Qib kom qab zib tuaj yeem poob thaum twg los xij, txawm tias menyuam yaus. Tus mob no yog hu ua hypoglycemia, lub caij nyoog ntev ntawm kev coj ua rau kev puas tsuaj rau lub hlwb.
Cov kua nplaum yog cov tshuaj tseem ceeb rau tib neeg lub cev, vim nws muab nws tu nrog lub zog uas tsim nyog rau kev ua haujlwm. Cov piam thaj nkag mus rau cov kab mob ntawm lub cev nrog cov zaub mov, thiab hauv cov menyuam tshiab nrog niam lub mis. Ntxiv mus, tom qab txhua pluas noj, cov piam thaj hauv qab cov ntshav nce siab, thiab yog tias cov piam thaj qis dua, tom qab ntawd tus me nyuam muaj kev tshaib plab.
Glycemia yog tswj hwm los ntawm cov tshuaj hormones xws li cov tshuaj insulin uas tswj cov piam thaj kev nqus thiab nqus. Tab sis thaum lub cev tsis ua hauj lwm lawm hormonal, qib qab zib nce siab lossis poob, uas tuaj yeem ua rau ib ntus lossis ruaj khov.
Cov ua rau thiab hom ntshav qog ntshav qab zib hauv menyuam yaus
Nyob ntawm lub hnub nyoog, cov piam thaj cov qauv yuav sib txawv. Yog li, hauv thawj xyoo ntawm lub neej, cov txiaj ntsig tau txais tau yog los ntawm 2.8 txog 4.4 mmol / L. Tom qab tsib xyoos, cov piam thaj tau pom tias ib txwm yog nws nyob ntawm 3.3 txog 5.0 mmol / L.
Feem ntau, glycemia ua tib zoo saib xyuas ntshav qab zib. Cov neeg mob zoo li no raug yuam kom siv tshuaj tiv thaiv kab mob thiab tshuaj uas tsim los ntawm sulfonylurea. Hauv qhov xwm txheej no, cov hauv qab no cov kev ua kom muaj suab thaj tsawg hauv ib tug menyuam tshwm sim:
- tshuaj noj ntau dhau;
- kev siv dag zog ntau dhau ntawm qhov khoom noj tsis raug;
- cov tshuaj raug noj hauv qhov ntau npaum, tab sis tus neeg mob tsis noj zaub mov txaus.
Txo cov ntshav qab zib hauv ib tus menyuam raug pom nrog cov kab mob pathologies ntawm National Assembly (kev raug mob, mob ntshav qab zib), rog dhau, ua tsis tiav thiab mob plab, suav nrog gastroduodenitis, pancreatitis, gastritis thiab gastroenteritis. Ntxiv rau, hypoglycemia tshwm sim vim lub cev qhuav dej, tshaib plab, los yog lub cev tsis ua haujlwm tsis zoo. Tsis tas li, cov laj thawj ntawm cov tsos ntawm cov xwm txheej zoo li no nyob ntawm lub qog ua rau lub qog, mob lom nrog tshuaj, sarcoidosis thiab mob ntev ntev.
Nws tshwm sim hais tias cov nyhuv ntawm lwm yam ntawm cov tshuaj hormones uas yog lub luag haujlwm rau kev tswj hwm qhov kev mloog ntawm cov piam thaj hauv cov ntshav yuav ua rau muaj kev hloov hauv glycemia. Piv txwv, insulin txo qis piam thaj, thiab adrenaline, glucagon, cov tshuaj hormones ntawm hypothalamus, pituitary thiab txiav ntshav nce qab zib, tshwj xeeb tshaj yog thaum muaj kev ntxhov siab lossis ua kom cov txheej txheem metabolic.
Cov teeb meem feem ntau ntawm cov ntshav qog ntshav nyob rau hauv cov menyuam tshiab yog yug ntxov ntxov thiab mob hypothermia. Tseem pom cov piam thaj qis tsawg tsawg yog tias thaum yug menyuam tus menyuam muaj mob asphyxiation thiab ua pa nyuaj siab.
Tsis tas li ntawd, qhov ntxim nyiam muaj kev txhim kho cov ntshav qog nqaij hlav ntau ntxiv yog tias tus niam mob tsis muaj mob ntshav qab zib-siv cov ntshav qab zib thiab noj cov tshuaj qab zib. Hauv qhov no, kev kho mob nrawm yog qhov yuav tsum tau ua, suav nrog kev tswj hwm kev daws teeb meem ntawm qabzib, hydrocortisone thiab glucagon.
Cov qauv ntawm cov kabmob txiav txim siab nws cov laj thawj. Yog li, cov ntshav qog ntshav qab zib tuaj yeem yog:
- yug me nyuam - tshwm yog tias lub cev tsis pom kev fructose thiab galactose;
- hormonal - tshwm sim nrog ib tug tshaj ntawm cov insulin, kev ua haujlwm tsis txaus ntawm lub pituitary cov tshuaj hormones thiab cov qog adrenal;
- leucine - kev tawm tsam tiv thaiv keeb kwm ntawm qhov tsis haum rau leucine.
Tsis tas li, cov piam thaj hauv lub ntsej muag qis dua vim tsis paub lossis cov laj thawj. Cov no suav nrog qhov hypoglycemia, uas tau tshwm sim hauv cov menyuam yaus uas tsis tshua muaj rog, ketone, ideopathic daim ntawv thiab cov piam thaj hauv qab zib nrog hypotrophy.
Symptomatology
Cov theem ntawm cov piam thaj hauv cov ntshav yuav tsum yog qhov qub, txwv tsis pub lub cev tsis tau txais lub zog. Yog li, yuav muaj qee cov cim qhia tias tsis muaj cov piam thaj hauv tus menyuam:
- nkees;
- Kiv taub hau
- hyperhidrosis;
- mob taub hau
- tshee hnyo ntawm nqua;
- kev chim siab;
- xeev siab thiab tib lub siab xav txog kev tshaib plab;
- apathy.
Tsis tas li, tus neeg mob tau pom muaj kev ntxhov siab (tsaus muag hauv qhov muag), nws ob txhais ceg thiab caj npab los ua hnyav dua thiab ua rau loog. Txawm li cas los xij, nws dhau los ua ib qho kev ntxhov siab, nws txhawj xeeb txog ntawj txias thiab kub npau taws.
Cov tsos mob zoo li no qhia tau tias cov ntshav qab zib hauv qab yuav tsum qis dua 3 mmol / L, xws li tuaj yeem pom thaum siv ntsuas dej.
Yog tias qhov xwm txheej no tus me nyuam tsis tau muab cov carbohydrates ceev (chocolate, yob, dej qab zib), ces cov tsos mob hnyav yuav tshwm sim:
- cramps
- hais lus tsis meej;
- tsaus muag
- tsis ncaj ncees gait;
- tsis quav ntsej;
- coma.
Vim li cas cov piam thaj tsis txaus ntshai?
Cov piam thaj hauv qab zib qis dua yog qhov txaus ntshai tshaj plaws rau tus menyuam yug ua ntej, vim tias nws lub cev tsis tau txais kev ywj pheej zoo dua li lwm tus. Tsis tas li, hypoglycemia yuav qhia ib tug xov tooj ntawm lwm cov teeb meem.
Cov kev txhawj xeeb txog txog 2.2 mmol / L. Ntxiv mus, feem ntau, cov menyuam yaus uas muaj tus kabmob hyperglycemia tuag taus. Ib nrab ntawm cov menyuam yug tshiab tuaj yeem tsim lub hlwb thiab muaj teeb meem nrog kev txhim kho hlwb.
Ntxiv rau adrenergic thiab neuroglucopenic cov tsos mob, thaum tsis muaj kev kho mob rau menyuam yaus, kev mob ntshav qab zib tsis nco qab thiab txhua yam kev ua haujlwm tsis zoo ntawm lub hlwb, suav nrog cov kev ua kom dav spectrum dementia, tuaj yeem tshwm sim. Tsis tas li ntawd, cov piam thaj qis yog qhov kev pheej hmoo ntxiv rau cov tsos ntawm hemorrhage hauv retina thiab kev txhim kho vascular thiab plhaw plab pathologies.
Ntxiv mus, qee tus menyuam yaus tseem yuav muaj mob stroke thiab lub plawv nres.
Yuav ua li cas rau normalize glycemia?
Txhawm rau tiv thaiv kom tsis txhob muaj cov piam thaj nyob hauv tus menyuam yug tshiab, nws yog qhov tseem ceeb heev uas yuav tsum tau muab nrog niam mis rau thawj hnub ntawm lub neej. Tsis tas li, tus menyuam yuav tsum muaj kev tiv thaiv los ntawm kev ntxhov siab, yog li leej niam yuav tsum nyob ze nws.
Cov menyuam loj dua uas muaj lub ntsej muag ntshav qab zib yuav tsum tau muab qee yam qab zib lossis haus nrog qab zib. Tom qab ntawd, tus neeg mob yuav tsum tau coj mus rau tus kws endocrinologist. Txawm li cas los xij, yog tias tsis nco qab, nws yog ib qho tsim nyog yuav tau hu rau lub tsheb thauj neeg mob, thaum tuaj txog ntawm qhov kev daws teeb meem zoo nyob hauv tus neeg mob.
Thaum cov qib piam thaj tau ruaj khov, koj yuav tsum pub zaub mov rau tus menyuam noj (nqaij, ntses, zaub xam lav, porridge), uas yuav tiv thaiv qhov tshwm sim ntawm kev tawm tsam zaum ob. Yog tias tsim nyog, tus kws kho mob yuav sau ntawv noj cov tshuaj tshwj xeeb. Qee zaum yuav tau mus pw hauv tsev khomob thiab siv tshuaj tua kab mob.
Yog tias hypoglycemia tshwm sim nyob rau hauv cov ntshav qab zib mellitus, tom qab ntawd txhawm rau tiv thaiv kev tawm tsam zaum thib ob, koj yuav tsum ntsuas ntshav qab zib tas mus li siv cov glucometer lossis kuaj cov ntshav. Cov tub ntxhais kawm yuav tsum raug qhia kom ua cov txheej txheem li ntawm nws tus kheej. Ib qho ntxiv, tus mob ntshav qab zib yuav tsum nco ntsoov nqa ob peb lub khoom qab zib, kua txiv lossis txiv hmab txiv ntoo qhuav, uas nws tuaj yeem noj yog tias nws tsis mob, ua tsaug uas nws tus mob yuav rov qab zoo li qub hauv 15 feeb.
Kev siv tshuaj thiab kev siv tshuaj carbohydrates tuaj yeem ua ntxiv los ntawm kev noj ntau yam decoctions thiab infusions. Lawv tau npaj raws cov ntoo hauv qab no:
- chokeberry;
- John lub wort
- hiav txwv buckthorn;
- calendula
- thyme.
Txawm li cas los xij, ntau tus menyuam yaus feem ntau muaj kev fab rau ua xua. Yog li, ua ntej pib kho nrog tshuaj ntsuab pej xeem, nws yog ib qho tseem ceeb kom paub tseeb tias tus me nyuam lub cev ib txwm zam rau qee yam tshuaj ntsuab.
Kev kho noj haus
Txhawm rau kom ntsuas cov piam thaj kom ruaj khov, kho cov ntshav qab zib mellitus yog qhov tsim nyog, qhov twg nws yog qhov tseem ceeb heev uas yuav tau ua raws li cov khoom noj tshwj xeeb. Cov ntawv qhia zaub mov yuav tsum yog tus kws endocrinologist uas coj mus rau hauv tus account tus yam ntxwv ntawm tus neeg mob.
Tab sis muaj cov khoom noj khoom haus sib xws uas txhua tus neeg ntxim rau hypoglycemia yuav tsum ua raws li. Ua ntej ntawm tag nrho cov, koj yuav tsum nce ntxiv qhov kom tsawg ntawm cov carbohydrates ua txoj. Cov no suav nrog cov qhob cij nplej, ntau yam cereals thiab nplej zom los ntawm durum nplej.
Semolina thiab cov nplej zom qis dua yuav tsum tau muab pov tseg. Tsis tas li, tsis txhob noj buns, nplua nuj kua zaub, tsiaj cov rog, cov txuj lom thiab cov khoom noj uas haus luam yeeb. Thiab tus naj npawb ntawm cov kua txiv, zib ntab, ncuav qab zib thiab khoom qab zib yuav tsum tau txwv.
Nws yog ib qho tseem ceeb kom noj fractionally, noj qee qhov me me ntawm cov zaub mov thaum lub sijhawm. Hauv qhov no, txoj cai tseem ceeb yuav tsum pom - cov protein ntau thiab cov rog tsawg.
Tsis tas li, cov khoom noj yuav tsum tau enriched hauv cov zaub mov muaj fiber ntau. Qhov tshuaj no ua rau txo qis qhov nqus ntawm cov piam thaj ntawm carbohydrates. Cov khoom lag luam muaj xws li qos yaj ywm (hau, ci), legumes thiab pob kws.
Ib qhov txiaj ntsig me me ntawm cov txiv ntoo raug tso cai. Lawv tuaj yeem yog cov tshiab, qhuav lossis ua noj hauv lawv cov kua txiv. Tab sis kev nyiam ua yuav tsum tau muab rau cov txiv hmab txiv ntoo thiab cov txiv ntoo hauv cov suab thaj hauv cov nruab nrab lossis tsis txaus.
Qhov muaj feem thib yog muaj roj protein tsawg - ntses, nqaij qaib, luav, qaib ntxhw, tsev cheese, txiv ntoo thiab ntau dua. Kev haus dej haus thiab cov dej qab zib yuav tsum tau muab pov tseg, vim tias lawv yuav txo qhov cov piam thaj hauv qab ntshav.
Ua ntu zus, koj yuav tsum muab koj cov me nyuam vitamins, uas muaj chromium. Koj yuav tsum tau faib kom tau qhov so thiab pw tsaug zog kom nws tsis txhob ua haujlwm dhau. Daim vis dis aus hauv tsab xov xwm no hais txog cov piam thaj hauv ntshav qis.
