Productionarancin samar da insulin na hormone a cikin farji ya zama babban abin da ake buƙata don haɓaka matakan haɓaka glucose na jini da nau'in ciwon sukari na 1 na mellitus. A cikin lokuta na musamman, irin wannan tsari yana tsokani irin wannan ƙaruwa mai yawa a cikin glucose wanda yanayin pathological ya fara - ketoacidosis mai ciwon sukari.
Cigaban da aka nuna game da cutar sankarau ya fi kama da nau'in farko fiye da na biyu. Ketoacidosis yana da halin matsanancin ƙarancin insulin, wanda ya zama abin da ake bukata ba kawai don ƙara yawan glucose ba, har ma don ƙaruwa mai aiki a cikin adadin jikin ketone.
Rashin ingantaccen insulin yana tasowa tare da matsanancin rashin lafiya ko damuwa. Wannan ya faru ne sakamakon samarwa da hanta ɗan adam na kwayoyin halittun na musamman waɗanda ke hana aikin insulin. Yana da daidai saboda wannan cewa ketoacidosis masu ciwon sukari sau da yawa yakan faru tare da nau'in ciwon sukari wanda ba a bincika shi ba wanda ke cikin cututtukan cututtukan zuciya, hauhawar abin da ya shafi zuciya da rashin kulawa.
Akwai lokuta yayin da ciwon sukari na 2, cutar ta zama sanadin:
- tsallake allurar rigakafin insulin;
- rashin kulawa da rayuwar shiryayye na miyagun ƙwayoyi;
- matsaloli ciyar da insulin tare da mai sirinji.
Koda irin wannan karancin insulin na iya haifar da tsalle-tsalle a matakin glucose a cikin jini. Lokacin auna sukari tare da glucometer, mai haƙuri zai ga sako a allon na'urar yana nuna babban sukari, ba tare da nuna lambobi ba.
Idan ba a daidaita yanayin ba kuma babu magani, to farawar cutar sankarau, gazawar numfashi, har ma da mutuwa.
A yanayin idan mai haƙuri ba shi da lafiya tare da mura kuma ba shi da ci, bai dace a tsallake allurar insulin ba. Akasin haka, buƙatar ƙarin gudanarwar wannan hormone yana ƙaruwa aƙalla 1/3.
Likita mai halartar yakamata ya gargaɗi kowane mara lafiya game da yiwuwar ketoacidosis, magani da kuma matakan hana shi.
Babban alamun bayyanar cutar glycemia da ketoacidosis
Akwai wasu alamomin alamun shigowa da cutar ketoacidosis, misali:
- tsalle cikin glucose na jini zuwa matakin 13-15 mmol / l da rashin yiwuwar ragewa;
- bayyanannun alamun cututtukan cututtukan cututtukan cututtukan ƙwayar cuta (m-sau da yawa kuma urination, bushe bakin, ƙishirwa);
- asarar ci
- zafi a cikin rami na ciki;
- rage nauyi asara mai sauri (saboda tsananin bushewa da lalacewar kitse);
- cramps da rauni na tsoka (sakamakon asarar salts ma'adinai);
- itching da fata da kuma a cikin farji;
- yawan tashin zuciya da amai;
- hangen nesa
- zazzabi;
- bushe sosai, fata mai dumin fata;
- wahalar numfashi
- asarar hankali;
- warin halayyar acetone daga bakin ciki;
- rashin bacci
- ko da yaushe ji rauni.
Idan ciwon sukari na mellitus na duka biyu da na biyu ya kamu da zazzabin malaise, tare da matsanancin ciki, raɗaɗin ciki da tashin zuciya, to tabbas mai yiwuwa wannan yanayin zai iya zama matsala ba kawai a cikin narkewar abinci ba, har ma da ketoacidosis da ya fara.
Don tabbatarwa ko ware wannan yanayin, ana buƙatar binciken da ya dace - ƙuduri jikin ketone a cikin fitsari. Don yin wannan, kuna buƙatar sayan tsararrun gwaji na musamman a cikin cibiyar sadarwar kantin magani, sannan kuma tuni kun kula da likita.
Yawancin na'urori na zamani don gano sukarin jini na iya gano kasancewar jikin ketone a ciki. Likitocin sun ba da shawarar irin wannan binciken, ba wai kawai tare da gagarumin ƙaruwa a cikin glucose a cikin jini ba, har ma da kowane irin yanayin rashin lafiyar.
Idan an gano gawarwakin ketone sabanin asalin sukarin jini mai yawa, to a wannan yanayin muna magana ne game da rashin isasshen sashin insulin.
Ya kamata a tantance ketones a irin waɗannan halaye:
- matakin sukari ya wuce 13-15 mmol / l;
- akwai mummunar yanayin tare da karuwa a cikin zafin jiki;
- akwai gajiya, gajiya;
- yayin daukar ciki tare da matakin sukari sama da 11 mmol / l.
Kayan aikin bincike na Ketone da jerin abubuwan
Don gano ketones a cikin fitsari ya kamata a shirya:
- tsaran gwajin gwaji don gano glucose (alal misali, Uriket-1);
- Mai ƙidayar lokaci
- wani bakararre ne na tara fitsari.
Don gudanar da bincike a gida, kuna buƙatar amfani da fitsari da aka tattara sosai. Dole ne a sanya shinge a cikin awanni 2 kafin binciken da aka gabatar. A wasu halaye, zaku iya yi ba tare da tattara kayan ba, amma kawai rigar tsiri gwajin.
Na gaba, buɗe shari'ar fensir, cire tsirin gwajin daga ciki kuma rufe ta kai tsaye. Ana sanya tsiri a cikin fitsari na tsawon aƙalla 5, kuma idan ya wuce kima, ana cire shi ta hanyar girgiza. Hakanan za'a iya yin wannan ta hanyar taɓa gefen tsiri tare da takarda mai tsabta.
Bayan haka, an sanya tsirin gwajin a kan busasshiyar ƙasa mai tsabta. Tabbatar ka sanya shi taba. Idan bayan mintina 2 firikwensin ya canza launi (dole ne a yi amfani da sikelin sarrafawa ga marufi), to za mu iya magana game da kasancewar jikin ketone da ketoacidosis. Za'a iya canza canjin rabin adadin ta hanyar gwada launuka na tsirin gwajin tare da lambobin da ke ƙasa da sikelin.
Idan an gano ketoacidosis sakamakon gwajin gida, yana da mahimmanci sanar da likitanka da wuri-wuri.
A cikin taron cewa an tabbatar da gano cutar ketoacidosis mai ciwon sukari tare da nau'in 1 na ciwon sukari, likita zai ba da shawarwarin da suka dace kuma suka tsara magani.
Ayyukan mai ciwon sukari tare da matsakaita ko matsakaitan ketones
Idan a baya likitan halartan bai yi magana game da yadda ake nuna hali a cikin irin wannan yanayi ba, to, shirin aiwatar da aiki na kusan zai zama kamar haka:
- Dole ne a shigar da insulin (a takaice) ƙarancin insulin;
- yi ƙoƙarin sha mai yawa kamar yadda zai yiwu, wanda zai sa ya yiwu a hana ƙwarƙwarya;
- kira amungiyar ambulan (wannan yana da mahimmanci musamman idan ba za'a iya rage abubuwan da ke tattare da jikkunan ɗan ketone ba ko kuma ana san tashin hankali).
Nau'in nau'in ciwon sukari shine don koya wa danginku yadda zasu iya taimaka masa a cikin yanayin da ba a zata ba.
Yanayi mai kauri ya ƙunshi cikakken nazari sosai game da sukari na jini da haɗuwa da abubuwan ketone a jiki. Dukkanin binciken dole ne a yi kowane sa'o'i 4 har sai masu ciwon sukari sun inganta sosai.
Bugu da ƙari, ban da haka, ya kamata a bincika fitsari don kasancewar acetone, musamman idan ingantaccen yanayin yana ƙaruwa, amai yana ƙaruwa (har ma da tushen ƙimar glucose ta al'ada).
Matsayi ne na ketones wanda ya zama abin riga ana bukata don amai!
Ketones yayin daukar ciki
Yayin cikin ciki, yana da mahimmanci a bincika fitsari don ketoacidosis koyaushe. Tare da bincike na yau da kullun, yana yiwuwa a lura da lalacewar da wuri-wuri, rub treatmentta magani da hana haɓakar kamuwa da cutar ketoacidosis, wanda ke da haɗari sosai ga mace da kanta.
Likita na iya ba da shawara ga mahaifiyar da ke jira don bincikar cutar ba fitsari ba, amma nan da nan jini. Saboda wannan, kamar yadda aka ambata a sama, zaku iya amfani da mitir da kuma tulin gwaji a kanta.
