Pilikia mālama i loko o hyperglycemic coma: he algorithm o ka hana

Hyperglycemic coma ia lŘlŘ i kanaka me ka mimikō kanaka me ka 'ole-kaʻaeʻana i ka pākōlea lapaau, a me ka hewa ala o ke ola.

He aha ka mea?

Mimikō - he maʻi i loko o kāna mau 'ōlelo a me ka' aʻole ole paha pancreatic hōmona - insulina. Ua ua ia i komo i loko o ka huli ana o ka hoʻopā ai kō i loko o monakō koko. Me ka hoʻomāhuahua o ke kō i loko o ka kanaka kino ka mea, ua excreted ma ka mimi. E pale aku i kēia, mai hana, diabetic nā mea maʻi i e e lawelawe ma intramuscular ka pahu kui o ka insulina.

Ole, e like me ka laʻau heluna a me ka hewaʻai koko kō pae i mahuahua ai. I ka wā o ka lehulehu hiki ke kali, hyperglycemic coma ia lŘlŘ. Pilikia kōkua, algorithm o ka hana no a hiki hoola i kekahi kanaka e hāʻawi me ke kali ole. Akā, ma ka lapaau hyperglycemic hoomaopopo ka mea i waena o kanaka me mimikō. Ka mea, hiki e wahi ana i ka pilikia o keia maʻi. Ma hope iho o ka elevation o ke koko kō - kēia mau mea i ka mua hoailona o malfunction o ka pancreas.

Kēia nā nā mea maʻi me ka cirrhosis, endocrine hikoko, ilihune carbohydrate kaʻaluna o ka ai.

kumu o ka

Ma hope o diagnosing kekahi kanaka i mimikō, he haʻalele 'ana o injections. Koho ma laʻau heluna ua ana paa, ma lalo o ka hooponopono ana o kauka. Ke hoomanawanui pono pololei malama, a hoopili aku i ka laʻau heluna haʻalele 'ana. Skipping insulina hooweliweli ala i loko o ke koko ke kō, kūpono ma ka manaʻo pono, e kōkua me ka hyperglycaemic coma.

He nui ke hahai i kaʻai i kaʻai, maiʻai momoma, palai, paka, kapiia lakou a pau,ʻaʻole e inu waiʻona. Sugaryʻai puku kuikawa diabetic, kahi fructose ua hoʻohana 'ia. Ke haiahū kūmau mai i kaʻai ke hoʻonāukiuki i ka pahi e hoea i loko o ke koko kōpaʻa.

i ka hoike ana o ka pahu kui ma hope o ka hoʻomanawanui pono pono ai. Diabetics ka pela mahaeʻai. Inā 'oe e ole hoopili aku i keia rula, a laila, hou, ka mea ia e mahuahua monakō koko.

na hoailona o ka coma

Pilikia mālama mea mākaukau nui i loko o hyperglycemic coma. Akā, mua, e ka nānā i ke kumu nui hiʻona o ia.

I ka lapaau hoomaopopo predkomnoe ano o ka hoomanawanui me ka mimikō, i hiki mau kekahi i nā lā. Main hiʻona:

• mau nawaliwali;
• he ikaika hoohalike o ka make wai;
• acetone hanu ala;
• malooʻili;
• pinepine urination;
• ʻeha i loko o ka'ōnohi a poʻopoʻo ka;
• poho o ka ike paka i.

Inā manawa 'Aʻole e hoʻolohe i kēia mau hōʻailona, a lawe i ka kūpono ana, e like me ka moku'āina hooweliweli ma ka lilo o ka ike paka i, a ma kekahi mau manawa hiki aku ai i ka make. Rise i loko o ke koko kōpaʻa pu ma ka maneo a me ka ihi o ka ili, i kū'ē i ka mea haʻahaʻa kiʻekiʻe. Inā ka hoʻomanawanui manawa e hoʻolohe i ka mea ma luna o nā hiʻona a hoʻomaka systematically lawelawe insulina injections, ka mea e hoola i kou ola.

First kōkua

Kupono hoʻolako 'o ka pilikia ke kōkua ma ka hyperglycemic coma ke hoola i ka ola. Pono makemake e hoailona oukou ia kokua i ka hoʻomanawanui i loko o ka coma e e wale 'inikua' Oihana. Akā, ina ka mea, no laila i hiki mai ai i ke kanaka i nalowale ike paka, hoomaka ae la oia i ka i convulsions, koke i kapa aku ai i ka ambulance.

Mamua o hele mai nâ hui o kauka i ka hoʻomanawanui ma kekahiʻaoʻao, a hoʻohana 'ana i ke gula, a me nā lōʻihi laka elelo. Kēia mea he pono koe i mea e pale sticking o ka 'ōlelo a me, like me ka a no o ke suffocation.

Inā he kanaka i mālama i ka convulsive twitching paha convulsions, eʻoiaʻiʻo i ka mea, aole ia i ku. E hana i kēia, ke hoopaa i ka hoʻomanawanui ka mau koʻo ikaika i loko o ke kīloi paʻewa kulana.

I ka mea e hoomaopopo ana pilikia i ka hyperglycemic coma. Algorithm o pākōlea malama a me ka hana i loko o ka haukapila, noʻonoʻo hou.

lapaʻau lapaʻau

Ma hope iho o ka hōʻeaʻana mai o ka 'inikua hui e e kaʻenaʻena hospitalization i loko o ka mālama nui malama pa alima. Inā ka hoʻomanawanui ua anaia mai ka manawa ma ka mika i loko o ke koko kō 'ilikai, a ma luna o ka honua, ka mea i kēia hana. Subcutaneously injected insulina, kona laʻau heluna he pōpilikia ma luna o ke kumu o ka mika 'ka heluhelu, a me ka hoʻomanawanui ua hospitalized.

He mea nui e pono diagnose hyperglycemic coma, symptoms, pilikia malama ma i radically okoa mai hypoglycemic. Ka wā i erroneousʻike, hiki ole e i ka manawa e hoola i ke kanaka.

He pololei ma ka resuscitation intravenously lawelawe paʻakai koloriside pāʻoihana a me ka monakō koko pāʻoihana. Inā ka hoʻomanawanui ka ke ano o ka lōpū oolea, ka mahele lāʻau o ka insulina haneri huahelu, ina kaumaha - e pili ana i hoʻokahi haneri a me kanalima, a ma ka noho pilikia - ma kahi o elua haneri. Insulina, a ua hoʻolauna, e e pokole-hana no kokololio omo i loko o ke koko.

Nō hoʻi, ma hope o kaʻike, o ka airway a me ke koko, ana ua koho lapaau. I loa hoopii, i ka hoʻomanawanui ua pili i ka respirator. Ma haʻahaʻa puʻe na ai 'e like ka lawelaweia ana intravenously.

Special noonoo i kā lākou mai

Ma hope o ka loaa ana i kaʻike, "mimikō" hoomanawanui pono ia me ka palena mamao kuleana e hana oe ia oe iho. Local Kauka endocrinologist wehewehe i nā loina o ka hoʻoponopono-malama. Kēia 'eleu ka pahu kui o ka insulina, mahaeʻai, iʻai, ke koko e ho'āʻo ai.

He nui no ka mana i ke koko monakō koko pae no diabetics e hoʻohana i ka mika. Maikaʻi loa, lawe ana palua i ka lā, e like me a, e hoʻololi i ka laʻau heluna o insulina.

Manawa a lawe i kou kāleka diabetics ka mea e ia ma luna o ka eke. Kēia e kōkua ina pono pilikia kōkua i loko o hyperglycemic coma. No ka hihia o hypoglycemic coma (hakumakuma o ke koko kō pae), i kekahi mea ono ma kona lima. Kēia hiki e ka meli ma ka lāʻau a me Jam.

I ole hihia e ole skip insulina i kūpono, a ina keia hana, a laila, kū i ka nui o ke kō e stabilize.

Nui 'ike no ka poe hoahanau a me ka hoa

People ka poe e kokoke ana i na kanaka me ka mimikō Pono, e ike i ke kumu o ke e pili ana i ka maʻi i ka i hoomakaukau ai ma ka manawa i ka pilikia mālama iloko o hyperglycemic coma paha hypoglycemia.

Inā kou mau maka i ke ahonui o ka liu o ike, koke i kapa aku ai i ka ambulance. A lākou mau ana, e mālama mai i ka hahi i ka'ōlelo - pehea mākou i ua hai aku. He pono, e ana i ke kō monakō koko mika a hiki i ka hōʻeaʻana mai o nā kauka, no laila, i ole e luku aku manawa, a kōkua wikiwiki.

Ma ka coma, me kōkua, he kanaka hiki ke ola i kekahi i kā mākou o iwakalua-kumamaha hora. Nolaila, e uku hou maliu i ka hoahanau i ka maʻi. Pilikia mālama i loko o hyperglycemic coma i na keiki mea okoa, mai nā mākua. Oko ao wale nō i loko o ka laʻau heluna regimen a me ka lōʻihi like 'ole o inpatient lapaau.