Ntshav qab zib mellitus yog ib yam kab mob hnyav heev uas cuam tshuam rau yuav luag txhua yam kev zom zaub mov hauv tib neeg lub cev. Niaj hnub no, ntshav qab zib yog qhov teeb meem tseem ceeb thoob ntiaj teb thiab, hmoov tsis, peb lub teb chaws tsis muaj kev zam. Muaj ib qho hloov uas cuam tshuam nrog kev nce ntxiv ntawm cov neeg mob ntshav qab zib tsis yog rau cov laus xwb tabsis cov menyuam yaus. Tus kab mob no ua rau muaj teeb meem tshwj xeeb rau menyuam yaus, vim tias tus menyuam lub cev tseem qis dua thiab tsis tuaj yeem tiv thaiv nws tus kheej ntawm cov ntshav siab. Hauv tsab xov xwm no peb yuav tshawb xyuas qhov ua rau ntshav qab zib hauv menyuam yaus.
Tus kab mob no loj li cas?
Qhov xwm ntawm tus kab mob no tau paub ntev los rau tib neeg, nws loj hlob los ntawm qhov tsis hnov lus tsis zoo, kev tsim cov tshuaj hormone insulin, nrog rau kev nkag siab ntawm cov hlwb thiab cov nqaij mos rau nws. Yog li, ntshav qab zib yog ib qho kab mob endocrine tuaj yeem muaj ntau yam tsis zoo rau lub cev ntawm tus menyuam muaj ntshav qab zib.
Muaj ntau cov ntshav qab zib, tab sis tsuas yog ob ntawm lawv suav hais tias yog qhov tseem ceeb thiab feem ntau:
- yam ntshav qab zib hom 1-insulin;
- yam type 2 insulin-resistant ntshav qab zib, thaum sijhawm, nws tuaj yeem nkag mus rau hauv daim foos xav tau insulin.
Txhua daim ntawv tsim tau raws li nws tus kheej pathogenetic variant. Raws li, cov ua rau mob ntshav qab zib sib txawv.
Cov ua kom mob ntshav qab zib tuaj yeem faib ua ib yam li cov qauv kab mob ua 2 pab.
Insulin daim ntawv foos
Daim foos ntshav qab zib no ua haujlwm autoimmune hauv qhov xwm txheej thiab tsim tawm los ntawm kev ua txhaum ntawm lub cev tiv thaiv kab mob ntawm kev ua haujlwm ntawm cytotoxic immunocompetent hlwb. Qhov no txhais tau hais tias cov kab mob ntawm koj tus kheej lub cev tiv thaiv kab mob pib tsim cov tshuaj tshwj xeeb uas muaj cov tshuaj lom rau qee cov nqaij hauv koj lub cev. Xws li cov ntshav qab zib hom 1, lub cev tiv thaiv kab mob ua rau lub cev beta ntawm cov islets ntawm Langerhans, uas nyob rau hauv cov neeg xaum thiab muaj lub luag haujlwm rau cov synthesis thiab ua kom cov kua ntshav tawm.
Vim li cas daim ntawv no tshwm sim ntau hauv cov menyuam yaus? Cov lus teb nyob ntawm qhov muaj mob siab thiab muaj kab mob hauv cov menyuam yaus ntau dua. Kev mob ua pa lossis mob khaub thuas tuaj yeem cuam tshuam rau kev txhim kho ntawm tus kab mob autoimmune no. Qhov laj thawj ntawm kev txhim kho ntawm cov tshuaj tiv thaiv yog qhov zoo sib xws ntawm qee tus neeg kis nrog tus neeg mob tus kheej cov ntaub so ntswg, uas ua rau muaj kev pheej hmoo ntau ntxiv los ntawm kev tsim lub cev tsis ua txhaum.
Insulin-dependant ntshav qab zib mellitus tsim kho sai thiab ua ib qho mob hnyav, thiab kev kho mob yuav tsum tau nqa tawm, hloov chaw rau kev hloov kho tshuaj hormones rau lub neej. Hmoov zoo, autoimmune ntshav qab zib hauv cov menyuam yaus yog qhov tsis tshua muaj neeg pom.
Tus txheej txheem ntawm kev loj hlob ntawm hom 1 mob ntshav qab zib
Insulin resistant daim ntawv
Daim ntawv foos ntau tshaj plaws hauv lub ntiaj teb, tab sis muaj tsawg dua ntawm cov menyuam yaus, txawm hais tias muaj tsis ntev los no muaj tus cwj pwm tsis zoo nce qhov feem ntawm cov menyuam muaj ntshav qab zib mellitus. Qhov thib ob ntawm xws li mob loj ntawm endocrinological raws li ntshav qab zib mellitus tshwm sim los ntawm qhov tsis sib xws ntawm lub zog tau txais los ntawm cov khoom noj thiab nws cov kev xav tau.
Cov mob tshwm sim feem ntau ntawm cov kab mob rau cov menyuam yaus thiab nruab nrab hnub nyoog yog cov hauv qab no:
Cov tsos mob ntawm tus mob ntshav qab zib insipidus hauv cov menyuam yaus- Kev noj ntau dhau - kev noj zaub mov muaj calorie ntau ua rau lub zog tseem ceeb rau lub zog nkag mus rau hauv lub cev ntawm cov menyuam nrog zaub mov;
- tsis muaj kev tawm dag zog - qhov tsis muaj kev ua ub no ntawm tus menyuam tsuas yog ua rau muaj qhov xwm txheej ntau, txij li qhov sib txawv cuam tshuam nrog kev siv zog ntau ntxiv.
Tag nrho cov no ua rau muaj kev hloov lipid profile hauv cov ntshav ntawm tus menyuam, uas ua rau txoj kev loj hlob ntawm cov rog dhau, thiab tom qab ntawd rog. Ib qho nce ntawm daim ntaub adipose hauv tus menyuam lub cev ua rau muaj kev hloov pauv keeb kwm ntawm keeb kwm thiab qhov tsis txaus ntseeg. Yog li ntawd, cov ntaub so ntswg ntxiv pib txo qis tshuaj insulin. Tus naj npawb ntawm cov receptors lub luag hauj lwm rau kev sib cuag nrog insulin thiab ua kom cov kab mob transmembrane carbohydrate-cab kuj txo.
Qhov tshwm sim ntawm cov kab mob pathogenetic no yog qhov nce ntawm cov piam thaj hauv cov ntshav nruab nrab, uas dhau sij hawm ua rau kev txuam nrog cov carbohydrates hauv lub cev thiab ua tsis tau zoo ntawm ntau cov nruab nrog cev thiab tshuab.
Hypodynamia yog ib qho kev pheej hmoo muaj feem ntau ua rau kev rog thiab endocrine ntshawv siab.
Koom xwm uas ua rau muaj kev pheej hmoo ntawm tus mob
Yog tias lub hauv paus tseem ceeb rau daim ntawv insulin-tiv thaiv yog kev mob plab yug ntshav los yog ua mob rau cov kab mob autoimmune, tom qab ntawd nrog hom ntshav qab zib hom 2, tej yam kuj txawv me ntsis. Nyob rau hauv rooj plaub ntawm hom 2, tsis muaj ib qho tib lub sijhawm uas tuaj yeem ua rau tus kabmob loj hlob tuaj. Vim daim foos no nws yog ntau yam. Ntawm qhov tseem ceeb tshaj plaws uas ua rau muaj kev pheej hmoo ntxiv ntawm cov kab mob endocrine pathology, peb tuaj yeem paub qhov txawv:
- Ib tsev neeg muaj keeb kwm hnyav heev. Keeb kwm yog ib qho tseem ceeb nyob rau hauv kev hloov pauv cov mob ntshav qab zib. Yog li, yog tias ib tus niam txiv muaj mob, ces qhov kev pheej hmoo ntawm kev loj hlob nce mus txog 20%. Yog tias ob leeg niam txiv tau txais kev txom nyem los ntawm cov kab mob endocrine no, qhov pheej hmoo ntawm tus mob yuav nce mus rau 50%.
- Tsis ncaj ncees lawm txoj kev ua neej. Tsuas yog dab tsi tau hais los saum toj no, uas yog, qhov muaj calorie ntau hauv kev noj haus nrog qhov tseem ceeb ntawm kev zom cov zaub mov carbohydrates sai thiab tsis muaj kev qoj ib ce ntawm tus me nyuam.
- Kev xeeb menyuam thaum lub sijhawm cev xeeb tub lossis, hloov pauv, qhov hnyav ntawm tus menyuam hauv lub sijhawm cev xeeb tub lig. Txhua qhov sib txawv ntawm txoj kev loj hlob ntawm tus menyuam, pib los ntawm lub sijhawm ua ntej yug menyuam thiab yug menyuam, txo qhov kev ua kom rov ua taus mob-haum tus menyuam lub cev.
Tshaj tawm, nws yog ib qho tseem ceeb kom nco tseg ib zaug ntxiv tias tsuas yog ua tib zoo saib xyuas tus menyuam, lub sijhawm teem sijhawm so kom txaus thiab sijhawm ua haujlwm, nrog rau kev noj zaub mov kom zoo thiab lub cev noj qab nyob zoo txo qis kev mob ntshav qab zib. Xws li cov neeg uas muaj feem yuav pheej hmoo nyob ib puag ncig peb, thiab haj yam tseem ceeb rau peb cov menyuam, yuav muaj kev phom sij txawm tias cov menyuam muaj kev noj qab haus huv zoo tshaj. Xyuam xim tsis yog saib xyuas koj txoj kev noj qab haus huv nkaus xwb, tabsis kuj yuav tsum saib xyuas kev noj qab haus huv ntawm koj cov menyuam thiab.
