He aha kāu e ʻike ai e pili ana i ke ola ʻana mai Coma Diabetes

Anter

• Nā ʻōuli
• Hypoglycemia
• ʻO Hyperglycemia
• Lapaʻau
• Hoʻoiho
• Outlook
• Kāohi

Hōʻike Overview

Hana ʻia kahi koma diabetic ke lilo ka noʻonoʻo i kahi kanaka me ka maʻi diabetes. Hiki iā ia ke hana i ka poʻe me ka maʻi diabetes 1 a ʻano 2 paha.

Hana ʻia kahi koma diabetic ke haʻahaʻa a kiʻekiʻe loa paha nā kō kō. Koi ʻia nā hunaola i kou kino e hana ʻo glucose. ʻO ke kō koko kiʻekiʻe, a i ʻole hyperglycemia, hiki iā ʻoe ke hoʻomālamalama a lilo i ka ʻike. Hiki i ke kō kō kō, a i ʻole hypoglycemia, ke hana i ka make wai i kahi e nalowale ai kou noʻonoʻo.

ʻO ka maʻamau, hiki iā ʻoe ke pale i ka hyperglycemia a i ʻole hypoglycemia mai ka holomua ʻana i kahi koma diabetic. Inā kū ka maʻi diabetic, malia paha hiki i kāu kauka ke kaulike i kāu pae glucose koko a hoʻihoʻi koke i kou ʻike a me kou olakino inā hiki iā lākou ke pane i kāu kūlana i ka manawa kūpono.

Hiki iā ʻoe ke heʻe i kahi koma diabetic inā hoʻomohala ʻoe i ka ketoacidosis diabetic. ʻO ka ketoacidosis diabetic (DKA) kahi kūkulu o nā kemika i kapa ʻia ketones i loko o kou koko.

Nā ʻōuli

Hypoglycemia

Hiki i nā ʻōuli o hypoglycemia ke:

• ʻeha poʻo
• luhi
• ʻūpā
• huikau
• palpitations puʻuwai
• haʻalulu

ʻO Hyperglycemia

Inā loaʻa iā ʻoe ka hyperglycemia, ʻike paha ʻoe i ka hoʻonui ʻia o ka make wai a hiki paha iā ʻoe ke mimiki pinepine. E hōʻike pū kahi hōʻike koko i nā kiʻekiʻe o ka glucose ma ke kahe o kou koko. Hiki i kahi hōʻike mimi ke hōʻike i ka kiʻekiʻe loa o kāu pae glucose.

Hoʻokumu ʻo DKA i ke kiʻekiʻe o ke kō glucose. Hoʻopili pū nā ʻōuli me ka hoʻonui o ka make wai a me ka pono pinepine e mimi. ʻO nā ʻōuli ʻē aʻe o nā pae ketone kiʻekiʻe i hoʻopili ʻia:

• luhi nei
• he ʻōpū hoʻohuhū
• he ʻula a maloʻo ʻili paha

Inā loaʻa iā ʻoe kekahi mau ʻōuli koma diabetic koʻikoʻi, e kāhea iā 911. Hiki paha i nā ʻōuli koʻikoʻi ke hoʻopili ʻia:

• ka luaʻi
• paʻakikī i ka hanu ʻana
• huikau
• nāwaliwali
• ʻūpā

He pilikia olakino kahi koma diabetic. Hiki iā ia ke alakaʻi i ka lolo a me ka make inā ʻaʻole ʻoe e mālama i ka lāʻau.

Lapaʻau

Pono ka mālama ʻana i ka hyperglycemia i nā wai i loko e hoʻomaikaʻi i nā pae wai ma loko o kou kino. Hiki paha iā ʻoe ke loaʻa ka insulin e kōkua i kāu mau hunaola e omo i ka glucose keu e hele nei. Inā haʻahaʻa kāu pae sodium, potassium, a phosphate paha, loaʻa paha iā ʻoe nā mea hoʻopili e kōkua ai e lawe iā lākou i nā pae olakino. E like ka mālama ʻana me DKA.

E kōkua kahi injection glucagon i ka hoʻonui i kou kiʻekiʻe o ke kō i ke kō inā loaʻa ʻoe i ka hypoglycemia.

Hoʻoiho

I ka manawa o kāu mau kō glucose koko i kahi pae olakino, pono ʻoe e hoʻomaka e ʻike i kahi maikaʻi ma kahi koke. Inā ua makaʻala ʻoe, pono ʻoe e hele koke mai ma hope o ka hoʻomaka ʻana o ka lāʻau.

ʻAʻole pono nā hopena hopena inā loaʻa koke ʻoe i ka lāʻau ma hope koke o ka ʻike ʻia ʻana o nā hōʻailona. Inā kū nā ʻōuli no kekahi manawa ma mua o ka hoʻomaʻamaʻa ʻana a inā ʻoe i loko o kahi koma diabetic no kekahi mau hola a ʻoi aku paha, hiki iā ʻoe ke ʻike i kahi hōʻino lolo. ʻO ka hopena o ka make diabetic ʻole i mālama ʻole ʻia ka hopena i ka make.

ʻO ka poʻe i loaʻa i ka lāʻau lapaʻau pōpilikia no ka maʻi koma diabetic e ola hou loa. Hiki paha i kāu kauka ke ʻōlelo aku iā ʻoe e komo i nā kūpeʻe lima e hōʻike ai i ke ʻano o kou maʻi diabetes a me nā hopohopo olakino ʻē aʻe. Kōkua paha kēia iā ʻoe e loaʻa koke i ka lāʻau kūpono no nā pilikia e hiki mai ana.

Inā loaʻa iā ʻoe kahi koma diabetic me ka ʻole o ka ʻike he maʻi diabetes ʻoe, e hana pū kāu kauka me ʻoe e hoʻomohala i kahi papa hana maʻi diabetes. E hoʻopili kēia i nā lāʻau, a me nā ʻōlelo aʻoaʻo no ka papaʻai a me ka hoʻoikaika kino.

Outlook

Kāhea iā 911 inā ʻike ʻoe i kekahi e nalo ana i ka noʻonoʻo no kekahi kumu. ʻO ia paha he mānewa pelupelu ma muli o ke kahe koke o ke kahe o ke koko a i ʻole ka hoʻouka hopohopo. Inā ʻike ʻoe he maʻi diabetes ko kēlā, e haʻi i ka mea hoʻohana 911. Hiki paha i kēia ke hoʻololi i ka hana a nā paramedics i ke kanaka ma ia wahi.

Inā ʻaʻole i hala ke kanaka a ʻaʻole kahi pilikia ke kūlana pōpilikia, hiki i kahi hoʻokolohua glucose glucose home ke hōʻike inā he nui a liʻiliʻi paha ka glucose i kā lākou ʻōnaehana. Inā ʻoi aku nā kiʻekiʻe o ka glucose ma luna o 240 milligrams no ka deciliter, kūpono kahi hōʻike mimi home no nā ketones.

Inā kiʻekiʻe nā pae ketone, e lawe iā lākou i ke kauka. Inā kūpaʻa kā lākou pae ketone, a laila hoʻoikaika, hoʻoikaika i ka papaʻai, a i ʻole ka lāʻau e lawa ai e kōkua i ka lawe ʻana i nā pae glucose i ke koko.

Kāohi

Inā loaʻa ʻoe i ka maʻi maʻis, he mea nui e hoʻolohe i kāu kiʻekiʻe glucose glucose a me kāu papaʻai i kēlā me kēia lā. ʻO ke kī i ka pale ʻana i ka coma diabetic ka mālama ʻana i ka glucose kō koko kūpono. ʻO kēia ka lawe ʻana i kāu insulin a hoʻāʻo i kāu glucose glucose a me nā ketones e like me ka ʻōlelo a ke kauka.

Pono ʻoe e nānā pono i kāu lawe ʻana i ka momona. He ʻoiaʻiʻo kēia no ka poʻe i loaʻa i ka maʻi ʻaʻano 1 a ʻano 2 paha. E noʻonoʻo e hana pū me kahi kauka meaʻai ʻo ia ka mea aʻo i ka maʻi diabetes. Hiki iā lākou ke kōkua iā ʻoe e hana i kahi papa ʻaina diabetes.

Pono ʻoe e ʻike i ka mea e hana ai inā e ʻike ʻoe i ka mahele lāʻau o ka insulin a i ʻole ka lāʻau diabetes. E nīnau i kāu kauka e pili ana i kēlā, a me ka mea e hana ai inā hoʻomaka ʻoe e ʻike i nā ʻōuli o hyperglycemia a i ʻole hypoglycemia.

Hiki i ka maʻi diabetes ke hoʻololi i nā wahi ʻē aʻe o kou olakino. Hiki i ke kōkōkō kaohi ʻole ke hoʻopōʻino i kou olakino maʻi maʻi i loko. I kou mau makahiki, loli ke kemika o kou kino. E mākaukau e hoʻololi i nā lāʻau lapaʻau a hoʻoponopono paha i kāu papaʻai ma ke ala.

ʻO kahi koma diabetic kahi hanana maʻamau, akā maʻamau ka lawa pono e ʻike pono ʻoe aia nō ka pilikia. E hana i nā kaʻina hana e mālama pono i kāu maʻi diabetes a nīnau i kāu kauka i kekahi nīnau āu e pili ana i ka pale ʻana i kahi maʻi maʻi diabetic