Okufanele Ukwazi Ngokutakula kusuka ku-Coma Yesifo Sikashukela

-Delile

• Izimpawu
• I-Hypoglycemia
• I-Hyperglycemia
• Ukwelashwa
• Ukubuyiselwa
• Umbono
• Ukuvimbela

Ukubuka konke

I-coma yesifo sikashukela ivela lapho umuntu onesifo sikashukela elahlekelwa ukwazi. Kungenzeka kubantu abanesifo sikashukela sohlobo 1 noma uhlobo lwesibili.

I-coma yesifo sikashukela ivela lapho amazinga kashukela egazi eba phansi kakhulu noma ephakeme kakhulu. Amaseli emzimbeni wakho adinga i-glucose ukuze isebenze. Ushukela wegazi ophakeme, noma i-hyperglycemia, kungakwenza uzizwe unekhanda futhi ulahlekelwe ukwazi. Ushukela wegazi ophansi, noma i-hypoglycemia, ingadala ukoma emzimbeni kuze kufike ezingeni lapho ungalahlekelwa khona ukwazi.

Imvamisa, ungavimbela i-hyperglycemia noma i-hypoglycemia ekuqhubekeni ku-coma yesifo sikashukela. Uma kwenzeka ukuquleka kwesifo sikashukela, kungenzeka ukuthi udokotela wakho angalinganisa amazinga kashukela egazini lakho futhi abuyisele ukwazi kwakho nempilo yakho ngokushesha uma bekwazi ukuphendula isimo sakho ngesikhathi esifanele.

Ungangena futhi ku-coma yesifo sikashukela uma uba ne-ketoacidosis yesifo sikashukela. I-Dietetic ketoacidosis (DKA) iyinqwaba yamakhemikhali abizwa ngama-ketone egazini lakho.

Izimpawu

I-Hypoglycemia

Izimpawu ze-hypoglycemia zingafaka:

• ikhanda
• ukukhathala
• isiyezi
• ukudideka
• ukushaya kwenhliziyo
• ukuqhaqhazela

I-Hyperglycemia

Uma une-hyperglycemia, ungahlangabezana nokoma okubonakalayo futhi ungahle uchame kaningi. Ukuhlolwa kwegazi kungabuye kuveze amazinga aphezulu eshukela ekusakazeni kwegazi lakho. Ukuhlolwa komchamo kungakhombisa nokuthi amazinga akho kashukela aphezulu kakhulu.

I-DKA ibangela amazinga aphezulu eglucose yegazi. Izimpawu zibandakanya ukoma okwandayo kanye nesidingo esivamile sokuchama. Ezinye izimpawu zamazinga we-ketone aphakeme afaka:

• ngizizwe ngikhathele
• ukuba nesisu esibuhlungu
• enesikhumba esikhanyisiwe noma esomile

Uma unezimpawu ze-coma ezinzima kakhulu, shayela ku-911. Izimpawu ezinzima zingafaka:

• ukuhlanza
• ukuphefumula kanzima
• ukudideka
• ubuthakathaka
• isiyezi

I-coma yesifo sikashukela iyisimo esiphuthumayo sezokwelapha. Kungadala ukulimala kwengqondo noma ukufa uma ungatholi ukwelashwa.

Ukwelashwa

Ukwelapha i-hyperglycemia kudinga uketshezi olufakwa emithanjeni ukuze kuthuthukise amazinga oketshezi emzimbeni wakho wonke. Ungathola futhi i-insulin ukusiza amaseli akho amunce i-glucose eyengeziwe ejikelezayo. Uma amazinga akho e-sodium, i-potassium, noma i-phosphate aphansi, ungathola ama-supplements okusiza ukuwaletha emazingeni aphilile. Ukwelashwa kuzofana ne-DKA.

Umjovo we-glucagon uzosiza ukukhuphula amazinga kashukela egazini lakho uma uhlangabezana ne-hypoglycemia.

Ukubuyiselwa

Lapho amazinga akho kashukela egazini esezingeni elifanele, kufanele uqale ukuzizwa ungcono ngokushesha. Uma ngabe uqulekile, kufanele uze ngokushesha ngemuva kokuqala ukwelashwa.

Akufanele kube nemiphumela ehlala njalo uma uthola ukwelashwa ngokushesha ngemuva kokuvela kwezimpawu. Uma lezi zimpawu zivele isikhashana ngaphambi kokwelashwa noma ngabe uku-coma yesifo sikashukela amahora amaningana noma ngaphezulu, ungahle ulimale ubuchopho. Ukoma okungalashwa kwesifo sikashukela nakho kungaholela ekufeni.

Abantu abathola ukwelashwa okuphuthumayo ngekhoma lesifo sikashukela bavame ukululama ngokuphelele. Udokotela wakho angancoma ukuthi ugqoke isongo lobunikazi elichaza uhlobo lwesifo sikashukela sakho nokunye ukukhathazeka ngempilo. Lokhu kungasiza ekuqinisekiseni ukuthi uthola ukwelashwa okufanele kwezinkinga ezizayo ngokushesha.

Uma uhlangabezana nekhoma likashukela ngaphandle kokwazi ukuthi unesifo sikashukela, udokotela wakho uzosebenzisana nawe ukwenza uhlelo lokwelashwa kwesifo sikashukela. Lokhu kuzobandakanya imithi, kanye nezincomo zokudla nokuzivocavoca umzimba.

Umbono

Shayela ku-911 uma ubona othile elahlekelwa ukwazi nganoma yisiphi isizathu. Kungaba ukuphelelwa amandla okwesikhashana ngenxa yokwehla okungazelelwe kwengcindezi yegazi noma ukuhlaselwa ukukhathazeka. Uma wazi ukuthi umuntu unesifo sikashukela, tshela opharetha abangu-911. Lokhu kungathinta indlela abezimo eziphuthumayo abamphatha ngayo umuntu osendaweni yesehlakalo.

Uma umuntu engazange adlule futhi isimo singesona isimo esiphuthumayo, ukuhlolwa kweglucose yegazi lasekhaya kungaveza ukuthi kukhona i-glucose eningi kakhulu noma encane kakhulu ohlelweni lwabo. Uma amazinga e-glucose engaphezulu kwama-milligram angama-240 nge-desilitha ngalinye, ukuhlolwa komchamo wasekhaya kwama-ketone kufanelekile.

Uma amazinga abo e-ketone ephezulu, balethe kudokotela. Uma amazinga abo e-ketone azinzile, khona-ke ukuzivocavoca umzimba, ukulungiswa kokudla, noma imishanguzo kunganele ukusiza ukwehlisa amazinga kashukela egazini.

Ukuvimbela

Uma unesifo sikashukela, kubalulekile ukuthi unake amazinga eglucose egazini lakho nokudla kwakho nsuku zonke. Ukhiye wokuvimbela i-coma yesifo sikashukela ukuphathwa kahle kweglucose yegazi. Lokhu kusho ukuthatha i-insulini yakho nokuhlola i-glucose yakho yegazi namaketoni njengoba udokotela wakho ancoma.

Kufanele futhi unake kakhulu ukudla kwakho kwe-carbohydrate. Lokhu kuyiqiniso kubantu abane-type 1 noma uhlobo lwesibili sikashukela. Cabanga ngokusebenza nengcwethi yokudla okuyi-educator of diabetes eqinisekisiwe. Bangakusiza ukuthi wakhe uhlelo lokudla ngesifo sikashukela.

Kufanele wazi ukuthi wenzeni uma uphuthelwa umthamo we-insulin noma eminye imithi yesifo sikashukela. Buza udokotela wakho ngalokho, nokuthi yini okufanele uyenze uma uqala ukuzwa izimpawu ze-hyperglycemia noma i-hypoglycemia.

Isifo sikashukela singathinta ezinye izingxenye zempilo yakho. Isifo sikashukela esingalawulwa singalimaza impilo yakho yenhliziyo ikakhulukazi. Njengoba ukhula, i-chemistry yomzimba wakho iyashintsha. Zilungiselele ukushintsha imithamo yemithi noma ulungise indlela odla ngayo endleleni.

I-coma yesifo sikashukela ingumcimbi ongajwayelekile, kepha kuvamile ngokwanele ukuthi kufanele wazi ukuthi ubungozi bukhona. Thatha izinyathelo zokuphatha kahle isifo sakho sikashukela bese ubuza udokotela wakho noma yimiphi imibuzo onayo mayelana nokuthi ungasinqanda kanjani ikhoma sikashukela.