ʻO ka hypoglycemia kahi ala pathological i kahi o ke kaʻe o ka glucose (gula) ma ke koko he emi iho i ka 3.5 mmol / L. Me ke gula maʻamau, ʻo kēia helu he 3.5-6.2 mmol / L. ʻO kahi pilikia like loa ka ʻike pinepine ʻia e nā mea maʻi me ka mellitus maʻi diabetes me kahi overdose o hypoglycemic (hoʻohiolo i ka hānai).
Nā ʻano o Hypoglycemia
ʻO nā huahele o ka maʻi hypoglycemia e kū nei:
- Kelepona. Hoʻoulu ia i nā keiki hou. Hoʻoponopono ke kumu i nā kūlana ola hou. I ka wā hapai, ʻaʻole i synthesize ka glucose i loko o ka pūpū (hala ʻole ka gluconeogenesis). Sugar mai ka makuahine. Ma hope o ka hānau ʻana, hoʻomaka ka pēpē e synthesize i ka glucose. Ua ʻike ʻia ka hypoglycemia koʻikoʻi loa i nā keiki mua. ʻO ke kumu he haʻahaʻa haʻahaʻa o ka glycogen i loko o ka ate. Hiki i kēia pathology ke hoʻomohala i nā keiki i hānau ʻia mai nā wahine me ka maʻi maʻi maʻi, a me ke kūpaʻa ʻana i ke ʻano o ka pathen congenital.
- Kūpono. Ke kū nei kēia kulekele kūlohelohe i ka mua o ka cachexia. Nā ʻōlapa kikoʻī e pili ana i ka irritability, hōʻemi ʻia i ke kaomi sex, a me ke poʻo. Hoʻomaopopo kēia ʻano i ka wā e hoʻolōʻihi ʻia ka ikaika o ke kanaka i ka manawa hana a i ʻole ka pono o ke kiko no ka glucose e hoʻonui nui ai.
- Neonatal. Hoʻohuka hou ia ma hope o ka hānau ʻana.
- Alimentary. ʻO nā kumu ka mahele o nā mea maʻi ma ke kino o ka papa o ka gastrointestinal (ate, ka ʻōpū, ka ʻōpū, ka pancreas, nā pūpū), nā malabsorption a me nā kīnā. Hōʻike ʻia kēia kūlana e nā maʻi autonomic a me nā hōʻailona o ka hoʻonui nui o ka hana catecholamines (adrenaline, norepinephrine).
- Ketikika. Hoʻoulu ia e kū'ē i ka hope o ka pololi o ka pololi o nā nui. E hana i ka nui o ka ikaika, e hoʻomaka ke kino e wāwahi i nā paka (lipids). ʻO kā lākou catabolism me ke ʻano o ke kino o ke kino ketone. I kēia hihia, ua hoʻemi ʻia ka ʻike o ka glucose koko.
- ʻAiʻaoʻao. Hōʻike ia e ka emi ʻana o ke kō koko koko ma hope o ka ʻai ʻana.
Hoʻomaʻamaʻa ka postprandial hypoglycemia e ke kahe ʻana o ke kōʻai koko ma hope o ka ʻai ʻana.
Also secrete nocturnal, ʻākena, latent a me reactive hypoglycemia.
Aiaʻo 3 i ka uha o kēia kūlana. Me kahi ʻano pālahalaha iki, nā kiko o ka glucose i ke koko ma waena o 2.7 a 3.3 mmol / L. Hiki ke ho'ōki i kēia kūlana ma kāna iho ʻole ke kōkua olakino. I nā pilikia koʻikoʻi, ʻo ka neʻe ʻana o ke kōpona ʻo 2-2.7 mmol / L. Inā hāʻule ka hilo i ka 2 a i lalo paha, a laila e nalowale kekahi kanaka.
ʻO ka hypoglycemia ma kahi moeʻuhane
Malia paha e hōʻemi ana i ka hoʻokahe koko i ka wā hiamoe. Eia naʻe, ʻaʻole ala mai ke kanaka. Hiki i ke hypoglycemia Nocturnal ma muli o ke kuhi hewa ʻole o ka nui o ka inikua o ka insulin a i ʻole ka hoʻokalakupua o kona lawelawe ʻana. ʻO nā hōʻailona o kēia alaʻala: ka nui loa, ka ʻū ʻana o ke kakahiaka a me ka nāwaliwali.
ʻO ka hypoglycemia i nā keiki
I ka wā kamaliʻi, nā kumu o ka hāʻule o ka hilo: nā mākeke ʻano 1, ke ʻano o ka palaka o nā ʻano, nā kahu ʻai ʻole, ke kaumaha a me ka hana nui. ʻO kekahi manawa ʻike ʻia kēia ʻano ma nā keiki hou i nā lā 10 mua o ke ola.
Hōʻike ʻia ka hypoglycemia i nā keiki hou i nā lā 10 mua o ke ola.
ʻO nā kumu o ka hypoglycemia
Nā mea pilikia no ka hoʻouka ʻana o hypoglycemia:
- Palaka ʻaʻai. Kuhi ʻia ka hāʻule ʻana o ka kō i ka wā hoʻomaha. ʻO ka hapa pinepine, ka pilikia e hoʻohālikelike ʻia e nā poʻe e hoʻopau i kahi nui o nā hāmeʻe (ʻike ʻia i nā sweets, nā hua a me nā huahana mea ʻawa) ma hope o ka hōʻole ʻana iā lākou.
- Ke hele nei i ka meaʻai paʻa paʻa.
- ʻO ka hapa o nā minuke, nā ono a me nā momona i kaʻai.
- Inu i ka wai lawa.
- ʻĀwau
- ʻO ka hoʻohanaʻana i ka ikehu. Ua hiki paha me ka papa hana. ʻO ka pinepine, ʻike ka poʻe ʻōpio i kahi pilikia like.
- Hoʻopau i nā hormone (estrogen, progesterone).
- Hoʻōla lāʻau infusion nui. Hoʻokomo ʻia nā infusions intravenous i ke koko a alakaʻi i ka hypoglycemia pili.
- Inu nui i ka pia.
- Naʻu? Malia paha me ka luaʻi a me ka maʻi koʻikoʻi.
- Cachexia (luhi).
- Maʻi maʻi.
- ʻO ka hemahema cortex adrenal.
- ʻO ka pīpī huhū.
- ʻO nā haʻahaʻa haʻahaʻa o adrenaline, glucagon a me somatostatin i ke koko.
- Nā kūlana o Septic.
- ʻO nā mea hoʻohuhū a me ke ʻano fermentopathies.
- Hoʻokomo (insulinoma).
- Nā maʻi maʻi maʻi (meningitis, encephalitis).
- Nā maʻi Digestive i hōʻike ʻia e ka malabsorption o nā kākā wikiwiki (malabsorption syndrome).
- Ke kaʻawale nei i nā inikini ʻokoʻa a ka waha a i ʻole ka hypoglycemic waha (hypoglycemic) aihue (Glibenclamide, Maninil, Metformin, Glucofage, Formmetin).
- Nā kikowaena nui ma waena o nā meaʻai a i ʻole kaʻai ʻana (no nā mea maʻi me ka maʻi maʻi).
ʻO nā hōʻailona o ka hypoglycemia
Me ka hoʻokaʻawaleʻana i nā pae o ka glucose koko, hiki ke loaʻa nā hōʻailona aʻe:
- ʻO nā hōʻailona o nā pilikia o ka pūnaehana pīhoihoi (puhipuhi, paʻa mau hōʻeha, ka hoʻohaʻahaʻa ʻana i ke ʻano, ka maʻi maʻi unilateral a me ka paresis, nā maʻi ʻōlelo, nā mea pālua, disorientation i ka lewa a me ka ʻike ʻana, nā kuʻi epileptiform, nā hoʻokauwili, nā hāmeʻe o ke ʻano, ka hiamoe i ke ao).
- Nā hōʻailona lāʻau i loko o ke ʻano o nā lima haʻalulu, palpitations, nā haumāna i hoʻopale ʻia, ka paila o ka ʻili, ka ʻano o ka makaʻu a hoʻonui i nā leo o nā ʻāʻī o kēlā me kēia. Me ka loaʻa nui o ka keʻena parasympathetic, luaʻi, nausea, nāwaliwali, a me ka pōloli mau ka hiki.
- ʻO nā hōʻailona o ka hoʻonāukiukiʻana i ka thermoregulation i ke ʻano o ka chilliness a me ka sweating.
Hele mai nā maʻi Hypoglycemic ma ke mua i ke kiʻi lapaʻau. I ka poʻe maʻi me ka maʻi diabetes, ma hope o ke kiʻekiʻe o ka glucose i ke koko, aia kahi makewai, nui ka urination, ke kino maloʻo, ka hōʻeha a hoʻonui i ka momona.
Diagnosis o ka hypoglycemia
No ka hana ʻana i kahi maʻi, pono ʻoe i kahi hoʻokolohua, ʻike kino a me ka ʻike maʻamau, nā hoʻokolohua o ke koko a me nā wai hoʻi, nā hōʻike biochemical a me ke kaumaha a me nā noi instrumental (ultrasound, electroencephalography, rheovasography).
No ka loaʻa ʻana o kahi maʻi maʻi, pono e hoʻāʻo ʻia ka mea maʻi no ke koko a me ka wai.
He aha e hana me hypoglycemia
Me ka hypoglycemia i ke olakino olakino, hiki iā ʻoe ke inu i ka wai momona a ʻai ʻole i nā huahana momona e loaʻa ana i ke kīkeka.
Inā loaʻa he glucometer ma ka lima, pono ʻoe e ana i ka glucose. Me ka hoʻouka ʻana o ka hypoglycemia, ke kōkua nei ka mālama ʻana i ka hoʻopau ʻana i nā mea pōʻino, ke hōʻoki ʻana i ka maʻi lalo, pale ʻana i nā hōʻeha a me ka hoʻonui ʻana i ke kō o nā kō i nā kumu maʻamau.
ʻO ke kōkua mua no kahi hoʻouka
Inā loaʻa kahi kuhi no ka hypoglycemic, a laila hiki ke lawe ʻia nā papa e pili ana i ka destrosa a i ʻole glucagon. I kēia hihia, pono ʻoe e kāohi i ka pae o ke kō. Inā ʻaʻohe mau lāʻau lapaʻau ma hope, a laila e hoʻohana nā mea hana penei:
- wai wai a i kēlā mea inu ʻona;
- ʻoka waiū o ka waiū;
- kahalaha;
- kaʻaila kīʻaha me ke kō;
- maiʻa
- apricots maloʻo;
- liuliu
- nā huahana beekeeping (meli).
No ka hooki ʻana i kahi hoʻouka kaua pono ʻoe i hoʻokahi ala wale. ʻO 1 g o ka glucose e hoʻonui ai i ke kōpaʻa koko ma 0.22 mmol. Me ka hypoglycemia mālie, pono ʻoe e inu i ka puna o ka 150 ml o kahi kīʻaha maikaʻi, e ʻai i ka 1 o ka maiʻa, 5-6 mau ʻāpana apricots maloʻo, 2 mau ʻāpana o ke kō, ʻo ka puna, 2 kūʻai. ka meli a me ka meli, 1 mau kukui a i ʻole 2 mauʻaina o ka waiū hānai.
Inā maʻa o ka ʻai ʻana o ka maʻi hypoglycemic ʻaʻole e nalowale, a laila pono ʻoe e ʻai i ka 20 g o nā huina māmā maʻalahi.
I kahi kūlana koʻikoʻi, pono ka mea maʻi e ʻai i ka 15-20 g o nā huamona māmā. Loaʻa ʻia nā mea i loko o ka porridge, nā kuki a me ka berena. Inā makemake, hoʻokahe ka kō i ka wai. ʻAʻole hāʻawi kēia mau kaʻina i kahi hopena a nalowale paha kekahi kanaka, a laila pono ʻoe e kāhea i kahi ambulance.
Kauʻai
Me ka haʻalulu haʻahaʻa, pono ʻoe e hahai i kaʻaiʻai ikaika. Inā ua lawe aku ke kumu i nā lāʻau lapaʻau me ka hopena hypoglycemic, a laila e haʻalele ʻoe i nā meaʻai momona, ʻai i nā manawa 5-6 i kēlā lā i kēia lā i ka wā like, liʻiliʻi liʻiliʻi, e hoʻolalelale i ka ʻai, nā huahana kīʻai, hōʻole i ka wai inu a hoʻohana i nā mea momona. ʻO ka nui o nā kaloli o kaʻai o ka meaʻai. ʻAʻole hiki iā ʻoe ka pololi a mekiʻi i nā ʻai.
He aha ka hopena o ka hypoglycemia
ʻAʻole pono ʻoe e ʻike i nā kumu kumu (no ke aha e hōʻemi ʻia ai ka meli), akā, hiki nō hoʻi ke hoʻopiʻi ka hopena o kēia ʻano. Hoʻopili kēia ma o ka hana o ka pūnao o ka nūnū, luku hōʻino, hoʻoneʻe i ka ʻike a me ka hoʻomanawanui.
ʻO nā hopena o ka hypoglycemia
Hiki i nā hopena o ke hāʻule ʻana o ke kō koko koko:
- Nā pīhoihoi Hypoglycemic. Pono ke kōkua kōkua.
- Coma Ka mea i hōʻike 'ia me ke anuanu, clammy sweat, apathy, nalowale o ka noʻonoʻo ʻana, papaliko ka ʻike ʻana, nele i nā hopena, hoʻemi i ka nui o ka hanu, ka pōpilikia, tachycardia a me ka palaki o ka ʻili.
- ʻO nā maʻi Cardiovascular.
- Make. Loaʻa ia ma ka waiho ʻole o ka hoʻomaʻamaʻa kūpono a me ka haʻahaʻa haʻahaʻa o ke kō.
Pehea e pale aku ai i ka hypoglycemia i ke ʻano type type 1 a i ʻole
ʻO ka pale ʻana i ka hypoglycemia e pili ana i ka helu akahele pono ʻana i ka nui o ka insulin a me ka lāʻau hypoglycemic oral, ka mālama pono ʻana i ka lawe ʻana i nā lāʻau lapaʻau, hōʻole i ka waiʻona, ʻae i ka hana kino, hoʻokaʻina i nā lā glucose i kēlā me kēia lā (no ka poʻe maʻi me ka maʻi maʻi) a me ka mālama ʻana i ka ʻai.
