Niaj hnub no, cov kab mob ntshav qab zib insulin yog qhov ntau dua hauv cov menyuam pib kawm ntawv. Nws kev txhim kho tiv thaiv keeb kwm ntawm cov txheej txheem autoimmune hauv lub cev, thaum nws,-hlwb tsis tsim cov tshuaj insulin.
Raws li qhov tshwm sim, muaj malfunctions nyob rau hauv cov metabolism, thiab cov ntshav qabzib cov ntsiab lus tau nce tas li, uas ua rau muaj kev cuam tshuam ntawm feem ntau cov plab hnyuv siab raum thiab cov kab ke. Raws li txoj cai, endocrine pathologies thaum muaj hnub nyoog tsib xyoos pib nrog kev mob caj ces thaum muaj ntshav qab zib nyob hauv ib qho ntawm cov txheeb ze ntawm tus menyuam. Tab sis kuj tseem muaj tus kabmob tuaj yeem tshwm sim tawm tsam ntawm keeb kwm ntawm kev rog dhau, kev tiv thaiv kab mob thiab kev nyuaj siab.
Tab sis dab tsi yog kev cai ntawm cov ntshav qab zib hauv cov menyuam yaus hnub nyoog 5 xyoos? Thiab yuav ua li cas yog tias nws hloov tawm tias qhov ntsuas qhov ntsuas ntau dhau?
Qhov feem ntau ntawm cov piam thaj hauv cov ntshav ntawm tus menyuam thiab yog vim li cas rau nws qhov kev hloov pauv
Nws yog tsim nyog sau cia tias hnub nyoog muaj qee yam tseem ceeb hauv kev txiav txim siab qhov siab ntawm cov piam thaj. Yog li, hauv thaum yau nws yog qis dua li tus neeg laus. Piv txwv li, ib tus menyuam mos hnub nyoog ib xyoos yuav muaj qhov ntsuas ntawm 2.78-4,4 mmol / l thiab lawv tau qis dua me nyuam yaus. Tab sis twb txog hnub nyoog tsib xyoos, cov ntsiab lus qabzib tau nce mus txog qib ntawm cov neeg laus, thiab nws yog 3.3-5 mmol / l. Thiab nyob rau hauv cov neeg laus, tus nqi ib txwm tau nce txog 5.5 mmol / L.
Txawm li cas los xij, nws tshwm sim hais tias cov ntsiab lus tsis mus dhau, tab sis tus me nyuam muaj cov tsos mob ntawm tus mob ntshav qab zib. Hauv qhov no, qhov kev ntsuam xyuas tshwj xeeb yog coj tawm hauv qhov uas tus neeg mob yuav tsum haus dej haus 75 g ntawm cov dej qabzib, thiab tom qab 2-3 teev cov suab thaj yuav rov tshawb xyuas dua.
Yog tias qhov ntsuas tsis ntau tshaj 5.5 mmol / l, ces tsis muaj ib yam yuav txhawj txog. Tab sis nyob rau theem ntawm 6.1 mmol / L lossis ntau dua, hyperglycemia kev loj hlob, thiab yog tias qhov ntsuas tseem tsawg dua 2.5 mmol / L, ces qhov no qhia tau hais tias hypoglycemia. Koj tuaj yeem tham txog kev muaj ntshav qab zib thaum, tom qab 2 teev tom qab ntsuas kev ntxhov siab, qib qab zib nyob hauv 7.7 mmol / L.
Txawm li cas los xij, yog tias tus menyuam cov piam thaj hauv ntshav hloov pauv, qhov no tsis tau txhais hais tias yog mob ntshav qab zib. Tom qab tag nrho, hypoglycemia tuaj yeem tshwm sim hauv ntau kis:
- qaug dab peg
- kev ua kom lub cev lossis kev ntxhov siab muaj zog;
- cov kab mob ntawm cov pituitary, lub qog lossis cov qog adrenal;
- visceral hom kev rog, nyob rau hauv uas cov ncauj lus qab zib txo qis;
- mob ntev los yog mob oncological ntawm tus txiav;
Tsis tas li, cov piam thaj hauv qab zib yuav nce siab yog tias txoj cai rau kev pub ntshav tsis ua raws li. Piv txwv, thaum tus neeg mob noj cov carbohydrates ceev ceev ua ntej kuaj.
Hyperglycemia kuj tshwm sim nrog mob hnyav lossis kub hnyiab, thaum adrenaline tawm rau hauv cov ntshav. Kev noj qee yam tshuaj kuj tseem ua rau cov piam thaj ntau ntxiv.
Txhawm rau kom tsis txhob raug qhov tsis raug, nws yog qhov tsim nyog los ua tib zoo saib xyuas cov kua nplaum nyeem hauv tsev thiab hauv chaw kuaj ntshav. Ntxiv mus, cov tsos mob ntawm tus mob ntshav qab zib thiab thaj tsam ntawm kev pheej hmoo ntawm nws tshwm sim yuav tsum tau txiav txim siab.
Cov laj thawj ntawm cov ntshav ntuag ntshav qab zib kuj tseem muaj ntau haiv neeg. Qhov xwm txheej zoo sib xws tshwm sim nrog cov txheej txheem ua mob ntawm txoj hnyuv, teeb meem mob siab, ua haujlwm ntawm cov thyroid caj pas thiab cov qog ua haujlwm hauv lub caj pas pituitary.
Tsis tas li ntawd, cov piam thaj kom tsawg dua yog tias insulinoma, kev noj zaub mov tsis txaus noj nrog cov zaub mov kom tsawg thiab ua kom lub raum tsis ua haujlwm. Cov kab mob uas mob ntev thiab lom los ntawm co toxins tseem tuaj yeem ua rau lub qog ntshav qab zib.
Feem ntau, kuaj pom tus kab mob ntshav qab zib hauv cov menyuam yaus uas muaj tus kab mob kis. Yog li, yog tias cov piam thaj hauv siab yog 10 mmol / l, cov niam txiv maj nrawm xav mus ntsib kws kho mob.
Hauv cov kab mob ntshav qab zib mob ntshav qab zib, txiav txiav, nrog rau nws cov cuab yeej insular, cuam tshuam. Yog li, yog tias ob leeg niam txiv muaj ntshav qab zib, ces qhov tshwm sim muaj tseeb tias tus kabmob yuav kuaj ntshav hauv tus menyuam yog 30%. Yog tias tsuas yog ib tus niam txiv muaj tus mob hyperglycemia, ces qhov kev pheej hmoo yuav raug txo mus rau 10%.
Nws yog tsim nyog teev cia tias yog tias kuaj ntshav qab zib nyob hauv tsuas yog ib ntawm ob tus menyuam ntxaib, ces tus menyuam noj qab nyob zoo kuj muaj kev pheej hmoo.
Yog li, qhov tshwm sim muaj tseeb tias nws yuav kis mob ntshav qab zib hom 1 yog 50%, thiab qhov thib ob nce mus txog 90%, tshwj xeeb yog tias tus me nyuam rog dhau.
Cov cai rau kev npaj rau txoj kev kawm thiab kev kuaj mob
Txhawm rau kev kuaj ntshav kom pom cov txiaj ntsig tau raug, nws yog ib qho tseem ceeb kom ua raws ntau cov cai. Yog li, kev kuaj sim hauv plab yuav tau ua ntawm lub plab tas, yog li tus menyuam yuav tsum tsis txhob noj zaub mov 8 teev ua ntej nws.
Nws raug tso cai kom haus dej huv, tab sis hauv kev txwv qee yam. Tsis tas li, ua ntej txhawm rau cov ntshav, tsis txhob txhuam koj cov hniav lossis zom cov pos hniav.
Txhawm rau txiav txim siab qhov concentration ntawm cov piam thaj hauv tsev, glucometer feem ntau siv. Qhov no yog qhov khoom siv nqa khoom siv nrog qhov uas koj tuaj yeem txiav tawm sai thiab meej txog qib glycemia.
Qee lub sijhawm sim cov khoom siv, tab sis lawv yuav tsum khaws cia kom zoo. Txwv tsis pub, qhov tshwm sim yuav tsis tseeb.
Muaj qee txoj cai siv rau kev siv lub ntsuas pa:
- Ua ntej tshuaj xyuas, yuav tsum ntxuav tes nrog xab npum hauv dej sov;
- tus ntiv tes uas los ntshav uas yuav coj mus yuav tsum qhuav;
- koj tuaj yeem chum txhua tus ntiv tes tsuas yog ntsuas;
- txhawm rau txo qis tsis xis nyob, hno kev yuav tsum tau ua sab;
- thawj tee ntshav yuav tsum wiped nrog paj rwb;
- tsis tuaj yeem nyem tus ntiv tes;
- nrog kev ntsuas ntshav tsis tu ncua, thaj chaw puncture yuav tsum tau hloov tas li.
Txhawm rau kuaj pom qhov tseeb, tag nrho cov kev ntsuas tau coj los ua, uas suav nrog cov ntshav ceev ceev, tso zis, txiav txim siab txog qib glycated hemoglobin.
Nws yuav tsis yog ua kom muaj kev sib tw load nrog cov piam thaj thiab kev kuaj pom ntawm ketone lub cev hauv cov kua nruab nrog cev.
Yuav pab cov menyuam muaj ntshav qab zib li cas?
Thaum hyperglycemia, kev kho tshuaj kho mob raug muab tshuaj. Tsis tas li, koj yuav tsum tau saib xyuas kev tu cev ntawm daim tawv nqaij thiab mucous daim nyias nyias, uas yuav tiv thaiv cov txheej txheem purulent thiab txo qhov kev siv khaus. Cov chaw qhuav ntawm daim tawv nqaij yuav tsum tau muab lubricated nrog cov cream tshwj xeeb.
Nws kuj tsim nyog teev cia tus menyuam nyob hauv kis las kis las, uas yuav pab ua kom lub cev zom zaub mov. Tab sis tib lub sijhawm, tus kws qhia yuav tsum tau ceeb toom txog tus kab mob yog li ntawd kev tawm dag zog yog sim.
Kev noj tshuaj kho mob ntshav qab zib yog ib qho tseem ceeb ntawm kev kho ntshav qab zib. Tus menyuam txoj kev noj zaub mov zoo yuav tsum muaj qhov sib xyaw nrog cov rog tsawg thiab kev ua kom rog. Yog li, rau cov mob ntshav qab zib, qhov sib piv ntawm cov rog, cov protein thiab carbohydrates yog 0.75: 1: 3.5.
Ntxiv mus, cov zaub uas muaj cov rog no yuav tsum tau nyiam, thiab zom cov zaub mov carbohydrates yuav tsum tau tso pov tseg tag nrho. Txhawm rau zam kom tsis txhob muaj cov piam thaj ntau hauv cov piam thaj hauv cov menyuam yaus ntawv qhia zaub mov, koj yuav tsum:
- cov khoom bakery;
- Cov nplej zom
- chocolate thiab lwm yam khoom qab zib;
- txiv quav ntswv nyoos thiab txiv tsawb;
- semolina.
Cov zaub mov yuav tsum tau noj nyob rau hauv qee feem me txog 6 zaug hauv ib hnub.
Mob ntshav qab zib xav tau kev kho mob mus tag lub neej, yog li cov niam txiv yuav tsum npaj lawv cov menyuam lub siab ntsws. Nws raug nquahu kom sab laj tus kws kho kev nyuaj siab. Koj tseem tuaj yeem txheeb xyuas tus menyuam hauv lub tsev kawm tshwj xeeb rau cov neeg mob ntshav qab zib, kev mus ntsib uas yuav pab tus neeg mob hloov kho tus kab mob.
Feem ntau, mob raum hyperglycemia thaum yau xav tau kev kho mob insulin. Feem ntau siv yog luv luv-ua yeeb yam insulin. Cov tshuaj yog txhaj rau hauv lub plab, pob tw, ncej puab lossis lub xub pwg, tas li hloov qhov chaw ntawm lub cev. Daim vis dis aus hauv tsab xov xwm no tham txog txaus ntshai ntshav qab zib rau me nyuam.
