Ukuzikhusela Kwiingozi Ze-Coma Diabetes
I-Hyperglycemic hyperosmolar syndrome ye-nonketotic (HHNS) ligama elide elichaza imeko enokuthi ibulale abantu abanesifo sikashukela. Abanye baphinde bakubhekisele kule "njengesifo sikashukela." Nayi mibuzo ehlala ibuzwa rhoqo ngeHHNS kunye nendlela yokukhusela ngayo.
Yintoni iHHNS?
I-HHNS iyakwenzeka xa amazinga e-glucose ephakamileyo kakhulu (ngokugqithiseleyo ngaphezu kwe-600 mg / dl) kwaye umntu uhlaselwa kakhulu.
Xa igazi le-glucose lifikelela phezulu, igazi liba likhulu kwaye umchamo uveliswa njengendlela yokuba umzimba uzame kwaye unciphise izinga le-glucose. Isiphumo sivame ukuvuthwa, oku kungakhokelela ekubethweni kokungcoliswa kwamanzi. Ukuba la manzi alamanzi ayengagcwaliswa ngokwaneleyo, loo mqathango unokugqibeleni ivelise kwi-coma okanye kufe.
I-HHNS idluliselwa ngokubhekiselele kwintsholongwane, njenge-pneumonia okanye ukusuleleka kwe-urinary tract, okanye ukuphathwa kakubi kwesukile yegazi.
Ziziphi iimpawu zeHHNS?
Ukongeza kwindlela yokugcoba rhoqo kunye negazi le-glucose kuma-600 mg / dl, iimpawu eziqhelekileyo ziquka:
- kunxanwa okukhulu
- kudideka
- umkhuhlane (ngokuqhelekileyo ngaphezu kwama-degrees ama-Fahrenheit ama-101)
- ubuthathaka okanye ukukhubazeka kwelinye icala lomzimba
Ziziphi izinto ezingengozi zeHHNS?
Uninzi lwabantu abafumana i-HHNS ngabantu abadala abadala abanesifo sikashukela se-2. Kodwa abo abanesifo sikashukela se- type kunye nabaselula banokufumana i-HHNS kunye, nangona ingaqhelekanga.
Ukwasemngciphekweni owongeziweyo xa ungathathi imishanguzo yesifo sikashukela njengoko umiselweyo okanye unesinye isimo esingapheliyo, njengesifo sokukhubazeka kwentliziyo okanye isifo sesifo.
I-HHNS ihluke njani kwi-Diabetes Ketoacidosis (DKA)?
I-DKA nayo yimeko ebalulekileyo kwaye ingasongela ubomi ukuba ingaphathwa ngokukhawuleza.
Ngokwahlukileyo kwi-HHNS, i-DKA iphela imeko kuphela eyenzeka kubantu abane-type 1 yeswekile. Ukungabikho kwe- insulin kubangela ukwakheka kwe-glucose kwigazi elingenako ukungena kwiiseli zomzimba ukuba zisetyenziswe amandla. Umzimba uhlawula ngokukhangela umthombo wamandla athile kwioli egciniweyo. Xa i-fat egciniweyo isetyenziselwa amandla idala imveliso engcolileyo ebizwa ngokuba i- ketoni, enokuyityhepha umzimba.
Iimpawu ze-DKA zihlukile kwi-HHNS, kwaye ziquka:
- ukuphefumula okunomsoco ovuthayo
- kuphefumula
- isicupunu kunye nokuhlanza
- ukupasa okukhawulezayo kunye nobuthathaka
- intlungu zesisu
Ukongeza, iHHNS ayivelisi i-ketone.
HHNS njani?
Unyango luquka ukuqala ukuphuma kwamanzi ukuze uvuselele umzimba ngokukhawuleza. Ikwafuna kwakhona ukuba i-insulin ihlise izinga lokushukela kwegazi.
IHHNS Inokuthintela njani?
Indlela efanelekileyo yokukhusela le meko imbi kukulawula isifo sikashukela ngu:
- Ukuhlola ishukela legazi lakho ngokomyalelo wakho ugqirha. Xa ugula, kufuneka ukhangele igazi lakho malunga neeyure ezine. Igazi lakho legazi lihlala liphezulu xa umzimba wakho ulwa nentsholongwane okanye intsholongwane.
- Ukuthatha imishanguzo yakho yeswekile, kuquka i-insulin, njengoko ilawulwa ngugqirha wakho
- Ukusela isamba esaneleyo somzi ngamnye ngosuku, ngakumbi xa ugula
- Ukuhlala uqhagamshelana neqela lakho lezempilo le-diabetes xa ushukela lakho wegazi lihlala lingaphezulu kwe-300 mg / dl.
> Imithombo:
> I-American Diabetes Association. "I-Hyperosmolar Hyperglycemic Syndrome ye-Nonketotic (HHNS)."