Cutar hypoglycemic - asarar da hankali saboda farawa daga cikin mafi tsananin rauni na hypoglycemia a cikin ciwon sukari. Mara lafiyar da ya fada cikin farin jini a jiki yawanci yana da launin toka, mai laushi. Ana yawan lura da Tachycardia - karuwa a cikin zuciya har zuwa bugun 90 a minti daya ko fiye.
Yayin da yanayin ya tsananta, numfashi ya zama mara nauyi, saukar karfin jini, bradycardia, da sanyaya fata. Upalibai basu amsa haske ba.
Sanadin cututtukan rashin jini a jiki
Cutar kwalliyar jiki yawanci yakan haifar da ɗayan dalilai uku:
- ba a horar da mai haƙuri tare da ciwon sukari don dakatar da matsanancin rashin ƙarfi a kan lokaci ba;
- bayan yawan shan ruwa (zaɓi mafi haɗari);
- gabatar da ba daidai ba (ya yi yawa sosai) kashi na insulin, ba a daidaita shi da ci na carbohydrates ko aikin jiki.
Karanta labarin "Hypoglycemia a cikin ciwon sukari mellitus: alamu da magani" - yadda masu ciwon sukari za su iya dakatar da ƙin jini a kan lokaci lokacin da suka fara jin alamun ta.
A cikin wane yanayi ne haɗarin cewa kashi insulin na insulin ya wuce kima kuma yana haifar da cutar rashin wadatar jini:
- ba su lura cewa maida hankali akan insulin shine 100 PIECES / ml maimakon 40 PIECES / ml kuma sun gabatar da kashi 2,5 sau fiye da yadda ake buƙata;
- ba da gangan a allurar allurar ba ta hanyar cutarwa, amma intramuscularly - a sakamakon haka, matakinsa yana kara karfi;
- bayan an samar da insulin na “gajere” ko “ultrashort” insulin, mara lafiya ya manta da cizo da zai ci, ina cin carbohydrates;
- Ayyukan jiki wanda ba a shirya ba - kwallon kafa, keke, kankara, wurin iyo, da sauransu - ba tare da ƙarin ma'aunin glucose a cikin jini da kuma cin carbohydrates;
- idan mai ciwon sukari yana da kitse na hanta;
- gazawar koda na koda (rikicewar cututtukan sukari a cikin kodan) yana rage "amfani" na insulin, kuma a cikin wannan halin, dole ne a rage yawan sashi a lokaci;
Coma na yawan haila yana faruwa ne idan mai ciwon sukari da gangan ya wuce adadin insulin. An yi wannan ne don kashe kansa ko da gangan.
Hyma na jini a kan asalin giya
A nau'in 1 na ciwon sukari, ba a hana shan giya gabaɗaya, amma yakamata a sha shi da yawa. Karanta karin bayani a cikin labarin “Abincin don nau'in ciwon sukari 1.” Idan ka sha da yawa, to da alama cewa za a sami farin jini yana da yawa sosai. Domin ethanol (barasa) yana toshe hanyar haɗin gulukos a cikin hanta.
Cutar kwalliya bayan shan shaye-shaye yana da haɗari sosai. Saboda tana kama da maye. Don fahimtar cewa halin da ake ciki yana da wahala da gaske, babu mai bugun kansa da kansa ko kuma mutanen da ke kewaye da shi basu da lokaci. Kuma kuma saboda yawanci ba ya zuwa nan da nan bayan booze, amma bayan fewan awanni.
Binciko
Don bambance coma hypoglycemic coma daga hyperglycemic coma (i.e. saboda sukari mai yawa), kuna buƙatar auna sukari na jini tare da glucometer. Amma ba haka ba ne mai sauki. Akwai yanayi na musamman inda mai haƙuri ya daɗe da ciwon sukari, amma ba a bi da shi ba, kuma ya fara shan insulin da / ko rage rage ƙwayoyi.
A cikin irin waɗannan marasa lafiya, ƙwayar cutar hypoglycemic na iya faruwa tare da al'ada ko ma haɓaka matakan glucose na jini - alal misali, a 11.1 mmol / L. Wannan mai yiwuwa ne idan sukarin jini ya sauka da sauri daga kyawawan dabi'u. Misali, daga 22.2 mmol / L zuwa 11.1 mmol / L
Sauran bayanan dakin gwaje-gwaje ba su ba da izinin yin binciken daidai cewa coma a cikin haƙuri yana daidai hypoglycemic. A matsayinka na mai mulkin, mara lafiya bashi da sukari a cikin fitsari, sai dai a wasu lokuta inda aka fitar da glucose a cikin fitsari kafin cigaban kwayar cutar.
Kulawa ta gaggawa don cutar sikila
Idan mai ciwon sukari ya suma sakamakon cutar tarin yawa na jini, to wasu suna buƙatar:
- kwantar da ita a gefenta;
- 'yantar da bakin bakin daga tarkace abinci;
- idan har yana iya hadiyewa - sha tare da abin sha mai ɗumi;
- Idan ya gaji har ya iya haɗiye shi kuma, - kada a zuba ruwa a bakinsa don kada ya sha har ya mutu.
- idan mai ciwon sukari yana da sirinji tare da glucagon tare da shi, allura 1 ml subcutaneously ko intramuscularly;
- kira motar asibiti.
Menene likitan motar asibiti zai yi:
- farko, 60 ml na 40% na glucose bayani za'a gudanar dashi a cikin ciki, sannan kuma za'a magance ko mara lafiyar yana da kwayar cutar ciki - hypoglycemic ko hyperglycemic
- idan mai ciwon sukari bai sake murmurewa ba, ana maganin mafitsara 5-10% na cikin suga kuma a hawa shi zuwa asibiti
Kula da jinya a asibiti
A cikin asibiti, ana bincika mai haƙuri don kasancewar raunin kwakwalwa ko rauni na zuciya (ciki har da bashin mahaifa). Gano idan akwai abubuwan da ke zubar da jini sama-sama ko insulin.
Idan akwai allunan da suka wuce haddi, to za'ayi aikin ciki kuma ana sarrafa gawayi. Idan yawan insulin ya wuce (musamman tsawaita aikin), ana yin aikin tiyata a inda ake yin allurar idan har bai wuce awanni 3 ba sun wuce shi.
Ana ci gaba da gudanar da aikin kwandon shara na 10% na glucose har sai matakin sukari na jini ya dawo daidai. Don hana zubar da ruwa, madadin glucose 10% tare da 40%. Idan mai haƙuri bai shiga cikin halitta ba a cikin awanni 4 ko kuma ya fi tsayi, ƙwararran hanji da “sakamako mara kyau” (mutuwa ko tawaya) suna da wataƙila.
