Yu tink se dayabitis kin mek yu kɔma? (Diabetes-Related Coma) Lɛ wi tɔk bɔt dis denja sik

Wetin yu kin du if pɔsin we gɛt dayabitis nɔ no natin wantɛm wantɛm ɛn i nɔ ebul fɔ wek ilɛksɛf yu tɔk to am? Dis kin rili mek pɔsin fred. Dis na kɔma, we na wan pan di prɔblɛm dɛn we kin mek pɔsin gɛt dayabitis. Fɔ tɔk di kɔrɛkt tin, na we pɔsin nɔ no natin we kin mek pɔsin slip dip. Dis kin ivin mek pɔsin in layf de pan denja. Bɔt if dɛn tɛl yu fayn fayn wan, yu kin mek dis tin nɔ apin ɛn ivin sev pɔsin in layf. So lɛ wi tɔk bɔt dis jɔs tide.

Wetin na dis dayabitik kɔma?

Fɔ tɔk am simpul wan, if pɔsin we gɛt dayabitis gɛt ay shuga na in blɔd we i nɔ ebul fɔ kɔntrol (haypa glycemia) ɔ i gɛt smɔl shuga na in blɔd (haypoglycemia) , i kin afɛkt di we aw in bren de wok dairekt wan ɛn mek i nɔ no natin. Dɛn kɔl dis dayabitik kɔma. Dis na siriɔs sik we nid fɔ gɛt mɛrɛsin kwik kwik wan.

Dis kayn kɔma kin kam wit tri men tin dɛm wae gɛt fɔ du wit dayabitis.

1. Dayabitik Kεtoasidכsis (DKA): Dis kin apin we di kεtכn, we na wan kayn asid, de inkrεs na di bכdi, we de mek di bכdi bi asid.

2. Hyperosmolar Hyperglycemic State (HHS): Dis na kכndyushכn we di bכdi shuga lεvεl kin rili hכy εn di bכdi kin bכku bכku wata.

3. Sivεr haypoglycemia: Dis na we di glukכs we de gi enεji to di bren de kam bכku bכku wan, we de mek di bren wok stכp.

Lɛ wi luk di tri men tin dɛn we kin mek pɔsin gɛt kɔma smɔl mɔ.

I rili impɔtant fɔ no smɔl bɔt dɛn tri tin ya, bikɔs if yu no di sayn dɛm fɔ ɛni wan pan di sik kwik kwik wan, dat kin mek dɛn nɔ go bifo to kɔma.

1. Dayabitik ketoasidכsis (DKA) .

Dis sik kin mɔs pan pipul dɛm wae gɛt Tayp 1 dayabitis , bɔt sɔmtɛm i kin kam pan pipul dɛm wae gɛt Tayp 2 dayabitis.

I simpul: Di ɔmon insulin impɔtant fɔ mek wi bɔdi in sɛl dɛn tek glukɔs (shuga) fɔ gɛt ɛnaji. Insay DKA, di bɔdi nɔ gɛt inof insulin. Dɔn, bikɔs di sɛl dɛn nɔ ebul fɔ tek glukɔs, di bɔdi kin bigin fɔ bɔn in yon fat fɔ gɛt ɛnaji. we dεn bכn dis fεt , kεtכn dεm de kכmכt lεk bayprodukt.Wan kemikal we dɛn kɔl ketɔn kin gɛda na di blɔd. dis kεtכn dεm na wan kayn asid. We dɛn gɛda na di blɔd, di blɔd kin bi asid. Dɛn kɔl dis DKA. If dɛn nɔ trit dis sik kwik, yu kin go na kɔma.

Tipikli, DKA na wan kכndyushכn we di bכdi shuga lεvεl hכy pas 250 mg/dL . Bɔt mɛmba se di men tin we kin mek DKA nɔ jɔs gɛt bɔku shuga, bɔt na we yu nɔ gɛt insulin ɛn we di ketɔn dɛn kin bɔku.

2. Hayperosmolar haypa glycemik stet (HHS) .

Dis kin mɔs bi pan pipul dɛm wae gɛt Tayp 2 Dayabitis . dis na we di bכdi shuga lεvεl kin hכy we dεn nכ kin kכntro (bכku tεm i pas 600 mg/dL ). We dis kin apin, di bɔdi kin tray fɔ pul di shuga we pasmak we de na di urine. Na di sem tɛm, bɔku bɔku wata kin lɔs na di bɔdi, ɛn dis kin mek yu nɔ gɛt wata bad bad wan . Dis kin afɛkt di bren, i kin mek i nɔ no natin, ɛn if dɛn nɔ trit am, i kin mek i go na kɔma.

3. Siriɔs haypoglycemia

dis na we di bכdi shuga lεvεl dכn dכn to rili lכw lεvεl, we kin dכn dכn 40 mg/dL . Dis kin rili denja bak fɔ layf.

Glukose na di men tin we de gi wi bɔdi, mɔ di bren. We glukɔs nɔ de na di blɔd, di bren nɔ kin ebul fɔ wok igen. Jɔs lɛk aw motoka in injin kin stɔp we in fiul dɔn, na so di bren kin "shut dɔŋ" ɛn go na kɔma. Dis kכndyushכn kin bכku pan pipul dεm wae de tek insulin injεkshכn כ sכm kayn dayabεtis mεdikeshכn (e.g., sulfonylureas).

Sayn dɛn we de wɔn pɔsin bifo yu go na kɔma

Pɔsin nɔ kin go na kɔma wantɛm wantɛm. Bifo dat, di bɔdi kin sho sɔm sayn dɛn we de wɔn pɔsin. Di tin we impɔtant pas ɔl na fɔ no dɛn sayn ya kwik kwik wan. Lɛ wi luk di sayn dɛm wae gɛt fɔ du wit dɛn tri sik ya sɛpret.

Afta dɛn sayn ya, if pɔrsin go na kɔma, dɛn go sho tri men sayn dɛm:

• Yu nɔ de tink gud wan: I tan lɛk se yu de slip dip dip wan. Nɔ go ebul fɔ wek am ɛni we.
• Ay dɛn we nɔ de ansa: Ay dɛn kin stil lɔk. Nɔ ansa we dɛn opin yay.
• Bodi immobilization: Nɔ de muv yu an ɔ yu fut we yu de tink bɔt. Bɔt sɔm tin dɛn we kin mek pɔsin fil fayn kin de de.

Tin dɛm wae wi fɔ du kwik kwik wan if pɔrsin nɔr no natin (fɔs ɛp) .

Imajin if pɔsin we gɛt dayabitis na yu eria bin fɔdɔm lɛk dis. Sɔm tin dɛn de we yu kin du. Dis kin ivin sev pɔsin in layf.

1. Kɔl 1990 wantɛm wantɛm: Di fɔs tin we yu fɔ du na fɔ kɔl ambulans. We yu de kɔl, se, "Pɔsin we gɛt dayabitis nɔ no natin."

2. Nɔ gi ɛnitin fɔ it ɔ drink: If yu gi it ɔ drink to pɔsin we nɔ no natin, i kin lod na di say we di briz de blo ɛn i kin denja mɔ.

3. Tɔn di pɔsin to di sayd: Insted fɔ mek i ledɔm na in sayd, tɔn di pɔsin to wan say (na in sayd) fɔ mek i nɔ vɔmit ɔ chok.

4. Wet fɔ di ambulans fɔ kam: Fɔ fala di instrɔkshɔn dɛn we di 1990 ɔpreshɔn gi.

Wetin mek dis kin apin? Wetin na di tin dɛn we kin mek pɔsin gɛt dis sik?

As wi bin dɔn tɔk, di wata we de kɔmɔt na di bɔdi bad bad wan, we kin apin to ɔl tu di DKA ɛn HHS, kin afɛkt di bren ɛn i kin mek i de na kɔma. Semweso, we di blɔd gɛt ay blɔd, di bren nɔ kin gɛt di ɛnaji (glukɔs) we i nid, we kin mek di bren wok stɔp ɛn i kin mek i go na kɔma.

Ɛnibɔdi we gɛt dayabitis de pan denja, bɔt sɔm tin dɛn kin mek dis risk bɔku.

• Dayabitis tayp: Pipul wae gɛt tayp 1 dayabitis kin go na kɔma bikɔs ɔf DKA ɛn siriɔs haypoglycemia. Pipul wae gɛt tayp 2 dayabitis kin go na kɔma bikɔs ɔf HHS.
• Ɔda sik dɛn: We pɔsin de sik lɛk fiva ɛn infɛkshɔn, i nɔ kin izi fɔ kɔntrol di shuga we de na di bɔdi.
• Ɔpreshɔn ɔ aksidɛnt: Di strɛs we dɛn tin ya kin put pan di bɔdi kin mek di blɔd shuga go ɔp.
• Prɔblɛm dɛn we pɔsin kin gɛt we i de yuz insulin: Dis sik kin kam bikɔs i nɔ gɛt insulin injɛkshɔn, we i tek di rɔng doz, ɔ we di insulin pɔmp nɔ de wok fayn.
• Nɔ fɔ de manej dayabitis fayn fayn wan: nɔ fɔ tek mɛrɛsin fayn, nɔ fɔ chɛk di blɔd shuga lɛvɛl ɔltɛm.
• Fɔ drink rɔm: Rɔk kin mek di blɔd shuga go dɔŋ bad bad wan.
• Hypoglycemia Unawareness: Sɔm pipul dɛn nɔ kin notis di fɔs sayn dɛm we de sho se yu blɔd shuga nɔ bɔku, lɛk fɔ shek ɛn swet. Sɔntɛm dɛn nɔ kin no natin wantɛm wantɛm.

Wetin dɛn kin du na di ɔspitul? (Diagnosis ɛn tritmɛnt)

Bikɔs dis na mɛdikal imejensi, ɔl di tritmɛnt dɛn kin apin na ɔspitul. Dɔktɔ dɛn kin no di sik kwik kwik wan bay we dɛn de chɛk di pɔsin in ditil ɛn di shuga we i gɛt na in blɔd. Dɛn kin chɛk bak di blɔd fɔ si if i gɛt ketɔn.

Di tritmɛnt dipen pan wetin mek di kɔma.

• If na bikɔs ɔf DKA ɔ HHS:
• IV fluid (saline): Dɛn kin gi salin tru wan vein fɔ mek yu nɔ gɛt wata na di bɔdi ɛn fɔ balans di bɔdi in sɔl dɛm.
• Insulin: Dɛn kin gi insulin insay di bɛlɛ ɔ as injɛkshɔn fɔ kɔntrol di blɔd shuga.
• Ɔda tritmɛnt dɛn: If wan ɔndalayn infɛkshɔn de we de mek dis sik, dɛn go trit dat bak.

• Sivεr Hypoglycemia (low blɔd shuga) kin kam bikɔs ɔf:
• Glucagon Injection: Glucagon na ɔmon we de ɛp wi liva fɔ pul glukɔs kwik kwik wan na di blɔd. Dɛn kin gi am as injɛkshɔn ɔ as sprɛy na in nos (nasal paoda). Ivin if yu gi dis to pɔsin na os, .Yu rili nid fɔ kɛr yu go na ɔspitul.

I pɔsibul fɔ mek yu wɛl kpatakpata frɔm dis sik?

Yɛs. If dɛn trit am kwik ɛn fayn, i kin wɛl ɔl di wan dɛn we gɛt dayabitis kɔma. Bɔt sɔntɛnde, if dɛn de te di tritmɛnt, i kin mek in bren pwɛl sote go ɛn sɔm tɛm dɛn kin ivin day.

Aw lɔng pɔrsin kin de na kɔma kin dipen pan aw dɛn kin gɛt tritmɛnt kwik kwik wan. If pɔsin nɔ gɛt tritmɛnt, i nɔ go wek pan dis stet fɔ insɛf. So, i impɔtant fɔ kɛr dɛn go na ɔspitul kwik kwik wan.

Aw dɛn go avɔyd dis denja?

Bɔku tɛm, pɔsin kin ebul fɔ avɔyd dis kɔma . Di impɔtant tin fɔ du na fɔ no bɔt di sayn dɛm we de sho se yu gɛt DKA, HHS, ɛn Hypoglycemia ɛn tek akshɔn jɔs afta dɛn apia.

Tɔk to yu dɔktɔ bɔt yu plan fɔ mɛn yu dayabitis. Go to dɔktɔ wantɛm wantɛm if yu gɛt ɛni wan pan dɛn tin ya:

Na nɔmal tin fɔ fil fɔ fred we yu yɛri bɔt di prɔblɛm dɛn we kin kam wit dayabitis. Bɔt fɔ no gud gud wan ɛn fɔ rɛdi na di bɛst we fɔ mek dɛn nɔ gɛt dɛn. Nɔ ɛva shem fɔ aks yu dɔktɔ ɛni kwɛstyɔn we yu gɛt bɔt aw fɔ kɔntrol yu dayabitis.