Ta hanyar ciwon sukari ne mai mahimmanci don fahimtar rikitarwa da sakamakon sakamakon ciwon sukari. Wannan yanayin yana tasowa sosai kuma yana iya zama sauƙin sakewa. An yi imani da cewa matakin wuce haddi na sukari na jini a cikin mara lafiya (mai yawan hyperglycemic state) na iya haifar da kamuwa da cutar siga. Bugu da kari, tare da cutar, ana iya lura da cutar sifa:
- hyperosmolar;
- hypoglycemic (yana faruwa tare da nau'in ciwon sukari na 2);
- hauhawar jini;
- ketoacidotic (mafi yawan lokuta ana lura dashi tare da nau'in 1 na ciwon sukari).
Babban abubuwan da ke haifar da haɓaka yanayin cuta
Babban abubuwanda ke haifar da ci gaba na ciwan sukari sun hada da saurin haɓaka abubuwan sukari a cikin jinin mara lafiya. Ana iya haifar da wannan, alal misali, sakamakon rashin bin ka’idar kiwon lafiya. Marasa lafiya suna sane da yadda ciwon sukari ke farawa, yana da wuya ba a lura da alamunsa ba, amma galibi a yi watsi da bayyanannun abubuwan da ke tattare da shi, wanda ke cike da farin ciki.
Rashin insulin ciki da ba daidai ba tsarin na iya haifar da cutar sikari. Sakamakon wannan - insulin baya shiga, wanda baya barin glucose a sarrafa shi abubuwa masu mahimmanci ga jikin mutum.
Hankalin hanta a cikin irin wannan yanayin yana fara samar da izini na glucose, ba tare da yarda cewa abubuwan da suka zama dole ba su shiga jiki daidai saboda isasshen matakinsa. Baya ga wannan, aiki mai aiki na jikin ketone ya fara, wanda, idan har aka samar da glucose mai yawa a cikin jikin mutum, to yana haifar da asarar da kwayar halitta.
A irin waɗannan yanayi, kasancewar jikin ketone tare da glucose yana kan babban adadin wanda jikin mara lafiya ba shi da ikon amsawa ga wannan tsari yadda yakamata. Sakamakon wannan shine cocin ketoacidotic.
Akwai lokuta idan, tare da sukari, jikin yana tattara lactates da sauran abubuwa, wanda ya tsokani farkon cutarwar hyperlactacPs (hyperosmolar).
Yana da mahimmanci a lura cewa ba duk yanayin da ake lura da cutar sankara ba a cikin ƙwayar mellitus na ciwon sukari ta hanyar karuwar glucose na jini mai yawa, saboda wani lokacin ana iya samun yawan insulin. A cikin irin waɗannan yanayi, akwai raguwa sosai a cikin sukarin jini zuwa matakin da ke ƙasa da ƙa'idar yiwuwar, kuma mai haƙuri ya faɗi cikin yanayin rashin lafiyar hypoglycemic.
Bayyanar cututtuka na farko na coma
Bayyanar cututtuka na coma a cikin mellitus na ciwon sukari suna kama da juna, wanda ke tilasta mana mu sami daidaito na ƙarshe bayan nazarin dakin gwaje-gwaje da suka dace. Don fara haɓaka ƙwayar sukari, ana buƙatar matakin glucose na jini sama da 33 mmol / lita (ana amfani da 3.3-5.5 mmol / lita a matsayin al'ada).
Bayyanar cututtuka na coma farko:
- urination akai-akai;
- ciwon kai;
- rage cin abinci;
- karuwar ƙishirwa;
- janar furta rauni;
- juyayi mai juyayi, wanda ya juya zuwa ga nutsuwa, alamomin da ke da wahala ba lura;
- tashin zuciya
- amai (ba koyaushe ba).
Idan irin waɗannan bayyanar cututtuka sun kasance daga sa'o'i 12 zuwa 24 ba tare da isasshen kulawar likita da ta dace ba, to mai haƙuri na iya faɗuwa cikin farin ciki na gaskiya. Halayen mata ne:
- cikakken rashin kulawa ga mutane na kusa da abin da ke faruwa;
- mai rauni sosai;
- bushe fata;
- cikakken rashin hankali da halayen kowane irin motsawa;
- idanu masu taushi;
- rage bugun jini;
- ƙanshi na acetone daga bakin mai haƙuri;
- sauke cikin karfin jini.
Idan muna Magana ne game da cutar rashin wadatar jini, to zai zama ɗan banbanci, yana rage wasu alamun. A irin waɗannan yanayi, za a sami raɗaɗin jin yunwa, tsoro, damuwa, rawar jiki a cikin jiki, walƙiya-hanzari na rauni, gumi.
Zaku iya dakatar da farawan wannan yanayin ta cin karamin adadin zaki, kamar sukari. Idan ba a yi wannan ba, to ana iya samun asarar sani da kuma farawa na fari. Tsokoki za su kasance cikin kyakkyawan yanayi kuma fatar za ta jike.
Yaya ake gano ciwon sukari?
Don gano coma a cikin ciwon sukari na mellitus, kuna buƙatar ba kawai binciken likita ba, har ma da gwaje-gwaje masu mahimmanci. Waɗannan sun haɗa da gwajin jini na gaba ɗaya, nazarin halittun fitsari, jini, da kuma nazarin matakan suga.
Kowane irin nau'in rashin lafiya tare da rashin lafiya ana saninsa da kasancewar sukari a cikin jini fiye da 33 mmol / lita, kuma za a gano glucose a cikin fitsari. Tare da rashin tasirin zamani, babu sauran alamun halayyar sa.
Cutar Ketoacidotic ana saninsa ne da kasancewar jikkunan ketone a cikin fitsari. Don hyperosmolar, matakin wuce kima na plasma osmolarity. Hyperlactacidem yana bayyanar da hauhawar matakan jini na lactic acid.
Yaya jiyya?
Duk wani coma mai ciwon sukari ya ƙunshi jiyyarsa, da farko, ya wajaba don mayar da mafi kyawun matakin sukari a cikin jini, ainihin alamun suna da mahimmanci a nan.
Ana iya samun wannan sauƙi ta hanyar gudanar da insulin (ko glucose don hypoglycemia). Bugu da kari, suna yin hanya ta hanyar jiko, wanda ya shafi digo-ruwa da injections tare da mafita na musamman wanda zai iya kawar da rikice-rikice na ƙwayar ƙwayar cuta, rage nutsuwa da kawo acidity a al'ada.
Duk waɗannan hanyoyin ana aiwatar dasu cikin kulawa mai zurfi don kwanaki da yawa. Bayan haka, ana iya tura mai haƙuri zuwa sashen endocrinology, inda za a daidaita yanayinsa, sannan dole ne ya bi yanayin da glucose, sukari jini zai kasance cikin yanayin al'ada.
Cutar kamuwa da cutar sankara - sakamako
Kamar kowane yanayi, idan kun nemi taimakon likita a kan kari, zai yuwu a nisantar da rashi ba kawai hasara ba, har ma a iya dawo da yanayin mara lafiyar a farkon matakan haɓakar kamuwa da cutar siga. Idan ba a yi wannan ba, to ba da daɗewa ba mai haƙuri yana iya mutuwa. Dangane da ƙididdigar likita na yanzu, mace-mace a cikin ci gaba da irin wannan rikice-rikice na ciwon sukari kusan kashi 10 cikin ɗari na adadin masu haƙuri da wannan cuta.
