ʻO ke koko ka wai nui no ke kino, no laila e mālama pono ʻia kona ʻano. Ma hope o nā mea a pau, ʻo kahi loli maikaʻi ʻole i kona hoʻokūkū hiki ke alakaʻi i nā hopena koʻikoʻi.
ʻO ke koena o ka Sugar kahi hōʻailona koʻikoʻi o ka hana maʻamau o nā kino āpau a me nā ʻōnaehana i ke kino o ke kanaka. Hōʻike ka hoʻoliʻi o ka glucose i ka hana o ka metabolism, ke nānā ʻia nei kēia ʻano kumu o ka ikaika no ke kino.
Kāhea ke kō i ke kahe ma hope o ka manaʻo o ka kalaka. Hiki i ka haʻahaʻa ke haʻahaʻa, maʻamau a kiʻekiʻe.
ʻIke ka poʻe a pau inā kiʻekiʻe ke kiʻekiʻe o ka glucose, hoʻopilikia ʻo ia i nā ʻōnaehana a me nā ʻōpio. Eia kekahi, maʻamau kēia kūlana no nā poʻe me ka maʻi maʻi. Akā inā he haʻahaʻa o ke koko ma lalo o ka maʻamau, he aha ke ʻano?
He aha ka hypoglycemia a no ke aha e hoʻomohala ai?
Hoʻopili ʻia ke kōnohi koko ma ke ʻano e ʻai mau ai kekahi kanaka. No laila, i ka wā eʻai ai i nā kīʻaha momona a me ke kalaka, e hoʻonui koʻikoʻi nā hōʻailona. I ka manawa like, hoʻomaka ka pancreas e hana ikaika i ka insulin - he hormone e hana i ka glucose i ka ikehu.
Ke pau ka hana ʻana o ka insulin, pono nā ʻano o ka glucose, akā ʻaʻole i kūpono kēia me nā mea like ʻole. No ka laʻana, i ka maʻi diabetes, pinepine ka hypoglycemia i ka wā ma hope o ka ʻai ʻana, ʻaʻole hua ka pancreas i ka nui o ka hormone.
Akā ʻike ʻia kekahi manawa haʻahaʻa haʻahaʻa ma kahi kanaka olakino. Hoʻohana pinepine ia i ka wā o ka hoʻouka ʻana o nāʻokoʻa ʻano like ʻole.
ʻO ka pae glucose nohona maʻamau ma ke kakahiaka ma waena o 3.3 a hiki i 5.5 mmol / L. Me nā hana liʻiliʻi o 5.6-6.6 mmol / l, hiki iā mākou ke kamaʻilio e pili ana i ka hoʻomanawanui i ka glucose. ʻO kēia palena ka palena ma waena o ke ʻano a me nā kuʻuna, a inā he gula ma luna o 6,7 mmol / l, a laila ua manaʻo ʻia kahi mākaʻikaʻi iki o ka maʻi maʻi.
Hiki ke hypoglycemia ʻaʻole i ka maʻi maʻi wale nō, akā i ka poʻe olakino a me nā keiki. ʻO nā kumu nui o ka hilo haʻahaʻa:
- ʻO ka hana kino pilikino me kahi meaʻai haʻahaʻa.
- ʻAi ʻia ka ʻai a nā ʻāpala kahiʻai (ʻaʻai wikiwiki, sweets, palaoa).
- Ke lawe nei i kekahi mau lāʻau lapaʻau.
- ʻO ka helu hānau.
- Naʻu?
- ʻO ka hoʻohana ʻana o nā beta-blockers i ke kāʻei o nā haʻuki.
- Menstruation ma nā wahine.
- ʻO ka pane ʻana o ke kino o ke keiki e lawe i ka acetylsalicylic acid.
ʻO nā kumu o ka hypoglycemia i nā kaikamahine'ōpio i ka hiki ʻole ke hahai i ka ʻai. Ma hope o nā mea a pau, noho nui nā wahine ma luna o nā kīʻaha haʻahaʻa haʻahaʻa.
Hiki i ke ʻano ʻino (hōʻemi, ʻona) ke hoʻohaʻahaʻa i kāu kao glucose. Eia kekahi, a hiki i ka mea ke haʻalele ʻokoʻa i ka wai inu a me ka pakaahi, ʻaʻole hiki ke hiki i ka mea maʻamau ke hoʻonui i nā hilo gula a me ke kōkua o nā lāʻau lapaʻau.
ʻO ka pinepine, ke kau nei nā kumu o ka hypoglycemia i ke alo o nā mea maʻi malignant. Ma hope o nā mea āpau, alakaʻi pinepine nā tumors i ka pancreas i ka hoʻonui ʻia o nā kiko, me nā pū beta, kuleana no ka hana ʻana o ka insulin.
I nā maʻi maʻi, hoʻemi ʻia ka nui o ka meli ma muli o ka nui o ka nui o ka insulin a i ʻole nā lāʻau ʻē aʻe a me ka hoʻomau ʻana i nā pilikia ʻeha. Hoʻololi kekahi i nā lāʻau lapaʻau i mau kaʻe i ka pae o ka glucose.
ʻO nā kumu e hiki mai ana o ka hypoglycemia i ka maʻi diabetes i ka pōloli, ka hana kino nui, ka lawe ʻana i nā lāʻau lapaʻau, ka waiʻona a me ka hoʻolauna hou i kahi ʻaila hou i hoʻōla ʻia i loko o ka maʻi.
Eia kekahi, hiki i kahi haʻahaʻa o ka glucose i ke koko ke hoʻomohala inā hoʻomohala a hoʻoliʻiliʻi ka maʻi diabetes i ka hoʻokaʻawale ʻana i ke kō o ka lāʻau nui.
Nā hōʻailona me nā maʻi
Hōʻike pinepine ʻia kahi mea hilahila liʻiliʻi ma ke kakahiaka, ma hope o ka hoʻoheheʻe ʻana. I kēia hihia, maʻamau iā ia, e lawa ka lawa no ka ʻaina kakahiaka.
Akā i kekahi manawa ma hope o kaʻaina kakahiaka a i ʻole kaʻaina ʻaina he pane hypoglycemia. Hōʻike pinepine kēia hōʻailona i ka hiki ʻana o ka maʻi diabetes.
ʻO nā hōʻike nui o ka hoʻoliʻu haʻahaʻa haʻahaʻa e komo:
- hyperhidrosis;
- ninini
- pinepine ka pulse a me ka tachycardia;
- nā uila wela a me nā haʻalulu ma nā lima;
- makewai nui a me ka pololi;
- ʻeha kuʻuna maʻi;
- huhū;
- polyuria.
ʻO nā hōʻailona ʻē aʻe o ke kō me nā haʻahaʻa haʻahaʻa, ʻo ia ka lohi o ka ʻili o ke alo, nā wāwae a me nā lima, apathy a me ka dizziness. ʻO ka pinepine ke loaʻa nā haunaele ʻike (nā lele, nā ʻike ʻelua a i ʻole ka pale i nā maka), nā kaumaha, nā nāwaliwali a nāwaliwali paha o nā wāwae. Eia kekahi, me ka hyperglycemia, nā palma kahe, kahi mea i kūʻole i ka wā anu.
Ke hōʻike nei nā ʻano hoʻohālike haʻahaʻa ma ka pō i ka wā o ka hiamoe, kahi ʻike hohonu. A ma hope o ka ala ʻana, haʻalulu ʻia kekahi kanaka i nā manawa o nā mea liʻiliʻi.
Hōʻike ʻia kēlā mau ʻano ma muli o ka pololi o ka lolo. No laila, inā he koko haʻahaʻa ma lalo o ka maʻamau (ua emi mai ma 3.3 mmol / l) a laila hoʻopau koke ka mea kalapona.
Ke hala ʻole o kekahi hana, hiki i kahi mea hoʻopiʻi e ulu. I ka wā mua, hoʻohālikelike, hoʻonaninani, hoʻōho, ʻike ʻia kahi ʻano kūhaka puʻupaʻa.
Ma hope o ka nalowale o ka hoʻomaopopo a hiki i kahi kūpono e hoʻomohala i kahi maʻi kūpaʻa. Kūʻai pinepine ka maʻi diabetes ma kēia ʻāina i kahi coma. Hoʻomoʻa pinepine nā hypoglycemia i ka hoʻolālāʻana o kahi kī.
He mea kūpono ia e emi ʻole nei nā keiki i ka hypoglycemia. Akā inā ʻōlelo ʻia, a laila hoʻomohala kekahi mau maʻi i kekahi mau hōʻailona, ʻo ia hoʻi:
- ikaika ikaika ʻole;
- ʻeha i nā wāwae a me ka ʻōpū;
- nāwaliwali
- makemake e hoʻomaha;
- noho mālie a pane mālie;
- maikaʻiʻole noʻonoʻo noʻonoʻo;
- ka olu o ke poo.
Kuhi ʻia ke ʻano o ka maʻi hypoglycemia ma ʻekolu mau mea. ʻO kēia nā hoʻokolohua hōʻoia, kahi moʻolelo olakino a me nā hoʻopiʻi hoʻopiʻi.
I mea e ʻike ai ka kiʻekiʻe o ke kō i ke olakino, hoʻomaʻamaʻa ʻia kahi hōʻike hoʻoliʻi glucose. Aia ka hiʻona i loko o ka pūnāwai me ka ʻōpū ʻole i hoʻopaʻa ʻia e ka mea maʻi ka maʻi, a laila hāʻawi iā ia i kahi hopena momona. Ma hope o 2 mau hola, e ana hou ʻia ka pae kōpaʻa.
Hiki iā ʻoe ke ʻike i ke ʻano o ka hyp- or hyperglycemia ma ka home. No ka pahuhopu a, hoʻohana i ka glucometer.
Hiki i nā ala maʻi ke hoʻonui i ka piʻi ʻana o ka glucose
Inā ʻaʻole he nui ka hilo, a laila hiki iā ʻoe ke kāpae i kēia kūlana iā ʻoe iho. I kēia hihia, pono ʻoe e ʻai i kekahi mau palaka wikiwiki a inu paha i kahi hopena o ka glucose.
Ma hope o kēlā, he mea nui ke ana ma hope o 10 mau minuke. Inā ma kēia manawa ʻaʻole e hoʻonui ka pae, a laila pono ʻoe e lawe i kahi hopena ʻono a i ʻole ka meaʻai a i ʻole ka hoʻāʻo.
I ka hanana ʻana o kahi pākeke i nā pae gula, pono e hoʻopau ʻia nā meaʻai me ka GI kiʻekiʻe. Hoʻopili kēia me ka meli, lemonade a i ʻole waiʻa, hoʻōla a hoʻōla, kāmela a me ka ʻoni.
Eia naʻe, no ka hoʻonui wikiwiki ʻana i ka kao o ka glucose, ʻaʻole hiki iā ʻoe ke ʻai i nā hua, hoʻōla lūlū ʻia nā kaola, nā kekona, nā ʻona, nā mea momona a me nā kaʻaahi. Me ka ʻai e hiki mai ana, he mea kūpono hoʻi e kali a hiki i kahi ʻano maʻamau.
Akā inā hāʻule ka nui o ke kō, ua pono ʻoe e kāhea i kahi ambulance. Ma mua o kona hiki ʻana, hiki iā ʻoe ke hāʻawi i ka mea maʻi i ka inu ʻono ʻoni loa, a i loko o kahi hale pule he e hāʻawi ʻia ʻo ia i kahi hopena glucose (40%). I ka hihia o ka ʻike ʻole, ʻaʻole pono ʻoe e inu a hānai i ka mea maʻi, no ka mea he hopena e haʻi a huki paha ʻo ia. He mea nui ia e ʻike i ka mālama no ka mālama ʻana i ka coma maʻi maʻi.
Ma mua o ka hōʻea ʻana o ka ambulance, ʻoluʻolu e kau i ka mea i hoʻopā ma kona ʻaoʻao, a hāwele aʻe i kona wāwae luna ma ka kuli. ʻAʻole kēia e ʻae i ka lua e hoʻopaʻa i kona alelo iho.
Inā loaʻa iā ʻoe kahi ʻike ma ka home, e hoʻopaʻa ʻia ka mea maʻi me ka 20 ml o ka hopena o ka glucose, glucagon a ʻo adrenaline (0,5 ml) paha.
Hoʻopau i kahiʻai maʻi
He hopena koʻikoʻi ka kīlea i nā lula i nā pae glucose koko. No laila, ʻo nā mea maʻi me ka piʻi nui o ka ulu ʻana i ka hyperglycemia e pono e nīnau i kahi endocrinologist e kuhikuhi iā lākou i kahi meaʻai kūikawā.
Koho ʻia ka meaʻai ma luna o nā mea like ʻole (hōʻeha o ke ʻano, ke ʻano, ka nui o nā maʻi concomitant). Eia nō naʻe, aia kekahi mau lula pili i nā mea a pau ʻole e makemake ke loaʻa i nā pilikia olakino, ʻo ia hoʻi ke koikoi haʻahaʻa, pono e noho.
ʻO ke kānāwai mua he hoʻonui i loko o ka hoʻokomo o nā minamina o ka hoʻokaʻawale ʻana me nā moemoeā. Kuhi kēia mau huahana i nā lako kālua a pau o ka palaoa, nā mea ʻai like ʻole a me nā cereal.
I ka hoʻohaʻahaʻa, nā wai, nā ʻono, ka meli a me nā kuki e pono ai. A me ka waiʻona, ka muffin, nā mau momona, semolina, ka pasta mai ka palaoa huehue, nā momona holoholona, nā mea ʻala a me nā momona i hoʻowahāwahā ʻia.
He mea nui ia e ʻai liʻiliʻi, e ʻai ana i nā meaʻai i nā wahi liʻiliʻi. Pono e hāʻawi i ka makemake i nā meaʻai i momona i ka momona (ka ʻuala, ka pī, ka palaoa). Hoʻololi kēia mau meaʻai i ka lilo ʻana o ke kō i ka paʻakai paʻakikī.
Pono kahi hua o ka papa hana o kēlā me kēia lā. Akā ʻoi aku ka maikaʻi e hōʻole i nā hua momona loa (ka banana, ka melona, nā ʻōpala, nā hua waina).
Hāʻawi ʻia kahi hana koʻikoʻi i ka meaʻai i nā protein, ka nui o nā mea e pono ai ka lanakila ma luna o nā pale. Hāʻawi ʻia ka makemake i nā meaʻai i nā mea ʻai a me ka iʻa, ʻo ia hoʻi ka iʻa manu, moa, pipi, pupa, hake a menth. Hiki iā ʻoe ke ʻai i nā nati a me nā huahana momona haʻahaʻa.
Eia kahi mea kūpono i ka lā maʻamau, pili i ka mea e hiki ai iā ʻoe ke pale i ka ulu ʻana o ka hyperglycemia:
- ʻAiʻina - hua moa i hoʻomoʻa ʻia, kaʻaīa maʻa like ʻole, kahi ʻāpana i ka palaoa mai kā lākou palaoa palaoa.
- ʻO ka mea kīʻaha i mua he waiū (1 aniani) a i ʻole ka hūnā hua ʻole.
- ʻAno iʻa - kākele kuke me ka ʻaʻa ma ka moʻa momona haʻahaʻa a iʻa paha me ka lau i nā lau ʻala a me ʻono.
- ʻO ka lua kīʻaha he ʻuala mahe a 2 mau huaʻai ʻole i nānā ʻole ʻia a i ʻole nā walnuts (a hiki i 50 g).
- ʻAina ʻaina - iʻa ʻai kāwili a iʻa paha me nā lau ʻai, ʻona a i ʻole chicory.
- 2 mau hola ma mua o ka hiamoe, hiki iā ʻoe ke inu i ka 200 ml o ke kefir (1%).
Ke hōʻike nei ke wikiō ma kēia ʻatikala i ka manaʻo o GMpoglycemia i ka maʻi diabetes.
