Wani abu ne wanda ke buƙatar kimantawar likita don bincika mai laifi
Lokacin da mafi yawan mutane ji kalmar nan " sugar jini ," sai suka haɗa shi zuwa ga ciwon sukari nan da nan. Duk da haka, yayinda sukarin jini (wanda ake kira hypoglycemia) na kowa ne a tsakanin mutanen da ke da ciwon sukari, zai iya faruwa a mutanen da basu da ciwon sukari.
Mafi mahimmanci, ƙananan jini zai iya faruwa a cikin 'yan sa'o'i bayan cin abinci, wani abu da ake kira hypoglycemia mai sassauci ko hypoglycemia postprandial.
Hanyoyin cututtuka na Magungunan Magungunan Hoto
Alamar cututtuka na jigilar hypoglycemia mai sauƙi daga rashin tausayi da rashin tsoro (alal misali, jin dadi, damuwa, damuwa, ko yunwa) ya zama mai tsanani (misali, bunkasa hangen nesa, da / ko gurgi).
Duk da haka, fuskantar daya ko fiye daga cikin waɗannan bayyanar cututtuka ba dole ba ne yana nufin kina da jini mai zurfin jini. Wadannan bayyanar cututtuka na iya nuna matsala daban-daban, kamar zuciya ko matsalar rashin lafiya. Wannan shine dalilin da ya sa kwarewa ta hanyar likitocin kiwon lafiya yana da muhimmanci.
Sanin asalin Harkokin Hypoglycemia
Domin a iya kimantawa don maganin hypoglycemia, mai likita zai sami jinin jinin (wanda ake kira glucose jini) a cikin hudu zuwa biyar bayan cin abinci, lokacin da kake fuskantar bayyanar cututtuka da hypoglycemia.
Zai iya samun jinin jinin ku ta hanyar tattara jinin daga jikin ku (wanda ake kira venipuncture). Wannan ya fi dacewa fiye da samun jinin jinin ku daga glucose saka idanu.
Idan an gano ka da matakin ƙananan jini (yawanci kasa da 60mg / dL), kuma ana nuna alamar cututtuka da zarar an tayar da jini, likitanku zai so ya nema ilimin ilimin halitta a bayan bayananku na postprandial hypoglycemia, kuma wannan shine inda jarabawar cin abinci mai gauraya ta shiga cikin wasa.
Gwaje-gwaje da Gurasar Gasa
A lokacin gwajin ci abinci mai cin abinci, mutum ya ci abinci kuma ana kiyaye shi har tsawon sa'o'i biyar. Kafin cin abinci kuma a kowane minti 30 (har sai sa'o'i biyar suka tashi), mutum zai shawo kan gwajin jini don duba matakan da suka biyo baya:
- Tsarin jini (glucose)
- Insulin
- C-peptide
- Proinsulin
A lokacin cin abincin, gurbinka yana fitar da insulin, wanda yake sarrafa ruwan sha da kuma amfani da sukari wanda yazo daga abincinka. Proinsulin shi ne abin da ya rabu da baya a cikin pancreas don samar da kwayoyin guda daya na C-peptide da kwayar insulin daya; yana kama da insulin precursor, don haka yayi magana.
Harshen waɗannan gwajin gwajin sun taimaka wa likitoci su gano "me yasa" baya bayan hypoglycemia na postprandial.
Yana da mahimmanci a lura, ko da yake, wani lokacin babu ainihin ganewar asali akan dalilin da yasa mutum yana fuskantar saukad da jinin jini bayan cin abinci. A wasu kalmomi, binciken likita ya nuna babu wanda ya yi laifi. A wannan yanayin, ana bada shawarar dabarun ci gaba don hanawa da kuma biyan bayanan hypoglycemic bayan cin abinci.
Duk da haka, a nan akwai misalai guda uku na yanayin kiwon lafiya wanda zai iya haifar da hypoglycemia na postprandial:
Insulinoma
Wani insulinoma yana da ƙwayar cuta, wanda ba shi da ƙwayar cuta wanda ba shi da tabbacin sake sake insulin cikin jiki. Idan insulinoma ya kasance mai laifi, jarrabawar abincin da zazzabi zai nuna wani babban matakin insulin, C-peptide, da proinsulin (lokacin da jini ya rage).
Ingancin Insulin Intake ko ƙari
Idan mutum yana shan insulin mai yawa, (bari mu ce suna da ciwon sukari ko yin amfani da insulin), matakin insulin zai zama mai girma, amma proinsulin da matakin C-peptide zasu zama low (saboda insulin yana zuwa daga waje jiki, ba pancreas).
Gastric Tafiya Tiyata
Yin aiki na gwadawa zai iya haifar da hypoglycemia saboda abinci zai iya wucewa da sauri ta hanyar tsarin narkewar jiki, ba tare da an yi digiri ba kuma yana tunawa da glucose cikin jini. A cikin wannan misali, kamar insulinoma, dukkanin matakan uku (insulin, C-peptide, proinsulin) yawanci suna karuwa.
Gudanar da Harkokin Magungunan Magunguna
Idan an gaya maka cewa kana da maganin hypoglycemia, mai likita zai bi shi bisa ga mahimmancin dalilin. Alal misali, idan likitoci sun yi tsammanin insulinoma, za a kira ku don tiyata don cire shi.
Idan jigilar hypoglycemia mai saurin aiki ba shi da wani abu wanda ba a sani ba ko kuma ba a sani ba, ga wasu ƙananan hanyoyi da ya kamata ka dauka don hana yaduwar jini daga abin da ke faruwa bayan cin abinci:
- Abincin iyakance tare da babban glycemic index, musamman a kan komai a ciki. Alal misali, cin abincin farko na safiya zai iya haifar da wani abu na hypoglycemic.
- Ciyar da ƙananan, abinci mai yawa da kuma abincin da ya haɗa da fiber da furotin.
- Ku ci abinci mai banbanci, mai yawan fiber, tare da isasshen abinci na gina jiki, ƙwayoyin hatsi da kayan lambu, da 'ya'yan itatuwa, da kuma abincin kiwo
Idan kuna fuskantar wani babban shafi na hypoglycemic, wadannan matakai zasu iya kawo matakin sukari naka sama:
- Ku ci ko sha 15 grams na carbohydrates nan da nan, irin su huɗun ogancin ruwan 'ya'yan itace, daruruwan shida na soda na yau da kullum, ɗayan teaspoon na sukari ko zuma, ko tablespoons biyu na raisins. Wannan ya kamata ya taimaka bayyanar cututtuka a cikin minti 15. Kuna buƙatar sake maimaita matakan da ke sama idan glucose na jini ya ci gaba da zama low.
- Tabbatar cin abincin abinci marar kyau ko abun ciye-ciye bayan bayyanar cututtuka sun tafi. Alal misali, apple tare da man shanu na man shanu ko turkey sandwich kan gurasar hatsin gari. Wannan zai hana wani yaduwar jini da sukari.
Kalma Daga
Duk da yake fuskantar ciwon jini na jini bayan cin abinci zai iya zama m da damuwa, akwai hanyoyi don sarrafa shi da kyau. Mai yiwuwa likita mai gina jiki zai iya taimaka maka samun hanya ta hanyar yin amfani da rageccen abincin glycemic index da kuma halin da zai inganta ma'aunin sukari.
A ƙarshe, zama lafiya, ko da yake, kuma ga likita farko.
> Sources:
> Cibiyar Cibiyar Ciwon Ciwon sukari da Kwayoyin Kwayoyi da Kwayoyin Kwayoyi. Sugar Tsuntsin Ƙananan (Hypoglycemia).
> FJ Service, Vella A. (2017). Hypoglycemia a cikin tsofaffi ba tare da ciwon sukari mellitus: Tsarin dalili ba. Hirsch IB, ed. Na zamani. Waltham, MA: UpToDate Inc.
> FJ Service, Vella A. (2017). Postprandial (mai amsawa) hypoglycemia. Nathan DM, ed. Na zamani. Waltham, MA: UpToDate Inc.
> Stuart K, Field A, Raju J, Ramachandran S. Postprandial mai maganin hypoglycemia: Abubuwan da ke nunawa a kan jigilar gwaje-gwajen glucose da kuma yiwuwar maganin warkewa. Gyara Madauki . 2013; 2013: 273957.