Hyperglycemia a cikin ciwon sukari

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Hyperglycemia wani yanayi ne wanda matakan sukari na jini ya tashi sama da tsarin ilimin halittar jiki. Ba lallai ba ne a hade koyaushe da ciwon sukari, kodayake galibi wannan cuta ce ke haifar da wannan cutar. Ba tare da gyara da sa baki ba, irin wannan mummunan yanayin yana barazana ga lafiyar, wani lokacin kuma rayuwar mutum. Hyperglycemia a cikin ciwon sukari mellitus cuta ce mai haɗari wanda ba za'a iya yin watsi da shi ba kuma an bar shi zuwa dama, yana fatan sukari da kanta zai dawo al'ada tare da lokaci.

Iri na Pathology

Dangane da lokacin faruwar lamarin, an rarrabe nau'ikan nau'ikan nau'ikan abubuwa 2 na matakan glucose na jini:

  • karuwa a cikin sukari mai azumi, an samar da abinci ta ƙarshe awanni 8 da suka gabata (yin azumi ko "posthyperglycemia");
  • hauhawar kwayoyin cuta a cikin glucose kai tsaye bayan cin abinci (postprandial hyperglycemia).

Ga mutane masu lafiya da marasa lafiya da ke fama da cutar siga, alamu waɗanda ke nuna cewa cutar sankara na iya bambanta. Don haka, ga marasa lafiya waɗanda ba a kamu da cutar sankara ba, matakan sukari na azumi sama da 6.7 mmol / L ana ɗaukarsu masu haɗari ne kuma marasa ƙarfi. Ga masu ciwon sukari, wannan adadi ya ɗan dan fi girma - suna ɗaukar cewa hyperglycemia haɓaka glucose ne a cikin komai a ciki sama da 7.28 mmol / l. Bayan cin abincin, sukarin jini na mutum mai lafiya bai kamata ya zarce 7.84 mmol / L ba. Ga mai haƙuri da ciwon sukari, wannan alamar ta bambanta. A wannan halin, matakin glucose na 10 mmol / L ko sama bayan cin abinci ana ɗauka cewa al'ada ne.

Dangane da tsananin bayyanar cututtuka, hyperglycemia na iya zama mai laushi, matsakaici da mai tsanani. Tsarin da ya fi tsanani shine coma hyperglycemic (wani lokacin kuma hypoglycemic), wanda, ba tare da kulawa na lokaci a asibiti ba, na iya haifar da rikice-rikice da mutuwa. Idan kun fara jiyya a mataki mai sauƙi ko matsakaici, to, akwai kowane dama cewa hyperglycemia ba zai haifar da rikice rikice ba.

Me yasa mai ciwon sukari zai iya ƙara sukari?

Akwai dalilai da yawa da suka sa mutumin da ke da ciwon sukari na iya haɓaka sukarin jini. Wadanda aka fi amfani dasu sun hada da:

  • kashi da ba a zaɓa ba na insulin;
  • tsallake allura ko shan kwaya (dangane da nau'in ciwon sukari da nau'in magani);
  • babban cin zarafin abincin;
  • tashin hankali, tashin hankali;
  • shan magungunan hormone don magance cututtukan endocrine na wasu gabobin;
  • cututtuka;
  • karin bayani game da cututtukan cututtukan cututtukan daji.

Abincin da ya dace, saka idanu na glucose jini da auna jini na yau da kullun shine ingantaccen rigakafin rikice-rikice masu yawa na ciwon sukari, ciki har da hyperglycemia

Gwanin jini ya tashi sama fiye da yadda aka saba idan babu isasshen insulin don aiwatar dashi. Akwai maganganun cututtukan hyperglycemia wanda ake rufe insulin sosai, amma ƙwayoyin nama sun kasa amsa shi sosai, sun rasa hankalinsu kuma suna buƙatar ƙarin samarwa. Duk wannan yana haifar da keta tsarin hanyoyin daidaita matakan glucose a cikin jini.

Kwayar cutar

Alamar hauhawar jini ta dogara ne da matakin cutar sankara. Matukar yawan sukarin jini, mafi muni da mai haƙuri ke ji. Da farko, yana iya damuwarsa da waɗannan alamun:

  • Rashin ƙarfi, letarfi da kuma sha'awar bacci;
  • matsananciyar ƙishirwa;
  • tsananin itching na fata;
  • migraine
  • raunin abinci (maƙarƙashiya da gudawa na iya haɓaka);
  • bushe fata da mucous membranes, musamman da aka ambata a cikin rami na bakin, wanda kawai yana kara haushi;
  • hangen nesa, bayyanar aibobi da “kwari” a gaban idanun;
  • lokaci asarar sani.

Wani lokacin mara lafiya yana jin ƙishirwa har ya iya shan ruwa har lita 6 a rana

Ofaya daga cikin alamun karuwar sukari na iya zama bayyanar acetone a cikin fitsari. Wannan saboda gaskiyar cewa ƙwayoyin ba su karɓar makamashi, tunda ba su iya rushe madaidaicin adadin glucose ba. Don ramawa game da wannan, suna rushe mahallin mai don samar da acetone. Da zarar cikin jini, wannan abun yana kara yawan acidity kuma jiki baya iya aiki yadda yakamata. A waje, wannan na iya nuna wannan ta hanyar bayyanar da babban warin acetone daga mai haƙuri. Gwaje gwaje-gwaje na jikin ketone a cikin fitsari a wannan yanayin kan nuna sakamako mai kyawu.

Yayinda sukari ke ƙaruwa, alamun bayyanuwar cuta yana ƙaruwa. A cikin mafi yawan lokuta, mai ciwon sukari mai hawan jini na haɓaka.

Maganin rashin lafiya

Coma wanda ya haifar da karuwa a cikin sukari yana da haɗari sosai ga rayuwar ɗan adam. Yana haɓakawa saboda mahimmancin hyperglycemia kuma ana bayyana shi ta bayyanar cututtuka:

  • asarar hankali;
  • m mara amfani da kuma m numfashi;
  • warin acetone a cikin dakin da mara lafiyar yake;
  • rage karfin jini;
  • laushi na kasusuwa na gashin ido (lokacin da aka matse su, lan wasa ya zauna na ɗan lokaci);
  • jan na fari, sannan kuma kyakkyawan fata.
  • katsewa.

Mai haƙuri a cikin wannan yanayin bazai ji ƙwanƙwasa a hannunsa ba saboda rashin ƙarfi game da jini. Dole ne a bincika shi a kan manyan jiragen ruwa na cinya ko wuya.


Coma alama ce kai tsaye don asibiti a cikin sashin kulawa mai zurfi, don haka ba za ku iya yin shakka a kira likita ba

Tashin hankali

Hyperglycemia mummunan ba kawai bayyanar cututtuka mara kyau ba ne, har ma da rikitarwa mai rikitarwa. Daga cikinsu, ana iya rarrabe jihohi masu haɗari:

  • cututtuka na tsarin zuciya da jijiyoyin jini (bugun zuciya, thrombosis na huhu);
  • haɗarin mahaifa;
  • mummunan rikicewar zubar jini;
  • m renal gazawar;
  • raunuka na tsarin juyayi;
  • rauni da gani da kuma hanzarta ci gaba da cutar sikari.
Don hana wannan a farkon alamun tsoro, kuna buƙatar auna sukari tare da glucometer kuma, idan ya cancanta, nemi taimakon likita.

Jiyya

Mene ne bayyanar yanayin rashin lafiyar

Idan hyperglycemia ya faru a cikin mai haƙuri tare da nau'in ciwon sukari na 1 kuma alamar a kan mita ya wuce 14 mmol / l, mai haƙuri ya kamata ya kira motar asibiti nan da nan. A matsayinka na mai mulkin, halartar endocrinologist a cikin shawarwarin da aka tsara sun gargadi masu ciwon sukari game da yiwuwar irin wannan yanayin kuma ya umurce shi game da matakan farko. Wani lokacin likita ya ba da shawarar a irin waɗannan lokuta don yin allurar insulin a gida kafin isowar ƙungiyar likitocin, amma ba za ku iya yanke irin wannan shawarar da kanku ba. Idan mai lura da ilimin ilimin kimiya game da endocrinologist baiyi wani abu ba kuma bai ayyana irin waɗannan lokuta ba, zaku iya tuntuɓar babban motar asibiti yayin kiran. Kafin likita ya isa, ana iya ba da haƙuri tare da ƙari tare da taimakon farko ko da ba tare da magunguna ba.

Don yin wannan, kuna buƙatar:

  • Tabbatar da cewa mai ciwon sukari ya tsaya a cikin kwanciyar hankali, wuri mai sanyi, ba tare da haske mai haske ba kuma tare da samun wadataccen iska mai tsabta;
  • sha shi da ruwa mai yawa don kula da ma'aunin ruwan-gishiri da rage sukarin jini ta hanyar narke shi (a wannan yanayin, wannan analog ne na gida);
  • Shafa bushe fata tare da tawul mai ruwa.

Idan mara lafiyar ya rasa hankalinsa, ba shi yiwuwa a zuba ruwa a ciki. Saboda wannan, yana iya shaƙa ko shaƙa

Kafin likita ya isa, kuna buƙatar shirya ainihin abubuwan don asibiti, katunan likita da fasfo na haƙuri. Wannan zai adana lokaci mai mahimmanci kuma yana hanzarta aiwatar da sufuri zuwa asibiti. Yana da mahimmanci musamman a tuna da wannan idan alamu suna nuna yiwuwar rashin lafiya. Dukansu hypo- da hyperglycemic coma suna da matukar haɗari yanayi. Suna bayar da shawarar kawai inpatient magani. Tooƙarin taimaka wa mutum a cikin irin wannan yanayin ba tare da likitoci yana da haɗari sosai ba, saboda ƙididdigar ba ta awanni ba, amma na minti.

Jiyya na asibiti ya haɗa da maganin ƙwaƙwalwa tare da kwayoyi don rage sukari da tallafawa jiyya mai mahimmanci. A lokaci guda, ana bawa mai haƙuri taimako ta alama, ya danganta da tsananin alamun cutar. Bayan an daidaita jihar da alamu na sukari, an sallame mai haƙuri gida.

Yin rigakafin

Yin rigakafin hauhawar jini yafi sauki fiye da ƙoƙarin kawar da shi. Don yin wannan, kuna buƙatar kula da nutsuwa ta jiki da tausayawa. Ba za ku iya daidaita sashin insulin ko ragewar kwaya ba - ya kamata ku nemi shawarar likitanku game da duk irin waɗannan ayyukan. Yana da mahimmanci a lura da matakin glucose a cikin jini tare da glucometer kuma a yi rikodin duk canje-canje masu ba da tsoro.

Kyakkyawan abinci mai kyau da abinci sune mabuɗin don kyakkyawan lafiya da matakan glucose na jini na al'ada. A kowane hali ya kamata ku yi ƙoƙarin rage sukari kawai tare da magungunan jama'a, ƙin kwayoyi. Hankali a hankali ga jikinka da cutar sankarau shine sharadin da mai haƙuri dole ya lura dashi idan yana son jin ƙoshin lafiya kuma ya sami cikakken rayuwa.

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