Hypoglycemic coma: pilikia mālama. Pehea e kōkua i ka hōʻeaʻana mai o ke kauka?

Hypoglycemic ano kahi ua hoemiia ke kō ka maʻiʻo ma ke koko (monakō koko) hiki ia kēlā me kēia kanaka, oiaio hoi i ka poe e ae, mai na maʻi mai o ka exocrine pancreas. Hypoglycemic coma, pilikia ke kokua no ka i ka mea, mea loa nui me ka hikiwawe e loaa - keia mea kokoke mau ka hailona o diabetics. Loa paha e ae aku i ka poe i loaʻa he 'ano "kohu kūpono" ka hoao ana i ka mimikō mua (insulina-e kaukaʻi) kikokiko.

Ka weliweli hypoglycemic coma? Poino i ka'emi'ōnaehana, ua hōʻike hewa - haanou ana o ka lolo. Ka mea i aneane hapalua o ka monakō koko komo i ke kino, o ka lolo i hoʻohana. Inā he mea he hypoglycemic coma, pilikia mālama i ka mea ia manawa ua hoopanee, i ka lolo aʻole i lawa ka ikehu, ka mea e ole e holopono ana ma ka "piha ikaika", 'o ia hoʻi, ka mea, mai nā' "hiamoe? Aaeei". Hoʻolōʻihiʻia kēia aaeei i ke kulana mua, mahope mai o ke koko monakō koko hiki ole aua i ka wai i emi (ua hoemiia osmotic puʻe), keia "keu" wai hele i loko o nā'aʻaʻa, kuhikuhi ma ka lolo'aʻaʻa. Inā ke ola i ke kanaka ma ka pane ana i ka emi ma ka nui o ka monakō koko uku 'paka hou insulina hōmona hakaka, ke hoʻololi e hoohua mai i ka mea e pono ai monakō koko, mai kona nei i loko o ke akepaa, laila, i loko o diabetics, keia hooponopono ua hehiʻana.

Ma waho mimikō i haawi ole wale i ka "mea" insulina akā, hoʻolōʻihiʻia, a me ke keʻena hopena. I Ina o ka overdose a me kekahi o na hana e alakai i ka emi i loko o ka lehulehu o ke koko kō, hypoglycemic moku'āina e hele mai i loko o ka moe,ʻaʻole e hoʻomaopopo i ke kanaka a me ka ulu i loko o ka coma.

No ke aha lā i loaʻa he hypoglycemic coma? Pilikia a me symptoms

'Aʻole wale nō mimikō o ke kumu o ka hypoglycemia,ʻaʻole naʻe - keia mea i ka loa, he pono ole pilikia. Ma nā hihia, he kanaka hiki ke haha aku i ka loiloi mua hoikeana o ka hoemi kō pae, a laweʻanuʻu (e ai), akā, ma ka hihia o ka "lōʻihi" nui o ka maʻi i hiki ole e hiki mai, a me ka mea hele mai i ke coma. It coma ia lŘlŘ ma haʻahaʻa monakō koko pae ma lalo 2,5 mmol / H (haʻahaʻa kali o ka maʻamau - 3.3 mmol / hano, no ka nui diabetics 'mau' ilikai "- 7-8 mmol / hano, a me na mea a pau ma lalo ia, ua hypoglycemia ke kumu no ka waiʻona ma ke).

Ma nā mea maʻi me ka mimikō hypoglycemic coma ke'ākoʻakoʻa ma muli o ka:

• insulina overdose deliberate paha inadvertent;
• overdose antihyperglycemic papa 'o ia hoʻi;
• hookeai ana au, a loaa he uuku nui o ka ai 30-40 minuke ma hope o ka pahu kui o ka insulina;
• ka wā i kekahi kanaka injected ia iho me ka mahele lāʻau pōpilikia mua, akā,ʻaʻole ma mua ka mea, ua māhuahua physical mama no hoi;
• ma ka 'aʻe o ka haʻalele' ana o ka insulina injections. Eia ka mea pono e mai la oia i kekahi kanaka e loaa ana mai ka mimikō, ina ka mea, ua i loko o ka haukapila, mai e insulina, "e like me ma mua" me ka hoomaopopo ana i ka glycemic holoʻokoʻa: he oi a emi loa mai "uhai aku i ka uku", a me ka mahele lāʻau o ka insulina E e hooponoponoia ia mea, kela lā, ma hope o ka kauka loaʻa i ke koko kō kiʻekiʻe;
• ma hope o waiʻona:'eto ka waiʻona ho'ēmi i kā ka ha awina o ka poe nā'ūhū mea i kuleana i? iecaianoaaiiuo o ka hou, ina he pono, monakō koko. Ie waiʻona "uhi i ke alanui," he maluʻano papa hana.

Other kumu o ka hypoglycemia:

• hooloihi ae i ka hookeai ana, o ka oi aku ia i ka mea ia manawa kanaka paakiki physical hana;
• intentional insulina ola kanaka ia ia iho, a me kekahi kanaka;
• pancreatic necrosis, huʻi pancreatitis, a me ka hepatitis;
• imua o kaʻeho ma ka meaola i produces insulina.

Ma mua o ka hooulu ana o ka pololei coma no kekahi manawa (kekahi mau hola), mau symptoms i ana:

• lawa ponoʻole hana (pinepine - aggression);
• nawaliwali, luhi;
• haʻalulu ana o na lima;
• tremors ma ke kino;
• ikaika hoohalike o ka pololi.

Ma keia hihia, ka hapanui o ke kanaka uhi anu clammy hou,ʻo ia i kona maka,ʻo ia probed kokololio ka lāʻau ikiʻai. Next, ke kanaka hiki e mālie ilalo, moe iho la ia i ka koena, a me ka mea e hele ana ma ke koho ana o ke kaheʻana, a me ka restless hiamoe, he kanaka pinepine kāhea mai, oia expresses delusional makemake. Inā 'oe e ho'āʻo e ala iā ia,ʻo ia ke initially pane, akā nō kāu - me ka oaka ae la kona mau maka, a i ole hoomaopopo i na mea e ae. Ua hoʻomaka hypoglycemic coma. Pilikia kōkua E e hoakaka ia manawa.

No ia mea, ina e hai i ka inadequacy o ka aggressiveness a me ka disorientation i loko o kekahi kanaka i poino mai mimikō (a ina oia kēlā wā i kēia wā wehewehe iā ia i ka mea, 'o nā mea a pau pono), akā,' aʻole 'oe i ma ka lima o ka mika, e i kōkua nā ma hypoglycemic ano, he wahi lihi iki o ke kō i loko o ke koko ua 'aʻole i ho i ka pilikia i ke ola, e like me ka noho ana, i ka wa ia mea,ʻaʻole lawa. Ua mea i loko o ka hypoglycemic moku'āina (coma), i ka mooolelo hele ma luna o kekahi minuke, oiai ka coma, kena ae la ia e kiʻekiʻe pae o ka kōpaʻa, mea olelo lealea, e alakai i ka make a me ke kīnā, ina ke kōkua e e 30-40 minuke.

Help me hypoglycemic coma

Ua lawelawe ma ka monakō koko pāʻoihana intravenously. Best o nā mea a pau, ina o ka hale i ke koko monakō koko mika. Inā 'oe pono'ī intravenous ka pahu kuiʻano hana, a laila, i ke ano o na hoailona o ka hypoglycemia hiki ke lawelawe undiluted 40% monakō koko i loko o ka nui o 20-40 ml. Alaila, e i hele mai mai o ke aa koko. Intramuscularly hiki oioi (ina kekahi) o ka glucagon.

E kekahi, e hea aku i ka ambulance (koi hospitalization, o ka oi aku ina ua he hooloihi ae i overdose o insulina).

Inā ike paka i ua ole hoʻihoʻi, e kekahi 20 ml o ka ia monakō koko hue type 1 "prednisolone" a me "Dexamethasone" i.v., hohola ia i loko o ka 10 ml isotonic paʻakai koloriside pāʻoihana. Inā ka mea, ua hana me ka mana hoʻomalu ma kō pae mika ma ka mea e ae ma mua, e hele mai nâ hui mai i lawe "koke".

First kōkua me ka hypoglycemic coma, ina o ka ohana puke i kekahiʻano hana o intravenous injections, a me glucagon i loko o ka hale i ole (ia mea nō pipiʻi lāʻau), Ua like penei:

• kau i ka hoʻomanawanui ma konaʻaoʻao, e kiai ana i ka hanu no laila, i ka mea i ole ana;
• wehe i ka puka makani, i ka puka i loaa hou ka oxygen;
• hiki ma lalo o ka elelo i kekahi mau o ka poe liilii, (kekahi)'āpana o ka maemae kō, a me ka mālamaʻana i ke kō i ole ale, e like me ka hoʻomanawanui i unconscious hiki ai, neʻe maila nā ā pani ai i kekahi apana o ko lākou Air.

Inu i ka coma hoomanawanui hiki ole e haawiia ma: pela oe wale kai a Kahinaliʻi i ka loli i ka ia maʻiʻaʻai, alaila, e hoola hoi i na hopena loa paʻakikī a me kekahi manawa i hiki 'ole, e e.

Inā 'oe i manawa e hopu i ka ua kanaka la, ia ia i ua paa nae ka manao, akā, ua lawa ponoʻole a me ka pīhoihoi, ho'āʻo e haawi aku ia i ka meaʻala soda, mehana ka wai me ka mahi kō a me ka meli, me ka'āpana no ke kanakē a me ka meli. Mai poina e kahea aku i ka ambulance, a hiki ina oe ia oe iho i kēia mau carbohydrates paʻapū keia noho pilikia kulana.