Inqubo yosizo lokuqala lwe-hypoglycemia

Isinkimbinkimbi sesibonakaliso se-hypoglycemic siboniswa ngenxa yokwehla okunamandla kokuhlushwa ushukela wegazi. Ukhula ngokuzumayo, ngenkathi isimo sesiguli siwohloka ngokushesha, okungaholela ekhefeni le-hypoglycemic. Udinga ukuthatha isinyathelo ngokushesha nangokucophelela, ngaphandle kwalokho imiphumela emibi ayinakugwenywa.

Usizo lokuqala

I-Hypoglycemia ibonakala kakhulu ezigulini ezinesifo sikashukela sohlobo 2, yize kungabonakala nangaphandle kwalesi sifo. Ezimweni ezinjalo, izindlela zokuncindezela ziyasebenza, futhi amathuba okuthola ukoma aphansi kakhulu. Ku-diabetes, imbangela yesimo se-hypoglycemic ingaba yile:

• umsoco ophansi we-carb ngemuva ngemuva kokwelashwa kwe-insulin;
• ukukhuphuka kokuphumula phakathi kokudla;
• ukusebenza ngokweqile noma isikhathi eside komzimba;
• ukweqisa izidakamizwa ze-hypoglycemic;
• ukusetshenziswa kotshwala;
• i-gastroparesis, ukwehluleka kwezinso, ukungasebenzi kahle kwesibindi.

Ku-diabetes, ekudleni okuphansi kwe-carb kungaba imbangela yesimo se-hypoglycemic.

Ku-diabetes, imbangela yesimo se-hypoglycemic kungaba ukwephula isibindi.

Ku-diabetes, imbangela yesimo se-hypoglycemic kungaba ukusetshenziswa kotshwala.

Ku-diabetesics, i-gastroparesis ingadala isimo se-hypoglycemic.

Ku-diabetes, imbangela yesimo se-hypoglycemic kungaba ukwehluleka kwezinso.

Ku-diabetes, imbangela yesimo se-hypoglycemic ingaba ngumzimba omningi ngokweqile noma omude.

Nge-hypoglycemia, ushukela wegazi ungaphansi kuka-2.8 mmol / L. Ingqondo ayondlekile, okuholela ekuphazamisweni kwesistimu yezinzwa ephakathi. Ngenxa yalokhu, kuvela izimpawu zomlingiswa:

1. Ukwehla okukhulu, uvalo.
2. Umuzwa wendlala.
3. Ukuqina, imiphumela ekholisayo, ukuzindla nobuhlungu bemisipha.
4. Ukujuluka, ukufiphaza i-integument.
5. Ukuphazamiseka kokujikeleza, i-tachycardia.
6. Isiyezi, i-migraine, i-asthenia.
7. Ukudideka, idiplopiki, ukuhlukumezeka kokuzwa, ukuphambuka ekuziphatheni.

I-Hypoglycemia isho isimo sesikhashana. Ngokuphindaphindeka kwayo, kuvela ikoma ye-hypoglycemic, egcwele ukulimala kobuchopho, ukuboshwa komoya wokuphefumula, ukuyeka ukusebenza kwenhliziyo nokufa.

Uma kutholakala izimpawu eziyingozi, isiguli sidinga usizo oluphuthumayo. I-algorithm yezenzo incike kubungako bokungazi kahle. Usizo lokuqala lwe-hypoglycemia, uma umuntu eyazi, imi ngalendlela elandelayo:

1. Isiguli sihleli noma sibekwe.
2. Ingxenye yama-carbohydrate asheshayo idluliselwa kuye ngomlomo, ngokwesibonelo:
   • ingilazi yejusi elimnandi;
   • 1.5 tbsp. l uju;
   • itiye nge-4 tsp ushukela
   • Izingcezu ezi-3-4 zokucolisisiwe;
   • amakhukhi amabhotela, njll.
3. Ngezinga eliphakeme le-insulin ngenxa yokweqisa kwalo, kufanele kudliwe ama-carbohydrate ambalwa.
4. Banikeza isiguli ukuthula, balindele ukuthuthuka esimweni sakhe.
5. Ngemuva kwemizuzu engu-15, ukugxilwa koshukela egazini kukalwa kusetshenziswa i-glucometer ephathekayo. Uma imiphumela ingagculisi, kudinga kabusha ukuthathwa kwemikhiqizo equkethe ushukela.

Uma kutholakala izimpawu eziyingozi ze-hypoglycemia, isiguli sidinga usizo oluphuthumayo.

Uma kungekho ngcono, kanye nasendabeni yokuqina kwesimo sesiguli, udinga usizo lwezempilo oluphuthumayo.

Ukusiza ingane

Ngesikhathi sokuhlaselwa kwe-hypoglycemia ezinganeni ezingaphansi kweminyaka emi-2 ubudala, ushukela wegazi wehlela ngaphansi kuka-1.7 mmol / L, omdala kuneminyaka emi-2 - ngaphansi kwe-2.2 mmol / L. Izimpawu ezivela kuleli cala, njengakwabadala, zihambisana nokuphulwa komthetho wezinzwa. I-Nocturnal hypoglycemia ivame ukubonakaliswa ngokukhala ephusheni, futhi lapho ingane ivuka, iba nokudideka nezimpawu ze-amnesia. Umehluko omkhulu phakathi kwezimpawu ze-hypoglycemic kanye nokuhlukunyezwa kwe-neuropsychiatric ukunyamalala kwabo ngemuva kokudla.

Ngobumnene be-hypoglycemia ngokumelene nesifo sikashukela, ingane kufanele ifakwe esikhundleni sokuhlala futhi imnikeze uswidi, ushukela kumathebhulethi, isipuni sejamu, ushukela omncane noma ujusi. Uma isimo singabuyeli kokujwayelekile, isiguli kufanele sinikezwe enye ingxenye yama-carbohydrate okugaya bese sibiza i-ambulensi. I-Hypoglycemia ezinganeni ezisanda kuzalwa, idinga ukulashwa esibhedlela esiphuthumayo.

Uma ingane ilahlekelwa ukwazi, bayibeka eceleni kwakhe balindele ukufika kodokotela. Isisu somlomo wesiguli kufanele sihlanzwe ngokudla noma ngokuhlanza. Uma kungenzeka, i-glucagon iphathwe ngendlela engabonakali.

Ukwelashwa kwe-Hypoglycemia Hospital

Izindlela zokwelapha esibhedlela azifani kakhulu nokunakekelwa kwangaphambi kokubeletha. Uma kutholakala izimpawu, isiguli kudingeka sisebenzise umkhiqizo oqukethe ushukela noma sisebenzise i-tablet glucose. Uma ukuphathwa ngomlomo kungeke kwenzeke, umuthi uphathwa ngaphakathi ngendlela yesisombululo. Uma isimo singathuthuki, kungadinga ukungenelela hhayi kuphela kwe-endocrinologist, kodwa futhi nabanye ochwepheshe (i-cardiologist, resuscitator, njll.).

Ngemuva kokukhishwa kokukhishwa, ukudla okunotha kwama-carbohydrate ayinkimbinkimbi kungadingeka ukunqanda ukubuyela emuva. Esikhathini esizayo, kubalulekile ukulungisa umthamo wama-hypoglycemic agents asetshenziswa isiguli, umfundise ukukwenza lokhu eyedwa futhi ancome nokudla okwanele.

Ukunakekelwa okuphuthumayo kwe-hypoglycemic coma

Izinga eliphakeme kakhulu lokubonakaliswa kwe-hypoglycemia yi-hypoglycemic coma. Imvamisa, ikhula ngokushesha kushukela sikashukela ngenxa yokwethulwa komthamo ophakeme we-insulin noma ezinye izidakamizwa ezinciphisa ukuhlangana kweglucose. Isibonakaliso sokuqala kwayo ukulahleka kwengqondo kwesiguli. Kulokhu, usizo lokuqala luyancipha lokuthi isiguli sibekwe ngasohlangothini lwaso bese kubizwa iqembu le-ambulensi. Ukubekwa emgodini womlomo wokudla noma iziphuzo, kanye nokuphathwa kwe-insulin akuvunyelwe.

Izinga eliphakeme kakhulu lokubonakaliswa kwe-hypoglycemia yi-hypoglycemic coma.

Lapho kukhona i-glucagon, udinga ukwethula i-1 ml yesidakamizwa ngaphansi kwesikhumba noma wenze umjovo we-intramuscular ngaphambi kokuthi udokotela afike. Ezinganeni ezinesisindo esingaphansi kwama-20 kg, umthamo unqunywa ngokuhlukile. Uma isiguli siphaphama, kudingeka sithathe ingxenye yama-carbohydrate alula (ukudla okumnandi, isiphuzo) ngokushesha okukhulu.

Lapho isimo singacacile, ukuxilongwa okuhlukile namanye ama-pathologies angadala ukuqina nokuqina (isithuthwane, ukulimala ekhanda, i-encephalitis, njll.) Kuyadingeka. Kala ushukela bese ubheka izimpawu ezibalulekile.

Izinyathelo ezibalulekile zokuqeda ukoma kufanele zithathwe ngaso leso sikhathi noma ngesikhathi sokulethwa kwesiguli esibhedlela. Behla benyuka ukumfaka kwe-solution ye-glucose. Inqubo ivunyelwe kuphela ngeziqu ezifanele zomuntu onikeza usizo. Okokuqala, u-40% wezidakamizwa onomthamo ophelele we-100 ml ufakwa emthanjeni. Uma isiguli singavuki, udinga ukubeka i-dropper ngo-5% ushukela.

Ukwelashwa okungagulisi ukukhohlisa

Lapho izinyathelo zangaphambi kwesibhedlela zinganikezi imiphumela oyifunayo, isiguli siyiswa esibhedlela. Lokhu kuyadingeka esimweni sokuhlaselwa okuphindaphindiwe kwe-hypoglycemia ngokushesha ngemuva kokujwayelekile kwesimo sesiguli. Lapho, bayaqhubeka nokusebenzisa ushukela ngendlela yokufakwa, ngenkathi beqeda izimpawu ezikhona. Uma kunesidingo, i-glucagon, i-corticosteroids, i-adrenaline iyasetshenziswa futhi kwenziwa kabusha kwe-cardiopulmonary