Zviratidzo, Mishonga, uye Kudzivirira
Chimwe chezvinetso zvakawanda zvechirwere cheshuga chinhu chinonzi chirwere cheshuga ketoacidosis (DKA). Iyo inowanzoitika neChirwere cheshuga 1 uye inowanzova chiratidzo chekutanga chechirwere cheshuga 1. DKA inokonzerwa kana muviri usina zvishoma kana kuti pasina insulini yekushandisa uye, somugumisiro, shuga yeropa inokwira kumatambudziko uye ropa rinowedzera.
Izvi Zvinoitika Sei?
Insulin inonzi hormone inobatsira kutakura shuga kana glucose mumasero emumuviri kuitira kuti ishandiswe simba.
Kana usina insulini, shuga inoramba iri muropa uye shuga yega yega inokwira kune ngozi. Inokonzera hutachiona hwakanyanya (shuga yakakosha yeropa) , zvichiita kuti mamiriro ezvinhu anetsa. Sezvo ropa redu rinoramba richiwedzera, muviri unopinda mune "dambudziko guru" uye unotanga kuputsa mafuta akachengetwa sechimwe chinhu chine simba. Kana mafuta achishandiswa simba, ketone dzinobudiswa uye apo ketone inowedzera, ropa rinoramba richiwedzera.
High blood sutu rinogona kufambira ku ketosis ( kuvaka-up ketones ) mumuviri. Ketosis inogona kutungamirira ku acidosis, iyo inenge iyo iyo ropa iro rine yakawandisa asidi. Apo izvi zvinenge zvichiitika inozivikanwa seeshuga yeketoacidosis. Ichi ndicho chirwere chekurapa chinotarisirwa uye chinofanirwa kurapwa nokukurumidza nevashandi vezvehutano.
Zvinokonzera
- Kutanga kwekutanga kwechirwere cheshuga 1.
- Zvirwere zvinowanzoita sepineumonia kana kuti urinary tract infections. Utachiona hunomutsa huwandu hwe "kushungurudzika" mahomoni, akadai se cortisol uye epinephrine, iyo inosimudza mazinga eglucose muropa.
- Apo mumwe munhu asingaiti zvinhu zvakakosha kudzivirira ropa glucose kana asingakwanisi kutenga insulini yavo kana mamwe mishonga vanogonawo kuva pangozi yeDKA.
- Insulin pump kusakwanisa kunogona kutungamirira kuDKA. Kana munhu asingazivi kuti pombi yavo yarega kusimbisa insulini, mazinga eropa ane glucose anogona kukurumidza kukurumidza.
- Vana vari kutarisana nevechiri kuyaruka vanogona kuchinjwa nekugadzirisa endocrine iyo inogona kugadzirisa mazinga e glucose uye kushandiswa kwe insulini.
Zviratidzo nezviratidzo
Zviratidzo zvekutarisa hazvirevi nguva dzose. Vanogona kutanga zvishoma uye vanogona kukanganisa zvimwe zvirwere. Kazhinji, vana vaduku havaratidze zviratidzo zvekare zveDKA.
Zviratidzo zvekutanga:
- Kunzwa kuneta kana kuneta
- Nyota yakanyanyisa uye / kana kunyanya kudhonza
- Zviratidzo zvekushaya mvura yakadai semuromo wakaoma
Zviratidzo Zvichizoitika:
- Kuonda
- Nausea / kurutsa
- Marwadzo emudumbu
- Kusanganiswa
- Kukurumidza, kudzika, kufema kunetseka (kupumha kweKussmaul)
- Kupisa kunopisa fruity
- Fever
- Kusanzwisisa
Kurapa
Kurapa DKA kunoreva kupindira mune zvezvehutano. Zvakakosha kuporesa mvura yakasvibiswa nekuisa mvura inenge yakarasika, saka mushonga weVV unogona kunge uchishandiswa. Kusiyanisa kweElectrolyte kunoda kugadziriswa uye insulin therapy inofanira kutanga kutora hyperglycemia. Zvose izvi zvinofanirwa kuitwa maererano nekutarisira kweutano hwakanaka.
Kudzivirira
Paunorwara:
- Iva nepurogiramu panzvimbo yako kana iwe uchirwara .
- Tarisa shuga yega yega maawa matatu kusvika mana panguva yekurwara. Kana shuga yeropa ichikwirira (kazhinji inopfuura 250 mg / dl), chengorora kakawanda uye chengetera maketoni mumuguta wako.
- Panguva yekurwara, iva nechokwadi chekumwa shuga yakawanda-isina, yewaini-isina mvura. Kunyange kana iwe uri kurwara kumudumbu mako, edza kupisa zvishoma zvamafuta panguva dzenguva dzose. Kana shuga yako yeropa iri kupfuura 250 mg / dl, usadya kana kunwa zvakakisisa zvehydrohydrate zvokudya kana mvura.
- Usarega kutora insulini yako kana iwe uchirwara, kunyange iwe usingadyi. Kurukurai kana insulin madhachi inofanira kuchinjwa nechiremba wenyu.
- Ita kuti chiremba wako chiitiko chinokurumidza, kana iwe uchida kudana.
Kudzivirira DKA Kwete Kusangana Nezvirwere:
- Kana ukashandisa insulini pombi, tarisa kazhinji kuti uone kuti iri kushanda zvakanaka uye inopa insulini.
- Tarisa shuga yeropa kakawanda zuva rese, kazhinji kanomwe pazuva.
- Inwa zvinwiwa zvakawanda zveshuga.
- Kurukurai nezvekurapa kwechiremba nachiremba wako. Iwe hausi kuda kutsika insulin doses kana mishonga yemuromo, asi chiremba wako angada kuchinja zvimwe. A
Sources:
Cohen, Anita Stanziale MSN, RN, CS, CDE; uye Edelstein, Elaine L. MS, RN, CDE. "Kurwara-Mazuva Mazuva Okugadzirisa Kwekuchengetwa Kwemusha Mutengi Ane Chirwere Cheshuga." Home Healthcare Nurse Vol 23, Nhamba 11.Nov 2005 717-724.
Carroll MD, Mary F; Schade MD, David S. "Mibvunzo Gumi Inokosha Yezvokudya Chirwere Cheshuga Ketoacidosis." Postgraduate Medicine Online Vol 110, Number 5, Nov 2001.
"Apo Ropa Rinotakura Zvakanyanya." Vechidiki Utano. July 2005. Nemours Foundation.