GDM, 32 lub lim tiam ntawm kev ua kom cev xeeb tub

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Kuv muaj piam thaj hauv ntau txoj kev, Kuv pib sawv ntawm 36 lub lis piam. Nws yog txawm 8.8. Muab cov tshuaj insulin, Kuv tsis kam.

lawv muab kuv tso. Lawv tsis tau tsa ib yam dabtsi, tsis txhob txhawj, txhua yam yuav zoo. Kuv tus kheej tau yug thiab peb tus menyuam muaj kev noj qab haus huv thiab muaj zog, uas kuv tseem xav tau koj los ntawm lub siab

Oh, peb muaj txhua tus poj niam cev xeeb tub hauv tsev kho mob. Yog tias pom cov piam thaj tsawg kawg ib zaug rau 5.1 thiab siab dua, muab GDS. Thawj zaug kuv dhau nws tsis ncaj ncees lawm, xaum ntses, muaj suab thaj 6.7. Tom qab ntawd, thaum rov ua kom tsis tiav, nws tsis tau nce saum 4.6. Zoo li nram qab. Lawv tau noj cov khoom noj, tab sis kuv tsis pom nws, vim tias kuv tsis tau nce phaus.

Qhov tseem ceeb tshaj plaws yog qhov koj yuav tsum yug thaum lub sijhawm. Thiab tom qab ntawd cov txiv hmab txiv ntoo tuaj yeem dhau los ua loj heev.

Kuv raug kuaj nrog qhov no. Qab zib tau 5,6. Lawv tsis ua dab tsi, txhua yam mus tom qab yug

Tsis txhob txhawj xeeb, kev kuaj mob li no tau ua rau txhua thib ob. Kuv tau 5.3 ntawm lub plab khoob, sau daim ntawv qhia zaub mov noj, sim ua raws. Tom qab yug los, txhua yam yog qhov qub.

Kuv tau mob ntshav qab zib thaum lub sijhawm cev xeeb tub, insulin pib txhaj tshuaj tam sim ntawd, vim tias cov tshuaj tsis tau xeeb tub. Cov menyuam yug thaum ntxov 34 lub lis piam, yug menyuam. Tus menyuam yug los rau lub cev muaj hnub nyoog zoo 3600. Kuv tsis kam tso tshuaj insulin tom qab yug menyuam. Kuv tsis poob qab zib thiab kuv tam sim no ntawm ntsiav tshuaj.

Kuv muaj nws. Muaj ib txwm muaj suab thaj ntawm lub plab khoob, thiab tom qab ib pluas noj nws tau nce siab. Ua raws li kev noj haus thiab ntsuas qab zib tom qab txhua pluas noj. Kuv tau noj tiam sis tau mov tsawg, qos yaj ywm, txiv hmab txiv ntoo, qab zib, khob cij, thiab lwm yam. Txhua cov zaub ntsuab tuaj yeem noj kom tau raws li koj nyiam. Txawm hais tias kuv xav tau ntau tshaj li tus cai txiv hmab txiv ntoo lossis khoom qab zib, Kuv tau mus taug kev tam sim ntawd tom qab noj mov lossis puas Pilates lossis yoga rau cov poj niam cev xeeb tub. Nws yug tau sijhawm, ib tus ntxhais noj qab nyob zoo. Kev noj haus yuav tsum tau ua raws, thiab tom qab ntawd cov menyuam hauv plab kuj yuav loj dhau. Yog tias cov khoom noj tsis pab, ces cov tshuaj insulin thiaj li yog.

Lawv muab kuv tso rau 20 lub asthiv, cov piam thaj ua tau siab heev, lawv suav tias qhov khoom noj zoo li qub rau chav ua mov ci. Zoo nyob heev, nyam, qab zib yog qhov qub, insulin tsis xav tau! Tus kws kho mob tau pom zoo rau cov poj niam cev xeeb tub, pub khoom qab zib txwv tsis pub hnav, tab sis nrog qhov xwm txheej ntawm kev tawm dag zog tom qab haus dej - ntxuav hauv plag lossis taug kev ntev! Nws ua haujlwm 100%! Kuv pom zoo nws! Hauv lub lis piam tsis ntev los no, qhov tseeb tau tawg, yog li kuv tus ntxhais huab tais 4220 tau yug los! Tom qab yug menyuam, qab zib yog ib qho hauv kuv thiab kuv tus ntxhais! Kuv xav kom koj noj qab haus huv thiab ua siab ntev.

Buckwheat ib hmos nrog kefir los yog yogurt thiab ncuav thaum sawv ntxov rau noj tshais. Tsis Zoo Ua Kom Qab Qab Zib

Kuv muaj nws txij li 20 lub lis piam, Kuv tsis raug kho, Kuv tsuas yog noj zaub mov noj, tab sis kuv tus ntxhais tau yug los ntawm 37 lub lis piam nrog qhov hnyav 4050. Thiab nws muaj ntshav qab zib tsawg, qab zib qis heev. Peb tau muab tso rau tsev kho mob tam sim ntawd.

Kuv tau muab tso rau lub sijhawm 26, kuv tau muab txoj kab yoo suab (fasting) nkhaus rau cov piam thaj ib txwm ua, thiab tom qab noj 7.98 (qhov txwv ntawm 7.8). Ob peb lub lis piam ua raws kev noj haus ntawm qhob cij qhob cij, thiab tom qab ntawd nres. Kuv tus ntxhais tau yug 3100, 51 cm noj qab haus huv, qhov tsuas yog polyhydramnios vim GDM, tom qab yug los nws rov ntsuas dua, txhua yam yog ib txwm muaj.

Kuv cov piam thaj yog 5.4 xa tawm los ntawm Lub Xeev Duma tam sim ntawd. Txawm tias lawv tsis xa nws tawm rau kev faib rov qab, lawv tau sau tseg cardiomagnyl, nws liquefies ntshav, Kuv tsis haus dej haus nafig, tom qab xa cov piam thaj 4'6

Rov qab nqa, tej zaum noj khoom qab zib thaum yav tsaus ntuj, lossis haus dej.

Kuv kuj tau muab cov qab zib ua ib qho kev dhia loj rau 36 lub lis piam thiab nyob twj ywm, cesar thiab tom qab ntawd feem ntau kos qab zib rau thawj hnub. Tab sis ua tsaug rau Vajtswv txhua yam zoo, tsis muaj piam thaj ntxiv lawm)))

Cov lus nug thiab cov lus pom zoo

1. 1 teev tom qab noj mov, qib glycemic ntawm 7.6 mmol / L yog siv tau. "Paj Yeeb"NovoRapid koj tsis tas yuav muaj qee yam, kev noj cov tshuaj insulin thiab khoom noj yuav tsum yog thaum pib xaiv nyob rau hauv xws li txoj kev raws li them nyiaj rau ntshav qab zib.
2. Levemir yog qhov zoo tshaj plaws nyob rau hauv lub pob tw lossis ncej puab. Qhov no tsis muaj teeb meem, tab sis nrog kev qhia zoo li no, cov tshuaj ua haujlwm zoo dua.
3. Ib qho poob ntawm insulin thaum kawg ntawm rab koob yuav tshwm sim, qhov no yog qhov qub. Cov tshuaj insulin yuav tsum tsis txhob tawm los ntawm qhov chaw txhaj tshuaj; koj yuav tsum nias qhov chaw txhaj tshuaj li 15-20 feeb tom qab tshem rab koob.

Kuv yuav ua li cas yog tias kuv muaj qhov nug zoo sib xws tab sis txawv?

Yog tias koj tsis pom cov ntaub ntawv tseem ceeb ntawm cov lus teb rau lo lus nug no, lossis yog tias koj qhov teeb meem me ntsis txawv ntawm qhov tau hais hauv no, sim nug tus kws kho mob nug ntxiv rau tib nplooj ntawv yog tias nws nyob ntawm lub ncauj lus nug tseem ceeb. Koj tuaj yeem nug cov lus nug tshiab, thiab tom qab ib ntus peb cov kws kho mob yuav teb nws. Nws yog pub dawb. Koj tseem tuaj yeem tshawb cov ntaub ntawv tsim nyog ntawm cov teeb meem zoo sib xws ntawm nplooj ntawv no lossis dhau ntawm tus xaib nplooj ntawv tshawb. Peb yuav zoo siab heev yog tias koj pom zoo peb rau koj cov phooj ywg hauv kev tes hauj lwm.

Medportal 03online.com muab kev sab laj kho mob hauv kev sib kis nrog cov kws kho mob hauv lub xaib. Ntawm no koj tau txais cov lus teb los ntawm cov kws qhia tiag tiag hauv koj thaj teb. Tam sim no lub chaw muab tswv yim rau 48 thaj chaw: cov kws kho mob kev tsis haum tshuaj, kws kho qhov muag-rov mob dua qub, kws kho mob plab, kws kho mob plab, kws kho mob ntshav, tshuaj tua kab mob, kws kho mob hauv tsev, kws kho mob hauv plab, kws kho mob phais, pediatric kws phais neeg, pediatric kws phais neeg, kws kho mob phais, pediatric pais , tus kab mob kis tshwj xeeb, kws kho plawv, kws kho mob, kws hais lus, ENT tus kws tshaj lij, kws kho tsiaj, kws lij choj, kws kho mob, kws kho hlwb, kws kho hlwb, kws kho hlwb, kws kho mob, kws kho mob, kws kho pob ntseg, kws kho pob txha a, kws kho menyuam yaus, kws kho mob yas, kws tshaj lij tshuaj, kws kho mob hlwb, kws saib xyuas kev mob hlwb, kws kho mob ntsws, kws kho pob txha, kws xoo hluav taws xob, tus kws kho mob, kws tshaj lij, kws kho mob, kws kho mob, kws tshuaj, kws kho mob, kws txaij, kws phais, endocrinologist.

Peb teb 96,28% ntawm cov lus nug..

Qab zib ntau, 26 lub limtiam ntawm kev xeeb tub, hais txog yuav hno cov tshuaj insulin

Lub hli siab dua qhov qub. Los ntawm 32 lub lis piam, nws pib noj txhua yam thiab ntsuas tau zoo dua. Kuv yug tau thiab txhua yam ploj mus. Hais txog cov neeg zoo li koj. Tsis tsim nyog nws. Nws tsis meej yog vim li cas cov tshuaj insulin. Ntawm kuv cov phooj ywg, tsis muaj leej twg tuaj yeem tom qab yog tsis muaj nws.

Kuv tau siv tshuaj insulin, mob ntshav qab zib rau lub cev xeeb tub, tab sis ntawm lub plab kuv tsis muaj suab thaj li qub thiab tsis xav poob rau hauv ib teev (tab sis tom qab peb lub lis piam kuv pom tias cov khoom lag luam zoo li no tshwm sim li cas, yog li kuv tseem tos kuv tus kws kho mob tsis so los tham nrog nws). Kuv ntaus luv luv insulin Novorapid 3 zaug hauv ib hnub 10 feeb ua ntej noj zaub mov tseem ceeb rau 6 chav nyob. Kuv ntshai heev kom txhaj tshuaj rau kuv tus kheej (tseem mob plab), tab sis ntseeg kuv, nws tsis txaus ntshai thiab kuv yuav hais txawm tsis hnov ​​mob. Thaum lawv hais txog insulin, ib yam nkaus, nws tau pib txhawj txog tus menyuam ntau, tab sis sib nrug ntawm nws, cov poj niam cev xeeb tub tsis tuaj yeem ua ib yam dab tsi los ntawm kev kho mob. Soj ntsuam qhov zoo thiab tsis pom zoo thiab txiav txim siab tias kuv yuav nyiag. qhov tseem ceeb tshaj plaws yog tias txhua yam muaj nyob nrog tus menyuam. Kuv thov rau Vajtswv tias qhov no yuav dhau mus tom qab muaj menyuam hauv plab (lawv hais tias qee zaum zoo li no)

Au, nws lig dhau lawm, tab sis kuv yuav sau ib yam nkaus, nws txaus ntshai ua kuv tus kheej, hnub no, thawj zaug, nrog kua muag hauv kuv lub qhov muag kuv tau ua kuv tus kheej tswb me ntsis. Thiab hais txog seb nws yuav dhau los yog tsis. Kuv niam muaj mob ntshav qab zib thaum lub cev xeeb tub thiab txhua yam mus raws li nws tau yug menyuam, yog tias tsis ua rau muaj kev ntxhov siab loj heev (hluav taws xob tsis sib xws.) Tom qab ntawv lawv yuav tsis hais dab tsi ua ntej muaj hnub nyoog laus. Kev mob ntshav qab zib hauv lub cev yog qhov txawv txav rau qhov tseeb tias tom qab cev xeeb tub txhua yam ploj mus, uas txhais tau hais tias tau tawm ntawm insulin, Kuv tsis nkag siab, qhov no yog qhov ruam, nws yog lus tseeb, nws nkag siab tsis sai li sai tau, tab sis nws maj mam tso tseg zoo li txhua yam yeeb tshuaj thiab koj nyob lub neej ntsiag to ntxiv. Delirium, uas tsis tau muab pov tseg tom qab ntawd, nws txhais tau tias nws tsis yog GDS lawm, uas yog ntshav qab zib hauv nws txoj kev tawm tsam

Hnub yug, insulin tsis raug txhaj tom qab lawv, feem. Hnub tom qab ntawd kuv kuaj ntshav qab zib muaj ntshav qab zib. Muaj taw tes rau hauv kev noj haus. Zaum, koj yuav tsis khuv xim nws. Vajtswv txwv tsis pub, ntawm chav kawm, tab sis yog tias muaj qee yam tsis ncaj ncees nrog tus menyuam, tsis txhob nug koj tus kheej. Yog tias koj muaj lus nug sau

Yog lawm, hauv qhov xwm txheej zoo li cev xeeb tub, koj zoo dua tham nrog kws kho mob. Tab sis, tau kawg, cov kev cai dav dav rau kev siv cov tshuaj no muaj nyob. Cov tshuaj insulin yog yam tshuaj uas pab tswj qib theem ntawm qab zib kom tsim nyog rau lub cev ua haujlwm, nrog rau thaum cev xeeb tub. Nws tuaj yeem siv los ntawm cov niam uas xav tias yuav zoo, vim tias nws tsis hla tus cwj pwm. Thaum cev xeeb tub, hom insulin tshwj xeeb yog siv - luv luv ua yeeb yam, soluble. Nws yog siv nyob rau hauv hom ntawm ob qho kev tswj xyuas dua thiab txuas ntxiv txuas ntxiv. Nws tshwm sim tias insulin kuj tseem tsim nyog thaum yug menyuam. Tsis tas li ntawd, cov insulin ntev ntev tseem muaj. Nws yog tsim rau kev tswj hwm thaum tsaus ntuj thiab rau kev kho mob nrog qhov tsawg kawg ntawm kev txhaj tshuaj. Thaum ua ntawv thov qhov no lossis hom tshuaj twg, nws yog qhov yuav tsum tau coj mus rau hauv tus kheej qhov yam ntxwv ntawm lub cev hauv txhua kis. Thaum cev xeeb tub, kev kho mob ntshav qab zib yuav txawv ntawm cov ntshav qab zib ib txwm los ntawm kev tswj fwm ntawm cov tshuaj insulin. Qhov tseem ceeb nyob rau lub sijhawm no yog tswj cov ntshav qabzib nyob rau qib kom tsis txhob muaj teeb meem rau leej niam thiab tus menyuam. Thaum cev xeeb tub, ntshav qab zib yuav tsum tau tswj hwm nrog kev saib xyuas zoo thiab lub luag haujlwm. Ib tus poj niam yuav tsum tau pom tseeb los ntawm tus kws qhia zaub mov noj haus, kws kho mob yug menyuam-tus kws kho mob poj niam, tus kws kuaj mob endocrinologist, thiab zam kev txhawj xeeb ntawm lub cev thiab lub siab.

Qab ntxiv thaum cev xeeb tub muaj piam thaj thiab insulin

Tsis tas li, muaj ntshav qab zib, tsis txhob tsis saib xyuas lub koob thaij duab ultrasound kom tshem tawm txoj kev loj hlob ntawm tus menyuam, kev tshwm sim ntawm cov teeb meem plawv thiab muaj lwm cov tsis xws luag. Nws yog ib qho tseem ceeb kom ua raws li kev noj zaub mov noj. Kev noj zaub mov kom tsawg yuav tsum muaj 30-35 calories rau txhua qhov hnyav ntawm tus poj niam qhov hnyav.

Raws li kev tswj hwm ntawm insulin rau cov poj niam cev xeeb tub, cov txheej txheem no tau ua tiav siv cov koob txhaj tshuaj tshwj xeeb. Vials yog siv ntawm qhov tshaj ntawm 100 U / ml. Koob tshuaj txawv nyob ntawm seb muaj hnub nyoog li cas. Yog li, hauv thawj peb lub hlis, kev noj ntau npaum li cas tuaj yeem yog 0.6 U / kg, hauv ob - 0.7 U / kg, hauv peb - ​​0.8 U / kg. Rau cov poj niam cev xeeb tub, 2/3 ntawm cov koob tshuaj insulin txhua hnub yog muab ua ntej noj mov, noj cov seem - ua ntej noj hmo. Hauv qhov no, ib feem peb ntawm kev noj thaum sawv ntxov yog luv insulin, tus so yog insulin nruab nrab-ntev. Lawv txhaj cov tshuaj no rau hauv cov rog subcutaneous.

Thaum lub sijhawm ua haujlwm, cov kua dej tsis txaus siv. Tib lub sijhawm, ntshav qab zib cov ntshav yuav saib xyuas tau. Yog tias nws qhov ntau yuav tsum tau ua kom haum, tom qab ntawd tsib feem pua ​​ntawm cov dej qab zib ua rau siv tshuaj pleev ntshav. Plaub mus rau tsib hnub tom qab yug tus me nyuam, tus poj niam pauv mus rau cov tshuaj muaj yees ntev. Txawm li cas los xij, cov poj niam cev xeeb tub yuav tsum yauv siv cov tshuaj insulin nyob rau hauv kev saib xyuas ntawm tus kws kho mob tas li.

Saib Daim Ntawv Qhia Tag Nrho: Qhov Insulin Nce. Yuav ua li cas thaum cev xeeb tub?

Nyob zoo cov kws kho mob!

Kuv muaj hnub nyoog 29 xyoo, qhov siab 168 cm, qhov hnyav ua ntej cev xeeb tub 65 kg, tam sim no 74.5 kg. Cev xeeb tub yog 22-23 lub lis piam, thib ob. Qhov kev saib ua tiav tau xaus hauv kev nchuav me ntsis rau 5-6 lub lis piam xyoo 2004. Qhov kev xeeb tub no tau tshwm sim tom qab kev sim nrog clostilbegit + metformin, nrog kev txhawb nqa ntxiv los ntawm Duphaston (40 mg / hnub) thiab txhaj tshuaj (1500 chav nyob tom qab 3 hnub rau hnub 4).

Kev pib poj niam pib thaum muaj 12 xyoos, kev ncig tsis xwm yeem ntawm 28-45 hnub, kev coj khaub ncaws yog mob heev, tsis muaj ntau.

Ua ntej cev xeeb tub Kuv tau dhau cov kev sim hauv qab no:

Folliculogenesis - ovulation hauv lub voj voog ntuj hauv 24 hnub ntawm lub hlis nrog kev tsim cov cystic corpus luteum (NLF?)
DHEA-SO4 2.96 umol / L (cov qauv kuaj 0.9 - 11.7)
FSH 9.44 mIU / mL (qauv 2.8 - 11.3)
LH 7.86 mIU / mL (cov cai 1.1 - 11.6)
Prolactin 373 mIU / mL (cov cai 40.3 - 503)
Testosterone 1.16 nmol / L (cov cai 0 - 2.8)
Tshuaj Insulin ua ntej noj mov 14.9 uIU / mL (qauv 4.3 - 15.3)
2 teev tom qab noj 43.9 uIU / mL
Cov Ntshav Qab Zib 3.2, nrog rau load ntawm 4.0
Homocysteine ​​7.81 umol / L (cov cai 5 txog 12)
TTG 4.12 mIU / L (cov cai 0.4 - 4)
T4 pub dawb 10 teev tsaus ntuj / L (cov qauv 10.3 - 24.5

Tom qab cev xeeb tub
TTG 2.06 mIU / L (cov cai 0.4 - 4) KUV YUAV TSUM L-TYROXIN 50 MKG / SUT
T4 pub dawb 19.7 teev tsaus ntuj / L (qauv 10.3 - 24.5)
AT rau TPO tsawg dua 10 IU / mL
17OH-progesterone 1.52 ng / ml (cov cai 1.3 - 3.0)
DHEA-SO4 4.94 umol / L (cov cai 3.1 - 12.5)
Homocysteine ​​8.46 umol / L (cov cai 5 txog 12)

Puas yog nws yuav tsum tau ua qee qhov kev ntsuam xyuas ntxiv vim tias muaj cov tshuaj insulin ntau ntxiv ua ntej muaj menyuam? Puas yog qhov ntau npaum ntawm 50 μg L-thyroxine txaus kom kho qhov subclinical hypothyroidism?

Ua tsaug ua ntej rau koj qhov kev sib tham!

Ua kom cov thyroxine nce mus txog 75 mcg tsawg kawg, cov kua dej yuav zam tau txhua lub sijhawm
Koj muaj hnub nyoog tshaj 25 xyoos - thiab koj yuav tsum tau ntsuas OGTT (kuaj ntshav qabzib kom tsis suav cov ntshav qab zib hauv lub hnub nyoog ntawm 24-28 lub lis piam nrog ib txwm yoo mov qab zib

Txhua yam pom tseeb. Ua tsaug ntau!
Tab sis kuv puas yuav tsum tso ntshav ib zaug ntxiv rau TSH thiab T4 pub dawb tom qab nce qhov ntau ntau ntawm L-thyroxine?

Hauv txoj kev xav, nws yog qhov tsim nyog txhua lub quarter, tsis yog lub ntsiab lus
Yog tias koj nce tag kis -TG hauv 8 lub lis piam, sv T4 mono thiab ua ntej lawm tab sis tsis xav tau tiag tiag

Ua tsaug ntau rau ua tus teb ceev! Kuv yuav nce qhov ntau npaum li cas los tom qab tag kis sawv ntxov, Kuv yuav muab cov kev ntsuam xyuas raws li koj pom zoo .: Bo:

Cov tshuaj ntshav tsis tas yuav tsum tau saib, tab sis txij li thaum lawv tau saib - yog vim li cas qhov kev tshwm sim ib txwm (qhov txwv ntawm qhov kev cai ntawm daim ntawv sau) yog pom tias "nce"?

Tshuaj Insulin 2 teev tom qab noj 43.9 uIU / mL - tus kws kho mob tau hais ntau yam thiab tau noj tshuaj Metformin ntawm kev noj tshuaj 500 500 zaug ib hnub. Koj puas tau haus nws ?: Bn:

Zoo, peb tuaj yeem ua li cas nrog lub siab xav kho cov tib neeg muaj kev noj qab haus huv?
huag txhua qhov kev txhab tsis yog qhov taw tes - insulin los ua tus yeej hauv kev ua haujlwm dhau los ntawm kev tshawb fawb tsis tsim nyog

Tom qab noj mov, cov kua dej yuav tsum tau nce siab hauv qhov kev sib piv nrog qib nrawm, tsis muaj qhov tsis paub meej. Koj cov piam thaj hauv ntshav yuav zoo li qub. Muaj cov cim qhia meej rau kev tswj hwm ntawm metformin, thiab theem ntawm cov tshuaj insulin yeej tsis tau yog vim li cas rau kev teem caij li ntawd. Nrog PCOS, metformin tsub kom muaj txiaj ntsig ntawm kev txhawb nqa, tab sis insulin tsis muaj dab tsi ua rau nws! Nyob rau hauv dav dav, tsis nco qab txog nws.

Ntawd yog, raws li kuv nkag siab nws, cov tshuaj insulin yog qhov qub thiab tsis tas yuav rov pib siv tshuaj metformin tom qab cev xeeb tub? Hurrah !: Ab:

Qhov no tsis yog tshem tawm OGTT, uas yog ua los ntawm txhua tus neeg laus dua 25 xyoos, tshwj xeeb yog tsev neeg muaj ntshav qab zib

Yog lawm, Kuv paub tseeb tias kuv yuav muab qhov no.

Nyob zoo cov kws kho mob!

Cev xeeb tub 28-29 lub lis piam. Hnub no kuv tau txais cov txiaj ntsig ntawm kev ntsuam xyuas:

T4 pub dawb 10.4 pmol / L (li qub rau cov poj niam cev xeeb tub 2-3 lub hlis 8.2-24.7)
TSH 0.955 Me / L (dab tsi rau cov poj niam cev xeeb tub 2-3 lub hlis 0.2-3.5)

Kuv noj L-thyroxine 75 mcg ib hnub. Qhia kuv, thov, kuv puas yuav tsum tau nce qhov ntau dua ntawm L-thyroxine?

Ua tsaug ua ntej rau koj kev teb!

Cov txiaj ntsig tau zoo: ay: Peb tso txhua yam raws li yog.
Txoj kev kuaj ntshav qab zib muaj mob nyob qhov twg? Peb tau sau txog qhov no los ntawm thawj cov lus!

Ua tsaug ntau rau koj cov lus teb!

Txog kev soj ntsuam cov mob ntshav qab zib hauv plab thaum muaj teeb meem, qhov xwm txheej yog qhov no: Kuv tau kuaj seb puas muaj ntshav qab zib nyob hauv tsev kho mob. Kuv tsis paub tias tshwm sim hauv cov lej, tus kws kho mob tsuas hais tias txhua yam zoo. Vim qee qhov, tsis muaj txiaj ntsig hauv kab lus ...: chim:

Nyob zoo Tav Nyob zoo cov kws kho mob, Kuv rov qab los nrhiav kev pab rau koj.

Cev xeeb tub yog 31-32 lub lis piam. Thaum dhau biochemical cov ntshav kuaj ntawm lub plab khoob los ntawm cov hlab ntsha, qhov ntshav siab dhau ntawm qib 5.96 tau kuaj pom.

Insulin lossis metformin thaum cev xeeb tub?

Yuav ua li cas ntxiv ua kev txiav txim siab? Tus thawj saib xyuas tau hais tias koj tsuas yog yuav tsum tau txwv txoj kev siv khoom qab zib. Kuv puas yuav tsum tau ntsuas nrog kev thauj khoom dua? Cov piam thaj puas txhais tau hais tias cov ntshav qab zib hauv hlwb tau tsim?

Koj muaj teeb meem pheej hmoo rau mob ntshav qab zib mob tsis xwm yeem thiab peb tsis paub yog tias OGTT cov ntaub ntawv tau raug ntsuam xyuas txaus thaum nws yuav tsum tau ua

Kev yoo plasma ntshav qab zib tom qab 28 lub lis piam (cov lis piam no raug coj los siv rau qhov txiaj ntsig ntawm kev ua haujlwm siab tshaj plaws ntawm kev tiv thaiv kev tiv thaiv kab mob, qhov tseem ceeb ntawm kev cuam tshuam rau cov menyuam hauv plab - Kuv tsis pom lub sijhawm thaum txiav tawm lub sijhawm sib nrug tau sib tham - thiab kuv thov kev pab ntawm cov kws kho ntshav qab zib), Kuv xav tias, nws yuav tsum txiav txim siab raws li cov kev cai ib yam cov kua nplaum nyob hauv tsis cev xeeb tub - thiab tsis muaj ib qho qhia tias nyob rau lub sijhawm no yuav muaj tib co kev xav rau cov piam thaj qis dua li ntawm 24 lub lis piam, Kuv tsis tau ntsib ib yam dab tsi, thiab kuv puas tau ua tsis tau raws li qhov yuav tsum tau ua kom rov muaj lub dag lub zog. TT
Hauv lwm lo lus, Kuv txhawb lub tswv yim ntawm kev txwv cov khoom qab zib, Kuv ntxiv lub tswv yim ntawm kev tswj glycemia thiab txawm tias tom qab noj mov

Galina Afanasevna, ua tsaug ntau rau koj cov lus teb!

Kuv yuav ua raws kev noj haus thiab tom qab ib lub lim tiam kuv yuav faib cov ntshav ntxiv rau cov piam thaj ua ntej thiab tom qab noj mov.

Ua tsaug koj ib zaug ntxiv!

Nyob zoo cov kws kho mob!

Kuv cev xeeb tub los xaus zoo - thaum lub hnub nyoog 39 lub lis piam 6 hnub ib tus ntxhais yug 3900 kg 54 cm .: Bp:
Thov qhia kuv tias nws yog ib qho tsim nyog kom rov qab mus rau qhov pib tshuaj ntawm L-thyroxine, uas yog ua ntej cev xeeb tub (50 mg) lossis kuv puas tseem yuav tsum noj 75 mg ntxiv thaum lub sijhawm cev xeeb tub?

Ua tsaug ntau rau koj cov lus teb!

Thyroxine yog hnub nyoog nyob rau hauv mkg, nyob rau lub sijhawm tom qab lub sijhawm, qhov kev hloov pauv tseem ceeb hauv qhov xav tau ntawm cov tshuaj muaj peev xwm ua tau, nws yog qhov tsim nyog tshaj plaws los qhia qhov teeb meem tam sim no ntawm qhov tau txais koob tshuaj