Isiokwu "Nnukwu ọrịa shuga"

Ketoacidotic (ọrịa shuga) bụ ọrịa siri ike, na-arịa ọrịa shuga n'ihi ụkọ insulin, nke ketoacidosis gosipụtara, akpịrị ịkpọ nkụ, ahaghị nkwụghachi acid n'akụkụ nke acidosis na hypoxia anụ ahụ siri ike.

Isi ihe kpatara ya bụ erughi insulin zuru oke.

oria: nnukwu usoro mkpali, ọnọdụ nke ọrịa na-adịghị ala ala, ọrịa na-efe efe,

nsogbu ọgwụgwọ: mwepu ma ọ bụ iwepu insulin na-enweghị ikike site n'aka ndị ọrịa, njehie na ndenye ma ọ bụ ijikwa insulin, nchịkwa insulin emebiela ma ọ bụ echekwa nke ọma, usoro na-elekọta insulin nchịkwa (mkpịsị sirinji),

enweghị nchịkwa na njide onwe nke ọkwa glucose ọbara,

ịwa ahụ na mmerụ ahụ

ọrịa shuga na-arịa ya

ejighi ọgwụ insulin mee ihe dịka ihe ngosipụta maka ụdị ọrịa shuga 2 dị ogologo,

usoro ọgwụgwọ na-adịghị ala ala na insulin antagonists (glucocorticoids, diuretics, homonụ mmekọahụ, wdg).

Na eserese kediacidosis nke na-arịa ọrịa shuga, ketoacidosis dị nro (ogbo 1), ọnọdụ precomatous (ogbo 2), na ketoacidotic coma. Ketoacidosis na-amalite nwayọọ nwayọọ.

Etodị ọcha ketoacidosis mara nke ịba ụba hyperglycemia nke metụtara insulin insulin na mkpokọ n'ihi glucose endogenous n'ihi gluconeogenesis na ndakpọ glycogen. Mgbaàmà nke akara ketoacidosis dị nwayọ nwayọ karịa ọtụtụ ụbọchị. N'otu oge ahụ, mbelata nke ikike ọrụ, agụụ, adịghị ike akwara, isi ọwụwa, nsogbu dyspeptik (ọgbụgbọ, afọ ọsịsa), polyuria na polydipsia na-abawanye. Ahụ, mucous membranes nke ọnụ na-akpọ nkụ, enwere obere ísì acetone si n'ọnụ ya, hypotension, ugboro ugboro, muffling nke ụda obi, mgbe ụfọdụ arrhythmias, mgbu afọ, m. imeju imeju.

Ọnọdụ precomatous mara mmụba nke ngosipụta metabolic na ngosipụta ọgwụ. Azotemia, akpịrị ịkpọ nkụ, acidosis metabolic na-amalite. Ọnọdụ onye ọrịa ahụ na-akawanye njọ, adịghị ike n'ozuzu ya na-agbasi ike, ụra, akpịrị ịkpọ nkụ, ugboro ugboro urination, ọgbụgbọ, ọgbụgbọ na-aga n'ihu, mgbe ụfọdụ, ọbara na-agbakwụnye, na-eme ka afọ na-egbu mgbu, mgbe ụfọdụ, ọ na-eyi n'ụlọ ọgwụ nke “akwara afọ”, mgbe ụfọdụ enwere papois hypokalemic nke eriri afọ. Akpụkpọ ahụ na akpụkpọ anụ mucous - akọrọ, rubeosis nke ihu. Ire asacha, acha uhie uhie na acha ma obu browned, isi acetone n’onu. A na-ebelata ụda nke mọzụlụ na ọkachasị nku anya. Tachycardia, hypotension arterial, iku ume Kussmaul.

Ketoacidotic coma ji mwepụ nke nsụhọ kpamkpam. A na-enwe acetone dị n’ọnụ n’ọnụ, akpụkpọ ahụ na mucous akpụkpọ ahụ na-ehicha, cyanotic, ọdịdị ihu na-egbusi ike, ụda nke nku anya na-agbada, ụmụ akwụkwọ na-ebelata, na-eme ka akaị ahụ na-anọghị ya, na-arịa ọbara ọgbụgba, na-ebelata ume ọkụ ahụ. Udiri mmamiri, m. oligo ma obu anuria.

E nwere ụdị ọrịa shuga dị n'ụdị anọ:

ụdị eriri afọ - gosiputara site na nsogbu dyspeptik, olu afọ ya na mgbarụ akwara nke dị n’afọ. Mgbe ụfọdụ ihe mgbu bụ ọnya, yana ọgbụgbọ, ọnya afọ, leukocytosis, na oge ụfọdụ afọ ọsịsa.

n'ụkpụrụ obi - ihe ndaputa nke vaskụla na-abịa n’ihu (veins ida, aka na ụkwụ bụ cyanotic oyi), ọbara ọgbụgba na mbelata mgbali. Ọkpụkpụ akwara ọbara na-ata ahụhụ ma, n'ihi ya, angina pectoris, infarction myocardial, na ọgba aghara nwere ike ime.

ụdị aha - ọnụnọ nke protein, ihe mepụtara, cylinders na mmamịrị, hypoisostenuria, anuria n'ihi mbelata ọbara mgbali, mmụba nke nitrogen na urea n'ọbara. Segha kelma coma dị ụkọ.

ụdị encephalopathic - clinically yiri a hemorrhagic ọrịa strok.