Hōʻike ʻia ka huaʻōlelo hypoglycemic paʻakikī ma muli o ke kahe nui ʻana o ka neʻe koko. Hoʻokumu koke ia, ʻoiai ke ʻano o ka maʻi o ka mea maʻi, hiki ke alakaʻi i ka comog hypoglycemic. Pono ʻoe e hana koke a hoʻokūkū, inā ʻaʻole hiki ke pale ʻia nā hopena koʻikoʻi.
ʻO ke kōkua mua
ʻO ka hypoglycemia kahi hiʻohiʻona o nā mea maʻi me ka maʻi type 2, ʻoiai hiki ke nānā ʻia ia ma ka kaawale ʻana o kēia maʻa. I kēlā mau kūlana, hoʻāla ʻia ka mīkini hoʻokūkū, a haʻahaʻa loa ka hopena o ka hoʻomohala ʻana i kahi coma. I nā maʻi maʻi maʻi, hiki i ke kumu o ke kūlana hypoglycemic:
- haʻahaʻa-carb-low ma ka hope o ka therapy insulin;
- ua hoʻonui ʻia ma waena o nā meaʻai;
- ka hana lōʻihi a i ʻole ka lōʻihi;
- ka hopena o nā lāʻau hypoglycemic;
- ka hoʻohana ‘ana i ka waiʻona;
- gastroparesis, renal nele, nele i ka hana ate.
Me ka hypoglycemia, hōʻemi ʻia ka nui o ke koko ma mua o 2.8 mmol / L. Hoʻopau ka pōkole, ka mea e hoʻonāukiuki ai i ka wahī o nā kikowaena sentral. Ke hopena, ua loaʻa nā hōʻailona ʻano:
- ʻO ka excitability kiʻekiʻe, nā kuʻuna.
- Hōʻike i ka pōloli.
- Tremor, nā hopena hoʻomanawanui, nā mānoʻi a me nā ʻehaʻeha o ka naʻau.
- ʻOno ʻoli ʻana, ke kāohi ʻana i ka integument.
- Hōʻalo ka ʻāina, tachycardia.
- Mahalo, migraine, asthenia.
- ʻO ka huki, nā diplopia, nā abnormalities auditory, nā hūnā ma ka ʻano.
ʻO ka hypoglycemia pili i kahi kūlana pōkole. Me kāna hoʻopiʻi ʻana, hoʻokumu ka poʻomanaʻo hypoglycemic coma, kahi i hoʻopuni ʻia me ka ʻole o ka lolo, hoʻopiʻi ʻana i ka ea, pani ʻia ka hana cardiac a me ka make.
Inā loaʻa nā hōʻailona koʻikoʻi, pono ka mea maʻi e kōkua kōkua. Hoʻokumu ka algorithm o nā hana i ka pae o ka ʻike ʻole ʻia. ʻO ke kōkua mua no ka hypoglycemia, inā ua ʻike ke kanaka, penei:
- Noho ʻia ka mea maʻi a waiho ʻia paha paha.
- Mālama koke ʻia kahi hapa o nā kalepona wikiwiki iā ia, no ka laʻana:
- ke aniani o ka wai momona;
- 1,5 tbsp. la l meli;
- kaʻaʻi me 4 tsp liuliu
- 3-4 ʻāpana o ka ʻula;
- pepa kuki, etc.
- Me kahi kiʻekiʻe o ka insulin ma muli o kona overdose, kahi pono ke hoʻopau ʻia i nā kīmona hoʻēmi.
- Hāʻawi i ka mea maʻi i ka maluhia, ke manaʻo nei lākou e holomua nā kūlana.
- Ma hope o 15 mau minuke, ke ana ʻia ka paila koko kōpili me ka hoʻohana ʻana i kahi glucometer portable. Inā maikaʻi ʻole nā hopena, e lawe hou i ka huahana o ka honi ʻokoʻa.
Inā ʻike ʻia nā hōʻailona weliweli o ka hypoglycemia, pono ka mea maʻi e kōkua kōkua.
I ka loaʻa ʻole o nā hoʻomaikaʻi, a me ka hihia o ka pōʻino o ke kūlana o ka mea maʻi, pono ʻo ia i ka mālama mālama maʻi.
Kōkua i ke keiki
I ka hopena o ka hoʻouka ʻana i ka hypoglycemia i nā keiki ma lalo o 2 mau makahiki o ka make ʻana, hāʻule ke koko koko ma lalo o 1.7 mmol / L, ʻoi aku ka ʻoi aku o 2 mau makahiki ma lalo o 2.2 mmol / L. ʻO nā ʻōuli e ʻike nei i kēia hihia, e like me nā pākeke, i pili pū kekahi me ka hana hōʻino o ka hoʻoponopono ʻōiwi. Hōʻike pinepine ʻia ka Nocturnal hypoglycemia e ka uwē ʻana ma ka moeʻuhane, a i ka wā i ala ai ke keiki, ua ʻūlū ʻo ia a me nā hōʻailona o ka amnesia. ʻO ka ʻokoʻa nui ma waena o nā hōʻailona hypoglycemic a me nā abnormalities neuropsychiatric o ko lākou nalo ʻana ma hope o ka ʻai ʻana.
Me ka hypoglycemia maʻalahi e kū'ē i ka maʻi mellitus, pono ke kau i ke keiki i kahi noho a hāʻawi iā ia i ka lole momona, ka glucose i loko o nā papa, kahi kīʻaha o kaʻaina, he soda ʻona a wai ʻole paha. Inā ʻaʻole i hoʻi hou ke kūlana, pono e hāʻawi ʻia ka mea maʻi i kahi mahele o nā huamona o digestible a kāhea aku i kahi ambulance. Hypoglycemia i loko o nā keiki hou, koi i ka hoʻokipa maʻi.
Inā nalowale ka keiki, huli lākou iā ia ma kona ʻaoʻao a manaʻo i ka hiki ʻana mai o nā kauka. Pono ka palaka maʻa waha o ka mea maʻi e hoʻomaʻemaʻe ʻia i ka meaʻai a i ʻole ka luaʻi. Inā hiki, e lawelawe ʻia ka glucagon ma intramuscularly.
Hoʻolahalaha maʻi ʻo ka maʻi Hypoglycemia
ʻAʻole ʻokoʻa loa nā ʻano lāʻau lapaʻau i loko o kahi hale hoʻomaha ma kahi mālama mālama prehospital. Inā ʻike ʻia nā hōʻailona, pono e hoʻohana ka mea maʻi e hoʻohana i kahi huahana a nā kahu i koko. Inā hiki ʻole ka lawelawe waha, hiki ke mālama ʻia ka lāʻau lapaʻau ma loko o ke ʻano o kahi hopena. Inā ʻaʻole e holomua nā ʻano, pono ia i ke komo ʻana o nā mea ʻaʻole wale nō he endocrinologist, akā aia kekahi mau mea loea (cardiologist, resuscitator, etc.).
Ma hope o ka lawe ʻia ʻana o ka lawe ʻana, pono nā meaʻai e waiwai nui i nā pōkoi paʻakikī e pale ai i ka hou ʻana. I ka wā e hiki mai ana, pono ia e hoʻoponopono i ka ʻai ʻana o nā ʻoihana hypoglycemic i hoʻohana ʻia e ka mea maʻi, aʻo ia iā ia e hana i kāna mea ponoʻī a hōʻike i kahi mea hoʻohālike kūpono.
ʻO ka mālama ola no ka comog hypoglycemic com
ʻO ka pae nui o ka hōʻike o ka hypoglycemia he hypoglycemic coma. ʻO ka pinepine, ka ulu koke nei i ka maʻi maʻi ma muli o ka hoʻopuka ʻana o ka wai kiʻekiʻe o ka insulin a i ʻole nā lāʻau lapaʻau e hōʻemi i ka hoʻoliʻi o ka glucose. ʻO kahi hōʻailona o kāna hoʻomaka, ʻo ka nalowale i ʻike ka mea maʻi. I kēia hihia, hōʻemi ʻia ka kōkua mua i ka mea paʻa i ka mea maʻi ma kona ʻaoʻao a ua kapa ʻia kahi hui ambulance. Hoʻokuʻu ʻia ka hoʻonoho ʻana i ka ʻāʻī o nā meaʻai a me nā mea inu, me ka hoʻomalu ʻia ʻana o ka insulin.
ʻO ka pae nui o ka hōʻike o ka hypoglycemia he hypoglycemic coma.
Ma mua o ka hoʻonui ʻia o ka glucagon, pono ʻoe e hoʻolauna i ka 1 ml o ka lāʻau ma lalo o ka ʻili a hana i kahi maʻi intramuscular ma mua o ka hiki ʻana mai o ke kauka. No nā keiki ke kaupaona nei ma mua o 20 kg, ua hoʻoholo ʻia ke kaʻe. Inā e ala i ka mea hoʻomanawanui, pono ʻo ia e lawe i kahi hapa o nā momona māmā (ka momona momona, inu) me ka manawa hiki.
Inā ʻaʻole maopopo ka kūlana, ʻike ka hopena me nā ala āpau e hiki ai i nā mea palupalu a me nā hōʻino (epilepsy, hōʻeha ke poʻo, encephalitis, etc.). E ana i ka glucose a mālama i nā hōʻailona koʻikoʻi.
Pono e hana nui i ke kāpae ʻana i kahi coma ma kahi a i ʻole ma ka lawe ʻana i ka mea maʻi i ka haukapila. Hele mai lākou i kahi infusion intravenous o kahi hopena glucose. Ke ʻae ʻia ke kaʻina hana me nā hōʻoia kūpono o ka mea e hāʻawi ʻia ana i ke kōkua. ʻO ka mea mua, 40% o ka lāʻau lapaʻau me ka huina āpau a hiki i ka 100 ml ke hoʻopaʻa ʻia i loko o ka vein. Inā ʻaʻole e ala ka mea maʻi, pono ʻoe e kau i kahi dropper me 5% glucose.
Maʻa maʻi maʻi maʻi
Ke hāʻawi ʻole nei nā hana kūpono i ka haukapila i ka hopena i makemake ʻia, e lawe ʻia ka mea maʻi i ka haukapila. Pono kēia i ka hihia o ka hoʻoulu hou ʻana o ka hypoglycemia ma hope koke o ka hana mau ʻana o ke ʻano o ka mea maʻi. Ma laila, hoʻomau lākou e hoʻokō i nā glucose i ke ʻano o ka infusion, ʻoiai e hoʻopau ana i nā hōʻailona pili. Inā e pono, e hana ʻia ka glucagon, corticosteroids, ʻo adrenaline e hoʻohana ʻia a hana ʻia ka cardiopulmonary resuscitation.
