Anthu omwe ali ndi matenda a shuga a mtundu wa 2 ayenera kudera nkhaŵa zambiri kuposa zoopsa zomwe zimachitika pambuyo pa opaleshoni. Mavuto okhudzana ndi matenda a shuga ndi opaleshoni amakula akudalira pa msinkhu, matenda a shuga, kayendedwe kake, mavuto omwe alipo kapena matenda, kusoŵa zakudya m'thupi, nthawi yaitali ndi matenda a shuga, ndi thupi labwino.
Zokhudzana ndi Mavuto Posachedwa
Kupsinjika kwa thupi ndi m'maganizo za opaleshoni kungayambitse kusintha kosasintha mahomoni.
Kusintha kumeneku kumapangitsa kuti insulini ikhale yowonjezereka, kuchepetsa kutsekemera kwa insulini, komanso kuchepa kwa shuga m'maselo. Izi zimawonjezera chiopsezo cha hyperglycemia kwa munthu yemwe ali ndi shuga.
Mndandanda wazinthu zotsatirazi zikuwonetsanso kufunika kokhala ndi shuga m'mbuyo musanachite opaleshoni:
Hyperglycemia kapena hypoglycemia : Maseŵera apamwamba kapena otsika kwambiri a glucose angayambitse mavuto opatsirana pogwiritsa ntchito, ndi ma glucose apamwamba olemba mndandanda. Makhalidwe apamwamba amachititsa kuti pakhale zovuta zina ndi zovuta zina. Ndikofunika kukhala ndi ma shuga m'magulu abwino asanakwane opaleshoni.
Kusokonezeka kwa madzi m'thupi: Wodwalayo akhoza kukhala ndi ubweya wamtundu waukulu ngati matenda a shuga ali osasamala bwino ndi kuopsa kwa osmotic diuresis. Izi zikhoza kuonjezera chiopsezo cha mavuto ena.
Matenda a hyperglycemic hyperosmolar (HHS): Izi ndizochitika pamene wodwala ali ndi mawiro a shuga, kutaya madzi, ndi kuchepa. Zimakhala zodetsa nkhaŵa kwambiri pakutsata njira zina zopaleshoni monga mtima kupyolera opaleshoni kumene imakhudzidwa ndi kufa kwa 42%.
Diabetic ketoacidosis (DKA) : Kuchita opaleshoni ndi / kapena mavuto ena angayambe kuchuluka kwa mahomoni opanikizika, kutulutsa insulini mopanda mphamvu. Ngati insulini singathe kuthandiza thupi kutentha shuga kuti likhale ndi mphamvu, thupi limatentha mafuta m'malo mwake. Mankhwala otchedwa asidi otchedwa ketoni amatchedwa m'magazi ndipo angathe kuopseza moyo. Kutaya madzi m'thupi kumatha kuyenda ndipo nthawizina kumayambitsa DKA.
Kudwala kwachilonda kudwala: Anthu omwe ali ndi shuga amakhala osowa kwambiri, amawononga ubongo, amafooketsa chitetezo cha mthupi, ndi mavuto a khungu. Izi zikhoza kuchepetsa kupweteka kwa chilonda ndi kuonjezera chiopsezo cha matenda.
Kutengera : Matenda omwe amapezeka kwambiri ndi matenda a incision. Ngozi yawonjezeka kwa anthu omwe ali ndi shuga chifukwa cha nthawi ya machiritso yochepa. Ndikofunika kumwa mankhwala onse monga momwe akutsatilira ndikutsatira malangizo a chisamaliro cha incision.
Sepsis : Mtundu wapadera wa thupi lonse pambuyo-opera matenda chifukwa cha mabakiteriya m'magazi. Ndizovuta komanso zovuta kuzilamulira. Masamba ovomerezeka amodzi pambuyo poti opaleshoni amawonekera, malo osokoneza bongo, zowonongeka, ndi zilonda zakhungu.
Endothelial kutayika: Maseŵera apamwamba a m'magazi amachititsa ngozi yotupa kapena kuvulaza mitsempha ya magazi. Mwa zina, maselo otsirizira amatha kukhala ndi maselo oyera a magazi, kuthamanga kwa magazi, kuthamanga kwa magazi, kutupa, ndi matenda a mtima.
Ischemia: Kusasowa kwa magazi kwa gawo la thupi monga mtima, ubongo, khungu kapena matumbo omwe amabweretsa minofu imfa m'madera okhudzidwa. Anthu omwe ali ndi matenda a shuga ali pachiopsezo chachikulu, makamaka ngati ali ndi magawo a shuga. Kusokonezeka kwa m'mimba ndi kuchepa kwa madzi kumawonjezera ngozi.
Kusiyanitsa kwa electrolyte: Nosea, kusanza, ndi kutaya madzi m'thupi kungayambitsedwe ndi nkhawa, mankhwala, ndi anesthesia zomwe zimapangitsa kuti mchere usasamalire magazi. Izi zikhoza kuonjezera chiwopsezo cha masewera a mtima ndi kulephera kwa magazi. Kuopsa kwake kumawonjezereka kwa anthu odwala matenda a shuga omwe ali kale pachiopsezo chachikulu cha mavuto a mthupi ndi a chiwindi.
Kulephera kuchepetsa matendawa: Matenda a shuga ndi omwe amachititsa kuti vutoli likhale lolephera. Kuopsa pakapita kapena pambuyo pa opaleshoni kungawonjezereke chifukwa cha kusalinganikirana kwa electrolyte, kuchepa kwa madzi, kusintha kwa mankhwala, kuthamanga kwa magazi, kusokonezeka kwa magazi, ndi kupwetekedwa mtima.
Mtima arrhythmias: Mavuto amakula ndi shuga yosayendetsedwa, matenda a mtima, mankhwala ena, matenda oopsa, kunenepa kwambiri, ndi kusalinganizana kwa electrolyte.
Mmene Mungachepetse Vuto Lanu
Pezani ndi kusunga miyeso ya magazi m'magawo omwe mukufuna
Yesetsani kulimbitsa thupi lanu
Pezani zakudya zabwino ndi mapuloteni okwanira kwambiri
Pewani kutaya madzi m'thupi
Tengani njira zothetsera nkhawa
Osasuta kapena kumwa mowa
Nthawi yoitanira Dokotala Wanu
Lembani dokotala wanu mwamsanga ngati muli ndi zizindikiro izi, zomwe zingakhale zizindikiro za matenda kapena ululu.
Kumva ululu, kumvetsa chisoni, kutupa, kuuma, kufiira, kapena kutentha
Fever
Zotsatira
Dagogo Jack, MD, FRCP, Samuel ndi Alberti DPHIL PRCP, K. George MM. "Kusamalira Matenda a Shuga kwa Odwala Opaleshoni." Matenda a shuga January 2002 15 (1): 44-48
Mangram MD, Alicia; Horan MPH CIC, Teresa; Pearson MD, Michelle L; Silver BS, Leah Christine; ndi Jarvis MD, William R. "Guide for Prevention of Surgical Site Infection 1999" Kugonjetsedwa ndi Matenda Achipatala 20 (4): 247-278
Rosenberg, CS. "Kuchiritsidwa kovulaza kwa wodwalayo ndi matenda a shuga." The Nursing Clinics ku North America Mar 25 1990 25 (1): 247-61.