Neonatal hypoglycemia: nws yog dab tsi, cov tsos mob thiab yuav kho li cas

Zoo Siab

• Cov phiajcim thiab cov tsos mob
• Cov ua rau neonatal hypoglycemia
• Yuav kho tus mob li cas

Neonatal hypoglycemia ua rau cov ntshav hauv cov ntshav nyob hauv tus menyuam cov ntshav tuaj yeem pom nyob nruab nrab ntawm 24 mus rau 72 teev tom qab yug. Qhov xwm txheej no feem ntau tshwm sim rau cov menyuam yaus uas yug ntxov ntxov, loj lossis me rau hnub nyoog lossis tus niam uas tsis muaj zaub mov tsis zoo thaum cev xeeb tub.

Neonatal hypoglycemia txiav txim siab yog thaum:

• Qabzib yog hauv qab 40 mg / dL hauv cov menyuam yaus yug thaum lub sijhawm, ntawd yog, nyob rau lub sijhawm;
• Qabzib yog hauv qab no 30 mg / dL hauv cov menyuam yug ua ntej.

Kev ntsuas tus mob neonatal hypoglycemia yog tau ua hauv 72 teev tom qab yug los los ntawm kev ntsuas tus menyuam cov ntshav qabzib. Nws yog ib qho tseem ceeb uas kuaj pom tau sai li sai tau yog li kev kho mob tuaj yeem pib kho, thiab yog li, kev tiv thaiv tuaj yeem zam dhau, xws li mob hlwb tas mus li thiab txawm tuag.

Cov phiajcim thiab cov tsos mob

Cov tsos mob thiab cov tsos mob qhia los ntawm tus me nyuam mos thiab uas tej zaum yuav qhia tias muaj cov ntshav qog ntshav qab zib yog:

• Ntau dhau kev pw tsaug zog;
• Cyanosis, nyob rau hauv uas tus menyuam ntawm daim tawv nqaij hloov xiav xiav;
• Hloov lub plawv dhia;
• Tsis muaj zog;
• Kev ua pa txawv txav.

Ntxiv rau, yog tias cov kab mob neonatal hypoglycemia tsis muaj tshuaj tswj tau, nws yog qhov muaj qee qhov tsis yooj yim, xws li hnov ​​qab, hlwb tsis zoo, kawm nyuaj thiab tseem ua rau tuag. Yog li, nws yog ib qho tseem ceeb heev uas kev kuaj mob yog tsim nyob rau hauv thawj teev tom qab yug thiab, yog tias nws tsis ua tiav tab sis cov tsos mob tshwm sim tom qab ob peb hnub yug, nws yog qhov tseem ceeb yuav tsum mus rau tus kws kho mob hauv plab kom thiaj paub tus mob thiab pib kho Cov. Tshawb xyuas qhov tshwm sim ntawm kev txo ntshav qab zib yog dab tsi.

Cov ua rau neonatal hypoglycemia

Cov teeb meem ntawm tus mob neonatal hypoglycemia muaj feem xyuam rau leej niam tus cwj pwm thiab kev noj qab haus huv.Tus me nyuam muaj feem ntau yuav muaj ntshav qab zib tsawg thaum leej niam muaj mob ntshav qab zib hauv lub cev tsis tsaug zog, siv cawv lossis qee yam tshuaj noj thaum cev xeeb tub, tsis muaj ntshav qab zib ua tswj thiab muaj zaub mov tsis txaus, piv txwv.

Ib qho ntxiv, tus menyuam yuav muaj cov roj glycogen tsis txaus los yog muaj cov insulin ntau dhau, uas yog ntau dua rau cov menyuam mos ntawm cov niam uas muaj ntshav qab zib, thiab kev pub mis yuav tsum tshwm sim txhua 2 lossis 3 teev raws li tus kws kho mob tau pom zoo.

Yuav kho tus mob li cas

Kev kho tus mob neonatal hypoglycemia yog tsim los ntawm kws kho mob menyuam yaus thiab kev pub mis niam feem ntau qhia rau txhua txhua 3 teev, thiab tus menyuam yuav tsum tsim kom tsim nyog, yog li tsim nyog, kom cov qib ntawm cov ntshav qab zib tuaj yeem tswj tau yooj yim dua. Yog tias kev pub mis niam tsis txaus rau kev tswj hwm tus menyuam cov ntshav qabzib, nws yuav tsum tswj cov kua nplaum ncaj qha rau hauv cov leeg ntshav.