Mob ntshav qab zib mellitus yog ib pawg ntawm cov kab mob ntawm cov kab mob endocrine nrog cov teeb meem hnyav. Qhov tshwm sim ntawm cov kab mob no yog txuam nrog kev hnov lus tsis zoo ntawm cov piam thaj lossis tsis muaj cov tshuaj insulin ntau lawm. Txhawm rau kom tsis txhob muaj qhov tshwm sim ntawm tus kabmob, koj yuav tsum kuaj nws lub sijhawm thiab pib kho, uas koj yuav tsum hu rau tus kws tshwj xeeb.
Kuv yuav mus ntsib tus kws kho mob twg kom ntshav qab zib
Thaum thawj cov tsos mob ntshav qab zib tshwm sim, koj yuav tsum hu rau tus kws endocrinologist. Tus kws kho mob endocrinologist qhia txog kev tshawb fawb uas tsim nyog thiab tom qab ntawv, raws li cov txiaj ntsig tau los, ua qhov kev kuaj xyuas kom raug thiab qhia tshuaj kho.
Thaum thawj cov tsos mob ntshav qab zib tshwm sim, koj yuav tsum hu rau tus kws endocrinologist.
Tus kws kho mob twg kho tus mob ko taw
Kev mob ntshav qab zib yog ib qho kev cuam tshuam ntawm cov ntshav qab zib, feem ntau ntawm hom 2. Vim tias cov ntsiab lus ntawm cov piam thaj hauv cov ntshav, cov microcirculation hauv cov hlab ntsha cuam tshuam, cov ntaub so ntswg tsis tau txais zaub mov zoo. Mob rwj yuav tshwm sim ntawm tus taw, uas, yog tias tsis kho, nws yuav dhau mus ua neeg vwm. Txij li thaum tus kab mob tseem ceeb hauv qhov no yog mob ntshav qab zib, endocrinologist ua txoj kev kho tshuaj. Tus kws phais mob tau koom tes nrog kev kho mob ntawm tus mob dawb ntawm lub taw. Nws nqa tawm kev kho mob phais: kev kho kom rov zoo ntawm necrotic foci ntawm ko taw, yog tias tsim nyog, txiav ntawm ceg ntawm tes.
Leej twg cuam tshuam nrog cov teeb meem ntshav qab zib hauv qhov muag
Raws li mob ntshav qab zib nce zuj zus ntxiv, tus kab mob ntshav qab zib retinopathy pib - maj mam ua kom mob ntxiv ntawm cov retina uas ua rau tsis pom kev. Nyob rau lub sijhawm kom pom qhov kev tsis txaus siab no thiab pib kho mob, nws yog qhov tsim nyog los ntawm kev saib xyuas ntawm tus kws kho mob ophthalmologist. Nws ua kev ntsuam xyuas qhov muag, sau tshuaj rau kom muaj lub zeem muag.
Tus kws kho mob twg yuav pab kho tus mob neuropathy
Neuropathy yog qhov puas paj hlwb uas tshwm sim vim yog qhov muaj mob ntawm cov ntshav qab zib. Nws yog qhov tshwm sim los ntawm kev hloov pauv ntawm qhov kev hnov: txo qis lossis, hloov dua siab tshiab, kev nthuav dav. Qhov tshwm sim ntawm kev mob, tingling. Tus kws kho mob neurologist tau koom nrog kev kho mob ntawm tus mob neuropathy: nws tshuaj xyuas tus neeg mob, sau tshuaj rau tus kws kho mob, tshuaj uas txhim kho cov metabolism hauv kev ua haujlwm, kho lub cev. Vim tias qhov tseeb uas ua rau mob neuropathy yog ntshav qab zib, cov kws kho mob endocrinologist thiab neurologist sib cuam tshuam nrog lwm tus thaum kho.
Tus uas yog tus mob ntshav qab zib, thiab thaum twg nws tuaj yeem xav tau kev pab
Tus kws kho ntshav qab zib yog tus kws kho mob endocrinologist uas kawm thiab kho mob ntshav qab zib. Ib tus kws tshwj xeeb hauv daim teb no tau tshwm sim vim muaj ntau haiv neeg thiab cov kab mob kev sib txawv. Tus kws kho mob no tau kawm txog cov kab mob ntshav qab zib, nws cov ntawv. Ua kev soj ntsuam, kev sab laj, kev kho mob ntawm cov neeg mob ntawd. Nws muaj kev koom tes nrog kev tiv thaiv kev phom sij thiab kev kho kom rov zoo ntawm cov neeg mob.
Tus kws kho ntshav qab zib yuav tsum tau sab laj thaum thawj cov tsos mob qhia tias muaj ntshav qab zib mellitus tshwm sim:
- kev nqhis dej tsis tu ncua;
- dej ntau ntxiv thaum nruab hnub;
- nquag tso zis;
- qhov ncauj qhuav
- tsis muaj zog
- kev tshaib kev nqhis;
- mob taub hau
- pom kev tsis zoo;
- poob ceeb thawj los yog nce phaus;
- piav qhia poob hauv cov ntshav qab zib.
Lwm qhov kev sab laj nrog kws kho mob ntshav qab zib tau pom zoo rau cov neeg uas muaj kev pheej hmoo:
- cov txheeb ze ntawm cov neeg mob ntshav qab zib;
- cov neeg muaj ntshav siab;
- thawj cov neeg;
- cov neeg tshaj 45 xyoos;
- cov neeg mob noj glucocorticosteroids, tshuaj ntxiv, lwm yam tshuaj uas ua rau muaj kev cuam tshuam ntawm cov ntshav qab zib;
- cov neeg mob uas muaj kab mob ntsig txog mob rau daim siab, mob raum, tus txiav ua kab mob.
Diabetologist yog qhov tshwj xeeb nqaim. Cov kws kho mob tshwj xeeb no tsis muaj nyob hauv txhua qhov chaw kho mob, yog li ntau cov kev kho mob ntawm cov kab mob endocrine no yog nqa los ntawm tus kws kho mob endocrinologist - tus kws kho mob dav dav.
Kev muaj peev xwm ntawm tus endocrinologist thiab ntau yam ntawm nws qhov kev tshwj xeeb
Tus kws kho keeb endocrinologist yog tus kws kho mob koom nrog kev kho cov teeb meem ntawm cov qog endocrine, kev kub ntxhov hauv keeb hauv cov neeg laus thiab menyuam yaus. Cov kab ke ntawm kev ua haujlwm ntawm tus endocrinologist yog qhov dav, vim tias kev cuam tshuam los ntawm hormonal cuam tshuam kev ua haujlwm ntawm txhua yam kabmob thiab kev ua haujlwm. Cov kev tsis txaus siab no pom lawv tus kheej hauv kev sib txawv, yog li endocrinologist tseem qhia cov neeg mob uas muaj cov tsos mob thaum pom thawj zaug tsis yog tshwm sim los ntawm qhov tsis ua hauj lwm lawm.
Ntau yam tshwj xeeb:
- Endocrinologist kws kho mob nkeeg. Puas kho cov teeb meem hormonal hauv menyuam yaus.
- Endocrinologist-gynecologist. Nws kho cov kab mob pathologies ntawm lub cev keeb tiv thaiv kab mob uas cuam tshuam rau kev ua haujlwm ntawm poj niam kev yug menyuam.
- Endocrinologist andrologist. Nws kho cov kab mob ntawm tus txiv neej ua rau muaj mob los ntawm kev cuam tshuam ntawm hormonal cuam tshuam.
- Endocrinologist-oncologist. Ua rau cov neeg mob qog mob ntawm cov endocrine plab hnyuv siab raum.
- Tus kws phais neeg mob endocrinologist. Ua kev phais mob rau cov qog hlav (ntau tsis nyob ntev) ntawm cov kab mob endocrine.
- Endocrinologist kws tshuaj tua kabmob. Nws kawm txog cov kab mob ntawm cov kab mob endocrine, ua cov kev tawm tswv yim txog caj ces rau cov niam txiv npaj cov menyuam.
- Mob qog noj ntshav. Koom hauv cov thyroid pathologies thiab lawv cov kev qhia.
- Lawj xeeb. Tus kws kho mob kho cov ntshav qab zib thiab nws cov teeb meem.
- Endocrinologist-dermatologist. Nws kho cov tawv nqaij ua rau cov tawv nqaij cuam tshuam.
- Endocrinologist-tus neeg noj zaub mov zoo. Nws tawm tswv yim hais txog khoom noj khoom haus hauv endocrinological pathologies, kawm txog cov teeb meem ntawm cov rog dhau thiab rog dhau.
Lub luag haujlwm ntawm tus kws kho mob ntshav qab zib
Tus kws kho mob hauv zos yog thawj tus kws khomob tshwj xeeb uas cov neeg mob tig thaum lawv tuaj rau hauv chaw kho mob thaum qhov mob ntawm lub cev tsis zoo. Yog tias tus neeg mob tau ntsib thawj zaug, thiab nws cov tsos mob qhia tias muaj peev xwm ua tau ntshav qab zib, kev kuaj ntshav qabzib nyob rau hauv.
Yog tias cov txiaj ntsig ntawm kev txheeb xyuas tau zoo txaus siab, ces tus kws kho mob pib nrhiav lwm yam ua rau mob hlwb.
Yog tias pom cov ntshav qabzib ntau ntxiv, tus kws kho mob qhia ncaj qha rau tus neeg mob endocrinologist rau kev kuaj mob ntxiv thiab sab laj. Tus kws kuaj mob endocrinologist (lossis tus kws kho mob ntshav qab zib) tau qhia txog kev kho mob, pom zoo kom ua haujlwm thiab so kom txaus, kev noj zaub mov zoo, qhia kev siv qhov tseeb ntawm glucometers thiab kev tswj hwm tus kheej ntawm kev txhaj tshuaj insulin, yog tias kev txheeb xyuas tau paub meej.
Yog tias tus neeg mob tau lees paub tias mob ntshav qab zib mellitus, thiab nws hloov mus rau tus kws kho mob rau lwm tus kab mob, tus kws kho mob pib kho mob coj mus rau hauv tus account no pathology. Nws ua kom ntseeg tau tias tus neeg mob tus mob tsis txhob ua phem rau cov keeb kwm ntawm kev kho.
Cov kws kho mob tseem coj ua haujlwm kev kawm ntawm cov neeg mob noj qab haus huv uas tuaj rau kev txhim kho ntshav qab zib. Nws piav qhia rau lawv txog qhov tshwj xeeb thiab qhov mob ntawm tus kabmob, muab cov lus qhia pom tias yuav ua li cas noj kom zoo dua qub, kev ua neej zoo li cas los ua kom tsis txhob muaj mob.
Yog tias tsis muaj tus mob endocrinologist, kws kho ntshav qab zib hauv tsev kho mob uas lawv tau thov kev pab, thiab tseem tsis muaj txoj hauv kev xa tus neeg mob ntshav qab zib mus rau lub tsev kho mob tshwj xeeb ntxiv, cov kws kho mob tseem cuam tshuam nrog nws txoj kev kho mob thiab tshuaj xyuas mob.
Qhov Ntshav Qab Zib Yuav Tau Muaj Dab Tsi
Ntshav qab zib mellitus yog ib yam kab mob cuam tshuam rau txhua yam kabmob. Feem ntau ntawm cov neeg mob tsis tuag ntawm tus kab mob nws tus kheej, tab sis vim nws cov teeb meem. Yog li, kev kho mob ntawm tus kabmob no thiab nws cov tsos mob yuav tsum muaj txhij txhua, tsuas yog tom qab ntawd nws yuav tau txais txiaj ntsig thiab txo ntau cov teebmeem.
Kev noj haus
Nrog ntshav qab zib, cov txheej txheem hauv lub cev hauv lub cev raug teeb meem. Kev faib tawm ntawm cov protein, cov rog thiab carbohydrates hauv cov zaubmov rau cov neeg muaj tus kabmob no txawv ntawm tus qauv. Tus kws qhia noj zaub mov txiav txim siab kev noj zaub mov zoo rau tus neeg mob ntshav qab zib, piav qhia tias yam zaub mov twg yuav tsum tau txwv thiab yam twg yuav tsum tau noj ntau dua. Qhia txog kev mob ntshav qab zib- thiab ntshav qab zib, qhia txog yuav ua li cas sib txuas ntawm cov khoom noj khoom haus thiab insulin kom tsawg, yuav ua li cas kho cov zaub mov noj nrog kev poob qis lossis nce ntshav hauv cov ntshav qabzib.
Kws Kho Qhov Muag
Tus kws kho mob kho qhov muag pom tus neeg mob ntshav qab zib kom tiv thaiv, sijhawm, txheeb xyuas tus kab mob ntshav qab zib ua rau lub ntsej muag - ib qho kev tsis txaus siab uas ua rau mob hlwb txhaws thiab tsis pom kev. Ua kev tiv thaiv kev kho mob thiab kev kho ntawm tus txheej txheem twb pib lawm.
Kws kho mob ntshav siab
Nrog rau cov ntshav qab zib, cov ntshav rau cov raum lub ntsej muag zuj zus, txhaws txhaws txhaws. Yog li, cov neeg mob zoo li no yog qhov pheej hmoo tiv thaiv lub raum tsis ua haujlwm. Txhawm rau tiv thaiv kev txhim kho ntawm qhov cov mob no ntxiv, kev saib xyuas ntawm tus nephrologist yog qhov tsim nyog.
Tus kws phais neeg
Tus kws phais mob pom cov neeg mob uas tau tsim muaj mob ua kiav txhab hauv qab ceg - mob ntshav qab zib. Nws sau ntawv rau txoj kev kho mob uas tsim nyog thiab txiav txim siab txog qhov ua kom muaj kev phais mob thiab nws lub ntim ntau npaum li cas.
Neurologist
Nrog ntev cov mob ntshav qab zib ntev, lub paj hlwb kuj tseem koom tes nrog txoj kev. Feem ntau ntawm cov teeb meem uas ua rau lub neej tsis zoo thiab ua rau tuag taus yog cuam tshuam nrog nws. Qhov tshwj xeeb tshaj plaws: polyneuropathy, mob ntshav qab zib encephalopathy, mob stroke. Kev tiv thaiv ntawm cov teeb meem no thiab saib xyuas lub xeev ntawm lub paj hlwb yog nqa tawm los ntawm kws kho paj hlwb.