Abantu abanesifo sikashukela sohlobo lwe-2 kumele bakhathazeke ngezingozi ezijwayelekile kanye nezinkinga emva kokusebenza. Izingozi ezihlobene nesifo sikashukela kanye nokuhlinzwa zanda ngokwexhomeke eminyakeni yobudala, isifo sokushukela sikashukela, izinga lokulawula, izinkinga ezikhona noma ukugula, ukungondleki, isikhathi eside nesifo sikashukela, nokuqina komzimba jikelele.
Ukukhathazeka Okuthunyelwe
Ukucindezeleka ngokomzimba nangokwengqondo kokuhlinzwa kungabangela ushintsho olungathandeki kumazinga e-hormone.
Lezi zinguquko ziholela ekwandeni kwe-insulin , ukunciphisa i-insulin secretion, nokunciphisa ukungena kweglucose kumaseli. Lokhu kukwandisa ingozi yokuphefumula kumuntu onesifo sikashukela.
Uhlu olulandelayo lokukhathazeka lubonisa ukubaluleka kokuba namazinga e-glucose alawulwe ngaphambi kokusebenza:
I-Hyperglycemia noma i- hypoglycemia : Amazinga aphezulu noma aphansi e-glucose angabangela izinkinga zokusebenza ngemuva, amazinga aphezulu e-glucose ahlukumeza uhlu. Amazinga aphakeme akhulisa amathuba nokuqina kweminye inkinga. Kubalulekile ukuba amazinga e-glucose alawulwe kahle ngaphambi kokuhlinzwa.
Ukwehla kwamanzi: Isiguli singase sibe nomkhiqizo ophezulu we-urinary uma isifo sikashukela singaphansi kokulawulwa kabi futhi sengozini enkulu ye-diuresis osmotic. Lokhu kungandisa ingozi yezinye izinkinga.
I-hyperglycemic syndrome syndrome (HHS): Lesi yisimo lapho isiguli sinamazinga aphezulu e-glucose, ukuphelelwa amandla kwamanzi nokunciphisa ukuqonda. Kuyaphazamiseka okukhulu emva kwezinqubo ezithile zokuhlinza ezifana nokuhlinzwa kwe-cardiac bypass lapho kuhlotshaniswa nokufa kwabantu abangu-42%.
I-ketoacidosis yesifo sikashukela (DKA) : Ukuhlinzwa kanye / noma nezinye izinkinga kungandisa ama-hormone okucindezeleka, okwenza i-insulin ingasebenzi kahle. Uma i-insulin ayikwazi ukusiza umzimba ukuthi ushise i-glucose yamandla, umzimba uzoshisa amafutha esikhundleni. Amakhemikhali e-asidi anobuthi abizwa nge-ketone akha egazini futhi angaba esongela ukuphila. Ukuphelelwa amandla kwamanzi kungaphumelela futhi ngezinye izikhathi kubangele i-DKA.
Ukuphulukiswa okulimala kabi : Abantu abanesifo sikashukela bangase babe nokusabalalisa okuncane, ukulimala kwemizwa, ukukhubazeka kwamasosha omzimba kanye nezinkinga zesikhumba. Lezi zinganciphisa ukuphulukiswa kwenxeba futhi zandisa ingozi yokutheleleka.
Ukutheleleka : Uhlobo oluvame kakhulu lokutheleleka ukutheleleka komzimba. Ingozi yanda kubantu abanesifo sikashukela ngenxa yokuphulukisa isikhathi esithile sokuphulukisa. Kubalulekile ukuthatha yonke imithi njengoba iqondiswe futhi ulandele imiyalelo yokunakekelwa kwe-incision.
I-Sepsis : Uhlobo oluthile lokutheleleka kokuhamba komzimba wonke umzimba ngenxa yamabhaktheriya egazini legazi. Kunzima futhi kunzima ukulawula. Izingosi ezivame ukuqala emva kokuhlinzwa ziyizinto ezifakiwe, amasayithi angenawo, ama-drain, nezilonda zesikhumba.
Ukungasebenzi komzimba: Amazinga aphezulu e-glucose akwandisa ingozi yokuvuvukala noma ukulimala emgqeni wegazi. Phakathi kwezinye izinto, amangqamuzana endothelial ahlotshaniswa nokuhamba kwamangqamuzana egazi amhlophe, ukugaya igazi, ukucindezelwa kwegazi, ukuvuvukala, nesifo senhliziyo.
I-Ischemia: Ukungabi negazi okuyingxenye yomzimba njengenhliziyo, ubuchopho, isikhumba noma isilonda esiholela ekufweni kwezicubu endaweni ephethwe. Abantu abanesifo sikashukela basengozini ephezulu, ikakhulukazi uma benamazinga e-glucose okuphuma ngaphandle kokulawula. Ukuphazamiseka kwamathumbu kanye nokuphelelwa amandla kwamanzi kwandisa ingozi.
Ukungalingani kwe-electrolyte: Ukudabuka, ukuhlanza nokuphelelwa amandla kwamanzi kungabangelwa ukucindezeleka, imithi, kanye ne-anesthesia okubangelwa ukusabalala kwe-salts egazini. Lokhu kungandisa ingozi ye-arrhythmias ye-heart nokuhluleka kwe-renal. Ingozi ihlanganiswa nabashukela abanesifo sikashukela abavele besengozini enkulu yokubhekana nezinkinga ze-coronary and renal.
Ukuhluleka kwe-Renal: Isifo sikashukela siyimbangela eyodwa evamile yokuhluleka kwenqunu. Ingozi ngesikhathi noma emva kokuhlinzwa ingandiswa ngenxa yezimbangela ezifana nokungalingani kwe-electrolyte, ukuphelelwa amandla kwamanzi, ukusabela kwemithi, ukungavamile kwengcindezi yegazi, ukucindezeleka, nokuhlukunyezwa.
I-arrhythmias yenhliziyo: Ingozi iyanda nge-diabetes engalawulwayo, isifo senhliziyo, imithi ethile, umfutho wegazi ophakeme, ukukhuluphala ngokweqile, nokungalingani kwe-electrolyte.
Indlela Yokunciphisa Ingozi Yakho
Thola futhi ulondoloze amazinga e-glucose egazi ngaphakathi kwezingxenye ezibhekiswe kuzo
Ukuzivocavoca ukuthuthukisa impilo yakho yomzimba
Thola ukudla okunomsoco owanele ngeproteinyini ephakeme ephezulu
Gwema ukuphelelwa amandla kwamanzi
Thatha izinyathelo zokunciphisa ukucindezeleka
Ungabhemi noma uphuze utshwala
Nini Ukubiza Udokotela Wakho
Yazisa udokotela wakho ngokushesha uma unayo yalezi zimpawu, okungaba izinkomba zokutheleleka noma ukulimala.
Ubuhlungu bendawo, ububele, ukuvuvukala, ubulukhuni, ubomvu, noma ukushisa
Fever
Imithombo
UDagogo-Jack, MD, FRCP, uSamuel no-Alberti DPHIL PRCP, K. George MM. "Ukwengamela Isifo Sikashukela Mellitus Esigulini Sokugula." Isifo Sikashukela NgoJanuwari 2002 15 (1): 44-48
UMangram MD, u-Alicia; I-Horan MPH CIC, u-Teresa; I-Pearson MD, uMichelle L; BS yesiliva, uLeah Christine; kanye noJarvis MD, uWilliam R. "Umhlahlandlela Wokuvimbela Ukuhlinzeka Ngezifo Ezihlinzekwa Ngokwe-Site Site 1999" Ukulawulwa Kwama-Infection kanye Ne-Hospital Epidemiology 20 (4): 247-278
I-Rosenberg, CS. "Ukuphulukiswa okulimazayo esigulini sikashukela sikashukela." Amitholampilo Abahlengikazi eNyakatho Melika Mar 25 1990 25 (1): 247-61.