Taimako na Farko ga Coma mai Ciwon Mara

Cutar da ta haifar da faɗuwa ko hauhawar sukari jini na iya faruwa a cikin kowane mutum da cuta na rayuwa, ba tare da la’akari da cewa sun kamu da cutar sankara ba ko kuma wannan shine farkon bayyanar cutar endocrine. Sabili da haka, yana da mahimmanci a san abubuwan da ke haifar da alamun cutar haɗari.

Me ke tsokane yanayin?

Cutar sankarar mellitus tana tare da hargitsi na rayuwa, sakamakon wanda ko karancin insulin din da ake samarwa, ko kuma ƙwayoyin jikin su basu da damuwa ga hodar.

Sakamakon haka, glucose da aka kawo tare da abinci ba a canza shi zuwa makamashi ba, amma yana tara abubuwa da yawa a cikin jini. Ba tare da gudanar da insulin na yau da kullun na insulin ba, guba na jiki yana faruwa kuma ƙwayar cuta ta hyperglycemic.

Idan an keta sashi kuma hormone ya wuce, ko maras lafiya bai dauki abinci na dogon lokaci ba, an rage adadin glucose a kasa da matakin halatta, kuma jinin haila yana faruwa.

Zai iya haifar da canji a cikin matakan glucose:

• barasa maye;
• tashin hankali
• yawan aiki;
• lokacin haihuwa;
• Abinci mai kyau a cikin carbohydrates da sukari.

Daban-daban na Pathology

Cutar sankara ta haɓaka tare da manyan canje-canje a cikin yawan sukari a cikin jini kwatankwacin ƙa'idodin da aka yarda da su. Dukansu raguwa da haɓaka a cikin matakan glucose na iya haifar da rashin daidaituwa.

Iri Hyperglycemia

Cutar Ketoacidotic - Barazana ga masu ciwon sukari 1. Idan ya sabawa jadawalin allurar insulin, yin amfani da magunguna ko karewar sashi, matakin glucose a cikin jini yana farawa da sauri.

Rashin insulin yana kara rushewar kitse mai narkewa a cikin jiki, wanda ke haifar da karuwar halittar ketone, wanda, haɗe tare da haɓakar glucose na 30 zuwa 40 mmol / L, ƙarfafawa ne ga haɓakar ƙoma tare da yin bayani game da iskar acetone a cikin masu ciwon sukari.

Ketoacidotic coma na tasowa na dogon lokaci, a cikin kwanaki da yawa. Duk wannan lokacin, mai haƙuri yana rasa nauyi kuma yana bacci kusan kullun. Kuna iya kama alamu kuma ku nemi likita don ɗaukar matakan da suka dace.

Hyperosmolar coma mai yiwuwa tare da nau'in ciwon sukari na 2. Tsofaffi marasa lafiya da cututtukan zuciya sun fi kamuwa da ita. Tare da wannan nau'in cututtukan hyperglycemia, jikin ketone baya yin tsari, kuma yawan ƙwayar sukari yana tsinkaye yayin urination. Tare da damuwa da daidaitawar ruwa da rashin ruwa a jiki, cirewar glucose yana da wahala kuma yana tara jini a cikin jini har zuwa 50 mmol / l, wanda ke haifar da komputa.

Wani yanayi mai kama da wannan yana faruwa kwanaki da yawa bayan alamomin tashin hankali na farko, ɗayansu shine asarar nauyi mai sauri.

Lactic acid coma mafi sau da yawa yana ci gaba a cikin mutanen da ke dogara da barasa kuma a cikin tsofaffi waɗanda ke fama da cututtuka na hanta, tsarin cututtukan zuciya da kodan ban da ciwon sukari. Ilimin ƙwaƙwalwar ƙwayar cuta yana faruwa ne sakamakon samuwar babban adadin lactic acid a game da tushen yunwar oxygen na gabobin ciki.

Wannan halin yana nunawa da bayyanar zafi a cikin ciki, kirji da tsokoki, da wahala da kuma sautin numfashi. Lactic acid coma yana haɓaka da sauri, sabili da haka an dauki shi mafi tsananin.

Hypoglycemia

Babban abin da ke haifar da rashin ƙarfi a cikin jiki shine ƙananan ƙwayar jini. Wannan na iya faruwa a cikin masu ciwon sukari nau'in 1 bayan yin azumi mai tsawo ko kuma sakamakon karuwar insulin. Hypoglycemia kuma yana faruwa ne akan tushen maye na giya da yawan motsa jiki ko ta wani tunanin.

Alamar halayyar alama ce ta alhini, damuwa ta ci kullum, hare-haren wuce gona da iri da rawar jiki da rawar jiki. Cutar ta haihuwar hypoglycemic shine mafi gama gari kuma yana haɓakawa a cikin 'yan sa'o'i, don haka ba za ku iya ɗaukar matakan sabuntawa ba.

Alamomin farko da alamun rashin daidaituwa

Coma baya ci gaba cikin sauri. Yawancin lokaci, yana gabanta ta hanyar bayyanar cututtuka da yawa, ba da kulawa ga wanne, zaku iya ɗaukar matakan lokaci kuma ku hana bayyanar da mummunan yanayin.

Don ƙwayar cutar mahaifa, alamu masu zuwa suna nuna halayyar:

• ƙishirwa mai kishi;
• asarar ci;
• dage zuwa urinate;
• ciwon kai ya bayyana;
• akwai hare-hare na tashin zuciya, tare da amai;
• rauni yana girma, ana jin nutsuwa;
• numfasawa da sauri, jin zafi yana bayyana a cikin ciki;
• Za'a iya lura dysfunction na ciki.

Wannan yanayin yana faruwa lokacin da matakan sukari na jini suka tashi zuwa 33 mmol / L.

Ba tare da matakan gaggawa ba, bayan kwana ɗaya ko a baya, an lura da jin daɗin haƙuri da kuma alamun da ke gaba:

• lethargy da apathy bayyana;
• numfashi ya zama tare da ƙanshin acetone;
• rawar jiki da natsuwa suna bayyana;
• magana tana da wahala, rikicewar abubuwa abin lura ne;
• rashin daidaituwa game da motsi;
• ana lura da ɓacin rai;
• asarar ji da santsi na faruwa.

Wanene zai iya bambanta da waɗannan alamun:

• palpable rauni bugun jini;
• matsin lamba ya ragu;
• laushi na ido mai ido.

Jihar precoatose da hypoglycemia yayi kama da wannan:

• akwai jin yunwar;
• jin sanyi da rawar jiki sun bayyana;
• gumi yana kara karfi;
• rauni yana saurin ƙaruwa;
• bugun zuciya;
• mara lafiya yana rasa hankali.

Abin da sukari ke haifar da ƙwayar cutar hauhawar jini? Ciki na faruwa yayin da matakan glucose suka faɗi ƙasa da 1.5 mmol / L. A farkon alamar, yakamata ka ƙara hanzarta kaɗa da jini. Don wannan, yanki na cakulan, sukari ko ruwan 'ya'yan itace mai laushi ya dace.

Kulawar gaggawa da kulawa

Lokacin bayar da taimako na farko ga mutumin da ke cikin halin rashin haihuwa, ya kamata mutum yasan irin matakan da za'a iya ɗauka.

1. Kira motar asibiti
2. Ka sanya mara lafiya a gefe kuma ka samar masa da kwanciyar hankali da kwararar sabon iska.
3. Idan za ta yiwu, a auna nauyi na sukari a cikin jini.
4. Idan aka san sashi na insulin kuma aka sama matakin glucose, sai a baiwa marassa allurar.
5. Idan sukari ya ragu, ba wanda aka azabtar ya sha ruwan 'ya'yan itace mai zaƙi ko kuma yin girki.
6. Idan ba a san dalilin cutar mai haƙuri ba, to ba za a iya aiwatar da irin waɗannan ayyukan ba. Wannan na iya haifar da wani mummunan yanayin.
7. Karka yi ƙoƙarin bayarwa ko bayar da kwaya ga mai haƙuri wanda bai san komai ba.
8. Idan mutum ya nemi abin sha, sai a ba shi ruwa.
9. Idan kuka kasa kiran motar asibiti, kuna buƙatar isar da shi da wuri-wuri. wanda aka azabtar da shi a asibiti.

Bayan shigar da shi Asibiti, an sanya wanda aka azabtar a cikin kulawa mai zurfi, inda ake ɗaukar duk matakan da sukakamata don kwantar da masu ciwon sukari da kuma fitar dashi daga laima. Don kiyaye aiki mai mahimmanci, na'urar haɗaɗɗar injiniya an haɗa shi da mai haƙuri don hana yunwar oxygen na gabobin ciki.

Babban magani shine kulawa akai-akai na ƙananan allurai na insulin tare da sarrafawa da yawa na matakan sukari da abun acetone. A lokaci guda, ana yin glucose tare da hutun awa daya don guje wa wucewar insulin.

Ana sanya droppers tare da saline da allura tare da sodium chloride, camphor da maganin kafeyin. Ta wannan hanyar, zuciya tana goyan bayan ruwa da kuma ma'aunin lantarki.

Bayan barin coma, an wajabta mai haƙuri zuwa abincin abinci kuma ana duba yawan sashin insulin don daidaita yanayin.

Abin da ke jiran haƙuri bayan korar ciki?

Kulawar likitanci na lokaci lokaci zai taimaka dakatar da cutar sikari ta asali a farkon haɓaka. Likitoci suna daidaita sukari na jini, suna daidaita ma'aunin ruwa, suna gyara ga rashin ƙarancin wutan lantarki, wanda zai inganta yanayin haƙuri sosai.

Tare da jinkirta a sake rayuwa, sakamakon rashin lafiyar yana damuna. Cutar na iya ɗaukar dogon lokaci, yana jurewa tsawon watanni har ma da shekaru. A wannan lokacin, yunwar oxygen da ke tattare da gabobin rayuwa, wanda ke haifar da cutar kwakwalwa.

Bayan barin coma, mara lafiya na iya bayyanar da inna, cututtukan zuciya a cikin aiki, gazawar aikin magana. Kimanin mutum daya cikin marasa lafiya goma sun mutu ba tare da sake murmurewa ba.

Ta yaya za a hana ci gaban ilimin halittu?

Rayuwar mai ciwon sukari ya canza gaba ɗaya bayan farkon alamun farko na cutar da kuma tabbatar da ganewar asali. Yanzu duk ayyukansa yakamata ayi kokarin kiyaye matakan sukari da suka karba.

Don hana haɓakar ƙwayar cutar malaria, kana buƙatar bin wasu ƙa'idodi:

• likita koyaushe yana lura da duk shawarwarin da aka ba shi;
• bi wani abincin tare da ƙuntatawa daga abubuwan da ake amfani da su na abinci mai guba da ƙin sukari;
• kula da aikin da ya dace - Kar a wuce gona da iri, amma kuma kada a haifar da yanayin zaman talauci;
• daina mummunan halaye;
• sha aƙalla lita 1.5 na ruwa kowace rana, ban da shayi, ruwan 'ya'yan itace da miya;
• sarrafa nauyi;
• kauce wa dogon hutu tsakanin abinci - kuna buƙatar cin abinci sau da yawa, amma a cikin ƙananan rabo;
• lura da glucose na jini sau da yawa a rana;
• kada ku tsallake allurar insulin kuma kada ku canza yanayin gwargwadon hali;
• Kada ku sami magungunan kai a gida ba tare da yardar likita ba;
• bi da cututtukan concomitant.

Labarin bidiyo game da sanadin abubuwan da ke haifar da alamomin cutar sankarar mahaifa:

Ciwon sukari cuta ce mai tsanani da ba za a iya cutar da ita ba, kuma idan ba a kiyaye duk ka'idodi da ƙuntatawa ba, na iya zama barazana ga rayuwar mai haƙuri. Halin halaye ne kawai na lafiyar mutum zai taimaka wajen kula da lafiya da kwanciyar hankali, da rage haɗarin haɗarin haɗari.