Cov ntshav qab zib qis hauv cov poj niam

Cov kws kho mob feem ntau txhais tau hais tias cov ntshav qab zib tsawg los ntawm hypoglycemia, qhov tshwm sim pathological qhia nyob rau hauv txo qis ntshav qabzib concentration hauv qab no feem ntau lees txais cov qauv. Tus mob no yog tshwm sim los ntawm ntau yam, ua rau kev txhim kho hypoglycemic syndrome thiab ntau yam tsis zoo / muaj teeb meem.

Qhov no txhais li cas?

Kev tsom xam pom tias cov ntshav qabzib cov ntshav poob qis dua 3.3 mmol / L? Qhov no yog qhov mob uas txaus ntshai tshaj, ua rau qee tus neeg tsis zoo sib xws, thiab qee qhov ua rau tsis nco qab (lub neej ntawm lub neej thiab txoj kev tuag, ua rau tsis nco qab, tsis muaj zog lossis tsis muaj kev cuam tshuam rau sab nraud). Raws li tau hais los saum no, muaj ntau qhov laj thawj tuaj yeem ua rau cov ntshav qis, los ntawm cov yam ntxwv ntawm lub cev mus rau cov kab mob thiab cov zaub mov tsis zoo. Lub pathogenesis ntawm cov teeb meem tseem txawv txav ntawm qhov ua rau ua rau muaj kev poob qis hauv cov ntshav qab zib cov ntshav tsis tau nkag siab los ntawm cov kws tshawb fawb.

Cov tsos mob ntawm cov ntshav qabzib hauv cov poj niam

Qhia qhov koj muaj piam thaj lossis xaiv poj niam txiv neej rau cov lus pom zoo

Cov piam thaj hauv ntshav tsawg, nws cov tsos mob hauv cov poj niam, tau kawm los ntawm tshuaj rau ntau xyoo. Txog rau hnub tim, tus yam ntxwv ntawm cov ntshav qab zib tsis tau paub:

1. tawm hws ntau dhau
2. pallor ntawm daim tawv nqaij,
3. tshee
4. mob hypertonicity
5. ntxhov siab thiab ntxhov siab
6. tachycardia
7. ntshav siab.
8. mydriasis

Rau cov poj niam, cov ntshav qab zib qis qhia cov tsos mob parasympathetic:

• kev tsis muaj zog ntawm lub cev,
• xeev siab ntuav nrog ntuav
• paub tsis meej muaj kev tshaib kev nqhis.

1. kiv taub hau thiab mob me,
2. tsaus muag
3. tsis nco qab thiab tsis nco qab,
4. cov kab mob hauv lub cev thiab focal neurological,
5. hauv qee kis, qhov txo qis ntawm qhov tsis txaus ntseeg.

Vim qee qhov txo qis hauv cov ntshav qab zib, diplopia thiab paresthesia raug pom hauv qee kis.

Muaj qee kis, cov tsos mob me, tib neeg tsis hnov ​​nruj heev thiab piav qhia lawv tus mob nrog mob siab heev ntawm lub neej. Hauv cov rooj plaub no, txoj kev poob tsaug zog nyob rau hnub so tuaj yeem ua lub cim ntawm pathology.

Xws li cov cim ntawm kev txo cov ntshav qab zib hauv cov poj niam raug pom muaj ntau zaus. Cov tsos mob yuav yog tus neeg. Yog tias muaj tag nrho cov paib, thiab lawv rov qab ua dua txhua hnub, nws tsim nyog mus ntsib kws kho mob tam sim ntawd.

Nws yuav sau cov kev tshawb fawb, txheeb xyuas ib qho cim ntawm cov ntshav qab zib thiab tiv thaiv kev txhim kho ntxiv ntawm pathology.

Cov laj thawj muaj peev xwm

Kev txo cov piam thaj hauv ntshav tuaj yeem tshwm sim los ntawm cov hauv qab no:

1. Ntau dhau ntawm cov tshuaj insulin thiab hypoglycemic nyob rau hauv cov ntshav qab zib.
2. Lub cev qhuav dej.
3. Ntau meager thiab irrational khoom noj khoom haus nrog ib tug thawj ntawm cov ua kom zoo zoo carbohydrates thiab yam tsawg kawg nkaus ntawm cov vitamins, fiber, ntsev cov zaub mov.
4. Kev siv lub cev kom hnyav.
5. Kev quav cawv
6. Ntau yam tsis txaus - plawv, mob hepatic, lub raum.
7. Kev tso pa tawm ntawm lub cev.
8. Hormonal tsis txaus nrog inhibition ntawm cov kev coj los ua ke ntawm glucagon, adrenaline, cortisol, somatropin.
9. Cov hlav hlav tshwj xeeb, insulinomas thiab mob qog ua ntshav txawv ntawm lub cev autoimmune spectrum.
10. Kev tswj cov dej qab ntsev ntau dhau hauv cov ntshav los ntawm txoj kev nrog dej.
11. Cov kab mob mus ntev ntawm kev pom dav.
12. Kev ua poj niam.

Cov ntshav qab zib qis hauv cov txiv neej thiab poj niam

Cov ntshav cov piam thaj hauv qab 3.5 mmol / L hauv ob hom txiv neej yog cov cim qhia meej tias muaj teeb meem hauv lub cev. Raws li kev xyaum qhia, feem ntau ntawm cov neeg mob ntshav qab zib tsawg, nyob rau hauv cov neeg laus tshwm sim nrog kev kho mob ntshav qab zib ntev. Yog tias kev tswj hwm ntawm ib hnub thiab kev noj haus tsis pom zoo nruj me ntsis, thiab qhov kev ua txhaum ntawm circadian rhythms ntxiv los ntawm kev ua kom lub cev, tom qab ntawd noj cov suab thaj txo qhov ncauj los yog cov tshuaj insulin tuaj yeem txo cov ntshav qabzib ntau dua qhov tsim nyog.

Coob tus neeg uas quav cawv kuj pom tias cov ntshav qabzib tsawg dua vim muaj kev phiv los ntawm ethanol, ua rau lub cev ua kom sai ntawm glucogen khw muag khoom noj thiab, vim li ntawd, inhibition ntawm nws cov txuam nrog genesis. Nws yog ib qho tsim nyog yuav tau soj ntsuam xyuas cov ntshav qab zib kom siab thoob plaws ib hnub, vim tias kev mob ntshav qab zib tsis tuaj yeem tsis muaj kev phom sij ntau dua li hyperglycemia: nws tseem ua rau lub cev tsis nco qab, txawm hais tias nws tsis tshua muaj kev phom sij rau lub cev.

Cov piam thaj hauv ntshav rau menyuam yaus

Hauv cov menyuam yaus, kev mob ntshav qab zib tsawg feem ntau tshwm sim vim yog cov zaub mov tsis muaj calorie tsawg thiab cov khoob loj ntawm cov zaub mov noj thaum lub cev muaj zog thiab muaj kev ntxhov siab zoo. Cov hom ntawm lub hnub nrog pw tsis txaus tseem ua rau.

Feem ntau tsis tshua pom muaj hauv cov menyuam yaus yog daim idiopathic ntawm tsev neeg txoj kev kho ntshav qab zib, uas tau kuaj pom thiab tshwm sim rau tus menyuam yaus hnub nyoog qis dua ob xyoos. Ib qho kev txo qis hauv cov ntshav qab zib yog vim lub siab rhiab heev ntawm lub cev mus rau leucine hauv daim ntawv dawb. Nws ua raws li lub hauv paus rau kev ua kom tau sai ntawm lub ntuj insulin thiab thaiv gluconeogenesis hauv lub siab.

Kev mob ntshav qab zib tsawg hauv cov menyuam yug tshiab tsim nyog tau txais kev saib xyuas tshwj xeeb. Raws li txoj cai, ib tus tsos mob raug pom pom ntawm cov me nyuam yug ntxov uas muaj lub siab mob ntsws, ua pa nyuaj thiab mob asiaxia thaum yug menyuam. Nws qhia tau nws tus kheej hauv thawj teev ntawm lub neej. Ib qho kev pheej hmoo ntxiv yog leej niam muaj tus mob ntshav qab zib hom 2 thiab noj tshuaj muaj ntshav qab zib. Hauv qhov no, kev kho mob nrawm nrog kev qhia txog cov piam thaj, glucagon thiab hydrocortisone rau hauv lub cev yog qhov tsim nyog.

Kev ntsuas ntshav qab zib

Tam sim no muaj ntau txoj hauv kev los ntsuas ntshav qab zib. Thaum ib tus neeg muaj cov tsos mob tau hais los saud, koj yuav tsum tau kuaj xyuas koj cov piam thaj hauv kev nyeem. Qhov no tuaj yeem ua tiav siv cov kev ntsuas rau lub plab khoob, thiab qhov kev sim tom qab kev qhia tawm ntawm cov piam thaj.

Lwm txoj kev kuaj nrov yog txoj kev kuaj ntshav qab zib. Hauv kev kawm, tau txais ob peb gram qabzib, uas yog yaj hauv dej. Tom qab ob peb teev, tus pabcuam hauv chav kuaj yuav tsum nqa cov ntshav.

Qhov txiaj ntsig zoo tshaj plaws tuaj yeem tau txais los ntawm kev ua tiav ob qhov kev tshawb fawb ib zaug. Ua ntej pib ntsuas, ib tus neeg yuav tsum ua raws li qee qhov kev txwv kev noj zaub mov. Nws yog txwv tsis pub haus luam yeeb, haus dej cawv thiab noj khoom kib.

Kev tso ntshav ntsuas rau ntawm lub plab khoob thaum sawv ntxov, tom qab ob peb feeb ib tus neeg tau txais kev daws ntawm qabzib. Tom qab ob peb teev, cov ntshav tawm rov qab los.

Cov tsos mob ntawm cov ntshav qab zib tsawg hauv cov poj niam

Cov piam thaj hauv ntshav qis yog ib yam mob hu ua hypoglycemia. Nws tshwm sim los ntawm ntau qhov teeb meem uas ua rau tsim muaj cov ntshav qab zib hypoglycemia syndrome thiab cov teeb meem cuam tshuam tsis zoo, mus txog tom qab tsis nco qab.

Thaum kev ntsuam xyuas pom tau hais tias tus nqi piam thaj txo qis dua 3.3 mmol / L, kev ntsuas yuav tsum tau nqis tes los kho tus lej rov qab rau qub. Cov piam thaj qis yog ib qho txaus ntshai tshaj li tus nqi siab; lub xeev txoj haujlwm tseem tsis tau kawm txog cov tshuaj scientific.

Cov tsos mob uas nrog ntshav qab zib kom tsawg nyob hauv tus neeg laus tuaj yeem faib ua ob pawg: autonomic thiab neuroglycopenic. Thawj qhov tshwm sim hauv daim foos:

• kev puas siab puas ntsws mob (ntxhov siab, insomnia, kev ntshai ntxiv thiab ntxhov siab vim, nrog rau kev ua nruj ua tsiv),
• hws
• trembling ob txhais tes thiab cov leeg hypertonicity,
• pallor
• ntshav siab
• mob plab zom mov: xeev siab lossis ntuav,
• nce kev xav ntawm kev tshaib plab los yog nqhis dej.

Txog cov neuroglycopenic ces yog cov yam ntxwv:

• mob taub hau
• nco ploj
• tsawg dua mloog
• poob ntawm kev taw qhia nyob rau hauv qhov chaw,
• ob lub zeem muag
• qaug dab peg qaug dab peg,
• tsis nco qab ua rau tsaus muag, dhau daim ntawv faus - tsis nco qab,
• ua tsis taus pa los ntshav kev mus los.

Kev soj ntsuam ntawm ib lossis ib pab pawg ntawm cov tsos mob hauv ib tus neeg yuav tsum tau ntsuas tam sim ntawd ntawm qabzib thiab nws txoj kev kho yog tsim nyog. Nws yuav tsum raug sau tseg tias cov kev piav qhia tau zoo sib xws rau cov neeg ntawm ob hom neeg.

Cov ntsiab lus tseem ceeb: Qib suab thaj qub hauv poj niam, ua rau muaj qhov txawv txav thiab kho cov hau kev

Qhov tso cai ntau tshaj plaws nyob hauv tus pojniam yog:

• rau cov ntshav txha caj - 6.2 mmol / l,
• rau cov ntshav capillary - 5.6 mmol / l.

Rau cov txiv neej, tus nqi ntawm cov qauv tshuaj rau cov ntshav txhaws thiab cov hlab ntuag nce ntxiv mus rau 6.5 thiab 5.5 mmol / l, ntsig txog.

Yam tsawg kawg nkaus tus nqi: 3, 5 - 4 mmol / l rau ob leeg kuj.

Yog hais tias lub biomaterial rau txoj kev tshawb no tau noj nrawm heev, thiab tom qab cov pluas mov kawg tsis pub dhau ob teev dhau los, tom qab ntawd qhov luv ntawm cov txiaj ntsig ib txwm yog me ntsis hloov. Hauv qhov xwm txheej no, qhov cai siab tshaj plaws tau tso cai yog 10 - 11 mmol / L.

Tom qab 60 xyoo, kev ua haujlwm ntawm pancreatic hlwb poob qis, yog li cov txiaj ntsig ib txwm muaj nyob hauv qhov ntau ntawm 4.5 txog 7 mmol / l (ntawm lub plab khoob).

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 kuaj mob thiab kho mob

Cov lus qhia ntau ntau ntawm cov piam thaj hauv cov ntshav tau soj ntsuam los ntawm kev kuaj ntshav biochemical thiab tom tsev.

Kev kuaj ntshav rau cov piam thaj (qabzib) tau muab rau ntawm lub plab khoob thaum sawv ntxov. Ib tug ntiv tes yog nqus los ntawm cov ntshav. Rau qhov ntsuas ntawm lub tsev ywj pheej, ib qho khoom siv xws li glucometer siv.

Yuav kom tau txais txiaj ntsig zoo, koj yuav tsum ua raws li cov cai:

• Ua ntej koj nqa ntshav los ntawm koj cov ntiv tes rau qab zib, qhov nqaij hno yog ua tib zoo saib nrog kua dej cawv. Yog tias qhov kev txheeb xyuas tau nqa tawm los ntawm kev siv lub ntsej muag, koj yuav tsum ntxuav koj txhais tes nrog xab npum. Tus txheej txheem no yog qhov tsim nyog ob qho tib si rau kev tua kab mob thiab rau kev ua kom ntshav txaus ntawm qhov chaw kuaj ntshav.
• Cov ntshav tuaj yeem nqa los ntawm ob tus ntiv tes ntawm sab laug thiab sab tes xis. Feem ntau, hno qhov quav yog ua rau ntawm cov ntiv tes ntawm peb tus ntiv tes: tus ntiv tes me, tsis muaj npe lossis nruab nrab.
• Nrog kev tso ntshav ntsuas nquag, koj yuav tsum hloov thaj chaw puncture.
• Txhawm rau cov txiaj ntsig kom ntseeg tau, thawj zaug tso ntshav ntawm thaj chaw puncture raug tshem tawm.

Hauv kev tshwj xeeb tshaj yog nyuaj thiab mob hnyav, txhawm rau kuaj ntshav qab zib kom tsawg, tus kws kho mob yuav sau ntawv tawm sai, uas tuaj yeem ua rau luv luv (ib hmos) lossis ncua ntev (rau ob hnub).

Kev txheeb xyuas ntawm kev mob ntshav qab zib yog nrog cov ntawv sau txog tus neeg mob keeb kwm: kev kawm txog keeb kwm kev kho mob, cov ntaub ntawv hais txog kev hloov pauv hauv qhov hnyav, cov yam ntxwv noj haus thiab tshuaj noj. Tsis tas li ntawd, daim siab thiab lub raum yog palpated, kev tshuaj xyuas ntawm daim tawv yog nqa tawm ntawm cov yam ntxwv ntawm pigmentation thiab muaj qhov o tuaj.

Kev kuaj mob thiab kho mob hauv ob tus neeg laus thiab tus menyuam yaus tshwm sim raws li ib qho qauv xwb. Txhawm rau txiav txim xyuas qhov mob hnyav, nws yog qhov yuav tsum tau mus dhau txoj kev tshawb fawb. Cov kev tsom xam tseem ceeb yog:

• ntsuam xyuas ntshav qab zib,
• kuaj ntshav qabzib kuaj ntshav.

Koj tuaj yeem kawm tag nrho txog kev cai ntsig txog ntshav qab zib hauv menyuam yaus los ntawm ib tsab xov xwm ntawm peb lub vev xaib.

Rau cov teeb meem uas twb muaj lawm, tshwj xeeb cov ntshav qab zib, kev tswj cov piam thaj muaj nyob hauv txoj haujlwm txhua hnub ntawm cov txheej txheem. Rau kev yooj yim, glucometers thiab tshwj xeeb ntsuas kab yog siv.

Xub Pab Neeg Mob thiab Kev Kho Mob Ntxiv

Kev maj mam zuj zus thiab maj mam cov piam thaj tsis ua rau muaj kev hem thawj thiab tuaj yeem tshem tawm los ntawm kev noj haus. Qhov no tshwm sim nrog kev qaug zog hnyav thiab ua rau lub cev muaj zog npaum li cas.

Tab sis dab tsi yog tias qib ntawd poob qis dua 3 mmol / l thiab tseem poob? Tus mob ntshav qab zib nyob rau hauv cov ntaub ntawv no muaj khoom qab zib nrog lawv: ib qho qab zib, ib qho chocolate chocolate, qhaub noom, dej qab zib. Tsis tas li ntawd hauv cov chaw muag tshuaj koj tuaj yeem yuav cov ntsiav tshuaj pleev xim rau.

Nrog rau qhov hnyav ntawm cov kab mob pathology thiab qhov kev pheej hmoo ntawm poob rau ib tus neeg los ua kom cov ntshav qab zib cov ntshav sai sai, kev kho mob infusion yuav pab. Lub khob dej nrog cov kua nplaum ua kom zoo li qhov sib luag lossis siv cov tshuaj ua kom haum. Yuav tsum tau pw hauv tsev kho mob ntawm tus neeg mob.

Yuav ua li cas txhawm rau kom cov ntshav qab zib hauv tsev?

Thaum pom cov suab thaj hauv ib theem ntawm 3 - 3.5 mmol / l, nws txaus rau ib tug neeg haus 10-15 g ntawm carbohydrates. Qhov kev xaiv zoo tshaj plaws yog kev noj cov suab thaj uas yooj yim (piv txwv li, dextrose), txij li lawv tsis tas yuav siv sij hawm rau kev sib cais thiab tam sim ntawd nkag mus rau cov kab ke hauv lub cev los ntawm lub qhov ncauj kab noj hniav.

Koj tuaj yeem muab tus neeg mob lub khob ntawm kua txiv los yog dej nrog qab zib yaj rau hauv nws, noj chocolate, jam, thiab lwm yam.

Mob ntshav qab zib tsawg kawg yog nres los ntawm qhov noj cov khoom noj carbohydrates ntau. Yog li, tam sim koj yuav tsum siv tsawg kawg 15 - 20 gram ntawm cov piam thaj yooj yim, thiab tom qab ntawd 20 gram ntawm cov dej qab zib tsis meej (cov khoom bakery lossis cov ncuav qab zib).

Qhov kev daws teeb meem kom tsis txhob muaj teeb meem me me hauv lub cev:

• siv glucometer, ntsuas tus nqi ntawm qhov ntsuas, xyuas seb qhov xwm txheej ntawm lub qog ntshav qab zib,
• haus 15 grams cov suab thaj yooj yim,
• rov ntsuas ntsuas qab zib theem.

Thaum tsis muaj qhov ua tau zoo, 2 thiab 3 lub ntsiab lus rov ua dua kom txog thaum ntsuas tau rov qab mus rau qhov tseem ceeb.

Yog tias tus neeg tsis nco qab lawm, tom qab ntawd qhov kev txhaj tshuaj ntawm 1 mg ntawm glucagon yog muab tshuaj rau intramuscularly. Glucagon yog yam khoom noj protein uas tuaj yeem ua rau cov txheej txheem ntawm glycogen degradation hauv cov kab mob siab. Thaum kawg, qhov no ua rau muaj kev nce ntxiv hauv cov piam thaj.

Thaum mus pw hauv tsev kho mob, tus neeg mob tau txhaj nrog qabzib 40% txog kev nkag, uas sai sai nws nco qab.

Ntxiv rau, muaj cov gels tshwj xeeb thiab cov ntsiav tshuaj raws li dextrose qab zib yooj yim. Nws yog ib qho tseem ceeb kom laij cov tshuaj ntau npaum li cas, vim nws cov ncauj lus ntau dhau lawm tuaj yeem ua rau tus neeg mus rau hauv ib qho xwm txheej txaus ntshai ntawm hyperglycemia.

Tshuaj thiab tshuaj

1. 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.
2. Combinatorial kom tsawg ntawm qhov yooj yim "sai" thiab "qeeb" cov carbohydrates hauv qhov tsawg tsawg.
3. Nrog rau qhov tsis muaj txiaj ntsig ntawm cov kev ntsuas saum toj no, kev txhaj tshuaj rau ntshav ntawm glucagon.
4. Hauv cov xwm txheej tseem ceeb, kev txhaj tshuaj tiv thaiv kab mob corticosteroids - hydrocortisone, ntxiv rau adrenaline raug tso cai.
5. Ua raws li cov khoom noj tshwj xeeb.

Cov tshuaj kho neeg mob

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!

1. 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.
2. 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.
3. 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.
4. Haus qej thiab lingonberries tsis tu ncua, nyiam dua tshiab.

Kev ntsuas rau cov tsos mob ntawm cov ntshav qab zib tsawg

Yog tias cov tsos mob ntawm kev tsis muaj piam thaj hauv cov ntshav tau pom, tab sis cov laj thawj tseem tsis tau paub, muaj ob peb qhov kev pom zoo.

Ua ntej tshaj, koj yuav tsum noj kom zoo, siv cov khoom lag luam nrog carbohydrates. Koj tsis tuaj yeem ua phem rau cov khoom qab zib, raws li lawv thawj zaug yuav ua rau nce qabzib, thiab tom qab ntawd mus rau nws cov ntse poob.

Koj tuaj yeem siv cov cuab yeej tshwj xeeb - ib qho khoom siv electrochemical glucometer, uas yuav ua rau ntsuas ntsuas ntshav qab zib txhua hnub.

Nws yog ib qho tseem ceeb kom nco ntsoov tias tsuas yog tus kws kho mob tsim nyog tuaj yeem txiav txim siab ua cov kab mob thiab coj los kho txoj cai kho mob raws li tus cwj pwm ntawm tus poj niam.

Kev kho ntshav qab zib yuav kho tau yooj yim yog tias kev hu xov tooj mus rau tus kws kho mob yog lub sijhawm, thiab tag nrho cov lus qhia kho mob tau raug ua raws. Yog tias ib tug neeg tsis quav ntsej cov cai ntawm kev kho mob, tom qab ntawd qhov tsis muaj cov kua nplaum tuaj yeem ua rau qhov txheej txheem tsis ua haujlwm hauv lub cev thiab mob hnyav.

Cov tsos mob ntawm tus mob ntshav qab zib tsawg hauv cov poj niam yog qhov txaus ntshai uas tsis quav ntsej lossis kho tus mob ntawm lawv tus kheej.

Tus kws tshaj lij hauv daim yeeb yaj kiab hauv tsab xov xwm no yuav tham txog cov tsos mob thiab kev kho tus mob hypoglycemia.

Qhia qhov koj muaj piam thaj lossis xaiv poj niam txiv neej rau cov lus pom zoo

Cov zaub mov dab tsi ntxiv hauv ntshav qab zib?

Txheej txheem qab zib txhua hnub rau tus neeg yog 38 grams rau txiv neej thiab 25 grams rau poj niam. Kev siv ntau dhau ntawm lawv ua rau lub nra ntawm lub nqus thiab xa tawm ntau dhau.

Ntawm qhov tshwj xeeb tseem ceeb thaum siv ceev xwmphem hypoglycemic syndrome yog glycemic Performance index xam rau cov khoom. Nws qhia txog tus nqi uas cov khoom noj carbohydrates yooj yim tau zom los ntawm tib neeg lub cev thiab ua rau kev nce ntshav hauv cov ntshav siab.

Cov lus ntawm cov khoom lag luam uas nce ntshav qab zib, noj mus rau hauv tus lej glycemic index.

Cov zaub mov uas muaj cov zaub mov tsis muaj ntshav qab zib tsawg, xws li cov zaub mov rog, zaub los yog nqaij nqaij, nrog rau cov khoom noj tshiab bakery, yog qhov zoo rau tso tseg cov qab zib tsawg.

Nws yuav tsum nco ntsoov tias cog cov khoom noj uas muaj cov ntsiab lus fiber ntau tsis muaj kev cuam tshuam sai thiab muaj txiaj ntsig hauv lub xeev pathological ntawm hypoglycemia, yog li lawv siv tsis tau txais kev pom zoo.

Kev Tiv Thaiv

Kev ntsuas tiv thaiv muaj xws li ua ke nrog cov lus pom zoo hauv qab no:

• kev noj tshuaj lub cev,
• meej pem khoom noj khoom haus, tshem tawm ntau dhau kev noj haus carbohydrates thiab cawv,
• kev ua raws nrog kev noj tshuaj yog tsim nyog, siv tshuaj insulin.

Nws yuav tsum raug sau tseg tias kev ua raws li ib txoj cai tawm tsam keeb kwm ntawm kev tsis saib xyuas ntawm tus so yuav tsis coj cov nyhuv xav ua. Yog tias ib tus ntawm tsev neeg muaj mob ntshav qab zib, tom qab ntawd cov txheeb ze yuav tsum paub txog cov hau kev ntawm cov kev mob ntshav qab zib (hypo- or hyperglycemia) txhawm rau muab kev pabcuam tsis raws sijhawm thiab tsis raug.

Nyeem rau: Cov cim vais plab zom mov hnyuv (GIT) - tsuas yog kuaj xwb

Julia Martynovich (Peshkova)

Kawm tiav, hauv 2014 nws kawm tiav nrog kev qhuas los ntawm Tsoomfwv Nyiaj Txiag Saib Xyuas Nyiaj Txiag Lub Tsev Haujlwm ntawm Cov Tsev Kawm Ntawv Qib Siab ntawm Orenburg Lub Tsev Kawm Ntawv Qib Siab nrog degree hauv Microbiology. Kawm tiav ntawm kev kawm qib siab FSBEI HE Orenburg Lub Xeev Agrarian University.

Xyoo 2015 Lub koom haum ntawm Cellular thiab Intracellular Symbiosis ntawm Ural Ceg ntawm Lavxias Academy ntawm Kev Tshawb Fawb tau dhau los qhia ntxiv nyob rau hauv cov haujlwm tshaj lij "Bacteriology".

Kev Tu Ncaj Ncees ntawm All-Lavxias kev sib tw rau kev ua haujlwm zoo tshaj plaws scientific hauv kev xaiv tsa "Biological Science" hauv 2017.

Yuav ua li cas txhawm rau kom cov ntshav qab zib?

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

1. Kev saib xyuas qhov ncauj ntawm daim ntawv dawb dextrose monosaccharide.
2. Txhaws tso ntshav qab zib.
3. Kev tswj hwm ntawm glucagon.
4. 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.
5. 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).
6. 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:

1. Mob taub hau thiab kiv taub hau.
2. Tsaus muag, lub siab tsis nco qab, amnesia.
3. Diplopia thiab paresthesia.
4. Ntau yam kev cuam tshuam ntawm lub hauv paus genesis ntawm cov hlab plawv system (feem ntau feem ntau arrhythmias).
5. Cov teeb meem ua pa.
6. Kev tsis muaj zog ntawm tag nrho cov kab mob, xeev siab nrog ntuav.
7. Tsaus muag pom tsis zoo.
8. Kev tawm hws hnyav, pallor ntawm daim tawv nqaij, mob nqaij hypertonicity.
9. Kev kub ntxhov, mydriasis.
10. 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.