Koj puas yog ib tug neeg uas muaj mob ntshav qab zib? Yog li ntawd, koj yuav tsum txhawj xeeb txog koj cov ntshav qab zib tas li, puas yog? Tab sis koj puas tau hnov txog ib qho mob hnyav heev uas tuaj yeem ua rau tuag taus uas los ntawm mob ntshav qab zib? Ntawd yog qhov peb tab tom tham txog hnub no. Qhov no hu ua Diabetic Ketoacidosis , lossis (DKA) luv luv. Nws yog ib qho tseem ceeb heev rau koj txoj kev nyab xeeb kom paub zoo txog qhov no.
Hais yooj yim xwb, DKA yog dab tsi?
Zoo, cia peb hais li no. Insulin yog ib yam tshuaj hormones uas pab peb lub cev cov cell siv glucose, lossis qab zib, los ua lub zog. Thaum ib tug neeg uas muaj ntshav qab zib tsis muaj insulin txaus, lossis thaum insulin uas lawv muaj tsis ua haujlwm zoo, cov cell siv tsis tau cov qab zib hauv cov ntshav.
Ces peb lub cev xav tias, "Auj, kuv lub zog yuav tag lawm." Yog li ntawd, lub cev siv lwm txoj hauv kev los ua lub zog. Qhov ntawd yog los ntawm kev hlawv cov rog hauv lub cev. Thaum cov rog raug hlawv li no, cov tshuaj hu ua ketones raug tso tawm rau hauv cov ntshav ua cov khoom seem. Nws yog ib txwm muaj qee cov ketones. Tab sis thaum cov txheej txheem no tsis raug tswj vim tsis muaj insulin, ntau cov ketones sib sau ua ke hauv cov ntshav. Cov ketones no yog ib hom kua qaub. Yog li, thaum lawv sib sau ua ke hauv cov ntshav, peb cov ntshav dhau los ua kua qaub.
Qhov ntawd yog qhov peb hu ua DKA, lossis Ketoacidosis , thaum cov ntshav dhau los ua kua qaub. Qhov no yog ib qho mob txaus ntshai heev. Yog tias tsis kho raws sijhawm, nws tuaj yeem ua rau tuag tau.
Yog tias koj cov ntshav qab zib feem ntau siab dua 240 mg / dL , nws yog qhov zoo los kuaj xyuas koj cov ketone txhua 4-6 teev. Cov ntshav qab zib siab dua 250 mg / dL yog suav tias yog qhov pib ntawm DKA. Yog tias koj cov ntshav qab zib tsis nyob sab nraum qhov ntau thiab tsawg, tham nrog koj tus kws kho mob tam sim ntawd .
Thaum twg koj yuav tsum mus rau tsev kho mob ceev (ETU)?
Yog tias koj cov ntshav qab zib yog 300 mg/dL lossis siab dua thiab nws tsis nqis, lossis yog tias koj tseem ntuav, nkees heev, lossis muaj cov tsos mob ntawm DKA xws li ua pa nyuaj, mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ze tshaj plaws tam sim ntawd.
Ketoacidosis thiab Ketosis puas yog ob yam sib txawv?
Yog lawm, txawm hais tias ob lo lus no zoo ib yam, lawv yog ob txoj kev sib txawv kiag li.
- Ketosis: Qhov no tshwm sim thaum koj noj cov zaub mov uas tsis muaj carbohydrates ntau (xws li mov ci, mov, pasta) (piv txwv li, cov zaub mov keto). Tom qab ntawd lub cev hlawv cov rog kom muaj zog. Ntawm no thiab, cov ketones raug tsim tawm, tab sis nws tshwm sim hauv txoj kev tswj hwm. Vim tias muaj insulin txaus hauv lub cev. Ketosis tsis yog lub xeev txaus ntshai.
- Ketoacidosis (DKA):Qhov no tshwm sim vim tsis muaj insulin. Cov ketones sib sau ua ke yam tsis tau tswj, ua rau cov ntshav ua kua qaub. Qhov no yog qhov txaus ntshai rau lub neej.
Cov tsos mob ntawm DKA yog dab tsi?
Cov tsos mob ntawm DKA tuaj yeem tshwm sim sai sai. Qee zaum, ib tus neeg raug kuaj pom tias muaj tus kab mob ntshav qab zib thawj zaug tom qab lawv tau muaj DKA. Nws yog ib qho tseem ceeb uas yuav tsum paub txog cov tsos mob no.
| Cov tsos mob ntawm DKA - ceev faj! | |
|---|---|
| Cov Cim Qhia Thaum Ntxov | |
| Tso zis ntau zaus dua li niaj zaus | Cov ketone ntau ntxiv hauv cov zis lossis cov ntshav |
| Xav tias nqhis dej heev | Kev qhuav dej |
| Cov ntshav qab zib ntau (ntau tshaj 250 mg / dL) | Mob taub hau hnyav heev |
| Cov Cim Qhia Tom Qab/Loj | |
| Xeev siab thiab ntuav | Mob lub cev, cov leeg nqaij co, xav tias qaug zog |
| Qhov ncauj qhuav thiab daim tawv nqaij | Qaug zog heev |
| Kev tsis meej pem, kev tsis nco qab | Ua pa nyuaj, ua pa sai |
| Ib qho tsw qab txiv hmab txiv ntoo (qab zib) ntawm qhov ua pa | Mob plab |
| Yog koj muaj cov tsos mob no, mus rau ETU tam sim ntawd! Yog tias koj cov ketone theem nrab lossis siab thiab koj muaj cov tsos mob saum toj no, yog tias koj cov ntshav qab zib tshaj 300 thiab tsis txo qis, yog tias koj ntuav ntau tshaj 2 teev, yog tias koj ua pa tsw qab txiv hmab txiv ntoo, yog tias koj nkees heev lossis mob taub hau, lossis yog tias koj ua pa nyuaj, tsis txhob ncua sijhawm . | |
Cov ua rau muaj DKA yog dab tsi?
Txawm hais tias qhov ua rau DKA tseem ceeb yog tsis muaj insulin, muaj ntau yam ua rau muaj tus mob no.
- Tsis noj tshuaj insulin kom raug: Qhov kev pheej hmoo no yuav nce ntxiv yog tias koj tsis noj cov tshuaj insulin uas koj tus kws kho mob tau sau tseg raws sijhawm lossis yog tias koj hla dhau ib koob tshuaj. Qee zaum, kev siv cov tshuaj insulin uas tas sij hawm kuj tuaj yeem yog ib qho ua rau.
- Kev Mob: Thaum koj kub taub hau, mob khaub thuas, mob txeeb zis (UTI), lossis mob ntsws, koj lub cev tsim cov tshuaj hormones kev ntxhov siab (xws li cortisol thiab adrenaline). Cov tshuaj hormones no cuam tshuam rau kev ua haujlwm ntawm insulin. Yog li ntawd, koj yuav muaj feem ntau dua rau kev mob DKA rau hnub uas koj mob.
- Lwm yam kev cuam tshuam rau lub cev: Qhov kev pheej hmoo ntawm DKA kuj nce ntxiv vim muaj kev ntxhov siab ntxiv rau lub cev, xws li kev phais, raug xwm txheej, lossis muaj mob plawv lossis mob hlwb.
- Kab mob ntshav qab zib uas tsis tau kuaj pom: Cov neeg uas tsis paub tias lawv muaj kab mob ntshav qab zib, tshwj xeeb tshaj yog cov neeg uas muaj kab mob ntshav qab zib hom 1, tuaj yeem mob DKA.
- Lwm yam ua rau: Haus dej cawv ntau dhau, siv tshuaj yeeb, cev xeeb tub, thiab qee yam tshuaj (piv txwv li corticosteroids) kuj tuaj yeem ua rau muaj DKA. Yog tias koj muaj ntshav qab zib, nws yog ib qho tseem ceeb uas yuav tsum qhia rau koj tus kws kho mob ua ntej noj tshuaj tshiab.
Koj yuav ua li cas thiaj tiv thaiv tau DKA kom tsis txhob tshwm sim?
Zoo hmoo, DKA yog ib qho mob uas tiv thaiv tau, thiab qhov tseem ceeb yog tswj koj tus kab mob ntshav qab zib kom zoo.
Nco ntsoov, koj yog tus uas muaj lub luag haujlwm tswj koj tus kab mob ntshav qab zib. Nws yog ib qho tseem ceeb uas yuav tsum saib xyuas koj lub cev thaum ua raws li koj tus kws kho mob cov lus qhia.
Nov yog qee yam koj ua tau txog nws:
- Tshawb xyuas koj cov ntshav qab zib tsis tu ncua: Tshawb xyuas koj cov ntshav qab zib ntau zaus hauv ib hnub, raws li koj tus kws kho mob hais. Sim ua kom lawv nyob rau hauv qhov ntau uas pom zoo.
- Noj tshuaj raws nraim li no:Noj tshuaj insulin lossis lwm yam tshuaj kho mob ntshav qab zib raws sijhawm thiab raws li qhov ntau npaum li cas. Tsis txhob hla dhau qhov noj tshuaj.
- Noj kom raug: Ua raws li txoj kev npaj pluas noj uas tau muab rau koj raws nraim.
- Haus dej ntau: Haus dej ntau thiab haus dej uas tsis muaj piam thaj.
- Npaj ib txoj kev npaj rau cov hnub mob: Tham nrog koj tus kws kho mob ua ntej txog yuav ua li cas kuaj xyuas koj cov ntshav qab zib thiab cov ketone thaum koj kub taub hau lossis mob khaub thuas, thiab seb koj puas xav tau hloov koj cov tshuaj insulin.
- Tshawb xyuas cov ketones: Tshawb xyuas cov ketones txhua lub sijhawm koj cov piam thaj hauv ntshav siab dua 240 mg / dL. Koj tuaj yeem ua qhov no siv cov ntawv xeem zis lossis qee cov glucometers.
- Npaj rau qhov xwm txheej ceev: Npaj ua ntej yuav ua li cas thiab yuav mus qhov twg yog tias muaj cov tsos mob DKA tshwm sim.
Cov kev kho mob rau DKA hauv tsev kho mob yog dab tsi?
Thaum koj mus rau ETU nrog cov tsos mob ntawm DKA, cov kws kho mob yuav ua cov kauj ruam sai sai los tswj koj tus mob. Kev kho mob no feem ntau yog muab rau hauv tsev kho mob.
1. Cov kua dej hauv cov hlab ntsha: Muab cov ntsev rau hauv cov hlab ntsha kom tswj tau qhov qhuav dej thiab kho qhov sib npaug ntawm cov tshuaj lom neeg hauv cov ntshav.
2. Insulin: Insulin raug muab rau hauv cov hlab ntsha kom tiv thaiv kev tsim cov ketones thiab tswj cov qib qab zib hauv cov ntshav.
3. Kev Hloov Electrolyte: DKA ua rau lub cev poob cov zaub mov tseem ceeb (electrolytes) xws li sodium thiab potassium. Vim tias cov no yog qhov tseem ceeb rau kev ua haujlwm ntawm lub plawv, cov leeg, thiab cov hlab ntsha, lawv raug hloov los ntawm saline.
4. Kev Kho Mob Rau Kev Kis Kab Mob: Yog tias qhov ua rau DKA yog kev kis kab mob, yuav muab tshuaj tua kab mob rau.
Feem ntau tus mob no tuaj yeem tswj tau hauv 24 teev, tab sis yog tias tus mob hnyav heev, nws yuav siv sijhawm ntev dua.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob ntshav qab zib ketoacidosis (DKA) yog ib qho teeb meem txaus ntshai heev, uas ua rau tuag taus.
- Qhov no tshwm sim vim tsis muaj insulin hauv lub cev, hlawv rog kom tau zog, thiab muaj ketones (acids) ntau dhau hauv cov ntshav.
- Cov tsos mob tseem ceeb yog nqhis dej ntau dhau, tso zis ntau zaus, ua pa tsw qab txiv hmab txiv ntoo, tsis meej pem, thiab qaug zog heev.
- Yog tias koj muaj cov tsos mob no, tshwj xeeb tshaj yog tias koj cov ntshav qab zib siab, mus rau chav kho mob ceev hauv tsev kho mob (ETU) tam sim ntawd.
- Koj tuaj yeem tiv thaiv DKA los ntawm kev tswj koj tus kab mob ntshav qab zib kom zoo, noj koj cov tshuaj kom raug, thiab ua neej noj qab nyob zoo. Tham nrog koj tus kws kho mob txog qhov no tsis tu ncua.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus