Ntxiv rau cov ntshav qab zib: ua rau, cov tsos mob thiab cov hau kev kho
Ntshav qab zib hauv ntshav siab tsis yog ib qho cim ntawm ntshav qab zib tas li. Txawm li cas los xij, txhawm rau tshem tawm tus kabmob lossis txheeb xyuas lub xeev cov kabmob ntshav qab zib, nws raug nquahu kom kuaj mob.
Cov piam thaj, lossis theej piam thaj, yog lub hauv paus ntawm lub zog hauv tib neeg lub cev. Cov piam thaj ib txwm nyob hauv cov ntshav capillary yog 3.3-5.5 mmol / L, cov piam thaj hauv cov ntshav yog 4-6 mmol / L. Ib qho mob uas cov ntshav qab zib tau teev tseg yog hu ua hyperglycemia.
Cov pab pawg muaj xws li cov poj niam cev xeeb tub nrog tsev neeg muaj mob ntshav qab zib, rog, ntshav siab, rov qab ua tsis taus menyuam hauv keeb kwm.
Tswj cov ntshav qabzib hauv lub cev yog tshwm sim los ntawm ntau yam, ntawm cov kev cai uas cov tshuaj hormones yog ua lub luag haujlwm tseem ceeb. Cov tshuaj hormones tseem ceeb uas ua rau txo qis qis cov piam thaj hauv cov ntshav yog insulin - peptide hormone uas ua hauv cov neeg ua kua (nyob rau hauv the-hlwb ntawm cov islets ntawm Langerhans). Cov tshuaj Insulin txhawb nqa qhov nqus ntawm cov piam thaj los ntawm cov hlwb, ua kom cov ntshav glycolysis tseem ceeb, txhawb kev tsim cov glycogen hauv cov leeg thiab mob siab, thiab txo qis kev siv ntawm gluconeogenesis. Kev xiam oob qhab tsis zoo tawm ntawm cov tshuaj no (lub cev tsis muaj qhov tsis txaus siab) ua lub luag haujlwm tseem ceeb hauv kev txhim kho hom 1 ntshav qab zib mellitus. Thaum muaj kev ua txhaum ntawm kev ua ntawm cov tshuaj insulin rau ntawm lub cev cov ntaub so ntswg (mob ntshav tsis txaus insulin), hom 2 mob ntshav qab zib mellitus loj hlob tuaj.
Raws li kev saib xyuas, hyperglycemia tau faib ua peb qib:
- Teeb - 6–10 mmol / L.
- Qhov nruab nrab yog 10-16 mmol / L.
- Hnyav - 16 mmol / l lossis ntau dua.
Caw ib ntus hyperglycemia, mus tas li, yoo mov hyperglycemia thiab postprandial (tom qab noj mov).
Yog tias ib tus neeg tau nce siab yoo cov ntshav qab zib, qhov no tsis yog qhov qhia tias muaj ntshav qab zib, txawm li cas los xij, txhawm rau tshem tawm qhov tom kawg lossis txiav txim siab cov mob ntshav qab zib, nws raug nquahu kom kuaj mob.
Cov teeb meem txaus ntshai uas tuaj yeem ua rau nce qab zib suav nrog:
- kev tshuaj ntsuam genetic predisposition
- kev noj zaub mov tsis zoo (tshwj xeeb yog siv ntau ntawm cov khoom lag luam bakery thiab khoom qab zib),
- irrational kev siv tshuaj
- tus cwj pwm tsis zoo (tshwj xeeb yog haus dej cawv),
- hnyav ntshav poob,
- tsis muaj peev xwm ntawm cov vitamins hauv lub cev (tshwj xeeb tshaj yog B1 thiab C)
- kev tawm dag zog ntau dhau
- carbon monoxide lom,
- xwm txheej ntxhov siab heev.
Nrog rau kev txhim kho mob ntshav qab zib hauv kev xeeb tub thaum ntxov ntawm cev xeeb tub, muaj qhov pheej hmoo ntawm tus me nyuam lub cev pathologies, nrog rau cov mob loj.
Kev nce qib qab zib raug pom nyob rau hauv cov ntshav qab zib mellitus, Itsenko-Cushing's syndrome, mob hlab ntsha tawg, plawv nres, qaug dab peg, qee qhov pathologies ntawm cov thyroid caj pas, lub plab thiab hnyuv. Cov pab pawg muaj suav nrog cov poj niam mob polycystic ovary syndrome, ntxiv rau cov neeg muaj cov poov tshuaj tsis qab ntsev nyob hauv cov ntshav.
Rau cov poj niam, kev nce ntxiv hauv qab zib tuaj yeem pom nrog cov tsos mob ua ntej, thaum cev xeeb tub. Hyperglycemia hauv cov poj niam cev xeeb tub yog vim muaj kev hloov pauv hauv keeb kwm yav dhau los thiab qhov cuam tshuam tsawg ntawm lub cev nqaij mus rau qhov kev ua ntawm insulin. Tus mob no yog hu ua mob ntshav qab zib hauv nruab plab. Feem ntau nws tshwm sim thaum tsis muaj kev kuaj mob hauv lub cev, raug kuaj pom thaum kuaj pom thiab kis tau tom qab yug menyuam. Nrog rau kev txhim kho mob ntshav qab zib hauv kev xeeb tub hauv plab thaum ntxov, muaj kev pheej hmoo ntawm kev loj hlob ntawm tus me nyuam hauv plab, suav nrog cov mob hnyav: lub plawv tsis zoo, mob hlwb, mob qog ntshav, thiab lwm yam. Cov pab pawg muaj xws li cov poj niam cev xeeb tub nrog tsev neeg muaj mob ntshav qab zib, rog, ntshav siab, rov qab ua tsis taus menyuam hauv keeb kwm.
Cov kws kho mob nco ntsoov nce qhov tshwm sim ntawm hyperglycemia hauv cov menyuam yaus. Qhov tshwm sim no cuam tshuam nrog kev noj zaub mov ntau ntawm cov khoom noj sai, kev qhia ntxov ntawm nyuj cov mis thiab / lossis cov zaub mov noj rau hauv cov zaub mov noj, siv cov dej haus nrog ntau tshaj ntawm cov nitrates, thiab cov leeg tsis zoo los ntawm kev nyab xeeb tsis zoo hauv lub tsev neeg. Tsis tas li ntawd, hyperglycemia hauv cov menyuam yaus feem ntau sau tseg tom qab mob khaub thuas lossis rubella.
Cov cim tseem ceeb ntawm kev nce ncua hauv qab zib ntev:
- kev nqhis dej tas li (txawm tias haus kua ntau npaum li cas), lub cev tsis txaus siab kiag li,
- cov xaum qhuav ntawm lub qhov ncauj kab noj hniav,
- nquag tso zis, tso zis ntau ntxiv, tso zis ib hmos,
- txo nyob rau hauv nrig txog kev pom tseeb,
- khaus tawv
- tsis muaj zog, qaug zog,
- txob taus
- arrhythmia,
- txog siav
- vim tsis muaj ceeb thawj poob (txawm tias yog khoom noj txaus tsim nyog),
- hnov tsw ntawm acetone los ntawm lub qhov ncauj.
Ntxiv rau, cov neeg mob hyperglycemia yws yws ntawm daim di ncauj, loog thiab txias ntawm sab sauv thiab / lossis qhov qis, tsis muaj peev xwm ua rau mob taub hau, xeev siab, nquag cem quav lossis raws plab, kiv taub hau, ua daus no, nplaim taws ua ntej lub qhov muag, ua rau muaj mob kis yooj yim.
Hauv cov txiv neej nrog rau cov piam thaj kom siab, kev sib deev ua haujlwm thiab o ntawm lub ntsej muag yog qhov tsis yooj yim dua.
Cov phiajcim no ua rau nws muaj peev xwm ua xyem xyav hyperglycemia, tab sis kev kuaj mob zaum kawg yog tsim tsa tom qab kev tshuaj xyuas.
Kev kuaj mob
Ntxiv rau qhov kev txiav txim hauv chav ntsuas ntawm cov ntshav qabzib hauv siab, yog tias pom muaj tus kab mob pathological, yuav tsum muaj kev kuaj ntshav qabzib (kuaj ntshav qabzib). Thaum lub sijhawm kev kawm no, ntsuas cov ntshav ceev ceev cov ntshav siab thiaj li ntsuas, tom qab ntawd tus neeg mob noj cov kua nplaum ntev hauv cov dej. Tom qab ntawd, kev ntsuas ntau zaus sib law liag yog nqa nrog nruab nrab ntawm 30 feeb. Nquag, cov kua nplaum nyob rau ob xuab moos tom qab cov piam thaj tsis pub tshaj 7.8 mmol / L. Nrog rau cov piam thaj ntawm 7.8–11.0 mmol / L, qhov txiaj ntsig tau suav tias yog kev ua txhaum ntawm cov ntshav qabzib, thiab cov ntshav qab zib tau raug txheeb xyuas ntawm cov neeg siab dua.
Txhawm rau kom tsis txhob cuam tshuam ntawm cov ntawv xeem, nws raug pom zoo kom ua raws li qee txoj cai rau nws npaj:
- cov ntshav yuav tsum noj rau ntawm lub plab khoob, cov zaub mov kawg yuav tsum tsis pub dhau 10 teev ua ntej kev kawm,
- ib hnub ua ntej txoj kev tshawb no, koj yuav tsum tso tseg kev ua kis las, tsis suav nrog kev ua kom lub cev hnyav,
- koj yuav tsum tsis txhob hloov pauv koj li kev noj haus nyob rau Hmo ua ntej ntawm txoj kev tshawb no,
- tsis txhob ntxhov siab cov xwm txheej ua ntej xeem,
- pw tsaug zog zoo ua ntej kev kawm.
Yog tias xav tias muaj tus kab mob hyperglycemia, cov neeg mob tau kuaj ntshav thiab tso zis kuaj ntshav (nrog rau cov cim ntawm lub cev ketone), kev ntsuam xyuas rau kev txiav txim siab ntawm C-peptide, glycosylated hemoglobin, cov tshuaj tiv thaiv kab mob rau pancreatic cells-hlwb.
Nrog cov ntshav qab zib kom nce qib ntev, nws raug nquahu kom ntsuas xyuas lub luag haujlwm ntawm lub plawv, nplooj siab thiab lub raum (ECG, ultrasound, thiab lwm yam).
Txhawm rau tshem tawm cov teeb meem txhim kho tiv thaiv keeb kwm ntawm hyperglycemia, tus neeg mob, nyob ntawm qhov ntsuas, xa mus rau kev sab laj rau tus kws kho mob endocrinologist, ophthalmologist, urologist lossis gynecologist, kws kho plawv, neurologist.
Yuav ua li cas
Kev tsim kho lub cev nyob rau hauv qab zib feem ntau tsis tas yuav tsum tau kho tshwj xeeb, cov ntshav qabzib feem ntau yog ib txwm ib txwm muaj thaum ib qho uas ua rau nws raug tshem tawm.
Kev kho mob ntawm cov kab mob pathologically txhawb cov piam thaj yog qhov nyuaj thiab yuav tsum tau nqa tawm hauv kev saib xyuas ntawm tus kws kho mob koom. Nws yog ib qho tseem ceeb kom nco ntsoov tias kev noj tshuaj tus kheej tuaj yeem ua rau dhau qhov xwm txheej thiab ua rau muaj kev tsis zoo.
Yog tias ib tug neeg mob pom tias mob ntshav qab zib, txoj kev kho yog siv nyob ntawm nws yam. Ntxiv nrog rau kev noj zaub mov noj, nws tuaj yeem suav nrog subcutaneous kev txhaj tshuaj ntawm cov tshuaj insulin, tshuaj tiv thaiv kab mob hauv lub qhov ncauj. Thaum tsis muaj kev them nyiaj rau cov ntshav qab zib, muaj kev pheej hmoo ntawm kev loj hlob hyperglycemic coma, uas yog lub neej muaj kev phom sij.
Qab zib yuav tsum tau muab pov tseg yog tias nws tsis yooj yim ua nws tam sim ntawd, ib qho me me ntawm nws sab laug, maj mam txo kom txog thaum ua tiav tawm los ntawm kev noj zaub mov.
Qee qhov xwm txheej, cov neeg mob hyperglycemia yog qhia pom cov vitamins thiab phytotherapy (tshuaj yej blueberry, tshuaj yej hibiscus, tshuaj yej los ntawm nplooj lilac, sage).
Kev ua kom cov ntshav qabzib yog tswj los ntawm kev tawm dag zog me me (kev dhia paj paws, ua luam dej, dej aerobics thiab aqua aerobics, ntaus pob, ntaus pob tesniv, ntaus golf, ntaus pob, ntaus pob, ntaus pob). Taug kev, nce ntaiv ntaiv ko taw, thiab khiav ntawm qhov muaj ntsis me me kuj ua tau zoo. Txawm ib nrab teev ntawm kev tawm dag zog tawm dag zog ib hnub ua rau muaj qhov ua rau cov ntshav qab zib nyob li qub. Ntawm lwm yam, kev ua haujlwm hauv lub cev yog hais txog kev ntsuas kom tiv thaiv kev txhim kho ntshav qab zib hom 2.
Cov neeg mob nrog hyperglycemia yuav tsum tsis suav nrog kev ntxhov siab, lub cev thiab lub hlwb ntau dhau, mus txog txoj haujlwm hloov yog tias tsim nyog. Nws yog ib qho tsim nyog kom tshem tawm cov kev coj ua tsis zoo thiab siv sijhawm ntau dua hauv cov xwm.
Txoj kev tseem ceeb rau cov ntshav qabzib feem ntau yog kev noj haus. Tus nqi ntawm cov calories ntau ntau yog xam nyob ntawm lub cev thiab lub cev ua si. Cov zaub mov tawg tau pom - noj 5-6 zaug nyob rau ib hnub hauv ntu me thaum ntu. Ntxiv nrog rau kev txo qis hauv qab zib, lub hom phiaj ntawm kev noj zaub mov noj yog los ua kom hnyav dua. Nrog rau lub cev hnyav dua, kev noj zaub mov kom tsawg txhua hnub yuav tsum tau txiav los ntawm 250-300 kcal los ntawm kev noj zaub mov rau lub hnub uas pom zoo rau lub hnub nyoog thiab txoj kev ua neej.
Lub hauv paus ntawm cov khoom noj yog zaub-protein, cov khoom uas muaj cov carbohydrates yog tso cai tsuas yog cov uas muaj glycemic tsis tshua muaj siab. Pom zoo:
- cov zaub nyob rau hauv daim ntawv nyoos thiab kho kom sov (cov zaub tshiab yuav tsum noj txhua hnub, lawv qhov yuav tsum yog tsawg kawg 20% ntawm tag nrho cov zaub),
- cov nqaij ntshiv, offal, ntses, nqaij ntses,
- qe (tsis pub ntau tshaj ob rau ib hnub),
- tej mis thiab cov khoom noj siv mis,
- cereals (buckwheat, millet, barley, hlaws barley, oatmeal),
- ncuav tsw xyaw keeb, mov nplej, txhuv,
- taum
- berries, txiv hmab txiv ntoo, nrog rau cov kua txiv tshiab los ntawm lawv,
- kas fes dub kas fes, tshuaj yej dub, ntsuab, dawb, tshuaj ntsuab, tsis muaj qab zib compotes, kua txiv hmab txiv ntoo,
- qee cov khoom qab zib (pastille, marshmallows, marmalade, me me ntawm zib ntab, tsaus chocolate),
- zaub roj.
Nrog hyperglycemia, nws raug nquahu kom haus tsawg kawg 1.5-2 liv dej nyob rau ib hnub.
Txawm ib nrab teev ntawm kev tawm dag zog tawm dag zog ib hnub ua rau muaj qhov ua rau cov ntshav qab zib nyob li qub. Ntawm lwm yam, kev ua haujlwm hauv lub cev yog hais txog kev ntsuas kom tiv thaiv kev txhim kho ntshav qab zib hom 2.
Cov khoom siv tsis sib xyaw tsis suav nrog cov khoom noj tsis suav, tshwj tsis yog cov ncuav, ncuav qab zib los ntawm butter thiab puff pastry, mov, semolina, hnyuv ntxwm, nqaij npuas kib, nqaij npua, nqaij nqaij nplua nuj, nqaij rog, haus luam yeeb thiab khoom noj, cov nplej zom, cov khoom noj muaj rog thiab ntsim, cov zaub mov ceev , khoom noj txom ncauj. Qab zib yuav tsum tau muab pov tseg yog tias nws tsis yooj yim ua nws tam sim ntawd, ib qho me me ntawm nws sab laug, maj mam txo kom txog thaum ua tiav tawm los ntawm kev noj zaub mov. Cawv kuj tseem txwv tsis pub, tsuas yog zam me me (1-2 iav) ntawm cov kua txiv qhuav liab 1-3 zaug ib lub lim tiam.
Yuav tiv thaiv li cas
Txhawm rau tiv thaiv cov ntshav qab zib, nws yog qhov pom zoo:
- noj zaub mov zoo, zam kev ua phem rau cov piam thaj, muaj piam thaj muaj zaub mov thiab dej cawv, zam tej zaub mov tsis muaj txiaj ntsig,
- tswj lub cev hnyav
- kev tawm dag zog lub cev, thaum tsis txhob thau khoom ntau dhau,
- saib xyuas kev ua haujlwm ntawm cov piam thaj hauv cov ntshav (tshwj xeeb tshaj yog rau cov tib neeg uas muaj kev pheej hmoo),
- kev ntxhov siab kam
- muab mus rau qhov tsis zoo,
- kev kho mob raws sij hawm uas tuaj yeem ua rau hyperglycemia.
Cov piam thaj ntau hauv ib tus menyuam
Cov cai ntawm cov piam thaj hauv qib thaum yau yog qhov sib txawv. Cov menyuam yaus nws tus kheej muaj feem qis dua, yog li tham txog hyperglycemia yuav tsum muaj ntshav qabzib siab dua 4.4 mmol / L hauv cov menyuam muaj txog li ib xyoos thiab ntau dua 5.0 mmol / L thaum muaj hnub nyoog 1-5 xyoos. Hauv cov menyuam yaus uas tau hla lub sijhawm tsib xyoos, qhov ntsuas ntawm cov ntshav qab zib yog 3.5-5.5 mmol / l.
Yog tias tus me nyuam cov piam thaj tau nce siab, yuav tsum tau kuaj tag nrho cov kev kho mob. Ua ntej tshaj plaws, kev kuaj mob ntshav qab zib mellitus yog paub meej tias lossis rov ua haujlwm. Rau kev qhia txhua yam ntawm qhov xwm txheej, kev saib xyuas ntshav qabzib thiab glycosylated hemoglobin qib tau raug ntsuas.
Qhov ua rau cov ntshav qab zib hauv menyuam yaus tuaj yeem yog qhov mob muaj keeb, kev ntxhov siab ntau dhau, ua haujlwm dhau, ua kom lub siab tsis ruaj khov nyob rau hauv tsev neeg lossis pab pawg. Txhim kho txoj kev pheej hmoo ntawm kev tsim kab mob yog kev noj haus tsis zoo: lub siab nyiam rau khoom qab zib thiab lwm yam khoom qab zib, khoom noj yooj yim, cov dej qab zib thiab cov khoom noj ceev.
Hauv cov menyuam mos, cov laj thawj ntawm hyperglycemia yog cov kev qhia ntxov ntawm cov khoom noj muaj txiaj ntsig, tshwj xeeb, mis nyuj thiab zaub mov mis, tsis muaj cov vitamin D thiab siv cov dej qias neeg.
Thaum tseem yau, kis tus mob sib xws xws li qoob qhua qhua thiab qhua pias mob tuaj yeem ua rau kom qab zib. Tsawg feem ntau, qhov ua tau yog yam khaub thuas.
Kev Tiv Thaiv
Kev saib xyuas cov cai yooj yim yuav pab tiv thaiv kom txhob muaj ntshav qab zib ntau ntxiv. Txwv koj kev noj zaub mov kom sai, tso kev haus cawv, haus cov nqaij thiab khoom qab zib, kev tawm dag zog kom tsis tu ncua.
Yog tias muaj tsev neeg keeb kwm ntawm cov neeg mob ntshav qab zib, nws yog ib qho tseem ceeb kom ua tib zoo saib xyuas koj kev noj qab haus huv thiab kev ua neej. Nws yog qhov tsim nyog los ua qhov hnyav thiab ua kom nws nyob ntawm qib siab, tso txoj kev quav yeeb yaj kiab thiab zam dhau kev ntxhov siab. Yog tias hyperglycemia txhim kho, koj yuav tsum sab laj nrog koj tus kws kho mob.
Kom cov ntshav qab zib qhia tias txoj kev ua haujlwm hauv lub cev uas yuav tsum tau kuaj pom lub sijhawm thiab tshem tawm. Cov neeg ntxim rau hyperglycemia yuav tsum paub cov cim tseem ceeb txhawm rau sab laj nrog tus kws kho mob kom raws sijhawm thiab zam kom tsis txhob muaj teeb meem loj.
Vim li cas ntshav qab zib nce siab
Cov hauv qab no ua rau hyperglycemia yog qhov txawv:
- kis kab mob
- cov kab mob uas tag nrho
- kev siv cov tshuaj steroid,
- cev xeeb tub
- mob ntshav qab zib mellitus
- kev ntxhov siab
- lub thawj ntawm yooj yim digestible carbohydrates nyob rau hauv kev noj haus.
Kev tso suab thaj ua rau luv luv tuaj yeem ua rau muaj mob ntawm angina pectoris, mob vwm, lossis myocardial infarction. Tsis tas li ntawd, theem ntawm cov piam thaj hauv cov ntshav yuav nce ntxiv thaum mob hnyav, mob kub hnyiab.
Cov kws kho mob zoo tshaj plaws endocrinologist
Yuav ua li cas cov piam thaj nce siab ntxiv
Nce nce qib suab thaj feem ntau tshwm sim los ntawm ntau cov tsos mob. Yog tias ib daim ntawv mob ceev ceev (hyperglycemia) pib, tom qab ntawd lawv tshaj tawm. Cov pov thawj ntawm cov ntshav qabzib ntau tuaj yeem yog cov cim zoo li no:
- lub qhov ncauj qhuav, nqhis dej,
- ua txhaum ntawm kev tso zis (nquag, profuse, suav nrog thaum tsaus ntuj),
- khaus tawv
- hloov hauv qhov ntsuas lub cev qhov hnyav hauv ob qho kev qhia,
- nce toj zog nkees
- tsis muaj zog, qaug zog,
- kiv tob hau, mob taub hau,
- hnov tsw ntawm acetone los ntawm lub qhov ncauj kab noj hniav,
- lub caij nyoog kho kom zoo ntawm cov tawv nqaij mob,
- pom kev pom
- muaj feem kis tau yooj yim rau kis tus kab mob,
- tsis hnov qab potency nyob rau hauv cov txiv neej.
Yog tias koj pom cov tsos mob zoo li no hauv koj tus kheej (tsis yog txhua yam), koj yuav tsum tau kuaj cov ntshav qabzib.
Cov tsos mob tshwm sim li cas?
Tus txheej txheem ntawm kev loj hlob ntawm txhua ntawm cov tsos mob saum toj no yog qee yam cuam tshuam nrog cov piam thaj.Yog li ib lub siab xav haus heev (polydipsia) tshwm sim los ntawm qhov khi ntawm dej molecules rau qab zib. Cov kua dej mus los ntawm qhov chaw cais rau hauv vascular lumen. Raws li qhov tshwm sim, cov ntaub so ntswg yog qhuav hauv lub cev.
Nyob rau tib lub sijhawm, kev nce ntshav hauv lub cev vim qhov dej tuaj nkag hauv lub cev ua rau cov ntshav siab thiab cov ntshav khov hauv lub raum. Lub cev nrhiav kom tshem tawm cov dej ntau dhau los ntawm kev tso zis, polyuria tsim tawm.
Yog tias tsis muaj cov insulin, glucose molecules tsis tuaj yeem nkag rau hauv cov hlwb. Yog li ntawd, nrog nws cov khoom tsis txaus los ntawm cov txiav, raws li tshwm sim nrog mob ntshav qab zib hom 1, cov nqaij ua rau lub zog tsis txaus. Lub cev raug yuam kom siv lwm txoj hauv kev ntawm lub zog ntawm cov khoom noj (cov protein, cov rog), uas ua rau lub cev hnyav dua.
Kev pham muaj tshwm sim thaum kev ua haujlwm ntawm cov insulin-tiv thaiv teeb meem ua tsis taus - hom ntshav qab zib 2. Nyob rau tib lub sijhawm, cov kua dej yog tsim nyob rau hauv qhov ntau txaus, txhawb kev sib txuas ntawm cov rog, thiab cov kua nplaum tseem tsis nkag mus rau hauv cov hlwb, ua rau lub zog tshaib plab.
Kev hnov mob tsis muaj zog, kiv taub hau, qhov pib nrawm nrawm nrawm yog cuam tshuam nrog kev tsis muaj zog ntawm cov nqaij hauv lub hlwb. Tsis muaj cov kua nplaum ntev, lub cev ua kom tawv nqaij oxidation. Qhov no ua rau muaj kev nce ntxiv hauv cov ntsiab lus ntawm ketone lub cev hauv cov hlab ntshav, thiab ua rau cov tsos ntawm tus ntxhiab tsw qab ntawm lub ncauj tawm ntawm lub qhov ncauj.
Qhov tsis muaj peev xwm ntawm cov kua nplaum nkag mus rau hauv cov ntaub so ntswg cuam tshuam rau lub cev tiv thaiv kab mob - leukocytes ua qis dua kev ua haujlwm, thiab tsis tuaj yeem sib tua tau tus kab mob.
Kev puas tsuaj ntawm daim tawv nqaij ua lub "nkag" rau cov kab mob pathogenic. Muaj suab thaj ntau nyob hauv cov ntaub so ntswg ua rau cov neeg mob ua kom zoo sai, uas dhau los ua ib qho av yug tsiaj rau cov kab mob microbes.
Cov Kev Ntsuas hyperglycemia Txo
Lub hauv paus rau kev txo qis qab zib yog kev tshem tawm ntawm qhov uas ua rau hyperglycemia. Yog li, yog tias cov tshuaj noj uas ua rau cov ntshav qabzib nce siab, nws yuav tsum tau sab laj nrog koj tus kws kho mob txog lawv qhov hloov pauv.
Nrog rau cov kab mob ntawm cov thyroid caj pas thiab lwm tus, koj yuav tsum kho lawv. Yog hais tias tus mob ntshav qab zib gestational (thaum cev xeeb tub), kev soj ntsuam zaub mov txaus.
Nrog rau kev pib txhim kho mob ntshav qab zib mellitus lossis nyob rau hauv rooj plaub ntawm kev ua tsis tiav ntawm kev tshem tawm qhov ua rau, kev kho mob kho tau qhia. Rau qhov no, nrog tus kab mob txhim kho raws li thawj hom, insulin txhaj tshuaj yog tshuaj, thiab nrog hom thib ob, cov tshuaj uas txo cov piam thaj yog tshuaj.
Txawm hais tias qhov tseeb hais tias nyob rau hauv txhua kis coj los sib cais, kev kho mob yog suav sau ib tus zuj zus, muaj cov kev cai dav rau txhua tus neeg mob. Nws yog ib qho tsim nyog yuav tsum tau ua raws nraim li cov kws kho mob cov lus qhia, saib xyuas kev noj zaub mov zoo, ua lub neej noj qab nyob zoo, thiab nquag muab ntshav rau cov qab zib.
Khoom noj rau hyperglycemia
Ua tib zoo soj ntsuam kev noj zaub mov noj yog thawj zaug ua nrog cov ntshav qabzib hauv cov ntshav. Muaj ntau cov lus qhia txog kev noj zaub mov zoo raws li kev ua kom txo qis ntawm cov khoom noj carbohydrates yooj yim hauv cov zaub mov.
Txo cov calories ntau ntawm cov tais diav yuav tsum muab tso ua ke nrog kev txuag txuag rau lub sijhawm yuav tsum muaj cov protein, cov rog, carbohydrates, vitamins thiab minerals.
Carbohydrates yuav tsum feem ntau qeeb qeeb yam, nrog lub qes glycemic. Cov calories txhua hnub yog ua raws li tus cwj pwm ntawm ib tug neeg. Hauv qhov no, tus nqi ntawm cov zaub mov txhua hnub yuav tsum tau muab faib ua ntau (txog 6) pluas noj, nrog ncua sijhawm tsis pub dhau peb teev.
Cov ntawv qhia zaub mov yuav tsum muaj cov khoom noj uas pab txo cov ntshav qab zib. Nov yog:
- qaub txiv hmab txiv ntoo
- txiv qaub
- cov txiv ntoo (lingonberries, roob tshauv),
- Jerusalem artichoke
- tshiab zaub ntsuab.
Ntawm cov lis mis nyuj, buckwheat muaj qhov muaj feem thib. Hauv daim foos hau, nws muaj cov roj tsawg hauv cov ntsiab lus thiab muaj zaub mov muaj txiaj ntsig zoo. Buckwheat muaj cov zaub mov, cov vitamins thiab cov tshuaj ua dej uas pab txhawb tsis tsuas yog ua kom tsis muaj suab thaj, tab sis kuj ua rau lub cev hnyav, nrog rau kev ntxuav lub cev ntawm co toxins thiab co toxins.
Cov lus qhia hauv qab no yuav pab txo qis qib qis. Nws yog ib qho tsim nyog kom sib tov sib xyaw ib zaug ntawm lub zom zaws kom ua rau lub xeev ntawm hmoov nrog lub khob ntawm kefir, cia nws brew rau 7-9 teev. Koj yuav tsum haus cov dej sib xyaw 60 feeb ua ntej noj rau ib lim tiam.
Yuav ua li cas hawv yuav nce qab zib
Cov teeb meem tshwm sim los ntawm cov ntshav qabzib tuaj yeem yog ob leeg mob, tshwm sim sai sai, thiab nyob deb. Hauv thawj kis, hyperglycemia tuaj yeem ua rau mob xws li:
- kev puas tsuaj rau lub hauv nruab nrab cov hlab hlwb, coma, ua ntej lub xeev (ua qauv los ntawm kev ua txhaum ntawm kev sib txuas ntawm cov hlab ntsha, qhov kev cuam tshuam ntawm qhov sib txuas ntawm qhov reflex, ib nrab lossis ua kom tsis nco qab),
- ketoacidosis
- lub cev qhuav dej
- Milky qaub ncaug coma.
Cov mob zoo sib xws muaj cov tsos mob yav dhau los. Qhov no: mob tsis muaj zog, nqhis dej thiab muaj zis ntau ntau (txog 4 l). Yog muaj cov tsos mob no tshwm sim, koj yuav tsum nrhiav kev pab kho mob nrawm.
Lub sij hawm ntev tso los ntawm cov ntshav qab zib hauv lub cev:
- kev puas tsuaj rau cov ntshav thiab hlab ntsha ntawm qhov qis qis, tom qab los ntawm necrosis thiab mob caj dab,
- kev puas tsuaj rau lub raum, muaj nyob rau hauv kev ua tiav ua tiav los ntawm lub raum tsim ntawm lawv cov haujlwm, nrog kev tsim kho txuas ntxiv ntawm qhov tsis muaj txiaj ntsig (tawm tsam kev hem thawj rau lub neej),
- kev puas tsuaj ntawm retina, ua rau tsis pom kev.
Txhawb cov ntshav qab zib tsis yog ib txwm qhia tias muaj pathology hauv lub cev. Yog tias cov tsos mob tshwm sim ntau dua, dhau li ntawm lwm tus koom nrog lawv, tom qab ntawd nws tsim nyog pub ntshav rau cov piam thaj, thiab sab laj rau cov kws tshaj lij.
Qhia tshuaj ntsuab tshuaj ntsuab
Hauv cov tshuaj pej xeem, ntau yam zaub mov txawv tau tsim los uas tsim los txo cov ntshav hauv cov ntshav. Hauv qab no yog qhov ua tau zoo tshaj plaws.
- Noj oats, qhov ntim ntawm txog ib khob los yog ib nrab ib nrab dej. Ncuav dej npau npau rau nws (6 tsom iav). Simmer rau ib teev. Raws li ib qho kev xaiv: khaws hauv dej da dej lossis muab tso rau hauv qhov cub tib lub sijhawm. Thaum lub broth tau txias, nws yuav tsum tau lim. Koj tuaj yeem nqa hauv ib qho ntau nyob thoob plaws ib hnub rau qhov sijhawm tsis kawg.
- Noj 40 grams ntawm Walnut partitions. Muab lawv tso rau hauv ib nrab ib liter dej thiab muab mus rau boil ntawm tsawg cua sov rau ib teev. Tom qab cov cawv tau txias tag, nws yuav tsum tau lim. Siv cov tshuaj zoo ua ntej noj mov. Qhov ntau npaum yog ib diav. Koj tuaj yeem khaws cov kua txiv rau hauv lub tub yees.
- Nyob rau lub caij nplooj ntoo hlav, koj yuav tsum sau cov lilac buds ua ntej tawg. Ob dia ntawm cov khoom siv raw, ncu 0.4 liv dej ntawm cov dej kub, thiab tawm mus rau brew rau 6 teev (nws yog qhov zoo tshaj los ua qhov no hauv lub thermos). Tom qab Txoj kev lis ntshav tiav, nws yuav tsum tau lim. Haus hauv feem me me thoob plaws hnub.
- Ntxuav thiab grate horseradish (hauv paus). Dilute resulting slurry nrog cov khoom noj muaj kua mis (kefir, yogurt, mis nyuj, ntuj yogurt) hauv qhov sib piv ntawm 1:10. Siv cov khoom ua ntej ua ntej noj mov, peb zaug ib hnub. Tsuas tshuaj - ib tablespoon.
- Npaj ib Txoj kev lis ntshav ntawm Bay nplooj: 10 lub nplooj tawg yuav xav tau 200 ml ntawm dej npau. Ncuav cov khoom siv raw rau hauv ib lub thermos, tawm rau ib hnub. Lim. Koj yuav tsum tau coj Txoj kev lis ntshav sov, li 4 zaug hauv ib hnub (tsis muaj ntxiv). Tsuas tshuaj - lub khob thib peb lub hli ua ntej noj mov.