Isifo sikashukela isifo sikashukela yisifo esibi kakhulu esihambisana nokusebenza kokuphazamiseka kohlelo lomzimba lwe-endocrine. Kaningi, ukonakala kwenzeka ngenxa yokwehla okubukhali noma ukwanda kwe-glucose emzimbeni.
Ukuvela kwezinkinga ngoshukela wegazi ngokuhamba kwesikhathi kungavusa ukuthuthuka kwenkimbinkimbi yezifo emzimbeni.
Emzimbeni wesiguli kunezinkinga ngesimo somugqa wezinwele, izilonda ezelapha isikhathi eside ziyavela, i-gangrene futhi, kwezinye izimo, izifo ze-oncological zingaba khona.
Kuyini i-hypoglycemia?
Isimo lapho izinga likashukela wegazi lehlile kakhulu libizwa ngokuthi yi-hypoglycemia. Unezimpawu zangaphandle ezilandelayo:
- ukubukeka kokuqhaqhazela nokuthuthumela ezandleni;
- ukwenzeka kwesiyezi;
- ukubonakala komzwa wobuthakathaka obujwayelekile;
- kwezinye izikhathi, ukulahleka kombono kwenzeka.
Lapho kuvela izimpawu zokuqala zesimo esibucayi somzimba, kuyadingeka ngokushesha ukukala izinga le-glucose emzimbeni wesiguli. Uma kutholakala okuqukethwe okuncishisiwe, kuphuthumayo ukubuyisa ukuqoqwa kokugcina kufinyelele ezingeni elijwayelekile kumuntu. Ngale njongo, udinga ukusebenzisa ama-carbohydrate asheshayo. Inani lama-carbohydrate asheshe athathwe kufanele libe yi-10-15 g. Lolu hlobo loshukela luqukethe:
- ujusi wezithelo;
- ushukela
- uju;
- ushukela ezibhebheni.
Ngemuva kokuthatha ingxenye yama-carbohydrate, udinga ukukala futhi izinga le-glucose emzimbeni womuntu ngemuva kwemizuzu engama-5 ukuya kwengama-10. Uma umuntu ehla futhi ushukela wegazi noma ukukhuphuka kwakhe kungabalulekile, kufanele kufakwe i-10-15 g ye-glucose ngokungeziwe.
Uma isiguli sehlulekile ukwaziwa ngesikhathi sokuqala kwesimo esibucayi noma isimo sakhe singathuthuki, kufanele ushayele i-ambulensi ngokushesha. Kubalulekile futhi ukuba nombono wokuthi yini eyenza usizo lokuqala kwisifo sikashukela.
I-Hypoglycemia iwuphawu olungapheli olukhuthaza ukuthuthuka komzimba uma ungathathi izinyathelo zokuvimbela ezidingekayo ngesikhathi esifanele.
Kuyini ukushaqeka kwe-hypoglycemic?
I-Hypoglycemic noma i-insulin shock kwenzeka lapho kwehla kakhulu inani leshukela emzimbeni wesiguli onesifo sikashukela noma inani lokunyuka kwe-insulin. Lesi simo senzeka uma isiguli isikhathi eside singadli ukudla noma sathola ukwanda ngokomzimba.
Ngokuvamile, isimo sokushaqisa singabikezelwa futhi ukuthuthukiswa kwenkinga kashukela kungavinjelwa. Kodwa-ke, kwezinye izikhathi, isikhathi sosizi singase sibe mfushane kangangokuba singanakwa isiguli.
Ngalesi sifundo, isiguli siphelelwa amandla bese sikhubazeka ekusebenzeni kwezinhlelo zomzimba ezilawulwa yingxenye yobuchopho. Lokhu kungenxa yokuthi ukwehla kwenani le-glucose emzimbeni kwenzeka ngesikhathi esifushane futhi kuholele ekunciphiseni okukhulu ekudleni kokugcina ebuchosheni.
Ama-harbinger enkinga kashukela yile:
- Ukwehla okukhulu kwesilinganiso se-glucose kumaseli wobuchopho, okuholela kokuvela kwe-neuralgia kanye nokuphazamiseka okuhlukahlukene kokuziphatha. Ngalesi sikhathi, isiguli sinamaqhubu futhi kungenzeka ukuthi umuntu alahlekelwe ukuqaphela.
- I-excitation yohlelo lokuzwela lwesiguli luyenzeka. Isiguli sihlakulela futhi sijulise umuzwa wokwesaba futhi sinciphise isibani semithambo yegazi siyabonakala, izinga lokushaya kwenhliziyo liyenyuka kanye nenani lezithukuthuku ezithuthukisiwe landa.
Lapho wenza ukwelashwa kwe-insulin okuhlala isikhathi eside, isiguli kufanele sikhumbule ukuthi inani loshukela emzimbeni lishintsha kakhulu ekuseni nakusihlwa. Ngalezi zikhathi lapho i-hypoglycemic coma iba khona kaningi.
Uma inkinga kashukela iba iphupho, khona-ke isiguli siba namaphupho amabi, kanti ukulala kwakhe kuyizinto ezingefani futhi kuyethuse. Uma ingane inesifo sikashukela, khona-ke lapho kuba nenkinga lapho ilele, ingane iqala ukukhala nokukhala, kuthi lapho ivukile, ukwazi kwayo kudideke, imvamisa ayikhumbuli ukuthi kwenzekani phakathi nobusuku.
Izimbangela ze-Insulin Shock
Ukuthuthukiswa kokuqhaqhazeka kwe-insulin kuvame ukwenzeka ezigulini ezihlushwa i-mellitus yesifo sikashukela esibuhlungu kakhulu. Izici ezibalulekile ezingavusa isimo lapho umuntu eba nesimo se-hypoglycemia futhi kamuva ekhefeni yilezi ezilandelayo:
- Ukwethulwa emzimbeni wesiguli komthamo obalwe ngokungafanele we-insulin.
- Ukwethulwa kwehomoni intramuscularly, hhayi ngaphansi kwesikhumba. Lesi simo siphakama lapho sisebenzisa inaliti ende noma lapho isiguli sizama ukusheshisa ukusebenza komuthi.
- Ukuhlinzeka umzimba ngokuzivocavoca okuphezulu komzimba, ngaphandle kokudla ukudla okune-carbohydrate okuqukethwe.
- Ukuntuleka kokudla ngemuva kwenqubo yokuletha ukulungiswa kwe-insulin emzimbeni wesiguli.
- Ukuhlukumezeka kweziphuzo eziqukethe utshwala ezigulisayo
- Ukwenza ukukhohlisa kwemisipha endaweni yomjovo.
- I-trimester yokuqala yokukhulelwa.
- Ukuvela kokwehluleka kwezinso esigulini.
- Ukuthuthukiswa kwesibindi esinamafutha.
Inkinga kashukela ivame ukwenzeka ezigulini ezinesifo sikashukela ezihlushwa i-pathologies yezinso, amathumbu, isibindi nohlelo lwe-endocrine.
Ngokuvamile, i-hypoglycemia ne-coma kwenzeka ngenxa yokusetshenziswa ngasikhathi sinye ekwelapheni ama-salicylates nezidakamizwa ezihlobene neqembu le-sulfonamide.
Izimiso zokwelashwa kwe-hypoglycemia
Uma i-hypoglycemic coma yenzekile, khona-ke ukwelashwa kwesiguli kufanele kuqale ngenqubo yokulawulwa kweglue glucose. Ngale njongo, isisombululo esingu-40% sisetshenziswa kumthamo ongu-20 kuye ku-100 ml. Inani lezidakamizwa ezisetshenziswayo lincike ekutheni isiguli sithola ngokushesha ukuqaphela.
Uma kune-coma ngendlela ebucayi, khona-ke i-glucagon, ephathwa ngaphakathi kwethambo, iyadingeka ukususa isiguli kulesi simo. Ezimweni ezimbi kakhulu, ama-glucocorticoids, aphethwe nge-intramuscularly, angasetshenziswa. Ngaphezu kwalokho, isisombululo se-0,1% se-adrenaline hydrochloride sisetshenziselwa ukwenza isiguli siqaphele futhi sisimamise isimo sayo. Umuthi usetshenziswa ngevolumu engu-1 ml futhi uhanjiswa esigulini ngokuzithoba.
Uma isiguli sine-reflex yokugwinya, khona-ke isiguli kufanele sidakwe isiphuzo esiphundu noma i-glucose solution.
Uma isiguli sinenkinga yokuphefumula, akukho ukusabela kwabafundi ekukhanyeni nokugwinya i-Reflex, isiguli kufanele sidonse amaconsi amancane kashukela ngaphansi kolimi. I-glucose yinto engadonswa kalula ngumzimba ngqo isuka emgodini womlomo. Kuyadingeka ukuthi ushayele ngokucophelela ukuze isiguli singakhungatheki. Ukwenza lula le nqubo, ungasebenzisa ama-gels akhethekile noma uju okhethekile.
Uma umuntu ene-hypoglycemic coma, kwenqatshelwe ukufaka amalungiselelo e-insulin emzimbeni, ngoba angamane enze isimo sesiguli sibe sibi kakhulu. Ukwethulwa kwemithi equkethe i-insulin kuzoholela kuphela ekutheni amathuba wokuthola isiguli azoncipha futhi umphumela obulalayo wesiguli kungenzeka.
Lapho usebenzisa i-insulin ukwelashwa ukuvimbela ukuvela kwesimo se-hypoglycemia, kufanele kusetshenziswe ama-syringes akhethekile ane-blockage, okuvimbela ukwethulwa kwe-insulin ethe xaxa emzimbeni.
I-insulin coma ukugula okuyingozi kakhulu okungaholela ekufeni. Ngalesi sizathu, amandla okuhlinzeka usizo lokuqala kwiziguli ezinesifo sikashukela kubaluleke kakhulu. Kubaluleke kakhulu ngesikhathi esifanele ngemuva kosizo lokuqala lokuqhuba inkambo edingekayo yokwelashwa ukubuyisela umzimba emuva kokuthola ukwethuka. Ividiyo ekulesi sihloko izokusiza uqaphele ukuthi unesifo sikashukela.
