Isifo sikashukela mellitus ngesinye sezifo ezivame kakhulu emhlabeni. Ukuvela kanye, ngeke ashiye umzimba wesiguli.
Lesi sifo siphoqa isiguli ukuthi siqaphe izinga kashukela impilo yakhe yonke futhi sinamathele kweminye imithetho ebalulekile ukuze ingaholeli ezingxakini ezinkulu.
Kunenkolelo eqinile emphakathini yokuthi ukubulawa yisifo sikashukela kuyinto eyejwayelekile. Ngabe isiguli sonke siphelile? Ungathola impendulo yalo mbuzo ngezansi.
Kwenzekani ezinhlelweni zomzimba ezinamazinga kashukela aphakama njalo?
Izinga le-glucose eliphakamiswe ngokuqinile kwisifo sikashukela licasisa ukuqhubeka kwezinkinga ezahlukahlukene. Lesi simo sibangela ukudakwa komzimba, kucasule ukunqwabelana kwezinto ezinobuthi. Kulesi simo, kunokuwohloka emsebenzini wazo zonke izitho zomzimba.
Imizimba yeKetone ne-acetone buthelela, okuthuthukisa i-ketoacidosis. Lesi simo kungaholela ekufeni kwesifo sikashukela.
Ushukela omningi ubhubhisa izindonga zama-capillaries nemithambo yegazi kuyo yonke inqubo yokujikeleza kwegazi. Kulokhu, yomibili imikhumbi ye-coronary neye-cerebral iyahlupheka, futhi isenzo sibuye siqonde emaphethelweni aphansi, okuholela onyaweni lwesifo sikashukela.
Ngaphezu kwalokho, ama-atherosselotic plaque akhula emikhunjini ethintekayo, okuholela ekuqhekekeni kolwelwe lwemikhumbi. Ngenxa yalokhu, lokhu kudalwa kwengqondo kungavusa ukushaywa ngamandla, ukushaya kwenhliziyo, futhi kuholele ekususweni kwengalo.
Ngingabulawa yisifo sikashukela?
Lapho i-insulin ingekho emithini, izinga lokufa kwabantu abanesifo sikashukela laliphezulu kakhulu.Kodwa-ke, izindlela zanamuhla zokwelapha lokhu kutholwa zingabambezela kakhulu imiphumela ebulalayo.
Eqinisweni, akusona isifo sikashukela uqobo esiholela ekufeni, kodwa izingqinamba ezibanga zona..
Ngokusekelwe kokushiwo ngenhla, umphumela wezinga likashukela ophakeme njalo emzimbeni, singaphetha ngokuthi okuqukethwe kwawo okuphezulu kuholela ekuthuthukisweni kwezifo eziningi, phakathi kwazo lezo ezingenza isiguli sife.
Ukuze ungalethi umzimba esimweni esinjalo, umuntu onesifo sikashukela kufanele aqaphe njalo isimo sakhe.
Izimbangela ezivame kakhulu zokufa phakathi kwabanesifo sikashukela
Uhlobo olu-1
Ngohlobo lokuqala lwesifo sikashukela, izimbangela zokufa zingaba:
- ukwehluleka kwenhliziyo;
- infarction myocardial - imvamisa imbangela yokufa kwesifo sikashukela ngenxa yesistimu yemithambo engenamandla.
- i-ischemia;
- i-nephropathy yisifo sezinso esihambisana nokwehluleka kwezinso. Ngaphandle kokwelashwa, kuyabulala;
- angina pectoris;
- unyawo lwesifo sikashukela.
Izinhlobo ezi-2
Ngohlobo lwesibili sikashukela, izimbangela zokufa zingaba:
- ketoacidosis - eba ngenxa yokuphazamiseka kwe-metabolic, okuholela ekwakhekeni kwezidumbu ze-ketone, zona, zibe nomphumela onobuthi ezithweni, okuholela ekugcineni ekufeni;
- izifo ezithathelwanayo ezinolaka - Ngenxa yokungatheleleki kokutheleleka kokutheleleka, umuntu onesifo sikashukela kulula ukungena emzimbeni. Kungenzeka kokubili ukutholakala kokugula okwelapheka ngokuqinile futhi okungenakuphulukiswa okuholela ekufeni;
- ukuqina kwemisipha - kwenzeka ngenxa ye-neuropathy, kuholela kokungasebenzi kahle emzimbeni. Ukufa kuleli cala kwenzeka ngenxa yokuvela kwenhliziyo;
- isifo sikashukela se-nephropathy - kuholela ekwehlulekeni okukhulu kwezinso, kwezinye izimo, ukwelashwa kungenzeka kuphela ngokuthakathwa.
Yiziphi izinkinga ongazibulala ngokuzumayo?
Ukufa okungazelelwe kwesifo sikashukela kungaholela ku:
- I-CHD (isifo senhliziyo);
- unyawo lwesifo sikashukela;
- isimo se-hyperosmolar;
- isifo sokuqina kwemithambo yegazi kanye namanye ama-pathologies emithambo yegazi;
- isifo sikashukela sikashukela;
- ukuwohloka okuqinile kwesimiso sokuzivikela komzimba, lapho noma yiziphi izilonda ezibangelwa amagciwane zingabulala;
- isifo sikashukela se-nephropathy;
- ukwehluleka kwe-cardiopulmonary.
Izimpawu nezimpawu zesifo ezinganakwa
Ngoshukela, i-hyperosmolar, hypoglycemic noma i-hyperglycemic coma kungenzeka. Ukungazinaki izimpawu zokuqala zalezi zimo, isiguli singafa.
Izimpawu ze-hyperosmolar coma:
- ukoma okukhulu;
- ubuthakathaka bemisipha;
- ukuchama njalo;
- ukunciphisa umzimba;
- ulwelwesi olomile lwe-mucous;
- ukwephulwa okubukhali;
- ukuphefumula ngokushesha;
- ukunciphisa abafundi;
- ukuphazamiseka kwesigqi senhliziyo;
- ukuntuleka kwe-tendon ekhombisa;
- i-hypertonicity yemisipha;
- ukungazi kahle.
Izimpawu ze-hypoglycemic coma:
- ikhanda kanye nobuthakathaka;
- ukuphefumula
- i-tachycardia;
- indlala enkulu;
- umswakama ezinyaweni nasezandleni;
- indlala yesikhumba;
- ukungaboni kahle
Izimpawu ze-hyperglycemic coma:
- isicanucanu
- ukulunywa
- ukukhathala;
- ukuhlanza
- ukoma
- ubuthakathaka obujwayelekile.
Izimpawu ezilandelayo kufanele futhi zazise noma ngubani onesifo sikashukela:
- ukwehla kwesisindo okubukhali (ngaphezu kwe-5% yangempela ngenyanga);
- ukuchama njalo;
- ukungaboni kahle
- ukwanda kwendlala;
- ukukhathala okungapheli kanye nokukhubazeka;
- ukoma okukhulu;
- iphunga le-acetone elisuka emlonyeni;
- ukugeleza nokuqina kwamalunga;
- ukuphulukiswa kwenxeba isikhathi eside.
Izibalo zokufa kwesifo sikashukela
Ngokusezingeni lesibalo sezifundo ezenzeka ekufeni kwesifo sikashukela, bekucaciswa ukuthi abesifazane batholakala kalula kulokhu kunabesilisa.Amathuba okufa aphakeme kakhulu, angama-65%, kubantu abanesifo sikashukela sohlobo 2 abanezinkinga zenhliziyo.
Futhi ngesifo sikashukela sohlobo 1, kulokhu, izinga lokufa liyi-35%.
Kodwa-ke, inkinga enkulu yabanesifo sikashukela ayikho enhliziyweni, kepha lapho kukhona lesi sifo, ithuba lokufa ngokuhlaselwa yisifo senhliziyo liphindwe amahlandla ama-3 kunalowo ophilile.
Ukuvimbela Izinkinga Eziyingozi Zesifo Sikashukela
Iziguli ezinesifo sikashukela zivame ukuzibuza ukuthi kungenzeka yini ukuthi zife kulokhu kutholwa. Ithuba lomphumela onjalo likhona, noma kunjalo, hhayi kusuka kulesi sifo uqobo, kodwa kusuka kwimiphumela yako, uma ungabhekane nokwelashwa.
Ukungezelela impilo kuzodinga umzamo omkhulu ogulini ukuze lesi sifo singaniki izinkinga ezibulalayo emzimbeni.
Ukuze wandise impilo ngokubakhona kwesifo sikashukela, kufanele kubhekwe izimo ezithile:
- qaphela njalo ushukela wegazi;
- ukugwema izimo ezahlukahlukene ezicindezelayo, njengoba ziba imbangela yokuxineka kwezinzwa;
- bhekisisa indlela odla ngayo nokuzijwayeza nsuku zonke;
- Ungathathi imishanguzo kadokotela engabekile.
Kunoma ikuphi, ngisho nokuxilongwa udokotela okubi kakhulu, akufanele udikibale futhi ucabange ukuthi ayikho indlela yokuphuma.
Isiguli singanweba impilo yaso ngokukhetha ukwelashwa okufanele futhi sithuthukise impilo. Ukuze wenze lokhu, kufanele:
- ukudla kokudla. Le ndima ikhombisa ukungatholakali ekudleni kwamafutha, okubhemayo, okunosawoti futhi okuvunyelwe ngokunye izinongo zokudla okuqinile, kufanele futhi ukuyeke ngokuphelele ukusetshenziswa kwamaswidi. Ukudla akumele kuqalwe futhi ekugcineni kushiywe emuva kwesonto, kufanele kube njalo ezigulini ezifuna ukwelula impilo yazo;
- ukuzivocavoca komzimba. Impilo yemidlalo yesifo sikashukela akufanele ibe nanoma ikuphi ukuqala kabusha. Ukudlala imidlalo kuyadingeka ukuthuthukisa ikhwalithi kanye nokuphila okulindelwe yisiguli;
- uma uthola ukukhululeka kwesimo sabo, khumbula ukuthi ukuphumula okukulesi simo futhi ukungakunaki ukusetshenziswa okujwayelekile kwemithi kungadala izinkinga futhi kusenze sibe sibi kakhulu isimo sesiguli;
- lahla imikhuba emibi efana notshwala nokubhema.
Amavidiyo ahlobene
Izimbangela eziphambili zokufa kwesifo sikashukela kuvidiyo:
Iziguli zesifo sikashukela azifanelwe ukuba zife ngenxa yokuxilongwa kwazo. Izinkinga ezivuswa yilesi sifo zingaholela kuso, kepha uma welashwa ngendlela eyiyo futhi uvikele leyo miphumela. Konke kuncike esigulini uqobo, ekuthobeni kwakhe nazo zonke izincomo zendlela yokuphila.
