I-Hypoglycemia Izimpawu ze-hypoglycemic coma

I-Hypoglycemic coma, kanye ne-hypoglycemic phenomena eyandulela lesi simo, ivusa ukubukeka kwemiphumela ehlukahlukene kusuka ngengozi yokuhlaselwa yi-cerebrovascular, aphasia, infarction ye-myocardial to isithuthwane kanye ne-encephalopathy.

Ukwazi izimbangela eziphambili ze-hypoglycemic coma, ikhono lokubona izimpawu zalo nokunikeza usizo lokuqala kwiziguli kubaluleke kakhulu.

Kwenzeka lapho izinga le-glucose lehle lifinyelela ezingeni le-2.77 mmol / L. Isikhathi sokukhula kwayo kungahluka kusuka ezinsukwini eziningana kuya emaminithini athile.

Izimpawu ze-hypoglycemic coma

Ukuthuthukiswa kwalesi sifo sifo kuncike ekunciphiseni ukusetshenziswa kwamangqamuzana ohlelo lwezinzwa oluphambili lwe-glucose, olubhekwa njengengxenye eyondlekile yokudla kwamaseli obuchopho. Njengomphumela wokuntuleka kwayo, i-hypoxia, ukwephula umzimba wamaprotheni nama-carbohydrate. "Indlala" enjalo yobuchopho igcwele izinto ezinjengokuthi:

1. Anikine ikhanda. Ubuhlungu obuqandayo ekhanda buyisibonakaliso esiyinhloko se-hypoglycemia, njengoba amangqamuzana obuchopho eqala ukuhlanganisa amandla avela ezindaweni ezigcinelwe ukubekelwa indawo, enzelwe izinhloso ezihluke ngokuphelele. Ngenxa yalokhu, umuntu ukhononda ngemizwa ebuhlungu, okuyiyo ngisho nabadlala kahle kakhulu epinki abangenamandla.
   Ukubanda kwamaphethelo nokujuluka ngokweqile. Ngokuphikisana nesizinda sezinqubo ze-pathological ebuchosheni, ukuhamba kwegazi kanye ne-thermoregulation kuyaphazamiseka, “ukushisa okushisayo” kwezimo zokushisa nezimo zokufenda kuyabonakala.
2. Ukuwohloka kwesizinda esingokomzwelo. Ubuhlungu bekhanda, ukungaphatheki kahle kubhebhethekisa isimo semizwa sesiguli. Uba nolaka ngokwengeziwe, aphelelwe isineke ngokugxekwa, angacasuki futhi angazwakali. Ukushintshwa okungazelelwe kokuziphatha nesimo somuntu kuyinkomba yokuqala ekhombisa ukwephulwa kwezinqubo ezithile emzimbeni.
3. Yehlisa ukukhubazeka. I-Hypoglycemia ihambisana nokwehla kwekhono lesiguli ekusebenzeni, ukukhathala okwandisiwe. Kulesi simo, isiguli singathola ukuphefumula komoya ngisho nokuzivocavoca okuncane komzimba.

Phakathi kwezinye izimpawu ze-hypoglycemic coma, empilweni yomuntu ojwayelekile engayinaki, umuntu angahlukanisa:

• ukwehla kwesikhashana kwe-acuity ebonakalayo;
• umuzwa onamandla wendlala;
• ukuthuthumela kweminwe - ukuthuthumela;
• ukungalingani okubukwayo: ukubuka okuphindwe kabili, ukubona umbala okungekuhle, nokuningi;
• ukuhlangana okungahambi kahle kokunyakaza;
• tachycardia.

I-Hypoglycemic coma ngumugqa phakathi kokufa nokuphila, ngakho-ke, odokotela bagxila ekubalulekeni kokutholwa okufika kwesikhathi kwezimpawu zalesi simo ngokuvinjelwa okwengeziwe. Naphezu kweqiniso lokuthi le ndlela yokusebenza ibonakala ngokuthuthukiswa okusheshayo kombani, lezi zimpawu ezilandelayo zingahlukaniswa, okukhombisa ukuqala kobuqili:

• ukuqala okungazelelwe kokukhishwa kwe-tonic ne-clonic;
• ukubanjwa kwe-epileptiform uhlobo lwama-syndromes aqinisekisayo.

Ingozi enkulu yalesi simo ukuthi yenzeka ngokuzumayo. Isiguli singaba yisisulu sengozi yomgwaqo, siwele ku-asphalt futhi sishaye kanzima. Ngasikhathi sinye, abafundi abahlisiwe, ukuphefumula okuzolile, isikhumba esimpapheme, umfutho wegazi ojwayelekile noma okhuphuke kancane, ukujula kwenhliziyo okusheshayo, ukubonwa okuphezulu kwe-elbow kuyabonakala. I-Hypoglycemic coma ibonakala ngokungabi nalwazi, okubonakaliswa ukungabi nalutho lapho kuzanywa “ukuvusa” umuntu: umgabha esihlathini, uthele amanzi phezu kwawo.

Okubaluleke kakhulu kule pathology kufanele kunikezwe ukuphefumula komuntu, ikakhulukazi, ngesikhathi sokuhamba. Uma inemvelo engeqile - udinga ukusebenzisa izithasiselo ezikhethekile ukuze usindise isiguli.

Emuva kokuqukethwe

I-Hypoglycemic coma: yini edala ukubukeka kwayo?

Ukuthuthukiswa kwe-pathology kususelwa ekukhishweni okunganele kwe-hormone ye-insulin yama-beta amaseli we-beta we-pancreas noma ukwephulwa komqondo wayo okwenziwa ngama-receptors akhethekile. Umphumela ukwakhiwa kwe-hypoglycemia, lapho umuntu edinga ukuthatha i-insulin engaphandle ukuze aqinisekise ukusebenza okujwayelekile. Umthamo ongalungile wesidakamizwa, ukungena okungafanele emzimbeni womuntu - konke lokhu kungaholela ekwandisweni komzimba.

Ngakho-ke, kubaluleke kakhulu kulabo bantu abasengozini yokwazi ngengozi engaba khona, ukwazisa abangane babo nezihlobo ngakho ngakho, uma kunesidingo, ngokushesha babiza udokotela futhi banikeze usizo lwezokwelapha esigulini.

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Ukunakekelwa okuphuthumayo kwe-hypoglycemic coma

Lesi simo sinezinkinga eziningi eziholela ekukhubazekeni kwesiguli futhi nokufa. I-Cerebral edema, ukunqamuka kokuphefumula, ukuphuma kwegazi kuyingxenye yezimo isiguli esisekuhlazweni. Ngakho-ke, kubaluleke kakhulu ukwenza ngesikhathi nangendlela efanele lezi zenzo ezilandelayo:

Izenzo ezingenhla kufanele zifake isandla ekujuleni kwamazinga kashukela egazini kanye nokuphuma komuntu kusuka ekhefini. Uma kwenzeka lokhu kungenzeki, isiguli kufanele silaliswe esibhedlela futhi ngaphansi kwezimo eziqinile zesimo, sidonsa kwethulwe iqoqo eliphansi lesisombululo seglue. Odokotela baphinde bancome ukusebenzisa i-osmotic ne-diuretics ephuthumayo (i-Mannitol, Manitol, Furosemide neLasix) ukuvikela ukukhula kwe-edema yamakhemikhali.

Emuva kokuqukethwe