ʻO ka comy hypoglycemic - ka nalowale o ka ʻike ma muli o ka hoʻomaka ʻana o ka hopena koʻikoʻi o ka maʻi hypoglycemia ma ka maʻi diabetes. ʻO ka mea maʻi i hāʻule i loko o kahi comog hypoglycemic maʻa mau ke kino ʻulaʻula. Hoʻomaʻi pinepine ʻia ʻo Tachycardia - kahi mahuahua o ka puʻuwai ma mua o 90 mau beats i hoʻokahi minuke a i ʻole ka nui.
E nui ana ke ʻano o ke ʻano, maloʻo ka hanu, emi ke koko, ua ʻike ʻia ka bradycardia, a me ka hoʻomaʻemaʻe ʻana o ka ʻili. ʻAʻole pane nā haumāna i ka mālamalama.
ʻO nā kumu o ka comog hypoglycemic
Hoʻokomo pinepine ka com Hlyoglycemic com no nā kumu ʻekolu.
- i kahi mea maʻi me ka maʻi maʻi ʻole i aʻo ʻia e pani i ka hypoglycemia palupalu i ka manawa manawa;
- ma hope o ka inu nui ʻana (ke koho kūpono loa);
- hoʻopuka i ka hewa (nui loa) ka hapanui o nā insulin, ʻaʻole i hoʻonohonoho i ka nui o ke kō o nā kalapona a me ka hana kino.
Heluhelu i ka ʻatikala "Hypoglycemia in diabetes mellitus: hōʻailona a me ka mālama" - pehea e hiki ai i nā maʻi maʻi maʻi e hōʻoki i ka hypoglycemia ma ka manawa pono i ko lākou manaʻo ke nānā i kāna mau hōʻailona mua.
I nā kūlana e hōʻemi ʻia ka hopena o ka nui o ke kūmole o ka insulin a he nui ka mea e hoʻonui ai i ka comog hypoglycemic:
- ʻaʻole lākou i ʻike i ka hōʻiliʻili o ka insulin he 100 PIECES / ml ma mua o 40 PIECES / ml a ua hōʻike lākou i kahi maʻa 2.5 mau manawa i ʻoi aku ka pono;
- ʻaʻole i hoʻokomo ʻia ka insulin i ka ʻōpū ʻaʻole i hoʻohālikelike ʻia, akā intramuscularly - ma muli o kēia, ua wikiwiki loa kāna hana;
- ma hope o ka hala ʻana o ka "pōkole" a "ultrashort" e lawelawe ʻia ana, hoʻopoina ka mea maʻi i kahi ʻuʻina e ʻai, i.e. ʻai kīʻaha;
- ka hana pilikino ʻole i hoʻolālā ʻia - ka pôpeku, ke kekeahi, kaʻauʻau kai, ka loko wai.
- inā he momona nui ka maʻi o ka maʻa;
- ka hiki ʻana o ka hana 'ole nui (ka hoʻopiʻi o ka maʻi maʻamau i loko o nā keiki) e hoʻolohi ana i ka "hoʻohana" "i ka insulin, a i kēia kūlana, pono ke hōʻemi ʻia kona dosage i ka manawa;
Hōʻike pinepine ka hypoglycemic coma inā he maʻi nui ka maʻi diabetes ma mua o ka nui o ka dosis o ka insulin. Hana ʻia kēia i ka mea pepehi maoli a i ʻole a he hoʻohālike paha.
ʻO ka comyp Hlyoglycemic ma ka hope o ka waiʻona
Ma ka maʻi pākēnui 1, ʻaʻole ʻāpā ʻia ka wai ʻona, akā e hoʻopau ʻokoʻa me ka liʻiliʻi. E heluhelu hou i ka ʻatikala "Diet no ke ʻano maʻi type 1." Inā inu nui ʻoe, a laila kiʻekiʻe loa ka hopena e loaʻa ai ka comog hypoglycemic com. No ka mea, e hoʻokaʻawale ka ethanol (ka wai) i ke kuhi o ka glucose i loko o ka ate.
ʻO ka comy hypoglycemic ma hope o ka lawe ʻana i ka mea inu ikaika he mea weliweli loa ia. No ka mea, he mea like kona me ka hoʻōla maʻamau. I ka hoʻomaopopo ʻana ua paʻakikī loa ke kūlana, ʻaʻohe ka mea maʻi haukapila ʻona a ʻaʻole hoʻi i ka poʻe e kokoke ana iā ia. A no ka mea maʻamau ke hele koke mai ma hope o kahi hāmama, akā ma hope o kekahi mau hola.
Naʻi hoʻolika
E hoʻokaʻawale i kahi coma hypoglycemic mai kahi coma hyperglycemic (i.e. ma muli o ke koina nui), pono ʻoe e ana i ke kōʻai koko me ka glucometer. Akā ʻaʻole maʻalahi. Aia he mau kūlana kūikawā i loaʻa ka maʻi maʻi i ka mōʻī lōʻihi o ka maʻi maʻi, akā ʻaʻole i mālama ʻia, a ua hoʻomaka wale ia e lawe i ka insulin a me / a me nā mea hoʻohiolo a me ke kō.
I kēlā mau mea maʻi, hiki i ka comog hypoglycemic coma ke hōʻola me nā pae neʻe a i ʻole ke kiʻekiʻe o ka glucose koko - no ka laʻana, ma ka 11.1 mmol / L. Hiki paha i kēia inā hāʻule koke ke kahe koko mai nā waiwai kiʻekiʻe loa. Penei ka ao ana mai, mai 22.2 mmol / L a 11.1 mmol / L.
ʻAʻole ʻaeʻae nā ʻikepili ʻē aʻe i ka hōʻike pono ʻana i ka coma ma ka mea maʻi i ka hypoglycemic pololei. Ma ke ʻano he kānāwai, ʻaʻohe nui o ka mea maʻi i ke kō i loko o ka pōʻai, koe wale nō i nā mea i hoʻopili ʻia ai ka glucose i loko o ka urine ma mua o ka hoʻomohala ʻana i ka coma.
ʻO ka mālama ola no ka comog hypoglycemic com
Inā hōʻeha kekahi maʻi maʻi ma muli o kahi comog hypoglycemic, a laila pono nā mea ʻē aʻe e:
- waiho ia ma kona aoao;
- wehe i ka umu waha mai nā meaʻai ʻai;
- inā hiki iā ia ke kēlele iho - inu i kahi wai hoʻonoina mahana;
- ina e nele keia i na mea e hiki ole ia ia, alaila mai ninini i ka wai i loko o kona waha, i ole ai e naue ka make;
- inā he syringe ka maʻi maʻi me ia me kaagonona me ia, e kuhi kahi 1 ml subcutaneously a i ʻole intramuscularly;
- kāhea i kahi ambulance.
He aha nā mea e hana ai i ke ambulance:
- mua, 60 ml o kahi hoʻonā pōpoki o 40% e hoʻokele ʻia me ka intravenously, a laila e hoʻokaʻawale ʻia ia i loko o ka coma a maikaʻi ʻole - hypoglycemic a hyperglycemic paha
- inā ʻaʻole ʻike hou ka maʻi lolo i ka ʻike, he 5-10% ka hopena o ka glucose wai i hoʻopaʻa ʻia a hoʻopili ʻia ma ka haukapila
Hoʻolaha i ka hana hoʻokipa ma ka haukapila
I loko o kahi haukapila, ke nānā ʻia nei ka mea maʻi no ka hiki ʻana o nā lolo traumatic brain a i ʻole catastrophes cardiovascular (e komo pū ana me ka intacranial hemorrhage). E ʻike inā aia kekahi he nui o nā papaʻaila e hoʻohiolo ai i ke kō a i ʻole insulin.
Inā he overdose o nā papa, a laila hana ʻia ka nui o gastric a hoʻōla ʻia nā arika. Ma kahi o kahi overdose o ka insulin (e hana i ka hana lōʻihi), hana ʻia ke kahe o ke kahua o ka maʻi inake inā ʻaʻole iʻoi aku ma mua o 3 mau hola i hala ma hope o kēlā.
Hoʻomau ka hoʻokele waipila o ka hopena pākela 10% a hiki i ka pae koko koko e hoʻi i ka maʻamau. No ka pale ʻana i ka hoʻoulu ʻana o ka wai, hoʻololi i ka glucose o 10% me 40%. Inā ʻaʻole hele mai ka mea maʻi i ka hana ʻana i loko o 4 mau hola a i ʻole ʻoi aku paha, hiki i ka maʻi cerema a me kahi "hopena maikaʻi ʻole" (make a me ʻole ka maʻi).
