Hauv cov neeg muaj kev noj qab haus huv, lub cev nws tus kheej tswj hwm kev ntsuas cov piam thaj - qhov tseem ceeb ntawm lub zog. Yog hais tias muaj qhov ua kom tsawg hauv cov ntshav qab zib, tom qab ntawd lub hlwb pib pib tshaib plab, uas ua rau lawv tuag. Cov tsos mob ntawm tus mob ntshav qab zib (tsis muaj qabzib hauv cov ntshav) ib txwm hais, thiab nws yog qhov yooj yim kom paub txog lawv. Vim li cas thiaj muaj tus mob no tshwm sim, thiab yuav ua li cas kom zam dhau nws? Yuav tiv thaiv kab mob pathology thiab tiv thaiv kom tsis txhob muaj lwm qhov teeb meem li cas?
Vim li cas cov piam thaj hauv ntshav yuav poob rau hauv cov neeg muaj kev noj qab haus huv thiab cov ntshav qab zib
Rau cov ntshav qab zib, lub luag haujlwm tseem ceeb yog tswj cov piam thaj li ib txwm, tiv thaiv nws cov ntse nce. Tab sis tsis muaj tsawg phom sij yog poob ntawm qab zib.
Tseem Ceeb: Kev Hypoglycemia - los ntawm cov tsos mob mus rau kev pabcuam ua ntej
Mob ntshav qab zib thiab siab surges yuav yog ib yam dhau los
- Li qub ntawm qab zib -95%
- Kev tshem tawm ntawm cov hlab ntsha thrombosis - 70%
- Ntaus tau ntawm lub plawv dhia muaj zog -90%
- Kev tshem tawm ntshav siab - 92%
- Qhov nce hauv lub zog nruab hnub, txhim kho pw tsaug zog thaum hmo ntuj -97%
Muab ib tug mob zoo sib xws tuaj yeem:
- noj cov teeb carbohydrates;
- noj tshuaj tsis raug ntshav qab zib kom tsawg;
- haus dej haus cawv tsis muaj zaub mov (cawv txwv tsis pub cov piam thaj hauv cov ntshav qab zib);
- xaiv cov khoom noj tsis raug cai thiab tsis ua raws li qhov ntim ntawm qhov ua haujlwm;
- kev qhia txog cov tshuaj insulin hauv kev siv tshuaj tsis yog lawm;
- ua haujlwm dhau rau lub cev ntshav qab zib.
Kev mob ntshav qab zib nyob hauv tus neeg noj qab haus huv tuaj yeem tshwm sim nrog:
- noj cov tshuaj tshwj xeeb, piv txwv li, txo cov tshuaj muaj piam thaj yam tsis tau nrog ib tus kws kho mob tshwj xeeb;
- cov kab mob ntawm cov khoom hauv nruab nrog;
- haus ntau cawv;
- tom qab noj cov zaub mov nruj;
- lub sijhawm ntev nruab nrab ntawm cov pluas noj / tsis muaj khoom noj txom ncauj;
- lub teeb ua kom muaj cov carbohydrate;
- ua haujlwm lub cev hnyav;
- txoj kev ntxhov siab, kev xav tob;
- waking tom qab ib hmos pw, raws li muaj tsis muaj noj zaub mov kom ntev.
Muaj qee zaus, cia li muaj cov piam thaj tuaj yeem tshwm sim los ntawm kev txhim kho ntawm cov qog ntshav hauv cov txiav. Raws li qhov no, cov nqi ntawm insulin ua rau lub hlwb thiab tus nqi ntawm cov insulin nce tsis tuaj yeem tswj tau. Tsis tas li, ib qho kev txo qis hauv qab zib tuaj yeem tshwm sim los ntawm lwm qhov mob hlwb (feem ntau malignant) uas ua rau muaj kev nce ntxiv hauv cov tshuaj insulin.
Tsis tshua muaj neeg pom txog qib ntshav qis nyob rau kev txhim kho kab mob autoimmune. Hauv qhov no, lub cev pib tsim cov tshuaj tiv thaiv rau cov tshuaj insulin, ua rau poob qis lossis nce siab hauv qhov ntau ntawm cov tshuaj no. Yuav txo cov piam thaj nyob hauv cov neeg mob uas lub raum lossis lub plawv tsis ua haujlwm (mob ntsws, mob siab, kis mob - yog ib qho ua rau cov ntshav qab zib tsawg).
Cov tsos mob ntawm txoj kev poob zoo hauv qab zib
Txhawm rau kom tsis txhob muaj teeb meem phom sij ntawm hypoglycemia, nws yog ib qho tseem ceeb kom paub cov tsos mob zoo li cas nrog kev poob qab zib hauv qab.
Kws tshwj xeeb thaum lub sij hawm pathology tau muab faib ua:
- Lub ntsws uas cov nqi hauv qab zib poob qis dua 3.5 mmol / L.
- Qhov nruab nrab, nrog qhov ntsuas qis rau 3 thiab qis dua cov ntsuas.
- Yam hnyav, tus yam ntxwv ua yog poob rau hauv qab zib hauv qab 1.9 mmol / L.
Nrog cov me me ntawm hypoglycemia, tus raug tsim txom:
- irresistible ua tsis taus pa;
- nce hws;
- tsaus muag me ntsis;
- kev tshaib kev nqhis
- kev hnov ua ntej ntuav;
- gagging;
- Ntxhov siab vim
- kev nyuaj siab lub xeev;
- palpitations
- loog ntawm nqua;
- pom kev tsis zoo;
- tingling daim di ncauj.
Hauv cov xwm txheej zoo li no, nws txaus rau tus neeg noj qab nyob zoo noj mov lossis haus tej yam qab zib. Ntawm ntshav qab zib, ib tug neeg mob uas muaj cov tsos mob zoo sib xws yuav tsum ntsuas ntsuas ntshav qab zib sai sai. Yog tias muaj ib nrab ntawm cov ntshav qab zib tsawg, tom qab ntawd cov tsos mob no tshwm sim:
- kev tshee
- kev chim siab;
- tsis hnov qab ntawm kev saib xyuas;
- lub cev ntswj;
- tsis nco qab zoo;
- hais lus phem;
- hloov gait;
- dav dav malaise;
- tsis muaj zog txaus;
- kev tswj tsis tau.
Hauv lub xeev no, kev tswj hwm ntawm cov tshuaj muaj piam thaj kom nres sai li sai tau thiab ua tib zoo saib xyuas cov piam thaj hauv qab.
Hauv kev mob ntshav siab ntau, cov hauv qab no raug pom hauv cov neeg raug tsim txom:
- tawm tsam muaj kev tawm tsam;
- ntog rau hauv lub ntsej muag tsis nco qab;
- tus cwj nrag;
- poob hauv lub cev kub - ntsuas kub tsawg hauv ntshav qab zib.
Yog hais tias qhov tshwm sim no mob siab rau lub sijhawm ntev, tom qab ntawd lub txim yuav yog feem ntau txaus ntshai, txawm hais tias ua neeg tuag taus. Lub paj hlwb thiab cov hlab plawv muaj kev cuam tshuam, kev ua haujlwm ntawm cov nruab nrog sab hauv cuam tshuam. Tab sis qee zaum cov cim ntawm qhov muag poob hauv qab zib tseem tsis pom. Qhov no tshwm sim thaum noj beta blockers.
Qhov ua rau muaj suab thaj tsawg tom qab noj mov hauv cov neeg mob ntshav qab zib nrog hom 1 thiab 2 tej zaum yuav yog siv cov tshuaj uas ua rau kom muaj suab thaj tsawg dua. Thaum cov ntshav qab zib kav ntev dua 15 xyoos, qhov tshwm sim ntawm cov ntshav qog ntshav qab zib tsawg zuj zus. Ntawm no nws yog qhov tseem ceeb rau ntsuas ntsuas qhov ntsuas txhua hnub thiab raug saib xyuas los ntawm tus kws kho mob endocrinologist kom thiaj li kho tau cov tshuaj insulin ntau dua.
Yog tias tus me nyuam muaj suab thaj, tom qab ntawd nws yuav rov mob dua li cov kab mob pathology, thiab thawj cov tsos mob ntawm malaise yuav tshwm sim yog tias qhov ntsuas pib poob qis mus rau 3.3 mmol / L. Hauv cov neeg laus, qhov teeb meem hnov tau zoo thaum qabzib poob mus rau 3.7 mmol / L.
Dab tsi yog qhov txaus ntshai ntawm tus mob hypoglycemic?
Cov piam thaj hauv ntshav yuav tsum tsis pub dhau ib qho txwv, txwv tsis pub muaj teeb meem kev noj qab haus huv yuav zam tsis dhau. Kev mob ntshav qab zib yog ib qho txaus ntshai rau lub hlwb. Qhov no yog lub ntsiab ntawm cov hlab ntsha hauv lub cev, uas yog qhov nyuaj heev hauv cov qauv. Ntawm qhov kev poob qis me ntsis hauv nws txoj haujlwm muaj ntau yam teebmeem nrog lwm yam kabmob thiab tshuab.
Ua tsaug rau cov ntshav, cov as-ham thiab cov pa nkag rau cov neurons. Cov kua nplaum tuaj yeem xa mus rau lub hlwb hlwb tsis muaj cov tshuaj insulin. Yog li, nws tsis muaj teeb meem npaum li cas ntawm cov tshuaj no hauv lub cev - cov ntshav tseem yuav xa tag nrho cov ntsiab lus tsim nyog rau cov neurons. Nrog cov ntshav qog ntshav qab zib, cov piam thaj kom txaus tsis nkag mus rau hauv lub hlwb, cov hlwb pib tshaib plab. Tom qab ob peb feeb ntawm qhov mob pathological, ib tug neeg hnov nws cov cim ntawm nws tus kheej: qhov muag plooj, tingling daim di ncauj, tawm hws, palpitations.
Qhov yuav tshwm sim muaj kev phom sij tshaj plaws nyob rau hauv qabzib cov ntshav yog ntshav tsis qab zib. Nws tuaj yeem txhim kho thaum qhov ntsuas pib poob qis dua 2.2 mmol / L. Tsis tas li, tus neeg mob lub pathological tuaj yeem ua ke nrog lub cev nqaij daim tawv, txoj kev tuag ntawm nws qhov chaw, kev mob ntshav hauv cov nqaij thiab cov qauv.
Cov kws tshwj xeeb txheeb xyuas ob pawg ua tau muaj teeb meem ntawm cov ntshav qog ntshav qab zib:
- Cov neeg nyob ze tshaj plaws tsim nyob rau thawj thawj teev ntawm lub xeev hypoglycemic: myocardial infarction, mob stroke, nqaj tuag tes tuag taw, strabismus, kev hais lus tsis meej, hemiparesis, nce nqaij leeg hauv cov ceg tawv.
- Tsis tshua muaj, tab tom tsim qee lub sijhawm tom qab mob ntshav qab zib ntau. Cov no suav nrog kev sib ntau ntawm kev mob vwm, mob caj pas, mob leeg hlwb.
Yuav ua li cas yog tias cov ntshav qab zib poob qis
Yog tias cov ntshav qab zib tsis muaj ntshav qab zib kom tsawg mus rau mob hnyav, ces 1-2 daim suab thaj los yog 2-3 dia zib ntab yuav pab daws qhov teeb meem no. Los ntawm cov dej qab zib koj tuaj yeem haus dej qab zib lossis kua txiv hmab txiv ntoo nrog pulp. Tsis tas li ntawd, cov kws tshaj lij qhia koj kom siv:
- 1-2 caramels;
- khub ntawm chocolate Square;
- txiv tsawb;
- qhuav apricots;
- figs;
- prunes.
Tab sis kev noj zaub mov tsis raug cais nrog lub ntsej muag muaj qabzib ntau yog tsis tsim nyog. Piv txwv, yog tias muaj cov rog hauv cov zaub mov ntau, ces nws yuav cuam tshuam nrog cov piam thaj hauv siab, vim qhov ntawd nws yuav tsis muaj peev xwm daws tau qhov teeb meem sai sai. Ntawm thawj cov cim ntawm kev tawm tsam hypoglycemic, tsis nrog ploj mus ntawm kev nco qab, koj yuav tsum paub yuav ua li cas pab tau tus neeg raug mob.
Koj yuav tsum coj zoo li qhov no:
- cog los yog pw tus neeg mob kom nws xis nyob;
- muab cov dej qab zib rau haus lossis muab ib qho ua kom qab zib;
- tawm ntawm tus neeg mob mus ib leeg kom txog thaum tus mob zoo tuaj.
Thaum cov piam thaj tso rau hauv cov ntshav qab zib thiab cov mob yog soj ntsuam mob hnyav, lub tsheb thauj neeg mob yuav tsum tau hu. Cov kws tshaj lij yuav tsum tau txhaj cov kua nplaum los txhim kho kev suav cov ntshav. Yog tias, tom qab ib nrab teev tom qab ntsuas qhov ntsuas ntshav qabzib, tus neeg mob tsis zoo, nws yuav tau coj mus rau tsev kho mob. Nyob ntawd, lawv yuav tswj cov piam thaj hauv ob lub cev kom txog thaum lawv mloog li ib txwm.
Yog tias cov piam thaj dheev poob, feem ntau ntawm cov kws kho mob pom zoo kom noj cov piam thaj. Lawv lub Cheebtsam tau nqus rau hauv cov ntshav khov thiab pib ua haujlwm tam sim ntawd. Yog li ntawd, lub cev tsis tas yuav siv sijhawm los zom cov zaub mov kom tau txais lub zog ntawm lub zog. Yog tias cov piam thaj poob qis, 1 g ntawm cov tshuaj muaj peev xwm ua rau nce qhov kev ua tau zoo yog 0.28 mmol / L. Nrog rau qhov kev daws teeb meem hypoglycemic, qhov no zoo tshaj plaws rau qhov teeb meem.
Lwm txoj kev kho mob
Hauv chav kawm ntawm kev kho, cov kws tshaj lij qhia kev siv cov qauv ib txwm ntawm kev kho mob siv cov nroj tsuag tshuaj. Lawv pab kho cov txheej txheem metabolic thiab rov qab ua kom cov suab thaj hauv cov ntshav qab zib thiab cov neeg noj qab nyob zoo. Ib tsob nroj siv tau zoo yog lingonberry, St. John lub wort, sawv duav, plantain, qej (nws pom zoo kom noj nws tshiab).
Kev siv tau zoo nkauj thiab tinctures yog tsim los ntawm cov nroj tsuag, uas ua rau lub cev ua kom rov zoo li cas nyob rau lub sijhawm luv. Koj tuaj yeem siv daim ntawv qhia no: 1 diav loj ntawm lub duav rose yog infused rau 2 khob dej rhaub, lim thiab haus cawv ib nrab khob ib hnub ob zaug.
Ntxiv rau, kev noj haus muaj qhov ua tau zoo rau tus neeg mob tus mob. Tus neeg mob ntshav qab zib xav paub txog cov khoom noj twg uas yuav tsum tau ua rau hauv pluas noj, thiab qhov twg yuav tsum zam:
- Cov khoom tseem ceeb. Kev noj haus ntawm cov ntshav qab zib yuav tsum muaj: cucumbers, txiv lws suav, zaub qhwv, zucchini, nqaij nruab deg, mov ci thoob, cov nqaij rog uas tsis muaj roj, qab zib-mis haus, txiv ntoo, thiab legumes.
- Txwv tsis pub noj mov. Khoom qab zib, txiv tsawb, txiv quav ntswv, dej qab zib uas muaj caffeine, haus cawv tsis tau txais los ntawm cov ntawv qhia zaub mov qab zib - cov npe txwv tsis pub rau cov neeg mob ntshav qab zib.
Kev tiv thaiv ntawm ib qho kev poob hauv cov ntshav qabzib
Txhawm rau tiv thaiv txoj kev poob hauv cov ntshav qab zib, cov ntshav qab zib xav kom:
- kho cov khoom noj thiab ntxiv cov zaub mov uas yuav nqus tau ntev dua;
- noj hauv qee qhov me me, tsawg kawg 5 zaug hauv ib hnub;
- yog tias cov tsos mob ntawm hypoglycemia tshwm sim thaum tsaus ntuj, tom qab ntawd tsaus ntuj nws pom zoo kom noj cov khoom noj uas nqus ntev dua;
- nrog cov tshuaj insulin, nws yog ib qho tsim nyog yuav tau kho qhov tsuas tshuaj kom tsis txhob muaj cov piam thaj hauv qab zib.
Yog tias hypoglycemia tshwm sim hauv tus neeg noj qab haus huv, nws yog qhov tsim nyog los nrhiav qhov ua rau nws tshwm sim. Tej zaum koj yuav tsum rov qab xav dua txog koj kev noj haus thiab kev ua neej, tshem tawm kev siv dej cawv, ntxiv rau cov zaub mov nrog rau cov khoom noj cog. Yog tias nws tsis tuaj yeem nrhiav qhov tseeb ntawm tus kheej, nws yog qhov zoo dua rau sab laj tus kws kho mob.
Yog tias cov piam thaj hauv qab zib tau pom nyob hauv tus poj niam cev xeeb tub, tom qab ntawd nws yuav tsum ua raws li qee yam kev noj haus txhawm rau kom tsis txhob muaj qhov tsis zoo rau lub cev. Khoom noj khoom haus yuav tsum yog fractional thiab muaj txiaj ntsig zoo li sai tau.
Cov kws tshwj xeeb pom zoo cov neeg mob li no:
- tsis tu ncua haus cov kev tiv thaiv carbohydrates: cereals, zaub;
- suav nrog cov txiv ntoo hauv cov khoom noj txhua hnub, suav nrog cov txiv hmab txiv ntoo hauv lub cev;
- noj cov protein ua ib feem ntawm cov nqaij ntshiv liab;
- haus cov khoom noj siv mis (cheese, yogurt, tsev cheese, kefir, fermented ci mis nyuj).
Nrog hypoglycemia, tus neeg mob yuav tsum tsis txhob quav ntsej cov tsos mob ntawm tus mob pathological. Nws zoo dua los tiv thaiv koj tus kheej ib ntus los ntawm kev ua haujlwm lub cev hnyav thiab hloov mus rau kev cob qhia nrog cov kev hnyav nruab nrab (ua luam dej, khiav lub teeb, taug kev). Muaj ntau lub laj thawj rau lub caij nplooj zeeg hauv qab zib, tab sis kev tswj kev noj qab haus huv thiab soj ntsuam kev noj zaub mov kom zoo yuav daws tau ntau yam teeb meem thiab tiv thaiv kom tsis txhob muaj teeb meem loj. Qhov loj tshaj plaws yog sab laj nrog tus kws kho mob kom raws sijhawm yog tias tus mob nchav. Ntawm ntshav qab zib, qhov teeb meem no yuav tsum daws nrog ib tus kws kho tshwj xeeb.
