Kev mob ntshav qab zib hauv cov menyuam yaus yog ib tus mob uas cov ntshav qabzib hauv cov ntshav poob qis dua 4 mmol / L. Nws yog tsim nyob rau hauv teb rau kev ntxhov siab lossis lwm yam kev hloov pauv ib puag ncig sab nraud. Kev mob ntshav qab zib tsawg tuaj yeem tshwm sim hauv cov menyuam yaus uas muaj mob ntshav qab zib hom 1, tab sis qee zaus nws tseem kuaj tau tus mob thib ob.

Feem ntau cov feem ntau, nws tshwm sim thaum noj sulfonylurea. Noj zaub mov tsis raug thiab tsis sib xyaw, kev ntxhov siab ntawm lub cev thiab lub hlwb, thiab kev noj cov tshuaj insulin tsis zoo kuj tuaj yeem ua rau muaj qhov tsis zoo ntawd. Nrog lub caij nyoog tsis muaj kev kho mob, mob ntshav qab zib ua rau tsis nco qab thiab tsis nco qab lawm.

Mob Hypoglycemia yog ib qhov txhab mob tsis txaus uas muaj qhov laj thawj loj heev rau nws txoj kev loj hlob.

Cov kws tshaj lij ntseeg tias tuaj yeem cuam tshuam nws cov tsos:

Kev tshuaj ntsuam genetic predisposition
Cev xeeb tub pathology,
Khoom noj khoom haus tsis muaj zog
Ib ce muaj zog dhau
Cov kab mob endocrine system
Kev siab ntsws overvoltage,
Kev ntshaib plab metabolic
Noj cov tshuaj tsis yog ntawm inulin,
Txhab ntawm lub paj hlwb,
Kev muaj mob thaum yug los.

Nws feem ntau nyuaj heev rau kev kuaj ntshav qog ntshav hauv tus menyuam. Feem ntau, cov mob no tuaj yeem kuaj pom los ntawm kev kuaj ntshav. Nws tseem ceeb heev uas yuav tau soj qab xyuas txhua yam kev hloov pauv ntawm koj tus menyuam tus yam ntxwv, nrog rau kev noj zaub mov zoo. Kev saib xyuas tshwj xeeb yuav tsum tau ua nyob rau hauv kev ua txhaum ntawm cov kua nplaum ua haujlwm. Kev mob ntshav qab zib tau lees paub los ntawm cov cim hauv qab no:

Muaj hws ntau
Ntsej muag cem thiab ntshai
Tus tsis tu ncua kev tshaib kev nqhis
Kev ntshai thiab txob taus,
Shaky gait, kev sib koom tes tsis pom zoo,
Kev nkees nkees thiab kiv taub hau,
Qaug zog thiab tsis quav ntsej
Tsis meej pem hais lus.

Ntau yam

Kev mob ntshav qab zib hauv menyuam yaus tuaj yeem yog ob hom: nrog acidosis thiab leucine. Lawv sib txawv hauv cov txheej txheem ntawm kev txhim kho, cov paib thiab cov txheej txheem ntawm kev kho. Nrog hypoglycemia nrog acidosis, acetone, lossis ketone lub cev, yog tsim hauv tus menyuam lub cev. Xws li kev ua txhaum cai hauv lub cev tuaj yeem pom tau los ntawm cov tsos ntawm tus yam ntxwv ua paug los ntawm lub qhov ncauj. Kev mob ntshav qab zib nrog acidosis yuav tsum muaj kev ua haujlwm sai, vim ketone lub cev muaj qhov tsis zoo rau kev ua haujlwm ntawm lub paj hlwb: lawv muab nws rhuav tshem, ua rau muaj teeb meem loj.

Lub ntsej muag leucine tau tawm tsam keeb kwm ntawm kev tsis nkag siab rau cov kua qaub amino acids, uas ua lub hauv paus ntawm cov protein. Nws feem ntau loj hlob tom qab noj ntau ntawm cov khoom noj muaj protein ntau. Txhawm rau tiv thaiv kom tsis txhob muaj kev tawm tsam zoo ib yam yav tom ntej, cov nqaij rog, cov khoom noj siv mis, qe, nplej zom, ntses thiab noob txiv tsis suav nrog cov khoom noj. Nws yog ib qho tseem ceeb kom xaiv cov khoom noj zoo, uas tshem tawm txoj kev pheej hmoo ntawm kev nthuav dav hypoglycemia hauv cov menyuam muaj mob.

Cov hau kev kho

Yog tias koj pom thawj cov tsos mob ntawm kev muaj ntshav qab zib hauv koj tus menyuam, koj yuav tsum hu rau koj tus kws kho mob sai.

Nws yuav xa koj mus rau kev tshawb nrhiav kev kuaj mob txuas ntxiv, uas nws yuav ua rau kev kuaj mob tsis raug.

Qhov no yuav tso cai rau koj xaiv cov kev kho mob uas tsim nyog thiab muaj peev xwm. Yog tias qhov mob ntshav qab zib hauv lub siab tau ua rau koj xav tsis thoob, koj yuav tsum ua txhua yam ua tau kom nce qib koj cov ntshav qabzib. Rau qhov no, tus menyuam tuaj yeem muab cov khaub noom qab zib, tshuaj yej, zib ntab, hlais. Nws yog ib qho tseem ceeb tias ib yam qab zib twg ib txwm nyob hauv tus menyuam lub hnab ris yog tias muaj mob.

Yog tias koj tus menyuam muaj ntshav qab zib tsawg, koj yuav tsum tau saib xyuas tas koj cov piam thaj hauv ntshav. Lawv yuav tsum tau nqa tawm 2 zaug hauv ib hnub: thaum sawv ntxov ntawm lub plab khoob thiab tom qab noj hmo. Kuj kuaj koj cov piam thaj hauv qab zib yog tias koj tus menyuam yws tias muaj kev tsis zoo. Yog tias nws tsis tuaj yeem nres qhov malaise hauv tsev, nws yog qhov tsim nyog hu rau lub tsheb tos neeg mob. Kev ncua sijhawm twg tuaj yeem ua rau txhim kho hypoglycemic coma, uas ib txwm coj cov kev tsis zoo rau lub cev. Ib tug menyuam yaus uas muaj tus kabmob zoo li no yuav tsum haus cov tshuaj tiv thaiv kab mob thiab tshuaj tua kabmob.

Kev tiv thaiv kev nyab xeeb

Txhawm rau kom tsawg dua thaum ntsib kev pheej hmoo ntawm cov ntshav qab zib hypoglycemia, tus menyuam yuav tsum noj kom zoo thiab muaj kev sib npaug. Nws yog qhov zoo tshaj plaws los sab laj nrog tus kws tshaj lij uas tuaj yeem ua rau noj zaub mov zoo tshaj plaws. Kuj sim qhia koj tus menyuam kom ua raws li cov lus qhia no:

Noj mov tsis tu ncua, tsis txhob hla ib pluag mov,
Maj mam txhaj tshuaj insulin maj mam thiab hauv ib qho kev coj noj coj ua,
Ib txwm noj tom qab cov insulin
Correlate tus nqi ntawm cov zaub mov noj thiab insulin txhaj,
Noj txiv hmab txiv ntoo kom ntau, qhob noom xim kasfes thiab khob cij ua kom pab nkag siab koj cov ntshav qab zib,
Nce qhov koob tshuaj insulin ua ntej kev tawm dag zog,
Nqa khoom qab zib nrog koj tas li.

Txawm li cas los xij, koj tuaj yeem tiv thaiv nws txoj kev txhim kho yog tias koj ua raws txhua tus kws kho mob cov lus pom zoo. Tsis tu ncua yauv mus soj ntsuam los ntawm tus kws tshuaj endocrinologist uas yuav hloov qhov tsim nyog rau kev kho ntshav qab zib hauv menyuam yaus.

Kev ntshav siab

Kev mob ntshav qab zib yog ib yam kev mob ntawm lub cev, uas yog tus yam ntxwv poob qis hauv cov ntshav hauv cov ntshav rau cov cim qhia, qhov no, ua ntej, hlwb hlwb thiab lub cev tag nrho lub zog muaj kev tshaib plab vim tsis muaj cov piam thaj tsis txaus. Qhov no ua txhaum lawv lub luag haujlwm, uas pom los ntawm ntau cov tsos mob hauv tsev kho mob.

Kev mob ntshav qab zib yog qhov tseeb thiab tsis tseeb (tsis muaj kev phom sij). Nrog cov hypoglycemia cuav, cov piam thaj hauv ntshav tuaj yeem yog ib txwm muaj zog lossis nce siab. Qhov no feem ntau yog txuam nrog kev txo qis ntshav qab zib kom tsawg los ntawm kev tsim nyog rau tus nqi qis, piv txwv li, ntawm 20-25 txog 10–15 mmol / L.

Kev noj ntshav qab zib kom tsawg yog tus yam ntxwv ntshav qab zib qis dua 3.3 mmol / L, yog li nws tuaj yeem sib cav hais tias hypoglycemia yog hom tshuaj tiv thaiv ntawm lub cev ua rau poob ntshav qab zib sai dua li cov txiaj ntsig ib txwm muaj. Thaum cov piam thaj hauv ntshav tsawg zuj zus, kev tsim cov piam thaj los ntawm glycogen, nrog rau kev ua ntawm insulin, yog suppressed. Tom qab ntawd, qee qhov kev ua haujlwm uas ua kom lub cev txuas ntxiv rau hauv cov faus hom carbohydrates tau qhib, yog li ntawd nco qab yog maj mam rov qab txawm tias tsis muaj kev kho mob tsim nyog. Txawm li cas los xij, qhov no tsis txhais tau tias kev kho ntshav qab zib yuav tsum tsis txhob kho, vim rau txhua cov ntaub so ntswg thiab cov kabmob, tshwj xeeb tshaj yog rau lub hlwb, kev tshaib plab poob rau hauv, uas yog tus yam ntxwv peculiar tsos mob ua cim.

Cov tsos mob ntawm tus mob hypoglycemia

Nrog lub qog ntshav qab zib, lub xeev hypoglycemic thiab lub qog hypoglycemic yog qhov txawv txav. Cov cim ntawm tus kabmob tsis tshwm tas maj. Qee zaum, txawm tias dheev, muaj kev cuam tshuam qhov tsis txaus siab ntawm cov ntshav qog nqaij hlav, mob nkees lossis mob ceev ntawm cov kev mob tshwm sim.

Cov tsos mob ntawm thawj theem ntawm kev mob ntshav qab zib yog tshaib plab heev, cev tshee tshee thiab cov teeb meem ntawm lub cev xws li tawm hws, mob taub hau, dav dav, tsis muaj zog, palpitations, ua rau txob taus, txhoj puab heev thiab ntshai. Nrog rau qhov tsis tseeb tshem tawm ntawm cov phiajcim no nrog kev pab ntawm cov khoom lag luam khoom noj, uas tau yooj yim nqus cov carbohydrates nyob, qee yam lwm cov cim ntawm qhov xwm txheej no ua rau pom tseeb lossis tshwm sim. Ntawm lawv, ib qho tuaj yeem paub qhov txawv xws li kev tshee hauv lub cev, kev tawm hws ntawm cov yam ntxwv profuse, ob lub zeem muag, tsau qhov muag thiab hemiplegia.

Kev mob ntshav qab zib yog yam ntxwv tshwm sim ntawm txoj kev xav, xws li kev tawm tsam, lub xeev muaj siab, tsis muaj peev xwm mus ncig, thiab qee zaum hnov meej. Ntau zaus, cov phiajcim no tau coj mus haus cawv, ua rau haus dej cawv, lossis npau taws. Yog tias lub xeev hypoglycemic tsis tau tshem tawm nyob rau theem no, kev pom zoo ua rau qee pawg mob tshwm sim, tshwj xeeb, thaj tsam ntawm lub ntsej muag, thiab lub xeev zoo siab tseem ua rau muaj zog, ntuav nrog ib lossis ob sab ntawm Babinsky cov tsos mob tshwm sim, mob caj dab thiab mob tonic uas ua rau mob vwm tuaj yeem tshwm sim dimming ntawm kev nco qab thiab tom qab ntawd los coma.

Lub cim ntawm lub ntsej muag hypoglycemia yog qhov hloov pauv ntawm cov hlab plawv, uas tau qhia tawm hauv kev txo qis ntshav siab, qhov tshwm sim ntawm lub plawv nce ntxiv, arrhythmias nyob rau hauv daim ntawv ntawm lub plawv txawv txav, tsis tshua muaj lub plawv dhia qis, ntshav tawm ntawm lub plawv tsis zoo. Thiab ntawm ECG, kev nyuaj siab ntawm ntu S-T ntu raug sau tseg, thiab qhov ntau ntawm T T ntog poob qis. Hauv cov neeg mob uas muaj mob plawv, nrog qhov txo qis hauv cov ntshav qab zib, kev tawm tsam angina muaj sau tseg. Cov mob leukocytosis me thiab mob lymphocytosis, thiab qee zaum mob leukopenia, tau pom hauv cov ntshav.

Hauv daim foos hais txog ntshav qab zib mellitus, ntshav qab zib hauv lub cev muaj cov ntsiab lus tsis zoo ntawm cov piam thaj hauv cov zis thiab cov tshuaj tiv thaiv acetone. Tab sis hypoglycemia ntawm decompensated mob ntshav qab zib yog yam ntxwv los ntawm kev nce hauv cov tshuaj hormones xws li glucocorticoids, STH, catecholamines thiab ACTH, uas pab txhim kho ketoacidosis thiab acetone hauv zis.

Lwm qhov taw qhia ntawm hypoglycemia yog hypoglycemic coma, uas yog tsiag ntawv los ntawm kev tawm hws, noo noo hauv daim tawv nqaij, pallor ntawm lub ntsej muag, nce nqaij leeg, tshee tshee, nce ntawm leeg rov qab dua thiab mob leeg. Diastolic ntshav siab tseem txo qis, tshwj xeeb, cov tub ntxhais kawm dilate, qhov muag daj yog nyob rau hauv lub suab li qub los yog me ntsis txo, qhov kev puas siab puas ntsws nrog delusional hallucinations tau sau tseg. Cov ntshav qab zib cov ntshav yuav qis heev thiab tsis muaj acetone nyob hauv kev tso zis. Qee zaum hauv kev tshawb fawb thaum pib ntawm tus kabmob, muaj cov piam thaj hauv cov zis ntawm thaj tsam li 1% tuaj yeem kuaj tau. Thiab rov kuaj cov chaw kuaj tom qab 30 feeb muab cov lus teb tsis zoo nrog tso zis tsis hloov.

Noj cov zaub mov kom tsis txhob qog ntshav qab zib

Nws ntseeg tau hais tias tom qab noj mov, hypoglycemia yog qhov muaj txiaj ntsig zoo los ntawm kev muaj txiaj ntsig ntawm kev noj cov zaub mov carbohydrates hauv cov zaub mov noj. Txawm hais tias cov hau kev ntawm xws li kev tswj nyob rau hauv kev noj haus kev kho mob yeej tsis tau nqa tawm. Txawm li cas los xij, thaum pom los ntawm qhov pom ntawm lub cev kev xav, txoj kev xav no tuaj yeem muaj cov txiaj ntsig zoo, vim tias kev ua rau lub ntsej muag ntshav nce qis, raws li txoj cai, tom qab noj zaub mov muaj qabzib.

Kev ntsuas kev noj zaub mov muaj peev xwm pab tau cov neeg mob feem ntau, tshwj xeeb tshaj yog thaum ntxov ntawm tus kab mob, nyob rau hauv cov tshuaj uas tau qhia hauv qee qhov tsawg.

Muaj qee qhov kev sib cav txog qhov teeb meem ntawm kev txwv cov carbohydrate. Ib qeb ntawm cov kws sau ntawv ua raws cov zaub mov nrog cov khoom noj me me ntawm carbohydrates, li ntawm ib puas grams. Tab sis lawv tau ua rau ketosis, ua rau cov piam thaj tsis haum thiab txo qis ntawm cov amino acids tom qab noj protein. Qhov tsis txaus ntseeg, txawm tias cov neeg muaj kev noj qab haus huv uas ua raws li cov zaub mov zoo li no, nrog kev thauj khoom ntawm cov ntshav qabzib ntau, tuaj yeem ua neeg tiv thaiv cov ntshav qog. Vim li no, kev noj zaubmov kom tsawg tsis tuaj yeem txiav tawm tag nrho, vim tias qhov no tuaj yeem ua kom pom qhov tshwm sim ntawm tus yam ntxwv ua pov thawj yog tias tsis noj zaub mov noj. Yog li, kev kho mob pib nrog kev txwv me me ntawm carbohydrates los ntawm 120 txog 150 g.

Nws yog ib qho tseem ceeb heev uas yuav tsum tau txwv tsis tsuas yog pes tsawg ntawm carbohydrates, tab sis kuj yog hom khoom lag luam nyob rau hauv uas lawv muaj. Nws yog qhov tsim nyog tiag tiag kom tsis suav cov suab thaj yooj yim. Carbohydrates yuav tsum siv cov hmoov txhuv nplej hauv cov zaub mov xws li nplej zom, mov ci, qos yaj ywm, txhuv, uas yuav tsum haus txog peb zaug hauv ib hnub hauv feem me me nrog tib cov khoom noj txom ncauj hauv cov khoom noj txom ncauj. Yog tias koj tsis tuaj yeem ua tiav siv cov khoom noj zoo li no, tom qab ntawd rov qab mus rau kev txwv ntau dua ntawm cov carbohydrates.

Muaj qee kis, kev noj zaub mov tsis muaj txiaj ntsig zoo txhua lub sijhawm, thiab qee zaum tseem ua rau cov tsos mob ntawm tus mob ntshav qab zib tsawg zuj zus, uas yuav tsum ua rau tus kws kho mob txhawj xeeb txog kev yoo ntshav qab zib los yog, feem ntau, tham txog qhov tsis muaj tus kab mob no nrog cov lus tsis txaus siab ntawm tus neeg mob. Nrog rau qhov tsis muaj txiaj ntsig ntawm kev noj zaub mov hauv kev txwv tsis pub muaj carbohydrates thiab tsis muaj keeb kwm hypoglycemic, kev siv tshuaj kho yog raug kho.

Raws li txoj cai, nrog rau lub qog ntshav qab zib, noj cov zaub mov No. 9 yog tau hais tseg. Hauv qhov no, tsim cov kev mob uas ib txwm ua kom cov metabolism ntawm cov carbohydrates hauv lub cev. Cov tais diav raug npaj los ntawm qee yam zaub mov, uas muaj qee qhov me me ntawm cov carbohydrates thiab cov rog. Qab zib, zib ntab thiab ziab, thiab ntau yam qab zib thiab khoom sib xyaw, yuav tsum tsis txhob noj. Cov khoom lag luam no tau siv los nres kev tawm tsam ntawm kev mob ntshav qab zib, lossis ua khoom noj txom ncauj ua ntej kev tawm dag zog lub cev.

Ib qhov tshwj xeeb ntawm cov khoom noj rau cov ntshav qab zib tsawg yog tias nws yog qhov yuav tsum tau khaws cov ntawv txhua hnub nrog qhov muab xam los ntawm cov nyiaj ntawm cov rog, carbohydrates thiab cov protein nyob hauv cov zaub mov. Nws tseem yog ib qho tseem ceeb uas tswj lub tshuaj lom neeg cov tais diav.

Cov neeg mob uas kuaj tau tus kab mob ntshav qab zib mellitus feem ntau muaj qhov nce siab ntau dua, thiab lawv tau nyob hauv lub xeev muaj kev tshaib plab. Yog li, cov neeg mob uas tau kuaj pom no yuav tsum tau noj cov zaub mov uas saturate lub plab, muaj cov tshuaj fiber ntau, tab sis nrog cov ntsiab lus tsis muaj calorie tsawg, uas yog, zaub.

Cov ntawv qhia ntawm cov khoom noj txhua hnub rau kev kho mob ntshav qab zib hauv ntshav qab zib yuav tsum muaj cov khoom noj xws li dub (240g) lossis ncuav dawb (180g), butter (15g), roj zaub (10g), carrots (200g) lossis txiv apples, qos (200g) , nplej zom (20g), cereals (60g), tshij (20g), qe (1 pc.), ntses, hau, lossis ci nqaij. Qab zib yog hloov nrog cov piam thaj hloov.

Cov khoom lag luam yauv ua khoom noj raws li niaj zaus, tab sis nws raug nquahu kom txwv kev siv cov zaub mov kib thiab tsis txhob noj ntau dhau. Tsis tas li, lub cev yuav tsum tau txais cov vitamins txaus, tshwj xeeb tshaj yog los ntawm pawg B thiab ascorbic acid. Cov zaub mov yuav tsum fractional thiab nquag. Yuav luag ib nrab ntawm cov khoom noj yuav tsum suav txog cov carbohydrates, thiab cov no yog legumes, cereals, txiv hmab txiv ntoo, nplej, nplej zom. Yog lawm, nws yog qhov zoo dua los muab kev nyiam rau cov zaub mov uas muaj nplua nuj nyob hauv fiber, vim lawv maj mam nce cov piam thaj hauv cov ntshav.

Cov menyuam twg yog tus nquag ua rau lub qog ntshav qab zib?

Ntawm cov menyuam mos yug tshiab, muaj ib pawg pheej hmoo uas qhov xwm txheej ntawm cov ntshav qog ntshav tau sau tseg muaj ntau dua. Nws suav nrog:

cov menyuam yug ua ntej (tsawg dua 32 lub lim tiam) thiab cov menyuam tshiab uas lub cev hnyav dua li 1500 g,
cov menyuam mos liab yug los ntawm cov poj niam mob ntshav qab zib (hauv qhov no, pathology raug pom hauv 90% ntawm cov menyuam mos),
Cesarean ntu menyuam yaus
cov menyuam yug tshiab uas nyob hauv lub tsev menyuam muaj kev tshaib plab oxygen,
pub niam mis rau noj uas tsis muaj “phiajcim” tias lawv xav noj. Lawv yuav tsum tau muab pub nrog cov nyob ntev tsis tshaj 3 teev thiab saib xyuas lub cev kub,
cov menyuam mos uas tsis tuaj yeem noj niam mis. Lawv cov khoom noj yuav tsum pib tsis pub dhau 3 teev tom qab yug,
menyuam yug los ntawm kev yug me nyuam pathological.

Vim li cas cov ntshav qog ntshav qab zib thiaj loj tuaj?

Kev mob ntshav qab zib ntshav ntau hauv cov menyuam mos tshiab tshwm sim rau cov laj thawj zoo li no:

caj ces yam. Kev ntshawb siab ua rau kev puas tsuaj rau cov kab mob hlwb ntawm lub txiav, los ntawm qhov uas nws pib ua kom cov tshuaj insulin ntau dhau,
mob rau lub siab,
muaj cov hyperglycemia hauv leej niam ntawm tus menyuam.

Hauv cov menyuam yaus hnub nyoog qis dua 10 xyoo, kev txo lub cev ntshav qab zib yuav tsis muaj kev sib deev.Kev poob hauv qab zib kuj yog feem ntau ua rau muaj kev so ntev hauv cov zaub mov, lub cev lub cev, lub siab lub ntsws thiab lub hlwb kev xav, cuam tshuam ntawm cov metabolism thiab cov kab mob ntawm cov hlab ntsha tsis zoo.

Ib qho ntawm cov kev mob tshwm sim feem ntau yog ntshav qab zib thiab mob qog ntshav ntawm lub caj pas. Cov me nyuam yaus hauv Insulin feem ntau yuav raug kev mob hypoglycemia. Qhov laj thawj rau nws tshwm sim yog kev txhaj tshuaj ntau ntawm cov tshuaj insulin lossis kev noj tshuaj tsis raug rau cov tshuaj hypoglycemic. Kev mob ntshav qab zib kuj tseem tuaj yeem tshwm sim nyob rau hauv hom 2 ntshav qab zib mellitus (ob leeg hauv cov menyuam yaus siv tshuaj insulin thiab cov uas nws tsis tau sau tseg). Qhov laj thawj, ntxiv rau kev noj tshuaj ntau dhau ntawm cov tshuaj tiv thaiv kab mob, yog ib qho kev ua txhaum ntawm kev noj zaub mov noj, kev ua lub cev muaj zog dhau (lossis tsis kam ua tag nrho kev txav), kev noj zaub mov tsis raug (tsis suav cov khoom uas muaj cov carbohydrates).

Yuav ua li cas daws mob hypoglycemic syndrome thiab nws puas tuaj yeem kho tus menyuam?

Yog tias tus menyuam muaj mob ntshav qab zib, yuav tau tiv thaiv sai, Kuv yuav ua li cas? Yog tias tus tub lossis tus ntxhais nco qab thiab nqos tau, nws yog qhov zoo tshaj rau kev muab tshuaj pleev rau ntshav. Yog tias lawv tsis yog, tom qab ntawv zib ntab, ib qho me me lossis ib qho qab zib ntawm qab zib. Koj tuaj yeem npaj cov kua nplaum qab zib - rau qhov no, ib suab thaj suab thaj yog yaj hauv 50 ml dej. Koj tuaj yeem muab kua txiv rau koj cov menyuam lossis muab cov khaub noom zom zas rau nws.

Yog tias tus me nyuam tsis nco qab lawm, ces yuav tsum tau nqa lub tsheb thauj neeg mob sai sai. Kev mob ntshav qab zib tsawg hauv cov menyuam mos tau kho nrog kev tso ntshav qabzib; nyob rau kis mob hnyav, glucagon lossis hydrocortisone txhaj.

Cov niam txiv feem ntau nug seb tus menyuam puas tuaj yeem raug kho kom zoo. Qhov tseeb, hypoglycemia tsis yog kab mob, tab sis yog qhov xwm txheej cuam tshuam nrog kev ua haujlwm tsis zoo ntawm lub cev (feem ntau ua rau endocrine system). Txhawm rau kom tsis txhob muaj kev rov ua dua ntawm kev tawm tsam, nws yog ib qhov tsim nyog los soj qab txog qib qab zib, kuaj (thiab yog tias tsim nyog kho) daim siab thiab lub plab.

Cov khoom noj kom zoo, kev pub mis niam, kev soj ntsuam ntshav qabzib siv lub ntsej muag, kev tawm dag zog lub cev thiab kev ntim tshuaj yog qhov zoo tshaj plaws ntawm kev tiv thaiv ntshav qab zib. Rau cov menyuam muaj ntshav qab zib, muaj ib txoj cai ntxiv: lawv yuav tsum muaj cov khoom qab zib, qab zib lossis cov piam thaj ib txwm nrog lawv, nrog rau ib daim ntawv nrog lawv qhia tias tus menyuam muaj ntshav qab zib thiab mob ntshav qab zib yog ua tau.

Hauv cov menyuam mos yug tshiab

Cov laj thawj tseem ceeb rau kev txhim kho hypoglycemia hauv cov menyuam mos muaj raws li hauv qab no:

Kev tiv thaiv kev loj hlob cov tshuaj hormones, cortisol, glucagon thiab tuitarism,
Txo txo qis rhiab rau adrenocorticotropic hormone (ACTH),
Hyperinsulinism npau taws los ntawm Beckwith-Wiedemann syndrome,
Hyperplasia lossis adenoma ntawm endocrine hlwb, islets ntawm Langerhans, pab txhawb kev tsim cov tshuaj hormones,
Necidioblastosis
Congenital pathologies ntawm cov kev sib txuas ntawm cov amino acids, uas muaj cov kab mob maple phoov, mob qog qog ntshav siab, ntshav qab zib thiab mob ntshav siab,
Kev ua txhaum ntawm cov txheej txheem ntawm oxidation ntawm fatty acids,
Pathologies ntawm lub siab, galactosemia, tsis muaj peev xwm ntawm fructose-1,6-dysphophatase lossis glycogen synthetase,
Kev Ntshav Qab Zib,
Kev mob plab me nyuam hauv plab,
Muaj cov ntshav qab zib hauv niam,
Kev siv leej niam cov kua nplaum ntau ua ntej xeeb menyuam,
Siv los ntawm leej niam thaum cev xeeb tub ntawm kev ua yeeb yam ntev insulin,
Qhov tshwm sim ntawm cov neeg kho tshuab asphyxia ntawm tus me nyuam thaum yug menyuam,
Yug menyuam ntxov ntxov.

Kev mob ntshav qab zib hauv menyuam mos tej zaum yog vim cov tshuaj siv thaum leej niam cev xeeb tub

Feem ntau, ib qho ntawm cov laj thawj rau kev loj hlob ntawm hypoglycemia hauv cov menyuam mos yog qhov kev sib kis mob hnyav los ntawm leej niam thaum cev xeeb tub.

Cov laj thawj rau kev loj hlob ntawm hypoglycemia hauv cov menyuam yaus muaj xws li cov ntsiab lus tsis zoo:

Kev tshuaj ntsuam genetic predisposition
Qhov tshwm sim ntawm pathological mob thaum cev xeeb tub thiab yug menyuam. Nws tuaj yeem yog ob qho tib si kev sib kis ntawm leej niam, thiab cov teeb meem hauv cov txheej txheem ntawm kev yug,
Kev ntshaib plab metabolic
Ua tsis tiav nyob rau hauv endocrine system,
Siv zog dhau lub cev,
Kev tswj xyuas lub siab lub ntsws,
Cov txuj ci ua haujlwm hauv kev ua haujlwm ntawm lub paj hlwb,
Cov tshuaj insulin tsis yog lawm.

Cov laj thawj rau kev loj hlob ntawm cov ntshav qab zib hauv menyuam yaus tuaj yeem ua rau tsis zoo ntawm lub cev.

Hom kev faib tawm

Ib qho kab mob xws li hypoglycemia tuaj yeem raug cais tam sim ntawd raws li ntau yam:

Los ntawm tus txheej txheem tshwm sim, tus kab mob yog cov mob muaj keeb lossis intrauterine, lossis kis tau.
Ntawm qhov tshwm sim tshwm sim, nyob ntawm noj mov. Tus kab mob pathology tuaj yeem tshwm sim ntawm lub plab khoob, lossis tom qab noj mov.
Los ntawm mob heev.

Txawm li cas los xij, kev faib tawm cov ntsiab lus ntawm hypoglycemia hauv cov menyuam yaus tshwm sim raws li kev paub ntawm lawv lub cev mus rau ib tus neeg enzymes thiab acids. Raws li lub hauv paus ntsiab lus no, tus kab mob tau muab faib ua ketonemia thiab leucine hypoglycemia.

Hauv cov menyuam mos lossis cov neeg laus, ketotic hypoglycemia, lossis acetonemia, tshwm sim thaum tsis muaj ib tus enzymes uas muaj peev xwm ua cov rog. Vim tias qhov no, ketone lub cev tau tsim nyob rau hauv tus neeg mob cov ntshav, uas tuaj yeem cuam tshuam kev ua haujlwm ntawm ntau yam kabmob thiab cov kabmob hauv lub cev.

Ketogenic hypoglycemia hauv cov menyuam yaus yog los ntawm kev ua haujlwm ntawm lub siab ua haujlwm tsis zoo thiab qhov tso tawm ntau ntawm lub cev tsis muaj tshuaj lom acetone. Ntxiv mus, tus menyuam muaj mob feem ntau hnov ntxhiab tsw ntxhiab ntawm acetone los ntawm nws lub qhov ncauj, thiab feem ntau ua rau tus me nyuam muaj mob ntuav tsis nco qab.

Xauj

Lub tsev kho mob ntawm leucine hypoglycemia hauv cov menyuam yaus yog nrog cov neeg muaj mob ntau ntxiv los ua kom cov kua qaub leucine acid. Qhov kab mob no suav tias yog yug los thiab ua rau nws tus kheej muaj menyuam yaus thaum hnub nyoog yau. Tus me nyuam yuav pib tsis zoo yuav luag tam sim ntawd tom qab noj zaub mov protein.

Vim tias qhov tshwj xeeb no, nws yog ib qho tseem ceeb tshaj plaws rau kev kuaj ntshav kom yog thiab xaiv cov khoom noj kom haum rau tus menyuam.

Mob Siab

Kev mob ntshav qog ntshav muaj 3 hom mob hnyav:

Lub teeb daim ntawv. Tus neeg mob pib tshwm ntau cov tsos mob ntawm pathology tib lub sijhawm. Tus me nyuam yuav qaug zog los sis npau taws, kiv taub hau. Koj tuaj yeem yooj yim tso tseg koj tus kheej. Txhawm rau ua qhov no, koj yuav tsum noj zaub mov uas muaj cov carbohydrates yooj yim, lossis noj piam thaj hauv cov ntsiav tshuaj. Txhawm rau nce cov ntshav qab zib los ntawm 0.22 mmol / l, 1 g ntawm cov piam thaj yog txaus. Tom qab qhov no, tus mob ntawm tus menyuam rov qab zoo li qub hauv 50-60 feeb.
Daim foos loj. Tus me nyuam muaj lub xeev tsaus muag, tshee tshee, hnov dab tsi, tsis muaj kev sib koom tes thiab txuas ntawm kev hais lus. Yuav tshem tawm cov qaub ncaug rov qab ua pa. Yog hais tias tus neeg mob tau tuaj yeem nqos, nws yuav tsum tau muab cov dej qab zib lossis qee cov khoom lag luam siab hauv cov khoom noj uas muaj carbohydrates yooj yim hauv daim ntawv ntawm cov khoom qab zib lossis chocolate. Nres ceev ceev ntawm qhov kev tawm tsam tso cai gelled qabzib, uas nyob rau hauv lub sijhawm luv luv nkag mus rau hauv cov hlab ntshav. Nws kis tau rau ntawm cov pos hniav ntawm tus menyuam. Rau kev npaj dej qab zib, nws yog qhov zoo uas yuav tau siv dextrose.
Qog ntshav qab zib tsis tsaug zog. Tus me nyuam nyob hauv ib nrab-nco qab lossis tsis nco qab lawm. Qhov kev nqus ntawm carbohydrates nyob rau hauv daim ntawv ntawm kua los yog zaub mov raug cais tawm. Tus neeg mob xav tau kev kho mob kub ceev. Nws yog ib qho tseem ceeb kom tswj hwm 40% cov kua nplaum ua kom sai li sai tau, lossis txhaj tshuaj glucagon intramuscularly. Nyob rau hauv rooj plaub thaum thaum tom qab kev siv dag ua rau tus menyuam tsis rov qab nco qab, nws tau txhaj tshuaj sub adaneine.

Cov chaw kho mob tshwm sim

Hauv cov menyuam mos yug tshiab, cov tsos mob tseem ceeb tshaj plaws ntawm tus kabmob yog txawv:

Cov tsos ntawm cov ntab ncig uas txav ntawm lub pob muag,
Nystagmus, lossis cov qog rov qab tshee tshee ntawm cov tub ntxhais kawm,
Lub ploj ntawm oculocephalic reflex,
Ib rab koob tsis muaj zog tsis yog lub siab lub suab siab quaj qw,
Kev Mob Nkeeg
Tsis muaj kev sib txuas lus zoo
Kev tsis muaj zog, kev ua haujlwm qeeb,
Qhuas
Nce arousal thiab kev txob taus.

Tsawg tsawg dua, cov kab mob pathology hauv cov menyuam mos yog nrog cov tsos mob no:

Cov leeg nruj leeg,
Cramps
Ua pa hawb pob, lossis ua pa nyuaj,
Daim di ncauj xiav lossis tag nrho lub cev,
Nquag hloov mus hloov hauv qhov kub ntawm tus menyuam lub cev,
Kev ua pa nto nrawm,
Tahirakdia,
Cov ntshav siab qis
Pallor ntawm daim tawv nqaij
Muaj hws ntau.

Cov tsos mob hypoglycemia hauv cov menyuam hnub nyoog qis dua 1 xyoos suav nrog:

Lub plawv palpitations
Tub xyooj tshee tshee
Kiv taub hau
Apathy
General tsis muaj zog
Xeev siab
Ntuav
Luv xeev
Qhov tsis muaj kev ntshai
Muaj hws ntau,
Vauv
Lub cev tsis muaj zog ua rau muaj kev tshaib plab
Mob taub hau
Tsawg lub zeem muag.

Kev mob ntshav qab zib hauv menyuam yaus ua rau xeev siab thiab ntuav

Qee zaum kev tshwm sim sab nraud ntawm hypoglycemia hauv cov menyuam yaus zoo li lub xeev ntawm intoxication. Tus me nyuam yuav plam qhov sib haum thiab mus tsis taus, thiab tus mob los nrog hais lus thab thiab tsis meej pem.

Kev kuaj mob

Kev kuaj pom tus kab mob thawj zaug yog nqa los ntawm kev txheeb xyuas cov tsos mob tshwm sim los ntawm kws kho mob. Txawm li cas los xij, txhawm rau paub meej tias kev kuaj mob, kev kuaj mob siab tshaj plaws yuav tsum muaj:

Kev ntsuas ntshav qab zib,
Kev kuaj ntshav dav rau cov roj ntsha,
Kev txiav txim siab ntawm tus naj npawb ntawm ketone lub cev hauv cov ntshav,
Cov concentration ntawm cov tshuaj insulin hauv cov ntshav.

Feem ntau, txhawm rau ua kom muaj kev txheeb xyuas qhov tseeb thiab muab tshuaj kho kom raug, kev kuaj ntshav rau cov theem ntawm txoj kev loj hlob hormone, cortisol.

Cov hau kev kho

Cov kev kho mob ntawm hypoglycemia hauv ib tus menyuam koom nrog cov kev ntsuas no:

Tswj hwm kev noj haus kom zoo thiab kev noj haus,
Txwv tsis pub muaj kev qoj ib ce ntau,
Tiv thaiv tus menyuam los ntawm kev ntxhov siab hnyav.

Thaum muaj kev tawm tsam, nws yog qhov tseem ceeb los muab kev pabcuam ua ntej rau menyuam yaus. Ua ntej tshaj plaws, nws yog ib qho tsim nyog yuav tsum ntsuas ntsuas ntshav qab zib cov ntshav ntawm tus neeg mob. Tom qab qhov no, koj yuav tsum ua raws li qhov mob nyav ntawm cov xwm txheej ntawm tus menyuam. Nrog rau kev txhim kho qhov mob loj lossis tsis nco qab, nws yog qhov yuav tsum tau hu rau lub tsheb thauj neeg mob. Thaum lub caij mob me me ntawm hypoglycemia, tus me nyuam yuav tsum muab cov piam thaj, dextrose, lossis qab zib. Thaum mob hnyav, tos tus kws kho mob tuaj txog, koj yuav tsum nkag mus rau cov piam thaj lossis glucagon.

Lub luag haujlwm ntawm kev noj zaub mov rau hypoglycemia

Kev ua raws qee cov cai kev noj zaub mov zoo rau kev ua qog ntshav qab zib yuav pab tswj cov ntshav qabzib hauv lub cev ib txwm, nrog rau kev ua kom tau tseeb ntawm kev tsim cov tshuaj insulin los ntawm lub cev. Yog li, nrog ib lub pathology ntawm hom no, nws yog ib qho tsim nyog yuav tsum ua raws li cov lus pom zoo no:

Noj hauv qee qhov me me li 2-3 teev,
Txo cov rog tsawg hauv cov zaub mov, vim tias lawv cuam tshuam nrog kev tsim cov tshuaj insulin,
Nco ntsoov noj cov zaub mov muaj nplua nuj. Nws tso cai rau koj kom qeeb ntawm cov kev hloov pauv cov piam thaj rau lawv cov kev ua kom rog,
Noj cov zaub mov uas muaj cov hmoov txhuv nplej siab ntau. Cov no suav nrog cov qos yaj ywm, taum pauv thiab pob kws,
Cov zaub mov yuav tsum muaj cov protein ntawm cov nqaij ntshiv, xws li ntses, nqaij qaib, thiab legumes.

Nrog hypoglycemia hauv cov menyuam yaus, nws tsim nyog noj qos yaj ywm

Thaum nruab hnub, nws yog ib qho tseem ceeb noj cov khoom noj uas muaj cov khoom noj carbohydrates ntau. Cov no suav nrog cov zaub ntsuab, txiv hmab txiv ntoo thiab zaub, nrog rau cov zaub ua mov thiab cov mov ci tag nrho. Cov zaub mov zoo li no muab lub cev hloov zuj zus lub cev nrog cov piam thaj thiab kev saib xyuas lub sijhawm ntev ntawm qhov ntsuas no hauv tus txheej txheem.

Kev Tiv Thaiv

Kev ntsuas tiv thaiv rau cov menyuam yug tshiab muaj raws li hauv qab no:

Ua kom ntev li ntawm kev sib cuag ntawm leej niam nrog tus menyuam mos rau daim tawv nqaij los ntawm daim tawv nqaij los ntawm thawj feeb ntawm lub sijhawm yug,
Nquag noj mis. Ntawm cov txiaj ntsig zoo thiab muaj txiaj ntsig yog mis thiab colostrum. Lawv lub cev sib txawv, thiab tsis tuaj yeem muab ntxiv los ntawm cov khoom noj mis uas twb muaj lawm,
Muab cov khoom noj khoom haus zoo thiab cov khoom noj khoom haus,
Hauv thawj 6 teev tom qab yug, tus me nyuam tau muab cov khoom noj muaj txiaj ntsig tshwj xeeb, ntxiv rau cov kua mis,
Nyob rau thawj hnub ntawm lub neej, cov nqi ntawm cov kua mis noj yuav tsum yog li 200 ml,
Yog tias tsis tuaj yeem tau txais cov kua mis ua cov zaub mov tseem ceeb, kev npaj tshwj xeeb yog muab rau cov menyuam mos, ntawm tus nqi ntawm 100 ml / kg ntawm tus menyuam yug lub cev hnyav.

Txhua 2-4 teev, tus me nyuam mos liab noj ntshav los txiav txim seb cov piam thaj ntau ntau.

Rau cov menyuam txhua lub hnub nyoog muaj kev mob ntshav siab, nws yog qhov tseem ceeb tshaj plaws kom tsis txhob yoo ib pluag mov, thiab noj yam tsawg 4 zaug ib hnub. Ntxiv thiab, kev tiv thaiv kev tiv thaiv suav nrog cov cai hauv qab no:

Khoom noj yuav tsum suav nrog cov txiv hmab txiv ntoo, khob cij thiab chocolate, uas pab ua rau cov piam thaj hauv ntshav tau nce nrawm dua,
Xam cov laij noj cov tshuaj insulin muab rau noj, sib txheeb tus nqi ntawm cov zaub mov noj,
Nce qhov ntau ntxiv ntawm cov kua dej ua ntej kev tawm dag zog,
Noj tam sim ntawd tom qab tswj hwm cov tshuaj insulin.

Nrog hypoglycemia hauv cov menyuam yaus, nws yog ib qho tseem ceeb uas tus me nyuam ib txwm muaj tej yam qab zib ntawm tes

Nws yog qhov tseem ceeb tshaj plaws tias tus menyuam yaus uas muaj ntshav qab zib tsawg ib txwm muaj qee yam khoom qab zib nrog nws hauv kev ua khoom qab zib lossis chocolate chocolate.

Qhov raug ntawm tus menyuam yaus kev noj qab haus huv nrog hypoglycemia yog nyob ntawm lub hauv paus ntawm kev tsim kho ntawm pathology, nrog rau kev kuaj qhov tseeb thiab lub sijhawm kho. Yog li, yog tias muaj kab mob tshwm sim ntawm kev yug menyuam ntxov, mob plab, yug menyuam, thiab tseem tawm tsam keeb kwm ntawm niam cov ntshav qab zib, kev ua haujlwm tsis zoo. Ntau zaus, hauv cov menyuam tshiab no, teeb meem tsis pom kev pom tom qab, suav nrog cataracts thiab optic atrophy, nrog rau kev lag luam hauv kev txawj ntse.

Nrog rau kev txhim kho hypoglycemia hnub nyoog ntawm 1 xyoos, feem ntau qhov tshwm sim tseem ceeb. Txawm li cas los xij, nrog kev kho mob tsis raug, ntau yam kab mob sib txawv tuaj yeem ua kom pom kev lag luam hauv kev txhim kho lub cev, lub raum tsis ua haujlwm, mob ntshav hauv lub ntsws, kev pom kev tsis zoo thiab kev txuas ntawm kev kis mob.

Kev kho mob ntawm hypoglycemia hauv cov menyuam yaus

Kev ntshav siab feem ntau tuaj yeem hloov kho los ntawm kev tso ntshav qab zib infusion (2-4 ml / kg 10% dextrose). Nws yog ib qho tsim nyog yuav tsum ua ntsuas kom tsis txhob qhia txog cov ntim ntau dhau, txij li kev daws yog hypertonic. Yog hais tias muaj kev ncua hauv kev pib ntawm Txoj kev lis ntshav lossis tsis muaj lus teb, glucagon (0.5-1 mg) yog muab tshuaj intramuscularly.

Glucocorticoids kuj tseem siv tau yog tias hypopituitarism lossis hypoadrenalism yuav muaj. Kev kho cov ntshav qog ntshav qab zib yuav tsum tau sau tseg nrog kev ntsuas ntsuas cov piam thaj.

Kev ntshav siab:
• Yuav tsum tau muab cais tawm rau ib tus menyuam twg uas mob septicemia uas muaj mob hnyav, qaug dab peg lossis qaug dab peg ntau.
• Cov ntshav qabzib nyob hauv qis thaum kuaj ze rau ntawm tus neeg mob lub txaj (kuaj cov ntshav khov) yuav tsum muaj cov ntaub ntawv kuaj pom.
• Yog tias tsis paub qhov twg tsis paub, nws yuav tsum khaws cov ntshav thiab zis, yog tias ua tau, tib lub sijhawm.

Tus txheej txheem ntawm kev txhim kho pathology

Glucose yog qhov tseem ceeb uas tsim nyog rau txoj kev ua haujlwm ntawm cov metabolism hauv lub cev. Ua tsaug rau cov tshuaj no, cov nqaij thiab lub cev ntawm tib neeg lub cev tau txais kev txhawb nqa zoo. Rau tag nrho cov plab hnyuv siab raum ua hauj lwm kom raug, qee qhov nqi ntawm cov compound no yuav tsum muaj nyob hauv cov ntshav. Kev mob ntshav qab zib hauv menyuam yaus yog hom kab mob uas cov ntshav qabzib poob qis dhau.

Qhov tshwm sim no ua rau muaj kev nkag siab zoo hauv lub neej kom zoo. Tsis tas li ntawd, qhov tshwm sim ntawm tus kab mob yog ib qho tsis xeev rov qab. Yog tus me nyuam hnov doog ntshav, nws muaj hws ua hws thiab kiv taub hau, niam txiv yuav tsum tsis txhob tso cov cim no. Kev mob ntshav siab qis yuav ua rau muaj kev mob tshwm sim sai sai. Tsab ntawv no siv rau ob tus neeg laus thiab cov neeg mob me.

Lub hauv paus ua rau muaj kev txhim kho kabmob

Kev mob ntshav qab zib hauv menyuam yaus qee zaum tshwm sim los ntawm lwm qhov (muaj teeb meem ntawm zaub mov noj, yoo mov ntev, lub cev thiab lub siab ntau dhau). Tsis tas li ntawd, pathology tshwm vim yog kev mob caj ces, kev cuam tshuam ntawm cov plab hnyuv siab raum. Kev poob qis hauv cov ntshav qabzib yog qhov txaus ntshai tshwj xeeb tshaj yog rau menyuam mos. Cov hauv qab no tuaj yeem raug suav tias yog qhov tseem ceeb uas ua rau cov ntshav qog ntshav qab zib hauv menyuam yaus:

Qhov tsis muaj cov tshuaj tseem ceeb (fiber, ntau cov vitamins), uas ua rau kom muaj zog ntawm cov tshuaj insulin ntau ntxiv. Kev ua txhaum tib yam yuav yog vim muaj ntau dhau ntawm cov zaub mov carbohydrates hauv cov zaub mov.
Haus kua tsawg. Dej yog ib qho tseem ceeb uas ua rau kev txhim kho cov lipids thiab qabzib nkag mus rau hauv lub cev.
Kev nyuaj siab ntxhov plawv.

Cov ntawv tseem ceeb ntawm tus kab mob

Muaj ob peb hom kabmob sib txawv. Ib qho ntawm ntau yam muaj feem cuam tshuam nrog ntshav qab zib mellitus lossis kev tsis txaus kho ntawm cov kab mob no. Lwm hom mob tshwm sim hauv cov menyuam mos li ob peb hnub tom qab yug los. Nws feem ntau tshwm sim hauv cov menyuam mos uas yug ntxov ntxov, raug kev txom nyem los ntawm hypoxia lossis teeb meem ntawm cov zaub mov tsis ua rog. Feem ntau muaj qhov sib deev hu ua ketotic hypoglycemia hauv menyuam yaus. Qhov tshwm sim no yog vim muaj qhov tsis zoo ntawm cov neeg mob lub cev muaj kev sib txuas nrog lub sijhawm luv luv ntawm kev ua tiav tshaib plab. Cov kws txawj ntseeg tau hais tias cov kab mob pathology yog txuam nrog kev tsis zoo ntawm lub cev los ua cov kua nplaum. Xws li cov menyuam yaus, raws li txoj cai, yog tus cwj pwm los ntawm luv luv stature thiab lean physique. Kev noj zaub mov kom nquag thiab lub cev noj qab nyob zoo pab kom tsis txhob muaj mob heev.

Tau txais kua muaj kua qab zib kuj tseem tiv thaiv kev txhim kho ntawm tus mob. Nrog lub hnub nyoog, cov tsos mob ntawm ketotic hypoglycemia ploj nws tus kheej. Kuj tseem muaj ib hom kab mob cuam tshuam nrog kev ua tsis tau zoo ntawm txoj hlab zis. Daim ntawv foos ntawm tus kabmob no tuaj yeem ua rau lub raum ua haujlwm tsis zoo hauv lub raum.

Cov tsos mob ntawm pathology

Kev mob ntshav qab zib hauv menyuam yaus yog qhov phom sij txaus ntshai uas tuaj yeem ua rau muaj kev txhaum loj heev. Yog li, nws yog qhov tsim nyog kom muaj lub tswv yim meej txog nws cov tsos mob txhawm rau kom ua raws li cov ntsuas kev pabcuam sijhawm. Lub ntsiab nthuav ntawm pathology muaj xws li cov hauv qab no:

Lub xub ntiag ntawm cov phiajcim saum toj no qhia tau tias kev loj hlob ntawm kev muaj ntshav qab zib hauv menyuam yaus. Cov tsos mob ntawm hom no tsis tuaj yeem tsis quav ntsej. Nws yog ib qho tsim nyog yuav tsum sab laj tus kws kho mob tshwj xeeb li sai tau. Kev ntsuas mob hauv qhov chaw kho mob yuav txiav txim qhov tseeb qhov ua rau ntawm tus mob.

Kev tshwm sim ntawm tus kab mob hauv cov menyuam tshiab

Kev mob ntshav qab zib hauv menyuam yaus muaj tag nrho cov cim ntawm tus kab mob pathology. Txawm li cas los xij, nws tuaj yeem tshwm sim yam tsis muaj tsos mob. Tom qab ntawd tus kab mob yog qhov nyuaj rau kev txheeb xyuas. Nws lub xub ntiag yog qhia tsuas yog los ntawm qhov ntsuas ntawm cov ntsiab lus ntawm cov piam thaj hauv cov ntshav.

Cov tsos mob hypoglycemia hauv menyuam yaus hnub nyoog qis dua ib xyoos tshwm sim hauv daim ntawv ntawm qaug dab peg thiab ploj tsuas yog tom qab pub mis lossis hno cov piam thaj. Hauv cov menyuam mos, lub pathology no tshwm sim nws tus kheej ntawm kev ua pa ntawm qhov mob ua tsis taus pa, leeg tshee, plooj plooj, nkees lossis ntxhov siab. Feem ntau, tus mob coj mus rau kev txhim kho ntawm cov teeb meem mob hnyav, piv txwv li coma. Kev mob ntshav qab zib hauv ntshav ntau yog tshwm sim rau cov menyuam mos uas yug ntxov. Hauv cov menyuam yaus no, cov tsos mob ntawm tus kabmob yog tshaj tawm. Nws qhia tau nws tus kheej hauv cov kev ua txhaum hauv qab no:

Txawj Ntse.
Qhov tshwm sim ntawm chua leeg.
Ua txhaum ntawm kev tsim kho lub cev.
Tsis qab los noj mov.
Apathy.
Cyanotic ntxoov ntxoo ntawm daim tawv nqaij.
Nyuaj nrog cov txheej txheem ua pa.

Cov kws kho mob, raws li txoj cai, xyuam xim ntau rau kev noj qab haus huv ntawm cov menyuam mos yug ua ntej hnub tiav. Yog li, kev tiv thaiv thiab kho cov ntshav qog ntshav qab zib hauv cov menyuam mos ua ntej hnub nyoog dua yuav muaj txiaj ntsig zoo dua li cov neeg uas tau yug los raws sijhawm.

Cov hau kev ntawm kev kho mob ua kom mob rau menyuam yaus txog li ib xyoos

Yog hais tias tus kab mob pathology tau kuaj pom, tus kws kho mob tau sau ntawv tawm suab thaj nyob rau hauv txoj kev daws teeb meem. Nws muab rau tus menyuam nyob rau hauv hom kev txhaj tshuaj lossis sib xyaw nrog dej. Txhawm rau txhim kho cov txheej txheem ntawm kev nkag siab ntawm lub zog los ntawm lub cev, tus kws tshaj lij tuaj yeem qhia cov insulin. Nws paub tias cov menyuam yaus muaj ntshav qab zib feem ntau yug hauv cov neeg mob ntshav qab zib. Hauv qhov no, cov kws tshaj lij yuav tsum tau kuaj ntshav kuaj ntshav qabzib hauv ib nrab ib teev tom qab yug thiab ua qhov kev ntsuam xyuas txhua 3 teev rau peb hnub.

Kev tiv thaiv tus kab mob hauv cov menyuam mos

Rau cov menyuam yaus uas tau yug los raws sijhawm, kev pub mis yug yog qhov kev tiv thaiv zoo. Cov kab mob uas muaj nyob hauv leej niam cov kua mis ua kom lub cev ua haujlwm zoo. Kev mob ntshav qab zib tsawg nyob rau qhov teeb meem no tsuas yog ua tau tawm tsam rau tom qab ntawm tus menyuam kev noj zaub mov tsis zoo lossis mob ntshav qab zib. Cov mob ntawm cov menyuam yaus uas tau raug tshuaj los ntawm cov tshuaj insulin lossis cov piam thaj yuav tsum tau saib zoo los ntawm cov kws tshaj lij kho mob.

Qeb kev loj hlob ntawm pathology

Muaj ob peb theem ntawm tus kabmob, piv txwv:

Thawj qib ntawm kab mob. Qhov no yog qhov mob tsawg tshaj plaws, uas, txawm li cas los xij, qhia kev txhim kho kev cuam tshuam hauv lub cev. Nyob rau tib lub sijhawm, tus menyuam yauv tawm hws, quaj, pallor ntawm daim tawv nqaij, thiab ua rau kub qis dua.
Theem theem ob. Nws yog tus cwj pwm los ntawm qhov tshwm sim ntawm ntuav, cov lus tsis txaus ntseeg thiab ua kom tsis zoo rau hauv kev ua haujlwm.
Theem peb ntawm kab mob. Qhia los ntawm kev tsis nco qab, tsam ntawm kev mob hlwb.
Coma. Daim ntawv no yog ib daim ntawv nyuaj kawg, uas, thaum tsis muaj kev pab kho mob kom raws sijhawm, tuaj yeem ua rau tus neeg mob tuag.

Yuav ua li cas yuav ua rau tus neeg mob hnov zoo dua?

Yog hais tias tus me nyuam tus mob hnyav zuj zus, nws tsim kiv kiv taub hau, hws tawv nqaij thiab tawm hws heev, koj yuav tsum sim ua kom paub seb dab tsi tuaj yeem ua rau muaj qhov tsis zoo. Cov tsos mob no zoo li yuav qhia tau txo cov ntshav qabzib tsawg. Txhawm rau ntsuas cov qib ntawm cov piam thaj koj yuav tsum siv lub cuab yeej tshwj xeeb. Dab tsi yog kev khomob kub ntxhov rau cov ntshav qog ntshav qab zib hauv menyuam yaus? Yog tias muaj kev tawm tsam, cov kev ntsuas hauv qab no yuav tsum tau ua:

Tso tus neeg mob rau hauv txoj hauj lwm supine.
Hu rau lub chaw tos neeg mob.
Muab dej rau koj tus menyuam haus thiab ib co khoom qab zib.
Tso daim ntaub ntub dej ntawm koj lub hauv pliaj.

Ib qho ntxiv, "Hematogen" pab txo qis tus neeg mob nrog rau qhov mob nres ntshav qab zib. Cov khoom no pab kom nce ntshav qab zib thiab qib hlau. Tsis tas li, ua ntej lub sijhawm tuaj txog kev pabcuam hauv lub tsheb tos neeg mob, koj tuaj yeem tso cov kua nplaum yog tias cov tshuaj nyob ntawm.

Yuav ua li cas kom tsis txhob muaj kev tawm tsam?

Nrog hypoglycemia hauv tus menyuam, kev kho mob cuam tshuam kev txhaj tshuaj insulin, uas ib txwm muaj cov suab thaj hauv lub cev. Txhawm rau tiv thaiv kev txhim kho ntawm exacerbation, koj yuav tsum tau ua raws li cov lus qhia no:

Cov niam txiv yuav tsum qhia lawv tus tub lossis tus ntxhais txog kev txhaj tshuaj. Ib qho ntxiv, tus menyuam yuav tsum tau piav qhia txog yuav ua li cas tswj cov qib ntshav qab zib uas siv lub cuab yeej.
Qhia tus neeg mob txog cov tsos mob ntawm cov ntshav qab zib tsawg. Koj yuav tsum qhia nws ua qhov yog thaum ua rau xiam oob khab (piv txwv li, koj yuav tsum noj zaub mov qab zib lossis thov kev pab rau cov neeg laus).
Noj cov zaub mov kom zoo.
Zam txhob thauj dhau.
Qhia tus neeg mob rau kws kho mob tsis tu ncua.

Cov niam txiv ntawm tus neeg mob yuav tsum paub txog ntau li ntau tau txog kev mob qog ntshav qab zib, cov tsos mob, ua rau. Kev kho mob rau menyuam yaus yuav tsum tau tsom mus rau kev sib cav sib cais ntawm cov kab mob.