Cutar sankarau - alamomin, kulawa ta gaggawa, sakamakon

Cutar sankarar mahaifa cuta ce mai hatsari da kuma mummunar cuta wacce ake samu ta dalilin dangi ko ƙarancin insulin kuma ana haifar da mummunan yanayin rayuwa. Ba kamar hypoglycemic ba, coma mai ciwon sukari yana tasowa a hankali kuma yana iya ɗaukar dogon lokaci. A cikin wallafe-wallafen likita, an bayyana shari'ar lokacin da mai haƙuri ya kasance cikin rashin lafiya a cikin shekaru 40.

Sanadin da Matsalar Hadarin

Babban dalilin ci gaban kwayar cutar sankarau shine karancin insulin a jikin marasa lafiya da masu cutar siga. Wannan ba wai kawai ya haifar da karuwa bane ga tarin glucose a cikin jini ba, har ma ga rashi makamashi na kyallen kwayoyin halitta wanda ba zai iya daukar glucose ba tare da insulin ba.

Asingara yawan haɓakar hyperglycemia ya haɗu da haɓakar matsin lamba na osmotic a cikin ƙwayar extracellular da gubar ciki. A sakamakon haka, osmolarity na jini yana ƙaruwa, ƙarancin hypoglycemia yana ƙaruwa, wanda ke haifar da ci gaban yanayin girgiza.

Cutar sankarau babbar cuta ce da ke iya haifar da rikice-rikicen rayuwa.

Rashin insulin yana haɓaka haɗakar kitse mai guba daga nama adipose, wanda ke haifar da samuwar ketone a cikin ƙwayoyin hanta (beta-hydroxybutyric acid, acetoacetate, acetone). Yawan samar da jikin ketone tare da amsawar acid yana haifar da raguwa a cikin taro na bicarbonate kuma, daidai da haka, matakin pH na jini, shine, an samar da acidosis metabolic.

Tare da saurin haɓakar hyperglycemia, haɓaka saurin hauhawa zuwa matakin osmolarity na jini, wanda ke haifar da keta alfarma na aikin ƙwayar jijiyoyi. Sakamakon wannan, marasa lafiya suna haɓaka hypernatremia, haɓaka mai ƙarfi na hyperosmolarity. Haka kuma, matakin bicarbonates da pH ya kasance cikin iyakoki na al'ada, tunda ketoacidosis ba ya nan.

Sakamakon rashi insulin a cikin sukari mellitus, ayyukan pyruvate dehydrogenase, enzyme wanda ke da alhakin juyawa da pyruvic acid zuwa acetyl coenzyme A, yana raguwa .. Wannan yana haifar da tarin pyruvate da canjinsa zuwa lactate. Mahimmin tarin ƙwayar lactic acid a cikin jiki yana haifar da acidosis, wanda ke toshe masu karɓar adrenergic na zuciya da jijiyoyin jini, yana rage aikin myocardial. Sakamakon haka, mummunan dysmetabolic da bugun zuciya na tasowa.

Abubuwa masu zuwa na iya haifar da cutar sankara mai kwakwalwa:

• kurakuran abinci mai haɓaka (haɗuwa da mahimmancin adadin carbohydrates a cikin abincin, musamman a sauƙaƙe digestible),
• take hakkin makirci don maganin insulin ko shan magunguna masu rage sukari,
• ba a zaɓa wa insulin far,
• mummunan tashin hankali,
• cututtuka
• m shisshigi
• ciki da haihuwa.

Iri cuta

Ya danganta da sifofin halayen cuta na rayuwa, ana rarrabe ire-iren wadannan cututtukan na mahaifa:

1. Ketoacidotic coma - lalacewa ta hanyar guba na jiki da kuma ainihin tsarin juyayi na tsakiya ta jikin ketone, kazalika da haɓaka damuwa a cikin ma'aunin ruwa da daidaituwar ma'aunin acid.
2. Hyperosmolar hyperglycemic non-ketone coma wani rikitarwa ne na nau'in ciwon sukari na II wanda ke dauke da shi, wanda ake nuna shi da ruwa na jijiyoyin ciki da kuma rashin ketoacidosis.
3. Cutar HyperlactacPs. Ciwon sukari mellitus shi kadai da wuya ya haifar da tarin lactic acid a cikin jikin marasa lafiya - a matsayinka na mai mulki, karin yawan biguanides (magungunan hypoglycemic) ya zama sanadin lactic acidosis.

Mutuwar cikin ƙwayar ketoacidotic ya kai 10%. Tare da hyperosmolar hyperglycemic non-ketone coma, yawan mace-mace ya kusan 60%, tare da cutar hyperlactacPs - har zuwa 80%.

Kowane irin nau'in cutar sankarau yana dauke da takamaiman hoto na asibiti. Babban alamun bayyanar cututtukan rashin cututtukan jini na jini na ketone sune:

• polyuria
• ambaton bushewa,
• karuwar sautin tsoka,
• katsewa
• kara nutsuwa
• hallucinations
• aikin magana mai rauni.

Cutar Ketoacidotic tana haɓaka a hankali. Ya fara da precoma, bayyananne ta wurin rauni gaba ɗaya, ƙoshin ƙishirwa, tashin zuciya, da urination akai-akai. Idan ba a ba da taimakon da ya dace ba a wannan matakin, yanayin ya tsananta, alamu na gaba suna faruwa:

• rashin ruwa na kusanci
• tsananin zafin ciki
• zurfin m numfashi
• ƙanshi na cikakke apples ko acetone daga bakin,
• ja da baya har zuwa cikakken asarar sani.

Cutar ƙwaƙwalwar ƙwaƙwalwar ƙwayar cuta tana tasowa cikin sauri. Alamomin ta:

• rauni da sauri
• filamentous bugun (m, mai cika cika),
• sauke cikin karfin jini
• mai nauyi pallor na fata,
• tashin zuciya, amai,
• bata da hankali har sai da asararta gaba daya.

Siffofin kwantar da cutar kansar siga a cikin yara

Yawancin lokaci ana lura da cutar sankarau tsakanin yaran makarantan nasare da shekarun makaranta wanda ke fama da cutar sankara. Cigaban halittar sa yana zuwa ne ta hanyar yanayin ƙwayar cuta da ake kira precoma. A zahiri, yana bayyana kanta:

• damuwa, wanda maye yake maye gurbinsa,
• ciwon kai
• rauni na ciki
• tashin zuciya, amai,
• rage cin abinci
• polyuria
• mai karfi ji na ƙishirwa.

Yayinda rikicewar metabolism ke ƙaruwa, hawan jini ke raguwa, kuma yawan kumburi yana ƙaruwa. Numfashi ya zama mai zurfi kuma yana sautin amo. Fatar ta rasa cikarta. A cikin lokuta masu tsauri, hankali ya ɓace.

A cikin jarirai, ciwon sikari na tasowa cikin sauri, yana wuce yanayin precoa. Alamarsa ta farko:

• maƙarƙashiya
• polyuria
• polyphagy (yaro yana ɗokin shan nono da tsotse shi, yana yin sips akai-akai)
• karuwa da ƙishirwa.

Lokacin bushewa, diapers ya zama mai ƙarfi lokacin bushewa, wanda ke hade da babban abun ciki na glucose a cikin fitsari (glucosuria).

Binciko

Hoto na asibiti na kamuwa da cutar sankara ba koyaushe yake bayyana ba. Mahimmanci a cikin ganowa shi ne nazarin dakin gwaje-gwaje wanda ke ƙayyade:

• matakin glycemia
• kasancewar jikin ketone a cikin jini na jini,
• jini na jini pH
• taro na electrolytes a cikin plasma, da farko sodium da potassium,
• plasma osmolarity darajar,
• matakin acid din mai
• kasancewar acetone a cikin fitsari,
• magani lactic acid taro.

Babban dalilin ci gaban kwayar cutar sankarau shine karancin insulin a jikin marasa lafiya da masu cutar siga.

Ana kula da marasa lafiya da cutar gudawa a cikin ɓangaren kulawa mai zurfi. Bayanin magani na kowane nau'in coma yana da halaye na kansa. Don haka, tare da ƙwayar cutar ketoacidotic, ana yin aikin insulin da gyaran rigakafin ruwa da gurɓataccen ginin acid.

Harkokin rashin lafiyar ketone mai dauke da ƙwayar cuta ta hyperosmolar

• ciki na babban adadin hypotonic sodium chloride bayani don hydration,
• maganin insulin
• na ciki mai guba na potassium chloride a karkashin kulawa ta ECG da jini electrolytes,
• rigakafin cututtukan maɓallin cerebral edema (gudanarwar jijiyar ciki na glutamic acid, maganin oxygen).

Kulawa da cutar sikila ya fara da yaƙi da wuce haddi na lactic acid, wanda aka gudanar da maganin sodium bicarbonate a cikin jijiya. An lissafta adadin bayani da ake buƙata, kazalika da kuɗin gudanarwa, ta hanyar amfani da tsari na musamman. Dole ne a gudanar da bicarbonate a ƙarƙashin kulawa da maida hankali kan ƙwayar potassium da pH jini. Don rage zafin hypoxia, ana yin aikin oxygen. Dukkanin marasa lafiyar da ke cikin lactacPs coma an nuna su ta hanyar insulin - har da matakan glucose na jini na yau da kullun.

Matsaloli da ka iya yiwuwa da kuma sakamako

Cutar sankarau babbar cuta ce da ke iya haifar da rikice-rikice na rayuwa:

• hypo- ko hyperkalemia,
• fatan ciwon huhu,
• rashin lafiyar numfashi
• hanji harshe,
• huhun ciki
• thrombosis da thromboembolism, gami da cututtukan ƙwayoyin cuta na huhu.

Tsinkaya na kamuwa da cuta mai laushi Mutuwar ƙwayar cutar ketoacidotic koda a cikin cibiyoyin ƙwararrun ya kai 10%. Tare da hyperosmolar hyperglycemic non-ketone coma, yawan mace-mace ya kusan 60%. Ana lura da mafi girman mace-mace tare da cutar hyperlactaclera - har zuwa 80%.

A cikin wallafe-wallafen likita, an bayyana shari'ar lokacin da mai haƙuri ya kasance cikin rashin lafiya a cikin shekaru 40.

Yin rigakafin

Yin rigakafin cutar sankara na masu ciwon suga shine mafi girman diyya na masu ciwon sukari:

• manne wa tsarin abinci tare da hana carbohydrates,
• aiki na yau da kullun na matsakaici,
• rigakafin canje-canje maras wata-wata a cikin tsarin kulawar insulin ko shan magunguna na hypoglycemic wanda aka sanya a cikin endocrinologist,
• lokacin kula da cututtuka,
• gyaran insulin far a cikin lokacin haihuwa, a cikin mata masu juna biyu, puerperas.

Iri Cutar Malaria

Akwai nau'ikan Cutar masu ciwon suga da yawa, kowannensu yana buƙatar kusancin mutum don maganin. Suna haifar da dalilai daban-daban, suna da matakai daban-daban na ci gaba.

Kwararrun sun bambanta nau'ikan da ke gaba:

• Cutar Ketoacidotic - tana haɓaka cikin mutanen da ke fama da ciwon sukari na 1. Hakan ya haifar da sakin ketones mai yawa, wanda ke faruwa a jiki sakamakon aiki mai na kitse. Saboda yawan haɗuwa da waɗannan abubuwan, mutum ya faɗi cikin ƙwayar ketoacidotic.
• Hyperosmolar coma - yana haɓaka cikin mutanen da ke fama da ciwon sukari na 2. Sanadin rashin ruwa mai guba. Matakan glucose na jini na iya isa fiye da 30 mmol / l, ketones ba ya nan.
• Cutar hypoglycemic - yana haɓakawa a cikin mutanen da suke yin allurar ba daidai ba na insulin ko kuma ba sa bin abincin. Tare da maganin farin jini na hypoglycemic, glucose a cikin jinin mutum ya kai 2.5 mmol / L da ƙananan.
• Lactic acidosis coma wani nau'in cuta ne mai saurin kamuwa da shi. Yana haɓakawa da tushen asalin anaerobic glycolysis, wanda ke haifar da canji a ma'aunin lactate-pyruvate.

Kowane irin ƙwayar cutar sankara na haɓaka saboda wuce haddi ko rashin insulin, wanda ke haifar da saurin yawan mayukan mai. Duk wannan yana haifar da kirkirar samfuran mara nauyi. Suna rage tarowar ma'adanai a cikin jini, wanda yake rage yawan acid dinta. Wannan yana haifar da hadawan abu da iskar shaka, ko acidosis.

Ketosis shine yake haifar da rikitarwa a cikin aiki na gabobin ciki a cikin cutar sikari. Tsarin juyayi ya fi shan wahala daga abin da ke faruwa.

Cutar sankarau ana saninsa ta hanyar hanzari, amma ingantacciyar hanya ce. Za a iya ganin alamun farko da mutum zai fada cikin rashin lafiya a rana ko sama da haka. Idan ka lura da duk wata alama ta rashin lafiya, yi kokarin ganin likitan ku yanzunnan. Hyperglycemia ana saninsa da saurin karuwa a cikin taro mai yawa sau da yawa. Za'a iya gane coma na Ketoacidotic ta hanyar tashin zuciya da amai, amai, yawan urination, tashin zuciya a ciki, bacci. Hakanan, mai haƙuri yana da warin ƙanshi na acetone daga bakin. Yana iya yin gunaguni na ƙishirwa, kullun baƙin ciki, asarar hankali.

Tare da haɓakar hypoglycemia a cikin mutane, haɗuwa da sukari a cikin jini yana raguwa sosai. A wannan yanayin, wannan alamar ta isa alamar da ke ƙasa 2.5 mmol / L. Fahimtar mai zuwa tashin hankali na rashin haihuwa yana da sauki, mutum ya yi awowi da yawa kafin ya fara korafin wani yanayi na damuwa da tsoro, karuwar gumi, sanyi da rawar jiki, nutsuwa da rauni, saurin yanayi da rauni. Duk wannan yana haɓaka ta hanyar rashi mara nauyi da asarar hankali, idan mutum bai sami taimakon likita na kan lokaci ba. Wannan yanayin ya gabace ta:

• Rage abinci ko rashin isasshen abinci,
• Janar malaise
• Ciwon kai da danshi,
• Maƙarƙashiya ko zawo.

Idan babu taimako na lokaci don cutar siga, mutum zai iya fuskantar mummunan sakamako. Tare da haɓaka wannan yanayin, yana da matukar muhimmanci a kula da zafin jiki. Yana da mahimmanci sosai cewa bai karye ba - ya fi kyau cewa yana ƙaruwa kaɗan. Fata yakamata ya bushe da dumi. Yin watsi da alamun farko na cutar siga da ke haifar da tashin hankali. Dan Adam, kamar yadda yake, yana tashi daga duniyar yau da kullun; bai fahimci waye shi ba da kuma inda yake.

Likitoci sun lura cewa abu ne mafi sauki ga mutanen da ba su da shiri su iya gano kwayar cutar sankarau ta hanzarin hauhawar jini, da rauni, da taushi ga gira. Don dakatar da wannan tsari, dole ne a kira motar asibiti nan da nan. Qualifiedwararren likita ne kawai wanda zai iya yin aikin da ya dace.

Taimako na farko

Idan kun san alamun farko na rashin lafiyar masu cutar sukari a cikin mutum, yi ƙoƙarin ba shi taimako na farko nan da nan. Ya ƙunshi waɗannan ayyukan:

1. Kwance mara lafiya a ciki ko a gefen sa,
2. Ka tuɓe masa rigarsa na matsewa,
3. Saki hanyoyin daga cikin matattara don kada mutumin ya shaƙewa,
4. Kira motar asibiti
5. Fara shan dan kadan shayi mai dadi ko syrup,
6. Kafin motar asibiti tazo, sanya idanu kan numfashin mutumin.

Idan kun san alamun cututtukan ƙwayar cutar sankara, zaka iya ceton ran mutum cikin sauƙi. Hakanan zaka iya ba da taimakon farko da kanka, wanda zai rage haɗarin mummunan sakamako. Kulawa da nau'ikan nau'ikan ciwon sukari ya bambanta sosai, saboda haka ba za ku iya yin wasu ayyukan ba.

Menene coma mai ciwon sukari?

Cutar sankarau wata cuta ce mai nauyi sosai ta lalata cutar siga. Yana kaiwa zuwa ga keta duk hanyoyin rayuwa a cikin jiki. A gaban wasu abubuwan tsinkaye, coma na iya haɓaka duka tare da insulin-dogara da ciwon sukari wanda ba shi da insulin-insellus. Kuma ba shi da matsala ko an bi da su ko ba a gano su ba tukuna.

Alamomin cutar sankara mai cutar siga

Cutar sankarau ba ta haɓaka nan da nan ba, yanayin aikinta shi ne matsayin ƙasa. Thirstishirwar haƙuri tana ƙaruwa, ciwon kai da rauni sun bayyana, rashin jin daɗi a cikin ciki, tare da tashin zuciya da yawanci, amai. Saukar karfin jini, zafin jiki yana kasa da al'ada. Dakyar tayi saurin, kamar zaren.

A cikin lokaci, bayyanar rauni da ɓacin rai yana ƙaruwa, hargitsi a cikin aiki na tsarin juyayi na tsakiya yana fitowa a cikin nau'i na asarar hankali ko ɓangaren asarar hankali, fatar jiki tana asarar al'ada, kuma sautin tsoka yana raguwa. Hawan jini na iya sauka zuwa lambobi masu rauni sosai.

Wani takamaiman alama na ci gaban mai ciwon sukari shine bayyanar ƙanshin acetone (apples overripe) daga bakin. Idan a wannan matakin ba a samar wa mai haƙuri da isasshen taimako, bayan wani lokaci za a sami cikakkiyar asarar hankali, kuma ya mutu.Duk waɗannan alamun za su iya bayyana, girma da ci gaba a cikin 'yan awanni ko ma kwanaki.

Sanadin Cutar Cutar Rama

Abubuwan da suka haifar da haɓakar ƙwayar cutar sankara na iya zama ƙarshen kulawa na kashi na gaba na insulin ko ƙin yin amfani da shi, kuskure a cikin adana maganin insulin shine zaɓi da aka zaɓa wanda bai dace ba, maye gurbin nau'in insulin tare da wani, wanda mara haƙuri ya kasance.

Babban cin zarafi game da abinci a cikin ciwon sukari na iya haifar da ci gaba na ƙwayar cuta idan mai haƙuri ya cinye sukari fiye da abin da yake buƙata, cututtuka daban-daban (ciki har da masu cutar), tashin hankali, ciki da haihuwa, da tiyata.

Bayyanar cututtuka na rashin ciwon sukari

A matakin farko na haɓakar cutar kansa, masu haɓaka suna haifar da cutar ketoacidosis masu ciwon sukari, alamomin halayen sune: bushe bushe baki da ƙishirwa, polyuria, sannu a hankali juya zuwa cikin rashin ƙarfi, wani lokacin fata mai ƙoshi. Akwai alamomin maye na jiki gaba daya a cikin nau'ikan kara rauni gaba daya, yawan kiba, kara yawan ciwon kai, tashin zuciya da amai.

Idan ba a fara ba da magani kan lokaci ba, to cutar dyspeptipi na cikin tazara, matsananciyar ya zama ya maimaita kuma ba ya kawo sauƙin, akwai ciwon ciki na yanayi daban-daban mai ƙarfi, ana iya samun zawo ko maƙarƙashiya. Damuwa, rashin tsoro, rashin tausayi suna girma, marasa lafiya sun rikice cikin lokaci da sarari, hankali ya rikice. A cikin iska mai narkewa, ana jin ƙanshi na acetone, fatar jiki ta bushe, hawan jini ya sauka, tachycardia, numfashin numfashi na Kussmaul yana tasowa. Da wawa da wawa ana maye gurbinsu da coma.

Sakamakon kamuwa da cutar siga

Wani gagarumin ƙaruwa a cikin matakan glucose na jini kuma, a sakamakon haka, yunwar nama na haifar da canje-canje a cikin jikin mutum. Haɓakar ƙwayar cutar sankara na sukari (haɓaka yawan fitsari yau da kullun) yana haifar da mummunan bushewa, duk da cewa yawan ruwan da marasa lafiya ke ci yana ƙaruwa. Yawan jini yana yawo a cikin jirgi yana raguwa saboda wannan, kuma matsin lamba ya ragu sosai, yana haifar da take hakkin trophism na dukkanin gabobin da kyallen takarda, gami da kwakwalwa.

A hade tare da ruwa, yawanci ana cire electrolytes daga jiki. Da farko dai, waɗannan sune macronutrients kamar potassium da magnesium, wanda ke haifar da mummunar rikicewa a cikin aiki da dukkanin gabobin da tsarin. Don rama yawan adadin kuzari a cikin kyallen, jikin ya fara ragargaza shagunan mai da mai. A wannan batun, adadin jikin ketone da acid na lactic a cikin jini yana ƙaruwa sosai, hyperacidosis yana haɓaka.

Kulawa ta gaggawa don cutar siga

Sanin alamun farko na haɓakar ƙwayar cutar sankarar mahaifa, yana yiwuwa a hana haɓaka da kuma daidaita yanayin ta hanyar gabatarwar insulin. Yawancin lokaci ana sanar da marasa lafiya da ciwon sukari game da yiwuwar haɓaka rikice-rikice kuma game da magani mai mahimmanci. An ba da shawarar rage yawan abin da ke cikin carbohydrate, fara ɗaukar shirye-shiryen potassium da magnesium, shan ruwan ma'adinan alkaline - duk wannan zai taimaka wajen kawar da hyperacidosis.

Idan yanayin mai haƙuri ya riga ya kasance mai tsanani kuma yana kusa da rauni, yana da gaggawa a kira motar asibiti. A wannan yanayin, kawai taimako da aka bayar akan lokaci na iya taimakawa, asibiti a cikin ma'aikatar lafiya ya zama dole.

Editan Kwararre: Pavel A. Mochalov | D.M.N. babban likita

Ilimi: Cibiyar Nazarin Likitocin Moscow I. Sechenov, fannoni - "Kasuwancin likita" a cikin 1991, a cikin 1993 "Cutar cututtuka", a cikin 1996 "Therapy".

Iri daban-daban

Cutar sankarau na daga cikin nau'ikan masu zuwa:

• ketoacidotic,
• hyperosmolar
• maganin kashe kwari,
• hypoglycemic.

Abubuwan da ke haifar da ci gaba a cikin kowane nau'in coma sun bambanta. Don haka, sanadin ci gaban tasirin jini shine saurin hauhawa a cikin yawan sukari a cikin jini wanda yake haifar da asalin rashin ruwa. Wannan nau'in shine rikitarwa na nau'in ciwon sukari na 2.

Dalilin ci gaban ketoacidotic coma shine tara yawan acid da ake kira ketones a jikin mutum. Wadannan abubuwa samfurori ne na metabolism na mai mai, kuma ana samar dasu cikin rashin insulin. Wannan nau'in coma yana ci gaba da nau'in 1 na ciwon sukari.

Lactic acidic coma shine mafi tsananin rikitarwar ciwon sukari, wanda ke haɓakawa da tushen cututtukan zuciya, huhu, da hanta. Hakanan zai iya haɓaka idan mai haƙuri yana shan wahala daga ƙwayar buguwa ta jiki.

Dalilin ci gaban hypoglycemic coma shine raguwar raguwa a cikin taro na sukari a cikin jini. Wannan yanayin yakan faru ne tare da nau'in ciwon sukari na 1. Abubuwan da ke haifar da raguwar sukari shine yawan abincin da ya dace ko gabatarwar insulin da yawa.

Symptomatology

Kowace nau'in coma yana da alamomin halayensa. Yana da mahimmanci a san su duka, saboda lokacin da alamun farko suka bayyana, kai tsaye fara ba mai haƙuri da kulawa ta gaggawa. Yin ɓoye lokaci na iya ɓar masa da rayuwarsa.

Alamomin cutar mahaifa:

• tsananin rashin ruwa
• mai aiki mara amfani,
• ba da baya
• nutsuwa
• ƙishirwa
• 'yan kwanaki kafin a fara daga cikin ƙwayar cuta, mai haƙuri yana da rauni da ƙwayoyin cuta,
• hallucinations
• sautin tsoka ya tashi,
• tashin hankali yana yiwuwa
• ƙwanƙwara. Alamar halayyar ci gaban kwaro. Marasa lafiya na iya rasa wasu rashin shakatawa.

Alamun alamun cutar ketoacidotic suna bayyana a cikin haƙuri a hankali. Yawancin lokaci yakan ɗauki kwanaki da yawa. Amma a wannan yanayin, jinkirin yaduwa yana "a hannun" ga likitoci, saboda kafin farkon kwayar cutar ƙwaƙwalwar ƙwayar cuta akwai lokacin gano alamun bayyanar da ke bayyana da kuma gudanar da cikakken magani.

Bayyanar cututtuka na precoma na wannan nau'in:

• tashin zuciya da amai mai yiwuwa
• polyuria
• ƙishirwa
• rauni
• nutsuwa

Yayin da mara lafiyar ke kara lalacewa, an kara asibitin tare da alamun:

• numfashi ya zama mai zurfi da hayaniya
• tsananin amai
• matsanancin zafi a ciki, wanda ba shi da gurɓataccen fassara,
• ba da baya
• alamar halayyar wannan nau'in biri shine bayyanar ƙanshin acetone daga bakin,
• mai raunin hankali.

Ba kamar ƙwayar cutar ketoacidotic ba, lactic acidemia na ci gaba da sauri. Wannan asibitin an nuna shi ne ta dalilin rushewar jijiyoyin jiki. Wadannan alamu kuma suna faruwa:

• rauni da sauri
• tashin zuciya da tashin hankali
• anorexia
• jin zafi a ciki,
• maganar banza
• mai raunin hankali.

Bayyanar cututtuka na cutar mahaifa:

• rawar jiki
• tsoro
• babban damuwa
• kara yin gumi
• janar gaba daya
• jin karfi na yunwar
• katsewa
• asarar sani.

Harin cututtukan ƙwayar cutar siga daga yara:

• nutsuwa
• ciwon kai na abubuwa dabam dabam na tsananin karfi,
• tashin zuciya da tashin hankali
• asarar abinci, har zuwa lokacinsa gaba daya,
• matsananciyar ƙishirwa
• polyuria
• harshe da lebe sun bushe.

Idan ba a ba da taimakon gaggawa ba, to kuwa numfashin yaron zai zama mai zurfi da hayaniya, hawan jini zai ragu a hankali, bugun zuciya zai karu, tsawan fata zai ragu kuma coma zai faru.

Matakan warkewa

Jiyya na ilimin halittar cuta ya ƙunshi matakai huɗu:

• kulawar insulin gaggawa
• daidaituwar ma'aunin ruwa a jikin mutum,
• normalization na ma'aunin ma'adinai da electrolytes,
• ganewar asali da kuma ingantaccen lura da cututtukan da ke haifar da rashin lafiya.

Babban mahimmancin jiyya shine don daidaita matakan sukari a cikin jini. Bugu da kari, hanya na lura lalle ne ya inganta ta hanyar jiko far. Ana gudanar da mai haƙuri a cikin hanyoyin magancewa wanda ke kawar da bushewa.

Jiyya na Pathology yana gudana ne kawai a cikin tsaran yanayi kuma a ƙarƙashin tsananin kulawar likitoci. Yana da mahimmanci a tuna cewa wannan yanayi ne mai matukar haɗari wanda, ba tare da dacewa da kuma isasshen magani, na iya haifar da mutuwa. Sabili da haka, yawancin lokuta ana gudanar da aikin jiyya a cikin yanayin farfadowa.

Matakan bincike

Ba daidai bane a tantance cutar sanyin jiki, kamar wani nau'in halitta, ta hanyar binciken mai haƙuri ne da gani kawai. Don yin wannan, kuna buƙatar yin gwaje-gwaje na dakin gwaje-gwaje, mafi dacewa wanda shine jarrabawar jini ta gaba ɗaya, wanda ke nuna ma'aunin sukari. Hakanan ana yin bincike na kwayoyin halittar jini da fitsari.

Duk wani nau'in coma a cikin nau'in ciwon sukari na 2 yana haɗuwa tare da hauhawar hauhawar yawan sukari mai jini fiye da 33 mmol / L. Iyakar abin da ya keɓance shi ne hypoglycemic, wanda ya bambanta da raguwar matakan glucose zuwa 2.5 mmol / L.
Lokacin da ƙwayar cuta ta motsa jiki, mai haƙuri ba zai ji alamun bayyanannu ba. Zai yiwu a lissafta yanayin ketoacidotic ta hanyar bayyanar jikin ketone a cikin fitsari, hyperosmolar daya lokacin da ƙwayar cutar plasma ke ƙaruwa. Ana gano nau'in lactacPs na coma mai laushi sakamakon karuwa a cikin jijiyar lactic acid a cikin jini.

Bayan bayyanar cutar, an wajabta magani.

Kafin fara aikin kula da cutar sukari tare da likita, an tattara cikakken tarihin, an kafa irin yanayin. Masu ciwon sukari suna auna matsin lamba, bugun jini.

Ana amfani da zaɓuɓɓukan magani daban-daban don kawar da coma a cikin ciwon sukari.

1. Idan an rage sukari, ana buƙatar magani na gaggawa gami da gudanar da insulin a cikin jijiya tare da glucose. Bugu da kari, Adrenaline, Vitamin C, Cocarboxylase, Hydrocortisone an wajabta su. A matsayin rigakafin huhun huhun, ana yin iska ta huhu, ana sanya jijiyoyi tare da diuretics.
2. Game da kara yawan glucose, ana wajabta maganin insulin tare da kwayoyi marasa amfani. Tare da wannan, ana auna darajar sukari a wasu takamaiman lokaci, wanda ya sa mahaifa ke raguwa a matakai.
3. A cikin halayen guda biyu, an sake daidaita ma'aunin ruwa, kuma an gabatar da ruwan da ya ɓace don hana ruwa bushewa. Ta hanyar shigar da ruwa a cikin jijiyoyin, ana sarrafa jimlar adadin jini da ke yaduwa, matsa lamba, da kuma abubuwan da ke cikin plasma. Gabatarwar ruwa yana faruwa a cikin matakai, jimlar yawanci ya kai 7 lita a ranar farko.
4. Idan akwai babban asarar abubuwan da aka gano, sanya magani tare da gabatarwar su cikin jiki.