Ọrịa shuga na - emegide ihe mmebi nke mgbidi vaskụla site na ọkwa glucose dị elu na mmepe nke iweta ọbara ezughi oke, ihe dị n'ime ihe niile.
Enweghi ike nke nri anụ ahụ n'ihi ihe isi ike nke nnweta glucose na mbelata ihe mgbochi, na-eduga n'ọtụtụ oge nsogbu nke nsogbu n'oge ịwa ahụ. Na mgbakwunye, usoro mgbake ahụ mgbe a wasịrị ya ahụ na-egbochi ọrịa ngwa ngwa nke ọnya oge.
N'akụkụ a, ndị ọrịa na-arịa ọrịa shuga chọrọ ụzọ pụrụ iche nke nkwadebe nkwadebe na ịkụnwụ ahụ n'oge ịwa ahụ.
Nkwadebe maka ịwa ahụ maka ọrịa shuga
Ọrụ kachasị mkpa iji gbochie nsogbu mgbe ọwachara ya bụ idozi shuga dị n'ọbara n'ọbara ndị ọrịa shuga. Maka nke a, a na-achịkwa nri ahụ n'ụzọ bụ isi. Iwu nke usoro ọgwụgwọ nri tupu ịwa ahụ:
- Ewepu nri-kalori di elu.
- Nri isii kwa ụbọchị na obere akụkụ.
- Ewepu shuga, ihe ndi ozo, ihe ocha, na ndi icho mma.
- Belata abụba anụmanụ ma wezuga ihe oriri dị elu cholesterol: anụ mara abụba, abụba anụ e ghere eghe, nri, mmanu abuba, Offal, ude na-atọ ụtọ, chiiz ụlọ na ude, bọta.
- Amachibidoro ịholicụ mmanya na-aba n'anya.
- Jiri fiber mee ka nri jupụta n’ime nri n’ime mkpụrụ osisi, mkpụrụ osisi anaghị akọ, bran.
Site n'ụdị shuga dị nwayọ ma ọ bụ ịnagide glucose na-arịa ọrịa, nri siri ike nwere ike iji belata shuga ọbara, n'ọnọdụ ndị ọzọ, a na-eme mgbanwe nke ọgwụ belata shuga. Mbadamba mbadamba na insulin na-arụ ọrụ nke ndị kpụrụ kwa ụbọchị. Egosiputa ojiji insulin jiri obere.
Ọ bụrụ na glycemia ọbara karịrị 13.8 mmol / l, mgbe ahụ 1 - 2 nkeji insulin na-achịkwa ọbara kwa elekere, ma ọ dịkarịa ala 8.2 mmol / l anaghị atụ aro ka wedata akara ahụ. Site n'ọrịa shuga ogologo oge, ọkwa ha dị nso na 9 mmol / l na enweghị acetone na mmamịrị. Nwepuo glucose na mmamiri ekwesịghị karia 5% nke ihe ndị na-enye carbohydrate na nri.
Na mgbakwunye na ịnọgide na-enwe glucose ọbara na ndị ọrịa nwere ọrịa shuga, ha na-ebu:
- Ọgwụgwọ nke ọgba aghara na obi na ọbara mgbali.
- Ilekọta akụrụ.
- Ọrịa neuropathy mamịrị.
- Mgbochi ọrịa na-efe efe.
Na ọrịa shuga, enwere nnukwu ihe ize ndụ nke ịmalite ọrịa obi, ọbara mgbali elu. Ọrịa obi nwere ike ịbụ n'ụdị ọrịa ischemic, ọrịa myocardial dystrophy, akwara obi. Otu akụkụ nke ọrịa obi bụ ụdị nkụchi obi na-egbu mgbu, nke mwepụ nke mwepụ nke onwe, gosipụtara mmụọ, ma ọ bụ mmebi nke obi.
Ọria obi, oke nnukwu akụrụngwa na-aga n'ihu, na-eduga na ọnwụ na mberede. E gosipụtaghị ndị ọrịa ọrịa shuga n'ọbara ọdịnala ya na ndị na - egbochi beta na ndị na - egbochi calcium n'ihi mmetụta ọjọọ ha na metabolism metabolism.
Iji kwadebe maka ịwa ahụ maka ndị ọrịa nwere ọrịa obi, a na-eji usoro dipyridamole mee ihe - Curantil, Persantine. Ọ na - eme ka ọbara na - agbatị, na - ewusi akwara obi ma n'otu oge ahụ mee ka insulin na - anụ ahụ ngwa ngwa.
Mbelata ọbara mgbali n'ime ndị ọrịa nwere ọrịa shuga na-agbagha site na nsonaazụ insulin na njigide sodium. Yana sodium, mmiri na-ejide ahụ, edema nke mgbidi arịa na-eme ka ọ nwee mmetụta na homonụ vasoconstrictive. Na mgbakwunye, mmebi akụrụ na ọrịa shuga, mgbanwe atherosclerotic na arịa ọbara yana oke ibu na-abawanye ọbara mgbali.
Iji belata nrụgide, ọ ka mma ịgwọ ya ọgwụ site na otu igbochi adrenergic: beta 1 (Betalok), alpha 1 (Ebrantil), yana angiotensin-transing inhibitors enzyme (Enap, Kapoten). N'ime ndị okenye, usoro ọgwụgwọ na-amalite site na diuretics, yana ijikọ ọgwụ na otu ndị ọzọ. Achọpụtara ngwongwo nke nrụgide dị ala na Glyurenorm.
Mgbe ihe ịrịba ama nke nephropathy pụtara, nnu nwere naanị 1-2 g, ihe nchebe ụmụ anụmanụ ruru 40 g kwa ụbọchị. Ọ bụrụ na nri emeghị ka ngosipụta nke abụba na - eme ka ọ ghara ịdị ike, mgbe ahụ ka enyere ọgwụ ọgwụ iji belata cholesterol. Na polyneuropathy na-arịa ọrịa mamịrị, egosipụtara ojiji nke Thiogamma ma ọ bụ Belithion.
A na - emezi usoro mgbochi, yana ihe ngosipụta - ọgwụgwọ ọgwụ nje.
Ọrịa ịba Ọrịa mamịrị
Mgbe ha na-arụ ọrụ, ha na-anwa ime ka glucose dị n’ọbara, na-egbochi mbelata ya, n’ihi na nke a nwere ike ibute nsogbu na ụbụrụ. Ọ gaghị ekwe omume ilekwasị anya na mgbaàmà hypoglycemia n'okpuru ọnọdụ ọrịa izizi. Ọrịa izugbe anaghị anabata ha, yabụ a na-eji nnwale ọbara maka shuga. A na-ewere ya awa 2 ọ bụla.
Nnukwu ọgwụ mgbochi, yana ọrụ ha ruo ogologo oge na-ebelata glucose ọbara. Ya mere, n'oge oge izizi n'oge ọrụ, a na-achịkọta ngwakọta nke glucose na insulin. Ọrụ insulin n'oge anesthesia dị ogologo karịa n'ọnọdụ nkịtị, yabụ hypoglycemia dochie ọkwa glucose nkịtị.
Mgbe ị na-a drugsụ ọgwụ maka ọgwụ na-egbu egbu, ịkwesịrị ịtụle mmetụta ha na metabolism metabolism:
- Inhalation anaesthesia na Ether na Fluorotan na-abawanye ọkwa glucose.
- Barbiturates na-akpali ịbanye insulin n’ime sel.
- Ketamine na-akwalite ọrụ pancreatic.
- Mmetụta dị ntakịrị na metabolism na-arụ ọrụ site na: droperidol, sodium oxybutyrate, nalbuphine.
A na-arụ ọrụ oge dị mkpirikpi n'okpuru ọgwụ mpaghara, na ndị ọrịa nwere mmetụta na-enweghị isi ọ ga-eme ka ọgwụ nkwalite ya dịkwuo elu. Maka arụmọrụ na mpaghara ala ala na ngalaba cesarean, a na-eji ihe mgbochi azụ ma ọ bụ epidural.
Ekwesịrị ime ọgwụ mgbochi ọrịa mellitus n'ụdị injections ma ọ bụ iwebata catheter n'okpuru ọnọdụ ike zuru oke n'ihi ike nke ndị ọrịa na mmepe nke ike.
A pụghị ibelata ọbara mgbali elu nke ukwuu, ebe ọ bụ na ndị ọrịa mamịrị anaghị anabata hypotension. Dị ka ọ na-adịkarị, nrụgide na-abawanye site na mmiri ọmụmụ akwara na electrolytes. A naghị atụ aro ọgwụ Vasoconstrictor.
Iji nwetaghachi ọbara ọgbụgba, ejikwala dextrans - Polyglyukin, Reopoliglyukin, ebe ọ bụ na enwere glucose. Nlekọta ha nwere ike ibute nnukwu ọrịa hyperglycemia na coly glycemic.
Achọpụtaghị mmiri Hartman ma ọ bụ Ringer, ebe ọ bụ na lactate sitere na ha na imeju nwere ike ịghọ glucose.
Nsochi
Ọkpụkpụ postoperative na ndị ọrịa nwere ọrịa shuga na-ejikọta ya na eziokwu na ọbara ọgbụgba, ojiji nke ọgwụ na-egbu mgbu na mgbu mgbe ịwachara ọrụ na-eme ka njikọ glucose na imeju, ịmepụta ahụ ketone, yana ndakpo abụba na protein.
N'ịwa ahụ dị ukwuu ma ọ bụ n'oge arụ ọrụ iji gwọọ nsogbu shuga, hyperglycemia nwere ike ịdị elu. Ya mere, a na-etinye ndị ọrịa na ngalaba nlekọta ahụike yana shuga ọbara, a na-enyocha ọrụ obi na ngụgụ kwa awa 2
A na - eji insulin eme ihe dị mkpụmkpụ iji gbochie ketoacidosis na coma. Tinye 5% n'ime glucose na ya. A na-edozi glycemia na nsoro nke 5 ruo 11 mmol / L.
Site n’ụbọchị nke asaa ka ịwachara ahụ, ị nwere ike inyeghachi onye ọrịa ahụ insulin gbatịpụrụ ogologo ma ọ bụ mbadamba iji belata shuga. Ka ịgbanwee gaa na mbadamba nkume, a na-ewepụ ọgwụ mgbede na mbụ, ma mechaa kwa ụbọchị na, n'ikpeazụ, ututu ụtụtụ.
Iji mee ka glucose dị n'ọbara, enwere ike ịkwụsị ihe mgbu mgbu mgbe ọ bụla ịwa ahụ. Ọtụtụ mgbe, a na-eji analgesics eme ihe maka nke a - Ketanov, Nalbufin, Tramadol.
Ndi oria n’azu oria n’azu n’azu ogwu ka anara ọgwụ ogwu nke otutu ihe di iche ma jikota umu ihe abuo rue ato. A na-eji penisilini Semisynthetic, cephalosporins na aminoglycosides mee ihe. Na mgbakwunye na ọgwụ nje, a na-enye ọgwụ metronidazole ma ọ bụ clindamycin.
A na-eji agwakọta protein na-eme nri maka parenteral, ebe ọ bụ na ojiji nke glucose na-agbatị ruo ogologo oge na-eduga hyperglycemia, na ojiji nke ngwakọta nke lipid na-eduga na ketoacidosis mamịrị. Iji gbakwunye ụkọ protein, nke nwekwara ike ịbawanye glucose ọbara, a na-agwakọta ngwakọta pụrụ iche maka ndị ọrịa shuga - Nutricomp Diabetes na Diazon.
Enyere ozi banyere ụdị ọgwụ ịkụnwụ ahụ na vidiyo ahụ n'isiokwu a.
