Chii chinonzi Diabetic Ketoacidosis? Zviratidzo, Zvinokonzera, & Kurapa

Diabetic ketoacidosis (DKA) chirwere chakakomba chinoitika kana muviri wako usina insulin yakakwana kubatsira shuga kupinda mumasero ako kuti uve simba. Pane kudaro, muviri wako unototanga kuputsa mafuta kuti uve mafuta, izvo zvinoita zvinhu zvinokuvadza zvinonzi ketones izvo zvinoita kuti ropa rako rive neasidhi yakawanda.

Iyi chirwere kazhinji inowanikwa kune vanhu vane chirwere cheshuga chemarudzi maviri, asi inogonawo kuitika kune avo vane chirwere cheshuga chemarudzi maviri pasi pemamiriro ezvinhu akati. Kunyange DKA iri dambudziko rekurapa rinoda kurapwa nekukurumidza muchipatara, kunzwisisa kuti chii uye kuti ungazviziva sei kunogona kukubatsira kutora matanho nekukurumidza kana zvichidiwa.

Ndeapi zviratidzo zve diabetic ketoacidosis?

Zviratidzo zveDKA zvinowanzoitika nekukurumidza, kazhinji mukati memaawa makumi maviri nemana, uye zvinogona kukusiya uchinetseka zvikuru. Muviri wako uchakudzidzisa zviratidzo zvakajeka zvekuti chimwe chinhu chakakomba chiri kuitika.

Heano zviratidzo zvakajairika zvaunogona kuona:

• Nyota yakawanda isingaperi pasinei nekuti unonwa zvakadii
• Kuenda kunzvimbo kazhinji, kunyanya usiku
• Kusvotwa uye kurutsa kunokudzivisa kuchengeta chikafu kana zvinwiwa
• Kurwadziwa kwemudumbu kunogona kunzwa kwakasimba kana kuita ma cramps
• Kushaya simba kana kuneta kunonzwa kwakanyanya
• Kushaya mweya kana kufema kukurumidza, kwakadzika
• Kufema kunonhuwira semichero, kunonhuwira senge nail polish remover
• Kusanzwisisa kana kunetseka kuisa pfungwa

Vamwe vanhu vanonzwawo ganda ravo nemiromo yavo ichinyanya kuoma, kunyangwe vari kunwa zvinwiwa. Kunhuwirira kwemichero kunobva pakuti ketones iri kubudiswa kuburikidza nemapapu ako, uye kunhuwirira uku kwakapfava kazhinji imwe yezviratidzo zvekutanga mhuri inonzwa.

Muitiro wakakomba, unogona kuona kusurukirwa, kunetseka kuramba wakamuka, kana kunyangwe kurasikirwa nepfungwa. Izvi zviratidzo zvekuti DKA yakafambira mberi uye inoda kurapwa nekukurumidza kwemurapwa.

Chii chinokonzera diabetic ketoacidosis?

DKA inoitika kana muviri wako usina insulin yakakwana kutakura shuga kubva muropa rako kupinda mumasero ako. Pasina mafuta aya, muviri wako unotya uye unototanga kupisa mafuta panzvimbo, izvo zvinoita kuti ketones idzo dzakakuvadza dzataurwa.

Zviitiko zvakati wandei zvinogona kutanga iyi chain reaction inotyisa:

• Kusapinda ma insulin doses kana kusatora mishonga yakakwana ye insulin
• Chirwere kana hutachiona, izvo zvinoita kuti muviri wako udide insulin yakawanda kupfuura zvakajairwa
• Kumanikidzwa kwakanyanya, kuvhiyiwa, kana kukuvara kunokanganisa kutonga kwako kweropa shuga
• Kurwisa kwemoyo kana stroke, izvo zvinogona kukanganisa maitiro emuviri wako akajairika
• Mishonga yakati sea steroids inogona kukwidza mazinga eshuga yeropa
• Kushandisa zvinodhaka kana doro, izvo zvinogona kukanganisa kutonga kwechirwere cheshuga
• Kukura, kunyanya kana chirwere cheshuga chisingadzorwi zvakanaka

Dzimwe nguva DKA inogona kuva chiratidzo chekutanga chekuti mumwe munhu ane chirwere cheshuga, kunyanya chirwere cheshuga chemarudzi maviri. Izvi zvinoitika nekuti muviri wavo wave uchinetseka pasina insulin yakakwana kwemavhiki kana mwedzi usati wasvika panguva yekukanganisa.

Kunyangwe chimwe chinhu chakajairika sechirwere chemafuru chinogona kutanga DKA kana usingagadzire kutonga kwako kwechirwere cheshuga nenzira yakakodzera. Muviri wako unoona chirwere sekunetseka uye unoburitsa mahomoni anorwisa insulin, zvichiita kuti kutonga kweropa shuga kuve kwakaoma zvikuru.

Rini unofanira kuona chiremba nekuda kwe diabetic ketoacidosis?

Unofanira kutsvaga kurapwa nekukurumidza kwemurapwa kana ukaona chero musanganiswa wezviratidzo zveDKA, kunyanya kana uine chirwere cheshuga. Iyi haisi mamiriro aunogona kurapa kumba kana kumirira kuona kana ichizova nani.

Fonera 911 kana enda kuchipatara nekukurumidza kana uine:

• mazinga eshuga yeropa anogara ari pamusoro pe 250 mg/dL ine ketones mumukaka wako
• Kurutsa kunokudzivisa kuchengeta chikafu kana zvinwiwa pasi kwemaawa anopfuura maviri
• Ketones dzakakura mumukaka wako kana uchiedza ne ketone strips
• Zviratidzo zvekushaya mvura kwakanyanya senge dizziness, miromo yakaoma, kana kushaya kuenda kunzvimbo
• Kunetseka kufema kana maitiro ekufema akakurumidza
• Kusanzwisisa, kusurukirwa, kana kunetseka kuramba wakamuka
• Kurwadziwa kwakasimba kwemudumbu kunosakurumidza kunaya

Kana usina chirwere cheshuga asi uri kuona izvi zviratidzo, kunyanya kunhuwirira kwemichero uye nyota yakawanda, unofanirawo kutsvaga kurapwa nekukurumidza kwemurapwa. DKA dzimwe nguva inogona kuva nzira iyo vanhu vanowana nayo kuti vane chirwere cheshuga.

Kunyangwe usingazivi kana zviratidzo zvako zvakakomba zvakakwana, zviri nani nguva dzose kuita zvakanyanya neDKA. Madokota echipatara vangada kukuona nekuda kwechiratidzo chenhema pane kukumirira kwenguva refu kubatsirwa.

Ndeapi njodzi dze diabetic ketoacidosis?

Kunyangwe chero munhu ane chirwere cheshuga anogona kuve neDKA, zvinhu zvakati zvinoita kuti vamwe vanhu vave panjodzi yakakura yekukanganisa uku kwakakomba. Kunzwisisa njodzi yako pachako kunogona kukubatsira kuramba uchiri kuziva nezvekuvimba.

Zvinhu zvinonyanya kukonzera njodzi zvinosanganisira:

• Kuve nechirwere cheshuga chemarudzi maviri, kunyanya kana uchangoongororwa kana uri mudiki
• Kazhinji kusapinda ma insulin doses kana kunetseka kutenga mishonga ye chirwere cheshuga
• Kuve neDKA yakawanda kare
• Kunetseka nezvehutano hwepfungwa senge kuora mwoyo kana kudya kusagadzikana
• Kurarama uri wega pasina rubatsiro rwekuita kuti uongorore chirwere chako cheshuga
• Kuve nezvimwe zvirwere zvinoita kuti kutonga kwechirwere cheshuga kuve kwakaoma
• Kushandisa insulin pumps inogona kukanganisa kana kubviswa

Vakuru vaduku vane chirwere cheshuga chemarudzi maviri vanotarisana nenjodzi yakakura, kazhinji nekuda kwezvinetso zvekuzvidzora chirwere cheshuga vega kekutanga. Kumanikidzwa kwechikoro, basa, uye zvinetso zvemagariro zvinogona kuita kuti kuchengetedza chirwere cheshuga kuve kwakaoma.

Vanhu vane chirwere cheshuga chemarudzi maviri vanogonawo kuve neDKA, kunyanya panguva yechirwere chakakomba, kumanikidzwa, kana vari kutora mishonga yakati inonzi SGLT2 inhibitors. Kunyange zvisingawanzoitika mune chirwere cheshuga chemarudzi maviri, ichiri mukana wakakomba usingafanire kuregererwa.

Ndeapi matambudziko anogona kuitika e diabetic ketoacidosis?

DKA inogona kutungamira kumatambudziko akakomba kana isina kurapwa nekukurumidza uye nenzira kwayo. Mashoko akanaka ndeawo kuti nekurapwa nekukurumidza kwemurapwa, vanhu vazhinji vanodzoka zvakakwana pasina migumisiro inogara kwenguva refu.

Nekudaro, matambudziko anogona kuitika anogona kuva akakomba uye anosanganisira:

• Kushaya mvura kwakanyanya kunogona kutungamira kukuvara kweitsvo kana kukundikana
• mazinga e potassium ari pasi anokanganisa kutemwa kwemoyo uye kushanda kwemisungo
• Kuwedzera muuropi (cerebral edema), izvo zvakajairika kuvana
• Matambudziko ekugwamba kweropa anogona kuwedzera njodzi yestroke kana kurwisa kwemoyo
• Matambudziko emapapu anosanganisira kuunganidzwa kwemvura kana kukundikana
• Koma kana rufu mune zviitiko zvakakomba, zvisina kurapwa

Kukanganisa kunonyanya kunetseka ndicho cerebral edema, uko uropi hunowedzera nekuda kwekuchinja nekukurumidza mukemikari yeropa panguva yekurapa. Ndokusaka madokota vachiongorora varwere veDKA zvakanyanya uye vachigadzirisa kurapwa zvishoma nezvishoma pane kuedza kugadzirisa zvese kamwechete.

Nenzira yakanaka, kana DKA yakawanikwa nekukurumidza uye yakarapwa muchipatara, vazhinji vanhu vanodzoka zvakakwana. Kiyi ndeyekuwana rubatsiro rwekurapa nekukurumidza pane kuedza kutonga zviratidzo uri wega.

Ungadzivisa sei diabetic ketoacidosis?

Mashoko akanaka pamusoro peDKA ndeawo kuti inogona kudzivirirwa zvakanyanya nekutonga zvakanaka kwechirwere cheshuga uye kuziva. Kazhinji zviitiko zvinogona kudzivirirwa nekugara pamusoro pekugadzirisa shuga yeropa rako uye kuziva rini unofanira kutsvaga rubatsiro.

Heano mazano ekudzivirira anoshanda zvikuru:

• Tora insulin yako chaizvo sezvakarayirwa, kunyangwe kana uchinetseka
• Tarisa shuga yeropa rako kazhinji panguva yechirwere, kumanikidzwa, kana kuchinja mumaitiro
• Edza ketones kana shuga yeropa rako iri pamusoro pe 250 mg/dL kana kana uchinetseka
• Ramba uchinwa mvura yakawanda, kunyanya panguva yekunaya kana chirwere
• Iva nechirongwa chezuva rechirwere chakagadzirirwa nechikwata chako chehutano usati watanga
• Chengetedza zvinhu zvekukurumidza zve insulin uye zvekutarisa zvinhu
• Pfeka zvishongo zvinokuzivisa kuti une chirwere cheshuga

Kudzidza kuongorora ketones kunokosha zvikuru. Unogona kutenga ketone testing strips mune akawanda mafurama, uye zviri nyore kushandisa ne urine kana ropa samples. Kuongorora ketones kana uri kurwara kana uine shuga yakawanda yeropa kunogona kukupa chiratidzo chekutanga chekuti DKA inogona kuve iri kuitika.

Kuita chirongwa chekutonga chezuva rechirwere nechikwata chako chekurapa usati watanga chimwe chezvinhu zvakachenjera zvaunogona kuita. Ichi chirongwa chinofanira kusanganisira rini unofanira kufonera rubatsiro, maitiro ekugadzirisa insulin yako, zvekudya zvekudya, uye rini unofanira kuongorora ketones.

Diabetic ketoacidosis inozwiwa sei?

Madokota anogona kuziva DKA nekukurumidza achishandisa musanganiswa wekuongorora ropa, kuongorora mukaka, uye kuongororwa kwemuviri. Kuongororwa kunowanzojeka nekuti DKA inogadzira muenzaniso chaiwo wekuchinja mukemikari yemuviri wako.

Kuongorora kukuru kwachiremba wako achaita anosanganisira:

• Kuongorora shuga yeropa kuti uone kuti shuga yeropa rako yakakwira sei
• Kuongorora ketone yeropa kuti uone huwandu hwe ketones dzakakuvadza muropa rako
• Kuongorora gasi yeropa kuti uone kuti ropa rako rakaoma sei
• Basic metabolic panel kuti uone basa reitsvo dzako uye mazinga e electrolyte
• Kuongorora mukaka kuti uone ketones nezviratidzo zvekushushikana
• Kuverenga kweropa kwakakwana kuti uone zviratidzo zvehutachiona

Chiremba wako achaitawo kuongororwa kwakakwana kwemuviri, achiongorora zviratidzo zvekushushikana, maitiro ekufema, uye kuziva kwepfungwa. Vachabvunza nezvezviratidzo zvako, chirwere chachangopfuura, kushandiswa kwemishonga, uye chero zvinokonzera zvinogona kuitika zveDKA episode.

Muitiro wakati, kuongorora kuwedzerwa kunogona kudiwa kuti uzive chii chakakonzera DKA, senge X-rays yechipfuva kuti uone pneumonia, kuongorora ropa kuti uone hutachiona, kana EKG kuti uongorore kutemwa kwemoyo kwako.

Kurapa kwe diabetic ketoacidosis ndekupi?

Kurapa kweDKA kunoitika muchipatara uye kunotarisa pakugadzirisa zvishoma nezvishoma matambudziko akakonzera dambudziko racho. Chikwata chekurapa chichagara richishanda kuti chidzorere muviri wako kuenzana kwakajairwa pasina kukonzera matambudziko ekuwedzera.

Kurapa kazhinji kunosanganisira zvinhu zvakakosha zvakati wandei:

• Mvura yeIV kuti iise mvura nesalt muviri wako wakarasikirwa nayo kuburikidza nekuenda kunzvimbo kwakawanda
• Kurapa kwe insulin kunopiwa kuburikidza neIV kubatsira kuderedza shuga yeropa uye kumisa kuburitswa kwe ketone
• Kuwedzera kwe electrolyte, kunyanya potassium, iyo inodonha zvakanyanya panguva yekurapa
• Kuongororwa kwakanyanya kwemucheka yeropa nekuongorora kwakawanda kwemaabara
• Kurapa chero zvirwere zvakakonzera DKA
• Kuchinja zvishoma nezvishoma kumishonga yako yakajairwa ye chirwere cheshuga

Maitiro ekurapa kazhinji anotora maawa gumi nemaviri kusvika makumi maviri nemana, panguva iyo ucharangarirwa zvakanyanya. Chikwata chako chekurapa chichatarisa shuga yeropa rako, ketones, uye electrolytes maawa mashoma kuti uve nechokwadi chekuti zvese zviri kuvandudza zvakachengeteka.

Chimwe chinhu chakakosha kunzwisisa ndechekuti kurapa kunoitika zvishoma nezvishoma. Madokota haaedzi kugadzirisa zvese kamwechete nekuti kuchinja kukurumidza kunogona dzimwe nguva kukonzera matambudziko, kunyanya kuwedzera kweuropi muvarwere vaduku.

Maitiro ekutarisira iwe panguva yekudzoreredzwa kubva ku diabetic ketoacidosis?

Kudzoreredzwa kubva kuDKA kunoenderera kunyangwe mushure mekunge wabva muchipatara. Muviri wako unoda nguva yekudzoka zvakakwana, uye uchada kungwarira zvakanyanya nekutonga kwako kwechirwere cheshuga kwenguva.

Heano zvaunogona kutarisira panguva yekudzoreredzwa kwako:

• Kunzwa kuneta kana kushaya simba kwemazuva akati sezvinoiswa muviri wako
• Kuoda kunwa zvinwiwa zvakawanda kubatsira itsvo dzako kudzoka
• Kuve nemisangano yakawanda yekutevera nechikwata chako chekurapa
• Zvichida kuoda kugadziriswa kwenguva pfupi kumishonga yako ye insulin
• Kuongorora shuga yeropa rako kazhinji kupfuura zvakajairwa
• Kudzokera zvishoma nezvishoma kune zvekudya zvako zvakajairwa nemaitiro ehupenyu

Zvakajairwa kunzwa uchinetseka mushure meDKA episode. Vanhu vazhinji vanonzwa kutya, kuora mwoyo, kana kuwanda nekuda kwechiitiko ichi. Manzwiro aya akakodzera, uye kutaura nechikwata chako chekurapa, mhuri, kana mushandi wekurapa kunogona kubatsira zvikuru.

Iyiwo nguva yakanaka yekutarisa chii chakakonzera DKA episode uye kushanda nechikwata chako chekurapa kudzivirira zviitiko zvemangwana. Vazhinji vanhu vanowana DKA kamwechete havambofi vakazviwana zvakare nekuti vanova vakangwarira zvikuru nezvekuchengetedza chirwere chavo cheshuga. Nerubatsiro rwakakodzera neruzivo, unogona kuzvidzora uchivimba nechirwere chako cheshuga uye kurarama hupenyu hwazvo, hwakanaka.

Maitiro aunofanira kugadzirira musangano wako nachiremba?

Kana uri kuona chiremba wako kuti utevere mushure meDKA kana nekuti uri kunetseka nezviratidzo, kugadzirira kunogona kukubatsira kuti uwane zvakanyanya kubva pakushanya kwako. Kugadzirira kwakanaka kunoita kuti urege kukanganwa ruzivo rwakakosha kana uchinetseka kana usina kunaka.

Usati wasangana nachiremba wako, unganidza ruzivo urwu rwakakosha:

• Kuverenga kwakaitwa shuga yeropa uye chero maitiro awakacherechedza
• Rondedzero yakazara yemishonga yese, kusanganisira madoses uye nguva
• Mashoko nezve chero chirwere chachangopfuura, kumanikidzwa, kana kuchinja mumaitiro ako
• Zviratidzo zvawakacherechedza uye pavakatanga
• Chero ketone test results kana wanga uchiongorora kumba
• Mibvunzo yekudzivirira zviitiko zvemangwana

Nyora mibvunzo yako usati watanga kuti urege kuikanganwa panguva yekusangana. Mibvunzo yakajairika inosanganisira kubvunza nezvekugadzirisa insulin panguva yechirwere, rini unofanira kuongorora ketones, uye zviratidzo zvekuziva zvekucherechedza.

Kana iwe uchangova neDKA, taura nechokwadi nachiremba wako nezve chero matambudziko auri kusangana nawo nekutonga kwechirwere cheshuga. Kunyangwe zviri kunetseka kutenga mishonga, kunetseka kurangarira madoses, kana kunetseka nezvekudya nekuita zvemuviri, chikwata chako chekurapa chinogona chete kubatsira kana chaziva kuti chii chiri kuitika chaizvo.

Chii chinonyanya kukosha pamusoro pe diabetic ketoacidosis?

Chinhu chakakosha chokurangarira pamusoro peDKA ndechekuti chirwere chakakomba asi chinogona kudzivirirwa chechirwere cheshuga. Nekutonga kwakanaka kweshuga yeropa, kuziva zviratidzo zvekuziva, uye kurapwa nekukurumidza kwemurapwa kana zvichidiwa, vanhu vazhinji vane chirwere cheshuga havazofi vakasangana neDKA.

Kana ukawana zviratidzo zveDKA, kutsvaga kurapwa nekukurumidza kwemurapwa kunogona kudzivirira matambudziko akakomba uye kukubatsira kudzoka zvakakwana. Usambofa wakaita kuti zvinhu zvive zvakaoma kana kutonga zviratidzo uri wega - DKA inoda kurapwa kwemurapwa muchipatara.

Rangarira kuti kuve neDKA episode hakusi kuti uchazviwana zvakare. Vanhu vazhinji vanoshandisa chiitiko ichi sechikurudzira kuti vavandudze kutonga kwavo kwechirwere cheshuga uye havambofi vakatarisana nekutambudzika uku zvakare. Nerubatsiro rwakakodzera neruzivo, unogona kuzvidzora uchivimba nechirwere chako cheshuga uye kurarama hupenyu hwazvo, hwakanaka.

Mibvunzo inobvunzwa kazhinji pamusoro pe diabetic ketoacidosis

Unogona kuve neDKA nemazinga eshuga yeropa akajairika here?

Hungu, iyi mamiriro anonzi euglycemic DKA, uye inogona kuitika kana mazinga eshuga yeropa ari pasi kana akajairika. Inowanzoitika kune vanhu vanotora mishonga yakati ye chirwere cheshuga inonzi SGLT2 inhibitors, panguva yekukura, kana mumwe munhu asina kudya chikafu chakawanda. Ketones neasidhi inogona kuunganidzwa kunyangwe pasina shuga yakawanda yeropa, ndosaka kuongorora ketones kwakakosha kana uchinetseka.

Inotora nguva yakareba sei kudzoka kubva ku diabetic ketoacidosis?

Vazhinji vanhu vanotanga kunzwa zvakanaka mukati memaawa gumi nemaviri kusvika makumi maviri nemana ekutanga kurapwa muchipatara, asi kudzoka zvakakwana kazhinji kunotora mazuva akati kusvika pavhiki. Kemikari yeropa rako kazhinji inodzoka kune yakajairwa mukati mezuva kana maviri, asi unogona kunzwa kuneta kana kushaya simba kwemazuva akawanda sezvo muviri wako uchizodzoka zvakakwana. Nguva chaiyo inotsamira pakukomba kweDKA uye nekukurumidza kwawakawana kurapwa.

Kumanikidzwa kwoga kunogona kukonzera diabetic ketoacidosis here?

Kunyangwe kumanikidzwa kwepfungwa kana kwemuviri kungakwanisi kukonzera DKA zvakananga, kunogona kuva chikonzero chakakosha nekukwidza shuga yeropa rako uye kuwedzera zvido zve insulin zvemumuviri wako. Kumanikidzwa kunoburitsa mahomoni senge cortisol anoita kuti insulin isashande zvakanaka, zvichiita kuti DKA ivepo kana usingagadzire kutonga kwako kwechirwere cheshuga nenzira yakakodzera. Ndosaka kuva nechirongwa chekutonga chirwere cheshuga panguva yekumanikidzwa kwakakosha.

Diabetic ketoacidosis yakafanana ne ketosis kubva pakudya here?

Kwete, izvi zviri zvinhu zvakasiyana zvachose. Nutritional ketosis kubva pakudya kwakaderera-carb inogadzira huwandu hudiki, hwakadzorwa hwe ketones izvo zvisingaita kuti ropa rako rive neasidhi yakawanda. DKA inosanganisira kuburitswa kwakawanda kwe ketone kunogadzira kuunganidzwa kwakasimba kweacid muropa rako. Vanhu vasina chirwere cheshuga vanotevera ketogenic diets havazofi vakawana DKA nekuti miviri yavo inogona kuita insulin yakakwana kudzivirira mazinga e ketone akakomba.

Ungadzivisa DKA here kana uchiona kuti iri kutanga?

Kana ukawana zviratidzo zvekuziva uye ukaita nekukurumidza, unogona kudzivirira DKA yakazara nekutarisa shuga yeropa rako ne ketones, kutora insulin yakawedzerwa sezvakarayirwa nachiremba wako, kuramba uchinwa mvura, uye kutsvaga kurapwa nekukurumidza. Nekudaro, kana zviratidzo zveDKA zvakasimba, uchada kurapwa muchipatara. Ndosaka kuongorora shuga yeropa kazhinji uye kuva nechirongwa chekutonga chezuva rechirwere zvakakosha zvikuru pakurapa nekukurumidza.