Hyperosmolar coma a cikin ciwon sukari

Ciwon sukari mellitus cuta ce ta ƙarni na 21. Mutane da yawa suna samun ilimi game da kasancewar wannan mummunan cuta. Koyaya, mutum zai iya rayuwa da kyau tare da wannan cuta, babban abin shine bin duk umarnin likitoci.

Abin takaici, a cikin mummunan yanayin cututtukan cututtukan ƙwayar cuta, mutum na iya fuskantar cutar rashin lafiyar hyperosmolar.

Hyperosmolar coma wata matsala ce ta cutar sankara (mellitus) mai rikitarwa wanda mummunan cuta na rayuwa ke faruwa. Wannan halin yana nunawa kamar haka:

hyperglycemia - mai kaifi da ƙarfi karuwa a cikin glucose jini,
hypernatremia - haɓaka matakin sodium a cikin jini,
hyperosmolarity - karuwa a osmolarity na jini plasma, i.e. Jimlar yawan yawan abubuwan da ke aiki a cikin 1 lita. jini yana da girma fiye da ƙimar al'ada (daga 330 zuwa 500 na masallaci / l tare da ka'idar 280-300 mosmol / l),
bushewa - bushewar sel, wanda ya faru sakamakon gaskiyar cewa ruwan yana zuwa sararin intercellular don rage matakin sodium da glucose. Yana faruwa cikin jiki, har ma a cikin kwakwalwa,
rashin ketoacidosis - acidity na jini ba ya ƙaruwa.

Hyperosmolar coma mafi yawanci yakan faru ne a cikin mutanen da suka girmi shekaru 50 kuma suna yin kimanin 10% na kowane nau'in coma a cikin ciwon sukari mellitus. Idan ba ku bayar da taimakon gaggawa ga mutum a wannan jihar ba, to wannan na iya haifar da mutuwa.

Akwai dalilai da yawa waɗanda zasu iya haifar da wannan nau'in rashin daidaituwa. Ga wasu daga cikinsu:

Fasa ruwa daga jikin mai haƙuri. Wannan na iya zama amai, gudawa, raguwar adadin ruwan da aka cinye, dogon shan magungunan diuretic. Burnonewa da babban farfajiya na jiki, gajiya aikin koda,
Rashin yawan insulin da ake buƙata,
Ciwon mara wanda ba a sani ba. Wani lokacin mutum baya tunanin kasancewar wannan cutar a gida, saboda haka ba a kula dashi kuma baya lura da wani abinci. Sakamakon haka, jiki ba zai iya jimrewa kuma coma na iya faruwa,
Needarin buƙatar insulin, alal misali, lokacin da mutum ya karya abincin ta hanyar cin abincin da ke ƙunshe da adadin carbohydrates. Hakanan, wannan buƙatar na iya tashi tare da sanyi, cututtukan tsarin halittar wata cuta mai kamuwa da cuta, tare da tsawanta yin amfani da glucocorticosteroids ko kwayoyi waɗanda aka maye gurbinsu da baƙon jima'i,
Shan magungunan kwantar da hankali
Cututtukan da ke tasowa azaman rikitarwa bayan rashin lafiya,
Turewa
M cututtuka.

Hyperosmolar coma, kamar kowane cuta, yana da alamomin kansa wanda za a iya gane shi. Bugu da kari, wannan yanayin yana ci gaba a hankali. Sabili da haka, wasu alamomin bayyanar cututtuka suna yin hasashen abubuwan da ke faruwa na hyperosmolar coma. Alamomin kamar haka:

Bayan 'yan kwanaki kafin a samu, mutum yana da ƙishirwa, ƙoshin bushewa,
Fata ya bushe. Guda ɗaya ke faruwa ga mucous membranes,
Sautin kyallen takarda mai laushi yana raguwa
Mutun koyaushe yana da rauni, rashin ƙarfi. Kullum ina cikin yin bacci, wanda yake haifar da maaukar hoto,
Matsin lamba ya ragu sosai, tachycardia na iya faruwa,
Polyuria yana tasowa - haɓakar ƙwayar fitsari,
Matsalar magana, hallucinations,
Sautin tsoka na iya ƙaruwa, cramps ko inna na iya faruwa, amma sautin gira, a akasin wannan, na iya faɗi,
Da kyar ke faruwa, sanyin hanji na iya faruwa.

Binciko

A cikin gwaje-gwajen jini, ƙwararren likita ya ƙayyade matakan girma na glucose da osmolarity. A wannan yanayin, jikin ketone ba ya nan.

Bayyanar cututtuka kuma an danganta da bayyanar cututtuka. Hakanan, ana la'akari da shekarun mai haƙuri da tafarkin rashin lafiyarsa.