I-coma ye-hyperglycemic - usizo oluphuthumayo (i-algorithm)

I-coma ye-hyperglycemic yisimo esibangelwa ukungabi khona kwe-insulini emzimbeni. Ngokuvamile, i-coma ehambisana nokuntuleka kwe-insulini yinkinga yesifo sikashukela . Ngaphezu kwalokho, lesi simo singavela ngenxa yokumisa umjovo we-insulini noma ukungenwa ngokwanele kwe-insulini. I-algorithm yokunakekelwa okuphuthumayo kwe-coma ye-hyperglycemic kufanele yaziwe kuwo wonke umuntu onesifo sikashukela emndenini.

Izimpawu ze-coma ye-hyperglycemic kanye ne-algorithm yokunakekelwa okuphuthumayo

Ukubonakaliswa okubonakalayo kwe-coma ye-hyperglycemic kuhlotshaniswa nokudakwa komzimba ngamaketoni, ukwephulwa kwe-acid-basis balance and dehydration. I-coma ye-hyperglycemic iqala phakathi nosuku (ngisho nesikhathi eside). I-harbingers ye-coma yilezi:

• ikhanda;
• ukungabi nesifiso sokudla;
• isicasuli;
• ukoma nokuzwa komile emlonyeni;
• ulimi olulimisiwe;
• iphunga le-acetone emlonyeni;
• ukuphazamiseka kwesifo sohudo emaphethelweni emathunjini;
• ukunciphisa kwengcindezi;
• ukunganakwa;
• ukulala;
• i-amnesia;
• ithoni ephansi ye-muscle;
• ukuvama kokwanda kokuchama.

Uma ungayinaki izimpawu ezicacile ze-precomatom nokuntuleka kwezinyathelo ezifanele, ekugcineni umuntu uwela esimweni esingenalwazi.

Usizo lokuqala oluphuthumayo lwe-coma ye-hyperglycemic ukuqaliswa kwemisebenzi eminingi elandelanayo. Okokuqala, kufanele ubize "i-ambulensi". Ngokulindele ukufika kochwepheshe, i-algorithm yesenzo sokuhlinzeka ngokucophelela ukunakekelwa okuphuthumayo i-coma hyperglycemic kanje:

1. Nika isiguli isikhundla esinqunyiwe.
2. Khipha ibhande, ibhande, uboyi; ukuvula izingubo zokugqoka izingubo eziqinile.
3. Ukuze usebenzise ukulawula ulimi (kubalulekile ukuthi alufaki!)
4. Yenza umjovo we- insulini .
5. Hlola ingcindezi. Ngokwehla okukhulu ekucindezelekeni kwegazi, unike isiphuzo esibangela ukucindezela.
6. Nikeza isiphuzo esinomusa.

Ukuhlinzekwa kokunakekelwa kwezempilo okuphuthumayo nge-coma ye-hyperglycemic

Isiguli esivela ku-coma singenwe esibhedlela nakanjani. Esibhedlela imisebenzi elandelayo yenziwa:

1. Ekuqaleni, fundiza, bese ushaya i-insulin.
2. Yenza isisu, ubeke i-enema yokuhlanza ngesisombululo se-4% se-sodium bicarbonate.
3. Bafaka umsizi ngesisombululo somzimba, isisombululo sikaRinger.
4. I-5% i-glucose ijojowe njalo emahoreni amane.
5. Isisombululo se-4% se-sodium bicarbonate senziwa.

Abasebenzi bezokwelapha banquma izinga le-glycemia futhi baphazamise njalo ngehora.