Kuaj ntshav tso ntshav kuaj ntshav
Kev kuaj ntshav qabzib muaj nyob rau hauv kev txiav txim siab txog qib ntawm cov piam thaj hauv ntshav plasma thiab insulin ntawm lub plab tsis muaj plab thiab 2 teev tom qab cov khoom noj khoom haus carbohydrate kom thiaj kuaj tau ntau yam teeb meem ntawm cov metabolism hauv cov kab mob (insulin tsis kam, cuam tshuam rau cov ntshav qabzib, ntshav qab zib mellitus, glycemia).
TxhaisLus Askiv
Kuaj ntshav qabzib kuaj, GTT, Kev ntsuam xyuas cov kua qabzib ncauj.
Electrochemiluminescent immunoassay - insulin, enzymatic UV (hexokinase) - piam thaj.
Mmol / l (millimol ib liter) - cov piam thaj, μU / ml (microunit ib milliliter) - insulin.
Dab tsi biomaterial siv tau rau kev tshawb fawb?
Yuav npaj li cas rau txoj kev kawm?
- Tsis txhob noj rau 12 teev ua ntej txoj kev tshawb no, koj tuaj yeem haus cov dej tseem huv.
- Tag nrho cais tawm (hauv kev pom zoo nrog tus kws kho mob) kev tswj hwm tshuaj hauv 24 teev ua ntej kev tshawb fawb.
- Tsis txhob haus luam yeeb rau 3 teev ua ntej kev kawm.
Kawm Txog Ib Zaug Ntxiv
Kev kuaj ntshav qabzib yog qhov ntsuas ceev ntawm cov ntshav ntawm cov ntshav qabzib thiab 2 teev tom qab lub qhov ncauj ntawm cov kua qabzib feem ntau (feem ntau 75 g piam thaj). Txais cov kua nplaum nyob rau hauv cov ntshav yuav ua rau theem ntawm cov piam thaj hauv cov ntshav thaum thawj teev, tom qab ntawd cov tshuaj insulin feem ntau ua rau hauv lub cev thiab tom qab ob teev cov ntshav qabzib hauv cov ntshav yuav rov qab zoo li qub.
Kev kuaj ntshav qabzib nyob rau kev kuaj ntshav qabzib (suav nrog kev siv ib ce), yog ib qhov kev ntsuas rwj ntau tshaj qhov kev txiav txim siab ntawm cov piam thaj hauv qab. Hauv kev siv tshuaj, kev kuaj ntshav qabzib tau siv los kuaj ntshav qab zib thiab ntshav qab zib hauv cov neeg uas muaj ciam dej ciam av sai cov ntshav piam thaj. Ntxiv rau, qhov kev ntsuas no tau pom zoo rau kev kuaj ntshav qab zib thaum ntxov hauv cov neeg muaj kev pheej hmoo (rog dhau, nrog cov ntshav qab zib hauv cov neeg txheeb ze, nrog rau kev txheeb pom yav dhau los ntawm tus mob hyperglycemia, nrog cov kab mob metabolic, thiab lwm yam). Kev kuaj ntshav qabzib yog contraindicated rau qib siab ceev cov piam thaj ntau dua (ntau dua 11.1 mmol / L), ntxiv rau kev mob hnyav, cov menyuam hnub nyoog qis dua 14 xyoos, nyob rau lub sijhawm kawg ntawm cev xeeb tub, thaum noj qee yam tshuaj (piv txwv li, cov tshuaj hormones steroid).
Txhawm rau nce qhov tseem ceeb hauv chaw kho mob, ua ke nrog ntsuas qhov ntsuas cov piam thaj hauv kev ntsuas ntshav qabzib, kev txiav txim siab txog qib ntawm cov kua dej hauv cov ntshav tau siv. Qhov tshuaj insulin yog ib yam tshuaj tsim los ntawm cov qe ua haujlwm ntawm cov txiav. Nws lub luag haujlwm tseem ceeb yog txo qis ntawm cov piam thaj hauv cov ntshav. Paub txog cov theem ntawm cov tshuaj insulin ua ntej thiab tom qab noj cov kua nplaum, nrog kev kuaj ntshav qabzib, koj tuaj yeem ntsuas lub txiaj ntsig ntawm qhov kev txiav txim siab zoo ntawm lub caj pas. Yog tias ntsuas qhov tshwm sim los ntawm cov qib ntawm cov piam thaj thiab insulin ib txwm tau pom, kev kuaj mob ntawm tus kab mob pathological yog yooj yim heev, uas ua ke nrog kev paub ntxov thiab raug dua.
Nws yog ib qho tseem ceeb kom nco ntsoov tias kev teem caij thiab kev txhais lus ntawm cov txiaj ntsig kev ntsuas ntshav qabzib nrog kev ntsuas cov ntshav ntawm cov ntshav insulin tsuas yog ua los ntawm tus kws kho mob uas tuaj koom.
Dab tsi yog qhov kev tshawb fawb tau siv rau?
- Rau kev kuaj mob ntawm kev paub txog kev mob carbohydrate metabolism.
Thaum kawm tiav thaum twg?
- Nrog rau cov tsos mob ntawm tus mob ntshav qab zib yog cais rau ntau hom ntshav qab zib,
- hauv kev txiav txim siab cov piam thaj hauv dej qab zib / insulin, nrog rau kev ntsuam xyuas cov tshuaj insulin thiab β-tes haujlwm,
- Hauv kev tshawb pom ntawm insulin tsis kam rau cov neeg mob ntshav siab, mob ntshav qab zib, nce ntshav triglycerides, ntshav qab zib hom 2,
- yog tias koj xav tias insulin
- thaum kuaj xyuas cov neeg mob rog rog, mob ntshav qab zib, mob metabolic syndrome, polycystic ovary syndrome, mob siab ntev, mob ntshav siab tsis rau cawv,
- hauv kev txheeb xyuas qhov kev pheej hmoo ntawm kev tsim muaj ntshav qab zib thiab kab mob plawv.
Cov txiaj ntsig li cas?
Cauj
Ntawm ib plab khoob: 4.1 - 6.1 mmol / l,
tom qab 120 feeb tom qab thauj khoom: 4.1 - 7.8 mmol / L.
Kev kuaj mob ntshav qab zib thiab lwm yam mob glycemic *