Cov txheej txheem:
Video: Vim li cas cov menyuam mos yug menyuam tau txais cov tshuaj hypoglycemia?
2024 Tus sau: Michael Samuels | [email protected]. Kawg hloov kho: 2023-12-16 01:44
Preterm neonates yog tshwj xeeb predisposed rau kev tsim kho hypoglycemia thiab nws cov teeb meem cuam tshuam vim lawv txwv glycogen thiab cov khw muag roj, tsis muaj peev xwm tsim cov piam thaj tshiab siv txoj hauv kev gluconeogenesis, muaj xav tau cov txheej txheem zom zaub mov ntau dua vim yog lub paj hlwb loj dua, thiab yog tsis tuaj yeem teeb tsa lub txee
Kuj tseem paub yog, dab tsi ua rau hypoglycemia hauv tus menyuam yug tshiab?
Hypoglycemia tuaj yeem yog ua los ntawm tej yam kev mob xws li: noj zaub mov tsis zoo rau leej niam thaum cev xeeb tub. Ua insulin ntau dhau vim tias leej niam tswj ntshav qab zib tsis zoo. Cov ntshav tsis sib xws niam thiab tus me nyuam (mob hnyav hemolytic ntawm menyuam mos )
Ib yam nkaus, neonatal hypoglycemia yog dab tsi? Neonatal hypoglycemia Cov piam thaj hauv ntshav tau qis dua 30 mg / dL (1.65 mmol / L) hauv thawj 24 teev ntawm lub neej thiab tsawg dua 45 mg / dL (2.5 mmol / L) tom qab ntawd, yog qhov teeb meem metabolic ntau tshaj plaws hauv cov ntshav. cov menyuam yug tshiab.
Ib yam li ntawd, nws tau nug, koj yuav kho hypoglycemia hauv cov menyuam mos li cas?
Ib yam menyuam mos nws cov piam thaj poob mus rau ≦ 50 mg / dL (≦ 2.75 mmol / L) yuav tsum pib kho sai nrog kev pub mis rau menyuam lossis nrog IV infusion txog li 12.5% D / W, 2 mL / kg tshaj 10 min; Qhov siab dua ntawm dextrose tuaj yeem siv tau yog tias tsim nyog los ntawm lub hauv paus catheter.
Cov menyuam mos twg muaj kev pheej hmoo hypoglycemia?
Cov menyuam mos feem ntau yuav muaj hypoglycemia suav nrog:
- Menyuam yug los rau leej niam uas muaj ntshav qab zib.
- Cov menyuam mos uas me rau hnub nyoog cev xeeb tub lossis txwv kev loj hlob.
- Cov menyuam mos yug ntxov, tshwj xeeb tshaj yog cov uas muaj qhov hnyav me me.
- Cov me nyuam yug los ntawm kev ntxhov siab loj.
- Menyuam mos nrog niam kho nrog qee yam tshuaj xws li terbutaline.
Pom zoo:
Yuav kho tus menyuam mos hypoglycemia li cas?
Txhua tus menyuam mos uas muaj ntshav qab zib poob rau ≦ 50 mg/dL (≦ 2.75 mmol/L) yuav tsum pib kho sai sai nrog kev pub mis nkag los lossis nrog IV 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
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