Ntshav qab zib mob taub hau yog ib qho kev nyuaj uas tuaj yeem tshwm sim rau ntau yam. Feem ntau nws tshwm sim yog tias ib tus neeg twg tsis ua raws li cov lus pom zoo los ntawm tus kws kho mob.
Cov teeb meem ntshav qab zib tuaj yeem yog hyperglycemic thiab hypoglycemic. Los ntawm lub npe nws yog tseeb tias hyperglycemic tshwm sim vim yog nce cov ntshav qab zib, thiab muaj kev kub ntxhov hypoglycemic, ntawm qhov tsis sib xws, vim muaj cov kua nplaum qis dhau.
Txheeb xyuas qhov teeb meem tshwm sim hauv thawj ntu yog qhov yooj yim heev. Nrog rau kev nce qib ntawm cov teeb meem, koj yuav tsum hu rau lub tsheb thauj neeg mob tam sim ntawd, thiab muab cov neeg mob ua ntej.
Ua rau thiab tshwm sim muaj kev kub ntxhov hyperglycemic
Qhov teeb meem ntshav qab zib tau yooj yim tuaj yeem ua rau muaj mob ceev heev. Qhov no tuaj yeem ua rau kom tuag, yog li txhua tus neeg yuav tsum paub dab tsi yog qhov ua thiab tshwm sim ntawm kev kub ntxhov hyperglycemic.
Raws li txoj cai, qhov ua rau ntawm qhov mob hnyav no yog kev ua txhaum ntawm kev noj haus. Yog tias ib tus neeg twg tsis ua raws li cov zaub mov glycemic hauv qab ntawm cov zaub mov, noj ntau dhau ntawm carbohydrates, lossis haus dej haus cawv, ib qho kev nce siab ntxiv hauv cov ntshav qab zib tsis tuaj yeem zam tau.
Yog li ntawv thiaj muaj ntshav qab zib nws tseem ceeb heev uas yuav tau soj ntsuam saib tus neeg mob noj dab tsi. Yog hais tias tus neeg mob tau kev txom nyem los ntawm kev rog, tom qab ntawd nws yuav tsum noj cov zaub mov tsis muaj roj ntau hauv kev ua kom rog.
Cov ua rau pom ntawm kev kub ntxhov hyperglycemic tseem muaj xws li:
- Hloov cov tshuaj insulin. Yog tias tus neeg mob siv ib hom tshuaj insulin rau lub sijhawm ntev, thiab tom qab ntawd hloov mus ua lwm yam sai sai, qhov no tuaj yeem ua rau cov ntshav qab zib nce siab. Qhov zoo tshaj yuav txhawb rau cov kev muaj mob ntawm tus mob ntshav qab zib thiab tsis nco qab lawm.
- Kev siv cov tshuaj ins khov los yog tag sijhawm. Nws yuav tsum nco ntsoov tias cov tshuaj yuav tsum tsis pub kom khov. Thaum muas, nco ntsoov xyuam xim rau lub txee lub neej ntawm insulin, txwv tsis pub muaj kev cuam tshuam loj heev tom qab txhaj tshuaj yuav tsim muaj.
- Siv cov tshuaj insulin tsis yog. Yog tias tus kws kho mob hnov mob rau qhov kev xaiv ntawm kev haus tshuaj negligently, ces qhov ntxim nyiam ntawm kev muaj mob ntawm cov ntshav qab zib nce ntxiv. Yog li, nws tau pom zoo tias koj nrhiav kev pab ntawm cov kws tshaj lij xwb.
- Txhawb tshuaj rau cov diuretics lossis prednisolone.
Cov kab mob sib kis tau tuaj yeem ua rau cov tsos ntawm hyperglycemic kev kub ntxhov. Yog tias ib tug neeg tau mob ntshav qab zib, tom qab ntawd txhua yam kab mob kis tau yooj yim heev.
Nws yog tsim nyog teev cia tias nyob hauv cov neeg muaj ntshav qab zib hom 2, feem ntau muaj kev kub ntxhov hyperglycemic kev txhim kho vim yog rog dhau. Yog vim li cas nrog hom ntshav qab zib no nws yog qhov tseem ceeb heev los soj ntsuam lub cev qhov hnyav.
Cov tsos mob tshwm sim li cas qhia txog kev muaj mob hnyav ntawm tus mob hyperglycemic? Cov tsos mob hauv qab no qhia tias ib qho kev cuam tshuam ntawm cov ntshav qab zib muaj:
- Cov nqhis dej heev, nrog rau kev ziab tawm ntawm qhov ncauj ntawm qhov ncauj.
- Xeev siab Nyob rau hauv cov teeb meem loj, ntuav tshwm.
- Cov tawv nqaij khaus heev.
- Kev deev luag poj luag txiv. Nws manifests nws tus kheej hauv daim ntawv ntawm qhov tsis muaj zog, mob taub hau hnyav, rog ntau dua. Tus neeg mob yuav qaug zog thiab tsaug zog.
- Nquag tso zis ntau zaus.
Yog tias koj tsis muab kev pab raws sijhawm rau ib tus neeg, yog li tus neeg mob tus mob hnyav zuj zus. Nrog kev nce qib ntawm qhov teeb meem hyperglycemic, qhov tsis hnov tsw ntawm acetone los ntawm lub qhov ncauj, mob plab, raws plab, tso zis heev tshwm sim.
Qhov zuj zus ntawm tus kab mob pathology yog qhia los ntawm kev ua pa nrawm nrawm, nrog lub cev tsis nco qab. Feem ntau ua rau xim av tuaj tshwm ntawm tus nplaig.
Ua rau thiab cov tsos mob ntawm hypoglycemic ntsoog
Cov teeb meem ntshav qab zib qis kuj tseem ceeb txaus. Nrog nws, cov ntshav qab zib yog tsawg. Yog tias koj tsis kho cov teeb meem ntshav qab zib kom ntwm rau hauv lub sijhawm, mob ntshav qab zib tsis nco qab yuav tshwm sim.
Vim li cas hom kab mob no thiaj li loj tuaj? Raws li txoj cai, qhov teeb meem tshwm sim los ntawm kev xaiv tsis zoo ntawm cov tshuaj insulin.
Yog tias tus neeg mob tau muab ntau dhau ntawm qhov tshuaj, ces cov piam thaj hauv ntshav tau txo qis, uas ua rau cov neeg mob muaj txiaj ntsig zoo rau qhov kev nce qib ntawm lub ntsoog.
Cov ua rau cov tsos ntawm tus mob hypoglycemic muaj xws li:
- Cov txheej txheem tshuaj insulin tsis raug. Nws yuav tsum nco ntsoov tias qhov tshuaj hormone yuav tsum raug tswjhwm subcutaneously, thiab tsis txhob intramuscularly. Txwv tsis pub, qhov xav tau kho qhov tseeb tsuas tsis tshwm sim.
- Kev ua si nyhav. Yog tias tom qab ua si kis las tus neeg mob tsis tau noj zaub mov nrog cov khoom noj carbohydrates ntau, tom qab ntawd qhov kev kub ntxhov hypoglycemic yuav tshwm sim.
- Tsis hlauv. Yog hais tias tus kab mob pathology no tau tsim tawm tsam keeb kwm ntawm ntshav qab zib mellitus, tom qab ntawd yuav tsum kho pob zeb kho mob. Txwv tsis pub, ib qho teebmeem tuaj yeem loj tuaj.
- Qhov tshwm sim ntawm cov rog rog hepatosis hauv ntshav qab zib.
- Cov txheej txheem siv lub cev ua haujlwm. Yog tias qhov chaw uas cov tshuaj insulin tau txhaj tshuaj yog tom qab txhaj tshuaj, ces qhov tsim nyog tau ua ntej yog tsim rau kev nce qib ntawm cov teeb meem ntshav qab zib.
- Cov uas tsis nyob ntawm cov zaub mov. Thaum haus cawv lossis haus dej tsis txaus carbohydrates, yuav muaj kev tawm tsam ntawm lub qog ntshav qab zib nce.
Yuav ua li cas cov insulin poob siab (teeb meem hypoglycemic) tshwm sim nws tus kheej? Nrog rau qhov txo qis hauv cov piam thaj hauv cov ntshav, mob taub hau, mob plab nqaij, thiab cov neeg tsis meej pem tshwm.
Cov phiajcim no yog qhov zas ntawm qhov teeb meem hypoglycemic. Tsis tas li, qhov kev vam meej ntawm cov pathology yog pov thawj los ntawm lub siab palpitations, nce hws, lub cev kub.
Lwm tus neeg mob txhawj xeeb:
- Pw tsaug zog cuam tshuam.
- Tsis muaj zog thiab mob hauv lub cev.
- Apathy.
- Blanching ntawm daim tawv nqaij.
- Muaj zog leeg nqaij.
- Ua pa.
Yog tias koj tsis muab tus neeg mob rau lub sijhawm, kho nws tus mob hnyav zuj zus. Muaj ib lub caij nyoog ntawm kev txhim kho hypoglycemic coma.
Hyperglycemic ntsoog: kev pabcuam thawj zaug thiab kev kho mob
Yog hais tias tus neeg mob muaj cov yam ntxwv ntawm tus mob hyperglycemic, nws yuav tsum tau muab kev pabcuam ua ntej. Thaum pib, nws raug nquahu kom ua cov insulin-luv luv ua yeeb yam, thiab ntsuas ntshav qab zib.
Tsis tas li, tus neeg mob tau qhia tias nws tau haus dej ntau. Nws raug nquahu kom muab ib tus neeg alkaline dej, uas muaj cov dej qab ntsev thiab ntxhia. Yog tias tsim nyog, haus cov poov tshuaj. Cov kev ntsuas no yuav txo txoj kev pheej hmoo ntawm ketoacidosis.
Nco ntsoov saib xyuas lub xeev ntawm cov mem tes thiab kev ua pa. Yog tias tsis muaj mem tes lossis ua pa, tom qab ntawd ua pa tawm dag zog thiab lub plawv ncaj qha yuav tsum tau ua tam sim ntawd.
Yog hais tias qhov teeb meem hyperglycemic yog nrog ntuav, tom qab ntawd tus neeg mob yuav tsum tau pw rau ib sab. Qhov no yuav tiv thaiv kom txhob ntuav nkag mus rau hauv cov hlab pa thiab tus nplaig txhav. Koj kuj yuav tsum npog tus neeg mob nrog pam thiab npog nrog cua sov nrog cua sov.
Yog hais tias tus neeg mob pib txhim kho lub cev kub ntxhov, tom qab ntawd hauv tsev kho mob cov kev coj ua hauv qab no tau ua:
- Kev tswj hwm ntawm heparin. Qhov no yog qhov tsim nyog txhawm rau txhawm rau txo kev txaus siab ntawm cov ntshav txhaws hauv cov hlab ntsha.
- Ua kom cov metabolism hauv cov roj ntsha tsis haum nrog insulin. Cov tshuaj hormones thaum xub thawj yuav muab rau hauv dav hlau, thiab tom qab ntawd los nrog hauv dej.
- Cov lus qhia ntawm kev tov ntawm dej qab zib. Qhov kev tswj hwm no yuav tswj tau lub acid-pib metabolism. Txhawm rau ruaj khov ntawm electrolyte tshuav, kev npaj poov tshuaj yog siv.
Tsis tas li, hauv kev kho mob, tus neeg mob tau sau tshuaj uas pab ua kom lub luag haujlwm ntawm lub plawv. Lawv raug xaiv nruj me ntsis ib tus zuj zus.
Tom qab txoj kev kho mob, tus neeg mob yuav tsum tau mus rau chav kho kom zoo. Nws suav nrog qhov tsis lees paub txog kev coj ua tsis zoo, kev hloov kho kev noj zaub mov nyob rau niaj hnub, kev nqus ntawm multivitamin ntau ntau. Tsis tas li, thaum lub sijhawm tsim kho kom rov zoo li qub, tus neeg mob tau ua si lub cev ua si.
Tom qab qhov teeb meem ntshav qab zib tau tso tseg lawm, tus neeg mob yuav tsum soj ntsuam cov ntshav qab zib kom qis. Qhov no yog vim qhov tseeb hais tias txawm tias tom qab ua tiav txoj kev kho mob muaj qhov ntxim nyiam ntawm kev rov huam mob dua.
Txo txoj kev pheej hmoo ntawm kev rov huam mob tuaj, kev kho mob yuav tsum tau kho.
Qee qhov xwm txheej, ntau npaum li cas ntawm cov tshuaj insulin nce, lossis lwm qhov ntawm cov tshuaj hormone qis dua pib siv.
Cov teeb meem hypoglycemic: cov kev pab ua ntej thiab cov kev kho mob
Cov teeb meem ntshav qab zib qis tshwm sim vim cov ntshav qab zib qis. Txhawm rau rov ua kom qhov qub theem ntawm cov piam thaj hauv cov ntshav, ib qho kev siv dag zog yog tsim nyog.
Thaum pib, tus neeg mob xav tau khoom qab zib. Khoom qab zib, zib ntab, khaub noom, marshmallows zoo tag nrho. Tom qab qhov no, koj yuav tsum hu rau kev pab thaum muaj xwm ceev. Ua ntej cov kws kho mob tuaj txog, koj yuav tsum tso tus neeg mob kom zoo.
Yog tias qhov mob hypoglycemic rov qab los yog nrog txoj kev tsis nco qab, ces tus neeg mob yuav tsum tso ib qho piam thaj ntawm nws sab plhu thiab tshem tawm ntuav tawm ntawm lub qhov ncauj tawm. Tsis tas li, cov piam thaj hauv qab zib yuav pab ua kom cov ntshav qab zib. Lawv yuav tsum tau smeared ntawm cov pos hniav. Kev txhaj cov kua nplaum pleev mus rau cov ntshav yuav pab kom cov suab thaj ntau ntxiv.
Nyob hauv tsev kho mob, kev tso ntshav qab zib rau cov ntshav (40%) feem ntau yog muab. Thaum qhov no tsis pab, thiab tus neeg mob tsis rov qab nco qab, kev noj qab zib 5-10% yog txhaj rau cov tshuaj pleev ib ce.
Yog tias qhov teebmeem teebmeem tshwm sim los ntawm kev siv ntau tshaj ntawm cov tshuaj insulin, ces cov tshuaj kho tau rov los xyuas dua. Feem ntau cov tshuaj kom tsawg. Tab sis thaum hloov pauv txoj kev kho mob, tus neeg mob yuav tsum soj ntsuam cov ntshav qab zib kom qis, vim tias qhov tshuaj txo qis yog fraught nrog cov tsos ntawm hyperglycemia.
Tom qab nres kev mob ntshav qab zib hypoglycemic dhau los, tus neeg mob yuav tsum ua raws li txoj cai:
- Ua raws kev noj haus.
- Koom rau hauv kev tawm dag zog lub cev.
- Saib xyuas koj cov ntshav qab zib kom tsis tu ncua.
Kev noj zaub mov noj yog ib qho tseem ceeb ntawm kev kho, tshwj xeeb yog mob ntshav qab zib hom 2. Kev noj haus yog ua nyob rau hauv txoj kev uas tus neeg mob tau txais txaus cov vitamins thiab minerals.
Cov zaub mov txhua hnub yuav tsum muaj cov khoom noj nplua nuj hauv magnesium, zinc, iron, ascorbic acid, tocopherol acetate. Cov macronutrients no tseem ceeb heev rau txhua yam ntshav qab zib.
Cov zaub mov uas muaj cov roj av hauv carbohydrates yooj yim tsis suav nrog cov zaub mov. Tus neeg mob yuav tsum tau tsis kam lees:
- Khoom qab zib.
- Cov khoom tiav ib hlis twg.
- Si haus dej.
- Cawv.
- Khoom noj ntau yam zaub mov.
- Cov nplej zom cov nplej zom.
- Hmoov cov khoom.
Yog tias cov ntshav qab zib tau tshwm sim ntawm kev rog, tom qab ntawd cov neeg noj zaub mov muaj zaub mov ntau ntau yuav siv tau. Hauv qhov no, qhov muaj protein ntau hauv cov zaub mov nce, thiab tus nqi ntawm cov carbohydrates yog txiav rau 50-100 grams.
Kev tawm dag zog lub cev yuav pab tau rau cov ntshav qab zib. Tab sis peb yuav tsum nco ntsoov tias cov nra yuav tsum yog muaj ntsis thiab xwm yeem. Koj tuaj yeem siv cov ntsuas ntshav qabzib lossis ntsuas ntshav qabzib hauv ntshav los soj ntsuam koj cov ntshav qab zib. Daim vis dis aus hauv tsab xov xwm no yuav pab koj npaj rau thawj qhov kev pabcuam kabmob ntshav qab zib ua ntej.
