Mob Ntshav Qab Zib ─ cov kev ua yuam kev uas ua rau muaj ntshav qab zib

Mob Ntshav Qab Zibpaving txoj hauv kev-cua tag nrho mob ntshav qab zib, raws li kev txheeb cais, ib feem peb ntawm cov pej xeem. Nws muaj peev xwm tiv thaiv kev txhim kho kev mob ntshav qab zib thiab kom zam dhau qhov tshwm sim kab mob loj yog tias koj ntsuas qee yam yooj yim.

Piv txwv, muab cov khoom qab zib pov tseg uas ua rau koj muaj feem mob ntshav qab zib thiab ntshav qab zib muaj feem ua rau nws muaj mob.

Kev kawm tshiab uas luam tawm hauv The Lancet magazine pom tias cov neeg mob ntshav qab zib uas ua tiav lub sijhawm luv luv ntawm lub sijhawm cov ntshav qab zib cov ntshav tau nyeem yog 56 feem pua yuav tsum zam kev ntshav qab zib kom nce zuj zus mus txog rau lub xyoo. lawv tom qab qhov kawg ntawm txoj kev tshawb no.

Hauv lwm lo lus, "nrog rau tus kabmob ntshav qab zib, nws muaj sijhawm los tswj tus kabmob", "Matt Longjohn, MD (Tebchaws USA) hais tias. Kev tshawb fawb qhia pom tias qee qhov hloov pauv yooj yim kev ua neej tuaj yeem txo qhov kev pheej hmoo ntawm kev tsim muaj ntshav qab zib hauv ob peb xyoos tom ntej, zoo dua li kev siv tshuaj, xws li metformin.

Zam plaub yam kev txhaum hauv qab no uas yog qhov thaiv ntawm koj thiab koj lub neej tom ntej noj qab haus huv.

Qhov txhaum 1: Nws ntseeg tau tias qhov kev poob phaus me me yuav tsis pab tiv thaiv ntshav qab zib

Kev kawm txog kev pab kev tiv thaiv ntshav qab zib, uas koom nrog 3234 cov neeg mob ntshav qab zib tau peb xyoos, qhia tau hais tias muaj kev hloov pauv hauv kev ua neej mus rau ntau dua noj qab nyob zoo thiab nce ntxiv kev ua haujlwm ntawm cov neeg koom nrog pab lawv poob qee qhov hnyav. Ntxiv mus, qhov poob tsuas yog 5 - 7 feem pua ntawm lub cev hnyav (qhov no yog 4 - 5 kg nrog qhov hnyav nruab nrab ntawm 76 kg) thiab kev tawm dag zog txo txoj kev pheej hmoo ntawm kev txhim kho cov ntshav qab zib kom ntshav khov ntau npaum li 58 feem pua.

Nws yog ib qho tseem ceeb kom nco ntsoov tias poob phaus Qhov no feem ntau yog vim qhov yuav txo tau cov rog plab, uas yog nyob hauv qhov tob tob hauv lub plab nyob ib puag ncig cov kabmob sab hauv thiab txawm tias ua rau daim siab ncaj qha, ua rau nws tsis muaj peev xwm tswj ntshav qab zib. Qhov kev cai no yog vim muaj kev tshem tawm los ntawm daim siab ntawm cov khoom uas ua rau mob, uas, nyeg, ua rau lub cev tiv thaiv cov tshuaj insulin thiab yog li rau ntshav qab zib.

Tswv yim : qhov tsim nyog tshaj uas koj tuaj yeem ua rau cov neeg mob ntshav qab zib ─ pib nrog kev txo cov khoom noj kom tsawg. Briel McKinney, Tus Thawj Coj ntawm Lub Chaw Kho Mob Ntshav Qab Zib hauv Evansville, Indiana hais tias "Txav mus rau kev ua haujlwm tsawg dua yog qhov tseem ceeb rau qhov uas peb qhia hauv cov chav muaj ntshav qab zib,".

Tsis xav ntsuas tus nqi zaub mov nrog khob thiab hnyav li cas? Hauv ib txoj kev tshawb fawb hauv University of Calgary, 17 feem pua ntawm cov tib neeg uas tau siv cov zaub mov tshwj xeeb (rau cov neeg mob ntshav qab zib, muab faib ua cov chaw rau ntau hom zaub mov) poob 5 feem pua lossis ntau dua ntawm lawv lub cev hnyav, tsis zoo li cov neeg uas noj los ntawm cov tais diav ib txwm.

Ib nrab thaj tsam ntawm cov zaub mov noj yog rau txiv hmab txiv ntoo thiab zaub, ib lub quarter yog rau cov zaub mov muaj protein tsawg xws li nqaij qaib, ntses lossis nqaij liab tsis muaj rog, thiab peb lub hlis twg yog rau cov hmoov txhuv nplej cog cog zaub xws li qos yaj ywm lossis mov.

Yuam kev 2: tsis to taub cov kev phom sij ntawm ntshav qab zib

Longjon hais tias "Yog tias koj tus kws kho mob hais tias koj muaj ntshav qab zib, lossis yog koj paub tias koj muaj kev pheej hmoo loj los ntawm kev mob ntshav qab zib, ces koj tseem tuaj yeem hloov pauv cov xwm txheej," Tab sis lub moos tau ticking, lub sijhawm yuav khiav tawm, thiab txhua xyoo tom qab kuaj mob ntshav qab zib, 10-15 feem pua ntawm cov neeg mob no pib muaj ntshav qab zib kom puv.Qhov no txhais tau hais tias tsis pub dhau yim txog kaum xyoo, yog tias tsis muaj dab tsi tshwm sim, yuav muaj ntau cov neeg mob ntshav qab zib muaj qhov pheej hmoo loj dua ntawm kev tsim cov kev mob hnyav, xws li mob plawv, mob stroke, lub paj hlwb puas, tsis pom kev, lub raum tsis ua haujlwm, thiab txawm tias txiav tes taw lossis tag nrho ob txhais ceg.

Lwm qhov laj thawj tseem ceeb kom pib ua yeeb yam ntxov li sai tau: kev mob ntshav qab zib nws tus kheej nce qhov kev pheej hmoo ntawm kev tsim muaj mob hnyav.

Yog li, raws li American Diabetes Association, cov neeg mob ntshav qab zib tau muaj feem kev mob plawv thiab mob stroke 50 feem pua siab dua cov neeg muaj kev noj qab haus huv, thiab kev tshawb fawb xyoo 2010 hauv University of California, San Francisco pom tias kev mob ntshav qab zib ua rau muaj mob raum ntau npaum li 70 feem pua. Txawm li cas los xij, tsuas yog 42 feem pua ntawm cov neeg mob uas mob ntshav qab zib ua lub kauj ruam los mus tshem tawm "ua ntej mob".

Tswv yim : Tiv thaiv tus mob ntshav qab zib, tsis txhob tos kom koj tus kws kho mob hais tias koj muaj ntshav qab zib. Nco ntsoov tias peb caug-tsib feem pua ntawm cov neeg muaj hnub nyoog muaj mob ntshav qab zib, nrog rau ib nrab ntawm txhua tus neeg laus dua 65 xyoos. Tab sis ntawm cov neeg no, tsuas yog 7 feem pua paub txog lawv tus mob.

Yuam kev 3: tsis txav mus ntau

Kev tawm dag zog yog plaub lub tshuab tawm tsam cov ntshav qab zib: nws pab kom poob phaus, txo cov rog hauv lub plab, ua kom cov leeg "nqus" qab zib los ntawm cov ntshav thiab ua rau lub cev nkag mus rau insulin. Txhawm rau ua kom zoo dua ntawm cov teebmeem no, koj tsis tas yuav los ua tus neeg ncaws pob Olympic ─ ib nrab ib teev ntawm kev qoj ib ce hauv ib hnub yog txaus tsib hnub ib as thiv.

Lub tsev kawm Harvard School of Public Health pom tias cov poj niam taug kev 30 feeb txhua txhua hnub txo lawv txoj kev pheej hmoo yuav ua mob ntshav qab zib los ntawm 30 feem pua.

Tswv yim : Pib nrog kev taug kev luv luv los yog taug kev txhua lwm hnub, thiab tom qab ntawd ua rau txhua hnub taug kev koj tus cwj pwm. Sim taug kev hauv tsev thaum tham hauv xov tooj lossis tsuas yog taug kev hauv qhov chaw thaum tshaj tawm xov xwm hauv TV, thiab nres koj lub tsheb mus deb ntawm koj qhov chaw ua haujlwm ─ hauv khw, khw, thiab lwm yam Koj lub hom phiaj yog tawm tsam tus cwj pwm ntawm zaum twj ywm.

Ob teev ntawm kev zaum txhua txhua hnub nyob rau hauv pem hauv ntej ntawm lub TV ua rau muaj kev pheej hmoo ntawm kev mob ntshav qab zib los ntawm 14 feem pua, cov kws tshawb fawb ntawm Harvard tau hais.

Qhov txhaum 4: tsis nco qab txog cov roj

Zaub xam lav, kua txob kub, txiv hmab txiv ntoo rau cov khoom qab zib ─ cov zaub mov muaj fiber ntau no tsis yog tsuas yog muaj cua zoo, tab sis kuj tiv thaiv koj los ntawm ntshav qab zib hauv peb txoj kev:

1. Pab kom poob phaus.

2. Pab tswj cov ntshav qab zib tom qab noj mov.

3. Ntau ntawm cov zaub mov no muaj cov tshuaj magnesium thiab chromium, uas pab lub cev tswj ntshav qab zib.

Hauv kev tshawb fawb txog 486 tus poj niam, cov uas noj txiv hmab txiv ntoo feem ntau txo lawv txoj kev pheej hmoo. metabolic mob (ua ntej rau kev mob ntshav qab zib) los ntawm 34 feem pua, thiab cov uas tau nyem zaub ntau dua txo qhov kev pheej hmoo no 30 feem pua.

Hauv lwm qhov kev tshawb fawb txog 25067 tus poj niam thiab txiv neej German uas raug tswj xyuas tau 7 lub xyoo, nws tau pom tias cov neeg uas haus cov nqaij nyoos ntau dhau los ntawm cov nplej muaj 27 feem pua yuav tsis muaj ntshav qab zib ntau dua li lwm cov neeg koom.

Kev txheeb cais sau tseg tias tsuas yog 33 feem pua ntawm cov neeg laus noj ob lossis ntau dua cov txiv ntoo thiab peb noj zaub txhua hnub, thiab tsuas yog 8 feem pua noj peb pluag cov txiaj ntsig ntawm cov zaub mov noj ib hnub.

Tswv yim : Noj ob hom zaub (piv txwv, kua txob, dos, zaub cob pob lossis nceb) rau txhua daim ntawm cov pizza. Pib hnub nrog smoothie (tshiab los yog khov txiv hmab txiv ntoo nrog kua mis yog ua hauv ib rab). Hloov chaw ua kua ─ cov roj zaub uas muaj roj tsawg.

Koj li kev pheej hmoo ntawm kev mob ntshav qab zib yog dab tsi?

Koj muaj mob ntshav qab zib yog tias koj qhov kev yoo mov ntshav qab zib (piam thaj) nyeem ntawv yog nyob ntawm 100-125 mg / dl (5.6 - 6.9 mmol / l).

Yog tias koj tsis tau nyuam qhuav txiav txim siab txog koj cov ntshav qab zib sai, tom qab ntawv koj muaj feem yuav muaj ntshav qab zib yog tias:

• koj muaj hnub nyoog 45 xyoos lossis tshaj saud

• koj rog dhau

• tsawg kawg ib leej niam leej txiv muaj ntshav qab zib

• Tus viv ncaus lossis tus nus muaj ntshav qab zib

• koj yog haiv neeg Asmeskas Dub, Mev, Neeg Mev, Neeg Esxias lossis Neeg Pov Txwv Pacific

• koj muaj ntshav qab zib thaum cev xeeb tub (mob ntshav qab zib hauv plab) los yog koj yug ib tug menyuam uas hnyav 4 kg lossis ntau dua

• Koj lub cev qoj ib ce tsawg dua peb zaug hauv ib lub lim tiam.

Txav mus ntau!

Kev loj hlob ntawm cov ntshav qab zib yuav muaj tsawg dua yog tias koj pib ua lub cev.

"Yog hais tias koj tsis tau xyaum ua ntej, pib ua kev tawm dag zog hauv koj lub neej txhua hnub. Koj tuaj yeem nce ntaiv ntau dua lossis ncab dua thaum saib qhov koj nyiam ua yeeb yam TV, ”Patti Gale, Tus Tswv ntawm Kev Tshawb Fawb, Tus Kws Tsim Khoom Noj, thiab tus kws sau dab tsi Kuv Noj Tam Sim No?

"Kev qoj ib ce yog qhov tseem ceeb ntawm kev npaj kho ntshav qab zib vim nws txo qis ntshav qab zib thiab txo cov rog lub cev," Gale hais.

Qhov tsim nyog, koj yuav tsum qhia tsawg kawg 30 feeb nyob rau ib hnub, tsib hnub hauv ib lub lis piam. Qhia rau koj tus kws kho mob paub txog qhov kev kawm nce qib. Kuaj xyuas seb koj puas muaj kev txwv txog kev tawm dag zog lub cev.

Poob phaus

Yog tias koj rog dhau qhov hnyav lawm, ces koj yuav tsis tas yuav tsum tau tshem ntau ntau kilos.

Cov neeg koom rau hauv ib txoj kev tshawb fawb muaj ntshav qab zib thiab poob tsuas yog 5% rau 7% ntawm lawv thawj lub cev qhov hnyav (4.5 txog 6 kilo thiab 90 kilo ntawm lawv lub cev thawj qhov hnyav), yog li txo txoj kev pheej hmoo ntawm kev tsim muaj ntshav qab zib los ntawm 58%.

Mus ntsib koj tus kws kho mob ntau dua

"Mus ntsib tus kws kho mob endocrinologist txhua 3-6 lub hlis," Dr. Gereti pom zoo.

Yog tias koj ua haujlwm hnyav los tiv thaiv kev txhim kho ntshav qab zib, tom qab ntawd koj tuaj yeem tau txais kev pab txhawb ntxiv los ntawm koj tus kws kho mob. Yog koj tsis muaj lub siab txaus los tswj hwm koj tus mob, ces tus kws kho mob yuav pab koj rov qab mus rau qhov yog.

"Tus neeg mob yog cov pov thawj tiag tiag ntawm qhov ua tiav lossis ua tsis tiav," Gereti hais.

Noj zoo dua

Muab cov zaub no rau hauv koj cov zaub mov, tshwj xeeb tshaj yog cov hmoov txhuv nplej siab tsawg, xws li cov zaub ntsuab thiab lwm cov nplooj txiv ntoo, zaub cob pob, zaub ntug hauv paus, thiab taum ntsuab. Noj tsawg kawg yog peb pluag noj cov zaub no ib hnub.

Ntxiv cov khoom noj muaj fiber ntau rau koj cov kev noj haus.

Cov txiv hmab txiv ntoo yuav tsum tau noj kom tsawg- los ntawm 1 mus rau 3 pluas tauj ib hnub.

Xaiv cov khoom ua nplej uas tsis yog ua zaub mov noj, xws li txhuv xim av es tsis txhob ua dawb.

Tsis tas li, hloov cov khoom noj muaj calorie ntau. Gale pom zoo tias "Xaiv cov mis nyuj skim es tsis yog tag nrho, haus dej qab zib kom tsis txhob muaj," Gale xav pom. "Hloov cov rog cheese nrog cov rog tsawg, zoo li qub nrog yogurt thiab zaub xam lav hnav."

Gale hais tias "Tsis txhob noj cov khoom noj txom ncauj muaj roj ntau ntau xws li cov khoom qab zib thiab khoom qab zib, xaiv cov txiv ntoo tshiab lossis cov hmoov txhuv nplej nrog cov txiv laum huab xeeb lossis cov cheese uas muaj roj tsawg,"

Cia pw yog qhov koj tseem ceeb

Teresa Garnero, tus kws sau txog Kuv Thawj Xyoo uas muaj Ntshav Qab Zib hais tias "Kev pw tsaug zog tsis tu ncua txwv tsis pub kom poob phaus,"

Kev pw tsaug zog tsis txaus kuj tiv thaiv lub cev los ntawm kev siv insulin zoo dua thiab muaj peev xwm tsim cov ntshav qab zib hom 2 ntau dua.

Tsim tus cwj pwm kom zoo rau kev pw tsaug zog zoo. Mus pw thiab sawv tib lub sijhawm txhua txhua hnub. So kom txaus ua ntej yuav tua lub teeb. Tsis txhob saib TV, tsis txhob siv lub computer lossis smartphone ua ntej tsaug zog. Zam rau caffeine tom qab noj hmo yog tias koj muaj teeb meem tsaug zog.

Tau txais kev pab txhawb

Ronald T. Ackerman, MD thiab MSc hauv Public Health, koom nrog cov xibfwb ntawm Indiana University School of Medicine hais tias "Kev poob phaus, kev noj haus thiab kev tawm dag zog yog qhov yooj yim dua.

Xav txog kev koom nrog hauv zej zog uas koj tuaj yeem coj lub neej noj qab haus huv nrog cov neeg nyiam kev xav.

Tus qhia paub txog ntshav qab zib tau tuaj yeem pab koj kawm txog cov kauj ruam uas koj yuav tsum ua txhawm rau tiv thaiv kev mob ntshav qab zib los ua ntshav qab zib. Koj tuaj yeem nrhiav tus kws qhia hauv ntau lub tsev kawm mob ntshav qab zib.

Nyob rau txoj kev koj xaiv!

Nws yog ib qho tseem ceeb kom coj tus yam ntxwv zoo.

Nco ntsoov tias koj tsis ua txhua yam zoo txhua hnub, tab sis cog lus tias koj yuav sim ua kom zoo tshaj plaws hauv lub sijhawm.

“Ua qhov xaiv ua qhov kom zoo thiaj li yuav haum nyob rau hauv koj lub neej txhua hnub. Qhov no yog qhov txiaj ntsig rau koj kev noj qab haus huv, ”Garnero yaum kom. "Qhia koj tus kheej tias koj yuav ua txhua yam hauv koj lub hwj chim los hloov qhov kev hloov me me rau koj txoj kev ua neej nyob niaj hnub." Cov kev siv zog no yuav them.

Cov tsos mob zais tsis ncaj qha qhia tias pom muaj ntshav qab zib

Ib yam mob ua ntej cov ntshav qab zib tsis yog kab mob. Yog li no, neeg feem coob xav txog lawv tus kheej kom noj qab haus huv, tsis saib xyuas rau qee qhov "me me" uas pib thab ib tus neeg. Txawm li cas los xij, tsis txhob sau qhov tseem ceeb rau lawv tsis saib xyuas, vim nws tam sim no lub sijhawm cov ntshav qab zib tseem tuaj yeem tiv thaiv los ntawm radically hloov cov yam ntxwv ntawm khoom noj khoom haus thiab kev ua si.

Cov cim qhia txog kev muaj ntshav qab zib yuav tsum muaj:

ntev kho cov qhov txhab me me tom qab txiav lossis txhim kho,
nplua mias ntawm pob ntxau thiab rwj,
nquag muaj ntshav ntawm cov ntshav tom qab txhuam hniav tag,
ib qho khaus - qhov quav, inguinal lossis tsuas tawv nqaij,
ko taw txias
daim tawv nqaij qhuav
qaug zog hauv kev sib nyiam sib luag, tshwj xeeb yog thaum tseem hluas.

Rau txhua qhov ntawm cov tsos mob saum toj no, muaj "lawv" kab mob, tab sis lawv lub sijhawm ib txwm ua rau muaj kev txhawj xeeb txog qhov ua tau muaj mob ntshav qab zib.

Raws li WHO hais, txhua xyoo hauv ntiaj teb 2 lab tus tib neeg tuag los ntawm tus mob ntshav qab zib thiab nws qhov tshwm sim hnyav. Thaum tsis muaj kev txhawb nqa tsim nyog rau lub cev, ntshav qab zib ua rau muaj ntau yam kev cuam tshuam, maj mam rhuav tshem tib neeg lub cev.

Cov teeb meem feem ntau muaj: mob ntshav qab zib gangrene, nephropathy, retinopathy, trophic mob rau, hypoglycemia, ketoacidosis. Mob ntshav qab zib kuj tseem tuaj yeem ua rau kev loj hlob ntawm qog ntshav. Yuav luag txhua txhua kis, tus mob ntshav qab zib ua rau tuag taus, tawm tsam nrog ib tus mob hnyav, lossis hloov mus ua tus neeg muaj mob xiam oob qhab tiag tiag.

Cov neeg muaj ntshav qab zib ua dab tsi? Lub Chaw Tshawb Nrhiav Endocrinological ntawm Lavxias Academy ntawm Medical Science tau ua tiav qhov kev txiav txim siab uas kho cov mob ntshav qab zib mellitus kom meej.

Tsoomfwv Txoj Haujlwm "Lub Tebchaws Muaj Kev Noj Qab Nyob Zoo" Tamsis no tab tom ua haujlwm, nyob rau hauv lub moj khaum uas cov tshuaj no tau muab rau txhua tus neeg nyob hauv Lavxias thiab CIS PUB DAWB Cov. Yog xav paub ntxiv, saib official lub vev xaib ntawm MINZDRAVA.

Yog tias tsawg kawg ib qho kev tsis txaus ntseeg tau tshwm sim, tom qab ntawd ntxiv cov kev tawm tsam yog qhov yooj yim heev. Ua ntej koj yuav tsum tso cov ntshav qab zib rau ntawm lub plab khoob thiab tom qab ib pluas noj, nrog rau kev kuaj zis kuaj ntshav. Yog tias qhov ntsuas pom tau zoo, nws yuav dhau los ua siab ntev. Yuav tsum kuaj ntsuas ntshav qabzib nyob qabzib. Nws yog nqa tawm los ntawm kev noj suab thaj rau ntawm lub plab khoob, thiab tom qab ntawd 2 teev tom qab noj 75 grams qabzib yaj hauv dej. Ntsuas Kab Mob Ntshav Qab Zib tau tshawb pom hauv peb kis:

yog tias kev yoo mov sai yog qhov qub, thiab tom qab kev sim tau nce mus rau 7.8 mmol / l,
ob qho tshuaj ntsuam xyuas yog tshaj li ib txwm, tab sis tsis tau txog 11,1 mmol / l,
yog tias kev yoo mov qab zib tsawg, thiab lub thib ob yog siab dua (ntau dua 2 mmol / l), txawm hais tias qhov kev txheeb xyuas ob qho tib si tseem ceeb (piv txwv: yoo mov 2.8 mmol / l, tom qab ntsuas - 5.9 mmol / l).

Hauv cov nroog loj, muaj cov xwm txheej rau cov ntawv qhia ntxaws ntxaws ntxaws dua, vim nws muaj peev xwm los kawm qib ntawm cov tshuaj hormone insulin ntawm lub plab khoob. Yog tias qhov ntsuas no tshaj 12 IU / μl, ces qhov no kuj yog qhov tseem ceeb uas hais txog kev mob ntshav qab zib.

Ntshav Qab Zib tsis yog ib qho mob hnyav heev, yog li ntawd, nrog txoj hauv kev zoo rau koj kev noj qab haus huv, nws tuaj yeem txo qis kev pheej hmoo ntawm kev tsim muaj ntshav qab zib. Ua li no, koj xav tau:

nruj tswj ntshav siab,
txo tus nqi ntawm cov carbohydrates hauv cov zaub mov noj,
txo qhov hnyav
nce kev sib deev thiab lub cev ua si,
tsis txhob overeating, tab sis tsis tshaib plab,
txhua hli saib xyuas cov qib ntawm cov piam thaj ntawm lub plab khoob thiab tom qab noj mov.

Txhawm rau kom mob ntshav qab zib, koj xav tau kev pabcuam ntawm tus kws kho mob thiab tus kws kho keeb sab. Lawv yuav qhia txog kev xaiv kev noj haus, khaws tshuaj kom txo ntshav siab, thiab qee zaum sau ntawv muab tshuaj los kho kev rog. Cov txheej txheem kev ntsuas txhawm rau hloov pauv kev ua neej thiab kev kho cov mob uas twb muaj lawm yuav pab ncua kev mob ntshav qab zib tau ntau xyoo.

Kev kho mob ntshav qab zib - yuav ua li cas tiv thaiv tau ntshav qab zib

Hauv lub xeev ua ntej cov ntshav qab zib, cov ntshav qab zib cov ntshav yuav tsis ntau dua li ib txwm. Qhov kawg no yog qhov ua txhaum ntawm cov suab thaj ua rau.

Ntshav qab zib tuaj yeem txheeb xyuas tau hauv cov laus thiab menyuam yaus.

Yog tias cov kev ntsuas tsim nyog tsis tau ua tiav hauv sijhawm, ces muaj kev ntxim nyiam ntshav qab zib. Vim li no, nws tseem ceeb kom tiv tauj tus kws kho mob endocrinologist kom kho tus mob ntshav qab zib.

Cov neeg muaj tus kab mob no yog cov pheej hmoo muaj ntshav qab zib hom 2. Txawm hais tias muaj kev phom sij ntawm tus mob no, nws tau ua tiav kho. Txhawm rau kom rov qab ntshav plasma glucose mus rau qhov muaj nuj nqis, nws raug nquahu kom koj rov qab xyuas koj kev noj haus thiab kev siv lub dag zog.

Qhov tsis txaus siab lub xeev yuav tshwm sim yam tsis tau xav txog lub sijhawm thaum cov ntaub so ntswg lub cev plam lawv qhov kev ntxim rau pancreatic hormone. Vim tias qhov no, qab zib nce siab .ads-mob-1

Ib qho ntawm cov kev mob tshwm sim vim tias mob ntshav qab zib yog mob ntsws. Yog tias koj tsis sai tau hu rau tus kws kho mob, ces lwm cov kev rau txim yuav tshwm sim. Tus mob ua rau tsis zoo rau hauv kev ua haujlwm ntawm cov plab hnyuv siab raum ntawm lub nrig txog kev pom, kev poob siab thiab ncig.

Cov laj thawj mus rau hauv qhov chaw kho mob los tswj hwm koj qib qab zib:

Yog tias koj xav tias tus mob no, koj yuav tsum pub ntshav qab zib kom paub meej txog kev kuaj mob. Kev kuaj ntshav qabzib tsuas yog ua rau ntawm lub plab khoob thaum sawv ntxov, ua ntej haus cov dej haus biomaterial, txawm tias haus dej tsis tso cai.

Yog tias txoj kev tshawb nrhiav pom tias cov ntshav ntshav ntshav tsawg dua 6 mmol / l - nws yog ib lo lus nug ntawm qhov muaj mob ntshav qab zib.

Yog tias kev kuaj ntshav qab zib tseem tseem raug kuaj tau, tom qab ntawd koj yuav tsum ua raws li cov lus pom zoo los ntawm cov kws kho mob thiab txo kev siv cov khoom noj muaj roj, txo cov khoom qab zib thiab cov khoom tsis haum, nrog rau kev txo qis hauv cov calories. Nrog rau txoj hauv kev, koj tuaj yeem tshem tawm cov mob uas tau coj los ua ntej ntshav qab zib.

Kev qhia kom paub txog cov ntshav qab zib ntau hauv lub sijhawm yuav pab tiv thaiv kev txhim kho tus mob ntshav qab zib hom 2.

Nrog rau cov tsis hnov qab cov ntshav qabzib, ib tus neeg tsis muaj qhov mob tshwm sim. Tab sis tus mob no yog suav pom ciam teb.

Coob tus neeg nyob nrog lub siab ntawm cov piam thaj hauv lub cev.

Cov kws kho mob lees paub qhov tseem ceeb ntawm kev kuaj mob no txhawm rau tiv thaiv teeb meem kev noj qab haus huv ntau dua. Cov no suav nrog: cov kab mob ntawm lub plawv thiab cov hlab ntsha, cov plab hnyuv siab raum ntawm lub qhov muag pom thiab zoo nkauj system.ads-mob-2

Txog kev kho mob ntawm xeev cov ntshav qab zib, cov lus pom zoo hauv qab no yuav tsum ua raws:

Ua raws li kev noj haus kom zoo. Qhov no yuav pab kom tshem tau cov phaus ntxiv. Lub cev tsis hnyav kom ruaj khov rau cov txiaj ntsig qub tuaj yeem ua lub luag haujlwm tseem ceeb hauv kev kho mob.
Txiav kev haus luam yeeb thiab haus dej haus cawv.
Kev kho ntshav siab.
Txo cov roj (cholesterol) hauv cov hlab ntshav.

Nws yuav tsum raug sau tseg tam sim ntawd uas muaj mob ntshav qab zib, kev noj tshuaj tsis yog kws kho.

Tus kws kho mob yuav tham txog kev tiv thaiv dab tsi uas yuav tsum tau ua los tiv thaiv kev loj hlob ntawm tus kab mob.

Rau qee tus neeg, nws txaus los pib qoj ib ce thiab kho lawv cov zaub mov noj me ntsis.

Cov kev tshawb fawb hauv Tebchaws Asmeskas tau pom tias muaj kev pauv hloov pauv hauv lub neej zoo dua li kev siv tshuaj kho mob. Hauv qee kis, Tshuaj Metformin tau qhia.

Yog tias kev pom ntawm kev noj zaub mov kom raug, kev tsis kam ua qhov tsis zoo thiab kev tawm dag zog kom tsis muaj lub cev xav tau, ces koj yuav tsum pib noj cov tshuaj uas qhia kom txo cov ntshav qab zibCov. Tus kws kho mob rau koj tus kheej tuaj yeem muab ib qho ntawm cov tshuaj uas koj xaiv: Metformin, Glucofage lossis Siofor.

Nws yog ib qho tsim nyog yuav tsum pib ua raws li cov khoom noj kom zoo nrog kev txo kom tsawg. Cov khoom noj muaj fiber ntau yuav tsum muaj hauv cov zaub mov: zaub tshiab thiab txiv hmab txiv ntoo, legumes, zaub ntsuab thiab zaub xas lav. Yog tias koj nquag noj zaub mov npaj ua los ntawm cov zaub mov no, koj tuaj yeem txhim kho koj txoj kev noj qab haus huv. Xws li cov zaub mov tsuas yog cuam tshuam rau lub cev.

Ntxiv rau, fiber ntau qhov zoo ntawm kev tshaib kev nqhis. Ib tug neeg tau tag nrho, yog li ntawd, nws yuav tsis noj zaub mov tsawg.

Yog tias koj ua raws li kev noj qab haus huv kev noj qab haus huv, poob ceeb thawj sai sai pib. Lub piam thaj kom rov qab zoo li qub. Lub cev yog saturated nrog micro thiab loj heev ntsiab, cov vitamins zoo thiab muaj nplua nuj.

Kev noj zaub mov kom zoo nrog lub xeev ua ntej tiv thaiv ntshav qab zib pab tiv thaiv kev txhim kho ntshav qab zib.

Koj tuaj yeem noj cov khoom twg, tab sis kev nyiam xaiv yuav tsum tau muab rau cov uas sib txawv ntawm cov rog tsawg hauv cov lus muaj pes tsawg leeg. Koj kuj yuav tsum xaiv cov khoom noj uas muaj glycemic index tsawg. Kev noj zaub mov kom tsawg kuj tseem ceeb. Yuav tsum ua raws li cov cai hauv qab no:

Nws yog qhov tsim nyog los muab kev nyiam rau cov khoom uas tsis muaj roj ntau, uas muaj cov fiber ntau hauv lawv cov lus.
Cov khoom noj ntsuas tau yuav tsum txiav txim siab. Ua li no, koj tuaj yeem pib lub chaw muag khoom noj khoom haus, qhov twg koj yuav tsum nkag mus rau txhua yam noj thaum nruab hnub. Nws tseem yog ib qho tseem ceeb uas yuav tsum coj mus rau hauv qhov tseeb tias txhua hnub lub cev yuav tsum tau txais txaus cov protein, rog thiab carbohydrates.
Koj yuav tsum noj ntau yam tshuaj ntsuab tshiab, zaub thiab nceb.
Nws raug nquahu kom txo qis ntawm kev noj cov mov dawb, qos yaj ywm thiab pob kws, raws li lawv tau cim los ntawm cov ntsiab lus siab ntawm cov hmoov txhuv nplej siab.
Ib hnub koj yuav tsum haus 1.5 - 2 liv dej.
Cov tais diav yuav tsum tau muab faus lossis hauv qhov cub. Boil nqaij thiab zaub.
Nws yog ib qho tsim nyog yuav tsum tso tseg cov dej khaus tawm, nrog rau cov dej qab zib.

Lwm txoj kev siv tau tshuaj tsuas yog siv tom qab sab laj nrog kws kho mob.

Ib qho khoom muaj txiaj ntsig zoo rau kev mob ntshav qab zib yog buckwheat. Txhawm rau npaj cov tshuaj tua kab mob, koj yuav tsum tau zom nws nrog kas fes. Ntxiv rau ntawm no ob lub hmoov hmoov thiab 250 ml ntawm cov rog uas tsis muaj rog. Sau cov khoom sib tov thaum hmo ntuj, thiab coj nws mus rau thaum sawv ntxov ua ntej noj mov.

Lwm cov tshuaj tseem ceeb yog haus flaxseed. Lub ntsej muag lub ntsiab ua ke yuav tsum tau muab nchuav nrog dej thiab ua noj tsawg dua cua sov rau tsib feeb. Cov tsis sib luag yuav tsum muaj raws li hauv qab no: 300 ml dej ib 25 g ntawm noob. Koj yuav tsum tau haus dej ua ntej noj mov thaum sawv ntxov.

Rau lub sijhawm tam sim no tam sim no, cov kws tshawb fawb tau muab lawv qhov kev xav txog tshuaj ntsuab uas tuaj yeem pab txo qis qab zib. Muaj txawm tias tshuaj ntsuab npaj uas tuaj yeem thim chav ntawm qhov mob no:

Cov tshuaj insulin
Arfazetin – E,
Dianote.

Lawv muaj ib qho txiaj ntsig loj dua lwm cov tshuaj - lawv yuav luag tsis ua kev puas tsuaj yam tsis xav tau thiab ua tib zoo ua. Cov tshuaj tso tawm tau muab coj los ua ntsiav tshuaj thiab tshuaj ntsiav, nrog rau ua kua tshuaj thiab tinctures.

Lub cev qoj ib ce ua dab tsi kom tawm ntawm lub xeev cov mob ntshav qab zib

Kev tawm dag zog hauv lub cev yog ib qho tseem ceeb txhawm rau txhawm rau txo kev muaj feem ua ntshav qab zib yav tom ntej.Koj tuaj yeem pib ua kis las nrog banal nce toj ntawm theem ntaiv.

Nws kuj tseem pom zoo tias tsawg kawg ib nrab teev hauv ib hnub taug kev hauv huab cua ntshiab.

Koj yuav tsum ua kis las kis las rau ib nrab teev nyob rau txhua hnub. Kev cob qhia yuav tsum tsis tu ncua. Txhawm rau txo lub cev lub cev, nws txaus los muab lub nra rau lub lim tiam. Kev tawm dag zog lub cev tuaj yeem muab faib ua ob peb zaug: peb ntu ntawm kaum feeb. Cov kev tawm dag zog yog xaiv tau ntawm tus kheej. Yog koj xav tau, koj tuaj yeem txwv koj tus kheej kom mus kev tsis tu ncua .ads-mob-2

Yuav ua li cas kom tshem tau cov mob rog rog muaj ntshav qab zib

Lub plab muaj rog (hom kua txiv) yog cim hauv qhov feem ntau ntawm cov rog yog muab tso rau ntawm lub plab.

Hauv cov mob no, koj yuav tsum tau txwv tsis pub cov rog thiab zaub mov kom ntau. Lub sijhawm ua kom muaj caloric txhua hnub yuav tsum tsawg dua 1800 kcal.

Txoj kev kho yog ua raws li kev noj haus, ua kis las thiab tsis quav cawv. Yog tias koj ua raws li tus kws kho mob pom zoo, qhov kev ntsuas yuav pom zoo .ads-mob-2

Txoj kev ua neej pauv hloov los ntawm kev ua kom lub cev muaj zog thiab tshem tawm lub cev qhov hnyav dhau los ntawm 50% txo qhov kev pheej hmoo ntawm kev muaj ntshav qab zib hauv ib lub xeev ua ntej mob ntshav qab zib.

Qhov kev cuam tshuam ntawm cov kws tshwj xeeb hauv cov theem thaum ntxov ua rau cov dej qab zib muaj peev xwm nyob hauv lub sijhawm luv tshaj plaws.

Stabilizes qib qab zib kom ntev
Rov kho cov tshuaj insulin pancreatic

Xya txoj cai los tiv thaiv kev mob ntshav qab zib los ntawm kev hloov mus rau hauv cov ntshav qab zib

Gregg Gereti, MD, tus thawj ntawm endocrinologist ntawm St. Peter lub Tsev Kho Mob hauv Albany, NY hais tias "Qhov no yog lub sijhawm los pib lub neej hloov pauv lossis kev kho, txo qis kev loj hlob ntawm cov ntshav qab zib mellitus lossis tseem tiv thaiv tus kab mob loj hlob,".

Txais xya txoj cai hauv qab no rau kev hloov koj lub neej txhua hnub yog txoj hauv kev zoo los tiv thaiv kev txhim kho kabmob.

Kev loj hlob ntawm cov ntshav qab zib yuav muaj tsawg dua yog tias koj pib ua lub cev.

"Yog hais tias koj tsis tau xyaum ua ntej, pib ua kev tawm dag zog hauv koj lub neej txhua hnub. Koj tuaj yeem nce ntaiv ntau dua lossis ncab dua thaum saib qhov koj nyiam ua yeeb yam TV, ”Patti Gale, Tus Tswv ntawm Kev Tshawb Fawb, Tus Kws Tsim Khoom Noj, thiab tus kws sau dab tsi Kuv Noj Tam Sim No?

"Kev qoj ib ce yog qhov tseem ceeb ntawm kev npaj kho ntshav qab zib vim nws txo qis ntshav qab zib thiab txo cov rog lub cev," Gale hais.

Yog tias koj rog dhau qhov hnyav lawm, ces koj yuav tsis tas yuav tsum tau tshem ntau ntau kilos.

Cov neeg koom rau hauv ib txoj kev tshawb fawb muaj ntshav qab zib thiab poob tsuas yog 5% rau 7% ntawm lawv thawj lub cev qhov hnyav (4.5 txog 6 kilo thiab 90 kilo ntawm lawv lub cev thawj qhov hnyav), yog li txo txoj kev pheej hmoo ntawm kev tsim muaj ntshav qab zib los ntawm 58%.

"Mus ntsib tus kws kho mob endocrinologist txhua 3-6 lub hlis," Dr. Gereti pom zoo.

"Tus neeg mob yog cov pov thawj tiag tiag ntawm qhov ua tiav lossis ua tsis tiav," Gereti hais.

Ntxiv cov khoom noj muaj fiber ntau rau koj cov kev noj haus.

Cov txiv hmab txiv ntoo yuav tsum tau noj kom tsawg- los ntawm 1 mus rau 3 pluas tauj ib hnub.

Xaiv cov khoom ua nplej uas tsis yog ua zaub mov noj, xws li txhuv xim av es tsis txhob ua dawb.

Tsis tas li, hloov cov khoom noj muaj calorie ntau.Gale pom zoo tias "Xaiv cov mis nyuj skim es tsis yog tag nrho, haus dej qab zib kom tsis txhob muaj," Gale xav pom. "Hloov cov rog cheese nrog cov rog tsawg, zoo li qub nrog yogurt thiab zaub xam lav hnav."

Teresa Garnero, tus kws sau txog Kuv Thawj Xyoo uas muaj Ntshav Qab Zib hais tias "Kev pw tsaug zog tsis tu ncua txwv tsis pub kom poob phaus,"

Kev pw tsaug zog tsis txaus kuj tiv thaiv lub cev los ntawm kev siv insulin zoo dua thiab muaj peev xwm tsim cov ntshav qab zib hom 2 ntau dua.

Ronald T. Ackerman, MD thiab MSc hauv Public Health, koom nrog cov xibfwb ntawm Indiana University School of Medicine hais tias "Kev poob phaus, kev noj haus thiab kev tawm dag zog yog qhov yooj yim dua.

Xav txog kev koom nrog hauv zej zog uas koj tuaj yeem coj lub neej noj qab haus huv nrog cov neeg nyiam kev xav.

Nws yog ib qho tseem ceeb kom coj tus yam ntxwv zoo.

Nco ntsoov tias koj tsis ua txhua yam zoo txhua hnub, tab sis cog lus tias koj yuav sim ua kom zoo tshaj plaws hauv lub sijhawm.

“Ua qhov xaiv ua qhov kom zoo thiaj li yuav haum nyob rau hauv koj lub neej txhua hnub. Qhov no yog qhov txiaj ntsig rau koj kev noj qab haus huv, ”Garnero yaum kom. "Qhia koj tus kheej tias koj yuav ua txhua yam hauv koj lub hwj chim los hloov qhov kev hloov me me rau koj txoj kev ua neej nyob niaj hnub." Cov kev siv zog no yuav them.

Coob leej tsis xav xav li cas qhov mob ntshav qab zib tuaj yeem ua rau lawv mob. Rau qee qhov, cov neeg no ntseeg tias cov neeg nyob sib ze, hauv yeeb yaj kiab, muaj cov kabmob zoo li no, thiab lawv yuav dhau los ntawm lawv thiab tsis txawm kov lawv.

Thiab tom qab ntawd, thaum lub sijhawm kuaj mob, lawv kuaj ntshav, thiab nws hloov tawm tias cov piam thaj twb tau 8, lossis tej zaum tseem siab dua, thiab cov kws kho mob kev kwv yees tau ploj mus. Qhov xwm txheej no tuaj yeem tiv thaiv tau yog tias tus cim ntawm tus kabmob tau raug lees paub thaum lub sijhawm pib ntawm nws lub hauv paus chiv keeb. Mob ntshav qab zib yog dab tsi?

Mob Ntshav Qab Zib yog qhov siab ntawm qhov tshwm sim ntawm qhov pib thiab kev loj hlob ntawm ntshav qab zib. Qhov no puas tuaj yeem suav tias yog thawj theem ntawm tus kabmob?

Nws yog qhov nyuaj heev kom kos kab kab rau ntawm no. Cov neeg mob ntshav qab zib tuaj yeem tsim kev puas tsuaj ntawm cov nqaij hauv lub raum, lub plawv, cov hlab ntsha, thiab cov plab hnyuv siab raum tsis pom kev.

Kev tshawb fawb qhia pom tias cov kev mob nyhav pib tshwm sim ua ntej ntawm ntshav qab zib theem. Thaum kuaj tau tus kab mob ntshav qab zib, cov khoom hauv nruab nrog cev twb pom lawm thiab nws tsis tuaj yeem tiv thaiv nws. Yog li, kev lees paub raws li lub sijhawm yog qhov tsim nyog.

Cov tib neeg hauv txoj haujlwm no feem ntau yuav muaj kev phom sij hom ntshav qab zib hom 2. Txawm li cas los xij, cov xwm txheej no yog hloov kho tau. Hloov koj txoj kev ua neej, kev tshem tawm tus cwj pwm tsis zoo, koj tuaj yeem rov qab noj qab haus huv thiab zam ntau cov kab mob tseem ceeb.

Muaj ntau yam ntawm cov laj thawj uas ua rau lub xeev cov ntshav qab zib. Ua ntej ntawm tag nrho cov, qhov no yog hereditary predisposition.

Cov kws tshaj lij ntseeg feem ntau ntseeg tias qhov yuav ua rau muaj mob ntau ntxiv yog tias twb muaj tus mob no hauv tsev neeg lossis cov txheeb ze nyob ze.

Ib qho kev pheej hmoo tseem ceeb tshaj plaws yog kev rog dhau. Qhov laj thawj no, zoo hmoo, tuaj yeem tshem tawm yog tias tus neeg mob, paub qhov loj ntawm cov teeb meem, tau tshem tawm qhov hnyav tshaj, nrog kev siv zog ntau.

Pathological kev ua haujlwm nyob rau hauv cov xov tooj ntawm tes ua haujlwm muaj qhov tsis zoo tuaj yeem yog qhov cuam tshuam rau kev txhim kho cov kab mob qab zib. Qhov no yog mob kab mob pancreatitis, mob cancer ntawm lub txiav, nrog rau cov kab mob lossis raug mob ntawm lwm cov qog endocrine.

Lub luag haujlwm ntawm cov txiaj ntsig uas ua kom muaj tus kabmob tuaj yeem ua si los ntawm kev kis kabmob nrog tus kabmob siab, tus kabmob qhua pob, thiab qhua tus kabmob npaws. Nws yog qhov tseeb tias feem coob ntawm cov tib neeg, SARS yuav tsis ua rau muaj ntshav qab zib. Tab sis yog tias tus neeg no yog tus neeg hnyav dhau los ntawm kev muaj mob thiab phaus ntxiv, ces tus kab mob khaub thuas yog txaus ntshai rau nws.

Ib tug neeg uas tsis muaj cov mob ntshav qab zib nyob hauv lub voj voog ntawm nws cov txheeb ze ze tuaj yeem mob nrog ARVI thiab lwm yam kev kis mob ntau zaus, thaum lub sijhawm muaj feem ntau ntawm kev txhim kho thiab nce ntshav qab zib muaj qis dua qhov uas tus neeg mob hnyav nrog lub caj ces tsis zoo. Yog li kev sib koom ua ke ntawm ntau qhov kev pheej hmoo nyob rau hauv ib zaug ua rau muaj kev pheej hmoo ntawm tus kab mob ntau zaus dhau mus.

Hauv qab no yuav tsum tau hu ua kev ntxhov siab tshee vim yog ib qho ua rau cov kab mob qab zib. Nws yog qhov tshwj xeeb tshaj yog kom tsis txhob muaj kev ntshai thiab kev xav dhau ntawm cov neeg muaj caj ces muaj ntshav qab zib thiab rog dhau.

Lub luag haujlwm tseem ceeb hauv kev pheej hmoo ntxiv yog ua si los ntawm lub hnub nyoog - tus neeg laus dua yog, nws muaj kev phom sij ntau dhau los ua kab mob ntshav qab zib. Lwm qhov kev pheej hmoo yog thaum tsaus ntuj hloov ua haujlwm, hloov mus pw tsaug zog thiab sawv. Yuav luag ib nrab ntawm cov neeg ua haujlwm pab dawb uas pom zoo rau lub neej muaj kev cuam tshuam muaj lub xeev kev mob ntshav qab zib.

Cov piam thaj ntau yog ib qho ntawm cov ntsuas ntawm ntshav qab zib ntawm ob hom thawj thiab hom thib ob. Yog tias koj ua cov kev kuaj ntshav ntau zaus hauv cov kab nrog ib ntu ntawm ib hnub, thiab nws qhia tias muaj cov hyperglycemia nyob rau txhua lub sijhawm, mob ntshav qab zib tuaj yeem xav.

Cov piam thaj ntawm qhov ntsuas:

Muaj lwm yam cim ntawm tus kabmob. Piv txwv li, nqhis dej uas yuav luag tsis nqhis. Ib tug neeg haus ntau, tsib, lossis txawm tias kaum teev ib hnub. Qhov no tshwm sim vim tias cov ntshav thickens thaum cov piam thaj ntau ntau hauv nws.

Ib qhov chaw hauv lub hlwb hu ua hypothalamus tau ua haujlwm thiab pib ua rau tus neeg ua rau nqhis dej. Yog li, ib tus neeg pib haus ntau yog tias nws muaj ntshav qabzib siab. Raws li qhov ua kom cov kua dej ntau ntxiv, tso zis ntau zaus - tus neeg ntawd tau "txuas" rau hauv lub qhov viv.

Txij li thaum kev qhia cov suab thaj los ntawm cov ntaub so ntswg yog qhov ua rau muaj ntshav qab zib, qaug zog thiab qaug zog tshwm sim. Ib tug neeg pom tau tias nws yog sab sab heev, qee zaum nws nyuaj rau nws txav mus.

Tsis tas li, erectile kawg ua haujlwm nws tus kheej hauv cov txiv neej, uas cuam tshuam tsis zoo rau tus neeg mob lub cev (kev sib deev) hauv lub neej. Hauv cov poj niam, tus kab mob qee zaum muab qhov zoo nkauj ua kom zoo nkauj - hnub nyoog me ntsis ntawm daim tawv nqaij ntawm lub ntsej muag, txhais tes, plaub hau thiab cov rau tes ua ntsej muag, nkig.

Ntau xyoo dhau los, cov metabolism hauv lub cev qeeb, thiab tom qab ntawd cov rog dhau los tiv thaiv cov piam thaj hauv kev nkag mus rau hauv cov hlwb - qhov muaj nyob ntawm cov yam tseem ceeb ua rau muaj kev pheej hmoo ntawm kev tsim kabmob. Tsis tas li, tus txiav ua kab ntawm tus neeg laus pib tsim cov tshuaj insulin tsawg dua nrog lub hnub nyoog.

Nrog hom 2 mob, yuag yuag ntau tshwm sim. Qhov tseeb yog tias nrog hom ntshav qab zib hauv cov ntshav no muaj cov ntsiab lus ntawm cov piam thaj thiab tib lub sijhawm, cov kua dej insulin. Txhua qhov ntau dhau ntawm lub cev nrhiav hloov mus rau adipose cov ntaub so ntswg, raws li qhov yooj yim tshaj plaws rau kev cia khoom. Vim tias qhov no, ib tus neeg pib nce phaus sai heev.

Lwm qhov tsos mob no yog qhov zoo nkaus li loog ntawm nqua, tingling. Qhov no yog tshwj xeeb muaj kev xav ntawm tes, ntiv tes. Thaum microcirculation ntshav ib txwm cuam tshuam vim yog qhov nce ntxiv nyob rau hauv cov piam thaj, qhov no ua rau lub cev tsis zoo ntawm cov khoom noj khoom haus ntawm lub hlwb xaus. Vim tias qhov no, tus neeg muaj qhov txawv txav txawv txav hauv tus qauv tingling lossis loog.

Thiab thaum kawg, khaus tawv nqaij, uas kuj yog ib qho ntawm cov tsos mob ntawm tus kab mob ntshav qab zib.Qhov no tuaj yeem ua qhov tsis txaus ntseeg, yuav ua li cas cov ntsuas ntshav qab zib tau ua rau koj cov tawv nqaij? Txhua yam yog yooj yim heev. Nrog hyperglycemia, ntshav ncig tsis zoo, uas ua rau txo qis ntawm kev tiv thaiv kab mob. Yog li, nyob rau hauv cov neeg mob ntshav qab zib, cov kev rov tsim dua ntawm cov kab mob fungal ntawm daim tawv nqaij feem ntau pib, uas ua rau zoo li khaus.

Qhov kev kuaj mob zaum kawg yuav tsum yog los ntawm tus kws kho mob endocrinologist, tsis tso siab rau ib qho, tab sis ntawm kev kuaj mob ntau. Tus kws kho mob tshwj xeeb yuav txiav txim siab seb nws puas yog ntshav qab zib lossis tsis, txiav txim siab los kho nws, yam tshuaj twg yuav ua haujlwm zoo tshaj plaws hauv txhua kis.

Txhawm rau tiv thaiv kab mob ntshav qab zib mellitus los ua qhov tsis txaus siab, nws yog qhov tsim nyog los tswj cov ntsuas ntshav qab zib, qhov no tuaj yeem ua tau yooj yim hauv chaw kho mob lossis hauv tsev siv cov glucometer.

Txhawm rau kom nres kev loj hlob ntawm cov ntshav qab zib hauv cov theem pib, nws yog ib qho tsim nyog yuav tsum tau ua kom tsis tu ncua kev ua haujlwm thiab so. Ua kom mob rau lub cev raws li qhov tsis tsaug zog, thiab nws dhau heev lawm. Kev ntxhov siab ntawm lub cev, kev ntxhov siab tsis tu ncua thaum ua haujlwm tuaj yeem ua rau lub zog loj hlob rau cov kab mob loj, nrog rau mob ntshav qab zib. Nyob rau theem ntawm kev mob ntshav qab zib, tshuaj ntsuab ntawm pej xeem thiab ntau yam kev siv tshuaj tsis siv tshuaj kho yuav ua kom tiav.

Koj yuav tsum ua raws cov zaub mov zoo. Txhawm rau thim txoj kev mus ncig ua si hauv chav ua noj, tsis nco qab txog txhua hom kev ci, siv tsis txhob siv cov khoom noj dawb los ntawm cov hmoov nplej nrog ntxiv cov xaum qhuav, tsis muaj cov nplej dawb thiab cov nplej zom, tab sis hom xim av ntawm cov txhuv thiab cov porridge los ntawm tag nrho cov lis. Nws raug nquahu kom hloov los ntawm cov nqaij liab (nqaij yaj, nqaij npuas) rau qaib cov txwv thiab qaib, noj cov ntses ntau dua.

Qhov tseem ceeb tshaj plaws yog los xyuas kom meej tias muaj cov txiv hmab txiv ntoo thiab zaub txaus hauv cov zaub mov noj. Ib nrab ib phaus txhua hnub koj yuav tsum noj ob qho tib si. Feem ntau lub plawv thiab lwm yam kab mob tshwm sim vim qhov peb noj zaub ntsuab ntsuab, txiv hmab txiv ntoo tshiab.

Koj yuav tsum txo qis cov khoom qab zib hauv koj cov zaub mov txhua hnub lossis tshem tawm nws ua rau nws tag nrho. Lawv noj ntau dhau kuj tuaj yeem txiav txim tau tus mob ntshav qab zib.

Plaub teev ntawm taug kev ceev nrawm ib as thiv - thiab ntshav qab zib yuav qab deb. Nws yog qhov yuav tsum tau muab tsawg kawg yog nees nkaum lossis plaub caug feeb txhua hnub ntawm ko taw, tab sis tsis yog ntawm kev taug kev qeeb, tab sis nrawm dua li ib txwm ua.

Nws raug nquahu kom suav nrog kev ua kis las nyob rau hauv koj lub sijhawm txhua hnub. Koj tuaj yeem pib nrog kev tawm dag zog thaum sawv ntxov rau 10-15 feeb hauv ib hnub, maj mam nce qhov kev siv ntawm lub nra. Qhov no yuav pab ua kom cov txheej txheem metabolism hauv lub cev, txo cov piam thaj, thiab txo qhov cov phaus ntxiv. Kev poob phaus los ntawm 10-15% tuaj yeem txo qhov kev pheej hmoo mob ntshav qab zib.

Cov khoom siv video hais txog kev mob ntshav qab zib thiab cov hau kev rau nws kho:

Cov kev tawm dag zog lub cev yuav muaj xws li taug kev lossis ntau cov kis las ua si tseem ceeb. Koj tuaj yeem xaiv koj tus kheej dhia, ua si ntaus pob tesniv, ntaus pob, caij tsheb kauj vab, caij skiing. Nyob rau hauv txhua rooj plaub, cov piam thaj yuav tau noj raws li lub zog siv, cov roj (cholesterol) yuav txo qis, uas yuav ua qhov kev tiv thaiv zoo tshaj plaws rau cov ntshav qab zib mellitus thiab kab mob plawv.

Mob Ntshav Qab Zib: Tej zaum zam kev hloov mus rau ntshav qab zib?

Tsis yog txhua leej txhua tus paub tias muaj ib yam mob hu ua "mob ntshav qab zib". Nrog nws, cov piam thaj hauv kev kuaj ntshav tau nce me ntsis. Nws yuav zoo li tias nws tsis ua li cas, vim tias qhov no yog kev sib txawv me me. Tab sis qhov cuam tshuam no twb qhia tau tias cov kua nplaum ua kom tsis taus yog qhov qia. Kab mob ntshav qab zib muaj peev xwm txheeb xyuas tau thaum muaj hnub nyoog - rau hauv cov menyuam yaus thiab hauv ...

Kev tsom xam muab rau ntawm qhov khoob khoob, thiab thaum sawv ntxov. Ua ntej tso ntshav pub dawb, txawm tias dej tsis pub kom qaug cawv.

Nrog rau kev mob ntshav qab zib, kev kho tshuaj feem ntau tsis yog kws kho, txij li theem no nws tsis tsuas yog qhov tsis muaj txiaj ntsig, tab sis muaj kev phom sij. Yog li, txoj kev zoo tshaj plaws ntawm txoj kev tawm yog hloov pauv lossis kho lub neej nyob ntawm qhov ntsuas pib.

Cov tshuaj tuaj yeem tuaj yeem tau txais kev cai tsuas yog thaum hloov kho ntawm kev ua neej tsis muab cov txiaj ntsig xav tau. Hauv qhov no, Metformin, Siofor, Glucophage tuaj yeem raug xaiv los xaiv.

Txawm hais tias kev noj zaub mov muaj kev txwv, lub cev tseem yuav tsum tau txais qhov tsim nyog ntawm txhua yam, suav nrog cov protein, carbohydrates, rog.

Koj yuav tsum muaj in thiaj li tso rau hauv logged.

Txhua yam zaub mov uas muaj suab thaj thiab nplej ntau ntau ua rau cov ntshav qabzib nce sai. Txhawm rau them nyiaj rau qhov no, txiav tawm ua rau cov kua dej insulin rau hauv cov ntshav. Sij hawm dhau mus, lub cev txo qis nws cov rhiab rau insulin, nws xav tau ntau dua thiab ntau dua los ua nws txoj haujlwm. Thaum kawg, koj dhau los ua cov tshuaj insulin tiv taus thiab ua rau koj qhov hnyav nce, thiab tom qab ntawv muaj ntshav qab zib.

Cov tshuaj insulin yog qhov tseem ceeb tshaj plaws rau lub neej, hmoov tsis zoo, feem coob ntawm cov neeg muaj kev tawm tsam rau qhov kev kawm tseem ceeb no, uas ua rau cov txheej txheem kev laus nce ntxiv thiab pab txhawb kev txhim kho cov kab mob sib. Txhua yam zaub mov uas muaj suab thaj thiab nplej ntau ntau ua rau cov ntshav qabzib nce sai. Txhawm rau kom them nyiaj rau qhov no, koj tus txiav ua zais zais cov tshuaj insulin rau hauv nws, uas ua rau koj cov suab thaj kom tsawg kom koj tsis txhob tuag. Cov tshuaj Insulin, txawm li cas los xij, tseem ua tau zoo heev rau kev txo cov ntshav qab zib, tig mus ua rog. Qhov ntau yam zais ntshis, fuller koj dhau los.

Dab tsi yog mob ntshav qab zib thiab yuav ua li cas kom nres kev txhim kho ntshav qab zib

Yog tias koj pheej noj cov khoom noj uas muaj suab thaj thiab nplej ntau ntau, koj cov ntshav qabzib hauv lub ntsej muag yuav nce siab, thiab ntev mus, koj lub cev insulin yuav poob qis, thiab koj lub cev yuav xav tau ntau dua thiab ntau dua los ua nws txoj haujlwm. Thaum kawg, koj dhau los ua cov tshuaj tiv thaiv thiab nws lub cev hnyav, thiab ua rau muaj ntshav qab zib.

Cov Neeg Asmeskas Feem Ntau Yog Neeg Txom Nyem

Kev Mob Ntshav Qab Zib tau txiav txim siab los ntawm kev nce ntxiv hauv cov ntshav cov piam thaj ntau dua 100 milligrams ib qhov deciliter (mg / dl), tab sis qis dua 125 mg / dl, tom qab pib ntsuas ntshav qab zib hom 2 no twb tau kuaj pom. Raws li Tsoomfwv Meskas Lub Chaw Tiv Thaiv thiab Tiv Thaiv Kab Mob, hais txog 84 lab tus neeg Asmeskas cov neeg laus, kwv yees li 1 ntawm 3 tus neeg, nyob hauv lub xeev uas muaj ntshav qab zib, thiab lawv feem ntau tsis paub txog qhov no.

Txawm li cas los xij, qhov no yog qhov teeb meem tsis txaus ntseeg, txij li ib qho kev yoo ntshav cov ntshav qab zib ntau dua 90 mg / dl, hauv kuv lub tswv yim, hais txog kev tiv thaiv insulin. Raws li koj yuav kawm tom qab, txoj haujlwm ua haujlwm los ntawm tus kws tshaj lij Dr. Joseph Kraft, tus sau txog Kev Mob Ntshav Qab Zib thiab Koj: Txhua Tus Puas Yuav Tsum Tau Kuaj?, Qhia tias 80 feem pua (8 ntawm 10) ntawm cov neeg Asmeskas tus tiv thaiv tsis tau.

Raws li cov ntaub ntawv los ntawm 14,000 cov neeg mob, Kraft, yav dhau los lub taub hau ntawm kev saib xyuas kab mob thiab chaw ua haujlwm tshuaj tua kab mob hauv Lub Tsev Kho Mob Pres St. Joseph, tau tsim cov kev ntsuas ntshav qab zib kom sim. Nws muab tus neeg mob haus 75 grams qabzib, thiab tom qab ntawd ntsuas cov lus teb ntawm insulin ib zaug txhua peb caug feeb rau tsib teev.

Qhov xav tau, nws pom tsib qhov txawv pom tias cov neeg feem coob twb muaj ntshav qab zib, tab sis txawm tias lawv cov piam thaj hauv lub cev nrawm li qub. Tsuas yog 20 feem pua ntawm cov neeg mob ntsib tus qauv uas qhia tau qhov zoo insulin rhiab heev tom qab noj thiab muaj qhov pheej hmoo tsawg dua rau kev mob ntshav qab zib. Qhov no txhais tau tias 80 feem pua yog nyob rau hauv lub xeev uas mob ntshav qab zib lossis tau muaj ntshav qab zib hauv thaj chaw. Raws li tau piav rau IDMProgram.com:

“Yog koj xav tias koj cov piam thaj hauv ntshav yuav nce siab rau hom ntshav qab zib hom 2, qhov ntawd muaj kuab tsim nyog. Tab sis txawm hais tias koj muaj ntshav qab zib ib txwm muaj, nws tseem muaj qhov phom sij los txhim kho nws (mob ntshav qab zib). Yog li ntawd, peb muab cov neeg mob qabzib ntau thiab saib seb lub cev muaj peev xwm tiv thaiv nws.Yog hais tias lub cev reacts nrog insulin heev kawg tso cai, nws thauj cov piam thaj los ntawm cov ntshav mus rau cov cell thiab tswj nws cov ntshav ib txwm.

Tab sis qhov no tsis yog qhov qub. Qhov no zoo ib yam li kev sib piv ntawm cov neeg ua kis las uas muaj kev paub dhau los uas tuaj yeem yooj yim khiav 10 km hauv ib teev thiab cov neeg ncaws pob tsis npaj uas xav tau ntau yam thiab ua kom mob siab rau qhov no. "Cov neeg uas xav tsim cov tshuaj insulin ntau txaus kom rov qab mus rau cov piam thaj hauv lub cev muaj qhov phom sij ntawm cov ntshav qab zib."

Ib pab neeg tshawb fawb ntawm Scandinavian hais tias muaj tsawg kawg yog tsib qhov mob ntshav qab zib: hom 1 lossis insulin-tseem nyob, nrog rau plaub yam sib txawv ntawm hom 2.

Yuav kom los xaus txoj kev no, cov neeg tshawb xyuas tau txheeb xyuas keeb kwm kev kho mob ntawm kwv yees li 15,000 cov neeg mob ntshav qab zib los ntawm Sweden thiab Finland. Kev tshawb nrhiav rau 6 qhov tsis sib xws, suav nrog lub hnub nyoog ntawm kev kuaj mob, kev ntsuas lub cev lub cev, thiab qhov mob ntawm cov tshuaj insulin tsis zoo, cov kws tshawb nrhiav pom tias cov neeg mob tau muab faib ua tsib pawg:

Yam 1 - Ntshav Qab Zib Loj Tshaj Plaws Autoimmune (SAID)Cov. Feem ntau cov tub ntxhais hluas thiab cov neeg noj qab nyob zoo uas muaj cov kab mob insulin tsis tu ncua vim tias lub cev ua rau lub cev tsis ua haujlwm.

Hom 2, Pab Pawg 1 - Ntshav Qab Zib Loj Nrog insulin Qhov Cuam Tshuam (SIDD)Cov. Cov tub ntxhais hluas, feem ntau noj qab haus huv cov neeg muaj teeb meem insulin ntau lawm. Xws li cov neeg muaj HbA1C siab, lub cev tsis muaj peev xwm tiv thaiv cov kab mob, thiab tsis kam tiv thaiv qog ib puag ncig.

Hom 2, Pab Pawg 2 - Txaus Ntshav Qab Zib insulin-Zoo Tshaj (SIRD)Cov. Tus neeg rog dhau los yog rog uas lawv lub cev tseem tsim cov tshuaj insulin tab sis tsis muaj kev cuam tshuam ntxiv rau nws. Feem ntau ntawm lawv muaj teeb meem metabolic thiab ua rau pom cov tsos mob hnyav tshaj plaws, suav nrog lub raum tsis ua haujlwm.

Hom 2, Pab Pawg 3 - Ntshav Qab Zib Qib txuam nrog Kev Rog (MOD)Cov. Kev rog dhau los thiab cov neeg rog uas, txawm hais tias tsis kam tiv taus cov tshuaj insulin, qhia cov tsos mob me ntsis. Feem ntau muaj tus mob thaum muaj hnub nyoog yau.

Hom 2, Pab Pawg 4 - Ntshav Qab Zib Menyuam Muaj Hnub Nyoog (MARD)Cov. Cov neeg uas pib mob ntshav qab zib thaum hnub kawg ntawm lawv lub neej thiab qhia pom cov tsos mob me.

Raws li cov kws sau ntawv Leif Groop, tus kws tshawb fawb endocrinologist ntawm Lund University Diabetes Center hauv Sweden thiab Folhalsan Research Center hauv Finland: “Kev txheeb xyuas thiab kev faib tawm tam sim no tsis muaj txiaj ntsig thiab tsis tuaj yeem kwv yees yav tom ntej kev nyuaj lossis kev xaiv kho. Nov yog thawj kauj ruam ntawm kev kho tus kheej rau tus neeg mob. ”

Kuv tus kheej ntseeg hais tias qhov kev faib tawm no ua rau cov neeg yaus ua rau tsis muaj ntsiab lus tsis meej pem. Kraft tau meej: Yog tias koj muaj insulin tsis kam (zoo li 80 feem pua ntawm Asmeskas cov pejxeem), koj muaj hom 2 lossis ntshav qab zib thiab lub sijhawm.

Qhov zoo, qhov no yog ib qho ntawm cov teeb meem kev noj qab haus huv yooj yim tshaj plaws los daws. Txhua yam koj yuav tsum ua yog ua raws li cov kev pab cuam ketogenic cyclic, uas kuv tham txog hauv kuv phau ntawv, Rog li Roj.

Kev kuaj ntshav hauv qab no yuav pab koj txiav txim siab yog tias koj muaj ntshav qab zib lossis ntshav qab zib:

Kev yoo mov ntsuas suab thaj - Feem ntau, kev yoo kua nplaum qis dua 100 milligrams ib deciliter (mg / dl) qhia tias koj tsis muaj cov tshuaj insulin tiv taus, thaum ib qib ntawm 100 thiab 125 mg / dl qhia txog ntshav qab zib, uas txhais tau tias koj tsis khov kho rau cov tshuaj insulin.

Ntsuas rau glycated hemoglobin A1C - uas ntsuas cov ntshav qab zib hauv nruab nrab hauv cov ntshav dhau sijhawm, tau nqa ob mus rau plaub zaug hauv ib xyoos. Qhov no yog qhov kev sim zoo tshaj li kev haus dej qabzib. Qib A1C ntawm 5.7 thiab 6.4 suav hais tias yog kev mob ntshav qab zib. Txhua yam saum toj no 6.5 tau kuaj pom tias yog mob ntshav qab zib. Qhov siab dua, qhov tsis zoo zuj zus mus rau insulin.

Kev yoo mov insulin ntsuas - Qhov sim no tseem zoo dua. Cov qib ntshav hauv kev yoo ntshav ib txwm muaj qis dua 5, tab sis qhov tseeb koj yuav tsum ua kom lawv qis dua 3.

Kev ntsuam xyuas cov kua dej hauv lub qhov ncauj - Qhov no yog qhov kev ntsuas zoo tshaj plaws thiab tsis zoo tshaj plaws. Nws tau ua zoo ib yam rau PHTT (kev ntsuas lub suab qab zib), tab sis kuj ntsuas cov insulin qib siab.Sau cov ntaub ntawv thiab saib hauv Kraft phau ntawv los txiav txim seb koj puas muaj ntshav qab zib, uas yuav ua rau koj pom tseeb dua li kev yoo qab zib lossis insulin.

Qhov tsis txaus ntseeg, cov tshuaj siv tshuaj tseem yog qhov tsis lees paub txog qhov teeb meem no, thiab American College of Physicians (ACP) tam sim no tawm tswv yim rau ib lub hom phiaj tseem qis rau cov ntshav qab zib hauv kev kho mob ntshav qab zib hom 2.

Raws li ACP Thawj Tswj Hwm Dr. Jack Ende, "Muaj kev phom sij cuam tshuam nrog kev kho mob A1C ntau dhau los tsis raug." Txoj cai tshiab ntawm ACP tam sim no pom zoo kom tsom mus rau A1C ntawm 7-8% ntau dua li qib qis dua, uas zoo dua hauv ntau pawg neeg mob ntshav qab zib.

Rau cov neeg uas twb tau ua tiav qis dua, ACP qhia tias txo lossis tso tseg kev noj tshuaj thiab "tsuas yog cia A1C nyob nruab nrab ntawm 7 txog 8." Lub American Diabetes Association tsis lees txais ACP qhov kev pom zoo, thiab muab cov kev pheej hmoo cuam tshuam, nws zoo li tsis tsim nyog "cia li" cia koj qib nyob rau ntawm 8 yam tsis tau ua dabtsi. Txawm li cas los xij, txoj kev zoo tshaj plaws tsis yog kev siv tshuaj, tab sis txoj kev ua neej pauv.

Feem ntau ntawm cov mob ntshav qab zib hom 2 thim rov qab txawm tias tsis tau noj tshuaj.

Nws yog ib qho tseem ceeb kom paub tias hom 2 thiab ntshav qab zib yog nyob ntawm insulin (thiab leptin), thiab hais tias feem coob ntawm cov neeg - tej zaum txog li 80 feem pua - nyob hauv ib ntawm ob qhov xwm txheej no. Qhov no txhais tau hais tias muaj tsawg leej neeg uas tsis tas yuav ua kev noj haus thiab kev tawm dag zog, vim cov no yog ob qho tseem ceeb tshaj plaws thiab cov tswv yim zoo rau kev tiv thaiv thiab kho mob.

Qhov xwm zoo yog tias yam mob ntshav qab zib 2 - tsis hais txog subtype - yog qhov tuaj yeem tiv thaiv thiab thim rov qab yam tsis muaj kev siv tshuaj.

Kuv Ameslikas sau phau ntawv "Rog raws li Roj" rau cov neeg mob qog noj ntshav, tab sis nws tseem pab tau rau tus mob ntshav qab zib hom 2 ntau dua. Kab mob khees xaws yog ib yam mob nyuaj thiab mob hnyav uas xav tau ntau tshaj qhov kev noj zaub mov los kho. Txawm li cas los xij, mob ntshav qab zib hom 2 tuaj yeem yuav luag zoo nrog txoj kev npaj khoom noj khoom haus uas kuv tau piav qhia hauv Cov Rog Rog.

Yog li, nco ntsoov, yog tias koj saib xyuas koj li kev noj qab haus huv, nws yog ib qho tseem ceeb heev uas yuav tsum tau ua nrog cov cim ntawm kev tiv thaiv insulin thiab ntshav qab zib ua ntej. Nov yog qhia txog qee qhov kev pom zoo tseem ceeb. Feem ntau, txoj kev npaj no yuav txo qhov kev pheej hmoo ntawm kev tsim cov ntshav qab zib thiab cov kab mob ntsig txog mob ntev ntev thiab pab koj tsis dhau los ua tus neeg raug mob los ntawm tus kab mob uas koj yuav tsis paub txog.

Txwv txiav ntxiv piam thaj rau 25 g ib hnub. Yog tias koj raug mob los ntawm kev tawm tsam lossis ntshav qab zib, txo koj cov piam thaj kom tsawg li 15 g hauv ib hnub kom txog thaum cov tshuaj tiv thaiv insulin / leptin dhau los (tom qab ntawd nws yuav nce ntxiv mus rau 25 gram) thiab pib cuam tshuam yoo mov sai li sai tau.

Txwv tsis pub muaj cov carbohydrates (tag nrho cov carbohydrates rho tawm fiber ntau) thiab cov protein thiab hloov lawv nrog cov rog zoo duaxws li cov noob, noob txiv, roj organic raw, txiv ntseej, avocados, txiv maj phaub roj, cov qe organic thiab cov rog tsiaj, suav nrog omega-3s. Zam txhua yam zaub mov tiav, suav nrog nqaij. Txog cov npe ntawm cov khoom noj uas tshwj xeeb tshaj yog rau cov neeg muaj ntshav qab zib, saib Nine Superfoods rau Cov Ntshav Qab Zib.

Kev tawm dag zog tsis tu ncua thiab txav mus ntauthaum koj tsaug zog, koj lub hom phiaj yuav tsum tau zaum tsawg dua peb teev hauv ib hnub.

Pw kom txausCov. Feem ntau yuav tsum tau txog yim xuab moos kev pw tsaug zog ib hmos. Qhov no yuav pab ua kom koj qhov endocrine muaj zog. Cov kev tshawb fawb pom tau hais tias kev pw tsis tsaug zog tuaj yeem ua rau muaj zog cuam tshuam rau insulin rhiab heev.

Ua kom koj cov Vitamin D kom zoo, qhov zoo tshaj, nrog kev pab ntawm lub hnub. Yog tias koj noj cov vitamin D3 qhov ncauj, nco ntsoov ua kom koj cov khoom noj magnesium thiab vitamin K2 ntau ntxiv, vim tias cov zaub mov no ua haujlwm tau.

Txhim Kho Mob Lub Cev, ib txwm noj cov khoom noj uas twb muab zom lawm thiab / lossis siv cov tshuaj muaj txiaj ntsig zoo uas yuav luam tawm los ntawm econet.ru.

T. Rumyantseva "Noj zaub mov zoo rau cov ntshav qab zib." St. Petersburg, Litera, 1998
Lub qog ua haujlwm. Kws kho mob lub cev thiab tsev kho mob, Tsev luam ntawv tshaj xo ntawm Tsev Kho Mob Ntawv Sau Ntawv - M., 2014. - 452 c.
Rudnitsky L.V. Cov kab mob qog. Kev kho thiab tiv thaiv, Peter - M., 2012. - 128 c.
Gryaznova I.M., VTorova VT. Mob ntshav qab zib mellitus thiab cev xeeb tub. Moscow, tshaj tawm tsev "Tshuaj", 1985, 207 pp.

Cia kuv qhia kuv tus kheej. Kuv lub npe yog Elena. Kuv tau ua haujlwm li endocrinologist rau ntau tshaj 10 xyoo. Kuv ntseeg hais tias tam sim no kuv yog tus kws tshaj lij hauv kuv daim teb thiab kuv xav pab txhua tus neeg tuaj saib lub vev xaib kom daws qhov nyuaj thiab tsis yog li cov haujlwm. Txhua cov ntaub ntawv rau lub xaib tau sau thiab ua tib zoo ua kom tiav thiaj li xa ntau li ntau tau cov ntaub ntawv tsim nyog. Ua ntej thov cov ntaub ntawv uas tau piav qhia hauv lub vev xaib, kev sab laj yuav tsum nrog tus kws tshaj lij yog ib txwm tsim nyog.

Mob Ntshav Qab Zib: Puas muaj txoj hmoo kom zam dhau qhov hloov mus rau ntshav qab zib

Txheeb cais tsis tuaj yeem pom tias pes tsawg tus neeg mob ntshav qab zib tau nce zuj zus hauv lub ntiaj teb txhua xyoo. Coob leej neeg uas tau ntsib dua tus neeg muaj mob hais tias lawv tsis pom tus tsos mob ua ntej.

Tab sis yog nws tiag tiag li? Ntshav qab zib mellitus, tshwj xeeb tshaj yog hom 2, yog ib tug mob ntev ntev uas tsis tshwm sim sai. Feem ntau cov teeb meem tau dhau los ua ntej lub sijhawm uas cov piam thaj hauv ntshav muaj thaj tsam tseem ceeb, tab sis thawj cov tsos mob ntawm malaise twb tshwm sim lawm.

Yuav ua li cas paub txog lawv nyob rau lub sijhawm kom tiv thaiv qhov ua kom mob (mob pib) ntawm tus kab mob?

Noj zaub mov zoo kom daws tau cov teeb meem kev noj qab haus huv ntau ntau.

Leej twg muaj kev pheej hmoo

Yuav tsis muaj ib tus neeg hauv ntiaj teb no tiv thaiv kab mob ntshav qab zib. Txawm li cas los xij, muaj ib pab pawg ntawm cov tib neeg uas muaj feem ntau dua yuav muaj mob dua. Ntawm cov kev pheej hmoo hauv thawj qhov chaw, ntawm chav kawm, kev coj ncaj ncees.

Yog tias ntawm cov kwv tij tom ntej, tshwj xeeb yog cov niam txiv, muaj tsawg kawg yog ib tus neeg mob, tom qab ntawd qhov muaj feem ntau ntawm qhov pib ntawm tus kab mob no tseem nyob mus tas lub neej.

Lwm yam qhia tias muaj mob ntshav qab zib muaj xws li:

ib tug niam hluas uas tsawg kawg ib zaug yug me nyuam uas hnyav tshaj 4 kg,
txau ntshai yav dhau los
thawj cov neeg mob gouty mob caj dab,
cov neeg mob uas tau pom ib zaug muaj cov piam thaj glucosuria (qab zib hauv cov zis),
mob ncig (mob pos hniav) nyuaj kho
tsaus ntuj causless vim tsaus muag
txhua tus neeg mob laus dua 55 xyoos.

Txawm li cas los xij, tsis tsuas yog pom ntawm sab nraud yam pom tseeb muaj qhov xav tau ntawm kev tsim cov ntshav qab zib. Qee qhov txawv txav hauv kev sim ntsuas ntshav thiab zis zoo ib yam tseem ceeb rau kev tiv thaiv ntshav qab zib. Cov no yog cov ntsuas hauv qab no:

bilirubin yog lub siab ua haujlwm siab uas ua rau lub cev tsis muaj zog,
triglycerides - ib qho kev cuam tshuam atherosclerosis uas qhia teeb meem nrog roj thiab metabolism metabolism,
uric acid (tsis yog yuav tsis meej pem nrog urea) - qhov taw qhia ntawm qhov tsis txaus purine metabolism hauv lub cev,
lactate - qhia teeb meem nrog dej-ntsev sib npaug.

Txawm hais tias cov ntshav siab ib txwm ua lub luag haujlwm - ntau dua nws cov lej, qhov muaj feem ntau ntawm kev muaj ntshav qab zib. Ib qho ntawm cov xwm txheej tseem ceeb rau kev tiv thaiv kev mob ntshav qab zib yog kev soj ntsuam nruj ntawm cov ntsuas saum toj no thiab kev kho mob tsis tu ncua ntawm kev hloov pauv.

Yuav ua li cas kom qeeb kev loj hlob ntawm tus kab mob

nruj tswj ntshav siab,
txo tus nqi ntawm cov carbohydrates hauv cov zaub mov noj,
txo qhov hnyav
nce kev sib deev thiab lub cev ua si,
tsis txhob overeating, tab sis tsis tshaib plab,
txhua hli saib xyuas cov qib ntawm cov piam thaj ntawm lub plab khoob thiab tom qab noj mov.

Txhawm rau kom mob ntshav qab zib, koj xav tau kev pabcuam ntawm tus kws kho mob thiab tus kws kho keeb sab.Lawv yuav qhia txog kev xaiv kev noj haus, khaws tshuaj kom txo ntshav siab, thiab qee zaum sau ntawv muab tshuaj los kho kev rog. Cov txheej txheem kev ntsuas txhawm rau hloov pauv kev ua neej thiab kev kho cov mob uas twb muaj lawm yuav pab ncua kev mob ntshav qab zib tau ntau xyoo.

Cov ntshav qab zib cov ntshav qab zib hauv ntshav qab zib. Cov cim ntawm kev mob ntshav qab zib thiab yuav kho nws li cas

Ntshav qab zib Hom 2 pib maj mam dhau los, kev cuam tshuam ntawm cov metabolism hauv cov khoom noj khoom haus mus ntev ua rau ntau xyoo, thiab qee qhov txij li menyuam yaus.

Mob ntshav qab zib muaj peev xwm kav mus ntau xyoo kom txog thaum muaj kev hloov pauv hloov txoj hauv kev thiab cov piam thaj ntxiv tau nce siab.

Nws tau tsim tsa uas nyob rau hauv Tebchaws Meskas ib feem peb ntawm cov pejxeem yog nyob rau theem ntawm kev mob ntshav qab zib, uas yog, nqis mus rau lwm nqe, thiab lawv yuav pom lawv tus kheej hauv kev npuaj teg ntawm tus kabmob uas tsis tuaj yeem kho. Tsis muaj cov kev tshawb fawb zoo sib xws hauv tebchaws Russia, tab sis kev txheeb cais tsis zoo li xav tau ntau yam ntxiv.

Ntshav qab zib tuaj yeem txheeb xyuas tau yooj yim thiab, nrog kev tiv thaiv txaus, kho tau txhua yam. Cov neeg mob feem ntau tsis nco qab txog qhov txaus ntshai ntawm kev kuaj mob no, tsuas yog 42% pib kho. Txhua xyoo, 10% ntawm cov neeg mob uas cia txhua yam ploj mus, muaj ntshav qab zib.

Mob ntshav qab zib yog dab tsi thiab leej twg nquag tau

Yav dhau los, nws tau suav tias yog theem ntawm cov ntshav qab zib, tam sim no nws raug cais nyob rau hauv ib tus kab mob cais. Qhov pib hloov pauv hauv cov metabolism yog qhov nyuaj rau pom ntawm lawv tus kheej, tab sis nws yog qhov yooj yim kom paub los ntawm kev sim hauv chaw kuaj.

Hom kev ntsuas:

Kuaj ntshav qab zib kuaj nws suav hais tias yog kev ntseeg tau tshaj plaws rau kev kuaj mob ntshav qab zib, txij li feem ntau cov neeg mob tau muaj kev cuam tshuam cov ntshav qabzib. Nws yog qhov ntsuas seb tus nqi piam thaj nce mus rau hauv cov ntaub so ntswg. Qib Qab Zib nyob hauv ib tug neeg noj qab nyob zoo yog 2 teev tom qab noj mov. Nrog rau kev mob ntshav qab zib, nws yuav yog yam tsawg 7.8 mmol / L.
Yoo mov Glycemia. Kev kuaj mob ntshav qab zib yog tsim thaum yoo ntshav qab zib hauv tus neeg mob cov ntshav ntau dua 7 mmol / L. Cov cai yog tsawg dua 6 mmol / l. Mob Ntshav Qab Zib - txhua qhov ntsuas yog ntawm 6 txog 7 mmol / L. Nws hais txog ntshav muaj ntshav. Yog tias qhov kev txheeb xyuas tau txiav tawm los ntawm tus ntiv tes, cov lej yuav qis dua - 6.1 thiab 5.6 - yuav ua li cas pub ntshav pub rau qab zib.
Kev yoo mov insulin. Thaum cov piam thaj tsis ua haujlwm kom tshem tawm los ntawm cov ntshav hauv lub sijhawm, kev txiav zoo li nws cov haujlwm. Qhov ntxim nyiam ntawm kev mob ntshav qab zib yog siab yog tias cov tshuaj insulin ntau dua 13 μMU / ml.
Glycated hemoglobin qhia seb puas muaj ntshav siab nyob hauv 3 lub hlis dhau los. Qhov nruab nrab yog nce txog 5.7%. Mob Ntshav Qab Zib - txog 6.4%. Saum toj no yog ntshav qab zib.

Qhov xav tau thiab zaus ntawm kev txheeb xyuas:

Lub xyoo nyoog	Nyhav	Qhov xav tau rau kev tsom xam
> 45	saum toj no ib txwm	Kev pheej hmoo siab ntawm ntshav qab zib, kev tshuaj ntsuam yuav tsum tau kuaj txhua xyoo.
> 45	ib txwm	Kev pheej hmoo nruab nrab, ntsuas kev xeem txaus txhua 3 xyoos.
25	Txhua txhua xyoo nyob rau hauv qhov tsawg kawg ntawm ib qho ntawm ntau yam ntawm kev txhim kho mob ntshav qab zib.

Qhov uas ua rau muaj feem ua kom muaj ntshav qab zib ntau:

Siab ntau dua 140/90 ua ke nrog cov roj (cholesterol) thiab triglycerides kom tsawg.
Cov txheeb ze ntawm thawj kab yog mob nrog hom 2 mob ntshav qab zib.
Koj muaj tus mob ntshav qab zib thaum xeeb tub yam tsawg ib zaug hauv koj lub cev xeeb tub.
Mob ntshav qab zib Gestational hauv koj niam.
Qhov hnyav tshaj 4 kg thaum yug los.
Ntseeg tau rau cov chav Negroid lossis Mongoloid.
Qeb tsawg ntawm kev tawm dag zog (tsawg dua 3 teev hauv ib lim tiam).
Muaj cov ntshav qog ntshav qab zib (poob qis hauv qab zib cov qis dua ib txwm ntawm cov zaub mov noj, cov tsos mob tseem ceeb yog sab hauv lub cev thaum tshaib plab).
Kev siv sijhawm ntev ntawm diuretics, estrogen, glucocorticoids.
Haus ntau tshaj 3 khob kas fes ib hnub.
Mob ncig ncig ua mob.
Cov tawv nqaij ua pob sawv hlwv, ua pob.

Vim li cas rau kev loj hlob

Qhov laj thawj tseem ceeb rau ob leeg mob ntshav qab zib thiab yam mob ntshav qab zib hom thib ob yog ib qho nce ntxiv ntawm cov ntaub so ntswg tiv thaiv cov tshuaj insulin. Cov tshuaj insulin yog ib yam tshuaj hauv lub cev, yog ib txoj haujlwm ntawm yog cov xa cov piam thaj rau lub cev ntawm lub cev.

Hauv cov hlwb nrog nws koom nrog, ntau tus txheej txheem tshuaj lom neeg tshwm sim, vim tias lub zog raug tso tawm. Glucose nkag mus rau hauv cov ntshav ntawm zaub mov.Yog tias khoom qab zib, xws li khoom qab zib lossis khoom qab zib, tau noj, ntshav qab zib nce siab, vim tias hom carbohydrate yog nqus sai sai.

Qhov txiav tawm teb rau qhov kev tso tawm no los ntawm kev nce insulin ntau lawm, feem ntau nrog cov npoo. Yog tias cov khoom noj ua kom muaj cov roj carbohydrates, xws li cov zaub mov ua los yog zaub uas muaj cov tshuaj fiber ntau, tau txais nrog cov zaub mov, qab zib yog xa qeeb, vim nws siv sijhawm los rhuav nws.

Tib lub sijhawm, cov kua dej yog tsim tawm hauv cov khoom me me, tsuas yog siv tag nrho cov piam thaj hauv cov ntaub so ntswg.

Yog tias muaj cov piam thaj hauv cov ntshav ntau, nws los ntau zaus hauv cov kab loj, thiab nws cov dej ntau dua li lub zog qhov xav tau ntawm lub cev, cov tshuaj tiv thaiv insulin maj mam pib tsim. Nws sawv cev rau qhov txo qis hauv kev ua haujlwm ntawm insulin. Receptors ntawm lub cell week tsis nco qab txog qhov qog thiab cia cov piam thaj hauv, cov ntshav qab zib kom nce, ntshav qab zib muaj zog.

Ntxiv rau kev tiv thaiv cov tshuaj insulin, qhov ua rau tus kab mob no yuav ua tsis tau txaus los ntawm insulin ntau vim yog pancreatitis, mob qog (e.g. insulinoma), kev hloov pauv cystic, thiab kev raug mob ntawm pancreatic.

Cov tsos mob ntawm kev mob ntshav qab zib thiab cov paib

Vim qhov tseeb hais tias nrog kev mob ntshav qab zib, cov ntshav hloov pauv tsis tseem ceeb, nws tsis muaj cov tsos mob tiag tiag. Cov neeg mob uas pib ua lub siab tsis txaus siab pom qee yam teeb meem thiab sab laj nrog kws kho mob tsis tshua muaj neeg. Feem ntau, kev noj qab haus huv tsis zoo yog vim muaj kev qaug zog, tsis muaj cov vitamins thiab minerals, thiab kev tiv thaiv tsis zoo.

Tag nrho cov cim qhia ntawm ntshav qab zib tau cuam tshuam nrog cov ntshav qab zib ntau ntau. Nws tau pom tias muaj kev puas tsuaj tsawg kawg rau cov hlab ntsha thiab hlab ntsha ntawm tus neeg mob pib txawm tias ua ntej nws muaj ntshav qab zib.

Cov tsos mob ua tau:

Ua kom nqhis dej ntau ntxiv, ua paug ntawm cov leeg mos, ua kom lub cev qhuav dej, khaus tawv nqaij. Cov tsos mob no tau piav qhia los ntawm qhov tseeb tias lub cev xav tau cov kua dej ntau dua rau qhov qab zib. Kev nce ntawm kev noj haus hauv dej tuaj yeem pom muaj qhov nce ntxiv thiab ntau ntxiv ntawm cov zis. Lub cim ceeb toom yog qhov pom ntawm lub sijhawm tsaus ntuj sawv mus rau hauv chav dej, yog tias yav dhau los lawv tsis tuaj.
Nce kev tshaib kev nqhis vim tsis muaj cov leeg noj zaub mov, yog tias muaj cov tshuaj insulin tsis ua haujlwm.
Khaus ntawm daim tawv nqaij thiab ntawm chaw mos. Vim tias cov piam thaj hauv thaj nce siab ntxiv, cov capillaries me tshaj plaws yuav raug da dej thiab rhuav tshem. Raws li qhov tshwm sim, kev tawm ntawm cov tshuaj lom los ntawm cov qog qeeb qeeb tuaj. Receptors nrog ib qho khaus teeb liab ntawm kev ua tsis zoo.
Pom qhov ua rau ib ntus hauv daim ntawv uas pos huab, plooj txho. Qhov no yog li cas tearing ntawm cov hlab ntsha hauv qhov retina yog manifested.
Acne thiab abscesses ntawm daim tawv nqaij.
Cramps hauv plab hlaub nqaij leeg, feem ntau ze rau sawv ntxov. Cov tsos mob no tshwm sim nrog kev muaj zog cov tshuaj insulin, thaum nqaij tshaib plab pib.
Tus neeg tsis paub tab, hnov zoo li cua sov, kub nplaim, txob taus. Qhov no yog li cas lub cev ua haujlwm tiv thaiv cov tshuaj insulin kom ntau.
Nquag mob taub hau vim qhov tshwm sim tsis zoo ntawm cov piam thaj ntawm cov hlab ntsha ntawm lub paj hlwb.
Cov pos hniav los ntshav.

Yog tias cov tsos mob dubious tshwm sim, kuaj ntshav qabzib yuav tsum ua kom txiav txim siab tau tus mob ntshav qab zib. Kev ntsuas cov ntshav qab zib nrog lub ntsuas ntshav hauv tsev tsis txaus, vim tias cov khoom siv no yog tsim los rau cov neeg mob ntshav qab zib thiab tsis muaj qhov tseeb txaus los kuaj pom cov kev hloov me me hauv cov ntshav sib xyaw.

>> Txoj kev kuaj ntshav qabzib tau licas (GTT)

Kho puas tau tus mob ntshav qab zib?

Lub neej yav tom ntej ntawm tus neeg mob ntshav qab zib yuav ua tiav hauv nws txhais tes. Tsuas yog nws thiaj muaj peev xwm xaiv.

Koj tuaj yeem txuas ntxiv mus zaum yav tsaus ntuj nyob rau hauv pem hauv ntej ntawm TV nrog tshuaj yej thiab koj nyiam cov ncuav mog qab zib thiab vim li ntawd, siv koj lub neej tag rau kev tawm tsam cov ntshav qab zib thiab nws muaj ntau yam teeb meem.

Thiab koj tuaj yeem hloov koj lub siab, txoj kev ua neej thiab kev xav txog kev mob ntshav qab zib ua kom nco qab tias lub hlwb noj qab haus huv tsis tuaj yeem ua yam tsis muaj lub cev noj qab haus huv.

Qhov kev txwv nyob rau hauv cov zaub mov ntawm cov carbohydrates ceev, poob ceeb thawj, kev kawm txog lub cev ua haujlwm xav tau. Txawm hais tias qhov kev siv zog tsawg tshaj tawm them ntau zaus.Piv txwv li, qhov kev poob phaus tsuas yog 7% txo cov kev pheej hmoo ntshav qab zib los ntawm ntau npaum li 58%. Ib qho kev qhuab ntuas ua raws li tag nrho cov lus qhia ntawm kws kho mob tuaj yeem kho tau qhov mob ntshav qab zib, thaum txo kev pheej hmoo ntawm kev kub siab, mob plawv thiab mob raum los ntawm 1.5 zaug.

Yuav tiv thaiv kev txhim kho ntshav qab zib li cas

Yog kuaj pom tias tsis ua haujlwm tsis muaj qabzib ntev, xav kom teem sijhawm nrog tus kws kho keeb endocrinologist.

Nws yuav tsa ntxiv cov kev kuaj mob ntxiv kom paub txog qhov kev pheej hmoo ntawm ntshav qab zib nyob ze yav tom ntej, txhawm rau txiav txim siab theem ntawm kev puas tsuaj rau phab ntsa ntawm cov hlab ntsha.

Nrog rau ib daim ntawv tsis txawv ntawm kev rog (piv txwv, hauv cov poj niam ntawm hom xov tooj), kev kawm txog keeb kwm keeb kwm tshuaj menyuam yuav yog tus kws kho.

Raws li cov ntaub ntawv tau txais hais txog lub xeev kev noj qab haus huv, ib qho kev pab cuam ib leeg rau kev kho mob ntshav qab zib yuav muab sau ua ke. Nws muaj peb ntu: cov khoom noj tshwj xeeb, kev tawm dag zog thiab tshuaj.

Thawj ob yog qhov yuav tsum tau ua, yog tias tsis muaj lawv qhov kev cuam tshuam ntawm metabolic tsis tuaj yeem tshem tawm. Tab sis qhov ua tau zoo ntawm cov tshuaj tsawg dua. Lawv txo txoj kev pheej hmoo mob ntshav qab zib los ntawm ib feem peb xwb.

Yog li, cov tshuaj yog kws kho raws li kev txhawb rau cov neeg rog heev lossis yog tias tus neeg mob tsis muaj kev tiv thaiv txaus thiab kev ua siab ntev raws li kev noj zaub mov noj.

Kev siv cov khoom noj tshwj xeeb

Lub hom phiaj ntawm kev noj haus rau kev kho mob ntshav qab zib:

txo hauv calorie kom tsawg,
kom ntseeg tau yam yam qab zib zoo,
txo hauv cov piam thaj hauv cov ntshav.

Kev kho mob ntawm cov ntshav qab zib ua tsis tau yog tias tsis muaj qhov ua tiav ntawm kev noj zaub mov los ntawm kev ua kom sai. Cov no yog tag nrho cov khoom lag luam nrog cov lej glycemic saum toj 50 pawg.

Txheeb xyuas GI cov lus, them sai sai rau cov zaub mov uas muaj qhov ntsuas qis, uas tau tawm mus ua qhov tsis nco qab uas nco qab hauv koj cov zaub mov. Qhib cov chav ua noj lossis qhov chaw, nrhiav cov zaub mov txawv raws li lawv.

Yog tias koj tau tswj fwm tsis tsim kev noj qab haus huv, tab sis kuj muaj cov zaub mov zoo rau koj, qhov no yuav yog ib kauj ruam loj heev ntawm kev kov yeej cov ntshav qab zib.

Yuav ua li cas thiaj ua rau cov zaub mov noj uas muaj ntshav qab zib kom ua tau zoo npaum li sai tau:

Sau koj lub tub yees nrog cov khoom noj uas tsis pub kom tsis txhob raug ntxias los ntawm kev phom sij. Nqa daim ntawv teev cov khoom lag luam rau lub khw muag khoom kom tsis suav nrog kev yuav khoom ntxiv.
Kho cov tais diav uas tau npaj lawm, tsim kom muaj qhov chaw zoo, zoo rau cov neeg nyiam. Hauv ntej, ua txhua yam kom qhov kev noj haus tsis pom zoo ua kev txwv, tab sis raws li kauj ruam ntawm txoj hauv kev rau lub neej muaj kev noj qab nyob zoo.
Txhawm rau kom cov piam thaj nkag mus rau hauv cov ntshav tusyees, noj zaub mov me me 5 zaug ib hnub.
Thaum koj tawm hauv tsev mus noj mov nrog koj. Txog kev mob ntshav qab zib ua ntej, koj tuaj yeem noj cov zaub tws, txiv ntoo, thiab cov hmoov txhuv tag nrho ua khoom txom ncauj.
Tsis txhob muab cov suab thaj rau hauv cov tshuaj yej. Yog tias koj tsis tuaj yeem tso nrog qhov tshiab saj, yuav cov khoom qab zib.
Tso cov kas fes tag. Nrog rau kev nqus qis ntawm cov khoom qab zib hauv koj lub cev, txawm tias kev haus dej haus me ntsis los ntawm ib feem peb yuav ua kom muaj ntshav qab zib ntau.
Tham nrog endocrinologist. Yog tias koj muaj cov qib insulin siab, cov khoom siv mis nyuj yuav tsum tau muab tso tseg li ob peb lub hlis. Nws tau tsim los uas lawv muaj cov insulin siab txaus, uas yog, lawv ua rau muaj kev cuam tshuam ntau tshaj tawm ntawm lub cev.

Hloov koj txoj kev noj haus nrog ntshav qab zib yog qhov nyuaj. Txawm koj lub cev yuav tawm tsam koj. Xyoo dhau los, nws tau dhau los ua qhov yooj yim rau lub zog tsim khoom, yog li txhua yam zaub mov tsis muaj khoom noj sai sai yuav zoo li tsis qab thiab tsis tuaj yeem.

Nws siv sijhawm, feem ntau yog siv li 2 hlis, rov kho cov metabolism.

Yog tias koj tswj hwm kom tiv thaiv lub sijhawm no, koj yuav xav tsis thoob xav tias cov zaub tshiab nrog nqaij tuaj yeem ua kom qab, thiab txiv hmab txiv ntoo rau cov khoom qab zib coj kev xyiv fab tsis muaj tsawg dua li ib qho ncuav mog qab zib.

Cov kev tawm dag zog lub cev ntawm ntau yam

Noj zaub mov zoo rau ntshav qab zib tsis txaus. Nws yog qhov tsim nyog tsis yog los tswj kom muaj lub suab thaj hauv lub cev, tab sis kuj tsim txoj hauv kev rau nws qhov nqus tau.

Txoj hauv kev muaj txiaj ntsig zoo tshaj plaws los txo cov tshuaj tiv thaiv insulin thiab txhim kho qhov ntws ntawm cov piam thaj ntawm cov ntshav mus rau hauv cov cell yog los ntawm kev tawm dag zog.Cov nqaij yog qhov tseem ceeb ntawm kev siv lub zog hauv peb lub cev.

Qhov ntau lawv ua haujlwm, qis dua qib qab zib yuav yog.

Txhawm rau kom tshem tawm cov mob ntshav qab zib, kev ua kis las tsis tas yuav yog. Nws ntseeg tau hais tias rau kev kho mob ntawm cov khoom noj hauv lub cev, ib nrab hnub ua haujlwm ib hnub lossis teev peb zaug hauv ib lub lim tiam yog txaus.

Thawj lub hom phiaj ntawm txoj kev mus rau lub neej muaj kev noj qab haus huv yog ua txhaum tus cwj pwm ntawm zaum feem ntau. Pib tsiv - taug kev yav tsaus ntuj, maj mam nce qib thiab qhov deb. Taug kev ua haujlwm, nce toj ntaiv, tsis yog lub elevator, ua lub dag zog yooj yim thaum saib TV lossis sib tham hauv xov tooj.

Cov kauj ruam tom ntej yog kev kawm ua ntu zus. Xaiv zaj lus qhia uas koj nyiam, xyuas nrog koj tus kws kho mob yog tias nws tau tso cai rau koj kev mob nkeeg. Rau cov neeg rog, txhua yam dej num hauv pas dej lossis taug kev yog qhov pom zoo. Nrog lub cev nyhav dhau los me me - khiav, pab pawg ua si, kis las lub caij ntuj no, seev cev, muaj peev xwm.

Thaum pib ntawm kev cob qhia, lub ntsiab tseem ceeb yog kom tsis txhob overdo nws. Kev tawm dag zog yuav tsum muab cov plawv dhia nce mus ib nrab. Yog tias koj sab, maj mam kho. Nws yog qhov zoo dua rau kev ua tiav koj lub hom phiaj tom qab me dua kom tawm ntawm kev sib tw thaum kho ib nrab.

Muaj kev ua si ntau ntxiv, tsis txhob hnov qab txog kev so zoo. Yog li tias lub cev tuaj yeem yooj yim nrog cov rog rog, koj yuav tsum tau pw txog 8 teev. Cov tshuaj Insulin yog tsim thaum hmo ntuj hauv qhov ntau thiab tsawg, yog li cov ntshav los ntawm cov piam thaj ntau dhau yuav tsum tau tso tawm ua ntej: kev coj ua thaum yav tsaus ntuj thiab tsis txhob noj 2 teev ua ntej yuav mus pw.

Puas yog xav tau tshuaj?

Ntau zaus tshaj tsis, kev hloov pauv hauv lub neej muaj txaus txaus los kho tus mob ntshav qab zib. Lawv sim tsis txhob muab tshuaj rau kev txhim kho cov nyhuv kom tsis txhob muaj kev phiv ntxiv.

Yog tias tom qab 3 lub hlis txij li tau pib kho kom tsis muaj kev cuam tshuam, koj yuav tau noj tshuaj Metformin. Cov tshuaj no muaj peev xwm txo cov synthesis ntawm qabzib los ntawm lub siab, uas txhais tau tias nws yuav pab tau kom ceev ceev glycemia.

Tsis tas li ntawd, nws txo cov tshuaj tiv thaiv insulin, uas yog, tom qab noj mov, qab zib los ntawm cov ntshav yuav nkag mus rau hauv lub hlwb sai sai. Lwm qhov ua tau zoo ntawm Metformin yog ib qho kev txo qis ntawm kev nqus ntawm cov piam thaj los ntawm cov hnyuv.

Ib feem ntawm cov piam thaj noj yuav ua rau hauv cov quav.

Haus Metformin tag nrho nws lub neej hauv kev cia siab tias yuav tiv thaiv ntshav qab zib yog qhov txaus ntshai. Thaum noj nws, tsam plab, mob plab, kev fab tshuaj tuaj yeem pom. Yog tias rau qee qhov laj thawj cov tshuaj yuav tsis tawm los ntawm lub raum hauv lub sijhawm, kev pheej hmoo ntawm mob lactic acidosis muaj ntau.

Kev siv mus sij hawm ntev provokes ib tug tsis muaj vitamin B12, fraught nrog kev tuag ntawm lub paj hlwb thiab lub siab. Yog li, kev teem sij hawm ntawm Metformin tsuas yog txiav txim siab tsuas yog thaum muaj kev kho mob ua tsis tau yam tsis muaj kev txhawb nqa kho mob.

Feem ntau qhov no yog mob ntshav qab zib hom 2, tsis yog ntshav qab zib.

Puas yog kev kho tiav tiav?

Mob ntshav qab zib yog yam mob ua ntej cov ntshav qab zib. Qhov txawv tseem ceeb yog tias ntu ntawm cov kab mob endocrine system ua haujlwm tsis zoo, vim tias qhov twg cuam tshuam tsis ua rau muaj qabzib.

Raws li qhov tshwm sim, tus txiav ua tsis tau tsim tawm cov tshuaj insulin, uas yav dhau los. Ntawd yog, nrog kev txheeb xyuas no, tib neeg tau cais raws li qhov pheej hmoo ntawm kev txhim kho hom thib ob ntawm cov ntshav qab zib mellitus.

Tab sis, txawm hais tias muaj kev pheej hmoo ntawm tus kab mob, kev kho tuaj yeem nqa tawm tiav yog tias koj mus cuag tus txheej txheem kom raug.

Txhawm rau rov qab cov suab thaj kom rov zoo li qub, koj yuav tsum tau rov pib kho koj tus kheej txoj kev ua neej, tshwj xeeb tshaj yog kev noj haus, kev siv lub cev.

Tus mob no feem ntau ua tau nws tus kheej kiag li yam tsis tau xav txog thaum lub sij hawm poob ntawm lub cev cov ntaub so ntswg ntawm lawv qhov kev cuam tshuam rau cov tshuaj hormones synthesized los ntawm tus txiav. Yog li, kev nce ntxiv hauv qab zib tshwm sim.

Raws li cov kev mob tshwm sim, angiopathy tuaj yeem tsim kho thaum muaj mob ntshav qab zib.

Cov laj thawj rau kev kuaj mob

Yog tias koj tsis tau sab laj ib tus kws kho mob tam sim ntawd, ces ntau yam kev mob tshwm sim ntawm ntshav qab zib yuav tshwm sim uas cuam tshuam rau kev ua haujlwm ntawm txoj hlab ntshav, qhov muag, ntshav khiav. Raws li qhov tshwm sim, cov laj thawj rau kev mus ntsib kws kho mob yog:

Rog dhau
Mob ntshav qab zib thaum xeeb tub
Muaj piam thaj ntau ntau thaum ntsuas cov ntawv xeem,
Muaj hnub nyoog tshaj 45 xyoos
Polycystic lub zes qe menyuam,
Siab triglycerides, roj nyob rau hauv kev tsom xam.

Nws yog qhov tsim nyog tias kev mob ntshav qab zib feem ntau tsis muaj tsos mob, txawm hais tias muaj kev zam. Tom qab ntawv tuaj yeem tshwm sim hauv cov kev sib txawv:

Thab thab
Txo qhov muag pom muaj nuj nqi,
Cov khaus ntawm cov qog ua kua thiab tawv nqaij,
Kev nqhis dej heev
Cramp thaum tsaus ntuj
Kev ua haujlwm tsawg dua ntawm cov kabmob ntawm cov tsis pom kev,
Nce tso zis.

Yog tias xav tias ntshav qab zib tau xav, ces yuav tsum tau muaj ntshav pub ntshav qab zib. Feem ntau siv los txiav txim xyuas qhov xwm txheej ntawm cov piam thaj. Yog tias qhov ntsuas tau qis dua li 6 mmol / l, lub xeev kev mob ntshav qab zib tau npaj tseg.

Kev tsom xam muab rau ntawm qhov khoob khoob, thiab thaum sawv ntxov. Ua ntej tso ntshav pub dawb, txawm tias dej tsis pub kom qaug cawv.

Yuav kho li cas

Txawm hais tias kev kuaj pom tias "mob ntshav qab zib" tau tsim los, koj yuav tsum muaj feem cuam tshuam nrog cov xwm txheej los ntawm kev ua cov txheej txheem coj los kho txoj kev to taub. Nrog txhua cov lus pom zoo, nws yooj yim los tiv thaiv kev txhim kho hom mob ntshav qab zib thib ob.

Feem ntau, nrog kev tsis hnov qab cov ntshav tsis haum rau cov neeg mob, cov tsos mob tshwm sim ntawm tus neeg mob ntshav qab zib tsis tshwm sim, thiab feem ntau ua rau tsis muaj asymptomatic. Ntawd yog, qhov no yog ciam teb xeev uas muaj coob tus neeg nyob, tsis hais tias yog kev hem thawj.

Tab sis yog tias koj ua raws li cov lus qhia hauv qab no, tom qab ntawd koj tuaj yeem tso tseg thiab rov qab mob ntshav qab zib:

Cov khoom noj kom zoo
Tso kev phem tsis zoo,
Kev kho ntshav siab
Ua kom muaj zog ntawm cov leeg hlwb thiab cov hlab plawv,
Kev kho mob ntawm cov kab mob uas twb muaj lawm,
Txo cov roj cholesterol,
Kev tawm dag zog lub cev.

Nws yog qhov tsim nyog tias kev noj zaub mov thiab kev ua kis las pab txhawm rau txhim kho kev ua haujlwm ntawm lub cev, uas ua rau tsis tsuas yog tshem tawm cov kev phom sij, tab sis tseem txhim kho qhov kev ua siab ntev, cov kev ntsuas dav dav ntawm ntau lub.

Kev kho noj haus

Cov hau kev no pab txo cov ntshav qab zib. Nyob rau hauv parallel, nws muaj peev xwm poob phaus ntxiv. Ntxiv mus, normalization ntawm ceeb thawj ua lub luag haujlwm tseem ceeb hauv qhov teeb meem no. Cov cai ntawm khoom noj khoom haus yooj yim:

Cov fiber ntau
Me qhov ntau thiab tsawg
Kev noj haus tsawg
Kev tsis kam los ntawm cov khoom noj ceev, cov khoom tiav ib nrab,
Tsis kam ntawm muffin thiab pastry ntawm confectionery orientation,
Ntxiv rau cov zaub xam lav, zaub ntsuab, legumes, txiv hmab txiv ntoo, zaub kom cov zaub mov noj,
Kev noj cov pob kws (suav nrog cov khaub noom), qos yaj ywm, mov thiab lwm yam khoom noj uas muaj cov hmoov txhuv nplej ntau yog tsawg.
Kev siv 1.5-2 liv dej rau ib hnub,
Ua noj ua haus hauv qhov cub, lossis los ntawm kev ua noj lossis muab cub,
Kev tsis kam los ntawm cov khoom qab zib, chocolate thiab lwm yam carbohydrates ceev (nrog rau cov dej qab zib hauv cov dej qab zib).

Qhov tsim nyog, koj yuav tsum xaiv cov zaub mov uas muaj rog tsawg thiab muaj glycemic index. Raws li, peb tuaj yeem xaus lus tias caloric kom tsawg yog lub luag haujlwm tseem ceeb hauv kev tshem tawm lub xeev cov mob ntshav qab zib. Yog li ntawd, cov calories kuj yuav tsum tau txiav txim siab, khaws cov ntawv khaws cia zaub mov noj.

Txawm hais tias kev noj zaub mov muaj kev txwv, lub cev tseem yuav tsum tau txais qhov tsim nyog ntawm txhua yam, suav nrog cov protein, carbohydrates, rog.

Kev npaj tshuaj ntsuab rau mob ntshav qab zib

Yog hais tias tus mob tshwm sim nrog cov tsos mob ntawm tus mob ntshav qab zib hom - khaus, nqhis dej, cramps thiab lwm yam, ces tshuaj ntsuab tuaj yeem txo tus mob. Lawv lub ntsiab kom zoo yog qhov tsawg dua cov lej sib kis, nrog rau cov kev mob tshwm sim tsawg dua. Yog li ntawd, cov kws kho mob tuaj yeem sau ntawv rau:

Cov nyhuv ntawm cov tshuaj no yog qhov ua rau lub cev ntau dua thiab tso cai rau koj kom tshem tawm tag nrho cov tsos mob tsis xav tau, thaum lub sijhawm txo cov ntshav qab zib kom tsawg. Tab sis tsis txhob yaum koj tus kheej tias tsuas yog cov ntsiav tshuaj thiab tinctures tuaj yeem tshem tawm qhov mob. Yog tias tsis muaj kev hloov kho hauv neeg lub neej, xws li cov nyhuv no tsuas yog kev ntsuas ib ntus uas tsuas yog ncua kev txhim kho kev mob ntshav qab zib hom 2 nyob rau lub sijhawm luv luv.

Lub cev qoj ib ce

Kev tawm dag zog tas li tom qab lub cev kev noj haus yog qhov thib ob rau kev kho mob ntshav qab zib ua ntej. Nyob rau tib lub sijhawm, nws tsis tas yuav tsum tau sau npe tam sim rau kev ua kom muaj zog. Koj yuav tsum pib nrog cov kev siv:

Taug kev hauv cov huab cua ntshiab li ib nrab ib teev,
Nce nce ntaiv
Them nyiaj
Me me ce.

Yog tias nyhav dhau heev, tam sim no kev cob qhia yuav tsum tau ua li rau rau lub sijhawm hauv ib lub lis piam. Nyob rau tib lub sijhawm, nws tsim nyog xav txog theem ntawm kev thauj khoom thiab kev npaj ntawm tus neeg. Nrog kev tawm dag zog lub cev, uas yog, qhov tsis muaj kev ua haujlwm ua ntej, nws tsim nyog muab qhov kev nyiam ua rau ncua kev kawm. Txog hnub, ib nrab tshooj qhia yog txaus nrog kev sib xyaw ntawm cov tshuaj cardio thiab lub zog, uas xaiv tau ib tus zuj zus.

Yog tias koj cuam tshuam sai nrog kev kho mob ntshav qab zib tseeb, tom qab ntawv muaj kev phom sij los zam kev txhim kho hom mob ntshav qab zib zaum ob. Ntxiv mus, ntau qhov ntau dua cov kauj ruam rau kev kho, qhov muaj feem ntau ntawm kev kho kom zoo.

Nws yog tsim nyog sau cia tias nws yog qhov zoo dua los qhia qhov kev cuam tshuam li ntawm mus tas li, uas yog, coj kev noj qab haus huv.

Hauv qhov no, tsis yog tsuas yog lub xeev cov ntshav qab zib yuav raug tshem tawm, tab sis kev pheej hmoo ntawm kev tsim kab mob ntsig tag nrho yuav ploj mus.

Ntshav Qab Zib: yuav ua li cas tiv thaiv kev txhim kho kabmob

Mob Ntshav Qab Zib yog ib yam teeb meem uas muaj cov metabolism hauv cov metabolism ua ntej qhov kev loj hlob ntawm hom 2 ntshav qab zib. Nws tau nyaij mus rau hauv daim ntawv latent, thawj cov kev tsis txaus siab feem ntau tshwm sim tsuas yog nrog kev txhim kho mob ntshav qab zib.

Nws yuav luag tsis yooj yim sua kom paub txog kev mob ntshav qab zib; txoj kev noj qab nyob zoo ntawm cov neeg feem coob uas muaj cov metabolism hauv lub cev tsis txaus siab yuav ua rau txaus siab rau qhov zoo.

Ntshav Qab Zib: Cov tsos mob thiab Kev kuaj mob

Muaj qee kis, cov neeg mob uas mob ntshav qab zib muaj qhov yws tias yuav ua kom yuag, nqhis dej, thiab qhov muag tsis pom, tab sis lwm qhov laj thawj yog yooj yim nrhiav rau cov tsos mob no.

Yog li, yog tias muaj kev ua rau lub siab xav txog cov ntshav qab zib, tus kws kho mob tau tshaj tawm txoj kev kuaj ntshav sai, ob teev tom qab noj mov, nrog rau kev ntsuam xyuas kev ntxhov siab, uas ntsuas cov ntshav qab zib cov ntshav ob teev tom qab noj 75 grams qab zib yaj hauv lub khob dej.

Kev kuaj mob yog tsim thaum:

Cov piam thaj hauv ntshav cov ntshav nce siab me ntsis ntawm lub plab khoob - ntawm 6 txog 6.9 mmol / L.
Muaj kev ua txhaum ntawm cov kua nplaum ua lub siab ntev, uas yog, tom qab kev sim nrog cov khoom siv carbohydrate, qib qab zib nce mus txog 8.9-12 mmol / l hauv ob teev.

Plaub hom ntshav qab zib hom 2

Ib pab neeg tshawb fawb ntawm Scandinavian hais tias muaj tsawg kawg yog tsib qhov mob ntshav qab zib: hom 1 lossis insulin-tseem nyob, nrog rau plaub yam sib txawv ntawm hom 2.

Hom 2, Pab Pawg 1 - Ntshav Qab Zib Loj Nrog insulin Qhov Cuam Tshuam (SIDD)Cov. Cov tub ntxhais hluas, feem ntau noj qab haus huv cov neeg muaj teeb meem insulin ntau lawm.Xws li cov neeg muaj HbA1C siab, lub cev tsis muaj peev xwm tiv thaiv cov kab mob, thiab tsis kam tiv thaiv qog ib puag ncig.

Hom 2, Pab Pawg 4 - Ntshav Qab Zib Menyuam Muaj Hnub Nyoog (MARD)Cov. Cov neeg uas pib mob ntshav qab zib thaum hnub kawg ntawm lawv lub neej thiab qhia pom cov tsos mob me.

Qhov tsis xwm yeem ntawm cov lus qhia kho mob ntshav qab zib

Kev kuaj ntshav hauv qab no yuav pab koj txiav txim siab yog tias koj muaj ntshav qab zib lossis ntshav qab zib:

Kev yoo mov insulin ntsuas - Qhov sim no tseem zoo dua. Cov qib ntshav hauv kev yoo ntshav ib txwm muaj qis dua 5, tab sis qhov tseeb koj yuav tsum ua kom lawv qis dua 3.

Kev ntsuam xyuas cov kua dej hauv lub qhov ncauj - Qhov no yog qhov kev ntsuas zoo tshaj plaws thiab tsis zoo tshaj plaws. Nws tau ua zoo ib yam rau PHTT (kev ntsuas lub suab qab zib), tab sis kuj ntsuas cov insulin qib siab. Sau cov ntaub ntawv thiab saib hauv Kraft phau ntawv los txiav txim seb koj puas muaj ntshav qab zib, uas yuav ua rau koj pom tseeb dua li kev yoo qab zib lossis insulin.

Yuav ua li cas kom tsis txhob muaj kab mob ntshav qab zib

Kev tawm dag zog tsis tu ncua thiab txav mus ntauthaum koj tsaug zog, koj lub hom phiaj yuav tsum tau zaum tsawg dua peb teev hauv ib hnub.

Txhim Kho Mob Lub Cev, ib txwm noj cov khoom noj uas twb muab zom lawm thiab / lossis siv cov tshuaj muaj txiaj ntsig zoo uas yuav luam tawm los ntawm econet.ru.

Koj puas nyiam tsab xov xwm? Tom qab ntawd pab txhawb nqa peb nias:

Leej twg muaj kev pheej hmoo

Txij li kev muaj ntshav qab zib tuaj yeem kuaj tau tsuas yog los ntawm kev sim hauv chav kuaj, cov neeg uas muaj kev pheej hmoo rau kev tsim cov metabolism hauv cov pluas noj tsis txaus siab yuav tsum kuaj xyuas lawv cov ntshav qab zib tsis tu ncua.

Daim ntawv muaj xws li:

Cov neeg uas muaj cov txheeb ze nyob nrog ntshav qab zib.
Cov poj niam mob polycystic zes qe menyuam lossis ntshav qab zib muaj menyuam.
Rog dhau.
Cov neeg muaj rog.
Cov neeg muaj hnub nyoog dhau ntawm 45, tshwj xeeb tshaj yog thaum sib xyaw nrog lwm yam kev pheej hmoo.
Cov neeg coj kev ua neej nyob sedentary.
Cov neeg mob uas kuaj pom tus mob metabolic tus mob. Nws yog qhov tshwj xeeb los ntawm cov tsis tseem ceeb ntawm cov tsos mob: rog rog plab, uas yog, rog cov rog hauv plab, mob ntshav siab, ntshav siab.

Kev kuaj mob raws sij hawm txog mob ntshav qab zib yog qhov tseem ceeb heev, vim nws tso cai rau koj ua ntsuas thiab tiv thaiv kev loj hlob ntawm cov mob hnyav li ntshav qab zib. Tsis tas li, cov neeg muaj kev puas tsuaj los ntawm kev saib xyuas ntshav qabzib feem ntau yuav muaj kev mob plawv - lawv yog ob npaug ntawm kev tuag los ntawm kev mob plawv lossis mob stroke. Nws yog ib qho tseem ceeb kom pib kho sai li sai tau.

Ntshav Qab Zib: yuav ua li cas

Raws li kev txheeb cais, kev mob ntshav qab zib mus rau hauv ntshav qab zib hauv kwv yees li 50% ntawm cov neeg mob. Qhov laj thawj rau qhov no, raws li txoj cai, tsis lees paub txog kev hloov pauv ntawm kev ua neeg nyob thiab kev tiv thaiv kev noj tsis zoo. Nws tau raug pov thawj tias nyob rau hauv rooj plaub ntawm kev ua kom yuag yuag ntau, nws txaus hloov pauv kev noj zaub mov txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau tiv thaiv kab mob ntshav qab zib mellitus.

Qhov tseem ceeb ntawm cov khoom noj muaj ntshav qab zib yog tswj cov piam thaj thiab cov rog hauv cov zaub mov noj. Lub hauv paus ntawm cov khoom noj khoom haus yuav tsum yog zaub, cereals, zaub mov uas muaj protein thiab fiber ntau. Ib qho tseem ceeb ntawm kev noj qab nyob zoo hauv lub neej yog kev ua kom lub cev.

Nrog rau qhov hnyav dhau, nws yog qhov yuav tsum tau txo nws, vim tias kev rog rog yog ib qho ntawm cov kev pheej hmoo txaus ntshai rau ntshav qab zib. Los ntawm kev txo kom yuag tawm los ntawm tsuas yog 10-15%, ua kom cov ntshav qabzib hauv lub cev tuaj yeem ua tiav.

Mob Ntshav Qab Zib yog qhov muaj mob txaus ntshai, tab sis nws thim rov qab nrog cov kev paub txog lub sijhawm thiab kev ua neej pauv hloov.

Mob ntshav qab zib yog dab tsi thiab nws tuaj yeem kho tau?

Coob leej tsis xav xav li cas qhov mob ntshav qab zib tuaj yeem ua rau lawv mob.Rau qee qhov, cov neeg no ntseeg tias cov neeg nyob sib ze, hauv yeeb yaj kiab, muaj cov kabmob zoo li no, thiab lawv yuav dhau los ntawm lawv thiab tsis txawm kov lawv.

Kev mob ntshav qab zib - nws yog dab tsi?

Mob Ntshav Qab Zib yog qhov siab ntawm qhov tshwm sim ntawm qhov pib thiab kev loj hlob ntawm ntshav qab zib. Qhov no puas tuaj yeem suav tias yog thawj theem ntawm tus kabmob?

Mob ntshav qab zib yog ib qho nruab nrab uas tus neeg tsim cov kab mob ua rau insulin, tab sis twb muaj nyob hauv qhov ntau thiab tsawg, los yog cov tshuaj insulin tsim nyob rau hauv ib qho dab tsi, tab sis cov roj ntsha ntawm lub cev tsis tuaj yeem nqus nws.

Cov tsos mob

Cov piam thaj ntawm qhov ntsuas:

Ntshav Qab Zib Daws Kev

Yoo Pleev Cov Puav Los Cem	5,6-6,9	> 7
Cov piam thaj 2 teev tom qab noj mov	7,8-11	>11
Glycated hemoglobin	5,7-6,4	>6,5

Tsis tas li, erectile kawg ua haujlwm nws tus kheej hauv cov txiv neej, uas cuam tshuam tsis zoo rau tus neeg mob lub cev (kev sib deev) hauv lub neej. Hauv cov poj niam, tus kab mob qee zaum muab qhov zoo nkauj ua kom zoo nkauj - hnub nyoog me ntsis ntawm daim tawv nqaij ntawm lub ntsej muag, txhais tes, plaub hau thiab cov rau tes ua ntsej muag, nkig.

Ib qho ntxim nyiam ntawm cov tsos mob sab nraud ntawm ntshav qab zib yog qhov hnyav tshaj, tshwj xeeb tshaj yog thaum nrog cov hnub nyoog nce.

Lwm qhov tsos mob no yog qhov zoo nkaus li loog ntawm nqua, tingling. Qhov no yog tshwj xeeb muaj kev xav ntawm tes, ntiv tes.Thaum microcirculation ntshav ib txwm cuam tshuam vim yog qhov nce ntxiv nyob rau hauv cov piam thaj, qhov no ua rau lub cev tsis zoo ntawm cov khoom noj khoom haus ntawm lub hlwb xaus. Vim tias qhov no, tus neeg muaj qhov txawv txav txawv txav hauv tus qauv tingling lossis loog.

Thiab thaum kawg, khaus tawv nqaij, uas kuj yog ib qho ntawm cov tsos mob ntawm tus kab mob ntshav qab zib. Qhov no tuaj yeem ua qhov tsis txaus ntseeg, yuav ua li cas cov ntsuas ntshav qab zib tau ua rau koj cov tawv nqaij? Txhua yam yog yooj yim heev. Nrog hyperglycemia, ntshav ncig tsis zoo, uas ua rau txo qis ntawm kev tiv thaiv kab mob. Yog li, nyob rau hauv cov neeg mob ntshav qab zib, cov kev rov tsim dua ntawm cov kab mob fungal ntawm daim tawv nqaij feem ntau pib, uas ua rau zoo li khaus.

Cov hau kev kho

Kev ntxhov siab ntawm lub cev, kev ntxhov siab tsis tu ncua thaum ua haujlwm tuaj yeem ua rau lub zog loj hlob rau cov kab mob loj, nrog rau mob ntshav qab zib.

Nyob rau theem ntawm kev mob ntshav qab zib, tshuaj ntsuab ntawm pej xeem thiab ntau yam kev siv tshuaj tsis siv tshuaj kho yuav ua kom tiav.

Koj yuav tsum tsis txhob saib xyuas koj cov zaub mov kom zoo xwb, tab sis kuj tshem tawm ntau yam tsis zoo thiab. Qee lub sijhawm nws txaus los txiav luam yeeb lossis txo qis kev haus cawv uas muaj cawv los tiv thaiv qhov pib ntawm ntshav qab zib.

Koj yuav tsum txo qis cov khoom qab zib hauv koj cov zaub mov txhua hnub lossis tshem tawm nws ua rau nws tag nrho. Lawv noj ntau dhau kuj tuaj yeem txiav txim tau tus mob ntshav qab zib.

Mob Ntshav Qab Zib - ua rau mob, tsos mob, tswj ntshav qab zib thiab zaub mov kom raug los ntawm cov ntawv qhia zaub mov

Qhov txaus ntshai ntawm kev mob ntshav qab zib yog tias feem ntau, raws li kev txheeb cais thiab kev kwv yees ntawm cov kws paub, nws loj hlob mus rau hom 2 mob ntshav qab zib mellitus hauv ob peb xyoos.

Lub xeev cov mob ntshav qab zib tsis tuaj yeem thim tsis tau, thiab nrog kev nce qib ntawm kev tswj tus kheej thiab kev soj ntsuam nruj ntawm cov ntawv kho mob, tus neeg mob tuaj yeem tswj nws txoj kev noj qab haus huv thiab nqa ntshav qab zib kom zoo.

Lub xeev cov mob zeem muag yog tus cwj pwm mob tsis txaus siab rau tus neeg mob cov ntshav. Nrog rau kev mob ntshav qab zib, kev tsim ua cov kab mob pancreatic enzyme poob qis me ntsis, thiab cov ntshav qab zib kom nws twb dhau ntawm ib txwm lawm, tab sis tseem tseem tsis tau txog qib uas cov ntshav qab zib hom 2 tau kuaj pom. Sij hawm dhau los, tus kab mob no hu ua mob ntshav qab zib-theem.

Lub hauv paus tseem ceeb ntawm cov ntshav qab zib (xws li ntshav qab zib hom 2) yog ib qho pauv hloov ntaub so ntswg tiv thaiv cov tshuaj insulinCov. Ib qho ntawm cov haujlwm ntawm cov tshuaj no yog los thauj cov piam thaj mus rau cov kab mob ntawm lub cev.

Thaum cov khoom noj carbohydrates nkag mus rau hauv cov ntshav, cov txiav ua cov kua dej los tsim cov tshuaj insulin, thiab nrog cov piam thaj ntau dhau, cov tshuaj tiv thaiv insulin maj mam pib zuj zus - qhov qis ntawm cov tshuaj hormone, lub peev xwm ntawm cov cell ua kom paub txog nws thiab koom nrog kev ua cov kua nplaum.

Ntxiv rau txoj kev loj hlob ntawm insulin tsis kam, txo qis ntawm insulin ntau lawm hauv pancreatitis lossis ntau yam kab mob pancreatic (hlav (insulinoma), cystic hloov, raug mob) tuaj yeem ua rau mob ntshav qab zib.Raws li kev txheeb cais, cov neeg mob yuav muaj kev pheej hmoo rau lub xeev cov kab mob ntshav qab zib:

rog
nrog kub siab (ntshav siab nrog cov nqi ntawm 140/90 thiab siab dua),
nrog cov ntsuas tsis ruaj khov ntawm kev soj ntsuam cov piam thaj,
cov roj (cholesterol) thiab triglycerides,
ntau dua 45 xyoos
Cov poj niam uas muaj polycystic ovary,
Cov poj niam uas muaj mob ntshav qab zib hauv plab thaum cev xeeb tub.

Kev kuaj mob ntshav qab zib

Nyob rau ntawm qhov muaj cov tsos mob tsim nyog, ntau tus txheej txheem yooj yim yog siv los kho cov neeg mob cov ntshav nrog lub luag haujlwm thiab kos cov lus xaus hais txog kev muaj peev xwm txhim kho cov ntshav qab zib tau.

Txog qhov raug ntawm cov ntaub ntawv tau txais, ntshav sib piv yog nqa tawm ntawm lub plab khoob, 10 teev tom qab noj mov tas los.

Hnub ua ntej kev kuaj mob, tus neeg mob tau qhia kom tso tseg kev haus luam yeeb thiab qoj ib ce, nws qhov kub thiab ntshav siab thaum lub caij pub ntshav yuav tsis zoo. Cov kev tshawb fawb hauv qab no pab txheeb xyuas kev txhim kho kabmob:

Kuaj ntshav qabzib ua siab ntev - txiav txim qhov feem txeem ntshav qabzib rau hauv cov ntaub so ntswg. Qhov ntsuas loj tshaj 7.5 mmol / L yuav qhia tias pom muaj ntshav qab zib ntau.
Kev yoo mov glycemia - ntshav txhaws yuav tsum tau kuaj. Qhov taw qhia tias hloov ntawm 6 mus rau 7 mmol / l qhia pom tias muaj kev txhim kho ntawm tus kabmob.
Yoo cov insulin - yoo ntau tshaj 13 13IU / ml yog cov pov thawj ntawm ntshav qab zib.
Glycated hemoglobin - nrog rau cov ntshav qab zib, qhov taw qhia nws txawv ntawm 5.7 thiab 6.5%.