I-coma yesifo sikashukela iyinkimbinkimbi eyingozi kakhulu yesifo sikashukela , esiza ngenxa yokuntuleka kwe-insulin emzimbeni womuntu ogulayo. Lesi yisimo esongela impilo futhi sidinga ukwelashwa ngokushesha.
Izinhlobo nezimbangela ze-coma yesifo sikashukela
Kunezinhlobo eziningana ze-coma yesifo sikashukela.
I-coma ye-hypoglycemic
Isimo esiba nokuncipha okubukhali egazini legazi. Loluhlobo lwe-coma luvame ukubonwa ezigulini ezingalandeli ukudla okuvamile noma ukuthola ukwelashwa okunganele kwe-diabetes mellitus (ukudlula ngokweqile kwe-insulini, ama-hypoglycemic agents). Futhi, imbangela ye-coma ye-hypoglycemic ingase ibe ukudla okuphuza utshwala, ukukhathazeka ngokweqile kwamanzi noma ukucindezeleka ngokomzimba okukhulu.
I-Hyperosmolar (hyperglycemic) i-coma
Isimo esenzeka njengenkinga ye-type 2 yesifo sikashukela, ngenxa yesigaba esinzima sokuphelelwa amandla kwamanzi kanye nokuphakama okukhulu kweglucose egazini. Njengomthetho, ushukela owedlule uphuthukiswa emzimbeni yizinso ngomchamo, kodwa uma usuphelile amandla, izinso "zisindise" uketshezi, okwenza ukwanda kwezinga likaglucose.
I-coma ye-ketoacidotic
Uhlobo lwe-coma yesifo sikashukela, oluvame kakhulu kwiziguli ezine-type 1 yesifo sikashukela. Kulesi simo, imbangela yeso simo esiyingozi ukuqoqwa kwezinto ezakhiwe ngenkathi kusetshenzwa amafutha aconi - ketone (ikakhulukazi i-acetone).
Ukuqoqwa kwamaketoni isikhathi eside kuholela ekusungulweni kwezinqubo ze-pathological emzimbeni.
Izimpawu zesifo sikashukela
Izimpawu zezinhlobonhlobo ze-coma yesifo sikashukela zifana, kanti lezi zinhlobo zingagcina zenziwe ngemuva kokuhlolwa kwezokwelapha.
Izimpawu zokuqala ze-coma yesifo sikashukela yizi:
- ukoma okunamandla;
- isifiso esiningi sokuvuthwa;
- ubuhlungu nomsindo ekhanda;
- ubuthakathaka jikelele;
- ukulala;
- ukunciphisa ukudla;
- isicanucanu, ukuhlanza.
Uma lezo zimpawu zesifo sikashukela zibhekwa amahora angu-12 kuya kwangu-24 ngaphandle kokwelashwa okudingekayo, isiguli siqala ukuhlaziya okunzima okubonakalayo okulandelayo:
- ukungazi kahle;
- ukungakhathaleli okwenzekayo;
- ukungabikho kokuphendula okwenziwe kwangaphandle;
- ukulahlekelwa kokwazi.
Izimpawu ze-coma ye-hypoglycemic zihluke kancane kwezinye izinhlobo ze-coma yesifo sikashukela futhi zichazwe kanje:
- izinkinga zokulambela;
- ukuthuthumela, ukugubha;
- ukujuluka okukhulu;
- ukubukeka kwesimo sokwesaba, ukukhathazeka;
- ukukhula buthakathaka.
Kanti futhi ezigulini ezinesifo sofuba sikashukela, izimpawu ezifana nalezi:
- ukwehliswa kwengcindezi yegazi;
- umthamo obuthakathaka;
- isikhumba esomile nesifudumele;
- ama-eyeballs asheshayo-touch;
- iphunga le-acetone emlonyeni.
Imiphumela ye-coma yesifo sikashukela
Uma isiguli esinomsoco wesifo sikashukela singatholi ukwelashwa okwanele ngesikhathi esifanele, lokhu kungaholela ezinkingeni ezinkulu, okujwayelekile kakhulu kuzo:
- umonakalo okhethekile noma ophelele kumaseli obuchopho ashiye ngaphandle kokudla ne-oxygen;
- umphumela obulalayo ngaphandle kokubuyela emqondweni.
Ukunakekelwa okuphuthumayo kwe-coma yesifo sikashukela
Usizo lokuqala lwe-coma yesifo sikashukela, uma isiguli singenalutho, kufanele kube okulandelayo:
- Shayela i-ambulensi.
- Ukuze uhlole ukugulisa nokuguliswa kwesiguli, lapho engekho, qhubekela phambili ekuhlungeni kwenhliziyo nenhliziyo yokuphefumula .
- Ngaphambi kokushisa nokuphefumula, isiguli kufanele sivunyelwe ukufinyelela kwemoya, sibeke ngakwesobunxele bese simbuka uma ukuhlanza kuqala.
Uma isiguli siyazi, kufanele kube:
- Shayela i-ambulensi.
- Nika isiguli ukudla noma ukuphuza okuqukethe ushukela, uma kukwaziwa ukuthi imbangela ihlotshaniswa noshukela ephansi wegazi.
- Phuza isiguli ngamanzi.