Mokokotlo oa li-hyperglycemic ke boemo bo bakoang ke ho haelloa ke insulin 'meleng. Hangata, li-coma tse nang le khaello ea insulin ke bothata ba lefu la tsoekere . Ho phaella moo, boemo bona bo ka hlaha ka lebaka la ho emisa joe ea insulin kapa ho ja ha insulin e lekaneng. Tlhaloso ea algorithm ea tlhokomelo ea ts'oaetso ea lik'hemik'hale tsa lefuba e lokela ho tsebahala ho bohle ba nang le lefu la tsoekere ka lapeng.
Matšoao a likotsi tsa hyperglycemic le algorithm ea tlhokomelo ea tšohanyetso
Lipontšo tsa matšoao a lik'hemik'hale tsa hyperglycemic li amahanngoa le ho tahoa ha 'mele ka ketone, tlōlo ea tekanyo ea acid-base le phekolo ea metsi. Ho hlahisa li-hyperglycemic coma pele ho letsatsi (esita le nako e telele). Harbingers of coma ke:
- hlooho;
- ho hloka takatso ea lijo;
- ho nyekeloa ke pelo;
- lenyora le boikutlo ba ho omella molomong;
- leleme le ngotsoeng;
- monko oa acetone e tsoang molomong;
- matšoao a letšollo a pampiri ea meno;
- khatello ea khatello;
- ho se tsotelle;
- ho otsela;
- amnesia;
- molumo o tlaase oa mesifa;
- ho ata ha makhetlo a mangata.
Haeba u hlokomoloha lipontšo tse hlakileng tsa precomatom le ho hloka mehato e lekaneng, qetellong motho o oela boemong ba ho se tsebe letho.
Thuso ea pele ea tšohanyetso bakeng sa phekolo ea hyperglycemic coma ke ho kenya ts'ebetso ea mesebetsi e mengata e latellanang. Pele ho tsohle, o lokela ho bitsa "ambulense". Ka tebello ea ho fihla ha litsebi, algorithme ea khato ea ho fana ka tlhokomelo ea tšohanyetso bakeng sa likotsi tsa hyperglycemic ke ka tsela e latelang:
- Fana ka mokuli boemo bo holimo.
- Lokolla lebanta, lebanta, thae; ho senya likhetho liaparo tse thata.
- Ho sebelisa mokhoa oa ho laola puo (ke habohlokoa hore e se ke ea fuse!)
- Etsa ente ea insulin .
- Sheba khatello. Ka ho fokotsa ho matla khatello ea mali, fa seno se eketsang khatello.
- Fana ka seno se monate.
Ho fana ka tlhokomelo ea meriana ea tšohanyetso bakeng sa coma ea hyperglycemic
Mokuli ea kulang o kenngoa sepetlele ha ho pelaelo. Sepetlele mesebetsi e latelang e etsoa:
- Qalong, fafatsa, ebe o tšela insulin.
- Etsa ho senya mpa, beha enema e hloekisang ka tharollo ea 4% ea sodium bicarbonate.
- Ba beha mokelikeli ka tharollo ea 'mele, Tharollo ea Ringer.
- 5% ea tsoekere e kenngoa lihora tse ling le tse ling tse 4.
- Pheko ea 4% ea sodium bicarbonate e hlahisoa.
Basebeletsi ba tsa bongaka ba lekanya boemo ba glycemia le khatello hora e 'ngoe le e' ngoe.