Yawancin marasa lafiya da ke fama da ciwon sukari sun saba da ajali kamar su ketosis masu ciwon sukari. Ana nuna wannan yanayin a matsayin ƙara ɓar da cutar kuma galibi yana tasowa ne a cikin marasa lafiyar waɗanda ba sa iya sarrafa cutar su da kansu. Yawancin lokaci, ana daukar abin da ya haifar da wannan rikicewar shine cewa marasa lafiya kawai basu san yadda zasu sarrafa lafiyarsu yadda yakamata ba kuma yadda zasu kula da lafiyar su.
Ya kamata a lura cewa da farko ci gaban ketoacidosis a cikin nau'in ciwon sukari na 2 yana faruwa ne saboda gaskiyar cewa mai haƙuri yana jagorantar salon rayuwa mara daidai kuma baya bin abincin da aka tsara.
Yawancin masana sunyi jayayya cewa don guje wa irin waɗannan sakamakon, ya isa a bi wani abincin musamman na carb. Wannan dokar tana dacewa musamman ga nau'in ciwon sukari na 1 na sukari, da na waɗanda ke da cutar siga ta digiri na biyu. Wadancan marasa lafiya waɗanda ke jituwa da wannan abincin koyaushe suna jin daɗin kyau fiye da waɗansu. Kodayake nazarin fitsari yana nuna kasancewar acetone. Amma ba shi da haɗari.
Babban abu shine matakin sukari na jini baya wuce ka’idar aiki.
Amma ban da abincin, akwai wani magani don cutar ketoacidosis mai ciwon sukari. Farawa daga ɗaukar magunguna masu rage sukari na musamman da ƙare tare da wasu abubuwan motsa jiki.
Duk wani mara lafiya yakamata ya tuntuɓi ƙwararrun likitan halittu don ingantaccen kulawar rashin lafiyarsa. Wannan kuma, zai iya gudanar da gwaje-gwaje na yau da kullun kuma, idan ya cancanta, sauya tsarin kulawa.
Tabbas, don zaɓar hanyoyin da suka dace na magani, ya kamata ku fara fahimtar menene ketoacidosis mai ciwon sukari. Ya kamata a lura cewa yana da wasu alamu, idan an gano su, ya kamata ku nemi taimakon likita nan da nan.
Ya kamata koyaushe ku tuna cewa ketoacidosis na ciwon sukari a cikin yara na iya faruwa. Don haka, ya zama wajibi iyaye su sanya idanu sosai game da lafiyar ɗan su tare da gargadin duk manya a ciki ta yadda idan ba su cikin su ba su sa ido a kan yanayin yaran.
Haɓaka wannan yanayin saboda gaskiyar cewa jikin yana da raunin insulin mai ƙarfi sakamakon abin da ƙwayoyin ba za su iya yin amfani da glucose a madaidaiciyar hanya ba.
Jikin mai haƙuri yana rasa ƙarfinsa, mutum yana jin rauni koyaushe, jin yunwar da sauran alamun zazzabin cizon sauro. A wannan yanayin, ana tilasta jikin ya canza zuwa abinci mai gina jiki tare da ajiyar mai mai. A sakamakon haka, mutum ya fara rasa nauyi sosai, kodayake a lokaci guda abincinsa yana ƙaruwa. Ketoacidosis mai ciwon sukari shima yana da wasu sakamako mara kyau.
Wato, muna magana ne game da gaskiyar cewa a cikin lalacewar ƙimar fitsarin da ke sama, an ƙirƙiri wani jiki, wanda ke da sunan ketone. Yawan su a cikin jini yana haifar da gaskiyar cewa kodan kawai basu da lokaci don jure aikin su. A sakamakon haka, an lura da ƙara yawan acidity na jini.
Don ware irin waɗannan yanayi, kowane haƙuri da ke kamuwa da cutar sankarau a kan kullun ya kamata a yi gwajin likita.
A zahiri, alamun ketoacidosis yana bayyana ta wannan hanyar:
- jin yunwar kullun;
- matsananciyar ƙishirwa;
- jin rauni;
- tashin zuciya da amai
- warin kamshi na acetone daga bakin ciki.
To, abin da ya baci shi ne idan ba a ba da taimakon farko ga mai ciwon sukari ba, to yanayinsa zai tabarbare sosai kuma ya zo ga wanene.
Ba da daɗewa ba bayan ƙaddamar da ƙididdigar da ta dace, mai haƙuri wanda ke da nau'in ciwon sukari na 2 zai iya fuskantar irin wannan matsala kamar kasancewar acetone a cikin fitsari. Kamar yadda aka riga aka bayyana a sama, wannan ya faru ne saboda gaskiyar cewa jiki, ƙoƙarin gyara don ƙarfin da ya rasa, yana ciyar da ajiyar kitse na kansa. Wancan, biyun, rushewa, ya tona asirin ketone, da fitsari fitsari ya canza tare da ciwon suga.
Wannan halin da ake ciki ya zama ruwan dare gama gari a cikin waɗannan marasa lafiyar da ke bin raunin carb ko a cikin marasa lafiya da keɓaɓɓiyar jijiya. Yaran da suka fi ƙarfin hannu suna cikin yanki na haɗari na musamman, wannan saboda gaskiyar cewa yaro yana ciyar da makamashi mai yawa, kuma jiki baya samun isasshen abinci mai gina jiki kuma yana fara neman sababbin hanyoyin da za su sake cike kuzarin da aka kashe.
Babban kuskuren da marasa lafiya ke yi shine ƙin irin wannan abincin. Babu buƙatar yin wannan, kawai fara cinye ruwa mai yawa kuma ana kulawa da shi sosai. Ya kamata a fahimci cewa acetone a cikin fitsari ko jini ba ya cutar da sashin jiki ɗaya muddin sukari bai wuce al'ada kuma mutum ya ci ɗumi mai yawa. Amma cikakkiyar canji ga abincin maras carb zai taimaka wajen fara sarrafa matakan sukari na jini ba tare da amfani da allurar insulin ba.
Amma, ba shakka, dole ne a yi wannan a ƙarƙashin tsananin kulawa na malamin halartar. Abin da ya sa yana da matukar muhimmanci a auna sukarin ku a kai a kai kuma a tabbata cewa ba a tashi ba zato ba tsammani.
Ya kamata koyaushe ku tuna cewa ketoacidosis a cikin ciwon sukari yana faruwa saboda karuwa mai yawa a cikin sukarin jini. Sabili da haka, idan ba ku saukar da shi tare da insulin ba, to mai haƙuri na iya kowane lokaci ya fada cikin rashin lafiya.
Kamar yadda aka fada a sama, alamar farko cewa mara lafiya yana da ketoacidosis mai ciwon sukari matakin haɓaka ne na jini. Wato, idan bai fi mmolol / l uku ba. Af, kowa ya san cewa akwai wasu na’urori na musamman waɗanda suke auna matakin acetone a cikin fitsari ko jini a gida. Waɗannan sune tsararrun gwaji. Amma masana da yawa suna jayayya cewa auna sukari na jini yafi tasiri.
Gabaɗaya, kasancewar acetone baya nufin komai tukuna, amma idan glucose na jini yayi yawa, wannan na iya haifar da cigaban ketoacidosis a cikin yara da manya. Sabili da haka, koyaushe kuna buƙatar auna sukari kullun ta amfani da, misali, One Touch Ultra glucometer. Haka kuma, dole ne a yi shi a kan komai a ciki da sanyin safiya, kai tsaye bayan barci. Kuma bayan cin abinci, kimanin awa biyu ko uku daga baya.
Idan, nan da nan bayan cin abinci, glucometer yana nuna ƙimar sukari a cikin kewayon 6-7 mmol / l, to ya kamata a dauki matakan da suka dace nan da nan.
A cikin ka'idar, kasancewar kullun na matakan acetone shima dalili ne don tuntuɓar likitan ku na endocrinologist. Ya kamata a tuna cewa yawan kibarsa yana haifar da tabarbarewa cikin walwala.
Mai haƙuri koyaushe yana jin ƙishirwa, urination akai-akai, rauni, rashin barci, da rashin kulawa gaba ɗaya.
An riga an faɗi a sama cewa wannan yanayin yana faruwa lokacin da sukari mai yawa yana cikin jinin mai haƙuri kuma acetone yana cikin fitsari. Amma kuma, na biyu shine saboda glucose baya ciyar da jiki yadda yakamata kuma an tilasta shi neman sauran albarkatun don tallafawa. Tabbas, insulin zai iya taimakawa a wannan yanayin. Abubuwan da yake sanyawa a ciki yana taimakawa rage jini. Amma matsalar ita ce cewa an wajabta shi kawai don ciwon sukari na 1, amma acidosis na iya faruwa a cikin marasa lafiya da nau'in wannan cuta ta biyu. Ya kamata a tuna cewa tare da mummunan tsari, wannan magani ya sami juriya. Kuma ko da kun ɗauki ƙananan allurai, yawan adadin insulin a cikin jini zai fara ƙaruwa sau huɗu, ko ma sau goma sha biyar. Dalilin jure insulin na iya zama:
- manya-manyan matakan acid a cikin jini;
- kasancewar yawan masu adawa da kwayoyi a cikin jini.
Masana kimiyya sun zo cikin wannan ra'ayi cewa sanadin wannan yanayin na iya zama ions hydrogen. An tabbatar da wannan ta hanyar gaskiyar cewa gabatarwar sodium bicarbonate gaba daya yana kawar da juriya insulin.
Sabili da haka, lura da ketoacidosis yana faruwa ne kawai a ƙarƙashin kulawa da ƙwararren likita wanda ya tsara mahimmancin allurai na insulin da sauran kwayoyi. Don ingantaccen tsarin kula da rashin lafiyarsu, ana buƙatar kowane mara lafiya ya ziyarci kai tsaye a cikin mahallin endocrinologist na gida.
Musamman wannan doka ta shafi marasa lafiya da ke fama da cutar ketoacidosis, yakamata a fahimci cewa a kowane lokaci wannan yanayin na iya shiga cikin rashin lafiya. Ya isa yin ɗan ƙaramin kuskure a cikin jiyya.
Da farko dai, Ina so in tunatar da ku cewa ketoacidosis a cikin ciwon sukari mellitus 2 ko nau'in 1 cuta ce kuma yana ba da sakamako mai lalacewa. Tare da cin zarafin kullun na waɗannan shawarwari, wannan yanayin na iya haɓaka cikin ciwo. Don guje wa irin wannan sakamako, a farkon alamun cututtukan sukari, ya kamata ka nemi ƙwararren masanin ilimin endocrinologist don adana tarihin cutar. Dole ne likita yakamata ya bincika mai haƙuri a kai a kai kuma ya gargaɗe shi game da irin wannan mummunan sakamako.
Dalilan da yasa ketogenesis ke faruwa sune:
- ba a kula da insulin ba (an ba da umarnin da ba daidai ba, ana gudanar da magunguna ba daidai ba, ana amfani da magunguna marasa inganci, da sauransu);
- ci gaba da kulawa da miyagun ƙwayoyi a wuri guda (a sakamakon haka, ƙwayar ba a shan ta da kyau daga ƙarƙashin fata);
- idan ba a gano cutar sankara ba;
- kasancewar mummunan kumburi a jiki;
- cututtukan zuciya;
- cututtuka
- ciki
- shan kwayoyi;
- zamani bayan aiki da ƙari.
Kamar yadda kake gani, sanadin DKA na iya zama kowane canje-canje mai ƙarfi a cikin jikin mutum, da kuma abubuwan da yawa na waje. Saboda haka, koyaushe kuna buƙatar fahimtar menene kuma menene sakamakon irin wannan cutar ta haifar da ita.
Domin gano cutar da ke kara muni a cikin lokaci, dole ne ka fara neman shawarar kwararrun likitan dabbobi don yin rikodin cutar ka. Musamman idan kun yi ma'amala da ketoacidosis kafin.
Idan alamun farko na wannan ilimin cutar ta fara jin hankali, to ya kamata a yi jarrabawa ta musamman. Wato:
- a asibiti tantance idan akwai wani matakin rage yawan cutar sukari;
- tabbatar ko ware hyperglycemia;
- gano wani sinadarin ketone a cikin fitsari da jini;
- ƙayyade matakin plasma bicarbonates a cikin jini (ma'auni don kimanta 22 mmol / l).
Ko da sakamakon ya nuna ɗayan waɗannan alamun, wannan riga yana nuna yiwuwar haɗari.
Jiyya ta ƙunshi matakai da yawa. Da farko dai, kara girman jini yana yaduwa, saboda wannan, ana gabatar da ruwa da kuma wutan lantarki. Sannan an gabatar da sodium bicarbonate. Bugu da ƙari, ana gudanar da insulin a cikin jijiya. Bayan wannan, dole ne ku shiga carbohydrates da sauran abubuwa masu amfani, rashi wanda aka ƙaddara bayan gwaje-gwaje na musamman.
Ya kamata a lura cewa mara lafiyar wanda aka gano ci gaban ketoacidosis mai ciwon sukari dole ne a kwantar da shi a asibiti kuma a kula dashi a karkashin kulawar likita tare da bincike na yau da kullun da kuma daidaita tsarin kulawa. Kai magani a wannan yanayin ba a yarda dashi ba kuma yana iya haifar da mutuwar mai haƙuri. Bidiyo a cikin wannan labarin zai gaya maka menene sauran haɗarin SD ke fuskanta.
