kungakhuphula izinga likashukela

kungakhuphula izinga likashukela

Leli phepha leqiniso lihlanganisakungakhuphula izinga likashukela kusho ukuphendula (noma i-reactive), engathinta abantu onganesifo sikashukela. Ukuze uthole ulwazi olwengeziwe nge-hypoglycemia ehlobene nesifo sikashukela, bheka ikhasi lethu lamaqiniso ngesifo sikashukela.

Ngokombono wezokwelapha, lezi zindlela ezi-3 ezilandelayo kufanele kuhlangatshezwane nazo kumuntu ukuze akwazi ukusho ukuthi uphethwe yi-reactive hypoglycemia:

  • we ngokuzumayo ukwehla kwamandla okuhambisana nokuthuthumela, ukuthuthumela, ukufisa, noma ezinye izimpawu;
  • a glucose, noma "izinga likashukela" egazini, ngaphansi kwama-millimoles angu-3,5 ilitha ngalinye (mmol / l) ngesikhathi sokuqala kwezimpawu;
  • ukunyamalala kokungakhululeki ngemva kokuthatha ushukela, njengoswidi noma ijusi yezithelo.

Lezi zindlela zasungulwa ngawo-1930 udokotela ohlinzayo waseMelika owayenentshisekelo yokuphazamiseka kwe-pancreatic, uDkt.r Allen Whipple. Baphinde baphathe igama lika i-triade ka-Whipple.

THEi-hypoglycemia esebenzayo yisihloko impikiswano. Abantu abaningi bazibheka njenge-hypoglycemia, kepha abahlangabezani nazo zonke izindlela zayo. Isibonelo, bahlala bedlula ezikhathini zokukhathala, amandla aphansi kanye novalo, kodwa ushukela wabo wegazi uhlala ujwayelekile ngokuphelele. Ngakho-ke, kulezi zimo, udokotela akakwazi ukuphetha ngokuthi kukhona i-hypoglycemia.

Asinayoakukho ncazelo ecacile ngemvelaphi yalezi “pseudo-hypoglycemia”. Isimo se ukwesaba noma okweqile kwe ukucindezeleka angase ahileleke. Ngaphezu kwalokho, imizimba yabanye abantu ingase isabele ngokuqinile ekwehleni koshukela wegazi.

Kwezokwelapha, " real »I-Hypoglycemia - ehlangabezana nemibandela engu-3 ebalwe ngenhla - ivamise ukutholakala kubantu abanayoukungabekezelelani kweglucose (isigaba sokuqala sesifo sikashukela), isifo sikashukela noma esinye isifo samanyikwe. Ukuhlinzwa kwesisu nakho kungadala i-hypoglycemia, kepha lokhu kuyivelakancane.

Kodwa-ke, kungakhathaliseki ukuthi i-hypoglycemia yeqiniso noma "i-pseudo-hypoglycemia", izimpawu alawulwa futhi avinjwe ngendlela efanayo, ikakhulukazi ngoshintsho oluhlukahlukene ku imikhuba yokudla.

Uqonde kangcono ushukela wegazi

Le glucose inikeza izitho ngomthombo wazo omkhulu wamandla. Iphuma ekugayweni kwe ushukela equkethwe ekudleni. Abizwa ngokuthi ama-carbohydrate, ama-carbohydrate noma ama-carbohydrate. Uphudingi, izithelo nemikhiqizo yezinhlamvu (irayisi, i-pasta nezinkwa) kugcwele ngakho.

Ishukela legazi evamile esiswini esingenalutho (okungukuthi ngemva kwamahora angu-8 ngaphandle kokudla), kumuntu ongenaso isifo sikashukela phakathi kuka-3,5 mmol/l no-7,0 mmol/l. Ngemuva kokudla, ingakhuphukela ku-7,8 mmol / l. Phakathi kokudla, umzimba kufanele uqiniseke ukuthi kunoshukela owanele ojikelezayo egazini ukuze unikeze izitho umthombo wamandla. Yilokhu isibindi ehlinzeka ngale glucose, ngokuyihlanganisa noma ngokukhulula i-glucose eyigcina isesimweni se-glycogen. Imisipha nayo iqukethe i-glycogen, kodwa lokhu ngeke kusetshenziselwe ukubuyisela amazinga kashukela egazini aphansi kakhulu.

Ushukela wegazi ulawulwa amahomoni amaningana. THE' insulin ekhiqizwa ngemva kokudla kwehlisa ushukela wegazi, kuyilapho i-glucagoni-hormone yokukhula,i-adrenaline futhi i-cortisol yenze ikhuphuke. Wonke lawa mahomoni ashunwa kahle ukuze izinga le-glucose elijikelezayo lingashintshi, ngisho nalapho uzila ukudla.

Ubani othintekayo?

Abantu abahlushwa i-kungakhuphula izinga likashukela ngokuvamile abesifazane eminyakeni engamashumi amabili noma amathathu. Njengoba lesi simo singabhekwa njengesifo, azikho izibalo ezinokwethenjelwa ngenani labantu abathintekile.

Imiphumela

Ezikhathini eziningi, i-reactive hypoglycemia ithambile futhi izihambela yodwa noma ngemva kokudla ukudla okunikeza igazi. glucose emzimbeni. Akukho-ke imiphumela emibi.

kwesifo

Uma isimo esidala izimpawu sesitholakele, udokotela angase acele isiguli ukuba senze kanjalo kala ushukela wakho wegazi ngaphambi nangemva kwesikhathi esinezimpawu.

Abantu abanakho a imitha yeglucose yegazi (I-glucometer) ingayisebenzisa. Uma kungenjalo, ushukela wegazi uthathwa kusetshenziswa ukuhlolwa kwephepha lokuvala (i-Glucoval), etholakala kwezinye izindawo zokucwaninga ezizimele.

Uma ushukela ungejwayelekile, udokotela uzokwenza a ukuhlola impilo ephelele ukuze kutholwe imbangela. Lapho udokotela esola ukuthi umuntu unokungabekezelelani kwe-glucose noma isifo sikashukela, kwenziwa ukuhlolwa okwengeziwe kashukela egazini.

shiya impendulo