Ukuqhuma okuncane kwe-glycemia ngemuva kokudla akuyona ingozi, kepha uma kwenzeka kaningi, kufanele uguqule ekudleni ukuletha izinkomba emikhawulweni eqinile. Lapho kutholwa ushukela wegazi 22 esigulini, lokhu kubonisa ukukhula ngokushesha kwenqubo ye-pathological. Kubalulekile kulesi sigaba ukuthola imbangela yokwephulwa kweqiniso.
Uma kungekho zinyathelo ezithathwe ngesikhathi zokwelapha ezithathiwe ngesikhathi esifanele, kungaba nemiphumela emibi kakhulu, ngokwesibonelo, ukuwa ukwethuka, ukushaqeka kwesifo sikashukela. Ukwelapha kuqukethe ngokulungisa izinga le-glucose esegazini futhi kuqedwe lesi sifo esiyimbangela.
Ushukela Wegazi 22 - Kusho Ukuthini
Ushukela wegazi ophakeme, ofinyelela kuma-22.1 nangaphezulu, uvame ukubonwa ngabantu abanesifo sikashukela.
Isimo se-Hyperglycemic kwizimbangela ezinjalo:
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%
- ukweqa imijovo ye-insulin noma umuthi oshisa ushukela, kanye nomthamo wawo ongalungile;
- ukusetshenziswa kwamanani amakhulu ama-carbohydrate akhanyayo. Ngaso leso sikhathi, umuthi olungiselelwe awanele ukulahla izinto ze-glucosylating ezinqwabelana egazini;
- isifo esithathelwanayo noma segciwane;
- ukweqisa okukhulu kwengqondo-ngokomzwelo;
- impilo yokuhlala nokuntuleka kokuzivocavoca umzimba.
Abanesifo sikashukela kudingeka bahlole njalo amanani kashukela nge-glucometer ephathekayo ukuvikela ukukhula kwesimo esibucayi. Kubantu abangenaso isifo sikashukela, izinga le-glucose lamayunithi angama-22.9 noma ngaphezulu libhalelwe:
- ukuzikhandla isikhathi eside, ukusebenza ngokweqile;
- ukudla okungalinganiseli, ukudla ngokweqile;
- ukuba khona kwama-tumor formations kanye nezinqubo zokuvuvukala kuma-pancreas;
- isifo se-hepatic noma sezinso;
- i-pathologies ethinta uhlelo lwethambo nenhliziyo;
- ukuphuza njalo izidakamizwa ezithile, imiphumela emibi yako engadala ukugxuma ku-hyperglycemia;
- ukungalingani kwe-hormonal;
- ukuthuthukiswa kwesifo sikashukela ngohlobo lokuqala noma lwesibili;
- izifo ezihlobene nohlelo lwe-endocrine;
- ukusetshenziswa ngokweqile kotshwala.
Isimo se-pathological esinezinga le-glucose lama-22.2 mmol / l nangaphezulu asikwazi ukubonwa njengophawu lwesifo sikashukela. Lesi ngesici esisodwa nje esingesihle kwabaningi. Ukusungula isifo, kufanele ihlolwe ngokucophelela.
Izimpawu zokugcotshwa kakhulu koshukela egazini, kufinyelela inani lamayunithi angama-22.3-22.4 noma ngaphezulu, kufaka phakathi:
- umuzwa ngaphambi kokuhlanza;
- ukuqunjelwa;
- isiyezi, ukuhlaselwa kwe-cephalalgia;
- ukulamba okungapheli noma, ngakolunye uhlangothi, ukulahleka kwesifiso;
- ubuvuvu, ukungabi namandla, ukozela;
- ukuphazamiseka kokulala;
- ukunganaki, ukungaxineki;
- ukuchama njalo
- ukoma okungenakuphikiswa nomlomo owomile;
- ukuphulukiswa kabi kwesikhumba;
- ukukhuphuka kokujuluka;
- ukulahleka kakhulu noma inzuzo yesisindo;
- ukuzindla, ukudinwa, izinhlungu emaphethelweni aphansi;
- ukulunywa kwe-membrane ye-mucous (ikakhulukazi kwabesifazane);
- ukungasebenzi ngocansi, ukuncipha kwe-libido (emadodeni).
Uma umuntu eqaphela izimpawu eziningana kwizimpawu ezifakwe kuhlu, kufanele uthintane nodokotela we-endocrinologist bese uhlola igazi likashukela. Ngokuzayo, udokotela uzosho okufanele akwenze ukumisa inqubo ye-pathological, nokuthi welashwa kanjani (uma i-hyperglycemia iqinisekiswa izivivinyo zaselebhu).
Ngabe kufanele ngesabe
Imvamisa, kuma-diabetes, ushukela wegazi 22 ubonwa ohlotsheni lwesibili lwe-pathology, lapho umuntu engalaleli izincomo zochwepheshe, edla ukudla okungekho emthethweni futhi eqhubeka nokuphila impilo ejwayelekile, engenampilo impela. Uma uqhubeka nokuvumela lesi sifo ukuba sikhukhuleke, lesi sifo siba yingozi, sigeleza izinhlobo ezinzima.
Kuzimpawu ezedlule, ezilethe ubunzima obuningi, ziyangezwa:
- ukuphazamiseka kokugaya ukudla - isifo sohudo esiphindaphindwayo, ubunzima bokuhamba kwamathumbu, izinhlungu esiswini;
- Izimpawu eziphinyiselwe ukudakwa - ubuthakathaka obungenakunqotshwa, ukulahlekelwa amandla, isicanucanu, i-cephalgia;
- iphunga le-acetone elisuka emlonyeni nomchamo;
- umbono omfiphele;
- ukuthambekela kwezifo ezithathelwanayo ezihlala njalo okunzima ukuzelapha;
- ukucindezela izinhlungu e-sternum, tachycardia, arrhythmia, kwehlise umfutho wegazi, ukugqama kwezindebe kanye nokuqina kwesikhumba okuhambisana nomonakalo ohlelweni lokujikeleza kwegazi nenhliziyo.
Ngokuphikisana nesizinda sokulimazeka kwe-carbohydrate metabolism kanye nokuqongelela ushukela egazini, izifo ezingathi sína ziqhubeka njalo futhi zingaholela ekukhubazekeni. Kulezi, i-retinopathy - ukulimala kwe-retina, i-nephropathy - isifo sezinso, i-angiopathy - okuthinta izicubu zenhliziyo, i-encephalopathy - okuholela ekubulaleni indlala komoya wamangqamuzana obuchopho, i-neuropathy, okuthinta uhlelo lwezinzwa futhi kubangele ukungasebenzi kwezitho, isifo sikashukela - ukubonwa kwezicubu zemikhawulo engezansi. Kepha umphumela oyingozi kakhulu kashukela wegazi ophakeme egazini onamanani amayunithi angama-22.5-22.6 nangaphezulu ukukhohlisa.
I-coma yesifo sikashukela iyabonakala:
- Impendulo enganele yemibuzo elula;
- ukunganaki noma ulaka;
- ukuhlangana okungahambi kahle kokunyakaza;
- ukucindezelwa kokukhishwa, okubandakanya ukugwinya;
- ukwehla kokuphendula okushukumisayo kwangaphandle (ukukhanya, umsindo, ubuhlungu);
- ukudideka, ukulahlekelwa ukwazi.
Ngisize ngesifo sikashukela
Izihlobo zesiguli zidinga ukwazi ukuthi zenzeni esimweni esinjalo. Ukusindisa impilo yalowo ohlukunyeziwe, esebonile izimpawu ezingenhla, kufanele ushayele i-ambulensi ngokushesha.
Ngenkathi odokotela besendleleni, udinga:
- abeke isiguli eceleni kwakhe. Uma ukuhlanza sekuqalile, zama ukuhlanza imbobo yomlomo kusuka ekuhlanzeni ukwenza lula ukuphefumula futhi uqede nengozi yokuhlaselwa;
- govuza izipuni ezincane ezinoshukela ngamanzi bese unika isiphuzo. Nge-hyperglycemia ephezulu, lo muthi ngeke usithinte kakhulu isimo sohlukunyezwa, kepha ngengxaki ye-hypoglycemic (engenzeka futhi nesifo sikashukela, lokhu kuzosindisa impilo yakhe);
- uma ulahlekelwa ukwazi, qapha imisebenzi yokuphefumula, futhi uma kunesidingo, qala ukuvuselelwa ngaphambi kokufika kodokotela.
Ngaphansi kwezimo zokuma, isiguli sixhunywe kwisetshenziswa yokufakelwa kokuphefumula futhi ama-hormone aphathwa kahle. Ukuqiniswa kweglucose kuvumela ukwethulwa kwe-insulin. Ukulungisa i-acidity, ukuphathwa kwe-droplet kwezixazululo ze-alkalizing kuyasetshenziswa. Izixazululo ze-saline zisiza ukugwema ukuphuma komzimba, futhi zenze ibhalansi ye-electrolyte ibe yjwayelekile. Ukwelashwa okuthe xaxa kususelwa ekuqothulweni kwezimbangela ezidale ukuthi kuqhume kakhulu i-hyperglycemia kuze kufike ku-22,7.
Okufanele ukwenze uma izinga ushukela lingaphezulu kwama-22
I-hyperglycemia ye-acute imiswa ngokwethulwa kwe-insulin futhi ngasikhathi sinye isuse imiphumela emibi yokwandisa amazinga kashukela kuya kumanani angama-22.8 mmol / l nangaphezulu. Ngokushesha lapho izinkomba zijwayelekile, kuhlolwa okwesibili ukuthola izimbangela zenqubo ye-pathological ebangelwa ukungasebenzi kahle kwe-carbohydrate metabolism.
Uma kutholakala ukuthi ukugxila kweglucose kuyanda ngenxa yohlobo 1 sikashukela, kuyachazwa ukwelashwa okuqhubekayo. Isiguli sidinga ukubhaliswa ne-endocrinologist futhi sihlolwe njalo ezinyangeni eziyisithupha nabanye ochwepheshe njengezindlela zokuvimbela. Udokotela utshela ukuthi ungayisebenzisa kanjani kahle i-insulin, lapho kufanele unikezwe khona imijovo, lapho wenza inqubo, kanjani ukubala umthamo, futhi wethule namanye ama-nuances wezokwelashwa.
Ngohlobo lwesibili oluzimele lwe-insulin olusebenzisa izidakamizwa, kusetshenziswa izidakamizwa ezinciphisa ushukela ezikhulisa umkhiqizo we-insulin Qiniseka ukuthi ulandela ukudla, ulondoloze indlela yokuphila esebenzayo, uyeke imikhuba emibi.
Uma i-glycemic leap ibangelwa hhayi ngesifo sikashukela, kepha ngesinye isifo, ungasusa okuqukethwe i-glucose ephezulu ngokuphulukisa ukugula okukhulu. Iziguli zingabekwa ngemithi enciphisa umsebenzi we-thyroid. Nge-pancreatitis, ukudla kokudla kuyasetshenziswa. Ama-tumors asuswa ngokuhlinzwa.
Ukuvimbela
Ukuvimbela okunye ukwanda koshukela egazini, abanesifo sikashukela kudingeka basebenzise njalo izidakamizwa ezinciphisa ushukela, bazilolonge ngokomzimba, bavuselele ukudla kwabo, bavikele i-hypodynamia futhi banikeze umbuso ophuzayo. Uma, ngokuya ngayo yonke le mithetho, izinga loshukela liqala ukukhuphuka, kuyadingeka ukubona udokotela ngokuphuthumayo, futhi ulungise umthamo womuthi.
Kubantu abaphilile, ukuvimbela i-hyperglycemia kuzoba yindlela yokuphila enempilo, isilinganiso esanele somsebenzi womzimba, ukudla okufanele, okunempilo, ukwenqaba ukuphuza utshwala njalo namaswidi.
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