Cov kev ntsuas kev npaj cev xeeb tub: ib daim ntawv uas yuav tsum tsis txhob saib tsis taus

Rau cov poj niam kuaj mob ntshav qab zib, tsis hais txog nws hom, kev npaj cev xeeb tub yog qhov tseem ceeb. Kev xeeb tub uas tshwm sim rau cov ntshav qab zib uas tsis muaj qab hau yog txuam nrog qhov kev pheej hmoo siab rau kev noj qab haus huv ntawm tus menyuam hauv plab thiab tus poj niam nws tus kheej. Cov kev pheej hmoo no cuam tshuam nrog kev nce qib ntawm cov teeb meem vascular, qhov tshwm sim ntawm hypoglycemic tej yam kev mob thiab ketoacidosis. Hauv cov neeg mob uas decompensated carbohydrate metabolism, teeb meem ntawm cev xeeb tub thiab yug menyuam yog qhov muaj peev xwm ntau dua li cov pej xeem. Yog li, kev tswj kom tsis txhob muaj menyuam yaus yuav tsum siv ua ntej ua tiav kev soj ntsuam thiab npaj rau kev pib ntawm cev xeeb tub.
Kev npaj tsim nyog suav nrog kev kawm ib leeg thiab / lossis pab pawg hauv "tsev kawm mob ntshav qab zib" thiab ua tiav kev them nyiaj rau cov khoom noj carbohydrate tsawg kawg yog 3-4 lub hlis ua ntej xeeb tub. Lub hom phiaj ntshav ntshav ntshav glycemia thaum npaj lub plab khoob / ua ntej cev xeeb tub yog nruj me dua 6.1 mmol / L, tom qab 2 teev tom qab noj tsawg dua 7.8 mmol / L, HbA1c (glycated hemoglobin) yog nruj me ntsis tsis tshaj 6.0%. Ntxiv nrog rau kev tswj glycemic, nws yog ib qho tsim nyog los tswj cov hom phiaj tseem ceeb ntawm cov nuj nqis rau cov ntshav siab (BP) - qis dua 130/80 hli RT. Kos duab ..
Cov poj niam uas muaj ntshav qab zib hom 1 muaj qhov pheej hmoo ntau dua ntawm cov mob qog, thiab vim li ntawd, cov neeg mob no tau pom zoo ntxiv rau kev kuaj ntsuas cov ntshav qog ua haujlwm.
Nyob rau theem ntawm kev npaj xeeb tub, yog tias tsim nyog, kev kho mob ntawm kev mob ntshav qab zib mellitus (retinopathy, nephropathy) kuj tau ua.
Txhawm kom txo txoj kev pheej hmoo ntawm teeb meem los ntawm tus me nyuam hauv plab thiab teeb meem ntawm cev xeeb tub nws tus kheej, noj txhua hnub ntawm folic acid thiab potassium iodide raug pom zoo (hauv qhov tsis muaj contraindications).
Cev xeeb tub yog qhov tsis xav tau nrog glycated hemoglobin ntau dua 7%, mob raum, mob ntshav siab, lub qhov muag puas, mob nrawm lossis exacerbation ntawm tus kab mob mus ntev (piv txwv li, tonsillitis, pyelonephritis, mob ntsws).

Cov kev ntsuam xyuas xav tau dab tsi thaum npaj lub cev xeeb tub?

Cov kev sojntsuam tau zoo ntawm txoj kev npaj xeeb tub yuav suav nrog kev sim ntsuas thiab sab laj nrog qee tus kws tshaj lij. Muaj cov haujlwm yuav tsum ua thiab cov uas pom zoo kom hla dhau ntawm kev ua txhaum lossis pathologies hauv lub cev ntawm tus poj niam. Yog li, yuav tsum xeem ua ntej thaum npaj kev cev xeeb tub xws li:

Kev tshawb fawb txog kab mob thiab kab mob:

  • AIDS
  • mycoplasmosis, mob chlamydia, ureaplasmosis, gardnerellosis, vim lawv ua rau muaj menyuam phom sij ntau:
  • rubella. Yog tias tus poj niam tsis muaj tshuaj tiv thaiv rau tus kab mob no, nws yuav tsum tau txhaj tshuaj tiv thaiv kab mob thiab kev xeeb tub tuaj yeem nqa tawm 3 lub hlis tom qab nws. Thiab yog tias cov tshuaj tiv thaiv tau pom, ces tsis muaj ib yam kev txhawj xeeb, uas txhais tau hais tias tus mob tau kis tau.
  • cytomegalovirus, mob pob txuv. Thawj qhov muaj tus kab mob nrog lawv ua tsis zoo los cuam tshuam tus me nyuam hauv plab,
  • toxoplasmosis. Yog tias cov tshuaj tiv thaiv nyob rau hauv cov ntshav, tom qab ntawd tus me nyuam hauv plab muaj kev tiv thaiv, tab sis yog tias lawv tsis tau, ces kev sib cuag nrog cov dev thiab miv yuav tsum txo kom tsawg thaum cev xeeb tub,
  • kev txiav txim siab hom ntshav.

Ntxiv rau, nws yog qhov yuav tsum tau mus tshuaj ntsuam xyuas mob ultrasound thaum npaj kev cev xeeb tub. Qhov no yuav pab tau kom tshem tawm qhov kev tsis sib haum xeeb hauv kev ua haujlwm ntawm lub plab hu ua thiab poj niam lub cev.

Qee qhov xwm txheej, tus kws kho mob poj niam tau hais qhia cov kev tshawb fawb hauv qab no rau leej niam:

  • kev tshuaj ntsuam kev tshuaj ntsuam thaum npaj cev xeeb tub. Nws yog ua kom tiav los txiav txim siab seb puas muaj qhov pheej hmoo rau koj nkawm kom yug menyuam nrog tus mob muaj kabmob. Yog tias ib qho ntawm cov neeg koom tes hauv tsev neeg muaj cov kab mob uas tau kis los ntawm niam txiv mus rau menyuam, ces qhov kev tshawb fawb no yog qhov tsim nyog.
  • kev tshuaj ntsuam cev xeeb tub thaum npaj lub cev xeeb tub yog noj yog tias tus poj niam rog dhau, rog dhau, ua ntxau lossis khaub ncaws tsis xwm yeem,
  • yog tias tus poj niam tsis xeeb tub rau ntau dua ib xyoos, tom qab ntawv nws yog qhov yuav tsum tau xeem kom dhau qhov kev kuaj mob sib xyaw nrog tus khub.

Yog tias koj mus dhau tag nrho cov kev sim thaum npaj phiaj xwm kev xeeb tub, ib daim npe uas tau muab los ntawm koj tus kws kho mob poj niam, tom qab ntawd koj tuaj yeem tshem qee yam kabmob hauv menyuam. Tsis tas li ntawd tseem muaj txoj kev cia xeeb tub thiab muab lub cev kom noj qab haus huv rau nws.

Koj yuav paub ntau ntxiv txog cov npe ntawm cov kev ntsuas rau kev npaj cev xeeb tub los ntawm cov yeeb yaj kiab no:

Kev sim thiab kuaj mob tseem ceeb rau cov poj niam muaj ntshav qab zib

Mob ntshav qab zib mellitus yog qhov kev ua txhaum ntawm lub cev, uas lub cev tsis muaj qhov tsis txaus ntseeg ntawm insulin. Cov tshuaj insulin yog ib yam tshuaj uas tsim tau los ua kua txiav ntshav. Yog tias tus poj niam uas muaj tus kab mob zoo li no xav ua leej niam, ces qhov no ua tau, tsuas yog siv txoj hauv kev xwb.

Yog tias tus poj niam muaj mob ntshav qab zib, tom qab ntawd ua ntej muaj menyuam, koj yuav tsum mus saib tsev kho mob thiab kuaj seb yuav tsum muaj kev tshuaj ntsuam dab tsi thaum npaj lub cev xeeb tub. Ua li no, sab laj rau tus kws kho mob poj niam.

Yuav pib nrog, tus poj niam yog kws kho cov kev tshawb fawb hauv qab no:

  • kev tsom xam dav dav ntawm cov zis, nrog rau cov zis txhua hnub. Qhov no yuav pab ntsuas tus kab mob hauv lub raum, nrog rau kev ua haujlwm,
  • ntsuam xyuas ntshav seb puas muaj suab thaj. Txhawm rau txo cov kev pheej hmoo ntawm cov me nyuam tsis zoo nyob hauv tus menyuam, cov piam thaj yuav tsum ua haujlwm tsis tu ncua nyob rau tag nrho lub sijhawm kev xeeb tub.

Ntxiv rau cov ntaub ntawv tshawb fawb, kev ntsuam xyuas kev npaj lub cev xeeb tub rau cov poj niam uas mob ntshav qab zib yog tib yam li rau cov niam kev noj qab haus huv. Nws yog qhov tsim nyog los txhawm rau kuaj pom muaj cov kab mob thiab kis kab mob hauv lub cev, txiav txim siab cov pab pawg ntshav, thiab yog tias tsim nyog, ua cov kev ntsuam xyuas keeb kwm thiab tshuaj tua kab mob lossis tshuaj ntsuam kom haum rau cov khub.

Yog tias muaj ntshav qab zib, tom qab ntawd tus poj niam feem ntau yuav raug xa mus rau tus kws kho mob ophthalmologist. Txij li surges hauv ntshav qab zib tuaj yeem tsim teeb meem qhov muag thiab kev txhim kho ntawm retinopathy, sab laj nrog oculist yog yuav tsum tau ua. Cov kev pheej hmoo ntawm kev muaj menyuam muaj kev vam meej thiab kev yug menyuam noj qab haus huv nce ntxiv thaum npaj nws. Qhov no tseem ceeb heev nyob rau ntawm cov kab mob xws li mob ntshav qab zib.

Qhov tseem ceeb tshaj plaws hauv qhov kev ua txhaum no yog tswj cov dej qab zib ib txwm nyob hauv ntshav thiab tsim cov xwm txheej zoo li no uas tus menyuam tuaj yeem loj hlob ib txwm. Yog tias koj cov insulin tsis txaus, ces nws raug txhaj rau hauv tus poj niam lub cev, thiab nws tsis ua mob rau lub cev me me. Yog li, ntshav qab zib thiab cev xeeb tub yog cov kev sib raug zoo.

Kuv xav nco ntsoov qhov tseem ceeb ntawm qhov kev tshwm sim xws li kev npaj cev xeeb tub. Yog tias tus poj niam xav yug me nyuam kom muaj lub dag zog zoo, ces nws yuav tsum tau saib xyuas nws tus kheej kom zoo thiab npaj rau kev xeeb tub ua ntej. Muaj qhov kev ntsuam xyuas uas yuav tsum tau ua txhawm rau txhawm rau kuaj pom tus mob thiab cov kab mob phom sij hauv lub cev ntawm leej niam lub cev xeeb tub, tab sis qee kis, tus kws kho mob poj niam muaj peev xwm sau ntawv tshawb fawb ntxiv thiab sab laj nrog kws kho mob.

17 Cov lus

Nyob zoo Kuv muaj hom 2 ntshav qab zib mellitus insulin tos txij xyoo 2002, Kuv xav tau me nyuam 22 xyoos, tab sis kuv tsis tuaj yeem muaj hnub nyoog li ntawm 3 xyoo ntawm tus menyuam muaj menyuam thiab tsis muaj dab tsi, TABSIS! Txij thaum lub sijhawm mob kuv tau dhia hauv cov ntshav qab zib, Kuv tsis tuaj yeem ruaj, Kuv noj zaub mov, tab sis kuv tsis tuaj yeem cuam tshuam kuv tus kheej ntau, Kuv yuav tau li cas? Tam sim no kuv tsis yaj kuv tus kheej cia siab rau ib tug txuj ci tseem ceeb :(

Zoo, nws zoo li rau kuv ntawm no, rau cov pib, koj muaj qee yam tsis-docking
1. Hom thib thiab insulin. li cas? Koj tsis hais dab tsi.
2. Cov quav yog dab tsi? koj tsis tuaj yeem vam khom insulin, lub neej nyob ntawm nws, nws tsis yog tshuaj
zoo thiab txuas ntxiv
3. Ua ntej koj yuav tsum tau mus cuag kws kho mob, dua li yog tus kws kho mob endocrinologist-gynecologist, nws yuav ua nws, sau ntawv mus kuaj thiab qhia koj tias yuav ua li cas. Thiab yog li ntawd los hais lus ntawm koj qhov teeb meem, los ntawm qhov koj tau sau, tsis muaj ib yam dab tsi tshwj xeeb uas tsis yooj yim sua. Mob ntshav qab zib tsis yog yam uas thaiv kev xeeb tub.
4. Thiab 2e muaj kev koom tes rau hauv tus txheej txheem, yog li qhov thib ob ib nrab tseem tsim nyog kuaj, txwv tsis pub nws tsis txaus los tshem tawm cov kev xaiv no ib yam nkaus.
5. Txoj kev muaj menyuam muaj keb hauv kev xeeb tub feem ntau nyob ntawm kev them nyiaj ua ntej thiab tom qab koj cev xeeb tub.
6. Tus kws kho mob uas yuav coj koj thiab paub txog kev xeeb tub hauv cov ntshav qab zib DAB TSI YUAV TSUM TAU TXAIS KEV POM ZOO.

Kuv thov zam lub typo, hom 1, nws vam khom vim nws tsis muaj cov tshuaj insulin, nws yauv ib qho dhau ib qho, tab sis nws nyuaj rau peb ua nrog tus kws kho qhov mob endocrinologist-gynecologist hauv lub nroog no. , aa ces lawv twb yuav raug xa mus rau nws, thiab tag nrho cov txheej txheem no yuav siv sijhawm ntev heev, tom qab ntawv tsis muaj Talons lossis lwm yam

Nyob zoo yav tsaus ntuj, Oksana.
Nrog rau thawj hom mob ntshav qab zib, tsis muaj kev noj haus zoo li no, koj tsuas yog yuav tsum xaiv cov tshuaj txhaj yog cov tshuaj insulin - luv thiab ncua ntev. Thiab tom qab ntawd, nws yuav txaus tsuas yog paub txog cov khoom noj carbohydrates kom ua rau cov tshuaj insulin xav tau.
Nyeem cov lus qhia txog kev xaiv koob tshuaj insulin. Qhov no yog kev mob siab ua haujlwm, tab sis koj txoj kev noj qab haus huv thiab koj lub neej, nrog rau lub neej thiab kev noj qab haus huv ntawm koj cov menyuam hauv plab, nyob ntawm nws. Tsis tas li ntawd, koj tseem hluas heev thiab koj muaj sijhawm los nkag siab txog koob tshuaj insulin thiab muaj menyuam.
Ntshav qab zib nws tus kheej tsis cuam tshuam qhov tseeb tias koj tsis tuaj yeem cev xeeb tub. Nws yog ib qho tsim nyog yuav tsum sab laj rau tus kws kho mob poj niam txhawm rau tshuaj xyuas, kev kho tshuaj hormones tej zaum yuav tsum tau, tom qab ntawd koj tuaj yeem cev xeeb tub tau yooj yim.

Tab sis nco ntsoov tias thaum cev xeeb tub yuav muaj kev hloov pauv sai sai ntawm cov tshuaj insulin, uas yuav ua rau muaj suab thaj ntau. Yog tias tsis muaj nyiaj them nqi UA NTEJ cev xeeb tub, nws yuav nyuaj rau kom qab zib thaum cev xeeb tub.

Yog li ntawd, tam sim no qhov haujlwm tseem ceeb tshaj plaws rau koj yog kom ua tiav qhov kev them nyiaj ib txwm yam tsis muaj kev tshaib plab, tsis tas yuav ua kom koj tus kheej nrog zaub mov noj, thiab khaws cov zaub mov thiab insulin rau koj cov kev cai ib txwm muaj. Nyob rau tib lub sijhawm, pib kev soj ntsuam nrog tus kws kho mob poj niam. Los ntawm txoj kev, nws yog qhov ua tau hais tias kev kho tshuaj hormones los ntawm cov kws kho mob poj niam yuav pab koj tsim keeb kwm yav dhau los thiab suab thaj surges yuav dhau los ua kom paub tseeb.
Thiab tom qab ntawd nws yuav muaj peev xwm npaj kev xeeb tub.

Nyob zoo, Kuv xav paub. Kuv tus phooj ywg tus poj niam xav muaj me nyuam. Nws muaj ntshav qab zib hom 2 yuav ua dab tsi. Nws yuav muaj peev xwm muab rau ib tus me nyuam.

Nyob zoo. Yog lawm, ntawm chav kawm, nws tuaj yeem yug menyuam. Qhov tshwm sim ntawm kev kis tus mob T2DM los ntawm leej txiv mus rau menyuam, tab sis nws tsis tseem ceeb uas yuav tsum tso tus menyuam tseg.

nyob zoo. Kuv muaj hnub nyoog 29 xyoos. Lawv kuaj hom ntshav qab zib hom 2. Rau 4 xyoos Kuv tsis tuaj yeem txiav txim siab cev xeeb tub zaum ob. Thaum lub sij hawm ua ntej nrog piam thaj txhua yam yog qhov qub. Qhov kawg 3 kev soj ntsuam ntawm Gy yog 6.8 ... 7.2 ... .6.2. Cov tshuaj Insulin thiab C-peptide ib txwm nyob rau hauv qis tshaj qhov ib txwm muaj. Tam sim no nws tau txiav txim siab cev xeeb tub. Kuv nyeem ntau yam hauv Is Taws Nem tias thaum npaj, lawv hloov ntawm ntsiav tshuaj mus rau insulin. Tab sis kuv tus kws kho mob endocrinologist hais tias qhov xwm txheej yuav qhia pom tias nws yuav tsim nyog los txhawm rau txhawm rau. I.e. lub cev tuaj yeem coj ua yog li ntawd tsis muaj piam thaj thiab tsis muaj kev txhaj tshuaj yuav ua kom zoo li qub. Tab sis qhov no tsis meej rau kuv. Kuv muaj lus nug ntau thiab feem ntau ntawm tag nrho kuv ntshai tias yog tias cov piam thaj muaj siab thiab lawv pib khaws cov tshuaj, yuav ua li cas tag nrho cov viav vias tawm thiab nqis yuav cuam tshuam rau tus menyuam. Qhia rau kuv tias yog txoj cai. tej zaum koj yuav tsum hloov tus kws endocrinologist? Los yog Kuv tsuas thuam kuv tus kheej xwb.

Alice
Koj tuaj nyob lub nroog twg? Yog tias los ntawm Moscow lossis St. Petersburg, tom qab ntawd hu rau cov chaw kho mob tshwj xeeb ua ntej uas tab tom npaj cev xeeb tub thiab cev xeeb tub nws tus kheej nrog ntshav qab zib. zoo, los sis yog tias muaj caij nyoog tuaj rau cov chaw kho mob no rau kev sib tham.
GG koj muaj ib lub zoo. Qhov tseeb tiag, hauv T2DM, cov poj niam pauv mus rau tshuaj insulin thaum cev xeeb tub. Kuv tsis tau hnov ​​txog qhov ua tau tshem tawm insulin hauv T2DM thiab cev xeeb tub. Feem ntau, cov tshuaj insulin raug xaiv ua ntej cev xeeb tub, raws li koj sau.
Qab zib surges, ntawm chav kawm, yuav nyob rau hauv insulin. Nws yuav tsim nyog los teb sai thiab kho qhov koob tshuaj rau ib qho xwm txheej hloov tas li.
Yog tias ua tau, tom qab ntawd sab laj nrog lwm tus endocrinologist.

Nyob zoo, Kuv muaj ntshav qab zib hom 2. Kuv tau siv tshuaj ntsiav, tab sis tam sim no kuv noj tshuaj insulin. Kuv yeej xav tau menyuam. Kuv muaj 24 xyoos. Kuv muaj ntshav qab zib txij xyoo 2013 los. Kuv cov piam thaj tsawg zuj zus thaum sawv ntxov, thiab yav tsaus ntuj kuv nce mus noj zaub mov. Cov kws kho mob hais tias kev loj hlob ntawm cov tshuaj hormones yog qhov tsis ua haujlwm thiab kuv muaj kev rog dhau 3-4 qib. Tam sim no cov piam thaj hauv ntshav yog 7.5-10 mmol. Nws nce mus txog 35 mmol.

Aigerimnyob zoo.
Koj tuaj yeem muaj me nyuam, tab sis muaj ob peb "HOS":
1. Koj tsuas yog xav kom poob phaus. Kev rog dhau yuav nyuaj rau poj niam. Ntxiv rau, nrog T2DM, cov piam thaj hauv siab tseem tseem khaws cia vim muaj cov kua dej los tiv thaiv cov ntshav, uas ua rau lub cev nyhav dhau los (yooj yim dua, qhov no tuaj yeem piav qhia raws li hauv qab no: cov khw muag rog rog tiv thaiv cov insulin los ntawm cov hlwb). Nrog rau qhov kev poob phaus, insulin tsis kam yuav ploj mus, qhov no yuav ua rau kom muaj suab thaj tsawg dua, thiab nws yuav ua rau nws qhov kev ua kom zoo li qub.
2. Cev xeeb tub tsis tuaj yeem siv thaum noj tshuaj muaj suab thaj. Ntawd yog, thaum npaj rau kev xeeb tub, koj yuav tsum hloov mus rau txoj kev kho mob inulin kom zoo (txuas ntxiv insulin + luv luv). Qhov no yuav tsum tau ua ua ntej cev xeeb tub, yog li nws yog lub sijhawm los khaws cov koob tshuaj thiab nqa cov piam thaj kom rov zoo li qub.
3. Nrog rau kev nce siab zoo li hauv qab zib, cev xeeb tub tsis tuaj yeem xav txog. Koj yuav tsum xub hais txog kev them nyiaj, txwv tsis pub nws tuaj yeem ua rau muaj kev phem ntau. Yuav ua dab tsi los them nyiaj - nyeem nqe 2.

PS Txhua yam tsis txaus ntshai li nws yuav zoo li thaum xub thawj siab. cia li cuam tshuam nrog koj cov nyiaj them rov qab nruj nreem, hloov mus rau insulin, npaj rau kev ua siab ntev thiab kev sim ntsuas cov kab mob (ntau heev ntawm lawv yuav xav tau thaum xub thawj), sau cov txiaj ntsig ntawm kev ntsuas - tus nqi ntawm insulin-zaub mov, txheeb xyuas cov txiaj ntsig thiab koj yuav ua tiav

Tab sis kuv tsis nco qab! Glycated hemoglobin 6.0

Xyoo 2012, thaum lub Kaum Ob Hlis nws yug tau ib tus menyuam, tuag, qhov kev kuaj xyuas tau muab cov txiaj ntsig ntawm asphyxiation, tus me nyuam tuag, mob ntshav qab zib nyob hauv plab, 37-38 lub lis piam, tam sim no cev xeeb tub, 10-11 lub lis piam, ntshav qab zib 6.5-6.8. Kuv ntshai heev rau menyuam, Kuv xav tau tus menyuam noj qab nyob zoo thiab muaj zog. Dab tsi yog qhov yuav tshwm sim los ntawm kev yug me nyuam LIVING, KEV NOJ QAB NYOB ZOO. Tus menyuam yuav tsum ua dab tsi rau qhov no, dab tsi yuav tsum muab dab tsi? Hauv cov kab mob muaj keeb muaj tsis muaj, ntshav qab zib tsis tau muab tso rau, thaum tsis tau xeeb tub, qab zib yog dab tsi,

Guzel
Koj tsis muaj kev kuaj mob ntshav qab zib mellitus, Kuv nkag siab kom raug? Raws li, koj tsis tau txais kev kho mob, yog li tsis muaj ib yam dab tsi los kho. Tab sis koj muaj cov ntshav qab zib siab ntau rau cov neeg noj qab nyob zoo. Feem ntau yuav ua, mob ntshav qab zib hauv poj niam loj hlob tuaj - nce hauv qab zib thaum cev xeeb tub. Koj yuav tsum tau, kom txog rau thaum koj tau txais kev kho mob, kho cov piam thaj noj qab haus huv, sim tsis txhob cia cov ntshav qab zib ntau dua vim qhov tsis kam noj cov zaub mov muaj glycemic siab, uas yog, cov uas nce ntshav qab zib sai sai - khoom qab zib, ncuav qab zib, ncuav qab zib, kua txiv, txiv hmab txiv ntoo - txiv quav ntswv nyoos, txiv tsawb, jam, qab zib, suav nrog rau cov khoom uas muaj “ntshav qab zib” fructose.
Saib cov piam thaj, xyuas ua ntej noj mov thiab 1.5 teev tom qab. Txhob cia nws sawv. Nrog rau kev nce ntxiv hauv qab zib, nws yog qhov yuav tsum tau sab laj nrog kws kho mob, tab sis tej zaum kev noj zaub mov muaj txiaj ntsig tau ua kom muaj kev tiv thaiv kab mob normoglycemia.
Hmoov zoo

Kuv yog 32 xyoo. Kwv yees li ib xyoos dhau los, lawv tau kuaj pom kev ua txhaum ntawm cov khoom noj metabolism. Kuv poob 15 kg, kuv qhov hnyav tam sim no yog 75 kg nrog nce li ntawm 165 cm. Tab sis rau qee qhov laj thawj, kev yoo qab zib sai tsis zoo, feem ntau tsis pub dhau 5.8-6.3 hauv ntshav (kev ntsuas yog nqa tawm nrog glucometer). Tom qab noj mov (tom qab 2 teev) qab zib ib txwm ib txwm 5.5-6.2. Glycated hemoglobin los ntawm 5.9 nqis mus rau 5.5%. Kuv npaj cev xeeb tub. Nws puas muaj peev xwm cev xeeb tub nrog cov kev ntsuas no?

Alla
KOJ muaj cov kua qab zib nyeem tau zoo, GH zoo heev, cov no yog cov ntsuas uas txhua tus, tshwj xeeb tshaj yog cov neeg npaj lub cev xeeb tub, yuav tsum siv zog.
Hmoov zoo

nyob zoo, Kuv xav tau menyuam yaus, thiab kuv xav nug kuv txog qhov xwm txheej no. Yim xyoo dhau los kuv yug tau ib tus tub. Xyoo 2009 lub Kaum Ib Hlis muaj ob zaug cev xeeb tub tau 28 lub limtiam, lub sijhawm cev xeeb tub Kuv tuaj yeem hla qab zib rau tib neeg. Kuv tsis tau mob ntshav qab zib insulin, tab sis suab thaj dhau 20.Kuv tus menyuam mob ntshav qab zib hom 2, Kuv xav tau ntshav qab zib me ntsis, lawv yeej tsis dhia qab zib. Qhia rau kuv hais tias Kuv yuav noj dab tsi ntxiv ntawm insulin thiab yuav ua li cas kuv muaj ntshav qab zib mellitus zaum ntawm tus qog ntshav, thaum sawv ntxov 20 units. thiab yav tsaus ntuj koob tshuaj ntawm 20 units.

Lily
Koj yuav tsum sim them nyiaj rau cov tshuaj insulin ob peb lub hlis ua ntej kev xeeb tub, koj yuav tsum txuas cov tshuaj insulin luv luv. Ntawm cov tshuaj insulin, nws yooj yim dua thiab ceev dua los tswj cov suab thaj uas yuav hla "thaum cev xeeb tub". Ib qho ntxiv, kev siv cov insulin luv luv tuaj yeem txhim kho kev noj zaub mov, tsis tas yuav ua raws li kev noj zaub mov noj.
Tam sim no koj yuav tsum ua raws li kev noj haus (vim koj tsis muaj insulin luv luv) thiab xaiv ib koob tshuaj insulin txuas ntxiv.
Khaws cov ntawv sau cia - sau cia hauv nws dab tsi, nyob rau hauv qhov ntau thiab ntau npaum li cas koj noj, ntau npaum li cas thiab thaum koj ua cov tshuaj insulin, thiab tau kawg, cov txiaj ntsig ntawm kev ntsuas suab thaj .. Tom qab txheeb xyuas cov ntaub ntawv no, koj tuaj yeem pom qhov hloov pauv ntawm cov piam thaj hloov, tom qab ntawd nws yuav daws tau cov teeb meem ntawm nce / txo cov koob tshuaj insulin, txuas rau luv / hloov pauv kev noj haus, hloov lub sijhawm ntawm insulin tswj hwm, thiab lwm yam. Qhov no yuav yog cov ntaub ntawv tseem ceeb heev.

Cia Koj Saib