Kuv puas tuaj yeem ua kis las nrog mob ntshav qab zib?

Mob ntshav qab zib mellitus yog ib qho kab mob tshwm sim los ntawm cov tshuaj insulin vim muaj kev cuam tshuam cuam tshuam nrog cov txiav lossis vim muaj teeb meem nrog kev nqus ntawm cov tshuaj los ntawm cov ntaub so ntswg lub cev. Kwv yees li ntawm 350 lab tus tib neeg muaj mob ntshav qab zib, thiab feem ntau ntawm lawv tseem muaj lub sijhawm los ua kis las, uas yog qhov tseem ceeb heev rau kev tswj hwm lub cev ib txwm muaj nyob hauv lub cev.

Mob ntshav qab zib thiab kev ua kis las tsis yog txhua yam ua tau yooj yim, vim tias kev tawm dag zog lub cev yog yam yuav tsum tau ua nrog kev kuaj mob no, tshwj xeeb yog tias koj tau kuaj mob hom 2.

Cov yam ntxwv ntawm kev ua kis las mob ntshav qab zib hauv ntshav qab zib

Nws yog ib qho tseem ceeb kom ua tib zoo saib xyuas qib ntawm cov piam thaj hauv koj cov ntshav, thiab nws yog ib qho tseem ceeb los saib xyuas qhov ntsuas no ua ntej thiab tom qab kev cob qhia, vim tias, raws li cov kws tshaj lij, nrog kev sib txawv me me hauv lub nra, cov xwm txheej txaus ntshai tuaj yeem tshwm sim, uas yuav tham txog tom qab me ntsis.

Hauv cov neeg mob ntshav qab zib, kev ntxhov siab ntau cuam tshuam rau cov hauv qab no:

• Lub cev nyhav;
• Kev Nyob Zoo;
• Lipid profile thiab ntau dua.

Nws yuav tsum nkag siab tias lub nra hnyav rau cov neeg mob ntshav qab zib yog qhov tseem ceeb dua thiab ntau dua li cov neeg ib txwm muaj. Qhov tseeb yog tias nws tau xaiv cov kev tawm dag zog kom raug uas yuav pab tau koj kom zoo dua tswj koj cov piam thaj. Tsis txhob xav tias mob ntshav qab zib yog kab lus rau koj, nrog rau kev poob siab thiab nres xyuas koj tus kheej. Coob leej neeg nrog rau kev kuaj mob no tsis tsuas nyob, tab sis kuj nyiam ua lub neej, txaus siab rau nws. Nws tsuas yog ib qho tseem ceeb kom tsis txhob pib tus txheej txheem thiab nrog cov tsos ntawm thawj cov tsos mob kom nquag tiv thaiv tus kab mob.

Cov teeb meem kev pheej hmoo vim tias lub cev ua si

Raws li tau hais dhau los, hauv qee qhov xwm txheej, yog tias koj mus cuag cov teeb meem hauv cov ntshav qab zib tsis tuaj yeem lav, cov teeb meem txaus ntshai tuaj yeem tshwm sim, uas yog qhov tseem ceeb ntawm kev cuam tshuam ntawm metabolic. Qhov no yuav tsum suav nrog hypoglycemia, uas tshwm sim feem ntau, tab sis qhov no tsis txhais tau tias koj yuav muaj yeej ua tiav hauv nws. Qhov tseeb yog tias qhov kev ua txhaum no yog insidious heev, vim tias nws tuaj yeem txhim kho sai, thiab tsis yog thaum lub sijhawm kev cob qhia xwb, tab sis kuj tom qab nws ua tiav. Cov kev tsis zoo no feem ntau muaj nyob hauv hom 1 ntshav qab zib, uas yog, cov neeg uas tau txais insulin los ntawm kev txhaj tshuaj.

Nov yog cov kev qhia tseem ceeb ntawm cov ntshav qog ntshav uas qhov tseem ceeb yuav tsum nco ntsoov (thaum lawv tshwm sim, nres kev cob qhia thiab hu rau tus kws tshaj lij):

• Kev cuam tshuam tsis zoo rau lub cev;
• Lub Cim Txhab Zog;
• General tsis muaj zog;
• Cov teeb meem tsis pom kev, hu ua vagueness thiab fuzziness;
• Tawm hws
• Cov yam ntxwv stun;
• Xeev siab
• Ua kom tawv nqaij txias;
• Paresthesia ntawm txhais tes, tsawg dua - ntawm tus nplaig.

Kev Tiv Thaiv Cov Teeb Meem

Txhawm rau tiv thaiv cov xwm txheej phom sij cuam tshuam nrog qhov kev cuam tshuam no, nws yog ib qho tseem ceeb kom ua raws qee txoj cai tiv thaiv, ntawm no yog cov npe ntawm qhov tseem ceeb:

1. Nco ntsoov ntsuas cov piam thaj hauv qab ob zaug, uas yog - ua ntej kev cob qhia thiab tom qab qhov kawg ntawm tag nrho cov kev ua haujlwm hauv lub cev.
2. Nws yog qhov zoo tshaj plaws los qhia thaum yav sawv ntxov, yog tias qhov kev qoj ib ce li no yuav tsum tsis tu ncua, uas yog qhov tseem ceeb heev.
3. Nco ntsoov tias muaj cov zom zom tau yooj yim ntawm qee yam hauv kev qhia thaum mus kawm, piv txwv li, txiv hmab kua txiv yog tsim nyog, uas tsis muaj laj thawj yuav tsum quag cawv. Koj tuaj yeem tseem muaj glucagon.
4. Ua ke nrog kws kho mob, kho koj cov zaub mov noj, nrog rau cov tshuaj insulin kom tsim nyog rau kev tawm dag zog.
5. Kho cov zaub mov noj, vim hais tias cov pluas mov kawg ua ntej kev cob qhia yuav tsum tau ua nyob rau hauv txog 3 teev. Tsis tas li, qee qhov xwm txheej, cov kws tshaj lij qhia kom siv cov khoom noj txom ncauj uas muaj carbohydrate, tab sis rau qhov no, tus kheej cov yam ntxwv thiab cov ntsuas ntshav qab zib yog qhov tseem ceeb kom txog thaum kev ua haujlwm.
6. Ib qho khoom noj txom ncauj tsis muaj txiaj ntsig yuav siv tau txawm tias thaum kev cob qhia nws tus kheej, tab sis tsuas yog tias nws tau ntev, uas yog, kav ntev dua 1 teev.
7. Haus dej kom ntau, thiab koj yuav tsum tsis txhob hnov ​​qab haus txawm tias thaum ua exercise.

Hauv qee kis xwm txheej, qhia cov kev cai ntxiv, nyob ntawm cov teeb meem tam sim no thiab lwm tus.

Nws yog tsim nyog teev tias muaj ib qho zoo li no uas yog ncua sij hawm hypoglycemia. Qhov kev mob no yuav luag tas li nyob rau hmo ntuj, uas yog, tom qab qhov kev cob qhia tiav, nws yuav siv 6-10 teev, thiab qee zaum ntau dua. Qhov teeb meem no feem ntau tuaj yeem muaj tsuas yog ib qho laj thawj - glycogen tsis tau zoo puv. Tsis tshua muaj tshwm sim, qhov kev mob tshwm sim tuaj yeem tshwm sim hauv cov ntshav qab zib txawm tias 30 teev tom qab kev qoj ib ce, tab sis ncua sij hawm hom mob ntshav qab zib tuaj yeem zam tau yog tias koj ua tib zoo mloog rau cov kev ntsuas ntshav qab zib.

Lwm qhov teeb meem txaus ntshai tshaj plaws yog hyperglycemia, uas yog, nce ntxiv hauv cov txheej txheem zais ntawm qee cov tshuaj hormones, piv txwv li, adrenaline thiab glucagon. Cov teeb meem no yog txaus ntshai rau ob hom mob ntshav qab zib, vim nws tseem tuaj yeem ua rau ketoacidosis (yam 1) thiab hyperosmolar coma (hom 2). Vim li no, peb tuaj yeem xaus tias nws yog txwv tsis pub pib kev cob qhia yog tias koj muaj ketoacidosis thiab cov ntshav qab zib ntau dua 250 mg%. Yog tias tsis muaj ketoacidosis, ces qhov kev txwv tsuas yog ib qho kev taw qhia ntawm 300 mg%, tab sis nws yog ib qho tseem ceeb kom ua kom ceev faj, thiab nws yuav tsum tau sab laj nrog kws kho mob txog qhov teeb meem no.

Kev tawm dag zog lub zog insulin

Insulin txoj kev kho yuav tsum hloov pauv ntau yam, thiab muaj cov kev txwv:

• Ua ntej pib kev tawm dag zog, nws yog txwv tsis pub txhaj tshuaj insulin rau hauv cov nqua, cov kev xaiv tsuas yog lub plab;
• Nco ntsoov tias qhov qis ntawm cov tshuaj insulin, thiab qhov feem pua ​​ntawm qhov txo yuav nyob ntawm lub sijhawm ntawm kev cob qhia, thiab lawv qhov sib zog thiab lub sijhawm yog qhov tseem ceeb, xws li qhov kev txo qis yog qhov tseem ceeb uas yuav tsum ua tom qab ntsuas ntshav qab zib ua ntej thiab tom qab chav kawm, kev koom tes ntawm tus kws kho mob yog qhov yuav tsum tau ua;
• Txawm hais tias qhov koob tshuaj ntawm insulin ntsig txog qhov kev txiav txim ntawm lub sijhawm nruab nrab yuav tsum raug txo;
• Sim siv lyspro-insulin, tab sis tsis yog txhua tus neeg tuaj yeem hloov mus rau nws, nws qhov zoo yog qhov nws tau ua sai, uas kav ntev;
• Tus nqi ntawm cov tshuaj insulin kuj tseem tuaj yeem txo yog tias koj siv cov khoom sib txuas coj los hnav;
• Yog tias koj pom zoo nrog tus kws kho mob tshwj xeeb tias kev tawm dag zog yuav nqa tawm tom qab noj mov, tom qab ntawd txo qhov koob tshuaj ua ntej noj mov.

Ntsaws kev xeem

Them sai sai rau qhov tseeb tias mob ntshav qab zib yog ib yam kab mob uas tuaj yeem ua rau txhim kho txoj kev mob phom sij tshaj plaws - atherosclerosis. Vim li no, sim ua cov kev ntsuam xyuas mob plawv tas mus li, ntau zaus, tus kws tshaj lij yuav kho qhov mob siab no nrog kev nkag siab. Nyob rau ntawm muaj qee qhov kev pheej hmoo rau kev txhim kho ntawm cov teeb meem, nws yog ib qho tseem ceeb rau koj los ua kev ntsuam xyuas kev ntxhov siab tsis tu ncua, uas tau tsim los ntawm cov cai ntawm American Diabetes Association.

Ntawm no yog cov cim tseem ceeb uas cov kws kho mob tsis qhia kom tsis txhob saib xyuas qhov tshwm sim no:

1. Hnub nyoog tshaj 35 xyoos;
2. 1 yam mob ntshav qab zib mellitus uas tau pom hauv koj ntau dua 15 xyoos;
3. 2 hom mob ntshav qab zib mellitus, uas tau pom hauv koj ntau dua 10 xyoo;
4. Coronary mob plawv, uas tau lees paub los ntawm cov kws tshwj xeeb;
5. Lub xub ntiag ntawm lwm yam uas ua rau muaj kev pheej hmoo ntawm kev mob atherosclerosis, piv txwv li, kev haus luam yeeb, tsis muaj mob tsis zoo, kub siab;
6. Cov teeb meem microangiopathic ntawm cov xwm sib txawv;
7. Atherosclerosis, uas cuam tshuam cov hlab ntsha peripheral;
8. Autonomic neuropathy.

Cov teeb meem no tsis tas yuav tsum ua tib zoo kawm, nws tsuas yog ib qho tseem ceeb kom paub txog qhov tseeb thiab sim tiv thaiv cov teeb meem ntawm hom no. Vim li no, yuav zam cov khau mos mos uas yuav tseem tsis tau nyem koj cov ntiv taw. Tsis txhob hnov ​​qab txog thom khwm, uas yuav tsum zoo tshem tawm ntawm noo noo.

Kuv puas koom nrog kev ua kis las rau mob ntshav qab zib?

Qhov teeb meem ntawm kev ua kis las rau cov ntshav qab zib kuj tseem muaj feem xyuam, vim tias tib neeg kev txom nyem los ntawm tus kab mob no feem ntau ntsib kev txwv, tsis yog los ntawm kws kho mob, tab sis kuj yog cov kws qhia. Nws tsim nyog sau cia tias tsis muaj txiaj ntsig rau tus neeg mob ntshav qab zib tsis tuaj yeem txwv tsis pub koom nrog qee qhov kev sib tw ntawm qib hnyav, tab sis txawm muaj kev zam rau txoj cai no. Qhov tseeb yog tias koj tseem tuaj yeem tuaj yeem tiv thaiv kev koom tes yog tias cov kws tshaj tawm ntawm kev sib tw tau txais txoj cai tshwj xeeb txwv cov pab pawg ntawm cov neeg uas muaj qee yam kabmob los ntawm kev koom nrog kev sib tw. Kev txwv no yuav tsum muaj qhov laj thawj tseem ceeb, thiab yog tias lawv muaj tiag, nws zoo dua los tiv thaiv koj tus kheej.

Nws tseem tsim nyog sau cia tias tus kws kho mob uas yuav nyob hauv pawg kho mob yuav tsis tso cai rau koj. Tab sis kuj tseem yuav tsum muaj cov laj thawj tseem ceeb rau qhov no, feem ntau peb tab tom tham txog ntau yam mob ntshav qab zib, piv txwv li, txog kev mob ntshav siab lossis teeb meem ntawm lub plawv plawv. Thaum tsis muaj cov teeb meem loj no, tus mob ntshav qab zib tuaj yeem sib tw hauv ntau qhov kev ua kis las sib txawv.

Qee qhov kev pom zoo rau cov kis las kis las uas cuam tshuam nrog cov muaj cov kab mob zoo li no kuj yog qhov tsis zoo, tab sis yog tias txhua yam ua tiav nrog koj cov kev tshuaj ntsuam, ces koj tuaj yeem tiv thaiv tus kheej txoj kev nyab xeeb.