ʻO ka hypoglycemic coma kahi kūlana kiʻekiʻe i ka papa o ka endocrine e hele ana ma o ka hopena o ke kākō i ke kō kōa koko. Pono ke kanaka i ka comog hypoglycemic coma i kōkua, akā ʻo kāna hāʻawi e pono ai ka ʻike o ke ʻano o ka mea maʻi. He mea nui ia e ʻike: e pili ana nā hōʻailona o ke kanaka i ka hyperglycemia a i ʻole hypoglycemia.
Nā hōʻailona o ka hypoglycemia a me ka hyperglycemia
Ua hōʻike ʻia nā huaʻehā a me ke ʻano kiʻekiʻe o ka hyperglycemia i kēia mau hōʻailona:
- Ka makewai nui loa;
- Hoʻomaka pinepine;
- ʻO ka momona mau;
- Hoʻololi ma ka kauʻana;
- Nā hewa ʻikeʻike;
- Puʻuwai maloʻo;
- ʻO ka maloʻo a me ka ʻāʻī o ka ʻili;
- ʻO ka hanu a Kussmaul;
- Eulanui;
ʻO nā maʻi luhi e paʻakikī i ka mālamaʻana, e like me ka kandidiasis vaginal a i ʻole otitis externa, hiki pū paha i kahi kūlana hypoglycemic;
Hiki i ka hyperglycemia akue ke hele mai e like me kēia mau hōʻailona:
- Ketoacidosis;
- Hoʻohui naʻau;
- ʻO ka pehu ma muli o glucosuria a me ka diuresis osmotic.
Hoʻomaka ka hōʻailona a me nā hōʻailona o ka hypoglycemia i ka autonomic (parasympathetic, adrenergic) a me ka neuroglycopenic. Hōʻike ʻia nā hōʻailona huaʻala like penei:
He helu kiʻekiʻe o ka uluʻe a me ka hoihoi, a me ka hopohopo, makaʻu a me ke ʻano hopohopo;
- Hoʻonui ʻia ka lulu ʻana;
- ʻO ka pīhoihoi o ka ʻōpū, a me nā puʻu hypertonicity;
- Nā haumana ʻona;
- Hoʻonui ke koko, arrhythmia;
- Piʻi o ka ʻili;
- Kaumaha o ka maʻiʻuwā, i kekahi manawa hoʻoilo, pōloli ʻeha;
- Iwaliwali nāpaila
- ʻO nā maʻi neuroglycopenic:
- ʻO ka haʻahaʻa haʻahaʻa o ka nānā, nā hōʻeha a me ka dizziness, sporial disorientation, kahi hoʻopiʻi o kahi o nā neʻe;
- Paresthesia;
- "Bifurcation" o nā mea ma ke ʻano he pilikia o ka hanana;
- ʻAʻole hemahema a me ka hoʻololi ʻana i ka hana maʻamau, amnesia;
- Hoʻoulu i ka hanu a me ke kahe o ke koko;
- ʻEhaʻeha
- Hoʻomaopopo maikaʻi;
- Hoʻopau ʻole a me nā manawa palupalu;
- Coma
Eaikohu Coma Hypoglycemic
ʻO ka hoʻohanaʻana i kekahi mau lāʻau lapaʻau no ka manawa lōʻihi, hiki i nā hōʻailona like ke loaʻa ma ka lawe ʻana i nā lāʻau lapaʻau me ka nānā ʻole i ka dosage, hiki i kēia ke hana i ka hypoglycemic coma.
Hoʻokomo i ka waiʻona, ʻaʻole hoʻokae ʻole me ka meaʻai e alakaʻi i ka hoʻomohala ʻana o kahi mokuʻā o ka hypoglycemic coma.
ʻO ka neurosis, hoʻonaninani a me ke kaumaha, e like me ka hopena o nā kūlana i hiki ke lilo i kūlana hypoglycemic, a ma hope he hypoglycemic coma.
ʻO nā mea kokoke i ka pancreas, ka necrosis pancreatic, ka nui o ka insulin hana, ka mea, ka ulu ʻana kekahi, ʻo ia ke kumu mua e alakaʻi ana i ka maʻi maʻi hypoglycemic coma.
ʻO ka hemahema o Hepatic, ʻo nā hopena o kēia ʻano ke ʻano, a ma waena o ia mea he hypoglycemic coma.
ʻO ke kaumaha kino olakino ma muli o ka haʻuki a i ʻole ka lōʻihi o ka hana, ʻokoʻa nā hopena, akā ʻo ka mea hoʻokahi he hypoglycemic coma wale nō.
ʻO nā pane o ka comog hypoglycemic
Me ka comog hypoglycemic, ʻoi aku ka nui o ka hāʻawi mua i ke kōkua mua i ka mea maʻi i kahi manawa kūpono. Ma ka manawa like, ʻoi kona mokuʻāina e pili ana i ka pae o ka hoʻomaopopo a me ka ʻike o nā poʻe kokoke loa i ka mea maʻi.
Kuhi ka mālama ʻana o ka hoʻoulu ʻana i ka pilikia me ka cerebral edema, ka mea e alakaʻi ai i ka hiʻohiʻona o nā leʻaleʻa mai ka hoʻihoʻi ʻana o ka ʻōnaehana sentral. Pono e hoʻomaopopo ʻia me ka hoʻomaka pinepine o ka comog hypoglycemic, i nā maʻi maʻi maʻi makua e nānā ʻia ana, a i loko o nā keiki ka haʻahaʻa o ka pae o ka naʻauao. I nā ʻāpana ʻelua o nā mea maʻi, ʻaʻole i haʻalele ʻia kahi hopena momona.
Hoʻopilikia loa ke kūlana o ka hypoglycemic coma no nā mea maʻi. Hoʻopau maoli kēia i nā poʻe e loaʻa ana i ka maʻi artery coronary o ka lolo a i ka ʻōpū paha, a me nā maʻi maʻi puʻuwai. ʻO ka papa o ka hypoglycemic coma e hoʻopiha nui nei i nā hōʻeha a me ka infococa myocardial. Kuhi ʻia i kēia hiʻohiʻona, pono ia i ka pae pinepine i ka ECG.
Hana ʻia ke ʻano hana ma hope o ka pau ʻana i nā hōʻailona āpau o ka hypoglycemia. Inā lōʻihi ka hypoglycemic coma, hele pū me nā hōʻike koʻikoʻi, hiki paha i ka encephalopathy, ʻaʻole kēia ke ʻano ka mea mua loa, akā kekahi o nā ʻano loea ʻē aʻe.
ʻO ka Encephalopathy ka lesi o ka lolo i hoʻopili ʻia e ka wīwī o ka oxygen a me ka holo ʻana o ke koko i ka maʻi o ka lolo. Hōʻike ʻia ka maʻi e ka make nui o nā wahī. Nā hōʻike hōʻike pinepine o ka hōʻino pilikino.
Nā mālama a me ke kōkua mua
No ka hāʻawi pono ʻana i ke kōkua mua i kahi kūlana i hoʻonāukiuki ʻia e ka hypoglycemic coma, pono ʻoe e wehewehe pono i nā hōʻailona kikoʻī o kēia ʻano e hōʻike ai i ka hyperglycemia.
Me ka hyperglycemia, e like me kāu i ʻike ai, piʻi nui ka nui o ke kōpaʻa koko. He mea nui e hoʻomaopopo i nā hōʻailona o ka hypoglycemia, kahi haʻahaʻa ka nui o ka glucose koko. ʻO ka pilikia e koi ʻia nā hihia ʻelua e kū pono i kēlā me kēia.
Hāʻawi mau ʻia nā wai kōʻai kiʻekiʻe me ka nui aʻe o ka makewai, hōʻeha, a me ka nāwaliwali. ʻO ke kanaka i kahi kīnā ʻole i hoʻonui ʻia ka maloʻo nui o ka ʻili, ka hoʻokaʻawale ʻana i ke kaila o ke aniani o ke anilima. Eia kekahi, nā mea maʻi e kani leo nui me ka honi "apple" a me ke ʻano o ka acetone. Inā he haʻahaʻa ka koko koko o ka mea maʻi, a ma kēia hihia, hōʻino ke kanaka i ka nāwaliwali nui a haʻalulu paha ma ke ao holoʻokoʻa. Eia kekahi, ua hoʻopaʻa ʻia ka sweating nui.
ʻO ka noho poʻomanaʻo ʻole o ka mea maʻi, e like me ke kānāwai, ka hele pū ʻana me ka nui o nā hewa. ʻAʻohe ʻano hopena e like me ka pane i pā ʻana.
E kiʻi i kahi kanaka mai kahi kūlana o ka hyperglycemic (a i ʻole ka maʻi diabetes) coma i kahi hiki loa, e koi ʻia kahi inikini insulin. I ka nui o nā hihia, nā maʻi me ka maʻi diabetes he kōkua kōkua mua no ka hihia o nā kūlana hiki ʻole. Kahu pinepine ka pahu kōkua mua i nā mea a pau āu e pono ai no ka injections o ka insulin, e komo pū me ka hulu hipa, nā ʻōkuhi ʻōlelo, ʻili a me ka insulin.
Pono e noʻonoʻo pono i ka mea i loaʻa i ka maʻi maʻi me ka maʻi haʻahaʻa o ka maʻi maʻi, pili nō kēia i kahi maʻi e like me ka maʻi diabetes type 2 a me ke ʻano mua. Ma muli o kēia mea, he mea nui a i nā ʻano ʻē aʻe e waiho i kahi hiki ke hōʻeha o nā pūnaewele ʻomaʻi.
Eia kekahi, mai hana e hana ʻole me kahi kaʻina koʻikoʻi no ka insulin aseptic. I ka hāʻawi ʻana i ke kōkua mua no ka hyperglycemic coma ma ke alanui, inā i hoʻokō ʻia nā koi āpau, pono ʻoe e ʻimi pono i nā mea āpau o ka mea maʻi e ʻimi ai i kahi pahu kōkua mua me ka insulin i ka wā hiki.
Inā loaʻa kēia, aia kahi dosis o ka insulin e koi ʻia e pale ʻia i ka poʻohiwi a me ka ʻūhā paha. Pono ka nui o ka inika o ke kanalima (50-100). E like me ke kānāwai, i nā mea maʻi me nā mea kūʻokoʻa, ʻike maopopo ʻia nā ʻikepili mai nā inikini mua ʻana, no laila ʻaʻole pilikia ia e hoʻokele.
Pono ke kāhea ʻia nā wahi holo ambulance i ka hiki. ʻO ka mea pono i ka manawa like me ka inikini insulin, koi ka mea maʻi i ka hoʻopuka ʻana i kahi hopena glucose o 40%, a me ka saline me ka glucose kūlohelohe. E piʻi ka pila i ka 4000 ml. Ma hope o nā kaʻina hana mua loa, a me ka hoʻopuka ʻana i ka insulin, pono ka mea hōʻemi e hōʻemi i ka nui o ka protein a me nā momona i hoʻopau iā ia.
Akā ʻōlelo ikaika nā kauka: ʻo ka nui o ka lawelawe ʻana i ka meaʻai ʻaʻole pono e hoʻohaʻahaʻa ma mua o 300 mau grama. Pono ka ʻai o ka ʻai me nā momona o nā ʻaina, e like me ka wai o ka wai, nā hua, a me ka wai pala kūlohelohe. Hoʻopiliʻia, ʻōlelo ʻia ka mea maʻi e hoʻohana i ka wai puna wai pākaua kiʻekiʻe.
ʻO ke kōkua mua no ka hypoglycemic coma
Me ka hypoglycemia, pono e nānā ʻia kekahi hana e hoʻopaʻa i ka hoʻomaikaʻi ʻana i ke ʻano o ka mea maʻi.
- Hāʻawi i ka mea maʻi i kahi mea momona, no ka laʻana, ʻakō, ka ʻoka hau, kahi ʻāpana honi. Eia kekahi, hiki iā ʻoe ke hāʻawi i kaʻaila kīwī, ka lemona, ka wai momona a i ʻole ka wai wai;
- He mea nui ia e hāʻawi i ka mea maʻi i kahi noho ʻoluʻolu a i ʻole i ka noho ʻana ma mua o ka hoʻomaka ʻana i ka mālama ʻana no ka hypoglycemic coma.
- Ma ka nalowale o ka ʻike, pono e kau i ka mea maʻi ma kona ʻaoʻao a me ke kō i kau ʻia ma ka papalina;
ʻO ke kāhea o ka hui ambulance me kahi pōkō hypoglycemic koma, he mea mālama mua kēia no ka maʻi hypoglycemic coma.
Inā ʻike kahi maʻi, hiki iā ia ke kanu i ka wai, ke ʻōlelo nei mākou i ka hopena o ke kō. No ka hoʻomākaukau i kēlā hoʻonā ʻai, pono e hoʻomoʻa i ka hapalua o ka wai aniani o ka wai 1 a i ʻole 2 mau punetēpela o ke kō.
Ma ka hana ʻole o ka ʻike i ka mea hoʻomanawanui, ka hoʻopuka ʻana o ka mana i loko o kahi hopena pānaʻi 40% e hōʻike ʻia nei he kōkua kōkua no ka hypoglycemic coma. E hoʻonui pinepine ka gula koko inā e hoʻolilo ʻoe i kahi hōʻākina i ka subcutaneous o kahi hoʻonā o ka adrenaline - 0.1%, 1 ml.
