I-coma ye-Hyperglycemic yimeko ebangelwa ukusilela kwe-insulin emzimbeni. Ngokuqhelekileyo, i-coma ehambelana nokusilela kwe-insulin yinkxwaleko kwi-diabetes mellitus . Ukongezelela, le meko ingavela ngenxa yokumisa ijoyi ye-insulin okanye ukungenayo okwaneleyo kwe-insulin. I-algorithm yokunakekelwa ngxakeko ngokukhawuleza i-coma ye-hyperglycemic kufuneka yaziwe kuwo wonke umntu onesifo sesifo sikashukela kwintsapho.
Iimpawu ze-coma echaphazelekayo kunye ne-algorithm yokunakekelwa ngxakeka
Ukubonakaliswa kweempawu ze-coma e-hyperglycemic kudibaniswa nokuxiliswa komzimba ngamaketoni, ukuphulwa kwe-acid-base balance and dehydration. I-coma ye-Hyperglycemic ikhula ngaphakathi kwimihla (kunye nexesha elide elide). I-harbingers ye-coma yile:
- intloko;
- ukungabi nesidlo;
- isicefe
- unxaniwe kunye nomvakalelo womile emlonyeni;
- ulwimi olulwimi;
- iphunga le-acetone emlonyeni;
- iziphazamiso zesifo sokuhambisa isisu somgudu;
- ukunciphisa uxinzelelo;
- ukungakhathaleli;
- kulala;
- amnesia;
- ithoni ephantsi;
- ukwanda kwexesha lokucoca.
Ukuba ungayinaki impawu ezibonakalayo ze-precomatom kunye nokungabikho kwamanyathelo okwaneleyo, ekugqibeleni umntu uwela kwisimo esingenalwazi.
Uncedo olungxamisekileyo lokuqala lwe-coma e-hyperglycemic ukuphunyezwa kwenani lezinto ezilandelelanayo. Okokuqala, kufuneka ubiza "i-ambulensi". Ngokulindele ukufika kweengcali, i-algorithm yesenzo sokubonelela ngononophelo kwimeko yokuxakeka kwe-coma yile ndlela ilandelayo:
- Nika isigulane isikhundla esiphambili.
- Mkhulule ibhande, ibhande, intambo; ukukhupha iingubo kwiingubo ezinxibileyo.
- Ukulawula ukusetyenziswa kolwimi (kubalulekile ukuba ayifuni!)
- Yenza injection ye- insulin .
- Ukujonga ingcinezelo. Ngokwehla okukhulu kwixinzelelo legazi, kunika isiphuzo esandisa ingcinezelo.
- Ukubonelela ngesiselo esiphucukileyo.
Ukubonelelwa ngononophelo lwezempilo oluxakeka kwi-coma hyperglycemic
Isigulane kwi-coma sibhedlele ngaphandle kwesibhedlele. Esibhedlele le mi sebenzi ilandelayo yenziwa:
- Ekuqaleni, uphefaza, uze udibanise i-insulin.
- Yenza isisu esiswini, faka i-enema ehlambulukileyo ngesisombululo se-4% se-sodium bicarbonate.
- Bafaka i-dropper ngesisombululo somzimba, isisombululo seRinger.
- I-5% i-glucose ijojowe nganye iiyure ezine.
- Isisombululo se-4% se-sodium bicarbonate senziwa.
Abasebenzi bezonyango banquma izinga le-glycemia kunye noxinzelelo nganye kwiyure.