Ciwon sukari mellitus cuta ce ta endocrine wacce ke shafar mutum ɗaya cikin mutane shida a duniya. Rashin damuwa a cikin ƙwayar cuta, rashin motsa jiki, abinci mara daidaituwa zai iya haifar da ci gaban ilimin halayyar cuta.
Tare da ciwon sukari, haɗarin haɓaka hare-hare na hyperglycemia da hypoglycemia yana ƙaruwa. Waɗannan halayen suna da haɗari sosai ga lafiyar ɗan adam, saboda idan an tsayar da su cikin lokaci, za su iya haɓaka coma mai ciwon sukari ko ketoacidosis masu ciwon sukari.
Rikicin ciwon sukari abu ne mai sauqi ga bincike. Mata da maza suna da alamu na halayya. A yayin farmaki, mara lafiya yana da rikicewar tunani kuma ajiyar zuciya tana cikin damuwa.
Sanadin da alamu na kai harin hyperglycemia
Hyperglycemia shine yanayin masu ciwon sukari wanda a ciki akwai karuwa mai yawa a cikin sukarin jini. A yadda aka saba, matakin glucose yakamata ya zama 5.5. Hyperglycemia yana haɗuwa da karuwa a cikin matakan sukari sama da wannan matakin.
Babban dalilin haɓakar haɓaka shine ƙananan matakan insulin a cikin jini. Yawancin lokaci wannan yanayin yana tasowa ne sakamakon cin abinci mai kalori mai mahimmanci wanda ke da wadataccen abinci a cikin carbohydrates.
Koda harin hyperglycemic a cikin ciwon sukari na iya haɓaka saboda damuwa ko karuwar ƙwayar jiki. Haka kuma, cututtuka masu yaduwa na iya haɓaka matakan glucose na jini da yawa.
Menene alamu na yawan sukarin jini? Wadannan alamu na gaba suna nuna ci gaba na harin wuce gona da iri:
- Bakin bushewa. Wannan alamar tana faruwa a cikin 100% na lokuta. A cikin masu ciwon sukari, bushe bakin yana tare da matsananciyar ƙishi. Mai haƙuri na iya shan ruwa a lita, amma ƙishirwa don wannan bai shuɗe ba.
- Urin saurin hanzari.
- Wahala mai hangen nesa. Marasa lafiya ba zai iya ganin abubuwan da ke kewaye da shi ba. Hangen nesa yana nuna ci gaban mai maye na jiki. Idan ba a ba da haƙuri na farko ba, ketoacidosis na iya haɓaka.
- Sarin acetone daga bakin.
- Mai tsananin zafin ciki. A wannan yanayin, ciwo na ciwo shine paroxysmal a cikin yanayi. Sau da yawa zafin yakan ragu na wasu 'yan mintoci kaɗan, sannan ya dawo da tsananin ƙarfi.
- Amai Vomiting yakan faru ne lokacin da glucose a cikin jini ya hau zuwa 10-15 mmol l.
Idan ba a gano cututtukan hauka na hyperglycemic cikin lokaci ba, alamomin zasu ƙara ƙaruwa sosai. Bayan lokaci, ketoacidosis zai fara ci gaba.
A wannan yanayin, mai haƙuri yana da matsanancin ciwon kai, bushewa daga cikin mucous membranes, matsanancin amai, yankan zafi a cikin rami na ciki.
Sanadin haifar da cutar bugun jini
Hypoglycemia shine yanayin da sukarin jini ya ragu sosai. Me yasa wannan harin ya bunkasa? Yawancin lokaci yakan haɓaka saboda yawan ƙwayoyi. Wannan na iya zama idan likitan halartar ya ba da haƙuri mai yawa na insulin ko allunan don rage glucose.
Hakanan, canji a cikin kantin magunguna na wasu kwayoyi na iya haifar da raguwa mai yawa a cikin matakan sukari na jini. Wannan na faruwa ne idan mutum ya sami hanta ko gazawar koda. Hakanan, magungunan magunguna na iya canzawa idan akwai zurfin allurar da ba daidai ba, kuma insulin ya shiga cikin tsoka. Wajibi ne a fara shirye-shiryen musamman subcutaneously.
Sauran abubuwan da ke haifar da rashin ruwa a jiki sun hada da:
- Aikin motsa jiki na dogon lokaci. Tare da matsanancin ƙoƙari na jiki, kyallen takarda ta zama mai hankali ga tasirin insulin, wanda ke ƙara haɗarin haɓakar kai harin hypoglycemia.
- Take hakkin da adrenal gland shine yake ko pituitary gland shine yake.
- Kurakurai cikin abinci mai gina jiki. Idan mutum bai ci isasshen carbohydrates ba don rufe kashi na insulin, to, barazanar haɓaka wani harin yana ƙaruwa sosai.
- Cutar Gastroparesis.
- Malabsorption syndrome.
- Ciki
- Lokacin lactation.
- Yin amfani da giya.
- M cututtuka.
- Wargaza Warming. A cikin matsanancin yanayin yanayi, buƙatar insulin na iya raguwa kwatsam.
Rikicin hypoglycemia na iya haɓaka saboda rashin amfani da wasu magunguna. Likitoci sun ce tare da maganin anticoagulants, barbiturates, antihistamines ko Aspirin, samar da glucose a cikin hanta yana rage gudu. Sakamakon haka, an kirkiro yanayi masu dacewa don haɓakar harin haɓaka.
Wani harin, tare da raguwa mai yawa a cikin sukari na jini, ana iya haifar dashi ta hanyar ajiyar insulin ko kwayoyi marasa kyau. Bugu da ƙari, magani na dogon lokaci tare da gamma globulin na iya haifar da tsotsar jini. A wannan yanayin, ana iya dawo da wani ɓangare na sel beta.
Saboda wannan, buƙatar insulin ya ragu sosai.
Bayyanar cututtuka na harin hypoglycemia
Tare da raguwa mai yawa a cikin sukari na jini a cikin mutane, aikin al'ada na endocrine da tsarin juyayi yana rushewa. Sakamakon wannan, tsananin yunwa yana faruwa, tare da yin zufa, pallor na fata, ma'anar damuwa.
Alamomin farko na rashin karfin jini sun hada da tashin zuciya da bugun zuciya. A tsawon lokaci, ƙarar bayyanar cututtuka na asibiti yana ƙaruwa. Tare da raguwa mai mahimmanci a cikin matakin glucose a cikin jini, mai haƙuri yana da alamu masu zuwa:
- Rawar jiki. Mutum ya girgiza duk wata gabar jiki. Tremor yana da ƙarfi sosai don haka mai haƙuri ba zai iya riƙe cokali mai yatsa ko cokali a hannunsa ba.
- Ciwon mara. Yawancin lokaci yana tare da dizzness.
- Rage ƙarancin gani na gani. Andarin matakan da ke tattare da sikari da keɓaɓɓen jini ana bayyanasu ta hanyar lalacewar gabobin zuciya. Ba wanda zai iya kera abubuwan da ke kewaye da shi. Sau da yawa raguwa na jijiya yana iya kasancewa tare da magana mara amfani.
- Rarraba cikin sarari.
- Musclearfin tsoka mai ƙarfi. Wani lokacin sukan fara zama sanyin gwiwa.
Idan baku dakatar da yawan zubar da jini a cikin lokaci ba, cutar sikari ta tasowa. A wannan yanayin, alamu na rage yawan sukarin jini ya zama yana kara bayyana. Idan kuwa ba a fara taimakon farko ba, mara lafiyan zai rasa tunani.
Idan baku dakatar da harin ba, to mutuwa na faruwa.
Taimako na farko yayin tashin hankali
Me za a yi idan mutum ya ci gaba da yaƙar cutar sanƙara? Da farko, kuna buƙatar auna matakin glucose a cikin jini. Tare da mai nuni na 14 mmol / L, ana nuna kulawa da insulin na ta-kaikaice. An ba da izinin allura mai zuwa kafin sa'o'i 2-3.
Idan sukari baya raguwa koda bayan allura, to, ana nuna asibiti ta gaggawa, kamar yadda haɗarin haɓakar ketoacidosis ke ƙaruwa. A wani asibiti, ana yiwa mai haƙuri allurar.
Hakanan ana nuna gabatarwar carbohydrates, sunadarai da bitamin na musamman. Dalilin wannan jiyya shine dawo da daidaitaccen ma'aunin acid-base. Tare da haɓakar ketoacidosis, an ba wa mai haƙuri enema tare da maganin soda.
Bayan dakatar da harin, mai haƙuri ya kamata:
- Sha ruwa da yawa. Yana da kyau a yi amfani da ruwan alkaline, saboda yana taimakawa wajen daidaita ma'aunin acid-base da sauri.
- Bi abinci. Dole a cire carbohydrates mai sauri, abubuwan sha giya, da sabon kayan abinci daga abincin.
- Yi motsa jiki a kai a kai. Yin tafiya cikin sabon iska da wasan motsa jiki zai hana haɓakar kai hari.
Yadda za a yi tare da harin hypoglycemic? Da farko, kuna buƙatar auna sukari na jini. Idan tayi ƙasa, to lallai ya zama dole a baiwa mara lafiya mafita da glucose. Man shafawar glucose shima zai taimaka wajen haɓaka matakan sukari na jini. Dole a shafa shi a cikin gumis.
Ba shi da ma'ana a ba wa mai haƙuri abinci mai ɗauke da sukari mai yawa, tunda yayin harin ba mai haƙuri ba zai iya tauna abinci. Amma idan mai haƙuri ya rasa hankali saboda ƙarancin matakan glucose? A wannan yanayin, ya kamata ka:
- Kira motar asibiti
- Sanya glucagon ga mara lafiya. Wannan hormone yana taimakawa sosai wajen haɓaka matakan glucose na jini kwatsam. Ana samun Kit ɗin gaggawa na Glucagon a kowane kantin magani. Duk wani mai wucewa zai iya siye shi, babban abu shine samun girke-girke da suka dace. Gabatar da hormone bada shawarar intramuscularly.
- Sanya mai haƙuri a gefe. Wannan ya zama tilas domin nutsuwa ta fita daga bakin kuma mara lafiya ya kasa shayar da shi.
- Sanya sandar katako a cikin hakora. Wannan hanyar zata taimaka rage radadin da mara lafiyar zai ciji harshensa.
- Tare da amai, ya zama dole don tsaftace bakin farjin mara lafiya daga amai.
A cikin tsarin asibiti, ana dakatar da harin ta hanyar glucose na ciki. Bayan matakin sukari na jini ya koma al'ada, ana wajabta maganin mara lafiya ga mai haƙuri. Ya ƙunshi amfani da allunan glucose da abinci na musamman. Mai haƙuri yana buƙatar auna matakin glucose a cikin jini a cikin kowane awa 2.5 don kiyaye haɗuwa. Bidiyo a cikin wannan labarin zai taimaka muku game da ciwon sukari.
