{"id":898,"date":"2016-10-22T10:36:17","date_gmt":"2016-10-22T03:36:17","guid":{"rendered":"https:\/\/yhoccongdong.org\/tieu-duong\/cach-xu-ly-voi-tinh-huong-dung-insulin-qua-lieu\/"},"modified":"2024-06-02T21:29:00","modified_gmt":"2024-06-02T14:29:00","slug":"cach-xu-ly-voi-tinh-huong-dung-insulin-qua-lieu","status":"publish","type":"post","link":"https:\/\/yhoccongdong.com\/tieu-duong\/cach-xu-ly-voi-tinh-huong-dung-insulin-qua-lieu\/","title":{"rendered":"C\u00e1ch x\u1eed l\u00fd v\u1edbi t\u00ecnh hu\u1ed1ng d\u00f9ng insulin qu\u00e1 li\u1ec1u"},"content":{"rendered":"<p style=\"text-align: justify\">To\u00e1t m\u1ed3 h\u00f4i, run tay, lo l\u1eafng v\u00e0 c\u0103ng th\u1eb3ng v\u00e0 c\u00f3 nh\u1eefng d\u1ea5u hi\u1ec7u c\u1ee7a nh\u1ea7m l\u1eabn l\u00e0 nh\u1eefng tri\u1ec7u ch\u1ee9ng c\u01a1 b\u1ea3n cho th\u1ea5y l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u (glucose) gi\u1ea3m. B\u00e1c s\u1ef9 c\u1ee7a b\u1ea1n c\u00f3 th\u1ec3 g\u1ecdi \u0111\u00f3 l\u00e0 <strong>h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft<\/strong> (hypoglycemia). T\u00ecnh tr\u1ea1ng n\u00e0y th\u01b0\u1eddng x\u1ea3y ra khi b\u1ea1n d\u00f9ng qu\u00e1 nhi\u1ec1u insulin.<\/p>\n<p style=\"text-align: justify\">H\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft x\u1ea3y ra v\u1edbi nhi\u1ec1u b\u1ec7nh nh\u00e2n m\u1eafc b\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng. N\u00f3 c\u00f3 th\u1ec3 g\u00e2y h\u1eadu qu\u1ea3 nghi\u00eam tr\u1ecdng. Tuy nhi\u00ean, ph\u1ea7n l\u1edbn c\u00e1c v\u1ea5n \u0111\u1ec1 c\u00f3 li\u00ean quan \u0111\u1ebfn insulin c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u ch\u1ec9nh. N\u1ebfu b\u1ea1n tu\u00e2n th\u1ee7 nh\u1eefng nguy\u00ean t\u1eafc c\u01a1 b\u1ea3n d\u01b0\u1edbi \u0111\u00e2y.<\/p>\n<h2 style=\"text-align: justify\">C\u00e1ch tr\u00e1nh nh\u1ea7m l\u1eabn khi s\u1eed d\u1ee5ng Insulin<\/h2>\n<p style=\"text-align: justify\">C\u00f3 m\u1ed9t v\u00e0i l\u00fd do d\u1eabn t\u1edbi vi\u1ec7c s\u1eed d\u1ee5ng qu\u00e1 nhi\u1ec1u insulin. \u0110i\u1ec1u n\u00e0y th\u01b0\u1eddng x\u1ea3y ra khi:<\/p>\n<ul style=\"text-align: justify\">\n<li>B\u1ea1n \u0111\u1ecdc nh\u1ea7m h\u01b0\u1edbng d\u1eabn s\u1eed d\u1ee5ng tr\u00ean l\u1ecd (vials) ho\u1eb7c \u1ed1ng ti\u00eam (syringes): Khi b\u1ea1n ch\u01b0a quen v\u1edbi s\u1ea3n ph\u1ea9m d\u01b0\u1ee3c ph\u1ea9m m\u1edbi, b\u1ea1n r\u1ea5t d\u1ec5 m\u1eafc sai l\u1ea7m n\u00e0y.<\/li>\n<li>S\u1eed d\u1ee5ng nh\u1ea7m lo\u1ea1i insulin: V\u00ed d\u1ee5 nh\u01b0 b\u1ea1n th\u01b0\u1eddng s\u1eed d\u1ee5ng 30 \u0111\u01a1n v\u1ecb lo\u1ea1i insulin t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i (long-acting insulin) v\u00e0 10 \u0111\u01a1n v\u1ecb insulin t\u00e1c d\u1ee5ng ng\u1eafn (short-acting insulin). B\u1ea1n c\u00f3 th\u1ec3 r\u1ea5t d\u1ec5 nh\u1ea7m l\u1eabn li\u1ec1u d\u00f9ng hai lo\u1ea1i n\u00e0y v\u1edbi nhau.<\/li>\n<li>S\u1eed d\u1ee5ng insulin m\u00e0 kh\u00f4ng d\u00f9ng b\u1eefa: vi\u1ec7c ti\u00eam insulin (c\u1ea3 lo\u1ea1i insulin t\u00e1c d\u1ee5ng k\u00e9o d\u00e0i hay ng\u1eafn h\u1ea1n) th\u01b0\u1eddng th\u1ef1c hi\u1ec7n tr\u01b0\u1edbc b\u1eefa \u0103n ho\u1eb7c trong khi \u0103n. H\u00e0m l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u c\u1ee7a b\u1ea1n t\u0103ng sau khi \u0103n. Khi b\u1ea1n ti\u00eam insulin m\u00e0 kh\u00f4ng \u0103n g\u00ec s\u1ebd d\u1eabn t\u1edbi h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft \u1edf m\u1ee9c \u0111\u1ed9 nghi\u00eam tr\u1ecdng v\u00e0 nguy hi\u1ec3m.<\/li>\n<li>Ti\u00eam insulin v\u00e0o tay ho\u1eb7c ch\u00e2n tr\u01b0\u1edbc khi t\u1eadp th\u1ec3 thao: c\u00e1c ho\u1ea1t \u0111\u1ed9ng th\u1ec3 l\u1ef1c c\u00f3 th\u1ec3 d\u1eabn t\u1edbi gi\u1ea3m l\u01b0\u1ee3ng glucose trong m\u00e1u v\u00e0 thay \u0111\u1ed5i c\u00e1ch c\u01a1 th\u1ec3 b\u1ea1n h\u1ea5p th\u1ee5 insulin. B\u1ea1n n\u00ean ch\u00fa \u00fd ti\u00eam insulin v\u00e0o v\u00f9ng kh\u00f4ng \u1ea3nh h\u01b0\u1edfng t\u1edbi vi\u1ec7c luy\u1ec7n t\u1eadp c\u1ee7a b\u1ea1n.<\/li>\n<\/ul>\n<h2 style=\"text-align: justify\">C\u00e1c tri\u1ec7u ch\u1ee9ng b\u00e1o hi\u1ec7u s\u1eed d\u1ee5ng insulin qu\u00e1 li\u1ec1u<\/h2>\n<p style=\"text-align: justify\">Khi b\u1ea1n b\u1ecb h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft do s\u1eed d\u1ee5ng insulin qu\u00e1 li\u1ec1u, b\u1ea1n c\u00f3 th\u1ec3 c\u1ea3m th\u1ea5y:<\/p>\n<ul style=\"text-align: justify\">\n<li>Lo l\u1eafng, b\u1ed3n ch\u1ed3n<\/li>\n<li>Nh\u1ea7m l\u1eabn, l\u00fa l\u1eabn<\/li>\n<li>R\u1ea5t \u0111\u00f3i<\/li>\n<li>M\u1ec7t m\u1ecfi<\/li>\n<li>Kh\u00f3 ch\u1ecbu, b\u1ef1c nh\u1ecdc<\/li>\n<li>To\u00e1t m\u1ed3 h\u00f4i<\/li>\n<li>Run tay<\/li>\n<\/ul>\n<p style=\"text-align: justify\">N\u1ebfu l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u c\u1ee7a b\u1ea1n ti\u1ebfp t\u1ee5c gi\u1ea3m, b\u1ea1n c\u00f3 th\u1ec3 b\u1ecb co gi\u1eadt.<\/p>\n<h2 style=\"text-align: justify\">B\u1ea1n n\u00ean l\u00e0m g\u00ec trong t\u00ecnh hu\u1ed1ng s\u1eed d\u1ee5ng insulin qu\u00e1 li\u1ec1u?<\/h2>\n<p style=\"text-align: justify\"><strong>\u0110\u1eebng m\u1ea5t b\u00ecnh t\u0129nh<\/strong>. \u0110a s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p s\u1eed d\u1ee5ng insulin qu\u00e1 li\u1ec1u c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0. H\u00e3y theo c\u00e1c b\u01b0\u1edbc ch\u1ec9 d\u1eabn sau \u0111\u00e2y (n\u1ebfu b\u1ea1n c\u00f3 th\u1ec3):<\/p>\n<ul style=\"text-align: justify\">\n<li>Ki\u1ec3m tra l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u: B\u1ea1n s\u1ebd c\u1ea7n ph\u1ea3i bi\u1ebft b\u1ea1n n\u00ean x\u1eed l\u00fd t\u1eeb \u0111\u00e2u.<\/li>\n<li>U\u1ed1ng m\u1ed9t n\u1eeda c\u1ed1c soda ho\u1eb7c n\u01b0\u1edbc hoa qu\u1ea3 c\u00f3 v\u1ecb ng\u1ecdt, \u0103n m\u1ed9t chi\u1ebfc k\u1eb9o c\u1ee9ng ho\u1eb7c u\u1ed1ng m\u1ed9t vi\u00ean \u0111\u01b0\u1eddng d\u1ea1ng vi\u00ean n\u00e9n ho\u1eb7c d\u1ea1ng gel.<\/li>\n<li>N\u1ebfu b\u1ea1n b\u1ecf b\u1eefa, h\u00e3y \u0103n c\u00e1i g\u00ec \u0111\u00f3 ngay. N\u1ebfu b\u1ea1n \u0103n th\u1ee9 g\u00ec \u0111\u00f3 c\u00f3 15 \u0111\u1ebfn 20g carbohydrates, b\u1ea1n s\u1ebd c\u00f3 th\u1ec3 t\u0103ng l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u.<\/li>\n<li>Ngh\u1ec9 ng\u01a1i<\/li>\n<li>Ki\u1ec3m tra l\u1ea1i l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u sau 15 \u0111\u1ebfn 20 ph\u00fat. N\u1ebfu ch\u1ec9 s\u1ed1 \u0111\u01b0\u1eddng m\u00e1u v\u1eabn th\u1ea5p, h\u00e3y d\u00f9ng th\u00eam 15 \u0111\u1ebfn 20g \u0111\u01b0\u1eddng chuy\u1ec3n h\u00f3a nhanh v\u00e0 \u0103n th\u1ee9 g\u00ec \u0111\u00f3 c\u00f3 th\u1ec3.<\/li>\n<li>Ch\u00fa \u00fd theo d\u00f5i t\u00ecnh h\u00ecnh c\u1ee7a b\u1ea1n sau \u0111\u00f3 v\u00e0i gi\u1edd. N\u1ebfu nh\u1eefng tri\u1ec7u ch\u1ee9ng tr\u00ean v\u1eabn c\u00f2n, h\u00e3y ki\u1ec3m tra l\u1ea1i l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u 1 gi\u1edd sau khi \u0103n. H\u00e3y ti\u1ebfp t\u1ee5c \u0103n th\u00eam c\u00e1c th\u1ee9 kh\u00e1c n\u1ebfu l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u v\u1eabn th\u1ea5p.<\/li>\n<li>H\u00e3y nh\u1edd t\u1edbi c\u00e1c h\u1ed7 tr\u1ee3 y t\u1ebf n\u1ebfu l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u v\u1eabn th\u1ea5p sau hai gi\u1edd ho\u1eb7c b\u1ea1n kh\u00f4ng c\u1ea3m kh\u00e1 h\u01a1n.<\/li>\n<li>\u0110\u1eebng lo l\u1eafng v\u1ec1 vi\u1ec7c b\u1ea1n l\u00e0m t\u0103ng l\u01b0\u1ee3ng \u0111\u01b0\u1eddng trong m\u00e1u qu\u00e1 cao trong th\u1eddi gian ng\u1eafn. Vi\u1ec7c t\u0103ng \u0111\u01b0\u1eddng huy\u1ebft s\u1ebd kh\u00f4ng \u1ea3nh h\u01b0\u1edfng nhi\u1ec1u t\u1edbi s\u1ee9c kh\u1ecfe nh\u01b0ng vi\u1ec7c h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft qu\u00e1 th\u1ea5p c\u00f3 th\u1ec3 s\u1ebd g\u00e2y \u1ea3nh h\u01b0\u1edfng nghi\u00eam tr\u1ecdng.<\/li>\n<li>N\u1ebfu b\u1ea1n kh\u00f4ng t\u1ec9nh t\u00e1o ho\u1eb7c qu\u00e1 nh\u1ea7m l\u1eabn, b\u1ecb co gi\u1eadt\u2026nh\u1eefng ng\u01b0\u1eddi xung quanh b\u1ea1n c\u1ea7n gi\u00fap \u0111\u1ee1 b\u1ea1n. H\u00e3y \u0111\u1ec3 ng\u01b0\u1eddi th\u00e2n v\u00e0 b\u1ea1n b\u00e8 c\u1ee7a b\u1ea1n bi\u1ebft t\u1edbi nh\u1eefng h\u01b0\u1edbng d\u1eabn sau:<\/li>\n<\/ul>\n<p style=\"text-align: justify\">+ N\u1ebfu b\u1ea1n b\u1ea5t t\u1ec9nh, h\u1ecd n\u00ean g\u1ecdi c\u1ea5p c\u1ee9u 115 ngay l\u1eadp t\u1ee9c<\/p>\n<p style=\"text-align: justify\">+ H\u1ecd c\u00f3 th\u1ec3 ti\u00eam cho b\u1ea1n glucagon. \u0110\u00f3 l\u00e0 thu\u1ed1c c\u00f3 ch\u1ee9c n\u0103ng ng\u01b0\u1ee3c l\u1ea1i v\u1edbi insulin. N\u1ebfu b\u1ea1n \u0111\u00e3 t\u1eebng b\u1ecb h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft, b\u1ea1n n\u00ean h\u1ecfi b\u00e1c s\u1ef9 n\u1ebfu b\u1ea1n n\u00ean c\u00f3 d\u1ef1 tr\u1eef trong nh\u00e0 glucagon ph\u00f2ng khi c\u1ea7n.<\/p>\n<p style=\"text-align: justify\">+ N\u1ebfu b\u1ea1n v\u1eabn c\u00f2n t\u1ec9nh t\u00e1o \u0111\u1ec3 c\u00f3 th\u1ec3 t\u1ef1 th\u1ef1c hi\u1ec7n theo h\u01b0\u1edbng d\u1eabn, h\u00e3y nh\u1edd ng\u01b0\u1eddi th\u00e2n gi\u00fap b\u1ea1n l\u1ea5y n\u01b0\u1edbc hoa qu\u1ea3 c\u00f3 v\u1ecb ng\u1ecdt \u0111\u1ec3 u\u1ed1ng.<\/p>\n<p style=\"text-align: justify\">+ N\u1ebfu t\u00ecnh tr\u1ea1ng c\u1ee7a b\u1ea1n kh\u00f4ng \u0111\u01b0\u1ee3c c\u1ea3i thi\u1ec7n sau m\u1ed9t gi\u1edd \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0, h\u1ecd n\u00ean g\u1ecdi c\u1ea5p c\u1ee9u 115.<\/p>\n<h2 style=\"text-align: justify\">C\u00e1ch ph\u00f2ng tr\u00e1nh s\u1eed d\u1ee5ng Insulin qu\u00e1 li\u1ec1u<\/h2>\n<p style=\"text-align: justify\">D\u01b0\u1edbi \u0111\u00e2y l\u00e0 m\u1ed9t v\u00e0i h\u01b0\u1edbng d\u1eabn \u0111\u1ec3 b\u1ea1n c\u00f3 th\u1ec3 ph\u00f2ng tr\u00e1nh:<\/p>\n<ul style=\"text-align: justify\">\n<li>H\u00e3y tu\u00e2n th\u1ee7 s\u01a1 \u0111\u1ed3 s\u1eed d\u1ee5ng insulin m\u1ed9t c\u00e1ch nghi\u00eam ng\u1eb7t: m\u1ecdi vi\u1ec7c s\u1ebd tr\u1edf n\u00ean d\u1ec5 d\u00e0ng n\u1ebfu b\u1ea1n lu\u00f4n theo \u0111\u00fang quy tr\u00ecnh.<\/li>\n<li>H\u00e3y \u0103n \u0111\u00fang b\u1eefa: k\u1ec3 c\u1ea3 khi b\u1ea1n kh\u00f4ng c\u1ea3m th\u1ea5y \u0111\u00f3i h\u00e3y \u0103n m\u1ed9t ch\u00fat b\u00e1nh m\u00ec ho\u1eb7c u\u1ed1ng m\u1ed9t c\u1ed1c s\u1eefa, \u0103n m\u1ed9t ch\u00fat hoa qu\u1ea3. Kh\u00f4ng b\u1ecf b\u1eefa khi b\u1ea1n d\u00f9ng insulin.<\/li>\n<li>H\u00e3y chu\u1ea9n b\u1ecb: trong tr\u01b0\u1eddng h\u1ee3p b\u1ea1n c\u00f3 th\u1ec3 b\u1ecb h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft. H\u00e3y chu\u1ea9n b\u1ecb s\u1eb5n trong t\u00fai b\u1ea1n ho\u1eb7c ng\u01b0\u1eddi \u0111i c\u00f9ng c\u00e1c vi\u00ean k\u1eb9o ng\u1ecdt. B\u1ea1n c\u0169ng n\u00ean mang theo trong xe ho\u1eb7c trong t\u00fai du l\u1ecbch c\u00f9ng v\u1edbi b\u1ea1n.<\/li>\n<li>H\u00e3y cho b\u1ea1n b\u00e8 v\u00e0 ng\u01b0\u1eddi th\u00e2n bi\u1ebft v\u1ec1 tri\u1ec7u ch\u1ee9ng v\u00e0 c\u00e1ch x\u1eed tr\u00ed khi b\u1ea1n b\u1ecb h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft. \u0110i\u1ec1u n\u00e0y s\u1ebd gi\u00fap h\u1ecd bi\u1ebft c\u00e1ch x\u1eed tr\u00ed trong tr\u01b0\u1eddng h\u1ee3p b\u1ea1n b\u1ecb h\u1ea1 \u0111\u01b0\u1eddng huy\u1ebft v\u00e0 r\u01a1i v\u00e0o t\u00ecnh tr\u1ea1ng kh\u00f4ng t\u1ec9nh t\u00e1o.<\/li>\n<li>H\u00e3y mang theo c\u1ea3nh b\u00e1o y t\u1ebf v\u00f2ng \u0111eo tay ghi r\u00f5 b\u1ea1n \u0111ang s\u1eed d\u1ee5ng insulin ch\u1eb3ng h\u1ea1n.<\/li>\n<\/ul>\n<h2 style=\"text-align: justify\">T\u00e0i li\u1ec7u tham kh\u1ea3o<\/h2>\n<ol>\n<li style=\"text-align: justify\"><a href=\"http:\/\/www.webmd.com\/diabetes\/guide\/insulin-overdose?page=1\" target=\"_blank\" rel=\"noopener\">http:\/\/www.webmd.com\/diabetes\/guide\/insulin-overdose?page=1<\/a><\/li>\n<li style=\"text-align: justify\"><a href=\"http:\/\/www.webmd.com\/diabetes\/guide\/insulin-overdose?page=2\" target=\"_blank\" rel=\"noopener\">http:\/\/www.webmd.com\/diabetes\/guide\/insulin-overdose?page=2<\/a><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>\u0110a s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p s\u1eed d\u1ee5ng insulin qu\u00e1 li\u1ec1u c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0. H\u00e3y tu\u00e2n theo c\u00e1c b\u01b0\u1edbc ch\u1ec9 d\u1eabn sau \u0111\u00e2y (n\u1ebfu b\u1ea1n c\u00f3 th\u1ec3).<\/p>\n","protected":false},"author":621,"featured_media":900,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[1045,1043,1023,1032,1031,1030,1029,1027,1028,1036],"tags":[708,771,772,763,773],"series":[204],"coauthors":[],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v22.8 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>C\u00e1ch x\u1eed l\u00fd v\u1edbi t\u00ecnh hu\u1ed1ng d\u00f9ng insulin qu\u00e1 li\u1ec1u - Y h\u1ecdc c\u1ed9ng \u0111\u1ed3ng<\/title>\n<meta name=\"description\" content=\"\u0110a s\u1ed1 c\u00e1c tr\u01b0\u1eddng h\u1ee3p s\u1eed d\u1ee5ng insulin qu\u00e1 li\u1ec1u c\u00f3 th\u1ec3 \u0111\u01b0\u1ee3c \u0111i\u1ec1u tr\u1ecb t\u1ea1i nh\u00e0. 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