Yuav luag txhua tus neeg mob ntshav qab zib paub ib yam kev mob uas ua rau muaj kev tsis txaus siab thiab tuaj yeem ua rau tuag taus, uas yog ntshav qog. Qhov ua rau tus mob no yog cov piam thaj hauv cov ntshav qab zib, thaum tus neeg mob tawm hws, nqhis dej, kiv taub hau, thiab nws tau tshee heev.
Thaum cov ntshav qab zib cov ntshav poob tom qab noj mov, kev noj zaub mov kom muaj txiaj ntsig zoo thiab muaj txiaj ntsig zoo yuav pab kom tsis txhob muaj teebmeem kev noj qab haus huv. Nws yog ib qho tseem ceeb kom tsis txhob haus cov carbohydrates yooj yim, noj zaub mov me me rau ib hnub.
Thaum nws tshee, yog tias ib tug neeg tsis noj mov tsis ncav sij hawm, qhov mob no yog hu ua kev yoo mov. Nws yog pom tias haus ib co carbohydrates lossis cov zaub mov muaj protein ntau.
Tus kws kho mob tuaj yeem txheeb xyuas tau tias tus neeg mob tau txais insulin ntau dhau, qhov siab tshaj plaws ntawm nws qhov tshwm sim tshwm sim thaum sawv ntxov lossis yav tsaus ntuj. Yog li no, qee zaum qee qhov kev txo qis ntawm cov tshuaj hormone lossis hloov pauv lub sijhawm nws cov neeg tswj hwm ua haujlwm tawm tsam cov ntshav tsis txaus.
Vim li cas ntshav qab zib thiaj li poob
Hauv kev txhais lus, lub sij hawm hypoglycemia txhais tau tias "tsis muaj ntshav qab zib heev", qhov no yog ib ntus pathological thaum cov ntsiab lus ntawm cov ntshav qab zib poob qis qis dua 3.3 mmol / L. Yog tias koj tsis ua raws li cov kev ntsuas sijhawm, tsis txhob ua kom cov suab thaj hauv lub cev, nws yuav muaj kev pheej hmoo txog qaug dab peg, qaug dab peg, thiab tsis nco qab. Tus mob ntshav qab zib tuaj yeem ua rau tus mob ntshav qab zib tsaug zog ntaug tas thiab tuag.
Kev txhim kho cov ntshav qog ntshav qab zib feem ntau muaj lwm cov laj thawj uas tsis cuam tshuam txog cov ntshav qab zib tsawg. Yog li, qhov kev tshaj tawm ntawm cov kev mob no yog txhawb los ntawm kev noj zaub mov tsis txaus nrog lub cev tsis muaj fiber ntau, cov vitamins thiab cov zaub mov, kev ua si lub cev ntau dhau, txhua yam kab mob ntawm cov kab mob endocrine, cov tshuaj tiv thaiv hormonal tsis zoo, kev coj tsis zoo, haus dej cawv tshwj xeeb.
Kev tawm hws yuav dhau los ua cov tsos mob tshaj plaws ntawm hyperglycemia, tus neeg yuav tuav tes, nws yuav poob rau hauv lub xeev npau taws yam tsis muaj laj thawj. Hauv qhov no, yuav tsum tau pw hauv tsev kho mob sai sai, vim qhov xwm txheej yuav ua rau lub neej muaj sia.
Yuav kom nkag siab txog cov laj thawj ntawm kev ua ntshav qab zib, lub tshuab ntshav ntawm cov ntshav qab zib tsim yuav tsum raug txiav txim siab. Tam sim ntawd tom qab noj cov khoom noj uas muaj cov khoom noj carbohydrate, qhov tseeb ntawm cov piam thaj hauv tib neeg lub cev:
- nws tau txais hauv cov ntshav;
- kis tawm hauv lub cev ntawm lub cev.
Hauv kev teb rau qhov no, hlwb pancreatic tsim cov tshuaj insulin. Nws txhawb nqa lub nqus ntawm cov piam thaj, pab cov hlwb siv nws ua lub hauv paus ntawm lub zog.
Yog tias tus neeg noj qab haus huv, cov txiav ua rau muaj cov insulin raws nraim li xav tau thaum lub sijhawm ua cov piam thaj. Hauv kev mob plab zom mov (hom 1 ntshav qab zib), lub cev tsis muaj peev xwm muab tawm qhov xav tau ntawm cov tshuaj insulin, yog li ntawd, yuav tsum tau txais cov tshuaj tawm sab nraud.
Qhov tseem ceeb tshaj plaws ntawm kev mob ntshav qab zib yog qhov koj yuav tsum nkag rau qhov kev tsim nyog ntawm insulin, tsuas yog ntau npaum li tsim nyog rau kev nqus zoo ntawm cov piam thaj uas tau nkag mus rau hauv lub cev.
Thaum cov tshuaj hormones ntau dhau, qhov tsis txaus tam sim ntawd teeb rau hauv:
- lub siab tso tawm cov khw muag khoom glycogen los nruab nrab rau cov piam thaj;
- hypoglycemia tshwm sim.
Glycogen yog xav tau los ua cov txheej txheem tshaj li ntawm insulin. Yog tias muaj cov kab mob txaus hauv lub siab, cov kev mob ntshav qab zib tsis tas ib txwm tshwm sim lossis tau nce mus deb uas tus neeg mob tsis pom zoo. Tab sis, raws li txoj cai, nrog rau cov ntshav qab zib mellitus, cov khw muag khoom glycogen tsis tshua muaj, qhov muaj peev xwm ua kom cov ntshav qabzib tsawg dua yog muaj ntau dua li qhov tsis muaj tus kabmob.
Nws tuaj yeem xaus lus tias cov teeb meem uas ua rau lub qog ntshav ntshav yog yam:
- tsis ncaj ncees lawm koob tshuaj ntawm insulin;
- hla kev noj mov;
- kev siv dag zog ntau dhau;
- haus cawv.
Tsis tas li, cov laj thawj yuav cuam tshuam nrog kev siv qee yam tshuaj, uas ua ke nrog insulin ntau dua cuam tshuam rau glycemia.
Muaj cov tshuaj uas ua rau cov tshuaj hormones ntau ntxiv hauv tus neeg mob cov ntshav: Januvia, Starlix, Diabines, Prandin thiab lwm yam tshuaj.
Kev ua ntawm hypoglycemia
Feem ntau ib qho kev txo qis hauv cov ntshav qab zib tshwm sim dheev, hauv thawj 10 feeb, me ntsis ntshav qab zib tsawg tuaj yeem raug tshem tawm los ntawm kev noj zaub mov me me. Yog tias cov piam thaj tsis nkag mus rau hauv lub cev, tom qab ib nrab teev tus neeg tsis zoo, nws muaj qhov tsis muaj zog, qhov kev paub zoo ntawm kev tshaib plab, kiv taub hau, tawm tsam xeev siab thiab ntuav, tachycardia pib.
Yog tias cov piam thaj hauv ntshav muaj tsawg dhau, tawm hws ntau ntau, ntshai tshee, ntshai, ntxhov siab vim tsis muaj laj thawj, cuam tshuam qhov muag (cov duab liab qab tshwm ntawm sab xub ntiag qhov muag, pom ob daim duab), hais lus tsis meej, cuam tshuam.
Yog tias tus neeg tau kuaj mob ntshav qab zib ntev ntev, nws yuav muaj peev xwm paub txog thawj cov tsos mob ntawm tus mob ntshav qab zib tsawg. Thaum tus neeg mob nyuam qhuav dhau los txog kev kuaj nws tus mob, nws tseem yuav tsum kawm kho nws, nws yuav tsum mloog nws lub cev.
Nws yog qhov txaus ntshai heev thaum tshee nrog ntshav qab zib hauv kev npau suav, qhov xwm txheej no nrog nrog kev npau suav phem, tus neeg sawv los ntub dej los ntawm hws, ntshai tsam poob pw tsaug zog dua. Nws tshwm sim uas txo qis hauv qab zib tshwm sim yam tsis muaj kev sawv ntawm tus mob ntshav qab zib, tom qab nws pw tsaug zog nws xav tias:
- nkees
- thab;
- ntxhov siab dhau.
Yog tias koj tsis quav ntsej qhov teeb meem, ntev mus, tus neeg mob yuav poob rau hauv lub tsis nco qab hauv npau suav.
Yuav ua li cas kom sai li qub qab zib
Nrog cov ntshav qog ntshav qab zib tsawg (ntshav qab zib 2.7-3.3 mmol / l), qee yam qab zib yuav tsum noj sai dua, nws txaus rau cov neeg laus noj 15-20 g ntawm carbohydrates yooj yim. Koj tseem tuaj yeem haus dej haus 150 g ntawm kua txiv hmab txiv ntoo qab zib, tshuaj yej dub qab zib, noj ib lub caij ntawm cov txiv hmab txiv ntoo qhuav, txiv tsawb, ob peb daim ntawm tsaus chocolate los yog khoom qab zib.
Hauv lwm lo lus, koj yuav tsum noj txhua yam zaub mov uas muaj cov carbohydrates nrawm nrog. Ntxiv mus, nplej porridge thiab cov mov ci tag nrho cov khoom noj tsis tsim nyog, cov zaub mov zoo li yog carbohydrates, yuav nqus rau hauv plab hnyuv kom ntev.
Koj yuav tsum paub tias koj tsis tuaj yeem noj ntau yam khoom qab zib uas muaj qab zib qis, txawm hais tias qhov kev tshaib plab no muaj zog nrog cov ntshav qab zib tsawg. Kev noj zaub mov ntau dhau ntawm cov carbohydrates yuav ua rau cov ntshav qabzib ntau ntxiv, uas ua kom mob rau cov ntshav me me.
Nrog hypoglycemia ntawm daim ntawv nruab nrab (qab zib 2.7 mmol / l) koj xav tau:
- tam sim ntawd noj 20 g ntawm carbohydrates yooj yim;
- tom qab 20 g ntawm complex carbohydrates.
Txoj kev zoo tshaj plaws kom tau txais kev tshem tawm ntawm cov ntshav qab zib ntawm qhov pib kos npe, ntsuas cov ntshav qabzib siv cov glucometer, paub meej tias muaj cov glycemic qis. Tom qab ntawd koj yuav tsum noj 15 g ntawm carbohydrates yooj yim, tom qab 20 feeb, cov ntshav qab zib tau kuaj xyuas dua. Yog tias cov piam thaj hauv qab ntawm cov txiaj ntsig ntau dua, rov qab noj cov nyiaj sib txig sib txig sib luag. Yuav ua li cas txuas ntxiv mus? Lub tswv yim piav qhia yuav tsum tau nqa tawm kom txog thaum lub cev tsis muaj mob.
Nws yog qhov ntau nyuaj rau kom tawm ntawm qhov mob ntshav qab zib ntau dua, yog tias tus mob ntshav qab zib tsis txaus, nws tsis tuaj yeem haus cov khoom noj carbohydrate ntawm nws tus kheej kom nce ntshav qab zib. Yog tias tus neeg tsis nco qab, nws raug txwv tsis pub muab kua thiab lwm yam khoom noj muaj suab thaj, vim tias qhov no tuaj yeem ua rau tsis tuaj yeem tsis zoo.
Thawj txoj kev pabcuam yuav yog kev txhaj tshuaj intramuscular ntawm 1 g ntawm glucagon, nws ua haujlwm ntawm lub siab, uas yuav ua rau ncaj qha nce cov piam thaj hauv lub cev. Thaum ib tug neeg mus pw hauv tsev kho mob, qhov mob ntshav qab zib tsis tsaug zog yog qhia tias yuav tsum tau tshem tawm los ntawm kev tso ntshav tawm ntawm 40% kua nplaum daws.
Txoj hau kev no siv tau yooj yim dua li kev txhaj tshuaj glucagon, thiab pab ua kom rov qab nco qab sai dua.
Cov hau kev rau kev tiv thaiv ntawm cov qog ntshav qab zib
Nws muaj peev xwm tiv thaiv tau tawm tsam tom qab ntawm cov piam thaj txo qis los ntawm kev soj ntsuam ntawm ntau txoj cai tseem ceeb. Ua ntej tshaj plaws, koj yuav tsum paub qhov tseeb ntawm cov tshuaj insulin, uas yuav tsum tau muab tshuaj (yog tias tus neeg mob muaj ntshav qab zib hom 1 ntshav qab zib), nkag siab cov hauv paus ntsiab lus ntawm kev ua haujlwm ntawm cov tshuaj insulin, thiab kawm cov hau kev rau kev txo qis hypoglycemia.
Koj kuj yuav tsum tau saib xyuas cov kev noj qab haus huv txhua hnub, kev teem sijhawm ntawm cov tshuaj insulin, kev noj zaub mov, thiab saib xyuas seb cov piam thaj hauv lub cev yog dab tsi. Tam sim no, endocrinologist qhia kom ntsuas kev ntsuas thaj ua ntej noj mov (4-5 zaug hauv ib hnub), thaum mus pw, thiab ntawm lub plab khoob.
Kev noj tshuaj ntawm cov tshuaj insulin yuav tsum tau kho ua ntej kev ua si lub cev ntau ntxiv, qhov nyiaj ntawm lub cev yuav tsum raug txo qis, lossis nrog tib yam ntawm insulin, haus ntau cov carbohydrates.
Nws pom zoo kom tsis txhob haus dej haus cawv los yog txwv nws, haus dej cawv muaj zog, noj ntawm lub plab khoob, yuav txo cov piam thaj. Koj yuav tsum paub npias:
- nce ntshav qab zib kom ntau ntxiv;
- kev cuam tshuam tsis zoo rau kev ua haujlwm ntawm lub plawv.
Txhua tus neeg mob ntshav qab zib yuav tsum txwv cov dej cawv kom nruj me ntsis, tab sis yog tias tus mob ntshav qab zib xav haus me ntsis, nws yuav tsum ua rau lub plab tag nrho thiab muaj ib qho tom.
Muaj peev xwm tshwm sim tau, muaj teeb meem
Raws li tau hais los saum no, qhov teeb meem ntawm kev mob ntshav qab zib yog paub rau ntau tus neeg mob ntshav qab zib, yog tias nws tshwm sim ntau dua ob zaug hauv ib lub lis piam, koj yuav tsum tau sab laj nrog kws kho mob. Nws yuav tsim nyog los kho qhov ntau npaum li cas ntawm cov tshuaj insulin, nws yuav yog tus neeg mob noj ntau dhau ntawm nws cov koob tshuaj.
Kev tawm tsam ntau cuam tshuam cuam tshuam rau lub xeev cov hlab ntsha me, tshwj xeeb tshaj yog nqaj qis thiab qhov muag, ua rau muaj kev txhim kho sai ntawm angiopathy. Thaum cov neeg mob ntshav qab zib ua rau muaj qhov mob ntshav qab zib ntau ntau, lawv muaj qhov pheej hmoo ua kom muaj mob txhab rau lub hlwb thiab vascular muaj teeb meem.
Nrog cov piam thaj ntsuas qis dua 2 mmol / L, qhov mob glycemic nco ntsoov tsis meej, nws yog ib qho tseem ceeb heev uas yuav tsum tau ntsuas lub sijhawm, txwv tsis pub nws yuav tsis muaj peev xwm cawm ib tus neeg los ntawm kev tuag, nws lub hlwb yuav tuag.
Lub paj hlwb noj qabzib, nws yuav tsum muaj:
- zam kev ua puas tsuaj rau ntshav qab zib;
- nres hypoglycemic mob tam sim.
Feem ntau hypoglycemia tshwm sim nyob rau hauv daim ntawv me, tsis muaj teeb meem nws tau tshem tawm los ntawm cov khoom noj muaj suab thaj, qabzib.
Dua li ntawm qhov no, koj yuav tsum nco ntsoov qhov koj yuav tsum tau ua thaum muaj kev tawm tsam, yuav ua li cas pab koj tus kheej thiab lwm tus.
Cov lus pom zoo rau cov neeg mob ntshav qab zib
Qhov kev pom zoo thawj zaug rau cov ntshav qab zib hauv cov menyuam yaus thiab cov neeg laus yog kom muaj qab zib (qab zib, qab zib, txiv hmab txiv ntoo qhuav) nrog koj, kev muab cov khoom noj uas yooj yim yog tshwj xeeb tshaj yog cov phiaj xwm kev tawm dag zog, kev siv dej cawv.
Txhawm rau tshem tawm cov tsos mob ntawm kev mob ntshav qab zib, koj tuaj yeem siv me me ntawm zib ntab es tsis txhob qab qab zib, txiv tsawb - cov khoom no tseem muaj cov carbohydrates yooj yim, tab sis lawv muaj txiaj ntsig ntau ntxiv.
Thaum ua tau, noj cov khoom qab zib nrog haus dej haus, yog li tus neeg mob lub cev yuav zoo dua tuaj yeem nqus cov piam thaj thiab tawm ntawm lub xeev kev mob ntshav qab zib.
Yog tias qhov kev tawm tsam ntawm kev txo qis cov piam thaj hauv ntshav tau dhau mus, qhov no txhais tau hais tias kev xaiv cov tshuaj insulin tsis raug xaiv. Hauv qhov xwm txheej no, koj yuav tsum sab laj nrog tus kws kho keeb endocrinologist kom rov kho qhov kev kho mob.
Cov lus qhia kawg rau cov neeg mob ntshav qab zib yog nyeem cov lus qhia rau cov tshuaj txhua lub sijhawm, nws yog ib qho tsim nyog yuav tsum nrhiav qhov uas ib hom yeeb tshuaj cuam tshuam nrog insulin. Muaj ntau cov tshuaj noj uas tuaj yeem txhim kho qhov kev ua haujlwm ntawm insulin, uas tseem ua rau kev loj hlob ntawm cov ntshav qog ntshav ntawm qhov sib txawv heev.
Cov tsos mob thiab cov hau kev ntawm kev kho tus mob ntshav qab zib tsawg tau piav qhia hauv cov yeeb yaj kiab hauv tsab xov xwm no.
