Gaggawa kula a hyperglycemic coma: wani algorithm na ayyuka

Hyperglycemic coma auku a mutane da ciwon sukari mutane da ba yarda da warkewa magani da kuma hanyar da ba daidai ba da rai.

Mene ne wannan?

Ciwon - wata cuta a cikin abin da core ba samar da pancreatic hormone - insulin. Shi ya da hannu a cikin hira da shigowa sukari cikin glucose. Tare da jari na sukari a cikin jikin mutum shi ne excreted ta hanyar fitsari. Don hana wannan daga faruwa, m marasa lafiya da za a gudanar da intramuscular allura na insulin.

Gaza bada hašin kai da sashi ko ba daidai ba rage cin abinci da jini sugar matakan iya ƙara. Lokacin da natsuwa kai iyaka, hyperglycemic coma faruwa. Gaggawa, algorithm na ayyuka ga wanda zai iya ceton wani mutum da ya kamata a bayar ba tare da bata lokaci ba. Amma a magani hyperglycemic bambanta da suka tsakanin mutane ba tare da ciwon sukari. Su za a iya dangana da hadarin da wannan cuta. Bayan da tadawa na jini sugar - Waɗannan su ne na farko alamun matsalar aiki na samfur na pancreas.

Wadannan sun hada da marasa lafiya da cirrhosis, endocrine marurai, matalauta carbohydrate assimilation abinci.

Sanadin

Bayan diagnosing wani mutum yana da ciwon sukari, wani jadawali na injections. Zabi sashi ne yawanci gyarawa, karkashin kulawa na likitoci. A haƙuri dole tsananin tsayar da bi ga sashi jadawalin. Skipping insulin barazanar Yunƙurin a cikin jini sugar, sakamakon wani gaggawa bukatar taimaka tare da hyperglycaemic coma.

Yana da muhimmanci a bi a rage cin abinci don rage cin abinci, kada ku ci m, soyayyen, kyafaffen, salted, ba ya sha barasa. Sugary abinci maye gurbin musamman m, inda fructose da ake amfani. A karkacewa daga cikin abinci zai iya tsokana a kaifi Yunƙurin a cikin jini sugar.

Bayan gabatarwar allura da mãsu haƙuri dole ne dole ci. Masu ciwon sukari rattaba kalma tsaga abinci. Idan ba ka bi ga wannan mulkin, sa'an nan kuma, wannan na iya kara glucose.

ãyõyin coma

Gaggawa kula ne musamman muhimmanci a hyperglycemic coma. Amma da farko, bari mu dubi babban fasali na shi.

A magani rarrabe predkomnoe yanayin haƙuri da ciwon sukari, wanda zai iya wuce daya zuwa kwana biyu. Main fasali:

• janar rauni.
• mai karfi ji ƙishirwa.
• acetone numfashin wari.
• bushe fata.
• m urination.
• zafi a cikin eyeballs.
• asarar sani.

Idan lokaci ba ya kula da wadannan alamu da kuma daukar matakan da suka dace, da cewa irin wannan jiha barazana da asarar sani, wanda a wasu lokuta take kaiwa zuwa mutuwa. Yunƙurin a cikin jini sugar tare da itching da kuma peeling na fata, kamar yadda tsayayya da low matakin. Idan haƙuri lokaci zuwa kula da sama da fasali da kuma fara tsare gudanar insulin injections, shi ne zai ceci ranka.

taimakon farko

Proper arziki na gaggawa taimako a cikin hyperglycemic coma iya ajiye wani rai. Kamar so a lura da cewa taimaka wa haƙuri a cikin wani coma ya zama kawai likita kwararru. Amma idan saboda haka ya faru da cewa mutumin rasa sani, sai ya fara da convulsions, nan da nan kira motar asibiti.

Kafin zuwan teams da likitoci sa da mãsu haƙuri a kan daya gefen kuma yin amfani da cokali ko wasu dogon kulle harshe. Wannan shi ne zama dole mataki domin kauce wa mai danko na harshe da kuma, kamar yadda wani sakamako na shaƙa.

Idan mutum ya kiyaye da convulsive twitching ko convulsions, tabbatar da cewa shi ba ya buga. Don yin wannan, rike haƙuri da reshe a kaikaice matsayi.

Wannan shi ne abin da aka bayar da gaggawa da hyperglycemic coma. Shikenan lissafin warkewa kula da magani a asibiti, la'akari da kara.

asibiti magani

Bayan isowa daga cikin tawagar likitoci ya zama na gaggawa asibiti a cikin m kula naúrar. Idan haƙuri ne auna ta mita a cikin jini sugar matakin da a ƙasa, da wadannan ayyuka. Subcutaneously allura insulin, ta sashi da aka lasafta bisa na mita karatu, kuma da mãsu haƙuri aka kwantar.

Yana da muhimmanci sosai ga daidai gane asali hyperglycemic coma, cututtuka, gaggawa kula da halin daban-daban daga hypoglycemic. Lokacin da wani erroneous ganewar asali ba zai iya zama a cikin lokacin da za a ajiye mutumin.

Shi ne kai tsaye, a farfado da intravenously gudanar sodium chloride bayani da kuma glucose bayani. Idan haƙuri da yanayin matsakaici mai tsanani, da kashi na insulin da ɗari raka'a, idan tsanani - game da ɗari da hamsin, da kuma a cikin m - game da ɗari biyu. Insulin, wanda aka gabatar, ya zama short-aiki don m sha a cikin jini.

Har ila yau, bayan da ganewar asali airway da jini ji an zabi magani. A tsanani lokuta, da mãsu haƙuri an haɗa zuwa respirator. A low matsa lamba da m kwayoyi suna gudanar intravenously.

Musamman da hankali ga su cutar

Bayan karbar ganewar asali "ciwon sukari" haƙuri dole ne ya kasance tare da matuqar alhakin yi wa kanka. Local likita endocrinologist ya bayyana ka'idojin kai-kula. Wannan dace allura na insulin, tsaga da abinci, da rage cin abinci, jini gwaje-gwaje.

Yana da muhimmanci don sarrafa jini glucose matakan wa masu ciwon sukari da cewa amfani da mita. Fi dacewa, kai ma'aunai sau biyu a rana, daidai da wanda ya canja sashi na insulin.

Ko da yaushe kawo your katin masu ciwon sukari wanda ya zama a kan aljihu. Wannan zai taimaka idan bukatar gaggawa taimako a hyperglycemic coma. Domin lokuta na hypoglycemic coma (ragewan na jini sugar matakan), da wani abu mai dadi a hannun. Wannan na iya zama zuma a itace, ko jam.

A wani hali ba ƙetare insulin dabaru, da kuma idan wannan ya faru, sa'an nan sarrafa matakin na sukari dattako.

Muhimman bayanai ga dangi da kuma abokai

Mutane da suke da kusanci da mutane da ciwon sukari bukatar sani da kayan yau da kullum game da cutar da cewa an bayar a lokacin da gaggawa kula a lokacin hyperglycemic coma ko da qarancin ruwa da.

Idan ka idanu da haƙuri rasa sani, nan da nan kira motar asibiti. Har su zuwa, kula ba, domin murkushe da harshen - yadda muka aka gaya musu. Yana da amfani da su domin auna da sugar glucose mita zuwa isowa na likitoci, don haka kamar yadda ba su vata lokaci da kuma taimaka sauri.

A wani coma, ba tare da taimako, wani mutum zai iya rayuwa a kalla ashirin da hudu. Saboda haka, biya fiye da hankali ga mai zumunta da cutar. Gaggawa kula a hyperglycemic coma a yara ne daban-daban daga manya. Bambance-bambance ne kawai a sashi regimen da tsawon inpatient magani.