Cov txheej txheem:

Cov tshuaj dab tsi tuaj yeem ua rau lub xeev hyperosmolar hyperglycemic?
Cov tshuaj dab tsi tuaj yeem ua rau lub xeev hyperosmolar hyperglycemic?

Video: Cov tshuaj dab tsi tuaj yeem ua rau lub xeev hyperosmolar hyperglycemic?

Video: Cov tshuaj dab tsi tuaj yeem ua rau lub xeev hyperosmolar hyperglycemic?
Video: Tshuaj Kho Neeg Siab Phem Tso Dab Tom/ Qhwv kom Tus Tso Dab Tom Tuag Thiab Tuaj Thov 2021 2024, Lub Xya hli ntuj
Anonim

Cov tshuaj twg ua rau muaj kev pheej hmoo rau hyperosmolar hyperglycemic xeev (HHS)?

  • Dej cawv thiab yeeb dawb.
  • Tshuaj loog.
  • Antiarrhythmics (piv txwv li, encainide thiab propranolol)
  • Antidiabetic tshuaj noj (sodium-glucose cotransporter-2 [SGLT-2] inhibitors)
  • Antiepileptics (piv txwv li, phenytoin)

Ib yam li ntawd, ib tus neeg yuav nug, yuav kho li cas hyperosmolar hyperglycemic xeev?

Kev kho mob

  1. Intravenous kua los tiv thaiv lub cev qhuav dej.
  2. Kev txhaj tshuaj insulin los txo koj cov ntshav qab zib.
  3. Cov poov tshuaj hauv cov hlab ntsha, thiab qee zaus sodium phosphate hloov los pab koj lub hlwb ua haujlwm kom raug.

Ib yam li ntawd, qhov txawv ntawm tus mob ntshav qab zib ketoacidosis thiab hyperosmolar hyperglycemic xeev yog dab tsi? Txawm hais tias ob qho xwm txheej tuaj yeem tshwm sim ntawm txhua lub hnub nyoog, mob ntshav qab zib ketoacidosis feem ntau txhim kho hauv cov neeg mob hluas, tsawg dua 45 xyoo, leej twg muaj tsawg lossis tsis muaj cov tshuaj insulin tsim tawm, thaum HHS feem ntau tshwm sim hauv cov neeg laus laus uas tsis muaj insulin ntau (uas feem ntau ntau dua 60 xyoo).

Xav txog qhov no, hyperosmolar hyperglycemic xeev yog dab tsi?

Hyperosmolar hyperglycemic xeev (HHS) yog qhov nyuaj ntawm cov ntshav qab zib mellitus uas cov ntshav qab zib ua rau muaj osmolarity siab yam tsis muaj ketoacidosis tseem ceeb.

HHNS pathophysiology yog dab tsi?

Hyperosmolar Hyperglycemic Nonketotic Syndrome ( HHNS ), kuj hu ua Hyperosmolar Hyperglycemic State (HHS) yog qhov xwm txheej txaus ntshai los ntawm cov ntshav qab zib ntau ntau. HHNS tuaj yeem cuam tshuam rau ob hom ntshav qab zib, tab sis nws feem ntau tshwm sim ntawm cov neeg uas muaj ntshav qab zib hom 2.

Pom zoo: