Mob ntshav qab zib mellitus yog ib tus mob ntev ntev uas yog tsis muaj kev kho kom zoo, tuaj yeem yog qhov nyuaj thiab ua rau muaj teeb meem ntau yam. Tshwj xeeb cov mob no yuav tsum tswj hwm hauv menyuam yaus.
Cov teeb meem tsis yog nyob rau hauv kev xaiv tsuas ntau ntawm cov tshuaj insulin, tab sis kuj tseem nyob hauv qhov tseeb tias thaum lub sij hawm tshuaj insulin cov menyuam yuav tsum noj tom qab ib lub sijhawm. Yuav ua li cas thiaj txhaj tshuaj thiab tom qab sijhawm noj mov dabtsi, tsab xov xwm yuav qhia.
Vim li cas ntshav qab zib thiaj li tshwm sim?
Ntau tus niam txiv uas tau ntsib qhov teeb meem mob ntshav qab zib mellitus tau xav paub: vim li cas muaj tus kab mob no tshwm sim, nws puas kho tau?
Ntshav qab zib Hom 1 tshwm sim thaum tseem hluas, thaum tseem hluas.
Nws ntseeg tias qhov tseem ceeb tshaj plaws etiological rau cov ntshav qab zib hauv cov menyuam yog niam txiv thiab cov txheeb ze, uas tseem muaj cov kab mob zoo li no. Tom qab tag nrho, tus kab mob no muaj kev loj hlob hauv cov neeg muaj mob ntxiv.
Kev puas tsuaj ntawm beta hlwb hauv cov roj ntsha ua haujlwm hauv lub cev ua ntej tsis ua rau muaj kev ua txhaum ntawm cov metabolism ntawm cov roj carbohydrates. Tab sis nyob rau theem no, autoantibodies rau insulin feem ntau pom. Autoimmune ntshav qab zib mellitus tshwm sim muaj txiaj ntsig ntawm chromosomal txawv txav.
Lub luag haujlwm tseem ceeb hauv cov tsos mob ntshav qab zib hauv cov menyuam yaus yog ntaus los ntawm cov kab mob. Lawv ua cov protein zoo ib yam li beta cell protein. Raws li qhov tshwm sim, lub cev pib teb, uas ua rau muaj kev tawm tsam ntawm nws tus kheej lub hlwb. Tsis tas li, kab mob tuaj yeem rhuav tshem islet hlwb.
Qhov tseem ceeb rau kev txhim kho ntshav qab zib ntawm thawj hom suav nrog:
- phiv cov tshuaj;
- kev nqus ntawm cov tshuaj toxins;
- kev ntxhov siab;
- khoom noj khoom haus tsis muaj zog.
Yog li no, yog tias tus menyuam pheej hmoo, nws yog qhov yuav tsum tau ua tib zoo saib xyuas nws txhawm rau txhawm rau tiv thaiv kev loj hlob ntawm pathology.
Dab tsi yog peculiarity ntawm chav kawm ntawm tus kab mob hauv tus menyuam?
Ntawm tag nrho cov mob pathologies ntev, mob ntshav qab zib hauv cov menyuam yaus yog yam thib ob tshaj. Tus kabmob ua rau ntau yam teebmeem dua li cov laus.
Qhov tseeb tiag, nws yog txoj kev nyuaj siab rau txoj kev nyuaj siab rau ib tus menyuam yaus uas muaj cov piam thaj hauv ntshav mus hloov hauv pab pawg. Nws nyuaj rau nws kom nkag siab tias vim li cas lwm tus raug tso cai noj khoom qab zib, tab sis nws tsis kam, vim li cas thiaj tsim nyog txhaj tshuaj txhua hnub.
Kev txhaj tshuaj insulin
Cov menyuam yaus tus mob muaj ntshav qab zib hom 1 yuav tsum tau txhaj tshuaj insulin txhua hnub.
Nws yog qhov tsis muaj txiaj ntsig rau kev noj tshuaj ntawm qhov ncauj. Vim hais tias cov enzymes hauv plab ua rau cov tshuaj insulin.
Kev npaj muaj ntau hom.
Qee tus sai txo cov piam thaj, tab sis tsis ua tom qab 3-4 teev. Lwm tus qis dua cov piam thaj kom huv thiab maj mam, dhau 8-24 teev.
Txhawm rau tswj hwm tus xwm txheej ntshav qab zib ib txwm, nws tseem ceeb heev uas yuav tau kawm cov ntaub ntawv ntau yam ntsig txog tus kabmob no. Koj tuaj yeem hno tib lub tshuaj ntawm cov tshuaj hypoglycemic, tab sis nws yuav tsis ua haujlwm zoo los tswj tus kab mob. Nws yog tsim nyog to taub yuav ua li cas los ntsuas qhov zoo tshaj plaws ntawm cov tshuaj nyob ntawm kev noj haus thiab ntshav qab zib.
Kev daws rau kev txhaj tshuaj Lantus SoloStar
Cov kws muag tshuaj muab cov tshuaj tov kom txhij ntawm ntau hom tshuaj insulin. Tab sis kev paub txog cov endocrinologist tsis pom zoo kom siv lawv. Cov neeg mob feem ntau tau sau tshuaj pub dawb insulin Protafan. Nws raug nquahu kom hloov tus menyuam mus rau Lantus lossis Levemir, uas pom tau tias zoo dua. Hnub no zoo tshaj plaws yog kev tshem tawm tshuaj insulin-zinc thiab tshuaj tiv thaiv. Cov tshuaj no yog muab tshuaj subcutaneously. Qhov kev txiav txim kav rau 18-24 teev.
Ntau tus niam txiv feem ntau xav paub seb nws puas yuav tsum tau txhaj tshuaj insulin rau ntshav qab zib yog tias tus me nyuam nyuam qhuav dhau los muaj mob, lossis nws muaj peev xwm tswj hwm tus mob los ntawm kev noj zaub mov zoo. Hauv Is Taws Nem, feem ntau muaj kev tshaj tawm txog txuj ci kho mob uas tuaj yeem kho tus mob ntshav qab zib tau mus ib txhis. Tab sis official, xws li cov tshuaj tsis muaj nyob. Cov kws kho mob sau tseg tias tsis muaj cov khoom noj raw khoom noj, kev thov, bioenergy, ntsiav tshuaj tuaj yeem kho tus kab mob ntawm thawj hom.
Yuav noj li cas nrog kev kho mob insulin?
Kev noj haus ntshav qab zib yog ua ncaj qha rau cov tshuaj insulin. Txhawm rau ua kev noj mov, nws yog qhov muaj txiaj ntsig los teb cov lus nug:
- Yuav siv hom tshuaj dab tsi hypoglycemic?
- Cov tshuaj muab rau pes tsawg lub sijhawm?
- Lub sijhawm txhaj yog li cas?
Yog tias siv tshuaj insulin luv luv, nws siv sijhawm ib nrab teev ua ntej noj mov. Qhov siab tshaj plaws hauv cov ntshav qabzib tshwm sim tom qab peb teev. Yog li no, los ntawm lub sijhawm no, tus menyuam yuav tsum tau noj cov zaub mov muaj cov carbohydrate-nplua nuj. Txwv tsis pub, hypoglycemia pib.
Nruab nrab (ntev) kev tsim cov tshuaj insulin txo cov piam thaj ntau dua tom qab 5-12 teev. Ntawm no ntau heev nyob ntawm lub chaw tsim khoom, tus neeg mob teb rau tshuaj, thiab ib tug lej ntawm lwm yam. Muaj kuj yog ultrafast ua insulin. Nws tau muab tsib feeb ua ntej noj mov. Tom qab 30-60 feeb, cov tshuaj ua kom cov ntshav qab zib tsawg dua.
Muaj tshuaj lom insulin. Cov cuab yeej siv hauv cov qib sib txawv muaj cov tshuaj insulin hauv nruab nrab thiab luv. Xws li cov tshuaj no ob zaug ua rau muaj kev txo qis ntau nyob hauv qabzib. Nrog txoj kev kho insulin, ntau cov txheej txheem sib txawv yog siv. Coj mus rau hauv tus account xaiv xaiv, lub hwj huam hom tau xaiv. Piv txwv li, cov tshuaj tau txhaj ob zaug hauv ib hnub: thaum sawv ntxov lawv txhaj tshuaj 2/3 ntawm qhov tshuaj txhua hnub, thiab yav tsaus ntuj - 1/3.
Lub zog kwv yees hom uas muaj lub voj voos sib xws yog qhia hauv qab no:
- thawj zaug noj tshaisCov. Nws raug nquahu kom meager. Tom qab tag nrho, cov tshuaj tseem tsis tau qhia;
- tshais thib obCov. Plaub teev tom qab txhaj tshuaj. Nws yog ib qho tsim nyog los pub rau tus me nyuam nruj;
- noj su - 6 teev tom qab txhaj tshuaj. Khoom noj yuav tsum yog plawv, nplua nuj nyob hauv cov carbohydrates;
- noj hmoCov. Yuav ua tau yooj yim dua. Txij li cov piam thaj hauv lub sijhawm no yuav nce siab me ntsis;
- rau yav hmo ntujCov. Nws yog ib qho tsim nyog kom pub rau tus me nyuam nruj, coj mus rau hauv tus account lub koob tshuaj ntawm cov tshuaj tau muab rau thaum yav tsaus ntuj.
Cov txheej txheem no pab kom tswj hwm kev noj qab haus huv, tiv thaiv kev txhim kho hypoglycemia. Tab sis nws yog qhov tsim nyog nkaus xwb yog tias qhov koob tshuaj txhua hnub ntawm insulin yog tsawg.
Qee zaum cov tshuaj ua kom cov ntshav qab zib tau muab rau tsib zaug: noj tshuaj insulin ib nrab - ua ntej noj tshais thiab hmo pw, thiab ua yeeb yam luv luv - ua ntej noj mov loj.
Kev noj haus yuav tsum tau npaj raws li hauv qab no:
- thawj zaug noj tshais
- tshais thib ob;
- noj su
- yav tsaus ntuj tshuaj yej
- thawj noj hmo;
- thib ob noj hmo.
Cov khoom noj txom ncauj yuav tsum nyob rau lub sijhawm ntawm qhov kev txiav txim siab tshaj plaws ntawm luv luv insulin.
Nws tsis pom zoo kom siv cov khoom lag luam nrog qhov ntsuas qis heev los yog siab. Nws yog ib qho tseem ceeb kom nkag siab tias ntses, nqaij, qe, tshij, hnyuv ntxwm thiab lwm yam zaub mov zoo tsis muaj carbohydrates tsis tiv thaiv kev txhim kho hypoglycemia. Txhua pluas noj yuav tsum muaj li 80 gram carbohydrates.
Muaj qee qhov kev qhia ntawm kev kho mob insulin hauv ib tug menyuam yaus. Yog li, rau cov menyuam yaus feem ntau xaiv txoj kev tswj xyuas ob lossis peb-zaug rau kev tswj hwm ntawm cov tshuaj insulin. Txhawm rau txhawm rau txo cov kev txhaj tshuaj kom tsawg kawg nkaus, siv cov tshuaj sib xyaw ntawm cov tshuaj nruab nrab thiab luv. Cov tshuaj insulin hauv cov menyuam yaus yog siab dua cov neeg laus.
Yog li ntawd, nws yog ib qho tseem ceeb kom ua nruj me ntsis phased kev hloov kho ntawm cov tshuaj ntau dua ntawm cov tshuaj hypoglycemic.
Nws raug tso cai kom hloov cov koob tshuaj ntau ntxiv los ntawm 1 txog 2 chav. Txhawm rau txhawm rau ntsuas kev hloov pauv, nws yog qhov yuav tsum tau soj ntsuam xyuas tus menyuam lub sijhawm ntau hnub.
Hauv ib hnub, kho kho rau thaum yav tsaus ntuj thiab noj thaum sawv ntxov tsis pom zoo. Ua ke nrog ntawm kev noj haus zoo, cov kws kho mob feem ntau sau ntawv rau pancreatin, lipocaine, ib qho nyuaj ntawm cov vitamins. Hauv cov theem pib, cov tshuaj sulfa feem ntau kho. Piv txwv, cyclamide, bukarban, chlorpropamide. Tag nrho cov nyiaj no muab lub zog thiab ntxiv dag zog rau cov menyuam tsis muaj zog lub cev.
Teeb meem puas tsim nyog
Kev txhaj tshuaj insulin thiab khoom noj haus yog qhov tseem ceeb rau cov tub ntxhais kawm. Cov niam txiv yuav tsum ceeb toom rau chav ua noj ua haus tias tus menyuam muaj ntshav qab zib thiab yuav tsum tau muab qee yam zaub mov.
Nws yuav tsum daws ua ntej nrog cov tswj hwm tsev kawm ntawv cov teeb meem nram qab no:
- Tus me nyuam yuav txhaj tshuaj insulin nyob qhov twg: hauv tus kws tu mob lub chaw haujlwm lossis hauv chav kawm?
- Yuav ua li cas yog tias tus nais maum lub chaw haujlwm raug kaw?
- Leej twg thiaj yuav muaj cuab kav taug qab txoj kev muab tshuaj rau menyuam yaus li cas?
Nws yog ib qho muaj txiaj ntsig los kos nrog koj tus me nyuam txoj kev npaj ua tsam ua ntej thaum muaj xwm txheej tsis paub tom tsev kawm ntawv lossis ntawm nws txoj kev.
Piv txwv, yuav ua li cas yog hais tias cov phav ntawv nrog cov zaub mov raug kaw hauv chav kawm? Los yog yuav ua li cas yog tus yuam sij rau chav tsev ploj? Hauv txhua qhov xwm txheej, tus menyuam yuav tsum paub meej kom ceev nrooj cov tsos mob ntawm tus mob ntshav qab zib tsawg thiab yuav ua li cas tiv thaiv qhov tshwm sim.
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Hom insulin, nyob ntawm qhov ceev thiab ntev npaum li cas ntawm kev ua:
Yog li, menyuam yaus feem ntau kuaj pom tus mob ntshav qab zib hom 1. Tus kab mob no yog yeej ua tsis tau. Cov mob hnyav tuaj yeem tshwm sim yam tsis muaj kev xaiv kom zoo kev kho mob thiab kev noj haus. Yog li, koj yuav tsum paub txog cov yam ntxwv ntawm kev siv tshuaj insulin, thaum koj xav tau kev pub mis rau menyuam tom qab txhaj tshuaj, thiab cov zaub mov twg zoo dua los muab.
