Muaj piam thaj tsawg rau hom ntshav qab zib hom 2

Tam sim no koj yuav tsum ua kom zoo li sai tau. Nrog hyperglycemia, nyob rau hauv txhua rooj plaub, koj muaj nyob ntawm pov tseg ntawm ib nrab ib teev lossis ib teev los xav txog koj qhov xwm txheej. Nrog hypoglycemia, koj feem ntau tsis muaj ntau dua ib feeb. Koj tseem tsis tau muaj sijhawm txaus los ntsuas koj cov ntshav qab zib. Koj yuav tsum nqis tes kiag tamsis ntawd. Hauv kev hais txog qhov no, kuv yuav teev cov ntsiab lus luv luv thiab cov lus qhia tshwj xeeb rau kev nqis tes ua, thiab koj yuav tsum nyeem lawv kom zoo li ua tau thiab kho lawv hauv kev nco.

Qhov tseem ceeb rau cov neeg mob ntshav qab zib! Nws yuav zoo yog tias koj tsev neeg thiab cov phooj ywg nyeem cov kab lus no. Lawv kuj xav paub seb yuav ua li cas pab koj lossis lwm tus neeg muaj ntshav qab zib.
Cov piam thaj hauv ntshav qis dua 3.3 mmol / L yog suav tias yog cov ntshav qab zib tsawg.

Ntshav qab zib cov ntshav qis dua hauv cov neeg mob ntshav qab zib ua tau:
• Tsis noj mov tom qab noj tshuaj lossis hno tshuaj insulin los pab them ntshav qab zib. Ntau ncua sij hawm nruab nrab ntawm ob pluas noj ntawm cov neeg mob ntshav qab zib (ntau tshaj 3-4 teev),
• dhau lawm ib koob tshuaj ntsiav lossis insulin rau them nqi ntshav qab zib,
• dhau hwv ua ntshav qab zib ntau dhau,
• haus cawv sai hauv ntshav qab zib.

Cov cim ntawm qhov txaus ntshai txo qis hauv cov piam thaj hauv cov neeg mob ntshav qab zib:
• hws txias
• cia li nkees,
• kev tshaib nqhis,
• nrog trembling,
• lub plawv dhia paj paws,
• loog ntawm tus nplaig thiab daim di ncauj.

Kev mob ntshav qab zib hauv ntshav qab zib tshwm sim sai thiab sai, zoo li muaj qhov tawm tsam. Hauv cov neeg mob sib txawv ntawm cov ntshav qab zib mellitus, qhov tshwm sim ntawm cov ntshav qog nqaij hlav tuaj yeem sib txawv me ntsis.

Yog tias koj tseem tsis tau paub txog txo qis hauv qab zib hauv ntshav thiab tsis tau siv los pab rau thaum muaj xwm txheej ceev them nqi ntshav qab zib, tej zaum koj yuav poob ntsej muag.

Qee tus neeg mob ntshav qab zib tau hypoglycemia yam tsis muaj kev zam ua ntej, pib tam sim ntawd nrog tsis nco qab. Yog tias koj yog ib tug ntawm lawv, koj yuav tsum tswj hwm cov ntshav qab zib ntau dua li ib txwm. Hypoglycemia yam tsis muaj qhov ua tau ua ntej kuj yuav ua rau kev tswj hwm ntawm anaprilin (obzidan) rau cov neeg mob ntshav qab zib.

Hmo ntuj hypoglycemia hauv ntshav qab zib yuav tshwm sim ua npau suav phem, tawm hws yav hmo ntuj. Koj tseem tuaj yeem sawv nrog hws los ntawm lub plawv dhia thiab kev tshaib plab.
Qee zaum tus neeg mob ntshav qab zib nrog cov ntshav qog ntshav qab zib pib tsis meej pem, ces nws tuaj yeem coj tus cwj pwm "zoo li qaug cawv."

Yog tias koj hnov ​​tawm hws sai, tshaib plab, mob siab, thiab tshee hnyo, koj yuav tsum them nyiaj rau ntshav qab zib sai sai los ntawm kev nce koj cov ntshav qab zib. Ua li no, koj yuav tsum:
1. Noj 4-5 qab zib ntawm cov piam thaj lossis haus ib khob dej qab zib heev. (Khoom qab zib, ncuav qab zib, qhob noom xim kasfes zuj zus nyob rau hauv qhov xwm txheej no - cov piam thaj hauv lawv yuav nqus tau qeeb.)
2. Tom qab ntawd, koj yuav tsum noj zaub mov me me thiab zom cov zaub mov me me kom thiaj li tiv thaiv cov ntshav qab zib kom tsawg. Nws tuaj yeem yog ob lub ncuav dub ncuav ci, ib lub tais ntawm porridge lossis qos yaj ywm.

Yog tias koj tsis paub tseeb txog cov tsos mob, nws zoo dua yog ua raws li yog tias koj muaj lub siab ntshav qab zib thiab tsis tau uas nyiam ntshav qab zib.

Yog tias tus neeg muaj ntshav qab zib tau dhau mus, tsis txhob nchuav dej rau hauv nws lub qhov ncauj lossis muab zaub mov rau hauv nws lub qhov ncauj. Yog tias koj muaj ampoule ntawm glucagon (tshuaj uas muaj peev xwm ua rau cov ntshav qab zib ntau ntau) thiab koj tuaj yeem ua cov tshuaj intramuscular, muab glucagon rau tus neeg mob ntshav qab zib thiab hu rau lub tsheb thauj neeg mob. Yog tsis muaj, koj tuaj yeem rub ntshav qab zib me me ntawm cov zib ntab lossis jam hauv cov pos hniav thiab hu rau lub tsheb thauj neeg mob tam sim ntawd.

Tom qab ua ntshav qab zib, ib nrab vim koj tau noj ntau ntawm carbohydrates, ib feem vim tias cov piam thaj tso tawm hauv lub siab raug pov rau hauv cov ntshav, cov piam thaj hauv ntshav yuav nce ntxiv. Nws tsis tas yuav txo nws hauv ntshav qab zib.

Yog tias koj muaj ntshav qab zib tsawg, sim nrhiav nws qhov ua rau.
1. Kuaj seb koj puas noj tshuaj insulin lossis tshuaj noj ntshav qab zib kom noj. Kuaj tshuaj rau kom zoo.
2. Kuaj koj zawv plab noj movCov. Sim noj me ntsis, tab sis ntau zaus.
3. Yog tias koj tab tom npaj kho lub cev (ua kis las lossis ua haujlwm hauv vaj), rau hnub no koj yuav tsum txo qis cov tshuaj insulin (los ntawm 4-6 ntu) lossis ntshav qab zib kom them cov ntsiav tshuaj (los ntawm 1/2 ntsiav tshuaj 2 zaug hauv ib hnub). Ua ntej ua haujlwm nws tus kheej, noj 2-3 lub ncuav dub.
4. Yog tias cawv yog qhov ua rau txo cov ntshav qab zib kom muaj ntshav qab zib, txuas ntxiv mus sim haus cawv nrog cov carbohydrates.
5. Yog tias tsis muaj ib yam ntawm cov laj thawj no tsim nyog, ces koj lub cev xav tau qis qis ntawm insulin lossis ntsiav tshuaj. Koj tuaj yeem ntsib kws kho mob, Tswj koj cov ntshav qab zibCov. Yog tias qhov no ua tsis tau, sim txo qhov tshuaj noj koj tus kheej.
• Yog tias koj tau txais tshuaj kho ntshav qab zib, txo lawv qhov ntau ntxiv (li thaj 1/2 ntsiav tshuaj 2 zaug hauv ib hnub).
• Yog tias koj tswj cov tshuaj insulin ntev ib zaug ib hnub, txo qhov koob tshuaj 2-4 ntu.
• Yog tias koj txhaj ntau cov insulin ntev thiab luv los them tus mob ntshav qab zib, kos daim ntawv qhia txog qhov kev ua haujlwm ntawm koj cov insulin (yuav ua li cas, saib cov lus ntawm "Kev mob ntxiv, lossis hauv paus-bolus, kev kho tshuaj insulin") thiab sim seb hom tshuaj insulin cuam tshuam dab tsi ntshav qog. Tom qab ntawd, txo qhov tsim nyog koob tshuaj 2-4 units.

Yuav kom tiv thaiv nrog hypoglycemia hauv lub sijhawm, ntshav qab zib yuav tsum nqa:
• ib ob peb ncuav qab zib thiab ncuav ci,
• phau ntawv hla tebchaws mob ntshav qab zib. Nyob rau hauv lub xeev ntawm hypoglycemia, tus neeg yuav zoo li qaug cawv. Cov ntawv hla tebchaws yuav tsum muaj cov ntaub ntawv qhia yuav ua li cas pab koj yog tias koj tsis nco qab,
• yog tias ua tau - lub glucagon ampoule thiab koob txhaj rau kev txhaj tshuaj intramuscular.

Thiab thaum kawg, lo lus nug kawg uas feem ntau thab cov neeg muaj kev noj qab haus huv. Qee zaum lawv kuj hnov ​​pom cov ntshav qog ntshav qab zib. Puas yog qhov no txhais tau tias lawv mob ntshav qab zib lossis yuav mob sai sai? Tsis yog, tsis yog kiag li. Qhov no yog qhov ib txwm tshwm sim ntawm lub cev mus rau kev so kom txaus hauv kev tau txais zaub mov. Koj cov ntshav “tshaib plab” thiab xav tau zaub mov noj. Txoj kev kho mob zoo tshaj plaws yuav yog pluas noj txhua hnub. Tab sis yog tias cov kev tawm tsam no nrog los ntawm kev tsis nco qab, koj yuav tsum sab laj nrog kws kho mob ntawm raug mob ntshav qab zib.

Lub xaib qhia cov ntawv pov thawj rau cov ntaub ntawv xov xwm nkaus xwb. Kev kuaj thiab kho kab mob yuav tsum tau nqa tawm los ntawm kev saib xyuas ntawm tus kws tshaj lij. Txhua yam tshuaj muaj contraindications. Yuav tsum tau kev sab laj tshwj xeeb!

Vim li cas thiaj tsis muaj ntshav qab zib qog?

Ib qho mob uas cov ntshav qab zib hauv lub cev poob qis mus rau ib qib tseem ceeb (hauv qab 3.3 mmol / L) yog hu ua hypoglycemia.

Nws yog qhov tseeb tias hypoglycemia, mob ntshav qab zib mellitus - xav tau tus neeg mob kom muaj lub siab xav mloog. Tus yam ntxwv rau hom mob no yuav tsum yog qhov hnyav tshaj.

Yog tias muaj insulin ntau dua hauv cov ntshav dua li qhov xav tau kom nqus cov piam thaj hauv qab, hypoglycemia tshwm sim. Yog li, tus txheej txheem ntawm cov tsos mob no yeej ib txwm zoo ib yam: muaj insulin ntau dua li cov piam thaj. Qhov no ua tau thaum noj tshuaj uas txhawb kev ua haujlwm ntawm cov beta hlwb uas tsim cov tshuaj insulin.

Cov no suav nrog sulfonylureas thiab quinides, uas nrov ntawm cov neeg mob ntshav qab zib. Lawv muaj kev nyab xeeb txaus, tab sis tas li cov kev txhawb nqa ntawm cov hlwb no ua rau lawv cov depletion thiab atrophy. Tom qab ntawv tsim tshuaj insulin los ua qhov tsim nyog. Yog li no, cov tshuaj niaj hnub sim los siv rau cov pab pawg no tsawg dua.

Glycemic profile - qhov taw qhia uas qhia txog kev hloov pauv hauv cov qib ntawm cov piam thaj hauv cov hlab ntshav thawm hnub. Ua tsaug rau qhov kev tswj hwm no, hypoglycemia raug kuaj txawm tias nrog nws cov chav kawm asymptomatic.

Raws li cov txiaj ntsig ntawm txoj kev kawm, koj tuaj yeem soj ntsuam seb glycemia hloov pauv txhua hnub. Qhov no pab kom tswj tau nws tus kheej ntawm theem ntawm cov piam thaj hauv cov hlab ntshav thiab kev ntsuas lub sijhawm thaum nws hloov.

Tsis tas li, nrog kev pab ntawm kev tshawb fawb, koj tuaj yeem ntsuas qhov ua tau zoo ntawm kev saib xyuas kev noj haus thiab kev ua tau zoo ntawm kev siv tshuaj kho. Txij li thaum kev noj zaub mov nrog cov zaub mov tsis txaus siab thiab kev noj tshuaj ntau dhau ua rau cov txo cov piam thaj hauv lub cev tsawg dua.

Nrog kev pab los ntawm kev txheeb xyuas, koj tuaj yeem kho cov sijhawm kho kom raug thiab cov neeg mob cov ntawv qhia. Rau qhov tseeb ntawm cov ntaub ntawv ntsuam xyuas, pom cov ntshav txha ntawm ntshav pom zoo.

Ua rau cov ntshav qog ntshav qab zib

Exacerbations txo qis rau kev nce ntxiv ntawm cov insulin hauv cov ntshav thiab txo qis cov piam thaj hauv cov ntshav. Cov kev txhaum hauv qab no hauv kev coj ua ntawm kev kho tshuaj ua rau muaj tus mob no:

• tsis ua raws li kev noj ntau npaum li cas ntawm cov tshuaj
• kev siv cov cwj mem uas tawg txhawm rau tswj kev siv tshuaj insulin,
• kev siv ntawm lub faulty glucometer uas overestimates cov ntshav qab zib tiag tiag,
• kws kho mob qhov ua yuam kev hauv kev muab tshuaj txo qib cov ntshav qab zib.

Ntshav qab zib mellitus tuaj yeem txhim kho hauv ntau txoj kev, tab sis cov hauv qab no tuaj yeem raug hu ua cov laj thawj tseem ceeb uas ua rau cov piam thaj txo:

1. Kev txhaj tshuaj insulin Nws yuav tsum tau yug los hauv lub siab tias qhov kev txhaj tshuaj tau ua tsuas yog ua rau hauv qhov kev ntsuas seb cov ntshav qab zib thiab cov khoom noj twg uas nyob hauv cov khoom noj. Thaum tsim cov khoom noj muaj txiaj ntsig, qhov ntsuas qhov ntawm muaj pes tsawg lub khob cij nyob rau hauv txhua qhov khoom noj tau suav nrog.
2. Kev kho mob tuaj yeem sawv cev los ntawm cov tshuaj noj uas txo cov ntshav qab zib. Txawm li cas los xij, cov nyhuv ntawm cov tshuaj no tsis tseem ceeb tshaj li kev txhaj tshuaj insulin. Qhov no yog vim qhov tseeb tias synthesized insulin yog decomposed hauv lub plab zom mov.

Xav txog qhov ua rau cov ntshav qog ntshav nce siab, kev saib xyuas yuav tsum tau them rau lub sijhawm tam sim no nws tau pom zoo kom tso tseg ntau yam tshuaj lom neeg thiab cov ntsiav tshuaj, uas, raws li cov kws kho mob, tuaj yeem txo cov ntshav qabzib.

Qhov no yog vim qhov tseeb tias lawv tuaj yeem txo qis cov piam thaj hauv ntshav, ua rau cov ntshav qabzib hauv hom 1 thiab hom 2 mob ntshav qab zib mellitus, thiab tseem ua rau lwm cov teeb meem hauv lub cev.

Cov laj thawj tseem ceeb ua rau lub xeev hypoglycemic tiv thaiv keeb kwm ntawm insulin kuj:

• Kev siv cov tshuaj qab zib nyob rau theem ntawm cov nyiaj mob ntshav qab zib (nyob rau hauv kev noj tshuaj txuas ntxiv nyob rau hauv tib lub txiaj ntsig zoo li yav dhau los, muaj cov piam thaj hauv cov ntshav tsawg dua.)
• Lub sijhawm yoo ntev (tsis ua raws li kev noj haus).
• Kev ua haujlwm hnyav (lub cev siv ntau ntau hauv cov piam thaj).
• Cawv kev haus cawv (haus dej cawv ua kom qeeb ntawm cov tshuaj tua kab mob antagonist insulin, ua rau kev nce siab hauv cov piam thaj ntau ntau).
• Kev lees txais cov tshuaj tsis haum nrog kev cuam tshuam ntawm cov tshuaj txo suab thaj (nws yog qhov tsim nyog los xaiv cov nyiaj coj los xav txog lawv kev cuam tshuam).

Kev siv tshuaj hypoglycemic tsuas yog tawm los ntawm lub raum. Yog li, kev ua txhaum cai hauv lawv txoj haujlwm ua rau kom muaj kev sib txuam ntau ntawm cov tshuaj hauv lub cev, uas ua rau kev loj hlob qeeb ntawm hypoglycemia.

Ntawm hom ntshav qab zib hom 2, tus endocrinologist tau xaiv hom phiaj qab zib rau txhua tus neeg mob, nyob ntawm tus yam ntxwv ntawm lub cev thiab theem ntawm kev them nyiaj rau tus kab mob. Kev ua tiav ntawm qib siab zoo tshaj yog ua tiav los ntawm kev siv tshuaj kho mob, yog li tus neeg mob tau txwv tsis pub kho cov tshuaj ntau ntawm nws tus kheej kom txo tau cov ntshav qabzib ntau ntxiv.

Cov kev sim no tsuas yog ua cov kev mob rau kev ntxhov siab thiab ua rau muaj kev puas tsuaj rau txiav ntawm tus mob ntshav qab zib.

Muaj qee kis, cov kabmob sib kis uas tiv thaiv keeb kwm ntawm ntshav qab zib tuaj yeem ua rau ntshav qab zib ntshav qab zib. Yog li, kev puas tsuaj rau cov ntu ntawm lub paj hlwb thiab lub paj hlwb hauv nruab nrog ua rau muaj kev hloov pauv hauv cov metabolism hauv ib txwm.

Etiology ntawm qhov tshwm sim

Ua rau cov hypoglycemia hauv ntshav qab zib mellitus:

• tus kws kho mob yuav ua rau muab xam tsis raug,
• kev txhaj tshuaj ntau ntawm cov tshuaj insulin tuaj yeem siv tau - ua yuam kev lossis txhob txwm ua rau kev ntxhov siab,
• Cov kua xaum xoob rau kev siv tshuaj tua kab mob yog muaj kev puas tsuaj,
• tsis yog nyeem ntawm cov ntsuas (nws misalignment) thaum nws qhia cov nuj nqis siab dua ntawm cov piam thaj hauv ntshav uas tsis raug rau qhov tseeb,
• hloov p / dermal txhaj, cov tshuaj tau muab cov tshuaj yuam kev tsis haum rau / mob leeg,
• thaum txhaj tshuaj rau hauv caj npab lossis txhais ceg, qhov chaw qoj ib ce kom siab dua, lossis zaws nrog paj rwb ntaub plaub tom qab kev tswj hwm - qhov no ua rau muaj qhov tseeb tias muaj cov tshuaj nrawm nrawm thiab tshuaj insulin tuaj yeem dhia.
• kuj tseem yog vim li cas tej zaum yuav yog siv cov tshuaj tshiab uas tsis zoo rau lub cev
• maj mam tawm ntawm insulin hauv lub cev vim mob raum lossis mob siab, es tsis txhob siv “ntev” insulin, hloov “luv” hauv tib lub tshuaj.

Cov insulin rhiab heev ntawm lub cev nce ntxiv thaum noj cov tshuaj tsaug zog, tshuaj aspirin, anticoagulants, thiab kub siab.

Cov teeb meem hauv kev txiav txim siab tuaj yeem pom nws tus kheej sib txawv. Nco ntsoov tias nrog kev txo qis hauv cov ntshav qab zib ntau ntau, cov tsos mob ntawm lub qog ntshav qab zib yuav ua rau nws tus kheej sib zog. Thawj qhov tsos mob ntawm kev ua kom tus mob muaj xws li:

1. Cov tsos ntawm tshee tshee.
2. Pallor muaj zog ntawm daim tawv nqaij.
3. Kev kho lub plawv dhia.
4. Qhov tshwm sim ntawm qhov muaj zog zoo nkaus ntawm kev tshaib plab.
5. Xeev siab, hauv qee zaum muaj mob, ntuav.
6. Txhoj puab heev.
7. Ntxhov siab vim.
8. Qhov tsis muaj peev xwm mloog zoo rau qee yam ntsiab lus.

Lub hlwb ntawm tus neeg raug mob ntshav qab zib hom 2, mloog zoo li tsis muaj qabzib, pib lub suab nrov. Nyob rau thawj theem, cov cim hauv qab no tuaj yeem sib txawv:

pallor loj ntawm daim tawv nqaij,

Kev paub txog cov mob ntshav qab zib thaum pib ntawm cov xwm txheej zoo li no, kom tsis muaj lub cev tsis nco qab lawm, sim siv cov "carbohydrates" ceev ceev. Rau lub hom phiaj no, koj tuaj yeem nqa cov ntsiav tshuaj piam thaj nrog koj. Mikhail Boyarsky, uas yog tus mob ntshav qab zib tau ntsib, hais tias nws ib txwm muaj khoom qab zib hauv nws lub hnab ris. Yog li cov neeg ua yeeb yam nto moo zam kev mob xws li kev phom sij hypoglycemic.

Cov kev ntsuas saum toj no yog kev tiv thaiv hauv qhov. Nws yog ib qho tseem ceeb rau tus neeg mob kom nkag siab tias kev mob ntshav qab zib, mob ntshav qab zib mellitus yog cov kab mob uas yuav tsum tau saib xyuas tas li ntawm qhov xwm txheej thiab ua tib zoo mloog rau txhua qhov kev pom zoo ntawm cov kws kho mob.

Thaum kev tawm tsam mob los yog ze heev, koj tuaj yeem ua qee yam yooj yim tab sis muaj txiaj ntsig zoo:

Ob peb daig ntawm cov ua kom zoo huv los ntawm cov tsos mob ntawm tus mob hypoglycemia

Sai sai noj ib co zaub mov uas muaj loj ntawm yooj yim carbohydrates.

Cov neeg mob ntshav qab zib hom 2 muaj qhov phom sij zais. Lawv feem ntau muaj ntshav qab zib hauv lub cev, thiab tom qab nws, "tsis xeev" mus rau ib tus neeg imperceptibly, yuav luag yam tsis muaj qhov tsos sab nraud.

Cov kev tiv thaiv hypoglycemic yog li tsis zoo. Ua tib zoo xyuam xim.

Feem ntau, tshwj xeeb tshaj yog rau cov neeg laus, lub cim tseem ceeb ntawm cov ntshav qis yog pheej ua kom tsis muaj zog lossis "pom kev tsis ua haujlwm." Nws yog qhov nyuaj rau tus neeg mob los koom cov mob no nrog kev txo cov piam thaj hauv ntshav.

Feem ntau, hypoglycemia yuav tsis meej pem rau kev kub siab thiab kho nrog validol. Ua neeg xyuam xim.

Tsis txhob hnov ​​qab txog kev saib tus kheej thiab feem ntau ntsuas ntshav ntshav qab zib.

Txhua tus neeg muaj lawv qhov glycemia theem. Thaum Txo qib hauv qib ntawm qhov li ib txwm 0.6 mmol / l twb muab cov ntshav qog ua kom qis. Carbohydrate qhov tsis txaus yog pom thawj zaug los ntawm qhov me ntsis, tab sis qhov kev xav ntau dhau los ntawm kev tshaib plab.

Cov tsos mob ntawm tus mob hypoglycemia kuj tseem koom nrog:

• tawm hws ntau, daim tawv nqaij hloov ua daj ntseg,
• zoo nkaus kev tshaib nqhis,
• tachycardia thiab cramps,
• xeev siab
• txhoj puab heev
• pathological ntshai thiab ntxhov siab vim,
• txo qis kev saib xyuas, dav dav tsis muaj zog.

Thaum cov piam thaj poob mus rau theem ntawm cov ntshav qog ntshav, lub ntsej muag tshee hnyo hauv tes thiab hauv lub cev, kiv taub hau thiab mob taub hau, muaj qhov muag qis, hais lus thiab kev koom tes yog qhov tsis taus.

Cov tsos mob ntawm tus mob ntshav qab zib hom ntshav qab zib hom 2 tsis txawv ntau los ntawm hom 1, lawv tshwm sim nrog qhov siv tsawg, tab sis kuj coj ntau yam teeb meem.

Tus neeg mob muaj cov cim tseem ceeb hauv qab ntawm kab mob pathological:

• pallor ntawm daim tawv nqaij,
• lub plawv dhia
• txob taus
• loj hlob tsis muaj zog
• kev hloov pauv ntau zaus
• tshee hnyo
• mob taub hau
• kiv taub hau
• kev pom tseeb tseeb pom tseeb
• kev xav ntawm "nkag hauv qab"
• ua txhaum ntawm kev sib koom tes
• tsis nco qab
• cramps.

Kev Ntsuas Hluav Taws Xob

LUS TEB: Muaj cov ntsiav tshuaj qabzib tshwj xeeb thiab gel uas ib txwm tau pom zoo rau cov neeg mob ntshav qab zib hom 2.

Tom qab 15 txog 20 feeb tom qab noj carbohydrates, qib qab zib yuav tsum ntsuas - nws yuav tsum nce mus txog qib 3.7 - 3.9 mmol / L. Yog tias tsim nyog, ntau npaum li cas ntawm cov piam thaj yuav tsum nce ntxiv.

Yog hais tias tus neeg mob nyob hauv lub xeev tsis nco qab lawm, tom qab ntawd nws yuav tsum tau txhaj tshuaj GlucaGene (ntawm tus nqi ntawm 0.1 mg rau 10 kg ntawm lub cev hnyav). Cov khoom siv zoo li npaj kom rov zoo li qub yuav tsum nyob hauv txhua tus neeg mob. Qhov kev txhaj tshuaj yog muab tshuaj subcutaneously lossis intramuscularly.

TSEEM CEEB! Kev noj tshuaj ntau dhau ntawm GlucaGen tsis ua rau muaj kev phom sij rau tus neeg mob, yog li ntawd nws zoo dua me ntsis tshaj qhov muab ntau dua kom ua rau nws tsawg dhau.

Thawj pab rau coma nrog tsis nco qab

Nrog rau qhov pib ntawm cov tsos mob ntawm qis glycemia, i.e. hypoglycemia, nws yog ib qho tseem ceeb uas yuav tsum ntsuas ntsuas qib qab zib tam sim ntawd. Yog tias qib qis dua 4 mmol / l, koj yuav tsum tau noj sai sai (yoo) carbohydrates nrog qhov siab GI (glycemic index). Piv txwv li, ib khob kua txiv (200 ml) yog 2 XE. Yog tias tsis muaj kua txiv, noj 4-5 daim suab thaj thiab haus nrog dej sov, ces lub cev yuav nqus lawv sai dua.

Nyob rau ntawm lub sijhawm zoo li no, cov dej qab zib qab zib tau txais tos, lawv tau nrawm vim tias cov roj cua. Yog tias tus neeg tsis muaj zog thiab tsis tuaj yeem nqos, muab nws lub qhov ncauj lossis tus nplaig nquas nrog lub rwj lossis jam.

Tom qab ob peb feeb, tus neeg mob lub neej feem ntau txhim kho. Tom qab ntawd koj tuaj yeem nug tias dab tsi ua rau muaj ntshav qab zib thiab qib qab zib yog dab tsi ua ntej tawm tsam. 15 feeb tom qab noj mov, ntsuas qab zib dua.

Pom zoo: ntxig ib daim spatula lossis ib rab diav ntawm cov hniav txhawm rau kom tsis txhob tom tus nplaig thaum ntuav, tig tus neeg mob lub taub hau ib sab, thiaj li tsis txhawm chim ntuav los yog qaub ncaug. Koj tsis tuaj yeem sim haus los yog pub tus neeg mob hauv lub xeev tsis nco qab lawm, nws yuav tsum tau txhaj cov kua nplaum thiab hu rau pab neeg ua haujlwm hauv lub tsheb tos neeg mob.

Qhov tshwm sim ntawm kev mob ntshav qab zib

Kev tiv thaiv ntshav qab zib yog suav tias yog xwm txheej kub ntxhov ceev vim tias nws qhov tshwm sim. Qhov mob tshaj plaws ntawm lawv yog mob taub hau, uas tom qab noj mov yuav dhau los ntawm nws tus kheej. Cephalgia yog ncaj qha sib luag nrog rau kev kawm ntawv ntawm hypoglycemia. Nrog rau qhov mob hnyav, tus mob analgesic yuav tsum.

Nrog lub cev tsis muaj cov piam thaj, uas yog cov khoom noj rau lub hlwb, nws cov hlwb yog necrotic. Yog tias hypoglycemia txhim kho, qhov no ua rau lub siab tsis nco qab. Koj tsuas kho tsis tau nws nrog pluas mov noj. Yuav tsum tau mus pw hauv tsev kho mob sai.

Lub cev tsis tsaug zog yuav nyob ntev ntau feeb lossis hnub txawm tias - txhua yam yog txiav txim siab los ntawm lub cev tshwj tseg. Yog tias lub cev ntaj ntsug yog thawj zaug, lub cev tau rov qab los sai sai, yog tias tsis yog, lub cev raug muab pov tseg txhua zaus, qhov kev puas tsuaj rau cov kabmob tseem ceeb yog ntau dua thiab lub cev rov qab ntev dua.

Qhov tseem ceeb thiab, tej zaum, ib lub ntsiab cai ntawm kev zam teeb meem yog los ntsuas ntshav qab zib kom ntau. Thaum pib ntawm hypoglycemia, koj tuaj yeem haus cov ntsiav tshuaj qab zib, koj tuaj yeem cia li muab tso rau hauv koj lub qhov ncauj, nws nws tus kheej tau yooj yim nqus hauv lub qhov ncauj.

Nws yuav nkag mus rau hauv cov hlab ntshav hauv ob peb feeb thiab suav nws cov koob tshuaj yog yooj yim heev: nws yuav tsum raug sau tseg tias 1 ntsiav tshuaj nce koj cov ntshav qab zib li cas. Tom qab noj nws, ntsuas qab zib tom qab 40-45 feeb.

Yog tias tsis muaj cov piam thaj kua, lawv yuav hloov nrog 2-3 daim ntawm cov piam thaj ua kom zoo.

Exacerbation

Cov neeg ntxim rau lub ntsej muag ntshav qab zib yog qhia kom noj zaub mov tsawg kawg 6 zaug hauv ib hnub, thiab ua ntej mus pw lawv yuav tsum tau muaj kev tom kom txo qis qhov txaus ntshai ntawm hmo ntuj. Txhawm rau kom cov dej qab zib ib txwm nyob, koj yuav tsum siv "qeeb" carbohydrates ", uas muaj nyob hauv cov khoom noj muaj mis nyuj, mov ci, oatmeal thiab buckwheat, cheese thiab hnyuv ntxwm.

Yog tias tus neeg mob tsis nyob hauv kev saib xyuas ntawm tus kws kho mob, nws yuav tsum ua kom ntseeg tau tias cov ntshav qabzib ntau dua 5.7 mmol / l ua ntej mus pw. Yuav tsum muab cov tshuaj insulin thaum yav tsaus ntuj tom qab 22 teev.

Txhua tus neeg mob ntshav qab zib yuav tsum muaj li ntawm 10-15 g suab thaj nrog lawv, uas yuav ua kom cov ntshav qabzib li qub thaum thawj cov tsos mob ntawm hypoglycemia tshwm sim. Cov ntsiav tshuaj qabzib, dej qab zib lossis ncuav qab zib yuav pab daws cov haujlwm no. Nws yog qhov tshwj xeeb tshaj yog muaj “cov khoom siv pabcuam thaum xub thawj” rau kev taug kev ntev. Tsuas yog nyob rau hauv rooj plaub, koj yuav tsum tau npaj cov khoom ntawm glucagon ampoule thiab koob txhaj tshuaj rau kev txhaj tshuaj intramuscular.

Kos ntsiab lus xaus

Yog tias koj nyeem cov kab no, koj tuaj yeem xaus tias koj lossis cov neeg koj hlub mob ntshav qab zib.

Peb tau ua qhov kev tshawb nrhiav, kawm txog cov khoom siv thiab tseem ceeb tshaj plaws tau tshuaj xyuas feem ntau ntawm cov hau kev thiab tshuaj rau ntshav qab zib. Qhov kev txiav txim plaub ntug yog raws li nram no:

Yog tias tag nrho cov tshuaj tau muab, nws tsuas yog ib qho kev tshwm sim ib ntus xwb, sai li sai tau thaum qhov kev nqus tau nres, tus kab mob tau nce siab zuj zus.

Cov tshuaj uas muaj paib tau txiaj ntsig tseem ceeb xwb