ʻO ka Hyperglycemic Coma - kōkua kūkini (algorithm)

ʻO ka Hyperglycemic coma ka hopena o ke kino o ka insulin i loko o ke kino. ʻO ka hapanui pinepine,ʻo kahi coma e pili ana me ka maʻiʻole insulin ka hopena o ka maʻi diabetes . Eia hou, hiki ke kū i kēiaʻano ma muli o ka hopenaʻana o ka inulin o ka insulin a iʻole ka pono o ka insulin. ʻO ka algorithm o ka mālama kūikawāʻana i ka coma hyperglycemic eʻikeʻia e nā mea a pau i loaʻa ka maʻi diabetic i loko o kaʻohana.

Nā hōʻaia o ka coma hyperglycemic a me ka algorithm o ka mālama kūikawā

Hōʻikeʻia nā hōʻailona Symptomatic o ka coma hyperglycemic me ka inuʻana o ke kino me nā ketones, ka hewa o ka pale wai-kumu a me ka wai maloʻo. Hiki i ka Hyperglycemic coma ke ulu i loko o kahi lā (a me kahi lōʻihi lōʻihi). ʻO nā mea hoʻolālā o ka coma:

• nā maʻiʻeha;
• nele i kaʻona;
• nausea;
• i ka make wai a me ka manaʻo o ka maloʻo ma ka waha;
• 'ōlelo paʻa;
• keʻala o kaʻeha mai ka waha mai;
• nā maʻi diarrheal o ka'āpana o ka maʻi kino;
• ka ho'ēmi pākuhi;
• 'opiʻa;
• hiamoe;
• amnesia;
• ke kani haʻahaʻa haʻahaʻa;
• ka piʻi pinepine o ka urination.

Inā hōʻoleʻoe i nā hōʻailona precomatomʻike pono a me ka nele i nā ana kūpono,ʻo ia ka mea e hāʻule ai ke kanaka i loko o kahi nohona.

ʻO ka kōkua mua o ka'āpana hyperglycemic ka hoʻokōʻana i nā hanana holomua. ʻO ka mea mua, ponoʻoe e kāhea aku he "He kaukena". Ma mua o ka hikiʻana mai o nā polopela,ʻo ka algorithm hana e hāʻawi i ka mālama kūlohelohe no ka coma hyperglycemic penei:

1. Hāʻawi i ka paepae kūpono o ka mea maʻi.
2. E wehe i ke kāʻei, ke kāʻei, ke kāʻei; e wehe i nā pale i nā kapaʻaʻahu.
3. No ka hoʻolālāʻana i ka'ōlelo (he mea nuiʻaʻole e loli!)
4. E hana i ka inulin .
5. E nānā i ka pihi. Me ka emiʻana o ke kahe o ke koko, hāʻawi i ka inu e hoʻonui ai i ka pihi.
6. E hoʻolako i ka wai inu.

Ka hoʻolakoʻana i nā mākino kino kūikawā no ka coma hyperglycemic

ʻO ka mea maʻi i kahi mehameha e hōʻoleʻia me kaʻole. Ma ka haukapila e hana nei nā hana i lalo:

1. I ka wā mua, ka palaka, a laila kaomi ka insulin.
2. E hana i kahi holoi o ka'ōpū, e hoʻomaʻemaʻe i ka enema me ka 4% sodium bicarbonate solution.
3. Hāʻawi lākou i ka'ōleʻa me ka hopena physiological, ka solution a Ringer.
4. Loaʻaʻia ka 5% glucose i kēlā me kēia 4 mau hola.
5. Hoʻomaopopoʻia he 4% solution o ka sodium bicarbonate.

Hoʻomaopopo nā kauka lāʻau i ka kiʻekiʻe o ka glycemia a me ka paʻi i kēlā me kēia hora.