Ntsuas ntshav qab zib: ib daim ntawv teev ncauj lus kom ntxaws

Kev ntsuam xyuas ntshav qab zib hom 1 lossis hom 2 yuav ntsuas koj cov ntshav qab zib nrog lub ntsuas ntshav qab zib hauv tsev. Kawm ua qhov no txhua hnub ob peb zaug. Nco ntsoov tias koj lub ntsuas dej yog lawm (yuav ua li cas). Siv sijhawm tag nrho cov piam thaj hauv qab zib tsawg kawg ib zaug ib lub lim tiam. Tom qab ntawd, npaj rau qhov kev xa tawm ntawm kev sim kuaj ntshav, tso zis, kuaj ntshav tsis tu ncua thiab lwm yam kev kuaj mob.

Ntsuas koj cov ntshav qab zib kuaj ntshav tsis tu ncua, ntxiv rau kev noj koj cov ntshav qab zib txhua hnub nrog lub ntsuas ntshav qab zib.

Saib xyuas koj cov piam thaj hauv ntshav nrog hom kev kho mob ntshav qab zib hom 2 lossis phiaj xwm kho ntshav qab zib hom 1. Ua ntej koj pib cov haujlwm uas tau piav qhia los ntawm kev sib txuas, koj yuav tsum tau kuaj mob hauv ib lub tsev kho mob. Nyob rau tib lub sijhawm, dhau cov ntawv twv, uas koj yuav kawm txhua yam tom qab hauv tsab xov xwm.

Ntsuas ntshav qab zib - vim li cas thiab ntau npaum li cas thiaj li tau txais lawv

Kuaj ntshav qab zib yuav tsum tau ua ntu zus los kom paub cov lus teb rau cov lus nug hauv qab no:

• Koj qhov txiav ua rau koj lub plab puas lawm? Puas muaj cov qe hlwb muaj peev xwm ua cov tshuaj insulin tseem muaj sia nyob hauv nws? Lossis puas yog lawv txhua tus puas tau tuag?
• Pancreatic kev ua haujlwm zoo npaum li cas vim tias koj ua qhov kev kho mob? Cov npe ntawm cov haujlwm no suav nrog kev kho mob ntshav qab zib hom 2 thiab hom kho ntshav qab zib hom 1. Puas muaj ntau dua beta hlwb nyob rau hauv lub txiav? Puas ntau lawm ntawm cov insulin ntau ntxiv?
• Yuav ntev npaum li cas cov teeb meem mob ntshav qab zib tau tsim tau? Lawv muaj zog npaum li cas? Ib lo lus nug tseem ceeb yog nyob rau hauv dab tsi mob yog koj lub raum?
• Yuav muaj feem ntau npaum li cas qhov kev pheej hmoo ntawm kev tsim muaj cov mob tshiab ntawm ntshav qab zib thiab ua kom nrov nrov ntxiv rau cov uas twb tau muaj lawm? Hauv tshwj xeeb, dab tsi yog qhov pheej hmoo ntawm lub plawv nres thiab mob hlab ntsha tawg? Nws puas txo qis qis vim los ntawm kev kho mob?

Kev kuaj ntshav qab zib yuav tsum tau kuaj xyuas tsis tu ncua. Lawv cov txiaj ntsig tau qhia meej meej tias muaj txiaj ntsig zoo li cas ntawm kev ua raws li kev tswj hwm thiab tswj hwm cov ntshav qab zib kom nyob ruaj khov. Kuj nyeem tsab ntawv xov xwm, "Lub hom phiaj rau kev kho mob ntshav qab zib hom 1 thiab ntshav qab zib hom 2", thiab nws cov ntu, "Dab tsi tshwm sim thaum koj cov piam thaj hauv ntshav rov zoo li qub."

Ntau yam kab mob ntshav qab zib tsis tuaj yeem tiv thaiv tsuas yog, tab sis kuj thim rov qab. Qhov tshwm sim ntawm kev kho mob ntshav qab zib nrog kev noj zaub mov kom tsis rog lossis noj qab haus huv thiab peb cov txheej txheem yuav zoo dua li cov kev qhia los ntawm "kev ib txwm muaj". Nyob rau tib lub sijhawm, thawj zaug cov ntawv xeem tau zoo dua, thiab tom qab ntawd muaj kev nyab xeeb. Yog li, kev ntsuas ntshav qab zib yog qhov ua pov thawj ntawm kev ua kom zoo.

Ntxiv nyob rau hauv tsab xov xwm, kev tshuaj ntsuam tau piav qhia hauv kev nthuav dav tias nws pom zoo kom noj qab zib kom ntshav qab zib tsis tu ncua. Lawv feem ntau yog xaiv tau. Nws raug nquahu kom coj mus kuaj hauv qhov chaw kuaj mob them nyiaj, uas yog ywj pheej, uas yog, nws tsis dag qhov tshwm sim hauv kev txaus siab ntawm cov kws kho mob. Cov chaw soj nstuam zoo tshwj xeeb kuj tseem siv cov cuab yeej tshiab thiab cov khoom siv dua tshiab, yog li cov txiaj ntsig ntawm cov tshuaj ntsuam tau muaj tseeb dua. Yog tias nws tsis tuaj yeem siv lawv cov kev pabcuam, tom qab ntawv kuaj mob dawb.

Yog tias qee qhov kev sim ntsuas tsis tuaj yeem hla lossis lawv kim dhau - koj tuaj yeem hla lawv. Qhov tseem ceeb yog qhov yuav ib lub ntsuas cov ntshav qab zib hauv tsev thiab feem ntau tswj ntshav qab zib nrog nws. Nyob rau hauv tsis muaj qhov xwm txheej tsis txuag ntawm cov ntawv xeem ntsuas rau glucometer! Nws tseem ceeb heev uas yuav tsum tau kuaj ntshav thiab tso zis mus kuaj kom paub lub raum kev ua haujlwm. Kev ntsuam xyuas ntshav rau C-reactive protein (kom tsis txhob muaj kev ntxhov siab nrog C-peptide!) Hauv cov chaw kuaj ntshav ntiag tug feem ntau tsis tshua muaj txiaj ntsig thiab yog qhov ntsuas pom zoo ntawm kev pheej hmoo ntawm lub plawv lossis mob stroke, zoo li koj tau tswj hwm ntau npaum li cas los txo qhov kev pheej hmoo no. Tag nrho lwm yam kev ntsuam xyuas - xa tawm thaum twg ua tau.

Glycated hemoglobin assay

Kuaj ntshav rau glycated (glycosylated) hemoglobin. Yog tias koj tsis tau txais insulin, ces qhov kev kuaj no yuav tsum ntsuas 2 zaug nyob hauv ib xyoo. Yog tias koj kho ntshav qab zib nrog kev txhaj tshuaj insulin - 4 zaug hauv ib xyoos. Yog xav paub ntxiv, saib kab lus “Ntsuas ntshav rau glycated hemoglobin”.

Kev kuaj ntshav rau glycated hemoglobin HbA1C yog qhov yooj yim rau kev kuaj mob ntshav qab zib thawj zaug. Tab sis thaum kho tau tus kab mob nrog tswj hwm nws cov kev pab, uas yog ib qho tseem ceeb heev. HbA1C qhia txog cov ntshav khov nyob hauv ntshav tshaj li 3 lub hlis dhau los. Tab sis nws tsis muab ntaub ntawv hais tias ntau npaum li cas ntawm qib no hloov tau.

Hauv lub hlis dhau los, cov kabmob ntshav qab zib tuaj yeem muaj kev dhia ntau dhau - los ntawm cov ntshav qog ntshav qab zib mus rau cov ntshav qab zib siab heev, thiab nws lub cev raug mob tsis zoo. Tab sis yog tias thaj tsam ntawm cov piam thaj hauv ntshav tau hloov mus rau qhov xwm txheej, tom qab kev soj ntsuam rau HbA1C yuav tsis qhia dab tsi tshwj xeeb. Yog li, hauv cov ntshav qab zib, tsom rau glycated hemoglobin tsis tshem tawm qhov xav tau los ntsuas koj cov ntshav qab zib txhua hnub ob peb zaug nrog glucometer.

C-peptide kuaj ntshav

C-peptide yog ib qho protein uas zom los ntawm cov "proinsulin" molecule thaum cov tshuaj insulin yog los ntawm nws hauv cov txiav ua qab. Nws nkag mus rau hauv cov hlab ntshav nrog insulin. Yog li, yog tias C-peptide xa tawm hauv cov ntshav, nws txhais tau hais tias lub cev tseem tsim nws cov tshuaj insulin ntxiv. Thiab C-peptide ntau nyob rau hauv cov ntshav, kev ua haujlwm zoo dua ua rau txiav ua paug. Nyob rau tib lub sijhawm, yog tias qhov concentration ntawm C-peptide hauv cov ntshav siab dua li ib txwm, tom qab ntawd cov theem ntawm cov kua dej yog nce ntxiv. Qhov no yog hu ua hyperinsulinism (hyperinsulinemia). Qhov no feem ntau tshwm sim thaum ntxov ntawm tus mob ntshav qab zib hom 2 lossis thaum tus neeg mob tsuas muaj ntshav qab zib (feem ua rau cov piam thaj hauv ntshav siab).

Kev kuaj ntshav rau C-peptide ua tau zoo tshaj plaws thaum sawv ntxov nyob rau ntawm lub plab khoob, thiab lub sijhawm thaum cov ntshav qab zib cov ntshav tsis txaus, tsis nce ntxiv. Ib txhij nrog qhov kev ntsuas no, nws raug nquahu kom ntsuas ntshav qab zib lossis ntsuas ntshav qab zib cov ntshav nrog lub ntsuas ntshav qab zib hauv tsev. Koj yuav tsum tau soj ntsuam cov txiaj ntsig ntawm kev tshuaj xyuas ob qho tib lub sijhawm. Yog tias cov piam thaj hauv ntshav muaj qhov qub thiab C-peptide raug nce, ces qhov no txhais tau tias insulin tsis kam (nws yog dab tsi thiab yuav kho nws li cas), mob ntshav qab zib lossis qib pib ntawm tus mob ntshav qab zib hom 2 thaum ntxov. Nyob rau hauv qhov xwm txheej zoo li no, nws yog lub sijhawm pib kho nrog kev noj haus cov zaub mov kom tsawg, ua kom ib ce muaj zog zoo siab thiab (yog tias tsim nyog) Siofor (Glucofage) ntsiav tshuaj. Nyob rau tib lub sijhawm, tsis txhob maj los ua cov tshuaj insulin - nrog qhov muaj feem ntau nws yuav muaj peev xwm ua tau yog tias tsis muaj lawv.

Yog tias ob qho ntshav qab zib thiab C-peptide nce, ces qhov no yog "nce qib" ntshav qab zib hom 2. Txawm li cas los xij, tej zaum nws yuav tig los tswj hwm tsis muaj insulin, siv cov txhais tau hais los saum toj saud, txawm hais tias tus neeg mob yuav tau soj ntsuam cov kev cai ntau dua kom zoo. Yog tias cov piam thaj hauv ntshav nce siab, thiab C-peptide tsawg dua, tom qab ntawd tus txiav ua kab mob twb puas lawm. Nws tuaj yeem ua hom ntev 2 hom ntshav qab zib lossis hom ntshav qab zib 1 xyoo. Ntawm no, nws yuav tsis yooj yim los ua yam tsis muaj insulin. Zoo, yog tias qhov tsis paub tseeb ntawm cov ntshav qab zib tseem tsis tau muaj sijhawm los txhim kho.

Nws raug nquahu kom kuaj ntshav rau cov ntshav qab ntsev C-peptide thaum koj nyuam qhuav pib kho mob ntshav qab zib. Hauv lub neej yav tom ntej, koj tsis tuaj yeem rov ua nws dua thiab txuag txoj hauv kev no, yog tias tsim nyog.

Kev kuaj ntshav dav thiab ntshav biochemistry

Kev kuaj ntshav biochemistry yog cov kev sim uas ib txwm dhau los thaum lawv dhau los ua kev kuaj mob. Lawv xav tau txhawm rau txheeb xyuas cov kabmob zais hauv tib neeg lub cev, ntxiv rau mob ntshav qab zib, thiab pib kho lawv cov sijhawm. Tus neeg pabcuam kuaj ntshav yuav txiav txim seb muaj pes tsawg hom hlwb sib txawv hauv cov ntshav - qe ntshav liab thiab ntshav dawb, thiab platelets. Yog tias muaj ntau cov qe ntshav dawb, nws txhais tau tias yog txheej txheem ua haujlwm. Koj yuav tsum nrhiav tus kab mob thiab kho nws. Yog tias muaj cov qe ntshav liab tsawg dhau, qhov no qhia txog kev ntsuas ntshav.

Tib qho ua rau muaj mob ntshav qab zib hom 1, hmoov tsis zoo, feem ntau ua rau cov thyroid tsis ua haujlwm. Qhov teeb meem no yog qhia los ntawm cov qe ntshav dawb tsawg. Yog tias kev kuaj ntshav dav dav "qhia" thaum lub zog tsis muaj zog ntawm cov thyroid caj pas, tom qab ntawd koj yuav tsum tau kuaj ntshav ntxiv rau nws cov tshuaj hormones. Koj yuav tsum paub tias rau kev kuaj xyuas cov thyroid caj pas, nws tsis txaus los ua qhov kev kuaj ntshav rau cov thyroid-stimulating hormone (thyrotropin, TSH). Koj kuj yuav tsum tau kuaj xyuas lwm cov tshuaj hormones tam sim - T3 pub dawb thiab T4 pub dawb.

Cov tsos mob ntawm cov thyroid muaj teeb meem mob ntsws ntev, ua rau mob khaub thuas, thiab mob leeg. Tshwj xeeb yog tias mob rog ntev tsawv tom qab cov ntshav qab zib cov ntshav tau txo qis kom ib txwm muaj nrog kev noj zaub mov kom tsis rog. Kev ntsuam xyuas rau cov thyroid hormones tsis yog qhov pheej yig, tab sis lawv yuav tsum tau ua yog tias tsim nyog. Kev ua haujlwm ntawm cov thyroid caj pas yog qhov ib txwm ua tau nrog kev pab ntawm cov ntsiav tshuaj sau tseg los ntawm endocrinologist. Cov xwm txheej ntawm cov neeg mob feem ntau txhim kho zoo heev los ntawm kev noj cov tshuaj no, thiaj li hais tias cov txiaj ntsig ntawm txoj kev kho tau kho cov nyiaj siv, sijhawm thiab dag zog.

Ntshav dej ferritin

Ntshav dej ferritin yog ib qho kev qhia ntawm cov khw muag hlau hauv lub cev. Feem ntau qhov kev ntsuas ntshav no tau hais tseg yog tias tus neeg mob xav tias tsis muaj ntshav txaus vim tsis muaj hlau txaus. Qee tus kws kho mob paub tias, ntawm qhov tod tes, ntau dhau hlau yog qhov ua kom tsawg dua cov ntaub so ntswg rhiab heev rau insulin, i.e., insulin tsis kam. Nws kuj rhuav tshem cov phab ntsa ntawm cov hlab ntsha thiab ua kom nrawm ntawm qhov pib ntawm lub plawv nres. Yog li nws yog qhov ntshaw heev kom dhau qhov kev soj ntsuam rau ntshav dej ferritin nyob rau hauv txhua rooj plaub, ua ke nrog tag nrho cov ntshav ntawm biochemistry. Yog tias qhov kev soj ntsuam no qhia tau tias koj muaj cov hlau ntau ntau hauv lub cev, tom qab ntawv nws yuav muaj txiaj ntsig los ua kom muaj ntshav ntxiv. No tsis yog tso dag nawb. Ntshav pub dawb yog txoj kev zoo tshaj plaws ntawm kev kho kab mob insulin thiab tiv thaiv lub plawv nres los ntawm kev ridding koj lub cev ntawm cov hlau ntau dhau.

Ntshav Txig Albumin

Qhov kev sim no feem ntau muaj nyob hauv ntshav biochemistry. Txo cov ntshiab albumin txhais tau tias muaj kev pheej hmoo tuag ob zaug los ntawm ib qho laj thawj. Ib zaug ntxiv, ob peb tus kws kho mob paub txog qhov no. Yog tias koj pom cov ntshav qis albumin, koj yuav tsum nrhiav qhov laj thawj thiab kho nws.

Nrog kub siab - kuaj ntshav rau magnesium

Yog tias tus neeg mob tau muaj ntshav siab, tom qab ntawd hauv Tebchaws Asmeskas "txiav" cia li xaiv ib txoj kev kuaj ntshav rau magnesium hauv cov ntshav liabCov. Hauv cov tebchaws hais lus Lavxias, txoj kev ntsuam xyuas no tseem tsis tau ua tiav. Tsis txhob sib cav nrog nws nrog kev tsom xam magnesium hauv ntshav ntshavuas yog unreliable! Nws ib txwm hloov tawm ntawm qhov qub, txawm tias ib tus neeg muaj suab npe tsis txaus ntawm magnesium. Yog li, yog tias koj muaj ntshav siab, tab sis ob lub raum tseem ua haujlwm ntau dua lossis tsawg dua qub, tsuas yog sim sim noj Magnesium-B6 ntau hauv cov tshuaj loj, raws li tau piav qhia ntawm no. Thiab ntsuas tom qab 3 lub lis piam seb koj puas noj qab nyob zoo.

Magnesium-B6 yog ib lub tshuaj muaj txuj ci tseem ceeb tau siv tau 80-90% ntawm cov neeg. Lawv yog:

• txo qis ntshav siab;
• pab nrog txhua yam teeb meem hauv lub plawv - arrhythmia, tachycardia, thiab lwm yam.;
• nce cov ntaub so ntswg rhiab rau insulin;
• ntxias, ua kom mob siab txob txob, txhim kho pw tsaug zog;
• normalize plab hnyuv muaj nuj nqi;
• pab txhawb kev mob tshwm sim ua ntej nyob hauv poj niam.

Lus khaws xav Tsis txhob noj ib qho tshuaj noj, suav nrog magnesium-B6, yam tsis tau sab laj nrog koj tus kws kho mob yog tias koj muaj mob raum ua rau lub raum puas (nephropathy). Tshwj xeeb tshaj yog yog hais tias glomerular pom tus nqi qis dua 30 ml / min / 1.73 m2 lossis koj tseem raug lim ntshav.

Kev pheej hmoo mob plawv thiab hlab ntsha tawg: yuav ua li cas txo nws

Ntau yam tshuaj kis rau hauv cov ntshav ntawm tus neeg, uas qhia nws qhov qis, nruab nrab lossis qib siab ntawm kev pheej hmoo ntawm lub plawv thiab mob hlab ntsha tawg. Tam sim no thev naus laus zis tso cai siv kev kuaj ntshav los txiav txim siab cov tshuaj ntawm cov tshuaj no, thiab nws yooj yim heev rau cov kws kho mob thiab cov neeg mob. Muaj cov kev khomob los kho uas tuaj yeem txo kev mob plawv, thiab ntxiv rau hauv tsab xov xwm koj yuav kawm txog lawv.

Nws yog ib qho tseem ceeb kom them rau kev tiv thaiv lub plawv thiab mob hlab ntsha tawg, nrog rau kev kho ntshav qab zib. Tom qab tag nrho, dab tsi yog qhov kis ntawm kev ua haujlwm tsis zoo rau ntshav qab zib nkaus xwb kom lub hauv paus tseem ceeb ntawm lub neej ua rau lub plawv yuav nres koj? Ua raws li cov lus qhia yooj yim, ua raws li tsoomfwv - thiab koj tuaj yeem nyob rau lub hnub nyoog laus heev uas tsis muaj kev mob ntshav qab zib, nrog lub plawv zoo thiab tau khaws cia kev sib deev, ua rau kev khib ntawm cov phooj ywg.

Qhov xov xwm zoo yog tias cov zaub mov uas tsis muaj carbohydrate tsawg ua rau cov ntshav qab zib thiab tib lub sijhawm ua rau koj cov ntshav plawv poob qis. Qhov no yuav qhia tau qhov sib txawv ntawm cov txiaj ntsig ntawm kev tsom xam "ua ntej" thiab "tom qab" hloov mus rau hauv cov qauv tshiab ntawm khoom noj khoom haus. Kev tawm dag zog lub cev kuj tseem muaj qhov ua tau zoo kawg nkaus kho ob zaug. Txawm li cas los xij, kev tiv thaiv ceev faj ntawm kev mob plawv thiab mob stroke tej zaum yuav xav tau kev ntsuas ntxiv, uas koj yuav kawm txog hauv qab no. Yog tias koj xav nyob ntev dua, koj yuav tsum tsis txhob saib tsis taus cov haujlwm no.

Nyeem cov ncauj lus kom ntxaws

• Tiv thaiv lub plawv nres thiab mob stroke. Qhov muaj feem pheej hmoo thiab yuav ua li cas tshem tawm lawv.
• Atherosclerosis: kev tiv thaiv thiab kev kho mob. Atherosclerosis ntawm cov hlab ntsha ntawm lub plawv, lub paj hlwb, qhov qis qis kawg.
  

Cov Mob thyroid: Kev kuaj mob thiab Kev Kho Mob

Raws li hais los saum toj no, yog koj siv cov khoom noj muaj protein ntau los tswj cov ntshav qab zib hom 1 lossis hom 2, feem ntau cov txiaj ntsig ntawm kev kuaj ntshav rau cov kab mob plawv kuj tseem zoo tuaj. Txawm li cas los xij, qee zaum kev tshuaj xyuas qhia tau hais tias kev pheej hmoo plawv tsis txo qis, lossis tseem muaj zog ntxiv. Hauv cov xwm txheej zoo li no, koj yuav tsum tau ua cov kev sim rau cov thyroid hormones. Thiab ib txwm (!) Nws hloov tawm tias lawv qib hauv tus neeg mob cov ntshav qis dua li qub.

Ib qho ntawm cov ua rau ntshav qab zib yog kev ua tsis zoo ntawm lub cev tiv thaiv kab mob. Raws li qhov tshwm sim ntawm cov tsis ua tiav, lub cev tiv thaiv tawm tsam thiab rhuav tshem cov hlwb pancreatic beta uas tsim cov tshuaj insulin. Hmoov tsis zoo, cov thyroid caj pas feem ntau tau tawm tsam "rau cov tuam txhab", vim qhov kev ua haujlwm ntawd txo.

Hypothyroidism yog lub caij nyoog ntev, ua haujlwm tsis tu ncua ntawm cov thyroid hormones. Feem ntau nws tshwm sim hauv cov neeg mob ntshav qab zib thiab lawv cov txheeb ze. Mob Hypothyroidism tuaj yeem pib ntau xyoo ua ntej cov ntshav qab zib muaj zog, lossis hloov mus rau lwm tus tom qab. Cov kev tshawb fawb qhia tias cov teeb meem nrog cov thyroid caj pas ua rau ntau ntxiv kev pheej hmoo ntawm lub plawv nres thiab mob hlab ntsha tawg, thiab qhov no qhia tau cov txiaj ntsig ntawm kev kuaj ntshav rau cov kab mob plawv.

Xaus: Yog tias, tawm tsam cov keeb kwm ntawm kev noj zaub mov tsis muaj qab zib, cov txiaj ntsig ntawm kev kuaj ntshav ntawm cov kab mob plawv tsis zoo, ces cov thyroid caj pas yuav tsum kuaj thiab kho. Hauv qhov xwm txheej no, txuas ntxiv ua raws li txoj kev noj haus kom tsawg. Txhawm rau them nyiaj rau hypothyroidism, tus kws kho mob endocrinologist yuav muab tshuaj uas muaj cov tshuaj hormones uas tsis txaus hauv lub cev. Lawv tau noj 1-3 zaug nyob rau ib hnub, raws li kws kho mob pom zoo.

Lub hom phiaj ntawm kev kho yog ua kom lub siab ntawm cov tshuaj hormones triiodothyronine (T3 pub dawb) thiab thyroxine (T4 pub dawb) mus rau ib nrab-ib nrab. Raws li txoj cai, lub hom phiaj no ua tiav ntau. Raws li qhov tshwm sim, cov neeg mob mloog zoo dua thiab qhov pheej hmoo ntawm lub plawv nres thiab mob stroke yog txo. Nco ntsoov tias kev kuaj ntshav rau cov thyroid stimulating hormone (thyrotropin, TSH) tsis txaus. Lwm cov thyroid hormones yuav tsum raug kuaj xyuas - T3 pub dawb thiab T4 pub dawb.

Tshaj cov hlau nyob hauv lub cev

Hlau yog qhov tseem ceeb tshaj plaws rau tib neeg. Tab sis nws cov dhau kev tuaj yeem ua kev tuag taus. Yog hais tias lub cev tau khaws ntau dhau ntawm cov hlau ntau, qhov no txo ​​qhov rhiab ntawm cov ntaub so ntswg mus rau insulin (nce insulin tsis kam), yog qhov muaj kev pheej hmoo rau cov kab mob plawv, ntxiv rau mob qog noj ntshav. Qhov teeb meem no tshwm sim rau cov txiv neej ntau dua li cov poj niam ua ntej lub cev ntas ntshav. Vim tias cov poj niam poob hlau thaum coj khaub ncaws.

Ua ntsuas ntshav rau cov dej ntshiab albumin thiab ferritin, uas tau sib tham saum toj no hauv kab lus. Yog tias cov txiaj ntsig dhau los saum toj li ib txwm, tom qab ntawd los ua tus neeg muab ntshav ntxiv kom tshem cov hlau ntau hauv lub cev thiab yog li txo txoj kev pheej hmoo ntawm lub plawv nres. Sim noj cov tshuaj multivitamin uas tsis muaj hlau. Piv txwv, cov no yog cov multivitamins.

Ntawm qhov tod tes, cov ntshav tsis muaj zog ua rau lub cev tuaj yeem ua rau tsis tuaj yeem yws tawm ntawm gluttony. Nyob rau hauv cov xwm txheej zoo li mob ntshav qab zib, nws tsis tuaj yeem tswj hwm cov ntshav qab zib kom zoo. Yog tias tsim nyog, yooj yim digestible hlau npaj ua rau kev ua kom tsis muaj peev xwm ntawm cov khoom no hauv lub cev. Qhov teeb meem ntawm cov hlau tsis txaus yog qhov yooj yim dua los daws dua qhov teeb meem ntawm nws tshaj.

Kev kuaj ntshav rau cov roj (cholesterol)

Kev kuaj ntshav rau cov roj (cholesterol) muaj nyob rau hauv cov npe kev kuaj mob lipid metabolism. Cov no suav nrog:

• tag nrho cov roj;
• Cov roj (cholesterol) zoo - lipoproteins ntau ntom ntom;
• Cov roj (cholesterol) tsis zoo - lipoproteins uas tsis muaj ntau;
• triglycerides.

Tsis txhob txwv koj tus kheej rau kev kuaj ntshav rau cov roj (cholesterol) tag nrho, tab sis nco ntsoov xyuas qhov koj ntsuas ntawm cov roj "zoo" thiab "phem", thiab triglycerides. Cov kev ntsuam xyuas no muaj peev xwm rov ua dua 4-6 lub lis piam tom qab hloov mus rau kev noj zaub mov kom tsis tshua muaj ntsev. Yog tias tsis muaj teeb meem nrog cov thyroid caj pas, ces cov txiaj ntsig tshiab yuav tsum zoo tshaj li yav dhau los. Tshawb nrhiav seb cov triglycerides muaj dab tsi nyob hauv Proteins, Nqaij, thiab Carbohydrates kom noj qab nyob zoo rau cov ntshav qab zib.

Dab tsi yog qhov zoo thiab cov cholesterol

Tom qab nyeem peb tsab xov xwm, koj yuav paub tias cov roj (cholesterol) tau muab faib ua "zoo" thiab "phem". Cov roj (cholesterol) zoo - cov lipoproteins ntau ntom - tiv thaiv cov hlab ntshav. Ntawm qhov tsis sib xws, cov roj (cholesterol) phem yog suav tias yog qhov ua rau ntawm atherosclerosis thiab mob plawv txuas ntxiv. Qhov no txhais tau hais tias kev kuaj ntshav rau cov roj (cholesterol) tag nrho, tsis muab faib rau qhov "zoo" thiab "tsis zoo", tsis tso cai rau peb soj ntsuam qhov kev pheej hmoo ntawm cov hlab plawv.

Koj kuj yuav tsum paub tias feem ntau cov roj (cholesterol) uas mus rau hauv cov ntshav yog tsim nyob rau hauv lub siab, thiab tsis tuaj ncaj qha los ntawm cov zaub mov. Yog tias koj noj cov zaub mov muaj roj cholesterol, uas ib txwm suav tias yog kev pheej hmoo (rog rog, qe, butter), ces lub siab yuav tsim cov roj (cholesterol) tsawg dua. Thiab rov qab, yog tias koj noj zaub mov tsis zoo hauv cov cholesterol, lub siab ua haujlwm rau nws ntau dua, vim tias cov roj (cholesterol) yog qhov tsim nyog rau lub neej, nws ua cov haujlwm tseem ceeb hauv lub cev.

Theem ntxiv ntawm cov "roj" phem "- lipoproteins tsawg ntom - txhais tau tias muaj kev pheej hmoo siab ntawm atherosclerosis, mob plawv lossis mob stroke. Qhov teeb meem no feem ntau tshwm sim hauv cov neeg muaj rog lossis ntshav qab zib. Yog tias koj ua raws li cov zaub mov tsis muaj roj ntau, tom qab ntawd cov qib "tsis zoo" cov rog hauv cov ntshav feem ntau poob qis tom qab 6 lub lis piam.

Cov roj (cholesterol) zoo - cov lipoproteins ntau ntom ntom - tiv thaiv cov hlab ntshav sab hauv los ntawm kev puas tsuaj los ntawm atherosclerosis. Vim qhov no, cov ntshav tso rau lub plawv thiab lub hlwb tau tswj hwm. Cov zaub mov muaj roj (cholesterol) hauv cov roj ntau ntau ua rau cov roj (cholesterol) zoo nyob hauv cov ntshav. Sim noj cov khoom noj uas tsis muaj carbohydrate, kuaj ntshav "ua ntej" thiab "tom qab" - thiab saib koj tus kheej. Thiab cov neeg tshaj tawm ntawm kev noj zaub mov muaj roj tsawg uas zoo rau lub plawv thiab cov hlab ntshav yog cov neeg nqus ntshav. Ntawm cov ntshav qab zib, kev noj zaub mov "noj" yog qhov txaus ntshai tshwj xeeb tshaj yog vim nws ua rau ntshav qab zib thiab ntshav sai sai.

Qee tus neeg tsis muaj hmoo - lawv tau hloov caj ces kom muaj cov roj cholesterol "tsis txaus" hauv lawv cov ntshav. Hauv qhov no, kev noj zaub mov kom tsawg nrog kev noj zaub mov tshwj xeeb tsis pab. Tab sis muaj tsawg tsawg tus neeg mob; lawv tsis tshua pom muaj hauv kev kho mob. Raws li txoj cai, koj tsis tas yuav noj tshuaj kom txo cov roj (cholesterol). Yog tias koj tab tom noj qee cov tshuaj los ntawm chav kawm ntawm statins los txhim kho koj cov roj (cholesterol), tom qab ntawd hloov mus rau cov zaub mov uas tsis muaj cov carbohydrate, koj tuaj yeem tsis lees noj cov tshuaj no thiab tsis yauv lawv cov kev mob tshwm sim.

Atherogenic coefficient

Txhawm rau ntsuas kev mob plawv, qhov sib piv ntawm cov "tsis zoo" thiab "cov roj" zoo hauv cov ntshav ntawm tus neeg mob yog xam. Qhov no hu ua atherogenic coefficient (CA). Nws yog xam los ntawm mis:

HDL yog cov lipoproteins ntau ntom, uas yog, "roj" zoo. Lub atherogenic coefficient feem ntau yuav tsum tsawg dua 3.

Peb kos cov lus xaus:

• Koj tuaj yeem muaj cov roj (cholesterol) siab thiab nyob rau tib lub sijhawm muaj cov ntshav plawv tsawg. Qhov no feem ntau tshwm sim ntawm kev noj zaub mov tsis muaj carbohydrate, thaum cov roj "zoo" yog qhov siab thiab "tsis zoo" yog qhov tsis pub dhau, thiab atherogenic coefficient qis dua 2.5.
• Cov roj (cholesterol) tsawg hauv lub cev tsis txhais tau hais tias tsis muaj kev pheej hmoo hlab plawv. Vim tias cov cholesterol "qis" tsawg, lub zog atherogenic yuav nce ntxiv.
• Rov qab qhia dua tias ib nrab ntawm kev mob plawv tshwm sim hauv cov neeg uas muaj cov co atherogenic coefficient yog cov qub. Yog li, koj yuav tsum tau them sai sai rau lwm yam ntawm kev pheej hmoo mob plawv. Nyeem cov ntawv hauv qab no.

Yav dhau los, tsuas muaj cov roj "kom zoo" thiab "tsis zoo". Hauv lub sijhawm xyoo 1990, cov duab yooj yim ntawm lub ntiaj teb no tau dhau los ua kev nyuaj. Vim tias cov cholesterol "tsis zoo", cov kws tshawb fawb tau txheeb xyuas ib qho ntxiv "phem" heev. Tam sim no koj tuaj yeem sim lwm txoj kev kuaj rau lipoprotein (a). Nws yog ib qho tseem ceeb los txiav txim siab seb tus neeg mob yuav tsum noj cov tshuaj kom txo qis cov roj cholesterol hu ua statins.

Yog tias cov roj (cholesterol) tsis zoo, tab sis cov lipoprotein (a) yog qhov ib txwm, yog li cov tshuaj no tsis tuaj yeem kho. Cov tshuaj los ntawm chav kawm ntawm statins tsis pheej yig heev thiab muaj kev phiv tsis zoo. Yog tias koj tuaj yeem ua tau yam tsis muaj lawv, ces nws zoo dua yog tsis lees txais lawv. Kawm cov txheej txheem ntuj kom qeeb atherosclerosis, feem ntau yam tsis muaj statins. Lipoprotein (a) tau tham txog txhua yam hauv qab hauv tsab xov xwm.

Cov Roj (cholesterol) thiab Lub Plawv Ntshav Tsis Zoo: Tshawb pom

Feem coob ntawm cov neeg rau normalize roj yog txaus noj cov zaub mov tsis muaj carbohydrate, tsis muaj tshuaj los ntawm chav kawm ntawm statins. Nco ntsoov qhov tseem ceeb: cov rog kev noj haus tsis nce qib "tsis zoo", tab sis cov roj "kom zoo" hauv cov ntshav. Xav tias dawb noj qe, nqaij rog, butter thiab lwm yam goodies. Kuaj koj cov ntshav qab zib nrog lub ntsuas ntshav qab zib ntau zaug ib hnub. Kuaj koj cov roj (cholesterol) tam sim no, thiab tom qab ntawv ntxiv tom qab 1.5 hli. Thiab paub tseeb tias yam khoom noj twg yuav pab koj.

Ntxiv nrog rau cov roj "zoo" thiab "tsis zoo", muaj lwm yam cuam tshuam txog kev pheej hmoo mob plawv:

• C-nti protein;
• Fibrinogen;
• Lipoprotein (a);
• Homocysteine.

Nws tau raug pov thawj tias lawv tuaj yeem twv tau qhov kev pheej hmoo ntawm lub plawv nres lossis mob stroke ntau dua qhov tseeb dua li kuaj ntshav rau cov roj (cholesterol). Ib nrab ntawm lub plawv nres tshwm sim rau cov neeg uas muaj roj cov ntshav roj hauv lub cev. Thaum tus mob ntshav qab zib tswj nws txoj kev noj ntshav qab zib nrog cov zaub mov tsis muaj piam thaj ntau, cov txiaj ntsig ntawm txhua qhov kev kuaj ntshav rau cov kab mob plawv feem ntau txhim kho. Txawm li cas los xij, kev tiv thaiv kev ceev faj txog kev mob plawv thaum lub plawv tuaj yeem xav tau kev ntsuas ntxiv. Nyeem cov hauv qab no ntxiv.

Qhov kev sib txuam ntawm C-reactive protein thiab / lossis fibrinogen hauv cov ntshav nce ntxiv thaum cov txheej txheem mob tshwm sim, thiab lub cev tawm tsam nws. Txoj kev mob ntsws vwm sai yog qhov teeb meem uas ib txwm muaj thiab muaj kev noj qab haus huv loj. Cov neeg mob ntshav qab zib yuav tsum paub dab tsi nws yog qhov tseem ceeb tshaj li lwm tus neeg. Ntev mus ntev ua rau mob ntsws yog qhov kev pheej hmoo ntawm lub plawv nres. Hauv hom 1 lossis hom 2 ntshav qab zib, nws tseem ua rau kev tsis haum xeeb ntawm cov ntaub so ntswg mus rau kev ua ntawm insulin. Yog li, tswj cov ntshav qab zib yuav nyuaj. Tshawb xyuas peb lub plawv nres thiab tiv thaiv cov kab mob stroke. Ua raws cov npe ntawm cov kev ntsuas uas tau pom zoo nyob rau ntawd.

C-nti protein

C-reactive protein yog ib qho ntawm cov ntshav ntawm cov ntshav protein ntawm cov pab pawg "theem" ​​txaus. Lawv qhov kev xav hauv cov ntshav nce siab nrog o. C-reactive protein ua lub luag haujlwm tiv thaiv los ntawm kev khi cov kab mob polysaccharide Streptococcus pneumoniae. Siv hauv kev kuaj mob hauv kev kuaj mob ua ib qho ntawm qhov ntsuas kev mob. Yog tias tsis muaj tus kab mob pom tseeb, ces feem ntau ua rau cov qib C-reactive protein ntau hauv cov ntshav yog cov kab noj hniav. Hauv ob qhov chaw yog mob raum mob, tom qab mob rheumatism. Kho koj cov hniav txhawm rau txo koj txoj kev pheej hmoo ntawm lub plawv!

Nyeem cov ncauj lus kom ntxaws “Kuaj ntshav rau C-reactive protein. C-reactive protein cov qauv. "

Homocysteine

Homocysteine ​​yog ib qho amino acid uas tsis muab los ntawm cov zaub mov, tab sis yog muab tso tawm los ntawm methionine. Kev nkag mus rau hauv lub cev, homocysteine ​​pib tawm tsam sab hauv phab ntsa ntawm cov hlab ntsha. Nws tawg tau tsim, uas lub cev tau sim los kho, kua nplaum. Cov pa roj thiab calcium yog tso rau ntawm qhov chaw puas, ua rau lub plawv atherosclerotic plaque, vim tias qhov lumen ntawm lub nkoj nqaim, thiab qee zaum tseem txhaws. Qhov tshwm sim yog mob hlab ntsha tawg, myocardial infarction, pulmonary thromboembolism.

Nws ntseeg tau tias kev haus luam yeeb zoo heev ua rau kom cov concentration ntawm homocysteine ​​hauv cov ntshav nce siab. Tsis tas li, kev noj haus ntawm ntau khob kas fes ib hnub yog ib qho ua tau muaj txiaj ntsig zoo ua rau muaj kev nce ntxiv hauv homocysteine. Cov tib neeg muaj homocysteine ​​ntau ntxiv hauv cov ntshav muaj kev pheej hmoo ntawm Alzheimer tus kab mob thiab senile dementia. Nrog kev sib xyaw ntawm cov homocysteine ​​thiab ntshav qab zib ntau ntxiv, cov teeb meem vascular ntau zaus tshwm sim - cov kab mob viav vias, nephropathy, retinopathy, thiab lwm yam.

Qib ntawm homocysteine ​​hauv cov ntshav nce siab vim kev tsis muaj cov folic acid, ntxiv rau cov vitamins B6, B12 thiab B1. Dr. Bernstein ntseeg hais tias kev noj cov vitamin B12 thiab folic acid nyob rau hauv cov ntshav kom txo qis homocysteine ​​yog qhov tsis muaj txiaj ntsig thiab txawm tias muaj neeg tuag coob. Txawm li cas los xij, ntau tus kws kho plawv Asmeskas tau txhawb nqa txoj kev ntsuas no. Koj tus tub qhe txo hwj chim, ib yam nkaus, Kuv noj cov vitamins B ntau hauv tshuaj loj (50 mg txhua cov vitamins B6, B12, B1 thiab lwm tus), 1-2 ntsiav tshuaj txhua hnub.

Fibrinogen thiab lipoprotein (a)

Fibrinogen yog protein tsim nyob rau hauv daim siab thiab hloov mus rau hauv insoluble fibrin - lub hauv paus ntawm ib qho ntshav khov thaum lub ntshav coagulation. Fibrin tom qab ua rau ntshav txhaws, ua tiav cov txheej txheem ntawm cov ntshav coagulation. Cov ntsiab lus ntawm fibrinogen hauv cov ntshav nce nrog qhov tshwm sim ntawm mob hnyav thiab mob latent thiab cov nqaij tuag. Fibrinogen, zoo li C-reactive protein, yog hais txog cov protein ua ntu zus.

Lipoprotein (a) - "roj" hnyav heev. Nws yog qhov muaj feem ua rau mob plawv thiab lwm yam kab mob plawv. Lub luag hauj lwm ntawm lub cev tseem tsis tau tsim.

Yog hais tias nyob rau hauv cov ntshav muaj theem siab ntxiv ntawm ib lossis ntau ntawm cov tshuaj teev tseg saum toj saud, tom qab ntawv qhov no txhais tau hais tias txheej txheem kev txhim kho tsis tu ncua. Lub cev yog zaum ntaus ib tus kab mob uas tau zais. Vim li cas qhov phem no? Vim hais tias nyob rau hauv cov xwm txheej no, cov hlab ntsha tau nrawm los ntawm sab hauv nrog atherosclerotic plaques. Tshwj xeeb yog qhov txaus ntshai yog qhov kev pheej hmoo ntawm cov ntshav txhaws thiab txhaws ntawm cov hlab ntshav. Raws li qhov tshwm sim, kev mob plawv lossis mob stroke tuaj yeem tshwm sim. Hauv cov ntshav qab zib, qhov mob ploj mus tseem ua rau muaj cov tshuaj insulin tsis zoo ntxiv thiab ua kom qhov xav tau insulin ntxiv. Nyeem "Kev o yog qhov zais ntawm insulin tsis kam."

Kev kuaj tsis zoo rau cov tshuaj fibrinogen los yog lipoprotein (a) rau tus mob ntshav qab zib kuj txhais tau tias yuav muaj kev pheej hmoo ntau dua los ua mob raum tsis ua haujlwm lossis qhov teeb meem tsis pom kev. Kev pham, txawm hais tias cov ntshav muaj piam thaj ib txwm, ua rau mob ntsws thiab ua rau cov qib C-reactive nce ntxiv. Kev ntsuam xyuas ntshav rau C-reactive protein, fibrinogen, thiab lipoprotein (a) yog cov cim qhia tau zoo dua ntawm qhov kev pheej hmoo ntawm lub plawv lossis mob stroke dua li cov roj (cholesterol). Thaum cov ntshav qab zib cov ntshav ua rau cov zaub mov tsis muaj piam thaj ntau, cov txiaj ntsig kev soj ntsuam ntshav rau tag nrho cov kev phom sij ntawm lub plawv feem ntau kuj tseem txhim kho.

Qib ntshav fibrinogen tuaj yeem nce ntxiv vim yog mob ntshav qab zib lub raum (nephropathy). Qhov xwm zoo yog tias thaum ntxov, kev mob ntshav qab zib tsis tuaj yeem tsuas yog tuaj yeem tiv thaiv tau, tab sis txawm thim rov qab. Muaj pov thawj qhia tias lub raum kev ua haujlwm yog maj mam rov qab yog tias koj txo koj cov piam thaj hauv ntshav kom zoo thiab nws tsis zoo nyob txhua lub sijhawm. Yog li ntawd, cov ntsiab lus ntawm fibrinogen hauv cov ntshav kuj tseem yuav poob qis.

Thaum tus mob ntshav qab zib ua rau nws cov ntshav qab zib kom qis dua qub nrog kev noj haus kom tsawg, cov txiaj ntsig ntawm kev kuaj ntshav rau lipoprotein (a) feem ntau txhim kho. Txawm li cas los xij, tej zaum lawv yuav tsis txhim kho mus rau qhov ib txwm muaj yog tias koj raug kaw rau cov kev rog hauv ntshav siab. Rau cov poj niam, cov tshuaj estrogen tsawg tsawg tuaj yeem ua rau cov roj (cholesterol) phem puas tsuaj.

Kev tsis txaus cov thyroid cov tshuaj hormones yog qhov ua rau nce ntawm cov "cholesterol" phem, homocysteine, thiab lipoprotein (a) hauv cov ntshav. Qhov no muaj tseeb tshwj xeeb tshaj yog rau cov neeg mob ntshav qab zib, nyob rau hauv lub cev tiv thaiv kab mob feem ntau tawm tsam cov thyroid caj pas "rau lub tuam txhab" nrog rau tus txiav. Yuav ua li cas nyob rau hauv cov ntaub ntawv no tau piav qhia txhua yam hauv tsab xov xwm saum toj no.

Kuaj ntshav raum

Nrog ntshav qab zib, ob lub raum tau puas vim qhov tseeb tias cov ntshav qab zib tau ntau xyoo rau xyoo. Yog tias mob ntshav qab zib nephropathy (kuaj raum) thaum ntxov, ces koj tuaj yeem sim kom qeeb. Yog tias koj ua tiav tias cov piam thaj hauv ntshav tau rov qab zoo li qub, tom qab ntawd kev ua haujlwm ntawm ob lub raum tsawg kawg tsis ua rau lub sijhawm tsis zoo, tab sis tuaj yeem rov qab tau.

Pom dab tsi cov theem ntawm raum puas yog nyob rau hauv kab lus "Kab mob hauv raum hauv ntshav qab zib". Hauv cov theem pib ntawm tus mob ntshav qab zib nephropathy, koj yuav tsum sim noj cov zaub mov muaj protein ntau kom txo koj cov ntshav qab zib kom qis, nws yuav tsawg, thiab yog li tiv thaiv koj lub raum. Ntawm theem tom qab ntawm lub raum puas tsuaj (pib los ntawm 3-A), kev noj zaub mov kom tsawg cov zaub mov zoo yog txwv tsis pub, thiab tuaj yeem ua tau tsawg.

Kev tuag los ntawm lub raum tsis ua haujlwm yog qhov kev xaiv mob siab tshaj plaws rau ntshav qab zib. Mus koom kev kho lim ntshav kuj tsis zoo siab. Yog li, yuav tsum tau kuaj xyuas koj cov raum ua ntshav qab zib kom tsis tu ncua. Yog tias kev kho mob tau pib kho raws sijhawm, tom qab ntawd tiv thaiv lub raum tsis ua haujlwm yog qhov tiag. Nyeem cov ntsiab lus nyob hauv qhov txuas “Kev txheeb xyuas thiab tshuaj xyuas ntawm lub raum hauv cov ntshav qab zib mellitus”.

Qee yam kev ua ub ua no tuaj yeem cuam tshuam cov txiaj ntsig ntawm kev tshuaj ntsuam uas sim lub raum ua haujlwm. Tsis pub dhau 48 teev ua ntej kev xeem, kev tawm dag zog, uas tsim kom muaj qhov hnyav ntawm lub cev qis dua, yuav tsum raug zam. Qhov no suav nrog kev caij tsheb kauj vab, maus taus, caij nees. Nws tsis xav kom ntsuam xyuas nyob rau hnub thaum koj kub taub hau, ua poj niam, coj khaub ncaws mob rau lub cev lossis mob rau qhov mob raum. Kev xa cov kev sim yuav tsum tau muab ncua kom txog thaum lub sijhawm mob dhau los.

Qhov zoo tshaj yuav insulin zoo (IGF-1)

Mob ntshav qab zib retinopathy yog qhov hnyav thiab tshwm sim ntau heev rau cov ntshav qab zib hauv qhov muag. Txo cov ntshav qab zib kom nyob hauv ntshav qab zib yog ib qho zoo rau yuav luag txhua qhov mob. Tab sis qee lub sij hawm sai dhau qhov kev txo qis hauv cov ntshav hauv cov ntshav yuav ua rau muaj kev cuam tshuam txog qhov mob ntshav qab zib tsawg dua. Qhov kev tso tawm no yog pom los ntawm ntau cov teeb meem hauv lub retina thiab tuaj yeem ua rau dig muag. Nws feem ntau yog ua ntej los ntawm kev nce ntxiv ntawm qhov kev nce ntawm insulin zoo li qhov kev loj hlob (IGF-1) hauv cov ntshav dej.

Kev soj ntsuam ntawm insulin-zoo li qhov kev loj hlob zoo yuav tsum tau muab rau cov neeg mob uas tau kuaj pom tias muaj kabmob ntshav qab zib. Qhov kev soj ntsuam no yuav tsum tau nqa tawm tsis tu ncua, txhua 2-3 lub hlis. Yog tias qib ntawm IGF-1 nce los ntawm lub sijhawm dhau los, tom qab ntawd koj yuav tsum ua kom qeeb ntawm tus nqi ntawm cov piam thaj hauv ntshav kom tsis txhob muaj kev hem thawj ntawm qhov tsis pom kev.

Txoj kev ntsuas ntshav qab zib tseem ceeb tshaj plaws yog dabtsi?

Txhua qhov kev ntsuas tau teev nyob hauv tsab xov xwm no yog qhov tseem ceeb vim tias nws tso cai rau koj kom nkag siab zoo dua qhov xwm txheej ntawm tus neeg mob ntshav qab zib tshwj xeeb. Ntawm qhov tod tes, tsis muaj ib qho ntawm cov kev ntsuam xyuas no cuam tshuam txog kev tswj ntshav qab zib hauv ntshav. Yog li no, yog tias muaj nyiaj txiag lossis lwm yam tsis muaj peev xwm ua rau koj los ua kev tshawb nrhiav, tom qab ntawd koj tuaj yeem muaj sia nyob yam tsis muaj lawv. Qhov loj tshaj plaws yog yuav ib qho tseeb glucometer thiab ua tib zoo saib xyuas koj cov ntshav qab zib nrog nws. Txuag dab tsi rau, tab sis tsis nyob rau hauv cov ntsuas dej qabzib!

Ua raws li hom kabmob ntshav qab zib hom 2 lossis hom kabmob ntshav qab zib hom 1. Yog tias koj tuaj yeem txo koj cov ntshav qab zib kom qis thiab ua kom nws nyob qis, ces tag nrho lwm cov teeb meem ntshav qab zib yuav maj mam daws teeb meem ntawm lawv tus kheej. Tab sis yog tias koj tsis noj ntshav qab zib kom tswj, ces tsis muaj ib qho kev kuaj yuav cawm tau tus mob ntshav qab zib los ntawm teeb meem nrog nws ob txhais ceg, ob lub raum, qhov muag, thiab lwm yam. rau cov zaub mov tsis muaj carbohydrate tsawg. Tag nrho cov no yuav tsum yog koj cov nqi siv pib. Thiab tus nqi ntawm kev xeem ntawv yog li cas nws mus.

Yog tias ua tau, tom qab ntawd ua ntej txhua yam koj yuav tsum tau kuaj ntshav rau glycated hemoglobin. Tus mob ntshav qab zib feem ntau muaj teeb meem nrog kev saib xyuas tus kheej ntawm cov ntshav qab zib, uas tsuas yog qhov kev ntsuas no tuaj yeem kuaj pom. Piv txwv li, lub ntsuas dej yuav tsis yog qhov tseeb - pom qhov ntsuas qhov ntsuas qis. Yuav kuaj li cas koj cov ntsuas dej ntsuas qhov raug. Los yog tus neeg mob, paub txog tias tsis ntev nws yuav muaj kev mus ntsib kws kho mob, ob peb hnub ua ntej uas pib noj zaub mov ib txwm, tsis suav nrog cov zaub mov muaj protein ntau los ntawm kev noj haus. Tshwj xeeb ntau, cov hluas muaj ntshav qab zib "ua txhaum" no. Hauv cov xwm txheej zoo li no, tsuas yog kev tsom xam rau glycated hemoglobin yuav cia koj pom qhov tseeb. Koj yuav tsum tau noj nws txhua txhua 3 lub hlis, tsis hais txog hom mob ntshav qab zib koj zoo li cas thiab koj tau tswj hwm nws li cas kom tswj tau nws.

Kev kuaj ntshav ntxiv rau tom ntej yog rau C-reactive protein. Tus nqi ntawm qhov kev tsom xam no pheej yig heev, thiab tib lub sijhawm nws nthuav tawm ntau yam teeb meem zais. Cov kab mob ua haujlwm qeeb yog qhov ua rau lub plawv tuaj, tab sis ob peb cov kws kho mob tseem paub txog qhov no. Yog tias koj cov C-reactive protein kom siab ntxiv, ntsuas kev ua kom tsis txhob muaj qhov o thiab yog li tiv thaiv koj tus kheej los ntawm kev mob plawv. Txhawm rau ua qhov no, mob rheumatism, pyelonephritis, mob ntsws ua pa ntev yuav tsum tau ua tib zoo saib. Txawm hais tias feem ntau qhov ua rau yog kev kho hniav. Kho koj cov hniav thiab txo koj txoj kev pheej hmoo ntawm lub plawv nres. Kev kuaj ntshav rau C-reactive protein tseem ceeb tshaj qhov kev ntsuas kab mob ntshav siab!

Tib lub sijhawm, kev kuaj ntshav rau lwm yam ntawm cov kev pheej hmoo ntawm cov hlab plawv yuav kim heev. Qhov no muaj tseeb tshwj xeeb rau kev ntsuam xyuas rau homocysteine ​​thiab lipoprotein (a). Ua ntej koj yuav tsum tau siv nyiaj los ntawm kev ntsuam xyuas, thiab tom qab ntawd ntawm kev pabcuam ntxiv kom txo qis cov ntsuas no rau kev coj ua. Yog tias tsis muaj nyiaj ntxiv, ces koj tuaj yeem tam sim ntawd pib noj B vitamins thiab roj ntses rau kev tiv thaiv.

Nws raug nquahu kom kuaj ntshav rau cov roj (cholesterol) thiab lwm yam kev muaj mob plawv ua ntej pib ua haujlwm kho ntshav qab zib nrog cov zaub mov tsis muaj rog thiab lwm yam kev ua uas peb pom zoo. Tom qab ntawv xyuas koj cov ntshav lipids (triglycerides, "zoo" thiab "roj" cholesterol) dua tom qab 1.5 lub hlis. Txog sijhawm no, koj cov piam thaj hauv ntshav yuav tsum zoo li qub, thiab cov txiaj ntsig kev kuaj yuav ntxiv tias koj nyob ntawm txoj kev yog. Yog tias koj ua tib zoo ua raws li kev noj zaub mov noj, tab sis lub sijhawm no cov roj (cholesterol) tsis zoo dua - kuaj ntshav rau cov thyroid hormones.

Yog tias qhov qes qis ntawm cov tshuaj hormones triiodothyronine (T3 pub dawb) thiab thyroxine (T4 pub dawb) pom, ces teem sijhawm nrog tus endocrinologist rau kev sab laj. Koj xav tau nws cov lus qhia txog yuav ua li cas kho cov thyroid caj pas, tab sis tsis yog qhov yuav ua li cas kom ua raws "kev noj zaub mov kom zoo" rau ntshav qab zib! Tus kws kho mob endocrinologist yuav muab tshuaj kom ua zoo noj, uas nws hais. Tom qab ua cov theem ntawm cov thyroid hormones txaus hauv cov ntshav, tom qab 4 lub hlis, koj yuav tsum rov kuaj ntshav dua roj thiab lwm yam kev phom sij. Qhov no yuav qhia tau li cas kev kho mob ntawm cov thyroid caj pas cuam tshuam lawv. Ntxiv mus, cov kev ntsuam xyuas no tau pom zoo kom coj ib zaug ib nrab xyoo ib zaug. Tab sis yog tias tsis muaj nyiaj txaus, ces nws yuav zoo dua kom txuag tau cov kev sim hauv chav sim dua ntawm ntawm kev sim cov kab rau cov khoom nplaum.

Kev kuaj mob thiab mus ntsib kws kho mob

Yuav lub tshuab ntsuas ntsuas thiab ntsuas koj cov ntshav siab (yuav ua li cas thiaj ua tau), tsawg kawg 1 zaug hauv ib lub lis piam, tib lub sijhawm. Muaj nplai tseeb nyob hauv tsev thiab ntsuas koj tus kheej, tab sis tsis ntau tshaj ib zaug ib lub lim tiam. Tib lub sijhawm, nco ntsoov tias kev hloov pauv ntawm qhov hnyav tsis pub dhau 2 kg yog qhov qub, tshwj xeeb tshaj yog rau cov poj niam. Xyuas koj lub qhov muag nrog tus kws kho qhov muag (dab tsi koj yuav tsum tau kuaj) - tsawg kawg 1 zaug hauv ib xyoos.

Txhua txhua hnub, ua tib zoo tshuaj koj txhais taw, nyeem “Kev saib xyuas tus mob ntshav qab zib: cov lus qhia ntxaws.” Ntawm thawj lub cim ntawm teeb meem - tam sim ntawd sab laj tus kws kho mob uas "coj koj". Lossis zwm npe tam sim nrog tus kws kho pob kws, tus no yog tus kws khomob tshwj xeeb txog kev kho mob ko taw. Yog tias mob ntshav qab zib tau ploj, lub sijhawm muaj teeb meem ntawm txhais ceg tuaj yeem ua rau txiav tes lossis txhawm rau txhawm rau tuag.