Lub xeev ntawm kev qaug zog tas li, xeev siab thiab mob taub hau yog tshwm sim rau ntau tus neeg. Thiab qee zaum, thaum hu rau tus kws kho mob nrog cov tsos mob zoo li no, tus neeg mob hnov qhov kev kuaj mob: "hypoglycemia". Tus kab mob no feem ntau pom nyob rau hauv cov neeg mob ntshav qab zib, tab sis nyob rau hauv cov neeg noj qab haus huv nws tuaj yeem ua rau muaj qhov tsis zoo. Qhov no yog vim qhov tseeb tias cov piam thaj hauv cov ntshav tseem ceeb heev rau kev ua haujlwm ntawm txhua lub cev thiab lub cev ntawm lub cev, thiab tshwj xeeb tshaj yog rau kev ua haujlwm ntawm lub hlwb. Thiab hypoglycemia yog qhov txo qis hauv qib no hauv qab tus qauv. Nyob rau hauv xyoo tas los no, vim tsis muaj zaub mov noj, mob siab rau ntau yam khoom noj thiab haus cawv, tus mob no tau nce zuj zus.
Vim li cas hypoglycemia txaus ntshai
Txhua lub cev xav tau lub zog ua haujlwm, uas lawv tuaj yeem tau txais los ntawm kev tawg ntawm cov piam thaj. Thiab feem ntau ntawm tag nrho cov, lub hlwb xav tau nws. Kev xav tau ntau ntxiv rau cov piam thaj kuj tau pom nrog kev ntxhov siab ntawm lub cev thiab lub hlwb, kev ntxhov siab. Nrog rau qhov tsis muaj piam thaj hauv cov ntshav, muaj qhov tsis zoo hauv kev nco, tsis pom kev, qeeb hauv cov tshuaj tiv thaiv thiab poob.kev sib koom tes. Nyob rau hauv cov xwm txheej hnyav, irreversible tuag ntawm hlwb hlwb tshwm sim, ua rau kom tuag ntawm ib tug neeg. Thiab lub cev tuaj yeem tau txais cov piam thaj tsuas yog los ntawm cov zaub mov thaum lub sijhawm tawg ntawm cov suab thaj thiab carbohydrates. Yog li ntawd, feem ntau lub xeev ntawm hypoglycemia tshwm sim nrog kev noj zaub mov tsis txaus. Cov metabolism hauv lub cev yog tsim los kom cov piam thaj tsis siv tau tso rau hauv daim siab thiab cov leeg thiab siv raws li qhov xav tau. Cov txheej txheem no yog pov thawj tias nws tseem ceeb npaum li cas rau lub neej ib txwm muaj.
Ua rau hypoglycemia
Txhua cov txheej txheem metabolic hauv tib neeg pib nrog kev koom tes ntawm cov tshuaj hormones. Thiab rau qhov nqus ntawm carbohydrates thiab lawv hloov mus rau hauv qabzib, insulin tseem ceeb heev. Hypoglycemia feem ntau tshwm sim thaum cov tshuaj no ntau dhau lawm. Feem ntau qhov no tshwm sim nrog ntshav qab zib vim yog siv cov tshuaj tshwj xeeb. Tab sis hypoglycemia tuaj yeem tshwm sim hauv lwm qhov xwm txheej:
- nrog cov metabolism tsis raug thiab pathologies ntawm cov qog adrenal;
- ua txhaum lub siab ua haujlwm, cirrhosis lossis tsim cov enzymes tsis raug;
- tom qab nrawm nrawm;
- rau lub plawv thiab lub raum tsis ua haujlwm;
- thaum muaj kab mob hnyav;
- thaum tsis muaj zaub mov noj nrog ntau cov zaub mov carbohydrates, vim tias lub cev tau siv los tsim cov tshuaj insulin ntau;
- tom qab kev tawm dag zog lub cev, xws li thaum ua si kis las;
- nrog kev tsim txom ntawm cov dej cawv, uas tseem xav tau ntau cov tshuaj insulin rau lawv qhov nqus;
- tom qab noj qee yamcov tshuaj kho mob. Ntxiv rau cov tshuaj tshwj xeeb rau kev kho mob ntshav qab zib mellitus, salicylates, quinine thiab sulfur npaj tuaj yeem ua rau hypoglycemia syndrome;
- nrog rau kev loj hlob ntawm cov qog lossis lwm yam tsis zoo ntawm lub plab zom mov.
Hypoglycemia hauv ntshav qab zib
Yog cov neeg uas tsis tas yuav tswj hwm lawv cov ntshav qab zib tsis tshua koom nrog lawv cov kab mob nrog nws cov ntsiab lus qis, ces cov neeg mob ntshav qab zib yuav tsum paub tias hypoglycemia yog dab tsi. Cov mob no tuaj yeem txhim kho hauv lawv lub sijhawm luv luv thiab sai sai ua rau tsis nco qab thiab txawm tuag. Yog li ntawd, nws yog ib qho tseem ceeb heev rau lawv ua raws li tag nrho cov kws kho mob cov lus pom zoo thiab cov tshuaj pes tsawg ntawm cov tshuaj. Tom qab tag nrho, kev poob qis hauv cov suab thaj feem ntau tshwm sim hauv cov neeg uas kuaj pom tias muaj cov tshuaj insulin-dependant diabetes mellitus.
Hypoglycemia hauv qhov no yog qhov tshwm sim ntawm kev noj tshuaj tsis raug lossis tsis ua raws li kev noj haus. Yog tias qhov no tshwm sim ntau zaus, tom qab ntawd koj yuav tsum sab laj nrog koj tus kws kho mob txog kev hloov pauv kev kho mob. Tab sis nws tshwm sim tias hypoglycemia tshwm sim hauv hom 2 mob ntshav qab zib. Qhov no tuaj yeem tshwm sim nrog kev noj tshuaj ntau dhau ntawm cov tshuaj hypoglycemic, nrog kev tsis ua raws li kev noj zaub mov lossis ua kom lub cev muaj zog. Cov neeg mob uas lub raum tsis ua haujlwm kuj tseem tuaj yeem ua rau cov piam thaj poob sai sai.
Cov tshuaj dab tsi tuaj yeem ua rau hypoglycemia
Qee lub sij hawm tus mob no yog tshwm sim los ntawm tsis tsuas yog noj tsis txaus, tab sis kuj siv tej yam tshuaj nyob rau hauv loj koob tshuaj. Cov tshuaj dab tsi tuaj yeem ua rau txo qis ntshav qab zib?
- Y tshuaj insulin;
- sulfonamide tshuaj tiv thaiv kab mob ntshav qab zib;
- siab ntau ntawm salicylates, xws li Aspirin;
- qee zaus hypoglycemia tuaj yeem yog qhov tshwm sim tom qab noj tshuaj xws li Diabinez, Amaryl, Glucotro, Pranin, Januvia thiab lwm yam.
Cov neeg mob ntshav qab zib yuav tsum paub dab tsi
Cov neeg mob ntshav qab zib yuav tsum ua raws li txhua tus kws kho mob cov lus pom zoo. Koj yuav tsum paub tias hypoglycemia tshwm sim sai heev, thiab qee zaum nws thawj cov tsos mob tuaj yeem raug saib xyuas. Kev poob qis hauv cov ntshav qab zib yog qhov txaus ntshai heev rau lub cev thiab tuaj yeem ua rau tsis nco qab thiab coma. Tshwj xeeb tshaj yog feem ntau tus mob no tshwm sim nyob rau hauv cov neeg uas tshaj koob tshuaj insulin npaj. Cov neeg mob yuav tsum nco ntsoov tias lawv yuav tsum tsis txhob hla cov pluas noj, noj tsawg heev thiab nthuav tawm lawv tus kheej kom mob siab rau lub cev ntawm lub plab khoob. Cov neeg mob ntshav qab zib yuav tsum nqa cov khoom noj uas tuaj yeem nce qib qab zib sai sai, lossis cov ntsiav tshuaj qabzib. Thiab thaum thawj cov tsos mob ntawm hypoglycemia tshwm sim, koj yuav tsum noj ob peb caramel, 2-3 daim suab thaj, ib diav ntawm zib mu, haus ib nrab khob kua txiv hmab txiv ntoo los yog ib qho dej qab zib. Koj yuav tsum kuaj xyuas koj cov ntshav qab zib tsis tu ncua thiab nqa ib lub kauj-toog npab lossis daim npav nrog koj cov ntaub ntawv kho mob txog koj tus mob thiab cov tshuaj tsim nyog thaum koj tawm hauv tsev. Tom qab tag nrho, cov tsos mob ntawm hypoglycemic coma tsis paub rau txhua tus, thiab qhov no, yuav tsum tau muab kev pab tam sim.
Tus kab mob tshwm sim nws tus kheej
Txhua tus neeg muaj cov tsos mob ntawm tus kab mobtxawv. Nws nyob ntawm lub xeev kev noj qab haus huv, cov laj thawj ntawm kev txo qis hauv qab zib thiab qib ntawm kev loj hlob ntawm hypoglycemia. Feem ntau, nrog rau hom mob me me, tus neeg muaj cov tsos mob hauv qab no:
- tawm hws ntau;
- xav tias tshaib plab;
- tingling lossis loog ntawm daim di ncauj thiab ntiv tes;
- mob siab;
- leeg tsis muaj zog lossis tshee tshee;
- paj ntsej muag.
Nyob rau hauv daim ntawv mob ntev ntawm tus kab mob, kev nyuaj siab, kev chim siab, ntxhov siab vim thiab pw tsaug zog tuaj yeem tshwm sim. Ib tug neeg muaj kev qaug zog tas li, xav tias ntshai, feem ntau yawns. Nws yuav muaj ntshav siab, mob taub hau thiab angina tawm tsam. Hauv cov xwm txheej hnyav ntawm hypoglycemia, tus neeg mob tus cwj pwm hloov pauv, tsis meej pem ntawm kev hais lus, kev ua haujlwm tsis zoo ntawm kev txav thiab pom kev cuam tshuam yuav raug pom.
Cov tsos mob ntawm hypoglycemic coma
Nrog rau qhov txo qis hauv qab zib, nrog rau cov xwm txheej uas ib tus neeg tsis ua ib qho kev ntsuas thaum thawj cov tsos mob tshwm sim, lub hlwb puas tuaj yeem tshwm sim. Convulsions tshwm sim, tus neeg mob yuav tsis nco qab los yog poob rau hauv coma. Nws cov phooj ywg thiab cov neeg hlub yuav tsum paub txog cov tsos mob ntawm tus mob no kom muaj kev saib xyuas xwm txheej ceev hauv lub sijhawm. Yuav ua li cas nkag siab tias tus neeg uas tsis nco qab tau poob rau hauv qhov tsis nco qab hypoglycemic?
- nws hws ntau;
- palpitations thiab tachycardia;
- lub cev kub thiab siab poob;
- tus neeg mob poobrhiab heev rau sab nraud stimuli, txawm mob;
- nws daj ntseg;
- yuav muaj qaug dab peg.
Kev kub ntxhov
Yog tias tsis nco qab, cov neeg nyob ib puag ncig koj yuav tsum hu lub tsheb thauj neeg mob tam sim.
Yog tias ua tau, nws raug nquahu kom txhaj cov piam thaj lossis glycogen, ib yam tshuaj uas ua rau cov ntshav qab zib sai sai. Koj tuaj yeem tig tus neeg mob rau ntawm ib sab thiab ua tib zoo tso me ntsis zib ntab lossis qabzib gel qab lub plhu. Txawm tias muaj kev kuaj mob tsis raug, nws yuav tsis mob ntau npaum li cov ntshav qabzib tsawg. Yog tias tus neeg mob tsis nco qab lawm, kev pab nrog hypoglycemia yog muab ib yam khoom qab zib rau nws noj nrog rau cov carbohydrates nyuaj, uas yuav tsis tso cov piam thaj mus ntxiv. Nrog rau daim ntawv me me, ob peb khoom qab zib los yog kua txiv hmab txiv ntoo me me txaus. Nws yog qhov tsis tsim nyog siv cov dej qab zib carbonated rau cov hom phiaj no, vim tias lawv muaj cov khoom qab zib. Cov neeg mob ntshav qab zib feem ntau nqa ob peb lub qe qab zib lossis cov ntsiav tshuaj qabzib nrog lawv.
Tiv thaiv hypoglycemia
Txhawm rau tiv thaiv qhov tshwm sim ntawm tus mob no, koj yuav tsum ua raws li kev noj zaub mov kom raug, tsis txhob nqa mus nrog cov khoom noj uas muaj calorie tsawg thiab tsis txhob muaj kev ntxhov siab ntau dhau. Thiab cov neeg mob ntshav qab zib yuav tsum paub tias hypoglycemia yog qhov txaus ntshai tshwm sim los ntawm cov ntshav qab zib tsawg, thiab siv lub ntsuas ntsuas tsis tu ncua.
Lawv yuav tsum ua raws li kev noj zaub mov tshwj xeeb, piv txwv li, "table 9". Qhov tseem ceeb hauv ntshav qab zibTsis txhob hla cov zaub mov thiab nco ntsoov noj ib yam dab tsi tom qab kev tawm dag zog thiab noj tshuaj insulin. Cov neeg zoo li no, uas muaj kev pheej hmoo rau hypoglycemia, yuav tsum nqa cov ntsiav tshuaj qabzib lossis ob peb daim qab zib nrog lawv. Complex carbohydrates, xws li cereals, txiv hmab txiv ntoo los yog grain qhob cij, yuav tsum muaj nyob rau hauv cov zaub mov. Tsuas yog lawv tuaj yeem ua kom cov ntshav qab zib ib txwm muaj.
Hypoglycemia hauv menyuam yaus
Feem ntau tus mob no cuam tshuam nrog kev tsis txaus ntawm lub siab enzymes lossis endocrine ntshawv siab. Cov piam thaj qis qis yog qhov txaus ntshai heev rau kev noj qab haus huv ntawm tus menyuam, vim nws ua rau kev loj hlob ntawm lub hlwb thiab lub cev qeeb thiab tuaj yeem ua rau tuag taus. Nws yog qhov nyuaj tshwj xeeb los kuaj tus kab mob hauv cov menyuam mos.
Hypoglycemia hauv tus menyuam yug tshiab tuaj yeem tshwm sim rau ntau yam. Feem ntau, cov no yog congenital anomalies ntawm gastrointestinal ib ntsuj av, qog, los yog hormonal imbalances. Yog tias leej niam muaj ntshav qab zib thiab noj cov tshuaj insulin thaum cev xeeb tub, qhov no tuaj yeem ua rau tus menyuam mos tom qab yug menyuam. Feem ntau qhov mob no tshwm sim hauv cov menyuam mos ntxov ntxov. Nws yog ib qho tseem ceeb heev los muab kev pab kho mob raws sij hawm rau tus me nyuam. Thiab cov niam txiv ntawm cov menyuam yaus uas muaj ntshav qabzib ntau yuav tsum tau ua tib zoo saib xyuas lawv cov zaub mov: tsiaj proteins thiab starches yuav tsum raug cais tawm, cov zaub mov yuav tsum muaj cov txiv hmab txiv ntoo thiab cov nplej tag nrho, thiab tus menyuam yuav tsum noj ntau npaum li qhov ua tau, feem me me.
