Ketoacidosis - ntoni na? Ketoacidosis: iimpawu, iimpawu kunye nonyango zokugula kubantu abadala kunye nabantwana

Namhlanje ucinge ingxaki eziqhelekileyo seswekile njengoko ketoacidosis. Yintoni na? Ziziphi izizathu kunye nezikhokelo zonyango? Indlela yokukhusela isifo? Siza ukuxoxa ngale mibuzo kweli nqaku.

Overview

Esona sizathu sokuba esi sifo kuba ukuswela insulin, neziphumo kumanqanaba glucose kunye nomchamo abunjwe ngokuzimisela egazini. Nisingise emzimbeni, ukulahleka ityuwa, amafutha ukuqhekeka. Kwinkqubo yokubola amanqatha wavelisa ketones - izinto ezikhethekileyo ezinokuthi ukwandisa acid egazini. Ketoacidosis - sisifo ine ikhondo etsolo kwaye likhula ngokukhawuleza kakhulu. Kwezinye iimeko, le ngezifo na lokuqala uphawu seswekile uhlobo 1.

izizathu

Phuhlisa isifo kungabangela:

• insulin idosi Miscalculation okanye inaliti ugqaphu.

• ukunxila Infectious.

• ukunyhashwa kakhulu ekutyeni ngokwesiqhelo.

• uphethwe emva kwexesha.

• Iinguqu kwiimfuno insulin, enokuthi zibangelwa imveliso hormone okukhula, utyando, ukuguqulwa kwisingqi eqhelekileyo ebomini, ntshikilelo.

• Ukunqongophala nokuzeyisa yokudla.

Ketoacidosis: iimpawu

imizimba Ketone ziveliswa ngezixa kakhulu, kuchaphazela kakubi umzimba, yaye ekugqibeleni ukubonisa iimpawu yityhefu. Ukuba ekuphuhliseni ketoacidosis, iimpawu zesifo ichazwa njenge:

• isicaphucaphu;

• ukuphalaza;

• unxulunyaniswa iintlungu esiswini, ngamanye amaxesha sho kunene;

• komzimba;

• ukubonakala enzonzobila, enengxolo, ukuphefumla rapid;

• intloko ebuhlungu, isiyezi;

• ukozela, silale.

Kwakhona nale sifo kuvela inkantsi yalityatya buthathaka, nevumba acetone umoya, isikhumba uba phezu-owomileyo, kukho epheleleyo okanye kwinxenye ilahleko yokuqhelaniswa nezifundo emajukujukwini.

DKA sisalathisi Injongo phambi kwe acetone kwi umchamo, nto leyo ugqibe ngokusebenzisa imicwe ezikhethekileyo uvavanyo lula.

Ubhaqo kweempawu omnye okanye ngaphezulu kufuna iingcebiso specialist.

ekuxilongweni

Ukuxilonga ketoacidosis, kuyimfuneko ukuba ukuqhuba uphando. Ezi ziquka:

1. ukuhlolwa jikelele.

2. Uhlalutyo imbali yomguli zonyango kunye nezikhalazo.

3. Laboratory zophando eziqhutyiweyo, eziquka:

• uhlalutyo mali glucose egazini;

• Uhlalutyo jikelele igazi nomchamo;

• ukumisela ubukho imizimba ketone egazini:

• urinalysis acetone kunye ketone izidumbu;

• ukuqinisekisa ubukho xa egazini ion (potassium, sodium), creatinine, urea, chloride, zincancise, yesoda;

• Uhlalutyo igazi acid-isiseko ratio kunye nokwakheka negesi.

Ketoacidosis: Unyango lwezifo

Esi sifo kufuneka ungenelelo lonyango ngoko nangoko. Xa isifo efana unyango ketoacidosis iqulathe kakhulu kukubuyisela kwayo potassium kunye namanzi imali eseleyo kwi kumguli. Kwakhona kubalulekile kakhulu ukuba zokucutha isixa iswekile (ukuba amanqanaba eziqhelekileyo) kunye acid egazini.

unyango ketoacidosis for seswekile kuquka la manyathelo alandelayo:

1. Yegazi ilawulwa fast-obambeleyo insulin (a hormone inceda ukwehlisa isixa glucose egazini) kwaye ngeyure iswekile esweni igazi.

2. isisombululo Sodium chloride (at ezahlukeneyo boxinzelelo) ukugcwalisa intsilelo fluid.

3. Kuthintelo hypoglycemia (imeko apho iswekile egazini singaphantsi 3.3 mmol / l) Isisombululo iswekile elaliselugcinweni.

4. Ukulungiselela injongo ulungiso ezingaqhelekanga electrolyte ezilawulwa izisombululo equlethe potassium ityuwa.

5. Lungisa pH.

6. Ukuthintela iingxaki esosulelayo isicelo antibiotics.

7. Ukuthintela thrombosis (igazi egazi nasezimpahleni) yi anticoagulants emiselweyo.

amanyathelo ongezelelweyo

Ukongeza, xa ezifana nesifo njengoko ketoacidosis (oko kukuthi sele ezichazwe ngasentla) kufuneka ale ukwamkela ukutya ekudleni aqulethe, ngaphandle ekudleni. Kukhethwa Kucetyiswa ukuba ukunika iimveliso iswekile-sweet - juice seediliya, nobusi. Oku kuyinyaniso ngakumbi kwiimeko apho impembelelo olunzulu glucose igazi insulinoterpaii ashiye ngokukhawuleza kakhulu kwaye kukho ingozi hypoglycaemia.

Xa uthomalaliso kwenziwa ngokuchanekileyo, izinga ukuhla komgangatho iswekile igazi 4-4 mmol / L / h. Emva kweeyure ezi-3 emva kokuba unyango sele iqaliswe, umxholo imizimba ketone Umchamo nande okwethutyana. Bamalunga nama-6 kweeyure kamva nyamalala zizonke.

unyango ngokwaneleyo ketoacidosis kuxhomekeke isiqulatho eziqhelekileyo glucose egazini, kwakunye nokungabikho ziyabophelela of ketones kwi yokuchama.

Kukho iimeko apho esi sifo kuphuhliswa ngasemva enye yokugula, kwaye ukutshintsha kuphela scheme insulin ukubuyisela imeko yomguli impilo akunakwenzeka, ekubeni, iziyobisi olongezelelweyo, apho amanyathelo sibhekiswe unyango lwezifo olungenelelayo. Umzekelo, ukuba imeko ketoatsidoticheskaya sele yenzekile sizoku lwisana ukudumba kwemiphunga okanye umqala obuhlungu, ugqirha ngokuyimfuneko zibeka antibiotics.

ketoacidosis seswekile kungabangela neziphumo ezimandundu ezifana yanyhashwa kumsebenzi enyama yangaphakathi, uphuhliso isiqaqa seswekile, ilahleko osezingqondweni, kwaye xa kungekho unyango olufanelekileyo - ukufa (Senzeka malunga 5-15% amatyala).

Ukuba ingxaki umntwana

imeko yezifo ingozi enkulu ingakumbi ngexesha esakhula. Engozini:

• kids abagulayo;

• kubantwana babazali kufuneka naziphi na izifo sokuhlasela;

• , Bottle-abantwana ukususela ekuzalweni;

• abantwana eentsapho sele umntwana une type 1 diabetes;

• kubelekwa omama ubunzima kwezifo ezosulelayo ngexesha lokukhulelwa.

Ketoacidosis kubantwana amaninzi senzeka kunjalo, ukuba zange ibhaqwe ixesha uhlobo seswekile 1. Kamva izehlo le meko ixhomekeke ukuba aphathwe ngendlela engcono.

Ngokwemveli ketoacidosis kubantwana kubonwa iliphawu uhlobo 1 diabetes, kodwa kwezinye iimeko kwalo mqathango ukuphuhlisa xa uhlobo isifo 2.

ketoacidosis seswekile ebantwaneni ibonakalise iimpawu efanayo abadala. Unyango nayo efanayo. Abazali kufuneka iliso rhoqo umntwana wabo, kwaye baya kufumana ithuba lokuthatha amanyathelo afanelekileyo nokuthintela isiqaqa seswekile.

Umthamo isisombululo zolwelo-ityuwa kwencindi kunye nezinye iziyobisi emiselwe gqirha kwaye kuxhomekeke ubunzima emzimbeni wakhe.

amanyathelo othintelo

Ke ketoacidosis. Yintoni na kwaye yintoni na imigaqo yonyango - safumana. Kodwa kufuneka babenolwazi iindlela zokuthintela.

1. Ukuba izidumbu ketone zifumaneka umchamo, kuyimfuneko ngokukhawuleza kangangoko kunokwenzeka ukuba athathe amanyathelo ukuze kususwe yabo ivela emzimbeni.

2. Lawula isixa iswekile egazini kunye nomchamo.

3. Ngokungqongqo hlalani yishedyuli yalo insulin, yaye unxaxho kufuneka nje kuphela kwinqanaba glucose egazini, kodwa ke ubukho kwi maqumrhu umchamo ketone kolawulo.

4. Ngononophelo kakhulu kufuneka athathwe utywala (utywala ukunciphisa isixa iswekile egazini, waza wajika emizimbeni ketone - oku kungabangela udibaniso eyingozi kakhulu ketoacidosis kunye hypoglycemia) kwaye undazise xa imizimba ketone kwi nomchamo ngethuba nasemva ukusela utywala.

5. Ukubhalisela umthambo ngokugqithiseleyo ugcine phantsi kolawulo imbonakalo ketones kwi umchamo ngexesha nasemva eyahlukahlukeneyo.

6. Ukuba kunokwenzeka, ukuphelisa iimeko uxinezeleko. Emva ukuhlupheka luxinzelelo olungamandla kuyimfuneko ukulawula isixa glucose egazini, kwaye ketones kwi yokuchama.

7. Izifo ezosulelayo (angina, umkhuhlane, izifo ezihlasela zosulele ngokuphefumla, usulelo yenkqubo genitourinary, njalo-njalo), ukufa kwamalungu omzimba, iposi engabalulekanga, utyando, unxinzelelo ezahlukeneyo, ntshikilelo, ukukhulelwa kufuneka nakanjani kuqhutywa umchamo ubukho imizimba ketone.

isiphelo

Emva kokufunda eli nqaku uya kufunda okungakumbi ngale meko zophendlo lwezifo njengoko ketoacidosis: oko kukuthi, iimpawu, ebangela, unyango kunye nothintelo. Ukuba ngesiquphe isixa wokunyuka yeswekile yegazi okanye amaqumrhu ketone umchamo kuvela, musa ukothuka. Kulo mzekelo, kufuneka ukuchonga unobangela imeko kunye nonyango olufanelekileyo kwangexesha. Yenza oko kwenzeka kuphela specialist. Self-iyeza na eyingozi empilweni. Thatha nokuzikhathalela wena!