Asymptomatic hypoglycemia

Feem ntau cov neeg hnov ​​lub sij hawm ntshav qogxav - nws yog dab tsi?

Qhov no yog qhov mob uas cov piam thaj hauv lub cev txo qis dua.

Nws reacts tshwj xeeb tshaj yog tsis muaj zog lub hlwb: nws 30 npaug ntxiv cov khoom noj haus xav tautshaj li lwm cov hlwb.

Nws tshwm sim hais tias ib feeb tom qab poob hauv cov ntshav qab zib cov ntshav ib tus neeg khiav txoj kev pheej hmoo ntawm ua rau tsis nco qab
Vim li ntawd nws thiaj tseem ceeb kom paub vim li cas qhov kev cuam tshuam no tshwm sim hauv lub cev, ua dab tsi thiab yuav ua li cas kom zam dhau nws.

Cov neeg feem coob ntseeg hais tias kev mob ntshav qab zib tsuas tshwm sim hauv ntshav qab zib xwb.

Tseeb, qhov kev pom no yog ib txwm muaj rau cov neeg mob ntshav qab zib thiab tuaj yeem tshwm sim nrog:

• kev noj tshuaj ntxiv ntawm cov tshuaj insulin lossis cov tshuaj hypoglycemic,
• lub sijhawm nruab nrab ntev hauv kev muab khoom noj,
• lub cev hnyav,
• cawv sai.

Tab sis ib qho kev tsis txaus ntseeg tuaj yeem tsim nyob rau hauv qhov tsis muaj kuaj pom tus mob ntshav qab zib.

Kev tsis mob ntshav qab zib (cuav) hypoglycemia tshwm sim nrog:

• carbohydrate kom tsawg (vim muaj cov insulin ntau lawm)
• kev ua hauj lwm nrawm los yog hnyav (vim tsis muaj zog los ntawm lub zog los ntawm lub cev tshwj tseg),
• cawv intoxication (nrog rau kev hloov zoo tshaj hauv cov qib carbohydrates hauv lub siab),
• ua tsis taus adrenal muaj nuj nqi (glucocorticoid ntau lawm tsis ua haujlwm),
• hlav hlav hauv lub txiav (nrog cov kua dej ntau dhau)
• hypothyroidism (ntau lawm cov thyroid cov tshuaj hormones yog qhov tsis zoo),
• cev xeeb tub thiab pub niam mis (“Jumps” hauv qab zib theem).

Kev tsim kho tshuab

Cov piam thaj hauv qab qis yog hais tias qis dua 3.3 mmol / L rau cov neeg laus.

Thaum twg cov piam thaj hauv qab yog 2.75 mmol / L ntau cov haujlwm tseem ceeb pib tau ntxhov siab rau hauv ib tus neeg.
Txawm li cas los xij, tus nqi ntawm cov piam thaj txo kuj tseem ceeb.

Qee tus neeg mob ntshav qab zib xav tias ua siab ntev txawm tias muaj suab thaj ntau li 2.2 mmol / L.

Yog tias cov piam thaj hauv ntshav tso qis dua 1.8 mmol / L, Qhov no yog qhov txaus ntshai heev, vim nws ua rau yus tsis nco qab.

Cov neeg mob cov ntshav qab zib tsawg

Raws li qhov mob hnyav ntawm cov tsos mob, 3 qib tau qhov txawv: mob me, nruab nrab thiab mob hnyav.

1 (mob mentsis) ntawm tus kabmob yog yam ntxwv:

• tes co
• hws
• pallor
• kev tshaib kev nqhis
• txob taus.

Nrog kev kawm tiav me me, tus neeg tuaj yeem muab cov kev pab cuam uas tsim nyog rau nws lub cev.

Nrog rau 2 (nruab nrab) degree, cov tsos mob koom nrog:

• ntxhov siab ntau dhau los yog nkees nkees,
• pallor, hws txias,
• cov tsos ntawm loog hauv lub cev,
• qhov muag plooj
• tachycardia
• "Paj rwb hauv caug."

Feem ntau theem no tsis meej pem nrog cov cawv ua cawv. Nrog rau theem 2, ib tus neeg twb xav tau kev pabcuam los qhia txog cov piam thaj hauv nws lub qhov ncauj.

Nrog rau 3 (hnyav) kawm ntawv, cov cim tshwm sim:

• kev tsis zoo
• cramps (nco qab txog mob vwm)
• ua txhaum kev nqos
• ploj ntawm kev nco qab thiab txoj kev loj hlob ntawm coma.

Cov tsos mob ntawm kev tsis muaj ntshav qab zib yog ib qho kev tiv thaiv, qhia txog qhov kev xav tau ceev nrawm los qhia txog kev zom cov khoom noj carbohydrates rau hauv lub cev.

Cov tsos mob yuav qhia tau txo cov ntshav qabzib hauv cov ntshav:

• hws
• tsaug zog
• nkees
• nce qab los noj mov
• ntxhov siab lossis ntxhov siab
• tsis hnov ​​lus.

Ib tus neeg yuav muaj ntau cov tsos mob no.

Cov yam ntxwv feem ntau ntawm kev mob ntshav qab zib yog kev rog dhau thiab ua kom tsis muaj zog, tsis dhau txawm tias tom qab so zoo.

Feem ntau cov mob no hla tom qab noj mov, tshwj xeeb tshaj yog noj zaub mov qab zib.

Yog tias koj tsis teb nrog rau cov tsos mob zoo li no, ces qhov xwm txheej yuav phem thiab ua rau muaj kev phom sij txog lub neej.

Yuav ua li cas thiaj paub qhov mob huam sai ntawm hypoglycemia? Nws ua tau nws tus kheej hauv daim ntawv:

• hws
• kev nkag siab ntau dhau los yog ib qho kev xav ntawm qhov kev ua phem uas xaus rau qhov tsaus muag,
• cramps.

Cov tsos mob hauv cov menyuam yaus

Cov menyuam yaus uas muaj ntshav qab zib tsawg dua kev tshwm sim xws li kiv taub hau, tsis muaj zog thiab coj tus cwj pwm txawv (lub siab, kev ua tsis tau zoo, kev tsis mloog lus), thiab kev tawv ncauj yog yam ntxwv.

Cov menyuam yaus hnub nyoog qis dua 5 xyoos tsis tuaj yeem ntsuas lawv tus kheej txoj kev noj qab nyob zoo thiab pab lawv tus kheej.

Yog li, hauv menyuam yaus, daim ntawv me me tuaj yeem hloov mus ua ib qho hnyav.

Nws yog ib qho tseem ceeb uas tus me nyuam niam thiab txiv yuav tsum ceeb toom lawv ib puag ncig kom ncav sijhawm hais txog qhov ua tau rau chua leeg hauv cov menyuam yaus thiab hais tias nws tsis raug kev txom nyem los ntawm kev mob hlwb.

Mob tsis txaus siab

Lub teeb daim ntawv tuaj yeem hla dhau yam tsis muaj txim.
Txawm li cas los xij, cov ntawv sau tawm ntawm tus mob no tuaj yeem ua rau muaj kev cuam tshuam loj heev hauv lub cev.
Yog li Ntev nocturnal hypoglycemia nyob rau hauv cov ntshav qab zib yog fraught nrog lub qhov muag tsis hnov ​​lus thiab saib xyuas, myocardial ischemia.

Hnyav daim ntawv yuav xaus rau qhov tsis meej pem thiab ua rau muaj kev cuam tshuam tsis zoo nyob rau hauv daim ntawv ntawm lub hlwb tsis zoo (txog li dementia).

Hauv cov neeg mob vascular pathology, coma tuaj yeem ua rau mob plawv, mob ntshav tawm.
Kev tuag ntawm hypoglycemic coma tsis tshua muaj xaus.

Xub Pab Rau Cov Neeg Mob Ntshav Qab Zib muaj ntshav qab zib

Tus neeg mob ntshav qab zib xav paub dab tsi txog cov teeb meem no:

1. Thaum cov tsos mob ntawm cov ntshav qabzib tawm ua ntej tshaj plaws, yuav tsum muaj ntshav qab zib ntsuas nws qib nrog glucometer.
2. Yog tias qhov ntsuas no yog 0.6 ntsuas qis dua li ib txwm lossis tseem qis dua, zom zaub mov tau sai sai (ntsiav tshuaj lossis ampoules qabzib, dej qab zib, qab zib, zib ntab). Feem ntau txaus 5-15 g ntawm cov khoom lag luam. Yog tias tom qab 10 feeb cov suab thaj theem tsis tau nce siab, kev nqus ntawm cov carbohydrates hauv tib lub tshuaj yuav tsum rov ua dua,
3. Thaum cov tsos mob tshwm ntau dua 2 zaug hauv ib lub lis piam, tus neeg mob yuav tsum sab laj nrog kws kho mob,
4. Cov neeg uas muaj ntshav qab zib yuav tsum muaj qee yam qab zib nrog lawv txhawm rau tiv thaiv cov kab mob no. (qab zib, dej qab zib, cov ntsiav tshuaj piam thaj),
5. Yog tias tus neeg tsis tuaj yeem nqa khoom qab zib ntawm nws tus kheej, nws xav tau kev pab hauv qhov no. Yog tias tus neeg mob tus mob tseem tsis tau zoo lossis nws tsis nco qab, nws yog qhov maj nrawm hu rau lub tsheb thauj neeg mob.

Ua ntej mus pw hauv tsev kho mob, cov lus qhia ntawm 10% glucagon daws teeb meem lossis 40% kua qabzib tau siv. Hauv tsev kho mob nrog rau tus mob no, tso ntshav tshuaj ntawm cov kua nplaum feem ntau siv.

Hauv theem ntawm hypoglycemic coma, tus neeg mob tau muab tso rau hauv ib qho kev saib xyuas mob hnyav rau kev kho mob kom yooj yim.
Nyob rau hauv lub neej yav tom ntej kev kho mob nqa tawm rau hauv tus account lub ntsiab qhov ua rau tus mob no.

Dab tsi ua rau muaj tus mob?

Muaj ntau ntau yam ua rau cov ntshav qabzib poob ntau ntxiv. Txawm li cas los xij, cov pib loj tshaj plaws tuaj yeem sib txawv.

• Kev tshaib plab. Hauv cov neeg muaj kev noj qab haus huv, kev noj cov piam thaj hauv cov ntshav feem ntau yog cuam tshuam nrog kev tsis kam noj mov ntev ntev. Kev ua kom yooj yim yog qhov yoojyim rau ntawm no: lub cev yog tas li siv lub zog, tab sis tsis muaj dab tsi los hloov nws. Cov peev txheej ntawm "roj" yog maj khiav tawm.
• Meem rov qab los ntshav qab zib. Cov laj thawj rau qhov ua kom cov piam thaj txo tsawg yog qhov hnyav ntawm carbohydrates. Nws suab ib qho txawv me ntsis, vim hais tias los ntawm kev noj ntawm carbohydrates, qib qab zib yuav tsum nce. Tab sis cov tshuaj insulin ntau ntxiv hauv qhov no, uas, nyeg, ua rau muaj kev mob xws li hypoglycemia.
• Kev muaj ntshav qab zib tsawg uas tshwm sim muaj ntshav qab zib. Nws yuav zoo li tias muaj ntshav qab zib, cov ntshav qab zib hauv lub cev yuav tsum nce ntxiv, tsis txo qis, tab sis peb tab tom tham txog kev siv tshuaj uas tsim los txo cov piam thaj hauv ntshav. Hauv qhov no, cov piam thaj hauv qab yuav tsis rov qab mus rau qhov qub, thiab yuav muaj ib qho ntxiv - hypoglycemia.
• Cawv intoxication raws li ib yam cuam tshuam hypoglycemia. Cov tsos mob tshwm sim vim qhov tseeb tias thaum haus dej cawv, qib ntawm carbohydrates hauv lub siab poob qis: tag nrho cov zog ntawm cov khoom nruab nrog no tau siv rau kev ntxuav lub cev ntawm co toxins uas tau nrog phoo.
• Kev siv lub cev ntev ntev. Lub cev ua haujlwm dhau los, tshwj xeeb yog lawv siv sijhawm ntev txaus, lub zog yuav siv zog.Cov yam ntxwv no feem ntau siv los ntawm cov kis las uas xav kom tshem tawm cov rog rog uas tsis tuaj yeem, vim hais tias thaum cov khoom tseem ceeb ntawm cov piam thaj hauv lub cev, lub cev yuav pib siv cov peev txheej zais cia. Txawm li cas los xij, nws yog ib qho tseem ceeb kom tsis txhob ua txhaum nws: kev mob ntshav siab ntau yog fraught nrog ntau yam tsis raug lub txim.
• Tshuaj insulinoma. Qhov qog nqaij hlav no muaj nyob rau ntawm txoj hlab ntshav muaj peev xwm tsim cov tshuaj insulin ntau dhau, uas ua rau cov ntshav qog ntshav qab zib.
• Cev xeeb tub thiab lactation. Hauv cov poj niam uas nqa menyuam lossis pub niam mis, muaj piam thaj ntau "dhia", ntxiv mus, qis thiab qis. Yog li, thaum cev xeeb tub nws yog ib qho tseem ceeb los soj ntsuam cov qib ntawm cov piam thaj hauv cov ntshav kom tsis txhob nco lub xeev hypoglycemic.
• Kev Hypothyroidism Xws li tus kab mob yog tus cwj pwm los ntawm kev ua txhaum ntawm kev ua ke ntawm cov thyroid hormones, uas, nyeg, tuaj yeem ua rau muaj kab mob xws li hypoglycemia.
• Ua txhaum ntawm cov qog adrenal. Lub luag haujlwm ntawm cov qog adrenal yog, nrog rau lwm yam, kev tsim cov glucocorticoids - cov tshuaj hormones koom nrog hauv cov metabolism hauv cov metabolism. Thaum adrenal tsis txaus pom tshwm sim, qhov tso pa tawm ntawm cov tshuaj hormones tag nrho yog tsis yooj yim sua.

Ntawm lwm yam, kev muaj keeb muaj feem cuam tshuam rau qhov ua kom cov piam thaj tsawg - qee zaum kev ua txhaum cai ntawm kev tsim qee yam ntawm cov enzymes yog kev txiav txim siab txog caj ces.

Ntshav qab zib

Cov haujlwm tseem ceeb ntawm lub cev tau txhawb los ntawm cov txheej txheem hauv metabolism. Qhov no yog cov khoom siv roj ntsha uas ua kom paub tseeb tias kev nkag mus rau hauv lub hlwb ntawm txhua qhov tsim nyog cov ntsiab lus thiab lub zog, nrog rau kev nthuav tawm ntawm cov khoom pov tseg ntawm cov hlwb. Rau lub paj hlwb thiab tag nrho cov plab hnyuv siab raum ua haujlwm, qabzib ntxiv ua ntej ntawm txhua yam. Nws tau muab rau lub cev tsuas yog nrog cov zaub mov. Tab sis tsis tsuas yog cov piam thaj yog qhov ua rau ntawm piam thaj. Nws kuj tseem ua tawm los ntawm tej carbohydrates. Tag nrho cov ntawm lawv tau ua raws li kev sib txawv.

Cov tshuaj insulin, qhov tshwj xeeb hauv lub cev, yog qhov tsim nyog rau cov piam thaj los ntawm hlwb. Sai li uas cov piam thaj nkag mus rau hauv cov hlab ntshav ntawm txoj hnyuv, cov tshuaj no pib tsim tawm los ntawm cov txiav ua ntej. Cov tshuaj insulin pab cov cell siv cov piam thaj uas lawv muab, hloov mus rau hauv lub zog. Hauv cov neeg muaj kev noj qab haus huv, nws tsim tawm ntau npaum li tsim nyog rau qhov nqus ntawm cov piam thaj los ntawm cov khoom noj. Tsis tas li ntawd, muaj cov piam thaj nyob hauv lub cev hauv daim ntawv ntawm glycogen, uas nyob hauv lub siab. Thiab ib qho tshaj ntawm cov carbohydrates kuj tseem muab tso rau hauv cov rog.

Yog li, nws yog ib qho tseem ceeb heev uas yuav tsum muaj cov piam thaj tsis tu ncua hauv cov piam thaj hauv cov ntshav. Ua rau nws tuaj yeem ua rau cov rog rog lossis ntshav qab zib, thiab nrog cov ntshav qab zib qis ntshav qab zib hauv kev nce siab. Cov tshuaj insulin ua cov piam thaj los ntawm cov ntshav, yog li feem ntau tus mob no tshwm sim thaum txoj kev noj tshuaj yog tsis raug rau cov ntshav qab zib. Tab sis nws kuj tuaj yeem tsim kho hauv cov neeg muaj kev noj qab haus huv nrog kev noj zaub mov tsis sib npaug.

Kev hypoglycemia yog dab tsi?

Cov theem ntawm cov piam thaj hauv cov ntshav ntawm tus neeg noj qab haus huv li ntawm 3.8 txog 6.5 mmol / L. Yog tias qhov ntsuas no poob qis rau 3.3 lossis tseem qis dua, cov ntshav qog ntshav qab zib muaj kev loj hlob. Nov yog qhov kab mob pathological uas tuaj yeem hem tus neeg mob lub neej yog tias nws tsis tsum. Feem ntau, cov kua nplaum hauv lub ntsej muag poob qis dua tshwm sim hauv cov neeg mob ntshav qab zib uas txhaj tshuaj lawv tus kheej ntawm kev noj tshuaj insulin ntau dhau lossis tsis ua raws li kev noj haus uas kws kho mob pom zoo. Tab sis hypoglycemia yog ib qho mob uas tuaj yeem tshwm sim hauv cov neeg noj qab haus huv. Kev tsis txaus ntawm cov piam thaj hauv cov zaub mov, cov nqi hluav taws xob ntau, kev ntxhov siab lossis kev noj tshuaj qee yam tuaj yeem ua rau hom kab mob no.

Cov theem kev loj hlob

Cov cim ntawm hypoglycemia sib txawv raws qhov mob nyav ntawm cov chav kawm ntawm tus kab mob. Muaj peb theem: teeb, nruab nrab thiab hnyav. Nrog cov ntshav qog ntshav qab zib tsawg, cov piam thaj hauv qab qis dua 3.8 mmol / L. Tus neeg yuav ntsib kev tshaib kev nqhis lossis, hloov, xeev siab, nws mob khaub thuas, nws lub plawv dhia yuav nce.Muaj ib qho kev txhawj xeeb uas tsis yooj yim, qhov chim siab. Cov neeg muaj kev noj qab haus huv tsis tshua nyob ze cov thawj cov cim ntawm kev qog ntshav qab zib txhawm rau txo qis qab zib. Tus cwj pwm no ua rau muaj qhov tsis zoo thiab muaj qhov txo qis ntxiv hauv cov piam thaj hauv cov ntshav.

Yog tias nws qib nce mus txog 2.8 mmol / l, cov qog ntshav qog ntshav nce qis. Hauv qhov no, tag nrho cov tsos mob hnyav dua qub: kev npau taws, ntxhov siab, tsis nco qab thiab nco qab. Tus neeg mob lub qhov muag pom kev tsis zoo, thiab nws lub taub hau txawj kiv. Lub zog ua kom muaj zog, ua kom sib haum ntawm qhov taw yuav ua tau. Yog tias lub sijhawm tsis pab nrog kev ntshav qis, nws mus rau theem tom kawg. Ntxiv mus, qhov tsis zoo yuav tshwm sim sai sai. Cia li hauv 20-30 feeb, ua rau lub ntsej muag ntshav qis nkag mus rau qhov kev mob hnyav tshaj plaws.

Cov piam thaj hauv qhov teeb meem no nce mus txog 2.2 mmol / L thiab poob rau hauv qab. Tus neeg mob ntsib kev kub ntxhov siab, ua phem dhau los tau. Lub cev kub ib ce poob qis, tawm hws sib zog. Feem ntau muaj tonic cramps uas cov leeg ua si ntev heev tsis tuaj yeem so, tshee tshee ntawm ob txhais tes. Tus neeg mob tuaj yeem tsis nco qab. Hauv lub xeev no, nws tsis muaj peev xwm pab nws tus kheej, yog li nws yuav tsum raug coj mus rau hauv ib lub tsev kho mob. Nyob rau qib qab zib hauv qab 2 mmol / L, qhov mob hypoglycemic kawg rov tshwm sim, uas tuaj yeem ua rau tuag taus.

Cov Hypoglycemia: ua rau

Hauv cov neeg mob uas mob ntshav qab zib mellitus, xws li kab mob pathology tuaj yeem tshwm sim vim kev kho tsis raug lossis noj zaub mov tsis zoo. Thiab vim li cas cov ntshav qog ntshav qab zib thiaj loj hlob hauv cov neeg noj qab haus huv? Ntau yam tuaj yeem ua rau nws:

Cov kab mob ua rau cov ntshav tsis txaus

Feem ntau, qhov ua kom cov ntshav qab zib tsawg zuj zus vim nws muaj ntau yam mob. Cov kab mob dab tsi ua rau cov ntshav hypoglycemia?

• Mob ntshav qab zib mellitus.
• Hypothyroidism, qog mob adrenal ua haujlwm.
• Insulinoma yog lub qog ntawm lub txiav txiav.
• Kab mob siab, tshwj xeeb tshaj yog ua mob rau cov ntshav thiab kab mob siab.
• Kab mob ntawm lub plab zom zaub mov ua rau lub cev tsis haum ntawm carbohydrates.
• Mob ntsws o, mob rau daim tawv hlwb.
• Lub plawv tsis ua hauj lwm.
• Mob raum.
• Sepsis.
• Kev xeeb nyob ntawm lub cev los ntawm insulin secretion thiab glucose uptake.

Kev mob ntshav qab zib ntau ntau hauv ntshav qab zib

Feem ntau, cov mob no tshwm sim yog tias ib tug neeg muaj ntshav qab zib insulin-tiv thaiv ntshav qab zib. Kev mob ntshav qab zib yog nce zuj zus thaum tus neeg mob siv tshuaj insulin ntau dua qhov tsim nyog yuav tau ua cov piam thaj hauv ntshav. Tom qab txhua tus, cov ntshav qab zib tsis muaj cov peev txheej loj ntawm glycogen, lawv raug yuam kom tswj cov theem ntawm carbohydrates nkag mus rau hauv lub cev. Nrog rau tus kab mob no, koj yuav tsum ua raws li kev noj zaub mov nruj, suav seb koj yuav tsum haus dej ntau npaum li cas (nws tau txiav txim siab hauv XE - chav ua mov ci) nyob ntawm kev ua si ntawm lub cev. Tab sis kev ua yuam kev muaj peev xwm ua tau nyob rau hauv thawj theem ntawm tus kab mob, nrog rau kev ua txhaum ntawm kev noj txhua hnub los yog kev noj haus. Ntawm ntshav qab zib, ib qho kev tawm tsam ntawm hypoglycemia yog tshwm sim los ntawm cov hauv qab no:

• noj tsis yog lawm ntawm cov tshuaj insulin
• haus cawv
• Lub caij nyoog tshaib plab heev, feem ntau txawm tias yog ib pluag noj ua rau muaj cov suab thaj txo qis,
• tsawg carbohydrate ntau ntau hauv cov zaub mov,
• kev siv cov tshuaj uas txhim kho kev ua ntawm insulin, xws li "Aspirin", "Warfarin", "Glinase" thiab lwm yam.

Ntxiv nrog rau kev txo kab mob hauv qabzib, nrog ntshav qab zib mellitus, mob ntshav qab zib tsawg tshwm sim. Tus neeg mob xav tias tag nrho cov cim ntawm pathology nyob rau hauv rooj plaub thaum cov piam thaj tee los ntawm theem siab rau ib txwm qib. Txhawm rau zam teeb meem, cov neeg mob ntshav qab zib yuav tsum ua raws li kev noj zaub mov nruj, ua raws txhua tus kws kho mob pom zoo thiab kuaj ntshav qab zib ob peb zaug hauv ib hnub.

Kev mob ntshav siab

Cov ntshav qab zib cov ntshav yuav poob qis zuj zus, thiab tuaj yeem txo qis rau kev nyeem ntawv tseem ceeb. Hauv qhov xwm txheej thib ob, lawv hais txog kev tawm tsam ntawm hypoglycemia, uas tus neeg mob yuav poob mus rau hauv coma.Tab sis me ntsis maj mam txo cov piam thaj thiab nws cov qes qis tas li kuj txaus ntshai. Hauv qhov no, tshwj xeeb cov tsos mob nyuab uas ua rau cov ntshav hypoglycemic tshwm sim. Hauv cov neeg mob lub pathology no, cim xeeb thiab kev txawj ntse lub cev tsis zoo, mloog zoo yog qhov tsis muaj zog, mob taub hau feem ntau mob thiab kiv taub hau. Paresthesia los yog loog ntawm nqaj yog tau. Tus neeg mob lub cev yog daj ntseg, nws ntsib qhov ua daus no, tawm hws ntau dhau.

Tab sis cov cim tseem ceeb ntawm kev mob hypoglycemia yog mob nkees thiab muaj mob tsis muaj zog. Tom qab tag nrho, vim tias cov piam thaj hauv qib qis, lub zog yog tas li tsis txaus. Tus neeg mob xav tias muaj kev txob taus, ntxhov siab, tsaug zog. Nws zoo nkaus li nkees twb sawv ntxov ntxov, tsuas yog nce txaj xwb. Tsis tas li ntawd, tus neeg mob yog tas mus li tshaib plab heev. Nws pom tias haus ib yam dab tsi qab zib, xws li kua txiv ntoo, dej qab zib, lossis khaub noom, ua rau nws lub siab zoo. Tab sis txoj kev nyem tsis xav tau ntev. Kev nce ntxiv hauv cov piam thaj los ntawm kev nyeem sai ua rau muaj cov insulin ntau ntxiv, uas ua rau nws sai sai. Yog li, tus neeg mob txoj kev tsis muaj kev kho yog hloov zuj zus.

Cov tsos mob ntawm tus mob hypoglycemia

Cov tsos mob ntawm kev txo cov piam thaj ntau tsis tshwm sim tas mus li. Qee zaum yuav muaj qhov muag me ntsis thaum lub zog tshwm sim tsis pub dhau ib nrab teev. Yog li, nws yog ib qho tseem ceeb kom paub txog tias yuav ua li cas rau cov neeg mob ntshav qab zib (hypoglycemia) txhawm rau kom muaj sijhawm los muab kev pab. Nws yog ib qho tsim nyog yuav tsum tau ua kev ntsuas thaum cov tsos mob hauv qab no tshwm sim:

• cia li qaug zog, nkees nkees,
• tshaib plab heev
• xeev siab
• tawm hws, ua daus no,
• tes co
• tachycardia
• kev ntshai ntawm kev ntshai
• ob lub zeem muag, cov voj voog ua ntej lub qhov muag,
• tsis meej pem hais lus thiab nco qab.

Yog tias koj tsis nce qib hauv qab zib, tom qab ntawd muaj qhov tsis nco qab, tsis nco qab thiab tuag. Yog li ntawd, tus neeg mob, thaum nws tseem nyob hauv lub xeev, yuav tsum noj tej yam qab zib lossis haus kua txiv txiv ntoo.

Dab tsi yog qhov txaus ntshai hypoglycemia

Kev muaj zog poob qis hauv cov ntshav qab zib yam tsis muaj kev pab raws sij hawm ua rau tus neeg mob tuag, vim tias kev tuag ntawm tes pib. Lub hlwb tau cuam tshuam tshwj xeeb vim qhov no, yog li ntawd, muaj cov piam thaj hauv qab 2 mmol / L, ib qho kev mob hypoglycemic tshwm sim. Tab sis nws cov qib qis tsis tu ncua tseem tuaj yeem ua rau txaus ntshai. Ua ntej ntawm tag nrho cov, vim hais tias kev tuag ntawm cov hlab ntsha me pib, vim tias qhov twg dig muag lossis mob ntsws ntawm cov hlab ntawm cov ceg txhim kho.

Cov teeb meem kev noj qab haus huv feem ntau tsuas tshwm sim nrog mob ntshav qis mus rau mob hnyav, lossis yog tias cov piam thaj hauv ntshav nyob ntev mus ntev. Qhov no ua rau muaj kev hloov pauv tsis tau ntawm tus neeg mob lub paj hlwb. Tsis tsuas yog lub zeem muag tsis sib xws, hloov cuam tshuam rau kev hais lus, kev sib koom tes ntawm kev txav thiab txhua qhov kev nkag siab.

Kev Kho Mob Hypoglycemia

Cov neeg mob ntshav qab zib yuav tsum qhia rau tus kws kho mob paub yog tias lawv muaj cov tsos mob ntawm cov ntshav qab zib ntau dua ntau tshaj ob zaug hauv ib lub lis piam. Qhov no txhais tau tias koj yuav tsum tau kho cov pluas noj thiab qhov ntau npaum li cas ntawm cov tshuaj insulin. Cov neeg uas tsis muaj ntshav qab zib kuj yuav tsum mus cuag kws kho mob raws sij hawm. Nyob rau hauv txhua rooj plaub, tom qab pab ua ntej rau tus neeg mob, txoj kev kho mob muaj nyob hauv tshem tawm qhov ua rau cov piam thaj poob. Yog li, yuav tsum tau kuaj tag nrho. Nws yuav pab txiav txim siab qhov muaj cov kab mob endocrine, kev puas tsuaj hormonal thiab lwm yam kab mob.

Yog tias qhov kev kuaj mob tsis tau qhia txog cov kab mob pathologies, kev txhim kho hypoglycemia tuaj yeem yog vim lwm yam. Hauv qhov no, tus kws kho mob tuaj yeem pom zoo kom hloov pauv kev noj zaub mov. Tus neeg mob yuav tsum tau haus cov carbohydrates. Kev saib xyuas tshwj xeeb yuav tsum tau them rau cov khoom qab zib. Qab zib, qab zib, zib ntab - cov khoom no tuaj yeem pab nce qib qab zib nrog cov ntshav qab zib. Tab sis qhov thiaj li hu ua qeeb carbohydrates yuav tsum muaj nyob rau hauv cov zaub mov noj txhua hnub: cov lis piam thaj, cov mov ci tag nrho, txiv hmab txiv ntoo, zaub. Lawv yuav pab tsis tau tsuas yog ntxiv cov peev nyiaj siv hluav taws xob, tab sis kuj tsim cov khoom muaj glycogen.Qhov no yuav tiv thaiv kom tsis txhob muaj suab thaj ntau ntxiv yav tom ntej.

Thaum muaj mob hnyav, tsuas yog hauv cov tuam tsev kho mob tuaj yeem kho tus mob ntshav qab zib tau tsawg. Cov tshuaj glucose muaj peev xwm nce qib qab zib kom sai. Kev txhaj tshuaj rau cov piam thaj yog qhia, mob ntshav - ntshav qabzib. Thaum poob ntawm kev nco qab, 1-2 ml ntawm Adrenaline yog muab tshuaj subcutaneously.

Kev tiv thaiv ntawm txo qis qab zib

Hauv cov neeg muaj kev noj qab haus huv, lub xeev ntawm cov ntshav qog ntshav qis tsuas yog ua rau muaj xwm txheej tsis zoo. Txhawm rau zam qhov no, nws yog qhov tsim nyog kom noj lub cev ua si, zam lub sijhawm yoo mov ntev, noj zaub mov kom raug. Nws yog ib qho tseem ceeb heev uas cov khoom noj muaj ob tsawg carbohydrates sai li sai tau, tab sis nco ntsoov noj zaub mov, cov mov ci tag nrho, cov txiv ntseej, zaub thiab txiv hmab txiv ntoo txhua hnub. Nrog kev tawm tsam ntau ntawm hypoglycemia, koj yuav tsum nco ntsoov muaj chocolate chocolate, kua txiv lossis ncuav qab zib nrog koj. Tab sis koj tsis tuaj yeem nqa mus nrog qhov no, nws zoo dua rau kev soj ntsuam thiab nrhiav cov laj thawj rau tus mob no.

• tsis pub tshaj qhov ntau npaum ntawm cov tshuaj insulin,
• ntsuas kev ntsuas thaj ntau ntau zaug hauv ib hnub,
• tiv thaiv lub sij hawm ntawm kev tshaib plab ntev heev,
• tsis txhob haus cawv
• soj ntsuam kev noj zaub mov kom zoo
• noj ib yam tshuaj nkaus xwb tom qab sab laj nrog kws kho mob.

Cov neeg mob ntshav qab zib yog cov mob uas feem ntau tsis quav ntsej los ntawm cov neeg noj qab haus huv. Tab sis nws cov cim thiab cov xwm txheej uas yuav tshwm sim yuav tsum paub tsis yog rau cov neeg mob ntshav qab zib mellitus, tab sis kuj qhia rau txhua tus neeg.

Lub hauv paus tseem ceeb ntawm lub zog rau kev ua haujlwm ntawm lub cev yog cov piam thaj, uas tau tsim los ntawm kev hloov cov metabolism. Lub zog tso tawm yog siv los ntawm lub hlwb thiab cov leeg nqaij thiab cov ntshav liab. Yog hais tias cov piam thaj hauv lub cev tsis zoo ua lub cev tsis zoo, ua rau lub cev ua haujlwm ntau. Hauv qhov no, cov tsos mob hnyav thiab ua lub neej muaj sia - hypoglycemia yuav tsum tau kho sai.

Kev piav qhia ntawm tus kab mob

Lo lus "hypoglycemia" feem ntau txhais tau hais tias txo qis ntshav qabzib, vim qhov tshwm sim ntawm tus neeg mob txhim kho cov tsos mob uas cuam tshuam nrog tus mob. Feem ntau, kev kho mob ntawm kev kho mob tshwm sim yog ib qho kev cuam tshuam hauv kev kho mob ntshav qab zib. Qhov no yog vim kev siv tshuaj tiv thaiv antihyperglycemic los yog cov tshuaj insulin (hauv kev siv tsis zoo).

Tsis tas li, rau cov mob ntshav qab zib, qhov thiaj li hu ua "insulin shock" yog yam ntxwv. Hauv cov mob no, cov txiav ua ntau dhau los tsim cov tshuaj insulin: muaj qhov tsis txaus ntawm cov piam thaj vim tias kev txo qis ntawm nws cov peev txheej yog qhov tshuaj tiv thaiv cov tshuaj hormones ntau dhau.

Tsis muaj ntshav qab zib mellitus hypoglycemia tsawg dua, tab sis nws muaj cov txheej txheem hnyav dua ntawm qhov tshwm sim.

Cov hauv qab no yog cov muaj qhov txawv:

• Kev rov ua qog ntshav qog ntshav (ntawm lub plab khoob),
• Artificially induced hypoglycemia (thaum noj ntau yam tshuaj)
• Kev tshuaj txog ntshav qab zib nyob rau lub cev,
• Tsis-insulin-mediated hypoglycemia.

Cov neeg muaj ntshav qab zib tsawg, ua rau muaj kev tsis txaus ntseeg nyob rau hauv insulin, tshwm sim los ntawm:

• Insulinoma (mob qog nqaij hlav hlav ua rau lub cev muaj tshuaj txaus),
• Kev coj noj coj ua tsis raug ntawm cov tshuaj hormone lossis txhawb nqa ntawm nws lub zais.

Los ntawm cov hauv paus chiv keeb, hypoglycemia tau faib ua:

Raws li kev soj ntsuam chav paub qhov txawv ntawm kev mob ntshav qab zib thiab mob ntshav qab zib tas mus li.

Los ntawm reversibility, hypoglycemia tshwm sim:

• Thim Zog
• Irreversible (tsis yog amenable rau paub cov hau kev ntawm kev kho).

Cov hom ntshav qog ntshav hauv qab no yog soj ntsuam los ntawm kev txhim kho tshuab:

• Endocrine
• Substrate
• Hepatic
• Tshiab
• Induced.

Lub tshuab ntawm hypoglycemia tsis to taub tag nrho. Kev txo qis hauv ntshav hauv lub cev tuaj yeem tshwm sim rau qee qhov laj thawj lossis tau txiav txim siab los ntawm qhov kev txiav txim siab uas tau txais txiaj ntsig los ua kom pib mob. Nyob ntawm seb tus neeg puas raug mob lossis tsis mob ntshav qab zib, cov kab txuas ntxiv ntawm cov hauv paus ntawm qhov ua kom muaj ntshav qog ntshav muaj qhov txawv:

• Siv cov tshuaj insulin tsis yog lawm
• Kev noj tshuaj uas tsis sib haum nrog cov tshuaj siv los kho ntshav qab zib lossis uas ua rau muaj kev cuam tshuam ntau ntxiv ntawm insulin.

Cov teeb meem uas ua rau hypoglycemia (rau txhua pawg):

• Kev so ntawm cov pluas noj ntau dua 6 - 8 teev,
• Cawv kev quav cawv
• Kev pham
• Cov kab mob siab (kab mob siab, mob siab, mob Crohn's, kab mob qog, mob hauv nruab nrog cev, thiab lwm yam),
• Tsis hlauv
• Cov thyroid kawg (hypothyroidism, thiab lwm yam),
• Benign lossis malignant neoplasms hauv nqaij hlav thiab mob siab,
• Kev tshuaj ntsuam genetic predisposition
• Sij hawm tus lej, lactation,
• Cov kev ua haujlwm hauv lub cev ntau yam yam tsis tau them nyiaj raws sijhawm rau qhov poob ntawm cov kab thiab cov electrolytes,
• Kev ntxhov siab hnyav
• Kev tswj hwm dej qab ntsev hauv lub ntim ntau,
• Kab mob thiab postoperative mob plab zom mov hauv plab zom mov,
• Tso rau hauv qabzib tawm tsam sepsis.

Kev txhim kho ntawm cov ntshav qabzib yog yam ntxwv ntau dua rau cov neeg mob ntshav qab zib hom 1 dua li cov ntshav qab zib tsis yog-insulin-cov neeg mob ntshav qab zib,

Muaj ntau tus naj npawb ntawm cov ntshav qab zib hauv qab hauv cov neeg noj qab nyob zoo. Ntawm lawv yog cov neeg tsis noj zaub / ua zaub noj kom nruj, ua kom lub cev yoo mov ntev, thawj lub hlis ntawm cev xeeb tub, ua kom lub zog ua kom tawm dag zog, noj beta blockers nrog rau kev tawm dag zog lub cev, hnub nyoog laus, kev tawm tsam rau cov tshuaj aspirin hauv cov menyuam yaus, kev coj khaub ncaws hnyav, thiab lwm yam.

Cov tsos mob thiab cov tsos mob

Nyob rau theem pib, txheeb xyuas lub cim thiab cov tsos mob ntawm kev ua qog ntshav tuaj yeem nyuaj. Lawv ua rau lawv tus kheej hnov ​​thaum cov piam thaj hauv cov ntshav poob qis dua 3 mmol / L. Txhawm rau txiav txim siab tseeb yog tias koj tau muaj tus mob hypoglycemia, koj yuav tsum txiav txim siab txog qib ntawm cov piam thaj hauv cov ntshav nrog lub cuab yeej tshwj xeeb - glucometer.

Tus mob ntshav qab zib uas tau ntsib dhau los lawm tuaj yeem txheeb tau tus mob ntshav qab zib tsawg tsis txaus los ntawm 1 - 2 yam cim. Rau cov neeg uas tsis muaj ntshav qab zib thiab tsis tau ntsib tej yam li nws ua ntej, ua rau nws nyuab dua. Yog tias koj muaj tus mob hypoglycemic cov tsos mob, nws yog qhov zoo tshaj plaws kom ib txwm muaj ntsej muag ntawm tes thiab qhia rau cov txheeb ze thiab cov phooj ywg uas koj tuaj yeem tsim tus mob no.

Hauv cov laus

Hypoglycemia ua tau yam nws tus kheej hauv kev sib txawv. Muaj peb qib ntawm qhov hnyav hauv cov duab:

• Cov ntshav qog ntshav qis (3.5 - 2.8 mmol / L) - cov kua nplaum nyob qis me ntsis. Nws yog qhov tsim nyog los ntawm lub plawv dhia, lub xeev muaj kev cia siab, muaj kev tshaib plab heev, loog ntawm lub ntsis ntiv tes thiab daim di ncauj, nce tawm hws, tsis meej taub hau,
• Ntshav qab zib tsawg kawg (2.8 - 2.3 mmol / L) - tsis tuaj yeem ua rau muaj qhov tsis haum, chim siab, tsis pom kev, tsis pom kev, plooj plooj, mob taub hau thiab mob siab, poob ntawm kev sib koom tes, kev ua kom tsis muaj zog,
• Mob ntshav qab zib tsawg (qis dua 2.2 mmol / L) - ntog, ploj ntawm txoj kev tsis nco qab, tej zaum yuav ua rau txoj kev tsis meej pem thiab tsis nco qab lawm.

Tus menyuam loj zog me, nws yim tham tau nws lub siab. Yog li, cov tsos mob ntawm cov ntshav qog ntshav qis hauv cov menyuam kawm preschool raug tshawb pom yooj yim. Ib qho ntxiv thaum nws los txog ntawm cov menyuam tshiab thiab cov menyuam hnub nyoog 1 txog 2 xyoos. Ntawm no koj tuaj yeem txiav txim siab cov tsos mob kho mob ntawm tus mob ntshav qab zib tsawg los ntawm cov cim hauv qab no:

• Mob ua kom tsis muaj zog (adynamia),
• Lub suab nrov ntev ntev uas tsis ruaj tsis khov thiab quaj,
• Blanching ntawm daim tawv nqaij,
• Cov mis / lub raj mis tsis lees txais,
• Lub cev kub poob
• Mob ntshav hypotension,
• Mob ua rau nqua
• Cov kev mob pheej hmoo
• Mob ntsws mob ntsws (SDR),
• Coma

Txij li cov ntshav qog ntshav qab zib hauv cov menyuam mos liab tuaj yeem ua rau tuag taus hauv lub sijhawm luv (tsawg dua ib hnub), yuav tsum tau mus kuaj mob sai sai. Sim muab tus mob tshem tawm ntawm tsev yog qhov txwv tsis pub, vim tias qhov no yog kev hem thawj ncaj qha rau lub neej ntawm menyuam.

Kev kuaj mob

Txhawm rau txhawm rau txhawm rau txheeb xyuas thiab paub meej tias cov ntshav hypoglycemic nyob rau hauv tus neeg mob, siv ntau yam kev ntsuas.

Kev tshawb fawb kuaj:

• Kuaj ntshav qab zib kuaj
• Ntshav qab zib tsom
• Kev tshawb nrhiav kom paub cov qib C-peptide los txiav txim siab qhov twg ntawm insulin secretion,
• Kev kuaj mob siab,
• Ntshav dej insulin thiab kev ntsuas mob cortisol
• Kev tsom xam cov kua nruab nrog cev rau sulfonylureas,
• Ntsuam xyuas nrog tolbutamide,
• Radioimmune nrhiav kom paub cov insulin theem.

• Tham tomography,
• Ultrasound kuaj ntawm lub plab hnyuv plab hnyuv siab raum.

Sab laj nrog tus kws kho keeb sab. Nws yog ib qho tseem ceeb uas koj yuav tsum mus ntsib kws kho mob hlwb. Yog tias nyob rau hauv chav kawm ntawm kev tshawb fawb tsis muaj qhov tsis sib xws loj hauv cov kev cai ntawm cov qauv kuaj tau pom, nws yog ib qhov tsim nyog los txiav txim siab hom mob ntshav qab zib. Tej zaum tus neeg mob thiaj paub hais tias yog mob hlwb lossis mob hlwb pseudohypoglycemia. Tseem muaj tus mob hypoglycemia reactive, uas yog kev phiv los cuam tshuam rau kev ua haujlwm ntawm cov hlab plawv thiab cov leeg dystonia, tshwj xeeb.

Yuav los kho tus mob ntshav qab zib kom tsawg tshaj:

• Kev siv khoom noj lossis tshuaj noj kom nce ntshav qab zib,
• Koob kev hloov kho ntawm cov kua dej
• Hloov pauv txoj kev koj noj thiab cov nyob ntawm cov khoom noj.

Muaj qee kis, kev phais mob yuav tsum tau hle cov leeg nyob rau hauv lub caj pas lossis qog pituitary.

Tus neeg mob uas kuaj tau tus mob ntshav qab zib tsawg yuav tsum muaj tus cim kho mob nrog nws. Qhov no yog qhov tsim nyog thiaj li muaj kev tawm tsam thiab tsis nco qab, lwm tus tuaj yeem ceeb toom cov neeg ua haujlwm kho mob thiab tau txais cov lus qhia rau kev saib xyuas kub ntxhov.

Kev kho mob kub ceev

Nws cuam tshuam txog kev tswj hwm cov piam thaj rau ib tus neeg uas muaj cov tsos mob hypoglycemia (qhov ncauj, subcutaneous, leeg). Cov neeg mob uas muaj kev pheej hmoo tau txais kev ceeb toom txog qhov xav tau ib txwm muaj cov tshuaj "Glucagon", uas pab txhawm rau nce ntshav qab zib thaum muaj xwm ceev. Lawv tsev neeg thiab cov phooj ywg yauv tsum tau kawm paub tswj hwm cov tshuaj.

Nrog rau kev tawm tsam mob ntshav qab zib siab ntau, yuav tsum tau qhia rau cov neeg sawv cev hauv qab no:

• 5% piam thaj tov nrog prednisone,
• Cocarboxylase
• 5% kev daws ntawm ascorbic acid,
• Adrenaline (ua ntej cov piam thaj nyob hauv ntshav).

Lub sijhawm thiab ua ke ntawm cov chav kawm yog teem los ntawm tus kws kho mob uas tuaj koom. Nws yog xaiv raws li qhov ua rau ntawm tus mob. Yog tias tus neeg mob tau mob rov qab hom hypoglycemia uas tshwm sim tom qab noj mov tas, alpha-glucosidase inhibitors (acarbose) tau qhia. Qhov yuav tsum tau noj cov tshuaj no lossis cov tshuaj no, nws cov koob tshuaj thiab cov muaj pes tsawg leeg yog xaiv los ntawm kws kho mob uas saib xyuas tus neeg mob.

Pej xeem noj tshuaj

Feem ntau koj tuaj yeem txo cov tsos mob hypoglycemia los ntawm kev noj zaub mov rau koj ib txwm noj. Ntau tus neeg mob nco ntsoov tias kev qhia ntawm cov zaub ntsuab, txiv hmab txiv ntoo thiab zaub ntau rau hauv cov zaub mov noj tau zoo tuaj yeem hloov kho lawv tus mob. Lawv yuav tsum muaj nyob rau ntawm cov ntawv qhia zaub mov uas yog cov khoom tseem ceeb, tab sis kuj tuaj yeem siv rau hauv hom tshuaj uas npaj raws li cov zaub mov txawv ntawm cov tshuaj ib txwm muaj. Muaj ntau hom tshuaj ntsuab thiab lawv cov tshuaj sib xyaw ua ke siv los kho tus mob ntshav qab zib.

Nrog lub qog ntshav qab zib, nws muaj cov nyhuv sedative, uas yog qhov tseem ceeb rau cov neeg uas kuaj tau tias muaj kev mob hlwb lossis mob tshwm sim hom. Kev tso ib qho ntawm peb diav ntawm cov nyom ib 200 ml dej yog haus peb zaug ib hnub ua ntej noj mov lossis ntxiv rau hauv ko taw da dej ua ntej yuav mus pw.

Txwj Nws muaj lub zog ua kom lub tonic thiab ruaj khov. Nws tuaj yeem noj nyob rau hauv daim ntawv ntawm compote, syrup los yog jelly los ntawm berries. Los ntawm cov hauv paus hniav ntawm elderberry, Txoj kev lis ntshav ntawm dej yog npaj, uas yuav tsum haus cawv 50 ml peb zaug ib hnub. Lub chav kawm ntawm kev kho mob yog tsawg kawg yog 7 txog 10 hnub. Sab laj nrog koj tus kws kho mob txog contraindications.

Cov nyhuv stimulating ntawm lub cev tau ntev tau paub. Cov nplooj txiv ntoo tshiab tuaj yeem ntxiv rau zaub xam lav. Cov hmoov thiab cov ntaub ntawv nyoos ntawm cov keeb kwm chicory ua cov chaw muag tshuaj yog siv rau kev zom cov zom, cov infusions thiab decoctions. Nws kuj tseem ua txoj haujlwm tiv thaiv tus kab mob ntshav qab zib.

100 g qhuav yog muab tso rau hauv ib lub hwj kais enameled, nchuav nrog dej npau npau thiab muab ua kom sov li 40 - 50 feeb. Koj tuaj yeem rhaub cov dej sib tov thiab tawm mus rau hauv simmer hauv dej da dej rau 30 feeb, tom qab ntawd qhwv hauv daim ntaub thiab nqa mus rau qhov xav kom xav tau nyob hauv qhov sov. Nqa 1 mus rau 3 diav ib hnub ob zaug, ua ntej noj tshais thiab ua ntej noj hmo.

Nws muaj cov nyhuv antioxidant haib.Sib tov ib tablespoon ntawm nplooj qhuav nrog 200 ml ntawm dej npau thiab hais kom nyob hauv qab lub hau rau ib teev. Haus ib hnub nyob rau hauv feem me me ua ntej noj mov.

5 mus rau 6 caws qij tev, txiav rau hauv halves thiab ncuav 500 ml ntawm dej kub. Tom qab 20 feeb, haus dej kub npau npau li tshuaj yej (muab faib ua ntu kom haus kua thaum nruab hnub). Koj tseem tuaj yeem zom cov cloves nrog rab riam thiab ntxiv ib qho dej ntawm qhuav dawb dawb rau lub ua tiav pulp. Qhov sib tov yog infused rau 14 hnub thiab noj nyob rau hauv 2 tablespoons ua ntej noj hmo (15 feeb).

Dos kua txiv nplawm hauv ib khob ntawm zib ntab. Siv ib me nyuam diav tom qab noj mov (txog peb zaug). Zuaj tsib cov dos loj hauv ib rab los sis ua kom zoo siab. Ncuav lub pulp nrog dej txias (2000 ml) thiab hais kom ib hnub. Lim los ntawm cheesecloth. Txoj kev lis ntshav yog muab 100 ml peb zaug ib hnub ua ntej noj mov (10 - 15 feeb). Lub cuab tam siv tsis tau rau cov kab mob ntawm txoj hnyuv huam.

20 - 30 grams thoob ham zom hauv kas fes grinder. Lub particle loj yuav tsum me me li sai tau. Do hauv ib khob ntawm tsawg dua roj kefir thiab haus ua ntej noj mov (sawv ntxov thiab yav tsaus ntuj). Nws ntxuav cov hnyuv thiab txo cov co toxins kom huv si.

3 – 4 walnuts nyob rau hauv ntsuab tev muab tso rau hauv lub lauj kaub, ncuav ib khob dej (200 ml) thiab simmer rau ib nrab ib teev. Tso cov kua tshuaj rau 20 - 25 feeb thiab haus es tsis txhob haus tshuaj yej ua ntej lossis tom qab noj mov.

Ib tug tablespoon ntawm qhuav ob lub raum lilacs hliv ib liter ntawm dej npau npau thiab cia sawv ntsug rau 1 - 1.5 teev. Npaj haus haus Txoj kev lis ntshav ntawm 30 - 50 ml peb zaug ib hnub.

Noj cov zaub mov kom tsis txhob qog ntshav qab zib

Yog tias tus neeg ua rau muaj kev mob siab rau hypoglycemic syndrome, thawj kauj ruam los tswj tus mob yog kom hloov cov khoom xyaw thiab kev noj haus. Ua ntej koj yuav tsum pauv mus rau hom fractional zog.

Cov kev pab tau npaj me me: 1 pluas noj yuav tsum haum rau ntawm lub phaj nrog txoj kab uas hla 20 cm.

Lub sijhawm so ntawm cov zaub mov yog txog li 3 teev. Tus neeg uas kuaj tau tus mob ntshav qab zib tsawg tas li nqa ib qho me me ntawm cov khoom noj uas haum rau khoom noj txom ncauj. Lawv tuaj yeem yog cov txiv hmab txiv ntoo (txiv tsawb, kua txiv, pear, ib pawg txiv hmab me me), txiv ntoo, cov hmoov tsis muaj hmoov lossis ncuav thiab cov txiv ntoo qhuav (txiv qhuav apricots, prunes, figs, raisins).

Los ua cov ntawv qhia zaub mov rau hypoglycemia, koj yuav tsum ua raws li lub hauv paus ntsiab lus ntawm kev sib txawv, tab sis tsom mus rau cov protein thiab cov khoom xyaw ua ke. Txoj kev ua haujlwm no yuav pab txo qis qhov nqus ntawm "luv" carbohydrates thiab tswj kom zoo tshaj plaws ntawm cov piam thaj hauv cov ntshav.

• Cov nqaij ntshiv (qaib cov txwv, luav, nqaij nyuj uas tsis muaj rog, thiab lwm yam),
• Cov rog muaj roj tsawg,
• Legumes thiab cereals, txiv ntoo,
• Qaub-mis khoom.

Yog tias koj muaj protein tsis txaus, koj tuaj yeem ua kom nws rov qab muaj qhov sib npaug ntawm cov protein shakes lossis hmoov (tab sis tsuas yog kev tso cai los ntawm tus kws kho mob).

Kev maj mam nqus tawm ntawm qhov nqus ntawm cov piam thaj yog pom ntawm keeb kwm yav dhau los ntawm kev siv cov khoom noj uas muaj cov tshuaj fiber ntau.

Dab tsis yog tus nqi?

Cov khoom lag luam nrog cov carbohydrates yooj yim los yog ua kom zoo zoo yog qhov txaus ntshai rau cov ntshav qab zib tsawg hauv ntau qhov laj thawj. Tus nqi ntawm cov as-ham thiab fiber ntau tau raug tshem tawm ntawm lawv. Kev siv cov ua kom zoo zoo cov carbohydrates muab kev zoo siab ntawm satiety nkaus xwb rau lub sijhawm luv. Nyob rau tib lub sijhawm, kab mob "ceev" tso tawm cov insulin ntau rau hauv cov ntshav, uas ua rau kev tshaib plab loj tuaj thiab cov neeg xav tias yuav tsum tau noj lwm yam. Ntau zaus qhov kev xaiv poob rau ntawm cov khoom siv hmoov txhuv nplej siab, cov nyhuv ntawm uas yog tib yam. Txhaum lub voj voog tsis muaj zog hauv qhov no yog qhov nyuaj. Tag nrho cov no ua rau cov kev mob hypoglycemic nce. Hauv cov xwm txheej siab, txoj kev txhim kho ntshav qab zib yog qhov ua tau.

Cov neeg muaj ntshav qab zib tsawg yuav tsum tsis txhob noj zaub mov nrog cov carbohydrates yooj yim. Lawv daim ntawv muaj xws li:

• Txhua yam khoom noj khoom haus hauv Hoobkas,
• Noj tshais
• Qab zib
• Mov nplej dawb
• Cov hmoov dawb dawb,
• Mov nplej dawb
• Kev sib cav sib ceg
• Qab zib haus dej qab zib,
• Cov nplej zom.

Yog tias koj feem ntau siv cov khoom noj uas muaj lub siab glycemic Performance index, nws yog qhov ua tau, paradoxically, kev txhim kho ntawm hypoglycemic syndrome. Noj cov khoom noj nplua nuj hauv kev ua kom muaj cov carbohydrates, koj khiav txoj kev pheej hmoo ntau dhau thiab, vim li ntawd, muaj kev pheej hmoo ntawm kev tsim muaj ntau yam kabmob.

Pab saib xyuas xwm txheej kub

Nrog kev tawm tsam ntawm hypoglycemia, lub hlwb cov nqaij tsis tau txais cov piam thaj thiab oxygen tsis txaus, vim tias nws cov haujlwm ua haujlwm tsis txaus. Qib tseem ceeb ntawm cov piam thaj hauv cov ntshav, tau faib ua cov ntshav qog ntshav qab zib, raug kho nyob rau hauv thaj tsam qis dua theem ntawm 2.2 - 2.8 mmol / L. Qhov no ncaj qha cuam tshuam rau tib neeg mob, uas cuam tshuam hnyav thiab sai li sai tau. Los ntawm sab sab, sib ntaus zoo li zoo nkauj txaus ntshai. Txij li cov xaim paj hlwb tau raug kev txom nyem los ntawm cov ntshav qab zib tsis txaus, tus neeg mob muaj lub cim pom ntawm qhov tsis ua haujlwm ntawm lub hauv nruab nrab hauv lub paj hlwb.

Cov tsos mob ntawm lub qog ntshav qab zib muab cov duab hauv qab no soj ntsuam:

• Qho qeeb mentsis rau qhov tau tshwm sim, lub siab ntsws inhibition - ib tug neeg zoo li tsaug zog thaum mus, tsis tshua muaj zog nti rau cov lus hais rau nws, nws tus cwj pwm yuav zoo li lub xeev ntawm intoxication,
• Muaj peev xwm tsis nco qab
• Thaum kuaj lub pa pa kom huv (qhov no tseem ceeb kom tsis txhob ua rau cov ntshav qog ntshav nrog kev tsis nco qab, thiab lwm yam),
• Kev ua pa yuav sai thiab ntiav,
• Lub plawv dhia qeeb
• Cov tawv nqaij yuav daj, tejzaum ua nplaum txias,
• Ua daus no
• Vertigo, kev tsaug zog loj heev,
• Nqaij hypertonicity,
• Cov ua haujlwm tsis haum
• Kev kub ntxhov nyob rau hauv nqua
• Nystagmus (oscillatory qhov muag txav ntawm lub cev, ua rau pom los ntawm lub siab),
• Ob lub zeem muag
• Qhov hnov ​​ntawm khaus, tingling, goosebumps (paresthesia)
• Cov lus pom thiab / lossis cov kev ua kom pom,
• Lub siab nruj me me ntawm kev tshaib plab.

Kev mob hypoglycemic tuaj yeem tshwm sim rau ntau yam:

• Kev tswjhwm tsis raug ntawm cov tshuaj insulin rau cov neeg mob - kev noj ntau dhau, intramuscular thiab tsis subcutaneous tswj hwm, kev tsis lees paub carbohydrate tom qab tau txais koob tshuaj los ntawm cov tshuaj hormones, thiab lwm yam.
• Kev mob siab siv mus ntev ntev (lub cev, kev xav, kev ntxhov siab loj),
• Nrog rau cov lus qhia ntawm insulin, cawv tau noj,
• Insulin poob siab nyob rau tom qab ntawm insulinocomatous txoj kev kho (ib txoj hauv kev dhau los hauv kev xav hauv lub hlwb).

Yuav ua li cas muab kev pabcuam ua ntej rau ntawm qhov chaw?

Nyob ntawm seb tus neeg puas nco qab lossis tsis nco qab, tus qauv ntawm kev ua yuav txawv:

Nco Ntsoov Neeg

• Pab tus neeg raug tsim txom los zaum lossis pw zoo kom nws lub caj dab thiab lub taub hau kho tas,
• Muab cov dej qab zib rau nws-ib qho dej qab zib - ib khob dej qab zib, qab zib, ib qho chocolate los yog qab zib, txiv mab txiv ntoo los sis kua txiv, zib ntab hauv dej. Thaum muaj mob hnyav, nws tau tso cai muab tus neeg mob me me ntawm cov dej qab zib,
• Tso tawm lub dab tshos rau tus neeg raug mob, pov tseg cov khoom ntawm cov khaub ncaws uas tuaj yeem nyem qhov chaw ntawm lub cev (txoj siv tawv ntawm txoj siv sia, phuam qhwv caj dab, thiab lwm yam),
• Yog tias tus neeg tau ua dhau los ntawj txias, npog nws nrog qee yam, them nyiaj tshwj xeeb los tiv thaiv tus taw ntawm tus mob khaub thuas,
• Sim ua kom tus neeg mob zoo thiab nyob nrog nws kom txog thaum tus kws kho mob tuaj txog.

Tus txiv neej tsis nco qab lawm

• Nqa tus neeg mob kom nyob rau hauv qhov chaw nyab xeeb - yam tsawg kawg nkaus yog tig nws lub taub hau rau sab thiab kho nws,
• Hu rau lub tsheb tos neeg mob thiab nyob ntawm txoj kab, ua raws li cov lus qhia los ntawm tus neeg teb xov tooj.

Thaum tsis muaj kev saib xyuas kev khomob kub ntxhov sai, tus neeg tuaj yeem pib lub ntsej muag hypoglycemic.

Txhawm rau tiv thaiv qhov no, tus neeg raug tsim txom yuav tsum thauj mus tom tsev kho mob lossis tsheb thauj neeg mob yuav tsum raug hu nyob hauv qhov chaw luv tshaj plaws.

Cov yam ntxwv ntawm kev kho mob rau menyuam yaus

Hypoglycemic tej yam kev mob thaum yau tseem muaj cov qauv ntws cuam tshuam tsis zoo nrog lub hnub nyoog xwb, tab sis kuj tseem ua rau tus kab mob ua rau.Raws li qhov no, cov hau kev thiab txoj hauv kev rau kev kho yog qhov sib txawv. Tsuas yog ib tus kws kho mob yuav tsum txiav txim siab thiab pom zoo cov chav kho mob. Kev ntsuas ywj pheej tsis tsuas tuaj yeem ua rau tus menyuam muaj xwm txheej hnyav, tab sis tseem tuaj yeem ua rau muaj kev rau txim hnyav, nrog rau kev tuag.

Kev kho ntshav ntawm hypoglycemia hauv acidosis

Yog tias tus menyuam yaus muaj qhov ntau ntawm ketone lub cev hauv cov ntshav, ntshav qab zib hauv lub cev yuav ua rau nws tus kheej hnov ​​tus ntxhiab tsw muaj acetone los ntawm qhov ncauj tawm. Vim tias cov tshuaj lom neeg cov tshuaj lom neeg no muaj tshuaj lom ntau, nws cov txiaj ntsig rau lub hauv nruab nrab cov hlab ntsha nws qhov nws tus kheej nyob rau hauv daim ntawv ntawm tshee, xeev siab, ntuav, ua tsis taus pa thiab tsis nco qab.

Thaum kuaj pom tias mob acidosis, ib qho kev ntsuas nrawm nrawm yog ntxuav lub plab nrog ib qho kev tov ntawm cov dej qab, ua rau cov ntuav, tom qab ntawd tus menyuam tau haus dej txaus.

Txhawm rau rov qab ua cov ntshav qabzib hauv lub cev, nws tseem tau muab ib nrab ntawm zib ntab lossis kua nyeem kua qaub rau kev noj tshuaj. Thaum cov tsos mob hnyav ntawm qhov kev tawm tsam tau zoo mob siab, mus ntxiv saib xyuas tus neeg mob tus mob. Koj yuav tsum nrhiav kev pab kho mob, koj yuav tsum tau kuaj zis rau ntawm lub cev ketone.

Kev kho rau cov menyuam yaus laus zog

Hauv preschool thiab tsev kawm ntawv hnub nyoog, menyuam yaus thiab tub ntxhais hluas yuav tsim tus kabmob hypoglycemic hauv qab no:

• Kev ua txhaum ntawm glycogenolysis vim yog kev ua haujlwm tsis zoo thiab mob siab,
• Ua txhaum ntawm neoglucogenesis vim pathologies ntawm endocrine system,
• Kev tsim cov tshuaj insulin ntau dhau vim tias hyperplasia lossis lwm yam ua rau lub plab tsis ua haujlwm.

Hom hypoglycemia no tau ntxim nyiam tawm tsam ntawm cov khoom xws li:

• Txais tos ntawm salicylates (analgesics thiab anapyretics),
• Kev haus dej caw ntau,
• Kev qhia ntawm cov tshuaj insulin nyob rau hauv ib qho loj npaum li cas,
• Noj cov tshuaj tua kab mob los ntawm pab pawg sulfonamide.

Qhov hypoglycemia no tshwm sim los ntawm hyperinsulinism (ib qho kev tso tawm hauv cov ntshav qab zib tiv thaiv keeb kwm ntawm kev tsim cov tshuaj insulin ntau dhau).

Kev kho cov mob ntshav qab zib siab no tsuas yog kho tsuas yog tom qab kev soj ntsuam ntawm kev sib txawv ntau thiab tau ua tiav los ntawm kev saib xyuas mob. Nws tsis tuaj yeem xaiv cov tshuaj ntawm koj tus kheej thiab siv cov lus pom zoo ntawm hom tshuaj ntsuab hauv cov kis no.

Cov yam ntxwv ntawm me nyuam yaus kev noj zaub mov zoo rau lub qog ntshav qab zib

Kev noj zaub mov zoo rau lub cev yog qhov tseem ceeb rau kev kho mob ntshav qab zib hauv menyuam yaus. Cov tsiaj rog thiab cov zaub mov uas muaj cov carbohydrates yooj yim tsis suav nrog cov khoom noj khoom haus. Cov zaub mov ua raws li khoom noj siv mis thiab qaub-mis, nqaij nruab deg, zaub thiab txiv hmab txiv ntoo. Nyob rau ib hnub, tus naj npawb ntawm cov zaub mov nrog cov khoom txom ncauj yuav tsum muaj txog li xya leej.

Nrog leucine hypoglycemia, nws yuav nyuaj rau tswj kev noj zaub mov kom zoo, xws li mis nyuj, qe, thiab lwm yam khoom lag luam muaj nplua nuj nyob hauv leucitin (ceev, ntses, nplej zom, thiab lwm yam) tau muab tshem tawm ntawm cov zaub mov noj. Txhawm rau kom tau txais cov kev xaiv puv ntoob, kws kho mob yuav tsum pab.

Nco ntsoov tias kev paub thaum ntxov ntawm cov ua rau thiab cov tsos mob ntawm tus mob ntshav qab zib hauv menyuam yaus ncaj qha cuam tshuam rau qhov ua tiav thiab tshwm sim ntawm kev kho.

Cov tsos mob ntawm tus kab mob

Yog li hais tias hypoglycemia tsis tau txais cov ntawv loj, nws yog ib qho tseem ceeb kom taug qab nws cov tsos mob kom raws sijhawm thiab sab laj nrog tus kws kho mob tshwj xeeb. Cov cim hauv qab no tuaj yeem qhia tau tias ib tus neeg muaj suab thaj qis:

• Ntev heev ua rog. Qhov kev tshaj tawm ntawm kev mob ntshav liab yog vim qhov tseeb tias lub zog tas li tsis txaus.
• Muaj hws ntau.
• Kev nkees nkees.
• Tsis hnov ​​qab.
• Lub siab muaj kev tshaib plab.
• Nce kev ntxhov siab, ntxhov siab.

Tag nrho cov ntawm cov tsos mob saum toj no ntawm lub qog ntshav yog cov xeeb ceem ntawm cov theem pib ntawm cov ntshav qab zib tsis txaus. Yog lawm, tsis tas yuav yog tias tag nrho cov tsos mob no tuaj koom ib zaug. Qee cov tsos mob yuav tshwm sim ua ntej, qee zaum tom qab, thiab qee qhov kuj tsis tshwm sim txhua. Txawm li cas los xij, cov tsos mob tseem ceeb, feem ntau qhia tau hais tias muaj suab thaj qis, yog qhov ua kom tsis muaj zog, txawm tias tom qab pw ntev lossis so. Ib tug neeg uas muaj ntshav qab zib tsawg yuav nkees twb nyob hauv thaum sawv ntxov, thiab thaum yav tsaus ntuj, tom qab nws kawm lossis ua haujlwm, nws nyuam qhuav muaj lub zog los mus tsev.Thiab tsis tau: yog tias yuav luag txhua ntawm cov tsos mob ntawm kev mob ntshav qab zib ploj tag tom qab noj mov, tshwj xeeb yog qab zib, tom qab ntawd, feem ntau yuav muaj kev txo cov ntshav qab zib. Yog tias koj xiam thawj cov cim ntawm hypoglycemia, ces qhov no tuaj yeem ua rau muaj qhov tshwm sim:

• Kev siv zog ntau dhau, sib ntau sib cav sib ceg tau. Qhov kev ua tau zoo li no feem ntau yuav tsaus muag.
• Cramps. Nrog hypoglycemia, lawv feem ntau yog tonic (uas yog, cov leeg mob yog nyob rau hauv lub xeev ntawm kev sib zog rau lub sijhawm ntev, tsis muaj lub sijhawm ntawm so). Tab sis lawv kuj tseem tuaj yeem ua clonic, thaum cov leeg sib cog lus thiab so kom txaus.
• Kev lag luam tawm hws ntxiv.

Yog tias nyob rau theem no koj tsis muab kev pab rau tus neeg raug mob, ces nws tus mob yuav cuam tshuam loj dua. Kev tawm hws maj mam nres, tachycardia thiab adynamia pib. Tej zaum ua rau poob rau hauv kev tsis nco qab.

Cov hom phiaj ntawm cov ntshav qog ntshav nrog kev kho kom zoo tuaj yeem ua yam tsis muaj kev rau txim, thaum cov kev mob hnyav tuaj yeem ua rau cov kev hloov pauv tsis tau hauv lub paj hlwb. Qhov no yog fraught nrog kev hais lus tsis pom, lub zeem muag thiab kev pom ntawm lub ntiaj teb raws li tag nrho. Yog li, nws yog ib qho tseem ceeb kom taug qab lub xeev hypoglycemic thaum pib ua ntej: qhov hloov ntawm qhov pib mus rau cov ntawv hnyav tuaj yeem tshwm sim sai.

Yuav ua li cas los txhim kho koj tus mob nrog cov piam thaj qis

Txoj hauv kev tawm tsam kev txo ntshav qab zib feem ntau nyob ntawm dab tsi tshwm sim. Tus neeg mob zaj dab neeg yuav pab qhov no, thiab yog tias nws txoj kev noj qab haus huv tsis pub nws qhia txog cov xwm txheej hauv kev mob ntshav qab zib, ces yuav tsum muaj kev soj ntsuam ntawm cov txheeb ze thiab cov kev kuaj mob uas tau ua yav dhau los rau tus neeg raug tsim txom yuav tsum tau kuaj. Yog hais tias qhov tsis muaj cov ntshav qab zib tau tshwm sim los ntawm kev ua tsis zoo ntawm cov qog endocrine, tom qab no koj yuav tsum nrog kev ua kom mob, tsis yog cov tsos mob. Tus kws endocrinologist yuav pab kho keeb kwm yav dhau los. Yog tias qhov ua rau mob ntshav ntau dhau rau cov ntshav qab zib kom txo cov ntshav qabzib, koj yuav tsum sab laj nrog koj tus kws kho mob thiab kho qhov kev noj tshuaj. Lwm qhov xwm txheej, thaum cov tsos mob ntawm lub qog ntshav qab zib tsis yog los ntawm ib qho pathologies, cov kev ntsuas hauv qab no yuav pab ua kom qhov xwm txheej tsis zoo:

• Kho nqi lus ntawm kev noj zaub mov noj. Ib tug neeg uas muaj kev mob ntshav qab zib tsawg yuav tsum noj carbohydrates ntau. Qhov tshwj xeeb tshaj yog qhov zoo nyob rau hauv cov ntaub ntawv no yog qhov thiaj li hu ua sai carbohydrates, uas pom nyob hauv ntau qhov ntau hauv cov khoom qab zib. Txiv hmab txiv ntoo, cereals, qhob cij - tag nrho cov khoom lag luam no muaj peev xwm txhawb nqa tib neeg lub zog. Yog tias muaj me ntsis lub zog sab laug, khoom qab zib, chocolate bar lossis qab zib tshuaj yej tuaj yeem pab tau.
• Kev txwv kev haus cawv. Hypoglycemic syndrome feem ntau tshwm sim nrog cawv intoxication, yog li cov dej cawv yuav tsum txwv kom ntau, thiab nws yog qhov zoo dua rau cais nws kiag.
• Kev txhaj tshuaj rau cov ntshav qabzib yog ib txoj hauv kev los tawm tsam mob ntshav qab zib tsawg kawg ntawm hypoglycemia.
• Nrog lub caij nyoog tsis nco qab, nco qab txog kev tswj hwm ntawm ib lub milliliter ntawm adrenaline yog qhov kev pom zoo, thiab txhaj tshuaj rau hauv lub plawv ntawm glucagon ntau npaum li ntawm 1-2 ml.

Nws yuav tsum nco ntsoov tias yog tias cov piam thaj hauv ntshav qis dhau los yog poob qis heev, tom qab ntawd qhov ntsuas tsim nyog yuav tsum tau ua sai li sai tau, vim tias kev tawm tsam ntawm kev mob ntshav qab zib tuaj yeem ua rau lub ntsej muag ntshav qab zib poob.

Kev tiv thaiv kev ntsuas

Txog kev tiv thaiv hypoglycemic syndrome, qhov tseem ceeb tshaj plaws ntawm no yog saib xyuas koj tus mob. Nws tsis tsim nyog kom nce qab zib rau ib qho kev mob, vim tias cov piam thaj ntau ntxiv tsis zoo dua li qhov qis qis: qhov no koj yuav tsum tau soj ntsuam hauv nruab nrab hauv av. Yog li ntawd, yog tias muaj ib qho kev nyiam rau cov surges hauv qab zib, tom qab ntawd nws yog qhov zoo dua los yuav cov kua nplaum thiab, nrog cov cim yam ntxwv, tuaj yeem tau txais cov ntaub ntawv muaj tseeb ntawm cov ntsiab lus ntawm cov piam thaj hauv cov ntshav. Nws tseem yog ib qho txiaj ntsig kom nqa nrog koj qee yam uas, yog tias tsim nyog, tuaj yeem nce ntshav qab zib sai sai: qab zib, qab zib ntsiav tshuaj, thiab lwm yam.

Cov tsos mob thawj zaug ntawm hypoglycemia feem ntau zoo li tsis muaj kev sib raug zoo, tab sis nws cov kev mob tshwm sim yog qhov ntau dua li tsis txaus ntseeg, thiab qee qhov tsis tuaj yeem hloov pauv. Yog li, nws yog qhov yuav tsum tau kho koj tus kheej kev noj qab haus huv nrog kev saib xyuas siab, thiab thaum muaj kev ntxhov siab hu, tam sim ntawd sab laj nrog kws kho mob.

Metabolism yog txheej txheem ntawm kev hloov ib yam mus rau lwm qhov. Piv txwv, lipid metabolism yog hloov pauv ntawm cov rog. Hauv kev ua tiav ntawm cov metabolism hauv cov metabolism, cov tshuaj insulin ua lub luag haujlwm loj.

Nws muaj cov nyhuv ntawm cov piam thaj kom nws thiaj li nqus tau cov hlwb zoo tshaj. Nws yog qhov nyuaj rau overestimate qhov tseem ceeb ntawm cov nyhuv no, vim tias cov piam thaj yog qhov zog ntawm lub zog rau tag nrho cov kab mob.

Cov tshuaj ntshav tswj ntshav qab zib. Qib hauv qab zib yog qhia los ntawm lub sijhawm "glycemia". Nyob rau hauv rooj plaub uas cov txiav ua kab mob ntau dua insulin dua li tsim nyog, muaj kev poob hauv qab zib ntau ntau - cov ntshav qab zib tsawg.

• Txhua cov ntaub ntawv ntawm lub xaib tsuas yog rau kev taw qhia nkaus xwb thiab TSIS TXHOB Daim ntawv qhia rau kev ua!
• Koj tuaj yeem xa DAIM DAG DAG DAG Tsuas yog ib DOCTOR!
• Peb zoo thov kom koj tsis txhob tus kheej noj tshuaj, tab sis Sau npe rau tus kws tshaj lij !
• Noj qab haus huv rau koj thiab koj tus hlub!

Kev mob ntshav siab ntshav qis tuaj yeem tshwm sim rau ntau yam. Qhov no yuav yog vim muaj cov piam thaj hauv zaub mov, los yog los ntawm ntau dhau lawm cov insulin tshwm sim los ntawm kev tsim txom cov piam thaj ua ntej.

Qhov zoo nkaus li qaug zog los ze rau yav tav su yuav qhia tau tias txo qis ntshav dej qabzib. Yog tias koj muab cov piam thaj rau lub cev (ncuav qab zib, piv txwv li), tom qab ntawv koj yuav zoo siab dua. Txawm li cas los xij, qhov no yuav yog kev txhim kho lub sijhawm luv luv, txij li lub cev yuav teb rau kev nce ntxiv nyob rau hauv qabzib los ntawm kev tsim cov tshuaj insulin, uas yuav tshem tawm nws, exacerbating hypoglycemia. Qhov no rov qab ua hauv lub voj voog thiab tsis ntev tom qab ntawd ua rau muaj kab mob loj.

Cov kws tshaj lij hais tias muaj qhov sib cuam tshuam ntawm kev txo cov ntshav qab zib thiab kev quav cawv. Kev mob ntshav qab zib nyob hauv tus neeg quav cawv yog nrog los ntawm qhov tsis zoo hauv lub neej zoo thiab tshwm sim los ntawm kev xav ua lub siab tshiab.

Cov dej cawv tau hloov pauv sai sai rau cov piam thaj, nce siab hauv cov piam thaj - yog li muaj qhov kev txhim kho tseem ceeb hauv kev noj qab haus huv. Raws li hauv cov ntaub ntawv dhau los, qhov mob no yog luv-nyob, yog li cov cawv xav tau cov dej cawv tshiab tom qab lub sijhawm luv luv.

Qhov ntxim siab, cov kws tshawb nrhiav tau pom ib qho piv txwv ntawm kev coj ntawm cov caws uas cuam tshuam txog kev hloov pauv hauv cov ntshav qab zib thaum haus cawv thiab thaum haus cov dej qab zib. Cov tsos mob ntawm tus mob ntshav qab zib tsawg nyob rau hauv tus neeg noj qab haus huv yuav zoo ib yam li cov tsos mob ntawm tus mob ntshav qab zib. Txawm li cas los xij, hauv qhov no, qhov ua, feem ntau, yog kev noj zaub mov kom nruj.

Kev kuaj mob

Thaum kuaj pom ntshav hypoglycemia, nws yog thawj qhov tsim nyog los txiav txim siab txog qib ntawm cov piam thaj hauv cov ntshav. Yog tias qhov ntsuas no tsawg dua 2.78 mmol hauv ib qhov ntsuas, tom qab ntawd nws ua rau pom kev ua qhov txheeb xyuas ntxiv, yog tias qhov ntsuas no tsis pub dhau qhov ib txwm, ces qhov kev txo ntshav qis yog tsis suav nrog.

Thaum kuaj pom cov piam thaj hauv qab zib, nws yog qhov yuav tsum paub txog cov ntsuas ntawm cov ntshav insulin, C-peptide, proinsulin. Cov kev ntsuam xyuas no yuav pab tsim hom kev ua kom ntshav qab zib: insulin-mediated lossis insulin-dependant, dag los yog physiological. Txhawm rau txheeb xyuas qog ntawm cov pob zeb tsis yog kob, nws yog qhov tsim nyog los tsim theem ntawm insulin-zoo li qhov kev loj hlob-2.

Kev kuaj mob cuam tshuam kev saib xyuas qee yam, uas yog 72-teev ceev nrawm hauv cov kev tswj hwm.

Ib tug neeg raug tso cai haus dej haus tsis muaj cawv, nrog rau dej haus uas tsis muaj caffeine. Ua ntej, kev pib ua kom pom qabzib yog txiav txim siab, tom qab ntawd qhov kev soj ntsuam tau nqa tawm txhua 4-6 teev (1-2 teev) hauv cov xwm txheej uas qhov ntsuas qis dua 3.3 mmol / L.

Cov kev kuaj mob sib txawv, uas tso cai rau kom pom qhov pom tseeb ntawm cov kab mob endogenous lossis exogenous, suav nrog kev txiav txim siab txog qib ntawm cov ntshav dej hauv cov ntshav, C-peptide thiab proinsulin, uas tau ua nyob rau lub sijhawm txo cov piam thaj.

Yog tias tsis muaj cov cim qhia ntawm hypoglycemia tau pom, ces kev tshaib plab xaus tom qab 72 teev, yog tias cov piam thaj tso qis qis dua 2.5 mmol / l, ces kev kuaj mob tuaj yeem ua tiav ua ntej.

Qhov kawg ntawm kev yoo mov yog nrog cov kev ntsuas ntawm qib B-hydroxybutyrate (qib qis yog pom nrog insulinoma), ntshav dej sulfonylurea. Qhov no yog txhawm rau txiav txim siab cov tshuaj tiv thaiv ntshav qab zib kom qis.

Hauv qee kis uas tus mob tsis pom nws tus kheej tsis pub dhau 72 xuaj moos ntawm kev kuaj mob, tus neeg mob ua lub cev tawm dag zog ib nrab teev. Yog tias qhov no tsis yog nrog nrog txo qis rau hauv qab zib, ces insulinoma raug tshem tawm.

Cov tsos mob muaj xws li:

• hyperhidrosis
• xeev siab
• ntxhov siab vim, kev txhim kho phobias,
• lub plawv dhia
• kev tshaib kev nqhis
• paresthesia.

Thaum cov qib piam thaj poob mus rau 2, 78 mmol / l, cov tsos mob los ntawm cov hlab ntsha nruab nrab yog pom. Tib lub sijhawm, cov tsos mob zoo sib xws tuaj yeem txhim kho nrog cov piam thaj li qub.

Kev mob hypoglycemic tuaj yeem tsim kho thaum tsaus ntuj. Ib lub ntsej muag yog tias qhov no nws ua txoj cai tsis muaj neeg pom. Cov tsos mob ntawm nocturnal glycemia yog tsis ncaj: lawv yog khaub ncaws ntub, zoo li nkees, mob taub hau, cuam tshuam nrog.

Tus neeg mob tuaj yeem yws ntawm npau suav phem. Cov neeg nyob ze tuaj yeem pom cov tsos mob tawm sab nraud: muaj ntau tawm hws, tshee. Qhov laj thawj ntawm kev txhim kho ntawm kev tawm tsam thaum hmo ntuj yog qhov xav tau tsawg kawg ntawm cov tshuaj insulin thaum lub sijhawm no (2-4 a.m.), thiab cov tshuaj insulin, siv sijhawm li ntawm 5-6 a.m., ua rau hyperinsulinemia nyob rau lub sijhawm no.

Raws li kev tiv thaiv cov mob no, nws pom zoo:

• txiav txim siab txog qib qab zib ntawm 2-4 a.m.
• kev noj ntxiv ntawm cov carbohydrates ua ntej mus pw, yog tias 22.00 qib piam thaj tsawg dua 6 mmol / l,
• tswj cov Protafan yam tshuaj insulin tsis yog ntawm 17.00-19.00, tab sis ntawm 22.00,
• siv cov tshuaj insulin rau nruab nrab, siv cov insulin ntev ntev.

Kev mob ntshav siab ntau yog qhov mob hnyav uas tuaj yeem ua rau ntau yam kev mob:

• kev cuam tshuam ntawm cov ntshav mus rau lub hlwb,
• ntshav ntswg hauv siab,
• kev ua haujlwm ib ntus lossis mob tsis xwm yeem nyob rau lub sijhawm ntawm mob ntshav qab zib ua lub cev rov ua dua.

manifests nws tus kheej nyob rau hauv daim ntawv ntawm ib tug ntse txo nyob rau hauv cov ntshav qab zib thiab manifests nws tus kheej tsis pub dhau 30 feeb.

Koj tuaj yeem kawm txog hypoglycemia thaum cev xeeb tub thiab nws qhov tshwm sim rau tus me nyuam hauv plab.

Poob ntawm kev nco qab vim muaj kev tawm tsam tuaj yeem ua rau raug mob lossis tuag taus yog tias tus neeg ntawd nyob rau lub sijhawm tsav tsheb lossis ua haujlwm ntawm qhov xwm txheej ua rau muaj kev phom sij ntxiv.

Nquag qaug dab peg ua rau cov pa oxygen tshaib plab ntev ntawm lub hlwb hlwb, ua rau lub cim xeeb tsis zoo, ua rau cov hlwb hauv lub hlwb. Cov neeg mob muaj peev xwm txo qis mus rau kev txawj ntse ua haujlwm, yam ntxwv hloov. Hauv cov menyuam yaus, ntshav qog ntshav qab zib ua rau qhov kev txhim kho qeeb.

Kev tawm tsam thaum hmo ntuj tuaj yeem ua rau tuag taus vim tias lub plawv nres. Qhov tshwm sim ntawm cov mob ntshav qab zib tsawg dua tuaj yeem yog kev puas siab puas ntsws, hemiparesis, aphasia, mob vwm, exacerbation, parkinsonism, narcolepsy.

Tus neeg mob hauv lub sijhawm no yuav tsum yog kev saib xyuas tas li ntawm tus kws kho mob kom txog thaum muaj kev kub ntxhov

Nrog tsis txaus cov kua nplaum nyob rau hauv lub hlwb

Thaum lub hlwb tsis muaj qabzib, mob taub hau thiab kiv taub hau, ob lub zeem muag, tsis hnov ​​lus thiab hais lus tsis meej. Qhov pom tsis meej, tsis nco qab yuav tshwm sim.

Cov tsos mob tshwm sim raws li lawv qhov loj zuj zus ntxiv:

• cov tshuaj tiv thaiv rau cov xwm txheej puag ncig slows,
• txob taus thiab chim siab, ib tug neeg yuav tsis txaus teb rau lub tswv yim txog los txiav txim siab txog qib ntawm cov piam thaj thiab kuv paub tseeb tias txhua yam zoo nrog nws,
• clouding ntawm kev nco qab, tsis muaj zog, hais lus tsis txaus thiab ua kom sib haum (cov tsos mob yuav mob ntev txog li ib teev tom qab tshuaj insulin),
• tsaug zog
• tsis nco qab
• cramps.

Coma yog ib qho kev sim ntawm cov tshuaj tiv thaiv ntawm cov hlab ntsha mus rau qhov poob lossis poob hauv glycemia. Qhov no yog ib tus mob, uas yog ib tug neeg kawm ntawv ntau uas yuav tau ua kom muaj ntshav qab zib.

Coma, raws li txoj cai, loj hlob sai heev. Ua ntej, muaj qhov hnov ​​ntawm tshav kub, tshee hnyo ntawm tes, hyperhidrosis, nce lub plawv dhia, lub cev tsis muaj zog.

Cov phiajcim no tuaj yeem tshem tawm los ntawm kev ua kom tau sai ntawm kev noj haus carbohydrates. Yog li, cov tib neeg siv cov tshuaj insulin yuav tsum ib txwm nqa cov piam thaj uas muaj tshuaj nrog lawv.

Lub xeev ntawm hypoglycemic coma yog nrog los ntawm blanching thiab moisturization ntawm daim tawv nqaij, nce nqaij leeg. Tsis muaj qhov txawv txav ntawm kev ua pa, turgor ntawm cov pob muag.

Yog tias tam sim no tsis muaj kev pabcuam, kev ua pa yuav ua pa, ntshav nce siab, qis qis, kev pom tus mob hypothermia tau pom, cov leeg kev loj hlob tau zoo. Corneal reflexes thiab qhov tshwm sim ntawm cov tub kawm ntawv mus rau lub teeb ploj. Tom qab ntawd pom zoo, trismus pib, ntuav tuaj yeem tshwm sim.

Qhov kev ntsuam xyuas tsis qhia tawm cov piam thaj hauv kev tso zis, cov tshuaj tiv thaiv rau acetone tuaj yeem tshwm sim yog qhov zoo lossis tsis zoo.

Tus neeg yuav tsum tau mus pw hauv tsev kho mob ceev yog tias:

• nws tsis tuaj yeem nres qhov kev tawm tsam txawm tias tau rov qab ua dua coj ntawm cov piam thaj,
• cov tsos mob ntawm tus mob qog ntshav qab zib tom qab kev tswj hwm ntawm cov tshuaj ploj, txawm li cas los xij, lwm qhov kev cuam tshuam tshwm sim - mob plawv, cerebral, lub paj hlwb, thiab lwm yam,
• tsis ntev tom qab kev kho mob, ib qho kev tawm tsam thib ob tshwm sim.

Tej zaum, txhua tus neeg mob ntshav qab zib paub qhov tsis txaus siab heev thiab txaus ntshai tshaj plaws rau lub neej thiab kev noj qab haus huv - cov ntshav qab zib. Hauv cov lus dab tsawb, nws tsuas yog hu ua “hypa”. Tsis yog tias tsis muaj laj thawj, tus kws paub txog endocrinologist Elliot Jocelyn ceeb toom hauv xyoo dhau los hais tias "insulin yog yam tshuaj rau cov neeg ntse, tsis yog rau cov neeg ruam," vim tias cov ntshav qab zib thiab kev txhim kho hypoglycemia hauv cov neeg mob ntshav qab zib yog nyob ntawm koob tshuaj insulin. Tabsis, thawj qhov ua ntej.

Ua rau cov ntshav qog ntshav qab zib

Kev Hypoglycemia (txhais los ntawm lus Greek thaum "ntshav tsis qab zib heev") yog cov kab mob ib ntus hauv lub cev uas cov ntshav muaj piam thaj hauv ntshav qis (rau cov neeg mob ntshav qab zib - qis dua 3.3-3.5 mmol / l) Cov. Yog tias cov piam thaj hauv ntshav tsis rov zoo li qub hauv lub sijhawm, qaug dab peg, qaug dab peg, tsis nco qab thiab, thaum kawg, mob ntshav qab zib tsis tsaug zog thiab tuag tuaj yeem tshwm sim.

Qhov pib ntawm cov ntshav qab zib tsawg kuj tseem yuav muaj lwm yam ua rau tsis muaj ntshav qab zib tsawg nyob hauv cov ntshav qab zib. Nws cov tsos mob tuaj yeem raug txhawb nqa los ntawm: kev noj zaub mov tsis zoo nrog kev tsim txom cov zaub mov tsis muaj txiaj ntsig nrog lub cev tsis muaj fiber ntau thiab cov vitamins hauv zaub mov, kev ua haujlwm lub cev tsis zoo, muaj ntau yam kab mob, feem ntau ntawm cov kab mob endocrine, hormonal deficiency, haus dej cawv thiab lwm yam.

Kev tawm hws yog qhov qhia tau tias tus mob hypoglycemia, uas yog xav tau kev pab sai sai. Hauv daim duab ntawm ib tug txiv neej, nws cov ntshav qab zib hauv cov ntshav tsis tas yuav noj khoom qab zib ntau tam sim ntawd (txawm tias ua rau nws muaj ntshav qab zib ntau nrog kev tshaib plab heev). Kev noj haus ntau dhau ntawm cov carbohydrates yuav tsis tsuas yog coj cov suab thaj rov qab mus rau qhov qub, tab sis yuav nce nws sai dua qib uas yuav tsum tau ua, ntxiv rau nws yuav tsim lub siab nyob rau hauv cov piam thaj hauv lub cev, uas ua teeb meem rau lub nkoj me me.

Pab nrog cov ntshav qab zib kom nruab nrab (qab zib) Ua rau kom muaj suab thaj tsawg hauv lub cev

Txhua lub cell ntawm lub cev yuav tsum ua tiav nws txoj haujlwm hauv lub zog uas lub cev tau txais los ntawm cov protein, rog thiab carbohydrates. Nws yog cov piam thaj thiab piam thaj, uas yog lub zog tseem ceeb hauv lub zog, uas tau tawg sai tshaj plaws. Yog tias cov ntshav qab zib poob qis dhau, lub hlwb pib ntsib kev tshaib kev nqhis. Thaum pib lub sijhawm, hypoglycemia tuaj yeem tshwm sim nws tus kheej nrog cov tsos mob me, tab sis yog tias koj tsis nrawm muab cov suab thaj tsim nyog hauv cov ntshav, cov teeb meem loj tuaj yeem tshwm sim, nce mus txog hypoglycemic coma.

Cov ntshav qab zib qis tuaj yeem ua rau muaj ntau yam teeb meem hauv lub hauv nruab nrab cov hlab ntsha tuaj yeem. Cov tsos mob thaum ntxov muaj xws li ua kom tsis muaj zog, kiv taub hau. Koj tuaj yeem yuav tshee, hnov ​​nyob tsis tswm, khaus, tshwj xeeb yog thaum koj tshaib plab. Tsis muaj kev sib koom ua ke, ua daus no, txhav tawv nqaij, tawm hws yog cov tsos mob ntawm cov ntshav qab zib. Mob caj dab los yog loog hauv lub qhov ncauj kuj tseem yog cov cim qhia tias muaj ntshav qab zib tsawg. Lwm cov tsos mob muaj xws li pom kev plooj, mob taub hau, thiab feeb meej. Koj yuav muaj teeb meem ua cov hauj lwm yooj yim. Thaum cov ntshav qab zib cov ntshav poob thaum hmo ntuj, nws tuaj yeem ua npau suav phem.

Cov tsos mob tseem ceeb ntawm maj mam nce zuj zus hypoglycemia yog li nram no:

• mus ob peb vas hloov
• hlwb lability
• tachycardia, palpitations,
• txog siav
• tawm hws, tawv nqaij nplaum,
• mob taub hau
• qhov muag plooj
• pw tsaug zog
• cramps
• tsis nco qab
• hypoglycemic coma.

Tus neeg mob qhov mob hnyav uas muaj ntshav qab zib tsawg qee zaum hu ua insulin poob siab. Yog tias tsis kho, tus mob no yuav ua tau txaus ntshai thiab ua rau tsis nco qab thiab / lossis tuag.

Ua Rau Cov Ntshav Qab Zib Qis

Cov piam thaj hauv ntshav qis tuaj yeem yog vim koj tsis nco qab noj mov, lossis tuaj yeem tshwm sim los ntawm kev ua haujlwm tsis zoo ntawm lub txiav ua qab. Qhov no tshwm sim yog tias koj tus txiav ua ntau dua insulin dua nws yuav tsum tom qab koj noj.

Feem ntau ua rau cov piam thaj hauv ntshav tsawg yog ntshav qab zib. Ntawm hom 1 ntshav qab zib, txiav tawm tsis tuaj yeem tsim cov tshuaj insulin ntxiv lawm. Ntawm ntshav qab zib hom 2, tus txiav ua tsis tau tsim insulin txaus los yog lub cev siv tsis tau nws.

Qhov laj thawj muaj peev xwm ua rau cov ntshav qab zib tsawg yog haus cawv ntau, tshwj xeeb yog ntawm lub plab khoob, uas tuaj yeem cuam tshuam lub peev xwm ntawm daim siab ua haujlwm thiab khaws cov piam thaj. Kab mob siab thiab lwm yam teeb meem mob siab tuaj yeem ua rau cov ntshav qab zib qis dua. Qhov ua rau cov piam thaj qis tuaj yeem cuam tshuam hauv lub raum, anorexia nervosa, qog cov hlav thiab cov qog adrenal.

Cov ntshav qab zib ib txwm

Muaj ntau cov tsos mob ntawm cov ntshav qab zib tsawg, tab sis tsuas yog txoj hauv kev kom paub tseeb tias koj cov ntshav qabzib siab lossis tsawg yog kuaj cov ntawv ntsuas thiab ntsuas cov ntshav qabzib. Feem ntau, cov ntshav qab zib cov ntshav qis dua 70 milligrams ib deciliter (mg / dl) raug txiav txim siab qis dhau, raws li pom zoo los ntawm American Diabetes Association.

Vim li cas feem ntau ntsuas ntshav qab zib?

Thaum koj tau noj mov, koj lub plab zom mov hauv cov khoom noj carbohydrates thiab hloov mus rau hauv qabzib los muab lub cev.Thaum cov piam thaj nce siab, cov txiav txiav tawm zais zis qhov hu ua insulin. Cov tshuaj insulin pab cov piam thaj hauv koj cov ntshav, xa cov zog mus rau cov hlwb thoob plaws lub cev. Muaj ntau dhau ntawm cov piam thaj hauv cov txheej txheem thiab sau ua glycogen hauv lub siab rau kev khaws cia.

Thaum koj tsis tau noj mov ob peb teev, koj cov piam thaj hauv ntshav yuav qis zuj zus. Yog tias koj muaj cov hlav ua kom muaj kev noj qab haus huv, nws zais ib qho keeb kwm tshwj xeeb uas qhia rau lub siab ntawm lub siab tias nws yuav tsum tau ntxiv cov ntshav nrog cov piam thaj khaws cia. Yog tias txhua yam ua haujlwm raws li nws yuav tsum ua, cov piam thaj hauv ntshav yuav tsum nyob hauv qhov ib txwm muaj txog thaum noj tom ntej.

Kev mob ntshav siab: yog vim li cas nws txaus ntshai?

Yog tias koj muaj ntshav qab zib, nws yog ib qho tseem ceeb uas saib xyuas koj cov ntshav qab zib kom tsis tu ncua. Cov piam thaj hauv ntshav qis tuaj yeem tshwm sim sai heev, tab sis feem ntau nws yooj yim kho tsuas yog los ntawm kev noj cov qhob noom xim kasfes lossis ib qho qab zib. Txawm li cas los xij, yog tias koj tsis ua tib zoo saib xyuas koj cov piam thaj, nws tuaj yeem ua rau muaj kev phom sij hnyav thiab ua rau tuag taus.

Cov ntshav qab zib tsis txaus tuaj yeem ua rau palpitations, tawm hws, ua tsis taus pa, thiab lwm yam tsos mob. Txawm li cas los xij, txawm hais tias koj muaj ntshav qab zib, koj yuav tsis pom ib txwm pom cov tsos mob tshwm sim hauv cov ntshav qab zib tsawg. Tus mob no yog hu ua "hypoglycemic ignorance." Thaum koj muaj cov tsos mob uas muaj ntshav qab zib tsawg tsawg dhau lawm, lawv hloov koj lub cev lus teb rau lawv.

Feem ntau, cov piam thaj hauv ntshav qis ua rau koj lub cev tso cov tshuaj hormones kev ntxhov siab xws li adrenaline. Adrenaline yog lub luag haujlwm rau thawj cov tsos mob ntawm kev ceeb toom ntxov ntawm hypoglycemia, xws li kev tshaib plab thiab tawm hws. Thaum kev poob hauv cov ntshav qab zib tshwm sim txhua zaus koj tsis nco qab noj mov, koj lub cev tuaj yeem nres kev tso tawm cov tshuaj hormones kev ntxhov siab. Vim li no nws thiaj tseem ceeb heev kom kuaj xyuas koj cov ntshav qab zib kom txaus txaus.

Cov cim tseem ceeb ntawm cov ntshav qab zib yog:

• kiv taub hau
• zoo li koj yuav tsaus muag,
• lub plawv dhia,
• txob taus
• tsis nco qab
• cramps
• ntxhab gait
• hloov kev cia siab hauv kev xav
• tawm hws, ua daus no lossis lo tawv nqaij.

Yog tias koj xav tias koj xav tias koj tuaj yeem ntsib kev mob ntshav qab zib hauv lub ntsej muag, tam sim ntawd xyuas koj cov ntshav qab zib thiab pib kho yog tsim nyog.

Yog tias koj tsis muaj ntsej muag nrog koj, tab sis koj xav tias koj muaj piam thaj hauv ntshav tsawg, koj yuav tsum rov qab muab nws dua. Cov neeg muaj kev puas tsuaj los ntawm lub qog ntshav qab zib yuav tsum tau muaj ob peb yam piam thaj nyob ntawm tes.

Yuav kho cov hypoglycemia li cas?

Kev kho mob rau hypoglycemia yog nyob ntawm qhov mob hnyav ntawm cov tsos mob. Yog tias koj muaj cov tsos mob me lossis mob pes tsawg, koj tuaj yeem kho tus mob ntshav qab zib tsawg ntawm koj tus kheej. Cov theem pib suav nrog kev noj zaub mov muaj li 15 gram qabzib lossis carbohydrates sai.

Cov khoom uas pab nrog hypoglycemia:

• ib khob mis
• 3-4 daim ntawm caramel,
• ib nrab khob khob kua txiv xws li txiv kab ntxwv,
• ib tablespoon suab thaj los yog zib mu.

Tom qab koj tau noj ib 15 gram pabcuam ntawm kev noj zaub mov sai, tos li 15 feeb thiab rov tshawb xyuas koj cov ntshav qab zib kom tsawg.

Yog tias koj cov piam thaj theem 70 mg / dl lossis siab dua, koj tau yeej qhov rov zoo ntshav qab zib no. Yog tias nws tseem qis dua 70 mg / dl, koj yuav tsum noj lwm 15 grams ntawm carbohydrates. Tos li 15 feeb thiab kuaj xyuas koj cov piam thaj hauv ntshav kom paub tseeb tias nws tau nce mus.

Thaum koj cov piam thaj hauv ntshav rov qab zoo li qub, ua ib pluas su me me lossis khoom txom ncauj rau noj rau lwm teev lossis tom qab. Yog tias cov kev ntsuas tau pab tsis tau, koj yuav tsum hu rau lub tsheb tos neeg mob.

Kev noj qee yam tshuaj kom qeeb ntawm kev zom zaub mov carbohydrates, yog li ntawd, cov ntshav qab zib tsis teb sai sai.Hauv qhov no, koj yuav tsum haus cov ntshiab qabzib lossis dextrose, uas ua rau hauv cov ntsiav tshuaj lossis tshuaj kua, uas yuav tsum nco ntsoov nyob rau ntawm tes yog tias koj siv cov tshuaj uas ua rau cov piam thaj qis.

Yog tias koj muaj ntshav qab zib ntau ntau lossis tsawg muv ob peb zaug hauv ib asthiv, lossis mob ntshav khov ntau heev, sab laj nrog koj tus kws kho mob. Koj yuav tsum tau rov qab xav dua koj cov phiaj xwm khoom noj khoom haus lossis cov tshuaj noj kom tiv thaiv ntu ntu ntxiv.

Yuav ua li cas yog tias kuv tsis nco qab nrog tus mob ntshav qab zib?

Kev poob hauv cov ntshav qab zib kom ntau yuav ua rau tsaus muag, uas tuaj yeem tsim kev phom sij txog lub neej. Feem ntau qhov no tshwm sim hauv cov neeg muaj ntshav qab zib hom 1 yog qhov tshwm sim los ntawm kev txhaj tshuaj insulin ntau dhau.

Qhia koj tsev neeg thiab cov phooj ywg kom ua dab tsi hauv qhov xwm txheej zoo sib xws. Nws yog qhov zoo yog tias ib tus neeg nyob ze koj kawm paub txog kev txhaj tshuaj glucagon yog tias koj tsis nco qab thaum lub siab ntev. Glucagon yog yam tshuaj uas ua rau lub siab, tig glycogen rau hauv qabzib, uas yog qhov tsim nyog rau koj lub cev thaum lub sijhawm ntshav qab zib tsawg.

Yuav tiv thaiv kom tsis txhob mob ntshav qab zib li cas?

Txoj hauv kev zoo tshaj plaws kom tsis txhob txo ntshav qab zib yog kom ua raws nraim li txoj kev kho mob tsim kho, tsis txhob tseg cov pluas noj thiab tshuaj noj, soj ntsuam cov ntshav qabzib kom qis thiab kho qhov teeb meem kom raws sijhawm.

Txhawm rau tiv thaiv hypoglycemia thiab hyperglycemic ntu, ua tib zoo xav txog koj kev noj zaub mov zoo, kev tawm dag zog, thiab qhov cuam tshuam ntawm cov tshuaj. Yog tias tsawg kawg ib qho ntawm cov khoom siv no tawm ntawm kev tshuav nyiaj li cas, ib qho kev tawm tsam ntawm cov ntshav qog ntshav qab zib yuav tshwm sim.

Yog tias koj siv cov insulin, koj yuav tsum kuaj xyuas koj cov piam thaj hauv ntshav 4 lossis ntau dua hauv ib hnub. Qhov no yuav pab koj txiav txim seb qhov twg ua yuav txo koj cov ntshav qab zib sai dua li ib txwm. Txawm li cas los xij, koj yuav tsum tsis txhob ua rau muaj kev hloov pauv ntev ntev thiab tsis raug hloov kho dua yam tsis muaj lus qhia thiab lus pom zoo ntawm koj tus kws kho mob.

Dab tsi los xav txog cov piam thaj tsawg

Rau cov menyuam yaus thiab cov neeg laus, cov piam thaj hauv qab yuav raug qhia hauv cov lej sib txawv. Cov neeg laus muaj kev paub txog txo cov ntshav qabzib ntau dua li menyuam yaus, yog li ntawd qhov kev tshwm sim ntawm lub qog ntshav qab zib tsawg dua nyob rau hauv qis dua 2.8-3.0 mmol / L.

Cov menyuam yaus nrog rau tus nqi no tuaj yeem xav zoo li qub, tshwj xeeb tshaj yog cov menyuam mos yug ntxov ntxov lossis yug tau raws sijhawm. Rau cov menyuam yaus, qib ntawm 1.7-2.2 mmol / l raug txiav txim siab tseem ceeb nyob ntawm hnub nyoog. Tus me nyuam loj zog, nws yim rhiab ntau dua rau cov suab thaj qis.

Tab sis koj yuav tsum nkag siab tias tag nrho cov nuj nqis no muaj cai thiab feem ntau tsis sib thooj ntawm cov tib neeg.

Kev Ntshav Siab

Hypoglycemia tsim rau ntau qhov laj thawj, uas suav nrog kev tsim cov tshuaj insulin ntau ntxiv, txiav txim siab insulin ntau dua, thiab lwm yam tshuaj hauv cov neeg mob ntshav qab zib mellitus, kev hloov pauv ntawm kev ua haujlwm ntawm lub caj pas pituitary thiab adrenal, thiab ua txhaum ntawm cov metabolism ntawm carbohydrates hauv lub siab.

Tsis tas li, hypoglycemia tuaj yeem muaj xwm txheej tau muab faib ua cov tshuaj muaj yees yeeb tshuaj thiab tsis yog. Raws li txoj cai, hypoglycemia, uas yog nyob ntawm cov tshuaj, yog pom ntawm cov neeg mob uas kuaj pom. Qhov hloov pauv thib ob ntawm cov kab mob pathological tau pom tias yog kev yoo ntshav hypoglycemia uas tshwm sim tom qab kev tshaib plab, thiab hauv daim ntawv ntawm cov tshuaj tiv thaiv hypoglycemia uas tshwm sim tom qab noj cov khoom noj khoom haus carbohydrate.

Ntau zaus, cov ntshav qog ntshav qab zib tuaj yeem tshwm sim los ntawm insulin lossis sulfonylureas, uas tau muab rau cov neeg mob ntshav qab zib kom txo cov ntshav qab zib. Yog tias qhov koob tshuaj ntau dhau heev lawm hauv kev sib piv nrog cov zaub mov noj, cov yeeb tshuaj muaj peev xwm txo cov piam thaj kom tsawg tus nqi. Cov neeg mob ntshav qab zib hnyav feem ntau yuav muaj ntshav qab zib tsawg. Raws li txoj cai, qhov no yog vim tsis muaj txhij txhua ntawm islet hlwb ntawm lub txiav ntawm glucagon, thiab qog adrenal - adrenaline.Tab sis nws yog cov tshuaj hormones no uas tau coj ncaj qha rau cov txheej txheem ntawm kev tiv thaiv thawj tiv thaiv tawm tsam kev mob ntshav qab zib no. Tus kab mob no tuaj yeem tshwm sim los ntawm lwm yam tshuaj.

Feem ntau, kuaj ntshav qog ntshav qab zib hauv lub hlwb tsis ruaj khov cov neeg tsis pub leej twg noj tshuaj qab zib los yog txhaj tshuaj insulin ntawm lawv tus kheej. Qhov no los vim nkag mus siv tshuaj dawb.

Muaj ntshav qab zib tsawg txaus, thiab qee zaum hnov ​​zoo, tuaj yeem pom hauv cov neeg qaug cawv, nrog rau kev tsim txom cawv thiab tsis quav ntsej cov zaub mov zoo. Raws li qhov tshwm sim, kev xa tawm ntawm carbohydrates hauv daim siab khiav tawm.

Stupor nrog hypoglycemia tuaj yeem tshwm sim txawm tias muaj cov cawv me me hauv cov ntshav, tab sis qis dua qib qis uas tso cai rau tsav tsheb. Yog li, nws tsis yog tas li cov tub ceev xwm saib xyuas tsheb lossis cov neeg ua haujlwm kho mob yuav tuaj yeem txiav txim siab tias tus neeg muaj lub ntsej muag zoo li qhov mob, thiab tsis yog tus tsos mob ntawm lub xeev qaug cawv.

Qee zaum hypoglycemia tuaj yeem tshwm sim hauv tus neeg noj qab nyob zoo uas tau tawm dag zog lub cev. Nrog rau kev tshaib plab ntev ntev, cov tsos mob ntawm cov ntshav qog tuaj yeem tshwm sim ib txhij nrog pathology ntawm adrenal caj pas lossis pituitary caj pas, ntxiv rau tom qab kev haus cawv. Hauv qhov no, muaj qhov ua rau cov carbohydrates muaj zog, uas tsis tuaj yeem tswj tau qhov ntshav zoo li qub. Tab sis nyob rau qee kis, hypoglycemia tshwm sim sai li sai tau tom qab tshaib plab. Hauv cov menyuam yaus uas muaj kev tsis txaus siab rau lub cev ua haujlwm ntawm lub siab, cov tsos mob ntawm kev mob ntshav qab zib tsawg tshwm sim thaum noj tshais, noj su thiab noj hmo.

Alimentary daim ntawv ntawm hypoglycemia tshwm sim hauv cov neeg uas tau yauv rov qab plab ntawm lub plab. Hauv qhov no, qab zib ntau dhau sai sai, uas ua rau lub zog tsim tawm cov tshuaj insulin, uas nyob rau hauv ntau ntau ua rau cov ntshav qab zib tsawg dua. Yog hais tias hypoglycemia ntawm alimentary hom tsim muaj qhov tsis muaj laj thawj, ces qhov no yog idiopathic alimentary hypoglycemia.

Cov laj thawj uas ua rau muaj tus kab mob suav nrog qee cov khoom muaj fructose lossis galactose, uas tiv thaiv kom tsis txhob tso cov piam thaj los ntawm daim siab. Thiab leucine koom tes nrog txhawb cov tshuaj insulin ntau dua nyob rau hauv lub txiav. Yog li, cov zaub mov no txo ​​cov ntshav qab zib tom qab qee lub sijhawm tom qab noj mov.

Tsis tas li ntawd, insulinomas tuaj yeem ua rau cov ntshav qis vim tias ua rau cov kua dej ntau ntau dhau lawm. Tsis tshua muaj, hlav hlav uas tsis nyob hauv cov txiav ua kom mob tuaj yeem ua rau mob.

Qhov tsis tshua muaj tshwm sim ntawm tus mob hypoglycemic yog ib tus kabmob cuam tshuam nrog kev ua haujlwm autoimmune. Hauv qhov no, lub cev sim tsim cov tshuaj tiv thaiv insulin, uas ua rau kom muaj qhov hloov pauv hloov pauv, vim tias tus txiav ua ib qho dhau ntawm insulin los ua kom tsis txhob muaj cov tshuaj tiv thaiv. Tus mob no tuaj yeem pom ob leeg rau cov neeg mob ntshav qab zib mellitus thiab hauv cov neeg uas tsis muaj tus kab mob no.

Kev tsim cov qog ntshav qab zib tuaj yeem cuam tshuam los ntawm lub plawv lossis lub raum tsis ua haujlwm, mob hnyav, kab mob qias neeg nyob rau hauv daim ntawv ntawm qog, irrational thiab malnutrition, poob siab, kis thiab kab mob ntsws. Txhua yam kabmob no tuaj yeem ua rau mob ntshav qab zib.

Cov tsos mob hypoglycemia

Cov duab hauv kev soj ntsuam ntshav qab zib hauv lub cev muaj cov tsos mob tuaj yeem faib ua qee yam. Lawv tsiag ntawv los ntawm cov kev tsis txaus siab, ua kom lub cev tsis muaj zog, lub paj hlwb thiab lub cev zom zaub mov. Lawv ib txwm muaj peev xwm sib txawv thiab kos cov ntshav qab zib kom sib piv. Tab sis muaj ib cov qauv: nrog cov ntshav qog ua kom lub ntsej muag txo qis yuav luag li 3 mmol / l. Nws yog tom qab ntawd cov kev mob tshwm sim thiab kev noj qab haus huv tshwm sim, nrog tus naj npawb ntawm neurological manifestations.Tab sis nrog rau cov piam thaj concentration ntawm 2.3 txog 2.7 mmol / L, ib qho kev qab zib hypoglycemic tshwm sim.

Cov tsos mob tshwm sim ntawm cov ntshav siab yog qhov ua rau muaj kev ntxhov siab, mob taub hau, voos, tshee, muaj kev tshaib plab thiab kub nyhiab hauv thaj chaw epigastric. Txawm li cas los xij, tag nrho cov tsos mob no tsis tuaj yeem hais tias hypoglycemia, tab sis nrog lawv cov kev sib txuam ntau dhau los nws muaj peev xwm txheeb xyuas cov ntshav hypoglycemic.

Kev ntxhov siab ntawm kev noj cov zaub tsis zoo los ntawm tachycardia thiab qhov tsos ntawm tshee hauv cov leeg. Tom qab ntawd muaj mem tes hauv lub taub hau thiab ntawm ntu ntu ntawm lub cev, uas cuam tshuam nrog kev txav ntshav sai.

Ntawm qhov tsis sib haum xeeb ntawm cov plab tsis sib xws, adrenergic thiab parasympathetic cov tsos mob yog qhov txawv txav. Hauv thawj kis, lub tsev kho mob ntawm lub qog ntshav qab zib muaj qhov tshwm sim ntawm tachycardia, nrog lub siab xav rau nws, pallor ntawm daim tawv nqaij, tshee tshee ob txhais tes (tshee), ntshav siab thiab nce siab ntawm lub ntsws ua pa. Tab sis cov tsos mob ntawm lub tsev kho mob parasympathetic muaj qhov zoo nkaus li kev tshaib kev nqhis, rumbling hauv plab, uas ua rau muaj peristalsis ntau zog hauv lub plab thiab cov hnyuv, nrog rau cov tsos mob ntawm hlawv hauv thaj av epigastric. Tag nrho cov duab saib mob yog cov yam ntxwv ntawm lub sijhawm thaum pib ntawm hypoglycemia, yog li ntawd nws yog ib qho tseem ceeb heev uas ib txwm txawv cov tsos mob no nrog ntau cov kab mob ntawm cov metabolism.

Nrog cov tsos mob neurological ntawm hypoglycemia, qhov hnov ​​ntawm tus neeg txheeb ze lub zog tsis txaus hauv lub hlwb tshwm, uas yog tus cwj pwm los ntawm kiv taub hau, mob taub hau thiab mob hauv cov hlab ntsha. Tom qab ntawd tus kabmob tau dhau los ua mob hnyav, yog li qee qhov ntawm lub hlwb txhaws txhaws txhawm rau xiam ib ce. Cov tsos mob ua ke tau sau tseg nyob rau hauv kev ua kom tsis txhob hnov ​​mob ntawm qee qhov ntawm lub cev, thiab qee zaum kev ua haujlwm ntawm lub cev muaj qee yam ploj.

Ib qho kev cuam tshuam loj tshaj plaws ntawm kev mob ntshav qab zib yog hypoglycemic coma, uas tshwm sim los ntawm qhov kev poob qis hauv cov piam thaj hauv qab. Qhov no ua rau tsis nco qab nrog qhov tsis muaj qhov tseem ceeb rau ntau yam ntawm kev ua pa, txawm tias mob. Tom qab tawm ntawm lub cev tsis nco qab, cov neeg mob pib txhim kho lub cev tsis muaj zog thoob plaws lub cev, kev paub ntshai thiab tsis meej pem, tshee hnyo hauv cov leeg nqaij, coj tus cwj pwm tsis txaus, pathological reflexes tshwm. Qee zaum, nrog kev poob qis ntawm lub hlwb cortex, cov neeg mob tsis nco qab txhua yam ua ntej ntawm qhov pib ntawm hypoglycemic coma.

Tag nrho cov tsos mob no tau pom kom txog thaum tsis nco qab lawm. Tab sis tus neeg mob tsis muaj sij hawm los ceeb toom qhov no, txij li qhov kev nco qab hloov tawm sai heev. Nws yog daim duab soj ntsuam no uas ua rau nws ua tau kom muaj qhov txawv txav tsis nco qab uas tsis nco qab zoo nrog hyperglycemic, ketoacidotic thiab hyperosmolar coma. Lawv tau cim los ntawm kev maj mam kaw ntawm qhov tsis nco qab nrog tus xov tooj ntawm cov leeg hlwb, kev paub dav dav thiab cov paib ntawm cov pa zaub mov.

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 txo qis hauv cov ntshav qab zib, kev tawm tsam angina yog 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.

Kev mob ntshav siab ntshav qab zib hauv menyuam yaus

Qhov xwm txheej no hauv cov menyuam yaus tsis yog rau cov kab mob uas tsis tshua muaj. Ntau zaus, cov ua rau ua rau menyuam yaus hypoglycemia tuaj yeem yog ntau yam kab mob ntawm cov hlab hlwb thiab endocrine, kuj muaj kev ntxhov siab, ua si lub cev thiab tsis noj zaub mov tsis txaus.

Cov tsos mob ntawm lub xeev hypoglycemic nyob rau hauv cov menyuam yaus yog cov yam ntxwv ua kom nkees nkees, nkees nkees, txob taus, pallor, tawm hws, tshaib plab, thiab lub plawv tsis zoo. Cov ntshav qab zib cov txiaj ntsig yog nyob ntawm tus lej tsawg dua 2.2 mmol / L.

Kev mob ntshav qab zib yog qhov txaus ntshai heev rau lub neej ntawm tus menyuam, vim nws ua txhaum kev hnyav ntawm lub cev hauv lub cev thiab kev ua haujlwm ntawm kev txav mus los, ua rau mob taub hau, thiab ua rau pom kev qaug dab peg thiab tsaus muag. Nquag muaj ntshav ntau heev tsis tuaj yeem cuam tshuam rau lub hlwb thiab lub hlwb txoj kev loj hlob ntawm cov menyuam yaus.

Raws li txoj cai, hypoglycemia hauv cov menyuam yaus tuaj yeem tshwm sim zoo li lwm yam kabmob. Yog li, nws yog qhov tsim nyog rau tus me nyuam kom ua tiav kev kuaj xyuas, txij li thaum me dua nws lub hnub nyoog, ntau qhov kev pheej hmoo ntawm cov hlab ntsha hlwb, mob hlwb lossis mob vwm tuaj yeem tshwm sim los ntawm qhov rhiab ntawm nws lub paj hlwb mus rau kev hloov pauv ntawm cov ntshav qab zib.

Cov menyuam yaus hnub nyoog yaus muaj cov kev mob ntshav qab zib tsawg ib yam li cov neeg laus. Hauv lawv, qhov no tshwm sim nws tus kheej hauv daim ntawv ntawm lub xeev ntxhov siab, pallor ntawm lub ntsej muag, ntawj txias thoob plaws lub cev, tsis pom kev tsis pom kev thiab tsis sib haum. Ntxiv rau, qhov pom tshwm sim, tachycardia muaj ntau zuj zus, lawv muaj kev xav zoo li kev tshaib plab thiab tsis nco qab.

Muaj ob lub hauv paus rau kev txhim kho kev mob ntshav qab zib hauv menyuam yaus, xws li cov ntsiab lus nce ntawm ketone lub cev hauv cov ntshav thiab leucine tsis nkag siab.

Nrog hypoglycemia hauv cov menyuam yaus, acetone tshwm hauv daim ntawv ntawm ketone lub cev hauv cov ntshav, uas yog tus yam ntxwv ua pa peculiar ua pa.Txij li thaum acetone yog ib qho tshuaj lom, lom nrog xeev siab, ntuav, kiv taub hau, thiab tsaus muag yog cov cim qhia tau ntawm nws cov nyhuv ntawm lub paj hlwb. Hauv cov xwm txheej no, tus menyuam lub plab ntxuav nrog cov kua dej los yog dej ntxhia, ua rau ntuav. Thiab kom rov qab ua rau cov piam thaj, lawv muab me ntsis zib ntab lossis qab zib, thiab koj tuaj yeem ua cov ntsiav tshuaj glutamic acid. Tom qab qaug dab peg, tus menyuam yuav tsum raug saib xyuas los ntawm tus kws tshaj lij, nws yuav tsum ntsuas ntshav qab zib tas mus li, ib yam li ua tso zis rau ntawm lub cev ketone.

Rau kev kho mob ntawm cov menyuam yaus uas muaj ntshav qab zib, kev noj zaub mov zoo yog siv nrog kev zam ntawm cov tsiaj rog thiab cov carbohydrates yooj yim. Qhov xaiv yog muab rau cov khoom noj siv mis thiab nqaij ntses, kua txiv, txiv hmab txiv ntoo thiab zaub. Nws yog ib qho tseem ceeb uas yuav tsum noj cov zaub mov xya zaug hauv ib hnub thiab hauv qhov ntau tsawg.

Qee qhov tsis tshua muaj tshwm sim, vim qhov tshwm sim ntawm cov khoom siv ntawm lub cev ua kom tsis haum ntawm qhov tsis paub qhov tseem ceeb hauv cov menyuam yaus, lub cev tsis sib xws nrog cov roj ntsha amino acid, uas yog ib feem ntawm cov protein. Qhov tshwm sim no yog hu ua leucine hypoglycemia, uas feem ntau tshwm sim hauv cov menyuam yaus. Qhov me me ntawm qee yam qab zib me ntsis tuaj yeem txhim kho qhov xwm txheej ntawm tus neeg mob. Tab sis kev noj zaub mov kom haum nrog daim ntawv no ntawm hypoglycemia yog qhov nyuaj rau kev soj ntsuam, txij li lub cev loj hlob tas li xav tau cov protein. Raws li txoj cai, koj yuav tsum tsis suav cov qe thiab mis nyuj, nrog rau nplej zom, txiv ntoo thiab ntses. Yog li, txhawm rau kos kom muaj zaub mov noj rau cov menyuam muaj mob lub cev ntshav qab zib ntshav qabzib, kev pabcuam ntawm tus kws qhia noj zaub mov yog qhov tsim nyog.

Nws yog ib qho tseem ceeb kom nco ntsoov tias kev kuaj pom thaum ntxov ntawm cov tsos mob ntshav qab zib hauv menyuam yaus yuav tso cai tshawb pom nws cov txiaj ntsig sai li sai tau, thiab qhov no yuav ua rau muaj txiaj ntsig zoo ntawm kev kho. Tsis tas li, kom tsis txhob muaj teeb meem los ntawm cov ntshav qog ntshav ntshav thaum yau, nws yog qhov yuav tsum tau soj ntsuam cov ntshav qab zib thiab cov ntsiab lus ruaj khov.

Kev kho mob hypoglycemia

Lub sijhawm ntawm kev kho ntshav qab zib hauv thawj theem, ua ntej mus pw hauv tsev kho mob ntawm tus neeg mob, muaj cov khoom noj txaus uas muaj cov khoom noj carbohydrates thiab muaj nyob hauv tus neeg mob txoj kev noj zaub mov kom zoo nrog rau muaj cov kua tshuaj qab zib thiab kua txiv.

Hauv theem ob ntawm hypoglycemia, nws yog ib qho tsim nyog siv tam sim ntawd cov khoom noj nrog cov zaub mov carbohydrates, xws li jam, compote nrog piam thaj, tshuaj yej qab zib, qab zib, kua txiv. Raws li txoj cai, cov zaub mov muaj fructose thiab sucrose txwv tsis pub muaj qhov ua tau ntawm lub xeev hypoglycemic thiab normalizes qib ntawm glycemia thiab tus neeg mob lub mob. Yog tias tsis muaj qee yam cim, cov neeg mob tsis pw hauv tsev kho mob.

Hauv theem peb ntawm hypoglycemia, txhawm rau muab kev saib xyuas kub ntxhov sai, nws yog qhov yuav tsum tau ua tiav sai li 40% kua nplaum daws txog li 100 ml ntawm cov leeg txhawm rau kom tsis txhob muaj qhov tshwm sim ntawm cerebral edema. Tus neeg mob, raws li txoj cai, tau pw hauv tsev kho mob hauv qhov xwm txheej no txhawm rau tiv thaiv thaum ntxov ntawm kev mob ntshav qab zib thiab kho kho cov ntshav qab zib kom tsawg.

Cov neeg mob ntshav qab zib tsis tsaug zog lossis theem plaub thiab theem tsib ntawm kev mob ntshav qab zib yog kho nyob rau hauv tsev khomob lossis cov chaw khomob hnyav. Nrog daim ntawv no ntawm hypoglycemia, qhov pib txhaj tshuaj ntawm 80-100 ml ntawm 40% glucose tov thiab intramuscular txhaj ntawm 1 ml glucagon yog tsim tshuaj, thiab tom qab ntawd ib qho dej ntws los ntawm 200 mus rau 400 ml ntawm 5% piam thaj tov. Nco ntsoov tuav tswj cov ntshav qab zib kom ntau li ntawm 6 txog 9 mmol / L. Yog tias nws tsis tuaj yeem ua tiav qhov kev ua tau zoo ntawm kev kho mob, Adrenaline muab tshuaj subcutaneously. Yeej, tag nrho cov kev kho no rov ua kom tus neeg mob nco qab. Nws tsuas yog ib qho tseem ceeb kom nco ntsoov tias cov tshuaj hormones tau noj yog cuam tshuam nrog kev nqis tes ntawm cov kua nplaum endogenous, zoo li glycogen los ntawm lub siab. Yog li, feem ntau nws tsis pom zoo siv cov tshuaj no, vim tias qhov no tuaj yeem ua rau tus neeg mob qhov mob nyhav zuj zus.

Yog tias qhov ntsuas ua tsis rov ua rau tus neeg mob nco qab, tom qab ntawd cov hydrocortisone raug tswj hwm ib leeg lossis ib leeg pob txha.Raws li txoj cai, tom qab qhov no, tus neeg mob tus mob thim rov qab, tab sis nco qab tsis rov qab sai. Hauv qhov no, kev qhia txog kev ua kom qabzib thiab Insulin txuas ntxiv, thiab cov tshuaj poov tshuaj npaj tau noj. Txhawm rau txhim kho cov txheej txheem kev siv kua nplaum ntev, ascorbic acid yog tswj hwm.

Rau lub hom phiaj prophylactic ntawm cerebral edema, qeeb tswj kev siv tshuaj ntawm Magnesia sulfate lossis dej txias tso ntshav ntawm Mannitol los ntawm 200 txog 250 ml yog siv. Cov neeg mob tseem yauv mus kho pa oxygen. Qee zaum cov ntshav pub dawb tau hloov ntshav.

Sai li tus neeg mob tau tawm ntawm lub cev tsis xeev, nws yog cov tshuaj uas txhim kho cov txheej txheem ntawm microcirculation thiab kev ua kom cov protein, carbohydrates hauv nruab nrab cov hlab ntsha hlwb. Cov no suav nrog Glutamic acid, Cerebrolysin, Aminalon, Cavinton li peb mus rau rau lub lis piam, raws li kev qhia.

Txhawm rau tiv thaiv hypoglycemia, nws yog ib qho tsim nyog yuav tsum tau sau tshuaj rau kev noj qab zib kom txo qis nrog kev siv cov tshuaj insulin, yog li, kev noj tshuaj ntau dhau yuav tsum zam. Thiab qhov thib ob ntawm kev tiv thaiv yog qhov kev faib tawm kom yog ntawm cov zaub mov carbohydrates hauv kev noj zaub mov, nrog rau kev tswj hwm lub cev ib txwm muaj nruab hnub thawm hnub thiab kev noj ntxiv ntawm carbohydrates.

Kev tshaib kev nqhis

Nrog rau ib daim ntawv me me ntawm hypoglycemia, kev tshaib plab feem ntau tshwm sim sai sai. Qhov no yog cov lus teb ntawm lub hlwb sib haum chaw rau qhov tsis tshua muaj cov piam thaj hauv cov ntshav. Kev tshaib plab sai li sai tau tshwm sim hauv cov neeg mob ntshav qab zib tiv thaiv kev mob lub cev yav dhau los, kev noj zaub mov tsis zoo lossis siv cov tshuaj uas tsis muaj suab thaj txaus. Txoj kev tshaib plab yuav nrog yus noj tsis qab.

Hauv cov neeg muaj kev noj qab haus huv uas ua raws li cov zaub mov noj uas tsis muaj carb ntau, kev tshaib kev nqhis kuj pom tshwm sim vim yog qhov tsis lees txais cov khoom noj muaj fiber ntau (zaub, txiv hmab txiv ntoo, zaub mov). Lawv, tau nkag mus rau hauv lub plab, tsim kev xav ntev ntev los ntawm kev mloog lus zoo. Nrog rau kev ua tsis tiav ntawm cov carbohydrates, ib tus neeg tuaj yeem tshaib plab txhua lub sijhawm, txawm tias tam sim ntawd tom qab noj mov.

Mob taub Hau

Ib qho tseem ceeb txo cov ntshav qabzib feem ntau ua rau poob hauv ntshav siab. Raws li qhov tshwm sim, kev mob taub hau tshwm sim, feem ntau nrog los ntawm kiv taub hau. Kev hais lus luv luv thiab kev cuam tshuam rau lub qhov muag pom (piv txwv li, bifurcation ntawm cov duab lossis cov xim xim nyob pem hauv ntej ntawm lub qhov muag) qee zaum tshwm sim.

Kev tsis taus ntawm lub hauv nruab nrab lub paj hlwb

Tib neeg lub cev siv cov piam thaj ua kev siv hluav taws xob thoob ntiaj teb. Nrog nws cov tsis muaj peev xwm hauv cov ntshav, cov hlab ntsha hauv lub hlwb tau cuam tshuam tshwj xeeb, yog li ntawd, cov cim ntawm kev puas tsuaj hauv lub hlwb ua haujlwm tshwm sim yuav luag.

Kev mob ntshav siab yog nrog los lus hauv qab no:

• nkees nkees, qaug zog,
• teeb meem nrog kev cob qhia nyob rau hauv qhov chaw,
• lub cev tsis sib haum
• tsis muaj peev xwm mloog
• nco qab tsis zoo
• tes tshee
• tsaus muag
• qaug dab peg qaug dab peg.

Qhov tsis muaj kev pab ua kom pom qhov tsos thiab nce ntxiv ntawm cov tsos mob no ua rau lub siab tsis nco qab, ua rau tuag tau.

Thermoregulatory Kev Tsis Txaus Siab

Qhov nyiaj tsis txaus ntawm "roj thoob ntiaj teb" muaj qhov cuam tshuam tsis zoo rau lub xeev ntawm txhua lub nruab nrog cev thiab cov tshuab ntawm tib neeg lub cev. Thaum lub sij hawm nres ntawm hypoglycemia, tus neeg mob tej zaum yuav ua daus no, yws ntawm tus mob khaub thuas hauv cov ntiv tes thiab ntiv taw. Tawm hws txias yuav tshwm sim (nraub qaum ntawm caj dab thiab thoob plaws tawv taub hau tawm hws). Yog tias ib qho kev mob hypoglycemia tshwm sim thaum tsaus ntuj, tag nrho lub cev hws tawm hws tias: tus neeg sawv ntawm tag nrho cov ris tsho hauv qab.

Kev noj haus kom lub cev ua kom yuag

Cov tib neeg sim mus tshem tawm qhov hnyav tshaj nrog cov zaub mov muaj zaub mov qis feem ntau pom tias nyob rau qee qib, lawv lub cev hnyav poob qis, txawm hais tias noj tsawg. Qhov no yuav yog qhov taw qhia ntawm hypoglycemia. Qhov tseeb yog tias nrog qhov tsis txaus ntawm cov khoom noj carbohydrates, lub siab pib pib cov khoom lag luam glycogen rau hauv cov kua nplaum, thiab kev siv ntau ntawm kev tawg ntawm cov rog khaws cia tsawg.

Vim li cas thiaj muaj ntshav qab zib tsawg nyob rau hauv hom 1 thiab hom 2 ntshav qab zib mellitus?

Txhua leej txhua tus paub yam tsis muaj kuv tias kev siv tshuaj ntau dhau los yog hla zaub mov tuaj yeem ua rau muaj kev loj hlob ntawm "hypo". Kuv xav tham txog cov xwm txheej tsis xwm yeem uas kev txhim kho hypoglycemia yuav tshwm sim, i.e. cov xwm txheej uas koj tsis xav tias yuav ua txhua lub sijhawm.

Kev muaj ntshav qab zib qis tshwm sim thiab raug soj ntsuam nrog:

• kev npaj tsis siv lub cev luv lossis ua haujlwm sai li sai tau tom qab nws
• Siv lub cev ua haujlwm nyuaj (ncua sij hawm hypoglycemia dhau sijhawm)
• "Regipoglycemia"
• haus cawv kom tsawg
• noj tshuaj
• noj ntau yam tshuaj thiab cov tshuaj ntsuab tshuaj uas muaj ib sab nyhuv hypoglycemic
• muaj mob ntawm lub raum tsis ua hauj lwm
• malfunctioning pab kiag rau cov tshuaj insulin (koob txhaj tshuaj thiab roj nqus insulin)
• yus tua yus (ceeb rau tsev neeg thiab cov phooj ywg sai)

Lub cev qoj ib ce

Muaj ntau ntau yam. Cia kom nrawm dua txhua qhov khoom. Kev npaj lub cev qoj ib ce muaj luv luv tuaj yeem muaj kev siv dag zog, piv txwv li, sib tw rau cov tsheb sib tw lossis ncaws pob nrog tus tub xeeb ntxwv. Tag nrho cov no yuav tsis tau npaj ua ntej thiab koj yuav tsis txawm muaj kev xav tias xws li luv luv lub cev. lub thauj tuaj yeem tsoo qab zib.

Qhov no yog tus yam ntxwv thaum muaj latent overdose ntawm cov tshuaj, ob qho tib si insulin thiab ntsiav tshuaj. Tawm: nco ntsoov nqa ib qho kev txhais tau rau kev nres hypo. Twg? Ntau txog qhov no tom qab ...

Lub cev ua haujlwm ntev ntev

Lub cev ua haujlwm nyuaj xws li, piv txwv, tsis tso lub tsheb thauj lossis nteg asphalt lossis tsuas yog rub tawm 20 pawg ntawm cov av nkos hauv lub tebchaws. Txawm hais tias koj tau noj carbohydrates thaum lub sijhawm ua qoj ib ce no los tuav ib qib tseem ceeb, tom qab ntawd ob peb teev tom qab qoj ib ce, tshwj xeeb tshaj yog thaum tsaus ntuj, hypoglycemia tuaj yeem tshwm sim.

Vim li cas? Vim tias nyob rau lub sijhawm no, cov leeg yuav pib nquag nqus cov piam thaj rau kev rov qab los, yog li cov hnub no koj xav tau ntawm koj tus neeg zov. Txawm li cas los xij, qhov no tsis yog txoj cai, thiab tsis yog txhua tus tshwm sim, tab sis nws tsim nyog los paub txog nws.

"Regipoglycemia" yog qhov tshwm sim thaum, tom qab ib qho kev cuam tshuam tiav lawm gipa, yoj ib ob yob. Koj zoo li tau noj cov zaub mov carbohydrates, tab sis muaj qhov ntau dhau ntawm cov tshuaj insulin los yog tshuaj hauv cov ntshav uas nws kav rau ib pliag thiab dua cov tsos mob ntawm cov piam thaj qis tshwm.

Yog tias muaj kev noj qab haus huv meej thiab koj paub txog nws, tom qab ntawd kev tso tseg tus mob zoo dua tsis tsuas yog nrog cov roj nyeem sai, tab sis kuj qeeb qeeb uas yuav tiv thaiv yoj ob.

Quav cawv qog ntshav qab zib

Kev haus dej cawv ntau yog nrog ntshav qab zib, tshwj xeeb tshaj yog thaum pw tsaug zog. Qhov no yog qhov xwm txheej txaus ntshai heev, vim tias cov tsos mob ntawm tus mob hypoglycemia loj heev yog zoo li tus cwj pwm ntawm tus neeg haus cawv thiab tuaj yeem xam los ntawm lwm tus rau kev qaug cawv. Thiab lawv tsis nyiam nrog tus neeg qaug cawv.

Vim li cas qhov no tshwm sim? Vim tias ethanol thaiv kev tso tawm cov piam thaj los ntawm lawv lub siab, i.e. cuam ​​tshuam nrog kev ib puag ncig cov ntshav qabzib hauv lub cev, thaum nyob hauv ntshav muaj tshuaj uas muaj cov ntshav qab zib hauv lub cev. Tawm: noj khoom txom ncauj nrog cov carbohydrates qeeb thiab saib ntshav qab zib ua ntej mus pw lossis tso nws rau ib tus neeg hauv tsev. Koj yuav pom nws tag kis, tab sis yuav tsum ntshai tsam lub qog ntshav qab zib.

Kev lees txais ntawm ntau yam tshuaj nrog ib sab nyhuv hypoglycemic

Muaj ntau yam tshuaj thiab tshuaj ntsuab uas tsis raug cais raws li cov kab mob ntshav qab zib, tab sis muaj kev cuam tshuam ntawm kev txo cov ntshav qabzib hauv cov ntshav. Cov tshuaj uas tuaj yeem txo cov ntshav qab zib yog:

• thioctic kua qaub
• alpha lipoic kua qaub
• fibrates
• pentoxifylline
• tetracycline
• salicylates (paracetamol, tshuaj aspirin)
• phentolamine
• cytostatics
• tsis xaiv khoom beta blockers (anaprilin)

Lawv cuam tshuam cov insulin rhiab heev thiab tuaj yeem ua rau ua kom lub qog ua kom poob qis. Txhua tus muaj nws tus kheej mechanism ntawm kev ua, Kuv yuav tsis tham txog nws. Tawm: saib xyuas kev kho mob qab zib thaum siv cov tshuaj no. Tej zaum koj yuav xav tau koob tshuaj kom txo qis cov tshuaj kho mob ntshav qab zib.

Cov tshuaj ntsuab kuj tuaj yeem ua rau tsis muaj piam thaj.Ntau zaus, tib neeg mob siab rau kev siv tshuaj ib txwm muaj thiab pib haus txhua yam hauv kab, thiab ib zaug muaj lub cev khov kho nrog cov tshuaj lom biologically, qhov kev xav tau rau insulin tsawg lossis insulin tsis kam thiab cov ntshav qab zib poob. Ntawm no, koj tseem yuav tsum nco ntsoov tias qhov no yog ua tau thiab ntau ze saib xyuas qib qab zib kom txo qis cov tshuaj kom ncav sijhawm.

Tsis hlauv

Hauv cov qib theem ntawm lub raum tsis ua haujlwm, muaj qhov txo qis hauv kev xav tau thiab cov koob tshuaj ntawm cov tshuaj insulin, yog li cov kab mob hypoglycemia ruaj khov tuaj yeem tsim kho. Lub pathogenesis ntawm hypoglycemia yog txuam nrog kev nqus ntshav ntau dhau ntawm cov piam thaj hauv cov zis. Nws tsis yog yaim rov qab, vim nws yuav tsum coj li qub.

Kev txwv tsis pub coj los ua ke ntawm cov enulinme insulinase, uas nquag ua rau cov kua dej hauv insulin, ua rau cov ntshav qab zib qis. Raws li qhov tshwm sim, cov kua dej hauv cov ntshav nkag mus ntev hauv cov ntshav, ua rau cov nyhuv ntshav tsis ua haujlwm. Tsis tas li ntawd, qhov tshwm sim ntawm uremia, tus nqi ntawm cov piam thaj ua ke los ntawm cov khoom tsis-carbohydrate - gluconeogenesis - txo qis.

Qhov teeb meem yog txhais tau tias kev tswj hwm cov kua dej

Ua tsis tiav ntawm cov cuab yeej siv rau kev tswj hwm cov tshuaj insulin (koob txhaj tshuaj thiab qhov nqus insulin) muaj tsawg heev, tab sis peb yuav tsum tsis txhob hnov ​​qab tias qhov no tshwm sim. Yog tias koj tau txiav txim siab tawm ntawm txhua qhov laj thawj dhau los, tom qab ntawd sim hloov cov txhais tau rau kev tswj cov tshuaj insulin nrog cov tshiab.

Thiab thaum kawg, yus tua yus tus kheej yog qhov ua kom tus neeg mob ntshav siab. Kev tswj hwm ntawm kev txhob txwm paub ntau cov tshuaj insulin lossis cov ntsiav tshuaj yuav tsum tau npaj txhawm rau tua tus kheej. Qhov no tshwm sim ntawm cov neeg mob ntshav qab zib lossis cov neeg tua tus kheej yam tsis muaj ntshav qab zib.

Kev Lom Zem

Kuv xav kom suav nrog ib qho laj thawj nthuav dav heev ntawm no - tau txais kev txaus siab los ntawm lub xeev ntawm hypoglycemia. Qee tus neeg tau nce siab thaum cov piam thaj muaj tsawg. Qhov no yog hu ua Munchausen syndrome. Feem ntau, tib cov hluas no ua txhaum, tshwj xeeb yog cov ntxhais. Lawv kuj teeb tsa tshwj xeeb los tsim cov xwm txheej zoo li no kom tau txais qhov qab zib uas xav tau, uas txwv tsis pub muaj nyob hauv tsev neeg.

Etiology ntawm ntshav qab zib tsis muaj ntshav qab zib hypoglycemia tawm tsam

Tam sim no, txhua yam kabmob thiab cov mob uas muaj ntshav qabzib nyob hauv cov ntshav tuaj yeem faib ua peb pawg:

• cov mob uas ua rau cov ntshav qabzib tsis txaus ua lub siab thiab cov leeg
• cov xwm txheej nrog cov kab mob hauv insulin kom ntau ntxiv
• hypoglycemia nrog cov ntshav insulin ib txwm muaj

Cov mob uas ua rau cov kua nplaum tsis tso tawm kom tsawg

Nrog panhypopituitarism (ib qho kev txo qis ntawm kev zais ntawm adrenocorticotropin, prolactin, FSH, LH, somatotropin thiab thyrotropin) ntawm cov qog pituitary caj pas, tag nrho peripheral endocrine plab hnyuv siab raum (cov thyroid caj pas, cov qog adrenal, thiab gonads) poob qis, uas txhais tau tias lawv cov tshuaj hormones nyob rau hauv cov ntshav.

Tej zaum kuj tseem tuaj yeem ua thawj qhov mob ntawm qhov tso nrog peripheral endocrine, nrog lub caj pas pituitary noj qab nyob zoo. Adrenal tsis txaus (Addison's disease), hypothyroidism, kev ua haujlwm ntawm lub qog ua haujlwm ntawm adrenal cortex (ADCD), glucagon deficiency, hypofunction ntawm adrenal medulla, uas coj los ua ke catecholamines hauv lawv cov tsos mob, muaj hypoglycemia syndrome.

Tag nrho cov tshuaj hormones no ua-vascular thiab, thaum muaj qhov tsis txaus, cov synthesis ntawm cov piam thaj hauv lub siab (gluconeogenesis) nres, kev siv ntshav qabzib nyob ntawm qhov nruab nrab yog kho kom zoo, thiab cov synthesis ntawm amino acids hauv cov leeg nqaij tau txo.

Nrog rau qee qhov syndromes cuam tshuam nrog kev ua haujlwm ntawm hypothalamus thiab pituitary caj pas, tawm tsam cov ntshav qab zib qis kuj tseem tshwm sim. Kuv yuav tsis piav qhia txog lawv txhua qhov ntawm no, txwv tsis pub kuv pheej hmoo tsis tas tsab xov xwm. Google los pab koj.

• Lawrence - Moon - Beadle - Borde Syndrome
• Tus mob Debreu-Marie Mob
• Pehkranets - Babinsky Syndrome

Cov txheej txheem ntawm cov kua nplaum los ntawm hlwb yog ntau txheej txheem thiab cov txheej txheem nyuaj. Hauv qhov kev nyuaj hloov ntawm cov piam thaj hauv lub zog, ntau lub enzymes koom nrog thiab qhov ploj ntawm ib qho lossis ntau dua tuaj yeem ua rau lub qog ntshav qab zib.

Hauv qab no kuv sau cov enzyme tsis xws luag muaj peev xwm tshwm sim:

• Glucose-6-phosphatase enzyme kho mob (Cov kab mob Girke)
• Amylo-1,6-glucosidase tsis muaj peev xwm
• Hepatic phosphorylase defect (nws cov kab mob)
• Glycogen synthetase tsis muaj peev xwm
• Phosphoenolpyruvate carboxy kinase tsis muaj peev xwm

Kev noj zaub mov kom tsawg hauv lub cev ua rau cov ntshav qab zib tsawg hauv cov neeg noj qab haus huv. Lub sij hawm luv luv tshaib plab tuaj yeem tshwm sim yam tsis muaj ntshav qog ntshav, txij li muaj cov ntshav qabzib yog txaus siab los ntawm kev tawg ntawm daim siab thiab cov leeg glycogen. raws li kev sib txuas ntawm cov piam thaj los ntawm cov tshuaj tsis-carbohydrate (gluconeogenesis). Tab sis kev tshaib kev nqhis ntev yuav luag txhua lub khw muag khoom glycogen thiab cov ntshav qab zib kom tsawg yuav muaj tsawg.

Nov yog qhov tshwj xeeb tshaj yog thaum tib neeg pom kev cai yoo mov. Cov neeg ncaws pob kuj tseem tuaj yeem txhim kho cov ntshav qog ntshav qab zib no, thaum, nrog kev ua haujlwm lub cev ntau dhau thiab ua rau lub cev ntev dhau los, cov leeg yuav pib noj ntau yam qabzib, ua pa ntawm glycogen.

Qhov no kuj tseem suav nrog hypoglycemia thaum cev xeeb tub. Thaum nyob hauv cov theem tom qab vim tias kev rhuav tshem cov peev txheej thiab qhov kev pabcuam tsim kho rau hauv cov poj niam, cov cim qhia ntawm cov piam thaj qis yuav tshwm sim.

Hauv cov xwm txheej uas ntau tshaj 80% ntawm lub siab ua haujlwm raug rhuav tshem, ib tus neeg kuj yuav pom cov tsos mob ntawm kev kub siab. Pathogenesis yog kev ua txhaum ntawm lub peev xwm ntawm lub siab mus khaws glycogen thiab siv nws yog tias tsim nyog, ntxiv rau qhov no, cov txheej txheem ntawm gluconeogenesis kev txom nyem.

Nov yog qee cov kab mob siab ua rau lub siab tsis muaj ntshav qab zib:

• Kab mob siab
• mob siab mob hlwb necrosis
• Reye tus kab mob
• lub plawv tsis ua hauj lwm thiab portal tawg
• oncological kab mob ntawm daim siab
• Cov tsos mob Hellp

Lub raum zoo dua tuaj yeem coj los ua ke cov piam thaj vim gluconeogenesis. Nrog rau kev txhim kho lub raum tsis ua haujlwm, tus txheej txheem no yog txwv. Lub raum kuj tseem ua rau cov tshuaj insulinase, ib qho enzyme uas ua rau cov insulin ua kom puas, uas, nrog lub luag haujlwm tsis txaus, ua rau txo qis ntawm enzyme thiab insulin tsis tawg, sib luag hauv cov ntshav thiab txo qis cov ntshav qabzib.

Ethanol muaj qhov peev xwm no los thaiv qhov kev sib xyaw ua ke ntawm cov ntshav qabzib los ntawm lub siab thiab ua rau kev txhim kho hypoglycemia. Ethanol yog faus rau acetaldehyde nrog kev koom tes ntawm enzyme cawv dehydrogenase. Qhov enzyme no tsuas ua haujlwm nyob ib puag ncig coenzyme NAD (nicotinamidine nucleotide). Thaum ib tug neeg haus dej haus cawv uas muaj cawv, qhov coenzyme muaj txiaj ntsig no tau haus sai.

Thaum nws tsim nyog rau kev koom tes hauv gluconeogenesis. Raws li qhov tshwm sim, cov txheej txheem ntawm cov kua nplaum los ua ke los ntawm daim siab yog inhibited vim tias tsis muaj coenzyme NAD tsis txaus. Yog li, cov dej cawv hypoglycemia tshwm sim thaum tsaus ntuj lossis sawv ntxov, thaum lub siab glycogen khw muag khoom tau ploj tag lawm, thiab lub cev raug yuam kom hloov mus rau gluconeogenesis, uas tau txhaws. Raws li qhov tshwm sim, ntshav qab zib cov ntshav yuav poob sai sai hauv npau suav.

Feem ntau, cov xwm txheej no tuaj yeem tshwm sim hauv kev haus dej haus cawv, tab sis kuj tuaj yeem tshwm sim hauv cov neeg noj qab haus huv thaum lawv haus cawv ntau dhau ntawm ib qho "khoob khoob." Qhov no tseem tuaj yeem tshwm sim hauv cov menyuam yaus, tshwj xeeb tshaj yog cov menyuam yaus hnub nyoog qis dua 6 xyoo yog raug tshwj xeeb. Cov neeg mob ntshav qab zib hauv cov menyuam yaus tom qab tau piav qhia txog cawv cawv.

Cov xwm txheej uas muaj los ntawm cov tshuaj insulin ntau dua

Insulinoma yog ib qho hlav ua cov insulin uas tau tsim los ntawm cov kab mob hlwb pancreatic. Nrog cov qog no, kev yoo mov hypoglycemic syndrome pib txhim kho.

Tsis ntev kuv yuav tso ib tsab xov xwm cais rau cov kab mob no, yog li ntawd, kom tsis muaj hnub ploj.

Beta cell hyperplasia thiab ntshav qab zib tsawg hauv cov menyuam yug tshiab

Lub sijhawm beta-cell hyperplasia hauv cov menyuam yaus txhais tau tias nce lawv tus lej, uas ua rau muaj cov tshuaj tiv thaiv kab mob endogenous ntau ntxiv, uas ua rau muaj kev tawm tsam cov ntshav qog ntshav qab zib. Nws kuj tseem hu ua neonatal hypoglycemia. Hauv qab no Kuv sau cov laj thawj, tab sis nrhiav cov lus piav qhia uas siv Google, thov. Tshooj lus yog qhov loj heev thiab tsis suav txhua yam.

Hyperplasia hauv cov menyuam mos thiab cov menyuam ntawm thawj xyoo ntawm lub neej tshwm sim nrog:

• nezidioblastosis (mob ntshav siab (hyperinsulinism)
• erythroblastosis ntawm tus menyuam
• Beckwith - Wiedemann syndrome

Kev mob ntshav qab zib ntshav siab ntau tseem tshwm sim hauv cov menyuam yug los ntawm leej niam uas muaj ntshav qab zib. Hauv qhov no, hypoglycemia yog nyob rau hauv qhov. Tsis tas li, kev mob ntshav hau tuaj yeem yog nyob hauv menyuam yaus ntxov ntxov, menyuam ntxaib, menyuam yaus uas muaj qhov ua kom mob sai sai.

Kev rov qab qog hypoglycemia lossis postprandial hypoglycemia

Cov neeg uas muaj tshuaj tua kab mob ntau dhau ntawm cov tshuaj insulin (hyperinsulinism) yuav muaj kev ntog ntshav ntuag qis. tus mob no tseem hu ua alimentary hypoglycemia. Qhov no yog vim tias, nyob rau hauv teb rau kev noj zaub mov nrog lub siab glycemic Performance index, ntau dhau ntawm cov insulin tsim tawm los ntawm tus txiav, uas txo cov ntshav qab zib kom tsawg nyob rau hauv thawj teev tom qab noj mov.

Qhov no feem ntau tshwm sim 30-60 feeb tom qab noj mov. Ib tus neeg pib ntsib cov tsos mob zoo li qub ntawm hypoglycemia. Raws li qhov tshwm sim, cov txheej txheem tiv thaiv ua rau muaj txiaj ntsig thiab tawm tsam cov tshuaj tiv thaiv qog cov tshuaj hormones raug tso rau hauv cov ntshav, uas ua rau cov khw muag khoom glycogen tsis txaus hauv lub siab thiab nce qib ntxiv hauv qabzib.

Cov xwm txheej no feem ntau pom muaj rau cov neeg muaj ntshav qab zib (tsis hnov ​​qab cov ntshav qab zib tsis txaus) thiab cov uas tau phais plab hauv plab, uas pheej xav tias muaj ntshav qab zib tom qab cov carbohydrates. Kev kuaj mob ntawm tus mob no yog ntsuam xyuas cov ntshav qabzib nyob hauv qab.

Tsawg tsawg zaus, muaj idiopathic alimentary hypoglycemia, uas tshwm sim hauv cov neeg noj qab haus huv thiab tshwm sim 3-4 teev tom qab noj mov.

Autoimmune hypoglycemic syndrome

Nws yog tsawg rau cov neeg tsis muaj ntshav qab zib, tab sis leej twg muaj cov tshuaj tiv thaiv rau cov tshuaj insulin thiab nws cov receptors, tawm tsam cov ntshav qab zib tsawg tuaj yeem tshwm sim. Qhov no yog vim qhov tseeb hais tias autoimmune complexes nthawv sib cais, i.e., ua kom tawg thiab ntau ntawm cov tshuaj insulin nkag mus rau hauv cov ntshav lossis ntau cov receptors tshwm sim.

Xub pab thiab kho rau cov ntshav qab zib tsawg

Yuav ua li cas thiab yuav kho li cas? Yog tias hypoglycemia tsis muaj suab thaj, tom qab ntawd nws yuav yog thawj cov khoom noj ua ib yam dab tsi uas muaj cov carbohydrates. Txij li thaum ntau tus neeg hnov ​​tshaib plab tshaib plab thaum lawv muaj suab thaj tsis txaus los yog ua rau lub siab ntshav qis, lawv tau sim noj tej yam kom sai. Ntawm no, lwm qhov kev dag nyob hauv tos koj.

Ntawm qhov tseem ceeb yog qhov koj noj dab tsi thaum lub sijhawm hypoglycemia. Kuv pom ntau zaus tias lawv noj dab tsi, tab sis tsis yog qhov lawv xav tau. Cov no yog cov qhaub cij nrog hnyuv ntxwm, thiab khaub noom nrog tshuaj yej, thiab chocolate lossis chocolate, thiab txawm tias kua zaub. Xws li kev noj haus thiab khoom noj khoom haus yog qhov tsis paub thiab tsis lees paub nrog ib qho xwm txheej txaus ntshai.

Tag nrho cov saum toj no tsis tuaj yeem ceev ceev cov ntshav qab zib, thiab nrog cov ntshav qog ntshav qab zib, cov ntshav qabzib yuav tsum nce siab sai. Nws tshwm sim uas txhua feeb suav.

Yuav daws cov ntshav qog ntshav tau licas?

Oddly txaus, tab sis nws tsuas yog qab zib. Cov khoom lag luam zoo tib yam uas muaj nyob hauv txhua lub tsev, txawm nyob hauv chaw haujlwm lossis khw muag khoom, tuaj yeem pom. Tsis txhob xav txog yam tshuaj uas tib neeg los kho. Tsis muaj ib yam dab tsi ua rau cov ntshav qab zib kom zoo dua li qab zib.

Cov khoom lag luam thib ob yog cov caramel. Cov khoom qab zib caramel yooj yim uas zoo kawg nkaus ua tiav lub hnab tes lossis txiv neej qhov pauj. Xws li kev kho mob ntawm hypoglycemia, txawm nyob hauv menyuam yaus, yuav ua rau muaj kev zoo siab.

Koj tuaj yeem nqa cov kua txiv qab qab xws li "Kuv" lossis "Zoo". Lawv muaj nyob rau hauv 200 ml. Tab sis, hauv kuv lub tswv yim, lawv tsis nyiam hnav heev, thiab lawv nce qab zib ntxiv dua zoo nkauj. Hauv tsev, koj tuaj yeem siv tsis tsuas yog muaj piam thaj, tab sis kuj yog zib ntab kom nce cov ntshav qabzib hauv qab.

Tab sis qhov zoo tshaj plaws tshuaj kho yog ntshiab qabzib. Txij li qab zib, qab zib, zib ntab thiab kua txiv muaj ob qho qabzib thiab fructose hauv ib nrab, tsawg dua cov piam thaj hauv.Thiab thaum koj noj cov tshuaj ntsiav ntawm cov kua nplaum ntshiab, koj tau txais nws hauv qhov ntau dua, thiab lub cev tsis tas yuav tawg txhua yam. Cov kua nplaum los npaj-tsim.

Ntawm qhov tod tes, txhawm rau tiv thaiv kom rov qab qog ntshav sai sai tom qab kev txom nyem, thiab qhov no feem ntau tshwm sim, fructose muaj nyob hauv kua txiv los sis caramel yuav tswj cov piam thaj tom qab qee lub sijhawm. Tom qab tag nrho, ib feem ntawm fructose inevitably hloov mus rau hauv cov piam thaj hauv lub cev.

Yog li ntawd, saib dab tsi yog qhov yooj yim dua rau koj thiab koj li cas ua li cas rau ib qho khoom lag luam. Peb tsev neeg siv ntau txoj kev sib txawv ntawm kev txiav cov kev mob hypoglycemic. Peb siv cov kua txiv thiab kua qab zib cov ntsiav tshuaj (asvitol), caramel candies thiab txawm tias yog cov ua kom qab zib.

Cov tshuaj tiv thaiv ntshav qab zib thiab cov khoom lag luam

• ENERGYLIFE
• Dextro4
• Dextro-lub zog

Tom qab koj tau noj qee yam carbohydrate los ntawm kev pom zoo, tsis txhob so tam sim. Koj yuav tsum nco ntsoov tias hypoglycemia tau dhau los thiab yuav tsis rov ua dua. Thiab rau qhov no koj yuav tsum rov kuaj dua qib hauv qab zib nyob hauv 5-10-15 feeb. Yog tias cov piam thaj qib tau nce siab tshaj qhov qis dua, ces koj tuaj yeem ua rau mob siab.

Tam sim no koj yuav tsum txheeb xyuas qhov xwm txheej thiab nug koj tus kheej rau lo lus nug: "Vim li cas thiaj muaj ntshav qab zib tsawg?" Hauv txhua kis, muaj qhov tsim nyog, thiab thaum koj pom, koj yuav tsum sim coj mus rau hauv tus account thiab npaj rau lwm zaus.

Lwm lo lus nug uas tshwm sim thaum siv tshuaj tiv thaiv hypoglycemia. Koj yuav tsum tau ua kom ntau npaum li cas carbohydrate kom muaj suab thaj, tab sis nyob rau theem ntawm qhov zoo? Cov lus teb yog sib xyaw. Peb txhua tus paub tias txhua tus neeg muaj nws cov tshuaj tiv thaiv rau cov khoom sib txawv. Nws tseem ua raws lub hnub nyoog. Piv txwv li, hauv cov menyuam yaus qab zib nce siab los ntawm cov me me ntawm cov carbohydrates ceev ceev, thaum nyob rau hauv cov neeg laus cov nyiaj no yuav tsis ua rau nce ntxiv.

Yog li no, koj yuav tsum tau ntsuas ntsuas tas li thiab txiav txim siab seb cov piam thaj hauv cov ntshav muaj ntau npaum li cas. Kuj tseem ceeb rau cov neeg mob ntshav qab zib ntawm cov tshuaj insulin luv luv yog ntau npaum li cas cov insulin ntau dua hauv cov ntshav. Piv txwv li, yog tias muaj piam thaj hauv qis ntawm qhov siab ntawm qhov kev txiav txim ntawm luv luv insulin, tom qab ntawd cov khoom noj carbohydrates yog qhov xav tau tshwj xeeb tshaj qhov muaj suab thaj qis rau ntawm insulin.

Cov tshuaj insulin ib ntus tom qab ua rau lub qog ntshav qab zib

Cov neeg mob ntshav qab zib mellitus feem ntau pom tau tias tom qab tsis tshua muaj ntshav qab zib cov ntshav ntau, cov ntshav qabzib hauv lub siab yuav tswj xyuas qee lub sijhawm. Vim li cas qab zib thiaj nce siab tom qab ua rau lub qog ntshav qab zib? Lo lus teb yooj yim heev. Qhov no yog vim qhov ua txhaum ntawm cov tshuaj tiv thaiv contrainsular, tshwj xeeb tshaj yog glucagon, uas ua kom lub siab thiab ua kom cov kua nplaum tawm hauv cov ntshav.

Qhov tshwm sim ntawm kev mob ntshav qab zib

Coob tus ntshai txog kev txo qis cov ntshav qabzib thiab qhov no muaj tseeb, vim tias qhov xwm txheej no tuaj yeem txaus ntshai. Nws yog ib qho tsim nyog yuav tsum ua txhua yam ua tau los tiv thaiv kev mob ntshav qab zib, thiab yog tias qhov no tshwm sim, tom qab ntawd teb thiab kho raws sijhawm.

Tsuas yog cov qauv mob phem ua rau txaus ntshai, uas ua rau lub hlwb tsis zoo ntawm lub hlwb. Raws li qhov tshwm sim ntawm lub sijhawm zoo li no, kev txawj ntse (kev xav, nco, thiab lwm yam) yuav tshwm sim. Qhov xwm txheej tshwj xeeb tshaj yog rau cov neeg laus cov neeg mob uas muaj kev pheej hmoo rau ischemic mob hlab ntsha tawg lossis myocardial infarction.

Cov ntshav qog ntshav ntshav me tsis muaj teeb meem loj thiab qhov no tau ua pov thawj hauv cov menyuam yaus hauv ib qho ntawm lawv qhov kev tshawb fawb. Tab sis qhov no tsis txhais tau tias koj tsis tas yuav tawm tsam lawv, vim hais tias ib zaug koj tuaj yeem plam tej yam tsis txaus ntshai, uas yuav cuam tshuam koj lub peev xwm hauv lub neej tom ntej. Sim ua kom tsis txhob mob ntshav qog ntshav hauv me nyuam yaus thiab cov neeg laus sai li sai tau.

Yog txhua yam rau kuv. Leej twg hlub, koj tuaj yeem ua tau thoob ntiaj teb cov lus pom zoo rau ntshav qab zib thiab ntshav qab zib hauv PDF. Kuv xav kom txhua tus ua kom lawv cov piam thaj zoo li qub thiab tsis tshua muaj kev cuam tshuam cov ntshav qab zib. Koj puas xav tau txais cov khoom tshiab ncaj qha rau koj lub inbox?

Nrog kev sov siab thiab kev saib xyuas, tus kws kho mob endocrinologist Dilara Lebedeva

Kev mob ntshav qab zib yog thaum ntshav qab zib cov ntshav qis dua qhov qub. Cov ntshav qog ntshav qis ua rau muaj kev tsis txaus siab, uas tau piav qhia hauv qab hauv tsab xov xwm. Yog tias mob ntshav nce hlwb ntau tshwm sim, tus neeg tsis nco qab lawm, thiab qhov no tuaj yeem ua rau tuag lossis xiam oob qhab vim yog lub hlwb tsis ua haujlwm. Kev txhais cov ntsiab lus ntawm hypoglycemia: txo qis ntshav qab zib kom tsawg dua 2.8 mmol / l, uas nrog cov kev mob tshwm sim thiab tuaj yeem ua rau tsis nco qab. Kuj, Kev mob ntshav qog ntshav yog qhov ua kom cov ntshav qab zib kom tsawg dua 2.2 mmol / l, txawm tias ib tug neeg tsis hnov ​​mob.

Kev mob ntshav qab zib hauv ntshav qab zib tuaj yeem ua ob yam laj thawj:

• cov tshuaj insulin
• noj tshuaj uas ua rau kom cov txiav ua kab mob ntau ntxiv ntawm nws cov insulin.

Cov tshuaj insulin rau kev kho mob ntawm hom 1 thiab ntshav qab zib hom 2 yog qhov tseem ceeb heev, thiab lawv cov txiaj ntsig zoo tshaj qhov yuav ua rau muaj ntshav qab zib tsawg. Ntxiv mus, thaum koj kawm tau zoo thiab tuaj yeem tswj hwm nrog cov koob tshuaj insulin me me, qhov kev pheej hmoo ntawm hypoglycemia yuav tsawg heev.

Peb pom zoo kom koj yuav tsum muab cov tshuaj tshem tawm uas ua rau lub txiav ua cov kua dej ntau dua. Cov no suav nrog tag nrho cov tshuaj mob ntshav qab zib los ntawm sulfonylurea derivatives thiab meglitinides chav kawm. Cov tshuaj no tuaj yeem ua tsis tau tsuas yog ua rau lub ntsej muag ntshav qis, tab sis tseem tuaj yeem tsim kev puas tsuaj rau lwm txoj hauv kev. Nyeem “”. Cov kws kho mob uas nyob tom qab lub sijhawm tseem txuas ntxiv tshuaj rau cov neeg mob ntshav qab zib hom 2. Lwm txoj hauv kev, uas tau piav qhia hauv, tso cai rau koj los tswj ntshav qab zib kom tsis muaj kev pheej hmoo ntawm kev mob ntshav qab zib.

Cov tsos mob ntawm cov ntshav qog ntshav tau qhia tseeb dua, qhov sai dua ntawm cov ntshav qabzib tau tshwm sim.

Cov tsos mob thaum ntxov ntawm hypoglycemia (yuav tsum tau noj sai "carbohydrates", tshwj xeeb cov kua qabzib):

• pallor ntawm daim tawv nqaij
• hws
• tshee hnyo, ceg tawv
• tshaib plab heev
• tsis muaj peev xwm mloog
• xeev siab
• ntxhov siab, ntxhov siab.

Cov tsos mob ntawm tus mob hypoglycemia, thaum ntshav qab zib cov ntshav qis heev, thiab lub ntsej muag ntshav qab zib tsis tsaug zog twb ze heev:

• tsis muaj zog
• kiv tob hau, mob taub hau,
• kev ntshai ntawm kev ntshai
• hais lus thiab pom kev tsis sib xws hauv tus cwj pwm,
• tsis meej pem,
• Lub cev tsis muaj kev sib koom tes ntawm kev txav,
• poob ntawm kev taw qhia nyob rau hauv qhov chaw,
• tshee nog leeg, cramps.

Tsis yog tag nrho cov tsos mob glycemic tshwm tib lub sijhawm. Hauv tib qho mob ntshav qab zib, cov tsos mob ntawm kev mob ntshav qab zib tuaj yeem hloov pauv txhua zaus. Hauv ntau tus neeg mob, qhov kev hnov ​​ntawm cov tsos mob ntawm cov qog ntshav qab zib yog "npub". Xws li cov ntshav qab zib dheev poob siab txhua lub sijhawm vim kev loj hlob ntawm hypoglycemic coma. Lawv muaj kev pheej hmoo siab lossis xiam oob qhab vim yog ntshav nce siab ntau. Vim li cas qhov no tshwm sim:

• lossi heev cov ntshav qab zib
• ib tug neeg tau mob ntshav qab zib tau ntev,
• laus lawm
• yog tias muaj ntshav qab zib feem ntau tshwm sim, tom qab ntawd cov tsos mob tsis tshwm sim.

Cov neeg zoo li no yuav tsum tsis txhob tsim kev phom sij rau lwm tus thaum lub sijhawm mob ntshav qab zib sai sai. Qhov no txhais tau tias nws yog contraindicated rau lawv kom ua txoj haujlwm uas lwm tus neeg lub neej vam khom. Tshwj xeeb, cov neeg mob ntshav qab zib tsis tau tso cai tsav tsheb thiab thauj cov pej xeem.

Qee tus neeg mob ntshav qab zib lees paub tias lawv muaj ntshav qab zib tsawg. Lawv tswj kev nkag siab meej txaus ntawm kev xav kom tau txais kev zoo siab, ntsuas lawv qab zib thiab nres nres ntawm hypoglycemia. Hmoov tsis zoo, ntau tus neeg mob ntshav qab zib nrog qhov kev paub ntawm lawv tus kheej hypoglycemia muaj teeb meem loj. Thaum lub hlwb tsis muaj cov kua nplaum ntev, tus neeg yuav pib coj tus cwj pwm yam tsis zoo. Cov neeg mob no tseem ntseeg tau tias lawv muaj ntshav qab zib ib txwm muaj, txog rau lub sijhawm mus txog thaum lawv tsis nco qab lawm. Yog tias tus mob ntshav qab zib tau ntsib ntau qhov xwm txheej tshwm sim ntawm tus mob ntshav qab zib tsawg, tom qab ntawd nws yuav muaj teeb meem nrog lub sijhawm paub txog qee ntu kev mob tshwm sim. Qhov no yog vim dysregulation ntawm adrenergic receptors.Tsis tas li, qee cov tshuaj cuam tshuam nrog kev paub txog tus mob ntshav qab zib lub sijhawm. Cov no yog cov beta blockers uas txo cov ntshav siab thiab lub plawv dhia.

Ntawm no yog lwm daim ntawv teev cov tsos mob tshwm sim ntawm tus mob ntshav qab zib (hypoglycemia), uas ua rau muaj mob zuj zus ntxiv:

• Cov tshuaj tiv thaiv qeeb rau ib puag ncig cov xwm txheej - piv txwv li, nyob hauv lub xeev ntawm lub qog ntshav qab zib, tus neeg tsis tuaj yeem nres lub sijhawm thaum tsav tsheb.
• Cuam tshuam, txhoj puab heev. Lub sijhawm no, cov ntshav qab zib tau paub tseeb tias nws muaj piam thaj ib txwm, thiab tawm tsam qhov kev siv dag zog ntawm lwm tus yuam nws kom ntsuas cov piam thaj lossis noj zaub mov sai sai.
• Clouding ntawm lub siab, nyuaj hais lus, tsis muaj zog, clumsiness. Cov tsos mob no tuaj yeem ua mus ntxiv tom qab cov suab thaj tau rov qab zoo li qub, txawm mus txog 45-60 feeb.
• Kev nkees nkees, qaug zog.
• Poob nco qab (muaj tsawg kawg yog tias koj tsis txhaj tshuaj insulin).
• Qhov pom tseeb.
• Kev Tuag.

Nocturnal hypoglycemia hauv npau suav

Cov cim ntawm nocturnal hypoglycemia hauv npau suav:

• tus neeg mob tau mob khaub thuas, ntxau tawm hws, tshwj xeeb ntawm caj dab,
• tsis meej pem ua tsis taus pa
• nyob tsis tswm pw.

Yog tias koj tus menyuam muaj ntshav qab zib hom 1, tom qab ntawd koj yuav tsum tau saib nws qee lub sijhawm thaum tsaus ntuj, kuaj nws caj dab los ntawm kov, koj kuj tuaj yeem tsa nws sawv thiab tsuas yog qee kis, ntsuas ntshav qab zib nrog ib glucometer nyob hauv nruab nrab ntawm hmo ntuj. Txhawm rau kom txo cov tshuaj ntawm cov tshuaj insulin thiab nrog nws qhov kev pheej hmoo ntawm hypoglycemia, ua raws. Hloov pauv tus menyuam uas muaj ntshav qab zib hom 1 mus rau kev noj haus uas muaj zaub mov kom ntau thaum koj pub mis niam tiav tas.

Yog tias cov tsos mob ntawm lub qog ntshav qab zib tau npub

Hauv qee cov neeg mob ntshav qab zib, cov tsos mob thaum ntxov ntawm lub qog ntshav qab zib yog npub. Nrog lub ntsej muag hypoglycemia, txhais tes tshee, pallor ntawm daim tawv nqaij, lub plawv dhia ceev ceev thiab lwm yam tshwm sim ua rau lub cev epinephrine (adrenaline). Hauv ntau cov neeg mob ntshav qab zib, nws cov khoom lag luam tsis muaj zog txaus lossis cov khoom txais qis tsis cuam tshuam nrog nws. Qhov teeb meem no tau dhau caij nyoog hauv cov neeg mob uas muaj ntshav qab zib tsawg lossis ntshav nce siab feem ntau los ntawm cov ntshav qab zib kom qis. Hmoov tsis zoo, cov no tau hais meej txog pawg ntawm cov neeg mob uas feem ntau ntsib kev mob ntshav qab zib thiab leej twg xav tau adrenaline rhiab heev dua li lwm tus.

Muaj 5 lub laj thawj thiab ib qho xwm txheej uas tuaj yeem ua rau lub ntsej muag ntawm cov tsos mob hypoglycemia:

• Kev mob ntshav qab zib mob ntshav siab ntshav qab zib yog cov mob ntshav qab zib uas ua rau lub hlwb tsis ua haujlwm zoo.
• Cov qog pob qij txha rau Adrenal. Nov yog kev tuag ntawm cov qog adrenal - cov qog uas tsim adrenaline. Nws muaj kev vam meej yog tias tus neeg mob muaj keeb kwm mob ntshav qab zib ntev, thiab nws mob siab los yog tsis kho.
• Cov piam thaj hauv ntshav yuav nyob qis dua li qub.
• Tus mob ntshav qab zib noj tshuaj - beta-blockers - rau ntshav siab, tom qab lub plawv nres, lossis rau nws cov kev tiv thaiv.
• Ntawm cov neeg mob ntshav qab zib uas noj zaub mov kom sib luag, noj nrog cov carbohydrates, thiab yog li yuam kom txhaj tshuaj insulin ntau.

Yog tias cov ntsuas ntsuas qhia tias koj cov piam thaj hauv ntshav qis dua 3.5 mmol / L, noj cov ntsiav tshuaj qabzib, txawm tias tsis muaj cov tsos mob ntawm ntshav qab zib. Koj xav tau cov piam thaj me ntsis kom txhawm rau qab zib mus rau li qub. 1-3 grams carbohydrates yuav txaus - qhov no yog 2-6 ntsiav tshuaj ntawm qabzib. Tsis txhob noj khoom noj tshaj qhov ntxiv!

Qee tus neeg mob ntshav qab zib tsis kam noj cov tshuaj pleev ntshav qab zib txawm tias lawv tau ntsuas lawv qab zib thiab pom tias nws qis dua. Lawv hais tias lawv zoo nyob txawm tias tsis muaj tshuaj dab tsi. Cov kws kho ntshav qab zib yog qhov tseem ceeb “cov neeg siv” rau cov kws kho mob thaum muaj xwm ceev, kom lawv tuaj yeem xyaum tshem tus neeg ntawm qhov mob tsis xwm yeem. Lawv tseem muaj qhov tshwj xeeb siab tias qhov xwm txheej tshwm sim hauv lub tsheb. Thaum koj tsav, ntsuas koj cov ntshav qab zib nrog lub ntsuas ntshav qab zib txhua teev, tsis hais seb koj puas muaj ntshav siab tsis txaus lossis tsis.

Cov neeg uas muaj ntau lub sijhawm cov ntshav qog ntshav qab zib lossis ntshav qab zib qis qis tsis tu ncua, txhim kho "kev quav" rau tus mob no. Adrenaline hauv lawv cov ntshav feem ntau tshwm sim thiab ntau ntau.Qhov no ua rau qhov tseeb tias qhov rhiab heev ntawm cov receptors kom adrenaline tsis muaj zog. Tib txoj kev, ntau dhau qhov kev txiav txim siab ntawm insulin hauv cov ntshav cuam tshuam qhov rhiab ntawm insulin receptors ntawm lub ntsej muag ntawm tes.

Ua rau cov ntshav qog ntshav qab zib hauv ntshav qab zib

Kev mob ntshav qab zib yog tshwm sim hauv cov xwm txheej uas muaj cov insulin ntau heev nyob rau hauv cov ntshav, cuam tshuam rau kev noj cov piam thaj hauv cov zaub mov thiab los ntawm cov khw hauv lub siab.

Ua rau cov ntshav qog ntshav qab zib

B. Kev Noj Qab Haus Huv

Cov tshuaj tseem ceeb tau tshaj tawm tias yog tias cov neeg mob ntshav qab zib tau txais kev kho mob zoo los ntawm cov tshuaj insulin lossis cov ntshav qab zib, ces nws yuav tsum tau muaj cov tsos mob ntawm lub qog ntshav qab zib 1-2 zaug hauv ib lub lis piam thiab tsis muaj dab tsi txhaum ntawd. Peb tshaj tawm: yog tias koj ua yeeb yam lossis, tom qab ntawd hypoglycemia yuav tshwm sim ntau dua. Vim tias muaj ntshav qab zib hom 2, peb tso tseg uas tuaj yeem ua rau nws. Raws li rau cov tshuaj insulin, nrog hom 1 thiab hom 2 mob ntshav qab zib, nws tso cai rau ob peb zaug qis dua cov tshuaj insulin thiab yog li txo qhov kev pheej hmoo ntawm hypoglycemia.

Cov xwm txheej uas ua rau tus hypoglycemia raug rau cov neeg uas siv kho lub tsev kawm ntawv txoj kev:

• Lawv tsis tau tos 5 teev kom txog thaum tau txhaj koob tshuaj sai los ua tiav ib zaug, thiab txhaj koob tshuaj ntxiv kom coj cov piam thaj hauv ntshav ntau ntxiv. Qhov no phom sij heev tshwj xeeb thaum hmo ntuj.
• Lawv tau txhaj cov insulin ceev ua ntej noj, thiab tom qab ntawd lawv tau noj dhau lawm. Tib qho yog tias koj noj cov tshuaj ua ntej noj mov, ua rau cov txiav ua kom muaj cov insulin ntau dua. Nws yog txaus kom pib noj mov li 10-15 feeb tom qab nws yuav tsum paub cov tsos mob ntawm kev mob ntshav qab zib.
• Mob plab zom mov - ncua kev nkees ntawm lub plab tom qab noj mov.
• Tom qab qhov kawg ntawm tus kab mob kis, kab mob tiv thaiv insulin dheev tsis muaj zog, thiab cov ntshav qab zib tsis nco qab rov qab los ntawm cov koob tshuaj insulin lossis cov piam thaj kom qis dua nws cov koob tshuaj li niaj zaus.
• Tus mob ntshav qab zib tau ntev lawm nws tus kheej “tsis muaj zog” insulin los ntawm lub raj mis los yog daim cartridge, uas tau muab cov khoom tsis raug los sis dhau sijhawm lawm, thiab tom qab ntawd pib txhaj tshuaj “tshiab” cov insulin yam tsis muaj qhov txo qis.
• Hloov ntawm lub twj tso kua mis insulin mus rau kev txhaj tshuaj ntawm cov insulin koob txhaj tshuaj thiab hloov pauv yog tias nws tshwm sim yam tsis tau ceev faj txog kev kuaj ntshav qab zib.
• Tus mob ntshav qab zib tau txhaj nws tus kheej nrog rau lub taub tshuaj tiv thaiv kab mob ntawm lub zog ntawm tib lub zog uas feem ntau txhaj luv.
• Cov koob tshuaj insulin tsis sib haum nrog cov khoom noj uas tau noj lawm. Noj cov carbohydrates tsawg thiab / lossis muaj protein ntau dua li npaj rau noj tshais, noj su lossis noj hmo. Los yog lawv noj ntau npaum li lawv tau npaj, tab sis vim qee qhov lawv tau txhaj cov insulin ntau dua.
• Tus mob ntshav qab zib ua rau kev ua tsis tau nrog lub cev lossis tsis nco qab tswj ntshav qab zib txhua teev hauv kev qoj ib ce.
• Cawv kev haus cawv, tshwj xeeb ua ntej thiab thaum noj mov.
• Tus neeg mob ntshav qab zib uas txhaj ib pliag nruab nrab NPH-insulin protafan txhaj nws tus kheej nrog lub vial, tsis nco qab ua kom lub ntsej muag zoo kom zoo ua ntej noj tshuaj rau hauv cov koob txhaj tshuaj.
• Intramuscularly txhaj cov tshuaj insulin hloov chaw subcutaneous.
• Lawv tau ua qhov tsim nyog txhaj tshuaj ntawm cov tshuaj insulin, tab sis nyob hauv qhov ntawd ntawm lub cev uas raug rau lub cev ua kom muaj zog.
• Kev kho mob ntev ntev nrog kev tso ntshav ntawm gamma globulin. Nws ua rau qhov tsis muaj xwm txheej thiab tsis tuaj yeem xav rov qab ntawm qee qhov ntawm cov hlwb hauv cov neeg mob uas muaj ntshav qab zib hom 1, uas ua rau txo qis qhov xav tau ntawm insulin.
• Noj cov tshuaj nram qab no: cov tshuaj aspirin nyob rau hauv cov koob tshuaj loj, tshuaj anticoagulants, barbiturates, antihistamines thiab lwm yam. Cov tshuaj no txo ​​cov ntshav qab zib los yog inhibit qhov ua ntawm qabzib los ntawm lub siab.
• Kev ua kom sov sov. Lub sijhawm no, ntau tus neeg mob ntshav qab zib xav tau cov tshuaj insulin tsawg dua.

Kev tshaib plab yog qhov pom tshwm sim tshwm sim ntawm kev txo ntshav qis thaum ntxov. Yog tias koj nqa tawm lossis tswj hwm koj tus kab mob tau zoo, thaum ntawd koj yuav tsum tsis txhob muaj kev tshaib plab loj. Ua ntej txoj kev npaj pluas noj, koj yuav tsum tau tshaib plab me ntsis. Ntawm qhov tod tes, kev tshaib plab feem ntau tsuas yog lub cim ntawm kev qaug zog lossis lub siab kev ntxhov siab, tab sis tsis yog hypoglycemia. Tsis tas li ntawd, thaum cov ntshav qab zib muaj ntshav ntau dhau, ntawm qhov tsis sib thooj, lub hlwb tsis muaj qabzib, thiab lawv sib zog xa cov kev tshaib plab. Xaus: yog tias koj xav tias tshaib plab - tam sim ntsuas ntsuas koj cov ntshav qab zib nrog ib glucometer.

Qhov muaj feem yuav ua rau muaj ntshav qab zib txaus:

• tus neeg mob tau dhau los muaj cov neeg mob ntshav qab zib ntau,
• tus mob ntshav qab zib tsis hnov ​​cov tsos mob ntawm tus mob ntshav qab zib tsawg tsawg hauv lub sijhawm, thiab yog li ntawd nws tau hnovqab sai,
• pancreatic insulin secretion yog tsis tuaj kiag li,
• qis qes ntawm tus neeg mob.

Yuav ua li cas to taub yog vim li cas thiaj ua kom lub qog ntshav qab zib

Koj yuav tsum rov ua kom tag nrho cov txheej xwm uas ua rau muaj kev ceeb toom thaum koj cov piam thaj hauv ntshav qis dhau. Qhov no yuav tsum tau ua txhua zaus, txawm tias tsis muaj cov tsos mob pom tias koj ua txhaum li cas. Txhawm rau cov xwm txheej kom rov zoo, cov neeg mob ntshav qab zib insulin-tiv thaiv cov kab mob ntshav qab zib yuav tsum tau ua neej nyob tas mus li, xws li ntsuas nws, sau cov ntsuas ntsuas thiab qhov xwm txheej cuam tshuam.

Kev mob ntshav nce siab ntau tuaj yeem ua rau qhov tseeb tshwm sim ob peb teev ua ntej nws raug tshem tawm los ntawm lub cim xeeb ntawm tus neeg mob ntshav qab zib. Yog tias nws ua tib zoo sau nws phau ceev xwm txheej ntawm kev tswj hwm tus kheej, ces thaum muaj qhov xwm txheej zoo li no yuav muaj txiaj ntsig. Nws tsis txaus los sau tsuas yog cov txiaj ntsig ntawm kev ntsuas ntsuas ntshav qab zib, nws tseem yuav tsum sau cov xwm txheej nrog. Yog tias koj muaj ob peb lub sijhawm kub siab ntawm lub qog ntshav qab zib, tab sis koj tsis tuaj yeem nkag siab qhov laj thawj, tom qab ntawd muab cov ntawv sau rau tus kws kho mob. Tej zaum nws yuav kom koj nug cov lus ntawv kom meej thiab xam tau.

Kev kho mob (nres) ntawm hypoglycemia

Yog tias koj muaj cov tsos mob ntawm cov ntshav qog ntshav uas peb tau teev saum toj saud - tshwj xeeb tshaj yog kev tshaib plab loj - tam sim ntsuas koj cov piam thaj hauv ntshav nrog glucometer. Yog tias nws yog 0.6 mmol / L hauv qab ntawm koj lub hom phiaj qib lossis tseem qis dua, ces ua cov qib los ua kom tsis txhob muaj ntshav qab zib.Noj cov khoom noj uas muaj carbohydrates txaus, tshwj xeeb cov ntsiav tshuaj qabzib, txhawm rau kom nce qab zib rau qib. Yog tias tsis muaj cov tsos mob tshwm sim, tab sis koj tau ntsuas cov ntshav qab zib thiab pom tias nws muaj tsawg, qhov qub yog tsim nyog los noj cov ntsiav tshuaj qabzib rau hauv qhov ntau thiab tsawg teev. Yog tias muaj piam thaj hauv ntshav tsawg, tab sis tsis muaj tsos mob dab tsi, ces cov zaub mov carbohydrates tseem yuav tsum tau noj. Vim tias hypoglycemia uas tsis muaj cov tsos mob yog qhov txaus ntshai tshaj li qhov uas ua rau pom tseeb.

Yuav ua li cas yog tias koj tsis muaj ntsej muag nrog koj? Qhov no yog ib qho kev txhaum loj heev rau ib tus mob ntshav qab zib insulin. Yog tias koj xav tias koj muaj ntshav qab zib, tom qab ntawd tsis txhob muaj kev cia siab thiab noj ib co piam thaj kom nce qab zib los ntawm 2.4 mmol / L. Qhov no yuav tiv thaiv koj los ntawm kev mob ntshav siab ntau, uas muaj qhov cuam tshuam tsis zoo.

Sai li lub ntsuas dej yog nyob ntawm koj pov tseg - ntsuas koj qab zib. Nws feem ntau yuav tsum tau tsa lossis qes dua. Coj nws rov qab ua qhov qub thiab tsis muaj kev ua txhaum, uas yog, ib txwm khaws lub 'meter' nrog koj.

Qhov nyuaj tshaj plaws yog tias koj cov piam thaj hauv ntshav tau poob vim yog txhaj tshuaj insulin ntau dhau lossis noj ntau dhau. Thaum muaj qhov xwm txheej zoo li no, cov piam thaj yuav poob dua tom qab noj cov piam thaj. Yog li no, rov ntsuas koj qab zib nrog ib glucometer 45 feeb tom qab noj ib tus kab mob hypoglycemic. Nco ntsoov tias txhua yam yuav zoo. Yog tias cov piam thaj qis dua, noj lwm cov ntsiav tshuaj, tom qab ntawd rov ntsuas qhov ntsuas tom qab 45 feeb ntxiv. Thiab lwm yam, mus txog thaum txhua yam thaum kawg rov ua qhov qub.

Yuav kho tus mob hypoglycemia npaum li cas yam tsis muaj nce qib qab zib li ib txwm

Kev lig kev cai, cov neeg mob ntshav qab zib kom tsis txhob mob ntshav qab zib noj cov hmoov nplej, txiv hmab txiv ntoo thiab khoom qab zib, haus kua txiv lossis kua txiv qab zib. Txoj kev kho mob no tsis ua haujlwm zoo rau ob qho laj thawj. Ntawm ib sab, nws ua qeeb dua qhov tsim nyog. Vim tias cov carbohydrates uas pom muaj hauv cov zaub mov, lub cev tseem yuav tsum tau zom ua ntej lawv pib nce cov ntshav qab zib. Ntawm qhov tod tes, xws li "kev kho mob" ua rau cov piam thaj hauv ntshav ntau dhau, vim tias nws tsis tuaj yeem suav qhov tseeb ntawm cov tshuaj carbohydrates, thiab nrog kev txaus ntshai, tus neeg mob ntshav qab zib noj ntau ntawm lawv.

Kev mob ntshav qab zib ntshav siab tuaj yeem ua rau muaj ntshav qab zib txaus ntshai. Qhov kev tawm tsam hnyav tuaj yeem ua rau tus neeg mob ntshav qab zib tuag lossis kev xiam oob qhab vim muaj kev cuam tshuam rau lub hlwb tsis ua haujlwm, thiab nws tsis yooj yim los tawm qhov twg ntawm cov txiaj ntsig no tshwm sim tsis zoo. Yog li, peb siv zog kom nce cov ntshav qab zib kom ib txwm nrawm li sai tau. Cov carbohydrates tsis yooj yim, fructose, mis qab zib, lactose - tag nrho lawv yuav tsum mus hla kev zom zaub mov hauv lub cev ua ntej lawv pib nce ntshav qab zib. Tib yam siv rau txawm rau cov hmoov txhuv nplej siab thiab cov lus qab zib, txawm hais tias cov kev ua kom nruj tau zoo heev rau lawv.

Siv cov ntsiav tshuaj pleev xim txhawm rau tiv thaiv thiab tso ntshav qab zib kom tsawg. Yuav lawv hauv tsev muag tshuaj, tsis txhob ua tub nkeeg! Txiv hmab txiv ntoo, kua txiv, qab zib, hmoov - yog qhov tsis xav tau. Noj cov piam thaj kom ntau npaum li koj xav tau. Tsis txhob tso suab thaj kom “thaws” tom qab koj mob lub plawv ib ce tag.

Cov khoom peb teev saum toj no muaj kev sib xyaw ntawm cov roj sai thiab qeeb carbohydrates, uas ua nrog ncua sij hawm, thiab tom qab ntawd nce ntshav qab zib cov ntshav uas tsis paub txog. Nws ib txwm xaus nrog qhov tseeb tias tom qab nres ib qho kev tawm tsam ntawm hypoglycemia, qab zib hauv tus neeg mob ntshav qab zib "qaws". Cov kws kho mob tsis lees paub tseem ntseeg tau hais tias tom qab ib qho kev txo qis ntawm hypoglycemia nws yog ib qho tsis yooj yim sua kom tsis txhob muaj ricocheted nce nyob rau hauv cov ntshav qab zib. Lawv txiav txim siab nws tus kheej yog tias tom qab ob peb teev cov piam thaj hauv ntshav hauv tus neeg mob ntshav qab zib yog 15-16 mmol / L. Tab sis qhov no tsis muaj tseeb yog tias koj ua tib zoo. Txoj kev kho twg yuav ua rau kom cov ntshav qab zib sai tshaj thiab kom paub tseeb tseeb? Teb: qabzib hauv nws cov ntawv dawb huv.

Glucose ntsiav tshuaj

Glucose yog cov tshuaj uas xa mus rau hauv cov ntshav thiab uas peb hu ua “cov piam thaj hauv ntshav”. Cov zaub mov qabzib tau nqus rau hauv cov ntshav thiab tam sim ntawd pib ua. Lub cev tsis tas yuav zom nws; nws tsis muaj kev hloov pauv hauv lub siab.Yog tias koj zom cov ntsiav tshuaj pleev hauv koj lub qhov ncauj thiab haus nws nrog dej, tom qab ntawd feem ntau nws yuav nqus mus rau hauv cov ntshav los ntawm cov qog ua kua ntawm lub qhov ncauj, txawm tias nqos tsis tsim nyog. Qee tus ntxiv yuav nkag mus rau hauv lub plab thiab cov hnyuv thiab yuav nqus tau los ntawm muaj.

Ntxiv rau qhov nrawm nrawm, qhov thib ob kom zoo dua ntawm cov ntsiav tshuaj qabzib yog kev kwv yees. Thaum lub sij hawm hypoglycemia nyob rau hauv tus neeg mob uas muaj hom 1 lossis hom 2 ntshav qab zib hnyav 64 kg, 1 gram ntawm cov piam thaj yuav nce cov ntshav qab zib kom txog 0.28 mmol / L. Hauv cov mob no, nyob hauv tus neeg mob uas muaj ntshav qab zib hom 2, kev tsim cov tshuaj insulin los ntawm tus txiav yog txiav tawm, thaum tus neeg mob ntshav qab zib hom 1 tsis muaj hlo li. Yog tias cov piam thaj hauv ntshav tsis qis dua li ib txwm, ces tus neeg mob ntshav qab zib hom 2 yuav ua rau cov ntshav qabzib tsis muaj zog, vim tias cov txiav "ua tsis taus pa" nrog nws cov insulin. Rau tus neeg mob uas muaj ntshav qab zib hom 1, tseem muaj 1 ntawm cov piam thaj yuav ua rau cov ntshav qab zib nce 0.28 mmol / l, vim tias nws tsis muaj nws tus kheej insulin ntau lawm.

Tus neeg ib txwm hnyav, lub zog qis dua cov nyhuv ntawm cov kua nplaum nyob rau nws, thiab qis dua lub cev qhov hnyav, tsis muaj zog. Txhawm rau ntsuas ntau npaum li 1 gram piam thaj yuav ua rau cov ntshav qab zib nyob ntawm koj qhov hnyav, koj yuav tsum ua kom muaj qhov sib npaug. Piv txwv li, rau ib tus neeg muaj lub cev hnyav txog 80 kg, yuav muaj 0.28 mmol / L * 64 kg / 80 kg = 0.22 mmol / L, thiab rau tus menyuam hnyav 48 kg, 0.28 mmol / L * 64 kg / 48 kg = 0.37 mmol / l.

Yog li, rau kev tso tseg cov ntshav qab zib hauv qab zib, cov ntsiav tshuaj nyob tom qab yog qhov kev xaiv zoo tshaj plaws. Lawv muag hauv feem ntau lub tsev muag tshuaj thiab yog tus nqi pheej yig heev. Tsis tas li, hauv khw muag khoom noj hauv qhov chaw txheeb xyuas, cov ntsiav tshuaj ascorbic acid (vitamin C) nrog piam thaj feem ntau muag. Lawv kuj tseem tuaj yeem siv tiv thaiv kev mob ntshav qab zib. Cov koob tshuaj ntawm vitamin C hauv lawv feem ntau qis heev. Yog tias koj tub nkeeg tag nrho los khaws cov ntsiav tshuaj qabzib - nqa cov kua nplaum ua kom qab zib nrog koj. Tsuas yog 2-3 daim, tsis ntau. Khoom qab zib, txiv hmab txiv ntoo, kua txiv, hmoov nplej - tsis tsim rau cov neeg mob uas ua kev kho mob ntshav qab zib hom 1 lossis hom ntshav qab zib hom 2.

Yog tias koj tau kov cov ntsiav tshuaj piam thaj, ntxuav koj txhais tes ua ntej ntsuas koj cov ntshav qab zib nrog ib glucometer. Yog tias tsis muaj dej, siv daim ntaub ntub dej. Ua qhov kawg, yaim tus ntiv tes uas koj nyiam ntxig, thiab tom qab ntawd so nws nrog daim ntaub huv lossis daim ntaub so tes. Yog tias muaj kab ntawm cov piam thaj ntawm daim tawv nqaij ntawm cov ntiv tes, cov txiaj ntsig ntawm kev ntsuas cov ntshav qab zib yuav cuam tshuam. Khaws cov kua nplaum nyob deb ntawm lub 'meter' thiab sim ib daim hlab kuaj nws.

Cov lus nug tseem ceeb tshaj plaws yog kuv yuav tsum noj pes tsawg glucose ntsiav tshuaj? Tom lawv txaus kom tsa koj cov piam thaj hauv ntshav mus rau qhov qub, tab sis tsis ntau. Cia peb xav txog qhov ua piv txwv. Cia hais tias koj lub cev hnyav 80 kg. Saum toj no, peb tau suav tias 1 gram suab thaj yuav ua rau koj cov piam thaj hauv ntshav nce 0.22 mmol / L. Tam sim no koj muaj ntshav qab zib ntawm 3.3 mmol / L, thiab lub hom phiaj qib yog 4.6 mmol / L, i.e. koj yuav tsum nce qab zib los ntawm 4.6 mmol / L - 3.3 mmol / L = 1.3 mmol / l. Txhawm rau ua qhov no, noj 1.3 mmol / L / 0.22 mmol / L = 6 grams qabzib. Yog tias koj siv cov ntsiav tshuaj piam thaj uas hnyav 1 gram txhua, nws yuav dhau los 6 ntsiav tshuaj, tsis muaj ntau thiab tsawg dua.

Yuav ua li cas yog tias cov piam thaj hauv ntshav tsis txaus ua ntej noj mov

Tej zaum nws yuav tshwm sim koj pom koj tus kheej qis qab zib ua ntej koj pib noj mov. Yog tias koj ua raws li cov ntshav qab zib hom 1 lossis hom 2 rau kev tswj hwm, tom qab ntawd qhov no, noj cov ntsiav tshuaj qabzib tam sim ntawd, thiab tom qab ntawd cov zaub mov "tiag". Vim tias cov zaub mov carbohydrate tsawg yuav nqus tau qeeb. Yog tias hypoglycemia tsis nres, ces qhov no tuaj yeem ua rau ntau dhau thiab dhia hauv qab zib hauv ob peb teev, uas tom qab ntawd nws yuav nyuaj rau ib txwm ua.

Yuav daws li cas nrog kev tawm tsam ntawm gluttony nrog hypoglycemia

Cov ntshav qog me me thiab "tsaj" yuav ua rau mob hnyav, thev tsis tau kev tshaib kev nqhis thiab kev ntshai. Lub siab xav noj cov zaub mov ntau dhau nrog carbohydrates tuaj yeem ua rau tsis xwm yeem. Nyob rau hauv qhov xwm txheej zoo li no, tus mob ntshav qab zib tau noj tam sim ntawd tag nrho ib phaus ntawm cov khoom noj qab zib lossis hmoov nplej cov khoom noj lossis haus ib khob kua txiv. Raws li qhov tshwm sim, cov piam thaj hauv ntshav hauv ob peb teev yuav monstrously. Hauv qab no koj yuav paub yuav ua li cas rau hypoglycemia txhawm rau txo qis kev phom sij rau koj kev noj qab haus huv los ntawm kev ceeb ntshai thiab kev kub ntxhov.

Ua ntej, kev sim ua ntej thiab paub tseeb tias cov ntsiav tshuaj piam thaj muaj peev xwm ua tau ntau yam, tshwj xeeb tshaj yog muaj ntshav qab zib hom 1.Koj tau noj pes tsawg grams ntawm cov piam thaj - koj cov ntshav qab zib yuav nce siab, tsis muaj ntxiv thiab tsis tsawg. Txheeb xyuas koj tus kheej, saib koj tus kheej ua ntej. Qhov no yog qhov tsim nyog thiaj li hais tias nyob rau hauv qhov xwm txheej ntawm hypoglycemia koj tsis txhob ntshai. Tom qab noj cov piam thaj hauv cov ntsiav tshuaj, koj yuav paub tseeb tias poob ntawm kev nco qab thiab tuag yog qhov twv yuav raug tsis tau.

Yog li, peb tau tswj hwm kev ntshai, vim tias peb tau npaj ua ntej rau qhov xwm txheej ntawm qhov ua rau nws muaj qog ntshav qis. Qhov no tso cai rau tus neeg mob ntshav qab zib kom nyob ntsiag to, tswj nws lub siab, thiab nws muaj feem tsawg lub siab xav tau txhawm rau txhawm rau tsis muaj kev tswj hwm. Tab sis dab tsi yog tias, tom qab noj cov piam thaj, koj tseem tuaj yeem tswj tsis tau tsiaj qus? Qhov no tuaj yeem vim qhov tseeb hais tias ib nrab-lub neej ntawm adrenaline nyob rau hauv cov ntshav yog ntev heev, raws li tau piav qhia nyob rau hauv tshooj yav dhau los. Hauv qhov no, zom thiab noj cov zaub mov uas tsis muaj cov carbohydrate tsawg.

Ntxiv mus, nws yog ntshaw kom siv cov khoom uas tsis muaj khoom xyaw roj. Piv txwv li, nqaij txiav. Hauv qhov xwm txheej no, koj tsis tuaj yeem noj khoom noj rau ntawm cov txiv ntoo vim tias koj tsis tuaj yeem tiv thiab noj ntau yam ntawm lawv. Cov txiv hmab txiv ntoo muaj cov nqi ntawm cov carbohydrates, thiab hauv qhov ntau kuj tseem nce cov ntshav qab zib, ua rau. Yog li, yog tias kev tshaib plab tsis muaj kev tiv thaiv, ces koj poob dej nws tawm nrog tsiaj tsiaj cov khoom noj uas tsis muaj roj ntau.

Cov piam thaj tsa tau ib txwm, thiab cov tsos mob ntawm cov ntshav qog ntshav qab zib tsis ploj

Hauv qhov xwm txheej ntawm hypoglycemia, muaj kev qhia tawm sai sai ntawm hormone epinephrine (adrenaline) tshwm sim hauv cov ntshav. Nws yog nws leej twg ua rau feem ntau ntawm cov tsos mob tsis kaj siab. Thaum cov ntshav qab zib poob ntau dhau, cov qog adrenal ua cov adrenaline hauv kev teb rau qhov no thiab ua rau nws cov ntsiab lus ntau ntxiv hauv cov ntshav. Qhov no tshwm sim hauv txhua tus neeg mob ntshav qab zib, tsuas yog cov neeg uas tsis nco qab txog lub qog ntshav qab zib. Zoo li glucagon, adrenaline muab lub siab ua haujlwm tias glycogen yuav tsum hloov pauv mus rau cov piam thaj. Nws kuj tseem nce tus mem tes dhia, ua rau pallor, tshee tshee rau tes thiab lwm yam tsos mob.

Adrenaline muaj ib nrab-lub neej ntawm kwv yees li 30 feeb. Qhov no txhais tau hais tias txawm li ib teev tom qab kev mob ntshav qab zib tsawg los lawm, renal adrenaline tseem nyob hauv ntshav thiab tseem ua ntxiv mus. Vim li no, cov tsos mob yuav mus txuas rau qee lub sijhawm. Nws yog ib qho tsim nyog yuav tsum tau raug kev txom nyem 1 teev tom qab noj cov ntsiav tshuaj pleev qabzib. Nyob rau lub sijhawm no, qhov tseem ceeb tshaj plaws yog los tiv thaiv kev ntxias kom noj ntau dhau. Yog tias tom qab ib teev cov tsos mob ntawm hypoglycemia tsis ploj, ntsuas koj qab zib nrog ib glucometer dua thiab ntsuas kev ntsuas ntxiv.

Kev coj tus cwj pwm mob ntshav qab zib hauv ib lub xeev ntawm cov ntshav qab zib qis

Yog tias tus neeg mob ntshav qab zib muaj ntshav qab zib tsis txaus, ces qhov no ua rau lub neej ntawm nws tsev neeg, cov phooj ywg thiab cov npoj yaig ua rau lub neej nyuaj siab. Muaj ob qho laj thawj rau qhov no:

• nyob rau hauv ib lub xeev ntawm hypoglycemia, cov ntshav qab zib feem ntau coj tus cwj pwm thiab nruj,
• tus neeg mob yuav cia li nco dheev thiab yuav tsum tau txais kev kho mob xwm txheej ceev.

Yuav coj li cas yog tias ib tug neeg mob ntshav qab zib muaj ntshav qab zib ntau heev lossis nws plam tsis nco qab lawm, peb yuav sib tham hauv ntu txuas mus ntxiv. Tam sim no cia peb tham txog dab tsi ua rau muaj kev txhoj puab heev thiab yuav nyob nrog tus neeg mob ntshav qab zib li cas yog tsis muaj kev tsis sib haum xeeb.

Nyob rau hauv lub xeev ntawm hypoglycemia, tus mob ntshav qab zib tuaj yeem coj tus cwj pwm coj tus cwj pwm tsis txaus ntseeg, ua tus neeg hais lus phem thiab cuam tshuam rau ob qho laj thawj:

• nws poob tswj tus kheej
• kev sim los ntawm lwm tus los pub nws noj khoom qab zib muaj peev xwm ua qhov tsis zoo.

Cia peb pom dab tsi tshwm sim hauv lub hlwb ntawm tus neeg mob ntshav qab zib thaum lub sij hawm nres ntawm hypoglycemia. Lub hlwb tsis muaj qabzib rau kev ua haujlwm tsis zoo, thiab vim qhov no, tus neeg coj zoo li nws qaug cawv. Kev xav muaj kev xav. Qhov no tuaj yeem ua kom pom los ntawm ntau cov tsos mob - nkees, lossis lwm tus npau taws, ntau dhau kev ua siab zoo lossis rov ua phem rau nws. Txawm li cas los xij, cov tsos mob ntawm cov qog ntshav qab zib zoo ib yam li haus cawv. Tus uas mob ntshav qab zib kom paub tseeb tias tam sim no nws muaj ntshav qab zib ib txwm muaj, ib yam li tus txiv neej qaug cawv nws paub meej tias nws muaj peev xwm haus ntshav lawm tiag.Cawv ua rau qaug cawv thiab ua rau lub ntsej muag tsis cuam tshuam qhov kev ua haujlwm ntawm tib lub chaw haujlwm ntawm cov kev ua haujlwm siab dua hauv lub hlwb.

Tus neeg mob ntshav qab zib tau kawm paub tias cov piam thaj hauv ntshav yog txaus ntshai, ua kom muaj kev noj qab haus huv, thiab yog li ntawd yuav tsum zam. Txawm hais tias nyob rau hauv ib lub xeev ntawm hypoglycemia, nws khov kho nco txog qhov no. Thiab tam sim no, nws paub tseeb tias nws cov piam thaj tsis zoo thiab feem ntau, nws muaj lub hauv caug hiav txwv sib sib zog nqus. Thiab tom qab ntawd ib tug neeg sim ua kom nws pub zaub mov rau nws nrog kev ua kom mob phem ... Pom zoo, thaum muaj qhov xwm txheej zoo li no, tus neeg mob ntshav qab zib yuav xav tias nws yog tus neeg koom thib ob hauv qhov xwm txheej uas coj tus cwj pwm tsis zoo thiab sim ua phem rau nws. Qhov no yuav muaj feem ntau yog tias tus txij nkawm, niam txiv lossis cov neeg ua haujlwm nrog yav dhau los sim ua zoo ib yam, thiab tom qab ntawv nws tau hloov tawm hais tias tus neeg mob ntshav qab zib yeej muaj suab thaj ib txwm.

Qhov loj tshaj uas yuav ua rau muaj kev ntxhov siab los ntawm ib tus neeg mob ntshav qab zib yog tias koj sim tsuj khoom qab zib hauv nws lub qhov ncauj. Txawm hais tias, raws li txoj cai, kev hais lus nrog kev txaus ntseeg yog qhov txaus rau qhov no. Lub hlwb, ua rau tsis txaus siab vim tsis muaj qabzib, qhia rau nws tus tswv hais txog lub tswv yim tias tus txij nkawm, niam txiv lossis tus npoj yaig xav nws ua kom nws raug mob thiab tseem sim tua nws, ntxias nws nrog cov zaub mov qab zib tsis zoo. Nyob rau hauv qhov xwm txheej zoo li no, tsuas yog cov neeg dawb huv tuaj yeem tawm tsam qhov kev ua phem ... Cov neeg nyob ib puag ncig peb feem ntau chim siab thiab xav tsis thoob rau qhov xwm txheej tsis zoo ntawm tus neeg mob ntshav qab zib thaum lawv sim pab nws.

Tus txij nkawm lossis niam txiv ntawm tus neeg mob ntshav qab zib tuaj yeem tsim qhov ntshai tsam muaj ntshav ntau ntawm lub cev ntshav qab zib, tshwj xeeb yog tias tus mob ntshav qab zib yav tas los tsis nco qab zoo li ntawd. Feem ntau khoom qab zib yog khaws cia rau ntau qhov chaw hauv tsev kom lawv nyob ntawm tes thiab cov ntshav qab zib tau noj lawv sai thaum xav tau. Qhov teeb meem yog hais tias nyob hauv ib nrab ntawm cov neeg mob, tib neeg nyob ib puag ncig lawv xav tias hypoglycemia nyob rau hauv tus neeg mob ntshav qab zib, thaum nws cov piam thaj yog qhov qub. Qhov no feem ntau tshwm sim thaum tsev neeg scandals vim yog lwm qhov laj thawj. Cov neeg tawm tsam xav tias peb tus neeg mob ntshav qab zib yog li txaus ntshai vim tias nws muaj ntshav qab zib tsawg tam sim no. Hauv txoj kev no lawv sim zam kom paub qhov tseeb, ntau cov teeb meem ntawm kev txaj muag. Tab sis nyob rau lub sijhawm ib nrab ntawm cov xwm txheej ntawm kev coj tus yam ntxwv, hypoglycemia yeej muaj tiag, thiab yog tias tus neeg mob ntshav qab zib kom paub tseeb tias nws muaj ntshav qab zib ib txwm, tom qab ntawd nws yog qhov tsis zoo ua rau nws tus kheej muaj kev pheej hmoo.

Yog li, hauv ib nrab kis yog thaum cov neeg nyob ib puag ncig sim pub zaub mov ntshav qab zib rau cov neeg mob qab zib, lawv tau ua txhaum, vim tias nws tiag tiag tsis muaj ntshav qab zib. Noj cov khoom noj carbohydrates ua rau dhia hauv ntshav qab zib, thiab qhov no muaj kev phom sij rau kev noj qab haus huv ntawm ntshav qab zib. Tab sis nyob rau lub sijhawm thib ob ntawm cov xwm txheej thaum muaj ntshav qab zib tsawg, thiab ib tus neeg tsis lees paub nws, nws tsim cov teeb meem tsis tsim nyog rau lwm tus, ua rau nws tus kheej muaj kev pheej hmoo. Yuav coj tus cwj pwm zoo li cas rau txhua tus neeg koom? Yog tias tus neeg mob ntshav qab zib coj tsis zoo, koj yuav tsum yaum nws kom tsis txhob noj khoom qab zib, tab sis kom ntsuas nws cov ntshav qab zib. Tom qab ntawd, hauv ib nrab kis nws hloov tawm tias tsis muaj ntshav qab zib. Thiab yog tias nws yog, tom qab ntawd cov tshuaj pleev cov piam thaj tam sim ntawd tau tuaj rau txoj kev cawm, uas peb twb tau npaj thiab tau kawm kom paub ntsuas lawv cov koob tshuaj kom raug. Tsis tas li, nco ntsoov ntsuas 'meter' kom raug () ua ntej. Yog tias nws hloov tawm tias koj lub ntsuas dej yog dag, tom qab ntawd hloov nws nrog qhov raug.

Cov kev mus tshuaj ib txwm muaj, thaum uas cov mob ntshav qab zib tau yaum kom noj khoom qab zib, yam tsawg kawg yog kev puas tsuaj ntau dua li zoo. Lwm txoj kev xaiv uas peb tau hais hauv nqe lus yav dhau los yuav tsum coj kev thaj yeeb nyab xeeb rau tsev neeg thiab ua kom muaj lub neej zoo rau txhua tus neeg txhawj xeeb. Ntawm chav kawm, yog tias koj tsis txuag ntawm cov ntawv xeem rau cov glucometer thiab lancets. Nyob nrog tus neeg mob ntshav qab zib muaj yuav luag ntau yam teeb meem ib yam li cov ntshav qab zib nws tus kheej muaj. Ntsuas koj cov piam thaj tam sim ntawd ntawm kev thov ntawm tsev neeg lossis cov npoj yaig yog lub luag haujlwm ncaj qha rau cov ntshav qab zib. Tom qab ntawd nws yuav twb tau pom seb lub qog ntshav qab zib yuav tsum tau nres los ntawm kev noj cov piam thaj hauv cov ntsiav tshuaj.Yog tias koj tsis muaj cov ntshav qabzib nyob ze ntawm tes, lossis yog tias cov kab ntawv tawm mus dhau lawm, noj cov kua qabzib kom txaus rau koj cov ntshav qab zib kom tsawg li 2.2 mmol / L. Qhov no tau lees tias tiv thaiv tiv thaiv tus mob ntshav qab zib tsawg kawg. Thiab nrog nce qab zib, koj yuav nkag siab thaum nkag mus rau cov ntsuas tau pom.

Yuav ua li cas yog tias mob ntshav qab zib twb dhau ntawm lub siab nco qab lawm

Yog hais tias tus mob ntshav qab zib twb dhau ntawm lub siab qhia ntawm kev nco qab, ces qhov no yog qhov mob ntshav qab zib tsawg, tig mus ua mob hnyav. Hauv cov mob no, cov neeg mob ntshav qab zib ua rau zoo li nkees heev, inhibited. Nws tsis teb rau kev thov rov mus hais dua, vim nws tsis muaj peev xwm teb tau cov lus nug. Tus neeg mob tseem nco qab, tab sis nws tsis muaj peev xwm pab tau nws tus kheej. Tam sim no txhua yam nyob ntawm cov neeg ib puag ncig koj - lawv puas paub yuav ua li cas pab nrog hypoglycemia? Ntxiv mus, yog tias hypoglycemia tsis tau yooj yim dua, tab sis hnyav.

Thaum zoo li no, nws lig dhau lawm los sim ntsuas qab zib nrog glucometer, koj yuav tsuas ploj lub sijhawm zoo. Yog tias koj muab cov tshuaj qab zib rau cov ntshav qab zib lossis cov khoom qab zib, ces nws tsis zoo li zom lawv. Feem ntau cov yuav, nws yuav nti cov zaub mov tawv lossis daig ntxiv. Nyob rau theem ntawm cov ntshav qog ntshav qab zib, nws yog qhov tseeb rau dej rau tus neeg mob ntshav qab zib nrog kua dej kua nyeem. Yog tias tsis yog, tom qab tsawg kawg ib qho kev daws ntawm qab zib. Cov lus qhia txog mob ntshav qab zib Asmeskas pom zoo rau cov xwm txheej no yog kev siv cov kua nplaum (glucose glucose), uas ua rau cov pos hniav lossis lub puab tsaig sab hauv tuaj sab hauv, vim tias nws tsis tshua muaj kev pheej hmoo tias tus neeg mob ntshav qab zib yuav nqus tau kua thiab txhawm chim. Hauv cov tebchaws hais lus Lavxias, peb tsuas muaj cov khw muag tshuaj muaj kua qabzib lossis tshuaj ua kom qab zib sai tom tsev.

Cov kua nplaum hauv qab zib yog muag hauv khw muag tshuaj, thiab cov neeg mob ntshav qab zib feem ntau muaj nws nyob hauv tsev. Nws tso tawm kom ua rau 2-teev qhov ncauj kuaj ntshav qab zib nyob hauv tsev kho mob. Thaum koj haus cov ntshav qab zib nrog cov piam thaj hauv dej qab zib, nws yog qhov tseem ceeb heev kom ntseeg tau tias tus neeg mob tsis txhawm chim, tab sis ua tau kom nqos cov kua. Yog tias koj tswj hwm ua qhov no, ces cov tsos mob ntawm kev mob ntshav qab zib siab sai sai yuav dhau mus. Tom qab 5 feeb, tus mob ntshav qab zib twb yuav teb tau cov lus nug. Tom qab ntawd, nws yuav tsum ntsuas nws qab zib nrog glucometer thiab txo qis dua qhov qub nrog kev txhaj tshuaj ntawm insulin.

Kev khomob kub ntxhov yog tias tus neeg mob ntshav qab zib kis tawm

Koj yuav tsum paub tias tus neeg mob ntshav qab zib yuav poob qhov tsis nco qab tsuas yog vim muaj ntshav qab zib tsawg. Qhov ua rau kuj tseem tuaj yeem yog lub plawv nres, mob hlab ntsha tawg, ntshav nce siab tam sim ntawd. Qee zaum tus neeg mob ntshav qab zib poob poob qab yog tias lawv muaj ntshav qab zib ntau ntau (22 mmol / L lossis siab dua) rau ob peb hnub ua ke, thiab qhov no nrog lub cev qhuav dej. Qhov no yog hu ua, nws tshwm sim rau cov neeg laus laus cov neeg muaj mob ntshav qab zib. Yog tias koj raug qhuab qhia kom ua yeeb yam lossis, ces nws tsis tshua pom zoo tias koj cov piam thaj yuav nce siab.

Raws li txoj cai, yog tias koj pom tias tus neeg mob ntshav qab zib tau ploj mus rau hauv lub siab, tom qab ntawd tsis muaj sijhawm los tshawb nrhiav cov laj thawj ntawm qhov no, tab sis kev kho yuav tsum tau pib tam sim ntawd. Yog tias tus mob ntshav qab zib ua rau lub cev ntaj ntsug, tom qab ntawd nws yuav tsum xub txhaj ib yam tshuaj glucagon, thiab tom qab ntawd nws yuav tsum nkag siab qhov laj thawj. Glucagon yog yam tshuaj uas ua rau cov ntshav qab zib sai sai, ua rau lub siab thiab cov leeg ua rau lawv cov khw muag glycogen hloov zuj zus thiab tso ntshav nrog lub ntsej muag no. Cov neeg uas nyob ib ncig ntawm tus mob ntshav qab zib yuav tsum paub:

• qhov twg pob khoom thaum muaj xwm ceev nrog glucagon khaws cia,
• yuav ua li cas thiaj txhaj tshuaj.

Cov khoom siv xwm ceev rau kev txhaj tshuaj glucagon yog muag hauv khw muag tshuaj. Qhov no yog rooj plaub uas cov koob txhaj tshuaj nrog kua yog khaws cia, ntxiv rau hauv lub raj mis nrog cov hmoov dawb. Kuj tseem muaj lus qhia meej hauv cov duab kos duab li cas kev txhaj tshuaj. Nws yog ib qho tsim nyog yuav tsum tau txhaj cov kua ntawm lub koob txhaj tshuaj mus rau hauv lub vial los ntawm lub hau, tom qab ntawd tshem tawm rab koob ntawm lub hau, co lub khob kom zoo kom cov tshuaj sib tov, muab rov qab rau hauv cov phwj. Tus neeg laus yuav tsum txhawm rau txhaj tag nrho cov ntim ntawm cov ncauj lus ntawm koob txhaj tshuaj, subcutaneously lossis intramuscularly. Qhov hno tuaj yeem ua rau txhua qhov chaw uas cov tshuaj insulin feem ntau tau txhaj.Yog tias tus neeg mob ntshav qab zib tau txhaj tshuaj insulin, tom qab ntawd cov neeg hauv tsev neeg tuaj yeem xyaum ua ntej, ua nws txhaj tshuaj, kom tom qab ntawd lawv tuaj yeem tiv taus yooj yim yog tias lawv yuav tsum tau txhaj nrog glucagon.

Yog tias tsis muaj khoom siv xwm txheej ceev nrog glucagon ntawm tes, koj yuav tsum hu rau lub tsheb thauj neeg mob lossis nqa tus neeg mob ntshav qab zib tsis nco qab mus rau tsev kho mob. Yog hais tias ib tus neeg tau xiam lub siab, tom qab ntawd tsis muaj ib qho dab tsi yuav tsum koj sim nkag mus rau qee yam los ntawm nws lub qhov ncauj. Tsis txhob lo cov ntsiav tshuaj pleev npauj lossis zaub mov hauv nws lub qhov ncauj, thiab tsis txhob nchuav ua kua rau hauv ib qho dej. Txhua yam no tuaj yeem nkag mus rau hauv lub pa ua pa, thiab ib tus neeg ua tsis taus pa. Thaum tsis nco qab lawm, tus mob ntshav qab zib tuaj yeem hnoos lossis nqos tsis tau, yog li koj pab tsis tau nws txoj hauv kev no.

Yog tias tus neeg mob ntshav qab zib tsis txaus siab vim qhov ua rau lub qog ntshav nce siab, nws yuav muaj qhov tsis haum. Nyob rau hauv cov ntaub ntawv no, cov qaub ncaug yog tso tawm ntau, thiab cov hniav sib xyaw thiab sib zog. Koj tuaj yeem sim muab ib daim ntoo tso rau hauv cov hniav ntawm tus neeg mob tsis nco qab lawm kom nws tsis tuaj yeem tom nws tus nplaig. Nws yog ib qho tseem ceeb uas tiv thaiv nws los ntawm kev tom koj cov ntiv tes. Muab nws tso rau ntawm nws sab kom cov qaub ncaug ntws tawm ntawm lub qhov ncauj, thiab nws tsis daig ntawm nws.

Glucagon tuaj yeem ua rau xeev ntuav thiab ntuav hauv ntshav qab zib. Yog li, tus neeg mob yuav tsum pw ntawm nws ib sab kom ntuav tsis txhob nkag mus rau hauv txoj pa pa. Tom qab kev txhaj tshuaj ntawm glucagon, tus neeg mob ntshav qab zib yuav tsum tuaj rau hauv ntau lawm hauv 5 feeb. Tsis pub dhau 20 feeb tom qab, nws yuav tsum muaj peev xwm los teb cov lus nug. Yog tias nyob hauv 10 feeb tsis muaj cov cim qhia txog kev txhim kho kom meej meej, tus neeg mob ntshav qab zib tsis nco qab lawm xav tau kev kho mob sai sai. Tus kws kho mob tos neeg mob yuav muab cov kua nplaum pleev cov ntshav pleev rau nws.

Kev txhaj tshuaj ib zaug ntawm glucagon tuaj yeem nce ntshav qab zib mus rau 22 mmol / L, nyob ntawm ntau npaum li cas glycogen tau khaws cia hauv lub siab. Thaum nco qab tau rov qab los, tus neeg mob ntshav qab zib yuav tsum ntsuas nws cov ntshav qab zib nrog ib qho glucometer. Yog tias 5 teev lossis ntau dua tau dhau mus txij li kev txhaj tshuaj kawg ntawm cov tshuaj insulin, tom qab ntawd koj yuav tsum txhaj ib qho tshuaj insulin los nqa suab thaj kom rov zoo li qub. Qhov no tseem ceeb vim tias qhov no yog tib txoj kev uas daim siab pib ua kom nws lub khw muag khoom glycogen. Lawv yuav rov qab los nyob hauv 24 teev. Yog tias tus neeg mob ntshav qab zib ua rau nws tsis nco qab 2 zaug hauv kev sib txuas rau ntau xuab moos, tom qab ntawv txhaj koob thib ob ntawm glucagon yuav tsis tuaj yeem pab tau, vim tias lub siab tseem tsis tau rov qab nws lub khw glycogen.

Tom qab tus neeg mob ntshav qab zib tau rov qab ua dua nrog kev txhaj tshuaj glucagon, nyob rau hnub tom qab nws yuav tsum ntsuas nws cov piam thaj nrog ib qho glucometer txhua 2.5 teev, suav nrog thaum tsaus ntuj. Nco ntsoov tias hypoglycemia tsis tshwm sim ntxiv. Yog tias cov piam thaj hauv ntshav qis, tam sim ntawd siv cov ntsiav tshuaj qab zib ntxiv rau nws kom ib txwm. Kev tshuaj xyuas zoo yog qhov tseem ceeb heev, vim tias yog tias tus neeg mob ntshav qab zib rov qab ua txhaum dua, tom qab ntawv txhaj koob thib ob ntawm glucagon yuav tsis pab nws rov qab los. Vim li cas - peb tau piav qhia saum toj saud. Tib lub sijhawm, kev nce siab ntshav qab zib yuav tsum tau kho kom tsawg dua. Qhov thib ob txhaj ntawm cov tshuaj insulin tuaj yeem ua tiav tsis pub dhau 5 teev tom qab qhov kev ua ntej dhau los.

Yog hais tias hypoglycemia yog heev li uas koj poob nco qab, koj yuav tsum ua tib zoo saib xyuas koj cov txheej txheem kho ntshav qab zib kom nkag siab qhov twg koj ua yuam kev. Rov nyeem cov npe ntawm cov teeb meem tshwm sim ntawm cov ntshav qab zib, uas tau muab rau saum toj no hauv tsab xov xwm.

Cov khoom lag luam rau cov ntshav qog ntshav qab zib yog cov ntsiav tshuaj qabzib, cov khoom siv xwm txheej ceev nrog glucagon, thiab tseem nyiam dua cov kua ua kua qab zib. Kev yuav txhua yam ntawm no hauv cov tshuaj yuav yooj yim, tsis kim, thiab nws tuaj yeem cawm lub neej ntawm cov neeg mob ntshav qab zib. Nyob rau tib lub sijhawm, cov khoom siv rau rooj plaub ntawm hypoglycemia yuav tsis pab yog tias cov neeg nyob ib puag ncig koj tsis paub qhov chaw lawv khaws cia, lossis tsis paub yuav ua li cas muab kev pabcuam thaum muaj xwm txheej ceev.

Khaws cov khoom ntshav qab zib nyob rau tib lub sijhawm hauv ntau qhov chaw yooj yim hauv tsev thiab tom haujlwm, thiab qhia cov neeg hauv tsev neeg thiab cov npoj yaig paub qhov twg lawv cia.Khaws cov piam thaj hauv koj lub tsheb, hauv koj lub hnab nyiaj, hauv koj cov hnab ris thiab hauv koj lub hnab nqa. Thaum taug kev los ntawm kev tsav dav hlau, khaws koj cov khoom qab zib hauv koj lub nra, nrog rau qhov luam hauv koj lub hnab ntim khoom. Qhov no yog qhov tsim nyog yog tias txhua lub hnab ntim khoom yuav ploj lossis nyiag ntawm koj.

Hloov cov khoom siv kub ntxhov nrog glucagon thaum hnub tim tas sij hawm tas sij hawm. Tab sis nyob rau hauv qhov xwm txheej ntawm hypoglycemia, koj tuaj yeem tsim kev nyab xeeb txhaj tshuaj, txawm tias nws yuav tas sijhawm. Glucagon yog hmoov nyob hauv lub vial. Txij li nws tau qhuav, nws tseem siv tau rau ntau xyoo ntxiv tom qab hnub tas sij hawm. Ntawm chav kawm, qhov no tsuas yog yog tias nws tsis raug rau qhov kub thiab txias heev, zoo li tshwm sim rau lub caij ntuj sov hauv lub tsheb kaw hauv lub hnub. Nws raug nquahu kom muab cov khoom siv xwm txheej ceev nrog glucagon hauv lub tub yees txias ntawm + 2-8 degrees Celsius. Npaj cov tshuaj glucagon daws teeb meem tsuas siv tau hauv 24 teev.

Yog tias koj siv qee yam los ntawm koj cov khoom seem, tom qab ntawd rov qab thov lawv sai li sai tau. Muab cov ntsiav tshuaj qabzib ntau tshaj thiab cov ntsuas cov kua ntsuas nyob ntev. Nyob rau tib lub sijhawm, cov kab mob paub zoo txog cov piam thaj. Yog tias koj tsis siv cov ntsiav tshuaj qabzib rau 6-12 lub hlis, tom qab ntawd lawv yuav dhau los ua pob dub. Qhov no txhais tau hais tias cov kab mob pawg kab mob tau tsim rau lawv. Nws yog qhov zoo dua los hloov tam sim ntawd cov ntsiav tshuaj nrog cov tshiab.

Cov cim qhwv caj dab, cov hlua khi thiab cov kabmob rau cov neeg mob ntshav qab zib yog nrov hauv cov tebchaws Askiv. Lawv yog cov siv tau zoo yog tias cov kab mob ntshav qab zib vim tias lawv muab cov ntaub ntawv tseem ceeb rau cov kws kho mob. Tus neeg mob ntshav qab zib-hais lus neeg mob ntshav qab zib tsis yog tsim nyog yuav tau xaj yam khoom ntawd los ntawm neeg txawv teb chaws. Vim tias nws tsis zoo li tus kws kho mob ceev yuav nkag siab dab tsi sau ua lus Askiv.

Koj tuaj yeem ua koj tus kheej txoj kev paub saws tes los ntawm kev txiav txim ib tus neeg engraving. Ib txoj hlua tes yog qhov zoo dua li lub xauv nyiaj, vim tias nws zoo dua li cov kws kho mob yuav pom nws.

Vim li cas cov ntshav qab zib ntshav qab zib thiaj pib muaj?

Cov tshuaj insulin yog ua ke los ntawm ib leeg islets ntawm tib neeg tus txiav ua ke. Hauv cov ntshav qab zib mellitus, thawj hom ntawm qhov khoom no tsis tuaj lossis nws tsim tau tsawg. Qhov thib ob ntawm cov kab mob endocrine koom nrog kev tiv thaiv cov nqaij mos ua kom insulin. Txhawm rau kom kho tus mob, cov neeg mob siv cov tshuaj tshwj xeeb. Feem ntau ntawm cov qe ntshav hauv lub cev noj ntawm insulin. Kev ntxhov siab, mob hlwb hnyav thiab lub cev hnyav ua rau nws noj cov piam thaj yam tsis muaj qhov hormone no. Cov ntshav qab zib cov ntshav qab zib tsawg zuj zus thiab cov ntshav qog ntshav nce ntshav.

Txhawm rau kom lub hlwb thiab cov leeg mob nyob rau hauv ib txwm muaj nyob, lub ntsuas cov kua nplaum yuav tsum tsis txhob qis dua 3.3 mmol / L. Kev mob ntshav siab ntshav qis yog ib qho mob uas ua rau kom tsawg. Hauv qhov no, lub cev muaj kev paub txog lub zog ntawm kev tshaib plab, vim qhov ua haujlwm ntawm lub hlwb thiab lwm yam khoom nruab nrog muaj kev cuam tshuam. Pom qhov txawv ntawm qhov tseeb thiab tsis tseeb hypoglycemia. Hauv rooj plaub thib ob, qab zib qhov tseem ceeb thaum lub sijhawm ntsuas tuaj yeem tsa tau lossis nce siab.

Cov laj thawj tseem ceeb uas ua rau muaj ntshav qab zib yog cuam tshuam nrog ntshav qab zib mellitus thiab kev kho tsis raug ntawm tus kab mob. Cov no suav nrog kev noj tshuaj insulin ntau dhau ntawm keeb kwm ntawm kev noj zaub mov tshwj xeeb, kev tshaib plab ntev ntev ntawm tus neeg mob, kev ua haujlwm hauv lub hlwb, kev ntxhov siab, kev tawm dag zog lub cev. Nrog rau kev cuam tshuam ntawm cov khoom noj hauv lub cev, kev siv dej cawv ua rau muaj kev tshwj xeeb ntawm pathology - haus cawv Kev rov qab qog lossis lub cev txo qis hypoglycemia txhim kho hauv cov neeg muaj kev noj qab haus huv zoo nyob rau tom qab ntawm kev noj zaub mov tsis zoo lossis kev kho mus ntev.

Nyias, nws yog tsim nyog xav txog kab mob no hauv cov menyuam yaus. Tus kab mob feem ntau muaj rau menyuam yaus thaum yug los yog tias leej niam yav dhau los tau kuaj pom tias mob ntshav qab zib. Qhov no yog vim muaj qhov ua kom tob dua ntawm tus menyuam cov hlab ntsha hlwb hauv utero. Cov tshuaj insulin hauv lub cev ntawm tus menyuam yug tom qab yug menyuam tas yuav muab cov piam thaj rau hauv lub hlwb. Kev muaj zaub mov tsis zoo tuaj yeem ua rau cov ntshav qab zib poob qis.Lwm qhov ntawm pathology yog hypoglycemic syndrome, uas tsim kho tawm tsam ntawm keeb kwm ntawm qog-tsim cov qog - insulinomas.

Pathology tuaj yeem thev dhau los ntawm ntau yam. Hauv cov neeg mob ntshav qab zib, tus kab mob no nthuav dav rau ib qho ntawm cov laj thawj hauv qab no:

• kev qaug zog
• cov koob tshuaj tsis yog yam tshuaj tsis zoo ntawm cov tshuaj insulin lossis cov ntshav qab zib,
• lub cev qhuav dej
• Skipping insulin los yog noj mov
• mob siab daim siab (mob ntsws, mob siab tsis ua haujlwm),
• mob rau daim npluag qhwv
• hormonal tsis txaus (corticosteroid ntsoos ntsoos mob syndrome, hypopituitarism, mob plawv tsis ua hauj lwm (mob ntsws tsis txaus), thiab lwm yam),
• txha caj qaum
• cov kab mob ntawm lub plab zom mov (lub plab zom mov), nyob rau hauv cov txheej txheem ntawm assimilation ntawm carbohydrates yog ntxhov (enteritis, dumping syndrome, colitis),
• cawv intoxication,
• mob sarcoidosis
• KNP (mob raum tsis ua haujlwm),
• pancreatic insulinoma
• sepsis
• cov kab mob caj ces (autoimmune hypoglycemia, V cell hypersecretion lossis VII ectopic insulin secretion).

Qhov kev ua txhaum yog qhov tshwj xeeb tshaj yog rau cov neeg uas muaj mob los ntawm cov kab mob ntawm cov hlab plawv. Pathology hauv cov neeg mob zoo li no ua rau mob stroke, retinal hemorrhage, myocardial infarction. Lub cev physiological ntawm tus kab mob loj hlob nyob rau hauv cov me nyuam yug tshiab vim depletion ntawm glycogen reserves hauv thawj hnub tom qab yug. Cov ntshav qabzib tsawg nyob hauv cov neeg noj qab nyob zoo tuaj yeem raug cuam tshuam los ntawm cov hauv qab no:

• kev ntxhov siab heev
• khoom noj khoom haus tsis txaus
• lub cev ua si nyhav,
• tsis ua raws li cov neeg haus cawv,
• coj khaub hlab
• Txoj kev ua ntshav ntawm txoj hnyuv hauv qab ntsev ntau.

Kev faib tawm

Cov kab mob no muaj tus lej rau ICD (Kev Koom Tes Ntawm Cov Kab Mob Thoob Ntiaj Teb) - 16.0. Tsis tas li ntawd, hypoglycemia tau muab faib ua cov chav kawm uas tau muab cov lej hauv qab no:

• kev xaiv tsis tau - E2,
• ua txhaum ntawm kev sib txuas ntawm gastrin - 4,
• hypoglycemic coma (hauv cov neeg mob tsis muaj mob ntshav qab zib mellitus) - E15,
• lwm yam kev ua txhaum tau txheeb pom thaum lub sijhawm kawm ntawm tus neeg mob - 8,
• hyperinsulinism thiab mob caj dab - E1.

Ib yam ntxiv pathology tau muab faib rau cov laj thawj Cov. Hauv qab no yog cov lus qhia uas muaj kev faib tawm meej:

Neonatal lossis dua sijhawm (hauv cov menyuam yug tshiab)

• Kab mob plawv
• yug me nyuam asphyxia
• lub cev tsis muaj peev xwm txhawm rau zom cov piam thaj,
• kis kab mob
• sepsis.

• Cov nyiam haus cawv mus ntev,
• kev haus dej haus cawv muaj ntau nyob rau tom qab ntawm kev noj haus tsis txaus.

• Kev ua txhaum ntawm lub luag haujlwm ntawm txoj hnyuv tom qab kev phais mob,

• hypothyroidism.

• Tsis muaj carbohydrates txaus rau koj cov kev noj haus
• lub cev ua si nyhav,
• kab mob ntawm lub plab zom mov.

Qhov tseem ceeb ntawm cov tshuaj insulin ua ntej mus pw lossis thaum noj hmo (thaum lub sijhawm 2 mus rau 4 teev, qhov tshuaj tua tsis haum los ntawm lub cev).

• Cev xeeb tub
• mob raum los sis mob raum tsis zoo,
• insulin overdose.

• Ua txhaum ntawm dej-electrolyte lossis acid-puag qhov sib npaug,
• kev puas tsuaj rau hypothalamus,
• tsis ua hauj lwm lawm
• lub caij nyoog yoo nrog lub caij nyoog ntu.