Kev mob ntshav qab zib hauv cov menyuam yaus yog ib tus mob uas cov ntshav qabzib hauv cov ntshav poob qis tshaj 4 mmol / L. Nws yog tsim nyob rau hauv teb rau kev ntxhov siab lossis lwm yam kev hloov pauv ib puag ncig sab nraud. Kev mob ntshav qab zib tsawg tuaj yeem tshwm sim hauv cov menyuam yaus uas muaj mob ntshav qab zib hom 1, tab sis qee zaus nws kuj tseem kuaj tau tus mob thib ob.
Feem ntau cov feem ntau, nws tshwm sim thaum noj sulfonylurea. Cov khoom noj tsis zoo thiab tsis muaj nyiaj, lub cev thiab lub hlwb kev nyuaj siab, thiab kev noj cov tshuaj insulin tsis ncaj ncees lawm kuj tuaj yeem ua qhov no. Nrog lub caij nyoog tsis muaj kev kho mob, mob ntshav qab zib ua rau tsis nco qab thiab tsis nco qab lawm.
Vim li cas
Mob Hypoglycemia yog ib qhov txhab mob tsis txaus uas muaj qhov laj thawj loj heev rau nws txoj kev loj hlob.
Cov kws tshaj lij ntseeg tias tuaj yeem cuam tshuam nws cov tsos:
- Kev ntsuas caj ces;
- Cev xeeb tub pathology;
- Cov khoom noj khoom haus tsis zoo;
- Kev siv lub cev ntau dhau;
- Cov kab mob endocrine;
- Kev xav overvoltage;
- Kev ntshaib plab hauv lub cev;
- Siv cov tshuaj tsis yog inulin;
- Txhab ntawm cov hlab ntsha poob siab;
- Lwm yam mob nyuab thaum menyuam yug los.
Cov tsos mob
Nws feem ntau nyuaj heev rau kev kuaj ntshav qog ntshav hauv tus menyuam. Feem ntau, cov mob no tuaj yeem kuaj pom los ntawm kev kuaj ntshav. Nws tseem ceeb heev uas yuav tau soj qab xyuas txhua yam kev hloov pauv ntawm koj tus menyuam tus yam ntxwv, nrog rau kev noj zaub mov zoo. Kev saib xyuas tshwj xeeb yuav tsum ua rau qhov ua txhaum cov piam thaj hauv kev siab. Kev mob ntshav qab zib tau lees paub los ntawm cov cim hauv qab no:
- Muaj nce hws;
- Qhov zoo nkaus li kev ntxhov siab thiab ntshai;
- Lub siab tsis tu ncua ntawm kev tshaib plab;
- Kev poob siab thiab txob taus;
- Shaky gait, ua tsis tau kev sib koom tes;
- Kev nkees nkees thiab kiv taub hau;
- Qaug zog thiab tsis quav ntsej;
- Tsis meej pem hais lus.
Ntau yam
Kev mob ntshav qab zib hauv menyuam yaus tuaj yeem yog ob hom: nrog acidosis thiab leucine. Lawv sib txawv hauv cov txheej txheem ntawm kev txhim kho, cov paib thiab cov txheej txheem ntawm kev kho. Nrog hypoglycemia nrog acidosis, tus menyuam lub cev ua cov khoom ua kua, lossis lub cev ketone. Qhov kev ua txhaum cai hauv lub cev tuaj yeem pom tau los ntawm cov tsos ntawm tus yam ntxwv ua paug los ntawm lub qhov ncauj. Kev mob ntshav qab zib tsawg nyob hauv acidosis xav tau ib qho tshwm sim sai sai, vim ketone lub cev muaj qhov tsis zoo rau kev ua haujlwm ntawm lub paj hlwb: lawv rhuav tshem nws, ua rau muaj teeb meem loj.
Lub ntsej muag leucine tau tawm tsam keeb kwm ntawm kev tsis nkag siab mus rau cov kua qaub amino acids, uas ua lub hauv paus ntawm cov protein. Feem ntau nws tshwm sim tom qab noj ntau ntawm cov khoom noj muaj protein ntau. Txhawm rau tiv thaiv kom tsis txhob muaj kev tawm tsam zoo ib yam yav tom ntej, cov nqaij rog, khoom noj siv mis, qe, nplej zom, ntses thiab noob txiv tsis suav nrog cov khoom noj. Nws yog ib qho tseem ceeb kom xaiv cov khoom noj zoo, uas tshem tawm txoj kev pheej hmoo ntawm kev nthuav dav hypoglycemia hauv cov menyuam muaj mob.
Cov hau kev kho
Yog tias koj pom thawj cov tsos mob ntawm kev muaj ntshav qab zib hauv koj tus menyuam, koj yuav tsum hu rau koj tus kws kho mob sai.
Nws yuav xa koj mus rau kev tshawb nrhiav kev kuaj mob txuas ntxiv, uas nws yuav ua rau kev kuaj mob tsis raug.
Qhov no yuav tso cai rau koj xaiv cov kev kho mob uas tsim nyog thiab muaj peev xwm. Yog tias qhov mob ntshav qab zib hauv lub siab tau ua rau koj xav tsis thoob, koj yuav tsum ua txhua yam ua tau kom nce qib koj cov ntshav qabzib. Rau qhov no, tus menyuam tuaj yeem muab cov khaub noom qab zib, tshuaj yej, zib ntab, hlais. Nws yog ib qho tseem ceeb tias ib yam qab zib twg ib txwm nyob hauv tus menyuam lub hnab ris yog tias muaj mob.
Yog tias koj tus menyuam muaj ntshav qab zib tsawg, koj yuav tsum tau saib xyuas tas koj cov piam thaj hauv ntshav. Lawv yuav tsum tau nqa tawm 2 zaug hauv ib hnub: thaum sawv ntxov ntawm lub plab khoob thiab tom qab noj su. Kuj kuaj koj cov piam thaj hauv qab zib yog tias koj tus menyuam yws tias muaj kev tsis zoo. Yog tias nws tsis tuaj yeem nres qhov malaise hauv tsev, nws yog qhov yuav tsum tau hu rau lub tsheb tos neeg mob. Kev ncua sijhawm twg tuaj yeem ua rau txhim kho hypoglycemic coma, uas ib txwm coj cov kev tsis zoo rau lub cev. Ib tug menyuam yaus uas muaj tus kabmob zoo li no yuav tsum haus cov tshuaj tiv thaiv kab mob thiab tshuaj tua kabmob.
Kev tiv thaiv kev nyab xeeb
Txhawm rau kom tsawg dua thaum ntsib kev pheej hmoo ntawm cov ntshav qab zib hypoglycemia, tus menyuam yuav tsum noj kom zoo thiab muaj kev sib npaug. Nws yog qhov zoo tshaj plaws los sab laj nrog tus kws tshaj lij uas tuaj yeem ua rau noj zaub mov zoo tshaj plaws. Kuj sim qhia koj tus menyuam kom ua raws li cov lus qhia no:
- Noj tas li, tsis txhob hla ib pluag mov;
- Nqa cov tshuaj insulin maj mam muab thiab kom tsis raug txhaj tshuaj;
- Ib txwm noj tom qab insulin;
- Correlate tus nqi ntawm cov zaub mov noj thiab txhaj tshuaj insulin;
- Noj txiv hmab txiv ntoo kom ntau, cov qhob noom xim kasfes thiab khob cij ua kom pab nkag siab koj cov ntshav qab zib;
- Nce qhov koob tshuaj insulin ua ntej kev tawm dag zog;
- Nqa khoom qab zib nrog koj tas li.
Txawm li cas los xij, koj tuaj yeem tiv thaiv nws txoj kev txhim kho yog tias koj ua raws txhua tus kws kho mob cov lus pom zoo. Tsis tu ncua yauv mus soj ntsuam los ntawm tus kws tshuaj endocrinologist uas yuav hloov qhov tsim nyog rau kev kho ntshav qab zib hauv menyuam yaus.
