Koetliso ea lefu la tsoekere ke mofuta oa eona o boima ka ho fetesisa, o khetholloang ka phetoho e matla maling a tsoekere maling, ba ke ke ba amahanngoa le mathata a lijo kapa litlolo tse sieoang litlhare bakeng sa kalafo ea lefu lena.
Tekanyo ea tsoekere e sa tsitsang e lebisa nts'etsopele ea litlhaselo tsa hypoglycemia, hammoho le tšenyo ea liphio, tsamaiso ea methapo, likepe tse kholo le tse nyane, pelo, e bakang kotsi e eketsehileng ea ho holofala le lefu.
Mathata a ho khetha tekanyetso ea insulin ho lefella mofuta ona oa lefu la tsoekere a kenya letsoho ho komeng khafetsa, ketoacidosis. Ho eketseha khafetsa ho lebisa tlhokahalong ea kalafo ea kalafo, e fokotsang tšebetso le ho mpefatsa likamano tsa botsoalle le bakuli.
Lisosa tsa lefu la tsoekere le sa tsitsang
Lefu la tsoekere hangata le amahanngoa le maqheka a fosahetseng a tsamaiso ea insulin. Ramatiki e joalo e hlalositsoe ke rasaense oa Amerika Michael Somogy mme ae bitsa post-hypoglycemic hyperglycemia. Litekanyetso tse phahameng tsa insulin li lebisa ho theoha ha tsoekere ea mali.
Karabelo ea 'mele e khothaletsa tokollo ea lihormone tse loantšanang, hobane e hlahlojoa e le khatello ea maikutlo, e behang bophelo kotsing. Sena se qala letoto la liphetoho tse hlahisoang ke ts'ebetso ea hypothalamus, ebe litsoelesa tsa pituitary le adrenal. Ts'ebetso e ntseng e eketseha ea tsamaiso ea methapo ea kutloelo-bohloko le lihormone li lebisa keketseho ea tsoekere ea mali.
Ketso ena e na le: adrenaline, adrenocorticotropic hormone, cortisol, hormone ea kholo le glucagon. Matla a bona a kopaneng a lebisa ho phatloheng ha mafura le ponahalo ea mali a 'mele oa ketone, nts'etsopele ea ketoacidosis.
Ho 'mele o phetseng hantle, matšeliso a "hypoglycemia" a khutlisetsa maemo a tloaelehileng,' me ho lefu la tsoekere le lefu lena ho lebisa ho hyperglycemia e tsitsitseng. E ka nka lihora tse 8 ho isa ho tse 72.
Lisosa tsa hypoglycemia ntlheng ena li ka amahanngoa eseng feela le ts'ebeliso ea lithethefatsi, empa le mabaka a joalo:
- Khaello ea phepo e nepahetseng.
- Ho nwa joala.
- Ho matlafatsa mmele.
- Ho sebelisa kelello haholo.
Matšoao a lefu la tsoekere
Kaha litlhaselo tsa hypoglycemia le tsoekere e phahameng ea mali li fapana, matšoao a kliniki a fapana. Ka nako e ts'oanang, hypoglycemia ha e phatlalatsoe kamehla, empa e patiloe, kahoo bakuli ha ba ele hloko likarolo tse joalo.
Matšoao a hypoglycemia ea morao-rao e ka ba bofokoli bo fokolang kapa ho tsekela, hlooho ea hlooho, e nyamelang kamora ho ja. Ho hlaseloa bosiu ho etsahala ka tsela ea ho tšoenyeha ka boroko, ho lora litoro tse matla bosiu, ho tsoha ka thata le ho hloka matla ka mor'a boroko. Hangata ho ba le mofufutso o eketsehileng bosiu, hlooho e bohloko.
Bana, bacha le bacha ba leng kalafong ea insulin ba kotsing ea ho fumana hyperglycemia hape. Ho ba le lefu la tsoekere ho lona ho etsahala ka lebaka la boima ba mmele bo tloaelehileng kapa bo ntseng bo eketseha, e leng lets'oao la bohlokoa la tlhahlobo ea mafu.
Matšoao a mantlha a bontšang ho ba le insulin e sa foleng ke ena:
- Lefu la tsoekere la lefu la tsoekere le phallo e matla ea tsoekere ea mali nakong ea letsatsi.
- Tendency ho ketoacidosis.
- Khafetsa kapa o koahela litšelo tsa hypoglycemia.
- Ka tsoekere e phahameng ea mali, bakuli ha ba fokotse boima ba 'mele.
- Ho eketsa tekanyetso ea insulin ho mpefatsa tsela ea lefu la tsoekere.
- Ho eketsoa ha mafu a tšoaetsanoang kapa a mang ho ntlafatsa metabolism ea carbohydrate.
- Ka moroto, acetone e bonoa e batla e na le
Boikutlo ba kelello bo boetse bo fetoha - bakuli ba fetoha ba sa tsotelleng, ba bohlokoa haholo, ba lula ba ikutloa ba sa thaba ebile ba na le karabelo e mpe ho baratuoa, ho tepella maikutlong kapa ho hloka thahasello le ho lla.
Hape, phetoho e fetohang haholo ke sebopeho - ho lahleheloa ke thahasello liketsahalong tseo pele li neng li khahlisa, li le tšosa, li itšehla thajana, 'me joale ho ka hlaha pherekano kapa thabo. E 'ngoe ea matšoao - khahlano le semelo sa tlala e bohale, ho se tsotelle lijo e bonahala, ho se rate ho ja.
Haeba ngoana ea kulang a fuoe tekanyetso e phahameng ea "insulin" ea nako e telele mme litekanyetso tsa eona tsa tlhoro li etsahala mantsiboea le bosiu, joale bana ba lla boroko ba bona, ba hoelehetsa, 'me hoseng ho ba le pherekano, ba ke ke ba hopola liketsahalo tsa bosiu, nakong ea ha ngoana a bolaoa ke koluoa, a bile bohloko haholo.
Litlhaselo tse mabifi, boitšoaro ba asocial, le ho hana lijo ke tšobotsi ea bacha. Bakuli ba baholo ba tletleba ka bothata ba ho tsepamisa mohopolo, mathata a ho etsa mesebetsi ea matsoho, ho otsela motšehare, hlooho e bohloko.
Ho kanna ha ba le pono e lerootho ea paroxysmal, ho fofa ha lintlha tse khanyang kapa "lintsintsi" ka pel'a mahlo.
Phekolo ea lefu la tsoekere
Ho fana ka kalafo, ho hlokahala ho netefatsa ho fokotseha hoa boemo ba tsoekere maling, ho senola litheko tsa hypoglycemia, tse fihlelletsoang ka hloko le ka ho lekola tsoekere ea mali letsatsi le leng le le leng.
Bakeng sa ho fokotsa tekanyetso ea insulin, ho sebelisoa mekhoa e 'meli: ka potlako - bakeng sa matsatsi a 10-15 mme o liehe, ha tekanyo e fokotsoa ke liperesente tse 10-20 ka likhoeli tse peli.
Empa, joalo ka molao, ke ka ho theola tekanyetso feela ho ke keng ha khoneha ho tsitsisa molemong oa lefu la tsoekere. Ho tlisa metabolism e tloaelehileng ea carbohydrate ho bakuli ba joalo, phetoho ea lijo le lethal dose ea lik'habohaedreite tse rarahaneng e tlisoa maemong a tloaelehileng a 'mele.
Ntle le moo, ho khothalletsoa hore mehato e joalo ea ho thibela ho feto-fetoha ha matla hoa tsoekere ea mali:
- Ho hlahisoa ha insulin e nkang nakoana, ente makhetlo a 5 ka letsatsi pele ho lijo tse ling.
- Ho lekanya boemo ba tsoekere ho etsoa lihora tse ling le tse ling tse 4 bonyane beke.
- Ho hlokomela bophelo bo botle ba sesebelisoa bakeng sa ho lekanya tsoekere ea mali, hammoho le bophelo bo botle ba lisebelisoa tsa bongaka bakeng sa ho tsamaisa insulin.
- Ho lumellana le mokhoa o khothalletsoang oa ho ikoetlisa.
Video e sehloohong sena e tla senola matšoao ohle a ho qala ha lefu la tsoekere.
