Lub peev xwm los tswj cov qib ntshav khov nyob hauv cov ntshav yog qhov tseem ceeb, vim nws siv rau lub cev ua qhov tseem ceeb, thiab qee zaum tsuas yog qhov chaw ntawm lub zog. Kev ua haujlwm ntawm lub hlwb thaum cov piam thaj hauv cov ntshav qis dua 3 mmol / l thiab siab dua 30 mmol / l cuam tshuam, tus neeg tsis nco qab, poob rau hauv coma.
Kev cai ntawm cov ntshav qab zib nyob ntawm qhov sib npaug ntawm kev nqus ntawm cov piam thaj los ntawm cov zaub mov thiab kev ua haujlwm ntawm cov kab mob endocrine hauv nws siv thiab tsim. Cov tshuaj insulin txo qis cov piam thaj, thiab glucagon, catecholamines, corticosteroids, cov tshuaj tiv thaiv kev sib deev thiab cov thyroid hormones ntau ntxiv.
Hloov pauv ntawm kev sib npaug ntawm lub cev los yog kev noj zaub mov tsis zoo ua rau cov kab mob metabolic, nyob rau hauv vascular, neurological, lub raum, kab mob siab thiab lub plab zom mov.
Lub cev ua li cas thiaj tswj tau qib siab nyob hauv qab?
Kev tswj cov kab mob glycemia (ntshav qab zib) nyob ntawm ntau lub cev kev ua haujlwm. Qhov nce tshwm sim tom qab noj mov, txij li thaum uas tsis muaj cov roj zaub mov, uas suav nrog monosaccharides, tau nqus mus rau hauv cov hlab ntshav hauv lub plab thiab cov hnyuv. Yog li, qabzib thiab fructose tuaj yeem nce qib qab zib sai sai tom qab noj mov.
Rau cov carbohydrates ua txoj, qhov kev txiav txim ntawm cov enzyme amylase, uas tawg lawv rau kom muaj cov kua nplaum ntev, yog qhov tsim nyog. Kev tsis ncaj ncees - lactose (los ntawm cov khoom noj siv mis) thiab sucrose (txhua yam khoom muaj suab thaj) tau tawg sai, thiab polysaccharides (hmoov txhuv nplej siab, cellulose, pectin) qeeb qeeb dua.
Qib ntawm glycemia kuj tau tswj hwm los ntawm kev tsim cov kua nplaum ntawm cov kua qaub los ntawm amino acids thiab glycerol, nrog rau cov kua lactic acid. Cov txheej txheem zoo li no tshwm sim hauv daim siab thiab qee qhov hauv txheej cortical ntawm ob lub raum. Dhau li ntawm cov piam thaj hloov mus ua rog lossis glycogen rau lub zog cia.
Nrog cov kua nplaum tsis txaus, lub cev pib siv cov khw muag khoom ntawm glycogen thiab cov rog los ntawm qhov tso tawm hauv cov nplooj siab, cov leeg thiab cov nqaij mos adipose.
Kev txo qis hauv qabzib hauv lub cev tshwm sim nrog nce kub, ua haujlwm ntawm lub cev, kev ntxhov siab. Nws kuj tseem tuaj yeem cuam tshuam cov kab mob loj ntawm insulin lossis lwm yam tshuaj muaj suab thaj, dhau kev noj zaub mov nruj, kev tshaib plab.
Kev nce ntxiv ntawm cov piam thaj hauv cov ntshav yog hu ua hyperglycemia thiab tshwm sim feem ntau nrog qhov tsis muaj cov tshuaj insulin, zoo li yog tias qhov sib txuas ntawm nws thiab cov receptors hauv cov nqaij ntawm cov leeg, nplooj siab lossis rog yog tawg. Raws li thaum tau txais cov khoom noj uas muaj cov khoom noj carbohydrates, insulin raug tso tawm rau nws ib txwm ua kom nws ua tiav - thauj cov piam thaj hauv molecules rau cov cell ua rau kev ua.
Hauv cov ntshav qab zib mellitus, qhov no tsis tshwm sim, thiab cov piam thaj tseem nyob rau hauv cov ntshav, ua rau cov tsos mob tshwm sim rau cov ntshav qab zib: nce ntxiv, nqhis dej ntau dhau, nce siab, khaus tawv nqaij, thiab qaug zog. Nws tau tsim tau hais tias ntxiv rau mob ntshav qab zib mellitus, ib qho kev nce ntxiv hauv cov ntshav qabzib yuav tuaj yeem nyob rau hauv cov xwm txheej zoo li no:
- Nce cov thyroid ua haujlwm - thyrotoxicosis.
- Kab mob ntawm cov qog adrenal thiab cov qog pituitary.
- Tus kab mob kis.
- Kab mob ntawm cov txiav.
- Cov kab mob autoimmune.
- Pathology ntawm lub siab thiab lub raum.
Ntxiv rau cov kab mob, hyperglycemia yog los ntawm kev haus luam yeeb, haus dej haus muaj caffeine, haus dej haus, diuretics, cov tshuaj hormones (estrogen, prednisone, thyroxine).
Koj tuaj yeem ntsuas tus nqi ntawm cov piam thaj hauv cov ntshav nrog glucometer hauv tsev lossis hauv chaw kuaj ntshav. Nws yog ib qho kev pom zoo uas koj pub ntshav tom qab 8-teev so hauv pluas noj. Kev kawm txog kev lim ntshav qabzib tseem tab tom ua los kuaj xyuas cov ntshav qab zib uas mob latent.
Yuav ua li cas txhawm rau kom cov piam thaj ntau ntxiv?
Txhua tus neeg mob ntshav qab zib yuav tsum paub yuav ua li cas nws tuaj yeem hloov kho nws cov ntshav qab zib kom qis thaum nws txo qis, vim tias tus mob no yuav ua rau muaj kev phom sij txog lub neej, tshwj xeeb yog thaum lub sijhawm ntawd nws tau tsav lub tsheb lossis tsav lub tshuab ua haujlwm.
Kev mob ntshav qab zib tsawg cuam tshuam rau cov neeg mob tsis tsuas yog mob ntshav qab zib, tab sis kuj muaj cov kab mob ntawm lub caj pas pituitary, kev tsim cov tshuaj hormones tsis txaus los ntawm cov qog adrenal, hypothyroidism, pathologies ntawm hypothalamus, congenital malformations ntawm enzymes.
Nrog rau kev tshaib plab ntev ntev, cov khw muag khoom noj glycogen yog ploj mus, uas tuaj yeem ua rau cov ntshav qab zib tsawg dua. Qhov no tuaj yeem tshwm sim nrog kev noj zaub mov nruj, kev yoo kev ntseeg ntev, nrog kev txiav siab hauv cov kws ncaws pob, thaum cev xeeb tub.
Cov piam thaj hauv ntshav siab tuaj yeem yog zaub mov nrog lub siab glycemic index. Xws li cov yam ntxwv yog cov yam ntxwv ntawm cov neeg nyob rau hauv uas insulin tsim hauv ntau ntau. Tom qab noj mov tom qab ib teev, qhov tsis muaj zog txaus pib txhim kho cov ntshav qab zib, muaj lub siab xav noj khoom qab zib, haus kas fes lossis lwm yam dej qab zib.
Nrog rau ntshav qab zib mellitus thaum noj tshuaj kom txo cov ntshav qabzib ntau, thiab tshwj xeeb tshaj yog siv tshuaj tua kab mob ntshav qab zib, kev mob ntshav qab zib tuaj yeem ua rau:
- Lub cev qoj ib ce luv luv.
- Lub cev ua haujlwm hnyav.
- Haus dej caw los yog tshuaj.
- Ib qho ntxiv kev noj tshuaj uas muaj lipoic acid, pentoxifylline, tetracycline, acetylsalicylic acid, cytostatics thiab beta-blockers.
Txhawm rau txhawm rau nce cov piam thaj, cov ntsiav tshuaj piam thaj, qab zib tsis tu ncua, kua txiv qab zib, zib ntab los yog jam uas tsim nyog. Tom qab kev tawm tsam tau dhau mus, koj yuav tsum ntsuas qib qab zib tom qab lwm 15-20 feeb kom tsis txhob muaj nws cov kev rov ua dua. Hauv cov xwm txheej loj, glucagon tau txais tshuaj intramuscularly.
Txo Cov Ntshav Qab Zib Nrog Khoom Noj
Yog tias hypoglycemia tuaj yeem raug tshem tawm tam sim ntawd los ntawm kev noj cov zaub mov uas yooj yim, tom qab ntawd nrog cov ntshav qab zib kom ntau ntxiv, koj yuav tsum hloov koj lub neej tag nrho kom thiaj li tswj tau cov ntshav qabzib. Ua ntej tshaj plaws, kev hloov pauv yuav tsum yog hauv cov khoom noj. Noj zaub mov kom zoo ua rau nws tuaj yeem tiv thaiv kev hloov pauv hauv qab zib, uas txo cov kev pheej hmoo ntawm ntshav qab zib muaj teeb meem.
Yog tias tus neeg mob ntshav qab zib ua raws li kev noj haus, tom qab ntawd nws tuaj yeem maj mam txo cov tshuaj kom txo cov ntshav qab zib, ib txwm muaj qhov hnyav, ua kom muaj kev noj qab haus huv thiab tswj kev ua haujlwm thiab muaj peev xwm ua haujlwm tau ntau xyoo.
Ntxiv rau cov lus qhia kev noj haus zoo, koj yuav tsum tsim kho koj tus kheej, txij li cov neeg nkag siab ib pab pawg ntawm cov khoom lag luam muaj peev xwm ua tau, yog li, qhov kev xaiv zoo tshaj yog khaws cov ntawv teev cov zaub mov thiab xaiv cov khoom lag luam uas tsim nyog, tsom mus nyeem ntawm lub ntsuas.
Cov cai los sau ua ke kev noj haus rau ntshav qab zib yog:
- Tag nrho cov nyiaj ntawm carbohydrates yuav tsum tau faib tusyees thoob plaws hauv lub hnub rau 3-4 koob tshuaj, thaum lwm 1-2 koob tshuaj yuav tsum tau tsis pub carbohydrate.
- Tag nrho cov khoom lag luam uas muaj cov piam thaj ntshiab lossis tau yooj yim pauv rau cov piam thaj yuav tsum raug cais tawm tag nrho.
- Nws yog ib qho tsim nyog yuav tsum tau suav nrog hauv cov khoom noj zaub mov nrog cov nroj tsuag fiber, cov zaub mov muaj protein tsawg thiab zaub mov rog.
- Ua kua yuav tsum txog 1.5 litres ib hnub, tsis suav nrog thawj chav kawm thiab dej qab zib.
- Ntsev tsuas muaj li 6 g.
- Tsis pom zoo yog nqaij npuas kib los ntawm nqaij, ntses, nceb, nrog rau tag nrho cov khoom kib thiab cov nqaij rog, cov khoom noj siv mis.
Txhawm rau kom tsis txhob ua rau cov piam thaj nce ntxiv, koj yuav tsum tsis kam ib qho tsis qab qab zib suab thaj: beet, pas nrig, xim av, qab zib, marshmallows, waffles, ncuav qab zib, ncuav thiab ncuav qab zib. Tsis tas li ntawd txwv yog cov hmoov nplej los ntawm cov hmoov dawb dawb. Khoom qab zib rau cov neeg mob ntshav qab zib tsuas yog pub kom muaj tsawg kawg nkaus hauv qab zib.
Cov khaub noom nplej, semolina, qos yaj ywm thiab nplej zom raug tsis suav, thiab so tuaj yeem noj tsis tau ntau tshaj ib zaug ib hnub. Txiv hmab txiv ntoo thiab kua txiv los ntawm lawv kuj txwv, thaum txiv hmab thiab txiv tsawb, hnub thiab figs tsis yog siv rau hauv cov zaub mov, zoo li txhua cov kua txiv ntawm cov chaw tsim khoom lag luam, thiab cov hom tsis muaj kua qaub tsis tuaj yeem tsis pub ntau tshaj 100 g nyob rau ib hnub.
Koj yuav tsum tau sim noj zaub tshiab los yog siav, yam tsis tau txiav hauv cov qos yaj ywm mashed. Qhov zoo rau cov mob ntshav qab zib yog cov zaub mov tsis muaj hmoov nplej: zucchini, zaub qhwv, dib, kua txob ntsuab kua txob, txiv lws suav, cov noob taum ntsuab thiab taum ntsuab, nceb thiab txaij. Cov khoom lag luam xws li carrots, beets thiab taub yuav siv tau, tab sis tsis ntau tshaj ib zaug ib hnub.
Cov ntses tsis muaj roj ntau thiab nqaij ntses yog qhov tsim nyog los ntawm cov khoom noj muaj protein, nqaij yuav tsawg dua nyob rau hauv cov zaub mov, thiab txhua hom zaub mov kaus poom, nqaij nqaij noj nqaij, nqaij ua tiav thiab cov nqaij ua rau noj yooj yim yuav tsum ua kom tsawg.
Yuav tsum tau ceev faj tib yam thaum siv cov kua ntsw xyaw, marinades thiab txhua lub caij ntim hauv hnab - txij li qab zib tuaj yeem nkag mus. Cov khoom noj xws li cov kua zaub nrawm, khoom noj nrog mis, khoom noj thiab khoom noj txom ncauj, nrog rau cov zaub mov nrawm, tsis suav nrog ib qho zaub mov zoo.
Cov khoom noj mis nyuj tau tso cai rau cov rog nruab nrab, qab zib thiab qaub qaub yuav tsum tsis pub ntau dua 15%, thiab tsev cheese 9% rog. Koj tuaj yeem haus cov dej qab zib-mis, nyiam li tsev ua yam tsis muaj qab zib lossis txiv hmab txiv ntoo. Nws raug tso cai suav nrog cov khoom noj muaj roj-ntau hom muaj zog tawv los yog tawv tawv cheese, tshwj tsis yog rau cov taum pauv.
Qhov tshwj xeeb muaj txiaj ntsig rau cov ntshav qab zib yog cov khoom lag luam:
- Npauj npaim tuaj
- Jerusalem artichoke.
- Khuv Xim.
- Cinnamon thiab Ginger.
- Oat, buckwheat bran, fiber.
- Cov noob flax
- Taum
- Walnuts.
Qab zib tswj
Txhawm rau tswj kom muaj suab thaj nyob hauv thaj tsam uas tau teev tseg rau txhua tus neeg mob (nyob ntawm hom mob ntshav qab zib), yuav tsum saib xyuas nws txhua hnub kom tas. Thaum noj tshuaj hauv cov ntsiav tshuaj, thiab tshwj xeeb tshaj yog muaj kev kho tshuaj insulin, ntsuas thaum sawv ntxov, ob teev tom qab noj su, ua ntej yuav mus pw, thiab ntau zaus nrog glycemia tsis ruaj khov, raug pom zoo.
Them rau cov ntshav qab zib pab ua rau cov kev ua haujlwm metabolic zoo li qub thiab txo qis kev pheej hmoo ntawm cov ntshav qab zib, mob vascular pathologies - plawv nres, tawm tsam, tawg, kub siab, ua rau lub raum thiab lub paj hlwb puas tsuaj.
Yuav kom ua tiav nws, koj yuav tsum ua raws li cov lus pom zoo ntawm khoom noj khoom haus thiab noj tshuaj, nrog rau kev qoj ib ce txhua hnub tsawg kawg 30 feeb kom ua raws li qib kev qhia thiab qhov mob hnyav. Yuav tsum taug kev, ua pa tawm dag zog kom muaj ntshav qab zib, ua luam dej, yoga pom zoo rau cov neeg mob ntshav qab zib.
Nws tseem yuav tsum tau them sai sai rau kev tiv thaiv kev ntxhov siab. Ua qhov no, koj siv tau:
- Autogenic kev kawm.
- Kev xav.
- Massage, reflexology.
- Tshuaj tsw qab.
- Txais tos ntawm cov tshuaj ntsuab: chamomile, txiv qaub balm, mint, motherwort, valerian.
- Ua kom pw tsaug zog, uas yuav tsum tsis pub tsawg dua 8 teev.
Rau ntau tus neeg, kev nyiam thiab kev nyiam yog pab hloov lub hom phiaj ntawm kev saib xyuas los ntawm kev paub tsis zoo thiab lub zog channel zoo.
