Ka hoʻomaopopo a me ka pale ʻana i ka maʻi diabetes

Anter

• Pehea e hiki ai i ka maʻi diabetes ke alakaʻi i ka maʻi koma
• Hypoglycemia
• ʻO DKA
• Nonketotic hyperosmolar maʻi (NKHS)
• Nā hōʻailona a me nā ʻōuli
• I ka manawa hea e ʻimi ai i ka mālama pilikia
• Kāohi
• Outlook
• ʻO ka lawe lawe ʻana

He aha ke koma diabetic?

ʻO ka maʻi koma diabetic kahi pilikia nui a weliweli paha e pili ana i ka maʻi kō. Hoʻokumu kahi koma diabetic i ka unconsciousness ʻaʻole hiki iā ʻoe ke ala aʻe me ka ʻole o ka mālama olakino. ʻO ka hapanui o nā hihia o ka maʻi kō diabetic e kū i ka poʻe me ka maʻi diabetes type 1. Akā ʻo nā kānaka me nā ʻano diabetes ʻē aʻe e makaʻu pū kekahi.

Inā loaʻa ʻoe i ka maʻi diabetes, he mea nui ia e aʻo e pili ana i ka maʻi kō diabetic, me nā kumu a me nā ʻōuli. ʻO ka hana pēlā e kōkua i ka pale ʻana i kēia pilikia weliweli a kōkua iā ʻoe e loaʻa koke iā ʻoe ka lapaʻau.

Pehea e hiki ai i ka maʻi diabetes ke alakaʻi i ka maʻi koma

Hiki i ke kōkō diabetic ke kū i waho o ke kaohi o nā kō kō kō. ʻEkolu ona kumu nui:

• ke kō kō kō haʻahaʻa, a i ʻole hypoglycemia
• ketoacidosis diabetic (DKA)
• diabetic hyperosmolar (nonketotic) maʻi pale ma ke ʻano he diabetes 2

Hypoglycemia

Kū ka Hypoglycemia ke lawa ʻole ʻoe i ka glucose, a i ʻole ke kō i kou koko. Hiki ke loaʻa nā pae kō haʻahaʻa i kekahi i kēlā me kēia manawa. Inā mālama ʻoe i ka hypoglycemia akahai i ke akahai, hoʻonā pinepine ia me ka ʻole o ka holomua i ka hypoglycemia koʻikoʻi. Loaʻa ka makaʻu kiʻekiʻe loa i ka poʻe ma ka insulin, ʻoiai ʻo ka poʻe e lawe i nā lāʻau diabetes diabetes e hoʻonui i nā kiʻekiʻe o ka insulin i loko o ke kino. ʻAʻole hiki ke mālama ʻia a i ʻole pane ʻole ʻia i ke kō a hiki i ka hypoglycemia koʻikoʻi. ʻO kēia ke kumu maʻamau o ka maʻi diabetic. Pono ʻoe e makaʻala hou inā pilikia ʻoe i ka ʻimi ʻana i nā ʻōuli o ka hypoglycemia. ʻIke ʻia kēia hanana diabetes e like me ka ʻike ʻole hypoglycemia.

ʻO DKA

Kū ka ketoacidosis diabetic (DKA) ke nele kou kino i ka insulin a hoʻohana i ka momona ma kahi o ka glucose no ka ikehu. Hoʻopili nā kino Ketone i ke kahe o ke koko. Hana ʻia ʻo DKA i nā ʻano maʻi like ʻole ʻelua, akā ʻoi aku ka nui ma ke ʻano 1. ʻike ʻia nā kino Ketone me nā mika glucose koko kūikawā a i ʻole me nā kaha mimi e nānā ai no DKA. Paipai ka American Diabetes Association e nānā i nā kino ketone a me DKA inā ʻoi aku ka nui o kou kō glucose i 240 mg / dl. Ke waiho ʻole ʻia, hiki i ka DKA ke alakaʻi i ka maʻi kōpō diabetic.

Nonketotic hyperosmolar maʻi (NKHS)

Kū wale kēia maʻi maʻi i ka maʻi diabetes type 2. ʻO ka mea maʻamau i nā mākua makua. Kū kēia ʻano ke kiʻekiʻe ke kō kō. Hiki iā ia ke alakaʻi i ka make wai.Wahi a ka Mayo Clinic, ʻike ka poʻe me kēia maʻi maʻi i nā kiʻekiʻe kō ma mua o 600 mg / dl.

Nā hōʻailona a me nā ʻōuli

ʻAʻohe hōʻailona hoʻokahi i kū hoʻokahi i ka maʻi diabetic. Hiki ke loli kona mau hōʻailona ma muli o ke ʻano o ka maʻi diabetes. ʻO ke kūlana i mua pinepine ʻia e ka culmination o kekahi mau hōʻailona a me nā ʻōuli. Aia kekahi mau ʻokoʻa i nā ʻōuli ma waena o ke kō a me ke kō kō.

Nā hōʻailona e ʻike paha ʻoe i ke kō kō kō a me ka makaʻu no ka holomua ʻana i nā pae kō kō haʻahaʻa haʻahaʻa:

• luhi hikiwawe
• haʻalulu
• hopohopo a huhū paha
• pōloli loa a pōloli hoʻi
• nausea
• ka palu a i ʻole ka palima palau
• ʻūpā
• huikau
• hoʻemi i ke kaʻina kaʻa
• nā pilikia ʻōlelo

ʻO nā ʻōuli e makaʻu paha ʻoe no DKA:

• hoʻonui ka make wai a me ka waha maloʻo
• hoʻonui urination
• kiʻekiʻe pae kō kō
• ketones i loko o ke koko a mimi paha
• ʻili ʻili
• ʻeha o ka ʻōpū me ka luaʻi ʻole
• hanu wikiwiki
• hanu hohono hua
• huikau

ʻO nā ʻōuli e makaʻu paha ʻoe no NKHS e hoʻopili ʻia:

• huikau
• kiʻekiʻe pae kō kō
• ka hopu ʻana

I ka manawa hea e ʻimi ai i ka mālama pilikia

He mea nui e ana i kou kō kō inā ʻike ʻoe i nā ʻōuli maʻamau i ʻole ʻoe e holomua i kahi koma. Manaʻo ʻia nā koma diabetic he mea pōpilikia e koi ai i ka mālama olakino koke a mālama ʻia i kahi kaukapila. E like me nā ʻōuli, hiki ke hoʻololi i nā mālama maʻi koma diabetic ma muli o ke kumu.

He mea nui pū kekahi e kōkua i ke aʻo ʻana i kāu poʻe i aloha pehea e pane ai inā ʻoe e holomua i kahi maʻi kōpō diabetic. Pono lākou e aʻo i nā ʻōuli a me nā ʻōuli o nā kūlana i helu ʻia ma luna nei i ʻole ʻoe e holomua i kēia manawa. Hiki iā ia ke lilo i kahi kūkā weliweli, akā hoʻokahi ia āu e pono ai. Pono kou ʻohana a me nā hoaaloha pili e aʻo pehea e kōkua ai inā pilikia. ʻAʻole hiki iā ʻoe ke kōkua iā ʻoe iho ke hāʻule ʻoe i kahi koma. E aʻo i kāu poʻe aloha e kāhea iā 911 inā lilo ʻoe i ka noʻonoʻo. Pēlā nō e hana ai inā ʻike ʻoe i nā hōʻailona o ka maʻi kōpō diabetic. Hōʻike i nā poʻe ʻē aʻe pehea e lawelawe ai i ka glucagon i ka hihia o ka maʻi diabetic mai ka hypoglycemia. E ʻaʻa mau i ke kūpeʻe lima lāʻau lapaʻau i mea e ʻike ai nā poʻe ʻē aʻe i kou kūlana a hiki ke hoʻopili aku i nā lawelawe pilikia inā haʻalele ʻoe mai ka home.

Ke loaʻa i kahi kanaka ka lāʻau, hiki iā lākou ke hoʻomanaʻo hou ma hope o ka normalized o kā lākou pae kō kō.

Kāohi

ʻO nā hana Preventive ke kī i ka hōʻemi ʻana i ka makaʻu no ka maʻi kōpō diabetic. ʻO ke ana kūpono loa ka mālama ʻana i kāu maʻi kō. ʻO ka maʻi diabetes Type 1 ka mea i ʻoi aku ka makaʻu i ka maʻi koma, akā ʻo ka poʻe me ka ʻano 2 aia kekahi i ka makaʻu. Hana pū me kāu kauka e hōʻoia i kāu kō kō i ke kiʻekiʻe kūpono. A ʻimi i ka mālama olakino inā ʻaʻole ʻoe e ʻoi aku ka maikaʻi ma muli o ka mālama ʻana.

Pono ka poʻe me ka maʻi diabetes e nānā i ko lākou kō kō i kēlā me kēia lā, keu hoʻi inā aia lākou i nā lāʻau e hoʻonui ai i ka nui o ka insulin i loko o ke kino. ʻO ka hana pēlā e kōkua iā ʻoe e ʻike i nā pilikia ma mua o ko lākou huli ʻana i nā wā pilikia. Inā loaʻa iā ʻoe nā pilikia me ka nānā ʻana i kāu kō kō, e noʻonoʻo e kau i kahi mea mālama glucose mau (CGM). Pono kēia mau mea inā loaʻa iā ʻoe ka ʻike hypoglycemia.

Nā ala ʻē aʻe hiki iā ʻoe ke pale i ka maʻi kō diabetic:

• ka loaʻa ʻana o ka ʻōuli ʻōuli
• pili pono i kāu papaʻai
• hoʻoikaika kino mau
• hoʻohālikelike i ka wai ʻona a me ka ʻai ʻana ke inu rama
• noho hydrated, ʻoi aku ka maikaʻi me ka wai

Outlook

ʻO ka maʻi koma diabetic kahi pilikia paʻakikī i hiki ke make. A hoʻonui ka mea make o ka make ke kali ʻoe no ka lāʻau. Ke kali lōʻihi nei no ka mālama ʻana e hiki ai hoʻi i ka ʻino o ka lolo. Kākaʻikahi kēia pilikia diabetes. Akā he koʻikoʻi loa ia e mālama pono nā mea maʻi āpau.

ʻO ka lawe lawe ʻana

ʻO ka maʻi koma diabetic kahi pilikia nui a weliweli paha e pili ana i ka maʻi kō. Aia ka mana e pale aku ai mai ka maʻi diabetic i kou mau lima. E ʻike i nā ʻōuli a me nā ʻōuli e alakaʻi aʻe ai i kahi koma, a mākaukau e ʻike i nā pilikia ma mua o ka lilo ʻana i mau pilikia. E hoʻomākaukau iā ʻoe iho a me nā mea ʻē aʻe e pili ana i ka mea e hana ai inā lilo ʻoe i comatose. E mālama pono i ka mālama ʻana i kāu maʻi diabetes e hōʻemi ai i kou makaʻi.