Taken "Cigaba da ciwon sukari"

Ketoacidotic (mai ciwon sukari) coma cuta ce mai wahala, mai saurin kamuwa da cutar sankara sakamakon karancin insulin, wanda ketoacidosis ya bayyana, rashin ruwa, rashin daidaituwa na acid a cikin hanyar acidosis da matsanancin raunin nama.

Babban dalilin shine cikakkar ko raunin insulin dangi.

cutuka: m tafiyar matakai, da exacerbations na na kullum cututtuka, cututtuka,

cuta cuta: tsallakewa ko cire insulin izini daga marasa lafiya, kurakurai a cikin tsarawa ko gudanar da insulin, gudanarwar insulin ko ƙarancin insulin, ɓarna a cikin tsarin kula da insulin (sirinji),

karancin iko da kuma kame kai na matakan glucose na jini,

m shisshigi da rauni

rashin sanin ciwon suga,

rashin amfani da ilimin insulin bisa ga alamu ga wani nau'in ciwon sukari na dogon lokaci 2,

na kullum tare da insulin antagonists (glucocorticoids, diuretics, hormones na jima'i, da sauransu).

A cikin hoto na asibiti na ketoacidosis mai ciwon sukari, ketoacidosis mai laushi (mataki 1), precoatous state (mataki na 2), da kuma ketoacidotic coma an rarrabe su. Ketoacidosis yakan zama sannu a hankali.

Etowanƙwasa ƙwayar cuta haɓaka ta ƙara haɓakar hyperglycemia wanda ke da alaƙa da rashi na insulin da tarawa sakamakon glucose na endogenous sakamakon gluconeogenesis da fashewar glycogen. Alamomin asibiti na ketoacidosis mai sauƙi suna ƙaruwa a hankali a cikin kwanaki da yawa. A lokaci guda, akwai raguwa a cikin ƙarfin aiki, ci abinci, rauni na tsoka, ciwon kai, rikicewar dyspeptik (tashin zuciya, zawo), polyuria da polydipsia suna ƙaruwa. Fatar, mucous membranes na bakin ya bushe, akwai wani ɗanɗarin ƙoshin acetone daga bakin, ƙwanƙwasa tsoka, yawan bugun zuciya, sautin fushin zuciya, wani lokacin arrhythmias, ciwon ciki, m. kara girman hanta.

Yanayin precomatous halin da karuwa a na rayuwa da kuma bayyanuwar asibiti. Azotemia, bushewar fata, acidosis na rayuwa. Halin mai haƙuri ya tsananta sosai, rashin ƙarfi gaba ɗaya yana ƙaruwa, nutsuwa, bushewar bushewa, yawan yawan yawan kumburi, tashin zuciya, matsanancin amai, wani lokacin tare da jan jini, ƙara zafin ciki, wani lokacin yana kama da asibiti na “matsanancin ciki”, wani lokacin akwai paresis hypokalemic paresis na hanji. Fata da mucous membranes - bushe, rubeosis na fuska. Harshen ya bushe, mai launin shuɗi-mai launin shuɗi ko launin ruwan kasa, ƙamshin acetone daga bakin. Sautin jijiyoyin jiki kuma musamman girare. Tachycardia, hauhawar jini, yanayin motsa jiki na Kussmaul.

Cutar Ketoacidotic halin da cikakken asarar sani. Akwai ƙanshin acetone daga bakin, fatar jiki da mucous membranes sun bushe, cyanotic, fasalin fuskoki suna da kaifi, sautin yanayin idanuwan sun ragu sosai, ɗaliban suna daɗaɗɗu, sassauyan jijiyoyin jiki basa nan, yanayin jijiya, yawan zafin jiki kuma yawanci ana raguwa. Farin ciki, m. oligo ko anuria.

Akwai nau'ikan 4 na cutar masu ciwon sukari:

nau'in gastrointestinal - bayyanar da matsala ta dyspeptik, zafin ciki tare da tashin hankali na ciki na ciki. Wasu lokuta shaye-shaye shine shinge, tare da amai, gudawar jini, leukocytosis, wani lokacin zawo.

nau'in zuciya - abubuwan mamakin rushewar jijiyoyin jiki sun zo gaban (jijiyoyin jiki sun fadi, gabobin su ne cyanotic sanyi), saukar karfin jini da saukar karfin jijiya. Cututtukan jijiyoyin jiki suna fama kuma, a sakamakon haka, angina pectoris, rauni na zuciya, da kuma tashin hankali na farji na iya faruwa.

tsari na koda - kasancewar sunadarin, abubuwanda aka kirkira, sililin a cikin fitsari, hypoisostenuria, anuria sakamakon raguwar hauhawar jini, karuwa a saura na nitrogen da urea cikin jini. Searma game da ƙyamar ƙage ke da wuya.

encephalopathic nau'i - asibiti yayi kama da amai da gudawa.