Coma don ciwon sukari

Daya daga cikin cututtukan yau da kullun da ke cike da rauni shine ciwon sukari. Da yawa ba su sani ba, saboda rashin bayyana alamun bayyanar cututtuka, cewa suna da ciwon sukari. Karanta: Babban alamun bayyanar cutar sankarau - a wane lokacine za'a kiyaye? Bi da bi, karancin insulin na iya haifar da rikice rikice kuma, in babu magani da yakamata, ya zama barazanar rayuwa. Mafi yawan rikice-rikice na ciwon sukari coma ne. Wadanne nau'ikan cututtukan cututtukan cututtukan da ke ciki ake sani, da kuma yadda za a iya ba da taimakon farko ga mai haƙuri a wannan yanayin?

Cutar kamuwa da cutar sankarau - babban sanadin hakan, nau'in coma masu cutar sankara

Daga cikin duk rikitar da ciwon sukari, yanayin mai kama da na masu fama da cutar siga shine, a mafi yawancin lokuta, ana iya juyawa. Dangane da mashahurin imani, cutar sankarar mahaifa cuta ce ta amai da gudawa. Wato, wuce haddi na sukari jini. A zahiri, coma mai ciwon sukari na iya zama iri daban-daban:

1. Hypoglycemic
2. Hyperosmolar ko ƙwaƙwalwar ƙwayar cuta
3. Ketoacidotic

Sanadin coma mai ciwon sukari na iya zama ƙaruwa mai yawa a yawan glucose a cikin jini, kulawa mara kyau ga masu ciwon sukari har ma da yawan insulin, wanda yawan sukari ya sauka ƙasa da al'ada.

Bayyanar cututtuka na cutar hypoglycemic coma, taimako na farko don cutar rashin ƙarfi na hypoglycemic

Yanayin hypoglycemic halayyar ne, don mafi yawan bangare, don nau'in ciwon sukari na 1, kodayake suna faruwa a cikin marasa lafiya waɗanda ke shan kwayoyi a allunan. A matsayinka na mai mulkin, ci gaban yanayin ya gabata hauhawar yawan insulin a cikin jini. Hadarin hypoglycemic coma yana cikin nasara (ba a sake juyawa) na tsarin juyayi da kwakwalwa.

Kwayar cutar rashin daidaituwa - alamu

A harin huhu lura:

• Janar rauni.
• Agara yawan tashin hankali.
• Lokaci mai rawar jiki.
• Karin gumi.

Tare da waɗannan alamun yana da mahimmanci a hanzarta dakatar da harin domin kauce wa ci gaban yanki wanda aka riga aka san shi, siffofin halayen sune:

• Rawar jiki, da sauri juya cikin cramps.
• Fahimtar yunwar.
• Rage tashin hankalin damuwa.
• Jin gumi mai yawa.

Wani lokacin a wannan matakin hali mai haƙuri ya zama kusan mara amfani - har zuwa tashin hankali, da kuma ƙaruwa a cikin mawuyacin hali ko da hana hagu daga cikin wata gabar jiki na haƙuri. Sakamakon haka, mai haƙuri ya rasa daidaituwa a sararin samaniya, kuma asarar hankali ya faru. Abinda yakamata ayi

Taimako na farko don maganin cutar rashin ruwa na hypoglycemic

Tare da m alamu ya kamata mai haƙuri ya gaggauta ba da piecesan guda na sukari, kusan 100 g na kukis ko 2-3 tablespoons na jam (zuma). Yana da kyau a tuna cewa yayin da ciwon sukari mai dogaro da insulin yakamata a koyaushe a sami wasu abubuwan lemun zaƙi “a ƙirjin”.
Tare da alamu mai tsanani:

• Zuba shayi mai ɗumi a cikin bakin mai haƙuri (gilashin / cokali 3 na sukari) idan zai iya hadiye shi.
• Kafin jiko na shayi, yana da mahimmanci don saka mai riƙewa tsakanin hakora - wannan zai taimaka don kauce wa matsi mai ƙarfi.
• Dangane da haka, darajar ingantawa, ciyar da mai haƙuri abincin mai arziki a cikin carbohydrates ('ya'yan itãcen marmari, kayan abinci da hatsi).
• Don guje wa hari na biyu, rage kashi na insulin ta hanyar raka'a 4-8 a safiyar gobe.
• Bayan kawar da tsotsar jinin haila, nemi likita.

Idan coma tasowa tare da asarar sanisannan kuma ya biyo baya:

• Gabatar da 40-80 ml na glucose a cikin ciki.
• Da sauri kira motar asibiti.

Taimako na farko don illar hyperosmolar

• Daidai sa haƙuri.
• Gabatar da karkatar da magana da kuma hana fitar da harshe.
• Yi gyare-gyare na matsin lamba.
• Gabatar da ciki na 10-20 ml na glucose (maganin 40%).
• A cikin maye sosai - a kira motar asibiti nan da nan.

Kulawa ta gaggawa don cutar ketoacidotic, alamomin da ke haifar da cutar ketoacidotic a cikin ciwon sukari

Dalilaiwanda ke kara buƙatar insulin kuma suna ba da gudummawa ga haɓaka ƙwayar ketoacidotic yawanci:

• Late ciwon sukari da ciwon sukari.
• Wanda ba shi da magani da aka wajabta (ya sanya magani, sauyawa, da sauransu).
• Jahilcin ka'idodin sarrafa kai (yawan shan barasa, raunin abinci da ƙa'idodin aiki na jiki, da sauransu).
• Cutar cututtukan mahaifa.
• Raunin jiki / kwakwalwa.
• Cutar cututtukan jijiyoyin jiki a cikin siffar m.
• Ayyuka.
• Rashin haihuwa / haihuwa.
• Damuwa.

Cutar Ketoacidotic - alamomi

Alamar farko zama:

• Urination akai-akai.
• Tsammani, tashin zuciya.
• Damuwa, rauni gaba ɗaya.

Tare da bayyana tabarbarewa:

• Ellarshen Acetone daga bakin.
• M zafi ciki.
• Matsanancin amai.
• Rashin ƙarfi, numfashi mai zurfi.
• Sa'annan kuma yana shigowa, yana da illa, zai iya faduwa zuwa yanayin rayuwa.

Cutar Ketoacidotic - taimakon farko

Da farko dai Ya kamata a kira motar asibiti ta duba duk mahimman ayyukan mai haƙuri - numfashi, matsin lamba, bugun zuciya, hankali. Babban aikin shine tallafawa bugun zuciya da numfashi har sai motar asibiti ta isa.
Gane ko mutum ya waye, zaka iya ta hanya mai sauki: ka tambaye shi kowace tambaya, dan kadan ya buge a kan kunci da shafa kunnuwa na kunnuwansa. Idan babu dauki, mutumin yana cikin haɗari babba. Saboda haka, jinkirta kiran motar motar asibiti bashi yiwuwa.

Gabaɗaya ƙa'idodi don taimakon farko na cutar masu ciwon sukari, idan ba a bayyana nau'in sa ba

Abu na farko da dangin mai haƙuri yakamata suyi tare da asali kuma, musamman, alamun alamun rashin damuwa shine kira motar asibiti nan da nan . Marasa lafiya masu ciwon sukari da danginsu sun saba da wadannan alamu. Idan babu yiwuwar zuwa likita, to a farkon alamun yakamata ku:

• Intramuscularly allurar insulin - raka'a 6-12. (ba na tilas ba ne).
• Doseara kashi gobe da safe - raka'a 4-12 / a lokaci guda, inje 2-3 a rana.
• Ya kamata a kwarara yawan abincin Carbohydrate., fats - ware.
• Theara yawan 'ya'yan itatuwa / kayan lambu.
• Amfani da ruwan ma'adinan alkaline. A cikin rashi - ruwa tare da narkar da cokali na shan soda.
• Enema tare da maganin soda - tare da rikicewar hankali.

'Yan uwan ​​mai haƙuri yakamata suyi nazarin halaye na cutar, magani na zamani na ciwon sukari, diabetology da taimakon farko na lokaci-lokaci kawai taimakon gaggawa zai yi tasiri.

Menene coma mai ciwon sukari

A cikin ciwon sukari mellitus, glucose ya zama dole don sel suyi aiki cikin jiki da abinci, amma ba za'a iya sarrafa su cikin abubuwan da suka dace ba tare da yawan insulin da ake buƙata ba. Sharpara yawan sa a cikin lambarta na faruwa, wanda ke haifar da rikice-rikice a cikin asarar hankali - coma. Yawan yawan insulin da ya wuce yakan haifar da wannan yanayin. Wannan yana haifar da canje-canje a cikin tafiyar matakai na rayuwa, wanda ke tattare da bayyanar nau'ikan nau'ikan cututtukan ƙwayar cutar sankara. Zai yi wuya a faɗi hasashen rikitarwa. Ba shi yiwuwa a faɗi tsawon lokacin da rashin daidaituwa ya kasance. Yanayin na iya wucewa daga awanni da dama zuwa watanni da yawa.

Yana da mahimmanci a kiyaye alamun alamun haɗari. Kula da matakan glucose koyaushe. Idan ya wuce 33 mol / l - barazanar fara kai hari. Halin ƙwaƙwalwar ƙwayar cutar sankara na mellitus yana canzawa a hankali. Ci gabanta zai yiwu cikin 'yan kwanaki. Halin yana tare da:

• ciwon kai
• rashin jin daɗin ciki
• matsananciyar ƙishirwa
• rage rauni a cikin matsi,
• rauni bugun jini
• zafin jiki jikin yana kasa da al'ada
• pallor na fata
• rauni na tsoka
• pallor na fata
• tsananin amai
• rashin ruwa a jiki.

Iri coma a cikin ciwon sukari

Ana samar da bayyanar ire-iren cututtukan cututtukan cututtukan zuciya ta hanyar abubuwan da ke faruwa a jikin mutum sakamakon lalacewar gabobin da ke haifar da cututtukan ƙwayar cuta. Rarrabe nau'ikan:

• hypoglycemic - ya haifar da karuwa a cikin insulin,
• hyperglycemic - tsokani da karuwa a cikin glucose jini,
• ketoacidotic - yana haɓaka saboda bayyanar jikin ketone (acetone) sakamakon rushewar kitse,
• hyperlactoc cuta - halin da tara na lactic acid a cikin jini,
• hyperosmolar coma - yana da bambanci - ba a kafa jikkunan ketone ba.

Hyma na jini

Ana nuna wannan nau'in ta hanyar haɓaka mai sauri na alamun girgiza. Wanda ke haifar da ƙaruwa a cikin insulin saboda hauhawar yawan sukarin jini. Irin waɗannan abubuwan zasu iya haifar da yanayin rawar jiki a cikin ciwon sukari:

• yawan insulin da ya wuce
• activityara aiki a jiki,
• barasa
• raunin kwakwalwa
• azumi
• m cututtuka
• tionuntatawa a cikin abincin carbohydrate.

Rashin glucose - abinci mai gina jiki ga sel, yana haifar da ci gaban cutar. An bambanta matakai guda huɗu na alamun:

• na farko - yunwar oxygen na sel kwakwalwa suna haifar da tashin hankali, ciwon kai, matsananciyar yunwa, tachycardia,
• na biyu shine bayyananniyar zufa, kara yawan motsa jiki, halayyar da bata dace ba,
• na ukun - bayyanar bugun zuciya, karuwar matsin lamba, yara latedan makaranta.
• na huɗu - halin bugun zuciya, danshi na fata, asarar fatar jiki - farkon rashin lafiya,
• na biyar - raguwa cikin matsin lamba, raguwa a cikin sautin tsoka, take hakkin rhythms na zuciya.

Maganin rashin lafiya

Ana nuna wannan nau'in kwayarma a hankali, yana ɗaukar zuwa makonni biyu don haɓaka. Sakamakon raguwar adadin insulin, yaduwar glucose a cikin sel ya iyakance, amma adadinta a cikin jini yana ƙaruwa. Wannan Sanadin:

• rashin makamashi
• take hakkin metabolism na ruwa,
• ƙara yawan coagulation na jini
• matsaloli a cikin aikin kodan, hanta,
• toshewar wani sinadari wanda ke toshe hanyoyin samar da insulin,
• ƙara yawan glucose
• rushewar mai, da yawan adadin ketone.

Dalilin bayyanar cututtukan hyperglycemic idan akwai cututtukan sukari yana da alaƙa da bayyanar cutar da ba a yi shi akan lokaci ba, ƙarancin ƙwayar insulin, da kuma cin zarafin abinci - ƙarin karuwar carbohydrate. Alamun aukuwa:

• bushe fata
• numfashi mai zurfi tare da amo
• ƙanshi na acetone
• fata mai sanyi
• pupilsan makaranta
• urination na kanada.

Cutar Ketoacidotic

Irin wannan rikitarwa a cikin ciwon sukari ya zama ruwan dare gama gari saboda rashin insulin. An nuna shi ta bayyanar samfuran fashewar mai - jikin ketone. Tunda kwayar ba ta karbar abinci mai gina jiki a cikin nau'in glucose daga jini, fashewar kitse yana faruwa a jiki. Yana maye gurbin karɓar makamashi, amma yana da sakamako mai illa - yana fitar da samfuran lalata - jikin ketone. Suna kuma haifar da ƙamshin acetone. Bugu da kari, kwayar jini da kirkirar jini.

Cutar Ketoacidotic tana tare da raunin ciki, matsanancin rashin bacci, tsinkaye mara nauyi. Dalilan dake haifar dashi:

• marigayi ganewar asali
• ba daidai ba sashi na insulin,
• magungunan da ba a zaɓa ba yadda ya kamata,
• shan giya
• m purulent cututtuka,
• aiki
• ciki
• take hakkin abinci
• raunin kwakwalwa
• danniya
• cuta na jijiyoyin jiki
• aikin jiki.

Cutar Hyperlactoc cuta

Tare da karancin insulin da tarin glucose a cikin jini, domin ramawa saboda iskancin oxygen, jikin ya fara samar da lactic acid a jiki. Cutar hanta, wacce ke da alhakin sarrafa ta a lokacin cutar, bata cika ayyukanta ba. Yana haɗuwa cikin jini, lactic acid yana tsokani wannan nau'in ƙirar. Abubuwan da ke haifar da gudummawa ga wannan:

• infarction na zuciya
• gazawar hanta
• cutar koda
• zub da jini
• cututtuka
• shan giya.

A wannan yanayin, ba a lura da samuwar sassan ketone - ƙanshi na acetone ba a bayyanar cututtuka. Tare da cutar mahaifa, ana lura da masu zuwa:

• ragin matsin lamba
• ciwon tsoka
• narkewa a jiki
• matsalolin zuciya
• tsananin amai
• ciwon tsoka
• rashin kulawa
• raguwa a cikin zafin jiki
• bayyanar da delirium.

Alamar rashin daidaituwa

Zai yiwu a maido da mahimmancin ayyukan mai haƙuri bayan coma a cikin ciwon sukari, idan a yayin harin akwai wani mutum da ke kusa wanda zai iya ba da taimako. Kawai mahimmanci shine halin mai haƙuri ga yanayinsa, lura da canje-canje a cikin jiki. Bayyanar cututtuka da aka lura cikin lokaci da zuwa likita zai taimaka wajen kaucewa mummunan sakamako da ma mutuwa.

Haɓaka ƙwarma na ɗumama hankali ne. Idan kun kula da alamun, yana yiwuwa a hana rikice-rikice masu wahala. Halin hali shine:

• rage cin abinci
• urination,
• karuwa da ƙishirwa
• tashin zuciya
• bari
• amai
• gajiya,
• Canjin yanayi,
• ragin matsin lamba
• nutsuwa
• rauni bugun jini
• bayyanar da tunani na hallicinations,
• nutsuwa
• warin itacen 'acetone' ko lemu mai tsami daga bakin,
• katsewa
• mai raunin hankali.

Na farko taimako ga haƙuri

Idan ba'a san nau'in coma a cikin ciwon sukari ba daidai, bai kamata ku sanya insulin a kan wanda aka cutar ba - zaku iya cutar da kawai. Da sauri kira motar asibiti. Sanya mai haƙuri a gefe ko ciki. Babban burin shine tabbatar da numfashi na yau da kullun. A irin wannan yanayin, amai, riƙe harshe yana yiwuwa - wannan dole ne a hana shi. Lokaci na gaggawa na likita kafin ziyarar likita ya hada da:

• sarrafawar glucose
• tsaftacewa hanyoyin iska na iska,
• duba jini, palpitations,
• hankali ga yanayin gaba daya,
• tallafi don yanayin sani.

Binciko da hanyoyin magani

Ana ba da kulawa ta gaggawa ga masu ciwon sukari a cikin sassan kulawa mai zurfi na asibitin. Don sanin wane nau'in coma da nau'in ciwon sukari, ana yin gwajin jini da fitsari. Eterayyade matakin glucose. Ya danganta da sakamako, an wajabta magani don cutar. Algorithm ya hada da:

• nishaɗi da ma'aunin acid-base,
• Komawa ga aikin zuciya,
• dawo da matakan insulin,
• rigakafin asarar ruwa,
• sabuntawar potassium da akayi asara,
• ramuwa na yawan glucose,
• hana rigakafin ƙwayoyin cuta na jini.

Hasashen da hasashen

Cutar insulin na iya faruwa idan mai haƙuri ya bi duk abubuwan da likitan ya bayar, ya bi tsarin abincin da kuma yadda aka saba amfani da magani. Tun da alamun cutar sankara ta ci gaba na lokaci mai tsawo, yana yiwuwa a daidaita tsarin kulawa da kuma guji mummunan sakamako. Yana da mahimmanci a hana kai hari fiye da magance matsaloli daga baya.

Cutar sukari, idan ba'a ba da kulawa ta gaggawa cikin lokaci kan lokaci ba, zai iya zama mai muni. Wannan yana faruwa ga kowane mai haƙuri na goma. Coma cikin kamuwa da cuta yana haifar da babban sakamako:

• dementia - sakamakon lalacewar ƙwayoyin kwakwalwa,
• na gazawar
• ilimin hanta na hanta
• arrhythmias, cututtukan zuciya saboda lalacewar aikin zuciya.