Ndondomeko ya chithandizo choyamba cha hypoglycemia

Chizindikiro cha hypoglycemic chikuwonetsedwa chifukwa cha kuchepa kwamphamvu kwa ndende yamagazi. Amayamba mwadzidzidzi, pomwe wodwalayo akuipiraipira msanga, zomwe zimayambitsa kuperewera kwa hypoglycemic. Muyenera kuchitapo kanthu mwachangu komanso mwaluso, apo ayi zotsatira zoyipa sizingapeweke.

Thandizo loyamba

Hypoglycemia imadziwika kwambiri ndi odwala omwe ali ndi matenda a shuga a 2, ngakhale amathanso kuonedwa posowa matenda awa. Zikatero, njira zowonjezera mphamvu zimakonzedwa, ndipo mwayi wokhala ndi vuto lakachepa kwambiri. Mu odwala matenda ashuga, chomwe chimayambitsa matenda a hypoglycemic akhoza:

• otsika-carb zakudya pa maziko a insulin mankhwala;
• kuchuluka kwa nthawi pakati pa chakudya;
• kuchita zolimbitsa thupi mopitirira muyeso;
• mankhwala osokoneza bongo a hypoglycemic;
• kumwa mowa;
• gastroparesis, kulephera kwa impso, kuphwanya chiwindi.

Mwa odwala matenda ashuga, zakudya zama carb zotsika zimatha kukhala chifukwa cha hypoglycemic state.

Mu odwala matenda ashuga, chomwe chimayambitsa matenda a hypoglycemic chingakhale kuphwanya chiwindi.

Mwa odwala matenda ashuga, chomwe chimayambitsa vuto la hypoglycemic chimatha kukhala mowa.

Mu odwala matenda ashuga, gastroparesis imatha kuyambitsa vuto la hypoglycemic.

Mu odwala matenda ashuga, chomwe chimayambitsa vuto la hypoglycemic imatha kukhala kulephera kwa impso.

Mu odwala matenda ashuga, chomwe chimayambitsa matenda a hypoglycemic imatha kukhala yochulukirapo kapena yolimbitsa thupi.

Ndi hypoglycemia, glucose wamagazi ndi ochepera 2.8 mmol / L. Ubongo umasowa zakudya m'thupi, zomwe zimayambitsa kusokonezeka kwamitsempha yamanjenje. Zotsatira zake, zikhalidwe zimawonekera:

1. Kusangalala kwakukulu, mantha.
2. Kumva njala.
3. Zovuta, zopweteka, dzanzi ndi kupweteka kwa minofu.
4. Kutukwana, blancing ya integument.
5. Kusokonezeka kwazungulira, tachycardia.
6. Chizungulire, migraine, asthenia.
7. Chisokonezo, diplopia, zonyansa zamakutu, zopatuka pamakhalidwe.

Hypoglycemia amatanthauza nyengo yakanthawi yochepa chabe. Ndi kupindika kwake, kumatha kukhala kuphwanya kwa ubongo, komwe kumadzaza ndi kuwonongeka kwa ubongo, kumangidwa kwa kupuma, kusiya kuchita ndi mtima komanso kufa.

Ngati zizindikiro zoopsa zikapezeka, wodwala amafunika thandizo mwadzidzidzi. Kuwala kwa zochita kumadalira kuchuluka kwa kusokonezeka kwa chikumbumtima. Thandizo loyamba la hypoglycemia, ngati munthuyo akudziwa, ndi motere:

1. Wodwala wakhala pansi kapena kugona.
2. Gawo la chakudya champhamvu kwambiri limaperekedwa mwachangu kwa iye, mwachitsanzo:
   • kapu ya madzi otsekemera;
   • 1.5 tbsp. l wokondedwa;
   • tiyi ndi 4 tsp shuga
   • 3-4 zidutswa za kuyengedwa;
   • ma cookie amafuta, etc.
3. Ndi insulin yayitali kwambiri chifukwa cha mankhwala osokoneza bongo, mafuta ochepa osakanikirana amayenera kudyedwa.
4. Kupatsa wodwala mtendere, amayembekeza kusintha kwake.
5. Pakatha mphindi 15, ndende ya magazi imayesedwa pogwiritsa ntchito glucometer yonyamula. Ngati zotsatirazi sizikhutiritsa, kukonzanso zakudya zopangidwa ndi shuga ndikofunikira.

Ngati zizindikiro zoopsa za hypoglycemia zapezeka, wodwala amafunika thandizo mwadzidzidzi.

Pakusintha, komanso ngati wodwalayo akuipiraipira, amafunika thandizo la kuchipatala mwachangu.

Kuthandiza mwana

Panthawi ya matenda a hypoglycemia mwa ana osakwana zaka 2, shuga wamagazi amatsika pansi 1.7 mmol / L, wamkulu kuposa zaka 2 - pansi pa 2.2 mmol / L. Zizindikiro zomwe zikuwoneka mu nkhaniyi, monga akulu, zimagwirizanitsidwa ndi kuphwanya kwamanjenje. Nocturnal hypoglycemia imawonetsedwa ndikulira m'maloto, ndipo mwana akamadzuka, amakhala ndi chisokonezo komanso zizindikiro za amnesia. Kusiyanitsa kwakukulu pakati pazizindikiro za hypoglycemic ndi zovuta za neuropsychiatric ndikusowa kwawo mutatha kudya.

Ndi hypoglycemia wofatsa motsutsana ndi matenda a shuga, ayenera kuyikidwa m'malo okhala ndikumupatsa maswiti, shuga m'magome, supuni yodzaza, msuzi wokoma pang'ono kapena msuzi. Ngati mavutowo sanabwerere mwakale, wodwalayo amayenera kupatsidwa gawo lina la chakudya chamagetsi ndikuyitanira ambulansi. Hypoglycemia wakhanda, imafunika kuchipatala mwadzidzidzi.

Mwana akapanda kuzindikira, amamuyang'ana kumbali ndikuyembekezera madokotala. M'kamwa mwa wodwalayo ayenera kutsukidwa chakudya kapena masanzi. Ngati ndi kotheka, glucagon imayendetsedwa intramuscularly.

Chithandizo cha Chipatala Hypoglycemia

Njira zochizira kuchipatala sizosiyana kwambiri ndi chisamaliro cha prehospital. Ngati zizindikiro zikapezeka, wodwalayo ayenera kugwiritsa ntchito mankhwala okhala ndi shuga kapena kumwa mapiritsi a piritsi. Ngati pakamwa sizingatheke, mankhwalawa amaperekedwa kudzera mu mawonekedwe a yankho. Ngati vutoli silikuyenda bwino, lingafunike kulowererapo osati kokha kwa endocrinologist, komanso akatswiri ena (cardiologist, resuscitator, etc.).

Akatha kuchotsewa, zakudya zomwe zimakhala ndi zovuta m'mimba zimatha kufunikira kuti zisayambenso. M'tsogolomu, ndikofunikira kusintha kuchuluka kwa othandizira omwe amagwiritsidwa ntchito ndi wodwalayo, muphunzitseni kuchita izi payekha ndikulimbikitsa kudya moyenera.

Chisamaliro chodzidzimutsa cha hypoglycemic coma

Kuchuluka kwawonetsero kwa hypoglycemia ndi hypoglycemic coma. Nthawi zambiri, amakula kwambiri odwala matenda ashuga chifukwa kukhazikitsidwa kwa insulin yayikulu kapena mankhwala ena omwe amachepetsa kuchuluka kwa shuga. Chizindikiro cha kuyambika kwake ndi kulephera kwa chikumbumtima. Pankhaniyi, thandizo loyamba limatsitsidwa kuti wodwalayo ayikidwa pambali pake ndipo gulu la ambulansi limayitanidwa. Kukhazikika kwa khomalo la zakudya kapena zakumwa, komanso utsi wa insulin sikuletsedwa.

Kuchuluka kwawonetsero kwa hypoglycemia ndi hypoglycemic coma.

Pamaso pa glucagon, muyenera kuyambitsa 1 ml ya mankhwalawa pansi pa khungu kapena jekeseni wamitsempha madokotala asanafike. Kwa ana olemera zosakwana 20 makilogalamu, mlingo umatsimikiziridwa payekhapayekha. Wodwala akamadzuka, ayenera kudya magawo ochepa (zakudya zotsekemera, zakumwa) posachedwa.

Ngati vutolo silikudziwika bwino, kuwunika mosiyanasiyana ndi ma pathologies ena omwe angayambitse kukomoka ndi kupweteka (khunyu, kuvulala pamutu, encephalitis, ndi zina). Pimani shuga ndikuwunika zizindikilo zofunika.

Njira zazikuluzikulu zothetsera chikomokere zimayenera kutengedwa nthawi yomweyo kapena panthawi yoperekera wodwala kuchipatala. Amatsikira kulowetsedwa kwamphamvu kwa yankho la shuga. Njirayi imaloledwa pokhapokha ngati munthu akuyenera kumuthandiza. Choyamba, 40% ya mankhwala omwe ali ndi voliyumu yonse mpaka 100 ml amalowetsedwa mu mtsempha. Ngati wodwala sadzuka, muyenera kuyika dontho ndi shuga 5%.

Chithandizo cha mankhwala akumwa

Njira zanthawi ya chipatala zisanapereke zomwe mukufuna, wodwalayo amapititsidwa kuchipatala. Izi ndizofunikira pokhapokha ngati chiwopsezo cha hypoglycemia chitachitika pakapita nthawi yayitali. Pamenepo, amapitiliza kuperekera shuga mu mawonekedwe a kulowetsedwa, pomwe akuchotsa zomwe zilipo. Ngati ndi kotheka, glucagon, corticosteroids, adrenaline amagwiritsidwa ntchito ndipo mtima umatsitsanso.