Peb tau tham nrog Olga Demicheva, tus tswvcuab ntawm European Association rau Txoj kev tshawb fawb txog ntshav qab zib, tus kws kho mob endocrinologist nrog kev paub txog 30 xyoo, vim li cas cov ntshav qab zib tau ceeb toom ntawm kws kho mob yog ib qho tseem ceeb, kev phom sij uas nws cov txheeb ze uas xav tau kev pab, thiab cov lus nug nyuaj tshaj plaws ntawm cov neeg mob tuaj yeem ua. , thiab tus sau ntawm cov phau ntawv nrov ntawm cov kab mob ntawm cov kab mob endocrine.
Ntshav qab zib.org: Olga Yuryevna, koj puas tuaj yeem ua cov duab ntawm cov neeg mob nruab nrab uas mob ntshav qab zib?
Olga Demicheva: Ntshav qab zib mellitus tau dhau los ua ntau dua, cov neeg siv ntau zuj zus. Ua ntej tshaj plaws, tau kawg, qhov no siv rau T2DM, tab sis kuj tseem muaj qhov tshwm sim ntawm T1DM kuj tau nce. Qhov ntxim nyiam, mob ntshav qab zib, tsis zoo li lwm yam kab mob endocrine, tsis muaj nws tus kheej cov cwj pwm tshaj tawm, uas yog, ntsej muag. Cov no yog cov neeg sib txawv heev, sib txawv tsis sib xws. Yog li nws tau ua ntej thiab tseem nyob niaj hnub no. Vim li ntawd peb, kws kho mob, yuav tsum muaj kev paub txog tus mob ntshav qab zib thaum twg cov neeg mob tuaj cuag peb. Kev kuaj xyuas koj cov ntshav qab zib yog yooj yim, sai thiab pheej yig. Ntau yam teeb meem yuav zam tau yog tias mob ntshav qab zib "ntes tau" hauv qhib, ua ntej muaj teeb meem tshwm sim. Tam sim no nws to taub tsis yog los ntawm kws kho mob nkaus xwb, tab sis kuj yog cov neeg mob. Yog li, ntawm kev txais tos feem ntau muaj cov tib neeg uas tau kuaj xyuas cov ntshav cov ntshav qab zib thiab pom tau tias nws yog siab dua cov txiaj ntsig ib txwm muaj.
Ntshav qab zib.org: Puas muaj qhov sib txawv hauv txoj kev DM 2 tshwm sim hauv cov txiv neej thiab poj niam?
O.D .: Tsis muaj qhov sib txawv ntawm txoj kev mob ntshav qab zib hauv cov tub thiab ntxhais, txiv neej thiab poj niam. Tab sis muaj cov nta uas yuav tsum txiav txim siab. Piv txwv li, kev hloov pauv hauv cov ntshav hauv qab zib muaj feem cuam tshuam rau lub cev ntas rau poj niam thaum muaj hnub nyoog yug menyuam. Los yog, piv txwv, qhov kev pheej hmoo ntawm kev ua erectile kawg rau cov txiv neej uas tswj tsis tau ntshav qab zib kom tsawg. Tsis tas li ntawd, muaj mob ntshav qab zib, uas tshwm sim rau cov poj niam nkaus xwb. Puas yog mob ntshav qab zib lossis muaj ntshav qab zib hauv lub cev xeeb tub. Los ntawm txoj kev, nws kuj dhau los ua ntau dua ua ntej. Tej zaum qhov no yog vim muaj kev kho mob nkeeg thiab kev ua kom paub tseeb ntawm tus mob no, thiab tejzaum nws nrog kev rog dhau thiab nce ntxiv hauv lub hnub nyoog ntawm cov poj niam cev xeeb tub.
Ntshav qab zib.org: Olga Yurievna, Koj tau ua haujlwm li endocrinologist tau ntau xyoo, uas cov neeg mob koj yog qhov tshwj xeeb nyuaj nrog thiab vim li cas?
O.D .: Nws tsis yog qhov nyuaj rau kuv los ua haujlwm nrog cov neeg mob. Nws yog qee zaum nyuaj nrog lawv cov txheeb ze. Hyperopec ntawm niam txiv lossis tus txij nkawm muaj kev hlub tuaj yeem ua txhaum tus neeg mob txoj kev mob siab ua raws li cov lus pom zoo ntawm kev kho mob thiab kev ua neej, ua rau nws xav ua phem rau tus kws kho mob lub sijhawm teem, hloov tswj nws tus kheej rau nws tus mob. Qhov no ua rau nws tsis yooj yim kom ua tiav txoj hauv kev kho mob.
Ntshav qab zib.org: Hauv koj lub tswv yim, txoj kev pab txhawb dab tsi, xav tau rau cov niam txiv ntawm cov menyuam muaj ntshav qab zib 1 thiab cov menyuam lawv tus kheej uas lub siab tawv dhau qhov xav tau los saib xyuas lawv cov piam thaj tas li?
O.D .: Thaum tus menyuam muaj ntshav qab zib, nws tseem ceeb heev kom tsis txhob ua qhov xwm txheej no rau hauv tsev neeg kev sib cav. Mob ntshav qab zib, koj tam sim no tuaj yeem muaj kev zoo siab tom qab, yuav luag tib lub neej zoo li lwm tus neeg. Tswj kab mob ntshav qab zib hauv peb lub caij nyoog tau yooj yim dua li ob peb xyoos dhau los. Glucometers tshwm sim, lub ntsuas ntawm uas yog glued rau daim tawv nqaij thiab hauv 2 lub lis piam koj tuaj yeem nyeem cov ntsuas los ntawm nws siv lub xov tooj ntawm smartphone txhua lub sijhawm; tom qab ntawd tus cwj pwm tshiab yuav lo rau 2 lub lim tiam thiab ntxiv mus.
Ntshav qab zib.org: Yuav ua li cas yog tus me nyuam muaj ntshav qab zib 1 tsis xav mus kawm rau qib kindergarten? Puas muaj kev siv algorithm rau cuam tshuam nrog txoj kev kawm?
O.D .: Cov menyuam muaj ntshav qab zib hom 1 yuav tsum raug cia nyob hauv chaw zov menyuam, tsev kawm ntawv, thiab kislas kislas. Tsis pub muaj kev ntxub ntxaug. Yog tias qhov kev tsocai ntawm cov taub hau ntawm cov menyuam yaus lub tsev pabcuam tso cai dhau txoj cai, koj yuav tsum hu rau Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv lossis Kev Kawm; Koj kuj tuaj yeem thov kev pab hauv ib cheeb tsam zej zog ntawm cov neeg muaj ntshav qab zib.
Ntshav qab zib.org: Yuav ua li cas pab cov menyuam muaj ntshav qab zib hom 1 hloov tau hauv tsev kawm ntawv? Koj xav kom koj niam koj txiv ua dab tsi?
O.D .: Cov niam txiv yuav tsum rov ua lawv tus menyuam li cov cai lawv kawm hauv Tsev Kawm Ntawv Ntshav Qab Zib: tsis txhob yoo tshaib; xav txog cov nyiaj carbohydrates noj ua ntej txhaj cov tshuaj insulin luv luv; txo qhov koob tshuaj ntawm insulin thiab noj sijhawm nrog kev tawm dag zog. Qhov loj tshaj plaws yog kom tsis txhob txaj muag txog koj cov ntshav qab zib. Qhia rau cov kws qhia ntawv thiab cov tub kawm paub txog nws, txhawm rau tuaj pab tam sim yog tsim nyog. Yog lawm, cov menyuam hauv chav kawm yuav tsum raug qhia: "Koj tus phooj ywg Vanya muaj ntshav qab zib. Koj yuav tsum paub tias yog tias Vanya nco dheev tsis xis nyob, koj yuav tsum tau muab kua txiv qab zib rau nws thiab hu nrhiav kev pab ntawm cov neeg laus." Lub peev xwm los saib xyuas ib tug neeg tsim muaj lub siab thiab lub luag haujlwm hauv cov menyuam yaus, thiab tus menyuam muaj ntshav qab zib yuav muaj kev tiv thaiv.
Ntshav qab zib.org: Vim tias txoj haujlwm tshaj lij, koj nquag nug txog qee yam - cov neeg mob, cov nyeem koj cov ntawv, cov tub ntxhais kawm ntawm Tsev Kawm Ntawv Mob Ntshav Qab Zib. Qhov twg ntawm cov lus nug uas cov neeg mob nug koj tau muab coj los ua qhov nyuaj tshaj?
O.D .: Cov lus nug nyuaj tshaj plaws rau kuv yog cov lus nug txog kev muab tshuaj: "vim li cas tsis muab tshuaj insulin?"; "Vim li cas kuv cov tshuaj li niaj zaus hloov nrog cov tshuaj feem ntau?" Cov no yog cov lus nug uas yuav tsum tau hais rau cov kws kho mob, tsis yog rau koj tus kws kho mob. Tab sis yuav piav qhia li cas rau cov neeg no uas ib txwm mus ntsib kws kho mob kom pab thiab daws teeb meem kev noj qab haus huv? Yog li kuv tab tom nrhiav kev daws teeb meem: Kuv kawm txog txoj cai, Kuv tig rau cov tub ceev xwm. Qhov no tej zaum tsis ncaj ncees lawm, tab sis kuv tsis tuaj yeem ua lwm yam.
Ntshav qab zib.org: Thiab Qhov twg yog qhov lom zem dua?
O.D .: Thaum kuv pib ua haujlwm ua kws kho mob, Kuv tau coj kev sab laj tom qab ua haujlwm tseem ceeb hauv chav saib xyuas mob sab nrauv ntawm peb lub tsev kho mob. Ib tug neeg mob tau nug kuv tias: "Tus kws kho mob, koj them nqi dabtsi?" Kuv tau txais kev xav tsis thoob li cas tus neeg txawv no paub txog qhov yug ntawm kuv tus dev. Zoo, Kuv teb tias: "Dub thiab tan txiv neej." Thiab nws saib kuv nrog lub ntsej muag puag ncig, tsis nkag siab kuv txhais li cas. Nws hloov tawm kuv xav tias kuv tau noj tus nqi sib tham.
Ntshav qab zib.org: Cov kev to taub tsis zoo uas koj tau daws nrog?
O.D .: Oh, muaj ntau yam kev tsis nkag siab! Qee tus neeg muaj kev cia siab tias ntshav qab zib pib muaj los ntawm kev noj qab zib. Qee tus neeg xav tias tswj cov tshuaj insulin yog qhov ua rau raug lub txim tuag. Ib tug neeg muaj kev cia siab tias muaj ntshav qab zib, koj yuav tsum noj tsuas yog buckwheat porridge. Txhua yam no, yog lawm, tsis muaj tseeb. Hauv kuv phau ntawv txog ntshav qab zib, tag nrho tshooj yog mob siab rau cov ncauj lus no.
Ntshav qab zib.org: Hais txog cov phau ntawv! Olga Yuryevna, thov qhia peb tias dab tsi ua rau koj pib sau ntawv thiab phau ntawv rau cov neeg zoo tib yam, tsis yog cov npoj yaig kho mob?
O.D .: Cov neeg zoo tib yam yog peb cov neeg mob thiab lawv cov neeg uas lawv hlub. Nws yog rau lawv kom peb, kws kho mob, ua haujlwm thiab kawm tag peb lub neej. Nws yog qhov tsim nyog tiag tiag los tham nrog cov neeg mob, teb lawv cov lus nug, qhia lawv, thiab qhia. Cov neeg sai sai hnov qab qee cov lus qhia thiab lus qhia los ntawm cov kws kho mob. Tab sis thaum cov lus qhia no tau sau rau hauv ib phau ntawv, lawv yuav ib txwm nyob ntawm tes.
Ntshav qab zib.org: Koj puas npaj sau ib yam dab tsi rau cov menyuam mloog?
O.D .: Rau cov menyuam yaus, Kuv npau suav ib hnub los sau ib zaj dab neeg hauv cov paj huam txog hom ntshav qab zib hom 1. Yuav ua li cas nyob nrog tus kab mob no kom raug thiab xis nyob. Muaj cov phau ntawv qhia comic. Nrog cov duab thiab yooj yim cov lus sib dhos. Muaj ib hnub, yog lub sijhawm tsocai ...
Ntshav qab zib.org: Hauv koj phau ntawv tshiab, koj tham txog "kev ua kom muaj caj ces" los ntawm cov poj koob yawm txwv ua rau kev muaj mob hyperinsulinism thiab insulin tsis kam. Koj yuav muab tus kheej pov tseg li cas?
O.D .: Kuv tswj hwm qhov "khoom plig" txhua txhua hnub: Kuv sim txav ntau dua thiab tsis ntau tshaj. Txwv tsis pub, lub txiaj ntsig no, muab zais rau hauv kuv cov noob, yuav tawg thiab yuav ua rau txhua tus pom. Nws lub npe yog rog.
Ntshav qab zib.org: Koj tus kheej qhia dabtsi hauv Tsev Kawm Ntawv Mob Ntshav Qab Zib koj qhia? Leejtwg thiaj tuaj kawm tau lub Tsev Kawm Ntawv no?
O.D .: Kev kawm cov neeg mob tsis zoo, ib yam li txhua yam kev kawm, ib txwm ua ob txoj hauv kev. Tsis yog menyuam kawm ntawv kawm xwb, tab sis kuj yog tus kws qhia. Nrog rau kuv cov neeg mob ntawm Wessel Clinics, Kuv ua haujlwm rau Tsev Kawm Ntawv ntawm Cov Mob Ntshav Qab Zib, Tiroshkoly, thiab Tsev Kawm Ntawv ntawm Kev Tawm Kev rog. Los ua kuv cov tub ntxhais kawm, tsuas yog ua kom kuv lub siab ntev txaus.
