Yog tias tus menyuam yaus lossis tub ntxhais hluas tsim muaj ntshav qab zib, tom qab ntawv muaj ntau dua 85% feem ntau nws yuav dhau los ua hom kabmob ntshav qab zib hom 1 insulin. Txawm hais tias nyob rau xyoo pua 21st, mob ntshav qab zib hom 2 kuj tseem yog “yau dua”. Tam sim no cov menyuam muaj hnub nyoog txij li 10 xyoo muaj mob. Yog tias tus menyuam muaj tus mob ntshav qab zib, qhov no yog qhov teeb meem loj heev rau cov neeg mob hluas thiab lawv niam lawv txiv. Ua ntej tshawb nrhiav kev kho mob ntshav qab zib hom 1 hauv menyuam yaus, nyeem peb cov lus tseem ceeb, "Ntshav Qab Zib Rau Cov Menyuam thiab Cov Hluas."
Hauv tsab xov xwm no, koj yuav kawm txhua yam koj xav tau txog kev kuaj mob thiab kev kho tus mob ntshav qab zib hom 1 hauv menyuam yaus. Ntxiv mus, peb luam tawm qee cov ntaub ntawv tseem ceeb hauv Lavxias thawj zaug. Nov yog peb txoj kev “tshwj xeeb” txoj kev noj haus zoo (noj zaub mov kom tsawg) kom tswj ntshav qab zib kom ntshav qab zib tau zoo. Tam sim no, cov neeg mob ntshav qab zib tuaj yeem tswj hwm nws li qub, yuav luag zoo li cov neeg noj qab haus huv.
Ua ntej tshaj, tus kws kho mob yuav tsum nrhiav hom mob ntshav qab zib uas tus me nyuam muaj mob. Qhov no yog hu ua kev kuaj mob sib txawv ntawm cov ntshav qab zib hom 1 thiab ntshav qab zib hom 2. Tseem tshuav lwm yam ntxiv ntawm tus kabmob no, txawm tias tsis tshua muaj sijhawm.
Cov tsos mob ntawm tus mob ntshav qab zib hom 1 hauv cov menyuam yaus
Lo lus nug no tau piav qhia meej nyob hauv kab lus "Cov tsos mob ntshav qab zib hauv cov menyuam yaus." Cov tsos mob tshwm sim ntawm tus mob ntshav qab zib hom 1 txawv rau cov menyuam mos, cov menyuam pib kawm ntawv, cov menyuam kawm theem pib, thiab cov hluas. Cov ntaub ntawv no muaj txiaj ntsig zoo rau niam txiv thiab me nyuam cov kws kho mob. Cov kws kho mob ib txwm yuav tsum “sau” cov tsos mob ntshav qab zib rau lwm cov kab mob mus txog thaum tus me nyuam tsis xeev los ntawm ntshav qab zib.
Mob ntshav qab zib thiab mob qog
Ntshav qab zib Hom 1 yog kab mob autoimmune. Nws tshwm sim los ntawm qhov tsis ua tiav ntawm lub cev tiv thaiv kab mob. Vim qhov ua tsis zoo no, tshuaj tiv thaiv pib tua thiab rhuav tshem cov hlwb pancreatic beta uas tsim cov tshuaj insulin. Tsis ceeb, lwm yam kab mob autoimmune feem ntau pom muaj nyob hauv cov menyuam yaus uas muaj ntshav qab zib hom 1.
Feem ntau, cov tuam txhab lub cev tiv thaiv kab mob nrog cov beta hlwb tawm tsam cov thyroid caj pas. Qhov no hu ua autoimmune thyroiditis. Feem ntau cov menyuam yaus uas muaj ntshav qab zib hom 1 tsis muaj tsos mob dab tsi. Tab sis nyob rau hauv cov tsis muaj hmoo, autoimmune thyroiditis ua rau txo qis rau cov thyroid muaj nuj nqi. Muaj qee kis tsawg dua thaum nws, ntawm qhov tsis tooj, nce nws txoj haujlwm, thiab hyperthyroidism tshwm sim.
Cov menyuam yaus uas muaj ntshav qab zib hom 1 yuav tsum raug kuaj los ua cov thyroid cov tshuaj tiv thaiv. Koj tseem yuav tsum tau kuaj txhua xyoo kom pom tias tus kabmob qog tau tsim nyob rau lub sijhawm no. Rau qhov no, kuaj ntshav rau cov thyroid stimulating hormone (TSH) ua. Nws yog ib yam tshuaj uas ua rau lub qog ua haujlwm nrog lub qog. Yog tias muaj teeb meem pom, tus kws kho mob endocrinologist yuav muab tshuaj rau noj, thiab lawv yuav ua kom zoo rau kev noj qab haus huv ntawm cov ntshav qab zib.
Kev kho mob ntshav qab zib hom 1 rau menyuam yaus
Kev kho mob ntshav qab zib hom 1 hauv cov menyuam yaus yog cov haujlwm hauv qab no:
- kev kawm hauv kev ntsuas tus kheej kev soj ntsuam ntshav qab zib nrog lub ntsej muag ntshav;
- niaj hnub saib xyuas tus kheej hauv tsev;
- kev noj haus;
- cov tshuaj insulin;
- kev tawm dag zog (kev ua si thiab kev ua si - kho lub cev rau ntshav qab zib);
- kev pab kev puas siab puas ntsws.
Txhua ntawm cov ntsiab lus no yog qhov tseem ceeb rau kev kho mob ntshav qab zib hom 1 hauv menyuam yaus kom muaj kev vam meej. Lawv raug coj los ua, feem ntau, nyob rau sab nraum zoov, i.e. hauv tsev lossis thaum nruab hnub ntawm tus kws kho mob lub sijhawm teem tseg. Yog tias tus menyuam muaj ntshav qab zib muaj cov tsos mob tsis meej, ces nws yuav tsum tau mus pw hauv tsev kho mob hauv tsev kho mob. Feem ntau, cov menyuam yaus muaj ntshav qab zib hom 1 tau pw hauv tsev kho mob 1-2 zaug nyob rau ib xyoo.
Lub hom phiaj ntawm kev kho ntshav qab zib hom 1 rau menyuam yaus yog xav kom cov ntshav qab zib kom nyob ze ze li qhov ua tau. Qhov no hu ua "kev pab them nqi kho mob ntshav qab zib zoo." Yog tias cov mob ntshav qab zib tau nyiaj tau zoo los ntawm kev kho mob, tom qab ntawd tus menyuam yuav muaj peev xwm txhim kho feem ntau thiab loj hlob, thiab cov teeb meem yuav ncua rau hnub lig lossis yuav tsis tshwm sim txhua yam.
Cov hom phiaj kho mob ntshav qab zib hauv cov menyuam yaus thiab cov hluas
Cov ntshav qab zib cov ntshav qab zib uas kuv yuav tsum tau tsom rau cov menyuam muaj ntshav qab zib hom 1? Cov kws tshawb fawb thiab kws kho mob los pom zoo ib yam hais tias kev sib luag npaum li cov ntshav qabzib hauv lub siab yog tswj xyuas, zoo dua. Vim tias qhov xwm txheej no, tus mob ntshav qab zib ua lub neej yuav luag zoo li tus neeg muaj kev noj qab haus huv, thiab nws tsis muaj teeb meem vascular.
Qhov teeb meem yog hais tias nyob rau hauv cov neeg mob ntshav qab zib uas tau txais insulin txhaj tshuaj, qhov ze dua rau cov ntshav qab zib ib txwm, qhov ntau dua qhov kev pheej hmoo ntawm kev muaj ntshav qab zib, nrog rau kev mob hnyav. Qhov no siv rau txhua tus neeg mob uas muaj ntshav qab zib hom 1. Ntxiv mus, nyob rau cov menyuam yaus uas muaj ntshav qab zib, qhov uas yuav muaj ntshav qab zib tsawg yog qhov siab dua. Vim tias lawv noj tsis xwm yeem, thiab theem ntawm lub cev qoj ib ce ntawm tus me nyuam tuaj yeem sib txawv ntawm cov hnub sib txawv.
Raws li qhov no, nws raug nquahu kom tsis txhob txo cov ntshav qab zib hauv menyuam yaus uas muaj ntshav qab zib hom 1 mus rau qhov ib txwm, tab sis los tswj nws kom muaj nuj nqi ntau dua. Tsis yog ntxiv lawm. Tom qab cov ntaub ntawv khaws cia, nws tau pom tseeb tias kev txhim kho vascular cov teeb meem ntshav qab zib muaj kev pheej hmoo ntau dua li qhov kev pheej hmoo ntawm hypoglycemia. Yog li, txij li xyoo 2013, Asmeskas Kev Ntshav Qab Zib Asmeskas tau pom zoo tswj kev mob ntshav qab zib hauv cov menyuam muaj ntshav qab zib qis dua 7.5%. Nws cov nqi ntau dua yog tsim kev puas tsuaj, tsis txaus nyiam.
Hom phiaj cov piam thaj hauv ntshav, nyob ntawm lub hnub nyoog ntawm tus menyuam muaj ntshav qab zib hom 1
| Muaj hnub nyoog pab pawg | Cov neeg muaj txiaj ntsig ntawm kev them nyiaj ntawm cov khoom noj metabolism | Glucose hauv ntshav ntshav, mmol / l | Glycated hemoglobin HbA1C,% | ||
|---|---|---|---|---|---|
| ua ntej noj mov | tom qab noj mov | ua ntej yuav mus pw / pw | |||
| Preschoolers (0-6 xyoo) | Cov nyiaj tau zoo | 5,5-9,0 | 7,0-12,0 | 6,0-11,0 | 7,5) |
| Txaus siab them nyiaj | 9,0-12,0 | 12,0-14,0 | 11,0 | 8,5-9,5 | |
| Cov nyiaj them tsis taus | > 12,0 | > 14,0 | 13,0 | > 9,5 | |
| Cov Menyuam Kawm Ntawv (6-12 xyoo) | Cov nyiaj tau zoo | 5,0-8,0 | 6,0-11,0 | 5,5-10,0 | < 8,0 |
| Txaus siab them nyiaj | 8,0-10,0 | 11,0-13,0 | 10,0 | 8,0-9,0 | |
| Cov nyiaj them tsis taus | > 10,0 | > 13,0 | 12,0 | > 9,0 | |
| Cov Hluas (13-19 xyoo) | Cov nyiaj tau zoo | 5,0-7,5 | 5,0-9,0 | 5,0-8,5 | < 7,5 |
| Txaus siab them nyiaj | 7,5-9,0 | 9,0-11,0 | 8,5 | 7,5-9,0 | |
| Cov nyiaj them tsis taus | > 9,0 | > 11,0 | 10,0 | > 9,0 | |
Nco ntsoov cov lej glycated hemoglobin hauv kem kawg ntawm lub rooj. Qhov no yog ib qho kev taw qhia uas qhia txog qib ntshav nruab nrab feem ntau ntawm 3 lub hlis dhau los. Kev kuaj ntshav ntawm ntshav ntshav glycated hemoglobin tau kuaj txhua ob peb lub hlis txhawm rau ntsuas seb tus neeg mob ntshav qab zib tau them rau yav dhau los li cas.
Cov me nyuam muaj ntshav qab zib hom 1 puas tuaj yeem tuav cov piam thaj li ib txwm?
Rau koj cov ntaub ntawv, cov txiaj ntsig zoo ntawm glycated hemoglobin hauv cov ntshav ntawm cov neeg noj qab haus huv yam tsis muaj kev rog yog 4.2% - 4,6%. Nws tuaj yeem pom los ntawm cov lus saum toj no uas cov tshuaj xav kom tswj cov ntshav qab zib hauv cov menyuam yaus uas muaj ntshav qab zib hom ntshav tsawg kawg yog 1.6 npaug dua li ib txwm. Qhov no cuam tshuam nrog kev pheej hmoo ntawm cov ntshav qab zib ntshav qab zib hauv cov ntshav qab zib me nyuam yaus.
Peb lub vev xaib tau tsim los nrog txhawm rau tshaj tawm kom paub txog kev noj zaub mov tsis muaj rog qab zib rau hom 1 thiab ntshav qab zib hom 2. Kev noj zaub mov kom tsis txhob muaj rog txaus hauv kev noj zaub mov kom ua rau cov neeg laus thiab menyuam yaus muaj ntshav qab zib ua kom cov ntshav qab zib yuav luag nyob rau tib theem li cov neeg noj qab haus huv. Kom paub cov ntsiab lus, xyuas hauv qab no rau hauv seem “Noj rau hom ntshav qab zib hom 1 hauv cov menyuam yaus.”
Cov lus nug tseem ceeb tshaj plaws: thaum kho cov ntshav qab zib hom 1 hauv ib tug menyuam yaus, nws puas tsim nyog txo qis nws cov ntshav qab zib kom qis? Cov niam txiv yuav ua qhov no “nyob ntawm lawv qhov kev pheej hmoo.” Nco ntsoov hais tias txawm tias ib ntu kev mob ntshav siab ntau tuaj yeem ua rau lub hlwb puas tas mus li thiab ua rau tus menyuam xiam oob qhab tas nws lub neej.
Ntawm qhov tod tes, qhov tsawg cov carbohydrates uas ib tug me nyuam noj, insulin tsawg dua nws yuav xav tau. Thiab cov tshuaj insulin tsawg dua, qhov tsawg dua yuav muaj kev puas ntshav siab. Yog hais tias tus me nyuam tau noj cov zaub mov uas tsis muaj carbohydrate tsawg, ces kev noj tshuaj ntawm cov tshuaj insulin yuav raug txo ntau zaus. Lawv tuaj yeem dhau los ua qhov tseem ceeb, piv nrog ntau npaum li cas cov tshuaj insulin tau txhaj ua ntej. Nws hloov tawm tias qhov zoo li ntawm hypoglycemia tseem muaj ntau qhov txo qis.
Ib qho ntxiv, yog tias tus me nyuam hloov pauv mus rau kev noj zaub mov muaj protein ntau sai sai tom qab kuaj pom tus mob ntshav qab zib hom 1, ces theem "zib ntab muv yas" yuav nyob ntev dua. Nws tuaj yeem ncab mus rau ntau xyoo, thiab yog tias koj muaj hmoo tshwj xeeb, tom qab ntawd txawm siv rau hauv lub neej. Vim tias cov roj carbohydrate load ntawm cov txiav ua kom tsawg dua, thiab nws cov roj ntsha beta yuav tsis pov tseg kom sai.
Xaus: Yog tias tus menyuam muaj ntshav qab zib hom 1, pib txij thaum "muaj hnub nyoog" mus rau hauv lub hnub nyoog, hloov mus rau qhov kev noj haus uas tsis muaj rog, ces muaj ntau yam zoo. Ntshav qab zib tuaj yeem tswj hwm nyob rau tib theem li ntawm cov neeg noj qab haus huv. Txoj kev pheej hmoo ntawm hypoglycemia yuav tsis nce, tab sis txo qis, vim tias kev noj cov tshuaj insulin yuav raug txo ntau zaus. Lub sij hawm honeymoon tuaj yeem siv sijhawm ntev dua.
Txawm li cas los xij, cov niam txiv uas xaiv qhov kev kho mob no rau hom ntshav qab zib hom 1 hauv lawv cov menyuam ua rau lawv qhov kev pheej hmoo. Koj tus kws kho mob endocrinologist yuav siv qhov no "nrog kev tawm tsam", vim tias nws cuam tshuam cov lus qhia ntawm Ministry of Health, uas tam sim no ua haujlwm. Peb xav kom koj ua ntej kom ntseeg tau tias koj siv qhov ntsuas cov ntshav qabzib nyob kom raug. Hauv thawj ob peb hnub ntawm "lub neej tshiab", ntsuas ntshav qab zib ntau zaus, saib xyuas qhov xwm txheej tsis tu ncua. Npaj npaj tso tseg kom tsis txhob mob ntshav qab zib lub sijhawm twg los tau, suav nrog thaum tsaus ntuj. Koj yuav pom yuav ua li cas cov piam thaj hauv ntshav rau menyuam yaus nyob ntawm kev hloov pauv ntawm nws cov khoom noj, thiab kos koj cov lus xaus uas hom kev kho mob ntshav qab zib yog qhov tsim nyog tshaj plaws.
Yuav ua li cas txhaj tshuaj insulin rau hauv tus menyuam muaj ntshav qab zib
Txhawm rau kom nkag siab tias hom mob ntshav qab zib hom 1 hauv cov menyuam yaus raug kho nrog insulin, koj yuav tsum xub kawm kab lus:
- Yuav ua li cas ntsuas cov ntshav qab zib nrog ib glucometer tsis hnov mob;
- Kev suav thiab lub zog insulin cov txheej txheem;
- Kev siv tshuaj insulin;
- Yuav ua li cas txhawm rau cov tshuaj insulin kom raug txhaj tshuaj qis.
Hauv cov menyuam yaus, luv luv thiab ultrashort insulin txo cov ntshav qab zib kom nrawm dua thiab muaj zog dua li cov menyuam yaus thiab cov laus. Feem ntau, tus yau dua tus menyuam, nws lub cev nkag siab ntau dua rau cov tshuaj insulin. Txawm li cas los xij, nws yuav tsum txiav txim siab rau txhua tus neeg mob ntshav qab zib hom 1. Yuav ua li cas qhov no tau piav qhia hauv tsab xov xwm "Kev Muab Xam thiab Kev Tsim Nyog rau Insulin Administration", qhov txuas txuas rau muab rau saum toj no.
Mob ntshav qab zib insulin twj tso kua mis hauv cov menyuam yaus
Xyoo tsis ntev los no, nyob rau sab hnub poob, thiab tom qab ntawd hauv peb lub tebchaws, ntau dua thiab ntau dua menyuam yaus thiab tub ntxhais hluas siv cov tshuaj insulin los kho lawv cov ntshav qab zib. Qhov no yog ib qho cuab yeej uas feem ntau tso cai rau koj los tswj kho subcutaneous sai ultra-luv luv-ua yeeb yam insulin hauv kev txhaj tshuaj me me. Feem ntau, hloov mus rau lub twj tso kua mis rau cov ntshav qab zib hom 1 hauv menyuam yaus tuaj yeem txhim kho kev tswj ntshav qab zib ntshav thiab lub neej zoo ntawm tus menyuam.
Insulin twj tso kua mis hauv kev nqis tes ua
Cov yam ntxwv ntawm kev kho mob insulin yog tias tus me nyuam mob ntshav qab zib nws nyob rau qhov kev noj zaub mov kom tsawg
Ua ke nrog cov zaub mov noj, nws yog qhov zoo dua yog siv tsis tau ultrashort analogues, tab sis ib txwm "luv" neeg insulin. Hauv lub sijhawm hloov pauv los ntawm kev noj zaubmov noj haus zoo rau qhov muaj cov zaubmov kom muaj protein tsawg, muaj kev pheej hmoo yuav mob ntshav qab zib. Qhov no txhais tau hais tias koj yuav tsum ua tib zoo saib xyuas ntshav qab zib nrog ib glucometer txog 7-8 zaug hauv ib hnub. Thiab raws li cov txiaj ntsig los ntawm cov kev ntsuas no, ruaj txo cov koob tshuaj insulin. Nws tuaj yeem cia siab tias lawv yuav txo los ntawm 2-3 zaug lossis ntau dua.
Feem ntau yuav ua rau, koj tuaj yeem ua tau yooj yim yam tsis muaj qhov nqus dej insulin. Thiab raws li, tsis txhob noj rau cov kev pheej hmoo ntxiv uas nws siv yog nqa. Koj yuav tuaj yeem them tus nqi zoo kawg nkaus rau ntshav qab zib nrog kev muaj qis ntawm cov tshuaj insulin, uas tau tswj hwm nrog cov tsoos los yog cov xaum xaum hauv qhov txuas ntxiv ntawm 0.5 tuaj.
Noj zaub mov kom txhob mob ntshav qab zib hom 1 hauv cov menyuam yaus
Cov tshuaj tseem ceeb pom zoo kom noj zaub mov zoo rau cov ntshav qab zib hom 1, hauv no cov khoom noj carbohydrates muaj li 55-60% ntawm cov calorie kom tsawg. Cov khoom noj zoo li no ua rau muaj kev hloov pauv hauv cov ntshav qab zib cov ntshav uas tsis tuaj yeem tswj tau los ntawm kev txhaj tshuaj insulin. Raws li qhov tshwm sim, lub sijhawm dhau los ntawm cov piam thaj siab zoo yog tom qab lub sijhawm muaj suab thaj tsawg.
Ntau "jumps" hauv cov ntshav qabzib yuav ua rau muaj kev mob vascular ntshav qab zib, thiab tseem ua rau cov ntshav qog ntshav qab zib tsawg. Yog tias koj noj cov khoom noj tsawg carbohydrates, ces qhov no txo qhov ntau ntawm cov suab thaj hloov mus los. Hauv cov neeg noj qab haus huv nyob rau lub hnub nyoog twg los xij, cov piam thaj li ib txwm yog li 4.6 mmol / L.
Yog tias koj txwv cov ntshav qab zib hom 1 mus rau cov khoom noj carbohydrates hauv koj cov zaub mov noj thiab siv cov tshuaj me me, ua tib zoo xaiv cov tshuaj insulin, koj tuaj yeem tswj koj cov piam thaj nyob ntawm tib theem, nrog kev hloov tsis ntau dua 0.5 mmol / l hauv ob qho kev qhia. Qhov no yuav zam tag nrho cov teeb meem ntawm cov ntshav qab zib, nrog rau cov ntshav qog ntshav qab zib.
Saib cov lus rau cov lus qhia ntxiv:
- Insulin thiab carbohydrates: qhov tseeb koj yuav tsum paub;
- Txoj kev zoo tshaj plaws los txo cov ntshav qab zib thiab ua kom nws nyob li qub.
Cov khoom noj khoom haus uas tsis muaj suab puam puas ua rau tus menyuam loj hlob thiab loj hlob dua? Tsis yog. Muaj cov npe tseem ceeb amino acids (cov protein). Nws kuj tseem tsim nyog kom noj cov zaub mov zoo rau lub cev, tshwj xeeb tshaj yog omega-3 fatty acids. Yog tias tus neeg tsis noj cov protein thiab cov rog, nws lub cev yuav tuag los ntawm kev qoj ib ce. Tab sis koj yuav tsis pom ib daim ntawv teev cov tseem ceeb carbohydrates nyob txhua qhov chaw, vim lawv tsuas tsis muaj. Tib lub sijhawm, cov khoom noj carbohydrates (tshwj tsis yog muaj fiber, i.e. fiber) muaj kev phom sij hauv ntshav qab zib.
Thaum muaj hnub nyoog li cas tus menyuam tuaj yeem pauv mus rau qhov khoom noj muaj zaub mov tsis ntau rog rau cov ntshav qab zib hom 1? Koj tuaj yeem sim ua qhov no thaum nws pib noj cov zaub mov tib yam li cov neeg laus. Thaum lub sijhawm hloov mus rau kev noj zaub mov noj tshiab, koj yuav tsum npaj thiab ua kom zoo li hauv qab no:
- Nkag siab yuav ua li cas kom tsis txhob muaj ntshav qab zib. Muab khoom qab zib rau tes yog tias koj yuav tsum siv.
- Hauv lub sijhawm hloov, koj yuav tsum ntsuas ntshav qab zib nrog glucometer ua ntej txhua pluas noj, 1 teev tom qab nws, thiab tseem nyob rau hmo ntuj. Nws hloov tawm tsawg kawg 7 zaug hauv ib hnub.
- Raws li cov txiaj ntsig ntawm kev tswj hwm ntawm cov ntshav piam thaj - xav tias txo qis ntau npaum li cas ntawm cov tshuaj insulin. Koj yuav pom tias lawv tuaj yeem thiab yuav tsum txo ntau ntau zaus. Txwv tsis pub yuav muaj hypoglycemia.
- Lub sijhawm no, lub neej ntawm cov menyuam muaj ntshav qab zib yuav tsum nyob ntsiag to li sai tau, tsis muaj kev ntxhov siab thiab tawm dag zog lub cev. Kom txog thaum hom tshiab hloov zuj zus.
Yuav ua li cas kom tus me nyuam yoo kev noj haus
Yuav ua li cas kom me nyuam yaum kom ua raws cov zaub mov zoo thiab tsis kam noj khoom qab zib? Thaum tus menyuam muaj ntshav qab zib hom 1 ua raws li kev noj haus zoo "sib luag", nws yuav ntsib cov teeb meem hauv qab no:
- vim "jumps" hauv cov ntshav qab zib - cov kev noj qab haus huv tsis tu ncua;
- hypoglycemia qee zaum tshwm sim;
- ntau yam mob sib kis tuaj yeem thab.
Tib lub sijhawm, yog tias tus mob ntshav qab zib ua tib zoo ua raws li cov zaub mov muaj protein tsawg, tom qab ob peb hnub nws tau txais txiaj ntsig zoo:
- cov piam thaj hauv ntshav yog qhov qub, thiab vim qhov no, lub xeev kev noj qab haus huv zoo dua, lub zog yuav dhau los;
- txoj kev pheej hmoo ntawm hypoglycemia yog qhov tsawg kawg nkaus;
- ntau yam muaj mob yuav ploj zuj zus.
Cia tus me nyuam ua "nws tus kheej daim tawv nqaij" nws txawv li cas yog tias nws ua raws tsoomfwv thiab yog nws ua txhaum. Thiab tom qab ntawd nws yuav muaj lub siab xav tswj hwm nws cov ntshav qab zib thiab tiv thaiv kev ntxias noj zaub mov "txwv tsis pub", tshwj xeeb yog cov phooj ywg.
Coob tus menyuam yaus thiab cov neeg laus uas muaj ntshav qab zib hom 1 tsis muaj lub tswv yim zoo uas lawv tuaj yeem xav cov zaub mov uas muaj zaub mov ntau ntau. Lawv twb yeej ib txwm ua thiab rov qab sib sau hais tias lawv muaj qhov mob nkees tas li thiab mob nyhav. Lawv yuav dhau los ua txhua tus neeg ua raws li cov khoom noj khoom haus uas tsis muaj carbohydrate sai li sai tau thaum lawv sim nws thiab hnov cov txiaj ntsig zoo ntawm cov qauv no.
Cov lus teb rau niam txiv nquag nug txog
Glycated hemoglobin hlob zoo vim tias nws tsis tuaj yeem them taus cov ntshav qab zib kom zoo thaum lub sijhawm noj zaub mov zoo "kom sib npaug," uas yog, muaj ntau dhau ntawm cov carbohydrates. Tsis muaj teeb meem li cas koj ua tib zoo suav cov khob cij khob, yuav muaj kev siv me ntsis. Hloov mus rau kev noj haus cov zaub mov tsis muaj cov rog uas peb lub vev xaib tshaj tawm. Nyeem kev xam phaj nrog cov niam txiv ntawm tus menyuam muaj hnub nyoog 6 xyoo uas muaj tus kabmob ntshav qab zib hom 1 uas tau ua tiav kev zam txim thiab tau dhia tawm hauv insulin. Kuv tsis cog lus tias koj yuav ua ib yam, vim tias lawv tau pib kho kom raug sai, thiab tsis tau tos ib xyoo. Tab sis nyob rau hauv qee kis, kev them nqi mob ntshav qab zib yuav ua kom zoo dua.
Tus menyuam loj hlob thiab loj hlob tsis yooj yim, tab sis xwm yeem. Thaum muaj kev loj hlob sai, qhov kev xav tau rau cov insulin nce ntau, vim tias keeb kwm yav dhau los cov hormonal hloov pauv. Tej zaum tam sim no koj nyuam qhuav mus rau theem tom ntej ntawm kev loj hlob nquag, dhau lawm, yog li xav tau cov tshuaj insulin poob. Zoo, nyob rau lub caij ntuj sov insulin yog qhov tsawg dua vim tias nws sov sov. Cov teebmeem no sib tshooj. Tej zaum koj tsis muaj dab tsi txhawj txog. Ua tib zoo saib xyuas cov piam thaj, kev soj ntsuam nws tus kheej cov ntshav qabzib hauv cov ntshav. Yog tias koj pom tias cov tshuaj insulin tsis daws nrog cov mob ntshav qab zib, tom qab ntawd nce nws ntau npaum li cas. Nyeem ntawm no txog qhov tsis txaus ntawm cov twj tso kua mis insulin piv rau cov koob txhaj tshuaj qub.
Kuv xav tias koj tsis tuaj yeem txwv nws ntawm "kev ua txhaum", thiab tsis yog los ntawm zaub mov noj ... Lub hnub nyoog muaj hnub nyoog pib, kev tsis sib haum nrog niam txiv, kev tawm tsam rau kev ywj pheej, thiab lwm yam. Koj yuav tsis muaj cai txwv tsis pub ua txhua yam. Sim haub ntxiv. Qhia cov piv txwv ntawm cov neeg mob ntshav qab zib hom 1 uas tam sim no muaj kev nyuaj siab thiab hloov siab lees txim tias lawv yog neeg ruam li lawv nyob hauv lawv cov hluas. Tab sis feem ntau rov sib ceg. Hauv qhov xwm txheej no, koj tuaj yeem cuam tshuam tsis tau. Sim txais kom muaj txiaj ntsig. Tau txais koj tus kheej dev thiab tau txais kev cuam tshuam los ntawm nws. Ntxiv nrog rau qhov tso dag.
Cov theem ntawm cov kua dej nyob hauv cov ntshav dhia ntau heev. Saib ntawm kev sib kis hauv cov qauv - yuav luag 10 zaug. Yog li, kev kuaj ntshav rau cov ntshav insulin tsis yog qhov tshwj xeeb hauv kev kuaj mob. Koj tus menyuam, hmoov tsis txog, muaj 100% yam ntshav qab zib. Sai sai pib them nyiaj rau tus kab mob nrog cov tshuaj insulin thiab kev noj zaub mov kom tsawg. Cov kws kho mob tuaj yeem rub tawm sijhawm, tab sis nws tsis ua rau koj nyiam. Tom qab koj pib kev kho mob ib txwm, qhov nyuaj nws yuav ua tiav. Nqa cov tshuaj insulin thiab ua raws li kev noj zaub mov nruj yog tsis txaus lom zem. Tab sis thaum tiav hluas, koj yuav tsis xav ua ib qho tsis raug vim muaj ntshav qab zib muaj teeb meem. Yog li tsis txhob ua tub nkeeg, tab sis ua tib zoo kho.
Kev tau txais cov nyiaj them tau zoo yog qhov kev ntshaw ntawm cov niam txiv uas nyuam qhuav muaj ntshav qab zib hom 1 hauv lawv cov menyuam. Ntawm txhua lwm lub xaib koj yuav tau lees tias qhov no tsis yooj yim sua, thiab koj yuav tsum tso nrog surges hauv qab zib. Tabsis kuv muaj qee yam zoo rau koj. Nyeem kev xam phaj nrog cov niam txiv ntawm ib tug menyuam muaj hnub nyoog 6 xyoo uas mob ntshav qab zib hom 1 uas tau ua tiav kev zam txim. Lawv tus menyuam muaj ntshav qab zib ib txwm nyob, feem ntau tsis muaj tshuaj insulin, ua tsaug rau cov zaub mov tsis muaj zaub mov ntau. Nrog hom ntshav qab zib hom 1, muaj lub sijhawm sijhawm ua sib deev. Yog tias koj tsis pub cov carbohydrates rau qhov kom dhau txoj cai txiav, ces koj tuaj yeem txuas ntxiv rau ob peb xyoos, lossis ib sim neej.
Yuav ua li cas - ua ntej txhua yam, koj yuav tsum hloov mus rau kev noj zaub mov kom tsis rog nrog cov zaub mov qis. Txhawm rau sau tag nrho cov khoom noj uas raug txwv thiab txwv tsis pub saib, saib cov qauv qhia kev noj haus. Txhawm rau tshem tawm cov hmoov nplej, khoom qab zib thiab qos yaj ywm los ntawm qhov khoom noj yog ib nrab ntsuas, uas tsis txaus. Nyeem dab tsi honeymoon lub sijhawm yog rau hom 1 mob ntshav qab zib. Tej zaum nrog kev pab ntawm kev noj haus kom tsawg cov zaub mov carbohydrate koj yuav tuaj yeem txuas ntxiv nws ntev rau ob peb xyoos, lossis tseem nyob rau ib sim neej. Ntawm no yog kev xam phaj nrog cov niam txiv ntawm tus menyuam muaj 6 xyoo uas tau ua. Lawv faib tawm nrog cov tshuaj insulin suav daws thiab ua kom thaj suab thaj zoo li cov neeg noj qab nyob zoo. Lawv tus menyuam tsis nyiam insulin ntau heev uas nws npaj siab yuav ua raws li kev noj zaub mov noj, yog tias tsuas tsis muaj ib koob tshuaj xwb. Kuv tsis tau cog lus tias koj yuav ua tiav tib txoj kev vam meej. Tab sis txawm li cas los xij, kev noj zaub mov kom tsis muaj carbohydrate yog lub hauv paus ntawm kev saib xyuas ntshav qab zib.
Ntshav Qab Zib Hom 1 hauv cov menyuam yaus: kev tshawb pom
Cov niam txiv yuav tsum rov sib sau ua ke hais tias tus menyuam muaj ntshav qab zib hom 1 hnub nyoog 12-14, lossis laus dua, yuav tsis muab ib qho txiav txim hais txog kev txhim kho vascular teeb meem. Qhov kev hem thawj ntawm cov teeb meem no mus ntev yuav tsis yuam nws tswj nws cov ntshav qab zib kom hnyav dua. Tus me nyuam tsuas yog txaus siab nyob rau lub sijhawm tam sim no, thiab thaum tseem hluas nws yog qhov xwm txheej no. Nco ntsoov nyeem peb cov ntawv tseem ceeb, Ntshav Qab Zib hauv Cov Menyuam thiab Cov Hluas.
Yog li, koj tau pom dab tsi yog cov yam ntxwv ntawm hom ntshav qab zib hom 1 hauv cov menyuam yaus. Cov menyuam yaus no yuav tsum tau tshuaj xyuas tas li seb lawv cov thyroid caj pas ua haujlwm li cas. Hauv ntau cov menyuam yaus uas muaj ntshav qab zib hom 1, siv lub tshuab nqus tshuaj insulin pab tswj ntshav qab zib kom zoo. Tab sis yog tias tus me nyuam ua raws li cov zaub mov tsis muaj carbohydrate, ces feem ntau koj tuaj yeem tswj hwm cov piam thaj li qub nrog kev pab los ntawm kev siv tshuaj insulin.
