Iziguli eziningi ezinesifo sikashukela zinomdla embuzweni wokuthi yini okufanele ziyenze kuqala ngoshukela ophezulu. Futhi kufanele kuqashelwe ukuthi ulwazi olunjalo lubaluleke kakhulu, bazokusiza ukusindisa impilo yakho kanye nempilo yabanye ngesikhathi esinzima kakhulu. Kuliqiniso, ngalokhu kufanele ufunde imithetho eminingana ebalulekile, kanye nokuqonda, kubandakanya ukuthi kungani izimo ezinjalo zenzeka.
Into yokuqala okufanele uyiqonde. Yisiphi isifo esingaholela ekwehlekeni okubukhali noma, ngakolunye uhlangothi, ukugxuma kushukela wegazi.
Ngakho-ke, ukuxilongwa okwaziwayo - i-hyperglycemia, kuhlotshaniswa nokuguquguquka okubukhali kushukela wegazi lomuntu. Kuhlotshaniswa namanani we-insulin angasebenzi kahle, okuholela ekubulaleni indlala kwamangqamuzana omzimba wonke. Ngokuvamile, ama-spikes abukhali emazingeni kashukela ahambisana neqiniso lokuthi umzimba womuntu onesifo sikashukela ushukela omuncwa kakhulu. Kungakho i-oxidation yamafutha acids iphazamiseka kakhulu, ngenxa yalokho, i-acetone ikhiqizwa ngokushesha okukhulu futhi ngamanani amakhulu.
Ngaphezu kwalokho, ukuntuleka kwe-insulin kuholela ekuphazanyisweni kwe-metabolic emzimbeni wesiguli. Kungadala futhi ukukhula kwezinkinga ekusebenzeni kwamasistimu wezinzwa nawenhliziyo. Izinkinga ezinjalo zempilo zingaholela emiphumeleni emibi, okungukuthi:
- I-acidosis esezingeni eliphansi;
- Isimo esihle;
- Coma
Kuzo zonke lezi zimo, isiguli sidinga ukulashwa esibhedlela ngokushesha nokunaka okuphuthumayo.
Uma ngokombono kuba sobala ukuthi umuntu ogula yilesi sifo esivele sinezinkinga zempilo ezisobala, kuzodingeka ulinganise masinyane izinga le-glucose egazini.
Ukuze wenze lokhu, kufanele usebenzise idivaysi ekhethekile umuntu onesifo sikashukela okufanele abe nayo ngaso sonke isikhathi, ngokwesibonelo, kungaba yi-One Touch Ultra glucometer. Isizathu sokuqala sokukhathazeka sithathwa njengomphumela wokuhlaziywa okukhombisa izinga likashukela ngaphezulu kweyishumi nane / ml. Kulokhu, kufanele ujova i-insulin ngokushesha. Ngaphandle kokuthi, kusobala, isiguli sinesigaba sokuqala salesi sifo futhi siphuza lesi sidakamizwa njalo.
Futhi futhi ngemuva kwalokho udinga ukunika umuntu uketshezi oluningi, isiphuzo esiningi simane nje siyadingeka kuleli cala. Kufanele futhi njalo wenze ukuhlaziya okusheshayo kwezinga le-glucose egazini, kuze kufike isikhathi kuze kuba yinto evamile. Uma isimo singathuthuki kungakapheli amahora amabili, khona-ke udinga ukubiza iqembu le-ambulensi ngokushesha.
Njengoba wazi, imijovo ye-insulin ibikwa kuphela kulezo ziguli ezitholakele isifo sikashukela sokuqala. Kepha kunesinye isigaba seziguli esingadingi imijovo. Uma kugxuma ushukela esigulini esinohlobo lwesibili sikashukela, bese uzama ukunika isiguli amanzi amaminerali amaningi ngangokunokwenzeka. Ukuphuza uketshezi oluningi kuzosiza ukubuyisela amazinga kashukela. Futhi ungenza isixazululo esibuthakathaka se-soda, i-enemas nge-soda nayo izosiza. Kepha futhi umzimba udinga ukugcotshwa ngethawula elimanzi, futhi, ngokweqiniso, thatha amalungiselelo wethebhulethi azosiza ukwehlisa amazinga eglucose.
Lawa amathiphu nje ambalwa amahle wokukusiza ukuphatha amazinga akho aphezulu kashukela. Ngokuvamile, usizo lokuqala lokwandisa ushukela wegazi ukuthi iziguli zidinga ukubekwa ngaphansi kokuqashwa njalo kukadokotela.
Noma okungenani umuntu wangaphandle okwazi ukulawula inkomba ye-glucose futhi abize i-ambulensi uma isimo sesiguli siba sibi kakhulu.
Into yokuqala ebonakala esigulini esiqale i-acidosis buthakathaka. Isiguli sizwa umsindo oqhubekayo noma ukukhala, isifiso sakhe sokudla sehla kakhulu, kunomuzwa wokungakhululeki, futhi kuqale ukoma okunamandla. Futhi ukuchama kaningi kuyaqala, futhi iphunga elizwakala le-acetone liyezwakala liphuma emlonyeni.
Ezimweni ezinjalo, kufanele uhlole ngokushesha ushukela wakho. Kudala kushiwo ngenhla ukuthi ingafinyelela ishumi nesine mol / l, kepha kwesinye isikhathi inkomba ifinyelela ishumi nesishiyagalolunye.
Kepha uma kukhulunywa ngezinga lesibili lokuwohloka, isiguli sizwa njalo isicanucanu. Ngemuva kwalokho ukuhlanza kuqala, ubuthakathaka obujwayelekile, ukwaziwa kuyaxaka, izinga lokubona liyancipha, ekugcineni, lokhu kungaholela ekulahlekelweni kombono kushukela, kepha lokhu sekuvele uma kubhekene nezinkinga ezinkulu.
Futhi konke lokhu kuhambisana nezinye izinguquko ezingezinhle esimweni sempilo sesiguli. Okungukuthi, ukuphefumula ngokushesha kanye nokwehla kwezinga lokushisa lomzimba. Izandla nezinyawo zesiguli ziqala ukubanda. Kulesi simo, kudingeka ushayele i-ambulensi ngokushesha futhi uhambise isiguli esibhedlela, ngaphandle kwalokho isimo sakhe singase sibe sibi kakhulu futhi kuthi uma sekwedlule isikhathi sekwehlela.
Yebo, uma kunjalo, uma ngabe lokhu kufunda sekufikile, khona-ke isikhathi siyaphela imizuzu, uma isiguli asixhunyiwe ngokuphuthumayo kuzinto zokwengeza zokuphefumula, singafa.
Njengoba ukwazi ukubona, kuphela endabeni yokuqala ongayenza ngaphandle kosizo lwabezokwelapha ochwepheshe. Kuzo zonke ezinye izimo, kungcono ukubiza i-ambulensi bese uhambisa isiguli esikhungweni sezokwelapha.
Okufanele ukwenze kuqala
Ngemuva kokuthi isiguli silaliswe esibhedlela, uma kunesidingo, into yokuqala okudingeka siyenze ukuhlanza isisu ukunciphisa izinga le-acetone egazini. Ukuze wenze lokhu, sebenzisa isixazululo esikhethekile noma isoda elijwayelekile elixutshwe namanzi.
Futhi kunezeluleko ezihlukile zeziguli ezithembela ku-insulin. Badinga ukufaka imifino nezithelo eziningi ekudleni kwabo, kanye nokuphuza inani elikhulu lamanzi amaminerali.
Ngakho-ke, ukuthi yini okufanele uyenze kuqala ngoshukela ophezulu. Lokhu:
- Ukujova kwe-insulin kweziguli ezinesifo sikashukela se-degree yokuqala (uma izinga likashukela lingaphezu kwe-14).
- Thatha isilinganiso se-glucose njalo amahora amabili.
- Uma ngemuva kwamahora amabili isimo sesiguli singakabi ngcono, shayela i-ambulensi ngokushesha.
- Kulezo ziguli ezingathathi imijovo ye-insulin, kubekwa amaphilisi, kufanele anikezwe uma kutholakale ushukela omningi kakhulu.
- Lapho ukuphefumula kuqala ukuwohloka, isiguli sidinga ukugqoka imaskhi komoya-mpilo.
Uma kungazelelwe isiguli siphelelwe ingqondo, kudingeka senze i-enema sisebenzisa isoda. Kuzosiza ukwehlisa amazinga kashukela futhi kususe i-acetone eyeqile emzimbeni.
Esinye isiluleko esibalulekile sendlela yokunakekela iziguli ezisesimweni esihle, okungukuthi isikhumba sazo. Kuyaziwa ukuthi kulesi simo isikhumba siyabanda, somile futhi siqinile. Ngakho-ke, udinga ukuwuhlikihla njalo ngethawula elimanzi, ikakhulukazi endaweni engaphansi kwamadolo, ebunzini, kanye nasezandleni nasezintanjeni.
Vele, into ebaluleke kakhulu njengamanje ukubuyisela ibhalansi yamanzi emzimbeni. Kepha kuyacaca ukuthi uma isiguli besingazi lutho, khona-ke asikho isidingo sokuthela amanzi emlonyeni wakhe. Kufanele usikhumbuze isiguli bese kuphela uqiniseka ukuthi uyaphuza kakhulu. Kungcono ukunikeza amanzi amaminerali noma isisombululo se-soda.
Kepha kunoma yikuphi, kungcono ukuvimbela izikhathi ezinjalo, futhi ngalokhu kufanele ulandele ngokuqinile ukudla, ugweme ukuphuza ngokweqile uphuzo oludakayo, uthathe imishanguzo ngendlela efanele, futhi ufake imijovo ngesikhathi. Abanesifo sikashukela babuye belulekwe ukuba bagweme ukucindezelwa, ubunzima bezinzwa futhi babheke nokudla kwabo.
Indlela yokuphila yokuhlala phansi nokudla ngokweqile njalo kungaholela ekwandeni kwesifo. Futhi ngenxa yalokho, i-hyperglycemia ingenzeka.
Izeluleko ezijwayelekile zendlela yokusiza kahle isiguli esine-hyperglycemia sezichaziwe ngenhla. Kepha kuyasiza ukuqonda ngemininingwane eminingi ukuthi ungamelana kanjani nezimpawu ezithile. Ngakho-ke, okokuqala, sizoxoxa ngokuthi yini okufanele yenziwe lapho umuntu ekhuphuka kakhulu ushukela bese kuqala ukuhlanza. Kubaluleke kakhulu futhi ukuthi uqhubeke ukukala njalo ushukela wakho.
Uma isifiso sokuhlanza singejwayelekile kakhulu futhi isiguli sikwazi ukudla, lapho-ke kudingeka ukuthi ubheke kakhulu amazinga eglucose. Udinga futhi ukwehlisa umthamo we-insulin ube yiyunithi eyodwa noma ezimbili. Ngaphandle kwalokho, ushukela ungawa kakhulu njengoba wavuka.
Udinga futhi ukukhumbula ukuthi lolu phawu luhambisana nokuphelelwa ngamandla komzimba. Ngakho-ke, kubaluleke kakhulu ukunikeza isiguli ukuphuza okuningana. Uma ushukela uwile, khona-ke udinga ukungaphuzi amanzi asobala, kodwa itiye elimnandi noma ujusi.
Ungakhohlwa ukuthi ngalesi sikhathi kubalulekile ukubuyisa inani elilahlekile likasawoti emzimbeni. Ikakhulu uma kukhulunywa ngokuhlanza isikhathi eside. Ukuze uthole lokhu, isiguli kufanele sinikezwe amanzi amaminerali we-saline noma isisombululo sokhemisi, yithi, iRegidron.
Yebo, uma ukuhlanza kubambezelekile, futhi isimo sesiguli sanda ngokwengeziwe, kuzodingeka ushayele i-ambulensi ngokushesha.
Uma udokotela ngesikhathi sokuhlolwa ephetha ukuthi ukungena esibhedlela akulona isidingo esidingekayo, khona-ke okungenani uzokwenza umjovo wokumisa imfucumfucu.
Noma ngubani onenkinga yesifo esifana nesifo sikashukela kudingeka afunde imithetho embalwa ebalulekile. Ngaphezu kwalokho, abalulekile hhayi esigulini uqobo, kodwa futhi nakuzo zonke izihlobo zakhe. Ngakho-ke, into yokuqala okudingeka ufunde ngayo zonke izimpawu ze-hyperglycemia ne-hypoglycemia. Lokhu kuyadingeka ukuze kubonakale umehluko phakathi kwesimo esandayo somuntu ophethwe yisifo sikashukela futhi ngokushesha alinganise izinga lakhe likashukela wegazi. Uma kuvela noma yiziphi izimpawu, isinyathelo esilandelayo ukukala izinga likashukela wakho. Lokhu kuhlolwa kuphela okuyonikeza incazelo yokuthi kwenzekani ngempela kumuntu. Khumbula ukuthi ushukela awukwazi nje ukuvuka, kodwa futhi uwe. Ngakho-ke, udinga ukuhlukanisa isimo futhi uqonde ukuthi ungasisiza kanjani isiguli ngokushesha.
Futhi izihlobo kufanele zifunde ukunikeza imijovo. Kwesinye isikhathi isimo somuntu singaba sibi kakhulu aze azithambise nge-insulin. Izihlobo kufanele zize ukuzosiza lapha.
Yebo, ngaphezu kwalolo shintsho olukhulu esimweni sesiguli, zingakhona ezinye izimo futhi ezisongela isimo sempilo sesiguli.
Enye yazo ubukhona bezilonda emzimbeni womuntu. Noma ngubani onesifo sikashukela, noma iliphi inxeba liyinkinga yangempela. Ngaphezu kwalokho, ubukhulu bawo abubalulekile ikakhulukazi, ukusikwa okuncane noma i-callus kungaba yinkinga yangempela.
Ngakho-ke, kufanele uphathe ngokucophelela izinto ezibukhali.
Uma lokhu kusenzekile, into yokuqala kufanele uyicubungule ngokushesha indawo enjalo. Ukuze usebenzise lokhu, ungasebenzisa i-furatsilin, iodine, i-zelenka noma enye i-antiseptic. Ukugqoka nge-furacilin noma ukucindezela ngeKutasept nakho kuzosiza, okuzosiza ukwelashwa okusheshayo kwezibazi. Kumele kuqashelwe ukuthi isikhathi sokulashwa kwamanxeba kubantu abaphethwe yisifo sikashukela sihlala isikhathi eside kakhulu kunabantu abaphilile.
Kubaluleke kakhulu futhi ukulandela ukudla okhethekile. Isifo sikashukela kufanele sidle okungenani amahlandla ayisihlanu ngosuku, kepha ngezingxenye ezincane. Kungcono ukunikela ngokuthanda izitshalo zokudla noma inyama enamafutha. Izinhlanzi zilungile, kepha azibhemi. Kungcono ukubilisa ukudla, isiphuzo noma umusi, kepha ungagcwali kunoma yikuphi.
Udokotela okule vidiyo kulesi sihloko uzokwabelana ngezincomo zosizo lokuqala zokwandisa ushukela wegazi.
