Cutar sankara (mellitus) cuta ce mai girma wacce a ciki akwai rashin kusan duk hanyoyin tafiyar da rayuwa a cikin jiki, wanda hakan ke haifar da mummunan aiki ga gabobin jiki da tsarinsu. Daya daga cikin mafi girman rikitarwa na ciwon sukari na iya zama coma mai ciwon sukari. Sakamakon coma a cikin ciwon sukari na iya zama mai cutarwa ga wanda ke cutar idan ba a ba da kulawar likita ta gaggawa akan lokaci ba.
Iri Cutar Malaria
Akwai nau'ikan coma da yawa a cikin masu ciwon sukari, wannan saboda gaskiyar cewa rashin daidaituwa na hormonal wanda ya haifar da wannan cuta yana shafar matakai da yawa a cikin jikin mutum kuma, dangane da fifikon abubuwan da ke tattare da hanyoyin biyan diyya a wani bangare ko wata, mai ciwon sukari na iya samun siyarwa:
- Ketoacidotic;
- Hyperosmolar;
- Cutar Ruwa;
- Hypoglycemic.
Irin wannan nau'in nau'in coma daban-daban yana nuna yanayin tsananin ciwon sukari, in babu shi ko kuma ba a kula da shi ba. Duk waɗannan abubuwan da aka ambata a sama sune babban rikice-rikice na ciwon sukari, kodayake, don haɓaka wasun su, ana buƙatar tsawan lokaci mai tsayi. Bari mu bincika kowane yanayi da kuma sakamakonsa ga jikin mai haƙuri.
Ana iya zargin alamun farko na cutar sikari tare da gwajin sukari na jini.Ketoacidotic
Wannan nau'in kwayarma, duk da tsananin yanayin, yana inganta a hankali kuma yana da alaƙa da lalacewar hanyoyin haɓakawa a jikin mai ciwon sukari. Halin ketoacidotic na iya faruwa tare da dangi ko ƙarancin insulin. Menene ketoacidosis?
Hanyar haɓaka ƙwayoyin cutar ketoacidotic
Sakamakon take hakkin metabolism, karancin makamashi yana farawa a cikin sel (duka sukari a cikin jini), saboda wanda aka samar da lipolysis - ana kunna rushewar kitse. Hanzari na metabolism na acid na acid na faruwa, wanda ke haifar da samuwar adadin samfuran ƙwayoyin metabolism mai narkewa - jikin ketone. A yadda aka saba, gawarwakin ketone ana fesa shi ta hanjin urinary a cikin fitsari, kodayake, saurin karuwa a taro na jikin ketone a cikin jini ba zai iya ramawa da ayyukan kodan ba, wanda ke haifar da ci gaban ketoacidotic.
Akwai matakai 3 na ci gaba na ci na ketoacidotic coma:
- Ketoacidosis mai sauƙi zai iya ɗaukar makonni da yawa. Bayyanar cututtuka masu laushi ne.
- Rashin rarrabewar ketoacidosis, alamun ketoacidosis sun fara ƙaruwa.
- A gaskiya a coma.
Bayyanar cututtuka da sakamako
Coma don ciwon sukariYanayin Ketoacidotic wani sakamako ne na tsawan tsautsayi na cutar sankara. Asibitin tare da haɓaka irin wannan sifar yana da kyau a cikin yanayi kuma ya ƙunshi haɓaka bayyanar cututtuka irin su:
- Rashin ƙarfi da rauni.
- Jin ƙishirwa da yawan fitsari.
- Damuwa, rashin cin abinci, tashin zuciya.
- Kamshin acetone lokacin numfashi.
- Blush a kan cheeks.
A cikin jinin marasa lafiya, akwai babban matakin cutar glycemia - fiye da 16 mmol / l; ketonemia fiye da 0.7 mmol / l; har zuwa 50 g na sukari a cikin fitsari an gano shi.
Ketoacidotic coma yana buƙatar magani na gaggawa, in ba haka ba zai iya haifar da asara na dindindin na kowane nau'in ayyukan sassauci da lalacewa mai zurfi ga tsarin juyayi na tsakiya.
Hyperosmolar
Cutar hyperosmolar ko a wani suna ana kiranta hyperglycemic coma - sakamakon ƙaruwa mai girma a cikin haɗuwar glucose a cikin jinin mai haƙuri. Ciki na hyperosmolar shine matsakaicin matsayi na rashin aiki na ƙwayar carbohydrate, tare da karuwa a cikin ƙwayar osmotic a cikin ɓangaren ruwa na jini - plasma, wanda ke haifar da cin zarafin abubuwan ƙin ƙwararraki (na jiki da na sinadarai) na jini da ayyukan duk gabobin. Tare da hyperglycemic coma, haɓaka yawan sukari na jini fiye da 30 mmol / L za'a iya lura dashi tare da ƙa'idar ba fiye da 6 mmol / L ba.
Symptomatology
Wanda aka azabtar yana da kazuwa mai kaifi, har zuwa rawar jiki daga bushewa. Sau da yawa, kafin haɓakar ƙwayar cuta ta mahaifa, mara lafiya bai san komai ba yana da ciwon suga. Irin wannan nau'in kwayar cuta yana tasowa sau da yawa a cikin mutane fiye da shekaru 50 da bango na latent hanya na nau'in 2 ciwon sukari mellitus, i.e., insulin-resistant. Hyperglycemic yana tasowa a hankali, bi da bi, kuma cutar alama ta girma a hankali. Babban bayyanar cututtuka sune:
- Janar rauni;
- Dry mucous membranes da ƙishirwa;
- Damuwa
- Yawan urination;
- Rage elasticity na fata;
- Rage numfashi.
Ba za a iya gano alamun cutar kai tsaye ba, musamman a cikin mazajen da ke iya ɓoye matsalolinsu.
Sakamakon
Tare da ingantaccen gyaran hyperglycemic coma, lalata kwakwalwa tare da ƙari da rikice-rikice na aikin aiki daga kowane gabobin yana yiwuwa. Mutuwar ƙwayar cutar hyperosmolar ya kai 50% kuma ya dogara da saurin gano wannan yanayin da farkon matakan warkewa.
Cutar Ruwa
Ana kuma kiran cutar laka yayin da ake kira lactic acid kuma yana haɓaka ƙasa da ƙasa da sauran nau'ikan yanayin gaggawa a cikin ciwon sukari. Cutar LactacPs shine mafi haɗari mai haɗari, mace-mace, wanda ya kai 75%. Wannan yanayin na iya haɓakawa daga tushen yanayin tsoratarwa:
- Zafin jini;
- Infarction na zuciya na Myocardial;
- Tsarin kamuwa da cututtukan fata;
- Babban aiki na jiki;
- Rashin ko hepatic rashi.
Hoto na asibiti
Halin marasa lafiya yana saurin lalacewa cikin sauri, akwai mummunan yanayin. Abun farko shine yawanci kwatsam, tare da alamun ci gaba bayyanar cututtuka. Masu ciwon sukari bayanin kula:
- Jin zafi mai rauni da rauni;
- Damuwa ko, bi da bi, rashin bacci;
- Rashin tsananin numfashi;
- Ciwon ciki tare da amai.
Tare da ci gaba da lalacewa yanayin, rashi ko kuma ƙarancin yanayin da ke hade da paresis tsoka na iya faruwa. Wadannan bayyanar cututtuka suna faruwa ne sakamakon lalacewar kwakwalwa sakamakon rashiwar kuzari da kuma keta abun cikin ionic na plasma. Ko da tare da dacewa da kuma dacewar magani, tsinkayar mai cutar lactac cutar coma bata da kyau.
Hypoglycemic
Mafi yawan nau'in coma wanda ke faruwa sakamakon raguwa mai yawa a cikin glucose jini. Jiki na hauhawar jini yana haɓaka da sauri kuma mafi yawan lokuta yakan shafi marasa lafiya masu fama da ciwon sukari na 1 da ƙarancin ƙarfin insulin ko kuma yawan motsa jiki.
Rage yawan sukari na jini yana faruwa tare da isasshen taro na insulin a cikin jini, wanda ke haifar da canjin dukkan glucose daga jini zuwa sel. Da farko dai, ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa ta fara fama da rashin glucose, wanda ke nuna asibitin wannan yanayin.
Kwayar cutar
Jiki na hauhawar jini tare da haɓakar alamun bayyanar cututtuka:
- Tabbataccen yunwar fari;
- Increaseara yawan rauni da rauni;
- Numbness na wata gabar jiki;
- Fitowar rawar jiki da sanyi, gumi mai ɗumi;
- Rashin sani.
- Numfashi mai zafi.
Sakamakon
Tare da saurin bayarwa na gaggawa na gaggawa, wanda ya ƙunshi gabatarwar 40% na glucose bayani a cikin ciki, ƙwanƙwasa bugun jini da sauri yana tsayawa, yanayin mai haƙuri ya koma al'ada. Idan babu wani wanda ke kusa da wanda aka azabtar kuma hypoglycemia ya haɗu, to wanda aka azabtar na iya haɓaka mummunar rikicewar tsarin juyayi na tsakiya, har zuwa dementia da asarar wasu ayyuka.
Dangane da bayanan da aka karɓa, ƙarshen ya nuna kansa - kada a jefa lafiyarku cikin haɗari, yin sakaci da kula da ciwon sukari. Sakamakon cutar sankara mai ciki na iya bambanta sosai, daga rauni na ɗan lokaci. Zuwa ga nakasa mai zurfi da mutuwa. Don haka yi hankali game da lafiyar ku, a bincika ku cikin lokaci kuma ku bi shawarar likitanka.
