Kev ntsuas tus mob ntshav qis (hypoglycemia): kev kho mob nyob ntawm tus mob hnyav ntawm tus nres

Hauv lub cev ntawm txhua tus neeg, piam thaj yog qhov tseem ceeb ntawm lub zog.

Thaum nws qib qis, qhov mob txaus ntshai tshwm sim, uas cov kws kho mob hu ua hypoglycemia.

Ib txoj hau kev pathological poob hauv cov ntshav qab zib tau hais tias yog tias nws tau khaws qis dua 2.8 mmol / L cim.

Cov ua rau muaj tsos mob ntshav qab zib

Tsis yog ib txwm ua rau lub ntsej muag ntshav qab zib yog qhov tshwm sim rau cov ntshav qab zib, los ntawm qhov uas ib tug neeg mob, tab sis nws tawm tsam ntawm cov keeb kwm ntawm cov kab mob endocrine no uas teeb meem ntawm cov xwm no tshwm sim feem ntau.

Feem ntau, kev kuaj mob yog tsim rau cov neeg mob uas mob ntshav qab zib hom 1, muaj qee zaus, qhov teeb meem cuam tshuam rau cov neeg muaj ntshav qab zib hom 2.

Rau thawj pab pawg, qhov xwm txheej yog qhov txaus ntshai tshaj plaws, txij li piam thaj tuaj yeem poob sai thiab tam sim ntawd rau qhov tseem ceebCov. Cov pab pawg thib ob nqa lub pob jumps yooj yim dua, thiab qhov phom sij ntawm kev poob mus rau hauv coma lossis tuag yog qhov qis dua.

Qhov laj thawj tseem ceeb uas cov ntshav qab zib tau tiv thaiv keeb kwm ntawm ntshav qab zib yog txoj kev siv tshuaj tsis raug cai uas tsim los ua kom cov ntshav qab zib cov ntshav qab zib.

Ntau tshaj li 90% ntawm cov tshuaj hauv cov pab pawg neeg hypoglycemic txhawb cov beta hlwb ntawm tus txiav, ua rau lawv tsim insulin. Yog tias koj noj cov tshuaj uas tsis yog lawm, tus lej ntawm lub cev yuav nce siab zuj zus, uas yuav ua rau qhov tseeb tias cov piam thaj hauv ntshav plasma qis dua.

Lwm yam laj thawj:

haus cawv
ntev sib nrug nruab nrab ntawm cov zaub mov,
siv tsis zoo ntawm ntau yam sweeteners,
tsis ua raws li kev noj haus pom zoo los ntawm kws kho mob,
kev tswj hwm tsis tsim nyog ntawm cov tshuaj insulin.

Thaum ib tug hypoglycemic ntsoog tsim, lub paj hlwb suffers ua ntej ntawm txhua. Qhov no tuaj yeem ua rau nws txoj kev tuag ntawm nws lub hlwb, ua rau nws rov qab tsaug zog, nrog rau tus neeg mob txoj kev tuag.

tshee tshee tshee ntawm hauv caug + me ntsis tshee nyob thoob plaws lub cev,
loog ntawm daim di ncauj thiab tus nplaig,
lub plawv dhia
nco qab ntsoov tsis meej pem
txob taus
tshaib plab heev
tsis muaj zog, nkees nkees thiab nkees tshwm sim tam sim ntawd,
hws.

Yog hais tias tus neeg mob tsis tau pab, thiab qab zib ntxiv mus poob, ntuav, kiv taub hau, tsis meej pem, nriaj, tawm tsam kev tawm tsam, poob ntawm kev nco qab yuav tshwm sim. Cov tsos mob yuav yog ib qho, lossis yuav muaj ob peb.

Mob txha cajqaum thiab mob qog ntshav siab: puas muaj qhov sib txuas

Yog hais tias mob hnyav rau pancreatic lesions, uas suav nrog ua mob leeg nqaij leeg, tus neeg yuav muaj "mob ntshav qab zib hom 3", uas yog hu ua pancreatogenic. Kev ua txhaum ntawm cov piam thaj hauv cov kab mob metabolism hauv tus kab mob no yog theem nrab.

Qhov tshwm sim ntawm endocrine kawg yuav luag tsis yooj yim los soj ntsuam, raws li ib qho chaw, glycemia muaj qhov tsis txaus hauv 10-15% ntawm cov neeg mob uas mob qog, raws li lwm qhov chaw - hauv 80-90%.

Aggravating lwm yam yog cov hauv qab no:

nyiam cov rog, nplua nuj nyob hauv cov carbohydrates lossis cov zaub mov kib,
haus cawv
kev khiav hauj lwm nqa tawm ntawm lub txiav,
noj tej pab pawg ntawm cov tshuaj tsis tu ncua (piv txwv, corticosteroids).

Pancreatogenic mob ntshav qab zib mellitus muaj kev ncaj ncees cov lus kuaj mob. Ntxiv nrog rau cov tsos mob ntawm tus mob qog ntshav qab zib, muaj qhov mob ntawm thaj av epigastric, kub siab, raws plab.

Yuav ua li cas nrog hypoglycemia?

Yog tias qhov poob hauv qab zib qib tsis tseem ceeb, nws txaus rau tus neeg mob noj cov kua txiv qab zib, khaub noom.

Txoj kev yooj yim thiab no ua haujlwm nyob hauv ob peb feeb. Cov kev kho mob zoo li no yog siv rau kev tawm tsam ntawm me me mus rau mob hnyav.

Kev nres qhov mob nrog rau cov tshuaj (cov teeb meem nyuaj) tuaj yeem nqa tawm tsuas yog nyob hauv kev saib xyuas ntawm kws kho mob. Txawm li cas los xij, yog tias tus neeg mob tau poob rau hauv lub cev xws li mob tsis xeev, ua ntej lub tsheb thauj neeg mob tuaj txog, nws tuaj yeem hno 40-60 ml ntawm 40% cov kua nplaum nyob rau hauv cov ntshav.

Kev kho mob nrog tshuaj ntsuab tshuaj yog ib txoj hauv kev hauv tsev los tawm tsam kev mob ntshav qab zib. Yuav kom ntseeg tau tias nws tsis ua mob, nws yog ib qho tseem ceeb kom soj ntsuam cov kev mob tseem ceeb: kev kho lwm txoj kev kho mob yuav tsum ua tiav cov tshuaj kho mob ntshav qab zib, thiab tsis hloov nws.

Dab tsi tuaj yeem siv rau hypoglycemia:

levzea nyob rau hauv daim ntawv ntawm tincture lossis rho tawm,
tshiab qej
Jerusalem artichoke
rosehip infusions thiab decoctions,
lingonberry
plantain nyom (infusions),
St. John lub wort (infusions),
lemongrass tshiab.

Yuav kho li cas nrog cov khoom noj?

Kev noj haus yuav tsum ua raws li kev txwv tseem ceeb ntawm cov carbohydrates hauv kev noj haus. Cov zaub mov yuav tsum yog cov seem thiab ntau zaus (tsawg kawg yog tsib mus rau rau zaus nyob rau ib hnub).

Zaub mov zoo thiab dej qab zib:

thawj zaug kawm ntawm "thib ob" broth,
cov rog rog muaj roj tsawg,
muag-hau qe
muaj rog ntses tsawg,
cereals, siav rau dej: buckwheat, barley, barley, millet, oat,
tshiab cov txiv hmab txiv ntoo thiab txiv ntoo. Cov txiaj ntsig tshwj xeeb yog cov txiv hmab txiv ntoo (txiv kab ntxwv, txiv kab ntxwv qaub), nrog rau txiv ntoo qab zib, currants, apricots thiab lwm tus,
tej zaub. Txwv tsuas yog carrots, beets, peas thiab qos yaj ywm,
butter tuaj yeem noj tau los ntawm kev ntxiv rau npaj mus noj mov,
nqaij ntshiv yog qhov zoo tshaj: qaib ntxhw, luav, nqaij nyuj,
cov hnyuv ntxwm hauv cov khoom noj yog qhov kev tso cai, tab sis lawv yuav tsum ua kom tawv zoo li ua tau,
dej qab zib: kua txiv ntawm cov tsiaj qus sawv, teas, kua txiv hmab txiv ntoo, kua txiv los ntawm cov zaub thiab txiv hmab txiv ntoo uas tsis qab zib, me me ntawm kas fes,
khoom qab zib tuaj yeem noj tau rau qhov tsawg, thiab tsuas yog cov npaj tau siv cov khoom qab zib,
zib mu yog noj qab nyob zoo, tab sis nyob rau hauv ib tug tsawg npaum li cas,
Mov ci yuav tsum tau xaiv cov whole grain los yog los ntawm hmoov nplej ntawm qib thib ob nrog xua.

Cov khoom uas nws yog ntshaw kom tsis suav nrog cov khoom noj:

tus ntses, os, nqaij npuas,
semolina, nplej zom, mov,
cov khoom noj kaus poom thiab nqaij me,
cawv
muffin, ncuav qab zib pastry, khoom qab zib, ncuav qab zib,
jam thiab jams
mis nyuj khov
Chocolate thiab khoom qab zib
pickles thiab pickles,
nplua nuj cov roj,
tsiaj ua rog nyob rau hauv daim ntawv ntawm cov rog
oily ntses
cov txiv ntoo qab zib: txiv hmab, txiv tsawb, txiv kab ntxwv,
qee hom txiv hmab txiv ntoo qhuav: hnub, raisins, figs,
khw cov kua txiv
qab zib qab zib
qab zib ntshiab.

Kev Tiv Thaiv

Tsuas muaj tib txoj kev xwb: kom xyuam xim rau cov cim ntawm koj tus kheej lub cev, tshwj xeeb yog tias koj yog tus mob ntshav qab zib.

Nrog glucometer ntawm tes, koj tuaj yeem saib xyuas cov ntshav qabzib txhua lub sijhawm, uas txhais tau tias koj tuaj yeem coj los tiv thaiv kev ntsuas.

Nws yog ib qho tseem ceeb kom ua raws li kev noj haus, noj tshuaj uas kws kho mob sau tseg, thiab yauv mus kuaj txhua qhov tsim nyog raws sij hawmCov. Koj yuav tsum tau txhaj tshuaj insulin nyob rau hauv nruj raws li cov lus qhia los ntawm koj tus kws kho mob. Ua raws li cov xwm txheej no, dej qab zib hauv qab zib tuaj yeem zam tau.

Ntxiv rau, koj yuav tsum muaj peev xwm nres qhov kev tawm tsam txhua lub sijhawm, ib qho txaus los nqa qee yam qab zib nrog koj, lwm tus xav tau tshuaj.

Kev siv yees duab

Txog feem ntau txoj hauv kev los kho ntshav qab zib hauv video:

Kev mob ntshav qab zib yog ib qho txaus ntshai heev uas tuaj yeem ua rau muaj kev sib txuam tsis zoo. Yog koj raug kev txom nyem los ntawm tus mob, nco ntsoov nqa nrog ib daim ntawv nrog cov ntawv sau txog koj raug kev txom nyem, nrog rau cov lus qhia luv luv ntawm kev pab ua ntej. Tej zaum muaj ib hnub nws yuav cawm koj txoj sia.

Stabilizes qib qab zib kom ntev
Rov kho cov tshuaj insulin pancreatic

Moog kawm ntawv ntxiv. Tsis yog qaug tshuaj. ->

Hom ntshav qab zib kom ntshav qab zib

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Hauv cov tshuaj, ob hom kev mob ntshav qab zib yog qhov txawv:

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yoo mov, uas yog, tshwm sim rau ntawm lub plab khoob,
hypoglycemia tom qab noj mov.

Kev yoo mov hypoglycemia yog txiav txim siab phem tshaj qhov kho tau. Nyob rau hauv kev hem thawj ntawm hypoglycemia, kev npaj ua ntej ntawm kev kho mob thiab kev kho mob yog qhov yuav tsum tau ua.

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Thaum ua cov kev kuaj mob sib txawv thiab kev tsim cov laj thawj ntawm hypoglycemic syndrome, kev kho mob nyuaj tau kho.

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Kev yoo mov hypoglycemia yog txiav txim siab los ntawm cov piam thaj hauv kev soj ntsuam tom qab yim teev ntawm kev yoo mov, nrog rau tom qab 3 hnub ntawm kev noj haus tshwj xeeb. Txij li nws nyob ntawm qhov nce ntawm insulin hauv cov ntshav, nws tseem hu ua insulin hypoglycemia.

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Lwm hom kev txo ntshav qis yog ntau qhov kev txiav txim siab hauv cov poj niam ntawm asthenic physique, 2-3 teev tom qab noj mov. Cov suab thaj nce siab ceev ceev tom qab lub caij nplooj zeeg luv. Kev ua txhaum yog lees paub los ntawm kev noj ntshav rau qab zib thaum tawm tsam.

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Txhua hom ntshav qab zib hauv lub cev tuaj yeem tshwm sim hauv daim ntawv me thiab loj.

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Kev txo qis cov ntshav qab zib tsawg dua

Rau kev kho mob los ntawm me daim ntawv ntawm tus kab mob, raws li txoj cai, zom cov zaub mov muaj protein ntau yog siv:

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cov khoom uas muaj fructose lossis sucrose,
chocolate kab laum
zib ntab, cov khoom beekeeping,
khob cij dawb.

Ntxiv mus, cov kev ntsuas no tsis tuaj yeem suav tias yog qhov txaus thiab cia siab rau lawv cov kev pab tas li. Kev tawm tsam tuaj yeem ua rau hnyav dua thiab tsis muaj kev tswj hwm tau.

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Kev txiav ib ce ntshav khov ntau heev

Cov tsos mob ntawm tus mob hnyav ntawm tus kab mob no qhia tau nws tus kheej kom nquag thiab muaj tus yam ntxwv li hauv qab no:

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tsis meej pem ntawm kev nco qab, hais lus thiab ua kom sib haum,
cov mob ua kom leeg mob, leeg nqaij,
tsaus muag, mus txog tsis nco qab.

Thawj qhov kev pab kho mob yog kev siv 50 ml ntawm 40% piam thaj cov kua nplaum, uas yuav tsum tau muab kho kom sai li sai tau.

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Qhov kev xaiv thib ob yog pab koj txhaj tshuaj Glucagon, uas yog qhov tawm tsam insulin.

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Thaum tus neeg mob rov qab nco qab, nws yog ib qhov tsim nyog los pub nws cov zaub mov nrog cov ntsiab lus siab ntawm carbohydrates, hauv feem me me nrog ncua sij hawm nruab nrab ntawm cov koob tshuaj.

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Yuav ua li cas nyob rau hauv huab mob?

Yuav kho tus mob ntshav qab zib li cas yog hais tias ib tug neeg yeej ib txwm tsis nco qab li cas?

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Hauv qhov xwm txheej no, tus kws kho mob mus kawm pib kho kev kho ntshav qab zib kom tsawg nrog cov kev ntsuas kho dua tshiab:

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Rau ob peb hnub, tsib feem pua ntawm cov dej qabzib txuas ntxiv kom txuas ntxiv nrog ntxiv ntawm kev daws teeb meem prednisolone.
Kev npaj cocarboxylase yog tau tswj hwm.
Cov lus qhia 5% ntawm cov tshuaj ascorbic acid nce txog qib qis.
Siv tshuaj subcutaneously nrog adrenaline ua ntej txhua cov piam thaj.

Nrog rau kev nce ntxiv hauv cov ntshav qab zib kom siab dua 12 mmol / l, cov tshuaj insulin me me yuav tau ntxiv.

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Yog tias tus neeg tsis tuaj rau nws lub cev rau lub sijhawm ntev, nws yog qhov tsim nyog los tiv thaiv tus mob txha caj qaum.

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Rau qhov no, cov tshuaj hauv qab no yog siv:

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mannitol tov
Lasix tshuaj yaj yeeb
magnesium sulfate tov,
prednisone daws
inhalation ntawm noo noo oxygen.

Tom qab tso tsis xeev, siv txhais tau tias txhawm rau txhim kho cov metabolism hauv cov hlwb ntawm cov hlab ntsha nruab nrab:

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glutamic acid
Stugeron
Aminalon
Cerebrolysin
Pob tawb.

Kev kho dua tshiab yog nqa tawm rau ib hlis.

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Tshuaj noj: ntsiav tshuaj thiab tshuaj kua

Cov ntsiav tshuaj hauv qab thiab cov gels tau siv sai sai kom tsis txhob muaj ntshav qab zib nyob hauv tsev:

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Cov hlwv zais nrog cov ntsiav tshuaj Girofri, txhua tus ntawm muaj 4 g. dextrose (piam thaj).
Fastrose nyob rau hauv daim ntawv ntawm cov ntsiav tshuaj, 4 g. Cov ntsiav tshuaj mos uas yooj yim zom, saj zoo.
Dextro 4 ntsiav tshuaj thiab gel, suav nrog ntshiab D-glucose, muaj txheej txheem kev nqus sai hauv lub qhov ncauj.

Cov zoo li cov nkev tsis tsum tau siv los pab cov neeg uas tsis nco qab lawm.

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Daim ntawv tshuaj no tuaj yeem rub tawm yooj yim rau hauv cov pos hniav lossis nyem ntawm cov hniav. Cov gel yaj tau zoo hauv lub qhov ncauj.

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Pathologies thiab qis qabzib

Qhov txawv txav ntawm cov ntshav qog ntshav yog qhov sib cais ntawm qhov kab mob pathological no los ntawm ntau lwm cov kab mob pathologies ntawm endocrine system.

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Qhov tshwm sim ntawm qhov teeb meem thiab qhov kwv yees rau kev rov qab los ncaj qha nyob ntawm kev tsim qauv ntawm kev kuaj mob tseem ceeb.

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Cov lus qhia ua ntej hauv qab no yog qhov txawv, uas ua rau lub xeev hypoglycemic:

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hlav ntawm islets ntawm Langerhans,
pathologies ntawm daim siab, yug los thiab nrhiav,
txo cov ntshav qab zib hauv cov poj niam cev xeeb tub,
lub raum tsis ua hauj lwm
thaum ntxov mob ntshav qab zib
cawv lossis zaub mov intoxication,
kev phais mob hauv lub tshav pob ntawm cov hnyuv.

Kev siv tus txheej txheem ntawm kev sau cov ntaub ntawv hais txog tus neeg mob, cov laj thawj hauv qab no kuj tuaj yeem txiav txim siab uas cuam tshuam rau hypoglycemic index:

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kev ntxhov siab
hlab hlwb
kev nyuaj siab mob hlwb.

Ntxiv nrog rau keeb kwm kev kho mob, tus kws kho mob rau kev kuaj mob txawv yuav xav tau cov ntaub ntawv ultrasound ntawm cov plab hnyuv siab raum, nrog rau kev txheeb xyuas biochemical ntxiv ntawm tus neeg mob cov ntshav.

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Raws li cov txiaj ntsig ntawm kev ntsuam xyuas, koj tuaj yeem sau ntawv kho ib qho kev kho mob uas tsim nyog rau tus mob hauv qab, uas ua rau kom cov ntshav qab zib kom tsawg.

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Kev kho mob ntawm kev yoo mov hypoglycemia

Hom mob no tau kho kho los ntawm kev nce hauv carbohydrates hauv kev noj haus. Cov tshuaj, cov tshuaj insulin inhibitors, xws li Dilatin thiab Anaprilin ua tau zoo ntawm qhov no.

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Tab sis lawv tsuas yog tshem qee cov tsos mob ntawm lub xeev ntawm cov ntshav qabzib hauv lub cev, thaum nws yog qhov tsim nyog los cuam tshuam nrog qhov ua rau.

Kev kho cov suab thaj kom tsawg rau cov menyuam mos

Kev saib xyuas thaum ntxov rau cov me nyuam tshiab uas tau tsim lub qog ntshav qab zib yog txoj kev tso ntshav qab zib cov kua qab zib.

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Yog tias cov mob rov qab rau hauv cov ntshav uas muaj ntshav qab zib tsawg tshwm sim, tom qab ntawd lawv tuaj yeem pib siv hydrocortisone, cov koob tshuaj uas tau suav los ntawm qhov hnyav. Nws siv txhua txhua plaub teev.

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Nrog rau cov txheej txheem kev kho mob kom zoo, qhov tsis mob hnyav ntawm cov menyuam mos yog kho tau kiag li 1 lub lis piam tom qab yug, txij li lub sijhawm no cov tshuaj insulin tsis zoo.

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Cov kev ntsuam xyuas dab tsi ntxiv?

Ib qho kev kuaj mob kom raug yog qhov tshwm sim ntawm ntau hom kev ntsuas:

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ib qho kuaj sim nrog insulin hypoglycemia,
kev kuaj ntshav biochemical,
urinalysis.

Qhov tseem ceeb los txiav txim siab txog qhov mob hnyav tshaj plaws yog qhov kev tshawb xyuas ntawm tus qauv nrog insulin hypoglycemia. Qhov no yog kev sim tshwj xeeb, uas cuam tshuam nrog kev qhia qee yam nqi ntawm insulin rau tus neeg mob thiab, thaum ncav lub ntsuas ntshav tsis txaus ntawm 2.2 mmol / L, kuaj ntshav rau cortisol noj.

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Yog tias qhov nyiaj ntawm cortisol tsawg dua 540 nmol / l, ces qhov tseeb ntawm kev mob ntshav qab zib yog paub tseeb.

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Kev ntsuam xyuas xav tau kev saib xyuas tshwj xeeb los ntawm cov kws kho mob, tus neeg mob nyob hauv tsev kho mob los ntawm kev saib xyuas ntawm cov kws kho mob txhua hnub tom qab sim.

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Ib qho kev koom ua ke rau qhov ntshav qab zib

Tus neeg mob uas kuaj ntshav qog ntshav yuav tsum yauv mus khomob:

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kev kho cov tshuaj,
kev kho mob lub cev
noj zaub mov ntau nyob rau hauv cov zaub mov muaj protein ntau thiab carbohydrates,
tshuaj ntsuab hmoob.

Kev pabcuam zoo hauv kev sib ntaus tawm tsam hyperglycemia tincture ntawm leuzea, nplooj ntawm txiv qaub. Rosehip Txoj kev lis ntshav yuav tsis tsuas nce cov suab thaj, tab sis kuj ntxiv qhov tsim nyog vitamin C thiab K.

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Kho puas tau ntshav qab zib tsawg kawg? Lub xeev cov ntshav qab zib cov ntshav khov hauv cov ntawv me tuaj yeem raug kho thiab tswj tau nrog tswj ntshav qabzib thiab dextrose npaj.

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Cov foos siv yuav tsum tau soj ntsuam tas li. Lawv kev tshem tawm yog yoog los ntawm kev ua tiav kev kho mob ntawm tus kabmob tseem ceeb, uas yog qhov ua rau lub xeev hypoglycemic.