I-ketoacidosis yeswekile: yintoni, iimpawu kunye nonyango
Umxholo
Isifo seswekile, ketoacidosis sisifo seswekile esibonakaliswa sisixa esikhulu seswekile esegazini, ukonyuka koxinaniso lokujikeleza kweetoni kunye nokwehla kwegazi le-pH, kwaye ihlala isenzeka xa unyango lwe-insulin lungenziwanga ngokuchanekileyo okanye xa ezinye iingxaki, ezinje ngezifo, kuvela okanye izifo zemithambo, umzekelo.
Unyango lwe-ketoacidosis kufuneka lwenziwe ngokukhawuleza ukunqanda iingxaki kwaye kuyacetyiswa ukuba uye kwisibhedlele esikufutshane okanye kwigumbi likaxakeka kwakamsinya emva kokuvela kweempawu zokuqala, ezinje ngokunxanwa kakhulu, ukuphefumla nevumba leziqhamo ezivuthiweyo , ukudinwa, iintlungu esiswini kunye nokugabha, umzekelo.
Iimpawu ketoacidosis seswekile
Iimpawu eziphambili ezibonisa isifo seswekile ketoacidosis zezi:
- Ukuziva unxano olunzulu kunye nomlomo owomileyo;
- Ulusu olomileyo;
- Rhoqo umnqweno wokuchama;
- Ukuphefumla ngevumba leziqhamo ezivuthiweyo;
- Ukudinwa kakhulu kunye nobuthathaka;
- Ukuphefumla kancinci kunye nokukhawuleza;
- Iintlungu esiswini, isicaphucaphu nokugabha;
- Ukudideka kwengqondo.
Kwiimeko ezinzima kakhulu, i-ketoacidosis inokubangela nokudumba kwengqondo, ikhoma kunye nokufa xa kungakhange kubonwe kwaye kunyangwe ngokukhawuleza.
Ukuba kukho iimpawu zeswekile ketoacidosis, kubalulekile ukuvavanya inani leswekile egazini ngoncedo lweglucometer. Ukuba kufunyenwe uxinzelelo lweglucose ye-300 mg / dL okanye nangaphezulu, kuyacetyiswa ukuba uye kwangoko kwigumbi likaxakeka okanye ubize i-ambulensi ukuze unyango luqaliswe ngokukhawuleza.
Ukongeza kuvavanyo lwe-glucose, amanqanaba e-ketone yegazi, nawo aphezulu, kunye ne-pH yegazi, ekule meko ineasidi, ihlala ihlolwa. Nantsi indlela yokwazi i-pH yegazi.
Njani kwenzeka ketoacidosis seswekile
Kwimeko yohlobo lweswekile yokuqala, umzimba awukwazi ukuvelisa i-insulin, ebangela ukuba iglucose ihlale kwindawo ephezulu egazini kwaye iphantsi kwiiseli. Oku kubangela ukuba umzimba usebenzise amanqatha njengomthombo wamandla ukugcina imisebenzi yomzimba, ekhokelela kwimveliso yemizimba ye-ketone egqithisileyo, ebizwa ngokuba yi-ketosis.
Ubukho bemizimba ye-ketone egqithisileyo ibangela ukwehla kwe-pH yegazi, ishiye i-asidi eninzi, ebizwa ngokuba yi-acidosis. Okukhona igazi line asidi, kokukhona amandla omzimba okwenza imisebenzi yawo, nto leyo enokubangela ukuba isiqaqa nokufa kufe.
Unjani unyango
Unyango lwe-ketoacidosis ye-metabolic kufuneka luqaliswe ngokukhawuleza xa kusamkelwa esibhedlele, njengoko kufuneka kwenziwe inaliti ye-serum kunye ne-insulin ngqo emthanjeni ukuzalisa iiminerali kunye nokuhambisa amanzi ngokufanelekileyo kwisigulana.
Ukongeza, kubalulekile ukuba unyango lwesifo seswekile luqaliswe ngokutsha ngenaliti ye-insulin ukuze kulawulwe amanqanaba e-insulin, kwaye kufuneka siqhubeke nesigulana ukulawula isifo.
Ngokwesiqhelo, isigulana siyakhululwa malunga neentsuku ezi-2 kwaye, ekhaya, isiguli kufuneka sigcine inkqubo emiselweyo ye-insulin ngexesha lokulaliswa esibhedlele kwaye sitye ukutya okunezondlo rhoqo kwiiyure ezintathu, ukuthintela i-ketoacidosis yeswekile ukuba ingaphindi. Jonga ukuba kukutya kweswekile okujongeka kanjani kule vidiyo ilandelayo:
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