Kudziviririra Kubva Pangozi Dhiyabhorosi Coma
Hyperglycemic hyperosmolar nonketotic syndrome (HHNS) ndiro zita refu rinotsanangura chiitiko chinogona kuuraya chinogona kukura kune vanhu vane chirwere cheshuga. Vamwe vanotaurawo izvi se "chirwere cheshuga." Heino mibvunzo inowanzobvunzwa pamusoro peHHNS uye kuti ingadzivirira sei.
Chii chinonzi HHNS?
HHNS inogona kuitika apo mazinga eglucose anoenda kumusoro (zvinowanikwa pamusoro pe 600 mg / dl) uye munhu anova akaoma mvura.
Kana ropa rekuisa ropa richiwana iyo yakakwirira, ropa rinowedzera uye urinho huzhinji hunogadzirwa senzira yemutumbi yekuedza uye kuderedza chiyero cheglucose. Mhedzisiro inowanzoshambadza, iyo inogona kukonzera kukanganisa kana kukanganisa upenyu kunotyisa. Kana mvura iyi isingagadziri zvakakwana, chirwere chacho chinogona kuguma nekuguma nekufa kana kufa.
HHNS inowanzoendeswa pamwe nehutachiona, hwakadai sepineumonia kana kuti urinary tract infection, kana kutadza kushandiswa kwehuga rako reropa.
Ndezvipi zviratidzo zveHHNS?
Mukuwedzera pakuramba uchizora uye ropa rekuisa ropa kune 600 mg / dl, zviratidzo zvinowanzobatanidza:
- nyota yakanyanya
- kuvhiringidzika
- fever (kazhinji inopfuura 101 degrees Fahrenheit)
- kushaya simba kana kuparara kune rumwe rutivi rwemuviri
Ndezvipi Zviitiko Zvengozi HHNS?
Vanhu vazhinji vanoona HHNS vanhu vakwegura vane chirwere cheshuga chechipiri. Asi avo vane chirwere cheshuga chechirwere chechi1 uye vechidiki vanogona kuwana HHNS pamwe chete, kunyange zvazvo isingawanzwi.
Iwe unowedzerawo mungozi kana iwe usingatori mishonga yako yekushuga sezvinorayirwa kana une imwe nguva isingagumi, yakadai sekuperevedzwa kwemoyo wemwoyo kana chirwere chepfungwa.
Ko HHNS Inofanana Sei Nechirwere Cheshuga Ketoacidosis (DKA)?
DKA ihwo huno hutariro hwakakomba uye hunogona kutyisidzira upenyu kana husingatarisirwi nokukurumidza.
Kusiyana neHHNS, DKA inenge inongova mamiriro ezvinhu anoitika kuvanhu vane chirwere cheshuga cheshuga. Kushaya insulini kunokonzera kuvaka-glucose muropa risingagoni kupinda mumasero emuviri kuti ashandiswe simba. Mutumbi unobhadharisa nekutsvaga imwe nzira inobva kune simba mumafuta akachengetwa. Apo mafuta akachengeterwa anoshandiswa simba rinogadzira tsvina ine tsvina inonzi ketones, iyo inogona kutyisa muviri.
Zviratidzo zveDKA zvakasiyana neHHNS, uye zvinosanganisira:
- kufema kunenge kunhuhwirira kwakanyanya
- vakashanda kufema
- kushungurudza uye kurutsa
- inokurumidza uye isina simba
- marwadzo emudumbu
Mukuwedzera, HHNS haina kubudisa ketone.
HHNS Inobata Sei?
Mishonga inowanzobatanidza kutanga mvura inopisa kuitira kuti muviri udzoke zvakare. Inogonawo kudzinga insulin kuti iwedzere ropa rehuga.
Ko HHNS Inogona Kudziviswa Sei?
Nzira yakanakisisa yekudzivirira chirwere ichi chakakomba ndechokutarisa chirwere cheshuga ne:
- Kuongorora shuga yako yeropa maererano nemirairo yako. Paunenge uchirwara, unofanira kutarisa ropa rako kwemaawa mana. Simba rako rega rega rinowanzove rakakwirira zvakanyanya kana muviri wako kana uchirwisa utachiona kana utachiona.
- Kutora chirwere chako cheshuga, kusanganisira insulin, sezvinorayirwa nachiremba wako
- Kunwa mvura yakawandisa yemvura zuva rega rega, kunyanya kana uchirwara
- Kuramba uchikurukura neboka rako rehutano hwehutachiwana hwehutachiona apo shuga yako yeropa inogara iri pamusoro pe 300 mg / dl.
> Sources:
> American Diabetes Association. "Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)."