Noj zaub mov uas tuaj yeem pab txo mob thaum mob ntshav qab zib neuropathy

Hauv xyoo 2015, hauv Asmeskas, cov kws tshawb fawb tau ua kev tshawb fawb txog kev noj haus zoo li cas cuam tshuam rau kev mob cuam tshuam nrog kev mob ntshav qab zib mob neuropathy. Nws muab tawm tias kev noj zaub mov raws li kev xyeej cov nqaij thiab cov khoom noj mis nyuj nrog kev tsom rau cov khoom cog tuaj yeem txo tus mob no thiab txo txoj kev pheej hmoo.

Mob neuropathy mob ntshav qab zib muaj ntau tshaj ib nrab ntawm cov neeg muaj tus mob ntshav qab zib hom 2. Qhov kev mob nkeeg no tuaj yeem cuam tshuam rau tag nrho lub cev, tab sis feem ntau yog qhov txha nqaj ntawm lub caj npab thiab txhais ceg raug kev txom nyem los ntawm nws - vim tias muaj cov ntshav qab zib ntau ntau thiab cov ntshav khiav tsis zoo. Qhov no yog qhia hauv poob ntawm kev hnov, tsis muaj zog thiab mob.

Cov kws tshawb fawb tau pom tias muaj mob ntshav qab zib hom 2, diya, raws li kev noj cov khoom siv cog rau tsob ntoo, tuaj yeem ua tsis tau zoo dua li kev siv tshuaj.

Cov khoom noj rau cov tsis zoo noj yog dab tsi

Thaum lub sijhawm kawm, cov kws kho mob hloov mus rau 17 cov neeg laus uas muaj ntshav qab zib hom 2, mob ntshav qab zib neuropathy thiab ua rog dhau ntawm lawv cov zaub mov ib txwm noj rau cov zaub mov muaj roj tsawg, tsom rau cov zaub tshiab thiab zom cov zaub mov tsis zoo xws li zaub mov thiab legumes. Cov neeg tuaj koom kuj tau noj cov vitamins B12 thiab tau mus koom kev noj zaub mov noj txhua lub lim tiam rau cov neeg mob ntshav qab zib tau 3 lub hlis. Vitamin B12 yog qhov tseem ceeb rau kev ua haujlwm ntawm lub qab haus huv, tab sis nws tsuas yog pom nyob rau hauv nws daim ntawv ntuj hauv cov khoom ntawm tsiaj keeb kwm.

Raws li kev noj haus, txhua yam khoom ntawm cov tsiaj keeb kwm tsis suav nrog cov khoom noj - nqaij, ntses, mis thiab nws cov keeb kwm, nrog rau cov khoom lag luam muaj cov lej siab glycemic: qab zib, qee hom zaub mov thiab cov qos yaj ywm dawb. Cov khoom tseem ceeb ntawm cov khoom noj yog qos qos (tseem hu ua qab zib), lentils thiab oatmeal. Cov neeg koom nrog kuj yuav tsum tsis txhob noj cov zaub mov muaj roj thiab zaub mov noj thiab noj 40 grams fiber ntau txhua hnub hauv kev ua zaub, txiv hmab txiv ntoo, tshuaj ntsuab thiab nplej.

Txog kev tswj hwm, peb tau soj ntsuam ib pab pawg ntawm 17 lwm tus neeg nrog tib cov ntaub ntawv pib, uas yuav tsum tau ua raws li lawv cov zaub mov tsis muaj vegan li ib txwm muaj, tab sis ntxiv nws nrog vitamin B12.

Tshawb nrhiav tau

Muab piv rau cov pab pawg tswj hwm, cov uas zaum noj cov zaub mov vegan tau ua rau muaj kev txhim kho ntau ntxiv hauv txoj kev kho mob. Tsis tas li ntawd xwb, lawv cov leeg hlwb thiab cov ntshav ncig ua haujlwm pib ua haujlwm zoo dua, thiab lawv tus kheej poob ntau tshaj 6 phaus.

Ntau tus kuj tau sau tseg txog kev txhim kho hauv qib qab zib, uas tso cai rau lawv kom txo qis thiab noj cov tshuaj mob ntshav qab zib.

Cov kws tshawb fawb txuas ntxiv mus nrhiav kev tshab txhais txog cov kev txhim kho no, vim tias lawv yuav tsis cuam tshuam txog vegan noj zaub mov noj, tab sis kom poob phaus uas tuaj yeem ua tiav los ntawm nws. Txawm li cas los xij, xijpeem nws yog dab tsi, kev sib xyaw ntawm cov zaub mov vegan thiab vitamin B12 pab tua cov kev mob tsis zoo ntawm ntshav qab zib li neuropathy.

Kws kho mob sab laj

Yog tias koj tsis paub txog qhov mob uas tshwm sim los ntawm ntshav qab zib neuropathy, thiab xav sim cov khoom noj uas tau piav qhia saum toj no, nco ntsoov sab laj nrog koj tus kws kho mob ua ntej ua qhov no. Tsuas yog tus kws kho mob thiaj tuaj yeem soj ntsuam koj tus mob kom zoo thiab txiav txim qhov txaus ntshai ntawm kev hloov mus rau kev noj zaub mov zoo li no. Nws yog tau tias koj lub xeev ntawm kev noj qab haus huv tsis tso cai rau koj kom nyab xeeb tsis tu ncua li ib txwm thiab vim qee yam khoom koj xav tau. Tus kws kho mob yuav tawm tswv yim los kho cov pluas noj kom tsis txhob ua rau muaj kev phom sij ntau dua thiab sim txoj hauv kev tshiab los tawm tsam tus kabmob.

Phaum Npaum

Raws li feem ntau ntawm cov kws sau ntawv, qhov ntau zaus ntawm qhov mob ntawm mob ntshav qab zib polyneuropathy ncav cuag 18-20%.

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Lub pathogenetic mechanisms ntawm kev txhim kho mob ntshav qab zib polyneuropathy yog txoj thiab ntau yam. Hyperglycemia vim tias cov ntshav qab zib ua rau lub cev tsis txaus siab xws li kev tsub zuj zuj ntawm sorbitol, cov glycation ntau dhau ntawm glycation, thiab oxidative kev nyuaj siab, uas cuam tshuam loj heev ntawm cov qauv thiab ua haujlwm ntawm cov neurons. Endothelial hlwb kuj tseem puas, ua rau microvascular kev ua haujlwm tsis zoo. Lub siab hypoxia thiab ischemia rau ib qho tseem ceeb tshaj plaws qhib cov txheej txheem ntawm oxidative kev nyuab siab thiab cov hlab ntaws. Ib qho tseem ceeb pathogenetic mechanism rau kev txhim kho mob ntshav qab zib polyneuropathy tseem suav tias yog kev ua kom tsis txaus ntawm cov neurotrophic yam.

Raws li rau cov txheej txheem ntawm kev hnov mob hauv kev mob ntshav qab zib polyneuropathy, lub hauv paus tseem ceeb suav hais tias yog qhov swb ntawm cov nqaij ntshiv nyias nyias, muab qhov mob rhiab. Cov txheej txheem ntawm cov khoom siv nruab nrab thiab qhov nruab nrab hauv qhov nruab nrab, lub cim ntawm kev rub tawm los ntawm ectopic foci ntawm cov leeg cuam tshuam, cuam tshuam ntau dhau ntawm cov sodium chaw, thiab lwm yam yog qhov tseem ceeb.

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Cov tsos mob ntawm kev mob hauv mob ntshav qab zib polyneuropathy

Kev mob siab rau mob ntshav qab zib mob ntshav qab zib yog yam ntxwv ua ke nrog rau qhov tshwm sim zoo thiab tsis zoo. Cov kev tsis txaus siab ib txwm muaj tingling thiab loog hauv tus taw thiab txhais ceg, hnyav dua thaum hmo ntuj. Tib lub sijhawm, cov neeg mob tuaj yeem yuav ntse, tua, txhaws qa thiab hlawv xim. Hauv qee tus neeg mob, allodynia thiab hyperesthesia tau sau tseg. Tag nrho cov kev cuam tshuam saum toj no yog suav tias yog qhov kev hnov mob zoo ntawm cov mob neuropathic. Cov tsos mob tsis zoo suav nrog qhov mob thiab qhov kub ntawm lub siab tsis zoo, uas nyob rau theem pib ntawm tus mob yog mob me thiab thaj chaw hauv thaj chaw distal ntawm ob txhais ceg, tab sis thaum lawv vam meej, lawv kis sib kis thiab tuaj yeem tshwm sim ntawm txhais tes. Tendon reflexes feem ntau txo qis, thiab cov leeg ua kom tsis muaj zog yog txwv rau cov leeg ntawm ko taw.

Tsawg feem ntau, qhov mob yuav tshwm sim mob ntshav qab zib asymmetric neuropathy vim yog txheej txheem vasculitic hauv epineuria. Daim ntawv no feem ntau muaj rau cov neeg laus uas muaj ntshav qab zib mellitus (feem ntau txawm tsis kuaj mob). Tus mob tshwm sim nyob rau hauv qis rov qab los yog thaj chaw ntawm lub duav sib koom tes thiab kis tawm ntawm txhais ceg nyob rau ib sab. Nyob rau tib lub sijhawm, tsis muaj zog thiab poob phaus ntawm cov leeg ntawm tus ncej puab thiab lub plab mog ntawm sab tib yam yog sau tseg. Cov nyiaj rov qab yog feem ntau zoo, tab sis tsis tas ua kom tiav.

Ntshav qab zib thoraco-lumbar radiculopathy yog qhov mob los ntawm kev mob hauv kev sib xyaw ua ke nrog daim tawv nqaij hyperesthesia thiab mob ntshav qab zib nyob hauv thaj chaw ntawm kev thaj yeeb ntawm lub hauv paus cuam tshuam. Daim ntawv ntawm cov mob ntshav qab zib polyneuropathy feem ntau muaj rau cov neeg laus laus uas muaj keeb kwm mob ntshav qab zib ntev thiab, raws li txoj cai, feem ntau ua rau rov qab ua haujlwm qeeb.

Nrog lub cim nce nyob rau hauv cov concentration ntawm cov piam thaj nyob rau hauv cov ntshav (ketoacidosis), mob mob neuropathy tuaj yeem tsim, tshwm sim los ntawm kev mob hnyav hlawv thiab yuag poob. Allodynia thiab hyperalgesia muaj suab heev, thiab qhov piav thoob hlo thiab lub cev muaj zog yog qhov tsawg heev.

Kev kho mob ntawm qhov mob hauv mob ntshav qab zib polyneuropathy

Kev kho mob rau cov mob ntshav qab zib polyneuropathy cuam tshuam nrog 2 cov lus qhia - txo qhov hnyav ntawm qhov mob (kho mob) thiab rov ua haujlwm txoj haujlwm ntawm cov hlab ntsha cuam tshuam (kho pathogenetic). Nyob rau hauv rooj plaub tom kawg, thioctic acid, benfotiamine, kev loj hlob ntawm cov hlab ntsha, aldose reductase inhibitors, protein kinase C inhibitors, thiab lwm yam yog siv. Kev kho kab mob yog qhov tseem ceeb thiab txiav txim siab feem ntau ntawm kev kwv yees, tab sis tib lub sijhawm nws feem ntau tsis nrog kev txhim kho sai sai (cov kev kawm ntev dua yog tsim nyog). ) thiab tsis tshua muaj txiaj ntsig rau kev mob, uas ntau zaus yog qhov ua rau txo qis lub neej ntawm cov neeg mob. Yog li ntawd, hauv cov neeg mob uas muaj mob, kev kho mob cov tsos mob tau nqa tawm thaum lub sijhawm sib ncag, txhawm rau txiav kev mob neuropathic.

Rau kev kho mob neuropathic mob ntshav qab zib polyneuropathy, ntau txoj kev tsis yog pharmacological tau siv (kev phais mob ntawm cov leeg ib leeg, kho laser, acupuncture, magnetotherapy, kev siv tshuaj lom neeg lub cev, tshuaj tua kab mob hauv lub cev, electroneurostimulation), txawm li cas los xij, lawv cov hauj lwm tseem tsis tseem ceeb txog tam sim no, yog li qhov tseem ceeb ntawm kev kho mob yog kev kho tshuaj - kev tiv thaiv kab mob. anticonvulsants, opioids thiab tshuaj loog hauv zos. Nws yuav tsum raug qhia meej tias qhov mob ua kom loog yooj yim thiab NSAIDs tsis muaj txiaj ntsig rau qhov mob neuropathic.

Ntawm cov tshuaj tiv thaiv kev puas tsuaj, amitriptyline (25-150 mg / hnub) ua hauj lwm zoo dua. Nws raug nquahu kom pib kho nrog qhov tsawg kawg (10 mg / hnub), uas yog maj mam tshwm sim. Nyob rau tib lub sijhawm, ntxiv rau kev thaiv qhov rov ua dua ntawm norepinephrine thiab serotonin, amitriptyline (thiab lwm yam tricyclic antidepressants) thaiv cov postsynaptic m-cholinergic receptors, ntxiv rau alpha1-adrenergic receptors thiab histamine receptors, uas ua rau muaj ntau qhov kev tsis txaus siab (qhov ncauj qhuav, qhov ntswg sinus, maxus). tso zis cia, tsis meej pem, nco qab tsis meej, tsaug zog, orthostatic hypotension, kiv taub hau). Tricyclic cov tshuaj tiv thaiv kev ntxhov siab yuav tsum tau siv nrog ceev faj hauv cov neeg mob mob caj dab, mob caj pas, zais zis, tso zis, lossis mob lub cev tsis ua haujlwm. Hauv cov neeg laus cov neeg mob, lawv tuaj yeem ua rau tsis txaus ntseeg thiab tsis nco qab. Xaiv serotonin reuptake inhibitors muaj cov kev mob tshwm sim tsawg dua, tab sis kev soj ntsuam hauv cov neeg mob uas mob neuropathic mob ntshav qab zib polyneuropathy (fluoxetine, paroxetine) tau qhia tsuas yog siv tau tsawg. Xyoo tsis ntev los no, qhov kev ua tau zoo ntawm lwm yam kev kawm tawm tsam tshuaj tua kab mob, xws li venlafaxine thiab duloxetine, tau ua pov thawj.
Qhov kev ua tau zoo ntawm 1st tiam anticonvulsants hauv kev kho mob neuropathic cuam tshuam nrog lawv muaj peev xwm los thaiv sodium sodium thiab inhibit ectopic kev ua haujlwm hauv presynaptic sensory neurons. Hauv cov ntawv mob ntshav qab zib ua mob ntshav qab zib, carbamazepine ua tau zoo nyob rau hauv 63-70% ntawm cov neeg mob, txawm li cas los xij, nws siv feem ntau ua rau muaj kev mob tshwm sim uas tsis xav ua (kiv taub hau, daim ntawv pov thawj, mob plab zawv plab, lub hlwb tsis zoo). Tus nab npawb ntawm cov kev tshawb fawb tau pom tias muaj txiaj ntsig zoo thaum siv phenytoin thiab valproic acid. Cov kev paub siv cov tshuaj tiv thaiv thib 2 hauv cov tshuaj tiv thaiv kab mob ntshav qab zib feem ntau nyob rau hauv cov ntshav qab zib ua rau muaj mob ntau. Cov ntaub ntawv hais txog qhov ua tau zoo ntawm topiramate, oxcarbazepine, lamotrigine tsis tshua muaj thiab tsis sib thooj. Cov txiaj ntsig tau nce siab tau dhau los rau gabapentin thiab pregabalin. Qhov kev ua tau zoo ntawm pregabalin hauv kev kho mob ntawm neuropathic mob hauv cov neeg laus tau qhia hauv 9 qhov kev soj ntsuam hauv chaw kho mob (nce txog 13 lub lis piam). Cov txheej txheem ntawm kev ua ntawm gabapentin thiab pregabalin yog ua raws li kev khi rau a₂sigma subunit muaj peev xwm ntawm cov kab mob calcium uas txuas nrog cov khoom hluav taws xob tso leeg. Qhov no ua rau muaj kev txo qis ntawm kev nkag mus ntawm calcium hauv lub neuron, uas ua rau txo qis hauv kev ua haujlwm ectopic thiab kev tso tawm ntawm cov kev kho mob tseem ceeb (glutamate, norepinephrine thiab tshuaj P). Ob qho tshuaj tau sib haum zoo. Cov kev mob tshwm sim feem ntau yog kiv taub hau (21.1%) thiab tsaug zog (16.1%). Raws li kev sim kho mob sib kis, cov lus qhia pom zoo txog kev siv cov tshuaj no rau kev kho cov mob neuropathic syndromes tau npaj siab ua. Gabapentin yuav tsum tau raug sau tseg ntawm koob tshuaj 300 mg / hnub thiab maj mam nce nws mus txog 1800 mg / hnub (yog tias tsim nyog - txog 3600 mg / hnub). Pregabalin, tsis zoo li gabapentin, muaj tshuaj pharmacokinetics tawm, nws txoj kev pib noj yog 150 mg / hnub, yog tias tsim nyog, cov koob tshuaj tom qab 1 lub lis piam tuaj yeem nce ntxiv rau 300 mg / hnub. Qhov siab tshaj plaws yog 600 mg / hnub.
Cov hauv kev rau opioid siv tsawg tsawg vim muaj qhov pheej hmoo ntawm kev tsim cov kev phom sij txaus ntshai, nrog rau kev puas siab puas ntsws thiab lub cev. Yog vim li cas lawv thiaj tsis nrhiav kev pom dav dav hauv kev kho mob mob ntshav qab zib mob polyneuropathy. Hauv 2 txoj kev tswj hwm kev pheej hmoo, qhov ua tau zoo ntawm tramadol (400 mg / hnub) tau ua pov thawj - cov tshuaj txo qis ntau qhov mob hnyav thiab ua kom muaj kev sib raug zoo thiab ua si. Tramadol muaj qhov sib txuam tsawg rau opioid mu receptors thiab ib txhij inhibitor ntawm serotonin thiab noradrenaline reuptake. Raws li kev soj ntsuam ntau, qhov ntxim nyiam ntawm kev tsim txom ntawm tramadol yog qhov qis dua lwm yam opioids. Cov kev mob tshwm sim feem ntau yog kiv taub hau, xeev siab, quav tawv, nkees nkees, thiab hypotension orthostatic. Txhawm kom txo cov kev pheej hmoo ntawm kev mob tshwm sim thiab kev vam khom, kev siv cov tshuaj tramadol yuav tsum tau pib nrog kev noj tshuaj tsawg (50 mg 1-2 zaug ib hnub). Yog tias tsim nyog, cov koob tshuaj tau nce txhua 3-7 hnub (qhov ntau kawg yog 100 mg 4 zaug ib hnub, rau cov neeg laus laus - 300 mg / hnub).
Cov ntaub ntawv soj ntsuam txog kev siv tshuaj loog hauv ib thaj (ib thaj nrog lidocaine) rau mob neuropathic mob ntshav qab zib tsuas yog qhib rau kev tshawb nrhiav. Nws yuav tsum tau yug hauv siab tias qhov kev siv tshuaj loog hauv zos tuaj yeem txo qhov mob tsuas yog nyob ntawm qhov chaw ntawm kev thov, uas yog, lawv siv tau zoo rau cov neeg mob uas muaj thaj tsam me me faib rau qhov mob. Pom tseeb, kom pom tseeb ntxiv rau kev siv tshuaj loog hauv zos, kev tshawb fawb ntxiv tswj qhov xav tau. Capsaicin yog lub tshuaj loog hauv zos tau txais los ntawm pob ntseg ntawm cov kua txob liab kub lossis kua txob. Nws ntseeg tau tias cov txheej txheem ntawm kev ua ntawm capsaicin yog ua raws li depletion ntawm yam khoom P ntawm qhov kawg ntawm cov leeg txuas nrog. Hauv ib txoj kev tshawb nrhiav, cov tshuaj pleev cov tshuaj capsaicin (li ntawm 8 lub lis piam) txo qhov mob hnyav 40%. Nws yuav tsum raug sau tseg tias thawj thawj zaug capsaicin thov, qhov mob ntau zuj zus. Cov kev mob tshwm sim feem ntau yog xim liab, ib cov roj hlawv thiab hnov ntxhiab tsw ntawm qhov chaw ntawm capsaicin daim ntawv thov. Feem ntau, suav txog qhov ntsuas ntawm cov pov thawj tshuaj, gabapentin lossis pregabalin tuaj yeem pom zoo raws li cov tshuaj thib ib rau kev kho mob ntawm kev mob ntshav qab zib polyneuropathy. Cov tshuaj tiv thaiv kev tiv thaiv kab mob (duloxetine, amitriptyline) thiab cov tshuaj tramadol tuaj yeem raug tshuaj rau cov tshuaj 2nd-line. Cov kev paub siv qhia pom tias qee qhov muaj tseeb kev kho polypharmacotherapy yog qhov tsim nyog. Hauv qhov no, kev sib xyaw ua ke ntawm cov tshuaj anticonvulsant (gabapentin lossis pregabalin), ib qho tshuaj tiv thaiv kab mob (duloxetine, venlafaxine lossis amitriptyline) thiab tramadol zoo li tsim nyog tshaj.

Mob hauv ceg

Mob ceg hauv ntshav qab zib tuaj yeem yog los ntawm ib qho ntawm ob qho laj thawj:

Peripheral neuropathy yog ib qho kev cuam tshuam ntawm kev tsis hnov lus qab zib hauv lub cev.
Vascular blockage nrog atherosclerotic plaques.

Txawm li cas los xij, kev kho lub ntsiab yog coj cov piam thaj kom rov zoo thiab ua kom nws nyob qhov qub. Yog tsis muaj tus mob no, tsis muaj tshuaj, ua zaws, kho lub cev thiab tshuaj zoo yuav pab tau. Mob ceg yuav tsum yog qhov kev txhawb siab rau koj los coj lub siab thiab ua tib zoo saib xyuas koj tus kheej. Txhawm rau daws teeb meem, koj yuav tsum txiav txim siab qhov ua rau ntawm cov tsos mob uas thab tus neeg mob. Qhov no yuav ua rau nws muaj peev xwm xaiv qhov tsim nyog kho tau zoo tshaj plaws. Xav txog thawj neuropathy, thiab tom qab ntawd atherosclerotic vascular puas tsuaj.

Vim li cas ntshav qab zib thiaj ua rau mob ceg?

Cov piam thaj hauv ntshav ntxiv ua rau cov leeg ntshav uas tswj tau tag nrho lub cev, suav nrog cov ceg. Kev kuaj mob ntawm "mob hlab ntsha hlwb" txhais tau hais tias cov hlab ntsha hauv ob txhais ceg raug cuam tshuam, thiab tej zaum txawm tias ntawm txhais tes - ntawm qhov cuab yeej ncig, deb ntawm nruab nrab ntawm lub cev. Feem ntau, mob neuropathy ua rau loog, tsis hnov dab tsi. Txawm li cas los xij, hauv qee cov neeg mob, nws tshwm sim nws tus kheej ntawm qhov mob, kub, tingling, thiab mob. Cov tsos mob tuaj yeem tshwm sim tsis yog nruab hnub xwb, tab sis tseem tuaj thaum hmo ntuj, ua kom pw tsaug zog tsaus ntuj.

Mob caj dab los ntawm neuropathy cuam tshuam rau lub neej zoo, tab sis qhov no tsis yog nws qhov kev phom sij tseem ceeb. Muaj tej zaum yuav ploj ntawm daim tawv nqaij rhiab.Hauv qhov no, tus neeg mob ua rau nws ob txhais ceg mob thaum tab tom taug kev, yam tsis muaj ceeb toom. Mob ntshav qab zib ua rau mob txhais ceg kom zoo sai lossis tsis ploj mus li. Nyeem ntxiv txog Ntshav Qab Zib. Txij ntawm no nws yog ntawm tes rau kev ua laib thiab txiav tes taw.

Kev kho tus mob ntshav qab zib tsis nrawm nrawm txhim kho atherosclerosis. Qhov no nws yog ib tug kab mob. Raws li txoj cai, nws ib txhij cuam tshuam rau cov hlab ntsha uas pub lub plawv, lub hlwb, lub raum, nrog rau cov qis hauv qab. Cov Plaques txhaws cov hlab ntsha, uas yog vim li cas cov ntshav ntws los ntawm lawv raug txo los yog tag nrho nres. Cov nqaij raug kev ua pa oxygen tshaib plab - ischemia. Mob ceg yuav sib zog thaum taug kev, tshwj xeeb tshaj yog nce ntaiv, thiab txhawm rau lossis ploj tag thaum tus neeg mob zaum. Qhov tsos mob no yog hu ua sib quas ntus claudication. Tawm tsam ntawm kev ua rau mob hloov nrog lub sij hawm txias. So kom txaus pab daws qhov tsis xis nyob. Ntxiv nrog rau qhov mob, txias ntawm qhov kawg, cyanotic xim ntawm ob txhais ceg, thiab qeeb qeeb ntsia thawv tuaj yeem pom.

Sib quas zug claudication tsim ntau yam teeb meem rau cov neeg mob. Lawv sim nyob hauv tsev ntau dua thiaj li tsis ua rau lawv sab ceg thiab zam kom txhob mob. Ntxiv nrog rau qhov mob, qhov hnov ntawm hnyav nyob hauv ob txhais ceg, kev noj qab haus huv tsis tuaj yeem thab. Atherosclerosis thaiv kev ntws ntshav mus rau ceg, uas yog vim li cas cov qhov txhab tsis ua kom zoo. Muaj ib qho kev hem thawj ntawm kev qog cev thiab kev txiav tawm, tshwj xeeb tshaj yog tias mob ntshav qab zib neuropathy koom nrog. Tseem muaj qhov pheej hmoo siab ntawm lub plawv nres thiab mob hlab ntsha tawg vim muaj teeb meem nrog cov hlab ntsha uas pub lub plawv thiab lub hlwb. Peb rov hais dua tias atherosclerosis yog ib qho kab mob uas cuam tshuam rau ntau lub nkoj tseem ceeb hauv tib lub sijhawm.

Yuav ua li cas kom tshem tau ceg mob?

Ntau tus neeg mob ntshav qab zib nrhiav tshuaj kho tus mob kom noj qab nyob zoo. Saib cov vis dis aus ntawm Dr. Bernstein thiab kawm paub txog kev tshem tawm cov ntshav qab zib mob hlwb tsis tas yuav muaj kev phom sij thiab tshuaj muaj txiaj ntsig. Tom qab tag nrho, nws yog neuropathy uas ua rau koj txoj kev txom nyem. Hauv qee qhov mob ntshav qab zib, nws ua rau mob ceg, thaum ntawm lwm tus nws ua rau loog thiab tsis hnov. Qee zaum "mob siab" thiab "nquag" cov tsos mob ua ke. Nyob rau hauv txhua rooj plaub, qhov teeb meem no tuaj yeem daws tau, tsis zoo li cov kev mob ntshav qab zib hauv qhov muag pom thiab ob lub raum.

Mob ceg yuav tsum txhawb koj kom nquag soj ntsuam thiab kho. Nws yog ib qho tsim nyog yuav tsum paub txog qib ntawm atherosclerosis ntawm cov hlab ntawm ceg. Tom qab ntawv xyuas rau diabetic neuropathy. Tshawb nrhiav seb lub tshuab twg cuam tshuam los ntawm cov kev cuam tshuam no, sib nrug los ntawm qhov kawg ntawm cov hlab hauv cov ceg. Ua ntej tshaj plaws, tus kws kho mob ntsuas qhov qij-pob taws me me. Nws tsis yog qhov mob thiab tsis txaus ntshai. Tus neeg mob pw ntawm lub rooj zaum. Hauv txoj haujlwm tav toj, ntsuas systolic (sab saud) ntshav siab hauv pob taws thiab lub xub pwg yog ntsuas ntau zaus.

Yog tias nws tau qis dua hauv pob taws ntau dua li ntawm lub xub pwg, tom qab ntawd cov hlab ntsha hauv ob txhais ceg yuav cuam tshuam los ntawm atherosclerosis. Hauv qhov no, koj yuav tsum ua qhov kev ntsuas hnyav dua - ultrasound, MRI. Ua ntej kev phais mob ntawm cov hlab ntsha, xoo hluav taws xob tuaj yeem tau sau nrog kev qhia ntawm tus neeg sawv cev sib piv. Qhov no yuav tsis tau tshuaj xyuas kom nyab xeeb. Nws zoo dua tsis txhob ua nws yog tias kev ua haujlwm tsis tau npaj.

Yog tias mob ntshav qab zib neuropathy xav tias, qhov mob rhiab ntawm daim tawv nqaij ntawm ceg yuav kov, kev co, ntsuas qhov kub thiab txias. Qhov no yog ua los ntawm tus kws kho mob nrog kev pab ntawm cov khoom siv neurological, uas suav nrog tuning rab rawg, ib qho plaub, thiab tseem muaj rab koob rau tshuaj xyuas qhov mob rhiab.

Vim yog kev puas tsuaj rau cov hlab ntsha, ob txhais ceg tuaj yeem poob qhov muaj peev xwm ua hws. Hauv qhov no, daim tawv nqaij yuav ua kom qhuav thiab tej zaum yuav tawg. Qhov no tau sau tseg thaum kuaj xyuas qhov muag pom. Zoo li atherosclerosis, mob hlab hlwb yog cov kab mob ua rau mob ntshav qab zib. Nws tuaj yeem ua rau tuag tes tuag taw ntawm ntau cov leeg. Kev puas tsuaj rau lub qab haus huv uas tswj kev ua pa thiab lub plawv dhia yog txaus ntshai heev. Txawm li cas los xij, qee tus kws kho mob paub yuav kuaj li cas no.

Kev kho mob tseem ceeb yog ua kom ncav thiab tswj cov ntshav qab zib kom nyob li qub Kawm thiab ua raws ib qib los ntawm qib 2 kev npaj kho mob ntshav qab zib lossis hom 1 tswj ntshav qab zib. Neuropathy yog qhov kev rov ua dua. Thaum cov ntshav qabzib hauv lub cev mus txog, cov hlab ntshav maj mam rov zoo, cov tsos mob zuj zus thiab ploj mus li ntawm ob peb hlis.

Tsis tas li, kev tswj ntshav qab zib zoo pab txo kev loj hlob ntawm atherosclerosis. Mob ceg, hauv kev sib piv rau qhov tsis hnov mob, yog qhov kev txhawb siab rau cov neeg mob yuav tsum tau ua tib zoo saib xyuas. Nws yog hauv koj lub zog rau kom tshem tau cov kev mob tsis zoo, kom tsis txhob txiav tawm haujlwm thiab ua kom lub neej zoo li qub.

Cov tshuaj loog thiab tshuaj noj pab dab tsi pab?

Tawm tsam mob, tus kws kho mob tuaj yeem sau tshuaj noj, uas tau piav qhia txhua yam hauv qab no. Cov tshuaj tsis muaj zog pab tsis tau, thiab cov tshuaj hnyav muaj cov kev mob tshwm sim heev. Sim ua yam tsis muaj lawv ntau li ntau tau. Ntawm kev noj zaub mov noj, cov neeg mob feem ntau noj alpha lipoic acid. Nws tus nqi yog siab, thiab cov txiaj ntsig yog dub. Yog tias koj xav sim cov cuab yeej no, tsis txhob yuav nws hauv khw muag tshuaj, tab sis xaj los ntawm Asmeskas los ntawm iHerb lub vev xaib. Tus nqi yuav ua rau ntau zaug qis dua.

Vitamin B6 (pyridoxine) hauv kev txhaj tshuaj loj heev ua rau muaj kev tsis haum xeeb hauv cov ntiv tes thiab ntiv taw, zoo ib yam li kev ua haujlwm ntawm cov tshuaj pleev xim rau hauv kev kho cov hniav. Qhov kev mob tshwm sim no tuaj yeem siv los tswj cov kev mob los ntawm kev mob ntshav qab zib neuropathy. Qhov koob tshuaj yuav tsum yog tsawg kawg 100 mg, thiab rau cov neeg ntawm lub cev loj - 200 mg ib hnub twg.

Noj cov vitamins B6 (pyridoxine) nrog rau lwm cov vitamins B, ntxiv rau magnesium. Piv txwv li, ib complex ntawm cov vitamins B-50. Siv tsuas yog ua kev ntsuas ib ntus kom txog thaum cov hlab ntsha zoo tuaj ua tsaug rau kev tswj ntshav qab zib tau zoo. Qhov no tsis tau pom zoo, cov neeg mob sim ua lawv tus kheej pheej hmoo. Muaj kev phiv loj heev muaj peev xwm ua tau. Rau mob mob los ntawm atherosclerosis, daim ntawv qhia no yuav tsis pab.

Kuaj Mob Ntshav Qab Zib: Tshuaj Ntsuam Xyuas Neeg Mob

Yog tias kev kuaj pom tseeb tias cov hlab ntsha ntawm ob txhais ceg cuam tshuam los ntawm atherosclerosis, tus neeg mob yuav feem ntau tau txais tshuaj statins rau cov roj (cholesterol), tshuaj kho rau kub siab, thiab tej zaum yuav txo ntshav cov ntshav cov tshuaj. Tag nrho cov tshuaj no txo cov kev pheej hmoo ntawm lub plawv nres, mob hlab ntsha tawg, thiab mob ntsws ntsws.

Muaj kev xaiv rau kev kho mob phais mob. Tus kws phais mob tuaj yeem tso ib yam dab tsi zoo li lub npas mus rau hauv cov hlab ntshav txhaws, tom qab ntawd ua kom nws tawg thiab nthuav tawm cov lumen hauv txoj kev no. Txhawm rau kom muaj kev khiav ntawm cov ntshav los ntawm cov leeg ntshav, lawv tuaj yeem tawm ntawm lub stent hauv nws - lub ntsej muag me me xaim. Lwm txoj hauv kev yog coj cov hlab los ntawm lwm qhov ntawm lub cev thiab ua kom nws ua haujlwm rau cov ntshav hloov ntawm txoj kev txhaws. Sib tham cov ntsiab lus nrog koj tus kws kho mob.

Mob tej pob txha

Raws li txoj cai, ntshav qab zib thiab mob sib koom tes yog me ntsis muaj feem xyuam, lawv yuav tsum tau kho ib leeg ntawm ib leeg. Nws tsis yooj yim sua kom rov zoo ib zaug thiab rau txhua qhov, tab sis koj tuaj yeem tiv thaiv teeb meem thiab tswj lub neej tsis muaj mob xiam oob qhab. Cov ntsiab lus hauv qab no tham txog ntau yam ua rau mob thiab lwm yam teeb meem sib koom ua ke:

rheumatoid kev mob caj dab,
osteoarthritis
Daim ntawv taw.

Kev mob caj dab yog hom mob sib koom ua ke los ntawm tus mob autoimmune, xws li mob ntshav qab zib hom 1. Cov tsos mob - mob, liab, o ntawm cov pob qij txha. Nws yog yam ntxwv hais tias cov phiajcim no tsis pom tas li, tab sis hauv kev ua kom haum. Kuaj ntshav tuaj yeem qhia pom qhov cim nce ntawm o - C-reactive protein, interleukin 6 thiab lwm yam. Txhawm rau txo tus mob ntawm tus neeg mob, muaj mob hnyav, yuav tau siv tshuaj kho mob, piv txwv li, etanercept, adalimumab lossis infliximab. Lawv tshem tawm cov haujlwm ntawm lub cev tiv thaiv kab mob. Tej zaum cov tshuaj no txo qhov kev pheej hmoo ntawm ntshav qab zib autoimmune yog tias nws tsis tau pib. Tab sis lawv tuaj yeem ua rau muaj kev pheej hmoo kis tus mob thiab ua rau muaj lwm cov kev phiv.

Nws tsim nyog sim cov khoom noj uas muaj kev xyeej tseg ntawm gluten, nrog rau tshuaj tiv thaiv kev noj haus - curcumin thiab lwm tus. Thov nco ntsoov tias kev noj zaub mov noj qab zib kom tsawg cov zaub mov tseem yog gluten-dawb. Seb cov khoom siv mis nyuj muaj casein xav tau kev txiav txim siab yog lub moot taw tes. Nco ntsoov tias nrog tus mob ntshav qab zib hom 2, kev tawm tsam lub cev tiv thaiv kab mob ntawm pancreatic beta cells yeej tseem muaj. Cov neeg mob yuav tsum txhaj tshuaj insulin, tsawg kawg los ntawm kev txhaj tshuaj tsawg. Ntshav qab zib Hom 2 yog tus kab mob autoimmune feem ntau.

Osteoarthritis: qhov ua kom mob ua rau mob ntshav qab zib hom 2

Osteoarthritis yog qhov teeb meem nrog cov pob qij txha los ntawm lawv qhov kev sib txuam uas lawv muaj hnub nyoog, nrog rau qhov hnyav dhau ntawm tus neeg mob. Cov pob qij txha hnav tawm hauv cov pob qij txha, vim hais tias cov pob txha pib kov thiab txhuam ib leeg. Cov tsos mob - o thiab kev txwv ntawm kev mus ncig. Qhov teeb meem feem ntau muaj nyob rau hauv lub hauv caug thiab lub duav. Lub cev tsis muaj zog tiv thaiv cov pob qij txha, zoo li mob caj dab. Cim cim ntawm kev o nyob rau hauv cov ntshav tsis tau tsa kom tau zoo. Koj yuav tsum sim kom poob ceeb thawj ntawm txhua tus nqi. Qhov no yuav txo cov teeb meem sib koom tes thiab tseem txhim kho kev tswj hwm tus mob ntshav qab zib hom 2. Sab laj nrog koj tus kws kho mob yog tias koj yuav tsum noj tshuaj mob los sis siv phais mob.

Charcot txhais taw yog qhov mob hnyav rau ntshav qab zib uas ua rau kev rhuav tshem cov pob qij txha ntawm ob txhais ceg. Thaum pib, mob ntshav qab zib ua rau lub cev ua rau poob ntawm txoj kev hnov hauv ob txhais ceg. Thaum taug kev, lub ligaments yog ntswj thiab puas ntsoog, tab sis tus neeg mob tsis ceeb toom qhov no. Kev ua haujlwm siab rau cov pob qij txha nce ntxiv. Ob txhais ceg yog sai sai thiab heev deformed. Tsuas yog tom qab no cov pob qij txha pib o, liab thiab mob. Thaum kawg, cov kab mob ntshav qab zib tau ceeb toom tias nws muaj teeb meem. Cuam tshuam cov pob qij txha tej zaum yuav kub rau tus kov. Txoj kev khomob - phais mob, pob luj taws orthopedic. Thaum Charcot txhais taw twb tau kuaj pom lawm, kev xiam oob khab tuaj yeem tsis tuaj yeem hloov tau. Nws yog ib qho tsim nyog yuav tau ua kom muaj ntshav qab zib kom nyob hauv siab txhawm rau txhawm rau tiv thaiv kev mob neuropathy.

Tshuaj kho mob

Raws li txoj cai, cov neeg mob tau sim ua ntej kom tswj kev mob nrog tshuaj kho tus kheej. Lawv siv ibuprofen lossis paracetamol, uas yog muag hauv lub khw muag khoom. Cov tshuaj no tsuas yog pab rau qee yam mob me. Txhawm rau siv cov tshuaj pleev xim muaj zog, koj yuav tsum tau txais tshuaj los ntawm koj tus kws kho mob. Cov tshuaj hauv qab no yog sau tseg rau mob tiv thaiv los ntawm tus mob ntshav qab zib neuropathy:

anticonvulsants - pregabalin, gabapentin,
tricyclic antidepressants - imipramine, nortriptyline, amitriptyline,
xaiv serotonin reuptake inhibitors - duloxetine, milnacipran,
opioid tshuaj loog

Tag nrho cov tshuaj no feem ntau ua rau muaj kev phiv loj heev. Lawv tsis yog nyob rau hauv vain muag tsuas yog los ntawm cov tshuaj. Sim ua yam tsis muaj lawv. Pib nrog cov tshuaj tsis muaj zog. Hloov mus rau cov muaj zog tsuas yog tsim nyog.

Anticonvulsants

Pregabalin, gabapentin thiab lwm yam tshuaj zoo sib xws yog siv tshuaj kho tus mob vwm. Cov tshuaj no hu ua tshuaj anticonvulsants. Ntxiv nrog rau kev kho tus mob vwm, tuaj yeem nplij nyas hlawv, tawv muag, thiab tua mob. Yog li ntawd, lawv tau sau tseg rau mob ntshav qab zib neuropathy uas ua rau mob, raws li thawj cov tshuaj. Lawv ua rau qeeb ntawm cov kev sib txuas ntawm cov leeg tsaj uas nqa cov tsis hnov zoo.

Cov tshuaj tiv thaiv kev mob tiv thaiv kev mob

Cov tshuaj rau kev nyuaj siab thiab mob rau cov neeg mob ntshav qab zib yog xaiv serotonin reuptake inhibitors (duloxetine, milnacipran). Tricyclic antidepressants (imipramine, nortriptyline, amitriptyline) tsis tshua siv. Vim hais tias ntawm cov koob tshuaj xav tau los daws qhov mob, feem ntau ua rau muaj kev phiv. Ob qho tshuaj anticonvulsants thiab antidepressants nce ntshav qab zib. Ntsuas nws ntau dua thaum ntsuas cov tshuaj no. Yog tias tsim nyog, ua kom koj cov koob tshuaj insulin ntau ntxiv.

Ntxiv nrog rau cov ntsiav tshuaj, koj tuaj yeem sim ua qab zib, tshuaj pleev lossis thaj uas muaj capsaicin. Qhov no yog cov tshuaj uas muab rho tawm los ntawm cov kua txob kub. Nws ua rau txoj hlab ntsha hauv lub siab thiab ua rau lub cev nres tsis mloog lawv cov kev thawb lub sijhawm. Thaum xub thawj siab, qhov tsis xis nyob ntxiv mus, tab sis tom qab 7-10 hnub, kev cawm siav tuaj.

Txhawm rau ua kom cov nyhuv, koj yuav tsum siv capsaicin txhua hnub, tsis muaj kev cuam tshuam. Coob tus neeg mob ntseeg hais tias muaj teebmeem ntau dua li cov txiaj ntsig. Txawm li cas los xij, txoj kev hais daws no tsis ua rau muaj kev phiv loj npaum li tshuaj pleev xim. Cov tshuaj ntsuab nrov dua li capsaicin yog lidocaine rau daim ntawv thov rau ntawm daim tawv nqaij hauv daim ntawv ntawm tshuaj pleev, gel, tshuaj tsuag lossis aerosol. Tham nrog koj tus kws kho mob txog seb qhov kev siv tshuaj twg siv. Piv txwv li, txhua 12 teev.

Yuav ua li cas yog tias koj mob plab mob

Mob plab thiab lwm yam kev mob plab zom mov hauv ntshav qab zib yuav tsum tsis txhob thev, tab sis nquag kho mob, sim ua kom tshem tau ntawm lawv. Nrhiav tus kws kho mob kws kho mob siab, soj ntsuam thiab sab laj nrog nws. Nco ntsoov tias koj tsis txhob mob plab, mob Crohn's, teeb meem zais zis, lossis lub plab lossis duodenal mob. Tshawb nrhiav cov tsos mob ntawm kev hla dhau ntawm candida albicans poov xab hauv koj lub plab. Yog tias tsim nyog, noj tshuaj pab rau zaub mov noj uas txwv cov kab mob fungus no, muaj cov roj pleev cov kua qaub, oregano roj thiab lwm yam. Tshawb xyuas yog tias koj muaj gluten tsis kam (kab mob celiac).

Cov tshuaj ntshav qab zib hauv qab no tuaj yeem ua rau mob plab, xeev siab, ntuav, thiab lwm yam kev mob plab zom mov:

Metformin - Cov Kab Hlob, Siofor thiab analogues
glucagon-zoo li peptide-1 receptor agonists - Viktoza, Baeta, Lixumia, Trulicity.

Tag nrho cov tshuaj no tuaj yeem muaj txiaj ntsig zoo. Kev zom plab tsis yog qhov laj thawj tsis kam lees txais lawv. Txawm li cas los xij, cov koob tshuaj yuav tsum raug txo qis ib ntus kom ua rau lub cev siv tau. Victoza, Baeta thiab lwm yam tshuaj zoo sib xws yog tsim los rau wean tus neeg mob ntshav qab zib hom 2 kom ntau dua. Yog tias dhau mus, lawv tuaj yeem ua kom mob plab, xeev siab, thiab txawm tias ntuav. Qhov no yog qhov qub, feem ntau tsis txaus ntshai. Cia li noj nqaij kom tsawg. Metformin ntsiav tshuaj kuj tsis muaj zog qab los noj mov, tuaj yeem ua rau lub zog rov qab noj mov.

Mob ntshav qab zib neuropathy feem ntau cuam tshuam cov leeg ntshav, uas tswj kev txav ntawm cov zaub mov raws txoj hnyuv thiab txawm tias ua cov kua tshuaj hydrochloric hauv plab. Tom qab noj mov tag, tej zaum yuav muaj khoom noj qeeb hauv lub plab tau ntau teev. Hauv cov xwm txheej zoo li no, tus neeg mob yuav hnov xeev siab, zoo nkaus li mob plab, dhia hauv cov ntshav cov ntshav hauv lub ntsej muag. Qhov kev tsis txaus ntseeg no yog hu ua mob ntshav qab zib gastroparesis. Nyeem ntawm no yuav ua li cas kom nws tswj tau.

Ketoacidosis yog mob hnyav, tuag taus los ntawm kev mob ntshav qab zib los ntawm ntshav qab zib ntau, tsawg kawg 13 mmol / L. Ntawm lwm cov tsos mob, nws tuaj yeem ua rau mob plab, xeev siab, thiab ntuav. Tus neeg mob xav tau kev kho mob kub ceev. Nws ua rau kev txiav txim siab los ntsuas cov ketones hauv cov ntshav thiab zis tsuas yog tias cov piam thaj tsawg kawg 13 mmol / l tau kuaj pom. Nrog rau cov piam thaj hauv qab nyeem tsis txhob txhawj txog ketones, tsis txhob ntshai ntawm qhov tshwm sim ntawm acetone hauv qhov zis.

Mob taub hau mob taub hau

Mob taub hau yog thawj thiab lwm yam. Thawj - qhov no yog thaum qhov ua rau hauv lub taub hau nws tus kheej, piv txwv li, kev ua tsis ncaj ncees ntawm cov hlab ntshav, cov leeg ntshav lossis cov leeg pob txha. Cov kab mob thib ob yog cov huab cua tsis zoo, mob khaub thuas, los ntswg, mob pob ntseg. Los yog muaj teeb meem hnyav dua - kev sib txuam, mob stroke, nqaij hlav. Ntawm cov ntshav qab zib, mob taub hau tshwm sim los ntawm ob qho ntshav qab zib thiab ntshav qab zib, nrog rau nws tsis khov, dhia thiab rov qab los.

Cov piam thaj siab - cov ntshav cov ntshav ntawm 10 mmol / L lossis siab dua. Mob taub hau feem ntau yuav maj mam loj hlob tuaj, thiab cov qab zib ntau dua, nws muaj zog dua. Nws yuav yog tib qhov kev mob ntshav qab zib uas tswj tsis tau tus kheej. Cov piam thaj hauv qab qis - cov ntshav cov ntshav cov ntshav qis dua 3.9 mmol / L, txawm hais tias qhov pib no yog ib leeg rau txhua tus mob ntshav qab zib. Nrog rau cov mob no, mob taub hau tuaj yeem pib dheev, nrog rau lwm cov tsos mob - kev tshaib plab, poob siab, tshee tshee ntawm tes. Txog kev tiv thaiv thiab kev kho mob, nyeem kab lus “Kev Ntshav Qab Zib Qis (Hypoglycemia)”.

Mob taub hau tuaj yeem tshwm sim tom qab muaj ntshav dhia ntshav qab zib. Nws tshwm sim nyob rau hauv teb rau qhov hloov pauv ntawm cov theem ntawm cov tshuaj hormones - adrenaline, norepinephrine thiab, tej zaum, lwm tus. Ntsuas qab zib nrog cov kua nplaum (glucometer) yuav qhia tau tias tam sim no nws theem yog dab tsi.Yog tias tus mob ntshav qab zib tsis siv cov tshuaj pleev ntshav hauv lub cev tsis tu ncua, tom qab ntawd kev sib deev tsis ntev los no tuaj yeem taug qab tsuas yog nws qhov tshwm sim, ib qho yog mob taub hau.

Ib co tshuaj zoo mob taub hau yog dab tsi?

Kho mob taub hau yog ntsiav tshuaj, zoo li tshuaj ntsuab zoo. Tus nqi tshuaj yuav tom khw zoo rau qee tus neeg. Cov nyiam tshaj plaws ntawm lawv yog cov tshuaj paracetamol, tshuaj aspirin, ibuprofen. Cov tshuaj no yog tsis muaj dab tsi tsis muaj teeb meem. Ua tib zoo kawm lawv cov kev mob tshwm sim ua ntej noj. Yog tias koj yuav tsum tau siv tshuaj ntau ntxiv, koj yuav tsum tau txais ntawv yuav tshuaj los ntawm koj tus kws kho mob.

Los ntawm cov tshuaj ntsuab zoo kom txo tau cov zaus thiab mob hnyav ntawm kev mob taub hau, ua ntej txhua yam, sim noj cov tshuaj magnesium ntawm 400-800 mg ib hnub. Koj tuaj yeem txhuam cov thyme, rosemary lossis peppermint roj hauv whiskey thiab hauv pliaj. Haus dej tshuaj yej nrog chamomile lossis qhiav, thiab lwm hom kua, kom tsis muaj lub cev qhuav dej. Txo txoj kev ntxhov siab, sim ua kom muaj qoj, yoga, lossis zaws. Cov zaub mov thiab tshuaj ntxiv rau hauv qab no tuaj yeem ua rau mob taub hau: caw liab, chocolate, chocolate xiav, citrus txiv hmab txiv ntoo, avocados, caffeine, thiab aspartame. Sim muab lawv pov tseg rau ob peb lub lis piam thiab taug qab cov nyhuv.

4 lus qhia "Ntshav Qab Zib Yuav Mob"

Kuv tus txheeb ze tau mob ntshav qab zib hom 1 tau 8 xyoo. Kuv tsis paub kev loj hlob, tsis muaj qhov hnyav tshaj, qhov no tsis yog qhov teeb meem. Nws muaj mob hnyav vim mob ntshav qab zib neuropathy. Cov leeg ntawm ob txhais ceg thiab nraub qaum. Nws pw tsis pub dhau 4-5 teev ib hnub, tus so ntawm lub sijhawm nws nyob. Peb ntshai tias yuav muaj kev sim tua tus kheej. Alpha lipoic acid kev npaj tsis pab. Qhov no yog tib yam li koj sau hais txog lawv. Tus kws kho mob hlwb tau qhia Lyric ntsiav tshuaj yog qhov kawg. Txawm li cas los xij, lawv cov npe ntawm cov kev mob tshwm sim yog qhov txaus ntshai. Koj xav li cas txog qhov kev teem caij no?

Koj xav li cas txog qhov kev teem caij no?

Lo lus nug no dhau kuv lub peev xwm. Tham nrog koj tus kws kho mob.

Txawm hais tias koj noj tshuaj dab tsi, nws yog ib qho tseem ceeb los kawm txog kev kho mob ntshav qab zib hom 1 zoo - http://endocrin-patient.com/lechenie-diabeta-1-tipa/ - thiab ua raws li cov lus pom zoo

Nyob zoo, koj puas tuaj yeem pab qhia kuv? Kuv tau mob kab mob ntshav qab zib hom 1 tau 4 xyoos, Kuv muaj 18 xyoo. Txhawj txog cov tingling hnyav, hlawv thiab mob hauv ceg. Kuv ib txwm muaj suab thaj ntau, tab sis txij li lub sijhawm mob pib, Kuv pib tswj hwm kuv qib qabzib. Kuv tu siab tias kuv tsis tau pib ntxov. Thaum xub thawj, tag nrho cov pob txha, plab, ceg, mob taub hau. Tam sim no nws zoo me ntsis lawm, tab sis kuv txhais ceg tseem mob thiab. Kuv tau poob ntau qhov hnyav, Kuv tsis tuaj yeem nce phaus, tau 8 lub hlis dhau mus. Qhov tseeb glycated hemoglobin assay yog 6%. Kuv sim ua raws li cov kev cai, kuv cov piam thaj yog 6.5 mmol / l tam sim no. Thiab kuv tseem muaj nkauj nyob qab kuv.

Nyob zoo, koj puas tuaj yeem pab qhia kuv? Qhov tseeb glycated hemoglobin assay yog 6%. Kuv sim ua raws li cov kev cai, kuv cov piam thaj yog 6.5 mmol / l tam sim no.

Qhov no yog kwv yees li 1.5 npaug ntawm cov neeg noj qab haus huv. Teeb meem ntawm ntshav qab zib tau tsim, tab sis tsis ceev nrawm. Muab koj lub hnub nyoog hluas, muaj sijhawm txaus kom paub lawv.

Koj yuav tsum kawm paub hom kab mob ntshav qab zib hom 1 - http://endocrin-patient.com/lechenie-diabeta-1-tipa/ - thiab ua tib zoo ua raws li cov lus pom zoo. Uas yog, nruj me ntsis ua raws cov zaub mov noj qis thiab xaiv qhov zoo tshaj plaws ntawm lub cev ntawm insulin.

Kuv tau poob ntau qhov hnyav, Kuv tsis tuaj yeem nce phaus,

Qhov teeb meem no yuav daws tau tom qab koj txiav txim siab koj cov koob tshuaj insulin tsim nyog, txhaj tshuaj rau lawv thiab hloov pauv kom haum raws li xav tau. Tam sim no koj tsis muaj insulin txaus hauv lub cev.