Oko Ufanele Ukwazi Ngokufumana kwakhona kwiComa yeSwekile

Umxholo

• Iimpawu
• Hypoglycemia
• Hyperglycemia
• Unyango
• Ukuchacha
• Imbonakalo
• Uthintelo

Ushwankathelo

Ikhoma yeswekile yenzeka xa umntu onesifo seswekile ephulukana nokuqonda. Iyakwenzeka kubantu abane-1 okanye uhlobo lwe-2 yeswekile.

Ikhoma yeswekile yenzeka xa amanqanaba eswekile yegazi esiba sezantsi kakhulu okanye ephezulu kakhulu. Iiseli emzimbeni wakho zifuna iswekile ukuze isebenze. Iswekile yegazi ephezulu, okanye i-hyperglycemia, inokukwenza uzive unentloko elula kwaye ulahlekelwe sisazela. Iswekile esezantsi yegazi, okanye i-hypoglycemia, inokubangela ukomisa emzimbeni de ulahlekelwe sisazela.

Ngokwesiqhelo, unokuthintela i-hyperglycemia okanye i-hypoglycemia ekubeni iqhubele phambili kwi-coma yeswekile. Ukuba ikoma yeswekile ivela, kusenokwenzeka ukuba ugqirha wakho angalinganisa amanqanaba eglucose egazini kwaye abuyisele ukuqonda kwakho kunye nempilo ngokukhawuleza ukuba banokuphendula kwimeko yakho ngexesha elifanelekileyo.

Unokushenxela kwi-coma yeswekile ukuba uphuhlisa i-ketoacidosis yeswekile. I-ketoacidosis yeswekile (DKA) yingqokelela yamachiza abizwa ngokuba zii-ketone egazini lakho.

Iimpawu

Hypoglycemia

Iimpawu zehypoglycemia zinokubandakanya:

• intloko ebuhlungu
• ukudinwa
• isiyezi
• ukudideka
• ukubetha kwentliziyo
• ukungcangcazela

Hyperglycemia

Ukuba une-hyperglycemia, unokufumana ukonyuka okubonakalayo kwaye unokuchama rhoqo. Uvavanyo lwegazi luya kuthi lubonise amanqanaba aphezulu eswekile kwigazi lakho. Uvavanyo lomchamo lunokubonisa ukuba amanqanaba eglucose aphezulu kakhulu.

I-DKA ibangela amanqanaba aphezulu eswekile yegazi. Iimpawu zikwabandakanya ukwanda kwenxano kunye nemfuno yokuchama rhoqo. Ezinye iimpawu zamanqanaba aphezulu e-ketone zibandakanya:

• ndiziva ndidiniwe
• ukuba nesisu esibuhlungu
• ukuba nolusu olugudileyo okanye olomileyo

Ukuba unempawu zesifo seswekile eziqatha, tsalela umnxeba ku-911. Iimpawu ezinzima zinokubandakanya:

• ukugabha
• ubunzima bokuphefumla
• ukudideka
• ubuthathaka
• isiyezi

Ikhoma yeswekile yimeko engxamisekileyo yezonyango. Ingakhokelela ekonakaleni kwengqondo okanye ekufeni ukuba awufumani nyango.

Unyango

Ukunyanga i-hyperglycemia kufuna ulwelo olufakwa ngaphakathi ngaphakathi ukuphucula amanqanaba olwelo emzimbeni wakho. Unokufumana i-insulin ukunceda iiseli zakho zithathe iswekile engaphezulu ejikelezayo. Ukuba i-sodium, i-potassium, okanye i-phosphate level ziphantsi, unokufumana izongezelelo zokukunceda ukuba ufike kumazinga aphilileyo. Unyango luya kufana ne-DKA.

Inaliti yeglucagon iya kunceda ukunyusa amanqanaba eswekile yegazi ukuba ufumana i-hypoglycemia.

Ukuchacha

Nje ukuba amanqanaba eglucose egazini akho kuluhlu olusempilweni, kuya kufuneka uqale uzive ungcono phantse kwangoko. Ukuba ubungekho zingqondweni, kufuneka uze ngokukhawuleza emva kokuba unyango luqale.

Akufanele kubekho naziphi na iziphumo ezihlala zihleli ukuba ufumene unyango kungekudala emva kokuvela kweempawu. Ukuba iimpawu zenzekile okwethutyana ngaphambi konyango okanye ukuba ubukwi-coma yeswekile iiyure ezininzi okanye ngaphezulu, unokufumana ukonakala kwengqondo. Ikhoma enganyangekiyo yeswekile inokubangela ukufa.

Abantu abafumana unyango olungxamisekileyo kwi-coma yeswekile bahlala bechacha ngokupheleleyo. Ugqirha wakho unokucebisa ukuba unxibe isacholo sonyango esichaza uhlobo lwesifo seswekile kunye nezinye izinto ezixhalabisa impilo. Oku kunokukunceda ukuba ufumane unyango olufanelekileyo kwiingxaki ezizayo ngokukhawuleza.

Ukuba ufumana ikhoma yeswekile ngaphandle kokwazi ukuba unesifo seswekile, ugqirha wakho uya kusebenza nawe ukwenza isicwangciso sonyango seswekile. Oku kuya kubandakanya amayeza, kunye neengcebiso malunga nokutya kunye nokuzilolonga.

Imbonakalo

Tsalela umnxeba ku-911 ukuba ubona umntu elahlekelwa sisazela nangasiphi na isizathu. Isenokuba kukuphelelwa ngamandla okwethutyana ngenxa yokuhla ngesiquphe koxinzelelo lwegazi okanye uhlaselo loxinzelelo. Ukuba uyazi ukuba umntu unesifo seswekile, xelela umqhubi we-911. Oku kunokuchaphazela indlela abezonyango abamphatha ngayo umntu okwindawo yesigameko.

Ukuba umntu akadlulanga kwaye imeko ayisiyongxamiseko, uvavanyo lwekhaya lweglucose lunokubonisa ukuba kuninzi okanye kuncinci iswekile kwinkqubo yabo. Ukuba amanqanaba eglucose angaphezulu kwama-milligram angama-240 kwidesilitha nganye, uvavanyo lomchamo wasekhaya weetoni lufanelekile.

Ukuba amanqanaba abo e-ketone aphezulu, bazise kugqirha. Ukuba amanqanaba abo e-ketone azinzile, emva koko usebenzise umthambo, uhlengahlengiso lokutya, okanye amayeza anokwaneleyo ukunceda ukunciphisa amanqanaba eglucose egazini.

Uthintelo

Ukuba unesifo seswekile, kubalulekile ukuba unikele ingqalelo kumanqanaba eglucose egazini nakwindlela otya ngayo yonke imihla. Isitshixo sokuthintela i-coma yeswekile kukulawulwa kweglucose efanelekileyo. Oku kuthetha ukuthatha i-insulin yakho kunye nokuvavanya iswekile yegazi lakho kunye neetone njengoko ugqirha ekucebisa.

Kuya kufuneka unikele ingqalelo kwi-carbohydrate yakho yokutya. Oku kuyinyani kubantu abane-1 okanye uhlobo lwe-2 yeswekile. Cinga ngokusebenza nengcali yokutya okufundisayo onesifo seswekile. Banokukunceda wenze isicwangciso sokutya seswekile.

Kuya kufuneka uyazi ukuba wenzeni ukuba uphoswa yidosi ye-insulin okanye amanye amayeza eswekile. Buza ugqirha wakho malunga naloo nto, kunye nokuba wenzeni ukuba uqala ukuziva iimpawu zehyperglycemia okanye i-hypoglycemia.

Isifo seswekile sinokuchaphazela amanye amalungu empilo yakho. Isifo seswekile esingalawulwayo sinokuyenzakalisa impilo yentliziyo yakho ngokukodwa. Njengoko uneminyaka yobudala, i-chemistry yomzimba wakho iyatshintsha. Zilungiselele ukutshintsha idosi yamayeza okanye uhlengahlengise ukutya kwakho endleleni.

Ikhoma yeswekile sisiganeko esingaqhelekanga, kodwa kuqhelekile ukuba wazi ukuba umngcipheko ukhona. Thatha amanyathelo okulawula isifo sakho seswekile ngokufanelekileyo kwaye ubuze ugqirha wakho nayiphi na imibuzo onayo malunga nendlela yokuthintela isiqaqa seswekile.