Yog tias koj muaj ntshav qab zib, nws tsis muaj teeb meem nws yog hom twg, nws tsim nyog khaws cia chaw khaws cia uas yuav pab koj thiab koj tus kws kho mob xaiv qhov kev kho mob kom zoo thiab noj zaub mov noj thiab tswj ntshav qab zib kom tswj tau. Cov lus qhia ntxaws ntxaws los ntawm peb cov kws paub txog endocrinologist Olga Pavlova mus tas li.
Tus kws kho mob endocrinologist, kws kho mob ntshav qab zib, tus kws noj zaub mov noj zaub mov, kws qhia noj haus kev ua kis las Olga Mikhailovna Pavlova
Kawm tiav los ntawm Novosibirsk State Medical University (NSMU) nrog kev kawm tiav qib General tshuaj nrog kev hwm
Nws kawm tiav nrog kev hwm los ntawm chaw nyob hauv endocrinology ntawm NSMU
Nws kawm tiav nrog kev qhuas los ntawm Tshwj Xeeb Dietology ntawm NSMU.
Nws dhau mus ua haujlwm kev saib xyuas yav dhau los hauv Kev Ua Si Dietology ntawm Lub Tsev Kawm Txuj Ci Dag Zog thiab Kev Ua Si ntawm Lub Cev hauv Moscow.
Kis dhau kev kawm kev cob qhia rau lub hlwb ntawm kev hnyav dhau.
Vim li cas kuv thiaj xav tau lub chaw muag mis nyuj muaj piam thaj?
Feem ntau, cov neeg mob ntshav qab zib tsis muaj qhov chaw mos ua qab zib. Rau cov lus nug: "Vim li cas koj thiaj tsis sau cov piam thaj?", Ib tug neeg teb: "Kuv twb nco txhua yam," thiab ib tug neeg: "Vim li cas sau, Kuv tsis tshua ntsuas lawv, thiab feem ntau lawv zoo." Ntxiv mus, "feem ntau cov suab thaj zoo" rau cov neeg mob yog ob qho tib si 5–6 thiab 11 mm12 mmol / l cov dej qab zib - "Zoo, Kuv tsoo nws, nrog leej twg nws tsis tshwm sim". Alas, ntau tsis to taub tias kev noj zaub mov tsis xwm yeem thiab qab zib nce siab tshaj 10 mmol / l ua rau cov phab ntsa ntawm cov hlab ntsha thiab cov leeg ntshav thiab ua rau muaj ntshav qab zib tsis txaus.
Txhawm rau kom ntev li ntev tau ntawm kev saib xyuas cov hlab ntsha thiab cov leeg ntshav qab zib hauv ntshav qab zib, TXHUA cov suab thaj yuav tsum zoo li qub - ua ntej noj mov thiab tom qab - TXHUA HNUB. Cov piam thaj zoo tshaj yog los ntawm 5 txog 8-9 mmol / l. Cov suab thaj zoo - txij li 5 txog 10 mmol / l (Cov no yog cov lej peb qhia raws li lub hom phiaj ntawm cov ntshav qab zib rau feem ntau cov neeg mob ntshav qab zib).
Thaum peb xav txog glycated hemoglobin, koj yuav tsum nkag siab tias yog, nws tiag tiag yuav qhia peb qab zib hauv 3 lub hlis. Tab sis dab tsi tseem ceeb yuav tsum nco ntsoov?
Glycated hemoglobin muab cov ntaub ntawv hais txog theem nrab Cov suab thaj hauv 3 lub hlis dhau los, tsis tas muab cov ntaub ntawv hais txog cov kev hloov pauv ntawm cov suab thaj. Ntawd yog, glycated hemoglobin yuav yog 6.5% ob qho tib si hauv tus neeg mob uas muaj suab thaj 5-6-7-8-9 mmol / l (them rau mob ntshav qab zib) thiab hauv tus neeg mob uas muaj suab thaj 3-5-15-2-18-5 mmol / l (decompensated ntshav qab zib) .Yog li cas, tus neeg muaj suab thaj dhia ntawm ob sab - tom qab ntawv ntshav qab zib, tom qab ntawd cov ntshav qab zib siab, kuj tseem tuaj yeem muaj glycated hemoglobin zoo, raws li kev xav nruab nrab ntawm qab zib rau 3 lub hlis yog qhov zoo.
Yog li, ntxiv rau kev soj ntsuam ib txwm, cov neeg mob ntshav qab zib yuav tsum khaws cov zaub mov qab zib txhua hnub. Nws yog tom qab ntawm qhov txais tos uas peb tuaj yeem soj ntsuam qhov tseeb ntawm daim duab carbohydrate metabolism thiab kho qhov kev kho kom zoo.
Yog tias peb tham txog cov neeg mob uas tau txiav txim, ces cov neeg mob zoo li no khaws cia cov ntawv qab zib rau lub neej, thiab thaum lub sijhawm kho kho lawv kuj tseem khaws cia chaw muag zaub mov (xav txog ntau npaum li cas cov zaub mov ntawm lub sijhawm hnub lawv noj, xav txog XE), thiab thaum txais tos peb txheeb xyuas ob daim phiv noom thiab suab thaj. , thiab khoom noj khoom haus.
Cov neeg mob muaj lub luag haujlwm nrawm dua li lwm tus los them rau cov ntshav qab zib, thiab nws yog nrog cov neeg mob ntawd nws yog ua tau kom ua tiav cov suab thaj zoo.
Cov neeg mob khaws cia qhov chaw muag mis nyuj uas muaj suab thaj txhua hnub, thiab qhov no yooj yim rau lawv tus kheej - kev qhuab qhia, thiab peb tsis siv sijhawm los noj suab thaj.
Yuav ua li cas kom muaj suab thaj chaw mos?
Cov ntsuas uas peb xav txog nyob rau hauv cov xov xwm qab zib:
- Hnub uas tau tshuaj ntsuas glycemia. (Peb ntsuas cov suab thaj txhua hnub, yog li ntawd hauv cov ntawv sib tw muaj ntau 31-nplooj kis, rau 31 hnub, uas yog, rau ib hlis).
- Lub sijhawm ntsuas ntsuas cov ntshav qab zib yog ua ntej lossis tom qab noj mov.
- Tshuaj Ntshav Qab Zib (Feem ntau muaj ib qho chaw hauv cov lus teev cia rau kev sau cia. Hauv qee qhov sau cia, peb sau kev kho nyob rau sab saum toj lossis hauv qab ntawm nplooj ntawv, hauv qee qhov nyob rau sab laug ntawm kev kis - qab zib, ntawm sab xis - kev kho mob).
Koj ntsuas ntsuas qab zib npaum li cas?
Nrog ntshav qab zib hom 1 peb ntsuas ntshav qab zib tsawg kawg 4 zaug nyob rau ib hnub - ua ntej noj mov tseem ceeb (noj tshais, noj su, noj hmo) thiab ua ntej yuav mus pw.
Nrog ntshav qab zib hom 2 peb ntsuas ntshav qab zib tsawg kawg yog 1 zaug hauv ib hnub txhua hnub (nyob rau lub sijhawm sib txawv ntawm ib hnub), thiab tsawg kawg 1 zaug hauv ib asthiv, peb npaj ib qhov glycemic profile - ntsuas qab zib 6 - 8 zaug hauv ib hnub (ua ntej thiab 2 teev tom qab noj mov tseem ceeb), ua ntej mus pw thiab thaum tsaus ntuj.
Thaum cev xeeb tub Cov lus qhia tau ntsuas ua ntej, ib teev thiab 2 teev tom qab noj mov.
Nrog rau kev kho kho peb ntsuas cov piam thaj ntau: ua ntej thiab 2 teev tom qab noj mov tseem ceeb, ua ntej yuav mus pw thiab ntau zaus thaum tsaus ntuj.
Thaum kho kho kev kho mob, ntxiv rau phau ntawv sau cov piam thaj, koj yuav tsum khaws cov ntawv qhia zaub mov noj (sau yam peb noj, thaum twg, ntau npaum li cas thiab suav cov XE).
Yog li leej twg tsis muaj chaw sau cia - pib sau! Yuav tsum rhais ib kauj ruam rau kev noj qab haus huv!
Kev noj qab haus huv, kev zoo nkauj thiab kev zoo siab rau koj!
