Mowa wa ketoacidosis

Ketoacidosis yoledzeretsa ndikumanga kwa ma ketoni m'magazi chifukwa chomwa mowa. Ma ketoni ndi mtundu wa asidi omwe amapangidwa thupi likawononga mafuta kuti akhale ndi mphamvu.

Vutoli ndi mtundu wovuta wa kagayidwe kachakudya acidosis, vuto lomwe mumakhala asidi wambiri m'madzi amthupi.

Ketoacidosis yoledzera imayamba chifukwa chomwa mowa kwambiri. Nthawi zambiri zimapezeka ndi munthu wopanda zakudya m'thupi yemwe amamwa mowa wambiri tsiku lililonse.

Zizindikiro zakumwa zoledzeretsa ndizo:

• Nseru ndi kusanza
• Kupweteka m'mimba
• Kusokonezeka, chisokonezo
• Kusintha kwa chidwi, komwe kumatha kubweretsa kukomoka
• Kutopa, kuyenda pang'onopang'ono
• Kuzama, kugwira ntchito, kupuma mwachangu
• Kutaya njala
• Zizindikiro za kuchepa kwa madzi m'thupi, monga chizungulire, mutu wopepuka, ndi ludzu

Mayeso atha kuphatikiza:

• Mitsempha yamagazi yamagazi (imayesa kuchuluka kwa asidi / m'munsi komanso mpweya m'magazi)
• Mlingo wa mowa wamagazi
• Mankhwala amagazi ndi kuyesa kwa chiwindi
• CBC (kuwerengera kwathunthu magazi, kuyeza maselo ofiira ndi oyera, ndi ma platelet, omwe amathandiza magazi kuundana)
• Nthawi ya Prothrombin (PT), imayeza kuwundana kwa magazi, nthawi zambiri kumakhala kosazolowereka kuchokera ku matenda a chiwindi
• Kafukufuku wa Toxicology
• Mkodzo ketoni

Chithandizochi chitha kuphatikizira madzi (madzi amchere ndi shuga) operekedwa kudzera mumitsempha. Mungafunike kuyesedwa magazi pafupipafupi. Mutha kupeza mavitamini othandizira kuchiza kuperewera kwa zakudya m'thupi komwe kumadza chifukwa chomwa mowa kwambiri.

Anthu omwe ali ndi vutoli nthawi zambiri amalowetsedwa kuchipatala, nthawi zambiri kupita kuchipatala cha anthu odwala mwakayakaya (ICU). Kumwa mowa kumaletsedwa kuthandiza kuchira. Mankhwala amatha kuperekedwa kuti ateteze zizindikiritso zakumwa mowa.

Chithandizo chofulumira chimathandizira mawonekedwe onse. Kumwa mowa mopitirira muyeso, komanso kupezeka kwa matenda a chiwindi kapena mavuto ena, kumakhudzanso malingaliro.

Izi zitha kukhala zowopsa pamoyo wanu. Zovuta zingaphatikizepo:

• Coma ndi khunyu
• Kutuluka m'mimba
• Ziphuphu zotupa (kapamba)
• Chibayo

Ngati inu kapena wina ali ndi zizindikiro zakumwa zoledzeretsa za ketoacidosis, pitani kuchipatala.

Kuchepetsa kuchuluka kwa zakumwa zomwe mumamwa kungathandize kupewa izi.

Ketoacidosis - chidakwa; Mowa - mowa ketoacidosis

Finnell JT. Matenda okhudzana ndi mowa. Mu: Makoma RM, Hockberger RS, Gausche-Hill RM, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier Saunders; 2018: mutu 142.

Seifter JL. Mavuto amadzimadzi. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: mutu 118.