Hypoglycemic syncope mu shuga

Coma kuwonetseredwa mwa kukhumudwa kwambiri, kuchepa kwa chidwi ndi kusalingalira komwe kumayambitsa chidwi chakunja.
Kukhazikika kwa matenda ashuga zimagwirizanitsidwa ndi kuchuluka kwa magazi a acetoacetic ndi B-hydroxybutyric acid, ndikupangitsa acidosis. High hyperglycemia ndi glucosuria kumbuyo kwa hyperketonemia (kawirikawiri 4-8 mg%) imayendetsedwa ndi kuchepa kwa thupi. Kuphwanya mitundu yonse ya kagayidwe kachakudya ndi vuto la kuchepa kwa thupi. Mu matenda a shuga a ketoacidosis, madzi am'mimba amatsika, magazi amadzimadzi aimpso amachepetsa, ndipo chindapusa cha zophulika cha mapuloteni chimaphwanya.

Kumbuyo kwambiri insulin thanzi la maselo amitsempha amachepa, kugwiritsa ntchito kwawo shuga kumasokonekera, ndipo kupezeka kwa mpweya wawo sikumatsimikiziridwa. Kuphulika kwa mapuloteni, mafuta, kuledzera kwa thupi lonse, kumathandizira poizoni wakupha wa maselo amitsempha yama ubongo.

Wukani kuphwanya malamulo mu kapangidwe ka minyewa yam'mimba yam'mimba yam'mimba, kotupa kwapakatikati ndi hypothalamus. Kuvomerezeka kwa ma capillaries kusokonezeka, zotupa, ma thromboses ndikotheka, kufalikira kwa lnquor kumasokonezeka chifukwa chosokonezeka bwino kwa ma elekitirodi. Cerebral edema ndiyotheka.

Kusokonezeka kwa malingaliro wodwala yemwe ali ndi matenda ashuga, ali ndi vuto la matenda ashuga, amadziwonetsa ngati kutaya mtima kwambiri.

Kusintha kwachidziwitso m'munda hypothalamus zitsogozani kutha kwa magawo azomwe zimagwirizanitsa mtima komanso kupumira kwa wodwala.

Kukula kwa matenda osokoneza bongo precomatosis imayambitsidwa ndi dziko lodziwika ndi kusaya chidwi kwambiri, kufooka m'maganizo, kufooka kwawonjezereka, kulephera kudya, kusanza mseru, kusanza, ludzu lakukula komanso matenda a shuga. Izi zimachepetsa kuyankhidwa kwachilengedwe. Odwala amasokonezeka ndi mutu, tinnitus. Kusokoneza.

Pang'onopang'ono kapena mwachangu kudwala amapita kukomoka. Kuzindikira kulibe. Chifukwa chakusowa kwamadzi, khungu louma, mucous nembanemba. Lilime lidayuma. Minofu turgor yafupika. Maola ochepa wodwala amataya madzi ambiri, ndipo chifukwa chake, mchere wamchere. Hyponatremia ndi hypokalemia zimachitika. Kuchuluka kwa chlorides, calcium, phosphorous kumachepetsedwa. Mwina ptosis ya eyel. Minyewa ndi minyewa ya tendon imachepetsedwa.

Mpaka pomwe kukula kwa chikomokere ndi hypokalemia mu mtima minofu dystrophic njira zimachitika. Kuperewera kwa glycogen, kuperewera kwa mpweya, kuchepa kwa mapuloteni kumachepetsa kamvekedwe ka minofu yamtima. Pulogalamuyi ndiyofooka, pa electrocardiogram pali kuchepa kwamafunde a T komanso kutalika kwa zovuta kwa QRST. Mtima kusowa kwa mtima kukuchulukirachulukira. Ndi chitukuko cha matenda ashuga, kutaya magazi m'mimba kumatha kuchitika. Pali chiwopsezo chachikulu cha chiwindi ndi chiwopsezo pantchito. Chithunzi chachipatala cha hepatocholecystitis pachimake ndi chifuwa chachikulu chothandizira chimatha kupezeka.

Kuchepetsa mphamvu ya magazi mangani mpweya woipa. Potengera maziko a kuchepa kwa minofu, kukhathamiritsa kwa magazi, kukhathamiritsa kwamaso kumawonedwa. Kuyesedwa kwa magazi kwachipatala kumawonetsa kuchuluka kwa maselo oyera amwazi. ROE yolimbitsa imawonedwa. Kuchuluka kwa hemoglobin ndi maselo ofiira a m'magazi kumawonjezeka. Miyezo yamagazi ya cholesterol, bilirubin ndi nitrogen yotsalira. Ndi chikomokere chonse cha matenda ashuga, shuga wamagazi amafikira 600-800 mg% ndipo pamwamba - mpaka 2000 mg%. Ketonemia ndi ketonuria zikukula - 1000 mg%. Zochita mkodzo ku acetone ndizabwino kwambiri.

Mayeso a mkodzo tsimikizani kuledzera komwe kumachitika m'thupi ndikuwonjezera kusintha kwa impso. Kupezeka kwa iroteinuria, hematuria, cylindruria, leukocytosis kumawonetsa hematorenal syndrome. Mafuta a mkodzo mumkhalidwe wongokhala ndi kukomoka komwe kumayamba kumatha kuwonjezeka mpaka 8-10-12% ndi diuresis ya tsiku ndi tsiku ya 8-10 malita.

- Bweretsani ku zomwe zalembedwa mu gawo "Human Physiology"

Zifukwa zochepetsera shuga

Kutsika kwa shuga m'magazi kumachitika mwa anthu athanzi omwe ali ndi vuto la kuperewera kwa m'thupi. Izi zimatha kudzetsa njala - kukakamizidwa kapena kuzindikira mukamayang'ana kusala kwachipembedzo, kudya zakudya zoletsedwa, kapena kugwiritsa ntchito zakudya zopanda mavitamini, fiber.

Ngati, mutatha kudya, mutatenga chakudya ndi chakudya chochuluka, ndiye kuti yankho lidzakulitsidwa kuti insulini itulutsidwe, ndipo popeza malo ogulitsira a glycogen amachepetsa, ndiye kuti kuchepa kwa glucose kumakhala kotsika ndizofunikira.

Madzi osakwanira, glucose amawonongeka pambiri kuti asungidwe zofunika kwambiri ndipo mulingo wake m'magazi umachepa. Ndi kupsinjika ndi mphamvu zolimbitsa thupi, kugwiritsa ntchito glucose kumakulanso chifukwa cha mahomoni a adrenal.

Ngati chakudyacho chili ndi maswiti ambiri ndi zinthu zopangidwa ndi ufa, ndiye kuti kapamba amagwira ntchito mopitirira muyeso, ndipo insulin yochulukirapo imatsitsa shuga. Asanayambe kusamba, kupanga estrogen ndi progesterone kumachepa, zomwe zimapangitsa kuchuluka kwa glucose.

Odwala omwe ali ndi matenda ashuga, zinthu izi zingayambitse kuchepa kwa shuga. Palinso zifukwa zina zoyambitsa matenda a shuga:

• Kudumpha chakudya ndikumamwa mankhwala ochepetsa shuga kapena insulin.
• Insulin siilowetsedwa pakhungu, koma intramuscularly (singano yayitali kapena mwadala). Mu mawonekedwe awa, ntchito yake imawonekera mwachangu komanso mwamphamvu.
• Mankhwala osokoneza bongo a insulin kapena mapiritsi ochepetsa shuga.
• Kumwa mowa pamimba yopanda kanthu.
• Kubweretsa mankhwala mu dontho lokhala ndi mchere wambiri.
• Mental kapena m'maganizo.

Komanso, kwa odwala matenda a shuga, matenda a chiwindi ofanana, kuchepa kwa chithokomiro, zotupa za adrenal, malabsorption m'matumbo, matenda ndi zotupa ndi owopsa.

Kumwa ma anabolic steroid, komanso osagwiritsa ntchito beta-blockers, kumatha kubweretsa hypoglycemia komanso kukomoka ndi matenda ashuga.

Zizindikiro zakuchepetsa shuga

Kwa odwala matenda a shuga, hypoglycemia ndi yoopsa, chifukwa sangathe kudziwa chiyambi chake nthawi zonse. Mothandizidwa ndi matendawa komanso kugwiritsa ntchito mankhwala a hypoglycemic, Zizindikiro zimatha kusintha ndipo odwalawo amawanyalanyaza. Ngati sanachitepo kanthu m'nthawi yake, ndiye kuti mukumangika.

Komanso, pakuchepetsa shuga m'magazi kuchokera pamitengo yambiri, odwala omwe ali ndi shuga amatha kumva kuti hypoglycemia, yomwe imadutsa mwachangu popanda chithandizo. Chifukwa chake, njira yayikulu ndikutsimikizira shuga m'magazi kuti mumvetse machitidwe ena.

Ndi zizindikiro kuchokera ku 2.7 mpaka 3.3 mmol / l, wodwalayo amatha kubwezeretsa payekha shuga panjira yotseka. Ngati glycemia ndi yotsika kuposa 2 mmol / l, ndiye kuti chikomokere cha hypogicemic chimakula, chofuna chithandizo chamankhwala.

Kuchepetsa kwa shuga m'magazi. Mtundu woyamba wa matenda ashuga omwe amakhala ndi mawonekedwe osakanikirana, chikomokere chimatha kukula bwino komanso ngakhale kuwonjezeka kwa glycemia. Milandu yotere imachitika ndi kuchepa msanga kwa magazi.

Njira zina zasayansi, kuwonjezera pa kudziwa kuchuluka kwa glucose m'magazi panthawi ya hypoglycemia, sizothandiza. Zizindikiro za hypoglycemia zimachitika motere:

1. Mwadzidzidzi kufooka kumachitika.
2. Njala imawoneka.
3. Kuchepetsa mseru
4. Zotsatira.
5. Kutukwana kumachuluka.
6. Manja akugwedezeka.
7. Kusakwiya, mantha, ukali zikukula.
8. Chizungulire

Pa magawo aliwonse awa, ndikosavuta kubweretsanso kuchuluka kwa shuga m'magawo oyambira, koma ngati izi sizinachitike, ndiye kuti masomphenyawo amayamba kupindika, kuwirikiza kawiri m'maso, mabwalo achikuda amawonekera, kugona kumatuluka. Ndi kupitiliza kwa hypoglycemia, kusokoneza, kusokonezeka kwa mawu kumawonekera, wodwalayo akuwuma.

Pambuyo powonetsera koteroko, ngati chithandizo sichiperekedwa, ndiye kuti matendawa amakula, zomwe zotsatira zake zimakhala imfa.

Hypoglycemia imatha kudwala wodwala matenda ashuga ngakhale atagona. Nthawi yomweyo, amakhala ndi ziloto, kumugwetsa thukuta. M'mawa mumakhala mutatopa.

Kodi mungapewe bwanji kukomoka ndi matenda ashuga?

Kuti muchepetse kuukira kwa hypoglycemia koyambirira, mutha kugwiritsa ntchito mafuta osavuta omwe wodwala matenda ashuga ayenera kukhala nawo nthawi zonse, ndipo abale ake ndi abale omwe ali pafupi ayenera kudziwa momwe angathandizire pazinthu zotere.

Shuga asanachuluke, ndibwino kuti mumupime ndi glucometer, chifukwa zomwe zimapangitsa odwala matenda ashuga kukhala osalondola. Ndikofunika kumwa glucose pamapiritsi, podziwa kuti 1 g ya glucose idzaonjezera shuga ndi 0,2 mmol / L.

Muthanso kutenga mafuta osavuta aliwonse omwe ali ndi kuchuluka kwa 12-15 g Mukhoza kukhala magawo awiri a shuga, supuni ya uchi, 150 g ya msuzi uliwonse wokoma wopanda zamkati, bwino kuposa mphesa kapena apulo, zakumwa zokhala ndi shuga, nthochi imodzi, zidutswa 6 za maapulo owuma, maswiti. Zogulitsa zilizonse zokhala ndi shuga m'malo mwake ndizopanda ntchito.

Pambuyo pa mphindi 15, muyenera kuyesanso magazi m'magazi, ngati sichikula, ndipo zizindikirozo zikatsalira, ndiye kuti mlingo womwewo wa michere uyenera kutengedwanso.

Ngati wodwala ali ndi digiri yayikulu, koma amadziwa, ndiye kuti muyenera kuchita izi:

• Apatseni 15-20 g mafuta osavuta, makamaka mu mapiritsi a shuga.
• Pambuyo mphindi 20, muyenera kudya zopatsa mphamvu zovuta za 15-20 (buledi, phala, cracker, makeke).
• Pambuyo mphindi 15, kuyeza shuga.

Mikwingwirima yayikulu ikakhala kuti ilibe chikumbumtima imathandizidwa kuchipatala ndi ma intravenous a 40% shuga ndi jakisoni wa glucagon.

Zisonyezo zamankhwala amkati mwa mankhwalawa ndi hypoglycemia, yomwe singathe kupumulitsidwa ndi jekeseni wama glucose wobwereza, komanso ngati wodwalayo walumikizana ndi matenda amitsempha yamagazi, matenda amitsempha kapena matenda a mtima.

Popewa kukula kwa chifuwa cha hypoglycemic, wodwala aliyense amafunika:

1. Dziwani kaye zoyamba za kuukira ndi momwe mungazithetsere.
2. Onetsetsani kuti mwapeza insulini ndi thanzi la syringe kapena njira zina zoyendetsera insulin.
3. Muziyerekeza shuga tsiku lililonse m'mawa, musanagone, musanadye chilichonse.
4. Kuwongolera glycemia panthawi yovuta yamthupi komanso yamaganizidwe.
5. Onani mitundu yonse ya chakudya, makamaka ndi insulin.
6. Pewani chakudya chamafuta pang'ono ndikugwiritsa ntchito pokhapokha kuti muchepetse vuto la hypoglycemia.
7. Mukamamwa mankhwalawa kuchiza matenda ena, dziwani momwe amachezera ndi shuga (Aspirin, Warfarin, Alopurinol).
8. Onani kwambiri zakumwa zakumwa zoledzeretsa.

Popewa nocturnal hypoglycemia, ndikofunikira kwambiri kuyeza shuga m'magazi ola limodzi asanagone. Ngati insulin imayendetsedwa musanadye, ndikofunikira kudziwa kuchuluka kwa shuga maola atatu mutatha kudya. Pazizindikiro zomwe zili pansipa, muyenera kudya chakudya chomwe chimatha kukhalabe ndi shuga kwa nthawi yayitali: mtedza, yisiti ndi batala la chiponde.

Mavuto omwe angakhalepo okhudzana ndi matenda a shuga afotokozeredwa mu kanema munkhaniyi.

Zomwe zimayambitsa matenda ashuga

Zakudya zopanda thanzi zimatha kusokoneza kukomoka kwa matenda ashuga, momwe munthu amakhala ndi njala kwa nthawi yayitali, kenako amagwiritsa ntchito zakudya zamafuta othamanga. M'mikhalidwe yofananayi, kumasulidwa kowopsa kwa gawo la mahomoni ndi kuchepa kwa glucose wamagazi chifukwa chamisika yochepetsedwa ya glycogen amalembedwa.

Mwa amayi, akakhala ndi vuto, kuchepa kwa chizolowezi chodziwika bwino nthawi zambiri kumadziwika asanayambe msambo. Izi zimagwirizanitsidwa ndi kupanga kuchepa kwa estrogen ndi progesterone, komwe kumakweza kuchuluka kwa shuga. Zifukwa zina zingakhale zazikulu:

• kumwa mankhwala ochepa omwe amachepetsa shuga kapena insulin,
• kuyambitsa molakwika kwa mahomoni kapena chinthu china, chomwe mankhwalawo amayamba kuyamwa, osakhala pansi pa khungu (poyambirira, chinthucho chimayamba kugwira ntchito mwachangu komanso ndi mphamvu inayake),
• kugwiritsa ntchito mlingo waukulu wa mankhwala a insulin kapena hypoglycemic kuposa momwe angafunikire,
• kumwa mowa, makamaka pamimba yopanda kanthu.

Kukhazikitsidwa kwa mankhwala osiyanasiyana kudzera pakapendekeka ndi chiwopsezo chowonjezereka cha kuphatikizidwa kwa thupi kungaonedwe kukhala kolimbikitsa kwa hypoglycemia. China chomwe chingakhale overstrain, chomwe ndimaganizo kapena malingaliro mwachilengedwe.

Owerenga mabakera anena zowona zonse zokhudza matenda ashuga! Matenda a shuga amapita pakatha masiku 10 ngati mumamwa m'mawa. »Werengani zambiri >>>

Wodwala yemwe ali ndi vuto la endocrine, amatha kuzindikira chifukwa cha matenda a chiwindi, kufalikira kwa gland kapena ntchito ya adrenal gland. Nthawi zambiri syncope imadziwika chifukwa cha zotupa kapena ma neoplasms. Chithandizo cha mankhwala a anabolic steroids kapena osasankha beta-blockers chimayambitsa kutsika kwakukulu kwa milingo ya shuga ndikuwonjezera kwakukulu.

Zizindikiro za hypoglycemia

Kuphatikiza pa anomaly wodwalayo, wodwalayo amatha kuzindikira zofooka ngati kumva mwadzidzidzi kufooka, kumverera kwamuyaya kwamanjala, nseru. Palibe mawonekedwe owoneka wamba omwe amatchedwa mtima palpitations, thukuta lomwe likuwonjezeka, kugwedezeka kwa miyendo yakumtunda.

Chochititsa chidwi ndikuwonjezereka kwa kukwiya komanso manjenje, kupsa mtima, kupweteka komanso chizungulire. Ngati simukhudzanso zizindikiro zomwe zili pamwambazi panthawi, ndiye kuti posachedwa, kuwonjezera pa kutaya kwake, kumayambiranso kukomoka, komwe nthawi zambiri kumapangitsa kuti wodwalayo afe.

Thandizo loyamba la hypoglycemic syncope

Kuti muchepetse kugwidwa ndikubwezeretsanso munthu, ndikulimbikitsidwa kuti muwonjezere shuga. Ngati wodwalayo alosera kuti posachedwa adzakomoka, ndikofunikira kumwa glucose mu piritsi. Dziwani izi:

1. musanamwe mankhwalawa, yezani kuchuluka kwa shuga pogwiritsa ntchito chipangizo choyenera,
2. ndiye amamwa mapiritsi, atapatsidwa gramu imodzi ya shuga amawonjezera shuga ndi 0,5 mmol pa lita imodzi,
3. ndi kukomoka, wodwala matenda ashuga ayenera kudya zopatsa mphamvu zosaposa 15 g.

Pazifukwa zomwe adasankhidwa, amaloledwa kugwiritsa ntchito zotsatirazi, zomwe ndi ma shuga awiri a shuga, 1 tbsp. l wokondedwa, 150 ml ya msuzi wokoma. Banana, magawo asanu ndi limodzi a maapulo owuma kapena chokoleti akhoza kukhala othandiza.

Ndikofunika kulingalira kuti mayina omwe ali ndi zotsekemera - zachilengedwe, zopangidwa - sizingakhudze thupi ndipo sizithandiza kuti munthu asadziwe. Pakatha mphindi 15 mutatha kudya shuga, mulingo wa shuga umadziwika. Ngati sichinachuluke, tengani mankhwalawa obwereza chakudya osavuta.

Ndi kupatuka kwakukulu, thandizo ladzidzidzi liyenera kuperekedwa kwa wodwala kuti apewe vuto. Gwiritsani ntchito mpaka 20 g wa chakudya chambiri, ndi bwino kudya shuga m'mapiritsi. Pakatha mphindi 20, wodwalayo amatha kudya zovuta zam'mimba, monga phala, crackers, mkate kapena makeke. Kupitilira apo, ndikofunikira kuzindikira kuchuluka kwa shuga kuti mudziwe momwe mulili wodwalayo.

Zotheka

Kulephera kumatha kuwopseza kusintha kwakukulu. Ngati simupereka chithandizo kwa wodwala pakapita nthawi ndikumubweza, ndiye kuti shuga yayamba kuchepa, zomwe zimapangitsa kuti mukhale ndi vuto la hypoglycemic.

Ngati mavuto oterowo amabwerezedwa pafupipafupi, ndiye kuti izi zimakhudza mitsempha ndi mitsempha.Ubongo umadwala zotere, momwe zimagwirira ntchito zikuwonongeka. Zotsatira zake, kulumala kumatha kudziwika. Kuphatikiza apo, ndi vutoli, kukhudzika ngakhale kufa kwa wodwalayo kumachitika pafupipafupi.

Njira zopewera

Ndikofunikira kukumbukira izi:

• imani mulingo woyenera wa chinthu,
• tsiku lililonse kangapo patsiku kuti mupeze shuga,
• glycemia yokhudza kupsinjika kwa thupi kapena kwamaganizidwe,
• pewani kugwedezeka komwe kumakhudza mtima.

Ndizofunikanso kutsatira mosamalitsa zakudya zopatsa thanzi, ndikuchotsanso chakudya chamagulu tsiku lililonse. Amagwiritsidwa ntchito pokhapokha ngati pakufunika kuponderesa kuukira kwa hypoglycemia. Mowa wa digiri iliyonse umaletsedwanso.

Zimayambitsa kutayika kwa chikumbumtima

Nthawi zambiri, mkhalidwe wokomoka mu shuga umalumikizidwa ndi kuchepa kwa kuchuluka kwa shuga m'magazi. Pachifukwa ichi, sikuti odwala matenda ashuga okha komanso anthu athanzi amachoka.

Shuga amachepetsedwa nthawi yomweyo! Matenda a shuga m'kupita kwa nthawi angayambitse matenda ambiri, monga mavuto amawonedwe, khungu ndi tsitsi, zilonda zam'mimba, zilonda zam'mimba komanso matenda otupa! Anthu amaphunzitsa zinzake zowawa kuti azisintha shuga. werengani.

Zakudya zopanda vuto zimatha kusinthira kuoneka ngati zakomoka m'matenda a shuga, momwe munthu amakhala ndi njala nthawi yayitali, kenako amadya zakudya zamafuta othamanga. Pankhaniyi, kutulutsidwa kwakukulu kwa insulin ndi kuchepa kwa kuchuluka kwa shuga m'magazi chifukwa chotsika m'misika yama glycogen amalembedwa. Mwa azimayi omwe ali ndi matenda ashuga, kukomoka nthawi zambiri kumawonedwa kusanachitike kusamba kwa msambo, komwe kumalumikizidwa ndi kuchepa kwa estrogen ndi progesterone, komwe kumapangitsa kuchuluka kwa shuga. Matenda obanika a shuga amaphatikizidwa ndi izi:

• Zakudya zosokoneza zomwe zimatsitsa shuga kapena insulin.
• Makulidwe olakwika a insulin, momwe chinthuchi chimalowetsedwa m'matumbo, osati pansi pakhungu. Ndi makonzedwe a mu mnofu, insulin imayamba kuchita mwachangu komanso ndi mphamvu inayake.
• Kugwiritsa ntchito mlingo wokulirapo wa insulin kapena mankhwala ochepetsa shuga kuposa momwe timayembekezera.
• Kumwa mowa, makamaka ngati wodwala matenda ashuga sanadyepo chilichonse m'mbuyomu.
• Kukhazikitsidwa kwa mankhwala kudzera ndi dontho lokhala ndi mchere wambiri.
• Kupitilira muyeso wamaganizidwe kapena malingaliro.

Wodwala yemwe ali ndi matenda ashuga, syncope imatha kuchitika chifukwa cha matenda a chiwindi, kuchepa kwa chithokomiro kapena chithokomiro cha adrenal. Nthawi zambiri syncope imalumikizidwa ndi zotupa kapena neoplasms m'thupi. Kuchiza ndi anabolic steroids kapena osasankha beta-blockers kumayambitsa chitukuko cha hypoglycemia ndi kukomoka mu shuga.

Zizindikiro zina

Ngati wodwala matenda ashuga ali ndi hypoglycemia, ndiye kuti muyenera kumuonana ndi dokotala posachedwa, popeza izi zimawopseza thanzi komanso moyo wa wodwalayo. Wodwalayo posakhalitsa amadwala matendawa pomwe amakomoka pafupipafupi. Kuphatikiza kukomoka, wodwalayo ali ndi zizindikiro zotsatirazi za hypoglycemia:

• kumva mwadzidzidzi kufooka
• njala yosalekeza
• kumva mseru
• kugunda kwa mtima
• kutuluka thukuta
• kugwedezeka kwamphamvu,
• kuchuluka kwa mkwiyo ndi mantha,
• nkhanza
• kupweteka mutu komanso chizungulire.

Ngati simukumana ndi zomwe tafotokozazi pamwambapa, ndiye kuti posachedwa, kuwonjezera pa kukomoka, kukomoka kwa glycemic kumachitika, komwe nthawi zambiri kumapangitsa kuti wodwalayo afe.

Zizindikiro za chikomokere

Coma ndi kusiya kuzindikira mu shuga ndizosiyana pang'ono. Gome limawonetsa kusiyana kwakukulu pakati pa chikomokere ndi kukomoka mwa odwala matenda ashuga:

Ngati simumachiritsa munthu patapita nthawi yovuta, ndiye kuti matenda obwera chifukwa cha matenda ashuga atha kukhala ofooka m'maganizo, kufooka, kusanza, ndi mawonekedwe ena amisala. Ndi chikomokere, wodwala matenda a shuga sazindikira, khungu ndi mucous zimafufuma. Pakangopita maola ochepa, kuchuluka kwa sodium ndi potaziyamu m'magazi kumachepa, pamakhala kutayika kwakukulu, komwe kuyenera kubwezeretsedwa mwachangu kuti munthu asamwalire.

Zoyenera kuchita

Ngati munthu wodwala matenda ashuga akukomoka pafupipafupi, ndiye kuti iye ndi banja lake ayenera kudziwa momwe angathandizire anthu oyamba. Pazinthu izi, wodwalayo ayenera kukhala naye nthawi zonse zopangidwa ndi mafuta osavuta. Kuti muchepetse vuto la hypoglycemic ndikubwezeretsanso munthu, ndikofunikira kuwonjezera shuga mumagazi. Ngati munthu alosera kuti posachedwa adzakomoka, ndiye kuti muyenera kutenga shuga mu mawonekedwe a piritsi. Musanamwe mankhwalawa, muyenera kuyeza kuchuluka kwa shuga ndi glucometer, pokhapokha mutenge mapiritsi, mutapatsidwa gramu imodzi ya shuga imawonjezera shuga ndi 0,2 mmol pa lita.

Wokomoka, wodwala matenda ashuga ayenera kudya zakudya zosavuta - osapitilira 15 magalamu. Pachifukwa ichi, mutha kugwiritsa ntchito zotsatirazi:

• Ma 2 ma shuga
• 1 tbsp. l wokondedwa
• 150 magalamu a madzi otsekemera
• 1 nthochi
• 6 ma PC ma apricots owuma
• Pipi 1 ya chokoleti.

Ndikofunika kulingalira kuti zinthu zomwe zimakhala ndi zotsekemera sizingakhudze thupi ndipo sizithandiza kupewa kukomoka. Pambuyo pa mphindi 15 mutatha kudya shuga, muyenera kuyeza kuchuluka kwa shuga m'magazi a magazi, ndipo ngati sichikuwonjezeka, ndiye kumwa mankhwalawa obwerezabwereza a calcium. Ndi kupatuka kwakukulu, thandizo loyamba liyenera kuperekedwa kwa wodwala kuti asakomoke:

• Patsani 20 magalamu a chakudya chosavuta, ndibwino kudya shuga m'mapiritsi.
• Pakatha mphindi 20, wodwala matenda ashuga amatenga zovuta zamankhwala: phala, cracker, mkate, makeke.
• Pambuyo mphindi 10-15, kuyeza shuga m'magazi.

Mankhwala othandizira

Ngati matenda oopsa a hypoglycemia adadziwika ndipo wodwala yemwe ali ndi matenda osokoneza bongo sakudziwa, ndiye kuti amafunikira kuyitanitsa ambulansi ndipo kuchipatala wodwala amapatsidwa thandizo mwadzidzidzi. Amabayidwa kudzera m'matumbo ndi 40% glucose komanso jekeseni wa glucagon. Kuphatikiza apo, odwala matenda ashuga omwe ali ndi hypoglycemia, omwe sangathetsedwe ndi kubwereza kwa shuga, amafunika kulandira odwala. Ngati wodwala atakomoka motsutsana ndi hypoglycemia adawonetsa zizindikiro za kufalikira kwa magazi, matenda amitsempha kapena kupatuka pakugwira ntchito kwa mtima, ndiye kuti chithandizo chachipatala chimafunikanso.

Zotsatira zake

Kulephera ndi matenda ashuga kumatha kukhala koopsa. Ngati simupereka chithandizo kwa wodwala pakapita nthawi ndikumubweza, ndiye kuti shuga yayamba kuchepa, zomwe zimapangitsa kuti mukhale ndi vuto la hypoglycemic. Ngati kukomoka kumabwerezedwa pafupipafupi, ndiye kuti kumakhudza mitsempha ndi mitsempha, ubongo umakhala ndi vuto lotere, momwe limagwirira ntchito likuipiraipira. Zotsatira zake, kulumala kumatha kuchitika. Panthawi imeneyi, nkhawa ndi kufa kwa wodwala sizachilendo.

Njira zopewera

Kuchepetsa kukomoka kwa matenda ashuga, muyenera kupewa zinthu zotsatirazi:

• patsani kuchuluka kwa insulin,
• tsiku lililonse kangapo tsiku lonse kuti muyeza kuchuluka kwa shuga m'magazi,
• kuwunika glycemia pa kupsinjika kwamthupi ndi m'maganizo,
• pewani kugwedezeka komwe kumakhudza mtima.
• kutsatira zakudya,
• Chotsani mafuta osavuta m'zakudya za tsiku ndi tsiku ndikuwawononga pokhapokha ngati akuponderetsani vuto la hypoglycemia,
• kukana zakumwa zoledzera zilizonse.

Popewa kugwedezeka kwa hypoglycemia ndi kukomoka usiku, muyenera kuyeza shuga m'magazi musanagone. Ngati, mutatha kudya insulin ndi mgonero, shuga adakhala wotsika kuposa masiku onse, ndiye asanagone muyenera kudya zakudya zochepa, zomwe zingakuthandizeni kukhala ndi shuga mpaka m'mawa. Itha kukhala mtedza, kuphika ndi batala la chiponde kapena zakudya zina zomwe zimachulukitsa shuga.

Kutayika kwa matenda a shuga mellitus, kapena matenda ashuga: mitundu, zoyambitsa ndi malamulo othandizira

Matenda a shuga ndi vuto lalikulu lomwe njira zake zonse za metabolic zimasokonekera m'thupi la munthu.

Itha kuchitika pazifukwa ziwiri zazikulu: hyperglycemia (kuchuluka kwambiri kwa shuga m'magazi), kapena hypoglycemia (kuchepa kwamphamvu kwa glucose wa plasma).

Vutoli limatha kukhala limodzi ndi matenda a shuga omwe amadalira insulin komanso osadalira insulin.

Hyperglycemia

Chizindikiro ichi ndi phindu lalikulu la glucose. Itha kuthandizidwa osati mu matenda a shuga; matenda a endocrine atha kukhala chifukwa cha hyperglycemia.

Hyperglycemia imatha kupezeka m'njira zosiyanasiyana:

• kuwala (kuchuluka kwa shuga kumafikira 6 mpaka 10 mmol / l),
• pafupifupi (kuyambira 10 mpaka 16 mmol / l),
• zolemetsa (kuchokera 16 mmol / l kapena kuposa).

Ngati mwa munthu yemwe sapezeka ndi matenda ashuga, magazi am'magazi amafikira 10 mmol / L atatha kudya kwambiri, izi zikuwonetsa kukula kwa matenda amtunduwu 2.

Odwala matenda ashuga amayenera kuyang'anira kuchuluka kwa shuga nthawi zonse, chifukwa pakakhala nthawi yayitali hyperglycemia, pamakhala mwayi kuti ziwiya ndi mitsempha ziwonongeka, ndipo izi zimabweretsa ngozi yayikulu.

Hypoglycemia

Vutoli limapindika kwambiri shuga. Chizindikiro ichi chimatha kudziwonetsa wofatsa komanso wowopsa.

Hypoflycemia yofatsa imatha kupangitsa kuti pakhale zizindikiro zingapo zosasangalatsa, monga:

• palpitations
• kukopa kwa pakhungu
• kunjenjemera
• njala,
• kulimbikira
• nkhawa
• nkhanza
• zosokoneza
• kutuluka thukuta kwambiri.

Muzovuta kwambiri, zizindikiro zotsatirazi zingachitike:

• kusanja kwathunthu m'mlengalenga,
• kufooka kosalekeza
• kukokana
• kuwonongeka kwamawonekedwe,
• kupweteka kwambiri m'mutu
• mantha osaletseka komanso nkhawa,
• kusokonekera kwa mawu
• chizungulire
• chisokonezo,
• miyendo yanjenjemera
• kulephera kudziwa.

Hypoglycemia yowopsa ndiyowopsa kwambiri, ndikuti thupi litha kuzindikira pali kuthekera kwakufanso kwina. Palinso chiopsezo cha kulumala chifukwa cha kuwonongeka kwa ubongo.

Hypoglycemia imatha kupezeka osati mwa anthu omwe amapezeka ndi matenda a shuga.

Gulu la anthu omwe ali pachiwopsezo limaphatikizapo anthu athanzi, koma pazinthu zina:

• zolimbitsa thupi kwambiri,
• kusala kudya kwanthawi yayitali.

Ketoacidotic

Vutoli ndi zovuta za matenda ashuga.

Njira zoyenera zopangira matenda ashuga a ketoacidosis ndi awa:

• kuphwanya mankhwalawa matenda a shuga (kuyendetsa bwino insulin, kusakhazikika kwake, kudumpha, komanso kulephera kutsatira mlingo wofunikira),
• kuphwanya zakudya zomwe zaperekedwa (zimachitika chifukwa cha kuchuluka kwa chakudya cham'mimba chambiri),
• kusakwanitsa kuyang'anira magazi a shuga,
• chiwonetsero cha matenda ashuga
• osiyanasiyana endocrine pathologies, limodzi ndi kupanga zochuluka kwamafuta ochulukitsa mahomoni.

Chikomokere chisanachitike, zizindikiro zimayamba kupangika m'masiku ochepa, nthawi zina zimatha kuchitika tsiku limodzi. Izi ndi izi:

• ludzu lalikulu
• kumverera kokhazikika kwa mseru
• kufooka wamba
• kupweteka kwam'mimba
• kusanza
• kutsegula m'mimba
• mutu
• Kununkhira kwa acetone kuchokera mkamwa,
• kusakhazikika
• khungu lowuma,
• kusazindikira, nthawi zambiri kumatsatiridwa ndi kukomoka,
• pokodza kawirikawiri.

Mtundu wamtunduwu, monga lamulo, umangokhala kokha ndi odwala omwe samadalira insulini omwe amadalira odwala omwe zaka zawo zimakhala zaka zopitilira 50, kapena ali ana.

Zomwe zimayambitsa kukula kwa hyperosmolar coma:

• chifukwa chogwiritsa ntchito diuretics ndi glucocorticoids nthawi yayitali,
• hemodialysis
• chifukwa chosaperekera chindapusa cha matenda ashuga,
• matenda oyamba omwe amapezeka ndi madzi am'mimba.

Hyperlactacidemic chikomokere ndi zotsatira zake

Mtundu wamtunduwu umawonekera kwambiri ndipo ungayambike chifukwa chodzikundikira kwambiri lactic acid m'thupi. Ndi chizindikiro chachikulu cha matenda ashuga, amapezeka makamaka mwa okalamba omwe ali ndi matenda oopsa omwe amapezeka ndi minofu hypoxia. Amapezekanso ndi matenda amtima, mapapu, chiwindi, ndi matenda a impso.

Pa precoma, matenda osiyanasiyana a dyspeptic amatha kuonedwa, omwe ndi:

• pafupipafupi kusanza
• kusanza
• kukomoka
• kupweteka pachifuwa
• matenda osiyanasiyana a chapakati mantha dongosolo (chidwi, kupweteka minofu ndi osiyanasiyana zolimbitsa thupi, kugona, kusangalala boma, kugona.

Kuphatikiza pa zizindikiro zonse, matenda a Niskawa amayamba, omwe amaphatikizidwa ndi zovuta izi:

• oliguria
• kusowa kwamadzi
• anuria
• kufuna kusanza
• Mpweya wa Kussmaul,
• Hypothermia,
• fukuchiyama,
• hypotension
• ketonemia
• ketonuria.

Nthawi zambiri, chikomokere chimatha maola ochepa ndipo chimadziwika kuti chimakhala chovuta.

Kodi chimayambitsa matenda a shuga ndi chiyani?

Hyperosmolar imayamba chifukwa cha kupanikizika kwa mtundu II shuga mellitus, komwe kunayambitsidwa ndi shuga wambiri m'magazi a munthu motsutsana ndi vuto lakumatha thupi.

Ketoacidotic nthawi zambiri imapezeka mu mtundu I wa shuga chifukwa cha kuchuluka kwa ma ketones, omwe ndi asidi ovulaza. Amapangidwa chifukwa cha kusowa kwambiri kwa insulin.

Lactic acidemia ndi vuto lalikulu la matenda ashuga, omwe amayamba chifukwa cha matenda a chiwindi, mapapu, impso, mtima.

Hypoglycemic ndi chikhalidwe chomwe chimayamba kukula chifukwa cha kutsika kwakuthwa kwa shuga m'magazi. Chifukwa chodziwika bwino chachitukuko chake ndi chakudya chosayembekezeka, kapena insulin yayikulu kwambiri.

Hyperosmolar

Zizindikiro zotsatirazi ndizomwe zimakhala ndi hyperosmolar coma:

• ludzu losalekeza
• kufooka wamba
• polyuria
• kubweza
• kugona
• kutulutsa madzi,
• ntchito yolakwika
• kuyerekezera
• osangalatsa,
• kukokana
• kuchuluka kwa kamvekedwe ka minofu.

Ngati pali chiopsezo chokhala ndi kukomoka kwa Hyperosmolar, zotsatirazi ziyenera kuonedwa:

• sinthani shuga,
• kuyika wodwalayo molondola.

Woopsa milandu:

• jekeseni mamiliyoni 10 mpaka 20 a shuga (40% solution) kudzera m'mitsempha
• ngati kumwa kwambiri, ndikofunikira kuyimba ambulansi nthawi yomweyo.

Hypoglycemic

Pa chikomokere kwa hypoglycemic, zizindikiro zotsatirazi ndizodziwika bwino:

• kutuluka thukuta kwambiri
• mantha komanso nkhawa zopanda pake,
• kumva kwamphamvu njala
• kunjenjemera
• kufooka kwathunthu ndi kutopa.

Chithandizo cha zilonda zofatsa za hypoglycemic coma chimachitika motere: wodwala amafunika kupatsidwa shuga zingapo, magalamu 100 a ma cookie, kapena supuni zitatu za jamu, ndizoyeneranso.

Ngati zizindikiro zazikulu zikuwoneka, zotsatirazi ziyenera kuonedwa:

• ngati nkosatheka kumeza, ndikofunikira kuthira kapu ya tiyi ofunda ndi supuni 3-4 za shuga kwa wodwalayo,
• dyetsani wodwalayo chakudya, chomwe chili ndi chakudya chambiri (pamenepa, zipatso, zakudya zosiyanasiyana za ufa ndizoyenera),
• kupewa kupweteketsa kwachiwiri, m'mawa wotsatira ndikofunikira kuti muchepetse mulingo wa insulin ndi magawo anayi.

Ngati chikomokere chikukula ndikusazindikira konse, ndiye kuti zotsatirazi zikulimbikitsidwa:

• 40 mpaka 80 mamilimita a shuga
• itanani ambulansi nthawi yomweyo.

Matenda a shuga a ana omwe ali ndi matenda ashuga amatha kuchitika chifukwa chosagwirizana ndi zakudya kapena kuphwanya, kuchuluka kwa insulin, kuvulala, komanso kupsinjika.

Mankhwalawa amachitika mokwanira komanso moyang'aniridwa ndi madokotala mosasunthika, komanso amathandizanso pakubwereza koyesedwa konse koyenera (magazi ndi mkodzo wa shuga).

Pazomwe zili hyperosmolar coma za shuga, mu kanema:

Matenda a shuga ndi imodzi mwazowopsa zomwe zimayambitsa matenda ashuga, omwe nthawi yayitali kwambiri amatha kufa. Chifukwa chake, ndikofunikira kwambiri kwa odwala omwe ali ndi vutoli kuti athe kuwunika momwe alili, makamaka shuga wamagazi, ndikutsatira malangizo onse a dotolo kuti izi komanso zovuta zina zisachitike.

Zonse Zokhudza Kulephera

Kutha kwamphamvu ndi vuto lomwe limatha kuchitikira munthu aliyense. Pali zifukwa zosiyanasiyana zomwe zimachitikira, mwachitsanzo, kufera kwa mpweya m'mpweya wa ubongo. Ikhozanso kukhala chimodzi mwazizindikiro zamatenda osiyanasiyana, nthawi zina ngakhale zazikulu. Mosasamala kanthu za zomwe zimayambitsa izi, kukomoka kumawopsyeza anthu omwe akuzungulirani komanso munthu yemwe ali munthawiyi.

Munkhaniyi tiyesera kudziwa kuti kutaya kwa chikumbumtima ndi chiyani, zomwe zimapangitsa kuti zichitike komanso momwe mungathane ndi izi.

Kuwonongeka kwa chikumbumtima ndi mkhalidwe womwe umachitika chifukwa cha kuperewera kwa okosijeni kwa ziwongo, zomwe zimayipa magwiridwe antchito amanjenje. Potere, munthu amagwa ndikusiya kuyankha chilengedwe. Kubwezeretsa malingaliro kumachitika mosakhalitsa. Pali mitundu ingapo yakusokonekera kwa chikumbumtima:

• sokoneza - kuchuluka kwa zifukwa, chiwonetsero cha delirium ndi kupanda chidwi ndi dziko lapansi,
• kugontha - kugona, kuchepa kwakukulu pamlingo wakudzuka,
• sopornoe - Kuzunzidwa kwambiri kupulumutsidwa kwa malingaliro,
• stupor - dzanzi, bata
• kukomoka - kuzindikira kwakanthawi kochepa kwa mphindi zochepa kapena mphindi (mpaka theka la ola),
• comatose - kusazindikira kwambiri chifukwa cha vuto laubongo.

Zizindikiro za kutaya mtima zimaphatikizira ndi chizindikiro cha kukomoka. Izi ndi izi:

• kumverera kwa nseru
• chizungulire
• kugunda kwa mtima
• kuthamanga kwa "ntchentche" pamaso,
• masomphenya osalala
• kugunda m'makachisi,
• kufooka
• thukuta lozizira.

Ndi nthawi ino kuti thandizo ladzidzidzi ndilofunikira kuti wodwalayo asakomoke. Komabe, chimbudzi nthawi zambiri chimachitika modzidzimutsa, ndipo njira yake imakhudza ena. Izi zikachitika:

• kukulira ndi kutsika kwa mayendedwe a ophunzira pakuwala,
• kuchepa bwino komanso kugwa,
• kupumula kwamisempha
• maso ogwedezeka
• agwiritse
• mthunzi wa pakhungu kapena khungu lawo,
• kupweteka kwapweteka
• kusowa poyankha,
• kukokana ndi kupindika kwa miyendo.

Palinso milandu pamene wozunzidwayo amakhala ndi zotuluka mwa mkodzo mosasamala. Munthu akabwera, amamva kufooka, mkhalidwe wosweka ndi tulo.

Zifukwa wamba

Pali zinthu zambiri zomwe zimayambitsa kusazindikira. Kuchuluka kwawo kumapangitsa kutsika kwamagazi m'mitsempha ya ubongo:

1. Pathological anachita chapakati mantha dongosolo kupsinjika (mantha, kutopa). Pankhaniyi, mtima wamankhwala umakulirakulira, kupsinjika kumatsika mwadzidzidzi ndipo magazi amachepetsa. Zotsatira zake ndikuwonongeka kwa zakudya zamagulu a ubongo.
2. Matenda a mtima. Izi zimaphatikizidwa ndi kuchepetsedwa kwa ntchito yamkati pamtima wowonetsa wa arrhythmia, blockade, ndi matenda ena ofanana.
3. Orthostatic hypotension. Pankhaniyi, mutha kutaya chikumbumtima mukamasintha pang'ono kuchokera pa malo abodza kupita pa malo oyimirira (mwachitsanzo, mukayimirira). Magazi sangakhale ndi nthawi yosunthira kuchokera kumapeto kupita kumadera ena, kuphatikizapo ubongo.
4. Kugwedeza komanso kupweteka kwambiri. Mkhalidwe wopsinjika ndi kumva kupweteka kwambiri kumapangitsa kusokonezeka kwadzidzidzi kutuluka kwa magazi kupita ku ziwalo.

Polankhula pazinthu zina zomwe zimapangitsa kuti musakhale chikumbumtima, kukomoka kwapazinthu kuyenera kuzindikirika. Amayamba chifukwa cha vasovagal reaction - the central mantha system Reflex, yomwe imatsogolera pang'onopang'ono pakukoka ndikukula kwa ziwiya zamiyendo. Kukoka koteroko nthawi zambiri kumatchedwa vasodepressor.

Chifukwa cha kukanikizika kochepa, mpweya wokwanira umaperekedwa ku ubongo. Panthawi yokomoka, nseru, kutuluka thukuta, komanso kufooka zimadziwika. Chizindikiro ichi ndi chozungulira chakutha kwa chikumbumtima.

Kuphatikiza apo, anthu amatha kukomoka chifukwa cha kukoka kwa ubongo - sitiroko ndi migraine.

Zomwe Zimayambitsa Nthawi Zonse Kutaya Mtima

Mu gulu lopatula, zinthu zomwe zimapangitsa kukomoka pafupipafupi zimasiyanitsidwa. Izi zitha kukhala zodetsa nkhawa, zomwe nthawi ndi nthawi zimadziwonetsa mwa wodwala.

Mwachitsanzo, a hysterical neurosis kapena kusokonezeka kwamanjenje. Kulephera kwadzidzidzi kumachitika ndi khunyu.

Anthu omwe amakonda kuchita hypotension (kuthamanga kwa magazi) komanso matenda ashuga amathanso kutha.

Titha kusiyanitsa zomwe zimayambitsa kutayika kwa malingaliro, mawonekedwe a azimayi ndi abambo.

M'mazana apitawa, ma corset olimba kwambiri nthawi zambiri amakomoka, komwe kumachepetsa nthiti ndikupangitsa kupumira kukhala kovuta, zakudya zolimba zomwe zimayambitsa magazi, etc.

Zoyambitsa kutaya chikumbumtima, kukomoka, kusiyana kwawo ndi chiyani, thandizo loyamba

Kukomoka ndi vuto lomwe silimadziwa chifukwa cha kupsinjika kwa mpweya waubongo ndipo kumayendetsedwa ndi zoletsa zam'maso. Uku ndikutaya kwakanthawi kochepa.

Kwa nthawi yoyamba, syncope idafotokozedwa ndi dokotala wakale Areteus. Dzinalo lachi Greek loti kukomoka (syncope, i.e. kugwa) kuchokera m'mphepete mwa Cappadocia (Turkey yamakono) pang'onopang'ono adafika ku New Orleans, komwe adalumikizana ndi nyimbo za jazz za Negro orchestras.

Gulu la kukomoka

Kutengera ndi zochitika zazikulu zomwe zimachitika, syncope yonse imagawidwa m'magulu akulu atatu.

• Reflex ikuyambira kumbuyo kwa ululu, mantha akulu, nkhawa, pambuyo kutsokomola, kufinya, kukodza, kukamwa, matumbo, motsutsana ndi kupweteka kwa ziwalo zamkati, munthawi ya thupi.
• Ma syncopes omwe amaphatikizidwa ndi mitsempha ya orthostatic amatha kukhala mu shuga mellitus, amyloidosis, kumwa mankhwala a antihypertensive, matenda a Parkinson, kugwa kozungulira magazi, ndi kusungidwa kwa magazi m'mitsempha.
• Cardiogenic amagwirizanitsidwa ndi matenda a mtima ndi mitsempha yamagazi.

Zizindikiro zolephera

Kufulumira kwadzidzidzi kumayambitsidwa ndi nthawi ya ena:

Kenako munthu amakhala ndi chidwi chadzidzidzi, pomwe munthu amatha kugwa.

• Panthawi yakukomoka, minofu imatsitsimuka, thupi limayenda.
• Ana amapukutidwa ndipo samayankha kuwala, zimachitika kuti ndizovuta ndipo ndizopepuka, kupuma kumachepa, kuthamanga kwa magazi kumatsitsidwa.
• Pakukomoka kwambiri, kukodza mosafunikira ndi minyewa ingayambe.

Kulephera wathanzi

Munthu wathanzi kwathunthu pamikhalidwe inayake amatha kubweretsa zovuta.

Ndi chakudya champhamvu, kusala kudya, bongo umataya shuga ndikuyamba njira ya metabolic yothamanga kotekisi. Mukayamba kugwira ntchito mwamphamvu pamimba yopanda kanthu, ndizotheka kuti mukhale ndi vuto la njala.

Kugwiritsa ntchito mankhwala osokoneza bongo okoma ndi osavuta

Ngati mumangodya maswiti kapena tiyi ndi uchi, ndiye kuti zikondamoyo zimaponyera gawo la insulin m'magazi kuti litenge chakudya. Popeza carbohydrate ndi yosavuta, imalowerera msanga ndipo kuphatikiza kwake m'magazi ndikokulira nthawi yomweyo mukatha kudya.

Gawo la insulin lidzakwanira mulingo wamagazi awa. Koma kenako, shuga wonse wosavuta akamagwiritsidwa ntchito, insulini m'magazi imagwirabe ntchito ndipo, pakapanda shuga, imawola mapuloteni m'magazi.

Zotsatira zake, matupi a ketone amalowa m'magazi, omwe amagwira ntchito ngati acetone, amachititsa kusokonezeka kwa metabolic mu kotekisi ndikupangitsa kukomoka.

Ndi kuvulala, mutha kuiwala za ululu wambiri, komanso kutuluka magazi. Zinthu zonsezi zimapangitsa kuti magazi azithamanga komanso kuchuluka kwa magazi m'mitsempha yam'mimba komanso kufooka kwa magazi.

Chipinda chotsika, lamba wolimba kapena kolala

Ngati mutha kuvala zovala ndi kolala yolimba komanso lamba kwa nthawi yayitali m'chipinda chansalu kapena zoyendera, mutha kukomoka.

Ndi mantha akulu, munthu yemwe ali ndi pulogalamu yochita zamagetsi ya m'manja amatha kukomoka. Zomwezo zitha kuwonedwa mu hysteria, yomwe mwa mphamvu yakuganiza ndi kulingalira idula kotekisi.

• Ngati mungalowe m'madzi ozizira mukatentha, mutha kuyambitsa kupanikizika kwamitsempha yam'khosi ndikulephera kuzindikira.
• Munthu akamadzuka m'mapiri kapena kutalika kwakukulu pamwamba pamadzi, mphamvu ya mpweya m'magazi imakwera. Mpweya wabwino umagwiritsidwa ntchito kwambiri ndi maselo. Njala ya oxygen ingachitike.
• Ngati mukukwera kwakanthawi komanso mumakhala mukusamba, mutha kusokonezeka. Boma lofananalo litha kulipidwa ndi kutentha kwina kulikonse, mwachitsanzo, dzuwa.
• Ngati mumasuta fodya kapena mumasuta fodya wambiri, mutha kupeza zovuta za metabolic ndi hypoxic muma cell a chithokomiro cha ubongo.
• Ndi matenda osuntha, mutha kuiwala.
• Gawo lachiwiri la kuledzera lingaphatikizenso osati kugona, komanso kukomoka. Kuyiwala chikumbumtima pambuyo poizoni wambiri.
• Zowonjezera zomwe zimapangitsa ndizida zam'mlengalenga kapena zolemera.

Mayi woyembekezera nthawi zambiri sayenera kukomoka. Ngakhale zili m'malo osangalatsa, ma prerequisites angapo amapangidwira kuti magazi azisokonekera.

Chiberekero, chomwe chimatulutsidwa ndi mwana wosabadwayo, chimakakamira kwambiri ziwalo zamkati, kupatsanso mphamvu ya venous, komanso pa infa ya vena cava, kukulitsa venous kubwereranso pamtima ndikuchepetsa magawo a magazi omwe akukankhidwa ndi mtima kupita ku ubongo. Chifukwa chake, ali ndi mimba yayikulu sikulimbikitsidwa:

• paokha amatsamira kutsogolo ndi pansi
• Valani zovala zolimba kapena zovala zamkati
• Finyani khosi ndimakola kapena mipango
• gonani kumbuyo kwanu.

Pambuyo pobadwa, kukakamira komwe kumayambitsa syncope kumatha.

Mu malo achiwiri pamafupipafupi zimayambitsa mwa azimayi oyembekezera ndi magazi m'thupi (onani Mimba ndi hemoglobin wochepa). Pakutupa, chitsulo chimagwiritsidwa ntchito mopitirira muyeso kukula kwa mwana wosabadwa ndikuchotsa magazi a amayi ndi hemberesteridi yonyamula okosijeni.

Pambuyo pakubadwa kwa magazi, kuchepa kwa magazi kumangopitilira, komanso kuwonjezera. Chifukwa chake, ndikofunikira kukonza ma hemoglobin otsika komanso maselo ofiira m'magazi panthawi yokhala ndi pakati, kuchepetsa kuchepa kwa magazi pakubala kwa ana ndikuchizira kuchepa kwa magazi m'thupi (onani kukonzekera kwa magazi).

Mkazi kukomoka

Madona achichepere ndi azimayi achichepere a m'mbuyomu adawona kuti ndi njira yabwino kuchoka kutali ndi zovuta zilizonse za tsiku ndi tsiku komanso zovuta zina mothandizidwa ndi banal swoon.

Ndimeyi idathandizidwa ndi ma corset olimba, kufinya nthiti ndikupangitsa kupuma kukhala kovuta, zoletsa za zakudya zomwe zimayambitsa magazi, komanso psyche yam'manja yodziwika ndikuwerenga zolemba za Chifalansa.

Makhalidwe a Nekrasov ndi a Leskov aanthu wamba komanso a philistine adakomoka nthawi zambiri, ndipo samadziwa kuti angadzindikire.

Masiku ano, azimayi nthawi zambiri amakomoka chifukwa chokhala ndi magazi akusamba. Izi zimachitika pazifukwa zotsatirazi:

• kunyalanyaza mankhwala okhala ndi chitsulo pazovuta zovuta zomwe zimalepheretsa chitukuko cha kuchepa kwa magazi m'thupi mkati mwa nthawi yayitali,
• Kukhalapo kwa vuto losazindikira la matenda akhunyu kapena mahomoni, zomwe zimayambitsa kuphwanya kwa chiberekero komanso kupweteka kwa msambo, komwe kumayimitsidwa mosavuta ndi indomethacin.

Atherosclerosis, stenosis yamatumbo a khosi ndi ubongo imayambitsa matenda osaneneka a ziwalo, momwe, limodzi ndi kusokonezeka kukumbukira, kugona ndi kumva, ma syncopes a nthawi zosiyanasiyana amatha kuonedwa.

Kuvulala kumutu

Kuvulala kwamutu (kupindika, kupweteka kwaubongo) kumayendera limodzi ndi kufooka kwamtunda wosiyanasiyana. Kwenikweni kukomoka ndi umboni womwe umatsimikizira kuwonetsa kwa malingaliro a malingaliro ake.

Kugwedeza (ululu, poizoni) nthawi zambiri kumayendetsedwa ndi chikumbumtima champhamvu. Mukuvulala kapena matenda a ziwalo zamkati, kupweteka kapena poizoni kumayambitsa kukonzanso kwa mtima komwe kumapangitsa kutsekeka kwa chotupa cham'mimba.

Matenda a mtima

Kusokonekera kwa mtima ndi ziwiya zazikulu kumayambitsa magazi osakwanira kulowa m'magazi komanso mapangidwe a ubongo osakwanira. Acute myocardial infarction nthawi zambiri imakhala yovuta chifukwa cha kusazindikira chifukwa kugwa lakuthwa mu mtima.

Zosokoneza zina zazitali zimaphatikizanso ndi ma syncopes: sinus node kufooka, atrive fibrillation, ventricular fibrillation, mtima wosunthika komanso pafupipafupi extarsystole.

Kusokonezeka kwaphokoso kwakanthawi komwe kumakhala kululuzika kwamphamvu kwa matenda a chikumbumtima ndi Morgagni-Adams-Stokes.

Zifukwa zina

• Kuchepetsa kwambiri kuchuluka kwa kuzungulira magazi chifukwa chotuluka magazi, kusanza kapena kutsekula m'mimba sikulole kupezeka kokwanira kwa mpweya mu ubongo.
• Vegeto-vascular dystonia simalola kuti ziwiya ziziwoneka munthawi yake komanso moyenera kusintha lumen kuti ikhale zofunika kuzisintha kwina. Zotsatira zake zimakhala kukomoka kawirikawiri motsutsana ndi maziko a kuthinitsidwa kwamphamvu.
• Poizoni wokhala ndi njoka za njoka zam'mimba
• Kutha kwa chikumbumtima kungakhale zotsatira zoyipa zama antipsychotic, mapiritsi ogona, hypotensive, ganglion blockers, tranquilizer, isoniazid.
• Kukomoka kumatha kuchitika chifukwa cha uremia polephera.
• Hypersensitivity ya carotid sinus baroreceptors ingayambitse syncope.

Kulephera mwa ana

Ana akuvutika chifukwa cha kukomoka pazifukwa zomwezi monga akulu. Popeza kuthekera kokulumikizika kwa thupi la mwana kulibe mphamvu, kukomoka kulikonse kwa mwana ndi nthawi yoyenera kuyesedwa ndi dokotala wa ana ndi wamisala. Kuwonongeka kwakanthawi kochepa mwa mwana kumatha kubisala matenda owopsa a mitsempha kapena magazi.

Achinyamata akomoka

Izi nthawi zambiri zimachitika chifukwa cha kukula msanga. Atsikana nthawi zambiri amakhala ndi vuto la kuchepa magazi m'thupi komanso vegetovascular dystonia, achinyamata omwe ali ndi dysplasia ya minyewa ya mtima. Mwachitsanzo, vuto laling'ono ngati mitral valve prolapse, lomwe limakonda kukhala ndi anyamata owonda kwambiri, limakhala ndi mawonekedwe owoneka okha mwamaso kapena kutaya chikumbumtima ndi kuwuka kwakuthwa.

Momwe kukomoka kumasiyana ndi kutaya chikumbumtima

Pachimake thrombosis, embolism kapena kupasuka kwa mitsempha yamagazi chifukwa cha ischemic kapena hemorrhagic stroke, yomwe imatha kuyamba ndi kutaya chikumbumtima. Mwakutero, kulephera kudziwa kwakutali komanso kwakuya kuposa kukomoka. Amatha kuyamba kudontha mosavuta.

Matenda a khunyu, ophatikizidwa ndi kusokonezeka kwa malingaliro (mwachitsanzo, kukomoka kwa atonic) sikulinso kukomoka. Pamtima pa epipripple ndikuphwanya kusokonekera kwa maselo amitsempha ya m'mitsempha.Zomwe zimayambitsa kusalingalira kosangalatsa ndi zoletsa, pambuyo pake zimayambitsa kusokonezeka kwa metabolic mu neurocytes.

Mulimonsemo, kukomoka komanso kuwonongeka - uwu ndi mwayi wothandizira mwadzidzidzi komanso kulandira chithandizo chamankhwala chamtsogolo.

Kuthandizira kukomoka

• Wosweka uyenera kuyikidwa pamalo opyapyala ndi miyendo yokwezedwa pamwamba pamlingo, kuchotsa, ngati kuli kotheka, chifukwa cha kutaya chikumbumtima (chotsani kwina komwe kumayambitsa kutentha, kumanitsani lamba wolimba ndi kolala, kumasula khosi pazinthu zosafunikira).
• Patsani mpweya wabwino.
• Lekani mpweya wa ammonia utuluke.
• Ikani thaulo lopukutira ndi madzi ozizira pamphumi panu ndi akachisi.

Kuyiwala chikumbumtima kuchokera ku zowawa

Kukomoka ndi vuto lomwe silimadziwa chifukwa cha kupsinjika kwa mpweya waubongo ndipo kumayendetsedwa ndi zoletsa zam'maso.

Uku ndikutaya kwakanthawi kochepa.

Kwa nthawi yoyamba, syncope idafotokozedwa ndi dokotala wakale Areteus. Dzinalo lachi Greek loti kukomoka (syncope, i.e. kugwa) kuchokera m'mphepete mwa Cappadocia (Turkey yamakono) pang'onopang'ono adafika ku New Orleans, komwe adalumikizana ndi nyimbo za jazz za Negro orchestras.

Kulephera mwa amayi apakati

Mayi woyembekezera nthawi zambiri sayenera kukomoka. Ngakhale zili m'malo osangalatsa, ma prerequisites angapo amapangidwira kuti magazi azisokonekera.

Chiberekero, chomwe chimatulutsidwa ndi mwana wosabadwayo, chimakakamira kwambiri ziwalo zamkati, kupatsanso mphamvu ya venous, komanso pa infa ya vena cava, kukulitsa venous kubwereranso pamtima ndikuchepetsa magawo a magazi omwe akukankhidwa ndi mtima kupita ku ubongo. Chifukwa chake, ali ndi mimba yayikulu sikulimbikitsidwa:

• paokha amatsamira kutsogolo ndi pansi
• Valani zovala zolimba kapena zovala zamkati
• Finyani khosi ndimakola kapena mipango
• gonani kumbuyo kwanu.

Pambuyo pobadwa, kukakamira komwe kumayambitsa syncope kumatha.

Mu malo achiwiri pamafupipafupi zimayambitsa mwa azimayi oyembekezera ndi magazi m'thupi (onani Mimba ndi hemoglobin wochepa). Pakutupa, chitsulo chimagwiritsidwa ntchito mopitirira muyeso kukula kwa mwana wosabadwa ndikuchotsa magazi a amayi ndi hemberesteridi yonyamula okosijeni.

Pambuyo pakubadwa kwa magazi, kuchepa kwa magazi kumangopitilira, komanso kuwonjezera. Chifukwa chake, ndikofunikira kukonza ma hemoglobin otsika komanso maselo ofiira m'magazi panthawi yokhala ndi pakati, kuchepetsa kuchepa kwa magazi pakubala kwa ana ndikuchizira kuchepa kwa magazi m'thupi (onani kukonzekera kwa magazi).