Tus mob hypoglycemia yog ib hom kab mob los sis maj mam ua rau cov ntshav qabzib nyob hauv qis qis qis dua (qis dua 3.5 mmol / l). Feem ntau, qhov txo qis ntawm cov kua qab ntswg yog muaj mob los ntawm ib qho mob ntawm cov ntshav hypoglycemia - ib qho ntawm cov yeeb yam ntawm cov cwj pwm mob txuam nrog cov nqaij npuag, lub hlwb thiab lub hlwb.
Ua rau kev hypoglycemia
Qhov ua rau hypoglycemia yog ntau yam. Qhov mob no tuaj yeem tsim ua ib lub plab (tom qab yoo mov), thiab noj mov tom qab. Hypoglycemia, uas tshwm sim rau ntawm lub plab tas, tuaj yeem txuam nrog ntau tshaj qhov siv ntawm cov piam thaj hauv lub cev lossis nrog nws cov khoom tsis txaus. Cov qoob loo ntawm cov piam thaj yog:
- Hyperinsulinism yog ib qho kev nce hauv kev tso pa ntawm insulin los ntawm cov txiav thiab qhov sib ntxiv ntawm nws cov concentration hauv cov ntshav.
- Insulinoma - yog ib qho nqaij hlav ntawm cov txiav, ua kom tsis txhob muaj cov tshuaj insulin ntau.
- Tshaj kom tsawg ntawm cov piam thaj hauv lwm cov hlav (feem ntau - qog nqaij hlav, adrenal cortex).
- Ib qho overdose ntawm insulin nyob rau hauv kev kho mob ntawm cov ntshav qab zib mellitus .
- Hypersensitivity rau insulin, uas tau tsim los ntawm kev noj cov tshuaj qab zib kom tsawg thiab lwm cov tshuaj.
- Idiopathic familial hypoglycemia yog ib yam kabmob uas tshwm sim los ntawm kev ua haujlwm tam sim ntawd ntawm insulin nkag rau hauv cov ntshav.
Cov kua tsw qab tsis txaus yog qhov ua rau:
- kev ua txhaum ntawm cov txheej txheem ntawm glycogenolysis;
- kab mob, nrog los ntawm kev txo qis cov tshuaj hormones ( Addison's disease , hypopituitarism);
- cov teeb meem ntawm lub tshuab enzyme thaum muaj tus kab mob glycogen thiab daim siab mob siab (kab mob siab, kab mob, lwm yam).
Hypoglycemia uas tshwm sim tom qab noj mov (reactive), tuaj yeem tsim tau cov khoom noj (feem ntau ntawm kev siv cov carbohydrates).
Ntxiv nrog rau cov twb tau hais, feem ntau yog qhov ua rau ntawm hypoglycemia nyob rau hauv cov ntshav qab zib mellitus yog:
- haus cawv;
- kev ua si lub cev;
- Kev qhia txog cov tshuaj insulin ua ntej yuav mus pw (nocturnal hypoglycemia nrog rau lub cev tsawg kawg nkaus rau cov tshuaj insulin thaum hmo ntuj los ntawm 2 mus rau 4 xuab moos).
Kev tiv thaiv ntawm hypoglycemia
Yuav kom tiv thaiv tau hypoglycemia, nws raug pom zoo:
- Txhob haus cawv.
- Ua tib zoo xam cov tshuaj ntawm insulin thiab cov tshuaj hypoglycemic.
- Tsis txhob tseg cov zaub mov.
- Yuav tsum muaj cov ntsiav tshuaj qab zib los yog ib qho piam thaj.