Thaum hypothermia tshwm sim, kev tiv thaiv physiological nyob rau hauv daim ntawv ntawm ntawj txias tshwm sim. Nws yog tsom tswj kev tswj lub cev kub sab hauv thiab ua kom pom tseeb los ntawm vasospasm, nqaij leeg thiab tshee.
Thaum txhawb lub cev kub, qhov xwm txheej no tshwm sim los ntawm kev nqis tes ua ntawm cov co toxins. Qhov ua daus no tuaj yeem nrog ntshav qab zib tau.
Qhov no yog vim ob qho tib si rau qhov peculiarities ntawm cov txheej txheem metabolic, thiab rau cov kev cai tsis muaj zog ntawm cov leeg tshav, nrog rau cov hlab ntsha tsis zoo.
Cov ua rau mob ua daus no hauv ntshav qab zib
Muaj ob txoj hauv kev los ua kom muaj cua sov hauv lub cev: cov leeg nqaij, lub cev tsis sib haum, nyob rau hauv uas cov leeg pob txha cog lus, thiab cov metabolic - sib cais rog, glycogen tawg, thiab cov piam thaj oxidation kev ua haujlwm.
Ntawm cov ntshav qab zib mellitus, txoj hauv kev thib ob yog ua txhaum, txij li thaum txo qis los ntawm insulin los yog lub cev tsis txaus ntawm cov insulin receptor, muaj cov piam thaj hauv cov ntaub so ntswg, tshwj xeeb tshaj yog cov insulin-rhiab, uas suav nrog lub siab, cov nqaij thiab cov nqaij rog thiab cov roj ntsha ntawm cov ntaub so ntswg.
Txij li qhov hnov ntawm qhov sov sov yog nyob ntawm kev ua haujlwm ntawm cov kabmob thiab cov ntaub so ntswg, qhov xav ntawm chilliness, ua daus no nrog ntshav qab zib mellitus, cov leeg mob tshee tshee yog cov lus tsis txaus siab feem ntau ntawm cov neeg mob ntshav qab zib. Cov neeg mob tuaj yeem txo qis lub cev qhov kub tsis xwm yeem, khov kho lawv ob txhais ceg thiab ob txhais tes, txawm tias nyob hauv chav sov.
Mob khaub thuas ua rau mob taub hau kuj yog cuam tshuam nrog kev tshwm sim ntawm tus mob ntshav qab zib - thiab mob neuropathy, qhov kev puas tsuaj tshwm sim hauv cov hlab ntsha thiab cov hlab ntsha vim cov ntshav qabzib ntau nyob rau hauv cov ntshav ncig.
Txo cov ntshav txaus thiab ua kom tsis muaj qhov tsis zoo tsis tuaj yeem ua rau cov nqaij mos ischemia, txo qis hauv cov txheej txheem hauv lub cev hauv lawv, uas tom qab ntawd ua rau trophic cuam tshuam nrog kev tsim cov ntshav qab zib taw.
Ntxiv rau mob ntshav qab zib nws tus kheej, ua daus no yuav los ntawm concomitant pathology:
- Kev ntxhov siab, kev ntxhov siab.
- Hormonal cuam tshuam nrog lawm.
- Tsis muaj cov thyroid hormones.
- Neurological pathology.
- Tom qab puas siab ntsws syndrome.
- Arterial tawg, siab tso tawm.
- Kis tau cov kab mob.
Hauv kev hais txog qhov no, rau kev kuaj mob kom raug thiab kev kho tsim nyog, cov neeg mob ntshav qab zib nrog qhov tshwm sim ua daus no, tshee tshee yuav tsum sab laj nrog tus kws kho mob, thiab nco ntsoov tswj ntshav qab zib kom tiv thaiv kev hloov pauv hauv nws qib.
Kev ua qog ua ntshav
Spasm ntawm txoj hlab ntshav khov, zoo li mob khaub thuas, uas yog nrog cov leeg tshee hauv masticatory cov leeg, cov leeg ntawm lub xub pwg girdle, nqua thiab rov qab tuaj yeem yog qhov cim ntawm qhov kev phom sij nyob rau hauv ntshav qab zib mellitus raws li txo qis hauv cov ntshav qab zib - hypoglycemic nres.
Kev noj ntshav qab zib qis yog pom tau los ntawm lub cev ua qhov ceeb toom. Hauv kev teb rau qhov no, kev tsim khoom thiab tso tawm cov tshuaj hormones kev ntxhov siab, catecholamines, uas ua nyob rau hauv adrenal medulla, nce mus rau hauv cov ntshav. Lawv ua rau vasospasm nyob rau hauv thiaj li yuav muab khoom noj khoom haus rau tseem ceeb plab hnyuv siab raum - lub plawv thiab lub hlwb.
Tremor (tshee ob txhais tes, txhais taw), kev tsis txaus siab ntawm cov leeg nqaij ntawm lub cev, pallor ntawm daim tawv nqaij, tawm hws txias thiab lub plawv dhia kuj tau piav qhia los ntawm kev ua haujlwm ntawm cov leeg hlwb, uas nrhiav kev tiv thaiv kom tsis txhob muaj piam thaj hauv ntshav, uas yog kev hem thawj rau lub neej.
Rau txhua tus mob ntshav qab zib, qhov tseem ceeb uas yuav txo qis cov ntshav qab zib yog ib tus neeg, rau feem ntau lawv pib hnov cov tsos mob thawj zaug thaum lawv txo mus rau 3.9 mmol / L. Cov tsos mob ua rau cov neeg mob sib txawv kuj yuav sib txawv. Cov feem ntau tsis muaj xws li:
- Neeg tsis muaj zog.
- Kev ntxhov siab thoob plaws lub cev, ntawj txias.
- Kiv taub hau
- Tsaus muag pom tsis zoo.
- Mob taub hau.
- Ntxhov siab vim thiab chim siab.
- Muaj hws ntau.
Feem ntau, cov neeg mob ntshav qab zib hnov thawj cov tsos mob thiab muaj sijhawm los ntsuas kev ua kom mob, tab sis yog tias qhov no tsis ua tiav rau lub sijhawm, tom qab ntawv ua txhaum kev sib koom tes ntawm kev txav, tsis meej pem, tsis meej pem hauv qhov chaw, loog ntawm nqaj.
Yav tom ntej, tus neeg mob ntog mus rau hauv lub cev ntas ntshav qab zib tsis tsaug zog.
Ua rau cov ntshav qog ntshav qab zib hauv ntshav qab zib
Feem ntau, cov kab mob ntshav qab zib txo qis yog cuam tshuam nrog kev kho mob nrog insulin ntawm kev noj lub sijhawm tsis zoo, noj zaub mov tsawg dua, tsis noj mov, hloov mus rau lwm lub insulin, nce lub cev lossis lub hlwb kev nyuaj siab, noj dej cawv, tshwj xeeb tshaj yog nyob rau ntawm lub plab khoob.
Hauv kev kho mob ntshav qab zib mellitus nrog hom tshuaj thib ob, sulfanilurea kev npaj, tshwj xeeb tshaj yog thawj tiam Glibenclamide, Manninil, feem ntau ua rau muaj ntshav qab zib hauv lub cev. Ntxiv rau lawv, xws li kev mob tshwm sim yog cov yam ntxwv ntawm meglitinides - Starlix, NovoNorm, thiab cov tshuaj muaj tolbutamide, chloropramide.
Kev tswj hwm tib lub sijhawm ntawm cov tshuaj aspirin, warfarin lossis allopurinol nrog cov tshuaj tiv thaiv kab mob siab kuj tseem xav kom muaj kev kho kom haum rau txo cov ntshav qab zib, nrog rau kev saib xyuas ntau ntawm cov ntshav qabzib.
Cov kab mob ntshav qab zib uas thev tsis taus tuaj yeem tshwm sim los ntawm kev noj zaub mov nrog cov khoom noj ua kom rog:
- Jam, zib mu, jam.
- Khoom qab zib, confectionery.
- Qab zib qab zib.
- Cov kua txiv ntim.
- Ci
- Cov txiv ntoo qab zib, kev sib piv, cov txiv ntoo hauv koos poom.
- Cov khoom noj ceev ceev.
Thaum noj cov zaub mov zoo li no, cov ntshav qabzib hauv cov ntshav nce siab, uas ua rau cov kua dej hauv insulin muaj ntau ntxiv, thiab vim tias - ntshav qabzib.
Yuav tiv thaiv qhov ua daus no nrog hypoglycemia li cas?
Txhawm rau tiv thaiv kev tawm tsam cuam tshuam nrog kev poob qis hauv cov ntshav qab zib, koj yuav tsum kho koj cov zaub mov noj kom tsis txhob cais tawm lub sijhawm ntev hauv kev noj zaub mov thiab qhov tshwm sim ntawm kev tswj tsis tau kev tshaib plab, uas muaj qhov mob siab xav noj zaub mov qab.
Noj zaub mov zoo rau cov ntshav qab zib yuav tsum nruj me ntsis ntawm lub moos, tshwj xeeb nrog kev kho mob insulin. Nws raug nquahu kom noj ntau, tab sis hauv feem me me, tswj hwm kev noj cov zaub mov carbohydrates. Yog tias koj tau hla ib pluas noj, tom qab ntawd koj yuav tsum tau noj zaub mov ib pliag nrog cov zaub mov muaj protein ntau lossis muaj cov khoom noj tsis sib xws - yogurt tsis muaj qab zib, cheese nrog qhob cij dub, tes ntawm cov noob txiv ntoo, tsev cheese.
Yog hais tias tus neeg mob hnov tus mob hypoglycemia, tom qab ntawd koj yuav tsum twv yuav tsum noj cov carbohydrates yooj yim, uas tau pom zoo kom ib txwm nyob ntawm tes. Qhov no yog qhov tseeb tshwj xeeb tshaj rau cov neeg mob uas ua haujlwm nrog kev tswj hwm kev thauj khoom lossis lwm yam txheej txheem, nrog rau kev coj tus mob ntshav qab zib hauv cov ntshav qis ntshav qab zib.
Xws li cov ntshav qab zib ceev kom muaj xws li:
- Cov ntsiav tshuaj kua nplaum - 2-3 daim.
- Khoom qab zib nrog qab zib - 4-6 pieces.
- Cov kua txiv hmab txiv ntoo - 100 ml.
- Ib khob mis.
- Ib tug tablespoon ntawm zib mu.
- Tshuaj yej nrog ob lub suab thaj suab thaj.
- Ib tug tablespoon ntawm kua txiv los yog syrup rosehip.
Tom qab qhov no, koj yuav tsum ntsuas ntshav qab zib tom qab 15 feeb, yog tias nws tseem tsawg, tom qab ntawd koj yuav tsum rov qab noj dua ib zaug ntawm carbohydrates, tab sis zoo dua yog nyob rau hauv daim ntawv ntawm ib txwm noj mov. Yog tias tus mob hnyav zuj zus, koj yuav tsum tau nrhiav kev pab maj nrawm. Hauv cov ntshav qog ntshav qab zib ntau ntau, 40% piam thaj tau muab tshuaj rau ntshav thiab glucagon intramuscularly. Daim vis dis aus hauv tsab xov xwm no yuav pab koj paub txog thawj cov tsos mob ntshav qab zib.
