Ukuzivikela Ezingozini Ze-Coma Diabetes
I-hyperglycemic hyperosmolar syndrome ye-nonketotic (i-HHNS) igama elide elichaza isimo esingase sibulale esingase sikhule kubantu abanesifo sikashukela. Abanye babhekisela kulokhu ngokuthi "i-coma yesifo sikashukela." Nazi imibuzo ejwayelekile kakhulu ebuzwa mayelana ne-HHNS nokuthi ingawuvikela kanjani.
Kuyini i-HHNS?
I-HHNS ingenzeka uma amazinga e-glucose ephezulu kakhulu (ikakhulukazi ngaphezu kuka 600 mg / dl) futhi umuntu ugalela kakhulu amanzi.
Lapho ama-glucose egazi efika phezulu, igazi liba linyuka futhi umchamo ukhiqizwa njengendlela yokuthi umzimba uzame futhi wehlise izinga le-glucose. Umphumela uba ukuvuthwa okuvamile, okungaholela ekudambiseni amanzi okushisa okukhulu noma ngisho nokusongela impilo. Uma lawa manzi aphuma emzimbeni angagcwaliswa ngokwanele, lesi simo singagcina siphumelele ku-coma noma ngisho nokufa.
I-HHNS ivame ukulethwa yi-infection, njenge-pneumonia noma ukutheleleka kwamagciwane, noma ukuphathwa kabi kwe-ushukela wegazi lakho.
Yiziphi Izimpawu Ze-HHNS?
Ngaphandle kokuvuthwa njalo namazinga wegazi glucose ngaphezu kuka 600 mg / dl, izimpawu ezivamile zihlanganisa:
- ukoma ngokweqile
- ukudideka
- imfiva (evame ngaphezu kwama-degrees Fahrenheit angu-101)
- ubuthakathaka noma ukukhubazeka ohlangothini olulodwa lomzimba
Yiziphi Izingozi ZeHHNS?
Abantu abaningi abahlangabezana ne-HHNS bangabantu abadala asebekhulile abane-type 2 yesifo sikashukela. Kodwa labo abanesifo sikashukela sohlobo 1 nabancane bangathola i-HHNS kanye, nakuba kungavamile.
Futhi usengozini enkulu uma ungathathi imishanguzo yakho yesifo sikashukela njengoba ushiwo noma ube nesinye isimo esingapheli, njengokuhluleka kwenhliziyo noma isifo sezinso.
I-HHNS ihluke kanjani ku-Diabetes Ketoacidosis (DKA)?
I-DKA nayo isimo esibi futhi ingasongela ukuphila uma ingelashwa ngokushesha.
Ngokuphambene neHHNS, i-DKA cishe yisimo esenzeka kubantu abanesifo sikashukela sohlobo 1. Ukungabi nalutho kwe- insulin kubangela ukwakheka kwe-glucose egazini elingenangena kumaseli omzimba ukuthi azosetshenziselwa amandla. Umzimba uhlaziya ngokufuna enye imithombo yamandla emafutheni agcinwe. Lapho amafutha agciniwe asetshenziselwa amandla akhiqiza umkhiqizo onobuthi onobuthi obizwa nge- ketone, ongabhubhisa umzimba.
Izimpawu ze-DKA zihlukile ku-HHNS, futhi zifaka:
- umoya ophethe iphunga elimnandi
- wasebenza ngokuphefumula
- isicanucanu nokuhlanza
- ukushayela okusheshayo nokubuthakathaka
- ubuhlungu besisu
Ngaphezu kwalokho, iHHNS ayikhiqiza amaketoni.
HHNS kanjani?
Ukwelashwa ngokuvamile kuhilela ukuqala uketshezi oluphakathi kwamanzi ukuze uvuselele umzimba ngokushesha. Kungase futhi kudinga i-insulin ukuletha phansi amazinga kashukela egazi.
I-HHNS ingaqedwa kanjani?
Indlela engcono kakhulu yokuvimbela lesi simo esibi ukuphatha isifo sikashukela nge:
- Ukuhlola ushukela egazini lakho ngokwemiyalo yakho kadokotela. Uma ugula, kufanele uhlole igazi lakho cishe wonke amahora amane. Ishukela lakho legazi livame ukuba likhulu ngokwemvelo uma umzimba wakho uma ulwa negciwane noma ukutheleleka.
- Ukuthatha imithi yakho yesifo sikashukela, kufaka phakathi i-insulin, njengoba iqondiswa udokotela wakho
- Ukuphuza inani eliningi lamanzi ngosuku, ikakhulukazi uma ugula
- Ukuhlala uxhumane nethimba lakho lokunakekela isifo sikashukela uma ushukela wegazi lakho liqhubeka njalo ngaphezu kuka 300 mg / dl.
> Imithombo:
> I-American Diabetes Association. "Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)."