Cov ntshav yog cov kua dej rau lub cev, yog li nws qhov mob yuav tsum ua tib zoo saib xyuas. Tom qab tag nrho, txawm tias qhov tsis tseem ceeb hloov hauv nws cov muaj pes tsawg leeg tuaj yeem ua rau muaj kev rau txim loj.
Qib Qab Zib yog qhov ntsuas tseem ceeb ntawm kev ua haujlwm ntawm txhua qhov nruab nrog cev thiab kab ke hauv tib neeg lub cev. Cov kua nplaum ntawm lub ntsej muag qhia txog tias cov metabolism hauv cov metabolism hauv lub cev tshwm sim li cas, thiab cov khoom siv no tseem raug suav tias yog qhov tseem ceeb ntawm lub zog rau lub cev.
Cov piam thaj nkag mus rau hauv cov ntshav tom qab kev noj kom ntau. Nws cov ntsiab lus tuaj yeem ua qis, li qub thiab siab.
Txhua leej txhua tus paub hais tias thaum cov piam thaj muaj ntau dhau, nws cuam tshuam cov kab ke thiab kabmob. Ntxiv mus, tus mob no yog ib txwm muaj rau cov neeg mob ntshav qab zib. Tab sis yog tias cov piam thaj hauv ntshav qis dua li qub, qhov ntawd txhais tau li cas?
Kev hypoglycemia yog dab tsi thiab vim li cas nws thiaj li muaj tshwm sim?
Cov ntshav qab zib cov ntshav muaj feem cuam tshuam nrog tus neeg noj tsis tu ncua. Yog li, thaum noj zaub mov qab zib thiab carbohydrate, qhov ntsuas tau nce ntau. Tib lub sijhawm, tus txiav ua ke pib tsim cov tshuaj insulin - yam tshuaj uas ua rau cov kua nplaum ua lub zog.
Thaum cov kua dej tas mus tsim tawm, cov ntsiab lus qabzib yuav tsum ua kom zoo li qub, tab sis qhov no tsis tshwm sim nrog ntau yam kev cuam tshuam. Piv txwv, nyob rau hauv cov ntshav qab zib, hypoglycemia feem ntau tshwm sim thaum, tom qab noj mov, tus kws kho mob txiav tsis ua qhov xav tau ntawm qhov hormone.
Tab sis qee zaum cov kua qab zib qis qis hauv cov neeg noj qab nyob zoo. Feem ntau qhov no tshwm sim thaum lub nra sib txawv.
Cov kua nplaum ceev ceev ib txwm sawv thaum ntxov txog 3.3 txog 5.5 mmol / L. Nrog rau kev tsis sib haum xeeb ntawm 5.6-6.6 mmol / l, peb tuaj yeem hais lus ntawm qhov ua kom tsis muaj qab zib txaus. Tus mob no yog tus ciam ntawm qhov nruab nrab thiab kev hloov pauv, thiab yog tias muaj piam thaj siab tshaj 6.7 mmol / l, ces qhov no suav hais tias yog qhov tseeb ntawm cov ntshav qab zib.
Kev mob ntshav siab ntshav qab zib tuaj yeem tsis yog rau cov neeg mob ntshav qab zib, tab sis kuj nyob hauv cov neeg muaj kev noj qab haus huv thiab cov menyuam yaus. Cov ua rau cov piam thaj kom tsawg yog:
- Kev qoj ib ce kom hnyav nrog kev noj zaub mov kom tsis tshua zoo.
- Noj cov khoom noj tsis xwm yeem (khoom noj ceev, khoom qab zib, hmoov).
- Noj qee yam tshuaj.
- Cev xeeb tub thaum ntxov.
- Lub cev qhuav dej.
- Kev siv cov beta-blockers nyob rau tom qab ntawm kis las.
- Kev coj los qhia poj niam.
- Cov tshuaj tiv thaiv ntawm tus menyuam lub cev tau noj tshuaj Acetylsalicylic acid.
Qhov ua rau cov ntshav qog ntshav qab zib hauv cov ntxhais hluas yog qhov tsis ua raws noj zaub mov. Tom qab tag nrho, cov poj niam feem ntau nyiam zaum ntawm cov zaub mov tsis muaj calorie ntau.
Cov cwj pwm tsis zoo (haus luam yeeb, haus dej cawv) kuj tseem tuaj yeem txo koj cov piam thaj. Ntxiv mus, txog thaum ib tus neeg tso tseg txoj kev haus cawv thiab luam yeeb, nws tsis yog ib txwm ua tau kom ib txwm muaj suab thaj ntau txawm tias muaj kev pab ntawm cov tshuaj.
Feem ntau, cov ua rau cov ntshav qog ua ntshav nyob ntawm qhov tsis mob qog. Tom qab tag nrho, qog nyob rau hauv lub txiav kab mob feem ntau ua rau loj hlob ntawm cov ntaub so ntswg, suav nrog beta hlwb, lub luag haujlwm rau kev tsim cov tshuaj insulin.
Hauv cov ntshav qab zib, txo cov ntshav qab zib yog kuaj tau vim kev noj tshuaj insulin ntau dua lossis lwm yam tshuaj thiab tiv thaiv cov teeb meem hauv lub raum tas li. Hloov ntawm cov tshuaj kuj provokes jumps hauv cov piam thaj.
Cov hauv qab no ua rau cov ntshav qabzib hauv ntshav qab zib yog tshaib plab, dhau kev ua haujlwm ntawm lub cev, noj tshuaj, haus dej cawv thiab ua kom pom cov ntshav qab zib ua qis rau kev kho mob.
Ntxiv mus, cov piam thaj hauv cov ntshav hauv ntshav tuaj yeem tsim kho yog tias cov ntshav qab zib ntxiv ua kom cov ntshav qab zib ntau ntau yam tsis tas kho cov tshuaj ntawm cov tshuaj tseem ceeb.
Cov tsos mob thiab kuaj mob
Ib qho qhia qabzib me me feem ntau tshwm sim thaum sawv ntxov, tam sim ntawd tom qab kev cuam tshuam. Hauv qhov no, txhawm rau ua kom nws, nws yog txaus kom muaj pluas tshais nruj.
Tab sis qee zaum tom qab noj tshais lossis noj su muaj ib qho kev rov qab qog hypoglycemia. Qhov tsos mob no feem ntau qhia txog kev muaj ntshav qab zib.
Lub ntsiab ntawm cov piam thaj tsis muaj suab thaj ntau suav nrog:
- hyperhidrosis;
- xeev siab
- nquag mem tes thiab tachycardia;
- kub zoo nkauj thiab tshee hauv tes;
- nqhis dej heev thiab tshaib plab;
- ntshav qab zib mob taub hau;
- kev chim siab;
- polyuria.
Lwm cov tsos mob ntawm cov suab thaj qis yog tsaug zog, blanching ntawm daim tawv nqaij ntawm lub ntsej muag, ceg thiab caj npab, tsis quav ntsej thiab kiv taub hau. Feem ntau muaj kev ntxhov siab (yoov, ob lub zeem muag lossis daim ntaub thaiv hauv qhov muag), hnyav dua, tsis muaj zog lossis loog ntawm ob txhais ceg. Tsis tas li, nrog hyperglycemia, xib teg tawm hws, uas tshwm sim txawm tias mob khaub thuas.
Cov cim ntawm cov suab thaj qis thaum hmo ntuj yog tham thaum pw tsaug zog, muaj kev zais hws kom muaj zog. Thiab tom qab waking, ib tug neeg xav tias tsis muaj zog thiab muaj kev chim siab los ntawm tej yam me me.
Cov tsos mob zoo li no tshwm sim vim kev tshaib plab ntawm lub hlwb. Yog li, yog tias cov piam thaj hauv ntshav qis dua li ib txwm (qis dua 3.3 mmol / l) tom qab ntawd cov khoom noj carbohydrates yuav tsum tau noj sai.
Thaum tsis muaj ib qho kev ua, ntau qhov teeb meem yuav tshwm sim. Thaum pib thawj zaug, pom dab, tsis meej pem, mloog lus tsis txaus ntseeg thiab hais lus tsis meej.
Tom qab muaj qhov ploj ploj ntawm kev nco qab thiab muaj qhov ntxim nyiam ntawm kev tsim muaj tus mob huam. Tus mob ntshav qab zib hauv lub xeev no feem ntau poob rau hauv lub neej tsis xeev qab. Feem ntau hypoglycemia ua rau txoj kev txhim kho mob hlab ntsha tawg.
Nws yog tsim nyog sau cia tias cov menyuam yaus tsis tshua paub txog lub qog ntshav qab zib. Tab sis yog tias nws tshaj tawm cov lus qhia, tom qab ntawd cov neeg mob zoo li no tseem tsim kho ntau cov tsos mob, uas suav nrog:
- tsis muaj zog ua tau;
- mob hauv ceg thiab plab;
- tsis muaj zog
- ntshaw mus so;
- silence thiab atypical twj ywm;
- kev xav tsis zoo nrawm;
- tawm hws tob hau.
Kev kuaj ntshav ntawm lub qog ntshav ntshav yog ua raws peb yam. Cov no yog kuaj sim, keeb kwm kev mob thiab cov neeg tsis txaus siab.
Txhawm rau kom paub txog qib suab thaj hauv chav kuaj, kuaj ntshav qabzib nyob ua. Nws lub ntsiab lus dag hauv qhov tseeb uas nyob rau ntawm lub plab khoob tus neeg mob sau cov ntsuas, thiab tom qab ntawd muab nws ua kua qab zib. Tom qab 2 teev, cov suab thaj nce siab rov ntsuas dua.
Koj tseem tuaj yeem paub txog lub xub ntiag ntawm hypo- lossis hyperglycemia hauv tsev. Rau lub hom phiaj no, siv ntaub nplaum.
Cov hau kev kub ntxhov ua kom cov piam thaj muaj zog
Yog tias cov piam thaj tsis qis dua, tom qab ntawd koj tuaj yeem tshem tawm cov mob no ntawm koj tus kheej. Hauv qhov no, koj yuav tsum tau noj qee cov carbohydrates nrawm lossis haus dej haus dej qabzib.
Tom qab ntawd, nws yog qhov tseem ceeb kom ntsuas tom qab 10 feeb. Yog tias nyob rau lub sijhawm no qib tsis nce, ces koj yuav tsum coj cov tshuaj qab zib me me lossis khoom noj thiab ua kev sim zaum ob.
Thaum muaj kev nce qib hauv cov piam thaj hauv qab, cov zaub mov uas muaj GI siab yuav tsum tau noj. Cov no suav nrog zib ntab, kua txiv qaub lossis kua txiv, ua kom qab zib, caramel thiab jam.
Txawm li cas los xij, txhawm rau nce cov concentration ntawm cov piam thaj sai sai, koj tsis tuaj yeem noj cov txiv hmab txiv ntoo, cov zaub mov carbohydrate qeeb, khoom qab zib, chocolate, khoom noj qab zib thiab dej qab zib. Nrog pluas mov tom ntej, nws kuj tsim nyog tau tos kom txog rau thaum tus mob zoo li qub.
Tab sis yog tias cov piam thaj qib tau poob ntau heev, ces koj yuav tsum hu rau lub tsheb tos neeg mob. Ua ntej nws tuaj txog, koj tuaj yeem muab cov tshuaj qab zib rau cov neeg mob haus, thiab hauv tsev kho mob nws yuav muab cov kua nplaum (40%). Thaum tsis nco qab, koj yuav tsum tsis txhob haus lossis pub tus neeg mob, vim tias nws muaj kev pheej hmoo uas nws txhawm chim lossis ua tsis taus pa. Nws yog ib qho tseem ceeb kom paub txog kev kho mob kub ceev rau tus mob ntshav qab zib tsis xeev yuav tsum yog dab tsi.
Ua ntej lub tsheb thauj neeg mob tuaj txog, nws raug nquahu kom pw ntawm tus neeg raug mob ntawm nws sab, khoov nws ob txhais ceg ntawm lub hauv caug. Qhov no yuav tsis ua rau lub qhov dej txhawm chim ntawm nws tus nplaig.
Yog tias koj muaj kev paub dhau los hauv tsev, tus neeg mob tau txhaj nrog 20 ml ntawm cov dej qabzib, glucagon lossis adrenaline (0.5 ml).
Kev kho noj haus
Khoom noj khoom haus muaj qhov cuam tshuam rau kev hloov pauv hauv cov ntshav qabzib hauv cov ntshav. Yog li, cov neeg mob uas muaj kev pheej hmoo ntawm kev loj hlob hyperglycemia yuav tsum sab laj nrog tus kws endocrinologist uas yuav sau ntawv noj zaub mov tshwj xeeb rau lawv.
Cov khoom noj tau xaiv raws ntau yam (mob heev, ntawm lub hnub nyoog, muaj cov kab mob concomitant). Txawm li cas los xij, muaj cov ntsiab cai dav dav uas txhua tus neeg tsis xav muaj teeb meem kev noj qab haus huv, suav nrog cov piam thaj hauv qab, yuav tsum ua raws.
Thawj txoj cai yog ib qho kev nce ntxiv ntawm qhov kev noj ntawm cov zaub mov carbohydrate maj mam zom. Cov khoom lag luam suav nrog tag nrho cov khoom ci, cov zaub thiab ntau yam uas muaj.
Hauv kev sim, kua txiv, khoom qab zib, zib ntab thiab ncuav qab zib yuav tsum tau noj. Thiab dej cawv, muffin, kua zaub nplua nuj, semolina, nplej zom los ntawm cov nplej mos, cov nqaij rog, cov txuj lom thiab cov nqaij uas haus luam yeeb yuav tsum tau tso tseg.
Nws yog ib qho tseem ceeb rau noj fractionally, noj zaub mov hauv qhov me me. Kev xaiv yuav tsum tau muab rau cov zaub mov muaj nplua nuj nyob hauv fiber (qos yaj ywm, taum pauv, pob kws). Cov zaub mov zoo li no ua rau kev nqus ntawm qab zib los ntawm cov carbohydrates txoj.
Lub luag haujlwm tseem ceeb ntawm cov zaub mov noj txhua hnub yuav tsum yog txiv hmab txiv ntoo. Tab sis nws yog qhov zoo dua rau tsis kam lees cov txiv hmab txiv ntoo uas muaj qab zib (txiv tsawb, txiv qab zib, txiv pos nphuab, txiv quav ntswv nyoos).
Lub luag haujlwm tseem ceeb hauv kev noj zaub mov tau muab rau cov protein, cov nyiaj uas yuav tsum yeej dhau ntawm carbohydrates. Qhov xaiv yog muab rau cov khoom noj ntawm cov nqaij thiab ntses, xws li nqaij luav, nqaij qaib, qaib cov txwv, nqaij nyuj, hake thiab menth. Koj tuaj yeem noj cov txiv ntoo thiab cov khoom noj muaj roj tsawg.
Ntawm no yog kwv yees noj cov zaub mov kom zoo txhua hnub, ua raws li uas koj tuaj yeem tiv thaiv kev txhim kho hyperglycemia:
- Pluas tshais - cov qe mos-hau, tsis muaj qab haus tshuaj yej, ib qho mov ci los ntawm cov hmoov nplej ua ke.
- Thawj cov khoom txom ncauj yog mis nyuj (1 iav) lossis txiv hmab txiv ntoo uas tsis qab zib.
- Noj su - zaub zaub xas lav thiab kua zaub ntawm cov nqaij ntses uas muaj roj tsawg tsawg lossis ua ntses cov ntses nrog zaub thiab tshuaj yej.
- Qhov khoom noj txom ncauj thib ob yog kua zaub ntsuab thiab 2 txiv hmab txiv ntoo tsis muaj qab zib lossis Walnut (txog li 50 g).
- Noj hmo - hau nqaij luav lossis nqaij qaib nrog zaub, tshuaj yej lossis nqaij.
- 2 teev ua ntej yuav mus pw, koj tuaj yeem haus 200 ml ntawm kefir (1%).
Cov yeeb yaj kiab hauv tsab xov xwm no nthuav tawm cov ntsiab lus ntawm GMpoglycemia hauv ntshav qab zib.
