhare yekukurumidzira rubatsiro rwekurapa ipapo.

Kurapa zvakakomba hypoglycemia uchishandisa glucagon kit, tevera nhanho idzi:

1. Vhura iyo glucagon kit. Inenge iine sirinji (tsono) yakazadzwa nemvura ine munyu uye bhotoro diki rehupfu.Tsono yacho ichava nechokudzivirira pamusoro payo.
2. Bvisa chivharo kubva muhombodo yeupfu.
3. Bvisa tsono inodzivirira pamusoro uye pusha tsono nzira yose kupinda bhodhoro.
4. Pushai zvese zvine munyu mvura kubva mutsono muchiya muhombodo yeupfu.
5. Zvinyoro nyorovera bhodhoro kusvikira iyo glucagon poda yanyungudika uye mvura yacho yajeka.
6. Tevedza rairo yekuteedzera pane kititi kuti utore iyo chaiyo huwandu hweiyo glucagon musanganiswa mune tsono.
7. Baya glucagon mukati mekunze kwepakati pechidya, ruoko rwepamusoro, kana garo. Zvakanaka kubaya nemucheka.
8. Tenderedza munhu kudivi ravo, uchiisa mabvi avo epamusoro pakona (sekunge vari kumhanya) kuti uvadzikamise. Izvi zvinozivikanwawo se "nzvimbo yekudzoreredza."

Usambofa wakapa munhu glucagon nemuromo nekuti hazvishande.

Glucagon dosing

Kune ese maviri marudzi ejekiseni glucagon ndiyo iri:

• 0.5 mL yeglucagon mhinduro yevana makore mashanu uye vadiki, kana vana vanorema isingasvike 44 lbs.
• 1 mL glucagon mhinduro, inova izere zvirimo muglucagon kit, yevana vane makore matanhatu zvichikwira uye vakuru

Iyo yechipfu poda fomu yeglucagon inouya mune imwechete yekushandisa dosi ye3 mg.

Zvimwe zvinokanganisa glucagon

Iyo mhedzisiro mhedzisiro yeglucagon inowanzo kuve diki. Vamwe vanhu vanogona kusangana nekusvotwa kana kurutsa mushure mekushandisa injectable glucagon.

Ramba uchifunga kuti kusvotwa uye kurutsa zvinogona zvakare kuve zviratidzo zveakanyanya hypoglycemia. Zvinogona kuve zvakaoma kuziva kana mumwe munhu ari kusangana nemhedzisiro yeglucagon kana chiratidzo chine chekuita neakanyanya hypoglycemia.

Pamusoro pekunyunyuta uye kurutsa, iyo mishumo yekuti nasal glucagon inogona zvakare kukonzera:

• maziso emvura
• kuzara mumhino
• kutsamwa kwekumusoro kufema turakiti

Kana zviratidzo zvekusvotwa uye kurutsa zvichitadzisa mumwe munhu kubva pakudya kana kunwa sosi yeshuga mushure mekunge vaita glucagon, tsvaga kurapwa.

Mushure mekupa glucagon

Zvinotora maminetsi gumi neshanu kuti munhu amuke mushure mekugamuchira glucagon. Kana vasina kumuka mushure memaminitsi gumi nemashanu, vanoda rubatsiro rwekukurumidzira kurapwa. Ivo vanogona zvakare kugamuchira imwe dosi yeglucagon.

Kana vangomuka, vanofanirwa:

• tarisa shuga yavo yeropa
• inodya sosi yemagiramu gumi neshuga inokurumidza-kuita, senge soda kana muto une shuga, kana vachigona kumedza zvakachengeteka
• idya tudyo tudiki seanotsemura uye chizi, mukaka kana granola bar, kana kudya chikafu mukati meawa
• tarisa huwandu hweshuga yeropa kanenge awa yega yega kwemaawa matatu kusvika mana anotevera

Chero ani zvake anowana yakanyanya yakaderera shuga yeropa inoda kurapwa ne glucagon anofanira kutaura nachiremba wavo nezve episode. Izvo zvakakoshawo kuti utore chinotsiva glucagon kit ipapo.

Kurapa yakaderera ropa shuga kana glucagon isingadiwe

Kana shuga yakaderera muropa ikarapwa nekukasira, hazviwanzo kudonha zvakadzika zvakakwana kuti zvionekwe zvakakomba. Glucagon inongodiwa chete muzviitiko zveakanyanya hypoglycemia, kana munhu asingakwanise kurapa mamiriro acho pachavo.

Muzviitiko zvakawanda, munhu ane chirwere cheshuga anokwanisa kurapa shuga yakadzika muropa ari oga kana nerubatsiro rudiki. Iyo yekurapa ndeyekushandisa magiramu gumi nemashanu eanokurumidza-kuita macarhydrate, akadai se:

• ½ mukombe muto kana soda ine shuga (kwete chikafu)
• 1 tablespoon uchi, sirasi yegorosi, kana shuga
• Mahwendefa eglucose

Kutevera kurapwa, zvakakosha kumirira maminetsi gumi neshanu wobva watarisa patsva mashuga eropa rako. Kana mashuga eropa rako achiri akaderera, idya mamwe magiramu gumi nemashanu emakabohydrate. Ramba uchiita izvi kusvikira shuga yako yeropa iri pamusoro pe 70 mg / dL (4 mmol / L).

Kutora

Zviitiko zvakawanda zve hypoglycemia zvinogona kuzvitarisira, asi zvakakosha kuti ugadzirire. Yakakomba hypoglycemia inoda kurapwa ne glucagon.

Unogona kufunga kupfeka ID yekurapa. Iwe unofanirwa zvakare kuudza vanhu vaunoshandisa nguva yakawanda navo kuti une rudzi rwekutanga chirwere cheshuga uye kupi kwaunowana kurapwa kwako kweglucagon.

Kudzokorora nhanho dzekushandisa glucagon mishonga nevamwe kunogona kubatsira iwe kunzwa wakasununguka mukufamba kwenguva. Iwe uchaziva kuti mumwe munhu ane hunyanzvi hwekukubatsira iwe kana iwe ukambozvida.