Ua rau cov ntshav ntxiv hauv lub cev: nws txhais li cas, ua rau, cov tsos mob thiab cov yam ntxwv kho

Glucose yog qhov tseem ceeb, uas, los ntawm oxidation, hloov mus rau hauv lub zog, yam uas tsis muaj kev ua ntawm tib neeg ua tsis tau. Nkag mus rau hauv lub cev nrog rau hauv carbohydrates, nws nkag mus rau cov ntshav thiab txhawb nqa txhua lub cev hauv lub cev.

Ntxiv rau ntshav qab zib - nws txhais li cas?

Cov kev ua si thiab kev noj qab haus huv ntawm tus neeg ncaj qha nyob ntawm qib glycemia - qhov taw qhia uas pom qhov muaj suab thaj hauv cov ntshav. Thaum nws ua qis dua li ib txwm los yog siab dua, tom qab ntawd ua haujlwm tsis zoo ntawm txhua yam hauv nruab nrog yog yam tsis tuaj yeem hloov, tom qab ntawd tuaj yeem ua rau muaj kab mob loj. Tshwj xeeb koj yuav tsum tsis txhob tso cai hyperglycemia - ib qho mob uas cov piam thaj hauv cov ntshav tau nce ntxiv. Qhov no puas txaus ntshai npaum li cas? Lo lus teb rau lo lus nug no yog qhov tseeb hais tias muaj piam thaj ntau tshaj yog cov tsos mob tseem ceeb ntawm ntshav qab zib, uas tuaj yeem tiv thaiv los ntawm kev ntsuas ua ntej. Txhawm rau ua qhov no, nws yog qhov tseem ceeb kom mloog koj lub cev thiab tsis quav ntsej txog cov cim kev ua txhaum cai hauv nws txoj haujlwm.

Ntxiv ntshav qabzib: ua rau, mob tshwm sim

Txhawm rau kom pib kho mob kom sai raws sijhawm thaum pib, uas yog tus mob tseem ceeb rau nws cov hauj lwm zoo, nws yuav tsum nrhiav tswv yim kho mob yog tias koj muaj cov tsos mob hauv qab no:

yuav luag txhua qhov nqhis dej
khaus ntawm daim tawv nqaij,
nquag tso zis uas tsis ua rau mob,
tso zis ntau ntxiv
cov tsos ntawm nightly tso zis,
hnov poob ceeb thawj
mob taub hau thiab kiv taub hau,
qhov tsis muaj zog thiab qaug zog,
pom kev pom
txo hauv lub cev tiv thaiv thiab ntev ntev uas tsis kho.

Cov tsos ntawm ib qho ntawm cov tsos mob saum toj no yog ua tau nrog lwm cov kab mob. Yog tias muaj ntau ntawm lawv, tom qab ntawv qhov no yog lub sijhawm los xav txog qhov tseeb tias cov piam thaj hauv qab dhau ntawm qhov tsis suav. Dab tsi pab txhawb qhov no tuaj yeem hu ua cov laj thawj thiab kev nqis tes ua? Thaum cov piam thaj hauv ntshav nce siab, cov hauv qab no suav hais tias yog kev hloov pauv tau:

ntshav qab zib yog qhov laj thawj tseem ceeb
ntev li ntawm kev noj ntawm cov zaub mov, tshwj xeeb tshaj yog ceev carbohydrates,
Nyob ntev dhau hauv qhov xwm txheej ntxhov siab
yav dhau los tus kab mob kis hnyav.

Txhawm rau kom nkag siab zoo dua cov txheej txheem ntawm cov tsos mob no, nws tsim nyog xav paub ntau ntxiv txog seb cov piam thaj hauv ntshav muaj feem txuam nrog lawv li cas. Qhov no txhais li cas rau tag nrho lub cev ua haujlwm?

Lub cev hloov li cas rau kev hloov pauv hauv cov piam thaj?

Qhov laj thawj ntawm kev nqhis dej tas li yog qhov tseeb tias cov piam thaj ntawm molecules nyiam cov dej molecules rau lawv tus kheej. Txhawm rau tiv thaiv lub cev qhuav dej, lub hlwb xa cov lus taw qhia uas ua rau tus neeg mob haus dej ntau. Lub raum, nyeg, pib ua haujlwm nyuaj kom tshem tawm cov kua ntau dhau ntawm lub cev. Qhov no qhia txog nquag tso zis heev. Thaum lub raum rov ua haujlwm tsis raug, qhov xwm txheej yuav ua kom nyuaj los ntawm kev ua haujlwm siab, uas tuaj yeem suav tau tias yog ib qho ntawm cov cim ntawm kev tawg.

Ob yam mob ntshav qab zib: dab tsi yog qhov txawv?

Tus neeg mob hloov qhov hnyav tau cuam tshuam nrog hom mob ntshav qab zib mellitus uas pom hauv nws. Hom I yog qhov txawv txav los ntawm kev tsim cov tshuaj insulin tsis txaus, thaum lub hlwb ua cov tsis muaj qabzib tag nrho. Tib lub sijhawm, lub cev tsis muaj lub zog uas nws xav tau los ua haujlwm tseem ceeb. Qhov no piav qhia txog qhov kev poob phaus, uas yuav pom tau tias lub ntsej muag liab qab.

Ib qho xwm txheej tsis sib thooj yog pom nyob rau hauv hom Ntshav Qab Zib II, uas tus neeg mob rog. Qhov no yog qhov uas cov ntshav qabzib ntau ntxiv yuav liam. Qhov no txhais li cas? Hauv qhov no, insulin tsim tawm hauv qhov txaus lossis ntau dhau, tab sis tsis nkag mus rau hauv lub hlwb, vim tias tom kawg tsis tuaj yeem hnov mob nrog nws. Cov laj thawj rau qhov no yog cov ntaub so ntswg rog, uas tsis ploj txawm tias ntawm lub zog los ntawm kev tshaib plab.

Zog kev tshaib plab ntawm lub paj hlwb ua rau mob taub hau, ua haujlwm tsis muaj zog thiab ua haujlwm tsawg. Tom qab tag nrho, lub hauv nruab nrab lub paj hlwb tsis tau txais cov piam thaj, uas ib txwm tau ua nws cov khoom noj tseem ceeb. Lub paj hlwb pib tsim lub zog rau lwm txoj hauv kev, cuam tshuam nrog oxidation ntawm cov rog, uas tsis yog qhov sib txig sib luag. Txoj kev no feem ntau ua rau ketonemia, nyob rau hauv uas tus neeg mob emits tsis hnov tsw ntawm acetone, kuj tuaj yeem raug ntaus nqi los ntawm cov tsos mob ntawm kev nce ntxiv hauv cov ntshav qab zib.

Cov qhov txhab uas tsis zoo rau lub sij hawm ntev kuj yog lub txiaj ntsig ntawm lub zog kev tshaib plab. Hyperglycemia pab txhawb kev txhim kho ntawm thaj chaw muaj txiaj ntsig rau ntau yam kab mob me, vim tias cov txheej txheem purulent pib. Thiab cov qe ntshav dawb, nws txoj haujlwm tiv thaiv yog ua kom tsis muaj qhov thaiv ntawm lub cev, tsis tuaj yeem tiv thaiv lawv.

Cov tsos mob ntawm cov tsos mob no yog lub caij nyoog kom maj nrawm mus rau lub chaw kuaj ntshav thiab, yog tias kuaj pom tau tseeb, tau txais kev kho mob kom tsim nyog.

Kev ntsuas piam thaj: yuav npaj li cas

Txhawm rau kom tau txais lub hom phiaj qhov txiaj ntsig raws li kev soj ntsuam, ib qho yuav tsis quav ntsej qee qhov yooj yim tab sis yuav tsum ua txoj cai.

ob hnub ua ntej hnub ntawm kev pub ntshav dawb, txawm tias cov cawv me me yuav tsum tso tseg,
tom qab noj kaum ob teev yuav tsum dhau,
nyob rau hnub teem, nws tsis pom zoo txhuam koj cov hniav.

Kev kuaj ntshav tuaj yeem ua ob qho tib si hauv chav kuaj thiab tom tsev ntawm tus kheej. Txhawm rau ua qhov no, koj xav tau glucometer - ib qho khoom siv tau tsim tshwj xeeb rau lub hom phiaj no. Qhov tseeb ntawm nws qhov ntsuas yog piv rau kev kuaj.

Kuj tseem muaj lwm yam kev txheeb xyuas hu ua “2hGP”. Dab tsi teev nws cais yog tias nws tau ua tiav ob teev tom qab koj tau noj.

Qhov txheeb xyuas tau hais li cas?

Kev txiav txim siab qhov txiaj ntsig ntawm qhov kev txheeb xyuas yuav tsis ua rau muaj kev nyuaj yog tias koj muaj ib lub tswv yim hais txog ntau npaum li cas cov piam thaj hauv ntshav ntxiv, nce qib thiab txo qis dua.

6 mmol / L - kev txwv siab tshaj ntawm ntau ntau cuam tshuam nrog cov suab thaj tso cai.
3.5 mmol / l - 5.5 mmol / l - cov lus txaus siab ntawm ib tus neeg muaj kev noj qab haus huv.
6.1 mmol / l - 7 mmol / l - cov ntsuas no qhia tias qhov no yog theem kawg ua ntej ntshav qab zib.
Ntau dua 7 mmol / L - cov ntshav qabzib heev. Qhov no txhais li cas? Hmoov tsis zoo, nws yog ib qho yooj yim los twv tias qhov yuav muaj ntshav qab zib yog yuav luag tsis pom. Txhawm rau kom paub meej lossis rov ua qhov no, yuav tsum muaj kev tshuaj ntsuam ntxiv.

Txawm hais tias qhov tseeb ntawm kev txiav txim ntawm qhov ntsuas tau yooj yim, koj yuav tsum hu koj tus kws kho mob tiag tiag.

Dab tsi yuav pab tiv thaiv tus kab mob?

Yog tias koj tau txais los ntawm lub chaw kuaj ntshav tias: “Kuaj ntshav: ntshav qabzib yog siab,” txhais li cas? Tias nws yog qhov yuav tsum tau ua qee yam tshwj xeeb kom sai li sai tau, nyob ntawm qhov tsis saib xyuas ntawm qhov xwm txheej, uas kev txheeb xyuas ntawm "2hGP" yuav pab nrhiav kom paub.

Yog tias ntshav qab zib tsis tau lees paub, tab sis cov piam thaj hauv cov ntshav nce siab ntau ntxiv, nws yog ib qho tsim nyog yuav tsum tshem tawm cov carbohydrates yuav luag tag.
Nyob rau hauv kev muaj ntshav qab zib mellitus, kev noj haus yuav tsum nrog cov neeg saib xyuas cov tshuaj uas kws kho mob tau hais, thiab tswj cov piam thaj kuj tseem yuav tsum tau ua.

Cov lus qhia dav dav rau cov piam thaj siab

Tam sim no nws tau paub vim li cas cov ntshav piam thaj tuaj yeem nce ntxiv, nws yog lub sijhawm tau los qhia qee txoj cai tshiab hauv koj lub neej qub. Nco ntsoov soj ntsuam cov khoom noj txhua hnub, los ntawm cov zaub mov hauv qab no yuav tsum cais tawm:

Kev sib cav sib ceg
high qab zib txiv hmab txiv ntoo
ntau cov hnyuv ntxwm thiab cov rog rog.

Koj yuav tsum nres koj txoj kev xaiv ntawm cov nqaij ntshiv thiab ntses, zaub, cereals. Raws li cov khoom qab zib, qaub berries thiab txiv hmab txiv ntoo, tsev cheese yog qhov haum. Nws raug nquahu kom noj fractionally. Nyob rau hauv tsis muaj qhov xwm txheej yuav tsum koj cia overeating.

Yog tias peb tham txog cov kis las, tom qab ntawd ib qho kev xaiv zoo tshaj plaws yuav yog cardio.

Qab zib puas cuam tshuam rau peb lub cev?

Ntshav qab zib cov ntshav (piam thaj) theem yog lub ntsiab lus tseem ceeb rau cov neeg mob uas muaj yam I thiab ntshav qab zib hom II. Cov piam thaj feem ntau yog qhov tsuas thiab qhov tseem ceeb ntawm qhov pib ntawm tus kab mob. Raws li kev siv tshuaj kho mob, 50% ntawm cov neeg mob ntshav qab zib tsuas paub txog kab mob pathology thaum nws mus txog theem hnyav thiab nyuaj.

Cia peb sim los xyuas seb yog vim li cas cov qib carbohydrates ruaj khov hauv cov ntshav ncig yog qhov tseem ceeb rau tus neeg lub cev, thiab yog vim li cas thiaj li muaj kev tsis txaus siab ntawm cov piam thaj hauv lub cev. Peb tseem yuav pom tawm dab tsi ntsuas ntawm qib qab zib yog qhov qub, thiab kev hloov pauv hloov pauv li cas hauv lub cev.

Qib Qab Zib thiab Ntshav Qab Zib

Qhov tseeb, kev ncua sij hawm nce cov piam thaj yog qhov tseem ceeb ntawm cov ntshav qab zib - cov kab mob metabolic. Tus kab mob, yog lawm, muaj ntau cov txheej txheem kev txhim kho thiab cov tsos mob sib txawv, tab sis lub cim tseem ceeb yog "muaj suab thaj".

Kev tswj xyuas cov qib carbohydrate yog ib qho ntawm cov txheej txheem tseem ceeb ntawm kev kho mob ntawm cov neeg mob ntshav qab zib.
Qhov thib ob yog kev kho mob insulin (yog tias tus kws kho mob qhia). Cov tshuaj Insulin yog ib yam tshuaj uas tsim cov ntshav qab zib. Ntawm cov ntshav qab zib, insulin hauv lub cev tsis txaus, lossis lub hlwb tsis teb rau nws kom raug.

Ob qho ntshav siab thiab ntshav qab zib plasma qis dua yog qhov tsis xav ua rau lub cev, tab sis yog tias cov piam thaj hauv ntshav tau yooj yim tshem tawm hauv ntau qhov teeb meem, tom qab ntawd cov qib siab ntawm carbohydrates yog qhov txaus ntshai tshaj.

Qee zaum, kev noj tshuaj tsis tu ncua yuav tsum kho kho hyperglycemia: cov neeg mob ntshav qab zib ua rau muaj cov tshuaj insulin tas li: qhov no tshem tawm cov kev ua zaub mov zoo tshaj. Thaum pib theem, cov tsos mob ntawm tus mob ntshav qab zib tuaj yeem raug tshem tawm nrog kev noj zaub mov kom zoo thiab kho lub cev.

Rov qab mus rau txheem

Cov metabolism ntawm carbohydrates hauv lub cev

Lub luag haujlwm tseem ceeb ntawm cov piam thaj hauv lub cev yog los muab cov hlwb thiab cov nqaij nrog lub zog rau cov txheej txheem ntawm lub cev tseem ceeb.

Nws ntseeg tau hais tias cov hlab ntsha hlwb yuav tsum muaj cov piam thaj ntshiab feem ntau ntawm txhua qhov, tab sis qhov tseeb, tsis muaj ib lub cev lub cev tuaj yeem ua yam tsis muaj carbohydrates.

Lub cev niaj hnub ua rau tswj cov concentration ntawm cov piam thaj hauv cov ntshav, tswj cov kev tawm hauv tsev (sib npaug). Yog tias qhov sib luag tsis tiav, thiab qhov tsis ua haujlwm ntawd tshwm sim tsis tu ncua, cov kws kho mob endocrinologists tham txog qhov muaj ntshav qab zib - muaj kab mob loj ntawm cov txheej txheem ntawm cov khoom noj hauv lub cev.

Rov qab mus rau txheem

Vim li cas nws tseem ceeb kom koj paub txog koj qib qab zib

Txhawm rau tshawb kom paub koj qib, ib qho kev txheeb xyuas tsis txaus. Nws yog ib qho tsim nyog yuav tau ua ntau qhov qauv rau hnub sib txawv thiab txawv sijhawm ntawm hnub, ntxiv rau ntawm lub plab khoob thiab tom qab noj mov.

Yog tias ntsuas tas li qhia pom tias “qab qab zib heev”, nws muaj lub laj thawj los ua kom muaj ntshav qab zib.

Hauv tebchaws Russia, cov ntshav ntsuas cov ntshav ntsuas yog millimoles ib liter (mmol / l).

Hauv Tebchaws Europe thiab Asmeskas, kev ntsuas tau ua hauv milligrams ib deciliter (mg / dts). Nws tsis yog qhov nyuaj los txhais qee qhov ntsuas rau lwm tus: 1 mmol / l yog 18 mg / dl.

Cov piam thaj tau ntev tau paub -3.9-5 mmol / l

Tom qab noj mov rau ib teev, cov nuj nqis no nce siab me ntsis (5.1-5.3). Hauv cov neeg muaj kev noj qab haus huv, cov ntsiab lus qabzib txawv nyob hauv cov kev txwv no, tab sis qee zaum (thaum ib tus neeg noj ntau dhau nrog cov carbohydrates ceev) nws tuaj yeem ncav 7 mmol / l.

Hauv cov kws kho ntshav qab zib, qhov ntsuas saum toj 7 thiab txog 10 yog suav tias yog theem txaus siv tau. Nrog rau cov txiaj ntsig zoo li no, kev kho tshwj xeeb tsis yog ib txwm sau tseg, txwv tsis pub noj zaub mov. Yog tias qib ntawv muaj peev xwm nyob siab dua 10, cov kws kho mob tsa cov lus nug txog kev txhim kho tshuaj.

Glucose jumps thiab kev kho tshuaj insulin yog yam tshwm sim tsis tau rau ntshav qab zib hauv kev ua tiav ntawm tus kab mob. Txog tam sim no, tshuaj kho tsis tau kab mob ntshav qab zib kom dawb huv.

Txawm li cas los xij, yog tias koj ua raws kev noj zaub mov zoo, soj ntsuam tsis tu ncua thiab tsis nco kev txhaj tshuaj, koj tuaj yeem zam dhau cov tsos mob hnyav ntawm hyperglycemia thiab cov teeb meem uas tshwm sim los ntawm kev nce qib hauv qab zib.

Rov qab mus rau txheem

Kev pheej tsis txaus (homeostasis) hauv lub cev ua rau pathology. Qhov tshwj tsis yog piam thaj.

Siab qab zib

Cov kev ntseeg nrov tias cov ntshav qab zib yog tshwm sim los ntawm kev noj khoom qab zib ntau tsis yog qhov tseeb nkaus, tab sis nws muaj tseeb tias muaj cov txiaj ntsig txaus.

Thaum cov piam thaj nce zuj zus, insulin kuj tsim tawm maj mam. Tab sis thaum, vim qhov khoom noj ntau ntawm cov khoom noj uas tau txais carbohydrate, muaj cov piam thaj ntau ntawm cov piam thaj nkag rau hauv cov ntshav, lub cev teb nrog kev tsim cov tshuaj insulin kom txo cov piam thaj.

Yog tias cov piam thaj thiab cov kua dej txuas ntxiv mus ntev mus rau ob peb xyoos, kev txiav ua ke yuav tsuas yog ua kom tiav. Lub cev yuav tsim muaj cov insulin tsis muaj zog lossis me me ntawm lub cev yam tshuaj tsis tuaj yeem tiv thaiv cov piam thaj hauv lub cev.

Tsis tas li ntawd, nrog muaj qhov qis ntawm glycemic Performance index, ib tus neeg muaj kev mob hu ua insulin kuj: Cell mob ntxiv rau cov tshuaj insulin thiab tsis muaj cov tshuaj kom zoo. Kev tawm tsam nrog kev nyob ntev kuj tuaj yeem hloov mus rau hom ntshav qab zib hom II.

Cov cim tseem ceeb ntawm hyperglycemia yog nqhis dej, tso zis sai, ua kom tawv nqaij qhuav, tsis pom kev, tsis pom kev, ua rau kis tau tus mob, ua kom tsis zoo ntawm lub qhov txhab. Tag nrho cov phiajcim no qhia tias muaj kev nce qib nyob ntawm cov kab mob metabolic pathology. Kev nce qib hauv qab zib kom ua rau kev puas tsuaj ntawm cov hlab ntshav, kev ua haujlwm tsis zoo rau lub raum, tsis pom kev zoo, mob puas hlwb (puas hlwb puas).

Qhov teeb meem txaus ntshai tshaj plaws nrog kev nce qib qab zib: hyperglycemic coma, ketoacidosis (lom lub cev los ntawm cov khoom noj khoom haus metabolism hauv cov khoom noj).

Rov qab mus rau txheem

Qab zib tsawg

Kev mob ntshav qab zib feem ntau tshwm sim los ntawm kev noj zaub mov tsis txaus lossis kev noj zaub mov tsis zoo, ntau dhau mus ntawm lub cev (lub cev thiab lub hlwb-kev xav). Cov zaub mov nrog lub siab glycemic Performance index (khoom qab zib thiab cov carbohydrates ceev) thaum xub thawj nce qib qab zib, tab sis tom qab ntawd ua rau nws poob sai, uas ua rau cov txiaj ntsig pathological.

Kev kho mob ntawm lub qog ntshav qab zib tsis tu ncua yog cov khoom noj kom zoo ntawm qee yam zaub mov thaum ncua luv.

Txhua tus neeg yuav tsum tswj hwm tus lej glycemic, tab sis tshwj xeeb tshaj yog cov neeg muaj kab mob ntshav qab zib. Txoj hauv kev zoo tshaj plaws ntawm kev tswj hwm homeostasis yog ua raws li kev noj zaub mov, kho cov ntsiab lus carbohydrate hauv zaub mov, thiab raug kuaj mob hauv chaw kho mob.

Rov qab mus rau txheem

Ntshav Qab Zib Ntshav thiab Qib - Ntshav Puam Txheej

Yog tias koj muaj ntshav qab zib, qee zaum koj yuav muaj ntshav qab zib ntau ntau (hyperglycemia) lossis ntshav qab zib kom muaj ntshav tsawg (hypoglycemia).

Mob khaub thuas, mob khaub thuas, lossis lwm yam mob hnyav tuaj yeem ua rau muaj ntshav qab zib. Koj yuav kawm paub txog cov tsos mob thiab paub qhov txawv ntawm cov ntshav qab zib kom siab thiab qis.

Cov tshuaj insulin thiab qee yam tshuaj tiv thaiv kabmob ntshav tuaj yeem ua rau txo cov ntshav qab zib.

Kawm paub yuav ua li cas kom paub thiab tswj cov ntshav qab zib kom siab thiab qis kom tsis txhob muaj cov qib uas yuav ua rau xav tau kev kho mob xwm txheej ceev, xws li mob ntshav qab zib ketoacidosis, lossis lub cev qhuav dej vim muaj ntshav qab zib ntau, lossis tsis nco qab vim muaj cov piam thaj poob. Feem ntau cov teeb meem tshwm sim los ntawm ntshav siab los yog ntshav qab zib tuaj yeem kho tom tsev yog tias koj tus kws kho mob pom zoo.

Yog tias koj ua raws li koj tus kws kho mob cov lus qhia hais txog kev siv tshuaj insulin lossis tshuaj tua kab mob, kev noj haus thiab kev tawm dag zog, koj tuaj yeem zam cov teeb meem kev tsis haum rau hauv ntshav qab zib.Ntsuas cov suab thaj hauv tsev yuav pab koj txiav txim siab seb nws puas nce txog qib koj lub hom phiaj.

Yog tias koj muaj cov piam thaj hauv ntshav qis heev, koj yuav ua rau koj cov piam thaj nce siab kom tsis txhob muaj teeb meem rau cov piam thaj hauv qab tom ntej. Tab sis nco ntsoov tias koj yuav tsum ua kom koj cov ntshav qab zib nyob rau ntawm lub hom phiaj.

Koj tuaj yeem ua qhov no los ntawm kev ua raws li txoj kev npaj khomob thiab tshuaj xyuas koj cov piam thaj kom huv siab.

Cov menyuam yaus uas muaj ntshav qab zib xav tau kev pab ntawm lawv niam lawv txiv kom ua rau lawv cov piam thaj hauv theem ntawm lub hom phiaj thiab qoj ib ce kom nyab xeeb.

Koj yuav tsum qhia koj tus menyuam cov tsos mob siab thiab ntshav qab zib kom nws tuaj yeem nrhiav kev pab yog tias tsim nyog.

Muaj ntau pab pawg txhawb nqa thiab chaw qhia kev kawm txog tus mob ntshav qab zib kom pab niam txiv thiab cov menyuam to taub txog lawv cov ntshav qab zib, kev tawm dag zog, kev noj haus, thiab tshuaj noj.

Nws yog qhov tshwj xeeb nyuaj rau cov hluas tswj xyuas lawv cov ntshav qab zib vim lawv cov kab mob loj hlob thiab loj hlob tuaj.

Ntxiv rau, lawv xav nyob nrog lawv cov phooj ywg thiab noj zaub mov uas tuaj yeem cuam tshuam lawv cov ntshav qab zib. Mob ntshav qab zib thaum tiav hluas mas yog ib qho nyuaj.

Tab sis lub sijhawm no yog lub hnub nyoog zoo rau kev nkag siab txog tus kabmob thiab nws cov kev kho mob, nrog rau kev ua lub luag haujlwm rau kev saib xyuas koj tus kheej.

Yog tias koj cov piam thaj hauv ntshav siab dhau lossis dhau qis, thiab koj xav zoo nyob rau tib lub sijhawm, koj yuav xav ntsuas ob zaug rau koj cov piam thaj lossis ntsuas qhov ntsuas dej. Qhov teeb meem yuav yog koj cov ntshav lossis lub tshuab ntsuas.

Mob ntshav qab zib (hyperglycemia)

Ntshav qab zib siab tshwm sim thaum koj cov piam thaj hauv ntshav cov ntshav qabzib nce mus txog qib siab dhau. Qhov no tuaj yeem tshwm sim yog tias koj tau noj ntau dhau ntawm calories, tsis nco qab noj tshuaj (insulin lossis ntsiav tshuaj), lossis tau tsim muaj mob lossis lwm yam mob vim muaj kev mob, phais mob, lossis kev ntxhov siab.

Ntshav qab zib hauv ntshav feem ntau pib maj mam dhau sijhawm lossis ntau hnub. Tab sis kev hla ntawm cov tshuaj insulin tuaj yeem ua rau nce ntshav qab zib sai sai.

Ntshav qab zib nyob rau hauv siab dua lub phiaj tuaj yeem ua rau koj nkees nkees thiab nqhis dej.

Yog tias koj cov ntshav qab zib hauv cov ntshav nce siab rau lub lim tiam, koj lub cev tuaj yeem hloov kho qhov ntawd thiab koj yuav tsis muaj cov tsos mob muaj ntshav qab zib ntau ntau.

Yog tias koj nquag saib xyuas koj cov piam thaj hauv ntshav thiab pom cov tsos mob qab zib ntau, koj feem ntau muaj sijhawm los kho nws thiab tiv thaiv kev txhim kho kev kub ntxhov uas cuam tshuam nrog cov ntshav qab zib. Peb yam tuaj yeem pab koj tiv thaiv teeb meem ntshav qab zib:

Kuaj koj cov piam thaj hauv ntshav kom ntau, tshwj xeeb yog tias koj mob lossis tsis ua li koj ib txwm ua. Koj tuaj yeem pom tias koj cov piam thaj hauv ntshav siab dua koj qib siab txawm tias koj tsis muaj tsos mob tshwm sim, xws li nce ntxiv, tso zis ceev, thiab nkees. Hauv qhov no, koj tuaj yeem pib kho thaum ntxov thiab tiv thaiv kev kub ntxhov.
Hu rau koj tus kws kho mob yog tias koj feem ntau tau nce siab txog cov piam thaj hauv ntshav lossis yog tias lawv tau nce siab nyob rau theem siab. Nws yuav tsim nyog pauv txoj kev noj tshuaj los yog hloov nws nrog nws.
Haus dej ntxiv los yog dej qab zib thiab cov dej qab zib tsis muaj piam thaj kom tiv thaiv lub cev qhuav dej (lub cev qhuav dej). Yog tias koj cov piam thaj hauv ntshav nce siab ntxiv, koj ob lub raum yuav tso zis tawm ntxiv thiab koj yuav muaj lub cev qhuav dej.

Teeb meem ntawm ntshav qab zib tuaj yeem ua rau muaj teeb meem loj, suav nrog xeev tsis xeev thiab tuag. Ua haujlwm dhau sijhawm, cov piam thaj hauv ntshav siab tuaj yeem ua kev puas tsuaj rau koj lub qhov muag, lub siab, lub raum, cov hlab ntsha, thiab cov leeg.

Cov ntshav qab zib qis (hypoglycemia)

Cov ntshav qab zib hauv qab ntuj (ntshav qabzib ntau) tshwm sim thaum cov piam thaj hauv ntshav poob qis dua ib qib uas tuaj yeem txaus siab koj lub cev cov kev xav tau.

Yog tias koj tsis tau noj zaub mov kom ntau los yog noj mov tsis txaus, noj ntau yam tshuaj (insulin los yog tshuaj noj), ua kom ib ce ntau dua li ib txwm muaj, lossis noj tshuaj uas txo cov ntshav qab zib, qhov no tuaj yeem ua rau koj cov piam thaj hauv ntshav tsawg dua.

Cov neeg uas poob ceeb thawj lossis teeb meem lub raum yuav tsis xav tau cov tshuaj insulin lossis lwm yam tshuaj koj xav tau ua ntej poob phaus lossis muaj mob raum. Lawv cov piam thaj hauv ntshav yuav poob qis dhau. Thaum koj lub cev tau hloov pauv, koj yuav tsum kuaj xyuas koj cov ntshav qab zib kom qis.

Thaum koj cov piam thaj hauv ntshav qis qis dua 70 milligrams hauv ib deciliter (mg / dl) lossis 3.8 mmol / hemoglobin, koj feem ntau pom cov tsos mob ntawm cov ntshav qab zib tsawg. Nws tuaj yeem txhim kho sai, tsis pub dhau 10-15 feeb.

Yog tias koj cov piam thaj hauv ntshav poob qis dua koj lub hom phiaj (ib qho ntshav qab zib kom tsawg), koj yuav mloog zoo li nkees, ntxhov siab, tsis muaj zog, tshee lossis tawm hws, thiab koj yuav muaj lub plawv dhia ceev. Yog tias koj noj tej yam uas muaj piam thaj, cov tsos mob no tuaj yeem tsuas kav lub sijhawm luv luv. Yog tias koj muaj ntshav qab zib, tej zaum koj yuav tsis pom cov tsos mob tshwm sim ntawm cov ntshav qab zib kom tsawg. Qhov no yog hu ua qhov tsis muaj kev nkag siab ntawm kev qog ntshav qab zib. Yog tias koj cov piam thaj hauv ntshav tau tswj tau zoo thiab tsis hloov pauv ib hnub, tej zaum koj yuav muaj kev pheej hmoo yuav ua rau muaj kev tsis to taub txog ntshav qab zib.
Yog tias koj cov ntshav qab zib cov ntshav tseem poob qis (feem ntau qis dua 40 mg / dl lossis 2.2 mmol / L), koj tus cwj pwm yuav hloov pauv thiab koj yuav hnov txob. Tej zaum koj yuav dhau mus ua neeg tsis muaj zog los yog tsis meej pem thiab tsis noj tej yam uas muaj piam thaj kom cov ntshav qab zib ntau ntau hauv koj cov ntshav. Txhua zaus koj cov piam thaj hauv ntshav poob qis dua 50 mg / dl (2.7 mmol / L), koj yuav tsum nco ntsoov yog tias koj muaj tsos mob.
Yog tias koj cov piam thaj hauv ntshav siab poob qis heev (feem ntau qis dua 20 mg / dl lossis 1.1 mmol / L), koj tuaj yeem tsis nco qab lossis koj yuav tsim muaj qhov chua leeg. Yog tias koj muaj cov tsos mob ntawm kev poob qab zib hauv ntshav siab heev, koj yuav tsum tau txais kev kho mob xwm txheej ceev.

Tej zaum koj yuav muaj cov tsos mob yog tias koj cov piam thaj hauv ntshav nce mus txog ib qib mus rau qhov qis dua.

Piv txwv li, yog tias koj cov piam thaj hauv ntshav siab siab dua 300 mg / dl (16.6 mmol / L) rau ib lub lim tiam lossis ntev dua thiab dheev poob rau 100 mg / dl (5.5 mmol / L), koj yuav muaj cov tsos mob ntawm cov ntshav qab zib tsawg, txawm hais tias tias qhov tseeb nws yog nyob rau theem li qub. Tab sis yog tias koj muaj ntshav qab zib tau ntau xyoo, koj tsuas yuav muaj cov tsos mob thaum koj cov piam thaj hauv ntshav qis heev.

Yog tias koj tus kws kho mob xav tias koj poob qab zib hauv cov ntshav qab zib, tab sis koj tsis muaj tsos mob dab tsi, nws yuav hais kom koj txheeb xyuas koj cov piam thaj hauv ntshav ntau dua. Koj tus kws kho mob yuav hais kom koj soj ntsuam koj cov piam thaj hauv ntshav thaum nruab nrab ib tag hmo lossis ua txoj kev ntsuam xyuas piam thaj li 3 hnub txuas mus ntxiv.

Noj ntshav qab zib kom ntshav siab

Kev nce ntxiv ntawm cov piam thaj ntau dua 5.5 mmol / L (hyperglycemia) yuav qhia tau tias mob ntshav qab zib mellitus thiab yog fraught nrog ntau cov teeb meem rau lub cev.

Nws yuav tsum tau yug los rau hauv lub siab tias qee zaum cov ntshav qab zib cov ntshav muaj peev xwm nce ntxiv vim yog mob hnyav, thaum cev xeeb tub lossis thaum muaj kev ntxhov siab heev, tab sis rau lub sijhawm ceev rov qab mus rau qhov qub tsis muaj kev cuam tshuam sab nraud - qhov no, ntawm qhov tseeb, nws tsis zoo heev thiab feem ntau yog mob ntshav qab zib. yav tom ntej, tab sis nws tsis muaj mob ntshav qab zib tsis tau.

Yog tias koj muaj cov piam thaj kom siab, ces qhov no yog qhov taw qhia tias koj yuav tsum tau txwv koj cov kev ua kom yuag thiab xyuas koj tus txiav (ua ntsuas ultrasound, xa ntshav mus rau pancreatic enzymes thiab ketone lub cev hauv koj cov zis). Tabsis qhov ntawd yuav tsis muaj ntshav qab zib. Koj yuav tsum pib ua raws kev noj haus thiab rov qab tshawb xyuas tom qab ob peb hnub ntxiv. Mob ntshav qab zib mellitus tsis yog qhov tsis txaus ntseeg yog tias nyob hauv ob qho kev tshuaj ntsuam xyuas cov piam thaj ntau tshaj 7.0 mmol / L.

Cov cim ntawm ntshav qab zib

Cov cim (tsos mob) ntawm ntshav qab zib muaj xws li cov hauv qab no:

Lub qhov ncauj qhuav, nqhis dej, tso zis heev (suav nrog thaum tsaus ntuj), thiab cov zis muaj tso zis ntau ntxiv
Tsis muaj zog, nkees, nkees, txo qhov haujlwm
Kev hnyav lub cev ua ke nrog kev nce siab ntxiv
Kev kho tsis zoo ntawm daim tawv nqaij mob (qhov txhab, khawb), tshwm sim ntawm pob
Kev txo qis hauv kev tiv thaiv (lub cev tiv thaiv rau ntau yam mob)
Khaus ntawm daim tawv nqaij lossis cov qog ua kua

Cov kev mob tshwm sim saum toj no tsis yog txhua zaus ua ke, tus neeg mob tuaj yeem kos ib lossis ob ntawm lawv. Lwm yam tsos mob kuj tuaj yeem tshwm, xws li mob taub hau lossis qhov muag plooj.

Noj cov zaub mov uas muaj ntshav siab (qab zib)

Cov lus hauv qab no yog kev pab tawm tswv yim! Yog tias koj muaj ntshav siab cov ntshav qab zib, koj yuav tsum tau sab laj nrog kws kho mob endocrinologist!

Txhawm rau cov ntshav qab zib kom ntshav, koj yuav tsum ua ntej txwv cov khoom noj carbohydrates hauv kev noj haus.

Cov kev cai tseem ceeb ntawm kev noj zaub mov noj yog: txwv cov nyiaj ntawm cov zaub mov carbohydrates, feem ntau yooj yim zom, txo cov calories kom tsawg, tshwj xeeb tshaj yog cov rog dhau, kev noj zaub mov txaus vitaminization, ua raws li kev noj zaub mov.

Peb yuav tsum siv zog noj zaub mov txhua hnub nyob rau tib lub sijhawm, 5-6 zaug hauv ib hnub, txwv tsis pub noj ntau dhau.

Thaum txhim kho kev noj zaub mov noj, nws yog ib qho tsim nyog yuav tsum coj mus rau hauv lub cev qhov hnyav, qhov kuaj pom los yog tsis rog dhau ntawm kev rog, kab mob concomitant thiab, ntawm chav kawm, cov ntshav qab zib. Qhov xwm ntawm kev ua haujlwm ntau lawm, i.e. lub zog siv, yuav tsum ua tib zoo txiav txim siab. Lub cev tiv thaiv qee cov zaub mov thiab cov tais diav ua noj yog xav txog.

Dab tsi cov zaub mov tsis tuaj yeem noj cov ntshav qab zib

Yam zaub mov twg koj yuav tsum txwv ua ntej? Ua ntej tshaj plaws, cov uas nyob rau hauv ntau dhau muaj cov zaub mov tau yooj yim thiab nqus tau sai carbohydrates - qab zib ntshiab, qab zib, khaws cia, koom nrog, xws li raisins, txiv quav ntswv nyoos, figs - txij li cov piam thaj, uas pom muaj ntau hauv lawv, zoo li sucrose, yog nqus tau sai txoj hnyuv nkag rau hauv cov ntshav, uas ua rau cov ntshav qab zib nce siab.

Kuv yuav noj ntshav qab zib tau li cas?

Tsis muaj ib qho kev txwv tshwj xeeb, koj tuaj yeem noj cov zaub uas lawv cov carbohydrates yog nqus rau hauv cov hnyuv ntau dua li cov piam thaj ntau dua: qab zib, txiv lws suav, zaub paj thiab zaub qhwv dawb, zaub xas lav, taub dag, taub dag, thiab txaij. Nws yog pab muaj xws li zaub txhwb qaib, dill, dos hauv cov khoom noj txhua hnub. Feem ntau koj yuav tsum noj carrots thiab beets hauv ib qhov nyiaj uas pom zoo nrog koj tus kws kho mob (noj rau hauv tus account qhov niaj hnub noj ntawm cov carbohydrates).

Kev nyiam ua yuav tsum tau muab rau cov khoom ci nrog cov ntsiab lus tsis txaus siab. Cov no suav nrog cov npluav protein-nplej thiab mov ci protein-bran. Cov khoom siv tseem ceeb rau nws cov kev npaj yog gluten nyoos (ib qho ntawm cov khoom noj protein uas ua kom muaj cov txhuv). Thaum ci cov qhob cij protein-bran cij, ceg nplej tau ntxiv rau nws cov lus.

Hauv cov khoom noj khoom haus, koj tuaj yeem suav nrog cov txhuv nplej thiab cov khaub noom dawb. Yog tias tus kws kho mob koom nrog pom zoo kom muaj kev noj haus, piv txwv li, 300 g ntawm carbohydrates, tom qab ntawd hauv qhov no, kwv yees li ntawm 130 g ntawm lawv tuaj yeem muab tau nrog mov ci (rye thiab nplej), thiab cov seem ntawm cov carbohydrates - nrog zaub thiab zaub mov noj.

Nws puas tuaj yeem noj zib ntab? Cov kws kho mob feem ntau tsis quav ntsej txog kev siv zib ntab hauv ib qho me me: me me 2-3 zaug ib hnub. Cov kev txom nyem los ntawm cov piam thaj hauv ntshav yuav tsum paub tseeb tias lawv cov zaub mov muaj xws li nyob hauv qhov ntau txaus txhua cov vitamins tsim nyog.

Cov txiv av pab tau, tshuaj ntsuab tshiab, zaub, blackcurrants, rosehip broth, poov xab haus, nrog rau cov kua txiv hmab txiv ntoo uas tseem ua siav ntawm xylitol.

Cov kwv yees kwv yees ntawm cov zaub mov zoo dua nrog cov piam thaj siab: nqaij, ntses, nqaij qaib, tsiaj thiab roj zaub, qe, tshij, tsev cheese, lactic acid khoom, zaub thiab tshuaj ntsuab, muaj ntau yam kua txiv thiab txiv ntoo. Cov zaub mov no txwv kev ua kom muaj carbohydrates thiab nce cov ntsiab lus protein.

Qab zib hloov

Ib qho ntawm cov piam thaj hloov yog xylitolCov. Los ntawm nws cov qab zib, nws yog kwv yees li sib luag rau cov piam thaj dog dig, tab sis nws txoj kev nqus, tsis zoo li cov piam thaj, tsis cuam tshuam loj heev txog qib piam thaj hauv ntshav.

Xylitol tau los ntawm kev cog cov khoom ntoo - husks ntawm paj rwb noob thiab stalks ntawm pob kws cobs. Calorie cov ntsiab lus ntawm 1 g ntawm xylitol yog 4 kcal.

Xylitol muaj cov khoom uas choleretic thiab laxative. Kev noj tshuaj xylitol txhua hnub yuav tsum tsis pub tshaj 30-35 g, txwv tsis pub mob plab hnyuv tawm tuaj.

Kuv puas tuaj yeem siv cov txiv ntoo qab zib? Txiv hmab txiv ntoo qab zib (fructose) - ib qho ntawm cov dej qab zib ib txwm. Nws muaj nyob hauv txhua cov txiv ntoo qab zib, txiv hmab txiv ntoo thiab zaub, hauv muv zib ntab.

Yog li, txiv apples muaj (thaj tsam li) 7.3% fructose, dib liab - 3%, taub dag - 1,4%, carrots - 1%, txiv lws suav - 1%, qos yaj ywm - 0.5%. Tshwj xeeb tshaj yog ntau ntawm fructose hauv zib ntab - txog 38%.

Hauv kev tsim khoom lag luam, cov khoom siv ua raw khoom kom tau fructose yog beet thiab kab tsib qab zib.

Fructose tuaj yeem siv los ua cov piam thaj hloov, tab sis tsuas yog hauv tsawg. Noj fructose rau hauv ntau ntau tuaj yeem nce ntshav qab zib.

Cov khoom lag luam tsim rau cov neeg mob ntshav qab zib, xws li cov khoom qab zib thiab lwm yam khoom tsis sib haum, tsis ua rau cov neeg muaj kev noj qab haus huv.

Txawm li cas los xij, kev siv mus sij hawm ntev ntawm cov khoom lag luam no tsis yog qhov tsim nyog, vim tias lub cev ntawm tus neeg noj qab haus huv yuav tsum tau txais nyob rau hauv cov khoom noj kom txaus txaus, suav nrog cov qab zib zoo tib yam, uas tsis tuaj rau hauv cov khoom lag luam rau cov neeg mob ntshav qab zib.

Qab zib yog siab dua qhov ib txwm muaj: muaj sia thiab pathological ua rau muaj cov piam thaj ntau ntxiv hauv kev kuaj ntshav

Coob leej xav tias cov ntshav qab zib tsuas tuaj yeem nce ntshav qab zib xwb.

Tab sis muaj tus nab npawb ntawm cov kab mob nyob rau hauv uas hyperglycemia yog cai.

Txhua qhov ua rau muaj kev nce ntxiv hauv cov ntshav qab zib tau tham hauv kab lus.

Cov cwj pwm tsis zoo hauv cov txiv neej thiab poj niam

Haus dej cawvfeem ntau ua rau muaj piam thaj ntau.

Cawv sai sai rau hauv lub hlwb ntawm lub txiav. Raws li nws cov cawv, insulin ntau lawm ua ntej nce, cov piam thaj txo qis. Tab sis muaj qhov qab los noj mov muaj zog.

Thiab noj ntau dhau nyob rau hauv kev sib xyaw nrog kev haus dej ib txwm tsim ib qho kev thauj khoom ntawm lub taub txiav thiab txo nws txoj haujlwm. Mob ntshav qab zib muaj mob. Noj qab haus huv rau tus txiv neej thiab poj niam tuaj yeem haus dej haus cawv tsawg ib hlis ib zaug.

Cov cwj pwm tsis zoo, ntxiv rau qhov cuam tshuam tsis zoo rau lub xeev ntawm lub tsev txiav, cuam tshuam rau lwm qhov system thiab kabmob. Kev haus cawv haus cawv ua rau cov rog rog, uas tseem yuav ua rau muaj kev mob ntshav qab zib, yog li nws zoo dua los ua lub neej zoo.

Cov neeg mob ntshav qab zib raug tso cai rau haus cawv nkaus xwb hauv cov hnub so loj. Cov tshuaj noj zoo yog ib khob dawb lossis liab caw, 250 grams npiasCov. Nws yog qhov zoo dua rau kev tsis kam haus luam yeeb. Nicotine muaj qhov tshwj xeeb tsis zoo rau lub txiav ua ke nrog cawv.Raws li cov cawv, tshuaj lom hauv cov luam yeeb tam sim no hauv cov luam yeeb tau muab khaws cia rau hauv lub cev ntev.

Nws tsim nyog kom tshem tawm cov cwj pwm ntawm haus kas fes thaum sawv ntxov.

Tom qab tag nrho, qhov nyiaj ntawm cov caffeine muaj nyob hauv lub khob ntawm tonic haus yog txaus kom txo tau qhov rhiab siab ntawm cov hlwb rau insulin los ntawm 15%.

Tus mob ntshav qab zib kuj tsis pom zoo kom haus dej haus muaj zog tshuaj yej.

Kev noj haus ntau dhau ntawm cov carbohydrate

Cov carbohydrates (suab thaj) muab tib neeg lub cev rau lub zog tsim nyog rau lub neej. Tab sis ntau dhau ntawm carbohydrates nyob rau hauv cov zaub mov provoke hyperglycemia.

Qee tus neeg ua yam tsis muaj qab zib, lwm tus muab tso rau ob peb daim ntawm ua kom huv hauv cov tshuaj yej.

Cov kws tshawb fawb piav qhia qhov txawv ntawm kev nyiam saj los ntawm kev ntsuas ntawm kev ua si ntawm tus gene, uas yog lub luag hauj lwm rau teeb tsa cov lus txais. Qhov kev nkag siab meej meej, tsawg dua qhov xav tau ntawm cov khoom qab zib, thiab rov ua dua.

Txhawm kom txo txoj kev pheej hmoo ntawm hyperglycemia, nws pom zoo kom hloov qab zib nrog fructose, muaj txiv hmab txiv ntoo uas muaj lub txiv ntuj.

Cov poj niam yog los ntawm qhov tsawg dua nkag siab zoo txog cov khoom qab zib. Yog li, lawv feem ntau nyiam noj khoom qab zib hauv cov zaub mov.

Cov kab mob endocrine system

Cov nruab nrog cev endocrine muab qee yam tshuaj hormones, suav nrog insulin. Yog tias qhov system ua haujlwm tsis zoo, lub tshuab ntawm cov kua nplaum los ntawm lub hlwb raug cuam tshuam. Raws li qhov tshwm sim, nws muaj keeb kwm ntxiv rau cov ntshav qab zib.

Lub ntsiab ntawm cov endocrine pathologies uas ua rau cov tsos mob ntshav qab zib yog pheochromocytoma, thyrotoxicosis, Cushing's disease.

Pheochromocytoma ua rau lub plasma siab ntau ntawm norepinephrine thiab adrenaline. Cov tshuaj yeeb dej caw no yog lub luag hauj lwm rau cov concentration ntawm cov piam thaj. Thyrotoxicosis yog kab mob pathological ntawm cov thyroid caj pas uas lub cev pib tsim cov thyroid hormones txaus. Cov tshuaj no ua rau cov piam thaj ntau ntxiv.

Qee cov kab mob endocrine tuaj yeem tau txais kev coj noj coj ua. Yog li no, cov tib neeg uas muaj pheej hmoo yuav raug nquahu kom soj ntsuam tas li txhawm rau txhawm rau txhawm rau saib xyuas qhov tsis zoo hauv lub system.

Cushing's disease yog ib qho kab mob neuroendocrine uas adrenal cortex ua cov tshuaj hormones ntau dhau.

Cov kab mob ntawm lub raum, txiav, mob siab

Diffuse hloov hauv daim siab, txiav ua rau cuam tshuam rau qib ntawm glycemia hauv cov ntshav.

Cov concentration ntawm cov piam thaj nce ntxiv. Qhov no yog vim tias daim siab ua kom lub siab thiab lub cev txiav tawm ua ke nrog kev sib tov, khaws cia thiab nqus cov kua nplaum.

Nrog kev mob pancreatitis, mob ntsws, muaj cov qauv los ua cov qog, insulin nres kom tsis pub leej twg paub hauv cov ntim tsim nyog. Qhov yuav tau txais ntawm no yog kev mob ntshav qab zib theem nrab.

Qhov ua rau hyperglycemia tuaj yeem ua txhaum ntawm lub raum. Thaum lub peev xwm lim dej ntawm cov khoom nruab nrog qis no, cov piam thaj muaj nyob hauv cov zis. Tus mob no yog hu ua glucosuria.

Yog tias cov kab mob ntawm daim siab, kab mob hauv lub raum thiab tus po txiav tawm nyob rau hauv tus menyuam, nws yog qhov yuav tsum tau ua mus rau kev kho mob kom sai li sai tau thaum muaj kab mob pathology, tus menyuam yuav muaj ntshav qab zib.

Mob ntshav qab zib mellitus

Feem ntau ua rau kev nce ntxiv hauv cov piam thaj yog cov ntshav qab zib. Muaj ob yam mob ntawm tus kabmob no:

thawj homCov. Hauv qhov no, kev tsim cov tshuaj insulin yog nres kiag li. Qhov no tau piav qhia los ntawm qhov tseeb tias cov tiv thaiv kab mob hauv lub cev tua cov qog ua lub luag haujlwm rau kev tsim cov tshuaj hormone. Raws li txoj cai, pathology manifests nws tus kheej thaum yau. Tus menyuam mob kis los ntawm tus kabmob virus lossis cov noob caj noob ces,
hom obCov. Tus mob ntshav qab zib no loj hlob, pib txij hnub nyoog nruab nrab. Cov tshuaj insulin tsim tawm, tab sis cov kab mob tsis tuaj yeem tiv taus nws. Los yog qhov hormone tsis ua ke nyob hauv cov khoom tsim nyog.

Qhov thib ob daim ntawv ntawm ntshav qab zib yog tshwm sim los ntawm ntau yam: noj haus tsis zoo, rog dhau, ua haujlwm qis. Yog li, thiaj li yuav zam kev txhim kho kabmob, nws pom zoo kom coj lub neej kev noj qab haus huv, ua raws kev noj haus.

Lub sijhawm luv nce thiab lwm qhov ua rau ua txhaum

Tseem ceeb kom paub! Sij hawm dhau los, teeb meem nrog suab thaj ntau tuaj yeem ua rau muaj kab mob tag nrho, xws li teeb meem tsis pom kev, tawv nqaij thiab plaub hau, mob qog, mob caj pas thiab mob qog nqaij hlav! Cov neeg qhia kev iab siab rau normalize lawv qab zib kom txaus siab ...

Kev nce siab ntxiv hauv cov ntshav qab zib tsis yog ib txwm sau tseg.

Qee zaum cov piam thaj nce ntxiv nrog tshuaj noj, hlawv roj, thiab lwm yam.

Tom qab qhov kev txiav tawm ntawm cov nyhuv cuam tshuam, qib ntawm glycemia rov qab los ua qub.

Kev nce me ntsis hauv qab zib tuaj yeem pom nrog lub cev ntau dhau, ua rau muaj kev ntxhov siab, ua kom mob ntev, cov kab mob thiab kis kab mob, lub cev kub. Xav txog cov teeb meem feem ntau ua.

Txais tos thiab cuam tshuam ntawm cov tshuaj

Cov tshuaj hauv qab no tuaj yeem ua rau hyperglycemia:

diuretics ntawm thiazide pawg. Piv txwv li, indapamide,
beta blockers siv los kho cov mob plawv. Hauv particular, Carvedilol thiab Nebivolol,
glucocorticoids. Nws tuaj yeem ua rau kom muaj ntshav qab zib ntau dua
tshuaj noj tshuaj pab
tshuaj tiv thaiv qhov ncauj
qee cov tshuaj xaj hlwb
steroidal tshuaj tiv thaiv. Qhov no muaj tseeb tshwj xeeb tshaj yog rau prednisolone. Lub sijhawm siv ntev ua rau cov ntshav qab zib steroid.

Cov tshuaj no pab tiv rau tus kab mob tshwj xeeb. Tab sis ib qho ntawm lawv lub zog yog qhov peev xwm nce cov piam thaj hauv siab. Nrog kev siv lub sijhawm ntev ntawm cov tshuaj no, tshwj xeeb tshaj yog nyob rau laus thiab thaum cev xeeb tub, ntshav qab zib tuaj yeem tshwm sim. Yog li, koj tsis tuaj yeem siv tshuaj los ntawm pawg neeg no, tsa lawv tus kheej.

Mob plawv mob hlwb, mob hlwb ntawm tus hlav

Hauv kev mob myocardial infarction, muaj kev cuam tshuam tseem ceeb hauv cov ntshav cov ntshav qab zib.

Kev nce hauv triglycerides, C-reactive protein, kuj tshwm sim.

Tom qab lub plawv nres, tag nrho cov nuj nqis rov qab mus rau qhov qub. Nrog angina pectoris, mob ntshav qab zib yog yam kab mob uas pom tau.

Muaj piam thaj ntau ntxiv thaum lub cev kub hnyiab, phais plab hauv plab

Tom qab kev phais mob ntawm duodenum lossis lub plab, ib qho mob feem ntau tshwm sim nyob rau hauv uas qab zib sai sai los ntawm cov hnyuv rau hauv cov ntshav.

Qhov no thiaj li ua kom cov kua nplaum nyob taus. Raws li qhov tshwm sim, muaj cov cim ntawm ntshav qab zib.

Kev raug mob rau lub hlwb tseem yog ib qho ntawm cov ua ntawm hyperglycemia. Cov cim ntawm ntshav qab zib tshwm sim nrog kev puas tsuaj rau lub hypothalamus, thaum lub peev xwm ntawm cov ntaub so ntswg los siv cov piam thaj txo.

Cov tsos mob thiab cov cim qhia ntawm qib siab

Yog tias cov ntshav ntshav glycemia qib siab nyob qis qis, cov tsos mob tshwj xeeb pib tshwm sim hauv tus neeg. Piv txwv li:

poob ntawm lub zog
nquag tso zis
tawm hws,
insatiable nqhis dej
ib tus neeg pib hnov mob, ntuav tshwm sim,
tas li kev xav ntawm qhov ncauj qhuav
pungent tsis hnov tsw ntawm ammonia los ntawm qhov ncauj kab noj hniav,
kev pom kev pom tseeb tuaj yeem txo qis
qhov hnyav pib poob qis, txawm tias qhov tseeb tias theem ntawm kev siv lub cev, kev noj zaub mov tsis zoo,
muaj ib qho kev xav tas li uas tsis muaj kev pw tsaug zog.

Yog tias ib tus neeg laus lossis menyuam hluas ceeb toom tsawg kawg yog ob peb yam qhia txog tus mob ntshav qab zib, nws yuav tsum hu rau tus kws endocrinologist. Yog tias koj tsis pib kho tus kab mob nyob rau lub sijhawm, nws yuav nkag mus rau hauv lub cev uas tsis tuaj yeem hloov pauv thiab hawv yuav xaus rau qhov tuag.

Ntxiv rau cov tsos mob saum toj no, txiv neej tau tshaj tawm cov ntaub ntawv ntawm kev sib daj sib deev. Qhov no tau piav qhia los ntawm qhov tseeb tias testosterone pib tsim tawm hauv qhov tsis txaus. Rau cov poj niam, mob voos tom los ntawm qhov chaw mos ntawm chaw mos tuaj yeem tshwm sim ntau dua.

Ntshav Qab Zib Hormone

Lub txiav ua kab muaj ntau pab pawg ntawm cov hlwb uas tsis muaj ducts thiab raug hu ua islets ntawm Langerhans. Cov islets coj los ua ke cov tshuaj insulin thiab glucagon. Tom kawg ua yeeb yam xws li insulin antagonist. Nws lub luag haujlwm tseem ceeb yog kom nce qib ntxiv cov piam thaj.

Cov tshuaj hormones uas tuaj yeem ua kom ntshav qab zib plasma kuj tseem ua tau los ntawm lub qog, lub qog, thiab cov qog. Lawv suav nrog:

cortisol
kev loj hlob lawm,
adrenaline
thyroxine
triiodothyronine.

Cov tshuaj hormones no hu ua contrainsular. Lub autonomic lub paj hlwb tseem cuam tshuam cov metabolism hauv kev ua kom yuag.

Cov. Thaum cov tsos mob ntawm tus mob hyperglycemia tshwm sim, nws yog ib qho tseem ceeb uas tau soj ntsuam tag nrho. Qhov no yuav ua rau nws paub meej vim li cas cov piam thaj dhia ntawd.

Kev kuaj qabzib

Kev kuaj ntshav yog coj los ntsuas glycogen. Ib lub qauv ntshav yog coj los ntawm tus ntiv tes. Kev kuaj mob yog nqa tawm ntawm lub plab khoob.

Qhov ntsuas qhov qub nws txawv ntawm 3.3 txog 5.5 mmol / L.

Qee lub sij hawm lawv ua lub ntsej muag glycemic, qabzib load mus kuaj, muaj suab thaj nkhaus.

Txoj kev tshawb fawb yog nqa tawm hauv txhua lub tsev kho mob lossis tsev kho mob. Yog tias tsis muaj sijhawm los zaum hauv kab, tom qab ntawv nws tsim nyog yuav lub khob pleev xim, uas yuav cia koj ua qhov kev txheeb xyuas nyob rau tom tsev.

Ntshav qab zib 8 - yuav ua li cas

Cov suab thaj hauv lub cev yuav tsum ceev cia nyob rau hauv ib qib kom qhov kev siv dag zog no tuaj yeem ua kom raug thiab nqus tau los ntawm txhua qhov nqaij ntawm peb lub cev.

Nws tseem ceeb heev tias cov kua nplaum tsis tawm hauv cov zis. Yog tias cov piam thaj metabolism tsis txaus ntshai, ib tus neeg yuav muaj ib qho ntawm ob qho pathologies - hyperglycemia thiab hypoglycemia.

Raws li, qhov no yog nce thiab txo qis dua cov piam thaj.

Hauv tsab xov xwm no peb yuav xav txog qhov txaus ntshai ntawm cov ntshav qab zib ntau tshaj. Yog li, koj tuaj yeem txiav txim siab tias dab tsi txaus ntshai rau cov piam thaj 8, thiab yuav ua li cas txog nws.

Siab qab zib

Hyperglycemia txhais tias cov piam thaj hauv ntshav ntau heev. Ntawm ib sab tes, xws li qhov taw qhia no tuaj yeem qhia txog kev hloov pauv ntawm lub cev. Lub sijhawm no, cov khoom ntawm tag nrho cov nqaij nrog cov tshuaj yog kom paub meej; raws li, cov tshuaj tiv thaiv no xav tau kom muaj kev nce ntxiv ntawm cov piam thaj. Tej zaum nws muaj ntau qhov laj thawj rau qhov no:

Kev siv dag zog kom tawm dag zog, ua rau cov leeg ua haujlwm ntau dua.
Kev ntxhov siab thiab ntshai tshwj xeeb.
Siab ntsws xav.
Mob syndromes.

Feem ntau, ib qho kev nce ntxiv hauv cov ntshav qab zib yog qhov luv luv. Qhov tshuaj tiv thaiv no yog ntuj dhau mus rau lub txiaj ntsig ua haujlwm los ntawm lub cev.

Yog tias cov piam thaj 8 tau khaws cia rau hauv qhov chaw ntev txaus, qhov no txhais tau hais tias muaj kev nce siab ntxiv ntawm cov piam thaj hauv lub cev, thiab cov ntaub so ntswg tsis tuaj yeem nqus nws kom raws sijhawm.

Feem ntau, cov tshuaj tiv thaiv no tshwm sim nrog teeb meem nrog cov kab mob endocrine. Tsis tas li ntawd, qhov tshwm sim tuaj yeem yuav mob loj dua - muaj qhov tshwm sim muaj kev puas tsuaj rau cov kab mob insulin zais zis, uas nyob hauv thaj chaw txiav

Raws li, muaj piam thaj ntau heev yuav tawm nrog zis.

Hyperglycemia yog qib nce ntxiv ntawm cov piam thaj hauv cov ntshav thiab lub cev tsis tuaj yeem nqus cov khoom siv hluav taws xob tuaj. Cov xwm txheej zoo li no ua rau cov teeb meem metabolic ua raws li los ntawm kev tsim cov khoom lag luam metabolic lom. Lub ncov ntawm qhov xwm txheej no tuaj yeem lom rau lub cev.

Thaum pib ntawm tus kab mob rau ib tus neeg tsis xyaum nrog lub txim hnyav. Nyob rau hauv rooj plaub thaum lub suab thaj nyob rau hauv lub cev, nws lub cev ua kom cov kua ntws tawm mus. Ib tug neeg ib txwm xav haus dej, thiab nws nquag mus xyuas chav dej. Thaum tso zis, cov piam thaj ntau heev tawm los. Yog li, cov leeg ntawm lub cev tau qhuav nrog rau daim tawv nqaij.

Mob hnyav heev hyperglycemia yog nrog cov tsos mob hauv qab no:

kev pw tsaug zog tas li
siab qhov teeb meem ntawm kev poob qab
ntuav
xeev siab

Qhov teeb tsa ntawm cov kis no qhia thawj zaug ntawm hyperglycemic coma, uas tuaj yeem ua rau qhov tshwm sim tsis zoo. Tus kab mob no qee zaum tshwm sim rau cov neeg uas raug teeb meem endocrine: mob ntshav qab zib mellitus, muaj cov thyroid muaj nuj nqi ntau dua.

Yog ntshav qab zib 8 yuav ua li cas

Cov ntsiab lus ntawm cov piam thaj hauv cov ntshav, thiab ntau dua cov piam thaj hauv lub cev yuav tsum tau tswj hwm nruj kom lub hauv paus ntawm lub zog tau yooj yim nkag tau rau txhua cov ntaub so ntswg, tab sis tib lub sij hawm, tsis nthuav tawm hauv cov zis. Thaum muaj kev ua txhaum ntawm cov piam thaj hauv cov ntshav hauv lub cev - qhov no tuaj yeem tshwm sim nws tus kheej hauv cov ntsiab lus qabzib hu ua hyperglycemia, thiab tej zaum cov ntsiab lus qis dua - hypoglycemia.

Siab qab zib

Hyperglycemia yog cov ntsiab lus ntawm cov ntshav qab zib ntau dua.

Txhawb cov ntshav qab zib kom zoo li qub, thaum nws yuav yog qee yam kev hloov pauv ntawm lub cev uas muab cov khoom siv hluav taws xob rau lub cev nqaij, tom qab ntawd noj, nws tuaj yeem ua rau cov leeg muaj zog, ntshai, ntxhov siab, mob hnyav lwm yam. Xws li nce hauv cov ntshav qab zib feem ntau nyob rau lub sijhawm luv luv, zoo li nws tau piav qhia ua ntej lawm, nws tau txuas nrog lub nra ntawm lub cev.

Yog tias hyperglycemia kav ntev heev nrog lub siab txaus ntawm cov kua nplaum, thaum tus nqi ntawm cov piam thaj tso rau hauv cov ntshav tau dhau ntawm tus nqi ntawm lub cev tswj kom nqus nws, ces qhov no, raws li txoj cai, yog vim muaj kab mob ntawm cov kab mob endocrine. Nws tseem tuaj yeem muaj qhov cuam tshuam tsis zoo, uas yuav muaj kev cuam tshuam rau hauv daim ntawv ntawm kev puas tsuaj rau cov kab mob insular ntawm lub txiav thiab tso cov kua nplaum tawm hauv cov zis.

Hyperglycemia, raws li twb tau hais lawm, yog cov ntshav qab zib ntxiv thaum tus nqi ntawm qhov ua haujlwm tau tshaj li qhov tau teev tseg ntawm nws lub cev, uas tuaj yeem ua rau lub cev zom zaub mov tsis zoo nrog rau kev tso tawm ntawm cov khoom lag luam lom, thiab tom qab ntawd qhov no tuaj yeem ua rau muaj kev lom neeg ntawm cov kab mob tag nrho.

Qhov me me ntawm hyperglycemia tsis ua mob rau lub cev hauv txhua txoj kev, thiab thaum cov piam thaj ntau dua qhov cov ntsiab lus ib txwm muaj, ib tus neeg pib raug kev txom nyem los ntawm kev nqhis dej, uas ua rau nws haus dej ntau, nquag tso zis, nyob rau hauv uas qab zib tawm ntawm lub cev nrog zis, thiab vim li ntawd cov leeg ntawm lub cev yuav qhuav, ib yam li daim tawv. Daim ntawv ntawm hyperglycemia tuaj yeem ua rau xeev siab, ntuav, ib tus neeg yuav tsaug zog thiab inhibited, tsis nco qab yog qhov ua tau, qhov no qhia qhov pib ntawm hyperglycemic coma, uas tuaj yeem ua rau tuag.

Raws li txoj cai, hyperglycemia yog cov yam ntxwv tsuas yog rau cov kab mob endocrine, xws li mob ntshav qab zib mellitus, muaj cov thyroid muaj nuj nqi ntau dua, rau cov kab mob ntawm cov hypothalamus - thaj tsam ntawm lub hlwb uas ua lub luag haujlwm rau txhua txoj haujlwm ntawm cov qog ntshav sab hauv, hauv qee kis tsawg kawg nws yuav yog vim muaj qee cov kab mob siab.

Nrog ntev hyperglycemia, qhov kev cuam tshuam tsis tu ncua ntawm metabolic pib, uas ua rau lub siab tsis muaj zog, lub cev tsis muaj zog pib ua haujlwm tsis zoo, kev ua haujlwm tsis tu ncua ntawm lub cev pib, kev ua haujlwm ntawm kev sib deev yog qhov tsis txaus ntseeg, thiab cov ntshav xa mus rau tag nrho cov ntaub so ntswg yog cuam tshuam.