Mob Hypoglycemia yog ib txoj kev mob uas cov tshuaj qabzib (qab zib) hauv cov ntshav tsawg dua 3.5 mmol / L. Nrog rau cov piam thaj ib txwm, daim duab no yog 3.5-6.2 mmol / L. Ib qho teeb meem zoo sib xws no feem ntau tau ntsib los ntawm cov neeg mob ntshav qab zib mellitus nrog kev siv tshuaj ntau dua ntawm hypoglycemic (qab zib-txo qis) tshuaj.
Cov Hom Tshuaj Hypoglycemia
Hom ntshav qog ntshav hauv qab no yog:
- Transient. Nws tshwm sim hauv cov menyuam tshiab. Qhov laj thawj yog hloov mus rau cov kev ua neej tshiab. Thaum cev xeeb tub, cov piam thaj tsis nyob hauv tus me nyuam hauv plab (gluconeogenesis tsis tuaj). Qab zib los ntawm leej niam. Tom qab yug los, tus me nyuam yuav pib coj los ua kom qabzib. Feem ntau cov ntshav qog ntshav qab zib tshaj plaws yog pom nyob rau ntawm cov menyuam mos thaum ntxov. Qhov laj thawj yog muab qis ntawm glycogen hauv lub siab. Qhov kab mob kab mob no tuaj yeem txhim kho hauv cov menyuam yaus uas yug los ntawm cov poj niam mob ntshav qab zib, nrog rau kev tiv thaiv keeb kwm ntawm kab mob yug los.
- Muaj nuj nqi. Cov kab mob no tshwm sim tawm tsam keeb kwm ntawm cachexia. Cov tsos mob tshwj xeeb suav nrog kev voos, tso cai kev sib deev tsawg, thiab mob taub hau. Qhov kev mob no yog pom thaum ib tus tib neeg siv hluav taws xob tas li thaum lub cev ua haujlwm lossis xav tau cov ntaub so ntswg rau qabzib nce ntau.
- Neonatal. Nws tshwm sim sai tom qab yug.
- Alimentary. Cov laj thawj yog kev phais kev cuam tshuam ntawm cov plab hnyuv plab hnyuv (mob siab, plab, hlab ntsha, plab hnyuv), malabsorption ntawm carbohydrates thiab noj zaub mov tsis zoo. Tus mob no yog pom los ntawm kev pom kev tsis meej thiab cov cim ntawm kev tsim khoom ntawm catecholamines (adrenaline, norepinephrine).
- Ketotic. Nws kev tsim tawm tsam ntawm cov keeb kwm ntawm carbohydrate tshaib plab ntawm hlwb. Txhawm rau tsim lub zog txaus, lub cev pib zom cov rog (lipids). Lawv catabolism yog nrog los ntawm kev tsim ntawm lub cev ketone. Hauv qhov no, kev saib xyuas ntawm cov ntshav qabzib yog txo.
- Kev laug sijhawm. Nws yog tus cwj pwm los ntawm txo qis hauv cov ntshav qab zib tom qab noj mov.
Postprandial hypoglycemia yog yam ntxwv ua kom muaj ntshav qab zib tsawg dua tom qab noj mov.
Tsis tas li ntawd secrete nocturnal, haus dej cawv, latent thiab nti mob hypoglycemia.
Muaj 3 degrees ntawm qhov mob hnyav ntawm cov mob no. Nrog rau daim ntawv me, cov piam thaj hauv cov ntshav nyob hauv thaj tsam li ntawm 2.7 txog 3.3 mmol / L. Tus mob no tuaj yeem nres nws tus kheej yam tsis muaj kev pab kho mob. Hauv cov xwm txheej loj, cov piam thaj yog 2-2.7 mmol / L. Yog tias cov piam thaj poob rau 2 lossis qis dua, ces ib tug neeg yuav tsis nco qab.
Kev mob siab nyob hauv kev npau suav
Tej zaum cov ntshav qab zib tsawg thaum lub sijhawm pw. Txawm li cas los xij, tus neeg tsis sawv. Nocturnal hypoglycemia yog vim qhov kev txiav txim tsis yog ntawm cov tshuaj ntawm cov tshuaj insulin lossis nws txoj kev tswj hwm tsis raws sijhawm. Cov cim ntawm tus kab mob no yog: tawm hws ntau dhau, sawv ntxov thiab tsis muaj zog.
Kev mob ntshav siab ntshav qab zib hauv menyuam yaus
Hauv cov menyuam yaus, cov teeb meem ntawm cov piam thaj tom qab yog: hom 1 mob ntshav qab zib, pathology ntawm cov leeg hlwb, kev noj zaub mov tsis txaus, kev ntxhov siab thiab ua haujlwm dhau. Qee zaum cov mob no tau kuaj pom cov menyuam mos nyob hauv thawj 10 hnub ntawm lub neej.
Hypoglycemia raug kuaj pom nyob rau ntawm cov menyuam mos hnub nyoog thawj 10 hnub.
Ua rau cov ntshav qog ntshav qab zib
Cov teeb meem pheej hmoo rau kev tawm tsam ntawm hypoglycemia yog:
- Khoom noj khoom haus tsis muaj zog. Peb yuav tsum tso ib co kua qab zib thaum lub sijhawm yoo mov. Feem ntau, qhov teeb meem zoo li no tau ntsib nrog cov neeg uas tau noj cov khoom noj carbohydrates ntau (lawv pom nyob hauv qab zib, txiv hmab txiv ntoo thiab khoom ci bakery) tom qab tsis kam ntev los ntawm lawv.
- Ua raws li kev noj zaub mov nruj.
- Tsis muaj cov zaub mov, vitamins thiab fiber ntau hauv cov khoom noj.
- Haus dej tsis txaus.
- Kev ntxhov siab
- Kev siv hluav taws xob ntau. Ua tau nrog qoj ib ce. Feem ntau, cov kis las ntsib cov teeb meem zoo li no.
- Nqa cov tshuaj hormones ntau ntxiv (estrogen, progesterone).
- Txoj kev kho ntshav ntau heev. Txoj kev mob ntawm txoj hlab ntshav (thin infusions) nyias cov ntshav thiab ua rau cov neeg mob ntshav qab zib tsawg.
- Haus dej caw kom ntau.
- Lub cev qhuav dej Tej zaum yog ntuav thiab raws plab heev.
- Cachexia (qaug).
- Daim siab mob.
- Adrenal cortex tsis txaus.
- Pituitary tsis txaus.
- Qib theem qis ntawm adrenaline, glucagon thiab somatostatin nyob rau hauv cov ntshav.
- Tej yam kev mob Septic.
- Congenital malformations thiab fermentopathies.
- Mob qog nqaij hlav (insulinoma).
- Kab mob hlwb (mob hlwb, txha caj qaum).
- Digestive kab mob cov yam ntxwv los ntawm malabsorption ntawm cov roj sai (malabsorption syndrome).
- Tshaj dhau kev tso cai noj tshuaj ntawm cov tshuaj insulin lossis qhov ncauj hypoglycemic (hypoglycemic) cov neeg sawv cev (Glibenclamide, Maninil, Metformin, Glucofage, Formmetin).
- Muaj ntau ntu nruab nrab ntawm pluas noj mov lossis hla kev (rau cov neeg mob ntshav qab zib).
Cov tsos mob ntawm tus mob hypoglycemia
Nrog rau kev txo qis hauv cov ntshav hauv cov ntshav, cov tsos mob hauv qab no tuaj yeem:
- Cov cim ntawm kev ua haujlwm tsis zoo ntawm lub hauv nruab nrab lub paj hlwb (kiv taub hau, mob taub hau tsis txaus, tsis tshua hnov qhov muag, tsis pom kev tsis meej thiab txhaws qa, hais lus tsis meej, ob lub zeem muag, tsis meej pem hauv qhov chaw thiab nco qab, qaug dab peg, qaug dab peg, hloov pauv mentsis, qaug zog nruab hnub).
- Tus mob zaub mov hauv daim ntawv ntawm kev ua kom sib tuav tes, pw tsaug zog, ceev cov tub ntxhais kawm, pallor ntawm daim tawv nqaij, qhov kev paub txog kev ntshai thiab nce suab ntawm tus neeg cov leeg. Nrog rau qhov kev tshwj xeeb ntawm cov kab mob parasympathetic, ntuav, xeev siab, qaug zog thiab tsis tshaib plab yog qhov ua tau.
- Cov cim ntawm kev ua txhaum ntawm thermoregulation nyob rau hauv daim ntawv ntawm ntawj txias thiab tawm hws.
Kev mob siab ntsws hypoglycemic los txog ua ntej hauv daim duab soj ntsuam. Hauv cov neeg mob ntshav qab zib, tom qab theem ntawm cov piam thaj hauv cov ntshav nce siab, muaj nqhis dej, tso zis ntau dhau, ua kom tawv nqaij qhuav, khaus thiab ua kom qab los noj mov.
Kev kuaj mob ntawm tus mob ntshav qab zib
Txhawm rau kom kuaj mob, koj yuav xav tau kev sojntsuam, kuaj lub cev thiab dav dav, kuaj ntshav thiab tso zis, kuaj biochemical thiab kev ntxhov siab thiab kev kawm ntsuas (ultrasound, electroencephalography, rheovasography).
Txhawm rau kuaj mob, tus neeg mob yuav tsum kuaj ntshav thiab tso zis.
Yuav ua li cas nrog hypoglycemia
Nrog hypoglycemia nyob rau hauv tus neeg noj qab haus huv, koj tuaj yeem haus dej qab zib lossis noj cov khoom noj uas muaj carbohydrate kom ib txwm muaj cov suab thaj hauv lub cev.
Yog tias koj muaj cov glucometer ntawm txhais tes, koj yuav tsum ntsuas cov piam thaj. Nrog rau kev mob ntshav qab zib hauv lub cev, kev kho mob yog tsom mus rau tshem tawm cov kev pheej hmoo, nres qhov mob hauv qab, tiv thaiv kev cuam tshuam thiab nce qib qab zib kom zoo li qub.
Thawj pab rau kev tawm tsam
Yog tias ib tus neeg muaj lub xeev hypoglycemic, ces cov ntsiav tshuaj uas muaj destrosa lossis glucagon tuaj yeem noj tau. Hauv qhov no, koj yuav tsum tswj hwm theem ntawm cov piam thaj. Yog tias tsis muaj tshuaj nyob ntawm tes, ces cov cuab yeej hauv qab no siv:
- kua txiv lossis lwm yam dej qab zib;
- slices ntawm mis chocolate;
- khoom qab zib;
- sov tshuaj yej nrog qab zib;
- tsawb
- qhuav apricots;
- qab zib
- beekeeping khoom (zib ntab).
Txhawm rau nres koj yuav tsum tau tsuas yog ib qho txhais tau tias. 1 g ntawm cov piam thaj nce cov ntshav qab zib los ntawm 0.22 mmol. Nrog cov ntshav qog ntshav qab zib tsawg, koj yuav tsum haus dej haus 150 ml ntawm cov dej qab zib, noj 1 txiv tsawb, 5-6 daim ntawm apricots qhuav, 2 daim ntawm cov piam thaj ua kom huv, 2 tsp. qab zib los yog zib ntab, 1 khaub noom los sis 2 qho mis chocolate.
Yog tias tom qab noj cov zaub mov hypoglycemic tsis ploj, ces koj yuav tsum noj txog 20 g ntawm carbohydrates yooj yim dua.
Hauv kev mob hnyav, tus neeg mob ntxiv nrog xav noj 15-20 g ntawm carbohydrates yooj yim. Lawv muaj nyob hauv porridge, ncuav qab zib thiab qhob cij. Yog tias tsim nyog, qab zib yog yaj hauv dej. Yog tias cov kev ntsuas no tsis ua rau tshwm sim lossis ib tus neeg tsis nco qab lawm, ces koj yuav tsum hu rau lub tsheb tos neeg mob.
Kev noj haus
Muaj suab thaj tsawg, koj yuav tsum ua raws li kev noj zaub mov nruj. Yog tias qhov laj thawj yog kev siv yeeb tshuaj nrog cov nyhuv hypoglycemic, tom qab ntawd koj yuav tsum tso tseg cov zaub mov muaj roj, noj 5-6 zaug ib hnub ntawm kev muaj vaj huam sib luag, kev ncua sij hawm me me, txwv kev noj cov khoom qab zib, khoom bakery, tsis kam haus cawv thiab siv cov khoom qab zib. Tag nrho cov calories ntau ntawm cov zaub mov noj yog txo qis. Koj tsis tuaj yeem tshaib plab thiab hla pluas noj.
Dab tsi yog qhov txaus ntshai hypoglycemia
Koj yuav tsum paub tsis tsuas yog vim li cas (vim li cas cov piam thaj txo), tab sis kuj tseem muaj qhov tshwm sim ntawm tus mob no. Cov no suav nrog kev ua haujlwm ntawm cov hlab ntsha tsis zoo, kev puas tsuaj rau vascular, tsis pom kev thiab pom tus mob syndrome.
Qhov tshwm sim ntawm kev mob ntshav qab zib
Qhov tshwm sim ntawm kev poob hauv cov ntshav qab zib tuaj yeem yog:
- Kev poob siab hypoglycemic. Nws yuav tsum muaj kev pab xwm txheej ceev.
- Coma Nws ua tau nws tus kheej li khaub thuas, clammy hws, apathy, poob nco qab, ua pa nyuaj, tsis muaj kev tawm tsam, ua pa tsawg, ua pa tawm, tachycardia thiab pallor ntawm daim tawv nqaij.
- Kev mob plawv.
- Kev Tuag. Nws tshwm sim rau qhov tsis muaj kev kho kom zoo thiab kom cov ntshav qab zib tsawg.
Yuav tiv thaiv tus mob ntshav qab zib tsawg hom 1 thiab ntshav qab zib hom 2
Kev tiv thaiv hypoglycemia suav nrog kev suav zoo ntawm lub koob tshuaj insulin thiab qhov ncauj tshuaj hypoglycemic, nruj kom zoo rau kev noj tshuaj ntau zaus, tsis kam haus cawv, txwv tsis pub ua haujlwm ntawm lub cev, ntsuas ntshav qab zib txhua hnub (rau cov neeg mob ntshav qab zib) thiab ua raws li kev noj haus.
