Kuti unzwisise chirwere cheshuga ketoacidosis, zvinotanga kudikanwa kuziva kuti glucose ndiyo huru yehuni yemuviri wedu. Kana muviri uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchinge uchikwevera kubva kune emafuta zvakachengetwa kuti urege kushaya simba. Kana pasina insulin yakakwana muropa, iyo dzimwe nguva inowanzoitika kune vanhu vane chirwere cheshuga, masero haachakwanisi kushandisa glucose iri muropa. Nekuti insulin ihomoni - yakasikwa yakavanzwa nepancreas - iyo inobatsira kuunza glucose mumasero ehuropi, adipose tishu, chiropa uye skeletal tsandanyama. Saka inochengetedza shuga yeropa pane zvakajairika.

Iyo acidocétose

Kana kushomeka kwe insulin kwakaoma, muviri, pachinzvimbo chekushandisa glucose, unomanikidzwa kushandisa mafuta kuita simba. Inoshanda, asi dambudziko nderekuti kuputsa mafuta aya kunoita ketoni, kana acetone. Zvisinei, miviri yeketone iyi imarara. Muviri unogona kubvisa zvinhu izvi zvine chepfu… kusvika padanho. Kana zvanyanya, anozviwana "akurirwa". “Maketone ane acidic. Nekuungana muropa, vanoriita acidic zvakanyanya, "vanodemba Muzvinafundo Boris Hansel, endocrinologist-nutritionist pachipatara cheBichat muParis (APHP). “Iketoacidosis, dambudziko rakakura rechirwere cheshuga. Inobata vanhu vane chirwere cheshuga vasingagoni kurarama vasina insulin. ” Saka kazhinji kazhinji ndivo vane chirwere cheshuga cherudzi rwekutanga, dzimwe nguva Type 1.

Chirwere cheshuga ketoacidosis chinoratidzwa ne "kurasikirwa kunokosha uye nekukurumidza, nyota huru, kuda kuita weti yakawanda, kuneta. Munhu akabatwa anewo mweya weapuro, nekuda kwekuburitswa kweacetone, "anotsanangura Muzvinafundo Hansel. Kukurumidza kufema, kurwadziwa mudumbu, kusvotwa uye kurutsa zvinogonawo kuitika. Kungofanana nekupererwa nemvura, sezvo tichiita weti yakawanda.

Kubudirira kwejekiseni insulini, uye dzidzo yevarwere, yakaderedza chiitiko chechirwere cheshuga ketoacidosis. "Asi rinoramba riri dambudziko rinowanzoitika, kunyanya muvana vane chirwere cheshuga, avo vasati vaongororwa," anosimbirira Muzvinafundo Hansel. Muvana, muchikamu chetatu chezviitiko, ichokwadi chiitiko chechirwere cheshuga ketoacidosis chinoratidza rudzi rwechirwere cheshuga 1 (apo pancreas isingachabudisi insulin yakakwana). Ichi ndicho chikonzero zvimwe zviratidzo muvana – nyota yakanyanyisa, kuda kuita weti nguva nenguva, kuneta, kuonda… – zvichifanira kuita kuti vabereki vafungidzire chirwere cheshuga, uye kubvunza. Ditto kana akatanga kunyorova mubhedha zvakare paakanga "akachena". Izvi zvese zviratidzo zve hyperglycemia. Kunyanya kana pane nhoroondo mumhuri. Zviratidzo zvekutanga zvinowanzotorwa kune imwe pathology. Asi kubvunzurudza kuchaita kuti zvikwanise kuita ongororo chaiyo pasina kutambisa nguva. Kuziva zviratidzo zve hyperglycemia mumwana kunokosha: zvinogona kubatsira chaizvo kudzivirira njodzi. Iyi tsaona inogonawo kuguma nekukanganwa chipimo che insulin, insulin inotorwa muhuwandu husina kukwana, kurapwa kwechirwere cheshuga. Kana kuitika zvichitevera hutachiona hwakaita sefuruu: chirwere chinogona kuda yakakwira kupfuura yakajairika dosi ye insulin. Kubvisa zino, kusashivirira kwekugaya, rwendo rurefu ndizvo zvimwe zvikonzero.

Chirwere cheshuga ketoacidosis chinokura mukati memaawa, kana mazuva. “Injodzi chaiyo,” anonyevera kudaro Purofesa Hansel. Pakukahadzika kudiki, fungidziro imwe chete: tora nzira yenjodzi. Chirwere cheshuga ketoacidosis itsaona yakaipisisa, nokuti kana ikasarapwa, inogona kutungamirira kucoma. Isu tinotaura nezve "ketoacidosis coma". Kunogona kutoisa upenyu hwomunhu akabatwa mungozi.

Hyperglycemia, ine acetone muweti kana muropa, "zviratidzo" zvekuongororwa. Paanenge ari mu hyperglycemia (kureva, shuga yeropa inodarika 2,5 g / l), ane chirwere cheshuga anofanira kunyatsotarisa kuvepo kwemitumbi yeketone muweti yake (ine mitsetse yeweti) kana muropa rake (ine ropa glucose mita). Kana zviri izvo, anotofanira kuenda kuchipatara pasina kunonoka, nokuda kwokurapa kunobudirira zvikuru sezvakwave kuri.

Ketoacidosis ndeyechimbichimbi inoda kuchipatara. Kurapa kwacho kwakavakirwa pambiru nhatu: “kupa insulin, kazhinji netsinga, kuenzanisa mwero weshuga yomuropa, kuisa hydrate, kuwedzera potassium.” "Mumaawa masere kusvika gumi nemaviri, zvese zvadzokera kune zvakajairika ... chero zvisingatore nguva kutanga kurapwa. Zvakakosha kutarisa kumashure, kuona chakonzera chiitiko ichi, uye nokudaro kudzivirira kuti chirege kuitika zvakare. Mukudzivirira, kudzivirira njodzi yakadaro, chirongwa chekurapa chirwere cheshuga chinofanira kuteverwa kune tsamba. Mune mamwe mazwi, kutonga shuga yeropa kunoda kutariswa zvakanyanya, zuva rega rega, kakawanda pazuva. Uye kuvepo kweketoni kunofanirwa kuongororwa nekukurumidza kana paine hyperglycemia. Kusunga matanho, hongu, asi zvakakosha kuti ugare murunyararo nechirwere cheshuga chako.