Yuav kho tus mob ntshav qab zib tsawg thiab thawj cov tshuaj pab rau cov neeg mob ntshav qab zib
Muaj ntau yam kabmob uas tsis yog tsuas ua rau tus tib neeg lub neej nyuaj, tabsis tuaj yeem tsim kev hem thawj rau nws lub neej. Feem ntau, cov kab mob zoo li no cuam tshuam nrog kev ua haujlwm ntawm lub cev tseem ceeb thiab tseem ceeb tshaj plaws ntawm cov tib neeg lub cev: txoj hlab ntshav, ua rau tsis txaus, cov tshuaj hormones, musculoskeletal, thiab lwm yam. Hnub no peb yuav hais txog ib tus mob xws li ntshav qab zib: mob li cas, pab ua ntej, ua rau, cov hau kev kho.
Yuav ua li cas yog hypoglycemia thiab nws tshwm sim li cas
Cov Hypoglycemia - code rau cov microbes 10 E 16.2 - qhov no yog qhov mob uas tsis tshua muaj ntshav, muaj cov ntsiab lus tsawg ntawm cov piam thaj, lossis piam thaj hauv cov ntshav. Txhua leej txhua tus paub hais tias cov kua nplaum yog qhov tseem ceeb, yuav luag qhov tseem ceeb tshaj plaws rau kev txhim kho ntawm lub hlwb, nws txoj haujlwm ua haujlwm kom zoo, pab txhim kho kev nco thiab kev cia siab. Tsis tas li ntawd, cov piam thaj yog qhov tseem ceeb ntawm lub zog thiab yog ncaj qha cuam tshuam hauv kev coj los ua ke ntawm qee cov vitamins thiab amino acids. Nws yog ib qho yooj yim kom peb xav tias lub cev tsis zoo li cas rau lub cev uas tsis muaj cov khoom tseem ceeb ntawd.
Hauv lub xeev kev noj qab haus huv zoo, ib tus neeg cov piam thaj hauv ntshav yuav tsum yog 3.8 - 6.5 mmol / L. Tab sis vim qee yam, qee zaum qib no tuaj yeem poob mus rau 3.3 mmol / L thiab dhau los ua tus neeg qis qis. Hauv qhov no, muaj kev hem thawj rau txoj kev noj qab haus huv ntawm tus neeg mob thiab txawm tias nws lub neej.
Ua rau cov ntshav qog ntshav qab zib
Feem ntau, teeb meem rau ntshav qab zib tshwm sim hauv cov neeg mob ntshav qab zib thiab cov neeg insulin. Yog li, nws zoo li tias hypoglycemia cuam tshuam feem ntau cov neeg uas muaj kev cuam tshuam rau cov kab mob no. Feem ntau, qhov no yog txoj kev nws, tab sis hypoglycemia muaj lwm yam kev ua, xws li:
- Kev noj tshuaj ntau dhau ntawm insulin, qhov no siv rau cov neeg mob ntshav qab zib. Yog tias thaum lub sijhawm kho mob tus neeg mob siv tsis tau ntau ntawm cov tshuaj, ces qhov no tuaj yeem ua rau kom cov ntshav qab zib thiab cov ntshav qab zib tsawg.
- Tus tsis tu ncua xav kom poob phaus. Dab tsi tsuas yog cov poj niam ua tsis yog rau lub hom phiaj ntawm ib tug me me thiab zoo nkauj tus naj npawb! Cov pluas noj ntawm ntau hom, hnub yoo mov, yoo mov, ua rau bulimia, anorexia, hypoglycemia. Khoom noj khoom haus yuav tsum muaj qhov sib npaug, thiab tsis muaj ib qho dab tsi yuav tsum tau muab ib qho tshem tawm ntawm cov khoom noj ib qho lossis ob peb lub tsev tsim khoom uas tseem ceeb rau lub cev. Cov no suav nrog qab zib thiab piam thaj. Txhua yam yuav tsum nyob hauv kev sim.
- Kev siv lub cev ntau dhau. Nws yog qhov tseeb tias hauv kev ua kis las thiab lwm yam kev ua si sab nraum zoov, peb siv ntau lub zog, thiab yog tias nws tsis ntxiv nrog cov piam thaj, ces qhov kab mob tsis txaus siab no tuaj yeem txhim kho.
- Kev ntxhov siab hnyav tuaj yeem cuam tshuam rau kev ua haujlwm ntawm cov tshuaj endocrine, txhim kho cov tshuaj hormones, ua kom nws txoj haujlwm ua tiav. Raws li, ntau lub zog xav tau los rov qab, thaum qabzib siv thiab noj ntau. Yog tias koj tsis tau hloov nws cov peev txheej kom raws sijhawm, tom qab ntawd nws yuav los rau hauv lub plawv teeb meem ntshav sai sai.
- Kev mob ntshav qab zib ntshav siab thaum lub sijhawm cev xeeb tub tshwm sim ntau zaus, vim hais tias feem ntau nyob rau hauv txoj haujlwm txaus siab muaj qhov txawv txav ntawm cov ntshav qab zib. Ib yam yuav hais tau ntawm niam laus. Yog li no, lub sijhawm no, nws yog ib qho tsim nyog yuav tau ua tib zoo saib xyuas koj li kev noj zaub mov.
- Cawv intoxication kuj tseem tuaj yeem ua rau cov ntshav qis. Qhov no tsis txhais tau tias tus neeg mob yuav tsum yog cov cawv cawv ntev, tab sis txawm tias tom qab qee qhov xwm txheej uas koj "hla dhau", kev tawm tsam ntawm hypoglycemia tuaj yeem tshwm sim.
- Tus nab npawb ntawm cov kab mob, ntxiv rau mob ntshav qab zib, kuj tseem tuaj yeem ua rau kev loj hlob ntawm cov ntshav qog ntshav qab zib uas yog kab mob concomitant. Ntawm lawv yog cov kab mob ntawm lub raum thiab cov qog adrenal, cov hlab plawv hlab plawv, mob qog nqaij hlav, mob ntsws ntawm daim siab, mob siab, mob rau daim npluag paj hlwb. Qee lub sij hawm tseem muaj cov kab ke ua hauj lwm txog kev tsim cov tshuaj insulin hauv lub cev thiab kev nqus ntawm qab zib.
Koj pom tias tsis yog cov kabmob ntshav qab zib tsuas yog qhov txaus ntshai rau qhov tshwm sim ntawm kev mob ntshav qab zib.
Cov tsos mob ntawm tus mob hypoglycemia
Saum toj no peb tau teb cov lus nug, hypoglycemia - yog dab tsi? Cov tsos mob hauv cov poj niam thiab cov txiv neej pom lawv tus kheej yuav luag cim, tab sis txawm li cas los xij, tus kab mob no feem ntau kov yeej qhov zoo nkauj ib nrab ntawm tib neeg, yog li peb yuav tham txog cov tsos mob ntawm tus kab mob hauv cov ntsiab lus no.
Yog li, los ntawm cov tsos mob tshwm sim tuaj yeem lees paub hypoglycemia?
- hws
- qhov kev xav ntawm kev tshaib plab
- loog thiab tingling ntawm daim di ncauj thiab ntsis ntiv tes,
- pallor loj ntawm daim tawv nqaij,
- tshee hnyo txhais tes thiab taw
- lub plawv dhia.
Cov tsos mob ntawm tus mob ntshav qab zib tsawg tuaj yeem tshwm sim hauv tus mob ntshav qab zib hom 2 thiab cov neeg uas muaj kev noj qab haus huv zoo thaum xub thawj. Thiab yog tias koj xav tias lawv, tom qab ntawd koj yuav tsum tau ntsuas kev ua kom nce qib ntawm cov piam thaj hauv cov ntshav. vim tias yog tias koj tsis pib ua dab tsi, nws tuaj yeem hloov mus rau qhov ua kom tsis nco qab lawm. Nws tuaj yeem lees paub los ntawm cov cim hauv qab no:
- tachycardia
- nce tawm hws,
- ib qho ntse poob hauv kub thiab siab poob,
- cramps
- ua tiav qhov kev poob siab ntawm kev hnov mob sab nraud, nrog rau cov uas coj mob.
Sai li koj pom ib qho ntawm cov kev mob tshwm sim saum toj no, hu rau lub tsheb thauj neeg mob tam sim ntawd, thiab thaum nws taug kev, koj tuaj yeem sim pab koj tus kheej kom nce qib hauv koj cov ntshav.
Ntxiv rau cov tsos mob saum toj no, cov neeg muaj ntshav qab zib tsawg yuav coj tus cwj pwm tsis meej ntxiv, zoo li yog qaug cawv lossis tshuaj yaj yeeb: lawv yuav muaj kev tsis sib haum xeeb ntawm kev txav, ua kom hnov qab, tsis pom kev thiab tsis hnov lus. ua tib zoo mloog koj txoj kev xav lossis tus cwj pwm ntawm cov neeg hlub, yog hais tias tus kab mob tau chwv lawv lawv thiaj li tuaj yeem muab cov kev pab tsim nyog hauv lub sijhawm.
Cov Hom Tshuaj Hypoglycemia
Cov ntshav qabzib nyob rau hauv ntshav, lossis ntshav lub qog ntshav, tau muab faib ua ob hom tseem ceeb.
- Meem rov qab los ntshav qab zib. Cov kws kho mob tseem hu nws tom qab ua haujlwm thiab nkag siab nws yog qhov txo qis ntshav qab zib tom qab noj mov hnyav. Nws yuav zoo li tias qhov no yog qhov txawv txav - tom qab noj mov, cov suab thaj ntawm qhov tsis tooj yuav tsum nce ntxiv. tab sis qhov no, lub cev pib tsim cov insulin ntau dhau, thiab cov nyhuv rov qab tshwm sim. Feem ntau hom ntshav qog ntshav no tshwm sim rau cov neeg uas tau mus phais plab hauv plab.
- Cov neeg ntshav qab zib tsawg. Nws tshwm sim hauv cov neeg uas nyiam qhov kev noj zaub mov nruj, yoo mov, noj ntau yam tshuaj los txo qhov hnyav. Feem ntau pom nyob rau ntawm cov menyuam yaus ua ntej, uas lub cev qhov ntsuas me me yog qhov me me. Nws kuj tseem yog ib hom kev phom sij ntawm hypoglycemia uas yuav tsum tau kho.
Thawj qhov kev pabcuam rau cov cim ntawm qabzib tsis txaus
Kev kho ntawm hypoglycemia yog qhov nyuaj thiab ntev. Koj yuav tsum nco ntsoov nkag siab tias tus kab mob no tsis tuaj yeem loj hlob ntawm nws tus kheej, nws ib txwm muaj kev rau txim lossis txuas txuas nrog lwm qhov mob, feem ntau, ntshav qab zib. Yog li, thiaj li yuav kho tau cov ntshav qog ntshav, koj yuav tsum xub tso tag nrho koj lub zog rau txoj kev kho tus mob loj.
Tab sis tib lub sijhawm, koj yuav tsum npaj kom txhij los muab koj tus kheej lossis cov neeg nyob ze koj thawj cov kev pab rau hypoglycemia. Koj tsis paub qhov twg nres ntawm cov kab mob insidious no tuaj yeem ntes koj, thiab yog tias koj tsis ua cov kev ntsuas tsim nyog hauv lub sijhawm, tom qab ntawd txhua yam tuaj yeem tig los ntawm txoj kev tsis zoo tshaj plaws.
Txhawm rau tshem tawm hypoglycemic nres sai li sai tau, koj yuav tsum muaj ib yam dab tsi qab zib nrog koj: caramel, ib qho qab zib, ib qho chocolate, qab zib txiv hmab txiv ntoo lossis cov ntsiav tshuaj qabzib. Nco ntsoov nqa ib qho glucometer uas koj ib txwm tuaj yeem taug qab koj cov ntshav qab zib thiab kho nws kom haum.
Yog li, tsis muaj kev tawm tsam tuaj yeem ntes koj ntawm kev xav tsis thoob. Tab sis ntxiv rau kev kho mob xwm txheej ceev rau cov ntshav qab zib tsawg, koj tseem yuav tsum tau ua raws li qee txoj cai uas yuav zam tag nrho cov kev tawm tsam ntawm tus kabmob, lossis ua rau nws tsis tshua muaj.
Ua ntej, koj tsis tuaj yeem hla kev noj mov, cov khoom noj txom ncauj me me yuav tsum tom qab kev tawm dag zog lub cev. Tsis txhob yuam kev qhov no nrog overeating thiab gluttony. Txhua yam yuav tsum nyob hauv kev sim.
Thib ob, koj yuav tsum ua raws li cov khoom noj tshwj xeeb rau lub qog ntshav qab zib. Raws li txoj cai, cov neeg mob zoo li no tau hloov mus rau qhov thiaj li hu ua "rooj 9". Hauv qhov no, koj cov zaub mov noj txhua hnub yuav tsum tau muaj cov carbohydrates nyuaj, piv txwv li, cov mov ci tag nrho, cov zaub mov siav los ntawm cov nplej, txiv hmab txiv ntoo. Lawv yuav pab koj lub cev kom muaj zog thiab tib lub sijhawm lawv yuav tsis tso nyiaj rau qhov chaw muaj teeb meem ntau tshaj plaws, uas feem ntau tshwm sim nrog cov carbohydrates ceev. Los ntawm kev noj cov zaub mov no tsis tu ncua, koj tuaj yeem tswj cov qib ntshav qabzib nyob ruaj khov.
Kev kuaj mob ntawm tus kabmob
Yuav ua li cas nkag siab tias koj raug kev txom nyem los ntawm cov piam thaj? Kev kuaj ntshav ntawm tus mob ntshav siab yog siv microbial code 10 E 16.2 li cas?
Peb tham txog peb yam tseem ceeb uas cov kws kho mob siv los tshuaj xyuas tus kab mob no. Cov qauv no feem ntau hu ua Whipple triad.
- Txhawm rau kom paub tseeb tias cov tsos mob tau tshwm sim los ntawm kev ntshav qis, tus kws kho mob yuav thov kom koj tsaug zog thaum hmo ntuj ntawm qhov khoob. Hauv qhov no, yog tias muaj kab mob tshwm sim, tom qab ntawv thaum sawv ntxov nws yuav qhia koj paub tseeb txog cov tsos mob muaj zog. Yog tias koj twb tau mus pw hauv tsev kho mob, koj yuav tsum tau tshaib plab hauv tsev kho mob.
- Nws kuaj ntshav qab zib tom qab noj mov tas. tom qab noj mov tas, tus neeg mob xa mus rau ntshav kuaj ntshav qab zib, cov txiaj ntsig tau tshwm sim.
- Zoo, txhawm rau thaum kawg ua kom paub tseeb tias tus neeg mob tau raug kev txom nyem los ntawm kev mob ntshav qab zib, kev npaj kua nplaum nyob hauv nws, thiab kev hloov pauv hauv nws qib tau pom.
Saib koj lub cev thiab tsis muaj mob!
Mob Siab
Muaj 3 qib mob hnyav ntawm cov ntshav qog ntshav qab zib - hnyav, mob nyhav, thiab hnyav.
- Muaj cov cim qhia tau tias mob mentsis: nce tawm hws, qhov tseem ceeb thiab nce siab sai sai ntawm lub qab los noj mov, tachycardia, loog ntawm tus nplaig, kev hnov mob tsis zoo, zoo nkaus li tsis muaj zog nyob hauv qis qis, ua rau lub siab poob siab.
- Qib NrabNtxiv rau cov phiajcim saum toj no, nws tseem ua rau pom kev tshee hnyo ntawm lub cev, pom kev tsis sib haum xeeb, nyuaj nyuaj rau kev xav, poob ntawm kev qhia hauv qhov tseeb.
- Mob hnyav manifested los ntawm tsis nco qab, nyob rau hauv qee kis kuj tseem nrog ua ke.
Cov kev pabcuam ua ntej rau kev tawm tsam ntawm lub qog ntshav qab zib
Thaum raug mob hypoglycemia yam tsis nco qab, yuav tsum tau saib xyuas kub ntxhov:
- muab tus neeg mob nrog lub cev xis chaw (kom tsis txhob tso lossis tso cia),
- muab cov dej haus tov nrog cov piam thaj nrog dej (2 tbsp. ស្លាបព្រា ib 250 ml dej), noj ib qho ua kom qab zib (koj tsis tuaj yeem muab chocolate, qab zib thiab qab zib),
- ua rau tus neeg mob kom txog thaum nws kawg.
Yog ho tsis nco qab (tsis nco qab lawm), nws yog qhov yuav tsum tau muab tus neeg mob kom nyob nyab xeeb, hu rau lub tsheb tos neeg mob, saib xyuas tus neeg mob kom zoo ua ntej pawg neeg tuaj txog, thiab npaj kho qhov rov ua dua, yog tias tsim nyog.
Yuav kho cov hypoglycemia li cas?
Kev ntsuas kho yog qhov feem ntau tau npaj rau ntxiv cov piam thaj tsis muaj piam thaj nrog cov khoom noj uas muaj carbohydratexws li piam thaj nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj, tshuaj yej nrog piam thaj lossis qab zib hauv cov tawv ntoo.
Cov neeg muaj mob ntshav qab zib hom 1tej zaum yuav raug kev txom nyem los ntawm kev mob ntshav qab zib ntau zaus.
Nws muaj peev xwm ua kom li qub rau tus neeg mob tus mob nrog kev pab los ntawm cov ntsiav tshuaj kua nplaum (muag hauv txhua lub tsev muag tshuaj).
Ntxiv rau, txhua tus neeg uas muaj tsawg kawg ib zaug ntsib ib qho kev tawm tsam ntawm lub qog ntshav qab zib lossis leej twg xav kom 100% muaj kev nyab xeeb los ntawm tus mob no yuav tsum qhia cov khoom noj carbohydrates txaus rau hauv lawv cov zaub mov, uas yog maj mam nqus. Xws li cov carbohydrates feem ntau nyob hauv mov thiab khob cij.
Cov Khoom Noj Khoom Haus Hypoglycemia yuav tsum tau nqa tawm ntawm tib lub sijhawm ntawm lub sijhawm, tus naj npawb ntawm cov zaub mov noj - tsawg kawg yog tsib.
Txhua txhua peb teev, koj yuav tsum noj feem me me ntawm cov khoom noj uas muaj cov carbohydrates. Nqaij ntses, mov, kua txiv hmab txiv ntoo, zaub qhwv, kab nrib pleb, khoom noj siv mis thiab txiv ntoo yuav tsum tau nyiam..
Tib lub sijhawm, kev nqus ntawm cov khoom uas muaj cov piam thaj ntau (ncuav qab zib, khoom qab zib thiab lwm yam kev sib txuas) tau txwv.
Kev kho mob nrog tshuaj ntsuab tshuaj
Kuv metabolize lub cevt cranberries, qej, St. John lub wort thiab plantain, tiv thaiv kev tawm tsam ntawm kev mob ntshav qab zib.
Qij thiab Lingonberry tau noj tshiab thiab ntxiv rau cov tais diav, los ntawm plantain lossis St. John lub wort koj tuaj yeem ua cov tshuaj kho kom zoo nkauj.
Vitamin-muaj cov khoom lag luam xws li hypoglycemia kuj tseem siv tau. blackcurrant, txiv qaub thiab rosehip.
Kev kho mob ntawm nocturnal hypoglycemia
Ntawm cov ntshav qab zib, nws yog ib qho tsim nyog yuav tsum tswj hwm qhov tsaus ntuj insulin profile los ntawm kev txiav txim siab txog qib ntawm cov piam thaj hauv cov ntshav ntawm ib qho mus rau peb thaum sawv ntxov, nrog rau kev sawv ntawm kev sawv thiab noj tshais.
Qee zaum kev hloov pauv thaum tsaus ntuj txhaj tshuaj insulin yuav tsum yog li ntawm 17-18 teev ntawm ib lub sijhawm tom qab, nrog tib lub sij hawm nce ntxiv nyob rau hauv cov naj npawb ntawm cov koob los ntawm 2 mus rau 3.
Kev kho mob ntawm hypoglycemia hauv menyuam yaus
Nws suav nrog kev sib tham sab hauv ntawm kaum feem pua daws teeb meem ntawm sucrose lossis qabzib, kev npaj uas tsis ua rau cov niam txiv nyuaj: nws tsuas yog tsim nyog kom yaj 1 tsp. granulated qab zib hauv 50 g dej.
Thaum tus menyuam tsis nco qab lawmlossis qhov tshwm sim uas nquag muaj chua leeg ntau yog muab los ntawm cov tshuaj txhaj rau cov ntshav qabzib (10%), Yuav tsum muaj kev pab kho mob xwm txheej ceev.
Kev Tiv Thaiv
Txhua tus neeg muaj ntshav qab zib thiab noj tshuaj insulin yuav tsum muaj cov piam thaj hauv ntsiav tshuaj, lossis cov pob qab zib yooj yim. Thaum thawj zaug cov tsos mob ntawm cov ntshav qab zib tsawg tshwm sim, koj yuav tsum nqos txog 10 g suab thaj, thiab tom qab ntawd nws raug nquahu (yog tias ua tau) noj ib lub qhaub cij lossis tsuas yog ib qho khob cij thiab haus dej qab zib nrog qab zib.
Yog tias tus neeg muaj ntshav qab zib hom 1 tau ntsib teeb meem lub cev ntau dua, kev tiv thaiv kev tiv thaiv hypoglycemic tawm tsam yuav tsum tau noj cov carbohydrates ntxiv hauv qhov nyiaj ntawm 30 txog 40 g.
Yuav ua li cas nrog hypoglycemia: cov lus qhia rau tus neeg mob
Tom qab noj qab zib thaum muaj kev tawm tsam, koj yuav tsum noj lub txiv qab qab zib, tom qab ntawd pw rau 10 feebtos kom txog thaum tag nrho cov tsos mob ploj.
Yog li, koj tuaj yeem tiv thaiv kom tsis txhob tawm tsam los ntawm siv cov khoom uas muaj suab thaj, uas tau nqus sai sai thiab hauv 5 feeb nce qib hauv cov piam thaj hauv cov ntshav.
Txawm li cas los xij, qhov no tseem tsis cuam tshuam qhov kev tawm tsam, vim tias cov piam thaj uas tau noj ntawd ua rau muaj cov piam thaj ntau, uas tom qab ntawd poob sai sai vim yog txuas ntxiv ntawm cov tshuaj insulin.
Txhawm rau kom them nyiaj rau lub nthwv dej thib 2 ntawm kev tiv thaiv hypoglycemic, nws yuav tsum noj cov khoom muaj cov piam thaj "qeeb", piv txwv li, ib qho qhaub cij nrog ncuav cij.
Kev mob siab Hypoglycemia - yog dab tsi?
Los ntawm hypoglycemia yog to taub ib yam kev mob uas yog yus muaj los ntawm cov concentration ntawm cov piam thaj hauv cov ntshav hauv qab cov kab ke ib txwm muaj.
Cov piam thaj yog cov khoom tseem ceeb rau lub cev. Kev mob ntshav qis yog tsis muaj kab mob.
Hloov siab, nws yog qhov taw qhia ntawm teeb meem kev noj qab haus huv. Yog tias koj tsis nce lub siab ntxiv ntawm cov piam thaj, uas sai zuj zus lawm, ib tus neeg tuag tau.
Qab zib li qub
Plasma glycemia, uas ua kom muaj kev ua haujlwm ntawm tib neeg lub cev, tswj cov tshuaj insulin.
Yog tias cov tshuaj no hauv cov khoom tsim tawm hauv lub cev tsis txaus, lossis cov ntaub so ntswg pib los teb cov khoom tsis txaus, tom qab ntawv cov ntsiab lus ntawm cov piam thaj hauv cov ntshav nce ntxiv.
Muaj qee cov qauv kev pom zoo rau poj niam, txiv neej, menyuam yaus thiab poj niam cev xeeb tub.
Hauv cov laus cov poj niam thiab txiv neej
Rau cov txiv neej thiab cov poj niam hnub nyoog 20 txog 49 xyoo, pom muaj ib feem ntshav ntshav qab zib siab ntawm 3.5-5.5 mmol / L raug pom zoo.
Raws li koj hnub nyoog, ntaub so ntswg rhiab heev rau insulin tsawg dua.Qhov no tau piav qhia los ntawm qhov tseeb hais tias ib feem ntawm cov receptors tuag, qhov hnyav nce.
Yog li no, rau 50-90-xyoo tus sawv cev, qhov tseem ceeb ntawm 4.6-6.4 mmol / L raug txiav txim siab zoo. Rau cov neeg uas tau hla lub sijhawm 90 xyoo, ntshav qab zib plasma mus rau 6.7 mmol / l tau lees paub los ntawm cov kws kho mob ua ib txwm muaj.
Cov qauv qab zib rau menyuam yaus tsis zoo tib yam rau cov laus. Hauv cov menyuam tshiab muaj kev noj qab haus huv txij li 2 hnub txog ib xyoos, cov piam thaj nyob hauv qhov siab ntawm 2.8-4.4 mmol / lCov. Hauv lub sijhawm txij li ib xyoos txog 14 xyoos, qhov ntsuas no tau nce mus txog 3.3-5.0 mmol / L. Rau cov hnub nyoog 15-19 xyoos, cov qauv yog 3.3-5.3.
Hauv cev xeeb tub
Feem ntau, hauv cov poj niam nqa tus menyuam, qhov kev glycemic yog 3.5-6.6 mmol / l.
Tab sis, yog tias kev xeeb tub tshwm sim thaum muaj hnub nyoog 30 xyoo, tom qab ntawd kev hloov me yog txais.
Cov leej niam yav tom ntej yuav tsum saib xyuas lawv cov piam thaj: vim tias nws muaj qhov pheej hmoo ntawm cov ntshav qab zib hauv lub cev vim kev txo cov amino acids thiab nce ntxiv ntawm ketone lub cev. Feem ntau, thaum cev xeeb tub ib txwm, qab zib nce mus txog rau thaum xaus ntawm lub hlis thib ob lossis zaum peb. Tom qab ntawd tus nqi tsim yog mus txog 7.8 mmol / L.
Thaum txiav txim siab cov ntsiab lus qabzib, nws yog ib qhov tsim nyog yuav tsum tau coj mus rau hauv cov ntshav uas tau siv rau kev txheeb xyuas: los ntawm tus ntiv tes lossis txoj hlab ntsha. Tom qab tag nrho, qhov tshwm sim yuav txawv me ntsis. Yog li, rau cov ntshav capillary, qhov nruab nrab yog 3.5-5.5, rau cov ntshav venous - 3.5-6.1 mmol / L.
Ua rau
Kev mob ntshav qab zib feem ntau yog rau cov neeg mob uas kuaj pom tus mob ntshav qab zib mellitus ntawm thawj (thib ob) yam. Tab sis qee zaum nws kuj pom nyob hauv cov neeg muaj insulin ntau lawm thiab muaj cov piam thaj hauv siab. Txhawm rau tiv thaiv lub xeev hypoglycemic, ib qho yuav tsum paub cov laj thawj ntawm nws tshwm sim thiab, yog tias ua tau, zam qhov ua rau muaj kev cuam tshuam.
Dab tsi yog cov feem ntau hu ua lo lus "hypoglycemia"
Tib neeg lub hauv nruab nrab lub paj hlwb cov xav tau ntawm lub zog tseem ceeb xws li muaj piam thaj (cov piam thaj yooj yim). Kev siv tshuaj insulin yog siv los txhawb cov ntshav qabzib los ntawm lwm lub hlwb ntawm lub cev, tswj nws qib hauv cov ntshav thiab qeeb nws cov khoom noj los ntawm lub siab.
Hypoglycemia yog lub xeev ntawm tus neeg mob ntshav qab zib mellitus thaum txhaj tshuaj insulin, thiab cov ntshav qab zib ntshav qis tsis txaus, uas yog, carbohydrates "hlawv" sai sai. Qhov no yog qhov tseeb tau hais tias qhov ceev uas cov piam thaj tsim nyob rau hauv lub siab thiab siv los ntawm lwm cov nqaij hauv lub cev yog qhov tsis sib luag thiab koj yuav tsum noj sai li sai tau thiaj li hais tias cov piam thaj hauv ntshav tsis poob.
Cov tsos mob tseem ceeb thiab cov tsos mob ntawm tus mob ntshav qab zib
Yog tias cov ntshav muaj ntshav qabzib tsawg, adrenaline tsim thiab nkag mus rau hauv cov ntshav qog ntshav nrog cov tsos mob hauv qab no:
- qhov zoo li kiv taub hau,
- ntxhov siab
- tshee
- kev tshaib kev nqhis thiab tawm hws.
Cov kev tawm tsam no tsis sawv cev rau qhov txaus ntshai, vim tias tib neeg raug yuam kom noj zaub mov thiab dej qab zib tam sim ntawd, thiab adrenaline lossis lwm cov tshuaj hormones uas tsim nyob rau hauv txoj kev qhia tias cov ntshav qab zib hauv lub cev yuav zoo li qub.
Txawm li cas los xij, nws yuav tsum nco ntsoov tias yog tias cov tsos mob ntawm tus mob ntshav qab zib tsawg nyob rau lub sijhawm ntev, nws yuav muaj kev phom sij, vim tias lub hlwb maj mam txais tsawg dua thiab muaj cov kua nplaum tsawg. Qhov no cuam tshuam txog kev tsis meej, tsis meej pem, yav tom ntej txawm tias qhov pom ntawm kev ntshaus, ib ce tuag tes tuag taw, los sis txawm tias tseem tsis tau nco qab. Raws li qhov tshwm sim, yog tias koj tsis ua raws li kev kho mob ntawm hypoglycemia, lub hlwb yuav raug puas ntsoog, uas thaum kawg tuaj yeem ua rau tuag taus.
Yuav ua li cas kom nres tus mob nres sai sai thiab muab kev pabcuam thawj zaug rau cov ntshav qog ntshav?
Cov neeg mob uas kuaj tau tias cov ntshav qab zib mellitus tau paub txog qhov ua rau cov ntshav qab zib nce siab, yog li lawv feem ntau txhawj xeeb txog cov lus nug tseem ceeb: yuav ua li cas, los ntawm kev noj cov ntshav qabzib tsawg kawg, tuaj yeem nres ntawm hypoglycemia tau li cas?
Cia peb ua piv txwv: yog tias ib qho ntawm cov tsos mob ntawm lub qog ntshav qab zib tau tshwm sim, uas yog, koj tau ntsib kev tshaib kev nqhis dej hnyav, koj yuav tsum txiav txim siab tam sim ntawd pom muaj ntshav qab zib nrog ib qho glucometer. Yog tias koj txiav txim siab tias cov piam thaj hauv qab yuav qis dua koj lub hom phiaj qib 0.6 mmol / L lossis tseem qis dua, koj yuav tsum nres qhov kev tua ntshav qog ntshav sai li sai tau.
Yog tias tom qab ntsuas cov ntshav qab zib, nws tau pom tias nws tau poob qis, thiab tib lub sijhawm koj tsis pom muaj cov ntshav qabzib nyob hauv siab, nws tseem pom zoo kom ntsuas qhov tseeb ntawm cov ntshav qabzib thiab noj tshuaj. Txij li thaum nyob rau hauv cov xwm txheej ntawm cov piam thaj qis, txawm tias tsis muaj tsos mob, nws tsuas yog tsim nyog noj cov zaub mov sai sai, vim tias asymptomatic hypoglycemia muaj ntau txaus ntshai dua li qhov uas muaj cov tsos mob pom tseeb.
Ua dab tsi yog tias tsis muaj 'meter' ntawm tes
Qhov tseeb ntawm kev tsis muaj glucometer yog qhov tsis lees txais rau tus mob ntshav qab zib-insulin raws li. Yog tias koj xav tias koj tau dhau mus rau kev muaj ntshav qab zib, tom qab ntawv nws yog qhov zoo dua tsis muaj kev pheej hmoo nws thiab noj me me ntawm cov piam thaj kom cov ntshav qab zib kom nce tsawg kawg ntawm 2.4 mmol / L. Yog li, koj tuaj yeem tiv thaiv koj tus kheej los ntawm kev mob ntshav qab zib tsawg, qhov tshwm sim ntawm uas tsis tuaj yeem ua tau.
Ntsuas koj cov piam thaj kom sai li sai tau. Qhov ntxim siab tias nws yuav nce lossis nce yog tus txaus. Sim coj qab zib rov qab mus rau qhov qub thiab tsis tso cai cia ib qho ntawm qhov muag me me, nco ntsoov khaws nrog koj. Yog tias cov koob tshuaj ntshav qab zib lossis kev txhaj tshuaj insulin (yuav ua li cas khaws cov tshuaj insulin) uas koj tau sim txiav qhov kev tawm tsam yog siab dua qib kev xav tau, ces koj yuav muaj lub sijhawm nyuaj tshaj plaws.
Tom qab ntawd, tom qab noj cov ntsiav tshuaj piam thaj, cov ntshav qab zib hauv cov ntshav yuav rov poob dua. Yog li, 45 feeb tom qab koj tau noj cov tshuaj rau cov ntshav qog ntshav qab zib, koj yuav tsum rov ntsuas cov ntshav qab zib kom nyeem tau. Nco ntsoov tias txhua yam zoo. Nrog rau cov ntsiab lus tsis muaj qab zib, koj yuav tsum siv lwm cov ntsiav tshuaj, tom qab ntawd rov ntsuas dua tom qab 45 feeb. Ua li no kom txog thaum cov piam thaj hauv koj cov ntshav rov qab zoo li qub.
Hauv cov tib neeg tsis muaj ntshav qab zib
Cov laj thawj rau txo cov piam thaj hauv cov neeg uas tsis muaj ntshav qab zib yog:
- metabolic ntshawv siab
- pathology ntawm lub qog adrenal (piv txwv li, kev ua haujlwm tsis ua haujlwm),
- lub caij nyoog yoo mov
- malfunctioning ntawm daim siab (piv txwv li, mob ntsws),
- lub plawv tsis ua hauj lwm
- kev siv dag zog kom lub cev (ua rau cov khib nyiab cov piam thaj tiav),
- mob cancer hnyuv
- kev txawv txav ntawm txoj hlab pas,
- cov kab mob kis hnyav
- noj tej pab pawg (tshuaj sulfur, salicylates, quinine),
- haus cawv.
Ntawm hom 1 thiab hom 2 mob ntshav qab zib
Lub hauv paus tseem ceeb rau cov ntshav qog ntshav qab zib hauv cov neeg mob ntshav qab zib mellitus yog qhov noj tshuaj hypoglycemic nyob hauv kev siv ntau dua li lub cev xav tau.
Tsis tas li, tus mob no tshwm sim yog tias ib tug neeg txhaj tshuaj insulin thiab tsis noj mov tsis raws sij hawm. Ib qho kev mob tshwm sim yog muaj los ntawm cov tshuaj no: Diabines, Glucotro, Diabeton.
Mob ntshav qab zib ua rau muaj ntau yam mob. Qhov tshwm sim feem ntau ntawm tus kab mob yog lub raum tsis ua haujlwm, lub sijhawm cov ntshav qab zib cov ntshav qis dua qhov qub. Yog tias tus neeg tsis tau pab, yuav muaj mob ntshav qab zib ua rau nws tsis nco qab txog thiab tuag.
Txhawm rau txheeb xyuas qhov tseeb ntawm qhov ua rau hypoglycemia, nws yog ib qho tsim nyog yuav tau soj ntsuam, mus ntsib kws kho mob. Yog hais tias qhov teeb meem yog khoom noj khoom haus, tom qab ntawd los ntawm kev kho cov khoom noj, qhov xwm txheej ib txwm ua. Yog tias muaj mob, koj yuav tsum yauv mus ntsib ib txoj kev kho mob.
Cov tsos mob thiab cov tsos mob ntawm lub qog ntshav qab zib
Ntshav qab zib yog ntshai ntawm cov tshuaj no, zoo li hluav taws!
Koj tsuas yog xav tau thov ...
Kev txo qis hauv ntshav qab zib qee zaum tsis cuam tshuam rau kev nyob zoo ntawm ib tus neeg. Tab sis nrog lub caij nplooj zeeg ntxiv hauv qhov tseem ceeb, cov yam ntxwv tshwm sim ib txwm tshwm sim.
Cov paib tseem ceeb tau pom tias muaj mob tsis muaj zog, uas tau soj ntsuam txawm tias tom qab so.
Ntawm lwm cov kev qhia: kiv taub hau, hyperhidrosis, tachycardia, pallor, tsis nco qab lawm, tsis meej pem.
Kiv taub hau thiab nco qab meej
Thaum cov piam thaj poob qis dua 3.5 mmol / L, ib tus neeg pib hnov zoo li kiv taub hau, thiab muaj kev ntshaus siab ntawm kev nco qab. Kiv taub hau yog qhov pib ntawm kev tsaus muag, nyob rau hauv uas cuam tshuam hauv kev ua si ntawm lub ntsws thiab mob plawv tshwm sim. Nrog mob hnyav ntawm kev nco qab, tsaug zog yog sau tseg.
Tawm hws thiab ua daus no
Muaj kev tawm hws ntau nrog cov neeg nyob hauv lub cev tsis zoo li.
Qhov no tau piav qhia los ntawm qhov tseeb tias nrog cov piam thaj hauv qab qis hauv lub hlwb muaj kev cuam tshuam, cuam tshuam rau kev ua haujlwm ntawm cov qog ua hws. Lub cev yog qhib rau normalize ntshav qabzib ntshav qab zib.
Cov hws tawm thaum lub sijhawm no, lub cev ua ntub lawm. Qee lub sij hawm muaj qhov tshee me me hauv tes, ua daus no.
Cramps thiab tsis nco qab
Muaj cov suab thaj uas tsis muaj suab thaj, cramps feem ntau muaj lub suab tonic (cov leeg mob hauv lub xeev tsis sib haum xeeb ntev heev), tab sis lawv tseem tuaj yeem yog clonic (cov leeg tau cog lus thiab so).
Yog hais tias tus neeg mob ua tsis taus pa pab tsis tau, qhov mob yuav ploj zuj zus mus: nws yuav plam, yuav poob zoo li qub.
Hauv qhov no, kev ua pa yuav tawm ntawm txoj kev ntseeg, siab yuav poob, thiab cov mem tes yuav tsis muaj zog.
Pallor ntawm daim tawv nqaij
Nrog kev poob rau hauv cov kua nplaum hauv lub ntshav, ib tug neeg hloov daj ua ntej nws lub qhov muag, lub suab tsis zoo rau daim tawv nqaij tshwm. Lub vev xaib venous pom kom meej meej. Qhov tsos mob no tsis tau pom tas li thiab muaj tus cwj pwm ntau dua nrog cov ntshav qog ntshav qab zib siab, uas nyob ze rau qhov ua tsis nco qab lawm.
Tau pom thawj cov tsos mob ntawm kev kub siab, koj yuav tsum ntsuas ntsuas cov ntshav qab zib tam sim ntawd nrog ib qho glucometer thiab ntsuas kev tsim nyog.
Raws li kev txheeb cais, 4% ntawm cov neeg mob kuaj mob ntshav qab zib mellitus tuag txhua xyoo los ntawm kev mob tsis nco qab. Kwv yees li 10% ntawm tib neeg (tsis yog mob ntshav qab zib) muaj qhov tsis txaus siab tias muaj cov piam thaj hauv cov piam thaj hauv. Txhawm rau kom zam dhau lub txim tsis zoo, koj yuav tsum paub yuav ua li cas muab kev pabcuam ua ntej rau hypoglycemia, yuav ua li cas kom tshem tau ntau zaus tawm tsam.
Thawj pab rau hypoglycemic nres
Yog tias cov piam thaj hauv lub ntsej muag tau tsawg dua vim kev tshaib plab, kev noj zaub mov tsis zoo, thiab kev siv tshuaj ntau dhau ntawm cov ntshav qab zib, tom qab ntawd koj yuav tsum noj zaub mov uas muaj cov carbohydrates ceev:
- mus zom 4-6 tswm ciab,
- noj 2-3 piam thaj ntsiav tshuaj,
- haus ib khob mis
- noj zib ntab zib ntab
- haus ib nrab khob ib co kua qab qab zib,
- noj suab thaj li thaj.
Tom qab ib lub hlis ntawm ib teev, ib qho tshuaj ntsuam glucometer yog qhov tsim nyog. Yog tias koj txoj kev noj qab haus huv tsis tau zoo dua, thiab cov cuab yeej ua pom pom qis dua 3.5 mmol / l, tom qab ntawd koj yuav tsum noj ib yam dab tsi los ntawm cov saum toj no. Yog tias tus mob tsis zoo li qub, ces hu rau kev saib xyuas xwm txheej kub ntxhov ceev.
Txhawm rau tiv thaiv kom tsis txhob rov tshwm sim ntawm kev tawm tsam, nws raug nquahu kom noj cov khoom noj uas muaj cov khoom ntev ntev (porridge, qhob cij, ncuav qab zib).
Tshuaj Kho Mob
Txhawm rau kom nres ib ce mob ntshav qab zib tsawg kawg nkaus, muaj 40% kua qabzib nyob rau hauv ib txog 40-60 ml yog muab rau ib tus neeg. Yog tias qhov no tsis muab cov nyhuv ua yam xav tau, tom qab ntawd 0.3-0.5 ml ntawm 0.1% daws ntawm adrenaline hydrochloride yog niam txiv muab tshuaj rau. Diazoxide lossis Octreotide kuj tseem siv.
Mob ntshav qab zib mob ntshav qab zib tuaj yeem kho nrog cov tshuaj hauv qab no:
Cov tshuaj kho neeg mob
Qee cov nroj tsuag muaj cov qog ntshav, ua kom lub cev cov metabolism zoo. Nov yog St. John lub wort, sawv duav, lingonberry, qij, oregano, hiav txwv buckthorn, yarrow. Kev kho kom zoo nkauj ntawm lawv feem ntau siv los kho thiab tiv thaiv kom tsis txhob mob ntshav qab zib.
Cov nqi hauv qab no kuj siv tau:
- John tsob ntoo, moss qhuav mussel, hemorrhage npaum li cas nyob rau hauv tus nqi ntawm ob grams, thiab wormwood thiab licorice - ib gram txhua. Tshuaj ntsuab tau sib xyaw thiab muaj dej 400 ml. Ua noj rau 45 feeb thiab txaus siab. Cov tshuaj tau txais yog noj txhua hli peb zaug hauv ib hnub,
- Leuzea thiab txiv qaub muaj qhov sib xyaw, yaj thiab haus cawv peb zaug ib hnub.
Tshuaj thiab lwm txoj hauv kev yuav tsum raug siv kom raug thiaj li tsis ua rau mob hyperglycemia. Ua kom zoo li no, koj yuav tsum ua tib zoo xaiv lub koob tshuaj, saib xyuas nrog glucometer.
Koj tuaj yeem zam qhov kev tawm tsam tus mob ntshav qab zib tsawg los ntawm kev kho koj li kev noj zaub mov, siv kev ua kom yuag.
Nws yog qhov yuav tsum tau zam kom tsis txhob siv cov carbohydrates yooj yim thiab muab kev nyiam rau cov nyom.
Nws yog ib qho tsim nyog yuav tau noj zaub mov me me, tab sis ntau zaus. Calorie kev txais tos zoo tshaj yog nce mus rau 2500 kcal.
Yog tias cov piam thaj hauv ntshav tshwm sim vim tias tsis muaj cov vitamin C, tom qab ntawv cov zaub mov yuav tsum muaj cov zaub tshiab, tshuaj ntsuab thiab txiv hmab txiv ntoo zoo ntxiv. Pom zoo mob siab, Walnut, raum, qe, lub plawv, tshij, ceg. Cov lauj kaub tais diav muaj qhov zoo dua: lawv muaj peev xwm cuam tshuam cov metabolism hauv cov piam thaj.
Related videos
Cov phiajcim tseem ceeb ntawm hypoglycemia hauv video:
Yog li, hypoglycemia tuaj yeem tshwm sim tsis yog hauv cov neeg mob ntshav qab zib, tab sis kuj ua rau cov neeg uas tsis muaj kev kuaj mob. Cov laj thawj rau tus mob no muaj ntau yam: los ntawm kev noj zaub mov tsis zoo thiab kev siv tshuaj kho mob rau qhov muaj mob loj. Txawm li cas los xij, koj yuav tsum tau kuaj xyuas thiab ua raws li qib txhawm rau tswj cov suab thaj kom khov.