Ib qho kev siv nyiaj ntau ntawm kev siv nyiaj yog kev yuav khoom noj. Ib tug neeg nyob nrog kev kuaj mob ntshav qab zib yuav tsum ua raws nraim li kev noj zaub mov zoo noj nqaij, nqaij ntses, khoom noj siv mis, zaub thiab txiv hmab txiv ntoo, uas muaj ntau ntau zaus ntau dua cov qhob cij thiab zaub mov noj, txwv tsis pub muaj kab mob hauv cov kab mob no. Txog ntawm kev coj tus cuj pwm thiab lub hlwb, tus neeg xav tiv thaiv insulin yuav tsum paub qee tus yam ntxwv ntawm tus kabmob thiab muaj tus lej ua ntau yam los pab nws kov yeej qhov tsis zoo ntawm ntshav qab zib.
- Yuav kom nkag siab txog cov ntshav qab zib yog dab tsi, ua ntej koj xav tau kev paub hauv paus - kev nkag siab koj lub cev ua haujlwm li cas;
- Yog tias muaj kev ua xyem xyav ntawm qhov kev kuaj mob uas tsim nyog, txheeb xyuas cov tsos mob nyob rau lub sijhawm thiab kev kuaj mob thawj zaug.
Nws yuav muaj txiaj ntsig kom tau txais kev cob qhia ntawm lub chaw rau cov neeg mob ntshav qab zib. Yog tias tsis muaj sijhawm los txog kev cob qhia, tom qab ntawd koj yuav tsum tham nrog koj tus kws kho mob endocrinologist, uas yuav tham txog cov ntsiab lus tseem ceeb ntawm kev kuaj mob.
- hais txog tshuaj kho mob ntshav qab zib,
- kev sib txawv ntawm cov sib txawv ntawm cov tshuaj insulin, cov tshuaj txo qis qab zib, tshuaj uas tiv thaiv qhov tshwm sim ntawm cov kab mob ntev,
- cov vitamins thiab cov zaub mov.
Ntau txoj hauv kev ntawm kev siv tshuaj insulin thiab ntshav qab zib, hom tshuaj insulin haum rau tus neeg mob kho, cov hau kev thiab cov chaw tswj hwm tshuaj. Thaum txhaj cov tshuaj insulin, nco ntsoov qhov tshwm sim ntawm nws tshaj lossis tsis muaj peev xwm.
Tus neeg uas muaj tus mob no yuav tsum ua raws li kev noj haus, insulin, thiab noj tshuaj. Txoj kev noj haus yuav tsum noj zaub mov kom nruj raws li lub sijhawm tau hais tseg. Yog tias tus neeg mob taug kev ntev lossis muaj xwm txheej sab nraud lub tsev, koj yuav tsum xav ua ntej txog qhov nws yuav coj nrog nws ntawm txoj kev noj su, noj tshais thiab noj hmo, qhov twg thiab thaum nws noj tshuaj ntsiav, nws yuav noj tshuaj insulin.
Ib tug neeg nyob hauv insulin yuav tsum nco ntsoov tias:
- Kev tshaib plab yog qhov txaus ntshai tshaj plaws rau nws lub cev, ua rau cov ntshav qabzib tsawg. Tus mob ntshav qab zib yuav tsum tsis txhob tshaib plab;
- Kev noj ntau dhau tuaj yeem ua rau nce qib hauv qab zib, uas yog qhov txaus ntshai li yoo mov. Yog li, nws yog qhov yuav tsum tau tas li suav cov khoom noj kom tsawg thiab lawv lub peev xwm los nce cov suab thaj.
Kev txo cov piam thaj hauv qab zib lossis cov ntshav qog ntshav qis yog txheej txheem uas tshwm sim hauv vib nas this. Yog tias koj tsis ntsuas qhov tsim nyog, tus mob ntshav qab zib ua rau nws poob qab thiab yuav tuag lossis ua neeg ceg tawv.
Txhawm rau tiv thaiv kom tsis txhob muaj piam thaj hauv qab cov theem qis, cov ntshav qab zib yuav tsum muaj cov khoom noj txom ncauj ib txwm muaj - cov piam thaj (10 txhiab), qab zib (0.5 l), kua txiv (1 - 2), ncuav qab zib qab zib (150 - 200 g), qhaub cij nrog xim av qhob cij (1 - 2)
- Tus mob ntshav qab zib yuav tsum paub txog cov khoom muaj rog, protein, carbohydrates thiab fiber ntau ua cov khoom lag luam.
- Cov khoom lag luam twg raug tso cai thiab qhov twg muaj kev pom zoo, thiab vim li cas.
- Yuav tsum paub txog tus lej ntawm kev rhuav tshem ntawm ntau yam tshuaj mus rau cov piam thaj,
- Paub yuav ua li cas cov txheej txheem ntawm kev nce qab zib ntxiv nyob ntawm lub xeev cua sov ntawm cov zaub mov.
- Ua raws li kev noj haus, tuaj yeem ua noj tais diav npaj rau kev noj haus ntawm cov neeg mob ntawd, kom paub siv cov piam thaj hloov pauv kom raug.
- Txhawm rau xam cov index ntawm chav tsev qhob cij ntawm ib qho khoom lag luam thiab nws cov ntsiab lus calorie.
Nws yog ib qho tseem ceeb rau cov ntshav qab zib kom muaj kev txawj tswj hwm:
- Zis thiab ntshav qab zib cov qib (hauv tsev nrog lub ntsej muag thiab kuaj kab)
- Nyhav Qeb - Cov nplai pem teb yuav tsum tau yuav;
- Qav txog ntshav siab (tshwj xeeb tshaj yog rau cov neeg mob siab siab) - siv lub tshuab tonometer muag hauv khw muag tshuaj
Qhov puab ntawm qhov kev nyeem yuav tsum tau sau rau hauv phau ntawv tshwj xeeb.
Ntxiv rau cov kev txwv no, thaum txheeb xyuas cov ntsuas ntawm lub xeev ntawm lub cev, cov ntaub ntawv hauv qab no yuav tsum tau sau rau hauv phau ntawv sau:
- Txog kev muab koob tshuaj insulin;
- Qhov muaj pes tsawg leeg thiab sijhawm noj mov, nws cov mov ci;
- Lub sijhawm thiab tus nqi ntawm kev noj tshuaj uas tiv thaiv kev loj hlob ntawm cov kab mob mus ntev (tshwj xeeb tshaj yog cov kab mob vascular ntawm ob lub raum, ob lub qhov muag thiab ceg);
- Kev txheeb xyuas ntawm cov laj thawj thiab lub sijhawm tau nce siab lossis nce siab ntxiv hauv cov piam thaj.
Ib tug neeg muaj ntshav qab zib, nrog rau nws cov txheeb ze thiab cov phooj ywg yuav tsum paub cov hauv paus kev kho mob yog tias pom qhov tsis pom tshwm tom qab dhau los. Piv txwv li, nrog hypoglycemia, tib txoj kev tsuas yog ua kom tus neeg tawm ntawm lub xeev ntawm tsaus muag yog pab tsuas yog siv sijhawm txhaj tshuaj qabzib. Cov txheeb ze ntawm tus mob ntshav qab zib yuav tsum paub qhov no thiab muaj peev xwm muab kev pabcuam thawj zaug rau lub sijhawm.
Cov kab mob pheej hmoo txhim kho tom qab ntawm cov ntshav qab zib yuav tsum nyob hauv qab tswj hwm ntawm tus neeg mob. Rau qhov no, nws yog ib qho tsim nyog yuav tsum tau mus soj ntsuam los ntawm cov kws tshaj lij:
- Ophthalmologist-1 zaug hauv ib xyoos, hauv kev tsis txaus siab;
- Podiatrist (tus kws tshaj lij hauv kev kho ko taw) - 1 zaug nyob rau ib xyoo;
- Cov leeg phais mob - 1 zaug ib xyoos;
- Neurologist (kws kho mob hauv lub raum) - raws li xav tau;
- Cov kws kho hniav tawv nqaij
- Cov kws kho hniav.
Ntxiv rau, cov txheej txheem xws li tshuaj insulin, tshuaj xyuas ntshav qab zib, noj tshuaj, thiab ntsuas ntshav siab yuav siv sijhawm ntau dua 10 feeb nyob rau ib hnub, uas tsis ntau npaum li cas los tswj lub cev ib txwm muaj ntawm lub cev, thiab qhov xav tau tswj kev noj zaub mov kom zoo yuav muaj txiaj ntsig tsis yog rau ib tug neeg muaj cov insulin, tab sis thiab zoo heev.