Kodi tingamuthandize bwanji munthu wodwala matenda a shuga ngati ali ndi vuto ladzidzidzi? (Diabetic Emergency)

Kodi muli ndi wachibale kapena mnzanu amene ali ndi matenda a shuga? Kodi mudamvapo za vuto ladzidzidzi pomwe shuga m'magazi mwa munthu amatsika mwadzidzidzi kapena kukwera kwambiri? Mwina sangathe kudzisamalira panthawiyi. Mutha kuthandiza kupulumutsa moyo wake. Chifukwa chake, ngati munthu amene mumamudziwa ali ndi matenda a shuga, ndikofunikira kukambirana naye zomwe angachite pakagwa ngozi.

Kodi vuto la matenda a shuga ndi chiyani?

Mwachidule, vuto la matenda a shuga limachitika pamene munthu amene ali ndi matenda a shuga ali ndi shuga wochepa kwambiri m'magazi kapena wokwera kwambiri. Izi zingayambitse zizindikiro zoopsa komanso kupha munthu. Pali mitundu iwiri ikuluikulu ya matenda amenewa.

Kusintha kwakukulu koteroko kwa shuga m'magazi kungakhudze kwambiri momwe thupi lathu limagwirira ntchito, motero kumafuna chithandizo chamankhwala mwachangu.

Zadzidzidzi zomwe zimachitika chifukwa cha shuga wotsika m'magazi - "Kusokonezeka kwa insulin"

Imeneyi ndi vuto lotchedwa hypoglycemia yoopsa. Izi zimachitika pamene shuga m'magazi amatsika kwambiri, nthawi zambiri pansi pa 60 mg/dL. Ngakhale kuti limatchedwa "insulin shock," izi sizingachitike kwa anthu omwe akumwa insulin okha, komanso kwa anthu omwe akumwa mankhwala ena a shuga (monga sulfonylureas).

N’chifukwa chiyani izi zili zadzidzidzi?

Taganizirani izi, ubongo wathu umafunika shuga (shuga) kuti ugwire ntchito. Shuga ikatsika kwambiri, sitingaganize bwino ndipo timatha kukomoka. Izi zikutanthauza kuti sitingathe kuchiza vutoli tokha. Ngati tilibe wina wotithandiza, likhoza kubweretsa imfa.

Zifukwa za kuchepa kwa shuga

• Kudumpha chakudya.
• Kuchita masewera olimbitsa thupi kuposa masiku onse.
• Kumwa mowa popanda chakudya.
• Kumwa insulin yochuluka kwambiri, kugwiritsa ntchito mtundu wolakwika, kapena kuibaya molakwika.
• Kumwa mankhwala a shuga olakwika.

Zizindikiro za shuga wochepa

Zizindikiro zake poyamba zingaphatikizepo kunjenjemera ndi kumva njala. Komabe, ngati sichichiritsidwa, vutoli likhoza kukulirakulira ndikutsogolera ku zizindikiro zotsatirazi:

• Chisokonezo.
• Maso osawoneka bwino.
• Kufooka kwakukulu.
• Kugwidwa ndi khunyu.
• Kutaya mtima.
• Chikomokere.

Kodi mumathandiza bwanji munthu amene ali ndi shuga wochepa m'magazi?

Ngati wina ali ndi zizindikiro izi, muuzeni kuti ayang'ane kuchuluka kwa shuga m'magazi mwake. Kenako, muthandizeni kutsatira lamulo la "15/15."

1. Perekani magalamu 15 a chakudya chopatsa mphamvu chomwe chimagayidwa mwachangu:

• Mapiritsi 3-4 a shuga.
• Ma mililita 120 (pafupifupi theka la chikho) cha madzi a zipatso kapena chakumwa chotsekemera (soda wamba).
• Supuni imodzi ya uchi kapena shuga.

2. Dikirani mphindi 15: Kenako yang'ananinso shuga m'magazi mwanu. Ngati akadali otsika, perekaninso gawo lina la magalamu 15 a chakudya cham'thupi.

Zadzidzidzi zomwe zimachitika chifukwa cha kuchuluka kwa shuga m'magazi

Kuwonjezeka kosalamulirika kwa shuga m'magazi kungayambitse mavuto awiri akuluakulu.

1. Matenda a shuga otchedwa Diabetic Ketoacidosis (DKA)

Ngati palibe insulin yokwanira yogwiritsira ntchito shuga (shuga) kuti ipange mphamvu, matupi athu amayamba kuwotcha mafuta kuti apange mphamvu. Njirayi imapanga mankhwala otchedwa ketones . Pamene ma ketones awa akusonkhana m'magazi, magazi amakhala acidic ndipo amatha kukhala poizoni m'thupi. Izi zimatchedwa DKA. Izi ndi vuto lomwe nthawi zambiri limapezeka mwa anthu omwe ali ndi matenda a shuga amtundu woyamba, koma limathanso kuchitika mwa anthu omwe ali ndi matenda a shuga amtundu wachiwiri komanso matenda a shuga a mimba.

Nchifukwa chiyani DKA ndi yadzidzidzi?

Uwu ndi matenda oopsa kwambiri, ndipo DKA ndiye chifukwa chachikulu cha imfa, makamaka pakati pa ana omwe ali ndi matenda a shuga.

Zifukwa za DKA:

• Mavuto a insulin: kusowa kwa mlingo wa insulin, kugwiritsa ntchito insulin yotha ntchito, kulephera kugwira ntchito bwino kwa pampu ya insulin.
• Matenda: Matenda ena ndi matenda ena angayambitse DKA.
• Kupsinjika maganizo: Kupsinjika maganizo kwambiri, matenda monga matenda a mtima.
• Mankhwala ena.

Kodi mungatani kuti muthandize ngati muli ndi DKA?

Ngati wina ali ndi zizindikiro zoyambirira, mupempheni kuti ayang'ane kuchuluka kwa ketone m'mkodzo wake pogwiritsa ntchito ``ketone test kit``. Ngati kuchuluka kwa ketone kuli kokwera, ayenera kuyimbira dokotala nthawi yomweyo. Komabe, ngati ali ndi zizindikiro zazikulu, ayenera kutengedwera ku chipinda chodzidzimutsa chachipatala (ETU) nthawi yomweyo.

2. Matenda a hyperosmolar hyperglycemic syndrome (HHS)

Izi zimachitika pamene shuga m'magazi akukwera pamwamba pa 600 mg/dL ndipo amakhalabe pamlingo umenewo kwa masiku kapena milungu ingapo. Izi zingayambitse kutaya madzi m'thupi kwambiri komanso kupha munthu.

• HHS ndi yofala kwambiri mwa anthu omwe ali ndi matenda a shuga a mtundu wa 2.
• Sichikukula mwachangu ngati DKA, chimakula pang'onopang'ono kwa masiku angapo.
• Mu HHS, ma ketone samadziunjikira m'magazi monga momwe zimakhalira mu DKA.

Zifukwa za HHS:

• Matenda a shuga amtundu wachiwiri omwe salamuliridwa bwino.
• Matenda monga chibayo ndi matenda a mkodzo.
• Matenda monga matenda a mtima ndi sitiroko.
• Mankhwala ena.

Zizindikiro za HHS:

Zizindikiro zake zingakhale monga pakamwa pouma, ludzu lochuluka, kukodza pafupipafupi, kutentha thupi, kugunda kwa mtima mofulumira, kusokonezeka, kusintha kwa mawu, kufooka mbali imodzi ya thupi, komanso kutaya chidziwitso.

Kodi HHS ingathandize bwanji pankhaniyi?

Imbani dokotala wawo nthawi yomweyo. Kenako muwatengere ku Chipatala cha Emergency Treatment Unit (ETU) mwachangu momwe mungathere.

Chikomokere cha Matenda a Shuga

Uwu ndi mtundu woopsa kwambiri wa matenda a shuga. Kusazindikira kwa nthawi yayitali komwe kumachitika chifukwa cha kuchuluka kwa shuga m'magazi komwe kumakhala kokwera kwambiri (chifukwa cha DKA kapena HHS) kapena kotsika kwambiri (chifukwa cha hypoglycemia yayikulu) ndipo sikunalandire chithandizo. Munthu amene ali ndi chikomokere sadzayankha mawu kapena kukhudzidwa.

Kodi mumathandiza bwanji munthu amene ali ndi matenda a shuga?

Ngati munthu wodwala matenda a shuga sakudziwa chilichonse ndipo sakuyankha, akhoza kukhala ndi chikomokere cha matenda a shuga.

• Imbani 1990 kapena nambala ya chithandizo chadzidzidzi nthawi yomweyo.
• Tsatirani malangizo operekedwa ndi woyendetsa foni.
• Musaike chilichonse mkamwa mwanu (madzi a shuga, madzi a shuga) poganiza kuti shuga wanu ndi wochepa. Izi zingayambitse kusanza.
• Ngati munthuyo akusanza, mutembenuzire cham'mbali kuti asatsamwitsidwe.

Kiti Yothandizira Anthu Odwala Matenda a Shuga

Kukonzekera zadzidzidzi kungapulumutse moyo wanu kapena wa munthu amene mumamukonda. Sungani zinthuzi pafupi, ndipo onetsetsani kuti aliyense m'nyumba mwanu akudziwa komwe zili.

• Insulin: Ngati mugwiritsa ntchito insulin, nthawi zonse sungani insulin yatsopano yomwe sinathe ntchito.
• Zinthu zoti mupereke ngati shuga ali wochepa: madzi a zipatso, zakumwa zotsekemera, kapena mapiritsi a shuga.
• Kiti ya Glucagon: Kukweza shuga m'magazi ngati mutataya chikumbumtima. Ngati mukusamalira wodwala matenda a shuga, dziwani momwe mungagwiritsire ntchito izi.
• Kiti yoyesera Ketone: Kuyesa ngati DKA ikukayikiridwa.
• Chibangili chochenjeza zachipatala: Izi zimathandiza kuzindikira kuti ndinu wodwala matenda a shuga pakagwa ngozi.
• Zambiri zokhudza mankhwala omwe mumamwa: Palinso ma `app` a pafoni pa izi tsopano.