Ib txoj hauv kev tseem ceeb uas tuaj yeem txheeb xyuas ntau qhov sib txawv hauv kev ua haujlwm ntawm tib neeg lub cev yog kuaj ntshav rau tag nrho cov piam thaj. Tshwj xeeb, nws tso cai rau kev kuaj mob xws li mob hnyav xws li ntshav qab zib mellitus. Thiab hnub no peb yuav tham txog yuav ua li cas pub ntshav qab zib.
Yuav ua li cas qhov kev tshuaj ntsuam no tuaj yeem sau tau?
Tus kws kho mob muab sijhawm teem sijhawm rau kev tshuaj ntsuam xyuas yog tias muaj kev xav tias yuav muaj ntshav qab zib mellitus, vim nws yog rau tus kabmob no uas nce ntshav qabzib cov yam ntxwv.
Kev tshawb fawb yuav tsum yog:
- muaj lus tsis txaus siab ntawm qhov nqhis dej tas li nrog lub qhov ncauj qhuav heev;
- poob ceeb thawj tshwm sim;
- tso zis ntau ntxiv;
- qaug zog yog pom.
Kev tshuaj xyuas yog qhov yuav tsum tau ua rau cov neeg rog rog, nrog rau cov neeg mob ntshav siab.
Analysis
Hais kom meejhais txog yuav ua li cas pub ntshav rau cov piam thaj, ces tsis muaj dab tsi nyuab ntawm no. Qhov twg xaiv qhov kev kuaj ntshav (ntiv tes lossis cov leeg), lawv pub ntshav tsuas yog thaum sawv ntxov thiab ntawm plab khoob.
Npaj rau kev kawm yav tom ntej
Ua ntej pub ntshav, koj tsis tuaj yeem haus dej haus cawv (qhov no kuj siv tau rau npias). Cawv hauv thawj ob peb teev tom qab noj tshuaj tuaj yeem ua rau cov ntshav qab zib nce ntxiv. Tom qab ntawd, cov txheej txheem rov qab yuav tshwm sim. Lub siab, uas yog lub luag haujlwm rau kev ua cov protein rau hauv qabzib, raug yuam kom tiv nrog qhov tshwm sim ntawm kev haus dej cawv. Qhov no yog vim li cas cov ntshav qab zib tau poob qis, thiab kev kuaj ntshav thaum sawv ntxov zoo li yuav tsis raug.
Ua ntej pub ntshav, koj yuav tsum tsis txhob noj yam tsawg yim teev. Koj tsuas haus tau dej dawb xwb. Yuav pub ntshav li cas rau cov piam thaj thiab yuav ua li cas npaj rau kev kuaj, tam sim no koj paub. Nws yog lub sij hawm kom paub txog kev decryption ntawm cov ntaub ntawv.
Fasting qab zib: normal
Cov piam thaj thaum sawv ntxov yuav tsum tsis pub tshaj 3, 50…5, 50 mmol / liter. Nyob rau tib hnub, cov ntsuas yuav hloov pauv, tab sis feem ntau tseem nyob hauv qhov ntau.
Kev nce tus lej rau 5, 50…6, 00 mmol / liter txhais tau tias yog lub xeev ua ntej ntshav qab zib. Hauv qhov xwm txheej zoo li no, kev tshawb fawb ntxiv yuav xav tau. Yog tias kev soj ntsuam kuaj ntshav ntawm lub plab khoob pom tau tias cov piam thaj ntau dua 6.00 mmol / l, tom qab ntawd cov ntshav qab zib tau lees paub.
Kev kuaj ntshav qab zib ntxiv
Yuav kom paub meej qhov kev kuaj mob yuav raug sau tsegcov kev xeem hauv qab no:
- ua qhov ntsuas ntshav qabzib;
- Yglycemic hemoglobin kuaj.
Glucose tolerance test
Yog tias cov piam thaj ntawm lub plab khoob (tus qauv uas koj twb paub lawm) yog nyob rau hauv thaj tsam ntawm 5, 70…6, 90 mmol / liter, ces ib qho kev tshawb fawb ntxiv.
Ua ntej qhov kev xeem, ib tus neeg tau txais kev noj haus uas muaj tsawg kawg yog 125 g ntawm carbohydrates. Txoj kev tshawb no tseem tab tom ua ntawm lub plab khoob.
Kev xeem nws tus kheej zoo li no:
- thaum pib, ntshav tawm ntawm tus ntiv tes;
- tom qab ntawd koj yuav tsum tau noj cov kua qabzib aqueous (75 g yog yaj hauv 200 ml dej);
- tom qab ntawd, ntshav tau noj ib nrab ib teev.
Mob ntshav qab zib mellitus tau lees paub yog tias kev ntsuas thaum sawv ntxov pom cov piam thaj ntawm 7.00 mmol / liter lossis ntau dua, thiab ob teev tom qab noj cov kua qabzib, cov ntshav qabzib ntau dua 11.00 mmol / liter.
Yog tias thawj qhov kev tshuaj ntsuam pom tau tias cov ntsiab lus qab zib tsawg dua 7.00 mmol / liter, thiab tom qab ob teev tom qab noj cov tshuaj qab zib, nws poob rau hauv thaj tsam ntawm 8.00….11.00 mmol / liter, ces qhov no yog. kuaj pom tias tsis muaj qabzib siab ntev. Thiab peb tuaj yeem tham txog daim ntawv latent ntawm ntshav qab zib.
Kev txiav txim siab ntawm qib glycemic hemoglobin
Qhov kev kuaj ntshav no pab suav cov ntshav qabzib nruab nrab txhua hnub rau 1-3 lub hlis dhau los. Cov ntshav tau nojlos ntawm tib neeg txoj leeg.
Tus qauv yog nce txog 6%. Cov lej 6.0…6.5% qhia tias muaj kev pheej hmoo ntau ntxiv ntawm kev mob ntshav qab zib. Thiab nrog cov ntsuas saum toj no 6.5% lees paub qhov kev kuaj mob, tab sis nws tsis yog ib txwm mob ntshav qab zib uas yog qhov ua rau muaj qhov sib txawv.
Ntxiv ua rau cov ntshav qab zib siab
Qab zib tuaj yeem nce siab tsis yog hauv ntshav qab zib xwb. Hyperglycemia tuaj yeem qhia tias muaj cov kab mob hauv qab no:
- Pheochromocytoma, kab mob loj ntawm cov kab mob endocrine, thaum tus neeg cov ntshav tau txais ntau ntawm norepinephrine thiab adrenaline. Cov cim qhia ntxiv muaj xws li kev nce ntshav siab, kev ntxhov siab tsis meej, lub plawv dhia ceev, thiab tawm hws ntau ntxiv.
- Pathological mob ntawm endocrine system. Ntawm no peb tab tom tham txog Cushing's syndrome thiab thyrotoxicosis.
- kab mob siab thiab mob cirrhosis tseem cuam tshuam nrog cov ntshav qab zib siab.
- Txhua hom kab mob pancreatitis thiab qog nqaij hlav pancreatic.
Lwm qhov ua rau hyperglycemia tuaj yeem yog kev siv qee yam tshuaj, xws li diuretics, tshuaj tiv thaiv qhov ncauj, thiab tshuaj tiv thaiv steroids.
Qee zaum kev ntsuas ntshav qab zib qhia tau tias qis dhau. Tus mob no yog hu ua hypoglycemia thiab nrog rau cov tsos mob hauv qab no:
- daim tawv nqaij;
- tawm hws ntau dhau;
- kev tshaib plab;
- kev ntxhov siab tsis meej;
- kev nrawmlub plawv dhia;
- kev nyuaj siab.
Txhua tus yuav tsum tswj cov piam thaj hauv cov ntshav, txawm tias tsis muaj qhov sib txawv ntawm kev noj qab haus huv. Yuav pub ntshav rau cov piam thaj li cas, cov txheej txheem twg thiab feem ntau lees txais cov cai muaj nyob, tam sim no koj paub. Noj qab nyob zoo!
