Yuav ua li cas yog tias cov piam thaj hauv ntshav poob zuj zus?
Hauv qhov no, yuav tsis muaj lus teb yooj yim rau koj cov lus nug, hmoov tsis zoo.
Thawj qhov uas yuav tau ua yog coj mus rau lub tsev kho mob endocrinological los ntawm koj tus kws kho mob endocrinological. Nrog rau cov tsos mob no, insulin (tsim nyob rau hauv lub txiav ua tsim insulin ntau dhau) yuav tsum raug txiav txim. Qhov no tuaj yeem ua tiav siv cov kev ntsuas uas tau ua hauv tsev kho mob.
Hais txog ntawm endocrinology, nws yog ib qho tsim nyog ntxiv los soj ntsuam lub luag haujlwm ntawm cov qog adrenal - rau qhov no koj yuav tsum tau kuaj ntshav rau ACTH thiab kev soj ntsuam ntawm cov zis txhua hnub rau cortisol. Qhov no tuaj yeem ua rau sab nrauv sab nrauv.
Kuv yuav pom zoo hu rau kws kho mob plab zom mov. Cov tsos mob zoo li no tuaj yeem tshwm sim nrog pathology ntawm txoj hnyuv thiab mob siab.
Kev phom sij ntawm qhov qab zib qis
Hauv cov neeg muaj kev noj qab haus huv, lub cev tswj qhov qib glycemic nws tus kheej. Hauv cov ntshav qab zib, txoj kev no tsis tuaj yeem raug sim ua ib qho. Lub zog tseem ceeb rau lub cev tau ua kom qabzib tas li. Txawm hais tias nrog nws tsis mus tsev, lub paj hlwb neurons tshaib plab.
Cov tsos mob tsis txaus ntseeg tuaj yeem lees paub los ntawm tus neeg tus yam ntxwv: thawj, ntxhov siab vim yog qhov tsis txaus, ntshai qhov tsis txaus ntseeg, nws tsis tswj hwm nws cov yeeb yam, nws lub siab nco qab. Nyob rau theem ntawm 3.5 mmol / l, glycogen cia raug qhib, lub hlwb ua haujlwm ntawm cov piam thaj yog muab tua.
Hauv 15 feeb, tus neeg tseem ua haujlwm, txawm tias nws zaum, zoo li lub tsheb uas muaj roj av tawm. Glycogen nyob rau hauv cov leeg nqaij tau noj ceev ceev, lub cev tsis muaj zog tshwm sim, nthwv dej npog cov hws ua tsis taus pa, lub siab poob qis, tus neeg hloov daj ntseg, arrhythmia txhim kho, lub taub hau tig thiab tsaus nti hauv qhov muag, txhais ceg yog buckling.
Vim li cas thiaj muaj cov hlauv ntse nyob rau hauv qab zib
Nrog rau kev nqus tso zis ntau li ntau ntawm cov khoom qab zib, cov pos hniav qab zib txhim kho cov ntshav qab zib. Tshaj dhau ntawm lub cev thiab cov b-hlwb ua haujlwm ntawm qhov kev txwv ntawm lawv lub zog, coj los ua qhov siab tshaj plaws ntawm cov kua dej. Cov kua nplaum nqus tau los ntawm cov ntaub so ntswg. Tom qab muaj kev zoo siab sai, tsis muaj zog thiab ua kom qab los noj qab nyob zoo.
Qhov ua kom muaj suab thaj tsawg yog tsis tsuas yog ua noj ua haus, tab sis kuj tseem muaj kab mob pancreatic ntawm ib qho kev ua oncological. Cov kab mob ntshav qis ntawm lub raum, mob siab, hypothalamus tseem nrog cov neeg mob hypoglycemia.
Nrog rau kev noj zaub mov hypocaloric, kev txo qis hauv cov piam thaj tseem muaj peev xwm ua tau. Yog tias tsis muaj ntshav qab zib, tom qab ntawd nws qhov ntsuas tau zoo li qub tom qab noj mov, vim tias endogenous insulin yuav muab cov piam thaj rau cov kab mob hauv lub sijhawm.
Hauv cov ntshav qab zib mellitus, lub cev txawm tias tsis tsim cov tshuaj insulin, lossis nws tsis muaj siab ntseeg txaus, vim tias qhov rhiab ntawm cellular receptors yog txo. Yog li, ib feem ntawm cov piam thaj tsis nqus, tab sis pauv mus rau hauv cov rog.
Yog tias cov piam thaj hauv ntshav poob qis, qhov yuav ua li cas yog nyob ntawm qee qhov xwm txheej. Hauv cov neeg muaj kev noj qab haus huv, cov suab thaj txo qis yog ua tau nrog kev so ntev hauv cov zaub mov lossis nws cov lus qhia hauv lub cev tsis txaus, zoo li yog tias muaj cov leeg mob hauv cov huab cua ntshiab (postmen, movers, cov neeg ua haujlwm hauv kev, lumberjacks, cov neeg nyob rau lub caij ntuj sov, cov neeg nqa khoom nceb, tus neeg yos hav zoov).
Txo cov dej qab zib kom tsawg. Tom qab ob peb teev, koj tuaj yeem pom qhov tshwm sim no. Thiab nrog lub siab ntev ntev, thiab txawm tias tsis muaj zaub mov zoo, koj tuaj yeem poob rau hauv kev tsis txaus ntseeg txawm tias muaj cov cawv tsawg hauv cov ntshav.
Cov kws kho mob muaj lub sij hawm "brothel tuag" thaum, tom qab sib deev sib deev ntawm lub plab khoob, cov neeg laus tuag los ntawm kev mob plawv, thiab plaub caug xyoo tuag los ntawm hypoglycemia. Yog li no hauv Nyij Pooj, geisha pib sib txuas lus nrog tus neeg siv nrog cov tshuaj yej kab tshoob thiab khoom qab zib ntau.
Ib qho piv txwv ntawm cov ntshav qog qis yog qhov kev tuag ntawm cov neeg cog lus hockey Lavxias teb chaws ntaus kis las Alexei Cherepanov, uas cov neeg Asmeskas xav yuav rau $ 19 lab, yog li kev noj qab haus huv tau raug tshuaj xyuas kom zoo. Cov neeg ntaus kis las tau tag sim neej thaum lub caij sib tw, thaum nws tawm ntawm cov dej khov nab kuab, thiab siv sijhawm hmo ntuj ua ntej tsis muaj kev so kom txaus, nyob rau hnub hlub. Lub sijhawm cuaj xyoos tus thawj coj pab pawg hauv tebchaws tau txais kev cawm dim los ntawm kev mob plawv hauv feeb kawg ntawm qhov kev sib tw, thiab txhua yam nws xav tau yog kev txhaj tshuaj ntshav qabzib rau hauv cov hlab ntsha.
Raws li txoj cai hauv Soviet, cov qauv rau kev saib xyuas kub ntxhov yog tias tsis nco qab qhov tsis paub vim li cas suav nrog kev txhaj tshuaj: 20 txig ntawm 40% piam thaj. Thaum kws kho mob sau qog ua pa paug (mob plawv, mob stroke, qaug cawv, raug mob rau lub hlwb, lom, qaug dab peg ...), tus kws ntsuas mob yuav tsum txhaj cov ntshav qab zib sai sai.
Ntxiv nrog rau qhov tsis muaj tshuaj glycemia, uas tshwm sim hauv cov neeg muaj kev noj qab haus huv, tseem muaj tshuaj ntawm cov kab mob pathology. Tus mob ntshav qab zib feem ntau muaj ntshav qab zib tsis txaus, vim hais tias hypoglycemia yog ib qho kev phiv los ntawm ntau cov tshuaj uas muaj piam thaj, kom tsis txhob hais txog kev noj tshuaj tshaj.
Cov pab pawg muaj kev pheej hmoo yog feem ntau cov neeg mob ntshav qab zib nrog kev paub, txij li txo qis rau kev ua haujlwm ntawm lub txiav thiab cov qog adrenal ua haujlwm pab txo qis ntau lawm ntawm glucagon thiab adrenaline, uas tiv thaiv lub cev los ntawm hypoglycemia. Tus neeg mob thiab ib puag ncig nws yuav tsum paub qhia thawj pab rau tus neeg raug mob, txij li tus qhab nia hauv qhov xwm txheej no yog feeb.
Keeb kwm rau ntshav qab zib ntshav qab zib hauv cov neeg mob ntshav qab zib
Vim li cas cov piam thaj hauv cov ntshav qab zib thiaj poob?
- Kev noj tshuaj ntau dhau ntawm insulin cuam tshuam nrog kev ntsuas tsis raug ntawm cov tshuaj, muaj kev ua tsis zoo ntawm lub ntsuas thiab koob txhaj tshuaj.
- Qhov ua yuam kev ntawm cov kws kho mob uas ua tsis yog suav sau cov kev kho mob.
- Kev tswj tsis siv cov tshuaj sulfonylurea uas ua rau cov neeg mob ntshav qab zib tsawg.
- Hloov cov tshuaj yam tsis tau xav txog lub sijhawm ntawm lawv lub sijhawm ntev.
- Qaug hauv cov tshuaj insulin thiab lwm yam tshuaj hypoglycemic hauv lub cev vim lub raum tsis zoo thiab lub siab ua haujlwm.
- Kev txaug ntxaug ntxaug txhaj tshuaj (tsis txhob pricking hauv qab ntawm daim tawv nqaij - txhaj tshuaj intramuscular).
- Yog tias koj zaws qhov chaw txhaj tshuaj tam sim ntawd tom qab txhaj, hypoglycemia sib zog.
- Kev tawm dag zog tsis txaus, tshwj xeeb tshaj yog nyob rau hauv lub xeev tshaib plab.
- Tsis noj mov lossis noj khoom txom ncauj me ntsis.
- Kev noj zaub mov kom tsawg hauv lub cev kom yuag poob uas tsis suav nrog tus lej ntawm lawv cov insulin.
- Thaum koj haus dej cawv muaj zog, cov piam thaj tuaj yeem poob ntau.
- Nrog malabsorption, thaum cov zaub mov tsis zoo rau lub cev, nrog lub zog ntawm lub zog neuropathy, uas ua rau kom lub cev khiav tawm hauv lub plab, txawm tias tom qab noj mov tsis qab los, cov piam thaj yuav tseem nyob qis dua qhov qub.
Cov ntshav qab zib poob: cov tsos mob, yuav ua li cas
Koj tuaj yeem paub tus mob los ntawm cov cim hauv qab no:
- Ntse tsis muaj zog
- Muaj hws ntau
- Lub plawv tuaj kev ntxhov siab
- Mob ua rau nqua
- Ceeb kev tawm tsam
- Kev tswj tsis tau neeg tshaib plab
- Mob Hlwb
- Tsaus muag
- Glycemic coma.
Kev tswj tsis tau tswj yog kev sib koom tes ntau dua ntawm kev yuav txo qog ntshav qab zib. Hauv cov neeg mob ntshav qab zib, ntau yam tshuaj provoke ib tus poob qab los noj mov, los yog hma tshaib plab.
Tom qab kev siv dag zog ua haujlwm, kev tshaib plab tuaj yeem tsuas yog lub cim ntawm kev qaug zog, lossis nws tuaj yeem yog ib qho ntawm cov tsos mob ntawm cov piam thaj hloov, thaum cov qog tsis muaj zog thiab lawv xa cov cim rau lub hlwb. Nrog kev tshaib plab, cov ntshav qab zib yuav tsum xub kuaj nws cov piam thaj nrog ib glucometer.
Kev pheej hmoo ntawm cov ntshav qog ntshav ntshav siab nce nyob rau qee lub sijhawm yog tias:
- Keeb Kwm Ntawm Kev mob ntshav siab heev,
- Qhov kev tawm tsam tsim muaj asymptomatically, thiab coma tuaj yeem tshwm sim poob nthav,
- Hauv cov ntshav qab zib, endulinous insulin tsis ua txhua lub sijhawm,
- Cov xwm txheej qis qis tsis tso cai rau ua kom lub neej zoo.
Tus mob ntshav qab zib, thiab ib tug neeg uas nws yuav mob ntshav qab zib tsawg, yuav tsum pib sau ntawv los xyuas lawv cov keeb kwm glycemic nrog cov lus piav qhia txog txhua tus tsos mob tshwj xeeb ntawm lawv cov mob.
Cov ntshav qab zib kom poob - yuav ua li cas?
Rau ib qho laj thawj dab tsi uas qab zib tsis poob, nws yog qhov tseem ceeb kom rov qab ua kom cov piam thaj tsis muaj paug. Thaum tus neeg mob nco qab, koj yuav tsum muab nws cov zaub mov nrog cov carbohydrates ceev thiab qhov siab glycemic index, uas tam sim ntawd nqus rau hauv cov ntshav.
Haum rau cov khoom qab zib, zib ntab, khoom qab zib, jam, kua txiv qab zib thiab cov txiv hmab txiv ntoo uas muaj cov ntsiab lus siab ntawm fructose (txiv tsawb, hnub tim, apricots, dib liab, txiv quav ntswv nyoos). Qhov no yuav pab txo cov tsos mob twb nyob rau thawj theem ntawm tus mob pathological.
Kev mob ntshav qab zib yog qhov txaus ntshai nrog rov tuaj tawm tsam, txhawm rau tiv thaiv cov yoj ntshav hypoglycemic tom ntej, yuav tsum muaj cov carbohydrates ntau nyob rau hauv, uas yog nqus tau qeeb dua. Lub qhaub cij nrog butter thiab qab zib kas fes lossis tshuaj yej, nrog rau cov lis txhab nplej tau zoo.
Kev pib sai ntawm hypoglycemic tej yam txaus ntshai ua ntej cov neeg mob ntshav qab zib nrog hom 1, thaum kev siv tshuaj ntau dhau lossis ua txhaum cai ntawm lub sijhawm noj nws tuaj yeem ua rau qab zib poob qis. Tus mob ntshav qab zib, raws li txoj cai, paub txog lawv cov teeb meem, yog li cov piam thaj hauv cov ntsiav tshuaj, uas cuam tshuam sai sai rau kev tawm tsam, yog ib txwm nrog lawv.
Kev phom sij ntawm hypoglycemic los yuav txo tau lub zog ntawm kev noj haus: khoom noj txom ncauj txhua 3-4 teev. Cov piam thaj rau cov ntshav qab zib nrog tus mob thib 1 yuav tsum ntsuas ntawm lub plab khoob, ua ntej txhaj txhua thiab thaum tsaus ntuj.
Nrog tus mob ntshav qab zib hom 2, tsis muaj lub sijhawm yuav nyuaj no, tab sis ib zaug ib as thiv twg yuav tsum tau sau cov ntawv nyeem ntawm glucometer hauv phau ntawv sau cia. Ntau cov lus qhia meej dua raws li hom tshuaj thiab lub cev qhov tshuaj tiv thaiv yuav muab los ntawm kws kho mob.
Yuav ua li cas tiv thaiv kev sib tsoo
Yog tias cov ntsuas tau sau tseg txo cov piam thaj ntawm 0.6 mmol / L hauv qab koj qhov kev txwv, koj yuav tsum noj cov zaub mov carbohydrates yooj yim. Txawm tias thaum tsis muaj cov tsos mob ntawm lub qog ntshav qab zib, cov ntshav qab zib tsis tuaj yeem tsis quav ntsej, vim tias qhov txo qis hauv cov ntshav qab zib tseem phem dua.
Thaum ntxim rau cov mob hypoglycemic, nws yog ib qho tseem ceeb kom ib txwm nqa ib lub hnab ntawm qab zib nrog koj, nrog rau cov lus qhia txog koj cov teeb meem.
Cov mob ntshav qab zib Insulin-cov mob ntshav qab zib yog 10 zaug ntau dua uas yuav mob ntshav qab zib, yog li nws yog ib qho tseem ceeb los xam qhov ntau npaum ntawm cov tshuaj raws nraim thaum lub sijhawm kwv yees kev ua zaub mov noj. Qee lub sij hawm nws yog xav kom poov luv insulin ob zaug: thaum pib thiab nyob hauv nruab nrab ntawm noj hmo, yog tias cov pluas noj yuav tsum tau ntev.
Kev noj tshuaj titration yog qhov tsim nyog rau lub cev thiab kev xav dhau, kev ua neej pauv. Yog tias qhov xwm txheej ntawm cov ntshav qab zib tsawg tsis tau pom thiab qhov ntau zaus ntawm qaug dab peg, nws yog qhov txaus ntshai rau kev siv tshuaj rau tus kheej. Thaum paub qhov ua rau cov piam thaj poob, koj yuav tsum xub kho qhov mob uas tseem ceeb.
Kev poob qis hauv qab zib yog ib txwm muaj phom sij, thiab ua ntej ntawm txhua yam - rau lub hlwb. Nrog lub cev tsis muaj qabzib, lub hauv paus ntawm lub zog, kev sib txuas ntawm cov neurons puas lawm, thiab cov xwm txheej ntawm cov neeg raug tsim txom hnyav dua ua ntej lub qhov muag. Tsuas yog kev ua tib zoo saib xyuas ntawm ib qho tseem ceeb thiab ua raws li cov lus pom zoo sau tseg yuav pab tiv thaiv kev puas tsuaj.
Yuav ua li cas nrog kev tsis txaus ntseeg hypoglycemia, saib cov yeeb yaj kiab.
Kuv yuav ua li cas yog tias kuv muaj qhov nug zoo sib xws tab sis txawv?
Yog tias koj tsis pom cov ntaub ntawv tseem ceeb ntawm cov lus teb rau lo lus nug no, lossis yog tias koj qhov teeb meem me ntsis txawv ntawm cov lus tau hais, sim nug tus kws kho mob nug ntxiv rau tib nplooj ntawv yog tias nws nyob ntawm lub ncauj lus nug tseem ceeb. Koj tuaj yeem nug cov lus nug tshiab, thiab tom qab ib ntus peb cov kws kho mob yuav teb nws. Nws yog pub dawb. Koj tseem tuaj yeem tshawb cov ntaub ntawv tsim nyog ntawm cov teeb meem zoo sib xws ntawm nplooj ntawv no lossis dhau ntawm tus xaib nplooj ntawv tshawb xyuas. Peb yuav zoo siab heev yog tias koj pom zoo peb rau koj cov phooj ywg hauv kev tes hauj lwm.
Medportal 03online.com muab kev sab laj kho mob hauv kev sib kis nrog cov kws kho mob hauv lub xaib. Ntawm no koj tau txais cov lus teb los ntawm cov kws qhia tiag tiag hauv koj thaj teb. Tam sim no lub chaw muab tswv yim rau 48 thaj chaw: cov kws kho mob kev tsis haum tshuaj, kws kho qhov muag-rov mob dua qub, kws kho mob plab, kws kho mob plab, kws kho mob ntshav, tshuaj tua kab mob, kws kho mob hauv tsev, kws kho mob hauv plab, kws kho mob phais, pediatric kws phais neeg, pediatric kws phais neeg, kws kho mob phais, pediatric pais , tus kab mob kis tshwj xeeb, kws kho plawv, kws kho mob, kws hais lus, ENT tus kws tshaj lij, kws kho tsiaj, kws lij choj, kws kho mob, kws kho hlwb, kws kho hlwb, kws kho hlwb, kws kho mob, kws kho mob, kws kho pob ntseg, kws kho pob txha a, kws kho menyuam yaus, kws kho mob yas, kws tshaj lij tshuaj, kws kho mob hlwb, kws saib xyuas kev mob hlwb, kws kho mob ntsws, kws kho pob txha, kws xoo hluav taws xob, tus kws kho mob, kws tshaj lij, kws kho mob, kws kho mob, kws tshuaj, kws kho mob, kws txaij, kws phais, endocrinologist.
Peb teb 96.27% ntawm cov lus nug..