Ntshav qab zib mellitus yog ib qho ntawm cov kab mob uas feem ntau tshwm sim hauv kev mob rog. Thaum nws tshwm sim, cov piam thaj hauv ntshav nce ntxiv vim yog kev txhim kho cov tshuaj insulin tsis txaus nyob hauv ntshav qab zib hom 1 thiab qhov tsis muaj peev xwm teb tau cov insulin hauv ntshav qab zib hom 2.
Kwv yees li ib feem peb ntawm cov neeg mob ntshav qab zib tsis paub txog lawv tus mob, vim hais tias cov tsos mob nyob rau theem pib tsis yog ib txwm tshaj tawm.
Txhawm rau kuaj ntshav qab zib kom ntxov li ntxov tau thiab kom pom qhov kev kho mob tsim nyog, koj yuav tsum tau kuaj. Rau qhov no, kuaj ntshav thiab tso zis ua.
Thawj cov tsos mob ntshav qab zib
Thawj thawj cov tsos mob ntshav qab zib tuaj yeem tshwm sim ob qho tib si tam sim ntawd - nrog thawj hom ntshav qab zib, thiab tsim sijhawm - nrog cov ntshav qab zib tsis muaj tshuaj insulin-hom ntshav qab zib.
Yam 1 ntshav qab zib mellitus feem ntau cuam tshuam rau cov hluas thiab menyuam yaus.
Yog tias pom cov tsos mob no tshwm sim, yuav tsum tau sab laj kev kho mob sai:
- Cov nqhis dej heev pib tsim txom.
- Nquag mus tso zis thiab mus tso zis.
- Neeg tsis muaj zog.
- Kiv taub hau
- Lub cev yuag.
Cov kev pheej hmoo mob ntshav qab zib suav nrog cov menyuam ntawm cov niam txiv uas muaj ntshav qab zib, uas tau kis kab mob yog tias lawv tau tshaj 4,5 kg thaum yug los, nrog rau lwm cov kab mob metabolic, thiab tsis muaj zog tiv thaiv kab mob.
Rau cov menyuam yaus zoo li no, kev tshwm sim ntawm cov tsos mob ntawm nqhis dej thiab yuag poob qhia tau tias cov ntshav qab zib thiab ua rau mob lub leeg sai sai, yog li ntawd muaj cov tsos mob ua ntej uas koj yuav tsum hu rau lub tsev kho mob:
- Ua rau muaj siab noj khoom qab zib
- Nws yog qhov nyuaj rau kev thev dhau kev so hauv kev noj zaub mov - muaj kev tshaib plab thiab mob taub hau
- Ib teev lossis ob teev tom qab noj mov, ua kom tsis muaj zog.
- Cov kab mob ntawm daim tawv nqaij - neurodermatitis, mob ntxau, qhuav tawv nqaij.
- Tsis pom kev zoo.
Ntawm cov ntshav qab zib ntawm yam thib ob, cov cim pom tseeb tshwm sim tom qab lub sijhawm ntev tom qab nce ntshav qabzib, nws cuam tshuam rau cov poj niam feem ntau tom qab lub hnub nyoog 45 xyoos, tshwj xeeb tshaj yog muaj kev ua neej nyob sedentary, rog dhau. Yog li, nws tau pom zoo tias nyob rau lub hnub nyoog no, txhua tus, tsis hais txog ntawm cov tsos mob tshwm sim, tshawb xyuas cov ntshav thaj tsam ib zaug ib xyoos.
Thaum cov tsos mob hauv qab no tshwm sim, qhov no yuav tsum tau ua nrawm dua:
- Nqhis dej, qhov ncauj qhuav.
- Daim tawv nqaij ua pob.
- Qhuav thiab khaus daim tawv nqaij (khaus ntawm xib teg thiab taw).
- Tingling lossis loog ntawm koj lub ntsis ntiv tes.
- Khaus nyob hauv perineum.
- Tsis pom kev.
- Cov kab mob kis tau zoo heev.
- Qaug zog, ua kom tsis muaj zog.
- Kev tshaib kev nqhis loj heev.
- Nquag tso zis heev, tshwj xeeb yog thaum tsaus ntuj.
- Kev txiav mob, qhov txhab kho tsis zoo.
- Qhov hnyav nce tsis muaj feem cuam tshuam nrog kev noj zaub mov tsis zoo.
- Nrog lub duav thoob plaws rau cov txiv neej tshaj 102 cm, poj niam - 88 cm.
Cov tsos mob no tuaj yeem tshwm sim tom qab muaj kev ntxhov siab ntau dhau los, kev pom zoo ua ntej lawm, kab mob kis.
Txhua yam no yuav tsum yog vim li cas koj mus ntsib kws kho mob los txiav txim siab txog yam kev sim twg uas yuav tsum tau ua kom paub meej lossis tsis suav qhov kev kuaj mob ntshav qab zib.
Yuav kuaj ntshav seb puas muaj ntshav qab zib
Kev ntsuam xyuas uas zoo tshaj plaws txog kev txiav txim siab ntshav qab zib yog:
- Kev kuaj ntshav rau piam thaj.
- Kuaj ntshav qab zib kuaj.
- Glycated hemoglobin qib.
- Kev txiav txim siab ntawm C-reactive protein.
- Kev kuaj ntshav qabzib yog ua rau thawj qhov kev kuaj ntshav qab zib thiab yog qhia rau cov kev xav tias muaj cov kab mob metabolism hauv lub cev, kab mob siab, cev xeeb tub, nce phaus thiab cov thyroid kab mob.
Nws yog nqa tawm ntawm lub plab khoob, los ntawm cov pluas mov kawg yuav tsum dhau tsawg kawg yim teev. Tshawb xyuas thaum sawv ntxov. Ua ntej kev kuaj mob, nws yog qhov zoo dua rau kev cais tawm cov kev ua si.
Nyob ntawm cov ntaub ntawv sojntsuam txheej txheem, qhov tshwm sim tuaj yeem ua tus lej sib txawv. Qhov nruab nrab, cov cai no yog nyob hauv thaj tsam ntawm 4.1 txog 5.9 mmol / L.
Thaum cov theem ntawm cov piam thaj hauv cov ntshav, tab sis kom kawm txog kev muaj peev xwm ntawm tus txiav ua rau teb rau qhov nce ntxiv ntawm cov piam thaj, kev kuaj ntshav qabzib tau kuaj (GTT) tau ua. Nws pom tias cov khoom noj khoom haus roj metabolism tsis txaus siab. Cov Lus Qhia rau GTT:
- Rog dhau.
- Arterial kub siab.
- Qab zib ntau ntxiv thaum cev xeeb tub.
- Polycystic lub zes qe menyuam.
- Daim siab mob.
- Lub sijhawm ntev siv cov tshuaj hormones.
- Mob ntsws ua paug thiab mob pob txha.
Kev npaj rau kev sim: peb hnub ua ntej kev xeem, tsis txhob hloov pauv rau kev noj haus li qub, haus dej hauv qhov nyiaj ib txwm, zam kev tawm hws ntau dhau, koj yuav tsum tso tseg haus cawv rau ib hnub, koj yuav tsum tsis txhob haus luam yeeb thiab haus kas fes rau hnub ntsuas.
Kev kuaj: thaum sawv ntxov nyob rau ntawm lub plab khoob, tom qab 10 -14 teev ntawm kev tshaib kev nqhis, cov ntshav qabzib tau ntsuas, ces tus neeg mob yuav tsum noj 75 g ntawm piam thaj hauv dej. Tom qab ntawd, qabzib tau ntsuas tom qab ib teev thiab ob teev tom qab.
Cov txiaj ntsig kev xeem: txog 7.8 mmol / l - qhov no yog tus qauv, los ntawm 7.8 txog 11,1 mmol / l - metabolic tsis txaus (mob ntshav qab zib), txhua qhov uas siab dua 11.1 - ntshav qab zib.
Glycated hemoglobin qhia qhov nruab nrab ntawm cov ntshav ntshav nyob rau hauv peb lub hlis dhau los. Nws yuav tsum tau muab txhua txhua peb lub hlis, ob qho tag nrho los txheeb xyuas qhov ntxov ntawm ntshav qab zib thiab ntsuas cov txiaj ntsig ntawm kev kho mob tau hais tseg.
Npaj rau kev tsom xam: siv thaum sawv ntxov nyob rau ntawm lub plab khoob. Yuav tsum tsis txhob muaj qhov mob txau ntshav thiab ntshav ntau ntxiv 2-3 hnub dhau los.
Kev ntsuas raws li feem pua ntawm tag nrho hemoglobin. Nquag 4.5 - 6.5%, theem ntawm ntshav qab zib 6-6.5%, siab tshaj 6.5% mob ntshav qab zib.
Qhov kev txiav txim siab ntawm C-reactive protein qhia tau hais tias qib siab ntawm kev puas tsuaj rau lub txiav. Nws yog qhia rau kev tshawb fawb hauv:
- Kev kuaj pom qab zib hauv cov zis.
- Nrog rau kev kuaj mob ntshav qab zib, tab sis cov kua nplaum nyeem li ib txwm.
- Nrog kev mob caj dab ntxiv rau cov ntshav qab zib.
- Txheeb xyuas cov cim qhia txog ntshav qab zib thaum cev xeeb tub.
Ua ntej ntsuas, koj siv tsis tau cov tshuaj aspirin, vitamin C, tshuaj ntxiv, tshuaj xeeb. Nws yog nqa ntawm lub plab khoob, tom qab 10 teev kev tshaib kev nqhis, nyob rau hnub ntawm kev sim koj tuaj yeem haus tau dej nkaus xwb, koj tsis tuaj yeem haus luam yeeb, noj zaub mov. Lawv muab ntshav tawm ntawm txoj hlab ntsha.
Qhov kev cai rau C-peptide yog los ntawm 298 txog 1324 pmol / L. Nrog hom ntshav qab zib hom 2, nws siab dua, qib poob tuaj yeem yog nrog hom 1 thiab kev kho mob insulin.
Tso ntshav kuaj mob qog ntshav qab zib
Nquag, yuav tsum tsis muaj qab zib nyob hauv kev kuaj zis. Txog kev tshawb nrhiav, koj tuaj yeem noj tso zis thaum sawv ntxov los yog txhua hnub. Hom tom kawg ntawm qhov kev kuaj mob pom yog qhov qhia ntau dua. Txhawm rau khaws cov zis txhua hnub, koj yuav tsum ua raws li txoj cai:
Yov cov khoom thaum sawv ntxov yog xa hauv ntim tsis pub dhau 6 teev tom qab sib sau. Cov kev pab seem uas tau sau nyob hauv lub taub ntim huv.
Rau ib hnub koj tsis tuaj yeem noj cov txiv lws suav, beets, cov txiv hmab txiv ntoo hauv cov txiv, carrots, taub dag, buckwheat.
Yog tias cov piam thaj pom nyob rau hauv cov zis thiab cais tawm ntawm cov kab mob uas ua rau nws nce ntxiv - mob txhaws rau hauv ntu mob sai, kub hnyiab, tshuaj hormonal, kuaj mob ntshav qab zib tau ua.
Kev tiv thaiv kab mob thiab tshuaj hormones
Kev tshawb fawb hauv lub siab thiab thaum tsis ntseeg siab hauv kev kuaj mob, kev sim hauv qab no tuaj yeem ua:
- Kev txiav txim siab ntawm cov tshuaj insulin: cov cai yog los ntawm 15 txog 180 mmol / l, yog tias qis dua, ces qhov no yog insulin-tiv thaiv hom 1 ntshav qab zib mellitus, yog tias insulin ntau dua li ib txwm lossis hauv ib txwm muaj, qhov no qhia tau tias hom thib ob.
- Pancreatic beta-cell tshuaj tiv thaiv tau txiav txim siab kuaj mob ntxov lossis ua kom lub cev ntshav qab zib hom 1.
- Tshuaj tua kab mob rau insulin pom nyob hauv cov neeg mob ntshav qab zib hom 1 thiab mob ntshav qab zib.
- Kev txiav txim siab cov cim ntshav qab zib - cov tshuaj tiv thaiv rau GAD. Nov yog hom protein tshwj xeeb, tshuaj tiv thaiv rau nws tuaj yeem ua tsib xyoo ua ntej kev txhim kho kabmob.
Yog tias koj xav tias muaj ntshav qab zib, nws yog ib qho tseem ceeb uas yuav tau ua qhov kev soj ntsuam kom sai li sai tau txhawm rau txhawm rau txhawm rau tiv thaiv kev txhim kho ntawm lub neej muaj teeb meem. Nws yog ib qho tseem ceeb heev uas yuav tsum paub kuaj ntshav qab zib. Daim vis dis aus hauv tsab xov xwm no yuav qhia koj txog yam dab tsi koj yuav tsum tau kuaj ntshav qab zib.
