Kev mob hypoglycemia thaum cev xeeb tub: kev loj hlob ntawm hypoklycemic syndrome hauv cov poj niam cev xeeb tub
Cov tshuaj Insulin yog ib yam tshuaj uas hloov cov piam thaj hauv qab ntshav lossis ntshav qab zib ntawm cov ntshav mus rau lub hlwb ntawm lub cev, qhov twg nws cia khoom lossis siv los tsim lub zog. Thaum cev xeeb tub, koj lub cev tsim cov tshuaj insulin ntau dua los pab koj tus menyuam kev loj hlob. Tib lub sijhawm, cev xeeb tub kuj tuaj yeem ua rau koj tiv taus cov tshuaj insulin. Nov yog vim li cas ntau tus poj niam muaj mob ntshav qab zib thaum cev xeeb tub (mob ntshav qab zib hauv tes taw).
Txawm hais tias muaj ntshav qab zib ntau ntau (hyperglycemia) muaj ntau dua thaum cev xeeb tub, hloov hauv koj lub cev thaum cev xeeb tub thiab koj li cas rau cov tshuaj insulin kuj tseem tuaj yeem ua rau koj cov ntshav qab zib kom muaj qhov txaus ntshai. Qhov no ua rau muaj mob hu ua hypoglycemia. Kev nyeem ntshav qab zib kom tsawg dua 60 milligrams ib deciliter (mg / dl) yog suav tias yog hypoglycemia. Kev mob ntshav qab zib ntshav siab thaum lub sijhawm cev xeeb tub yog cov neeg mob ntshav qab zib feem ntau.
Kev pheej hmoo hypoglycemia hauv cov poj niam cev xeeb tub tsis muaj ntshav qab zib yog qhov tsawg. Qib kom qab zib tuaj yeem poob qis thaum cev xeeb tub thaum ib qho ntawm cov xwm txheej hauv qab no tshwm sim:
- Koj tsis noj zaub mov kom txaus los yog hom khoom noj txhawm rau tswj koj cov piam thaj hauv ntshav. Txawm hais tias noj ntau npaum li cas los xij koj nquag noj pes tsawg, koj tus me nyuam yuav txuas ntxiv cov piam thaj hauv koj lub cev. Feem ntau koj lub cev them rau qhov no.
- Koj ib ce muaj zog dhau siv cov piam thaj. Yog tias koj lub cev tsis muaj cov piam thaj txaus lossis koj tsis rov ntxiv nrog qee yam carbohydrates, koj tuaj yeem dhau mus ua hypoglycemic.
- Koj cov koob tshuaj ntshav qab zib ua hauj lwm zoo heev rau kev txo qis ntshav qab zib thiab xav tau hloov kho. Qhov no yog feem ntau ua rau hypoglycemia thaum cev xeeb tub.
Kev mob ntshav qab zib thiab ntshav qab zib
Kev mob ntshav qab zib tsawg tuaj yeem tshwm sim hauv cov poj niam cev xeeb tub tsis muaj ntshav qab zib, tab sis qhov no muaj ntau dua rau cov poj niam siv tshuaj insulin. Txhua hom ntshav qab zib hauv qab no yuav ua rau muaj kev phom sij ntawm hypoglycemia:
- ntshav qab zib hom 1
- ntshav qab zib hom 2
- mob ntshav qab zib gestational
Cov tsos mob hypoglycemia feem ntau pom nyob hauv cov poj niam cev xeeb tub thiab hauv cov neeg uas tsis tau xeeb tub. Lawv suav nrog:
- xeev ntuav lossis ntuav
- khav theeb
- tshee
- lub plawv dhia
- hws
- kev txhawj xeeb
- tingling nyob ib ncig ntawm lub qhov ncauj
- daj ntseg tawv nqaij
Thaum cov ntshav qabzib nce siab, cov tsos mob no ploj tag.
Sawv daws
Kev mob ntshav qab zib ntshav siab thaum lub caij cev xeeb tub yog qhov tshwm sim ntau. Cov poj niam muaj ntshav qab zib mas feem ntau dua li cov poj niam uas tsis muaj ntshav qab zib ua rau lawv muaj ntshav qab zib tsawg. Hauv ib txoj kev tshawb nrhiav, 23 feem pua ntawm cov poj niam uas muaj ntshav qab zib hom 1 tau muaj mob ntshav qab zib ntau yam tsawg kawg ib zaug thaum cev xeeb tub, thiab ntau yam muaj ob peb yam. Kev tawm tsam ntshav muaj ntshav qab zib tsawg yog tias koj cov piam thaj hauv ntshav poob qis heev uas ua rau koj muaj kev pheej hmoo tsis zoo.
Hauv kev tshawb fawb ua ntej, kwv yees li 19-44% ntawm cov poj niam cev xeeb tub uas mob ntshav qab zib ntawm txhua yam kev paub ntshav qab zib.
Yam pheej hmoo
Kev mob ntshav siab ntshav qis tuaj yeem tshwm sim tau txhua lub sijhawm thaum cev xeeb tub. Txawm li cas los xij, qee yam yuav ua rau muaj kev pheej hmoo ntxiv. Cov no suav nrog:
- Muaj cov ntshav qab zib. Ob leeg cev xeeb tub thiab ntshav qab zib ua rau muaj kev tsis txaus siab ntawm cov insulin ntau ntau. Txhawm rau kom tsis txhob muaj ntshav qab zib ntau dhau los yog muaj piam thaj ntau, koj yuav tsum ua tib zoo saib xyuas thiab tej zaum koj yuav tau kho koj cov ntshav qab zib cov tshuaj.
- Yuav tsum yog koj thawj peb hlis. Kev mob ntshav qab zib ntau dua nyob rau thawj lub hlis tam sim no, thaum ntau leej niam tuaj yeem hnov xeev ntuav thiab ntuav. Hauv ib txoj kev tshawb nrhiav, cov poj niam cev xeeb tub uas muaj ntshav qab zib hom 1 tau peb zaug feem ntau yuav tsum tshaj tawm tias yuav muaj ntshav qab zib tsawg dua peb zaug dua li ua ntej kev xeeb menyuam. Lub sijhawm yuav ua rau muaj ntshav ntws tsawg kawg yog nyob ntawm 8 thiab 16 lub lis piam ntawm kev xeeb tub. Tsawg lub sijhawm yuav nyob hauv lub hlis thib ob.
- Muaj hypoglycemic qaug dab peg ua ntej cev xeeb tub.
- Tus kab mob. Ntau yam kab mob ua rau lub cev tsis qab, thiab tsis muaj zaub mov noj txaus lossis tsis tu ncua, koj tuaj yeem txhim kho kev mob ntshav qog.
- Khoom noj khoom haus tsis muaj zog. Nws yog ib qho tseem ceeb kom noj cov calories kom txaus thaum cev xeeb tub. Cov zaub mov uas koj noj yuav tsum yog cov zaub mov muaj txiaj ntsig zoo.
Kev kuaj mob
Koj tus kws kho mob yuav kuaj pom cov ntshav qog ntshav qis raws li koj cov tsos mob thiab cov ntshav qabzib nyeem. Koj yuav tau hais kom coj ob peb zaug ib hnub thiab sau cia. Koj tus kws kho mob tuaj yeem sau tshuaj rau tswj ntshav qab zib, lossis koj tuaj yeem yuav nws hauv lub khw muag tshuaj hauv lub tsev muag tshuaj. Ib qhov piam thaj hauv ntshav tsis txhais tau tias koj pheej muaj ntshav siab tsis txaus.
Kev khomob thiab kev tiv thaiv
Yog koj pib pom cov tsos mob ntawm tus mob ntshav qab zib tsawg:
- Nrhiav ib qhov chaw zoo mus zaum lossis pw. Yog koj tsav, rub.
- Noj lossis haus txog 15 grams ntawm carbohydrates. Cov carbohydrates yooj yim feem ntau muaj cov ntsiab lus qab zib. Piv txwv li yog 4 ooj kua txiv (tsis yog kev noj haus lossis ua kom muaj qab zib), ib nrab dej hauv cov dej qab zib ib txwm, 4 ntsiav tshuaj kua qab zib, thiab ib qho piam thaj ntawm qab zib lossis zib ntab. Nco ntsoov khaws cov khoom ntawd nrog koj.
- Qhia rau koj tus kws kho mob txog txhua lub sijhawm ntawm hypoglycemic uas koj muaj.
Yog tias koj muaj ntshav qab zib, koj tus kws kho mob yuav tau kho koj cov tshuaj kom tswj koj cov piam thaj hauv ntshav. Tsis tshua muaj koj tuaj yeem muab tshuaj rau dab tsi uas hu ua cov khoom siv glucagon. Cov khoom siv no yuav muaj cov qauv ua los ntawm cov tshuaj hormonal glucagon thiab lub koob txhaj tshuaj tsis huv. Thaum muab tshuaj, glucagon yuav txhawb lub siab kom tso cov khw muag khoom noj qabzib. Qhov no, nyeg nce qib ntshav qab zib ntau ntau. Nws yog siv ua kev pabcuam cawm neeg mob rau qhov mob ntshav qab zib ntshav qab zib siab heev.
Qhov tseem ceeb, txawm li cas los xij, txo cov kev pheej hmoo ntawm cov ntshav qabzib hauv thawj qhov chaw.
- Noj zaubmov me, nquag, thiab ntsuas kom tswj tau cov ntshav qab zib.
- Koj yoo mov thaum koj tsaug zog, yog li nco ntsoov koj haus dej hauv koj lub txaj kom koj noj yog tias koj sawv thaum tsaus ntuj lossis thawj qhov thaum sawv ntxov.
- Kev qoj ib ce, tshwj tsis yog koj tus kws kho mob tau qhia nws, tab sis tsis txhob siab tshaj koj qib kev noj qab haus huv. Qhov tshwm sim ntawm kev thauj koj cov ntshav qab zib mus ntev li 24 teev.
Teeb meem
Ib qho kev huam yuaj hypoglycemic thaum lub sijhawm cev xeeb tub tsis zoo yuav ua mob rau koj lossis koj tus menyuam. Thaum qhov no nquag, yuav muaj teeb meem. Lub hlwb xav tau cov piam thaj kom tau txais cov lus los ntawm lub cev thiab txhais lawv.
Feem ntau ntawm cov poj niam mob ntshav qab zib, ntshav qab zib ntshav qab zib tuaj yeem ua rau kom ntuav, tsis xeev plab, thiab kuj tuag taus. Koj tus menyuam yuav muaj tus mob ib yam nkaus yog tias lawv yug los ntawm lub qog ntshav lossis tsim tawm sai tom qab yug.
Txoj kev cia siab
Kev mob hypoglycemia yog yam txawv thaum xeeb tub yog tias koj tsis muaj ntshav qab zib. Cov ntshav qab zib qis los yog me me feem ntau tsis ua mob loj rau leej niam lossis nws tus menyuam. Tsis muaj txoj hauv kev zoo los tiv thaiv kev mob ntshav qab zib, tab sis koj tuaj yeem txo koj txoj kev pheej hmoo. Noj xwm yeem, thiab yog tias koj muaj ntshav qab zib, soj ntsuam koj cov ntshav qab zib kom zoo. Paub txog cov tsos mob ntawm tus mob ntshav qab zib tsawg thiab qhia koj tus kws kho mob txog kev tawm tsam uas koj muaj.
Vim li cas cov poj niam cev tsis tab seeb muaj ntshav qab zib hauv lub siab?
Thaum cev xeeb tub, nyob hauv lub cev ntawm tus niam cev xeeb tub, pom muaj kev hloov hauv keeb kwm hauv lub cev. Ua tsaug rau cov tshuaj hormones, cov kev hloov hauv qab no tshwm sim hauv lub cev ntawm tus poj niam cev xeeb tub:
- Enzymatic kev ua si nce
- cov txheej txheem ntawm cov khoom hauv lub cev hauv lub cev ua kom nrawm dua,
- pancreatic thiab lub qog ua si lub zog txhim kho.
Feem ntau qhov txiav txim siab txiav txim siab yog tias tus txiav ua ntau yam tshuaj insulin, uas tuaj yeem dhau los ua tus kabmob hypoglycemia.
Feem ntau hauv thawj peb lub hlis ntawm kev xeeb tub, tus poj niam txhawj xeeb txog toxicosis. Nrog rau cov tsos mob hnyav, ntuav yog ua tau, thiab vim yog lub cev qhuav dej, tsis muaj zaub mov noj txaus, nrog rau txo qis ntshav qab zib thiab qhov tshwm sim ntawm hypoglycemia.
Kev mob ntshav qab zib muaj peev xwm tshwm sim rau tus poj niam thaum lub cev xeeb tub, yog tias nws txiav txim siab kom yuag nrog cov zaub mov tsis muaj tshuaj lom. Lub cev xav tau cov khoom noj khoom haus ntau dua rau tus menyuam yaus, yog li ntawd, nws yuav tsum noj zaub mov kom raug, hauv kev sab laj nrog kws kho mob.
Hauv cov neeg mob uas muaj ntshav qab zib hom 1 uas siv insulin, hypoglycemia tuaj yeem tshwm sim thaum tsis muaj zaub mov txaus, muaj cov insulin ntau dhau, lossis yog tias lub cev kev noj zaub mov zoo thiab kev kho tus kab mob tsis ua raws cai. Kwv yees li tib qho laj thawj tuaj yeem ua nrog kev noj tshuaj ntau dua ntawm ntshav ntshav ntshav cov ntshav qab zib tsawg dua rau cov ntshav qab zib hom 2.
Feem ntau, lub xeev ntawm lub cev tsis zoo thaum cev xeeb tub loj hlob thaum 16-17 lub lis piam. Hauv thawj peb lub hlis ntawm cev xeeb tub, tus menyuam muaj kev loj hlob zoo, yog li ntawd, txhua qhov kev txawv txav los ntawm tus qauv tuaj yeem cuam tshuam kev noj qab haus huv ntawm tus pojniam.
Cov yam ntxwv ntawm kev ua qog ntshav
Thaum tus nqi ntawm cov piam thaj hauv ntshav txo, qhov tsis txaus ntawm ntau cov txheej txheem tshwm sim. Qhov xwm ntawm cov kev puas tsuaj no yuav yog nyob ntawm theem ntawm tus mob.
- nyob rau hauv ib lub teeb daim ntawv
- hauv hnyav
- hauv kev thuam - hypoglycemic coma.
Qhov xwm txheej yuav tshwm sim sai lossis maj mam. Nws nyob ntawm sai npaum li cas cov ntshav qab zib cov tee.
Thaum xub thawj, qhov tshuaj tiv thaiv raug pom nyob rau hauv lub hlwb cov hlwb, vim tias lawv cuam tshuam txog qib qab zib.
Qab zib energizes lub hlwb hlwb. Lub hlwb ua rau adrenal qog ua adrenaline. Vim qhov no, qee qhov tau sau glycogen hloov dua siab tshiab rau hauv qab zib, uas pab lub cev tau ib ntus.
Ib qho qauv zoo sib xws tsis tuaj yeem siv rov qab ua dua, vim hais tias tus nqi ntawm glycogen muaj nws txwv. Yog tias tsis muaj dab tsi los txhawm rau tswj cov piam thaj hauv cov ntshav, tom qab ntawv tus mob yuav dhau mus.
- nce kev tshaib kev nqhis,
- Kiv taub hau
- kev xav ntawm kev ntxhov siab
- mob taub hau
- tshee tshee
- daj ntseg tawv nqaij
- arrhythmia,
- lub plawv dhia rau lub siab
- ntshav siab
- nrog cov teeb meem, tsis nco qab thiab cia li plawv dhia tsis tuaj yeem tshwm sim.
Thaum lub sijhawm yug menyuam, kev txo ntshav qis yog qhov pheej hmoo rau menyuam yaus, uas tib lub sijhawm tsis tau txais cov khoom noj uas tsim nyog, nws txoj kev txhim kho cuam tshuam. Nrog txoj kev hloov hauv cov piam thaj hauv qab lossis muaj ntshav dhia ceev, cov me nyuam hauv plab yuav tuag.
Kuj tseem muaj ib nqe lus nug tseem ceeb hais tias tus kab mob ntshav qab zib yuav tau los, thiab nws kuj yuav tsum tsis txhob tso tseg.
Qhov yuav tshwm ntawm cov ntshav qog ua ntshav rau cev xeeb tub
Kev mob ntshav qab zib ua kom tsis zoo rau tus pojniam thiab tus menyuam hauv plab. Txij li thaum tus poj niam tau ua txhaum ntawm cov ntshav mus rau qhov tseem ceeb ntawm retina, nws zuj zus nrog nco thiab xav. Ib qho ntxiv, hauv qhov no, tus poj niam yuav pib mob ntshav qab zib thaum hnub kawg nws cev xeeb tub.
Rau cov menyuam tsis tau yug, lub xeev ntawm lub qog ntshav qab zib tuaj yeem hem nrog cov txiaj ntsig hauv qab no:
- tus menyuam tuaj yeem yug los nrog kev txhim kho tsis tau zoo, uas yog, nrog kev ua haujlwm tsis zoo ntawm cov hlab ntshav hlab ntaws, mob leeg lub luag haujlwm lossis nrog ntau qhov sib txawv ntawm cov pob qij txha,
- muaj macrosomia ntawm tus me nyuam hauv plab, thaum qhov hnyav tuaj yeem nce ntxiv, nyob rau hauv rooj plaub twg lawv ua kev phais plab,
- hypoglycemia tuaj yeem ua rau polyhydramnios,
- ua txhaum ntawm kev ua haujlwm ntawm tus txiv neej,
- kev hem thawj ntawm kev nchuav menyuam.
Qhov tseem ceeb tshaj plaws kom nco ntsoov: kom pib txoj kev kho mob tsim nyog thiab tshem tawm cov teeb meem tsis xav tau, nws yog qhov yuav tsum txiav txim siab seb tus poj niam puas muaj ntshav qab zib ua ntej cev xeeb tub, lossis seb nws puas tsim nyog pib kho mob ntshav qab zib thaum cev xeeb tub.
Nrog rau txoj kev xaiv thib ib, muaj txoj hauv kev los tiv thaiv txoj kev ua kom me nyuam muaj ntshav qab zib.
Cov hau kev rau kev tiv thaiv hypoglycemia thaum cev xeeb tub
Txhawm rau zam kom tsis txhob muaj qhov tsis txaus siab, tus poj niam cev xeeb tub muaj ntshav qab zib yuav tsum rau npe thaum pib cev xeeb tub nrog tus kws kho mob endocrinologist thiab tus kws kho mob poj niam thiaj li yuav tsum tau mus tshuaj xyuas tas li.
Txhawm rau tiv thaiv tus me nyuam hauv plab, tus poj niam cev xeeb tub yuav tsum saib xyuas nws cov ntshav kom ntshav txhua txhua hnub. Txhawm rau ua qhov no, siv hluav taws xob glucometer, piv txwv li, qhia satellite, lossis kuaj ib ce.
Qhov ib txwm yoo cov ntshav muaj piam thaj yog 3.5-5.5 mmol / L; tom qab noj mov tas nws yuav yog 5.5-7.3 mmol / L. Nyob rau lub sijhawm sib txawv ntawm kev coj tus menyuam, qhov muaj suab thaj tuaj yeem hloov pauv, tus kws kho mob tswj qhov ntsuas.
Yog tias tus poj niam cev xeeb tub muaj qhov mob ntshav qab zib, thaum nws hnov zoo li tsis muaj zog, kiv taub hau, mob taub hau, ntshav qab zib tsawg dua 3.0 mmol / l, ces tus poj niam xav tau kev pab ua ntej:
- Yog tias ntuav heev, pov thawj, tsis nco qab cov neeg mob, 1 mg ntawm glucagon yuav tsum tau muab tshuaj sai sai intramuscularly. Qhov cuab yeej no yuav tsum nyob ntawm tes.
- Yog tias tus poj niam cev xeeb tub muaj peev xwm haus tau, koj tuaj yeem muab nws haus 0.5 khob kua txiv ntawm txiv avpaus, txiv kab ntxwv lossis txiv kab ntxwv. Nws raug nquahu kom muab nws 10 g ntawm 5% kua nplaum kua nplaum. Koj yuav tsum tsis txhob noj mis nyuj, txiv hmab txiv ntoo, thiab cov khoom noj uas muaj cov tshuaj fiber, protein, thiab zom cov zaub mov kom sai, vim tias cov piam thaj tsis ua sai sai. Lub sijhawm qeeb yuav ua rau lub xeev txo qis.
- Cov piam thaj hauv cov ntsiab lus yuav tsum tau saib xyuas txhua 15 feeb kom txog thaum nws ua zoo li qub. Tsuav muaj cov tsos mob ntawm tus mob ntshav qab zib tsawg, tus poj niam cev xeeb tub yuav tsum tsis txhob muab cov kws kho mob lossis cov neeg txheeb ze tso cia, nws yuav tsum tau muab nws cov kua txiv rau hauv qhov me me.
Kev kho mob ntawm hypoglycemia thaum cev xeeb tub
Kev kho mob ntawm hypoglycemia yuav tsum ua raws li qhov xwm txheej tus neeg mob nyob rau hauv.
Yog tias tus poj niam muaj qhov tsis txaus siab rau lub plawv thiab nws cov ntshav qabzib tsawg dua 3.0 mmol / l, tom qab ntawd nws yuav tsum tau txais kev kho mob xwm txheej ceev, glucagon thiab kaum grams ntawm tsib feem pua cov piam thaj.
Ua ntej tuaj txog ntawm lub tsheb thauj neeg mob hauv tsev, tus poj niam muaj qhov tawm tsam tuaj yeem muab ib nrab khob dej qab zib lossis kua txiv qab zib los ntawm txiv apples, txiv kab ntxwv lossis txiv quav ntswv nyoos. Hauv qhov no, qib ntawm cov piam thaj hauv nws cov ntshav yuav tsum ntsuas txhua kaum feeb. Tawm nws ib leeg kuj tsis pom zoo, vim tias yog tias tus mob hnyav dua, tus poj niam cev xeeb tub yuav tsis tuaj yeem pab nws tus kheej thiab tus menyuam.
Yog tias tus neeg mob pib ntuav lossis ua xim tsis haum, tom qab ntawd nws yuav tsum txhaj tshuaj glucagon tov intramuscularly (10 mg) sai li sai tau. Yog tias muaj kev tawm tsam zoo li no tshwm sim, nws yog qhov yuav tsum tau hais tias tus poj niam ib txwm npaj tshuaj ua tom qab.
Nrog rau cov tshuaj insulin-tiv thaiv ntshav qab zib, nws yog ib qho tseem ceeb uas yuav tsum tau txhaj ob lub tshuaj insulin txhua hnub kom tswj tau cov piam thaj hauv qab.
Nrog kev tawm tsam no, koj yuav tsum tsis txhob haus mis, noj txiv hmab txiv ntoo thiab zaub mov uas muaj protein, fiber ntau thiab maj mam zom cov zaub mov, vim tias cov piam thaj los ntawm lawv yuav tsis tsim sai.
Yog tias, tom qab ib teev thiab ib nrab, cov ntshav qab zib cov ntshav tsis rov qab tsis zoo li qub, tab sis txuas ntxiv ntog, tom qab ntawd tus poj niam cev xeeb tub yuav tsum tau mus pw hauv tsev kho mob ceev, qhov uas yuav muab cov ntshav qab zib rau nws.
Kev Tiv Thaiv
Txhawm rau tiv thaiv kev txhim kho ntawm tus mob no, tus poj niam cev xeeb tub yuav tsum ua raws li cov kev cai no:
Mus soj ntsuam kom tsis tu ncua (ntshav qab zib) |
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Cov Kws Tshuaj Mus Saib | Txij thawj lub lim tiam ntawm cev xeeb tub, sau npe tsis tsuas nrog tus kws kho mob poj niam, uas mus yam tsis tau hais, tab sis kuj nrog tus kws kho mob endocrinologist. |
Ua raws li kev noj haus tshwj xeeb, uas yuav muab tshuaj los ntawm tus kws kho mob saib xyuas |
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Zam kev ntxhov siab thiab hlab ntsha tawg | Lawv tuaj yeem cuam tshuam tsis tsuas yog qhov mob ntawm tus poj niam nkaus xwb, tab sis kuj tseem cuam tshuam rau lub tsho poj niam ntawm lub cev. |
Yog tias tus niam uas tseem muaj tus mob ntshav qab zib tau ntev thiab nws feem ntau muaj qhov ntsuas ntshav qab zib |
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Ib qho cuab yeej tseem ceeb ntxiv uas yuav tsum ib txwm siv rau tus poj niam cev xeeb tub yog kev sim ntsuas seb puas muaj ntshav qab zib. Lawv lub txiaj ntsig yog tias lawv tuaj yeem kho thiab txiav txim siab txhua qhov kev hloov pauv hauv qab zib, txawm tias kaum feeb tom qab noj mov.
Lub txim
Hypoglycemia rau cov poj niam cev xeeb tub, raws li txoj cai, tshwm sim nyob rau ntawm xya lub lim tiam ntawm kev xeeb tub. Nov yog lub sijhawm thaum tus menyuam tseem tab tom loj hlob, yog li muaj kev ntxhov siab rau hauv kev ua haujlwm ntawm leej niam lub cev yuav cuam tshuam tsis zoo rau nws txoj kev noj qab haus huv nkaus xwb, tabsis tseem cuam tshuam rau lub neej ntawm tus menyuam tsis tau yug.
Feem ntau, hypoglycemia thaum cev xeeb tub ua rau cov kev rau txim hauv qab no:
Leej niam yav tom ntej cov ntshav kev ntshav ntawm lub paum loj yog tsis muaj mob | Qhov no ua rau qhov tseeb tias nws lub cim xeeb zuj zus, nws qhov muag pom thiab nws txoj kev xav pib qeeb zuj zus. Xws li tus poj niam yuav yog qhov tsis zoo thiab tsis to taub dab tsi tshwm sim puag ncig nws. Ntxiv rau, nrog hypoglycemia, qhov ua txhaum cai ntawm kev ua kom muaj lub siab thiab lub plawv yog qhov ua tau. |
Tus poj niam cev xeeb tub tuaj yeem ua rau daim ntawv mob ntshav qab zib, uas yuav ua rau muaj kev nce nrawm ntxiv ntawm nws txoj kev loj hlob | Tsis tas li, tus poj niam tuaj yeem pib mob nyhav vim tias muaj tsawg txaus ntawm cov khoom tseem ceeb thiab lub zog. |
Kev pheej hmoo ntawm nchuav menyuam nce zuj zus tom qab kev pab tsis raug nyob rau kev tawm tsam tom ntej | Qhov no yog vim muaj qhov tseeb tias cov me nyuam hauv ntshav nrog lub qog ntshav qab zib poob nws cov kev tiv thaiv zoo rau tus menyuam. |
Tus menyuam uas leej niam feem ntau tiv kev txom nyem hypoglycemic se tej zaum yuav yug los tab tom raug tsim | Nws lub cev yuav tsis tau txais cov as-ham ib txwm, nrog rau piam thaj. |
Hauv tus menyuam yaus, lub cev ua haujlwm tseem ceeb, xws li lub pa ua pa lossis lub tshuab ncig ua haujlwm, tuaj yeem ua rau tsis zoo. | Tsis tas li, nws yuav muaj kev ntxhov siab rau kev ua kom lub cev muaj zog, lub plawv dhia, lossis lub paj hlwb. Tsis tshua muaj, tab sis txhua yam muaj qee lub sijhawm thaum tus menyuam yug los nrog pom tseeb pathologies lossis kev txawv txav hauv lub cev ntawm lub cev. |
Cov me nyuam hauv plab yuav loj tuaj macrosomia, uas yog, nws lub cev hnyav kuj loj heev | Qhov no tsis cuam tshuam txog cov mob thiab kev noj qab haus huv ntawm leej niam, txawm li cas los xij, hauv qhov no, nws yuav tsum tau ua phais mob. |
Ib tug menyuam yaus hauv kev loj hlob zoo li no muaj mob hypoxia ntev | Nws kuj tseem yuav tuag sab hauv lub tsev menyuam. |
Ib qho ntxiv, yog tias thaum lub sijhawm xeeb menyuam ob leeg niam txiv tau mob ntshav qab zib, yog li tus menyuam hauv plab tseem muaj kev pheej hmoo siab los yug tus kabmob no.
Ntau zaus ntawm leej niam-kis rau tus menyuam kis ntawm tus kabmob no yuav luag cuaj caum-tsib feem pua. Txhawm rau tiv thaiv tus menyuam los ntawm cov ntshav qab zib kom ntau li ntau tau, leej niam yuav tsum ua raws li tag nrho cov lus qhia ntawm kws kho mob soj ntsuam nws txij thawj lub lis piam ntawm cev xeeb tub.
Kev kho mob hauv tsev khomob lossis cov uas muaj lub npe hu ua “kev txuag” yuav tsis ua rau muaj ntshav.
Cov lus piav qhia txog cov laj thawj ntawm cov tshuaj tiv thaiv kab mob ntshav qab zib (reactive hypoglycemia) tuaj yeem pom ntawm no.
Peb yuav hais txog cov tsos mob ntawm cov ntshav qab zib hauv tsab xov xwm no.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias txhawm rau txhawm rau tshem tawm cov ntshav qog nqaij ntshav qab zib, koj yuav tsum paub tseeb tias nws yog tus poj niam ua ntej cev xeeb tub lossis nws tsim tawm tsam nws li keeb kwm. Qhov no yuav pab xaiv cov qauv kev kho mob zoo thiab pab tsis yog rau tus poj niam cev xeeb tub nkaus xwb, tab sis kuj yog menyuam yaus thiab.
Koj tuaj yeem ua dab tsi
Kev kho mob ntawm hypoglycemia yog lub hom phiaj tseem ceeb txo qis cov tsos mob ntawm tus kab mob thiab tuaj yeem nqa tawm ob qho tib si nrog kev siv tshuaj thiab tsis siv, nrog rau qhov mob sib khuav xwb.
Yog li, nrog hypoglycemia ntawm thawj theem, tswj kom cov ntshav qab zib kom ib txwm ua tiav yog siv cov khoom noj muaj txiaj ntsig, uas suav nrog cov khoom noj muaj cov khoom noj carbohydrates, xws li tshuaj yej qab zib.
Qhov pom ntawm tus kab mob nyob rau theem ob yuav tsum tau txais tam sim ntawd ntawm cov khoom siv nrog cov zaub mov carbohydrates, xws li jam lossis compote. Raws li txoj cai, nrog lub sijhawm ua kom cov ntshav qab zib kom tsis tu ncua, nws yog qhov ua tau kom tsis txhob mus cuag kws kho mob.
Nws yog ib qho tseem ceeb kom nkag siab tias kev noj zaub mov zoo li dej qab zib, khoom qab zib, thiab lwm yam. tsis yog rau qhov zoo dua cuam tshuam rau lub cev, muaj cov piam thaj hauv siab, cov khoom lag luam no muaj cov rog uas ua rau kom lub cev nqus tau cov roj carbohydrates qeeb.
Tus kws kho mob ua dab tsi
Hauv theem peb ntawm tus kab mob, nws yog qhov yuav tsum tau sab laj nrog kws kho mob kom ua tiav kev kho mob sai, uas muaj nyob rau hauv kev tswj hwm cov tshuaj pleev ib ce ua kom muaj kev tiv thaiv kab mob txha caj qaum. Tib lub sijhawm, nyob rau theem no, tus poj niam cev xeeb tub tau pw hauv tsev kho mob txhawm rau tswj hwm kev cuam tshuam ntawm hypoglycemia thiab kho cov ntshav.