Mob ntshav qab zib Gestational

Nyob zoo, Lyudmila!
Gestational diabetes mellitus - tus mob uas txaus ntshai tshaj plaws rau tus menyuam, thiab tsis yog rau leej niam - nws yog tus menyuam yaus uas raug mob ntshav qab zib ntxiv hauv niam. Yog li, thaum cev xeeb tub, cov ntshav qab zib cov qauv yuav nruj dua li sab nraud ntawm cev xeeb tub: yoo cov qauv qab zib - txog 5.1, tom qab noj mov - txog 7.1 mmol / l. Yog tias peb kuaj ntsuas cov ntshav qab zib kom tsawg nyob hauv tus poj niam cev xeeb tub, ces kev noj zaub mov yog ua ntej. Yog tias, tawm tsam keeb kwm ntawm kev noj zaub mov, qab zib rov qab rau qhov qub (ceev cov piam thaj - txog 5.1, tom qab noj mov - txog 7,1 mmol / l), tom qab ntawd ib tug poj niam ua raws kev noj haus thiab tswj ntshav qab zib. Ntawd yog, hauv qhov xwm txheej no, cov tshuaj insulin tsis raug sau tseg.

Yog tias cov piam thaj hauv ntshav tsis tau rov qab los rau qhov qub ntawm keeb kwm ntawm kev noj haus, ces kev siv tshuaj insulin yog cov tshuaj (cov ntsiav tshuaj muaj suab thaj txo cov tshuaj tsis pub rau cov poj niam cev xeeb tub), thiab cov koob tshuaj insulin ntau ntxiv kom txog thaum cov suab thaj poob mus rau lub hom phiaj thaum cev xeeb tub. Yog lawm, koj yuav tsum ua raws li kev noj haus - tus poj niam tau txais insulin, ua raws kev noj haus thiab tswj ntshav qab zib kom tsis pub dhau rau cov poj niam cev xeeb tub.

Tus yam ntxwv mob ntshav qab zib hauv poj niam cev xeeb tub yog dab tsi?

Qhov teeb meem metabolic no tsis muaj cov phiaj xwm sab nraud ua ntej qhov pom tau hais tias tus me nyuam hauv plab yog qhov loj heev. Txij ntawm no, nws tseem muaj peev xwm pib kho, tab sis nws twb lig dhau lawm. Kev kho mob yog qhov zoo tshaj plaws pib ua ntej. Yog li, txhua tus poj niam txhawm rau tiv thaiv kev soj ntsuam qabzib tsis pub dhau 24 mus rau 28 lub lis piam ntawm kev xeeb tub. Cov piam thaj hauv ntshav ntxiv hauv tus poj niam cev xeeb tub tuaj yeem xav tias yog tus poj niam rog nce phaus ntau dua. Qee zaum cov neeg mob nco qab tias nqhis dej ntau dua thiab tso zis heev. Tab sis qhov no tsis tshua muaj. Koj tsis tuaj yeem cia siab rau cov tsos mob no. Qhov ntsuas ntshav qab zib siab yuav tsum ua txhua yam.

Cov Neeg Siv Lus

Kuv kuj tau muab tus mob no. Kuv nyob rau pluas noj. Qab zib yog qhov qub. Tab sis cov txiv hmab txiv ntoo hais tias loj. Tej zaum kuv mus noj mov lig. Thov qhia peb tias kev mob ntshav qab zib ua rau tus menyuam licas. Txhawj heev.

Kuv muaj cov khaub noom ntau nrog GSM no!

Hauv thawj B, 10 xyoo dhau los, kev yoo mov qab zib nce mus txog 6.4, tab sis kuv mus noj zaub mov, txo qis thiab poob rau tom qab kuv. GDM tsis kuaj pom

Tam sim no cov kws kho mob tau xav nrog cov piam thaj no, txo qis tus qauv rau cov poj niam cev xeeb tub. Tsis pub ntau tshaj 5.1 ntawm ib plab khoob thiab ua ntej noj mov

GDM tau muab rau kuv vim yog muaj kev nce ntxiv ntawm cov piam thaj ntawm 5.5 ntawm lub plab khoob thiab nrog glycated hemoglobin li qub. Cov ntsiab lus tau soldered thiab kev kuaj mob yuav tsis tshem tawm txawm tias muaj kua qab zib ib txwm.

Kuv tawm tsam cov tshuaj insulin. Tab sis kuv tsis muaj suab thaj ntau, qhov ntau tshaj txog 6.0.

Kuv tau xaj kev noj haus thiab tswj ntshav qab zib nrog glucometer nyob hauv tsev. Kuv tsis kam pw hauv tsev kho mob ntawm 32 lub lis piam (npaj rau ntshav qab zib los ntawm kev txiav txim tshiab). Yog tias kuv ua raws li kev noj haus, ces kuv muaj 4.7 muaj piam thaj thaum sawv ntxov, yog tias kuv tsis ua raws, kuv twb sau lawm. Nyob ntawm no kuv tsum. Kuv yuav tsis cia kuv tus kheej txhaj cov tshuaj insulin yog tias kuv nce suab thaj hauv kev noj zaub mov kom nruj, thiab tom qab 36 lub lis piam nws yooj yim xa dua li txhaj tshuaj insulin thiab rub nws ntev txog 40 lub lis piam, nws tsis paub meej vim li cas.

Kuv tsis paub huab cua zais pakoj muaj piam thaj dab tsi! Tej zaum qhov tseem ceeb nce mus txog 10, tom qab ntawd kuv tsis paub tias yuav ua li cas tam sim no, nti yog tias cov zis tsis zoo nrog acetone.

Thaum cov tshuaj insulin yog kho rau cov ntshav qab zib hauv lub sijhawm

Kev txhaj tshuaj tsis tuaj yeem kho tam sim ntawd tom qab kuaj pom tus kab mob, thaum xub thawj cov poj niam raug pom zoo kom noj zaub mov zoo thiab ua haujlwm rau lub cev, tshuaj ntsuab. Tom qab 2 lub lis piam, koj yuav tsum xeem ntsuas kev ntsuas ntshav qabzib. Yog tias yoo ntshav cov ntshav qab zib ntau dua 5.1 mmol / L, thiab 60 feeb tom qab noj cov kua nplaum - 6.7 mmol / L, ces cov tshuaj insulin pom zoo.

Cov poj niam uas muaj lub txiaj ntsig zoo yuav tsum tau kuaj ntshav. Cov lus qhia ntxiv tuaj yeem muab los ntawm kev kawm txog glycated hemoglobin.

Cov tshuaj insulin yog qhia nyob rau hauv muaj cov cim qhia tau tias - kev loj hlob ntawm tus menyuam hauv plab. Vim yog nce hauv cov ntshav qab zib, ib qho xwm txheej hu ua ntshav qab zib ua rau lub cev xeeb tub. Nws cov tsos mob tsuas yog txiav txim siab los ntawm ultrasound:

• txiv ntoo loj
• lub taub hau muaj 2 ntu,
• thickened quav ntawm lub caj dab,
• mob siab, siab ntsws, lub plawv,
• daim tawv nqaij o tuaj, ua haujlwm tuab,
• polyhydramnios tau tshwm sim thiab tab tom loj hlob, thiab nws lwm cov laj thawj raug cais tawm.

Cov kev tshawb fawb ntawm cov txiaj ntsig ntawm insulin ua pov thawj tias ua ntej tus poj niam pib siv nws tom qab kuaj ntshav qab zib, qhov tsawg dua qhov kev pheej hmoo ntawm pathologies hauv nws tus me nyuam hauv plab.

Ntsiav tshuaj kom txo qis qab zib thaum cev xeeb tub yog contraindicatedCov. Qhov no yog vim qhov tseeb tias lawv ua rau kev loj hlob ntawm cov hlab ntsha ua haujlwm ntawm tus menyuam hauv plab.

Thiab ntawm no yog ntau txog kev noj haus rau mob ntshav qab zib gestational.

Yuav ua li cas txo cov piam thaj tsis muaj tshuaj insulin thaum cev xeeb tub

Thaum qhia tawm cov ntshav qab zib hauv lub cev tsis txaus siab lossis qhov kev hem thawj ntawm nws txoj kev loj hlob, txhua tus neeg mob yuav tsum hloov pauv kev noj zaub mov, ua kom lub cev ua si, thiab siv tshuaj ntsuab nrog cov nyhuv hypoglycemic.

Qhov kev pom zoo thawj zaug rau txhua hom kev zom zaub mov yog xyuas cov khoom noj. Txhua yam khoom muaj qab zib, confectionery, qos yaj ywm, txiv hmab txiv ntoo qab zib, zib ntab yuav tsum tshem tawm tag nrho los ntawm nws. Nws raug nquahu kom txo qhov feem ntawm cov zaub mov tiav:

• cov kaus poom zaub mov
• hnyuv ntxwm,
• cov nqaij thiab ntses delicacies
• semi-tiav khoom
• kua txob
• cov khoom noj ceev
• kua txiv
• dej qab zib
• pickles
• marinades.

Cov nqaij ua tsis zoo, kib thiab ntsim zaub mov tseem raug txwv tsis pub ua.

Cov zaub mov muaj:

• tshiab thiab siav zaub
• tsev cheese 2-5%, haus dej qab zib tsis ntxiv los ntawm cov txiv hmab txiv ntoo thiab qab zib,
• cov nqaij ntshiv, ntses, nqaij qaib, nqaij nruab deg,
• cereals los ntawm whole grains (tshwj tsis yog semolina, couscous, mov dawb),
• rye qhob cij thiab ceg
• zaub roj, txiv ntoo,
• zaub ntsuab
• txiv hmab txiv ntoo, unsweetened txiv hmab txiv ntoo.

Koj yuav tsum noj 6 zaug nyob rau ib hnub - peb pluas mov loj, ob khoom noj txom ncauj thiab haus qaub-mis ua ntej mus pw. Cov tais diav yuav tsum tau npaj tshiab, muaj cov khoom lag luam nyob hauv thaj chaw ntawm qhov chaw nyob. Cov zaub mov yooj yim dua thiab zaub ntxiv thiab cov zaub mov mis mis ntawm cov keeb kwm hauv nws, nws yooj yim dua kom ua tiav qhov ntsuas qhov xav tau.

Lub cev qoj ib ce

Ua kom nce qib tag nrho ntawm kev ua haujlwm pab kom kov yeej cov tsis kam ntawm cov ntaub so ntswg mus rau lawv tus kheej cov insulin. Nws yog qhov txheej txheem no uas underlies qhov tshwm sim ntawm muaj ntshav qab zib hauv plab gestational. Kev tawm dag zog kuj txhawb nqa lub suab nrov ntawm lub cev, txwv tsis pub cov rog ntau dhau.

Saib ntawm daim vis dis aus hais txog cov kev tawm dag zog rau cov poj niam cev xeeb tub:

Cov kev ntim uas pom zoo suav nrog kev taug kev, ua luam dej, yoga, kho kev tawm dag zog rau cov poj niam cev xeeb tub. Qhov tag nrho ntawm cov chav kawm yog tsawg kawg 150 feeb toj ib lub lim tiam kom tau txais kev kho mob zoo.

Tshuaj ntsuab tshuaj ntsuab

Cov sib xyaw ntawm cov nqi suav nrog cov tshuaj ntsuab uas muaj txiaj ntsig zoo ntawm cov txheej txheem hauv metabolic. Nws yuav tsum tau yug los hauv lub siab tias thaum lub sijhawm cev xeeb tub lawv tsuas yog kws kho mob sau tseg. Cov kev hais daws zoo tshaj suav nrog:

• txiv hmab txiv ntoo thiab nplooj ntawm blueberries, lingonberries,
• taum nplooj
• nplooj ntawm birch, Walnut, currant, qus strawberry,
• rosehips, hawthorn,
• flax noob
• pob kws stigmas.

Lawv tuaj yeem noj ib qho zuj zus lossis ib qho kev npaj ntawm 2-3 tshuaj ntsuab. Multicomponent phytopreparations tuaj yeem ua rau muaj kev tsis haum tshuaj, yog li nws yog qhov zoo dua rau xaiv 1-2 lub tebchaw thiab hloov lawv ntawm lawv tus kheej.

Kev kuaj mob

Cov kev pheej hmoo txaus ntshai rau tus mob ntshav qab zib hauv kev tsis ua hauj lwm tau teev tseg saum toj no. Cov poj niam uas lawv nyob tam sim no yuav tsum tau mus kuaj ntshav qabzib thaum lub sijhawm npaj yuav xeeb tub. Thaum lub sijhawm kuaj xyuas no, kuaj ntshav sai sai, tom qab ntawd tus neeg mob tau muab kua dej qabzib los haus, ntshav yuav rov qab noj dua tom qab 1 thiab 2 teev. Hauv cov neeg uas muaj cov metabolism hauv lub cev tsis hnov ​​lus zoo, suab thaj yog nce ntxiv tom qab cov piam thaj. Tej zaum qhov kev ntsuas yuav kuaj pom tus kab mob ntshav qab zib hom 1 lossis ntshav qab zib hom 2 yav dhau los. Thaum tsis muaj teeb meem txaus ntshai, kev ntsuas ntshav qabzib tsis ua rau lub sijhawm npaj, tab sis twb tau thaum cev xeeb tub, thaum pib ntawm nws lub hlis thib peb.

Kuaj ntshav muaj ntshav qab zib yog dab tsi?

Kuaj ntshav qabzib kuaj ntshav qabzib. Nws yuav siv 2 lossis 3 teev thiab xav tau ntau cov ntshav kuaj. Cov kws kho mob sib txawv ua qhov kev kawm no nrog tov 50, 75 lossis 100 grams piam thaj. Kev tsom xam rau glycated hemoglobin yooj yim dua, tab sis qhov no nws tsis haum, vim tias nws muab dhau qhov ua tiav.

Tom qab dhau cov ntshav qabzib kuaj ntshav qab zib, kev kuaj mob ntawm tus mob ntshav qab zib hauv lub cev tau ua yog tias tsawg kawg ib qho ntawm cov txiaj ntsig tau tshaj tus ntsuas tus nqi. Yav tom ntej, cov tshuaj insulin raug xaiv nyob rau hauv ib txoj hauv kev ua kom txo qis li qub tau ntawm cov piam thaj hauv qab, 1 thiab 2 teev tom qab noj mov. Peb rov hais dua tias cov roj ntsha tsis hnov ​​qabzib tau muab zais. Nws tuaj yeem kuaj tau raws sijhawm nkaus xwb nrog kev pabcuam kuaj ntshav rau qab zib. Yog tias paub tseeb tias tus kabmob, koj yuav tsum tau saib xyuas ntshav siab thiab lub raum ua haujlwm. Rau qhov no, tus kws kho mob yuav muab tshuaj ntxiv rau ntshav thiab tso zis kuaj ntshav, qhia koj tias yuav tsum saib xyuas ntshav ntshav li cas hauv tsev.

Cov cai ntawm cov ntshav qab zib hauv cov poj niam cev xeeb tub

Nyeem cov ncauj lus kom ntxaws, "Cov Ntshav Qab Zib Qeb." Nkag siab sib txawv qhov txawv no npaum li cas rau cov poj niam cev xeeb tub thiab txhua lwm pawg neeg. Tsab ntawv xov xwm tseem qhia txog cov hom phiaj sib txawv ntawm kev kho mob ntshav qab zib hauv plab mus rau txawv teb chaws thiab txawv teb chaws hauv Lavxias. Cov ntaub ntawv raug nthuav tawm nyob rau hauv daim ntawv ntawm lub rooj yooj yim.

Saib qhov link video hauv qab no thiab. Hauv nws, Dr. Bernstein qhia tias cov piam thaj tiag tiag rau cov poj niam cev xeeb tub yog dab tsi thiab cov khoom noj khoom haus yuav tsum zoo li cas. Kawm yuav ua li cas kom tau los ntawm kev noj tshuaj tsawg kawg ntawm cov tshuaj insulin, lossis txawm tias tsis muaj kev txhaj tshuaj, ua raws li kev noj zaub mov zoo.

Yuav ua li cas kom muaj suab thaj hauv cov ntshav qab zib hauv kev muaj mob?

Qhov kev kho mob yog kom txo tus neeg mob cov ntshav qab zib thiab kom tsis txhob ua ntau dhau nws thiaj li tsis poob qis dua li qub. Txoj hauv kev kom ua tiav lub hom phiaj no tau piav qhia meej tom qab ntawm nplooj ntawv no. Tsis muaj cov ntsiav tshuaj siv. Kev noj haus tau raug txwv, uas, yog tias tsim nyog, yuav ntxiv nrog cov tshuaj insulin. Kev siv dag zog kom hnyav pab txo qis kom muaj qabzib. Tab sis lawv tsis pom zoo rau cov poj niam cev xeeb tub, yog li ntawd kom tsis txhob ua txhaum menyuam.

Yuav ua li cas txo cov suab thaj thaum sawv ntxov ntawm lub plab khoob?

Nyeem kab lus ntxaws ntxaws, “Qab zib rau ntawm lub plab khoob thaum sawv ntxov.” Nrog kev pom zoo ntawm koj tus kws kho mob, sim txhaj cov tshuaj insulin txuas ntxiv hmo ntuj, raws li sau rau hauv. Tsab ntawv xov xwm tseem tham txog ntsiav tshuaj metformin. Txawm li cas los xij, cov tshuaj no feem ntau tsis tau sau tseg rau cov poj niam cev xeeb tub kom txo lawv cov ntshav qab zib. Tsuas siv kev noj zaub mov kom tsis muaj mob thiab insulin.

Mob ntshav qab zib Gestational: kev kho mob

Qhov tseem ceeb tshaj plaws yog kev noj haus. Yog tias tsim nyog, nws tau ntxiv los ntawm kev txhaj tshuaj ntawm cov tshuaj insulin hauv kev suav meej meej koob tshuaj, raws li tus kheej lub tswv yim. Cov kws kho mob ib txwm sau daim ntawv ua zaub mov noj naj npawb 9. Txawm li cas los xij, kev noj zaub mov no tsis pab cov poj niam cev xeeb tub coj qab zib kom rov zoo li qub. Lub vev xaib endocrin-patient.com txhawb txoj kev noj zaub mov kom tsis muaj carb zoo los tswj cov metabolism hauv cov piam thaj. Cov khoom noj no haum rau menyuam yaus thiab tus poj niam cev xeeb tub. Nyeem ntxiv txog nws hauv qab no. Raws li kev ua kom lub cev, cov poj niam cev xeeb tub yuav tsum tau ceev faj kom tsis txhob ua kom lawv txoj kev nyob zoo thiab tsis txhob ua rau lub siab tsis ua menyuam yaus. Sib tham txog qhov teeb meem no nrog koj tus kws kho mob. Kev yos hav zoov zoo li yuav muaj kev nyab xeeb thiab tuaj yeem pab tau.

Dab tsi yog qhov phom sij ntawm tus kab mob no?

Mob ntshav qab zib muaj hnub nyoog tuaj yeem muaj kev cuam tshuam tsis zoo rau tus menyuam hauv plab. Txog caij yug, tus me nyuam yuav lub cev hnyav dhau - 4.5-6 kg. Qhov no txhais tau tias kev yug menyuam yuav nyuaj thiab feem ntau yuav phais menyuam yaus. Yav tom ntej, cov menyuam yaus no muaj kev pheej hmoo tiv thaiv kev rog thiab lwm yam teeb meem ntxiv. Tawm tsam keeb kwm ntawm mob ntshav qab zib hauv kev xeeb tub hauv cov poj niam cev xeeb tub, qhov pheej hmoo ntawm preeclampsia nce. Qhov no yog qhov cuam tshuam uas pom los ntawm cov ntshav siab, o, thiab cov tsos ntawm cov protein nyob hauv cov zis. Nws tuaj yeem hem tau leej niam thiab tus menyuam lub neej. Hauv cov xwm txheej zoo li no, cov kws kho mob feem ntau tsis muaj kev xaiv tab sis ua rau yug ua ntej.

Lub cev nyhav dhau heev ntawm lub cev yog hu ua macrosomia. Tus menyuam mos yug tshiab tuaj yeem ntsib kev ua pa nyuaj, txo lub suab nrov, txwv tsis pub ntxais, tsis meej thiab daj ntseg. Qhov no hu ua mob ntshav qab zib. Nyob rau hauv lub neej yav tom ntej, tej zaum yuav muaj lub plawv tsis ua haujlwm, poob qis hauv kev xav thiab lub cev. Ib tus poj niam muaj qhov pheej hmoo siab mob ntshav qab zib hom 2 ntawm lub hnub nyoog tseem hluas. Kev noj zaub mov kom tsis txhob muaj carb zam dhau qhov teeb meem thaum cev xeeb tub. Nws normalizes qab zib thiab ntshav siab. Qhov yuav tsum tau siv cov tshuaj insulin yog txo qis. Ntau tus neeg mob tswj kom tso tseg txoj kev tswj cov tshuaj insulin kom zoo thaum tswj kev noj qabzib hauv cov ntshav.

Puas yog ntshav qab zib hauv plab tsis dhau tom qab yug?

Yog lawm, cov teebmeem no yuav luag ploj mus sai sai tom qab yug menyuam tas. Lub tsev me nyuam tsis muaj feem cuam tshuam txog keeb kwm keeb kwm hormonal. Ua tsaug rau qhov no, insulin rhiab heev thiab ntshav qab zib cov ntshav rov qab mus rau qhov qub. Ntau tus neeg mob xav tau cov tshuaj insulin kom txog thaum xa khoom tuaj. Txawm li cas los xij, yog hais tias muab cov tshuaj no tsis cuam tshuam lub sijhawm, tom qab yug los cov ntshav qab zib yuav txo ntau dhau. Cov kws kho mob feem ntau suav qhov kev txiav txim siab no thaum npaj cov tshuaj insulin. Tom qab tso tawm los ntawm lub tsev kho mob, tus poj niam tseem muaj kev pheej hmoo siab rau mob ntshav qab zib hom 2. Nws kuj tseem muaj teeb meem thaum lub sijhawm cev xeeb tub tom ntej. Yog li ntawd, nws ua rau pom kev ua raws li qis-carb cov zaub mov noj rau kev tiv thaiv.

Cov kws kho mob yeej ib txwm pom zoo kev noj zaub mov # 9 rau cov poj niam uas muaj ntshav qab zib gestational. Qhov kev noj zaub mov no muaj kev txwv cov rog thiab cov calories, kom noj 5-6 zaug nyob rau ib hnub hauv feem me me. Nyeem ntxiv txog nws hauv kab lus “Cov pluas noj ntawm lub rooj 9”. Qhov teeb meem yog tias nws tsis pab ua kom qab zib thaum lub cev xeeb tub. Vim tias cov zaub mov no dhau heev lawm nrog cov zaub mov uas ua rau muaj ntshav qab zib ntxiv. Ib qho ntxiv, vim kev txwv tsis pub cov calories, cov neeg mob tau tshaib dhau los ua kev tshaib plab. Ntau zaus noj zaub mov zoo tsis pab ua kom nws poob dej. Kev txwv qhov tseem ceeb ntawm caloric kom tsawg thaum cev xeeb tub yog lub tswv yim dub feem ntau.

Lub endocrin-patient.com lub vev xaib pom zoo noj zaub mov kom tsawg los tswj cov ntshav qab zib hauv poj niam. Nws tag nrho tshem tawm cov khoom noj uas ua rau muaj ntshav qab zib tom qab noj mov. Yog li ntawd, qab zib rov qab rau qhov qub thiab ua kom zoo li qub. Cov zaub mov noj no tseem ua rau cov ntshav siab, txo qis edema thiab txo kev pheej hmoo ntawm preeclampsia. Nws yog dav siv los kho hom 1 thiab ntshav qab zib hom 2. Los ntawm cov piam thaj hauv siab thaum cev xeeb tub kuj pab tau, yam tsis muaj kev phom sij tshwm sim.

Saib cov vis dis aus saib yuav ua li cas cov protein, rog thiab carbohydrates cuam tshuam rau cov ntshav qab zib. Mob ntshav qab zib Gestational tau tham hauv nws rau 5-7 feeb.

Nrog qhov tshwm sim siab heev, nws yuav muaj peev xwm ua yog tias tsis muaj tshuaj tiv thaiv ntawm cov tshuaj insulin. Thiab yog tias koj tseem yuav tsum nkaug, koj yuav tsum tau siv tshuaj tsawg kawg.

Cov neeg uas ua raws li cov zaub mov noj qis yuav muaj ketones (acetone) hauv lawv cov zis. Cov kws kho mob feem ntau ua rau cov poj niam cev xeeb tub ntshai hais tias cov kua qaub hauv cov zis yuav ua rau muaj kev nchuav me nyuam. Qhov no tsis muaj tseeb. Hauv ob nrab ntawm kev xeeb tub, ketones hauv cov zis tuaj yeem pom nyob rau yuav luag txhua tus poj niam, tsis hais nws noj zaub mov zoo li cas. Cov poj niam Asmeskas twb tau tsim muaj ntau txoj kev tsis raws cai uas siv cov khoom noj muaj haus tsawg thaum noj tshuaj cev xeeb tub. Qhov kev paub zoo no. Nws tau los ua kom pom tseeb tias tsis tas yuav ntxiv cov txiv hmab txiv ntoo lossis lwm cov khoom noj ntxiv rau hauv cov khoom uas tau tso cai kom tshem cov acetone. Kuaj koj cov piam thaj ntau nrog lub ntsej muag, thiab nws zoo dua tsis ntsuas ntsuas ketones hauv koj cov zis txhua.

Saib qhov link video hauv qab no. Nws yuav nplij koj txoj kev ntshai txog acetone.Tshawb nrhiav seb koj yuav tsum tau haus cov carbohydrate ntau npaum li cas rau pluas tshais, noj su thiab noj hmo kom tswj tau tus mob ntshav qab zib hauv lub cev, tiv thaiv koj tus kheej ntawm edema, ntshav siab thiab lwm yam teeb meem.

Kuv tuaj yeem noj dab tsi nrog cov ntshav qab zib hauv lub cev?

Siv daim ntawv tso cai cov khoom lag luam, cov npe txwv tsis pub khoom lag luam thiab cov qauv ntawv qhia rau lub lim tiam. Koj tuaj yeem nrhiav cov zaub mov noj npaj txhij thiab tuaj nrog koj tus kheej, yog tias tsuas yog lawv tau muaj cov khoom pub uas muaj qhov tsis suav nrog kev txwv tsis pub tuaj. Cov khoom noj muaj peev xwm ua tau ntau yam, qab thiab txaus siab, txawm tias nqaij, nyob ntawm pob nyiaj siv. Nws muaj tag nrho cov protein tsim nyog, lub cev kom zoo rau lub cev, vitamins thiab fiber. Carbohydrates tsis yog qhov xav tau ntawm kev loj hlob ntawm tus me nyuam. Cov poj niam cev xeeb tub uas mob ntshav qab zib gestational tuaj yeem tsim kev puas tsuaj. Yog li ntawd, nws zoo dua rau cais lawv los ntawm kev noj haus.

Cov neeg mob feem ntau txaus siab rau cov khoom lag luam hauv qab no: cov noob taum, noob, noob txiv, ncuav qab zib, mis. Porridge thiab pastries monstrously nce ntshav qab zib. Lawv yuav tsum raug tshem tawm tag nrho vim tias lawv coj tus mob loj. Cov noob paj noob hlis tuaj yeem noj tau yam tsis muaj qab zib thiab lwm yam khoom qab zib. Qee hom noob txiv ntoo haum rau koj, lwm tus tsis zoo heev. Cov txiv ntoo zoo tshaj yog Brazil, macadamia thiab hazelnuts. Cov ntoo zoo yog noob txiv walnuts, almonds thiab txiv laum huab xeeb. Cashew txiv ntoo yuav tsum tsis txhob noj. Cov txiv ntoo thiab noob yog cov zaub mov muaj txiaj ntsig zoo dua hauv cov kib. Qhov zoo tshaj plaws tsis muaj ntsev rau kev tiv thaiv ntawm edema. Ntawm cov khoom siv mis nyuj, tawv cheese yog qhov zoo tshaj. Koj tuaj yeem ntxiv cov kas fes rau hauv kas fes, muaj cov tuab yogurt tsis muaj txiv hmab txiv ntoo thiab khoom qab zib. Kev siv tsev cheese yuav zoo dua rau kev txwv.

Vim li cas thiaj tsis noj cov khoom qab zib?

Zib ntab thiab lwm yam khoom qab zib sai thiab ua rau ntshav qab zib ntau ntau. Koj tuaj yeem ua kom paub tseeb los ntawm ntsuas ntsuas qab zib tom qab noj mov nrog glucometer. Yog tias cev xeeb tub los ntawm cov kab mob ntshav qab zib hauv plab tsis zoo, cov khoom no yuav tsim kev puas tsuaj rau tus poj niam thiab nws tus menyuam hauv plab. Koj tuaj yeem siv stevia ua qhov hloov qab zib. Kev noj haus qib nrab ntawm chocolate dub, nrog ib lub cocoa cov ntsiab lus ntawm tsawg kawg 86%, tseem raug tso cai.

Kuv yuav noj cov txiv zoo li cas?

Cherry, txiv pos nphuab, apricots, lwm yam txiv hmab txiv ntoo thiab txiv ntoo qab zib ntxiv rau cov ntshav qab zib thiab yog li ua ntau qhov kev phom sij ntau dua li qhov ua tau zoo. Nws zoo dua yog tsis txhob noj lawv txhua lub sijhawm. Cov poj niam cev xeeb tub uas muaj cov piam thaj hauv siab tau txais kev pab los ntawm cov zaub mov tsis zoo rau ntau xyoo. Txog thaum nyuam qhuav, nws raug nquahu kom ntxiv cov carrots, beets thiab txiv hmab txiv ntoo rau cov khoom uas tau tso cai thiab pom zoo kom tshem cov tshuaj acetone hauv cov zis. Nyob rau hauv xyoo tas los, txheeb cais tau tsim ntau ntxiv, uas tau qhia tias qhov no tsis tsim nyog.

Ntau pua tus poj niam Asmeskas tau lees tias lawv tau yug cov menyuam kom noj qab haus huv yam tsis muaj teeb meem, ua raws li kev noj zaub mov kom tsawg hauv lub cev xeeb tub thoob plaws lub cev xeeb tub, kom tshem tawm cov txiv ntoo. Cov zaub mov txwv thaum cev xeeb tub ua rau lub cev nyhav dhau los, ua rau kom cov ntshav qab zib, ntxiv rau ntshav qab zib, ntshav siab thiab muaj preeclampsia. Nws puas tsim nyog nws ua rau koj tus kheej tag nrho cov teeb meem no rau lub hom phiaj ntawm ib pliag Library los ntawm cov txiv hmab txiv ntoo?

Cov txiv hmab txiv ntoo qhuav yog ib yam li muaj kev phom sij li cov txiv hmab txiv ntoo tshiab thiab cov txiv ntoo. Qhov tseem ceeb xav tau cov txiv hmab txiv ntoo thiab lwm cov khoom noj uas muaj cov khoom noj uas yog carbohydrate yog cov lus qhia tsis zoo. Carbohydrates, tsis zoo li cov protein thiab cov rog, tsis yog cov khoom tseem ceeb rau cov poj niam cev xeeb tub, txhua lwm pawg ntawm cov neeg laus thiab cov menyuam yaus. Cov ntshav qab zib ntau ntxiv qhia tias cov khoom noj carbohydrate tsis nkag siab los ntawm koj lub cev. Yog li ntawd, lawv yuav tsum tau txwv los yog tsis suav rau hauv kev noj haus. Koj yuav tau txais txhua yam fiber ntau thiab vitamins los ntawm zaub ntsuab, txiv ntoo, zaub qhwv thiab lwm yam zaub uas tso cai. Hloov cov txiv hmab txiv ntoo thaum cev xeeb tub, kho koj tus kheej kom qab nqaij lossis nqaij nruab deg.

Qhov twg yog cov tshuaj insulin

Thaum cev xeeb tub, tsis yog tag nrho cov tshuaj muaj cai. Siv cov tshuaj uas tsim kev nyab xeeb rau leej niam thiab tus menyuam. Cov tshuaj no suav nrog cov tshuaj insin txhob kaw:

• ultrashort - Humalog, Novorapid,
• luv luv - Humulin R, Actrapid NM, Insuman sai sai,
• lub sijhawm ua ntev - Levemir, Insuman Bazal, Humulin NPH.

Hauv txhua kis, lawv raug xaiv xaiv tus kheej. Cov txheej txheem ntawm lawv cov tswj hwm yog nyob ntawm cov ntaub ntawv dab tsi tau txais thaum lub sijhawm saib xyuas ntshav qab zib hauv ntshav txhua hnub. Cov poj niam cev xeeb tub feem ntau xav tau pw hauv tsev kho mob hauv endocrinology chav ua ntej teem sijhawm kho mob insulin.

Kev ntsuas kev ntsuas ntawm cov piam thaj yog ua rau thaum sawv ntxov ntawm lub plab khoob, tom qab ntawd ua ntej txhua pluas noj thiab 60 thiab 120 feeb tom qab noj mov. Yuav tsum muaj qhov xav tau thiab hmo ntsuas ntawm 2, 4 thiab 6 teev los txiav txim cov tshuaj tiv thaiv rau cov tshuaj insulin.

Kuv puas tuaj yeem siv fructose rau mob ntshav qab zib?

Fructose yog ib yam khoom ua muaj kev puas tsuaj ntau dua li piam thaj. Nws pib nce cov ntshav qab zib tsis yog sai li sai tau tom qab noj mov, tab sis tom qab.

Saib cov vis dis aus txog fructose hauv ntshav qab zib. Nws tham txog cov txiv hmab txiv ntoo, zib ntab zib ntab, thiab cov khoom noj uas muaj ntshav qab zib tshwj xeeb.

Fructose tsis yog tam sim ntawd nqus, tab sis rau ntau teev. Nws tswj kom ua teeb meem tseem ceeb thaum lub cev ua cov txheej txheem nws. Ntshav qab zib cov zaub mov uas muaj cov khoom no yog tshuaj lom ntshiab. Txav deb ntawm lawv. Fructose, uas pom muaj hauv cov txiv hmab txiv ntoo thiab cov txiv ntoo, ua rau muaj kev pheej hmoo ntawm ntshav qab zib hom 2 ntau dua thiab ua rau txoj kev mob ntawm cov mob no ploj zuj zus. Ntau thiab ntau cov pov thawj tau khaws cia tias nws txhawb qhov kev txhim kho ntawm gout thiab nce qhov hnyav ntawm nws cov kev tawm tsam.

Thaum koj yuav tsum ua kom tsis muaj ntshav qab zib, nyob rau kis loj, koj tsis tuaj yeem ua yam tsis muaj insulin. Kev noj zaub mov kom tsawg, piav qhia saum toj no, tso cai rau ntau tus poj niam cev xeeb tub ua kom lub suab thaj zoo yam uas tsis muaj kev txhaj tshuaj. Qee tus neeg mob tseem yuav siv tshuaj insulin. Rau lawv, tsis muaj zaub mov carbohydrate ntau zaus txo qhov tshuaj ntawm lub cev. Thov nco ntsoov tias cov kws kho mob hauv tsev tseem tsis tau paub txog qhov qis ntawm cov tshuaj insulin.

Yog tias koj suav cov txiv hmab txiv ntoo, khoom qab zib thiab lwm yam khoom noj uas txwv hauv koj cov khoom noj, koj yuav tsum tau nce ntau npaum li cas ntawm cov koob tshuaj. Hauv qhov no, ntshav qab zib yuav dhia lossis cia stably siab. Tham nrog koj tus kws kho mob yog tias koj xav tsim cov tshuaj insulin. Yog tias yog, tom qab ntawv khaws cov tshuaj insulin rau koj tus kheej nrog koj tus kws kho mob. Nyeem ntxiv ntawm cov ntawv sau "Kev suav ntawm kev siv sijhawm ntev ntawm cov insulin rau kev txhaj tshuaj thaum hmo ntuj thiab yav sawv ntxov" thiab "Kev xaiv ntawm kev txiav txim ntawm luv luv thiab ultrashort insulin ua ntej noj mov."

Qhov insulin twg siv rau GDM?

Ua ntej tshaj plaws, cov insulin ntev heev pib txhaj tshuaj. Feem ntau, Levemir yog cov kws kho mob. Vim tias cov pov thawj txaus ntseeg tau tau txais hom tshuaj insulin no rau cov poj niam cev xeeb tub. Koj kuj tseem tuaj yeem siv ib qho ntawm cov tshuaj sib tw Lantus lossis Tresiba. Nws yog qhov tsis tsim nyog xav kom txhaj tshuaj nruab nrab insulin Protafan lossis ib qho ntawm nws cov analogues - Humulin NPH, Insuman Bazal, Biosulin N, Rinsulin NPH.

Hauv cov xwm txheej loj, koj yuav tsum tau txhaj tshuaj insulin ntau luv luv los yog hnoos qeev ua ntej noj mov. Lawv tuaj yeem sau cov tshuaj Humalog, Apidra, Novorapid, Actrapid lossis lwm yam.

Cov poj niam cev xeeb tub ntawm kev noj zaub mov tsis zoo yog feem ntau tsis tas yuav tsum txhaj cov insulin sai ua ntej noj mov. Tsuas yog qee qhov mob tsawg tsawg thaum hom ntshav qab zib hom 1 tau ua yuam kev rau cov ntshav qab zib hauv mob plab.

Lub sijhawm no, nws zoo dua kom tsis txhob muaj hom tshuaj insulin tsim tawm hauv tsev. Siv cov tshuaj muaj txiaj ntsig zoo, txawm tias koj yuav tsum yuav nws rau koj cov nyiaj. Peb rov qab hais tias tom qab kev noj zaub mov noj qab nyob zoo txo ​​qis qhov yuav tsum tau siv cov tshuaj insulin los ntawm 2-7 zaug piv nrog cov kws kho mob tau siv.

Tshuaj insulin rho tau li cas tom qab yug menyuam tas hauv cov ntshav qab zib muaj mob ntshav qab zib?

Tam sim ntawd tom qab yug los, xav tau cov insulin hauv cov poj niam mob ntshav qab zib poob qis. Vim tias cov placenta tsis kam muab cov tshuaj uas cov kab mob hauv lub cev txo qis rau cov tshuaj no. Feem ntau cov feem ntau, nws yuav muaj peev xwm ua kom tshem tawm kev txhaj tshuaj ntawm cov tshuaj insulin. Thiab cov ntshav qab zib yuav tsis sawv, txawm tias qhov tshem tawm no.

Yog tias koj txuas ntxiv txhaj tshuaj insulin tom qab yug menyuam hauv tib lub sijhawm thaum cev xeeb tub, koj cov piam thaj yuav poob qis. Feem ntau yuav ua, hypoglycemia yuav tshwm sim. Txawm li cas los xij, cov kws kho mob feem ntau paub txog qhov txaus ntshai no. Lawv txo qis cov tshuaj insulin rau lawv cov neeg mob kom ncav sijhawm.

Cov poj niam uas muaj ntshav qab zib hauv lub cev twb tau hais qhia kom lawv nyob qhov muaj zaub mov noj kom tsawg tom qab yug menyuam tas. Koj muaj feem yuav muaj mob ntshav qab zib hom 2 tom qab 35-40 xyoo. Tshem tawm cov teeb meem carbohydrates los ntawm koj cov zaub mov kom tsis txhob muaj kev puas tsuaj no.

18 lus ntawm cov ntshav qab zib gestational

Zoo thaum tav su, Sergey!
Kuv muaj 30 xyoo, qhov siab 155 cm, hnyav 47 kg. Thaum cev xeeb tub, Kuv tau nce 8-9 kg, tab sis txhua yam tom qab yug tas lawm. Thaum cev xeeb tub (muaj IVF) tom qab GTT, kev kuaj mob ntawm GDM tau ua, kev ntsuas suab thaj 3.68 - 11.88 - 9.35. Ntshav tau tawm los ntawm cov ntiv tes. Nws muab glycated hemoglobin 4.77%, C-peptide 0.98 (li qub los ntawm 1.1). Kev noj haus thiab kev tawm dag zog pab tau. Kev yoo mov qab zib yeej ib txwm ua tau zoo. Tsis muaj qhov sau tshuaj insulin. Nws raug nquahu kom rov ua GTT 3 lub hlis tom qab yug. Kuv tos ntsoov yuav ntsib tus kws kho mob endocrinologist thiab teem caij mus ntsib GTT. Ntsuas cov piam thaj nrog ib qho qab zib hauv tsev, Kuv pom tias thaum noj cov khoom noj carbohydrates, nws loj hlob hauv ib teev txog 7-8, qee zaum 9. Kuv tau nres txhua yam los ntawm daim ntawv teev cov zaub mov txwv, thiab dhau kev sim. Glycated hemoglobin 5.17%, C-peptide 0.64 (li qub los ntawm 1.1), insulin 1.82 (ib txwm los ntawm 2.6), qabzib 3.56. Thov koj qhia kuv yog tias cov C-peptide tsawg qhia tias muaj cov txheej txheem ntshav qab zib tsis rov ua haujlwm tau? Kuv ntshai tias ua ntej mus ntsib kws kho mob endocrinologist hauv 5 hnub kuv yuav vwm. Tsis muaj xov xwm tsawg heev txog qhov no. Kev yoo mov qab zib yeej ib txwm nyob hauv kuv cov khoom noj; nws tseem nyob li qub tom qab noj mov nrog lub cev yoo mov. Tus menyuam tau yug los yam tsis muaj teeb meem, hnyav 3700, qhov siab 53. Ua tsaug ua ntej rau koj txoj kev pab!

Yog li C peptide qis puas pom tias kev cuam tshuam rau cov ntshav qab zib tsis ua tiav?

Yog lawm Koj tsis muaj lub cev ua rog dhau, me ntsis ntawm koj cov insulin thiab kev ua siab tsis zoo rau kev ua kom tau cov carbohydrates. Nov yog thawj zaug mob ntshav qab zib autoimmune. Cev xeeb tub yuav yog qhov kev kub siab kom pib nws.

Kuv ntshai tias ua ntej mus ntsib kws kho mob endocrinologist hauv 5 hnub kuv yuav vwm.

Koj tsis muaj dab tsi txhawj txog. Tus kab mob no, pib los ntawm kev laus, yog ib qho yooj yim. Nws tsis cuam tshuam txog lub neej zoo thiab tsis txo nws lub sijhawm, nrog kev tswj hwm zoo.

Yuav tau ua:
1. Ua nruj me ntsis ua raws li cov khoom noj muaj roj tsawg, sim hloov tag nrho tsev neeg rau nws.
2. Kawm paub yuav ua li cas txhaj tshuaj rau koj tus kheej tsis muaj dab tsi nrog kev txhaj tshuaj insulin siv cov kua ntsev rau kev kawm, raws li tau piav qhia ntawm no - http://endocrin-patient.com/vvedenie-insulina/.
3. Tshawb xyuas qab zib, piv txwv, ib zaug txhua ob lub lim tiam.
4. Npaj rau txhaj cov tshuaj insulin thaum mob khaub thuas thiab lwm yam kab mob sib kis.

Yog tias koj tsis ua txhua yam no, tom qab lub hnub nyoog 40-60 xyoo "pob paj" ntawm cov ntshav qab zib muaj teeb meem yuav tshwm sim ntawm txhais ceg, qhov muag, thiab lub raum. Zoo, koj yuav muaj hnub nyoog sai dua koj cov phooj ywg. Ntawm qhov tod tes, nws tsis yog qhov nyuaj ua kom qab zib rau hauv kev cai, thiab ua raws li kev coj noj coj ua tsis cuam tshuam nrog kev ua neej nyob. Koj tuaj yeem ua dab tsi, muaj cov me nyuam hauv qab no.

Ntev mus, nws yuav tsim nyog los txhaj tshuaj insulin, txawm hais tias ua raws li kev noj zaub mov noj. Txawm li cas los xij, cov koob tshuaj yuav tsis zoo muab piv rau cov siv los ntawm cov kws kho mob hauv tsev thiab cov mob ntshav qab zib. Koj yuav tsis muaj qhov ua tsis txaus ntseeg hais tias cov mob ntshav qab zib-insulin muaj peev xwm sau txog.

Koj tsis tuaj yeem pom zoo nyob nrog cov piam thaj hauv ntshav 6-7, thiab tseem ntau dua, muaj ntau dua. Nws yuav tsum tau tsav cov tshuaj insulin mus rau theem ntawm kev noj qab haus huv ntawm 3.9-5.5 stably 24 teev nyob rau ib hnub.

Sergey, tsaug! Koj tau xa tag nrho kuv cov kev xav kawg. Thov qhia rau kuv, lawv tab tom yuav mus nqa ib qho GTT thib ob, txij li 12 lub lis piam tau dhau mus txij thaum yug los. Puas tsim nyog nws ua rau kuv li? Kuv nkag siab hais tias qhov kev kuaj ntshav no yuav daws tsis tau qhov teeb meem rau kuv, thiab yuav muaj kev phom sij los ntawm cov piam thaj.
Thiab hais txog insulin. Ntawd yog, kom txog thaum kuv tsuav nws, yog tias qab zib yog qhov qub, tab sis khaws nws npaj cia? Kuv thov txim yog kuv nug cov lus tsis tseeb. Kuv xav paub seb yuav tsim kev sib tham nrog kuv tus kws kho keeb kwm li cas. Kuv tseem nyob hauv prostration txog qhov xwm txheej. Txawm li cas los xij, Kuv ntseeg koj li kev xav. Ua tsaug ua ntej!

Qhia rau kuv, thov, Kuv yuav mus taw ob GTT. Puas tsim nyog nws ua rau kuv li?

Kev ntsuas tso ntshav qabzib, nws tseem yog ib qho kuaj ntshav qabzib (GTT), nws ua rau pom qab ua thaum cev xeeb tub. Vim tias glycated hemoglobin muab cov kev qhia tsis pom zoo tsuas yog thaum ua kom cov ntshav qab zib ntau dhau rau tus me nyuam hauv plab.

Ntxiv rau cov poj niam cev xeeb tub, tsis muaj leej twg yuav tsum ua GTT. Nws yog qhov tshwj xeeb tshaj yog kev tsim txom cov menyuam yaus nrog qhov kev tshuaj ntsuam no. Muaj lub ntsuas cov ntshav qabzib nyob hauv tsev. Tshawb xyuas glycated hemoglobin tsis tu ncua.

Hauv txoj ntsiab cai, es tsis txhob noj GTT, koj tuaj yeem ntsuas qab zib hauv tsev nrog glucometer 3 zaug - ua ntej noj mov uas muaj cov khoom noj uas muaj carbohydrates, thiab tom qab ntawd lwm 1 thiab 2 teev tom qab nws. Muab hais tias qhov cuab yeej siv tau yog. Txawm hais tias lub tsev ntshav qabzib zoo tshaj plaws nyob hauv ntshav muab qee yam ntawm kev ua yuam kev. Tab sis nws tsis cuam tshuam. Kev koom tes, tsis muaj leej twg yuav pom zoo qhov kev pom zoo los ntsuas qab zib hauv tsev nrog glucometer es tsis txhob dhau qhov kev sim kuaj.

kev phom sij los ntawm piam thaj chaw thau khoom yuav

Koj yuav tsum tau siv sijhawm 2-3 teev nyob rau hauv kev sim nyob hauv ib qho chaw kawm muaj kev ntxhov siab. Zoo, qhov kev tsim txom los ntawm cov piam thaj kev thauj khoom kuj tseem yog.

Thiab hais txog insulin. Ntawd yog, kom txog thaum kuv tsuav nws, yog tias qab zib yog qhov qub, tab sis khaws nws npaj cia?

Tag nrho cov cai. Tsis txhob ua tub nkeeg kom kawm paub yuav ua li cas txhaj tshuaj nrog cov tshuaj insulin thiab cov tshuaj muaj ntsev ua ntej.

Kuv xav paub seb yuav tsim kev sib tham nrog kuv tus kws kho keeb kwm li cas.

Tus endocrinologist xav tau tsuas yog rau kev xiam oob khab, tshuaj insulin dawb thiab lwm yam txiaj ntsig. Txhua yam no tsis ci rau koj. Tshwj tsis yog tias yuav muaj mob hnyav ntshav qab zib, uas koj ua kom tiv thaiv. Koj tsis tas yuav mus rau endocrinologist.

Nyob zoo Kuv txaus siab rau koj lub tswv yim seb kuv puas kuaj tau tus kab mob ntshav qab zib gestational. Hnub nyoog 33 xyoo, qhov siab 169 cm, hnyav 81 kg, ntawm uas 10 kg nce thaum cev xeeb tub. Tam sim no 29 lub lim tiam ntawm kev xeeb tub. Qhov tshwm sim ntawm kev txiav ua suab thaj: kev yoo mov - 5.3, 1 teev tom qab cov piam thaj - 8,4, tom qab 2 teev - 8.7. Kuv tam sim ntawd tau muab qhov kev paub ntsuas no txaus ntshai, txawm hais tias cov txiaj ntsig tau tsuas yog siab dua li ib txwm. Ua ntej dhau cov ntawv twv, Kuv tau muaj kev ntxhov siab, vim tias muaj kab thiab kev txaj muag hauv qab lub qhov rooj, Kuv yuav tsum tau mus deb, Kuv tuaj yeem tsis lees txais txhua hnub ntawd. Tsis tas li, yav tsaus ntuj kuv tsis tau haus dej - Kuv xav tias nws tsis yooj yim sua. Cov kws kho mob twb nkag mus rau kev kuaj mob ntawm daim npav rau kuv, zoo li yuav luag thuam. Qhov no puas yog? Koj puas yuav tsum txhaj tshuaj insulin?

Cov kws kho mob twb nkag mus rau kev kuaj mob ntawm daim npav rau kuv, zoo li yuav luag thuam. Qhov no puas yog?

Koj nqe lus nug tsis tuaj yeem teb tau ncaj qha. Txawm li cas los xij, koj cov piam thaj hauv ntshav siab dua qhov koj xav tau. Txawm hais tias qhov kuaj tau pom tseeb tau li cas los, nws tseem zoo rau koj hloov mus rau kev noj zaub mov kom tsis txhob mob thaum cev xeeb tub, ntxiv rau ntxiv rau kev tiv thaiv kab mob ntshav qab zib hom 2.

Koj puas yuav tsum txhaj tshuaj insulin?

Koj yuav tsum hloov pauv mus rau kev noj zaubmov kom tsawg-carb, noj zaub mov uas tsuas tso cai - http://endocrin-patient.com/chto-mozhno-est-pri-diabete/.

Zaum ntawm nws rau 3 hnub, ntsuas koj cov piam thaj hauv ntau ntau zaug hauv ib hnub, tshwj xeeb tshaj yog thaum sawv ntxov ntawm lub plab khoob thiab 2 teev tom qab noj mov. Feem ntau yuav ua, nws yuav rov qab los nyob rau qhov qub txawm hais tias tsis muaj qhov txhaj tshuaj ntawm insulin.

Tsis tshua muaj, kev noj haus tsis txaus. Tom qab ntawd txuas cov tshuaj insulin, piv txwv li, Levemir. Pib nrog qis qis ntawm koob 1-3, thiab tsis yog tam sim ntawd nrog qhov siab, raws li cov kws kho mob tau nyiam ua.

Nyob zoo. Kuv yog 40 xyoo, hnyav 117 kg, qhov siab 170 cm, cev xeeb tub thib 29 lub lis piam. Thaum cev xeeb tub Kuv tau 20 kg. Kev yoo siab uas muaj suab thaj 5.2 - 5.8. Levomir tshuaj insulin tau sau tseg 3 qhab nia thaum sawv ntxov thiab tus nqi qub thaum yav tsaus ntuj. Kuv ua raws kev noj haus. Thov qhia rau kuv, nws puas tuaj yeem hloov pauv Levemir insulin nrog Tujeo?

Thov qhia rau kuv, nws puas tuaj yeem hloov pauv Levemir insulin nrog Tujeo?

Rau cov neeg mob ntshav qab zib uas ua raws li cov zaub mov noj qis, nws txaus los txhaj lawv tus kheej ntawm cov koob tshuaj insulin tsawg dua, ob peb zaug qis dua li cov qauv. Hauv cov koob tshuaj zoo li no, Levemir thiab Tujeo ua kev npaj ua haujlwm tsis ua teeb meem. Kuv muaj cov neeg mob uas txhaj Tujeo thiab lawv zoo.

Txawm li cas los xij, Kuv tsis paub tseeb tias cov tebchaws CIS tau tso cai Tujeo rau cov pojniam xeebtub lossis tsis tau. Piav qhia rau qhov no.

Kev yoo siab uas muaj suab thaj 5.2 - 5.8. Siv tshuaj insulin

Koj cov piam thaj qhov siab tsis yog qhov kawg. Hloov mus rau kev noj haus cov zaub mov muaj qis carb hauv lub xaib no.Feem ntau koj yuav tsis xav tso tshuaj insulin txhua lub sijhawm.

Nyob zoo Qhia rau kuv kom ua li cas nrog cov khoom lag luam uas tsis nyob hauv cov npe raug tso cai thiab txwv tsis pub dhau? Dab tsi ntau ntawm cov carbohydrates yuav tsum muaj nyob hauv cov khoom, kom nws tau tso cai rau GDM? Tsuas yog ceev cov piam thaj kom ntau zog, thaum nruab hnub 1 teev tom qab noj mov, nws nyob hauv 6.0.

Yuav ua li cas rau cov khoom lag luam uas tsis nyob hauv cov npe uas tso cai thiab txwv?

Koj tuaj yeem siv lub cav kuaj saib seb lawv cuam tshuam koj cov ntshav qab zib li cas

Dab tsi yog qhov ntau tshaj plaws ntawm cov khoom noj carbohydrates yuav tsum muaj nyob hauv cov khoom, yog li nws tau tso cai

Tsis siab tshaj 10-12%. Nyob rau hauv dav dav, nws nyob ntawm tus nqi ntawm assimilation ntawm cov carbohydrates.

Nyob zoo Tav Tsaug rau lub site. Kuv vam txog koj cov lus teb.
Kuv lub hnub nyoog yog 35 xyoo, qhov siab 170 cm, tam sim no 12 lub lis piam xeeb, hnyav 72 kg.
Kuv muaj plaub tus menyuam, tam sim no nws muaj menyuam hauv plab thib tsib. Thaum lub sijhawm plaub, kev kuaj pom ntawm GDM tau ua, raws li GTT, uas tau ua rau lub limtiam 28. Kev yoo mov qab zib yog 6.1, thiab 2 teev tom qab noj mov - tus cai. Kuv khaws zaub mov noj, Kuv yuav ib qho khoom noj me me. Qhov kev xeeb tub tag nrho tau muab ua kom qab zib nyob rau hauv ib txwm tsis muaj. Cov menyuam yaus loj tag nrho, tsuas yog thawj zaug xwb, tab sis peb tsis suav nws, nws tau yug ntxov. Tom qab yug me nyuam, tsis muaj ntshav qab zib ntxiv, txawm hais tias kuv tsis ua raws kev noj zaub mov noj. Kuv tsuas sim kom tsis txhob noj hmoov thiab khoom qab zib, txawm hais tias rau kuv nws nyuaj heev. Kuv nco qab txog lub sijhawm ua zaub mov ua npau suav phem. Qw, tawg rau ntawm cov menyuam. Nws tau muab glycated hemoglobin ob qho tib si thaum cev xeeb tub thiab tom qab yug menyuam - tus cai.
Tam sim no nws tsuas yog 12 lub lis piam, thiab yoo cov piam thaj ntawm lub ntsej muag yog 5.7-6.1. Tom qab noj mov tag, ib teev thiab ob tseem nyob hauv thaj chaw txwv. Zaum tsawg noj.
Kuv muaj lus nug rau koj: no GDM ntshiab? Vim li cas nws ib txwm yog qhov kuv tsuas yog nce siab yoo mov thaum sawv ntxov? Hnub thib peb ntawm kev noj haus. Nag hmo kuv poob rau ib qho txiv duaj thaum tav su, cov zaub mov tsuas yog muaj protein thiab roj, thiab sawv ntxov 6.1. Qhov kev pheej hmoo ntawm ntshav qab zib uas yuav muaj tshwm sim rau yav tom ntej puas loj npaum li?

Kuv muaj lus nug rau koj: no GDM ntshiab?

Tsis to taub koj txhais li cas

Vim li cas nws ib txwm yog qhov kuv tsuas yog nce siab yoo mov thaum sawv ntxov?

Nov yog rooj plaub rau cov neeg mob ntshav qab zib feem ntau

Qhov kev pheej hmoo loj uas yuav muaj ntshav qab zib tiag yog li cas yav tom ntej?

Koj muaj feem yuav muaj ntshav qab zib, mob plawv nres ntxov, lossis mob stroke. Txhua lub cev xeeb tub muaj cov teeb meem hauv lub cev zom zaub mov ntau dua.

Nws nyob ntawm koj lub hom phiaj thiab kev txhawb zog.

Nyob zoo Tav Hnub nyoog 32 xyoo, thawj cev xeeb tub, 32 lub lis piam, 68 kg, qhov siab 179 cm, ua ntej cev xeeb tub yog 60 kg. Qab zib thaum sawv ntxov yog 5.2-5,5, tom qab noj mov mus txog 7.2, Kuv tau mus noj zaub mov, tsis suav tag nrho cov txiv hmab txiv ntoo, tshuaj insulin 6 units. Kuv cov lus nug yog: yog tias tom qab khoom noj kuv muaj qab zib txij sawv ntxov txog 5.0 thiab tom qab noj mov rau 7.0, kuv puas yuav tsum txhaj tshuaj insulin?

yog tias tom qab noj zaub mov kuv muaj qab zib txij sawv ntxov txog 5.0 thiab tom qab noj mov rau 7.0, kuv puas yuav tsum txhaj tshuaj insulin?

Feem ntau yuav tsis tsim nyog.

Tsis txhob ntshai ua raws li cov khoom noj qis-carb uas nruj me ntsis, raws li tau piav qhia hauv lub xaib no, thaum cev xeeb tub. Nws tsis yog txaus ntshai thiab pab tau zoo heev.

Nyob zoo Tav Kuv muaj 30 xyoo, kev xeeb tub thib ob yog 1.3 xyoos tom qab thawj zaug. Tam sim no GDM tau nyob rau hauv kev kho kev noj haus txij li 29 lub lis piam. Yam kev ntsuam xyuas dab tsi uas yuav tsum tau ua tom qab yug menyuam tas thiaj li yuav ntsuas qhov txaus ntshai ntawm kev muaj ntshav qab zib yav tom ntej thiab nkag siab tias kuv muaj dab tsi nrog cov metabolism hauv carbohydrate? Tias muaj cov kev pheej hmoo thiab nws raug nquahu kom lo rau zaub mov noj tag nrho kuv lub neej, Kuv pom tau hais.

Qhov kev sim dab tsi uas yuav tsum tau ua tom qab yug menyuam tas los txhawm rau txhawm rau paub txaus ntshai tsam muaj mob ntshav qab zib

Lawv tsis tas yuav dhau ib zaug, tab sis yauv mus soj ntsuam ib txwm muaj. Tsawg kawg ib xyoos ib zaug - glycated hemoglobin thiab C-peptide.

Tav su zoo, Kuv muaj hnub nyoog 29 xyoo, ntshav qab zib muaj hnub nyoog 8 xyoo, Kuv npaj cev xeeb tub. Muaj lus nug nrog cov tshuaj insulin. Thaum lub sijhawm kuv lees txais Tujeo thiab Apidra. Kuv tau nyeem tias cov insulins tsis tau kawm thiab cuam tshuam zoo rau lub me nyuam hauv plab. Dab tsi ntawm insulins koj xav tias muaj kev nyab xeeb rau tus menyuam? Kuv xav tau qhov zoo tshaj plaws.

Kuv muaj hnub nyoog 29 xyoos, ntshav qab zib muaj hnub nyoog 8 xyoo, Kuv npaj cev xeeb tub

Nyeem Vkontakte pej xeem "qhov kev zoo siab ntawm niam", txog thaum nws tau npog. Muab koj cov ntshav qab zib, hlwb nce rau 2 txhua yam uas tau sau rau ntawd. Koj yog monstrously ntawm kev pheej hmoo. Rau ntau tus poj niam mob ntshav qab zib, cev xeeb tub thiab yug menyuam yog qhov qub. Tab sis rau feem ntau, lawv tseem tsis dhau. Lawv tsuas yog tsis sau rau hauv Is Taws Nem. Thaum koj muaj teeb meem nrog lub raum lossis qhov muag, nws yuav tsis yog li ntawd.

Tsis yog kuv thuam koj 100%. Tab sis kuv ceeb toom koj tias qhov kev pheej hmoo loj heev. Nws yog ntau zaus ntau dua li nws zoo li "sab nraud", kom txog rau thaum koj tau txais "sab hauv".

Dab tsi ntawm insulins koj xav tias muaj kev nyab xeeb rau tus menyuam?

Yog tias ua tau, mus ntawm Tujeo mus rau Levemir. Tab sis qhov no tseem ceeb dua li kev noj haus, kev xaiv kom haum ntawm cov tshuaj insulin, kev saib xyuas suab thaj thiab ntsuas lwm yam.

Koob tshuaj ntshav qab zib mob gestational

Feem ntau, cov poj niam raug xaj tau 4 lub koob tshuaj insulin. Peb ntawm lawv yog tuav 30 feeb ua ntej noj mov. Kev siv tshuaj yeeb-luv luv siv, thiab plaub (txuas ntxiv) yog tswj hwm ntawm 22 teev. Qhov kev txhaj tshuaj kawg tsis yog rau txhua tus.

Thiab tom qab noj mov, koj cov peev txheej tsis txaus los mus kov yeej cov tshuaj insulin, yog li koj yuav tsum nkag mus rau nws ntxiv.

Kev noj tshuaj xam yog ua raws li qib ntawm cov piam thaj hauv ntshav, peb lub hlis thaum cev xeeb tub. Hauv thawj peb lub hlis, qhov xav tau rau kev qog qis dua 1 ntu ib 1 kg ntawm lub cev hnyav. Feem ntau, cov neeg mob tau tswj hwm ntshav qabzib nrog kev noj zaub mov noj lossis ntxiv me me ntawm cov tshuaj hormones rau nws.

Kev tswj ntshav qab zib

Lub hlis thib ob yog qhov nyuaj tshaj plaws rau cov ntshav qab zib muaj mob tsis txaus. Hauv tus poj niam cev xeeb tub, qhov ntau npaum li cas ntxiv los ntawm yuav luag 1.5-2 zaug, thiab los ntawm peb lub hlis ntawm tus menyuam qhuav pib ua haujlwm, tsis tas yuav siv tshuaj ntau dua.

Thaum lub sijhawm yug menyuam tom qab kev siv tshuaj insulin, kev tawm tsam ntshav qab zib hauv lub cev feem ntau tshwm sim. Lawv tshwm sim los ntawm ib tug ntse poob nyob rau hauv cov piam thaj. Yog li ntawd, nws yog ib qho tseem ceeb:

• nruj me ntsis ua raws cov lus pom zoo nyob rau lub sijhawm noj mov tom qab txhaj tshuaj,
• tuaj yeem suav qhov kev noj tshuaj ntawm cov tshuaj hormone raws li cov ntsiab lus ntawm cov piam thaj thiab cov nyiaj ntawm carbohydrates hauv zaub mov,
• evenly faib cov khoom noj carbohydrate txhua hnub,
• saib xyuas ntshav qab zib tsawg kawg 5 zaug hauv ib hnub.

Thiab ntawm no yog ntau txog cov tshuaj Diabeton rau ntshav qab zib.

Teem caij cov tshuaj insulin yog qhia rau cov poj niam cev xeeb tub uas mob ntshav qab zib hauv lub cev nrog lub cev tsis txaus, kev tawm dag zog thiab tshuaj ntsuab. Kev txhaj tshuaj hormones yog tseem siv rau cov tsos mob ntawm tus mob ntshav qab zib. Txhawm rau xaiv cov tshuaj, kev tswj hwm cov sijhawm thiab noj ntau npaum li cas, nws yog qhov tsim nyog los soj ntsuam cov ntshav qab zib thiab cov ntaub ntawv hauv lub hlis. Thaum kev siv tshuaj insulin yog ib qho tseem ceeb, nws yog ib qho tseem ceeb uas yuav tsum ua raws li cov lus pom zoo kom ua kom ntsuas kev noj haus, lub sij hawm noj mov, thiab tswj xyuas tus kheej ntawm cov ntshav qab zib.

Koj yuav tsum noj txiv hmab txiv ntoo rau cov ntshav qab zib, tab sis tsis txhua. Piv txwv li, cov kws kho mob pom zoo rau ntau hom 1 thiab 2, rau kev mob ntshav qab zib hauv kev xeeb tub hauv cov poj niam cev xeeb tub. Koj yuav noj dab tsi? Uas txo cov suab thaj? Qhov twg yog yam tsis yooj yim sua?

Yog tias tsis ua tiav, cov niam cev xeeb tub yog kws kho mob noj zaub mov ntshav qab zib kom xeeb tub. Cov zaub mov raug xaiv, rooj txiav txim xyuas kom zoo yuav pab kom tsis txhob muaj kev rau txim loj. Puas yuav ua tau noj txiv mab liab, dib liab? Cov ntawv qhia zaub mov twg yog qhov tsim nyog rau cov ntshav qab zib ua ntshav qab zib?

Yog tias cov ntshav qab zib tau tsim tsim kom muaj kev ntseeg siab, glucometers ua tsis pauv hloov tus khub ntawm tus neeg mob. Nws yog ib qho tseem ceeb kom xaiv nws kom raug thiab txiav txim siab txog cov kev ntsuas. Dab tsi xav tau rau yam 1 thiab 2, mob ntshav qab zib gestational? Yuav ua li cas kom tau txais dawb glucometer?

Kev tiv thaiv kab mob ntshav qab zib yog nqa tawm ob qho tib si rau cov neeg uas tau mob siab rau nws qhov tsos, thiab rau cov neeg uas twb mob lawm. Thawj qeb xav tau kev tiv thaiv ua ntej. Cov kev ntsuas tseem ceeb hauv cov menyuam yaus, txiv neej thiab poj niam yog txo qis rau kev noj haus, kev tawm dag zog thiab kev ua lub neej zoo. Nrog hom 2, nrog rau 1, theem nrab thiab tertiary prophylaxis yog nqa tawm kom tsis txhob muaj teeb meem.

Ib qho zoo tshaj plaws tshuaj yog mob ntshav qab zib mellitus. Ntsiav tshuaj pab nyob rau hauv kev kho mob ntawm hom thib ob. Yuav noj cov tshuaj li cas?