Ngakhale kuwonjezeka kwakukulu kwa mankhwala amakono ndi mankhwala padziko lonse lapansi, matenda osokoneza bongo a mtundu woyamba komanso wachiwiri akadali matenda owopsa omwe amakhudza anthu pafupifupi msinkhu uliwonse ndi ulemu pakati pa anzawo.
Chizindikiro chimodzi cha matendawa chimatha kutchedwa kuti kusanza. Pafupifupi nthawi zonse, chizindikiro ichi chimasiyidwa popanda chisamaliro choyenera ndipo chimadziwika kuti ndi mitundu yosiyanasiyana ya thupi la odwala matenda ashuga:
- poyizoni (chakudya, mankhwala osokoneza bongo, mowa);
- malaise (motsutsana ndi kuzizira kwa chimfine);
- ntchito yambiri (chifukwa cha ntchito yayitali).
Ngati wodwala ali ndi pakamwa pouma, kusanza, kusanza ndi chidwi chambiri popanda chifukwa, ndiye izi ndizofunikira mwachangu zofunafuna chithandizo chamankhwala mwachangu.
Ndi matenda ashuga, kusanza ndichinthu chachilendo chokhudza thupi kusapeza chakudya chokwanira komanso kuchiritsa.
Nthawi zambiri, kunyansidwa komanso kusanza kumakhala kofunikira:
- hypernatremia;
- kusowa kwamadzi.
Ngati wodwala satenga njira zoyenera, ndiye kuti ndiwofundidwa ndi matenda ashuga - ketoacidosis, omwe angayambitse chikomokere ngakhale kupha kumene.
Kuchepetsa mseru komanso kusanza kungachitike chifukwa chodumphadumpha kapena kuletsa jakisoni wa insulin.
Chifukwa chiyani kusanza kumachitika?
Vomiting ndi njira yapadera yachilengedwe yomwe imayambitsidwa ndi kuledzera. Zimatha kuchitika zovuta kupukusa chakudya kapena zomwe zimachitika ndi mankhwala.
Njirayi ndiyosasangalatsa, koma yofunikira kwambiri pakutsuka thupi.
Matenda a shuga amaphatikizidwa ndi ma syndromes ambiri omwe amadzipangitsa kumverera pokhapokha patapita nthawi. Izi zimaphatikizapo kusanza.
Kuphatikiza apo, kuphwanya kwa kagayidwe kazakudya kungakhale chifukwa chabwino chazizindikiro zomwe zikufunsidwa. Kuperewera kotereku kumabweretsa kusintha kosavuta kwa shuga mumagazi - hyperglycemia.
Chifukwa chake, aliyense wodwala matenda ashuga ayenera kukhala ndi chizolowezi chowunikira nthawi zonse m'magazi ake. Ngati kukwaniritsa malire apamwamba kapena otsika kwa chizindikiritso chovomerezeka ndikudziwika, muyenera kufunafuna chithandizo chachipatala msanga momwe mungathere.
Kusanza pafupipafupi m'matenda a shuga amtundu uliwonse kumatha kuchitika motsutsana ndi maziko a kufalikira:
- kuchuluka kwa shuga m'magazi;
- kuchuluka kwa ma ketoni mkodzo.
Kuphatikiza apo, kusanza kosalekeza m'matenda a shuga kumatha kuwonetsa kuti imodzi mwa mankhwala omwe wodwalayo amagwiritsa ntchito imakhala ndi chinthu chomwe chimayambitsa kuwonetseredwa kwa thupi lawo ndipo mwanjira imeneyi thupi lake limakana. Zitha kuchititsanso matenda a metabolic.
Mkhalidwe uwu ndiwowopsa kwambiri, chifukwa shuga wotsekemera adzamwetsedwa mosavomerezeka, ndipo thupi limadziyeretsa kwa nthawi yayitali.
Momwe mungathetsere kusanza ndikuchita moyenera?
Chithandizo choyamba komanso chofunikira kwambiri cha matenda ashuga chimakhala cha insulini nthawi zonse. Odwala omwe amalephera kubayidwa kapena kubayitsa jakisoni amatha kusanza kwakanthawi. Pakapita nthawi, nseru imayamba kupweteka ndipo imabweretsa zovuta zina zathanzi.
Ndondomeko iliyonse iyenera kuvomerezedwa ndi dokotala. Kupanda kutero, matenda a shuga atha kukulira ndipo thanzi limatha kukulirakulira.
Kusungunula nthawi zonse kumawononga thupi. Chifukwa chake, muyenera kutenga Regidron ndikumwa madzi amamineral ambiri momwe mungathere popanda mpweya. Izi zithandizanso kuthanso mchere wabwino. Madzi ochepa a shuga ndi abwino kwa odwala.
Ngati pafupi palibe mankhwala Regidron, ndiye kuti ndizotheka kuphika kunyumba. Sizingagwire ntchito yabwino kapena ayi.
Muyenera kutenga:
- Supuni 1/4 yamchere;
- Magalasi awiri amadzi;
- Supuni ziwiri za shuga;
- Supuni 1/4 ya soda.
Zigawo zonse ziyenera kuphatikizidwa ndikugwiritsa ntchito yankho malinga ndi malangizo azomwe zimapangidwira.
Chithandizo
Muyenera kuyimbira ambulansi ngati nkotheka kuthana ndi matenda ashuga omwe ali ndi mseru komanso kusanza kumbuyo:
- kutentha kwambiri kwa thupi;
- luni lakuthwa m'mimba.
Zizindikirozi ndi umboni mwachindunji wa matenda ashuga a ketoacidosis.
Ngati wodwala matenda ashuga samalabadira kusanza kwakanthawi kokwanira, ichi chimakhala chifukwa chowonjezeka cha seramu amylase. Nthawi zina, sizingatheke popanda kuchipatala mwachangu kuchipatala. Izi zitha kukhala nthambi:
- zopatsirana
- opareshoni
Ku chipatala, madokotala amapezera wodwala madzi otere nthawi zonse. Izi zikuthandizira kupewa madzi am'madzi. Madzi ayenera kuledzera osachepera 250 ml pa ola limodzi.
Ndi kuchuluka kwabwino kwa shuga m'magazi, madzi amathanso kumwa ndi zotsekemera pang'ono, makamaka ngati thupi la odwala matenda ashuga limafooka kwambiri.
Ngati wodwala matenda ashuga ali ndi vuto lililonse m'madzi amchere, ndiye kuti kuchipatala amapatsidwa mayankho apadera mwachitsanzo, sodium chloride.
Ndikwabwino kuyezetsa thupi lonse ndikusamaliridwa kwambiri. Chifukwa cha njirayi, ndizotheka kubweretsa glucose m'magazi abwino ndikuchotsa mseru nthawi zonse.
Madokotala amayang'anira kupezeka kwa ma ketoni mu mkodzo ndi shuga m'magazi mu maola atatu aliwonse.
