Zomwe Muyenera Kudziwa Zokhudza Kubwezeretsa ku Coma Yamatenda
Zamkati
Chidule
Chikomokere cha ashuga chimachitika munthu yemwe ali ndi matenda ashuga atataya chidziwitso. Zitha kuchitika kwa anthu omwe ali ndi matenda a shuga a mtundu woyamba kapena wachiwiri.
Chikomokere cha matenda ashuga chimachitika pamene shuga m'magazi amakhala otsika kwambiri kapena okwera kwambiri. Maselo m'thupi lanu amafuna kuti shuga azigwira ntchito. Shuga wamagazi, kapena hyperglycemia, atha kukupangitsani kumva kuti ndinu opepuka komanso kutaya chidziwitso. Shuga wamagazi ochepa, kapena hypoglycemia, amatha kuyambitsa kuchepa kwa madzi m'thupi mpaka momwe mungathere.
Kawirikawiri, mungapewe hyperglycemia kapena hypoglycemia kuti isamapitirire pachimake cha matenda ashuga. Ngati chikomokere cha anthu odwala matenda ashuga chachitika, zikuwoneka kuti dokotala wanu amatha kuchepetsa magazi m'magazi anu ndikubwezeretsani kuzindikira kwanu komanso thanzi lanu ngati angathe kuyankha matenda anu munthawi yake.
Muthanso kulowa mu chikomokere cha ashuga ngati mungadwale matenda ashuga ketoacidosis. Diabetic ketoacidosis (DKA) ndi mankhwala ambiri omwe amatchedwa ketoni m'magazi anu.
Zizindikiro
Matenda osokoneza bongo
Zizindikiro za hypoglycemia zitha kuphatikiza:
- mutu
- kutopa
- chizungulire
- chisokonezo
- kugunda kwa mtima
- kugwedezeka
Matenda a hyperglycemia
Ngati muli ndi hyperglycemia, mutha kukhala ndi ludzu lowonjezeka ndipo mutha kukodza pafupipafupi. Kuyezetsa magazi kungavumbulutsenso kuchuluka kwa shuga m'magazi anu. Kuyezetsa mkodzo kumatha kuwonetsanso kuti kuchuluka kwanu kwa glucose ndikokwera kwambiri.
DKA imayambitsa shuga wambiri wamagazi. Zizindikirozi zimaphatikizaponso ludzu komanso kufunika kokodza. Zizindikiro zina zamaketoni okwera ndi awa:
- kumva kutopa
- kukhala ndi vuto m'mimba
- wokhala ndi khungu lofewa kapena louma
Ngati muli ndi matenda okomoka kwambiri ashuga, itanani 911. Zizindikiro zazikulu zimatha kuphatikizira izi:
- kusanza
- kuvuta kupuma
- chisokonezo
- kufooka
- chizungulire
Chikomokere cha munthu wodwala matenda ashuga ndichachangu. Zitha kubweretsa kuwonongeka kwa ubongo kapena kufa ngati simupeza chithandizo.
Chithandizo
Kuchiza hyperglycemia kumafunikira madzi amkati kuti alimbitse madzi m'thupi lanu lonse. Muthanso kulandira insulini kuti mothandizire maselo anu kuyamwa shuga wowonjezera womwe ukuyenda. Ngati magawo anu a sodium, potaziyamu, kapena phosphate ndi otsika, mutha kupeza zowonjezera kuti muwathandize kukhala athanzi. Mankhwalawa adzakhala ofanana ndi DKA.
Jekeseni wa glucagon ikuthandizani kukulitsa kuchuluka kwa shuga m'magazi anu ngati mukukumana ndi hypoglycemia.
Kuchira
Magazi anu a shuga atakhala athanzi, muyenera kuyamba kumva bwino nthawi yomweyo. Ngati mwakhala mukukomoka, muyenera kubwera posachedwa mankhwala akayamba.
Sitiyenera kukhala ndi zotsatira zosatha ngati mutalandira chithandizo posakhalitsa zizindikirozo. Ngati zizindikirazo zidachitika kwakanthawi asanalandire chithandizo kapena mukadwala matenda ashuga kwa maola angapo kapena kupitilira apo, mutha kuwonongeka ubongo. Kukomoka kosagwidwa matenda ashuga kumatha kubweretsanso imfa.
Anthu omwe amalandira chithandizo chadzidzidzi chifukwa cha matenda ashuga nthawi zambiri amachira. Dokotala wanu angakulimbikitseni kuti muvale chibangili chachizindikiro chamankhwala chomwe chimalongosola mtundu wa matenda anu ashuga komanso mavuto ena azaumoyo. Izi zitha kuthandiza kuti mupeze chithandizo choyenera chamtsogolo mwachangu.
Mukakhala ndi vuto la matenda ashuga osadziwa kuti muli ndi matenda ashuga, adokotala adzagwira nanu ntchito kuti mupange dongosolo lothandizira matenda ashuga. Izi ziphatikizapo mankhwala, komanso malingaliro azakudya ndi zolimbitsa thupi.
Chiwonetsero
Itanani 911 ngati muwona wina wataya chidziwitso pazifukwa zilizonse. Kungakhale kukomoka kwakanthawi kochepa chifukwa chakuchepa kwadzidzidzi kwa kuthamanga kwa magazi kapena matenda amantha. Ngati mukudziwa kuti munthuyo ali ndi matenda ashuga, uzani opareshoni ya 911. Izi zingakhudze momwe othandizira opaleshoni amamuchitira munthuyo.
Ngati munthuyo sanadutse ndipo vutolo silodzidzimutsa, kuyezetsa magazi m'magazi kumatha kuwulula ngati pali shuga wambiri kapena wocheperako m'dongosolo lawo. Ngati milingo ya shuga ili pamwamba pa mamiligalamu 240 pa desilita imodzi, kuyesa mkodzo kunyumba ndikoyenera.
Ngati magulu awo a ketone ndi okwera, abweretseni kwa dokotala. Ngati kuchuluka kwawo kwa ketone kuli kolimba, ndiye kuti kuchita masewera olimbitsa thupi, kusintha zakudya, kapena mankhwala atha kukhala okwanira kuthandizira kutsitsa magazi m'magazi.
Kupewa
Ngati muli ndi matenda ashuga, ndikofunikira kulabadira kuchuluka kwa shuga wamagazi komanso zakudya zanu tsiku lililonse. Chinsinsi popewa kukomoka kwa matenda ashuga ndikoyang'anira bwino magazi m'magazi. Izi zikutanthauza kuti mutenge insulini yanu ndikuyesa magazi ndi shuga wam'magazi anu monga momwe dokotala akuyankhira.
Muyeneranso kuyang'anitsitsa zomwe mumadya. Izi ndi zoona kwa anthu omwe ali ndi matenda a shuga amtundu woyamba kapena mtundu wachiwiri. Ganizirani zogwira ntchito ndi katswiri wazakudya zamankhwala yemwe ndi mphunzitsi wotsimikizira za matenda a shuga. Amatha kukuthandizani kuti mupange dongosolo la chakudya cha matenda ashuga.
Muyenera kudziwa choti muchite mukaphonya mulingo wa insulini kapena mankhwala ena ashuga. Funsani dokotala wanu za izo, komanso zomwe muyenera kuchita mukayamba kumva zizindikiro za hyperglycemia kapena hypoglycemia.
Matenda a shuga angakhudze mbali zina za thanzi lanu. Matenda a shuga osalamulirika amatha kuwononga thanzi lanu makamaka. Mukamakalamba, thupi lanu limasintha. Khalani okonzeka kusintha mlingo wa mankhwala kapena kusintha zakudya zanu panjira.
Kukomoka kwa matenda ashuga ndichinthu chosazolowereka, koma ndizodziwika bwino kuti muyenera kudziwa kuti chiwopsezo chilipo. Chitani zomwe mungachite kuti muchepetse matenda anu ashuga ndikufunsani dokotala mafunso aliwonse okhudza momwe mungapewere matendawa.