Antipyretic rau cov ntshav qab zib: dab tsi NSAIDs tuaj yeem siv rau cov ntshav qab zib tau?

Nrog rau hom ntshav qab zib hom 1 lossis hom 2, qhov nce hauv lub cev kub tau yog feem ntau pom. Nrog nws txoj kev nce siab, cov ntsiab lus ntawm cov piam thaj hauv cov ntshav nce siab tuaj. Rau cov laj thawj no, tus neeg mob nws tus kheej yuav tsum pib ua thiab sim ua kom cov suab thaj hauv lub cev thiab tsuas yog tom qab ntawd pom qhov ua rau qhov kub siab.

Kev ntsuas kub rau cov neeg mob ntshav qab zib: yuav ua li cas?

Thaum cov cua sov nyob nruab nrab ntawm 37.5 thiab 38.5 degrees, koj yuav tsum ntsuas lub siab ntawm cov piam thaj hauv cov ntshav. Yog tias nws cov ntsiab lus pib nce ntxiv, tom qab ntawd tus neeg mob xav tau los ua cov tshuaj insulin "luv".

Hauv qhov no, ntxiv 10% ntawm qhov hormone ntxiv rau koob tshuaj tseem ceeb. Thaum nce ntxiv, ua ntej noj mov nws kuj tsim nyog txhaj "insulin" me me, cov nyhuv uas yuav hnov ​​tom qab 30 feeb.

Tab sis, yog tias muaj hom 2 mob ntshav qab zib mellitus thawj txoj hauv kev ua rau tsis muaj zog, thiab lub cev kub tseem nce siab thiab nws qhov ntsuas tau nce mus txog 39 degrees, tom qab ntawd ib qho ntxiv 25% yuav tsum tau ntxiv rau qhov nqi niaj hnub ntawm insulin.

Ua tib zoo mloog! Cov txheej txheem ntawm cov insulin ntev thiab luv yuav tsum tsis txhob sib koom ua ke, vim tias yog tias qhov kub nce, cov insulin ntev ntev yuav plam nws cov txiaj ntsig, vim qhov ntawd nws yuav vau.

Cov insulin ntev tsis muaj txiaj ntsig suav nrog:

Kev noj haus txhua hnub ntawm qhov hormone yuav tsum yog qhov tshuaj "insulin" luv luv. Kev txhaj tshuaj yuav tsum tau muab faib ua cov sib npaug thiab muab rau txhua 4 teev twg.

Txawm li cas los xij, yog tias muaj ntshav qab zib hom 1 thiab ntshav qab zib hom 2, lub cev kub nce siab tsis hloov, qhov no tuaj yeem ua rau kom muaj acetone hauv cov ntshav. Kev pom ntawm cov tshuaj no qhia tau tias cov insulin tsis txaus hauv cov ntshav.

Yuav kom txo qis ntawm cov ntsiab lus acetone, tus neeg mob yuav tsum tau txais tam sim ntawd 20% ntawm kev noj tshuaj txhua hnub (kwv yees li 8 ntu) uas yog cov tshuaj insulin luv luv. Yog tias tom qab 3 teev nws tus mob tseem tsis tau zoo, ces cov txheej txheem yuav tsum ua dua.

Thaum cov kua nplaum nyob hauv lub ntsej muag pib poob qis, nws yog ib qho tsim nyog yuav tsum siv lwm 10 mmol / L ntawm cov tshuaj insulin thiab 2-3UE kom tau ib txwm ua tiav ntawm glycemia.

Ua tib zoo mloog! Raws li kev txheeb cais, kev kub taub hau hauv cov ntshav qab zib ua rau 5% ntawm tib neeg mus rau hauv tsev kho mob. Nyob rau tib lub sijhawm, tshuav 95% daws cov teeb meem no lawv tus kheej, siv luv kev txhaj tshuaj ntawm cov tshuaj hormone.

Siab ua kom sov

Feem ntau lub zoo nkauj ntawm lub tshav kub yog:

• mob ntsws
• cystitis
• mob staph,
• pyelonephritis, septic metastases hauv lub raum,
• xyaug.

Txawm li cas los xij, koj yuav tsum tsis txhob koom nrog kev ntsuas tus kheej ntawm tus kab mob, vim tias tsuas yog tus kws kho mob tuaj yeem txiav txim siab qhov tseeb ua rau muaj kev mob ntshav qab zib ntawm ntau yam mob.

Ntxiv mus, tsuas yog tus kws kho mob tshwj xeeb thiaj li tuaj yeem sau tshuaj kho qhov kev kho mob kom zoo uas haum rau tus kab mob hauv qab.

Yuav ua li cas nrog lub cev kub hauv qhov mob ntshav qab zib?

Txog ntshav qab zib hom 2 lossis hom 1, qhov ntsuas pom ntawm 35.8-37 qib yog qhov qub. Yog li, yog hais tias lub cev kub haum rau hauv cov ntsuas no, tom qab ntawd coj qee yam ntsuas tsis tsim nyog.

Tab sis thaum qhov ntsuas tau qis dua 35.8, koj tuaj yeem pib txhawj xeeb. Thawj qhov uas yuav tsum tau ua yog txiav txim siab seb qhov cim ntawd puas yog qhov tshwj xeeb ntawm lub cev lossis nws yog lub cim ntawm tus kabmob.

Yog tias muaj kev txawv txav hauv lub cev ua haujlwm tsis tau txheeb xyuas, ces cov lus qhia dav dav hauv qab no yuav txaus:

• kev tawm dag zog tas li
• hnav khaub ncaws ntuj thiab xaiv kom haum rau lub caij,
• noj ib da dej zoo ib
• txoj kev noj haus zoo.

Qee lub sij hawm nrog hom ntshav qab zib hom 2, lub cev kub tau poob yog tias qhov glycogen qib tsim nyog rau kev ua kom muaj cua sov.Tom qab ntawd koj yuav tsum hloov cov tshuaj ntawm cov tshuaj insulin, cia siab rau cov lus qhia kho mob.

Cov khoom noj dab tsi zoo tshaj plaws rau cov neeg mob ntshav qab zib nrog ua npaws?

Cov neeg mob ntshav qab zib uas ua npaws yuav tsum hloov me ntsis ntawm lawv kev noj haus kom ib txwm muaj. Tsis tas li, cov ntawv qhia zaub mov yuav tsum muaj ntau yam nrog cov zaub mov ntau hauv sodium thiab potassium.

Ua tib zoo mloog! Txhawm rau kom tsis txhob muaj lub cev qhuav dej, cov kws kho mob pom zoo kom haus 1.5 khob dej txhua teev.

Tsis tas li, nrog lub siab glycemia (ntau dua 13 mmol), koj tuaj yeem tsis haus cov dej haus uas muaj ntau yam qab zib. Nws yog qhov zoo dua rau kev xaiv:

• cov nqaij qaib muaj roj tsawg,
• ntxhia dej
• ntsuab tshuaj yej.

Txawm li cas los xij, koj yuav tsum faib cov zaub mov ua tej ntu me me uas yuav tsum tau noj txhua 4 teev twg. Thiab thaum lub cev kub tsis txias, tus neeg mob yuav maj mam rov qab los noj mov li qub.

Thaum tsis mus ua tsis tau ntsib tus kws kho mob?

Yog lawm, nrog rau lub cev kub kom sov, tus mob ntshav qab zib yuav tsum mus ntsib kws kho mob tam sim ntawd. Tab sis cov neeg uas xaiv kev siv nws tus kheej kuj tseem xav tau kev pab kho mob thaum:

1. ntuav ntev thiab mob raws plab (6 teev),
2. yog tias tus neeg mob lossis cov neeg nyob puag ncig nws hnov ​​tus ntxhiab tsw ntxhiab ntawm acetone,
3. nrog ua pa luv thiab mob hauv siab tas li,
4. yog tias tom qab ntsuas tau peb zaug ntawm cov concentration ntawm cov piam thaj hauv cov ntshav, qhov ntsuas yuav txo qis (3.3 mmol) lossis overestimated (14 mmol),
5. yog tias tom qab ob peb hnub txij li hnub pib ntawm tus kab mob tsis muaj kev txhim kho.

Qhov ntsuas kub muaj peev xwm ua tau mob ntshav qab zib li cas?

Qhov ntsuas kub ntawm ntshav qab zib mellitus feem ntau nce lossis poob vim yog qhov hloov pauv tsis pom tseeb hauv cov ntshav hauv cov ntshav hauv tib neeg cov ntshav. Cov teeb meem zoo li no tsis tuaj yeem ua rau tus neeg mob txoj kev noj qab haus huv tsis zoo xwb, tab sis kuj ua rau muaj kev pheej hmoo txaus ntshai ntawm nws txoj sia. Yog vim li cas nws thiaj li yog ib qho tseem ceeb kom to taub yuav ua li cas rau tej xwm txheej zoo li no koj tuaj yeem tiv thaiv koj tus kheej los ntawm cov kev tsis zoo no.

Cov laj thawj tseem ceeb rau nce qhov ntsuas kub

Qhov ntsuas kub rau ntshav qab zib yuav tsum yog nyob hauv thaj tsam ntawm 35.8 txog 37 degrees Celsius. Lwm qhov ntsuas yog qhov laj thawj rau kev nrhiav kev pab los ntawm lub tsev kho mob.

Cov laj thawj rau kev nce qhov kub thiab txias tuaj yeem yog:

1. Mob ntsws ua pa txaus, khaub thuas, mob qa, mob ntsws lossis lwm yam kab mob ntawm cov pa ua pa.
2. Kab mob ntawm cov kab mob tso zis. Qhov kub nce tawm tsam ntawm keeb kwm ntawm glomerulonephritis thiab pyelonephritis.
3. Cov kab mob cuam tshuam rau daim tawv nqaij. Feem ntau, kws kho mob dermatologists kuaj pom tsos ntawm furunculosis hauv cov neeg mob.
4. Staphylococcal mob. Nws tuaj yeem muaj kev sib txawv kiag li hauv cov neeg mob lub cev.
5. Kev nce qab zib ntau dhau heev lawm.

Qhov phom sij ntawm kev nce hauv lub cev kub kuj tseem nyob hauv qhov tseeb tias nyob rau hauv qhov xwm txheej zoo li no muaj kev txhawb nqa ntawm lub cev nqaij hlav, vim tias nws ua rau cov kua dej ntau dua.

Symptomatology muaj teeb meem

Cov piam thaj hauv ntshav ntawm qhov kub tsis tu ncua yog nce, yog tias koj tsis ua raws li tsim nyog los txo nws cov concentration. Cov tsos mob ntawm tus kab mob no muaj raws li nram no:

• Kev tsis muaj zog dav dav thiab txo qis kev ua tau zoo.
• Qhov tshwm sim ntawm kev nqhis dej heev.
• Cov tsos ntawm ua daus no.
• Cov tsos mob kom hnov ​​mob hauv lub taub hau.
• Qias nkees thiab nyuaj rau nqa tawm ib qho kev nqis tes ua.
• Cov tsos ntawm kiv taub hau thiab tsaus muag.

Ntshav qab zib siab tiv thaiv tom qab ntawm qhov kub thiab txias yog qhov phom sij txaus ntshai uas yuav tsum tau kho tam sim ntawd.

Txo lub cev qhov kub hauv cov ntshav qab zib

Kev tshav kub hloov ntawm cov ntshav qab zib vim lawv qhov kab mob sib kis hauv qee kis muaj peev xwm txo tau tsawg. Qhov teeb meem tshwm sim tsuas yog hauv cov xwm txheej no thaum lub ntsuas kub poob qis dua 35.8 degrees Celsius. Tus mob no tshwm sim los ntawm ob yam tseem ceeb uas koj yuav tsum tau them sai sai rau:

• muaj cov txheej txheem nquag ntawm kev txhim kho ntawm ib qho kev mob,
• tus yam ntxwv ntawm lub cev ntawm lub cev.

Feem ntau, txo qis hloov cua sov qhia tias lub cev tas nrog glycogen, uas yog lub luag haujlwm rau tswj lub cev kom sov. Tib txoj kev uas yuav ua kom qhov xwm txheej tsis zoo yog hloov kho qhov ntsuas tshuaj ntawm cov tshuaj insulin thiab cov caij nyoog rau kev noj tshuaj.

Yog tias qhov ntsuas kub tsawg tsis txuam nrog ib qho teeb meem, vim nws sawv vim muaj cov yam ntxwv ntawm lub cev, nws tsis pom zoo kom ua txhua yam kev ntsuas. Txhawm rau kom nkag siab tias qhov no yog qhov ua rau kub poob, cov kauj ruam yooj yim yuav tsum tau ua:

• coj tus txheej txheem da dej
• haus ib qho tseem ceeb npaum li cas ntawm cov kua kub,
• ua kev tawm dag zog me ntsis (piv txwv, los ntawm kev taug kev),
• hnav tsoos tsho sov ntev ib pliag.

Hloov pauv qhov kub thiab txias nrog tus kab mob

Txhua qhov kev ntsuas kub hloov pauv ntawm tib neeg lub cev ib txwm muaj qhov tshuaj tiv thaiv rau qee yam kev tawm tsam. Kev ntsuas kub hloov pauv yuav nce lossis tsawg dua. Tus mob ntshav qab zib tuaj yeem ua rau kub taub hau, uas muaj nws cov ua.

Thaum foci ntawm o tau ntxiv rau kab mob tus kab mob, peb tuaj yeem tham txog:

1. cystitis
2. pyelonephritis,
3. cov tawv nqaij mob txhab rau tawv nqaij - furunculosis.

Txij li thaum tib neeg lub cev tiv thaiv kab mob tsis muaj zog, thiab cov piam thaj cov roj ua cov kab mob me me, muaj kev tawm tsam ntau ntawm ntau cov kab mob. Raws li txoj cai, lub zais zis thiab lub raum yog qhov ua ntej tshaj plaws cuam tshuam, vim yog polyuria. Cov zis tso zis tau txuas ntxiv rau ntau yam tsis zoo ntawm qhov pib ntawm kev kis tus kab mob, uas ua rau cov kab mob tshwm sim ntau ntxiv.

Yog tias koj tsis ua raws li cov cai rau kev siv cov tshuaj txo cov ntshav qab zib, cov ntshav qab zib yuav nce ntxiv. Yog tias tus neeg muaj ntshav qab zib hom 1, tom qab ntawd cov kev hloov pauv sai tuaj yeem ua rau hyperthermia yam tsis muaj kev cuam tshuam.

Ntxiv nrog rau kev hloov pauv kub, cov hauv qab no tuaj yeem pom:

• mob taub hau
• tsaug zog
• feem ntau tsis muaj zog
• tsis nco qab zoo.

Yog tias muaj qhov ntsuas kub nyob hauv ntshav qab zib mellitus, koj yuav tsum xub ntsuas ntsuas qib qab zib thiab tom qab ntawv txheeb xyuas qhov tseem ceeb ua rau kev hloov pauv. Lub hauv paus ntawm kev kho yog qhov normalization ntawm qabzib nyob rau hauv cov ntshav thiab tshuaj tua kab mob hauv kev tsim ntawm foci mob. Antipyretic thiab anti-inflammatory tshuaj yuav siv tau.

Cov tshuaj twg yuav siv rau tus neeg mob ntshav qab zib, tus kws kho mob txiav txim siab. Yuav luag txhua qhov tshuaj tsis-siv cov tshuaj uas siv los txo qhov kub thiab txias muaj cov nyhuv hypoglycemic. Siv tshuaj tsis zoo tuaj yeem ua rau lub ntsej muag ua kom lub cev tsis tsaug zog.

Kev muab tshuaj rau mob ntshav qab zib

Ntawm cov ntshav qab zib mellitus, koj yuav tsum tau soj ntsuam tas li thiab yauv kho nyob rau hauv kev saib xyuas ntawm tus kws kho mob endocrinologist. Rau cov ntshav qab zib, tus yuam sij rau lub neej tag nrho yog kev qhuab qhia thiab kev mob siab ua raws txhua tus kws kho mob cov lus pom zoo.

Cov neeg mob ntshav qab zib yuav tsum noj lawv cov tshuaj los yog txhaj tshuaj insulin kom zoo yam tsis muaj kev cuam tshuam.

Ua rau qhov kev teem sijhawm uas txuam nrog cov kev mob tseem ceeb tsis tuaj yeem lav tias tsis muaj lwm txoj kev ntawm lub pathologies. Ntshav qab zib, feem ntau yog tsim:

1. malfunctions ntawm endocrine system,
2. rog dhau
3. pathology ntawm lub plab zom mov,
4. mob stroke thiab lub plawv nres,
5. glaucoma, cataract, retinal detachment.

Cov neeg mob ntshav qab zib, ib yam li txhua tus neeg, ntsib ntau yam xwm txheej ntsig txog kev hnov ​​mob. Tej zaum yuav tshwm sim:

Nws yog tsim nyog sau cia kis kab mob nrog lwm yam kab mob.

Muaj ntau pawg pharmacological ntawm cov neeg ua haujlwm analgesic muaj. Txhua tus ntawm lawv muaj cov qauv txheej txheem tshuaj lom neeg, kev ua haujlwm ntawm kev coj ua, ib txoj hauv kev los ntawm lub cev thiab lwm yam ntxwv.

Muaj ntau yam tshuaj tua kab mob uas tuaj yeem siv rau hauv cov ntshav qab zib. Ua raws li kev siv zog thiab hauv ib cheeb tsam, qhov mob yuav raug tso tseg, ob leeg nrog kev pab ntawm cov ntsiav tshuaj, thiab nrog kev pabcuam ntawm kev txhaj tshuaj.

Muaj cov contraindications cuam tshuam nrog tus yam ntxwv ntawm tus neeg, tab sis tsis muaj contraindications cuam tshuam nrog muaj cov ntshav qab zib mellitus nws tus kheej.

Qhov taw qhia rau qhov txo qis kub

Txhua yam tshuaj tua kab mob tsis tshem tawm qhov ua kom muaj tus kab mob pathology, tab sis tsuas yog tso tseg qee cov tsos mob ntawm tus kab mob, ua rau koj nyob zoo. Yog tias nws tuaj yeem soj ntsuam qhov chaw pw tau ob peb hnub, koj tuaj yeem tsis lees txais cov tshuaj antipyretic thiab thov:

• airing lub chav
• cov pob khoom txias
• kub tshuaj yej nrog zib ntab thiab kho tshuaj ntsuab.

Nrog rau qhov ntsuas kub qis ntawm 37 degrees, tsis tas yuav siv cov tshuaj tua kab mob los tiv thaiv kab mob. Yog tias koj tus mob hnyav dua, thiab qhov kub tau tshaj li 38 degrees, koj yuav tsum hu kws kho mob thiab ua raws li nws cov lus pom zoo. Antipyretic tshuaj yuav tsum tau siv yog tias:

1. siab lub cev kub
2. cov kab ke ntev ntev ntawm cov hlab ntsha hauv nruab nrab, cov ua pa thiab hlab plawv,
3. kev tiv thaiv tsis zoo ntawm hyperthermia,
4. nyiam cramp,
5. kev ua ke ntawm cov kab mob.

Yog tias qhov tshuaj tiv thaiv rau cov ntshav qab zib tau ua haujlwm thiab qhov kub tau poob lawm, koj tsis tas yuav muab cov tshuaj rau cov neeg mob rov qab noj tshuaj ntxiv kom txog thaum kub pib rov nce dua.

Yog tias hauv ib teev twg qhov kub tsis zoo li qub, koj yuav tsum nrhiav kev pab kho mob.

Hom tshuaj tiv thaiv kev mob nkeeg

Thaum lub ntsuas kub hauv lub cev nce, qhov tsim ntawm prostaglandin E, tus nquag sib kho ntawm kev sib kis, pib. Qhov no yog suav hais tias yog ua npaws. Antipyretic tshuaj cuam tshuam rau txoj hauv kev pathological thiab tshem tawm cov synthesis ntawm prostagladin, yog li lub cev kub hloov qis.

Tag nrho cov npe ntawm cov tshuaj tua kabmob rau cov neeg laus tuaj yeem faib ua:

• tshuaj tsis-tshuaj steroidal (NSAIDs),
• opioid tshuaj loog

Daim ntawv teev cov tshuaj tiv thaiv kev puas hlwb yog qhov loj heev. Tam sim no, NSAIDs sawv cev los ntawm 15 pab pawg ntawm cov tshuaj. Txhua cov tshuaj muaj nws tus kheej cov yam ntxwv, antipyretic thiab anti-inflammatory nyhuv.

NSAIDs maj nrawm dhau los ua neeg nyiam vim muaj kev phiv ntau. Cov nyiaj no tau muab faib ua 2 pawg:

Tshuaj aspirin, Paracetamol, Citramon, Ibuprofen, Indomethacin yog thawj cov tshuaj uas muaj qee yam kev mob tshwm sim, txawm hais tias nws los tiv thaiv kev cuam tshuam. Feem ntau, cov neeg mob muaj:

1. bronchospasm
2. raum tsis ua haujlwm thiab lub siab ua haujlwm,
3. lub plab zom mov.

Antipyretic tshuaj ntawm lub cim thib ob yog tsim rau lub hauv paus ntawm nimesulide, coxib, meloxicam. Cov nyiaj no muaj kev nyab xeeb thiab tsis muaj qhov tsis zoo ntawm cov tshuaj thaum ntxov. Txawm li cas los xij, muaj ib qho tshwm sim ntawm kev mob tshwm sim los ntawm cov hlab plawv.

Ib qho tshuaj tiv thaiv kom txo qis dua qhov kub thiab txias ib txwm ua sai sai thiab zoo dua tuaj. Txheeb cais qhia tias cov neeg mob laus yog cov siv cov tshuaj tiv thaiv kev puas tsuaj thib ib.

Qhov feem ntau cov tshuaj antipyretic

Antipyretic tshuaj muaj nyob hauv ntau hom tshuaj. Nws yuav yog:

1. phoov
2. txhaj tshuaj siv
3. kev ncua
4. qhov quav tas li
5. tsiav tshuaj thiab ntsiav tshuaj.

Cov dej qab zib thiab tswm ciab tau muab rau cov menyuam yaus. Rau cov neeg laus, nws yog qhov zoo tshaj rau kev siv tshuaj hauv cov qauv tshuaj. Hauv cov xwm txheej nyuaj, thaum qhov kub nce mus rau qhov tseem ceeb, nws yog qhov tseem ceeb uas yuav tsum siv cov kev daws rau kev txhaj tshuaj uas ua haujlwm tau zoo thiab sai li sai tau.

Hauv lwm qhov xwm txheej, cov neeg laus tau xaj cov tshuaj antipyretic. Koj yuav tsum paub tus yam ntxwv thiab cov hau kev ntawm kev siv cov neeg sawv cev tiv thaiv kub tshaj plaws.

Paracetamol yog ib qho tshuaj uas muaj cov tshuaj tiv thaiv muaj zog thiab ua kom loog. Cov txheej txheem ua ploj mus raws li Paracetamol tsis zoo.Kev ntsuam xyuas neeg mob hais tias Paracetamol sai sai ua rau kub taub hau.

Paracetamol tsis siv rau:

• haus cawv ntev zuj zus
• ib tug neeg intolerance,
• pathologies ntawm daim siab thiab lub raum.

Nruj contraindication yog raum ntshav qab zib.

Voltaren nws muaj nws cov khoom tseem ceeb - diclofenac sodium. Cov tshuaj zoo tshem tawm mob thiab tshem tawm kev ua npaws. Koob tshuaj rau cov laus yog 1 ntsiav tshuaj txog peb zaug ib hnub.

Ibuklin yog ib qho txuas ntxiv ntawm Paracetamol. Cov tshuaj ua ke no suav nrog ibuprofen thiab paracetamol. Cov tshuaj muaj kev tiv thaiv zoo los ntawm yuav luag tag nrho cov pab pawg ntawm cov neeg mob, lub cuab yeej muab cov khoom kho kom zoo dua.

Cov neeg laus yuav tsum noj cov tshuaj ib ntsiav tshuaj 3 zaug ib hnub. Muaj cov contraindications rau kev siv ntawm Ibuklin, cov no yog:

1. mob rwj
2. coj menyuam
3. pub niam mis
4. mob raum thiab mob siab
5. haus cawv ntev zuj zus.

Panadol yog cov tshuaj tiv thaiv kev tawm tsam nrov. Ntawm nws qhov tseem ceeb yog Paracetamol. Cov tshuaj tau tso tawm hauv cov ntsiav tshuaj, uas yog pleev xim nrog cov zaj duab xis txheej. Rau cov menyuam yaus muaj cov kab mob syro, ntsiav tshuaj effervescent thiab lub qhov txhab ntxiv.

Panadol muaj tsawg kawg nkaus ntawm contraindications. Ntawm lawv yog:

1. ib tug neeg intolerance,
2. daim siab pathology
3. kab mob ntawm cov ntshav ncig.

Muaj qee kis, cov kev mob tshwm sim suav nrog kev ua xua, nrog rau cov tsos mob dyspeptic thiab hloov hauv kev suav cov ntshav.

Indomethacin yog ib qho ntawm cov tshuaj NSAIDs uas nyiam tshaj plaws; feem ntau cov neeg mob hnov ​​nws cov nyhuv tiv thaiv kev tiv thaiv. Cov tshuaj tseem ceeb yog indolylacetic acid. Thaum kis thiab kis kab mob ntawm cov txheej txheem ntawm lub tshuab ua pa, ib qho kev mob tshwm sim, qhov mob thiab antipyretic cov yam ntxwv yog pom. Cov khoom lag luam tawm hauv cov qauv ntawm cov tswm ciab thiab ntsiav tshuaj. Muab piv nrog cov ntsiav tshuaj daim ntawv ntawm cov tshuaj kho, cov tshuaj ntxiv kom muab cov txiaj ntsig tau sai thiab tsis muaj kev cuam tshuam.

Kev mob hnyav hauv cov ntsiav tshuaj yog ua ke nrog tus neeg sawv cev ntev ntev. Cov tshuaj yog siv tawm tsam kev tiv thaiv tus kab mob ua pa hnyav thiab kho tus mob khaub thuas. Ua qauv tshaj tawm txog kev ua kom loog, muaj txiaj ntsig:

Qhov muaj pes tsawg leeg Paracetamol yog Phenioephrine thiab Chlorphenamine. Paracetamol muaj cov teebmeem hauv qab no:

1. txo qhov mob taub hau, mob pob txha thiab mob nqaij,
2. Tshuaj loog
3. lowers lub cev kub.

Chlorphenamine tshem tawm khaus, muaj qhov ua kom tawm tsam, thiab tseem txo qis lacrimation thiab tawv nqaij ntawm cov nqaij mos.

Mob khaub thuas muaj txaus tus naj npawb ntawm contraindications, tshwj xeeb:

• mob ntsws
• pathology ntawm lub siab thiab ob lub raum,
• vascular pathology,
• IHD thiab ntshav qab zib
• txo qis hauv kev ua haujlwm ntawm txoj hnyuv,
• ntshav siab
• arteriosclerosis ntawm cov hlab ntsha,
• mob rwj
• kev tiv thaiv tsis haum
• cev xeeb tub thiab pub niam mis.

Efferalgan yog ib feem ntawm pab pawg ntawm analgesics, antipyretics. Ntawm nws qhov tseem ceeb yog Paracetamol. Cov twj yog contraindicated rau cov neeg uas muaj kab mob hauv ntshav, siab rhiab rau cov khoom siv, nrog rau kab mob pathology ntawm lub raum thiab mob siab. Daim vis dis aus hauv tsab xov xwm no yuav qhia koj tias yuav ua li cas mob khaub thuas thiab mob ntshav qab zib.

Ntshav Qab Zib Ntshav - Txhua Yam Txog Ntshav Qab Zib

Yog tias hauv ib teev twg qhov kub tsis zoo li qub, koj yuav tsum nrhiav kev pab kho mob. Hom mob antipyretic Thaum qhov kub hauv lub cev nce, qhov tsim ntawm prostaglandin E, tus neeg sib cav uas nquag ua haujlwm ntawm tus mob, pib.

Qhov no yog suav hais tias yog ua npaws.

Antipyretic tshuaj cuam tshuam rau txoj hauv kev pathological thiab tshem tawm cov synthesis ntawm prostagladin, yog li lub cev kub hloov qis. Daim ntawv teev tag nrho cov tshuaj tiv thaiv kev ntxhov siab rau cov neeg laus tuaj yeem faib ua: Cov npe ntawm cov tshuaj antipyretic yog qhov loj heev.

Tam sim no, NSAIDs sawv cev los ntawm 15 pab pawg ntawm cov tshuaj. Txhua cov tshuaj muaj nws tus kheej cov yam ntxwv, antipyretic thiab anti-inflammatory nyhuv.

Dua li lawv sai pib tua vim muaj kev phiv ntau. Cov tshuaj no tau muab faib ua 2 qhov kub thiab txias: Aspirin, Paracetamol, Citramon, Ibuprofen, Indomethacin, cov tshuaj no tuaj yeem tsim nrog qee yam kev mob tshwm sim thaum tiam dhau los, txawm hais tias lawv ua haujlwm tiv thaiv. Feem ntau, cov neeg mob tau sau tseg: Cov tshuaj tiv thaiv kev tiv thaiv ntawm tiam thib ob yog tsim los ntawm nimesulide, coxib, meloxicam. Cov nyiaj no muaj kev nyab xeeb thiab tsis muaj qhov tsis zoo ntawm cov tshuaj thaum ntxov.

Txawm li cas los xij, muaj ib txoj hmoo ntawm kev mob ntshav qab zib los ntawm cov kab mob plawv. Ib qho tshuaj tiv thaiv kom txo qis dua qhov kub thiab txias ib txwm ua sai sai thiab yoog tau. Txheeb cais qhia tias cov neeg mob qab zib feem ntau siv cov tshuaj tiv thaiv kev puas tsuaj thawj-xyoo.

Ua rau muaj qhov kub thiab qis rau hauv ntshav qab zib

Nws nyob ntawm seb cov chav kawm ntawm cov ntshav qab zib tsis zoo thaum koj rov qab los ntawm qhov kub. Yog tias koj tsis tau npaj ua ntej kom txhaj tshuaj ib ntus dua li mob ntshav qab zib thaum koj tseem tab tom kho kab mob, tom qab ntawd hu rau koj tus kws kho mob tam sim ntawd kom nws thiaj li teem sijhawm rau tshuaj insulin thiab qhia koj yuav ua li cas nrog kev txhaj tshuaj.

Ntawm ntshav qab zib, ketoacidosis lossis hyperosmolar coma tuaj yeem txo qis. Cia peb piav qhia luv luv uas ua rau cov ntshav qab zib ib txwm muaj kev pab sai sai ntawm kev txhaj tshuaj insulin thaum kis kab mob. Koj yuav tsum ntsuas koj cov piam thaj nrog glucometer thaum sawv ntxov, koj tuaj yeem sawv, thiab tom qab ntawd txhua 5 teev. Txhaj ib koob tshuaj ultrashort lossis tshuaj insulin txaus kom coj suab thaj rov qab yog tias nws tau txo ntau dhau. Ntsuas cov piam thaj hauv ntshav thiab, yog tias tsim nyog, hno cov piam thaj insulin txhua 5 teev, txawm yog tsaus ntuj!

Txhawm rau ua qhov no, teeb tsa lub tswb moos tsim kom sawv hauv nruab nrab ntawm qhov kub, kom ua tiav txhua yam dej num thiab pw tsaug zog. Yog tias koj sab heev uas koj tsis muaj peev xwm ntsuas koj cov suab thaj thiab txhaj tshuaj insulin, ces ib tug yuav tsum ua. Nov yog koj ib tug txheeb ze lossis kws saib xyuas kev noj qab haus huv. Cov tshuaj dab tsi kom tsis txhob noj Muaj ntau cov tshuaj nrov pab kom lub cev qhuav dej lossis ua rau lub raum tsis muaj zog.

Thaum lub sij hawm kis cov mob ntshav qab zib hauv ntshav qab zib, lawv txoj kev tswj hwm yuav tsum nres, tsawg kawg yog ib ntus. Daim ntawv teev npe dub suav nrog kev noj tshuaj siab - diuretics, ACE inhibitors, angiotensin-II receptor blockers.

Nurofen nthuav qhia

Nurofen Cov Khoom Pab Txhawb ntawm 60 mg lossis ib daim ntawv ntawm cov tshuaj. Nurofen forte mg ntsiav tshuaj. Menyuam Txoj Cai Tsis Raug Ncua Nrog Txiv Kab Ntxwv lossis Ntshav Qab Zib Mob Ntshav Qab Zib mg. Cov lus qhia rau kev siv thiab noj tshuaj Rau cov neeg laus thiab menyuam yaus hnub nyoog dhau 12 xyoos, koob tshuaj thawj zaug yog mg ib hnub ib zaug.

Txhawm rau kom tau txais kev kho sai sai, koj tuaj yeem nce thawj qhov tshuaj rau mg 3 zaug ib hnub. Qhov siab tshaj plaws niaj hnub noj tshuaj yog mg.

Nurofen nce lossis txo ntshav siab: Nws puas tuaj yeem haus nrog ntshav siab?

Nurofen txij thaum hnub nyoog dhau los mus txog rau xyoo - tsis muaj lossis tsis muaj 4 zaug nyob rau ib hnub. Nco ntsoov tias cov ntshav qab zib tuaj yeem tsuas yog kho rau cov menyuam yaus uas lub cev hnyav dua li 20 kg. Lub sijhawm nruab nrab ntawm cov ntsiav tshuaj yuav tsum yog tsawg kawg 6 teev. Tsis txhob haus ntau tshaj 6 ntsiav tshuaj ib hnub.

Cov ntsiav tshuaj npog nrog yuav tsum tau muab ntxuav nrog dej. Cov ntsiav tshuaj Effervescent los yog yaj Nurofen ml ntawm dej 1 khob. Nurofen rau cov ntshav qab zib Nrog rau kub taub hau thiab mob, qhov ntau npaum li cas ntawm cov tshuaj nyob ntawm lub hnub nyoog, koj tuaj yeem tsis muaj menyuam. Nrog rau cov hnub nyoog lossis lub cev hnyav ntshav qab zib. Cov menyuam yaus hnub nyoog qis dua 9 hli txog 2 xyoos. Qhov hnyav ntawm lub cev. Rau qhov txhaj tshuaj kub tom qab txhaj tshuaj, cov menyuam muaj hnub nyoog qis dua 1 xyoos tau noj 1 koob tshuaj.

Yog tias qhov kub taub hau mob ntxiv, yuav tsum tau kev sab laj ntawm kws kho mob. Tsis pub ntau tshaj qhov qhia ntawm cov tshuaj. Raws li tus neeg sawv cev tiv thaiv tus mob, cov tshuaj yuav tsum tsis txhob noj ntau dua 3 hnub, raws li cov tshuaj tiv thaiv pob, tsis pub ntau tshaj 5 hnub. Yog tias kub taub hau tom qab txhaj tshuaj, qhov tshuaj no tau sau hauv koob tshuaj 50 mg 2. Qhov koob tshuaj ntau tshaj txhua hnub yuav tsum tsis pub tshaj 5 ml mg.Kev raug tshem tawm tuaj yeem swb kom huv si los ntawm haus.

Cov yam ntxwv ntawm kev kho rau kub lossis qis cev kub

Yog tias qhov ntsuas kub hauv lub cev tau pib nce, nws yuav tsum nqis los, siv ib lossis lwm tus neeg sawv cev tshuaj tua kab mob. Ua ntej ua qhov no, nws yog qhov tsim nyog los txiav txim siab saib cov ntshav qab zib hauv tus neeg mob cov ntshav li cas. Yog tias nws siab dua li ib txwm, siv tshuaj insulin luv luv yuav tsum tau siv. Lwm hom tshuaj yuav tsis tuaj yeem muab cov txiaj ntsig uas tus neeg mob xav tau thaum lub sijhawm tshwj xeeb.

Raws li lawv hais ntawm PriDiabete.ru, yog tias muaj kev kub ntxhov hauv lub cev hauv tus neeg mob ntshav qab zib mellitus, nws yog qhov tsim nyog los ua cov yeeb yam nram qab no:

1. Yog tias cov kab mercury siab dua 37.5 degrees Celsius ntawm tus pas ntsuas kub, koj yuav tsum txiav txim siab seb cov piam thaj yuav ua li cas. Yog tias cov piam thaj tau nce siab, 10% yuav tsum tau ntxiv rau qhov nqi txhua hnub ntawm insulin. Cov nyiaj no yuav tsum tau txhaj, kuaj xyuas tom qab lub sijhawm luv luv ntawm ob qho kub thiab qabzib.
2. Yog hais tias qhov ntsuas kub rau cov ntshav qab zib hom 2, ntxiv 10% ntawm cov dej ntim tshuaj insulin rau cov kev niaj hnub yuav tsis muaj cov txiaj ntsig zoo. Tom qab qhov no, tus pas ntsuas kub yuav tom qab qee lub sijhawm txiav txim siab txawm tias ntau qhov ntsuas. Hauv cov xwm txheej zoo li no, cov kws kho mob endocrinologist pom zoo kom ntxiv 25% ntawm txhua hnub ntawm insulin.
3. Yog hais tias lub cev muaj kev kub ntxhov ntau dhau vim tias qhov kub nce siab tshaj 39 degrees Celsius, acetone pib tsim nyob hauv nws. Txhawm rau kom tsis txhob muaj teeb meem zoo li no, koj yuav tsum txhaj tam sim ntawd 20% ntawm cov kua dej txhua hnub. Yog tias dhau peb teev tom ntej no qhov mob ntawm tus neeg mob tsis hloov, koj yuav tsum rov ua qhov txheej txheem ntxiv. Tom qab qhov no, qhov kub, zoo li ntshav qab zib, yuav tsum tsis txhob nce ntxiv.

Qhov ntsuas kub ntawm ntshav qab zib hom 1 lossis 2, tuaj yeem tshwm sim, suav nrog vim muaj qee yam mob kis. Yog tias muaj cov tsos mob tsim nyog, koj yuav tsum noj tshuaj tiv thaiv kev puas hlwb. Cov tshuaj hauv qab no yog cov ua haujlwm zoo thiab nyab xeeb:

Nws yog qhov zoo tshaj plaws tsis siv tshuaj rau koj tus kheej kom lub cev ua kom lub cev kub ib ce, muaj keeb kwm muaj ntshav qab zib. Qhov no yog vim qhov tseeb hais tias txhua qhov tshuaj tau txawv los ntawm nws cov kev mob tshwm sim thiab contraindications. Tias yog vim li cas nws yog qhov tseem ceeb heev uas tus kws kho mob tsim nyog teem sijhawm tom qab kuaj mob tas. Txhua tus neeg xa me nyuam tawm yuav tsum raug pom zoo los ntawm cov kws tshaj lij.

Nws ntseeg tau hais tias suab thaj thiab iodine txhawm rau txhaub ntsuas kub yog ib qho cuab yeej zoo uas yuav pab tau tus pas ntsuas kub ib txwm nyob ib ntus. Qhov tseeb tiag, ib tee ntawm no antiseptic ib rab diav ua kom zoo tuaj yeem ua rau qhov ua kom kub ntawm kev hloov ua kom sov. Qhov tseeb, qhov kev tawm tsam yog lub ntuj tsuas yog vim tias iodine ua rau lub mucosa raug mob, ua rau muaj mob. Qhov kawg ua ke nrog kev nce hauv qhov kub thiab txias. Muaj tus mob ntshav qab zib thawj lossis thib ob, koj yuav tsum tsis txhob pheej hmoo txoj hauv kev no. Cov kws kho mob pom zoo kom them sai sai rau cov laj thawj hauv qab no vim li cas thiaj li tsis siv tshuaj iodine:

• Kev nce hauv kub vim nws tsuas yog ua haujlwm ib ntus.
• Koj tuaj yeem ua rau lub plab zom mov mucosa.

Iodine nrog piam thaj nce qhov kub mus rau theem ib txwm, yog tias yav dhau los nws txo qis qis, tsuas yog rau ob peb teev xwb. Tom qab ntawd, nws tuaj yeem rov qab mus rau 35 degrees Celsius. Yuav luag txhua lub tswv yim ntawm kev siv cov qauv hauv Is Taws Nem tsis zoo. Daim vis dis aus txog qhov ua tau zoo ntawm txoj kev kho no tuaj yeem nrhiav tau ntawm ntau qhov chaw thiab portals.

Deterioration ntawm tus neeg mob

Tus mob ntshav qab zib yog qhov muaj peev xwm teb tau qhov nce ntxiv ntawm nws tus kheej qhov kub thiab txias. Ua ntej tshaj plaws, qhov kev txhawj xeeb no ntsuas siab tshaj 39 degrees Celsius. Hauv cov xwm txheej zoo li no, cov kws kho mob pom zoo txhua 2-3 teev kom kuaj xyuas theem ntawm acetone hauv cov zis.Qhov zoo ib yam siv rau kev ntsuas rau cov piam thaj. Yog tias nws tshaj 15 mmol / l, koj yuav tsum txhaj koob tshuaj insulin tom ntej. Qhov no yuav nres qhov tsos ntawm acetone, uas tuaj yeem ua rau muaj kev cuam tshuam zoo li:

• xeev siab
• ntxhoo
• mob hauv plab.

Yog tias koj txuas ntxiv nce qib acetone tsis tas siv insulin, ketoacidosis yuav mob zuj zus. Nws qhov kev txhaum loj tshaj plaws yog kev tuag ntawm tus neeg mob.

Nws yog qhov tseem ceeb koj yuav tsum nrhiav kev pab ntawm tus kws kho mob tsim nyog hauv tsev kho mob yog tias koj ntsib cov tsos mob xws li:

1. Xeev ntuav lossis raws plab mob ntev tshaj 6 teev.
2. Cov ntxhiab ntawm acetone los ntawm lub qhov ncauj kab noj hniav.
3. Tshaj siab tshaj (dhau 14 mmol / L) lossis qis dua (tsawg dua 3.3 mmol / L) cov tshuaj insulin uas tsis hloov pauv tom qab peb ntsuas.
4. Ua tsis taus pa thiab qhov pom ntawm qhov mob ntawm pob tw.

Yog li, muaj qhov kub taub hau hauv ntshav qab zib, nws yog ib qho tsim nyog yuav tsum muaj ntshav pub rau cov ntshav qabzib. Ua raws li cov piam thaj hauv qab zib ntau npaum li cas txiav txim siab, koj yuav tsum txiav txim siab ntawm kev nqis tes ua ntawm qee yam kev ua.

Kuv lub npe yog Andrey, Kuv tau mob ntshav qab zib rau ntau tshaj 35 xyoos. Ua tsaug rau koj rau kuv lub xaib. Diabei hais txog kev pab cov neeg mob ntshav qab zib.

Kuv sau cov ntawv hais txog ntau yam kab mob thiab tus kheej qhia rau cov neeg hauv Moscow uas xav tau kev pab, vim tias dhau ntau caum xyoo ntawm kuv lub neej kuv tau pom ntau yam los ntawm kev paub ntawm tus kheej, tau sim ntau txoj kev thiab tshuaj. Xyoo 2019 no, thev naus laus zis tau nthuav dav heev, tib neeg tsis paub txog ntau yam uas tau tsim tawm tam sim no kom lub neej zoo rau cov neeg mob ntshav qab zib, yog li kuv pom kuv lub hom phiaj thiab pab cov neeg mob ntshav qab zib, ntau npaum li ua tau, nyob yooj yim dua thiab muaj kev zoo siab dua.

Antipyretic rau cov ntshav qab zib: dab tsi NSAIDs tuaj yeem siv rau cov ntshav qab zib tau?

Txhua tus paub txog qhov tsis xis nyob ntawm qhov mob khaub thuas. Nws yog tsim nyog xav cais cov yam ntxwv ntawm tus mob khaub thuas thiab seb nws puas tsim nyog siv tshuaj tiv thaiv kab mob ntshav qab zib.

Txog kev ntuav, xeev siab, ua npaws, lossis lwm tus tsos mob ntawm tus kabmob kis, nrhiav kev kho mob. Cov kab mob sib kis thiab ntshav qab zib ntawm ib daim ntawv twg yog ib qho txaus ntshai ua ke.

Yog tias koj muaj ntshav qab zib thiab mob khaub thuas, koj yuav tsum tsis txhob rub tawm sijhawm. Nws yog ib qho tseem ceeb kom sab laj nrog kws kho mob raws sijhawm, kev kuaj mob thiab pib kho.

Thaum twg koj noj tshuaj pleev xim?

Tus neeg mob ntshav qab zib yuav tsum paub tias kev ua raws li txhua cov lus pom zoo ntawm tus kws kho mob thiab koom nrog kev noj qab haus huv yog qhov tseem ceeb ntawm kev kho kom zoo.

Ntawm hom 1, kev kho mob insulin yog qhov tseem ceeb heev, thiab hauv hom 2 mob ntshav qab zib, kev noj zaub mov zoo, kev tawm dag zog, thiab qee zaum noj tshuaj hypoglycemic. Hauv qee kis, ntshav qab zib tau nrog lwm cov kab mob sib kis, piv txwv:

• hlab plawv (qhov tshwm sim ntawm hlab ntsha tawg lossis plawv nres),
• pom cov plab hnyuv siab raum (retinopathy, cataract, glaucoma),
• cov tshuaj lipid tsis muaj teeb meem, uas ua rau cov rog dhau,
• cov kab mob endocrine
• lub plab zom mov tsis xis nyob.

Tab sis lub neej ntawm cov ntshav qab zib tsis yog ntau ntau txawv ntawm lub neej ntawm tus neeg noj qab haus huv. Ib tug neeg muaj ntshav qab zib kuj tuaj yeem kis mob kis tau, ua pob, ua kom raug mob, thiab hnov ​​mob taub hau thiab mob hniav. Tus pojniam uas muaj mob ntshav qab zib tuaj yeem yug menyuam. Nyob rau hauv cov xwm txheej zoo li no, nws yuav tsim nyog los siv tshuaj loog.

Txog hnub no, txoj kev ua lag luam pharmacological muaj ntau yam tshuaj analgesic. Muaj ntau pab pawg ntawm cov tshuaj uas sib txawv hauv tshuaj lom neeg muaj txiaj ntsig, kho cov nyhuv, hom kev ua kom zoo los ntawm tib neeg lub cev, thiab lwm yam ntxwv.

Nrog kev pab los ntawm cov tshuaj tiv thaiv kev tawm tsam, nws yooj yim heev kom cuam tshuam cov txheej txheem pathological.Nws yog ib qho tseem ceeb kom nco ntsoov tias nyob hauv qhov kub txog 37 degrees, kev noj tshuaj uas txo qhov kub tsawg dua yog tsis xav tau. Rau cov neeg laus, muaj ntau hom tshuaj tiv thaiv kev kub ntxhov:

• NSAIDs (cov tshuaj tsis-steroidal anti-inflammatory tshuaj) - kwv yees li 15 pawg tshuaj.
• Tshuaj tua kab mob (opioid).

NSAIDs raug nthuav tawm nyob rau hauv daim ntawv ntawm Paracetamol, Aspirin, Ibuprofen, Citramon, Indomethacin. Lawv cuam tshuam nrog cov tshuaj thawj xyoo uas muaj cov kev mob tshwm sim hauv daim ntawv ntawm:

• bronchospasm,
• raum tsis ua hauj lwm zoo,
• teeb meem mob siab
• lub plab zom mov.

Raws li rau NSAIDs thib ob, lawv tau tsim los ntawm meloxicam, nimesulide, coxib. Tsis zoo li lwm tus, cov tshuaj no tsis muaj qhov tsis zoo thiab suav tias yog kev nyab xeeb dua. Qhov kev cuam tshuam tshwm sim nkaus xwb yuav tshwm sim hauv kev ua haujlwm ntawm cov kab mob plawv.

Koj tuaj yeem yuav cov tshuaj tiv thaiv kev tiv thaiv kab mob hauv ntau hom: kev daws teeb meem, kua dej, ncua kev kawm, ntsiav tshuaj, tshuaj ntsiav, lub qhov quav. Cov kua dej thiab cov tshuaj kom txhob qab plab me nyuam muaj qhov txiaj ntsig zoo dua rau menyuam yaus noj qab haus huv. Cov neeg loj raug qhia kom noj tshuaj los yog siv kev txhaj tshuaj.

Cov tshuaj feem ntau uas tau txais kev tshuaj xyuas zoo los ntawm cov neeg mob:

• Paracetamol (ua kom loog thiab qis dua kub).
• Ibuklin (muaj Ibuprofer thiab paracetamol, nws raug nquahu kom noj ib ntsiav 3 zaug ib hnub).
• Voltaren (tshem tawm qhov mob, tshem tawm kev ua npaws. Koj yuav tsum noj ib ntsiav tshuaj ib hnub).
• Panadol (hauv cov qauv tshuaj yog tsim nyog rau cov neeg laus, nyob rau hauv daim ntawv ntawm phoov thiab lub qhov quav kom zoo rau cov menyuam).
• Indomethacin (muag hauv cov tshuaj ntsiav thiab lub thawv pub, tsis txhob muaj kev phiv).

Mob khaub thuas (pab tshem tawm cov tsos mob ntawm tus mob ua pa nyuaj, kho tus mob khaub thuas, ua kom tsaug zog thiab txo qhov kub thiab txias).

Nws yog ib qho tsim nyog yuav tsum tau sau tseg txhua yam tshuaj uas tau coj los ntawm nws tus kheej ntawm qhov kub kom nyob hauv qhov txhawm rau qhia tus kws kho mob uas koom nrog yog tias tsim nyog.

• Qhov ua tau ntawm siv cov tshuaj pleev xim 1
• Cov Ua Tsis Txaus 2
• Tso cai kom muab tshuaj mob ntshav qab zib muaj ntshav qab zib3
• Sab sij huam 4

Tsis tas yuav tsum noj tshuaj pab kho mob ntshav qab zib. Tus kab mob nws tus kheej tsis yog nrog mob los ntawm kev mob siab uas xav tau tshuaj.

Txawm li cas los xij, kev tiv thaiv kab mob hauv cov ntshav qab zib tawm tsam cov kua dej synovial ntawm cov pob qij txha. Cov kws kho mob tau pom muaj cov cim ua rau muaj mob ntau ntxiv, uas suav nrog Interleukin 1 thiab C-reactive protein.

Cov txheej txheem mob hauv pob qij txha pob qij txha thaum lub hnub nyoog hluas tsis pom tseeb, cov neeg laus thiab cov neeg laus raug kev txom nyem los ntawm cov kab mob no, tshwj xeeb tshaj yog kuaj pom muaj ntshav qab zib ntau dua 15 xyoos. Lawv txoj kev loj hlob cuam tshuam los ntawm kev rog dhau kev, ua tsis tiav.

Yog lawm, kev sib koom tes ua ke thiab mob coj khaub ncaws tsis yog mob ntshav qab zib, tab sis lawv nrog sib.

Hauv kev qhia ntxaws ntxiv txog seb puas muaj tshuaj kho mob mob ntshav qab zib, tus kws kho mob tuaj yeem qhia tau. Kev siv cov tshuaj uas txwv qhov mob tau tso cai. Ua ntej, nws yog qhov tseem ceeb uas yuav tsum tau mus tso tshuaj kuaj kab mob (ultrasound, X-ray, MRI, CT thiab lwm yam, yog tias tsim nyog) thiab kuaj (ntshav, kuaj ntshav synovial).

Qhov no yog qhov tseem ceeb rau kev txiav txim siab ntawm hom mob, ntev npaum li cas tus txheej txheem mob tau ploj mus, thiab nyob rau theem twg tus mob. Qhov kev xaiv ntawm cov tshuaj nyob ntawm qhov no.

Ntshav qab zib yog ib txwm 3.8 mmol / L

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

Cov tshuaj pleev xim tau raug kho rau cov neeg mob rheumatism, mob caj dab, mob neuralgia, gout, myalgia, tua cov mob hauv thaj tsam lumbar / ncauj tsev menyuam / thoracic, ankylosing spondylitis thiab mob mob ntawm hnub tseem ceeb hauv cov poj niam.

Pawg tshuaj no tseem tau tsim kho cov kab mob plawv, suav nrog hlab ntsha tawg thiab plawv nres, kev txhim kho ntawm cov mob ntshav qab zib. DM provokes kev loj hlob ntawm plauv nres pathologies.

Cov tshuaj pleev xim tau raug kho rau cov kab mob ntawm lub plab zom mov thiab hauv lwm qhov xwm txheej (phais mob, doog ntshav, mob taub hau lossis mob hniav, kev kuaj mob, kev raug mob lossis nqaij doog ntshav, mob gallstone, lub raum thiab lub siab pathologies). Txhua tus neeg tuaj yeem mus rau hauv qhov xwm txheej no; lawv yuav zam tsis dhau.

Vim li cas Cov Kab Mob Ntshav Qab Zib Muaj Teeb Meem Tshwj Xeeb

Hauv hom 1 lossis ntshav qab zib hom 2, kab mob kis ua rau lub cev qhuav dej, thiab qhov no ua rau neeg tuag taus, ntau zaus muaj kev phom sij ntau dua rau cov neeg laus thiab cov menyuam uas tsis muaj ntshav qab zib. Ua siab dawb hu rau lub tsheb tos neeg mob txhua lub sijhawm tus neeg mob ntshav qab zib pib hnov ​​xeev siab, ntuav, kub cev lossis raws plab.

Vim li cas tus mob ntshav qab zib thiaj kis tau tus mob? Vim tias lawv ua rau lub cev qhuav dej. Vim li cas lub cev qhuav dej ho tuag taus? Vim tias lub cev qhuav dej thiab cov ntshav qab zib cov ntshav ntau dhau los ua lub caij nyoog hnyav.

Kuj tseem muaj kev phom sij tias tom qab kis kab mob, yog tias nws tau pib kho lig, lub npov ntxiv ntawm koj tus txiav yuav tuag. Los ntawm no, chav kawm ntawm mob ntshav qab zib yuav zuj zus. Hauv kev tshwm sim phem tshaj plaws, hom ntshav qab zib hom 2 tuaj yeem hloov mus ua mob ntshav qab zib hom 1 thiab tsis xwm yeem.

Yog tias koj ntuav lossis ntuav, ces feem ntau koj yuav kis tus kab mob. Qhov laj thawj kuj tseem tuaj yeem lom nrog qee yam tshuaj lom lossis cov hlau loj, tab sis qhov no tsis zoo li. Ntxiv mus peb yuav xav tias qhov ua yog kis mob.

Txhua qhov chaw kis tau rau hauv lub cev - hauv qhov ncauj, lub plab zom mov, tus ntiv tes o lossis lwm yam - cov piam thaj hauv ntshav yuav ntau ntxiv. Yog li, pib qhov pib: tus kab mob hauv nws tus kheej nce cov ntshav qab zib.

Qhov no tsis txhais tau tias muaj sab hauv los hauv plab lossis plab hnyuv. Nws tsuas yog hais tias lub hlwb nqus dej los ntawm cov ntshav, thiab muab nws rov qab ntau dua. Tab sis thaum qhov no tshwm sim, cov qog tsis nqus cov piam thaj ntxiv hauv cov ntshav.

Raws li qhov tshwm sim, muaj dej tsawg nyob rau hauv cov ntshav, thiab tib cov piam thaj. Yog li, cov piam thaj hauv ntshav nce siab dua. Yog tias ntuav lossis zawv plab tshwm sim ob peb zaug ua ke, tom qab ntawd vim muaj cov piam thaj hauv siab thiab lub cev qhuav dej, cov ntshav ntawm cov neeg mob ntshav qab zib tau ua ntshav khov raws li cov kua qab zib.

Tib neeg lub cev nkag mus los ntawm cov kab ke sib txuas ntawm cov hlab ntsha. Qhov deb ntawm cov nkoj no yog los ntawm qhov chaw, qhov taub me me dua. Qhov siab tshaj plaws thiab qhov nqaim nqaim yog hu ua "peripheral", uas yog, chaw taws teeb los ntawm lub chaw nruab nrab.

Lub sijhawm twg los xij, cov ntshav ntau nyob hauv cov hlab ntsha txuas nrog. Hmoov tsis zoo, yog tias cov ntshav thickens, tom qab ntawd nws yuav nyuaj rau nws nyem mus rau hauv cov hlab pas nqaim. Yog li ntawd, cov ntaub so ntswg peripheral tsawg muab nrog oxygen thiab cov khoom noj muaj txiaj ntsig, suav nrog insulin thiab piam thaj.

Qhov no txawm hais tias qhov tseeb ntawm cov piam thaj hauv cov ntshav nce siab. Qhov tseeb, vim qhov tseeb tias cov piam thaj thiab insulin los ntawm cov ntshav tuab tsis nkag rau hauv cov hlab ntsha mus rau hauv lub cev, cov tshuaj insulin muaj zog loj tuaj.

Peripheral cov ntaub so ntswg pib nqus qis dua cov piam thaj, uas yog vim li cas nws cov concentration hauv cov ntshav nce siab dua. Cov ntshav qab zib ntau dua, qhov muaj zog ntau dua cov tshuaj insulin. Thiab insulin tsis kam, nyob rau hauv lem, nce ntshav qab zib.

Lub raum kuj sim tshem tawm cov piam thaj hauv cov zis, uas ua rau nquag tso zis, thiab qhov no ua rau lub cev qhuav dej. Nov yog ib qho ntawm cov xwm txheej rau kev txhim kho lub voj voos tsis muaj dej txaus ntawm lub cev qhuav dej thiab ntshav qab zib, thiab lwm qhov xwm txheej, uas peb yuav piav qhia hauv qab no, tau txuas nrog qhov xwm txheej no

Cov kua nplaum thiab tshuaj insulin los ntawm cov ntshav tsis cuag cov peripheral cov ntaub so ntswg. Cov hlwb muaj qhov kev xaiv nyuaj - tshaib plab mus rau qhov tuag lossis pib zom cov rog. Lawv txhua tus ua ke xaiv qhov kev xaiv thib ob. Txawm li cas los xij, los ntawm cov khoom lag luam muaj roj metabolism ua pov thawj tsim cov khoom lag luam hu ua ketones (lub cev ketone).

Thaum cov concentration ntawm ketones hauv cov ntshav nce mus rau qhov txaus ntshai, qhov xav tso zis yog tseem muaj kev hnyav, thiab lub cev qhuav dej mus rau theem siab dua.Ib lub voj voog nrawm dua ob zaug xaus nrog tus neeg mob tsis nco qab, thiab nws ob lub raum poob.

Qhov loj tshaj plaws yog tias cov xwm txheej uas peb tau piav qhia saum toj no tuaj yeem tsim kho sai heev, qhov ua kom tsis nco qab thiab lub raum tsis ua haujlwm nyob rau ob peb teev. Qhov piv txwv ntawm tus poj niam muaj ntshav qab zib uas peb hais los ntawm qhov pib ntawm tsab xov xwm yog qhov raug.

Rau cov kws kho mob ceev, nws tsis yog qhov txawv. Hmoov tsis zoo, nyob rau hauv cov xwm txheej zoo li no, nws nyuaj rau cov kws kho mob kom rov zoo rau tus neeg mob lub neej. Kev tuag tau nce mus txog 6-15%, thiab kev tsis taus ntxiv - ntau zaus.

Kev mob lub cev qhuav dej tsuas yog kho hauv tsev kho mob nrog cov tso dej txhaws. Lawv pib muab cov hnoos qeev no tso tawm hauv lub tsheb tos neeg mob. Tab sis peb tuaj yeem ua tau ntau yam los tiv thaiv qhov xwm txheej hnyav ntawm cov xwm txheej.

Xws li koj sawv thaum ib tag hmo lossis sawv ntxov ntxov vim tias koj ntuav lossis raws plab. Dab tsi yuav tsum ua? Ua ntej, yog tias koj muaj "koj tus kws kho mob", tom qab ntawd hu nws thiab ceeb toom, txawm li ntawm 2 a.m.

Ntuav lossis raws plab nyob rau hauv tus neeg mob ntshav qab zib yog qhov hnyav npaum li cas thiaj ua txhaum cai. Thib ob, yog tias muaj kev kis kab mob hauv lub cev, tom qab ntawd koj yuav tsum tau txhaj tshuaj insulin ib ntus, txawm hais tias koj ib txwm tsis kho koj li ntshav qab zib hom 2 nrog insulin.

Kab mob kis feem ntau nce ntshav qab zib hauv cov neeg mob ntshav qab zib. Txawm hais tias koj feem ntau tsis txhaj tshuaj insulin, tom qab ntawd thaum lub cev muaj teeb meem nrog tus kab mob, nws raug nquahu kom pib ua qhov no ib ntus. Lub hom phiaj yog kom txo qis dua cov kabmob ntawm cov beta hlwb ntawm koj tus txiav, uas tseem ua haujlwm, thiab ua kom lawv ciaj sia.

Pancreatic beta cells tuag rau hauv cov neeg coob vim qhov ua rau cov ntshav muaj ntshav qab zib ntau, qhov no hu ua glucose toxicity. Yog tias kev pub muaj kev tuag thaum lub sijhawm kis mob, ces hom 2 ntshav qab zib tuaj yeem hloov mus ua hom ntshav qab zib hom 1, lossis hom mob ntshav qab zib hom 1 yuav muaj ntau zuj zus.

Peb sau cov laj thawj tseem ceeb ua rau lub cev qhuav dej hauv ntshav qab zib:

• zawv plab lossis ntuav ob peb zaug ua ke ua ke ntawm kev ncua sijhawm,
• ntshav qab zib heev
• kub taub hau heev, neeg tawm hws heev,
• tsis nco qab haus dej txaus nyob rau hauv huab cua kub los yog thaum lub cev nquag,
• qhov chaw nruab nrab ntawm nqhis dej hauv lub hlwb cuam tshuam los ntawm atherosclerosis - hauv cov neeg laus ntshav qab zib.

Ib qho ntawm cov tsos mob tseem ceeb hais tias cov piam thaj hauv ntshav siab yog nqhis dej heev, nrog rau kev tso zis heev. Nyob rau hauv qhov xwm txheej zoo li no, teeb meem tshwm sim txawm hais tias ib tug neeg haus dej vim tias nws poob electrolytes.

Xws li cov ntshav qog ntshav qab zib, lub cev qhuav dej tuaj yeem yog ib qho mob ntshav qab zib. Yog li, tsev neeg ntawm cov neeg mob ntshav qab zib yuav tsum ua tib zoo kawm tshooj lus no. Cov khoom lag luam uas tau hais hauv tsab xov xwm “Cov khoom pabcuam kho mob ntshav qab zib.

Dab tsi koj yuav tsum muaj cov neeg mob ntshav qab zib nyob hauv tsev thiab nrog koj ”yuav tsum tau yuav khoom ua ntej thiab nyob hauv qhov chaw uas yooj yim. Ib zaug ntxiv, peb yaum kom txhua tus neeg mob ntshav qab zib hom 2 tswj hwm tus txheej txheem ntawm cov tshuaj insulin tsis raug thiab xyuas seb cov tshuaj insulin sib txawv li cas rau koj.

Hu rau koj tus kws kho mob thaum xub qhia tias mob ua npaws, ntuav, lossis zawv plab. Thaum ntxov mob ntshav qab zib tau txais kev pab kho mob, qhov ntau dua nws yog tiv thaiv kom lub cev qhuav dej, mob ketoacidosis, lossis hyperamolar coma.

Tus kws kho mob yuav nug yog tias muaj ketones nyob rau hauv cov zis, thiab yog tias yog, nyob rau hauv dab tsi mloog zoo. Yog li, nws raug nquahu kom kuaj cov zis nrog ketone test strips ua ntej hu rau kws kho mob. Yog tias koj tsis noj dab tsi, tom qab ntawd rau qee qhov kev sim yuav qhia tias muaj ketones hauv ib qho me me lossis nruab nrab hauv cov zis.

Yog hais tias ketones hauv cov zis ua ke nrog cov ntshav qab zib ib txwm, tom qab ntawd tsis muaj dab tsi txhawj txog. Ketoacidosis mob ntshav qab zib yuav tsum tau kho tsuas yog thaum ntshav qab zib kom nce siab txog 10 mmol / L lossis ntau dua. Yog tias koj tau noj tshuaj aspirin li 24 teev, koj yuav tsum qhia koj tus kws kho mob txog qhov no vim tias cov tshuaj aspirin tuaj yeem ua rau qhov kuaj pom tsis muaj tseeb ntawm cov zis ketone.

Ntau yam kab mob tsis muaj kev phom sij ntawm lub cev qhuav dej, tab sis yuav luag txhua yam ntawm lawv nce ntshav qab zib. Cov kab mob sib kis ua rau cov tsos mob uas yooj yim pom tau yooj yim. Yog koj mob tus mob txeeb zig yuav mob mob heev thaum tso zis.

Mob ntsws yog qhia los ntawm hnoos, thiab lwm yam. Txhua yam no yog cov cim qhia meej los ntawm lub cev uas yuav tsum tau saib xyuas sai sai. Vim tias yog tias koj muaj ntshav qab zib hom 2 lossis hom ntshav qab zib hom 1 hauv daim ntawv me, ces tej zaum koj yuav tsis xav kom koj tso cov qe ntshav tuag mus.

Qhov xwm txheej tshwm sim feem ntau yog tias tus neeg mob uas muaj ntshav qab zib hom 2 xav tias nws muaj mob txeeb zig. Tab sis nws ncua sij hawm mus ntsib urologist thiab tsis kho. Raws li qhov tshwm sim, nws cov piam thaj hauv ntshav siab nce siab ntxiv tias cov qe hlwb uas tseem tshuav "hlawv tawm".

Tom qab qhov no, ntshav qab zib hom 2 hloov mus ua hom ntshav qab zib hom 1, thiab tam sim no tus neeg mob yuav tau ua 5 koob tshuaj insulin txhua hnub. Thaum muaj qhov phem tshaj plaws, kev mob txeeb zig tsis tas yuav kho kom zoo kuj yuav ua rau mob raum, thiab tom qab ntawd “lub thawv dub” tsuas yog nyob ib puag ncig.

Cov mob sib kis tau tshwm sim feem ntau tshwm sim uas tsis ua rau mob lwm yam ntxiv dua li cov piam thaj hauv ntshav. Yog tias cov piam thaj nyob siab rau ob peb hnub thiab tshuaj insulin ua tsis zoo dua li ib txwm, ces qhov no yog lub sijhawm los sab laj nrog kws kho mob.

Ib qho tshuaj uas feem ntau siv los nres cov tsos mob ntawm SARS thiab mob khaub thuas yog ibuprofen. Cov cuab yeej no muab tshem tawm sai ntawm qee cov tsos mob ntawm tus kab mob, suav nrog kev ua npaws thiab mob lub cev, thiab pab txhawb kom rov zoo sai dua ntawm tus neeg mob.

Tib lub sijhawm, cov tshuaj tuaj yeem muab ntau yam kev mob tshwm sim; nws tsis haum rau cov neeg muaj ntau yam mob ntev. Yog li koj tuaj yeem paub tseeb seb puas yuav siv ibuprofen, thiab nyob rau hauv rooj plaub twg cov tshuaj no tuaj yeem pab koj, cia saib nws cov yam ntxwv, kev qhia, ntxiv rau contraindications rau siv.

Cov tshuaj zoo rau cov ntshav qab zib: cov npe, cov lus qhia rau kev siv thiab tshuaj xyuas

Ntshav qab zib mellitus tam sim no cuam tshuam ntau ntxiv rau cov neeg. Ob tus neeg laus thiab menyuam yaus raug kev txom nyem los ntawm nws. Feem ntau, tus kab mob no tsis tuaj yeem xav tau thiab xav tau kev tswj hwm lub neej ntawm cov tshuaj tshwj xeeb. Muaj ntau yam tshuaj rau ntshav qab zib, lawv ua ntau yam thiab feem ntau ua rau muaj kev phiv. Yog li, nws yog qhov yuav tsum tau noj tsuas yog cov tshuaj uas tus kws kho mob tau sau tseg.

Hom mob ntshav qab zib

Muaj ob hom kabmob no. Ob ntawm lawv yog tus cwj pwm los ntawm cov ntshav muaj piam thaj ntau, uas tau tshwm sim rau ntau yam.

Nrog ntshav qab zib hom 1, uas tseem hu ua insulin-tiv thaiv, lub cev tsis ua ywj siab tsim cov tshuaj hormones tseem ceeb no. Qhov no yog vim muaj kev puas tsuaj ntawm pancreatic hlwb.

Thiab cov tshuaj tseem ceeb rau hom neeg mob ntshav qab zib no yog insulin.

Yog tias lub luag haujlwm ntawm tus txiav ua tsis tiav, tab sis vim qee yam nws ua rau tsis muaj tshuaj txaus, lossis lub cev lub cev tsis tuaj yeem noj nws, hom ntshav qab zib hom 2 huam loj tuaj. Nws kuj tseem hu ua insulin-ywj siab.

Feem ntau, muaj ntshav qab zib hom 2, ib tus neeg rog dhau. Yog li, nws pom zoo kom txo qhov kev haus ntawm cov khoom noj carbohydrate, tshwj xeeb tshaj yog cov hmoov nplej, khoom qab zib thiab hmoov txhuv nplej siab. Tab sis, ntxiv rau kev noj haus zoo, kev siv tshuaj kho kuj tseem ceeb heev.

Muaj ntau cov tshuaj sib txawv rau cov ntshav qab zib hom 2, lawv raug sau los ntawm tus kws kho mob nyob ntawm qee tus yam ntxwv ntawm tus kab mob.

Tsis muaj ib txoj kev kho tus kab mob no li. Tsuas yog muaj kev txhawb nqa xwb. Vim li cas tsis muaj ib hom tshuaj pab? Hauv cov neeg muaj kev noj qab haus huv, cov txiav txiav tas li tsim lub cev cov tshuaj insulin, uas yog tsim nyog rau cov metabolism hauv lub cev.

Nws tso tawm rau hauv cov hlab ntshav sai li sai tau thaum tus neeg noj, qhov tshwm sim ntawm nws cov ntshav qabzib nce siab. Thiab cov insulin xa nws tawm ntawm cov ntshav mus rau cov cell thiab cov nqaij mos.

Yog tias cov piam thaj ntau dhau, cov tshuaj hormones no koom nrog kev tsim ntawm nws cov peev txheej hauv lub siab, ntxiv rau hauv kev faib tawm ntawm cov rog rau hauv cov rog.

Tus mob no ua rau kev puas tsuaj rau cov hlab ntaws, kev txhim kho lub raum thiab lub plawv tsis ua haujlwm, kev tsim cov ntshav txhaws thiab lwm yam teeb meem. Yog li, cov neeg mob uas mob ntshav qab zib li no yuav tsum xyuas kom muaj cov tshuaj insulin ntxiv rau sab nraud.

Nov yog lo lus teb rau lo lus nug uas yog siv tshuaj kho hom ntshav qab zib hom 1 twg. Nrog rau cov tshuaj raug cai ntawm cov tshuaj insulin, kev tswj hwm ntawm cov tshuaj ntxiv feem ntau tsis tas yuav ua.

Qhov tshuaj hormones no poob rau hauv lub plab sai, yog li nws tsis tuaj yeem noj hauv cov ntsiav tshuaj. Tib txoj kev yuav txhaj tshuaj insulin rau hauv lub cev yog nrog cov koob txhaj tshuaj lossis lub nqus tshwj xeeb mus ncaj qha rau hauv cov ntshav. Cov tshuaj feem ntau nqus sai sai yog tias nws tau muab tso rau hauv qhov subcutaneous quav ntawm lub plab lossis thaj tsam ntawm sab hauv lub xub pwg.

Qhov chaw txhaj tshuaj tsawg tshaj plaws yog sab caj pas lossis pob tw. Nws yog ib qho tsim nyog yuav tsum tau txhaj tshuaj rau hauv qhov chaw qub. Tsis tas li ntawd, muaj lwm yam ntxwv ntawm kev kho mob ntawm cov neeg mob uas muaj cov kab mob ntshav qab zib insulin. Qhov kev pauj ntawm cov tshuaj hormones yog nyob ntawm tus neeg mob txav ntau npaum li cas, nws noj dab tsi, thiab nyob ntawm nws lub hnub nyoog.

Ua raws li qhov no, sib txawv ntawm cov tshuaj uas tau muab tshuaj thiab cov koob tshuaj yog xaiv. Dab tsi yog hom tshuaj hormones no?

• Cov tshuaj insulin ntev ntev - cov txheej txheem qabzib ib hnub. Ib qho piv txwv zoo yog cov tshuaj “Glargin”. Nws tswj cov ntshav qab zib kom tsis tu ncua thiab siv tshuaj ib hnub ob zaug.
• Luv luv ua yeeb yam tsim tawm los ntawm tib neeg cov tshuaj hormone siv tshwj xeeb cov kab mob. Cov no yog qhov kev npaj “Humodar” thiab “Actrapid”. Lawv qhov kev txiav txim pib tom qab ib nrab teev, yog li nws pom zoo kom qhia lawv ua ntej noj mov.
• Ultrashort insulin yog muab tom qab noj mov. Nws pib ua nyob rau hauv 5-10 feeb, tab sis cov nyhuv kav tsis pub dhau ib teev, yog li ntawd, nws tau siv ua ke nrog lwm hom tshuaj insulin. Cov tshuaj no muaj ib qho kev ua nrawm: Humalog thiab Apidra.

Npaj rau kev kho mob hom ntshav qab zib hom 2 muaj ntau ntau. Hom kab mob no tshwm sim rau ntau qhov laj thawj: vim kev noj zaub mov tsis txaus, kev ua neej tsis tsaug zog, los yog rog dhau.

Ntau dhau ntawm cov piam thaj hauv cov ntshav nrog tus kab mob no tuaj yeem txo ntau txoj hauv kev. Nyob rau theem pib, kev ua neej hloov kho thiab kev noj haus tshwj xeeb txaus. Tom qab ntawv tsim nyog tshuaj.

Muaj tshuaj rau ntshav qab zib:

• insulin stimulating agents, piv txwv, sulfonylureas lossis clayides,
• txhais tau hais tias txhim kho cov tshuaj insulin nqus thiab cov nqaij ua kom tsis haum rau nws, cov no yog biguanides thiab thiazolidinediones,
• tshuaj uas thaiv cov kua nplaum nqus,
• cov pab pawg tshiab ntawm cov tshuaj yuav pab txo kom qab los noj mov thiab poob ceeb thawj.

Cov tshuaj rau ntshav qab zib yog tau sau tseg nyob rau theem pib ntawm kev kho mob ntawm tus kab mob. Yog tias cov ntshav qabzib hauv lub siab tsuas nce siab me ntsis, cov tshuaj insulin secretion stimulants yog raug kho. Lawv yog cov kev txiav txim siab luv luv - meglitinides thiab sulfonylurea derivatives, uas muaj cov nyhuv ntev kawg.

Feem ntau ntawm lawv ua rau ntau cov kev mob tshwm sim, piv txwv li, hypoglycemia, mob taub hau, tachycardia. Tsuas yog cov tshuaj tshiab tshiab, Maninil thiab Altar, yog qhov tsis zoo ntawm cov tsis txaus no. Tab sis txhua yam zoo ib yam, cov kws kho mob feem ntau hais txog cov tshuaj uas tau paub ntau dua thiab cov sij hawm sim: "Diabeton", "Glidiab", "Amaril", "Glurenorm", "Movogleken", "Starlix" thiab lwm yam.

Lawv raug coj mus kuaj 1-3 zaug nyob rau ib hnub, nyob ntawm lub sijhawm ua.

Yog tias lub cev tsim cov tshuaj no ntau txaus, tab sis cov suab thaj nyob hauv siab tau zoo, lwm cov tshuaj tau raug txwv. Feem ntau cov no yog cov biguanides, uas txhim kho kev nqus ntawm insulin los ntawm lub hlwb.

Lawv pab txhawm rau txo qhov qab los noj mov, txo qis rau ntawm cov piam thaj los ntawm daim siab thiab nws nqus hauv cov hnyuv. Cov khaub noom loj tshaj plaws yog Siofor, Glucofage, Bagomet, Metformin thiab lwm yam.

Cov thiazolidinediones: Actos, Pioglar, Diaglitazone, Amalvia thiab lwm tus muaj cov nyhuv tib yam rau cov ntaub so ntswg uas ua rau lawv muaj peev xwm tiv thaiv cov tshuaj insulin.

Lwm pawg tshuaj feem ntau pab cov neeg mob ntshav qab zib. Lawv tau tshwm sim tsis ntev los no, tab sis tau dhau los ua pov thawj lawv cov txiaj ntsig.

• Cov tshuaj "Glucobai" tiv thaiv kev nqus ntawm cov piam thaj hauv cov hnyuv, vim qhov ntawd nws qib hauv cov ntshav txo qis.
• Cov tshuaj sib xyaw “Glucovans” ua ke ntau txoj hauv kev ntawm lub cev.
• “Januvia” tshuaj siv rau hauv txoj kev kho kom txo cov ntshav qab zib.
• Cov tshuaj "Trazhenta" muaj cov tshuaj uas rhuav tshem cov enzymes uas tuav theem siab hauv qab zib.

Hauv cov theem pib ntawm cov ntshav qab zib uas tsis txuas rau insulin, qhov tshuaj khes mis ntau ua rau lub plab tuaj yeem txo. Kev kho yog ntxiv nrog kev noj zaub mov tshwj xeeb thiab kev nqus ntawm tshuaj ntsuab kev kho kom zoo nkauj thiab kev siv tshuaj lom. Qhov no txhais tau tias tsis tuaj yeem hloov txoj kev kho mob uas kws kho mob tau sau tseg, koj tsuas tuaj yeem ua tau ntxiv xwb.

• BAA "Insulate" txhim kho metabolism hauv plab, txhawb kev ua rau lub txiav thiab txo qhov nqus ntawm cov piam thaj.
• Cov tshuaj ua nyob rau hauv Nyiv "Tuoti" zoo txo ​​cov suab thaj thiab ua rau cov metabolism hauv ib txwm ua
• Cov tshuaj raws li siv tshuaj ntsuab “Glucberry” tsis yog txo qis cov ntshav qabzib xwb, tab sis kuj ua kom lub cev hnyav dua, thiab tseem tuaj yeem tiv thaiv kom tsis txhob muaj ntshav qab zib tsis txaus.

Cov tshuaj no muaj nyob hauv ntsiav tshuaj. Lawv feem ntau ua rau muaj kev mob tshwm sim:

• hnyav
• o tuaj
• pob txha tsis yooj yim,
• mob plawv kawg,
• xeev siab thiab mob plab
• kev pheej hmoo ntawm kev txhim kho hypoglycemia.

Tsis tas li ntawd, cov tshuaj los ntawm cov pab pawg sib txawv cuam tshuam rau lub cev ntawm qhov sib txawv. Yog li, tus neeg mob nws tus kheej tsis tuaj yeem txiav txim siab nws yuav tsum noj hom ntshav qab zib twg. Tsuas yog kws kho mob tuaj yeem txiav txim siab yuav ua li cas txo qis koj cov ntshav qabzib siab.

Xws li tus neeg mob yuav tsum tau saib xyuas tsis tsuas yog khoom noj khoom haus. Nws yog ib qho tseem ceeb kom ua tib zoo kawm cov lus qhia rau ib qho tshuaj, txawm tias mob khaub thuas lossis mob taub hau. Feem ntau ntawm lawv cov contraindicated hauv ntshav qab zib. Txhua yam tshuaj yuav tsum tsis txhob cuam tshuam rau cov piam thaj thiab muaj tsawg kawg ntawm kev phiv.

• Kuv tuaj yeem haus tshuaj dab tsi ntshav qab zib? Yuav siv tau yog "Indapamide", "Torasemide", "Mannitol", "Diacarb", "Amlodipine", "Verapramil", "Rasilez".
• Feem ntau cov tshuaj tiv thaiv kab mob thiab cov tshuaj uas tsis yog tshuaj steroidal pub rau mob ntshav qab zib, vim tias lawv tsis cuam tshuam rau cov ntshav qab zib: Aspirin, Ibuprofen, Citramon thiab lwm yam.
• Thaum mob khaub thuas, kua dej qab zib thiab dej qab zib kom zoo dua yuav tsum zam. Sinupret thiab Bronchipret raug tso cai.

Tam sim no, cov neeg mob ntshav qab zib ntau dua los soj ntsuam pom hauv tib neeg. Cov tshuaj twg yog cov neeg nyiam tshaj plaws nrog hom kab mob no tuaj yeem pom nyob hauv kev kuaj neeg mob. Cov tshuaj siv tau zoo tshaj plaws yog Glucofage, uas, ntxiv rau kev txo qis qab zib, txhawb kev poob phaus thiab tiv thaiv kev pheej hmoo ntawm cov teeb meem. Feem ntau kuj siv yog Siofor thiab Maninil.

Kev npaj tshuaj ntsuab uas tau tshwm sim tsis ntev los no tau yeej ntau cov kev soj ntsuam zoo, uas pab tswj cov suab thaj thiab txhim kho kev noj qab nyob zoo. Cov no yog "Dialek", "Ntshav Qab Zib Music", "Ntshav Qab Zib", "Janumet" thiab lwm yam. Lawv qhov zoo suav nrog qhov tseeb tias lawv tsis muaj contraindications thiab phiv.

Tab sis lawv, zoo li txhua txoj kev siv roj ntsha ntxiv rau lub cev, tuaj yeem siv tsuas yog kev pom zoo ntawm kws kho mob hauv kev kho nyuaj.

Cov tshuaj pleev xim muaj ntau tus lej sib kis. NSAIDs raug txwv tsis pub siv rau thaum mob plab hnyuv, mob plab, mob plab, mob siab lossis mob siab.

Nws yog contraindicated los sau qee yam tshuaj ntawm cov pab pawg no rau cov poj niam cev xeeb tub, thaum lactation, nrog tus neeg mob lub siab xav ua kom ntshav nce siab. Kev noj qee yam tshuaj yuav raug txwv rau cov menyuam yaus hnub nyoog qis dua 6 lossis qis dua 18 xyoo.

Yog li, ua ntej koj yuav khoom, koj yuav tsum sab laj nrog kws kho mob. Tus kws kho mob yuav tshaj tawm cov tshuaj zoo tshaj plaws rau daws qhov mob, muab thaj chaw, kuaj mob, hnub nyoog thiab muaj cov tshuaj tiv thaiv.

Antispasmodics yog kev kho mob rau qhov lub cev mob, ua kom cov leeg mob so thiab muaj mob tawv nqaij.

Cov me nyuam mos yuav tsum tsis txhob muab cov tshuaj no.

Ib qho piv txwv zoo los ntawm kev kho mob

Txhawm rau hais txog qhov tseem ceeb ntawm kev hu mus rau lub tsheb thauj neeg mob sai, Dr. Bernstein qhia txog qhov xwm txheej no. Ib Hnub Saturday thaum 4 teev tsaus ntuj, tus pojniam muaj ntshav qab zib hu nws uas tsis yog nws tus neeg mob.

Tus neeg mob tau nyob hauv tsev ib leeg nrog nws tus menyuam mos, thiab nws pheej ntuav tawm ntawm 9 a.m. Nws nug - ua li cas? Dr. Bernstein tau hais tias tej zaum nws lub cev qhuav dej lawm nws pab tsis tau nws tus kheej, yog li nws thiaj yuav tsum tau mus pw hauv tsev kho mob kiag sai.

Muaj lawv yuav tuaj yeem sau qhov tsis muaj peev xwm ntawm cov kua dej hauv lub cev nrog cov quav dej poob qis. Tom qab sib tham nrog nws tas, Dr. Bernstein hu rau lub tsev kho mob hauv zos thiab ceeb toom tias lawv yuav tsum tau tos tus neeg mob no thiab npaj coj los txhaj tshuaj rau lub cev kom qhuav dej.

Tus neeg mob muaj lub zog los yug tus menyuam rau tus pog, thiab tom qab ntawd nws lub zog raug xa mus rau tom tsev kho mob. Tom qab 5 teev tom qab, Dr. Bernstein raug hu los ntawm chav saib xyuas xwm txheej kub ceev. Nws tau muab tawm tias tus poj niam muaj ntshav qab zib tau raug coj mus rau tsev kho mob "puv", vim tias lawv tsis tuaj yeem pab nws hauv chav kho mob ceev.

Lub cev qhuav dej yog li ntawd lub raum ua tsis tiav. Nws yog qhov zoo uas lub tsev kho mob muaj lub chaw lim ntshav, qhov chaw uas nws tau rub lub cev txawv ntawm lwm lub ntiaj teb, txwv tsis pub nws yuav tuag. Raws li qhov tshwm sim, tus neeg mob no tau siv 5 hnub "ua haujlwm txawv" hauv tsev kho mob, vim tias nws tau ua sai sai qhov kev txaus ntshai ntawm nws tus mob.

Thaum muaj hnub nyoog li cas raug tso cai coj?

Nws muaj ntau yam tshuaj kho tau rau mob ntshav qab zib.

Nws tseem ceeb kom koj paub tias yam tshuaj twg uas koj tuaj yeem siv los kho mob ntshav qab zib. Cov hom tshuaj yog nyob ntawm hom mob, siv, ua nyob hauv zos thiab kuaj pom pathology.

Cov tshuaj kho mob tau nthuav tawm ua ob pawg: cov ntsiav tshuaj thiab kev txhaj tshuaj. Rau cov tshuaj kom ua haujlwm, nws yog ib qho tseem ceeb kom paub txog yam xwm txheej uas ua rau qhov kev xav tau ntawm kev siv tshuaj pleev xim.

Diclofenac

Diclofenac rau hom ntshav qab zib hom 2 tau tso cai. Cov tshuaj inhibits lub synthesis ntawm prostaglandins. Sau tshuaj rau cov tshuaj feem ntau yog rau cov kab mob ntawm cov pob qij txha. Muag rau hauv daim ntawv ntawm cov ntsiav tshuaj, txhaj tshuaj thiab gel.

Txoj kev kho mob pib nrog kev noj tshuaj tsawg tshaj plaws los tswj cov tsos mob. Yog tias cov tsos mob zuj zus, qhov koob tshuaj ntxiv lawm. Cov neeg muaj hnub nyoog thiab cov hluas tau noj tshuaj 25-50 mg ob zaug ib hnub. Thaum cov kev kho mob siab tshaj plaws tau tshwm sim, kev noj tshuaj tuaj yeem txo kom tsawg.

Cov tshuaj yog tawm rau cov neeg mob uas muaj kev coj khaub ncaws, tau ua tiav zoo los kho cov pob qij txha.

Qhov zoo: nws muaj cov nyhuv ua haujlwm tiv thaiv, nws raug tso cai muab menyuam yaus muaj kev nyab xeeb dua Analgin thiab Aspirin rau txoj hnyuv plab hnyuv.

Qhov tsis zoo: kev siv lub sijhawm ntev yog fraught nrog kev puas tsuaj rau lub raum, nws tsis tuaj yeem siv tas li, kev siv sijhawm ib leeg yog qhov pom zoo.

Txoj kev siv ntawm Ibuprofen rau hom ntshav qab zib hom 2: cov neeg laus, 1-2 ntsiav tshuaj txhua 4-6 teev, tsis pub tshaj 6 ntsiav tshuaj ib hnub. Cov menyuam muaj 6-11 xyoo, 1 ntsiav tshuaj txhua 6 teev, tsis pub tshaj 3 ntsiav tshuaj ib hnub.

Cov tshuaj pheej yig thiab nyiam tshaj plaws rau mob taub hau, mob taub hau, mob hniav, mob myalgia lossis dysmenorrhea. Analgin yog tus pab cuam uas tsis tseem ceeb rau cov ntshav qab zib.

Qhov zoo ntawm cov tshuaj muaj anti-inflammatory nyhuv, ceev nyem ntawm mob. Kev tsis zoo - luv luv, ntau qhov kev cuam tshuam, tsis tuaj yeem nqa los ntawm cov menyuam yaus hnub nyoog loj dua.

Thov 250-500 g peb zaug ib hnub. Rau cov menyuam yaus, cov tshuaj tau muab rau cov tshuaj xwb intramuscularly. Qhov kev txhaj tshuaj yuav tsum nyob ntawm chav tsev kub.

Kev raug ncua tsis raug sau tseg rau cov menyuam mos mus txog 3 hlis, thiab rau menyuam yaus 3-6 lub hlis nws tuaj yeem muab rau tom qab sab laj nrog kws kho mob (feem ntau nyob rau lub hnub nyoog no cov tshuaj yog tawm rau tom qab txhaj tshuaj tiv thaiv kub).

Muaj teeb meem tshwm sim los ntawm cov tshuaj

• kev puas tsuaj rau phab ntsa ntawm cov hnyuv hauv plab, mus txog rau qhov tsim ua kom muaj mob,
• ntau yam kev ntshawv siab ntawm lub hauv nruab nrab cov hlab ntsha, nrog rau mob taub hau, kiv taub hau, pw tsaug zog,
• kev tsis haum tshuaj, suav nrog ua pob khaus tawv nqaij, Quincke's edema, rau cov neeg uas muaj qhov cuam tshuam rau qee yam ntawm cov tshuaj, aseptic meningitis kuj tuaj yeem tshwm sim, tab sis qhov no tsis tshua pom,
• kev puas tsuaj ntawm cov ntshav ncig, suav nrog ntshav liab.

Ntev ntev siv cov tshuaj no tseem tuaj yeem ua rau lub raum puas tsuaj. Txhawm rau zam qhov no, koj yuav tsum tso tseg qhov tsis tau tso cai txuas ntxiv ntawm chav kawm ntawm cov tshuaj no thiab tau txais kev kawm ntev lub sij hawm ntawm kev kho tsuas yog nyob hauv kev saib xyuas ntawm tus kws kho mob.

Tsis tas li ntawd, cov tshuaj kuj tseem tuaj yeem muab cov tshuaj tiv thaiv hauv ib cheeb tsam: hlawv thiab o nyob hauv thaj chaw ntawm daim tawv nqaij lossis tingling. Raws li txoj cai, cov kev tawm tsam zoo ploj mus tom qab qhov kawg ntawm kev kho mob nrog ibuprofen.

Gargling nrog furacilin, chlorophyllipt thiab tshuaj ntsuab tau qhia ntawm no.

Saib xyuas thiab kho los ntawm tus kws endocrinologist nrog ntshav qab zib yog qhov yuav tsum tau ua. Rau cov neeg mob zoo li no, tus yuam sij rau lub neej muaj txiaj ntsig zoo yog qhov tseem ceeb tshaj plaws, kev qhuab qhia thiab kev txaus siab ua haujlwm kom raug thiab tau txais txiaj ntsig ntawm txhua lub sijhawm teem thiab cov lus pom zoo ntawm tus kws kho mob tshwj xeeb.

Tab sis kev ua tiav ntawm txhua qhov kev teem sijhawm cuam tshuam nrog tus kabmob pib tsis tuaj yeem lav tias tsis muaj lwm yam kabmob. Ntawm qhov tsis sib xws, muaj ntshav qab zib, cov kab mob hauv qab no txhim kho ntau zaus ntau zaus:

• kab mob plawv, suav nrog mob plawv thiab mob hlab ntsha tawg,
• pathology ntawm yam kabmob ntawm lub zeem muag: cataract, glaucoma, retinal detachment,
• lipid metabolism kev ntshawv siab: rog,
• pathology ntawm endocrine system,
• kab mob ntawm lub plab zom mov.

Txawm li cas los xij, ib hom ntshav qab zib mellitus tsis thim ib txwm, lub neej tag nrho. Qhov kuaj pom muaj no tsis txhais tau tias yog txwv kev txwv rau ib txoj haujlwm lossis kev ua haujlwm.

Cov poj niam muaj ntshav qab zib muaj peev xwm yug tau menyuam, cov neeg mob kuaj mob no pom lawv tus kheej sib txawv hauv lub neej uas mob tshwm sim: kev raug mob, phais mob, doog ntshav, txiav, phais mob, mob taub hau lossis mob hniav, thiab ntau lwm yam tshwm sim, piv txwv li, kis mob lossis lwm yam mob.

Thiab tom qab ntawd, zoo li txhua tus neeg, yog li mob, tshuaj pleev xim tuaj cawm. Muaj ntau ntau heev pharmacological pawg ntawm cov tshuaj analgesic. Lawv sib txawv hauv cov qauv tshuaj, mechanism ntawm kev ua, txoj kev nthuav tawm los ntawm lub cev, thiab lwm yam.

Yuav luag txhua pawg ntawm kev ua kom loog yog sawv cev los ntawm ob daim ntawv. Tsis muaj contraindication rau kev siv ntshav qab zib rau cov tshuaj kho mob. Hloov siab, lawv yuav tshwm sim nyob ntawm tus kab mob los yog teeb meem uas ua rau mob.

Kev tswj hwm kev nyab xeeb thiab kev nyab xeeb zoo ntawm tus neeg mob ntshav qab zib tau nthuav tawm nyob rau hauv thaj tsam ntawm 35.8 - 37.0 ° С. Nrog qhov ntsuas kub nce siab txog 38 lossis 39 degrees, ib qho kev hloov pauv tshwm sim.

Tsis hais txog qhov tseeb uas tau muaj qhov kub nce ntxiv hauv hom 1 lossis hom 2 ntshav qab zib mellitus, cov txheej txheem kev ua kom rov qab yuav tsum tau nrog cov tshuaj uas yuav muaj kev phiv tsawg heev.

Qhov phom sij txaus ntshai uas cuam tshuam rau cov neeg mob ntshav qab zib thaum kub yog hyperglycemia, uas ua rau npau taws tsis nco qab lawm thiab, ntawm qhov xwm txheej phem tshaj plaws, tuag. Ib qho ntxiv, ua npaws tuaj yeem ua rau cov hauv qab no:

• Tsis hlauv.
• Ketoacidosis.
• Lub plawv atherosclerosis teeb meem, spasms ntawm cov hlab ntshav.

Tsis tas li, ua tib zoo saib xyuas yuav tsum them rau cov poj niam cev xeeb tub thiab cov laus, txij li ntawm qhov kub nce lawv lub cev yog qhov muaj kev pheej hmoo heev. Thiab thaum cev xeeb tub, qhov kev hem thawj tuaj yeem txuas rau tus menyuam.

Txhawm rau kom tsis txhob muaj teeb meem, nws yog ib qho tsim nyog yuav tsum tau soj ntsuam thiab ntsuas qhov kub thiab txias, yog tias qhov cuam tshuam los ntawm tus txheej txheem tshwm sim, siv ntsuas tam sim.

Kev ntsuas kub txog 35.8 - 36 degrees yog qhov ib txwm ua rau tib neeg. Yog tias lawv poob nqes los sis maj mam nqis, yuav tsum ntsuas tam sim ntawd. Hauv cov neeg muaj ntshav qab zib, txoj kev no tuaj yeem tshwm sim vim tias qhov qis dua ntawm glycogen, uas muab cov khoom cua sov.

Thaum muaj qhov kub qis, cov piam thaj hauv qab yuav poob. Hauv cov neeg mob ntshav qab zib nrog hom mob thib ob, xws li teeb meem tuaj yeem tshwm sim vim kev tshaib plab ntawm cov hlwb uas tsis tau txais lub zog. Qee qhov xwm txheej, cov neeg mob yuav poob lub zog, yws ntawm qhov nqhis dej thiab hnov ​​txias ntawm nqua.

Cov neeg uas tsis tshua kub muaj qhia kom ua raws li cov ntsiab lus hauv qab no:

• Ua lub neej nquag, koom nrog kev kawm paub lub cev.
• Hnav ris tsho raws li lub caij, xaiv khaub ncaws uas ua los ntawm cov ntaub.
• Da dej sib piv rau tswj qhov kub thiab txias.
• Ua raws li cov khoom noj tshwj xeeb.

Nrog rau qhov ntsuas kub kom tsawg, koj yuav tsum noj qab zib lossis haus cov dej qab zib. Txoj hau kev no pab kho qhov xwm txheej, kho qhov kub.

Txhawm rau kom tsis txhob nce ntshav qab zib, uas muaj qhov nyiam ua kom qis dua qhov kub, nws raug nquahu kom noj ntau zaus hauv ib hnub, muaj qhov me me.

Kev kho mob ko taw rau tus mob ntshav qab zib yog qhov teeb meem tseem ceeb rau ob tus neeg mob ntshav qab zib thiab kws kho mob. Puas muaj cov teeb meem mus rau kev kho mob ntshav taw ko taw? Yog tias muaj, yuav ua li cas rau cov kev siv ntawm cov tshuaj xav kom siv?

Kab mob ntshav qab zib muaj tshwm sim hauv 70 feem pua ​​ntawm cov neeg tau kuaj pom tus kab mob, hos kev tswj tsis tau qab zib kom cov feem pua ​​tau ntau. Yog li vim li cas thiaj li mob ceg mob tshwm sim hauv ntshav qab zib thiab cov tsos mob twg yog qhov koj yuav tsum ua tib zoo mloog xav tias tsam muaj mob ntshav qab zib ko taw?

Lub pathogenesis ntawm kev txhim kho ceg mob hauv ntshav qab zib ntawm ib yam twg yog cuam tshuam nrog kev tsis pom tshwm sim angiopathy, neuropathy.

Kev swb ntawm txawm tias cov hlab ntsha me tshaj plaws - vasa nervorum, uas koom nrog kev noj zaub mov ntawm cov paj ntoo ntawm lub cev, uas ntxiv txhim kho qhov kev ua kom pom kev mob, yog yam ntxwv. Cov ntsiab lus no tau tso cai rau peb kom piav qhia txog kuv cov ceg ua mob ntshav qab zib li cas.

Mob hauv ceg hauv ntshav qab zib tsis yog tsuas yog vim muaj tus mob angiopathic thiab neuropathic xwb.

Ua kom muaj cov kab mob nyob hauv lub cev ua rau muaj kev tshwj xeeb rau kev tsim kev sib raug zoo ntawm “txhais ceg thiab ntshav qab zib”.

Cov ceg hauv cov ntshav qab zib mellitus tshwj xeeb muaj kev cuam tshuam rau cov mob hnyav, yog li cov kab mob ntawm cov ceg hauv ntshav qab zib hom 2 feem ntau txhim kho, kev kho mob uas yuav tsum tau siv tshuaj tua kab mob.

Ob txhais ceg mob hauv ntshav qab zib, tsis hais txog kev ua haujlwm hauv lub cev. Mob rwj, pulsating nyob rau hauv qhov, tshwj xeeb tshaj yog ob txhais ceg mob nyob rau hauv ko taw cheeb tsam (ntiv taw).

Qhov mob tuaj yeem sib kis tau rau tus thav nyuj, mus rau lub pob tw. Kev noj tshuaj tawm lub cev los ntawm NSAID pab pawg pib ua kom muaj txiaj ntsig, tab sis tom qab ntawd lawv tsis muaj txiaj ntsig.

Yog tias cov txhais taw mob mob ntshav qab zib, koj yuav tsum nrhiav kev pab tam sim ntawd.

Yuav ua li cas cov kab mob thiab tshwm sim yuav tsum tau ntaus nqi rau qhov tshwm sim ntawm tus kab mob pob txha hauv ntshav qab zib mellitus tuaj yeem pom hauv cov npe hauv qab no.

• Ntau yam qauv ntawm neuropathy.
• Cov tsos mob Edema (thaj chaw ntawm pob taws, ko taw, ntiv taw).
• Ntshav qab zib mob pob txha.
• Mob raum (mob).
• Mob ko taw mob ntshav qab zib mob (SDS) - mob ko taw puas hauv ntshav qab zib hom 2, kev kho yuav tsum tau mus ntsib kws phais mob.

Yog tias cov ceg mob ntshav qab zib muaj ntshav qab zib, nws yog qhov yuav tsum tau ntsuas qhov ua rau mob, lub sijhawm nws tshwm sim. Tshawb xyuas cov tawv nqaij - ntau zaus cov ntiv taw dub, cov qauv ntawm cov ntsia hlau hloov, lawv kuj qee zaum dub.

Nws yog ib qho tseem ceeb kom soj ntsuam cov plaub hau ntawm daim tawv nqaij ntawm ob txhais ceg. Nrog neuropathy, cov plaub hau tsawg dua, lawv sai sai tsis muaj xim.

Kev qoj ib ce hauv ob txhais ceg yog thawj qhov uas cuam tshuam ob txhais ceg nrog tus mob ntshav qab zib hom 2, kev kho mob ntawm qhov xwm txheej no yuav tsis cia SDS tsim.

—NOTE - Tseem Ceeb! Yog tias cov ntiv taw tau dub, koj yuav tsum tsis txhob ncua kev mus ntsib tus kws kho mob uas koom nrog - SDS ua tus qauv ntawm ko taw puas nyob hauv ntshav qab zib hom 2, kev kho yuav tsum ua kom raws sijhawm.

"Corns", hu rau hauv qhov chaw ntawm lub siab tshaj plaws (uas yog tshwj xeeb ntawm cov yam ntxwv ntawm ischemic neuropathy) kuj yuav tshwm sim.

Kev hnov ​​mob tsawg dua, tib lub sijhawm, txhais ceg mob heev (qhov mob hnov ​​tau raug tshwj tseg). Qhov kub ntawm ko taw tuaj yeem yog nce ntxiv los yog tsawg dua.

Cov ntau ntawm cov kev tshawb fawb xav tau los txhawm rau paub txog kab mob ko taw hauv ntshav qab zib mellitus:

1. Kev ntsuam xyuas dav dav ntawm cov ntshav dawb thiab liab, tso zis.
2. Kev kawm biochemical ntawm ntshav dej.
3. Glycemic profile, glycosylated hemoglobin cov ntsiab lus (yog li ntshav qab zib mellitus tau txheeb xyuas qhov tseeb).
4. Xoo hluav taws xob taw.
5. Ultrasound nres.
6. Ultrasound duplex scanning ntawm nqaj hlab ntsha feem ntau yuav qhia txoj kev ko taw hauv ntshav qab zib hom 2, kev kho yuav pib thaum lub sijhawm.

Daim ntawv, muaj pes tsawg leeg thiab lub zog

Cov tshuaj sib xyaw ua ke ntawm cov tshuaj yog paracetamol, cov tshuaj uas tsis yog siv tshuaj ntsuab uas tseem ua rau lub cev ua kom qis dua, zoo li txo me ntsis qhov siv ntawm qhov mob.

Cov nyhuv ntawm cov tshuaj yog tiav los ntawm inhibiting qhov tsim ntawm inflammatory mediators - prostaglandins. Cuam tshuam qhov mob thiab qhov kub thiab txias ntawm cov chaw hauv lub hlwb. Nws yog zoo nqus hauv txoj hnyuv thiab nkag mus rau hauv tag nrho cov ntaub so ntswg hauv lub cev, muaj peev xwm muab khi rau cov ntshav protein, yog cov roj ntsha hauv lub siab thiab kho los ntawm lub raum hauv cov zis.

Ib tus neeg sawv cev ua kev paub yog pom tseeb hauv daim ntawv ntawm cov ntsiav tshuaj, tsiav tshuaj, suppositories thiab tshuaj pleev uas muaj cov tshuaj nquag - ibuprofen. Ua tsaug rau cov khoom tivthaiv no, cov khoom lag luam tshuaj hauv qab txiav txim siab muaj cov cuab yeej tshuaj tiv thaiv kabmob, tshuaj tiv thaiv kev mob nkeeg thiab tshuaj tiv thaiv.

Lub hauv paus ntsiab lus ntawm kev ua ntawm ibuprofen yog txhawm rau txhawm rau muab cov synthesis ntawm prostaglandins - cov ntsiab lus uas ua rau mob thiab mob. Cov tshuaj muaj peev xwm muab nqus tau sai sai rau lub plab zom mov thiab khi rau ntshav protein.

Hauv kev xyaum tshuaj, daim ntawv hauv qab no ntawm cov tshuaj no yog siv:

• qhov ncauj ncua
• phoov
• suppositories rau kev tswj hwm qhov quav,
• ntsiav tshuaj
• Txoj kev lis ntshav daws
• cov ntawv pleev - gel thiab ointment.

Txhua ntawm daim ntawv ntau npaum yuav tsum tau siv nruj raws li cov lus qhia rau kev siv.

Vim li cas Ibuprofen tshuaj pleev yog tshuaj thiab li cas?

Lub cev nquag: ibuprofen, muaj pes tsawg leeg: 5 ml ntawm kev ncua kev kawm muaj 100 mg ntawm ibuprofen, zam: sodium benzoate (E 211), glycerin, kua maltitol, sodium saccharin, sodium citrate, citric acid monohydrate, sodium chloride, polysorbate 80, xanthan ntawm cov pos hniav, tsw qab zaub mov noj txiv kab ntxwv, dej lim.

Kev ntsuas rau siv

Txog kev kho mob ntshav qab zib tau zoo hauv tsev, cov kws tshaj lij qhia

Cov. Nov yog qhov cuab yeej tshwj xeeb:

• Normalizes ntshav qabzib
• Regulates pancreatic muaj nuj nqi
• Tshem tawm puffiness, tswj hwm dej metabolism
• Kho txhim qhov muag pom
• Haum rau cov laus thiab menyuam yaus.
• Muaj tsis muaj contraindications

Cov neeg tsim khoom tau txais tag nrho cov ntawv tso cai tsim nyog thiab cov ntawv pov thawj zoo muaj nyob rau hauv Russia thiab hauv cov tebchaws nyob sib ze.

Peb muab cov luv nqi rau cov nyeem ntawm peb lub xaib!

Yuav ntawm lub vev xaib raug cai

• hyperteriosis
• myasthenia gravis
• megacolon
• lub cev sib xyaw rau cov nquag los ntxiv,
• Down mob.

Nws raug nquahu kom noj "Ibuprofen" rau osteochondrosis ntawm lub ncauj tsev menyuam txha nqaj qaum, txhua yam mob caj dab, nrog rau mob txha thiab txhaws ntswg, uas nrog mob hnyav. Raws li qhov ua kom loog, kev siv Ibuprofen yog qhia rau cov neeg mob uas tau pom tias muaj mob gout, myalgia thiab neuralgia.

Ntxiv nrog rau qhov tseeb tias cov tshuaj hauv cov lus nug tau dav siv rau ntau lub pathologies ntawm cov leeg mus rau lub cev, nws kuj tseem tau kho rau cov txheej txheem mob ntawm tus mob sib kis hauv ENT cov kabmob, kom txo cov kev mob khaub thuas thiab tshem tawm qhov mob tsom hauv tus poj niam lub cev.

"Ibuprofen" tsis pom zoo rau kev siv los ntawm cov neeg mob osteochondrosis hauv cov kab hauv qab no thiab cov mob:

• kev tiv thaiv tsis haum rau cov tshuaj ntawm cov tshuaj,
• ua xua rau ibuprofen,
• lub plab zom mov,
• ntau cov txheej txheem pathological hauv cov hnyuv,
• kev ua haujlwm ntawm lub siab thiab ob lub raum,
• cev xeeb tub
• hnub nyoog txog 12 xyoos
• mob ntshav qab zib mellitus.

Cov tshuaj yog qhov ua tau zoo heev thiab tib lub sijhawm tsis muaj tshuaj lom, yog li tsis muaj qhov cuam tshuam txog tom qab ntawm kev siv "Ibuprofen" tsis tshua muaj neeg paub. Tab sis tseem, ib tug neeg yuav ntsib cov kev mob tshwm sim, manifested nyob rau hauv daim ntawv ntawm cov tsos mob xws li:

• mob taub hau
• kiv taub hau
• xeev siab
• tsaug zog
• npaws
• lub plawv dhia,
• ntshav siab
• plawv nres
• o tuaj
• cov tsos ntawm cov ntshav hauv cov zis.

• mob taub hau thiab mob taub hau
• neuralgia
• mob leeg
• mob hniav
• rov qab mob
• coj khaub ncaws mob nrog rau cov kab mob hauv poj niam cev khaub ncaws,
• mob lub sij hawm kub nyhiab thiab raug mob,
• ailments kis tau thiab mob nrog kub cev.

Zawv plab thiab yuav kho li cas

Xeev siab, ntuav, thiab zawv plab yog feem ntau tshwm sim los ntawm kab mob los yog kis kab mob. Qee lub sij hawm lawv nrog cov tsos mob zoo li ua npaws. Yog tias koj xeev siab, ntuav thiab / lossis zawv plab, ces cov kev kho mob tseem ceeb yog kom tsum tsis txhob noj.

Ntxiv mus, feem ntau tsis muaj qhov tsis qab los nyob hauv cov xwm txheej zoo li no. Koj tuaj yeem muaj sia nyob ob peb hnub yam tsis muaj zaub mov. Hauv qhov no, koj yuav tsum tau txuas ntxiv mus haus cov dej thiab lwm yam kua uas tsis muaj carbohydrates. Lo lus nug tshwm sim - yuav ua li cas kev yoo mov hloov cov koob tshuaj insulin thiab ntshav qab zib?

Cov neeg mob uas ua tiav ib hom kev kho mob ntshav qab zib hom 1 lossis kho mob ntshav qab zib hom 2 siv cov tshuaj insulin txuas ntxiv kom tswj tau cov ntshav qab zib kom ceev. Tom qab noj mov, peb tswj cov ntshav qab zib nrog cov insulin luv luv lossis luv-ntev.

Thaum hloov mus rau txoj kev cai yoo mov thaum lub caij muaj mob, kev txhaj tshuaj insulin sai uas tau ua ntej noj mov tau raug muab tso tseg, thiab txuas ntxiv insulin thaum sawv ntxov thiab / lossis yav tsaus ntuj tseem txuas ntxiv. Nws tau hais tias koj yuav tsum tau txhaj cov insulin txuas ntxiv mus tsis tshaj qhov koj xav tau kom muaj qab zib sai sai. Ua li no, koj yuav tsum xam ua ntej nws txoj kev muab tshuaj raws li cov txheej txheem piav qhia ntawm no.

Nrog tshuaj noj ntshav qab zib - qhov qub. Tshuaj uas koj noj thaum hmo ntuj los sis thaum sawv ntxov kom tswj yoo qab zib, txuas ntxiv mus. Cov ntsiav tshuaj uas tau noj ua ntej noj mov - tshem tawm ib pliag nrog zaub mov.

Ob qho tshuaj noj thiab tshuaj insulin, uas tswj kev yoo mov ntshav qab zib, yuav tsum txuas ntxiv tas nrho. Qhov no yuav tsis tso cai rau cov ntshav qab zib kom “mus ntsuas” thiab tsim muaj ketoacidosis uas mob ntshav qab zib los yog hyperamolar coma - cov mob ntshav qab zib mob hnyav.

Yog li, rau cov neeg mob uas siv hom kev kho mob ntshav qab zib hom 1 lossis hom kho mob ntshav qab zib hom 2, nws hloov tawm kom yooj yim los hloov kho lawv txoj kev kho kom zoo rau lub sij hawm muaj cov kab mob sib kis thiab tshaib plab.

Raws li koj paub, kab mob thiab lub cev qhuav dej ua rau cov ntshav qab zib muaj ntau ntxiv.Kev phom sij ntawm kev tsim lub voj voos ntawm lub cev qhuav dej thiab cov piam thaj hauv siab tseem nyob, txawm tias yuav tshaib plab. Yog tias cov piam thaj hauv ntshav nce siab, tom qab ntawd nws yuav tsum rov qab nqa rov qab los nrog kev pabcuam sai los ntawm kev txhaj tshuaj insulin.

Qhov no yog qhov laj thawj vim li cas peb thiaj hais tias txhua tus neeg mob ntshav qab zib ua tus txheej txheem ntawm kev siv tshuaj insulin tsis muaj tshuaj, txawm tias nyob rau qhov xwm txheej zoo li lawv tsis kho nrog insulin. Thaum muaj kev kis mob, kev txhaj tshuaj insulin ib ntus yog ib qho tseem ceeb thiab tseem ceeb tshaj plaws.

Kev txhaj tshuaj ntawm cov tshuaj insulin thaum lub sij hawm kis tus kab mob tuaj yeem txo qhov kev thauj ntawm lub beta hlwb ntawm cov txiav thiab yog li ua kom lawv muaj sia nyob. Nws nyob ntawm saib seb cov hom mob ntshav qab zib tsis txaus thaum koj rov zoo los ntawm kev kis mob.

Yog tias koj tsis tau npaj ua ntej kom txhawm rau txhaj tshuaj insulin ib ntus thaum koj tseem tab tom kho kab mob, tom qab ntawd hu rau koj tus kws kho mob kom teeb tsa tshuaj insulin rau koj tus kheej thiab qhia koj yuav txhaj tshuaj koj tus kheej li cas. Yog tias koj tsis quav ntsej qhov kev ntsuas no, ces muaj qhov muaj feem ntau uas yuav ua rau muaj mob ntshav qab zib zuj zus vim tias cov qe ntshav “hlawv tawm”. Hauv qhov xwm txheej phem tshaj plaws, kab mob ntshav qab zib ketoacidosis lossis hyperosmolar coma yuav tshwm sim.

Peb piav qhia luv luv txog ntshav qab zib li cas ib txwm muaj nrog kev pab txhaj tshuaj insulin sai sai thaum muaj kab mob sib kis. Koj yuav tsum ntsuas koj cov piam thaj nrog ib glucometer thaum sawv ntxov tom qab sawv, thiab tom qab ntawd txhua 5 teev.

Txhaj ib koob tshuaj ultrashort lossis tshuaj insulin luv luv kom coj suab thaj rov qab yog tias nws nce. Ntsuas cov piam thaj hauv ntshav thiab, yog tias tsim nyog, txhaj tshuaj insulin sai txhua 5 teev, txawm yog tsaus ntuj!

Txhawm rau ua qhov no, teeb tsa lub tswb moos tsim kom sawv hauv ib tag hmo, ceev nrooj ua tiav txhua yam haujlwm thiab pw tsaug zog. Yog tias koj sab heev es koj tsis muaj peev xwm ntsuas koj cov suab thaj thiab txhaj tshuaj insulin, ces lwm tus yuav tsum ua. Nov yog koj ib tug txheeb ze lossis kws saib xyuas kev noj qab haus huv.

Txhawm rau tiv thaiv kom lub cev qhuav dej, koj yuav tsum haus kua, nrog rau cov dej hauv qab ntsev. Tab sis yog tias koj ntuav ntuav, tom qab ntawd cov kua yuav tsis muaj sijhawm los zom. Yog tias tom qab 1-2 ntu ntu ntuav nres, tom qab ntawd nws tsis txaus ntshai, tab sis tseem qhia rau koj tus kws kho mob.

Yog tias ntuav txuas ntxiv, hu rau lub tsheb thauj neeg mob tam sim ntawd mus rau tom tsev kho mob. Procrastination yog kev tuag! Hauv tsev kho mob, cov kws kho mob tshwj xeeb yuav xyuas seb yuav ua li cas kom tsis txhob ntuav, thiab tseem ceeb tshaj - nrog kev pab ntawm cov kua dej, lawv yuav txhaj koj nrog kua thiab tseem ceeb electrolytes. Peb pom zoo tsis pom zoo kom noj ib qho tshuaj tiv thaiv kab mob nyob hauv tsev.

Thaum ntuav tau lawm, koj yuav tsum pib haus kua los hloov qhov dej hauv lub cev thiab tiv thaiv kom lub cev qhuav dej. Haus txhua lub sijhawm, tab sis me ntsis los ntawm me me, yog li ntawd kom tsis txhob rub lub phab ntsa ntawm lub plab thiab tsis ua rau pheej ntuav ntxiv ntuav.

Nws yog ntshaw tias cov kua muaj qhov kub nyob ze rau lub cev kub - yog li nws tau nqus tam sim ntawd. Cov kua dej zoo li cas hauv qhov xwm txheej no? Nyob rau hauv dab tsi ntau npaum li cas rau haus nws? Cov kua dej zoo rau koj yuav tsum muaj raws li peb yam:

• nws tsis yog ib yam uas koj tsis nyiam,
• tsuas yog cov kua ua kua tsis muaj carbohydrate kom tsim nyog, thaum tsis pub cov kua txiv uas tsis muaj txiv ntoo muaj txiaj ntsig,
• cov kua yuav tsum muaj electrolytes - sodium, potassium thiab chlorides - los them rau lawv cov kev poob uas tau tshwm sim thaum uas ntuav lossis raws plab.

Koj tuaj yeem haus tshuaj ntsuab tshuaj yej, dej dawb lossis dej ntxhia, thiab yog tias nws yog lub sijhawm pib noj mov, tom qab ntawd cov nqaij nqaij muaj zog uas tsis muaj carbohydrates. Tag nrho cov kua no tuaj yeem thiab yuav tsum "kho" nrog cov roj ntsha ntxiv.

Rau txhua txhua liv, ntxiv 0.5-1 me nyuam diav uas tsis muaj toj ntawm lub rooj ntsev, thiab koj tuaj yeem kuj of teaspoon ntawm poov tshuaj tshuaj dawb. Nov yog ntsev hloov ntsev uas muag tau hauv lub tsev muag tshuaj. Cov lus ntsev muab lub cev nrog sodium thiab chlorides, thiab potassium chloride tseem muaj cov pob zeb hauv av zoo.

Thaum lub sijhawm yoo mov, kev haus dej txhua hnub yuav tsum yog 48 ml rau 1 kg ntawm lub cev qhov hnyav. Rau ib tus neeg hnyav 62 kg, qhov no hloov tawm mus txog li 3 litres ib hnub. Rau cov neeg loj dua - ntau ntxiv.

Yog tias kua thiab electrolyte poob tshwm sim vim yog zawv plab lossis ntuav, tom qab ntawd yuav tsum ntxiv ob peb litres haus kom tsis pub dhau 24 teev los hloov cov poob no. Feem ntau, thaum kis cov kab mob hauv ntshav qab zib, koj yuav tsum tsis txhob haus ntau xwb, tab sis ntau heev.

Yog tias koj lossis koj tus menyuam muaj ntshav qab zib pw hauv tsev kho mob los kho lub cev qhuav dej nrog lub qhov quav tso quav, cov teeb meem hauv qab no yuav tshwm sim. Cov neeg kho mob yuav xav tswj cov tshuaj electrolyte uas muaj cov piam thaj, fructose, lactose, lossis lwm yam qab zib uas muaj teeb meem rau ntshav qab zib.

Tsis txhob cia lawv ua qhov no. Qhia ntxiv tias cov kws kho mob tswj cov tshuaj electrolyte uas tsis muaj piam thaj lossis lwm yam piam thaj. Yog tias muaj qee yam tshwm sim, hu rau cov thawj coj thiab tseem hem tias koj yuav ua ntawv tsis txaus siab mus rau Ministry of Health.

Tso kua nruab nrog cev thiab kua roj ntsha yog qhov tseem ceeb, siv tau thiab tseem ceeb heev ... tab sis tseem, rau cov neeg uas kho ntshav qab zib nrog cov zaub mov uas muaj zaub mov kom tsawg, nws xav tau tias cov tshuaj tsis muaj qabzib lossis lwm yam qab zib.

Ua ntej tshaj plaws, peb qhia tias kev zawv plab uas muaj ntshav thiab / lossis sib xyaw nrog kev kub taub hau siab yuav tsum tau mus kuaj mob sai sai. Koj tuaj yeem sim kho nyob hauv tsev tsuas yog tias tsis muaj ntshav tsis los yog kub cev. Kev kho mob muaj peb ntu:

• ntshav qab zib tswj,
• zawv plab kom tsis txhob txuas ntxiv cov kua dej thiab electrolytes,
• Hloov cov kua thiab cov roj hluav taws xob uas twb ploj lawm los tiv thaiv lub voj voog ua kom lub cev qhuav dej thiab ntshav qab zib ntau.

Kev tswj xyuas cov ntshav qab zib tau nqa tawm tib txoj kev ib yam li ntuav, thiab peb twb tau piav nws meej pem saum toj. Nrog kev hloov cov kua thiab roj ntsha - qhov qub, tsuas yog mob raws plab, koj tuaj yeem ntxiv 1 rab diav uas tsis muaj swb dej qab zib rau txhua liv kua.

Qhov kev kho mob tseem ceeb rau zawv plab, ib yam li ntuav, yog qhov kom tsum tsis txhob noj. Yog tias koj noj tshuaj rau raws plab, ces tsuas yog cov uas tau pom zoo nrog koj tus kws kho mob. Nyeem “Cov tshuaj siv los kho mob raws plab (raws plab) rau ntshav qab zib.”

Yog mob raws plab nrog kub taub hau lossis tso quav nrog ntshav - tsis txhob xav txog kev noj tshuaj, tab sis tam sim ntawd sab laj nrog kws kho mob.

Hom tshuaj twg yog siv rau cov ntshav qab zib hom 2?

Hom kab mob no muaj kev tsis txaus siab nyob rau hauv daim ntawv ntawm mob ntsws hyperglycemia, uas yog, lub cev tsis tuaj yeem txo cov ntshav qab zib cov ntshav los ntawm nws tus kheej tsim tawm ntawm cov insulin, txij li kev cuam tshuam ntawm cov nqaij mos thiab cov tshuaj hormones nws tus kheej cuam tshuam.

Kev pham yog ib qho tseem ceeb ntawm tus kabmob no. Mob ntshav qab zib muaj ntau zuj zus thiab pib maj mam pib qeeb heev thiab muaj ntau cov tsos mob theem ob, thiab yog tias tsis raug kho, tom qab ntawd ntau yam kev cuam tshuam ntawm yuav luag txhua cov ntaub so ntswg thiab cov plab hnyuv siab raum tuaj yeem tshwm sim, vim tias cov metabolism hauv cov zaub mov yog cuam tshuam.

Ntshav qab zib Hom 2 tau muab faib ua ntau hom, nyob ntawm ntau yam:

1. 1. Kev faib khoom raws li qhov mob hnyav: Cov mob me me ntawm tus kab mob yog qhov theem uas tus neeg mob yuav kho tau sai sai los ntawm kev noj tsuas yog ib ntsiav tshuaj ntawm cov tshuaj.
      • qhov nruab nrab chav kawm ntawm tus kab mob - hauv qhov no, tus neeg mob twb xav tau mus noj ntau lub ntsiav tshuaj. Muaj teeb meem vascular txoj hauj lwm
      • mob hnyav cov kab mob - xav tau kev kho mob insulin. Nrog rau cov chav kawm ntawm tus kab mob no, vascular teeb meem tshwm sim, retinopathy, nephropathy thiab angiopathy ntawm qhov kawg tshwm sim.
2. 1. Muab faib raws li kev them nyiaj ntawm cov khoom noj uas muaj cov pluas plav (carbohydrate metabolism): Them rau theem. Subcompensation theem. Decompensation theem.
   2. Thiab, ntawm chav kawm, qhov faib nyob ntawm cov teeb meem: Microangiopathy lossis macroangiopathy.
      • polyneuropathy mob los ntawm ntshav qab zib,
      • ntshav qab zib arthropathy,
      • retinopathy thiab ophthalmopathy mob ntshav qab zib,
      • ntshav qab zib nephropathy
      • mob ntshav qab zib encephalopathy.

Yam 2 ntshav qab zib mellitus tshwm sim vim yog kev txuam nrog keeb caj thiab kis tau los. Kev pham yog ib qho muaj zog tshaj plaws ua rau tus kab mob no, thiab cov neeg rog yog cov muaj kev pheej hmoo.

Qhov tseem ceeb tshaj plaws ntawm kev tso ntshav qab zib yog qhov nce ntxiv ntawm ntshav ntshav. Qhov no yog vim qhov tseeb hais tias cov ntaub so ntswg qee qhov poob muaj peev xwm ntes cov piam thaj thiab tom qab ntawd siv nws.

Hauv qhov no, lub cev pib sib sau ua ke rau lwm qhov chaw ntawm lub zog: amino acids thiab fatty acids uas yog hauv lub xeev dawb.

Vim yog qhov kev xav zoo ntawm cov piam thaj hauv ntshav thiab feem ntau ntawm lub cev, kev nce siab hauv osmotic tshwm sim, uas yog, lub cev qhuav dej ntawm lub cev pib vim yog cov dej hauv lub raum.

Cov neeg mob tau nqhis dej heev thiab nquag nquag mus tso zis tso quav, lawv nrawm nrawm nrawm, cov leeg ntawm daim tawv nqaij tau qhuav, lub plawv dhia thiab lwm yam cim ntawm qhov tsis muaj electrolytes yuav pib.

Tsis tas li ntawd, kev nce ntxiv hauv cov ntshav qab zib ua rau kev puas tsuaj ntawm cov protein ntau, thiab vim tias lawv tsis muaj kab mob ntawm cov kabmob hauv nruab nrog pib. Kev kuaj mob ntshav qab zib hom 2 mob ntshav qab zib mellitus tshwm sim los ntawm kev txiav txim cov piam thaj hauv ntshav.

Mob ntshav qab zib tuaj yeem txuas nrog los ntawm ntau qhov teeb meem:

1. Nrog microangiopathy lossis macroangiopathy tshwm sim los ntawm cov ntshav qab zib, mob vascular tshwm sim, lawv cov permeability tsawg, lub cev tsis muaj zog nce, qhov kev pheej hmoo ntawm cov ntshav txhaws thiab kev txhim kho ntawm atherosclerosis nce.
2. Yog tias muaj polyneuropathy tshwm sim los ntawm cov ntshav qab zib, tom qab ntawd ib tug neeg hnov ​​mob nrog txoj hlab ntaws, yuav ua rau tuag tes tuag taw.
3. Arthropathy mob ntshav qab zib ua rau mob thiab tawg hauv cov pob qij txha, lawv dhau los ua lub xov tooj ntawm tes qis.
4. Cov teeb meem tshwm sim tuaj yeem cuam tshuam rau tus kheej ophthalmic kheej, uas yog, pom qhov muag tsis pom kev. Kab mob cataracts yuav pib los yog lub teeb pib ua huab, thiab puas ntsoog retinal kuj tseem pib.
5. Kev mob ntshav qab zib ua rau cov ntshav qab zib ua rau lub raum khiav tsis zoo, uas cov protein thiab cov khoom ua kom cov ntshav pib nkag rau hauv cov zis. Yog tias koj tsis them sai sai rau nws nyob hauv lub sijhawm, ces lub raum tsis ua haujlwm yuav pib mob.
6. Txhua yam kev pauv hloov no tsis tuaj yeem cuam tshuam rau tus neeg lub siab. Tus neeg mob tsim muaj kev nyuaj siab, kev nyuaj siab, hloov pauv mus ntau yam hauv lub siab, tej zaum yuav muaj cov tsos mob ntawm lub hauv nruab nrog cev ua ke.

Zoo li feem ntau cov kev kho mob cuam tshuam nrog cov teeb meem hauv lub cev, kev kho mob ntawm ntshav qab zib theem 2 pib nrog kev teem caij noj haus tshwj xeeb thiab kev tawm dag zog los ntawm kws kho mob. Ob yam no yuav pab kom tus neeg mob poob ceeb thawj, vim hais tias nrog tus kab mob no, txawm tias qhov hnyav poob qis me me nws yuav pab ua rau cov metabolism hauv lub cev ua kom lub cev tsawg dua qub thiab txo cov ntshav qabzib kev ua ke los ntawm daim siab.

Yog hais tias theem yuav nce qib, tom qab ntawd cov ntsiav tshuaj thiab lwm yam tshuaj siv uas muaj lub ntsej muag sib txawv.

Txhawm rau kom txo qhov nqus ntawm cov piam thaj los ntawm txoj hnyuv, nws cov lus sib txuas los ntawm lub siab thiab ua kom muaj kev cuam tshuam ntawm lub cev nqaij kom insulin, cov hauv qab no yog siv:

1. Kev npaj loj Biguanide, cov no suav nrog: Siofor, Metfogama, Bagoyet, Formmetin, Glucofage.
2. Thiazolidinediode tshuaj - uas yog, cov tshuaj uas txo cov tshuaj insulin: Pioglitazone thiab lwm tus.

Cov tshuaj thiab cov ntsiav tshuaj uas txhim kho cov tshuaj insulin zais:

1. Sulfanilurea npaj rau lub cim thib ob, uas suav nrog: Glibenclamide, Glipizil, Glimepiride, Gliclazide.
2. Kev npaj ntawm tsis-sulfonylurea secretagogy: Starlix, Diclinid.

Cov tshuaj uas thaiv cov hnyuv enzymes uas zom cov piam thaj thaum kev nqus ntawm cov piam thaj los ntawm txoj hnyuv tso tseg tsis ua haujlwm. Qhov zoo tshaj plaws ntawm cov tshuaj yog Acarbose.

Cov tshuaj uas pab txhawb cov neeg lub siab ua haujlwm thiab ua kom cov lipid metabolism zoo li cas.Nrog kev pab ntawm lawv, kev mob hauv cov hlab ntsha tau txo qis, microcirculation zoo tuaj. Tsis tas li, ua tsaug rau lawv, cov ntsiab lus uric acid txo. Tus sawv cev zoo tshaj plaws ntawm cov tshuaj no yog Fenofibrate Tricor 145 mg.

Cov tshuaj rau kev kho mob ntshav qab zib hom 2 muaj nyob, thiab lawv cov kev xaiv yog dav heev, yog li koj yuav tsum tau sab laj nrog kws kho mob uas yuav sau cov tshuaj uas tsim nyog rau koj. Ntxiv mus, kho nrog cov ntsiav tshuaj yuav muab cov txiaj ntsig pom hauv ob peb lub lis piam.

Ntau cov tshuaj nrov pab kom lub cev qhuav dej lossis ua kom lub raum tsis muaj zog. Thaum lub sij hawm kis cov mob ntshav qab zib hauv ntshav qab zib, lawv txoj kev tswj hwm yuav tsum nres, tsawg kawg yog ib ntus. Daim ntawv teev npe dub suav nrog kev noj tshuaj siab - diuretics, ACE inhibitors, angiotensin-II receptor blockers.

Cov kab mob ntshav qab zib puas tuaj yeem haus Paracetamol?

Feem ntau, cov neeg mob tau sau tseg 2-3 ntsiav tshuaj los kho cov kab mob pathology, uas yuav tsum haus cawv 3 zaug hauv ib hnub tom qab noj mov. Yog tias cov tsos mob mob hnyav tau nce ntxiv, nyob ntawm kev txiav txim ntawm tus kws kho mob uas tuaj koom, ntau npaum li cas tuaj yeem raug nce ntxiv rau 12 ntsiav tshuaj.

Ua ke nrog kev tswj hwm qhov ncauj ntawm Ibuprofen, tus neeg mob feem ntau tau siv tshuaj sab nraud. Nurofen gel raws li ibuprofen lossis Ibuprofen nws tus kheej pab tau zoo, uas yuav tsum siv rau thaj chaw mob ntawm lub cev tsawg kawg 3 zaug hauv ib hnub. Qhov nruab nrab, nws yuav siv li ntawm 2 mus rau 3 lub lis piam txhawm rau txhawm rau kho osteochondrosis.

Cov phiaj xwm kev kho mob hauv tebchaws rau cov menyuam yaus hauv cov tebchaws feem ntau pom zoo kom ob leeg tshuaj ua qhov ua tau zoo thiab muaj kev nyab xeeb. Tab sis muaj ntau qhov sib txawv ntawm lawv.

Nrog rau kev mob khaub thuas, uas cov kws kho mob hu ua SARS, nws zoo dua rau kev muab tshuaj paracetamol. Yog tias nws tsis coj tawm qhov kub dua 39 hauv ib nrab ib teev los ntawm 0.5-1 degrees, ces qhov no ua rau muaj kev cia siab tias muaj kab mob. Nws yog qhov yuav tsum tau hu rau kws kho mob, thiab thaum muaj mob hnyav ntawm tus menyuam - lub tsheb tos neeg mob.

Ibuprofen yuav tsum noj es tsis txhob siv cov tshuaj paracetamol yog tias yav dhau los ua tsis tau zoo tom qab kuaj pom. Tom qab txhua qhov, yog tias nws yog ib qho mob hnyav rau cov kab mob, cov tshuaj tiv thaiv kab mob tuaj yeem pleev xim rau daim duab thiab tiv thaiv qhov tseem muaj peev xwm txheeb xyuas tus kab mob uas cov tshuaj tua kab mob yuav tsum tau siv tam sim ntawd.

Peb muab piv rau dabtsi?
Dav
Nta ntawm Paracetamol
Ibuprofen Nta NkausAntipyretic, ua kom loog (ua kom loog).
Nruab nrab (ua rau hauv lub hlwb).Tsis muaj dab tsi cuam tshuam ntawm lub zos foci ntawm o.Tsis yog tsuas yog nruab nrab, tab sis kuj tseem ua qhov kev ua haujlwm, uas yog, nws ua haujlwm hauv foci ntawm o. Qhov no tso cai rau koj siv rau kev kho mob ntawm mob hniav, o ntawm pob ntseg nruab nrab, tonsils, paranasal sinuses. Txij hnub nyoogNws tuaj yeem muab los ntawm 3 lub hlisCov tshuaj tiv thaiv ib zaug, yog tias qhov ntsuas kub rau qhov tshuaj tiv thaiv, tom qab 1 hlis.Yog tias tsis muaj cov cim tshwj xeeb, nws zoo dua rau kev pib muab thaum 3-6 lub hlis raws li cov tshuaj tiv thaiv kab mob tsuas yog Paracetamol. Ibuprofen tsuas yog muaj ntawv pov thawj nkaus xwb, rau cov menyuam yaus txij li 6 hli uas muaj hnub nyoog tshaj li qhov muag khoom. Yuav muab ntau npaum li cas rau 1 zaugCov lus qhia rau cov tshuaj qhia pom pes tsawg tus ntsuas ntsuas ntawm ib lub hnub nyoog, tab sis nws zoo dua los laij qhov hnyav ntawm tus me nyuam.10-15 mg rau 1 kg.5 mg rau 1 kg li tshuaj tiv thaiv thiab analgesic, 10 li antipyretic. Cov koob tshuaj txhua hnubNws yog txwv tsis pub tshaj.60 mg rau 1 kg, kev siv tshuaj ntau dhau ua rau lub siab ua haujlwm (mob hepatotoxic).25-30 mg rau 1 kg, ib qho tshuaj me me tshaj tsis txaus ntshai. Kev mob hnyav ua si ntawm 100 mg / kg. Tom qab sijhawm twg kuv tuaj yeem muab lub sijhawm thib ob?Tom qab 4-5 teev.Qhov ua tau zoo tshaj yog 4 teev.Yog tias tsis muaj mob ceev, nws zoo dua tsis dhau 6 teev. Pes tsawg zaus nyob rau ib hnub?Tsis ntau tshaj 4.4-tog txais tos yog qhov siv tau.Yog tias tsis muaj qhov ntsuas tshwj xeeb, nws zoo dua tsis txhob muab ntau tshaj 3 zaug hauv ib hnub. Ntev ntev npaum li cas thiab nws tuav tau npaum li cas?Qhov kev txiav txim pib tom qab 0.5 - 1 teev.Pib siv tau viral kis tau 4 teev.Yog tias tsis muaj lub cev qhuav dej, qhov kub tau pib poob qab tom qab 15 feeb. Siv sijhawm li 5-6 teev, qee zaum txog 8.
Qhov mob txo qis tom qab 30-60 feeb, tom qab qhov siab tshaj 1.5-2 teev. Qhov kev ua hauj lwm analgesic kav 4-8 teev. Dab tsi ua kom kub thiab txias pab tau?Yog tias kis tus kab mob: ARVI, mob npaws.
Cov nyhuv tsis muaj zog rau cov tsis kub taub hau.Nws tsis yog poob kab mob kis kab mob.Tsis muaj zog cuam tshuam cov kab mob ua npaws, tab sis muaj zog dua li paracetamol.

Mob ntshav qab zib mellitus tsis nyob rau hauv cov npe ntawm contraindications rau kev txais neeg mob. Txawm li cas los xij, kev siv mus sij hawm ntev ua rau mob lub cev ntawm cov ntshav qab zib. Xws li tus neeg mob tau txo qis qis hauv kev tiv thaiv ntuj, muaj kev ua txhaum ntawm kev ua haujlwm, raum, siab, lub plawv.

Hepatic kev ua haujlwm tsis zoo tuaj yeem cuam tshuam cov kev ua haujlwm ntawm cov tshuaj noj, thiab qhov ua tsis tiav hauv lub raum yuav ncua nws txoj kev tshem tawm. Cov piam thaj me me hauv qhov kev npaj yuav ua rau cov piam thaj ntau ntxiv.

Kev noj ntau dhau ntawm cov tshuaj rau cov ntshav qab zib yog qhov txaus ntshai heev, yog li, ua ntej noj cov tshuaj, koj yuav tsum sab laj nrog koj tus kws kho mob. Koj tuaj yeem noj cov tshuaj 1-2 zaug rau cov neeg mob ntshav qab zib. Cov tshuaj yuav tsum quag cawv tom qab noj mov, tom qab 1-2 teev, ntxuav nrog dej kom ntau. Nws raug nquahu kom txo qis ib koob los ntawm kev nce ntxiv kev ncua sijhawm ntawm koob tshuaj.

Kev nplua

"Ibuprofen" txhim kho kev ua haujlwm ntawm fibrinolytics.

Nws tsis pom zoo kom sib xyaw ua ke noj "Ibuprofen" thiab lwm yam tshuaj ntawm NSAID pawg, vim tias cov tshuaj sib xyaw ua ke ua rau muaj kev pheej hmoo ntawm kev tsim muaj cov xwm txheej tsis zoo. Tsis tas li ntawd, cov tshuaj nyob rau hauv nqe lus nug txhim kho kev kho mob ntawm fibrinolytics thiab indirect anticoagulants.

Kev loj hlob ntawm los ntshav tseem sau tseg thaum sib txuas Ibuprofen nrog cov tshuaj thrombolytic. Nws yuav tsum tau yug los hauv lub siab tias antacids tuaj yeem txo qhov nqus ntawm ibuprofen, thiab caffeine tuaj yeem txhim kho nws cov nyhuv analgesic.

Kev siv cov NSAIDs

Cov suab thaj theemManWomanSpecify koj cov piam thaj lossis xaiv poj niam txiv neej rau cov lus qhiaLevel0.58 Tshawb nrhiav tsis pomSpecify hnub nyoog ntawm manAge45 Tshawb nrhiav Tsis pom pom Hnub nyoog ntawm tus poj niamAge45 Tshawb nrhiav tsis pom

NSAIDs raug txiav tawm los ua cov tshuaj uas tsis yog tshuaj steroidal anti-inflammatory. Cov tshuaj no yog siv nruj kho tus kheej. Ntawm lub tsev muag tshuaj, tus kws muag tshuaj tuaj yeem muab ntau cov tshuaj los ntawm pab pawg muag tshuaj no. Lawv koom siab los ntawm cov yam ntxwv zoo li no:

• lawv inhibit cov biosynthesis ntawm prostaglandins,
• uncouple oxidative phosphorylation,
• cuam ​​tshuam rau cov leeg pituitary-adrenal.

Vim tias cov txheej txheem no, muaj qis qis mob taub hau, mob hniav, sib koom tes thiab mob leeg. Tsis tas li, pab pawg ntawm cov tshuaj no muaj qhov ua los tiv thaiv thiab kub-txo cov nyhuv. Hauv qhov no, tag nrho ntau yam ntawm salicylates siv:

1. Analgin yog ib qho tshuaj uas tshem tawm qhov mob ntawm ntau yam hauv lub hauv paus, tshwj xeeb tom qab kev phais mob, thiab tseem muaj mob hyperthermic syndrome. Cov tshuaj yuav tsum tau siv kom zoo zoo nyob rau hauv kev saib xyuas ntawm kws kho mob rau cov neeg mob ntshav qab zib nrog lub raum tsis zoo, kev ua xua, kev mob plab hnyuv, suav nrog Crohn's mob thiab mob plab, mob ntshav txhaws thiab lwm yam kab mob pathologies.
2. Acetylsalicylic acid yog siv rau ntau qhov mob syndromes, rheumatism, rheumatoid kev mob caj dab, mob pericarditis, mob sib kis myocarditis. Cov tshuaj no yog contraindicated nyob rau thawj peb lub hlis ntawm cev xeeb tub, pub niam mis, nrog pathologies ntawm ob lub raum, mob siab, lub plab zom mov thiab lub tshuab ua pa, venous stasis, ntshav txhaws thiab qee yam kab mob.
3. Citramon muaj ntau yam cuam tshuam ib zaug - analgesic, antipyretic, psycho-stimulating thiab anti-inflammatory.Koj tuaj yeem siv tsis tau cov cuab yeej no thaum thawj peb thiab peb lub hlis ntawm cev xeeb tub, thaum lactation, hauv menyuam yaus, nrog lub siab lossis lub raum tsis ua haujlwm, mob gout, vitamin tsis txaus thiab lwm yam kev ua pathologies.

Ntawm cov tshuaj pleev xim no, peb tuaj yeem sib txawv cov uas tshem tawm cov tsos mob mob cuam tshuam nrog mob rheumatism, mob caj dab, mob pob txha, thiab pob txha-articular pathologies. Cov no suav nrog Voltaren, Ibuprofen, Indomethacin thiab Ortofen.

NSAIDs muaj cov nyhuv hypoglycemic rau cov neeg mob insulin-tiv thaiv thiab hom ntshav qab zib hom 2.

Kev siv ntawm Ibuprofen tuaj yeem cuam tshuam kev kho mob ntawm ntau lwm yam tshuaj, suav nrog lwm cov tshuaj tsis haum tshuaj, diuretics, insulin, vasodilators, antacids thiab anticoagulants.