Hyperglycemic coma - gaggawa taimako (algorithm)

Hanyoyin hyperglycemic yana da yanayin da lalacewar insulin yake cikin jiki. Yawancin lokaci, haɗin da ke hade da raunin insulin shine wahala a ciwon sukari . Bugu da kari, wannan yanayin zai iya tashi saboda sakamakon dakatar da insulin ko rashin amfani da insulin. Dole ne a sanar da algorithm na gaggawa na kulawa da hyperglycemic coma ga duk wanda yana da ciwon sukari a cikin iyali.

Cutar cututtuka na hyperglycemic coma da algorithm na kulawa gaggawa

Ana nuna alamun bayyanar cututtuka na hyperglycemic coma tare da maye gurbin jiki tare da ketones, cin zarafin ma'aunin acid da rashin jin dadi. Haɗar haɓaka mai haɓaka suna haɓaka a cikin rana (har ma tsawon lokaci). Masu haɗari na coma sune:

• ciwon kai;
• rashin ci;
• Nausea;
• ƙishirwa da ji na bushewa a baki;
• harshen layi;
• ƙanshin acetone daga bakin;
• cututtuka na zafin jiki na gastrointestinal fili;
• ragewar matsa lamba;
• rashin tausayi;
• lalata;
• Amnesia;
• ƙananan sautin tsoka;
• ƙara yawan mita urination.

Idan kayi watsi da alamun farko da aka nuna da rashin daidaitattun ma'auni, to, mutumin ya shiga cikin rashin saninsa.

Taimakon gaggawa na gaggawa don coma hyperglycemic shine aiwatar da wasu ayyuka na jere. Da farko, ya kamata ka kira "motar motar". A cikin tsammanin isowa na kwararru, algorithm na aiki don samar da gaggawa ga kulawar hyperglycemic coma kamar haka:

1. Ba wa marasa lafiya wani matsayi na kwance.
2. Dakatar da bel, bel, taye; don tsaftace tarbiyya a kan tufafi masu kyau.
3. Don yin motsa jiki akan harshen (yana da mahimmanci cewa ba ya ficewa!)
4. Yi allurar insulin .
5. Saka idanu. Tare da karuwa mai yawa a cikin karfin jini, ba da abin sha wanda zai kara karfin.
6. Samar da wani abin sha.

Tsarin likita na gaggawa don maganin hyperglycemic coma

Mai haƙuri a cikin coma yana asibiti ba tare da ya kasa ba. A asibiti wadannan ayyuka ana gudanar da su:

1. Da farko, fesa, to, ku dashi insulin.
2. Yi wanka na ciki, saka tsabtace enema tare da bayani na 4% na sodium bicarbonate.
3. Sun sanya kwaya tare da maganin ilimin lissafi, Ringer's solution.
4. 5% glucose an allura kowane 4 hours.
5. An gabatar da 4% bayani na sodium bicarbonate.

Ma'aikatan kiwon lafiya sun ƙaddara matakin glycemia da matsa lamba kowace awa.