Video: Yuav kho tus menyuam mos hypoglycemia li cas?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Ib yam menyuam mos nws cov piam thaj poob rau ≦ 50 mg/dL (≦ 2.75 mmol/L) yuav tsum pib sai kev kho mob nrog kev pub mis nkag los lossis nrog IV txoj kev tso ntshav txog li 12.5% D/W, 2 mL/kg tshaj 10 feeb; ntau dua cov ntsiab lus ntawm dextrose tuaj yeem siv tau yog tias tsim nyog los ntawm lub hauv paus catheter.
Ib yam li ntawd, nws tau nug, puas muaj cov piam thaj hauv cov menyuam mos tawm mus?
Txawm li cas los xij, ntshav qab zib tsawg qib tuaj yeem rov qab los me me ntawm cov menyuam tom qab kho tas. Tus mob zoo li yuav rov qab los thaum cov menyuam raug tshem tawm cov khoom noj uas tau muab los ntawm cov leeg ntshav ua ntej lawv tau npaj txhij los noj ntawm qhov ncauj. Cov menyuam mos uas muaj cov tsos mob hnyav dua yuav tsim teeb meem kev kawm.
Tsis tas li ntawd, dab tsi ua rau menyuam mos hypoglycemia? Hypoglycemia ua tau ua los ntawm cov xwm txheej xws li: Khoom noj khoom haus tsis zoo rau leej niam thaum cev xeeb tub. Ua insulin ntau dhau vim tias leej niam tswj ntshav qab zib tsis zoo. Hom ntshav tsis sib xws ntawm niam thiab menyuam (kab mob hemolytic hnyav ntawm menyuam mos )
Ib qho yooj yim, ntev npaum li cas neonatal hypoglycemia nyob ntev?
Feem ntau, cov ntshav qabzib tsawg yuav tsuas yog kawg ob peb teev, tab sis tuaj yeem ua tau kawg mus txog 24-72 teev. Thaum koj tus menyuam qib tau zoo, nws yuav tsum tsis muaj teeb meem ntxiv nrog hypoglycemia (lwm lub npe rau cov ntshav qis). Hauv qhov xwm txheej tsawg heev, ntshav qab zib tsawg tuaj yeem mob hnyav lossis kawg a ntev sij hawm
Cov tshuaj twg yog lub luag haujlwm rau cov menyuam mos hypoglycemia?
Somatostatin lossis nws cov yeeb yam ua yeeb yam ntev octreotide tshuaj kuj tseem txwv tsis pub tso tawm insulin nrog rau kev loj hlob hormone thiab glucagon zais cia thiab siv feem ntau ua ntej yug menyuam hauv lub cev xav tau kev kho tus txiav ua kab mob rau qhov ua rau lub cev tsis muaj ntshav qab zib thiab hyperinsulinemia.
Pom zoo:
Vim li cas cov menyuam mos yug menyuam tau txais cov tshuaj hypoglycemia?
Preterm neonates yog tshwj xeeb predisposed rau kev txhim kho hypoglycemia thiab nws cov teeb meem cuam tshuam vim lawv txwv glycogen thiab cov khw muag khoom rog, tsis muaj peev xwm tsim cov piam thaj tshiab siv txoj hauv kev gluconeogenesis, muaj kev xav tau ntau dua vim lub hlwb loj dua, thiab tsis tuaj yeem tsim lub txee
Koj yuav kho tus Ineing li cas hauv tus menyuam mos?
Kev ua neej nyob thiab kev kho mob hauv tsev Khaws koj tus menyuam lub ntsej muag kom huv si. Ntxuav koj tus menyuam lub ntsej muag txhua hnub nrog dej sov thiab xab npum me me. Qhuas koj tus menyuam lub ntsej muag maj mam. Tsuas txhuam koj tus menyuam daim tawv nqaij kom qhuav. Tsis txhob rub los yog txhuam cov pob txuv. Tej zaum koj yuav ua rau khaus ntau dua los yog muaj kab mob. Tsis txhob siv tshuaj pleev lossis roj rau ntawm koj tus menyuam lub ntsej muag
Thaum tus kws kho mob tau tso cai tso cai ntau npaum li cas yuav tsum muaj kev sib ntsib tim ntsej tim muag tshwm sim ntawm tus kws kho mob thiab cov kws kho mob qib siab uas tau sau npe rau tus nais maum?
Txawm li cas los xij, yog tias APRN lossis PA tau nyob hauv daim ntawv pom zoo tso cai nrog kws saib xyuas kws kho mob tsawg kawg tsib ntawm xya xyoo dhau los, cov rooj sib tham tim ntsej tim muag yuav tsum tshwm sim tsawg kawg ib hlis txog rau thawj hnub ntawm hnub uas tau pom zoo kos npe
Yuav kho tus mob hypoglycemia yam tsis muaj ntshav qab zib li cas?
Koj tus kws kho mob tuaj yeem kuaj mob tsis yog mob ntshav qab zib hypoglycemia los ntawm kev tshuaj xyuas koj cov tsos mob, kuaj lub cev, saib koj li kev pheej hmoo rau ntshav qab zib, thiab tshuaj xyuas koj cov ntshav qab zib. Kev kuaj xyuas koj cov ntshav qabzib kom pom tias nws qis dua (kwv yees li 55 mg / dL lossis tsawg dua) thaum koj muaj cov tsos mob yog ib feem tseem ceeb ntawm kev kuaj mob
Koj yuav kho tus mob rov qab zoo li cas hauv cov menyuam mos?
Kev ua neej nyob thiab kev kho mob hauv tsev Pub koj tus menyuam nyob rau hauv qhov ncaj. Kuj tseem tuav koj tus menyuam hauv qhov chaw zaum li 30 feeb tom qab pub mis, yog tias ua tau. Sim me me, nquag noj ntau dua. Siv sij hawm los nplawm koj tus menyuam. Muab tus menyuam pw saum nws nraub qaum