COV UA RAU COV NTSHAV QAB ZIB KOM QIS, VIM LI CAS COV PIAM THAJ TXO QIS

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Qab zib (piam thaj) yog qhov tseem ceeb lub zog rau tib neeg lub cev. Nws nkag mus ua ib feem ntawm cov khoom noj ua kom muaj roj, yog tso tawm hauv txoj hnyuv, thiab yog nqus rau hauv cov ntshav. Tom qab ntawd nws muab faib thiab thauj mus rau cov hlwb thiab cov ntaub so ntswg.

Tib neeg lub cev sim tswj cov ntshav qab zib kom tsis tu ncua nyob hauv qee qhov txwv, uas yog qhov zoo tshaj plaws rau kev ua kom tau raws li cov kev xav tau thiab chav kawm ntawm kev tawm tsam. Txawm li cas los xij, muaj qee lub sijhawm thaum ntsuas meej meej nce lossis tsawg dua. Qhov no yuav qhia tau cov txheej txheem muaj sia lossis kev txhim kho kabmob.

Cov hauv qab no yog qhov tseem ceeb uas ua rau cov piam thaj hauv ntshav tsawg, cov yam ntxwv ntawm tus mob no rau menyuam yaus thiab cov neeg laus, thiab cov qauv kho.

Cov piam thaj rau lub cev yog dab tsi?

Cov kua nplaum yog lub monosaccharide. Tawm tsam keeb kwm yav dhau los ntawm kev nce hauv nws cov ntshav suav tom qab noj mov, cov leeg ntshav tau txais lub teeb liab los ntawm lub hlwb tias qib ntawm glycemia yuav tsum raug txo. Hlau tso tawm qee qhov nqi ntawm cov tshuaj hormones-yam muaj zog insulin, uas yog xav tau "qhib lub qhov rooj" rau cov cell rau cov piam thaj.

Cov piam thaj, ntxiv rau muab lub cev nrog lub zog, ua ntau yam ntawm cov haujlwm tseem ceeb:

yog ib feem ntawm nucleic acids, yog ib feem ntawm nucleotides;
koom hauv kev tsim cov amino acids, cov metabolism ntawm qee yam rog, carbohydrates;
rov qab kho lub xeev ntawm lub cev tom qab kev tiv thaiv kab mob thiab mob ntsws ntev, ua rau qaug zog, tshaib plab;
muaj txiaj ntsig zoo rau lub xeev psycho-siab ntsws, txhim kho kev xav;
txhawb nqa kev ua haujlwm ntawm ntau lub cev.

Cov piam thaj - ib qho monosaccharide, uas yog "roj" rau tib neeg lub cev

Kev hypoglycemia yog dab tsi?

Mob Hypoglycemia - tus mob uas cov lej ntawm cov piam thaj hauv cov hlab ntshav mus tshaj li qhov tau txais yuav tsawg dua. Kev ntsuas suab thaj nws txawv ntawm 3.3 mmol / L thiab 5.5 mmol / L. Hauv cov poj niam thiab cov txiv neej hnub nyoog nruab nrab, cov ntsuas no sib xws.

Tseem Ceeb! Cov neeg laus dua tau hloov qis me ntsis hauv qhov kev tso cai txwv tsis pub tshaj (txog 6.7 mmol / l). Qhov no cuam tshuam nrog kev hloov pauv hauv keeb kwm vim los ntawm lwm cov qog endocrine, cov tshuaj hormones uas yog cov insulin antagonists.

Ntshav qab zib hauv ntshav rau cov menyuam yaus hnub nyoog qis dua 5 xyoos kuj txawv qhov nruab nrab qhov tseem ceeb. Txog ib xyoos, qhov kev txwv siab tshaj yog 4.4 mmol / L, qis dua - 2.8 mmol / L. Laus dua ib xyoos - 3.3-5 mmol / L.

Daim duab 2.5-2.9 mmol / L raug suav tias yog cov piam thaj ntshav tsawg hauv cov neeg laus. Txawm tias glycemia qis dua qhia tau tias muaj kev muaj mob ntawm tus mob pathological. Kev mob ntshav qab zib yuav tsum muaj kev tiv thaiv tam sim ntawd los ntawm cov kws kho mob tshwj xeeb thiab saib xyuas thaum muaj xwm txheej ceev, vim nws yog qhov ua rau muaj teeb meem loj thiab cov xwm txheej.

Vim li cas cov piam thaj hauv ntshav ho poob?

Cov ua kom muaj glycemia tsawg yog muaj ntau yam. Lawv tuaj yeem cuam tshuam nrog kev tsis pom cov piam thaj hauv lub cev, qhov tsis muaj pes tsawg tus enzymes, qib insulin siab, thiab lwm yam muaj keeb. Ntxiv mus, ntau ntxiv rau vim li cas cov piam thaj hauv ntshav poob, thiab thaum nws xav tau kev cuam tshuam ntawm kws kho mob.

Qab zib tsis txaus

Cov xwm txheej hauv qab no zwm rau pawg no:

Hormone deficiency - cov ntshav qab zib qis ua ib qho kev sib tw ntawm kev ua haujlwm tsis ua haujlwm ntawm lub caj pas paim plab, uas ua rau ntau cov tshuaj hormones (somatotropin, prolactin, thyrotropin, thiab lwm yam) txo qis. Qhov tshwm sim yog qhov pathology ntawm feem ntau cov qog endocrine, uas txo cov feem ntawm cov kua nplaum tsim los ntawm lub siab, ua kom nws qhov kev siv ntau ntxiv.
Qhov tsis muaj peev xwm ntawm glucocorticoids (cov tshuaj hormones ntawm adrenal cortex) - lub tshuab rau kev txhim kho ntawm pathology zoo sib xws. Cov piam thaj tuaj yeem muab txo qis ob leeg ua ntej cov zaub mov nkag mus rau hauv lub cev, thiab ob peb teev tom qab ua tiav cov txheej txheem no.
Glucagon deficiency - Cov tshuaj hormones no suav tias yog tshuaj tua kab mob insulin. Thaum glucagon nkag mus rau hauv cov ntshav, kev nce ntxiv hauv glycemia yog pom, thaum tsis txaus, kev ntsuas poob qis.

Glucagon - hom tshuaj hormone zais los ntawm pancreatic alpha hlwb

Enzyme tsis txaus

Ib qho ntawm cov ua rau cov ntshav tsis txaus yog Girke tus kab mob. Qhov no yog cov kab mob muaj keeb muaj kabmob, uas yog tus cwj pwm los ntawm lub cev tsis tuaj yeem koom nrog kev tsim cov enzyme tshwj xeeb, vim li ntawd cov txheej txheem ntawm cov piam thaj hauv lub cev tau cuam tshuam.

Tseem Ceeb! Yog hais tias qhov tsis muaj peev xwm ntawm cov mob ntawm cov neeg mob ntawd yog mob nyhav, lawv muaj sia nyob rau neeg laus, tab sis lawv txoj kev noj qab nyob zoo thiab chav kawm ntawm cov txheej txheem sab hauv yog qhov kev cuam tshuam loj.

Lwm tus kab mob yog kab mob qhua pias. Ib qho tshwj xeeb ntawm tus kab mob kuj yog qhov tsis muaj qhov tshwj xeeb enzyme. Nws muaj nuj nqi yog kev puas tsuaj ntawm cov ceg ntoo glycogen, cuam tshuam tsis pub muaj suab thaj los ntawm lawv. Pathology muaj chav kawm me me piv rau Girke tus kab mob.

Khoom noj khoom haus tsis muaj zog

Ntshav cov ntshav muaj dab tsi rau cov neeg laus

Yog tias cov zaub mov tsis nkag mus rau hauv lub cev hauv qhov ntau txaus, ces qhov no ib txwm ua rau qhov tseeb tias cov piam thaj poob qis hauv cov ntshav. Cov hlwb, tshwj xeeb tshaj yog lub hlwb, tsis tau txais cov nyiaj tsim nyog ntawm cov khoom siv hluav taws xob uas tsim nyog rau kev ua haujlwm zoo.

Ib lub tswv yim zoo sib xws rau kev txhim kho hypoglycemia tau pom nrog kev ua si ntau dhau. Lub tshuab ua pa "tau siv" cov piam thaj ntau dua li lub cev tswj kom coj los ua ke lossis nws los nrog zaub mov.

Cev xeeb tub

Thaum lub sijhawm cev xeeb tub, kev hloov pauv tseem ceeb tshwm sim hauv tus poj niam lub cev, uas cuam tshuam rau nws cov kev sib deev hormonal thiab cov txheej txheem enzymatic. Cov piam thaj, uas nkag mus rau hauv lub cev ntawm tus poj niam cev xeeb tub, tam sim no yuav tsum tau muab lub zog tsis yog rau nws lub hlwb thiab cov ntaub so ntswg, tab sis kuj rau tus menyuam lub cev. Qhov kev xav tau nce zuj zus txhua lub hlis.

Cov tshuaj hormones ntawm cov placenta thiab adrenal cortex, uas yog insulin antagonists, tab tom ua haujlwm kom ruaj khov, tab sis kev zais ntawm insulin nws tus kheej yog nce kom sib npaug rau cov suab thaj hauv poj niam lub cev.

Cov piam thaj feem ntau poob hauv ib nrab hnub thib ob ntawm cev xeeb tub

Pathology ntawm lub siab

Vim li cas cov lej ntshav qab zib thiaj poob qis ua rau lub siab puas? Qhov no yog vim nws qhov ua haujlwm tsis tuaj yeem koom nrog hauv cov txheej txheem ntawm cov kua nplaum tsim. Tej zaum yuav tshwm sim tawm tsam keeb kwm ntawm cov kab mob hauv qab no:

daim siab mob hlwb;
o ntawm cov kabmob kis;
hepatic mob rau mob encephalopathy;
cov txheej txheem qog ntawm lub siab lossis metastasis hauv nws cov nqaij;
daim siab ua hauj lwm.

Cawv thiab tshuaj

Kev haus cawv haus cawv yog ib qho ua rau cov neeg mob ntshav qab zib. Thaum ethyl cawv nkag rau hauv tib neeg lub cev, lub enzyme tau siv sij hawm, uas yog qhov tsim nyog rau kev tsim cov piam thaj. Thaum cov cov khoom tshwj tseg ntawm cov tshuaj enzymatic tsawg dua, poob qab zib cov ntshav hauv lub cev tshwm sim hauv cov hlab ntshav.

Cov menyuam yaus, tshwj xeeb txaus, kuj tseem tuaj yeem lom cov cawv nyeem glycemia. Qhov no yog vim dej haus cawv los yog txhob txwm siv cawv.

Tseem Ceeb! Ib qho kab mob pathological tuaj yeem tsim kho hauv cov menyuam yaus preschool tiv thaiv keeb kwm yav dhau los ntawm kev siv dej cawv hauv kev kho mob ntawm cov kab mob ntawm cov pa ntawm sab saud.

Kev mob ntshav qab zib hauv lub cev qis tuaj yeem ua rau kev siv tshuaj hauv qab no:

beta blockers;
salicylates;
non-steroidal anti-inflammatory tshuaj tiv thaiv.

NSAIDs - ib pawg tshuaj uas tuaj yeem txo glycemia

Muaj piam thaj ntau ntxiv

Cov kev tawm tshiab hauv qab no yog koom nrog pawg no, tawm tsam cov kev mob hypoglycemic tsim:

insulinoma - lub qog ntawm lub txiav, tsis zais ntawm cov tshuaj insulin;
hyperplasia ntawm cov hlwb uas coj cov tshuaj insulin hauv cov menyuam yaus thiab cov menyuam mos yug tshiab;
microadenomatosis - dysplasia ntawm cov hlwb ntawm islets ntawm Langerhans-Sobolev;
hypoglycemia ntawm hyperinsulinemic xwm;
qhov txo qis hauv cov ntshav qab zib hauv cov ntshav qab zib.

Tseem Ceeb! Muaj tsawg glycemia tshwm sim los ntawm cov khoom neeg tsim. Tus mob no yog tsiag ntawv los ntawm qhov tseeb tias ib tug neeg hnov zoo siab nrog kev qhia ntawm insulin analogues. Nws tsis yog tshwm sim rau txhua tus neeg.

Cov yam ntxwv khomob

Kev mob ntshav qab zib yog ib yam mob uas yuav tsum tau saib xyuas sai thiab kho cov suab thaj hauv lub cev. Thaum thawj cov tsos mob ntawm cov piam thaj pom tshwm, koj yuav tsum haus dej qab zib, noj cov qhiav qab zib, noj qab zib, thiab qab zib. Yog tias tus neeg muaj lub siab tsis meej pem, koj yuav tsum tau hu rau pawg neeg ua haujlwm hauv lub tsheb thauj neeg mob tam sim ntawd, vim tias qhov no yuav qhia tau tias muaj kev cuam tshuam loj heev hauv lub cev.

Kev zom zaub mov carbohydrates yuav nce qabzib nyob rau lub sijhawm luv luv

Kev kho mob hauv tsev kho mob suav nrog kev tswj cov kua nplaum (ua ntej tso tawm, tom qab ntawd nqus dej rau hauv cov leeg ntshav qab zib), glucagon, adrenaline, tshuaj hormonal, tshuaj los txhawb txoj haujlwm ntawm lub plawv thiab cov hlab ntshav, tshuaj diuretics (los tawm tsam lub hlwb txha caj qaum).

Tom qab tso tawm, tus neeg mob yuav tsum ua kev txhim kho ntawm nws kev noj haus. Nws muaj nyob rau hauv fractional txais zaub mov ntawm lub cev, hauv feem me me. Thaum tsis muaj ntshav qab zib, nws yog ib qho tseem ceeb uas tsawg kawg 130 g ntawm carbohydrates yog xa khoom txhua hnub. Nws yog ib qho tsim nyog yuav tsum tsis kam haus cawv, kib, ntsim, haus.

Qhov Kev Nyiam muab rau cov ncu ci, ci, hau npau, ci cov zaub mov. Nws yog ib qho tsim nyog yuav tsum muaj nyob hauv cov khoom noj kom muaj txiaj ntsig ntawm cov txiv hmab txiv ntoo thiab zaub, nqaij ntshiv, nqaij ntses. Nws tseem yog ib qho tseem ceeb kom ua raws li cov lus pom zoo ntawm cov kws tshaj lij thiab saib xyuas glycemia cim hauv kev ua haujlwm.

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