Hypoglycemic chikomokere > Matenda a shuga

Hypoglycemic coma ndichinthu chovuta kwambiri mu endocrine system yomwe imachitika motsutsana ndi kumbuyo kwa kugwa lakuthwa m'magazi a shuga (i.e. glucose). Chithandizo choyamba cha chikumbumtima cha hypoglycemic chikufunika ndi wodwalayo mwachangu, komabe, kuperekera chithandizo kumafunikira chofunikira chofotokozera vutoli, ndiko kuti, kudziwa ngati zizindikiro za hyperglycemia zilipo (ndi kuchuluka kwa shuga m'magazi), kapena ngati mkhalidwe wa hypoglycemia ukugwirizana mwachindunji.

Zizindikiro za hyperglycemia ndi hypoglycemia

Zizindikiro za Hyperglycemia mu mawonekedwe owopsa kapena oyipa a maphunzirowa, ali pazowonetsera izi:

ludzu, makamaka mopitirira muyeso,
kukodza pafupipafupi
kutopa
kuwonda
masomphenya osalala
Khungu loyera, khungu lowuma,
kamwa yowuma
arrhasmia,
Mpweya wa Kussmaul
Matenda aulesi (media otitis media, vagidi candidiasis) omwe samachiritsidwa bwino pogwiritsa ntchito mankhwala achikhalidwe
chikomokere.

Acute hyperglycemia ikhoza kuwonekera pokhapokha:

chikumbumtima
ketoacidosis
kuperewera kwa madzi m'thupi kumbuyo kwa osmotic diuresis ndi glucosuria.

Zizindikiro za hypoglycemia zimagawidwa kukhala autonomic (adrenergic, parasympathetic) ndi neuroglycopenic. Zizindikiro za mawonekedwe a zomerazo zimadziwika ndi mawonekedwe awa:

kuchuluka kwawukali ndi kukwiya, mantha, nkhawa, nkhawa,
thukuta kwambiri
kunjenjemera kwa minofu (kunjenjemera), kuchepa kwa minofu,
kuthamanga kwa magazi
ana opukusidwa
kukopa kwa pakhungu
arrhythmias
nseru, zotheka - kusanza,
kufooka
njala.

Zizindikiro za Neuroglycopenic zimawonekera motere:

kuchepa kwa ndende,
chizungulire, kupweteka mutu,
chisokonezo
mgwirizano wolakwika,
paresthesia
"Kuwona kawiri" m'maso,
Makhalidwe osakwanira
amnesia
matenda a m'magazi ndi kupuma,
kugona
chikumbumtima
kukomoka, kukomoka,
chikomokere.

Amayambitsa hypoglycemic chikomokere

kugwiritsa ntchito mankhwala kwakanthawi
kuchuluka kwa insulin kukonzekera,
kuphwanya zakudya, kumwa mowa,
kupsinjika m'maganizo, mitsempha, kuchepa, nkhawa ndi nkhawa.
chotupa mu kapamba, kuchuluka kwa insulin,
kulephera kwa chiwindi
kuchuluka kwambiri pamlingo wakuthupi (ndi anthu ogwira ntchito zolimbitsa thupi, pamasewera).

Mavuto a hypoglycemic chikomokere

Thandizo loyamba la hypoglycemic coma ndilofunika kwambiri kwa wodwala, makamaka makamaka ndikofunikira momwe anthu omwe ali chifupi ndi iye akachitika. Kufunika koperekera thandizo koteroko kuli poti kusakhalapo kwake kungayambitse matenda am'mimba, ndipo izi, zimayambitsa kuwoneka kosasinthika kwa dongosolo lamagetsi lazotsatira pazotsatira zake.

Dziwani kuti pafupipafupi hypoglycemia, komanso pafupipafupi chikomokere, odwala akuluakulu amakumana ndi kusintha kwamunthu, pomwe ana amachepa. M'njira zonsezi, mwayi wa imfa sunasiyidwe.

Ponena za mkhalidwe wa hypoglycemic coma mwa okalamba, makamaka kwa iwo omwe matenda a mtima / ubongo ndi matenda amtima amayenera, ndizowopsa kwambiri, chifukwa kuphwanya myocardial kapena stroko kumatha kukhala vuto la njira yake .

Popeza izi, ndizoyenera kuchita ndi ECG zizindikiro za hypoglycemia zitayimitsidwa. Ndi gawo lalitali la hypoglycemic chikomokere, limodzi ndi kuwonetsa kwake, kuwonetsa, kuwononga kuwonongeka kwa ubongo limodzi ndi njala komanso kuperewera kwa magazi muubongo. Pankhaniyi, kufa kwa maselo amitsempha kumachitika, kudzitsitsa kwa umunthu kumadziwika.

Thandizo Loyamba la Hypoglycemic Coma: Kuziteteza

Kuti muthandizidwe koyenera pazochitika zoyambitsidwa ndi hypoglycemic coma, ndikofunikira kudziwa bwino zomwe zimayambitsa matendawa zimawonetsa hyperglycemia (momwe magazi a glucose amakwera) ndi omwe - hypoglycemia (pomwe, mulingo wa glucose umatsitsidwa). Chowonadi ndi chakuti milandu iwiri yonseyi imafuna kukhazikitsidwa kwa zinthu zomwe zikuyang'anizana.

Takumbutsa owerenga athu kuti shuga yayikulu imayendera limodzi ndi kuwonjezeka kwa ludzu, kufooka ndi mseru. Kusazindikira kumayendetsedwa ndi khungu louma komanso kuchepa kwamatchulidwe amaso. Kuphatikiza apo, wodwalayo adanenanso kuti kupuma kwamphamvu ndi fungo la "apulo" ndi acetone. Ngati kutsika shuga kuli koyenera kwa wodwalayo, ndiye kuti pali kufooka kwina ndi kunjenjemera m'thupi, kupukusa thukuta. Kusazindikira kungayende limodzi ndi kukhudzidwa komanso kusowa poyankha pokhudzana ndi kukhudza.

Kuchotsa munthu yemwe ali ndi vuto la matenda ashuga (hyperglycemic coma), jakisoni wa insulin amafunikira mwachangu. Monga lamulo, mwa odwala omwe ali ndi matenda ashuga pali zida zothandizira pokhapokha ngati pali vuto lotere, momwe mumafunikira chilichonse chomwe chimafunikira jakisoniyu (malangizo a mankhwala, ubweya wa thonje, mowa, syringes ndipo, makamaka, insulin).

Popeza kuti odwala matenda ashuga, omwe, omwe akukumana ndi vutoli, achepetsa chitetezo cha mthupi, ndikofunikira kupatula mwayi wofalitsa jakisoni m'njira zonse zomwe zingatheke, komanso mosamalitsa kuwunika kwa insulin asepsis, mwachizolowezi. Ichi ndichifukwa chake kuti athe kupereka chithandizo choyamba cha hyperglycemic coma mumikhalidwe yamsewu malinga ndi kufunikira uku, ndikofunikira, choyamba, kuti mupeze wodwalayo kupezeka kwa zida zoyambira ndi insulin. Ngati pali imodzi, insulin (50-100 unit) imaperekedwa mu ntchafu kapena phewa. Popeza kuti wodwalayo mwina ali ndi vuto la jakisoni, ziyenera kukhala zosavuta kuyendera ndi izi.

Ma ambulansi amatchedwa popanda kulephera, chifukwa, munthawi yomweyo ndi insulin, adzafunika kuti wodwalayo apezeke ndi yankho la glucose (40%) ndi saline yankho la glucose (mpaka 4000 ml, 5%). Kupitilira apo, maola angapo otsatira kuyambira nthawi yomwe insulin imayang'anira, kuchuluka kwa mafuta ndi mapuloteni amachepetsa, zakudya zimayenera kukhala ndi pafupifupi magalamu 300 (ochepa) a chakudya chamagetsi (mafuta, zipatso ndi timadziti), madzi amchere a alkaline amalimbikitsidwa kuti agwiritsidwe ntchito.

130. Kusiyanitsa kwakumveka kwa ketoacid ndi hypoglycemic coma.

Hypoglycemic coma imawonedwa makamaka mwa odwala matenda a shuga omwe amalandira insulin. Monga lamulo, isanayambike chikomokere kwa odwala kwakanthawi, zochitika za hypoglycemia (kumva mantha, thukuta, palpitations, chizungulire) zimatchulidwa kwambiri. Koma nthawi zina, makamaka mukamagwiritsa ntchito protamine-zinc-insulin, kuzindikira kumachitika mwadzidzidzi. Mwa zizindikiritso zofunika kusiyanitsa matenda okhudzana ndi matenda ashuga ziyenera kutchulidwa: Chizindikiro cha Babinsky, kusowa kwa mawonekedwe amaso, osati kufewa kwenikweni, kusowa ludzu, kugona kwambiri, khungu lonyowa, kunjenjemera, kupuma kwabwinobwino komanso kuwonjezereka kwa kusokonezeka kwa misala. Odwala sapuma ndipo nthawi zina amamenyedwa ndi mikono yozungulira. Palibe fungo la acetone mu mpweya wotuluka. Mkodzo mulibe shuga kapena acetone. Shuga wamagazi pansi pa 60 mg%.

Ngati kusiyanitsa kumakhala kovuta pazochitika zina zapadera, dokotala ayenera kupatsa wodwalayo 20 mpaka 40 ml ya njira ya 2040% ya shuga. Pamaso pa chikomokere cha hypoglycemic, kusintha kwapang'onopang'ono (nthawi zina kumangoyenda pang'ono) kumachitika, ndikudwala matenda ashuga izi sizithandiza.

Ndizovuta kwambiri kuposa matenda ashuga, omwe, poyambirira, ndikofunikira kukumbukira chikumbumtima chokhala ndi matenda ashuga, kuzindikira kwa milandu yachilendo yomwe sanachitepo mankhwala a insulin, popeza adokotala saganiza zokhoza kukhala chikomokere. Choyambirira, ndikofunikira kukumbukira hypoglycemia chifukwa chosakwanira kwa anterior pituitary gland ndi matenda a Addison, ndipo pokhapokha - pancreatic adenoma. Kukomoka mobwerezabwereza kwa hypoglycemic kumakhala kukayikira nthawi zonse kupezeka kwa matendawa. Pazaka zosadziwika, munthu ayenera kuganizira zina zomwe zimapangitsa kwambiri (kuwonongeka kwambiri kwa chiwindi, mimba, matenda a shuga a impso, kulimbitsa minofu, opaleshoni, kuwonongeka kwa ubongo)

Zizindikiro zotsatirazi ndizomwe zimakhala ndi vuto la matenda ashuga: mu mawonekedwe okondweretsa, odwala amatopa kwambiri komanso amatha kupweteka. Amangodandaula za kutaya chidwi ndipo nthawi zina amamva kupweteka kwambiri pamimba. Ululu umatha kubweretsa chisokonezo ndi matenda opaleshoni am'mimba, makamaka ndi zilonda zapamwamba. Kulakwitsa kotereku pakuzindikiritsa kumakhala kotheka makamaka ngati kusanza kwambiri kumayendera limodzi ndi dziko labwino.

Panthawi ya chikomokere, odwala ali ndi vuto lotulukapo, koma ndizotheka kukweza khungu kukhala khola pokhapokha ngati zachitika kwambiri. Khungu louma. Hypotension yamaso. Ana ake amapukusidwa. Leukocytosis ndi polyglobulia amadziwika. Kupuma kwamtundu wa Kussmaul, mwakuya, pafupipafupi, nthawi zina kusokonezedwa ndi kupuma pang'onopang'ono kapena kupumira (kupuma mwa muyeso wa 1/4 malinga ndi Kussmaul) Nthawi zambiri kutentha kwa thupi kumakhala kochepa. Kuthamanga kwa magazi kumatsitsidwa, mwa zina chifukwa cha kugwa kwa vasomotor, gawo lina chifukwa champhamvu yamphamvu yogundika ya mtima ndi nthawi yayitali ya Q-T pa ECG ndi mkota wachiwiri wamtima. Kulephera kwamphamvu kwamphamvu kumalumikizidwa ndi hypokalemia, yomwe nthawi zambiri imawonedwa.

Mphepo yotulutsa imakhala ndi fungo la acetone (fungo la maapulo "limapweteka"). Kuyesa kwa mkodzo ndi magazi kungatsimikizire kuti mwazindikira.

Mu mkodzo wokhala ndi mphamvu yayikulu yokoka, kusintha kwa shuga ndi acetone kumakhala kwabwino nthawi zonse. Maonekedwe wamba mumkodzo wa mkodzo ndi masilamu afupiafupi. Mwazi wamagazi umakwera mpaka 1000 mg% kapena kupitirira, kuchuluka kwa magazi kumachepa. Kuchuluka kwa kuchepa kwa mchere wamchere kumayenderana ndi zovuta za matenda a shuga. Kukomoka kwambiri kumawonedwa ndi shuga wotsika kwambiri.

Zambiri

Hypoglycemia ndi mtundu wa-endocrine syndrome wosinthana ndi ma adrenergic ndi ma neuroglycopenic. Gulu loyamba la zizindikiro limachitika chifukwa cha kuchuluka kwa norepinephrine, chachiwiri chimatsimikiziridwa ndi kuyankhidwa kwa dongosolo lamkati lamanjenje. Kuchulukana kwapang'onopang'ono kwa zizindikiro za matenda a hypoglycemia, kusowa kwa chithandizo chodzidzimutsa kumayambitsa kukomoka. Matenda a ubongo nthawi zambiri amapezeka mwa odwala omwe ali ndi mtundu woyamba 1 komanso mtundu wa matenda a shuga 2, ndipo nthawi zina mwa anthu omwe alibe vuto la shuga. Malinga ndi magwero osiyanasiyana, kuchuluka kwa hypoglycemia pakati pa odwala matenda a shuga ndi 45-65%. Zotsatira zoyipa zimawonedwa mu 2-4% ya milandu ya hypoglycemic coma.

Hypoglycemia mwadzidzidzi imachitika chifukwa cha kuthyoluka kwambiri ndikuchotsa glucose, kupitilira kuchuluka kwa mayamwidwe ake m'matumbo ndi / kapena kupanga m'chiwindi. Mu chipatala endocrinology, mkhalidwe wowopsa umadziwika kwambiri ndi matenda opatsirana a shuga omwe amadalira insulin, panthawi zoterezi ndizosatheka kukhazikitsa chifukwa cha chikomokere. Ndi mitundu inanso ya matendawa, zinthu zotsatsa zakunja zimakhala:

Mlingo wolakwika wa insulin. Mkhalidwe wa hypoglycemic umakwiya chifukwa cha kusazindikira bwino kwa mankhwalawa omwe amaperekedwa kwa kuchuluka kwa shuga omwe amamwa kuchokera m'mimba. Zoterezi ndizotheka, mwachitsanzo, ndikulakwitsa pakusankha kuchuluka kwa syringe.
Kulakwitsa kwa insulin. Choyambitsa chimatha kukhala kuphwanya njira ya jakisoni. Kulimbitsa machitidwe a insulini kumachitika mwangozi kapena mwadala kukonzekera kwa mankhwalawo, ndikupaka jakisoni.
Kulephera kutsatira malamulo a zakudya. Matenda a glucose amatha chifukwa chodumpha zakudya, makamaka ngati wodwala agwiritsa ntchito insulin yochepa. Mkhalidwe wofananawo umatheka pochita masewera olimbitsa thupi, kuwonjezeka kwa ndalama zamagetsi.
Zakumwa zoledzeretsa. Nthawi zambiri, odwala amaganizira za zomwe zakumwa ndi zakumwa zoledzeretsa, koma kuiwala za kuchepetsa kwawo kwa shuga. Mowa wa Ethyl umalepheretsa kupanga shuga m'magulu osagwiritsa ntchito chakudya m'maselo a chiwindi. Kuchuluka kwa mowa komwe kumamwa kumakhala kofanana ndi kutalika kwa kuletsa kwa gluconeogenesis, chikomokere chitha kukhala kwakanthawi pambuyo kuledzera.
Gawo lamalipiro a shuga. Pamene kukhudzika kwa maselo kupita ku insulin kukwera, kuchepetsa kwa kuchuluka kwa maholingo kumafunika. Ngati chithandizo sichikonzedwa, mlingo wa mankhwalawo umakhala wambiri.
Matenda a ziwalo. Coma imayambitsidwa ndi ma pathologies a ziwalo zamkati ndi kachitidwe kogwirizana ndi matenda a shuga. Kuchepetsa kwa glucose kumadziwika ndi kusintha kwamphamvu mu chiwindi, kuperewera kwa michere m'matumbo, kulephera kwamkaka kwaimpso, kusagwirizana kwa mahomoni.

Kukula kwa mtundu wa hypoglycemia kumayambitsidwa ndi kuchepa kwa shuga m'magazi mpaka 4 mmol / L ndikuchepera. Odwala omwe ali ndi matenda a shuga, thupi lawo limagwirizana ndi matenda a hyperglycemia, osati chizindikiro chokwanira cha glucose, koma amachepetsa msanga kuchuluka kwake kwa 5 mmol / l kapena kuposa. Chiwopsezo cha kukomoka kwa hypoglycemic mu gulu ili la anthu chilipo ngakhale ndi shuga wabwinobwino komanso wocheperako, chifukwa magwiridwe antchito amitsempha sikofunikira kwenikweni osati phindu lenileni la glycemia, koma kukhazikika kwache.

Ndi kuchepa kwambiri kwa shuga, minyewa yamitsempha imatha kusintha mwachangu kukakamiza kwa shuga wokhazikika. Kuletsa kwa kagayidwe kachakudya njira mu zimakhala za ubongo kumadziwika. Choyamba, ubongo wa m'magazi umagwirizana ndi hypoglycemia, yomwe imawonetsedwa ndi aura. Pamene kusowa kwa shuga kumakulirakulira, njira za metabolic mu cerebellum zimasokonekera, ndiye pazinthu zamtundu wa subcortical-diencephalic. Kusintha kwa chikomokere kumayambitsidwa ndi kupangika kwa ma pathological mu malo ofunikira kwambiri a kupuma ndi kugunda kwa mtima mu medulla oblongata. Ngati hypoglycemia ikukula pang'onopang'ono, zizindikiro zomwe zimagwirizanitsidwa ndi kusokonezeka kwapakati kwa dongosolo lamanjenje ndizotsimikiza. Thupi limayankha kutsika kwathamanga kwam shuga mwakuwonjezereka kwa kupanga kwa ma catecholamine ndi mahomoni omwe amalimbikitsa njira ya gluconeogeneis. Pankhaniyi, mawonetseredwe a adrenergic ndi zizindikiro za kutsegulira kwa mtima wamanjenje amawongolera.

Zizindikiro za hypoglycemic coma

Mkhalidwe wamtundu wakumbuyo wa hypoglycemia umagawidwa pang'onopang'ono ndipo kwenikweni. Precoma imayamba kupitirira mphindi 20-30. Zowonetsera zake zazikulu ndikumverera kosatheka kwanjala, kugawa thukuta lozizira, kufooka, chizungulire, kusakwiya, kutsatiridwa ndi mphwayi.Pakakhala chisamaliro chapadera, chikomokere chimayamba - chikumbumtima sichikupezeka, khungu limakhala lanyowa, limasinthasintha komanso kuzizira, kupuma kumakhala kopepuka, kupindika kwake kumachepa. Usiku, magawo awa ndi osasiyanitsidwa. Kugona sikumangokhala, kusokoneza, nthawi zambiri maloto oopsa amakhala. Odwala amafuula ndikulira m'maloto, atadzuka amakhala osokonezeka, tsiku lonse amakhala atatopa komanso kugona. Mkulu akamalowa m'thupi, matendawo amayambiranso kukhala abwinobwino.

Popeza magawo a zoletsa za kagayidwe kachakudya mu minyewa yaubongo, magawo asanu a chikomokere amasiyanitsidwa, osiyana pakumwonekera kwawo kwamankhwala. Mu gawo loyamba (cortical), kusachedwa kusokonezeka, kupweteka mutu, ndi njala zimadziwika. Kuthamanga kwa mtima kumachitika mwachangu, khungu limanyowa. Zizindikiro zake zimakhala zofatsa, sizitanthauziridwa nthawi zonse ngati chinyengo m'moyo wabwino. Gawo lachiwiri (subcortical-diencephalic) limadziwika ndi kupangidwa kwa kusintha kwa kayendetsedwe kazinthu komanso kusintha kwamakhalidwe. Pali thukuta lochulukirapo popanda chifukwa, kuwonjezeka kwa masokosi, kuwoneka kunjenjemera kwakang'ono m'manja, kuwonera kawiri. Khalidwe kusangalatsidwa, Hyperactive, mizimu yayikulu, nthawi zina yokhala ndi zinthu zina zaukali.

Pa gawo lachitatu, ma Midbrain amatenga nawo mbali mu pathological process. Nyimbo yamisempha imakwera kwambiri, kukomoka kwa tonic-clonic kumachitika ngati khunyu. Khungu limakhala lonyowa, kugunda kwa mtima kupitirira 100 kumenyedwa pamphindi. Ngati kagayidwe kachakudya kamasokonekera, chikomacho chimayamba kupezeka kumtunda kwa medulla oblongata. Wodwalayo amataya chikumbumtima, mpweya umakulitsidwa mwamphamvu, kugunda kwamtima ndi kugunda kumakhalabe mwachangu, kupuma kumasungidwa. Mu gawo la coma lakuya, medulla oblongata yonse imakhudzidwa ndi kusokonekera kwa metabolic. Khungu lanyowa, lotuwa, lozizira. Thukuta limasiya, limatha kuzimiririka, mtima ndi kupuma kumachepetsa, kuthamanga kwa magazi kumachepa.

Zizindikiro

Kuyesa kwa odwala kumachitika ndi endocrinologist kapena akatswiri. Njira yayikulu yodziwitsira matenda ndi kuphatikiza kwa zizindikiro zokhala ndi vuto la hypoglycemic ndi mulingo wotsimikiza wa shuga (malinga ndi kuyezetsa magazi). Izi zimatilola kusiyanitsa mtundu wamtunduwu kuchokera ku matenda a shuga - ketoacidotic, lactacidemic ndi hyperosmolar. Kuzindikira kokwanira kwa matenda kumaphatikizapo:

Kafukufukuyu. Pokambirana ndi wodwalayo kapena abale ake, mukamawerenga zolemba zamankhwala, kupezeka kwa matenda a shuga, mtundu wake, maphunzirowa amafotokozedwa, zomwe zidapangitsa kuti pakhale kukomoka zimafotokozeredwa. Zodandaula zofananira ndikumverera kwadzidzidzi kwanjala, kukhumudwa, chizungulire, thukuta lomwe likukulirakulira, kupweteka mutu, kugwedezeka.
Kuyendera Kutuluka thukuta, pallor ndi kuzizira khungu kumadziwika. Kutengera ndi gawo la chikomokere, kuwonjezeka kapena kuchepa kwa kugunda kwa mtima ndi zimachitika, kukwera kapena kutsika kwa kuthamanga kwa magazi, kuwonjezeka kapena kuchepa kwa zinthu zakuya kumachitika.
Kuyesedwa kwa shuga (magazi). Mwa anthu omwe ali ndi shuga omwe amakhala bwino, zizindikiro zoyambirira za hypoglycemia zimapezeka pa 2.77-3.33 mmol / L, chithunzi chowonjezera cha chipatala chiri pa 1.66-2.76 mmol / L. Kwa chikomokere, mitengo yotsika kuposa 1.65 mmol / L ndi yakhalidwe. Ndi kuwonongeka kwa matenda ashuga, Zizindikiro zimatanthauziridwa payekhapayekha.

Chithandizo cha hypoglycemic chikomokere

Mpweya ukukulira mwachangu, kotero zochitika zimachitika ndi wodwalayo iyemwini, abale ake, akatswiri a zamankhwala othandizira odwala mwadzidzidzi, ogwira ntchito m'madipatimenti osamalira anthu ambiri komanso oyang'anira. Zolinga zikuluzikulu za mankhwalawa ndikubwezeretsa kuchuluka kwa shuga, chizolowezi (shuga), njira zofunika komanso kuthekera kwa maselo kuyamwa shuga. Mankhwalawa amachitidwa m'magawo atatu:

Thandizo la prehospital. Pa gawo labwino, nthawi zina zimakhala zokwanira kupangitsa kuti shuga asakhale ndi zakudya zotsekemera. Ngati wodwalayo amatha kudya, amapatsidwa zinthu zomwe zimakhala ndi mafuta owala - maswiti, mipiringidzo ya maswiti ndi maswiti ena. Ngati kumeza kumera, supuni imapatsidwa tiyi ndi shuga kapena madzi a zipatso omwe alibe zamkati. Pakukomoka, njira yothira shuga imayamwa pansi pa lilime.
Ambulansi. Madokotala kamodzi adapereka njira ya 40% ya shuga m'magazi, kenako adakonza dontho la 5% yankho. Izi zimakupatsani mwayi wothandizira wodwalayo kuti mupewe kukonzekera komanso kuti mupewe kukonzanso mtima. Mukuwonongeka kwambiri komanso kusowa kwa zotsatira zabwino, glucocorticoids, glucagon kapena adrenaline amagwiritsidwa ntchito kudzera m'mitsempha kapena intramuscularly.
Kusamalidwa kwambiri mu dipatimenti. Ndi kupanda kwa izi pamwambapa komanso kupatula njira zina zomwe zingayambitse chikomokere, njira zimachitika zomwe zimathandizira kuyendetsa ma elekitirodiya kudzera mumakoma amitsempha yama cell amitsempha. Wodwalayo amalumikizidwa ndi mpweya wabwino, mankhwala omwe amathandiza ntchito ya minofu ya mtima ndi kamvekedwe ka mitsempha ya magazi ndi komwe amapatsidwa. Kusakaniza kwa polarizing kumayendetsedwa kudzera m'mitsempha, zomwe zimaphatikizapo mayankho a insulin, shuga ndi potaziyamu wa potaziyamu.

Zotsogola ndi kupewa

Kuzindikira kwa odwala ambiri. Chithandizo chokwanira panthawi yake chimachepetsa chiopsezo cha kufa, hypoglycemia imathetsedwa bwino. Kupewa kumakhala ndi chithandizo chokwanira cha matenda ashuga: kutsatira zakudya komanso kugwiritsa ntchito njira ya insulini, kuchita masewera olimbitsa thupi popanda kugwiritsa ntchito nthawi yayitali kapena kugwiritsa ntchito mphamvu kwambiri. Odwala amayenera kuwunikira zizindikiro za shuga, ngati zili zachilendo, kukaonana ndi odwala matenda ashuga kuti adziwe zomwe zimayambitsa ndi kusintha kwa insulin.