Mene ne insulin girgiza: bayanin insulin coma

Fargabar insulin wani yanayi ne na rashin karfin jini, wanda a cikin sa matakan glucose a cikin jini ke raguwa kuma akwai karuwa a cikin kwayoyin-insulin da ke motsa jini. Wannan ilimin haɓakar cuta yana haɓaka kawai tare da cuta irin su ciwon sukari.

Idan jiki yana da lafiya, to, glucose da insulin suna cikin daidaito, amma tare da ciwon sukari akwai cin zarafin hanyoyin rayuwa a cikin jiki. Idan ba a kula da ciwon sukari ba, to, turawar insulin, wanda kuma ake kira hypoglycemic coma, ko rikicin sukari, yana yiwuwa.

Halin yana halin bayyanuwar muni. Ainihin, ana iya hango faɗuwar girgiza, amma wani lokacin lokacinta yana gajarta sosai har zuwa mara lafiya. Sakamakon haka, mai haƙuri na iya rasa hankali kwatsam, wani lokacin kuma akwai raguwar jiki, wanda medulla oblongata ke sarrafawa.

Haɓaka tasirin hypoglycemic coma yana faruwa ne a cikin ɗan kankanen lokaci, lokacin da adadin sukari a cikin jini ya ragu sosai kuma yaɗuwar glucose a cikin kwakwalwa tayi saurin sauka.

Harbingers na Rikicin Sugar:

Rage yawan adadin glucose a cikin kwakwalwa. Neuralgia, raunin halaye daban-daban, raɗaɗi, asarar hankali ya faru. A sakamakon haka, mai haƙuri na iya rasa hankali, kuma rashin daidaituwa ya faru.
Tsarin Sympathoadrenal na haƙuri yana da daɗi. Akwai karuwa a cikin tsoro da damuwa, vasoconstriction yana faruwa, karuwa a cikin zuciya, tashin hankali a cikin ayyukan tsarin juyayi wanda ke daidaita aikin gabobin ciki, kwanciyar hankali na polymotor, kuma ana lura da yawan zufa.

Rikicin sukari yakan faru ne ba zato ba tsammani, amma yana da alamun halayensa na farko. Tare da raguwa kaɗan a cikin adadin sukari a cikin jini, mai haƙuri yana jin ciwon kai, ƙarancin abinci, zazzabi.

A wannan yanayin, ana lura da yanayin rauni na gaba ɗaya. Kari akan haka, zuciya zata yi sauri, gumi yana ƙaruwa, hannaye da jiki gaba ɗaya suna rawar jiki.

Ba shi da wahala a sarrafa wannan yanayin ta cinye carbohydrates. Wadancan mutanen da suka san cutar su ta dauke da wani abu mai dadi (sugar, Sweets, da sauransu). A farkon alamar girgiza insulin, ya kamata ku ɗauki wani abu mai daɗi don daidaita yawan sukari a cikin jini.

Tare da aikin insulin na tsawon lokaci, matakan sukari na jini suna raguwa sosai da maraice da dare. A wannan lokacin, matsalar rashin haihuwa na iya faruwa. Idan irin wannan yanayin ya faru a cikin mai haƙuri yayin bacci, to bazai yiwu a lura ba har tsawon lokaci.

A lokaci guda, mai haƙuri yana da mummunan barci, na sama da na firgita, kuma sau da yawa mutum yana fama da wahayi mai ban tsoro. Idan yaro ya kamu da cutar, yakan yi ihu da kuka da daddare, kuma bayan ya farka da jaririn baya tuna abin da ya faru kafin harin, hankalinsa ya rikice.

Bayan barci, marasa lafiya suna da tabarbarewa a cikin lafiyar gaba ɗaya. A wannan lokacin, matakan sukari na jini suna ƙaruwa sosai, ana kiran wannan yanayin mai amsawa glycemia. Yayin da rana bayan rikicin sukari ya sha wahala da daddare, mai haƙuri yana da damuwa, juyayi, ƙima, yanayin rashin tausayi yana faruwa, kuma yana jin rauni mai rauni a cikin jiki.

A lokacin girgiza insulin, mara lafiya yana da alamun bayyanannin asibiti:

fatar jiki ta zama kodadde a fuska da danshi,
bugun zuciya
sautin tsoka yana ƙaruwa.

A lokaci guda, ɓarkewar ido baya canzawa, harshe ya kasance mai danshi, numfashi baya yankewa, amma idan mara lafiyar bai sami taimako na musamman akan lokaci ba, to lokaci yayi numfashi ya zama mara nauyi.

Idan mai haƙuri yana cikin girgiza insulin na dogon lokaci, ana lura da yanayin hypotension, tsokoki sun rasa sautinta, bayyanuwar bradycardia yana faruwa da raguwar zafin jiki a ƙasa da yanayin al'ada.

Bugu da kari, akwai rauni ko cikakkiyar rashi na shakatawa. A cikin haƙuri, ɗaliban basu san canje-canje a cikin haske ba.

Idan ba a bincikar mai haƙuri cikin lokaci ba kuma ba a ba shi taimakon warkewa, to yanayin mai haƙuri zai iya canzawa sosai don mafi muni.

Rage raguwa na iya faruwa, ta fara jin ciwo, akwai tashin hankali, amai, mara lafiya ya shiga halin damuwa, kuma bayan wani lokaci sai ya yi asarar hankali. Koyaya, waɗannan ba sune kawai alamun alamun cutar rashin lafiya ba.

A cikin binciken dakin gwaje-gwaje na fitsari, ba a gano sukari a ciki ba, kuma amsawar fitsari ga acetone, a lokaci guda, na iya nuna duka tabbatacce kuma mummunan sakamako. Ya dogara da gwargwadon adadin diyya na ƙwayoyin carbohydrate wanda ke faruwa.

Ana iya ganin alamun rikicin sukari a cikin waɗancan mutanen da suka daɗe da ciwon sukari, yayin da matakan sukari na jininsu na iya zama na al'ada ko haɓaka. Wannan ya kamata a bayyana shi ta hanyar tsalle-tsalle a cikin halayen glycemic, alal misali, daga 7 mmol / L zuwa 18 mmol / L ko kuma akasin haka.

Bayan Fage

Coma hypoglycemic sau da yawa yakan faru ne a cikin marasa lafiya tare da dogaro mai yawa na insulin a cikin ciwon sukari mellitus.

Hanyoyi masu zuwa suna iya haifar da wannan yanayin:

An saka majinin tare da ƙarar insulin.
Ba a sanya insulin na hormone ba a karkashin fata, amma intramuscularly. Wannan na iya faruwa idan sirinji tare da allura mai tsawo, ko mara lafiya yana so ya hanzarta sakamakon maganin.
Mai haƙuri ya ɗanɗana matsanancin aiki na jiki, sannan kuma bai ci abinci mai arzikin carbohydrate ba.
Lokacin da haƙuri bai ci ba bayan aiwatar da hormone.
Mai haƙuri ya sha giya.
An yi masa tausa a wani sashin jiki inda aka yiwa allurar insulin.
Ciki a cikin watanni uku na farko.
Marasa lafiya na fama da gazawar koda.
Mai haƙuri yana da alamun nuna ƙarancin ƙonewar hanta.

Rikicin sukari da coma sau da yawa yana tasowa a cikin marasa lafiya lokacin da ciwon sukari ya faru tare da cututtuka masu haɗari na hanta, hanji, kodan, tsarin endocrine.

Sau da yawa, insulin shock da coma suna faruwa bayan mai haƙuri ya ɗauki salicylates ko yayin shan waɗannan kwayoyi da sulfonamides.

Maganin tashin hankali na sukari ya fara da allura ta glucose. Aiwatar da 20-100 ml. Maganin 40%. An ƙaddara adadin gwargwadon yadda sauri haƙuri yanayin inganta haƙuri.

A cikin lokuta masu tsauraran gaske, ana iya amfani da gudanarwar cikin ciki na glucagon ko injections na glucocorticoids. Bugu da kari, ana iya amfani da guntun subcutaneous na 1 ml. 0.1% maganin adrenaline hydrochloride.

Idan ƙarfin haɗuwa bai rasa ba, ana iya ba mai haƙuri glucose, ko yakamata ya sha abin sha.

Idan mara lafiyar ya rasa hankali, yayin da babu wasu halayen ɗalibai game da tasirin haske, babu alamar nutsuwa, mai haƙuri yana buƙatar saukar da glucose a ƙarƙashin harshensa. Kuma yayin yanayin rashin sani, glucose zai iya samun nutsuwa daga kogon baki.

Wannan ya kamata a yi a hankali domin mara lafiyar baya shaƙa. Akwai shirye-shiryen gel iri daya. Kuna iya amfani da zuma.

An hana shi gudanar da insulin a cikin yanayin matsalar sukari, tunda wannan hormone zai tsokane tashin hankali kuma ya rage yiwuwar murmurewa. Yin amfani da wannan samfurin a cikin yanayi kamar rashin daidaituwa na iya haifar da mutuwa.

Don guje wa gudanar da aikin tantancewar na hormone, wasu masana'antun suna ba da sirinji tare da tsarin toshewa ta atomatik.

Taimako na farko

Don taimako na farko, yakamata ku fahimci alamun bayyanar cututtukan da cutar mahaifa ke nunawa. Lokacin ƙirƙirar alamun daidai, da gaggawa buƙatar samar da taimakon farko na haƙuri.

Matakan gaggawa na gaggawa:

kira motar asibiti
Kafin isowa daga kungiyar likitocin, ya kamata ka sanya mutumin a cikin kyakkyawan yanayi,
kana buƙatar ba shi wani abu mai daɗi: sukari, alewa, shayi ko zuma, jam ko ice cream.
Idan mara lafiyar ya rasa hankalinsa, to ya zama dole a sanya wani sukari a wuyansa. A cikin yanayin kamuwa da cutar siga, sukari bai ji rauni ba.

Ana buƙatar ziyarar gaggawa zuwa asibitin a cikin yanayi masu zuwa:

tare da maimaita allura na glucose, mara lafiya ba ya sake farfaɗo, yawan sukari a cikin jini baya ƙaruwa, girgiza insulin ya ci gaba,
ciwon sukari sau da yawa yana komawa baya
idan ya kasance zai iya fuskantar jinkirin insulin, amma akwai karkacewa a cikin aikin zuciya, jijiyoyin jini, da tsarin jijiyoyin jiki, hargitsi na kwakwalwa ya tashi wanda bai wanzu ba.

Halin hypoglycemic ko rashin lafiyar hypoglycemic shine cuta mai mahimmanci wanda zai iya ɗaukar rayuwar mai haƙuri. Saboda haka, taimakon farko na lokaci da kuma kyakkyawan tasirin magani suna da mahimmanci musamman.

Rashin faɗuwar rana na maganin insulinocomatosis a Yamma

A cikin 1953, a cikin mujallar nazarin harshen Ingilishi mai nazarin The Lancet, likitan hauka na Biritaniya Harold Bourne ya buga wata kasida mai taken "The Myulin Insulin", a cikin abin da ya kafa hujja da cewa babu wani tabbataccen dalilin da zai yarda cewa maganin kwantar da hankali na insulinocomatous yana magance ayyukan schizophrenic. Idan magani yayi aiki, kawai saboda marasa lafiya sun kasance masu nuna wariya da kulawa sosai. "Insulin marasa lafiya, yawanci ƙungiyar fitattu, - in ji H. Bourne. - Suna da gata da kyakkyawan hasashen. ". A cikin 1957, lokacin da aka rage amfani da insulin com, The Lancet ta buga sakamakon binciken kwatancen magani game da lura da cututtukan schizophrenia. Groupsungiyoyi biyu na marasa lafiya an bi da su tare da insulin coma ko kuma a gabatar da su cikin yanayin da ba a sani ba ta amfani da maganin shayarwa. Marubutan binciken ba su sami wani bambanci tsakanin ƙungiyoyin ba.

Sun daina yin amfani da maganin insulinocomatous a Yammacin Yamma, ba su ƙara ambata hanyar a cikin littattafan rubutu ba.

USSR da Tarayyar Rasha

A cikin USSR, an yi la'akari da cewa an saita waɗannan gwaje-gwajen ne ba daidai ba. "A cikin kasarmu, ana ci gaba da yin amfani da ICT, ana yin la'akari dashi koyaushe kuma ana ci gaba da kasancewa daya daga cikin mafi inganci a tsakanin hanyoyin da ke tattare da cutar ilimin halittar jiki mai zurfi, wanda sananne ne ga tsararrun likitoci"- bayanin kula A.I. Nelson a 2004.

A cikin 1989, wata tawaga daga likitocin likitancin Amurka wadanda suka ziyarci asibitocin tabin hankali na Soviet don tabbatarwa ko karyata batun amfani da tabin hankali don dalilai na siyasa a cikin USSR sun lura cewa anyi amfani da kwayar insulin har ma da marassa lafiya a cikinsu wadanda likitocin Amurka ba su bayyana wata alama ta masu tabin hankali ko cuta mai rikicewa.

Yawancin wallafe-wallafe masu yawa sun lura da amfani da maganin insulinocomatous a cikin lokutan Soviet dangane da masu karɓar baƙi waɗanda aka tilasta su cikin asibitocin tabin hankali.

Sakamakon yaduwar cututtukan ƙwaƙwalwar ƙwayar cuta, ana amfani da amfani da ICT a halin yanzu a Rasha. A cikin ka'idodi na Tarayyar Rasha, an ambaci wannan hanyar, duk da haka, duk da cewa ana daukar ta azaman ajiyar wuri kuma ana iya amfani da ita idan wasu basu sami nasara ba. A wasu yankuna na ƙasar, ba a yin maganin insulinocomatous.

A cewar masu goyon bayan ICT, manyan alamomin don rubuta insulinocomatosis far shine psychoses, da farko schizophrenia, musamman tare da mummunan hallucinatory da / ko delusional syndrome, catatonia, hebephrenia. Koyaya, wannan baya nufin cewa tasirin insulinocomatous far ana tsammanin ne kawai akan bayyanar cututtukan psychopathological mai iya aiki (zato, ɓarna, tunani mara kyau da halayyar). A cewar masu goyon bayan ICT, yana da ikon kawar da bayyanannun bayyanar raunin schizophrenic, suna da ƙarfin anti-korau da kyamar antidepressant, cire ko rage apato-abulia, raguwa a cikin ƙarfin makamashi, rashin nutsuwa, tashin hankali, ɗaukar hoto, atam Ba a ayyana asalin ranar 952 ba . Koyaya, wani lokaci ana lura cewa tare da sauƙi schizophrenia, amfanin insulinocomatosis far zai iya haifar da lalacewa sosai, ba cigaba ba.

Hanyar ICT mai rikitarwa ne da ɗaukar lokaci: tana buƙatar rarraba ɗakuna na musamman, horar da ma'aikata, saka idanu akai-akai na mara haƙuri a cikin ƙwayar cuta da kuma daddare bayan coma, da kuma riko da abinci. Matsaloli suna tashi yayin da jijiyoyin suna cikin yanayi mara kyau.

Insulinocomatous far yana yin aiki daga baya fiye da magungunan psychotropic. Idan rage tasirin magungunan psychotropic ya faru a cikin 'yan kwanaki, kuma wani lokacin sa'o'i, to, ana lura da tasirin ICT kawai bayan ɓarin farko ya bayyana, kuma sau da yawa - kawai a ƙarshen tsarin warkewa.

Gefen Gefen Gashi da Tausasawa Gyara

Rashin ƙwarewar hanyar (gyaran haƙuri, da yawa raunin raunin da ya faru) baya ba da gudummawa ga shahararren ilimin insulinocomatosis. Karin magana, gumi, zafin ji da yunwar da marasa lafiya suka fuskanta lokacin yin amfani da ICTs wasu lokuta suna bayyana su a matsayin mai matukar raɗaɗi.

Lokacin amfani da ICTs, akwai haɗarin kwayar cutar kwayar cutar daji, duk da ƙaddamar da glucose, da kuma haɗarin sake-coma (sake haɓaka coma bayan hoursan awanni). Yin amfani da ICTs yana ɗaukar haɗarin mace-mace.

A cikin ilimin hauka

Bugu da kari, an fara amfani da girgiza insulin a cikin tabin hankali. Istswararrun ƙwararru suna haifar da cutar rashin wadatar jini ta hanyar sarrafa insulin ga mutane. Karo na farko kenan da Sakel yayi amfani da wannan hanyar a shekarar 1933. Ya kasance kwararre a fannin kula da mutanen da ke dauke da tabar tabar heroin da kwayoyi.

Dangane da sakamakon gabatarwar insulin a cikin jiki, marasa lafiya sun sami girgiza insulin. Ya kamata a ɗauka cewa wannan hanyar ta haifar da yawan mace-mace mai yawa. A cikin 5% na lokuta, sakamakon insulin gigicewar wucin gadi yana haifar da mutuwa.

Yayin nazarin karatun asibiti, an gano cewa wannan dabarar ba ta da tasiri. Sakamakon girgiza insulin a cikin ƙwaƙwalwar ƙwaƙwalwa yayin gwaji na asibiti sun nuna ƙarancinsa. Wannan a lokaci guda ya haifar da fushin fushi tsakanin masu ilimin hauka waɗanda ke yin amfani da wannan ilimin. Abin lura ne cewa an yi amfani da jiyyar cutar schizophrenia tare da girgiza insulin har izuwa shekarun 1960.

Amma bayan wani lokaci, an ba da tabbacin ingancin irin wannan hanyar. Kuma maganin yana aiki ne kawai a lokuta yayin da mai haƙuri ya nuna son zuciya.

Bayan dawowar 2004, A. I. Nelson ya lura cewa har yanzu ana daukar insulin shock therapy har yanzu yana daya daga cikin mafi inganci a kasar. Abin lura ne cewa likitan ilimin hauka na Amurka wanda ya ziyarci asibitocin Soviet a 1989 ya lura cewa an yi amfani da coma don haka a kan yankin ƙasar dangane da mutanen da ba su da alamun tabin hankali ko cuta. Misali, akan batun 'yan dissident, ana amfani da magani ta hanyar insulin shock da karfi.

Amma a wannan lokacin, aikace-aikacen wannan hanya an iyakance shi sosai. Amma a lokaci guda, Wajibi ne a tuna cewa ana amfani da insulin shock ne kawai a cikin yanayi inda wasu illolin cutar ba su da tasiri. Amma akwai yankuna waɗanda ba a amfani da irin wannan hanyar kwata-kwata.

Babban nuni ga amfani da girgiza insulin shine psychoses, schizophrenia da fari. Musamman ma, hallucinatory, delusional syndrome ana bi da su ta wannan hanyar. An yi imani cewa irin wannan ilimin yana da tasirin antidepressant. Amma, bisa ga ƙididdigar hukuma, a wasu halaye, irin wannan farjin yana haifar da lalata, kuma ba ci gaba ba.

Side effects

Dole ne a ɗauka cikin zuciya cewa farjin kanta yana da sakamako mai raɗaɗi. Sabili da haka, hanyar ba ta shahara sosai.Haɗa insulin girgiza yana haɗuwa tare da cinyewa na maganganu, tashin hankali da kuma ƙarfin jin yunwa, amai. Marasa lafiya da kansu sun bayyana irin wannan jiyya a matsayin mai raɗaɗi mai raɗaɗi.

Bugu da kari, akwai hadarin da kwayar za ta jawo. Maimaitawa coma na iya faruwa. A wasu halaye, girgiza insulin yana haifar da mutuwa. Akwai nau'ikan jiyya da maganin hana haifuwa.

Game da tasirin

Da farko, girgiza insulin ya haifar ne kawai a cikin marassa lafiyar marasa lafiyar da suka ƙi abinci. Daga baya an lura cewa yanayin janar na marasa lafiya bayan irin wannan ilmin yana inganta. Sakamakon haka, an fara amfani da maganin insulin a cikin maganin cututtukan kwakwalwa.

A yanzu, ana amfani da insulin a farkon harin schizophrenia.

Ana lura da mafi kyawun sakamako tare da hallucinatory-paranoid schizophrenia. Kuma mafi ƙanƙanci yana nuna ilimin insulin a cikin lura da tsari mai sauƙi na schizophrenia.

Dole ne a tuna cewa m hepatitis, cirrhosis, pancreatitis, urolithiasis sune contraindications don amfani da insulin.

Ba a ba da shawarar irin wannan magani ga marasa lafiya da ke fama da gajiya, tarin fuka, da cututtukan kwakwalwa.

Ana samun insulin coma ta hanyar gudanarwar insulin. Yawancin lokaci nemo mafi ƙarancin kashi da ake buƙata, sannu-sannu ƙara yawan allurai. Fara da gabatarwar raka'a hudu na wannan fili.

Cutar na farko ba zata wuce minti 5-10 ba. Ci gaba, alamun ta tsaya. Yawan lokacin coma na iya ƙaruwa har zuwa minti 40. A hanya na lura yawanci kamar 30 com.

Dakatar da bayyanar cututtukan coma ta hanyar gabatar da maganin glucose 40%. Da zarar mai haƙuri ya sake farkawa, suna ba shi shayi tare da sukari da karin kumallo. Idan bai saninsa ba, ana shigar da shayi da sukari ta hanyar yin bincike. Ana gabatar da gabatarwar coma a kowace rana.

Farawa daga kashi na biyu da na uku na maganin insulin, mai haƙuri yana nuna nutsuwa, ƙarancin sani, sautin tsoka yana raguwa. Maganarsa take da mai. Wasu lokuta tsarin jiki yana canzawa, abubuwan tunani suna farawa. Sau da yawa ana samun amsawa ta jiki, murɗawa.

A cikin kashi na huɗu, mai haƙuri ya zama mai motsi gabaɗaya, bai amsa komai ba, sautin tsoka ya tashi, gumi yana sakewa, kuma zazzabi ya sauka. Fuskarsa ta zama fuska, ɗalibansa kuma sun yi kauri. Wasu lokuta akwai rikicewar numfashi, aikin zuciya, duk waɗannan alamun suna haɗuwa tare da amnesia.

Tashin hankali

Irin wannan tasirin ga jikin mutum ba zai iya ba amma bayar da rikice-rikice. An nuna su a cikin faɗuwar aiki, bugun zuciya, bugun huhu, maimaita yawan haila. Idan rikice-rikice suka fara, ana hana hypoglycemia ta hanyar gudanar da glucose, sannan sai a sanya Vitamin B1, ana amfani da nicotinic acid.

Hanyar tasirin insulin akan cutar kwakwalwa har yanzu abu ne mai ƙima. Zai yiwu a gano cewa ƙwayar insulin yana shafan zurfin zurfin ƙwaƙwalwar kwakwalwa. Amma a wannan lokacin, kimiyya bata iya tantance daidai yadda hakan ke faruwa.

Yana da mahimmanci a lura cewa da zarar an lura da irin wannan sakamako a cikin lobotomy. An yi imanin cewa ta taimaka "rashin kwanciyar hankali" marasa lafiya, amma sakamakon ya ɓoye asirin. Kuma kawai bayan shekaru da yawa yanayin ɓarkewar wannan hanyar ya fayyace, wanda sau da yawa yakan haifar da tsoro da akasin sakamako.

A kasashen Yamma a wannan lokacin, ba a hada da insulin therapy a cikin shirye-shiryen tabin hankali ba. Ba a gane shi da tasiri ba. Wannan magani an dauki shi mai matukar raɗaɗi, yana haifar da rikitarwa masu yawa, sakamako masu illa, kuma yana iya haifar da mutuwa.

Amma masu ba da shawarar ilimin insulin suna ci gaba da da'awar cewa wannan hanyar tana aiki. Kuma a cikin kasashe da dama, ciki har da Rasha, har yanzu ana amfani da ita ga marasa lafiya da ke fama da cutar schizophrenia. An yi imani cewa irin wannan jiyya yana ba marasa lafiya damar mantawa da cutar da su na shekaru. Kuma wani lokacin har ma da rashin kulawa ba a buƙatar. Ba kowane hanyar magani a cikin ilimin hauka ke ba da irin wannan sakamako ba. A wannan yanayin, ba a amfani da maganin insulin ba tare da ra'ayin kwararrun da suka dace ba, kazalika da rubutaccen izinin mai haƙuri kai tsaye.

Rashin daidaituwa na ilimin halin kwakwalwa

Psychiatry wani hadadden kimiyya ne. Yayinda likitoci a wasu yankuna suna da madaidaitan hanyoyin bincike - ta amfani da kayan aiki waɗanda ke nuna alamun cutar a fili, an hana masu tabin hankali irin wannan damar. Babu wata dabara don yin gwaji, lura da yanayin mai haƙuri. Psychiatrists an tilasta su dogara ne kawai a kan kalmomin haƙuri.

Abubuwa masu kama da haka, harma da maganganu masu kamari daga aikin hauka, shine ya haifar da ci gaban motsi wanda yayi gwagwarmaya da tabin hankali. Wakilan ta sun tuhumi hanyoyin da likitoci ke amfani da su. Movementungiyar ta buɗe a cikin 1960s. Magoya bayansa sun damu da blur a cikin binciken cututtukan kwakwalwa. Bayan duk, kowannensu yana da zurfin tunani. Hakanan, maganin da aka yi amfani dashi sau da yawa ya cutar da mafi kyau ga marasa lafiya. Misali, lobotomy, wanda aka aiwatar da aikin a cikin wadancan shekarun, an karbe shi da laifi a zahiri. Dole ne in faɗi cewa da gaske ta zama maraɗi.

Dr. Rosenhan ya gudanar da wani gwaji mai ban sha'awa a cikin shekarun 1970s. A matakinsa na biyu, ya ba da labari ga asibitin masu tabin hankali cewa za ta bayyana masu na'urar kwaikwayon da zai aiko. Bayan an kama masu kwaikwayo da yawa, Rosenhan ya yarda cewa bai aiko da na'urar kwaikwayo ba. Wannan ya haddasa fushin mai har zuwa yau. An gano cewa masu rashin hankalin suna iya rarrabewa kawai "nasu" daga mutane masu yaudarar kai.

Dangane da sakamakon ayyukan wadannan masu fafutuka, yawan marasa lafiya a asibitocin tabin hankali a Amurka ya ragu da kashi 81%. Yawancinsu an sake su kuma an sami 'yanci daga magani.

Hanyar mahalicci

Komawar mahaliccin mahaliccin ba da sauki ba ce. Yawancin ƙasashe masu wayewa sun yarda da hanyarsa a matsayin babban kuskuren masu ilimin halin ƙwaƙwalwa na karni na 20. Ingancin aikinsa ya ɓarke shekaru 30 bayan sabuwar dabara. Koyaya, har zuwa wannan lokacin, comas comas ya sami nasarar salwantar rayukan mutane da dama.

Manfred Zekel, kamar yadda aka kira shi zuwa ƙarshen rayuwarsa, an haife shi ne a cikin Nadvirna a Ukraine. Amma abin lura ne cewa a lokacin rayuwarsa wannan yanki ya sami damar yin izinin zama dan kasa na Austria, Poland, USSR, na uku Reich, Ukraine.

Likita na gaba da kansa an haife shi a Austria. Kuma bayan Yaƙin Duniya na Farko, ya rayu a wannan ƙasar. Da yake ya sami ilimin musamman, ya fara aiki a wani asibitin mahaukata na Berlin, yana mai da hankali kan batun shaye-shayen miyagun ƙwayoyi.

Daga nan sai aka gano wata sabuwar hanyar magance cututtukan siga, wanda ya kasance babban ci gaba: yaduwar amfani da insulin ga masu ciwon sukari.

Zekel ta yanke shawarar bin wannan misalin. Ya fara amfani da insulin don inganta ciwan marasa lafiyar sa. A sakamakon haka, lokacin da wasu marasa lafiya daga abin da suka wuce gona da iri suka fada cikin rashin lafiya, Zekel ta lura cewa wannan abin al'ajabin yana da tasirin gaske game da matsayin hankalin masu shan kwayoyi Tushewar su ya ragu.

Tare da Nazis ya hau kan karagar mulki, Zekel ya dawo Vienna, inda ya ci gaba da bunkasa magunguna wadanda suke amfani da insulin don magance cututtukan schizophrenics. Ya kara sashi na wannan abun kuma ya kira hanyar sa ta insulin shock therapy. A wannan yanayin, an bayyana raunin wannan hanyar. Tana iya kaiwa 5%.

Kuma kawai bayan yakin, lokacin da aka yi amfani da hanyar raɗaɗi ta hanyar ƙwaƙwalwa sosai, an sake fitar da labarin "The Myulin Myth", wanda ya karyata tasiri irin wannan magani.

Bayan shekaru 4, an gabatar da wannan hanyar ta gwaji. Misali, a cikin ɗayansu, an kula da schizophrenia tare da insulin a cikin wasu marasa lafiya da barbiturates a cikin wasu. Binciken bai sami bambance-bambance tsakanin kungiyoyin ba.

Wannan ne karshen insulin shock therapy. A zahiri, a cikin 1957, Dokar Zekel ta lalata rayuwar rayuwar ta. Cibiyoyin asibiti masu zaman kansu sun ci gaba da amfani da hanyar na ɗan lokaci, amma tuni a cikin 1970s an manta da shi lafiya a cikin Amurka da kuma asibitocin Turai. Amma a cikin USSR da Tarayyar Rasha, har yanzu ana amfani da maganin insulin a cikin ka'idoji don lura da cututtukan schizophrenia, duk da cewa an dauke shi "hanyar hanyar karshe".

Menene wannan

Cutar insulin shine amsawar jiki ko yanayin da yake faruwa sakamakon raguwar glucose na jini tsawon lokaci. A wata hanyar, ana kiran shi insulin shock.

Masana sun gano nau'ikan wadannan:

Ketoacidotic - ya bayyana a cikin mutanen da ke fama da ciwon sukari na 1. Hakan ya faru ne sakamakon sakin wasu ketones masu dimbin yawa, wadanda suka bayyana a jiki sakamakon aiki mai da mai. Sakamakon babban taro na waɗannan abubuwan, mutum yana nutsuwa cikin cocin ketoacidotic.
Hyperosmolar - yana haɓaka cikin mutanen da ke fama da ciwon sukari na 2. Sakamakon ruwa yawan ruwa. Matsayin glucose a cikin jini yana iya isa alamar sama da mm 3030 / l, babu ketones.
Hypoglycemic - yana bayyana a cikin waɗanda suke yin allurar ba daidai ba na insulin ko kuma ba sa bin abincin. Tare da hauhawar jini na jini, sukari na jini ya kai alamar 2.5 mmol / L da ƙananan.
Lactic acidotic wani saurin bambanci ne na coma masu ciwon sukari. Ya bayyana a bango na anaerobic glycolysis, wanda ke haifar da canji a ma'aunin lactate-pyruvate.

Masu lalata cutar

Alamar rashin insulin:

Rage glucose a cikin kwakwalwa. Neuralgia, nau'ikan cututtukan halaye, raɗaɗi, bayyana. A sakamakon haka, mai haƙuri zai iya rasa hankali, kuma rashin daidaituwa ya samu.
Tsarin juyayi na mai haƙuri ya firgita. Akwai karuwa a cikin tsoro da damuwa, raguwa a cikin jijiyoyin jini, haɓaka bugun zuciya, lalatawar tsarin jijiya, raunin pilomotor (ƙaddamarwar tsoka wanda ke haifar da amsawar, wanda mutane ke kira goosebumps), tsananin ɗumi.

Symptomatology

Cutar insulin ta bayyana ba zato ba tsammani, amma tana da alamun farko. Tare da raguwa kaɗan na adadin glucose a cikin jini, mai haƙuri yana fara jin zafi a kai, rashin ci, zazzabi.

Tare da rikicin sukari, gaba ɗaya raunin kwayoyin halitta an gano shi. Bugu da kari, zuciya tana karawa a hanzari, yin gumi yana kara karfi, hannaye da dukkan jiki suna girgiza.

Ba wuya a shawo kan wannan yanayin ba, kuna buƙatar kawai ku ci samfur ne tare da babban matakan carbohydrates. Wadancan marasa lafiya waɗanda suka san cutar da kansu suna ɗaukar wani abu mai dadi (sukari mai ladabi, Sweets, ƙari mai yawa). Tare da alamun farko na girgiza insulin, ya wajaba don amfani da zaƙi don daidaita sukari jini.

Tare da maganin insulin na dogon lokaci, matakin sukari na jini yana raguwa sosai a maraice da maraice. A wannan lokacin, rawar jiki na rashin ƙarfi ya iya bayyana kanta. Idan irin wannan yanayin ya bayyana a cikin mai haƙuri yayin bacci, to bazai lura da shi ba tsawon lokacin.

Babban alamun

A lokaci guda, mai haƙuri yana da mafarki mara kyau, mara zurfi da damuwa, kuma sau da yawa karamin mutum yana fama da wahayi. Idan aka lura da cutar a cikin yara, sukan yi kuka da kururuwa a cikin dare, kuma bayan ya farka yaron bai tuna abin da ya faru kafin faruwar lamarin ba, hankalinsa ya rikice.

Bayan bacci, marasa lafiya suna da rikicewar lafiyar gaba ɗaya. A wannan lokacin, matakin sukari na jini yana ƙaruwa sosai, ana kiran wannan yanayin da sauri glycemia. Yayin da rana bayan rikicin sukari ya sha wahala da daddare, mai haƙuri yana da damuwa, mai juyayi, mai ɗaukar hankali, yanayin rashin tausayi yana nunawa, akwai rauni mai girma a jiki.

Clinical bayyanar cututtuka

Mai haƙuri yana da alamun alamun likita na insulin coma na wucin gadi (niyya) ko yanayin dabi'a:

fata ya zama fari kuma rigar,
palpitations,
ƙwayar tsoka tana ƙaruwa.

A lokaci guda, motsin ido baya canzawa, harshe ya kasance rigar, numfashi yana ci gaba, amma idan mara lafiya bai sami taimako na musamman a kan kari ba, to tsawon lokaci numfashin ya zama mara nauyi.

Idan mai haƙuri yana cikin girgiza insulin na dogon lokaci, ana lura da yanayin hypotension, tsokoki sun rasa aikinsu, alamun bradycardia sun bayyana kuma zazzabi jiki ya ragu. Yana ƙasa ƙasa da alamun alamu.

Bugu da kari, akwai raguwa ko cikakken asarar reflexes.

Idan ba a gano mara lafiya a kan lokaci ba kuma ba a ba shi taimakon warkewa ba, to lamarin zai iya canzawa nan take.

Convulsions na iya bayyana, tashin tashin zuciya, amai yana farawa, mara lafiya ya zama babu hutawa, bayan wasu lokuta sai ya yi asarar hankali. Koyaya, waɗannan ba kawai alamun alamun cutar rashin lafiya ba ce.

A cikin binciken dakin gwaje-gwaje na fitsari, ba a gano sukari a ciki ba, kuma amsawar ga ƙarfi, a lokaci guda, na iya nuna duka sakamako mai kyau da mara kyau. Ya dogara da matakin matakin diyya na carbohydrate metabolism na faruwa.

Alamun insulin coma za a iya sanya idanu a cikin mutanen da suka daɗe suna fama da ciwon sukari, yayin da matsayin sukari a cikin jini na iya zama daidaitaccen ko ƙara. Yana da kyau a bayyana bayanin tsalle-tsalle kwatsam a cikin bayanan glycemic, alal misali, daga 6 mmol / L har zuwa 17 mmol / L ko kuma a cikin tsarin baya.

Kwayar insulin sau da yawa yana bayyana a cikin marasa lafiya da ƙarancin dogara da insulin a cikin ciwon sukari mellitus.

Waɗannan sharuɗɗan masu zuwa na iya zama sanadiyyar bayyanar irin wannan yanayin:

An saka adadin insulin da ba a yarda da shi ba a cikin mai haƙuri.
Ba a allurar da hormone ba a karkashin fata, amma a ciki. Wannan na iya faruwa idan sirinji yana tare da doguwar allura, ko mai haƙuri yana so ya hanzarta sakamakon maganin.
Mai haƙuri ya sami ƙwarewar aiki a jiki, sannan kuma bai ci abinci mai arzikin carbohydrate ba.
Lokacin da mara lafiya bai cinye abinci ba bayan gudanar da homonin.
Mai haƙuri ya sha giya.
An gudanar da tausa a wani sashi na jiki inda aka gabatar da hormone din.
Ciki a cikin watanni 2 na farko.
Mai haƙuri yana da gajiya koda.
Mai haƙuri yana da cutar hanta mai ƙiba.

Rikicin sukari da coma ana yin su sau da yawa a cikin marasa lafiya lokacin da aka kafa sukari tare da cututtukan cututtukan hanta, hanji, kodan, da kuma tsarin endocrine.

Sau da yawa, ƙwayar insulin na faruwa bayan mai haƙuri ya ɗauki salicylates ko tare da gudanar da aikin kai tsaye na waɗannan magunguna da sulfonamides.

Jiyya don insulin coma yana farawa tare da allura ta ciki na glucose. Yi amfani da 25-110 ml na maganin 40%. An ƙayyade kashi gwargwadon yadda hanzarin yanayin mai haƙuri ya inganta.

A cikin lokuta masu tsanani, ana iya amfani da ikon gudanarwa na glucagon ko injections na glucocorticoids. Bugu da kari, ana iya amfani da allurar subcutaneous na 2 ml na 0.1% adrenaline hydrochloride.

Idan rashi mai narkewa bai baci ba, za a yarda wa mai haƙuri yin allurar glucose, ko kuma yakamata ya sha tea mai zaki.

Idan mara lafiyar ya rasa hankali, yayin da amsawar ɗalibai game da ƙarfafawa ta hanyar haske ba a samo shi ba, babu ikon haɗiyewa, mai haƙuri dole ne ya sauke glucose a ƙarƙashin harshensa. Kuma a cikin wani lokacin sume, ana iya sha daga bakin ciki.

Dole ne a yi wannan a hankali don mai haƙuri ba ya sara. Ana samar da abubuwa iri ɗaya a cikin nau'in gel. An ba shi damar amfani da zuma.

Haramun ne a yi amfani da insulin a cikin yanayin insulin na coma, tunda wannan kwayar zata haifar da wani rikici kuma zai rage yiwuwar warkarwa. Amfani da wannan kayan aiki a cikin wannan yanayin zai iya haifar da mutuwa.

Don guje wa gabatarwar hormone, masana'antun suna ba da sirinji tare da yanayin toshe hanyoyin injiniya.

Yin rigakafin

Domin kada ya kawo jiki ga irin wannan mawuyacin hali a matsayin insulin coma, yakamata a kiyaye ka'idoji na yau da kullun: ku bi abinci sau da kullun, kula da matakan glucose akai-akai, allurar insulin akan lokaci.

Mahimmanci! Yana da matuƙar muhimmanci a mai da hankali kan rayuwar rayuwar insulin. An haramtawa amfani da karewa!

Zai fi kyau a yi hattara da matsi da ƙarfi a jiki. Cutar daban-daban, idan aka kamu da ita, ana magance su nan da nan bayan alamun farko.

Iyayen yaro da ke fama da ciwon sukari suna buƙatar kulawa da kyau sosai ga tsarin cin abinci. Sau da yawa, jariri a asirce daga mahaifinsa da mahaifiyarsa yana keta ƙa'idodin abinci. Zai fi kyau a fara bayyana duk sakamakon wannan halayyar.

Mutane masu lafiya ya kamata daga lokaci zuwa lokaci su kula da matakin sukari a cikin jini, idan kuka sabawa ka'idojin da aka yarda da su gaba daya, to yakamata a tuntuɓi likitancin endocrinologist.

Rashin haɗari

Riskungiyar haɗarin ta ƙunshi marasa lafiya da cututtukan cututtukan fata waɗanda suka yi aikin tiyata, 'yan mata masu juna biyu.

Hadarin ƙirƙirar ƙwayar cutar mahaifa yana da matuƙar wuce gona da iri a cikin waɗanda suka yi niyyar kar su bi abincin da likita ya umarta ko waɗanda ba su da gangan rage yawan insulin da ake sarrafawa. Shan shan giya kuma yana iya tsokani tashe.

An lura cewa gigicewar hyperglycemic yana da matukar wahalar gaske a cikin marasa lafiyar masu ritaya, da kuma a cikin wadanda ke da kiba. Mafi yawan lokuta ana gano wannan yanayin a cikin yara (yawanci saboda lalacewa mai yawa a cikin abincin, wanda sau da yawa mahaifin da mahaifiya ba su da masaniya game da) ko marasa lafiya a wani matashi kuma tare da ɗan gajeren lokaci na rashin lafiya. A kusan kashi 25% na marasa lafiya da ke fama da cutar sankarar bargo, ana lura da alamun magabata.

Rashin hankali

Yin amfani da insulin coma a cikin tabin hankali da sake dubawa na likitoci da marasa lafiya da kansu sun fi dacewa game da hakan. Duk da cewa yanayin haɗari ne, warkewa ta wannan hanyar yana haifar da sakamakon sa. Ana amfani dashi azaman ma'auni na musamman.

Kulawa da schizophrenia tare da insulin coma kamar haka. Mai haƙuri yana cikin allurar ciki tare da matsakaicin adadin insulin don jikinsa. Wannan yana haifar da yanayin da ke taimakawa wajen magance cutar.

Sakamakon insulin coma a cikin ƙwaƙwalwar ƙwaƙwalwa ya bambanta sosai. Kamar yadda aka ambata a baya, wannan yanayin yana da haɗari kuma yana iya haifar da mutuwa. Shekaru 100 da suka gabata shi ne. Saboda ƙarancin ilimi da kayan aiki, likitoci ba sa iya ceton haƙuri koyaushe. A yau, kowane abu ya bambanta, kuma don kawar da mai haƙuri daga yanayin halitta, likitoci suna da nasu hanyoyin da hanyoyin.

Gyaran jiki

Mai biyowa ga rikice-rikice kamar su coma, yakamata a kula sosai a lokacin gyara. Lokacin da mara lafiya ya bar asibitin, ya zama dole don tsara duk yanayin don murmurewa gaba daya.

Da farko, aiwatar da dukkan magunguna na likita. Wannan ya shafi abinci, salon rayuwa, da buƙatar guji halaye mara kyau.

Abu na biyu, don rashi rashi na bitamin, abubuwa masu lalacewa na micro da macro da aka rasa lokacin rashin lafiya. Auki ƙwayoyin bitamin masu rikitarwa, nuna sha'awa ba kawai a cikin adadi ba, duk da haka, da kuma ingancin abinci.

Kuma na ƙarshe: kar a daina, kar a daina kuma ƙoƙarin jin daɗin kowace rana. Tun da ciwon sukari ba hukunci bane, kawai wani ɓangare ne na rayuwa.

Insulin coma: yiwuwar haddasawa, zaɓuɓɓukan magani, rigakafin, ganewar asali

Bidiyo (latsa don kunnawa).

Ana ɗaukar rawar jiki na insulin mummunan sakamako na hypoglycemia, wanda matakan glucose a cikin jini ya ragu kuma akwai karuwa a cikin kwayoyin-insulin wanda ƙwaƙwalwar ƙwayar cuta ta samar. Sau ɗaya, a cikin lokuta masu rauni na schizophrenia, ba su san wata hanyar magani ba, sai dai don mai haƙuri ya faɗi cikin ƙwayar insulin. Don haka tare da taimakon likita sun yi ƙoƙarin kubutar da marasa lafiya daga matsalar tabin hankali. A cikin magani na hukuma, akwai hanya guda ɗaya kawai don gabatar da mai haƙuri ga wannan yanayin, amma ta yaya zan iya fitar da ita?

Cutar insulin shine amsawar jiki ko yanayin da yake faruwa sakamakon raguwar glucose na jini tsawon lokaci. A wata hanyar, ana kiran shi insulin shock.

Bidiyo (latsa don kunnawa).

Masana sun gano nau'ikan wadannan:

Ketoacidotic - ya bayyana a cikin mutanen da ke fama da ciwon sukari na 1. Hakan ya faru ne sakamakon sakin wasu ketones masu dimbin yawa, wadanda suka bayyana a jiki sakamakon aiki mai da mai. Sakamakon babban taro na waɗannan abubuwan, mutum yana nutsuwa cikin cocin ketoacidotic.
Hyperosmolar - yana haɓaka cikin mutanen da ke fama da ciwon sukari na 2. Sakamakon ruwa yawan ruwa. Matsayin glucose a cikin jini yana iya isa alamar sama da mm 3030 / l, babu ketones.
Hypoglycemic - yana bayyana a cikin waɗanda suke yin allurar ba daidai ba na insulin ko kuma ba sa bin abincin. Tare da hauhawar jini na jini, sukari na jini ya kai alamar 2.5 mmol / L da ƙananan.
Lactic acidotic wani saurin bambanci ne na coma masu ciwon sukari. Ya bayyana a bango na anaerobic glycolysis, wanda ke haifar da canji a ma'aunin lactate-pyruvate.

Alamar rashin insulin:

Rage glucose a cikin kwakwalwa. Neuralgia, nau'ikan cututtukan halaye, raɗaɗi, bayyana. A sakamakon haka, mai haƙuri zai iya rasa hankali, kuma rashin daidaituwa ya samu.
Tsarin juyayi na mai haƙuri ya firgita. Akwai karuwa a cikin tsoro da damuwa, raguwa a cikin jijiyoyin jini, haɓaka bugun zuciya, lalatawar tsarin jijiya, raunin pilomotor (ƙaddamarwar tsoka wanda ke haifar da amsawar, wanda mutane ke kira goosebumps), tsananin ɗumi.

Cutar insulin ta bayyana ba zato ba tsammani, amma tana da alamun farko. Tare da raguwa kaɗan na adadin glucose a cikin jini, mai haƙuri yana fara jin zafi a kai, rashin ci, zazzabi.

Tare da rikicin sukari, gaba ɗaya raunin kwayoyin halitta an gano shi. Bugu da kari, zuciya tana karawa a hanzari, yin gumi yana kara karfi, hannaye da dukkan jiki suna girgiza.

Mai haƙuri yana da alamun alamun likita na insulin coma na wucin gadi (niyya) ko yanayin dabi'a:

fata ya zama fari kuma rigar,
palpitations,
ƙwayar tsoka tana ƙaruwa.

Bugu da kari, akwai raguwa ko cikakken asarar reflexes.

Idan ba a gano mara lafiya a kan lokaci ba kuma ba a ba shi taimakon warkewa ba, to lamarin zai iya canzawa nan take.

Kwayar insulin sau da yawa yana bayyana a cikin marasa lafiya da ƙarancin dogara da insulin a cikin ciwon sukari mellitus.

Waɗannan sharuɗɗan masu zuwa na iya zama sanadiyyar bayyanar irin wannan yanayin:

An saka adadin insulin da ba a yarda da shi ba a cikin mai haƙuri.
Ba a allurar da hormone ba a karkashin fata, amma a ciki. Wannan na iya faruwa idan sirinji yana tare da doguwar allura, ko mai haƙuri yana so ya hanzarta sakamakon maganin.
Mai haƙuri ya sami ƙwarewar aiki a jiki, sannan kuma bai ci abinci mai arzikin carbohydrate ba.
Lokacin da mara lafiya bai cinye abinci ba bayan gudanar da homonin.
Mai haƙuri ya sha giya.
An gudanar da tausa a wani sashi na jiki inda aka gabatar da hormone din.
Ciki a cikin watanni 2 na farko.
Mai haƙuri yana da gajiya koda.
Mai haƙuri yana da cutar hanta mai ƙiba.

Rikicin sukari da coma ana yin su sau da yawa a cikin marasa lafiya lokacin da aka kafa sukari tare da cututtukan cututtukan hanta, hanji, kodan, da kuma tsarin endocrine.

Sau da yawa, ƙwayar insulin na faruwa bayan mai haƙuri ya ɗauki salicylates ko tare da gudanar da aikin kai tsaye na waɗannan magunguna da sulfonamides.

Jiyya don insulin coma yana farawa tare da allura ta ciki na glucose. Yi amfani da 25-110 ml na maganin 40%. An ƙayyade kashi gwargwadon yadda hanzarin yanayin mai haƙuri ya inganta.

Idan rashi mai narkewa bai baci ba, za a yarda wa mai haƙuri yin allurar glucose, ko kuma yakamata ya sha tea mai zaki.

Dole ne a yi wannan a hankali don mai haƙuri ba ya sara. Ana samar da abubuwa iri ɗaya a cikin nau'in gel. An ba shi damar amfani da zuma.

Don guje wa gabatarwar hormone, masana'antun suna ba da sirinji tare da yanayin toshe hanyoyin injiniya.

Don taimako daidai, ya wajaba a san alamun bayyanar cututtuka waɗanda ke faruwa tare da ƙwayar insulin. Lokacin da aka kafa waɗannan alamun, ya kamata a ba da taimakon farko ga mai haƙuri nan da nan.

kiran motar asibiti
kafin likitocin su isa, ya zama dole a sanya mara lafiyar a cikin kyakkyawan yanayi,
kana buƙatar ba shi wani abu mai dadi: caramel, alewa, sha ko zuma, jam ko ice cream. Idan mai haƙuri bai san abin da yake ba, sanya wani ɗan sukari a wuyansa. Lokacin da haƙuri yana cikin yanayin ciwon sukari, Sweets bazai ji ciwo ba.

Ana buƙatar ziyarar gaggawa zuwa asibiti a cikin irin waɗannan yanayi:

tare da allura ta biyu na glucose, mara lafiya ba ya sake farfaɗo, yawan sukari a cikin jini baya ƙaruwa, girgiza insulin ba ya tsayawa,
insulin coma yana maimaitawa koyaushe
lokacin da zai yuwu a shawo kan girgiza insulin, amma akwai karkacewa a cikin aikin zuciya, jijiyoyin jini, da tsarin jijiyoyi, cututtukan cerebral ya bayyana wanda bai wanzu ba.

Cutar mai fama da cutar sankara ko yanayin rashin lafiyar hypoglycemic cuta ce babba wacce zata haifar da mutuwa ga mara lafiyar. Don haka, taimako na kan lokaci da aiwatar da hanya ta ingantaccen jiyya suna da muhimmanci musamman.

Mahimmanci! Yana da matuƙar muhimmanci a mai da hankali kan rayuwar rayuwar insulin. An haramtawa amfani da karewa!

Zai fi kyau a yi hattara da matsi da ƙarfi a jiki. Cutar daban-daban, idan aka kamu da ita, ana magance su nan da nan bayan alamun farko.

Riskungiyar haɗarin ta ƙunshi marasa lafiya da cututtukan cututtukan fata waɗanda suka yi aikin tiyata, 'yan mata masu juna biyu.

Sakamakon insulin coma a cikin ƙwaƙwalwar ƙwaƙwalwa ya bambanta sosai. Kamar yadda aka ambata a baya, wannan yanayin yana da haɗari kuma yana iya haifar da mutuwa. Shekaru 100 da suka gabata shi ne. Saboda ƙarancin ilimi da kayan aiki, likitoci ba sa iya ceton haƙuri koyaushe. A yau, duk abin da ya bambanta, kuma don cire haƙuri daga yanayin da aka kirkirar wucin gadi, likitocin suna da nasu hanyoyin da hanyoyin.

Mai biyowa ga rikice-rikice kamar su coma, yakamata a kula sosai a lokacin gyara.Lokacin da mara lafiya ya bar asibitin, ya zama dole don tsara duk yanayin don murmurewa gaba daya.

Da farko, aiwatar da dukkan magunguna na likita. Wannan ya shafi abinci, salon rayuwa, da buƙatar guji halaye mara kyau.

Kuma na ƙarshe: kar a daina, kar a daina kuma ƙoƙarin jin daɗin kowace rana. Tun da ciwon sukari ba hukunci bane, kawai wani ɓangare ne na rayuwa.

Menene insulin coma ga masu ciwon sukari?

Girgizar insulin ko ƙwaƙwalwar jini na haɓaka kusan kwatsam kuma shine digiri na ƙarshe na hypoglycemia. Sakamakon raunin hypoglycemia mai ƙarfi, asarar kwatsam na faruwa.

Sakamakon gaskiyar cewa ƙwayoyin kwakwalwa da tsokoki suna hana su abinci mai mahimmanci, duk mahimman ayyukan jiki suna cikin yanayin rashin ƙarfi. Harin insulin yana nufin yanayin gaggawa mai mahimmanci, i.e. Idan ba tare da kulawa ta gaggawa ba, mutuwa na iya faruwa. A wannan yanayin, matakin glucose ya ragu a ƙasa da 2.78 mmol / L.

Cutar sankarau - menene? Ba kamar girgiza insulin ba, yakan fara ci gaba a hankali, a cikin kwanaki da yawa, yana wucewa cikin yanayin abubuwan da suka dace.

Tare da shi akwai hyperglycemia, lokacin da farji ba shi da lokacin haɓaka isasshen insulin. Sabili da haka, akidar jiyya anan ta banbanta, ba a sarrafa glucose, akwai da yawa. Kwayar cutar a nan ma sun bambanta da rawar jiki ta insulin. Yana faruwa ne kawai tare da ciwon sukari.

Matsayin hypoglycemia na iya haɓaka ba kawai a cikin masu ciwon sukari ba, har ma a cikin mutane masu lafiya tare da kaurace wa abinci. Fargabar insulin a cikin marasa lafiya da ciwon sukari na iya faruwa saboda dalilai masu zuwa:

Ba a horar da mai haƙuri don ɗaukar matakai don gano alamun farko na hypoglycemia da dakatar da su.
Mai haƙuri yana da haɗari ga shan barasa.
Yawan aikin insulin da aka gudanar ya wuce gona da iri, ta hanyar kuskure ko sakamakon wani lissafin da bai dace ba.
Introductionaddamarwar insulin ba ta dace da ɗaukar ƙwayar carbohydrates ba ko aikin jiki. Mai haƙuri zai iya gabatar da kowane kaya ba tare da izini ba ba tare da fara haɗa shi da likita ba kuma yana fatan wata dama. Hakanan, hanyoyin ƙarin carbohydrates ya kamata a kayyade su.
Madadin gwamnatin p / dermal, an saka insulin cikin / muscularly, saboda ana amfani da sirinji na yau da kullun maimakon insulin. A cikin sirinji na al'ada, allura ya fi tsayi koyaushe kuma, maimakon allurar subcutaneous, allurar ta kasance cikin ciki. A irin waɗannan halayen, aikin insulin yana ƙaruwa sosai.
Massage a wurin allurar insulin. Wasu sun fara shafa wurin da allura ta auduga da auduga - ba za a iya yi ba.
Mai haƙuri yana da kitse mai ƙiba, gazawar ƙwayar koda, wanda ke rage jinkirin cire insulin daga jiki.
A cikin farkon watanni 3 na ciki.
Bayan yawan damuwa.
Saboda jiyya tare da salicylates da sulfonamides, amma wannan ba kasafai ba ne kuma galibi a cikin tsofaffi.
Nisantar dogon lokaci daga cin abinci saboda dalilai daban-daban.
Activityara yawan motsa jiki.
M ciki tare da amai da gudawa.

Kwakwalwa tana buƙatar glucose fiye da kowa: idan aka kwatanta da tsoka, buƙatarta ta ninka sau 30. Wata matsalar ita ce kwakwalwa ba shi da depot na carbohydrate, irin su hanta, don haka yana da tabin hankali. Kwakwalwa ba a daidaita shi don amfani da sinadarin abinci mai gina jiki mai narkewa a cikin jini ba.

Tsarin juyayi na tsakiya yana kashe 20% na glucose mai shigowa. Lokacin da tsakanin minti 5-7 babu irin wannan kwayar cutar glucose, neurons cortical ya fara mutuwa. Suna haifar da sauye sauye. Sun gushe glucose da yawa kuma suna lalata da samfuran lalata, ƙwaƙwalwar haɓakar kwakwalwa ta haɓaka. Akwai ketoacidosis.

Kwayoyin da suka bambanta sosai sukan fara mutuwa. Da farko dai, abubuwanda ke faruwa a cikin coma (hypoglycemic aura) sun tashi, to, cerebellum, wanda ke da alhakin daidaitawar motsi ya shafa. Idan ba a karɓi glucose ko da a wannan lokacin ba, to, abin zai shafi gabobin kwakwalwa da ke ƙasa - subcortical-diencephalic, kuma a matakin karshe na karshe na coma, duka medulla oblongata ya ƙunsa wanda dukkanin cibiyoyin mahimmanci ke da hankali (numfashi, zagayawa cikin jini, narkewa) - coma ta zo. Ita ce kambin cutar rashin lafiyar da ba a magance ta.

Za'a iya rage madaidaicin matakin zuwa kowane irin yanayi wanda komai ya bunkasa kamar ba zato ba tsammani, a cikin 'yan mintuna. Saboda haka, ya kamata a ba da taimako nan da nan.

Bayyanar cututtuka na abubuwan da suka gabata sun bambanta kuma suna haɓaka bisa ga tsarin 2: abubuwan da ke cikin glucose a cikin neurons sun ragu (neuroglycopenia), kuma na biyu - ya ba da sha'awa ga tsarin adrenal mai juyayi.

A cikin lamari na farko, canje-canjen halayen, alamu na jijiyoyi, raɗaɗin rashi, asarar sani, da coma halaye ne. Hanya ta biyu ita ce bayyanuwar ANS: haɓakar bugun zuciya, haɓaka hawan jini, hyperhidrosis, myalgia, salivation, tashin hankali da tashin hankali yana haɓakawa, "kumburi mai kumburi" ya bayyana - amsawar pilomotor.

Hakanan wannan zabin na iya yiwuwa yayin da mai haƙuri tare da ciwon sukari ya sami karbuwa zuwa ƙara yawan glucose a cikin jini, sannan rage shi zuwa ga abin da aka saba yana haifar da yanayin rashin lafiyar: cephalgia da dizziness, rauni da kuma shudewa. Wannan shi ake kira dangi na rashin jini.

Cutar insulin na ciwon sukari tana tasowa lokacin da gubar glucose ta jini ta faɗi sama da raka'a 5, ba tare da la'akari da lambobin sa na farko ba. Wannan yana nuna cewa tsalle-tsalle a cikin glucose suna lalata tsarin ƙwayar cuta ta tsakiya.

mai karfi ji yunwa,
haushi da haushi,
cephalalgia, wanda analgesics ba ya kwantar da shi,
fatar ta zama rigar, tachycardia ya bayyana,
halayen har yanzu sun isa.

hali ya zama wanda bai dace ba - rashin nishaɗi ko tsokanar marasa dalili suna fitowa don samun abinci,
rikicewar ciyawar ganye yana bayyana - giya mai ɗaci, zafin tsoka, ƙaruwar salivation, rawar hannu, diplopia.

Hypoglycemia - akwai shiga tsakanin sashen kwakwalwa:

sautin tsoka ya tashi, wanda ya cika da rudani,
pathologies ta hanyar shakatawa (Babinsky, proboscis),
ɗalibai suna dilate
HELL ta tashi
zuciya da gumi nace,
amai yana farawa.

A zahiri coma - na farko, na farko bangarori na farko na medulla oblongata Medullaoblongata an haɗa su a cikin tsari, hankali yana kashe. Dukkanin iskarwar jijiyoyi na girma, yaran sun yi kauri, sautin gira a karu. Amma hawan jini ya riga ya fara raguwa, duk da cewa bugun jini yana da sauri.

Deep coma - ƙananan sassan Medullaoblongata suna da alaƙa. Da farko, hyperhidrosis yana haɓaka, sannan ya tsaya. Sakamakon raguwar sautin tsoka, cikakkiyar ƙarancin faruwa. Saukar karfin jini, bugun zuciya ya karye, ba da dadewa ba, numfashi ya bayyana, wanda hakan ya tsaya - mutuwa na faruwa.

Saboda haka, abin da kuke buƙatar ba da hankali nan da nan:

liman yayi sanyi
zufarsu kwatsam
rauni da kuma rauni, yanayin yanayi,
Fatar fuska ta zama fuska biyu kuma fatar maɓallin murabba'in n / labial ya bayyana, ƙyallen a wannan sashin.

Daga psyche:

marassa lafiya suna zama masu zafin rai, yanayin su na canzawa, suna da haquri, mara haƙuri ba zai iya mai da hankali kuma ba ya tuna komai,
hankali na iya yin koma baya ga wauta,
nakasa ta rasa.

Tare da tsawan lokaci na rage yawan glucose, gajeriyar numfashi yana bayyana ko da ƙananan nauyin, palpitations na fiye da 100-150 beats / min, diplopia, hannun ya girgiza farko, sannan kuma gabaɗaya. Lokacin da aka motsa motsin mara lafiya, wannan yana nuna farkon rashin wari. Idan mai haƙuri yana da lokaci don ɗaukar kwayoyi masu ɗauke da sukari a baya, ƙarar insulin tare da alamunta a hankali suka ɓace.

Idan an gano cutar hypoglycemia, yana da gaggawa a sake mamayar da abin da ke ciki zuwa matakin da ya dace ga mutumin da aka bayar. A irin waɗannan halayen, carbohydrates mai sauƙi sune mafi kyau - ƙarar su ya kamata ya zama aƙalla 10-15 g.

Wannan nau'in sukari za'a iya rarrabe shi kamar sukari, ruwan 'ya'yan itace, zuma, jam, glucose a cikin allunan. Soda bai dace ba, saboda maimakon sukari akwai daɗin daɗi da yawa a cikinsu kuma ba su da amfani. Bayan minti 10, kuna buƙatar auna sukari na jini, tare da fasahar zamani ana iya yin shi nan take. Idan har yanzu ba a sami biyan bukata ba, sai a maimaita ci. Idan ka rasa hankali, kira motar asibiti nan da nan.

Taimako na farko ga masu ciwon sukari: masu ciwon sukari tare da gwaninta koyaushe suna ɗaukar wani abu mai daɗi don irin waɗannan lokacin. A farkon alamar girgiza insulin, ana ɗaukar kayan lemun zaƙi. Waɗanda suke karɓar insulin ta hanyar allura ya kamata su tuna cewa yawancin insulin na iya yin kasawa da maraice da dare.

Yayin bacci, mai yiwuwa ba za a lura da wani ba. Amma to mafarki mai ƙarancin alama ya zama alama mai ban tsoro: zai zama mai tayar da hankali, tare da maimaitawar bacci da maɗaukaki, tare da alaƙar dare.

Bayan bacci, lafiyata ta tsananta. Yawan sukari na jini yana ƙaruwa - wannan yana maganin tashin hankali. Yayin rana, akwai rauni, juyayi, rashin tausayi.

Jiyya shine allura ta gaggawa na 40% na glucose a cikin yawan 20-100 ml ko allura na glucagon hormone. Mafi sau da yawa, dangi waɗanda ke da masaniya game da ganewar asali na iya fara gabatarwar, 'yan sanda, lokacin da suka sami katin da ke dauke da ciwon sukari a cikin aljihunsa, ƙungiyar tunani wanda ba ta da izini a kira mai haƙuri.

A cikin mawuyacin hali, adrenaline, corticosteroids na iya allura a ƙarƙashin fata a cikin jijiyoyin / jijiyoyin wuya ko cikin jijiya. An cire insulin gaba daya. Idan hankali ba ya nan, babu numfashi da bugun jini, kuna buƙatar fara tausayar zuciya kai tsaye da kuma hurawar mutum.

Idan hankali ya kasance, zuba mutum kadan a cikin bakinsa ko sanya wani sukari a kuncin. Idan an kiyaye haɗiye kuma ba zai yiwu a yi allura ba, sha mara lafiyar tare da ruwan 'ya'yan itace mai dadi (ba tare da ɓangaren huhu ba) ko syrup.

Idan babu nutsuwa mai narkewa, zaku iya narke glucose a ƙarƙashin harshen. Idan ba a sami wani abu mai daɗin rai ba a hannun, yana da mahimmanci don cutar da raɗaɗi mai raɗaɗi - wannan shine don tilasta ƙarfi a kan cheeks ko tsunkule. Wannan yana aiki idan an kiyaye azanci game da jin zafi - tare da m coma.

Wannan daya ne daga cikin jiyya don schizophrenia. A lokaci guda, akwai sauyawa a cikin tsarin juyayi na tsakiya, hanyoyin hanawa da canzawar farin ciki, wanda ke inganta hanya da cutar kuma ana iya samun sauƙin bayyanar cututtuka.

Isar da isasshen jinkiri. Ana amfani dashi kawai a cikin tsaran yanayi saboda ana buƙatar saka idanu akan ma'aikata na lokaci-lokaci.

Rashin allurar yau da kullun na insulin ya kawo mara lafiyar zuwa coma, wanda daga nan suke cirewa. Farjin insulin ba shi da wuya ya ba da rikitarwa. A hanya na lura yawanci ba kasa da 25 com.

Mafi haɗari shine cututtukan cerebral edema. Yawan jini a jiki na iya haifar da matsalar rashin ƙarfi, ƙwaƙwalwar zuciya da bugun zuciya.

Ka'idodin ƙirar ƙwayoyin cuta ta matakai: rage sukari zuwa:

3.33-2.77 mmol / l - alamun farko sun bayyana,
2.77-1.66 mmol / l - duk alamun alamun rashin ƙarfi a fili suke,
1.38-1.65 mmol / L da ke ƙasa - asarar hankali. Babban abu shine saurin cutar glycemia.

A matsayin gwargwadon rigakafin, wajibi ne don auna glycemia kowane kwana 10 ga mai haƙuri da ciwon sukari.

Wannan yana da mahimmanci musamman idan mai haƙuri ya ɗauki magunguna kamar su: anticoagulants, salicylates, tetracycline, beta-blockers, anti-TB. Gaskiyar ita ce cewa waɗannan kwayoyi suna ƙara samar da insulin. Hakanan, tare da halayyar ƙwayar cuta, sigari da barasa ya kamata a watsar.

Glucose wani bangare ne mai matukar mahimmanci ga cikakken aikin jiki. Lokacin da kansa yake aiki daidai, ana kiyaye ma'aunin suga na jini.

Ga mutanen da ke da ciwon sukari, yana da mahimmanci don sarrafa matakan glucose.

In ba haka ba, lokuta masu mahimmanci na iya tashi wanda ke barazanar rayuwar mutum.

Tare da raguwa kwatsam a cikin sukari a cikin jiki, fashewar insulin ko rikicin sukari ya faru. A wannan gaba, matakin insulin na hormone zai iya ƙaruwa sosai. Bayyanar cututtuka na haɓaka da sauri kuma suna da mahimmanci.

Sakamakon matsananciyar motsa jiki da matsanancin oxygen, ayyuka masu mahimmanci ana lalata su. Rikicin sukari yana tasowa daga tushen ciwon sukari. Arin digo a cikin ƙasa mai 2.3 mmol / L ana ɗaukar mahimmanci.

Daga wannan lokacin, canje-canje marasa alaƙa da ke faruwa a cikin jikin mutum. Amma idan mutum koyaushe yana da matakin sukari ya karu zuwa 20 mmol / L, to, mahimmin matsayi a gare shi zai zama raguwar glucose zuwa 8 mmol / L.

Babban mahimmanci a cikin wannan halin shine samar da taimako na lokaci-lokaci. Aiki daidai idan ya faru da rawar jiki insulin zai iya ceton ran mutum.

Cutar insulin na iya bunkasa a cikin 'yan kwanaki, dole wucewa ta hanyar matakin. Yana da mahimmanci a gyara wannan matakin kuma a fara jiyya nan take.

Don yanayin ya daidaita, mai haƙuri yana buƙatar yin amfani da jinkirin carbohydrates - porridge, sukari, zuma, abin sha mai dadi.

Marasa lafiya na insulin-da ke fama da wahala yana fama da rikice-rikice na dare. Ainihi, da yawa ba sa gyara wannan yanayin a gida.

Wadannan bayyanar cututtuka sun hada da:

mummunan barci mara kyau
nasiha
Damuwa
kururuwa
kuka
rikicewar hankali
rauni a kan farkawa,
apathy
juyayi
haushi.

Halin insulin yana nuna yanayin rashin ƙarfi da danshi a fata. Zafin jiki yana raguwa. Matsa lamba da bugun jini yayi kasa da al'ada. Babu wani sassauci - ɗaliban ba sa kula da haske. Za'a iya gano kwatsam a cikin glucose tare da glucometer.

Lauyoyin wannan jiha su ne:

wuce haddi na insulin - ba daidai ba sashi,
gabatarwar hormone a cikin tsoka, ba a karkashin fata ba,
watsi da abun ciye-ciye wanda yake motsa jiki bayan allurar hodar,
shan giya
kaya masu wuce haddi bayan aikin insulin,
allurar shafin zubar jini - tasirin jiki,
watannin farko na ciki
na gazawar
kitse mai adadi a cikin hanta,
cutar hanji
cututtukan tsarin endocrin
rashin daidaituwa tsakanin kwayoyi.

Irin waɗannan halayen ana haifar da su musamman a cikin marasa hankalin masu rashin amfani da ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwar ƙwaƙwalwa ta amfani da farjin motsa jiki na insulin Ana aiwatar da wannan hanyar ne da niyyar magance cututtukan schizophrenic, kuma za a iya amfani da ita tare da rubutaccen izinin haƙuri. A yayin irin waɗannan abubuwan, ana kula da haƙuri koyaushe don bayar da taimakon farko cikin lokaci idan ya cancanta.

Wani lokacin cutar rashin haihuwa na iya faruwa a cikin mutane masu cikakken lafiya. Stressarfin damuwa mai ƙarfi, ƙarancin abinci mai ƙoshin abinci, da ɗaukar nauyin jikin mutum na iya tsokani shi. Kwayar cutar za ta kasance iri ɗaya ce da ta ciwon suga.

Tare da ƙwayar insulin, yana da matukar muhimmanci ga daidai kuma da sauri ba da taimakon farko:

Kira motar asibiti
Kwance wanda aka azabtar da shi a cikin kwanciyar hankali.
Eterayyade sukari na jini ta amfani da glucometer. Idan wannan ba zai yiwu ba (babu na'urar), to sai a gudanar da maganin mara lafiya 20 ml na maganin glucose 40%. Idan yanayin rikice-rikice yana da alaƙa da raguwar glucose, to ingantawa zai faru da sauri. Kuma idan dysfunction yana da alaƙa da hyperglycemia, to babu wasu canje-canje da zasu faru.
Ka ba wa wanda aka cutar da shayi mai zaki ko abin sha mai ɗaci. Bada izinin cin ɗan farin burodi, kayan kwalliya, sukari, zuma ko jam. A kowane hali kada ku bayar da ice cream ko cakulan - wannan kawai zai cutar, saboda zai rage jinkirin karbowar carbohydrates. Idan mutum bai san abin ba, to sai a ɗibi ɗan sukari a kuncin.
Wajibi ne a aiwatar da sakin adrenaline a cikin jini. Idan hankali bai yi asara ba, to yin popping, tweaking da sauran nau'in haushi zai taimaka.
A cikin lokuta masu wahala, ana sarrafa glucose ko glucagon.

Yakamata kulawar gaggawa ta shigo cikin kankanin lokaci, saboda wannan yanayin mai matukar muhimmanci ne. Bugu da ƙari, likitoci za su ba da madaidaicin magani, suna lura da yanayin mai haƙuri koyaushe.A cikin Asibiti, za a gudanar da sanya idanu akai akai na matakan sukari da glucose na ciki. A cikin lokuta masu tsanani, ana iya amfani da magungunan corticosteroid.

Idan girgiza insulin ta dawo a kai a kai ko bayan alamu waɗanda basu taɓa faruwa ba, to ya kamata kai tsaye ku nemi taimakon likita. Wannan yanayi ne mai matukar hatsarin gaske, wanda idan babu magani na kan lokaci zai iya haifar da rikice-rikice.

hanji harshe,
bugun jini
ba a canzawa lalacewar tsarin juyayi na tsakiya ba,
canjin mutum
karancin hankali
lalacewar mutum
m sakamako.

Wannan yanayin yana da matukar haɗari ga mutanen da ke fama da cutar sannu-sannu.

Tare da nau'i mai laushi na rikicin sukari da kulawar likita na lokaci, ƙaddarawar tana da matukar dacewa. Ana cire cututtukan hanzari da sauri, kuma murmurewar mutum yana da sauƙi. Amma tare da siffofi masu tsauri, ba koyaushe mutum zai yi fatan samun kyakkyawan sakamako ba. Anan babban rawar yana taka rawar gani da kuma lokacin taimako na farko. Daidaita ilimin likita na dogon lokaci, ba shakka, yana shafar sakamakon yanayin.

Bidiyo daga gwani:

Hypoglycemia ya ƙunshi gigicewar insulin da farin ciki. Don hana yiwuwar rikice-rikice, ya zama dole don jagoranci ingantacciyar rayuwa da lura da taka tsantsan.

Mutumin da ke cikin haɗarin ya:

Hypoglycemia yanayi ne mai haɗari ga mutum, wanda zai iya haifar da rikice-rikice har ma da mutuwa. Yin rigakafi da taimako na kan lokaci yana taimakawa wajen kiyaye ayyukan jikin.

Fargabar insulin wani yanayi ne da ake nuna shi da hauhawar sukari jini (hypoglycemia) da kuma ƙaruwa a cikin insulin, hormone wanda ƙwayar huhu ta samar. Wannan yanayin pathological dole ne ya haɗu da tushen ciwon sukari mellitus.

A cikin lafiyar jiki, insulin da glucose koyaushe suna cikin ƙa'idodin yarda, amma tare da ciwon sukari, ƙwayar cuta ta lalace, kuma idan ba a kula da shi ba, wannan na iya haifar da haɓakar insulin. In ba haka ba, ana kuma iya kiranta rikicin sukari ko ƙwayar cutar farin ciki.

Wannan yanayin akwai m. A matsayinka na mai mulkin, ya gabace shi ta hanyar lokaci, amma a wasu halayen yana ɗaukar kaɗan kaɗan har ma mara lafiya da kansa bashi da lokacin lura. Sakamakon haka, asarar hankali na iya faruwa, wani lokacin kuma keta alfarmar ayyuka masu mahimmanci wanda aka tsara ta medulla oblongata ya faru.

Rikicin sugar yana tasowa cikin hanzari, tare da raguwa mai yawa a cikin tattarawar glucose a cikin jini, kazalika da jinkirin shan shi ta kwakwalwa. Ana aiwatar da irin wannan tsari ne ta tsarin hanyoyin:

Neuroglycopenia - raguwa a matakin sukari a cikin kayan kwakwalwa. An bayyana shi ta hanyar rikicewar jijiyoyin cuta, nau'ikan rikice-rikice halayen halaye, asarar hankali, rashiwa. A sakamakon haka, yana iya jujjuyawa zuwa cikin tsari.
Jin daɗin tsarin mai juyayi-adrenal, wanda ke bayyana kanta a cikin hanyar ƙara damuwa ko tsoro, tachycardia, spasm na jijiyoyin jini, rikice-rikice na tsarin juyayi na autonomic, halayen polymotor, ƙara haɓaka.

Haɓaka ƙarancin ƙwayar cutar mahaifa yana faruwa ba zato ba tsammani. Amma alamomin bayyanannun abubuwa sun gabace shi. A lokacin ƙaramin raguwa a cikin taro na glucose a cikin jini, mai haƙuri na iya jin ciwon kai, jin yunwar, zafin wuta. Wannan yana faruwa da tushen rauni gaba ɗaya. Hakanan, akwai wadataccen bugun zuciya, haɓaka samar da gumi, rawar jiki da ƙafar ƙafa ko jikin duka.

A wannan matakin, don jimre wa wannan yanayin mai sauqi ne idan kun ɗauki carbohydrates. Marasa lafiya waɗanda ke sane da cutar su koyaushe suna ɗaukar irin wannan shirye-shirye ko abinci mai daɗi (gudawa na sukari mai ladabi, shayi mai zaki ko ruwan 'ya'yan itace, Sweets, da sauransu). Lokacin da alamun farko suka faru, ya isa a yi amfani da su don daidaita matakan glucose.

Idan ana gudanar da aikin tare da insulin aiki na tsawon lokaci, to, mafi girman raguwar matakan glucose na jini yakan faru ne da rana da dare. A wannan lokacin ne faɗuwar insulin zai iya haɓaka. A cikin yanayin inda wannan yanayin ya tashi a lokacin baccin mai haƙuri, tsawon lokaci ya kasance ba a gane shi ba.

A wannan yanayin, rashin bacci yakan faru, ya zama na sama, mai hutawa, kusan sau tari. Idan yaro yana fama da wata cuta, to yana iya yin ihu ko kuka a cikin baccinsa. Bayan ya farka, bacci ya sake kwantawa da rikice-rikice.

Da safe, marasa lafiya suna jin rashin lafiya saboda bacci mai hutawa. A cikin waɗannan sa'o'i, glucose na jini yana ƙaruwa sosai, wanda ake kira "mai amsawa glycemia." Duk tsawon rana bayan girgiza insulin da daddare, mai haƙuri ya kasance mai haushi, mai ɗaukar hankali, juyayi, akwai yanayin rashin tausayi, ji na rauni a cikin jiki.

Kai tsaye a cikin lokacin tashe na hypoglycemic coma, an lura da alamun bayyanar cututtuka na asibiti:

pallor da gumi na fata,
samarin
ƙwayar tsoka.

A lokaci guda, ɓarkewar gashin idanunsa ya kasance al'ada, harshe yana da daɗi, numfashi ya kasance rhythmic, amma a cikin rashin kulawar likita na lokaci, sannu a hankali ya zama na sama.

Tare da jinkirin bayyanuwa zuwa yanayin rikicin sukari, hypotension, rashin sautin tsoka, bradycardia, zafin jiki yana zama ƙasa da al'ada. Hakanan za'a iya yin rauni sosai a jiki ko kuma a bayyane gabaɗaya. Pupilsaliban sun daina amsa haske.

Idan ba a bayyana alamun cutar a matakin farko na girgiza insulin ba kuma babu wani taimakon likita, ana lura da tabarbarewa yanayin yanayin mai haƙuri. Trismus, bugun zuciya, tashin zuciya da amai na iya haɓaka, mai haƙuri ya sami damuwa, kuma bayan ɗan lokaci akwai asarar sani.

Lokacin gudanar da gwaje-gwaje na dakin gwaje-gwaje a cikin fitsari, ba a gano glucose ba. A wannan yanayin, tasirinta ga acetone zai iya zama duka mara kyau kuma tabbatacce. Sakamakon ya dogara da matsayin diyya na metabolism metabolism.

Kwayar cutar hypoglycemia na iya damewa marasa lafiya masu fama da ciwon sukari na dogon lokaci, har ma da matakin glucose na al'ada ko karuwa. An yi bayanin wannan ta hanyar canje-canje mai kauri a cikin glycemia, alal misali, daga 18 mmol / l zuwa 7 mmol / l kuma mataimakin.

Halin insulin ya fi faruwa a cikin marasa lafiya waɗanda ke fama da matsanancin ciwon sukari na mellitus-insulin-insulin-insulin na da. Bugu da kari, abubuwanda zasu iya haifar da ci gaban irin wannan yanayin:

Gabatarwar kashi mara kyau na insulin.
Gabatar da hormone ba subcutaneous, amma intramuscularly. Wannan na iya faruwa idan doguwar allura ta kasance a cikin sirinji ko mai haƙuri yana ƙoƙarin hanzarta sakamakon maganin.
Muhimmin aiki na jiki, bayan wannan amfani abinci mai wadataccen carbohydrates bai bi ba.
Idan mai haƙuri bai ci abinci ba bayan gudanar da insulin.
Yin amfani da giya.
Massage wurin da aka yi allura.
Watan farko na ciki.
Rashin wahala.
Yawan hanta.

Rushewar insulin sau da yawa yana damuwa da mutane wanda ciwon sukari ya haɓaka da asalin yanayin ƙwayar cuta na kodan, hanji, hanta, tsarin endocrine.

Sau da yawa, rikicin sukari yana faruwa bayan ɗaukar salicylates ko kuma amfani da waɗannan magunguna lokaci guda tare da sulfonamides.

Jiyya na rashin daidaituwa na jini yana farawa tare da gabatarwar glucose a cikin jijiya. Ana amfani da maganin 40% a cikin adadin 20-100 ml. Sashi ya dogara da sauri da mai haƙuri zai dawo da hankali.

A cikin lokuta masu wahala, ana amfani da glucagon, ana gudanar da glucocorticoids a cikin jijiya ko intramuscularly. Hakanan ana iya amfani da maganin 0.1% na epinephrine hydrochloride. 1 ml yana allurar ƙarƙashin ƙasa.

Yayinda yake riƙe da nutsuwa ta haɗiye mai haƙuri, ya zama dole a sha tare da giya mai zaƙi ko glucose.

Game da rasa hankali, rashi na yadda ɗalibai suka amsa ga haske da nutsuwa, mai haƙuri yana nutsuwa da ƙananan saukowar glucose a ƙarƙashin harshen. Ko da a cikin coma, wannan kayan za a iya tunawa kai tsaye daga bakin ciki. Yi wannan a hankali domin mai haƙuri ba ya sara. Akwai analogues a cikin nau'in mala'ikan. Hakanan zaka iya amfani da zuma.

A kowane hali yakamata a samarda insulin tare da cutar sikila, tunda hakan zai kara dagula yanayin mara lafiyar kuma ya rage damar murmurewa sosai. Amfani da wannan magani a cikin irin waɗannan yanayi na iya zama da m.

Don guje wa aikin insulin da ba dole ba, wasu masana'antun suna ba da sirinji tare da kulle ta atomatik.

Don samar da kulawa ta gaggawa, kuna buƙatar sanin daidai alamun girgiza insulin. Idan ka yanke hukuncin daidai cewa wannan yanayin yana faruwa, kai tsaye ka taimaka wa mai haƙuri. Ya ƙunshi waɗannan matakai:

Kira motar asibiti
Kafin zuwan ƙungiyar likitoci, taimaka wa mara lafiya ya ɗauki matsayi mai kyau: kwance ko zaune.
Ka ba shi wani abu mai daɗi. Zai iya zama sukari, shayi, alewa, zuma, ice cream, jam. A matsayinka na mai mulki, marasa lafiya suna ɗaukar wannan tare da su.
Idan aka rasa asarar rai, sanya wanda aka yi wa kwalin sukari a kuncin. Ko da tare da kamuwa da cutar siga, ba ya cutar da lafiyar musamman.

Asibitin gaggawa na wajaba a irin waɗannan halaye:

Maimaita aikin glucose baya mai da hankali ga sani, yayin da matakin glucose a cikin jini ya ragu.
Sau da yawa maimaita insulin shocks.
Idan ya yiwu a shawo kan rawar jiki, amma akwai matsaloli tare da jijiyoyin jini, tsarin juyayi, ƙwaƙwalwar hanji ya bayyana, waɗanda a baya ba su nan.

Rushewar insulin wani mummunan cuta ne wanda zai iya biyan rayuwar mai haƙuri. Sabili da haka, yana da mahimmanci don samun damar samar da kulawa ta gaggawa cikin lokaci kuma gudanar da aikin da ya kamata.

Jagora zuwa Endocrinology: Monograph. , Magunguna - M., 2012 .-- 506 p.
Rumyantseva, T. Diary na mai ciwon sukari. Diary na kula da kai don cutar sankarar bargo: monograph. / T. Rumyantseva. - M.: AST, Astrel-SPb, 2007 .-- 384 p.
Davydov Duba yanayin samar da sukari-da sauran sabbin cigaba da aka samu akan shi a Rasha / Davydov. - M.: Littafin akan Neman, 1833. - 122 c.

Bari in gabatar da kaina. Sunana Elena. Na kasance ina aiki a matsayin endocrinologist fiye da shekaru 10. Na yi imanin cewa a halin yanzu ni ƙwararre ne a fagen aikina kuma ina so in taimaka wa duk baƙi zuwa shafin don warware matsalolin da ba ayyuka sosai ba. Duk kayan aikin don wurin yanar gizon an tattara su kuma ana aiwatar dasu da kyau don isar da sanarwa gwargwadon iko. Kafin amfani da abin da aka bayyana akan gidan yanar gizon, tattaunawa mai mahimmanci tare da kwararru koyaushe wajibi ne.