Hypoglycemic chikomokere - kusazindikira chifukwa cha kuyambika kwa gawo loyipa kwambiri la hypoglycemia mu shuga. Wodwala yemwe amagwa ndi vuto la hypoglycemic nthawi zambiri amakhala ndi khungu lotuwa. Tachycardia imakonda kudziwidwa - kuwonjezeka kwa kugunda kwa mtima mpaka 90 kugunda pamphindi kapena kupitirira.
Vutolo likamakulirakulira, kupuma kumachepa, kuthamanga kwa magazi, kuchepa kwa magazi, komanso kuzizira kwa khungu kumadziwika. Ophunzira samayankha pakuwala.
Zimayambitsa hypoglycemic chikomokere
Hypoglycemic coma imayamba chifukwa chimodzi mwazifukwa zitatu:
- wodwala matenda a shuga samaphunzitsidwa kuletsa hypoglycemia panthawi;
- kumwa kwambiri (njira yoopsa kwambiri);
- anayambitsa cholakwika chachikulu (chachikulu kwambiri) cha insulini, sichinapangitse kuti pakhale chakudya chamagulu ambiri kapena zochita zolimbitsa thupi.
Werengani nkhani ya "Hypoglycemia in shuga mellitus: zviratidzo ndi chithandizo" - momwe anthu odwala matenda ashuga amatha kupewera hypoglycemia panokha atazindikira kuyambitsa kwake.
Ndi nthawi ziti zomwe zimapangitsa kuti chiwopsezo cha insulin chikuperekeka kwambiri ndizochulukirapo ndipo chimayambitsa kukomoka kwa hypoglycemic:
- sanazindikire kuti insulin ndende ya 100 PIECES / ml m'malo mwa 40 PIECES / ml ndipo adabweretsa mlingo wa 2,5 kuposa nthawi yofunikira;
- mwangozi insulini osati subcutaneally, koma intramuscularly - chifukwa, zochita zake imathandizira kwambiri;
- wodwala akangokhala kuti waperewera, kapena akalandira mankhwala a insulin, "amaiwala."
- masewera olimbitsa thupi osakonzekera - mpira, njinga, ski, kusambira, etc. - popanda muyeso wowonjezera wamagazi m'magazi ndikudya chakudya;
- ngati wodwala matenda ashuga asintha mafuta m'thupi mwake;
- Kulephera kwa impso (zovuta za matenda a shuga mu impso) kumachepetsa "kugwiritsa ntchito" insulin, ndipo motere, mlingo wake uyenera kuchepetsedwa nthawi;
Hypoglycemic coma nthawi zambiri imachitika ngati wodwala matenda ashuga mwadala achulukitsa kuchuluka kwa insulin. Amachita izi kuti adziphe kapena kuti azidziyerekeza.
Hypoglycemic chikomokere pamasamba amowa
Mtundu woyamba wa matenda ashuga, mowa samaloledwa, koma uyenera kumwa pang'ono. Werengani zambiri mu nkhani ya "Zakudya za matenda a shuga 1." Ngati mumamwa kwambiri, ndiye kuti mwayi wokhala ndi hypoglycemic coma ndiwokwera kwambiri. Chifukwa ethanol (mowa) umaletsa kaphatikizidwe ka shuga m'chiwindi.
Hypoglycemic coma mutamwa zakumwa zoopsa ndizowopsa. Chifukwa akuwoneka ngati chidakwa wamba. Kuti mumvetsetse kuti zovuta ndizovuta, woledzera yekha kapena anthu omwe amakhala naye alibe nthawi. Komanso chifukwa nthawi zambiri amabwera osati pambuyo panu, koma pambuyo maola ochepa.
Zizindikiro
Kuti musiyanitse chikumbumtima cha hypoglycemic coma ku hyperglycemic coma (i.e. chifukwa cha shuga wambiri), muyenera kuyeza shuga m'magazi ndi glucometer. Koma osati zophweka. Pali zochitika zina zapadera pomwe wodwala amakhala ndi matenda a shuga kwa nthawi yayitali, koma sanalandire chithandizo, ndipo wayamba kumwa mapiritsi a insulin ndi / kapena shuga.
Mu odwala oterowo, hypoglycemic coma imatha kuchitika ndimagazi a shuga kapena okwera - mwachitsanzo, pa 11.1 mmol / L. Izi ndizotheka ngati shuga m'magazi amatsika msanga kuchokera pamitengo yapamwamba kwambiri. Mwachitsanzo, kuyambira 22.2 mmol / L mpaka 11.1 mmol / L.
Zotsatira zina zam'makalata sizimalola kuti zidziwike molondola kuti chikomokere mwa wodwalayo ndicholondola kwambiri. Monga lamulo, wodwalayo alibe shuga mu mkodzo, pokhapokha ngati glucose adachotsedwa mu mkodzo musanayambike chikomokere.
Chisamaliro chodzidzimutsa cha hypoglycemic coma
Ngati munthu wodwala matenda ashuga auma chifukwa cha kuphwanya kwa magazi, ndiye kuti ena ayenera:
- uyikeni pambali pake;
- kumasula patsekeke pakamwa kuchokera zinyalala chakudya;
- ngati angathe kumeza - imwani ndi chakumwa chokoma;
- ngati angafine kuti asamamezenso, - osam'tsanulira madzi mkamwa kuti asakakamizike kufa;
- ngati wodwalayo ali ndi syringe ndi glucagon naye, jekeseni 1 ml subcutaneally kapena intramuscularly;
- itanani ambulansi.
Kodi adotolo azichita chiyani:
- Choyamba, 60 ml ya glucose 40% yothetsera shuga adzagwiritsiridwa ntchito kudzera m'mitsempha, kenako amawunika ngati wodwalayo ali ndi chikomokere - hypoglycemic kapena hyperglycemic
- ngati wodwala matenda ashuga asadzayambenso kumva bwino, njira ya shuga ya 5-10% imabayidwa kudzera m'matumbo ndikupititsidwa kuchipatala
Kutsatira chithandizo kuchipatala
Ku chipatala, wodwalayo amawunika kuti apeze zovuta zowonongeka muubongo kapena mtima wamatumbo (kuphatikizapo intracranial hemorrhage). Dziwani ngati panali mankhwala ochulukirapo a mapiritsi ochepetsera shuga kapena insulin.
Ngati panali mapiritsi ochulukirapo, ndiye kuti m'mimba mumachitika zinthu zofunikira ndikuyika makala. Ngati bongo wa insulin (makamaka ntchito nthawi yayitali), opaleshoni yowonjezera ya jakisoni imachitika ngati maola opitilira 3 atatha.
Kuchepetsa kwa njira ya 10% ya shuga kumapitilizidwa mpaka shuga ya m'magazi ibwerera mwakale. Pofuna kupewa kuthirira kwamadzimadzi, sinthanani shuga 10% ndi 40%. Wodwala akapanda kulengedwa mkati mwa maola 4 kapena kuposerapo, edema ya m'magazi ndi "zotsatira zoyipa" (kufa kapena kulemala) ndizotheka kwambiri.
