Ciwon sukari mellitus - endocrine Pathology, wanda shi ne fraught tare da yawan m kuma na kullum rikitarwa. Take hakkin matakai na rayuwa wanda ya faru da asalin jurewar insulin yana haifar da matsala a cikin aikin dukkanin gabobin jiki da tsarin.
Daya daga cikin matsalolin masu haɗari shine haɓaka rashin nasara na koda. Sakamakon saɓo ne na aikin motsa jiki, ƙazantar abubuwa masu cutarwa a cikin jiki. A kan asalin cutar hauka, farawar ramawa a cikin nau'i na lalata kansa da glucose da tarawa a cikin jini mai yawa na lactic acid, wanda ba shi da lokacin da za a fitar dashi saboda matsalar koda. Ana kiran wannan yanayin lactic acidosis. Yana buƙatar gyara nan da nan kuma yana iya haifar da haɓaka ƙwayar lactic acidosis.
Babban bayani
Lactic acidosis a cikin nau'in ciwon sukari na 2 na mellitus ba shine yanayin kowa ba, duk da haka, yana da matukar damuwa. Ana lura da sakamakon da ya dace ba kawai a cikin 10-50% na lokuta ba. Lactate (lactic acid) yana fitowa a cikin jiki saboda rushewar glucose, amma kodan basu iya yin amfani da shi a cikin adadin mai yawa.
Sakamakon bincike na dakin gwaje-gwaje - tushen tabbatar da cutar
Verswanƙwasa jini na jijiya tare da lactate yana haifar da motsi a cikin acidityrsa. An tabbatar da cutar ta hanyar ƙayyade matakin lactic acid sama da 4 mmol / L. Sunan na biyu na wannan rikicewar cutar siga shine lactic acidosis.
Babban dalilai
Lactic acidosis a cikin nau'in ciwon sukari na 2 ba a samun shi a cikin duk marasa lafiya, amma a ƙarƙashin rinjayar wasu dalilai masu tayar da hankali:
Alamomin Cepglycemic Coma- pathology na rayuwa tafiyar matakai na hereditary yanayi;
- gabatarwar wani babban adadin fructose a cikin jikin mutum, ta hanyar ratsa gastrointestinal fili;
- giya barasa;
- lalacewar inji
- zub da jini
- kumburi, cututtuka masu yaduwa;
- guba cyanide, tsawanta amfani da salicylates, biguanides;
- ciwon sukari mellitus, magani mara amfani, tare da sauran rikitarwa;
- hypovitaminosis B1;
- mai tsananin nau'in anemia.
Pathology na iya haɓaka ba wai kawai a kan asalin wani "cuta mai laushi" ba, har ma bayan bugun zuciya, bugun jini.
Kayan aikin ci gaba
Bayan carbohydrates shiga jikin mutum ta hanyar jijiyar ciki, aiwatar da lalata su yana da yawa a matakai. Idan babu isasshen insulin da aka samar (wannan yana faruwa a matakai na gaba na nau'in cuta ta 2 tare da raguwar sel ta hanta), rushewar carbohydrates zuwa ruwa da makamashi yana da hankali sosai fiye da yadda ake bukata kuma yana tare da tarin pyruvate.
Saboda gaskiyar cewa alamomin adadi na pyruvate sun zama babba, ana tattara lactic acid a cikin jini. Yana jin daɗin yin aiki da gabobin ciki ta hanyar da mai guba.
Kwayar Lactic acid - wani abu wanda tarawa jikinsa yana haifar da ci gaban lactic acidosis
Sakamakon shi ne haɓakar hypoxia, wato sel da tsokoki na jiki ba za su sami isashshen oxygen ba, wanda hakan yana ƙara dagula yanayin acidosis. Wannan matakin pH na jini yana haifar da gaskiyar cewa insulin yana rasa aikinta har ma fiye da haka, kuma lactic acid yakan hau zuwa sama.
Tare da ci gaban yanayin cututtukan cututtukan cututtukan cututtukan jini, an samar da coma mai ciwon sukari, tare da maye gawar jiki, bushewar fata da acidosis. Irin waɗannan bayyanar na iya zama da m.
Bayyanai
Bayyanar cututtuka na lactic acidosis yana ƙaruwa awanni da yawa. Yawanci, mai haƙuri yana gunaguni da hoton hoton mai zuwa:
- ciwon kai
- Dizziness
- yawan tashin zuciya da amai;
- mai rauni sosai;
- jin zafi a ciki;
- rashin aiki mai motsa jiki;
- ciwon tsoka
- rashin barci ko, bi da bi, rashin bacci;
- m numfashi m.
Irin waɗannan bayyanar cututtuka ba takamaiman abu ba ne, saboda ana iya lura da su ba kawai tare da tara tarin lactic acid ba, har ma a kan asalin wasu matsalolin daban-daban.
Coma alama ce ta mataki na ƙarshe a cikin ci gaban lactic acidosis. An gabace shi da hauhawar yanayin mai haƙuri, rauni mai kaifi, bushewar fata da membranes na mucous, numfashin Kussmaul (saurin fitar numfashi mai tsayi tare da kari). Sautin gashin idanun mara lafiya yana raguwa, zazzabin jiki ya sauka zuwa digiri 35.2-35.5. Siffofin fuska suna kaifi, idanu suna hawaye, fitsari ba ya nan. Bayan haka, akwai asarar sani.
Samuwar ƙwayar cuta shine mataki na ƙarshe na rikicewar cutar siga
Mai yiwuwa aiwatar da tsarin ya zama taɓarɓarewar ci gaban DIC. Wannan wani yanayi ne wanda ake aiki da jijiyoyin jini na jini wanda ke faruwa, babban haduwar jini na jini.
Binciko
Gano cutar sanannen abu ne mai wahala sosai. A matsayinka na mai mulkin, an tabbatar da yanayin ta hanyar gwaje gwaje. A cikin jini akwai babban matakin lactate da kuma tazara tsakanin jini na plasma. Abubuwan da aka biyo baya suna nuna ci gaban ilimin ilimin halittu:
- alamomin lactate sama da 2 mmol / l;
- ƙididdigar yawan adadin bicarbonates ƙasa da 10 mmol / l, wanda kusan sau biyu yana ƙasa da na al'ada;
- matakin nitrogen da abubuwanda ke cikin jini ya hau kan mutum;
- lactic acid shine sau 10 fiye da acid na pyruvic;
- mai nuna mai yana karuwa sosai;
- jinin jini a ƙasa 7.3.
Taimako da dabarun gudanarwa
Ya kamata taimakon likitanci ya magance canje-canje a cikin acidity na jini, girgiza, rashin daidaituwa na lantarki. A layi daya, endocrinologists suna gyara jiyya na type 2 diabetes mellitus.
Tunda aka samar da wani adadin kwayoyin carbon monoxide akan asalin abin da ya keta haddin acidity, to yakamata a kawar da wannan matsalar. Marasa lafiya na shan wahalar huhun huhu (idan mara lafiyar yana sane, to ya zama dole yin buhun ciki).
Glucose mai gajarta aiki tare da insulin ana allurar dashi a cikin jijiya (don gyaran cuta na rayuwa wanda ya shafi tsarin aikin masu ciwon sukari), wani sinadarin sodium bicarbonate. Anyi maganin Vasotonics da cardioton (magunguna don tallafawa aikin zuciya da jijiyoyin jini), ana kulawa da heparin da reopoliglukin a cikin kananan allurai. Amfani da gwaje-gwaje na dakin gwaje-gwaje, ana kula da acidity na jini da matakan potassium.
M jiko na da muhimmanci ga jiyya na cutar lactic acidosis
Ba shi yiwuwa a yi wa mara lafiya a gida, tunda koda ƙwararrun ƙwararrun ƙwararru ba koyaushe suna da lokaci don taimakawa mai haƙuri ba. Bayan kwanciyar hankali, yana da mahimmanci a lura da hutawa na gado, ingantaccen abinci, da kula da hawan jini, acidity, da sukari jini.
Yin rigakafin
A matsayinka na mai mulkin, ba shi yiwuwa a hango ko hasashen ci gaban lactic acidosis a cikin nau'in ciwon sukari na 2. Rayuwar mai haƙuri ya dogara da irin mutanen da suka kewaye shi a lokacin haɓaka rikice-rikice, da cancantar ma'aikatan kiwon lafiya waɗanda suka isa kan buƙata.
Don hana haɓakar ƙwayar cuta, shawarar mai kula da cututtukan endocrinologist ya kamata a kiyaye shi sosai, kuma yakamata a ɗauki magunguna masu rage sukari a cikin lokaci mai dacewa kuma daidai. Idan ka rasa shan kwayoyin, ba kwa buƙatar ɗaukar ninki biyu sau na gaba na gaba. Ya kamata ku sha adadin maganin da aka wajabta a lokaci guda.
A lokacin cututtukan cututtukan cututtukan ƙwayar cuta ko asalinsa, mai ciwon sukari na iya amsa kwatsam ga magungunan da aka sha. Lokacin da alamun farko na cutar suka bayyana, kuna buƙatar tuntuɓi ƙwararren halartar don daidaita sashi da tsarin jigilar magani.
Yana da mahimmanci a tuna cewa lactic acidosis ba cuta ba ce "ta tafi". Neman taimakon lokaci shine mabuɗin don kyakkyawan sakamako.
