Cov cai ntawm cov ntshav qab zib nyob rau hauv tus menyuam ntawm 9 xyoo: dab tsi yuav tsum muaj qib ntawm cov piam thaj?

Cov ntshav qab zib kom siab yog tswj hwm kev ua haujlwm ntawm insulin thiab glucagon, uas tsim ua cov txiav ua kab mob siab. Nws cuam tshuam los ntawm cov tshuaj hormones synthesized los ntawm qog adrenal, cov thyroid caj pas thiab cov hlab ntsha khiav haujlwm.

Kev ua haujlwm tsis zoo ntawm txhua qhov txuas ua rau cov kab mob metabolic, feem ntau ntawm cov ntshav qab zib. Hauv cov menyuam yaus, ntshav qab zib mellitus tshwm sim nrog cov teeb meem, qhov yuav tsum tau ua raws li kev noj haus, lub sijhawm ua haujlwm ntawm cov tshuaj insulin tsis raug lees paub los ntawm txhua tus, tshwj xeeb tshaj yog thaum tiav hluas.

Kev tshawb pom qhov tseem ceeb thiab tsis tau txais kev kho mob sai sai ua rau muaj kev txhim kho ntawm cov teeb meem. Yog li, txhawm rau kev kuaj mob kom raws sijhawm, txhua tus menyuam yaus muaj qhov pheej hmoo soj ntsuam cov ntshav qab zib.

Kuaj cov ntshav ntawm ntshav - yam li ib txwm thiab txawv txav

Cov sij hawm dhau los ntawm 9 txog 12 xyoo thiab 4-6 xyoo yog hais txog cov hnub nyoog uas tau pom tus kab mob ntshav qab zib mellitus tsawg kawg ntawm cov menyuam yaus. Yog li no, txawm tias tus me nyuam tsis zoo li mob, tab sis nws muaj qhov mob muaj keeb, muaj ntshav ntsuas rau cov piam thaj, electrolytes thiab urinalysis yog qhia.

Thawj kauj ruam hauv kev txheeb xyuas qhov tsis meej yog kuaj ntshav ntawm lub plab tas. Qhov no txhais tau tias tus menyuam yuav tsum yoo tsis txhob noj 8 teev. Thaum sawv ntxov koj tsis tuaj yeem noj thiab txhuam hniav. Tsuas pub cov dej haus huv tau. Ua li no, mob ntshav qab zib thiab ntshav qab zib tuaj yeem txiav txim tau.

Tus kws kho menyuam yaus lossis tus kabmob endocrinologist kuj tseem yuav muab cov ntshav ntsuas cov ntshav qabzib thiab. Qhov kev txheeb xyuas tsis cuam tshuam nrog kev tau txais khoom noj, tau coj los ntawm txhua lub sijhawm yooj yim. Nrog rau kev ntsuas no, cov ntshav qab zib tuaj yeem tsuas paub meej.

Yog tias pom tus me nyuam cov ntshav qab zib cov ntshav tau pom, tab sis muaj kev ua xyem xyav txog kev kuaj mob, ces yuav siv cov ntshav qab zib mus kuaj. Rau nws (tom qab ntsuas ceev qab zib), tus me nyuam haus kua dej qabzib. 2 teev tom qab noj cov tshuaj, ntsuas kev ntsuas dua yog nqa tawm.

Kev ntsuam xyuas no siv tau rau cov menyuam yaus uas tsis muaj cov tsos mob lossis muaj mob me, atypical cov tsos mob, nrog rau kev xav tias muaj tus mob ntshav qab zib hom 2 lossis cov ntshav qab zib tshwj xeeb. Kev sim tshuaj rau glycosylated hemoglobin feem ntau siv rau kev kuaj mob hom 2 lossis ua kom paub meej hyper hypercemia.

Cov ntshav qab zib cov txiaj ntsig yog kwv yees raws hnub nyoog: rau ib tus menyuam hnub nyoog - 2.75-4.4 mmol / l, thiab cov cai ntawm cov ntshav qab zib hauv cov menyuam ntawm 9 xyoo yog qhov ntau yog 3.3-5.5 mmol / l. Yog tias cov piam thaj nce siab, tab sis nce mus rau 6.9 mmol / L, tom qab no qhov no txhais tau tias kev txhim kho sai ntawm glycemia. Txhua qhov ntsuas, pib los ntawm 7 mmol / l, yuav tsum tau saib xyuas ntshav qab zib.

Cov qauv ntsuas ntshav qab zib kuj suav nrog:

Yog tias qhov ntsuas ntsuas pom tseeb glycemia sib npaug lossis siab dua 11 mmol / L.
Glycosylated hemoglobin saum 6.5% (dab tsi hauv qab no 5.7%).
Qhov tshwm sim ntawm kev kuaj ntshav qabzib yog siab dua 11 mmol / L (li qub qis dua 7.7 mmol / L).

Yog tias kuaj ntshav tau qhia tias cov ntsuas ntsuas tau zoo dua li qub, tab sis qis dua ntawm kev kuaj ntshav qab zib, tom qab ntawv cov menyuam no tau saib xyuas thiab kuaj ntshav muaj ntshav qab zib lossis ntshav qab zib. Xws li cov menyuam yaus yuav luag rov zoo li qub thiab rov qab muaj ntshav qab zib.

Cov kab mob ntshav qab zib ua rau lub ntsej muag muaj tus yam ntxwv ua rau hom mob thib ob thiab feem ntau cuam tshuam txog kev mob tshwm sim, uas ntxiv rau cov ntshav qabzib hauv lub cev, ua rau cov cim ntshav siab, ntshav siab thiab rog dhau.

Kev hloov mus rau kev mob ntshav qab zib mellitus tshwm sim hauv cov menyuam uas tsis tuaj yeem poob ceeb thawj.

Ntxiv rau ntshav qab zib, cov kab mob hauv qab no ua rau cov ntshav qab zib nce ntxiv:

Kev ntxhov siab
Lub cev qoj ib ce nyob rau hnub ntawm kev txheeb xyuas.
Noj ua ntej ua kev kawm.
Mob mob siab lossis mob raum
Mob qog noj ntshav.
Lwm cov kab mob endocrine.
Noj cov tshuaj hormonal los yog siv sijhawm ntev ntawm cov tshuaj tsis-steroidal anti-inflammatory.

Cov piam thaj tsawg hauv cov menyuam yaus muaj feem ntau ua rau mob tshwm sim hauv lub plab, mob caj dab lossis hnyuv. Nws tshwm sim nrog txo tus qog ua haujlwm ntawm lub qog adrenal, lub caj pas pituitary, nrog hypothyroidism thiab cov qog ua haujlwm.