Diabetic ketoacidosis: chii, zviratidzo uye kurapwa

Zvemukati

• Zviratidzo zvechirwere cheshuga ketoacidosis
• Sei chirwere cheshuga ketoacidosis chinoitika
• Kwakadii kurapwa

Diabetic ketoacidosis kusangana kwechirwere cheshuga kunoonekwa nehuwandu hweshuga muropa, kuwedzera kwekutenderera kwekutenderera ketoni uye kuderera kweropa pH, uye zvinowanzoitika kana kurapwa kwe insulin kusingaitwe nemazvo kana kana mamwe matambudziko, zvakadai sehutachiona, simuka.kana zvirwere zvevascular, semuenzaniso.

Kurapa kwe ketoacidosis kunofanirwa kuitwa nekukurumidza sezvazvinogona kudzivirira matambudziko uye zvinokurudzirwa kuenda kuchipatara chiri padyo kana kamuri yekukurumidzira nekukurumidza apo zviratidzo zvekutanga zvoonekwa, senge kunzwa kwenyota yakanyanya, mweya nekunhuhwirira kwemichero yakaibva , kuneta, kurwadziwa mudumbu uye kurutsa, semuenzaniso.

Zviratidzo zvechirwere cheshuga ketoacidosis

Zviratidzo zvikuru zvinoratidza chirwere cheshuga ketoacidosis ndezvekuti:

• Kunzwa nyota yakanyanya uye yakaoma mukanwa;
• Ganda rakaoma;
• Kakawanda kuda kuita weti;
• Kufema nekunhuhwirira kwemichero yakaibva kwazvo;
• Kuneta kwakanyanya uye kushaya simba;
• Kufema zvishoma uye nekukurumidza;
• Kurwadziwa mumimba, kuda kurutsa uye kurutsa;
• Kuvhiringidzika kwepfungwa.

Mune zviitiko zvakakomba, ketoacidosis inogona zvakare kukonzera cerebral edema, coma uye kufa kana zvisina kuzivikanwa uye kurapwa nekukurumidza.

Kana zvikwangwani zvechirwere cheshuga ketoacidosis zvikaonekwa, zvakakosha kuongorora huwandu hweshuga muropa nerubatsiro rweglucometer. Kana shuga yeglucose ye300 mg / dL kana yakawanda ikawanikwa, zvinokurudzirwa kuenda nekukurumidza kuimba yekukurumidzira kana kufonera amburenzi kuitira kuti kurapwa kutange nekukurumidza sezvazvinogona.

Kunze kwekuongorora kuwanda kweglucose, mazinga e ketone eropa, ayo zvakare akakwirira, uye ropa pH, iri mune iyi asidi, inowanzo kuongororwa. Heano maitiro ekuziva iyo pH yeropa.

Sei chirwere cheshuga ketoacidosis chinoitika

Panyaya yerudzi rwe1 chirwere cheshuga, muviri haugone kuburitsa insulin, iyo inokonzera kuti glucose irambe iri munzvimbo dzakanyanya muropa uye yakadzika mumasero. Izvi zvinoita kuti muviri ushandise mafuta sosi sosi yekuchengetedza mashandiro emuviri, zvichitungamira mukugadzirwa kwemitumbi yakawandisa yeketone, inonzi ketosis.

Kuvapo kwemitumbi yakawandisa yeketone kunokonzera kuderera kwepH yeropa, ichisiya iine acid yakawanda, iyo inonzi acidosis. Iyo inowedzera acidic ropa, iko kushoma kugona kwemuviri kuita ayo mashandiro, izvo zvinogona kutungamira kukoma uye kunyange kufa.

Kwakadii kurapwa

Kurapa kwe metabolic ketoacidosis kunofanira kutanga nekukurumidza pazvinogamuchirwa kuchipatara, sezvo zvichidikanwa kuita majekiseni eserum uye insulin zvakananga mutsinga kuzadza zvicherwa uye kunyorovera murwere zvakanaka.

Uye zvakare, zvakakosha kuti kurapwa kwechirwere cheshuga kusimbiswazve kuburikidza nemajekiseni e insulin kuitira kudzora huwandu hwe insulin, uye inofanirwa kuenderera mberi nemurwere kudzora chirwere.

Kazhinji, murwere anoburitswa mukati memazuva maviri uye, kumba, murwere anofanirwa kuchengetedza yakatemwa insulin chirongwa panguva yekugara muchipatara uye kudya zvakaringana maawa ese matatu, kudzivirira chirwere cheshuga ketoacidosis kuti isadzokere. Tarisa uone kuti chikafu chei cheshuga chinotaridzika muvhidhiyo inotevera: