I-Hypoglycemic coma - ukulahlekelwa ukwazi ngenxa yokuqala kwesigaba esinzima kakhulu se-hypoglycemia kushukela. Isiguli esiwela i-hypoglycemic coma sivame ukuba nesikhumba esimile, esimanzi. I-Tachycardia ivame ukuqashelwa - ukwanda kwesilinganiso senhliziyo kuze kufike ku-90 beats ngomzuzu noma ngaphezulu.
Njengoba isimo siba sibi kakhulu, ukuphefumula kuya ngokungaxhamazeli, umfutho wegazi wehla, i-bradycardia, nokupholisa isikhumba kuyaphawulwa. Abafundi abasabeli ngokukhanya.
Izimbangela ze-hypoglycemic coma
I-Hypoglycemic coma ivame ukuvela ngesinye sezizathu ezintathu:
- isiguli esinesifo sikashukela asiqeqeshelwa ukumisa i-hypoglycemia emnene ngesikhathi;
- ngemuva kokuphuza ngokweqile (inketho eyingozi kakhulu);
- wethule umthamo we-insulin ongalungile (omkhulu kakhulu), akazange awuxhumanise nokudla ama-carbohydrate noma umsebenzi womzimba.
Funda i-athikili "Hypoglycemia in sikashukela mellitus: izimpawu nokwelashwa" - ukuthi abanesifo sikashukela bangaqeda kanjani i-hypoglycemia ngesikhathi bebodwa uma bezwa izimpawu zayo zokuqala.
Kukuziphi izimo lapho ingozi yokuthi umthamo ophethwe i-insulin ube ngokweqile futhi ubangele ukukhuphuka kwe-hypoglycemic coma:
- abaze babona ukuthi i-insulin mahlonkco yayingama-100 PIECES / ml esikhundleni se-40 PIECES / ml bese bethula umthamo izikhathi eziphindwe izikhathi ezi-2,5 kunesidingo;
- wafaka i-insulin ngephutha hhayi ngokungaziboni, kodwa nge-intramuscularly - ngenxa yalokho, isenzo saso sishesha kakhulu;
- Ngemuva kokuphathwa kwe-insulin "emfishane" noma "i-ultrashort", isiguli sikhohlwa ukulunywa ukudla, isb. sidle ama-carbohydrate;
- imisebenzi engokomzimba engahleliwe - ibhola, ibhayisekili, ukushushuluza, indawo yokubhukuda, njll - ngaphandle kwesilinganiso esingeziwe sikashukela egazini nokudla ama-carbohydrate;
- uma onesifo sikashukela enamafutha okuwohloka kwesibindi;
- ukwehluleka okungapheli kwe-renal (izinkinga zesifo sikashukela ezinso) kubambezela "ukusetshenziswa" kwe-insulin, futhi kulesi simo, umthamo wayo kufanele wehliswe ngesikhathi;
I-Hypoglycemic coma ivame ukwenzeka uma onesifo sikashukela esedlula umthamo we-insulin. Lokhu kwenzelwa ukuzibulala noma ukuzenza.
I-Hypoglycemic coma ngemuva kotshwala
Kuhlobo 1 sikashukela, utshwala abuvunyelwe, kepha kufanele busetshenziswe kancane. Funda kabanzi esihlokweni esithi "Ukudla ngesifo sikashukela sohlobo 1." Uma uphuza ngokweqile, khona-ke amathuba okuba kuzoba ne-hypoglycemic coma ephezulu kakhulu. Ngoba i-ethanol (utshwala) ivimba ukwakheka kwe-glucose esibindini.
I-Hypoglycemic coma ngemuva kokuphuza iziphuzo ezinamandla iyingozi kakhulu. Ngoba ubukeka njengokudakwa okujwayelekile. Ukuqonda ukuthi isimo sinzima ngempela, akekho umuntu odakiwe onesifo sikashukela uqobo noma abantu abaseduze naye abanaso isikhathi. Futhi futhi ngoba kuvame ukuza hhayi ngemuva kwe-booze, kepha ngemuva kwamahora ambalwa.
Ukuxilonga
Ukuhlukanisa umehluko we-hypoglycemic coma kusuka ku-hyperglycemic coma (isb. Ngenxa kashukela omningi), udinga ukukala ushukela wegazi nge-glucometer. Kepha akulula kanjalo. Kunezimo ezikhethekile lapho isiguli sinomlando omude wesifo sikashukela, kodwa singalashwa, futhi sisanda kuqala ukuthatha amaphilisi e-insulin kanye / noma okwehlisa ushukela.
Ezigulini ezinjalo, i-hypoglycemic coma ingavela ngamazinga kashukela ajwayelekile noma ophakeme - ngokwesibonelo, ku-11.1 mmol / L. Lokhu kungenzeka uma ushukela wegazi wehla ngokushesha kusuka kumanani aphezulu kakhulu. Isibonelo, ukusuka ku-22.2 mmol / L kuya ku-11.1 mmol / L.
Eminye imininingwane yaselebhu akuvumeli ukuthola ngokunembile ukuthi i-coma esigulini iyi-hypoglycemic ngqo. Njengomthetho, isiguli asinalo ushukela emchameni, ngaphandle kokuthi ezimweni lapho kukhishwe khona ushukela emchameni ngaphambi kokuqunjelwa yi-coma.
Ukunakekelwa okuphuthumayo kwe-hypoglycemic coma
Uma ushukela onesifo sikashukela ngenxa yethala le-hypoglycemic, abanye badinga uku:
- walibeka ohlangothini lwayo;
- khululeka imbobo yomlomo emigqonyeni yokudla;
- uma engakwazi ukugwinya - phuza isiphuzo esimnandi esifudumele;
- uma esangana ukuze angabe esakwazi ukugwinya futhi, - ungathululeli uketshezi emlonyeni wakhe ukuze angabhekani nokufa;
- uma onesifo sikashukela enesirinji ne-glucagon naye, jove 1 ml ngokunqenqemana noma ngokuxinana;
- shayela i-ambulensi.
Uzokwenzenjani udokotela we-ambulensi:
- okokuqala, i-60 ml yesisombululo se-glucose esingu-40% izonikezwa ngaphakathi, bese kuthi kuxazululwe ukuthi isiguli sinenkinga - i-hypoglycemic noma i-hyperglycemic
- uma umuntu onesifo sikashukela engabuyeli ezingqondweni, kuphakama isixazululo sikashukela esingu-5-10% bese siyiswa esibhedlela
Ukwelashwa okulandelayo esibhedlela
Esibhedlela, isiguli siyahlolwa ukuba khona kokulimala kobuchopho noma izinhlekelele zenhliziyo (kufaka phakathi i-intracranial hemorrhage). Thola ukuthi ngabe bekukhona i-overdose yamathebhulethi anciphisa ushukela noma i-insulin.
Uma kwakukhona i-overdose yamathebulethi, khona-ke ukugcwala kwesisu kwenziwa futhi kusebenze namalahle asebenze. Uma kwenzeka okweqisa kwe-insulin (ikakhulukazi isikhathi eside), ukubonwa kokuhlinzwa kwendawo yomjovo kwenziwa uma kungadluli amahora ama-3 emva kwawo.
Ukuphathwa kwe-Drip solution ye-10% kashukela kuyaqhubeka kuze kufike lapho ushukela wegazi ubuyela kokujwayelekile. Ukugwema ukulayisha ngokweqile uketshezi, shintsha ushukela ongu-10% no-40%. Uma isiguli singangeni ekudalweni phakathi kwamahora ama-4 noma ngaphezulu, i-edema yamakhemikhali kanye “nomphumela ongemuhle” (ukufa noma ukukhubazeka) kungenzeka kakhulu.
