Cov kua nplaum yog cov paib tshaj plaws uas xav tau los ntawm lub cev los muab lub zog rau cov hlwb thiab cov ntaub so ntswg. Nquag, nws yuav tsum yog li ntawm 3.3 txog 5.5. Tab sis nws tshwm sim hais tias thaum kuaj ntshav, cov ntshav qab zib ntawm 16 units raug kuaj pom. Qhov no txhais tau tias cov kabmob no tsis tau txais khoom noj khoom haus, cov metabolism hauv lub cev tsis txaus, thiab cov kab mob txaus ntshai yuav pib txhim kho yav tom ntej. Yog li, txhua tus neeg yuav tsum xyuas cov cim glycemia tsis tu ncua, tshwj xeeb tshaj yog rau cov neeg tsis muaj caj ces tsis zoo, rog rog, kub siab, hnub nyoog laus dua 50 xyoo.
Tsis tas li, cov neeg mob ntshav qab zib yuav tsum tau nquag kuaj siv cov glucometer, kom ntawm qhov tseem ceeb qhov tseem ceeb, raws sijhawm coj cov kev ntsuas tsim nyog los tswj lawv tus mob.
Ntshav Qab Zib 16 - Txhais Tau Li Cas
Hauv qee tus neeg mob uas tau ntsib hyperglycemia, nyob rau hauv uas cov piam thaj tuaj yeem dhia mus rau 16.1-16.8 mmol / l thiab siab dua, muaj lub siab xav daws qhov teeb meem tam sim ntawd thiab txo qis nws qhov ntsuas. Tab sis ib qho kev hloov pauv nyob hauv cov ntshav nyob rau hauv cov hlab ntshav tuaj yeem ua rau cov ntshav ntshav qab zib tsawg.
Kev tsim kho ntawm hyperglycemia tuaj yeem tawm tswv yim los ntawm cov tsos mob hauv qab no:
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%
- nce nqhis dej;
- hnov pom ceeb thawj nce lossis ntse poob;
- nquag tso zis;
- dryness, tev ntawm daim tawv nqaij;
- qhov muag plooj;
- arrhythmia;
- kev kho mob tsis zoo ntawm kev raug mob, puas, mob;
- kev nyuaj siab tiv thaiv kab mob thiab kev tiv thaiv kev kis yooj yim, kis kab mob;
- ua tsis taus pa hnyav
- loog ntawm nqua;
- khaus
Mob hyperglycemia ua rau lub cev qhuav dej, ketoacidosis, lub siab tsis hnov qab, thiab mob hnyav, ua rau mob ntshav qab zib tsis nco qab. Hauv cov neeg mob uas tsis tau mob ntshav qab zib yav dhau los, qhov ua rau muaj cov ntshav qab zib ntau npaum li nce mus txog 16,2 yog:
- qhov pib ntawm ntshav qab zib. Ib tus mob hyperglycemic pheej yog nws cov yam ntxwv ntawm tus yam ntxwv;
- khoom noj khoom haus raws cov khoom noj uas muaj cov khoom noj carbohydrates;
- kev ntxhov siab lub sijhawm. Qhov tshwm sim ntawm kev ntxhov siab hyperglycemia feem ntau pom nyob rau hauv cov neeg uas muaj kev tiv thaiv tsis muaj zog;
- haus dej cawv, haus luam yeeb;
- mob plawv lossis mob stroke;
- o lossis mob cancer rau ntawm lub txiav.
Cov piam thaj tuaj yeem nce mus rau 16.3 rau cov poj niam cev xeeb tub. Tab sis ntawm no tshwm sim yog ib ntus. Nws cuam tshuam nrog kev hloov hauv keeb kwm hauv lub cev lossis mob ntshav qab zib hauv lub cev. Yeej, nws ploj tom qab yug menyuam. Nyob rau hauv txhua rooj plaub, tus pojniam yuav tsum nyob hauv qab kev saib xyuas tas li ntawm cov kws tshaj lij, vim tias qhov xwm txheej no tsis yog suav hais tias yog tus cai thiab tuaj yeem tsim kev puas tsuaj rau ob tus niam thiab tus menyuam hauv lub cev. Qhov ntxim siab - ntshav qab zib fetopathy ntawm tus me nyuam.
Cov piam thaj muaj 16,4 units muaj peev xwm kuaj pom nyob rau ntawm tus me nyuam yug tshiab. Qhov laj thawj rau qhov no muaj ntau ntau yam, piv txwv li, tsis txaus tawm ntawm qee yam tshuaj hormones los yog tso ntshav khov ntshav qab zib rau tus menyuam uas rog tsis txaus. Hloov hyperglycemia provokes cov lus qhia ntawm glucocorticosteroids, oxygen oxygen tshaib plab, dav dav candidiasis, thiab lwm yam.
Hauv cov ntshav qab zib, ib theem tseem ceeb ntawm cov piam thaj hauv cov hlab ntshav, mus txog ciam teb ntawm 16.9 thiab siab dua, tau pom vim muaj:
- kis mob thiab kis mob;
- noj qee yam tshuaj - corticosteroids, diuretics, beta-blockers;
- cov kab mob vitamin tsis txaus;
- tsis muaj lub cev ua haujlwm;
- kev ua txhaum ntawm kev noj zaub mov kom tsawg-carb los ntawm tus kws endocrinologist;
- hla cov tswj hwm ntawm cov tshuaj muaj suab thaj ntau dua;
- cov kab mob cuam tshuam rau daim siab;
- hormonal tsis txaus;
- psycho-kev xav overstrain.
Txhawm rau daws qhov xwm txheej kom raws sijhawm thiab tiv thaiv kev kub ntxhov, koj yuav tsum hu rau tus kws tshaj lij. Nws yuav qhia koj yuav ua li cas rau tus neeg mob, thiab cov kev kho mob twg los xaiv. Ntau txoj hauv kev, txoj kev kho yog nyob ntawm qhov ua rau ntawm kev txhim kho ntawm cov txheej txheem pathological. Txhawm rau txheeb xyuas nws, koj yuav tsum mus dhau ntawm cov kev ntsuas kev kawm thiab rov ua cov ntawv xeem.
Dab tsi yog qhov txaus ntshai?
Yog tias glycemia tsis tau kho thiab qhov mob tshwm sim txaus siab tsis tu ncua, tus kab mob yuav vam meej, rhuav tshem tag nrho cov plab hnyuv siab raum thiab cov kab ke. Coma yog qhov tshwj xeeb tshaj yog txaus ntshai. Nws tus cwj pwm pib zuj zus. Nrog rau cov ntshav qab zib insulin-mob ntshav qab zib, ketoacidosis coma tshwm sim, nyob rau hauv daim ntawv tsis-insulin-cuam tshuam ntawm pathology, hyperosmolar coma yog qhov mob hnyav.
Kev pheej hmoo ntawm ketoacidosis nce nrog cov ntshav qab zib kom mus txog 16.5 mmol / L. Ua ntej, lub cev sim tiv nrog cov piam thaj ntau dhau ntawm nws tus kheej, tab sis tom qab ntawd thawj qhov tshwm sim ntawm qhov kev tsis sib haum xeeb tshwm sim:
- dyspepsia
- mob hauv plab;
- hnov tsw ntawm acetone los ntawm lub qhov ncauj - saib tsab xov xwm Acetone syndrome;
- daim tawv nqaij qhuav
- qhov muag ntawm cov pob muag.
Tus neeg mob tsis nco qab yog tus neeg tsis hnov qab, thiab nws poob rau hauv tsis nco qab. Cov kev kho mob yooj yim yog tsom rau txo qis dua cov piam thaj thiab ua kom lub cev rov qab zoo.
Hyperosmolar coma yog tus cwj pwm los ntawm kev nthuav dav ntev. Cov theem ntawm cov piam thaj, uas txuas ntxiv los ntawm cov zis, tuaj yeem mus txog 40-50 units.
Cov yam ntxwv ua suav nrog:
- tsaug zog
- tsis muaj zog;
- cov roj ntsha qhuav thiab tawv nqaij;
- tshem tawm cov pob muag muag;
- nquag ua pa;
- tsis muaj ntxhiab tsw ntxhiab ntawm acetone.
Yog tias koj tsis muab kev pab rau tus neeg raug tsim txom, txoj kev txhim kho lub raum tsis ua haujlwm tau. Ib qho ntxiv, cov ntsiab lus ntev dhau los ntawm cov piam thaj tuaj yeem ua rau lwm tus, tsis muaj tsawg dua cov kab mob loj: kev mob caj dab, mob ko taw, qhov muag tsis pom kev, tawg, polyneuropathy, nephropathy. Feem ntau ntawm lawv xaus rau kev tsis taus.
Yuav ua li cas yog tias cov piam thaj qib siab tshaj 16
Tom qab tau txais kev kuaj pom pom, tus neeg mob tau txais kev kho mob kom tsim nyog. Koj tuaj yeem them cov ntshav qab zib los ntawm kev hloov koj li kev noj haus thiab kev ua neej. Thaum xub thawj, hom tshuaj insulin-tiv thaiv kev mob, kev kho tshuaj insulin yog yam raug cai. Cov tshuaj tau muab tshuaj ntau zaus hauv ib hnub ua ntej noj mov. Tus kws kho mob qhia kom paub tseeb tias yuav noj ntau npaum li cas, thiab cov cai twg rau kev muab tshuaj kho yuav tsum tau ua raws nraim.
Hauv ob, hom tsis muaj insulin-ntau hom, insulin kuj tseem tuaj yeem raug kho yog tias cov piam thaj hauv ntshav yog 16. Lawv siv rau qhov no hauv kev tsis saib xyuas thaum cov qauv kev kho mob tsis muab cov nyhuv xav tau. Yuav ua li cas nrog hyperglycemia uas tau mus txog qhov tseem ceeb ntawm 16.7 thiab siab dua?
Kev kho yog raws li nram no:
- Cov lus qhia ntawm insulin. Tsuas tshuaj yog txiav txim siab ib tus zuj zus. Feem ntau nrog cov tsos mob qhia tias muaj tus mob ua ntej, lawv siv hom tshuaj nrog qhov kis tau sai tshaj plaws.
- Kev siv ntawm lub caij nyoog ntev-ua suab thaj txo cov ntsiav tshuaj, biguanides lossis sulfonylurea derivatives.
- Kev ua raws cai ntawm kev haus dej haus cawv.
- Kev tawm dag zog me ntsis hauv cov hom mob ntshav qab zib me me.
- Kho kev noj haus.
- Kev siv ntawm cov pej xeem cov zaub mov txawv. Lwm txoj kev siv tshuaj tuaj yeem raug daws raws li kev kho mob txuas. Koj yuav tsum tau sib tham txog cov kev kho mob ntawd nrog koj tus kws kho mob txhawm rau txhawm rau ua kom tsis txhob ua kom qhov teeb meem tsis txaus ntseeg - cov neeg nyiam noj zaub mov kom ntshav qab zib.
Kev noj haus
Ntawm tag nrho cov khoom uas twb muaj lawm, cov neeg mob uas muaj ntshav qab zib ntawm 16.6 mmol / l yog tsau, koj yuav tsum xaiv cov zaub mov glycemic tsawg:
- thoob ham;
- nceb;
- txiv ntoo
- zaub qhwv, suav nrog zaub cob pob;
- Jerusalem artichoke;
- citrus txiv ntoo;
- Hlais nplej
- taub dag;
- paj noob hlis noob;
- zaub txhwb qaib;
- cov hauv paus dos ntsuab;
- dib
- zucchini;
- linseed lossis rapeseed roj;
- legumes;
- cov tseem nplej.
Yeem: Ntawm no koj tuaj yeem nrhiav cov lus tiav ntawm cov khoom lag luam glycemic indices - diabetiya.ru/produkty/glikemicheskij-indeks-produktov.html
Qhov txiav npluav suav nrog:
- cov khoom noj ceev
- haus dej haus, dej qab zib;
- mloog zoo kua txiv;
- chocolate, kas fes;
- butter ci;
- cov khob cij dawb;
- Caramel
- cov txiv ntoo qab zib;
- rog rog thiab ntses.
Ua raws li kev noj haus yog qhov tseem ceeb rau kev kho mob ntshav qab zib thiab hauv kev tawm tsam hyperglycemia. Koj yuav tsum tau noj zaub mov me me 5-6 zaug ib hnub. Nws yog ib qho tseem ceeb heev kom haus dej ntau dua, vim tias vim muaj cov piam thaj ntau dhau, lub cev sim nws txoj kev ua kom nws tsis huv, dhau ntawm cov kab mob genitourinary. Raws li qhov tshwm sim, lub cev qhuav dej yuav muaj tshwm sim.
Kev Tiv Thaiv
Koj tuaj yeem zam qhov kev nce ntxiv hauv qabzib los ntawm kev ua qee yam ntawm cov kev ntsuas hauv qab no:
- ib txwm muaj cov tshuaj insulin nrog koj;
- Tsis txhob noj cov khoom noj uas muaj cov khoom noj carbohydrates ntau, txawm tias muaj kev noj qab haus huv zoo;
- saib xyuas qhov ntau npaum ntawm cov tshuaj insulin;
- kev ntsuas ntsuas qab zib. Txhawm rau ua qhov no, koj tsis tas yuav mus rau chav kho mob, sawv ntxov ntxov. Nws yog txaus los yuav cov khoom lag luam me me - nqa cov ntshav qab zib;
- tso kev ua phem rau kev quav yeeb quav tshuaj;
- tawm dag zog tsis tu ncua.
- yog tias ua tau, zam kev ntxhov siab thiab kev txhawj xeeb uas tsis tsim nyog.
Nrog kev nce siab ntawm cov piam thaj hauv cov ntshav ntawm 16 units, nws yog ib qho tseem ceeb yuav tsum ua txhua yam ua tau los ntsuas tus neeg mob tus mob. Feem ntau, hauv cov neeg mob ntshav qab zib, cov ntsiab lus tsis tseem ceeb yuav rov qab zoo li qub hauv ob peb hnub tom qab tshuaj insulin.
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