Ciwon sukari mellitus sakamako ne na rikicewar jiki a jiki. Kowane haƙuri da ke fama da wannan cutar ya kamata ya san alamun cutar ƙirar mahaifa. Wannan yana ba ku damar gane rikice rikice a cikin lokaci kuma ku sami taimako na farko. Coma yana haɓaka da tushen haɓakar haɓaka ko raguwa a cikin sukarin jini.
Bayyanar cututtuka na farko na coma
A cikin wani yanayi kamar cutar sankarau, alamomin sun dogara da nau'in canje-canje na cututtukan cututtukan cututtukan da ke faruwa a jikin mutum yayin lalata cututtukan ƙwayar cutar sankara.
Cutar sankarau tana haɓaka asalin bayan hauhawar haɓaka ko raguwar sukari jini.
Hyma na jini
Halin hypoglycemic yana haɓaka tare da raguwa mai mahimmanci a cikin glucose jini. Yana haɗuwa da iskar oxygen da kuzarin ƙwayar kwakwalwa. Tare da shan kashi na wasu sassan wannan sashin, alamun bayyani sun bayyana. Abubuwan da ake buƙata don ci gaban ƙimin abinci sune:
- rauni mai ƙarfi;
- Dizziness
- rawar jiki;
- jin zafi a cikin sassan jiki da na parietal;
- jin karfi na yunwar;
- canjin hali (mara lafiyar ya zama mai saurin fushi da haushi);
- rage hankali span;
- raunin gani;
- Rashin magana (mutum yana magana a hankali, yana buɗe kalmomi);
- tashin zuciya tare da asarar hankali;
- kamawar numfashi da rauniwar zuciya.
Non-ketone coma yana tasowa da sauri. Yana da mahimmanci gudanar da magudi na likita akan lokaci, da hana mai haƙuri yin rauni na dogon lokaci.
Maganin rashin lafiya
Cutar sukari tana da alamun kamanceceniya da bayyanar guba na abinci. Samun haɓakar ƙwaƙwalwar ƙwaƙwalwa yana gab da:
- urination akai-akai;
- matsananciyar ƙishirwa;
- tashin zuciya, tashin hankali a cikin maimaita abin da ya faru na amai wanda ba ya kawo taimako;
- bayyanar warin acetone daga bakin;
- ciwon ciki (da hali na rauni ko yankan farji);
- take hakkin motility hanji (hade da maƙarƙashiya ko zawo).
Idan ba a kula da shi ba, maganin riga-kafin yakan bunkasa, tare da:
- mai rauni sosai;
- raguwa a yawan fitsari;
- raguwa cikin zafin jiki;
- bushewa da kyalli na fata;
- bugun zuciya;
- sauke cikin karfin jini;
- raguwa cikin sautin gira (lokacin da aka matse, ana jin laushi mai yawa);
- raguwa a cikin fata fata.
Wannan halin yana da alaƙa da yanayin bayyanar wasu sautuka mai saurin kamuwa da kuzarin jiki. Lokacin da kuke numfashi, kuna jin ƙamshin acetone. Tare da ƙara yawan sukari, ƙwayoyin mucous na bakin ciki sun bushe, harshen yana rufe da launin ruwan kasa. Yanayin ya ƙare da haɓaka ƙimar gaskiya, mara lafiya ya daina amsa ƙwarin gwiwa.
Cutar Ketoacidotic
Wadannan alamu na gaba suna taimaka wajan gano wannan sakamakon ciwon sukari:
- Rage tashin hankali da kuma rauni gaba ɗaya. Nuna karuwa a matakin ketones a jiki. Amfani da tsaran gwajin yana taimakawa tabbatar da wannan.
- Ciwon ciki. Witharfafa tare da haɓakar maida hankali na acetone a cikin jini. Idan ka danna hannu akan ciki, zafin zai zama mai zafi. Wannan alamar za a iya rikita shi tare da bayyanar cututtukan appendicitis da sauran hanyoyin kumburi a cikin gabobin yankin na ciki.
- Canza yanayin numfashi. Ketoacidosis yana haɗuwa da haushi na cibiyar numfashi, mai haƙuri yana numfashi sau da yawa kuma a sama. Nan gaba, numfashi ya zama da wuya kuma ba hayaniya. Iskar da take shayar da iskar acetone.
Ta hanyar gudanar da aikin insulin, ana iya hana wadatar coma na gaskiya kuma za'a iya guje wa mutuwa.
Hyperosmolar coma
Yanayin jijiyoyin jini yana tasowa daga tushen karuwar osmolarity na jini. Wadannan alamu sune halayensa:
- Alamar rarrabuwar cutar sankara. Mai haƙuri ya koka da gajiya mai wahala, yawan urination da ƙishirwa.
- Fitsari Ragewar jini da nauyin jiki suna raguwa, kuma bushe bakin ya zama na dindindin. Fatawar fata na canzawa, alagammana mai zurfi yana bayyana.
- Bayyanar cututtuka na lalacewar tsarin mai juyayi. Waɗannan sun haɗa da rauni na tsoka, ɓacewa ko ƙarfafawar reflexes, seizures, hallucinations. Abubuwan da ke faruwa da tsarin mai juyayi suna hana kansu, bayan haka mai haƙuri ya faɗi cikin rashin lafiya.
- Take hakkin ayyukan gabobin ciki. Vomiting da zawo suna bayyana, bugun jini da kuma numfashi suna zama sau da yawa. Kodan ta daina aiki, wannan shine dalilin yasa saurin dakatarwa. Wataƙila samuwar ƙwaƙwalwar jini da kuma bayyanar cututtukan raunuka na kwakwalwa.
Cutar Kwalara
Wannan yanayin cututtukan haɓakawa ne a tsakanin sa'o'i 8-12. Yana da hankula ga masu ciwon sukari tare da cututtuka da yawa na concomitant. Matakan sukari na jini tare da lactacPs coma ya tashi kaɗan. Alamomin masu zuwa suna bayyana:
- ciwo mai zafi a cikin yankin zuciya da manyan tsokoki, waɗanda ba za a iya tsayar da su ba tare da daidaitattun nazarin maganganu ba;
- yawan tashin zuciya da amai;
- m zawo;
- rauni na tsoka;
- bugun zuciya;
- sauke cikin karfin jini;
- bayyanar gazawar numfashi, tare da yin zurfin numfashi;
- mai rauni na hankali, rashin mayar da martani ga motsawar waje.
Yaya ake gano ciwon sukari?
Bayyanar cututtuka yana farawa tare da nazarin mai haƙuri, wanda ke taimakawa gano alamun farko na yanayin cututtukan cuta. Ana gudanar da gwaji na jini gaba daya da na kwayoyin halitta.
Nazarin suna taimakawa wajen tantance nau'in cutar sankarau da bambanta ta da sauran cututtuka.
A cikin yanayin hypoglycemic, matakin glucose a cikin jini bai wuce 1.5 mmol / L ba. Tare da hyperglycemia, wannan alamar ta kai 33 mmol / L. Babban binciken urinalysis shine an gano ketones.
Lokacin da ake buƙatar taimako
Taimako na farko yana farawa tare da kimantawa mahimman sigogi: alamomi na aiki da zuciya, huhu, hanta, kodan da tsarin wurare dabam dabam. Bayan haka, ana aiwatar da gyaran lalacewa. Idan mai ciwon sikila ya jahilci, ana buƙatar dawo da martabar sararin samaniya. Cutar ciki da ta motsa jiki tana taimakawa sosai wajen tsarkake jikin kayayyakin abinci masu guba. Masu tayar da hankali, idan za ta yiwu, gano da kuma kawar da sanadin ci gaban ɗarma. Tare da coma na hypoglycemic, ana iya buƙatar glucose.
