Chirwere cheshuga chinokonzerwa nehutachiona hwechirwere cheshuga , icho chinouya semugumisiro wekushayikwa kwe insulini mumuviri wemunhu anorwara. Iyi ndiyo mamiriro ezvinhu anotyisidzira upenyu uye inoda kurapwa kwenguva pfupi.
Mhando uye zvinokonzera chirwere cheshuga
Kune marudzi akawanda evanhu vane chirwere cheshuga.
Hypoglycemic coma
Mamiriro ezvinhu anowedzera nekuderera kwakakosha mune shuga yeropa. Izvi zvinowanzoonekwa kune varwere vasingateereri kudya kwemazuva ose kana kuti vanowana kurapa kwakakwana kwechirwere cheshuga mellitus (kunyanya kudarika insulin, yakafukidzirwa hypoglycemic agents). Uyewo, chinokonzerwa ne hypoglycemic coma inogona kunge iri kudhakwa, kunetseka kana kunetseka mupfungwa.
Hyperosmolar (hyperglycemic) coma
Mamiriro ezvinhu anoitika sechinhu chinokonzera chirwere chechirwere cheshuga, zvichienderana nenzvimbo yakaoma yekudzikisa mvura uye yakanyanya kukwirira kweropa muropa. Sezvo mutemo, huwandu hwehuga hunodonhedzwa kubva mumuviri neitsvo kuburikidza nemuguta, asi kana uchinyura mvura, itsvo "ponesa" mvura, iyo inoguma nekuwedzera kwezinga rehuga.
Ketoacidotic coma
Chirwere chechirwere cheshuga, chinowanzoonekwa nevarwere vane chirwere cheshuga cheshuga. Muchiitiko ichi, chinokonzerwa nehuwandu hwehutachiona ndiko kuunganidza zvinhu zvakaumbwa panguva yekushandiswa kwemafuta acid - ketone (kunyanya, acetone).
Nguva yakareba yekuunganidza maketoni inotungamirira pakugadzirwa kwehutano hwehutano mumuviri.
Zviratidzo zvechirwere cheshuga
Zviratidzo zvemarudzi akasiyana-siyana eeshuga reaaaa akafanana, uye zvipenyu zvingaguma zvigadziriswa mushure mekuongorora kwechiremba.
Zviratidzo zvekutanga zvechirwere cheshuga ndezvekuti:
- nyota yakasimba;
- kazhinji kukurudzira kurinate;
- kurwadziwa nenzwi riri mumusoro;
- general weak;
- kugona;
- kuderedza chido chekudya;
- kushungurudza, kurutsa.
Kana zviratidzo zvakadaro zvekushaya chirwere cheshuga zvinowanikwa maawa 12 kusvika ku24 pasina kurapwa kwakakodzera, murwere anoumba chirwere chakakura chine zviratidzo zvinotevera:
- kukanganisa pfungwa;
- kusava nehanya kune zviri kuitika;
- kusavapo kwekuita kune zvinoitika kunze;
- kurasikirwa kwekuziva.
Zviratidzo zve hypoglycemic coma zvakasiyana zvishoma kubva kune dzimwe mhando dzechirwere cheshuga uye zvinoratidzirwa seizvi:
- kunokonzera nzara;
- kudedera, chills;
- kuwedzera kutuka;
- kuonekwa kwekutya, kutya;
- kukura kusimba.
Uyewo kune varwere vane hutachiona hwemaega, zviratidzo zvakadai se:
- kuderedza ropa;
- weak pulse;
- ganda rakaoma uye inopisa;
- soft-touch eyeballs;
- kunhuwira kweAcetone kubva mumuromo.
Migumisiro yechirwere cheshuga
Kana murwere ane chirwere cheshuga ane chirwere cheshuga asingagamuchiri kurapwa kwakakwana munguva, izvi zvinogona kutungamirira kumatambudziko akakomba, ayo akawandisa pane aya ndeaya:
- kukanganisa kwakakwana kana kwakakwana kumasero europi akasiyiwa asina kudya uye oksijeni;
- mugumisiro unouraya usingadzokeri pakuziva.
Emergency care for diabetes coma
Kubatsira kwekutanga kune chirwere cheshuga, kana murwere asina chaanoziva, anofanira kunge ari anotevera:
- Danidzira kuti upe ambulensi.
- Kuti uongorore murwere uye kufema, pakusipo kwavo, ramba uchienda kune imwe yemoyo mwoyo musasa uye kupfutidza .
- Muhupo hwehutachiona uye kufema, murwere anofanira kubvumidzwa kutaridzika kwomweya, kuisa kuruboshwe rwake uye kumurinda kana kurutsa kunotanga.
Kana murwere achiziva, inofanira kuva:
- Danidzira kuti upe ambulensi.
- Ipa murwere zvokudya kana zvinwiwa zvine shuga, kana zvichizivikanwe kuti chikonzero chinosanganiswa neshuga shoma yeropa.
- Inwa murwere nemvura.