Mob ntshav qab zib mellitus hauv cov menyuam yaus > Mob ntshav qab zib hauv cov menyuam yaus thiab cov hluas

Tej zaum, tsis muaj ib qho kev paub zoo thiab tau kawm ntau yam ntawm cov kab mob endocrine mob hauv ntiaj teb uas tseem tsis tau paub txog kev kho mob ntshav qab zib - ntshav qab zib, ib kab lus rau qee yam thiab lub neej tshiab cov lus qhia rau lwm tus. Hauv cov menyuam yaus nyob rau tiam tam sim no, mob ntshav qab zib tau kuaj pom ntau dhau los (feem ntau thib ob ntawm cov kab mob mus ntev) thiab nws tseem ceeb tsis yog tsim kho lub neej ntawm koj tsev neeg tsawg tsawg xwb, tabsis tseem yuav hloov koj tus kheej lub neej, kev coj noj coj ua thiab kev noj haus. Hauv tsab xov xwm no koj yuav kawm tag nrho txog kev mob ntshav qab zib thaum yau, koj yuav kawm paub tswj hwm nws thiab tsim cov kev mob zoo rau lub neej zoo rau koj tus menyuam, suav nrog qhov teeb meem kev kho mob uas twb muaj lawm.

Ntshav Qab Zib Hom 1 ntawm cov menyuam yaus

Feem ntau hom ntshav qab zib ntawm cov menyuam yaus, uas tseem hu ua ntshav qab zib rau menyuam yaus. Nws yog ib qho kab mob autoimmune loj heev thiab yog tus cwj pwm los ntawm cov tsis txaus insulin lawm. Nws yog yug los thiab tau, nws loj hlob thaum lub hnub nyoog twg los, feem ntau ntawm cov neeg mob, ntxiv rau kev noj zaubmov thiab cov txheej txheem kev kho mob, nws yuav tsum tau txhaj tshuaj insulin tas li.

Nyob rau xyoo tsis ntev los no, kev txwv qis dua ntawm lub hnub nyoog ntawm kev txheeb xyuas tus mob ntshav qab zib hom 1 tau sai zuj zus tuaj - yog tias ua ntej pom tus kab mob no nyob hauv cov menyuam yaus hnub nyoog 7-8 xyoo, tam sim no cais cov neeg mob ntshav qab zib mellitus ntawm thawj hom tau sau tseg hauv 30 thiab 40 xyoo.

Cov Ua Ntshav Qab Zib 1 Ntshav Qab Zib rau Cov Menyuam

Cov hauv paus ua kom muaj tus mob ntshav qab zib hom 1 hauv cov menyuam yaus ua rau muaj kev puas tsuaj rau cov islets ntawm Langerfeld nyob rau hauv tus Tsov tus tw ntawm qhov txiav. Kev puas tsuaj rau tus kab mob paj hlwb tuaj yeem tshwm sim vim ntau yam, piv txwv li, kev nqis tes ua ntawm lub voos kis. Tab sis feem ntau, tus kab mob no tawm tsam tom qab ntawm kev txhoj puab ntawm nws lub cev tiv thaiv kab mob. Hauv qhov no, insulin-tsim cov hlwb ntawm tus txiav ua tiav los ntawm cov kab mob ntawm cov qog lymphoid, uas nyob rau hauv lub xeev ib txwm tua tsuas yog cov neeg sawv cev txawv teb chaws. Tus txheej txheem no hu ua "autoimmune", thiab hais txog cov txheej txheem los ntawm cov tshuaj tiv thaiv uas tsim tawm tsam cov kab mob hauv koj lub cev.

Kab mob autoimmune raws li ua rau hom ntshav qab zib hom 1

Muaj ntau cov kabmob autoimmune, xws li cov thyroid thiab cov qog adrenal, uas ntau dua rau cov neeg mob ntshav qab zib hom 1. Qhov no qhia tau ib qhov mob muaj keeb rau cov kab mob autoimmune thiab cov kab ke hauv lub cev tsis muaj zog, uas tuaj yeem raug cuam tshuam los ntawm lwm yam ib puag ncig.

Tus txheej txheem chiv mob ntawm tus kab mob tsis paub meej, tab sis cov kws tshawb fawb hais tias kev cog lus kis kab mob lossis haus mis nyuj yuav ua rau muaj tus txheej txheem autoimmune. Thiab nws, nyeg, yuav ua rau kev loj hlob ntawm hom 1 mob ntshav qab zib hauv menyuam yaus.

Cov tsos mob ntawm tus mob ntshav qab zib hom 1 hauv cov menyuam yaus zoo li cas?

Cov tsos mob ntawm tus mob ntshav qab zib hom 1 hauv cov menyuam yaus feem ntau yog tus mob. Qhov no tuaj yeem hais tawm sai sai ntawm kev qaug zog thiab kiv taub hau tiv thaiv keeb kwm ntawm lub xeev tshaib plab lossis tom qab noj mov. Cov piam thaj yog ib qho ntawm cov roj siv hluav taws xob uas siv los ntawm lub cev lub cev rau nws lub zog xav tau. Lub paj hlwb thiab lub paj hlwb tsuas siv cov piam thaj, thaum feem ntau lwm lub hlwb tseem tuaj yeem hloov cov rog thiab lwm yam khoom noj ua lub zog. Cov kua nplaum tawm los ntawm cov khoom xyaw carbohydrate ntawm cov zaub mov ua rau lub zog tsim cov tshuaj insulin, uas ua rau cov receptors ntawm cell daim nyias nyias thiab ua rau cov nkag mus ntawm cov kua nplaum mus rau hauv lub cell. Yog tias qhov no tsis tshwm sim, cov txheej txheem hauv metabolic thiab lub zog ntawm tes tau cuam tshuam.

Cov ntshav qab zib cov ntshav yuav nce siab, thiab cov piam thaj pib tau kuaj pom hauv cov ntshav thiab zis ntau. Raws li kev siv kua nplaum ua rau tsis muaj txiaj ntsig, ib tus neeg muaj ntshav qab zib hom 1 yuav ua rau cov tsos mob hauv qab no:

nce nqhis dej
nkees
nquag tso zis thaum nruab hnub thiab hmo ntuj (hmo ntuj),
poob phaus (txawm hais tias feem ntau qab los noj mov nce ntxiv)
khaus khaus, tshwj xeeb tshaj yog nyob rau ntawm qhov chaw mos, tshwm sim los ntawm kev txhim kho ntawm cov kab mob fungal,
lwm yam kab mob ntawm daim tawv nqaij (ua paug thiab mob ua paug rau hauv plab).

Yog koj ib txwm muaj cov tsos mob ntawm tus mob ntshav qab zib hom 1 no, koj yuav tsum mus ntsib koj tus kws kho mob hauv ib cheeb tsam thiab mus kuaj.

Tsev neeg kis tus mob ntxiv muaj feem ntau yuav kis tus mob, tab sis hom ntshav qab zib hom 1 tsawg dua hom ntshav qab zib hom 2 tsawg.

Kev kho mob ntshav qab zib hom 1 rau menyuam yaus

Kev kho mob ntshav qab zib hom 1 hauv cov menyuam yaus yuav luag txhua zaus muaj feem cuam los ntawm kev txhaj tshuaj ntawm tib neeg cov tshuaj insulin. Tsis tas li, kho kev ntsuas yuav tsum tau npaj rau kev ua haujlwm ntawm cov metabolism hauv lub cev thiab ntxiv dag zog rau kev tiv thaiv kev tiv thaiv ntawm tus menyuam.

Feem ntau, kev kho mob ntshav qab zib hom 1 hauv menyuam yaus tuaj yeem hais nyob hauv cov lus hauv qab no:

Cov tshuaj insulin tsis tu ncua. Lawv ua tiav txhua hnub los yog ntau zaus hauv ib hnub, nyob ntawm seb hom siv tshuaj insulin.
Tswj kev ua lub neej nquag (tshem tawm lub cev tsis ua haujlwm).
Tswj lub cev hnyav.
Kev ua raws li cov khoom noj tshwj xeeb muaj cov khoom noj kom txo qis muaj pes tsawg carbohydrates.
Lub hom phiaj ntawm kev kho tshuaj insulin yog kom tswj cov piam thaj hauv cov ntshav hauv lub cev thiab qhov ua kom lub zog ntawm tes muaj zog tas mus li.

Kev kho mob ntshav qab zib hom 1 hauv cov menyuam yaus raug xaiv los ntawm tus kws kho mob tsim nyog los ntawm endocrinologist thiab nyob ntawm theem ntawm qib ntawm cov tsos mob thiab theem ntawm tus kab mob.

Kev tiv thaiv tus mob ntshav qab zib hom 1 rau menyuam yaus

Kev tiv thaiv tus mob ntshav qab zib hom 1 hauv menyuam yaus suav nrog kev ntsuas los tiv thaiv qhov tshwm sim ntawm yam tsis zoo uas tuaj yeem cuam tshuam kev loj hlob ntawm tus kab mob no.

1. Saib rau txhua yam cim uas qhia tias ntshav qabzib siab lossis qis.

2. Yog tias koj muaj mob, ntsuas koj cov ntshav qabzib tas li niaj hnub siv cov ntsuas ntsuas ntshav qabzib thiab kho koj cov ntshav qabzib ntau nrog cov tshuaj insulin.

3. Ua raws li koj cov zaub mov noj kom zoo li ua tau.

4. Yuav tsum muaj piam thaj lossis piam thaj nrog koj txhawm rau kho cov ntshav qog ntshav qab zib (ntshav qab zib tsawg). Glucagon txhaj tshuaj (GlucaGen) kuj yuav tsim nyog rau mob qog ntshav qab zib siab heev.

5. Mus ntsib koj tus kws kho mob tsis tu ncua los soj ntsuam koj cov ntshav qabzib, ua qhov muag, raum, thiab kuaj ceg thiab saib xyuas cov tsos mob ntawm cov ntshav qab zib ua ntej.

6. Ntsib koj tus kws kho mob thaum ntxov ntawm kab mob los tiv thaiv decompensation ntawm tus txheej txheem pathological.

7. Khaws ib “phau ntawv qhia txog ntshav qab zib” thiab sau koj tus kheej glycemic ntsuas.

Etiology thiab pathogenesis ntawm ntshav qab zib hom 1 hauv cov menyuam yaus

Cov kev etiology thiab pathogenesis ntawm hom ntshav qab zib hom 1 qhia tias kev ua txhaum ntawm cov hauv paus ntsiab lus ntawm kev ua neej zoo yog lub luag haujlwm tseem ceeb hauv kev txhim kho cov tsos mob ntawm tus kab mob. Lub luag haujlwm tseem ceeb hauv pathogenesis ntawm ntshav qab zib hom 1 yog ua si los ntawm kev ua neej muaj sedentary thiab ua txhaum kev noj haus. Kev siv cov khoom noj muaj roj carbon ntau thiab rog ua rau muaj txiaj ntsig zoo rau kev txhim kho kabmob. Yog li, txhawm rau tiv thaiv kab mob ntshav qab zib hom 1, nws yog qhov tseem ceeb uas koj ua raws cov qauv ntawm kev ua neej noj qab haus huv.

Kev tawm dag zog lub cev yuav pab txo kev pheej hmoo ntawm kev tsim thiab vam meej ntshav qab zib, mob atherosclerosis thiab kab mob plawv, ntxiv rau kev noj qab haus huv txhua yam.

Nws yuav tsim nyog los kho lub koob tshuaj insulin thaum ua haujlwm lub cev, nyob ntawm qhov ntau ntawm kev ua haujlwm ntawm lub cev. Insulin ntau dhau thiab qoj ib ce tuaj yeem txo cov ntshav qab zib thiab ua rau cov ntshav qab zib tsawg.

Noj zaub mov zoo noj cov nplua nuj nyob hauv fiber ntau, muaj kev sib luag zoo rau hauv carbohydrates, cov rog thiab cov protein. Tshem tawm qhov kev ua kom tsawg ntawm cov carbohydrates qhov tsawg phaus carbohydrates (qab zib) thiab txo qhov kev nqus ntawm cov carbohydrates hauv txoj ntsiab cai.

Sim noj zaub mov zoo li qub txhua hnub. Koj yuav tsum muaj peb pluas noj thiab ob rau peb zaug khoom noj txom ncauj txhua hnub.

Txog kev noj zaub mov zoo, sab laj nrog tus kws paub txog kev noj zaub mov zoo lossis kws ua haujlwm endocrinologist.

Tam sim no, nws tsis yooj yim sua kom tiv thaiv qhov pib ntawm tus kab mob. Tab sis cov kws tshawb fawb yeej kawm txog tus kab mob no tas mus li thiab ua kom zoo ntxiv rau kev kho thiab mob.

Muaj teeb meem rau cov ntshav qab zib hom 1 hauv cov menyuam yaus

Feem ntau, hom 1 mob ntshav qab zib mellitus muab teeb meem rau lub sijhawm luv luv tsuas yog tsis muaj kev kho kom txaus. Yog tias koj tsis ua raws li tus kws kho mob cov lus qhia, cov kev mob tshwm sim hauv qab no yuav tshwm sim:

1. Cov piam thaj hauv ntshav tsawg uas tshwm sim nrog kev siv tshuaj ntau dhau ntawm insulin, kev ncua sijhawm ntev ntawm kev noj mov, kev tawm dag zog, hyperthermia, ua rau tsis nco qab.

2. Kev hloov tshuaj insulin tsis txaus nrog kev hloov pauv pharmacological ua rau cov ntshav qab zib ntau ntau thiab tuaj yeem ua rau ketoacidosis.

3. Atherosclerosis hnyav dua nyob rau hauv cov ntshav qab zib mellitus thiab tuaj yeem ua rau cov ntshav tsis txaus hauv cov ceg (mob ntshav taw), kev txhim kho cov hlab ntsha hauv plawv thiab mob plawv (angina pectoris thiab myocardial infarction).

4. Mob raum puas (mob ntshav qab zib nephropathy).

5. Mob ntshav qab zib retinopathy (mob ntshav qab zib qhov muag).

6. Mob ntshav qab zib neuropathy (hlab ntsha tsis zoo) thiab mob ntsws angiopathy, uas ua rau mob rau sab hauv thiab mob sib kis.

7. Muaj kev pheej hmoo kis tau yooj yim rau cov kis kab mob.

8. Ketoacidotic, hyperosmolar, lactacidemic thiab hypoglycemic coma nyob rau hauv qib siab mob hnyav ntawm tus kab mob.

Kev noj haus rau hom ntshav qab zib hom 1 - lub hauv paus ntawm kev kho mob

Tsis muaj ib yam tshuaj kho tau rau tus mob ntshav qab zib hom 1. Kev noj haus rau hom ntshav qab zib hom 1 yog lub hauv paus rau txhua txoj kev kho mob tom qab. Tsuas yog nrog kev kho kom nruj ntawm kev noj haus muaj peev xwm ua kom txoj kev rov qab ruaj khov thiab lub neej zoo ntawm tus neeg mob ua tiav.

Tab sis nrog txoj kev kho mob kom yog, txoj kev pheej hmoo ntawm kev tsim cov mob ntshav qab zib sai tau txo qis. Qhov no txiav txim qhov yuav tsum tau soj ntsuam tas li thiab tswj xyuas cov ntshav qab zib kom nyob li qub.

Cov neeg mob ntshav qab zib uas tau mob ntshav tawm tsam tuaj yeem txo txoj kev pheej hmoo ntawm cov teeb meem nrog kev siv cov tshuaj tiv thaiv ntshav kom tsis txhob muaj ntshav siab.

Mob ntshav qab zib ua rau cov hlab ntsha sclerosis, thiab qhov kev pheej hmoo no yuav nce ntxiv yog tias tus neeg mob haus luam yeeb. Txhawm rau kom txo cov kev pheej hmoo ntawm cov teeb meem, koj yuav tsum yog los ntawm tus cwj pwm phem.

Ntshav qab zib Hom 2 rau menyuam yaus

Tus mob ntshav qab zib hom 2 hauv cov menyuam yaus, feem ntau txhais tau tias tsis yog lub cev ua kom muaj mob, tab sis yog kab mob metabolic ntawm tus mob ntev. Nws yog tus yam ntxwv los ntawm cov txheeb ze insulin tsis txaus - qhov tseeb, kev xav ntawm cov tshuaj yog qhov ib txwm los yog txawm tias nce, tab sis nws cuam tshuam nrog cov nqaij mos tau cuam tshuam. Txwv tsis pub, cov kab mob no pathological ntawm cov metabolism hauv metabolism tsis txaus yog hu ua insulin tsis kam.

Rov qab rau lub xyoo pua 20th, cov kws kho mob ntseeg tias hom ntshav qab zib 2 tsuas yog tshwm sim rau cov neeg laus lossis hnub nyoog nruab nrab, vim nws tau cuam tshuam ncaj qha rau cov txheej txheem ua rau cov metabolism thiab rog rog qeeb. Txawm li cas los xij, raws li kev kho mob niaj hnub qhia, qis dua hnub nyoog qis dua qis dua nrog txhua kaum xyoo thiab tam sim no tus mob ntshav qab zib hom 2 tau raug kuaj txawm tias cov menyuam muaj hnub nyoog 8-10 xyoo, feem ntau ntsib kev hnyav dhau thiab tsis noj zaub mov tsis txaus.

Hauv kev nkag siab zoo li qub, hom ntshav qab zib hom 2 yog insulin-ywj siab thiab tsis xav tau kev txhaj tshuaj ntawm cov tshuaj no, tab sis dhau sijhawm thiab thaum tsis muaj kev kho kom tsim nyog, hom 2 mob ntshav qab zib mellitus kis mus rau hauv thawj (beta hlwb, depleted los ntawm kev ua haujlwm tas mus li, nres tsim cov tshuaj insulin hauv qhov ntau txaus) Cov.

Ua rau muaj ntshav qab zib hauv menyuam yaus

Txhua yam xwm txheej, suav nrog cov kab mob, muaj qhov ua kom muaj txiaj ntsig thiab muaj txiaj ntsig - qhov no yog axiom. Txawm li cas los xij, ntshav qab zib yog qhov nyuaj ntxiv. Txawm hais tias cov kws kho mob tau paub ntev txog cov kab mob endocrine no, qhov tseeb ua rau muaj kev cuam tshuam cov txheej txheem tsis zoo ntawm cov khoom noj khoom haus ntawm cov khoom noj carbohydrate tsis tau hais meej.

Ntshav qab zib Hom 1 uas yog daim pib ua mob ntshav qab zib muaj tseeb rau cov ntshav qab zib mellitus yog qhia hauv kev rhuav tshem cov qe ntshav. Cov kws tshawb fawb tau kawm txog cov txheej txheem ntawm kev rhuav tshem - cov qauv xovtooj ntawm tes, uas yog lub zog thauj mus rau hauv cov leeg hlwb, vim qhov ua rau lub hlwb tsis paub tseeb nkag mus rau cov ntshav-hlwb teeb meem thiab nkag mus rau cov hlab ntshav tseem ceeb. Lub cev tiv thaiv kab mob, yav dhau los tsis paub nrog cov khoom siv (qhov tau hais tseg nyob rau hauv lub xeev ib txwm tsis tso cai rau lub hlwb ntawm lub hlwb xa mus rau lwm tus lub cev), pib tawm tsam cov protein los ntawm cais cov tshuaj tiv thaiv rau lawv. Nyeg, beta hlwb los ntawm kev tsim tawm cov insulin muaj cov cim zoo xws li lub hlwb hlwb tau piav qhia saum toj no thiab tseem raug rhuav tshem los ntawm kev tiv thaiv kab mob, ib feem lossis tag nrho kev txiav tawm ntawm tus txiav txim siab ntawm lub peev xwm los tsim cov tshuaj hormones ntau-qhov xav tau.

Raws li kev txheeb cais niaj hnub, qhov pheej hmoo txaus ntshai rau txoj kev pib no yog txoj kev muaj keeb thiab hloov chaw ntawm cov sib luag tiv thaiv / hom muaj peev xwm los ntawm niam txiv muaj mob rau tus menyuam uas muaj feem ntau yuav ua rau tus mob ntshav qab zib nyob rau tom kawg li ntawm 10 feem pua. Ib qho ntxiv, "ntxiv rau" rau kev tsim teeb meem tuaj yeem yog kev ntxhov siab, tus kab mob (tshwj xeeb rubella thiab Koksaki hom), nrog rau lwm yam sab nraud - noj ntau ntawm cov tshuaj thiab tshuaj (streptozocin, nas lom, thiab lwm yam), nyob hauv qee yam pejxeem ntu (ntshav qab zib tsis muaj sib faib nyob rau ntau lub tebchaws thiab nws kis ntawm thaj chaw sib ze nyob sib txawv tau li 5-10 zaug).

Tus mob ntshav qab zib hom 2 no, yog qhov teeb meem ntawm kev zom zaub mov, qhov tias "tus neeg ua txhaum" ntawm cov khoom noj khoom haus metabolism tsis yog cov tshuaj insulin tsis txaus (qhov kawg raug tsim tawm los yog tshaj dua nws), tab sis qhov tsis txaus los ntawm nws cov ntaub so ntswg. Hauv qhov no, ntshav qab zib mellitus hloov zuj zus qeeb, kuj yog vim muaj ob qho tib si caj ces thiab qhov tseem ceeb hauv lub cev, qhov tseem ceeb tshaj plaws yog rog dhau thiab hnub nyoog muaj feem cuam tshuam ntawm cov kab mob tseem muaj sia. Txawm tias 30 xyoo dhau los nws tau ntseeg tias tsis muaj insulin-ywj siab cov ntshav qab zib hauv cov menyuam yaus (feem, ntshav hom ntshav qab zib 1 tau tsim los sai sai thaum tab tom kuaj mob), tab sis nyob rau xyoo tsis ntev los no, cov kws kho mob tau nce siab txog nws rau cov neeg rog rog thiab cov menyuam rog rog hnub nyoog 8 txog 12 xyoo laus.

Cov cim ntawm ntshav qab zib hauv cov menyuam yaus

Ib qho ntawm cov teeb meem tseem ceeb ntawm kev txiav txim siab txog ntshav qab zib hauv lub sijhawm menyuam yaus ua ntej pib muaj ntau yam kev cuam tshuam yog qhov tsis muaj qhov pom tseeb thiab tsis txawv txav ntawm tus kabmob no thaum muaj hnub nyoog ntxov. Ntshav Qab Zib Hom 1 feem ntau tshawb pom los ntawm qhov muaj tseeb raws li kev kuaj mob lossis cov tsos mob ntawm tus mob ntshav qab zib / ntshav qab zib siab ntau nyob hauv tsev kho mob.

Hauv cov menyuam mos

Txij ntawm xoom txog ib xyoos ntawm lub neej, nws yog qhov nyuaj rau qhov muag pom tias muaj qee yam ntshav qab zib los ntawm kev ua kom pom sab nraud kom txog thaum pib mob tshwm sim (lub cev qhuav dej, qaug cawv thiab ntuav). Los ntawm cov phiajcim ncaj qha - qhov tsis muaj qhov hnyav nce thiab kev nce qib ntawm duav (thaum noj zaub mov zoo tag nrho), nquag quaj yam tsis muaj laj thawj, uas feem ntau tsuas yog tom qab haus dej. Tsis tas li, tus menyuam muaj kev ntxhov siab los ntawm mob pob khaus heev rau ntawm thaj chaw ntawm thawj qhov chaw mos, uas nyuaj rau kev kho nrog kev kho mob twg, cov zis tuaj yeem tso cov kab mob nplaum, thiab daim ntaub tom qab tso zis txoj kev tawv tawv, zoo li yog starched.

Hauv cov chaw kawm kindergarten, preschoolers, tsev kawm ntawv

Muaj qee zaus lub cev qhuav dej, tso zis nruab hnub ntau zaus thiab ntuav, tso zis ib hmos tsis tso zis.
Kev nqhis dej heev, ua rau poob phaus.
Kab mob tawv nqaij hauv cov tub hluas thiab mob candidiasis hauv cov ntxhais.
Txo kev txo qis, ua rau tsis nco qab thiab txob taus.

Cov tsos mob mob ntshav qab zib hauv cov menyuam yaus ntawm pawg neeg no suav nrog, ntxiv rau cov tsos mob saum toj no, ua pa tsis ua haujlwm (tsis tshua muaj, tsis muaj suab tsis muaj pa thiab ua pa tawm), tsis hnov tsw ntawm acetone los ntawm lub qhov ncauj ntawm lub qhov ncauj, lub plawv dhia siab, o ntawm lub qhov kawg thiab lawv cov ntshav khiav tsis zoo nrog blueness, nrog rau kev tsis hnov qab - los ntawm disorientation kom mob plab tsis xeev. Yog tias pom cov tsos mob ntshav qab zib ntau, koj yuav tsum mus rau tom tsev kho mob tam sim ntawd!

Ntawm cov hluas

Ntxiv rau cov tsos mob saum toj no hauv cov tub ntxhais hluas, qhov teeb meem mob ntshav qab zib yog qhov nyuaj los ntawm "kev thuam" ntawm cov tsos mob uas muaj hnub nyoog hloov (lawv feem ntau tsis meej pem nrog kev kis mob qeeb thiab txawm tias neurosis), tab sis yog tias koj tus menyuam nkees sai, nws muaj mob taub hau tas li thiab qee zaus muaj kev mob siab xav noj khoom qab zib ( lub cev cov tshuaj tiv thaiv kev tsis txaus (hypoglycemia), kev mob tsis zoo hauv lub plab nrog xeev siab, mob tsis pom kev sab nrauv - qhov no yog lub sijhawm los kuaj los ntawm tus kws kho mob endocrinologist.

Cov tsos mob ntawm tus mob ntshav qab zib hom 2 hauv cov menyuam muaj hnub nyoog tiav nkauj

Kev hloov pauv hauv keeb kwm hauv lub cev thaum ua tiav nkauj tiav nraug (ntxhais 10-16 thiab tub 12-18 xyoo) tuaj yeem ua rau cov nqaij tsis haum lossis cov ntshav qab zib hom 2, tshwj xeeb yog cov menyuam rog dhau los.

Koj tus menyuam muaj lub cev hnyav dhau ntawm lub plab, mob ntshav lub plawv, nyuaj los yog tso zis heev, cov kab mob sib kis tau los ntawm ntau tus mob, muaj cov rog thiab triglycerides nyob rau hauv cov ntshav, nrog rau teeb meem mob siab (rog hepatosis) ntxiv rau qhov tseem ceeb, albeit lubricated, symptomatology ntawm ntshav qab zib 1 nyiam? Nws yog tau tias qhov no ua rau txhua hom ntshav qab zib 2.

Kev kuaj mob

Thawj theem hauv kev txheeb xyuas tus mob ntshav qab zib hauv cov menyuam yaus yog qhov kev txheeb xyuas cov tsos mob sab nraud, sau qhia txog keeb kwm ntawm lub neej, nrog rau kev sim ntsuas:

Cov ntshav rau cov piam thaj - yog muab thaum sawv ntxov nyob rau ntawm lub plab khoob, thiab tseem nrog kev thauj khoom ntawm ib koob tshuaj 75 grams piam thaj. Yog tias 5.5 mmol / l (ntawm lub plab khoob) thiab 7 mmol / l (ntsaws li 1-2 teev tom qab ntsuas cov piam thaj) siab dhau, ntshav qab zib yog xav tias.
Cov ntshav ntawm glycated hemoglobin. Glogose-khi khi hemoglobin yog ib qho ua tau zoo tshaj plaws ntawm kev kuaj pom lossis tsis muaj ntshav qab zib. Nrog cov txiaj ntsig saum toj no 6.5 feem pua, kev kuaj mob ntshav qab zib feem ntau tau lees tias yog kev paub tseeb.

Qhov theem ob ntawm kev kuaj mob yog txiav txim siab hom mob ntshav qab zib mellitus. Txog rau ntawm no, cov ncauj lus kom ntxaws ntxig ntxig ntxig coj los ua thiab ntau qhov kev ntsuas tau ua, tshwj xeeb tshaj yog rau c-peptide thiab autoantibodies rau insulin / beta hlwb. Yog tias muaj ob tom kawg, tus kws kho mob tuaj yeem kuaj mob ntshav qab zib hom 1 tau, lwm yam kev mob ntshav qab zib hom 2 thaum kawg raug pom zoo.

Kev kho mob ntshav qab zib hauv menyuam yaus

Nws yuav tsum tau sau tseg tam sim ntawd - tshuaj tsis paub txog kev kho mob ntshav qab zib ntawm txhua yam ntawm cov theem ntawm kev loj hlob ntawm kev tshawb fawb. Mob ntshav qab zib mellitus yog qhov teeb meem nyob mus ib txhis uas tsis tuaj yeem muaj peev xwm kho tau, tab sis tsuas yog tuaj yeem tswj hwm kom tiv thaiv qhov tsis ua tiav ntawm cov khoom noj uas muaj cov kab mob carbohydrate thiab muaj teeb meem cuam tshuam.

Cov npe ntawm cov kev ntsuas tseem ceeb rau kev kho mob ntshav qab zib hauv cov menyuam yaus feem ntau suav nrog kev noj zaub mov tshwj xeeb nrog kev saib xyuas lub sijhawm, cov ntaub ntawv calories ntau thiab lub zog ntawm cov zaub mov, saib xyuas cov ntshav qab zib tam sim no, kho lub cev, nrog rau kev tawm dag zog ib txwm ua rau cov kev pab cuam "nruj". Cov neeg mob ntshav qab zib nrog thawj hom mob yuav tsum tau txhaj tshuaj tas li, luv thiab nruab nrab ntev rau cov menyuam, thiab rau cov menyuam muaj ntshav qab zib hom 2, hloov cov tshuaj hormones, lawv yuav noj ntau yam tshuaj:

Catalysts rau cov tshuaj insulin secretion (koob thib 2 tiam sulfonylurea, repaglinide).
Modulators ntawm cov ntaub so ntswg rhiab rau insulin (biguanides, thiazolinediones).
Tus neeg saib xyuas ntawm kev nqus ntawm cov piam thaj hauv cov hnyuv (acarbose).
Alpha receptor activators thiab lipid metabolism stimulants (fenofibrates).
Lwm yam tshuaj.

Ntxiv nrog rau qhov kev kho mob tseem ceeb, nyob rau hauv cov ntaub ntawv ntawm cov mob hnyav lossis qib siab mob ntshav qab zib mellitus nrog kev txhim kho ntawm cov teeb meem, kev kho mob ntxiv rau cov teeb meem tsis sib haum xeeb yog yuav tsum tau - hauv qhov no, tus kws kho mob lossis pawg kws kho mob ntsuam xyuas qhov txaus ntshai rau tus neeg mob thiab qhia txog kev kho mob coj mus rau hauv kev muaj tus kab mob endocrine.

Cov tswv yim cog lus

Kev kawm txuj ci tsis sawv thiab tseem nyob rau ntau caum xyoo dhau los ntawm ntau pua pab neeg ywj pheej tau sim los tsim ib qho kev qhia rau kev tiv thaiv mob ntshav qab zib kom tau txais txiaj ntsig zoo. Cov kws kho mob paub tseeb tias hauv lub sijhawm nruab nrab, nws muaj peev xwm ua tsis tau tsuas yog tsim, tab sis kuj tseem ua rau kev coj ua lub tswv yim hais txog kev ua kom yuag yuag cov menyuam muaj ntshav qab zib. Qhov muaj txiaj ntsim tshaj plaws thiab ntseeg tau hnub no suav hais tias:

Kev sib hloov ntawm ib feem ntawm tus txiav / islets ntawm Langerhans / beta hlwb / qia hlwb. Cov txheej txheem muaj nyob rau hauv kev sib txuas ua ke ntawm cov khoom pub hloov mus txuas ntxiv rau kev tsim cov tshuaj insulin los ntawm lub cev. Cov haujlwm no tau pib ua tiav (raws li txoj cai, yog muaj teeb meem loj, thaum muaj kev pheej hmoo ntawm kev hloov cov khoom siv bio-nyob rau hauv daim ntawv ntawm beta thiab qia hlwb raug suav), tab sis tom qab qee lub sijhawm txoj haujlwm ntawm beta hlwb tseem poob qis. Lub sijhawm no, cov kev sim yuav ua kom ntev thiab txhawm rau ua tiav cov nyhuv, ntxiv rau kom nce qib ntawm tus neeg mob / ciaj sia ntawm cov neeg ua haujlwm tom qab kev phais.
Cloning beta hlwb. Cov txheej txheem vam meej yog npaj rau kev tsim kho lub hauv paus rau cov kua dej los ntawm cov txheej txheem ua ntej ntawm cov roj ntsha los ntawm kev txhaj tshuaj ntawm cov protein tshwj xeeb lossis kev qhia txog cov noob tsim nyog. Qib ntawm lawv cov kev tsim tawm yuav siab dua tus nqi ntawm kev rhuav tshem ntawm lub hauv paus hormone los ntawm kev tiv thaiv kab mob, vim li ntawd cov tshuaj insulin ntau dua yuav raug tsim tawm.
Tshuaj tiv thaiv. Kev pib tsim kho thiab tshuaj tiv thaiv cov tshuaj tiv thaiv uas cais cov tshuaj tiv thaiv rau beta hlwb, vim qhov tshwm sim tom qab tsis ua haujlwm lawm.

Noj zaub mov mob ntshav qab zib hauv menyuam yaus

Kev noj haus yog lub hauv paus rau kev kho mob ntawm txhua yam ntshav qab zib. Cov menyuam yaus uas muaj ntshav qab zib hom 1 xav tau nws los laij cov tshuaj insulin kom raug, thaum rau tus menyuam muaj ntshav qab zib hom 2, tsis muaj teeb meem loj, nws tuaj yeem hloov kho txoj kev kho mob qub. Cov pluas noj hauv qab no yog qhov tsim nyog rau kev kho mob ntshav qab zib ua ib hom ntawv me lossis nruab nrab. Hauv cov xwm txheej mob, qhov cuam tshuam ntawm cov teeb meem, thiab lwm yam, feem ntau ntawm cov tib neeg txoj kev noj haus tau tsim los ntawm endocrinologist yuav tsum coj mus rau hauv tus account lub xeev tam sim no ntawm lub cev thiab lwm yam.

Txog ntshav qab zib hom 1

Rau cov menyuam yaus uas muaj ntshav qab zib tseeb thiab tsis txaus / hnyav dua, cov kws kho mob tshwj xeeb pom zoo kom muaj ib qho khoom noj muaj txiaj ntsig - piv txwv li cov lus "classic No. 9". Nws yooj yim heev rau tus menyuam thiab txawm tias nws nce me ntsis ntawm cov ntshav qab zib txhua hnub (uas tuaj yeem them tau los ntawm kev txhaj tshuaj insulin), nws muab cov menyuam lub cev loj hlob nrog tag nrho cov tshuaj uas tsim nyog / microelements / vitamins.

Nws cov ntsiab lus tseem ceeb yog tsib pluas noj txhua hnub txhua ob mus rau peb teev hauv ib feem me me, nrog rau kev cais tawm ntawm cov carbohydrates yooj yim los ntawm kev noj haus thiab hloov nrog cov khoom tawg yooj yim uas ua rau qeeb qeeb dua thiab tsis muab lub ntsej muag zoo hauv qabzib hauv cov ntshav. Cov ntsiab lus ntawm cov calories ntawm cov khoom noj no yog 2300-2400 kcal, cov tshuaj lom neeg txhua hnub suav nrog cov protein (90 grams), cov rog (80 grams), carbohydrates (350 grams), ntsev (12 grams) thiab ib nrab dej dawb ntawm cov dej dawb.

Nws yog txwv tsis pub noj muffin, rog thiab muaj zog broths thiab mis nyuj nrog semolina / mov. Nws tsis pom zoo kom ntxiv cov rog rog ntawm cov nqaij / ntses, nqaij nqaij haus luam yeeb, cov zaub mov hauv kaus poom, caviar, qab ntsev / kua qab, marinades thiab pickles, nplej zom, mov, qab zib, kua ntses, nqaij / ua noj kom ntau rau cov zaub mov. Nws tseem tsis pub haus cov dej qab zib, qee hom txiv hmab txiv ntoo (txiv quav ntswv, hnub, raisins, txiv tsawb, figs), dej khov, khaws cia, ncuav / khob noom. Txhua yam khoom noj muaj roj thiab kib yog txwv tsis pub - nws yuav tsum tau muab hau, muab cub, muab ci lossis ua kom ci. Zib ntab - txwv, qab zib yog hloov los ntawm sorbitol / xylitol.

Txog ntshav qab zib hom 2

Ntawm cov ntshav qab zib mellitus ntawm yam thib ob, tus menyuam yuav luag txhua lub sijhawm rog - nws yog qhov tseeb tias qhov no feem ntau ua rau kom tsis muaj qhov cuam tshuam tsawg ntawm cov ntaub so ntswg rau insulin. Hauv qhov no, qhov tau hais los ntawm "Cov Lus 9" tsis yog qhov zoo tshaj plaws, thiab nws tsis tuaj yeem them nyiaj rau qhov kev nce ntshav qab zib me me txhua hnub txhua hnub nrog insulin (nws tsim tawm hauv qhov ntau txaus thiab txawm tias dhau qhov tseem ceeb, qhov teeb meem yog insulin tsis kam), vim li cas niaj hnub noj zaub mov zoo thiab endocrinologist yog txhua yam ntau feem ntau pom zoo noj cov zaub mov muaj carb tsawg.

Nws yuav nruj dua, txawm li cas los xij, yuav pab tua cov ntshav qab zib kom zoo li sai tau thiab ib txhij txo qhov hnyav dua, yog li txo qhov pom ntawm tsis kam. Nws cov ntsiab lus yog fractional rau-lub sijhawm khoom noj khoom haus, qhov kev txo qis ntawm kev noj ntawm cov carbohydrates (txog 30-50 grams / hnub) thiab hais txog cov khoom noj muaj protein ntau (nce txog 50 feem pua ntawm cov hnub uas tau noj zaub mov noj). Kev ntsuas thaj muaj yog 2 txhiab kcal.

Nrog zaub mov noj kom tsawg, koj yuav tsum tau nce cov dej kom dawb (li 2–2,5 ລິດ / hnub), nws raug nquahu kom noj cov vitamins-ntxhia ntau ntxiv. Lub hauv paus ntawm khoom noj khoom haus yog cov zaub ntsuab thiab cov khoom noj protein. Nyob rau hauv qhov kev txwv ntxiv, piv rau "rooj 9" qos yaj ywm, yuav luag txhua cov txiv hmab txiv ntoo / khaub noom zaub mov, cov hom mov ci, pob kws, zaub mov yooj yim, txiv hmab txiv ntoo stewed.

Cov tsos mob ntawm Hom 1 Ntshav Qab Zib

Raws li txoj cai, muaj ntshav qab zib hom 1, cov tsos mob nce sai heev. Hauv ob peb lub lis piam xwb, tus me nyuam tus mob nyhav heev rau qhov nws maj nrawm nkag mus hauv tsev kho mob. Yog li nws yog ib qho tseem ceeb kom yuav tsum paub txog thawj cov tsos mob ntawm tus kab mob, uas suav nrog:

Kev nqhis dej tsis tu ncua. Nws zoo nkaus li vim lub cev qhuav dej ntawm lub cev, thaum lub cev sim cov ntshav qabzib hauv cov ntshav los ntawm kev nqus dej los ntawm lawv. Tus menyuam hais kom haus dej lossis lwm yam dej haus hauv ntau.
Kev ceev ceev tso zis. Cov niam txiv pom tias tus me nyuam pib mus hauv chav dej ntau dua li ib txwm, thiab thaum tsaus ntuj.
Poob ceeb thawj sai. Ib lub zog siv (cov piam thaj) kom tsis txhob nkag mus rau lub hlwb ntawm lub cev, yog li ntawd, kev noj cov rog thiab cov nqaij protein ntau ntxiv. Raws li qhov tshwm sim, tus menyuam yaus yuag nce phaus, tab sis, ntawm qhov tsis sib xws, poob sai sai.
Nkees Cov niam txiv pom tias tus menyuam tsis muaj zog thiab tsis muaj zog uas tshwm sim los ntawm qhov tsis muaj lub zog.
Muaj kev tshaib nqhis. Nws kuj yog vim qhov tsis muaj cov piam thaj hauv cov ntaub so ntswg, yog li nrog kev noj zaub ntau ntau tus me nyuam tsis tuaj yeem ua kom txaus. Yog tias tus menyuam lub mob hnyav zuj zus li nws tau pib tsim muaj ketoacidosis, ces nws lub siab nqig zuj zus.
Pom teeb meem. Vim lub cev qhuav ntawm lub lens, tus me nyuam tuaj yeem pib pos huab ua ntej ntawm lub qhov muag thiab qhov muag plooj.
Kev swb rau tus mob fungal. Hauv cov menyuam yaus, kev tawm pob txha tawv tawv yog qhov nyuaj rau kev kho, thiab hauv cov menyuam ntxhais, kev tawm tsam yuav tshwm sim.

Yog tias koj tsis them sai sai rau cov cim ntawm tus kab mob, qhov mob ntawm tus menyuam hnyav zuj zus thiab ketoacidosis kev loj hlob. Nws yog ua kom pom kev mob plab, nkees, xeev siab, cuam tshuam ua pa nrov nrov, cov tsos ntawm acetone tsw tawm ntawm lub qhov ncauj. Tus menyuam yuav tsis nco qab lawm. Ntxiv mus, qhov kev tsis haum xeeb no tuaj yeem ua rau tuag.

Ua rau

Cov kws tshawb fawb tseem tsis tau txheeb xyuas qhov tseeb muaj txiaj ntsig ntawm kev ua ntshav qab zib hauv cov menyuam yaus ntawm thawj hom ntshav qab zib. Hauv cov menyuam yaus mob, lub cev tiv thaiv kab mob, uas yuav tsum tawm tsam cov kab mob microbes thiab kab mob sai sai, maj mam pib muaj kev cuam tshuam ntawm cov txiav (tshwj xeeb, cov hlwb ua lub luag haujlwm rau kev tsim cov tshuaj insulin).

Nws tau tsim muaj tias muaj caj ces los ntawm kev tshwm sim ntawm cov ntshav qab zib hom 1, yog li ntawd, nyob rau hauv muaj cov kab mob hauv cov neeg txheeb ze, qhov kev pheej hmoo ntawm xws li pathology hauv menyuam yaus nce.

Qhov ua rau muaj mob ntshav qab zib hom 1 tuaj yeem yog kis tus kab mob (xws li mob khaub thuas lossis rubella) lossis muaj kev ntxhov siab ntau.

Yam txaus ntshai los tsim tus mob ntshav qab zib hom 1 suav nrog:

Muaj cov ntshav qab zib insulin-tiv thaiv kev mob ntshav qab zib ntawm ib tug neeg los ntawm cov neeg txheeb ze (niam txiv muaj mob, nrog rau cov viv ncaus lossis cov kwv tij).
Cov kab mob kis los ntawm kab mob. Tshwj xeeb feem ntau, ntshav qab zib muaj tshwm sim tom qab mob txhab nrog Tus Kab Mob Coxsackie, tus kab mob cytomegalovirus Epstein-Barr lossis tus kab mob rubella.
Qes Vitamin D tsawg.
Ntau dhau thaum ntxov pub mis nrog mis nyuj lossis zaub mov.
Dej haus ntxiv nrog rau cov ntsiab lus nitrate ntau ntxiv.

Tus kab mob no loj li cas?

Hauv cov hlwb ntawm tus txiav ua kab mob, yam tshuaj insulin tsim muaj. Lub luag haujlwm tseem ceeb ntawm insulin yog pab cov piam thaj hla mus rau hauv cov kab mob uas cov roj no tau siv roj.

Hauv kev sib pauv ntawm cov piam thaj thiab insulin muaj cov lus rov qhia tas li. Hauv cov menyuam muaj kev noj qab haus huv, tom qab noj mov, insulin raug tso rau hauv cov ntshav, vim qhov ntawd cov piam thaj hauv cov ntshav qis (cov piam thaj hauv cov ntshav nkag mus rau hauv cov ntshav). Qhov no ua rau txo qis hauv insulin ntau lawm yog li ntawd cov piam thaj hauv cov ntshav yuav tsis txo ntau dhau. Tib lub sijhawm, cov piam thaj nyob hauv lub siab thiaj li ua rau cov piam thaj kom tau nyob li qub - thaum lub zog txo qis hauv nws cov ntshav, cov piam thaj yuav tsum tawm ntawm lub siab mus rau hauv cov ntshav.

Hauv cov ntshav qab zib mellitus, cov naj npawb ntawm cov qe hlwb hauv cov txiav ua ke yog txo, yog li cov tshuaj insulin tsis tsim txaus. Qhov tshwm sim yuav yog ob qho tib si kev tshaib plab ntawm lub hlwb, vim tias lawv yuav tsis tau txais cov roj uas lawv xav tau, thiab muaj cov piam thaj ntxiv hauv cov ntshav, uas ua rau cov tsos mob ntawm cov kab mob soj ntsuam.

Yuav kho dab tsi?

Lub hom phiaj ntawm kev kho mob ntshav qab zib hom 1 yog los muab txoj hauv kev rau tus menyuam los txhim kho raws li ib txwm muaj, koom nrog pab pawg menyuam yaus, thiab tsis muaj kev cuam tshuam ntawm kev sib piv nrog cov menyuam muaj txiaj ntsig. Tsis tas li, kev kho mob yuav tsum tau npaj los tiv thaiv kev mob hnyav ntshav qab zib kom cov tsos mob hnyav pom deb npaum li ua tau.

Txhawm rau soj ntsuam tus kab mob tas li, tus menyuam yuav tsum ntsuas ntsuas ntshav qab zib ob peb zaug hauv ib hnub, yog li cov niam txiv yuav tsum tau yuav ib qho glucometer tseeb. Hauv kev kho mob rau cov menyuam yaus uas muaj ntshav qab zib hom 1, kev noj zaub mov kom tsis tshua muaj carb kuj tseem ceeb heev. Lub chaw muag mis nyuj yuav tsum khaws cia uas qhov txiaj ntsig ntawm kev ntsuas ntshav qab zib thiab zaub mov zoo ntawm tus menyuam yuav tau sau tseg.

Txij li cov ntshav qab zib hom 1 yog los ntawm kev tsis muaj cov tshuaj insulin, kev txhaj tshuaj insulin yog qhov tseem ceeb tshaj plaws rau kev kho tus kabmob no. Muaj ntau ntau hom tshuaj insulin nrog ntau cov sijhawm ua. Rau kev qhia ntawm cov insulin siv cov koob txhaj tshuaj tshwj xeeb nrog rab koob nyias, nrog rau koob txhaj tshuaj. Kuj tseem tsim yog cov cuab yeej tshwj xeeb uas pub cov tshuaj hormones hauv qhov chaw me me - cov tshuaj insulin.

Ntau tus niam txiv txaus siab xav seb nws puas yuav tsis tuaj yeem txhaj tshuaj insulin rau hauv tus menyuam, lossis tsawg kawg tsis tuaj yeem ua rau nws ib hnub. Qhov no muaj peev xwm nkaus xwb nrog kev noj zaub mov kom tsis muaj carb tsawg, yog tias mob ntshav qab zib hauv menyuam yaus nyuam qhuav raug mob. Noj nrog yam tsawg kawg ntawm carbohydrates pub rau ntev ntev.

Mob ntshav qab zib thiab mob qog

Ntshav Qab Zib Hom 1 yog kab mob autoimmune. Nws tshwm sim los ntawm qhov tsis ua tiav ntawm lub cev tiv thaiv kab mob. Vim qhov ua tsis zoo no, tshuaj tiv thaiv pib tua thiab rhuav tshem cov hlwb pancreatic beta uas tsim cov tshuaj insulin. Tsis tsimnyog tias, lwm cov kabmob autoimmune feem ntau pom nyob rau cov menyuam yaus uas muaj ntshav qab zib hom 1.

Feem ntau, cov tuam txhab lub cev tiv thaiv kab mob nrog cov beta hlwb tawm tsam cov thyroid caj pas. Qhov no hu ua autoimmune thyroiditis. Feem ntau cov menyuam yaus uas muaj ntshav qab zib hom 1 tsis muaj tsos mob dab tsi. Tab sis nyob rau hauv cov tsis muaj hmoo, autoimmune thyroiditis ua rau txo qis rau cov thyroid muaj nuj nqi.Muaj qee kis tsawg dua thaum nws, ntawm qhov tsis tooj, nce nws txoj haujlwm, thiab hyperthyroidism tshwm sim.

Cov menyuam yaus uas muaj ntshav qab zib hom 1 yuav tsum tau kuaj cov tshuaj ua cov thyroid. Koj tseem yuav tsum tau kuaj txhua xyoo kom pom tias tus kabmob qog tau tsim nyob rau lub sijhawm no. Rau qhov no, kuaj cov thyroid stimulating hormone (TSH) ntshav tau ua. Nws yog ib yam tshuaj uas ua rau lub qog ua haujlwm nrog lub qog. Yog tias muaj teeb meem pom, tus kws kho mob endocrinologist yuav muab tshuaj rau noj, thiab lawv yuav ua kom zoo rau kev noj qab haus huv ntawm cov ntshav qab zib.

Kev kho mob ntshav qab zib hom 1 rau menyuam yaus

Kev kho mob ntshav qab zib hom 1 hauv cov menyuam yaus yog cov haujlwm hauv qab no:

kev kawm paub kev ntsuas tus kheej cov ntshav qab zib nrog lub ntsej muag,
soj ntsuam tus kheej hauv tsev tas li,
kev noj haus
cov tshuaj insulin
kev tawm dag zog (kev ua kis las thiab kev ua si - kho lub cev rau ntshav qab zib),
kev pab kev puas siab puas ntsws.

Txhua ntawm cov ntsiab lus no yog qhov tseem ceeb rau kev kho mob ntshav qab zib hom 1 hauv menyuam yaus kom muaj kev vam meej. Lawv tau ua yeeb yam, rau feem ntau, ntawm kev kho mob sab nraud, uas yog, nyob hauv tsev lossis thaum nruab hnub nyob ntawm tus kws kho mob lub sijhawm teem sijhawm. Yog tias tus menyuam yaus mob ntshav qab zib muaj cov tsos mob hnyav, ces nws yuav tsum tau mus pw hauv tsev kho mob hauv tsev kho mob. Feem ntau, cov menyuam yaus muaj ntshav qab zib hom 1 nyob hauv tsev kho mob 1-2 zaug hauv ib xyoos.

Lub hom phiaj ntawm kev kho ntshav qab zib hom 1 rau menyuam yaus yog xav kom cov ntshav qab zib kom nyob ze ze li qhov ua tau. Qhov no hu ua "kev pab them nqi kho mob ntshav qab zib kom zoo." Yog tias cov mob ntshav qab zib tau nyiaj tau zoo los ntawm kev kho mob, tom qab ntawd tus menyuam yuav muaj peev xwm txhim kho feem ntau thiab loj hlob, thiab cov teeb meem yuav ncua rau hnub lig lossis yuav tsis tshwm sim txhua yam.

Cov hom phiaj kho mob ntshav qab zib hauv cov menyuam yaus thiab cov hluas

Cov ntshav qab zib cov ntshav qab zib uas kuv yuav tsum tau tsom rau cov menyuam muaj ntshav qab zib hom 1? Cov kws tshawb fawb thiab kws kho mob los pom zoo ib yam hais tias kev sib luag npaum li cov ntshav qabzib hauv lub siab tau tuav cia, zoo dua. Vim tias qhov xwm txheej no, tus mob ntshav qab zib ua lub neej yuav luag zoo li tus neeg muaj kev noj qab haus huv, thiab nws tsis muaj teeb meem vascular.

Qhov teeb meem yog hais tias nyob rau hauv cov neeg mob ntshav qab zib uas tau txais insulin txhaj tshuaj, qhov ze dua rau cov ntshav qab zib ib txwm, qhov muaj feem ntau ntawm kev muaj ntshav qab zib hauv lub cev, suav nrog kev mob hnyav. Qhov no siv rau txhua tus neeg mob uas muaj ntshav qab zib hom 1. Ntxiv mus, nyob rau cov menyuam yaus uas muaj ntshav qab zib, qhov uas yuav muaj ntshav qab zib tsawg feem ntau yog tshwj xeeb. Vim tias lawv noj tsis xwm yeem, thiab theem ntawm lub cev qoj ib ce ntawm tus menyuam tuaj yeem sib txawv ntawm cov hnub sib txawv.

Raws li qhov no, nws raug nquahu kom tsis txhob txo cov ntshav qab zib hauv menyuam yaus uas muaj ntshav qab zib hom 1 mus rau qhov ib txwm, tab sis los tswj nws kom muaj nuj nqi ntau dua. Tsis yog ntxiv lawm. Tom qab cov ntaub ntawv khaws cia, nws tau pom tseeb tias kev txhim kho vascular cov teeb meem ntshav qab zib muaj kev pheej hmoo ntau dua li qhov kev pheej hmoo ntawm hypoglycemia. Yog li, txij li xyoo 2013, American Diabetes Association tau kom pom zoo tswj cov glycated hemoglobin rau txhua tus menyuam muaj ntshav qab zib qis dua 7.5%. Nws cov nqi ntau dua yog tsim kev puas tsuaj, tsis txaus nyiam.

Hom phiaj cov piam thaj hauv ntshav, nyob ntawm lub hnub nyoog ntawm tus menyuam muaj ntshav qab zib hom 1

Muaj hnub nyoog pab pawg	Cov neeg muaj txiaj ntsig ntawm kev them nyiaj ntawm cov khoom noj metabolism	Glucose hauv ntshav ntshav, mmol / l	Glycated hemoglobin HbA1C,%
ua ntej noj mov	tom qab noj mov	ua ntej yuav mus pw / pw
Preschoolers (0-6 xyoo)	Cov nyiaj tau zoo	5,5-9,0	7,0-12,0	6,0-11,0	7,5)
	Txaus siab them nyiaj	9,0-12,0	12,0-14,0	11,0	8,5-9,5
	Cov nyiaj them tsis taus	> 12,0	> 14,0	13,0	> 9,5
Cov Menyuam Kawm Ntawv (6-12 xyoo)	Cov nyiaj tau zoo	5,0-8,0	6,0-11,0	5,5-10,0	10,0	8,0-9,0
	Cov nyiaj them tsis taus	> 10,0	> 13,0	12,0	> 9,0
	Cov Hluas (13-19 xyoo)	Cov nyiaj tau zoo	5,0-7,5	5,0-9,0	5,0-8,5	8,5	7,5-9,0
Cov nyiaj them tsis taus		> 9,0	> 11,0	10,0	> 9,0

Nco ntsoov cov lej glycated hemoglobin hauv kem kawg ntawm lub rooj. Qhov no yog ib qho kev taw qhia uas qhia txog qib ntshav nruab nrab feem ntau ntawm 3 lub hlis dhau los. Kev kuaj ntshav hauv ntshav glycated hemoglobin tau kuaj txhua ob peb lub hlis los ntsuas seb tus neeg mob ntshav qab zib tau them rau yav dhau los li cas.

Cov me nyuam muaj ntshav qab zib hom 1 puas tuaj yeem tuav cov piam thaj li ib txwm?

Rau koj cov ntaub ntawv, cov txiaj ntsig zoo ntawm glycated hemoglobin hauv cov ntshav ntawm cov neeg noj qab haus huv uas tsis muaj kev rog yog 4.2% - 4.6%. Nws tuaj yeem pom los ntawm cov lus saum toj no uas cov tshuaj xav kom tswj cov ntshav qab zib hauv cov menyuam yaus uas muaj ntshav qab zib hom ntshav tsawg kawg yog 1.6 npaug dua li ib txwm. Qhov no yog txuam nrog kev raug phom sij ntawm hypoglycemia hauv cov hluas ntshav qab zib.

Peb lub vev xaib tau tsim los nrog txhawm rau tshaj tawm kom paub txog kev noj zaub mov tsis muaj rog ntau rau kev ua ntshav qab zib hom 1 thiab ntshav qab zib hom 2. Kev noj zaub mov kom tsis txhob muaj rog txaus hauv kev noj zaub mov kom ua rau cov neeg laus thiab menyuam yaus muaj ntshav qab zib ua kom cov ntshav qab zib yuav luag nyob rau tib theem li cov neeg noj qab haus huv. Kom paub cov ntsiab lus, xyuas hauv qab no rau hauv seem “Noj rau hom ntshav qab zib hom 1 hauv cov menyuam yaus.”

Cov lus nug tseem ceeb tshaj plaws: nws puas tsim nyog rau kev kho mob ntshav qab zib hom 1 hauv menyuam yaus kom siv zog txo nws cov ntshav qab zib kom qis dua? Cov niam txiv yuav ua qhov no “nyob ntawm lawv qhov kev pheej hmoo.” Nco ntsoov hais tias txawm tias ib ntu kev mob ntshav siab ntau tuaj yeem ua rau lub hlwb puas tas mus li thiab ua rau tus menyuam xiam oob qhab tas nws lub neej.

Ntawm qhov tod tes, qhov tsawg cov carbohydrates uas ib tug me nyuam noj, insulin tsawg dua nws yuav xav tau. Thiab cov tshuaj insulin tsawg dua, qhov tsawg dua yuav muaj kev puas ntshav siab. Yog hais tias tus me nyuam tau noj cov zaub mov uas tsis muaj carbohydrate tsawg, ces kev noj tshuaj ntawm cov tshuaj insulin yuav raug txo ntau zaus. Lawv tuaj yeem dhau los ua qhov tsis tseem ceeb, piv nrog ntau npaum li cas cov tshuaj insulin tau txhaj ua ntej. Nws hloov tawm tias qhov zoo li ntawm hypoglycemia tseem muaj ntau qhov txo qis.

Ib qho ntxiv, yog tias tus me nyuam hloov pauv mus rau kev noj zaub mov muaj protein ntau sai sai tom qab kuaj pom tus mob ntshav qab zib hom 1, ces theem "zib ntab muv yas" yuav nyob ntev dua. Nws tuaj yeem ncab mus rau ob peb xyoos, thiab yog tias koj muaj hmoo tshwj xeeb, tom qab ntawd txawm mus tas lub neej. Vim tias cov roj carbohydrate load ntawm cov txiav ua ke yuav poob qis, thiab nws lub npov beta yuav tsis pov tseg kom sai.

Muaj qhia txog kev noj haus cov zaub mov uas tsis muaj carbohydrate rau hom 1 thiab ntshav qab zib hom 2 muaj nyob ntawm no.

Xaus: Yog tias tus menyuam muaj ntshav qab zib hom 1, pib nrog lub hnub nyoog "kindergarten", hloov mus rau qhov kev noj haus uas tsis muaj cov carbohydrate, ces qhov no muaj qhov zoo. Cov ntshav qab zib tuaj yeem tswj hwm nyob rau tib theem li ntawm cov neeg noj qab haus huv. Txoj kev pheej hmoo ntawm hypoglycemia yuav tsis nce, tab sis txo qis, vim tias kev noj cov tshuaj insulin yuav raug txo ntau zaus. Lub sij hawm honeymoon tuaj yeem siv sijhawm ntev dua.

Txawm li cas los xij, cov niam txiv uas xaiv hom kev kho mob ntshav qab zib hom 1 hauv lawv tus menyuam ua lawv qhov kev pheej hmoo. Koj tus kws kho mob endocrinologist yuav siv qhov no "nrog kev tawm tsam", vim tias nws cuam tshuam cov lus qhia ntawm Ministry of Health, uas tab tom ua haujlwm. Peb xav kom koj ua ntej kom ntseeg tau tias koj siv qhov ntsuas cov ntshav qabzib nyob kom raug. Hauv thawj ob peb hnub ntawm "lub neej tshiab", ntsuas ntshav qab zib ntau zaus, saib xyuas qhov xwm txheej tsis tu ncua. Npaj npaj tso tseg kom tsis txhob mob ntshav qab zib lub sijhawm twg los tau, suav nrog thaum tsaus ntuj. Koj yuav pom yuav ua li cas cov piam thaj hauv ntshav rau menyuam yaus nyob ntawm kev hloov pauv ntawm nws kev noj zaub mov, thiab kos koj cov kev txiav txim siab txog hom kev kho mob ntshav qab zib kom tsim nyog tshaj.

Yuav txhaj tshuaj insulin li cas rau tus menyuam muaj ntshav qab zib

Txhawm rau kom nkag siab tias hom mob ntshav qab zib hom 1 hauv cov menyuam yaus raug kho nrog insulin, koj yuav tsum xub kawm kab lus:

Hauv cov menyuam yaus, luv luv thiab ultrashort insulin txo cov ntshav qab zib kom nrawm dua thiab muaj zog dua li cov menyuam yaus thiab cov laus. Feem ntau, tus neeg yau dua tus me, nws siab dua rau cov tshuaj insulin. Txawm li cas los xij, nws yuav tsum txiav txim siab rau txhua tus neeg mob ntshav qab zib hom 1. Yuav ua li cas qhov no tau piav qhia hauv tsab xov xwm "Kev Muab Xam thiab Kev Tsim Nyog rau Insulin Administration", qhov txuas txuas uas tau muab rau saum toj no.

Mob ntshav qab zib insulin twj tso kua mis hauv cov menyuam yaus

Xyoo tsis ntev los no, nyob rau sab hnub poob, thiab tom qab no, ntau dua thiab ntau tus menyuam yaus thiab cov tub ntxhais hluas siv cov tshuaj insulin los kho lawv cov ntshav qab zib. Qhov no yog ib qho cuab yeej uas feem ntau tso cai rau koj nkag mus subcutaneously sai ultra-luv-ua yeeb yam insulin, hauv kev txhaj tshuaj me me. Feem ntau, hloov mus rau lub twj tso kua mis rau cov ntshav qab zib hom 1 hauv menyuam yaus tuaj yeem txhim kho kev tswj ntshav qab zib thiab ntshav lub neej kom zoo.

Insulin twj tso kua mis hauv kev nqis tes ua

Cov yam ntxwv ntawm kev kho mob insulin yog tias tus me nyuam mob ntshav qab zib ua raws li cov zaub mov tsis muaj rog ntau

Ua ke nrog cov pluas noj nws yog qhov zoo dua yog siv tsis tau ultrashort analogues, tab sis ib txwm "luv" neeg insulin. Hauv kev hloov pauv ntawm kev noj zaub mov zoo li qub mus rau kev noj haus kom tsawg, muaj qhov muaj kev pheej hmoo rau ntshav siab. Qhov no txhais tau tias koj yuav tsum ua tib zoo saib xyuas ntshav qab zib nrog lub taub qab glucometer txog 7-8 zaug hauv ib hnub. Thiab raws li cov txiaj ntsig los ntawm cov kev ntsuas no, ruaj txo cov koob tshuaj insulin. Nws tuaj yeem cia siab tias lawv yuav txo los ntawm 2-3 zaug lossis ntau dua.

Feem ntau yuav ua rau, koj tuaj yeem ua tau yooj yim yam tsis muaj qhov nqus dej insulin. Thiab raws li, tsis txhob noj rau cov kev pheej hmoo ntxiv uas nws siv yog nqa. Koj yuav tuaj yeem them tus nqi zoo kawg nkaus rau ntshav qab zib nrog kev muaj qis ntawm cov tshuaj insulin, uas tau txhaj nrog cov koob txhaj tshuaj lossis koob txhaj tshuaj hauv qhov txuas ntxiv ntawm 0.5 tuaj.

Noj zaub mov kom txhob mob ntshav qab zib hom 1 hauv cov menyuam yaus

Cov tshuaj tseem ceeb pom zoo kom noj zaub mov zoo rau cov ntshav qab zib hom 1, hauv no cov nyiaj carbohydrates yog li 55-60% ntawm cov calorie kom tsawg. Cov zaub mov zoo li no ua rau cov ntshav qab zib cov ntshav tsis sib haum, uas tsis tuaj yeem tswj tau los ntawm cov tshuaj insulin. Raws li qhov tshwm sim, lub sijhawm dhau los ntawm cov piam thaj siab zoo yog ua raws li lub sijhawm los ntawm cov piam thaj hauv qab.

Dav "jumps" hauv cov piam thaj hauv ntshav ua rau kev tsim cov hlab ntshav qab zib muaj ntshav qab zib, nrog rau kev ua rau cov ntshav qog ntshav qab zib tsawg. Yog tias koj noj cov khoom noj tsawg carbohydrates, ces qhov no txo qhov ntau ntawm cov suab thaj hloov mus los. Hauv cov neeg noj qab haus huv nyob rau lub hnub nyoog twg los xij, cov piam thaj li ib txwm yog li 4.6 mmol / L.

Yog tias koj txwv cov ntshav qab zib hom 1 mus rau cov khoom noj carbohydrates hauv koj cov zaub mov noj thiab siv cov tshuaj me me, ua tib zoo xaiv cov tshuaj insulin, koj tuaj yeem tswj koj cov piam thaj kom nyob hauv qab, nrog kev sib txawv tsis ntau dua 0.5 mmol / L hauv ob qho kev qhia. Qhov no yuav zam tag nrho cov teeb meem ntawm cov ntshav qab zib, nrog rau cov ntshav qog ntshav qab zib.

Saib cov lus rau cov lus qhia ntxiv:

Cov khoom noj khoom haus uas tsis muaj suab puam puas ua rau tus menyuam loj hlob thiab loj hlob dua? Tsis yog. Muaj cov npe tseem ceeb amino acids (cov protein). Nws kuj yog ib qho tsim nyog kom noj cov zaub mov muaj txiaj ntsig zoo, tshwj xeeb tshaj yog omega-3 fatty acids. Yog tias tus neeg tsis noj cov protein thiab cov rog, nws lub cev yuav tuag los ntawm kev qoj ib ce. Tab sis koj yuav tsis pom ib daim ntawv teev cov tseem ceeb carbohydrates nyob txhua qhov chaw, vim lawv tsuas tsis muaj. Tib lub sijhawm, cov carbohydrates (tshwj tsis yog cov fiber, i.e. fiber) yog cov muaj kev phom sij hauv ntshav qab zib.

Muaj qhia txog kev noj zaub mov kom cov zaub mov qab zib tsawg rau hom ntshav qab zib hom 1 muaj nyob ntawm no.

Thaum muaj hnub nyoog li cas tus menyuam tuaj yeem pauv mus rau qhov khoom noj muaj zaub mov tsis ntau rog rau cov ntshav qab zib hom 1? Koj tuaj yeem sim ua qhov no thaum nws pib noj cov zaub mov tib yam li cov neeg laus. Thaum lub sijhawm hloov mus rau kev noj zaub mov noj tshiab, koj yuav tsum npaj thiab ua kom zoo li hauv qab no:

Nkag siab yuav ua li cas kom tsis txhob muaj ntshav qab zib. Muab khoom qab zib rau tes yog tias koj yuav tsum siv.
Hauv lub sijhawm hloov, koj yuav tsum ntsuas ntsuas ntshav qab zib nrog glucometer ua ntej txhua pluas noj, 1 teev tom qab nws, thiab tseem nyob rau hmo ntuj. Nws hloov tawm tsawg kawg 7 zaug hauv ib hnub.
Raws li cov txiaj ntsig ntawm kev ntsuas ntshav qabzib - xav tias txo qis ntau npaum li cas ntawm cov tshuaj insulin. Koj yuav pom tias lawv tuaj yeem thiab yuav tsum txo ntau ntau zaus. Txwv tsis pub yuav muaj hypoglycemia.
Lub sijhawm no, lub neej ntawm cov menyuam muaj ntshav qab zib yuav tsum nyob ntsiag to li sai tau, tsis muaj kev ntxhov siab thiab tawm dag zog lub cev. Kom txog thaum hom tshiab hloov zuj zus.

Yuav ua li cas kom tus me nyuam yoo kev noj haus

Yuav ua li cas kom yaum cov me nyuam kom ua raws cov khoom noj zoo thiab tsis kam noj khoom qab zib? Thaum tus menyuam muaj ntshav qab zib hom 1 ua raws li kev noj haus zoo "sib luag", nws yuav ntsib cov teeb meem hauv qab no:

vim "jumps" hauv cov ntshav qab zib - cov xwm txheej tsis zoo rau kev noj qab haus huv,
qee zaum hypoglycemia tshwm sim
ntau yam mob sib kis tuaj yeem thab.

Tib lub sijhawm, yog tias tus mob ntshav qab zib ua tib zoo ua raws li cov zaub mov muaj protein tsawg, tom qab ob peb hnub nws tau txais txiaj ntsig zoo:

cov piam thaj hauv ntshav yog qhov qub, thiab vim qhov no, lub xeev kev noj qab haus huv zoo dua, lub zog yuav dhau los,
txoj kev pheej hmoo ntawm hypoglycemia yog qhov tsawg kawg,
ntau yam muaj mob yuav ploj zuj zus.

Cia tus me nyuam ua "nws tus kheej daim tawv nqaij" nws txawv li cas yog tias nws ua raws tsoomfwv thiab yog nws ua txhaum. Thiab tom qab ntawd nws yuav muaj lub siab xav tswj hwm nws cov ntshav qab zib thiab tiv thaiv kev ntxias noj zaub mov "txwv tsis pub", tshwj xeeb yog cov phooj ywg.

Coob tus menyuam yaus thiab cov neeg laus uas muaj ntshav qab zib hom 1 tsis muaj lub tswv yim zoo uas lawv tuaj yeem xav cov zaub mov uas muaj zaub mov ntau ntau. Lawv twb yeej ib txwm ua thiab rov qab sib sau hais tias lawv muaj qhov mob nkees tas li thiab mob nyhav. Lawv yuav dhau los ua txhua tus neeg ua raws li cov khoom noj khoom haus uas tsis muaj carbohydrate sai li sai tau thaum lawv sim nws thiab hnov cov txiaj ntsig zoo ntawm cov qauv no.

Cov lus teb rau niam txiv nquag nug txog

Glycated hemoglobin hlob zoo vim tias nws tsis tuaj yeem them taus cov ntshav qab zib kom zoo thaum lub sijhawm noj zaub mov zoo "kom sib npaug," uas yog, muaj ntau dhau ntawm cov carbohydrates. Tsis muaj teeb meem txawm hais tias koj suav qhov khob cij suav zoo npaum li cas, yuav muaj kev siv me ntsis. Hloov mus rau kev noj haus cov zaub mov tsis muaj cov rog uas peb lub vev xaib tshaj tawm. Nyeem kev xam phaj nrog cov niam txiv ntawm ib tug menyuam muaj hnub nyoog 6 xyoo uas mob ntshav qab zib hom 1 uas tau txais kev zam txim tag thiab dhia tawm los ntawm cov tshuaj insulin. Kuv tsis cog lus tias koj yuav ua ib yam, vim tias lawv tau pib kho kom raug sai, thiab tsis tau tos ib xyoo. Tab sis nyob rau hauv qee kis, kev them nqi ntshav qab zib yuav ua kom zoo dua.

Tus menyuam loj hlob thiab loj hlob tsis yooj yim, tab sis xwm yeem. Thaum muaj kev loj hlob sai, qhov kev xav tau rau cov insulin nce ntau, vim tias keeb kwm yav dhau los cov hormonal hloov pauv. Tej zaum tam sim no koj nyuam qhuav mus rau theem tom ntej ntawm kev loj hlob nquag, yog li xav tau cov tshuaj insulin poob. Zoo, nyob rau lub caij ntuj sov insulin yog qhov tsawg dua vim tias nws sov sov. Cov teebmeem no sib tshooj. Tej zaum koj tsis muaj dab tsi txhawj txog. Ua tib zoo saib xyuas cov piam thaj, kev soj ntsuam nws tus kheej cov ntshav qabzib hauv cov ntshav. Yog tias koj pom tias insulin tsis tiv nrog kev them nyiaj mob ntshav qab zib, tom qab ntawd nce nws ntau npaum. Nyeem ntawm no txog qhov tsis txaus ntawm cov twj tso kua mis insulin piv rau cov koob txhaj tshuaj qub.

Kuv xav tias koj tsis tuaj yeem txwv nws ntawm "kev ua txhaum", thiab tsis yog los ntawm zaub mov noj ... Lub hnub nyoog muaj hnub nyoog pib, kev tsis sib haum nrog niam txiv, kev tawm tsam rau kev ywj pheej, thiab lwm yam. Koj yuav tsis muaj cai txwv tsis pub ua txhua yam. Sim haub ntxiv. Qhia cov piv txwv ntawm cov neeg mob ntshav qab zib hom 1 uas tam sim no muaj kev nyuaj siab thiab hloov siab lees txim tias lawv yog cov ruam li lawv nyob hauv lawv cov hluas. Tab sis feem ntau rov sib ceg. Hauv qhov xwm txheej no, koj tuaj yeem cuam tshuam tsis tau. Sim txais kom muaj txiaj ntsig. Tau txais tus dev thiab muaj kev cuam tshuam nrog nws. Ntxiv nrog rau qhov tso dag.

Qib ntawm cov tshuaj insulin hauv cov ntshav dhia ntau heev. Saib ntawm kev sib kis hauv cov qauv - yuav luag 10 zaug. Yog li, kev kuaj ntshav rau cov ntshav insulin tsis yog qhov tshwj xeeb hauv kev kuaj mob. Koj tus menyuam, hmoov tsis txog, muaj 100% yam ntshav qab zib. Sai sai pib them nyiaj rau tus kab mob nrog cov tshuaj insulin thiab kev noj zaub mov kom tsawg. Cov kws kho mob tuaj yeem rub tawm sijhawm, tab sis qhov no tsis nyob hauv koj txoj kev nyiam. Tom qab koj pib kev kho mob ib txwm, qhov nyuaj nws yuav ua tiav. Nqa cov tshuaj insulin thiab ua raws li kev noj zaub mov nruj yog tsis txaus lom zem. Tab sis thaum tiav hluas, koj yuav tsis xav ua ib qho tsis raug vim mob ntshav qab zib muaj teeb meem. Yog li tsis txhob ua tub nkeeg, tab sis ua tib zoo kho.

Kev tau txais cov nyiaj them tau zoo yog qhov kev ntshaw ntawm cov niam txiv uas nyuam qhuav muaj ntshav qab zib hom 1 hauv lawv cov menyuam. Ntawm txhua lwm lub xaib koj yuav tau lees tias qhov no tsis yooj yim sua, thiab koj yuav tsum tso nrog surges hauv qab zib. Tabsis kuv muaj qee yam zoo rau koj. Nyeem kev xam phaj nrog cov niam txiv ntawm ib tug menyuam muaj hnub nyoog 6 xyoo uas mob ntshav qab zib hom 1 uas tau ua tiav kev zam txim. Lawv cov menyuam muaj ntshav qab zib cov ntshav khov, feem ntau tsis muaj tshuaj insulin, ua tsaug rau cov zaub mov tsis muaj zaub mov ntau. Ntawm hom 1 mob ntshav qab zib, muaj lub sijhawm honeymoon. Yog tias koj tsis pub cov carbohydrates rau qhov kom dhau txoj cai txiav, ces koj tuaj yeem txuas ntxiv rau ob peb xyoos, lossis ib sim neej.

Yuav ua li cas - ua ntej ntawm txhua yam, koj yuav tsum hloov mus rau kev noj zaub mov kom tsis txhob muaj carbohydrate.Txhawm rau sau tag nrho cov khoom noj uas raug txwv thiab txwv tsis pub saib, saib cov qauv qhia kev noj haus. Txhawm rau tshem tawm cov hmoov nplej, khoom qab zib thiab qos yaj ywm los ntawm qhov khoom noj yog ib nrab ntsuas, uas tsis txaus. Nyeem dab tsi honeymoon lub sijhawm yog rau hom 1 mob ntshav qab zib. Tej zaum muaj kev pab los ntawm kev noj zaub mov kom tsis muaj cov carbohydrate, koj yuav tuaj yeem txuas ntxiv nws rau ob peb xyoos, lossis ib sim neej. Ntawm no yog kev xam phaj nrog cov niam txiv ntawm tus menyuam muaj 6 xyoo uas tau ua. Lawv faib tawm nrog cov tshuaj insulin suav daws thiab ua kom thaj suab thaj zoo li cov neeg noj qab nyob zoo. Lawv tus menyuam tsis nyiam insulin ntau heev uas nws npaj siab yuav ua raws li kev noj zaub mov, yog tias tsuas tsis muaj txhaj tshuaj xwb. Kuv tsis tau cog lus tias koj yuav ua tiav tib txoj kev vam meej. Tab sis txawm li cas los xij, kev noj zaub mov kom tsis muaj cov carbohydrate yog lub hauv paus ntawm kev saib xyuas ntshav qab zib.

Ntshav Qab Zib Hom 1 hauv cov menyuam yaus: kev tshawb pom

Cov niam txiv yuav tsum lees txais tias tus menyuam muaj ntshav qab zib hom 1 hnub nyoog ntawm 12-14 xyoo thiab txawm tias laus dua yuav tsis qhia txog kev txhim kho vascular teebmeem. Qhov kev hem thawj ntawm cov teeb meem no mus ntev yuav tsis yuam nws tswj nws cov ntshav qab zib kom hnyav dua. Tus me nyuam tsuas yog txaus siab nyob rau lub sijhawm tam sim no, thiab thaum tseem hluas nws yog qhov xwm txheej no. Nco ntsoov nyeem peb cov ntawv tseem ceeb, Ntshav Qab Zib hauv Cov Menyuam thiab Cov Hluas.

Yog li, koj tau pom dab tsi yog cov yam ntxwv ntawm hom ntshav qab zib hom 1 hauv cov menyuam yaus. Cov menyuam yaus no yuav tsum tau tshuaj xyuas tas li seb lawv cov thyroid caj pas ua haujlwm li cas. Hauv ntau cov menyuam yaus uas muaj ntshav qab zib hom 1, siv lub tshuab nqus tshuaj insulin pab tswj ntshav qab zib kom zoo. Tab sis yog tias tus me nyuam ua raws li cov zaub mov tsis muaj carbohydrate, ces feem ntau koj tuaj yeem tswj hwm cov piam thaj li qub nrog kev pab los ntawm kev siv tshuaj insulin.