Muaj ntshav qab zib siab hauv tus tub hluas hnub nyoog 16 xyoo

Koj puas xav paub txog seb cov ntshav qab zib li cas thaum muaj 16 xyoo hauv ib tug hluas? Tom ntej no, koj yuav kawm paub cov qauv rau lub sijhawm no.

Cov cai ntawm kev yoo ntshav ntshav qab zib los ntawm cov ntiv tes rau cov laus thiab cov hluas: ntawm 3.3 txog 5.5 mmol / l.

Hauv cov menyuam yaus txij li 5 xyoos thiab cov hluas, cov piam thaj hauv qab tau zoo - 3.3 - 5.5 (zoo ib yam li cov laus).

Koj puas paub tias cov ntshav qab zib cov ntshav hauv cov menyuam yaus txij 5 xyoos thiab cov neeg hluas yuav tsum muaj qhov nqi sib luag rau cov neeg laus? 3.3 - 5.5.

Ntshav qab zib ntshav hauv cov hluas thaum muaj 16 xyoo: cim qhia cov piam thaj

Tau ntau xyoo tsis muaj kev vam meej nrog DIABETES?

Lub taub hau ntawm lub koom haum: “Koj yuav xav tsis thoob tias yoojyim kho mob ntshav qab zib li cas los ntawm kev noj tshuaj txhua hnub.

Tswj cov ntshav qab zib ib txwm muaj peev xwm ua tau nrog kev ua haujlwm zoo ntawm kev ua haujlwm ntawm lub txiav thiab ua haujlwm ntawm endocrine. Qhov teeb meem feem ntau ntawm cov carbohydrate metabolism cuam tshuam nrog ntshav qab zib.

Thaum muaj neeg hluas, glycemia kuj tseem muaj feem los ntawm theem siab ntawm kev loj hlob hormone thiab hloov mus rau hauv cov concentration ntawm cov txiv neej pw ua ke, yog li tswj cov ntshav qab zib hauv cov hluas thaum muaj 16 xyoo mob ntshav qab zib yog ib txoj haujlwm nyuaj.

Txhawm rau tiv thaiv cov menyuam los ntawm cov teeb meem cuam tshuam nrog kev hloov pauv hauv cov piam thaj hauv ntshav, nrog rau tsim cov xwm txheej rau cov hluas kom loj hlob thiab loj hlob ib txwm, kev saib xyuas tas li thiab tswj cov glycemia yog qhov yuav tsum tau ua.

Cov roj carbohydrate metabolism hauv cov neeg hluas

Nws tau pom tias nyob hauv cov xwm txheej zoo sib xws, cov tub ntxhais hluas qhia tias muaj ntau dua glycated hemoglobin ntau dua li cov neeg laus, txawm hais tias muaj tshuaj insulin ntau dua. Cov tshuaj insulin ib txwm muaj ntau dua nyob hauv cov tub ntxhais hluas hluas dua li ib tus menyuam yaus hnub nyoog lossis 20 xyoo tus neeg mob.

Cov yeeb yam no tau tshwm sim hauv kev sib txuas nrog qhov tseeb tias theem ntawm kev loj hlob hormone nyob rau lub sijhawm tiav nkauj tiav nraug yuav luag ob npaug, thiab kev sib deev steroids los ntawm yuav luag 35%. Qhov no ua rau qhov tseeb tias cov rog tau tawg sai dua thiab cov roj ntsha dawb tsis txaus yog tsim, uas yog siv los tsim lub zog, thiab insulin rhiab heev poob qis.

Cov nyhuv ntawm cov tshuaj insulin rau cov hluas yog 30-47% qis dua rau tus neeg mob ntawm 21 xyoo lossis neeg laus. Yog li no, thaum ua kev kho cov tshuaj insulin, kev siv tshuaj loj kawg ntawm cov tshuaj insulin yuav tsum tau siv, nce ntau zaus ntawm nws txoj kev tswj hwm.

Cov kev xav ntawm lub hlwb uas cuam tshuam rau cov hom mob ntshav qab zib suav nrog:

• Qib siab ntawm kev ntxhov siab.
• Cawv rau noj tsis haum.
• Cov cwj pwm tsis zoo.
• Kev ntxhov siab thiab tus kheej qis.

Yog li, thaum muaj teeb meem uas tshwm sim thaum soj ntsuam kev noj haus thiab kev kho mob, qee qhov xwm txheej, nws yog qhov tsim nyog, ntxiv rau tus kws kho qhov mob endocrinologist, los koom nrog tus kws kho mob hlwb kom kho cov kev coj cwj pwm.

Kev ntsuas ntshav qab zib

Txhawm rau txheeb xyuas ntshav qab zib, kev kawm txog kev yoo mov glycemia. Cov lus qhia rau nws siv yuav yog qhov muaj mob muaj keeb thiab qhov tshwm sim ntawm cov tsos mob ntshav qab zib: tus tub hluas pib haus dej ntau thiab nquag mus xyuas chav dej, txawm hais tias yog tsis qab los noj mov zoo thiab nce siab noj nqhis tau tsawg.

Tsis tas li, cov niam txiv tuaj yeem nco tseg ua khaub thuas, ua pob thiab khaus khaus ntawm daim tawv nqaij, ua xoos ua zes ntawm daim tawv nqaij, ua kom qaug zog, ua tsis taus pa thiab tsis nco qab. Cov laj thawj rau kev kuaj mob tuaj yeem yog ntshav siab thiab qhov muag cuam tshuam.

Yog tias tus tub ntxhais hluas raug kuaj thawj zaug, tom qab ntawd nws raug kuaj ntshav kuaj ntshav qab zib, uas tau ua rau sawv ntxov ua ntej noj mov. Nws yog qhov yuav tsum tau yoo nqhis ua ntej txoj kev tshawb no rau 8 teev los ntawm kev noj mov, rau 2-3 teev los ntawm kev haus luam yeeb thiab kev tawm dag zog lub cev, haus ib qho twg, tsuas yog dej. Qhov ntshav qab zib cov ntshav rau cov hnub nyoog 13-16 xyoos yog 3.3 - 5.5 mmol / l.

Yog tias qib ntawm glycemia tsis pub dhau 6.9 mmol / l, tab sis nws yog siab dua li ib txwm muaj, tom qab ntawd kev kuaj mob ntawm kev tsis muaj peev xwm zam cov khoom noj tau lees paub los ntawm kev kuaj ntxiv nrog cov piam thaj kev thauj khoom, thiab yog tias cov ntshav muaj ntau dua 7 mmol / l ntawm cov piam thaj, ces tus kws kho mob txiav txim ua ntej yog ntshav qab zib.

Cov ua rau tsis mob ntshav qab zib ntsig txog glycemia nce:

1. Kab mob siab.
2. Noj tshuaj uas muaj cov tshuaj hormones.
3. Pathology ntawm lub raum.
4. Lub qog ua ntshav lossis mob qog.
5. Pituitary lossis hypothalamic metabolic ntshawv siab.

Hyperglycemia cuav tuaj yeem tshwm sim yog tias cov zaub mov noj ua ntej qhov kev tshawb fawb lossis muaj kev ntxhov siab, lossis kev tawm dag zog lub cev, haus luam yeeb, noj anabolic steroids, haus dej haus cawv lossis muaj caffeine.

Cov piam thaj hauv ntshav tsawg tsawg ua rau lub plab lossis lub plab hnyuv, cov qog ua haujlwm, cov tshuaj qog ntshav qog ua rau cov qog ua ntshav thiab cov qog ua rau cov qog, ua pa, mob rau lub hlwb.

Qee cov kab mob caj ces ua rau cov ntshav qab zib tsawg.

Glycemia tswj hwm rau cov hluas muaj ntshav qab zib

Qhov ntsuas ntawm cov piam thaj yuav tsum muaj ntshav qab zib tsawg kawg 2-4 zaug hauv ib hnub. Ib qho kev txiav txim yuav tsum tau ua ua ntej yuav mus pw kom tiv thaiv cov ntshav qog ntshav thaum hmo ntuj. Tsis tas li ntawd, koj yuav tsum tau saib xyuas thaum muaj kev hloov pauv ntawm kev noj zaub mov, kev kis las kis las, cov kabmob sib kis, kev kuaj mob.

Nws yog qhov yuav tsum tau khaws cov ntaub ntawv txog qib qab zib thiab cov koob tshuaj insulin uas tau nkag mus. Rau cov hluas, qhov kev xaiv zoo tshaj plaws yuav tau siv cov phiaj xwm tshwj xeeb uas tsim los rau cov khoom siv hluav taws xob.

Kev kawm rau cov hluas hauv cov tsev kawm mob ntshav qab zib yuav tsum ua raws li cov lus pom zoo rau kev kho kom haum rau hauv cov xwm txheej txawv: hnub yug, dej cawv, khoom noj ceev, ncaws pob lossis yuam kom noj mov thiab txhaj tshuaj insulin.

Nrog cov piam thaj kom ntau ntxiv lossis qhov kev cia siab ntxiv, koj yuav tsum txo feem ntawm cov khoom noj lossis kev tawm dag zog. Ib txoj kev xaiv yog nce lub koob tshuaj ntawm luv luv ua yeeb yam insulin, tab sis nco ntsoov tias cov koob tshuaj ntxiv tuaj yeem ua rau nce phaus, zoo li mob ntev dhau ntawm insulin overdose syndrome.

Cov qauv rau kev kho ntshav qab zib rau cov hluas yog:

• Ceev ceev qib glycemia yog 5.5-5.9 mmol / L.
• Glycemia tom qab noj mov (tom qab 120 feeb) yog qis dua 7.5 mmol / L.
• Lipid spectrum (hauv mmol / L): cov roj (cholesterol) txog li 4.5, triglycerides qis dua 1.7, LDL tsawg dua 2.5, thiab HDL siab dua 1.1.
• Glycated hemoglobin feem ntau qis dua 6.5%.
• Ntshav siab txog li 130/80 hli RT. Kos duab.

Yuav kom ua tiav cov hom phiaj glycemic uas txo qis kev pheej hmoo ntawm ntshav qab zib muaj teeb meem tsuas yog ua tau thaum npaj kev noj haus.

Koj kuj yuav tsum tau npaj seb yuav noj npaum li cas ntawm cov carbohydrates thiab ib koob tshuaj insulin, uas tuaj yeem pab lawv qhov kev nqus.

Yuav ua li cas tiv thaiv cov ntshav qog ntshav nyob hauv tus tub hluas muaj ntshav qab zib?

Kev siv tshuaj insulin ntau dua, uas yog qhov kev kho mob tseem ceeb rau hom 1 ntshav qab zib mellitus thaum tiav hluas, nrog rau kev noj zaub mov tsis xwm yeem thiab ntau dua li kev ua haujlwm lub cev yog qhov muaj kev pheej hmoo rau kev mob ntshav qab zib. Yog li ntawd, cov neeg mob zoo li no yuav tsum nrog lawv haus kua txiv qab zib lossis suab thaj ua ke.

Nrog rau qhov muaj mob me, hypoglycemia yog tshwm sim los ntawm kev tawm tsam ntawm kev tshaib kev nqhis, uas yog nrog ua kom tsis muaj zog, mob taub hau, tshee hnyo ntawm txhais tes thiab ko taw, kev coj tus cwj pwm thiab lub siab ntsws hloov - ntau lub siab tsis tuaj yeem lossis kev nyuaj siab tshwm sim. Tus menyuam yuav kiv taub hau lossis hnov ​​qhov muag tsis zoo.

Nrog cov kawm qib nruab nrab, cov hluas yuav plam lawv qhov kev coj ua hauv qhov chaw, coj tus cwjpwm tsis raug thiab tsis paub txog qhov xwm txheej loj, thiab kev teb rau kev sim tshuaj. Nrog rau qhov kev tawm tsam loj, cov menyuam yaus poob rau hauv kev tsis meej pem, thiab muaj mob pheej tshwm sim.

Cov cai tseem ceeb rau kev tiv thaiv hypoglycemia:

1. Cov ntshav qab zib yuav tsum tsis txhob poob qis dua 5 mmol / L.
2. Nco ntsoov ntsuas glycemia ua ntej yuav mus pw.
3. Yog tias cov piam thaj qis dua 5 mmol / l ua ntej noj mov, ces tsis tas txhaj tshuaj ua ntej noj mov, tus menyuam yuav tsum tau noj ua ntej, thiab tom qab ntawd ntsuas ntsuas qab zib thiab txhaj tshuaj insulin.
4. Tsis txhob haus cawv haus rau ntawm lub plab khoob.

Kev tawm dag zog feem ntau ua rau cov ntshav qabzib, raws li qhov xav tau ntawm cov piam thaj hauv cov nqaij ntshiv nce, thiab nrog kev tawm dag zog, glycogen tshwj xeeb yog ploj zuj zus. Cov nyhuv ntawm kev ua kis las ncaws pob tuaj yeem kav ntev li 8-10 teev. Yog li, rau cov neeg mob ntshav qab zib, nws raug nquahu kom txo cov koob tshuaj insulin thaum ua haujlwm ntev.

Txhawm rau tiv thaiv kev tawm tsam ntawm hypoglycemia thaum hmo ntuj, koj yuav tsum tau noj thaum lub sijhawm thiab tom qab ua exercise. Cov hluas yuav tsum muaj zaub mov noj txhua txhua 45 feeb. Hauv qhov no, koj yuav tsum tau txais ib nrab ntawm cov carbohydrates los ntawm cov txiv hmab txiv ntoo, thiab ntu thib ob yuav tsum muaj cov khoom noj (carbohydrates) sib xyaw - piv txwv li, ib lub ncuav cheese. Nrog rau feem ntau nocturnal hypoglycemia, hloov chav kawm rau thaum sawv ntxov.

Txhawm rau kho ntshav qab zib tsawg los sis mob pes nrab, koj yuav tsum noj 10 g suab thaj hauv cov ntsiav tshuaj (ib khob kua txiv lossis haus dej qab zib). Yog tias cov tsos mob tsis ploj, tom qab 10 feeb - rov ua dua. Nrog rau qhov hnyav ntawm txo cov piam thaj, glucagon yuav tsum tau txhaj, tom qab uas tus me nyuam yuav tsum noj.

Qhov phom sij ntawm kev tawm tsam ntau dhau ntawm cov ntshav qog ntshav qab zib hauv ntshav qab zib yog qhov kev puas tsuaj rau lub hlwb tau nce zuj zus tuaj, uas tuaj yeem txo lub peev xwm kev txawj ntse yav tom ntej. Rau cov menyuam yaus, qhov xwm txheej tshwm sim tuaj yeem yog qhov cuam tshuam ntawm cov phooj ywg rau qhov xwm txheej ntawm qhov kev coj ua tsis tau tswj hwm.

Qhov tshwj xeeb tshaj yog txaus ntshai nyob rau hauv thaum hluas yog kev haus dej haus cawv nrog ib tug nyiam mus rau hypoglycemia. Nws yuav tsum tau yug los rau hauv lub siab tias thaum muaj kev tawm tsam hnyav, glucagon tiv thaiv keeb kwm ntawm cov cawv tsis ua haujlwm, yog li tus tub ntxhais hluas xav tau kev mus pw hauv tsev kho mob sai sai thiab kev tswj hwm ntshav ntawm cov tshuaj muaj qabzib.

Tus kws tshaj lij los ntawm daim vis dis aus hauv tsab xov xwm no yuav tham txog cov ntshav qab zib cov ntshav ib txwm muaj.

Kev tsim tawm insulin hauv ntshav yog txhais li cas?

Qhov tshuaj insulin yog yam tshuaj uas ua lub luag haujlwm tseem ceeb hauv tib neeg lub cev. Nws tau koom nrog hauv cov txheej txheem hauv metabolic, uas yog, nws cuam tshuam rau txo qis cov ntshav qab zib. Kev siv tshuaj insulin kuj yog lub luag haujlwm rau kev hloov pauv suab thaj los ntawm ntshav cov ntshav mus rau ntau cov ntaub so ntswg ntawm lub cev thiab rau cov metabolism hauv kev ua kom rog.

Txhawb cov tshuaj insulin yuav tsum ceeb toom rau txhua tus, txawm hais tias muaj coob tus neeg tsis ua qhov tseem ceeb no. Nws yuav tsis ua kom pom kev ntxhov siab thiab kab mob rau qee lub sijhawm. Tib lub sijhawm, ntau cov insulin hauv tib neeg lub cev tuaj yeem cuam tshuam nws kev noj qab haus huv thiab ua rau muaj kev txhaum loj thiab txawm tias muaj kev cuam tshuam loj.

Cov tsos mob qhia tau tias cov qib ntshav insulin nce siab

Cov tsos mob uas yuav tsum ceeb toom:

• zoo nkaus li kev tshaib nqhis tas li, kab tias ncig lub moos,
• sai thiab nquag nkees,
• tawm hws,
• txog siav siav, txawm hais tias lub cev sib zog me ntsis,
• mob thiab ceg ntswj,
• maj mam kho ntawm abrasions thiab qhov txhab thiab nquag khaus ntawm daim tawv nqaij.

Tag nrho cov tsos mob saum toj no tsuas yog tsis ncaj qha, tab sis raws li lawv nws tuaj yeem xav tias cov ntsiab lus insulin tau nce, thiab koj yuav tsum tau mus ntsib kws kho mob kom paub meej cov ntsiab lus no lossis tsis lees paub nws.

Ua rau kom muaj cov insulin ntau ntxiv

Ib tus neeg uas noj ntau yam khoom qab zib thiab carbohydrates ntau, yog li nce insulin ntau ntau. Tsis tas li ntawd lub laj thawj zoo tuaj yeem ua qhov tshaib plab tas li. Yog li, cov khoom noj yuav tsum tau txhim tsa kom ib tus neeg tsis niaj hnub ntsib kev tshaib kev nqhis. Qhov no txhais tau tias koj yuav tsum tau noj 4-5 zaug ib hnub, suav nrog cov khoom txom ncauj me me. Koj yuav tsum tau noj ib ntus.

Kev nquag tawm ntawm lub cev tas li yog ib qho ntawm cov laj thawj rau kev nce hauv insulin. Kev poob siab thiab kev ntxhov siab tseem ua lub hauv paus no.

Txawm li cas los xij, lub ntsiab tseem ceeb yog kev rog. Kev rog rog ua rau qhov nqus cov rog sai thiab lub zog txuag. Qhov no, nyeg, ua rau muaj kev cuam tshuam hauv cov ntshav ncig thiab lub raum tsis ua haujlwm.

Cov tshuaj insulin hauv cov ntshav tuaj yeem nce qhov kev tsis muaj vitamin E thiab chromium. Yog li no, qee zaus nws muaj peev xwm thiab tsim nyog yuav tau coj cov tshuaj uas tsim lawv cov ploj. Kev noj tshuaj nrog cov vitamin E thiab chromium, tib neeg lub cev ntxiv dag zog rau kev cuam tshuam kev puas tsuaj, thiab lub hlwb tsim cov tshuaj tiv thaiv kom cov rog oxidation. Raws li, qhov no txo ​​qis tsim cov tshuaj hormones rau cov rog ua kom muaj roj.

Txhawb cov tshuaj insulin hauv cov ntshav tuaj yeem tshwm sim los ntawm cov kabmob xws li tus kabmob sib kis, kabmob siab, cov qog ntawm cov qog adrenal, cov qog ntawm lub plab hauv plab.

Txog kev kho mob pob qij txha, peb cov neeg nyeem tau siv DiabeNot siv tau zoo. Pom qhov nrov ntawm cov khoom no, peb tau txiav txim siab muab nws rau koj kom txaus siab.

Kev kho mob thiab kev ua neej rau kev tsim cov tshuaj insulin

Ua ntej yuav muab tshuaj kho, nws yog ib qho tsim nyog yuav tau txheeb xyuas qhov laj thawj uas tau pab txhawb rau qhov ntsuas no. Raws li cov laj thawj, muab tshuaj rau noj, kho noj nrog pluas noj thiab qoj ib ce. Kom cov ntshav ntshav insulin nce siab tuaj yeem txo qis yog tias ua raws li kev kho kom raug.

Cov neeg mob yuav tau sau tshuaj uas txo cov tshuaj insulin. Tab sis koj tsis tuaj yeem ua nrog qee cov tshuaj tshwj tsis yog tias koj muab kev sib xyaw ua ke thiab qoj ib ce nrog lawv.

Kev noj zaub mov kom muaj zog insulin ntau ntxiv suav nrog kev xaiv khoom noj zoo. Cov piam thaj thiab khoom qab zib yuav tsum tsis txhob muaj nyob hauv cov neeg mob noj mov. Muaj kev hloov pauv rau qhov no. Nws tuaj yeem muaj cov qab qab zib, qes-calorie marshmallows thiab marmalade. Ib qeb tseem ceeb ntawm kev noj zaub mov kom zoo yog saib xyuas cov nyiaj carbohydrates. Nws tsis yog yuav tsum tau tshem tawm kom tshem tawm lawv, tab sis nws yog qhov tsim nyog los xaiv thiab faib lawv kom raug rau txoj kev noj haus txhua hnub.

Yog hais tias insulin hauv cov ntshav nce ntxiv, tom qab ntawd kev siv ntsev yuav tsum raug txo kom txog xoom lossis nce mus rau qhov tsawg kawg nkaus. Hauv tus neeg mob txoj kev noj haus, cov zaub mov uas muaj ntsev ntau nyob hauv lub cev tsis pub noj. Cov no suav nrog cov zaub mov hauv kaus poom, khoom noj txom ncauj thiab hnyuv ntxwm, ntau cov pob keej thiab cov noob qab ntsev.

Thaum kev noj haus yuav tsum tsis pub haus dej haus cawv. Tab sis koj yuav tsum haus dej haus txog li 2-2.5 litres ib hnub. Nws tuaj yeem yog cov qab zib tsis qab thiab haus, dej tshuaj yej ntsuab, dej haus, tso kua zaub rosehip.

Cov zaub mov twg raug tso cai thaum cov ntshav insulin nce siab? Tag nrho cov khoom noj mis nyuj tau tso cai, tab sis muaj cov ntsiab lus tsis muaj rog. Ntawm kev ua zaub ua mov, tsuas yog tag nrho cov raug tso cai, xws li xua, nplej cog nplej, mov, tab sis xim av.

Koj tuaj yeem qhia cov nqaij ntshiv thiab nqaij qaib, nqaij ntses muaj roj tsawg rau hauv kev noj haus. Tso qaib qe pub. Tab sis koj yuav tsum xyuam xim nrog lawv. Koj tuaj yeem noj lawv tsis pub ntau tshaj 2-3 zaug hauv ib lub lis piam rau 1-2 qe.

Ntawm zaub, yuav luag txhua yam muaj cai, tab sis nyob rau hauv daim ntawv nyoos thiab hau. Los ntawm cov txiv hmab txiv ntoo thiab berries koj tuaj yeem txiv apples thiab pears, watermelon thiab melon. Nws yog qhov zoo yog tias txiv kab ntxwv qaub thiab txiv kab ntxwv muaj nyob hauv kev noj haus. Koj tuaj yeem muaj peev xwm noj raspberry, txiv pos nphuab, txiv ntoo thiab txiv pos nphuab.

Ua kom muaj kev noj haus, peb yuav tsum tsis txhob hnov ​​qab txog kev siv dag zog.

Txhua hnub koj yuav tsum taug kev ntev li ib nrab teev lossis ntau dua. Koj tuaj yeem khaws ib pawg kev tawm dag zog. Nco ntsoov, kev noj zaub mov zoo tsuas yog ua ke nrog kev ua si.