Mob Ntshav Qab Zib cov ntshav muaj nuj nqis kuaj xyuas kev tso ntshav qab zib

Sau los ntawm Alla thaum lub Peb Hlis 18, 2019. Muab tso rau hauv Ntshav Qab Zib

Mob Ntshav Qab Zib kuaj mob thaum ntshav qab zib nyeem ntau dua tus tib neeg noj qab nyob zoo yuav tsum, tab sis qib no qis dhau los kuaj xyuas tus mob ntshav qab zib hom 2. Yog tsis muaj kev kho, qhov ntxim nyiam ntawm kev tsim hom 2 ntshav qab zib los ntawm kev mob ntshav qab zib yog qhov ntau heev. Nws tuaj yeem sib cav tias kev txheeb xyuas qhov kev xav ua ntej no tseem ceeb heev vim tias tseem muaj sijhawm los hloov txoj hauv kev lub neej thiab tiv thaiv ntshav qab zib thiab nws cov teeb meem.

Ntshav qab zib cov ntshav qab zib raws li txiav txim tau

Cov xwm txheej hauv lub cev yog txhais tau tias qhov tsis haum piam thaj (IFG) lossis tsis hnov qab cov suab thaj (IGT).

Kev ntsuam xyuas cov ntshav qabzib (fast-glucose test) thiab qhov ncauj ntsuas (ntshav qabzib yog noj ntawm ncauj) rau kev kuaj ntshav qabzib (OGTT) yog qhov tsim nyog rau kev txheeb xyuas kom paub tseeb nws.

Ntshav qab zib cov ntshav qab zib kuaj ntshav qab zib

Kev kuaj mob ntshav qab zib
Yog tias kev yoo hnyav ntxiv nyob rau 5.6-6.9 mmol / L (100-125 mg / dL)	qhov ncauj kuaj ntshav ntawm qhov ncauj yog tshuaj kho.
Yog tias qhov txiaj ntsig tom qab ob teev ua haujlwm qis dua 140 mg / dl (7.8 mmol / L),	IGF (insulin-zoo li qhov zoo tshaj yuav loj hlob yam) yog ntsuas tau, uas yog, txawv txav ceev ceev glycemia.
Raws li qhov tseeb, nruab nrab ntawm 140 mg / dL (7.8 mmol / L) thiab 199 mg / dL (11.0 mmol / L)	Yuav kuaj pom txog IGT, uas yog, lub xeev ntawm kev tsis txaus siab nyob hauv qab zib. Ob IGF thiab IGT qhia txog ntshav qab zib.
Yog tias cov kua nplaum ntawm cov ntshav qab zib tom qab ob teev dhau 200 mg / dl (11.1 mmol / L)	kuaj mob ntshav qab zib hom 2. Kuaj ntshav qab zib kuaj Qhov nkhaus suab thaj (ua lwm yam lus: lub nkhaus glycemic, kev ntsuas ntawm lub qhov ncauj mus kuaj, OGTT kuaj) yog ua rau cov neeg uas xav tias muaj ntshav qab zib hom 2 thiab ntshav qab zib gestational. Kev ntsuam xyuas OGTT muaj nyob hauv ntsuas ntsuas cov ntshav qab zib sai, tom qab ntawd ntsuas cov ntshav qabzib thiab rov kuaj xyuas cov ntshav qabzib - 60 thiab 120 feeb tom qab kuaj thawj zaug. Cov kab nkhaus suab thaj thaum cev xeeb tub yuav tsum tau ua tsawg kawg ob zaug. Lub hom phiaj ntawm txoj kev ntsuas no yog txhawm rau kuaj lub cev kom nce cov ntshav qab zib kom tau sai. Mob ntshav qab zib yuav qhia tias cov piam thaj tom qab 2 teev. Qab zib nkhaus tus nqi tom qab 2 teev Qab zib nkhaus yog ib qho kev xeem uas tau ua los ntawm ntau lub npe, xws li: nkhaus nkhaus, ntsuas ntshav qabzib, OGTT, kuaj ntshav qabzib, kuaj ntshav qabzib. OGTT qhov kev ntsuas yog cov lus luv rau kev ntsuas ntshav qab zib hauv qhov ncauj, uas txhais tau tias "ntsuas cov suab thaj hauv qhov ncauj". Kawm kev nkhaus suab thaj ua si lub luag haujlwm tseem ceeb hauv kev kuaj mob ntshav qab zib hauv plab thiab pab ntsuas ntshav qab zib hom 2. Kev Ntsuas Cov Khoom Qab Zib Kev ntsuas ntshav qabzib tau pom zoo rau cov neeg uas muaj ntshav siab sai cov ntshav qab zib. Nkhaus qab zib - Cov Qauv: Yoo cov ntshav qab zib - tsawg dua 5.1 mmol / L, Cov piam thaj theem tom qab 60 feeb tom qab kev ntsuas ntsuas tsawg dua 9.99 mmol / l, Cov piam thaj theem tom qab 120 feeb tom qab kev ntsuas ntsuas tsawg dua 7.8 mmol / L. Yuav npaj li cas rau kev ntsuas ntshav qab zib Kev ntsuas cov kua nplaum ua ke yuav tsum ua ntawm lub plab khoob - tsis pub ntxov tshaj 8 teev tom qab noj mov tas los. Hnub ua ntej kuaj cov kab ua suab thaj yuav tsum tau txwv rau kev siv cov khoom qab zib thiab cov khoom noj muaj roj. Txawm li cas los xij, koj yuav tsum tsis txhob txwv cov calories hauv koj cov zaub mov - nws zoo dua rau koj noj cov zaub mov uas koj noj txhua hnub, tsis muaj kev txwv. Nws raug nquahu kom tsis txhob siv lub cev ntau ntxiv, haus luam yeeb lossis haus cawv 24 teev ua ntej ntsuas. Mob ntshav qab zib uas cuam tshuam txog ntshav qab zib Cov kab mob (txawm tias mob khaub thuas) tuaj yeem dag cov khoom qab zib los ntsuas qhov ntsuas. Kev siv qee yam tshuaj noj kuj tseem tuaj yeem cuam tshuam qhov tshwm sim ntawm OGTT kev kuaj mob - nws raug pom zoo kom koj tsis txhob noj tshuaj diuretics, tshuaj steroid thiab qhov ncauj noj tshuaj peb hnub ua ntej OGTT kev kuaj mob (tom qab sab laj koj tus kws kho mob). Kev ntxhov siab hnyav kuj tseem tuaj yeem ua rau qhov tshwm sim (vim yog kev ntxhov siab, lub cev tuaj yeem tso cov piam thaj ntxiv rau hauv cov ntshav). Kev mob ntshav qab zib ua dab tsi Cov teeb meem pheej hmoo rau tus mob ntshav qab zib hauv plab muaj: Mob ntshav qab zib hauv plab hauv plab yav dhau los, dua 35 xyoos ntshav qab zib hom 2 hauv tsev neeg, rog thiab rog dhau, kub siab ua ntej cev xeeb tub, polycystic zes qe menyuam mob. Kev soj ntsuam ntshav qab zib hauv kev ntsuas cov suab thaj yog kuaj pom thaum cov suab thaj ntau dua: 100 mg / dl (5.5 mmol / L) ntawm lub plab khoob lossis 180 mg / dl (10 mmol / L) 1 teev tom qab siv cov tshuaj ntawm 75 g piam thaj lossis 140 mg Cov. / dl (7.8 mmol / L) 2 teev tom qab siv 75 g suab thaj. Mob ntshav qab zib hauv lub xeev cov tsos mob Cov tsos mob uas pom tau uas qhia tau tias lub xeev muaj hnub nyoog muaj xim tsaus dua rau qee qhov ntawm lub cev, xws li lub qhov tso, caj dab, hauv caug, thiab lauj tshib. Qhov tshwm sim no yog hu ua tsaus keratosis (acanthosis nigricans). Lwm yam tsos mob tshwm sim ua ntej ntshav qab zib thiab ntshav qab zib thiab yog: nce nqhis dej nce qab los noj mov nquag tso zis tsaug zog nkees pom kev pom. Tsis muaj tsos mob yuav tsum tsis quav ntsej. Yog tias koj txhawj xeeb tias koj yuav muaj ntshav qab zib, tiv tauj koj tus kws kho mob thiab hais kom lawv kuaj xyuas lawv cov ntshav qab zib. Tus kws kho mob yuav tsum kuaj tus neeg mob, hauv qhov nws yuav ntsuas qhov pheej hmoo txaus ntshai ntawm kev tsim cov metabolism hauv kev ua kom yuag. Yam Yuav Tsum Tau Txais Yuav Los Ntawm Qhov Mob Ntshav Qab Zib Muaj yam phom sij los tsim tus mob ntshav qab zib muaj ntau yam kev phom sij rau hom ntshav qab zib hom 2. Kev kuaj mob yuav tsum tau ua nyob rau txhua 3 xyoos, dhau lub hnub nyoog 45 xyoos, txhua xyoo lossis txhua xyoo thaum muaj kev pheej hmoo txaus ntshai ntxiv, xws li: mob ntshav qab zib cuam tshuam rau ib tug hauv tsev neeg - niam txiv, cov kwv tij, rog dhau los yog rog dhau los - BMI ntau dua 25 kg / m2, duav ncig siab dua 80 cm ntawm poj niam lossis 94 cm ntawm txiv neej, dyslipidemia - uas yog, qhov tsis txaus siab lipid profile - HDL concentration ntawm 150 mg / dl 1.7 mmol / l, kub siab (≥140 / 90 mmHg) teeb meem kev xeeb menyuam thiab mob caj dab hauv cov poj niam, xws li: cev xeeb tub nrog ntshav qab zib hauv lub plab, lub hnub yug ntawm tus menyuam hnyav dua 4 kg, polycystic ovary syndrome (POCS), qoj ib ce tsis muaj zog pw apnea. Ua rau muaj mob ntshav qab zib Tsis paub meej tias keeb kwm zoo li cas rau kev mob ntshav qab zib. Txawm li cas los xij, qhov kev txheeb ze thiab caj ces no tau qhia tias yog lub hauv paus tseem ceeb ua rau muaj kev txhim kho ntshav qab zib. Kev pham, tshwj xeeb tshaj yog ventral rog, nrog rau kev ua neej nyob sedentary, muaj qhov zoo rau kev txhim kho tus mob no. Kev kho mob ntshav qab zib Qhov phom sij txaus ntshai tshaj plaws ntawm cov tsis quav ntsej ntshav qab zib yog txoj kev txhim kho muaj ntshav qab zib hom 2 ntshav qab zib. Hloov kev noj qab haus huv lub neej feem ntau yuav pab kom cov ntshav qabzib rov qab zoo li qub los yog tiv thaiv nws kom tsis txhob nce siab txog qib ntshav qab zib. Txawm li cas los xij, hauv qee tus neeg, txawm tias muaj kev pauv hloov hauv lub neej, hom ntshav qab zib hom 2 yuav kawg. Cov lus pom zoo rau cov neeg kuaj mob ntshav qab zib muaj xws li: Kev noj qab haus huv rau kev noj qab haus huv - nws raug nquahu kom txwv cov zaub mov muaj calorie ntau thiab calorie ntau ntau hauv cov khoom noj uas muaj fiber ntau. Raws li cov khoom noj uas yooj yim rau kev coj ua hauv lub neej txhua hnub, lawv siv Mediterranean tais, nce kev tawm dag zog - lub hom phiaj yog 30-60 feeb ntawm lub cev qoj ib ce txhua hnub. Koj yuav tsum paub tseeb tias kev so ntawm kev tawm dag zog tsis pub dhau 2 hnub. Koj tuaj yeem pib nrog kev taug kev tsawg kawg txhua hnub, caij luv thij lossis ua luam dej hauv pas dej, poob phaus ntxiv - poob phaus ntau npaum li 10% tuaj yeem txo qhov kev pheej hmoo ntawm mob ntshav qab zib hom 2. Yog tias koj poob ntau txawm tias ob peb phaus, koj yuav muaj lub plawv muaj lub dag zog, muaj lub zog ntau dua thiab muaj lub siab xav ua neej, muaj kev hwm tus kheej zoo dua. Pharmacological kev kho mob - tsuas yog hloov txoj kev ua neej yog qhov tsis muaj txiaj ntsig. Qhov kev xaiv thib ib yog metformin, uas, ntawm lwm yam, ua kom lub cev nkag siab ntau dua rau cov insulin hauv cov ntshav, uas yuav txo tau cov theem ntawm cov piam thaj hauv cov ntshav. Yog tias muaj tus mob ntshav qab zib hom 1, raws li txoj cai, tsis muaj cov cim qhia ceeb toom ntawm kev kuaj mob ntshav qab zib. Txawm li cas los xij, nyob hauv hom ntshav qab zib hom 2, kev mob ntshav qab zib yog lub sijhawm uas cov tsos mob ntawm kev ntxhov siab tshwm sim. Yog tias koj xav tias mob ntshav qab zib, koj cov piam thaj hauv ntshav tuaj yeem pab koj ntsuam xyuas sai thiab tseem ceeb, txhawb kom koj hloov txoj kev ua neej sai sai thiab tas li, yog li ncua lossis tag nrho tiv thaiv kev txhim kho cov ntshav qab zib kom tag. Cov neeg uas tsis quav ntsej cov lus ceeb toom no muaj peev xwm yuav ua tiav zoo rau kev kho mob ntawm cov tshuaj insulin yav tom ntej. 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