Mob ntshav qab zib mellitus - cov cim ntawm tus kab mob thiab nws cov tsos mob

Tam sim no, ntshav qab zib yog tej zaum yog cov kabmob feem ntau. Tab sis, txhawm rau kom muaj kev nkag siab txog ntshav qab zib thiab teb rau lub sijhawm rau cov tsos mob ntawm tus kabmob, koj yuav tsum xub nkag siab meej tias tus kabmob no zoo li cas tshwm sim. Nws yog tsim nyog sau cia tias tus kab mob no tuaj yeem ua rau nws tus kheej nrog ntau yam kev mob tshwm sim hauv lub cev, tab sis lawv txhua tus muaj cov khoom ntiag tug - kev txhim kho hyperglycemia (ib qho kev nce siab hauv cov ntshav qab zib thiab lub cev), thiab nyob rau hauv ntau dua daim ntawv ntawm tus kab mob - ua tiav cov piam thaj tsis txaus.
Raws li qhov tshwm sim ntawm tus kabmob, muaj qee yam tsis txaus los ntawm insulin hauv lub cev, lossis cov insulin uas tsim tawm hauv lub cev tuaj yeem tsuas yog ua tsis tau zoo. Nws yog rau cov laj thawj no uas cov tsos mob ntawm ntshav qab zib feem ntau tau tshwm sim. Cia peb saib ntawm cov cim tseem ceeb ntawm ntshav qab zib, cov tsos mob ntawm kev tshwm sim ntawm tus kab mob, thiab tseem qhov twg tshwm sim ntawm tus kab mob yuav tsum ceeb toom koj.

Thawj cov tsos mob ntshav qab zib

Hmoov tsis zoo, hauv peb lub sijhawm, tib neeg tsuas yog nyob nrog kev ua haujlwm, kev ua haujlwm thiab tsev neeg nyias muaj nyias haujlwm, thaum muaj qee tus neeg tau saib xyuas lawv kev noj qab haus huv thiab tsis teb rau cov tsos mob uas yuav tsum ceeb toom. Nco ntsoov tias nws yog qhov zoo dua los txheeb xyuas cov cim qhia ntawm tus kab mob sai li sai tau thiab sab laj nrog kws kho mob tam sim ntawd, vim tias tus kab mob no muaj kev phom sij heev thiab nws zoo dua los pib kho raws sijhawm. Yog li, cia peb saib seb cov tsos mob ntshav qab zib feem ntau tshwm sim li cas thiab yuav tsum ceeb toom tus neeg. Cov no suav nrog:

plaub hau pib poob tawm ntau heev. Qhov no tuaj yeem raug sau cia ua cov tsos mob tseem ceeb ntawm ntshav qab zib. Ib tus neeg muaj kev noj qab haus huv tiag tiag, ntawm qhov tseeb, tseem poob plaub hau, tab sis tsis yog ntau dua 100 plaub hau thaum nruab hnub, tab sis nyob rau hauv tus neeg mob ntshav qab zib, cov txheej txheem kev zom zaubmov tshwj xeeb yog ua txhaum, uas yog vim li cas cov plaub hau tawm ntau dua, ua thinner, qaug zog thiab lawv txoj kev loj hlob qeeb qeeb,
muaj mob hnyav txaus ntshai thiab poob zoo. Koj yuav tsum ceev faj tam sim yog tias koj ntsib kev qaug zog thiab qaug zog rau ob peb hnub yam tsis muaj laj thawj dabtsi. Qhov no tuaj yeem vim lub cev muaj lub zog me me, uas nws rub los ntawm lub hlwb tsim nws nrog kev pab ntawm cov piam thaj. Thaum muaj ntau hnub koj muaj kev tsaug zog ntau thiab qaug zog (thaum koj pw tsaug zog txaus), nws yog qhov zoo tshaj plaws rau tus kws kho mob tam sim ntawd thiab kuaj qhov tsim nyog,
txhais ko taw lossis xib teg pib khaus. Nws tsim nyog pom tias ntau dua 85% ntawm cov neeg mob ntshav qab zib tau hais tias ib qho ntawm thawj cov cim qhia lawv tau khaus khaus ntawm txhais taw lossis txhais tes. Nws tsim nyog teev cia tias, feem ntau, cov neeg mob tau mob ntshav khov thiab qhov txhab kho tsis zoo heev. Txawm tias txoj kev txiav me me tuaj yeem kho rau ntev heev thiab tseem ua rau kom muaj kev txaus siab.

Cov tsos mob tseem ceeb ntawm tus kab mob

Qhov tseeb, muaj ntau ntawm cov tsos mob ntawm tus kab mob no thiab yog tias koj saib xyuas koj tus kheej thiab koj kev noj qab haus huv, nws nyuaj heev uas tsis pom lawv. Cov tsos mob yuav txawv heev, tab sis cov tseem ceeb uas muaj nuj nqis sau cia:

nquag thiab muaj zog tso zis, ib tus neeg feem ntau pib siv chav dej, tshwj xeeb tshaj yog thaum tsaus ntuj,
Lub voos txaus ntshai heev tshwm sim,
muaj lub cev ua kom poob qis (poob phaus) lossis, ntawm qhov tsis sib thooj, ib tus neeg pib nce phaus sai sai,
nrog lub suab thaj thiab muaj zog nce ntxiv hauv thaj qab zib, ib tus neeg tuaj yeem tuaj yeem tsis nco qab thiab txawm poob mus rau hauv lub xeev plab tsis zoo (uas nws nyuaj rau qee leej tawm mus),
tej zaum yuav muaj teeb meem nrog kev tsis pom kev (lub zeem muag tuaj yeem txo qis heev, kev coj khaub ncaws thiab lwm yam kab mob yuav tshwm sim),
muaj teeb meem nrog cov hlab plawv hlab ntsha (mob plawv, mob plawv) tuaj yeem tshwm sim
teeb meem kev zom zom ntau
xeev siab thiab txawm ntuav tuaj yeem sawv ntxov,
tus neeg yeej sab sab thiab tsis muaj zog
muaj teeb meem nrog pw tsaug zog, nquag pw tsaug zog,
muaj kev nqhis dej heev, ib tug neeg tau haus dej tas li thiab yuav luag txhua qhov kom ua rau nws nqhis dej,
nce lossis vice versa txo qis qab los noj mov,
mob taub hau heev
poj niam feem ntau muaj teeb meem thiab kab mob “ntawm sab poj niam” (thrush thiab lwm yam mob sib kis),
tus hniav tshwm rau ntawm daim tawv nqaij (tshwj xeeb ntawm caj npab thiab ceg),
ntshav coagulates tsis zoo thiab tej qhov txhab kho zoo.

Raws li koj tuaj yeem pom, cov tsos mob muaj ntau yam sib txawv thiab nws nyuaj heev uas tsis pom lawv. Yog tias koj xav hloov lub cev thiab cov tsos mob pib txhawj xeeb koj heev, ces koj yuav tsum hu rau kws kho mob sai li sai tau, leej twg yuav ua kev soj ntsuam, kuaj xyuas koj thiab, yog tias tsim nyog, sau ntawv tuaj kho mob kom raws sijhawm thiab tsim nyog. Nco ntsoov tias nws yog cov tsos mob ntawm tus kabmob uas pab tau sijhawm kom paub tus mob.

Keeb kwm insulin

Lub luag haujlwm tseem ceeb ntawm tus kws kho mob thaum kho mob ntshav qab zib yog kev tshem tawm cov cim thiab cov tsos mob uas twb muaj lawm. Thaum kho cov ntshav qab zib mellitus, nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li kev tswj tus kheej, vim nws yog ib qho tseem ceeb heev rau cov neeg mob ntshav qab zib ua ntu zus los soj ntsuam cov ntshav qab zib. Nws tsim nyog sau cia tias txawm hais tias mob ntshav qab zib (niaj hnub no) kho tsis tau nws tus kheej, nws yog insulin uas pab thiab qhia tib neeg kom tswj tau tus kab mob no.

Qhov kev tshwm sim ntawm insulin, raws li cov kws tshawb fawb, tau pom rov qab rau xyoo 1923. Thawj tus uas tshawb nrhiav thiab tsim cov tshuaj insulin yog suav tias yog tus kws tshawb fawb muaj koob npe hauv Canada - Frederick Bunting. Nws yog nws leej twg thaum kawg Lub Ib Hlis 1923 yog thawj zaug cawm tus neeg mob ntshav qab zib los ntawm kev txhaj tshuaj rau nws ntawm insulin. Tus neeg mob yog tus menyuam tub hnub nyoog 14 xyoos uas muaj ntshav qab zib ntau ntau. Nws yog tsim nyog sau cia tias muaj Ntiaj Teb Mob Ntshav Qab Zib Hnub, uas ua kev zoo siab rau lub Kaum Ib Hlis 14. Tsis tas li, kuv xav nco ntsoov tias hnub no tau raug xaiv vim qhov tseeb tias Bunting tau yug rau lub Kaum Ib Hlis 14. Yog li ntawd yog vim li cas qhov kev tshawb pom no tsis tau hloov nyob rau hnub no.

Cov tsos mob ntshav qab zib

Hauv nws tus kheej, tus kabmob no tau muab faib ua ntau hom. Cia peb saib txhua hom nyob rau hauv ntau dua thiab ua li cas lawv txawv:

Yam 1 ntshav qab zib
Mob ntshav qab zib Hom 2
mob ntshav qab zib gestational.

Ntawm cov ntshav qab zib ntawm thawj hom, insulin txhaj tshuaj yog kho rau tus neeg mob, nyob rau kis tus yam thib ob, cov ntsiav tshuaj tau sau rau tus neeg mob kom tswj cov qib qab zib uas xav tau. Tab sis hom gestational feem ntau raug kuaj mob rau cov poj niam cev xeeb tub. Nws tsim nyog pom tias tom qab yug menyuam, ntshav qab zib yuav ploj mus ntawm nws tus kheej, tab sis tus poj niam tseem yuav xav kuaj ib xyoos ib zaug thiab kuaj ntshav qab zib. Txij li thaum mob ntshav qab zib gestational tuaj yeem hloov mus rau hauv ib txwm nyob tom qab ib ntus.

Nws yog tsim nyog sau cia tias kev kho mob raug kho tsuas yog los ntawm tus kws kho mob nkaus xwb. Nws tseem yuav tsum tau nco ntsoov hais tias yog tias tus kab mob yog nyob rau hauv theem ncaj, ces kev mus pw hauv tsev kho mob txawm tias tsim nyog. Txij li thaum tus neeg mob yuav tsum nyob hauv qab kev saib xyuas ntawm tus kws kho mob tas li. Raws li txoj cai, ntsiav tshuaj tau pib ua ntej, tab sis yog tias daim ntawv ntawm tus kab mob tau pib hnyav, ces kev txhaj tshuaj insulin tuaj yeem kho nyob rau thawj zaug, tab sis tom qab ib txwm muaj suab thaj, tus neeg mob tuaj yeem hloov mus rau ntsiav tshuaj.

Thawj yam uas txhua tus kws kho mob pom zoo kom mob ntshav qab zib yog khoom noj haus. Txij li nws yog cov khoom noj kom zoo uas yuav pab tswj cov ntshav qab zib thiab paub tseeb tias cov piam thaj tsis sawv. Nws yog ib qho tseem ceeb heev uas cov zaub mov yog feem, uas yog, koj yuav tsum tau noj yam tsawg 4 - 5 zaug hauv ib hnub. Nws yog qhov zoo dua rau noj hauv feem me, tab sis ntau zaus. Nyob rau tib lub sijhawm, tsis txhob hnov qab tias nws yog qhov zoo dua uas yuav tsum tso ib tug xov tooj ntawm cov khoom. Cov khoom lag luam yog dab tsi? Ib nqe lus nug uas txhawj xeeb txog txhua tus neeg mob uas tau kuaj pom muaj ntshav qab zib. Ntawm cov khoom lag luam, nws tsim nyog sau cia:

cov khoom noj siv mis ua rog,
cov rog ua haujlwm
cov khoom noj ceev
ntsim ntsim
cov nqaij haus luam yeeb (hnyuv ntxwm, hnyuv ntxwm),
rog ntses
tsis txhob tsim txom nrog qe,
kiag li tshem tawm confectionery thiab ntau yam khoom qab zib los ntawm cov khoom noj,
dej qab zib thiab dej qab zib,
khw cov kua txiv.

Cov no yog cov khoom tseem ceeb uas tus neeg mob ntshav qab zib yuav tsum muab rau. Nws yuav zoo dua yog tias muaj txiv hmab txiv ntoo ntau dua, zaub, nqaij ntshiv thiab nqaij ntses hauv cov khoom noj tseem ceeb. Kev noj zaub mov zoo ua lub luag haujlwm tseem ceeb hauv kev kho mob xws li mob ntshav qab zib. Tab sis, vim qee qhov, ntau tus neeg cia nws mus los ntawm nws tus kheej, xam qhov tseeb tias nws nyuaj lossis lawv tsis tuaj yeem ua rau lawv tsis kam lees txais qee yam khoom. Hauv cov xwm txheej zoo li no, koj yuav tsum xav txog dab tsi uas muaj txiaj ntsig zoo rau koj, lub neej lossis qee yam khoom lag luam. Tom qab tag nrho, tus kab mob no tuaj yeem ua rau neeg tuag taus thiab tsis txhob hnov qab txog nws.

Raws li qhov xaus, nws tsim nyog sau cia

Yog tias koj pib pom kev hloov pauv hauv koj lub cev, ces sab laj tus kws kho mob tam sim ntawd. Txij li thaum tus kab mob no tau txaus ntshai heev thiab yog tias nws tsis tshawb pom raws sij hawm, cov kev rau txim yuav ua tau mob hnyav thiab ua rau neeg tuag taus. Nws yog qhov zoo dua tam sim ntawd dhau cov ntawv xeem tsim nyog uas yuav pab ua kom paub thiab paub tus mob. Tom qab ntawv, tus kws kho mob kho mob yuav sau ntawv kho mob rau koj thiab qhia koj txog cov yam ntxwv ntawm tus kab mob no. Nws yog tsim nyog sau cia tias nyob rau peb lub sijhawm muaj ntau lub tsev kawm ntawm cov ntshav qab zib, nyob rau hauv uas cov neeg mob tau qhia yuav ua li cas noj thiab nyob nrog ntshav qab zib.

Yog lawm, lub luag haujlwm tseem ceeb hauv kev kho thiab tiv thaiv cov ntshav qab zib yog ua si los ntawm txoj kev ua neej kom raug thiab noj zaub mov kom raug, nws yog qhov tseem ceeb heev uas yuav ua rau lub neej muaj sia, siv sijhawm ntau hauv huab cua ntshiab, thiab tseem yuav tshem tawm qhov tsis zoo (yog tias ib tus neeg muaj lawv). Nws yog qhov tseem ceeb heev uas yuav tsum sim tsis txhob noj ntau dhau, nws yog qhov zoo dua rau noj ntau zaus, tab sis feem yuav tsum me me txaus. Nws yog los ntawm kev ua raws li cov lus qhia yooj yim uas koj tuaj yeem coj lub neej tag nrho uas yuav tsis txawv ntau ntawm tus neeg noj qab haus huv. Nco ntsoov, peb tus kheej yuav tsum liam rau qhov tshwm sim thiab kev txhim kho ntawm ntau yam kab mob.