Hypoglycemia, tseem hu ua ntshav qab zib qis, yog kev kho mob xwm txheej ceev. Qhov xwm txheej no tuaj yeem tshwm sim thaum ib tus neeg muab lawv tus kheej insulin ntau dhau, hla pluas mov lossis ua haujlwm hnyav dhau. Paub paub muab cov piam thaj rau cov neeg mob ntshav qab zib hauv qhov xwm txheej no tuaj yeem cawm lawv txoj sia. Muab ib tus neeg paub qab hau cov ntsiav tshuaj lossis sib npaug. Yog tias tus neeg tsis nco qab, lawv yuav xav tau txhaj tshuaj glucagon.
Cov kauj ruam
Txoj Kev 1 ntawm 2: Pab Ib Tug Neeg Paub
Kauj Ruam 1. Muab tus neeg rau 3 ntsiav tshuaj qab zib, yog tias muaj
Cov no muaj nyob ntawm cov chaw muag tshuaj feem ntau, yam tsis muaj daim ntawv yuav tshuaj. Peb lub ntsiav tshuaj muaj cov piam thaj txaus los tswj tus neeg mob, thiab tuaj yeem noj tau ntawm qhov ncauj.
- 4 dextrose ntsiav tshuaj kuj tseem siv tau.
- Glucose gel kuj tseem muaj nyob ntawm qee lub tsev muag tshuaj. Yog koj pom qhov no, ua tib zoo nyeem daim ntawv lo txhawm rau txiav txim siab qhov tsim nyog muab rau tus neeg mob.
Kauj Ruam 2. Muab kaum tsib grams ntawm carbohydrates yog tias tsis muaj cov ntsiav tshuaj qab zib
Kev noj lossis haus yuav pab ua kom tus neeg mob ruaj khov, tab sis koj yuav tsum xaiv cov zaub mov lossis haus kom zoo. Cov kev xaiv zoo suav nrog:
- Plaub ooj (120 milliliters) ntawm cov kua txiv hmab txiv ntoo
- Kwv yees li ib nrab ib lub peev xwm ntawm ib txwm (tsis noj zaub mov) dej qab zib
- Ib diav (15 milliliters) ntawm cov suab thaj granulated, tsis tu ncua jelly, lossis zib ntab
- Tsib lossis rau daim me me ntawm cov khoom qab zib nyuaj
- Ob dia (30 milliliters) ntawm raisins
Kauj Ruam 3. Tos 15 feeb ua ntej kuaj tus neeg cov ntshav qab zib
Siv tus qauv ntsuas ntshav qab zib ntsuas. Lub ntsuas yuav tsum nyeem siab dua 70 mg/dl (4 mmol/L). Yog tias cov ntshav qab zib tseem qis heev, rov kho dua thiab kuaj dua.
Kauj Ruam 4. Kom tus neeg noj khoom txom ncauj
Muab tus neeg rau qee yam nrog cov hmoov txhuv nplej siab thiab protein ntau hauv nws. Qhov no yuav pab ua kom lawv cov ntshav qab zib nyob ruaj khov thiab tiv thaiv kom tsis txhob poob ntxiv. Cov khoom yuav tsum suav ua khoom noj txom ncauj, tsis suav nrog cov pluas noj yav tom ntej. Kev xaiv zoo suav nrog:
- Graham crackers (3)
- Ntsev (6)
- Ib nrab qhaub cij nrog nqaij
- Ib daim ntawm toast ib nrab khob mis
- Ib khob mis nyuj puv.
Txoj kev 2 ntawm 2: Kev tswj hwm Glucose rau tus neeg tsis nco qab
Kauj Ruam 1. Nrhiav tus neeg cov khoom siv glucagon
Yog tias tus neeg tsis nco qab, koj yuav tsum tau txhaj tshuaj glucagon rau lawv. Yog tias koj tsis yog kws kho mob, tom qab ntawv qhov no yuav tsum ua los ntawm ib tus neeg hauv tsev neeg lossis phooj ywg uas tau qhia paub yuav ua li cas thiaj txhaj tshuaj.
- Hu rau tus xov tooj xwm ceev tam sim yog tias tsis muaj leej twg tuaj yeem txhaj tshuaj tau.
- Glucagon xav tau daim ntawv yuav tshuaj. Yog tias koj yog tus mob ntshav qab zib, xyuas kom ib tus neeg nyob ib puag ncig koj paub tias koj muaj daim ntawv yuav tshuaj, thiab qhia lawv tias yuav txhaj tshuaj li cas.
Kauj Ruam 2. Txheeb xyuas hnub tas sij hawm ntawm cov khoom siv glucagon thaum muaj xwm ceev
Yog tias cov khoom siv tseem siv tau, qhib nws thiab tshem tawm cov ntsiab lus. Sib tov cov hmoov glucagon thiab kua, ua tib zoo ua raws cov lus qhia ntawm lub npov.
- Tsis txhob muab tshuaj noj tas sij hawm. Hloov chaw, hu rau kev pabcuam thaum muaj xwm ceev.
- Khaws cov glucagon khaws cia hauv chav sov.
Kauj Ruam 3. Muab tus neeg nyob ntawm lawv ib sab
Kev txhaj tshuaj glucagon tuaj yeem ua rau tus neeg ntuav. Txhawm rau kom tus neeg tsis txhob ua pa hauv qhov xwm txheej no tshwm sim, tig lawv ntawm lawv sab.
Kauj Ruam 4. Ntxuav qhov chaw txhaj tshuaj
Siv cawv cawv los yog pob paj rwb ntub rau hauv cawv. Qhov chaw nkag tau yooj yim yuav yog caj npab. Cia nws qhuav li ob peb feeb.
Kauj Ruam 5. Npaj cov tshuaj
Coj mus rhaub rab koob maj mam nrog koj tus ntiv tes txhawm rau tshuaj xyuas cov npuas. Yog tias muaj tshwm sim, thawb lub plunger me ntsis kom tawm cua. Pinch daim tawv nqaij ntawm ib txhais tes. Tuav lub koob txhaj tshuaj ze ntawm qhov quav nrog koj cov ntiv tes tawm ntawm lub plunger.
Kauj Ruam 6. Ntxig lub koob txhaj tshuaj
Muab rab koob tso rau hauv qhov chaw txhaj tshuaj. Nws tuaj yeem raug txhaj rau hauv cov rog subcutaneous lossis hauv cov leeg. Ceev nrooj thawb lub twj tso kua mis kom tas thiab muab cov nyiaj teev hauv cov khoom siv lub raj mis.
Feem ntau lub koob txhaj tshuaj tau tuav ntawm 90-degree lub kaum ntse ntse, txawm li cas los xij lub kaum sab xis 45 degree feem ntau xav tau rau cov menyuam yaus thiab cov neeg laus. Qhov no yog txhawm rau tiv thaiv kev txhaj tshuaj mus rau hauv cov leeg
Kauj Ruam 7. Tshem lub koob txhaj tshuaj maj mam
Nco ntsoov nws tau raug tshem tawm ntawm tib lub kaum ntse ntse nws tau ntxig. Muab lub hau npog rov qab hla rab koob siv. Muab rab koob siv pov tseg tso rau hauv lub thawv pov tseg ntse lossis lub thawv tawv nrog lub hau, xws li lub raj mis ntxhua khaub ncaws, kom sai li sai tau.
Siv ib rab tes rov ua dua txoj hauv kev txhawm rau tiv thaiv cov koob tsis raug. Muab lub hau tso rau ntawm lub tiaj tiaj, tom qab ntawd ntxig lub raj mis rau hauv lub hau siv ib txhais tes. Thawb lub taub hau kom txog thaum koj hnov "nyem"
Kauj Ruam 8. Tos tus neeg kom sawv
Glucagon yuav tsum ua sai sai. Tsis pub dhau 10 feeb ntawm kev txhaj tshuaj, tus neeg yuav tsum sawv.
- Hu xov tooj rau cov kev pabcuam thaum muaj xwm txheej tam sim tom qab txhaj tshuaj. Glucagon yuav tswj tus neeg cov ntshav qab zib nyob ib ntus, tab sis lawv tseem yuav tsum tau tshuaj los ntawm kws kho mob.
- Npaj kom huv thaum tus neeg ntuav.
Kauj Ruam 9. Muab khoom rau tus neeg noj
Txog lub sijhawm 15 feeb dhau los txij li kev txhaj tshuaj, tus neeg yuav tsum muaj peev xwm nqos tau. Muab qee yam rau lawv nrog cov carbohydrates thiab cov protein ua khoom noj txom ncauj.
Lub tswv yim
- Yog tias tsis zoo li qhov laj thawj uas ua rau cov ntshav qab zib poob qis (xws li hla kev noj mov), tom qab ntawd qhia rau kws kho mob paub tias muaj dab tsi tshwm sim.
- Cov neeg mob ntshav qab zib yuav tsum txiav txim siab hnav daim ID kho mob kom lwm tus yuav paub tias lawv xav tau kev pab thaum muaj xwm txheej ceev.
Lus ceeb toom
- Tsis txhob muab tus neeg tsis nco qab dab tsi los ntawm qhov ncauj. Qhov no yuav ua rau hnoos.
- Tus neeg no yuav nyob rau qhov tsis nco qab los ntawm hyperglycemia hnyav (ntshav qabzib ntau) ntau dua li cov ntshav qabzib. Hauv qhov xwm txheej zoo li no, tus neeg yuav tsis teb rau Glucagon thiab xav tau kev kho mob tam sim.
