Tsarin bayyanar cututtuka na hypoglycemic an bayyana shi saboda raguwa mai ƙarfi a cikin taro na jini. Yana tasowa ba zato ba tsammani, yayin da yanayin haƙuri yana raguwa da sauri, wanda zai haifar da cutar hypoglycemic. Kuna buƙatar yin aiki nan da nan da kuma gasa, in ba haka ba za'a iya gujewa mummunan sakamako.
Taimako na farko
Hypoglycemia shine mafi yawan halayyar marasa lafiya da ke dauke da ciwon sukari na 2, kodayake ana iya lura da shi idan babu wannan ilimin. A irin waɗannan halayen, ana kunna hanyoyin biyan diyya, da kuma yiwuwar samun hauhawar ƙwayar cuta tayi ƙasa sosai. A cikin masu ciwon sukari, sanadin rashin lafiyar da ke haifar da cutar rashin haihuwa na iya zama:
- abinci mai karancin-carb akan asalin ilimin insulin;
- karuwar tazara tsakanin abinci;
- wuce kima ko tsawaita aikin jiki;
- yawan abin sama da yalwa da kwayoyi na cututtukan jini;
- amfani da giya;
- gastroparesis, gazawar koda, rashin aiki hanta.
Tare da hypoglycemia, glucose jini kasa da 2.8 mmol / L. Brainwaƙwalwar ba ta da ƙoshin lafiya, wanda ke haifar da rushewar tsarin jijiya ta tsakiya. A sakamakon haka, alamun halayyar suna bayyana:
- Babban excitability, juyayi.
- Jin yunwa.
- Remaƙƙarfan ciki, tasirin rikicewa, ƙarancin ƙarfi da raɗaɗin tsoka.
- Weaukar ruwa, blanching na integument.
- Rikicin da'ira, tachycardia.
- Dizziness, migraine, asthenia.
- Rikice rikice, diplopia, raunin auditory, karkatarwa cikin hali.
Hypoglycemia yana nufin yanayin ɗan lokaci. Tare da rikitarwa, cutar sikila ta haila, wacce ta cika lalacewar kwakwalwa, kamawar numfashi, daina ayyukan zuciya da mutuwa.
Idan an sami alamun haɗari, mai haƙuri yana buƙatar taimakon gaggawa. Algorithm na ayyuka yana dogara ne akan matakin ilimin wayewa. Taimako na farko game da cututtukan jini, idan mutumin yana da hankali, kamar haka:
- Mai haƙuri yana zaune ko kuma dage farawa.
- Ana aiwatar da wani sashi na carbohydrates mai sauri kai tsaye a gare shi, misali:
- gilashin ruwan zaki;
- 1.5 tbsp. l zuma;
- shayi da 4 tsp sukari
- Guda 3 da aka gyara;
- man shanu cookies, da sauransu.
- Tare da babban matakin insulin saboda yawan ƙwayar cuta, 'yan kalilan masu yayyafa ya kamata a cinye.
- Bayar da mara lafiya tare da kwanciyar hankali, suna tsammanin za a samu ci gaba a yanayin sa.
- Bayan mintina 15, ana auna yawan sukarin jini ta amfani da glucometer dinka. Idan sakamakon ba su gamsuwa ba, ana buƙatar sake samfuran samfuran sukari.
Idan an gano alamun haɗari na hypoglycemia, mai haƙuri yana buƙatar taimakon gaggawa.
Idan babu ingantattun abubuwa, haka nan kuma game da yanayin rashin lafiyar mara lafiyar, yana buƙatar kulawa ta gaggawa.
Taimaka wa yaro
A lokacin farmaki na hypoglycemia a cikin yara 'yan shekaru 2, sukari jini ya ragu a ƙasa 1.7 mmol / L, ya girmi shekaru 2 - ƙasa da 2.2 mmol / L. Bayyanar cututtuka da ke bayyana a wannan yanayin, kamar yadda a cikin manya, ke da alaƙa da cin zarafin ƙuguwar jijiya. Nocturnal hypoglycemia yawanci ana bayyana shi ta hanyar kuka a cikin mafarki, kuma idan yaro ya farka, yana da rikicewa da alamomin rashin lafiya. Babban bambanci tsakanin alamomin hypoglycemic da nakasassun cututtukan zuciya shine ɓacewa bayan cin abinci.
Tare da m hypoglycemia da ciwon sukari mellitus, ya kamata a saka yaro a cikin wurin zama kuma a ba shi alewa, glucose a cikin Allunan, cokali na jam, ɗan kadan soda ko ruwan 'ya'yan itace. Idan yanayin bai koma al'ada ba, dole ne a ba mai haƙuri ƙarin yanki na carbohydrates da ke narkewa kuma a kira motar asibiti. Hypoglycemia a cikin jarirai, na buƙatar asibiti na gaggawa.
Idan yaron ya rasa hankalinsa, sai su juya masa baya kuma suyi tsammanin zuwan likitoci. Yakamata a tsabtace kogon ta bakin mai haƙuri na abinci ko amai. Idan za ta yiwu, ana gudanar da glucagon kamar yadda ya kamata.
Asibitin Kula da Akewar Asibiti
Matakan warkewa a asibiti ba su da bambanci sosai da kulawa ta prehospital. Idan an sami alamun cutar, mai haƙuri yana buƙatar amfani da samfurin da ke ɗauke da sukari ko kuma ya ɗauki gullar kwamfutar hannu. Idan maganin baka ba zai yiwu ba, ana sarrafa maganin ne a cikin jijiya. Idan yanayin bai inganta ba, yana iya buƙatar taimakon ba kawai endocrinologist ba, har ma da sauran ƙwararrun likitocin (likitan zuciya, masu tayar da jijiyoyi, da sauransu).
Bayan an cire fitsarin, ana iya buƙatar abincin da ke da wadataccen ƙwayoyin carbohydrates don hana sake dawowa. A nan gaba, ya zama dole don daidaita sashi na magungunan farin jini da mai haƙuri ke amfani da shi, koya masa yin hakan da nasa kuma ya ba da shawarar ingantaccen abinci.
Kulawa ta gaggawa don cutar sikila
Matsakaicin mataki na bayyanuwar hypoglycemia shine hypoglycemic coma. Mafi sau da yawa, yana haɓaka cikin hanzari a cikin masu ciwon sukari saboda ƙaddamar da babban kashi na insulin ko wasu kwayoyi waɗanda ke rage taro glucose. Alamar farawa ita ce asarar haƙuri. A wannan yanayin, an rage taimakon farko zuwa gaskiyar cewa an sanya mai haƙuri a gefe kuma an kira ƙungiyar motar asibiti. Sanya wuri a cikin abinci na baka na abinci ko abin sha, kazalika da gudanar da insulin an hana shi.
Matsakaicin mataki na bayyanuwar hypoglycemia shine hypoglycemic coma.
A gaban glucagon, kuna buƙatar gabatar da 1 ml na miyagun ƙwayoyi a ƙarƙashin fata ko yin allura ta wucin gadi kafin likitan ya isa. Ga yara masu nauyin ƙasa da kilogiram 20, an ƙayyade sashi daban-daban. Idan mai haƙuri ya farka, yana buƙatar ɗaukar wani yanki na carbohydrates mai sauƙi (abinci mai dadi, abin sha) da wuri-wuri.
Lokacin da ba a san halin da ake ciki ba, ana buƙatar rarrabe ganewar asali tare da wasu cututtukan da za su iya haifar da fitsari da jinƙai (amai, ciwon kai, encephalitis, da sauransu). Auna glucose da saka idanu kan alamomi masu mahimmanci.
Dole ne a dauki mahimman matakan kawar da kwayar cutar a kan tabo ko yayin isar da haƙuri zuwa asibiti. Sun gangaro zuwa cikin abinda ke ciki na maganin suga. An yarda da hanyar ne kawai tare da cancantar dacewar mutumin da ke ba da taimako. Da farko, kashi 40% na miyagun ƙwayoyi tare da jimlar nauyin har zuwa 100 ml an allura a cikin jijiya. Idan mai haƙuri bai farka ba, kuna buƙatar saka dropper tare da 5% glucose.
Inpatient magani don coma
Lokacin da matakan farko na asibiti ba su bayar da sakamakon da ake so ba, ana kai mai haƙuri zuwa asibiti. Wannan ya zama tilas a yanayin saukan sake kai harin hypoglycemia jim kadan bayan daidaituwa game da yanayin mai haƙuri. A can, suna ci gaba da sarrafa glucose ta hanyar jiko, yayin kawar da alamun da ke gudana. Idan ya cancanta, ana amfani da glucagon, corticosteroids, adrenaline kuma ana yin farfadowa na cardiopulmonary.