Qhov ncauj hypoglycemics overdose

Qhov ncauj tshuaj hypoglycemic yog tshuaj kho mob ntshav qab zib. Qhov ncauj txhais tau tias "noj ntawm qhov ncauj." Muaj ntau ntau yam sib txawv ntawm qhov ncauj qhov ntswg ntshav. Kab lus no hais txog ib hom hu ua sulfonylureas.

Kev noj tshuaj ntau dhau yog tshwm sim thaum ib tug neeg noj ntau dua li ib txwm lossis pom zoo npaum li cas ntawm cov tshuaj no. Qhov txiaj ntsig yog poob rau hauv cov ntshav qab zib hauv lub cev uas cuam tshuam kev ua haujlwm ntawm lub cev. Kev noj ntau dhau yuav tshwm sim los ntawm kev sib tsoo lossis lub hom phiaj.

Kab lus no yog rau cov lus qhia xwb. TSIS TXHOB siv nws los kho lossis tswj qhov tsis txaus siab. Yog tias koj lossis ib tus neeg koj tab tom noj tshuaj ntau dhau hwv lawm, hu rau koj tus xov tooj xwm ceev hauv zos (xws li 911), lossis hauv koj lub chaw muaj kuab lom hauv zos yuav hu ncaj qha los ntawm kev hu xov tooj rau lub teb chaws tus xov tooj Pab Dawb Hu Dawb (1-800-222-1222) los ntawm txhua qhov chaw nyob tebchaws meskas.

Muaj ntau ntau hom qhov ncauj qog ntshav. Cov tshuaj lom lom yog nyob ntawm cov tshuaj tshwj xeeb. Lub hauv paus tseem ceeb hauv sulfonylurea-based ncauj hypoglycemics ua rau cov hlwb hauv cov neeg ua haujlwm tsim cov tshuaj insulin ntau dua.

Sulfonylurea-based ncauj hypoglycemics tuaj yeem pom nyob hauv cov tshuaj no:

• Chlorpropamide
• Glipizide
• Glyburide
• Glimepiride
• Tolbutamide
• Tolazamide

Lwm yam tshuaj noj kuj tseem tuaj yeem muaj cov tshuaj sulfonylurea-los ntawm qhov ncauj hypoglycemics.

Cov tsos mob ntawm kev noj haus ntau dhau ntawm cov tshuaj no suav nrog:

• Kev txob txob, txob txob, tshee hnyo
• Apathy (tsis muaj lub siab xav ua dab tsi)
• Coma (tsis paub zoo txog qib thiab tsis hnov ​​qab)
• Tsis meej pem
• Qhov duav (chua leeg, tshwj xeeb yog rau cov menyuam mos thiab menyuam yaus)
• Muaj ntau yam qab los noj mov
• Xeev siab
• Lub plawv dhia ceev ceev
• Stupor (tsis paub qab hau ntxiv rau qhov tsis meej pem)
• Tawm hws
• Tingling ntawm tus nplaig thiab daim di ncauj

Cov tib neeg uas tau mob stroke yav dhau los yuav pom muaj lwm yam mob nhyav yog lawv cov ntshav qab zib cov ntshav qis dhau.

Npaj kom muaj cov ntaub ntawv no:

• Tus neeg lub hnub nyoog, hnyav, thiab mob li cas
• Lub npe tshuaj (thiab lub zog, yog paub)
• Lub sijhawm nws tau nqos lawm
• Tus nqi nqos

Koj lub chaw tswj kuab lom hauv zos tuaj yeem hu ncaj qha los ntawm kev hu xov tooj rau Xov Xwm Pab Kev Nyab Xeeb Tsis Muaj Hmoov Hla (1800-222-1222) los ntawm txhua qhov chaw hauv Tebchaws Asmeskas. Xov tooj cua teb chaws no yuav cia koj tham nrog tus kws tshaj lij txog tshuaj lom. Lawv yuav muab koj cov lus qhia ntxiv.

Nov yog pub dawb thiab pub leej twg paub. Txhua lub chaw tswj tshuaj lom nyob hauv Tebchaws Meskas siv tus lej no. Koj yuav tsum hu yog tias koj muaj lus nug txog kev siv tshuaj lom lossis tswj kev ua kom muaj kuab lom. TSIS TXHOB yuav tsum muaj xwm txheej ceev. Koj tuaj yeem hu xov tooj rau ib qho laj thawj twg, 24 teev hauv ib hnub, 7 hnub hauv ib lub lis piam.

Nqa cov thawv tshuaj rau tsev kho mob nrog koj, yog tias ua tau.

Tus kws kho mob yuav ntsuas thiab ntsuas tus neeg cov cim tseem ceeb, suav nrog kev ntsuas kub, mem tes, dhia pa, thiab ntshav ntaws.

Kev ntsuam xyuas uas yuav ua tau muaj xws li:

• Kuaj ntshav thiab zis
• Kev ntsuas hluav taws xob xoo
• ECG (electrocardiogram, lossis mob plawv)

Kev kho mob yuav suav nrog:

• Tso dej raws leeg (muab los ntawm txoj hlab ntshav)
• Tshuaj kho mob kho mob cov tsos mob
• Siv lub tshuab hluav ncaig
• Tshuaj qaug cawv
• Ua tsis taus pa pab, suav nrog lub raj tawm ntawm lub qhov ncauj mus rau hauv lub ntsws thiab lub tshuab ua pa (tshuab pa)

Qee qhov mob hypoglycemics ntawm cov qhov ncauj yuav nyob hauv lub cev ntev, yog li tus neeg yuav tsum tau nyob hauv tsev kho mob ntev txog 1 txog 2 hnub. Kev puas tsuaj mus tas li rau lub hlwb thiab kev tuag yog qhov ua tau, tshwj xeeb tshaj yog tias cov piam thaj hauv ntshav tsis rov qab zoo li qub. Cov menyuam mos, menyuam yaus thiab cov neeg laus feem ntau yuav ua mob hnyav dua thiab ntev mus los ntawm cov ntshav qab zib hauv lub cev uas tsis raug kho sai.

Mob ntshav qab zib ntsiav tshuaj overdose; Sulfonylurea noj ntau tshaj

Aronson JK. Sulfonylureas. Hauv: Aronson JK, ed. Meyler Qhov tshwm sim los ntawm Cov TshuajCov. 16th ed. Waltham, MA: Elsevier; 2016: 594-657.

Maloney GE, Glauser JM. Mob ntshav qab zib mellitus thiab mob ntawm cov ntshav qabzib homeostasis. Hauv: Phab Ntsa RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Cov Tshuaj Siv Thaum Muaj Xwm Ceev: Cov Ntsiab Lus thiab Kev Siv TshuajCov. 9le ed. Philadelphia, PA: Elsevier; 2018: chap 118.