Yuav tsum kuaj ntshav qab zib li cas

Yog tias koj xav tias tus mob ntshav qab zib, tus neeg mob raug nquahu kom yauv mus kuaj ib qho kev kuaj mob kom paub meej tias kuaj mob, txiav txim siab hom thiab theem ntawm tus kab mob. Txhawm rau kom paub meej txog cov duab hauv chaw kuaj mob, nws yuav tsum tau saib xyuas lub raum ua haujlwm, txiav, qab zib, cov piam thaj hauv siab, nrog rau cov teeb meem tshwm sim los ntawm lwm qhov hauv plab thiab cov tshuab.

Cov tsos mob ntshav qab zib

Ua raws li cov ntshav qab zib hom, nws tuaj yeem tshwm sim nws tus kheej thaum ntxov lossis neeg laus, txhim kho sai lossis sijhawm. Koj yuav tsum tau ntsuas rau mob ntshav qab zib thaum cov cim ceeb toom nram qab no tshwm sim:

nqhis dej heev thiab lub qhov ncauj qhuav, muaj kev tshaib plab tas li,
nquag thiab tso zis heev, tshwj xeeb tshaj yog thaum tsaus ntuj,
tsis muaj zog thiab qaug zog, kiv taub hau, qhia tsis tau poob lossis lub cev hnyav,
dryness, khaus thiab tawm pob rau ntawm daim tawv nqaij, thiab ua rau cov qhov txhab tsis zoo thiab qhov nqaij ntuag, txhaws, khaus lossis tawv nqaij ntawm lub ntsis ntiv tes,
khaus khaus hauv qhov perineum
qhov muag plooj,
nce nyob rau hauv duav ib ncig ntawm cov poj niam - siab dua 88 cm, nyob rau hauv cov txiv neej - saum toj no 102 cm.

Cov tsos mob no tuaj yeem tshwm sim tom qab lub sijhawm muaj kev ntxhov siab, kev mob ua ntej pancreatitis lossis tus kabmob sib kis ntawm tus kabmob kis. Yog tias koj pom ib lossis ntau dua ntawm cov xwm txheej no, tsis txhob yig mus ntsib kws kho mob.

Kuaj ntshav qab zib kuaj

Kev kuaj ntshav qabzib yog qhov kev sim uas yooj yim uas tau teev tseg rau cov kev xav tias muaj cov kab mob metabolism hauv lub cev. Nws kuj tseem qhia tau rau cov kab mob hepatic pathologies, cev xeeb tub, cov kab mob thyroid. Txoj kev tshawb no yog nqa tawm ntawm lub plab khoob thaum sawv ntxov 8 teev tom qab noj mov tas los lossis tom qab ntawv. Hmo ua ntej kev kuaj ntshav, kev siv lub cev ua haujlwm yuav tsum tau muab cais tawm. Tus nqi ib txwm txawv ntawm 4.1-5.9 mmol / L.

Kev kuaj ntshav qabzib nyob rau yog ntsuas yog tias pom tias muaj ntshav qabzib nrog rau kev nyeem txog qabzib nyob rau hauv. Txoj kev tshawb no tso cai rau koj txhawm rau txheeb xyuas zais cov kev cuam tshuam ntawm cov metabolism metabolism. Nws yog tshuaj rau kev hnyav, ntshav siab, ntshav qab zib thaum cev xeeb tub, polycystic zes qe menyuam, kab mob siab. Nws yuav tsum tau nqa tawm yog tias koj noj tshuaj hormonal rau lub sijhawm ntev lossis raug kev txom nyem los ntawm furunculosis thiab ncig ncig. Qhov kev ntsuas yuav tsum tau npaj kom txhij. Nyob rau peb hnub, koj yuav tsum noj kom nquag thiab haus dej kom ntau, zam kev tawm hws. Hnub ua ntej txoj kev tshawb fawb, nws raug nquahu kom tsis txhob haus cawv, kas fes, lossis haus luam yeeb. Txoj kev tshawb no yog nqa tawm 12-14 teev tom qab noj mov. Thaum pib, cov piam thaj ntsuas tau ntsuas ntawm lub plab tas, tom qab ntawd tus neeg mob haus dej daws 100 ml dej thiab 75 g ntawm cov piam thaj, thiab txoj kev tshawb no rov qab ua dua tom qab 1 thiab 2 teev. Feem ntau, cov piam thaj yuav tsum tsis pub ntau dua li 7,8 mmol / l, ntawm 7.8–11.1 mmol / l, kuaj mob ntshav qab zib, thiab nrog rau qhov ntsuas ntau tshaj 11.1 mmol / l, mob ntshav qab zib mellitus.

Glycated Hemoglobin

Glycated hemoglobin yog ib qho kev ntsuas uas qhia txog qhov nruab nrab ntawm cov piam thaj hauv cov ntshav hauv 3 lub hlis dhau los. Xws li qhov kev tshuaj xyuas yuav tsum tau ua txhua txhua peb lub hlis, qhov no yuav ua rau pom thaum ntxov ntawm tus mob ntshav qab zib mellitus lossis ntsuas cov txiaj ntsig ntawm kev kho mob. Kev tsom xam ua thaum sawv ntxov ntawm lub plab khoob. Yuav tsum tsis txhob mob ntshav los ntshav lossis tso ntshav hla li 2-3 hnub ua ntej txoj kev tshawb no. Nquag, 4,5-6,5% yog sau tseg, nrog kev mob ntshav qab zib - 6-6,5%, nrog ntshav qab zib - ntau tshaj 6.5%.

Tso zis kuaj

Yog tias xav tias ntshav qab zib tau mob, txoj kev kuaj zis tuaj yeem txheeb xyuas sai sai uas qhia txog kev txhim kho ntawm tus kabmob. Hauv ntshav qab zib mellitus, cov kev kuaj mob hauv qab no yuav tsum tau ua.

Mob Lub Hlaus Xauj rau qhov khoob ntawm plab. Qhov muaj suab thaj hauv cov zis yuav qhia txog ntshav qab zib. Feem ntau, nws tsis tuaj.
Mob Lub Hlaus Tso cai rau koj los tsim cov lus qhia ntawm cov piam thaj hauv cov zis thaum nruab hnub. Txhawm rau sau kom raug, qhov thaum sawv ntxov muab rau tsis pub dhau 6 teev tom qab sau, qhov seem yog sau rau hauv lub taub ntim huv. Hnub ua ntej txoj kev tshawb no, koj tsis tuaj yeem noj cov txiv lws suav, beets, cov txiv hmab txiv ntoo hauv cov txiv, carrots, taub dag, buckwheat.
Kev tsom xam rau microalbumin. Qhov muaj cov protein qhia tau tias cuam tshuam nrog cov txheej txheem hauv metabolic. Thaum insulin-mob ntshav qab zib, qhov no yog mob ntshav qab zib nephropathy, thiab yog tias tsis muaj ntshav qab zib tsis yog insulin, kev txhim kho ntawm cov teeb meem tshwm sim los ntawm cov hlab plawv. Nquag, muaj protein tsis tau los yog pom hauv cov khoom me me. Nrog cov kab mob pathology, qhov kev cia siab ntawm microalbumin hauv lub raum nce ntxiv. Cov zis thaum sawv ntxov yog qhov tsim nyog rau kev tshawb fawb: thawj qhov yog nqus, thib ob yog sau rau hauv ib lub taub ntim thiab coj mus kuaj.
Kev tsom xam rau lub cev ketone. Cov no yog cov cim ntawm kev cuam tshuam ntawm cov rog thiab carbohydrate metabolism. Ketone lub cev raug txiav txim siab hauv chav kuaj mob los ntawm tus txheej txheem Natelson, los ntawm cov tshuaj tiv thaiv nrog sodium nitroprusside, los ntawm Gerhardt qhov kev sim, lossis siv cov tshuaj ntsuas ntsuas.

Cov hau kev ntxiv

Ntxiv nrog rau kev soj ntsuam cov zis thiab ntshav rau cov piam thaj thiab protein, cov kws tshaj lij txheeb xyuas ntau qhov kev ntsuas uas tau txiav txim rau cov kab mob ntshav qab zib mellitus thiab tuaj yeem tshawb pom kev ua txhaum cai los ntawm cov khoom hauv nruab nrog. Kev kuaj mob tuaj yeem lees paub los ntawm C-peptide kuaj, tshuaj tiv thaiv kab mob rau pancreatic beta hlwb, glutamic acid decarboxylase thiab leptin.

C-peptide yog qhov taw qhia ntawm qhov kev puas tsuaj ntawm lub pancreas. Siv txoj kev kuaj no, koj tuaj yeem khaws ib qho tshuaj insulin rau tus kheej. Feem ntau, C-peptide yog 0.5-2.0 μg / L; qhov txo qis ntse qhia tias cov tshuaj insulin tsis txaus. Txoj kev tshawb no yog nqa tawm tom qab 10 teev kev tshaib kev nqhis, nyob rau hnub ntsuas koj tsis tuaj yeem haus luam yeeb thiab noj, koj tsuas yog haus tau dej xwb.

Ib qho kev sim rau cov tshuaj tiv thaiv rau pancreatic beta cell pab tshawb pom ntshav qab zib hom 1. Hauv cov khoom siv tiv thaiv kab mob, insulin synthesis yog qhov tsis taus.

Glutamic acid decarboxylase ntau zog ntxiv nrog cov kab mob autoimmune - thyroiditis, ua paug rau ntshav, ntshav qab zib hom 1. Qhov txiaj ntsig zoo tau tshawb pom hauv 60-80% ntawm cov neeg mob uas muaj ntshav qab zib hom 1 thiab 1% ntawm cov neeg noj qab haus huv. Kev kuaj mob tso cai rau koj txheeb xyuas kab mob erased thiab atypical ntawm cov kab mob, los txiav txim siab pab pawg muaj kev pheej hmoo, twv seb kev tsim cov tshuaj insulin nyob ntawm hom ntshav qab zib hom 2 li cas.

Leptin yog cov tshuaj lom satiety uas txhawb nqa kev hlawv ntawm lub cev rog. Cov qib qis leptin tau sau tseg nrog cov zaub mov tsis muaj calorie, anorexia. Txhawb cov tshuaj hormones yog cov khub ntawm kev noj zaub mov ntau dhau, kev rog, hom ntshav qab zib hom 2. Kev tsom xam yog nqa tawm thaum sawv ntxov ntawm lub plab khoob, tom qab 12 teev ntawm kev yoo mov. Hnub ua ntej txoj kev tshawb fawb, koj yuav tsum tsis suav cov cawv thiab cov khoom noj muaj roj, rau 3 teev - luam yeeb thiab kas fes.

Kev tsom xam ua rau nws muaj peev xwm txiav txim siab nrog txoj kev ntseeg siab ntawm kev muaj ntshav qab zib mellitus, nws hom thiab qhov tsis txaus ntseeg cuam tshuam nrog nws. Lawv tus menyuam yuav tsum mus kom ncav lub luag haujlwm, saib xyuas txhua tus lus pom zoo ntawm kws kho mob. Tsis li, koj yuav kis tau qhov tsis raug.

Ntsuas ntshav qab zib - vim li cas thiab ntau npaum li cas thiaj li tau txais lawv

Kuaj ntshav qab zib yuav tsum tau ua ntu zus los kom paub cov lus teb rau cov lus nug hauv qab no:

Koj qhov txiav ua rau koj lub plab puas lawm? Puas muaj cov qe hlwb muaj peev xwm ua cov tshuaj insulin tseem muaj sia nyob hauv nws? Lossis puas yog lawv txhua tus puas tau tuag?
Pancreatic kev ua haujlwm zoo npaum li cas vim tias koj tau noj tshuaj kho? Cov npe ntawm cov haujlwm no suav nrog kev kho mob ntshav qab zib hom 2 thiab hom kho ntshav qab zib hom 1. Puas muaj ntau dua beta hlwb nyob rau hauv lub txiav? Puas ntau lawm ntawm cov insulin ntau ntxiv?
Mob ntshav qab zib ntev li cas yuav tsim tau ntev? Lawv muaj zog npaum li cas? Ib lo lus nug tseem ceeb yog nyob rau hauv dab tsi mob yog koj lub raum?
Yuav muaj feem ntau npaum li cas qhov kev pheej hmoo ntawm kev tsim muaj cov mob tshiab ntawm ntshav qab zib thiab ua kom nrov nrov ntxiv rau cov uas twb muaj lawm? Hauv tshwj xeeb, dab tsi yog qhov pheej hmoo ntawm lub plawv nres thiab mob hlab ntsha tawg? Nws puas txo qis qis vim los ntawm kev kho mob?

Kev kuaj ntshav qab zib yuav tsum tau kuaj xyuas tsis tu ncua. Lawv cov txiaj ntsig tau qhia meej meej tias muaj txiaj ntsig zoo li cas ntawm kev ua raws li kev tswj hwm thiab tswj hwm cov ntshav qab zib kom nyob ruaj khov. Kuj nyeem tsab ntawv, "Lub hom phiaj rau kev kho ntshav qab zib hom 1 thiab ntshav qab zib hom 2", thiab nws cov ntu, "Yuav muaj dab tsi tshwm sim thaum koj cov piam thaj hauv ntshav rov qab zoo li qub."

Ntau yam kab mob ntshav qab zib tsis tuaj yeem tiv thaiv tsuas yog, tab sis kuj thim rov qab. Qhov tshwm sim ntawm kev kho mob ntshav qab zib nrog kev noj zaub mov kom tsis rog lossis noj qab haus huv thiab peb cov txheej txheem yuav zoo dua li cov kev qhia los ntawm "kev ib txwm muaj". Nyob rau tib lub sijhawm, thawj zaug cov ntawv xeem raug txhim kho, thiab tom qab ntawd muaj kev nyab xeeb. Yog li, kev ntsuas ntshav qab zib yog ib qho "ua ntej" ntawm kev kho kom zoo.

Ntxiv nyob rau hauv tsab xov xwm, kev ntsuam xyuas tau piav qhia txhua yam uas tau pom zoo kom kuaj ntshav qab zib kom tsis tu ncua. Lawv feem ntau yog xaiv tau. Nws raug nquahu kom coj mus kuaj hauv qhov chaw kuaj mob uas them nyiaj, uas yog ywj pheej, uas yog, nws tsis dag qhov tshwm sim hauv kev txaus siab ntawm cov kws kho mob. Cov chaw soj nstuam zoo tshwj xeeb kuj tseem siv cov cuab yeej tshiab thiab cov khoom siv dua tshiab, yog li cov txiaj ntsig ntawm cov tshuaj ntsuam tau muaj tseeb dua. Yog tias nws tsis tuaj yeem siv lawv cov kev pabcuam, tom qab ntawv kuaj mob dawb.

Yog tias qee qhov kev ntsuas tsis tuaj yeem hla dhau lossis lawv kim dhau - koj tuaj yeem hla lawv. Qhov tseem ceeb yog qhov yuav ib lub ntsuas cov ntshav qab zib hauv tsev thiab feem ntau tswj ntshav qab zib nrog nws. Nyob rau hauv tsis muaj qhov xwm txheej tsis txuag ntawm cov ntawv xeem rau cov glucometer! Nws tseem ceeb heev uas yuav tsum tau ntsuas ntshav thiab tso zis mus kuaj xyuas kom lub raum ua haujlwm tas mus li. Kev ntsuam xyuas ntshav rau C-reactive protein (kom tsis txhob muaj kev ntxhov siab nrog C-peptide!) Hauv cov chaw kuaj ntshav ntiag tug feem ntau tsis tshua muaj txiaj ntsig thiab yog qhov ntsuas pom zoo ntawm kev pheej hmoo ntawm lub plawv lossis mob stroke, zoo li koj tau tswj hwm ntau npaum li cas los txo qhov kev pheej hmoo no. Tag nrho lwm yam kev ntsuam xyuas - xa tawm thaum twg ua tau.

Glycated hemoglobin assay

Kev kuaj ntshav rau cov ntshav (glycosylated) hemoglobin. Yog tias koj tsis tau txais insulin, ces qhov kev kuaj no yuav tsum ntsuas 2 zaug nyob hauv ib xyoo. Yog tias koj kho ntshav qab zib nrog kev txhaj tshuaj insulin - 4 zaug hauv ib xyoos. Yog xav paub ntxiv, saib kab lus “Ntsuas ntshav rau glycated hemoglobin”.

Kev kuaj ntshav rau glycated hemoglobin HbA1C yog qhov yooj yim rau kev kuaj mob ntshav qab zib thawj zaug. Tab sis thaum kho tau tus kab mob yog tswj nrog nws pab, uas yog, qhov tseem ceeb nuance. HbA1C qhia txog cov ntshav khov nyob hauv ntshav tshaj li 3 lub hlis dhau los. Tab sis nws tsis muab ntaub ntawv hais tias ntau npaum li cas ntawm qib no hloov tau.

Hauv lub hlis dhau los, cov kabmob ntshav qab zib tuaj yeem muaj kev dhia ntau dhau - los ntawm cov ntshav qog ntshav qab zib mus rau cov ntshav qab zib heev, thiab nws lub cev raug mob tsis zoo. Tab sis yog tias cov piam thaj hauv ntshav hauv nruab nrab tau hloov mus rau qhov xwm txheej, tom qab kev soj ntsuam rau HbA1C yuav tsis qhia dab tsi tshwj xeeb. Yog li, hauv ntshav qab zib, txheeb xyuas rau glycated hemoglobin tsis tshem tawm qhov xav tau los ntsuas koj cov ntshav qab zib txhua hnub ob peb zaug nrog glucometer.

C-peptide kuaj ntshav

C-peptide yog ib qho protein uas tau fwm los ntawm cov "proinsulin" molecule thaum cov tshuaj insulin los ntawm nws hauv cov txiav ua kab mob ntshav ntswg. Nws nkag mus rau hauv cov hlab ntshav nrog insulin. Yog li, yog tias C-peptide xa tawm hauv cov ntshav, nws txhais tau hais tias lub cev tseem tsim nws cov tshuaj insulin ntxiv. Thiab C-peptide ntau nyob rau hauv cov ntshav, kev ua haujlwm zoo dua ua rau txiav ua paug. Nyob rau tib lub sijhawm, yog tias qhov concentration ntawm C-peptide hauv cov ntshav siab dua li ib txwm, tom qab ntawd cov theem ntawm cov kua dej yog nce ntxiv. Qhov no yog hu ua hyperinsulinism (hyperinsulinemia). Qhov no feem ntau tshwm sim thaum ntxov ntawm tus mob ntshav qab zib hom 2 lossis thaum tus neeg mob tsuas muaj ntshav qab zib (feem ua rau cov suab thaj tsis haum).

Kev kuaj ntshav rau C-peptide zoo tshaj plaws thaum sawv ntxov nyob rau ntawm lub plab khoob, thiab lub sijhawm thaum cov ntshav qab zib cov ntshav tsis txaus, tsis nce ntxiv. Ib txhij nrog qhov kev ntsuas no, nws raug nquahu kom ntsuas ntshav qab zib lossis ntsuas ntshav qab zib cov ntshav nrog lub ntsuas ntshav qab zib hauv tsev. Koj yuav tsum tau soj ntsuam cov txiaj ntsig ntawm kev tshuaj xyuas ob qho tib lub sijhawm. Yog tias cov piam thaj hauv ntshav muaj qhov qub thiab C-peptide raug nce, ces qhov no txhais tau tias insulin tsis kam (nws yog dab tsi thiab kho nws li cas), mob ntshav qab zib lossis thawj theem ntawm ntshav qab zib hom 2 thaum ntxov. Nyob rau hauv qhov xwm txheej zoo li no, nws yog lub sijhawm pib kho nrog kev noj haus cov zaub mov uas tsis muaj carbohydrate, qoj ib ce nrog kev lom zem thiab (yog tias tsim nyog) Siofor ntsiav tshuaj (Glucofage). Nyob rau tib lub sijhawm, tsis txhob maj los ua cov tshuaj insulin - nrog qhov muaj feem ntau nws yuav muaj peev xwm ua tau yog tias tsis muaj lawv.

Yog tias ob qho ntshav qab zib thiab C-peptide nce, ces qhov no yog "nce qib" ntshav qab zib hom 2. Txawm li cas los xij, tej zaum nws yuav tig mus rau kev tswj hwm tsis muaj cov tshuaj insulin, siv cov txhais tau hais los saum toj saud, txawm hais tias tus neeg mob yuav tau soj ntsuam cov kev cai ntau dua kom zoo. Yog tias cov piam thaj hauv ntshav nce siab, thiab C-peptide tsawg dua, tom qab ntawd tus kws kho mob txiav ua kab mob rau hauv lub plawv twb ua mob loj lawm. Nws tuaj yeem siv sijhawm ntev hom 2 ntshav qab zib lossis hom ntshav qab zib 1. Ntawm no, nws tsis zoo li tias koj tuaj yeem ua yam tsis muaj insulin. Zoo, yog tias qhov tsis paub tseeb ntawm cov ntshav qab zib tseem tsis tau muaj sijhawm los txhim kho.

Nws raug nquahu kom kuaj ntshav rau cov ntshav qab ntsev-peptide thaum koj nyuam qhuav pib kho mob ntshav qab zib. Hauv lub neej yav tom ntej, koj tsis tuaj yeem rov ua nws dua thiab txuag txoj hauv kev no, yog tias tsim nyog.

Kev kuaj ntshav dav thiab ntshav biochemistry

Kev lim ntshav biochemistry yog ib co kev sim uas ib txwm dhau los thaum lawv tau mus kuaj mob. Lawv xav tau txhawm rau txheeb xyuas cov kabmob zais hauv tib neeg lub cev, ntxiv rau mob ntshav qab zib, thiab pib kho lawv cov sijhawm. Tus neeg pabcuam kuaj ntshav yuav txiav txim seb muaj pes tsawg hom hlwb sib txawv hauv cov ntshav - ntshav liab thiab qe ntshav dawb, thiab platelets. Yog tias muaj ntau cov qe ntshav dawb, nws txhais tau tias yog txheej txheem ua haujlwm. Koj yuav tsum nrhiav tus kab mob thiab kho nws. Yog tias muaj cov qe ntshav liab tsawg dhau, qhov no qhia txog kev ntsuas ntshav tsis txaus.

Tib qho ua rau muaj mob ntshav qab zib hom 1, hmoov tsis zoo, feem ntau ua rau cov thyroid tsis ua haujlwm. Qhov teebmeem no yog qhia los ntawm cov qe ntshav dawb tsawg. Yog tias kev kuaj ntshav dav dav "qhia" thaum lub zog tsis muaj zog ntawm cov thyroid caj pas, tom qab ntawd koj yuav tsum tau kuaj ntshav ntxiv rau nws cov tshuaj hormones. Koj yuav tsum paub tias rau kev kuaj xyuas cov thyroid caj pas, nws tsis txaus los ua qhov kev kuaj ntshav rau cov thyroid-stimulating hormone (thyrotropin, TSH). Koj kuj yuav tsum tau kuaj xyuas lwm cov tshuaj hormones tam sim - T3 pub dawb thiab T4 pub dawb.

Cov tsos mob ntawm cov thyroid muaj teeb meem mob ntsws ntev, ua rau mob khaub thuas, thiab mob leeg. Tshwj xeeb yog tias mob rog ntev tsawv tom qab cov piam thaj hauv ntshav tau qis qis dua qub nrog kev noj zaub mov kom tsawg. Kev ntsuam xyuas rau cov thyroid hormones tsis yog qhov pheej yig, tab sis lawv yuav tsum tau ua yog tsim nyog. Kev ua haujlwm ntawm cov thyroid caj pas yog qhov ib txwm ua tau nrog kev pab los ntawm cov ntsiav tshuaj sau tseg los ntawm endocrinologist. Cov xwm txheej ntawm cov neeg mob feem ntau txhim kho zoo heev los ntawm kev noj cov tshuaj no, thiaj li hais tias cov txiaj ntsig ntawm txoj kev kho tau kho cov nyiaj siv, sijhawm thiab dag zog.

- Kuv muaj peev xwm coj kuv cov ntshav qab zib kom tsis tu ncua li qub nrog kev pab los ntawm kev noj zaub mov tsis muaj carbohydrate thiab txhaj tshuaj ntawm cov tshuaj insulin tsawg kawg. ...

Ntshav dej ferritin

Ntshav dej ferritin yog ib qho kev qhia ntawm cov khw muag hlau hauv lub cev. Feem ntau qhov kev ntsuas ntshav no tau sau tseg yog tias tus neeg mob xav tias tsis muaj ntshav txaus vim muaj hlau tsis txaus. Qee tus kws kho mob paub tias, ntawm qhov tod tes, ntau dhau hlau yog qhov ua kom tsawg dua cov ntaub so ntswg rhiab heev rau insulin, i.e., insulin tsis kam. Nws kuj rhuav tshem cov phab ntsa ntawm cov hlab ntsha thiab ua kom nrawm rau lub caij pib ntawm lub plawv nres. Yog li nws yog qhov xav tau kom dhau qhov kev txheeb xyuas rau ntshav dej ferritin nyob rau hauv txhua rooj plaub, ua ke nrog tag nrho cov ntshav ntawm biochemistry. Yog tias qhov kev soj ntsuam no qhia tau tias koj muaj cov hlau ntau ntau hauv lub cev, tom qab ntawv nws yuav muaj txiaj ntsig los ua kom muaj ntshav ntxiv. No tsis yog tso dag nawb. Ntshav pub dawb yog txoj kev zoo tshaj plaws ntawm kev kho kab mob insulin thiab tiv thaiv lub plawv nres los ntawm kev ridding koj lub cev ntawm cov hlau ntau dhau.

Nrog kub siab - kuaj ntshav rau magnesium

Yog hais tias tus neeg mob tau muaj ntshav siab, tom qab ntawd hauv Tebchaws Asmeskas "cia li xaiv" kev kuaj ntshav rau cov ntsiab lus magnesium hauv cov ntshav liabCov. Hauv cov tebchaws hais lus Lavxias, txoj kev ntsuam xyuas no tseem tsis tau ua tiav. Tsis txhob sib cav nrog nws nrog kev tsom xam magnesium. hauv ntshav ntshavuas yog unreliable! Nws ib txwm hloov tawm ntawm qhov qub, txawm tias ib tus neeg muaj suab npe tsis txaus ntawm magnesium. Yog li, yog tias koj muaj ntshav siab, tab sis ob lub raum tseem ua haujlwm ntau dua lossis tsawg dua qub, tsuas yog sim sim noj Magnesium-B6 ntau dua, raws li tau piav qhia ntawm no. Thiab ntsuas tom qab 3 lub lis piam seb koj puas noj qab nyob zoo.

Magnesium-B6 yog ib lub tshuaj muaj txuj ci tseem ceeb tau txais txiaj ntsig 80-90% ntawm cov pej xeem. Lawv yog:

txo cov ntshav siab
pab nrog txhua qhov teeb meem hauv lub plawv - arrhythmia, tachycardia, thiab lwm yam.
nce cov nqaij mos rhiab rau insulin,
ntxias kom mob siab, nplij tsis xis nyob, txhim kho pw tsaug zog,
normalize plab hnyuv muaj nuj nqi,
pab txhawb kev mob tshwm sim ua ntej nyob hauv poj niam.

Lus khaws xav Tsis txhob noj tshuaj dab tsi, suav nrog magnesium-B6, yam tsis tau sab laj nrog koj tus kws kho mob yog tias koj muaj tus mob raum ua rau mob raum (nephropathy). Tshwj xeeb tshaj yog yog hais tias glomerular pom tus nqi qis dua 30 ml / min / 1.73 m2 lossis koj tseem raug lim ntshav.

Kev pheej hmoo mob plawv thiab hlab ntsha tawg: yuav ua li cas txo nws

Ntau yam tshuaj kis rau hauv cov ntshav ntawm tus neeg, uas qhia nws qhov qis, nruab nrab lossis qib siab ntawm kev pheej hmoo ntawm lub plawv thiab mob hlab ntsha tawg. Tam sim no thev naus laus zis tso cai siv kev kuaj ntshav los txiav txim siab cov tshuaj ntawm cov tshuaj no, thiab nws yooj yim heev rau cov kws kho mob thiab cov neeg mob. Muaj cov kev khomob los kho uas tuaj yeem txo kev mob plawv, thiab ntxiv rau hauv tsab xov xwm koj yuav kawm txog lawv.

Nws yog ib qho tseem ceeb kom them rau kev tiv thaiv kev mob plawv thiab mob stroke, nrog rau kev kho ntshav qab zib. Tom qab tag nrho, dab tsi yog qhov kis ntawm kev ua haujlwm tsis zoo rau ntshav qab zib nkaus xwb kom lub hauv paus tseem ceeb ntawm lub neej ua rau lub plawv yuav nres koj? Ua raws li cov lus qhia yooj yim, ua raws li tsoomfwv - thiab koj tuaj yeem nyob rau lub hnub nyoog laus heev uas tsis muaj kev mob ntshav qab zib, nrog lub plawv zoo thiab khaws cia kev sib deev, ua rau kev khib ntawm cov phooj ywg.

Qhov xov xwm zoo yog tias cov zaub mov uas tsis muaj carbohydrate tsawg ua rau cov ntshav qab zib thiab tib lub sijhawm txo cov hlab plawv. Qhov no yuav qhia tau qhov sib txawv ntawm cov txiaj ntsig ntawm kev tsom xam "ua ntej" thiab "tom qab" kev hloov pauv mus rau qhov tshiab ntawm cov khoom noj khoom haus. Kev tawm dag zog lub cev kuj tseem zoo tib yam nkaus ua ob zaug kho mob zoo. Txawm li cas los xij, kev tiv thaiv ceev faj ntawm kev mob plawv thiab mob stroke kuj tseem xav tau kev ntsuas ntxiv, uas koj yuav kawm txog hauv qab no. Yog tias koj xav nyob ntev dua, koj yuav tsum tsis txhob saib tsis taus cov haujlwm no.

Nyeem cov ncauj lus kom ntxaws

Cov Mob thyroid: Kev kuaj mob thiab Kev Kho Mob

Raws li tau hais los saum toj no, yog tias koj siv cov khoom noj muaj protein ntau los tswj cov ntshav qab zib hom 1 lossis hom 2, tom qab feem ntau cov txiaj ntsig ntawm kev kuaj ntshav rau cov kab mob plawv kuj tseem txhim kho. Txawm li cas los xij, qee zaum kev tshuaj ntsuam xyuas tau qhia tias kev pheej hmoo ntawm cov hlab plawv tsis txo qis, lossis tseem nce ntxiv. Hauv cov xwm txheej zoo li no, koj yuav tsum tau ua cov kev ntsuas ntshav rau cov thyroid hormones. Thiab ib txwm (!) Nws hloov tawm tias lawv qib hauv tus neeg mob cov ntshav qis dua li ib txwm.

Ib qho ntawm cov ua rau ntshav qab zib yog kev ua tsis zoo ntawm lub cev tiv thaiv kab mob. Raws li qhov tshwm sim ntawm cov tsis ua tiav, lub cev tiv thaiv tawm tsam thiab rhuav tshem cov hlwb pancreatic uas tsim cov tshuaj insulin. Hmoov tsis zoo, lub qog ua haujlwm lub qog feem ntau tau tawm tsam "rau cov tuam txhab", vim qhov txiaj ntsig ntawm nws cov haujlwm tsawg dua.

Hypothyroidism yog mob ntev, tsis tu ncua ntawm cov thyroid hormones txaus. Feem ntau nws tshwm sim hauv cov neeg mob ntshav qab zib thiab lawv cov txheeb ze. Mob Hypothyroidism tuaj yeem pib ntau xyoo ua ntej cov ntshav qab zib muaj zog, lossis hloov mus rau lwm tus tom qab. Cov kev tshawb fawb qhia tias teeb meem nrog cov thyroid caj pas ua rau ntau ntxiv kev tuaj yeem ua rau lub plawv nres thiab mob hlab ntsha tawg, thiab qhov no qhia tau cov txiaj ntsig ntawm kev kuaj ntshav rau cov kab mob plawv.

Xaus: Yog tias, tawm tsam cov keeb kwm ntawm kev noj zaub mov tsis muaj qab zib, cov txiaj ntsig ntawm kev kuaj ntshav ntawm cov kab mob plawv tsis zoo, ces cov thyroid caj pas yuav tsum kuaj thiab kho. Hauv qhov no, txuas ntxiv kom ua raws li cov zaub mov tsis muaj cov zaub mov carbohydrate. Txhawm rau them rau kev mob hypothyroidism, tus kws kho mob endocrinologist yuav muab tshuaj uas muaj cov tshuaj hormones uas tsis txaus hauv lub cev. Lawv tau noj 1-3 zaug nyob rau ib hnub, raws li kws kho mob pom zoo.

Lub hom phiaj ntawm kev kho mob yog ua kom cov tshuaj hormones triiodothyronine (T3 pub dawb) thiab thyroxine (T4 pub dawb) mus rau ib nrab-ib nrab. Raws li txoj cai, lub hom phiaj no ua tiav ntau. Raws li qhov tshwm sim, cov neeg mob mloog zoo dua thiab qhov pheej hmoo ntawm lub plawv nres thiab mob hlab ntsha tawg yog txo qis. Nco ntsoov tias kev kuaj ntshav rau cov thyroid stimulating hormone (thyrotropin, TSH) tsis txaus. Lwm cov thyroid hormones yuav tsum raug kuaj xyuas - T3 pub dawb thiab T4 pub dawb.

Tshaj cov hlau nyob hauv lub cev

Hlau yog qhov tseem ceeb tshaj plaws rau tib neeg. Tab sis nws cov dhau heev tuaj yeem tsim kev tuag taus. Yog hais tias lub cev tau khaws ntau cov peev txheej ntau ntawm cov hlau, qhov no txo qhov rhiab ntawm cov ntaub so ntswg mus rau insulin (nce insulin tsis kam), yog qhov muaj kev pheej hmoo rau cov kab mob plawv, ntxiv rau mob qog noj ntshav. Qhov teeb meem no tshwm sim rau cov txiv neej ntau dua li cov poj niam ua ntej lub cev ntas ntshav. Vim tias cov poj niam poob hlau thaum coj khaub ncaws.

Ua ntsuas cov ntshav rau cov dej ntshiab albumin thiab ferritin, uas tau sib tham saum toj no hauv kab lus. Yog tias cov txiaj ntsig tau dhau los saum toj ib txwm, tom qab ntawd los ua tus neeg muab ntshav ntxiv kom tshem cov hlau ntau hauv lub cev thiab yog li txo txoj kev pheej hmoo ntawm lub plawv nres. Sim noj cov tshuaj multivitamin uas tsis muaj hlau. Piv txwv, cov no yog cov multivitamins.

Iron-deficiency anemia, ntawm qhov tod tes, tuaj yeem ua rau kev tsis muaj kev tswj hwm ntawm gluttony. Nyob rau hauv cov xwm txheej zoo li mob ntshav qab zib, nws tsis tuaj yeem tswj hwm cov ntshav qab zib kom zoo. Yog tias tsim nyog, yooj yim digestible hlau npaj ua rau kev ua kom tsis muaj peev xwm ntawm cov khoom no hauv lub cev. Qhov teeb meem ntawm cov hlau tsis txaus yog qhov yooj yim dua los daws dua qhov teeb meem ntawm nws tshaj.

Kuaj ntshav qab zib

Ua tsaug rau lub sijhawm xa mus rau kev kuaj mob, nws muaj peev xwm heev tsis tsuas yog txwv qhov kev txhim kho ntshav qab zib, tab sis kuj tuaj yeem tiv thaiv kev mob nyhav thiab txawm tias thim rov qab lawv cov txheej txheem nce ntxiv. Cov kev sim ntsuas hauv qab no koj yuav tsum dhau, thiaj li tiv thaiv tau kev txhim kho txuas ntxiv ntawm tus kabmob.

Kev Yoo Nqaus Cov Phaj Siab

Qhov kev txheeb xyuas no tau nqa tawm sai li sai tau tom qab sawv thiab lub tswvyim ntawm "kev yoo mov" txhais tau tias tom qab koj cov pluas mov kawg, tsawg kawg 8 lossis 10 teev tau dhau mus.

Kev txiav txim siab ntawm cov ntshav qabzib 2 teev tom qab noj mov

Raws li txoj cai, qhov kev tsom xam no yog qhov tsim nyog nyob rau hauv kev tswj hwm lub cev kev sib txig ntawm cov zaub mov, nws txoj kev puas lawm.

Qhov ob txoj kev ntsuam xyuas no yog qhov niaj hnub thiab yuav tsum ua, tab sis ntxiv rau lawv, muaj lwm qhov kev tshawb fawb los ntawm qhov chaw kuaj.

Glycated (glycosylated,Hba1c) hemoglobin

Nyob rau hauv cov xwm txheej uas koj tsis tau txais insulin, qhov kev soj ntsuam no tau ua ob zaug ib xyoos. Cov neeg uas tau kho kab mob ntshav qab zib nrog kev txhaj tshuaj insulin yuav tsum kuaj 4 zaug nyob rau ib xyoo. Raws li cov kws paub, hom kev txheeb xyuas no yog qhov yooj yim tshaj plaws thiab yooj yim rau kev kuaj mob thawj zaug.

Tau ntau xyoo kuv tau kawm cov teeb meem ntawm DIABETES. 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. Lub sijhawm no, qhov kev ua tau zoo ntawm cov tshuaj no tau nce siab 100%.

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 tag nrho tus nqi ntawm cov tshuaj. Nyob rau hauv Russia thiab CIS lub teb chaws cov ntshav qab zib ua ntej Lub Xya Hli 6 tej zaum yuav tau txais tshuaj - Pub dawb!

Txhawm rau kev soj ntsuam, cov ntshav ntsuas ib txwm khiav los ntawm cov hlab ntsha, thiab koj yuav tsum nkag mus rau qhov ntsuas hauv koj phau ntawv sau cia.

Fructosamine

Qhov kev sim no zoo dua yog ua txhua 2-3 asthiv. Nws yuav tsum tau ua txhawm rau txhawm rau tswj kev ua haujlwm ntawm kev kho mob ntawm tus kabmob, kev txhim kho ntawm cov teeb meem. Qiv ntshav raug coj mus kuaj lub plab.

Ntawm 47, Kuv raug kuaj mob ntshav qab zib hom 2. Hauv ob peb lub lis piam Kuv nce yuav luag 15 kg. Lub cev tsis tu ncua, tsaug zog, zoo li tsis muaj zog, lub zeem muag tau pib los zaum.

Thaum kuv muaj 55 xyoo, Kuv twb ua nkaug kuv tus kheej nrog cov tshuaj insulin, txhua yam tsis zoo. Tus kab mob no tseem tsim muaj, ntu nriaj pib, tsheb thauj neeg mob cia rov kuv los ntawm lub ntiaj teb tom ntej. Txhua lub sijhawm kuv xav tias lub sijhawm no yuav yog zaum kawg.

Txhua yam hloov thaum kuv tus ntxhais cia kuv nyeem ib tsab xov xwm hauv Is Taws Nem. Koj tsis tuaj yeem xav tias kuv yuav ris nws txiaj npaum li cas. Kab lus no pab kuv daws cov ntshav qab zib kom tas, ib qho kab mob uas tsis tuaj yeem kho. 2 xyoos tas los kuv tau pib tsiv mus ntau dua, thaum caij nplooj ntoo hlav thiab lub caij ntuj sov kuv mus rau hauv lub tebchaws txhua hnub, cog txiv lws suav thiab muag tom khw. Kuv cov phauj xav tsis thoob thaum kuv khaws txhua yam, qhov twg ntau zog thiab lub zog los ntawm, lawv tseem tsis ntseeg tias kuv muaj 66 xyoos.

Leej twg xav nyob lub neej ntev, nquag thiab tsis nco qab txog tus kab mob txaus ntshai tas mus li, noj 5 feeb thiab nyeem kab lus no.

nce mus txog 14 xyoo yog 195.0 - 271.0 μmol / l,
txij li 14 xyoo yog 205.0 - 285.0 μmol / l.

Nrog kev txaus siab, ib qho kev them nyiaj ib txwm rau cov pluas mov carbohydrate hauv cov neeg mob ntshav qab zib mellitus, qib no tuaj yeem muaj li 286 txog 320 μmol / L, thiab nrog decompensation nws tuaj yeem siab dua 370 μmol / L.

Raws li txoj cai, nce qib ntawm fructosamine txhais tau hais tias cov teeb meem xws li lub raum tsis ua haujlwm, hypothyroidism, thiab IgA yuav loj hlob tuaj.

Qhov ua kom tsawg yog qhia txog hyperthyroidism, ntshav qab zib nephropathy, thiab hypoalbuminemia.

Ua kom tiav cov ntshav suav

Nqa cov kev soj ntsuam no pab txheeb xyuas qhov ntau ntawm cov ntshav sib txawv, qhia txog qhov tsis muaj lossis qee qhov kev koom nrog, uas qhia ncaj qha tias dab tsi tshwm sim thiab txhim kho hauv koj lub cev. Kev kuaj ntshav rau kev tsom xam yuav siv sijhawm 1 teev tom qab lub teeb thiab tsis qab zib noj tshais, rau cov uas muaj mob ntshav qab zib mellitus - rau ntawm lub plab khoob thiab tam sim ntawd tom qab lawv noj.

Kev kuaj ntshav yog npaj rau kev tsim kom muaj kev kuaj mob thiab ua kev soj ntsuam tas li ntawm chav ua haujlwm ntawm tus kabmob.

Cov yam ntxwv ntawm cov ntsuas hauv ib qho kev kuaj ntshav dav dav:

HemoglobinCov. Qhov ntsuas qis ntawm lub hauv paus no yuav yog thawj qhov cim ntawm qhov tshwm sim ntawm sab hauv los ntshav, kev txhim kho ntawm ntshav liab, thiab ua txhaum ntawm cov txheej txheem ntuj ntawm kev tsim cov ntshav. Txhawb kev hemoglobin ntau ntau hauv cov neeg mob ntshav qab zib mellitus yuav qhia tau ntau yam sib txawv. Piv txwv li, lub cev yog lub cev qhuav dej tsis txaus.
PlateletsCov. Txheeb xyuas ntawm kev txo qis ntawm lub cev liab qhia tias muaj teeb meem nrog cov ntshav hauv lub cev - nws muaj peev xwm los coagulate. Raws li txoj cai, cov ua rau cov kev nyuaj no tuaj yeem sib kis kab mob. Qee zaum qee qhov platelet yuav nce, uas yog qhov qhia ncaj qha ntawm kev txhim kho tuberculosis lossis tus mob o, lwm yam kab mob.
Cov qe ntshav dawbCov. Tshaj li cov kev cai ntawm cov ntsiab lus ntawm cov leukocytes tuaj yeem ua lub cim hais tias cov txheej txheem mob tshwm sim hauv lub cev lossis mob nqaij ntshiv muaj kev pheej hmoo. Qhov txo qis qis kuj tseem qhia txog teeb meem kev noj qab haus huv - kev mob tshwm sim los ntawm hluav taws xob, tom qab ib tus neeg mob tau xaim hluav taws xob, lossis lwm yam kab mob loj.
HematocritCov. Feem ntau, ntau tus neeg tsis meej pem rau qhov ntsuas no nrog cov lej ntawm cov qe ntshav liab, tab sis cov kws txawj txhais tau tias tus duab no sib piv ntawm cov ntshav thiab ntshav liab hauv cov ntshav. Ib qho nce ntawm hematocrit qhia tau hais tias erythrocytosis thiab lwm yam teeb meem kev noj qab haus huv. Ib qho txo qis hauv qib yog qhov cim ntawm kev mob ntshav, ntshav lub cev. Hauv lub caij cev xeeb tub lig, tseem pom qhov txo qis ntawm hematocrit.

Kev kuaj ntshav dav dav tau sau tseg tsis tu ncua, yog tias muaj kev pheej hmoo ntawm kev kis tus kab mob, tom qab ntawd nws raug nquahu kom kuaj xyuas nws ib xyoos ib zaug.

Qhia txog ntshav ntshav

Qhov kev soj ntsuam no tau pom zoo tsis yog rau cov neeg mob ntshav qab zib mellitus nkaus xwb - nws tuaj yeem siv los txheeb xyuas cov kab mob nyuaj tshaj plaws. Kev kuaj ntshav yog nqa tawm 8-10 teev tom qab noj mov zaum kawg thiab suav nrog ntau hom kev tshawb fawb hauv ib qib:

tag nrho cov protein
piam thaj
neeg tsim tswv
urea
tag nrho bilirubin,
roj
amylases
lipases
AST
ALT
creatine phosphokinose,
alkaline phosphatase.

Mob Lub Hlaus

Raws li txoj cai, txoj kev ntsuam xyuas tau muab ib zaug rau txhua rau lub hlis thiab pab txhawm rau txheeb xyuas ntau yam kev txawv txav (muaj peev xwm) lossis muaj teeb meem hauv lub xeev kev noj qab haus huv ntawm tus neeg mob ntshav qab zib los ntawm kev ua haujlwm ntawm lub raum.

Cov cuab yeej lub cev ntawm qhov zoo ntawm cov zis, nws cov xim, txo, pob tshab thiab acidity,
Tshuaj ntsuas lub cev
Lub ntiajteb txawj nqus tshwj xeeb qhia txog kev ua haujlwm ntawm lub raum thiab lawv lub peev xwm nquag mloog kua dej (zis),
Lub xeev cov protein, acetone, qab zib.

Raws li ib feem ntawm qhov urinalysis dav dav, txoj kev tshawb fawb kuj tseem ua rau kev noj cov microalbuminaria.

Microalbumin hauv cov zis

Kev ntsuam xyuas tau tsim los txheeb xyuas qhov pib thaum ntxov ntawm lub raum puas thiab ua haujlwm tsis zoo hauv ntshav qab zib mellitus.

Kev sib sau ntawm cov khoom siv rau kev tsom xam yog raws li nram no: thawj cov zis tsis tau noj thaum sawv ntxov, thiab txhua qhov txuas tom qab tau sau rau hauv lub thawv tshwj xeeb thaum nruab hnub thiab xa mus rau qhov chaw kuaj.

Hauv cov neeg muaj kev noj qab haus huv, albumin tsis raug tso tawm los ntawm lub raum los ntawm lub cev thiab yuav nyob rau hauv cov zis nyob rau hauv daim ntawv ntawm cov nyiaj. Thaum cov kev hloov tsis zoo hauv lub raum ua haujlwm pib tshwm sim mob ntshav qab zib mellitus, cov kab mob albumin hauv cov zis ntxiv.

Nrog rau qhov kev nce ntxiv hauv cov nkauj ntawm 3 mus rau 300 mg / hnub, nws yog qhov muaj peev xwm los hais txog kev mob ntshav qab zib mellitus, kev tsim nyog rau kev txhim kho ntshav qab zib nephropathy thiab pathology hauv lub xeev ntawm cov hlab plawv.

Kev kuaj ntshav rau cov roj (cholesterol)

Kev kuaj ntshav rau cov roj (cholesterol) muaj nyob rau hauv cov npe kev kuaj mob lipid metabolism. Cov no suav nrog:

tag nrho cov roj (cholesterol)
Cov roj (cholesterol) zoo - lipoproteins ntau ntom,
Cov roj (cholesterol) tsis zoo - lipoproteins uas tsis muaj ntau,
triglycerides.

Tsis txhob txwv koj tus kheej rau kev kuaj ntshav rau cov roj (cholesterol) tag nrho, tab sis nco ntsoov xyuas seb koj cov cim ntsuas roj "zoo" thiab "phem", thiab triglycerides zoo li cas. Cov kev ntsuam xyuas no muaj peev xwm rov coj tau 4-6 lub lis piam tom qab hloov mus rau qhov kev noj zaub mov kom tsawg hauv lub cev. Yog tias tsis muaj teeb meem nrog cov thyroid caj pas, ces cov txiaj ntsig tshiab yuav tsum muaj zoo dua li yav dhau los. Tshawb nrhiav seb cov triglycerides muaj dab tsi nyob hauv Proteins, Nqaij, thiab Carbohydrates kom noj qab nyob zoo rau cov ntshav qab zib.

Dab tsi yog qhov zoo thiab cov cholesterol

Tom qab nyeem peb tsab xov xwm, koj yuav paub tias cov roj (cholesterol) tau muab faib ua "zoo" thiab "phem". Cov roj (cholesterol) zoo - cov lipoproteins ntau ntom - tiv thaiv cov hlab ntshav. Ntawm qhov tsis sib xws, cov roj (cholesterol) phem yog suav tias yog qhov ua rau ntawm atherosclerosis thiab mob plawv txuas ntxiv. Qhov no txhais tau hais tias kev kuaj ntshav rau cov roj (cholesterol) tag nrho, tsis muab faib rau qhov "zoo" thiab "tsis zoo", tsis tso cai rau peb soj ntsuam qhov kev pheej hmoo ntawm cov hlab plawv.

Koj kuj yuav tsum paub tias feem ntau cov roj (cholesterol) uas mus rau hauv cov ntshav yog tsim hauv lub siab, thiab tsis tuaj ntawm cov zaub mov ncaj qha. Yog tias koj noj cov zaub mov muaj roj cholesterol, uas ib txwm suav tias yog kev pheej hmoo (rog rog, qe, butter), ces lub siab yuav tsim cov roj (cholesterol) tsawg dua. Thiab rov qab, yog tias koj noj zaub mov tsis zoo hauv cov cholesterol, lub siab ua haujlwm rau nws ntau dua, vim tias cov roj (cholesterol) yog qhov tsim nyog rau lub neej, nws ua cov haujlwm tseem ceeb hauv lub cev.

Theem ntxiv ntawm cov "roj" phem "- lipoproteins tsawg ntom - txhais tau tias muaj kev pheej hmoo siab ntawm atherosclerosis, mob plawv lossis mob stroke. Qhov teeb meem no feem ntau tshwm sim hauv cov neeg muaj rog lossis ntshav qab zib.Yog tias koj ua raws li cov zaub mov tsis muaj roj ntau, tom qab ntawd cov qeb "tsis zoo" cov roj (cholesterol) hauv cov ntshav feem ntau poob qis tom qab 6 lub lis piam.

Cov roj (cholesterol) zoo - cov lipoproteins ntau ntom ntom - tiv thaiv cov hlab ntshav sab hauv los ntawm kev puas tsuaj los ntawm atherosclerosis. Vim tias qhov no, cov roj ntshav xa mus rau lub plawv thiab lub hlwb tau tswj hwm. Cov zaub mov muaj roj (cholesterol) hauv cov roj ntau ntau yuav ua rau cov roj cholesterol zoo hauv cov ntshav. Sim noj cov khoom noj uas tsis muaj carbohydrate, kuaj ntshav ua ntej "thiab" tom qab "- thiab saib koj tus kheej. Thiab cov neeg tshaj tawm ntawm kev noj zaub mov muaj roj tsawg uas zoo rau lub plawv thiab cov hlab ntshav yog cov neeg nqus ntshav. Ntawm cov ntshav qab zib, kev noj zaub mov "noj" yog qhov txaus ntshai tshwj xeeb tshaj yog vim nws ua rau muaj ntshav qab zib thiab ntshav sai sai.

Qee tus neeg tsis muaj hmoo - lawv tau hloov caj ces kom muaj cov roj cholesterol "tsis txaus" hauv lawv cov ntshav. Hauv qhov no, kev noj zaub mov kom tsawg nrog kev noj zaub mov tshwj xeeb tsis pab. Tab sis muaj tsawg kawg nkaus li cov neeg mob, lawv tsis tshua pom muaj hauv kev kho mob. Raws li txoj cai, koj tsis tas yuav noj tshuaj kom txo cov roj (cholesterol). Yog tias koj tab tom noj qee cov tshuaj los ntawm chav kawm ntawm statins los txhim kho koj cov roj (cholesterol), tom qab ntawd hloov mus rau cov zaub mov uas tsis muaj carbohydrate koj tuaj yeem tsis lees noj cov tshuaj no thiab tsis yauv ua rau lawv muaj kev phiv ntxiv.

Atherogenic coefficient

Yuav kom ntsuas qhov kev pheej hmoo ntawm lub plawv, qhov piv ntawm "tsis zoo" thiab "roj" zoo hauv cov ntshav ntawm tus neeg mob yog suav. Qhov no hu ua atherogenic coefficient (CA). Nws yog xam los ntawm mis:

HDL yog cov lipoproteins ntau ntom, uas yog, "roj" zoo. Lub atherogenic coefficient feem ntau yuav tsum tsawg dua 3.

Koj tuaj yeem muaj cov roj (cholesterol) siab thiab nyob rau tib lub sijhawm muaj cov ntshav plawv tsawg. Qhov no feem ntau tshwm sim rau cov zaub mov tsis muaj carbohydrate, thaum cov roj "zoo" yog qhov siab thiab "tsis zoo" yog qhov tsis pub dhau, thiab atherogenic coefficient qis dua 2.5.
Cov roj (cholesterol) tsawg hauv lub cev tsis txhais tau hais tias yuav tsis muaj kev muaj kab mob plawv. Vim tias cov cholesterol "qis" tsawg, lub zog atherogenic yuav nce ntxiv.
Rov qab qhia dua tias ib nrab ntawm kev mob plawv tshwm sim hauv cov neeg uas muaj cov co atherogenic coefficient yog cov qub. Yog li, koj yuav tsum tau them sai sai rau lwm yam ntawm kev pheej hmoo mob plawv. Nyeem cov ntawv hauv qab no.

Yav dhau los, tsuas muaj cov roj "kom zoo" thiab "tsis zoo". Hauv lub sijhawm xyoo 1990, cov duab yooj yim ntawm lub ntiaj teb no tau dhau los ua kev nyuaj. Vim tias cov cholesterol "tsis zoo", cov kws tshawb fawb tau txheeb xyuas ib qho ntxiv "phem heev". Tam sim no koj tuaj yeem sim lwm txoj kev kuaj rau lipoprotein (a). Nws yog ib qho txiaj ntsig los txiav txim siab seb tus neeg mob yuav tsum noj cov tshuaj kom txo qis cov cholesterol hu ua statins.

Yog tias cov roj (cholesterol) tsis zoo, tab sis cov lipoprotein (a) yog qhov ib txwm, yog li cov tshuaj no tsis tuaj yeem kho. Cov tshuaj los ntawm chav kawm ntawm statins tsis pheej yig heev thiab muaj kev phiv tsis zoo. Yog tias koj tuaj yeem ua tau yam tsis muaj lawv, ces nws zoo dua yog tsis lees txais lawv. Kawm cov txheej txheem ntuj kom qeeb atherosclerosis, feem ntau yam tsis muaj statins. Lipoprotein (a) tau tham txog txhua yam hauv qab hauv tsab xov xwm.

Cov Roj (cholesterol) thiab Lub Plawv Ntshav Tsis Zoo: Tshawb pom

Feem coob ntawm cov neeg rau normalize cov roj (cholesterol) yog txaus noj haus kom tsawg cov zaub mov zoo, tsis muaj tshuaj los ntawm chav kawm ntawm statins. Nco ntsoov qhov tseem ceeb: cov rog kev noj haus tsis nce qib "tsis zoo", tab sis cov roj "kom zoo" hauv cov ntshav. Xav tias dawb noj qe, nqaij rog, butter thiab lwm yam goodies. Kuaj koj cov ntshav qab zib nrog ib glucometer ntau zaug nyob rau txhua hnub. Tshawb xyuas koj cov roj (cholesterol) tam sim no, thiab tom qab ntawv ntxiv tom qab 1.5 hli. Thiab paub tseeb tias yam khoom noj twg yuav pab tau koj.

Ntxiv nrog rau cov roj "zoo" thiab "tsis zoo", muaj lwm yam cuam tshuam los ntawm kev mob plawv:

C reactive protein
Fibrinogen
Lipoprotein (a),
Homocysteine.

Nws tau raug pov thawj tias lawv tuaj yeem twv tau qhov kev pheej hmoo ntawm lub plawv nres lossis mob stroke ntau dua qhov tseeb dua li kuaj ntshav rau cov roj (cholesterol). Ib nrab ntawm lub plawv nres tshwm sim rau cov neeg uas muaj roj cov ntshav roj hauv lub cev. Thaum tus mob ntshav qab zib tswj nws txoj kev noj ntshav qab zib nrog cov zaub mov muaj protein tsawg, cov txiaj ntsig ntawm txhua qhov kev kuaj ntshav rau cov kab mob plawv feem ntau txhim kho. Txawm li cas los xij, kev tiv thaiv kev ceev faj txog kev mob plawv thaum lub plawv tuaj yeem xav tau kev ntsuas ntxiv. Nyeem cov hauv qab no ntxiv.

Qhov kev sib txuam ntawm C-reactive protein thiab / lossis fibrinogen hauv cov ntshav nce ntxiv thaum cov txheej txheem mob tshwm sim, thiab lub cev tawm tsam nws. Txoj kev mob ntsws vwm sai yog qhov teeb meem uas ib txwm muaj thiab kev noj qab haus huv loj. Cov neeg mob ntshav qab zib yuav tsum paub dab tsi nws yog qhov tseem ceeb tshaj li lwm tus neeg. Ntev mus ntev ua rau mob ntsws yog qhov kev pheej hmoo ntawm lub plawv nres. Hauv hom 1 lossis hom 2 ntshav qab zib, nws tseem ua rau kev tsis haum xeeb ntawm cov ntaub so ntswg mus rau kev ua ntawm insulin. Yog li, tswj cov ntshav qab zib yuav nyuaj. Tshawb xyuas peb tsab xov xwm hais txog kev tiv thaiv lub plawv thiab mob stroke. Ua raws cov npe ntawm cov kev ntsuas uas pom zoo nyob rau ntawd.

C-nti protein

C-reactive protein yog ib qho ntawm cov ntshav ntawm cov ntshav protein ntawm cov pab pawg "theem" txaus. Lawv qhov kev xav hauv cov ntshav nce siab nrog o. C-reactive protein ua lub luag haujlwm tiv thaiv los ntawm kev khi cov kab mob polysaccharide Streptococcus pneumoniae. Siv hauv kev kuaj mob hauv kev kuaj mob ua ib qho ntawm qhov ntsuas kev mob. Yog tias tsis muaj tus kabmob pom tseeb, tom qab feem ntau ua rau kev nce qib ntawm C-reactive protein hauv cov ntshav yog caries hniav. Hauv ob qhov chaw yog mob raum mob, tom qab mob rheumatism. Kho koj cov hniav kom txo koj txoj kev pheej hmoo ntawm lub plawv!

Homocysteine

Homocysteine yog ib qho amino acid uas tsis muab los ntawm cov zaub mov, tab sis yog tsim los ntawm methionine. Kev nkag mus rau hauv lub cev, homocysteine pib tawm tsam sab hauv phab ntsa ntawm cov hlab ntsha. Nws tawg tau tsim, uas lub cev tau sim kho kom zoo, kua nplaum. Cov roj ntsha thiab cov calcium raug tso rau ntawm qhov chaw puas, ua rau lub plawv atherosclerotic plaque, vim tias qhov lumen ntawm lub nkoj nqaim, thiab qee zaum txawm tias txhaws. Qhov tshwm sim yog mob hlab ntsha tawg, myocardial infarction, pulmonary thromboembolism.

Nws ntseeg tau tias kev haus luam yeeb heev nce qhov siab ntawm homocysteine hauv cov ntshav. Tsis tas li, kev noj haus ntawm ntau khob kas fes ib hnub yog ib qho ua tau muaj txiaj ntsig zoo ua rau muaj kev nce qib hauv homocysteine. Cov tib neeg muaj homocysteine ntau ntxiv hauv cov ntshav muaj kev pheej hmoo ntawm Alzheimer tus kab mob thiab senile dementia. Nrog kev sib xyaw ntawm cov homocysteine thiab ntshav qab zib ntau ntxiv, cov teeb meem vascular ntau zaus tshwm sim - cov kab mob viav vias, nephropathy, retinopathy, thiab lwm yam.

Qib ntawm homocysteine hauv cov ntshav nce siab vim kev tsis muaj cov folic acid, ntxiv rau cov vitamins B6, B12 thiab B1. Dr. Bernstein ntseeg hais tias kev noj cov vitamin B12 thiab folic acid nyob rau hauv cov ntshav kom txo qis homocysteine yog qhov tsis muaj txiaj ntsig thiab txawm tias muaj neeg tuag coob. Txawm li cas los xij, ntau tus kws kho plawv Asmeskas tau txhawb nqa txoj kev ntsuas no. Koj tus tub qhe txo hwj chim, ib yam nkaus, Kuv noj cov vitamins B ntau hauv tshuaj loj (50 mg ntawm txhua tus vitamins B6, B12, B1 thiab lwm tus), 1-2 ntsiav tshuaj txhua hnub.

Fibrinogen thiab Lipoprotein (a)

Lipoprotein (a) - "roj" hnyav heev. Nws yog qhov muaj feem ua rau mob plawv thiab lwm yam kab mob plawv. Lub luag haujlwm ntawm lub cev tseem tsis tau tsim.

Yog tias nyob rau hauv cov ntshav muaj qib nce siab ntawm ib lossis ob peb ntawm cov yeeb tshuaj uas tau teev tseg saum toj saud, tom qab ntawv qhov no txhais tau hais tias txheej txheem mob txuas ntxiv. Lub cev yog tej zaum sib ntaus sib tua ib tug kab mob latent. Vim li cas qhov phem no? Vim tias nyob hauv cov xwm txheej no, cov hlab ntsha tau nrawm los ntawm sab hauv nrog atherosclerotic plaques. Tshwj xeeb yog qhov txaus ntshai yog qhov kev pheej hmoo ntawm cov ntshav txhaws thiab txhaws ntawm cov hlab ntshav. Raws li qhov tshwm sim, kev mob plawv lossis mob stroke tuaj yeem tshwm sim. Hauv cov ntshav qab zib, qhov mob ploj mus tseem ua rau muaj cov tshuaj insulin tsis zoo ntxiv thiab ua kom qhov xav tau insulin ntxiv. Nyeem "Kev o yog qhov zais ntawm insulin tsis kam."

Cov kev kuaj tsis zoo rau cov tshuaj fibrinogen los yog lipoprotein (a) rau cov ntshav qab zib kuj txhais tau tias yuav muaj kev pheej hmoo ntau dua los ua mob raum tsis ua haujlwm lossis teeb meem tsis pom kev. Kev pham, txawm hais tias cov ntshav muaj piam thaj ib txwm, ua rau mob latent o thiab thiaj li ua rau muaj cov C-reactive protein ntxiv. Kev ntsuam xyuas ntshav rau C-reactive protein, fibrinogen thiab lipoprotein (a) yog cov cim qhia tau zoo dua ntawm qhov kev pheej hmoo ntawm lub plawv lossis ntshav hlab ntsha tawg dua li cov roj (cholesterol). Thaum cov ntshav qab zib cov ntshav ua rau cov zaub mov tsis muaj piam thaj ntau, cov txiaj ntsig kev soj ntsuam ntshav rau tag nrho cov kev phom sij ntawm lub plawv feem ntau kuj tseem txhim kho.

Qib ntshav fibrinogen tuaj yeem nce ntxiv vim yog mob ntshav qab zib lub raum (nephropathy). Qhov xwm zoo yog tias thaum ntxov, kev mob ntshav qab zib tsis tuaj yeem tsuas yog tuaj yeem tiv thaiv tau, tab sis txawm thim rov qab. Muaj pov thawj qhia tias lub raum kev ua haujlwm yog maj mam zoo zuj zus ntxiv yog tias koj cov ntshav qab zib kom qis thiab nws nyob li qub txhua lub sijhawm. Yog li ntawd, cov ntsiab lus ntawm fibrinogen hauv cov ntshav kuj tseem yuav poob qis.

Thaum tus mob ntshav qab zib ua rau nws cov ntshav qab zib kom qis dua qub nrog kev noj haus uas tsis muaj carbohydrate, cov txiaj ntsig ntawm nws cov ntshav rau lipoprotein (a) feem ntau txhim kho. Txawm li cas los xij, tej zaum lawv yuav tsis txhim kho mus rau qhov ib txwm muaj yog tias koj raug kaw cov ntshav siab los ntshav. Rau cov poj niam, cov tshuaj estrogen tsawg tsawg tuaj yeem ua rau cov roj (cholesterol) phem puas tsuaj.

Kev tsis txaus cov thyroid cov tshuaj hormones yog qhov ua rau nce ntawm cov "cholesterol" phem, homocysteine, thiab lipoprotein (a) hauv cov ntshav. Qhov no muaj tseeb tshwj xeeb tshaj yog rau cov neeg mob ntshav qab zib, nyob rau hauv lub cev tiv thaiv kab mob feem ntau tawm tsam cov thyroid caj pas "rau lub tuam txhab" nrog rau tus txiav. Yuav ua li cas nyob rau hauv cov ntaub ntawv no tau piav qhia nyob rau hauv kom meej nyob rau hauv tsab xov xwm.

Kuaj ntshav raum

Ntawm cov ntshav qab zib, lub raum tau piam vim qhov tseeb tias cov piam thaj hauv ntshav tau nce mus ntau xyoo. Yog tias mob ntshav qab zib nephropathy (kuaj raum) thaum ntxov, ces koj tuaj yeem sim kho kom qeeb. Yog tias koj ua tiav tias cov piam thaj hauv ntshav tau rov qab zoo li qub, tom qab ntawd kev ua haujlwm ntawm ob lub raum tsawg kawg yog tsis zoo zuj zus, thiab tuaj yeem rov qab tau.

Tshawb nrhiav dab tsi cov theem ntawm raum puas yog nyob rau hauv kab lus "Kab mob hauv raum hauv ntshav qab zib". Hauv cov theem pib ntawm tus mob ntshav qab zib nephropathy, koj yuav tsum sim noj cov zaub mov uas tsis muaj rog kom thiaj li ua kom koj cov ntshav qab zib kom qis, nws yuav nyob qis qis, thiab yog li tiv thaiv koj lub raum. Ntawm theem tom qab ntawm lub raum puas tsuaj (pib los ntawm 3-A), kev noj zaub mov muaj zaub mov kom tsawg-tsawg yog txwv tsis pub, thiab tsawg tsawg tuaj yeem ua tau.

Kev tuag los ntawm lub raum tsis ua haujlwm yog qhov kev xaiv yooj yim tshaj plaws rau ntshav qab zib. Mus koom kev kho lim ntshav kuj tsis zoo siab. Yog li, yuav tsum tau kuaj xyuas koj cov raum ua ntshav qab zib kom tsis tu ncua. Yog tias kev kho mob tau pib kho raws sijhawm, tom qab ntawd tiv thaiv lub raum tsis ua haujlwm yog qhov tiag. Nyeem cov ntsiab lus nyob hauv qhov txuas “Kuaj thiab kuaj lub raum ua ntshav qab zib.”

Qee cov haujlwm tuaj yeem cuam tshuam cov txiaj ntsig ntawm kev tshuaj ntsuam uas sim ua haujlwm lub raum. Tsis pub dhau 48 teev ua ntej kev xeem, kev tawm dag zog, uas tsim kom muaj qhov hnyav ntawm lub cev qis dua, yuav tsum raug zam. Qhov no suav nrog kev caij tsheb kauj vab, maus taus, caij nees. Nws tsis xav kom kuaj nyob rau hnub thaum koj kub taub hau, ua poj niam, poj niam coj khaub ncaws, tso zis mob lossis tso zis mob rau lub raum. Nws yog ib qho tsim nyog yuav tsum tau laug ncua kev xa khoom mus kuaj kom txog rau thaum tus mob huam sai tau dhau mus.

Qhov zoo tshaj yuav insulin zoo (IGF-1)

Mob ntshav qab zib retinopathy yog qhov hnyav thiab tshwm sim ntau heev rau cov ntshav qab zib hauv qhov muag. Yuav txo qis ntshav qab zib kom nyob hauv ntshav qab zib yog ib qho zoo rau yuav luag txhua qhov mob. Tab sis qee lub sij hawm cov ntshav qabzib sai heev yuav ua rau muaj kev cuam tshuam txog tus mob ntshav qab zib tsawg dua. Xws li qhov kev tshem tawm tsis zoo los ntawm ntau qhov kev mob ntshav hauv qhov retina thiab tuaj yeem ua rau dig muag. Nws feem ntau yog ua ntej los ntawm kev nce ntxiv ntawm qhov kev nce ntawm insulin zoo li qhov kev loj hlob (IGF-1) hauv ntshav dej.

Kev soj ntsuam ntawm qhov kev loj hlob zoo li insulin yuav tsum tau muab rau cov neeg mob uas tau kuaj pom tias muaj kabmob ntshav qab zib. Qhov kev soj ntsuam no yuav tsum tau nqa tawm tsis tu ncua, txhua 2-3 lub hlis. Yog tias qib ntawm IGF-1 nce los ntawm lub sijhawm dhau los, tom qab ntawd nws yog qhov yuav tsum tau ua kom qeeb tus nqi ntawm cov piam thaj hauv ntshav kom tsis txhob muaj kev hem thawj ntawm qhov tsis pom kev.

Txoj kev ntsuas ntshav qab zib tseem ceeb tshaj plaws yog dabtsi?

Txhua qhov kev ntsuas tau teev nyob hauv tsab xov xwm no yog qhov tseem ceeb vim tias nws tso cai rau koj kom nkag siab zoo dua qhov xwm txheej ntawm tus neeg mob ntshav qab zib tshwj xeeb. Ntawm qhov tod tes, tsis muaj ib qho ntawm cov kev ntsuam xyuas no cuam tshuam txog kev tswj ntshav qab zib hauv ntshav. Yog li no, yog tias nyiaj txiag lossis lwm qhov laj thawj tsis tso cai tshuaj ntsuam, koj tuaj yeem nyob nrog lawv. Qhov loj tshaj plaws yog yuav ib qho tseeb glucometer thiab ua tib zoo saib xyuas koj cov ntshav qab zib nrog nws. Txuag dab tsi rau, tab sis tsis yog ntawm kab ntawv ntsuas rau lub ntsuas!

Ua raws li hom 2 mob ntshav qab zib hom lossis hom kabmob ntshav qab zib hom 1. Yog tias koj tuaj yeem txo koj cov ntshav qab zib kom nyob li qub thiab ua kom nws nyob qis, tom qab ntawd txhua lwm yam teeb meem ntshav qab zib yuav maj mam daws teeb meem ntawm lawv tus kheej. Tab sis yog tias koj tsis noj cov ntshav qab zib kom tswj, tom qab ntawd tsis muaj kev ntsuam xyuas yuav cawm tau tus mob ntshav qab zib los ntawm teeb meem nrog ceg, ob lub raum, qhov muag, thiab lwm yam. rau cov zaub mov tsis muaj carbohydrate tsawg. Tag nrho cov no yuav tsum yog koj cov nqi siv pib. Thiab tus nqi ntawm kev xeem ntawv yog li cas nws mus.

Yog tias ua tau, tom qab ntawd ua ntej txhua yam koj yuav tsum tau kuaj ntshav rau glycated hemoglobin. Tus mob ntshav qab zib feem ntau muaj teeb meem nrog kev saib xyuas tus kheej ntawm cov ntshav qab zib, uas tsuas yog qhov kev ntsuas no tuaj yeem kuaj pom. Piv txwv, lub ntsuas 'meter' yuav tsis raug - qhia qhov ntsuas qhov ua tau qis dua. Yuav tshuaj xyuas koj lub ntsuas dej li cas kom raug. Los yog tus neeg mob, paub txog tias tsis ntev nws yuav muaj kev mus ntsib kws kho mob, ob peb hnub ua ntej uas pib noj zaub mov ib txwm, tsis suav nrog cov zaub mov muaj protein ntau los ntawm kev noj haus. Qhov tshwj xeeb tshaj yog, cov neeg mob ntshav qab zib "ua txhaum" qhov no. Hauv cov xwm txheej zoo li no, tsuas yog kev tsom xam rau glycated hemoglobin yuav cia koj pom qhov tseeb. Koj yuav tsum tau noj nws txhua 3 lub hlis, tsis hais txog yam mob ntshav qab zib koj yog thiab koj txoj kev tswj hwm nws zoo npaum li cas.

Qhov kev sim ntshav ntxiv tom ntej no yog rau C-reactive protein. Tus nqi ntawm qhov kev tsom xam no pheej yig heev, thiab tib lub sijhawm nws nthuav tawm ntau yam teeb meem zais. Cov kab mob ua haujlwm qeeb yog qhov ua rau lub siab tuaj, tab sis qee ntawm peb cov kws kho mob tseem paub txog qhov no. Yog tias koj cov C-reactive protein kom siab ntxiv, ntsuas kev ua kom tsis txhob muaj qhov o thiab yog li tiv thaiv koj tus kheej los ntawm kev mob plawv. Ua li no, ua tib zoo kho mob rheumatism, pyelonephritis, mob ntsws ntev. Txawm hais tias feem ntau qhov ua rau yog kev kho hniav. Kho koj cov hniav thiab txo koj txoj kev pheej hmoo ntawm lub plawv nres. Kev kuaj ntshav rau C-reactive protein tseem ceeb tshaj qhov kev ntsuas kab mob ntshav siab!

Tib lub sijhawm, kev kuaj ntshav rau lwm yam ntawm cov kev pheej hmoo ntawm cov hlab plawv yuav kim heev. Qhov no muaj tseeb tshwj xeeb rau kev ntsuam xyuas rau homocysteine thiab lipoprotein (a). Ua ntej koj yuav tsum tau siv nyiaj los ntawm kev sim, thiab tom qab ntawd ntawm cov tshuaj pabcuam kom txo qis cov ntsuas no rau kev coj ua. Yog tias tsis muaj nyiaj ntxiv, ces koj tuaj yeem tam sim ntawd pib noj B vitamins thiab roj ntses rau kev tiv thaiv.

Nws raug nquahu kom kuaj ntshav rau cov roj (cholesterol) thiab lwm yam kev phom sij txog lub plawv ua ntej yuav pib kho cov ntshav qab zib nrog cov zaub mov tsis muaj rog thiab lwm yam kev ua uas peb pom zoo.Tom qab ntawv xyuas koj cov ntshav lipids dua (triglycerides, "zoo" thiab "phem" cov roj) tom qab 1.5 lub hlis. Txog sijhawm no, koj cov piam thaj hauv ntshav yuav tsum zoo li qub, thiab cov txiaj ntsig kev kuaj yuav ntxiv tias koj nyob rau qhov yog. Yog tias koj ua tib zoo ua raws li kev noj zaub mov noj, tab sis lub sijhawm no cov roj (cholesterol) tsis zoo dua, kuaj ntshav rau cov thyroid hormones.

Yog tias qhov qes qis ntawm cov tshuaj hormones triiodothyronine (T3 pub dawb) thiab thyroxine (T4 pub dawb) pom, ces teem sijhawm nrog tus endocrinologist rau kev sab laj. Koj xav tau nws cov lus qhia txog yuav ua li cas kho cov thyroid caj pas, tab sis tsis yog qhov yuav ua li cas kom ua raws "kev noj zaub mov kom sib luag" rau cov ntshav qab zib! Tus kws kho mob endocrinologist yuav muab tshuaj kom ua zoo, zoo li nws hais. Tom qab normalizing qib ntawm cov thyroid hormones hauv cov ntshav, tom qab 4 lub hlis, koj yuav tsum rov kuaj ntshav dua roj thiab lwm yam kev phom sij. Qhov no yuav qhia txog seb kev kho cov thyroid cuam tshuam lawv li cas. Ntxiv mus, cov kev ntsuam xyuas no raug pom zoo kom coj ib zaug ib nrab xyoo ib zaug. Tab sis yog tias tsis muaj nyiaj txaus, ces nws yog qhov zoo dua kom txuag tau ntawm kev sim tshuaj dua li ntawm cov ntawv xeem rau cov iav nplaum.

Kev kuaj mob thiab mus ntsib kws kho mob

Yuav lub tshuab ntsuas ntsuas thiab ntsuas koj cov ntshav siab (yuav ua li cas thiaj ua tau), tsawg kawg 1 zaug hauv ib lub lis piam, tib lub sijhawm. Muaj nplai tseeb hauv tsev thiab ntsuas koj tus kheej, tab sis tsis ntau ntau tshaj ib zaug ib lub lim tiam. Tib lub sijhawm, nco ntsoov tias kev hloov pauv ntawm qhov hnyav tsis pub dhau 2 kg yog qhov qub, tshwj xeeb tshaj yog rau cov poj niam. Kuaj koj lub zeem muag nrog tus kws kho qhov muag (dab tsi koj yuav tsum tau kuaj) - tsawg kawg 1 zaug hauv ib xyoos.

Txhua txhua hnub, ua tib zoo tshuaj koj txhais taw, nyeem “Kev saib xyuas tus mob ntshav qab zib: cov lus qhia ntxaws.” Ntawm thawj lub cim ntawm teeb meem - tam sim ntawd sab laj tus kws kho mob uas "coj koj". Lossis zwm npe tam sim nrog tus kws kho pob kws, tus no yog tus kws khomob tshwj xeeb txog kev kho mob ko taw. Yog tias mob ntshav qab zib tau ploj, lub sij hawm nrog ceg teeb meem yuav ua rau txiav tes taw lossis mob caj dab tuag.