Ntshav Qab Zib Hom 2 yog dabtsi: ua rau thiab mob

Tsis zoo li thawj hom kabmob, ob hom kabmob ntshav qab zib mellitus raug tshawb pom hauv txhua tus neeg mob thib plaub, thiab feem ntau tus neeg tsis paub txog tias muaj cov kabmob pathological hauv lub cev. Vim muaj qhov tsis lees paub, txhua yam kev mob hnyav tshwm sim.

Tab sis yog tias koj pib kho nyob rau hauv lub sijhawm rau tus txiv neej thiab poj niam, thaum thawj cov tsos mob tshwm sim thiab ntshav qab zib loj hlob tuaj, muaj kev tiv thaiv loj yuav tiv thaiv tau. Ntawm hom 2 mob ntshav qab zib mellitus, mob siab rau hyperglycemia yog pom vim qhov tseeb tias cov hlwb tsis rhiab rau cov tshuaj insulin.

Yog li, hom kab mob no tsis cuam tshuam nrog kev tsim ntawm cov tshuaj insulin. Vim tias nws qhov rhiab qis, cov ntshav qabzib feem ntau yuav nce ntxiv, vim qhov kev tsim kho cov hlab ntsha thiab cov kabmob hauv nruab nrog cev raug rhuav tshem vim yog muaj kab mob tshwm sim. Txhawm rau xaiv txoj kev kho mob kom zoo, koj yuav tsum paub txog - hom 2 mob ntshav qab zib mellitus nws yog dab tsi thiab yuav ua li cas nrog nws.

Ua rau muaj ntshav qab zib hom 2

Hauv 90 feem pua ​​ntawm cov neeg uas muaj tus kabmob, cov neeg mob tau kuaj pom tus mob ntshav qab zib hom 2, qhov ua rau tuaj yeem sib txawv. Hauv qhov no, tus txiav ua ntej tsim cov tshuaj insulin, tab sis lub cev tsis tuaj yeem tso cov tshuaj hormones uas twb muaj lawm, uas yog vim li cas cov piam thaj hauv cov ntshav thiab ua rau muaj ntau cov teeb meem.

Txawm hais tias qhov tseeb ntawm cov txiav tsis ua hauj lwm, lub cev tsis tuaj yeem nqus cov tshuaj insulin vim muaj qhov ua rau cov insulin tsis zoo ntawm cov kab mob, uas ua rau hom 2 mob ntshav qab zib mellitus.

Ua ntej tshaj, qhov no txhais tau hais tias ib tus neeg yuav tsum ua raws li kev noj haus kho mob nruj thiab txwv kev siv cov zaub mov uas muaj cov khoom noj khoom haus carbohydrates ntau li ntau tau.

1. Feem ntau, cov ua rau hom 2 mob ntshav qab zib mellitus yog lub ntuj laus ntawm lub cev. Hauv lub hnub nyoog laus, tus neeg yuav pib mob qabzib ua lub siab ntev, uas yog, lub cev maj mam poob nws lub peev xwm los nqus tau cov piam thaj.
2. Nrog lub hnub nyoog, cov kev hloov pauv no yuav luag txhua tus neeg, tab sis hauv cov neeg muaj kev noj qab haus huv, kev rhiab siab poob qis ntawm qhov qeeb. Tab sis yog tias tus neeg mob tau mob caj ces ntxiv, tus txheej txheem no tshwm sim ntau nrawm dua, thiab yog li ntawd, tus neeg tuaj yeem mob ntshav qab zib hom 2 tau.
3. Kuj, cov ua rau ntshav qab zib feem ntau cuam tshuam nrog kev rog. Vim yog cov rog dhau los, muaj qhov ua txhaum ntawm cov ntshav txuam, kev nce siab hauv cov roj cholesterol, uas nyob ntawm phab ntsa ntawm cov hlab ntsha thiab ua rau muaj kev txhim kho atherosclerosis. Hauv cov ntsiab lus yooj yooj yim, nrog cov tsos ntawm cov plahaum roj ntsha, cov khoom noj khoom haus thiab oxygen tsis tuaj yeem nkag mus rau cov ntaub so ntswg thiab cov plab hnyuv siab raum, vim tias muaj pa oxygen tshaib plab, kev nqus ntawm insulin thiab piam thaj txo.
4. Qhov thib peb lub ntsiab yog vim li cas tus mob ntshav qab zib hom II tau tshwm sim yog siv ntau cov khoom noj uas muaj cov khoom noj khoom haus sai sai. Cov carbohydrates nyob rau hauv ib qho kev muaj zog ua rau ua rau lub cev ua kom daim nyias nyias thiab ua rau cov tshuaj insulin hauv cov hlwb ntawm cov nqaij thiab cov plab hnyuv siab raum.

Raws li kev tshawb fawb pom tau hais tias, nyob hauv hom kab mob ntshav qab zib hom 2 ntawm ib leej niam leej txiv, qhov kev pheej hmoo ntawm tus menyuam yuav muaj tus kab mob raws txoj kev muaj keeb caj ces yog 35-40 feem pua. Yog tias muaj kabmob sib kis ntawm ob tus niam txiv, qhov muaj feem yuav nce mus rau 60-70 feem pua. Monozygotic menyuam ntxaib tuaj yeem sib koom ua ke 2 pawg mob ntshav qab zib hauv 60-65 feem pua, thiab cov menyuam ntxaib sib luag hauv 12-30 feem pua ​​ntawm cov neeg mob.

Yog tias mob ntshav qab zib hom 2 tshawb pom nyob hauv tus txiv neej lossis poj niam, nws feem ntau cuam tshuam nrog kev rog dhau, qhov tsis zoo sib xws hauv lub cev tshwm sim hauv 60-80 feem pua ​​ntawm cov neeg mob ntshav qab zib. Qhov tshwm sim ntawm kev rog plab yog tshwj xeeb tshaj yog, thaum cov rog rog hauv plab thiab lub duav.

Nrog rau kev ua kom tsis muaj roj ntau hauv cov kab mob hauv lub cev, qib ntawm cov rog dawb tsis muaj zog nce ntxiv. Qhov no yog qhov tseem ceeb ntawm lub zog hauv tib neeg, tab sis nrog cov ntsiab lus nce ntawm cov hom acids, hyperinsulinemia thiab insulin tsis kam tsim.

Xws li cov mob no provokes ib tug txo nyob rau hauv lub secretory kev ua si ntawm lub txiav. Vim li no, hom 2 mob ntshav qab zib mellitus raug kuaj thaum pib los ntawm ntshav tsom rau cov khoom noj muaj roj dawb. Nrog rau ib qho dhau ntawm cov tshuaj no, kev kuaj pom qabzib nyob rau hauv, txawm hais tias qhov mob ceev ceev hyperglycemia tseem tsis tau pom.

• Ntau cov ntaub so ntswg yuav tsum muaj cov khoom qab zib nyob rau niaj hnub. Tab sis nrog kev tshaib plab rau ntau dua 10 teev, kev tso tseg cov ntshav qab zib tau khaws tseg yog pom. Hauv qhov no, lub siab pib tsim cov kua nplaum los ntawm cov khoom ntawm qhov tsis-carbohydrate xwm.
• Tom qab noj mov, cov piam thaj kom nce siab, lub siab ua haujlwm nres thiab ua cov piam thaj rau lub neej yav tom ntej. Txawm li cas los xij, nyob rau ntawm muaj kab mob siab, mob hemochromatosis thiab lwm yam kab mob hnyav, lub siab tsis nres nws txoj haujlwm thiab txuas ntxiv txuas ntxiv ntshav qab zib, uas thaum kawg ua rau mob ntshav qab zib hom 2.
• Vim yog lub cev metabolic syndrome lossis cov tsos mob ntawm kev tawm tsam cov tshuaj hormone insulin, qhov ntau ntawm visceral rog nce ntxiv, carbohydrate, lipid thiab purine metabolism cuam tshuam, ntshav tawm los.
• Xws li ua rau cov ntshav qab zib dag nyob rau hauv muaj lawm, polycystic ovary syndrome, kub siab, mob plawv, hloov ntshav hormonal, impaired uric acid metabolism.

Feem ntau, cov ua rau hom 2 mob ntshav qab zib mellitus tuaj yeem cuam tshuam nrog cov organic thiab ua rau lub cev puas tsuaj rau pancreatic beta cells. Tsis tas li, tus kab mob tuaj yeem txhim kho vim qee yam tshuaj - glucocorticoids, thiazides, beta-blockers, atypical antipsychotics, statins.

Yog li, hom mob ntshav qab zib hom thib ob feem ntau tshwm sim hauv cov xwm txheej hauv qab no:

1. Nyob rau hauv muaj ntawm ib qho keeb kwm muaj keeb kwm yav dhau los;
2. Hauv cov neeg uas muaj lub cev nyhav thiab rog dhau;
3. Hauv cov poj niam uas yav tas los yug tus me nyuam hnyav dua 4 kg, lossis nrog cev xeeb tub;
4. Nrog kev siv ntau zaus ntawm glucocorticoids - analogues ntawm cov tshuaj hormones ntawm adrenal cortex;
5. Thaum kuaj pom tias tus mob Itsenko-Cushing lossis cov qog adrenal ua cov qog, nrog rau acromegaly - qog pituitary;
6. Hauv cov txiv neej thiab poj niam hnub nyoog 40-50 xyoo nyob rau theem pib ntawm kev loj hlob ntawm atherosclerosis, angina pectoris lossis kub siab;
7. Hauv cov neeg nyob rau ntawm theem pib ntawm kev txhim kho cataract;
8. Nrog kev kuaj mob eczema, atopic dermatitis thiab lwm yam kab mob ntawm kev ua xua;
9. Tom qab mob hlab ntsha tawg, plawv nres, kis kab mob, zoo li thaum cev xeeb tub.

Cov tsos mob thiab kho mob ntshav qab zib hom 2

Yog tias ib tus neeg muaj tus mob ntshav qab zib hom 2, nws yuav zoo li cov thawj hom mob. Tus neeg mob tau tso zis ntau ntxiv thaum nruab hnub thiab hmo ntuj, nqhis dej, lub qhov ncauj qhuav, qab los noj mov, tsis muaj zog, qhia txog kev noj qab haus huv. Feem ntau khaus tshwm rau ntawm daim tawv nqaij, hlawv nyob rau hauv perineum, qhov caws pliav ua tsaus ntuj nti.

Txawm li cas los xij, nyob hauv hom ob hom kab mob, qhov sib txawv tsis yog qhov meej, tab sis yog cov txheeb ze insulin tsis txaus. Ib qho me me ntawm cov tshuaj hormones tseem tuaj yeem ua ke nrog cov receptors, kev mob plab zom zaub mov tau tshwm sim ntawm lub qeeb, vim hais tias ntawm tus neeg mob yuav tsis paub txog kev txhim kho ntawm tus kab mob.

Tus mob ntshav siab xav tias lub cev qhuav ntawm lub qhov ncauj kab noj hniav thiab nqhis dej, qee qhov mob khaus khaus tshwm rau ntawm daim tawv nqaij thiab cov qog ua kua, qhov txheej txheem ua paug, tus mob tshwm sim ntawm cov poj niam.

Tsis tas li, tus neeg mob pos hniav mob heev, cov hniav poob tawm, thiab qhov tsis pom kev yog qhov tsawg. Qhov no yog vim los ntawm kev tso tawm ntau ntawm cov piam thaj hauv daim tawv nqaij mus rau sab nraud lossis rau hauv cov hlab ntshav, ntawm qab zib, nyeg, cov kab mob hu ua fungi thiab cov kab mob pib nce siab.

Yog tias tus kws kho mob tau kuaj tus mob ntshav qab zib mellitus 2, kev kho mob pib tom qab kev kuaj mob tag nrho thiab txhua qhov kev ntsuas tsim nyog tau ua tiav.

Nrog tus kab mob siab heev, cov piam thaj tuaj yeem pom nyob hauv cov zis, uas ua rau txoj kev loj hlob ntawm glucosuria.

Kev kho mob ntshav qab zib hom 2

Thaum kuaj pom tus kab mob hauv cov txiv neej lossis poj niam, tus kws kho mob qhia tias tus mob ntshav qab zib hom 2 yog li cas, thiab xaiv cov kev kho uas tsim nyog. Ua ntej tshaj plaws, kev noj haus tshwj xeeb kev kho mob yog kho rau cov neeg mob ntshav qab zib, nyob rau hauv kev noj haus ntawm cov zaub mov carbohydrates thiab cov zaub mov muaj calories kom tsawg. Cov kev ntsuas zoo li no pab txo kom hnyav thiab rov qab nkag siab ntawm cov hlwb mus rau cov tshuaj insulin.

Yog tias kev noj zaub mov tsis pab, thiab tus kab mob tau ua haujlwm, tus neeg mob noj cov ntsiav tshuaj uas muaj suab thaj tsawg, cov tshuaj no tso cai rau koj los kho cov tshuaj insulin thiab ua kom zoo li lub txiav ua ntej. Ib hom tshuaj kom txo cov ntshav qab zib yog siv txhua txhua hnub tsawg kawg ob mus rau peb zaug hauv ib hnub twg 30 feeb ua ntej noj mov.

Cov koob tshuaj yog xaiv nruj me ntsis raws li kws kho mob tau sau tseg; kev hloov pauv tshuaj noj yog tseem tso cai tom qab kev pom zoo nrog kws kho mob. Yog tias tus neeg mob muaj mob rau daim siab los yog lub raum tsis ua haujlwm, txoj kev tswj hwm ntawm cov tshuaj muaj ntshav qab zib yog qhov tsis sib haum, yog li, kev kho tshuaj insulin yog muab rau cov neeg mob ntshav qab zib no.

• Kev kho mob nrog insulin tuaj yeem raug kho yog tias tshuaj noj tsis tau ua raws sij hawm ntev thiab tshuaj kho mob tsis tau noj. Thaum tsis muaj kev kho mob uas yuav tsum tau ua, kev ua rau pancreatic depletion tshwm sim, thiab tsuas yog cov tshuaj txhaj tuaj yeem pab.
• Feem ntau siv ntau txoj hauv kev ntxiv ntawm kev kho mob nrog cov tshuaj ntsuab uas rov qab rhiab ntawm cov hlwb rau cov tshuaj hormones. Herbal decoctions kuj tseem pab tau rau cov ntshav qab zib mellitus ntawm thawj hom, vim lawv pab txhawb kom muaj kev cuam tshuam zoo dua ntawm cov tshuaj insulin nrog cov qog ntawm cov plab hnyuv siab raum.
• Tab sis nws yog ib qho tseem ceeb kom to taub tias txoj kev zoo li no tsuas yog pab tau thiab siv nrog kev kho mob tseem ceeb. Thaum noj tshuaj ntsuab, kev siv tshuaj kho kom zoo yuav tsum tsis txhob tso tseg, koj yuav tsum noj tshuaj ntxiv los yog txhaj tshuaj insulin.

Tsis tas li ntawd, tus mob ntshav qab zib yuav tsum coj tus cwj pwm ua lub neej zoo thiab tsis txhob hnov ​​qab txog kev tawm dag zog lub cev, qhov no tso cai rau koj ua kom ib txwm muaj mob ntawm cov ntshav qab zib thiab ntshav qab zib kom tsawg. Yog tias koj ib txwm ua raws li kev tawm dag zog thiab noj kom zoo, tsis tuaj yeem noj tshuaj, thiab cov piam thaj rov qab mus li qub ob hnub.

Khoom Noj Khoom Haus Ntshav Qab Zib 2 Ntshav Qab Zib

Raws li tau hais los saum no, kev noj zaub mov noj kom zoo yog qhov tseem ceeb thiab ua tau zoo ntawm kev kho mob, uas txhais tau tias cov khoom noj tsis kawg nrog cov ntsiab lus ntawm carbohydrates. Cov roj carbohydrates yog "lub teeb", lawv muaj cov lwg me me, yog li lawv tuaj yeem nqus tau sai hauv cov hnyuv. Cov tshuaj no suav nrog piam thaj thiab fructose.

Raws li qhov tshwm sim, nyob rau hauv cov txiv neej thiab poj niam qhov no ua rau muaj kev nce ntxiv hauv cov ntshav khov hauv cov ntshav. Kuj tseem muaj cov "hnyav" carbohydrates uas nce me ntsis cov suab thaj - fiber ntau thiab hmoov txhuv nplej siab.

Muaj ntshav qab zib hom 2, koj yuav tsum tso tseg kev siv cov kua qab zib, zib ntab, kua nplaum, chocolate, khoom qab zib, mis nyuj khov thiab lwm yam khoom qab zib. Cov khoom ci ua los ntawm cov hmoov nplej dawb, nplej zom, ncuav qab zib, khoom qab zib yuav tsum tau cais tawm ntawm cov khoom noj tsis tau, thiab cov txiv tsawb thiab txiv hmab kuj tsis pom zoo. Cov khoom lag luam no pab txhawb ntxiv kom cov ntshav qab zib nce siab, thiab qhov tsis muaj kev kho mob, tus mob ntshav qab zib tuaj yeem tsim muaj tus mob ntshav qab zib tsis xeev.

1. Fiber ntau thiab hmoov txhuv nplej siab yuav noj tau, tab sis nyob rau hauv tsuas tsawg. Tus neeg mob tau tso cai rau noj cov qos yaj ywm, mov ci ntawm rye los ntawm coarse hmoov, ntau yam zaub mov, ntsuab taum, taum pauv. Yog tias qhov nce ntawm cov piam thaj hauv qab, koj yuav tsum tso tseg cov khoom no ib ntus.
2. Txawm li cas los xij, ib txoj kev kho mob pub rau noj pub siv rau ntau yam zaub mov uas yuav muaj txiaj ntsig zoo rau cov ntshav qab zib. Hauv tshwj xeeb, tus neeg mob tuaj yeem noj cov zaub mov muaj roj ntau thiab tsawg ntawm cov nqaij thiab ntses, cov khoom noj siv mis tsis muaj qab zib thiab dyes, cheese, tsev cheese.
3. Ntawm cov zaub, koj yuav tsum suav nrog beets, carrots, turnips, rutabaga, radishes, radishes, zaub qhwv, zaub paj, txiv lws suav, dib, taub dag, taum ntsuab, txaij, zucchini, thiab celery hauv cov zaub mov. Tsis tas li, tsis txhob hnov ​​qab los ntawm cov txiv hmab txiv ntoo tsis qab zib, pears, plums, txiv ntoo qab zib, thiab cov tsiaj qus.

Cov kws kho mob pom zoo kom noj zaub mov muaj fiber ntau txhua hnub, vim tias qhov no txhim kho lub plab ua haujlwm, pab kom yuag, thiab ua rau cov ntshav qabzib ntau.

• Cov khoom siv fiber ntau tshaj plaws yog pom hauv bran, raspberries, txiv pos nphuab, dub, liab thiab dawb currants, nceb tshiab, blueberries, cranberries, gooseberries, thiab prunes.
• Hauv ib qho me me, cov fiber nyob hauv carrots, zaub qhwv, ntsuab peas, txaij, kua txob qab zib, taub dag, quince, sorrel, txiv kab ntxwv, txiv qaub, lingonberries.
• Cov nqaij fiber ntau nyob hauv rye cij, dos ntsuab, dib, beets, txiv lws suav, radishes, zaub paj dawb, qab zib, txiv duaj, txiv duaj, txiv duaj, txiv apples. Tsawb, txiv mab txiv ntoo.
• Cov nplua nuj fiber ntau hauv cov nplej, zucchini, zaub xas lav, dib liab, lws suav, plums, txiv ntoo qab zib.

Raws li hom thiab qhov mob hnyav ntawm tus kab mob, kev noj tshuaj tshwj xeeb tau xaiv.

Kev xaiv ntawm kev kho kom zoo

Kev siv tshuaj kho kab mob "Table No. 8" yog siv yog tias cov ntshav qab zib tau tshwm sim tsis ntev los no. Feem ntau, cov zaub mov zoo li no tau sau tseg rau cov neeg laus thiab menyuam yaus txhawm rau ua kom cov ntshav qabzib sai sai hauv tus neeg mob cov ntshav. Tab sis ua raws li cov txheej txheem no tsis yog tas li, tab sis ib ntu.

Cov qos yaj ywm thiab zaub mov ua noj raug txiav tawm ntawm cov zaub mov, tus neeg mob ntshav qab zib noj nqaij, mis thiab zaub tshiab. Kev noj tshuaj txhua hnub tsis ntau tshaj 250 g ntawm cov nqaij siav lossis ntses, 300 g ntawm tsev cheese, 0.5 l mis nyuj, kefir lossis yogurt, 20 g ntawm cheese, 10 ml ntawm cov roj zaub, 100 g ntawm rye cij, 800 g ntawm zaub tshiab, 400 g ntawm txiv hmab txiv ntoo. Cov qe ua tau nyob hauv daim ntawv qhia noj 2-3 daig ib as thiv.

Txhawm rau them nyiaj mob ntshav qab zib thiab tiv thaiv kev ua kom tawg, lawv yoog rau kev noj haus "Table No. 9A", feem ntau yog tshuaj kho tus kab mob zoo. Raws li cov txheej txheem kev kho mob no, cov zaub mov noj txhua hnub yuav suav nrog tsis ntau tshaj 300 g ntawm cov nqaij hau los yog ntses, 300 g ntawm tsev cheese, 0.5 l yogurt, kefir lossis mis nyuj, 30 g ntawm butter, 30 ml ntawm cov roj zaub, 250 g ntawm rye cij, 900 g ntawm tshiab zaub, 400 g ntawm txiv hmab txiv ntoo, 150 g ntawm nceb.

Thaum tau txais cov lus qhia zoo hauv kev noj haus, nws raug tso cai los qhia cov qos yaj ywm thiab zaub mov noj hauv qhov me me, thaum muaj kev nce qib hauv cov piam thaj hauv qab zib, cov tshuaj qab zib yuav tsum tau noj, uas yuav tsum tau kho ua ntu zus. Xws li kev coj ntawm insulin tsis suav nrog yog tias qhov teeb meem no loj thiab tsis quav ntsej.

Txhawm rau kev kho mob mus rau qhov zoo thiab tsis muaj teeb meem, koj yuav tsum tau sab laj nrog koj tus kws kho mob, nws yuav qhia koj txhua yam txog tus mob ntshav qab zib hom 2 thiab xaiv cov khoom noj kom zoo.

Tus kws kuaj mob endocrinologist yuav tham txog tus mob ntshav qab zib hom 2 hauv kev yees duab hauv tsab xov xwm no.