Ntshav qab zib tshuaj tua kab mob: pom zoo siv tshuaj thiab cuam tshuam rau lub cev

Ib tug neeg muaj ntshav qab zib tau raug rau ntau yam mob tshwm sim, vim tias kev tiv thaiv tsis muaj zog tiv thaiv kab mob. Tsab xov xwm no yuav tham txog cov ncauj lus tseem ceeb - tshuaj tua kab mob rau ntshav qab zib, uas yuav qhia koj tias nyob rau qhov xwm txheej twg cov tshuaj no tsim nyog, lawv yuav cuam tshuam li cas rau tus kab mob hauv qab, uas yuav tsum tau hais rau cov tshuaj txwv.

Kho Kab Mob Ntshav Qab Zib

Ib tug neeg uas muaj ntshav qab zib, ua ke nrog kev tiv thaiv suab thaj, yuav tsum niaj hnub siv txoj hauv kev los tiv thaiv kab mob thiab kis mus rau lwm tus. Lub cev, vim yog qhov kev thauj khoom hnyav, nres kom tiv nrog kev tua kab mob pathogenic, yog li ntau qhov mob tsis dhau los ntawm.

Feem ntau, kev kho mob tsis tuaj yeem ua yam tsis siv tshuaj tua kab mob. Cov tshuaj no tsuas yog kws kho mob sau tseg los ntawm tus kws kho mob, nws yog txwv tsis pub kom muaj kev phom sij rau koj tus kheej kev noj qab haus huv ntawm koj tus kheej.

Txog qib qab zib thiab lwm cov ntsiab lus

Yog li, txij li txawm tias qhov tseem ceeb tshaj plaws thaum xub thawj siab txias yuav ua rau muaj teeb meem, qee txoj cai yuav tsum ua raws. Hauv kev tshwj xeeb, kev kho kom tsim nyog muaj feem cuam tshuam tas li saib xyuas qhov sib piv ntawm cov piam thaj hauv cov ntshav. Nws yog hais txog kev ntsuas qhov ntsuas no txhua txhua peb rau plaub teev.

Yog tias mob khaub thuas nrog ntshav qab zib nrog cov ntshav qabzib siab dhau, ces koj yuav tsum siv nws, nco ntsoov noj nws hauv me me sips:

dej
piam thaj free qhiav.

Nws yog ib txwm tsim nyog los tswj cov zaub mov thiab cov dej haus uas tau haus ntxiv rau hauv cov txheej txheem kev ntsuas zoo rau cov ntshav qab zib. Qhov no yuav ua rau nws muaj peev xwm txheeb xyuas qhov tseeb li cas ntawm cov khoom thiab dej haus siv ua rau tib neeg lub cev. Raws li ib feem ntawm tus kab mob, tib neeg lub cev maj mam tsim tawm thiab tsim cov tshuaj insulin. Qhov no tom qab ua rau hyperglycemia.

Kev tawm tsam nws thiab kev kho lub cev yuav tsum nyob hauv qab kev saib xyuas tas li ntawm tus kws tshaj lij.

Yuav luag txhua zaus yuav tsum tau txhaj tshuaj tshwj xeeb ntawm cov tshuaj insulin, tshaj tawm ntau dhau. Cov no tuaj yeem tsis tsuas yog luv luv, tab sis kuj ultrashort kev npaj. Lawv raug pom zoo kom ua txhua txhua peb mus rau plaub teev.

Hais txog khoom noj khoom haus rau khaub thuas thiab mob ntshav qab zib

Nws yog ib qho tseem ceeb kom nco ntsoov tias txhua tus ntawm cov degrees ntawm qhov kub tom qab 37.5 yuav tsum nce qhov feem ntawm cov tshuaj hormones los ntawm 20-25%. Tsuas yog hauv qhov no, tus mob khaub thuas uas nquag muaj thiab txhim kho ntshav qab zib yuav raug ncua.

Hais txog cov yam ntxwv ntawm lub xeev

Tus mob khaub thuas uas muaj ntshav qab zib mellitus ntawm hom thawj thiab thib ob nws muaj nws tus kheej. Dab tsi yog nws yog hais txog? Ua ntej tshaj plaws, uas nyob hauv lub moj khaum ntawm qhov mob khaub thuas, thaum pib, tus neeg yuav tsis hnov tshaib plab. Txawm li cas los xij, nws tseem yog ib qho tseem ceeb heev uas yuav tsum tau noj ib yam dab tsi - nws yuav ua rau cov kev kho mob sai dua thiab kho qhov tseeb. Tus neeg mob ntshav qab zib tuaj yeem xaiv cov zaub mov raws li nws cov zaub mov noj ntshav qab zib.

Thaum lub siab kub, ntuav, lossis mob plab, ib khob ntawm cov kua yuav tsum tau haus txhua txhua teev. Hauv qhov no, nws yog qhov zoo tshaj plaws los haus dej thiab ua nws hauv me me saws rau ib teev. Thaum muaj kev txhim kho, nws raug tso cai kom tsis pub ntau tshaj 15 grams ntawm carbohydrates txhua 60 feeb:

ib nrab khob khob mis uas muaj txiv hmab txiv ntoo yogurt,
ib qho me me ntawm txiv hmab txiv ntoo.

Yog li, txoj kev kho yuav ua tiav, tab sis dab tsi txog cov tshuaj siv?

Nws puas tuaj yeem kho ntshav qab zib?

Qee cov tshuaj OTC kuj tsim nyog rau cov neeg mob ntshav qab zib. Txawm li cas los xij, nws yog ib qho tseem ceeb kom ntseeg tau tias cov zaub mov uas muaj cov piam thaj hauv siab tsis tau noj. Peb tab tom tham txog hnoos khaub thuas, khaub thuas, potions tam sim, mob caj pas lozenges thiab lwm yam. Muaj qhov tsis tshua pom zoo, lawv suav nrog cov piam thaj ntau, thiab tsuas yog yuav tsis haum rau qhov txias ntawm tus mob ntshav qab zib. Yog li, nws yuav tsum tau ua tib zoo kawm cov npe ntawm cov tshuaj txhawm rau txhawm rau txiav txim siab seb puas muaj qab zib hauv nws.

Yog tias koj muaj kev ua xyem xyav, koj yuav tsum sab laj nrog tus kws kho mob tshwj xeeb kom qhov kev kho mob zoo. Ib qho ntxiv, thaum mob khaub thuas thiab tsim cov ntshav qab zib ua ke ua ke thiab nrog, ntxiv rau, los ntawm cov ntshav siab, kev siv cov tshuaj xws li cov neeg muaj lub cev tsis zoo yuav tsum zam.

Qhov no yog vim tias lawv tuaj yeem nce ntshav siab ntshav qab zib ntau dua.

Thaum tus mob ntshav qab zib muaj cov tsos mob xws li:

txog siav
mob hauv siab
pungent tsw ntawm acetone los ntawm lub qhov ncauj kab noj hniav,
zawv plab thiab ntuav mus ntev tshaj rau teev,

thiab tseem tsis muaj kev txhim kho kev noj qab haus huv tom qab ob hnub, nws raug nquahu kom hu rau lub tsheb tos neeg mob.

Kev tiv thaiv ntawm tus mob khaub thuas yog tus yuam sij rau kev rov zoo

Hauv qhov xwm txheej zoo ib yam, thaum kev ntsuam xyuas pom qhov feem ntau ntawm ketone lub cev hauv cov zis, thiab tus nqi ntawm cov piam thaj tom qab peb ntsuas sib law liag tseem muaj ntau (ntau dua 13.9 mmol ib liter) lossis qis (tsawg dua 3.3 mmol ib liter), koj yuav tsum hu rau tus kws kho mob Cov.

Hais Txog Kev Tiv Thaiv

Raws li koj paub, kev kho mob yam tsis muaj kev tiv thaiv txuas ntxiv tom qab tsis tau ua rau 100% qhov tshwm sim, uas yog vim li cas nws yog qhov tseem ceeb heev. Yog li, ua tib zoo saib xyuas txhua txoj cai ntawm kev coj huv ntawm tus kheej yuav ua rau nws muaj peev xwm zam kev kis mob nrog cov kis mob uas tuaj yeem kis tau los ntawm txoj kev ua pa. Tab sis nquag thiab tsis muaj tsawg tsawg ntxuav tes yuav ua rau nws tuaj yeem tiv thaiv kev txhim kho thiab kev tsim txom ntawm tus mob khaub thuas, tsis tsuas yog muaj ntshav qab zib, tab sis kuj tsis muaj nws.

Nws yog ib qho tseem ceeb kom nco ntsoov tias tsis muaj tshuaj tiv thaiv los ntawm tus mob khaub thuas uas muaj rau cov kab mob tau piav qhia. Txawm li cas los xij, nws tseem pom zoo kom sab laj nrog ib tus kws tshaj lij txog kev siv tshuaj tiv thaiv kev mob ua npaws. Qhov no yuav tsum tau ua, yog tias tsuas yog vim tias lawv yuav tsim tau qee qhov kev ntxhov siab rau lub cev thiab tseem ua rau cov nyom ntawm kev saib xyuas ntawm cov tshuaj feem ntau ntawm cov piam thaj hauv cov ntshav.

Yog lawm, koj yuav tsum nco ntsoov theem ntawm kev siv dag zog, noj txhua yam tshuaj uas tsim nyog thiab tso cai, nrog rau kev saib xyuas cov ntshav qab zib tas mus li thiab kev pom zoo noj zaub mov zoo. Tsuas yog hauv qhov no, koj tuaj yeem suav qhov tseeb tias tus mob khaub thuas nrog ntshav qab zib yuav dhau sai thiab tsis muaj teeb meem loj.

Tshuaj tua kab mob rau tus mob ntshav qab zib hom 2: koj tuaj yeem haus dab tsi nrog tus mob khaub thuas?

Kev kis mob hnyav tau tshwm sim ntau rau cov neeg muaj ntshav qab zib. Nws yog qhov yuav tsum tau koom rau hauv kev siv tshuaj tua kab mob thaum lub sijhawm kom kho sai sai ntawm txoj kev tsom kab mob. Coob leej ntau tus txaus siab txog cov tshuaj tua kab mob uas qhia rau kev siv ntshav qab zib.

Nws yuav tsum tau hais meej meej tias kev siv pawg tshuaj no yuav tsum nyob hauv qab kev saib xyuas ntawm kws kho mob thiab nrog kev tso cai. Kev nce ntxiv hauv cov ntshav qab zib hloov qhov pauv cov metabolism hauv ib txwm. Feem ntau, cov tshuaj tua kab mob siv ntshav qab zib ua rau pom lub cev tsis xav txog.

Video (nyem mus ua si).

Kev siv cov tshuaj tua kab mob tuaj yeem ua rau cov kev mob tshwm sim tsis zoo. Yog li, nws yog ib qho tseem ceeb kom paub txog cov tshuaj tua kab mob twg yuav tsum siv nrog tus kab mob no, kom tsis txhob nce ntshav qab zib.

Muaj ob peb hom mob ntshav qab zib. Thawj hom mob yog cuam tshuam nrog cov tshuaj insulin, qhov tsis txaus tsim tawm. Ntshav Qab Zib 1 yog sau npe hauv 10-15% ntawm cov neeg mob.

Qhov txiav ua nrog tus kab mob no tsis tuaj yeem tiv thaiv nws txoj haujlwm, qhov ntau ntawm cov tshuaj synthesized tsis ua tiav cov txiaj ntsig ntawm cov piam thaj, thiab cov ntshav qab zib nce ntxiv. Mob ntshav qab zib hom no xav tau kev kho mob insulin.

Muaj ntshav qab zib hom 2, muaj cov insulin txaus tsim tawm hauv lub cev, qee zaum tseem muaj ntau tshaj qhov tsis txaus ntseeg. Txawm li cas los xij, qhov kev tawm tsam yuav luag tsis muaj txiaj ntsig, vim hais tias lub cev cov ntaub so ntswg poob lawv qhov kev nkag siab rau nws.

Yog tias muaj hom mob thib ob, tom qab ntawd cov tshuaj insulin yog siv hauv qhov tsis tshua muaj, tsuas yog nrog cov chav kawm nyuaj nrog qhov tsis muaj txiaj ntsig ntawm lwm yam tshuaj.

Tsis tas li ntawd, muaj "mob ntshav qab zib" uas ploj lawm, uas tsuas yog txiav txim siab siv lub tsom tshwj xeeb. Qhov no tshwm sim thaum:

rog dhau
tsis zoo muaj keeb
rog dhau thaum yug los (los ntawm 4 kg lossis ntau dua).

Kev cuam tshuam ntawm cov tshuaj tua kab mob nrog lub cev ntawm cov ntshav qab zib

Mob ntshav qab zib thiab tshuaj tua kab mob tuaj yeem ua haujlwm zoo, tab sis ua ntej siv cov tshuaj, koj yuav tsum kawm tag nrho cov kev pheej hmoo uas tshwm sim hauv cov mob no.

Kev siv tshuaj tua kab mob tsis raug pom zoo rau:

decompensated chav kawm ntawm tus kab mob,
laus lawm
tsim cov kev mob tshwm sim lig,
micro thiab macroangiopathies, nephro- thiab neuropathies, as Well as retinopathies,
lub sijhawm tiv thaiv ntawm tus kabmob yog ntau tshaj 10 xyoo,
kev hloov pauv hauv kev ua haujlwm ntawm qee qhov kev tiv thaiv ntawm lub cev tsis muaj zog thiab lub cev, piv txwv li, txo qis rau kev ua haujlwm ntawm neutrophils, chemotaxis thiab phagocytosis.

Thaum tus kws kho mob xav txog rau tag nrho cov nuances, nws tau teev cov tshuaj uas tsis ua rau muaj piam thaj hauv cov ntshav, uas tiv thaiv ntau qhov kev phiv tsis zoo.

Ib qho ntxiv, nws tseem ceeb uas yuav tsum nco ntsoov cov ntsiab lus no:

Ntau yam tshuaj tua kab mob rau ntshav qab zib tsis sib txig muaj txiaj ntsig ntawm cov tshuaj hypoglycemic. Ntawd yog, tshuaj tua kab mob tuaj yeem hloov qhov tshwm sim los ntawm ntsiav tshuaj thiab kev txhaj tshuaj uas txo cov ntshav qabzib.

Macrolides thiab sulfonamides inhibit cov enzymes uas ua lub luag haujlwm rau tawg ntawm cov tshuaj yeeb dej caw. Raws li qhov tshwm sim, ntau tus neeg sawv cev nquag nkag mus rau cov ntshav, thiab lub sijhawm thiab cov nyhuv nce ntxiv. Rifampicin, piv txwv, txo cov kev cuam tshuam ntawm cov tshuaj hypoglycemic.

Microangiopathy ua rau muaj sclerosis ntawm cov hlab ntsha me. Qhov no txhais tau tias koj yuav tsum pib siv tshuaj tua kab mob nrog kev siv tshuaj kom haum, thiab tsis tas nrog cov leeg, li niaj zaus. Tsuas yog thaum lub cev tau txaus nrog txoj cai tshuaj koj tuaj yeem hloov mus rau cov tshuaj noj hauv qhov ncauj.

Kev kis kab mob yog ib qho teeb meem uas keev muaj rau cov neeg muaj ntshav qab zib.

Thaum sau tshuaj rau antimicrobial kev kho mob ntawm kev kis kab mob hauv cov neeg mob ntshav qab zib mellitus, kev sib cuam tshuam ntawm cov tshuaj no nrog rau kev siv tshuaj qab zib yuav tsum raug coj los siv.

Cov kab mob me muaj peev xwm kis tau rau txhua qhov ntawm lub cev. Raws li koj paub, feem ntau raug kev txom nyem:

tawv nqaij
cov kab mob zis
qis cov pa ua pa.

Mob txeeb zig

Xws li tus kab mob tau piav qhia los ntawm kev tsim ntawm nephropathy. Lub raum tsis tuaj yeem tiv thaiv lawv lub luag haujlwm thiab cov kab mob sai sai tua tag nrho cov kev teeb tsa ntawm cov kab ke no.

Piv txwv ntawm UTI tuaj yeem muab tau:

Pyelonephritis,
Tshaj tawm ntawm lub raum adipose ntaub so ntswg,
Cystitis
Papillary necrosis.

Tshuaj tua kab mob rau ntshav qab zib hauv cov ntaub ntawv no tau sau tseg raws qee cov ntsiab cai. Yog li, qhov cuab yeej yuav tsum tsis txhob muaj kev pom dav dav ntawm kev ua rau kev kho mob thaum xub thawj. Thaum tus neeg sawv cev yog vim li cas tsis tau paub tseeb, fluoroquinolones thiab cephalosporins siv.

Hauv tshwj xeeb, Augmentin yog siv los kho cov hlab ntsws, mob ntsws, mob rau daim tawv thiab tso zis. Augmentin hais txog cov tshuaj tua kab mob penicillin nrog rau kev sib xyaw ua ke ntawm amoxicillin thiab potassium clavulanate.

Augmentin muaj kev tiv thaiv zoo thiab muaj qhov tsis tshua muaj tshuaj lom ntau rau txhua tus penicillins. Yog tias koj haus cov tshuaj no ntev, koj yuav tsum tau ntsuas xyuas lub xeev cov ntshav, ob lub raum thiab lub siab.

Cov tshuaj tuaj yeem ua rau muaj kev tsis haum tshuaj, uas tsis tshua muaj siab rau cov neeg mob ntshav qab zib. Yog li, tus kws kho mob ua ntej sau ntawv yuav cov tshuaj yuav tsum to taub zuj zus txog kev siv nyob rau hauv rooj plaub tshwj xeeb no.

Lub sijhawm tiv thaiv ntawm kev kho mob hnyav ntawm ntau hom qauv ntawm UTI yog kwv yees li ob zaug ntev li ib txwm. Cystitis yog kho tau txog 8 hnub, pyelonephritis - peb lub lis piam. Yog tias ib tus neeg tab tom mob siab rau cov kev mob nephropathy, koj yuav tsum tau saib xyuas tas li ntawm lub raum kev ua haujlwm. Rau cov laj thawj no, nws yog qhov tsim nyog los ntsuas cov creatinine tshem tawm, nrog rau tus nqi glomerular pom.

Yog tias cov nyhuv ntawm cov tshuaj tua kab mob tsis pom, nws yuav tsum tau hloov.

Cov txhab ntawm cov xwm no feem ntau tshwm sim nyob rau hauv daim ntawv ntawm:

txhaus qees
carbuncle
mob ntsws,
mob ntshav qab zib mob ko taw.

Ua ntej tshaj plaws, kom tshem tawm cov tsos mob, koj yuav tsum normalize glycemia. Yog tias qhov ntsuas ntshav qab zib tsis txaus siab, tom qab ntawv qhov no ua rau muaj kev vam meej ntawm tus kab mob thiab qeeb hauv cov txheej txheem ntawm cov nqaij mos ua kom rov ua dua tshiab.

Cov neeg mob ntshav qab zib tuaj yeem tsim kev hnoos qeev, uas yog suav tias yog kev kis mob fungal. Cov tsos mob ntawm tus txheej txheem kis feem ntau tshwm sim hauv lub qhov ntswg kab noj hniav, tab sis tom qab ntawd kis mus rau lub hlwb thiab qhov muag.

Kev kho rau cov kab mob fungal feem ntau suav nrog kev siv tshuaj tua kab mob.

Cov ntsiab cai ntxiv ntawm kev kho mob yog:

kev so thiab tshem tawm ntawm qhov raug mob povtseg (yog tias txhais ko taw tau kho),
kev siv cov tshuaj tiv thaiv kom muaj zog. Cov khoom siv feem ntau yog tiv thaiv penicillins, carbapenems, peb-tiam cephalosporins. Cov tshuaj yog xaiv raws li kev nkag siab ntawm tus kab mob rau nws thiab tus yam ntxwv ntawm tus neeg mob. Lub sijhawm ntawm kev kho mob tsawg kawg yog ob lub lis piam,
kev phais mob: tshem tawm cov ntaub so ntswg tuag lossis tso dej ntawm qhov chaw huv,
kev tshuaj xyuas tas mus li ntawm cov haujlwm tseem ceeb. Nrog kev sib kis sai sai ntawm txheej txheem, nws yuav tsim nyog los txiav tawm ntawm caj npab.

Kev tshwm sim hauv zos los ntawm kev khaus ntawm daim tawv nqaij yog tus phooj ywg ntshav qab zib tas li. Cov tawv nqaij khaus tuaj yeem tshwm sim los ntawm ntau yam, piv txwv:

ntshav khiav tsis zoo
daim tawv nqaij qhuav
poov xab kis tau tus mob.

Nrog cov ntshav tsis txaus, cov tawv nqaij ua pob rau ntawm ko taw thiab txhais ceg qis yuav pib.

Cov ntshav qab zib twg tuaj yeem tiv thaiv kom khaus tawv nqaij. Koj yuav tsum siv tshuaj pleev thiab pleev pleev kom tawv nqaij kom tawv. Ib qho ntxiv, thaum da dej, siv cov xab npus me me xwb.

Txhawm rau kom tsis txhob muaj kev pheej hmoo ntawm kev kis kab mob ntawm daim tawv nqaij, nws yog ib qho tsim nyog los ua lub neej kom zoo thiab ua raws li kev kho noj tshuaj.

Nrhiav kev kho mob sai sai yog tias:

siab kub, uas suab tsis txo,
nrog rau qhov ntsuas kub muaj lub cev ua pa thiab txog siav,
xav tau kom haus tas li
muaj ketoacidosis,
Ua kom lub cev hnyav hnyav
muaj qhov tsis nco qab, qhov mob plab,
raws plab pom los yog ntuav tshaj 6 teev,
tus tsos mob ntawm tus kab mob tsis ploj, tab sis yog tas li nce,
qhov degree ntawm cov ntshav qab zib ntau dua 17 mmol / l.

Cov tshuaj tua kab mob rau tus mob ntshav qab zib hom 2 nrog rau mob ntsws lossis mob ntsws yog tsim raws li cov qauv txheej txheem ntawm kev tso cai koom ua ke. Koj yuav tsum pib nrog kev tiv thaiv penicillins, thiab tom qab ntawd tsom mus rau kev nyob zoo ntawm tus neeg mob. Nws yog ib qho tsim nyog los ua kom tiav txoj kev ntsuas xoo hluav taws xob ntawm lub ntsws. Thov kev kho cov tsos mob ntxiv.

Cov neeg mob ntshav qab zib kuj tseem tuaj yeem noj qee yam tshuaj uas txias uas tsis tas kws kho mob sau. Tab sis nws yog ib qho tseem ceeb kom nco ntsoov tias qhov muaj pes tsawg leeg tsis muaj piam thaj ntau. Siv cov tshuaj, nws yog ib qho tseem ceeb yuav tsum tau nyeem cov lus qhia ua ntej, uas qhia qhov tseeb ntawm cov piam thaj hauv cov tshuaj.

Tus mob ntshav qab zib yuav tsum tsis txhob noj kua qab zib noj thiab cov tshuaj ua pa hnoos. Koj yuav tsum nco ntsoov nrhiav cov lus "tsis muaj piam thaj", txawm tias cov tshuaj tau ntxiv rau cov tshuaj tua kab mob. Muaj qee kis, tshuaj ntsuab rau mob ntshav qab zib hom 2 tuaj yeem hloov kho tau.

Nrog rau cov ntshav siab, nws yog ib qho tseem ceeb kom tsis txhob siv cov tshuaj uas muaj tshuaj lom, lawv nce ntshav siab.

Tshaj tawm cov tshuaj tua kab mob rau cov ntshav qab zib yuav tsum muaj kev saib xyuas thiab qib kws los ntawm kws kho mob. Microbes nquag tawm tsam cov neeg mob ntshav qab zib mellitus, yog li koj yuav tsum xav txog kev siv ntau yam tshuaj thiab probiotics tiv thaiv kev tuag ntawm microflora ntawm lub cev. Txoj hauv kev no yuav txo qhov kev pheej hmoo ntawm cov kev mob tshwm sim hauv cov tshuaj kho mob feem ntau. Daim vis dis aus hauv tsab xov xwm no txuas ntxiv lub ntsiab lus ntawm kev saib xyuas ntshav qab zib.

Tshuaj tua kab mob ntshav qab zib. Yuav ua li cas nrog lwm cov tshuaj?

Kab mob kis rau cov neeg mob uas muaj “mob qab zib” yog qhov tshwm sim ntau. Nws yog ib qho tsim nyog yuav tsum tau pib sai kho cov tshuaj tua kab mob rau kev kho kom raws sij hawm ntawm txoj kev tsom ntsoov pathological. Coob tus neeg mob siab xav txog yam tshuaj tua kab mob uas muaj peev xwm ua tau rau ntshav qab zib.

Nws yuav tsum tau hais tawm tam sim ntawd kom paub tseeb tias txoj kev noj tshuaj ntawm pab pawg no yuav tsum tau nqa tawm tsuas yog nyob hauv kev saib xyuas ntawm tus kws kho mob koom thiab los ntawm nws lub sijhawm teem. Hyperglycemia hloov cov kev coj ua haujlwm metabolic zoo. Feem ntau, cov nyhuv ntawm cov tshuaj yuav txawv ntawm qhov zoo nrog lub cev lub cev zoo.

Tsawg tsawg tus neeg paub txog cov nuances. Yog li no, feem ntau muaj kev xav txog qhov tsis zoo tom qab siv tshuaj tua kabmob nrog rau "kev mob qab zib".

Ua ntej siv cov tshuaj ncaj qha, nws yuav tsum tau kawm txhua qhov kev pheej hmoo uas tuaj yeem tos tus neeg mob thaum noj cov tshuaj.

Cov no suav nrog:

Decompensated chav kawm ntawm tus kab mob.
Laus lub caij nyoog.
Twb tau tsim cov kev mob lig dhau los ntawm tus kab mob (micro- thiab macroangiopathy, retinopathy, nephro- thiab neuropathy).
Lub sijhawm muaj tus kabmob (˃10 xyoo).
Lub xub ntiag ntawm cov kev hloov pauv hauv kev ua haujlwm ntawm qee qhov kev tiv thaiv ntawm lub cev tiv thaiv thiab cov kabmob muaj tag nrho (qhov kev ua haujlwm tsawg ntawm neutrophils, phagocytosis thiab chemotaxis).

Thaum tus kws kho mob coj mus rau hauv tus lej txhua yam no, nws yuav muaj peev xwm kho ntau yam tshuaj uas tsim nyog rau tus neeg mob thiab tiv thaiv ntau qhov kev tsis txaus siab.

Tsis tas li, ib qho yuav tsum tsis txhob hnov qab txog cov ntsiab lus tseem ceeb no:

Ntau yam tshuaj tua kab mob rau cov ntshav qab zib mellitus tsis sib txig sib luag rau cov tshuaj tiv thaiv hypoglycemic (insulin thiab ntsiav tshuaj uas txo cov ntshav qabzib). Yog li, sulfonamides thiab macrolides cuam tshuam rau cov enzymes, uas yog lub luag haujlwm rau kev tawg ntawm cov tshuaj nquag ntawm cov tshuaj. Raws li qhov tshwm sim, cov tebchaw nquag nkag mus rau cov ntshav, thiab cov nyhuv thiab sijhawm lawv ua haujlwm nce ntxiv. Rifampicin, ntawm qhov tsis sib haum, inhibits qhov tsis zoo ntawm cov tshuaj tiv thaiv hypoglycemic.
Microangiopathy ua rau muaj sclerosis ntawm cov hlab ntsha me. Yog li, nws raug nquahu kom pib siv tshuaj tua kab mob nrog kev txhaj tshuaj rau cov leeg, thiab tsis yog nrog cov tshuaj mus rau cov leeg, li qub. Tsuas yog tom qab saturating lub cev nrog qhov tsim nyog tsim nyog koj tuaj yeem hloov mus rau qhov ncauj ntawm cov tshuaj.

Cov kab mob me me muaj peev xwm kis tau rau txhua qhov ntawm lub cev.

Feem ntau cuam tshuam:

Cov kab mob zis
Daim tawv nqaij integument
Kev nqus tau pa tsawg.

Cov mob txeeb zig ua mob rau cov mob txeeb zig (UTIs) yog tshwm sim los ntawm qhov tsim ntawm nephropathy. Lub raum tsis kam tiv thaiv nws txoj kev ua haujlwm los ntawm 100% thiab cov kab mob ua haujlwm tawm tsam cov qauv ntawm lub zog no.

UTI Piv Txwv:

Tshaj tawm ntawm lub raum adipose ntaub so ntswg,
Pyelonephritis,
Papillary necrosis
Cystitis.

Tshuaj tua kab mob rau ntshav qab zib hauv qhov no tau raug ntaus nqi raws li cov ntsiab lus hauv qab no:

Cov tshuaj yuav tsum muaj qhov dav ntawm kev txiav txim rau kev kho qhov pib. Kom txog rau thaum tus neeg sawv cev causative yog precisely tsim, cephalosporins thiab fluoroquinolones siv.
Lub sijhawm kho ntawm cov ntaub ntawv nyuaj ntawm UTI tshaj li niaj zaus los ntawm 2 zaug. Cystitis - 7-8 hnub, pyelonephritis - 3 lub lis piam.
Yog hais tias tus neeg mob hloov kho nephropathy, nws yog ib qho tsim nyog yuav tsum tau soj ntsuam tas li ntawm qhov ua tau zoo ntawm lub raum. Rau qhov no, creatinine clearance thiab glomerular pom kev ntsuas yog nquag ntsuas.
Thaum tsis muaj cov nyhuv ntawm cov tshuaj tua kab mob uas tau siv, koj yuav tsum hloov nws.

Xws li qhov chaw mob feem ntau tshwm sim nws tus kheej hauv daim ntawv ntawm:

Mob ntsws hawb pob,
Carbuncle
Ntshav qab zib mob ko taw
Fasciitis.

Ua ntej tshaj plaws, kom tshem tawm cov tsos mob, nws yog ib qho tsim nyog yuav tsum ua kom muaj glycemia. Nws yog nce ntshav qab zib uas ua rau kev txhim kho ntawm tus kab mob thiab maj mam ua cov txheej txheem ntawm cov nqaij mos ua kom rov ua dua tshiab.

Cov ntsiab cai ntxiv ntawm kev kho nyob twj ywm:

Ua kom lub sijhawm so tag nrho thiab kev thauj mus ntev tshaj plaws ntawm qhov raug mob (thaum mob ko taw).
Kev siv cov tshuaj tua kabmob muaj zog. Cephalosporins 3 tiam, carbapenems, tiv thaiv penicillins yog feem ntau kho mob. Kev xaiv tshuaj yog nyob ntawm kev nkag siab ntawm cov kab mob thiab cov yeeb yam ntawm tus neeg mob. Lub sijhawm kho yog tsawg kawg 14 hnub.
Kev siv cov txheej txheem phais (tshem tawm cov ntaub so ntswg tuag lossis tshem tawm ntawm puroc foci).
Txuas ntxiv saib xyuas ntawm cov haujlwm tseem ceeb. Nrog rau kev nthuav tawm ntawm cov txheej txheem yuav yog cov lus nug ntawm kev tshem tawm pov tseg.

Cov tshuaj tua kab mob rau tus mob ntshav qab zib hom 2 nrog rau mob ntsws ua paug lossis mob ntsws txhawm tshuaj tau raws li cov qauv txheej txheem ntawm kev tso cai koom ua ke. Koj yuav tsum pib nrog kev tiv thaiv penicillins (Amoxiclav), txuas ntxiv ntawm qhov xwm txheej. Nws yog ib qho tseem ceeb hauv kev soj ntsuam xoo hluav taws xob tas li ntawm lub ntsws. Yuav siv cov tsos mob ntxiv uas siv.

Qhia tshuaj tiv thaiv kab mob rau tus mob ntshav qab zib yuav tsum muaj kev saib xyuas zoo thiab saib xyuas los ntawm tus kws kho mob. Txij li cov microbes ib txwm nquag tawm tsam tib neeg lub cev nrog "tus kab mob qab zib", nws tsim nyog xav txog kev siv ntau yam tshuaj probiotics thiab cov tshuaj uas tiv thaiv kev tuag ntawm lawv tus kheej microflora.

Nrog rau txoj hauv kev no, nws yuav muaj peev xwm mus rau theem kev phiv cov tshuaj feem ntau txhoj puab heev.

Cov Lus Qhia & Cov Tswv Yim

Mob ntshav qab zib ua rau tsis muaj zog tiv thaiv lub cev, yog li tus neeg mob muaj mob ntau dua. Tshuaj tua kab mob rau ntshav qab zib yog siv rau hauv kev mob hnyav thaum kev siv tshuaj tua kab mob tsim nyog.

Lub cev tsis muaj zog tiv thaiv kab mob tsawg dua, yog li tus neeg mob lub cev tau teb rau txhua tus kab mob pathogenic.

Kev teem sij hawm ntawm cov tshuaj muaj mob hnyav no tsuas yog ua tshwj xeeb los ntawm kws kho mob, yog tias qhov kev mob tshwm sim hauv lub cev, qhov kev cuam tshuam yog qhov txawv ntawm qhov xav lossis tsis ua tiav txhua.

Lub cev ntawm cov ntshav qab zib yog qhov tsis zoo, yog li tus kab mob tuaj yeem cuam tshuam rau txhua qhov ntawm lub cev. Thaum kuaj pom tus kab mob, yuav tsum muaj kev cuam tshuam nrawm. Feem ntau, cov tshuaj tua kab mob tau hais tseg nyob hauv qhov muaj cov kev pathologies:

dermatological kab mob
mob txeeb zig
tsawg dua cov kab mob ua pa.

Ua ntej tshaj plaws, cov nyhuv tshwm sim rau cov kabmob nrog cov nce ntxiv. Lub raum tsis tuaj yeem cuam tshuam nrog lawv lub luag haujlwm 100%, yog li qhov mob txhab ntxiv tuaj yeem ua rau mob nephropathy.

Tshuaj tua kab mob thiab ntshav qab zib yog cov ntsiab lus nrog ua ke nrog ceev faj. Lub sijhawm tau tshwm sim hauv cov xwm txheej hnyav, thaum muaj kev pheej hmoo ntawm lub qog ntshav qab zib.

Txoj kev mob hnyav ntawm tus kab mob yuav tsum tau ua raws li kev saib xyuas ntawm tus kws kho mob hauv tsev kho mob.

Cov tshuaj tua kab mob yog kho los ntawm tus kws kho mob uas koom nrog, suav rau hauv tus neeg mob lub xeev ntawm kev noj qab haus huv.

Cov tshuaj tua kab mob rau tus mob ntshav qab zib hom 2 tau raug muab raws li cov qauv txheej txheem. Qhov ua rau yog mob ntsws lossis mob ntsws. Kev ntsuas hluav taws xob yog nqa tawm tsis tu ncua, txij li thaum chav kawm ntawm tus kab mob yog qhov nyuaj los ntawm kev pib lub zog tiv thaiv kab mob.

Cov kev kho mob siv cov tshuaj tiv thaiv penicillins: "Azithromycin", "Grammidin" ua ke nrog kev kho mob. Ua ntej siv, ua tib zoo kawm cov lus qhia, them nyiaj rau cov ntsiab lus qab zib. Thaum ntshav siab, cov tshuaj tiv thaiv kab mob nrog qhov ua kom mob siab rau yuav tsum txwv.

Ua ke nrog probiotics thiab kev noj haus kev noj haus uas khaws cov microflora thiab tiv thaiv kev phiv tawm, tshwj xeeb tshaj yog cov ntshav qab zib hom 1.

Txhawm rau tshem tawm cov tsos mob, tus mob ntshav qab zib yuav tsum them sai sai rau qib qab zib, txij li tus nqi siab tiv thaiv kev kho kom zoo thiab thaiv kev ua haujlwm ntawm tshuaj tua kab mob. Qhov feem ntau cov kis kab mob ntawm daim tawv nqaij:

mob ntshav qab zib mob ko taw
furunculosis thiab carbuncle,
necrotizing fasciitis.

Thaum kho cov mob ntshav qab zib ko taw, koj yuav tsum npaj kom ntev thiab mob zoo nkauj. Ntawm qhov kawg ua rau mob txhab ntshav ua kom mob loj heev uas tau muab faib ua 2 pawg ntawm qhov mob hnyav. Rau kev kuaj mob, cov qauv yog coj los ntawm ib txoj kev sib txuas thiab ko taw xoo hluav taws xob.

Tus kab mob ntshav qab zib ko taw yog siv tshuaj pleev thiab qhov ncauj. Yog tias muaj kev pheej hmoo ntau ntxiv ntawm kev ua rau lub cev ntaj ntsug, cov hauv qab no yog siv rau kev kho mob sab nraud: Cephalexin, Amoxicillin. Cov tshuaj tuaj yeem ua ke nrog kev kawm ntau yam ntawm tus kab mob. Cov kev kho mob hauv chav yog nqa tawm 2 lub lis piam.

Txoj kev kho yog nqa tawm kom nkag siab thiab muaj ntau theem:

qab zib mob them nyiaj,
nqig ceg load txo,
kev kho cov qhov txhab kom zoo
txiav tes taw ntawm tus ceg tawv nrog purulent-necrotic lesion, txwv tsis pub neeg tuag taus.

Cov kev kho mob rau cov leeg nqaij hlav tawm.

Furunculosis thiab carbuncle cov kab mob rov ua dua. Cov txheej txheem inflammatory yog nyob ze rau saum tawv taub hau. Nws tshwm sim nrog kev ua txhaum ntawm cov carbohydrate metabolism thiab tsis ua raws li kev noj tshuaj kho, nrog los ntawm purulent necrotic qhov txhab ntawm qhov tob ntawm daim tawv nqaij. Tshuaj tua kab mob: “Oxacillin”, “Amoxicillin”, chav kho mob yog 1-2 hlis.

Nrog necrotizing fasciitis, yuav tsum tau mus pw hauv tsev kho mob tam sim, vim tias nws muaj qhov pheej hmoo siab ntawm kev kis tus mob thoob plaws lub cev. Cov nqaij mos ntawm lub xub pwg, sab xub pwg nyom, thiab lub plab phab ntsa yog cuam tshuam. Txoj kev kho yog nqa tawm kom nkag siab, kev siv tshuaj tua kab mob tsuas yog ntxiv rau kev phais mob.

Gubergrits A.Ya., Linevsky Yu.V. Kho kev noj haus zoo. Kiev, luam tawm lub tsev "Tsev Kawm Ntawv Qib Siab", 1989.
Krashenitsa G.M. Kev kho mob ntshav qab zib Stavropol, Stavropol Book Publishing House, 1986, 109 nplooj ntawv, ncig 100,000 luam.
Stroykova A.S. Peb kho ntshav qab zib hauv tsev hauv tus menyuam. Daim ntawv nthuav qhia, tshaj tawm ntawm lub tuam txhab Novo Nordisk, tuaj yeem yog xyoo 1999, 31 nplooj ntawv, tsis tas yuav muaj qhov ntsuas ncig

Cia kuv qhia kuv tus kheej. Kuv lub npe yog Elena. Kuv tau ua haujlwm li endocrinologist rau ntau dua 10 xyoo. Kuv ntseeg hais tias tam sim no kuv yog tus kws tshaj lij hauv kuv daim teb thiab kuv xav pab txhua tus neeg tuaj saib lub vev xaib kom daws qhov nyuaj thiab tsis yog li cov haujlwm. Txhua cov ntaub ntawv rau lub xaib tau sau thiab ua tib zoo ua kom tiav thiaj li xa ntau li ntau tau cov ntaub ntawv tsim nyog. Ua ntej thov cov ntaub ntawv uas tau piav qhia hauv lub vev xaib, kev sab laj yuav tsum nrog cov kws tshwj xeeb ib txwm tsim nyog.

Cov Hom Ntshav Qab Zib

Muaj ob peb hom mob ntshav qab zib. Thawj hom mob yog cuam tshuam nrog cov tshuaj insulin, qhov tsis txaus tsim tawm. Ntshav Qab Zib 1 yog sau npe hauv 10-15% ntawm cov neeg mob.

Yog tias muaj hom mob thib ob, tom qab ntawd cov tshuaj insulin yog siv hauv qhov tsis tshua muaj, tsuas yog nrog cov chav kawm nyuaj nrog qhov tsis muaj txiaj ntsig ntawm lwm yam tshuaj.

Tsis tas li ntawd, muaj "mob ntshav qab zib" uas ploj lawm, uas tsuas yog txiav txim siab siv lub tsom tshwj xeeb. Qhov no tshwm sim thaum:

rog dhau
tsis zoo muaj keeb
rog dhau thaum yug los (los ntawm 4 kg lossis ntau dua).

Kev kis mob ntawm daim tawv nqaij thiab cov nqaij mos

Cov txhab ntawm cov xwm no feem ntau tshwm sim nyob rau hauv daim ntawv ntawm:

txhaus qees
carbuncle
mob ntsws,
mob ntshav qab zib mob ko taw.

Kev kho rau cov kab mob fungal feem ntau suav nrog kev siv tshuaj tua kab mob.

Cov ntsiab cai ntxiv ntawm kev kho mob yog:

kev so thiab tshem tawm ntawm qhov raug mob povtseg (yog tias txhais ko taw tau kho),
kev siv cov tshuaj tiv thaiv kom muaj zog. Cov khoom siv feem ntau yog tiv thaiv penicillins, carbapenems, peb-tiam cephalosporins. Cov tshuaj yog xaiv raws li kev nkag siab ntawm tus kab mob rau nws thiab tus yam ntxwv ntawm tus neeg mob. Lub sijhawm ntawm kev kho mob tsawg kawg yog ob lub lis piam,
kev phais mob: tshem tawm cov ntaub so ntswg tuag lossis tso dej ntawm qhov chaw huv,
kev tshuaj xyuas tas mus li ntawm cov haujlwm tseem ceeb. Nrog kev sib kis sai sai ntawm txheej txheem, nws yuav tsim nyog los txiav tawm ntawm caj npab.

Kev tshwm sim hauv zos los ntawm kev khaus ntawm daim tawv nqaij yog tus phooj ywg ntshav qab zib tas li. Cov tawv nqaij khaus tuaj yeem tshwm sim los ntawm ntau yam, piv txwv:

ntshav khiav tsis zoo
daim tawv nqaij qhuav
poov xab kis tau tus mob.

Nrog cov ntshav tsis txaus, cov tawv nqaij ua pob rau ntawm ko taw thiab txhais ceg qis yuav pib.

Cov ntshav qab zib twg tuaj yeem tiv thaiv kom khaus tawv nqaij. Koj yuav tsum siv tshuaj pleev thiab pleev pleev kom tawv nqaij kom tawv. Ib qho ntxiv, thaum da dej, siv cov xab npus me me xwb.

Txhawm rau kom tsis txhob muaj kev pheej hmoo ntawm kev kis kab mob ntawm daim tawv nqaij, nws yog ib qho tsim nyog los ua lub neej kom zoo thiab ua raws li kev kho noj tshuaj.

Kev mob ntsws ua pa

Nrhiav kev kho mob sai sai yog tias:

siab kub, uas suab tsis txo,
nrog rau qhov ntsuas kub muaj lub cev ua pa thiab txog siav,
xav tau kom haus tas li
muaj ketoacidosis,
Ua kom lub cev hnyav hnyav
muaj qhov tsis nco qab, qhov mob plab,
raws plab pom los yog ntuav tshaj 6 teev,
tus tsos mob ntawm tus kab mob tsis ploj, tab sis yog tas li nce,
qhov degree ntawm cov ntshav qab zib ntau dua 17 mmol / l.

Nrog rau cov ntshav siab, nws yog ib qho tseem ceeb kom tsis txhob siv cov tshuaj uas muaj tshuaj lom, lawv nce ntshav siab.

Kev siv tshuaj tua kab mob rau tus mob ntshav qab zib yuav tsum muaj kev saib xyuas thiab qib kws los ntawm kws kho mob. Microbes nquag tawm tsam cov neeg mob ntshav qab zib mellitus, yog li koj yuav tsum xav txog kev siv ntau yam tshuaj thiab probiotics tiv thaiv kev tuag ntawm microflora ntawm lub cev. Txoj hauv kev no yuav txo qhov kev pheej hmoo ntawm cov kev mob tshwm sim hauv cov tshuaj kho mob feem ntau. Daim vis dis aus hauv tsab xov xwm no txuas ntxiv lub ntsiab lus ntawm kev saib xyuas ntshav qab zib.

Vim li cas tus mob aub nce ntshav qab zib cov ntshav qab zib hauv ntshav qab zib?

Thaum koj tau khaub thuas, muaj ib lub sijhawm koj cov ntshav qab zib yuav sawv. Qhov no tshwm sim thaum koj lub cev xa cov tshuaj hormones los tiv thaiv kev kis tus kab mob. Thaum cov tshuaj hormones tuaj yeem pab tua mob khaub thuas, lawv tseem tuaj yeem tiv thaiv koj lub cev los ntawm kev siv insulin kom raug.

Thaum cov ntshav qab zib hauv cov ntshav tau nyuaj los tswj nrog tus mob khaub thuas lossis lwm yam mob, koj yuav muaj teeb meem, xws li ketoacidosis, yog tias koj muaj ntshav qab zib hom 1. Ketoacidosis yog kev txuam nrog ntau cov kua qaub nyob rau hauv cov ntshav thiab muaj feem ua rau tuag taus. Yog tias koj muaj ntshav qab zib hom 2, tshwj xeeb tshaj yog tias koj muaj hnub nyoog, koj yuav muaj qhov mob hnyav hu ua hyperglycemic hyperosmolar tsis yog ketone coma, tseem hu ua mob ntshav qab zib tsis nco qab, uas yog cov kev mob tshwm sim los ntawm cov ntshav qab zib heev.

Kuv yuav tsum kuaj xyuas kuv cov ntshav qab zib kom tsawg li cas?

Thaum koj tau khaub thuas, kuaj xyuas koj cov piam thaj hauv ntshav tsawg kawg txhua peb lossis plaub teev twg. Koj tus kws kho mob yuav qhia koj kom koj siv cov insulin ntau dua yog tias koj cov piam thaj hauv ntshav siab dhau.

Paub txog koj cov ntshav qab zib kom ntshav siab yuav ua rau koj pauv qhov kev kho mob ntshav qab zib yog koj cov piam thaj nyob deb ntawm qhov ntau.

Kuv yuav tsum noj dab tsi yog kuv muaj ntshav qab zib thiab mob khaub thuas?

Nrog rau thawj cov tsos mob ntawm tus mob khaub thuas, koj lub siab yuav ploj mus. Tab sis muaj ntshav qab zib, nws tseem ceeb uas yuav tau noj yam tsawg. Koj tuaj yeem xaiv cov khoom noj los ntawm koj li kev noj haus ib txwm muaj.

Nws raug nquahu kom haus kwv yees li 15 grams ntawm carbohydrates txhua txhua teev. Koj tuaj yeem haus dej haus 100 grams kua txiv, ib nrab khob ntawm kefir lossis ib nrab khob khob zaub siav. Yog tias koj tsis noj, koj cov piam thaj hauv ntshav yuav poob qis.

Yog tias koj kub taub hau, ntuav, lossis zawv plab, nco ntsoov haus ib khob dej txhua txhua teev. Koj tuaj yeem hliv kua dua kom haus tag nrho nws ib zaug, qhov tseem ceeb nrog tus mob khaub thuas yog kom tsis txhob muaj lub cev qhuav dej.

Yog tias koj cov piam thaj hauv ntshav siab dhau lawm, haus dej kom ntau, haus dej, lossis tshuaj ntsuab. Yog tias koj xav nce koj cov ntshav qab zib, siv ib khob kua txiv apple los yog ib nrab khob haus dej qab zib tshuaj yej. Txhua zaus yuav tsum xyuas seb koj noj dab tsi lossis haus nrog koj cov khoom noj ntshav qab zib kom tsis tu ncua kom paub tseeb tias cov khoom noj thiab dej haus no yog zam rau koj qhov xwm txheej.

Kuv tuaj yeem coj khaub thuas li cas ntshav qab zib?

Cov neeg muaj ntshav qab zib tuaj yeem noj qee yam tshuaj yuav tom khw los. Tab sis nco ntsoov zam kom tsis txhob muaj cov tshuaj muaj piam thaj ntau. Cov tshuaj uas mob ua kua ntau feem ntau muaj suab thaj. Nyeem cov lus qhia los txiav txim siab seb cov tshuaj puas muaj suab thaj. Yog tias tsis paub zoo, sab laj nrog koj tus kws kho mob. Koj tseem tuaj yeem siv cov kev kho mob rau pej xeem hnoos, los ntswg thiab nqus tau cov mob khaub thuas.

Cov neeg muaj ntshav qab zib yuav tsum zam tej kev noj tshuaj qab zib, tshuaj hnoos, thiab muab tshuaj txias rau. Saib cov lus tias “tsis muaj piam thaj” thaum mus yuav cov khoom ntawd. Yog tias koj muaj ntshav siab, tsis txhob txwv cov neeg koom nrog tuaj yeem ua kom koj cov ntshav siab ntau dua.

Kuv yuav tiv thaiv tus mob khaub thuas li cas yog kuv muaj ntshav qab zib?

Txawm hais tias koj muaj ntshav qab zib lossis tsis haus, ib txwm siv kev nyiam huv txhawm rau txo qis kev ua pa xws li mob khaub thuas lossis mob khaub thuas. Tiv thaiv mob khaub thuas, nco ntsoov koj thiab koj tsev neeg ntxuav koj txhais tes tsis tu ncua. Tsis muaj tshuaj tiv thaiv kab mob khaub thuas, tab sis tham nrog koj tus kws kho mob txog kev txhaj tshuaj tiv thaiv kev mob khaub thuas txhua xyoo kom tsis txhob kis tus kab mob npaws, uas tuaj yeem ntxiv kev ntxhov siab rau koj lub cev thiab cuam tshuam nrog kev tswj koj cov ntshav qab zib.

Cov tsos mob txhim kho mechanism

Txhawm rau kom nkag siab qhov laj thawj yog dab tsi tshwm sim, koj yuav tsum paub cov txheej txheem ntawm nws txoj kev txhim kho:

Polydipsia (kev nqhis dej tas li) yog tsim vim qhov tseeb tias cov piam thaj nyiam txog dej, thaum muaj dej nce ntxiv ntawm cov dej tawm hauv lub cev. Txhawm rau ua rau poob, lub cev "thov" ntau dua thiab ntau cov kua hauv sab nraud,
Kev tso zis nrawm yog cuam tshuam nrog qhov tseeb tias dej molecule khi rau cov kua nplaum hauv qab, uas ua rau kom muaj kua ntau ntxiv los ntawm lub cev los ntawm kev siv lub tshuab lim ntawm lub raum.
Kev hnyav lub cev feem ntau pom nyob rau hauv cov ntshav qab zib hom 1 vim qhov tseeb hais tias tus txiav tsis tuaj yeem tsim nws cov insulin, hos cov piam thaj tsis tuaj yeem nkag mus hauv cov hlwb thiab cov nqaij. Lub cev muaj kev cuam tshuam tas li los ntawm lub zog. Nrog hom 2, ib qho kev nce hauv lub cev nyhav tau pom, thaum tawm tsam keeb kwm yav dhau los ntawm kev rog dhau, qabzib tsis tuaj yeem tiv tauj cov ntaub so ntswg, vim tias cov receptors uas khi lawv tsis ua haujlwm zoo.
Kev mob taub hau, tsaug zog, tsis muaj zog yog txuam nrog kev tshaib plab ntawm lub paj hlwb, vim tias cov piam thaj yog qhov khoom tseem ceeb rau lub hauv nruab nrab cov hlab ntsha (CNS),
Lub qhov txhab ua kom tsis zoo yog tseem muaj cov suab thaj nyob rau qib siab, vim tias qab zib yog ib qho av zoo rau kev yug cov tsiaj mob microflora (cov kab mob, kab mob). Rau kev ua haujlwm ntawm cov qe ntshav dawb, ntshav qabzib kuj tseem xav tau, uas tsis txaus. Yog li, tiv thaiv cov ntshav tsis tuaj yeem rhuav tshem cov kab mob,
Qhov tsis hnov tsw ntawm acetone tshwm sim vim lub oxidation ntawm lipids (rog), nce ntxiv hauv qib ntawm ketone lub cev hauv cov ntshav.

Kev faib tawm

Dab tsi yog qhov no Mob ntshav qab zib mellitus tuaj yeem yog ob hom - insulin-nyob nrog thiab tsis siv tshuaj insulin.

Yam 1 ntshav qab zib

tshwm sim tiv thaiv keeb kwm ntawm insulin tsis txaus, yog li nws hu ua insulin-tiv thaiv. Nrog rau hom mob no, tus txiav tsis ua hauj lwm puv: nws txawm tias tsis tsim cov tshuaj insulin txhua lub sijhawm, lossis nws tsis tsim cov txheej txheem no txawm tias tsawg tshaj plaws ntawm cov kua nplaum. Raws li qhov tshwm sim, muaj kev nce ntxiv hauv cov ntshav qabzib. Raws li txoj cai, cov neeg yuag qis dua 30 xyoo muaj mob ntshav qab zib hom 1. Hauv cov xwm txheej zoo li no, cov neeg mob tau txais cov koob tshuaj insulin ntxiv los tiv thaiv ketoacidosis thiab tswj hwm kev noj qab haus huv ib txwm muaj.

Mob ntshav qab zib Hom 2

nce txog 85% ntawm tag nrho cov neeg mob ntshav qab zib mellitus raug kev txom nyem, feem ntau cov neeg laus dua 50 xyoo (tshwj xeeb yog poj niam). Cov neeg mob rog dhau los ntawm hom mob ntshav qab zib: ntau dua 70% ntawm cov neeg mob no yog rog dhau los. Nws yog nrog los ntawm kev tsim tawm ntawm tus nqi txaus ntawm cov kua dej, rau cov ntaub so ntswg uas maj mam poob lawv qhov kev xav tau.

Cov laj thawj ntawm kev loj hlob ntawm hom I thiab ntshav qab zib hom II yog qhov sib txawv. Hauv cov neeg mob uas muaj ntshav qab zib hom 1, beta-hlwb uas tsim cov tshuaj insulin rhuav tshem vim tus kab mob kis los yog mob lub cev ua rau lub cev tiv thaiv kab mob, vim tias nws qhov tsis muaj peev xwm nthuav dav nrog txhua qhov kev ua txhaum. Hauv cov neeg mob uas muaj ntshav qab zib hom 2, cov hlwb beta tsim cov tshuaj insulin kom txaus los yog twb tau nce lawm, tab sis cov ntaub so ntswg poob peev xwm pom nws cov paib tshwj xeeb.

Mob Siab

Ib feem tseem ceeb hauv kev faib tawm cov ntshav qab zib mellitus yog nws qhov kev sib cais los ntawm kev kawm ntawm qhov mob hnyav.

Nws cim cov feem ntau nyiam chav ntawm tus kab mob uas kev kho mob yuav tsum siv zog. Nyob rau theem ntawm cov txheej txheem no, nws tau them rov qab, cov ntshav qabzib tsis dhau 6-7 mmol / l, tsis muaj glucosuria (tsis muaj cov ntshav qabzib hauv cov zis), thiab glycosylated hemoglobin thiab proteinuria tsis dhau qhov ib txwm muaj.
Theem ntawm cov txheej txheem no qhia qee qhov them nyiaj ib nrab. Muaj cov cim qhia txog ntshav qab zib ua teeb meem thiab qhov mob ntawm lub hom phiaj ntawm lub cev: ob lub qhov muag, ob lub raum, lub siab, cov hlab ntshav, cov leeg ntshav, qis qis. Cov piam thaj hauv qib siab tau nce siab me ntsis thiab ntau npaum li 7-10 mmol / L.
Ib qho kev kawm zoo sib xws ntawm cov txheej txheem qhia tau hais tias nws hloov zuj zus tas mus li thiab qhov ua tsis tau ntawm kev tswj hwm tshuaj. Nyob rau tib lub sijhawm, cov ntshav qabzib nyob txawv 13-14 mmol / l, muaj cov glucosuria (tsis muaj cov piam thaj hauv cov zis), cov proteinuria ntau (muaj cov protein nyob hauv cov zis) tau pom, thiab muaj tseeb thiab nthuav tawm ntawm kev ua kom lub cev puas tsuaj hauv ntshav qab zib mellitus. Pom tau tseeb tseeb txo zuj zus mus, muaj mob ntshav siab, mob ntshav qis, qhov mob rws qis nrog rau qhov pom ntawm qhov mob hnyav thiab loog ntawm cov qis qis.
Cov degree no ua rau cov xeeb ntxwv ntawm kev ua tiav thiab kev txhim kho ntawm cov kev mob nyhav. Nyob rau tib lub sijhawm, qib ntawm glycemia nce mus rau tus lej tseem ceeb (15-25 lossis ntau dua mmol / l), nws nyuaj rau kev kho los ntawm ib txoj kev. Kev tsim kho lub raum tsis ua haujlwm, mob ntshav qab zib mob thiab mob leeg nqaij ntawm qhov ntau zuj zus yog yam ntxwv. Lwm qhov kev ntsuam xyuas rau cov ntshav qab zib qib 4 yog ib qho nyiam txoj kev rov ua ntshav qab zib heev.

Peb lub xeev ntawm cov nyiaj them rau cov teeb meem ntawm cov metabolism carbohydrate kuj tseem pom qhov txawv: nyiaj them, subcompensated, thiab decompensated.

Cov tsos mob ntshav qab zib hauv poj niam thiab txiv neej

Tus mob no yog hu ua hyperglycemia, thiab nws yog fraught nrog tus lej ntawm lub txim tsis zoo.

Txog dab tsi uas siv tau thiab dab tsi yog qhov siab tshaj plaws cov ntshav qab zib hauv cov poj niam laus, suav nrog rau cov poj niam cev xeeb tub thiab tom qab yug menyuam, hais txog cov tsos mob, cov paib thiab qhov ua rau muaj kev nce qib - peb tsab xov xwm.

Muaj ntau tus cim ntawm tus mob ntshav qab zib yam ntxwv ntawm ob hom 1 thiab hom 2 mob. Cov no suav nrog:

Xav zoo li tsis muaj qhov nqhis dej thiab tso zis sai, uas ua rau lub cev qhuav dej,
Kuj ib qho ntawm cov paib yog qhov ncauj qhuav,
Qaug zog,
Yawning, tsaug zog ntau,
Neeg tsis muaj zog
Cov qhov txhab thiab txiav tau kho zoo heev maj mam,
Xeev siab, tej zaum ntuav,
Nquag pa (ua rau muaj qhov tsis hnov tsw ntawm acetone)
Lub plawv palpitations
Qhov chaw mos khaus thiab khaus ntawm daim tawv nqaij,
Lub cev yuag
Nce tso zis
Pom kev tsis pom kev.

Yog tias koj muaj cov tsos mob saum toj no ntawm ntshav qab zib, koj yuav tsum ntsuas koj cov ntshav qab zib kom tsawg.

Ua ntej tshaj plaws, kev kho mob yog raug hais kom txo qis ntshav qab zib. Mob ntshav qab zib raug kho nrog tshuaj kho mob.

Thawj hom mob no tau kho:

Cov tshuaj insulin, tsim nyog kev noj haus thiab zaub mov noj.
Cov tshuaj insulin yog siv thoob plaws hauv lub neej thaum txhaj tshuaj.
Cov koob tshuaj thiab cov tshuaj yog tshuaj los ntawm tus kws kho mob tuaj koom, uas saib xyuas tus neeg mob lub sijhawm.

Yam ob yog mob ntshav qab zib tau kho:

Nrog rau cov ntsiav tshuaj uas txo cov ntshav qab zib.

Kev kho mob nrog tshuaj ntsuab tshuaj:

Nws muaj cov tshuaj insulin, uas cuam tshuam cov kev hloov ntshav hauv cov ntshav, uas muab lub zog rau tus neeg. Chicory tau noj raws li haus dej.

Taum qhuav yog hliv nrog dej npau thiab sab laug yaug thaum hmo ntuj. Thaum nruab hnub, koj yuav tsum haus dej haus txog 200 ml ntawm no decoction.

Feem ntawm walnuts.

Lawv muaj ntau lub zog muaj txiaj ntsig, suav nrog kev txo cov ntshav qab zib. Txhawm rau npaj cov tincture, koj yuav tsum sau rau hauv 50 g ntawm partitions nrog ib khob ntawm dej npau npau. Hais txog qhov ntau kawg ntawm ib nrab ib teev, thiab tom qab ntawd lim thiab haus 1 tbsp. ua ntej txhua pluas noj.

Tsob nroj no tseem muaj ntau yam tshuaj uas zoo siv thiab. Hauv qhov no, kua txiv los ntawm nws lub hauv paus lossis lub decoction yog haum. Lub hauv paus ntawm cov nroj tsuag no muaj cov inulin, uas pab txo cov ntshav qab zib.

Cov. Hauv qhov no, tsis yog berries, tab sis nplooj yuav xav tau. Npaj Txoj kev lis ntshav nyob rau hauv tib txoj kev raws li los ntawm Walnut partitions.

Nws tuaj yeem ua raws li kev pom zoo los ntawm kws kho mob,
Kev tawm dag zog me yuav pab kom poob phaus thiab tswj lub cev hnyav.
Pab txhawb rau kev txhim kho cov ntshav ncig thiab insulin kev ua.
Muaj cov khoom thauj tau: ob teev ntawm kev taug kev thiab taug kev hauv huab cua huv, ua luam dej, kev dhia paj paws, seev cev, aerobics, yoga.

Tam sim no, txoj kev kho mob ntshav qab zib nyob rau hauv feem ntau ntawm cov mob yog tsos mob thiab yog tsom kom tshem tawm cov tsos mob uas twb muaj lawm tsis muaj kev tshem tawm qhov ua rau muaj tus kabmob, vim tias txoj kev kho mob ntshav qab zib tseem tsis tau tsim.

Cov haujlwm tseem ceeb ntawm tus kws kho mob hauv kev kho mob ntshav qab zib yog:

Them rau cov khoom noj metabolism.
Kev tiv thaiv thiab kho mob ntawm cov teeb meem.
Kev ua kom lub cev tsis hnyav.
Kev qhia neeg mob.

Ua raws li hom mob ntshav qab zib mellitus, cov neeg mob tau muab cov tshuaj insulin los yog noj ntawm qhov ncauj ntawm cov tshuaj uas muaj cov suab thaj txo. Cov neeg mob yuav tsum ua raws li kev noj haus, kom muaj txiaj ntsig zoo thiab muaj pes tsawg leeg ntawm uas tseem nyob ntawm hom mob ntshav qab zib.

ntshav qab zib hom 2

sau ntawv noj tshuaj thiab cov tshuaj uas txo cov ntshav qabzib: glibenclamide, glurenorm, gliclazide, glibutide, metformin. Lawv raug noj ntawm qhov ncauj tom qab xaiv ib qho tshuaj tshwj xeeb thiab nws qhov ntau los ntawm kws kho mob.

ntshav qab zib hom 1

sau tshuaj rau insulin txoj kev kho thiab kev noj haus. Qhov koob tshuaj thiab hom tshuaj insulin (luv luv, nruab nrab lossis ua haujlwm ntev) raug xaiv ib tus zuj zus hauv tsev kho mob, tswj xyuas ntshav qab zib thiab zis.

Mob ntshav qab zib mellitus yuav tsum tau kho yam tsis tas yuav poob, txwv tsis pub nws yog fraught nrog cov kev mob hnyav heev, uas tau teev tseg saum toj no. Thaum kuaj tau tus kab mob ntshav qab zib sai sai, nws muaj feem ntau qhov tsis zoo uas yuav zam tau tag nrho thiab kev ua neej nyob thiab kev ua neej nyob yog.

Kev kho mob ntshav dej

Kev kho tshuaj insulin yog tsom rau cov nyiaj them siab tshaj plaws tau los ntawm kev yug cov metabolism hauv kev tiv thaiv, kev tiv thaiv hypo- thiab hyperglycemia, thiab yog li kev tiv thaiv ntawm kev mob ntshav qab zib. Kev kho tshuaj Insulin yog qhov tseem ceeb rau cov neeg muaj ntshav qab zib hom 1 thiab tuaj yeem siv rau qee qhov xwm txheej rau cov neeg muaj ntshav qab zib hom 2.

Cov lus qhia rau kev teem caij kho mob insulin:

Yam 1 ntshav qab zib
Ketoacidosis, mob ntshav qab zib hyperosmolar, ua kom tsis nco qab txog ntshav qab zib.
Cev xeeb tub thiab yug menyuam muaj ntshav qab zib.
Tseem ceeb ua rau muaj kev mob ntshav qab zib hom 2 ntshav qab zib.
Qhov tsis muaj txiaj ntsig ntawm kev kho nrog lwm txoj hauv kev ntawm ntshav qab zib hom 2.
Kev poob phaus txaus hauv cov ntshav qab zib.
Ntshav qab zib nephropathy.

Tam sim no, muaj ntau ntawm cov tshuaj insulin uas sib txawv hauv lub sijhawm ntawm kev ua (ultrashort, luv, nruab nrab, ntev ntev), nyob rau hauv cov ntsiab lus ntawm kev ua kom huv (monopic, monocomponent), hom kev tshwj xeeb (tib neeg, nqaij npuas, bovine, kev tsim kho caj ces, thiab lwm yam)

Thaum tsis rog dhau thiab ua rau muaj kev nyuaj siab ntxhov siab, insulin yog tshuaj rau 0.5-1 chav nyob rau ib 1 phaus ntawm lub cev hnyav ib hnub. Cov lus qhia ntawm insulin yog tsim los ua mimic physiological secretion hauv kev sib txuas nrog qhov no, cov hauv qab no yuav tsum muab tso rau pem hauv ntej:

Qhov kev txhaj tshuaj ntawm cov insulin yuav tsum txaus rau kev siv cov kua nplaum nkag mus rau hauv lub cev.
Qhov txhaj tshuaj insulin yuav tsum ntsi xws li qhov ntxig ntawm lub txiav txiav.
Qhov txhaj tshuaj insulin yuav tsum ua raws li lub sijhawm ntev tshaj plaws ntawm kev tsim cov tshuaj insulin.

Hauv qhov no, muaj qhov thiaj li hu ua kev kho mob sab nrauv insulin. Qhov koob tshuaj txhua hnub ntawm insulin raug faib nruab nrab ntawm insulins ntev thiab luv ua haujlwm. Cov tshuaj insulins txuas ntxiv yog feem ntau muab rau thaum sawv ntxov thiab yav tsaus ntuj thiab ua ntsiag to hauv qab zais cia ntawm lub txiav. Cov tshuaj insulins ua yeeb yam luv luv yog muab rau tom qab txhua pluas mov muaj cov carbohydrates, qhov koob tshuaj yuav txawv nyob ntawm chav ua noj khob cij thaum noj mov.

Kev siv tshuaj insulin yog subcutaneously siv cov tshuaj insulin, tus cwj mem kua los yog lub tshuab nqus hluav taws xob tshwj xeeb. Tam sim no, hauv Lavxias, txoj kev siv ntau tshaj plaws ntawm kev siv tshuaj insulin siv cov koob txhaj tshuaj syringe. Qhov no yog vim muaj kev yooj yim dua, tsawg tshaj tawm tsis xis nyob thiab yooj yim ntawm kev tswj hwm piv rau cov pa insulin koob txhaj. Cov xaum xaum tso cai rau koj kom sai thiab yuav luag tsis hnov mob tsim nyog qhov xav tau ntawm cov tshuaj insulin.

Kev txo cov tshuaj muaj piam thaj

Koj tuaj yeem txo qis qab zib nyob hauv kev siv pej xeem cov kev:

Nyob rau hauv lub caij nplooj ntoos hlav, sau lub swollen buds ntawm lilacs, ncuav 2 tbsp. dia 2 lub voj voog ntawm dej kub. Koj yuav tsum tiv thaiv rau 6 teev, koj tuaj yeem nyob hauv lub thermos.Lim, tom qab ntawd haus cov kev lis ntshav thaum nruab hnub,
40 gr partitions los ntawm Walnut plhaub ncuav ½ liv dej. Tso cov cua sov qis rau 60 feeb, txias, lim. Siv 1 tbsp. diav txhua zaus ua ntej noj mov loj,
Grate tshiab horseradish hauv paus, sib tov nrog qaub mis los yog yogurt hauv qhov sib piv ntawm 1:10. Siv 1 tbsp. diav ntawm sib tov ua ntej noj mov peb zaug ib hnub twg,
Siv 1 lub khob ntawm oats thiab ncuav 6 khob ntawm lub rhaub dej kub, muab tso rau ntawm cov cua kub qis rau 60 feeb. Txias, lim thiab haus dej thaum koj xav tau thiab hauv qhov ntau. Kom cov dej haus rau qhov chaw txias,
Zom 10 Bay nplooj, ncuav mus rau hauv ib lub thermos thiab ncuav 1 khob ntawm cov dej npau. Hais kom thoob plaws ib hnub, lim, haus cawv hauv daim ntawv sov before khob ua ntej noj mov tseem ceeb, tsis pub ntau tshaj 4 zaug hauv ib hnub.

Cov piam thaj hauv cov ntshav qab zib tau tsim rau cov ntshav qab zib tsis yog insulin-dependant ntxiv rau kev noj zaub mov noj. Cov pab pawg hauv qab no ntawm cov tshuaj uas muaj suab thaj raug cais los ntawm qhov ua haujlwm ntawm kev txo cov ntshav qab zib:

Biguanides (metformin, buformin, thiab lwm yam) - txo qhov nqus ntawm cov piam thaj hauv txoj hnyuv thiab ua rau muaj kev noo ntawm cov ntaub so ntswg. Biguanides tuaj yeem nce qib ntawm uric acid nyob rau hauv cov ntshav thiab ua rau muaj kev loj hlob ntawm qhov mob hnyav - cov kab mob lactic acidosis hauv cov neeg mob hnub nyoog laus dua 60 xyoo, ntxiv rau cov neeg muaj kab mob siab thiab mob raum, mob ntsws ntev. Cov tshuaj Biguanides feem ntau muaj cai rau cov ntshav qab zib tsis yog-insulin tiv thaiv kab mob ntshav qab zib rau cov neeg rog rog.
Sulfonylurea kev npaj (glycidone, glibenclamide, chlorpropamide, carbamide) - txhawb kev tsim cov tshuaj insulin los ntawm pancreatic cells-hlwb thiab txhawb kev nkag mus ntawm cov piam thaj rau hauv cov ntaub so ntswg. Qhov zoo tshaj plaws xaiv cov ntau npaum ntawm cov tshuaj hauv pawg no tsis txhawb cov qib ntshav qabzib.

Cov neeg sib tw txhawm rau ua tiav kev kho rau hom ntshav qab zib 1

Cov khoom siv hauv cov lus no tsis tuaj yeem siv rau kev kho tus kheej. Noj tshuaj yam tsis muaj kws kho mob sau ntawv nws yuav tsim kev phom sij rau koj kev noj qab haus huv.

Verapamil belongs rau cov pab pawg ntawm cov tshuaj - calcium tubule blockers. Cov tshuaj pab pawg no tau tsim los txo qis thiab mob nqaij excitability, thiab tseem muaj txiaj ntsig rau kev kub siab, mob plawv, thiab mob plawv dhia tsis xwm yeem.

Tab sis tsis ntev los no, nws tau pom tias verapamil calcium channel blocker (tiv thaiv) kev qhia ntawm TXNIP protein (ua kom muaj ntshav qab zib mellitus) - qhov kev iab liam ntawm kev tuag ntawm pancreatic cells-hlwb thiab kho hom ntshav qab zib 1. Yog li, cov tshuaj tau pom rau thawj zaug uas muaj peev xwm thov kom kho ntshav qab zib kom tiav. Cov txiaj ntsig zoo tshaj plaws tau los hauv vitro thiab nas. Hauv cov nas, nws muaj peev xwm tiv thaiv kev tuag ntawm β-hlwb thiab txawm thim rov qab los ntawm lawv txoj kev tuag.

Kev soj ntsuam mob hauv tib neeg pib thaum ntxov xyoo 2015. Nov yog kev kawm ob zaug dig muag uas muaj 52 tus neeg koom nrog. Cov txiaj ntsig yuav tso tawm thaum ntxov xyoo 2016.

Kev tshuaj ntsuam xyuas qhov tseeb ntawm Verapamil rau kev kho mob ntshav qab zib yog 120-160 mg 2-3 zaug ib hnub.

Txuas mus rau kev tshawb nrhiav, kab lus thiab kev sib tham:

Cov xov xwm no tau ua rau ntau tus neeg mob nrog kev paub txog tus mob ntshav qab zib hom 1 uas lawv twb pib noj verapamil, tsis tas tos rau thaum kawg ntawm kev soj ntsuam. Thiab lawv thov tias lawv qib C-peptide tau pib nce zuj zus tuaj. Tsis muaj ib tus neeg ua xyem xyav tias verapamil kho hom mob ntshav qab zib hom 1. Cov kws tshaj lij muaj kev txhawj xeeb nrog tsuas yog ib nqe lus nug - tuaj yeem verapamil ua tiav cov hom 1 mob ntshav qab zib, lossis nws puas yuav tsum tau coj mus tas sim neej.

Ntau cov xov xwm zoo. Verapamil inhibits nws tus kheej metabolism ntawm cytochrome. Thiab yog li ntawd, nws cov koob tshuaj tuaj yeem raug txo lub sijhawm thaum tswj xyuas qhov ua tau zoo ib yam.

Tab sis rau lo lus nug yog. Tus mob verapamil zoo npaum li cas los sis tsis zoo rau lub cev? Tom qab tag nrho, peb txaus siab rau qhov inhibition ntawm cov laus txheej txheem. Txhawm rau ua qhov no, cia peb xav txog hauv lub moj khaum ntawm tsab xov xwm no qhov seem zoo thiab tsis zoo ntawm cov tshuaj thiab txiav txim siab zaum kawg - yog nws qhia rau peb lossis tsis.

Ua kom txoj hauv kev ntau tuaj yeem kho tus mob qog nqaij hlav

Verapamil yog lub zog txwv ntawm P-glycoprotein. Qhov no txhais li cas? P-GP (P-glycoprotein lossis multidrug resistance protein) yog cov protein uas muaj nyob hauv cov tsiaj thiab fungi los tiv thaiv cov khoom tsis zoo - nrog rau cov tshuaj. Nws yog cov protein no uas tiv thaiv cov tshuaj los ntawm qhov tshwm sim tau tag nrho. Thiab tseem muaj ntau yam ntxiv. Qee hom qog hlav hlav nce qib P-GP protein, yog li muab cov tshuaj tiv thaiv kev kho mob. Thiab yog tias koj tshem tawm qhov kev tiv thaiv no, tom qab ntawd koj tuaj yeem txo qis ntau dua tshuaj los tiv thaiv tus mob qog noj ntshav, ua tiav cov nyhuv qub. Thiab qhov no tseem ceeb heev - vim tias qhov ntau dua me me uas peb siv, qhov tsawg dua qhov peb yuav ua rau peb lub cev nrog cov tshuaj no.

Verapamil, los ntawm inhibiting qhov kev ua haujlwm ntawm P-GP protein, ua rau ntau qib ntawm kev xa khoom ntawm cov tshuaj tua kab mob (thiab tsuas yog siv tshuaj rau cov hlav qog) rau lub hlwb. Thiab qhov no zoo tshaj plaws yuav muaj feem ntau ntawm txoj kev muaj sia nyob thiab ua tiav kev kho mob rau tshuaj muaj peev xwm muaj cov hlav qog ntshav. Piv txwv li, nws tuaj yeem ua ke nrog cov tshuaj kho mob rau kev kho mob glioblastoma (mob qog hlwb).

Hauv txoj hnyuv, P-GP protein kuj tseem tau hais tawm. Qhov no zoo heev txo qhov nqus ntawm ntau cov tshuaj. Thiab verapamil tuaj yeem txhim kho lawv txoj kev noj qab haus huv.

Verapamil muaj zog tiv thaiv lub hlwb los ntawm kev laus

Verapamil tiv thaiv lub hlwb los ntawm cov xov paj ntawm lub cev tuag:

inhibiting qhov o thiab kev ua ntawm microglia (cov hlwb ua kom cov hlwb ua kom zoo)
inhibiting qhov kev nkag los ntawm calcium hauv neurons

Verapamil nyob rau hauv cov kev tshawb fawb tau pom tias lub hlwb muaj zog tiv thaiv ntau dua li curcumin, memantine, thiab baikalein.

Kev tshawb fawb txuas:

Li ntawm 1% ntawm cov neeg tshaj 60 raug mob los ntawm tus kab mob Parkinson, uas yog tus thib ob feem ntau muaj kev nyuaj siab mob neurodegenerative mob hauv cov neeg laus tom qab Alzheimer tus kab mob. Verapamil txo qis kev pheej hmoo ntawm Parkinson tus kab mob.

Txuas rau txoj kev tshawb no:

Verapamil muaj hwj chim loj autophagy inducer

Ib qho ntawm cov ua rau tib neeg laus yog cov txuam nrog cov khoom siv khib nyiab ntau ntxiv. Lub ntsiab txhais tau los tawm tsam khib nyiab intracellular yog autophagy. Hais txog dab tsi autophagy tuaj yeem pom ntawm no. Hauv cov classic version, autophagy yog tshuab txais los ntawm kev tsuj ntawm mTOR kinase kev ua si. Sijhawm yoo mov, cov zaub mov tsis muaj calorie ntau, thiab ntau yam tshuaj ua qhov no: metformin, glucosamine, thiab lwm yam. Tab sis qhov teeb meem ntawm kev txo qis kev ua haujlwm ntawm mTOR kinase yog tias nws cuam tshuam nrog cov leeg hauv tsev, thiab nrog kev tsuj ntau dhau ntawm kev ua haujlwm mTOR, sarcopenia (txo qis hauv cov leeg nqaij) tshwm sim. Tab sis verapamil suav nrog autophagy bypassing mTOR.

Kev tshawb fawb txuas:

Verapamil contraindications

Mob sinus syndrome thiab plawv nres.
Cov bradycardia mob hnyav (lub plawv dhia qis dua tsawg dua 50 neeg ntaus ib feeb hauv tus neeg uas tsis koom nrog kis las)
Mob raum lossis mob plawv 3 theem lossis ntau dua.
Sinoatrial thaiv
AV block II thiab III degree (tsis suav rau cov neeg mob uas ua kom zoo nkauj),
Cov Kab Mob Wolf-Parkinson-Dawb,
Morgagni-Adams-Stokes Syndrome,
Txhawb kev tswj fwm ntawm cov beta-blockers (piv txwv li propranolol)
Cov menyuam yaus lub hnub nyoog - txog kaum yim xyoo
Nws yuav tsum nco ntsoov tias verapamil tseem yog cov tshuaj rau ntshav siab. Yog li ntawd, nws txoj kev nkag mus yuav tsum pib, maj mam nce cov koob tshuaj.

Txawm hais tias verapamil zoo rau lub plawv thiab kho ntau yam kab mob hauv lub plawv, nws tseem muaj kev phom sij rau qee qhov teeb meem mob plawv uas teev rau saum no. Yog li, ua ntej siv nws, nws yog ib qho tsim nyog yuav tau ua ib qho electrocardiogram ntawm lub siab kom tsis suav cov kabmob no.

Cov txiaj ntsig tsis zoo ntawm verapamil

Protein P-GP (uas tau piav qhia ua ntej hauv tsab xov xwm no) tiv thaiv hematopoietic qia hlwb los ntawm co toxins. Thiab qhov tsis tu ncua ntawm P-GP cov haujlwm los ntawm verapamil tuaj yeem ua rau kev puas tsuaj ntawm DNA ntawm cov qia hlwb no. Tej zaum - qhov no tsis txhais tau tias nws yuav ua kev puas tsuaj. Tab sis yog tias qhov xwm txheej no, ces verapamil yuav tuaj yeem ua rau muaj kev laus nrawm ntawm cov qia hlwb, uas txhais tau tias nws tuaj yeem txo lub neej kom ntev nrog kev siv tas li. Qhov no yuav tsum muaj tseeb rau hauv cov kev sim. Raws li cov kev txiav txim siab no, peb xaus lus tias verapamil yuav tsum tsis txhob siv tas li. Thiab nws yuav tsum muaj ntaub ntawv thov hauv kev kawm. Piv txwv li, thaum kho nrog cov tshuaj tiv thaiv qog noj ntshav kom thim rov qab lawv kev noj qab haus huv ntau dua. Qee lub sijhawm, cov kev kawm rau kev kho mob ntawm pob qij txha, thiab lwm yam. Qee lub sijhawm thov kev kawm yuav tsis ua rau muaj kev cuam tshuam tsis zoo, tab sis feem ntau yuav txawm lub neej ntev.

Thiab niaj hnub no, rau peb, verapamil yog ib yam tshuaj muaj txiaj ntsig kho tus mob ntshav qab zib hom 1, tseem yog ib qho cuab yeej muaj zog uas pab tau txoj kev kho mob qog noj ntshav ntau.

Ceev Faj: Verapamil txo cov ntshav qab zib cov nyhuv ntawm metformin

Txuas rau txoj kev tshawb no:

Cov khoom siv hauv cov lus no tsis tuaj yeem siv rau kev kho tus kheej. Noj tshuaj yam tsis muaj kws kho mob sau ntawv nws yuav tsim kev phom sij rau koj kev noj qab haus huv.

Peb thov caw koj mus sau npe yuav ua cov ntawv xov xwm rau cov ntawv blog tshiab.

Nyob Zoo Reader Yog tias koj pom cov khoom hauv blog no muaj txiaj ntsig thiab koj xav tau cov ntaub ntawv no muaj rau txhua tus neeg, ces koj tuaj yeem pab txhawb koj cov blog los ntawm kev noj sijhawm tsuas yog ob peb feeb ntawm koj lub sijhawm. Txhawm rau ua qhov no, ua raws li txuas txuas.

Khaws cov tshuaj tua kab mob

Cov kab mob ua rau tus kab mob ua rau muaj feem xyuam rau txhua qhov ntawm lub cev. Cov mob hnyav yuav tsum tau txais kev kho mob maj nrawm, vim tias qhov kev txhim kho mob me tuaj yeem cuam tshuam loj heev rau cov ntshav qab zib. Thaum ib tus neeg kho tus kab mob kom sai, yuav zoo dua rau kev noj qab haus huv.

Kev noj tshuaj yuav ua rau koj nyob kaj siab

Feem ntau, cov tshuaj no tau hais tseg hauv qab no:

daim tawv nqaij mob
mob txeeb zig
kev puas tsuaj rau txoj hlab ntsws hauv qab.

Tshuaj tua kab mob rau kev mob ntshav qab zib yog ib txoj kev tsim nyog ntawm ib qho xwm txheej nyuaj. Cov kab mob saum toj no cuam tshuam txog cov ntshav qab zib muaj teeb meem.

Cov ua tshwm sim:

kho tsis yog
zawv plab noj zaub mov tsis zoo
hla cov tshuaj uas tsim nyog.

Nws yog ib qho tseem ceeb kom noj cov kab mob tau txais txiaj ntsig nrog kev siv tshuaj tua kab mob

Nws yog tsim nyog kom nco ntsoov tias cov tshuaj tua kab mob ua rau muaj kev phom sij tsis zoo rau cov kab mob pathogenic, tab sis kuj tseem muaj txiaj ntsig microflora.

Yog li, nws yog qhov tseem ceeb uas yuav tsum them sai sai rau kev noj ntawm cov tshuaj hauv qab no:

Prebiotics thiab probiotics - yuav txhim kho txoj hnyuv, tiv thaiv kev loj hlob ntawm dysbiosis.
Cov chav kawm ntawm multivitamins - yuav ua rau kom muaj zog tiv thaiv kab mob tsawg dua, tiv thaiv kev tiv thaiv kab mob los ntawm kev kis kab mob.

TSWV YIM: multivitamins yuav tsum noj raws li koj tus kws kho mob tau qhia.

Nws yog ib qho tsim nyog yuav tsum tau ua ntxiv:

Linex, Acipol, Bifidumbacterin,
“Doppelherz cuab tam”, “Verwag Pharma”.

Cov kev kho mob ua pob txha

Feem ntau cov kev mob dermatological nyob rau hauv cov ntshav qab zib yog:

mob ntshav qab zib mob ko taw
necrotic fasciitis,
boils thiab carbuncles.

Yog tias cov tshuaj tua kab mob tau sau tseg rau hom ntshav qab zib hom 2, xyuas kom koj cov ntshav qabzib puas zoo. Cov ntsuas dhau heev tuaj yeem thaiv kev cuam tshuam ntawm cov tshuaj yam tsis tau nqa cov txiaj ntsig yam xav tau. Muaj suab thaj ntau dua yuav tiv thaiv kom qhov zoo ntawm cov ntaub so ntswg puas.

Ntshav qab zib mob ko taw

Kev kuaj pom txhais tau tias qhov tshwm sim ntawm qhov tsis yog qhov mob tsis zoo ntawm qhov qis qis. Hauv cov xwm txheej siab, txiav tau txiav ua kom tiav. Txhawm rau kom tsis txhob mus rau ntau, koj yuav tsum sab laj nrog kws kho mob. Nws yuav ua kev soj ntsuam, taw Xoo hluav taws xob taw kom paub tseeb tias tus pob txha tsis cuam tshuam.

Feem ntau, cov tshuaj tua kab mob kho raws lub ncauj lossis hais lus. Pawg ntawm cephalosporins thiab penicillins siv. Qee lub sij hawm lawv coj mus ua ke, hauv ib qho kev ua ke.

Kev kho cov kab mob no yog ib txoj haujlwm nyuaj thiab ntev. Nws yog ib qho tsim nyog yuav tsum kawm ob peb yam kev kawm kom thiaj li ua tiav. Cov tshuaj tiv thaiv kab mob rau cov pob txha mob ntshav qab zib noj rau 2 lub lis piam, tom qab ntawd so ib pliag.

Kev Kho Mob muaj cov hauv qab no:

txo cov ntshav qab zib kom tsawg nrog kev noj tshuaj thiab kev noj haus,
txo nyob rau hauv load nyob rau hauv qis extremities,
tshuaj tua kab mob kev kho mob ntawm qhov txhab lossis lawv haus,
Yog thaum muaj mob syndrome, kev txiav tawm ntawm tus nqaj yog ua, tsis li ntawd yuav ua rau lub neej tsis zoo.

Nkag thiab carbuncles

Cov no yog cov txheej txheem mob uas tshwm sim ntawm cov plaub hau. Tus kab mob tuaj yeem rov mob ntau zaus, yog tias koj tsis ua raws li kws kho mob cov lus qhia, ua txhaum kev noj haus, hla kev noj tshuaj.

Thaum cuam tshuam nrog cov txheej txheem hauv kev zom zaub mov, qhov tsim ntawm pustular tiv thaiv nyob rau hauv ntau qhov tshwm sim tshwm sim. Nws yog txwv tsis pub kov qhov tsim, nyem nws. Txij ntawm no, tus kabmob yuav pib loj dua.

Qhia cov tshuaj tua kab mob rau cov qhov txhab tsis zoo nyob hauv ntshav qab zib. Lub chav kawm ntawm kev kho mob ntev, siv sijhawm ntev li ob lub hlis. Lawv feem ntau ua kev phais mob, ntxuav tawm lub pustular tsim.

Kev kho yog raws li nram no:

txhij txhua daim tawv nqaij huv,
kev kho mob nrog tshuaj tua kab mob,
noj hom kawm ntawm cov tshuaj ntawm qhov ncauj.

Necrotic fasciitis

Qhov kev kuaj pom no yog qhov txaus ntshai tshaj plaws nyob rau qhov tias nws tsis pom paub tam sim. Qhov no yog ib tus kab mob kis tau hauv cov nqaij mos subcutaneous raug puas ntsoog, thiab kev ua kom pom tseeb ntawm tus kab mob tuaj yeem sib kis thoob plaws lub cev.

Liab, liab me ntsis tshwm sim rau ntawm daim tawv nqaij, hauv cov xwm txheej siab nws tuaj yeem nkag mus rau kev ua laib, tom qab uas txiav txiav tawm. Cov xwm txheej ntawm kev tuag yog tshwm sim yog tias kev kho mob tsis coj raws sijhawm.

Cov kev kho mob nyuaj yog tshuaj, tab sis qhov xwm txheej no muaj ntshav qab zib, tshuaj tua kab mob tsis yog txoj kev tseem ceeb ntawm kev kho. Nws tsuas yog pab ntxiv los ntawm kev phais neeg xwb. Nqa ua tiav cov ntaub so ntswg lossis nqua uas tau muab pov tseg - qhov no yog tib txoj kev.

kev kho thiab hnav khaub ncaws ntawm mob nrog cov tshuaj tua kab mob,
noj tshuaj tua kab mob hauv ib qho nyuaj, tsawg kawg yog ob hom.

Cov lus - Cov kab mob thiab cov npe tshuaj:

Tus kab mob	Pathogen	Tshuaj tua kab mob
Mob taw ko taw	Streptococcus	Cephalexin, clindamycin
Mob ko taw mob ko taw (mob hnyav)	Streptococcus	Clindamycin thiab Gentamicin
Kev npau npau	Dab Tsi Staphylococcus aureus	Amoxicillin
Necrotic fasciitis	Cov kab mob Gram-negative	Imipenem, benzylpenicillin

Mob txeeb zig

Cov mob txeeb zig yog tshwm sim los ntawm lub raum teeb meem. Tus mob ntshav qab zib tau muaj lub nra hnyav rau ntawm cov plab hnyuv sab hauv, feem ntau lawv tsis tuaj yeem tiv nrog lawv cov haujlwm.

Mob ntshav qab zib nephropathy yog qhov tshwm sim ntau dua, tshwm sim los ntawm ntau cov tsos mob. Cuam tshuam rau txoj hlab zis yog qhov nruab nrab zoo rau kev kis mob.

Cov tshuaj tseem ceeb yog kom ua tiav qhov txo qis hauv cov piam thaj hauv ntshav, tom qab - noj tshuaj tiv thaiv kab mob. Mob ntshav qab zib mellitus thiab tshuaj tua kab mob tuaj yeem cuam tshuam yog tias lawv tau sau tseg kom zoo. Qhov kev xaiv ntawm cov neeg sawv cev antimicrobial yog nyob ntawm cov kab mob thiab qhov hnyav ntawm tus kab mob. Tag nrho cov no tau paub tom qab dhau qhov kev ntsuam xyuas tsim nyog.

TSWV YIM: Txawm tias tom qab sau ntawv rau tus kws kho mob, koj yuav tsum ua tib zoo xav txog qhov annotation rau cov tshuaj rau qhov muaj suab thaj. Qee cov tshuaj tuaj yeem nce siab ntxiv, piv txwv li, tshuaj tua kab mob tetracycline.

Kev nqus tau pa tsawg

Tus kab mob ntawm cov kab mob ua pa tuaj yeem pom nyob rau hauv cov ntshav qab zib. Vim tias muaj tshuaj tiv thaiv tsawg, mob ntsws, mob ntsws txhaws dej. Kev nce qib ntawm cov ntshav qab zib tuaj yeem ua rau muaj kev tsis zoo hauv tus neeg mob, yog li ntawd, tom qab paub tseeb tias txoj kev kuaj mob, nws yuav tsum ua tib zoo saib xyuas tus neeg mob lub tsev kho mob.Tus neeg mob tau xaj mus kuaj xoo hluav taws xob, uas saib xyuas kev noj qab haus huv tsis zoo.

Tus kws kho mob sau cia tshuaj tua kab mob rau hom ntshav qab zib hom 2 lossis ntshav qab zib hom 1 raws li cov qauv txheej txheem. Feem ntau, kev npaj penicillin siv nrog ua ke nrog lwm cov tshuaj npaj rau kev kho mob ntawm lwm cov tsos mob uas tau tsim (hnoos, hnoos qeev, kub taub hau). Txhua yam tshuaj yuav tsum tsis txhob muaj suab thaj, haum rau cov ntshav qab zib.

Ban on antimicrobials

Cov tshuaj kho mob hnyav no tau sau nrog kev saib xyuas zoo rau tus neeg mob ntshav qab zib. Nyob rau tib lub sijhawm, nws tus mob yog tshuaj xyuas tsis tu ncua, qib ntawm cov piam thaj yog tshuaj xyuas nrog kev pab ntawm ib lub nplaum, thiab, yog tias tsim nyog, cov koob tshuaj ntawm cov piam thaj txo tshuaj yuav raug kho.

Tsis pom zoo kom siv tshuaj tiv thaiv kab mob yog tias:

ntau tshaj 60 xyoo
cov chav kawm ntawm tus kab mob pib zuj zus,
muaj kev hloov pauv ntawm lub cev tsis muaj zog.

Nws tsim nyog sau cia tias pawg sib txawv ntawm cov tshuaj tua kab mob ua rau muaj kev cuam tshuam ntau yam hauv lub cev. Tsuas yog tus kws kho mob tuaj yeem txiav txim siab seb cov tshuaj tiv thaiv dab tsi tuaj yeem siv nrog ntshav qab zib tau. Qab zib muaj peev xwm tsis tsuas yog nce, tab sis kuj poob.

Cov tshuaj tua kab mob tuaj yeem cuam tshuam cov tshuaj noj ntshav qab zib thiab pauv qhov lawv ua. Txhua lub ntsiab lus no yuav tsum yog tus kws kho mob txiav txim siab thaum tawm mus khomob. Nws yog tsim nyog kom nco ntsoov tias txawm siv sijhawm ntev rau kev siv tshuaj tua kab mob rau kev kis tus kab mob tsuas yog tsim nyog.

Mob ntshav qab zib cystitis

Nyob zoo, kuv npe hu ua Valeria. Kuv muaj mob ntshav qab zib hom 2 tau 3 xyoos. Cov tsos mob ntawm cystitis tau tshwm sim tsis ntev los no, tus kws kho mob tseem tsis tau. Qhia rau kuv, puas yog tshuaj tua kab mob thiab ntshav qab zib sib haum?

Nyob zoo, Valeria. Kev noj tshuaj tuaj yeem ua tau tom qab mus ntsib tus kws kho mob thiab kuaj ntshav. Tab sis feem ntau, kev kho yog raws li nram no: ua ntej koj yuav tsum xyuas kom meej tias cov suab thaj, nws yuav tsum tsis txhob siab dhau. Kev kho mob tuaj yeem nqa nrog cov tshuaj tua kab mob, xws li Nolitsin, Tsiprolet, tsis pub dhau 7 hnub.

Ua ke nws yog qhov yuav tsum tau noj "Linex" txhawm rau txhim kho cov hnyuv microflora thiab multivitamins. Tom qab kawm tua kabmob (antimicrobial), koj yuav tsum haus Kanefron. Qhov ntau npaum cas yuav raug kho los ntawm tus kws kho mob raws li cov teeb meem tshwj xeeb. Tsis txhob hnov qab txog kev noj zaub mov noj thiab noj tshuaj kom txo cov piam thaj.

Kev kho mob ntawm cov kab mob gynecological

Nyob zoo, kuv npe hu ua Pauline. Qhia rau kuv, yog dab tsi cov tshuaj tua kab mob rau ntshav qab zib mellitus uas tuaj yeem siv los kho tus mob gynecological? Yog nws tso cai siv:

Nyob zoo Pauline. Kev kho mob nrog cov tshuaj koj xav tau yog tso cai rau mob ntshav qab zib. Nws yog tsim nyog xav txog qee cov nta: Metronidazole tuaj yeem cuam tshuam txog qib qab zib.

Mob khaub thuas li mob ntshav qab zib

Ntshav qab zib mellitus cuam tshuam kev ua haujlwm ntawm yuav luag txhua lub tshuab hauv tib neeg lub cev. Hormonal tsis txaus, hloov pauv hauv cov txheej txheem hauv lub cev, txo qis kev ua haujlwm ntawm lub cev tsis muaj zog yog cov txiaj ntsig zoo rau kev txhim kho ntawm kis vais. Rau cov tib neeg dog dig, SARS thiab mob npaws yog hom mob. Kev kho mob yuav siv sijhawm 7 hnub, thiab cov teeb meem tshwm sim hauv ib ntawm ib puas tus neeg.

Cov neeg mob ntshav qab zib yuav mob hnyav dua. 97% ntawm cov neeg mob tau mob nyhav tom qab mob khaub thuas thiab ua rau lub siab ntawm cov piam thaj hauv cov ntshav.

Cov tsos mob ntawm tus mob khaub thuas hauv cov ntshav qab zib tau tshaj tawm. Muaj mob ua npaws, mob taub hau, ua tsis muaj zog. Kev nce hauv qhov kub ntawm lub cev yog qhov taw qhia rau kev kuaj xyuas qib qab zib. Nws provokes ib tug nce nce nyob rau hauv cov ntshav qabzib thiab hyperglycemia.

Thaum twg tus kws kho mob xav tau?

Tom qab tus kab mob nkag mus rau hauv lub cev, lub sijhawm tsim tawm pib. Nws kav los ntawm 3 txog 7 hnub. Lub sijhawm no, tus neeg xav zoo nkaus. Ib lub lis piam tom qab, cov tsos mob ntawm tus mob tshwm sim:

tsis muaj zog
mob taub hau thiab kiv taub hau,
mob qhov muag
lub cev kub nce
mob caj pas
o cov qog ntshav o
los ntswg
ua pa nyuaj.

Thaum cov tsos mob no tshwm sim, koj yuav tsum nrhiav kev pab ntawm kws kho mob. Thaum qhia txog cov tsos mob, ntshav qab zib yuav tsum ceeb toom. Tus kws kho mob yuav xaiv cov tshuaj thiab cov txheej txheem uas tuaj yeem siv rau hom kab mob no.

Feem ntau cov mob khaub thuas hauv ntshav qab zib tsis tuaj yeem kho nws tus kheej. Txoj kev kho tsis zoo ua rau muaj kev nyuaj thiab ua kom tsis muaj zog.

Mob ntshav qab zib theem

Txog rau khaub thuas thiab mob aws, ntsuas suab thaj yog ib qho yuav tsum muaj. Los ntawm qhov kub thiab txias, cov concentration ntawm cov piam thaj hauv cov ntshav nce ntxiv. Cov ntsuas ntsuas yuav tsum yog txhua 3 teev.

Nrog rau kev kis tus kab mob, insulin ntxiv yuav tsum ua kom qab zib. Nws yog ib qho tseem ceeb xav txog tias thaum mob khaub thuas, qab zib tom qab insulin txo qis hauv vib nas this. Yog li, qhov ntau ntawm cov tshuaj yuav tsum ua tib zoo.

Kev tsim kho hauv ntshav qab zib - tsuas yog haus txhua txhua hnub.

Teeb meem sib txawv raws li cov ntshav qab zib:

ntshav qab zib hom 1 - kev pheej hmoo ntawm kev tsim ketoacidosis thiab kev tuag,
ntshav qab zib hom 2 - ntshav qabzib hypoglycemia.

Hnub 4 tom qab qhov pib ntawm thawj cov tsos mob ntawm tus mob hnoos qhuav lossis mob khaub thuas, mob txeeb zig yuav tsum tau ntsuas qhov kuaj pom muaj acetone.

Kev kho mob khaub thuas yuav tsum tau pib tam sim ntawd tom qab pib ntawm thawj cov tsos mob tshwm sim. Qhov tsis muaj kev kho mob ua rau lav tau cov teeb meem.

Kev tiv thaiv thiab cov lus pom zoo

Cov neeg muaj ntshav qab zib yuav tsis hais kom kis tus kab mob. Txhawm rau tiv thaiv koj tus kheej, koj yuav tsum ua raws li cov lus qhia tiv thaiv:

Khoom noj yuav tsum ib txwm ua thiab sib npaug. Lub hauv paus ntawm cov khoom noj yuav tsum muaj cov txiv hmab txiv ntoo thiab zaub, nrog rau cov khoom noj siv mis. Lawv muaj cov txiaj ntsig cov kab, vitamins thiab kab mob.
Txhawb koj cov khoom noj kom zoo nrog cov zaub mov uas muaj cov vitamin C ntau (kiwi, blackcurrant, tshuaj ntsuab).
Ua lub neej nquag thiab ntaus pob ncaws pob. Kev nquag taug kev hauv huab cua huv, kev ua luam dej lossis kev tawm dag zog ntxiv dag zog rau lub cev thiab ua haujlwm ntawm nws txoj haujlwm.
Saib tus kheej kev nyiam huv. Tom qab mus xyuas cov chaw pej xeem, ntxuav koj txhais tes nrog tshuaj ntxuav tes.
Thaum muaj mob tshwm sim, zam chaw coob, khw muag khoom, thiab chaw yuav khoom. Tus kabmob kis tau los ntawm cov tee dej thiab qhov ua rau muaj feem ntau ntawm cov chaw ntawd yog qhov siab.
Kev ntub dej nrog kev siv tshuaj antiseptic.
Nws yog qhov tsim nyog kom tsis tu ncua ua pa ntawm chav thiab kho cov av noo. Lub tshuab cua sov pab tswj kom muaj qhov chaw zoo nyob sab hauv tsev.

Mob khaub thuas thiab ntshav qab zib txhawb nqa ib leeg qhov tsis zoo. Nws yog ib qho tseem ceeb kom ua raws li cov cai ntawm kev tiv thaiv kom muaj kev noj qab haus huv.

Yog hais tias tus kab mob tau nkag mus rau hauv lub cev ntawm tus neeg muaj ntshav qab zib, nws yog ib qho tsim nyog yuav tsum soj ntsuam cov qib ntawm cov piam thaj hauv ntshav thiab noj tshuaj insulin.