Uma unesifo sikashukela, cishe uyazi ukuthi kubaluleke kangakanani ukugcina amazinga kashukela egazini lakho elawulwa. Ngaphezu kokuhlola amazinga kashukela egazini lakho nsuku zonke, kubalulekile futhi ukuqaphela izimpawu umzimba wakho ozibonisayo lapho amazinga kashukela egazini lakho ephezulu. Ngokuvamile, lapho amazinga kashukela egazini lakho ephezulu, ungase uzizwe womile, ukhathele, futhi unesicanucanu. Kodwa-ke, uma amazinga kashukela egazini lakho engalawuleki, ungase uqale ukubona nokuzwa izinto ezingekho. Lokhu akuyona into okufanele ithathwe kalula .
Kungani izinto zibonakala zingafaneleki? Ake sithole ukuthi kungani.
Leli igama lezokwelapha elisho ukubona nokuzwa izinto ezingekho. Isizathu esiyinhloko esenza umuntu onesifo sikashukela abe nalesi simo yisimo esibi esibizwa ngokuthi i-Hyperosmolar Hyperglycemic Syndrome . Nakuba leli gama liyinkimbinkimbi kancane, masiliqonde kalula.
Kalula nje, lesi simo senzeka lapho izinga likashukela egazini lakho liphezulu kakhulu, okungukuthi, ngaphezu kuka-600 mg/dL. Uma lokhu kwenzeka, umzimba wethu uzama ukukhipha lo shukela omningi ngomchamo. Kodwa-ke, uma sisusa lo shukela, silahlekelwa namanzi amaningi, okuyinto ebalulekile emzimbeni.
Cabanga nje, lokhu kufana nokususa udaka phansi kwethangi lamanzi, bese wonke amanzi amahle asethangini nawo asuswa.
Uma kulahleka amanzi amaningi emzimbeni ngale ndlela, umzimba uba manzi kakhulu. Yilapho inkinga enkulu iqala khona. Kukhona uhlobo lweminerali olubalulekile ekusebenzeni kahle kwemizimba yethu, ikakhulukazi ukusebenza kobuchopho kanye nesimiso sezinzwa. Sibiza lawa ma-electrolyte ngokuthi "ama-Electrolyte" . Uma amanzi eba maningi kakhulu, ibhalansi yalawa ma-electrolyte iyaphazamiseka ngokuphelele.
Amangqamuzana ethu obuchopho ayaxhumana, njengemiyalezo emincane kagesi. Lawa ma-electrolyte asiza ekushintshisaneni kwemiyalezo. Uma engalingani, uhlelo lokuxhumana lobuchopho luyaphazamiseka.
Ngenxa yalokhu kudideka, ungase uqale ukubona izinto ezingekho, uzwe imisindo engekho, futhi uzizwe sengathi othile uyakushaya. Kodwa ungakhathazeki, lokhu kudideka kuzophela ngokuphelele uma udokotela wakho esekunikeze amandla esibhedlela futhi elawula amazinga kashukela egazini lakho.
Yiziphi ezinye izimpawu zalesi simo esibucayi?
Ngaphezu kokubona izinto ezingekho, kunezinye izimpawu eziningana ezingavela kulesi simo. Kubalulekile ukuzazi lezi.
| Isibonakaliso | Incazelo |
|---|---|
| Ukoma okukhulu | Ukuzwa ukoma okungabekezeleleki okungenakuqedwa kungakhathaliseki ukuthi uphuza amanzi angakanani. |
| Ukuchama njalo | Ukudinga ukuya endlini yangasese njalo njengoba umzimba uzama ukukhipha ushukela omningi. |
| Imfiva | Ukushisa komzimba okwenyuka ngenxa yokuphelelwa amanzi emzimbeni noma ukutheleleka. |
| Umbono ofiphele | Amazinga aphezulu kashukela egazini athinta ilensi yeso, okubangela ukubona okufiphele. |
| Ubuthakathaka bomzimba | Ukuzizwa ungenamizwa emzimbeni, ngezinye izikhathi ungakwazi ukunyakaza ingxenye yomzimba njengengalo noma umlenze. |
| Ukulahlekelwa ingqondo | Uma isimo siba sibi kakhulu, ungase ulahlekelwe ingqondo futhi uwe. Lokhu kuyingozi kakhulu. |
Ubani okungenzeka kakhulu ukuthi athole lesi simo?
Lesi simo, esibizwa ngokuthi i-hyperosmolar hyperglycemic syndrome (HHS), asivamile kakhulu. Kodwa singakhula kubantu abananoma yiluphi uhlobo lwesifo sikashukela. Kodwa-ke, abantu abanesifo sikashukela sohlobo lwesibili basengozini enkulu. Ngokukhethekile:
- Kulabo abaneminyaka engaphezu kwengu-60.
- Kulabo abanezinye izifo zesikhathi eside njengesifo senhliziyo.
- Kulabo abagulayo ngenxa yesimo esithathelwanayo.
Yini okufanele siyenze uma into efana nalena yehlela umuntu?
Cabanga ngomuntu onesifo sikashukela ekhaya lakho ngokuzumayo eqala ukucasuka, ekhuluma nomuntu ekamelweni lapho kungekho muntu khona, noma ethi ubona izinto odongeni ezingekho. Ngesikhathi esifanayo, bathi bakhathele kakhulu futhi bomile. Lesi yisimo esidinga ukunakekelwa kwezokwelapha okuphuthumayo.
1. Yehlisa umoya: Okokuqala, yehlisa umoya. Uma ukhathazekile, ngeke ukwazi ukucabanga kahle. Futhi duduza isiguli.
2. Thatha isiguli usiyise esibhedlela ngokushesha: Lokhu akuyona into engelashwa ekhaya. Thatha isiguli usiyise esibhedlela ngokushesha okukhulu. Iyunithi yokwelashwa okuphuthumayo (i-ETU) kufanele ibe yisinqumo sokuqala. Uma kungenzeka, kungcono ukushayela isevisi ye-ambulensi ka-1990.
3. Nikeza amanzi: Uma isiguli siphaphama futhi sikwazi ukuphuza amanzi, sinike amanzi size sifike esibhedlela.
Esimweni esinjengalesi, isikhathi sibaluleke kakhulu. Ngakho-ke, kubalulekile ukudlulisela isiguli kudokotela ngokushesha okukhulu, kunokuba siphendukele ekwelashweni.
Yiluphi ukwelashwa okutholayo esibhedlela futhi usinda kanjani kulokhu?
Uma usungeniswe esibhedlela, odokotela bazoqala ukwelashwa okudingekayo ukulawula lesi simo.
- Uketshezi olufakwa emthanjeni (uketshezi lwe-IV): Lokhu kubalulekile ukuze kuthathelwe indawo inani lamanzi alahlekile ngenxa yokuphelelwa amanzi emzimbeni.
- Ukunikeza Ama-Electrolyte: Lawa anikezwa ukubuyisela ibhalansi yamaminerali emzimbeni.
- Ukunikezwa kwe-insulini: I-insulini inikezwa ukuze ilawule kancane kancane amazinga kashukela aphezulu egazini futhi iwabuyisele emazingeni ajwayelekile.
Into engcono kakhulu ongayenza ukuvimbela lesi simo esiyingozi ukuba singenzeki, kunokulinda ukuthi senzeke. Okuwukuphela kwendlela engcono kakhulu yokwenza lokhu ukulawula isifo sikashukela sakho ngendlela efanele.
- Landela imiyalelo kadokotela wakho ngqo.
- Thatha imithi yakho ngesikhathi.
- Hlola amazinga kashukela egazini lakho njalo bese ubhala phansi.
- Yidla ukudla okunempilo.
- Ungaphuthelwa ukuzivocavoca.
- Uma ugula (njengomkhuhlane noma umkhuhlane), qaphela kakhulu amazinga kashukela egazini lakho, njengoba amazinga kashukela egazini lakho angaba phezulu ngezikhathi zokugula.
Uma wenza lezi zinto ngendlela efanele, ungavimbela kakhulu lezi zinkinga ezinkulu ukuthi zenzeke.
Umlayezo Wokuya Nawe Ekhaya
- Uma umuntu onesifo sikashukela enoshukela ophezulu egazini, angase abe nezimpawu ezifana nokubona noma ukuzwa izinto ezingekho (ukubhula).
- Lokhu kuwuphawu lwesimo esibucayi, esingasongela impilo esibizwa ngokuthi i-hyperosmolar hyperglycemic syndrome (HHS).
- Ezinye izimpawu zifaka phakathi ukoma okukhulu, ukuchama njalo, umkhuhlane, ukubona okufiphele kanye nokukhathala okukhulu.
- Uma lezi zimpawu zivela, kufanele kubhekwe njengesimo esiphuthumayo sezokwelapha futhi isiguli kufanele siyiswe e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha.
- Indlela engcono kakhulu yokuzivikela kulesi simo ukulawula kahle isifo sikashukela sakho, ulandela imiyalelo kadokotela wakho.
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