Isifo sikashukela i-mellitus kanye nezinkinga zaso kuthinta zonke izinqubo ezenzeka emzimbeni, kubandakanya nomsebenzi obalulekile njenge-thermoregulation. Izinga lokushisa likashukela luphawu lokuphazamiseka kwezimpawu ze-metabolic kanye nezifo ezithathelanayo. Ibanga elijwayelekile kubantu abadala lisuka ku-36.5 liye ku-37.2 ° C. Uma izilinganiso ezithathwe ziphindaphindeka zinikeza umphumela uphakeme, futhi ngasikhathi sinye azikho izimpawu ezijwayelekile zesifo segciwane, kuyadingeka ukuthola nokukhipha imbangela efihliwe yokushisa okuphakeme. Izinga lokushisa eliphansi liyingozi kakhulu kunokuphakama, ngoba lingakhombisa ukwehla kwezokuvikela komzimba.
Izimbangela Zesifo Sikashukela Sikashukela
Ukwanda kwezinga lokushisa, noma umkhuhlane, kuhlale kusho ukuthi impi ekhulayo yamasosha omzimba yokulwa nokutheleleka noma ukuvuvukala. Ukususa izinto eziyingozi emzimbeni, le nqubo ihambisana nokusheshisa kwe-metabolism. Ebudaleni, kungenzeka ukuthi sizwe umkhuhlane we-subfebrile - ukwanda okuncane kokushisa, hhayi ngaphezu kwama-38 ° C. Lesi simo asiyona ingozi uma ukwanda kungokwesikhashana, kufinyelela ezinsukwini ezi-5, futhi kuhambisana nezimpawu zokubanda, kufaka phakathi okuncane: umphimbo obuhlungu ekuseni, ukuqaqamba kosuku, ekhaleni elithambile. Lapho nje impi ne ukutheleleka isinqobile, izinga lokushisa liyehla liye kwelejwayelekile.
Uma izinga lokushisa ezigulini ezinesifo sikashukela ligcinwa endaweni ephezulu isikhathi esingaphezu kwesonto, kungakhombisa ukuphazamiseka okungathi sína ukwedlula umkhuhlane ojwayelekile:
Isifo sikashukela nokucindezela kuzoba yinto yesikhathi esedlule
- Ukwehlela ushukela -95%
- Ukuqedwa kwe-vein thrombosis - 70%
- Ukuqedwa kokushaya kwenhliziyo okuqinile -90%
- Ukuqeda umfutho wegazi ophakeme - 92%
- Ukwanda kwamandla ngesikhathi sosuku, ngcono ukulala ebusuku -97%
- Izinkinga zamakhaza kwezinye izitho zomzimba, imvamisa emaphashini. Ezigulini ezinesifo sikashukela, ikakhulukazi asebekhulile abanolwazi olude lwalesi sifo, amasosha omzimba abuthaka, ngakho-ke maningi amathuba okuba ne-pneumonia.
- Izifo zokuvuvukala zohlelo lomchamo, okuvame kakhulu kuzo yi-cystitis ne-pyelonephritis. Ingozi yalezi ziphazamiso iphakeme kubantu abanesifo sikashukela esingakhokhelwanga, njengoba ushukela wabo uthululwa ngokwengxenye kumchamo, okwandisa ingozi yokutheleleka kwezitho zomzimba.
- Ushukela ophakanyiswa njalo wenza kusebenze ukhunta, okuholela kuma-candidiasis. Ngokuvamile i-candidiasis yenzeka kwabesifazane ngesimo se-vulvovaginitis ne-balanitis. Kubantu abane-immune engajwayelekile, lezi zifo azivamile ukuthinta izinga lokushisa. Esikhathini sikashukela i-mellitus, ukuvuvukala ku-lesion kunamandla, ngakho-ke iziguli zingaba nesimo se-subfebrile.
- Abantu abanesifo sikashukela banengozi ephezulu yezifo eziyingozi kakhulu ezibangelwa amagciwane - staphylococcal. I-Staphylococcus aureus ingadala ukuvuvukala kuzo zonke izitho zomzimba. Ezigulini ezinesifo sikashukela esinezilonda eziyinqatha, umkhuhlane ungakhombisa ukutheleleka ngenxeba.
- Ukuqhubekela phambili kwezinguquko zesilonda ezigulini ezinesifo sikashukela kungaholela ku-sepsis, isimo esibulalayo esidinga ukulaliswa esibhedlela okuphuthumayo. Kulesi simo, gxuma elibukhali lokushisa elingu-40 ° C liyabonakala.
Ngokuvamile i-anemia, i-neoplasms enobungozi, isifo sofuba nezinye izifo zivusa umkhuhlane. Akunakusho ukuthi kufanele uhlehlise ukuya kudokotela ngokushisa okuvela kwimvelaphi engaziwa. Ngokushesha lapho imbangela yako isunguliwe, kuzoba ngcono ukwelashwa kwe-zapnosis.
I -everever sikashukela ihlala ihambisana ne-hyperglycemia. Ushukela omkhulu uwumphumela womkhuhlane, hhayi imbangela yawo. Ngesikhathi sokulwa nezifo, umzimba udinga i-insulin ethe xaxa. Ukugwema i-ketoacidosis, iziguli zidinga ukwandisa isilinganiso semishanguzo ye-insulin kanye ne-hypoglycemic ngesikhathi sokwelashwa.
Izizathu zokwehlisa izinga lokushisa lomzimba kwesifo sikashukela
I-Hypothermia ithathwa njengokwehla kwezinga lokushisa ukuya kuma-36.4 ° C noma ngaphansi. Izimbangela ze-ngokomzimba, i-hypothermia ejwayelekile:
- Nge-subcooling, izinga lokushisa lingase lehle kancane, kepha ngemuva kokungena egumbini elinofudumele ngokushesha kuvamile.
- Ebudaleni, izinga lokushisa elijwayelekile lingahlala ku-36.2 ° C
- Ekuseni kakhulu, i-hypothermia emnene iyisimo esivamile. Ngemuva kwamahora amabili womsebenzi, kuvame ukwenziwa kube njalo.
- Isikhathi sokululama ezifweni ezinzima. Umsebenzi owandayo wamandla wokuvikela yi-inertia uphikelela isikhathi esithile, ngakho-ke izinga lokushisa eliphansi kungenzeka.
Izimbangela zesifo se-hypothermia ku-mellitus yesifo sikashukela:
| Isizathu | Isici |
| Umthamo onganele we-insulin eluhlobo 1 sikashukela. | Ukushisa komzimba okwehlisiwe kuma-diabetesics kungahle kuhlotshaniswe nendlala yamaseli. Uma izicubu zomzimba zingatholi ushukela owanele, kudalwa ukusilela kwamandla amakhulu. Ukuntuleka komsoco kuholela ekuphulweni kwe-thermoregulation. Isiguli esinesifo sikashukela sizwa ubuthakathaka, ukubanda emaphethelweni, isifiso esingenakuvinjwa samaswidi. |
| Ukumelana ne-insulin okunamandla ngohlobo 2 sikashukela, ukuhoxa kwezidakamizwa. | |
| Indlala isiteleka, ukudla okuqinile. | |
| I-hypoglycemia engapheli ngenxa yokwelashwa okungafanele kwesifo sikashukela, imvamisa ebusuku. | |
| Izifo zeHormonal, imvamisa i-hypothyroidism. | I-Metabolism ikhubazekile ngenxa yokuntuleka kwama-hormone egilo. |
| Ama-Sepsis kuma-diabetics asebekhulile, nokungagcineki kahle kokugula, izinkinga eziningi. | Imvamisa ihambisana nomkhuhlane. I-Hypothermia kuleli cala iyisibonakaliso esiyisixwayiso, esikhombisa ukulimala ohlelweni lwezinzwa olubhekele i-thermoregulation. |
| Ukwehluleka kwe-hepatic, ngesifo sikashukela sohlobo 2, kungaba yinkimbinkimbi ye-hepatosis enamafutha. Isimo sikhula nge-angiopathy. | Ngenxa ye-gluconeogenesis enganele, imvamisa ye-hypoglycemia iyanda. Ukusebenza kwe-hypothalamus nakho kukhubazekile, okuholela ekunciphiseni kwezinga lokushisa. |
Ukuziphatha okulungile emazingeni okushisa aphezulu
Zonke izifo ezihambisana nomkhuhlane ku-mellitus yesifo sikashukela ziholela ekwandeni kwe-insulin. Imisebenzi ye-insulin, kunalokho, ibuthakathaka ngenxa yokukhishwa okwandayo kwama-hormone okucindezela. Lokhu kuholela ekubonakala kwe-hyperglycemia emahoreni ambalwa ngemuva kokuqala kwesifo.
Iziguli ezinesifo sikashukela sohlobo 1 zidinga imithamo eyengeziwe ye-insulin. Ukulungiswa, kusetshenziswa i-insulin emfushane, kufakwa kuyo isilinganiso somuthi ngaphambi kokudla, noma imijovo eyengeziwe yokulungisa eyenziwa ngosuku. Ukwanda komthamo kuncike ekushiseni, futhi kusuka ku-10 kuye ku-20% wenani elijwayelekile.
Ngohlobo 2 sikashukela, ushukela ungalungiswa ngokudla okune-carb ephansi neMetformin eyengeziwe. Ngomkhuhlane omude isikhathi eside, iziguli zidinga imithamo emincane ye-insulin njengesijobelelo ekwelashweni okwejwayelekile.
I -everever sikashukela ivame ukuhambisana ne-acetonemic syndrome. Uma ushukela wegazi ungancishwanga ngesikhathi, kungaqalwa i-ketoacidotic coma. Kuyadingeka ukwehlisa izinga lokushisa ngemithi uma lidlula 38,5 ° C. Izintandokazi zesifo sikashukela zinikezwa ezibhebheni, ngoba amasiphu aqukethe ushukela omningi.
Ungalinyusa kanjani izinga lokushisa
Ku-mellitus yesifo sikashukela, isenzo esisheshayo sidinga i-hypothermia ezigulini ezinezilonda ezibanzi noma i-gangrene. Ukwehla kwezinga lokushisa kwe-asymptomatic isikhathi eside kudinga ukuhlolwa esikhungweni sezokwelapha ukuthola imbangela yaso. Uma kungatholakali okungahambi kahle, ukulungiswa kwesifo sikashukela nezinguquko zendlela yokuphila kuzosiza ukukhulisa izinga lokushisa komzimba.
Iziguli ziyanconywa:
- ukuqapha ushukela wegazi nsuku zonke ukuthola i-hypently hypemlycemia. Lapho zitholakala, ukulungiswa kokudla kanye nokwehliswa komthamo kwama-ejenti we-hypoglycemic kuyadingeka;
- Ukuzivocavoca ukwenza ngcono ukuthathwa koshukela
- ungawakhiphi ngokuphelele wonke ama-carbohydrate ekudleni, shiya okuwusizo kakhulu kubo - kancane;
- Ukuthuthukisa ukuqina
Uma i-mellitus yesifo sikashukela ihlanganiswa ne-neuropathy enokuzwakala kokushisa okungahambi kahle, izingubo ezikhanyayo kakhulu lapho kubanda zingaholela ku-hypothermia.
Ukulungiswa kokudla okunempilo
Emazingeni okushisa aphakeme, awuzizwa ulambile. Kubantu abaphilile, ukulahleka kwesikhashana kwesifiso sokudla akuyona ingozi, kepha kwiziguli ezine-metabolism ephazamisekile kungavusa i-hypoglycemia. Ukugwema ukuwa ushukela, abaneshukela kufanele badle i-1 XE yama-carbohydrate njalo ngehora - okuningi ngamayunithi esinkwa. Uma ukudla okujwayelekile kungakujabulisi, ungaguqula okwesikhashana ekudleni okulula: ngezikhathi ezithile udle izipuni ezimbalwa zephalishi bese kuba ne-apula, bese kuthi i-yogurt encane. Ukudla nge-potassium kuzoba wusizo: ama-apricots omisiwe, i-legumes, isipinashi, i-avocado.
Ukuphuza kakhulu kumazinga okushisa aphezulu kuyasiza kuzo zonke iziguli, kodwa abanesifo sikashukela abane-hyperglycemia ikakhulukazi. Banobungozi obukhulu be-ketoacidosis, ikakhulukazi uma umkhuhlane uhambisana nokuhlanza noma uhudo. Ukugwema ukomisa futhi ungakhuli isimo, njalo ngehora udinga ukuphuza ingilazi yamanzi kumasiphu amancane.
Nge-hypothermia, kubalulekile ukusungula izakhi ezijwayelekile zokudla okunempilo, ususe isikhathi eside ngaphandle kokudla. Inani elivunyelwe lama-carbohydrate asatshalaliswa ngokulinganayo phakathi nosuku lonke, ukuthandwa kunikezwa ekudleni okushisayo okulamanzi.
- Isihloko sethu esihlokweni: imenyu yesifo sikashukela esinesifo sohlobo 2
Izimpawu eziyingozi ezidinga ukunakekelwa kwezokwelashwa
Izinkinga ezinkulu zesifo sikashukela, ezingase zihambisane nokushintshwa kwezinga lokushisa, yi-hypo- ne-hyperglycemia eyingozi kakhulu. Lezi ziphazamiso zingaholela ekhefeni kungakapheli amahora.
Kudingeka usizo lwezokwelashwa oluphuthumayo uma:
- ukugabha noma ukuhudula kuthatha isikhathi esingaphezu kwamahora ayi-6, ingxenye eyinhloko ye-ketshezi edliwayo isuswa ngokushesha;
- ushukela wegazi ungaphezulu kwamayunithi ayi-17, futhi awukwazi ukulinciphisa;
- izinga eliphezulu le-acetone litholakala kumchamo - funda ngakho lapha;
- isiguli sikashukela sehlika ngokushesha emzimbeni;
- onesifo sikashukela unobunzima bokuphefumula, ukuphefumula kuyabonakala;
- kukhona ukozela okukhulu, amandla okucabanga nokwakha imishwana sekonakele, ulaka olungenasisekelo noma ukungabi nandaba kuye kwavela;
- izinga lokushisa lomzimba sikashukela ngaphezulu kwe-39 ° C, alihambeki nezidakamizwa isikhathi esingaphezu kwamahora ayi-2;
- Izimpawu ezibandayo azihambisani nezinsuku ezi-3 ngemuva kokuqala kwesifo. Ukukhwehlela okukhulu, ubuthakathaka, ubuhlungu bemisipha buqhubeka isikhathi esingaphezu kwesonto.
