subject: Causes And Treatment Guidelines for Coma [print this page] Causes And Treatment Guidelines for Coma
Coma refers to a state of unarousable psychological unresponsiveness in which the subject lies with eyes closed and shows no response to external stimuli or inner need. Involuntary functions like heart-beat and respiration continue, though they may be irregular due to some concurring or causative disease. Deep coma refers to a state where corneal, pupillary, pharyngeal, tendon and plantar reflexes are all absent. Reflex eye movements are usually preserved in lesser degrees of coma. Semi-coma refers to that state where an individual responds to a painful stimuli by groaning, opening the eyes or with irregular respiration. The Glasgow Coma Scale is used to quantify the severity of coma by measuring eye -opening, motor response and verbal response. Coma may be caused by brain lesions, trauma, metabolic abnormalities, infections and drugs or physical agents.
Fear. Uncertainty. Stress. Grief. Frayed nerves. Exhaustion. Anger. Self-pity. Denial. These are but a few of the emotions individuals may experience when a loved one is struggling through the dark days of a coma.
A coma is a devastating and traumatic event, both for those who are injured and for their loved ones. With the help, love, and support of those close to him, a coma patient may progress to the point of being able to live independently. Recovery, however, can be a very long process, difficult for patients as well as those who care for them. In the end, both sides must work through the feelings of denial, anger, bargaining, and depression before reaching the point of acceptance of their situation. This is not an easy process, though it is essential.
There are three different comas that are associated with diabetes: the ketoacidotic coma, the hyperosmolar coma, and the hypoglycemic coma.
Symptoms of diabetic coma by this following;
1. The Diabetic Ketoacidosis -This is generally seen in type 1 diabetic patients. The type 2 and gestational diabetic patients might as well suffer from this complication. The muscle cells in the body starve for energy due to this complication. The body of the patient have to break the stored fat to obtain energy. The ketones are the by products of this process and it is very dangerous to the our body. This can cause the coma.
2. The Diabetic Hyperosmolar -It is a situation of the body at which the victim of diabetes is going through a severe hyperglycemia alongside with severe thirst. When the level of the sugar in the body rises in hyperglycemia then the body will excretes this surplus sugar through urine. Also repeated urination might lead to dehydration, which results in thickening of the blood. If at this stage left untreated, it might as well lead to the coma.
3. The Diabetic Hypoglycemia -This hypoglycemia is itself a complication of diabetes. Our brain requires glucose in order to function as it should be. When an individual is on insulin, he or she is possibly to become hypoglycemic because of overdose or missing some meals. The insulin is outwardly supplied in diabetes and it is in charge of regulating the level of the glucose. When the glucose levels go down too much in that case, it also can lead to an unconscious state known as 'diabetic coma'.
If any of these three instances are left unchecked, a diabetic may slip into a coma. It's extremely important to catch these things before a person's body gets to this point.
Comas don't just happen without any warning. A diabetic who's headed toward a coma will show signs that they're not feeling well. You should take not of the following signs: dry mouth, nausea, shortness of breath, vomiting, increased thirst, hunger, sweat, nervousness or irritability, lightly.
If these things are occurring, it's important to get to a doctor immediately especially if you haven't been paying attention to blood sugar regulation. A diabetic coma can result in death, so don't ignore the signs.
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