I-coma yesifo sikasifo sesifo sikasifo sikashukela sisifo esiyingozi kakhulu sesifo sikashukela , esiza ngenxa yokuntuleka kwe-insulin emzimbeni womntu ogulayo. Le yimeko esongela ubomi kwaye idinga ukunakekelwa kwangoko unyango.
Iintlobo kunye nezimbangela zesifo sikashukela
Kukho iintlobo ezininzi ze-coma yesifo sikashukela.
I-coma ye-Hypoglycemic
Umqathango okhula ngokukhawuleza ngokuthe tye kwi-ushukela wegazi. Olu hlobo lwe-coma luvame ukubonwa kwizigulane ezingalandeli ukutya okuqhelekileyo okanye ukufumana unyango olungonelanelekiyo wesifo sikashukela (i-overdose ye-insulin, i-agent e-hypoglycemic agents). Kwakhona, imbangela ye-coma ye-hypoglycemic ingaba yinto yokusela utywala, ukukhathazeka kwamanzi okanye uxinzelelo olunzima lomzimba.
I-Hyperosmolar (hyperglycemic) i-coma
Imeko eyenzeka njengengxaki yohlobo lwe-2 lweswekile, ngenxa yesigaba esinzima sokungcoliswa kwamanzi kunye nokuphakama kwezinga le-glucose egazini. Njengomthetho, i-surplus sugar surpreed from the body by the kidneys through the urine, kodwa xa idibeneyo, izintso "zisindise" umbane, obangela ukwanda kwinqanaba le-glucose.
I-cometo ye-Ketoacidotic
Uhlobo lwesifo sikashukela, esona siqhelo kwizigulane ezine-type 1 zeswekile. Kule meko, imbangela yeso sengozi ukuqokelelwa kwezinto ezakhiweyo ngexesha lokusetyenziswa kwe-acid acety - ketones (ngokukodwa, i-acetone).
Ukuqokelelwa kweetone kwithuba elide kukhokelela ekuqalisweni kweenkqubo zentlalo emzimbeni.
Iimpawu zesifo sikashukela sesifo sikashukela
Iimpawu zeentlobo ezahlukeneyo zesifo sikashukela zifana, kwaye iintlobo zinokugqitywa emva kokuhlolwa kwezonyango.
Iimpawu zokuqala zesifo sikashukela zi:
- ukoma okunzulu;
- ukukhawuleza ukuba ugonywe;
- intlungu nengxolo entloko;
- buthathaka;
- kulala;
- kunciphisa ukutya;
- isicupunu, ukuhlanza.
Ukuba iimpawu ezinjalo zesifo sikashukela ziyabonwa kwiiyure ezili-12 ukuya kwii-24 ngaphandle kokunyanga okufunekayo, isigulane sikhula i-coma enamandla enezinto ezilandelayo:
- ukungazi kakuhle;
- ukungakhathaleli kwinto eyenzekayo;
- ukungabikho kwempendulo kwi-stimuli yangaphandle;
- ukulahleka kwengqondo.
Iimpawu ze-hypoafflycemic coma zihluke kakhulu kwezinye iindidi zesifo sikashukela kwaye zibonakaliswe ngale ndlela:
- ezibukhali bokutya;
- ukuthuthumela, ukugubha;
- khulisa;
- ukubonakala kwentswelo yokwesaba, yokukhathazeka;
- buthathaka.
Kwakhona kwizigulane ezinokuphuhlisa i-coma ye-diab, imiqondiso efana nale:
- ukunciphisa uxinzelelo lwegazi;
- i-pulse engenamandla;
- isikhumba esomileyo neshushu;
- i-eyeballs ezithambileyo;
- iphunga le-acetone emlonyeni.
Iziphumo zesifo sikashukela
Ukuba isigulane esinomdla wesifo sikashukela asifumani unyango olwaneleyo ngexesha, oku kungakhokelela kwiimeko ezinzima, eziqhelekileyo zazo zilandelayo:
- umonakalo okhethekileyo okanye opheleleyo kwiiseli zobuchopho ezishiye ngaphandle kokutya kunye ne-oxygen;
- isiphumo esibulalayo ngaphandle kokubuyela kwintliziyo.
Unonophelo olungxamisekileyo kwi-coma yesifo sikashukela
Uncedo lokuqala kwi-coma yesifo sikashukela, ukuba isigulane asinakho, kufuneka sibe lulandelayo:
- Biza i-ambulensi.
- Ukujonga ukutsalwa kwesigulane kunye nokuphefumla, ekungabikho kwabo, qhubela phambili kwi-heartage ye-massage ne -respiration .
- Ekubeni ubuchopho kunye nokuphefumula, isigulane kufuneka sivunyelwe ukufikelela emoyeni, sibeke kwicala lasekhohlo kwaye sijonge ukuba ukuhlanza kuqala.
Ukuba isiguli siyazi, kufuneka ukuba:
- Biza i-ambulensi.
- Nika isigulane ukutya okanye isiselo esinokushukela, ukuba kuyaziwa ngokuqinisekileyo ukuba imbangela inxulumene neshukela ephantsi yegazi.
- Phuza isiguli ngamanzi.