Qab Zib 32 txog 32

Koj puas xav paub seb yuav ua li cas yog ntshav piam thaj yog 32? Mam saib ntxiv.

Cov cai ntawm cov ntshav qab zib los ntawm cov ntiv tes rau ntawm lub plab khoob hauv cov neeg laus thiab cov hluas yog los ntawm 3.3 txog 5.5 mmol / l.

Yog tias muaj piam thaj 32, yuav tsum tau pw hauv tsev kho mob! Hu rau lub tsheb tos neeg mob! Nrog piam thaj dhau 30, ib qho hyperclycemic coma yuav tshwm sim.

Cov ua rau, kuaj mob thiab tsos mob

Cov ntshav qab zib cov ntshav tuaj yeem sib txawv rau ntau yam, feem ntau thaum qoj ib ce, kev qhia ncaws pob, xwm txheej ntxhov siab, thiab thaum cev xeeb tub. Cov khoom noj tsis zoo, ua rau muaj yees, kev hloov pauv keeb kwm tuaj yeem ua teeb meem nrog qab zib.

Nyob rau ntawm qhov muaj cov kab mob endocrine, kev tsim kho hormone yog cuam tshuam; peb tab tom hais txog Cushing's disease, pheochromocytoma, thyrotoxicosis. Hauv qhov no, ntau dua cov piam thaj, ntau cov kev nyab xeeb ntawm cov tshuaj hormones.

Kev zom cov kab mob hauv lub cev tuaj yeem cuam tshuam nrog pathologies ntawm tus txiav, ua mob thiab benign neoplasms. Feem ntau, jumps hauv cov piam thaj raug sau tseg nrog kev siv ntev ntev ntawm cov tshuaj hormones, steroid tshuaj, diuretics thiab tshuaj tswj tsis pub muaj menyuam.

Mob siab pathologies tseem cuam tshuam rau glycemia ntsuas, xws li mob muaj:

Thawj qhov ua yog tias cov piam thaj hauv ntshav tau nce mus rau ib qib tseem ceeb ntawm 32 mmol / litre yog tshem tawm cov laj thawj ntawm tus mob no. Cais tus neeg muaj mob hyperglycemia tsis tuaj yeem hu ua cov tsos mob ntawm tus mob ntshav qab zib, tab sis hauv qhov no nws yog ib qho tseem ceeb uas yuav tsum ua txhua yam ua tau kom tsis txhob rov tshwm sim dua.

Koj yuav tsum rov qab xav dua txog koj kev noj haus, koj yuav tsum ntsuas cov txheej txheem qab zib kom siv cov cuab yeej tshwj xeeb ntawm cov glucometer lossis hu rau lub tsev kho mob rau kev tshawb xyuas. Tab sis kev pom zoo los ua kev tawm dag zog thiab lwm yam kev tawm dag zog hauv qhov no tsis muaj feem xyuam, vim tias qhov no tuaj yeem ua rau muaj qhov ncauj ntau dua glycemia.

Tus neeg mob yuav tsum nco ntsoov tias cov khoom siv hauv tsev rau kev txiav txim siab cov ntshav qab zib yog ib txwm teeb tsa los ntsuas ntshav ntshav, yog li cov txiaj ntsig tau hauv qee kis yuav qis dua 12%. Ib qho kev tshawb fawb yuav tsum yog ob peb zaug nyob rau hauv nruab hnub, yog tias yav tas los cov glycemia ntsuas tau 32 cov ntsiab lus, tab sis kab mob ntshav qab zib mellitus tsis tau kuaj pom tib neeg. Cov hau kev no pab tiv thaiv kev txhim kho kabmob ntawm lub sijhawm thiab tshem tawm qhov tshwm sim ntawm cov kab mob pathological.

Nrog rau kev nce ntxiv hauv cov piam thaj, tus kws kho mob pom zoo kom kuaj ntshav qabzib ntxiv, nws tso cai rau koj los txiav txim thawj yam kabmob ntshav qab zib - ntshav qab zib. Feem ntau, kev tshawb fawb no yog qhov yuav tsum tau txiav txim tawm cov ntshav qab zib thiab ua rau muaj kev tiv thaiv ntshav qabzib.

Kev ntsuam xyuas tau hais tseg tsis yog rau txhua tus neeg, tab sis tsuas yog rau cov neeg mob nyhav dua 40 xyoo los yog muaj feem yuav muaj ntshav qab zib.

Ntxiv nrog rau kev hloov pauv hauv cov piam thaj hauv tib neeg, cov tsos mob tshwm sim tau pom:

1. ntev li ntawm thiab nquag tso zis,
2. qaug zog dhau, ua kom tsis muaj zog, tsis txob siab,
3. poob qis hauv qhov tsis pom kev zoo,
4. kev tiv thaiv tiv thaiv lub cev tsis muaj zog, cov kab mob sib kis,
5. khaus ntawm daim tawv nqaij,
6. txo qis lossis nce ntxiv tsis haum nrog qhov hnyav sai dua lossis poob phaus.

Cov cim zoo li no, ua ke nrog glycemic index ntawm 32, muab rau qhov kev sib cuag nrog tus kws kho mob sai tshaj plaws thiab pib kho mob.

Cov tsos mob ntawm Siab Qab Zib

Cov npe ntawm cov tsos mob sab nraud ntawm cov ntshav siab nyob nrog:

1. Kev nqhis dej tsis tu ncua.
2. Dheev, tsis hnyav tsis hnyav nce lossis poob.
3. Nquag tso zis ntau zaus.
4. Mob qaug zog mob ntsws ntev.
5. Qhuav ntawm daim tawv nqaij thiab cov qog ua kua.
6. Cov teeb meem tsis pom kev, qhov txhaws ntawm qhov chaw nyob cov leeg.
7. Arrhythmias.
8. Lub cev tsis muaj zog tiv thaiv kab mob rau cov kab mob, tsis zoo tiv thaiv kab mob.
9. Ua pa nrov nrov, nruab nrab daim ntawv ntawm hyperventilation.
10. Hauv cov qauv mob hyperglycemia, lub cev tsis muaj dej txaus, ketoacidosis, lub cev tsis muaj zog, thiab qee qhov tsis nco qab, tau pom.

Nws yuav tsum nkag siab tias cov cim saum toj no tuaj yeem yog qhov ntsuas ntawm cov tsos mob ntawm ntau yam kab mob, yog li, yog tias tsawg kawg ob peb qhov kev qhia tsis zoo, koj yuav tsum sab laj nrog tus kws kho mob thiab kuaj kev coj los txiav txim siab txog kev kuaj mob meej.

Cov laj thawj muaj peev xwm

Feem ntau, qhov ua rau muaj tus tsos mob yog:

1. Mob ntshav qab zib mellitus. Feem ntau ntawm cov neeg mob, qhov mob pheej tshwm sim ntawm hyperglycemia yog tus yam ntxwv tseem ceeb ntawm tus kab mob no.
2. Kev noj haus tsis zoo. Kev ua txhaum ntau ntawm cov zaub mov ib txwm noj, nrog rau cov kab mob ntshav siab ntawm cov zaub mov hauv lub cev, tuaj yeem ua rau cov mob hyperglycemia thiab tsis muaj feem cuam tshuam nrog nws daim ntawv mob ntshav qab zib.
3. Kev ntxhov siab. Tom qab kev ntxhov siab hyperglycemia yog ib txwm rau cov neeg mob uas tsis muaj zog tiv thaiv kab mob, feem ntau tiv thaiv tom qab ntawm txoj kev loj hlob ntawm cov txheej txheem kev tiv thaiv hauv zos.
4. Cov kab mob kis hnyav ntawm cov neeg siv dav.
5. Kev lees txais ntawm ntau cov tshuaj - rituximab, corticosteroids, niacin, daim foos dawb asparaginase, beta-blockers, 1-2 tiam antidepressants, protease inhibitors, thiazide diuretics, fentimidine.
6. Ntev tsis txaus hauv lub cev, cov vitamins ntawm pawg B.

Cov Ua Ntshav Qab Zib Heev rau Cov Neeg Loj thiab Poj Niam Cev Xeeb Tub

Raws li kev siv tshuaj kho mob pom, hauv 90 feem pua ​​ntawm cov neeg mob pheej mob siab ntsws hyperglycemia hauv cov neeg laus yog ib qho kev mob ntshav qab zib mellitus, feem ntau yog yam thib 2. Cov kev tsis zoo ntxiv feem ntau tsis zoo tsim lub circadian rhythms ntawm kev pw tsaug zog thiab tsa sawv, kev ntxhov siab tom chaw haujlwm, thiab lub neej kev ua si uas muaj lub cev rog nrog cov rog.

Cov ntshav qab zib cov ntshav nce siab nyob hauv cov poj niam cev xeeb tub tsim nyog tshwj xeeb - hyperglycemia ntawm no tej zaum yuav yog ib ntus, ua rau muaj kev hloov kho lub cev kom tag nrho thiab kev hloov pauv hauv keeb kwm tshwj xeeb (mob tshwm sim), thiab tej zaum yuav yog hom tshwj xeeb cov ntshav qab zib mellitus - sib sib deev cov ntshav qab zib, uas tshwm sim thaum lub sijhawm cev xeeb tub thiab feem ntau ploj tom qab yug menyuam. Yog tias nyob rau kis thawj kev kuaj mob li niaj zaus kuaj mob ntawm tus neeg mob lub cev tau txaus, hauv rooj plaub thib ob, pom tus kab mob hauv 4-5 feem pua ​​ntawm cov poj niam hauv txoj haujlwm txaus siab tuaj yeem tsim kev puas tsuaj rau ob tus menyuam thiab kev noj qab haus huv ntawm leej niam, yog li cov kws kho mob tshwj xeeb muab cov kev kho mob coj mus rau hauv tus kws kho mob tam sim no. mob.

Cov ua rau muaj ntshav qab zib cov menyuam yaus thiab menyuam yaus

Hauv cov menyuam yaus ntawm tsev kawm ntawv theem pib thiab thaum tiav hluas, hyperglycemia feem ntau cuam tshuam nrog ntau yam - kev noj zaub mov tsis txaus, kev ntxhov siab thiab kev txhim kho ntawm kev sib kis thiab cov txheej txheem tawm tsam keeb kwm ntawm cov kev ua kom muaj cov kab mob ua rau endogenous contra-hormone cov tshuaj hormones, uas tsim nyob rau hauv ntau ntau nrog kev loj hlob ntawm lub cev. Tsuas yog nyob rau ntawm tus neeg mob, tom qab tsis suav tag nrho cov laj thawj saum toj no, cov menyuam yaus tau kuaj pom tus kab mob ntshav qab zib mellitus, feem ntau yog ntawm yam thib 1.

Hyperglycemia ntawm cov menyuam yug tshiab tsim nyog tau txais kev mloog tshwj xeeb - nws tshwm sim los ntawm ntau yam, feem ntau tsis cuam tshuam nrog cov kab mob classical ua mob rau cov menyuam yaus thiab cov neeg laus. Feem ntau ntawm cov neeg mob, kev nce siab hauv cov ntshav qab zib yog vim txoj kev tswj xyuas cov ntshav qabzib hauv cov menyuam mos uas muaj lub cev qhov hnyav. Hauv cov menyuam mos thaum ntxov ntxov hauv lub neej, hyperglycemia yog ib qho kev paub ntawm qhov tsis muaj tshuaj tiv thaiv uas zom cov proinsulin, feem ntau tiv thaiv keeb kwm ntawm tsis tiav kev tawm tsam cov tshuaj insulin nws tus kheej.

Hom kev hloov pauv ntawm hyperglycemia tuaj yeem tshwm sim los ntawm kev qhia txog glucocorticosteroids, kab mob fungal sepsis, mob ntsws ua pa nyuaj, hypoxia. Raws li cov ntaub ntawv kho mob niaj hnub qhia, ntau dua li ib nrab ntawm cov menyuam mos tuaj txog rau ib qho laj thawj lossis lwm qhov hauv chav saib xyuas mob hnyav qhia txog qib ntshav qab zib kom nce siab. Dua li ntawm qhov tseeb tias cov piam thaj hauv ntshav siab tsis tshua muaj ntau dua li cov neeg mob ntshav qab zib tsawg, qhov ntxim nyiam ua thiab muaj kev pheej hmoo ntawm kev tuag muaj ntau dua.

Kev kuaj mob

Cov txheej txheem kev soj ntsuam pib txhawm rau txhawm rau txhawm rau nce cov ntshav qab zib cov qib muaj xws li cov ntawv sau thiab cov kev ntsuas. Yog tias koj muaj hyperclycemia me me, nws yog qhov nyuaj heev los txiav txim siab koj tus kheej nrog kev pab ntawm ib qho yooj yim classic glucometer. Hauv qhov no, nws zoo dua rau sab laj nrog tus kws kho mob uas yuav sau cov kev kuaj mob uas tsim nyog.

1. Kev yoo ntshav. Cov txheej txheem orthotoluidine uas paub zoo, uas txiav txim siab cov ntsiab lus ntawm cov piam thaj hauv ntshav tsis xam rau lwm qhov kev txo qis. Nws tau muab rau thaum sawv ntxov nyob rau ntawm lub plab khoob (12 teev ua ntej kev soj ntsuam nws yog qhov yuav tsum tau tsis kam noj zaub mov, tshuaj thiab ua haujlwm lub cev). Yog tias kev kuaj pom thawj zaug qhia qhov sib txawv ntawm tus qauv, tus kws kho mob tshwj xeeb qhia tus neeg mob mus rau kev kawm ntxiv.
2. Txoj kev thauj khoom. Nws yog nqa tawm tsuas yog nyob rau hauv cov kev mob ntawm ib hnub / hnub tsev kho mob. Thaum sawv ntxov, cov ntshav tau muab rau ntawm lub plab khoob, ua raws li cov cai ntawm thawj txoj kev, tom qab ntawd cov kua nplaum nyob hauv lub cev thiab tom qab ob peb teev, cov ntshav raug rov ua dua. Yog tias qhov ntsuas tau los ntawm kev kuaj zaum ob ntawm 11 mmol / L dhau, tus kws kho mob feem ntau kuaj pom "hyperglycemia".
3. Qhia kom meej txo cov qauv. Ntshav pub rau kev txheeb xyuas coj mus rau hauv tus account lwm cov khoom xyaw - tshwj xeeb, uric acid, ergonin, creatinine. Tso cai rau koj kom paub meej txog kev kuaj mob thiab qhia qhov teeb meem cuam tshuam ntsig txog - piv txwv, mob ntshav qab zib nephropathy.

Tej zaum yuav raug txim

Hyperglycemia tsuas yog cov kev mob uas qhia tias muaj kev ua haujlwm tsis txaus ntseeg hauv lub cev lossis ntshav qab zib. Txawm li cas los xij, qhov no tsis txhais tau tias nrog cov ntshav qab zib kom tsis muaj teeb meem ntxiv. Qhov kev phom sij tshaj plaws ntawm tus mob no yog ketoacidosis. Qhov kev ua txhaum ntawm cov khoom noj ntawm lub cev carbohydrate nce qhov kev nce siab ntawm ketone lub cev hauv cov ntshav plasma, feem ntau tiv thaiv keeb kwm ntawm ntshav qab zib ntawm txhua yam kev decompensation theem, uas ua rau ketonuria provokes ketonuria, arrhythmia, ua pa tsis ua haujlwm, kev nce nrawm ntawm cov kab mob qeeb qeeb hauv lub cev, lub cev qhuav dej. Qee qhov xwm txheej, thaum tsis muaj qhov tsim nyog kho mob teb, mob ntshav qab zib / hyperglycemic hnov ​​qab, thiab tom qab poob hauv pH (lub cev acidity) rau 6.8, kev tuag tshwm sim.

Yuav ua li cas txo cov ntshav qab zib?

Hyperglycemia txoj kev kho yog tsom mus rau ib ntus kev tshem tawm cov ntshav siab cov ntshav qabzib, nrog rau kev kho tus kabmob hauv qab uas ua rau muaj tus kabmob no.

Tshuaj thiab tshuaj uas txo cov ntshav qab zib:

1. Kev txhaj tshuaj insulin ncaj qha. Qhov ntau npaum no yog xaiv tau ib tus zuj zus, qhov xwm txheej ua kom dhau los, kev siv tshuaj tiv thaiv sai sai ntawm kev siv tau sai tshaj plaws tau siv - humalog, humulin.
2. Kev siv cov tshuaj tiv thaiv qhov ncauj hypoglycemic. Pawg ntawm cov tshuaj raws li benzoic acids, cov tshuaj ua kom tsis haum, A-glucosidase inhibitors, amino acids phenylalanine, sulfonylureas - maninyl, metformin, thiab lwm yam.
3. Haus kom ntau. Ib qho kev daws tsis muaj zog ntawm ci dej qab zib hauv cov ntawv hnyav ntawm hyperglycemia.
4. Kev qoj ib ce (nrog cov ntaub ntawv me ntawm tus mob).
5. Nyob rau hauv nruab nrab lub sij hawm - kho kev noj haus.

Khoom Noj Khoom Haus thiab Khoom Noj

Txij li thaum pheej muaj tus mob hyperglycemia nyob rau ntau qhov ntawm feem ntau yog qhov pom tias muaj ntshav qab zib mellitus, kev noj zaub mov kom tsim nyog yog qhov tseem ceeb rau kev kho mob ntawm cov teeb meem.

Nws yog ib qho tseem ceeb tshwj xeeb kom yoog txog kev noj zaub mov thaum pom tias muaj tus mob ntshav qab zib hom 1. Lub hauv paus yog kev zam rau kev noj zaub mov raws li yooj yim zom cov zaub mov carbohydrates, nrog rau lub siab tshaj plaws ntawm kev noj zaub mov hauv calories, cov rog thiab cov protein.

Ntshav qab zib cov zaub mov qis

Ntawm ntau yam ntawm cov khoom lag luam nyob hauv khw lag luam, nrog cov qib siab hauv cov piam thaj hauv cov ntshav, nws yog qhov yuav tsum tau xaiv cov uas muaj glycemic qis tshaj plaws. Nws yuav tsum nkag siab tias tsis muaj zaub mov uas txo qis qab zib - txhua yam tam sim no paub cov zaub mov glycemic tsawg tsis nce nws qib, tab sis tsis tuaj yeem tiv thaiv ib tus neeg ntawm hyperglycemia.

1. Cov nqaij nruab deg - lobsters, roob ris thiab cov cw ntses me muaj ib qho qis qis glycemic indices.
2. Soy cheeses - tshwj xeeb hauv tofu.
3. Zaub pob, zucchini, taub dag, zaub xas lav nplooj.
4. Zaub ntsuab, taum, zaub paj ntsuab.
5. Nceb.
6. Qee hom txiv hmab txiv ntoo - txiv qaub, avocados, txiv kab ntxwv qaub, txiv ntoo qab zib.
7. Dib, txiv lws suav, tswb kua txob, celery, carrots, asparagus, horseradish.
8. Tshiab dos, Jerusalem artichoke.
9. Qee hom txuj lom - qhiav, mustard, cinnamon.
10. Roj - linseed lossis raspovye.
11. Cov khoom noj muaj fiber ntau suav nrog legumes, noob txiv (Walnut, txiv maj phaub, noob txiv), thiab cereals (oatmeal).
12. Lentils

Tag nrho cov khoom lag luam saum toj no yog "npe ntsuab" thiab koj tuaj yeem siv lawv yam tsis muaj kev ntshai rau cov neeg muaj hyperglycemia.

Cov tshuaj niaj hnub suav tias kev noj haus yog ib qho tseem ceeb hauv kev ua kom lub neej tsis zoo thiab noj qab haus huv ntawm cov neeg mob hyperglycemia, uas yog lub luag haujlwm tseem ceeb hauv kev kho mob ntshav qab zib thiab tso cai rau kev them nyiaj zoo ntawm cov metabolism hauv kev noj haus.

Rau cov neeg mob uas kuaj pom muaj thawj hom ntshav qab zib, kev noj zaub mov noj yog qhov yuav tsum ua thiab tseem ceeb tshaj. Ntawm hom 2 ntshav qab zib, kev noj zaub mov zoo rau lub cev yog feem ntau txhawm rau txhim kho lub cev qhov hnyav.

Lub tswv yim tseem ceeb ntawm kev noj zaub mov noj yog lub khob cij qhob cij, qhov sib npaug ntawm 10 grams ntawm carbohydrates. Rau cov neeg muaj hyperglycemia, cov ncauj lus kom ntxaws tau raug tsim los qhia txog qhov no rau feem ntau cov khoom noj niaj hnub no hauv cov khoom noj.

Thaum txiav txim siab cov khoom noj txhua hnub ntawm cov khoom lag luam zoo li no, nws yog qhov yuav tsum tsis suav cov khoom noj kom zoo, qab zib, qab zib thiab txwv kom ntau li ntau cov nplej zom, qhob cij dawb, mov / semolina, nrog rau cov khoom noj muaj feem nrog cov roj refractory, tsom rau cov khoom noj uas muaj cov khoom noj uas muaj cov khoom noj muaj fiber ntau. thiab tsis txhob hnov ​​qab qhov sib npaug ntawm cov roj ntsha hu ua polyunsaturated / saturated fatty acids.

Nws raug nquahu kom noj zaub mov fractionally, txhim kho cov khoom noj txhua hnub rau peb lub ntsiab thiab 2-3 ntxiv txais tos. Teeb ib hnub rau classic 2 txhiab calories rau ib tus neeg muaj hyperglycemia yam tsis muaj teeb meem thiab cov ntawv qhia zaub mov muaj xws li:

• Pluas tshais 1 - 50 grams ntawm khob cij dub, ib lub qe, 5 grams butter, ib khob mis nyuj, 40 gram ntawm cov nplawm uas tau tso cai.
• Pluas tshais 2 - 25 grams ntawm khob cij dub, 100 grams ntawm cov txiv ntoo thiab cov nqaij rog muaj roj cheese.
• Noj su - 50 gram ntawm cov qhob cij uas tau tso cia, 100 grams ntawm cov nqaij ntshiv thiab qos yaj ywm, 20 grams ntawm cov txiv hmab txiv ntoo qhuav, 200 grams zaub thiab 10 gram ntawm cov roj zaub.
• Khoom txom ncauj - 25 grams ntawm qhob cij dub thiab 100 grams txiv hmab txiv ntoo / mis nyuj.
• Noj hmo - 25 grams ntawm qhob cij, 80 gram ntawm cov ntses ntawm cov rog muaj roj tsawg lossis nqaij nruab deg, 100 grams qos yaj ywm, zaub thiab txiv hmab txiv ntoo, 10 grams ntawm cov roj zaub.
• Ua ntej yuav mus pw - 25 grams ntawm khob cij thiab ib khob ntawm tsawg rog rog kefir.

Kev hloov cov khoom lag luam yog ua tau los ntawm cov sib npaug hauv cov plaub pawg loj:

1. Zaub, txiv hmab txiv ntoo / berries, mov ci, cereals.
2. Tsev cheese, tsis tshua muaj rog ntses / nqaij.
3. Qaub cream, cream, butter.
4. Mis / qe thiab lwm yam khoom xyaw muaj ntau yam khoom noj ua ke.

Kev siv cov khoom qab zib, yog li nrov nyob rau thaum pib ntawm lub xyoo pua tshiab, tam sim no tau raug thuam los ntawm cov pab pawg coob ntawm cov khoom noj khoom haus vim tias lawv cov calories ntau hauv cov ntsiab lus, yog li peb tsis pom zoo ua phem rau lawv, nyob rau hauv qhov xwm txheej loj, siv nruj me ntsis hauv koj cov khoom noj txhua hnub.