Abantu abanesifo sikashukela sohlobo lwe-2 kufuneka bakhathazeke ngokungaphezulu kweengozi eziqhelekileyo kunye neengxaki emva kokusebenza. Izingozi ezinxulumene nesifo sikashukela kunye nokuhlinzwa zinyuka kuxhomekeke kwiminyaka yobudala, i-regimen yonyango, inqanaba lolawulo, iingxaki ezikhoyo okanye ukugula, ukungondleki, ubude bexesha nesifo sikashukela, kunye nokuqina komzimba jikelele.
Ukukhathazeka kwePost-Op
Ukukhathazeka ngokwenyama nangokwengqondo kokuhlinzwa kunokubangela utshintsho olungathandekiyo kumanqanaba e-hormone.
Ezi zinguqu zikhokelela ekukhuseni kwe-insulin , ukunciphisa i-insulin ekusithekeni, kunye nokunciphisa i-glucose ukufunyanwa kwiiseli. Oku kwandisa umngcipheko we- hyperglycemia kumntu onesifo sikashukela.
Uludwe olulandelayo lwezixhala lubonisa ukubaluleka kokuba namazinga e-glucose ekulawuleni ngaphambi kokusebenza:
I-Hyperglycemia okanye i- hypoglycemia : Amanqanaba aphakamileyo okanye aphantsi e-glucose angabangela iingxaki zentsebenziswano, kunye namazinga aphezulu e-glucose ahlula uluhlu. Amanqanaba aphakamileyo akwandisa ubunzima nobunzima bezinye iingxaki. Kubalulekile ukuba amazinga e-glucose asebenze kakuhle phambi kokuhlinzwa.
Ukuxhatshazwa kwamanzi: Isigulane sinokukhangela kakhulu xa i-diabetes ilawulwa kakubi kunye nomngcipheko ophezulu we-osmotic diuresis. Oku kunokwandisa umngcipheko wezinye iingxaki.
I-hyperglycemic syndrome syndrome (HHS): Le yimeko apho isigulane sinamazinga aphezulu e-glucose, ukunyanzelisa amanzi kunye nokuncipha kwengqondo. Kuyinkxalabo enkulu emva kweenkqubo ezithile zokuhlinzwa ezifana nokuhlinzwa komzimba kwintsebenzo yokuhlinzwa apho idibene nokufa kwabantu abangama-42%.
I-diabetic ketoacidosis (DKA) : Ukuhlinzwa kunye / okanye ezinye iingxaki kunokunyusa ama-hormone oxinzelelo, okwenza i-insulin ingasebenzi kakuhle. Ukuba i-insulin ayinakunceda umzimba ukutshisa i-glucose yamandla, umzimba uya kutshisa i-fat instead. Iimveliso ze-asidi enetyhefu zibizwa ngokuba yi-ketoni zakha egazini kwaye zingasongela ubomi. Ukuhamba kwamanzi kuhamba kunye kwaye ngezinye izikhathi kubangela i-DKA.
Ukuphulukiswa kwesilonda esingenakukhubazeka : Abantu abanesifo sikashukela banokungabikho kokusasazeka kwemisipha, ukulimala kwamantongomane, ukunciphisa amandla omzimba kunye neengxaki zesikhumba. Ezi zinganciphisa ukuphulukiswa kwilonda kunye nokwandisa umngcipheko wosulelo.
Usuleleko : Uhlobo oluqhelekileyo lwentsholongwane yintsholongwane yesifo. Ingozi inyuka kubantu abanesifo sikashukela ngenxa yexesha lokuphulukisa. Kubalulekile ukuthatha onke amayeza njengoko iyalathwayo kwaye ulandele imiyalelo yokunakekelwa kwe-incision.
I-Sepsis : Uhlobo oluthile lwesifo sobungozi bonke emva kokusuleleka ngenxa yeebhaktheriya kwigazi. Kunzima kwaye kunzima ukulawula. Iziza eziqhelekileyo ezivela emva kokuhlinzwa zibandakanywa, ii-sites, izikhumba kunye nezilonda zesikhumba.
Ukuphela kwe-endothelial: Amazinga aphezulu e-glucose akwandisa umngcipheko wokuvuvukala okanye ukulimala kwimigca yegazi. Phakathi kwezinye izinto, iiseli zokugqibela zidibene kunye nokuhamba kweeseli ezimhlophe zegazi, ukucima igazi, uxinzelelo lwegazi, ukuvuvukala kunye nesifo senhliziyo.
I-Iskemia: Ukungabikho kwegazi kunikwe inxalenye yomzimba onjengentliziyo, ubuchopho, isikhumba okanye isilwane esiholele ekufeni kwesisu kwiindawo ezichaphazelekayo. Abantu abanesifo sikashukela basengozini enkulu, ingakumbi ukuba banamazinga e-glucose angaphandle kokulawula. Ukuxhatshazwa kwamathumbu kunye nokunyanzeliswa kwamanzi kukunyusa ingozi.
Ukungalingani kwe-Electrolyte: Ukukhathazeka, ukuhlanza kunye nokuphelelwa ngumzimba kungabangela ukuxinezeleka, imithi kunye ne-anesthesia ekubangele i-salt salts engalinganiyo. Oku kunokwandisa umngcipheko we-arrhythmias yehliziyo kunye nokungaphumeleli komntu. Umngcipheko uhlanganiswe nakwizifo zesifo sikashukela esele sisesichengeni esiphezulu seengxaki ze-coronary and renal.
Ukuhluleka kwe-Renal: I- diabetes yinto eqhelekileyo yodwa ebangela ukungaphumeleli kwe-renal. Ingozi ngexesha okanye emva kokuhlinzwa linganyuswa ngenxa yezizathu ezinokungalingani kwe-electrolyte, ukuchithwa kwamanzi, ukunyanga kwamachiza, uxinzelelo lwegazi olungavamile, i-sepsis kunye ne-trauma.
I-arrhythmias yenhliziyo: Ingozi iyanda nge-diabetes engalawulwayo, isifo senhliziyo, imithi ethile, umfutho wexinzelelo, ukukhuluphala, kunye nokungalingani kwe-electrolyte.
Indlela yokunciphisa ingozi yakho
Fumana kunye nokugcina i-blood glucose inqanaba kwiindawo ezijoliswe kuzo
Ukuzivocavoca ukuphucula umzimba wakho
Fumana ukutya okunomsoco kunye neproteinyini ephezulu ephezulu
Kuphephe ukukhulelwa kwamanzi
Thatha amanyathelo okunciphisa uxinzelelo
Musa ukutshaya okanye ukusela utywala
Nini ukubiza uDokotela wakho
Yazisa ugqirha wakho ngokukhawuleza ukuba unayo nayiphi na le mpawu, ebonisa ukuba usulele ukusuleleka okanye uxinzelelo.
Ubuhlungu beendawo, ububele, ukuvuvukala, ubunzima, ubomvu, okanye ubushushu
Fever
Imithombo
UDagogo-Jack, MD, FRCP, uSamuel no-Alberti DPHIL PRCP, K. George MM. "Ulawulo lweSifo sikashukela iMellitus kwizigulane zokugula." Umhlaza wesifo sikashukela uJanuwari 2002 15 (1): 44-48
Mangram MD, Alicia; IHoran MPH CIC, uTeresa; I-Pearson MD, uMichelle L; Isilivere BS, uLeah Christine; kunye noJarvis MD, uWilliam R. "Isikhokelo sokuSithintela ukuThengiswa kweSayithi ngo-1999" Ukulawulwa koGawulayo kunye neSpilemiology yezibhedlele 20 (4): 247-278
Rosenberg, CS. "Ukuphulukiswa kwesilonda kwisigulane sesifo sikashukela." Iiklinikhi zoLondolozo zaseNyakatho Melika uMatshi 25 1990 25 (1): 247-61.