Cov piam thaj hauv ntshav qis: yuav ua li cas yog tias cov piam thaj tso?

Cov ntshav qab zib nyob rau hauv qis hauv cov tshuaj feem ntau hu ua hypoglycemia, qhov mob no tsis muaj kev phom sij rau tib neeg kev noj qab haus huv ntau dua li hyperglycemia. Yog tias cov piam thaj hauv kev nyeem ntawv tseem ceeb, nws nyob tsis xeev yog ua tau, tuag.

Feem ntau, cov piam thaj hauv qab qis dhau los ua ib qho ntawm cov teeb meem mob ntshav qab zib, txawm li cas los xij, ua cov ntawv me, hypoglycemia tseem pom hauv cov neeg noj qab haus huv.

Cov laj thawj tuaj yeem sib txawv, ua ntej txhua yam, nws yog hais txog kev noj nrog ntau ntau cov carbohydrates yooj yim, noj qee yam tshuaj. Tsis noj zaub mov yuav ua rau kev hloov pauv hauv glycemia, kev qoj ib ce tsis txaus, kev qhia ntawm cov tshuaj insulin ntau dhau.

Lwm qhov laj thawj muaj xws li pathologies ntawm ob lub raum, txiav, lub qog adrenal, cov zaub mov hauv lub cev tsis ua hauj lwm, haus dej tsis tu ncua.

Ua rau cov kua nplaum qis

Feem ntau ua rau cov ntshav qabzib feem ntau yog tshaib plab. Nws kuj tseem muaj laj thawj rau kev loj hlob ntawm tus kab mob ntshav qab zib hypoglycemia.

Thaum lub plab tsis puv:

Tsis kam ntawm cov zaub mov mus ntev (ntau tshaj 8 10 teev),
Noj haus tsis muaj carbohydrates
Lub cev qhuav dej
Haus cawv ntau,
Cov tshuaj tiv thaiv kev noj qee yam tshuaj
Siv cov tshuaj nrog rau haus cawv,
Daim siab ua haujlwm
Lub cev hnyav
Kev siv dag zog kom ntau,
Pathology hauv kev tsim cov tshuaj hormones, thiab nce kev tso tawm ntawm cov tshuaj insulin rau hauv cov ntshav,
Qhov tsis txaus ntseeg: kev mob plawv thiab lub raum.

Cov tsos mob thiab cov tsos mob

Tus neeg noj qab haus huv zoo tau tuaj yeem txo cov ntshav qab zib tsuas yog thaum sawv ntxov thaum lub plab tsis puv thiab muaj qhov pom meej meej tias muaj kev tshaib plab. Txhawm rau cov xwm txheej no ib txwm, koj tsuas yog xav noj xwb.

Cov tsos mob rau tus neeg laus thaum tsis muaj qabzib (me me):

Tes tshib
Ntsej muag kub ntws
Muaj hws ntau
Lub plawv dhia
Nce nqhis dej (polydipsia),
Cov teeb meem tsis pom kev (zoo nkaus li pos huab hauv qhov muag, bifurcation ntawm cov khoom, qhov hnov ntawm cov khoom siv sab hauv thaj tsam ntawm kev saib),
Mob hauv lub taub hau, feem ntau mob siab
Lub xeev ntawm qhov tsis nco, kev nyuaj siab thiab tsaug zog,
Pallor ntawm lub ntsej muag thiab nqua sab saud,
Tsis muaj zog ntawm cov leeg nqaij, nrog rau kev tsis muaj zog ntawm ob txhais ceg,
Mob tachycardia,
Kev tawm hws nyob hauv ib qho kev nyab xeeb.

Cov tsos mob ntshav qab zib.

Cov tsos mob ntawm cov neeg tsis muaj cov suab thaj hauv cov ntshav tuaj yeem tshwm sim tsis yog nyob hauv tib neeg lub xeev qhov kev npau taws xwb, tab sis kuj nyob hauv lub xeev pw:

Muaj hws ntau
Cov lus sib tham thaum pw tsaug zog,
Qhov kev tsim tawm ntawm txoj kev pw tsaug zog,
Npau suav phem
Tus cwj pwm tsis ruaj tsis khov hauv npau suav, uas ua rau poob ntawm qhov chaw pw,
Kev tsis hnov qab tom qab pw.

Cov kev paub zoo li no tau tshwm sim los ntawm qhov tseeb tias thaum lub sijhawm pw tsaug zog, lub hlwb cortex yog kev tshaib plab. Nws yog ib qho tsim nyog los ntsuas cov piam thaj thiab yog tias qhov tshuaj ntsiab tsawg dua 3.3 mmol / l, tom qab ntawd koj yuav tsum tau maj nrawm noj.

Qib Kawm Txo Cov Txo Sij Hawm Hauv Cov Hluav Taws Xob Glucose

Nrog rau kev txo cov piam thaj, cov tsos mob tsis zoo ib yam. Ua raws li qib thiab qib ntawm cov piam thaj kom poob.

Cov neeg kawm ntawm cov piam thaj txo yuav yog:

Daim ntawv me me ntawm cov piam thaj txo thaum qib qis dua rau 3.8 mmol / L, thiab tseem qis dua.

Cov cim thiab cov tsos mob ntawm cov kua nplaum qes qes:

Kev tsis muaj zog hauv lub cev, ua daus hnyav, tes txhais tes,
Txaus siab hws
Kev hloov taub hau tshwj xeeb tshaj yog kev hnyav dua los ntawm qhov kev hloov pauv ntawm lub taub hau,
Zoo nkaus li ntawm qhov khoob khoob
Xeev siab thiab ntuav tsis yooj yim kiag li
Kev siv ntau dhau, tshee poob siab,
Lub plawv palpitations
Ntsej muag ntawm tus nplaig thiab daim di ncauj,
Ntsej muag ntawm phalanx ntawm cov ntiv tes,
Tsis pom kev pom tseeb los ntawm qhov muag pom ntawm cov khoom.

Yuav ua li cas Txhawm rau txhim kho lub xeev ntawm kev noj qab haus huv hauv no qog ntshav qab zib, nws txaus noj zaub mov.

Daim ntawv nruab nrab ntawm cov piam thaj poob thaum qib poob mus rau 3 mmol / L, thiab tseem me dua hauv qab ntsuas no. Nyob rau theem no, lub cev pom tau tias kev xav ntawm lub hlwb, poob siab thiab kev xav txog kev ua haujlwm tsis zoo, nrog rau kev mob lub cev zoo zuj zus.

Cov paib thiab cov tsos mob thaum qab zib txo mus rau 3 mmol / l:

Lub entangled theem ntawm nco ntsoov
Nws tsis yooj yim sua hauv qhov chaw,
Nqaij leeg mob
Kev txwv tsis pub nco qab thiab hais lus,
Hais lus sab hauv
Ua txhaum ntawm kev sib koom tes ntawm kev txav,
Txoj kev nkees nkees,
Tsis muaj zog ntawm tag nrho cov kab mob

Hauv theem no ntawm hypoglycemia, koj yuav tsum sab laj nrog kws kho mob.

Daim ntawv foos hnyav heev, thaum cov piam thaj qis qis thiab qhov coefficient poob rau 2 mmol / l, thiab tseem me dua hauv qab qhov ntsuas no. Vim li cas cov piam thaj suab thaj tsawg txaus ntshai? Xws li cov piam thaj hauv qab zib ua rau muaj kev phom sij txog lub neej.

Cov tsos mob thiab cov tsos mob:

Tag nrho lub cev cramps
Mob tsis xis nyob
Mob stroke
Tsawg lub cev kub
Tuag tshwm sim.

Yog tias piam thaj nyob ntev ntev hauv qab lub cev, qhov no txhais li cas?

Qhov no txhais tau hais tias yog vim li cas tuaj yeem yog xws li hauv ib tus neeg hauv lub cev tsis hloov pauv tau tshwm sim nyob rau hauv cerebral cortex, ntxiv rau hauv lub plawv thiab vascular system. Cov tsos mob ntawm kev mob ntshav qab zib tsis tuaj yeem hais yog tias cov piam thaj tso, thiab tus neeg mob noj tshuaj thiab beta-blockers.

Cov txheej txheem ntawm lub cev cov kua nplaum ntau lawm.

Cov tsos mob ntawm txhua qib ntawm cov piam thaj muaj peev xwm tshwm sim hauv txhua tus neeg thiab nrog cov ntsuas sib txawv ntawm cov piam thaj hauv cov ntshav.

Kev mob ntshav qab zib hauv menyuam yaus tsis yog ua rau cov tsos mob zoo li no, vim hais tias tus menyuam lub cev tsis teb tias ua rau cov piam thaj tsawg dua li ntawm 2.5 mmol / L.

Cov tsos mob ntawm kev ntshav qab zib kuj tseem tuaj yeem tshwm sim nrog cov piam thaj tsis muaj piam thaj, yog tias muaj qhov hloov pauv hauv qab zibCov. Hauv cov neeg mob uas muaj ntshav qab zib mellitus (qab zib) ntawm thawj thiab hom thib ob, kev mob ntshav qab zib tsawg tshwm sim txawm tias cov suab thaj txo mus txog 6 mmol / liter thiab txawm tias 8 mmol / litre.

Kev kuaj mob ntawm tus mob ntshav qab zib

Txhawm rau tus kws kho mob txhawm rau teeb tsa kev kuaj ntshav ntawm lub qog ntshav qab zib, thiab txhawm rau tsim cov laj thawj rau nws txo qis, nws txaus los kuaj ntshav rau qab zib. Ntshav tau los ntawm cov ntiv tes los soj ntsuam.

Tus kws kho mob yuav tsum txiav txim siab qhov no los qhov twg los. Tus kws kho mob tseem tshuaj xyuas tus neeg mob lub cev thiab kuaj nws lub siab ntsws thiab lub siab.

Nws yog ib qho tseem ceeb kom paub tus neeg mob lub neej, kev hloov pauv lossis nce hauv lub cev, nrog rau cov tshuaj uas tus neeg mob noj rau lub sijhawm no.

Cov laj thawj rau kev hloov pauv ua suab thaj yuav yog qhov tseeb.

Dab tsi yog qhov phom sij ntawm cov kua nplaum qis hauv lub cev?

Kev mob ntshav qab zib rau menyuam yaus ua ntej tsis txaus ntshai nrog kev txhim kho ntawm lub hlwb, kev tshaib plab ntawm lub paj hlwb, uas tsim kev hem thawj nrog lub hlwb tsis txaus.

Qhov feem pua loj ntawm cov neeg tuag ntawm cov menyuam mos los ntawm lub qog ntshav txha nqaj vim yog kev tshaib plab ntawm lub hlwb thiab lub paj hlwb.

Tsis muaj cov piam thaj hauv tus menyuam lub cev ua rau qee cov kab mob hauv lub plawv, mob vascular pathologies. Nrog kev kho mob tsis raws sijhawm, tus menyuam yuav nkag mus rau hauv lub cev tsis xeev tsis nco qab.

Yog tias tus neeg muaj mob me me ntawm hypoglycemia, ces kev pab ntawm kws kho mob tsis xav tau.

Txhawm rau kom tso ntshav qab zib, nws txaus nojib ntsis:

Sahara
Zib ntab
Haus dej qab zib tov.

Nws tsis pom zoo kom noj cov khoom qab zib, ncuav qab zib uas muaj cov roj ntau, nrog rau cov qhaub cij uas muaj butter thiab nqaij.

Nws tseem tsim nyog thaum lub sijhawm no kom tsis txhob noj mov:

Maum Liab
Qab zib txiv hmab txiv ntoo
Qhob noom xim kasfes dub
Mis nyuj khov.

Thaum muaj cov teeb meem mob ntshav qab zib ntau thiab tus neeg mob tsis nco qab lawm, tom qab ntawd qhov no yuav tsum hu rau lub tsheb thauj neeg mob ceev, txhawm rau tus kws kho mob tsim kom muaj qhov ua rau tsaus muag thiab muab kev saib xyuas sai.

Qhia cov tshuaj:

Glucagon
Cov kua nplaum tov.

Nws qeeb heev kom txhaj cov tshuaj no rau hauv cov hlab ntsha, thiab koj tuaj yeem tso tshuaj rau cov tshuaj intramuscularly. Tom qab 30 feeb, kuaj cov ntshav qabzib nyob hauv qib siab. Hauv qee kis tshwj xeeb hnyav, muaj qee zaum yuav mus pw hauv tsev kho mob ntawm tus neeg mob hauv chaw kho mob.

Kev kho mob ntawm tus neeg mob ntawd yog ua tiav los ntawm kev saib xyuas nruj ntawm kws kho mob. Tsev kho mob los kuj npaj rau Kev kho hypoglycemiayog hais tias tus neeg mob muaj cov kab mob pathologies hauv lub plawv (tsis txaus) thiab pathology ntawm tus txiav, thiab malfunction ntawm lub raum thiab qog adrenal.

Noj rau cov ntshav qab zib kom tsawg

Rau cov neeg raug kev txom nyem los ntawm hypoglycemia, ib qho chaw tseem ceeb yog yoog los ntawm kab lis kev cai ntawm khoom noj khoom haus. Nws tseem yuav tsum ua raws li cov qauv noj haus kom zoo thiab kev noj haus rau cov neeg laus.

Qhov laj thawj rau kev ua tsis tiav ntawm kev ua haujlwm ntawm cov tshuaj endocrine yog qhov tsis muaj zaub mov zoo rau cov zaub mov noj. Nws yog ib qho tsim nyog yuav tsum tau noj zaub mov hauv cov tshuaj me me, tsawg kawg 6 zaug hauv ib hnub.

Koob tshuaj kawg yuav tsum tsis pub dhau 2 teev ua ntej lub sijhawm pw.

Tonic cov dej qab zib, kas fes, tshuaj yej txhawb kev tsim khoom ntau ntxiv rau hauv lub cev hormone insulin, uas txhais tau hais tias kev siv cov dej qab zib no yuav tsum yog tsawg.

Kev noj haus kom tsis muaj piam thaj muaj cov zaub mov hauv qab no ntawm nws cov ntawv qhia.

Tag nrho cov khob cij mov ci
Ntses
Cov nqaij ntshiv
Qaub mis-khoom,
Cov khoom noj khoom noj ntawm cov keeb kwm marine.

Noj cov txiv hmab txiv ntoo, nrog rau zaub tshiab hauv qhov ntau txaus, ua kom lub cev muaj fiber ntau, uas tso cai rau koj ua kom lub cev tsis zoo li qub.

Cov kua txiv hmab txiv ntoo, tshuaj ntsuab los ntawm cov tshuaj ntsuab muaj peev xwm tsis tuaj yeem tsuas yog kho cov piam thaj hauv qab, tab sis kuj tseem muaj txiaj ntsig zoo rau tag nrho kev tiv thaiv kab mob.

Qauv ntawv qhia zaub mov:

Thaum cov piam thaj qis, cov neeg sib txawv tau hnov nws txoj hauv kev. Cov tsos mob yuav nyob ntawm seb qhov twg txo hauv qab zib thiab qhov nrawm ntawm tus txheej txheem no tau tshwm sim.

Yog tias cov khoom qab zib poob qis mus rau theem ntawm 3.8 mmol / litre, ib tus neeg yuav pom tias ua daus no, ua kom lub cev tsis muaj zog, tshee tshee thiab tshee tshee ntawm lub siab kawg. Nws yog tau tias kev tawm hws nthuav dav zuj zus, thiab tawm hws kuj txias thiab txhaws, sawv ntawm caj dab thiab caj dab hauv sab nraub qaum.

Qee tus neeg mob ntshav qab zib muaj kiv taub hau, txhaws ntsej muag thiab ntuav, tachycardia, ntxhov siab, tshee thiab tsis nco qab, ua rau lawv muaj qog ntiv tes, daim di ncauj, pom kev plooj plooj.

Txhawm rau cov xwm txheej hauv qhov xwm txheej no, nws yog qhov tsim nyog los tshem tawm cov laj thawj - noj zaub mov carbohydrate me ntsis, piv txwv li, khaub noom.

Cov tsos mob ntawm cov ntshav nruab nrab yuav tau pom ntau dua, tam sim no cov piam thaj hauv qab qis dua 3 mmol / litre thiab yog ua kom pom los ntawm tus mob:

kev npau taws, kev sib cav sib cav,
mob leeg
tsis muaj zog, qaug zog txawm tias tom qab pw tsaug zog thiab so,
inaudible hais lus
ua txhaum ntawm kev qhia nyob hauv chaw,
tsis meej pem, teeb meem nrog kev saib xyuas.

Hauv cov ntshav qog ntshav qab zib hnyav, cov piam thaj poob mus rau 1.9 mmol / litre, uas ua rau cov tsos mob: cramps, rov qab, mob stroke, txo qis ntawm lub cev kub tag nrho. Yog tias tsis muaj ntshav qab zib hauv lub siab tsis tau them rov qab, cov piam thaj hauv ntshav ua rau qhov tseeb tias ib tus neeg xav tias yuav ua kom lub cev tuag taus.

Ib qho tseem ceeb thiab lub caij nyoog txo qis hauv qabzib provokes hnyav thiab, raws li txoj cai, kev hloov pauv tsis txaus hauv lub hlwb, cov hlab plawv. Nws yuav tsum nco ntsoov tias cov tsos mob tej zaum yuav tsis tuaj yeem ua ke, qhov no tshwm sim nrog kev siv qee yam tshuaj, adrenoblockers feem ntau xa mus rau xws li.

Cov tshuaj paub txog ntau tus mob thaum muaj pauv hauv qabzib nyob hauv tus npau suav, thaum sawv ntxov tus neeg mob tsa nws mob taub hau heev. Hypoglycemia tuaj yeem ntseeg tau los ntawm cov tsos mob ntawm:

cwj pwm tsis zoo pw
npau suav phem
tawm hws hnyav,
taug kev hauv npau suav thiab ntog tawm hauv txaj.

Tus neeg muaj mob tuaj yeem ua suab txawv txawv thaum nws pw.

Tag nrho cov tsos mob no tshwm sim hauv cov neeg muaj kev noj qab haus huv yog tias cov qib qab zib ib txwm poob sai. Cov piam thaj tsis tu ncua nyob rau hauv cov ntshav qab zib mellitus hom I thiab II muab cov tsos mob txawm tias muaj suab thaj 6-8 mmol / litre. Yog li ntawd, ntev dua tus neeg mob tau mob ntshav qab zib, tsawg nws lub cev hnov qhov tshwm sim ntawm pathology.

Yog tias tus me nyuam cov piam thaj hauv ntshav qis dua li ib txwm, tej zaum yuav tsis muaj kev tshwm sim, cov menyuam yaus tsis muaj peev xwm tso ntshav qab zib kom tsawg.

Pom tseeb cov tsos mob tau pom tsuas yog nrog glycemic qhov ntsuas pib ntawm 2.6 txog 2.2 mmol / litre.

Kev kuaj mob, kev kho mob

Kev kuaj ntshav qog ntshav yuav soj ntsuam tau raws li cov ntshav kuaj hauv lub plab. Txoj kev tshawb nrhiav hauv qhov no qhia tau tias txo qis cov piam thaj, tab sis tom qab noj zaub mov qab zib, tus neeg mob txoj kev noj qab haus huv yog qhov qub.

Ib qho ntxiv, tus kws kho mob lossis tus kws kho mob endocrinologist yuav tsum kuaj xyuas lub cev, nws yuav nug tus neeg txog nws txoj kev ua neej, kev noj zaub mov, kev noj qab haus huv, kev noj tshuaj thiab kev hloov lub cev qhov hnyav.

Tsawg tus neeg paub tias nws muaj peev xwm kho ntshav qab zib kom tsawg nrog cov hau kev yooj yim, koj yuav tsum noj qee qhov qab zib, zib ntab, thiab haus dej qab zib. Cov kws kho mob tsis pom zoo kom nce glycemia nrog cov khoom lag luam bakery, lwm hom muffins.

Ib qho mob hnyav heev yog tiv nrog cov teeb meem, ib tug neeg kuj yuav poob ntsej muag sai sai. Vim li no, nws yog ib qho tseem ceeb heev uas yuav tsum hu rau pab neeg tu mob tam sim ntawd, tus kws kho mob yuav muab cov tshuaj tov dej qab zib rau cov ntshav qabzib, glucagon. Qee lub sij hawm nws yog qhov tsim nyog los qhia cov kev daws teeb meem li no:

Cov neeg mob ntshav qab zib feem ntau yuav tsum tau mus pw hauv tsev kho mob ntawm tus neeg mob, kev kho mob hauv qhov no yuav ncaj qha rau qhov ua rau cov piam thaj txo qis: mob raum tsis ua haujlwm, mob siab, kab mob siab, insulin lossis sepsis ntau dua.

Raws li lub hauv paus hauv paus ntawm qhov teeb meem, cov kws kho mob txiav txim siab kev kho mob me me, txiav txim siab ntawm lub sijhawm ntawm Txoj kev lis ntshav, kev ceev ntawm kev tswj hwm ntawm cov tshuaj. Feem ntau, cov piam thaj tau ua rau qib ntawm 5-10 mmol / litre.

Yog tias ib tus neeg muaj ntshav qab zib thiab muaj qhov ua rau ntshav qab zib, nws yog qhov yuav tsum tau nce cov ntsiab lus qabzib los ntawm tib txoj kev. Yog tias muaj piam thaj txo tsawg tam sim ntawd tom qab noj ib qho twg ntawm cov khoom noj uas muaj carbohydrates yooj yim, cov kab mob ntshav qab zib tau pom tias rov qab soj ntsuam lawv cov zaub mov noj kom tsawg. Nws yuav tsum kawm paub yuav noj li cas hauv qhov me me, feem ntau (tsawg kawg 5 zaug hauv ib hnub).

Ua ntej mus pw, nws raug nquahu kom siv qhov tsawg me me:

Thaum cov teeb meem kev noj qab haus huv cuam tshuam nrog kev txhaj tshuaj insulin, nws raug nquahu kom sab laj nrog tus kws kho mob endocrinologist, nws yuav qhia koj yuav ua li cas nce qib qab zib, vim li cas ib ntus luv tuaj yeem tsim kev puas tsuaj rau lub neej.

Kev Tiv Thaiv Qab Zib Qis

Nws yog ib qho tseem ceeb kom paub tias ib tus neeg cov ntshav qabzib tuaj yeem tiv thaiv tau yooj yim, vim qhov no nws txaus los ua raws qee txoj cai. Tsis muaj qab zib cov ntsiab lus yuav tsis tshwm sim yog tias ib tus neeg ib txwm ua raws cov zaub mov tshwj xeeb uas tus kws kho mob lossis kws qhia noj haus pom zoo, siv sijhawm so thaum noj mov li qub tsis pub ntev tshaj 4 teev.

Lwm cov lus qhia yog tswj xyuas cov qib qab zib kom tsis tu ncua, qhov no yuav yog ib qho kev tiv thaiv zoo tshaj plaws ntawm cov piam thaj hauv siab, uas ua rau muaj kev cuam tshuam txog kev muaj mob loj. Txhawm rau txiav txim siab cov ntshav qab zib hauv tsev, koj tuaj yeem siv lub ntsej muag ntsej muag.

Koj kuj yuav tsum tau saib xyuas qhov koob tshuaj ntawm cov tshuaj, uas txwv tsis pub cov piam thaj ntau ntxiv, cov tshuaj insulin, koj yuav tsum kawm txog kev ua haujlwm ntawm txhua yam tshuaj uas kws kho mob tau hais tseg. Nrog txhua yam ntshav qab zib mellitus, nws ib txwm tsim nyog muaj cov tshuaj noj ntawm tes uas muaj cov tshuaj uas txo qis glycemia, vim tias cov piam thaj hauv cov ntshav tuaj yeem pom nyob rau txhua lub sijhawm.

Nws tsis raug tso cai los txo cov ntshav piam thaj hauv cov rooj plaub no:

mob ntshav qab zib rau ntau tshaj 65 xyoo,
muaj keeb kwm ntawm retinopathy, muaj lub caij nyoog ntawm retinal hemorrhage,
muaj pathologies ntawm lub plawv, cov hlab ntsha,
glycemic hloov ntau zaus.

Rau cov neeg mob zoo li no, tsis hais qhov ua rau tus mob, nws yog ib qho tseem ceeb uas yuav tau soj ntsuam cov ntshav qab zib kom qis, khaws nws li 6 mus rau 10 mmol / litre.

Nws tau pom tias yuav tiv thaiv tus nqi suab thaj kom tsawg dua nrog txhua yam ntawm cov ntshav qab zib mellitus tsis ntev los lawm, vim tias qhov no ntawm glycemia nce tas li, thiab nws qhov kev txo qis sai yuav ua rau mob hnyav, ua rau lub cev tsis nco qab, qhov ua tiav tau tuag. Qhov no txhais tau tias cov piam thaj yuav tsum maj mam zuj zus.

Yog tias ib tus neeg tsis quav ntsej rau cov ntshav qis thiab theem nrab ntawm kev mob ntshav qab zib, tsis noj tshuaj uas muaj cov ntshav qabzib, qhov no txhais tau hais tias qhov mob sai sai hloov mus rau qhov mob ntshav qab zib tsawg, nyob rau hauv uas koj tuaj yeem plam kev nco qab txhua lub sijhawm.

Nrog rau kev txo qis hauv tib neeg cov piam thaj, nws yog ib qho tsim nyog yuav tsum pib kho sai li sai tau. Yog tias cov piam thaj tso ntshav tas li, nws yuav tsis muaj kev phom sij ntau dua li hyperglycemia. Xws li cov kab mob pathological tsis tuaj yeem tsis quav ntsej, thiab nws yog qhov zoo dua los siv cov kev tiv thaiv kev tiv thaiv ua ntej, tom qab ntawd qib ntawm glycemia yuav poob qis heev. Nws yog ib qho tseem ceeb kom ua raws li kev noj zaub mov noj rau ntshav qab zib.

Hais txog qhov ua tau ua rau kev txo cov ntshav qab zib hauv cov ntshav yuav qhia cov yeeb yaj kiab hauv tsab xov xwm no.

Muaj feem cuam tshuam los ntawm cov piam thaj hauv ntshav tsawg

Ntxiv nrog rau qhov tshwm sim neuroglucopenic thiab adrenergic tsis zoo piav qhia saum toj thiab ploj tom qab kev kho mob kom tsim nyog, cov neeg mob tuaj yeem tsim qog ntshav qab zib, poob mus rau lub hlwb tsis zoo, mus txog rau kev pom dav dav ntawm dementia. Ib qho ntxiv, cov ntshav qab zib qis yog ib qho kev pheej hmoo ntxiv thiab ua rau cov leeg mob hauv lub hlwb rov qab, mob ntshav hauv lub cev thiab lub plawv myocardial infarction hauv cov neeg mob plawv.

Kev kho yog kho raws li kev kho mob ntawm kev pib muaj kabmob thiab tshem tawm cov tsos mob ntawm tus mob ntshav qab zib tsawg.

Kev tswj cov ntshav qabzib los ntawm txoj kev nrog kua los yog txoj kev tswj hwm qhov ncauj ntawm dextrose monosaccharide, uas dhau ntawm txoj hnyuv, tam sim ntawd nqus mus rau hauv cov ntshav los ntawm lub qhov ncauj kab noj hniav.
Combinatorial kom tsawg ntawm qhov yooj yim "sai" thiab "qeeb" cov carbohydrates hauv qhov tsawg tsawg.
Nrog rau qhov tsis muaj txiaj ntsig ntawm cov kev ntsuas saum toj no, kev txhaj tshuaj rau ntshav ntawm glucagon.
Hauv cov xwm txheej tseem ceeb, kev txhaj tshuaj tiv thaiv kab mob corticosteroids - hydrocortisone, ntxiv rau adrenaline raug tso cai.
Ua raws li cov khoom noj tshwj xeeb.

Ib qho ntawm cov ntawv qhia saum toj no rau cov tshuaj ntsuab hauv qab no, yuav tsum muaj kev pom zoo nrog koj tus kws kho mob!

Peb zaug ib hnub twg, noj 15-20 tee ntawm tincture ntawm Leuzea, uas muaj peev xwm yuav nyob rau hauv lub tsev muag tshuaj. Pre-dilute lub koob tshuaj nyob rau hauv ib tug tablespoon ntawm chav tsev kub dej.
Nqa cov khoom sib npaug sib npaug 2 grams ntawm wheatgrass, St. John lub wort, hemophilus, chamomile, gingerbread cinnamon thiab plantain, ntxiv ib qho ntawm licorice thiab wormwood rau cov khoom sau cia. Ncuav sib tov nrog 0.5 liv ntawm dej npau thiab cia nws brew rau 25 feeb. Cuam cov kua los ntawm peb txheej ntawm daim ntaub thiab coj tus neeg sawv cev kho dej ntawm 50 grams, peb zaug ib hnub rau ib hlis.
Ncuav ib tablespoon ntawm tws unpeeled rosehip berries nrog ob khob ntawm dej npau. Cia nws brew rau kaum tsib feeb, lim los ntawm cheesecloth thiab haus ½ khob ob zaug hauv ib hnub rau 2 lub lis piam.
Haus qej thiab lingonberries tsis tu ncua, nyiam dua tshiab.

Cov npe ntawm cov txheej txheem tiv thaiv kev tiv thaiv kom tsis txhob muaj qhov txo qis hauv cov ntshav qab zib suav nrog kev noj zaub mov zoo nrog cov khoom noj muaj feem thiab kev noj haus txhua hnub, thiab kho cov kev kho mob ntshav qab zib mellitus. Ib qho ntxiv, nws raug nquahu kom coj ntau cov vitamins ntau nrog cov ntsiab lus tseem ceeb ntawm chromium nyob hauv lawv, tsis kam haus cawv thiab haus luam yeeb, dosed lub cev kev ua si, nrog rau paub txhua tus neeg hauv tsev neeg muaj teeb meem thiab qhia lawv txog kev ntsuas tsim nyog thaum muaj mob tshwm sim sai.

Nrog rau cov ntshav qab zib kom tsawg, tus kws kho mob endocrinologist tau sau tseg rau ib qho kev noj haus rau koj tus kheej, xav txog qhov mob hnyav ntawm qhov teeb meem, muaj cov ntshav qab zib mellitus ntawm qee yam, nrog rau lub xeev tam sim no.

Ua kom koj cov khoom noj ntawm cov carbohydrates ntau los ntawm kev noj zaub, durum nplej nplej zom, thiab cov hmoov txhuv tag nrho.
Ua kom tiav cov cawv, semolina, nplej zom los ntawm hom nplej uas muaj mos mos, ncuav qab zib, rog thiab muaj muaj zog heev, txhua yam kev ua noj thiab nqaij rog, txuj lom, zaub mov, kua txob thiab mustard.
Noj khoom qab zib, ncuav qab zib, zib ntab thiab kua txiv kom ntau.
Noj fractionally, ntawm qee qhov me me, tsis txhob hnov qab noj cov zaub mov muaj protein ntau nrog cov rog tsawg.
Ua kom pom tseeb txog cov khoom noj uas muaj cov tshuaj fiber ntau, uas ua rau koj nqus ntawm qab zib los ntawm kev ua cov ua kom muaj protein ntau. Cov kev xaiv zoo tshaj plaws yog pob kws, taum pauv, tsho qos yaj ywm.
Nco ntsoov suav nrog hauv cov txiv hmab txiv ntoo hauv zaub mov, ob qho tib si tshiab thiab qhuav, lossis hauv koj cov kua txiv, uas muaj cov piam thaj hauv nruab nrab lossis me me.
Xaiv cov khoom noj tsis muaj protein - ntses, taum, nqaij qaib lossis nqaij luav.
Txwv tsis pub siv cov khoom qab zib kom ntau li ntau tau, uas nyob rau hauv ntau qhov ntau heev ua rau cov txheej txheem ntawm kev loj hlob ntawm lub qog ntshav qab zib.
Hloov cov pa roj carbon ntau hauv cov dej qab zib uas tsis muaj roj av.
Koj tuaj yeem tau txais cov protein uas koj xav tau rau lub cev los ntawm lwm cov khoom siv - txiv ntoo, cov khoom noj muaj roj tsawg.

Peb yuav muaj ob lub qe siav thiab tshuaj yej tsis qab zib nrog rau ib daim me me ntawm cov mov ci.
Peb muaj khoom noj txom ncauj nrog ib khob mis lossis ib lub txiv uas tsis qab zib ntawm qhov loj me.
Peb muaj su noj nrog kua zaub ntawm nqaij ntshiv nqaij thiab zaub xam lav. Txuas ntxiv - ib feem ntawm cov ntses ua kua thiab tshuaj yej.
Muaj khoom noj txom ncauj rau yav tav su uas muaj ntau lub txiv hmab txiv ntoo thiab tshuaj ntsuab. Ib qho ntxiv yog 50 grams ntawm walnuts.
Noj hmo stewed nqaij qaib lossis luav nqaij nrog zaub sab zaub. Raws li hloov cov tshuaj yej thiab kas fes, koj tuaj yeem siv cov chicory.
Ob teev ua ntej mus pw - lub khob ntawm 1 feem pua kefir.

Saib xyuas koj kev noj zaub mov, noj kom zoo, soj ntsuam txoj haujlwm ntawm txhua hnub thiab feem ntau koj tuaj yeem tshem tawm cov qog ntshav ntshav tsis muaj tshuaj!

Thawj cov tsos mob thiab kev kho rau cov qog ntshav qab zib

Koj muaj peev xwm nce ntshav qab zib ntau ntau los ntawm ntau txoj kev:

Kev saib xyuas qhov ncauj ntawm daim ntawv dawb dextrose monosaccharide.
Txhaws tso ntshav qab zib.
Kev tswj hwm ntawm glucagon.
Kev ua raws li kev noj zaub mov nrog cov khoom noj muaj feem, kev koom nrog kev noj haus ntawm cov zaub mov nplua nuj nyob hauv fiber ntau thiab tsis suav nrog cov khoom noj pob tawb ntawm cov khoom xyaw uas muaj leucine, nrog rau cov zaub mov ua kom yooj yim.
Txwv tsis pub noj cov zaub mov ntau nyob rau hauv qhov yooj yim thiab "qeeb" ua rau cov carbohydrates - qhov kev coj ua sai sai, thaum kawg tom qab kho qhov tshwm sim (cov khaub noom qhuav qhuav, ncuav).
Txo cov kev tawm dag zog, ua kom lub luag haujlwm txhua hnub thiab txhua hnub cov suab nrov.

Qhov txaus ntshai ntawm cov piam thaj hauv ntshav qis thaum cev xeeb tub?

Kev mob ntshav qab zib yog qhov tsis zoo cuam tshuam rau tus me nyuam hauv plab, txo qis cov piam thaj hauv lub cev uas tsis tau yug hauv plab tawm ntawm tus me nyuam, uas cuam tshuam nws kev loj hlob. Ntxiv rau, qhov uas tsis muaj cov piam thaj hauv ntshav tuaj yeem ua rau menyuam tsis tau yug ntxov thiab ua rau muaj menyuam hauv plab ntau dua.

Nco ntsoov tswj cov theem ntawm cov piam thaj thaum cev xeeb tub, tshwj xeeb yog tias koj muaj mob ntshav qab zib lossis cov tsos mob yooj yim ntawm qhov teeb meem tau raug nthuav tawm - tsaug zog, tawm hws ntau dhau, tshee tshee hauv qhov kawg, ib qho kev xav ntawm kev tshaib plab, thiab lwm yam.

Cov kev xaiv "xwm txheej kub" rau kev tshem tawm cov ntshav qog ntshav sai sai hauv kev tsis sib luag lossis mob hnyav yog siv ib zaug ntawm "carbohydrates" sai (kua txiv, qab zib thiab qab zib.). Txawm li cas los xij, nyob rau qee kis, qhia koj tus kws kho mob txog qhov teeb meem, tom qab ntawd nws yuav tshaj tawm txoj kev kuaj ntshav rau koj thiab qhia kev kho kom haum.

Dab tsi yuav ua rau cov ntshav qab zib kom tsawg nyob hauv tus menyuam mos?

Feem ntau, hypoglycemia hauv cov menyuam yug tshiab hauv thawj lub sijhawm ntawm nws lub neej yog vim muaj qee yam tsis zoo - asphyxia thaum yug menyuam, sib sib zog nqus lossis maj ntxov, ua pa nyuaj. Ib qho kev pheej hmoo ntxiv tuaj yeem los ntawm leej niam muaj ntshav qab zib thiab nquag noj tshuaj muaj suab thaj.

Qhov teeb meem no xav kom daws sai sai: feem ntau cov neeg yug menyuam tau hloov mus rau hauv chav saib xyuas mob hnyav, qabzib yog txhaj rau hauv lub cev (tso ntshav). Nrog kev ua kom tau qis, kev tswj hwm intramuscular ntawm glucagon thiab hydrocortisone yog kho kom txog rau theem ntawm cov piam thaj hauv cov ntshav siab.

Cov tsos mob uas muaj ntshav qab zib tsawg yog dab tsi?

Nrog hypoglycemia, tus neeg mob muaj ntau cov tsos mob tsis zoo. Cov muaj npe tshaj plaws ntawm lawv:

Mob taub hau thiab kiv taub hau.
Tsaus muag, lub siab tsis nco qab, amnesia.
Diplopia thiab paresthesia.
Ntau yam kev cuam tshuam ntawm lub hauv paus genesis ntawm cov hlab plawv system (feem ntau feem ntau arrhythmias).
Cov teeb meem ua pa.
Kev tsis muaj zog ntawm tag nrho cov kab mob, xeev siab nrog ntuav.
Tsaus muag pom tsis zoo.
Kev tawm hws hnyav, pallor ntawm daim tawv nqaij, mob nqaij hypertonicity.
Kev kub ntxhov, mydriasis.
Kev kub ntxhov, kev npau taws, kev ntxhov siab.

Yog tias koj tau txheeb pom tsawg kawg ib co ntawm cov cim saum toj no hauv koj tus kheej - ua kev sim lossis ntsuas ntsuas cov ntshav qab zib cov ntshav tam sim no nrog ib glucometer.

Cov piam thaj hauv ntshav tsawg (ntshav qog): cov tsos mob, ua rau, kho mob

Muaj ntau lub laj thawj rau kev txo cov ntshav qab zib (lossis cov ntshav qog ntshav qab zib), thiab tus mob no nrog tus lej tsis txaus siab, thiab nyob rau kis mob hnyav, cov tsos mob txaus ntshai. Nws qhia nyob rau hauv ib qho tseem ceeb txo qis hauv cov piam thaj thiab tuaj yeem pom ob leeg hauv cov neeg mob ntshav qab zib mellitus, thiab hauv cov neeg muaj kev noj qab haus huv tiag tiag, lossis nrog lwm yam kab mob. Qee qhov, txo qis rau cov ntshav qab zib yuav tsis txaus ntshai, tab sis nrog qhov mob ntshav qab zib tsawg, tus neeg mob yuav tsim muaj qhov kev hem thawj no uas yog qhov ua rau lub siab tsis nco qab.

Lub ncauj lus ntawm kev tshaj tawm no yuav pab tau zoo tsis yog rau cov neeg muaj ntshav qab zib, tab sis kuj tsis cuam tshuam txog tus kab mob no. Hauv tsab xov xwm no, peb yuav qhia koj txog cov tsos mob, cov laj thawj, thiab cov hau kev ntawm kev kho ntshav qab zib. Cov ntaub ntawv no yuav muaj txiaj ntsig zoo rau koj, thiab koj yuav muaj peev xwm kom zam dhau qhov tsis xis nyob thiab qhov tshwm sim uas tus mob no tuaj yeem xa tuaj, lossis koj yuav muaj peev xwm muab kev pabcuam ua ntej rau tus neeg hlub uas muaj mob ntshav qab zib.

Ib qho ntawm cov laj thawj rau kev txo cov ntshav qab zib yog txoj kev nyuaj rau cov ntshav qab zib. Tus mob no tuaj yeem tsim kho nyob rau hauv yuav luag txhua tus neeg mob uas muaj tus kabmob no. Cov hauv qab no yam tuaj yeem ua rau nws:

kev siv tshuaj ntau dhau ntawm insulin lossis ntshav qab zib los ntawm cov tshuaj sulfonylureas lossis buganides, meglitidines (Chlorpropamide, Tolbutamide, Maninil, Amaryl, Novonorm, Hexal, Metformin, Siofor, thiab lwm yam),
kev yoo mov
ua txhaum ntawm kev noj haus
so ntev ntawm cov zaub mov,
mob raum thiab mob siab
mob kis tau yooj yim
kev siv lub cev hnyav,
haus dej cawv kom ntau.

Ib qho yuam kev ntawm qee cov neeg mob ntshav qab zib mellitus, ua rau txo qis ntshav qabzib, yog kev sib txuas ntawm kev noj tshuaj insulin lossis hypoglycemic thiab lwm txoj hauv kev txo cov suab thaj. Cov no suav nrog:

txhim kho cov txiaj ntsig ntawm qab zib-txo cov kev npaj ntawm cov nroj tsuag: clover, Bay nplooj, taum nplooj, dandelion nyom, lingonberry thiab blueberry nplooj, burdock nyom, linden paj, blackcurrant, rosehip thiab hawthorn txiv hmab txiv ntoo, chicory nyom,
qab zib-txo cov zaub thiab zaub ntsuab: zaub txhwb qaib, horseradish, taub dag, zaub ntsuab, qij, txaij, dos, zaub xas lav, txiv lws suav, dib, zaub qhwv dawb, tswb txob, zaub paj, zucchini, radishes, Jerusalem artichoke,
qab zib-txo cov txiv hmab txiv ntoo thiab cov txiv ntoo: cov txiv ntoo hauv cov txiv ntoo, blueberries, qaub ntau yam ntawm txiv apples lossis pears, blackberries, lingonberries, roob tshauv, viburnum, pineapples, raspberries, blackberries, chokeberries.

Thaum siv cov nyiaj no txhawm rau kom cov ntshav qabzib tsawg, tus neeg mob yuav tsum koom tes ua ke nrog tus kws kho mob thiab soj ntsuam cov ntshav qab zib tas li uas siv cov ntsuas ntshav qab zib hauv tsev.

Lwm qhov ua rau cov ntshav qog tuaj yeem tuaj yeem ua rau pancreatic neoplasm, uas muaj peev xwm ua cov tshuaj insulin - insulinoma. Cov qog no ua rau cov insulin nce siab, uas "nqus" cov piam thaj hauv cov ntshav thiab ua rau nws cov qib poob qis.

Ntxiv nrog rau cov kab mob no, qhov txo qis hauv cov piam thaj tuaj yeem tshwm sim los ntawm cov kev mob thiab:

mob rau daim siab hnyav
mob tom qab rov mob plab hnyuv lossis plab,
yug los tsis txaus enzymes uas cuam tshuam rau cov metabolism hauv carbohydrate,
kab mob ntawm cov hypothalamus thiab pituitary caj pas,
pathology ntawm cov qog adrenal.

Hauv cov neeg muaj kev noj qab haus huv, kev txo qis hauv cov ntshav qab zib tuaj yeem yog los ntawm cov yam hauv qab no lossis cov xwm txheej:

cev xeeb tub thiab lactation
kev siv lub cev hnyav,
nquag thiab ntau dhau kev noj zaub mov muaj suab thaj,
kev noj zaub mov tsis zoo, kev noj zaub mov tsis xwm yeem lossis kev noj zaub mov tsis zoo.

Hauv cov neeg muaj kev noj qab haus huv, cov cim ntawm kev txo qis hauv cov ntshav qab zib pib tau tshwm sim ntawm 3.3 mmol / L, thiab hauv cov neeg mob ntshav qab zib mellitus lawv tshwm sim ua ntej, vim tias lawv lub cev twb tau siv tas mus li hyperglycemia. Hauv cov neeg mob uas raug mob los ntawm tus kab mob no ntev, thawj cov tsos mob yuav tshwm sim nrog kev dhia nrawm hauv cov piam thaj (piv txwv li, 20 txog 10 mmol / l). Cov menyuam yaus yog qeb tshwj xeeb ntawm cov neeg mob uas muaj ntshav qab zib mellitus uas tsis muaj peev xwm txo qis qab zib. Lawv ib txwm tsis muaj kev xav txog qhov pib ntawm tus txheej txheem no, thiab cov niam txiv lossis cov kws kho mob uas xav tias qhov pib ntawm lub qog ntshav yuav tsum tau siv glucometer los txheeb xyuas nws.

Qhov hnyav ntawm cov tsos mob ntawm kev txo cov ntshav qab zib tuaj yeem faib ua peb qib: mob me, mob hnyav thiab hnyav.

Cov tsos mob ntawm cov dej qab zib nce mus rau 3.3 mmol / L yog:

kiv taub hau thiab mob taub hau
kev tshee
tsis muaj zog
trembling hauv lub cev
nce tawm hws,
mob siab me me
tshaib plab heev
qhov muag plooj.

Cov tsos mob ntawm kev txiav sim hnyav ntawm txo qis qab zib mus rau 2.2 mmol / L yog:

txob taus
tsis muaj peev xwm mloog
zoo nkaus tsis ruaj khov thaum sawv lossis zaum,
slowness ntawm kev hais lus
mob leeg
tsis tsim nyog quaj, txhoj puab heev lossis npau taws.

Cov tsos mob ntawm ib qho kev poob qis hauv cov ntshav qab zib qis dua 1.1 mmol / L yog:

tsis nco qab (hypoglycemic coma),
qaug dab peg
mob stroke
kev ploj tuag (hauv qee kis).

Qee lub sij hawm poob hauv qab zib muaj tshwm sim thaum hmo ntuj pw tsaug zog. Koj tuaj yeem nkag siab tias tus neeg pw tsaug zog tau pib mob ntshav qab zib los ntawm cov cim hauv qab no:

cov yam ntxwv txawv txawv
kev txhawj xeeb
yuam kev poob saum lub txaj lossis sim tawm ntawm nws,
taug kev hauv npau suav
nce tawm hws,
npau suav phem.

Nrog kev tawm tsam hmo ntuj ntawm hypoglycemia, tus neeg yuav hnov mob taub hau tom qab sawv ntxov.

Nrog kev nce siab hauv cov ntshav qab zib, tus neeg mob tau ua mob hypoglycemic syndrome. Nyob rau tib lub sijhawm, cov tsos mob ntawm hypoglycemia nce ntau dua nrawm dua li ib txwm nqis qis hauv qhov ntsuas no. Yog vim li ntawd, txhawm rau kev pabcuam thawj zaug, txhua tus neeg mob ntshav qab zib yuav tsum nqa qab zib lossis khaub noom thiab ib rab tes xaum nrog glucagon.

Conventionally, chav kawm ntawm hypoglycemic syndrome tuaj yeem muab faib ua 4 ntu loj.

Kev tshaib kev nqhis loj heev
tsaug zog
tsis muaj zog
hypotension
kev hloov pauv ntawm kev npau taws: los ntawm vuag dua mus rau qhov tsis txaus ntseeg,
txob taus.

Cov tsis tshaib tsis nqhis
pallor
hws no
tachycardia
lub siab lub plawv dhia
qhov muag plooj
trembling hauv lub cev thiab nqua
txoj kev ntshai kev tuag.

Ib lub xeev ntawm zoo sib xws rau intoxication,
kev zoo siab
kev tswj tsis tau ntawm tus cwj pwm,
kev ploj ntawm kev xav ntawm kev ntshai
tus cwj pwm tsis txaus (txog qhov tsis kam nqa khoom qab zib lossis tshuaj thaum lawv paub lawv xav tau).

Lom zem thoob plaws lub cev thiab khaus, taug kev los ntawm kev qaug dab peg,
tsis pom kev
tsaus muag thiab tsis nco qab.

Cov theem pib ntawm cov ntshav qog ntshav ntshav feem ntau tsis txaus ntshai rau lub hlwb thiab tsis tawm ntawm qhov tsis tuaj yeem rov qab tshwm sim. Nrog rau qhov pib ntawm coma thiab tsis muaj lub sijhawm thiab cov kev pabcuam tsim nyog, tsis tsuas yog txo qis kev nco thiab kev txawj ntse lub peev xwm ua tau, tab sis kuj tseem ua rau lub siab ua kom tuag taus.

Txhawm rau tshem tawm cov cim ntawm hypoglycemia, kev pab yuav tsum tau muab nyob rau hauv thawj 10-15 feeb. Cov zaub mov nram no tuaj yeem tshem tawm qhov kev tawm tsam tsis pub dhau 5-10 feeb:

qab zib - 1-2 diav,
zib ntab - 2 teaspoons
caramel - 1-2 pcs.,
kua txiv qaub lossis lwm yam dej qab zib - 200 ml,
kua txiv hmab txiv ntoo - 100 ml.

Xws li kev pib kho mob kom raws sijhawm feem ntau ua rau muaj ntshav qab zib nce siab thiab tiv thaiv kev nthuav dav ntawm tus mob no ntau dua. Tom qab qhov no, tus neeg mob raug nquahu kom tshem tawm qhov ua kom muaj ntshav siab (noj zaub mov, tso tseg ib qho zaub mov tsis haum lossis npaj zaub mov tsis zoo, noj ntau yam tshuaj insulin, thiab lwm yam).

Nrog rau kev txhim kho hypoglycemic syndrome, tus neeg mob hloov pauv sai heev thiab kev pab yuav tsum tau muab tam sim ntawd (txawm tias ua ntej pawg neeg mob hauv pawg neeg tuaj tos). Nws muaj cov haujlwm hauv qab no:

Tso tus neeg mob rau hauv txoj kab rov tav thiab tsa nws ob txhais ceg.
Hu rau lub tsheb tos neeg mob, hais kom meej qhov tshwm sim tuaj yeem hu.
Hle khaub ncaws ua pa tawm.
Muab cov cua huv.
Muab rau cov khoom qab zib coj los haus.
Yog tias tus neeg mob lub cev tsis nco qab lawm, tom qab ntawd nws yuav tsum tau tig nws sab (kom tiv thaiv tus nplaig kom tsis txhob mob thiab nqos los ntawm ntuav), thiab muab khoom qab zib (hauv qab zib, thiab lwm yam) tom qab sab plhu.
Yog tias muaj cov koob txhaj tshuaj nrog Glucagon, tswj hwm 1 ml subcutaneously lossis intramuscularly.

Pab pawg neeg kho mob ua qhov ua haujlwm dav hlau txhaj tshuaj rau 40% cov piam thaj tov thiab tsim cov kua dej uas muaj cov kua tshuaj 5% piam thaj. Tom qab qhov no, tus neeg mob tau thauj mus rau hauv chav kuaj mob siab thiab ntxiv cov tshuaj ntxiv rau thaum lub sijhawm txav.

Tom qab mus pw hauv tsev kho mob, tus neeg mob tau muaj ob txoj kev daws teeb meem: tso zis thiab tso zis. Tom qab ntawd, diuretics raug qhia los tiv thaiv kom txhob mob txha caj qaum. Thaum pib, osmotic diuretics (Mannitol lossis Mannitol) yog siv. Kev siv tshuaj kho mob thaum muaj xwm txheej ceev (Furosemide) tau kho tom qab.

Kev siv tshuaj insulin luv luv yog muab rau tswj hwm cov ntshav qab zib nkaus xwb. Cov tshuaj no pib siv tsuas yog nyob ntawm qhov pom ntawm cov piam thaj xws li 13-17 mmol / l, vim tias nws cov thawj coj thaum ntxov yuav ua rau muaj kev txhim kho tshiab ntawm kev mob hypoglycemic thiab pib ntawm kev tsis nco qab.

Tus neeg mob tau raug tshuaj los ntawm kev soj ntsuam los ntawm neurologist thiab kws kho plawv thaum ua haujlwm, uas ntsuas ECG thiab electroencephalogram. Cov ntaub ntawv los ntawm cov kev tshawb fawb no tso cai rau peb twv seb qhov ua tau rov qab tsis nco qab lawm thiab kho txoj kev kho mob.

Tom qab tawm ntawm lub cev tsis xeev, tus neeg mob yog tus saib xyuas tas li, thiab tus kws kho endocrinologist tau kho nws cov kev kho mob thiab kev noj haus raws li cov ntaub ntawv tau los ntawm kev sim thiab ntsuas cov khoom siv. Nyob rau theem kawg ntawm kev kho mob, tus neeg mob tau hais kom lub cev ua kom lub cev qhuav dej thiab kho kom lub cev tsis huv, uas tso cai rau tshem tawm cov acetone hauv cov ntshav thiab rov ua kua dej rau cov kua dej uas ploj.

Ua ntej tso tawm hauv tsev kho mob, tus neeg mob tau txais kev sab laj ntawm ntau qhov nqaim-neeg ua haujlwm tshwj xeeb, uas tso cai txhawm rau txheeb xyuas txhua qhov teeb meem tshwm sim ntawm hypoglycemic coma - cerebrovascular kev raug mob, kev txhim kho ntawm myocardial infarction lossis mob stroke, poob qis kev txawj ntse, tus kheej hloov pauv.

Nrog cov cim nquag ntawm kev txo qis hauv cov ntshav qab zib, tus kws kho mob endocrinologist yuav tsum tau sab laj. Txhawm rau tshuaj xyuas cov neeg mob, tus kws kho mob yuav tshaj tawm cov kev kuaj mob hauv chav kuaj thiab tsim nyog ua.

Endocrinologist E. Struchkova tham txog cov ntshav qog ntshav qab zib:

Laptenok L.V. Cov nyiaj pub rau cov neeg mob ntshav qab zib. Minsk, Belarus Cov Tsev Luam Ntawv, 1989, 144 nplooj ntawv, 200,000 luam tawm
Mob ntshav qab zib - M .: Tshuaj, 1964. - 603 p.
Evsyukova I.I., Kosheleva N.G. Mob ntshav qab zib mellitus. Cev xeeb tub thiab cov menyuam tshiab, Miklos -, 2009. - 272 c.

Cia kuv qhia kuv tus kheej. Kuv lub npe yog Elena. Kuv tau ua haujlwm li endocrinologist rau ntau tshaj 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, yuav tsum tau sab laj nrog tus kws kho mob tshwj xeeb.