Yog tias cov piam thaj hauv ntshav yog 7 - dab tsi yuav tsum tau ua tam sim ntawd?

6 feeb Tshaj Tawm los ntawm Lyubov Dobretsova 1283

Cov neeg mob uas paub cov txheej txheem ntshav qabzib hauv cov ntshav dej, pom hauv cov txiaj ntsig ntawm kev tshuaj ntsuam 7 mmol / l thiab saum toj no, ceeb thiab xav tsis meej tias lawv puas muaj ntshav qab zib. Yog lawm, qhov ua tau zoo li no ua rau kev txhawj xeeb thiab yuav tsum muaj kev kuaj mob ntxiv.

Tab sis cov kws kho mob ceeb toom tias ntshav qab zib ntawm 7 mmol / L thiab siab dua tsis tas li qhia qhov kev txhim kho ntawm tus kab mob txaus ntshai. Xws li cov tshuaj tiv thaiv tuaj yeem ua rau me ntsis ua haujlwm nyob rau hauv kev ua haujlwm ntawm cov khoom nruab nrog sab hauv thiab cov tshuab, nrog rau qhov tsis zoo ntawm lwm yam sab nraud. Txhawm rau tiv thaiv kev txhim kho ntawm hyperglycemia, nws yog qhov tsim nyog los txheeb xyuas qhov ua rau ntawm kev sib txawv thiab tshem tawm nws.

Qab zib nqi rau cov neeg sib txawv

Ua ntej koj xav paub qhov txiaj ntsig ntawm kev soj ntsuam qab zib txhais tau li cas, uas qhia txog cov piam thaj ntawm 7 txog 7.9 mmol / L, nws yog qhov yuav tsum tau nkag siab txog qhov ntsuas ntawm cov tshuaj thoob ntiaj teb pom zoo li cas. Tsis muaj ib qho txiaj ntsig rau cov ntshav qab zib cov txiaj ntsig rau cov neeg laus thiab menyuam yaus, txij li qhov tseem ceeb ntawm cov khoom sib txawv hloov nrog lub hnub nyoog.

Nws yog conventionally ntseeg hais tias nyob rau hauv cov txiv neej thiab poj niam noj qab haus huv, cov ntshav qab zib noj thaum sawv ntxov nyob rau ntawm lub plab khoob yuav tsum tsis pub tshaj qhov txwv siab tshaj ntawm 5.5 mmol / l. Kev pom zoo pub qis qis yog 3.3 mmol / l. Thaum tsis muaj cov txheej txheem pathological nyob rau hauv cov neeg feem ntau, qhov kev ntsuas tsom qhia pom qhov tshwm sim ntawm 4.5 mus rau 4.7 units.

Qhov xwm txheej tsuas yog thaum tus neeg noj qab haus huv muaj ntshav siab cov ntshav qab zib yog txoj cai tom qab noj mov. Qhov tshuaj tiv thaiv no yog tus yam ntxwv ntawm ob tus neeg laus thiab cov menyuam yaus. Hauv cov neeg mob uas muaj hnub nyoog 60 txog 90 xyoo, qhov feem ntau ntawm qhov ntsuas yog txawv me ntsis thiab txawv ntawm 4.6 txog 6.4 mmol / L.

Yog tias qhov kuaj ntshav ntawm lub ntsej muag pom tshwm sim los ntawm 6.4 units, qhov no yog lub sijhawm los xav txog kev noj qab haus huv thiab raug kuaj mob ntxiv, vim tias qhov txiaj ntsig zoo sib xws yuav yog qhov qhia tias muaj ntshav qab zib mellitus. Los ntawm qhov no peb tuaj yeem xaus tias yog tias cov ntshav qab zib ntawm ib qho khoob hauv plab yog 7 mmol / l lossis siab dua.

Thaum cov ntshav qab zib yog 7, nws txhais li cas?

Thaum lub sijhawm noj mov, lub cev yog saturated nrog carbohydrates. Yog tias lub hauv paus ntawm kev noj haus yog cov khoom noj sai, muaj cov yam ntxwv ntawm cov yam ntxwv yam tsawg kawg, cov piam thaj yuav nce sai heev. Cov kua nplaum nkag mus rau hauv cov hlab ntshav mus rau ntawm lub qhov quav. Lub cev no tsim tawm cov insulin uas pab them ntshav qab zib.

Yog tias cov piam thaj hauv ntshav nce mus txog tus nqi ntawm 7 units (7.1, 7.2, 7.3 thiab siab dua), qhov no txhais tau hais tias cov khoom sib hla ntawm cov xoos ntawm tes muaj qhov tsis taus, thiab lawv tshaib plab. Nrog rau qhov tshwm sim no, tus kws kho mob sau ntawv rau tus neeg mob kuaj thib ob, uas yuav pab pom tseeb lossis rov ua qhov tsis txaus siab txog kev kuaj mob.

Nws feem ntau hloov tawm tias hyperglycemia yog ib qho kev tshwm sim ib ntus, ua rau kev cuam tshuam los ntawm qhov tsis zoo ntawm sab nraud yam. Kom rov ua qhov ntsuas tau pom qhov ua tau zoo, tus neeg mob yuav tsum ua tib zoo npaj rau nws thiab ua raws txhua cov lus qhia kho mob. Qhov xwm txheej tseem ceeb tshaj plaws yog kev tsis kam ntawm zaub mov 10-12 teev ua ntej xa khoom ntawm biomaterial.

Qhov tsuas yog tso cai yog haus dej ib khob thaum sawv ntxov. Tsis tas li ntawd, nyob rau Hmo ua ntej nws tsim nyog kom tsis txhob muaj kev xav dhau los thiab nce lub cev ntau dhau, vim lawv tseem tuaj yeem ua rau qhov tsis zoo. Yog hais tias tus neeg mob nruj me ntsis ua raws li txhua qhov kev pom zoo, tab sis kev tsom xam pom qhov nce nqi ntawm cov piam thaj, piv txwv li, 7.4 lossis 7.8 mmol / l, qhov no qhia tau tias pib qhov txheej txheem pathological thiab yuav tsum muaj kev tshuaj ntsuam ntxiv thiab kuaj mob.

Nws yuav tsum tau yug hauv siab tias mob ntshav qab zib yog yuav luag tsis tau asymptomatic. Cov cim ntawm tus kabmob tuaj yeem ua rau lawv tus kheej txawm nyob rau ntawm thawj theem ntawm tus kabmob. Feem ntau cov neeg mob yws ntawm nqhis dej, nquag kiv taub hau, khaus tawv nqaij thiab qhov zoo li pustules, lub cev tsis muaj zog thiab tsis pom kev.

Vim dab tsi tsis muaj qhov tshwm sim tsis zoo yuav tshwm sim

Yog tias qhov kev ntsuam xyuas zaum ob pom tau hais tias cov piam thaj hauv ntshav tsis siab dhau tus qauv, ces tsis muaj laj thawj dab tsi rau kev ntxhov siab. Raws li kev coj ua qhia, qab zib cov ntsiab lus ntsuam xyuas feem ntau qhia tau tias qhov cuav ua qhov raug.

Cov laj thawj rau kev nce siab ib ntus hauv feem yuav yog:

• ua kom lub cev ua si tsaus ntuj ua ntej,
• ua haujlwm dhau thiab tsis muaj kev pw tsaug zog,
• kev nyuaj siab, kev poob siab,
• Lub caij nyoog siv qee yam tshuaj kho mob (tshuaj hormones, tshuaj tiv thaiv qhov ncauj, tshuaj diuretics),
• npauj
• muaj mob hauv lub qab thob noom,
• coj menyuam
• endocrine mob hauv lub cev,
• kev phais kho tsis ntev los no.

Yog tias tus neeg mob tau sau tshuaj rau noj tas li, nws yog qhov yuav tsum tau ceeb toom rau tus kws kho mob uas tuaj koom qhov kev txiav txim siab qhov tshwm sim.

Yuav ua li cas thaum muaj suab thaj ntau tshaj 7

Yog tias kuaj pom tau tias cov kua nplaum nyeem ntau dua 7 mmol / L, cov kev tawm tsam no qhia tias muaj kev mob ntshav qab zib hauv tus neeg mob. Lub xeev cov mob qog ntshav tau kuaj tsuas yog tias qhov ntsuas nws txawv ntawm 6.5 mus rau 7 mmol / L.

Txawm hais tias qhov tseeb hais tias cov kev kuaj no sib txawv ntawm ib leeg, thaum pib ntawm txheej txheem, kev kho yuav xyaum tsis txawv. Tus kws kho mob uas tuaj koom yuav qhia tus neeg mob tias yuav ua li cas thiab yuav ua li cas txhawm rau txo qhov kev nqus ntawm cov feem. Qhov mob tseem ceeb yog kev kho tus neeg mob txoj kev ua neej.

Yog hais tias kev ntsuas tsis ua raws li lub sijhawm, cov kua nplaum ntawm lub ntsej muag yuav maj mam nce zuj zus, uas yuav cuam tshuam tsis zoo rau lub xeev ntawm cov nruab nrog cev thiab lub cev. Qhov no nce qhov yuav muaj kev cuam tshuam tsis yooj yim rau tus neeg mob.

Yog tias cov piam thaj hauv ntshav yog 7.5, 7.6, 7.7 mmol / L thiab ntau dua, cov lus qhia hauv qab no yuav pab coj tus nqi ntawm cov khoom sib txawv rov qab rau qhov qub:

• muab mus rau qhov tsis zoo, suav nrog kev haus luam yeeb,
• kho lub zog. Lub hauv paus ntawm cov khoom noj yuav tsum yog cov khoom noj uas muaj qhov tsawg tsawg ntawm cov carbohydrates,
• yog hais tias tus neeg mob hnyav dua, koj yuav tsum poob ceeb thawj. Yog li, khoom noj khoom haus yuav tsum tsis tsuas yog tsawg-carb, tab sis kuj qis-calorie,
• tus neeg mob xav tau kev ua lub neej nquag, zoo li kev ua si nyhav pab txhim kho tus mob.

Kev nrhiav noj haus

Lub hauv paus rau kev kho mob ntshav qab zib nyob rau hauv ob tus neeg laus thiab menyuam yaus yog kev kho zaub mov noj. Yog tias koj tsis noj zaub mov nrog cov khoom noj uas muaj carbohydrates ntau thiab tshem tawm cov khoom noj uas tsis zoo, koj tsis tuaj yeem tsis yog qhov ib txwm ua kom cov concentration ntawm cov piam thaj hauv cov ntshav, tab sis kuj tseem tswj nws nyob rau theem.

Ua ntej tshaj, tus neeg mob yuav tsum tso cov khoom nrog cov khoom noj zom tau yooj yim. Nws kuj tseem pom zoo kom txo qis kev noj haus ntawm cov khoom muaj cov hmoov txhuv nplej siab. Qhov thib ob yuav tsum tau ua ntej yog kev ua raws li kev noj haus ntawm fractional. Koj yuav tsum tau noj zaub mov 5-6 zaug hauv ib hnub, tab sis cov ntu yuav tsum me me.

Nws raug nquahu kom tsis kam lees noj cov zaub mov thiab dej haus hauv qab no:

• granulated qab zib, hmoov txhuv nplej siab,
• khov kas fes thiab muaj zog tshuaj yej,
• ci thiab ci,
• qos yaj ywm (tshwj xeeb tshaj yog kib), cov nqaij rog thiab ntses,
• dej cawv
• dej qab zib
• khoom qab zib (zib ntab, chocolate, khoom qab zib, jam).

Kev noj haus yuav tsum yog cov khoom lag luam nrog cov lej ntawm cov nroj tsuag fiber ntau (lawv txo cov khoom ntawm cov hmoov txhuv nplej siab thiab nce qab zib), cov zaub tshiab thiab cov khoom noj muaj mis nrog qhov tsawg kawg nkaus% cov ntsiab lus rog.

Nws raug tso cai kom noj cov nqaij muaj roj tsawg thiab nqaij ntses, nrog rau cov khoom ua kom yuag, tab sis lawv yuav tsum muaj nyob hauv qhov tsawg. Cov khoom noj zoo li no yuav tsis tsuas tiv thaiv kev nce ntxiv hauv cov piam thaj, tab sis kuj pab kom poob phaus.

Xaus

Ntshav qab zib mellitus yog ib qho mob uas cuam tshuam rau tag nrho lub neej tom ntej ntawm tus neeg mob. Yog li ntawd nws thiaj li ntse dua los sim tiv thaiv nws qhov tshwm sim. Rau qhov no, nws yog ib qho tsim nyog tsis yog los soj ntsuam kev tiv thaiv kev tiv thaiv, tab sis kuj tseem yuav tso ntshav pub ntshav qab zib txhua 6 lub hlis (txawm tias tsis muaj cim).

Yog tias kev ntsuas pom tias qhov kev cia siab ntawm qhov tshaj li tus qauv, tus kws kho mob yuav qhia koj tias nws yog qhov txaus ntshai, nrog rau kev ntsuas dab tsi yuav tsum tau ua kom coj qhov ntsuas rov qab mus rau qhov qub.

Kev ntsuam xyuas tus kheej rau cov piam thaj hauv cov ntshav

Hauv tsev, nws yog ib qho tseem ceeb rau tus neeg mob ntsuas cov ntsuas ntsuas no thoob plaws ib hnub. Rau lub hom phiaj no, ib qho khoom qab zib yog siv. Lub cuab yeej hluav taws xob muaj qhov screen thiab rab koob rau thiav ntiv tes. Tseem yuav tsum tau ntsuas strips yuav nyias. Cov cuab yeej siv tau yooj yim.

Txhawm rau ntsuas, koj yuav tsum hno qhov taub ntawm koj cov ntiv tes, nyem tawm me ntsis ntshav los ntawm nws, kom qhov kev xeem ntsuas yog thov. Tom qab ob peb vib nas this, lub ntsuas dej yuav muab cov txiaj ntsig ntawm txoj kev kawm. Cov txheej txheem yog tsis muaj mob. Cov cuab yeej siv me me - nws yooj yim los nqa nrog koj.

Cov txheej txheem yuav tsum tau ua tom qab noj mov, soj ntsuam cov sijhawm tom qab tsoomfwv:

1. Tom qab 5-7 feeb,
2. Hauv 15-17 feeb,
3. Tom qab 30 feeb
4. 2 teev tom qab.

Ntshav Qab Zib 7 - Nws Txhais Li Cas

Cov kua nplaum nkag mus rau hauv lub plab zom mov nrog cov zaub mov. Yog hais tias lawv tau noo nrog cov carbohydrates yooj yim, suav nrog qhov tsawg kawg ntawm cov txheej txheem yam ntxwv, tom qab ntawd cov concentration ntawm cov piam thaj hauv cov hlab ntshav nce ntau. Pab cov piam thaj txeem mus rau hauv cov ntaub so ntswg. Nws synthesizes cov tshuaj hormone insulin, uas them rau cov ntshav qab zib.

Yog tias cov piam thaj hauv ntshav yog 7, tom qab ntawd qhov no txhais tau hais tias permeability ntawm cov cell puas raug mob, thiab lawv tau tshaib plab. Qhov txiaj ntsig zoo sib xws yuav tsum raug kuaj xyuas zaum ob thiab xeem dhau qhov kev txheeb xyuas ntxiv. Qhov no yuav pab kom nkag siab hais tias hyperglycemia yog ib qho kev mob puas tsuaj ib ntus, lossis tus neeg mob puas tseem muaj ntshav qab zib.

Txhawm rau kev kuaj kom muab cov txiaj ntsig zoo tshaj plaws, koj yuav tsum tsis kam noj 10-12 teev ua ntej tso ntshav. Koj tuaj yeem haus me ntsis dej thaum sawv ntxov. Yog tias rov kuaj pom qhia glycemic ib txwm ua, ces koj yuav tsum tsis txhawj. Yog tias cov piam thaj hauv cov ntshav qab zib tseem siab, piv txwv li, 7.2-7.9 units, qhov no qhia tias pib ntawm txoj kev pathological uas yuav tsum tau saib xyuas kev kho mob.

Kev nce qib ntawm cov piam thaj ib ntus nrog qhov ntsuas ntawm 7.1 lossis siab dua yuav qhia tias hyperglycemia, uas tuaj yeem ua rau:

• cev xeeb tub
• ua haujlwm dhau
• kev ntxhov siab
• noj qee yam tshuaj (diuretics, tshuaj hormones, tshuaj tiv thaiv qhov ncauj),
• kab mob siab hepatic,
• o, mob cancer ntawm lub txiav,
• npauj.

Tseem Ceeb! Ua ntej kuaj mob tawm ntawm tus txheej txheem, tus neeg mob uas siv cov tshuaj yuav tsum qhia rau cov neeg ua haujlwm pabcuam hauv chaw kuaj ntshav.

Kev pom zoo rau kev kuaj ntshav qabzib thiab kuaj ntshav glycohemoglobin kuj tseem raug pom zoo. Feem ntau nws raug pom zoo kom xeem dhau nws nrog cov suab thaj ntawm 6.0-7.6 ntawm ib qho khoob plab. Ua ntej tshaj, kuaj lub plab ua tiav. Tom qab ntawv cov dej qab zib yaj hauv cov dej dawb.

Rau ib teev thiab ib nrab, kev kuaj biomaterial tau ua tiav peb zaug nrog tib lub sijhawm sib nrug. 2 teev tom qab noj cov dej qab zib, qhov tsis muaj glycemic yuav tsum tsis pub tshaj tus nqi ntawm 7,8 units. Yog tias qhov nruab nrab nce ntxiv, thiab nce mus txog 11, tom qab ntawd tus neeg mob kuaj mob ntshav qab zib.

Hauv cov mob no, cov neeg mob soj ntsuam:

• nce nqhis dej
• khaus tawv nqaij - nyeem ntxiv,
• cov tsos ntawm pustules thiab rwj,
• polyuria - nyeem ntxiv,
• nquag kiv taub hau
• qaug zog,
• kev kho tsis zoo ntawm daim tawv nqaij,
• lub cev tsis muaj zog tiv thaiv, tiv thaiv kab mob rau kis kab mob,
• pom kev pom.

Kuv yuav tsum ntshai

Coob tus neeg mob xav paub seb puas muaj ntshav qab zib 7 qhia txog qhov pib ntawm ntshav qab zib. Qhov kev cai ntawm cov ntsiab lus ntawm cov tshuaj metabolic hauv cov ntshav ncaj qha nyob ntawm lub hnub nyoog ntsuas:

Txhawm rau kom paub tseeb tias kev kuaj mob, koj yuav tsum tau sim nyob hauv chav kuaj mob hauv tsev kho mob lossis siv lub ntsuas ntshav qab zib hauv tsev, tab sis kom paub tseeb koj yuav tsum mus ntsib cov kws tshaj lij. Nws yuav qhia tus neeg mob mus rau kev kuaj ntxiv, thiab yog tias muaj piam thaj ntau tshaj 6-7 units ntawm lub plab khoob, kev kho yuav raug kho.

Ntshav qab zib yog paub muaj plaub degrees:

1. Qhov ntsuas tau txiav txim siab tsis tshua hnyav thaum qab zib tsis ntau tshaj 7 ntu. Nws kuj tseem hu ua kev mob ntshav qab zib, txij li qhov hloov pauv lub cev yog qhov tsis tau pom, thiab koj tuaj yeem txuag cov xwm txheej los ntawm kev noj zaub mov kom zoo thiab hloov koj lub neej.
2. Kev kawm ntawv rau cov piam thaj twg tuaj yeem yog 7-10 units. Piv txwv, hauv ib tus neeg mob cov ntshav suav tau nyob ntawm theem ntawm 7.3-7.4 mmol / L, thaum nyob hauv lwm qhov lawv muaj txij li 7.5 txog 7.6 ntawm lub plab khoob. Ob leeg kuaj mob muaj mob ntshav siab thib ob. Lub raum thiab lub plawv pib ua haujlwm zuj zus, cov neeg mob ntsib teeb meem pom kev tsis zoo, leeg ntshav, leeg nqaij.
3. Kev ua haujlwm ntawm cov ntshav qab zib tau mus txog 13 thiab 14 units. Tus neeg mob tau kuaj pom tias muaj kev ua haujlwm tsis zoo rau hauv kev ua haujlwm ntawm cov khoom nruab nrog sab hauv, teeb meem nrog ntshav siab, ib feem lossis ua tiav tsis pom kev.
4. Kev kawm ntawv ua rau muaj kev phom sij txaus ntshai hauv lub siab thiab nce siab ntxiv hauv qab zib mus rau 25 ib qho tseem ceeb. Tus mob ntshav qab zib nrog rau kev kuaj mob zoo li no, kev qhia cov tshuaj insulin yuav luag tsis pab. Qhov mob tsis muaj mob xaus nrog lub raum tsis ua haujlwm, kev ua tub rog, qab zib poob.

Txawm tias qhov nce me ntsis hauv glycemic ntsuas yog lub suab ceeb toom qhov ceeb toom thiab qhov hnyav rau kev hu rau tus kws tshaj lij.

Yuav ua li cas yog tias cov piam thaj hauv qab no siab dua 7

Tsis tas siv tshuaj kho mob, muaj kev txhim kho zoo. Txawm tias thaum tus neeg mob ntshav qab zib hauv 7-7.7, nws txhais tau tias nws muaj peev xwm hloov kho qhov ntsuas. Tseeb, thaum pib theem, tus kab mob tuaj yeem nres, hauv kev sib piv rau qib 3 thiab 4 ntawm cov ntshav qab zib, thaum ib tus neeg raug yuam kom nyob ntawm kev qhia ntawm cov tshuaj insulin. Thiab qhov tsis kam ntawm kev kho mob yog qhov txaus ntshai tsis yog rau kev noj qab haus huv, tab sis kuj rau lub neej.

Tus kws kho mob ntawm Kev Tshawb Fawb Kev Kho Mob, Lub Taub Hau ntawm lub koom haum ntawm Diabetology - Tatyana Yakovleva

Kuv tau kawm mob ntshav qab zib tau ntau xyoo. Nws yog txaus ntshai thaum muaj coob tus neeg tuag, thiab haj yam ua rau neeg xiam vim ntshav qab zib.

Kuv maj nrawm los qhia txoj xov zoo - Endocrinological qhov chaw tshawb fawb ntawm Lavxias Academy ntawm Medical Science tau tswj hwm los tsim cov tshuaj uas kho cov mob ntshav qab zib mellitus kom zoo. Thaum lub sijhawm, cov hauj lwm zoo ntawm cov tshuaj no tau nce mus txog 98%.

Lwm qhov xov xwm zoo: Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv tau txais kev nyab xeeb qhov kev saws me nyuam ntawm cov haujlwm tshwj xeeb uas them rau cov nqi tshuaj ntau. Hauv Lavxias, neeg mob ntshav qab zib kom txog thaum lub Tsib Hlis 18 (suav nrog) tuaj yeem tau txais nws - Tsuas yog 147 rubles!

Ua ntej tshaj plaws, koj yuav tsum hu rau tus kws kho qhov mob endocrinologist uas yuav hais tias yuav ua li cas thaum muaj tej qhov xwm txheej zoo li no thiab hloov kev noj haus los ntawm kev hloov mus rau cov zaub mov tsis muaj carb:

• tsis txhob noj ntau dua 120 g ntawm carbohydrates ib hnub,
• tsis txhob noj khoom noj sai sai carbohydrates: khoom qab zib, khoom qab zib, pasta, dej qab zib, ntim kua,
• noj 5-6 zaug ib hnub nyob rau hauv feem me me.

Kev npaj ntawm cov ntawv qhia zaub mov yuav tsum tau nqa tawm, suav txog qhov glycemic index ntawm cov khoom. Qhov qis dua nws, qhov zoo dua. Ntawm lub rooj yuav tsum muaj tag nrho cov qhob cij mov ci, nqaij nruab deg, nqaij ntshiv thiab ntses, blueberries, chicory, zaub qhwv, buckwheat, nplej xim av, nceb, txiv ntoo. Nws yog ib qho tsim nyog yuav tsum tau txwv kom tsis txhob siv cov kua ntses ntau nrog cov kua tshuaj thiab cov xim daig, qos yaj ywm, haus dej haus, zib ntab. Xws li kev noj haus tuaj yeem hloov qhov ntsuas rau qhov zoo dua.

Cov khoom siv hauv lub cev muaj zog me me, uas tau xaiv los xav txog tus neeg yam ntxwv ntawm tus neeg mob, txo cov suab thaj. Yog tias cov kev qoj ib ce xaiv tau qhov raug, tom qab ntawd ntev heev koj tsis tuaj yeem noj tshuaj thiab txhaj tshuaj.

Yog tias cov piam thaj tsis poob thiab tseem nyob rau theem 7, tus kws kho mob tshwj xeeb tuaj yeem sau tshuaj sulfonylurea.Lawv txhawb cov kua dej hauv kev zais tawm los ntawm beta hlwb ntawm cov txiav ua ke, uas tso cai rau qabzib rau hauv cov ntaub so ntswg uas tsis raug rau nws. Biguanides kuj tseem siv - cov tshuaj hypoglycemic uas txhawb kev nqus ntawm cov piam thaj. Thaum paub tseeb cov insulin tsis txaus, tom qab kev kuaj mob tsim nyog, tus neeg mob hloov mus rau cov tshuaj pleev insulin - nyob rau ntawm cov piam thaj insulin li cas. Qhov muab tau tshuaj yog xam los ntawm tus kws kho mob ib leeg zuj zus.

Nrog cov ntshav qab zib kom ntau, qhia tias lub xeev muaj mob ntshav qab zib, tus neeg mob yuav tsum tso tseg cov cwj pwm phem: tsis txhob haus luam yeeb, tsis haus dej haus cawv. Yog tias nws rog dhau sijhawm, tom qab ntawd koj yuav tsum tawm tsam cov phaus ntxiv, zam lub cev tsis muaj peev xwm ua si, tawm dag zog txhua hnub. Nrog kev ua raws li kws kho mob cov lus pom zoo, ib tus tuaj yeem cia siab tias yav tom ntej tus neeg mob yuav tsis ntsib txoj kev mob ntshav qab zib loj.

Nco ntsoov kawm! Koj puas xav tias kev tswj hwm kev noj qab haus huv ntawm cov tshuaj thiab cov kua dej yog ib txoj kev los tswj cov piam thaj kom tswj? Tsis muaj tseeb! Koj tuaj yeem soj ntsuam qhov no koj tus kheej los ntawm kev pib siv nws. nyeem ntxiv >>

Yog tias cov piam thaj hauv ntshav 7 - puas yog ntshav qab zib?

Cov piam thaj hauv ntshav 7 thiab siab dua yog qhov taw qhia ntawm hyperglycemia. Nws tshwm sim li cas? Thaum noj mov, lub cev tau txais carbohydrates. Yog tias cov no yog cov zaub mov zoo, ces lawv yuav maj mam nqus thiab glycemia hlob zuj zus. Thiab yog tias koj noj tej yam qab zib, koj tau txais cov “carbohydrates” sai, ua rau dhia hauv glycemia. Txhawm rau cov khoom noj carbohydrates - qhov chaw ntawm lub zog - kom nkag mus rau hauv cov hlwb, cov txiav ua cov roj ntsha hauv lub cev ua cov tshuaj insulin hauv ib qho nyiaj uas tsim nyog. Nws pab ua kom cov cell nqus cov piam thaj ntawm cov ntshav, thiab nws cov nyiaj ntau dhau yog cia hauv lub siab thiab cov leeg, ua cov nyiaj rog.

Ua rau cov piam thaj hauv ntshav nrog qhov ntsuas ntawm 7 txhais tau hais tias permeability ntawm cov cell puas tau zuj zus, cov piam thaj nyob hauv cov ntshav, thiab lub hlwb muaj kev tshaib plab. Ntshav qab zib 7 yuav tsum ceeb toom. Nrog rau qhov tshwm sim no, koj yuav tsum ua ntej kom paub tseeb tias kev tsom xam ua tiav tas.

Cov ntshav rau qab zib yog ib txwm muab rau thaum sawv ntxov nyob rau ntawm lub plab khoob. Tsis pub dhau ntawm ib txwm muaj, 4.5-5.5 mmol / l. Hauv qab no lawv tuaj yeem poob thaum muaj lub cev ua haujlwm ntev thiab ua kom lub cev tsis zoo lossis ua kom tsis txhob noj zaub mov ntev. Daim duab hauv qab no 3.5 mmol / L yog ib qho kev taw qhia ntawm cov ntshav qog ntshav qab zib.

Yog tias ntshav qab zib yog 7, ces qhov no txhais tau li cas? Ntshav qab zib puas yog tiag? Tsis txhob txhawj sai li sai tau. Txog tam sim no, qhov no tsuas yog pov thawj ntawm hyperglycemia. Nws tuaj yeem tshwm sim tsis tsuas yog mob ntshav qab zib. Qhov laj thawj yuav yog:

• kev ntxhov siab hnyav
• cev xeeb tub
• mob ntev dhau lawm
• sai li sai tau ua rau ntawm lub plab zom mov, nrog rau cov txiav ua kab mob los ntawm txiav.

Ntshav qab zib nyob rau qib 7 lub sijhawm cev xeeb tub yog feem ntau pom zoo, tab sis, raws li txoj cai, tom qab yug tus menyuam tas, qhov kev ntsuam xyuas rov qab zoo li qub.

Txhawm rau kom paub tseeb tias cov piam thaj hauv ntshav 7 yog qhov tshwm sim ntawm tus kabmob, thiab tsis yog ib qho malaise, kev kuaj ntshav ob yog qhov tsim nyog. Yog tias qhov txiaj ntsig tau nyob hauv thaj tsam ib txwm, koj tsis muaj laj thawj, thiab yog tias cov ntshav qab zib nyob rau thaum sawv ntxov dua 7 lossis siab dua yog qhov cim pib ntawm kev mob tshwm sim tshiab. Thaum cov txiaj ntsig tau tshwm sim li ntawm 7,8-11,1 mmol / l, qhov no yog qhov qhia tau ncaj qha ntawm qhov teeb meem nrog kev tso ntshav qabzib, thiab yog tias daim duab ntau dua 11,1 mmol / l, ces kev kuaj pom tseeb - ntshav qab zib.

Tsis txhob poob siab yog tias qhov kev txheeb xyuas tau lees tias cov piam thaj hauv ntshav 7. Qhov no txhais tau li cas? Dab tsi koj yuav tsum ua kom noj qab haus huv thiab hloov koj txoj kev ua neej. Ob peb txoj cai yuav pab koj ua qhov no.

• poob phaus
• siv sijhawm nyob sab nraum zoov ntau dua, ntaus pob ncaws pob, qoj, ua luam dej, dej aerobics, Pilates, yoga yog qhov zoo dua
• muab mus ua kev phem tsis zoo
• hloov kho zaub mov
• mob siab rau pw txaus lub sijhawm - tsawg kawg 6-7 teev
• zam kev ntxhov siab.

Ntshav qab zib kom ntshav hauv qib 7 qhia txog kev noj haus kom nruj, nrog rau koj tuaj yeem kov yeej qhov pib kab mob yam tsis muaj tshuaj ntxiv.

Cov khoom muaj ntshav qab zib 7 yuav tsum raug xaiv coj mus rau hauv tus account lawv cov glycemic index. Tsuas yog cov uas nws tau qes lossis nruab nrab tsis haum. Cov no suav nrog:

• Cov ntses uas muaj roj tsawg thiab nqaij ntses nyoos: salmon, mackerel, sardines, hake, cod, qwj, rub tawm, seaweed, cw
• legumes: taum, taum pauv, taum pauv, lentils, taum
• nceb
• rye qhob cij nrog bran
• nqaij ntshiv: nqaij, nqaij nyuj, nqaij qaib ntxhw
• cov khoom noj muaj mis nyuj zoo li qub: yogurt tsis muaj ntxiv, tsev cheese, yogurt
• cov txiv hmab txiv ntoo tshiab uas tsis qab zib, zaub thiab zaub ntsuab: txiv lws suav, dib, tswb kua txob, txiv apples, pears, apricots, txiv ntoo, txiv pos nphuab, txiv pos nphuab, zaub txhwb qaib, zaub txhwb qaib, zaub ntsuab, zaub basil, cilantro
• chocolate dub: 1-2 ntsuas ib hnub nce qhov rhiab heev ntawm cov cell ua rau insulin thiab txo cov glycemia
• txiv ntoo: walnuts, txiv laum huab xeeb, almonds, hazelnuts.

Cov ntshav qab zib cov ntshav qab zib yog 7, uas txhais tau tias koj yuav tsum rub koj tus kheej ua ke thiab hloov koj txoj kev ua neej. Yog tias koj ua raws li cov lus pom zoo thiab ua raws nraim li kev noj haus zoo, glycemia yuav rov qab los nyob rau qhov qub yam tsis tau siv tshuaj kho mob. Tsuas yog txoj hauv kev no koj tuaj yeem kho tus kab mob thaum pib theem thiab tiv thaiv qhov tshwm sim ntawm cov teeb meem.

Cais, peb yuav tsum tsom rau qhov teeb meem ntawm hyperglycemia hauv menyuam yaus.

Ntshav qab zib 7 hauv menyuam yaus yog qhov taw qhia ceeb toom. Hauv cov menyuam hnub nyoog qis dua 5 xyoos, kev ntsuas pom qis dua li cov neeg laus. Los ntawm 5-7 xyoos ntawm lub hnub nyoog, lawv mus raws li. Kev ntsuam xyuas sai ntawm cov ntau dua 6.1 mmol / l twb qhia tau tias hyperglycemia.

Nws qhov ua rau yuav yog kev siv khoom qab zib sai ua ntej kev xeem, kev ntxhov siab lub cev, kev npau taws ntawm lub siab, noj qee yam tshuaj, kab mob endocrine. Txawm li cas los xij, kev tshawb fawb ntxiv yog xav tau. Yog tias thaum kuaj pom cov ntshav qabzib, qhov tshwm sim ntawm lub plab khoob tshaj 5.5 mmol / L, thiab tom qab haus cov dej qab zib - 7.7 mmol / L, ces kuaj tau "ntshav qab zib".

Kev ntsuas ntshav qab zib kom txo tau

Nrog tus nqi ntawm 7 mmol / L thiab saum toj no, kev ntsuas yuav tsum tau ua kom muaj qhov ntsuas no qub. Nco ntsoov saib cov zaub mov.

Tsuas yog cov zaub mov zoo yuav tsum muaj nyob hauv cov zaub mov noj:

• Ceg-based rye qhob cij
• Nqaij ntses
• Ob txhais ceg
• Nceb
• Cov nqaij ntshiv
• Khoom noj siv mis,
• Cov khoom plig tsis muaj qab hau ntawm cov txiv - cov txiv hmab txiv ntoo, zaub,
• Qhob noom xim kasfes dub
• Ceev.

Cov ntsiab cai ntawm kev noj zaub mov qis-carb nrog cov piam thaj hauv 7 mmol / l thiab ntau dua yog:

1. Nws yog qhov tsim nyog kom tshem tawm cov khoom noj uas muaj suab thaj ntshiab lossis zaub mov uas hloov pauv sai sai rau cov piam thaj hauv lub rooj noj mov. Cov no yog txhua yam qab zib thiab khoom qab zib, nplej zom thiab hmoov txhuv nplej siab, cereals.
2. Tus nqi ntawm cov carbohydrates hauv cov zaub mov noj yuav tsum tsis txhob siab tshaj 120 g ib hnub.
3. Koj yuav tsum noj li 5 zaug hauv ib hnub, ntawm qhov me me.

Cov khoom lag luam yuav tsum tau muab pov tseg nrog qhov taw qhia saum toj no 7 mmol / l:

• Qab zib
• Carrots
• Zib ntab
• Cov kua ntses
• Qab zib hloov.

Kev tawm dag zog lub cev yuav pab txo cov suab thaj. Cov xwm txheej zoo li no yog ib qho ntawm cov kev cai tseem ceeb rau kev ua kom cov ntshav qabzib. Txawm li cas los xij, kev tawm dag zog lub cev yuav tsum tau ua kom mob pesnrab. Lawv raug xaiv los ntawm tus kws kho mob nruj me ntsis ntawm tus kheej, nyob ntawm tus yam ntxwv ntawm tus neeg mob lub cev. Vim li cas ntau xim tau them rau qhov teeb meem no - tam sim no peb yuav txheeb xyuas nyob rau hauv ntau dua.

Kev ua lub neej nquag muab qhov ntau ntawm lub zog. Tom qab kev qoj ib ce, piam thaj yog noj. Qee cov kws tshaj lij ntseeg tias thaum qhov kev tawm dag zog tau xaiv tau raug, koj tsis tas yuav siv tshuaj insulin. Txawm li cas los xij, nws yog qhov nyuaj heev kom ua tiav cov txiaj ntsig puv nrog kev pab ntawm kev kawm lub cev. Tab sis cov kev ntsuas no tuaj yeem txo kev vam khom rau nws.

Muaj ntau tus lej txheeb xyuas qhov zoo hais txog kev kho mob ntawm pathology nrog haus cawv. Qee tus neeg mob rau lub sijhawm ntev ua ntej noj mov 100 g cawv thiab zoo siab heev. Qhov tshwm sim no tau piav qhia los ntawm qhov tseeb tias cawv txwv tsis pub tso cov piam thaj los ntawm lub siab, thiab tseem tsis tso cai rau cov tshuaj hormones uas ua rau cov piam thaj ntau ntxiv.

Thaum nce ntxiv nyob rau hauv cov piam thaj qib siab tawm tsam keeb kwm ntawm pathology ntawm cov plab hnyuv siab raum, uas koom nrog kev tawm suab thaj, tom qab ntawv cov ntshav qab zib no yog theem nrab.

Hauv qhov no, qhov yuav tshwm sim yuav tsum tau kho ib txhij nrog lub ntsiab mob:

1. Kab mob siab lossis mob rau daim siab,
2. Pathology ntawm lub caj pas pituitary,
3. Ib cov qog ntawm daim siab,
4. Pathology ntawm tus txiav.

Nrog rau kev nce me ntsis hauv hyperglycemia, tus kws tshaj lij tuaj yeem kho cov tshuaj hauv qab no:

Cov tshuaj no pab txo cov piam thaj hauv qhov tseem ceeb, thaum tsis ua rau kev tsim cov tshuaj insulin ntau ntxiv.

Kev Tiv Thaiv

Kev ntsuas los tiv thaiv hypo- thiab hyperglycemia - kev noj zaub mov kom zoo thiab ua kom ib ce muaj zog. Yam dab tsi ntawm kev ua thiab txhais tau tias yuav tsum siv - tus kws kho mob uas tuaj koom yuav qhia. Tsuas yog tus kws tshaj lij, raws ntawm qhov mob hnyav ntawm cov txheej txheem pathological, tus neeg mob lub hnub nyoog thiab nws cov yam ntxwv ntawm lub cev, tuaj yeem xaiv cov kev kho kom haum.

Cov Ua Kom Muaj Nqaij Qab Zib

Cov piam thaj hauv ntshav siab tshwm sim tawm tsam cov ntsiab lus ntawm lub hnub nyoog lossis pathological.

Cov xwm txheej hauv qab no thiab cov kab mob tuaj yeem ua rau cov kev mob siab ceev:

• mob ntshav qab zib mellitus, thaum yus nce ntxiv rau hauv cov ntshav qab zib,
• ua txhaum ntawm lub qog los yog txiav,
• kab mob siab
• hypothalamic kawg,
• oncology
• kev phais mob
• kis tau tus mob lossis o.

Kev mob lub cev ua rau cov ntshav qab zib 7 mmol / L:

• overeating, tshwj xeeb tshaj yog kev tsim txom los ntawm carbohydrates ceev,
• kev ntxhov siab
• kev ntxhov siab lub cev
• tsis yog npaj ua ntej soj ntsuam,
• noj tshuaj tiv thaiv qhov ncauj, tshuaj hormonal, diuretics thiab corticosteroids.

Cov tsos mob ntawm ntshav qab zib:

• qhov ncauj qhuav thiab nqhis dej heev,
• mob taub hau tas li thiab kiv taub hau,
• sai thiab mob hnyav tso zis, tshwj xeeb tshaj yog thaum tsaus ntuj,
• pom kev pom
• nquag muaj tus kab mob
• qaug zog,
• khaus tawv nqaij, maj mam kho cov qhov txhab ntawm lub cev.

Cov tsos mob ntawm tus mob hyperglycemia:

• xeev siab
• ntuav
• kev pw tsaug zog: tsaug zog lossis pw tsaug zog,
• sai causless poob los poob phaus,
• tsis nco qab muaj tsawg.

Kev kuaj mob

Qhov kev ntsuas suab thaj yog muab los ntawm 8 a.m. txog 11 a.m. ntawm kev kuaj mob plab. Ua ntej tso ntshav pub ntshav, npaj pom zoo:

• Tsis kam los ntawm cov khoom noj rau 8-10 teev. Thaum sawv ntxov koj tuaj yeem tsis txhuam koj cov hniav lossis zom khoom ntawm cov pos hniav.
• Hauv 2-3 hnub, tsis kam lees cov zaub mov muaj roj.
• Rau ib hnub, tsis suav nrog kev haus cawv, kev siv lub cev, cov txheej txheem thermal.
• Tsis txhob noj tshuaj.

Koj tuaj yeem ntsuas koj cov piam thaj nyob hauv tsev nrog ib qho glucometer. Txhawm rau soj ntsuam cov ntsuas, ua qhov kev kawm ntau zaug hauv ib hnub.

Yog tias qhov tshwm sim ntawm kev txheeb xyuas thawj zaug nce ntxiv, kev kuaj ntshav qabzib siab nrog lub luag haujlwm yog kho. Tom qab ceev cov piam thaj, ib tug neeg raug muab 75% cov piam thaj tov nrog dej. Tom qab ntawd, cov ntshav ntsuas yog rov ua dua tom qab 0.5, 1, 1.5 thiab 2 teev. Yog tias qhov ntsuas ntawm kev txheeb xyuas zaum kawg siab tshaj qhov ib txwm ua tiav, lawv kuaj pom tias muaj kev ua txhaum ntawm cov piam thaj hauv kev siab ntev, mob ntshav qab zib lossis mob ntshav qab zib.

Txhawm rau kom paub meej los yog tsis ua rau muaj kev ntshai, glycated hemoglobin test tau raug kuaj. Qhov ntsuas tau cuam tshuam rau nruab nrab rau 120 hnub.

Txoj kev txo cov suab thaj

Ua kom cov ntshav qabzib zoo nyob hauv tsev.

Cov hau kev rau kev txo qab zib:

• Qoj ib ce sib luag. Tus kws kho mob yuav tsum xaiv cov kev tawm dag zog, coj mus rau hauv tus yam ntxwv ntawm koj lub cev thiab mob hnyav ntawm cov kab mob pathology.
• Tsawg cov zaub mov carb
• Tsis lees paub kev coj tsis zoo.
• Kev kho cov kab mob concomitant.
• Kev tshem tawm ntawm cov kev mob tshwm sim hauv lub cev cuam tshuam txog qib ntawm cov piam thaj hauv cov ntshav.

Hauv kev muaj mob hyperglycemia ntau heev, tom qab ntawd hloov zuj zus mus, tus neeg mob yuav xav tau kev qhia ntawm subcutaneous txhaj tshuaj ntawm insulin.

Txhawm rau tswj koj cov piam thaj hauv ntshav, ua raws cov qauv qhia kev noj zaub mov no:

• Noj 4-5 zaug nyob rau ib hnub hauv seem me.
• Noj tsis ntau tshaj 120 g ntawm cov khoom noj hnyav ua si ib hnub.
• Haus 1.5 liv dej ib hnub.
• Kho koj cov khoom noj kom yuag.

Thaum qhia cov khoom noj tshiab rau cov zaub mov, tswj koj cov ntshav qab zib tom qab lawv noj.

Cov piam thaj hauv ntshav 7 mmol / L raug suav hais tias yog qhov tsis sib txawv ntawm cov qauv. Kev kuaj kab mob raws sij hawm sai sai yuav pab tiv thaiv qhov tsis ua txhaum. Siv lub ntsuas dej ob peb zaug nyob hauv ib hnub rau saib xyuas koj tus mob. Nrog tus nqi nce siab, nco ntsoov sab laj nrog kws kho mob.