Ketoacidosis diabetes: he aha ia, nā ʻōuli a me nā lāʻau

Anter

• Nā ʻōuli o ka ketoacidosis diabetes
• Pehea e loaʻa ai ka ketoacidosis diabetic
• Pehea ka lāʻau

ʻO ka ketoacidosis diabetic kahi pilikia o ka maʻi diabetes i hōʻike ʻia e ka nui o ka glucose i loko o ke koko, ka hoʻonui ʻana o ka nui o nā ketones e kahe ana a me ka hoʻemi ʻana o ka pH o ke koko, a hana pinepine ia ke hana ʻole ʻia ka mālama ʻana o ka insulin a i ʻole nā ​​pilikia ʻē aʻe. e like me nā maʻi, e ala aʻe. a i ʻole nā ​​maʻi vascular, e laʻa me

ʻO ka mālama ʻana i ka ketoacidosis e hana ʻia i ka wā hiki ke pale i nā pilikia a koi ʻia e hele i kahi haukapila kokoke a i ʻole ke keʻena pilikia ke puka koke nā ʻōuli mua, e like me ka make wai nui, ka hanu me ka ʻaʻala o nā hua oʻo loa. , luhi, ʻeha o ka ʻōpū a me ka luaʻi, no ka laʻana.

Nā ʻōuli o ka ketoacidosis diabetes

ʻO nā ʻōuli nui e hōʻike ana i ka ketoacidosis diabetic:

• Manaʻo o ka make wai ikaika a me ka waha maloʻo;
• ʻIli maloʻo;
• Makemake pinepine i ka mimi;
• Hanu me keʻala o nā hua pala loa;
• Ka luhi nui a nāwaliwali hoʻi;
• Hanu pāpaʻu a me ka wikiwiki;
• ʻEha ʻōpū, nausea a me ka luaʻi;
• Huikau o ka noʻonoʻo.

I nā hihia ʻoi loa, hiki i ka ketoacidosis ke kumu i ka edema cerebral, ke koma a me ka make ke ʻike ʻole ʻia a mālama koke ʻia.

Inā mālama ʻia nā ʻōuli o ka ketoacidosis diabetic, he mea nui e nānā i ka nui o ke kō i ke koko me ke kōkua o kahi glucometer. Inā loaʻa kahi kūmole glucose o 300 mg / dL a ʻoi paha, koi ʻia e hele koke i ka lumi pilikia a kāhea paha i kahi kaʻa kaʻa i hiki ke hoʻomaka koke ʻia ka lapaʻau.

Ma waho aʻe o ka loiloi ʻana i ka glucose, nā pae ketone o ke koko, kiʻekiʻe pū kekahi, a me ke koko pH, i kēia hihia he waikawa, nānā pinepine ʻia. Eia pehea e ʻike ai i ka pH o ke koko.

Pehea e loaʻa ai ka ketoacidosis diabetic

I ke ʻano o ka maʻi diabetes type 1, ʻaʻole hiki i ke kino ke hana i ka insulin, ka mea e hoʻomau i ka glucose i nā kiʻekiʻe kiʻekiʻe i ke koko a haʻahaʻa i nā hunaola. ʻO kēia ke kumu o ke kino e hoʻohana i ka momona ma ke ʻano he ikehu e mālama i nā hana o ke kino, e alakaʻi ana i ka hana ʻana o nā kino ketone nui, i kapa ʻia ʻo ketosis.

ʻO ke kū ʻana o nā kino ketone keu ke kumu o ka hōʻemi o ka pH o ke koko, e waiho ana ʻoi aku ka nui o ka waikawa, i kapa ʻia ʻo acidosis. ʻO ka nui o ka acidic i ke koko, ʻo ka liʻiliʻi o ka hiki i ke kino e hana i kāna mau hana, hiki ke alakaʻi i kahi koma a hiki i ka make.

Pehea ka lāʻau

Pono e hoʻomaka i ka mālama ʻana no ka ketoacidosis metabolic i ka wā e hiki ai ke komo i ka haukapila, no ka mea, pono e hana i nā injection o ke serum a me ka insulin i loko o ka aa e hoʻopiha hou i nā minelala a hydrate pono ka mea maʻi.

Hoʻohui ʻia, he mea nui e kūkulu hou ʻia ka mālama ʻana i ka maʻi kō e nā inikō o ka insulin i mea e hoʻoponopono ai i nā pae o ka insulin, a pono e hoʻomau ʻia e ka mea maʻi e kaohi i ka maʻi.

ʻO ka maʻamau, hoʻokuʻu ʻia ka mea maʻi ma kahi o 2 mau lā a, ma ka home, pono ka mea hoʻomanawanui e mālama i ka papahana insulin i kuhikuhi ʻia i ka wā o ka haukapila a ʻai i nā meaʻai kaulike i kēlā me kēia 3 hola, e pale ai i ka ketoacidosis diabetic mai ka hoʻi hou ʻana. E nānā i ke ʻano o ka meaʻai no ka maʻi diabetes i kēia wikiō aʻe: