Hyperglycemia Cov tsos mob thiab kho

Qog Ntshav (los ntawm lwm cov lus Greek. ὑπερ - saum toj no, saum toj no, γλυκύς - qab zib, αἷμα - ntshav) - cov tsos mob uas tau pom tias muaj cov piam thaj hauv cov ntshav cov ntshav piv nrog qhov tseem ceeb ntawm 3.3-5.5 mmol / l. Cov qib suab thaj yog ntsuas hauv millimoles ib litre (mmol / l) hauv cov teb chaws ntawm tus qub USSR, thiab hauv milligrams per deciliter (mg / dl), raws li kev cai ib txwm muaj nyob hauv Asmeskas, Lub Tebchaws Yelemees, Nyiv, Fab Kis, Ixayees, Egypt, Colombia, thiab lwm yam 1 hli / l = 18 mg / dl.

Etiology

• mob ntsws tsis hnyav - 6.7-8.2 mmol / l,
• mob hnyav - 8.3-11.0 mmol / l,
• hnyav - tshaj 11,1 mmol / l,
• nrog rau qhov ntsuas ntau tshaj 16.5 mmol / l, precoma tsim,
• nrog qhov ntsuas loj dua 55.5, qhov tshwm sim hyperosmolar hnov ​​qab tau tshwm sim.

Rau cov tib neeg muaj kev cuam tshuam ntev ntev ntawm cov metabolism hauv cov metabolism, cov nqi no yuav txawv me ntsis.

Etiology

Cov kab mob, cov tsos mob, kev kho mob thiab kev kuaj mob hyperinsulinism hauv menyuam yaus thiab cov neeg laus

• Qhov phom sij ntawm hyperinsulinism yog dab tsi?
• Cov tsos mob ntawm tus kab mob
• Ua rau
• Kev faib tawm ntawm Hyperinsulinism
• Kev soj ntsuam txog mob tshwm sim
• Kev Kho Mob thiab Khoom Noj Khoom Haus
• Kev tiv thaiv thiab kev kwv yees

Txog kev kho mob pob qij txha, peb cov neeg nyeem tau siv DiabeNot siv tau zoo. Pom qhov nrov ntawm cov khoom no, peb tau txiav txim siab muab nws rau koj kom txaus siab.

Hyperinsulinism txwv tsis pub hu ua kab mob hypoglycemic. Lub pathological mob tej zaum yuav nrhiav tau los yog yug. Hauv ob kis, tus kab mob no tsis tshua muaj mob, uas yog ib kis ntawm 50,000 tus menyuam yug tshiab. Tau txais daim ntawv ntawm hyperinsulinism feem ntau yog tsim los ntawm cov hnub nyoog ntawm 35 thiab 50, thiab feem ntau cuam tshuam rau cov poj niam.

Qhov phom sij ntawm hyperinsulinism yog dab tsi?

Ib qho xwm txheej txaus ntshai lub xeev yog vim nws qhov teeb meem, uas tuaj yeem muab faib ua thaum ntxov thiab lig. Thawj qeb muaj xws li cov uas tau tsim hauv ob peb teev tom qab tawm ntawm kev tawm tsam, uas yog:

• mob stroke
• myocardial infarction
• ib tug ntse ua kom tsis haum ntawm cov metabolism hauv lub plawv nqaij thiab lub hlwb,
• nyob rau hauv qhov xwm txheej nyuaj tshaj plaws, ib qho kev ua rau lub cev tsis muaj qab hau yog tsim.

Cov mob lig dhau los cuam tshuam nrog hyperinsulinemia pib txhim kho ntau lub hlis lossis txawm xyoo tom qab pib qhov mob. Lawv tau cim los ntawm ntau cov tsos mob tseem ceeb, uas yog: tsis nco qab thiab nco qab, Parkinsonism, encephalopathy (lub hlwb tsis ua haujlwm).

Qhov tsis muaj kev kuaj mob thiab kev kho mob ntawm tus kab mob pathology ua rau muaj kev nyuaj siab ntawm tus txiav thiab ua rau cov ntshav qab zib, nrog rau cov kab mob metabolic syndrome thiab kev rog dhau.

Congenital daim ntawv ntawm hyperinsulinism hauv 30% ntawm cov neeg mob provokes ib daim ntawv ntev ntawm lub hlwb hypoxia, nrog rau kev ua phem rau kev loj hlob tag nrho cov kev xav ntawm cov menyuam yaus. Yog li, hyperinsulinism yog ib qho xwm txheej uas ua tsis taus nrog cov teeb meem thiab cov kev rau txim loj.

Cov tsos mob ntawm tus kab mob

Kev tawm tsam pib nrog kev txhim kho hauv qab los noj mov, cov tsos ntawm kev tawm hws thiab tsis muaj zog, nrog rau tachycardia, kev tshaib nqhis hnyav. Tom qab ntawd qee yam ceeb ntshai koom nrog: ntshai, ntxhov siab, txob taus thiab tshee hnyo hauv nqua. Thaum mob hyperinsulinemia pib, cov hauv qab no tau txheeb xyuas:

• disorientation nyob rau hauv qhov chaw,
• diplopia (bifurcation ntawm pom khoom),
• paresthesia (loog, tingling) hauv cov nqua, kom txog thaum zoo li ntawm chua leeg.

Yog tias kev kho mob tsis muaj, yuav tsis nco qab thiab txawm tias nws lub cev tsis tsaug zog zoo li tsis tuaj lawm. Lub sijhawm nyob nruab nrab ntawm qhov chua leeg yog cuam tshuam nrog kev nco, kev ua rau lub siab ntsws, tsis nco qab, thiab lwm cov tsos mob tsis zoo. Tawm tsam keeb kwm yav dhau los ntawm cov zaub mov nquag uas muaj cov zom zaub mov tau yooj yim, qhov nce hauv lub cev hnyav thiab txawm tias rog dhau.

Cov kws tshaj lij txheeb xyuas peb qib ntawm cov tsos mob ntawm hyperinsulinism, uas yog nyob ntawm qhov mob hnyav ntawm chav kawm: mob me, nruab nrab thiab mob hnyav. Qhov sib me tshaj yog cuam tshuam nrog qhov tsis muaj kev ua kom pom tseeb nyob rau lub sijhawm ntawm kev chua leeg thiab cov organic puas rau lub cerebral cortex. Kev tsim txom ntawm tus kab mob tshwm sim tsawg dua li ib hlis ib zaug. Nws tau sai sai los ntawm cov tshuaj lossis cov khoom noj qab zib.

Nrog tus mob hnyav me me, qaug dab peg tshwm sim ntau tshaj ib hlis ib zaug, qhov muag ploj ntawm lub qhov muag pom thiab hnov ​​qab yog tau. Lub sijhawm nruab nrab ntawm kev tawm tsam yog pom los ntawm kev ua txhaum cai ntawm tus cwj pwm, piv txwv li, tsis nco qab lossis poob qis kev xav. Kev loj hlob hauv kev loj hlob yog qhov tshwm sim ntawm qhov tsis hloov pauv ntawm lub cerebral cortex. Kev tawm tsam nws tshwm sim ntau heev thiab ua rau tsis nco qab. Nyob rau lub sijhawm nruab nrab ntawm kev tawm tsam, tus neeg mob poob qab kev coj hauv qhov chaw, nco yog aggravated, tshee ntawm qhov kawg yog txheeb xyuas. Tus yam ntxwv yog hloov pauv ntawm lub siab lub siab thiab lub siab lub siab xav tsis xis nyob. Muab tag nrho cov no, nws yog ib qho tsim nyog kom nkag siab ntau yam ua rau, kev kho mob thiab kuaj tus mob.

Ua rau

Qhov kev mob plab yug me nyuam tshwm sim vim kev mob plab hnyuv plab hauv txoj kev loj hlob, vim kev qeeb ntawm kev txhim kho ntawm lub cev xeeb tub. Tus kab mob kis tau tus mob kuj tseem tuaj yeem hloov tau nrog kev sib hloov hauv cov genome. Qhov ua rau qhov tshwm sim hauv tib neeg ntawm kev kis tau los ntawm tus kab mob tau muab faib ua:

• pancreatic, uas ua rau qhov tsim ntawm meej hyperinsulinemia,
• non-pancreatic, provoking ib tus txheeb ze nce hauv cov qib insulin,
• pancreatic daim ntawv tshwm sim hauv malignant lossis benign neoplasms, nrog rau kev ua rau pancreatic beta cell hyperplasia.

Daim ntawv tsis muaj kabmob ua rau hyperinsulinism hauv cov menyuam yaus thiab cov neeg laus tuaj yeem tsim los ntawm kev noj zaub mov tsis haum (lub caij yoo mov, raws plab, thiab lwm tus), mob siab (oncology, mob ntsws, rog hepatosis). Thaum teb cov lus nug vim li cas cov kab mob pathology tau tsim, lawv them sai sai rau kev siv cov khoom qab zib tsis muaj npe, qee cov kab mob endocrine pathologies. Piv txwv, myxedema, Addison's disease, lossis pituitary dwarfism.

Lwm qhov laj thawj yuav yog qhov tsis txaus cov enzymes koom nrog cov metabolism hauv qabzib (hepatic phosphorylase, lub raum insulinase, piam thaj-6-phosphatase).

Dab tsi yog hyperglycemia: lus piav qhia, tsos mob, zaub mov noj

Hyperglycemia yog ib yam kab mob pathological uas cuam tshuam nrog hom 1 thiab ntshav qab zib hom 2. Hyperglycemia yog tus cwj pwm los ntawm ib tug tseem ceeb nce nyob rau hauv cov ntshav qab zib. Ntxiv nrog rau ntshav qab zib, nws kuj tseem pom muaj nyob hauv lwm cov kab mob ntawm cov kab mob endocrine.

Hyperglycemia yog zwj ceeb muab faib los ntawm qhov ntsuas ntawm nws qhov:

1. Yooj Yim. Yog tias qib piam thaj hauv lub cev tsis siab tshaj 10 mmol / l, peb tab tom hais txog kev muaj mob hyperglycemia.
2. Ntsawv Nrog daim qauv nruab nrab, qhov ntsuas no muaj txog 10 txog 16 mmol / L.
3. Hnyav. Kev ua mob hnyav rau lub cev yog tshwm sim los ntawm kev dhia hauv cov piam thaj ntau tshaj 16 mmol / L.

Yog tias cov piam thaj hauv siab nce siab dua 16.5 mmol / L, muaj kev phom sij txaus ntshai ntawm precoma thiab txawm tias coma.

Tus neeg raug mob ntshav qab zib muaj ob hom hyperglycemia:

• thaum cov zaub mov tsis nkag mus rau hauv lub cev ntev dua 8 teev, theem ntawm cov piam thaj hauv cov ntshav cov ntshav nce mus txog 7 mmol / L. Tus mob no yog hu ua kev yoo mov hyperglycemia,
• postprandial hyperglycemia yog thaum, tom qab noj zaub mov, ntshav qab zib nce mus txog 10 mmol / l lossis ntau dua.

Nws yog ib qho tseem ceeb kom paub tias hauv cov tshuaj muaj qee kis thaum cov neeg mob uas tsis muaj ntshav qab zib pom tias muaj qab zib nce ntxiv (txog 10 mmol / l) tom qab siv cov khoom noj ntau! Cov xwm txheej zoo li no qhia txog kev muaj peev xwm tsim cov ntshav qab zib insulin.

Ua rau ntawm Hyperglycemia

Ib qho tshuaj hormones hu ua insulin yog lub luag haujlwm rau cov ntshav qab zib. Pancreatic beta hlwb koom tes hauv nws cov ntau lawm. Yog tias tus neeg mob muaj ntshav qab zib hom 1, tom qab ntawd qhov kev tsim tawm ntawm cov tshuaj dej hauv lub qog tau raug txo qis. Qhov no yog vim yog apoptosis lossis necrosis ntawm cov tshuaj hormones tsim ua los ntawm cov khoom tsim o.

Koj tuaj yeem paub ntxiv txog dab tsi cov insulin nyob ntawm nplooj ntawv ntawm peb lub xaib, cov ntaub ntawv tsis tshua zoo mloog.

Cov theem ntawm cov kev hais tawm ntawm hyperglycemia tshwm sim nyob rau ib lub sijhawm thaum ntau tshaj 80% ntawm cov qe hlwb tuag. Hauv hom 2 Ntshav Qab Zib, qhov ua tau yooj yim ntawm cov ntaub so ntswg mus rau lub cev lawm yog qhov tsis taus. Lawv txiav tu tsis tseg "paub txog" insulin thiab cov tsos mob ntawm hyperglycemia pib.

Yog li no, txawm tias muaj cov khoom tsim tawm hauv lub cev txaus, nws yuav tsis tiv thaiv lub luag haujlwm uas muab rau nws. Raws li qhov tshwm sim, cov tshuaj insulin tawm tsam, ces hyperglycemia.

Hyperglycemia tuaj yeem tshwm sim los ntawm ntau yam:

• noj mov kom ntau,
• noj zaub mov ntau nyob rau hauv cov nyom los yog carbohydrates yooj yim,
• cov khoom noj muaj calorie ntau
• psycho-kev xav overstrain.

Nws yog ib qho tseem ceeb ua lub neej kom raug. Kev mob siab rau lub cev lossis lub hlwb thiab, sib hloov, tsis muaj kev tawm dag zog tuaj yeem ua rau hyperglycemia!

Hyperglycemic syndrome tuaj yeem tshwm sim vim cov kab mob, kis kab mob los yog kev ua haujlwm qeeb qeeb. Tsis txhob tso cov tshuaj insulin los yog noj cov tshuaj txo cov ntshav qab zib. Tsis txhob noj zaub mov uas koj tus kws kho mob txwv lossis tsis ua txhaum koj li kev noj haus.

Cov tsos mob ntawm Hyperglycemia

Yog tias hyperglycemia raug tshawb pom ntawm lub sijhawm, qhov no yuav pab kom tsis txhob muaj kev loj hlob ntawm cov kev rau txim loj. Kev nqhis dej tsis tu ncua, qhov no yog thawj daim phiajcim uas yuav tsum tau muaj kev nyiam mloog. Thaum cov piam thaj nce siab, ib tus neeg ib txwm nqhis dej. Nyob rau tib lub sijhawm, nws tuaj yeem haus dej txog 6 litres cov kua hauv ib hnub.

Raws li qhov tshwm sim ntawm qhov no, cov naj npawb ntawm kev tso zis txhua hnub nce ntau zaus. Nce txog 10 mmol / L thiab siab dua, cov kua nplaum tawm hauv cov zis, yog li tus neeg pabcuam kuaj pom tau tam sim ntawd hauv tus neeg mob tshuaj ntsuam.

Tab sis ntxiv rau cov kua dej ntau, ntau cov txiaj ntsig ntsev ions tshem tawm ntawm lub cev. Qhov no, nyeg, yog fraught nrog:

• qhov tas mus li, tsis txheeb thiab nkees thiab qaug zog,
• qhov ncauj qhuav
• heev mob taub hau
• khaus khaus tawv
• cov luj phaus tseem ceeb (txog ntau phaus),
• tsaus muag
• ntawj txias ntawm tes thiab taw,
• poob qis ntawm daim tawv nqaij,
• pom kev pom.

Ib qho ntxiv, cuam tshuam ntawm lub plab zom zaws yuav tshwm sim, xws li mob raws plab thiab quav tawv.

Yog hais tias nyob rau hauv tus txheej txheem ntawm hyperglycemia muaj ntau cov kev txuam nrog hauv lub cev ketone, muaj cov kab mob ntshav qab zib ketoacidosis thiab ketonuria. Ob qho ntawm cov xwm txheej no tuaj yeem ua rau ketoacidotic coma.

Tus menyuam muaj piam thaj ntau

Hyperglycemia hauv cov menyuam yaus tshwm sim hauv ntau ntau yam. Tab sis lub ntsiab sib txawv yog hom ntshav qab zib. Feem ntau, cov kws kho mob kuaj mob ntshav qab zib hom 2 mob ntshav qab zib (tsis-insulin-tiv thaiv) rau cov neeg hluas.

Nyob rau hauv 20 xyoo dhau los, teeb meem ntawm cov ntshav qab zib cov menyuam yaus tau dhau los ua ntau yam. Hauv cov teb chaws vam meej, cov neeg muaj mob kis rau cov menyuam yaus tau muaj ntau zuj zus tuaj.

Cov kws kho mob tshwj xeeb tau pom tias muaj kev nyiam ua rau muaj qhov nce ntxiv hauv tsev neeg ntawm cov menyuam yaus thiab cov hluas nrog cov muaj mob loj heev ntawm hyperglycemia. Cov mob zoo li no feem ntau tshwm sim vim kev kuaj tsis pom tus mob hyperglycemia.

Cov xwm txheej zoo li no feem ntau tshwm sim sai thiab tsim sai heev. Kev nyab xeeb ntawm tus menyuam yuav tsis tu ncua. Feem ntau, kab mob kev loj hlob hauv cov menyuam yaus uas tsis tau kawm los ntawm lawv niam lawv txiv kom muaj kev noj qab haus huv thiab muaj lub neej zoo.

Cov tsev neeg zoo li no tsis mob siab rau kev tu menyuam, kev loj hlob ntawm nws lub cev, kev ua haujlwm ntawm kev ua haujlwm thiab so kom txaus, thiab kev noj zaub mov zoo rau lub cev. Cov yam ntxwv no yog qhov tseem ceeb uas ua rau muaj kev loj hlob ntawm hyperglycemia thaum tiav hluas thiab me nyuam yaus.

Cov kws tshawb fawb, nrog rau cov kws kho mob, tau ua ntau txoj kev tshawb fawb txog science, vim tias nws tau hloov tawm tias hyperglycemia feem ntau hloov zuj zus hauv cov menyuam hauv nroog. Qhov no vim yog qhov tseeb tias cov neeg nyob hauv megacities tau nquag dhau.

Hyperglycemia hauv cov menyuam kawm preschool thiab thawj lub tsev kawm ntawv menyuam yaus tuaj yeem tsim kho vim kev mob siab rau lub cev ntau, kev xav thiab lub siab.

Ib lub luag haujlwm tseem ceeb hauv kev tshwm sim ntawm hyperglycemia yog raug rau txoj kev ua txhaum ntawm cov txheej txheem zom zaub mov hauv cov hlab ntsws ntawm tus menyuam. Noj cov zaub mov rau hyperglycemia tuaj yeem yog qhov muaj txiaj ntsig zoo nyob ntawm no.

Muaj ntau ntawm cov laj thawj thiab qhov tsim nyog rau kev txhim kho cov txheej txheem pathological hauv menyuam yaus. Hauv thawj qhov chaw yog cov organic metabolic ntshawv siab. Thaum cov ntshav qab zib loj zuj zus, cov tsos mob ntawm hyperglycemia los ua tus yam ntxwv ntau dua thiab ci ntsa iab.

Thaum xub thawj, tus mob tuaj yeem nres tau yam tsis muaj kev cuam tshuam lub cev thiab tshuaj - nyob ntawm nws tus kheej. Tab sis thaum cov ntshav qab zib loj zuj zus, qhov no yuav ua rau nws nyuaj thiab nyuaj thiab, thaum kawg, nws yuav tsis yooj yim sua.

Hyperglycemia tuaj yeem tshwm sim los ntawm kev poob qis hauv kev nqus ntawm insulin hauv cov ntshav, inhibition ntawm cov tshuaj hormone los yog kev txhim kho ntawm kev ua haujlwm tsis zoo. Qhov no tuaj yeem tshwm sim vim yog:

• fungal lossis kis kab mob (tshwj xeeb nrog rau cov chav kawm ntev),
• kev nyuaj siab ntxhov plawv
• kev ua haujlwm ntawm cov txheej txheem autoimmune uas pib nrog kev txhim kho hom ntshav qab zib 1.

Feem ntau ntawm cov menyuam yaus uas muaj ntshav qab zib hom 2 tsis raug kev txom nyem los ntawm kev tshwm sim ntawm tus kabmob, vim tias nws tsis mus ntau dhau, thiab cov menyuam yaus no tsis tau txais kev kho mob insulin (uas nws txawv ntawm yam kabmob ntshav qab zib 1).

Kev faib tawm

Hyperglycemia yog ib txoj kev kho uas siv ntau hom tshuaj ib zaug. Txhua tus ntawm lawv muaj qhov sib txawv ntawm cov txheej txheem ntawm kev tsim thiab txoj kev sib xyaw. Koj yuav tsum paub dab tsi hyperglycemia koj muaj thiaj li tiv thaiv kev tawm tsam. Cov kws kho mob siv cov kev faib tawm hauv qab no:

• Tus mob - tshwm sim vim yog pathologies ntawm tus txiav,
• Cwj pwm txawv - tshwm sim los ntawm qhov kev xav ntawm lub siab lub ntsws siab,
• Alimentary - tshwm sim tom qab noj mov,
• Hormonal - tshwm sim vim yog tsis txaus rau hormonal.

Tus mob hyperglycemia

Tus mob hyperglycemia tsuas tshwm sim hauv cov neeg mob ntshav qab zib mellitus xwb. Qhov laj thawj ntawm qhov kab mob pathology no yog hu ua kev ua haujlwm tsis txaus ntawm tus txiav, uas tsis tuaj yeem tsim insulin tsis txaus. Tsis tas li ntawd, ib qho kab mob muaj keeb muaj cuab kav tuaj yeem ua rau txoj kev loj hlob ntawm lub pathology no. Tus mob hyperglycemia yog tom qab, lossis cuam tshuam nrog kev noj zaub mov, thiab kev yoo mov tshwm sim los ntawm kev tshaib plab ntev heev. Tus mob hyperglycemia tshwm sim hauv cov qib hauv qab no:

• Yooj yim - cov piam thaj ntau tshaj 6.7 mmol / l,
• Qhov Nruab Nrab - siab tshaj 8.3 mmol / l,
• Hnyav - siab dua 11.1 mmol / l.

Alimentary hyperglycemia

Alimentary hyperglycemia yog lub cev ntu hauv lub cev uas cov piam thaj nce siab tom qab ib tus neeg noj zaub mov. Qhov ntsuas no tau nce mus txog nws qhov kev xav ntau hauv thawj teev tom qab kev coj. Tus mob no tsis tas yuav muaj kev kho mob tshwj xeeb, vim tias qib piam thaj nws tus kheej rov qab zoo li qub tom qab ib lub sijhawm.

Txog kev kho mob pob qij txha, peb cov neeg nyeem tau siv DiabeNot siv tau zoo. Pom qhov nrov ntawm cov khoom no, peb tau txiav txim siab muab nws rau koj kom txaus siab.

Kev siab ntsws hyperglycemia

Kev xav hyperglycemia tshwm sim tom qab zoo siab ntawm lub paj hlwb, uas ua kom cov thyroid hormones tsim tawm.Thaum muaj ntau dhau ntawm lawv cov ntshav, lub cev nres tsim glycogenesis, tab sis pib pov tawm ntau ntawm gluconeogenesis thiab glycogenolysis rau hauv cov ntshav. Nws yog vim qhov no tias muaj kev nce ntxiv hauv cov ntshav qab zib.

Hormonal hyperglycemia

Hormonal hyperglycemia tshwm sim tawm tsam keeb kwm yav dhau los ntawm kev tso tawm qee cov tshuaj hormones hauv cov ntshav. Qhov ntsuas no cuam tshuam los ntawm cov thyroid hormones, glucagon, glucocorticoids, catecholamines.

Hyperglycemia yog ib hom mob uas tuaj yeem tshwm sim los ntawm ntau qhov ua rau. Txawm li cas los xij, nyob rau hauv Feem ntau, mob ntshav qab zib tuaj yeem tsim txoj kev loj hlob ntawm cov mob no. Qhov no yog tus kab mob ntsws uas tshwm sim rau txhua txhua 10 tus neeg nyob hauv ntiaj teb. Qhov laj thawj yog qhov ua tsis txaus ntawm cov tshuaj insulin los ntawm tus txiav ua kab mob. Nws yog qhov hormone no uas tsim los kho cov ntshav hauv qab zib. Feem ntau, cov tshuaj insulin yog tsim ua ntej noj mov, tab sis rau cov neeg mob ntshav qab zib, lub hlwb tsis tuaj yeem tiv taus cov piam thaj txaus.

Xws li tus kab mob no tsis tas yuav muaj kev qhia txog cov tshuaj insulin, tab sis nrog nws koj yuav tsum noj tshuaj tiv thaiv kab mob. Mob ntshav qab zib hom 2 xav tau yam tshuaj insulin. Kuj tseem muaj ntshav qab zib hauv cov poj niam uas tuaj yeem tshwm sim thaum cev xeeb tub. Tsis tas li, cov laj thawj ntawm hyperglycemia tuaj yeem yog:

• Pancreatic mob cancer
• Hyperthyroidism - ntau dhau ntawm cov tshuaj hormones los ntawm cov thyroid caj pas,
• Kev kho nrog qee yam tshuaj
• Mob caj dab o
• Kev ntxhov siab heev
• Muaj cov qog ua haujlwm nyob rau hauv cov thyroid caj pas,
• Malignant neoplasms hauv lub cev,
• Cushing's Syndrome.

Txhua tus neeg uas muaj mob ntshav qab zib yuav tsum paub tus mob hyperglycemia zoo li cas. Kev kuaj mob raws sij hawm tuaj yeem saib xyuas tau yooj yim thiab tiv thaiv kev txhim kho ntawm kev rau txim loj. Nyob rau hauv cov ntaub ntawv ntawm lub caij nyoog qeeb, koj khiav txoj kev pheej hmoo ntawm ketoacidosis lossis hyperosmolar coma. Cov mob zoo li no yuav yooj yim ua rau neeg tuag taus, yog li ntawd, lawv xav tau kev pab ua ntej. Cov tsos mob ntawm hyperglycemia tuaj yeem lees paub los ntawm cov qauv hauv qab no:

• Tus ntse lub cev nyhav,
• Mob taub hau thiab kiv taub hau,
• Nce nqhis dej
• Hnov tsis zoo,
• Qaug zog, nkees nkees,
• Ntshav qab zib siab
• Qhov muag plooj.

Yog tias koj tsis quav ntsej cov tsos mob ntawm hyperglycemia ntev, koj tuaj yeem ntsib teeb meem loj. Lawv tseem tuaj yeem kuaj pom tus mob no. Qabzib ua rau:

• Cov kab mob voos thiab qhov chaw mos candidiasis,
• Kev pom txo qhov tseeb,
• Lub sijhawm ntev kho kom tsis muaj qhov txhab ntawm cov tawv nqaij,
• Kev puas tsuaj ntawm cov hlab ntaws, vim tias qhov kev rhiab heev cuam tshuam,
• Lub teeb meem kho hnyuv.

Kev kuaj mob

Kev kuaj pom hyperglycemia yog qhov yooj yim heev. Rau qhov no, nws yog ib qhov tsim nyog yuav tsum tau ua ib qho kev ntsuas ntshav ib ntus, uas nws yog qhov ua tau kom paub qhov tseeb qib ntawm cov piam thaj hauv cov ntshav. Ib qho ntxiv, ib qho kev kuaj ntshav dav dav, biochemical, kuaj ntshav feem ntau, nrog rau kev kuaj ntshav qabzib tau ua. Cov kev kuaj mob siab tshaj plaws tso cai rau koj los txiav txim txhua yam kev tsis sib xws hauv lub cev, ua tsaug uas nws ua tau kom ua tiav cov kev kho txhua yam.

Tom qab cov qauv kev tshawb fawb, C-peptide kuaj, kuaj qhov ncauj txog ntshav qab zib hauv lub qhov ncauj, thiab kuaj tshuaj tiv thaiv kab mob rau cov txiav ua kab mob rau cov kab mob ua paug. Tsis tas li ntawd, ib txoj kev tshawb nrhiav yog coj los ua rau glucosylated hemoglobin.

Yog tias hyperglycemia tsis quav ntsej tau ntev, kev ua haujlwm ntawm txhua yam hauv nruab nrog cev thiab tshuab tau cuam tshuam. Lub siab, ob lub raum thiab lub siab ua mob feem ntau los ntawm ntshav qab zib. Nws yog ib qho tseem ceeb kom tau txais kev sab laj nrog cov kws kho mob nqaim: tus kws kho mob neurologist, tus kws kho mob poj niam, urologist, kev kho plawv thiab endocrinologist. Tus kws kho mob ntsej muag kuj tseem yuav tau soj qab taug qab thiab.

Thawj pab

Nrog hyperglycemia, tus neeg mob yuav tsum ntsuas nws cov ntshav cov ntshav qabzib. Yog tias qhov ntsuas no tshaj li lub cim ntawm 14 mmol / l, nws yog ib qho tsim nyog yuav tsum tau ua intramuscularly tswj kev noj tshuaj Humalog lossis Humulin insulin npaj. Lawv cov yeeb yam yog luv thiab ultrashort kev txiav txim. Tom qab txhaj tshuaj, haus 1-1.5 liv dej huv. Tom qab kev tawm tsam, saib xyuas koj cov ntshav qab zib txhua teev. Txhaj tshuaj insulin kom txog thaum tus nqi rov qab tsis zoo. Yog tias cov xwm txheej zoo li no tsis pab rau cov piam thaj hauv lub cev, koj yuav tsum hu rau lub tsheb tos neeg mob.

Txo cov qib ntawm cov piam thaj hauv cov ntshav, koj tuaj yeem ntxuav lub plab nrog ib qho kev daws ntawm cov dej qab zib: coj 1-2 diav ib liter dej huv. Txoj kev ua no ua rau txo qis acidity, yog li tom qab nws koj yuav tsum haus dej haus ntau ntawm cov dej muaj ntxhia. Yog tias koj txhim kho ib tug poj koob yawm txwv, moisten txoj phuam thiab muab tso rau ntawm daim tawv nqaij. Hu rau kws kho mob tib lub sijhawm.

Txo qhov kev pheej hmoo ntawm kev tsim kev kub ntxhov, koj yuav tsum ua raws txhua qhov lus qhia ntawm koj tus kws kho mob. Nws yuav sau ntawv rau koj noj tshuaj zoo tshaj plaws thiab lub sijhawm noj tshuaj. Tsis tas li, tsis txhob hnov ​​qab ua raws li kev noj zaub mov, tsis txhob ua kom piam thaj thiab zaub mov tsis zoo. Mus rau hauv kev ua kis las, taug kev ntau li ntau tau hauv huab cua ntshiab. Tsis txhob hnov ​​qab nquag mus soj ntsuam kev kho mob uas yuav pab tau thaum pib tsim kev txhaum loj. Cov kev ua ub no yooj yim yuav pab koj kom tau txais koj cov piam thaj nyob hauv kev txiav txim.

Kev kho mob ntawm hyperglycemia yog tsom kom tau txais kev tshem tawm ntawm tus kabmob uas ua rau dhia hauv cov piam thaj hauv lub cev. Tsuas yog cov kev kho zoo li no yuav pab kom tshem tau cov kab mob no ib zaug thiab rau tas nrho. Thaum kho, nws yog ib qho tseem ceeb uas yuav tsum tau soj ntsuam cov ntshav qab zib kom siab: thaum sawv ntxov, tom qab noj mov, ua ntej yuav mus pw. Yog tias thaum nruab hnub muaj qhov mob loj heev dhau ntawm qhov yuav tsum tau ua, koj yuav tsum sab laj nrog kws kho mob tam sim ntawd. Tus mob no tuaj yeem ua rau txoj kev loj hlob ntawm pathological uas yuav ua rau muaj kev cuam tshuam rau hauv kev ua haujlwm ntawm cov kabmob sab hauv.

Txhawm rau saib xyuas ib qho kev mob ntawm hyperglycemia, ib koob tshuaj ntawm cov tshuaj insulin tsis tu ncua yog muab rau. Tom qab ntawd, koj yuav tsum so thiab ua raws lub xeev ntawm koj lub cev. Feem ntau, xws li kev kho mob tso cai rau koj kom sai sai cov qib piam thaj kom rov zoo li qub. Yog tias ib qho kev txhaj tshuaj tsis ua tawm ib qho tshwm sim, tom qab 20 feeb cov tshuaj insulin rov ua dua. Tom qab nres qhov kev tawm tsam, ib tus neeg tuaj yeem rov qab mus rau lawv lub neej li qub.

Nws yog ib qho tseem ceeb heev kom ua raws tag nrho cov kws kho mob cov lus pom zoo, nrog rau kev tshuaj xyuas koj cov khoom noj kom zoo. Tsuas yog ib qho kev sib koom ua ke yuav pab tiag swb hyperglycemia.

Lub txim

Hyperglycemia yog ib tus kab mob uas ib txwm tso nws lub txim. Lawv yog cov phom sij heev rau cov neeg mob ntshav qab zib. Nrog rau txoj kev loj hlob ntawm cov kab mob no, txhua kab ke hauv lub cev tsis muaj zog, vim tias qhov tshwm sim ua ntau dua. Lub sijhawm ntev tsis saib xyuas ntawm hyperglycemia ua rau kev txhim kho lub plawv tsis ua haujlwm, mob hlab ntsha tawg, mob ntsws, mob plawv, ischemia thiab lwm yam kab mob loj. Teeb meem ntawm hyperglycemia yog raws li nram no:

• Polyuria - kev puas tsuaj rau lub raum, nyob rau hauv uas muaj lub zog ntws tawm ntawm cov zis. Vim tias qhov no, cov concentration ntawm electrolytes hauv lub cev txo, uas ua rau dej-ntsev sib npaug.
• Glucosuria yog qhov xwm txheej uas cov piam thaj hauv cov ntshav nkag rau hauv cov ntshav. Qhov no cuam tshuam tsis zoo rau lub raum.
• Ketoacidosis yog qhov tshwm sim uas ketone lub cev tshwm sim hauv lub cev. Lawv nkag mus rau hauv cov zis thiab ntshav.
• Ketonuria yog qhov mob uas ketone lub cev raug dhau los ntawm cov zis.
• Ketoacidotic coma yog lub cev kev mob ntawm lub cev tshwm sim los ntawm kev dhia hnyav hauv qib ketone hauv lub cev. Nws tuaj yeem lees paub los ntawm kev ntuav, mob plab, ua npaws. Tej zaum yuav ua rau ua pa tuav, cramps, tsis nco qab, thiab lub plawv nres.

Txo qhov kev pheej hmoo ntawm cov teeb meem tshwm sim los ntawm hyperglycemia, koj yuav tsum noj kom yog. Ua ntej tshaj plaws, koj yuav tsum tsis kam lees txais cov khoom lag luam phem thiab cov carbohydrates yooj yim, uas ua rau kom cov piam thaj ntau ntxiv. Sim ua raws li cov lus qhia no:

• Noj 5-6 zaug hauv ib hnub nrog so tsis pub dhau 4 teev,
• Nce protein ntau hauv koj cov zaub mov noj,
• Haus dej kom ntau li ntau tau,
• Noj cov zaub thiab txiv hmab txiv ntoo tshiab ntau li ntau tau,
• Tso cov khoom noj muaj calorie ntau
• Saib xyuas cov hnub nruab hnub thiab so,
• Zam kev muab kib, roj thiab ntsim.

Cov tsos mob thiab ua kom muaj ntshav qab zib, yoo mov hyperglycemia

Kev nce hauv cov ntshav qab zib nrog lub plab khoob hu ua kev yoo mov hyperglycemia. Thiab kev txo qis qis yog hu ua "kev yoo mov hypoglycemia."

Cov kua nplaum yog qhov tseem ceeb heev rau kev ua haujlwm ntawm txhua yam kev muaj sia, suav nrog lub hlwb. Yog li, hauv kev ua txhaum ntawm nws cov qib ib txwm, ib qho tsis ua haujlwm tshwm sim hauv cov txheej txheem hauv lub cev hauv lub cev, suav nrog cov khoom noj metabolism lub cev, ntau lub tshuab pib ua haujlwm tsis raug.

Cov piam thaj hauv ib tus neeg noj qab haus huv yuav tsum yog los ntawm 3.3 mmol / L mus rau 5.5 mmol / L ntawm lub plab khoob. Thaum noj mov, cov qib no feem ntau nce siab ib pliag, thiab tom qab ntawd poob rau qhov qub. Yog tias cov piam thaj qib tsis poob, peb tuaj yeem tham txog hyperglycemia.

Nyob rau tib lub sijhawm, tsis muaj ntshav qabzib txaus nkag mus rau lub hlwb, yog li ntau yam cuam tshuam tshwm sim. Qhov xwm txheej no tseem tuaj yeem tshwm sim vim tsis muaj kev ntxhov siab, thaum lub cev tso tawm ntau ntawm cortisol (kev ntxhov siab hormone) rau hauv cov ntshav.

Yuav ua li cas yog hyperglycemia manifested? Nws pom tau cov tsos mob zoo li cas? Ib lossis ntau cov tsos mob yuav tshwm sim. Ib qho tseem ceeb rau cov tsos mob yog glucosory hyperglycemia. Nov yog suab thaj hauv zis.

Ntau cov tsos mob:

• xeev siab
• tsis muaj zog
• ntuav
• mob taub hau
• nquag tso zis
• kev nqhis dej tas li
• poob phaus
• qhov ncauj qhuav, tshwj xeeb yog thaum sawv ntxov,
• tsaug zog

Xws li rau lub ntsej muag hypoglycemia, cov tsos mob tshwm sim raws li nram no:

• zoo nkaus kev tshaib kev nqhis
• kev txhawj xeeb
• siab nce
• tachycardia
• tshee hnyo
• ntxhov siab
• hws
• pallor ntawm integument,
• pom tseeb tseeb,
• kiv taub hau
• qaug dab peg qaug dab peg
• cramps
• tsis meej pem.

Nyob rau hauv cov mob hnyav, ib tug neeg poob mus rau hauv coma.

Vim li cas thiaj li hypo- lossis hyperglycemia tshwm sim?
Raws li rau hypoglycemia, lub ntsiab yog vim li cas:

• tsis muaj qee cov tshuaj hormones,
• khoom noj khoom haus tsis muaj zog
• tsis muaj carbohydrate cov zaub mov,
• hla kev noj mov
• teeb meem mob siab
• cawv sai
• kev ntxhov siab hnyav.

Ib qho ntxiv, nws yuav muaj teeb meem nrog ntshav qab zib vim kev siv tsis raug qee yam tshuaj uas tau teem tseg.

Kev yoo mov hyperglycemia tuaj yeem tsim kho hauv tus neeg noj qab haus huv. Qhov kev tsis zoo no tuaj yeem tshwm sim thaum koj tsis kam noj kaum teev.

Yog li, nws yog ib qho tseem ceeb kom noj cov zaub mov tsis tu ncua, ua raws li kev noj haus. Txwv tsis pub, cov teeb meem loj heev tuaj yeem tshwm sim, thiab koj yuav tsum tau sab laj nrog cov kws tshaj lij.

Raws li rau hyperglycemia, qhov ua rau ntawm nws cov tsos yog:

1. Ua kom lub cev ua si ntau dua lossis ua kom lub cev qis qis.
2. Lub caij nyoog ntxhov siab.
3. Kev noj haus tsis zoo - muaj ntau qhov ntau ntawm cov khoom lag luam carbohydrate, tshwj xeeb tshaj yog cov carbohydrates yooj yim, noj tshuaj tsis raug.
4. Qhov laj thawj tseem ceeb yog insulin tsis txaus, uas tswj ntshav ntshav hauv lub siab. Qhov no provokes qhov tshwm sim ntawm ntshav qab zib.

Nrog rau tus kab mob no, cov neeg mob pib txhim kho mus rau kev muaj zog hyperglycemia thiab yoo mov hyperglycemia tshwm sim. Ntawd yog, thaum yoo mov ntau dua 10 teev, qhov feem pua ​​ntawm carbohydrates hauv cov ntshav nce siab dua.

Yuav kho cov mob no li cas? Qhov loj tshaj plaws yog kom normalize metabolic kev. Qhov no yuav xav tau tsis tsuas yog siv qee yam tshuaj noj, tab sis kuj hloov pauv kev ua neej. Los ntawm kev kho khoom noj khoom haus kom nce kev ua si hauv lub cev lossis txo nws.

Kev siv tshuaj kho mob yog kho nyob ntawm qhov mob hnyav ntawm tus kab mob thiab nws daim ntawv tsuas yog tom qab ua tiav kev kuaj mob. Cov neeg mob yuav tsum ua raws li kws kho mob sau tseg.

Nrog hyperglycemia, nws yog ib qhov tsim nyog los txo cov ntshav qab zib. Ua li no, haus dej ntau ntau, ua kom lub plhaw qis.

Ntxiv rau, cov kws tshwj xeeb tuaj yeem siv lub cev qhuav dej thiab kho kom lub cev qhuav dej. Thiab qee zaum koj tuaj yeem ua tsis tau yam tsis muaj kev qhia txog insulin.

Txog rau cov ntshav qog ntshav qab zib, cov ntshav qabzib yuav tsum nce siab sai. Cov zaub mov qab zib lossis txhaj tshuaj insulin yuav pab yog tias tsim nyog.

Kev tiv thaiv ntawm hypoglycemia thiab hyperglycemia yog txoj hauv kev ntawm lub neej. Kev tawm dag zog me ntsis, kev noj zaub mov kom tsim nyog, thiab tsis lees txais kev haus luam yeeb - haus luam yeeb thiab dej cawv yog yuav tsum muaj.

Kev noj zaub mov zoo yog qhov tseem ceeb rau kev ua haujlwm ntawm lub cev. Hauv kev tshwj xeeb, kom tsis txhob muaj kev ntxhov siab nyob rau hauv cov khoom noj ntawm lub cev carbohydrate thiab qhov tshwm sim ntawm cov mob xws li hyper- thiab hypoglycemia.

Qhov no muaj tseeb tshwj xeeb tshaj yog rau cov zaub mov carbohydrate. Ib lub rooj uas qhia txog cov nyiaj ntawm carbohydrates hauv ib qho khoom lag luam yuav pab koj xam.

Khoom noj khoom haus rau hyperglycemia yog tus cwj pwm los ntawm ib qho kev txwv nruj ntawm cov carbohydrates. Koj yuav tsum tau noj zaub mov me me, tab sis ntau zaus - 6 zaug hauv ib hnub. Nqaij thiab ntses yuav tsum xaiv cov muaj roj tsawg thiab ua noj kom yog.

Ntawd yog, stew, ua noj thiab ci, tab sis koj tsis tuaj yeem kib. Koj tuaj yeem siv cov khoom lag luam 4 zaug ib lub lim tiam. Cov zaub noj yuav tsum nyob hauv cov zaub mov noj, lawv kuj yuav tsum ua kom siav siav lossis noj nyoos.

Hypercholesterolemia yog qhov yuav tsum tau ua ua ntej rau kev tsim ntawm hyperglycemia. Nws tshwm sim vim kev txhaws ntawm cov hlab ntsha. Txhawm rau zam qhov xwm txheej no, nws yog qhov tsim nyog los siv tsuas yog cov rog muaj kev nyab xeeb.

Lawv pom hauv cov ntses, roj ntses, txiv ntoo thiab roj zaub. Tab sis koj kuj yuav tsum haus cov khoom no hauv kev sim.

Koj tuaj yeem noj cov zaub mov txawv ntau yam. Tab sis cov txhuv nplej siab tso cai rau haus ib zaug ib lub lim tiam (qhov ntim me me). Spaghetti thiab pasta tuaj yeem noj tau tsawg kawg lossis nws zoo dua los tso lawv pov tseg kiag li.

Tib yam mus rau lub khob cij dawb. Cov zaub mov no muaj cov roj carbohydrates ntau, yog li nws tuaj yeem tsim kev puas tsuaj rau koj kev noj qab haus huv (piv txwv, ua rau kev rog). Cov txiv ntoo tau pub tshwj tsis yog txiv tsawb thiab txiv hmab, vim lawv qab zib heev.

Noj zaub mov rau hyperglycemia txwv tsis pub noj khoom qab zib li ib txwm. Yog tias koj xav tau tiag tiag, koj yuav tsum xaiv cov khoom qab zib nyob rau hauv uas sucrose yog hloov los ntawm kev ua kom muaj cov carbohydrates zoo.

Txij li thaum muaj cov khoom qab zib, koj tuaj yeem xaiv cov ncuav qab zib tsis muaj xwm txheej, waffles, lossis lwm yam qab zib. Nrog txoj kev xav ua kom qab zib rau cov khoom qab zib, yog thaum lub sijhawm tam sim no tsis muaj zaub mov zoo, koj tuaj yeem noj cov zib ntab. Tab sis ua qhov no yog qhov tsis tshua muaj.

Kev noj zaub mov zoo rau hypoglycemia cuam tshuam rau kev cais tawm cov carbohydrates ceev ceev los ntawm kev noj haus. Qhov no yuav tsum tau ua kom tiav thaum pib noj mov. Ntawd yog, nws yog qhov yuav tsum tso muffin, khoom qab zib, nplej zom.

Cov khoom lag luam no muaj cov carbohydrates yooj yim, uas tau tawg sai rau cov piam thaj thiab thaum nws nkag rau hauv cov ntshav, nws ua rau muaj qhov tawm ntawm insulin. Cov suab thaj theem tom qab ntawd kuj tseem poob qis, thiab yog li ntawd muaj qhov tsis zoo siab rau kev tshaib plab.

Kev noj haus rau hypoglycemia tso cai rau koj kom haus cov khoom lag luam hauv qab no:

Lub nuance ntawm cov zaub mov hypoglycemic: zaub mov yuav tsum tau muab ncu lossis rhaub. Tom qab ib lub lim tiam ntawm kev noj zaub mov zoo li no, nws raug tso cai los qhia ib lub txiv hauv ib hnub, txwv tsis pub muaj qab zib ntau.
Thiab los ntawm cov zaub koj tuaj yeem ntxiv:

Tom qab lwm lub lim tiam, koj tuaj yeem qhia cov khaub noom thiab cov mov ci tag nrho, tab sis txhua yam no hauv kev sim. Thiab nws raug nquahu kom koom nrog cov zaub mov zoo li no tas li.

Ntawd yog, khoom noj khoom haus yuav tsum ua kom tiav thiab sib npaug, tab sis cov carbohydrates ceev yuav tsum zam, muab kev nyiam rau cov khoom noj carbohydrates, uas pom muaj nyob hauv cov zaub mov nplej, qee cov zaub thiab mov ci.

Yog tias koj yuav tsum tau tshem tawm sai sai kom tsis txhob muaj qog ntshav qab zib, koj yuav tsum tau noj lossis haus cov khoom qab zib lossis dej haus. Cov no yog cov khoom noj ceev carbohydrate.
Nov yog qee qhov kev xaiv zoo:

• qee cov piam thaj hauv ntsiav tshuaj
• ob peb daig ntawm chocolate
• ib diav ntawm zib ntab - lub siab tshaj plaws yog peb diav,
• ob peb diav ntawm jam lossis jam,
• ib khob mis nyuj (nws yuav tsum yog 1%),
• ib nrab khob ntawm kua txiv txiv qab zib,
• ib suab thaj suab thaj
• marmalade.

Yog tias, tom qab nees nkaum feeb, cov piam thaj hauv qab qis dua, koj yuav tsum noj tej yam qab zib dua. Tab sis koj tsis tuaj yeem dhau ib qho ntxiv, vim tias yog tias cov piam thaj hauv siab dhau, koj yuav hnov ​​mob siab dua.

Thaum cov tsos mob hypoglycemia ploj mus, koj yuav tsum nres. Nws yog qhov zoo dua los xaiv cov zaub mov hauv cov ntawv ua kua lossis tom qab haus lawv ib khob dej tshuaj yej. Qhov no yuav pab kom carbohydrates ua kom cov ntshav qab zib sai dua.

Hyperglycemia thiab hypoglycemia yog mob hnyav ntawm cov metabolism ua cov metabolism. Lawv ua rau muaj kev phom sij txaus ntshai.

Thiab kev noj zaub mov kom zoo yuav pab tswj tau cov ntshav qab zib kom tsis tu ncua, zam kom tsis txhob muaj cov tsos mob ua tsis zoo thiab ua rau muaj kev phom sij, nrog rau kev tshem tawm cov kev mob tsis zoo. Tom qab tag nrho, hypo- thiab hyperglycemia tuaj yeem ua rau ntau qhov kev cuam tshuam ntawm kev rog dhau mus rau teeb meem nrog ob lub raum, mob siab thiab lub siab.

Thaum cov ntshav qabzib hauv lub cev nce siab rau tus neeg, tom qab ntawd tus mob no hu ua hyperglycemia raws li kev kho mob cov lus. Nws feem ntau loj hlob nrog kev txo qis hauv insulin ntau lawm thiab feem ntau muaj cov cim qhia txog ntshav qab zib. Tab sis dhau ntawm qhov no, lwm yam tuaj yeem ua rau lub xeev hyperglycemic.

Kev nce ntshav qab zib tuaj yeem tshwm sim rau ntau yam. Tab sis nyob rau hauv txhua rooj plaub, nws yuav tsum nkag siab tias qhov xwm txheej no txaus ntshai heev thiab yuav tsum tau kho kom sai. Cov kab mob kev kawm no tau muab faib los ntawm etiological yam rau hauv cov kab mob hauv qab (hyperglycemia):

Hyperglycemic syndrome tau muab faib los ntawm qhov mob hnyav:

• Daim foos me me tau tsim thaum cov ntshav qab zib cov ntshav siab tsis siab tshaj 10 mmol / L.
• Ib daim foos tau kuaj pom tau pom tias cov ntshav qabzib yog li ntawm 10 - 16 mmol / l.
• Daim foos hnyav yog tus cwj pwm los ntawm cov ntshav qabzib nce siab siab tshaj 16 mmol / L.
• Thaum cov ntshav qabzib qhia ntau dua li tus nqi ntawm 16,5 mmol / l, tom qab ntawd qhov no hem rau txoj kev loj hlob ntawm precoma thiab txawm tias qhov tseeb tias ib tug neeg yuav poob rau hauv lub xeev tsis xeev.

Rau cov neeg muaj ntshav qab zib, hyperglycemic syndrome tau faib rau ob hom nram qab no:

• Kev yoo mov hyperglycemia. Hauv qhov no, cov ntshav qabzib nce siab txog 7 mmol / l, thaum cov sijhawm nruab nrab ntawm cov pluas noj ntau dua 8 teev. Daim foos no tseem ua lub npe ceev ceev hyperglycemia.
• Postprandial hyperglycemia. Hauv qhov no, qib ntawm cov piam thaj hauv cov ntshav siab tshaj 10 mmol / l tam sim ntawd tom qab noj mov.

Hyperglycemia yog ib qho mob loj los ntawm kev mob vwm. Tab sis yog tias nws kuaj pom nyob rau hauv lub sijhawm, tom qab ntawv yuav ua rau muaj kev phom sij txaus ntshai yuav zam tau. Yog li, koj yuav tsum paub cov tsos mob ntawm tus mob hyperglycemia. Lawv yog qhov tseeb heev, yog li nws tsis nyuaj rau lawv pom.

Cov tsos mob hyperglycemia yog ib txwm cuam tshuam nrog kev nqhis dej tas mus li thiab lub qhov ncauj qhuav. Hauv qhov xwm txheej no, tus neeg muaj peev xwm haus dej txog li 6 liv dej nyob hauv ib hnub. Raws li qhov tshwm sim, cov naj npawb ntawm cov neeg tso zis tseem nce ntxiv. Ob qhov tsos mob no tuaj yeem qhia tau tias hyperglycemia cuam tshuam nrog kev txhim kho ntshav qab zib.

Lwm yam cim ntawm hyperglycemia:

• Nkees heev lossis tsis muaj zog, qhia tsis tau,
• Muaj hws ntau,
• Mob taub hau thiab tsis mloog nrog,
• Yuav poob ceeb thawj hauv lub sijhawm luv luv nrog rau kev noj zaub mov zoo,
• Ua daus no
• Kev ua pa hnyav thiab mob leeg
• Sib quas ntus zoo li xeev siab
• Cov tawv nqaij qhuav, qhov kev txo qis hauv lawv qhov kev rhiab thiab qhov tshwm sim ntawm qhov khaus,
• Pom kev puas,
• Qhov nqaij mob zoo
• Qhov muag plooj plooj thiab tsaus muag
• Cov tsos ntawm tsw tus ntxhiab ntawm acetone los ntawm lub qhov ncauj.

Cov tshuaj tseem ceeb ua lub luag haujlwm ntawm cov ntshav qab zib cov ntshav yog cov insulin tsim los ntawm cov txiav ua kab mob los ntawm kab mob ntshav ntswg. Cov ua rau hyperglycemia hauv ntshav qab zib muaj feem xyuam nrog cov hauv qab no:

• Hauv thawj kis, muaj hom ntshav qab zib hom 1, vim kev puas tsuaj ntawm hlwb pob txha taub hau lossis nws qhov ua paug, insulin ntau lawm txo qis. Cov nyhuv hyperglycemic tshwm sim thaum ntau tshaj 80% ntawm cov hlwb uas tsim cov tshuaj insulin tuag.
• Hauv ob qhov xwm txheej, nrog ntshav qab zib hom 2, insulin ua rau muaj qhov tsis taus. Qhov tshuaj hormones no ua kom cov kab mob pom tau, thiab, vim li ntawd, cov ntshav qabzib hauv cov ntshav nce siab txawm tias muaj cov tshuaj insulin txaus los ntawm cov txiav ua ntshav nrog.

Yog tias txhua yam yog ib txwm nrog kev tsim tawm ntawm cov tshuaj insulin, ces hyperglycemia hauv menyuam yaus thiab cov neeg laus tuaj yeem raug cuam tshuam los ntawm lwm yam, uas yog:

• Kev noj haus ntau dhau thiab noj zaub mov muaj cov khoom noj uas ua kom rog ntau nyob rau hauv
• Qee lub sijhawm muaj kev ntxhov siab ntau vim yog lub sijhawm hloov zuj zus hyperglycemia,
• Kev siv tsis txaus thiab xaiv tsis raug ntawm lub cev. Ntxiv mus, glycemia tuaj yeem ua rau ob leeg ua haujlwm hnyav thiab tsis muaj kev txav chaw,
• Kis tau cov kab mob
• Noj qee yam tshuaj.

Hyperglycemia hauv cov menyuam tshiab, feem ntau muaj kev txhim kho, nrog cov rog qis, mus txog 1.5 kg. Cov no yog, raws li txoj cai, menyuam yug ua ntej. Hauv qhov no, qhov ua rau glycemia yog txuam nrog kev sib txuam ntau dhau ntawm cov piam thaj. Kuj tseem nyob hauv tus menyuam mos, cov ntshav qab zib cov ntshav yuav nce siab vim yog kis tus kab mob.

Qee lub sij hawm hyperglycemia raug kuaj rau cov poj niam ua menyuam. Qhov no yuav yog vim muaj kev ntxhov siab ntau ntxiv hauv lub cev thiab cov cov metabolism-lipid metabolism tsis hnov ​​qab.

Qhov tshwm sim ntawm hyperglycemia, yog tias tsis kho, nws tuaj yeem yog mob hnyav. Nws yuav tsum nkag siab tias txawm tias koj tsis pom tias muaj qhov tsis zoo hauv koj txoj kev noj qab haus huv, tab sis koj paub tias koj cov piam thaj hauv ntshav siab dua ib lub qhov, qhov kev hloov pauv tsis txaus yuav tshwm nyob hauv ob peb xyoos.

Nws yog feem ntau hais tias pathological yuav hloov pauv ntawm kev mob plawv thiab cov leeg ntshav yuav nyob rau yav tom ntej. Kuj tseem yuav pom:

• Lub raum tsis zoo,
• Cov kab mob ntawm cov pos hniav
• Cov kab mob qhov muag: cataract lossis glaucoma.

Yog li ntawd, txawm hais tias qhov ua rau hyperglycemia yog banal overeating, tom qab ntawd yuav tsum kuaj xyuas. Txawm hais tias cov kev siv ntshav qab zib ib zaug ntxiv tuaj yeem qhia tau tias yuav muaj ntshav qab zib.

Hyperglycemia hauv kev hla ntawm kev kho mob ua rau cov khoom noj hauv lub cev hloov pauv. Nrog theem siab ntawm cov piam thaj hauv cov ntshav, ib tus neeg tau txhim kho ketoacidosis. Nws tuaj yeem tsim kev kub ntxhov, tsis nco qab thiab tuag taus.

Kev kuaj mob ntawm tus kab mob no koom nrog kev tshawb biochemical los txiav txim siab txog qib ntshav qab zib hauv cov ntshav. Ntshav tau noj thaum sawv ntxov ntawm lub plab khoob. Yog tias qhov ntsuas pom nyob hauv thaj tsam ntawm 126 mg / dl, ces peb tuaj yeem hais meej txog kev txhim kho ntshav qab zib.

Txhawm rau kom paub tseeb tias kev kuaj mob, kev soj ntsuam kab mob pathomorphological tau ua uas txheeb xyuas seb puas yog pancreatic kawg muaj feem cuam tshuam nrog oncology. Nrog cov ntshav qabzib nce me ntsis, qhov tshuaj ntsuam xyuas thib ob yog kwv yees tom qab noj kwv yees li ob peb teev tom qab thawj zaug. Txhawm rau tshem tawm qhov muaj kev ntxhov siab, yuav tsum kuaj ntshav thib ob tom qab ib lim tiam.

Yog tias hyperglycemia muaj mob me, ces nws tsis tas yuav siv tshuaj kho rau kev kho mob. Hloov koj cov piam thaj hauv ntshav kom hloov ntawm koj txoj kev ua neej. Ntawm qhov tseem ceeb rau qhov tshwm sim zoo yog kev noj zaub mov rau hyperglycemia. Los ntawm cov khoom noj muaj txiaj ntsig, koj yuav tsum tsis suav cov khoom noj uas muaj cov khoom noj uas muaj carbohydrate thiab muaj calorie, thiab ntxiv rau cov tais diav thiab haus. Obligatory Cheebtsam ntawm cov zaub mov noj txhua hnub yuav tsum yog zaub thiab txiv hmab txiv ntoo. Ib qho ntxiv, koj yuav tsum nruj me ntsis rau txoj kev noj haus. Nws yuav tsum nkag siab tias kev noj haus yuav tsum pom zoo nrog kws kho mob. Kev tawm dag lub cev ua ntu zus raws li lub hnub nyoog thiab lub cev muaj txiaj ntsig ua rau muaj ntshav qab zib nyob li qub.

Yog tias tus neeg muaj mob ntshav qab zib, tom qab ntawd cov tshuaj insulin yog siv rau kev kho. Lawv txoj kev cai tswj hwm yog tsim los ntawm kws kho mob. Nws yuav tsum nco ntsoov tias kev dhia nce qib hauv qab zib ntau ntau hauv cov neeg muaj ntshav qab zib feem ntau yog cuam tshuam nrog kev noj tsis raug ntawm cov piam thaj hauv tshuaj. Yog li, koj yuav tsum nruj me ntsis raws li cov lus pom zoo los ntawm kws kho mob.

Nrog hyperglycemic tsis-insulin-cuam tshuam cov teeb meem, nws yog ib qho tsim nyog los neutralize qhov nce acidity. Txhawm rau ua qhov no, koj yuav tsum haus cov dej ntxhia hauv ntau thiab noj zaub thiab txiv hmab txiv ntoo ntau. Koj tuaj yeem sai sai txo acidity nrog ob peb teaspoons ntawm ci dej qab zib yaj hauv dej. Daim tawv nqaij ntawm tus neeg uas muaj qhov cuam tshuam hyperglycemic yuav tsum tau tas li so nrog daim ntaub ntub dej. Qhov no yuav ua rau kom poob ntawm lub cev. Kev haus dej hnyav kuj pom zoo.

Cov tshuaj ntsuab muaj ntau txoj hauv kev los tawm tsam hyperglycemia. Tseem ceeb roj muaj nyob rau hauv ntau cov tshuaj ntsuab tsob nroj txo cov kev xav ntawm cov piam thaj hauv cov ntshav thiab pab tswj kev mob. Hyperglycemia hauv ntshav qab zib mellitus feem ntau kho nrog eucalyptus, juniper thiab geranium. Tsis tas li, tshuaj yej los ntawm blueberry thiab birch nplooj, burdock keeb kwm thiab taum nplooj yog suav tias yog pab rau kev txhawb cov ntshav qab zib kom ntau. Tab sis tib lub sijhawm, nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias lwm txoj kev siv tshuaj yuav tsum raug pom zoo yav tas los nrog kws kho mob.

Pab nrog hyperglycemia

Ntshav qab zib mellitus, thiab, raws li tshwm sim, hyperglycemia, kis rau tus nqi tsis txaus ntseeg thoob ntiaj teb, nws txawm hu ua tus kabmob kis kabmob ntawm lub xyoo pua 21st. Tias yog vim li cas nws yog qhov yuav tsum paub yuav ua li cas thiaj li tsim nyog thiab muaj txiaj ntsig muab kev pabcuam nrog hyperglycemia. Yog li, thaum muaj kev tawm tsam:

1. Yuav kom nruab nrab ntawm cov kua qaub ntau ntxiv hauv lub plab, koj yuav tsum noj ntau yam txiv hmab txiv ntoo thiab zaub, haus dej ntau hauv cov dej alkaline nrog sodium, calcium, tab sis kiag li tsis muab tshuaj chlorine-muaj cov ntxhia dej. Ib qho kev daws teeb meem ntawm 1-2 teaspoons cov dej qab zib rau ib khob dej ntawm qhov ncauj lossis ib qho tshuaj ntxaum yuav pab
2. Txhawm rau tshem tawm acetone tawm hauv lub cev, kev daws teeb meem ntawm cov dej qab zib yaug kom yaug lub plab,
3. Txuas ntxiv so cov tawv nqaij nrog phuam ntub, tshwj xeeb tshaj yog rau ntawm lub dab teg, hauv qab hauv caug, caj dab thiab hauv pliaj. Lub cev yog lub cev qhuav dej thiab xav tau kua dej ntxiv,
4. Cov neeg mob insulin yuav tsum ntsuas rau qab zib, thiab yog tias qhov ntsuas no siab tshaj 14 mmol / l, kev txhaj tshuaj insulin yuav tsum tau maj nrawm thiab haus dej ntau txaus yuav tsum tau muab. Tom qab ntawv nqa tawm qhov kev ntsuas zoo li no txhua ob teev thiab ua kom cov insulin txhaj tshuaj kom txog rau thaum cov ntshav qab zib cov ntshav tsis txaus.

Tau txais kev pabcuam thawj zaug rau hyperglycemia, tus neeg mob nrog rau txhua qhov tshwm sim yuav tsum hu rau lub tsev kho mob, ua cov kev kuaj mob thiab tau txais kev kho mob tus kheej.

Teeb meem thiab qhov tshwm sim uas yuav muaj

Hyperglycemia yog ib tus kab mob uas ib txwm tso nws lub txim. Lawv yog cov phom sij heev rau cov neeg mob ntshav qab zib. Nrog rau txoj kev loj hlob ntawm cov kab mob no, txhua kab ke hauv lub cev tsis muaj zog, vim tias qhov tshwm sim ua ntau dua. Lub sijhawm ntev tsis saib xyuas ntawm hyperglycemia ua rau kev txhim kho lub plawv tsis ua haujlwm, mob hlab ntsha tawg, mob ntsws, mob plawv, ischemia thiab lwm yam kab mob loj.

Teeb meem ntawm hyperglycemia yog raws li nram no:

1. Polyuria - kev puas tsuaj rau lub raum, nyob rau hauv uas muaj lub zog ntws tawm ntawm cov zis. Vim tias qhov no, cov concentration ntawm electrolytes hauv lub cev txo, uas ua rau dej-ntsev sib npaug.
2. Glucosuria yog qhov xwm txheej uas cov piam thaj hauv cov ntshav nkag rau hauv cov ntshav. Qhov no cuam tshuam tsis zoo rau lub raum.
3. Ketoacidosis yog qhov tshwm sim uas ketone lub cev tshwm sim hauv lub cev. Lawv nkag mus rau hauv cov zis thiab ntshav.
4. Ketonuria yog qhov mob uas ketone lub cev raug dhau los ntawm cov zis.
5. Ketoacidotic coma yog lub cev kev mob ntawm lub cev tshwm sim los ntawm kev dhia hnyav hauv qib ketone hauv lub cev. Nws tuaj yeem lees paub los ntawm kev ntuav, mob plab, ua npaws. Tej zaum yuav ua rau ua pa tuav, cramps, tsis nco qab, thiab lub plawv nres.

Kev noj haus dab tsi muaj nqis tom qab?

Kev noj haus yog ib qho ntawm cov txheej txheem ntawm kev kho mob ntshav qab zib. Lub hauv paus ntawm kev noj zaub mov yog txwv rau kev ua noj ntawm cov zaub mov carbohydrates thiab cov zaub mov muaj calorie ntau, ua kom hnub nyiaj ntawm lawv qhov ntau. Kev noj haus tsis suav nrog cov qos yaj ywm, spaghetti, qhob cij dawb, buns, nplej porridge yuav tsum tsis txhob ua phem. Nws yog txwv tsis pub siv cov piam thaj, zib ntab, jam, confectionery. Khoom qab zib pub tsuas yog ua ntej kev tawm dag zog yav tom ntej. Thaum lub cev xav kom muaj khoom qab zib, cov piam thaj tau pom zoo ua cov kua qab zib.

Qhov kev noj haus yuav tsum muaj kev noj zaub mov nqaij, nqaij ntses. Kev qhia txog cov carbohydrates nyob rau hauv daim ntawv zaub yog qhov tseem ceeb. Kev noj haus txhua hnub yuav muaj cov zaub mov hauv qab no:

• khob cij dub - 240 g,
• zaub los yog butter - 15 g,
• txiv apples lossis carrots - 200 g,
• zuaj - 100 g
• mis nyuj - 300 g
• qe - 2 pcs.,
• cheese - 20 g
• cov nqaij los yog ntses nyob hauv daim ntawv ci lossis hau.

Cov tshuaj kho neeg mob

Ua kom tiav tag nrho cov lus pom ntawm kws kho mob, koj tuaj yeem ntxiv rau tig mus rau cov tshuaj ib txwm muaj. Qee cov nroj tsuag tshuaj muaj cov tshuaj insulin zoo li alkaloids thiab muaj peev xwm txo qis cov concentration ntawm cov piam thaj:

1. Diav qhov crushed dandelion hauv paus rau ntxig 30 feeb hauv 1 tbsp. dej npau thiab haus 50 ml 4 zaug ib hnub. Ib qho tseem ceeb heev nyias ntawm dandelion nplooj thiab zaub ntsuab. Ua ntej-tsau cov nplooj hauv dej. Lub caij cov zaub xam lav nrog qaub cream lossis butter.
2. Boil Jerusalem artichoke rau 15 feeb thiab haus kua zaub hauv daim ntawv sov.
3. Boil ib khob ntawm oat nplej rau 60 feeb nyob rau hauv ib liter ntawm dej npau, txias thiab haus yam tsis muaj kev txwv.
4. Txheeb 10 nplooj ntawm laurel thaum nruab hnub nyob rau hauv 250 ml ntawm dej rhaub. Haus dej sov li 50 ml ua ntej noj mov rau 7 hnub.
5. Zoo txo ​​qis tshiab blueberries qab zib. Koj tuaj yeem siv nws nplooj. Brew nplooj nrog dej npau, ntxig rau ob teev thiab haus 250 ml peb zaug ib hnub twg rau rau lub hlis.

Cov txiaj ntsig zoo txhais tau tuaj yeem kho qhov keeb kwm ntawm burdock, taum pods, juniper thiab eucalyptus. Tab sis ua ntej siv cov tshuaj no, koj yuav tsum sab laj nrog kws kho mob.

Yuav ua li cas rau kev tiv thaiv?

Txhawm rau tiv thaiv hyperglycemia, cov neeg mob ntshav qab zib yuav tsum ua raws nraim li cov lus pom zoo rau kev kho mob - tsis txhob hnov ​​qab noj tshuaj, ntxiv cov mob qoj ib ce tab sis ib txwm ua rau koj lub neej, rov tsim kho koj cov zaub mov kom cov carbohydrates nkag mus rau hauv lub cev hauv qhov ntau thiab tsawg ib zaug.

Yog tias nyob rau cov xwm txheej no ob peb zaug ua ke hauv cov kab mob hyperglycemia tshwm sim, koj yuav tsum tau mus ntsib kws kho mob txhawm rau kho qhov kev kho mob. Kev sab laj ntawm Endocrinologist tseem tsim nyog nyob rau hauv cov ntaub ntawv ntawm kev npaj kho kev kho mob, kev kis kab mob hnyav, dav dav, thiab cev xeeb tub.

Kev tiv thaiv ntawm kev tshwm sim ntawm hyperglycemia rau cov neeg noj qab haus huv muaj nyob rau hauv lub cev ua si tsis muaj kev ntxhov siab, tsis txhob ntxhov siab, tswj lub cev nyhav, noj zaub mov zoo. Nws yuav tsis yog superfluous kom cais tawm qhov nce ceev hauv cov ntshav qabzib, rau qhov no, cov khoom qab zib yuav tsum tau noj me ntsis thaum nruab hnub, thiab tsis yog ib-ntu loj.

Kev khomob kub ntxhov rau hyperglycemia

Yuav ua li cas tus neeg yuav tsum tau ua yog tias ib tus neeg muaj tsos mob ntawm hyperglycemia: qaug zog, qaug zog, tinnitus, tsis hnov ​​tsw ntawm acetone los ntawm lub qhov ncauj? Hauv lub xeev tsis mloog zoo, tus neeg mob ua tsis taus pa sai, pom kev zuj zus, thiab tsis nco qab yog qhov ua tau. Txhawm rau tiv thaiv qhov tshwm sim tsis nco qab, nws yog qhov tsim nyog los muab kev pabcuam rau tus neeg mob ua ntej sijhawm:

• ua ib qho kev ntsuas ntawm qab zib qib. Yog tias tus nqi yog siab dua 14 mmol / l, cov neeg mob insulin-yuav tsum txhaj koob tshuaj insulin thiab muab kua dej kom ntau,
• cov neeg mob uas tsis yog cov tshuaj insulin yuav tsum txo qis cov kua qaub hauv lub cev: noj zaub thiab txiv hmab txiv ntoo ntau dua, haus dej kom ntau ntawm cov dej ntxhia. Txo cov acidity ntawm ci dej qab zib yog yaj hauv dej (ib me nyuam diav hauv ib khob dej),
• kom tshem tawm cov tshuaj acetone ntawm lub cev, ib qho yuav tsum yaug lub plab nrog kev daws ntawm cov dej qab,
• nyob rau hauv lub xeev precomatous, nws yog ib qhov tsim nyog los txhuam lub hauv pliaj, dab teg, caj dab, thaj chaw hauv qab hauv caug nrog phuam ntub,
• yog tias cov piam thaj tsis ua kom qis, tus neeg mob yuav tsum tau mus pw hauv tsev kho mob - vim yog qhov teeb meem ua pa, yuav tsum muaj lub npog ntsej muag oxygen.

Siv cov tshuaj

Cov kev pab zoo tsuas yog rau ntshav qab zib insulin yog kev tswj hwm ntawm ib koob tshuaj insulin hauv qab daim tawv nqaij. Thaum muaj mob ntshav qab zib hom 2, kev siv cov tshuaj tiv thaiv kab mob qhov ncauj ntawm sulfonylurea derivatives, biguanides, meglitinides, thiab alpha-glucosidase inhibitors pab. Cov tshuaj zoo tam sim no:

• Metformin - yog hais txog biguanides, ua rau muaj kev cuam tshuam ntawm cov hlwb ntau rau cov kev ua ntawm lub cev insulin, txhim kho cov ntshav hauv cov hlab ntsha, txo cov permeability thiab fragility ntawm capillaries. Daim foos tso tawm - cov ntsiav tshuaj ntawm 500, 850 thiab 1000 mg. Contraindicated nyob rau hauv cov kab mob ntshav qab zib thiab tsis nco qab, kab mob ntawm daim siab, ob lub raum, lub plawv, lub plawv khiav tsis zoo ntawm lub hlwb,
• Glimepiride yog sulfonylurea pawg tshuaj uas pab txhawb lub hlwb pancreatic los tsim cov tshuaj insulin. Daim ntawv tso tawm - cov ntsiav tshuaj ntawm 1, 2, 3 thiab 4 mg. Contraindicated nyob rau hauv cov kab mob ntawm daim siab, ob lub raum, cev xeeb tub. Nws raug nquahu kom pib noj nrog qhov tsawg kawg ntawm 1 mg ib hnub twg, thiab nce nws kom txog thaum muaj txiaj ntsig tau.

Noj cov zaub mov rau hyperglycemia

Kev noj haus yog ib qho ntawm cov txheej txheem ntawm kev kho mob ntshav qab zib. Lub hauv paus ntawm kev noj zaub mov yog txwv rau kev ua noj ntawm cov zaub mov carbohydrates thiab cov zaub mov muaj calorie ntau, ua kom hnub nyiaj ntawm lawv qhov ntau. Kev noj haus tsis suav nrog cov qos yaj ywm, spaghetti, qhob cij dawb, buns, nplej porridge yuav tsum tsis txhob ua phem. Nws yog txwv tsis pub siv cov piam thaj, zib ntab, jam, confectionery. Khoom qab zib pub tsuas yog ua ntej kev tawm dag zog yav tom ntej. Thaum lub cev xav kom muaj khoom qab zib, cov piam thaj tau pom zoo ua cov kua qab zib.

Qhov kev noj haus yuav tsum muaj kev noj zaub mov nqaij, nqaij ntses. Kev qhia txog cov carbohydrates nyob rau hauv daim ntawv zaub yog qhov tseem ceeb. Kev noj haus txhua hnub yuav muaj cov zaub mov hauv qab no:

• khob cij dub - 240 g,
• zaub los yog butter - 15 g,
• txiv apples lossis carrots - 200 g,
• zuaj - 100 g
• mis nyuj - 300 g
• qe - 2 pcs.,
• cheese - 20 g
• cov nqaij los yog ntses nyob hauv daim ntawv ci lossis hau.

Lub tswv yim ntawm hyperglycemia thiab nws cov hom

Hyperglycemia yog ib qho kev kho mob los kuaj mob uas qhia tias muaj piam thaj ntau hauv qab zib hauv tus neeg mob cov ntshav. Raws li txoj cai, nws cim cov kev txhim kho mob ntshav qab zib mellitus, thiab tseem qhia tias muaj lwm cov kev cuam tshuam ntawm cov kab mob endocrine.

Hyperglycemia yog kuaj tau thaum cov ntshav qab zib tsawg dua 3.3 mmol / L.

Tam sim no, cov kws tshaj lij raug cais qhov txawv peb qib ntawm qhov loj ntawm hyperglycemia:

• daim ntawv me me, thaum cov piam thaj qib siab me ntsis dhau tus qauv thiab nyob hauv qhov ntau ntawm 6-10 mmol / l,
• glycemia muaj pes tsawg, thaum muaj kev hloov pauv ntawm cov qib qab zib thiab nws qhov ntsuas yog nyob ntawm thaj tsam ntawm 10-16 mmol / l,
• daim foos hnyav, thaum cov piam thaj hauv cov ntshav nce siab tuaj thiab qhov ntsuas ntau tshaj 16 mmol / l.

Feem ntau ua rau daim ntawv hnyav, thaum qab zib raug sau cia hauv theem tshaj 16.5 mmol / l, nws yuav muaj kev hem thawj ntawm kev tsim lub xeev muaj txiaj ntsig lossis tsis nco qab.

Cov Neeg Ua thiab Teeb Meem Qhov Tseeb

Ntshav dej qab zib theem yog tswj hwm los ntawm insulin, yam tshuaj uas tsim los ntawm hlwb pancreatic. Cov tshuaj insulin tsis txaus lossis tsis muaj kev cuam tshuam nrog lub cev ntawm lub cev lub cev (insulin tsis kam) ua rau kev ncua nyob rau hauv cov piam thaj hauv cov ntshav thiab nce ntxiv hauv nws cov concentration. Muaj ntau yam ua rau hyperglycemia. Ntawm lawv yog:

ntshav qab zib mellitus - qab zib concentration nce nyob rau hauv rooj plaub ntawm cov zaub mov noj tsis xwm yeem los yog noj tsis txaus,

Kev noj cov piam thaj kom tsawg rau cov tshuaj uas muaj suab thaj los yog txhaj tshuaj insulin kuj ua rau cov piam thaj ntau ntxiv.

Nws yuav tsum raug sau tseg tias cov neeg mob ntshav qab zib muaj peev xwm raug kev txom nyem los ntawm ob hom kev mob no:

• yoo mov glycemia, thaum cov zaub mov tsis nkag mus rau lub cev ntev dua 8 teev,
• postprandial glycemia uas tshwm sim sai sai tom qab noj mov.

Muaj ntau tus neeg uas tsis mob ntshav qab zib, tab sis nco ntsoov nce ntshav qab zib tom qab noj mov hnyav. Lawv muaj kev pheej hmoo siab ntawm kev tsim kab mob.

Cov tsos mob ntshav qab zib - video

Txhawm rau tiv thaiv kev txhim kho ntawm cov kev mob nyhav, nws tsuas yog tsim nyog paub cov tsos mob ntawm tus kabmob, tab sis tseem yuav tsum txheeb xyuas lawv raws sijhawm. Cov kws tshwj xeeb sib txawv ntawm cov cim thaum ntxov thiab lig ntawm hyperglycemia. Tus thaum ntxov suav nrog:

• nce nqhis dej
• qhov ncauj qhuav
• mob taub hau heev
• pom kev pom
• qaug zog,
• nquag tso zis
• poob phaus
• khaus ntawm daim tawv nqaij.

Hyperglycemia manifests nws tus kheej hauv daim ntawv ntawm nkees nkees, xeev siab, nqhis dej heev, kev tshaib plab

Hyperglycemia kawg rau lub sijhawm ntev feem ntau ua rau cov kev mob hnyav ntxiv:

• tawv nqaij thiab mob paum,
• kev ua kom tsis zoo ntawm cov qhov txhab thiab txiav,
• leeg puas tsuaj
• ua txhaum ntawm kev hnov ​​mob nyob rau hauv cov nqua,
• lub plab zom mov teeb meem - raws plab thiab cem quav.

Pheej nquag hyperglycemia tuaj yeem ua rau ketonuria (kev tshwm sim ntawm lub cev acetone hauv cov zis), nrog rau ketoacidosis (kev ua txhaum ntawm cov metabolism hauv cov metabolism). Qhov kawg yuav ua rau mob ntshav qab zib coma.

Cov yam ntxwv ntawm chav kawm thaum cev xeeb tub

Thaum cev xeeb tub, qee tus poj niam ua rau paub mob ntshav qab zib hauv plab, ib qho ntawm cov tsos mob uas yog hyperglycemia. Nws qhov tshwm sim yog vim txo qis ntawm cov tshuaj insulin ntau lawm, uas ua rau cov ntshav qab zib nce siab. Raws li txoj cai, nws yog ib ntus thiab tom qab yug tus menyuam ploj los yam tsis muaj kab.

Cov menyuam yaus thiab hyperglycemia

Hauv cov menyuam mos, tshwj xeeb tshaj yog cov menyuam tshiab, hyperglycemia tuaj yeem tsim kho. Thaum muaj hnub nyoog yau, qhov no tuaj yeem yog vim lub cev nyhav qis dua (tsawg dua 1.5 kg) lossis ua rau muaj mob los ntawm cov kab mob xws li mob sepsis, mob hlwb, mob txha caj qaum, thiab lwm yam hauv cov menyuam yaus laus dua, kev noj zaub mov tsis zoo thiab kev ua neej tsis muaj lub zog ua rau nws tshwm sim. Kev paub thaum ntxov ntawm tus kab mob yuav pab kom zam kev txhim kho ntawm cov kev mob hnyav, tshwj xeeb hauv kev mob hlwb, mob ntshav, thiab cov kab mob ntawm cov kab mob endocrine.

Kev kuaj mob

Ntawm thawj qhov kev xav ntawm hyperglycemia, koj yuav tsum sab laj nrog tus kws kho mob uas yuav sau ntawv ntsuas kev kuaj mob thiab ua kev kuaj mob. Raws li txoj cai, txhua txoj kev yog tsom xam thiab kuaj xyuas cov ntshav qab zib kom qis. Cov txheej txheem nquag muaj:

• yoo ntshav kuaj - ua thaum sawv ntxov ua ntej noj mov thiab haus,
• tsom xam cov zis thaum sawv ntxov kom pom cov glucosuria,
• kev tshawb xyuas random - ua nyob ntawm lub sij hawm random hauv lub sijhawm tus kws kho mob xaiv,
• kev ntsuam xyuas qhov ncauj - tso cai rau koj kuaj pom cov ntshav qabzib thiab txiav txim siab muaj cov ntshav qab zib hauv lub ntsej muag,
• kev tsom xam rau glycosylated hemoglobin - tso cai rau koj los txiav txim siab txog qib ntawm cov piam thaj hauv ob lub hlis dhau los.

Kev kuaj ntshav yog qhov tseem ceeb ntawm txoj kev kuaj ntshav rau tus mob hyperglycemia.

Hyperglycemia yog ib qho phom sij txaus ntshai, yog li ntawd, xav tau ib txoj hauv kev tshwj xeeb rau kev kho. Ua ntej tshaj plaws, nws yog ib qho tsim nyog yuav tsum tau ntsuas ntsuas qib ntawm cov piam thaj hauv cov ntshav thiab, thaum muaj kev tsis sib thooj me, sab laj nrog kws kho mob.

1. Nrog rau hyperglycemia me me, txoj kev tsis siv tshuaj yuav pab kom cov suab thaj theem:
   • kev noj haus kho mob
   • hnyav haus
   • qoj ib ce
   • tsoos tshuaj ntsuab.
2. Nrog rau kev mob nyhav ntau dua ntxiv, kev siv tshuaj kho yuav pab.

Qhia tshuaj ntsuab tshuaj ntsuab

Nrog rau cov tshuaj, tshuaj ntsuab tshuaj suav hais tias siv tau.

1. Dandelion hauv paus. Ib diav ntawm cov nyiaj txiav yuav tsum yog hais hauv lub khob dej npau npau txog ib nrab ib teev. Koj yuav tsum nqa cov khoom hauv ¼ khob.
2. Taum Pod. Ib tug decoction npaj nyob rau hauv lub zog da dej ntawm 2 liv dej thiab 50 pods, nws yog pom zoo kom noj ½ khob 3-4 zaug ib hnub twg.

Kev kho mob kwv yees thiab cov teeb meem tshwm sim tuaj

Nrog rau kev kho mob raws sijhawm thiab ua raws txhua tus kws kho mob cov lus qhia, kev kho mob ntawm hyperglycemia muab cov txiaj ntsig zoo. Txawm li cas los xij, tsis muaj kev cuam tshuam ntawm tus mob yuav ua rau kev loj hlob ntawm cov teeb meem loj:

• mob ntshav qab zib mellitus
• mob ketoacidosis,
• hyperosmolar coma.

Hauv lub sijhawm ntev, kev tswj tsis tau tus mob hyperglycemia tuaj yeem ua rau lub qhov muag puas tsuaj, mob rau lub raum, leeg hlab ntsha, kab mob ntawm cov hlab plawv, mob erectile kawg (hauv cov txiv neej).

Kev Tiv Thaiv

Txhawm rau tshem tawm qhov tshwm sim ntawm hyperglycemia, nws yog qhov tsim nyog:

• coj lub neej noj qab nyob zoo thiab muaj peev xwm ua lub neej nquag,
• Ib ce muaj zog tas li
• lo rau txoj kev noj qab haus huv.

Nrog kom cov ntshav qab zib nce me ntsis, koj yuav tsum kho cov zaub mov noj thiab ua ib qho kev kuaj mob hauv lub sijhawm kom kho tau cov kab mob.

Hyperglycemia yog qhov xwm txheej txaus ntshai uas yog fraught nrog txoj kev loj hlob ntawm cov mob hnyav, tshwj xeeb hauv kev mob ntshav qab zib mellitus. Yog li, yog tias muaj cov tsos mob tshwm sim, nrhiav kev kho kom sai li sai tau.