I-HYPEROSMOLAR COMA - KUYINI? - IZINKINGA KANYE NEZIFO

Send

Enye yezinkinga zesifo sikashukela yi-hyperosmolar coma. Kwenzeka kakhulu ezigulini esezikhulile (ezineminyaka engama-50 nangaphezulu) ezihlushwa isifo sikashukela sohlobo 2 (isifo esibizwa ngokuthi isifo sikashukela esingaxhamli kakhulu). Lesi simo siyivelakancane futhi sibi kakhulu. Ukufa kufinyelela ku-50-60%.

Kuyini ubungozi?

I-complication ekhonjisiwe, njengomthetho, yenzeka kubantu abanobuncane noma uhlobo olulinganiselayo lohlobo lwe-2 mellitus. Ngokwezibalo, cishe ezicishe zibe ngama-30% zamacala, lolu hlobo lwe-coma lwenzeka kubantu abangakaze batholakale ukuthi banesifo sikashukela, futhi nokuyindlela yokuqala yokubonakaliswa kwalesi sifo. Ezimweni ezinjalo bavame ukuthi: "Akunalutho olubonisa inkathazo!"

Uma unikezwe isimo esifihliwe noma esimnene saso sonke lesi sifo, kanye nobudala bezinyanga eziningi zeziguli, ukuxilongwa okuyikho kunzima. Imvamisa, izimpawu zokuqala ezilibazisayo zibangelwa ukwephulwa kokujikeleza kwenhliziyo noma ezinye izinto eziholela ekuqwashini okungasebenzi kahle. Kukhona ezinye izimo ezinkulu zesifo sikashukela (i-ketoacidotic ne-hyperglycemic coma), lapho le nkinga kufanele ihlukaniswe khona.

Izimpawu

Izimpawu zalesi simo zingakhula ngaphezulu kwezinsuku eziningana, kwesinye isikhathi amasonto.

Ukubonakaliswa okuyinhloko kwemitholampilo kubhalwe ngezansi, kuqala ngokuvame kakhulu futhi kuphela ngokuvela ngezikhathi ezithile:

i-polyuria, noma ukuchama kaningi;
ubuthakathaka obujwayelekile;
ukukhuphuka kokujuluka;
ukoma okungapheli;
ukuphefumula okuningana njalo;
umfutho wegazi ophansi;
ukukhuphuka kwenhliziyo;
umkhuhlane;
isikhumba esomile nolwelwesi lwe-mucous;
ukunciphisa umzimba;
ukuncishiswa kwe-turgor kwesikhumba nama-eyeballs (ukuthambisa kuya ekuthinteni);
ukwakheka kwezici ezibonisiwe;
amahlumela emisipha yamaphaphu, eba ama-cramps;
ukukhubazeka kwenkulumo;
i-nystagmus, noma ukunyakaza kwamehlo okushiyeka ngokungafanele;
i-paresis nokukhubazeka;
ukwazi ukungaboni kahle - kusuka ekuhlukaniseni endaweni ezungezile kuya ekuboneni izinto zamehlo kanye nokukhohlisa.

Ngokulashwa okungafanele, ekugcineni isiguli siwela enkingeni enkulu yokufa.

Izimbangela Nezingozi Zengozi

Kuze kube sekupheleni, indlela yokwenziwa kwalesi simo se-pathological ayikasungulwa. Kodwa-ke, kuyaziwa ukuthi kusekelwe ekuphepheni emzimbeni (ukomisa) komzimba nokwanda kokushoda kwe-insulin. Zingavela ngokuqhamuka ngemuva kwezifo ezithathelanayo noma ezingamahlalakhona.

Izici ezinikezayo zingafaka:

ukuphalaza okuphindaphindiwe kanye / noma uhudo;
ukwehla kwegazi okusindayo;
umsebenzi wezinso ongonakalisiwe;
ukusetshenziswa kwesikhathi eside kwama-diuretics (ama-diuretics);
i-cholecystitis eyingozi noma i-pancreatitis;
ukusetshenziswa kwesikhathi eside kwezidakamizwa ze-steroid;
ukulimala noma ukuhlinzwa.

Imvamisa, inkinga echaziwe ivela ezigulini esezikhulile ezinesifo sikashukela ezingekho ngaphansi kokuqashwa okufanele, lapho, ngenxa yesifo sohlangothi noma ngenxa yezizathu ezithile, zimane nje zingakwazi ukusebenzisa uketshezi ngamanani adingekayo.

Siza nge-hyperosmolar coma

Ngenxa yokuthi ochwepheshe kuphela abangakwazi ukwenza ukuxilongwa ngesisekelo sedatha yeelebhu, ukulashwa kwesiguli kuyadingeka.

Nge-hyperosmolar coma, isithombe esilandelayo siyimpawu:

izinga eliphakeme le-hyperglycemia (ukukhuphuka kweglucose yegazi) - 40-50 mmol / l nangaphezulu;
inani lesikhombisi se-plasma osmolarity lingaphezulu kwama-350 mosm / l;
okuqukethwe okwandisiwe kwama-ion e-sodium ku-plasma yegazi.

Zonke izindlela zokwelapha zihloselwe ukuqeda ukomisa kanye nemiphumela yako emzimbeni, kanye nokunciphisa ukugcwala kweglucose egazini futhi kubuyisele esele i-acid-base esele evamile.

Ngaphezu kwalokho, kuyadingeka ukubuyisa kahle izinkomba kube ngokujwayelekile, ngoba ukwehla okubukhali kuzo kungadala ukwehluleka kwenhliziyo okulimayo, kanye nokubanga i-pulmonary ne-edema yamakhemikhali.

Iziguli zilashelwa esibhedlela esinamandla okuqashwa futhi zigadwe ochwepheshe ubusuku nemini. Ngokungeziwe ekwelashweni okuyimpawu enkulu, ukuvimbela i-thrombosis, kanye nokwelashwa ngamakhemikhali, kuyenziwa.

I-Hyperosmolar coma iyingozi eyinkimbinkimbi futhi ecashile yesifo sikashukela. Ubunzima ekwenzeni ukuxilongwa, ukuba khona kwezifo ezikhona, iminyaka esegugile yeziguli eziningi - zonke lezi zinto azihambelani nomphumela omuhle.

Njengasikhathi sonke, ukuvikela kuyindlela evikela kakhulu kuleli cala. Ukunaka impilo yakho njalo, ukuqapha isimo sakho, uma usengozini, lokhu kufanele kube ngumkhuba futhi kube yinto evamile kuwe. Endabeni yokuvela kwezimpawu zokuqala ezisolisayo, kufanele ushayele ithimba le-ambulensi esibhedlela isibhedlela ngokushesha. Lesi ngesinye salezo zimo lapho ukubambezeleka kufana.

Send