Diabetic Ketoacidosis

Diabetic ketoacidosis chirwere chakakomba chinokonzerwa nechirwere cheshuga.

Chimiro ichi chinoitika kana muviri usingakwanisi kugadzira insulin yakakwana. Insulin ine basa guru rekubatsira shuga — iyo ndiyo inonyanya kukosha simba remazamu nemamwe matishu — kupinda mumasero emuviri.

Pasina insulin yakakwana, muviri unotodzokera pakuputsa mafuta kuti ave mafuta. Izvi zvinoita kuti pave nekuwanda kwemasidhi eropa anonzi ketones. Kana ikasabatwa, kuwanda uku kunogona kutungamira ku diabetic ketoacidosis.

Kana uine chirwere cheshuga kana uri pangozi yechirwere cheshuga, dzidza zviratidzo zvechigadzirwa che diabetic ketoacidosis uye nguva yekutsvaka rubatsiro rwekukurumidza.

Zviratidzo zve diabetic ketoacidosis kazhinji zvinouya nekukurumidza, dzimwe nguva mukati maawa makumi maviri nemana. Kune vamwe, zviratidzo izvi zvingave chiratidzo chekutanga chekuva nedayabeti. Zviratidzo zvinogona kusanganisira:

• Kunyanywa nyota
• Kuenda kuchimbuzi kazhinji
• Kunzwa kuda kurutsa uye kurutsa
• Kurwadziwa mudumbu
• Kushaya simba kana kuneta
• Kushaya mweya
• Kufema kunonhuwira semichero
• Kusagona kufunga zvakanaka

Zviratidzo zvakajeka zve diabetic ketoacidosis — izvo zvinogona kuoneka mumayuniti ekutarisa ropa ne wee muimba — zvinosanganisira:

• Huwandu hweshuga yeropa yakakwira
• Huwandu hweketone yakakwira muwee

Kana uchirwara kana kunetseka kana wambokurwara kana kukuvadzwa munguva pfupi yapfuura, tarisa huwandu hweshuga yeropa kazhinji. Unogonawo kuedza kit yekuyera ketone muurine yaunowana mufurama.

Contact chiremba wako nekukurumidza kana:

• Uri kurutsa uye usingakwanisi kudya kana kunwa mvura
• Huwandu hweshuga yeropa hwako hwakakwira kupfuura huwandu hwako hwuri pamusoro uye hahupindure kurapwa kwekumba
• Huwandu hwako hweketone muurine hwakati kurema kana kukwirira

Tsvaga rubatsiro rwekukurumidza kana:

• Huwandu hweshuga yeropa hwako hwakakwira kupfuura magiramu mazana matatu pa deciliter (mg/dL), kana 16.7 millimoles palita (mmol/L) kwekuyedza kupfuura imwe.
• Une ketones muurine uye usingakwanisi kusvika kuchi remba wako kuti akuraire.
• Une zviratidzo zvakawanda zve diabetic ketoacidosis. Izvi zvinosanganisira nyota yakanyanya, kuenda kunzvimbo kazhinji, kusvotwa nekukurutsa, kurwadziwa mudumbu, kushaya simba kana kuneta, kufema kwakaoma, kufema kunonhuwira semichero, uye kusanzwisisa.

Shuga ndiyo huru sosi ye simba remasero anoita minyoro nedzimwe tishu. Insulin inobatsira shuga kupinda mumasero emuviri.

Pasina insulin yakakwana, muviri haukwanisi kushandisa shuga kuita simba raunoda. Izvi zvinoita kuti hormone dziburitswe dzino paruza mafuta kuti muviri uzvishandisa semafuta. Izvi zvinoitawo acids inozivikanwa se ketones. Ketones inoungana muropa uye pakupedzisira inopinda mumukaka.

Diabetic ketoacidosis kazhinji inoitika mushure me:

• Kurwara. Hutachiona kana chimwe chirwere chinogona kuita kuti muviri uite mazinga epamusoro emamwe mahomoni, akadai se adrenaline kana cortisol. Aya mahomoni anoshanda nekupesana nemigumisiro ye insulin uye dzimwe nguva anokonzera diabetic ketoacidosis. Pneumonia nehutachiona hwe urinary tract ndizvirwere zvakajairika zvinogona kutungamira ku diabetic ketoacidosis.
• Dambudziko ne insulin therapy. Kurasikirwa ne insulin kurapwa kunogona kusiya insulin shoma mumuviri. Kurapwa kwe insulin kusina kukwana kana pombi ye insulin isina kushanda zvakanaka kunogona kusiya insulin shoma mumuviri. Chero rimwe remadambudziko aya rinogona kutungamira ku diabetic ketoacidosis.

Zvimwe zvinhu zvinogona kutungamira ku diabetic ketoacidosis zvinosanganisira:

• Trauma yemuviri kana yemanzwiro
• Kurwisa kwemoyo kana kurohwa
• Pancreatitis
• Pamuviri
• Kushandisa zvinodhaka kana zvinodhaka, kunyanya cocaine
• Mishonga yakati, senge corticosteroids nemamwe diuretics

Ngozi yekuwanda kwe ketoacidosis ye shuga yakanyanya kana iwe uchinge:

• Uine chirwere cheshuga chemarudzi 1
• Kazhinji ukasapinzwa mishonga ye insulin

Dzimwe nguva, ketoacidosis ye shuga inogona kuitika nechirwere cheshuga chemarudzi 2. Muzviitiko zvimwe, ketoacidosis ye shuga inogona kuva chiratidzo chekutanga chekuva nechirwere cheshuga.

Diabetic ketoacidosis inorapwa nemvura, ma electrolytes — akadai se sodium, potassium ne chloride — uye insulin. Zvichida zvinoshamisa, zvinetso zvakajairika zve diabetic ketoacidosis zvine chekuita nerapiro iyi inoponesa hupenyu.

Kune nzira dzakawanda dzekuita kuti ketoacidosis yehutachiona nemamwe matambudziko echiropa zvisavapo.

• Tarisa hutano hwako hwehutachiona. Ita kuti kudya kwakanaka nekuita zvemuviri zvive chikamu chezuva nezuva rako. Tora mishonga yehutachiona kana insulin sezvakarayirwa.
• Tarisa huwandu hweshuga yeropa rako. Ungada kuongorora kunyora huwandu hweshuga yeropa rako kanenge katatu kusvika kana kupfuura kana uri kurwara kana kuti une kunetseka. Kuongorora kwakanyatsojeka ndiyo nzira chete yekuita shuwa kuti huwandu hweshuga yeropa rako hunoramba huri mukati mechinangwa chako.
• Gadzirisa huwandu hwako hwe insulin sezvinodiwa. Taura nachiremba wako kana mudzidzisi wehutachiona nezvekuti ungaita sei kuti huwandu hwako hwe insulin hushande kwauri. Funga nezvezvinhu zvakaita sehuwandu hweshuga yeropa rako, zvaunodya, kuti uri kushanda zvakadini, uye kana uri kurwara. Kana huwandu hweshuga yeropa rako hwakatanga kukwira, tevera chirongwa chako chekurapa chirwere cheshuga kuti udzose huwandu hweshuga yeropa rako kuchinangwa chako.
• Tarisa huwandu hwako hweketone. Kana uri kurwara kana kuti une kunetseka, bvunza ketoni dzakawandisa mumukaka wako uchishandisa kit yekuyedza ketoni yemukaka. Unogona kutenga makit ekubvunza mune imwe chemi. Kana huwandu hwako hweketone hwakati kuderera kana kuti hwakakwirira, taura nachiremba wako nekukurumidza kana kutsvaka rubatsiro rwekukurumidza. Kana uine huwandu hushoma hweketoni, ungada kutora insulin yakawanda.
• Gadzirira kuita nekukurumidza. Kana uchifunga kuti une ketoacidosis yehutachiona nekuti shuga yeropa rako yakakwira uye une ketoni dzakawanda mumukaka wako, tsvaka rubatsiro rwekukurumidza. Matambudziko echiropa anotyisa. Asi usarega kutya kukutadzisa kutarisira iwe zvakanaka. Tevedza chirongwa chako chekurapa chirwere cheshuga zvakanaka. Bvunza timu yako yekurapa chirwere cheshuga kuti ikubatsire kana uchida.

Kutarisa muviri nekuongorora ropa zvinogona kubatsira pakuzivisa ketoacidosis yehutachiona. Muzviitiko zvimwe, bvunzo dzimwe dzinogona kudiwa kuti dzibatsire kuwana chikonzero cheketoacidosis yehutachiona.

Kuongorora ropa kunoshandiswa pakuzivisa ketoacidosis yehutachiona kuchayeresa:

Kuongorora kunogona kubatsira kuwana matambudziko ehutano anogona kuva akaita kuti pave neketoacidosis yehutachiona uye kuongorora matambudziko anogona kusanganisira:

• mazinga eshuga yeropa. Kana pasina insulin yakakwana mumuviri inobvumira shuga kupinda mumasero,mazinga eshuga yeropa achakwira. Izvi zvinozivikanwa se hyperglycemia. Sezvo muviri uchitsvaka mafuta neprotein kuti ave nesimba,mazinga eshuga yeropa achaenderera mberi achikwira.

• mazinga eketone. Kana muviri uchitsvaka mafuta neprotein kuti ave nesimba, asidhi inozivikanwa seketone inopinda muropa.

• kuwanda kweasidhi yeropa. Kuwanda kwakanyanya kweketone yeropa kuchaita kuti ropa rive neasidhi. Izvi zvinogona kuchinja mashandiro emarongerwo emuviri.

• Kuongorora ma electrolytes eropa

• Kuongorora wee

• X-ray yechipfuva

• Kurekodha kwemagetsi emagetsi emoyo, zvinozivikanwawo se electrocardiogram