Cov Hypoglycemia: Nws yog dab tsi, cov tsos mob thiab yuav kho li cas

Zoo Siab

• Cov tsos mob tseem ceeb
• Yuav kho tus mob li cas
• Cov teeb meem muaj peev xwm
• Yuav tiv thaiv kom tsis txhob mob ntshav qab zib li cas

Kev mob ntshav qab zib yog tshwm sim thaum cov ntshav qabzib (ntshav qab zib) qhov tseem ceeb qis dua li ib txwm, thiab rau cov neeg feem coob, qhov no txhais tau tias txo qis ntshav qabzib mus rau qhov tseem ceeb hauv qab 70 mg / dL.

Txij li cov piam thaj yog cov roj tseem ceeb rau lub hlwb, thaum ntshav qabzib nyob qis heev, yuav muaj kev hloov pauv hauv lub cev ua haujlwm, thiab yuav muaj ob peb yam tsos mob, feem ntau muaj xws li kiv taub hau, xeev siab, tsis meej pem, palpitations thiab txawm tsaus muag.

Vim tias nws cuam tshuam rau lub hlwb kev ua haujlwm, hypoglycemia yuav tsum tau kho sai li sai tau, uas tuaj yeem ua nrog kev noj haus ntawm carbohydrates, nyob rau hauv daim ntawv ntawm kua txiv los yog khoom qab zib, piv txwv.

Cov tsos mob tseem ceeb

Cov tsos mob ntawm hypoglycemia zoo li tshwm sim sai thiab tuaj yeem sib txawv ntawm ib tus neeg mus rau lwm tus, txawm li cas los xij, feem ntau muaj xws li:

• Ntsuas Hluav Taws;
• Kiv taub hau;
• Tsis muaj zog;
• Cov hws txias txias;
• Mob taub hau;
• Qhov muag plooj;
• Tsis meej pem;
• Pallor;
• Lub plawv palpitations.

Cov tsos mob no feem ntau tshwm sim thaum cov piam thaj hauv ntshav qis dua 70 mg / dl, txawm li cas los xij, qee tus neeg tuaj yeem zam lub txiaj ntsig qis dua, thaum lwm tus neeg yuav muaj cov tsos mob txawm tias nyob rau qhov tseem ceeb dua.

Yuav kho tus mob li cas

Kev kho mob rau hypoglycemia yog nyob ntawm qhov mob hnyav ntawm cov tsos mob thiab seb tus neeg puas muaj ntshav qab zib lossis tsis. Feem ntau, nws tau qhia tias, thaum koj pom thawj cov tsos mob ntawm kev mob ntshav qab zib, uas suav nrog kiv taub hau, tawm hws txias, tsis pom kev, ua rau lub hlwb tsis meej pem thiab xeev siab, qab zib cov zaub mov thiab dej qab zib uas muaj cov carbohydrates yooj yim yuav tsum noj, yog tias tus neeg nco qab.

Yuav ua li cas thaum tus neeg ntsib teeb meem hypoglycemic, yog:

1. Tsaus li 15 txog 20 g ntawm carbohydrate hauv cov ntawv ua kua, yog li nws tuaj yeem nqus tau nrawm dua, xws li kua txiv kab ntxwv kua txiv lossis dej qab zib los yog guarana-dej qab zib, nyob rau hauv rooj plaub no nws pom zoo kom noj txog li 100 txog 150 mL ntawm dej qab zib. Yog tias qhov laj thawj ntawm cov khoom noj khoom haus carbohydrate tsis yog kua, koj tuaj yeem noj cov khoom qab zib, chocolate thiab zib ntab, piv txwv. Yog li nws yog ib qho tseem ceeb uas yuav tsum muaj cov khoom siv roj sai sai nyob ze kom nws tuaj yeem haus tau thaum muaj xwm txheej ceev;
2. Ntsuas cov kua nplaum tom qab kwv yees li 15 feeb qab zib kom tsawg. Yog tias nws pom tias cov ntshav qabzib tseem qis dua 70 mg / dL, nws raug nquahu kom tus neeg noj dua 15 mus rau 20g ntawm carbohydrate kom txog thaum tus nqi ntawm cov piam thaj yog qhov qub;
3. Ua cov khoom noj txom ncauj kom ntau, thaum nws tau txheeb xyuas qhov tseeb los ntawm kev ntsuas cov piam thaj uas qhov ntsuas yog tsis pub dhau. Qee cov khoom noj txom ncauj tau suav nrog qhob cij, ci lossis khaub noom. Qhov no ua rau cov piam thaj ib txwm nyob hauv cov ntshav.

Kev kho mob kuj tseem tuaj yeem ua tiav los ntawm kev siv cov tshuaj tiv thaiv Glucagon, uas yuav tsum tau yuav nrog cov tshuaj noj thiab muab tshuaj raws li kev txhaj tshuaj intramuscular lossis subcutaneous raws li cov lus qhia kho mob. Glucagon yog yam tshuaj tsim los ntawm cov txiav ua kab mob muaj txoj haujlwm los tiv thaiv kev ua haujlwm ntawm insulin, ua rau cov piam thaj nyob twj ywm hauv cov ntshav.

Txawm li cas los xij, thaum lub sijhawm poob siab, tsaus muag lossis qaug dab peg, nws yog qhov yuav tsum tau hu rau lub chaw pabcuam thaum muaj xwm txheej ceev (SAMU 192) yog li qhov kev ntsuas tsim nyog raug coj los, feem ntau cov piam thaj tau muab ncaj qha rau cov leeg ntshav. Tshawb xyuas seb dab tsi yog thawj qhov kev pabcuam thawj zaug rau txo tus mob ntshav qab zib.

Cov teeb meem muaj peev xwm

Raws li qhov tseem ceeb xws li kev kho mob, nws tseem yog kev txheeb xyuas qhov ua kom muaj ntshav qab zib, feem ntau ua rau kev siv tshuaj tsis yog rau kev kho mob ntshav qab zib, xws li insulin, piv txwv, ua rau muaj ntshav qabzib ntau dhau.

Piv txwv li kev ua rau lub ntsej muag ntshav siab ntsws kuj tuaj yeem tshwm sim vim kev haus dej haus cawv, siv qee yam tshuaj, tom qab phais mob, ua kom yoo mov ntev ntev, cov tshuaj tiv thaiv kab mob tsis txaus, kis mob, kab mob rau lub siab, raum lossis mob plawv, piv txwv. Kawm paub ntau ntxiv txog dab tsi tuaj yeem ua rau ntshav qab zib ntshav qab zib.

Yuav tiv thaiv kom tsis txhob mob ntshav qab zib li cas

Qee qhov kev qhia dav dav kom tsis txhob muaj cov ntshav qog ntshav tshiab, tshwj xeeb tshaj yog rau cov neeg mob ntshav qab zib, yog:

• Txo cov kev noj haus cov piam thaj dawb, dej cawv thiab khoom noj uas npaj nrog nplej pob kws;
• Ua kom tsawg kawg 4 pluas noj txhua hnub uas muaj txiv hmab txiv ntoo thiab zaub hauv tsawg kawg 2 ntawm lawv;
• Tsis txhob hla pluas noj;
• Ua raws li kev qhia noj zaub mov noj los ntawm tus kws qhia noj zaub mov uas muaj cov carbohydrates zoo tagnrho;
• Zam kev haus dej haus cawv;
• Kev tawm dag zog tsis tu ncua thiab ntsuas;
• Txo kev ntxhov siab txhua hnub;
• Ceev faj tsis txhob ua yuam kev ntawm kev txhaj tshuaj, vim tias siv cov tshuaj ntshav qab zib ntau heev, xws li insulin thiab Metformin, piv txwv, tuaj yeem txo qis ntshav qabzib ntau hauv cov ntshav, uas ua rau muaj ntshav qab zib tsawg.

Nws kuj tseem pom zoo tias cov neeg muaj ntshav qab zib, tshwj xeeb yog cov neeg siv tshuaj insulin, muaj cov cuab yeej los ntsuas cov ntshav qabzib lossis kev nkag yooj yim rau lub chaw noj qab haus huv kom lawv cov ntshav qabzib tuaj yeem soj ntsuam ntau zaus.