Hypoglycemia: kalafo, seo o lokelang ho se etsa ho emisa tlhaselo, thibelo

'Mele oa motho ofe kapa ofe, tsoekere ke mohloli oa bohlokoa oa matla.

Ha boemo ba eona bo fokotseha, ho ba le boemo bo kotsi, boo lingaka li bo bitsang hypoglycemia.

Ho theoha ha tsoekere maling ho boleloa haeba ho bolokoe ka tlase ho letšoao la 2.8 mmol / L.

Lisosa le matšoao a lefu la tsoekere

Ha se kamehla hypoglycemia e leng sesosa sa lefu la tsoekere, leo motho a utloang bohloko ho lona, ​​empa ke khahlanong le semelo sa bothata bona ba endocrine hore mathata a mofuta ona a hlaha khafetsa.

Maemong a mangata, lefu lena le fumanoa ho bakuli ba nang le lefu la tsoekere la mofuta oa 1, maemong a sa tloaelehang, bothata bo ama batho ba nang le lefu la tsoekere la mofuta oa 2.

Bakeng sa sehlopha sa pele, boemo bo kotsi haholo, hobane tsoekere e ka theoha haholo le hanghang litekanyetsong tsa bohlokoa. Sehlopha sa bobeli se nka meroalo e bonolo haholo, 'me kotsi ea ho oela kapa ho shoa e tlase haholo.

Lebaka le ka sehloohong leo hypoglycemia e bang teng khahlanong le semelo sa lefu la tsoekere ke tšebeliso e fosahetseng ea lithethefatsi tse etselitsoeng ho etsa hore maemo a tsoekere a mali a fokotsehe.

Lithethefatsi tse fetang 90% tse sehlopheng sa hypoglycemic li hlohlelletsa lisele tsa beta tsa manyeme, li etsa hore li hlahise insulin. Haeba u nka tekanyetso e fosahetseng ea lithethefatsi, tekanyo ea lihormone e tla eketseha haholo, e leng se tla lebisa 'neteng ea hore tsoekere e maling ka har'a plasma e fokotseha haholo.

Mabaka a mang:

  1. ho nwa joala
  2. linako tse telele pakeng tsa lijo,
  3. Ts'ebeliso e mpe ea batho ba tsoekere,
  4. ho se latele lijo tse khothalletsoang ke ngaka,
  5. tsamaiso e fosahetseng ea insulin.

Ha ho hlaha koluoa ​​ea hypoglycemic, boko bo qala pele ho tsohle. Sena se ka lebisa lefung la lisele tsa hae, komellong le ho bolaeang mokuli.

  • Ho thothomela ho matla ha mangole + ho thothomela hanyane ka hohle mmele,
  • bophara ba molomo le leleme,
  • sekhahla sa pelo
  • ho tšoenyeha ho sa tsebeng letho
  • ho se khonehe
  • tlala e matla
  • bofokoli, ho otsela le ho tepella ho hlahang ka tšohanyetso,
  • mofufutso.

Haeba mokuli a sa thusoe, 'me tsoekere e ntse e tsoela pele ho theoha, ho hlatsa, ho tsekela, pherekano, ho tšoha, ho hlaseloa ka mabifi, ho lahleheloa ke tsebo. Matšoao a ka ba 'ngoe, kapa a ka ba teng a' maloa.

Pancreatitis e sa foleng le hypoglycemia: na ho na le khokahano

Tabeng ea likotsi tse matla tsa pancreatic, tse kenyeletsang pancreatitis e sa foleng, motho a ka ba le "lefu la tsoekere" la 3, le bitsoang pancreatogenic. Ho senya metabolism ea tsoekere ho mafu a joalo ke a bobeli.

Kotsi ea ho hloka taolo ea endocrine e batla e sa khonehe ho lekola, ho latela mehloli e meng, lefu la glycemia le haella ho 10-15% ea bakuli ba nang le pancreatitis e sa foleng, ho latela mehloli e meng - ho 80-90%.

Mabaka a nyahamisang ke a latelang:

  • tloaelo ea mafura, lijo tse nang le lik'habohaedreite tse ngata kapa lijo tse halikiloeng,
  • tlhekefetso ea joala
  • ts'ebetso e etsoang ho manyeme,
  • ho nka lihlopha tse ling tsa lithethefatsi khafetsa (mohlala, corticosteroids).

Pancreatogenic tsoekere mellitus e na le setšoantšo se boletsoeng hantle sa kliniki. Ntle le matšoao a hypoglycemia, ho na le bohloko bo teng karolong ea epigastric, ho otla ha pelo, lets'ollo.

Seo u lokelang ho se etsa ka hypoglycemia?

Haeba ho theoha ha tsoekere ho sa bohlokoa, ho lekane hore mokuli a je lero le tsoekere, lipompong.

Mokhoa ona o bonolo le o sebetsang o sebetsa kamora metsotso e seng mekae. Phekolo e joalo e sebelisoa bakeng sa litlhaselo tse bonolo le tse itekanetseng.

Ho emisa boemo ka lithethefatsi (linyeoe tse rarahaneng) ho ka etsoa feela ka taolo ea ngaka. Leha ho le joalo, haeba mokuli a oele boemong bo kang ba ho ba le komello, pele ambulense e fihla, a ka kenella ka 40-60 ml ea tharollo ea glucose ea 40% kahare.

Phekolo ka litlhare tsa setso ke tsela ea lapeng ea ho loants'a hypoglycemia. Ho etsa bonnete ba hore ha e kotsi, ho bohlokoa ho hlokomela boemo ba mantlha: kalafo e 'ngoe e lokela ho tlatsana le kalafo ea lithethefatsi bakeng sa lefu la tsoekere, mme o se ke oa e nkela sebaka.

Se ka sebelisoang bakeng sa hypoglycemia:

  • levzea ka mokhoa oa tincture kapa ho ntshwa,
  • konofolo e ncha
  • Jerusalema artichoke
  • li-infusions tsa rosehip le li-decoctions,
  • lingonberry
  • joang bo botala (infusions),
  • St wort (infusions),
  • Lemongrass e ncha.

Tsela ea ho phekola le lijo?

Lijo li lokela ho ipapisa le thibelo ea bohlokoa ea lik'habohaedreite lijong. Lijo li lokela ho ba li-fractional le khafetsa (bonyane makhetlo a mahlano ho isa ho a tšeletseng ka letsatsi).

Lijo tse matlafatsang le lino-mapholi:

  1. lithuto tsa pele tse mabapi le moro oa "bobeli",
  2. lihlahisoa tsa lebese tse nang le mafura a tlase,
  3. mahe a phehiloeng hantle
  4. lihlapi tse mafura a tlase,
  5. lijo-thollo, tse phehiloeng metsing: buckwheat, harese, harese, nyalothe, oat,
  6. litholoana tse ncha le monokotsoai. Li bohlokoa haholo ke litholoana tsa lamunu (lamunu, morara), hammoho le li-cherries, li-currants, liapole le tse ling.
  7. meroho efe kapa efe. Limelo ke lihoete, lierekisi, lierekisi le litapole feela.
  8. botoro e ka jeoa ka ho e eketsa lijong tse lokiselitsoeng,
  9. Nama e bonojoang ka ho fetisisa ke ena: turkey, mmutla, nama ea khomo
  10. Soseji ka har'a lijo ea lumelloa, empa e lokela ho ba le leanama kamoo ho ka khonehang,
  11. lino: monokotšoai oa rosa e hlaha, tee, lino tse tahang, lino tse tsoang ho meroho le litholoana tse sa lomeloang, kofi e nyane.
  12. lipompong li ka jelloa ho isa tekanyong e fokolang, 'me ke feela ba lokiselitsoeng ho sebelisa sopho e monate,
  13. mahe a linotsi a phetse hantle, empa ka bongata
  14. Bohobe bo lokela ho khethoa lijo-thollo tse felletseng kapa phofo ea mophato oa bobeli ka korong.

Lihlahisoa tseo ho lakatsehang ho li khetholla lijong:

  • likhama, letata, nama ea kolobe,
  • semolina, pasta, raese,
  • lijo life kapa life tse ka makotheng le nama e tsubang,
  • joala
  • muffin, puff pastry, likuku, cookies,
  • jeme le jams
  • ice cream
  • Chokolete le liswiti
  • asene le asene,
  • broth broth,
  • mafura a liphoofolo ka sebopeho sa mafura
  • litlhapi tse nang le mafura
  • litholoana tse monate: morara, libanana, tangerine,
  • mefuta e meng ea litholoana tse omisitsoeng: matsatsi, morara o omisitsoeng, lifeiga,
  • lino tsa mabenkele
  • sodas tse monate
  • tsoekere e hloekileng.

Thibelo

Ho na le tsela e le 'ngoe feela: ho ela hloko lipontšo tsa' mele oa hau, haholoholo haeba u na le lefu la tsoekere.

Ka glucometer e haufi, o ka lekola maemo a tsoekere ka nako efe kapa efe, ho bolelang hore o ka nka mehato ea thibelo.

Ho bohlokoa ho latela mokhoa oa ho ja, ho sebelisa meriana e boletsoeng ke ngaka, le ho etsa tlhahlobo eohle e hlokahalang ka nako. U hloka ho nka insulin ho latela litaelo tse fanoeng ke ngaka ea hau. Ho latela maemo ana, hangata spikes tsoekere e ka qojoa.

Ntle le moo, o lokela ho emisa tlhaselo ka nako efe kapa efe, e mong o lekane ho nka ntho e monate le uena, ba bang ba hloka moriana.

Video e thusang

Mabapi le mekhoa e sebetsang ea ho phekola hypoglycemia ho video:

Hypoglycemia ke boemo bo kotsi bo ka lebisang liphellong tse bohloko. Haeba u na le bokuli bo joalo, etsa bonnete ba hore o tla le pampiri e nang le lintlha mabapi le seo o utloang bohloko hammoho le thuto e khutšoane ea thuso ea pele. Mohlomong ka letsatsi le leng e tla pholosa bophelo ba hau.

  • E tsitsisa maemo a tsoekere nako e telele
  • E khutlisa tlhahiso ea insulin ea "pancreatic"

Ithute haholoanyane. Eseng lithethefatsi. ->

Mefuta ea ho theola tsoekere ea mali

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Ka bongaka, mefuta e 'meli ea hypoglycemia e khetholloa:

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  • ho itima lijo, ke hore, ho hlaha ka mpeng e se nang letho,
  • hypoglycemia kamora ho ja.

Ho potlakisa hypoglycemia ho nkuoa ho le mpe ho feta ho phekoleha. Ketsahalong ea tlhaselo ea hypoglycemia, phano ea tlhokomelo ea bongaka le ea kalafo e potlakileng e ea hlokahala.

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Ha u etsa tlhahlobo ea tlhahlobo le ho fumana lisosa tsa hypoglycemic syndrome, ho fanoa ka phekolo e rarahaneng.

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Ho potlakisa hypoglycemia ho khethoa ke liteko tsa tsoekere ka mor'a ho qeta lihora tse robeli ho itima lijo, le kamora matsatsi a 3 a lijo tse khethehileng. Kaha ho latela keketseho ea insulin maling, e boetse e bitsoa insulin hypoglycemia.

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Mofuta o mong oa hypoglycemia hangata o khethoa ho basali ba asthenic physique, lihora tse 2-3 kamora ho ja. Palo ea tsoekere e nyoloha ka potlako ka mor'a ho oela hanyane. Tlolo ea molao e tiisoa ka ho nka mali bakeng sa tsoekere nakong ea tlhaselo.

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Mofuta o mong le o mong oa hypoglycemia o ka hlaha ka mokhoa o bonolo le o matla.

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Ho hlakola hypoglycemia e bonolo

Bakeng sa kalafo ea mofuta o bobebe oa lefu lena, joalo ka molao, ho sebelisoa li-carbohydrate tse nyants'itsoeng:

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  • Lihlahisoa tse nang le fructose kapa sucrose,
  • mekoallo ea chokolete
  • mahe a linotsi, lihlahisoa tsa linotsi,
  • bohobe bo bosoeu.

Ho feta moo, mehato e joalo e ke ke ea nkuoa e lekana mme tšepo ea thuso ea bona khafetsa. Litlhaselo li ka ba matla le ho feta ebile li khona ho laoleha.

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Ho emisa hypoglycemia e matla

Matšoao a mofuta o matla oa lefu lena o iponahatsa ka matla le ka mokhoa o hlakileng ka matšoao a latelang:

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  • pherekano ea letsoalo, puo le khokahano,
  • maemo a ferekanyang, mesifa ea mokokotlo,
  • ho akheha, ho fihlela ho akheha.

Thuso ea pele ea bongaka ke tšebeliso ea 50 ml ea tharollo ea tsoekere ea 40%, e lokelang ho tsamaisoa kapele kamoo ho ka khonehang.

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Khetho ea bobeli ke ho u thusa ho enta Glucagon, e shebaneng le insulin.

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Ha mokuli a hlaphoheloa kelellong, ho hlokahala hore a mo fepe lijo ka lik'habohaedreite tse ngata, likarolong tse nyane tse nang le nako e khuts'oane pakeng tsa litekanyetso.

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Seo u lokelang ho se etsa maemong a feteletseng?

Mokhoa oa ho phekola hypoglycemia haeba motho a sa hlaphoheloe kelellong hape?

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Tabeng ena, ngaka e eang e qala kalafo e matla ea hypoglycemia ka mehato e latelang ea tokiso:

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  1. Ka matsatsi a 'maloa, tharollo ea tsoekere ea liperesente tse hlano e ntse e eketsoa le ho eketsoa ha tharollo ea prednisolone.
  2. Ho etsoa tokisetso ea cocarboxylase.
  3. Tharollo e hlahisitsoeng ea 5% ea ascorbic acid e eketsa boemo ba tsoekere.
  4. Tsamaisa ka mokhoa o ikemetseng le adrenaline pele o kenngoa ka mokhoa o mong le o mong oa tsoekere.

Ka keketseho ea maemo a tsoekere ea mali ka holimo ho 12 mmol / l, li-insulin tse nyane li qala ho eketsoa.

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Haeba motho a sa hlaphoheloe nako e telele, ho hlokahala hore a thibele mofuta oa "cerebral" edema.

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Bakeng sa sena, ho sebelisoa litlhare tse latelang:

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  • tharollo ea mannitol
  • Lathex ea lithethefatsi
  • tharollo ea magnesium sulfate,
  • tharollo ea prednisone
  • inhalation ea oksijene e kolobisitsoeng.

Kamora hore komello e khaotse, sebelisa mokhoa oa ho ntlafatsa metabolism liseleng tsa tsamaiso ea methapo e bohareng:

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  • glutamic acid
  • Stugeron
  • Aminalon
  • Cerebrolysin
  • Cavinton.

Phekolo ea restorative e etsoa khoeli.

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Mekhoa ea litlhare: matlapa le li-gels

Matlapa le li-gels tse latelang li sebelisetsoa ho emisa ka potlako hypoglycemia lapeng:

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  1. Mabokose a nang le litafole Girofri, e 'ngoe le e' ngoe ea eona e na le 4 g. dextrose (tsoekere).
  2. Fastrose ka mokhoa oa litafole, 4 g. Litafole tse bonolo tse bonolo ho hlafuna, li latsoehe hantle.
  3. Matlapa le li-gel tsa Dextro 4, tse nang le "glucose" e hloekileng, e na le ts'ebetso e potlakileng ea ho monya ka hanong.

Lisebelisoa tsa ho emisa joalo ka Gel li sebelisoa haholo ho thusa batho ba sa tsebe letho.

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Mofuta ona oa moriana o ka tšeloa habonolo ka lisineng kapa oa penya pakeng tsa meno. Moriri o qhibiliha hantle molomong.

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Pathologies le tsoekere e tlase

Tlhahlobo e khethollang ea hypoglycemia ke karohano ea boemo bona ba methapo ea methapo ho tsoa ho li-pathologies tse ling tse ngata tsa tsamaiso ea endocrine.

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Monyetla oa mathata le kholo ea ho hlaphoheloa li itšetleha ka kotloloho ho ipapisitsoe le tlhahlobo ea mantlha ea lefu lena.

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Li-prerequisites tse latelang li khethollotsoe, tse lebisang ho boemo ba hypoglycemic:

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  • lihlekehleke tsa lihlekehleke tsa Langerhans,
  • pathologies ea sebete, e tsoetseng pele le e fumanoeng,
  • ho fokotsa tsoekere ea mali ho basali ba baimana,
  • ho hloleha ha rems
  • mehato ea pele ea lefu la tsoekere
  • joala kapa tahi ea lijo,
  • ts'ebetso ea ts'ebetso ts'ebetsong ea tšilo ea lijo.

U sebelisa mokhoa oa ho bokella tlhaiso-leseling ka mokuli, ho ka boela ha latela mabaka a latelang a amang index ea hypoglycemic:

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  • khatello ea maikutlo
  • neurosis
  • mathata a kelello.

Ntle le nalane ea bongaka, ngaka bakeng sa tlhahlobo e ikhethang ea tlhahlobo e tla hloka tlhaiso-leseling ea ultrasound ea litho tsa ka hare, hammoho le tlhaiso-leseling ea biochemical ea mali a mokuli.

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Motheong oa liphetho tsa liteko, u ka fana ka kalafo e lekaneng bakeng sa lefu le ka tlase, le lebisang ho theoha ha tsoekere ea mali.

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Phekolo ea hypoglycemia ea ho itima lijo

Mofuta ona oa ho kula o lokisoa ke keketseho ea lik'habohaedreite lijong. Lithethefatsi, li-insulin inhibitors, tse kang Dilatin le Anaprilin, li etsa mosebetsi o motle oa sena.

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Empa li tlosa matšoao a itseng a boemo ba glucose e tlase ea mali, ha ho hlokahala ho sebetsana le sesosa.

Ho phekola tsoekere e tlase ho masea a sa tsoa tsoaloa

Tlhokomelo ea pele bakeng sa masea a sa tsoa tsoaloa ka hypoglycemia ke tsamaiso ea methapo ea tharollo ea tsoekere.

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Haeba ho khutlela mokhoeng oa tsoekere e fokolang ea mali ho etsahala, ba ka qala ho sebelisa hydrocortisone, e leng tekanyo ea eona e baloang ka boima. E sebelisoa lihora tse ling le tse ling tse 'ne.

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Ka lits'ebetso tse nepahetseng tsa bongaka, boemo bo seng boima ba masea bo qeta ho phekoloa ka botlalo bekeng e le 1 kamora ho hlaha, hobane ka nako ena lisebelisoa tsa insulin li tloaelehile.

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Ho hlokahala liteko life?

Tlhahlobo e nepahetseng e hloka sephetho sa mefuta e mengata ea tlhahlobo:

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  • tlhatlhobo ka insulin hypoglycemia,
  • Teko ea mali a biochemical,
  • urinalysis.

Ntho e ka sehloohong ho khethollang bothata ba lefu lena ke ho hlahlojoa ha sampole e nang le insulin hypoglycemia. Teko ena e ikhethang, e kenyeletsang ho hlahisoa ha insulin e itseng ho mokuli, 'me ha e fihla tekong ea hypoglycemic ea 2.2 mmol / L, tlhahlobo ea mali bakeng sa cortisol e nkuoa.

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Haeba palo ea cortisol e le ka tlase ho 540 nmol / l, joale hypoglycemia ea 'nete e tiisitsoe.

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Tlhahlobo e hloka tlhokomelo e khethehileng ho setsebi sa bongaka, mokuli o sepetlele tlas'a tlhokomelo ea lingaka letsatsi lohle kamora tlhahlobo.

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Mokhoa o kopaneng oa hypoglycemia

Mokuli ea fumanoeng a na le hypoglycemia o lokela ho latela mekhoa e latelang ea kalafo:

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  • phekolo ea lithethefatsi
  • boikoetliso ba bongaka
  • Lijo tse nang le limatlafatsi tse ngata tsa liprotheine le lik'habohaedreite,
  • moriana oa litlama.

Thuso e ntle ntoeng khahlanong le hyperglycemia tincture ea leuzea, makhasi a lemongrass. Ho kenella ka Rosehip ho ke ke ha phahamisa tsoekere feela, empa ho kenyelletsa le vithamine C e hlokahalang le K.

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Na hypoglycemia e ka phekoloa ka ho sa feleng? Boemo ba tsoekere e phahameng ea mali ka mefuta e bonolo bo ka lokisoa le ho bolokoa tlasa taolo ea glucose le dextrose.

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Mefuta e matla e hloka ho hlahlojoa kamehla. Ho felisoa ha bona ho tsamaisoa ke phekolo e atlehang ea lefu le tlasa motheo oa boemo ba hypoglycemic.

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