Kumvetsetsa ndi Kupewa Coma Ya Shuga

Zamkati

• Momwe matenda ashuga angayambitsire kukomoka
• Matenda osokoneza bongo
• DKA
• Nonketotic hyperosmolar syndrome (NKHS)
• Zizindikiro zake
• Nthawi yoti mupeze chithandizo chadzidzidzi
• Kupewa
• Chiwonetsero
• Kutenga

Kodi kukomoka kwa ashuga ndi chiyani?

Kukomoka kwa matenda ashuga ndi vuto lalikulu, lomwe lingawopseze moyo wokhudzana ndi matenda ashuga. Chikomokere cha ashuga chimayambitsa chikomokere komwe sungadzuke nako usanalandire chithandizo chamankhwala. Matenda ambiri ashuga amakomoka amapezeka mwa anthu omwe ali ndi matenda ashuga amtundu woyamba. Koma anthu omwe ali ndi mitundu ina ya matenda a shuga nawonso ali pachiwopsezo.

Ngati muli ndi matenda ashuga, ndikofunikira kuti muphunzire za chikomokere cha matenda ashuga, kuphatikiza zomwe zimayambitsa komanso zizindikilo zake. Kuchita izi kudzakuthandizani kupewa zovuta zowopsa izi ndikuthandizani kupeza chithandizo chomwe mukufuna nthawi yomweyo.

Momwe matenda ashuga angayambitsire kukomoka

Kukomoka kwa matenda ashuga kumatha kuchitika ngati kuchuluka kwa shuga wamagazi sikutha. Ili ndi zifukwa zazikulu zitatu:

• shuga wotsika kwambiri wamagazi, kapena hypoglycemia
• matenda ashuga ketoacidosis (DKA)
• matenda ashuga a hyperosmolar (nonketotic) amtundu wa 2 matenda ashuga

Matenda osokoneza bongo

Hypoglycemia imachitika mukakhala kuti mulibe shuga wokwanira, kapena shuga, m'magazi anu. Shuga wotsika amatha kuchitika kwa aliyense nthawi ndi nthawi. Ngati mumachiza hypoglycemia pang'ono pang'ono, nthawi zambiri imatha popanda kusintha kupita ku hypoglycemia. Anthu omwe ali ndi insulin ali pachiwopsezo chachikulu, ngakhale anthu omwe amamwa mankhwala amtundu wa shuga omwe amawonjezera kuchuluka kwa insulin m'thupi amathanso kukhala pachiwopsezo. Mashuga otsika kapena osasankhidwa am'magazi angayambitse hypoglycemia yoopsa. Ichi ndiye chifukwa chofala kwambiri cha ashuga kukomoka. Muyenera kusamala kwambiri ngati mukuvutika kuzindikira zizindikiro za hypoglycemia. Matenda a shugawa amadziwika kuti hypoglycemia osazindikira.

DKA

Diabetic ketoacidosis (DKA) imachitika thupi lanu likasowa insulini ndikugwiritsa ntchito mafuta m'malo mwa shuga kuti mukhale ndi mphamvu. Matupi a ketone amadziunjikira m'magazi. DKA imapezeka mu mitundu iwiri yonse ya matenda ashuga, koma imafala kwambiri pamtundu wa 1. Matupi a Ketone amatha kupezeka ndi mita yapadera yamagazi kapena ndimikodzo kuti muwone ngati DKA. American Diabetes Association ikulimbikitsa kuti mufufuze matupi a ketone ndi DKA ngati magazi anu akupitilira 240 mg / dl. Mukasiya kusamalidwa, DKA imatha kubweretsa kukomoka kwa matenda ashuga.

Nonketotic hyperosmolar syndrome (NKHS)

Matendawa amapezeka mumtundu wa matenda amtundu wa 2 okha. Ndizofala kwambiri kwa achikulire. Izi zimachitika shuga wanu wamagazi atakhala wochuluka kwambiri. Zingayambitse kuchepa kwa madzi m'thupi.Malinga ndi chipatala cha Mayo, anthu omwe ali ndi matendawa amakhala ndi shuga wopitilira 600 mg / dl.

Zizindikiro zake

Palibe chizindikiro chimodzi chokha chomwe chimafanana ndi kukomoka kwa ashuga. Zizindikiro zake zimatha kusiyanasiyana kutengera mtundu wa matenda ashuga omwe muli nawo. Vutoli nthawi zambiri limakhala ndi kutha kwa zizindikilo zingapo. Palinso kusiyana kwa zizindikilo pakati pa shuga wotsika ndi magazi.

Zizindikiro zomwe mwina mukukumana ndi shuga wotsika m'magazi ndipo muli pachiwopsezo chopita patsogolo shuga wambiri wamagazi ndi awa:

• kutopa mwadzidzidzi
• kugwedezeka
• kuda nkhawa kapena kukwiya
• njala yayikulu komanso mwadzidzidzi
• nseru
• thukuta kapena tchire
• chizungulire
• chisokonezo
• kutsika kwa magwiridwe antchito
• zovuta zolankhula

Zizindikiro zomwe mungakhale pachiwopsezo cha DKA ndi izi:

• kuchuluka kwa ludzu ndi pakamwa pouma
• kuchuluka kukodza
• shuga wambiri wamagazi
• ketoni m'magazi kapena mkodzo
• khungu loyabwa
• kupweteka m'mimba ndi kapena osanza
• kupuma mofulumira
• mpweya wonunkhira
• chisokonezo

Zizindikiro zomwe mungakhale pachiwopsezo cha NKHS ndi izi:

• chisokonezo
• shuga wambiri wamagazi
• kugwidwa

Nthawi yoti mupeze chithandizo chadzidzidzi

Ndikofunika kuyeza shuga wamagazi anu mukakumana ndi zizolowezi zina zachilendo kuti musakomoke. Makoma a shuga amawerengedwa kuti ndi achangu omwe amafunikira chithandizo mwachangu ndipo amathandizidwa kuchipatala. Monga zizindikiritso, chithandizo cha ashuga pakomma chimasiyana kutengera chifukwa.

Ndikofunikanso kuthandiza kulangiza okondedwa anu momwe angayankhire ngati mukupita kukomoka kwa matenda ashuga. Momwemo ayenera kuphunzitsidwa pazizindikiro zazomwe zatchulidwa pamwambapa kuti musapite patali pano. Kungakhale kukambirana kowopsa, koma ndiyomwe muyenera kukhala nayo. Achibale anu komanso anzanu apamtima akuyenera kuphunzira momwe angathandizire pakagwa vuto ladzidzidzi. Simudzatha kudzithandiza nokha mutagwa. Langitsani okondedwa anu kuti ayimbire 911 mukataya chidziwitso. Zomwezo ziyeneranso kuchitidwa mukakumana ndi zizindikiro zakuchenjeza za matenda ashuga. Onetsani ena momwe angagwiritsire ntchito glucagon pankhani ya matenda ashuga okomoka kuchokera ku hypoglycemia. Onetsetsani kuti nthawi zonse mumavala chibangili chodziwitsa anthu zamankhwala kuti ena adziwe za momwe muliri komanso azitha kulumikizana ndi othandizira pakagwa kutali ndi kwanu.

Munthu akangolandira chithandizo, amatha kukhalanso ndi chidziwitso pambuyo poti shuga yake magazi yachilendo.

Kupewa

Njira zodzitetezera ndizofunikira pochepetsa chiopsezo cha ashuga chikomokere. Njira yothandiza kwambiri ndikuthana ndi matenda anu ashuga. Matenda a shuga amtundu wa 1 amaika anthu pachiwopsezo chachikulu cha chikomokere, koma anthu omwe ali ndi mtundu wachiwiri ali pachiwopsezo. Gwiritsani ntchito ndi dokotala wanu kuti muwonetsetse kuti shuga wamagazi anu ali pamlingo woyenera. Ndipo pitani kuchipatala ngati simukumva bwino ngakhale mutalandira chithandizo.

Anthu omwe ali ndi matenda ashuga ayenera kuwayang'anira shuga wawo tsiku lililonse, makamaka ngati ali ndi mankhwala omwe amachulukitsa insulin m'thupi. Kuchita izi kudzakuthandizani kuwona zovuta zisanachitike mwadzidzidzi. Ngati muli ndi mavuto owunika shuga wanu wamagazi, lingalirani kuvala chida chowunika cha glucose (CGM). Izi ndizothandiza makamaka ngati simukudziwa za hypoglycemia.

Njira zina zomwe mungapewere kukomoka kwa ashuga ndi monga:

• kuzindikira koyambirira
• kutsatira zakudya zanu
• kuchita masewera olimbitsa thupi
• kumwa pang'ono komanso kudya mukamamwa mowa
• kukhala ndi hydrated, makamaka ndi madzi

Chiwonetsero

Kukomoka kwa ashuga ndi vuto lalikulu lomwe limatha kupha. Ndipo zovuta zakufa zimakulirakulira mukadikirira chithandizo. Kudikirira nthawi yayitali kuti mupeze chithandizo kumathandizanso kuti ubongo uwonongeke. Vuto la matenda ashuga ndilosowa. Koma ndizovuta kwambiri kuti odwala onse ayenera kusamala.

Kutenga

Kukomoka kwa matenda ashuga ndi vuto lalikulu, lomwe lingawopseze moyo wokhudzana ndi matenda ashuga. Mphamvu zodzitetezera ku chikomokere cha matenda ashuga zili mmanja mwanu. Dziwani zizindikilo zomwe zingayambitse kukomoka, ndipo konzekerani kuwona zovuta zisanachitike mwadzidzidzi. Konzekerani nokha ndi ena za zomwe mungachite mukayamba kufanana. Onetsetsani kuti mukuyang'anira matenda anu ashuga kuti muchepetse chiopsezo chanu.