Hyperglycemic coma - rubatsiro rwekukurumidza (algorithm)

Hyperglycemic coma chirwere chinokonzerwa nokushayikwa kweutachidi mumuviri. Kazhinji kazhinji, coma inobatanidza nekushayikwa kwechirwere chinokonzerwa nechirwere cheshuga mellitus . Mukuwedzera, izvi zvinogona kubuda semugumisiro wekumisa jekiseni ye insulini kana kusadya zvakakwana insulini. Izvozvo zvinoshandiswa pakugadziriswa kwehutano hwehutachiona hwekodha inofanira kuzivikanwa kune wese munhu ane chirwere cheshuga mumhuri.

Zviratidzo zve hyperglycemic coma uye sargorithm yekuchengetedzwa kwekukurumidzira

Zviratidzo zvezvirwere zve hyperglycemic coma zvinosanganiswa nekudhakwa kwemuviri nemaketoni, kuputsa kwe-acid-base balance uye kupera mvura. Hyperglycemic coma inokura mukati mezuva (uye kunyange nguva yakareba). The harbingers of a coma are:

• headache;
• kusava nenzara;
• nausea;
• nyota uye manzwiro ekuoma mumuromo;
• rurimi rwakatsetseka;
• kunhuhwira kweaketone kubva mumuromo;
• zvirwere zvekurara kwemuviri wepamuviri;
• kuderedza kupesana;
• kusafarira;
• kugona;
• amnesia;
• low muscle tone;
• kuwedzerwa kwekuwedzerwa kwekudzora.

Kana iwe usingateereri zviratidzo zvakajeka zve precomatom uye kusasha kwehutano hwakakwana, pakupedzisira munhu anowira muhupenyu husingazivi.

Emergency rubatsiro rwekutanga kune hyperglycemic coma ndiko kushandiswa kwemabasa akawanda anotevera. Chokutanga pane zvose, unofanira kudana "An ambulensi". Mukufungidzira kwekuuya kwevanyanzvi, shanduro yekuita kuti ipe rubatsiro rwekukurumidzira kwehutachiona hwemvura yakadai seyizvi:

1. Ipa murwere nzvimbo yakakwana.
2. Rusunungura bhanhire, bhandi, musungo; kuti asununguke zvikorekedzo pamashonga akaoma.
3. Kuti udzidzise mutauro (zvakakosha kuti hazviiti futi!)
4. Ita jekiseni re insulini .
5. Chengetedza mhirizhonga. Nekuderera kukuru kweropa, shandisa doro rinowedzera dambudziko.
6. Ipa mvura inonaka.

Kugadziriswa kwehutano hwekukurumidzira kwehutachiona hwekenza

Murwere ari mu coma anochengetwa pasina chirwere. Muchipatara mabasa anotevera anoitwa:

1. Pakutanga, tsvina, ndokudonha insulini.
2. Ita chisimba chemuviri, isa enema yakachena uye 4% solution ye sodium bicarbonate.
3. Vanokonzera gonhodzi nechinangwa chemhepo, Ringer's solution.
4. 5% glucose inorohwa maawa mana.
5. A 4% solution ye sodium bicarbonate inotangwa.

Vashandi vezvechiremba vanogadzirisa huwandu hweglycemia uye kunanikidzwa awa imwe neimwe.