Mutanen da ke fama da ciwon sukari na iya haɓaka irin wannan matsala mai haɗari kamar ketoacidosis. An haifar da shi ta hanyar cin zarafin metabolism wanda ya haifar da rashi insulin a cikin jiki. Haɓaka tsarin yana faruwa ne lokacin da mutane suka daina amfani da glucose a matsayin tushen kuzari. Madadin haka, kitse suna zuwa aiki gwargwadon tsarin biyan diyya, suna haifar da ƙaruwa a yawan jikin ketone (ko acetone) - samfuran matsakaici na matsakaici. Suna hade cikin hanta, kuma a cikin lafiyar mutum hankalinsa ya zama sakaci. Excessarfin irin waɗannan jikin suna nuna cin zarafin ƙwayoyin carbohydrate da mai mai, wanda ke haifar da karuwa cikin acidity na jini da raguwa a cikin aikin koda.
Ketoacidosis mai ciwon sukari
Menene haɗarin ketoacidosis?
Canjin yanayin acid, wanda ke faruwa sakamakon cin zarafin ƙwayoyin carbohydrate, na iya jefa mutum cikin rashin lafiya. Kuma a sakamakon - zuwa mutuwa. Tare da ketoacidosis, canje-canje masu zuwa suna faruwa:
- Sugarara yawan sukarin jini;
- Concentara yawan taro na jikin ketone;
- Canja a ma'aunin acid-base.
A cikin marasa lafiya da nau'in ciwon sukari na 1, ana gano wannan yanayin a cikin 20% na kowane yanayi, a nau'in 2 - a cikin 7%. Mutuwar daga wannan rikitarwa shine kashi 7-19%. Don hana wannan, masu ciwon sukari na kowane ɗayan nau'ikan guda biyu dole ne su iya daidaita sukari na jini tare da glucometer, koya yadda ake yin allurar insulin mara ƙwaƙwalwa ga kansu, kuma daidai lissafta adadin hodar da ake sarrafawa. Sannan alamun da ke sama na iya raguwa sosai.
Babban dalilan bayyanar
A nau'in 1 da nau'in masu ciwon sukari na 2, ketoacidosis yana haɓaka tare da rashi insulin a cikin jini. Wannan karkacewa da ka'idodin na iya zama dangi ne ko cikakke. Sannan a magana ta farko muna magana ne game da ciwon sukari na 2, da kuma na biyu - nau'in ciwon sukari na 1. Akwai dalilai da yawa waɗanda ke taimakawa ci gaban rikitarwa:
- Yin rauni;
- Shiga ciki;
- Yarda da magungunan da ke da alaƙa da "abokan adawar" na insulin (hormones na jima'i, diuretics);
- Yarda da magungunan da ke rage yiwuwar kyallen takarda zuwa insulin;
- Ciki
- Cutar tiyata;
- Rashin insulin a cikin nau'in ciwon sukari na 2.
Dangane da wannan, za'a iya kammala cewa halayen mahaifa marasa lafiya yakan haifar da ketoacidosis. Yana iya tsallake insulin ko ba zaiyi allura ba ko kaɗan, kuma yana iya ƙeta umarnin likita. Wani lokacin buƙatar ƙara yawan sashin insulin ana faruwa ne ta hanyar haɓakar cuta mai yaɗuwa, tare da babban amfani da carbohydrates.
Yin rikitarwa na iya faruwa tare da gabatarwar hormone ƙarewa ko adana shi da keta yanayin da ake buƙata. Hakanan tasiri mai tasiri shine ikon yin allurar kanka da lafiyar kayan aikin da ake amfani dasu don wannan. Da wuya, kurakuran likita na iya haifar da ketoacidosis.
Bayyanar cututtuka na Ketoacidosis
Bayyanar cututtukan da ke halayyar wannan yanayin zasu taimaka muku fahimtar cewa kuna buƙatar kulawa da likita. Suna haɓaka da sauri. Na farko sune bayyanannun abubuwa masu alaƙa da haɓaka taro na glucose a cikin jini:
- M ji da ƙishirwa;
- Fata mai bushe da ƙwayoyin mucous;
- Urination akai-akai;
- Rage nauyi;
- Janar rauni a cikin jiki.
Abu na gaba, bayyanar alamun alamun wucewar ketone. Ana haƙuri mai haƙuri ta hanyar tashin zuciya, amai, jin warin acetone ana ji daga bakin. Numfashi ya zama mai hayaniya da zurfi, sautinsa na yau da kullun yana ɓacewa. Bayan wannan, sakamako ya riga ya kasance akan tsarin juyayi na tsakiya. Wannan yana nuna kanta a cikin nau'in ciwon kai, ƙarancin nutsuwa, haushi da ƙuntatawa ga abin da ke faruwa a kusa.
Binciko
Babban abun ciki na jikin ketone a cikin jiki yana da tasirin fushi akan jijiyoyin ciki. Ruwan da suke buƙata yana fara barin ƙwayoyin. Lokacin da za a bayan gida, ba kawai wuce haddi mai narkewa ba, har ma ana fitar da potassium daga jiki.
Dangane da sarkar bayyanar cututtuka, yana iya zama kamar akwai matsaloli tare da ciki, tunda akwai jin zafi a bangon gaban ciki. Idan likita bai ba da izini don bincike game da sukari na jini ba, to wataƙila irin wannan mara lafiyar za a kwantar da shi a asibiti a cikin tiyata ko a cikin asibitin da ke fama da cutar.
Don hana wannan faruwa, ana yin gwaji don tantance haɗuwar glucose da jikin ketone a cikin jini don gano ketoacidosis. Ana yin irin wannan binciken tare da fitsari na mara lafiya.
Ketoacidosis a cikin yara
A lokacin ƙuruciya, wannan rikicewar cuta ce sakamakon ganowar cutar sankarau. Komawa da maimaitawa a nan gaba ana iya danganta shi da hanyar da ba daidai ba ta magani ko kuma rashin gaskiya na sarrafa sukari na jini.
Ketoacidosis jagora ne a mace-mace a tsakanin matasa masu ciwon sukari. Bayyanar cututtuka na wannan yanayin a cikin yaro daidai yake da na manya. Hanyoyin magani iri ɗaya ne.
Matsaloli da ka iya yiwuwa
Idan mutum yana da shakku game da ketoacidosis, to lallai yana buƙatar ɗaukar matakai don dawo da matakin glucose zuwa al'ada. Ba tare da komawa ga magunguna ba, ana iya yin wannan ta hanyar sauya abincin. Ya isa don ganowa tare da taimakon waɗanne samfurori suke rage yawan sukarin jini. Idan ba'a dauki matakan a cikin lokaci ba, to ketoacidosis ya cika da sakamako mara kyau:
- Harshen edeji;
- Cirewa cikin aikin zuciya;
- A ci gaba da concomitant cututtuka.
Babban abin bakin ciki na yawan wuce haddi na sukari a cikin jini na iya zama m. Zai fi kyau kada a jinkirta ziyarar likita, tunda har yanzu yana ɗaukar lokaci don wucewa gwaje-gwajen da ake buƙata kuma kuyi bincike.
Jiyya na Ketoacidosis
Janar shawarwari
Bayan samun sakamakon gwaje-gwajen yayin bayyanar cutar, likita ya ba da izinin hanya don kulawa. Ofayan ɗayan wuraren shi ne lura da tsarin abincin masu ciwon sukari. Tare tare da ƙwararrun likitoci, ana tattara jerin abincin da za ku ci wanda zai rage sukarin jini a cikin nau'in ciwon sukari na 2 da nau'in 1. Kari akan haka, mara lafiyar dole ne ya bi ta:
- Harkokin insulin. Anyi haƙuri da insulin. Yayin aiwatarwa, ana auna matakin glucose a kowace awa.
- Zazzagewa. A jikin, yawan ruwan asara da aka sake cikawa ta hanyar saurin narkewa a cikin tayin.
- Maimaita potassium reserve.
- A hanya na lura da concomitant cututtuka.
Tare da ketoacidosis, ana ɗauka mai haƙuri zuwa sashin kulawa mai zurfi ko naúrar kulawa mai zurfi, inda ana lura da matakan jini da fitsari akai-akai, kuma ana yin infusions. Taimako na farko bayan bayyanar alamun bayyanar cututtuka na rikicewar rikice-rikice - digon digo na 0.9% gishirin gishiri da sinadarin insulin. Idan babu sauran rikice-rikice, ana iya sanya mai haƙuri a cikin ilimin ko endocrinology.
Dole ne mai haƙuri ya samar da ruwan alkaline mai yawa. Abincinsa zai kunshi carbohydrates. Za'a sami nasara cikin jiyya idan aka sami damar daidaita sukari na jini, kuma gawarwakin ketone ba zasu cikin fitsari.
Abincin abinci mai gina jiki don ketoacidosis
Ingantaccen abinci mai gina jiki yayin jiyya
Mataki mai mahimmanci a cikin jiyya shine ingantaccen abinci mai gina jiki, wanda zai iya samar da mahimmancin kiwon lafiya a cikin glucose. Abu ne mai sauki ka sami bayanai game da waɗanne abinci ke ƙin sukari na jini. Wadannan sun hada da:
- Kayan lambu. Bayar da jiki tare da ƙarin hadaddun bitamin. Ya dace da abincin nau'in 1 da nau'in masu ciwon sukari guda 2. A cikin kayan lambu, gulluran kore suna da ƙasa kaɗan, saboda haka ya fi kyau a ba su fifiko. Duk nau'in kabeji, zucchini, kokwamba, alayyafo, eggplant, tumatir, barkono, Urushalima artichoke sun dace da lafiya.
- 'Ya'yan itace. Mafi amfani ga mai ciwon sukari sune citrus. Marasa lafiya na nau'in 1 da 2 suna buƙatar cin apples and avocados. Ban - ayaba da inabi.
- Kifin Abinci. Ciyar mai-furotin mai lafiya. Yana da tasiri mai kyau akan aikin ciki.
- Kifi. Ya kamata ku zaɓi nau'in mai mai mai, mai steamed ko dafa shi.
- Kwayoyi. Amfani da su yana hana rage yawan sukari a cikin jini. Caloric isa, saboda haka suna da sauri jin satiety. Lestananan cholesterol.
- Kayan lokaci. Cinnamon yana da kyau musamman don al'ada.
- Nama. Varietiesa'idodin nau'ikan kitse masu dacewa.
- Legends Arziki a cikin furotin kuma wannan yana basu damar rage jinkirin shan glucose.
- Dabbobin. Ana samun yawancin adadin abubuwan shuka a cikin hatsi da hatsi. Mafi amfani duka shine oatmeal. Yana da fiber mai yawa kuma yana iya rage sukari a sauƙaƙe. Yiwuwar ketoacidosis na iya rage amfani da gero da kashi 25%.
Akwai isasshen samfuran da aka ba da izinin amfani, saboda haka koda majinyata mafi sauri a cikin abinci zasu iya yin menu don kansu. Kafin nan, ba zai zama makawa mutum ya nemi likita ba har sai ya amince da abincinka.
Abubuwan da ke Haramta masu ciwon sukari
Masu ciwon sukari suna buƙatar ware abincin da ke haɓaka matakan glucose daga abincin da suke ci. Domin kada ku tsokani cigaban ketoacidosis, ya kamata ku guji:
- Abincin mai tsayi a cikin sukari: kayan kwalliya, musamman maɗaukaki, adana, jam, zuma, raisins, sayi ruwan zaƙi. Daga cikin 'ya'yan itacen, wadannan ayaba ne da inab.
- Greasy jita-jita. Dole ne a bar nau'ikan mai mai da kifin, sausages, sausages, kayan kiwo tare da mai mai yawa, mayonnaise da biredi dangane da shi. Irin waɗannan samfurori suna da kyau ga hanta. Jikin ya riga yana da matsaloli tare da metabolism.
- Na barasa. Ya kamata a zubar da abin sha mai ƙarfi a farko. Amfani da su na iya kawo mutum ga sukari.
- Abubuwan abinci suna haɗuwa da adadin mai da mai. Waɗannan su ne cakulan, halva, kek cream da kek, ice cream.
Idan baka iya ƙin karɓar kowane samfuri gabaɗaya, to an ba shi damar cin shi da wuya kuma a cikin ƙananan rabo. A wannan yanayin, ya kamata koyaushe a kula da sarrafa alamar glucose.
Cutar Lafiya ta Iya
A cikin mata a cikin matsayi, sukari na jini ya tashi, don haka haɗarin ciwon sukari yana karuwa. Don hana tsalle tsalle a cikin glucose, wanda zai zama haɗari ga mahaifiya da jaririnta, ya kamata ku ci yadda ya kamata yayin daukar ciki. Wato, don guje wa samfuran da ke haifar da haɓakar sukari.
Ya kamata a sami ƙarin abinci a cikin abincinku na ciki wanda ke rage yawan ƙwayar kuzarin ku. Daga carbohydrates mai sauri, kodayake suna da kyau sosai, lallai ne ku ƙi tsawon lokacin haihuwar. An yarda da 'ya'yan itatuwa masu zaki da abin sha, amma a cikin adadi kaɗan. Abincin kalori bai kamata ya wuce 30 kcal ba ga kowane kilogram na nauyin jikin mace.
Bayan haihuwar haihuwa, hadarin kamuwa da cutar sankaran mahaifa ya gushe, amma dan wani lokaci ma ya fi dacewa a bi matakin glucose. Matan da suka sami wannan cutar lokacin daukar ciki suna cikin haɗarin kamuwa da ciwon sukari na 1. Idan bin ka'idodin abinci mai gina jiki ya isa don sarrafa sukari, to ba za a buƙaci ƙarin matakan warkewa ba.
Yin rigakafin Ketoacidosis
Kuna iya guje wa yanayin ketoacidosis idan kun bi ƙaƙƙarfan dokokin rigakafin ta. Don kula da jiki a cikin yanayin da ya saba, ya isa:
Ba da abinci da yawa don sha don hana ketoacidosis.Ku ci sau da yawa, amma a cikin ƙananan rabo, abincin ya kamata ya kasance daidai da daidaitacce gwargwadon iko.
- Gina tsarin abinci wanda ya sa tsaka-tsakin tsakanin abinci su zama iri ɗaya ko kusan daidai yake.
- A cikin rana, samar da abin sha mai yawa. Zai fi kyau mantawa game da abubuwan sha da ke sha.
- A kai a kai ana auna sukari na jini.
- Koyi don gano alamun cutar glucose mai yawa.
- A cikin yanayin da ya dace kuma a matakan da suka dace, gudanar da insulin.
Wannan ba ya nufin kwatankwacin abin da yakamata ku ƙi duk kyawawan abubuwa, yanzu dai kuna buƙatar la'akari da menene nawa za ku ci. Cikakken abinci mai kyau da kuma bin ka'idodin likita zai ba ka damar jin daɗin rayuwa har tsawon shekaru, har ma da ciwon sukari. Ketoacidosis yana da haɗari sosai, saboda haka yana da sauƙin hanawa fiye da magani.
