Txhawm rau tswj koj cov ntshav qab zib thiab lwm yam teeb meem ntsig txog ntshav qab zib, koj xav tau qee yam ntxiv. Cov ncauj lus kom ntxaws ntawm lawv tau nthuav tawm hauv cov ntawv no. Kev kho mob ntshav qab zib kom ua hauj lwm zoo yuav tsum tsis yog muaj kev ua raws li cov kev coj ua, tab sis kuj yuav tsum them tus nqi. Nyob rau hauv txhua rooj plaub, koj yuav tsum tsis tu ncua ua tiav cov khoom siv ua ntej cov khoom siv nrog kev sim ntsuas rau cov glucometer. Khoom noj muaj protein ntau rau cov khoom noj uas tsis muaj cov piam thaj rau cov ntshav qab zib yog kim dua cov qos yaj ywm, zaub mov thiab nqaij ci uas lwm tus neeg noj.
Cov lus hauv qab no muab ib lub rooj ntawm cov kab mob ntshav qab zib, nrog rau cov lus piav qhia ntxaws rau nws. Koj tseem yuav xav tau cov tshuaj insulin, cov tshuaj insulin thiab / lossis cov tshuaj ntshav qab zib. Tab sis cov lus nug ntawm kev xaiv cov tshuaj insulin thiab tshuaj rau ntshav qab zib, txhua tus neeg mob txiav txim siab nws tus kheej nrog nws tus kws kho mob endocrinologist. Lawv xav tau ib tus neeg mus kom ze thiab yog li ntawd dhau ntawm cov kev txwv ntawm tsab xov xwm no.
Yam koj yuav tsum muaj rau tus mob ntshav qab zib
| Lo lus uas peb | Npe | Lus khaws xav |
|---|---|---|
| Rau kev tswj tus kheej cov ntshav qab zib txhua hnub | Teeb nyob rau hauv ib rooj plaub: glucometer, lancets tsis muaj menyuam, kuaj cov hlua, cwj mem rau kev ntxaum daim tawv nqaij, paj rwb tsis-tawv. | Nco ntsoov tias koj lub ntsuas dej yog! Yuav ua li cas ua qhov no tau piav qhia ntawm no. Tsis txhob siv lub ntsuas 'dag ", txawm hais tias qhov ntsuas ntsuas yuav pheej yig. Tus cwj mem los rau kev tawv tawv yog hu ua "daim ntaub qhwv." |
| Cov ntawv ntsuas ntxiv rau glucometer, 50 pcs. | Kuaj cov tshuaj pleev rau glucometer - khoom plig zoo tshaj rau cov ntshav qab zib! | |
| Txheeb xyuas cov txiaj ntsig ntawm kev ntsuas ntshav qab zib - cov ntawv sau lossis cov haujlwm hauv smartphone | Cim xeeb hlwb hauv lub 'meter' - tsis txhob haum! Vim hais tias rau qhov kev txheeb xyuas nws kuj tseem yuav tau sau cov ntaub ntawv ntawm cov xwm txheej tsis sib haum: lawv tau noj dab tsi, kev tawm dag zog, yam tshuaj twg lawv noj, seb lawv puas muaj kev ntxhov siab heev. Nws yog qhov zoo tshaj plaws los siv cov kev pabcuam tshwj xeeb rau cov neeg mob ntshav qab zib hauv koj lub xov tooj ntawm tes. Ntawv hauv phau ntawv los kuj haum. | |
| Txhawm rau tshem ntshav tawm ntawm cov khaub ncaws tam sim ntawd ua ntej lawv ua kom qhuav | Tshuaj hydrogen peroxide | |
| Nrog rau lub cev qhuav dej (lub cev qhuav dej) | Ncig ncig, Rehydrara, Hydrovit, Regidron, Glucosolan, Reosolan, Marathonik, Humana Electrolyte, Orasan, Citraglucosolan - lossis lwm yam hmoov electrolyte muag hauv khw muag tshuaj | Hauv ntshav qab zib, lub cev qhuav dej yog qhov txaus ntshai tshwj xeeb tshaj yog vim nws tuaj yeem ua rau ketoacidosis lossis mob ntshav qab zib ua rau muaj kev tuag taus. Yog li, khaws cov hmoov electrolyte rau hauv koj lub txee rau tshuaj. |
| Nrog kev mob plab zom mov | Cov tshuaj rau raws plab (raws plab) | Bernstein xav kom muaj cov tshuaj muaj zog Lomotil (diphenoxylate hydrochloride thiab atropine sulfate) hauv koj cov tshuaj kho mob ntshav qab zib. Txog kev zawv plab, peb xav kom koj ua ntej siv cov xim tsis muaj kev phom sij ntawm Hilak Forte, thiab Lomotil - tsuas yog ua zaum kawg. |
| Kev ntuav heev | Cov tshuaj antiemetic | Nug koj tus kws kho mob seb puas siv tshuaj tiv thaiv antiemetic. Ntuav yog qhov mob tshwm sim; nws yog qhov zoo dua rau sab laj nrog kws kho mob sai dua li siv tshuaj rau tus kheej. |
| Yuav kom ntshav qab zib sai sai (txwv tsis pub ntshav qog ntshav qab zib) | Glucose ntsiav tshuaj | Cov khoom siv no tsuas yog xav tau yog tias cov mob ntshav qab zib tau txais cov tshuaj insulin thiab / los yog sulfonylurea derivatives ntsiav tshuaj (nyeem vim li cas peb xav kom tso tseg cov ntsiav tshuaj no). Yog tias koj tswj hom ntshav qab zib hom 2 nrog kev noj zaub mov kom tsawg, ua kom tawm dag zog, thiab Siofor (Metformin) cov ntsiav tshuaj, tsis muaj insulin, ces txhua yam no tsis tsim nyog. |
| Glucagon syringe raj | ||
| Txog kev kuaj zis thaum kis mob nrog ua npaws | Ketone xeem strips | Muag hauv chaw muag tshuaj. |
| Txhawm rau sim cov zaub mov rau zais qab zib | Cov zis ntsuas cov ntshav qabzib | |
| Mob ntshav qab zib ko taw | Txhawm rau ntub cov taw - zaub los yog tsiaj muaj roj, cream nrog cov vitamin E | |
| Cawv tus pas ntsuas kub da dej | Mercury lossis tus pas ntsuas kub hluav taws xob tsis haum, koj xav tau cawv | |
| Txog kev npaj noj haus thiab tsim cov zaub mov | Cov Khoom Siv Khoom Noj Khoom Haus Rooj | |
| Sweeteners | Stevia Extract - ua kua, hmoov lossis ntsiav tshuaj | Nco ntsoov tias tsis muaj qhov ua tsis zoo ntawm cov qab zib "txwv" uas ua rau cov ntshav qab zib. Cov no yog cov fructose, lactose, pob kws phoov, malt, maltodextrin, thiab lwm yam. |
| Cov ntsiav tshuaj sweetener los ntawm lub khw muag khoom uas muaj aspartame, cyclamate, thiab lwm yam. |
Teeb rau ntsuas cov ntshav qab zib
Cov khoom siv los ntsuas ntshav qab zib yuav tsum muaj:
- ntsuas ntshav qab zib;
- tus coj ua haujlwm nrog lub caij nplooj ntoo hlav txhawm rau txhaws tus ntiv tes (nws yog hu ua “tus caws pliav”);
- hnab nrog lancets tsis muaj menyuam;
- kaw lub raj mis nrog kev sim strips rau glucometer.
Tag nrho cov no feem ntau yog khaws cia hauv ib qho chaw los yog rooj plaub zoo. Tso ib co paj rwb uas tsis muaj me me ntxiv rau qhov ntawd, tuaj sau nrog.
Yuav kuaj li cas yog koj lub ntsuas dej yog qhov raug
Niaj hnub nimno cov ntshav ntsuas lub cev ua qhov hnyav dua hauv qhov hnyav thiab yuav tsum tau muaj ntshav tsawg dua txhua lub sijhawm rau kev txheeb xyuas. Txawm li cas los xij, qee cov tuam ntxhab tseem tso cai rau lawv tus kheej tsim thiab muag cov ntsuas muag qhov ntsuas pom kev ntsuas cuav. Yog tias koj siv cov glucometer uas tau dag, ces txhua txoj kev ntsuas rau kev kho mob ntshav qab zib yog qhov tsis muaj txiaj ntsig. Cov ntshav qab zib yuav nyob siab ntxiv lossis dhia "dhia". Raws li txoj cai, glucometers nrog pheej yig kuaj cov ntsuas tsis muaj tseeb. Cov nyiaj khaws tseg no yuav ua rau poob nyiaj ntau, vim tias cov kab mob ntshav qab zib yuav loj hlob sai thiab ua rau muaj mob xiam oob qhab lossis tuag taus.
Nyob rau tib lub sijhawm, tsis muaj leej twg lees tias lub ntsej muag zoo nkauj nrog cov nqi ntsuas hnyav yuav yeej tig los ua qhov tseeb. Tom qab yuav cov 'meter', nco ntsoov kuaj nws thiab paub tseeb tias muaj tseeb. Yuav ua li cas ua qhov no tau piav qhia meej hauv no. Tsis txhob cia siab rau cov ntawv sim ntawm ntau cov qauv ntawm cov duab luam tawm hauv Is Taws Nem, txawm nyob hauv peb lub vev xaib.
Txhua qhov kev ntsuam xyuas tau tshaj tawm hauv cov ntawv kho mob thiab cov vev xaib tuaj yeem tau txais nyiaj los ntawm cov tuam ntxhab ntawm glucometers thiab yog li muaj cov txiaj ntsig cuav. Nco ntsoov ntsuas koj cov glucometer koj tus kheej. Yog tias nws hloov tawm hais tias lub ntsuas dej uas tau yuav yog dag - tsis txhob siv nws. Yuav tsum yuav lwm tus qauv thiab rov ua qhov ntsuas. Tag nrho cov no yog teeb meem thiab kim, tab sis tsim nyog kiag li yog tias koj xav kom zam dhau qhov tshwm sim ntawm ntshav qab zib.
Daim tawv nqaij laum tawv tawv
Lub lancet yog muab tso rau hauv lub caws pliav txhawm rau txhawm rau tawv nqaij thiab ua kom ntshav los tsom. Yog lawm, koj tuaj yeem hno tawv nqaij nrog lub lancet, thiab tsis tas siv daim phuam qhwv taub hau ... tab sis vim li cas? Txhua lub lancet yuav siv tau ntau zaus nyab xeeb. Nws yog kiag li tsis tsim nyog siv lawv ib zaug, raws li sau hauv cov lus qhia. Txawm hais tias feem ntau, cov lus qhia rau kev siv lub ntsuas yuav tsum ua tib zoo kawm thiab ua raws.
Maj mam, cov lancets dhau los ua npub thiab cov lus txhaws ua rau mob hnyav ntxiv. Ib yam li qhov no tshwm sim nrog cov koob txhaj tshuaj insulin koob txhaj tshuaj. Yog li koj tuaj yeem txuag ntawm lancets, tab sis paub ntsuas. Txhua zaus hloov lub lancet uantej koj qiv koj cov ntshav ntsuas ntshav mus rau lwm tus. Tom qab ntawd hloov lub lancet ntxiv, tom qab lub ntsuas dej rov ua rau tus tswv. Yog li kom tsis muaj kev kis tus mob, zoo li cov neeg quav yeeb quav tshuaj nrog pab pawg nrog ib tus koob txhaj ib zaug.
Qhov xwm zoo yog tias rab koob nyob hauv cov lancets niaj hnub no nyias nyias, thiab yog li qhov tho qhov ntiv tes nrog tus caws pliav yog qhov tsis tshua mob. Kev tshaj tawm hauv kev hais txog qhov no tsis yog dag. Zoo ua neeg tsim khoom, sim ua.
Cov tshuaj hydrogen los ua kom cov ntshav tawm ntawm cov khaub ncaws
Tus mob ntshav qab zib feem ntau ntsib teeb meem zoo li cov ntshav lo ntawm khaub ncaws. Cov pob qog no yuav tshwm sim thaum koj ntsuas ntshav qab zib nrog ib qho glucometer lossis thaum koj txhaj tshuaj insulin. Tshwj xeeb yog tias koj txhaj tshuaj insulin los ntawm khaub ncaws. Txhawm rau kom tshem tawm cov pob ntawd tam sim ntawd, nws pom zoo kom ib txwm muaj lub raj mis nrog tov ntawm hydrogen peroxide. Cov fwj no tau muag hauv txhua lub tsev muag tshuaj thiab yog pheej yig.
Ntau tus neeg mob ntshav qab zib tau ua cov txheej txheem ntawm kev txhaj tshuaj insulin los ntawm cov khaub ncaws hnav thaum muaj qhov tsis yooj yim rau hle ris tsho. Qee zaum, qhov no yuav ua rau cov ntshav pom ntawm cov khaub ncaws yog tias ib rab koob txhaj ib ce ua pa rau cov ntshav capillary. Tsis tas li, qhov ntiv tes hno rau qhov ntsuas ntshav qab zib tuaj yeem ua rau ntshav nyuaj dua li qhov koj xav. Zais ntiv tes kom tau tso ntshav, koj tuaj yeem qee zaum muaj ntshav ntws hauv lub qhov muag, thiab tom qab ntawd nws pob rau ntawm cov khaub ncaws.
Hauv txhua qhov xwm txheej no, ib qho kev daws teeb meem ntawm hydrogen peroxide yog qhov cuab yeej tseem ceeb uas yuav daws tau qhov teeb meem no sai. Nrog nws, koj tuaj yeem yooj yim tshem tawm cov ntshav tsuas. Nyob rau tib lub sijhawm, cov xim ntawm cov npuag yuav nyob li qub, nws yuav tsis ci. Nws yog qhov zoo dua los kho cov ntshav tsuas yog ua ntej lawv muaj sijhawm kom qhuav. Tso me ntsis hydrogen peroxide rau ntawm daim phuam da dej, thiab tom qab ntawd txhuam cov ntshav lo rau ntawm cov khaub ncaws. Cov ntshav yuav pib ua npuas. Khaws tshuaj pleev kom txog thaum txoj kev ci ntsa iab ploj mus.
Yog tias koj tsis muaj hydrogen peroxide ntawm tes, siv mis lossis koj cov qaub ncaug kom tshem tawm cov ntshav. Cov tshuaj no ua haujlwm yuav luag zoo ib yam. Yog tias cov ntshav ntawm cov khaub ncaws tswj tau kom qhuav, tom qab ntawd koj yuav tsum txhuam cov stain nrog hydrogen peroxide ntev li 20 feeb, kom txog thaum nws ploj tag. Tom qab siv thawj zaug, hydrogen peroxide hauv lub raj mis yuav plam nws cov nruj thiab yuav pib nkag rau hauv huab cua. Vim tias cov tshuaj no, cov tshuaj no yuav ua haujlwm ntev txog 1 lub hlis, thiab tom qab ntawd kiag li tig mus rau hauv dej.
Nws tsis nquahu kom tsis txhob los ntshav los ntawm qhov txhab nrog hydrogen peroxide! Yog tias ua li no, tom qab ntawd ntau dua qhov nti nti yuav nyob, thiab txoj kev kho kom zoo yuav qeeb. Feem ntau, nws zoo dua tsis txhob hlawv cov qhov txhab.
Cov Ntsuas Hluav Taws Xob rau Lub Cev Qhuav
Kub taub hau, ntuav thiab raws plab yuav ua rau lub cev qhuav dej (lub cev qhuav dej). Rau cov mob ntshav qab zib, qhov no yog qhov txaus ntshai tshwj xeeb vim tias nws yog qhov tsis khov ua rau lub dag zog ua kom mob plab tuag. Nrog rau lub cev qhuav dej kom txaus, koj yuav tsum kho qhov ua rau, sai li sai tau pib haus cov kev daws teeb meem tshwj xeeb kom rov ua kom qhov sib npaug ntawm cov kua thiab electrolytes hauv lub cev.
Cov hmoov nplej rau kev npaj cov tshuaj electrolyte tau muag hauv lub tsev muag tshuaj. Qee ntawm lawv cov npe muaj npe nyob hauv cov ntawv hais los saud. Nws raug nquahu kom yuav 1-2 lub hnab ua ntej thiab khaws cia rau hauv lub thawv tshuaj hauv tsev. Xyuas kom meej tias cov tshuaj potassium chloride yog ib qho ntawm cov hmoov siv tshuaj.
Cov tshuaj kho mob raws plab (raws plab) nyob rau hauv cov ntshav qab zib
Mob plab zawv (raws plab) yog qhov phom sij tshwj xeeb tshaj yog cov ntshav qab zib vim nws tuaj yeem ua rau lub cev qhuav dej, uas yuav ua rau kom mob ntshav qab zib tsis xeev. Dr. Bernstein pom zoo kom koj muaj Lomotil (diphenoxylate hydrochloride thiab atropine sulfate) hauv koj cov tshuaj kho mob los kho mob raws plab hauv ntshav qab zib. Qhov no yog qhov cuab yeej muaj zog, "hnyav artillery." Nws zoo kawg li inhibits plab hnyuv motility.
Peb pom zoo kom koj xub siv lub duav Hilak Forte, vim tias lawv tsis muaj kev phom sij, muaj kev kho tau ob qho tib si raws plab thiab tso quav los ntawm txoj kev paub. Lomotil tuaj yeem siv mus rau qhov chaw thib ob, yog tias Hilak tsis pab. Txawm hais tias nyob rau hauv qhov xwm txheej zoo nws yog qhov zoo dua rau sab laj tus kws kho mob tam sim ntawd, thiab tsis txuas ntxiv rau kev kho tus kheej.
Ntuav rau mob ntshav qab zib thiab kom nws txhob
Kev ntuav heev tuaj yeem ua rau cov kua dej thiab cov khoom siv hluav taws xob tsis zoo, i.e., ua rau lub cev qhuav dej, uas yog rau cov neeg mob ntshav qab zib. Sim nrawm nqa cov neeg mob mus rau tus kws kho mob lossis tus kws kho mob rau tus neeg mob, tsis txhob twv txoj hmoo. Nyob rau hauv qhov xwm txheej zoo li no, kev siv tus kheej yog qhov poob siab heev.
Txhais tau haistias kom ntshav nce ntxiv kom sai (tso tseg ntshav qog ntshav qab zib)
Feem ntau, cov neeg mob ntshav qab zib nyob rau hauv cov ntaub ntawv ntawm lub qog ntshav qab zib tau pom zoo kom ib txwm nqa cov khoom noj zom zaub mov kom yooj yim hauv daim ntawv ntawm cov khoom qab zib lossis dej qab zib. Peb xav kom koj ua kom koj cov carbohydrates zom tau yooj yim yog cov ntsiav tshuaj qabzib. Ntxiv mus, ua ib qho kev sim ua ntej thiab xyuas kom paub ntau npaum li cas txhua cov ntsiav tshuaj tsa koj cov ntshav qab zib.
Cov haujlwm no nrog cov kua nplaum qab zib yog qhov xav tau yog li thaum muaj xwm txheej ceev koj tsis noj zaub mov tshaj, tab sis noj lawv raws nraim li koj xav tau. Peb tau hnov tus mob hypoglycemia -> ntsuas ntshav qab zib nrog ib glucometer -> suav cov ntsiav tshuaj ntau npaum li cas -> noj lawv. Thiab txhua yam yog zoo.
Yog tias koj tsum tsis haus dej, piv txwv li, ib khob kua txiv ntawm khob kua txiv kom nres ntawm hypoglycemia, tom qab ntawv cov ntshav qab zib yuav dhia sai sai, thiab tom qab ntawv nws yuav nyuaj rau nws qis. Thiab thaum nws tseem nyob siab, tom qab lub sijhawm no cov piam thaj khi mus rau cov ntshav protein thiab cov hlwb, thiab muaj teeb meem ntshav qab zib ntau zuj zus.
Cov neeg mob ntshav qab zib tau pom zoo kom noj cov khoom noj carbohydrates hauv ib qho nyiaj ntawm 1-2 XE hauv qhov xwm txheej ntawm tus mob ntshav qab zib tsawg. Yog tias koj tswj ntshav qab zib kom muaj cov zaub mov tsis muaj carbohydrate thiab, yog li, txhaj cov tshuaj insulin me me, ces qhov no ntau dhau rau koj. Feem ntau cov tuaj yeem, 0.5 XE lossis qis dua txaus. Qhov kawg ntawm cov piam thaj uas yuav tsum tau yuav tsum tau ntsuas los ntawm ntsuas cov ntshav qab zib nrog ib glucometer.
Glucagon syringe raj
Ib lub raj ntshav glucagon syringe yuav tsum nqa nrog koj yog tias tus neeg mob ntshav qab zib ua rau muaj mob ntau dhau ntawm cov ntshav qog ntshav qab zib (ntshav qab zib tsawg). Yog tias tus mob ntshav qab zib muaj kev pheej hmoo mob ntshav qab zib ntau, tom qab ntawd txhua tus phooj ywg, cov npoj yaig, tus txij nkawm, thiab lwm tus neeg hauv tsev neeg yuav tsum tau qhia txog kev siv cov tub ntxhais uas muaj ntshav qab zib nrog glucagon kom pab nws ua ntej ua ntej tus kws kho mob tuaj txog.
Nyeem cov ncauj lus ntxaws ntxaws ntxiv "Cov tsos mob thiab kho hypoglycemia hauv ntshav qab zib mellitus".
Cov khoom qab zib kho ko taw accessories
Txoj kev tu ko taw kom zoo yog ib qho tseem ceeb ntawm kev pab kho kab mob ntshav qab zib kom zoo. Kev txiav tawm ntawm cov ntiv taw lossis tag nrho ko taw thiab kev tsis taus yog qhov kev puas tsuaj loj. Txawm li cas los xij, nws yeej muaj peev xwm zam nws kom mob ntshav qab zib thiab ua kom lub peev xwm txav "ntawm koj tus kheej." Xav txog cov npe khoom siv uas koj xav tau rau qhov no.
Yog tias koj muaj cov tawv nqaij qhuav taw, tom qab ntawd koj yuav tsum tau siv nws lub cev ntub dej, ua kom nws ntub nrog tsiaj lossis zaub roj. Nws tsis pom zoo rau qhov no kom siv roj ntxhia lossis roj av los ntawm cov roj av, vim tias cov tawv nqaij tsis nqus cov khoom ntawd. Qhov yooj yim kev xaiv yog li niaj zaus ntub cov taw nrog zaub roj yuav tom khw.
Ntau tus neeg mob ntshav qab zib tau txo qhov rhiab mob nyob hauv tus taw los ntawm kev ua haujlwm tsis zoo rau cov leeg. Vim tias qhov no, muaj kev phom sij ntawm kev xau lossis hlawv koj ob txhais taw yog tias dej nyob hauv lub dab da dej lossis da dej hloov dhau lawm, thiab koj tsis tuaj yeem hnov nws. Tias yog vim li cas nws yog ib qho tseem ceeb kom muaj cov ntsuas dej cawv kom zoo rau chav dej.
Raws li koj paub, qhov txhab thiab kub hnyiab hauv cov ntshav qab zib tsis zoo. Yog li no, kub kub hlawv feem ntau ua rau cov tsos ntawm qhov mob ntawm ko taw, kev txhim kho kev mob caj dab thiab kev xav tau txiav tawm. Yog tias koj tau muaj tus kab mob ntshav qab zib mob neuropathy (mob hlwb tsis zoo), tom qab ntawd nco ntsoov tias koj tus pas ntsuas kub da dej. Siv nws txhua zaus los xyuas qhov ntsuas kub ua ntej yuav txo koj txhais taw hauv dej.
Khoom ntxiv rau cov mob ntshav qab zib insulin
Ntawm no yog daim ntawv teev luv ntawm cov khoom siv rau cov neeg mob ntshav qab zib uas tau txhaj tshuaj insulin:
- Cov tshuaj insulin - tsawg kawg 2 fwj ntawm txhua hom tshuaj insulin uas koj siv;
- Cov tshuaj insulin cov tub luam - yuav tam sim ntawd 100-200 pcs, nyiam dua nrog qhov luv nqi lag luam wholesale;
- Txhais tau tias siv ceev xwmphem hypoglycemia yog qhov tsim nyog, lawv tau tham txog cov ntsiab lus saum toj saud hauv tsab xov xwm.
Yuav ua li cas khaws thiab siv cov tshuaj insulin, uas cov insulin koob txhaj tshuaj yog qhov zoo dua los xaiv - tag nrho cov ncauj lus tseem ceeb no tau hais kom meej hauv lwm cov lus hauv peb lub vev xaib.Peb tseem yuav zoo siab los teb koj cov lus nug hauv cov lus hauv qab no.
