Tus menyuam cov ntshav qab zib ib txwm

Cov ntaub ntawv luam tawm rau kev siv, thiab tsis yog daim ntawv yuav tshuaj kho! Peb pom zoo kom koj hu rau tus kws kho hematologist ntawm koj lub tsev kho mob!

Co-sau: Markovets Natalya Viktorovna, hematologist

Cov piam thaj (lossis qab zib) yog ib qho ntawm cov ntsuas tseem ceeb ntawm cov metabolism hauv lub cev tas mus li. Nws yog ib qho tseem ceeb kom paub txog cov kab mob xws li ntshav qab zib mellitus raws sijhawm. Kev kuaj ntshav qabzib ib txwm yuav pab txheeb xyuas tus kabmob thiab tiv thaiv nws cov teebmeem. Txhua tus menyuam yuav tsum raug kuaj xyuas tsawg kawg ib xyoos ib zaug. Cov kws kho mob me nyuam yaus thiab cov kws kho mob hauv tsev neeg paub txog qhov no thiab sim ua raws li lub sijhawm tuag rau kev tshawb nrhiav.

Kev txhais lus ntawm cov roj ntsha biochemistry hauv cov menyuam yaus nws muaj nws tus yam ntxwv. Qhov no kuj siv tau rau piam thaj. Txhua tus niam txiv yuav tsum paub txog dab tsi hloov pauv hauv cov piam thaj hauv ntshav tuaj yeem cuam tshuam tus menyuam tau hauv lub neej.

Tej cov cim qhia cov piam thaj hauv menyuam yaus

Cov ntshav qab zib cov ntshav feem ntau hauv cov menyuam yaus, tsis zoo li tus neeg laus, yog qhov ntsuas qis.

Cov ntsuas, ntawm cov nruab nrab, yog cov hauv qab no:

• los ntawm 2.6 txog 4.4 mmol / l - cov menyuam yaus txog li ib xyoos,
• los ntawm 3.2 txog 5 mmol / l - cov menyuam preschool,
• los ntawm 3.3 thiab tsis ntau tshaj 5.5 mmol / l - cov menyuam hauv tsev kawm ntawv thiab cov tub ntxhais hluas hnub nyoog qis dua 17 xyoo.

Cov lus ntawm cov piam thaj nyob hauv cov menyuam yaus, nyob ntawm seb muaj hnub nyoog li cas

Tseem Ceeb! Qab zib suab thaj rau hauv tus menyuam yug tshiab yog qhov tsawg. Nws tuaj yeem vau rau 2.55 mmol / L.

Cev xeeb tub yog theem tseem ceeb hauv tus poj niam lub neej. Qhov no yog lub xeev ntawm lub cev thaum tus kab mob uas tsis tau pom yav tas los lossis tau nce hauv daim ntawv latent yog "qhib". Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tau soj ntsuam txhua qhov kev hloov pauv hauv lub cev, nrog rau cov kua nplaum. Qhov tseeb, kev kuaj pom ntawm pathology raws sijhawm yog tus yuam sij rau kev tiv thaiv kev vam meej ntawm kev nyuaj.

Glucose txos mechanism

Cov piam thaj hauv qab no ntau dua li cov neeg laus muaj lub ntuj ua.

Firstly, tus me nyuam muaj cov metabolism loj heev thiab kev loj hlob tuaj. Thiab rau cov txheej txheem "metabolic" lub tsev ", qabzib yog xav tau ntawm cov neeg loj. Nws noj rau cov txheej txheem biochemical yog colossal. Yog li ntawd, cov piam thaj nyob hauv ntshav yuav tsawg - nws txhua yam nkag mus rau hauv cov ntaub so ntswg.

Thib ob, cov ntshav ntws hauv tus menyuam yaus pib ua haujlwm ntawm nws tus kheej. Hauv niam plab, tag nrho cov khoom noj khoom haus thiab cov ntsiab lus, suav nrog cov piam thaj, tau kis los ntawm nws cov ntshav. Tom qab yug los, qhov no tsis tshwm sim, vim hais tias cov txheej txheem ntawm kev hloov pauv thiab kev tsim cov piam thaj pib rau lawv tus kheej, tab sis tsis muaj kev txhim kho. Nws yuav siv sijhawm. Yog vim li cas lub sijhawm tom qab lub sijhawm hloov kho tom qab yug menyuam tau muaj ntshav qab zib tsawg dua.

Tseem Ceeb! Qab zib cov ntshav qab zib hauv menyuam yaus yog lub sijhawm los xav txog kev pheej hmoo mob ntshav qab zib thiab kuaj ntshav qabzib.

Kuaj ntshav qab zib kuaj

Txoj kev tshawb fawb tau ua thaum:

• qab zib theem tom qab noj ntau dua 8 mmol / l,
• yoo suab thaj - ntau dua 5.6 mmol / l.

Qhov tseem ceeb ntawm kev ntsuam xyuas yog tias tus menyuam raug coj mus ua plab (lossis 8 teev tom qab noj mov tas los), tom qab ntawd lawv tau pub rau tsawg kawg 80 grams piam thaj hauv 250 ml (ib khob dej). Lawv tos 2 teev, tom qab ntawv lawv ntsuas ntshav qab zib dua.

Tseem Ceeb! Yog tias tom qab 2 teev lub suab thaj tsis dhau tsawg dua 8 mmol / l, peb tuaj yeem hais txog kev cuam tshuam zoo rau cov piam thaj. Yog tias cov piam thaj hauv siab tau khaws cia nyob rau theem thiab tsis poob qis dua 11 mmol / l - ntshav qab zib yog pom tseeb.

Qhov ntsuas cov kua nplaum ua pa

Cov ntshav qabzib nyob nruab nrab ntawm 5,6 thiab 6 mmol / L yog qhov txawv ntawm kev mob ntshav qab zib mellitus thiab / lossis kev txo qis hauv qab zib.

Yuav ua li cas pub cov ntshav rau ntshav qab zib hauv cov menyuam yaus?

• Cov chaw uas lawv coj los ntawm tus ntiv tes (80% ntawm tus neeg mob), los ntawm txoj leeg ntshav (hauv cov menyuam hlob dua), los ntawm pob taws (hauv cov menyuam tshiab).
• Kev tsom xam ua tiav nruj me ntsis ntawm kev khoob khoob kom tsis txhob cuam tshuam qhov ntsuas.
• Rau kev yooj yim thiab kev yooj yim ntawm kev siv, glucometer tuaj yeem siv thaum xub thawj. Tab sis nws yog ib qho tseem ceeb kom nco ntsoov tias nws tsis hloov qhov kev txiav txim siab kuaj ntshav qabzib puv feem ntau.

Tso ntshav ntsuas rau kev txiav txim siab cov piam thaj hauv menyuam mos

Vim li cas rau qhov nce

Thawj qhov laj thawj uas kws kho mob yuav tsum xav txog yog ntshav qab zib. Tus kab mob no tuaj yeem tshwm sim rau lub sijhawm ntawm kev loj hlob ntawm tus menyuam - ntawm 3 txog 6 xyoo, ntxiv rau txij li 13 txog 15 xyoos.

Tus me nyuam raug kuaj mob ntshav qab zib mellitus raws li cov ntaub ntawv hauv qab no ntshav:

• piam thaj ntau - ntau dua 6.1 mmol / l,
• piam thaj theem 2 teev tom qab thau khoom nrog sucrose - ntau dua 11 mmol / l,
• theem ntawm glycosylated (ua ke nrog hauv qabzib) hemoglobin - los ntawm 6% lossis ntau dua.

Lus khaws xav 11 mmol / L yog qhov thiaj li hu kho mob raum, i.e. cov ntsiab lus zoo ntawm cov piam thaj hauv cov ntshav uas lub raum "tiv" tsis tau tawm ntawm lub cev. Ntxiv mus, vim yog hyperglycemia thiab glycosylation ntawm cov nqaijrog, lub raum glomeruli pib ua kev puas tsuaj thiab dhau cov piam thaj, txawm hais tias lawv yuav tsum tsis txhob ib txwm ua.

Kev puas tsuaj rau lub raum hauv ntshav qab zib

Hauv cov tshuaj, kev kuaj mob ntawm "hematuria" yog tsim yog tias, tom qab kuaj xyuas cov zis, cov ntshav liab - cov qe ntshav liab - tau qhia hauv nws. Hematuria hauv cov menyuam yaus tsis yog mob hnyav, nws yog cov tsos mob uas qhia tias tus menyuam muaj lwm yam kabmob.

Thawj cov tsos mob ntshav qab zib hauv tus menyuam

Tus kab mob no tuaj yeem ntseeg nrog cov tsos mob hauv qab no:

• kev nqhis dej tas liCov. Ib tug menyuam yaus haus tsis tsuas yog thaum nws kub, tab sis kuj tseem thaum nws txias. Feem ntau sawv thaum ib tag hmo los haus,
• sai thiab profuse tso zisCov. Cov zis yog qhov kaj, yuav luag pob tshab. Lub cev sim hauv txhua txoj hauv kev kom tshem tau cov kua nplaum ntau dhau, suav nrog hauv ob lub raum. Cov piam thaj yog soluble hauv dej, vim tias txoj kev kho lub raum yog qhov yooj yim,
• daim tawv nqaij qhuavCov. Vim tias muaj kua ntau dua ntxiv, daim tawv nqaij tsis noo txaus. Vim tias nws lub pob zeb ploj

Lus khaws xav Cov tshuaj nplaum yuav tsis txuag los ntawm daim tawv nqaij qhuav hauv ntshav qab zib yog tias lub hauv paus tsis tshem tawm.

• poob phausCov. Vim tias tsis muaj cov tshuaj insulin, cov piam thaj tsis tuaj yeem nqus tau. Li no cov khoom noj tsis txaus ntawm cov ntaub so ntswg thiab thinness,
• qaug zog thiab qaug zogCov. Txij li cov piam thaj kev txhim kho yog qhov tsis hnov ​​lus, nws txhais tau hais tias tsis muaj lub zog txaus rau cov haujlwm nquag. Yuav kom tsis muaj zog yog tseem ntxiv tas li kev nkees nkees.

Nrog rau ntshav qab zib, tus menyuam tau nqhis dej txhua lub sijhawm.

Kev sib txawv ntawm cov piam thaj hauv qab - dab tsi yog qhov no fraught nrog?

Ib qho kev cuam tshuam ua ntej rau kev loj hlob ntawm cov ntshav qab zib hauv ib tus menyuam yaus yog kev muaj keeb.

Tseem Ceeb! Yog tias ib tus ntawm cov txheeb ze muaj ntshav qab zib lossis niam txiv muaj rog rog, nws tuaj yeem hais nrog qhov muaj tseeb tias tus me nyuam yuav raug kev txom nyem yam tsawg kawg ua rau muaj ntshav qab zib tsis tshua mob thiab tsis muaj ntshav ntau.

Nws tshwm sim tias cov piam thaj, ntawm qhov tsis tooj, yog qhov tsawg heev. Tus mob no yog hu ua hypoglycemia. Qee lub sij hawm nws yog qhov txaus ntshai tshaj li hyperglycemia.

Kev muaj ntshav qab zib ntau tshwm sim hauv cov xwm txheej hauv qab no (kab mob):

• kev tshaib plab thiab kev mob malabsorption hauv plab,
• mob rau daim siab (mob siab rau daim siab, mob siab ua ntej sib deev, thiab lwm yam),
• insulinoma (nqaij hlav los ntawm islet cheeb tsam ntawm tus txiav).

Txhua yam kev hloov ntawm cov piam thaj ntawm qhov ntsuas tau los ntawm kev xav tau kev sib tham tam sim ntawm tus kws tshaj lij nrog kev soj ntsuam ntxaws.