Yɛbɛyɛ dɛn aboa obi a ɔwɔ asikreyare sɛ biribi a egye ntɛmpɛ ahyia no? (Asikreyare Ho Nsɛm a Egye Ntɛmntɛm) .

So wowɔ abusua muni anaa w’adamfo bi a ɔwɔ asikreyare? So woate tebea bi a egye ntɛmpɛ a obi mogya mu asikre dodow kɔ fam mpofirim dodo anaa ɛkɔ soro dodo ho asɛm pɛn? Ebia wɔrentumi nhwɛ wɔn ho saa bere yi. Wubetumi aboa ma wɔagye wɔn nkwa. Enti, sɛ obi a wunim no wɔ asikreyare a, ɛho hia sɛ wo ne no kasa fa nea ɛsɛ sɛ wɔyɛ wɔ tebea a egye ntɛmpɛ mu ho.

Dɛn ne asikreyare a egye ntɛmpɛ?

Sɛ yɛbɛka no tiawa a, asikreyare ho asɛm a egye ntɛmpɛ ne bere a obi a ɔwɔ asikreyare no mogya mu asikre dodow a ɛba fam anaasɛ ɛkɔ soro wɔ ɔkwan a ɛyɛ hu so. Eyi betumi de yare no ho sɛnkyerɛnne a emu yɛ den aba na ɛde nkwa mpo ato asiane mu. Saa tebea horow yi ahorow atitiriw abien na ɛwɔ hɔ.

Nsakrae kɛse a ɛte saa a ɛba asikre dodow mu wɔ mogya mu no betumi anya sɛnea yɛn nipadua no yɛ adwuma no so nkɛntɛnso kɛse, ma enti ɛsɛ sɛ yɛkɔ ayaresabea ntɛm ara.

Ntɛmpɛ a asikre a ɛba mogya mu de ba - "Insulin shock".

Eyi yɛ tebea bi a wɔfrɛ no asikre a ɛba fam a emu yɛ den. Eyi ne bere a asikre dodow a ɛwɔ mogya mu no so tew kodu nea ɛba fam koraa, a mpɛn pii no ɛba fam sen 60 mg/dL. Ɛwom sɛ wɔfrɛ no "insulin shock" de, nanso ɛnyɛ nnipa a wɔnom insulin nko na eyi betumi aba, na mmom nnipa a wɔnom nnuru bi a wɔde sa asikreyare (e.g., sulfonylureas) nso.

Dɛn nti na eyi yɛ asɛm a egye ntɛmpɛ?

Susuw ho hwɛ, yɛn amemene hia glucose (asikre) na ama yɛatumi ayɛ adwuma. Sɛ asikre dodow so tew dodo a, yentumi nsusuw nneɛma ho yiye na yebetumi atotɔ piti. Ɛno kyerɛ sɛ yɛn ankasa rentumi nsa tebea yi. Sɛ yenni obiara a ɔbɛboa yɛn a, ebetumi ama yɛawu mpo.

Nnipa binom nhu sɛ wɔn asikre sua. Yɛfrɛ eyi Hypoglycemia Unawareness.'' Ebia ɛnyɛ bere nyinaa na wohu sɛnkyerɛnne a edi kan no, na tebea no betumi ayɛ den mpofirim.

Ntease a ɛma asikre sua

• Adidi bi a wobɛhuruw.
• Apɔw-mu-teɛteɛ a wobɛyɛ sen sɛnea wɔtaa yɛ.
• Nsã a wɔnom a wonni aduan.
• Insulin a wɔnom pii, nea ɛnteɛ a wɔde di dwuma, anaasɛ wɔde twitwiw nipadua no mu wɔ ɔkwan a ɛnteɛ so.
• Asikreyare aduru dodow a ɛnteɛ a wɔnom.

Asikre a ɛba fam ho sɛnkyerɛnne

Mfiase no, nea ɛkyerɛ ne sɛ obi ho popo na ɔkɔm de no. Nanso, sɛ wɔansa yare no a, ebetumi asɛe na ɛde sɛnkyerɛnne ahorow a edidi so yi aba:

• Kesereneeyɛ.
• Anisoadehu a ɛyɛ kusuu.
• Mmerewa a emu yɛ den.
• Akisikuru a ɛma obi ho kyere no.
• Ɔrepaapae.
• Coma.

Wobɛyɛ dɛn aboa obi a asikre a ɛwɔ ne mogya mu no sua?

Sɛ obi wɔ saa sɛnkyerɛnne yi a, ka kyerɛ no sɛ ɔnhwɛ asikre dodow a ɛwɔ ne mogya mu. Afei, boa wɔn ma wonni "15/15 mmara" no akyi.

1. Ma carbohydrates a ɛtumi yam ntɛmntɛm gram 15:

• Glucose aduru 3-4.
• Nnuaba mu nsu mililita 120 (bɛyɛ kuruwa fã) anaa anonne a asikre wom (soda a wɔnom daa).
• Ɛwo anaa asikre tablespoon biako.

2. Twɛn simma 15: Afei san hwɛ asikre a ɛwɔ wo mogya mu. Sɛ ɛda so ara sua a, ma carbohydrate fã foforo a emu duru yɛ gram 15.

Ahwɛyiye: Sɛ obi nnim hwee a, ɛyɛ aduruyɛ mu asɛm a egye ntɛmpɛ. Mma aduane anaa anonne mma da - etumi memene. Sɛ wɔatete obi a, ma no glucagon a wɔde twitwiw no. Ɛma asikre dodow a ɛwɔ mogya mu no kɔ soro. Ɛnyɛ insulin na ɛyɛ! Afei frɛ 1990 ntɛm ara na fa wɔn kɔ ayaresabea bi Emergency Department (ETU).

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Nneɛma a egye ntɛmpɛ a asikre a ɛdɔɔso wɔ mogya mu de ba

Asikre dodow a ɛkɔ soro wɔ mogya mu a wontumi nhyɛ so no betumi ama nneɛma abien a egye ntɛmpɛ a emu yɛ den aba.

1. Asikreyare Ketoacidosis (DKA) .

Sɛ insulin a ɛdɔɔso nni hɔ a ɛbɛma yɛatumi de glucose (asikre) adi dwuma de anya ahoɔden a, yɛn nipadua no fi ase hyew srade de hwehwɛ ahoɔden. Saa adeyɛ yi ma wonya nnuru a wɔfrɛ no ketones . Sɛ saa ketone ahorow yi boaboa ano wɔ mogya no mu a, mogya no dan asikre na ebetumi ayɛ awuduru ama nipadua no. Wɔfrɛ eyi DKA. Eyi yɛ ɔhaw a ɛtaa ba nnipa a wɔwɔ asikreyare a ɛto so 1 so, nanso ebetumi aba nnipa a wɔwɔ asikreyare a ɛto so abien ne nyinsɛn mu asikreyare nso so.

Dɛn nti na DKA yɛ tebea a egye ntɛmpɛ?

Eyi yɛ tebea a ɛde nkwa to asiane mu. DKA yɛ ade titiriw a ɛde owu ba, titiriw wɔ mmofra a wɔwɔ asikreyare mu.

Nneɛma a ɛde DKA ba:

• Insulin ho haw ahorow: insulin dodow a ɛyera, insulin a ne bere atwam a wɔde di dwuma, insulin pɔmpɛ a entumi nyɛ adwuma yiye.
• Yare: Nyarewa ne ayaresa tebea horow bi betumi de DKA aba.
• Adwennwen: Adwene mu nhyɛso a emu yɛ den, tebea horow te sɛ komayare.
• Nnuru bi.

Ɔkwan bɛn so na wobɛboa wɔ DKA ho?

Sɛ obi nya yareɛ no ho sɛnkyerɛnne ntɛm a, bisa no sɛ ɔmfa ketone test kit'' nhwɛ ne nsuo mu ketone dodoɔ. Sɛ ketone dodoɔ no dɔɔso a, ɛsɛ sɛ ɔfrɛ ne duruyɛfoɔ ntɛm ara. Nanso, sɛ wɔwɔ yare no ho sɛnkyerɛnne a emu yɛ den a, ɛsɛ sɛ wɔde wɔn kɔ ayaresabea dan a wɔhwɛ wɔn a wɔwɔ ayaresa a egye ntɛmpɛ mu (ETU) ntɛm ara.

2. Hyperosmolar hyperglycemic syndrome (HHS) a ɛma mogya tu .

Eyi ba bere a asikre dodow kɔ soro boro 600 mg/dL na ɛkɔ so tra saa dodow no mu nna anaa adapɛn pii no. Eyi betumi ama nsu atɔ no kɛse na ɛde ne nkwa ato asiane mu.

• HHS abu so wɔ nnipa a wɔwɔ Asikreyare a Ɛto so Abien so.
• Ɛnnya nkɔso ntɛmntɛm te sɛ DKA, ɛkɔ so nkakrankakra wɔ nna pii mu.
• Wɔ HHS mu no, ketones nboaboa ano wɔ mogya no mu te sɛ DKA mu no.

Nneɛma a ɛde HHS ba:

• Asikreyare a ɛto so abien a wontumi nni so yiye.
• Nyarewa te sɛ ahurututu mu yare ne nsu mu yare.
• Tebea horow te sɛ komayare ne akisikuru.
• Nnuru bi.

HHS ho sɛnkyerɛnne:

Nsɛnkyerɛnne no betumi ayɛ ano a ɛyɛ kusuu, sukɔm dee dodo, nsu a ɔtaa tow, atiridiinini, koma bɔ ntɛmntɛm, adwene a ɛyɛ basaa, kasa mu nsakrae, nipadua no fã biako mmerɛwyɛ, ne adwene a ɛyera.

Ɔkwan bɛn so na HHS betumi aboa wɔ tebea yi mu?

Frɛ wɔn duruyɛfo ntɛm ara. Afei fa wɔn kɔ ayaresabea Emergency Treatment Unit (ETU) ntɛm ara sɛnea wubetumi.

Asikreyare Coma

Eyi ne asikreyare a egye ntɛmpɛ a emu yɛ den sen biara. Tebea a ɛma obi ntumi nhu hwee bere tenten a asikre dodow a ɛwɔ mogya mu a ɛkɔ soro dodo (esiane DKA anaa HHS nti) anaasɛ ɛba fam dodo (esiane asikre a ɛkɔ fam kɛse nti) na wɔannya yare. Obi a ɔwɔ komayare mu no rennye ɔkasa anaa nsa a ɔde ka no ho biribi.

Dɛn nti na asikreyare a obi bɛda komayam no yɛ ade a egye ntɛmpɛ?

Eyi de nkwa to asiane mu efisɛ tebea horow a ɛde ba no betumi ama mogya ayɛ awuduru, akwaa a entumi nyɛ adwuma yiye, amemene no asɛe daa, na owu mpo.

Wobɛyɛ dɛn aboa obi a ɔwɔ asikreyare a ɔwɔ komayare mu?

Sɛ obi a ɔwɔ asikreyare nnim hwee na ontumi nyɛ hwee a, ebetumi ayɛ asikreyare a wakɔ komayare.

• Frɛ 1990 anaa ntɛmpɛ adwumayɛbea nɔma ntɛm ara.
• Di akwankyerɛ a telefon sohwɛfo de ama no akyi.
• Mfa biribiara nhyɛ w’anom (nsu, asikre nsu) nsusuw sɛ ebia wo asikre no sua. Eyi betumi ama obi amee.
• Sɛ onipa no fe a, dan wɔn kɔ n’afã na wɔannye menewa.

Asikreyare Ho Nneɛma a Ɛho Hia Ntɛmntɛm

Sɛ wusiesie wo ho ma tebea a egye ntɛmpɛ a, ebetumi agye wo nkwa anaa obi a wodɔ no nkwa. Fa saa nneɛma yi sie baabi a ɛbɛn wo, na hwɛ hu sɛ obiara a ɔwɔ wo fie nim baabi a ɛwɔ.

• Insulin: Sɛ wode insulin di dwuma a, bere nyinaa fa nneɛma foforo a ennya nwiei sie.
• Nneɛma a ɛsɛ sɛ wɔde ma bere a asikre sua: nnuaba mu nsu, anonne a asikre wom, anaa glucose aduru.
• Glucagon kit: Sɛnea ɛbɛyɛ a asikre dodow a ɛwɔ wo mogya mu no akɔ soro sɛ w’adwene mu yɛ wo naa a. Sɛ worehwɛ obi a ɔwɔ asikreyare a, hu sɛnea wode eyi bedi dwuma.
• Ketone test kit: Sɛ wɔde bɛsɔ ahwɛ sɛ wosusuw sɛ DKA na ɛwɔ hɔ anaa.
• Aduruyɛ ho kɔkɔbɔ abɔso: Eyi boa ma wohu sɛ woyɛ asikreyarefo sɛ tebea bi si ntɛm a.
• Nsɛm a edi mũ a ɛfa nnuru a wonom ho: Telefon so apps mpo wɔ hɔ ma eyi mprempren.