I-glucose iyingxenye ebaluleke kakhulu ekusebenzeni komzimba okugcwele. Ngomsebenzi ofanele we-pancreatic, ibhalansi kashukela wegazi iyagcinwa.
Kubantu abanesifo sikashukela, kubalulekile ukulawula i-glucose.
Ngaphandle kwalokho, kungavela izikhathi ezibucayi ezisongela impilo yomuntu.
Kuyini ukushaqeka kwe-insulin?
Ukwehla okungazelelwe koshukela emzimbeni, ukweqiwa kwe-insulin noma inhlekelele kashukela. Ngalesi sikhathi, izinga le-insulin ye-hormone lingakhuphuka kakhulu. Izimpawu zanda ngokushesha futhi zibucayi.
Ngenxa yokulamba kwe-carbohydrate kanye nomoya-mpilo, imisebenzi ebalulekile icindezelwa ngokomqondo. Inkinga kashukela iba ngemuva kwesizinda sikashukela. Ukwehla kukashukela ngaphansi kuka-2.3 mmol / L kubhekwa njengokubaluleke kakhulu.
Kusukela kulo mzuzu, izinguquko ze-pathological ezingenakuphikwa zenzeka emzimbeni. Kepha uma umuntu ehlale njalo enoshukela ekhuphuka aze afike ku-20 mmol / L, khona-ke isimo esibucayi kuye siyokwehla kwe-glucose kuye ku-8 mmol / L.
Okubaluleke kakhulu kulesi simo ukulethwa kosizo lokuqala okufika ngesikhathi. Isenzo esifanele lapho kwenzeka ukwethuka kwe-insulin kungasindisa impilo yomuntu.
Izimpawu nezimpawu zokuqala
I-insulin coma ingakhula ezinsukwini ezimbalwa, kudlule esigabeni esingaphambili. Kubaluleke kakhulu ukulungisa lesi sigaba bese uqala ukwelashwa ngaso leso sikhathi.
Izigaba ze-hypoglycemia:
| Izigaba | Izimpawu |
|---|---|
| Okokuqala | indlala encane, imitha iqopha ukwehla ushukela |
| Okwesibili | indlala enkulu, umswakama kanye nesikhumba sokwehla kobuthakathaka, ubuthakathaka obukhulayo, ikhanda, ukushaya kwenhliziyo okusheshayo, ukwesaba, ukuthuthumela kwamadolo nezandla, ukunyakaza okungahambisani |
| Okwesithathu | ukubona okuphindwe kabili, ukushuba kolimi, ukukhuphuka kokujuluka, ukuziphatha okunolaka |
| Okwesine | izenzo ezingalawulwa, ukulahlekelwa ukwazi, i-insulin coma |
Ukuze isimo senzeke ngokwejwayelekile, isiguli kudingeka sisebenzise ama-carbohydrate aphambili - iphalishi, ushukela, uju, isiphuzo esimnandi.
Iziguli ezincike kwi-insulin zihlupheka kakhulu ngenxa yezinkinga zikashukela ezisebusuku. Ngokuyisisekelo, abaningi abasilungisi lesi simo ekhaya.
Lezi zimpawu zihlanganisa:
- ukulala okungashisi;
- amaphupho amabi;
- Ukukhathazeka
- athuke
- ekhala
- ukudideka ukwazi;
- ubuthakathaka ekuvukeni;
- ukunganaki
- uvalo
- umoya.
Ukushaqeka kwe-insulin kubonakaliswa yi-anityity kanye nomswakama esikhunjeni. Ukushisa komzimba kuyehla. Ingcindezi nokushaya kwenhliziyo kwehla okwejwayelekile. Akukho okukhanyayo - abafundi abanandaba nokukhanya. Ukuqhuma okungazelelwe kushukela kubhalwe phansi nge-glucometer.
Abagqugquzeli balesi simo yile:
- i-insulin ngokweqile - umthamo ongalungile;
- ukwethulwa kwe-hormone emsipha, futhi hhayi ngaphansi kwesikhumba;
- ukungazinaki ukudla okune-carbohydrate ngemuva kokujova kwe-hormone;
- ukuphuza utshwala;
- ukucindezela ngokweqile ngemuva kokuphathwa kwe-insulin;
- i-hemorrhage endaweni yomjovo - umthelela womzimba;
- izinyanga zokuqala zokukhulelwa;
- ukwehluleka kwezinso;
- ukudla kwamafutha esibindini;
- isifo samathumbu;
- izifo zesistimu ye-endocrine;
- inhlanganisela engafanele yezidakamizwa.
Izimo ezinjalo zibangelwa ngokuqondile ezigulini ezigula ngengqondo zisebenzisa i-insulin shock therapy. Le nqubo yenziwa ngenhloso yokwelapha i-schizophrenic pathologies, futhi ingasetshenziswa kuphela ngemvume ebhaliwe yesiguli. Ngesikhathi semicimbi enjalo, isiguli sibhekwa njalo ukuze sinikeze usizo lokuqala ngesikhathi uma kunesidingo.
Kwesinye isikhathi i-hypoglycemic coma ingenzeka kubantu abaphilile ngokuphelele. Izingcindezi ezingokomzwelo ezinamandla, ukudla okune-carb ephansi, futhi ukulayisha umzimba ngokweqile kungakucasula. Izimpawu zizofana nesifo sikashukela.
Ukunakekelwa okuphuthumayo
Nge-insulin coma, kubalulekile kakhulu ngokunembile futhi usheshe unikeze usizo lokuqala:
- Shayela i-ambulensi.
- Beka isisulu esimweni esihle.
- Thola ushukela wegazi nge-glucometer. Uma lokhu kungenzeki (akukho divaysi), bese uphatha isiguli ngaphakathi kwe-20 ml yesisombululo se-glucose esingu-40%. Uma isimo esiphazamisekile sihlotshaniswa nokwehla kwe-glucose, khona-ke ukuthuthuka kuzokwenzeka ngokushesha. Futhi uma ukungasebenzi kuhlobene ne-hyperglycemia, khona-ke akukho zinguquko ezizokwenzeka.
- Nikeza isisulu itiye noma isiphuzo esimnandi. Vumela ukudla ucezwana lwesinkwa esimhlophe, iphalishi, ushukela, uju noma ujamu. Akunjalo, unganikeli i-ayisikhilimu noma ushokoledi - lokhu kuzolimaza kuphela, ngoba kuzonciphisa ukumuncwa kwama-carbohydrate. Uma umuntu engazi, faka ushukela esihlathini sakhe.
- Kuyadingeka ukufeza ukukhishwa kwe-adrenaline egazini. Uma ukuzwela kungalahli, khona-ke ama-pop, ama-tweaks kanye nezinye izinhlobo zokucasulwa kobuhlungu kuzosiza.
- Ezimweni ezinzima, i-glucose concentrate noma i-glucagon iyalawulwa.
Ukunakekelwa okuphuthumayo kufanele kufike esikhathini esifushane, ngoba lesi simo sibucayi. Ngaphezu kwalokho, odokotela bazonikeza ukwelashwa okuyikho, ngaso sonke isikhathi siqaphe isimo sesiguli. Esibhedlela, kuzobhekwa ukuqashwa kwamazinga kashukela kanye noshukela ocindezelekile. Ezimweni ezinzima, izidakamizwa ze-corticosteroid zingasetshenziswa.
Uma ukwethuka kwe-insulin kuphinda kubuye njalo noma ngemuva kwezimpawu ebezingakaze zivele, khona lapho kufanele ngokushesha ufune usizo lodokotela olufanele. Lesi yisimo esiyingozi kakhulu, okuthi uma kungekho ukwelashwa okufika ngesikhathi kungadala izinkinga ezinkulu.
Lokhu kufaka phakathi:
- i-edema yamakhemikhali;
- isifo sohlangothi;
- ukulimala okungalungiseki ohlelweni oluphambili lwezinzwa;
- ukuguqulwa kobuntu;
- ukungasebenzi kahle kwengqondo;
- ukonakaliswa kobuntu;
- umphumela obulalayo.
Lesi simo sithathwa njengesiyingozi kakhulu kubantu abaneminyaka yobudala abaphethwe yi-pathologies yesistimu yokujikeleza kwegazi.
Ngefomu emfushane yenkinga kashukela nokunakekelwa okufika ngesikhathi kwezokwelapha, lolu hlelo lwazi kahle. Izimpawu ziqedwa ngokushesha ngokwanele, futhi ukululama komuntu kulula. Kepha amafomu amakhulu, umuntu akudingi ngaso sonke isikhathi ukuthi abalethemba lokuthi uzoba nomphumela omuhle. Lapha indima ephambili idlalwa ikhwalithi nesikhathi sosizo lokuqala. Ukwelashwa isikhathi eside okuyiqiniso, kuthinta umphumela wesimo.
Ividiyo evela kusazi:
Izindlela zokuvimbela
I-Hypoglycemia ifaka ukushaqeka ne-insulin. Ukuvimbela izinkinga ezingaba khona, kuyadingeka ukuhola impilo enempilo nokubheka izindlela zokuqapha.
Umuntu osengozini kufanele:
- Qeqesha izihlobo nabosizo lokuqala ozakwabo ekwehlekeni kwe-glucose okungazelelwe.
- Zazi i-algorithm yezenzo esimweni esibucayi.
- Bheka njalo ushukela wegazi nomchamo. Ngoshukela, kaningana ngenyanga.
- Hlala njalo ukudla okune-carbohydrate okushukela - ushukela, uju, ujusi wezithelo, isinkwa esimhlophe, amaphilisi kashukela. Lokhu kuzosiza ukumisa izimpawu ze-hypoglycemia.
- Namathela ekudleni. Yidla ukudla okuncane ngezikhathi ezithile. Yehlisa ukudla okwenziwe nge-carbohydrate, futhi amaprotheni kufanele abe yingxenye yokudla okuphelele. Kakhulu ngaphandle ukusetshenziswa koshukela.
- Indlela eqondile ekukhetheni umsebenzi womzimba. Susa umsebenzi womzimba okwehlisa amazinga kashukela.
- Ukulawula isisindo somzimba. Lokhu kuzovumela umzimba ukusebenzisa kahle i-insulin.
- Ungaphazamisi ukuphaphama kokulala nokulala.
- Gcina umfutho wegazi ungaphansi kwemingcele ejwayelekile.
- Yenqaba utshwala nokubhema.
- Gcina isizinda esingokomzwelo esicindezelayo sibhekile.
- Ukudla usawoti omncane kuzonciphisa umthwalo ezinso.
- Gcina ngokuqinile umthamo we-insulin olawulwa. Ukujova kahle ngaphansi kwesikhumba.
- Gada umuthi ukwehlisa ushukela.
- Lawula ushukela lapho uthatha ama-anticoagulants, ama-beta-blockers, ama-salicylates, i-tetracycline, izidakamizwa ezilwa ne-TB.
- Hlala uvikela umzimba njalo ngama-vitamin complexes akhethekile ashukela.
- Phatha ngesikhathi ukubhebhetheka kwezimo ezingapheli kanye nezimo ezingase zibe khona.
I-Hypoglycemia yisimo esiyingozi kumuntu, okungaholela ekuphazamisekeni okukhulu nasekufeni. Ukuvimbela nokusiza okufika ngesikhathi kusiza ukugcina ukusebenza komzimba.
