Tus kws kho mob twg kho cov neeg mob ntshav qab zib mellitus, ua rau kev txhim kho ntawm cov kab mob thiab kuaj mob

Nyob zoo txhua tus! Kuv zoo siab tias koj tau mus rau kuv lub xaib rau ntaub ntawv. Kev mob siab thiab lees paub, Kuv tau sau txhua kab lus, tsis ua ib qho tsis raug thiab tsis raug. Kuv vam tias qhov kev paub tau los ntawm cov peev txheej no yuav pab tau koj!

Lub vev xaib no zoo rau cov neeg muaj ntshav qab zib thiab lawv cov neeg txheeb ze raws li kev tshaj xov xwm hauv kev sib ntaus tawm tsam lawv cov kev mob nkeeg. Tom qab tag nrho, txawm tias muaj tswv yim zoo hais tias: "Paub txog - txhais tau hais tias muaj riam phom!". Qhov no txhais tau hais tias ib tus neeg paub yuav sib ntaus sib tua thiab kawm paub kom nyob nrog nws tus kab mob, thiab nov yog thawj qib thiab loj tshaj plaws rau kev rov zoo.

Koj tuaj yeem nrhiav txhua txoj kev paub tsim nyog uas cov mob ntshav qab zib yuav xav tau ntawm lub xaib no. Cov npe hauv qab no muab tso rau ntawm no:

Tus mob ntshav qab zib yuav tsum tau them zoo mloog rau nws kev noj haus, txij li theem ntawm glycemia yuav yog nyob ntawm cov ntsiab lus ntawm cov khoom xyaw carbohydrate hauv cov zaub mov. Ntawm lub vev xaib koj tuaj yeem paub txog - wholesome thiab tsis yog - khoom noj, khoom noj, thiab koj tseem yuav pom cov zaub mov txawv.

Lub vev xaib yuav pab koj xaiv cov kua nplaum thiab soj ntsuam koj cov ntshav qab zib kom zoo, vim qhov ntsuas no yog ib qho kev ntsuas ntawm qhov mob ntawm lub cev. Kev kho ntshav qab zib yam tsis tau soj qab xyuas seb cov piam thaj ntau npaum li cas yuav tsaus ntuj.

Txij li thaum mob ntshav qab zib uas tsis muaj kev kho kom zoo thiab kev noj zaub mov kom tsis muaj zog nrog qhov mob hnyav, nws yuav tsum paub cov tsos mob thiab cov hau kev ntawm kev cuam tshuam nrog cov kab mob sib xyaw nrog. Tab sis muaj lwm qhov ntxiv rau npib - thaum mob ntshav qab zib yog qhov nyom. Cov kab mob zoo li no tsis yog qhov tsis tshua pom tshwm sim, thiab kev tiv thaiv raws sijhawm yuav pab kom tsis txhob muaj kev cuam tshuam rau hauv daim ntawv ntawm cov tsis hnov ​​lus carbohydrate.

Qhov chaw tshwj xeeb hauv kuv lub xaib yog nyob rau ntawm ntu "Ntshav Qab Zib nyob hauv cov menyuam yaus," txij li txhua tus niam txiv pom txog kev noj qab haus huv thiab kev noj qab haus huv ntawm nws tus menyuam yog lub kua ntawm nws lub qhov muag. Lub vev xaib no yog cov ntaub ntawv tshaj plaws uas muaj kev ntseeg siab thiab cov tswv yim zoo ntawm cov kws tshwj xeeb txog ntshav qab zib hauv menyuam yaus.

Koj tuaj yeem xav tias muaj ntau cov khoom siv kom nco qab txhua yam nws thiab ua raws li txhua qhov kev pom zoo. Tab sis qhov tseeb, koj tuaj yeem ib txwm saib lub tsev kawm ntawv rau qhov hint, thiab cov ntaub ntawv yog ib txoj kev los ntawm lub neej zoo, txawm tias muaj qhov mob hnyav li mob ntshav qab zib.

Mus tob, nyeem, cim, nqa tawm - thiab tom qab ntawd koj yuav tau txais cov khoom plig nrog kev noj qab haus huv zoo!

Noj qab nyob zoo! Ua Tsaug, Tus Saib Xyuas Ntawm Chaw Snitko Irina.

Tus kws kho mob twg kuv yuav tsum ntsib nrog cov ntshav qab zib hauv cov neeg laus thiab menyuam yaus?

Yog tias, raws li cov txiaj ntsig ntawm kev tsom xam, cov piam thaj hauv ntshav siab tau sau tseg, tom qab ntawd tus kws kho mob yuav sau npe ib tus neeg rau kev teem sijhawm nrog tus kws kho keeb endocrinologist. Yog tias rau qee qhov laj thawj qhov no tsis tau tshwm sim, koj yuav tsum ua koj tus kheej. Tus kws endocrinologist yuav sau ntawv mus kuaj ntxiv.

Tus kws kho mob yuav ua qhov muag pom kev zoo thiab tshawb xyuas keeb kwm. Nws yog tsim nyog sau cia tias cov kev mus rau kev kuaj ntshav qab zib hauv menyuam yaus thiab cov neeg laus yuav txawv. Ua ntej tshaj plaws, cov kab mob nrog cov tsos mob zoo sib xws, suav nrog ntshav qab zib insipidus, raug cais tawm. Tom qab cov txiaj ntsig ntawm kev kuaj pom tau, nws yuav ua rau muaj kev txheeb xyuas qhov tseeb.

Yog tias tus neeg tseem tsis tau paub tias nws muaj ntshav qab zib, ces cov tsos mob hauv qab no tuaj yeem dhau los ua kev hu rau tus kws tshaj lij:

  • malaise
  • phaus rog los sis yuag tshaj,
  • kev nqhis dej
  • nquag tso zis.

Yog tias koj muaj cov tsos mob no, koj yuav tsum xub hu rau koj tus kws kho mob. Nws yuav sau daim ntawv qhia ntshav los ntawm tus ntiv tes rau kev qab zib sai. Yog tias kev xoom xaim ntawm cov ntshav qab zib tau paub tseeb, tus kws tshaj lij tshwj xeeb yuav koom nrog kev txheeb xyuas txuas ntxiv.

Tseem Ceeb! Tus kws kho mob tsis tuaj yeem kho tus neeg uas muaj ntshav qab zib, tab sis nws tseem tuaj yeem pab kuaj xyuas tus mob. Feem ntau tib neeg pom tus kab mob no thaum lub sijhawm tiv thaiv, uas yog kws kho los ntawm ib tus kws kho mob.

Tus kws kho mob rau hom 1 thiab ntshav qab zib hom 2 hu li cas?

Tus kws kho mob, hu ua endocrinologist, koom rau hauv kev npaj ntawm kev kho, soj ntsuam thiab kho. Tom qab kuaj pom muaj ntshav qab zib, ib tug neeg mus ntsib kws kho mob tas li rau kev pab tswv yim. Ntxiv rau, cov kws kho mob hauv qab no tuaj yeem koom nrog hauv kev kho mob:

  • leeg tshav ib ce
  • kws kho plawv
  • kws kho qhov muag
  • tshuaj neuropathologist.

Lwm tus kws tshaj lij tshwj xeeb kho cov teeb meem ntshav qab zib uas tshwm sim nrog kev kho tsis raug lossis nrhiav tsis tau sijhawm.

Tus endocrinologist xaiv tau qhov kev kho mob zoo tshaj plaws. Ntawm hom ntshav qab zib hom 1, kev kho mob insulin yog kws kho. Ntshav qab zib Hom 2 yog kho nrog cov tshuaj uas ua rau muaj kev cuam tshuam cov ntaub so ntswg ntau rau cov kev ua ntawm insulin thiab txhim kho nws txoj kev zais cia. Ib qho tseem ceeb hauv kev kho yog qhov kev noj zaub mov zoo thiab kev noj qab haus huv zoo.

Ib qho ntxiv, txhawm rau kom kho tau tus mob, ib tus neeg yuav tsum kawm paub tswj hwm tus kabmob. Yog tias siv tshuaj insulin, koj yuav tsum soj ntsuam koj cov ntshav qab zib nrog lub ntsej muag me me. Tus mob ntshav qab zib yuav tsum paub qhov koob tshuaj twg nws xav tswj kom muaj suab thaj.

Nws tsis tuaj yeem kho tus mob ntshav qab zib kom tiav, yog li koj yuav tsum tau ua qee yam nyob rau ntu txuas ntxiv. Nws yog tsim nyog sau cia tias kev paub ntxov ntawm pathology tso cai rau koj kom ua tiav kev ncua ntev nrog kev pab ntawm cov tshuaj. Cov tshuaj niaj hnub muaj ntau yam tshuaj zoo heev. Nws muaj peev xwm yuav kho txhua qhov tsos mob ntawm tus kab mob. Hauv cov theem tom qab, kev tiv thaiv insulin yog qhov yuav tsum tau ua. Txhua yam kev qhia ntawm tus kabmob yuav tsum tau muab pov tseg sai li sai tau.

Tus kws kho mob twg kho tus mob ko taw?

Yog koj xav paub seb tus kws kho mob twg koom nrog mob ntshav qab zib, koj yuav tsum hu rau lub tsev kho mob. Yuav luag txhua zaus, txhawm rau kos kom tau ib qho kev kho mob zoo, yuav tsum tau txais kev pab ntawm ntau tus kws tshaj lij tshwj xeeb.

Kev mob ntshav qab zib yog ib qho kev nyuaj rau cov ntshav qab zib, ua rau lub cev puas tsuaj thiab cov leeg ntshav. Raws li tus kab mob pathology loj hlob tuaj, cov txheej txheem necrotic thiab mob rwj tshwm sim hauv cov ntaub so ntswg mos. Yog hais tias cov ntshav qabzib tsis ua li qub, pathology tuaj yeem ua rau mob caj dab, tsuas yog kev kho mob uas tau txiav tu.

Cov mob nyhav yog kho los ntawm tus kws kho mob endocrinologist thiab tus kws kho mob hu ua kws kho mob nqaij ntsuab. Tus kws endocrinologist tau koom nrog hauv kev ua cov piam thaj hauv kev noj tshuaj los ntawm cov tshuaj tshwj xeeb lossis cov tshuaj insulin. Tus kws kho tsiaj tau siv txoj kev kho kom ncaj ncaj rau lub qhov txhab ntawm qis qis, tshaj tawm kev kho kom zoo thiab tshuaj tiv thaiv kab mob rau kev kho sai ntawm ko taw. Nws yog tsim nyog sau cia tias yog tias tsis tso cov piam thaj hauv kev coj ua, nws yog tsis yooj yim sua kom tshem ntawm cov teeb meem.

Kev puas tsuaj rau cov kab mob ntshav qab zib txaus ntshai ua rau ib tus neeg lub neej. Raws li txoj cai, tus kab mob ntshav qab zib taw li kwv yees li 7-10 xyoo tom qab qhov pib ntawm kev loj hlob ntawm tus kab mob. Feem ntau, qhov kev tsis txaus ntseeg no tshwm sim hauv cov neeg laus uas raug tus mob ntshav qab zib hom 2. Ntau tus neeg mob ntshav qab zib tsis mob siab rau ua kom muaj kev phom sij thaum nws nyuam qhuav pib txhim kho. Qhov no yog tseeb vim li cas lub ntsiab rau cov tsos ntawm cov mob txhab thiab purulent-necrotic txheej txheem hauv taw.

Leej twg nyob hauv qhov chaw kho mob cuam tshuam txog cov teeb meem ntshav qab zib hauv qhov muag?

Mob ntshav qab zib tuaj yeem ua rau pom kev tsis pom kev thiab tseem dig muag. Txhawm rau tiv thaiv qhov kev tsis zoo no tshwm sim, nws yog ib qho tsim nyog yuav tsum pib kho kom ncav sijhawm. Ntawm thawj lub cim ntawm teeb meem qhov muag, koj yuav tsum nrhiav kev pab ntawm kws kho qhov muag.

Tus kws kho qhov muag yuav ua tej yam hauv qab no:

  • kuaj lub qhov muag nrog lub ntsej muag,
  • yuav tshuaj xyuas qhov tseeb pom,
  • yuav ntsuas hauv siab intraocular.

Yog tias ntshav qab zib ua rau kev mob hlwb, tus kws kho qhov muag yuav sau ntawv kho uas yuav ua rau qeeb ntawm txoj kev loj hlob ntawm tus kab mob no. Qhov muag cuam tshuam tau tshwm sim thaum laus.

Tom qab kuaj mob ntshav qab zib, ib tus neeg xav mus ntsib kws kho qhov muag tsawg kawg 1 zaug hauv ib xyoos los kuaj kev tiv thaiv. Yog tias tsim nyog, kev kho mob tsim nyog nrog kws kho qhov muag kho tau raug kho.

Tseem Ceeb! Tus yuam sij rau kev noj qab haus huv yog qhov kev tso ntshav ntshav hauv lub ntsej muag. Yog tias tsis muaj lub siab xav ntsib cov kev nyuaj, nws raug nquahu kom soj ntsuam cov zaub mov kom nruj thiab noj tshuaj tsis tu ncua.

Tus kws kho mob twg yuav pab kho tus mob neuropathy?

Ntawm cov ntshav qab zib, cov hlab ntsha me cuam tshuam. Qhov no nyeg tuaj yeem ua rau mob neuropathy. Tus kab mob no yog kev kho mob tsis zoo ntawm lub paj hlwb. Raws li cov teeb meem loj zuj zus tuaj, tus neeg muaj peev xwm ua haujlwm poob qis. Qhia qhov txawv ntawm nruab nrab thiab nruab nrab cov leeg hlwb. Mob neuropathy mob ntshav qab zib yog nrog cov tsos mob hauv qab no:

  • ua txhaum ntawm kev rhiab
  • lub cev muaj teeb meem
  • leeg tsis muaj zog.

Yog tias tus neeg xav paub tseeb lub npe tus kws kho mob uas kho neuropathy hu li cas, ces tus kws kho mob tuaj yeem teb nws. Feem ntau, tus kws kho mob hlwb tau koom nrog kho mob. Txhawm rau kom paub tseeb ntawm kev mob neuropathy, kev kuaj mob yog ua siv electroneuromyography.

Nws yog tsim nyog sau cia tias cov kws kho plawv, urologists, kws kho mob nqaij daim tawv, tus kws kho mob poj niam thiab ntau tus kws tshaj lij tuaj yeem koom nrog kev kho mob ntawm neuropathy. Vim tias qhov mob hnyav ntawm ntshav qab zib no, ntau qhov teeb meem tshwm sim. Nws yog ib qho tsim nyog yuav tsum tau soj ntsuam los ntawm kws kho mob txhawm rau txhawm rau txhawm rau tiv thaiv kev txhim kho cov mob neuropathy.

Xaus

Mob ntshav qab zib yuav tsum tau kho tam sim. Thaum nws pom tau, txoj kev kho mob tseem ceeb yog tus kws endocrinologist. Raws li cov nyom thiab lwm cov tsos mob tshwm sim, lwm tus kws tshaj lij tuaj yeem koom nrog txoj kev kho mob. Tus mob ntshav qab zib yuav tsum muaj kev paub txaus los pab nws tus kheej. Nrog rau tus kab mob, koj yuav tsum tau nyob tas koj lub neej, yog li koj twv yuav raug hu xav paub txhua yam nws tshwm sim thiab muaj teeb meem tshwm sim.

Cov ntaub ntawv nthuav txog ntshav qab zib tuaj yeem pom hauv video:

Cov laj thawj rau kev mus ntsib tus kws endocrinologist

Tus neeg mob yuav tsum tau sab laj nrog tus kws kho mob endocrinologist thaum nws muaj cov tsos mob: qhov nqhis dej tas li, khaus ntawm daim tawv nqaij, hloov sai sai hauv qhov hnyav, feem ntau ntawm lub cev ua pa ntawm cov nqaij mos, ua rau cov leeg tsis muaj zog, nce siab.

Thaum ntau cov tsos mob tshwm sim ntawm lub ntsej muag hais txog kev txhim kho mob ntshav qab zib mellitus, feem ntau 2 yam. Tsuas yog tus endocrinologist tuaj yeem thim lossis lees paub qhov kev kuaj mob.

Feem ntau, txhawm rau mus ntsib tus kws kho mob no, ua ntej sab laj nrog tus kws kho mob, tus kws kho mob hauv cheeb tsam. Yog tias nws ncaj qha rau ntshav pub dawb, qhov kev soj ntsuam yuav qhia tias nce lossis tsawg dua glycemia, tom qab ntawd xa mus rau tus kws kho mob endocrinologist uas kho cov teeb meem no.

Ntawm cov ntshav qab zib ntawm ib hom twg, tus neeg mob tau sau npe, thiab tom qab ntawd tus kws kho mob txiav txim siab hom mob, xaiv cov tshuaj noj, qhia txog cov kab mob sib kis, qhia tshuaj kho tus kws kho mob, tshuaj xyuas tus neeg mob kev tshuaj ntsuam thiab tus mob.

Yog tias tus neeg mob ntshav qab zib xav ua lub neej zoo, nws yuav tsum tau mus kuaj mob tas mus li thiab tiv thaiv kom ntshav qab zib.

Cov tsos mob ntshav qab zib

Yog tias muaj kev hloov pauv ntawm qhov txawv txav hauv lub cev, nws yog ib qho maj nrawm los teem sij hawm nrog tus kws kho mob thiab tsim kom muaj qhov ua rau lawv pom. Raws li cov txiaj ntsig ntawm kev tshuaj xyuas txhua yam, tus kws kho mob yuav kuaj thiab xa mus rau cov kws tshaj lij. Cov cim tseem ceeb ntawm ntshav qab zib yog:

  • kev nqhis dej tas li
  • tsis tuaj yeem tswj tau,
  • txo / nce hauv lub cev qhov hnyav,
  • nquag kis thiab kis kab mob,
  • txo potency thiab libido,
  • nquag fungal kab mob.

Tom qab kuaj thawj zaug, tus kws kho mob endocrinologist tuaj yeem tsim cov theem ntawm kev mob ntshav qab zib mellitus, ntxiv rau, nws yuav txiav txim siab txog qib sucrose thiab pom zoo rau kev kho txheej txheem.

Qhov hloov zuj zus ntawm ntshav qab zib tuaj yeem ua rau ntau qhov kev nyuaj uas cuam tshuam nrog txhua yam kabmob hauv ib tus neeg. Qhov tseem ceeb tshaj plaws ntawm qhov tshwm sim tuaj yeem ua rau tsis nco qab, qhov tshwm sim ntawm ntau yam khoom hauv nruab nrog cev thiab ua rau qaug cawv ntau. Tsis tas li ntawd, muaj teeb meem ntawm cov ntshav qab zib tshwm sim tas li mob taub hau, tsis pom kev, mob ntshav siab, mob hlab ntaws.

Cov cim saum toj no ntawm tus kabmob txhais tau tias mob ntshav qab zib ua tau zoo thiab tuaj yeem ua rau muaj kev phom sij. Yog li ntawd, kev ntsuas coj los kho nws tsis txaus.

Leej twg yog tus endocrinologist

Ntsib nrog tus kabmob tsis txaus siab xws li mob ntshav qab zib, tus neeg mob yuav txaus siab rau thaj tsam ntawm kev ua ub no ntawm tus kws kho mob koom, uas nws tau pom. Txhua tus kws kho mob ntshav qab zib yuav tsum ua raws li cov kev kho mob hauv qab no:

  • ua qhov kev kuaj mob kom paub tseeb ntawm cov kab mob,
  • sau tshuaj txoj cai kho,
  • kev tiv thaiv ntawm cov kab mob sib kis ntawm cov kab mob endocrine,
  • cov lus qhia txog kev saib xyuas kev kho,
  • saib xyuas khoom noj khoom haus thiab tsom xam.

Ib qho ntxiv, tus kws kho mob endocrinologist kho cov pob txha txha caj qaum, kab mob ntawm cov kab mob endocrine. Tus kws kho mob sau ntawv tawm kev kho mob hormone rau tus neeg mob, sib ntaus txhua yam kev rog, thiab tseem kho tau me nyuam yaus. Txog kev mob qog noj ntshav, tus neeg mob yuav tsum tau kuaj los ntawm tus kws endocrinologist.

Cov kws kho mob twg kho ntshav qab zib

Yog tias tus neeg tau txais kev kuaj mob no, tom qab ntawd qhov xwm txheej no tsuas yog tus kws kho mob tsim nyog rau tus neeg mob yog tus kws kho mob endocrinologist, txawm hais tias thawj zaug kev sab laj yog los ntawm tus kws kho mob, uas tom qab ntawd sau ntawv tag nrho cov kev kuaj mob uas xav tau thiab muab xa mus rau kev kuaj mob los ntawm tus kws kho mob tshwj xeeb. Cov txheej txheem zoo sib xws siv rau cov menyuam yaus, tab sis txoj ntsiab cai ntawm kev kho mob rau menyuam yaus thiab cov laus yuav sib txawv me ntsis. Tus kws kho cov kabmob endocrinologist uas xav tau thaum tus menyuam muaj pathologies ntawm cov qog endocrine. Ib qho ntxiv, nws raug nquahu kom kuaj xyuas rau ntau yam teebmeem ntawm kev loj hlob thiab kev loj hlob.

Thaum txheeb xyuas qhov tshwm sim thawj zaug ntawm ntshav qab zib hauv menyuam yaus, koj yuav tsum mus ntsib kws kho mob sai li sai tau. Mob ntshav qab zib thaum hnub nyoog yau pib sai dua li neeg loj. Qhov no txhais tau hais tias qhov kev pheej hmoo ntawm cov kab mob sib kis, ntxiv rau cov mob rov huam, muaj ntau dua. Txhawm rau tiv thaiv qhov ua tsis zoo, yuav tsum tau muaj kev kho kom zoo. Tus kws kuaj mob endocrinologist rau cov muaj hnub nyoog txaus ntawm cov pej xeem tuaj yeem tau txais kev paub tshwj xeeb hauv cov noob caj noob ces, tus kws kho mob poj niam, kws phais mob, cov thyroidologist, thiab lwm yam.

Tus kws paub txog tshuaj noj khoom haus qhia tswv yim rau tus neeg mob thiab sau nws thaum muaj kev tshuaj ntsuam keeb.

Hauv qhov no, kev saib xyuas kev kho mob thiab lwm yam kev tiv thaiv tau ua tiav raws li cov teeb meem uas twb muaj lawm thiab chav kis mob. Hauv qee zaus, tus kws kho mob no muaj menyuam yaus uas niam txiv muaj kev mob ntshav qab zib. Tus kws kho mob poj niam muaj peev xwm yog tib tug endocrinologist, txawm hais tias tsis yog tus poj niam ib nrab ntawm cov neeg tuaj ntsib nws. Tus kws kho mob no yuav tsum tau muab kev kho mob kom tiav rau cov poj niam uas muaj menyuam hauv plab. Ntxiv rau, cov kws tshaj lij no txheeb xyuas cov kab mob hloov hauv lub zes qe menyuam.

Ib qho ntxiv tshwj xeeb ntawm tus kws endocrinologist yog phais. Feem ntau, kws phais mob kuj saib xyuas ntshav qab zib. Lawv tuaj yeem xa mus rau nws thaum tus mob tau mus txog theem ntawm kev ua haujlwm. Hauv qhov no, tus kws kho mob yuav tsum teeb tsa cov kev cuam tshuam ntawm kev phais mob. Nyob rau hauv rooj plaub thaum tus kws kho mob soj ntsuam hom 1-2 ntshav qab zib mellitus lossis ntshav qab zib insipidus, tus kws kho ntshav qab zib yog tus kws tshaj lij tshwj xeeb. Tom qab tag nrho, thaum lub caij ntawm mob no, nws yog ib qhov tsim nyog los saib xyuas khoom noj khoom haus, saib qhov tseeb hom thiab ua raws li cov zaub mov tshwj xeeb.

Txij li thaum mob ntshav qab zib mellitus ua rau kev ua haujlwm tsis zoo ntawm yuav luag txhua yam hauv nruab nrog cev, tus neeg mob raug nquahu kom mus kuaj mob los ntawm tus kws kho mob hlwb, kws kho plawv, kws phais plawv thiab kws kho qhov muag.

Ntshav qab zib mus kuaj

Kev kuaj ntshav qab zib thawj zaug nrog kev kuaj ntshav qab zib. Hom kev no suav tias yog kev paub tshaj plaws nyob rau ntawm thawj theem ntawm daim ntawv tshuaj ntsuam. Tom qab tau txais cov txiaj ntsig, tus kws kho mob yuav tuaj yeem txiav txim siab qhov kev xav tau rau kev coj ua tom qab kev kuaj mob.Tsis tas li ntawd, raws li qhov ntsuas no, tus kws kho keeb (endocrinologist) yuav tuaj yeem muab tshuaj kho.

Tus kabmob raug muab faib ua 4 qib qhov mob hnyav. Thaum pib, glycemic Performance index tau txiav txim siab ntawm no. Kev txiav txim siab kom paub qhov tseeb kev tsim qauv ntawm kev kuaj mob, tus kws kho mob muab qhov tseem ceeb rau cov kev mob uas ua nrog tus mob. Tus mob Qeb 4 yog qhov txaus ntshai rau kev noj qab haus huv ntawm tus neeg mob. Nws tuaj yeem ua rau poob siab thiab mob hauv ceg. Txhawm rau tiv thaiv cov kev tsis sib haum xeeb, txhua qhov kev pom zoo ntawm tus kws kho mob uas yog kho tus kab mob yuav tsum tau ua raws.

Tsuas yog tom qab tus neeg mob tau ua tiav txhua yam kev kuaj mob yog tus endocrinologist tuaj yeem tsim theem ntawm tus kab mob thiab xaiv cov txheej txheem kho mob yam xav tau. Raws li cov txiaj ntsig ntawm kev soj ntsuam thaum pib thiab cov kev ntsuam xyuas uas tau tso mus, tus kws kho mob rub tawm ib txoj kev kho qhov mob uas tsom mus kho cov qog hauv lub qog, txhawb, txwv thiab hloov cov tshuaj nrog kev noj zaub mov noj.

Tau ntev, cov kws kho mob endocrinologists ua cov chaw kuaj mob thiab tshawb nrhiav qhov tseeb kom paub qhov tseeb ua rau mob ntshav qab zib thiab lwm yam kabmob ntawm cov kab mob endocrine. Tsis tas li ntawd xwb, lawv tab tom tsim cov hauv kev niaj hnub ntawm txoj kev kho, kuaj mob thiab tiv thaiv kab mob. Siv cov txiaj ntsig tau, cov kws paub txog endocrinology tau qhia txog cov kev kho mob tshiab thiab siv tshuaj tshiab. Raws li txoj cai, ntxiv rau txoj kev kho mob tseem ceeb rau cov ntshav qab zib, qee qhov kev noj haus tau raug sau los pab kom tshem tau cov kev mob no.

Tsuas yog kev sib koom tes tswj thiab kev tswj hwm nkaus xwb yuav pab tiv thaiv kom tsis txhob muaj teeb meem. Nrog kev pab ntawm kev tshuaj xyuas tsis tu ncua thiab kev tshawb fawb tau ua, tus kws kho mob yuav tuaj yeem kho tus kheej txoj kev kho mob thiab xaiv cov khoom noj kom zoo.

Raws li txoj cai, ntshav qab zib ua ke ib tus neeg mus tas nws lub neej. Qhov no yog lub sijhawm ntev dua, yog li lub hom phiaj tseem ceeb yog xaiv cov qauv zoo tshaj plaws ntawm kev kho kom haum rau tus neeg mob tshwj xeeb. Tus kws kho mob suav nrog cov tshuaj tsim nyog, kev kawm kho vitamin, kev qhia noj zaub mov thiab kev tawm dag zog lub cev. Qhov loj tshaj plaws yog kom tsis txhob hnov ​​qab tias kev mus ntsib kws kho mob raws sij hawm pab tiv thaiv kev mob tsis zoo, vim nws yooj yim dua li kho tus kab mob nws tus kheej. Yog li, txhua tus neeg mob yuav tsum tiv tauj cov kws tshaj lij raws sijhawm.

Pab uas muaj ntshav qab zib ua dab tsi?

Endocrinologist thiab tus kws tu neeg mob ntawm chav ua haujlwm endocrinologyCov. Hauv ntau lub tebchaws uas muaj txoj haujlwm zoo txog kev saib xyuas kev noj qab haus huv, tus kws saib xyuas neeg mob ua haujlwm tshwj xeeb, tseem ceeb heev. Ntawm no yog qee qhov ntawm lawv:

  • kev ntsuas tsis tu ncua ntawm lub cev qhov hnyav thiab lub duav ncig ntawm tus neeg mob,
  • kev txhaj tshuaj insulin,
  • qhia kev ntsuas tus kheej saib xyuas cov ntshav qab zib nrog lub ntsej muag,
  • kev cob qhia hauv txoj hauv kev ntawm kev tshuaj xyuas lub taw thiab tu lawv, thiab lwm yam.

"Tus nais maum ntawm qhov chaw ua haujlwm endocrinology" yog lub sijhawm zoo hauv keeb kwm ntawm cov tshuaj, cov tub txawg no tau tshwm sim hauv thaj chaw tom qab Soviet.

OphthalmologistCov. Mob ntshav qab zib yog qhov txaus ntshai rau nws cov teeb meem, ib qho yog qhov muag dig muag. Qhov mus ntsib "kws kho qhov muag" yog qhov yuav tsum tau ua rau cov neeg mob ntshav qab zib. Qhov ntau zaus ntawm kev mus ntsib nyob ntawm hom thiab ntev npaum li cas ntawm tus kab mob.

Qhov insidiousness ntawm ntshav qab zib hauv kev sib raug zoo rau lub qhov muag yog tias nyob rau theem pib ntawm tus kab mob ntshav qab zib tsis muaj cov tsos mob tshwj xeeb, tsuas yog tus kws kho mob ophthalmologist tuaj yeem tshawb pom kev hloov pauv nrog kev pab ntawm cov cuab yeej tshwj xeeb.

Txawm li cas los xij, yuav tsum tau kuaj mob ceev yog tias muaj cov tsos mob hauv qab no tshwm sim:

  • "Xob laim flashes" ua ntej lub qhov muag,
  • "Daim ntaub thaiv" lossis cov tawv dub,
  • mob heev lossis poob qis hauv qhov pom tseeb.

Txawm hais tias tsis mob qhov muag, kev mus ntsib kws kho qhov muag txog ntshav qab zib yuav tsum ua.

NeurologistCov. Raws li txoj cai, thawj qhov kev cuam tshuam ntau tshaj plaws ntawm ntshav qab zib yog qhov ua txhaum ntawm qhov rhiab ntawm ko taw (mob ntshav qab zib distal polyneuropathy). Tus neeg mob nws tus kheej sau tseg loog ntawm cov ntiv taw, qhov kev xav zoo li "nkag", tingling thiab lwm yam tsos mob.

Hauv qhov no, tus kws kho mob hlwb tau ua qhov kev kawm tshwj xeeb ntawm tsib yam kev rhiab thiab txhim kho qhov kev kuaj mob kom raug.

Yog hais tias distal polyneuropathy tsis kho raws sijhawm, mob ko taw mob ntshav qab zib thiab Charcot osteoarthropathy tuaj yeem tsim kho. Nrog rau cov xwm txheej no, kev pab ntawm tus kws kho mob tshwj xeeb - tus kws kho kaus hniav (nws tseem hu ua kws kho pob kws, tus kws ntsuas pob kws) yuav xav tau. Cov kws phais neeg kuj tseem koom nrog qhov teeb meem no.

Kev kho plawvCov. Cov ntawv txheeb xyuas tas mus li qhia tau tias nws yog qhov cuam tshuam ntawm cov ntshav qab zib rau lub plawv thiab cov hlab ntshav uas yog qhov tsis zoo tshaj plaws rau tus neeg mob thiab txiav txim siab nws lub neej muaj sia.

Txij li muaj ntshav qab zib ua rau txoj hlab ntaws "tuag" hauv thawj qhov chaw, cov kev hloov pauv yuav tshwm sim hauv lub siab, thiab cov neeg mob yuav tsis hnov ​​mob ntau. Txawm hais tias lub plawv nres yuav tsis pom los ntawm ib tug neeg. Thiab tsis muaj kev kho kom raws sij hawm, qhov xwm txheej yuav ceev heev.

Qhov tshwm sim tsis zoo tshaj plaws ntawm ntshav qab zib yog mob plawv thiab mob hlab ntsha tawg thaum tseem hluas.

Tus kws kho plawv yog kws kho mob uas yuav tsum tau mus ntsib yam tsis tu ncua los ntawm kev tsis txaus siab los ntawm lub siab lossis kev hloov pauv hauv ECG.

Lwm tus kws tshaj lij

Kws kho mob hlwbCov. Tus kws kho mob no cuam tshuam txog cov mob raum, nrog rau mob ntshav qab zib nephropathy. Qhov kev tsis txaus ntseeg no tau tsim los ntawm kev kuaj ntshav biochemical thiab kuaj zis rau albumin. Cov kev soj ntsuam no tau ua ntu zus, thiab feem ntau endocrinologist qhia lawv. Yog tias tsim nyog, nws tseem muab cov lus qhia rau tus kws kho mob hlwb.

Tus kws kho mob zuaj ib ceCov. Tus kws kho mob no ua qhov tshwj xeeb hauv theem ntawm kev npaj lub cev xeeb tub. Txawm tias 10 xyoo dhau los, hom 1 mob ntshav qab zib mellitus feem ntau tau txiav txim siab ua tus kabmob sib kis rau kev xeeb tub.

Niaj hnub no, cov neeg mob ua tiav tau cev xeeb tub thiab yug menyuam kom muaj kev noj qab haus huv, tab sis qhov no yuav tsum muaj kev npaj cev xeeb tub, uas ob tus kws endocrinologist thiab tus kws kho mob poj niam koom nrog.

UrologistCov. Cov neeg mob tig mus rau tus kws kho mob no tsuas yog nyob rau qhov xwm txheej xav tau sai, feem ntau daws cov teeb meem ntawm lawv tus kheej, kev cia siab rau kev tshaj tawm thiab kev tawm tswv yim ntawm cov phooj ywg. Mob ntshav qab zib thiab kev sib deev hauv cov txiv neej ua tau ze heev, yog li kev mus ntsib tus kws kho mob no yuav tsis muaj kev coj noj coj ua.

Yuav tsum ntsib kws kho mob tuab npaum li cas thiab mus kuaj mob?

Lo lus teb rau lo lus nug no nyob rau hauv txhua kis yog tus neeg, tab sis tuaj yeem sau lub ntsiab lus raws li hauv qab no:

Cov Lus - Yuav tsum tau mus ntsib kws kho mob pes tsawg zaus nrog tus neeg mob ntshav qab zib Cov Lus - Cov neeg mob ntshav qab zib yuav tsum tau kuaj heev npaum li cas

Yog li, tsuas yog kev sib koom tes ntawm cov kws kho mob, tus neeg mob thiab nws cov neeg txheeb ze tuaj yeem kho ntshav qab zib tau zoo.

Qhov zoo tshaj plaws endocrinologist

Tus neeg mob muaj peev xwm tawm tswv yim kom teem sijhawm nrog tus endocrinologist yog tias nws pom qee cov tsos mob. Qhov no yuav yog ib qho kev nce sai lossis, hloov pauv, poob phaus lossis, piv txwv li, nqhis dej tsis tu ncua. Ib qho ntxiv, hauv cov npe ntawm cov tsos mob ntshav qab zib yog xws li:

  • tsis tuaj yeem tswj tau,
  • heev tsim ntawm fungal pathologies (piv txwv li, txoj kev loj hlob ntawm thrush),
  • tsis tu ncua ntsib nrog pathologies xws li mob khaub thuas lossis SARS,
  • qhov ncauj qhuav.

Ntxiv rau, cov ntshav qab zib yuav ntsib kev tsis txaus siab ntawm cov leeg tsis muaj zog, khaus khaus. Nrog rau ntau cov paib, peb tuaj yeem ntseeg siab tham txog kev tsim cov ntshav qab zib hom 2. Paub meej lossis tsis lees paub qhov kev kuaj mob no tsuas yog tus neeg endocrinologist.

Tus kws endocrinologist yog qhov tshwj xeeb uas muaj ntau ceg: tus kws kho menyuam yaus, tus kws kho mob caj ces, tus kws kho mob poj niam, thiab lwm yam. Yog li, thawj tus kws kho mob cuam tshuam nrog cov kab mob ntawm cov tshuaj endocrine rau hauv tus menyuam. Nws yuav tsum nkag siab tias tus kab mob no hauv menyuam yaus yog tsim ua sai sai, nrog rau kev ua kab mob sib xyaw ua ke.

Cov noob caj noob ces tshwj xeeb hauv kev pab them cov kab mob muaj txoj sia, uas suav cov ntshav qab zib. Tsis muaj tsawg dua nrov yog tus kws kho mob poj niam ua haujlwm uas kho cov kab mob cuam tshuam nrog kev ua me nyuam hauv cov kab mob ntshav qab zib.

  • kws phais mob - nws kho cov kab mob hauv ib qho theem ua haujlwm, tso cai rau koj los tsim txheej txheem thiab qib kev phais mob,
  • Tus kws kho ntshav qab zib yog tus kws kho mob uas kho cov neeg mob ntshav qab zib insipidus lossis lwm yam kev txawv txav hauv kev txhim kho kab mob,
  • cov thyroid tshwj xeeb txiav txim siab nws tus kheej rau kev kuaj mob thiab kev txiav txim siab ntawm qhov tsim nyog kho rau cov kab mob pathological hauv lub qog endocrine. Txhua yam no tseem ceeb heev rau cov neeg mob ntshav qab zib.

Tus kws kho mob ntshav qab zib muaj txiaj ntsig pab nrog tus mob no. Raws li tau sau tseg ua ntej, nws txhais tau qhov ntsuas rov qab loj: tshuaj, khoom noj. Nws yog tus endocrinologist rau cov laus thiab cov menyuam yaus uas tso cai rau koj los tsim kev tawm dag zog lub cev, xa nws mus rau qhov kev kuaj mob kom tsim nyog.

Txog cov ntshav qab zib, nws yog ib qho tseem ceeb kom sab laj nrog koj tus kws kho mob ntau zaus. Qhov no ua rau nws tuaj yeem them nyiaj rau cov kab mob pathology, los tshawb xyuas qhov ua tau zoo ntawm insulin lossis piam thaj hauv cov khoom. Ntxiv rau, nws yog tus kws kho mob endocrinologist uas kho tus mob no thiab pab kom tsis txhob muaj kev txhim kho ntawm cov kev mob nyhav thiab cov kev rau mob loj.

Raws li WHO hais, txhua 5 feeb ib tus neeg muaj tus mob ntshav qab zib. Tus kabmob tau muab cov xwm txheej ntawm kev muaj kabmob sib kis, thiab txog xyoo 2030 nws yuav ua rau xya qhov chaw rau kev tuag nyob hauv lub ntiaj teb.

Yuav luag txhua tus paub txog cov tsos mob classic ntawm tus kab mob - nqhis dej heev, tso zis tsis tu ncua. Cov kev kuaj mob zoo li no yuav tsum yog lub laj thawj tseem ceeb txaus rau kev mus ntsib tsev neeg tus kws kho mob, kws kho mob. Lawv muab cov lus qhia rau tus kws endocrinologist, nws qhov haujlwm yog tsom mus rau kev kuaj mob, kho thiab tiv thaiv cov kab mob ntawm cov kab mob endocrine. Diabetology, raws li kev cais tawm ntawm endocrinology, cuam tshuam tshwj rau cov ntshav qab zib.

Tus kws tshaj lij ua dab tsi:

  • Ua ib qho kev kawm ntawm cov kab ke endocrine tag nrho.
  • Tshaj tawm cov pawg kev ntsuas kev ntsuas pom.
  • Kev kuaj mob pathology, daim ntawv thiab hom mob, kho kev kho mob (kho ntawm cov tshuaj hormones tshuav nyiaj, rov qab kho cov metabolism).
  • Kho thiab xaiv cov khoom noj ntawm ib tug neeg.
  • Tshaj tawm cov txheej txheej ntawm kev tiv thaiv kab mob rau cov teeb meem, muab tshuaj kho ntxiv.
  • Saib xyuas kev kho mob.

Endocrinologist-diabetologist tau cuam tshuam nrog pathology hauv cov menyuam yaus thiab cov neeg laus sib cais. Qhov sib txawv no yog qhov tsim nyog rau ntau yam:

  1. Thaum tseem yau, muaj ntshav qab zib hom 1 huam tuaj, thiab cov neeg laus muaj feem yuav raug tus mob hom 2. Cov ntsiab cai thiab txoj hauv kev hauv kev kho mob sib txawv hnub nyoog txawv yog txawv.
  2. Cov neeg mob laus yuav tsum tau siv lwm yam tshuaj thiab cov tshuaj insulin.

Tus neeg mob muaj peev xwm yuav tsum sab laj nrog tus kws endocrinologist yog tias nws muaj qee cov tsos mob no:

  • cov ntse teeb los yog poob phaus,
  • kev nqhis dej tas li
  • tsis tuaj yeem tswj tau,
  • nquag tshwm sim ntawm cov kab mob fungal (thrush),
  • nquag muaj mob ua npaws thiab SARS,
  • qhov ncauj qhuav
  • leeg tsis muaj zog
  • khaus tawv.

Nrog rau ntau cov tsos mob, peb tuaj yeem hais txog kev txhim kho hom II mob ntshav qab zib mellitus. Paub meej lossis tsis lees paub qhov kev kuaj mob no tsuas yog tus neeg endocrinologist.

Hauv peb lub teb chaws, cov txheej txheem rau mus ntsib tus kws kho qhov muag endocrinologist tsis yog qhov yooj yim. Kev xa mus rau cov kws tshaj lij tshwj xeeb tsuas tuaj yeem tau txais los ntawm tus kws kho mob. Yog li thawj yam yog mus cuag tus tub ceev xwm hauv nroog. Tom qab dhau txoj kev kuaj ntshav rau cov piam thaj thiab kuaj pom glycemia, kev xa mus rau tus kws endocrinologist yuav ua raws.

Tus kws tshaj lij no yuav ua nws txoj kev tshawb fawb kom paub meej lossis rov ua haujlwm rau kev kuaj mob. Tau pom muaj ntshav qab zib txhua yam, tus neeg mob pib sau npe, ces tus kws kho mob ua raws li cov ntsiab lus hauv qab no:

  • kev txiav txim siab ntawm hom mob ntshav qab zib (I lossis II),
  • kev xaiv tshuaj
  • kev tiv thaiv ntawm concomitant kab mob,
  • txhawb nqa kev noj haus
  • kev saib xyuas ntawm kev sim thiab qhov mob ntawm tus neeg mob.

Tus neeg mob nyob rau hauv kev saib xyuas ntawm tus kws kho mob yuav tsum ua raws li cov ntsiab cai no yog tias nws xav nyob lub neej ib txwm muaj, tag nrho lub neej.

Yog li, nws yog tus kws kho mob no uas yog tus tshwj xeeb hauv kev kho mob ntshav qab zib. Nws qhov tshwj xeeb tsis yog hauv qhov no, nws yog dav txaus thiab npog txhua yam kev ua txhaum ntawm cov kab mob endocrine hauv lub cev.

  • Cov Hypothalamus thiab cov caj pas pineal,
  • Lub qog ua haujlwm
  • Cov qog adrenal,
  • Cov qog Pituitary,
  • Lub txiav.

Yog tias peb tham txog cov kab mob, tom qab ntawd hauv kev tshwj xeeb ntawm endocrinologist - xws li mob:

  • Mob ntshav qab zib ntawm txhua hom,
  • Nce calcium ntau ntxiv hauv cov ntshav,
  • Mus Nyob
  • Cov thyroid mob,
  • Kev loj hlob lawm ntau heev lawm ntau lawm.

Qhov peev xwm ntawm tus kws kho mob no thiab lwm yam kev cuam tshuam endocrine - kev rog, mob txha caj qaum, kev ua niam txiv.

Thaum koj tuaj ntsib tus kws kho mob endocrinologist, nws yuav mloog koj, saib keeb kwm kho mob, ntsuas ntshav siab, mloog lub plawv, thiab sau ntawv yuav tshuaj thiab kuaj mob tsim nyog.

Hauv nws lub chaw ua haujlwm, ntxiv rau cov nplai, yuav tsum muaj kab xev ib xoos, ntsej muag me me, ntsuas qhov siab, ntsuas cov ntsuas thiab cov khoom siv los txiav txim rau cov mob ntshav qab zib.

Cov kaw lus tau txais los ntawm xov tooj 8 (499) 519-35-82

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kev ntsuam xyuas Murashko (Mirina) Ekaterina Yuryevna Tus Neeg Noj Khoom Haus, Endocrinologist

Tus neeg sib tw ntawm Medical Science

Tus kws kho mob ntawm thawj qeb Qhov nqi nkag - 3500r.1750r. tsuas yog nyob rau medportal.net! Teem sijhawm hauv xov tooj

8 (499) 519-35-82 Tus Thawj Coj ntawm chaw kho mob. Nws koom tes nrog rau cov thyroid pathologies, ntshav qab zib, txha, txha, rog, adrenal caj pas pathologies. Nws tsis tu ncua koom nrog cov rooj sib tham scientific, suav nrog cov txawv teb chaws thiab thoob ntiaj teb .... Moscow, st.

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ntsuam xyuas Ermekova Batima Kusainovna Tus Neeg Noj Khoom Haus, Endocrinologist

Kev 6 xyoo. Tus nqi nkag - 1500 rubles 1350 rubles. tsuas yog nyob rau medportal.net! Teem sijhawm hauv xov tooj

8 (499) 519-35-82 Tshwj xeeb hauv kev kuaj mob thiab kev kho mob ntawm cov kab mob ntawm cov kab mob endocrine. Thaum ua haujlwm nrog cov neeg muaj ceeb thawj, thawj zaug ntawm txhua qhov, kev tshawb nrhiav yog ua rau cov laj thawj tseem ceeb ntawm cov mob no thiab lawv tshem tawm, tom qab ntawd tau suav nrog ... g. Moscow, st.

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ntsuam xyuas Malyugina Larisa Aleksandrovna Endocrinologist

Kev paub 19 xyoo.Qhov tus nqi nkag yog 2100 rubles.

8 (499) 519-35-82Cxoj kev tos txais neeg sab nraud thiab kev tswj hwm cov neeg mob nrog endocrine pathology, qhia txog kev noj zaub mov noj, noj tshuaj rau qee tus neeg noj zaub mov noj, tswj cov neeg mob ntshav qab zib mellitus, tswj cov neeg mob nrog cov thyroid kab mob, ... g. Moscow, st.

Ntxiv rau Piv105

ntsuam xyuas Kuznetsova Elena Yuryevna Endocrinologist

Tus kws kho mob ntawm cov qeb siab tshaj Qhov txais yuav cov nqi - 1590 rubles. tsuas yog nyob rau medportal.net! Teem sijhawm hauv xov tooj

8 (499) 519-35-82 Tshwj xeeb hauv kev kho mob ntawm cov kab mob endocrine, cov neeg mob ntshav qab zib mellitus, nrog cov kab mob ntawm cov thyroid caj pas, qog ua qog, kho cov neeg mob puas tsuaj rau cov kab mob hypothalamic-pituitary. Xeem tsis tu ncua feem ... g. Moscow, Prospekt Mira, d. 105, p. 1. Alekseevskaya, VDNH

Cov neeg ua haujlwm ntawm cov chaw kho mob feem ntau muaj cov kws kho mob endocrinologist. Yog tias muaj kev ua xyem xyav los ntawm ntshav qab zib mellitus, tus kws kho mob hais txog tus mob endocrinologist. Yog tias kev kuaj mob twb tau teeb tsa, tom qab ntawd tus neeg mob tau teem sijhawm mus kuaj mob ntawm nws tus kheej los ntawm kev sau npe.

Hauv ntau lub nroog loj, muaj cov chaw kho mob ntshav qab zib uas tus neeg mob tuaj yeem xa mus soj ntsuam kom ntxaws. Cov chaw zov me nyuam no muaj cov kws tshaj lij thiab cov khoom tsim nyog.

Tus neeg mob yuav tsum tau sab laj nrog tus kws kho mob endocrinologist thaum nws muaj cov tsos mob: qhov nqhis dej tas li, khaus ntawm daim tawv nqaij, hloov sai sai hauv qhov hnyav, feem ntau ntawm lub cev ua pa ntawm cov nqaij mos, ua rau cov leeg tsis muaj zog, nce siab.

Thaum ntau cov tsos mob tshwm sim ntawm lub ntsej muag hais txog kev txhim kho mob ntshav qab zib mellitus, feem ntau 2 yam. Tsuas yog tus endocrinologist tuaj yeem thim lossis lees paub qhov kev kuaj mob.

Feem ntau, txhawm rau mus ntsib tus kws kho mob no, ua ntej sab laj nrog tus kws kho mob, tus kws kho mob hauv cheeb tsam.Yog tias nws ncaj qha rau ntshav pub dawb, qhov kev soj ntsuam yuav qhia tias nce lossis tsawg dua glycemia, tom qab ntawd xa mus rau tus kws kho mob endocrinologist uas kho cov teeb meem no.

Ntawm cov ntshav qab zib ntawm ib hom twg, tus neeg mob tau sau npe, thiab tom qab ntawd tus kws kho mob txiav txim siab hom mob, xaiv cov tshuaj noj, qhia txog cov kab mob sib kis, qhia tshuaj kho tus kws kho mob, tshuaj xyuas tus neeg mob kev tshuaj ntsuam thiab tus mob.

Tus kws kho mob twg yuav mus nrog ntshav qab zib ua ntej

Cov cim ntawm ntshav qab zib tau tshwm sim los ntawm cov qib piam thaj ntau ntxiv. Ntawm lawv yog:

  • kev nqhis dej
  • poob phaus
  • nkees
  • khaus tawv
  • nquag tso zis, thiab lwm yam.

Yog tias koj muaj tus lej ntawm cov phiajcim no, nws tsim nyog xav txog yam koj tuaj yeem tsim kho

hauv qhov no, ua ntej txhua yam - tus kws kho mob. Tus kws kho mob tshwj xeeb yuav ua kev kuaj mob thawj zaug, muab xa mus rau kev kuaj mob, kuaj ntxiv thiab kho ntxiv.

Txawm hais tias muaj kev koom tes ntawm tus kws kho mob thiab lwm tus kws kho mob hauv kev kuaj mob ntshav qab zib mellitus, qhov kev txiav txim siab zaum kawg yog txiav txim los ntawm tus kws kho mob endocrinologist. Tib tug kws kho mob txiav txim siab kho cov kev kho mob ntxiv, tshwj xeeb tshaj yog hais txog kev kho mob insulin.

Txij thaum endocrinologist yog tus kws kho mob tseem ceeb tshaj plaws rau cov ntshav qab zib, ntxiv rau txoj kev kho mob tseem ceeb, nws coj tus neeg mob yav tom ntej. Nws tau tawm tswv yim rau cov lus qhia txog cov teeb meem kev noj qab haus huv zoo. Tsis tas li, tus kws kho mob endocrinologist tseem ceeb qhia txog cov mob ntshav qab zib ntawm qhov uas xav tau kev kuaj mob ib txwm.

Feem ntau, ntshav qab zib pib pib muaj rau cov neeg laus. Sij hawm dhau mus, kev ua haujlwm ntawm tus txiav txim siab yuav txo qis, uas ua rau txoj kev txhim kho cov tshuaj insulin-tiv thaiv ntshav qab zib hom 2.

Tus kws kho mob twg los cuam tshuam nrog cov teeb meem no - thaum xub thawj tib yam endocrinologist. Tom qab, thaum txoj kev kho mob pom zoo thiab tsim tau, koj tuaj yeem sab laj nrog tus kws kho mob kom pab tswv yim.

Los xyuas kom meej kev tswj tus neeg mob,

tuaj yeem xa tus neeg mob mus rau cov kws kho mob tshwj xeeb. Tus kws kho mob twg koj yuav tsum tau mus nyob ntawm qhov ntau ntawm cov chav kawm ntawm tus kab mob.

Tsis tas li, xav paub txog tus kws kho mob twg thiaj li yuav tiv tauj nrog ntshav qab zib, koj yuav tsum nco ntsoov txog tus kws qhia noj zaub mov zoo. Tus kws kho mob no yuav muab cov lus qhia noj haus zoo uas siv rau qee hom mob. Ib qho ntxiv, thaum txhim kho kev noj zaub mov, tus kws qhia noj zaub mov ua kom nkag siab txog tus neeg mob qhov hnyav hloov. Nov yog qhov tseem ceeb rau cov neeg mob uas muaj ntshav qab zib hom 2.

Muaj qee kis, tus kabmob yog qhov ua rau ntau yam mob:

  • tshuaj mob hlwb
  • atherosclerosis
  • pathology ntawm cov hlab ntsha me, thiab lwm yam.

Vim li ntawd, cov ntshav kev ua haujlwm txawv txav, cov ceg tawv muaj kev txom nyem, qhov txhab kho zoo ntev. Hauv qhov no, cov neeg mob ntshav qab zib mus rau tus kws phais neeg.

Qee lub sij hawm tus kab mob cuam tshuam rau cov leeg hlwb, uas yuav tsum tau mus ntsib tus kws kho mob hlwb. Txawm hais tias tus kws kho mob ophthalmologist pom tau hais tias yog tus kws kho mob uas kho ntshav qab zib. Tseeb, nyob rau qee kis, tus kab mob cuam tshuam rau tus kab mob retina - qhov no thiaj li hu ua mob ntshav qab zib retinopathy.

Mus ntsib koj tus kws kho mob sai li sai tau uas koj xav tias koj muaj ntshav qab zib. Thaum tsis muaj kev kho mob, ib tus neeg ua tau yooj yim mus rau qhov muag tsis pom, plam nws cov ceg tawv thiab txawm tuag.

Cov tshuaj hormones, kws kho mob yuav tsum sab laj.

Kev kho mob ntawm tus mob hnyav li mob ntshav qab zib yog nqa los ntawm endocrinologist. Tus kws tshaj lij no saib xyuas ntshav qab zib, soj ntsuam lub xeev cov tshuaj hormones. Cia peb xav txog hauv kev nthuav dav ntxiv nws cov haujlwm.

Kev tswj hwm cov neeg mob ntshav qab zib yog nqa los ntawm tus kws kho keeb. Cov neeg mob tsis tshua muaj rau cov kws paub tshwj xeeb nrog tus neeg mob xoos ntawm tus kab mob no. Hauv kev coj ua, ib tus neeg twg tuaj rau tus kws saib xyuas hauv zos nrog cov kev tsis txaus siab tshwj xeeb ntawm kev nqhis dej, tso zis ntxiv, nce siab, lossis cov piam thaj ntau dhau los yog yuam kev raug kuaj thaum kuaj mob.

Lub luag haujlwm ntawm cov tub ceev xwm hauv nroog yog xav tias tsam tus kab mob ntshav qab zib mellitus thiab xa nws mus rau tus kws kho mob endocrinologist kom qhia meej txog kev kuaj mob.

Vim tias qhov ntau ntawm tus kab mob no, cais tshwj xeeb tau tsim - kws kho mob ntshav qab zib (kws kho mob ntshav qab zib mellitus). Xws li tus kws kho mob tsuas cuam tshuam nrog cov neeg mob ntshav qab zib mellitus, txij li lawv cov kev tswj hwm xav tau kev saib xyuas tshwj xeeb thiab kev qhia ib tus zuj zus.

Tus kws kho ntshav qab zib yog tus kws tshaj lij endocrinologist uas kawm txog kev tshwm sim thiab kev loj hlob ntawm ntshav qab zib.

Hauv kev sib piv ntawm poj niam txiv neej, txiv neej thiab poj niam muaj mob muaj pes tsawg zaus.

Ntshav qab zib yog tus kab mob mus ntev uas siv sijhawm ntev. Qee lub sij hawm tus kab mob ua ntej rau nws tus kheej hnov ​​los ntawm kev loj hlob ntawm tus mob uas yuav tsum tau mus pw hauv tsev kho mob sai. Nws txog kev mob comas. Yog hais tias tus neeg mob tsis paub txog kev nce siab ntxiv ntawm cov ntshav qabzib thiab tsis quav ntsej txog cov tsos mob ntawm tus kab mob, tom qab ntawd cov piam thaj hauv nws cov ntshav nce mus txog thaum tus mob hyperglycemic pib tshwm sim.

Muaj kev rov qab tshwm sim - tus neeg mob tau paub ntev txog nws tus mob thiab tau noj tshuaj pab. Tab sis cov neeg laus dua, vim lub hnub nyoog hloov pauv hauv kev nco, tuaj yeem noj tshuaj ntsiav kom txo qis qab zib dua, thiab tom qab ntawd cov ntshav qab zib cov ntshav poob mus rau theem tseem ceeb nrog txoj kev loj hlob ntawm hypoglycemic coma.

Ntshav Qab Zib Hom 1 yog tshwm sim hauv cov menyuam yaus, thiab kev kuaj mob tau pom nyob hauv thawj asthiv ntawm lub neej. Mob ntshav qab zib tsis yog-insulin yog txoj hmoo ntawm cov neeg ntawm kev laus. Hauv qhov no, rau ntau qhov laj thawj, kev tawm tsam insulin tshwm sim (cov hlwb tsis tuaj yeem cuam tshuam nrog insulin). Tus kab mob hauv cov neeg zoo li no feem ntau ua ke nrog kub siab, rog thiab ntshav siab.

mloog hom = ntsuab Tus kws endocrinologist yog tus kws kho mob uas nws qhov tshwj xeeb yog kev kuaj mob thiab kho cov kab mob ntawm cov kab mob endocrine. / mloog

Qhov kev qhia hauv tshuaj no tau muab faib ua ob qho:

  • Kab mob ntshav hauv hlwb (kab mob ntawm txoj kev loj hlob thiab kev loj hlob, hom 1 mob ntshav qab zib mellitus thiab lwm yam mob ntshav qab zib hauv cov menyuam yaus, kev puas tsuaj rau keeb menyuam thiab mob qog nqaij hlav ntawm endocrine system).
  • General endocrinology (teeb meem ntawm txiv neej thiab poj niam noj qab haus huv kev sib deev, kev cuam tshuam los ntawm hormonal, teeb meem ntawm neuroendocrinology, qog adrenal, cov thyroid caj pas, mob ntshav qab zib mellitus, txha nqaj qaum thiab rog rog).

Raws li koj pom, tus kws kho mob no muaj qhov tshwj xeeb heev. Thiab ntshav qab zib yog tsuas yog ib qho ntawm cov lus qhia. Yog li no, thaum xaiv tus kws tshaj lij rau koj tus kheej, nws yog qhov tseem ceeb uas yuav tsum them sai sai rau kev tshuaj xyuas cov neeg mob, kev ua haujlwm thiab kev tshawb fawb.

Yog tias koj txiav txim siab raug kho nyob hauv tsev kho mob lub xeev, tom qab ntawd koj yeej tsis muaj kev xaiv tus kheej. Feem ntau muaj ib, zoo, feem ntau, ob tus kws kho mob hauv qhov kev taw qhia no ib lub tsev kho mob. Thiab feem ntau cov no feem ntau yog cov neeg laus uas tau txais kev kawm nyob rau xyoo pua kawg.

Ua haujlwm ntawm cov nyiaj qis kawg, cov kws tshwj xeeb no tsis muaj lub siab xav tau lossis tsis muaj zog kawm cov txuj ci niaj hnub thiab kev siv yeeb tshuaj. Qhov tseem ceeb tshaj plaws hauv cov kws kho mob no yog kev paub. Yog tias koj muaj ntshav qab zib hom 1 lossis hom 2 ntshav qab zib, thaum ntawd yuav tsum tsis txhob muaj teeb meem dabtsi nrog kev kho.

Koj yuav tau txais cov tshuaj pov thawj uas pheej yig, lawv yuav hais ib hlis ib zaug los kuaj ntshav qab zib hauv chav kuaj, thiab lawv yuav xa cov lus rau koj los tsev: “Rau koj lub hnub nyoog, qab zib 8 yog qhov qub, tsis them mloog.”

Tab sis yog tias koj muaj mob LADA mob ntshav qab zib, lossis hom 2 mob ntshav qab zib mellitus thaum muaj hnub nyoog 30, nws yog qhov zoo dua yog hu rau lub tsev kho mob tshwj xeeb. Nyob hauv cov tsev kho mob zoo li no, muaj ntau ntawm cov tub ntxhais hluas tshwj xeeb uas tau txais kev tshaj lij txawv teb chaws, nyeem cov ntawv kho mob niaj hnub thiab xyaum ua qhov tseeb ntawm cov tshuaj.

Yuav kom xaiv qhov zoo rau tus kws kho mob, them sai sai rau:

  1. Tus neeg mob tshuaj xyuas ntawm tus kws kho mob lub chaw tshawb nrhiav.
  2. Kev kawm ntawv thiab ntau yam kev kawm txuas ntxiv, kev hais qhia thiab lwm yam.
  3. Nrhiav kws kho mob hauv ntau cov zej zog kev kho mob.
  4. Cov ntaub ntawv tshawb fawb lossis ntawv tshaj xo.

Thaum txais tos thawj zaug, koj yuav tsum nco ntsoov cov hauv qab no rau koj tus kheej:

  • Tus kws kho mob tau sim sau ntawv mus kuaj thiab tshuaj ntau npaum li ua tau, tuaj yeem them hauv lawv qhov chaw kuaj mob. Yog tias nws ua li, xav tawm ntawm qhov tshwj xeeb. Tus kws kho mob ntshav qab zib zoo yuav xav paub ntau ntxiv thaum pib mob thiab yuav tsis muab dab tsi rau koj thaum pib kev kho mob.
  • Kev txiav txim siab raug ntawm hom ntshav qab zib yog 99% kev kho mob zoo. Ua tib zoo saib rau theem ntawm kev kuaj mob, tus kws tshaj lij puas yuav txiav txim rau ntau yam kabmob qis?
  • Nco ntsoov rau koj tus kheej seb tus kws kho mob puas rau koj qhov kev xav dhau los thaum kho. Kab lus: “Kuv tau ntsib qhov teeb meem no lawm. Yog li, koj yuav tsum ... ”tham txog ib txoj hauv kev zoo raws li cov ua tau tiav dhau los los yog tsis pom li ntawd.

Cov neeg nyeem ntawm peb lub xaib yuav yooj yim dua kom nkag siab txog qib ntawm tus kws kho mob. Yog tias koj yog tus pib, tshawb xyuas qhov ntu ntawm hom mob ntshav qab zib, lawv cov laj thawj thiab kev kho mob.

yam xim = daj Nco ntsoov tias kev kuaj mob thiab kho ntshav qab zib kom yog yog tus yuam sij rau kev zoo siab thiab ua tiav lub neej.

Yog tias koj pom qhov ua yuam kev, thov xaiv ib cov lus thiab nias Ctrl Enter.

Tom qab ib tus neeg tau pom cov tsos mob tshwm sim hauv nws tus kheej lossis nws tus menyuam, nws raug nquahu kom hu rau tsev neeg tus kws kho mob lossis kws kho mob tam sim ntawd ntawm qhov chaw nyob. Cov kws kho mob tshwj xeeb no yuav tsum tau sau cia qhov phiaj xwm tsim nyog, ntsuas pom zoo lossis rov ua dua kev kuaj mob.

Tus kws kho mob rau cov ntshav qab zib hu ua endocrinologist. Faib ib tus kws kho mob uas ua haujlwm nrog cov kab mob pathology hauv menyuam yaus thiab cais cov laus. Qhov kev sib cais no yog qhov tsim nyog rau ntau yam:

  • Rau cov menyuam yaus, kev txhim kho hom ntshav qab zib hom 1 yog tus yam ntxwv, hauv cov laus, qhov thib ob feem ntau muaj,
  • Cov hauv paus ntsiab lus ntawm kev kho ib tug menyuam yaus thiab ib tus neeg laus yog qhov sib txawv,
  • Cov neeg mob hnub nyoog loj dua yuav tsum tau siv lwm cov tshuaj insulin ntxiv rau cov menyuam yaus.

Nws yog lub luag haujlwm ntawm tus kws endocrinologist tau hais kom kho cov txheej txheem kev kuaj mob tshwj xeeb uas paub tseeb tias kev kuaj mob. Tom qab txheeb xyuas tus kab mob, tus kws kho mob tshwj xeeb sau cov kev kho mob uas tsim nyog, nyob ntawm daim ntawv thiab hom kab mob.

Tus kws kho mob cuam tshuam txog ntshav qab zib thiab coj tus neeg mob txij lub sijhawm kuaj mob. Tsis tu ncua, tus neeg mob yuav tsum hu rau tus kws kho qhov muag endocrinologist rau kev kuaj mob uas yuav tsum tau ua, kev kho ntawm insulin thiab kev teem sij hawm ntawm kev kho mob ntxiv.

Hauv cov ntshav qab zib mellitus, thawj cov tsos mob tsis tuaj yeem ib txwm hu ua hais lossis tus yam ntxwv. Txawm li cas los xij, thaum nws los nce cov piam thaj hauv ntshav, mloog kom nqhis dej thiab tso zis tawm ntxiv hauv 24 teev.

Pib qhov twg xav tias tsam mob ntshav qab zib?

Cov neeg feem ntau tsis maj mus cuag kws kho mob nrog lawv cov teeb meem, thiab cia siab tias tus kab mob no yuav kis ntawm nws tus kheej. Tab sis ntshav qab zib yog ib hom kab mob insidious, thiab nws tsis tuaj yeem rov qab los ntawm nws.

Dab tsi ntawm cov mob yuav tsum yog ib qho laj thawj rau kev mus ntsib tus kws endocrinologist:

  • tas li kev nqhis dej nrog lub qhov ncauj qhuav
  • nquag tso zis
  • tawv nqaij thiab khaus khaus, ua pob,
  • poob phaus ntse los sis, hloov, yuag,
  • qaug zog nrog hws,

Thaum lub sijhawm teem sijhawm, tus endocrinologist kuaj xyuas tus neeg mob. Tom qab cov kev ntsuas kev kuaj mob tau muab rau:

  • kev soj ntsuam kuaj ntshav thiab zis,
  • kuaj ntshav rau ntshav qabzag.

Cov kev ntsuam xyuas yooj yim no ua rau nws ua tau kom 99% pom tias muaj tus kab mob los yog tshem tawm qhov ua xyem xyav los ntawm ntshav qab zib.

Yog tias kev kuaj mob ua ntej paub tseeb, tus kws kho mob tau sau ntawv rau kev kawm ntxiv:

  • piam thaj nyob rau nruab hnub
  • zis tsom xam rau acetone,
  • biochemical tsom rau cov triglycerides, cov roj (cholesterol),
  • ophthalmoscopy rau kev txiav txim pom kev pom tseeb,
  • kev tso zis ntau ntxiv rau kev kuaj pom, albuminuria, creatinine, urea.

Ua ntej pib kev kho mob, tus endocrinologist tseem ntsuas tus neeg mob cov ntshav siab, coj nws mus rau xoo hluav taws xob hauv siab thiab qis rheovasography.

Raws li cov ntaub ntawv tau txais, tus kws kho mob endocrinologist txiav txim siab hom ntshav qab zib, tus nqi ntawm kev loj hlob ntawm tus kabmob, thiab qhia txog kev kho mob. Nws pib nrog kev siv tshuaj kho mob ua ke nrog kev hloov kho khoom noj khoom haus.

Kev sab laj ntawm lwm tus kws tshaj lij

Tus kws tshwj xeeb uas kho mob ntshav qab zib yog qhov mob ntshav qab zib. Txoj kev nqaim tshwj xeeb ntawm tus kws kho mob muab nws txoj hauv kev los ywj siab siv cov cuab yeej siv high-tech. Cov txheej txheem kev paub tso cai rau koj txheeb xyuas thiab tshawb xyuas txhua qhov txheej txheem pathological uas tawm tsam tiv thaiv keeb kwm ntawm ntshav qab zib.

Cov khoom noj khoom haus, cov txheej txheem cov viv ncaus, kev pabcuam hauv chaw kuaj mob, thiab kws kho paj hlwb kuj koom nrog hauv kev kho thiab tswj cov neeg mob. Lawv ua tus tib neeg thiab pab pawg kev kawm hauv cov phiaj xwm tshwj xeeb.

Txhua tus neeg mob yuav tsum paub txog qhov kev kuaj mob tshwm sim ntawm tus kabmob, ua kom muaj xwm txheej ceev thiab kev pabcuam thawj zaug. Cov neeg mob yuav tsum tau kawm paub txog ntawm nws tus kheej thiab tswj cov suab thaj hauv tsev.

Nrog rau cov teeb meem tsim muaj, tus neeg mob xav tau kev soj ntsuam txhua xyoo los ntawm cov kws tshaj lij:

  1. Qhov kev tsis txaus siab ntawm ntshav qab zib mellitus yog retinopania, kev ua txhaum ntawm cov hlab ntsa ntawm lub qhov muag hnub thiab maj mam txo lub zeem muag yog kho thiab pom los ntawm tus kws kho mob ophthalmologist. Tus kws kho mob ntsuas kev tso ntshav siab, soj ntsuam kev pom tseeb, lub xeev cov hlab ntsha, qhov pom tseeb ntawm cov kab mob hauv lub cev thiab lens.
  2. Nrog nephropathy, raum puas nrog lub cev tsis ua haujlwm, cov neeg mob tau pom kev soj ntsuam los ntawm nephrologist. Tus kws kho mob kuaj xyuas qhov mob ntawm cov hlab ntsha: lawv rhiab, reflex, leeg muaj zog.
  3. Cov kab mob ntshav qab zib ntawm cov hlab ntsha loj, atherosclerosis, venous thrombosis yog qhia los ntawm cov kws phais vascular.
  4. Nrog neuropathies, kev puas tsuaj rau peripheral lub paj hlwb, cov neeg mob tau sau tseg kev soj ntsuam los ntawm tus kws kho paj hlwb.

Kev tshuaj txhua xyoo rau cov neeg mob ntshav qab zib suav nrog kev mus ntsib tus kws kho mob poj niam.

Kev kuaj mob ntawm cov neeg mob ntshav qab zib yog nqa tawm hauv tsev kho mob hauv qhov chaw rau npe. Txhawm rau sau npe, koj yuav tsum nqa koj phau ntawv hla tebchaws, txoj cai, SNILS daim ntawv, cov lus qhia.

Kev pabcuam tshwj xeeb yog muab rau hauv cov chaw kho mob endocrinology, tsev kho mob hauv nroog thiab nroog. Hauv cov nroog loj, cov tsev kho mob ntshav qab zib tshwj xeeb thiab chaw kuaj mob muaj ntau txoj haujlwm. Ntxiv rau cov kws kho ntshav qab zib, cov kws kho mob ntawm cov kws tshaj lij sib tham nrog lawv: kws qhia zaub mov noj mov, kws phais plawv, andrologists, kws tshaj lij, thiab noob caj noob ces.

Ntau zaus, cov neeg mob uas muaj ntshav qab zib ua rau muaj kev phom sij ntau - cov mob ntshav qab zib ko taw.

Thaum thawj cov tsos mob ntawm tus mob no tshwm sim hauv tus neeg mob, cov lus nug tshwm sim uas tus kws kho mob kho tus mob ko taw ko taw, thiab cov kev kho mob twg siv.

Feem ntau, kev mob ntshav qab zib yog kho los ntawm tus kws endocrinologist uas tau ua haujlwm tshwj xeeb los kho qhov mob no.

Kev ua haujlwm ntawm tus kws kho mob rau kev kho mob ntshav qab zib taw yog kom ua qhov kev kuaj xyuas lub hom phiaj ntawm tus neeg mob, ntxiv rau xaiv cov kev kho mob siab tshaj plaws. Hauv cov txheej txheem kev kuaj mob, tus kws kho mob kuaj xyuas theem ntawm kev puas tsuaj rau cov kab mob vascular, thiab kuj tseem txheeb xyuas cov laj thawj uas ua rau muaj kev txhim kho cov teeb meem.

Cov hlab ntsha ntawm qhov retina tau cuam tshuam sai heev, yog li kev sab laj nrog kws kho qhov muag tsuas yog tsim nyog los tiv thaiv kev txhim kho kev dig muag.

Tus kws kho mob tshwj xeeb tom ntej yog cov kws kho mob hlwb (neurologist) uas tuaj yeem kuaj pom tias tsis muaj qhov muag thiab muab tshuaj tshwj xeeb.

Txog kev tswj hwm lub cev ntawm cov ntshav qab zib, kev sab laj ntawm cov kws tshaj lij yuav tsum tau. Yog li, lub sijhawm tseem ceeb tshaj nyob rau hauv kev coj los kho txhua yam ntawm tus kabmob no yog kev noj haus. Hauv qhov no, tus kws qhia zaub mov noj yuav pab tau.

Nws yuav tsis tsuas yog qhia koj kom raug thiab tswj hwm kev siv cov khoom noj carbohydrates, tab sis kuj tsim kho khoom noj uas yuav ua rau koj yuag yuag. Raws li koj paub, qhov no cuam tshuam rau cov neeg mob uas tsis muaj cov kab mob ntshav qab zib nyob rau hauv insulin.

Nws tseem yuav tsum tau nco txog tias nrog lub caij nyoog ntev, tshwj xeeb tshaj yog nrog decompensation, ntshav qab zib provokes ntau yam teeb meem. Hauv qhov no, xyuam xim rau qhov tseeb tias:

  • lub ntsiab ntawm kev daws teeb meem yog qhov txawv txav ntawm kev ua haujlwm ntawm cov hlab ntsha me me (hlab ntsha, hlab ntsha), uas hu ua microangiopathy.Ntxiv rau, cov hlab ntsha loj kuj raug mob - qhov no yog macroangiopathy (atherosclerosis),
  • tshwj xeeb mloog yog them rau pathology ntawm lub paj hlwb (neuropathy),
  • Raws li qhov tshwm sim, cov ntaub so ntswg cov qauv ntawm lub cev, feem ntau nqaj, tiv kev txom nyem los ntawm kev tsis txaus los ntawm cov ntshav,
  • trophic rwj yog tsim, ntau lub sijhawm ntev ua rau kev puas tsuaj me tsis kho. Txhua yam no tsuas yog kho tshwj tseg los ntawm tus kws phais mob xwb.

Hauv cov xwm txheej nyuaj tshaj plaws, nws yog ib qho tsim nyog yuav tsum tau txiav tawm qhov chaw cuam tshuam, ntu ntawm nqua. Feem ntau cov no yog cov ntiv tes lossis taw, uas cuam tshuam nrog cov tsos ntawm thaj chaw ntawm necrosis. Nrog txoj kev xav hauv lub hlwb no, nws tau pom zoo tias koj yuav tsum nrhiav kev txhawb nqa ntshav qab zib thiab cov kws pab tshwj xeeb kom sai li sai tau.

Lwm qhov cim ntawm microangiopathy yog mob ntshav qab zib retinopathy, hu ua retinal pathology. Nrog txuas ntxiv muaj tus kab mob, ib tus mob ntshav qab zib yuav pib dig muag. Txog kev kuaj mob kom sai thiab kho kev kho kom haum, kev sib tham tswv yim ntawm kws kho qhov muag pom zoo.

Kuv puas yuav tsum tau kuaj mob rau kuv tus kws kho mob?

Tsis tas yuav tsum xeem dab tsi ntawm koj tus kheej ua ntej. Tus kws kho mob uas koom nrog nws tus kheej yuav hais txog qhov kev kuaj mob tsim nyog, nyob ntawm kev tsis txaus siab, cov duab hauv tsev kho mob thiab cov txiaj ntsig ntawm kev kho mob. Kev tshawb fawb uas yuav tsum yog:

  • ntshav qab zib
  • urinalysis
  • kuaj ntshav qabzib kuaj ntshav
  • glycated hemoglobin,
  • Ultrasound ntawm lub txiav.

Qhov no yog qhov tsawg kawg nkaus uas yuav tsum tau muaj. Tus kws kho mob tshwj xeeb tej zaum yuav sau ntawv coj mus kuaj ntxiv. Yog tias koj npaj ua qhov kev kuaj mob ultrasound, koj yuav tsum muaj daim pawj nrog koj.

Leej twg yuav tsum tau kuaj yog tias kev paub tseeb

Tus kabmob raug muab faib ua 4 qib qhov mob hnyav. Thaum pib, glycemic Performance index tau txiav txim siab ntawm no. Kev txiav txim siab kom paub qhov tseeb kev tsim qauv ntawm kev kuaj mob, tus kws kho mob muab qhov tseem ceeb rau cov kev mob uas ua nrog tus mob.

Tus mob Qeb 4 yog qhov txaus ntshai rau kev noj qab haus huv ntawm tus neeg mob. Nws tuaj yeem ua rau poob siab thiab mob hauv ceg. Txhawm rau tiv thaiv cov kev tsis sib haum xeeb, txhua qhov kev pom zoo ntawm tus kws kho mob uas yog kho tus kab mob yuav tsum tau ua raws.

Tsuas yog tom qab tus neeg mob tau ua tiav txhua yam kev kuaj mob yog tus endocrinologist tuaj yeem tsim theem ntawm tus kab mob thiab xaiv cov txheej txheem kho mob yam xav tau. Raws li cov txiaj ntsig ntawm kev soj ntsuam thaum pib thiab cov kev ntsuam xyuas uas tau tso mus, tus kws kho mob rub tawm ib txoj kev kho qhov mob uas tsom mus kho cov qog hauv lub qog, txhawb, txwv thiab hloov cov tshuaj nrog kev noj zaub mov noj.

Tau ntev, cov kws kho mob endocrinologists ua cov chaw kuaj mob thiab tshawb nrhiav qhov tseeb kom paub qhov tseeb ua rau mob ntshav qab zib thiab lwm yam kabmob ntawm cov kab mob endocrine. Tsis tas li ntawd xwb, lawv tab tom tsim cov hauv kev niaj hnub ntawm txoj kev kho, kuaj mob thiab tiv thaiv kab mob.

Siv cov txiaj ntsig tau, cov kws paub txog endocrinology tau qhia txog cov kev kho mob tshiab thiab siv tshuaj tshiab. Raws li txoj cai, ntxiv rau txoj kev kho mob tseem ceeb rau cov ntshav qab zib, qee qhov kev noj haus tau raug sau los pab kom tshem tau cov kev mob no.

Tsuas yog kev sib koom tes tswj thiab kev tswj hwm nkaus xwb yuav pab tiv thaiv kom tsis txhob muaj teeb meem. Nrog kev pab ntawm kev tshuaj xyuas tsis tu ncua thiab kev tshawb fawb tau ua, tus kws kho mob yuav tuaj yeem kho tus kheej txoj kev kho mob thiab xaiv cov khoom noj kom zoo.

Raws li txoj cai, ntshav qab zib ua ke ib tus neeg mus tas nws lub neej. Qhov no yog lub sijhawm ntev dua, yog li lub hom phiaj tseem ceeb yog xaiv cov qauv zoo tshaj plaws ntawm kev kho kom haum rau tus neeg mob tshwj xeeb.

Tus kws kho mob suav nrog cov tshuaj tsim nyog, kev kawm kho vitamin, kev qhia noj zaub mov thiab kev tawm dag zog lub cev. Qhov loj tshaj plaws yog kom tsis txhob hnov ​​qab tias kev mus ntsib kws kho mob raws sij hawm pab tiv thaiv kev mob tsis zoo, vim nws yooj yim dua li kho tus kab mob nws tus kheej. Yog li, txhua tus neeg mob yuav tsum tiv tauj cov kws tshaj lij raws sijhawm.

Noj qab nyob zoo!

Yog tias tus neeg mob ua ntej yuav tsum sab laj nrog tus kws kho mob endocrinologist, tom qab ntawv nws yuav muaj kev txais ntev ntev nrog kev nug, kev tshuaj xyuas thiab kev teem sij hawm ntawm ntau cov kev tshawb fawb. Tom ntej no, kev kuaj mob tawm yog tsim thiab kev kho mob kho mob.

Hom 1 yog kho cov tshuaj insulin los ntawm kev txhaj tshuaj, thiab rau tus thib 2, cov tshuaj uas muaj suab thaj yog xaiv tau. Yog tias, vim yog cov teeb meem loj uas tau tsim, tus neeg mob nws muaj mob xiam oob qhab mob ntshav qab zib, nws tuaj yeem tau txais tshuaj kho mob dawb nrog cov tshuaj tshwj xeeb.

Thaum kho kev kho ntshav qab zib tau zoo xaiv, thiab cov kua nplaum nyob ze rau qhov ib txwm muaj los yog nyob hauv nws cov kev txwv, cov neeg mob tseem raug soj ntsuam ntawm lawv tus kws kho mob hauv cheeb tsam, xa mus rau tus kws kho qhov muag endocrinologist nkaus xwb thaum npaj tau mus ntsib lossis thaum muaj xwm txheej ceev. Kev tshuaj xyuas cov txheej txheem zoo ntawm cov piam thaj yog tseem nqa tawm los ntawm tus kws kho mob.

Thaum nug tias tus kws kho mob twg koom tes hauv kev kho mob ntshav qab zib, cov lus teb tsis tas yuav muaj qhov tsis sib thooj. Ntawd yog, tsis tsuas yog tus kws tsim tshuaj endocrinologist nrog tus kws kho mob yuav saib xyuas koj yog tias kev tshawb xyuas paub tseeb.

Ib qho ntawm cov hom phiaj tseem ceeb yog tiv thaiv kom tsis txhob muaj teeb meem - yog li ntawd, sab laj nrog kws kho mob ntsej muag, kws kho mob, kws kho plawv thiab lwm tus kws kho mob kuj tuaj yeem kho tau. Yog tias nws yuav tsum tsim kho tshuaj ntsuab kho mob, tus kws kho mob tawm tswv yim yuav daws qhov teeb meem no.

Sib txawv rau cov txiv neej thiab poj niam, me nyuam yaus thiab cov laus?

Tus kws kho mob tshwj xeeb ua qhov xaus ntawm cov txiaj ntsig ntawm kev kuaj ntshav (nws yog ntsuas cov ntshav qabzib). Ntau zaus, qhov mob no pom los ntawm lub caij nyoog thaum tus neeg mob kuaj mob raws sijhawm.

Hauv qee kis, kev txiav txim siab tau mus rau hauv tsev kho mob vim nws tsis muaj mob. Tus kws kho mob tsis kho mob glycemia. Txhawm rau tiv thaiv tus kabmob, koj yuav tsum hu rau lwm tus kws tshaj lij. Kev kho mob ntshav qab zib yog nqa tawm los ntawm endocrinologist.

Nws kuj xyaum tswj tau tus neeg mob. Raws li cov txiaj ntsig ntawm kev ntsuam xyuas, tus kws kho mob koom nrog tshuaj ntsuas cov neeg mob ntau npaum li cas thiab muab tshuaj kho kom raug, muab sib xyaw nrog kev noj haus. Yog tias mob ntshav qab zib ua rau muaj mob nyuaj rau lwm qhov hauv lub cev, tus neeg mob yuav tsum mus ntsib cov kws tshaj lij hauv qab no: tus kws kho plawv, nrog rau kws kho mob ntsej muag, kws kho qhov muag lossis kws phais vascular.

Raws li txoj kev txiav txim siab ntawm lub xeev kev noj qab haus huv, endocrinologist txiav txim siab txog kev teem sij hawm tshuaj pab. Ua tsaug rau lawv, txoj haujlwm ua haujlwm ruaj khov ntawm lub cev yog tswj tau.

Dab tsi yuav nug tus kws kho mob?

Tau teem sijhawm nrog tus kws tshaj lij txoj cai, sim nrhiav kom paub meej ntxiv yuav ua li cas tus kab mob tuaj yeem cuam tshuam koj txoj kev ua neej. Xav tias thov nug. Lub ntsiab yog:

  • Kev noj haus zoo li cas yuav tsum tau ua raws?
  • Yuav ua li cas nrog txoj kev txhim kho ntawm tus mob mob?
  • Koj xav tswj cov piam thaj ntau npaum li cas?
  • Kuv tuaj yeem ua tau lub cev qoj ib ce li cas?

Tus kws endocrinologist yuav pab tau ntshav qab zib li cas?

Tshawb nrhiav ntshav qab zib tuaj yeem yog tus saib xyuas mob (tsev neeg tus kws kho mob, tsev kawm ntawv) raws li kev soj ntsuam cov ntshav ntawm ntshav qabzib. Qhov mob no tuaj yeem tshwm sim los ntawm kev sib tsoo, lub sijhawm kuaj mob lossis rau qee cov tsos mob.

Tus kws kho mob tsis kho mob glycemia. Txhawm rau tiv thaiv tus kabmob, koj yuav tsum tau mus rau lwm tus kws tshaj lij txhawm rau pabcuam. Yog li tus kws kho mob twg kho cov ntshav qab zib? Nov yog tus kws kho mob endocrinologist. Nws yog nws qhov tshwj xeeb los tswj cov neeg mob ntshav qab zib.

Raws li cov txiaj ntsig ntawm kev ntsuam xyuas, tus kws kho mob uas koom tes yuav soj ntsuam seb qhov mob hnyav npaum li cas thiab muab tshuaj kho kom haum rau hauv kev ua ke nrog rau kev noj haus. Nyob rau hauv rooj plaub thaum cov ntshav qab zib ua rau muaj kev nyuaj rau lwm cov plab hnyuv siab raum, tus neeg mob yuav tsum mus ntsib cov kws tshwj xeeb nqaim:

  • kws kho qhov muag
  • tshuaj neuropathologist
  • kws kho plawv
  • leeg tshav ib ce.

Raws li lawv cov lus xaus hais txog lub xeev kev noj qab haus huv ntawm cov kabmob muaj feem xyuam, tus kws endocrinologist txiav txim siab txog kev teem sijhawm ntxiv tshuaj los tswj lub cev kom ua haujlwm li qub.

Endocrinologist kho tsis tsuas yog hom I thiab hom II mob ntshav qab zib, tab sis kuj tseem muaj lwm yam kabmob, nrog rau:

  • rog dhau
  • tus mus
  • cov thyroid teeb meem
  • oncology ntawm endocrine system,
  • cuam ​​tshuam txog hormonal
  • txha txha caj qaum
  • ntxiv lawm tshob
  • Mob ntsws hypothyroidism.

Yog li ntau yam kab mob tuaj yeem tsis cuam tshuam nrog ib tus kws endocrinologist. Yog li ntawd, endocrinology tau muab faib ua qhov tshwj xeeb nqaim.

  1. Tus kws phais neeg mob endocrinologist. Kev pom zoo mob ntshav qab zib. Yog tias qhov tshwm sim tshwm sim hauv daim ntawv ntawm mob txhab, mob caj pas, nws txiav txim siab yuav tsum phais lossis tsis los.
  2. Endocrinologist kws tshuaj tua kabmob. Tus kws kho mob uas soj ntsuam cov teeb meem raws keeb kwm. Qhov no yog ntshav qab zib, dwarfism lossis kev loj hlob.
  3. Endocrinologist-kws kho mob ntshav qab zib. Tus kws kho mob no yuav pab koj xaiv cov khoom noj thiab noj haus zoo rau hom I, ntshav qab zib hom II.
  4. Tus endocrinologist-gynecologist daws cov teeb meem ntawm txiv neej thiab poj niam ntxiv lawm tshob.
  5. Endocrinologist-thyroidologist. Tus kws kho mob tshwj xeeb uas tau koom nrog hauv kev txheeb xyuas thiab kho cov thyroid kab mob.
  6. Cov menyuam yaus endocrinologist. Tshwj xeeb hauv kev kho kab mob ntawm cov qog endocrine. Kev sib haum xeeb nrog cov teeb meem kev txhim kho thiab kev loj hlob ntawm menyuam yaus.

Seem ntawm cov kev txwv tshwj xeeb pub rau cov kws tshwj xeeb nkag mus tob rau hauv ib hom kab mob, yog li muaj kev paub ntau hauv lawv cov teeb meem.

Kuv puas tuaj yeem hu kws kho mob uas kho ntshav qab zib hauv tsev?

Kev mus ntsib tus kws tshuaj endocrinologist mus rau tom tsev yog hais tias nws muaj kev sab laj lossis kev txiav txim siab, yog tias tus neeg mob tsis tuaj yeem mus cuag kws kho mob tau (txiav tawm vim yog mob caj dab ntawm sab ceg qis).

Hauv cov chaw kho mob hauv cheeb tsam, qhov twg tsis muaj tus kws kho mob endocrinologist, lo lus nug "seb tus kws kho mob kho mob ntshav qab zib" tsis tshwm sim, vim tias txhua lub luag haujlwm ntawm kev tswj hwm yuav poob rau ntawm tus kws kho mob hauv nroog. Tab sis, raws li txoj cai, cov kws kho mob sim xa cov neeg mob li ntawd mus sab laj rau lub chaw haujlwm hauv cheeb tsam.

Yuav ua li cas nrog ntshav qab zib

Mob ntshav qab zib mellitus yog ntawm ob hom, I thiab II. Lawv txawv nyob hauv kev noj insulin.

Ntshav qab zib Hom 2 yog sib dua dua thawj zaug thiab suav tias yog tshuaj insulin ywj pheej. Tau hnov ​​cov kev kuaj mob no, tsis txhob tag kev cia siab. Nws yuav tsis kho kom zoo kiag li, tab sis nws kuj tuaj yeem tswj tau txoj kev txhim kho ntawm tus kabmob.

Kev noj haus yog qhov tseem ceeb rau kev kho mob. Qhov tsis kam lees txog cov khoom qab zib, rog, ntsim thiab qab zib yuav ua rau kom cov qib qab zib hauv qhov txwv tsis pub siv. Qhov kom zoo dua yuav tsum tau muab rau cov zaub, nqaij ntshiv, thiab kua txiv uas tsis muaj piam thaj. Garnish nrog porridge rau garnish, tab sis tsis txhob nqa nrog lawv.

Nws yog qhov ua tau los noj tshuaj nyob rau hauv ua ke nrog kev noj zaub mov kom normalize cov ntshav qabzib.

Nws yog ib qho tseem ceeb uas yuav tau soj ntsuam koj kev noj qab haus huv tas li thiab mus kuaj kom ncav sijhawm. Ua raws li cov lus qhia no, koj tuaj yeem pom cov kev hloov pauv hauv qab zib thiab kev hloov cov txheej txheem kho raws sijhawm.

Ntshav Qab Zib Hom 1 hu ua insulin-vam khom. Cov ntshav qab zib yog siab. Ib qho kev noj haus tsis txo lawv, yog li muaj cov tshuaj insulin. Qhov ntau thiab tsawg tus ntawm kev tswj hwm yuav tsuas yog los ntawm tus endocrinologist.

Tus kws kho mob ua dab tsi

Nws raug nquahu kom mus rau hauv tus kws kho mob thaum thawj qhov pauv ntawm tus mob. Nws raug nquahu tias:

  • tom qab sau cov anamnesis, tag nrho cov txheej txheem kev kuaj mob tsim nyog tau raug (ntsuas kev ntsuas rau qab zib, kuaj zis, insulin tsis kam),
  • Raws li qhov no, cov lus pom zoo ntxiv tau muab rau kev kho mob thiab mus ntsib cov kws kho mob nrog mob siab nqaim,
  • Nws yog ib qho tseem ceeb uas yuav tau sab laj nrog tus kws kho mob kom sai li sai tau, vim hais tias thaum ib tus neeg ua rau nws lub cev hnyav dua, cov mob hnyav uas tseem ceeb hauv ib tug neeg. Lawv yog qhov ua rau lub txim loj rau ntshav qab zib.

Nws qhov kev ua haujlwm tshwj xeeb me ntsis dav dua li tsuas yog siv cov kab mob sib kis thiab cov mob khaub thuas xwb. Tus kws kho mob no yuav tsum sab laj yog tias koj muaj lus yws txog tus mob ទូទៅ.

  • Kev kuaj mob tus kab mob ntawm lub plawv thiab cov hlab ntshav - yog tias koj muaj qhov mob zoo li no, nws txoj haujlwm yog, ua ke nrog kws kho plawv, saib xyuas koj tus mob,
  • Saib xyuas cov neeg mob uas tsis muaj ntshav, nrog rau cov uas ntsib diathesis thiab plab zom mov,
  • Yog tias koj cia li pib haus dej, lossis ib qho kev ua txhaum ntawm lub ntsws ua pa hauv lub cev - tus kws kho lub luag haujlwm yog los pab koj.

Tus kws tshaj lij no ua lwm txoj haujlwm:

  • Qhia. Yog tias tus neeg xav tias nyob tsis taus, thiab tsis nkag siab qhov nws txuas nrog - qhov no kuj siv rau cov tsos mob ntshav qab zib, uas tuaj yeem ua cov tsos mob thiab lwm yam mob - kws kho mob yuav tsum sab laj thiab teem sijhawm kuaj,
  • Kev xa Khoom. Yog tias koj cov lus tsis txaus siab tshwj xeeb thiab cuam tshuam nrog qhov tshwj xeeb ntawm lwm cov kws kho mob tshwj xeeb, nws yuav qhia koj tias koj yuav tsum hu rau leej twg,
  • Tswj. Yog tias muaj cov neeg mob nyob ntawm tus kws kho mob lub tsev kawm ntawv uas muaj mob ntev, lossis tib cov neeg mob ntshav qab zib, nws yuav tsum los saib xyuas lawv tus mob.

Cia Koj Saib