KUYINI KETOACIDOSIS? YINI UBUNGOZI BALESI SIMO?

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Izifo zethu ziyingozi ngokwazo noma ngezifo zazo. Kubalulekile kakhulu kwabanesifo sikashukela ukwazi isifo sabo futhi bakwazi ukubona izimo eziyingozi ngokwabo. Lokhu kusiza ukugwema izinkinga eziningi nezimo ezinzima. Isibonelo, ukuvikela ukukhula kwe-ketoacidosis yesifo sikashukela.

Isifo sikashukela sikashukela. Isimo sesimo

Ushukela egazini lethu ungumthombo wamandla. Iphulwe yi-insulin. Uma le hormone inganele, ushukela awugxiliwe futhi i-hyperglycemia iyenzeka. Umzimba uhlala ngaphandle komthombo wamandla bese uqala ukufuna izinqolobane. Ngemuva kwalokho amandla akhishwa emafutheni kanye nemisipha yethu. Inkinga ngale nqubo yimfundo. imizimba ye-ketone, okuholela ekwandeni kwe-acidity yegazi kanye nokudakwa okujwayelekile komzimba.

Esikhathini sikashukela, lesi simo sibizwa isifo sikashukela sikashukela. Kusongela impilo.

Odokotela baqinisekisa i-ketoacidosis ngokuya ngokuhlolwa kwemitholampilo, ikakhulukazi nge-bicarbonate yegazi. Imvamisa, okuqukethwe kwayo kungama-22 mmol / l (micromol ngelitha). Ukwehlisa izinga kukhombisa ukudakwa kwegazi nengozi yezinkinga.

Ama-degree amathathu wobunzima be-ketoacidosis yesifo sikashukela akhonjwe:

ukukhanya
isilinganiso
esindayo.

Imvamisa, i-ketoacidosis iyinkimbinkimbi ngohlobo lwesifo sikashukela sohlobo I, kepha lesi simo futhi senzeka ngesifo sohlobo II.

Izimbangela ze-Diabetesic Ketoacidosis

Isizathu esiyinhloko sikashukela uqobo. Umuntu kungenzeka angakakwazi ukugula kwakhe.

Cishe ku-33% wamacala, isifo sikashukela i-mellitus (uhlobo I) sitholakala ngokunembile ngokuhlaselwa kwe-ketoacidosis okokuqala.

Ezinye izimbangela zesifo sikashukela esivele satholakala:

ukuntuleka kokulashwa kwe-insulin;
izifo ezingathi sína, kubandakanya nezifo ezithathelanayo;
ukuhlukumezeka ngokomzimba nangokwengqondo;
ukuthatha imishanguzo ethile (njenge-diuretics).
Usongo lokubonakaliswa kwe-ketoacidosis yesifo sikashukela nalo luyakhula ngesikhathi sokukhulelwa.

I-ketoacidosis yesifo sikashukela nayo inezimbangela ezingokwengqondo nezenhlalo.

Uma umuntu onesifo sikashukela eziphatha ngokungakhathali, engaqondi ukubaluleka kwemijovo ye-insulin, angeke aphathe lesi sidakamizwa ngesikhathi noma enze umjovo ngokungalungile. Izibalo zezokwelapha zomhlaba zibonisa ukuthi ukweqa umjovo we-insulin kungaba yinhloso lapho uzama ukuzibulala.

I-ketoacidosis yesifo sikashukela: izimpawu

I-ketoacidosis yesifo sikashukela inezimpawu ezimbalwa ezethusayo ezibalulekile okufanele zizazi ngesikhathi:

isicanucanu, ukuntuleka kokudla;
Ubuhlungu besisu
ukoma okungapheli (umzimba ukhubazekile nge-ketoacidosis);
ukuchama njalo;
ukwehla kwesisindo okungazelelwe;
ukungasebenzi kahle kwamehlo (ukuzwakala sengathi inkungu izungezile);

isikhumba siphenduka sibomvu, somile futhi sishisa ngokuthinta;
kunzima ukuvuka, ukozela kuyezwakala;
ukuphefumula kaningi kepha kujulile;
lapho kuqhuma isiguli, iphunga i-acetone;
ukudideka ukwazi;
ezinganeni - ukulahleka kwenzalo emidlalweni ejwayelekile, ukunganakwa kanye nokushiswa ngamandla.

Uma ubona izimpawu ezinikezwe ngenhla, bona udokotela wakho.

Uzobeka isivivinyo segazi nomchamo sokuba khona kwemizimba ye-ketone. Ukuhlolwa kwe-urine kungenzeka ekhaya, ngoba lokhu udinga imichilo ekhethekile yokuhlola.

Izingozi ze-ketoacidosis. Ukunakekelwa okuphuthumayo nokwelashwa

Uma ungathathi izinyathelo zokuqeda i-ketoacidosis yesifo sikashukela, isimo-ke leso singaba yinkimbinkimbi nge-edema noma i-coma, kuze kube ngomphumela obulalayo.

Ukwelashwa kwe-ketoacidosis kusekelwe ezimisweni ezintathu:

ukuqedwa kwembangela yesimo (uma kungenzeka);
ukubuyiselwa kwemali esele kasawoti-kasawoti;
ukulawulwa kwamazinga we-insulin, ushukela kanye ne-potassium emzimbeni.

Uma kutholwa i-ketoacidosis enobunzima obuncane, inkinga ixazululwa ngomzamo omncane. Kuzodinga ukuphuza kakhulu kanye nemijovo ye-insulin esezingeni eliphansi. I-hormone inqunyelwe kubantu abasesimweni se-ketoacidosis, noma benesifo sikashukela sohlobo II.
Ubunzima obuphakathi kweziguli ezithembela i-insulin zidluliselwa kusuka ejwayelekile ukwelashwa kwe-hormone zingene kakhulu, ngomjovo owengeziwe we-insulin (intramuscularly noma subcutaneously). Amazinga kashukela egazini ayaqashwa njalo. Ukwelashwa okungeziwe kunqunyelwe: izidakamizwa ukususa ubuthi emzimbeni, i-normalization metabolism nokuqiniswa okujwayelekile (ama-sorbents, ama-ascorbic acid, okubalulekile).
Izenzo zodokotela abane-ketoacidosis enesifo sikashukela ziyefana nasekwelapheni isifo sikashukela.
- Ngokuphathwa kwe-insulin okuthatha isikhathi esifushane, i-hyperglycemia isuswa ngokucophelela futhi kancane kancane iqedwe.
- Ukuvuselelwa komzimba kuyenziwa. Ezinganeni, lokhu kwenziwa ngokunakekelwa okukhulu futhi kancane kancane ukugwema i-edema yamakhorali. Kubantu asebekhulile, imiqondo eminingi yezisombululo zika-saline iyakhethwa.
- Balawula isimo segazi, ikakhulukazi, izinga le-potassium (ngesikhathi se-ketoacidosis lehla kakhulu).
- Uma kwenzeka ukwephulwa kwezinso nezinso zenhliziyo kuthathwa izinyathelo ezifanele.
- Susa ubuthi emzimbeni.
- Lapho kukhona ukutheleleka, kunikezwa ukwelashwa okwengeziwe.

Ukuvimbela

I-Ketoacidosis iyingozi enkulu kwiziguli ezinesifo sikashukela.

Kodwa-ke, inani elikhulu labanesifo sikashukela seminyaka eminingi liyaphumelela ukugwema ukukhohlisa.

Ukufeza lokhu kungokoqobo. Kuyadingeka:

ukubekezelela irejimeni yokwelashwa kwe-insulin ebekwe udokotela;
lawula ushukela wegazi;
ukwazi ukubona izimpawu ze-ketoacidosis.

Eminyakeni eyikhulu nje edlule, isifo sikashukela sasibhekwa njengesifo esibulalayo okwakungekho khambi laso. Namuhla, ucwaningo lwezokwelapha luvumela iziguli ezinesifo sikashukela ukuba ziphile impilo ende, ephelele ngaphandle kwezinkinga.

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