Ua ntej, peb xav kom koj nyeem cov kab lus tseem ceeb, "Cov tsos mob ntshav qab zib." Thiab ntawm no koj yuav kawm paub meej los ntawm cov cim qhia tias mob ntshav qab zib tuaj yeem xav li cas hauv menyuam yaus. Cov tsos mob ntshav qab zib hauv cov menyuam yaus feem ntau yog pib yuam kev rau qhov tsos ntawm lwm tus kab mob. Vim tias qhov no, nws tsis tshua muaj peev xwm txiav txim tau hauv lub sijhawm tias tus menyuam tiag tiag muaj ntshav qab zib.
Hauv kev xyaum tshuaj kws kho mob ntshav siab, ntshav qab zib muaj tsawg heev. Yog li, nws xav tias tsam kawg yog qhov ua rau muaj qee cov tsos mob hauv tus menyuam.
Feem ntau, kev kho mob pib lig, thiab vim li ntawd cov ntshav qab zib kom tswj tau ua rau muaj cov tsos mob mob, ua kom lub cev tsis muaj qab zib. Thiab tsuas yog tom qab ntawd, niam txiv thiab kws kho mob kwv yees tias muaj xwm txheej dab tsi. Tom qab nyeem peb tsab xov xwm, koj yuav tau "ceev faj" txog cov tsos mob ntshav qab zib hauv cov menyuam yaus. Peb tseem yuav tham txog qhov lawv yuav hloov pauv raws lub hnub nyoog uas tus menyuam pib kis kabmob.
Cov menyuam yaus thiab tub ntxhais hluas, feem ntau, mob ntshav qab zib hom 1. Txawm hais tias nyob rau xyoo tas los no, tus mob ntshav qab zib hom 2 tau ua "yau dua", thiab tam sim no nws tshwm sim txawm tias cov menyuam rog muaj 10 xyoo rov hauv.
Thov cim tseg yog tias tus menyuam muaj cov tsos mob no:
- nqhis dej heev (qhov no hu ua polydipsia);
- kev tso zis tsis tseem ceeb tshwm sim, txawm hais tias nws tsis nyob ntawd;
- tus me nyuam poob siab poob siab poob txiaj ntsig;
- ntuav
- kev npau taws, poob qis hauv tsev kawm;
- cov kab mob ntawm daim tawv nqaij yog feem ntau rov ua - rwj, barley, thiab lwm yam.;
- hauv cov menyuam ntxhais thaum tiav nkauj tiav nraug - mob hnyuv ntawm lub cev (mob ntsws).
Cov tsos mob mob ntshav qab zib hauv cov menyuam yaus
Mob hnyav (mob hnyav) ntshav qab zib hauv menyuam yaus yuav tsum tau kuaj mob sai. Lawv daim ntawv muaj xws li:
- nquag ntuav
- lub cev muaj dej tsis txaus, thiab cov menyuam yaus tseem muaj ntshav qab zib;
- lub cev hnyav poob vim tias lub cev qhuav dej, poob ntawm cov roj ua rog thiab cov leeg nqaij los ntawm lub cev;
- tus me nyuam muaj kev ua pa txawv txawv - ua pa kussmaul - nws yog qhov tsis sib xws, tsis tshua muaj, nrog lub suab sib sib zog nqus pa thiab ua kom muaj zog ntxiv;
- hauv kev tso pa tawm - tsis hnov tsw ntawm acetone;
- kev cuam tshuam ntawm kev nco qab: nkees, tsis meej pem hauv qhov chaw, tsawg dua - tsis nco qab vim tsis nco qab lawm;
- poob siab mob: nquag mem tes, xiav ceg.
Ntawm chav kawm, nws yuav tsim nyog los kuaj ntshav qab zib hauv tus menyuam hauv lub sijhawm, yog li muaj kev pab kho mob kom tsis txhob pib qhov tsos mob tshwm sim. Tab sis qhov no tsis tshua muaj tshwm sim hauv kev coj ua. Cov kws kho mob feem ntau pib xav tias muaj ntshav qab zib thaum yau thaum tus neeg mob twb tau tsim ketoacidosis (tsis hnov ntxhiab tsw ntxhiab ntawm acetone hauv kev ua pa), tawm sab nraud pom lub cev qhuav dej kom txaus, lossis txawm tias thaum tus me nyuam poob rau hauv kev mob ntshav qab zib.
Cov tsos mob ntshav qab zib hauv cov menyuam mos
Ntshav qab zib hauv cov menyuam yaus ntawm thawj xyoo ntawm lub neej tsis tshua muaj, tab sis nws tshwm sim qee zaum. Qhov teeb meem kuaj mob yog tias tus me nyuam mos tsis muaj peev xwm hais tau lus. Yog li ntawd, nws tsis tuaj yeem yws txog kev nqhis dej thiab nws txoj kev noj qab haus huv. Yog hais tias tus menyuam nyob hauv daim pawm, tom qab ntawv niam thiab txiv tsis zoo siab pom tias nws pib tso zis ntau npaum li cas.
Cov tsos mob ntshav qab zib hauv cov menyuam yau tshaj:
- tus menyuam tsis nce phaus, txawm tias yog lub siab xav noj mov zoo, maj mam nce zuj zus ntawm nws;
- coj tsis tus cwj pwm tsis tu ncua, calms poob tsuas yog tom qab haus dej;
- nquag ua pob pawm, tshwj xeeb tshaj yog nyob hauv qhov chaw ua haujlwm sab nraud, thiab lawv tsis tuaj yeem kho;
- tom qab cov zis tau qhuav lawm, cov pawm cov pawm qaij poob los;
- yog zis cia rau hauv pem teb, muaj cov nplaum zom zaws;
- cov tsos mob mob ntshav qab zib hauv cov menyuam mos: ntuav, qaug cawv, ua kom lub cev qhuav dej.
Yuav muaj ntshav qab zib li cas tshwm sim hauv cov menyuam pib kawm ntawv thiab cov menyuam kawm theem pib
Cov menyuam yaus yau muaj "hom" thiab cov tsos mob hnyav ntawm ntshav qab zib, uas peb tau teev tseg saum toj no. Cov niam txiv thiab kws kho mob muaj teeb meem pom tus mob ntshav qab zib hauv tus menyuam raws sijhawm. Vim tias qhov tshwm sim ntawm tus kabmob no yog "zais" raws li cov tsos mob ntawm lwm yam kab mob.
Hauv cov neeg mob ntawm cov hnub nyoog yau dua, ntshav qab zib feem ntau mob hnyav, tsis khov. Vim li cas qhov no tshwm sim thiab yuav ua li cas txhawm rau niam txiv - nyeem peb cov ntawv tseem ceeb "Ntshav qab zib hauv cov menyuam yaus." Ib tug menyuam yaus uas muaj ntshav qab zib tuaj yeem ntsib ntshav qab zib tsawg dua. Yog li, ntawm no peb muab cov npe ntawm cov tsos mob ntawm tus mob ntshav qab zib tsawg hauv cov menyuam yaus:
- tus me nyuam coj tsis tus, hloov tsis tau zoo;
- lossis rov ua dua, nws dhau los ua nkees, poob tsaug zog thaum nruab hnub ntawm lub sijhawm tsis tau pom dua;
- tsis kam cov khoom noj, thaum sim muab khoom qab zib - ntuav.
Qhov maj maj kom pub mis rau me nyuam noj yog tias nws muaj ntshav qab zib tsawg, thiab tsis yog "tawg tawg". Yog li no, rau txhua txhua qhov xav tias tsam lub ntsej muag ntshav qab zib, cov ntshav qab zib yuav tsum ntsuas siv lub ntsej muag glucometer. Tib lub sijhawm, kev mob ntshav khov ntau heev tuaj yeem ua rau lub hlwb tsis ua haujlwm thiab xiam oob khab.
Puas muaj cov tsos mob tshwj xeeb rau tus mob ntshav qab zib rau cov hluas?
Cov tsos mob ntshav qab zib hauv cov hluas thiab cov neeg laus yuav luag zoo ib yam. Lawv teev nyob hauv kev nthuav dav hauv kab lus “Cov tsos mob ntshav qab zib. Cov tsos mob thaum ntxov rau cov neeg mob ntshav qab zib. ” Nyob rau tib lub sijhawm, thaj chaw kuaj mob ntshav qab zib hauv cov menyuam yaus ntawm pawg hnub nyoog laus muaj nws tus kheej nuances.
Yog tias ntshav qab zib pib hauv menyuam yaus thaum tiav hluas, tom qab ntawd feem ntau nws loj tuaj dua li cov menyuam yaus. Lub sijhawm nyuam qhuav pib mob ntshav qab zib hauv cov hluas muaj peev xwm kav ntev li 1-6 lub hlis lossis ntev dua. Cov tsos mob ntawm cov tub ntxhais hluas mob ntshav qab zib nyob rau lub hlis no feem ntau yog yuam kev rau cov tsos mob ntawm neurosis lossis qeeb qeeb. Lub sijhawm no, cov neeg mob yws ntawm:
- kev nkees;
- tsis muaj zog
- mob taub hau
- kev chim siab;
- kev kawm tau ntawv poob.
Kuj, ob peb lub hlis ua ntej qhov pib ntawm ntshav qab zib tuaj yeem ua rau tus kheej ntshav qab zib tsawg. Lawv tsis yog nrog los ntawm kev tsis nco qab los yog qaug dab peg, tab sis tus tub ntxhais hluas muaj lub siab xav noj khoom qab zib. Nws tau pom tias cov tshwm sim tshwm sim ntawm glycemia tshwm sim thaum pib ntawm cov hluas muaj ntshav qab zib, thaum lub cev tiv thaiv kab mob tua cov ntshav ntawm pancreatic beta hlwb.
Mus txog thaum pom cov tsos mob ntshav qab zib tshwm sim, tus tub hluas yuav muaj cov tawv nqaij pheej muaj mob, ua pob, thiab mob txhaws ntswg. Yog tias ketoacidosis huam sai, ces mob plab, xeev siab, thiab ntuav tuaj yeem tshwm sim. Qhov no feem ntau tau suav hais tias yog cov tsos mob ntawm mob hnyuv tws lossis mob plab hnyuv, thiab tus menyuam nyob saum rooj ntawm tus kws phais mob.
Thaum tiav nkauj tiav nraug, cov hluas yuav muaj cov tsos mob ntshav qab zib tshwj xeeb. Vim tias cov tshuaj hormones hloov pauv hauv lub cev hauv cov xyoo no txo qhov rhiab ntawm cov ntaub so ntswg mus rau insulin, i.e., insulin tsis kam loj hlob. Ntxiv rau, cov tub ntxhais hluas feem ntau nyiam cuam tshuam lawv kev noj haus, qoj ib ce thiab txhaj tshuaj insulin.
Cov tsos mob ntawm tus mob ntshav qab zib hom 2 rau cov menyuam yaus
Txij thaum pib ntawm lub xyoo pua 21st, mob ntshav qab zib hom 2 tau ua "yau dua". Hauv Tebchaws Meskas, cov kab mob ntawm tus kabmob no tau tshaj tawm txawm tias menyuam yaus muaj 10 xyoo. Cov pab pawg muaj kev phom sij suav nrog cov menyuam yaus thiab cov hluas uas tau hais tawm cov tsos mob ntawm tus kab mob metabolic:
- lub plab hom rog;
- arterial kub siab;
- txhawb theem triglycerides thiab roj "tsis zoo" hauv cov ntshav;
- rog dhau ntawm daim siab (rog tsis rog cawv rog hepatosis).
Ntshav qab zib Hom 2 feem ntau yog pib thaum tiav hluas nyob rau hauv nruab nrab ntawm tiav nkauj tiav nraug. Lub sijhawm no tuaj yeem siv sijhawm rau cov tub hluas los ntawm 12 txog 18 xyoo, rau cov menyuam ntxhais - los ntawm 10 txog 17 xyoo. Feem coob ntawm cov neeg muaj ntshav qab zib hom 2 nyob rau lub hnub nyoog yau muaj tsawg kawg yog ib tus neeg txheeb ze uas muaj teeb meem zoo ib yam, lossis ob peb yam.
Tsis pub ntau dua 20% ntawm cov tub ntxhais hluas uas muaj hom 2 mob ntshav qab zib tsis txaus siab muaj cov tsos mob hnyav: nqhis dej, tso zis tsis tu ncua, poob ceeb thawj. Feem ntau cov neeg mob hluas uas muaj tus mob no muaj ntau yam teebmeem kev noj qab haus huv, tab sis lawv puav leej yog "ntau yam":
- mob hnyav sib kis;
- rog dhau
- teeb meem tso zis (mob tsis txaus);
- kev tso zis tsis ua haujlwm (enuresis).
Ntshav qab zib Hom 2 ntawm cov tub ntxhais hluas feem ntau raug kuaj pom thaum kuaj mob niaj hnub, ua rau ntshav kuaj lossis tso ntshav qab zib. Thiab hom 1 mob ntshav qab zib rau menyuam yaus feem ntau tsis tshua pom muaj hauv cov xwm txheej zoo li no. Vim tias feem ntau nws ua rau cov tsos mob hnyav uas niam txiv thiab kws kho mob mloog.
Yog li, koj tau kawm ua ntu lus qhia txog cov tsos mob ntshav qab zib hauv menyuam yaus yog li cas. Nws yog ib qho tseem ceeb kom nco ntsoov cov ntaub ntawv no rau cov kws kho mob, tab sis kuj rau cov niam txiv. Nws kuj yuav muaj txiaj ntsig zoo rau koj los kawm hauv peb tsab xov xwm tseem ceeb “Ntshav Qab Zib hauv Cov Menyuam” ntu “Yuav ua li cas thiaj li paub hais tias hom ntshav qab zib twg menyuam muaj”. Nco ntsoov tias ntshav qab zib yog qhov tsawg heev hauv kev xyaum ntawm cov kws kho mob menyuam yaus. Yog li, lawv xav tias nws yog qhov ua rau qee cov tsos mob hauv tus menyuam hauv qhov kawg.
