Yuav ua li cas yog tias ib tug neeg cov suab thaj theem 7-7.9?

Ua haujlwm zoo, lub cev yuav tsum tau txais thiab nqus cov tshuaj muaj txiaj ntsig zoo, suav nrog cov piam thaj. Nws koom tes nrog hauv lub zog hauv lub cev metabolism, tab sis yog tias nws qhov kev xav tau siab, qhov no yuav tsim kev loj hlob ntawm cov kab mob loj. Qhov kev ntsuas suab thaj pab txiav txim siab txog cov ntsiab lus ntawm yam khoom no. Rau cov neeg mob ntau dua 40 xyoo, cov kws tshaj lij pom zoo ua qhov tsawg kawg ib xyoos ib zaug. Yog tias cov txiaj ntsig pom tau hais tias cov piam thaj hauv ntshav yog 7 mmol / l, tom qab ntawv qhov no yog lub suab ceeb toom, qhia txog teeb meem nrog kev ua haujlwm ntawm cov nruab nrog sab hauv. Yuav ua dab tsi rau tus neeg mob, thiab kev tiv thaiv dab tsi thiaj tiv thaiv hyperglycemia?

Ntshav Qab Zib 7 - Txhais Tau Li Cas

Kua nplaum nkag mus rau hauv lub plab zom mov nrog zaub mov. Yog hais tias lawv tau noo nrog cov carbohydrates yooj yim, suav nrog qhov tsawg kawg ntawm cov txheej txheem yam ntxwv, tom qab ntawd cov concentration ntawm cov piam thaj hauv cov hlab ntshav nce ntau. Pab cov piam thaj txeem mus rau hauv cov ntaub so ntswg. Nws synthesizes lub cev hormone insulin, uas them nyiaj rau ntshav qab zib.

Yog tias cov piam thaj hauv ntshav yog 7, tom qab ntawv qhov no txhais tau hais tias qhov permeability ntawm cov cell raws li qawm yog qhov tsis taus, thiab lawv tau tshaib plab. Qhov txiaj ntsig zoo sib xws yuav tsum raug kuaj xyuas zaum ob thiab xeem dhau qhov kev txheeb xyuas ntxiv. Qhov no yuav pab kom nkag siab tias hyperglycemia puas yog ib qho kev mob ib ntus xwb, lossis tus neeg mob puas tseem muaj ntshav qab zib.

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%

Txhawm rau kev kuaj kom muab cov txiaj ntsig zoo tshaj plaws, koj yuav tsum tsis kam noj 10-12 teev ua ntej tso ntshav. Koj tuaj yeem haus me ntsis dej thaum sawv ntxov. Yog tias kev rov kuaj pom qhia tau qhov tseeb glycemic ntsuas, tom qab ntawd koj yuav tsum tsis txhawj. Yog tias cov piam thaj hauv qab no tseem siab heev, piv txwv li, 7.2-7.9 units, qhov no qhia tias pib ntawm txoj kev pathological uas yuav tsum tau muaj kev saib xyuas mob.

Kev nce qib ntawm cov piam thaj ib ntus nrog kev ntsuas ntawm 7.1 lossis siab dua yuav qhia tias hyperglycemia, uas tuaj yeem ua rau:

• cev xeeb tub
• ua haujlwm dhau lawm;
• kev ntxhov siab
• noj qee yam tshuaj (diuretics, tshuaj hormones, tshuaj tiv thaiv hauv qhov ncauj);
• kab mob siab hepatic;
• o, mob cancer tsim hauv lub txiav;
• npauj.

Kev pom zoo rau kev kuaj ntshav qabzib thiab kuaj ntshav glycohemoglobin kuj tseem raug pom zoo. Feem ntau nws raug pom zoo kom xeem dhau nws nrog cov suab thaj ntawm 6.0-7.6 ntawm ib qho khoob plab. Ua ntej tshaj, kuaj lub plab ua tiav. Tom qab ntawv cov dej qab zib yaj hauv cov dej dawb.

Rau ib teev thiab ib nrab, biomaterial tau coj peb zaug nrog tib lub sijhawm sib nrug. 2 teev tom qab noj cov dej qab zib, qhov tsis muaj glycemic yuav tsum tsis pub tshaj tus nqi ntawm 7,8 units. Yog tias qhov nruab nrab nce ntxiv, thiab nce mus txog 11, tom qab ntawd tus neeg mob kuaj mob ntshav qab zib.

Hauv cov mob no, cov neeg mob soj ntsuam:

• nce nqhis dej;
• khaus tawv nqaij - nyeem ntxiv;
• cov tsos ntawm pustules thiab rwj;
• polyuria - nyeem ntxiv;
• nquag kiv taub hau;
• kev nkees;
• kev kho tsis zoo ntawm daim tawv nqaij;
• kev tiv thaiv kab mob tsis muaj zog, ua kom tsis haum rau cov kab mob kis;
• pom kev pom.

Kuv yuav tsum ntshai

Coob tus neeg mob xav paub seb puas muaj ntshav qab zib 7 qhia txog qhov pib ntawm ntshav qab zib. Qhov kev cai ntawm cov ntsiab lus ntawm cov tshuaj metabolic hauv cov ntshav ncaj qha nyob ntawm lub hnub nyoog ntsuas:

Cov piam thaj hauv ntshav ob zaug thiab tuaj yeem ncav 7.8 units ob teev tom qab noj mov. Rau lub cev zoo, qhov no yog txheej txheem ntuj. Cov tshuaj insulin pab cuam sai sai rau kev tso tawm cov piam thaj thiab tshem tawm cov khoom loj, uas tsis tuaj yeem hais txog cov neeg muaj ntshav qab zib. Nws kuaj tau nrog cov cim ntawm 6.7 (ntawm ib plab khoob) thiab 11.1 (2 teev tom qab noj mov).

Txhawm rau kom paub tseeb txog kev kuaj mob, koj yuav tsum tau sim nyob hauv chav kuaj mob hauv tsev kho mob, lossis siv lub ntsuas ntshav qab zib hauv tsev, tab sis kom paub tseeb koj yuav tsum mus ntsib cov kws paub tshwj xeeb. Nws yuav qhia tus neeg mob mus rau kev kuaj ntxiv, thiab yog tias cov piam thaj ntau tshaj 6-7 units ntawm lub plab khoob, kev kho yuav raug kho.

Ntshav qab zib yog paub muaj plaub degrees:

1. Qhov ntsuas tau txiav txim siab tsis tshua hnyav thaum qab zib tsis ntau tshaj 7 ntu. Nws tseem hu ua neeg mob ntshav qab zib, vim tias cov kev hloov hauv lub cev tseem hloov maj mam, thiab koj tuaj yeem txuag cov xwm txheej los ntawm kev noj zaub mov kom zoo thiab hloov koj lub neej.
2. Kev kawm ntawv rau cov piam thaj twg tuaj yeem yog 7-10 units. Piv txwv, hauv ib tus neeg mob cov ntshav suav nyob ntawm qib 7.3-7.4 mmol / L, thaum nyob hauv lwm qhov lawv muaj li 7.5 txog 7.6 ntawm lub plab khoob. Ob leeg kuaj mob muaj mob ntshav siab thib ob. Lub raum thiab lub plawv pib ua haujlwm zuj zus, cov neeg mob ntsib teeb meem pom kev tsis zoo, leeg ntshav, leeg nqaij.
3. Kev ua haujlwm ntawm cov ntshav qab zib tau mus txog 13 thiab 14 units. Tus neeg mob tau kuaj pom tias muaj kev ua haujlwm tsis zoo ntawm cov khoom nruab nrog sab hauv, teeb meem nrog ntshav siab, ib nrab lossis ua rau tsis pom kev.
4. Kev kawm ntawv qib siab ua rau muaj kev phom sij txaus ntshai hauv lub siab thiab nce siab ntxiv hauv qab zib mus rau 25 ib qho tseem ceeb. Cov neeg mob ntshav qab zib nrog txoj kev kuaj mob no tsis pab insulin. Qhov mob tsis muaj mob xaus nrog lub raum tsis ua haujlwm, kev ua tub rog, qab zib poob.

Txawm tias qhov nce me ntsis hauv glycemic ntsuas yog lub suab ceeb toom qhov laj thawj thiab qhov laj thawj tseem ceeb rau kev hu rau tus kws tshaj lij.

Yuav ua li cas yog tias cov piam thaj qib siab tshaj 7

Tsis tas siv tshuaj kho mob, muaj kev txhim kho zoo. Txawm tias thaum tus neeg mob ntshav qab zib hauv 7-7.7, qhov no txhais tau hais tias nws muaj peev xwm hloov kho qhov ntsuas. Tseeb, thaum pib theem, tus kab mob tuaj yeem nres, hauv kev sib piv rau qib 3 thiab 4 ntawm cov ntshav qab zib, thaum ib tus neeg raug yuam kom nyob ntawm kev qhia ntawm cov tshuaj insulin. Thiab qhov tsis kam ntawm kev kho mob yog qhov txaus ntshai tsis yog rau kev noj qab haus huv, tab sis kuj rau lub neej.

Ua ntej tshaj plaws, koj yuav tsum hu rau tus kws kho qhov mob endocrinologist uas yuav hais tias yuav ua dab tsi nyob rau hauv cov xwm txheej zoo li no thiab hloov kev noj haus los ntawm kev hloov mus rau cov zaub mov tsis muaj carb:

• tsis txhob noj ntau dua 120 g ntawm carbohydrates ib hnub;
• tsis txhob noj cov khoom noj sai sai: cov khoom qab zib, khoom qab zib, pasta, dej qab zib, ntim kua;
• noj 5-6 zaug ib hnub nyob rau hauv feem me me.

Cov ntawv qhia zaub mov yuav tsum muab tso ua ke rau hauv cov nyiaj glycemic index ntawm cov khoom. Qhov qis dua nws, qhov zoo dua. Ntawm lub rooj yuav tsum muaj tag nrho cov qhob cij mov ci, nqaij nruab deg, nqaij ntshiv thiab ntses, blueberries, chicory, zaub qhwv, buckwheat, nplej xim av, nceb, txiv ntoo. Nws yog ib qho tsim nyog yuav tsum tau txwv kom tsis txhob siv cov kua ntses ntau nrog cov kua tshuaj thiab cov dyes, qos yaj ywm, haus dej haus, zib ntab. Xws li kev noj haus tuaj yeem hloov qhov ntsuas rau qhov zoo dua.

Cov khoom siv hauv lub cev muaj zog me me, uas tau xaiv los xav txog tus neeg yam ntxwv ntawm tus neeg mob, txo cov suab thaj. Yog tias cov kev qoj ib ce xaiv tau raug, tom qab ntawd ntev ntev koj tsis tuaj yeem noj tshuaj thiab txhaj tshuaj.

Yog tias cov piam thaj tsis poob thiab tseem nyob rau theem 7, tus kws kho mob tshwj xeeb tuaj yeem sau tshuaj sulfonylurea. Lawv txhawb cov kua dej hauv kev zais tawm los ntawm beta hlwb ntawm cov txiav ua ke, uas tso cai rau qabzib rau hauv cov ntaub so ntswg uas tsis raug rau nws. Biguanides kuj tseem siv - cov tshuaj hypoglycemic uas txhawb kev nqus ntawm cov piam thaj. Thaum paub tseeb cov insulin tsis txaus, tom qab kev kuaj mob tsim nyog, tus neeg mob hloov mus rau cov tshuaj pleev insulin - uas cov piam thaj yog insulin kho. Qhov muab tau tshuaj yog xam los ntawm tus kws kho mob ib leeg zuj zus.

Nrog rau cov txiaj ntsig qab zib siab, qhia txog lub xeev cov mob ntshav qab zib, tus neeg mob yuav tsum tso tseg tsis zoo: tsis txhob haus luam yeeb, tsis haus dej haus cawv. Yog tias nws rog dhau sijhawm, tom qab ntawd koj yuav tsum tawm tsam cov phaus ntxiv, zam lub cev tsis muaj peev xwm ua si, tawm dag zog txhua hnub. Nrog rau kev ua raws li kws kho mob cov lus pom zoo, ib tus tuaj yeem cia siab tias yav tom ntej tus neeg mob yuav tsis ntsib txoj kev mob ntshav qab zib loj.

Ntshav Qab Zib Theem Qeb 8 >>