Vanhu vane chirwere cheshuga chechipiri vanoshushikana nehuwandu hwehuwandu hwehuwandu hwehutachiona uye zvinetso pashure pekuvhiyiwa. Ngozi dzinosangana nechirwere cheshuga nekuvhiya dzinowedzerwa zvichienderana nezera, chirwere cheshuga chetachiona, urwere hwekutonga, zvinetso zvinenge zviripo kana kurwara, kusagadzikana kwemazuva, nguva yakareba nechirwere cheshuga, uye muviri wakakwana.
Post-Op Anonetseka
Kushungurudzika kwepanyama uye kwepfungwa kwekuvhiya kunogona kukonzera kusagadzikana kuchinjwa mumahomoni.
Iko kushandura kunokonzera kuwedzera kwekuchengetedza insulin , kuderedza insulin secretion, uye kuderedza glucose kupinda mumasero. Izvi zvinowedzera njodzi yehupirglycemia mune munhu ane chirwere cheshuga.
Izvo zvinotevera zvinongororwa zvinoratidze kukosha kwekuve nemazinga emasikirini ekutungamirira kusati kwatanga kushanda:
Hyperglycemia kana hypoglycemia : Mazinga epamusoro kana ari pasi glucose anogona kukonzera zvinetso zvepamushure-operative, uye mazinga epamusoro emaglucose achikanda urongwa. Kukwidzika kwepamusoro kunowedzera mukana uye kuoma kwemamwe matambudziko. Zvakakosha kuva nemazinga ehuluse mukutonga kwakanaka vasati vavhiyiwa.
Kuoma kwemhepo: Murwere anogona kuva nepamusoro ekuvhenekera kana chirwere cheshuga chiri pasi pekutambudzika kusina kuwedzera mungozi ye osmotic diuresis. Izvi zvinogona kuwedzera ngozi kune mamwe matambudziko.
Hyperglycemic hyperosmolar syndrome (HHS): Iyi ndiyo mamiriro ezvinhu apo murwere ane mazinga akakwirira eglucose, kupera mvura, uye kuderedza pfungwa. Icho chinonyanya kunetseka kutevera dzimwe nzira dzekuvhiya dzakadai sechirwere chepfungwa chinoshandiswa pakuvhiya iyo inosanganiswa ne 42% kufa kwevanhu.
Dhiyabhesi ketoacidosis (DKA) : Kuvhiya uye / kana zvimwe zvinetso zvinogona kuwedzera mazinga emakemikari anokonzera kushushikana, zvichiita kuti insulini isanyanya kushanda. Kana insulini isingagoni kubatsira mutumbi kupisa glucose simba, muviri unopisa mafuta panzvimbo. Irosikiti yeAIDS inonzi ketones inowedzera muropa uye inogona kutyisa upenyu. Kuderedza mvura kunogona kuenda pamwe uye dzimwe nguva kunokonzera DKA.
Vakanetseka vakuya kuporesa : Vanhu vane chirwere cheshuga vane mikana yekupararira kusina kunaka, nharo dzenzara, simba rekudzivirira zvirwere, uye zvinetso zveganda. Izvi zvinogona kuderera kukuvadza kuporesa uye kuwedzera njodzi yehutachiona.
Utachiona : Chirwere chetachiona chetachiona ndechekuvhara maitiro. Njodzi inowedzera kune vanhu vane chirwere cheshuga nekuda kwekunonoka kuporesa nguva. Zvakakosha kutora mishonga yose sekurairwa uye kutevera mirairo yekuchengetedza incision.
Sepsis : Chimwe chimiro chemuviri-muviri mushure mekushanda utachiona hunokonzerwa nebhakitiriya mune ropa. Izvo zvakanyanya uye zvakaoma kuzvidzora. Nzvimbo dzakasiyana-siyana dzinzvimbo mushure mekuvhiyiwa dzinofungidzirwa, nzvimbo dzomukati, dzinopisa, uye zvironda zveganda.
Endothelial kudzvinyirira: Mazinga emushuga epamusoro anowedzera mukana wekuputika kana kukuvadza kumarara emidziyo yeropa. Pakati pezvimwe zvinhu, endothelial masero anosangana nekutenderera kwemasero eropa rega, kuvhara ropa, kuwedzerwa kweropa, kuputika, uye chirwere chemwoyo.
Ischemia: Kushaya ropa kunopa chikamu chemuviri wakadai semwoyo, uropi, ganda kana chifuva chinotungamirira kuruviri rwekufa munzvimbo yakakanganiswa. Vanhu vane chirwere cheshuga vari pangozi yakanyanya, kunyanya kana vane kunze kwekudzivirira mazinga e glucose. Kugadzikana kwepachiviri uye kukanganisa mvura kunowedzera ngozi.
Kuvhiringidza kweElectrolyte: Nausea, kurutsa, uye kupera mvura kunogona kukonzerwa nekudzvinyirira, mishonga, uye anesthesia zvichiita kuti isinganzwisisi saropa yega. Izvi zvinogona kuwedzera mungozi ye mwoyo arrhythmias uye kukundikana kwechirwere. Iyo ngozi inowanikwa mune vane chirwere cheshuga avo vatova pangozi yakakonzerwa nehutano hwehutachiona uye hwechirwere.
Renal kukundikana: Chirwere cheshuga ndicho chinowanzoita chimwe chinhu chinokonzera kukanganisa kwenharo. Ngozi panguva kana kuti mushure mekuvhiyiwa inogona kuwedzerwa nezvikonzero zvakadai sekusawirirana kwe electrolyte, kuparara kwemvura, kushandiswa kwemishonga, kusagadzikana kweropa, tsvina uye kushungurudzika.
Heart arrhythmias: Ngozi inowedzera nechirwere cheshuga chisina kudzora, chirwere chemwoyo, mamwe mishonga, hypertension, kuneta, uye kusagadzikana kwe electrolyte.
Nzira Yokuderedza Dambudziko Rako
Tsvaga uye urambe uine hutachiona hweropa mukati mezvikamu zvakatarwa
Edzai kuvandudza mararamiro enyu mumuviri
Wana chikafu chakaisvonaka uye yakakwana yeproteiniti yakakwirira
Dzivisa kunetseka
Tora matanho ekuderedza kushungurudzika
Usasvuta kana kunwa doro
Nguva Yekudaidza Chiremba Wako
Ziva chiremba wako pakarepo kana uine chimwe chezviratidzo izvi, izvo zvinogona kuva zviratidzo zvehutachiona kana zvinetso zvakuvadzwa.
Utano hwepanyika, unyoro, kuzvimba, kuoma, kubwinya, kana kupisa
Fever
Sources
Dagogo-Jack, MD, FRCP, Samuel uye Alberti DPHIL PRCP, K. George MM. "Kurapa Kwechirwere Cheshuga Mellitus Mukurapa Kwokurapa." Diabetes Spectrum January 2002 15 (1): 44-48
Mangram MD, Alicia; Horan MPH CIC, Teresa; Pearson MD, Michelle L; Sirivha BS, Leah Christine; uye Jarvis MD, William R. "Nhungamiro Yekudzivirira Yekutengesa Site Infection 1999" Kutapurirwa kweHIV uye Chipatara Epidemiology 20 (4): 247-278
Rosenberg, CS. "Kukuvadza kuporesa mumurwere ane chirwere cheshuga mellitus." The Nursing Clinics North America Mar 25 1990 25 (1): 247-61.