Hypoglycemic coma ke boemo bo feteletseng ba tsamaiso ea endocrine e bang teng ka lebaka la ho theoha ho matla ha tsoekere ea mali. Motho ea nang le komello ea hypoglycemic o hloka thuso e potlakileng, empa phepelo ea eona e hloka tsebo ea boemo ba mokuli hona joale. Ho bohlokoa ho tseba: matšoao a motho a amana le hyperglycemia kapa hypoglycemia.
Matšoao a hypoglycemia le hyperglycemia
Sebopeho se matla le se sa foleng sa hyperglycemia se bontšoa matšoao a latelang:
- Lenyora le feteletseng;
- Khafetsa ho ntša metsi khafetsa;
- Mokhathala o tloaelehileng;
- Fetoha boima ba kamehla;
- Ho sitisoa ha pono;
- Molomo o omileng;
- Ho omella le ho hlohlona ha letlalo;
- Phefumoloho ea Kussmaul;
- Arrhythmia;
Ts'oaetso e bobebe eo ho leng thata ho e phekola, joalo ka vagidi candidiasis kapa otitis externa, e kanna ea supa boemo ba hypoglycemic;
Hyperglycemia e mpe e ka hlaha e le matšoao a latelang:
- Ketoacidosis;
- Ho sithabela maikutlo
- Ho omella ka lebaka la glucosuria le osmotic diuresis.
Matšoao le matšoao a hypoglycemia a aroloa ho autonomic (parasympathetic, adrenergic) le neuroglycopenic. Matšoao a meroho a hlahisoa ka tsela e latelang:
Sebaka se phahameng sa mabifi le thabo, hammoho le matšoenyeho, tšabo le maikutlo a ho tšoenyeha;
- Ho eketsa mofufutso;
- Ho thothomela ha mesifa, hammoho le hypertonicity ea mesifa;
- Malinyane a hlotsoe;
- Keketseho ea khatello ea mali, arrhythmia;
- Pallor ea letlalo;
- Kutlo ea ho nyekeloa ke pelo, ka linako tse ling ho hlatsa, tlala e bohloko;
- Bofokoli bo sa foleng
- Matšoao a Neuroglycopenic:
- Ts'oaetso e tlase ea tlhokomelo, hlooho ea hlooho le ho tsekela, ho ferekana ha moea, tšebelisano e mpe ea mekhatlo;
- Paresthesia;
- "Bifurcation" ea lintho e le tšitiso e bonoang ea tikoloho;
- Ho se lekane le phetoho ea boits'oaro bo tloaelehileng, amnesia;
- Ho hema ka thata le phallo ea mali;
- Ho otsela
- Pono e senyehileng;
- Maemo a ho koata le a ho akheha pele;
- Coma
Hypoglycemic Coma Factors
Tšebeliso ea meriana e itseng ka nako e telele, matšoao a tšoanang a ka bakoa ke ho sebelisa lithethefatsi tsa insulin ntle le ho sheba litekanyetso, hona ho ka baka insulin hypoglycemic coma.
Ho ja joala haholo, ho se latele lijo ho ka boela ha lebisa ho holiseng boemo ba komello ea hypoglycemic.
Neurosis, khatello ea maikutlo, khatello ea maikutlo le khatello ea maikutlo, joalo ka litlamorao tsa maemo a joalo hangata e ka ba boemo ba hypoglycemic, 'me qetellong ke komello ea hypoglycemic.
Li-tumors tse haufi le manyeme, pancreatic necrosis, tlhahiso e matla ea insulin, sena, ka tsietsi, ke ka linako tse ling ke lebaka la pele le lebisang ho fumanoeng lefu la hypoglycemic coma.
Ho haella ha hepatatic, litlamorao tsa boemo bona lia fapana, 'me har'a bona ho ka ba le komello ea hypoglycemic.
Matšoenyeho a 'mele ka lebaka la lipapali kapa ho ikoetlisa ka nako e telele, litlamorao ha li tšoane, empa e' ngoe ea tsona ke komello ea hypoglycemic.
Mathata a komello ea hypoglycemic coma
Ka komello ea hypoglycemic, ho bohlokoa haholo ho fana ka thuso ea pele ho mokuli ka nako e loketseng. Ka nako e ts'oanang, mmuso oa hae o eketsehileng o latela tekanyo ea tlhokomeliso le tlhokomeliso ea batho ba neng ba le haufi le mokuli.
Ho hloka tlhokomelo ea maemo a tšohanyetso ho tletse lereema ea "cerebral" e ka lebisang ponahalong ea maloetse a ke keng a fetoloa a tsamaiso ea methapo ea methapo. Ho lokela ho hlokomeloe hore khafetsa khafetsa ea hypoglycemic coma, ho bakuli liphetoho tsa botho ba batho ba baholo li hlokomeloa, 'me ho bana ho na le phokotseho ea boemo ba bohlale. Lihlopheng tsena ka bobeli tsa bakuli, phello e bolaeang ha e khetholloe.
Boemo ba coma ea hypoglycemic bo kotsi haholo ho bakuli ba tsofetseng. Sena ke 'nete haholo ho batho ba nang le lefu la methapo ea methapo ea mokokotlo kapa ea pelo le mafu a pelo. Lefu la hypoglycemic coma le rarahane haholo le etsa hore e be le melamu kapa e be myocardial infarction. Ka lebaka la tšobotsi ena, ho bohlokoa hore khafetsa u be tlasa ECG.
Mokhoa o etsoa ka mor'a ho emisa matšoao ohle a hypoglycemia. Haeba hypoglycemic coma e nka nako e telele, e tsamaisana le lipontšo tse matla, encephalopathy e ka hlaha, sena ha se sa pele, empa ke e 'ngoe ea mefuta e kotsi ka ho fetisisa.
Encephalopathy ke lesapo la mokokotlo la mokokotlo le tsamaisanang le tlala ea moea le ho potoloha ha mali hoa lisele tsa bokong. Lefu lena le tšoauoa ka lefu le leholo la lisele tsa methapo. Lipontšo tsa khafetsa tsa nyenyefatso ea botho.
Litlhokomelo le thuso ea pele
Ho fana ka thuso ea pele hantle maemong a susumetsoang ke komello ea hypoglycemic, ho hlokahala hore u tsebe ka ho hlaka hore na ke matšoao afe a boemo bona a bontšang hyperglycemia.
Ka hyperglycemia, joalo ka ha u tseba, maemo a tsoekere ea mali a eketseha haholo. Ho bohlokoa ho utloisisa matšoao a hypoglycemia, moo maemo a tsoekere ea mali a leng tlase. Kotsi ke hore linyeoe tsena ka bobeli li hloka mehato e fapaneng e fapaneng ka kotloloho.
Tekanyo e phahameng ea tsoekere e lula e tsamaea le lenyora le eketsehileng, ho nyekeloa le pelo le bofokoli. Motho ea boemong ba ho se tsebe letho o na le ho omella ho eketsehileng ha letlalo, ho fokotseha ho akaretsang ha molumo oa liso tsa mahlo ho tlalehiloe. Ntle le moo, bakuli ba phefumoloha ka lerata ka monko o khethehileng oa "apole" le monko oa acetone. Haeba mokuli a e-na le tsoekere e tlase ea mali, joale ntlheng ena, motho o ikutloa a fokola haholo ebile a thothomela hohle 'meleng. Ntle le moo, ho ruruha ho feteletseng ho tlalehiloe.
Ho lula a sa tsebe letho, e le molao, ho tsamaisana le ho tsitsipana ho hoholo. Ha ho na karabelo ea corneal e le karabelo ea ho ama.
Ho etsa hore motho a se ke a hlola a e-ba le boemo ba ho ba le komello ea "hyperglycemic" (kapa lefu la tsoekere kapele) kamoo ho ka khonehang, ho tla hlokahala ente ea insulin. Maemong a mangata, bakuli ba nang le lefu la tsoekere ba na le lisebelisoa tsa thuso ea pele haeba ho na le maemo a sa lebelloang. Hangata, lisebelisoa tsa thuso ea pele li boloka lintho tsohle tseo u li hlokang bakeng sa ente ea insulin, ho kenyelletsa le boea ba k'hothone, litaelo tsa litekanyetso, syringes le insulin.
Hoa hlokahala ho ela hloko taba ea hore bakuli ba nang le lefu la tsoekere ba na le boits'ireletso bo fokolang, hona ho sebetsa le ho lefu le kang lefu la tsoekere la mofuta oa 2 le mofuta oa pele. Ka lebaka la sena, ho bohlokoa ka mekhoa efe kapa efe ho khetholla monyetla oa tšoaetso ea libaka tsa ente.
Hape, u se ke ua etsa ntle le mehato e thata bakeng sa aseptic insulin. Bakeng sa ho fana ka thuso ea pele bakeng sa komisi ea hyperglycemic seterateng, haeba litlhoko tsohle li fihletsoe, o lokela ho hlahloba lintho tsohle tsa mokuli pele ho fumana kititi ea thuso ea pele ka insulin kapele kamoo ho ka khonehang.
Haeba sena se fumanoa, tekanyetso ea insulin e hlokahala hore e kenngoe lehetleng kapa seropeng. Motsoako oa insulin o lokela ho ba likarolo tse 50-100. Ha e le molao, ho bakuli ba nang le maemo a feteletseng, mesaletsa ea ente e fetileng e bonahala hantle, ka hona ho ke ke ha ba thata ho tsamaea.
Basebetsi ba ambulense ba tlameha ho bitsoa kapele kamoo ho ka khonehang. Taba ke hore ka nako e ts'oanang le ente ea insulin, mokuli o hloka ho hlahisoa ka tharollo ea tsoekere ea 40%, hammoho le saline e nang le tharollo ea glucose. Tekanyetso e tla fihla ho 4000 ml. Kamora lits'ebetso tsa pele tsa ts'ohanyetso, le tlhahiso ea insulin, mokuli o lokela ho fokotsa palo ea liprotheine le mafura a sebelisoang ke eena.
Empa lingaka li khothaletsa ka matla hore: boima ba tšebeletso e le 'ngoe ea lijo ha ea lokela ho ba tlase ho ligrama tse 300. Lijo tse le 'ngoe li lokela ho ba le lik'habohaedreite tse bonolo tse jang lijo tse kang lero, litholoana le jelly ea tlhaho. Ntle le moo, mokuli o khothalletsoa ho sebelisa metsi a nang le boleng bo phahameng ba alkaline.
Thuso ea pele bakeng sa komello ea hypoglycemic
Ka hypoglycemia, ho lokela ho nkuoa mehato e itseng e tsitsisang le e ntlafatsang boemo ba mokuli:
- Fa mokuli monate, ho etsa mohlala, lipompong, ice cream, sengoathoana sa tsoekere. Ntle le moo, o ka fana ka tee e tsoekere, Lemonade, metsi a monate kapa lero;
- Ho bohlokoa ho fa mokuli sebaka sa boiketlo kapa setulo sa ho bua leshano pele a qala kalafo bakeng sa ho ba le komello ea hypoglycemic.
- Ha a lahleheloa ke ho tseba, mokuli o lokela ho beoa lehlakoreng la hae mme tsoekere e beoe marameng;
Ho letsoa ke sehlopha sa liambulense tse nang le komello ea hypoglycemic ho hlokahala, hona ke tlhokomelo ea tšohanyetso bakeng sa komello ea hypoglycemic.
Haeba motho ea kulang a tseba, o tla tseba ho koenya metsi, re ntse re bua ka tharollo ea tsoekere. Ho lokisa tharollo e joalo, o hloka ho hlapolla halofo ea khalase ea metsi 1 kapa likhaba tse 2 tsa tsoekere.
Ha ho hloka kutloelo-bohloko ho mokuli, tsamaiso e kenelletseng ea tharollo ea tsoekere ea 40% e bontšoa e le thuso ea tšohanyetso bakeng sa komello ea hypoglycemic. Tsoekere ea mali le eona e tla eketseha ka potlako haeba u enta entcutaneous ente ea tharollo ea adrenaline - 0,1%, 1 di ml.
