Ukuqonda kunye nokuthintela i-Coma yeswekile

Umxholo

• Isifo seswekile singakhokelela njani kwi-coma
• Hypoglycemia
• I-DKA
• Isifo seNonketotic hyperosmolar syndrome (NKHS)
• Iimpawu kunye neempawu
• Nini ukufuna unyango olungxamisekileyo
• Uthintelo
• Imbonakalo
• Ukuthatha

Yintoni ikhoma yeswekile?

Ikhwekile yeswekile yinto enzulu, enokuba sisongelo kubomi enxulunyaniswa nesifo seswekile. Ikhoma yeswekile ibangela ukungabikho kwengqondo ongakwaziyo ukuvusa kuyo ngaphandle kokhathalelo lonyango. Uninzi lweziganeko zesifo seswekile zivela kubantu abane-1 yeswekile. Kodwa abantu abanezinye iintlobo zesifo seswekile basemngciphekweni.

Ukuba unesifo seswekile, kubalulekile ukuba ufunde malunga nekhoma yeswekile, kubandakanya oonobangela kunye neempawu zayo. Ukwenza njalo kuya kunceda ukuthintela le ngxaki iyingozi kwaye kukuncede ufumane unyango olufunayo kwangoko.

Isifo seswekile singakhokelela njani kwi-coma

Ikhwekile yeswekile inokwenzeka xa amanqanaba eswekile egazini engalawuleki. Inezizathu ezintathu eziphambili:

• iswekile esezantsi yegazi, okanye i-hypoglycemia
• I-ketoacidosis yeswekile (DKA)
• isifo seswekile i-hyperosmolar (nonketotic) syndrome kuhlobo 2 lweswekile

Hypoglycemia

I-Hypoglycemia yenzeka xa ungenayo i-glucose eyaneleyo, okanye iswekile, egazini lakho. Amanqanaba eswekile asezantsi angenzeka nakubani na amaxesha ngamaxesha. Ukuba uphatha ngokukhawuleza i-hypoglycemia ngokukhawuleza, ihlala isombulula ngaphandle kokuqhubela phambili kwi-hypoglycemia ebukhali. Abantu abakwi-insulin banomngcipheko omkhulu, nangona abantu abathatha amayeza eswekile yomlomo anyusa amanqanaba e-insulin emzimbeni banokuba semngciphekweni. Iswekile yegazi engafakwanga inyango okanye engaphenduliyo inokukhokelela kwi-hypoglycemia ebukhali. Esi sesona sizathu sixhaphakileyo sesifo seswekile. Kuya kufuneka uthathe amanyathelo okhuseleko ngakumbi xa kunzima ukufumana iimpawu zehypoglycemia. Le meko yeswekile yaziwa ngokuba kukungazi kakuhle kwehypoglycemia.

I-DKA

I-ketoacidosis yeswekile (DKA) yenzeka xa umzimba wakho ungenayo i-insulin kwaye usebenzisa amanqatha endaweni yeswekile yamandla. Imizimba yeKetone iqokelelana kwigazi. I-DKA yenzeka kuzo zombini iindlela zesifo seswekile, kodwa ixhaphake kakhulu kuhlobo lwe-1.Imizimba yeKetone inokufunyanwa ngeemitha ezithile zeglucose yegazi okanye ngemicu yomchamo ukukhangela i-DKA. Umbutho weSwekile waseMelika ucebisa ngokujonga imizimba ye-ketone kunye ne-DKA ukuba ngaba iswekile yegazi yakho ingaphezulu kwama-240 mg / dl. Xa ishiywe inganyangwa, i-DKA inokukhokelela kwisifo seswekile.

Isifo seNonketotic hyperosmolar syndrome (NKHS)

Esi sifo senzeka kuphela kuhlobo 2 lweswekile. Kuqheleke kakhulu kubantu abadala abadala. Le meko yenzeka xa iswekile yegazi lakho iphezulu kakhulu. Ingakhokelela ekuphelisweni komzimba.Ngokwe-Mayo Clinic, abantu abanale syndrome bafumana amanqanaba eswekile angaphezu kwe-600 mg / dl.

Iimpawu kunye neempawu

Akukho luphawu lubodwa olwahlukileyo kwi-coma yeswekile. Iimpawu zayo ziyahluka ngokuxhomekeka kuhlobo lwesifo seswekile onaso. Imeko ihlala ilandelwa sisiphelo seempawu kunye neempawu. Kukho umahluko kwiimpawu phakathi kweswekile esezantsi kunye ephezulu yegazi.

Iimpawu ezinokuthi ufumane iswekile esezantsi yegazi kwaye usemngciphekweni wokuqhubela phambili kumanqanaba eswekile esezantsi egazi kubandakanya:

• ukudinwa ngequbuliso
• ukungcangcazela
• ixhala okanye ukucaphuka
• indlala egqithisileyo nequbulisayo
• isicaphucaphu
• ukubila okanye intende yesundu
• isiyezi
• ukudideka
• ukunciphisa ukulungelelaniswa kwemoto
• ubunzima bokuthetha

Iimpawu onokuba semngciphekweni we-DKA zibandakanya:

• ukwanda kokoma kunye nomlomo owomileyo
• ukwanda komchamo
• amazinga aphezulu eswekile yegazi
• ketoni egazini okanye emchameni
• ukurhawuzelela ulusu
• iintlungu esiswini kunye okanye ngaphandle kokugabha
• ukuphefumla ngokukhawuleza
• Umphunga onuka iziqhamo
• ukudideka

Iimpawu onokuthi ube semngciphekweni we-NKHS zibandakanya:

• ukudideka
• amazinga aphezulu eswekile yegazi
• ukuxhuzula

Nini ukufuna unyango olungxamisekileyo

Kubalulekile ukulinganisa iswekile yegazi lakho ukuba ufumana naziphi na iimpawu ezingaqhelekanga ukuze ungadluli kwikhoma. Ii-comas zeswekile zithathwa njengonxunguphalo ezifuna unyango olukhawulezileyo kwaye zinyangwa kwisibhedlele. Njengeempawu, unyango lwezifo zeswekile lungahluka ngokuxhomekeke kwisizathu.

Kukwabalulekile ukunceda ekufundiseni abo ubathandayo ngendlela yokuphendula ukuba uqhubela phambili kwi-coma yeswekile. Ngokufanelekileyo kufuneka bafundiswe ngeempawu kunye neempawu zezi meko zidweliswe apha ngasentla ukuze ungahambeli kude kube ngoku. Ingaba yingxoxo eyoyikisayo, kodwa enye kufuneka ube nayo. Usapho kunye nabahlobo abasondeleyo kufuneka bafunde ukunceda kwimeko kaxakeka. Awuzokwazi ukuzinceda wakube uwele isiqaqa. Yalela abo ubathandayo ukuba babize i-911 ukuba ulahlekelwe sisazela. Kuya kufuneka ukwenze okufanayo ukuba ufumana iimpawu zokulumkisa ngesifo seswekile. Bonisa abanye indlela yokusebenzisa i-glucagon kwimeko yeswekile ekoma kwi-hypoglycemia. Qiniseka ukuba uhlala unxiba isacholo sonyango ukuze abanye bazi ngemeko yakho kwaye banokunxibelelana neenkonzo zongxamiseko ukuba ukude nekhaya.

Nje ukuba umntu afumane unyango, unokuphinda abuyele ezingqondweni emva kokuba izinga leswekile esegazini liqhelekile.

Uthintelo

Amanyathelo othintelo abalulekile ekunciphiseni umngcipheko wesifo seswekile. Elona nyathelo lisebenzayo kukulawula isifo seswekile. Uhlobo lwe-1 lweswekile lubeka abantu emngciphekweni omkhulu we-coma, kodwa abantu abane-2 basengozini. Sebenza nogqirha wakho ukuqinisekisa ukuba iswekile yegazi lakho likwinqanaba elifanelekileyo. Kwaye ufune unyango ukuba awuziva ungcono nangona unyango.

Abantu abanesifo seswekile kufuneka bajonge iswekile yegazi imihla ngemihla, ngakumbi ukuba bakumayeza anyusa amanqanaba e-insulin emzimbeni. Ukwenza njalo kuya kukunceda ubone iingxaki ngaphambi kokuba zibe yimeko engxamisekileyo. Ukuba uneengxaki zokubeka esweni iswekile yegazi lakho, cinga ukunxiba isixhobo esweni esweni seswekile (CGM). Oku kuluncedo ngakumbi ukuba une-hypoglycemia yokungazi.

Ezinye iindlela onokuthi uthintele ukuba neswekile kuzo zibandakanya:

• ukufumanisa iimpawu kwangoko
• ukunamathela kwindlela otya ngayo
• ukwenza umthambo rhoqo
• ukumodareyitha utywala kunye nokutya xa usela utywala
• ukuhlala i-hydrated, ngokukhethekileyo ngamanzi

Imbonakalo

Ikhoma yeswekile yingxaki enkulu enokubulala. Kwaye amathuba okufa anda ngokude ulinde unyango. Ukulinda ixesha elide kunyango kunokukhokelela ekonakaleni kwengqondo. Le ngxaki yeswekile inqabile. Kodwa kubi kakhulu kangangokuba zonke izigulana kufuneka zithathe amanyathelo okhuseleko.

Ukuthatha

Ikhwekile yeswekile yinto enzulu, enokuba sisongelo kubomi enxulunyaniswa nesifo seswekile. Amandla okukhusela kwisifo seswekile asezandleni zakho. Yazi imiqondiso kunye neempawu ezinokukhokelela kwi-coma, kwaye ulungele ukubona iingxaki ngaphambi kokuba zibe yimeko kaxakeka. Zilungiseleleni kunye nabanye malunga nento eniza kuyenza ukuba niyadibana. Qiniseka ukuba ulawula isifo seswekile ukunciphisa umngcipheko.