HYPEROSMOLAR COMA - MENENE? - TASHIN HANKALI DA CUTUTTUKA

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Ofaya daga cikin yiwuwar rikicewar cututtukan ƙwayar cuta shine ƙwaƙwalwar jini hyperosmolar. Yana faruwa ne musamman a cikin tsofaffi marasa lafiya (shekaru 50 da haihuwa) suna fama da nau'in ciwon sukari na 2 wanda ake kira rashin lafiyar insulin-insulin). Wannan yanayin yana da ɗan wahalar gaske kuma yana da matukar muhimmanci. Mutuwa ta kai kashi 50-60%.

Menene haɗarin?

Rikicin da aka nuna, a matsayin mai mulkin, yana faruwa ne a cikin mutane masu nau'in ciwon sukari na mellitus 2 masu sauƙi ko matsakaici. A cewar kididdigar, a kusan 30% na lokuta, wannan nau'in kwayar cutar yana faruwa a cikin mutanen da ba a taɓa gano su ba da ciwon sukari na mellitus, kuma shine farkon bayyanar cututtuka na cutar. A irin waɗannan halayen sukan ce: "Ba matsala!"

Ganin yanayin ɓoye ko mai laushi na hanyar cutar, kazalika da tsufa na yawancin marasa lafiya, ingantaccen ganewar asali yana da wahala. Sau da yawa, alamu na farko da aka jinkirta ana danganta su da keta tasirin ƙwaƙwalwar ƙwayar cuta ko wasu dalilai waɗanda ke haifar da ƙwarewar hankali. Hakanan akwai wasu mummunan yanayi don ciwon sukari (ketoacidotic da hyperglycemic coma), daga abin da dole ne a rarrabe wannan rikicewar.

Kwayar cutar

Bayyanar cututtuka na wannan yanayin na iya bunkasa cikin kwanaki da yawa, wasu lokuta makonni.

Babban bayyanai na asibiti an jera su a ƙasa, farawa daga abin da aka fi so tare da ƙare tare da faruwa lokaci-lokaci:

polyuria, ko yawan urination;
janar gaba daya;
karuwar gumi;
m ƙishirwa;
m numfashi m;
karancin jini;
karuwar zuciya;
zazzabi;
bushe fata da mucous membranes;
nauyi asara;
rage ƙwaƙwalwar fata da fatar ido (laushi ga taɓawa);
kirkirar fasalin fasali;
wuyan huhun makoji, ci gaba cikin jijiyoyin wuya;
rashi magana;
nystagmus, ko saurin rikicewar motsi na ido;
paresis da inna;
gurbataccen tunani - daga disorientation a cikin sararin samaniya har zuwa tsakaitarwa da rarrabuwar kai.

Tare da kulawa ba tare da kulawa ba, mai haƙuri ya faɗi cikin ƙarshe tare da babban yiwuwar mutuwa.

Sanadin da Matsalar Hadarin

Har izuwa ƙarshen, har yanzu ba a kafa hanyar don faruwar wannan yanayin cutar ba. Koyaya, an san cewa yana dogara ne akan rashin ruwa (fitsari) na jiki da kuma ƙara ƙarancin insulin. Zasu iya faruwa akasari daga cututtukan m ko kuma na kullum.

Abubuwa masu ba da hankali zasu iya haɗawa:

sake yin amai da / ko zawo;
raunin jini;
rashi mai aiki;
yin tsawan amfani da diuretics (diuretics);
m cholecystitis ko pancreatitis;
amfani da magunguna na steroid na dogon lokaci;
rauni ko tiyata.

Sau da yawa, rikicewar da aka bayyana yana tasowa a cikin tsofaffi marasa lafiya da masu ciwon sukari waɗanda ba su da kulawa sosai, lokacin da, saboda bugun jini ko wasu dalilai, kawai ba za su iya cinye ruwan ba a cikin adadin da ake buƙata.

Taimakawa tare da cutar motsa jiki na hyperosmolar

Saboda gaskiyar cewa kwararru ne kawai zasu iya yin gwaji a kan bayanan dakin gwaje-gwaje, ana buƙatar asibiti mai haƙuri.

Tare da coma na hyperosmolar, hoto mai zuwa halayyar halayya ce:

babban digiri na hyperglycemia (karuwa a cikin glucose na jini) - 40-50 mmol / l kuma mafi girma;
ƙimar plasma osmolarity fiye da 350mm / l;
contentara yawan abun ciki na ions sodium a cikin jini na jini.

Dukkanin hanyoyin warkewa ana nufin kawar da rashin ruwa ne da tasirin sa a jikin mutum, tare da rage dumamar glucose a cikin jini tare da dawo da ma'aunin acid din a matsayin al'ada.

Haka kuma, ya zama dole a dawo da alamu lafiya cikin nutsuwa, tunda raguwarsu mai kyau na iya haifar da rashin karfin zuciya, kazalika da haifar da huhun hanji da kuma cutar ta hanji.

An kwantar da marasa lafiya a cikin sashin kulawa mai zurfi kuma suna ƙarƙashin kulawar kwararru a kusa da agogo. Baya ga babban maganin cutar, rigakafin thrombosis, kazalika da maganin rigakafi, ana aiwatar da su.

Hyperosmolar coma cuta ce mai haɗarin gaske da rashin haɗari na ciwon sukari. Matsalar yin bincike, kasancewar cututtukan da ke tattare da rikice-rikice, shekarun tsufa na yawancin marasa lafiya - duk waɗannan abubuwan ba sa yarda da sakamako mai kyau.

Kamar yadda koyaushe, rigakafin shine mafi kyawun kariya a wannan yanayin. Kulawa koyaushe ga lafiyarka, lura sosai game da yanayinka, idan kana cikin haɗari, wannan ya zama al'ada kuma ya zama al'ada a gare ka. Game da bayyanar alamun bayyanar cututtuka na farko, dole ne a kira kungiyar kwantar da marasa lafiya nan da nan don asibiti a asibiti. Wannan daya ne daga cikin wadancan lamuran inda samarwa kansa yayi kama da haka.

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