Mankhwala a insulin komanso chikomokere mu shuga: ndi chiyani?

Anthu odwala matenda ashuga amatha kumvanso mwadzidzidzi. Izi zimachitika chifukwa chakuchepa kwambiri kapena kuwonjezeka kwa shuga m'magazi.

Zizindikiro za hyperglycemia zimaphatikizapo izi: ludzu, kupweteka mutu, kufooka.

Hypoglycemia, monga lamulo, imayendetsedwa ndi kunjenjemera kwa manja, kunjenjemera, chizungulire, kufooka, pazinthu zina - kutayika kwa masomphenya.

Kodi kuwoneka kwa chikomokere mu shuga kumatanthauza chiyani?

Coma mu matenda ashuga ndi zovuta kwambiri matendawa. Amayamba kudwala wodwala matenda a shuga 2 chifukwa cha zovuta zomwe sizinachitike.

Vuto lakhomalo limakwiya chifukwa cha kudumphadumpha m'magazi a wodwalayo, komwe kumapitilira mayendedwe ochulukirapo, chifukwa cha kufalikira kwamphamvu kwa thupi. Ketoacidosis ndi chizindikiro chofananira chomwe chimakhudza thupi la anthu odwala matenda ashuga 1.

Komabe, mawonekedwe amtunduwu a shuga sangachititse kupanga matupi a ketone, chifukwa chake, kuchuluka kwa asidi m'magazi a wodwalayo sikukula. Kukula kwa ketoacidosis kwa odwala omwe ali ndi matenda a shuga 2 nthawi zambiri sikuchitika.

Matenda a shuga ndi oopsa kwambiri omwe amakhala ndi zovuta zam'matumbo zomwe zimakhudza thanzi la wodwalayo. Mankhwala amakono atha kuyendetsa matendawa molimba mtima, kupewa, kuyambitsa zovuta, kenako ndikukhudza thupi.

Kuwongolera koteroko kumakhala kotheka pokhapokha ngati wodwala azitha kugwiritsa ntchito matenda ake komanso kuwalimbikitsa.

Zifukwa zodziwika zomwe zimayambitsa zovuta za matenda a shuga zimawerengedwa kuti ndi izi: chithandizo choyenera cha matenda osokoneza bongo, zakudya zosasamalidwa bwino za odwala, kugwiritsa ntchito wodwala zakudya zoletsedwa, zopitilira kuchuluka kwa chakudya chololedwa. Zotsatira za kuphwanya izi ndizowonjezereka mwamphamvu peresenti ya glucose, pomwe zikuyambitsa zovuta zingapo zazikulu. Ngati chisamaliro chodzidzimutsa chilibe, pali chiyembekezo chachikulu cha kufa.

Kutengera ndi zotsatira za kafukufuku yemwe bungwe la U.S. Centers for Disease Control and Prevention limatulutsa, anthu okhala ndi matenda a shuga nthawi zambiri amapezeka azaka za 60 kapena kupitirira.

Chifukwa chiyani mu m'badwo uno? Nthawi zambiri izi zimachitika chifukwa chakuchepa mphamvu kwa ludzu la munthu wachikulire, lomwe limapereka maziko abwino kwambiri pakukula kwamadzi.

Ambiri mwa omwe adadwala akudziwa za matenda awo, koma ambiri a iwo sanazindikire za thupi kwambiri, ndipo mwakutero, sanalandire chithandizo choyenera.

Nthawi zambiri, kupezedwa kwamatenda kwa anthu azaka zapakati kumatsimikiziridwa ndi ludzu lolimba lamkamwa, pakamwa pouma, komanso kutulutsa kwamwano.

Kuchulukitsa pokodza, kuwonekera kwa mafunde akuthwa m'magazi m'magazi kukankhira thupi la wodwalayo madzi am'mimba kwambiri. Kutayika kwamadzi ambiri ofunika kumabweretsa mantha, pachifukwa ichi zotsatira zakupha ndizotheka.

Kuthekera kwotsirizira, malinga ndi bungwe lotchulidwa, ndi chithandizo chosayenera chofika 48%.

Zomwe zimayambitsa kupezeka kwa chikomichi m'matenda a shuga

Matenda a shuga amakhalapo chifukwa cha kukwera kosavomerezeka pamlingo wa glucose womwe uli m'magazi a munthu aliyense. Zotsatira zake, kuchuluka kwa mankhwala a insulin omwe amapangika mu kapamba kumakhala ochepa.

Kuphatikiza apo, kusowa kwadongosolo, lokonzekera bwino, njira zosachiritsira zosagwiritsidwa ntchito, njira zosalamulira zamankhwala zomwe zimayendetsa kuchuluka kwa shuga mthupi, zifukwa izi ndizomwe zimayambitsa kupweteka kwa odwala omwe ali ndi matenda a shuga.

Mitundu ya Matenda A shuga

Chifukwa cha insulin ya m'magazi, shuga amakhala ndimakonzedwe athunthu, omwe amagawika m'magawo osiyanasiyana. Muli fomu iyi kuti ili ndi zinthu zingapo zothandiza.

Kupezeka kapena kusowa kwa insulini kumapangitsa kuti kukonzanso kwa glucose kusakhale kotheka, kuchuluka kwake kwa zomwe zili m'magazi kumafika pazovuta zazikulu.

Kuyankha kwa thupi ndikulakwitsa kwa chiwindi: thupi, pokhulupirira kuti pali kusowa kwa glucose wosweka, limayamba kudzipanga lokha, kuyesera kuthetsa kuchepa kwa zinthu zothandiza.

Mothandizana ndi njirayi, thupi limadzazidwanso kwambiri ndi matupi a ketone. Kuchuluka kwa shuga wamagazi pokhudzana ndi kupindika kwapang'onopang'ono kwa matupi a ketone kumayambitsa kutaya chikumbumtima, hyperglycemic coma imachitika. Ngati kuwonjezeka kofananako kwamkati mwazinthu za ketone komanso kuchuluka kwa shuga, ketoacidotic chikomokere chimachitika.

Kukhazikika kwa shuga m'magazi nthawi zambiri kumayendetsedwa ndi kukonzanso kwakwe kwa ma lactates - zopangira za metabolic mu thupi laumunthu zomwe sizinafike kumapeto kwa oxidation. Izi zikachitika, kuthekera kwakukulu kumapangika kuti chikomero cha hyperosmolar chiwonekere, chomwe chili ndi dzina lachiwiri - hyperlactacidemic.

Ndi chikomokere, chomwe chimayang'ana pazomwe zimayambitsa matenda ashuga, pali zizindikiro zingapo zomwe zimakhala ndizofanana pakati pa mitundu ya chikomokere chomwe chatchulidwa pamwambapa.

Zizindikiro za mtundu wina wa chikomokere zimatha kufotokozedwa pogwiritsa ntchito kufufuza kwathunthu kwa ma laboratory kuyesa kwa wodwala.

Chizindikiro chachikulu chokhazikitsa chikomokere cha shuga ndi kuchuluka kwa shuga m'magazi oposa 33 mmol / L (chizenerocho ndi 3.5-5,5 mmol / L).

Zizindikiro zodziwika zomwe zikubwerazi zitha kufotokozedwa m'ndandanda wotsatira:

• kumverera kwa nseru (kusanza ndikotheka)
• kusowa kwa chakudya,
• kuchuluka kwa mantha, kugona,
• ululu wammbuyo
• kufooka kwa chamoyo chonse
• kuchuluka kukodza
• ludzu lalikulu, kamwa yowuma.

Kuyang'aniridwa makamaka kuyenera kuperekedwa: ngati, pamaso pa zisonyezo za matenda, palibe njira zoyenera zoperekera thandizo kwa masiku opitilira awiri, chikomokere chenicheni chimachitika.

Kupitilira apo, chikumbumtima sichimalekanitsidwa konse ndi zokondweretsa zakunja, kuyamba kugwa kwambiri.

Katswiri wodziwa ntchito, pofufuza wodwalayo kuti athe kudwala matenda ashuga, amatha kudziwa zotsatirazi:

• kuyanika kwambiri pakhungu,
• milomo yamlomo imayamba kutulutsa fungo lofanana ndi maapulo wowawasa (ma acetone ndi chizindikiro cha hyperglycemic, ketoacidotic chikomokere),
• kuthamanga kwa magazi
• kufewa kwa nsidze kumawonedwa,
• kutentha kwambiri pakhungu.

Hyperosmolar chikomokere

Mosiyana ndi mitundu yina yodwala matenda ashuga, mtunduwu wophatikizika wa matenda am'mimba umayenda pang'ono pang'onopang'ono, umatha kutha pakapita masiku angapo kapena masabata awiri kapena atatu.

Mndandanda wazizindikiro ndi:

• kuchepa kwamadzi amthupi,
• kuchepa pokodza,
• kupweteka kwa minofu
• kusowa kwa zida zogwiritsira ntchito,
• kusunthika kosadukiza kwamaso
• Zizindikiro zosiyanasiyana zamitsempha,
• kufooketsa kwambiri thupi.

Mtundu wa matenda amtundu wa chikomawa ndi osowa kwenikweni pokhudzana ndi mitundu ina ya chikomacho yoyambitsidwa ndi kuchuluka kwa shuga m'magazi a wodwala. Ozunzidwa kwambiri a hyperosmolar coma ndi odwala omwe ali ndi matenda a shuga a 2.

Thandizo loyamba la matenda a chikomokere

Mowoneka ngati zizindikiro zosiyidwa pang'ono, wogwiridwayo wagona pambali pake kuti asayerekeze kubowoleza kutsukidwa ndi lilime lake.

Pamafunika kukonza mwachangu tiyi wofowoka wokoma ndi maswiti, kuphimba wodwalayo ndi zofunda, ndikuyesera kutenthetsa miyendo yake.

Pambuyo pa chithandizo choyamba, chisamaliro chodzidzimutsa chimangoyitanidwa: akatswiri azachipatala oyenerera okha ndi omwe amatha kuchipeza.

Wodwala akangosamutsira kuchipatala, amapezeka kuti ali ndi vuto lotchedwa DS chikomokere, ndiye kuti kuchuluka kwa glucose m'thupi kumapangidwira, komwe mlingo woyenera wa insulin waperekedwa. Nthawi yomweyo, ma dontho angapo ndi ma jakisoni ena amakhazikitsidwa kudzera mu kulowetsedwa kuti apange mawonekedwe a electrolyte, kuyeretsa magazi, ndikubwezeretsanso magazi mthupi.

Kodi ndingatani ngati wodwala matenda ashuga akufunika thandizo?

Ngati magazi a munthu wodwala matenda ashuga akwera mwadzidzidzi, ndiye kuti chinthu choyamba muyenera kuchita ndi kumubaya jakisoni. Pambuyo maola awiri ndi awiri, ndikofunikira kuyeza shuga, ngati kuchuluka kwa glucose sikunachepe, ndiye kuti muyenera kubwereza jakisoni.

Ndi hypoglycemia, choyambirira, muyenera kuyeza shuga la wodwala. Pambuyo pake, muyenera kumwa magalamu 5 mpaka 15 a carbohydrate othamanga. Amapezeka mumadzi ndi uchi. Muthanso kumwa shuga m'mapiritsi. Pambuyo mphindi 15, bwerezani njirayi: yezani shuga, ngati chizindikiro chikadali chochepa, tengani wina 5-15 g wa chakudya chambiri.

Kuyiwala wodwala kumatanthauza kuti amafulumira kuyimba ambulansi.

Zotsatira za kudwala matenda ashuga -

Kukhazikika kwa insulin m'magazi a wodwala matenda ashuga kumatha kuyambitsa mavuto ambiri, mwachitsanzo, kukomoka kwa matenda ashuga. Itha kumera chifukwa cha kuchuluka kwa glucose, kapena ndi shuga wochepa.

Musanalankhule za zomwe zimachitika mutayamba kudwala matenda ashuga, muyenera kulingaliranso za zomwe zimayambitsa zovuta:

• Mkhalidwe wowonongera
• Kuchulukitsa ludzu kwa wodwala
• Mutu ndi kufooka kwa thupi lonse,
• Nusea, yomwe nthawi zambiri imayendera limodzi ndi kusanza,
• Kuthamanga kwa magazi
• Kugunda kofulumira, ngati ulusi.

Popita nthawi, kugona komanso kufooka kwa wodwalayo kumawonjezeka. Zosatheka pang'ono kapena kuzindikira kwathunthu ndikotheka. M'mikhalidwe yovuta, munthu amanunkhira ma acetone (maapulo ochulukirapo) kuchokera mkamwa mwake. Ngati munthawi imeneyi wodwala sapatsidwa thandizo lililonse lomwe akufuna, zotsatira za vuto la matenda ashuga zitha kukhala zowopsa - angofa.

Kodi kudwala matenda ashuga kungayambitse chiyani?

Masewera amkati amadzimadzi amatsogolera ku njala yamatenda. Pachifukwa ichi, kusintha kwamatenda kumayamba kuchitika m'thupi la munthu:

• Kuthetsa madzi m'thupi
• Mlingo wa tsiku ndi tsiku ukuwonjezeka,
• Kuchuluka kwa madzi akumwa,
• Pochepetsa kuchuluka kwa magazi omwe amayendayenda m'matumbo, kupanikizika kumatsika kwambiri. Izi zimabweretsa kusokonezeka kwa zakudya zama cell osati zamankhwala ndi ziwalo zamkati, komanso bongo.
• Hyperacidosis imayamba.

Wodwala akamayang'aniridwa ndi madokotala, mwachangu komanso mosamala kwambiri kukonza kwake kumachitika.

Ngati ambulansi yachedwa kapena wodwala akapatsidwa chithandizo cholakwika choyamba, ndiye kuti chikomokere cha matenda a shuga chingayambitse matenda a edema komanso ngakhale kufa. Kukomoka kumatha kumatha milungu ingapo, miyezi, ngakhale zaka makumi.

Pali vuto lodziwika pamene wodwala agona chikomokere kwa zaka zoposa 40. Chifukwa chake, ndikofunikira kwambiri kupatsa munthu chithandizo chofunikira munthawi yake.

Kukhazikika kwa wodwala nthawi yayitali, pomwe ubongo sutha kupeza kuchuluka kwa mpweya ndi michere, kumayambitsa matenda a edema. Pambuyo pake, kukomoka kwa matenda ashuga kumayambitsa kusokonezeka kwa kayendedwe, kulankhula, kufooka kwakanthawi kapena kwanthawi yayitali, mavuto a ziwalo zamkati ndi mtima dongosolo.

Chochita pambuyo?

Matenda a matenda ashuga samangotengera kusintha kosiyanasiyana mthupi la munthu, komanso amasintha moyo wawo.

Mukakomoka, wodwalayo amataya zinthu zambiri zofunikira: macro- ndi ma microelements, komanso mavitamini.

M'moyo wa munthu wodwala matenda ashuga, atatuluka m'chipatala, malamulo onse amawonekera omwe amayenera kuwonedwa kuti achepetse zovuta zomwe zimapangitsa kuti munthu adwale matenda ashuga komanso kuti asadzayambenso:

• Kutsatira zakudya zopangidwa zokha,
• Kuyendera pafupipafupi kuzipatala kuti mukalandire mayeso ofunika,
• Kudziletsa
• Kusungabe moyo wokangalika ndi zolimbitsa thupi,
• Kuwunikira mavuto omwe amachitika chifukwa chodwala matenda ashuga
• Kukana kudzichiritsa wekha pogwiritsa ntchito mankhwala ochokera ku wowerengeka kapena mankhwala ena osatchulidwa ndi dokotala,
• Mlingo wa insulin.

Zowonongeka kuchokera pakukomoka kwa matenda ashuga zimatha kuchepetsedwa. Chofunikira kwambiri ndichakuti odwala matenda ashuga asinthe moyo wake ndikusintha pang'ono pang'ono. Izi zimapangitsa kuti munthu azikhala moyo wachikhalidwe wamba komanso zoletsa zochepa zomwe zingamupatse mwayi wokhala ndi moyo wautali komanso wolemekezeka.

Matenda a shuga (okomoka chifukwa cha matenda ashuga)

Mtundu wina wa matenda okhudzana ndi matenda ashuga ndi kukomoka kwa ketoacidotic. Kukomoka kumeneku kumachitika ndi kuwonongeka kwa matenda ashuga.

Nthawi zambiri, matenda a shuga amayamba chifukwa cha kuperewera kwa mankhwala osakwanira (odwala olakwika), odwala omwe amadya kwambiri (kudya kwambiri, kumwa mowa mwauchidakwa), zomwe zimachitika ndimatenda ena, omwe nthawi zambiri amachokera ku matenda opatsirana (mwachitsanzo, chibayo, ma abscesses opatsirana pambuyo pake). Nthawi zina chikomokere chimatha kukhala chizindikiro choyamba choti munthu ali ndi matenda ashuga.

Kuzindikira matenda ashuga

Pozindikira matenda a hyperglycemic coma, anamnesis ndiyofunikira. Chifukwa chake, achibale anganene kuti wodwalayo wakhala akudwala masiku otsiriza, akudandaula za kufooka, chizungulire, ludzu losatha, nseru, ndi kusanza. Ankakonda kukodza pafupipafupi, ndipo pakamwa pake panali kununkhira kwa acetone. Pang'onopang'ono wodwalayo adakhazikika pansi, ndikugona ndipo "adasiya kudzuka".

Pa kuchuluka kwa zamankhwala am'magazi, mwa odwala oterowo pali kuphwanya kwamatenda a glucose omwe amapanga maselo a thupi. Kukhazikika kwa shuga m'magazi kumathandizira kukula kwa osmolarity ake. Madzi ochokera m'maselo amayenda m'magazi, omwe amayambitsa ludzu. Glucose owonjezera kuchokera m'magazi amathandizidwa kudzera mu impso.

Hyperosmolarity kwamikodzo amatsutsa kubwezeretsanso kwa madzi kuchokera ku mafupa a impso ndipo amathandizira kukodza kwambiri. Thupi limakhala ndi madzi ambiri. Nthawi yomweyo, njala yamphamvu imapezeka m'maselo chifukwa cha kuyamwa bwino kwa glucose, ndipo njira zamapuloteni ndi mafuta acid zimasokonekera. Matupi a Ketone amadziunjikira, omwe "amapanga" ma cell.

Wambiri wa potaziyamu amachokera m'maselo kulowa m'magazi, omwe pambuyo pake amataika mkodzo.

Zizindikiro za kuperewera kwa kuya kosiyanasiyana:

• Zizindikiro za hypohydrate: kuchepa thupi, khungu lowuma komanso ma mucous membrane, kuchepa kwa khungu la turgor, kamvekedwe ka diso, kutsika kwakanthawi kozungulira komanso mkati mwa venous, kutsika kwamkodzo potulutsa mkodzo,
• Zizindikiro za acid-base imbalance (metabolic acidosis): kununkhira kwa acetone kuchokera mkamwa, kupuma kovuta kwambiri, Hyperemia ya nkhope ("acidization" ya magazi imathandizira kukulira kwamphamvu kwa ziwiya zing'onozing'ono, zomwe zimatsogolera ku magazi ake),
• mseru ndi kusanza chifukwa kuchotsedwa kwa "acidic zakudya" mucous m'mimba thirakiti,
• mu kafukufuku wazamalonda, kuwonjezeka kwa kuchuluka kwa shuga m'magazi kumawululidwa, kuwonjezeka kwamtunda kwa chizolowezi (6.6 mmol / L) - nthawi zina mpaka 30-40 mmol / L ndi kukwera.Pali kuchepa kwakukulu kwa pH (mpaka 7.2 ndi kutsika), komwe kumawonetsa kuwonongeka kwa acidosis. Kuwonjezeka kwa kuchuluka kwa potaziyamu m'magazi kumachitika chifukwa chotuluka mu maselo, pomwe pali kuchepa kwakukulu kwa electrolyte iyi. Matupi a Ketone amapezeka mkodzo, womwe nthawi zambiri umawonetsedwa ndi chizindikiro cha "+". Kuwonjezeka kwa magawo a hemoconcentration (hematocrit, hemoglobin, mapuloteni ndi maselo ofiira am'magazi) kumaonetsa kuchepa mphamvu kwa thupi.

Thandizo Loyamba la odwala matenda ashuga Coma

Thandizo loyamba limakhala popereka mfundo zoyenera kutsata odwala a comatose: kuyika wodwalayo pambali pake ndikumusunthira theka, kutsuka mkatikati mwa pakamwa ndikuletsa lilime kuti lisazizire kapena kuluma, kuteteza zomwe zili m'mimba kuti zisalowe m'mapazi.

Chithandizo cha odwala matenda ashuga a Coma

Chithandizo cha odwala kuchipatala chimaphatikizapo:

• kutsika pang'onopang'ono kwa shuga m'magazi ndikukhazikitsa milingo yaying'ono ya insulin (pamlingo wa ma insulin 0,1 a insulin pa 1 kg ya kulemera kwa thupi pa ola limodzi),
• kukonzanso munthawi yomweyo kwa hypovolemia ndi hypohydration mwa kukoka kwa mayankho a isotonic (sodium chloride, Ringer, acesol, ndi zina) pama voliyumu okwanira malita 4-7 patsiku (kuchepa kwamadzi kumatsimikiziridwa ndi kakhazikidwe kogwiritsa ntchito index ya hematocrit),
• kukonza kosavuta kwa metabolic acidosis motsogozedwa ndi data ya CBS yokhala ndi sodium bicarbonate solution kapena Trisamine,
• kuwunika kosalekeza pamlingo wa potaziyamu m'magazi, ndipo akachepetsedwa mpaka 4 mmol / l ndipo ma diisis oyambitsa makina osakanikirana amasungidwa pamlingo wa 10-20 mmol wa potaziyamu pa ola limodzi. Pankhaniyi, mlingo wa insulin ukuwonjezeka (poganizira kuchuluka kwa glycemia),

Chithandizo cha mankhwala osokoneza bongo:

1. 5% yankho la shuga - 400 ml
2. Yankho la potaziyamu mankhwala enaake a 7.5% - 10 ml
3. Insulin - mayunitsi 12.
4. Lowani kukhuthala pang'onopang'ono kwa ola limodzi.

antibacterial mankhwala: onse pofuna kuchiza matenda opatsirana omwe amaphatikizapo kuwonongeka kwa matenda a shuga, komanso kupewa, popeza odwala afooketsa kwambiri chitetezo cha mthupi. Maanti -amu osokoneza bongo amagwiritsidwa ntchito,

• Vitamini - kusintha minyewa,
• molingana ndi zisonyezo, symptomatic therapy imagwiritsidwa ntchito pa vasodilating, nootropic, hepatotropic, cardiotropic mediators, etc.

Mukamasamalira odwala kuchipatala, ndikofunikira kuwunika mosamala ntchito zolimbitsa thupi (kupuma, kuthamanga kwa magazi ndi kugaya kwamkati, kuponderezana kwapakati pamimba, kutentha kwa thupi, kutulutsa kwamkodzo, ntchito yamatumbo), kuzindikira matenda ophatikizika omwe adayambitsa kuwonongeka kwa matenda a shuga ndi chithandizo chake.

Hypersmolar chikomokere

Njira imodzi yotsatsira shuga hyperosmolar non-ketoacidotic chikomokere, yomwe imadziwika ndi hyperglycemia yayikulu popanda zizindikiro za ketoacidosis.

Vutoli limapezeka mwa odwala matenda a shuga, makamaka okalamba, motsutsana ndi kutayika kwakukulu kwa madzi (ndi kutsegula m'mimba, kusanza, kuyaka, thukuta kwambiri ndi diuresis).

Khofi wokhuthala ukhoza kuganiziridwa poyesa kapena kuwerengera m'madzi a m'magazi a plasma.
Ndi kuwonjezeka kwa plasma osmolarity yoposa 320 mosm / l, chikomokere mwa wodwala chimawonetsedwa ngati hyperosmolar.

Chodabwitsa cha chithandizo cha odwala chotere ndi kupatsanso madzi m'thupi ndi njira zothetsera za sodium kolorayidi (0.45%) ndi shuga (2,5%) ndi kukonza glycemia pamsana pakulimbana kwamphamvu ndi matenda oyambitsidwa. Amakanizidwa kuti ayambitse yankho la 4% ya sodium bicarbonate (koloko), amene osmolarity ndi wokwera katatu kuposa plmma osmolarity!

Hyperlactacidemic Diabetesic Coma

Hyperlactacidemic diabetesic coma imachitika mwa odwala omwe ali ndi vuto la matenda osokoneza bongo omwe ali ndi vuto la Hypoxia (kupuma movutikira kapena ntchito ya magazi). Pansi pa vuto la kuperewera kwa oksijeni, phosphorylation ya oxidative imatsekedwa m'maselo, ndipo zotsiriza za anaerobic kupuma, lactic acid, kudziunjikira.

Zomwe zimayambitsa hypoxia mwa odwala zimatha kukhala chibayo, mantha, kuchepa kwa magazi.
Mankhwalawa odwala, kuwonjezera pa chisamaliro chachikulu cha chikhalidwe cha hyperglycemia, choyambirira, kuthetsa Hypoxia:

• sinthani ntchito ya kupuma kwakunja (ngati kuli kotheka - mpweya wabwino),
• khazikitsani chithandizo cha okosijeni (chigoba cha oxygen, hema, endonasal catheter, hyperbarotherapy, etc.),
• chotsani wodwala,
• ndi kuchepa magazi - chitani mankhwala oika magazi,
• yendetsani antihypoxants (cytochrome C, sodium hydroxybutyrate),
• kuchepetsa kuchuluka kwa ma cell kagayidwe (kusintha kutentha kwa thupi, kugwiritsa ntchito ma sedatives, antipsychotic, etc.).

Hypoglycemic chikomokere

Mosiyana ndi zomwe zimachitika m'mbuyomu, zimakula mwachangu: mkati mwa mphindi makumi. Choyambitsa chake kwambiri ndikuyambitsa kuchuluka kwa insulin kapena kuphwanya zakudya (kudya mosakonzekera pambuyo pa insulin).

Chizindikiro cha kuperewera uku ndikuwonetsa kudandaula kwa wodwala, kukhala wosakwanira, kenako kutaya chikumbumtima, nthawi zambiri amakhala akukomoka. Zizindikirozi zimachitika chifukwa cha kusowa kwa chakudya muubongo (mosiyana ndi ziwalo zina, ma cell a CNS amangodya glucose).

Hypoglycemia (shuga m'munsi mwa 2 mmol / l) imayambitsa chisokonezo pakuchita kwake (chikomokere). Hypoglycemia ya nthawi yayitali (maola opitilira 4-6.) Imatha kuyambitsa imfa yosasintha ya maselo muubongo ndi kufa kwake kwapakati.

Pakati pazizindikiro za hypoglycemic coma imadziwika ndi pallor ya nkhope, yomwe imakutidwa, ngati mame, ndiye. Popeza palibe zovuta zazikuluzikulu za homeostasis m'thupi, kupatula dongosolo lamanjenje lamkati, palibe zovuta za hemodynamics ndi metabolism yamchere m'madzi mwa odwala.

Kamvekedwe ka mawonekedwe ndi khungu zimasungidwa, lilime ndi lonyowa. Ma venous apakati komanso kuthamanga kwa magazi sikusokoneza. Mpweya si Kussmaulivsky, kununkhira kwa acetone kuchokera mkamwa sikumveka. Diuresis sasinthidwa.

Chizindikiro ichi ndichosavuta kukhazikitsa kuzindikira koyenera, komwe kumatsimikiziridwa ndi data ya labotale ya hypoglycemia.

Njira yayikulu yothandizira odwala ndi kuthamanga kwamisempha yamagazi. Kuti muchite izi, jekeseni 20-40 ml ya njira ya 40% ya shuga m'mitsempha (kapena ikani 400 ml ya shuga 5%).

Ndi kupanda kwa chithandizo chotere, wodwalayo amadzipangira ma mahomoni olimbana ndi mahomoni: glucocorticoids (prednisone), rn adrenaline hydrochloride, glucagon.

Wodwala yemwe watulutsidwa mu chikomokere mu hypoglycemic ayenera kugonekedwa m'chipinda chothandizira kwambiri kuti athe kuwonetsetsa, kuwongolera homeostasis ndi kupewa zotheka encephalopathy!

Coma cha matenda ashuga

Coma mwina ndi imodzi mwazovuta zazikulu za matenda ashuga. Vutoli limapweteketsedwa ndi kuchuluka kwa glucose, kuphwanya kagayidwe kazinthu, komanso kusowa kwa insulin.

Kodi muyenera kuchita chiyani ngati wodwala matenda ashuga agwera mumtundu wa insulin?

Mankhwala a insulin amadziwika chifukwa chodandaula, kuzizira, chizungulire, kuzizira, khungu louma komanso kuthamanga kwa odwala.

Kugwedezeka kwa insulin (vuto la shuga) kumachitika pakakhala shuga wochepa kapena insulini yambiri m'thupi la wodwalayo. Izi zimachitika kawirikawiri pomwe wodwalayo sanadye kwa nthawi yayitali kapena akumana ndi mavuto.

Ngati mukuwona kuti munthu ali ndi zizindikiro za vutoli, muyenera kuyimbira foni dokotala. Ngati mukudziwa kupangira jekeseni wa glucagon ndikudziwa mitundu yoyenera yoyenera kugwiritsira ntchito, lowetsani wodwalayo. Nthawi zina zonse, perekani kwa maswiti kapena chidutswa cha shuga m'magazi ake, kapena onjezerani shuga mu kapu yamadzi ndikulola wodwalayo kumwa izi.

Kumbukirani kuti ngati wodwalayo wataya chikumbumtima, musamupatse chilichonse kuti adye ndi kumwa, ndipo itanani dokotala mwachangu!

Ngati mukukayikira zomwe zidapangitsa wodwalayo - shuga wotsika pang'ono, kapena, kuwonjezera kwake, perekani wodwalayo chidutswa cha shuga. Ndi insulin mantha, mutha kupulumutsa moyo wa omwe akukuvutitsani. Ndi mulingo wambiri wa glucose, zomwe mumachita sizingavulaze wodwala.

Kukhala ndi shuga wambiri m'thupi la wodwala komanso kusowa kwa insulin kungayambitse matenda a shuga.

Vutoli limakhala lobisika chifukwa limabwera pang'onopang'ono. Matenda a matenda ashuga nthawi zambiri amatha kulakwa chifukwa cha kuledzera, chifukwa kumayenderana ndi kusokonezeka ndi chisokonezo. Zizindikiro zina zitha kudziwikanso: kugona, chizungulire, kufupika, khungu lotentha.

Ngati mukukayikira kuti wodwala wayamba kudwala matenda ashuga, itanani dokotala nthawi yomweyo. Ngati wodwalayo akudziwa, apatseni chakudya kapena zakumwa zokhala ndi shuga kuti muchepetse zizindikiro asanafike ambulansi.

Malangizo a matenda ashuga

Kupewa kugwedezeka kwa insulin ndi chikomokere matenda a shuga ndikotheka kokha pothandizidwa ndi chiphuphu cha shuga

Valani zibangili kuti muwonetsetse momwe muli mukudwala. Chifukwa chake alendo sangathe kumvetsetsa kuti muli ndi matenda ashuga ndipo, mukagwidwe, angakupatseni thandizo lofunikira

Kunyamula glucagon nanu ndikuphunzitsa banja lanu kuti lizigwiritsa ntchito

Gwiritsani Ntchito Nthawi Zonse Ma Carbs Othamanga

Mtundu wa Coma hyperosmolar

Choyambitsa chomwe chimatchedwa hyperosmolar coma ndi kusowa kwa insulin. Zina mwazinthu zomwe zimalimbikitsa mkhalidwewu ndi izi:

• vuto la mtima
• mitundu yonse ya zotupa
• magazi
• dialysis.

Mtundu wamtunduwu wamtunduwu umadziwika ndi kuchuluka kwa shuga m'magazi, komanso kuchepa kwa kuchuluka kwa thupi ndi madzi. Ndikusowa kwake komwe kumapangitsa kuchepa kwa magazi m'magulu osiyanasiyana komanso minyewa.

Chiwalo choyamba chomwe chimenya nkhondoyi ndi impso, chifukwa ndi omwe amaleka kupanga sodium. Kuphatikiza apo, zinthu zamagazi zimayamba kuchuluka, zomwe zimakwiyitsa maonekedwe a magazi.

Nthawi zambiri, matendawa amakula patangopita milungu yochepa. Poyamba, wodwalayo amakhala ndi ludzu, osalankhula pakamwa pambiri, kutopa kwambiri, komanso khungu louma mopitirira muyeso.

Zitachitika izi, chikumbumtima chatayika, kupsinjika kumatsika kwambiri. Kufatsa kwam'mimba, mawonekedwe amaso ndi kuchepetsedwa kwa khungu kumawonedwa. Mwina zizindikiro zotchuka kwambiri zamtunduwu ndi izi:

• mtima thrombosis,
• zovuta zamanjenje,
• kulephera kwa impso.

Ponena za chithandizo, thandizo lothandiza kwambiri la chikomokere lingaperekedwe kokha mu chipatala, mwa njira yothandizira kuti musinthe. Madokotala amabwezeretsa malo ogulitsira a glycogen mthupi, kubaya ma cocktail hypotonic, kupewa edema, kuthetsa kusowa kwa insulin, kubwezeretsa bwino kwa electrolyte, komanso kupewa thrombosis.

Hyperglycemic chikomokere

Zomwe zikukhudza chitukuko chake ndi:

• kuchuluka kolakwika kwa insulin
• kukana jakisoni wa mahomoni,
• kuzindikira matendawa kumapeto,
• kusankha ndalama mosavomerezeka ndi insulin.

Pamene insulini imagwera pansipa yovuta, kudya shuga kumaselo kumangoletsedwa, chifukwa pomwe thupi limayamba kuvutika ndi njala. Pachifukwa ichi, amalipirira zolipira, pogwiritsa ntchito ntchito zina. Chifukwa chake, kuchuluka kwa shuga kumawonjezeka mosadzilamulira.

Thupi limayika mahomoni ambiri kulowa m'magazi. Amaletsa zotsatira za insulin, komanso adrenaline ndi cortisol. Pankhaniyi, kuchuluka kwa shuga kumakwera kwambiri, ndipo zizindikiro za hyperglycemia zimayamba kuwonekera.

Ngakhale kuchuluka kwa shuga, maselo akadali ndi njala, ndipo njira yowonongeka kwamaselo amafuta ayamba. Amaphwanya boma lamadzi a ketin komanso mafuta acids, omwe amangokhala gwero lokhala ndi minofu ndi ubongo. Komabe, popeza thupi limadwala chifukwa chosowa insulini, kuchuluka kwa zinthu za ketone kumawonjezeka, zomwe zimatsogolera kudwala ketoacidosis.

Zotsatira za izi ndizolephera kwamadzi ndi ma electrolyte metabolism. Izi zimayambitsa kuphwanya magwiridwe antchito a ziwalo zingapo.

Kukula kwa shuga chikumbumtima chamtunduwu kumachitika pang'onopang'ono, kwa masiku osachepera khumi ndi anayi. Poyamba, munthu, ngakhale amadziwa, amamva kuperewera ndi kugona nthawi zonse. Kuphatikiza apo, amakhudzidwa ndi mseru, kupweteka kwam'mimba, kukodza pafupipafupi, kupweteka m'mutu.

Pankhaniyi, youma mucous nembanemba. Pakupuma, kununkhira kwaphokoso kwambiri kwa acetone kumveka. Ngati ketoacidosis ikukula, zizindikiro zomwe zili pamwambazi zimalimba.

Pakakhala vuto lalikulu, munthu amayamba kuzindikira, m'mimba mwake amatupa, ana ake amachepa, khungu lake limayamba kuzimiririka. Potengera maziko awa, kuwonekera kwa khungu kumachitika, mkodzo mosadzipereka umatuluka, ndipo zimachitika kuti sizigoneka.

Kuthandizira kukomoka kumatheka kokha kuchipatala. Pamenepo, heparin imaperekedwa kwa munthu kuti ateteze thrombosis, kukhazikika kwa kagayidwe kazakudya, kubwezeretsanso magasi a shuga, kubwezeretsa magwiridwe antchito a mtima, kukhazikika pamlingo wamagetsi, komanso kusintha momwe mulili ma alkali ndi ma acid.

Zambiri za hypoglycemic chikomokere

Mpweya wamtunduwu umapangidwa chifukwa chakuchepa kwa kuchuluka kwa shuga m'magazi. Zinthu za maonekedwe ake ndi:

• kuchita masewera olimbitsa thupi mopitirira malire
• insulin
• kudya osayenera pambuyo pa insulin.

Maselo amitsempha amalephera kugwiritsa ntchito shuga, chifukwa chake dongosolo lonse limasowa mphamvu zambiri zofunika. Zotsatira zake, maselo samalandira oxygen mokwanira. Chifukwa chake, chiwalo choyamba chokhala ndi vuto lotere ndi ubongo.

Hypoglycemic coma imayamba msanga. Munthu amamva kufooka kosayembekezereka, kunjenjemera, kumverera kwanjala. Kuphatikiza apo, kupanikizika kumawonjezeka, ndipo thukuta limawonekera pakhungu.

Zitachitika izi amasiya kugonja, nthawi yomweyo amakhumudwa. Komabe, kupanikizika ndizabwinobwino, ndipo kununkhira kwa acetone sikumveka. Ndipo ngakhale maso ali bwino, ophunzirawo amakula.
Kwa omwe mtundu uwu ungathe kupewedwa mosavuta poyambira kudya chakudya chokoma. Kuphatikiza apo, zizindikiro za chikomokere zimatha kupewedwa mwa kupaka shuga m'mitsempha.

Zikafika pa chisamaliro chambiri, kuphatikiza jakisoni wa glucose, wodwalayo amapatsidwa dongosolo:

• kupewa matenda a mitsempha,
• machulukitsidwe amthupi ndi adrenaline,
• kukhazikitsidwa kwa corticosteroids
• Popeza kupuma - yokumba mapapo mpweya.

Ndizofunikira kudziwa kuti chikomokere mu matenda a shuga chimafuna chithandizo chamankhwala mwadzidzidzi. Kuwonongeka kungawononge munthu moyo. Kuphatikiza apo, kulandira chithandizo munthawi yake ndiye njira yopewera zovuta zoyipazi.

Mtundu wa Coma hyperlactacidemic

Otchedwa lactic acidosis coma amapangika motsutsana ndi maziko a kusowa kwa insulin ndi kudzikundikira kwa lactic acid m'magazi. Zina mwazinthu zomwe zimapangitsa maonekedwe a kukomoka ndi izi:

• matenda a chiwindi
• matenda a impso
• vuto la mtima
• uchidakwa
• magazi
• matenda opatsirana.

Pankhaniyi, chifukwa chachikulu cha kupezeka kwa chikomokere ndi kusowa kwa mpweya, chifukwa chomwe asidi amadziunjikira. Ndipo ngati mwa anthu wathanzi amasintha kukhala glycogen, pankhani ya matenda ashuga, njirayi imasokonekera, ndipo, chifukwa chake, acidosis imachitika.

Kukula kwa vutoli kumachitika mwachangu kwambiri. Stoma precoma imadziwika ndi kusokonezeka kwa dongosolo la m'mimba, kupweteka mumtima ndi minofu.Kukomoka kumachitika mwachindunji, munthu amayamba kuzindikira, kupsinjika kumachepa, ndipo tachycardia imayamba. Pankhaniyi, fungo la acetone pamene kuphipha kulibe.

Chithandizo choyamba cha mtundu uwu wa shuga ndikupatsa insulini, kukhutitsa thupi ndi njira yothira mchere kuti muchotse acidosis, komanso njira zochizira zothana ndi vuto la mtima komanso mtima.

Zomwe zimayambitsa kudwala matenda ashuga, chithandizo choyamba komanso kudwala

Odwala omwe ali ndi matenda ashuga amayenera kuchita tsiku ndi tsiku kuti agwiritse ntchito njira za metabolic pamalo oyandikira momwe angathere. Zolakwika zazing'ono zamankhwala zimadziunjikira ndipo pamapeto pake zimabweretsa zovuta za matenda ashuga.

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>> Mutha kuwerenga nkhani yanga apa.

Popanda chithandizo kapena cholakwika chachikulu pakulipira kwa mankhwalawa, kukomoka kwa matenda ashuga kumachitika. Ili ndi vuto lalikulu, lopita patsogolo, lakufa. Itha kukhala ndi mitundu yonse iwiri yamatenda, osagwiritsa ntchito insulin. Ndi chisamaliro chokwanira pa thanzi lanu kapena kuchepa kwapadera kwa pancreatic, chikomokere chingachitike ngakhale isanayambike matenda a shuga.

Zomwe zimayambitsa matenda A shuga A Coma

Choyambitsa chachikulu cha kuperewera kwa odwala matenda ashuga ndi kupatuka kwakukulu kwa shuga kukhala kwabwinobwino, komwe kumapangitsa kuchuluka kwamphamvu - hyperglycemia, ndi kuchepa - hypoglycemia

Zizindikiro zoterezi za m'magazi zimasokoneza njira zonse za metabolic mthupi, zomwe zimapangitsa kuti wodwala asiye kutaya zinthu, asokonezeke, azindikire msanga.

Pakadali pano, moyo wa anthu odwala matenda ashuga umangodalira zochita zolondola za ena komanso kuthamanga kwa kuchipatala.

Ndikusowa kwambiri kwa insulini, shuga sangalowe m'magazi kulowa m'magazi. Pothana ndi vuto la kudya maselo, thupi limayamba kutulutsa glucose lokha kuchokera ku minofu ndi mafuta.

Chifukwa cha kuwonongeka kwa maselo amafuta, matupi a ketone amadziunjikira, kuledzera kumayamba.

Kuperewera kwa insulini ndi njira zake mkati mwa cell ndizosokonekera - kusweka kwa glucose kumalepheretseka ndikupanga zinthu zapakati zama metabolic - lactates - kulowa m'magazi.

Mosasamala kanthu za mawonekedwe malinga ndi momwe hyperglycemia imapangidwira, matupi a ketone kapena lactates amadzunjikana m'matumbo, pH ya magazi imasintha, imakhala acidic yambiri.

Acidity ikangochulukira m'thupi, maselo amayamba kuthyoka mthupi, ma enzyme amasiya kugwira ntchito, zomwe zimapangitsa kuti mtima ukhale m'magazi, kusokonezeka kwa mitsempha komanso matenda am'mimba mpaka kufa.

Kufunitsitsa kwa thupi kuchotsa shuga wambiri mwakuwachotsa mu mkodzo kungayambitsenso munthu. Kuchulukitsa kwa diuresis kopanda kukhathamira kwa madzi kumabweretsa kuchepa kwamadzi ndipo magazi amayenda m'mitsempha.

Hypoglycemia - chikhalidwe chowopsa kwambiri, popeza kuchepa kwa shuga, odwala amayamba kudwala maola ochepa chabe. Imfa yayikulu ya odwala matenda ashuga chifukwa cha hypoglycemia imafotokozedwa ndimatenda am'mimba, maselo ake amasiya kugwira ntchito yawo, yomwe imayambitsa mabisidwe m'thupi lonse, kenako nkufa.

Nthawi zambiri, matenda a shuga amayamba chifukwa cha:

1. Kuperewera kwa chiwongolero cha matenda ashuga poyambitsa wodwalayo, chifukwa chovulala kwambiri, uchidakwa kapena mavuto amisala.
2. Zolakwika pakuwerengera kwa insulin.
3. Insulin yosauka komanso njira yosagwira bwino ntchito yoyambira.
4. Mavuto azakudya pafupipafupi (zakudya zopatsa matenda amishuga 2), kudya kamodzi nthawi yayikulu ya chakudya chambiri.
5. Matenda akulu, opaleshoni, mimba ndi shuga popanda kusintha kwa mankhwala, kuphatikizapo insulini.

Mitundu iti ya chikomokere m'matenda a shuga?

Gulu la odwala matenda ashuga kutengera chifukwa:

Hyperglycemic - kuchuluka kwambiri kwa shuga m'magazi pamwamba pa 13 mmol / l, nthawi zina mpaka 55, mosasamala kanthu chifukwa cha kuchuluka.

1. Ketoacidotic - kuwonjezeka kwa kuchuluka kwa acetone ndi keto acids. Coma imayamba chifukwa cha kusowa kwambiri kwa insulini, imachitika nthawi zambiri ndimatenda a shuga omwe amadalira insulin (werengani za ketoacidosis).
2. Hyperosmolar - kusintha kwa madzi amchere amchere chifukwa cha kusowa kwamadzi. Amayamba pang'onopang'ono, amakhala ndi matenda osokoneza bongo omwe amadalira insulin.
3. Lactic acidosis - kudzikundikira kwa lactate. Sizachilendo kuposa mitundu ina ya matenda ashuga, nthawi zambiri zimachitika chifukwa cha matenda amodzimodzi.

Hypoglycemic - kutsika kwamphamvu kwa glucose mpaka 2.6 mmol / l ndi pansipa. Kukomoka kumeneku kumadziwika kwambiri ndi odwala, chifukwa chake owopsa. Kuphatikizidwa ndi chikhalidwe chosayenera komanso kusokonezeka msanga.

Ndikofunikira kwambiri: Lekani kudyetsa mafia azakudya nthawi zonse. Ma Endocrinologists amatipangitsa kuti tiziwononga ndalama mopitilira mapiritsi pomwe shuga m'magazi amatha kukhala ngati ma ruble 143 ... >> werengani nkhani ya Andrey Smolyar

Mtundu wakuperewera kotsekemera ukhoza kutsimikizika pokhapokha ngati mukudziwa mawonekedwe ake ndikugwiritsa ntchito zida zosavuta kwambiri zowunikira - glucometer ndi mizere yoyesera pamatupi a ketone.

Zizindikiro ndi mawonekedwe a Coma

Zizindikiro zodziwika bwino zamitundu yonse yokhala ndi matenda ashuga:

• chisokonezo,
• mayankho osakwanira pa mafunso
• mphwayi kapena nkhalwe,
• kulumikizidwa kosasunthika kwa mayendedwe ndi kumeza,
• Kuchepetsa kuyankha kwa mawu okweza, kuwala, ululu,
• kulephera kudziwa.

Omwe amayambitsa matenda a shuga

Zomwe zimachitika ndi matenda a shuga

Muubwana, chikomokere ndi chinthu chofala kwambiri cha matenda ashuga. Kuphatikiza pazifukwa zomwe zili pamwambazi, kuchuluka kwa shuga kwa ana kumatha kuchitika chifukwa cha kusinthasintha kwa mahomoni ndi kupsinjika kwa m'maganizo.

Zina za kuyambika kwa matenda ashuga mwa mwana ndizoyambira msanga, njira yofulumira ndi zizindikiro zazikulu, kuchepa kwamphamvu kwa ziwalo zolimbitsa thupi.

Wodwala sangathe kufotokoza momwe akumvera, mwadzidzidzi amayamba kuzindikira.

Hyperosmolar ndi lactic acidotic mitundu ya chikomaso ndizosowa kwambiri, pafupifupi 5% ya milandu.

Nthawi zambiri, chikomokere chimakula nthawi ya kukula msanga, kuyambira zaka 7 ndi kupitilira, komanso zaka za unyamata, akuluakulu akamapereka gawo la kayendedwe ka matenda osokoneza bongo kwa mwana.

Mu makanda, njira yodontha imatha kuganiziridwa pakukokana pafupipafupi, kudzimbidwa, kuyamwa pachifuwa, ndi kuchepa kwa khungu. Ma diaper owuma amakhala osavuta ndi shuga, omwe amatulutsidwa mkodzo.

Chidwi: Mwana akakhala ndi nkhawa kapena kugona msanga, m'mimba mwake mumapweteka kapena kusanza kumayamba, nthawi zambiri amamwa kapena kudandaula pakamwa pouma, chinthu choyamba chomwe ayenera kuyeza ndi shuga. Miniti yothandizidwa kuzindikira matenda atha kuletsa matenda ashuga komanso kupulumutsa moyo wa mwana.

Thandizo lodzidzimutsa la odwala matenda ashuga

Algorithm yodzidzimutsa yomwe akuganiza kuti ikubwera pafupi ndi matenda ashuga:

1. Imbani ambulansi - choyambirira, zisanachitike zochitika zina zonse. Ngati pali umboni kuti munthu ali ndi matenda ashuga, dziwitsani wothandizirayo.
2. Ikani wodwalayo kumbali yake kuti mupewe kukomoka kuchokera ku lilime lokhazikika kapena kusanza. Ngati kusanza kuyamba, yesani kuyeretsa pakamwa panu.
3. Sakani mitsuko ingapo ya shuga mu kapu yamadzi kapena mugule chakumwa chilichonse chotsekemera (yang'anirani mawonekedwe ake, koloko ndi zotsekemera sizingakuthandizeni)apatseni wodwalayo madzi akumwa. Ndi hyperglycemia, mankhwalawa sakulitsa vutoli, koma ndi hypoglycemia, amatha kupulumutsa moyo wa munthu. Osamapereka maswiti a odwala matenda ashuga kapena ma shuga. Pakakhala nthawi yabwino, kutafuna kumafa mwachangu kuposa kumeza, motero wodwalayo akhoza kutsamwa.
4. Pofuna kutaya chikumbumtima, muziyang'anira nthawi zonse kupuma komanso kugunda kwa mtima, ngati kuli kotheka, yambitsaninso kukonzekera kwa nthawi yayitali mpaka ambulansi itafika.

Kuti ena athe kupereka thandizo loyamba, wodwala matenda ashuga ayenera kudziwa abale ake, abwenzi ndi ogwira nawo ntchito malamulowa, komanso kumamuphunzitsa momwe angagwiritsire ntchito mita.

Ndi hyperglycemia yayikulu, dokotala sangathe kuchita popanda kukonza mkhalidwe wa wodwala ndikotheka kuchipatala kokha.

Hypoglycemia mpaka kuphatikizapo gawo lapakati (popanda kutaya chikumbumtima) imatha kudzikonza yokha pakudya magalamu a glucose a 10-15.

Mankhwala a Coma

Malangizo okonzera matenda ashuga pachipatala:

Kupambana kwa chithandizo cha chikomokere makamaka kumatengera kulondola kwachangu, kufulumira kwa odwala kupita kuchipatala komanso kuthekera kolimba kwamthupi. Ngati zonse zikuyenda bwino, wodwalayo amakhala masiku ambiri akuchisamalira, kenako ndikusamutsa ku dipatimenti yochiritsa.

Zotheka

Palibe chiwalo chimodzi mthupi chomwe chimapangitsa wodwala matenda ashuga kupita osawerengetsa. Mavuto owopsa kwambiri ndi edema ya m'magazi, kuwonongeka kwa minofu ya mtima, matenda a thupi lofooka. Ngati ubongo wakhudzidwa kapena vuto linalake likupezeka m'ziwalo zingapo, nthawi ya chikomokere imakulanso, ndipo mwina imatha kufa.

Zotheka kukhala ndi matenda ashuga atatuluka chikomokere, kulankhula, kukumbukira, kugwirizanitsa, kapena kupuwala pang'ono.

Chonde dziwani: Kodi mumalota kuti muthetse matenda ashuga kamodzi? Phunzirani momwe mungathetsere matendawa, osagwiritsa ntchito mankhwala okwera mtengo, pogwiritsa ntchito ... >> werengani zambiri apa