Ngokusho kwe-American Diabetes Association, ezigulini ezine-type 2 yesifo sikashukela, i-hyperglycemia (i-high blood glucose) ikhula kancane kancane futhi, ngezigaba zokuqala, ngokuvamile ayinzima ngokwanele ukuba uqaphele noma yiziphi izimpawu zakudala. Kungenzeka ukuthi kungani abantu abaningi bengatholakali iminyaka eminingi, kodwa ukwazi ukubona izimpawu zeshukela ephezulu yegazi kungakusiza ukuba uhlolele isifo sikashukela, ukuphatha kangcono, nokuvimbela okuphuthumayo.
Kulabo bantu asebevele benesifo sikashukela, ukuba neshukela egazini eliphakeme ngokweqile kunokujwayelekile akukufaka engozini ngokushesha. Kodwa-ke, ushukela wegazi okhuphukayo ungase ube yinkinga. Ngokuhamba kwesikhathi, amazinga kashukela egazi aphezulu kakhulu angathinta izitsha ezincane nezikhulu zomzimba, okuholela ezinkingeni zamehlo, izinhliziyo, izinso nezinyawo.
Izimpawu Ezivamile
Ukuthola izimpawu ezivamile ze-hyperglycemia kungase kube uphawu lokuxwayisa ngesifo sikashukela kulabo abangakatholakali. Uma wazi ukuthi unesifo sikashukela, ukuphawula lezi zimpawu kungase kube inkomba yokuthi i-tweak ohlelweni lwakho lwezokwelapha iyadingeka.
I-Thirst Thirst (i-Polydipsia)
Emzamweni wokubuyisela ushukela wegazi, umzimba wakho uzama ukuqeda ushukela owedlula umchamo. Ngenxa yalokho, izinso ziyaphoqeleka ukuba zisebenze isikhathi esengeziwe sokudla ushukela owedlulele. Kodwa, ngenxa yokuthi abakwazi ukuhambisana nomthwalo we-glucose, badonsa ama-fluids ezicukwaneni zakho kanye noshukela owedlulele.
Uma uketshezi kakhudlwana ulahlekelwa, isisusa sakho siba namandla kakhulu ukuphuza. Uma uthola ukuthi ungakwazi ukuphuza njalo futhi ungacabangi njengokuthi ukoma kwakho kuvaliwe, noma ukuthi unomlomo owomile, lokhu kungase kube uphawu lwe-hyperglycemia.
Ukulamba Kakhulu (Polyphagia)
Ukweshukela ngokweqile egazini lakho kusho ukuthi umzimba wakho awukwazi ukuyisebenzisa ukuze uphethiloli.
Ngakho-ke, amangqamuzana akho alambile amandla futhi uzizwa elambile futhi, ezimweni ezimbi kakhulu, awunakulinganiswa. Kodwa uma udla ama-carbohydrates amaningi, ama-sugar suars aphakeme.
Ukuvuthwa Okuqhubekayo (Polyuria)
Uhambo oluvame ukuya endlini yokugezela, ikakhulukazi ebusuku, kungaba uphawu lweshukela ephezulu egazini. Lokhu kungumphumela wezinso ukudweba amanzi engeziwe emathisini akho ukuze unciphise ushukela owengeziwe egazini lakho futhi ulilahle ngomchamo.
Umbono ogqamile
Amazinga ashukela aphakeme aphoqa umzimba ukuba udonse amanzi amathishu akho, kuhlanganise nama-lens of amehlo akho, angathinta ikhono lakho lokugxila futhi kubangele umbono obonakalayo.
Ukukhathala
Uma ushukela uhlala egazini uma kuqhathaniswa nokuthathwa kwamaseli amandla, amaseli akho alambile kokudla, akushiye uzizwe ungenangqondo noma udangele. Lokhu kungase kwenzeke ngemuva kokuba udle ukudla, ikakhulukazi okucebile ama-carbohydrates.
Izimpawu Ezikhulu
Lezi zimpawu ezithile zivame ukuba khona uma umuntu ephethe i-hyperglycemia isikhathi eside, noma uma ushukela wegazi uphakanyiswa kakhulu. Ngokuvamile kubonisa isimo esiphuthumayo.
Ubuhlungu besisu
Ukuphefumula okungapheli kungabangela ukulimala kwesisindo esiswini (gastroparesis). Ubuhlungu besisu nakho kungaba uphawu lwe- ketoacidosis yesifo sikashukela , esiphuthumayo sezokwelapha esidinga ukuphathwa ngokushesha.
Ukulahlekelwa kwesisindo
Ukulahleka kwesisindo okungenalutho kuyisibonakaliso esibalulekile, ikakhulukazi ezinganeni eziphuzayo nokuvuthwa kaningi, ukuthi ushukela wegazi uphakanyisiwe. Izingane eziningi ezitholwa ukuthi zinesifo sikashukela sohlobo 1 zilahlekelwa isisindo ngaphambi kokuxilongwa. Lokhu kuvame ukuvela ngoba umzimba awukwazi ukusebenzisa ushukela egazini ukuze uphethiloli.
Imilomo Nezinguquko Eziphefumulayo
Ukudabuka, ukuhlanza, ukuphefumula okunempilo, ukuphefumula okujulile futhi okusheshayo, nokulahlekelwa ukuqonda kukhona izinkomba ezidingekayo zokufuna usizo oluphuthumayo. Lezi zimpawu zingaba izixwayiso zezinye izimo ezihlobene nesifo sikashukela ezingabangela ukufa uma kungelashwa ngokushesha.
Izimpawu ezijwayelekile
Ezinye izimpawu ezingavamile ezingabonakala zingenzeka kubantu abane-hyperglycemia, futhi.
Ubumbulu
Umonakalo wemisipha emikhawulweni (eyaziwa ngokuthi i-peripheral neuropathy) kwenzeka ngokuhamba kwesikhathi futhi ungabonisa njengama-numbness, ubuhlungu, noma ubuhlungu ezandleni, ezinyaweni noma emilenzeni.
Izimo Zesikhumba
Isikhumba esomile / esinomsoco, amanxeba noma ukusikeka okuphuza ukuphulukisa, kanye nama-acanthosis nigricans (ama-patches amaqabunga, ama-velvety atholakala emaphakathini noma ezindaweni ezinjengezintamo, okubonisa ukuphikiswa kwe-insulin) kungaba uphawu lwe-hyperglycemia.
Izifo ezivame ukugcoba nezidakamizwa ze-Erectile
Lezi zibonakaliso ezithinta abesifazane namadoda, ngokulandelana.
I-Hyperglycemic Hyperosmolar Nonketotic Syndrome
I-hyperglycemic hyperosmolar non-ketotic coma (HHNKC) yinkimbinkimbi enzima kakhulu engenzeka kulabo abane-type 1 noma uhlobo lwesifo sikashukela sesibili , kodwa ngokuvamile kuvame kulabo abangencike ekutheni insulin (uhlobo lwesibili lwesifo sikashukela).
I-HHNKC ibonakala ngeshukela egazini egazini elingaphezu kuka-600 mg / dL futhi livame ukulethwa yi-infection, njenge-pneumonia, ukutheleleka kwamagciwane, noma ukuhluleka ukuphatha kahle ushukela wegazi. Uma ishiywe ingalashwa, ingabangela i-coma ngisho nokufa.
Izimpawu nezimpawu zifaka:
- ukoma ngokweqile
- ukudideka
- imfiva (evame ngaphezu kwama-degrees Fahrenheit angu-101)
- ubuthakathaka noma ukukhubazeka ohlangothini olulodwa lomzimba
Indlela engcono kakhulu yokuvimbela i-HHNKC ukuthatha imithi yakho njengoba iqondiswe futhi uhlale uxhumane neqembu lakho lokunakekelwa kwezempilo lapho ushukela wegazi lakho lihlala ngaphezu kuka 300 mg / dL.
I-Diabetes Ketoacidosis
I-hyperglycemia ingaholela kwesinye isimo esiyingozi kakhulu esibizwa ngokuthi i-ketoacidosis yesifo sikashukela (i-DKA), esenzeka kakhulu kubantu abano-type 1 yesifo sikashukela futhi ngokuvamile yisimo esibangela ukuxilongwa kwesifo sikashukela sohlobo 1.
I-DKA ibangelwa lapho umzimba uncane noma kungekho-insulini ongayisebenzisa futhi, ngenxa yalokho, ushukela wegazi uphela emazingeni anobungozi futhi igazi liyaqina. Umonakalo weselula ungenzeka futhi uma uqhubeka uqhubeka, kungabangela i-coma noma ukufa. I-DKA idinga ukungenelela okwelashwa okusheshayo-iziguli ezine-DKA kuzodingeka ziqashwe ngophrofayli wezokwelapha futhi zinikezwe ngamanzi amanzi, i-electrolytes, ne-insulin.
Izinkinga
Ukuba nomfutho wegazi ohlala njalo futhi ohlala isikhathi eside kungabangela izinkinga eziningi ezibizwa ngokuthi amancane (amancane) nezinkinga ezinkulu (ezinkulu). Zihlanganisa umonakalo ku:
- iso (retinopathy)
- izinso (i-nephropathy)
- i-peripheral and autonomic neuropathy (ukulahleka kwesisindo ezinyaweni nakwezinye izindawo zomzimba njengamathumbu)
Ngaphezu kwalokho, ushukela wegazi ophakanyiswa njalo ungabangela noma ukwandise isifo senhliziyo kanye nesifo se- peripheral arterial .
Ngesikhathi sokukhulelwa
I-Hyperglycemia ekukhulelwe ingaba yingozi kakhulu emntwaneni kanye nomama. Ngokusho kwe-American Diabetes Association, isifo sikashukela esingalawuleki ekukhulelweni singabangela izingozi ezifana nokukhipha isisu okuzenzekelayo, ukukhubazeka kwesisu, preeclampsia (ukuvinjelwa kwegazi okungalawuleki kumama), ukushona komntwana, i-macrosomia (ingane enkulu), i-hypoglycemia ezinganeni ekuzalweni, ne-neonatal hyperbilirubinemia, phakathi kwabanye. Ngaphezu kwalokho, isifo sikashukela ekukhulelweni singandisa ingozi yokukhuluphala futhi sithathe isifo sikashukela sesi-2 enzalweni kamuva.
Ezinganeni
I-hyperglycemia ezinganeni, ikakhulukazi uma ingaziwa, ingaholela ekuthuthukiseni uhlobo lwe-2 lwesifo sikashukela noma i-ketoacidosis kulabo bantwana abanesifo sikashukela sohlobo 1. Labo bantwana abanesifo sikashukela abaye bahlakulela amazinga e-glucose ngokuqhubekayo basengozini enkulu yokwelapha isifo sikashukela.
Nini Ukubona Udokotela
Uma ungazizwa sengathi uqobo lwakho uqobo futhi ucabange ukuthi ushukela wegazi lakho liphakeme, yivivinye ukuze uqinisekise. Uma ushukela wegazi lakho lenziwa liphakanyisiwe futhi liyisenzakalo esikude, kungenzeka ukuthi ungayifinyelela ekujwayelekile. Hamba ukuhamba noma wenze ukuzivocavoca okuncane, uphuze amanzi engeziwe, futhi uthathe imithi yakho njengoba kunqunywe.
Ngakolunye uhlangothi, uma ubhekene noshukela ephakeme wegazi ngezinsuku ezimbalwa ezilandelanayo, unike ithimba lakho lezokwelapha ucingo, njengoba kungase kudingeke ukuba uhlele uhlelo lwakho lwezokwelapha.
Uma ungenayo isifo sikashukela futhi uqaphele noma yikuphi kwalezi zimpawu noma izimpawu, futhi ukhuluphele noma ukhuluphele noma unomlando womndeni wesifo sikashukela, kufanele uhlele i-aphoyintimenti nodokotela wakho ukuze uhlolwe. Izinkinga ezincane zesifo sikashukela zingenzeka ngaphambi kokuxilongwa, ngakho-ke ngokushesha lapho uthola ukwelashwa, kungcono.
Kubazali Bantwana Abangenayo Isifo Sikashukela
Uma usuqaphele ukuthi ingane yakho iyaphuza, idla, futhi iyavuthwa kaningi kunokujwayelekile, uhambo oluya kudokotela lungumqondo omuhle, ikakhulukazi uma ubonile ukushintsha okusheshayo kwesisindo. Uma izimpawu zibonakala zinzima kakhulu futhi zifana nalazo ze-DKA (bheka ngenhla), iya ekamelweni eliphuthumayo ngokushesha.
Abazali Bantwana Abasifo Sikashukela
Uma ingane yakho iveza izimpawu ze-hyperglycemia kanye neshukela legazi layo likhulu kunama-240 mg / dL, kufanele uzivivinye ngamaketoni. Ngaphansi kokuhlolwa okuhle, shayela ithimba lakho lezokwelapha ukuze uthole isiqondiso kulokho okufanele ukwenze ngokulandelayo noma ubheke ohlelweni lwakho lwezinsuku ezigulayo. Ngokuya ngobukhulu bamaketoni, ungase ucelwe ukuba uye ekamelweni eliphuthumayo.
> Imithombo:
> I-American Diabetes Association. Amazinga Wokunakekelwa Kwezokwelapha Esifo Sikashukela - 2017. Ukunakekelwa Kweshukela. 2017 Jan; 40 I-Suppl 1: S1-S132.
> I-American Diabetes Association. I-Hyperglycemia (High Blood Sugar). http://www.diabetes.org/living-with-diabetes/treatment-and-care/blood-glucose-control/hyperglycemia.html
> I-American Diabetes Association. I-DKA (i-Ketoacidosis) ne-Ketoni. http://www.diabetes.org/living-with-diabetes/complications/ketoacidosis-dka.html
> Ikliniki yaseCleavland. I-Hyperglycemia (High Blood Sugar). https://my.clevelandclinic.org/health/diseases/9815-hyperglycemia-high-blood-sugar
> Intsha Impilo esuka eNemours. Lapho i-Blood Sugar i-Too High. https://kidshealth.org/en/teens/high-blood-sugar.html