Thawj pab rau cov neeg mob ntshav qab zib

Zoo Siab

• 1. Hyperglycemia - siab qab zib
• 2. Cov mob ntshav qab zib tsawg - cov piam thaj tsawg
• Lwm txoj kev pabcuam tseem ceeb ua ntej rau cov ntshav qab zib
• 1. Cov tawv nqaij mob
• 2. Ntswj ob txhais taw
• Cov cim ceeb toom yuav tsum mus ntsib kws kho mob

Txhawm rau kom muaj peev xwm pab cov ntshav qab zib, nws yog ib qho tseem ceeb kom paub yog tias nws yog ib qho kev tshwm sim ntawm cov ntshav qab zib ntau dhau (hyperglycemia), lossis tsis muaj ntshav qab zib (ntshav qab zib tsawg), raws li ob qho xwm txheej tuaj yeem tshwm sim.

Hyperglycemia muaj ntau dua rau cov neeg mob ntshav qab zib uas tsis muaj kev kho kom zoo los yog tsis ua raws li kev noj zaub mov zoo, qhov uas hypoglycemia muaj ntau dua rau cov neeg uas siv tshuaj kho mob insulin lossis uas tau siv sijhawm ntev heev uas tsis noj mov, piv txwv.

Yog tias ua tau, thawj qhov yuav tsum ua yog txhawm rau ntsuas tus neeg cov ntshav qab zib, nrog lub cuab yeej tsim nyog los ntsuas cov suab thaj hauv cov ntshav. Feem ntau, qhov tseem ceeb hauv qab 70 mg / dL qhia tias hypoglycemia thiab cov txiaj ntsig zoo dua li 180 mg / dL tuaj yeem qhia hyperglycemia, tshwj xeeb tshaj yog tias tus neeg tsis tau noj mov.

1. Hyperglycemia - siab qab zib

Thaum cov piam thaj hauv ntshav ntau, tseem hu ua hyperglycemia, tus nqi ntawm lub cuab yeej yuav qhia qhov tseem ceeb tshaj 180 mg / dL, ntawm lub plab khoob, lossis siab dua 250 mg / dL, txhua lub sijhawm ntawm hnub.

Ntxiv rau, tus neeg yuav muaj kev ntxhov siab, nqhis dej ntau dhau, qhov ncauj qhuav, nkees, mob taub hau thiab ua pa txawv. Hauv cov xwm txheej no, koj yuav tsum:

1. Nrhiav cov SOS insulin koob txhaj tshuaj, uas tus neeg yuav tau txais kev kub ntxhov;
2. Txhaj cov koob txhaj tshuaj hauv thaj av ib ncig ntawm txoj hlab ntaws lossis ntawm caj npab sab saud, ua ib daim tsaj nrog koj cov ntiv tes, kom txog thaum kawg txhaj tshuaj, raws li muaj nyob hauv daim duab;
3. Yog tias, tom qab 15 feeb, tus nqi ntawm cov piam thaj tseem nyob li qub, koj yuav tsum hu rau kev pab kho mob, hu tam sim ntawd tus naj npawb 192 lossis coj tus neeg mus rau tsev kho mob;
4. Yog hais tias tus neeg raug tsim txom tsis nco qab tab sis ua pa, nws yuav tsum muab tso rau hauv txoj haujlwm tom qab kev nyab xeeb, tseem tos kom tuaj txog kev pab kho mob. Kawm paub yuav ua li cas kom ua qhov chaw tom tsev kev nyab xeeb.

Yog tias muaj teeb meem rau cov tshuaj insulin thaum muaj xwm txheej ceev tsis pom zoo, nws raug nquahu kom hu rau kev pab kho mob lossis coj tus neeg ntawd mus rau tom tsev kho mob, kom txhaj tshuaj kom tsim nyog.

Tsis tas li ntawd, yog tias cov tshuaj insulin raug tswj hwm, nws yog ib qho tseem ceeb yuav tsum tau saib xyuas lub txiaj ntsig cov piam thaj hauv ntshav rau lub sijhawm tom ntej, vim tias muaj kev pheej hmoo tias tus nqi yuav poob ntau yog tias cov koob tshuaj insulin tau siab dua qhov tsim nyog. Yog tias tus nqi qis dua 70 mg / dL nws yog ib qho tseem ceeb uas yuav tsum muab cov qab zib ncaj qha sab hauv lub puab tsaig thiab hauv qab tus nplaig, kom tus nqi nce thiab ruaj khov.

2. Cov mob ntshav qab zib tsawg - cov piam thaj tsawg

Thaum cov ntshav qab zib kom ntshav qis, hu ua hypoglycemia, lub cuab yeej qhia cov ntshav qabzib qis dua 70 mg / dL thiab nws yog ib qho muaj rau tus neeg ua cov tsos mob xws li tshee tshee, tawv nqaij txias, tawm hws, daj ntseg lossis tsaus muag. Hauv cov xwm txheej no, nws yog ib qho tseem ceeb kom:

1. Muab 1 thaj suab thaj tso ua piam thaj lossis 2 pob suab thaj hauv sab plhu thiab hauv qab tus nplaig;
2. Yog tias cov piam thaj hauv ntshav tsis nce lossis cov tsos mob tsis zoo hauv 10 feeb, tus neeg yuav tsum muab qab zib ntxiv rau;
3. Yog tias cov piam thaj lossis cov tsos mob nyob li qub rau 10 feeb ntxiv, koj yuav tsum hu nrhiav kev pab kho mob, tam sim ntawd hu rau 192 lossis coj tus neeg mus rau hauv tsev kho mob;
4. Yog tias tus neeg tsis nco qab tab sis ua tsis taus pa, nws yuav tsum muab tso rau hauv txoj haujlwm tom qab kev nyab xeeb thaum tos kev pab kho mob. Saib yuav ua li cas thiaj ua tau txoj hauj lwm kev nyab xeeb tom qab.

Thaum cov piam thaj hauv ntshav qis hauv lub sijhawm ntev, nws muaj peev xwm ua rau tus neeg mus rau hauv kev ntes plawv. Yog li, yog pom tau tias tus neeg ntawd tsis ua pa, hu rau kev pab kho mob thiab pib lub plawv dhia ceev nrawm. Ntawm no yog yuav ua li cas ua mob zaws:

Lwm txoj kev pabcuam tseem ceeb ua ntej rau cov ntshav qab zib

Ntxiv rau qhov xwm txheej hnyav tshaj plaws, xws li hyperglycemia lossis hypoglycemia, kuj tseem muaj lwm cov kev pabcuam thawj zaug uas yog qhov tseem ceeb hauv txhua hnub, uas tuaj yeem ua rau muaj kev pheej hmoo ntau dua rau cov mob ntshav qab zib, xws li muaj tawv nqaij los yog ntswj ntawm ko taw. , piv txwv li.

1. Cov tawv nqaij mob

Thaum tus mob ntshav qab zib tau mob, nws yog qhov tseem ceeb uas yuav tsum ua tib zoo saib xyuas lub qhov txhab, vim hais tias txawm tias nws me me thiab tsis yooj yim, cov kab mob ntshav qab zib muaj peev xwm tshaj tawm cov teeb meem mob xws li mob rau sab lossis mob kis, tshwj xeeb tshaj yog thaum nws tshwm sim ntau dua noo thiab txhaws. Piv txwv xws li taw, daim tawv nqaij quav lossis puab tais, piv txwv.

Thaum kho, nws yog ib qho tseem ceeb kom ceev faj kom tsis txhob muaj kab mob, thiab yuav tsum:

• Siv cov phuam huv huv kom qhuav thaj chaw tawv nqaij;
• Zam kev sib cuag nrog cov tsiaj nyeg;
• Txav thaj chaw nrog xuab zeb lossis av;
• Zam kev hnav khaub ncaws lossis khau rau ntawm lub qhov txhab zoo.

Yog li, qhov zoo tshaj plaws yog txhawm rau ntxuav cov kiav txhab, kom qhuav thiab deb ntawm cov xwm txheej uas yuav ua rau cov kiav txhab tsis zoo, tshwj xeeb tshaj yog txog thaum kho kom tiav.

Ntxiv nrog rau kev saib xyuas lub qhov txhab, nws tseem yog qhov tseem ceeb uas yuav tsum paub txog qee yam cim uas qhia txog kev txhim kho ntawm cov kev mob tshwm sim, xws li tsos nqaij daim tawv liab, o, mob hnyav lossis pus hauv thaj chaw. Hauv cov xwm txheej no, nws raug nquahu kom mus rau tom tus kws tshaj lij.

Thaum lub qhov txhab me me, tab sis siv sijhawm ntau dua 1 lub hlis los kho kom zoo, nws yuav tsum mus rau kev sib tham ntawm cov kws kho mob kom ntsuam xyuas qhov xav tau kev kho mob tshwj xeeb, nrog rau kev hnav kom pom kev zoo.

2. Ntswj ob txhais taw

Yog tias tus neeg mob ntshav qab zib mob nws txhais ko taw lossis lwm qhov sib koom tes, nws yuav tsum tso tseg kev ua si ntawm lub cev thiab zam kev yuam thaj tsam, ntxiv rau kom tsis txhob taug kev mus ntev thiab nce toj ntaiv, piv txwv.

Ib qho ntxiv, yuav tsum tau khaws lub ko taw kom siab, txhawb kev ncig thiab tso dej khov rau hauv thaj chaw cuam tshuam rau 20 feeb, ob zaug ib hnub, nco ntsoov sau cov dej khov rau hauv daim ntaub ntub dej kom tsis txhob hlawv daim tawv nqaij.

Cov torsion feem ntau ua rau o thiab mob, thiab tuaj yeem ua rau thaj chaw sov dua thiab nrog ntshav me ntsis. Hauv qhov xwm txheej loj tshaj plaws, uas muaj mob hnyav thiab o uas tsis zoo, tus kws kho mob yuav tsum tau sab laj txhawm rau txhawm rau ntsuas qhov hnyav ntawm kev raug mob thiab kuaj xyuas qhov pob txha lov.

Cov cim ceeb toom yuav tsum mus ntsib kws kho mob

Tus kws kho mob yuav tsum raug hu hauv cov xwm txheej hauv qab no:

• Siab qab zib, nrog lub capillary glycemia ntau dua 180 mg / dL rau ntau dua 1 teev, ntawm lub plab khoob, lossis ntau dua 250 mg / dL rau ntau dua 1 teev, tom qab noj mov, lossis thaum tus neeg mob tsis nco qab lawm.
• Qab zib Qab Zib, nrog capillary glycemia hauv qab 70 mg / dL rau ntau tshaj 30 feeb, los yog thaum tus neeg mob tsis nco qab lawm;
• Cov tawv nqaij ua kom sov, nrog kub taub hau tshaj 38ºC; muaj kua paug ntawm qhov txhab; nce liab, o thiab mob ntawm thaj chaw; kev ua tsis zoo ntawm lub qhov txhab ua kom zoo ntxiv, ploj ntawm qhov hnov ​​ntawm ib ncig lub qhov txhab lossis tingling, lossis muaj hws thiab ua daus rau hauv lub cev. Cov phiajcim no qhia tau hais tias thaj chaw mob yuav kis tau tus kab mob, nrog rau kev pheej hmoo ntau ntxiv ntawm lub qhov txhab thiab cov kev mob nyuaj, xws li mob txhab.

Hauv qhov xwm txheej loj tshaj plaws, thaum cov paib no tsis quav ntsej thiab kev kho kom zoo tsis tas, kev cuam tshuam cov ntaub so ntswg yuav raug kev mob necrosis, uas tshwm sim thaum thaj av tsis tau txais oxygen txaus thiab cov ntaub so ntswg tuag, thiab nws yuav tsim nyog los txiav tawm qhov cuam tshuam nqua.

Hauv cov xwm txheej no, kev pabcuam khomob yuav tsum tau hu nrawm los ntawm kev hu rau 192.