Cev xeeb tub thiab ntshav qab zib - nws puas tsim nyog muab yug

Cia peb tsis los teeb rau txhua yam, tabsis hais kom meej li nws, nrog rau cov ntshav qab zib, nws nyuaj heev rau kev nyuaj siab thiab yug tau ib tus menyuam noj qab nyob zoo. Kuv xav nco qab tias rau caum xyoo dhau los nws tau ntseeg tias muaj ntshav qab zib, cev xeeb tub yog nruj me ntsis thiab kev rho menyuam yuav tsum tau ua tam sim ntawd. Tab sis, ua tsaug rau Vajtswv, kev tshawb fawb hloov mus lawm tom ntej thiab hauv peb lub sijhawm txhua yam dhau los ua ntau yam yooj yooj yim thiab yooj yim dua.
Tam sim no, txoj hauv kev tshiab ntawm prophylaxis, nrog rau kev kho tus kab mob nyuaj no, uas ua rau tus poj niam ua cev xeeb tub thiab muaj menyuam muaj zog, tau tsim kho. Nyob rau tib lub sijhawm, nws tsim nyog sau cia tias cov txuj ci no yuav tsis tas tus poj niam cev xeeb tub yuav tsum muaj lub zog loj lossis nrhiav kom tau qhov kev xeeb tub txhua qhov nyob sab hauv tsev ntsa. Thaum cev xeeb tub nrog ntshav qab zib, nws yog ib qho tseem ceeb heev kom raws sij hawm tsim kho txoj kev kho mob kom zoo thiab saib xyuas kev noj qab haus huv ntawm tus menyuam yav tom ntej, qhov no yuav tsum tau ua los ntawm tus kws kho mob koom nrog, vim tsuas yog nws paub txog cov yam ntxwv ntawm koj li kev noj qab haus huv thiab keeb kwm ntawm koj cov kab mob, thiab tsuas yog nws yuav tsum hais tias koj tuaj yeem cev xeeb tub thiab koj tuaj yeem txawm koj muaj nkauj menyuam los.

Kev tsim mob ntshav qab zib gestational kev loj hlob

Hom mob ntshav qab zib (los yog raws li nws tseem hu ua mob ntshav qab zib thaum cev xeeb tub) feem ntau pib tsim txawm tias cov poj niam muaj kev noj qab haus huv, tshwj xeeb feem ntau nws tuaj yeem kuaj tau pib txij 21 lub lim tiam ntawm cev xeeb tub. Nws yog tsim nyog sau cia tias 8% ntawm cov poj niam noj qab haus huv tuaj yeem tshawb pom kev txhim kho mob ntshav qab zib hauv lub cev. Qhov tseem ceeb ntawm cov ntshav qab zib no yog tias tom qab yug menyuam tus kab mob tuaj yeem ploj ntawm nws tus kheej, tab sis cov mob rov huam tuaj feem ntau tshwm sim thaum cev xeeb tub zaum thib ob.

Hmoov tsis zoo, cov kws tshawb fawb tseem tsis tuaj yeem txiav txim siab tias yog vim li cas ntshav qab zib muaj sia. Tsuas yog cov kev paub dav dav ntawm kev txhim kho tus kab mob yog paub. Hauv thaj chaw ntawm tus pojniam, cov tshuaj hormones yog tsim los ua lub luag haujlwm rau kev loj hlob thiab kev loj hlob ntawm tus menyuam. Tib lub sijhawm, qee zaum lawv tuaj yeem thaiv cov insulin ntawm leej niam, vim li ntawd, cov roj ntawm lub cev ntawm tus poj niam lub cev poob qee qhov tsis txaus siab rau insulin thiab ntshav qab zib pib nce. Tib lub sijhawm, ua raws li kev noj haus kom zoo thiab kev kho, koj tuaj yeem yug menyuam thiab tsis xav txog kab mob.

Thawj cov tsos mob ntshav qab zib

Nws yog ib qho tseem ceeb heev uas cov neeg xeeb tub mus txog qhov teeb meem kev xeeb tub nrog lub luag haujlwm loj thiab muab tshwj xeeb rau nws kev noj qab haus huv thiab kev ua neej nyob rau lub sijhawm zoo ntawm cev xeeb tub. Nws yog ib qho tseem ceeb kom sab laj nrog koj tus kws kho mob raws sijhawm, qhov no tshwj xeeb tshaj yog rau cov tsos mob hauv qab no:

Kuv xav tias qhuav heev hauv kuv lub qhov ncauj
nquag tso zis los yog tso zis tsis ua hmo ntuj,
nqhis dej heev (tshwj xeeb yog thaum tsaus ntuj),
Thaj muaj zog ua tsis taus pa,
tsis muaj zog thiab kev txob taus tshwm sim,
yog tias koj tau poob sai lossis nce phaus,
khaus tawv tshwm
funicular kab mob.

Yog tias ib qho ntawm cov tsos mob no pib cuam tshuam koj, koj yuav tsum sab laj nrog kws kho mob sai. Txij li thaum tsis nrhiav kev pabcuam raws sijhawm thiab cov lus qhia tuaj yeem ua rau tsis yog leej niam nkaus xwb, tabsis nws tus menyuam hauv plab. Yog li nyob rau hauv tsis muaj cov ntaub ntawv tsis txhob cia txhua yam mus ntawm lub caij nyoog.

Kev noj haus thiab kev kho mob tseem ceeb

Yog tias, tom qab tshuaj xyuas thiab kev kuaj mob tag nrho, tus kws kho mob tau pom tias qhov kev xeeb tub muaj peev xwm thiab yuav tsum muaj kev tswj hwm, tom qab qhov tseem ceeb tshaj plaws yog los them tag nrho cov ntshav qab zib. Qhov no qhia tau tias, ua ntej tshaj plaws, cov neeg yuav tsum xav ua ntej yuav tsum ua raws li kev noj haus (feem ntau cov tshuaj noj tus lej 9). Nws yuav yog qhov yuav tsum tau tshem tawm txhua yam khoom qab zib thiab qab zib ntawm cov khoom noj. Tus naj npawb ntawm cov calories tsis tuaj yeem tshaj 3,000 kcal. Nyob rau tib lub sijhawm, nws yog ib qhov tsim nyog tias cov khoom noj muaj qhov sib npaug, thiab tseem tias yuav muaj ntau qhov muaj nqis ntawm cov zaub mov thiab cov vitamins nyob hauv nws cov muaj pes tsawg leeg.

Nws kuj tseem ceeb heev uas yuav tau soj ntsuam cov sijhawm teem sijhawm kom tsawg thiab noj tsawg, nrog rau kev tsim cov tshuaj insulin kom raws sijhawm. Txhua tus poj niam cev xeeb tub uas muaj ntshav qab zib tau pauv mus rau insulin, vim tias cov tshuaj txaws txo qis tsis ua rau muaj kev cuam tshuam sai thiab raug txwv tsis pub siv thaum cev xeeb tub. Tsis txhob hnov qab tias yog insulin raug tshuaj thaum cev xeeb tub, tom qab yug menyuam nws yuav tsis mus qhov twg thiab kev txhaj tshuaj yuav tsum ua kom tas lub neej. Yog li nws yog qhov zoo dua los tiv thaiv koj txoj kev noj qab haus huv thiab tiv thaiv kev txhim kho kab mob xws li mob ntshav qab zib.

Kev Yug Me Nyuam

Feem ntau thaum cev xeeb tub mob ntshav qab zib, kev mus pw hauv tsev kho mob tsawg kawg yog 3 zaug rau tag nrho lub cev xeeb tub (tus naj npawb ntawm tsev kho mob tuaj yeem txo qis, tab sis tsuas yog kev tso cai ntawm tus kws kho mob koom nrog). Thaum lub sijhawm kawg ntawm tsev khomob, nws tau txiav txim siab thaum nws yuav tuaj yeem yug menyuam thiab txoj kev yug menyuam. Tsis tas li ntawd, tsis txhob hnov qab tias tus poj niam cev xeeb tub, thiaj li yuav muaj menyuam tsis muaj pathologies, yuav tsum muaj kev saib xyuas tas li thiab saib xyuas cov kws kho mob endocrinologist, tus kws kho mob poj niam thiab kws kho mob hauv tsev. Qhov teeb meem tseem ceeb tshaj plaws yog lub sijhawm yug menyuam, vim tias lub cev tsis muaj zog txaus yuav nce ntxiv thiab koj yuav tsum yug menyuam kom ncav sijhawm, vim tias kev hem thawj rau kev tuag ntawm menyuam hauv plab yuav nce ntxiv. Qhov teeb meem tseem ceeb yog tias muaj ntshav qab zib, cov menyuam yaus hauv plab yuav loj hlob sai thiab ncav cuag qhov ntau thiab tsawg. Cov kws kho mob muaj lub tswv yim tias nrog ntshav qab zib, koj yuav tsum yug menyuam ua ntej lub sijhawm (feem ntau ntawm 36 - 37 lub lis piam). Thaum muab lub sijhawm yug menyuam yog txiav txim siab kiag li ntawm tus kheej, nws yog qhov tsim nyog thiab tsim nyog yuav tsum coj mus rau hauv tus yam ntxwv ntawm tus menyuam thiab nws niam, thiab tseem yuav tsis hnov qab txog keeb kwm kev xeeb menyuam.

Nws yog tsim nyog teev cia tias feem ntau, cov poj niam muaj ntshav qab zib tuaj yeem yug menyuam los ntawm kev phais mob. Tib lub sijhawm, tsis hais tus poj niam nws tus kheej yug menyuam lossis yug menyuam, kev txhaj tshuaj insulin tsis tso tseg thaum yug menyuam. Tsis tas li, kuv xav kom nco ntsoov tias txawm hais tias qhov kev yug menyuam tshiab no muaj lub cev hnyav txaus, cov kws kho mob tseem xav txog lawv ua ntej thiab xav tau kev saib xyuas tshwj xeeb. Feem ntau, thawj ob peb teev ntawm lub neej ntawm tus menyuam no tau tswj hwm nruj los ntawm cov kws kho mob uas kuaj pom, nrog rau kev tawm tsam nrog ntau yam teeb meem ua pa, muaj ntshav qab zib tsis txaus thiab muaj peev xwm pom ntawm tus menyuam lub nruab nrab lub paj hlwb.

Cov phiaj xwm zoo dua rau cov me nyuam

Kuv xav kos koj lub siab rau qhov tseeb tias mob ntshav qab zib, nws tsim nyog npaj rau cev xeeb tub. Yog lawm, txhua tus pojniam xav tau thiab npau suav ntawm kev yug menyuam kom muaj kev noj qab haus huv, thiab rau qhov no nws yuav tsum tau npaj rau qhov tseeb tias nws yuav tsum ua raws li cov kev cai nruj tshaj plaws: ua raws li qee qhov kev noj zaub mov, ua kom txhaj tshuaj insulin, thiab mus pw hauv tsev kho mob txhua lub sijhawm. Tsis txhob hnov qab tias yog tias, ua ntej lub sijhawm cev xeeb tub, qab zib raug tswj tau yooj yim nrog cov tshuaj muaj suab thaj thiab muaj zaub mov zoo, thaum lub sijhawm cev xeeb tub no yuav tsis txaus.

Tsis tas li ntawd, tsis txhob hnov qab tias cov tshuaj muaj ntshav qab zib raug txwv tsis pub siv thaum cev xeeb tub, vim tias lawv tuaj yeem ua rau muaj teeb meem thaum yug hauv plab hauv tus menyuam hauv plab. Txhua yam no qhia tau tias yog tias koj tab tom npaj cev xeeb tub nrog ntshav qab zib, tom qab ntawd rau lub sijhawm ua ntej npaj xeeb, koj yuav tsum pib ua cov tshuaj insulin thiab hloov mus rau nws. Yog lawm, cov no yog cov tsis zoo heev rau kev txhaj tshuaj txhua hnub, tab sis tib lub sijhawm koj yuav yug menyuam kom zoo uas yuav zoo siab rau koj tag nrho nws lub neej. Muaj menyuam tsis kis nyob rau hauv cov ntshav qab zib thiab cov menyuam yuav tsis tas yuav muaj ntshav qab zib ua ntej, yog li nws txhua yam nyob ntawm niam txiv yav tom ntej.

Kuv puas tuaj yeem yug menyuam muaj ntshav qab zib

Koj tuaj yeem yug cov ntshav qab zib tau, tab sis kev sib tham ntxaws ntxaws ntawm qhov teeb meem no nyob ntawm lub hnub nyoog ntawm tus neeg mob, kev hloov pauv hauv cov piam thaj thiab lwm cov ntsiab lus. Nws yuav tsum tau yug los rau hauv lub siab tias qhov kev thau tawm ntawm tus poj niam lub cev yuav nce ntau, uas tuaj yeem ua rau ntau yam kev cuam tshuam nrog lub raum, mob plawv thiab ntshav khov. Ua tib zoo saib xyuas qhov tseeb uas:

nyob rau hauv tus poj niam, vim tias kev noj zaub mov noj lossis qhov tsis yog qhov tseeb ntawm cov tshuaj tiv thaiv hormonal, hypoglycemic coma tuaj yeem tshwm sim,
yog tias kev xeeb tub nrog ntshav qab zib tau tsim los yam tsis muaj kev koom tes ntawm kws kho mob, muaj peev xwm ua rau embryo kev tuag nyob rau hauv thawj theem,
Hauv cov leej niam yav tom ntej, cov menyuam hauv plab tuaj yeem ncav cuag lub cev qhov hnyav, uas yuav ua rau cov menyuam muaj mob ntshav qab zib ntau ntxiv.

Cov kab mob kis tau yog txaus ntshai heev. Yog tias muaj kev noj qab haus huv ib txwm, siv tshuaj tiv thaiv kab mob khaub thuas, tom qab ntawd rau cov xeeb ntxwv ntawm cov kab mob endocrine xws li cov tshuaj tiv thaiv tsis tau siv. Koj yuav tsum tau ua tib zoo saib xyuas kev nyiam huv thiab tsis txhob tiv tauj nrog cov neeg mob.

Txhawm rau txiav txim siab txiav txim siab seb puas tuaj yeem muaj menyuam yaus, kev kuaj mob yuav tsum ua tiav. Nws yog qhov zoo tshaj plaws los ntawm kev npaj rau theem, txawm li cas los xij, yog tias qhov tseeb ntawm kev xeeb tub tsis tau npaj txhij, kev kuaj mob tau pom zoo hauv thawj lub lis piam. Qhov no yuav tsim kom paub seb tus poj niam sawv cev puas muaj peev xwm thev tau me nyuam, dab tsi yog qhov pheej hmoo txaus ntshai.

Raws li cov kws tshaj lij, yog tias tus txiv neej tau ntsib tus kab mob, qhov tshwm sim ntawm tus kab mob caj ces yuav tshwm sim hauv 5% thaum nws los txog rau poj niam, tom qab ntawd kwv yees li 2% ntawm qhov puas yog qhov pheej hmoo kis tus kab mob. Tsis muaj qhov ntsuas qis tsawg (25%) rau ib nkawm uas ob leeg koom nrog yws yws txog cov teeb meem zoo sib xws.

Kev npaj rau kev yug me nyuam

Cov kev pom zoo ua ntej yuav tsum tau txiav txim siab thaum ntxov mob tshaj plaws. Qhov no tseem ceeb vim tias qhov txaus ntshai tshaj plaws hauv cov neeg mob uas muaj kab mob insulin-tau ywj pheej, nrog rau vim muaj kev tsim tus yam ntxwv. Mas pom zoo:

ceev faj npaj
Kev them nyiaj ua ntej cev xeeb tub, tag nrho nws lub sijhawm, lub sijhawm thiab tom qab yug menyuam,
kom ntseeg tau kev tiv thaiv thiab kev kho mob ntawm cov teeb meem,
xaiv lub sij hawm thiab vib this los daws teeb meem kev xeeb tub,
kev siv cov kev ntsuas kom rov zoo thiab laus.

Kev npaj lub hnub yug ntawm cov menyuam yaus uas muaj ntshav qab zib txhais tau tias tom qab kev saib xyuas ntawm cov menyuam. Kev coj ua ntawm cov txheej txheem no yuav tsum ua kom ntseeg tau hauv qhov chaw sab nrauv thiab pw hauv tsev. Peb txoj kev npaj cov tsev kho mob raug pom zoo, thawj zaug uas tsim nyog thaum ntxov thiab tso cai rau koj los daws cov teeb meem ntawm kev saib xyuas tus mob, muab kev tiv thaiv kev tiv thaiv thiab them rau cov kab mob.

Qhov thib ob yog tseem nqa tawm hauv tsev kho mob, rau li ntawm 21 txog 25 lub lis piam. Qhov no feem ntau muaj feem xyuam nrog kev sib txuas nrog qhov ntsuas tsis tau ntawm qhov ua kom mob ntshav qab zib thiab mob nyhav ntawm tus mob. Muaj kev xav tau kev kho kom tsim nyog thiab ua tib zoo kho ntawm qhov sib piv ntawm cov khoom siv hormonal.

Cov kws kho mob tau qhia txog qhov tseeb txog tus mob ntshav qab zib! Mob ntshav qab zib yuav ploj mus nyob rau hauv 10 hnub yog tias koj haus nws sawv ntxov. »Nyeem ntxiv >>>

Qhov thib peb pw tsev kho mob yog muab nyob rau theem ntawm 34 txog 35 lub lis piam thiab koom nrog kev saib xyuas zoo tshaj plaws ntawm tus me nyuam. Kev kho mob ntawm kev xeeb tub thiab mob ntshav qab zib, kev xaiv ntawm lub sij hawm thiab cov hau kev ntawm kev xa khoom txuas ntxiv yog tsim nyog. Nws yuav tsum tau yug los hauv lub siab tias, piv txwv li, nrog daim ntawv insulin-tiv thaiv tsis tau, kev yug menyuam yog qhov tau npaj ua ntej, lub sijhawm siab tshaj yog 38 lub lis piam. Yog tias qhov no tsis tshwm sim zoo, cov lus cog lus yuav tsa los yog phais.

Kev phom sij thiab qhov teeb meem tshwm sim

Nrog rau kev txhim kho ntawm tus kabmob, qhov ntxim nyiam ntawm kev tsim ntawm ntau yam tsis xws luag hauv lub embryo nce. Qhov no yog qhov cuam tshuam rau qhov tseeb tias tus me nyuam mos noj cov khoom noj khoom haus carbohydrate los ntawm leej niam thiab, nrog rau cov piam thaj noj, tsis tau txais qhov xav tau ntawm cov tshuaj hormones. Lub taub me me ntawm tus menyuam tsis tau loj hlob thiab tsis tuaj yeem tsim cov tshuaj insulin. Ua tib zoo saib xyuas qhov tseeb uas:

Nyob hauv txhua hom kabmob, hyperglycemia mus tas li cuam tshuam rau kev tsim lub zog tsis txaus. Qhov tshwm sim ntawm qhov no yog qhov tsis yog tsim ntawm tus menyuam lub cev.

Tus kheej cov leeg ua kua nyob rau yav tom ntej tus menyuam loj hlob thiab ua haujlwm tseem ceeb hauv lub hlis thib ob.

Thaum muaj suab thaj ntau hauv cov niam, cov khoom nruab nrog sawv nrog cov nce siab. Qhov no yog vim qhov tseeb tias qhov tshuaj hormones tsis yog siv cov suab thaj hauv koj lub cev nkaus xwb, tab sis kuj tseem ua kom cov ntshav ntawm cov poj niam muaj ntshav ntau.

Xws li cov insulin ntau lawm cuam tshuam rau kev tsim cov hyperinsulinemia. Kev tsim tawm ntau ntxiv ntawm cov feem cuam tshuam rau cov ntshav qog ua ntshav hauv tus menyuam; tsis tas li ntawd, kev ua pa tsis ua haujlwm thiab ua rau lub cev ua pa tsis zoo. Qhov ntau thiab tsawg kawg ntawm cov piam thaj tuaj yeem tsim kev tuag ntawm tus menyuam hauv plab.

Ib qho ntxiv, peb yuav tsum tsis txhob hnov qab txog tus lej ntawm cov xeeb ceem ntawm cov xeeb ntxwv ntawd. Qhov tshwj xeeb no yog lub ntsej muag lub ntsej muag zoo li lub ntsej muag, lub cev muaj roj ua rog. Muaj ntau cov ntshav tawm ntawm lo lus epidermis thiab nqua, edema, cyanosis. Ua tib zoo saib rau qhov loj, qhov loj heev ntawm qhov tsis xws luag, lub cev tsis ua haujlwm ntawm cov plab hnyuv siab raum thiab lub nruab nrog cev.

Kev tswj thiab daws teeb meem kev yug menyuam

Cov nyiaj them ncaj thiab ruaj khov yog xyaum, uas cuam tshuam txog kev txhim kho cov metabolism hauv cov metabolism, cov khoom noj khoom haus metabolic yooj yim. Ib qho tseem ceeb yog ua raws kev noj haus. Qhov nruab nrab, cov calories tauj ib hnub yuav tsum yog los ntawm 1600 txog 2000 kcal, thaum 55% yog rau cov khoom noj carbohydrates, 30% rau cov rog, 15% rau cov protein. Ib qho tseem ceeb sib npaug yuav tsum raug xam tias yog qhov txaus ntawm cov vitamins thiab pob zeb hauv av.

Thaum npaj kev xa khoom, kev ntsuas ntawm qhov muaj peev xwm ntawm kev loj hlob ntawm tus menyuam yog muab. Thov nco ntsoov tias:

txoj hauv kev zoo tshaj plaws yog kev yug me nyuam los ntawm txoj kev ntuj,
cov txheej txheem zoo sib xws yog ua nyob rau hauv kev soj ntsuam tas li ntawm glycemia ntsuas (txhua 120 feeb), tshuaj loog, tshwj tsis yog fetoplacental tsis txaus thiab kho cov tshuaj insulin,
nrog npaj yug canals, lub algorithm pib nrog amniotomy nrog ntxiv tsim ntawm keeb kwm hormonal,
yog tias pom tau tias cov haujlwm muaj txiaj ntsig zoo, kev yug menyuam mus txuas ntxiv ib txwm muaj nrog kev siv lub npe antispasmodic,
kom cais tawm qhov tsis muaj zog ntawm lub zog patrimonial, kev tswj hwm ntawm oxytocin yog coj los ua thiab txuas ntxiv kom txog thaum yug menyuam.

Nrog cov kwj dej yug menyuam tsis tau npaj cia, qhov tsis muaj tshwm sim ntawm cov txheej txheem lossis qhov tshwm sim ntawm cov tsos mob ntawm kev muaj menyuam yaus hypoxia, tus txheej txheem ua tiav los ntawm kev phais mob.

Resuscitation ntawm cov me nyuam yug tshiab

Cov menyuam yaus uas tshwm sim li no xav tau kev saib xyuas tshwj xeeb. Ua tib zoo saib xyuas cov cim thiab tswj kev ua pa ntawm lub ntsws, hypoglycemia, acidosis thiab kev puas tsuaj rau cov leeg hlwb.

Cov hauv paus ntsiab lus hu ua kev cais tawm ntawm kev tso ntshav qab zib, kev saib xyuas tus menyuam, uas tuaj yeem yug tau ib txwm, tab sis ob peb teev tom qab ntawd nws tus mob yuav phem dua. Kev kho mob Syndromic yog xyaum, kom ntseeg tau tias cais tawm ntawm txhua qhov mob tshiab.

Hauv qhov no, chav da dej ntawm lub qhov ncauj ua pa sab saud, ntxias ua pa ntawm lub ntsws yog muab. Xws li qhov ua rau lub ntsej muag ntshav, qis dua 1.65 mmol thiab nrog qhov kwv yees tias cov piam thaj tsawg dua, 1 g / kg ntawm lub cev hnyav raug siv los tso tshuaj lossis txo qis (thaum pib 20%, tom qab ntawd 10% kev daws).

Yog tias cov mob ntshav khov yog qhov tseem ceeb, lawv muab kev tawm tsam tiv thaiv hypovolemia (siv albumin, ntshav ntshav, protein formulations). Muaj cov hemorrhagic syndrome (mob ntshav tawm) yog neutralized los ntawm Vikasol, qeb B vitamins, 5% calcium chloride daws teeb meem.

Nyob rau theem pib ntawm lub sijhawm neonatal, cov menyuam yaus hloov kho nyuaj, uas cuam tshuam nrog kev tsim ntawm qee lub ntsej muag daj, mob lom erythema. Qhov hnyav ua rau poob thiab qeeb rov tuaj yeem txheeb xyuas tau.

Cov xwm txheej tsis txaus ntseeg txog kev ua leej niam

Hauv qee qhov xwm txheej, tus poj niam yuav tsum tsis txhob yug menyuam, qhov kev txwv no yog hu ua:

Lub xub ntiag muaj kev txhim kho vascular sai uas tshwm sim nyob rau hauv cov mob hnyav ntawm tus kab mob (piv txwv, retinopathy). Lawv aggravate lub cev xeeb tub nws tus kheej thiab zuj zus lawm qhov kwv yees rau leej niam thiab tus me nyuam.
Muaj cov tshuaj tiv thaiv insulin thiab cov ntaub ntawv labile.
Txheeb xyuas tus kab mob hauv txhua tus niam txiv, uas ua rau muaj qhov tuaj yeem txhim kho pathology hauv tus me nyuam yav tom ntej.
Kev sib xyaw ua ke ntawm kev mob hlwb thiab Rh rhiab ntawm leej niam, uas hloov kev kwv yees rau tus menyuam.
Kev sib xyaw ua ke ntawm cov kab mob endocrine thiab kev ua kom nquag plias ntawm txoj hlab ntsws.

Ntshav qab zib mellitus pom zoo los ntawm DIABETOLOGIST nrog kev paub txog Aleksey Grigorievich Korotkevich! ". nyeem ntxiv >>>

Cov lus nug txog qhov tshwm sim ntawm cev xeeb tub, nws txoj kev khaws cia lossis kev xav tau ntawm kev cuam tshuam yog txiav txim siab hauv kev sab laj. Cov txheej txheem cuam tshuam nrog kws kho mob-kws kho mob poj niam, cov kws kho mob thiab cov kws txawj endocrinologist txog li 12 lub lis piam.