Usizo lokuqala kwabanesifo sikashukela

-Delile

• 1. I-Hyperglycemia - ushukela omningi
• 2. I-Hypoglycemia - ushukela ophansi
• Olunye usizo lokuqala olubalulekile kubantu abanesifo sikashukela
• 1. Amanxeba esikhumba
• 2. Sonta unyawo
• Izimpawu zokuxwayisa ukuya kudokotela

Ukuze ukwazi ukusiza umuntu onesifo sikashukela, kubalulekile ukwazi ukuthi ngabe kuyisiqephu sikashukela wegazi okweqile (i-hyperglycemia), noma ukungabikho koshukela wegazi (hypoglycemia), njengoba zombili lezi zimo zingenzeka.

I-Hyperglycemia ivame kakhulu kubantu abanesifo sikashukela abangenakho ukwelashwa okufanele noma abangalandeli ukudla okunomsoco, kanti i-hypoglycemia ivame kakhulu kubantu abathatha ukwelashwa nge-insulin noma asebeke bahlala isikhathi eside bengadlanga, ngokwesibonelo.

Uma kungenzeka, into yokuqala okufanele uyenze ukuhlola i-glucose yegazi lomuntu, nethuluzi elifanele ukukala inani likashukela egazini. Ngokuvamile, amanani angaphansi kuka-70 mg / dL akhombisa i-hypoglycemia namanani angaphezulu kuka-180 mg / dL angakhombisa i-hyperglycemia, ikakhulukazi uma umuntu engakaqedi ukudla.

1. I-Hyperglycemia - ushukela omningi

Lapho ushukela uphezulu egazini, obizwa nangokuthi i-hyperglycemia, inani ledivayisi lizobonisa amanani angaphezu kuka-180 mg / dL, esiswini esingenalutho, noma ngaphezulu kuka-250 mg / dL, nganoma yisiphi isikhathi sosuku.

Ngaphezu kwalokho, lo muntu angahlangabezana nokudideka, ukoma ngokweqile, umlomo owomile, ukukhathala, ikhanda elibuhlungu nokuphefumula okuguqukile. Kulezi zimo, kufanele:

1. Bheka isirinji ye-SOS insulin, lowo muntu angaba nayo ezimweni eziphuthumayo;
2. Jova isirinji esifundeni esizungeze inkaba noma ingalo engaphezulu, wenze isibambo ngeminwe yakho, usigcine kuze kube sekupheleni komjovo, njengoba kukhonjisiwe esithombeni;
3. Uma, ngemuva kwemizuzu eyi-15, inani likashukela lihlala lilingana, kufanele ushayele usizo lwezokwelapha, ushayele ngokushesha inombolo engu-192 noma uhambise lowo muntu esibhedlela;
4. Uma isisulu singaqulekile kepha siphefumula, kufanele sibekwe endaweni yokuphepha eseceleni, kusalindwe ukufika kosizo lwezokwelapha. Funda ukuthi ungasenza kanjani kahle isimo sokuphepha se-lateral.

Uma kwenzeka ukuthi umjovo ophuthumayo we-insulin ungatholakali, kunconywa ukuthi ushayele usizo lwezokwelapha ngokushesha noma ukuyisa lowo muntu esibhedlela, ukuze kufakwe umthamo ofanele we-insulin.

Ngaphezu kwalokho, uma kufakwa i-insulin, kubalulekile ukuthi ubheke inani likashukela egazini ngehora elilandelayo, ngoba kunengozi yokuthi inani lizokwehla kakhulu uma umthamo we-insulin ubungaphezulu kunokudingekayo. Uma inani lingaphansi kwama-70 mg / dL kubalulekile ukufaka ushukela ngqo ngaphakathi kwezihlathi nangaphansi kolimi, ukuze inani likhuphuke futhi lisimame.

2. I-Hypoglycemia - ushukela ophansi

Lapho amazinga kashukela esezansi, abizwa ngokuthi yi-hypoglycemia, le divayisi ikhombisa ushukela wegazi ongaphansi kwama-70 mg / dL futhi kujwayelekile ukuthi umuntu akhombise izimpawu ezinjengokuthuthumela, isikhumba esibandayo, ukujuluka, ukuphaphatheka noma ukuquleka. Kulezi zimo, kubalulekile uku:

1. Faka isipuni esingu-1 sikashukela noma amaphakethe amabili kashukela ngaphakathi kwezihlathi nangaphansi kolimi;
2. Uma ushukela wegazi ungakhuphuki noma izimpawu zingathuthuki ngemizuzu eyi-10, lowo muntu kufanele anikezwe ushukela futhi;
3. Uma izinga likashukela noma izimpawu zihlala zinjalo eminye imizuzu eyi-10, kufanele ushayele usizo lwezokwelapha, ngokushesha ushayele u-192 noma uyise umuntu esibhedlela;
4. Uma umuntu equlekile kodwa ephefumula, kufanele abekwe endaweni yokuphepha eseceleni ngenkathi elinde usizo lwezokwelapha. Bona ukuthi ungenza kanjani ukuphepha kwe-lateral.

Lapho ushukela wegazi uphansi isikhathi eside, kungenzeka ukuthi lowo muntu aboshwe inhliziyo. Ngakho-ke, uma kubonakala ukuthi umuntu akaphefumuli, shayela usizo lwezokwelapha bese uqala ukusikhipha inhliziyo ngokushesha. Nakhu ukuthi ungakwenza kanjani ukubhucungwa kwenhliziyo:

Olunye usizo lokuqala olubalulekile kubantu abanesifo sikashukela

Ngaphezu kwezimo ezibucayi kakhulu, njenge-hyperglycemia noma i-hypoglycemia, kunezinye futhi izindlela zokuqala zosizo ezibalulekile ezimeni zansuku zonke, ezingabonisa ubungozi obukhulu bezinkinga zesifo sikashukela, njengokulimala kwesikhumba noma ukusonteka unyawo , Ngokwesibonelo.

1. Amanxeba esikhumba

Lapho umuntu onesifo sikashukela elimala, kubalulekile ukusinakekela kahle isilonda, ngoba noma ngabe sisincane futhi sikha phezulu, isilonda sikashukela sinamathuba amaningi okuletha izinkinga ezifana nezilonda noma izifo, ikakhulukazi uma kwenzeka kumanzi amaningi noma kugcwele izindawo ezinjengezinyawo, amafolda esikhumba noma i-groin, isibonelo.

Ngesikhathi sokwelashwa, kubalulekile ukuthi uqaphele ukugwema ukutheleleka, futhi kufanele:

• Sebenzisa amathawula ahlanzekile ukomisa indawo yesikhumba ethintekile;
• Gwema ukuthintana nezilwane ezifuywayo;
• Gwema izindawo ezinesihlabathi noma umhlaba;
• Gwema izingubo eziqinile noma izicathulo enxebeni.

Ngakho-ke, inhloso ukugcina isilonda sihlanzekile, somile futhi sikude nezimo ezingasilimaza isilonda, ikakhulukazi kuze kuphele ukuphola.

Ngaphezu kokunakekelwa kwesilonda, kubalulekile futhi ukwazi ezinye zezimpawu ezikhomba ukukhula kwezinkinga, njengokuvela kokubomvu, ukuvuvukala, ubuhlungu obukhulu noma ubomvu endaweni. Kulezi zimo, kunconywa ukuya kudokotela ojwayelekile.

Lapho isilonda sincane kakhulu, kepha kuthatha isikhathi esingaphezu kwenyanga eyodwa ukuphola, kuyalulekwa ukuya ekubonisaneni nabahlengikazi ukuze uhlole isidingo sokwelashwa okukhethekile, ngokugqokiswa okuvumela ukuphola.

2. Sonta unyawo

Uma onesifo sikashukela egcobhoza unyawo noma elinye ilunga, kufanele ayeke umkhuba wokuzivocavoca umzimba futhi agweme ukuphoqa indawo ethintekile, ngaphezu kokugwema ukuhamba isikhathi eside nokukhuphuka izitebhisi, ngokwesibonelo.

Ngaphezu kwalokho, unyawo kufanele luhlale luphakanyisiwe, ukukhuthaza ukujikeleza nokubeka iqhwa endaweni ethintekile imizuzu engama-20, kabili ngosuku, ukukhumbula ukusonga iqhwa ngendwangu emanzi ukugwema ukushisa isikhumba.

I-torsion ivame ukudala ukuvuvukala nobuhlungu, futhi ingenza indawo ifudumele futhi ibe namabala ansomi. Ezimweni ezibucayi kakhulu, lapho kuba khona ubuhlungu obukhulu nokuvuvukala okungathuthuki, kufanele kuboniswane nodokotela ukuze ahlole ubukhulu bokulimala futhi ahlole ukuphuka.

Izimpawu zokuxwayisa ukuya kudokotela

Udokotela kufanele athintwe kulezi zimo ezilandelayo:

• Ushukela ophezulu, ene-capillary glycemia enkulu kune-180 mg / dL isikhathi esingaphezu kwehora elilodwa, esiswini esingenalutho, noma ngaphezulu kuka-250 mg / dL isikhathi esingaphezu kwehora elilodwa, ngemuva kokudla, noma lapho isiguli singaqulekile.
• Ushukela ophansi, nge-capillary glycemia engaphansi kwama-70 mg / dL ngaphezulu kwemizuzu engama-30, noma lapho isiguli singaqulekile;
• Izilonda zesikhumba eziyinkimbinkimbi, ngomkhuhlane ongaphezu kuka-38ºC; ukuba khona kobovu esilondeni; ukwanda kokubomvu, ukuvuvukala nobuhlungu esizeni; ukuwohloka kwenqubo yokupholisa isilonda, ukulahleka kwemizwa ezungeze isilonda noma ukuncinza, noma ukuba khona kwezithukuthuku nokugodola emzimbeni. Lezi zimpawu zikhomba ukuthi indawo yesilonda kungenzeka itheleleke, kube nengozi enkulu yokwenza isilonda sibe sibi kakhulu nezinkinga ezifana nezilonda.

Ezimweni ezinzima kakhulu, lapho lezi zimpawu zinganakwa futhi ukwelashwa okufanele kungenziwa, izicubu ezithintekile zingase zihlaselwe i-necrosis, okwenzeka lapho isifunda singatholi i-oksijini eyanele futhi izicubu zifa, futhi kungadingeka ukunquma abathintekile isitho.

Kulezi zimo, usizo lwezokwelapha kufanele lubizwe ngokushesha ngokushayela u-192.