Mob ntshav qab zib mellitus, vim tias nws nthuav dav dav thiab nce ntxiv ntawm qhov tshwm sim ntawm tus kab mob, yuav tsum muaj kev yoog cov neeg mob hloov mus rau lub neej tshiab.
Kev noj zaub mov zoo nrog kev txwv ntau, kev xav tau kev siv tshuaj xwm yeem tas li kom kho cov ntshav qab zib, ua rau lub siab ntsws ntawm cov neeg mob.
Hauv kev hais txog qhov no, kev teeb tsa kho kom rov zoo yog qhia rau cov neeg mob ntshav qab zib txhawm rau ua kom muaj peev xwm ua haujlwm thiab ua kom muaj lub neej zoo nyob hauv tus kab mob no.
Hom mob ntshav qab zib kho vaj tse
Kev kho kom rov zoo li qub yog nqa los ntawm kev xaiv cov kev kho mob uas xav tau - ib koob tshuaj insulin lossis ntsiav tshuaj nyob hauv cov tsev kho mob los ntawm cov kws tshaj lij - endocrinologist.
Cov txheej txheem kho kom rov zoo dua kuj suav nrog kev tshawb fawb los ntawm cov neeg mob ntawm cov ntsiab lus ntawm kev tswj cov hom phiaj ntawm cov piam thaj hauv cov ntshav, cov txheej txheem ntawm kev txhaj tshuaj insulin, cov cai siv rau cov glucometers lossis kuaj qhov muag pom, qhov ntau zaus kuaj ntshav rau cov cim tseem ceeb ntawm cov metabolism hauv kev noj haus, thiab cov cim ntawm kev mob ntshav qab zib.
Qhov kev taw qhia thib ob ntawm kev kho mob rov qab los ntawm cov neeg mob ntshav qab zib yog kev npaj noj tshuaj rau noj, uas sib haum rau lub hnub nyoog, nrog rau cov tib neeg li kev ua si. Kev noj zaub mov ua noj ua haus cuam tshuam nrog kev ua tiav ntawm sucrose thiab hmoov dawb, nrog rau txhua yam zaub mov uas muaj glycemic siab,
Tus neeg mob yuav tsum paub cov txheej txheem los xam cov ntsiab lus ntawm cov carbohydrate hauv cov khoom lag luam, thiab tseem muaj cov cai tswjfwm rau kev hloov kom zoo ntawm qee hom khoom xyaw zaub mov nrog lwm tus. Kev nthuav qhia tshwj xeeb hauv daim ntawv ppt cov ntaub ntawv nthuav tawm hauv Is Taws Nem, nrog rau cov ntawv xa tawm los ntawm endocrinologist, tuaj yeem pab cov neeg mob ntshav qab zib hauv qhov no.
Cov yam ntxwv ntawm cov khoom noj muaj ntshav qab zib muaj raws li nram no:
- Kev noj haus tsawg.
- Me ntu.
- Caloric kom tsawg: noj tshais 20%, noj su 30%, noj hmo 20%, peb qho khoom noj txom ncauj, 10% txhua.
- Lub physiological cai ntawm cov protein.
- Ua rau cov tsiaj rog tsawg, cov roj cholesterol thiab sodium chloride tsawg.
- Cov tso npe ntawm lipotropic khoom: taum paj, tsev cheese, oatmeal, cov nqaij ntshiv.
- Tsim nyog cov ntsiab lus ntawm cov zaub, txiv ntseej, thaum cov txiv hmab txiv ntoo thiab cov piam thaj hloov muaj, lawv raug coj mus rau hauv qhov dav dav ntawm cov carbohydrates.
Kev kho kom rov zoo hauv tsev thiab kev lag luam rau cov ntshav qab zib yuav tau txais kev txawj tshwj xeeb uas cia cov neeg mob, yam tsis tau txais kev pab sab nraud, ua lub neej muaj sia nyob uas phim rau lawv tus mob.
Lub cev rov ua kom ntshav qab zib
Lub luag haujlwm tseem ceeb ntawm kev kho kom rov zoo dua rau cov neeg mob siv cov kev ua si ntawm lub cev yog ua kom lub cev muaj zog, thiab hauv hom ntshav qab zib hom 2, kom txo nws qhov ntau dhau, nrog rau txhim kho qhov nqus ntawm cov piam thaj hauv cov leeg nqaij.
Nrog rau kev siv dag zog kom tawm dag zog, nws muaj peev xwm tiv thaiv kev mob ntshav qab zib mellitus, txhim kho kev ua haujlwm ntawm lub ntsws ua pa, lub plawv thiab cov hlab ntsha, ua kom lub xeev puas siab ntsws thiab lub siab, ua kom rov kho cov kab mob microcirculation tsis meej thiab nce rhiab ntawm cov ntaub so ntswg mus rau insulin.
Nqaij cov leeg nqaij, tshwj xeeb tshaj yog thaum qoj ib ce kom thev taus ntev, txo qis ntshav qabzib, catecholamines, triglycerides hauv cov ntshav. Tib lub sijhawm, ntshav siab poob qis thiab ntshav txaus los ntawm cov hlab ntsha me nce, uas ua rau cov metabolism hauv kev ua haujlwm thiab khoom noj khoom haus hauv lub cev, thiab qhov kev pheej hmoo ntawm pob txha pob yog tsawg.
Yog tias kev npaj ua kom lub cev rov zoo tsis yog teeb tsa kom raug, lossis tus neeg mob nws tus kheej nce cov khoom siv uas pom zoo, ces qhov no yuav ua rau muaj kev nyuaj xws li:
- Kev ntshav siab.
- Qabzib ntau dhau.
- Nrog rau cov ntshav qab zib ua kom ntshav qab zib, qhov muaj kev pheej hmoo ntawm cov pob txha nqaj qaum yog nce.
- Nrog neuropathy, ulcerative tsis xws luag tau tsim.
- Txoj kev pheej hmoo ntawm kub siab crises lossis myocardial ischemia ntau zog.
Cov kev rov zoo li qub feem ntau pib tom qab tshem tus neeg mob lub cev tsis xeev. Hauv cov neeg mob zoo li no, nyob rau thawj lub limtiam, tsis muaj zog txaus qhia txog nws tus kheej, yog li qhov kev qhia yooj yim tshaj plaws yog siv hom 3-5 qhov rov ua ntawm cov leeg loj uas ua rau lwm tus ua pa. Ceg caj dab lossis lub dab tshos zaws tuaj yeem raug kho.
Xws li cov txheej txheem yooj yim normalizes lub xeev ntawm lub paj hlwb, lub plawv, ntshav siab. Tom qab nws, kev cob qhia autogenic rau 10 feeb yog pom zoo.
Yav tom ntej, cov neeg mob tuaj yeem raug teeb tsa qhov hnyav ntawm taug kev lossis qoj ib ce qoj ib ce. Xws li cov khoom thauj tau thawm thoob plaws lub hli.
Lub ntsiab loj kev kawm rau cov ntshav qab zib
Qhov mob tseem ceeb rau kev rov kho kom zoo dua ntawm cov neeg mob ntshav qab zib yog qhov tsis tu ncua ntawm chav kawm. Yog tias koj so so rau ntau dua 2 hnub, qhov no txo qhov rhiab ntawm cov leeg nqaij mus rau insulin, uas tau ua tiav los ntawm kev ua haujlwm dhau los.
Lub sijhawm kawm ntawm kev qhia yuav tsum yog tsawg kawg ib nrab teev. Hauv qhov no, qhov sov sov tau ntev li 10 feeb, thiab ntu kawg yog 7 feeb. Cov chav kawm yuav tsum yog 4 zaug nyob rau ib lub lim tiam hauv ib qho kev tso siab ntawm tus kheej.
Lub ntsiab lus tseem ceeb yog pom zoo rau cov mob ntshav qab zib nrog cov mob sib khuav lossis mob hnyav, tej zaum yuav muaj cov tsos mob thawj zaug ntawm angiopathy, kub siab, mob plawv, mob ntshav qab zib, mob caj dab tsis muaj qhov txwv tsis pub txav ntawm cov pob qij txha hauv pob qij txha.
Kev cob qhia yog contraindicated nyob rau hauv xws li pawg ntawm cov neeg mob:
- Mob ntshav qab zib hnyav nrog rau kev txhim kho ntawm coma.
- Angiopathies nrog trophic mob.
- Mob ko taw.
- Tsis pom kev zoo rau cov mob ntshav qab zib ua lub pob liab qab.
- Arterial hypertension lossis mob plawv ua haujlwm 3 theem.
- Myocarditis, arrhythmia, aneurysms ntawm cov hlab ntshav.
- Tachycardia nrog lub plawv dhia ntau dua 100 thaum so, atrial fibrillation.
- Thrombophlebitis.
Tsis tas li, qhov tseem ceeb ntawm kev tawm dag zog lub cev tsis yog ua rau cov neeg mob tom qab 65 xyoo, nrog kev hloov pauv hauv cov ntshav cov ntshav nyob rau hauv lub ntsej muag, lub raum tsis ua haujlwm, qhia tus neeg mob qhov tsis ua thiab tsis kam tawm dag zog.
Txoj kev taug kev hauv feem ntau yog kev caij tsheb kauj vab, qoj ib ce, lub teeb khiav, thiab seev cev. Tsis pom zoo: dag nyom, nce toj, tshem pob.
Kev rov qab los ntawm lub cev rau cov ntshav qab zib yuav tsum tsis txhob ua rau muaj ntshav qab zib ntau ntxiv, nws tsis yog tias lub ntsej muag siab dua 11 mmol / l, nrog rau thaum ketones tshwm sim hauv cov zis. Thaum tsis muaj ketones, kev cob qhia yog ua tau, tab sis nws cov txiaj ntsig tuaj yeem hloov cov piam thaj hauv qab ob qho nce thiab nqis.
Txhawm rau tiv thaiv ntshav qog ntshav, nws yog qhov yuav tsum tau ntsuas ntsuas qib qab zib ua ntej thiab tom qab ua si, nrog rau 2 teev tom qab ua exercise. Nco ntsoov muaj dej haus nrog koj nyob hauv daim ntawv ntawm cov kua txiv hmab txiv ntoo los yog cov dej haus hauv cov dej cawv kom sai glycemia.
Txhawm rau kom raug teeb tsa qhov kev pab cuam rau kev kho kom lub cev kom zoo, kev soj ntsuam tag nrho ua tiav nrog kev txiav txim siab ntawm cov cim tseem ceeb ntawm cov ntshav qab zib mellitus kev them nyiaj, nrog rau kev ntsuas ntawm kev qoj ib ce, muaj cov kab mob concomitant pathology, ECG thaum so thiab tom qab qoj ib ce.
Cov neeg mob ntshav qab zib mellitus ua ntej pib kho dua tshiab nrog kev siv dosed kev tawm dag zog yog qhia los ntawm tus kws kho paj hlwb, tus kws kho qhov muag, kuaj kev ntxhov siab ntawm lub tsheb kauj vab ergometer.
Cov tshuaj muaj tus cwj pwm tsis zoo rau kev siv los ntawm cov neeg mob ntshav qab zib ntawm lub dab da dej, da dej kub lossis da dej nrog kev siv lub cev, haus dej cawv yog txwv tsis pub, koj tsis tuaj yeem koom lub caij ntuj sov hauv lub hnub qhib.
Xws li kev sib xyaw ua ke ua rau muaj kev pheej hmoo ntawm vascular puas tsuaj thiab mob ntshav hauv retina thiab hlwb.
Rov txhim kho cov menyuam muaj ntshav qab zib
Kev rov ua kom lub cev zoo dua rau cov menyuam muaj ntshav qab zib yuav xaiv kev ua si uas tus menyuam nyiam. Qhov no tuaj yeem ua kev ncaws pob, ncaws pob lossis ntaus pob, caij nees, caij tsheb kauj vab, ntaus pob, ntaus pob tesniv, ntaus pob aerobics los yog neeg ncaws pob.
Cov kev ua si kis las yog ib txwm zoo rau tus menyuam, thaum tsis muaj contraindications, koj tuaj yeem xaiv txhua yam kev tawm dag zog, tshwj tsis yog marathon khiav, kis las ncaws pob, nqa lub cev nyhav, dhia dej, scuba dhia, snowboarding. Cov neeg mob ntshav qab zib tsis pom zoo rau kev nce toj nqes hav los sis pob zeb nce toj.
Kev ua si uas tsis meej xwm rau menyuam yaus yog ua luam dej, vim qhov kev thauj khoom no hauv menyuam yaus tuaj yeem nce lossis txo cov piam thaj hauv qab, uas xav kom nws raug pom zoo nrog kev saib xyuas zoo rau cov menyuam uas tsis khov.
Kev tawm dag zog lub cev hauv ntshav qab zib rau menyuam yaus yog tsim raws li txoj cai hauv qab no:
- Hnub tsis pub dawb ntawm cov chav kawm, tib lub sijhawm thaum lub sijhawm kev qhia ua haujlwm, yuav tsum muaj kev ua si ntau tshaj plaws.
- Qhov zaus ntawm cov chav kawm ib lim tiam yog 4-5 zaug.
- Ua ntej kawm ntawv, koj yuav tsum tau noj rau 1.5-2 teev.
- Thawj chav kawm yuav tsum yog 10-15 feeb, nqa mus rau 40 feeb nrog hom ntshav qab zib hom 1. Hauv qhov pauv thib ob ntawm tus kab mob, lub sijhawm tuaj yeem muab ntxiv rau 1 teev.
- Ua ntej yuav thauj khoom, koj yuav tsum ntsuas ntsuas suab thaj - yog tias los ntawm tsawg dua 5.5 mmol / l, thiab tseem yog tias muaj acetone tshwm hauv cov zis, ces koj tsis tuaj yeem ua.
Tus menyuam yuav tsum muaj kua txiv, ib qho qhaub cij, khob noom, nrog rau mov nrog nws haus. Thaum qoj ib ce, koj yuav tsum ua tib zoo saib xyuas koj li kev noj qab haus huv, thiab tom qab kev kawm ua haujlwm tsawg kawg 10-15 feeb kom so.
Zaws thiab kho lub cev ua ntshav qab zib
Ntawm cov ntshav qab zib mellitus nrog cov qhov txhab ntawm cov hlab ntshav, pob qij txha, nrog rau hauv kev rog dhau thiab mob polyneuropathy, kho kev kho mob yog kho. Nws txhim kho cov ntshav thiab cov ntshav ntws, tiv thaiv mob thiab qaug zog thaum taug kev, ua kom nrawm nrawm ntawm cov nqaij mos, ua kom muaj ntau yam txav hauv cov lus sib txuas.
Cov ncauj lus rau zaws yog qhov mob hnyav ntawm ntshav qab zib, mob nqaij tawv nqaij, thiav cov leeg ntshav ntawm lub cev, nrog rau cov kab mob uas muaj ntxhiab tsw qab.
Hauv cov kab mob ntawm cov qis qis hauv daim ntawv ntawm polyneuropathy, zaws feem zaws yog ua hauv thaj chaw lumbosacral. Ko taw zaws tuaj yeem ua tau tsuas yog hauv thawj theem. Txog kev rog, kev zaws zaws pom zoo. Nrog qhov mob txhab ntawm ob txhais tes, lub ntseg tsho thaj tsam yog massaged. Nrog rau cov kev mob ntawm lub plawv mob, acupressure siv.
Kev siv dag zog hauv lub cev ntawm cov neeg mob ntshav qab zib yog ua nrog lub hom phiaj hauv qab no:
- Cov tshuaj tiv thaiv insulin ntau lawm thiab inhibition ntawm kev tso pa tawm ntawm cov tshuaj hormones contrainsular.
- Kev tiv thaiv ntawm cov tshuaj insulin tsis kam.
- Muaj kev cuam tshuam ntawm cov chav kawm mob ntshav qab zib.
- Tswj cov tshuaj foob lossis cov roj metabolism
- Kev Tiv Thaiv Kab Mob Ntshav Qab Zib
Rau qhov no, sinusoidally modulated tam sim no siv rau thaj tsam ntawm qhov kev ua haujlwm ntawm kev txiav txim siab, tshuaj electrophoresis ntawm nicotinic acid rau thaj chaw ntawm txo cov ntshav thaum lub sijhawm polyneuropathy, siv lwm qhov chaw sib nqus, kho laser, UHF thiab ultrasound.
Phonophoresis thiab darsonvalization kuj tau nqa tawm. Txog kev kho mob vascular pathology ntawm lub paj hlwb, electrosleep tuaj yeem kho tau, nrog rau galvanization lossis electrophoresis ntawm magnesium ntawm lub dab tshos.
Kev kho cov kab mob hauv lub ntsej muag yog nqa tawm ntawm daim pa roj carbon dioxide, sulfide thiab chav dej hlaws thaum lub ntsuas kub ntawm 36 degrees 12 - 15 feeb. Txhawm rau kho qhov mob txhab ntawm qhov kawg, ceg dej hauv pas dej txhaws yog tshuaj. Thaum tsis muaj kev ua txhaum ntawm kev ntsuas kub ntawm lub siab, qhov kev siv hauv zos ntawm paraffin lossis ozokerite ntawm pob qij txha lossis taw, txhais tes siv tau.
Txij li tag nrho cov txheej txheem no tau ntxhov siab, tom qab ntawd tom qab lawv so tsawg kawg 1 teev pom zoo.
Kev kho mob lub cev yog contraindicated nyob rau hauv lub xub ntiag ntawm cov mob sib kis mob, exacerbation ntawm concomitant kab mob ntawm cov plab hnyuv siab raum, nrog decompensation ntawm cov ntshav ncig, lub raum tsis ua hauj lwm, kev pheej hmoo ntawm hypoglycemic los yog mob ntshav qab zib coma, thiab arterial siab ntawm theem 3. Daim vis dis aus hauv tsab xov xwm no hais txog ntshav qab zib, nrog rau kev kho mob thiab kho kom rov zoo.
