Isifo sikashukela i-mellitus yisifo esingadala ushintsho lwe-pathological ezithweni eziningi zangaphakathi nasezinhlelweni zomzimba. Ushukela wegazi ophakanyisiwe udala indawo enhle yokutheleleka kwamagciwane kanye nokukhunta, okunomthelela ekuthuthukisweni kwezinqubo zokuvuvukala ezingapheli.
Ngenxa yalokhu, ezigulini ezinesifo sikashukela, izinga lokushisa lomzimba elivamile livame ukukhuphuka, elibonisa ukuqala kokuthuthukiswa kwezinkinga. Noma ukuguquguquka okushisa okuncane kufanele kuqwashise isiguli futhi kube yisikhathi sokuthola izimbangela zalesi simo.
Kubalulekile ukukhumbula ukuthi kubantu abanesifo sikashukela, amasosha omzimba abe buthaka kakhulu, ngakho-ke ngeke akwazi ukumelana nokutheleleka ngempumelelo. Ngakho-ke, ukuvuvukala okuncane kakhulu kungakhula ngokushesha kube ukugula okungathi sína.
Ngaphezu kwalokho, izinga lokushisa eliphakeme lingase libe ngenxa yokushintsha okubukhali kwezinga likashukela egazini lesiguli. Ngasikhathi sinye, izinga lokushisa lomzimba eliphakeme lomlingiswa lokuqukethwe kweglucose ephezulu yi-harbinger ye-hyperglycemia. Ngo ushukela ophansi, izinga lokushisa lomzimba livame ukwehla, okukhombisa ukuthuthukiswa kwe-hypoglycemia.
Ukunquma ngokunembile imbangela yomkhuhlane kushukela futhi uvimbele ubunzima, kubalulekile ukwazi ukuthi kungani lesi simo senzeka nokuthi ungasisingatha kanjani ngokufanele.
Izizathu
Izinga lokushisa likashukela lingaba ngenxa yezizathu ezilandelayo:
- Amakhaza Ngenxa yokungavikeleki okuphansi, iziguli ezinesifo sikashukela zithambekele kumakhaza njalo, okungenzeka ngokwanda kwezinga lokushisa. Uma ngalesi sikhathi ungamnikeli ukwelashwa okudingekayo, lesi sifo singangena kwifomu elinamandla kakhudlwana futhi sibangele i-pneumonia;
- I-cystitis. Izinqubo zokuvuvukala esinyeni esinamazinga kashukela amaningi kungaba yimiphumela yomkhuhlane nezifo zezinso, lapho ukutheleleka kungena emzimbeni ngomchamo, kwehlela i-ureter;
- Izifo ezithathelwanayo ezibangelwa amagciwane we-staph;
- I-Pyelonephritis - izinqubo zokuvuvukala ezinso;
- ICandidiasis noma ngenye indlela ithathe isifo sikashukela, esingathinta abesifazane nabesilisa. Kumele kugcizelelwe ukuthi ezigulini ezinesifo sikashukela, i-thrush yenzeka kaningi kakhulu kunabantu abanempilo enhle;
- Ukwanda okuthe xaxa kwe-glucose emzimbeni, okungaveza ukwanda okukhulu kwezinga lokushisa.
Ukushisa kokushisa
Njengoba ubona, izinga lokushisa kushukela likhuphuka ngaphansi kwethonya lezinto ezimbili ezihlukile - ukutheleleka ngegciwane noma fungus kanye nokuntuleka kwe-insulin. Esimweni sokuqala, isiguli sidinga ukwelashwa kwendabuko, okubandakanya ukuthatha izidakamizwa ezilwa nokuvuvukala nemithi ye-antipyretic.
Ezimweni ezimbi kakhulu, isiguli sinconyelwa ukuthi senze inkambo yokwelashwa ngamakhambi okulwa namagciwane, okuzosiza ukunqoba ukutheleleka. Kodwa-ke, kufanele kuphawulwe ukuthi uma kwenzeka isifo sikashukela i-mellitus zombili izindlela zokuqala nezesibili kufanele zinikezwe ukuthi zithanda izidakamizwa eziphephe kakhulu ezinobukhulu bemiphumela emibi.
Ukuze ulondoloze amasosha omzimba, kusiza kakhulu ukuthatha ama-multivitamin complexes, ikakhulukazi lawo anokuqukethwe okuphezulu kwe-Vitamin C noma okukhishwe zezitshalo ze-immunomodulatory, njenge-dogrose noma i-echinacea.
Ezindlela zokupheka zomuthi wendabuko, imali ekhokhwayo, okuyingxube yamakhambi alwa nokuvuvukala nokubuyiselwa, izoba wusizo olukhulu kakhulu
Ukushisa ushukela okuphezulu
Uma ukwanda kokushisa komzimba kungahambisani nenqubo yokuvuvukala, khona-ke kungenzeka kakhulu kubangelwa ukuntuleka kwe-insulin kanye nokwanda okukhulu kwe-glucose emzimbeni wesiguli. Kulokhu, kubaluleke kakhulu ukwazi ukuthi yini okufanele yenziwe uma isiguli sine-mellitus yesifo sikashukela, izinga lokushisa lingaphezu kokujwayelekile futhi izinga likashukela liphezulu kakhulu.
Isizathu sokukhathazeka esigulini esinesifo sikashukela kufanele sibe lokushisa okungama-37,5 ℃ noma ngaphezulu. Uma kwenzeka ngoshukela omningi, kepha ungadluli kuma-38,5 показатель, isiguli kufanele sifakwe nge-insulin emfushane, noma kangcono, noma i-insulin efushane.
Kulokhu, i-10% ethile yezidakamizwa kumele ingezwe kwimithamo evamile ye-insulin. Lokhu kuzosiza ukwehlisa izinga leshukela noma okungenani kuvimbele ukwanda kwalo okuqhubekayo. Ngemuva kwesikhathi esithile, ngemuva kwemizuzu engaba ngu-30, isiguli siyozwa izimpawu zokuqala zokuthuthuka. Ukuhlanganisa umphumela ngaphambi kokudla okulandelayo, kuyadingeka futhi ukujova i-insulin efushane.
Uma uhlobo loku-1 nohlobo 2 lwesifo sikashukela luqokomisa izinga lokushisa lomzimba lesiguli likhuphuka ngaphezu kwe-39 ℃, khona-ke lokhu kubonisa isimo esibucayi sesiguli, okungaholela ekukhuleni kwe-hyperglycemia ngisho ne-coma. Kulokhu, umthamo ojwayelekile we-insulin kumele ukhuphuke ngo-25%.
Kubalulekile ukuqaphela ukuthi ekushiseni okuphezulu kuyadingeka ukusebenzisa i-insulin nje emifushane, ngoba izidakamizwa ezisebenza isikhathi eside kuleli lizwe ngeke zibe yize, futhi kwesinye isikhathi zibe yingozi. Iqiniso ngukuthi nge-hyperthermia, ama-insulin amade ayachithwa futhi alahlekelwe ngokuphelele yizindawo zawo.
Ngakho-ke, ngesikhathi sokushisa, lonke isilinganiso se-insulin kumele sithathwe ngesimo se-insulin esifushane, siyihlukanise izingxenye ezilinganayo futhi ingenise emzimbeni wesiguli njalo ngamahora ama-4.
Ekushiseni okuphezulu kakhulu, okuvame ukukhuphuka, ngesikhathi sokujova kokuqala kwe-insulin, isiguli kufanele siphathwe okungenani ama-20% wokudla umuthi nsuku zonke. Lokhu kuzovimbela ukwanda kokuqoqwa kwe-acetone egazini lesiguli, okungaholela emiphumeleni emibi.
Uma ngemuva kwamahora amathathu kungekho ngcono okwenzekile esimweni sesiguli, umjovo kufanele uphindwe futhi ngama-insulin ayi-8.
Lapho ukugcwala komuthi egazini lesiguli kuqala ukwehla futhi, kufanele afake enye i-10 mmol / L ye-insulin ne-2-3 UE, okufanele ibuyise izinga le-glucose emzimbeni.
Ukudla
Emazingeni okushisa aphakeme namazinga kashukela aphezulu, kubaluleke kakhulu ukuthi isiguli silandele indlela ekhethekile yokudla. Lokhu kubaluleke kakhulu kwisifo sikashukela sohlobo 2, esivame ukuvela ngemuva kokungondleki. Kodwa-ke, kubantu abahlushwa isifo sikashukela sohlobo 1, ukudla okunjalo nakho kuzoba usizo kakhulu.
Kulesi simo, isiguli kufanele singafaki ngokuphelele ekudleni kwayo zonke iziphuzo ezinoshukela, sikhethe amanzi angenalutho. Ngaphezu kwalokho, emazingeni okushisa aphakeme, isiguli sidinga ukudla okuphezulu ku-sodium ne-potassium.
Futhi, ngokugcwala okukhulu kwe-glucose emzimbeni, isiguli sizohlomula ku:
- Yidla umhluzi onamafutha amancane, mhlawumbe inkukhu noma imifino;
- Phuza amanzi amaningi amaminerali, cishe njalo emahoreni ayi-1.5;
- Nqaba itiye elimnyama uthandela oluhlaza oluthe xaxa.
Ukudla kangcono kaningi, kepha ngezingxenye ezincane. Lokhu kuzogcina ukulingana kwamandla omzimba, kepha ngeke kudale ukwanda okusha kwamazinga kashukela. Lapho inkinga ye-hyperglycemic incipha, isiguli singaphinde sibuyele ekudleni okujwayelekile.
Kufanele kugcizelelwe ukuthi ngoshukela ophezulu awukwazi ukuthatha noma yiziphi izidakamizwa ze-antipyretic.
Izimpawu eziyingozi
Ngokwezibalo, yiziguli ezi-5 kuphela kweziyi-100 ezinesifo sikashukela eziguqukela kudokotela ukuze zonyuswe izinga lokushisa komzimba. Abaseleyo abangama-95 bakhetha ukubhekana nale nkinga bebodwa. Kodwa-ke, kwezinye izimo, lokhu kugcwele izinkinga ezinkulu ezingasongela impilo yomuntu.
Ngakho-ke, isiguli esinesifo sikashukela kufanele ngaso sonke isikhathi siqaphe ukuthi sinazo yini izimpawu zokuphazamiseka kwengqondo. Uma isifo sikashukela esinomkhuhlane omkhulu sinezimpawu ezilandelayo, kufanele ushayele udokotela ngokushesha:
- Izinkinga zokugaya ukudla: isicanucanu, ukugabha nohudo;
- Ukuba khona komoya wokuphefumula kwesinephunga elimenyezelayo le-acetone;
- Ubuhlungu besifuba obukhulu, ukufupheka komzimba, ukufushane komoya;
- Uma ngabe nangemva kokulinganisa amahlandla amathathu ushukela egazini, ayizange iwele ngaphansi kuka-11 mmol / L.
- Lapho ukwelashwa kungalethi umphumela oyifunayo futhi isimo sesiguli siyaqhubeka siwohloka.
Uma ungazinaki lezi zimpawu ngesikhathi, isiguli singaba ne-hyperglycemia esibi, ebonakala ngezimpawu ezilandelayo:
- Ukuphefumula okusindayo, okushisayo;
- Ukoma okukhulu kwesikhumba nolwelwesi lwe-mucous;
- Ukuphazamiseka kwesigqi senhliziyo;
- Iphunga elinamandla le-acetone ephuma emlonyeni;
- Ukwehluleka;
- Umile njalo;
- Ukuchama kaningi kanye nephrofayili.
Lesi simo sidinga ukulaliswa esibhedlela ngokushesha. I-acute hyperglycemia ilashwa kuphela esibhedlela ngaphansi kokuqashwa kodokotela. Ividiyo ekulesi sihloko izobheka izimpawu zesifo sikashukela.
