Chithandizo choyamba kwa odwala matenda ashuga

Zamkati

• 1. Hyperglycemia - shuga wambiri
• 2. Hypoglycemia - shuga wochepa
• Chithandizo china chofunikira choyamba kwa odwala matenda ashuga
• 1. Zilonda pakhungu
• 2. Kupotokola phazi
• Zizindikiro zochenjeza kupita kwa dokotala

Kuti tithandizire odwala matenda ashuga, ndikofunikira kudziwa ngati ndi gawo la shuga wochuluka wamagazi (hyperglycemia), kapena kusowa kwa shuga wamagazi (hypoglycemia), popeza zonsezi zitha kuchitika.

Hyperglycemia imafala kwambiri kwa odwala matenda ashuga omwe samalandira chithandizo choyenera kapena samatsata zakudya zoyenera, pomwe hypoglycemia imafala kwambiri kwa anthu omwe amamwa mankhwala a insulin kapena omwe akhala nthawi yayitali osadya, mwachitsanzo.

Ngati ndi kotheka, chinthu choyamba kuchita ndikuwunika magazi m'magazi a munthuyo, ndi chida choyenera kuyeza kuchuluka kwa shuga m'magazi. Nthawi zambiri, mitengo yomwe ili pansi pa 70 mg / dL imawonetsa hypoglycemia ndikuwunika bwino pamwamba pa 180 mg / dL imatha kuwonetsa hyperglycemia, makamaka ngati munthu sanamalize kudya.

1. Hyperglycemia - shuga wambiri

Shuga ikakhala m'magazi ambiri, otchedwanso hyperglycemia, mtengo wa chipangizocho udzawonetsa zofunikira pamwamba pa 180 mg / dL, m'mimba yopanda kanthu, kapena pamwamba pa 250 mg / dL, nthawi iliyonse patsiku.

Kuphatikiza apo, munthuyo amatha kukhala ndi chisokonezo, ludzu lokwanira, pakamwa pouma, kutopa, kupweteka mutu komanso kusintha mpweya. Pazochitikazi, muyenera:

1. Fufuzani jakisoni wa SOS insulini, yemwe munthuyo akhoza kukhala ndi vuto ladzidzidzi;
2. Jekeseni syringe m'dera lozungulira mchombo kapena kumtunda, ndikupanga khola ndi zala zanu, kulisunga mpaka kumapeto kwa jakisoni, monga zikuwonetsedwa pachithunzichi;
3. Ngati, pambuyo pa mphindi 15, mtengo wa shuga udakali wofanana, muyenera kuyitanitsa chithandizo chamankhwala, ndikuyimbira foni nambala 192 nthawi yomweyo kapena kupita naye kuchipatala;
4. Ngati wovulalayo sakumva koma akupuma, ayenera kuyikidwa m'malo otetezedwa, kudikira thandizo la mankhwala. Phunzirani momwe mungachitire moyenera chitetezo chotsatira.

Kukachitika kuti jakisoni wa insulin mwadzidzidzi kulibe, tikulimbikitsidwa kuti mwachangu mupemphe chithandizo chamankhwala kapena kumutengera kuchipatala, kuti mulingo woyenera wa insulini uperekedwe.

Kuphatikiza apo, insulini ikaperekedwa, ndikofunikira kuyang'anira kuchuluka kwa shuga wamagazi kwa ola lotsatira, popeza pali chiopsezo kuti mtengowo ungatsike kwambiri ngati kuchuluka kwa insulin kwakhala kwakukulu kuposa koyenera. Ngati mtengo uli pansi pa 70 mg / dL ndikofunikira kuyika shuga mwachindunji mkati mwa masaya ndi pansi pa lilime, kuti phindu liwonjezeke ndikukhazikika.

2. Hypoglycemia - shuga wochepa

Shuga wamagazi akatsika, otchedwa hypoglycemia, chipangizocho chimawonetsa magazi m'magazi ochepera 70 mg / dL ndipo ndizofala kuti munthuyo azisonyeza zizindikiro monga kunjenjemera, khungu lozizira, thukuta, kutuwa kapena kukomoka. Zikatero, ndikofunikira kuti:

1. Ikani supuni imodzi ya shuga kapena mapaketi awiri a shuga mkati mwa masaya ndi pansi pa lilime;
2. Ngati shuga wamagazi sawonjezeka kapena zisonyezo sizikusintha mu mphindi 10, munthuyo ayenera kupatsidwanso shuga;
3. Ngati shuga kapena zizindikiritso zikadali zofananira kwa mphindi 10, muyenera kuyitanitsa chithandizo chamankhwala, nthawi yomweyo itanani 192 kapena mutengereni munthuyo kuchipatala;
4. Ngati munthuyo wakomoka koma akupuma, amayenera kuyikidwa m'malo otetezedwa kwinaku akudikirira thandizo lachipatala. Onani momwe mungachitire chitetezo chotsatira.

Shuga wamagazi akatsika kwa nthawi yayitali, ndizotheka kuti munthuyo amangidwe ndi mtima. Chifukwa chake, zikawonedwa kuti munthuyo sakupuma, itanani thandizo lachipatala ndikuyamba kutikita minofu ya mtima mwachangu. Umu ndi momwe mungapangire kutikita minofu ya mtima:

Chithandizo china chofunikira choyamba kwa odwala matenda ashuga

Kuphatikiza pa zovuta kwambiri, monga hyperglycemia kapena hypoglycemia, palinso njira zina zothandizira zofunika zofunika tsiku ndi tsiku, zomwe zitha kuyimira chiopsezo chachikulu cha matenda ashuga, monga kukhala ndi bala la khungu kapena kupotoza phazi , Mwachitsanzo.

1. Zilonda pakhungu

Odwala matenda ashuga akavulala, ndikofunikira kusamalira chilondacho, chifukwa ngakhale chitakhala chaching'ono komanso chapamwamba, chilonda cha odwala matenda ashuga chimatha kubweretsa zovuta monga zilonda zam'mimba kapena matenda, makamaka zikachitika chinyezi kapena chotupa malo monga mapazi, zikopa za khungu kapena kubuula, mwachitsanzo.

Mukalandira chithandizo, ndikofunikira kusamala kuti mupewe matenda, ndipo muyenera:

• Gwiritsani ntchito matawulo oyera kuti muumitse khungu lomwe lakhudzidwa;
• Pewani kukhudzana ndi ziweto;
• Pewani malo ndi mchenga kapena nthaka;
• Pewani zovala kapena nsapato zolimba pachilondacho.

Chifukwa chake, choyenera ndikuti bala lizikhala loyera, louma komanso kutali ndi zinthu zomwe zitha kukulitsa chilonda, makamaka mpaka kuchira kumalizidwa.

Kuphatikiza pa kusamalira bala, ndikofunikanso kudziwa zizindikilo zina zomwe zikuwonetsa kukula kwa zovuta, monga mawonekedwe ofiira, kutupa, kupweteka kwambiri kapena mafinya m'deralo. Zikatero, tikulimbikitsidwa kuti mupite kwa asing'anga.

Chilondacho chikakhala chochepa kwambiri, koma zimatenga mwezi wopitilira 1 kuchira, ndibwino kuti mupite kukaonana ndi anamwino kuti mukawone kufunikira kwa chithandizo chamankhwala chapadera kwambiri, ndi mavalidwe omwe amakonda kuchira.

2. Kupotokola phazi

Ngati wodwala matenda ashuga ataponda phazi lake kapena cholumikizira china, ayenera kusiya kuchita masewera olimbitsa thupi komanso kupewa kukakamiza malo okhudzidwawo, kuphatikiza kuti asayende kwa nthawi yayitali ndikukwera masitepe, mwachitsanzo.

Kuphatikiza apo, phazi liyenera kukwezedwa pamwamba, kulimbikitsa kuyenda ndi kuyika ayezi pamalo okhudzidwa kwa mphindi 20, kawiri patsiku, kukumbukira kukulunga ayezi mu nsalu yonyowa kuti asawotche khungu.

Torsion nthawi zambiri imayambitsa kutupa ndi kupweteka, ndipo imatha kupangitsa kuti malowa akhale otentha komanso okhala ndi mawanga ofiira. Milandu yovuta kwambiri, momwe pamakhala kupweteka kwambiri komanso kutupa komwe sikukuyenda bwino, dokotala ayenera kufunsidwa kuti aone kukula kwa chovulalacho ndikuyang'ana ngati pali vuto.

Zizindikiro zochenjeza kupita kwa dokotala

Dokotala ayenera kulumikizidwa munthawi izi:

• Shuga wambiri, wokhala ndi capillary glycemia woposa 180 mg / dL kwa nthawi yopitilira ola limodzi, m'mimba yopanda kanthu, kapena woposa 250 mg / dL kwa ola limodzi, atadya, kapena wodwalayo akukomoka.
• Shuga Wochepa, ndi capillary glycemia pansi pa 70 mg / dL kwa mphindi zopitilira 30, kapena wodwalayo akukomoka;
• Mabala akhungu ovuta, ndi malungo opitilira 38ºC; kupezeka kwa mafinya pachilondacho; kuchuluka kofiira, kutupa ndi kupweteka pamalopo; Kukula kwa njira yoletsa bala, kusowa kwachisoni mozungulira bala kapena kumenyedwa, kapena kupezeka kwa thukuta ndi kuzizira mthupi. Zizindikirozi zikuwonetsa kuti tsamba lazilondali limatha kutenga kachilomboka, komwe kumawonjezera chilonda ndi zovuta, monga zilonda.

Pazovuta kwambiri, zikwangwani izi zikanyalanyazidwa ndipo chithandizo choyenera sichinachitike, minofu yomwe idakhudzidwa imatha kudwala necrosis, zomwe zimachitika dera likapanda kulandira mpweya wokwanira ndipo ziphuphu zimafa, ndipo kungakhale kofunikira kudula omwe akhudzidwa mwendo.

Pazinthu izi, thandizo lazachipatala liyenera kuyimbidwa mwachangu poyimbira 192.