Kunzwisisa uye Kudzivirira Diabetic Coma

Zvemukati

• Sei chirwere cheshuga chinogona kutungamira kukoma
• Hypoglycemia
• DKA
• Nonketotic hyperosmolar syndrome (NKHS)
• Zviratidzo nezviratidzo
• Nguva yekutsvaga rubatsiro rwechimbichimbi
• Kudzivirira
• Outlook
• Kutora

Chii chinonzi chirwere cheshuga coma?

Chirwere cheshuga coma chakakomba, chinogona kutyisidzira hupenyu kusangana nechirwere cheshuga. Kurwara nechirwere cheshuga kuchikonzera kusaziva kwausingakwanise kumutsa pasina kurapwa. Kazhinji kacho chirwere cheshuga coma chinoitika kuvanhu vane chirwere cheshuga 1. Asi vanhu vane mamwe marudzi eshuga vari panjodzi.

Kana iwe uine chirwere cheshuga, zvakakosha kuti udzidze nezvechirwere cheshuga coma, kusanganisira zvikonzero nezviratidzo. Kuita izvi kunobatsira kudzivirira kuomarara uku uye kunobatsira iwe kuwana kurapwa kwaunoda ipapo ipapo.

Sei chirwere cheshuga chinogona kutungamira kukoma

Chirwere cheshuga coma chinogona kuitika kana huwandu hweshuga yeropa hwadzora. Iyo ine zvikonzero zvitatu zvikuru:

• shuga yakadzika yeropa, kana hypoglycemia
• chirwere cheshuga ketoacidosis (DKA)
• chirwere cheshuga hyperosmolar (nonketotic) syndrome murudzi rwechipiri chirwere cheshuga

Hypoglycemia

Hypoglycemia inoitika kana usina glucose yakakwana, kana shuga, muropa rako. Mashuga akaderera anogona kuitika kune chero munhu nguva nenguva. Kana iwe ukabata munyoro kusvika pakuenzanisa hypoglycemia nekukasira, inowanzo gadzirisa isina kufambira mberi kune yakanyanya hypoglycemia. Vanhu vane insulin vane njodzi yakanyanya, asi vanhu vanotora mishonga yeshuga yemukanwa inowedzera insulin mumuviri vanogonawo kuve panjodzi. Kusarapwa kana kusapindura yakaderera ropa mashuga kunogona kutungamira kune yakanyanya hypoglycemia. Ichi ndicho chinonyanya kukonzera chirwere cheshuga coma. Iwe unofanirwa kutora matanho ekuwedzera kana iwe uchinetseka kuona zviratidzo zve hypoglycemia. Ichi chirwere cheshuga chinozivikanwa se hypoglycemia kusaziva.

DKA

Chirwere cheshuga ketoacidosis (DKA) chinoitika kana muviri wako uchinge usisina insulin uye uchishandisa mafuta pachinzvimbo cheshuga yesimba. Mitumbi yeKetone inoungana muropa. DKA inoitika mumhando dzose dzechirwere cheshuga, asi inowanzoitika murudzi rwe 1. Mitumbi yeKetone inogona kuwanikwa iine yakasarudzika shuga yegumi metres kana nemitsetse yemurini kuti utarise DKA. IAmerican Diabetes Association inokurudzira kutarisa ketone miviri uye DKA kana ropa rako glucose rapfuura 240 mg / dl. Kana ikasiiwa isina kurapwa, DKA inogona kutungamira kuchirwere cheshuga coma.

Nonketotic hyperosmolar syndrome (NKHS)

Iyi syndrome inongowanikwa mune mhando 2 chirwere cheshuga. Inowanzoitika kune vakura vakuru. Ichi chiitiko chinoitika kana shuga yako yeropa yakanyanyisa. Inogona kutungamira mukushaya mvura mumuviri.Sekureva kweMayo Clinic, vanhu vane chirwere ichi vanowana huwandu hweshuga inopfuura mazana matanhatu emamiriyoni / dl.

Zviratidzo nezviratidzo

Iko hakuna kana chiratidzo chimwe chakasarudzika kune cheshuga coma. Zviratidzo zvacho zvinogona kusiyana zvichienderana nerudzi rwechirwere cheshuga chauinacho. Mamiriro acho anowanzo kutungamirwa nemhedzisiro yezviratidzo nezviratidzo zvakawanda. Kune zvakare mutsauko muzviratidzo pakati peshuga yakadzika uye yakakwira yeropa.

Zviratidzo zvekuti iwe unogona kunge 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 uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchitsvaga

• pakarepo kuneta
• kuzununguka
• kushushikana kana kutsamwa
• nzara yakanyanyisa uye kamwe kamwe
• kusvotwa
• vangadikitira kana clammy emichindwe
• dzungu
• kuvhiringidzika
• kuderera kwekubatanidza mota
• kutaura matambudziko

Zviratidzo zvaungave uri panjodzi yeDKA zvinosanganisira:

• yakawedzera nyota uye yakaoma mukanwa
• kuwedzera weti
• huwandu hweshuga yeropa
• ketoni muropa kana weti
• ganda rinonhuwa
• kurwadziwa nemudumbu nekurutsa kana pasina
• kukurumidza kufema
• muchero unonhuwirira mweya
• kuvhiringidzika

Zviratidzo zvaungave uri munjodzi kune NKHS zvinosanganisira:

• kuvhiringidzika
• huwandu hweshuga yeropa
• pfari

Nguva yekutsvaga rubatsiro rwechimbichimbi

Izvo zvakakosha kuyera shuga yako yeropa kana iwe ukasangana nezviratidzo zvisina kujairika kuti urege kufambira mberi kusvika pakoma. Chirwere cheshuga comas chinoonekwa sechimbichimbi chinoda kurapwa nekukurumidza uye chinorapwa muchipatara. Kufanana nezviratidzo, chirwere cheshuga coma kurapwa chinogona kusiyana zvichienderana nechakakonzera.

Izvo zvakakoshawo kuti ubatsire kuraira vadikanwi vako maitiro ekuita kana iwe ukafambira mberi kuenda kuchirwere cheshuga coma. Sezvineiwo ivo vanofanirwa kudzidziswa pazviratidzo nezviratidzo zvemamiriro akanyorwa pamusoro apa kuti iwe urege kufambira mberi kusvika pano. Inogona kunge iri hurukuro inotyisa, asi ndiyo imwe yaunofanirwa kuve nayo. Mhuri yako uye shamwari dzepedyo dzinofanirwa kudzidza nzira yekubatsira kana paitika njodzi. Iwe haugone kuzvibatsira kana iwe ukangowira mukuoma. Raira vadiwa vako kufonera 911 kana ukarasika kuziva. Izvozvowo zvinofanirwa kuitwa kana iwe ukaona yambiro zviratidzo zvechirwere cheshuga coma. Ratidza vamwe maitiro ekushandisa glucagon mune chirwere cheshuga coma kubva ku hypoglycemia. Ive neshuwa yekugara uchipfeka zvekurapa chenjedzo bracelet kuitira kuti vamwe vazive nezve mamiriro ako uye vanogona kubata zve emergency mabasa kana iwe usiri pamba.

Kana munhu achinge agamuchira kurapwa, anokwanisa kudzoka kuziva mushure mekunge huwandu hweshuga yeropa hwajairika.

Kudzivirira

Matanho ekudzivirira akakosha pakuderedza njodzi yekurwara nechirwere cheshuga. Chiyero chinonyanya kushanda ndechekugadzirisa chirwere cheshuga. Nyora 1 chirwere cheshuga chinoisa vanhu padanho repamusoro rekukoma, asi vanhu vane mhando 2 vari panjodzi. Shanda nachiremba wako kuti uone kuti shuga yako yeropa iri padanho chairo. Uye tsvaga kurapwa kana iwe usinganzwe zvirinani kunyangwe kurapwa.

Vanhu vane chirwere cheshuga vanofanirwa kuongorora shuga yavo yeropa zuva nezuva, kunyanya kana vari pamushonga unowedzera insulin mumuviri. Kuita izvi kuchakubatsira iwe kuona matambudziko ivo vasati vashanduka kuita emergency. Kana iwe uine matambudziko nekutarisa shuga yako yeropa, funga kupfeka inoenderera glucose glucose (CGM) chishandiso. Izvi zvinonyanya kubatsira kana iwe uine hypoglycemia kusaziva.

Dzimwe nzira dzaungadzivirire chirwere cheshuga coma dzinosanganisira:

• kutanga kuona chiratidzo
• kunamatira kuchikafu chako
• kugara uchirovedza muviri
• kuenzanisa doro uye kudya kana uchinwa doro
• kugara uine hydrated, kunyanya nemvura

Outlook

Chirwere cheshuga coma idambudziko rakakomba rinogona kuuraya. Uye mikana yekufa inowedzera iwe kumirira kurapwa kwenguva refu. Kumirira kwenguva yakareba kurapwa kunogona zvakare kukonzera kukuvara kwehuropi. Uku kusangana kweshuga kushoma. Asi zvakakomba zvekuti varwere vese vanofanirwa kutora matanho.

Kutora

Chirwere cheshuga coma chakakomba, chinogona kutyisidzira hupenyu kusangana nechirwere cheshuga. Simba rekudzivirira kubva pakoma yeshuga iri mumaoko ako. Ziva zviratidzo nezviratidzo zvinogona kutungamira kukoma, uye gadzirira kuona matambudziko vasati vasvika mukukurumidzira. Gadzirirai mose pamwe nevamwe nezve zvekuita kana mukave comatose. Ita shuwa yekugadzirisa yako chirwere cheshuga kuti uderedze njodzi yako.