أمراض شائعه

أزمة السكر (Diabetic Ketoacidosis)

Mohamed Elshennawy

اخر تحديث :

* ماهو تعريف Diabetic Ketoacidosis "أزمة السكر"؟

هي أزمة تحدث لمريض السكر من النوع الأول، نتيجة لعدم قدرة البنكرياس على افراز الأنسولين وبالتالي تحدث زيادة شديدة في نسبة الجلوكوز في الدم وتكون الخلايا غير قادرة على استهلاك الجلوكوز الموجود بالدم "نتيجة لنقص شديد بالأنسولين". وهو يعتبر من المضاعفات الخطيرة جداً والتي تستدعي تحويل المريض الى حالة الطواريء في المستشفى.

* أعراض أزمة السكر(DKA)

- ارتفاع شديد في نسبة السكر "الجلوكوز" في الدم.

- رائحة مميزة للفم "رائحة الفواكه أو الأسيتون".

- ارهاق شديد.

- نقص شديد في ضغط الدم مع زيادة في ضربات القلب.

- زيادة في التبول وشرب الماء.

- تواجد الكيتونات في البول "نتيجة لتكسير الدهون الموجودة بالجسم في محاولة الخلايا لاستغلال أي مصدر للطاقة بخلاف الجلوكوز".

- زيادة حوضة الدم.

- زيادة في معدل التنفس.

- انخفاض في مستوى البوتاسيوم والصوديوم في الدم.

* علاج أزمة السكر

"يتم تحويل المريض على الفور الى المستشفى"

- أنسولين (IV) عن طريق الوريد.

- محلول يحتوي على خليط من "صوديوم وبوتاسيوم".

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