Tingabatsira sei munhu ane chirwere cheshuga kana aine emergency? (Diabetic Emergency)

Une nhengo yemhuri kana shamwari ine chirwere cheshuga here? Wakambonzwa nezvedambudziko rekukurumidza apo huwandu hweshuga muropa remumwe munhu hunongoerekana hwadzikira kana kuti hwakakwira zvakanyanya? Vangasakwanisa kuzvitarisira panguva ino. Unogona kubatsira kuponesa hupenyu hwavo. Saka, kana mumwe munhu waunoziva ane chirwere cheshuga, zvakakosha kutaura naye nezve zvekuita kana paine dambudziko rekukurumidza.

Chii chinonzi emergency yechirwere cheshuga?

Zvichitaurwa zviri nyore, dambudziko rechirwere cheshuga rinowanzoitika kana munhu ane chirwere cheshuga aine huwandu hweshuga muropa hwakaderera kana kuti hwakakwira. Izvi zvinogona kukonzera zviratidzo zvakakomba uye zvinogona kutyisidzira hupenyu. Kune mhando mbiri huru dzezvirwere izvi.

Kuchinja kukuru kwakadaro muhuwandu hweshuga muropa kunogona kukanganisa mashandiro emuviri wedu, nokudaro kunoda kurapwa nekukurumidza.

Dambudziko rinokonzerwa neshuga shoma muropa - "Insulin shock"

Ichi chirwere chinonzi hypoglycemia yakanyanya. Izvi zvinoitika kana huwandu hweshuga muropa hukadzikira kusvika padanho rakaderera, kazhinji pasi pe60 mg/dL. Kunyangwe ichinzi "insulin shock," izvi zvinogona kuitika kwete chete kuvanhu vanotora insulin, asiwo kune vanhu vanotora mimwe mishonga yechirwere cheshuga (semuenzaniso, sulfonylureas).

Sei izvi zviri zvekukurumidzira?

Funga nezvazvo, uropi hwedu hunoda glucose (shuga) kuti hushande. Kana huwandu hweshuga hukadzikira zvakanyanya, hatigoni kufunga zvakanaka uye tinogona kufa. Izvi zvinoreva kuti hatigone kurapa chirwere ichi tega. Kana tisina wekubatsira, zvinogona kutokonzera rufu.

Zvikonzero zvekuderera kweshuga

• Kusadya.
• Kurovedza muviri kupfuura zvakajairika.
• Kunwa doro usina chikafu.
• Kutora insulin yakawandisa, kushandisa mhando isiriyo, kana kuibaya nemazvo.
• Kutora mushonga wechirwere cheshuga usingashandiswe zvakanaka.

Zviratidzo zveshuga shoma

Zviratidzo zvinogona kutanga zvinosanganisira kudedera uye kunzwa nzara. Zvisinei, kana zvikasarapwa, chirwere ichi chinogona kuipa uye kutungamira kune zvinotevera:

• Kuvhiringidzika.
• Kuona kusina kujeka.
• Kushaya simba kwakanyanya.
• Kubatwa nepfari.
• Kufenda.
• Kushaya simba.

Unobatsira sei munhu ane shuga shoma muropa?

Kana mumwe munhu aine zviratidzo izvi, muudze kuti aongorore huwandu hweshuga muropa rake. Tevere, mubatsire kutevedzera "mutemo we15/15."

1. Ipa magiramu gumi nemashanu emacarbohydrate anogayiwa nekukurumidza:

• Mapiritsi matatu kusvika mana eglucose.
• 120 milliliters (inenge hafu yekapu) yemuto wemichero kana chinwiwa chine shuga (soda yakajairika).
• Chipunu chimwe chehuchi kana shuga.

2. Mira kwemaminitsi gumi nemashanu: Wobva waongorora shuga yako yeropa zvakare. Kana ichiri shoma, ipa imwe 15-gramu yemacarbohydrate.

Njodzi dzinokonzerwa neshuga yakakwira muropa

Kuwedzera kweshuga muropa kusingadzoreki kunogona kukonzera matambudziko maviri akakomba.

1. Chirwere cheshuga chinonzi Ketoacidosis (DKA)

Kana pasina insulin yakakwana yekushandisa glucose (shuga) kuti iwane simba, miviri yedu inotanga kupisa mafuta kuti iwane simba. Maitiro aya anogadzira makemikari anonzi ma ketones . Kana ma ketone aya akaungana muropa, ropa rinova acidic uye rinogona kuva chepfu mumuviri. Izvi zvinonzi DKA. Ichi chirwere chinowanzoitika kuvanhu vane chirwere cheshuga cherudzi rwekutanga, asi chinogonawo kuitika kuvanhu vane chirwere cheshuga cherudzi rwechipiri uye chirwere cheshuga chepamuviri.

Sei DKA iri dambudziko rekukurumidza?

Ichi chirwere chinoisa upenyu panjodzi, uye DKA ndiyo inonyanya kukonzera rufu, kunyanya pakati pevana vane chirwere cheshuga.

Zvikonzero zveDKA:

• Matambudziko e insulin: kushaya ma insulin doses, kushandisa insulin yapera, kutadza kushanda zvakanaka kwe insulin pump.
• Kurwara: Zvimwe zvirwere zvinogona kukonzera DKA.
• Kushushikana: Kushushikana kwepfungwa kwakanyanya, mamiriro ezvinhu akadai sekurwadziwa kwemoyo.
• Mimwe mishonga.

Ungabatsira sei kana uine DKA?

Kana munhu aine zviratidzo zvekutanga, mukumbire kuti atarise huwandu hweketone muweti wake ne "ketone test kit." Kana huwandu hweketone hwakwira, anofanira kufonera chiremba wake nekukasika. Zvisinei, kana aine zviratidzo zvakakomba, anofanira kuendeswa kuchipatara nekukurumidza.

2. Hyperosmolar hyperglycemic syndrome (HHS)

Izvi zvinoitika kana huwandu hweshuga muropa hukakwira kupfuura 600 mg/dL uye hunoramba huri padanho iroro kwemazuva kana mavhiki. Izvi zvinogona kukonzera kupera mvura mumuviri zvakanyanya uye zvinogona kuisa hupenyu panjodzi.

• HHS inowanikwa muvanhu vane chirwere cheshuga cherudzi rwechipiri.
• Haikurumidzi kukura seDKA, inokura zvishoma nezvishoma kwemazuva akati wandei.
• MuHHS, ma ketone haaunganidzike muropa sezvakaita muDKA.

Zvikonzero zveHHS:

• Chirwere cheshuga cherudzi rwechipiri chisina kudzorwa zvakanaka.
• Utachiona hwakadai sepneumonia uye utachiona hwemunzira yeweti.
• Zvirwere zvakaita sekurohwa nemoyo uye sitiroko.
• Mimwe mishonga.

Zviratidzo zveHHS:

Zviratidzo zvinogona kusanganisira muromo wakaoma, nyota yakawandisa, kuita weti nguva nenguva, fivha, kurova kwemoyo nekukurumidza, kuvhiringidzika, kuchinja kwekutaura, kushaya simba kune rumwe rutivi rwemuviri, uye kurasikirwa nepfungwa.

HHS ingabatsira sei mumamiriro ezvinhu aya?

Fonera chiremba wavo nekukasika. Wobva wavaendesa kuEmergency Treatment Unit (ETU) yechipatara nekukurumidza.

Kushaya simba kwemunhu ane chirwere cheshuga

Iyi ndiyo mhando yakanyanya kuipa yechirwere cheshuga. Kusaziva kwenguva refu kunokonzerwa nehuwandu hweshuga muropa hwakanyanya kukwira (nekuda kweDKA kana HHS) kana hwakaderera zvakanyanya (nekuda kwehypoglycemia yakanyanya) uye husina kurapwa. Munhu ari pakoma haazopinduri kana achitaura kana kubatwa.

Ungabatsira sei munhu ane chirwere cheshuga (diabetes coma)?

Kana munhu ane chirwere cheshuga asina chaanoziva uye asingachanzwisisi, anogona kunge ari diabetic coma.

• Fonera 1990 kana nhamba yebasa rekukurumidzira nekukasika.
• Tevedzera mirairo yakapihwa nemushandi wefoni.
• Usaise chero chinhu mumuromo mako (muto, mvura ine shuga) uchifunga kuti shuga yako ingave shoma. Izvi zvinogona kukonzera kudzipwa.
• Kana munhu wacho akarutsa, mutendeutsire nerutivi kuti asadzipwa.

Kiti Yekukurumidzira Yechirwere cheshuga

Kugadzirira njodzi kunogona kuponesa hupenyu hwako kana hwemumwe munhu waunoda. Chengeta zvinhu izvi pedyo, uye iva nechokwadi chekuti munhu wese ari mumba mako anoziva kuti zviri kupi.

• Insulin: Kana ukashandisa insulin, gara uine mushonga mutsva usati wapera.
• Zvinhu zvekupa kana shuga yakaderera: muto wemichero, zvinwiwa zvine shuga, kana mapiritsi eglucose.
• Kiti yeGlucagon: Yekuwedzera huwandu hweshuga muropa kana ukarasikirwa nepfungwa. Kana uri kutarisira munhu ane chirwere cheshuga, ziva mashandisirwo azvo.
• Kiti yekuongorora Ketone: Yekuongorora kana paine chinofungidzirwa kuti DKA.
• Chishongo chekuzivisa nezvekurapa: Izvi zvinobatsira kuziva kuti une chirwere cheshuga kana pakaitika emergency.
• Ruzivo rwakakwana nezvemishonga yaunotora: Kune kunyange `maapplication' efoni eizvi izvozvi.