Yog tias koj muaj tsos mob ntawm cov ntshav qabzib ntau, tom qab ntawv kuaj ntshav qab zib cov ntshav thaum sawv ntxov ntawm lub plab khoob. Koj tseem tuaj yeem ua qhov kev txheeb xyuas no 2 teev tom qab noj mov. Hauv qhov no, txoj cai yuav txawv. Koj tuaj yeem nrhiav cov qauv ntshav qab zib (piam thaj) ntawm no. Kuj tseem muaj lus qhia txog cov ntshav qab zib twg thiaj suav tias yog nce thiab yuav txo nws li cas.
Lwm qhov ntshav ntxiv rau cov ntshav qab zib yog glycated hemoglobin. Qhov kev kuaj ntshav no tuaj yeem tsim qauv kom paub meej lossis rov ua haujlwm kuaj mob ntshav qab zib. Nws yog qhov yooj yim hauv qhov ntawd nws cuam tshuam txog qib ntshav qab zib hauv nruab nrab 3 lub hlis dhau los. Nws tsis muaj kev cuam tshuam los ntawm kev hloov pauv txhua hnub hauv plasma cov ntshav vim muaj kev ntxhov siab lossis catarrhal mob, thiab nws tsis tas yuav tsum coj nws ntawm lub plab khoob.
Kev kuaj ntshav rau cov piam thaj yog pom zoo txhua 3 xyoos rau txhua tus neeg laus dua 40 xyoo. Yog tias koj rog dhau lossis muaj cov neeg mob ntshav qab zib, kuaj xyuas koj cov ntshav qab zib ib xyoos ib zaug. Vim tias koj muaj feem yuav muaj ntshav qab zib. Nws raug nquahu kom coj mus kuaj ntshav rau glycated hemoglobin, vim tias nws yooj yim thiab qhia tau.
Koj yuav tsum tsis txhob ncua ncua kuaj cov piam thaj hauv ntshav rau kev ntshai tias koj muaj mob ntshav qab zib. Feem ntau ntawm cov teeb meem no, cov teeb meem no zoo kawg nkaus daws teeb meem nrog kev pab ntawm kev txaus siab thiab qab los ntawm kev noj haus kom tsawg cov zaub mov uas tsis muaj tshuaj, tsis muaj tshuaj thiab cov tshuaj insulin. Tab sis yog tias koj tsis ua dab tsi, txaus ntshai dhau los ntawm cov ntshav qab zib muaj peev xwm tsim tau.
Raws li txoj cai, cov tib neeg muaj feem ntau yuav tsum sim ntsuas cov ntshav qab zib ntau dua. Peb xav kos koj qhov kev txaus siab rau qhov tseeb tias kev kuaj ntshav glycated hemoglobin thiab ntshav qab zib 2 teev tom qab noj mov ib qho tseem ceeb heev. Vim tias lawv tso cai rau koj los soj ntsuam cov ntshav qabzib tsis txaus lossis hom ntshav qab zib hom 2 nyob rau theem thaum ntxov heev thiaj li pib kho tau raws sijhawm.
Kev ntsuam xyuas cov ntshav qabzib nyob hauv qhov ncauj
Qhov ntsuas ntshav qab zib hauv qhov ncauj yog qhov ntev tab sis qhia tau cov ntshav qab zib ntau ntau. Nws kis tau los ntawm cov neeg uas kuaj ntshav sai li ntawm ntshav qab zib pom tau tshwm sim ntawm 6.1-6.9 mmol / L. Nrog rau kev ntsuas no, koj tuaj yeem lees paub lossis tsis rov ua kom tus mob ntshav qab zib. Nws kuj tseem yog txoj hauv kev txhawm rau txhawm rau kuaj rau hauv tus neeg lub cev tsis muaj qab zib, xws li mob ntshav qab zib.
Ua ntej noj cov ntshav qabzib kuaj ntshav, tus neeg yuav tsum noj tsis pub dhau 3 hnub, uas yog, haus ntau tshaj 150 g ntawm carbohydrates txhua hnub. Kev qoj ib ce tawm ntawm lub cev yuav tsum yog qhov ib txwm muaj. Hmo kawg noj mov yuav tsum muaj 30-50 g ntawm carbohydrates. Thaum tsaus ntuj koj yuav tsum tau tshaib plab rau 8-14 teev, thaum koj tuaj yeem haus dej.
Ua ntej ua qhov kev ntsuas ntshav qabzib nyob ntev, yam uas cuam tshuam rau nws qhov kev tshwm sim yuav tsum raug txiav txim siab. Cov no suav nrog:
- cov kab mob kis, nrog rau cov mob khaub thuas;
- kev qoj ib ce, yog tias nag hmo nws qis tshwj xeeb tshaj, lossis hloov pauv ntxiv;
- noj tshuaj uas cuam tshuam rau ntshav qab zib.
Qhov kev txiav txim ntawm lub qhov ncauj kuaj ntshav qab zib:
- Tus neeg mob mus kuaj mob kom yoo ntshav qab zib.
- Tam sim ntawd tom qab ntawd, nws haus ib qho kev daws teeb meem ntawm 75 g ntawm cov piam thaj (82.5 g suab thaj monohydrate) hauv 250-300 ml dej.
- Mus ntsuas ntshav zaum ob rau cov piam thaj tom qab 2 teev.
- Qee zaum lawv kuj kuaj sim ua ntshav ib ntus rau cov piam thaj txhua 30 feeb.
Rau cov menyuam yaus, qhov "hnyav" ntawm cov piam thaj yog 1.75 g ib phaus ntawm lub cev qhov hnyav, tab sis tsis ntau dua 75 g. Haus luam yeeb tsis pub ntev li 2 teev thaum kuaj.
Yog tias cov ntshav qabzib ua kom tsis muaj zog, i.e. cov ntshav qab zib cov ntshav yuav tsis poob sai, qhov no txhais tau tias tus neeg mob muaj feem yuav muaj ntshav qab zib ntau dua. Nws txog lub sijhawm hloov mus rau kev noj haus ntsib zaub mov kom tsawg los tiv thaiv kev txhim kho tus mob ntshav qab zib.
Kev kuaj ntshav kuaj ntshav qab zib li cas
Txhawm rau kuaj ntshav kuaj ntshav qab zib kom pom cov txiaj ntsig raug, cov txheej txheem rau kev siv yuav tsum ua tau raws qee yam cai. Uas yog, cov qauv uas International Federation ntawm Soj ntsuam Chemistry txhais.
Nws yog ib qho tseem ceeb heev uas yuav tau npaj cov ntshav tom qab noj kom ntseeg tau tias kev txiav txim siab ntawm cov ntshav qabzib hauv nws. Yog tias qhov tshuaj ntsuam tsis tuaj yeem ua tiav tam sim ntawd, yuav tsum kuaj cov ntshav mus rau hauv cov hlab uas muaj 6 mg sodium fluoride rau txhua txhua milliliter ntawm cov ntshav.
Tom qab qhov no, cov ntshav ntsuas yuav tsum yog centrifuged kom tso cov ntshav los ntawm nws. Tom qab ntawd cov ntshav tuaj yeem khov. Hauv tag nrho cov ntshav, uas tau sau nrog sodium fluoride, qhov txo qis hauv cov piam thaj yuav tshwm sim ntawm chav sov. Tab sis qhov ntsuas ntawm kev poob qis no qeeb, thiab centrifugation tiv thaiv nws.
Qhov xav tau yam tsawg kawg nkaus rau kev npaj ntshav kuaj rau kev soj ntsuam yog muab nws tso rau hauv dej khov tom qab noj tas. Tom qab ntawd, nws yuav tsum yog centrifuged tsis pub dhau 30 feeb.
Sib txawv li cas yog cov concentration ntawm cov piam thaj hauv ntshav thiab ntshav tag nrho
Thaum ntsuas cov ntshav qab zib kom yoo mov tau ua, cov ntshav ncig ntawm lub cev thiab cov hlab ntsha sim kwv yees li qhov ntsuas tau. Tab sis tom qab noj mov, cov ntshav qab zib capillary qib siab dua. Qhov siab ntawm cov piam thaj hauv cov ntshav ntawm cov ntshav yog kwv yees li 7% siab dua hauv cov ntshav venous.
Hematocrit yog lub ntsiab ntawm cov khoom puab (cov ntshav liab, ntshav dawb, ntshav) nyob rau hauv cov ntshav tag nrho. Nrog ib qho ntshav hematocrit, ntshav muaj ntshav qabzib yog kwv yees li 11% siab dua hauv ntshav. Nrog hematocrit ntawm 0.55, qhov kev sib txawv no nce mus rau 15%. Nrog ib qho hematocrit ntawm 0.3, nws poob rau 8%. Yog li, txhawm rau txhais raug cov ntshav qabzib hauv cov ntshav mus rau ntshav yog qhov muaj teeb meem.
Cov neeg mob ntshav qab zib tau txais qhov yooj yim thaum cov kab mob hauv tsev tau pom, thiab tam sim no tsis tas yuav kuaj ntshav qab zib hauv chav kuaj ntshav ntau dhau. Txawm li cas los xij, lub ntsuas dej yuav muab qhov ua yuam kev txog 20%, thiab qhov no yog qhov qub. Yog li, ntshav qab zib tuaj yeem kuaj tau tsuas yog los ntawm kev ntsuas hauv tsev kuaj.
