Ssukaali asobola okuvaako omuntu okugwa mu kkoma? (Diabetes-Related Coma) Ka twogere ku mbeera eno ey’akabi

Omuntu alina ssukaali bw’azirika mu bwangu n’atasobola kuzuukusibwa ne bw’oyogera naye otya okola ki? Kino ddala kitiisa. Kino kibeera kya kkoma, nga kino kye kimu ku bizibu ebisinga okutawaanya obulwadde bwa sukaali. Okubeera omutuufu, mbeera y’obutamanya ereetera omuntu okugwa mu tulo otungi. Kino kituuka n’okuteeka obulamu mu matigga. Naye singa otegeezebwa bulungi, osobola okuziyiza embeera eno n'otuuka n'okutaasa obulamu bw'omuntu. Kale ka twogere ku nsonga eno simply leero.

Ono coma ya sukaali kye ki?

Mu ngeri ennyangu, singa omuntu alina ssukaali alina ssukaali omungi mu musaayi ogutafugibwa (hyperglycemia) oba sukaali omutono mu musaayi (hypoglycemia) , kiyinza okukosa butereevu enkola y’obwongo ne kireetera omuntu okuzirika. Kino kiyitibwa kkoma ya sukaali. Eno mbeera ya maanyi nga yeetaaga obujjanjabi obw’amangu.

Ekika kino eky’okugwa mu kkoma kiyinza okuva ku mbeera ssatu enkulu ezikwata ku ssukaali.

1. Obulwadde bwa sukaali obuyitibwa Ketoacidosis (DKA): Kino kibaawo nga ketones, ekika kya asidi, zeeyongedde mu musaayi, ekivaako omusaayi okufuuka asidi.

2. Hyperosmolar Hyperglycemic State (HHS): Eno mbeera nga ssukaali mu musaayi agenda mungi nnyo ate omubiri ne guggwaamu amazzi amangi.

3. Okukendeera kwa sukaali okw’amaanyi: Kino we wabaawo omuwendo gwa glucose oguwa obwongo amaanyi okukendeera ennyo ekivaako emirimu gy’obwongo okuyimirira.

Ka tulabe ebikulu ebisatu ebivaako omuntu mu kkoma mu bujjuvu katono.

Kikulu nnyo okumanya katono ku mbeera zino essatu, kubanga okutegeera obubonero bwa buli mbeera nga bukyali kiyinza okuziremesa okugenda mu kkoma.

1. Obulwadde bwa sukaali obuyitibwa ketoacidosis (DKA) .

Embeera eno esinga kubeera mu bantu abalina sukaali ow’ekika kya 1 , naye oluusi esobola okubeera mu bantu abalina sukaali ow’ekika eky’okubiri.

Kyangu: Obusimu obuyitibwa insulin bwetaagisa nnyo obutoffaali bw’omubiri gwaffe okuyingiza glucose (ssukaali) okusobola okufuna amaanyi. Mu DKA, omubiri tegulina insulini emala. Olwo olw’okuba obutoffaali tebusobola kutwala glucose, omubiri gutandika okwokya amasavu gagwo okusobola okufuna amaanyi. Amasavu gano bwe gaayokebwa , ketones zikolebwa ng’ekivaamu.Eddagala eriyitibwa ketones lizimba mu musaayi. Ketoni zino kika kya asidi. Bwe zizimba mu musaayi, omusaayi gufuuka gwa asidi. Kino kiyitibwa DKA. Embeera eno bw’etajjanjabibwa mangu, osobola okugenda mu kkoma.

Mu bujjuvu, DKA mbeera nga ssukaali mu musaayi asukka 250 mg/dL . Naye jjukira nti ekisinga okuvaako DKA si sukaali mungi yekka, wabula n’obutaba na insulini n’okweyongera kwa ketones.

2. Embeera ya sukaali mu musaayi (HHS) .

Kino kisinga kubeera mu bantu abalina Ssukaali ow'ekika eky'okubiri . Kino we wabaawo ssukaali mu musaayi n’afuuka waggulu mu ngeri etafugibwa (emirundi mingi ng’asukka 600 mg/dL ). Kino bwe kibaawo, omubiri gugezaako okugoba ssukaali asusse mu musulo. Mu kiseera kye kimu, amazzi mangi gabula okuva mu mubiri, ekivaako okuggwaamu amazzi mu mubiri ennyo . Kino kiyinza okukosa obwongo, ne kivaako okubulwa amagezi, era singa tekijjanjabwa, kiyinza okuvaako omuntu okugwa mu kkoma.

3. Okukendeera kwa sukaali okw’amaanyi

Kino we wabaawo ssukaali mu musaayi n’agwa wansi nnyo, ebiseera ebisinga wansi wa 40 mg/dL . Kino nakyo kya bulabe nnyo eri obulamu.

Glucose y’esinga okutuwa amaanyi mu mibiri gyaffe naddala obwongo. Bwe waba tewali glucose mu musaayi, obwongo bufiirwa obusobozi bwabwo okukola. Nga yingini y'emmotoka bw'eyimirira ng'amafuta gaweddewo, obwongo busobola "okuggala" ne bugenda mu kkoma. Embeera eno esinga kubeera mu bantu abamira empiso za insulini oba ebika ebimu eby’eddagala lya sukaali (e.g., sulfonylureas).

Obubonero obulabula nga tonnagenda mu kkoma

Omuntu tagenda mu kkoma mu bwangu. Ekyo nga tekinnatuuka, omulambo gulaga obubonero obuwerako obulabula. Ekisinga obukulu kwe kumanya obubonero buno nga bukyali. Katutunuulire obubonero obukwatagana n’embeera zino essatu okwawukana.

Oluvannyuma lw’obubonero buno, singa omuntu agenda mu kkoma, ajja kulaga obubonero busatu obukulu:

• Okubulwa ddala okutegeera: Ng’okubeera mu tulo otungi. Tesobola kuzuukusibwa mu ngeri yonna.
• Amaaso agataddamu: Amaaso gasigala nga gazibye. Tewali kuddamu ng’amaaso gazibuddwa.
• Omubiri obutatambula: Tewali kutambula kwa mikono oba magulu mu kutegeera. Kyokka, ebimu ku bikolwa ebiyitibwa reflexes biyinza okubaawo.

Ebintu bye tusaanidde okukola mu bwangu singa omuntu azirika (first aid) .

Teebereza singa omuntu alina ssukaali mu kitundu kyo yazirika bw’ati. Waliwo ebintu ebitonotono by’osobola okukola. Kino kiyinza n’okutaasa obulamu.

1. Kuba 1990 mu bwangu: Ekisooka okukola kwe kuyita ambyulensi. Bw'oba okubira essimu, gamba nti, "Omuntu alina ssukaali tategeera."

.

3. Omuntu akyuse ku mabbali: Mu kifo ky’okumugalamira ku ludda lwe, kyusa omuntu oyo ku ludda olumu (ku ludda lwe) okuziyiza okusesema oba okuziyira.

4. Linda ambyulensi okutuuka: Goberera ebiragiro ebyaweebwa omukozi wa 1990.

Lwaki kino kibaawo? Biki ebiyinza okuvaako akabi?

Nga bwe kyayogeddwako emabegako, okuggwaamu amazzi mu mubiri okw’amaanyi, okubaawo mu DKA ne HHS, kukosa obwongo ne kivaako omuntu okugwa mu kkoma. Mu ngeri y’emu, mu kiseera ky’okukendeera kwa sukaali, obwongo tebufuna maanyi (glucose) ge bwetaaga, ekivaako emirimu gy’obwongo okuyimirira ne kivaako okugwa mu kkoma.

Omuntu yenna alina ssukaali ali mu bulabe, naye ensonga ezimu ziyinza okwongera ku bulabe buno.

• Ekika kya sukaali: Abantu abalina ssukaali ow’ekika kya 1 batera okugenda mu kkoma olw’obulwadde bwa DKA n’okukendeera kwa sukaali okw’amaanyi. Abantu abalina ssukaali ow’ekika eky’okubiri batera okugenda mu kkoma olw’obulwadde bwa HHS.
• Endwadde endala: Mu kiseera ky’endwadde ng’omusujja ne yinfekisoni, kizibu okufuga ssukaali mu mubiri.
• Okulongoosebwa oba obubenje: Situleesi ebintu bino gye biteeka ku mubiri esobola okuvaako ssukaali okulinnya mu musaayi.
• Ebizibu ebiva mu kukozesa insulini: Embeera eno eyinza okuva ku mpiso za insulini ezibula, okumira ddoozi enkyamu oba ppampu ya insulini obutakola bulungi.
• Obutaddukanya bulungi ssukaali: obutamira bulungi ddagala, obutakebera ssukaali buli kiseera.
• Okunywa omwenge: Omwenge guyinza okuvaako ssukaali mu musaayi okukka wansi mu ngeri ey’akabi.
• Hypoglycemia Unawareness: Abantu abamu tebalaba bubonero busooka obwa sukaali omutono mu musaayi, gamba ng’okukankana n’okutuuyana. Bayinza okubulwa amagezi mu bwangu.

Bakola ki mu ddwaaliro? (Okuzuula n’okujjanjaba)

Olw’okuba eno mbeera ya bujjanjabi ya mangu, obujjanjabi bwonna bubeera mu ddwaaliro. Abasawo basobola okuzuula amangu embeera eno nga bakebera ebikwata ku mulwadde ne ssukaali mu musaayi. Era bakebera omusaayi oba teguliimu ketones.

Obujjanjabi businziira ku kivaako omuntu okugwa mu kkoma.

• Bwe kiba nga kiva ku DKA oba HHS:
• Amazzi aga IV (saline): Omunnyo guweebwa okuyita mu musuwa okuziyiza okuggwaamu amazzi n’okutebenkeza eminnyo gy’omubiri.
• Insulin: Insulin aweebwa mu misuwa oba ng’empiso okufuga ssukaali mu musaayi.
• Obujjanjabi obulala: Singa wabaawo obulwadde obusirikitu obuleeta embeera eno, eyo nakyo ejja kujjanjabibwa.

• Severe Hypoglycemia (ssukaali omutono mu musaayi) kiva ku:
• Empiso ya Glucagon: Glucagon busimu obuyamba ekibumba kyaffe okufulumya amangu glucose mu musaayi. Kiyinza okuweebwa ng’empiso oba ng’ekifuuyira mu nnyindo (obuwunga bw’omu nnyindo). Kino ne bw’okiwa omuntu awaka, .Mazima ddala weetaaga okutwalibwa mu ddwaaliro.

Kisoboka okuwona ddala okuva mu mbeera eno?

Yee. Singa ajjanjabwa mangu era mu ngeri entuufu, ssukaali asobola okuwona ddala. Kyokka oluusi, singa obujjanjabi bulwawo, buyinza okukosa obwongo obw’olubeerera ate mu mbeera ezimu n’okufa.

Ebbanga omuntu ly’amala mu kkoma kisinziira ku bwangu bw’afuna obujjanjabi. Awatali bujjanjabi, omuntu tajja kuzuukuka mu mbeera eno ku lulwe. N’olwekyo kikulu okubatuusa mu ddwaaliro mu bwangu.

Embeera eno ey’akabi eyinza etya okwewalibwa?

Kkoma eno etera okuziyizibwa . Ekisinga obukulu kwe kumanya obubonero obulabula nga bukyali obwa DKA, HHS, ne Hypoglycemia era okolewo amangu ddala nga bulabika.

Yogerako n’omusawo wo ku nteekateeka yo ey’okuddukanya obulwadde bwa sukaali. Noonya mangu omusawo singa ofuna ekimu ku bino wammanga:

Kya bulijjo okuwulira ng’otya ng’owulira ebizibu ebiva mu ssukaali. Naye okubeera ng’omanyi bulungi era nga weetegese y’engeri esinga obulungi ey’okuziziyiza. Tolonzalonza kubuuza musawo wo bibuuzo byonna by’olina ku ngeri y’okuddukanyaamu obulwadde bwa sukaali.