Cov lus pom zoo rau tus neeg mob ntshav qab zib > Kev khomob thiab kev tiv thaiv

Txij li nws yog ib qho tseem ceeb rau cov neeg mob ntshav qab zib kom paub pab lawv tus kheej, tus kws kho mob muab cov lus qhia. Cov lus qhia raug rau kev tswj cov neeg mob ntshav qab zib suav nrog kev taw qhia kev tswj cov ntshav qabzib thiab muab kev pabcuam ua ntej rau cov neeg mob. Cov lus qhia no yuav tsum piav qhia rau tus neeg mob tias kev kuaj mob tseem ceeb yog dab tsi, nws muaj li cas thiab yuav muab kev kho mob xwm txheej ceev li cas.

TSEEM CEEB YUAV TSUM! Txawm tias cov ntshav qab zib siab tshaj plaws tuaj yeem kho tau hauv tsev, tsis tas yuav phais lossis tsev kho mob. Tsuas nyeem dab tsi Marina Vladimirovna hais. nyeem cov lus pom zoo.

Kev kuaj mob Algorithm

Tus neeg mob yuav tsum saib xyuas glycemia txhua hnub, tsawg kawg 4 zaug hauv ib hnub. Pub ntshav tsawg kawg 1 zaug nyob rau ib hlis twg los txiav txim siab glycated hemoglobin. Txhua rau lub hlis, koj yuav tsum tau kuaj ntshav thiab tso ntshav qab zib rau cov piam thaj. Ib xyoos ib zaug, tus neeg mob pub ntshav tawm rau cov roj ntsha.

Qab zib yog txo tam sim ntawd! Mob ntshav qab zib ntev mus ntev tuaj yeem ua rau tag nrho cov kab mob, xws li teeb meem tsis pom kev, tawv nqaij thiab plaub hau, mob rau sab hauv, mob caj pas thiab mob qog nqaij hlav! Cov neeg qhia kev iab kev xav mus li qub rau lawv qab zib. nyeem rau.

Cov kab mob ntshav qab zib hauv lub teb chaws muaj raws li WHO cov lus qhia. Kev tshawb pom los ntawm WHO pom tias cov ntshav qab zib tsis yog tsuas yog hauv lub tebchaws xwb, tabsis tseem yog qhov xwm txheej hauv ntiaj teb. Lub koom haum tau siv cov lus qhia rau kev kho mob hom 1 thiab ntshav qab zib hom 2 hauv kev saib xyuas kev noj qab haus huv. Cov lus pom zoo no muab cov algorithms ib txwm siv rau kev kuaj ntshav qab zib thiab muab kev pabcuam ua ntej rau cov neeg mob. Hauv xyoo 2017, ib pawg kws kho mob ua haujlwm tau tsim lub 8th tsab ntawv "Algorithms rau kev kho mob tshwj xeeb rau cov neeg mob ntshav qab zib."

Nrog rau kev kuaj mob tus kab mob, cov ntshav qab zib yuav tsum ua raws li cov lus pom zoo kho mob ntawm cov kws kho mob. Nws yog ib qho tsim nyog los tswj cov jumps hauv cov ntshav siab. Kev kuaj mob txhais tau hais tias nyob ruaj khov ntawm cov ntshav qab zib raws li kev saib xyuas ntawm tus kws kho mob. Tus kws kho mob yuav ntxiv tshuaj rau. Txhawm rau kev txheeb xyuas qhov tseeb, koj yuav tsum tau kuaj. Cov kws kho ntshav qab zib xav tau ib qho ultrasound ntawm cov peritoneum, ib qho electrocardiogram thiab Holter cov ntshav siab saib xyuas. Nws raug nquahu rau tus neeg mob mus ntsib tus kws kho mob ophthalmologist, kws kho plawv, kws kho poj niam lossis tus urologist, neurologist thiab tus neeg paub txog tus mob caj dab (yog tias muaj tus mob concomitant).

Ntshav qab zib noj haus

Txoj cai tseem ceeb yog kom tsis txhob hla zaub mov noj thiab noj tsawg, tab sis ntau zaus (5-6 zaug ib hnub). Yuav tsum yoo mov cov hnub mob ntshav qab zib tau. Rau cov neeg mob insulin, nws yog ib qho tseem ceeb yuav tau ua kom cov ntshav insulin tsis pub dhau. Tus neeg mob xav tau kom tsis suav cov khoom ntim muaj suab thaj los ntawm kev noj zaub mov. Thaum muaj mob ntshav qab zib hom 2, lawv ua raws kev noj haus tshwj xeeb - rooj No. 9. Xws li khoom noj khoom haus pub rau cov ntshav qabzib hauv cov ntshav.

Them nyiaj rau qhov ntau ntawm cov rog, protein thiab carbohydrates hauv zaub mov. Cov zaub mov carbohydrate yuav tsum tsis txhob nyob ntau dua 60% ntawm cov zaub mov noj, thiab cov nqaijrog thiab cov rog rog yuav tsum tsis txhob nyob ntau dua 20%. Tus neeg mob tsis tau muab tshem tawm los ntawm cov tsiaj rog thiab cov carbohydrates yooj yim. Hauv cov menyuam yaus uas muaj ntshav qab zib, cov zaub mov tuaj yeem ua rau. Tus mob ntshav qab zib nyiam dua cereals (buckwheat, mov, nplej), zaub thiab txiv hmab txiv ntoo nrog cov qab zib cov ntsiab lus tsawg kawg nkaus.

Hloov chaw qab zib, nws yog qhov zoo dua los siv cov piam thaj hloov - xylitol thiab sorbitol, saccharin lossis fructose. Tus mob ntshav qab zib khwv tau cov khoom noj uas yog calories ntawm cov zaub mov thiab khaws cia cov zaub mov. Tom qab noj mov, tus mob ntshav qab zib tsuas tuaj yeem noj cov insulin tom qab 15 feeb. Yam 1 ntshav qab zib mellitus tso cai rau koj qee sijhawm haus 100-150 g ntawm qhuav lossis rooj cawv txiv hmab (tsis pub dhau 5% lub zog). Ntawm hom 2 Ntshav Qab Zib, cawv yog contraindicated. Cov tshuaj lag luam tshwj xeeb rau cov mob ntshav qab zib yog yuav tom khw muag khoom.

Cov khoom uas muaj ntshav qab zib - cov qab zib, khoom qab zib, mis hloov - zoo rau cov neeg mob ntshav qab zib ntawm ob hom. Lawv tso cai rau koj los ua kom txawv cov zaub mov ntawm cov ntshav qab zib.

Ntshav qab zib hnub regimen

Cov lus qhia rau cov ntshav qab zib hom 2 suav nrog kev taug qab neeg mob. Kev tswj hwm kev noj qab haus huv txhua hnub yuav cia koj raug suav sau, tsis txhob ua ntau tshaj thiab ua kom lub cev niaj hnub ua. Sawv thiab mus pw tib lub sijhawm. Cov pluas noj raug xam rau cov neeg mob uas txawm sib nrug ntawm lawv. Tus neeg mob ntshav qab zib tsis tuaj yeem ua rau lub siab thiab tawv nqaij tsis zoo. Thaum sawv ntxov, nws yog qhov tsim nyog rau nquag ua si los yog mus ncig ua si. Thaum tav su, thiab zoo dua ua ntej mus pw, nws yog qhov tsim nyog los taug kev, ua pa pa cua ntshiab. Kev soj ntsuam txog kev tswj hwm, tus mob ntshav qab zib tuaj yeem coj lub neej zoo uas ze ze rau kev noj qab haus huv tus neeg lub hnub thiab tsis muaj qhov txawv txav.

Nkawm khau rau cov neeg mob ntshav qab zib

Daim Ntawv Qhia Txog Cov Mob Ntshav Qab Zib Hom 2 hais tias kev noj qab haus huv ntawm tus neeg mob ntshav qab zib yog nyob ntawm kev xaiv khau. Xis nkawm khau yooj yim yuav tsum hnav. Txij li thaum tus neeg mob ntshav qab zib muaj ob txhais ceg - qhov chaw tsis muaj zog, cov khau nruj yuav ua rau muaj kev pheej hmoo ntawm kev ua kom qis qis dua. Kev tiv thaiv kab mob yuav tsum muaj kev tiv thaiv, vim tias muaj cov hlab ntsha xaus thiab cov hlab ntshav me. Thaum zawm ob txhais ceg nrog cov khau nruj, muaj qhov ua txhaum ntawm cov ntshav mus rau hauv ko taw. Yog li, txhais ko taw ua qhov tsis txaus ntseeg, feem ntau raug mob, thiab lub qhov txhab kho zoo ntev ntev. Cov nqaij mob tshwm ntawm txhais ko taw los ntawm kev kaw ntuag uas hnav nrog txoj hlua khau nruj. Qhov no tso hem thawj kev ua laib thiab kev txiav tawm ntawm qis qis. Tus neeg mob tuaj yeem siv cov lus qhia yooj yim los pab kom tsis txhob muaj teeb meem nrog qis qis:

ua ntej yuav rau khau, ua ib qho kev soj ntsuam khau,
txhua hnub kuaj xyuas cov ceg nyob ntawm daim iav
tsis txhob rau khau nruj lossis cov uas rub calluses,
ua kev zaws ib ce lossis qoj ib ce rau ob txhais ceg,
txiav koj cov rau tes maj mam txiav tsis txiav tawm ntawm cov ces kaum ntawm cov ntsia hlau phaj,
Tsis txhob siv lwm tus khau
nkawm khau qhuav kom tus kab mob tsis kis,
kho cov ntsia hlau pwm raws sijhawm,
yog tias koj muaj mob ntawm cov ceg, nco ntsoov mus ntsib kws kho mob.

Tus mob ntshav qab zib yog contraindicated hauv kev coj siab. Muaj kev zam tshwj xeeb yog cov neeg mob neuropathy, lawv raug txwv tsis pub khau rau ntawm qis ceev. Thaum xaiv cov khau, muaj cov lus qhia zoo rau cov neeg mob ntshav qab zib, uas yuav tsum tau ua raws:

sim khau ob peb zaug,
taug kev ncig hauv khw hauv khau tshiab.
insoles ntawm lub ib leeg xaiv du, tsis muaj kev puas tsuaj ntawm txhais ko taw tawv nqaij.

Rov qab rau cov lus txheej txheem

Kev ua si nawv thiab tawm dag zog

Thaum kuaj pom ntshav qab zib hom 1, cov lus pom zoo rau kev ua kis las yuav tsum ua raws. Kev tawm dag zog lub cev tsis yog txwv tsis pub, tab sis tau txiav txim siab kho ntxiv. Thaum uas ua kis las kis las hauv hom 1 mob ntshav qab zib, yuav tsum pom qhov kev txo qis hauv cov tshuaj insulin. Nrog rau cov ntshav qab zib insulin-txo qis, qhov koob tshuaj ntawm insulin noj yog txo. Cov haujlwm me me ua haujlwm txhim kho cov kabmob sab hauv. Rau cov mob ntshav qab zib, ua kom lub cev taug kev ceev, kev taug kev thiab lub cev yog suav tias muaj txiaj ntsig ntau dua. Nws zoo dua los koom rau hauv chav dhia ua si nrog tus kws qhia. Nws yuav xaiv cov kev tawm dag zog tshwj xeeb los yog txhim kho lawv tshwj xeeb rau ib tus neeg. Cov kis las yog contraindicated rau hauv cov neeg mob uas muaj kab mob sib kis. Yog li, nrog retinopathy, qoj ib ce exacerbate teeb meem nrog cov hlab hauv ob txhais ceg, paug qhov mob. Nws yog contraindicated mus koom rau hauv kev tawm dag zog lub cev rau cov neeg mob uas tsis tuaj yeem tswj tau tus kabmob.

Cov cai rau pabcuam nrog kev tawm tsam

Kev tawm tsam hypoglycemic yog provoked los ntawm kev tshaib kev nqhis. Tus mob no yog qhov txaus ntshai rau mob ntshav qab zib. Cov txheeb ze ntawm tus neeg mob yuav tsum paub cov ntsiab lus tseem ceeb ntawm kev pab tus neeg mob - cov txheej txheem tseem ceeb. Nrog rau qhov mob hypoglycemic nres, insulin-dependant diabetics yuav tsum muab pluas noj. Tus mob ntshav qab zib yuav tsum muaj “pob khoom noj” nrog nws - 10 pcs. ua kom zoo zoo qab zib, ib nrab-litre hwj ntawm Lemonade, 100 g ntawm qab zib ncuav qab zib, 1 kua, 2 qhaub cij. Tus neeg mob ntshav qab zib yuav tsum tau muab cov zaub mov carbohydrate sai (zib ntab, qab zib). Koj tuaj yeem zom cov ampoule ntawm 5% piam thaj hauv 50 g dej. Hauv cov ntshav qog ntshav qab zib hnyav, nws zoo dua rau tus mob ntshav qab zib kom pw ntawm ib sab; yuav tsum tsis txhob muaj ib yam dab tsi hauv lub qhov ncauj kab noj hniav. Ib qho 40% kua nplaum tov (txog li 100 grams) yog txhaj tshuaj rau tus neeg mob. Yog tias qhov txheej txheem no tsis pab ua kom rov zoo, tus neeg mob tau txhaj tshuaj rau qhov quav thiab lwm qhov 10% kua qabzoo tau muab tshuaj. Tus mob ntshav qab zib yuav tau mus pw hauv tsev kho mob.

Cov Hom Ntshav Qab Zib

Ntshav qab zib Hom 1 yog tus cwj pwm los ntawm insulin vim muaj kev puas tsuaj ntawm pancreatic beta cells, uas ua rau lub cev tsis muaj kiag li lawm. Feem ntau hom kab mob pathology no kuaj pom hauv cov tub ntxhais hluas, muab cov tsos mob: polyuria, poob phaus, kev loj hlob ntawm ketosis, ua rau nqhis dej.

Txawm li cas los xij, mob ntshav qab zib hom 1 tuaj yeem tshwm sim thaum muaj hnub nyoog li cas, nce qeeb. Nrog cov mob ntshav qab zib ua mob autoimmune ntshav qab zib hauv cov neeg laus, insulin deficiency pib ntau xyoo dhau los. Hauv cov neeg mob uas ua rau pancreatic beta-cell autoantibodies, mob hnyav ntawm ntshav qab zib mellitus lossis nws txoj kev loj hlob qeeb kawg tuaj yeem pom.

Ntshav Qab Zib Hom 2 yog tus cwj pwm tsis txaus ntseeg hauv cov muaj hlwb, uas cuam tshuam nrog kev rog ntawm cov kev ua txhaum ntau, ib txoj kev ua neej nyob qis qis. Thaum pib, insulin ntau lawm tsis muaj peev xwm, uas provokes postprandial hyperglycemia. Tom qab qhov no, kev yoo mov hyperglycemia tshwm sim.

Ntshav Qab Zib Hom 2 feem ntau tshwm sim hauv cov neeg laus, txog 90% ntawm cov neeg mob ntshav qab zib tau mob los ntawm hom mob tshwj xeeb no. Raws li kev rog kis, cov kws kho mob hais tias:

cov hnub nyoog yau rau qhov pib ntawm hom 2 mob ntshav qab zib,
thaum ntxov pib ntawm tus kab mob.

Muaj lwm hom mob ntshav qab zib - kev xeeb tub, nws tshwm sim hauv cov poj niam thaum cev xeeb tub. Txoj kev pheej hmoo ntawm kev tsim muaj ntshav qab zib hom 2 yog nce ntxiv hauv cov poj niam uas muaj teeb meem ntshav qab zib thaum nqa tus menyuam.

Lwm hom mob tshwj xeeb: tus mob ib qho kev hloov pauv ntawm cov noob ntshav qab zib, ntshav qab zib thib ob, mob ntshav qab zib siv tshuaj lossis tshuaj.

Kev zwm npe rau Neeg Mob Ntshav Qab Zib tsuas yog ua pov thawj qhov tseeb no.

Dab tsi tuaj yeem yog cov nyom

Raws li tau paub ntev, qhov kev phom sij tsis yog nrog cov ntshav qab zib nws tus kheej, tab sis nrog nws cov teeb meem, thiab cov kev noj qab haus huv zoo li no tuaj yeem ua rau hnyav heev. Feem ntau, tus neeg mob yws yws ntawm lub cim xeeb sai sai ntawm qhov tsis nco qab, ua rau lub hlwb tsis zoo, hloov hauv lub cev qhov hnyav.

Lub Koom Haum Ntiaj Teb Kev Noj Qab Haus Huv (WHO) tau hais tias tus neeg mob ntshav qab zib yuav sai sai lossis tom qab ntawd muaj kev cuam tshuam hauv kev ua haujlwm ntawm urogenital kheej, cov poj niam muaj ntshav siab tuaj yeem ua rau lub cev ntas tsis xwm yeem, tus poj niam tuaj yeem dhau los ua neeg tsis taus, thiab tus txiv neej tuaj yeem ua neeg tsis muaj zog.

Qhov phom sij txaus ntshai ntawm tus kab mob yuav yog qhov ua kom tsis pom kev zoo, nws qhov kev poob tag thiab qhov muag tsis pom tseeb. Nrog kev cuam tshuam nrog cov ntshav qab zib, cov teeb meem loj pib nrog cov hniav, lub qhov ncauj kab noj hniav, tawv nqaij, nplooj siab, raum. Tus neeg mob sai sai poob ntawm lub siab mus rau qhov siab thiab qis kub, mob ntawm sib txawv ntawm qhov sib txawv.

Cov neeg mob uas muaj lub cim ua ntshav qab zib siab tshaj ua txhaum cai:

ntev li ntawm dryness ntawm daim tawv nqaij,
cov tsos ntawm cov mob txhab, kab nrib pleb thiab lwm yam mob ntawm daim tawv nqaij.

Tsis tas li ntawd, cov ntshav ncig yog qhov cuam tshuam, qhov elasticity ntawm cov hlab ntshav ploj. Hauv qhov muaj ntshav qab zib, ntau xyoo tom qab, cov qis hauv qab yog deformed, teeb meem loj tshwm sim rau ntawm ib feem ntawm cov hlab plawv. Vim tias mob ntshav ncig, muaj kev pheej hmoo ntawm kev tsim mob ntshav qab zib, mob caj dab, thiab ua rau - txuas ntxiv mus txiav tawm ntawm txhais ceg cuam tshuam. Raws li txoj cai, qhov no tshwm sim nrog kev loj hlob ntawm thawj lossis thib ob cov ntshav qab zib hauv cov txiv neej laus dua 50 xyoo.

Yog tias nws muaj teeb meem los tiv thaiv tus kab mob ntshav qab zib mellitus ntawm thawj hom, tom qab ntawd nws muaj peev xwm tiv thaiv kev loj hlob ntawm tus kab mob ntawm hom thib ob, rau cov WHO no tau tsim cov lus pom zoo rau cov neeg mob ntshav qab zib mellitus thiab rau cov neeg mob uas xav tiv thaiv kev loj hlob ntawm tus mob pathological. Qhov no yog qhov tseeb tshwj xeeb tshaj yog rau cov neeg mob uas xav tau qhov sib txawv ntawm glycemia thiab kev nce ntshav hauv cov ntshav qab zib ntau ntau, qhov no tshwm sim:

nrog phem muaj keeb,
nrog rau cov kab mob ntawm tus txiav.

Koj tuaj yeem tiv thaiv koj tus kheej los ntawm mob ntshav qab zib hom 2 yog tias koj ua raws li tag nrho cov lus qhia ntawm kws kho mob.

Txoj kev los tiv thaiv tus mob ntshav qab zib

Yog tias koj tso tseg sai sai ua rau muaj mob hyperglycemia, uas ib tus neeg tsis tuaj yeem cuam tshuam, tom qab ntawd nws muaj peev xwm tiv thaiv kev txhim kho ntshav qab zib muaj yuav luag 99% ntawm cov neeg mob. Endocrinologist pom zoo kom cov neeg mob sim poob ceeb thawj yog tias muaj ntau dhau.

Yog tias koj poob ceeb thawj tsawg kawg 5 phaus, koj tuaj yeem tiv thaiv kab mob tau tam sim li 70%.

Cov kws kho mob qhia kom cov neeg ua raws li kev noj qab haus huv, ua si lub cev, vim hais tias cov kev ntsuas zoo li no ib txwm muaj txiaj ntsig.

Tej zaum nws yuav zoo txaus txhua hnub:

taug kev ntev
caij tsheb kauj vab
khiav.

Xws li lub luag haujlwm yuav ntxiv dag zog rau cov leeg ua kom zoo, thiab tseem ua rau lub cev sib xws ntawm qhov hnyav. Cov kws kho mob paub tseeb tias cov lus thov txo txoj kev pheej hmoo ntshav qab zib. Kev muab lub cev qoj ib ce ua 30 feeb nyob rau ib hnub yuav txo qhov mob ntshav qab zib kom tsawg npaum li 80%.

Thaum taug kev, qhov kev yoo ntawm cov tshuaj insulin txhim kho, nws nkag mus rau hauv lub hlwb. Yog li, cov kev txuam nrog ntawm cov piam thaj tau tawg thiab tshem tawm los ntawm kev saib xyuas cov phab ntsa ntawm cov hlab ntshav.

Lwm txoj kev pom zoo los ntawm WHO (Kev Noj Qab Haus Huv Kev Nyab Xeeb Kev Noj Qab Haus Huv) yog kev siv cov qoob loo tsis muaj tshuaj tua kab mob. Tab sis ua ntej siv cov khoom noj zoo li no, koj yuav tsum paub koj tus kheej nrog nws muaj pes tsawg leeg, nrhiav kom paub glycemic index, qab zib cov ntsiab lus. Muaj lwm cov lus qhia rau cov neeg mob ntshav qab zib txog kev yuav tiv thaiv tus mob ntshav qab zib thiab nws cov teeb meem.

Kev txhim kho mob ntshav qab zib mellitus ntawm hom thib ob yuav pab tiv thaiv kom tsis txhob muaj lub luag haujlwm ntawm kev noj zaub mov yooj yim, vim tias cov zaub mov no tsis muaj dab tsi tab sis muaj kev puas tsuaj. Nws tseem yuav tsum muaj:

cov khoom noj ceev
txhua hom zaub mov kaus poom,
lwm yam khoom lag luam.

Nws yog qhov tsim nyog yuav tsum tso tseg cov nqaij muaj roj, hloov nrog nqaij qaib, zaub nyoos. Cov kws kho mob hais tias kev sib txuas ntawm cov ntshav qab zib thiab cov rog cov rog yuav tsum nrhiav hauv cov roj (cholesterol) ntau dhau. Qhov tsawg dua cov tshuaj no hauv cov ntshav, qhov ntau dua nws yog ib txwm ua zoo thiab tswj ntshav qab zib.

Cinnamon pab ntau tus neeg mob ntshav qab zib, nws cov txiaj ntsig tau raug pov thawj los ntawm ntau cov kev tshawb fawb nyob hauv kev tshawb fawb. Rau cov neeg uas haus cov cinnamon, qhov muaj peev xwm ua kom ntshav qab zib mellitus thiab kev hloov hauv cov qib glycemic txo tsawg dua li 10%. Xws li lub txiaj ntsig zoo tuaj yeem piav qhia yooj yim los ntawm qhov muaj cov enzyme tshwj xeeb hauv cov tshuaj cinnamon, uas muaj cov txiaj ntsig zoo ntawm lub cev, thiab tseem pab cov cell ua kom cuam tshuam nrog kev hloov tshuaj hormones. Yog li, kev pom zoo ntawm cov kws kho mob - nws yog qhov yuav tsum tau suav cov cinnamon hauv kev noj haus kom thiaj li tiv thaiv tau ntshav qab zib.

Nws yog qhov tseem ceeb rau kev so kom zoo, nrhiav sijhawm kom pw tsaug zog zoo, thiab zam qhov tsis ntxhov siab, uas yuav ua kom tus neeg mob muaj qhov mob zoo dua. Yog tias koj tsis ua raws li txoj cai lij choj no, lub cev pib tsim lub zog rau kev teb, nws yog qhov muaj kev ntxhov siab tas li, tus neeg lub plawv dhia nce siab zuj zus, nws lub taub hau mob, thiab qhov kev xav ua rau muaj kev ntxhov siab tsis dhau. Cov lus thov tau zoo rau kev tiv thaiv ua rau thiab cov tsos mob ntshav qab zib hauv cov neeg mob ntawm txhua lub hnub nyoog.

Kev daws dhau kev ntxhov siab yuav pab:

cov chav qhia yoga (kev tawm dag zog yuav sawv lub cev, teeb tsa rau kev ua haujlwm ua haujlwm),
ua txhua yam yam tsis tau nrawm nrawm (ua ntej ua ib qho yeeb yam, nws tau pom tias ua pa ob peb zaug ua pa thiab sab nraud),
kom faib sijhawm rau kev so (ib hlis ib zaug nws yog ib qho tsim nyog los so ib hnub tsis xav txog teeb meem).

Nws tseem yog ib qho tseem ceeb kom tau txais txaus pw tsaug zog, pw tsaug zog tsuas yog qhov tseem ceeb rau tus neeg, nws yog qhov kev ntsuas zoo tshaj plaws los tiv thaiv ntshav qab zib. Qhov nruab nrab, koj yuav tsum tau pw txij li 6 txog 8 teev ib hnub, yog tias ib tus neeg tsis tau txais pw txaus, qhov muaj feem ntawm kev tsim muaj ntshav qab zib mellitus nce txog li ob zaug. Ntxiv mus, pw tsaug zog ntev ntev kuj tseem muaj kev phom sij, lub sijhawm pw ntev tshaj 8 teev hauv ib hnub yuav ua rau muaj kev pheej hmoo ntawm hyperglycemia tam sim peb zaug.

Kev sib txuas lus tsis tu ncua nrog tsev neeg yuav pab tau tus mob ntshav qab zib hom 2. Cov kws kho mob tau pom ntev ntev tias cov neeg mob kho siab tau ua rau lawv muaj quav, qhov no tsuas ua rau lawv muaj kev nyuaj siab ntxiv.

Nws raug nquahu los ntawm qee lub sijhawm los ntsuas ntsuas cov piam thaj hauv ntshav, nws tshwm sim tias cov ntshav qab zib tau tshwm sim hauv daim ntawv latent, tsis muaj cov tsos mob tshwm sim. Txhawm rau txiav txim siab cov kab mob pathology thaum pib, koj yuav tsum ua qhov kev ntsuas rau cov ntshav qab zib.

Nws yog ib qho zoo yuav tsum pub ntshav tsawg kawg ib xyoos ib zaug.

Lwm cov lus qhia rau cov ntshav qab zib

Rau cov neeg muaj ntshav qab zib, WHO tau tsim cov lus qhia kho mob; kev kho mob cuam tshuam nrog kev siv tshuaj, khoom noj khoom haus thiab ua si lub cev. Ntxiv mus, ntshav qab zib ntawm thawj thiab hom thib ob yog kho txawv.

Hauv thawj kis, insulin yog qhia txhua hnub, tus mob no yog qhov tseem ceeb tshaj plaws thiab qhov tseem ceeb. Tus mob ntshav qab zib yuav tsum tsis txhob ua tib zoo saib xyuas lawv cov pluas noj, qhov ntau ntawm cov khoom noj, suav nws hauv chav ua mov ci, yuav tsum txiav txim siab muab cov tshuaj insulin. Kev tawm dag zog ua haujlwm rau cov ntshav qab zib mellitus kuj tseem xav tau kom lub cev suab nrov, txo cov ntshav qabzib.

Hauv cov neeg mob uas muaj hom 1 mob ntshav qab zib mellitus, lawv tus kheej cov insulin tsis tsim, yog li lawv tsis tuaj yeem tsis muaj kev tswj hwm tsis tu ncua ntawm cov tshuaj. Cov tshuaj insulin tuaj yeem yog tsiaj lossis tib neeg, los ntawm tsiaj cov zoo tshaj yuav tsum hu ua npua insulin.

Txawm li cas los xij, nyob rau xyoo tas los no, tib neeg cov insulins tau siv ntau dua, lawv tau los ntawm kev hloov kho ntawm cov protein. Qhov zoo ntawm tib neeg cov tshuaj insulin:

qhov tsis muaj ntau qhov kev tsis haum ntawm lub cev,
zoo thev taus.

Txhawm rau ua haujlwm ntawm lub ntuj ua haujlwm ntawm cov txiav me me kom ntau li ntau tau, kev lag luam kws tshuaj tau kawm los tsim cov tshuaj ntawm ntau lub sijhawm: ultrashort, luv, txuas, ultralong.

Rau kev yooj yim, luv luv thiab ntev insulins tsim tawm sib txawv hauv qhov tsos: lub cev luv luv yog ib txwm pob tshab, thiab qhov ntev yog pos huab.

Thaum luv luv insulin los ua huab, nws txhais tau tias nws tau ploj nws cov khoom thiab nws yog txwv tsis pub siv nws.

Cov yam ntxwv tseem ceeb ntawm Insulin

Cov lus pom zoo rau kev kho mob ntshav qab zib tswj kev siv tshuaj hormone insulin. Yog li, cov tshuaj xws li Novorapid, Humalog (ultrashort insulins) tau qhia tias yuav tsum siv tshwj xeeb ua ntej noj mov lossis tam sim ntawd. Txoj kev ua no yooj yim txaus rau tus neeg mob, tsis ua rau muaj kev ntxhov siab.

Cov tshuaj insulin luv luv rau qhov txo qis sai sai ntawm hyperglycemia yuav tsum siv tam sim ntawd tom qab noj cov khoom noj khoom haus carbohydrate, nws tau muab rau ib nrab ib teev ua ntej noj mov, txij li tsuas yog tom qab lub sijhawm no nws pib ua haujlwm.

Qhov peculiarity ntawm luv luv insulin yog qhov siv tshuaj-siv tshuaj, qhov loj dua cov koob tshuaj, qhov qeeb qeeb nws yog nqus. Yog tias koj thov ntawm 4 txog 6 ib feem ntawm qhov tshuaj, nws ua tom qab 15-30 feeb, qhov siab tshaj plaws tau mus txog tom qab ib thiab ib nrab teev. Cov koob tshuaj ntawm 20 units yog qhov ua haujlwm siab tshaj plaws tom qab 2 teev, cov nyhuv tas tom qab 4-6 teev.

Yog li cov insulin ntev ua yeeb yam nrog cov tib neeg cov tshuaj lom neeg tsis tu ncua, nws yog qhov zoo tshaj plaws nrog 12-14 teev ntawm kev ua, lawv tau siv 2 zaug: ua ntej noj tshais thiab ua ntej yuav mus pw. Cov kev npaj zoo li no muaj cov khoom tshwj xeeb uas:

khi cov tshuaj insulin
inhibits qhov kev nkag mus rau hauv cov hlab ntshav.

Kuj tseem muaj lub npe hu ua insulins ntau-ncov, lawv muaj qee qhov nyiaj ntawm cov insulins ntev thiab luv. Thaum siv cov cuab yeej zoo li no, tsis tas yuav hno ua ntej noj tshais thiab noj hmo, vim tias qhov tshuaj hormones no tau tshaj tawm rau hauv qhov sib xyaw nrog ib rab koob xwb. Tab sis koj yuav tsum nco ntsoov tias cov nyiaj ntawd yog qhov nyuaj dua rau kev txhaj tshuaj.

Daim vis dis aus hauv tsab xov xwm no nthuav tawm cov lus qhia tseem ceeb rau lub neej muaj ntshav qab zib.

Kev Tiv Thaiv

Hauv kev muaj mob ntshav qab zib, tus neeg mob yuav tsum paub txog kev tiv thaiv tus kabmob. Thaum kuaj pom tus mob ntshav qab zib hom 2, tus neeg mob yuav tau txais txiaj ntsig los ntawm kev siv tshuaj ntsuab. Txog hom mob ntshav qab zib hom 2, tshuaj pleev kom siav thiab kho kom zoo yog npaj. Koj tuaj yeem siv sijhawm zoo ntawm lingonberry nplooj, paj ntawm cornflowers, nplooj nettle. Infusions yuav txhim kho txoj haujlwm ntawm lub raum thiab ua kom lub cev muaj cov vitamins ntau dua. Los npaj lub Txoj kev lis ntshav, koj yuav tsum tau ncuav 2-3 dia ntawm qhov tawg ntawm cov nroj tsuag nrog dej npau npau, thiab cia lub rhaub. Noj tshuaj rau 1-2 tbsp. l 3 zaug ib hnub. Tus mob ntshav qab zib yuav tsum tsis txhob noj ntau tshaib lossis nqhis. Txog kev tiv thaiv cov teeb meem ceg, cov neeg mob ntshav qab zib ua rau da dej nrog chamomile.

Ntshav Qab Zib Hom 1: lus piav qhia thiab qhov tseeb

Hauv hom 1 mob ntshav qab zib, tus txiav tsis tuaj yeem tsim cov tshuaj insulin txaus. Qhov no yog qhov tseem ceeb vim tias cov kua dej xav tau kom txav suab thaj (ntshav qab zib) los ntawm cov ntshav mus rau cov leeg, cov hlwb thiab lwm cov nqaij hauv lub cev, nws siv los tsim lub zog.

Ntshav qab zib siab tuaj yeem ua rau ntau qhov kev cuam tshuam, xws li kev puas tsuaj rau lub raum, cov leeg ntshav, thiab qhov muag, ntxiv rau cov kab mob plawv. Ntxiv rau, cov cell tsis tau txais cov piam thaj tsim nyog rau kev ua haujlwm zoo.

Qhov kev txo qis thiab tiav kev ua tiav ntawm insulin secretion feem ntau yog los ntawm autoimmune kev puas tsuaj ntawm insulin-ua islet beta hlwb hauv cov txiav ua ke. Vim tias cov neeg muaj ntshav qab zib hom 1 tuaj yeem tsim tsis tau lawv tus kheej cov insulin lawm, lawv yuav tsum tso nws tawm.

Tswj cov ntshav qabzib nyob kom ntshav txaus los ntawm kev sib piv ntawm kev noj zaub mov uas muaj cov tshuaj insulin kom tsim nyog tuaj yeem tiv thaiv tau cov teeb meem mob ntshav qab zib hom 1 ntev, uas yog suav tias yog ib qho mob uas tsis tuaj yeem siv tau.

Txawm hais tias tsis muaj kev txwv txog kev noj zaub mov noj rau ntshav qab zib hom 1, xaiv cov zaub mov kom muaj txiaj ntsig zoo tuaj yeem pab tswj kab mob tau zoo. Lub sij hawm noj mov yog qhov tseem ceeb heev rau cov neeg muaj ntshav qab zib hom 1, thiab khoom noj khoom haus yuav tsum zoo ib yam nrog cov tshuaj insulin.

Feem ntau ntawm cov neeg muaj tus kabmob no siv cov insulin ntev ntev (basal insulin lossis NPH), uas txhais tau tias nws yuav txuas ntxiv txo qis cov piam thaj hauv ntshav mus txog 24 teev. Qhov no txhais tau hais tias nws txo qis cov ntshav qab zib, txawm tias tsis muaj piam thaj los ntawm cov khoom noj carbohydrates tsis ua haujlwm.

Vim tias qhov no, kev noj zaub mov ntau los yog zaub mov noj ua rau tib neeg muaj ntshav qab zib tsawg (muaj ntshav qab zib hauv lub cev tsawg).

Ntawm qhov tod tes, koj tuaj yeem noj zaub mov ntau dua lossis noj cov zaub mov uas muaj cov carbohydrates ntau, uas tuaj yeem nce cov ntshav qab zib kom ntau uas cov insulin basal tsis tuaj yeem txo nws txaus.

Hauv qhov xwm txheej no, kev siv tshuaj insulin luv luv (insulin tsis tu ncua) yuav tsum tau noj nyob rau hauv qhov xav tau raws li cov ntsiab lus carbohydrate ntawm cov zaub mov thiab theem ntawm cov piam thaj hauv cov ntshav ua ntej noj mov.

Noj cov khoom noj uas muaj glycemic load tsawg (ntsuas) ua rau noj tau yooj yim dua. Kev noj zaub mov noj nrog lub glycemic qes tshaj tawm ua rau cov ntshav qab zib maj mam thiab ruaj khov, ua rau lub sijhawm txaus rau lub cev cov tshuaj tiv thaiv (lossis kev txhaj tshuaj insulin).

Cov tib neeg uas siv tshuaj xyuas cov piam thaj tsis tu ncua thiab insulin twj tso kua mis tsis txhob siv cov glucometer thiab cov tshuaj txhaj insulin muaj qhov hloov pauv me ntsis hauv lawv lub sijhawm noj mov vim tias lawv muaj cov lus rov los qhia lawv kom pab lawv piv rau kev noj haus nrog rau insulin.

Txawm li cas los xij, txhua tus neeg tau txais txiaj ntsig los ntawm kev paub ntau dua rau lawv cov zaub mov noj, los ntawm kev ua qee yam kev txwv kom lawv sib haum nrog kev noj zaub mov nrog glycemic load tsawg thiab lawv cov zaub mov noj raws li cov koob tshuaj insulin.

Ua tib zoo saib xyuas kev noj zaub mov kom qab thiab glycemic load, cov neeg muaj ntshav qab zib hom 1 tuaj yeem ua kom lawv cov ntshav qabzib hauv cov ntshav nyob ruaj khov. Cov ntshav qab zib ruaj khov tiv thaiv cov teeb meem ntawm kev mob ntshav qab zib thiab hyperglycemia.

Cov kev tshawb fawb tsis ntev los no tau muab cov ntaub ntawv tsis sib haum xeeb ntawm cov txiaj ntsig zoo ntawm kev tswj glycemic zoo hauv kev tiv thaiv kab mob plawv. Thaum peb siv los xav tias hyperglycemia yog ib txwm zuj zus, cov pov thawj qhia tias kev pheej hmoo ntawm kev mob plawv nrog hypoglycemia.

Kev tshawb fawb qhia rau peb hais tias tswj xyuas kom cov ntshav qab zib cov ntshav ruaj khov yuav tiv thaiv txhua yam kev nyuaj. Txoj hauv kev zoo tshaj plaws kom ua tiav lub hom phiaj no yog kom haus cov zaub mov nrog qis glycemic index thiab lub sijhawm noj mov tsis tu ncua.

Nws tseem yog ib qho tseem ceeb rau kev txiav txim siab kev noj haus zoo (rog, protein thiab carbohydrates) nrog zaub mov noj. Hauv kev ua tshwj xeeb, cov rog, cov protein thiab fiber ntau qeeb cov nqus ntawm cov carbohydrates thiab yog li muab sijhawm rau insulin ua haujlwm, maj mam tshem tawm cov piam thaj hauv cov ntshav mus rau lub hom phiaj nqaij. Kev zom qeeb thiab nqus yuav tswj tau cov ntshav qab zib kom ruaj khov.

Lub glycemic Performance index thiab glycemic load yog scientific cov lus uas siv los ntsuas qhov tshwm sim ntawm cov zaub mov rau cov ntshav qab zib. Cov khoom noj uas muaj glycemic load tsawg (ntsuas) nce ntshav qab zib kom tsawg, thiab yog li qhov kev xaiv zoo tshaj plaws rau cov neeg muaj ntshav qab zib.

Lub hauv paus tseem ceeb uas txiav txim siab glycemic thauj khoom noj yog qhov nyiaj fiber ntau, rog thiab protein uas nws muaj.

Qhov xav tau cov khoom noj tshwj xeeb rau cov neeg mob ntshav qab zib tau xub tham txog xyoo 1796. Lub ntsiab tseem ceeb yog los ntawm kev hloov qee feem ntawm cov carbohydrates nrog cov rog. Qhov no ua tiav qhov txo qis hauv cov ntshav qabzib, thiab tseem nce qhov rhiab ntawm cov ntaub so ntswg mus rau kev ua ntawm insulin. Tsis tas li, ua ke nrog kev noj zaub mov zoo, cov kws kho mob pom zoo kom siv kev ua kom lub cev. Lawv kawm los txiav txim siab txog qib piam thaj hauv cov zis tom qab 1841, thiab twb tau xyoo 1921 thawj zaug tau txhaj tshuaj insulin lawm.

Ua rau muaj tus kabmob thiab cov pab pawg muaj kev pheej hmoo

Cov kws tshawb fawb tseem tseem tsis tuaj yeem txiav txim siab yog vim li cas tib neeg lub hlwb thiab cov nqaij tsis ua tiav rau cov tshuaj insulin. Txawm li cas los xij, ua tsaug rau ntau txoj kev tshawb fawb, lawv muaj peev xwm txheeb xyuas cov ntsiab lus tseem ceeb uas ua rau muaj feem ntau ntxiv hauv kev muaj tus mob:

Ua txhaum ntawm lub keeb kwm yav dhau los thaum lub sijhawm tiav nkauj tiav nraug, cuam tshuam nrog kev loj hlob hormone.
Kev rog dhau hoom, uas ua rau cov ntshav qab zib nce ntxiv thiab qhov kev tso tawm ntawm cov cholesterol nyob ntawm cov hlab ntsha, ua rau mob atherosclerosis.
Tus tub los ntxhais ntawm tus neeg. Kev tshawb fawb pom tau tias cov poj niam muaj feem ntau yuav muaj mob ntshav qab zib hom 2.
Kwv Txhiaj. Ntshav qab zib Hom 2 tau ua pov thawj 30% ntau dua hauv cov haiv neeg dub.
Neeg muaj keeb. Yog tias ob leeg niam txiv muaj mob ntshav qab zib hom 2, tom qab ntawd nrog qhov tshwm sim ntawm 60-70% lawv yuav tshwm sim hauv lawv cov menyuam. Hauv menyuam ntxaib hauv 58-65% ntawm cov neeg mob, tus kabmob no loj tuaj ib leeg, hauv menyuam ntxaib hauv 16-30% ntawm tus neeg mob.
Kev ua haujlwm tsis zoo ntawm daim siab nrog rau mob ntsws, hemochromatosis, thiab lwm yam.
Kev tsis sib haum xeeb ntawm cov kab mob pancreatic beta hlwb.
Cov tshuaj noj nrog cov beta-blockers, atypical antipsychotics, glucocorticoids, thiazides, thiab lwm yam.
Lub sij hawm ntawm kev xeeb tub. Thaum cev xeeb tub, cov ntaub so ntswg lub cev raug tiv thaiv cov tshuaj insulin ntau dua. Tus mob no yog hu ua tus mob ntshav qab zib hauv hlwb (gestational diabetes), tom qab yug me nyuam tag los, thaum muaj tsawg zaus nws kis mus rau tus mob ntshav qab zib hom 2 tau.
Cov cwj pwm tsis zoo - nquag thiab nquag haus luam yeeb, haus dej cawv.
Kev noj haus tsis zoo.
Nquag tsis ua neej.

Hom 2 mob ntshav qab zib mellitus yog cov kab mob metabolic pathology hauv cov neeg tsim cov kab mob ua rau yam tshuaj lom insulin, tab sis nws tsis pom zoo los ntawm lub cev, vim tias qhov ntawd tshwm sim nyob rau hauv cov ntshav, uas ua rau hyperglycemia.

Qib kabmob ntawm tus kabmob

Ua raws li qhov mob hnyav thiab cov yam ntxwv ntawm cov tsos mob ntawm tus kab mob, cov theem hauv qab no tau txawv:

Yooj Yim. Nrog rau tus kab mob ntawm daim foos no, kev kho mob tsuas yog them nqi qis tom qab noj zaub mov, nws yog ib qho ua tau los sau ib qho kev siv tshuaj qab zib kom txo qis. Ua raws li tag nrho cov kev cai thiab cov lus pom zoo ntawm tus kws kho mob, qhov kev pheej hmoo ntawm kev muaj mob muaj tsawg heev.
Theem theem nrab. Kev noj zaub mov ua ke yog ua ke nrog noj 3-4 ntsiav tshuaj ntawm cov tshuaj txo cov ntshav qab zib. Kev tsis ua raws li cov kev cai thiab kev qhia ntawm kws kho mob tuaj yeem ua rau txhim kho cov teeb meem vascular.
Tej theem nyav heev. Ntxiv rau kev noj zaub mov zoo, kev noj tshuaj rau cov ntshav qab zib kom tsawg thiab kev txhaj tshuaj insulin yog cov tsim nyog yuav tau kho. Nyob rau theem no, hom 2 mob ntshav qab zib mellitus provokes muaj cov kev mob nyhav rau cov hlab plawv.

Cov tsos mob ntawm tus mob ntshav qab zib hom 2

Nrog rau kev txhim kho hom ntshav qab zib hom 2, cov tsos mob thiab kev kho mob zoo ib yam li cov tsos mob thiab kev kho mob ntshav qab zib hom 1. Feem ntau, thawj cov tsos mob ntawm tus mob ntshav qab zib hom 2 tsuas yog tshwm sim tom qab ob peb hlis, thiab qee zaum tom qab ob peb xyoos (daim ntawv tsis muaj tseeb).

Thaum xub thawj siab ib muag, cov tsos mob ntawm tus mob ntshav qab zib hom 2 tsis txawv dua li ntawm ntshav qab zib hom 1. Tab sis tseem muaj qhov sib txawv. Thaum tib neeg kev loj hlob ntawm hom ntshav qab zib hom 2, cov tsos mob:

Kev nqhis dej ntau, qhov kev xav tau tas li los daws qhov xav tau. Cov kev mob ntawm cov tsos mob zoo li no yog txuam nrog kev nce hauv load rau ntawm ob lub raum, uas yuav tsum tshem lub cev ntawm cov piam thaj ntau dhau. Txij li thaum lawv tsis muaj dej rau cov txheej txheem no, lawv pib siv dej los ntawm cov ntaub so ntswg.
Qaug zog, voos, kiv taub hau. Txij li cov piam thaj yog cov khoom siv hluav taws xob, nws qhov tsis txaus ua rau lub zog hauv lub hlwb tsis txaus thiab cov ntaub so ntswg hauv lub cev. Kiv taub hau yog cuam tshuam nrog kev ua haujlwm ntawm lub hlwb, thawj tus raug kev txom nyem nrog cov ntshav qabzib hauv cov ntshav tsis txaus.
Pom kev tsis zoo uas ua rau muaj kev loj hlob ntawm tus kab mob - mob ntshav qab zib retinopathy. Kev ua txhaum nyob rau hauv kev ua haujlwm ntawm cov hlab ntsha ntawm lub pob muag tshwm sim, yog li, yog tias cov pob qog dub thiab lwm yam tsis xws luag hauv daim duab, koj yuav tsum sab laj nrog kws kho mob.
Kev tshaib kev nqhis, txawm tias thaum muab khoom noj ntau.
Kom qhuav hauv cov kab noj hniav hauv qhov ncauj.
Txo hauv qhov nqaij leeg.
Khaus tawv nqaij thiab ua pob.

Nrog rau lub caij nyoog ntev ntawm tus kab mob, cov tsos mob yuav paug.

Cov neeg mob yws yws txog cov tsos mob ntawm tus mob ntshav qab zib hom 2, xws li mob ua mob rau cov poov xab, mob thiab o ntawm ob txhais ceg, loog ntawm ceg tawv, thiab qhov mob ntev ntev.

Tus kab mob txaus ntshai no yog tus cwj pwm los ntawm qhov tseeb tias thaum pib lub cim tsis pom tseeb heev thiab ib tus neeg yuav tsis pom thaum pib ntawm kev ua tiav ntawm pathology. Txawm li cas los xij, txuas ntxiv cov tsos mob tau tshaj tawm, thiab yog tias ib tus neeg tsis mloog nws lub cev thiab tsis quav ntsej txog cov cim, mob ntshav qab zib tsis nco qab yuav tshwm sim, qhov tshwm sim ntawm kev xav tsis tau.

Thaum tus kab mob loj tuaj, tus neeg mob tshwm sim cov tsos mob ntshav qab zib:

kev cuam tshuam dav dav ntawm kev noj qab haus huv, nkees nkees, qaug zog, tsis muaj kev sib sau ua ke,
daim tawv nqaij dhau hwv lawm, mob txhab rau nws, uas tsis zoo rau ntev,
qab los nce, tab sis ib tug neeg poob phaus,
lub qhov ncauj qhuav, nqhis dej ntau dua,
nce tus naj npawb thiab ntim ntawm tso zis.

Hauv cov txiv neej, foreskin ntawm chaw mos ua rau tuaj yeem mob, thiab hauv cov poj niam mob khaus heev thiab thim rov tshwm sim hauv chaw mos thiab labia. Feem ntau ntawm cov ntaub pua chaw koj tuaj yeem pom cov nplej zoo ib yam li cov xuab zeb dawb.

Nrog rau cov tsos mob zoo li no, nws yog contraindicated ua qee yam ntawm koj tus kheej. Nws yog ib qho tseem ceeb rau kev kuaj mob tus kab mob ntshav qab zib hom 2 thaum ntxov, hauv qhov no tsuas yog kev noj zaub mov noj, kev kho tshuaj feem ntau tsis xav tau.

Kev kuaj mob ntshav qab zib hom 2

Kev kuaj mob ntshav qab zib hom 2 tsis yog ib qho nyuaj. Kev kuaj mob, kev ntsuas tshuaj ntsuam xyuas feem ntau yog qhov txaus, hauv kev ntsuas cov ntshav qab zib tau ntsuas hauv cov ntshav, tom qab ntawv cov ntaub ntawv rov qab tau tshawb xyuas 2 teev tom qab noj mov.

Yog hais tias tus neeg mob cov kab mob nrawm nrawm ntau dua li 7.0 mmol / L lossis tom qab noj mov, cov ntaub ntawv ntau dua 11.0 mmol / L, tus kws kho mob sau tseg hyperglycemia, uas tau lees tias txoj kev kuaj mob.

Cov lus pom zoo rau kev kho mob ntshav qab zib hom 2

Ua ntej noj tshuaj, koj yuav tsum txhim kho koj txoj kev ua neej.

Tus kws kho mob uas tuaj koom feem ntau qhia txog ib txoj kev kho, suav nrog tus yam ntxwv ntawm tus neeg mob.

Ib qho kab mob xws li mob ntshav qab zib mellitus 4 cov ntsiab lus tseem ceeb uas yuav tsum tau pom thaum tab tom kho. Cov khoom no muaj raws li nram no:

Cov khoom noj kom zoo. Rau cov ntshav qab zib, tus kws kho mob sau ntawv muab cov khoom noj tshwj xeeb. Feem ntau nws suav nrog zaub thiab txiv hmab txiv ntoo, zaub mov muaj fiber ntau thiab complex carbohydrates. Yuav tsum muab cov khoom qab zib, khoom qab zib, cov khoom ci thiab cov nqaij liab.
Ua ke ntawm kev so thiab kev tawm dag zog ua ke. Kev ua lub neej nquag yog panacea, tshwj xeeb yog mob ntshav qab zib. Koj tuaj yeem ua yoga, dhia ua si thaum sawv ntxov lossis tsuas yog mus taug kev.
Noj tshuaj tiv thaiv kab mob. Qee tus neeg mob tuaj yeem ua yam tsis muaj tshuaj noj, tsom kwm cov zaub mov tshwj xeeb thiab kev ua lub neej nquag. Kev noj tshuaj rau tus kheej yog txwv tsis pub, tsuas yog tus kws kho mob tuaj yeem sau qee yam tshuaj, qhia tias noj ntau npaum li cas.
Kev tshuaj xyuas tsis tu ncua ntawm cov piam thaj hauv theem, tus neeg mob yuav tuaj yeem tiv thaiv kom tsis txhob mob hypo - lossis hyperglycemia.

Tsuas yog ua raws li cov kev cai no, kev siv tshuaj yuav ua haujlwm tau zoo, thiab tus neeg mob lub sijhawm yuav hloov kho.

Cov lus pom zoo dav

Txoj kev kho tus mob ntshav qab zib hom 2 feem ntau yog ua raws kev noj haus thiab ua kom lub cev qoj ib ce. Yog hais tias tus neeg mob hnyav dua, nws raug nquahu kom poob ceeb thawj.

Qhov no normalizes carbohydrate metabolism, tshem tawm cov xwm txheej ntxiv rau daim siab, uas, thaum lub cev ua rau lub cev tsis ua haujlwm, synthesizes ntau ntau ntawm cov piam thaj. Thaum tom qab ntawd, cov theem siab ntawm kev txhim kho, kev siv tshuaj kho yog raug sau tseg, kev kho mob tshuaj yuav tsum pom zoo nrog kws kho mob.

Noj li cas los tau

Kev ua neej nyob uas tus mob ntshav qab zib hom 1 qhia yeej tsis txawv ntawm lub neej ntawm cov neeg uas ib txwm muaj. Kev noj zaub mov zoo thiab kev noj zaub mov kom zoo yog tej zaum ib ntawm qee txoj kev txwv nruj. Thaum xav txog kev noj zaub mov zoo rau hom ntshav qab zib hom 1, ib qho tsis tuaj yeem zam qhov tseeb tias nws yuav tsum tau ua kom raws sijhawm, ua ntej cov khoom noj txom ncauj tsis tsim nyog rau ntawm qhov muaj tus mob no.

Yav dhau los, cov kws qhia zaub mov pom zoo kom muaj qhov sib npaug ntawm cov rog rau cov protein thiab carbohydrates, kev noj haus zoo li no kuj tseem siv tau rau cov ntshav qab zib hom 1, tab sis nws nyuaj heev kom ua raws. Yog li, sijhawm dhau los, khoom noj khoom haus tau dhau los ua ntau yam, uas yog qhov tseem ceeb los tswj lub neej kom muaj ntshav qab zib hom 1, vim nws yog cov zaub mov muaj txiaj ntsig zoo uas tso cai rau koj tsis tsom koj tus kab mob.

Noj zaub mov kom zoo yuav pab tiv thaiv tus mob ntshav qab zib lossis tiv thaiv nws kom tsis txhob vam meej. Rau qhov no, muaj ntau ntau txoj kev noj haus muaj feem cuam tshuam nrog qhov tseeb tias tus neeg mob xam tias muaj pes tsawg carbohydrates tau noj.

Ib qho ntxiv, cov ntawv qhia zaub mov raug suav ua raws li glycemic index ntawm cov khoom. Txhawm rau txhim kho kev noj qab haus huv hauv kev noj qab haus huv, nws txaus los maj mam ua kev hloov me me rau koj tus cwj pwm, ntxiv mus, cuam tshuam tsis tsuas ncaj qha rau zaub mov, tab sis kuj nrog lwm yam haujlwm txhua hnub.

Feem ntau, ntshav qab zib, yam thib ob, nrog cov rog dhau los. Kev rog dhau hwv yog thawj yam uas cuam tshuam rau kev txhim kho hom ntshav qab zib 2. Noj zaub mov kom zoo yuav pab tiv thaiv kom yuag ntxiv.

Thaum sawv ntxov, koj yuav tsum noj tshais, tom qab ntawd noj tsawg kawg 5 teev hauv ib hnub. Txoj kev no koj tuaj yeem tiv thaiv koj tus kheej los ntawm kev nce nyob hauv qib qabzib. Yog tias koj tsis noj sijhawm so ntev heev hauv cov khoom noj, ces tus neeg yuav tsis ntsib kev tshaib plab dhau los, txhais tau tias nws yuav tsis noj ntau dhau.

Noj ntau feem ntau txhais tau tias ua ntej tau noj tshais. Kev noj mov thaum sawv ntxov ua kom cov suab thaj ntau ntau. Ntxiv mus, cov calories uas tau noj ntau dua hlawv, vim tias noj tshais txhawb tag nrho cov kab ke hauv lub cev thiab cov metabolism hauv tag nrho.

Thaum noj tshais nyob tom qab, thiab noj su los noj hmo los tau npaj rau thaum lig, koj yuav tsum tau muaj qhov khoom noj txom ncauj, txawm tias ntawm txoj kev mus. Tom qab ntawd cov ntshav qab zib cov ntshav yuav tsis poob ntau dhau, ib tus neeg yuav tsis kov yeej kev tshaib kev nqhis, uas yog qhov nyuaj rau muaj. Thawj kaujruam ntawm kev rov zoo yog los tsim kev noj zaub mov zoo rau lub cev.

Ntxiv rau kev noj zaub mov ntau dua, lwm cov lus qhia tseem ceeb rau cov neeg mob ntshav qab zib yuav tsum ua raws.

Yuav tsum tau noj kom muaj nuj nqis. Hauv txhua pluas noj, koj yuav tsum noj protein thiab carbohydrates, ntxiv rau tsawg kawg ib lub txiv lossis zaub. Yog li, nws yog qhov muaj peev xwm los tswj cov theem ntawm cov piam thaj, ntev hnov tau tias nws puv thiab poob ceeb thawj los ntawm me me.
Kev pabcuam yuav tsum tau muab txo kom tsis muaj kev txwv rau koj tus kheej rau zaub mov. Tsawg kawg ntawm txhua tus, dhau li ntawm zaub, qhov no yuav tsum yog txoj cai rau cov neeg mob ntshav qab zib.
Kev noj kom rog txhua hnub yuav tsum tau txo thiab cov rog rog tsis zoo yuav tsum tau hloov nrog cov rog zoo.

Tig mus rau tus kws kho mob, koj tuaj yeem tau txais cov lus pom zoo txog kev noj zaub mov kom zoo, txawm tias muaj cov zaub mov kwv yees. Yog tias tus neeg mob ntshav qab zib noj kom zoo, qhov no yuav tiv thaiv nws ntawm ntau qhov tsis txaus siab uas yuav tshwm sim tiv thaiv keeb kwm ntawm tus mob no.

Ntawm no yog cov carbohydrates, cov rog, thiab cov protein nyob hauv cov zaub mov pom zoo rau ua menus rau ntshav qab zib hom 1.

Carbohydrates rau cov ntawv qhia zaub mov noj rau ntshav qab zib hom 1

Carbohydrates yog cov zaub mov tseem ceeb uas ua rau cov ntshav qab zib nce siab. Cov khoom noj carbohydrates tau muab cais ua cov piam thaj yooj yim lossis cov khoom noj txom ncauj kom ntau.

Cov neeg feem coob xav txog cov khoom noj carbohydrates thaum lawv xav txog cov khoom ci, ncuav pastry, pasta, cereals, thiab khoom qab zib. Txiv hmab txiv ntoo thiab zaub kuj muaj cov carbohydrates, tab sis cov muaj fiber ntau thiab cov zaub mov muaj txiaj ntsig ua rau lawv xaiv zoo, txawm tias muaj carbohydrates.

Cov carbohydrates ntau yog pom nyob rau hauv tag nrho cov zaub mov thiab suav nrog ntxiv cov as-ham zoo li fiber ntau, vitamins, thiab cov protein tsawg thiab rog. Cov khoom noj ntxiv no ua rau kom cov ntshav nqus qis thiab ua kom cov ntshav qab zib. Piv txwv ntawm cov carbohydrates ua:

cov nplej xim av
tag nrho nplej ntawm nplej, barley, txhuv
quinoa
oatmeal
zaub
txiv ntoo
legumes (taum, lentils, taum, chickpeas, thiab lwm yam)

Cov carbohydrates tau yooj yim yog lees paub yooj yim li "zaub mov dawb," piv txwv li,

qab zib
nplej zom (los ntawm cov hmoov nplej kom zoo)
khob cij dawb
dawb hmoov
ci (ncuav qab zib, khoom bakery, ncuav, thiab lwm yam)
dawb qos yaj ywm

Cov khoom noj ua kom yooj yim muaj ob peb lwm yam ua rau kom cov ntshav qab zib tsis txaus, thiab yog li cov khoom no ua rau cov ntshav qab zib nce siab heev. Kev noj haus ntshav qab zib hom 1 txwv qhov kev noj haus ntawm cov carbohydrates yooj yim nyob rau hauv kev pom zoo ntawm kev noj qab haus huv muaj txiaj ntsig.

Cov zaub mov thiab zaub hmoov

Nov yog cov zaub mov koj yuav tsum muaj nyob hauv koj hom phiaj noj khoom noj:

tag nrho cov khoom noj carbohydrates sib xyaw nrog cov koob tshuaj insulin
cov khoom noj uas muaj nyob hauv cov khoom noj hauv Mediterranean
as-nplua nuj heev ci txiv hmab txiv ntoo, zaub thiab berries
tsis tshua muaj glycemic noj

Cov neeg muaj ntshav qab zib hom 1, zoo ib yam li lwm tus neeg nyiam tiv thaiv kev mob nkeeg, yuav tsum ua raws li cov hom phiaj noj zaub mov zoo. Txawm li cas los xij, cov neeg muaj ntshav qab zib yuav tsum muaj kev paub ntau ntxiv txog cov ntsiab lus carbohydrate ntawm lawv cov zaub mov kom cov koob tshuaj insulin tuaj yeem hloov kho raws. Ua li no, muaj ob peb txoj cai uas koj tuaj yeem ua raws.

Hauv cov khoom noj yuav tsum tau nthuav tawm cov zaub mov uas muaj cov nroj tsuag fiber ntau, thiab tseem ceeb tshaj, dej. Thawj qeb ntawm cov khoom siv nyob rau hauv tsis muaj ntau. Cov zaub, tshwj xeeb tshaj yog thaum nyoos, tuaj yeem siv tau yam tsis muaj kev txwv, tshwj tsis yog qos yaj ywm. Cov no yog cov carrots, beets, txhua hom zaub qhwv, turnips, radishes, cucumbers, txiv lws suav, muaj ntau qhov zaub ntsuab.

Thawj qeb ntawm cov khoom lag luam kuj suav nrog nceb, dej qab zib ntawm cov qab zib, tshuaj yej thiab kas fes tsis muaj qab zib. Cov dej tsis muaj dej haus yuav tsum npaj rau cov qab zib uas tsis yog zaub mov (stavioside saccharin, aspartame, cyclamate).

Lawv tsis tsuas yog tsis nce cov ntshav qab zib, tab sis kuj tseem pab tswj lub cev hnyav. Cov neeg mob uas muaj phaus ntau yuav tsum nco ntsoov tias cov khoom qab zib uas muaj calorie qab zib tsuas yog pub rau lawv xwb.

Tsuas yog cov rog muaj roj tsawg tau xaiv los ntawm cov nqaij, yuav tsum ua tib yam nrog cov khoom noj siv mis. Qhov no yog qeb 2 ntawm cov khoom lag luam, lawv tuaj yeem raug noj nyob rau hauv tsawg. Lawv kuj suav nrog ua zaub ua mov, tshij mis muaj roj tsawg (tsawg dua 30%), legumes (taum pauv, taum), ncuav.

Nws yog qhov pom zoo yuav tsum tau txwv rau kev siv cov khoom noj muaj calorie ntau ntau, nrog rau cov uas ua rau cov ntshav qab zib nce siab. Cov no yog cov butter uas muaj calorie ntau, (suav nrog zaub), mayonnaise, tsiaj thiab zaub cov rog, cov roj qab rog, cov cheese siab, roj qab zib, qab zib thiab tsev cheese, noob thiab noob txiv, cov khoom lag luam thiab haus.
Mob ntshav qab zib, koj tuaj yeem ua lub neej zoo tib yam los ntawm kev rov qab tsim koj qhov kev noj haus. Ntau tus poj niam, thiab tsis muaj tus kab mob no, raug yuam kom tswj lawv qhov hnyav nrog kev pab ntawm kev noj zaub mov ntau, yog tias tsuas yog saib xyuas lawv qhov tsos. Lub hauv paus ntsiab lus tseem ceeb yog kev noj zaub mov zoo.

Cov ntawv qhia ua zaub mov noj rau hom ntshav qab zib hom 2

Thaum qhia txog cov tais diav, qhov feem pua ntawm cov nqi caloric txhua hnub yog qhia

Kev ua kom lub cev hnyav yog qhov txiav txim siab txog kev kho mob rau cov neeg mob uas tsis muaj cov kab mob ntshav qab zib tsis yog insulin, vim tias qhov no ua rau muaj kev txhim kho thiab rov kho qhov mob ntawm cov nqaij mos insulin receptors, txo qis hauv cov ntsiab lus ntawm immunoreactive insulin hauv cov ntshav.

Ib txoj hauv kev zoo ntawm kev kho mob ntawm qhov tsis yog-insulin-mob ntshav qab zib mellitus, tiv thaiv nws cov teeb meem thiab tswj kev them nyiaj ncua ntev ntawm kev ua haujlwm ntawm endocrine ntawm cov txiav ua kab mob ntshav qab zib yog kev kho zaub mov noj.

Khoom noj khoom haus hauv ntshav qab zib nrog cov rog dhau yuav tsum muaj qhov sib npaug hauv cov protein00, rog thiab carbohydrates, tab sis tib lub sijhawm muaj cov ntsiab lus tsis muaj calorie ntau.

Hauv cov theem pib ntawm kev txhim kho cov ntshav tsis muaj qhov mob ntshav qab zib-cov ntshav qab zib mellitus, nws muaj peev xwm ua tiav cov teeb meem ntawm cov metabolism hauv lub sijhawm ntev, i.e., txhawb cov nyiaj them los ntawm ntshav qab zib los ntawm kev ntsuas kev noj zaub mov. Kev noj haus yuav tsum ua kom tiav cov ntsiab lus ntawm cov vitamins thiab minerals hauv nws (nrog rau kev txwv cov zaub mov ntsev rau 10 g / hnub).

Nws muaj cov khoom noj muaj txiaj ntsig zoo hauv ntshav qab zib uas txwv cov khoom noj kom rog. Kev noj haus rau cov ntshav qab zib yuav tsum yog ntau ntawm cov zaub mov uas muaj glycemic tsawg.

Ib qho ntxiv, koj yuav tsum ua raws li cov qauv noj haus hauv qab no:

yam tsis suav cais ntawm cov khoom noj uas yooj yim zom tau ntawm cov zaub mov, tso cai rau tus neeg mob noj qab zib hloov (xylitol, sorbitol, fructose) hauv cov khoom txwv me me, suav mus rau hauv lawv tus nqi ntawm lub zog,
kev noj zaub mov kev txwv rau kev mob ntshav qab zib mellitus hauv tus tsiaj ntawm cov tsiaj rog, thiab qhov sib piv ntawm cov roj nyeem nyeem tsis txaus thiab tsis muaj cov rog yuav tsum yog 1: 2,
dav siv nyob rau hauv kev noj haus cov zaub mov ntau nyob rau hauv kev noj haus fiber ntau,
cov pluas noj muaj feem nrog 5-6 zaub mov tauj ib hnub,
ua tiav thiab tsis txwv tsis pub haus cawv hauv ib qho twg thiab haus luam yeeb.

Xyoo tsis ntev los no, inulin tau muaj kev txaus siab rau kev tshawb fawb thiab kev txaus siab - lub ntuj polymer ntawm fructose pom nyob hauv cov zaub mov ntuj, tshwj xeeb hauv Jerusalem artichoke, uas yog metabolized maj mam thiab tsis muaj kev koom tes ntawm insulin, yog cov khoom muaj txiaj ntsig rau cov neeg mob ntshav qab zib mellitus.

Cov lus qhia tseem ceeb rau cov ntshav qab zib

Cov txuj ci kev yooj yim los tswj koj txoj kev noj qab haus huv thiab tshem tawm cov teeb meem tuaj yeem pab txawm tias cov ntshav qab zib. Tham txog qhov no, lawv tau them sai sai rau qhov tseeb tias nyob rau hauv lub xub ntiag ntawm cov teeb meem lawv tau kho yam tsis muaj swb, tsis muaj qhov pib lawv. Cov lus pom zoo rau ntshav qab zib kuj yog tias:

Nws tsis muaj kev noj qab haus huv rau ntiaj teb thib 1, 2 thiab ntshav qab zib tsawg tsawg. Nws yog tus kws tshaj lij khoom noj khoom haus ua ke nrog endocrinologist uas yuav pab xaiv cov khoom noj kom haum rau kev tswj kev noj qab haus huv,
thaum kev kuaj mob tseem tsis tau ua, tab sis muaj qee yam teeb meem txaus ntshai, nws yuav tsum ua qhov kev ntsuas ntshav rau cov ntshav qab zib txhua txhua rau lub hlis,
nws yuav tsis yog superfluous kom tso tseg cov cwj pwm phem, koom nrog kev kawm hauv lub cev, thiab tseem yuav soj ntsuam qhov sib npaug ntawm kev tswj hwm ntawm kev ua haujlwm thiab so.

Kev ceev faj ntawm qhov tseeb kev ua haujlwm ntawm lub hnub tsim nyog xav tshwj xeeb. Qhov no yuav tso cai rau koj los tsim cov khoom noj khoom haus, ua kom zoo ua ke nrog kev tawm dag zog thiab kev siv tshuaj.

Kho txhua hnub kom raws sijhawm

Nrog tus mob ntshav qab zib hom 2, nws raug nquahu kom ua raws li kev ua txhua hnub. Ua ntej txhua yam, txhua yam yuav tsum tau nqa tawm ntawm lub sijhawm: txij thaum sawv ntxov los noj mov cov khoom noj thiab cov haujlwm sab nraum zoov, nrog rau pw tsaug zog. Qhov no yuav tso cai rau tsim kev noj haus algorithm, uas yuav tsum tau ua ke nrog kev siv tshuaj yeeb.

Ntxiv mus, cov kws tshaj lij tau kos mus rau qhov tseeb tias qhov thib ob kis yog kev zam ntawm kev ua haujlwm ntawm lub hlwb thiab lub cev. Nyob rau hnub so, kev so ntawm koj li kev ua haujlwm ib txwm muaj kev pom zoo. Cov hnub so dawb tau pom zoo kom siv ncaj qha rau kev ua si lom zem, zoo nkauj pastime nrog tsev neeg thiab cov neeg nyiam. Kev hais txog kev coj noj coj ua kom raug hnub ntawd, lawv tau them rau qhov tseeb tias kev tawm dag zog thiab kev noj zaub mov kom raug yog qhov tseem ceeb heev, suav txog txhua tus yam ntxwv hauv lub xeev kev noj qab haus huv.

Ntshav qab zib noj

Cov khoom noj muaj txiaj ntsig rau hom 1 thiab ntshav qab zib hom 2 yuav tsum tau sib txawv. Yog li, hauv thawj kis, qhov kev txwv ntau tshaj plaws ntawm cov khoom lag luam, uas suav nrog qhov tseem ceeb ntawm cov piam thaj, tau pom zoo. Nws raug nquahu kom tsis txhob ua khoom qab zib (khoom qab zib, khoom qab zib, jams), thiab txiv hmab txiv ntoo (tshwj xeeb txiv tsawb thiab txiv hmab). Nws yog qhov tsis tsim nyog noj mov dawb thiab semolina.

Cov tshuaj pom zoo yog cov uas suav nrog cov khoom noj ua ke sib xyaw ua ke, vim tias lawv tau nkag rau hauv lub plab ntev dua, thiab yog li qhov muaj peev xwm ua rau cov ntshav qab zib tsawg dua. Rau cov neeg mob uas muaj ntshav qab zib hom 1, txhua yam khoom tuaj yeem faib ua peb pawg:

cov npe uas tso cai rau siv nrog kev suav ntawm XE (piv txwv, buckwheat, legumes thiab tag nrho cov mis nyuj),
cov khoom lag luam uas tuaj yeem noj nrog yuav luag tsis txwv (zaub, tshuaj ntsuab, taum),
cov npe uas tsis tsim nyog siv (piv txwv li cov hws qab zib). Ib qho kev zam nyob rau hauv cov ntaub ntawv no yuav tsum raug suav tias yog kev tawm tsam ntawm kev mob ntshav qab zib.

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 >>>

Kev noj zaub mov kom zoo nyob rau ib hnub rau cov ntshav qab zib hom 1 yuav tsum yog 1900 txog 2300 kcal.

Nrog ntshav qab zib hom 2, cov txiaj ntsig zoo tshaj yog cov zaub mov muaj calorie tsawg. Yog tias tus mob ntshav qab zib muaj rog, nws qhia kom tsis txhob siv ntau dua 1200 kcal ib hnub. Cov rog hauv cov khoom lag luam yog tso cai tsuas yog tias lawv yog ntawm cov zaub hauv keeb kwm thiab tau noj hauv tsawg. Carbohydrates tuaj yeem siv tshwj xeeb ntawm XE thiab feem me me. Proteins yog siv tau rau siv nyob rau hauv ib qho tsim nyog, vim hais tias lawv muaj zoo tsis muaj kev cuam tshuam rau cov ntshav qab zib.

Sau lwm cov lus qhia, xyuam xim rau qhov kev txwv ntawm txhua yam hmoov nplej thiab kev txwv tsis pub cov khoom lag luam nrog cov roj ntsha. Tus neeg tsis noj nqaij kua zaub, cov npe tsis muaj hmoov txhuv, nrog rau cov txiv ntoo tsis qab zib, zaub tshiab thiab legumes yuav siv rau cov ntshav qab zib.

Txhawm rau kom muaj ntau yam kev noj haus ntawm cov neeg mob ntshav qab zib nyob hauv hom 1 thiab hom 2, cov khoom siv ntshav qab zib tshwj xeeb tau tsim tawm. Lawv tuaj yeem muas tau hauv chav haujlwm tshwj xeeb ntawm cov khoom noj tshwj xeeb lossis, piv txwv li, hauv tsev muag tshuaj. Peb tab tom tham txog tshuaj yej hauv dej qab zib, cov nqaij hauv qab zib, cov khoom qab zib, nrog rau ua ncuav qab zib, kua zaub thiab lwm yam.

Kev tawm dag zog thiab kev dhia paj paws

Rau cov neeg mob ntshav qab zib mellitus, kev tawm dag zog tshwj xeeb yog qhov tseem ceeb, vim tias nws yog ntxiv rau qhov kev kho kom rov zoo. Qhov tseeb yog tias lawv yooj yim cov txheej txheem qab zib siv los ntawm cov leeg cov qauv. Hauv qhov no, cov teebmeem tseem ceeb hauv qab no yuav raug sau tseg: kev poob qis hauv kev tiv thaiv insulin thiab kev txo qis hauv cov tshuaj hormonal feem hauv ntshav qab zib hom 1.

Cov kws tshwj xeeb tau mob siab rau qhov tseeb tias:

kev tawm dag zog lub cev nyhav ua kom lub cev ua haujlwm ntawm lub cev thiab hauv nruab nrog cev,
minimizes qhov ntxim nyiam muaj ntawm kev tsim cov kabmob sib xyaw thiab cov ntshav qab zib tsis haum. Tshwj xeeb, nws muaj txiaj ntsig zoo rau cov hlab plawv (kev ntshav ncig ntawm lub hlwb thiab lub siab),
Kev tawm dag zog aerobic, xws li ua haujlwm, taug kev ceev, lossis kev tawm dag zog, yog qhov pab tau zoo tshaj.

Txhua qhov kev tawm dag zog yuav tsum muaj kev sib koom tes nrog tus kws kho mob uas tuaj koom, uas yuav tshem tawm qhov kev txhim kho ntawm cov teeb meem. Qhov no yog qhov tseeb tshwj xeeb tshaj yog rau kev tawm dag zog ntsig txog muaj kev sib zog siab ntau. Lawv ua tsis tiav kiag rau kev saib xyuas hlwb thiab tuaj yeem ua rau kev tsis txaus ntseeg ntawm lub xeev ntawm cov hlab ntsha hauv qab qis qis. Kev tawm dag zog tawm dag zog kuj tseem cuam tshuam rau hauv cov txheej txheem yam tsis mob ntshav qab zib.

Qhov kev txiav txim siab tshaj plaws yuav tsum tau xav txog kev tawm dag zog lub cev, xaiv tus kheej, kev kho kom rov zoo ntawm lub cev. Yog tias qhov no tsis yooj yim sua vim li cas los xij, koj tsuas tuaj yeem taug kev hauv huab cua ntshiab - ntawm 15 txog 45 feeb ib hnub yuav ntau tshaj li qhov txaus.

Kev saib xyuas ko taw

Nws yog ib qho tseem ceeb kom kuaj xyuas qhov qis qis tshaj txhua hnub los yog ntau dua (yog tias tsim nyog). Qhov no siv rau kev sib nrug, ob txhais taw, nws yog qhov tsim nyog yuav tsum tau them sai sai rau qhov tsis hnov tsw. Ntxiv mus, hais txog kev tu kom zoo ko taw, ceeb toom:

qhov tsis tsim nyog ntawm taug kev liab qab, vim tias nws yuav tshwm sim tias khawb, tawg thiab lwm yam kev puas tsuaj yuav tshwm sim,
yuav tsum tau siv cov thom khwm sov sov yog tias txhais taw tau khov. Hauv qhov no, cov pos hniav yuav tsum tsis muaj qhov kaw ntom nti,
txhua hnub ntawm kev ntxuav ko taw nrog dej sov thiab xab npum, tom qab ntawd cov nqua yuav tsum muab so kom qhuav li uas tau nrog phuam qhuav,
tsis tu ncua siv urea cream. Qhov no yuav tob tob ntawm daim tawv nqaij.

Nrog rau qhov nce qib ntawm kev tawm hws ntawm cov nqua, peb tab tom tham txog kev siv talcum hmoov, plua plav hmoov thiab lwm yam zoo li. Cov rau tes yuav tsum tau ua tshwj xeeb nrog cov ntsia thawv, thaum siv cov ntxiab ntse (txiab, ciaj) yuav tsum tsis txhob siv. Yam 2 ntshav qab zib mellitus kuj tseem cuam tshuam nrog kev taug kev, uas txhim kho ntshav khiav thiab tshem tawm kev txhim kho ntawm cov teeb meem.

Nws yog ib qho tseem ceeb kom nco ntsoov cov lus pom zoo ntxiv, piv txwv li, tias ua ntej ua cov nqaj qis dua, lawv cov roj khov kho yuav tsis tsim nyog. Tsis muaj corns, calluses, ntxhib tawv yuav tsum nyob rau hauv txhua rooj plaub raug tshem tawm ntawm nws tus kheej. Muaj qee kis, koj yuav tsum hu rau tus kws tshaj lij sai li sai tau. Peb tab tom hais txog qhov kuaj pom ntawm lub qhov txhab, kiav txhab, txiav me me, nrog rau hlawv lossis hlawv cov tawv nqaij, kub hauv zos.

Cov yam ntxwv ntawm cov tshuaj insulin

Novorapid, Humalog thiab lwm hom ultrashort hom insulin yog qhov pom zoo kom siv ua ntej noj zaub mov lossis tam sim ntawd. Cov hau kev no yooj yim heev rau cov mob ntshav qab zib thiab tsis ua kom muaj kev ntxhov siab.

Nyob rau tib lub sijhawm, piv txwv li, luv luv insulin, tsim los txo sai sai hyperglycemia, yog qhov pom zoo tom qab cov khoom noj carbohydrate. Hais txog qhov no, lawv tau them sai sai rau qhov tseeb tias daim ntawv thov yuav tsum tau nqa tawm 30 feeb ua ntej noj mov, vim tias tsuas yog tom qab lub sijhawm dhau los nws yuav pib ua haujlwm. Ceeb toom rau txhua qhov tshwj xeeb ntawm kev siv tshuaj insulin, xyuam xim rau qhov tseeb tias:

qhov tshwj xeeb ntawm luv hom insulin yog koob tshuaj-siv, uas yog, ntau dua qhov ntau npaum, qeeb qeeb nws tau nqus,
yog tias koj siv los ntawm plaub mus rau rau chav nyob, tom qab ntawd nws yuav ua rau hauv 15-30 feeb. Thaum lub siab tshaj plaws yuav mus txog tom qab 90 feeb,
qhov ntau npaum ntawm 20 ntsuas qhov ntau cuam tshuam tom qab ob teev, thaum cov nyhuv ua tiav tom qab tsawg kawg plaub, tab sis tsis tshaj 6 teev.

Qhov no yog li cas qhov kev tivthaiv hormone ntawm kev ua haujlwm ntev yuav ua ntsi xws li kev ua haujlwm tsis tu ncua ntawm tib neeg lub cev. Hauv qhov no, nws yuav yog qhov tseeb tshaj plaws los siv nws nrog kev ua 12-14 teev thiab nkag mus rau nws ob zaug: ua ntej noj tshais thiab ua ntej mus pw.

Cov khoom nthuav tawm suav nrog cov khoom tshwj xeeb uas khi cov tshuaj insulin, thiab kuj tseem cuam tshuam nws kev nkag mus rau hauv cov hlab ntshav. Hauv kev ua lag luam niaj hnub no muaj ntau lub ncov insulins, nyob rau hauv uas muaj kev sib xyaw ntawm cov tshuaj hormones ntev thiab luv luv. Thaum siv cov cuab yeej tam sim no, tsis tas yuav txhaj tshuaj ua ntej noj tshais thiab noj hmo, vim tias cov tshuaj hormone muab rau hauv cov tshuaj sib tov nrog ib rab koob xwb. Txawm li cas los xij, nws tseem yuav tsum nco ntsoov tias cov ntawv tsim no yog qhov nyuaj ntau dua rau koob.