Chii chinonzi Kussmaul Kufema, uye Chii Chinoita Icho?

Zvemukati

• Chii chinokonzera Kussmaul kufema?
• Chirwere cheshuga ketoacidosis
• Zvimwe zvikonzero
• Ndezvipi zviratidzo?
• Kussmaul kufema kunorapwa sei?
• Maitiro ekudzivirira Kussmaul kufema
• Kufema kwaKussmaul kwakasiyana papi nekufema kweCheyne-Stokes?
• Chinokosha

Kussmaul kufema kunoonekwa nekufema kwakadzika, nekukurumidza uye kwakashanda. Iyi yakasarudzika, isina kujairika yekufema maitiro inogona kukonzerwa nehumwe hutano mamiriro, senge chirwere cheshuga ketoacidosis, inova dambudziko rakakomba rechirwere cheshuga.

Kussmaul kufema kunodomwa zita raDr. Adolf Kussmaul, uyo maitiro ekufema muna 1874.

Ramba uchiverenga kuti uwane zvimwe nezveKussmaul kufema, kusanganisira izvo zvinokonzeresa uye maitiro ekuziva iyi yekufema maitiro.

Chii chinokonzera Kussmaul kufema?

Kana zvasvika pakufema kwaKussmaul, zvinobatsira kuyeuka kuti muviri wako unogara uchiedza kuwana chiyero.

Muviri wako unochengetedza yakatsiga pH nhanho ye7.35 kusvika 7.45. Kana iyi pH nhanho ikave yakakwira kana kudzikira, muviri wako unofanirwa kutsvaga nzira dzekuyedza kugadzirisa iyo pH shanduko. Apa ndipo panopinda Kussmaul kufema.

Ngatitarisei zvimwe zvinogona kukonzera pH shanduko dzinogona kutungamira mukufema kwaKussmaul.

Chirwere cheshuga ketoacidosis

Chimwe chezvikonzero zvakajairika chekufema kwaKussmaul chirwere cheshuga ketoacidosis, chinova chinetso chakakomba chinowanzo sanganisirwa nerudzi rwe1 chirwere cheshuga. Nekudaro, iyo nerudzi rwechipiri chirwere cheshuga.

Diabetic ketoacidosis inogona kukonzerwa kana muviri wako ukasaburitsa insulin yakakwana uye usingakwanise kugadzirisa glucose zvakanaka. Izvi zvinogona kutungamira mukushaya mvura, iyo, zvakare, inogona kukonzeresa muviri wako kutanga kupaza mafuta esimba nekukurumidza.

Zvibereko zveizvi maketoni, ayo ane acidic zvakanyanya uye anogona kukonzera acid kuti ivakire mumuviri wako.

Heino tsananguro yekuti chirwere cheshuga ketoacidosis chinogona sei kutungamira kuna Kussmaul kufema:

• Mamwe maketoni mumuviri wako anoita kuti asidi iwedzere muropa rako.
• Nekuda kweizvi, yako yekufema system inokonzereswa kuti utange kufema nekukurumidza.
• Kukurumidza kufema kunobatsira kuburitsa yakawanda carbon dioxide, inova iic acidic muropa rako.
• Kana acid acid ichiramba ichikwira uye usingawani kurapwa, muviri wako unoratidza kuti iwe unofanirwa kutora kufema kwakadzika.
• Izvi zvinoguma nekufema kwaKussmaul, kunozivikanwa nekufema kwakadzika, nekukurumidza, kuyedza kudzinga yakawanda kabhoni dhayokisaidhi sezvinobvira.

Zvimwe zvikonzero

Zvimwe zvinokonzeresa kufema kwaKussmaul zvinosanganisira:

• nhengo kutadza, senge moyo, itsvo, kana chiropa kutadza
• mamwe marudzi ekenza
• kunwa doro kwenguva refu
• kumedzwa kwehupfu, senge salicylates (aspirin), methanol, ethanol, kana antifreeze
• pfari
• sepsis
• overexertion, iyo inowanzo gadzirisa nekukurumidza nekuzorora

Imwe yeaya mamiriro ezvinhu anokonzeresa kuwanda kweacid muropa. Kunze kwekuwedzera kwekuwedzera, mazhinji emamiriro ezvinhu aya anokonzerwa nemetabolic zvinhu.

Izvi zvinoreva kuti mitezo inowanzo kuve nebasa rekusefa marara zvigadzirwa hazvigone kuenderera pamwe sezvavanoda. Aya marara zvigadzirwa, ayo anowanzo kuve acidic, anovaka muropa, uye muviri wako unoedza kudzosera uku kusaenzana.

Ndezvipi zviratidzo?

Zvimwe zvezviratidzo zvekufema kwaKussmaul zvinosanganisira:

• kufema kwakadzama
• kukurumidza kufema mwero
• mweya wekupemha wakaenzana uye unopindirana mukuyera uye mutinhimira

Vamwe vanhu vanotsanangura Kussmaul kufema se "mweya wenzara." Izvi zvinoreva kuti kana uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge

Vanhu vane Kussmaul kufema havana simba pamusoro penzira yavari kufema nayo. Ndiyo mhinduro yemuviri kune mamiriro ezvinhu ari pasi.

Nekuti kufema kwaKussmaul kunowanzo kukonzerwa neshuga ketoacidosis, zvakakosha kuti uzive zviratidzo zvekuyambira zveichi chiitiko, icho chinogona kuuya nekukurumidza.

Zvimwe zviratidzo zvakajairika zvechirwere cheshuga ketoacidosis zvinosanganisira:

• huwandu hweshuga yeropa
• nyota yakanyanya
• kusvotwa kana kurutsa
• kuwedzera weti
• kuvhiringidzika
• mweya wekufema unotapira kana muchero
• yakakwira ketone mazinga mune weti
• kupera simba

Kunze kwekunge zviratidzo zvichikonzerwa nekuwedzeredza, zvakakosha kuti chero munhu ane zviratidzo zvekufema kwaKussmaul awane kurapwa nekukasika.

Kussmaul kufema kunorapwa sei?

Kurapa kufema kwaKussmaul kunosanganisira kugadzirisa mamiriro ezvinhu akaakonzera. Kazhinji kazhinji, kurapwa kunoda kugara muchipatara.

Kurapa kwechirwere cheshuga ketoacidosis zvinowanzoda intravenous fluid uye electrolyte kutsiva. Insulini inogona zvakare kupihwa nenzira imwecheteyo, kudzamara shuga dzako dzeropa dziri pasi pemamirigiramu mazana maviri nedhisita imwe.

Panyaya ye uremia, iwe ungangoda dialysis kudzikisa kuwanda kwehupfu hwakawandisa uhwo itsvo dzako dzisingakwanise kusefa.

Maitiro ekudzivirira Kussmaul kufema

Kudzivirira kufema kwaKussmaul kazhinji kunosanganisira kubata nekungwarira kweanogara marapirwo mamiriro.

Kana uine chirwere cheshuga, izvi zvinosanganisira:

• kutora mishonga yeshuga sezvakarairwa
• kutevera chirongwa chekudya sekurairwa nemupi wezvehutano
• kugara zvakanaka hydrated
• kutarisa huwandu hweshuga yeropa nguva dzose
• kuyedza weti yemaketoni

Kana iwe uine mamiriro ane chekuita neitsvo, izvi zvinosanganisira:

• kutora chikafu chinodikanwa neitsvo
• kudzivisa doro
• kugara zvakanaka hydrated
• kuchengetedza huwandu hweshuga yeropa pasi pekutonga

Kufema kwaKussmaul kwakasiyana papi nekufema kweCheyne-Stokes?

Imwe mhando yekusajairika kufema maitiro ndeye Cheyne-Stokes kufema. Kunyangwe izvi zvichigona kuitika kana iwe wakamuka, zvinowanzoitika panguva yekurara.

Cheyne-Stokes kufema kunowanzozivikanwa ne:

• kuwedzera zvishoma nezvishoma mukufema, kuchiteverwa nekuderera
• apneic, kana isiri-kufema, chikamu chinoitika mushure mekufema kwemunhu chadzikira zvakanyanya
• nguva yeapneic iyo inogara masekondi gumi nemashanu kusvika makumi matanhatu

Cheyne-Stokes kufema kunowanzoenderana nekutadza kwemoyo kana sitiroko. Inogona zvakare kukonzerwa nemamiriro ane hukama nehuropi, senge:

• mamota europi
• zvinokuvadza uropi kukuvara
• encephalitis
• kuwedzerwa kwekumanikidza kwepakati

Heano fananidzo pakati peCheyne-Stokes naKussmaul kufema:

• Zvinokonzera: Kussmaul kufema kunowanzo kukonzerwa neakakwira acidity mazinga muropa. Cheyne-Stokes kufema kunowanzoenderana nekutadza kwemoyo, kurohwa, kukuvara mumusoro, kana mamiriro ehuropi.
• Muenzaniso: Kussmaul kufema hakushanduke pakati penguva dzekukurumidza uye kunonoka kufema. Izvo zvakare hazvikonzere kufema kumira kwechinguva sezvinoita Cheyne-Stokes kufema kunoita.
• Rate: Kussmaul kufema kunowanzo fanika uye nekukurumidza. Kunyangwe Cheyne-Stokes kufema kuchigona kukurumidza pane dzimwe nguva, iyo pateni haina kuenderana. Inogona kudzikira uye kunyange kumira munhu asati atanga kufema zvakare.

Chinokosha

Kussmaul kufema kunoonekwa neakadzika, nekukurumidza kufema maitiro. Izvo zvinowanzo ratidza kuti muviri kana nhengo dzave kunyanya kuva acidic. Mukuyedza kudzinga kabhoni dhayokisaidhi, inova iacidic acid muropa, muviri unotanga kufema nekukurumidza uye nekudzika.

Iyi isina kujairika nzira yekufema inowanzo kukonzerwa neshuga ketoacidosis, inova dambudziko rakakomba rerudzi rwe1 uye, kashoma, rudzi rwechipiri chirwere cheshuga. Inogona zvakare kukonzerwa neitsvo kana chiropa kutadza, mimwe kanzira, kana kumedzwa kwehupfu.

Kana iwe uchifungidzira kuti iwe kana mudiwa ane zviratidzo zveKussmaul kufema kana chirwere cheshuga ketoacidosis, zvakakosha kuti iwe utsvage kurapwa nekukurumidza.