Zizindikiro za hyperglycemic chikomokere ndi thandizo loyamba

Kupatuka kwakukulu pakupanga magazi kumakhudza kwambiri moyo wa anthu. Kuwonjezeka kwa glucose pamlingo wofunikira kwambiri kumapha - ndi hyperglycemic coma imayamba. Kuzindikira kumachoka pang'onopang'ono, thupi limasiya kuthandizira zinthu zofunika - kayendedwe ka magazi ndi kupuma.

Kuchepa kwa kagayidwe kazakudya m'thupi la anthu odwala matenda ashuga kumapangitsa mwayi wokhala ndi vuto lalikulu kwambiri kuposa waumoyo.

Hyperglycemia ndiye umboni wodziwika wa chithandizo chosayenera cha matendawa. Coma chifukwa cha shuga wambiri imatha kuchitika nthawi iliyonse, koma ndiowopsa kwa okalamba ndi ana. Mwa odwalawa, ngakhale kutuluka bwino kuchokera pakukomoka kungakhudze kwambiri moyo wam'tsogolo, kupangitsa ziwalo zambiri, kuphatikizapo ubongo.

Matenda a shuga ndi kupsinjika kudzakhala chinthu chakale

• Matenda a shuga -95%
• Kuthetsa kwa mitsempha thrombosis - 70%
• Kuthetsa kwa kugunda kwamtima kwamphamvu -90%
• Kuthana ndi kuthamanga kwa magazi - 92%
• Kuwonjezeka kwa mphamvu masana, kukonza kugona usiku -97%

Zomwe zimapangitsa kuti pakhale zovuta

Choyambitsa chachikulu cha hyperglycemic coma ndikusowa kwambiri kwa insulin. Chifukwa cha kuchepa kwake, kuchuluka kwa glucose kuchokera m'magazi ndimisempha kusokonezedwa, kupanga kwake mu chiwindi kumakula. Shuga imadzaza m'magazi, impso zimasefa ndikuyesera kuyimitsa kuchokera mkodzo, koma siyitha kuthana ndi glycemia wambiri. Kukula kwa shuga kumayendetsedwa ndi zovuta zama metabolic ambiri, poyankha kufa ndi maselo, kuchepa kwamafuta kumayamba, chifukwa mahomoni awa - ma catecholamines, STH, glucocorticoids amamasulidwa kwambiri.

Zotsatira zake, kuphatikiza kwa matupi a ketone kuchokera kumafuta kumayamba. Nthawi zambiri, zimayenera kusinthidwa m'chiwindi kukhala mafuta acids, koma chifukwa cha zolakwika mu metabolism, zimayamba kudziunjikira m'magazi ndikupangitsa kuledzera. Kuphatikiza apo, ketoacidosis, kudzikundikira kwa matupi a ketone, kumawonjezera kusowa kwa magazi, komwe kumawonjezera kuwonongedwa kwa mapuloteni ndi minofu, kumayambitsa kusowa kwamadzi komanso kuchepa kwa ma elekitiroma.

Kuperewera kwenikweni kwa insulin kumatha kuchitika pazifukwa zotsatirazi:

1. Mtundu wa matenda ashuga 1 osazindikira panthawi yake.
2. Kudumpha makulidwe a insulin ndi mtundu wodwala
3. Type 2 matenda ashuga owopsa popanda chithandizo choyenera komanso zakudya.
4. Zolakwika zazikulu zakudya za anthu odwala matenda ashuga - kugwiritsa ntchito nthawi imodzi wamagulu ambiri othamanga - zimakhala zamafuta osavuta komanso ovuta.
5. Kupsinjika kwakukulu, matenda opatsirana, stroko kapena mtima.
6. Mothandizidwa ndi zakudya zowonongeka, mankhwala osokoneza bongo.
7. Mimba mu shuga popanda kukonza kale mankhwala.

Magawo omwe amasiyanitsidwa

Nthawi zambiri, kukula kwa kukomoka kwa hyperglycemic kumatenga masiku angapo, kapena ngakhale masabata, koma nthawi zina, matendawa amatha kuchitika maora ochepa. Ziribe kanthu kuchuluka kwa kuchuluka kwa hyperglycemia, kusokonezeka kwa chikumbumtima cha munthu chikamayambika chikomokere, nyengo zina zimadutsa:

1. Somnolence (boma lachifumu). Pakadali pano, wodwalayo akuwonjezera zonse zomwe zimayambitsa matenda a shuga: mkodzo umatulutsidwa kwambiri, pali ludzu losachedwa komanso kuyabwa kwa khungu. Chifukwa cha kuledzera, kupweteka kwam'mimba ndi mseru kumachitika. Wodwala matenda ashuga amamva kufooka, kugona. Imatha kugona pamalo osazolowereka, koma mukadzuka, imatha kuyankha mafunso nthawi zambiri ndikuchita moyenera.
2. Sopor (kuyambira chikomokere). Poizoni wa thupi amachulukitsa, kusanza kumachitika, kupweteka pamimba. Nthawi zambiri, kununkhira kwa acetone kumaonekera mu mpweya wotuluka. Kuzindikira kumalepheretsa: ngakhale wodwalayo atha kudzuka, sangathe kutengera zomwe zachitika, amagona nthawi yomweyo. Pamene chikomacho chikukula, kuthekera kwotseguka kwa maso kumatsalira, kuwala kumachepa.
3. Malizitsani kuseka - Mkhalidwe wokayika. Khungu la wodwala yemwe ali ndi matenda osokoneza bongo auma, kuwala kwake kumachepa, milomo yake imakutidwa ndi ziphuphu. Reflexes kulibe, kupuma kumapitirira kwakanthawi.

Zizindikiro zakuyamba kwa hyperglycemic chikomokere

Kuchokera pakuwonekera kwa zizindikiro izi mpaka kusintha kwa chikomaso kufikira gawo lina, nthawi zambiri kumadutsa tsiku, koma chifukwa cha mawonekedwe ake, kusokonezeka kwamphamvu kumatha kuchitika mwachangu. Chifukwa chake, pakukayikira koyamba kwa matenda a hyperglycemic chikomokere muyenera kuyimba ambulansim'malo moyesa kuthana ndi vutoli palokha komanso, osayesa kupita kuchipatala mukuyendetsa galimoto yanu.

Thandizo loyamba la hyperglycemic chikomokere

Thandizo loyamba lothandiza la hyperglycemic coma kunyumba lingaperekedwe pokhapokha ngati wodwala akudziwa, ndipo ali ndi glucometer ndi syringe ndi insulin. Zizindikiro zochenjeza zikawoneka, ndende ya magazi imatsimikiza. Ngati ndi oposa 15 mmol / l, "lamulo la mayunitsi asanu ndi atatu" limayikidwa - insulin yofulumira imayendetsedwa magawo 8 kuposa mlingo wamba.

Kuchulukitsa mlingo kapena jakisoni wa insulin mobwerezabwereza kwa maola 2 otsatira ndizosatheka, kuti musayambitse shuga. Ngati glycemia sinakonzedwe motere, ambulansi iyenera kuyitanidwa.

Kuyambira gawo loyambirira, odwala onse omwe ali ndi vuto la hyperglycemic amafunikira kuchipatala. Ntchito ya omwe ali pafupi pomwe madotolo akudikirira ndikuchepetsa mavuto omwe angakhalepo chifukwa cha kupuma.

Algorithm Yoyamba:

1. Onetsetsani kuti akupezeka ndi mpweya wabwino: zovala zakunja zosakhazikika, tayi yomasuka ndi lamba, tsegulani zenera m'chipinda.
2. Ikani wodwala pambali pake, onetsetsani ngati lilime likutseka njira. Ngati pali mano, chotsani.
3. Ngati ndi kotheka, konzekerani wodwalayo chikomokere.
4. Ngati wodwala akudziwa, apatseni madzi akumwa. Osamwa zakumwa zozizilitsa kukhosi.
5. Yang'anirani kuchuluka kwa mtima ndi kupuma. Poimirira, thandizirani moyo kwaumbali mpaka madokotala atafika.

Chithandizo

Kutengera zovuta zomwe zilipo mthupi, hyperglycemic coma imakonda kugawidwa ndi ketoacidotic (yokhala ndi acetone) ndi mitundu yosowa: hyperosmolar (yokhala ndi kuchepa mphamvu kwambiri kwa madzi m'thupi) ndi lactic acidotic (kusuntha kwakukulu mu magazi acid). Chithandizo cha mitundu yonse ya chikomero cha hyperglycemic chikuphatikizanso kukonza shuga m'magazi mothandizidwa ndi mankhwala a insulin komanso kubwezeretsanso magazi mthupi.

Poyamba, insulin yothamanga imayendetsedwa mosalekeza mu Mlingo wocheperako, pambuyo pochepetsa shuga mpaka 16 mmol / l, mankhwala osakhalitsa amawonjezeredwa, ndipo mwa mwayi woyamba wodwalayo amapititsidwa ku regimen yothandizira mankhwalawa a matenda a shuga. Pambuyo pakuchotsa hyperglycemia, shuga amaperekedwa kwa wodwala pang'ono kuti awonetsetse kuti akufunika mphamvu. Atangoyamba kudya yekha, omwe akutsikira amasiya.

Malingaliro omwewo amatsatiridwa pakuchizira kwamatenda am'madzi: choyamba, saline ndi potaziyamu wa potaziyamu amabweretsedwa m'magazi ambiri, kenako amawongolera ngati wodwalayo amagwiritsa ntchito madzi okwanira. Kuledzera kwa acetone kumachepera pamene mkodzo umayamba.

Acidity acid nthawi zambiri imabwezeretsedwa payokha monga kupangika kwa magazi kukakonzedwa. Nthawi zina pamafunika kuchepetsa acidity mokakamiza, ndiye kuti ma dontho okhala ndi sodium bicarbonate amagwiritsidwa ntchito pamenepa.

Mwa zina zofunika kuchitapo kanthu, kuzindikira ndi kuchiza matenda omwe achititsa kukomoka kwa hyperglycemic kukuwonetsedwanso. Nthawi zambiri zimachitika nthawi yomweyo ndikuchotsa kuphwanya magazi.

Mavuto omwe angabuke

Monga lamulo, kuzindikira kwa nthawi yake komanso kutumiza wodwala kuchipatala kumathandiza kupewa zovuta zazikulu. Odwala a zaka zapakati komanso zapakati amachira msanga ndipo amatha kukhala moyo wabwinobwino.

Ngati chithandizo cha matenda a hyperglycemic chikomokere sichinachitike pakapita nthawi, ndipo wodwalayo wapeza zovuta zambiri za matenda ashuga ndi matenda ena nthawi ya moyo wake, matendawa alibe chiyembekezo. Amatha kukhala ndi matenda otsekera m'magazi, kuwononga magazi kwambiri kumachitika, komanso kugwira ntchito kwa ziwalo. Kukhazikika nthawi yayitali kumakhala koopsa ndi chibayo komanso matenda ena akuluakulu.

Atasiya chikomokere, odwala ena amaphunziranso kuyankhula komanso kusuntha pawokha, amatha kusokonezeka m'maganizo, kukumbukira, komanso kusazindikira bwino.

Onetsetsani kuti mwawona nkhani yathu ya lactic acidosis - ili pano.

Momwe mungapewere wina

Nthawi zambiri, mutha kuletsa munthu ngati muli ndi vuto lathanzi lanu:

1. Tsatirani malangizo onse a dotolo, tsatirani kwambiri zakudya - zakudya za matenda a shuga a 2.
2. Ngati shuga ali pabwino kwambiri, kulumikizana ndi endocrinologist kuti musinthe mankhwala.
3. Pitani ku dokotala nthawi iliyonse pakagwa vuto lomwe lingayambitse chikumbumtima: matenda owopsa a ma virus, kutupa kwa ziwalo, kuvulala kwambiri.
4. Kulimbikitsa achibale kuti achenjeze madokotala nthawi zonse pomwe wodwalayo sangachite izi.
5. Nthawi zonse tengani foni ndi kulumikizana ndi wachibale wazidziwitso.
6. Pezani khadi yomwe idzafotokozere mtundu wa matenda osokoneza bongo, mankhwalawa omwe amagwiritsidwa ntchito komanso matenda ena. Sungani mthumba lanu la m'mawere kapena pafupi ndi foni yanu.
7. Musakhale ndi chiyembekezo kuti mutha kuthana ndi vuto lokomoka. Imbani ambulansi ngati shuga munthawi ya chithandizo chokwanira kupitirira 13-15 mmol / L ndipo zizindikiro za kuledzera zikuwoneka.

Zomwe zimachitika ndi vuto la hyperglycemic mu ana

Zomwe zimayambitsa kuchepa kwa hyperglycemic mu ana ndikuzindikira mochedwa matenda osokoneza bongo komanso zakudya zolakwika chifukwa chosakwanira kwa akulu. Mwana sangamvetsetse kuopsa kwa matenda ake komanso mavuto omwe angakhalepo chifukwa chake, amatha kudya kwambiri ndi maswiti pomwe makolo ake palibe. Mosiyana ndi odwala achikulire, thupi la mwana limamvetsera kwambiri pamavuto. Iliyonse ya izo imafuna kuwongoleredwa pafupipafupi. Pa kutha msambo, kuchuluka kwa insulin kumatha kuwonjezeka panthawi yomwe mwana akukula mwachangu komanso kumasulidwa kwa mahomoni.

Zizindikiro mu mwana nthawi zambiri amatchulidwa: kumayambiriro kwa chikomokere, ana amamwa madzi ambiri, amatha kudandaula zakumva kupweteka m'mimba, kenako pachifuwa, amakhala ndi kusanza pafupipafupi. Pafupifupi nthawi zonse pamakhala fungo lamphamvu la acetone. Madzi amadzimadzi amapezekanso mwachangu - maso amaterera, kuchuluka kwa mkodzo kumachepa, khungu lake limakhala lodzaza. Si mwana aliyense amene amatha kufotokoza momveka bwino momwe akumvera, chifukwa chake, wokhala ndi zizindikiro zosakhazikika mwa ana omwe ali ndi matenda ashuga, shuga wamagazi amayenera kuyesedwa nthawi yomweyo.