Ukuba unesifo seswekile, mhlawumbi uyazi ukuba kubaluleke kangakanani ukugcina amanqanaba eswekile egazini lakho elawulwa. Ukongeza ekujongeni amanqanaba eswekile egazini lakho imihla ngemihla, kubalulekile nokuba uqaphele iimpawu ezibonakaliswa ngumzimba wakho xa amanqanaba eswekile egazini lakho ephezulu. Ngokwesiqhelo, xa amanqanaba eswekile egazini lakho ephezulu, unokuziva unxaniwe, udiniwe, kwaye unesicaphucaphu. Nangona kunjalo, ukuba amanqanaba eswekile egazini lakho awalawuleki, unokuqala ukubona nokuva izinto ezingekhoyo. Oku akuyonto ifanele ithathwe lula .
Kutheni izinto zibonakala zingafanelekanga? Masifumanise ukuba kutheni.
Eli ligama lezonyango elithetha ukubona nokuva izinto ezingekhoyo. Isizathu esiphambili sokuba umntu onesifo seswekile abe nale meko sisifo esibi esibizwa ngokuba yiHyperosmolar Hyperglycemic Syndrome . Nangona eli gama liyinkimbinkimbi kancinci, masiliqonde ngokulula.
Ngamafutshane, le meko yenzeka xa inqanaba leswekile egazini lakho liphezulu kakhulu, oko kukuthi, ngaphezulu kwe-600 mg/dL. Xa oku kusenzeka, umzimba wethu uzama ukukhupha le swekile igqithisileyo ngomchamo. Nangona kunjalo, xa sisusa le swekile, silahlekelwa namanzi amaninzi, nto leyo ebalulekileyo emzimbeni.
Khawuthelekelele, oku kufana nokususa udaka ezantsi kwitanki yamanzi, kwaye onke amanzi alungileyo etankini nawo ayasuswa.
Xa amanzi amaninzi emzimbeni elahleka ngale ndlela, umzimba uphelelwa ngamanzi emzimbeni kakhulu. Kulapho ke ingxaki enkulu iqala khona. Kukho uhlobo lweminerali olubalulekileyo ekusebenzeni kakuhle kwemizimba yethu, ingakumbi ukusebenza kwengqondo kunye nenkqubo yemithambo-luvo. Ezi electrolytes sizibiza ngokuba yi "Electrolytes" . Xa ukuphelelwa ngamanzi emzimbeni kukhulu, ibhalansi yezi electrolytes iyaphazamiseka ngokupheleleyo.
Iiseli zethu zengqondo ziyanxibelelana, njengemiyalezo emincinci yombane. Ezi electrolytes zinceda ekutshintshiselaneni imiyalezo. Xa zingalingani, inkqubo yonxibelelwano lobuchopho iyaphazamiseka.
Ngenxa yolu kudideka, usenokuqala ukubona izinto ezingekhoyo, uve izandi ezingekhoyo, kwaye uzive ngathi kukho umntu okubethelayo. Kodwa ungakhathazeki, ezi zinto zingabonakaliyo ziya kuphela ngokupheleleyo xa ugqirha wakho ekubuyisele amanzi esibhedlele aze alawule amanqanaba eswekile egazini lakho.
Ziziphi ezinye iimpawu zale meko imbi kangaka?
Ukongeza ekuboneni izinto ezingekhoyo, kukho nezinye iimpawu ezininzi ezinokubakho kule meko. Kubalulekile ukuzazi ezi zinto.
| Uphawu | Inkcazo |
|---|---|
| Unxano olukhulu | Ukuziva unxano olunganyamezelekiyo olungenakucinywa nokuba usela amanzi angakanani na. |
| Ukuchama rhoqo | Ukufuna ukuya kwindlu yangasese rhoqo njengoko umzimba uzama ukukhupha iswekile egqithisileyo. |
| Ifiva | Ukwanda kobushushu bomzimba ngenxa yokuphelelwa ngamanzi emzimbeni okanye usulelo. |
| Umbono ofipheleyo | Amanqanaba aphezulu eswekile egazini achaphazela ilensi yeliso, nto leyo ebangela ukubona okufipheleyo. |
| Ubuthathaka bomzimba | Ukuziva ngathi umzimba awusakwazi ukushukumisa inxalenye yomzimba efana nengalo okanye umlenze. |
| Ukulahlekelwa yingqondo | Ukuba imeko iba mandundu, ungalahlekelwa zingqondo uze uwe. Oku kuyingozi kakhulu. |
Ngubani onokuthi abe nale meko?
Le meko, ebizwa ngokuba yi-hyperosmolar hyperglycemic syndrome (HHS), ayiqhelekanga kangako. Kodwa inokuvela kubantu abanalo naluphi na uhlobo lwesifo seswekile. Nangona kunjalo, abantu abanesifo seswekile sohlobo lwesibini basengozini enkulu. Ngokukodwa:
- Kwabo bangaphezulu kweminyaka engama-60.
- Kwabo banezinye izifo ezihlala ixesha elide ezifana nesifo sentliziyo.
- Kwabo bagulayo ngenxa yesifo esosulelayo.
Sifanele senze ntoni xa into efana nale isenzeka kumntu othile?
Khawuthelekelele umntu onesifo seswekile ekhayeni lakho ngequbuliso ephazamiseka, ethetha nomntu osegumbini xa kungekho mntu, okanye esithi ubona izinto ezikwidonga ezingekhoyo. Kwangaxeshanye, bathi badiniwe kakhulu kwaye banxaniwe. Le yimeko efuna unyango olungxamisekileyo.
1. Zola: Okokuqala, zola. Ukuba unexhala, awuyi kukwazi ukucinga kakuhle. Khuthaza nesigulana.
2. Yisa isigulana esibhedlele ngoko nangoko: Le asiyonto inganyangwa ekhaya. Yisa isigulana esibhedlele ngokukhawuleza. Iyunithi yonyango olungxamisekileyo (i-ETU) kufuneka ibe lukhetho lokuqala. Ukuba kunokwenzeka, kungcono ukufowunela inkonzo ye-ambulensi ka-1990.
3. Nika umntu amanzi: Ukuba isigulana sisezingqondweni kwaye siyakwazi ukusela amanzi, sinike amanzi de sifike esibhedlele.
Kwimeko efana nale, ixesha libaluleke kakhulu. Ngoko ke, kubalulekile ukuthumela isigulana kugqirha ngokukhawuleza, endaweni yokuzisebenzisa.
Luluphi unyango olufumanayo esibhedlele kwaye usinda njani koku?
Wakuba ungeniswe esibhedlele, oogqirha baza kuqalisa unyango olufunekayo ukulawula le meko.
- Ulwelo olufakwa emthanjeni (ii-IV fluids): Oku kubalulekile ukuze kuthathelwe indawo amanzi alahlekileyo ngenxa yokuphelelwa ngamanzi emzimbeni.
- Ukubonelela ngee-Electrolytes: Ezi zinikwa ukubuyisela ibhalansi yeeminerali emzimbeni.
- Ukunikwa kwe-insulin: I-insulin inikwa ukulawula kancinci kancinci amanqanaba aphezulu eswekile egazini nokuwabuyisela kumanqanaba aqhelekileyo.
Eyona nto ingcono onokuyenza kukuthintela le meko iyingozi ukuba ingenzeki, endaweni yokulinda ukuba yenzeke. Eyona ndlela ilungileyo yokwenza oku kukulawula isifo sakho seswekile ngokufanelekileyo.
- Landela imiyalelo kagqirha wakho ngokuchanekileyo.
- Thatha amayeza akho ngexesha.
- Jonga amanqanaba eswekile egazini lakho rhoqo uze ugcine ingxelo yawo.
- Yitya ukutya okunempilo.
- Ungaphoswa kukuzilolonga.
- Xa ugula (njengomkhuhlane okanye iflu), lumka kakhulu malunga namanqanaba eswekile egazini lakho, njengoko amanqanaba eswekile egazini lakho anokuba phezulu ngamaxesha okugula.
Ukuba uzenza ngokuchanekileyo ezi zinto, unokuthintela kakhulu ezi ngxaki zinzima ukuba zenzeke.
Umyalezo Wokuya Ekhaya
- Ukuba umntu onesifo seswekile uneswekile ephezulu egazini, unokufumana iimpawu ezifana nokubona okanye ukuva izinto ezingekhoyo (imibono).
- Olu luphawu lwesifo esinzulu, esinokubeka ubomi esichengeni esibizwa ngokuba yi-hyperosmolar hyperglycemic syndrome (HHS).
- Ezinye iimpawu ziquka ukoma kakhulu, ukuchama rhoqo, umkhuhlane, ukubona izinto ezingaqhelekanga, kunye nokudinwa kakhulu.
- Ukuba ezi mpawu ziyenzeka, kufuneka kuthathwe njengengxamiseko yezonyango kwaye isigulana kufuneka sisiwe kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko.
- Eyona ndlela ilungileyo yokuzikhusela kule meko kukulawula kakuhle isifo sakho seswekile, ulandele imiyalelo kagqirha wakho.
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