Ntau zaus hauv cov tib neeg muaj xws li kab mob ntawm endocrine system xws li ntshav qab zib mellitus. "Nws puas tuaj yeem kho tus kab mob no thiab vim li cas nws tshwm sim?" - Cov lus nug no txhawj xeeb ntau. Yuav kom nkag siab txog qhov no, nws yog ib qho tsim nyog yuav tsum paub seb tus kab mob tshwm sim nws tus kheej li cas thiab dab tsi ua rau nws tshwm sim.
Symptoms
Mob ntshav qab zib mellitus muaj nws tus yam ntxwv. Lawv tau qhia meej heev txawm tias nyob rau theem pib ntawm kev loj hlob ntawm tus kab mob. Cov tseem ceeb yog:
- nquag tso zis;
- xav nqhis tas li;
- poob phaus sai;
- nce kev chim siab thiab qaug zog heev;
- xav tshaib plab;
- teeb meem tawv nqaij;
- qeeb qeeb ntawm ntau qhov kev txiav thiab qhov txhab;
- nce kev kis kab mob;
- kev tsis pom kev ntawm lub cev;
- tsis xis nyob hauv ceg;
- Ntawm cov ntshav qab zib li qub.
Ntau zaus, tus neeg uas pom nws tus kheej nrog cov tsos mob tam sim ntawd xav tias nws muaj insulin-dependantntshav qab zib. "Nws puas tuaj yeem kho tau?" - Cov lus nug no dhau los ua lub ntsiab lus ntawm kev sib tham nrog phooj ywg thiab cov neeg paub. Nws coj nws tus kheej mus rau kev npau taws thiab ntxhov siab, kos duab hauv nws txoj kev xav, ib qho txaus ntshai tshaj qhov lwm tus. Txawm hais tias ib tus neeg paub txog theem pib nrog cov ntaub ntawv hais txog tus kab mob tso cai rau koj pom tias tus kab mob tuaj yeem muaj ntau hom thiab hom, thiab deb ntawm qhov hnyav tshaj plaws.
Type of diabetes
Raws li qhov kev lees paub dav dav siv hauv txhua lub koom haum tshawb fawb ntawm endocrinology, tus kab mob tshwm sim los ntawm kev nce ntxiv ntawm cov piam thaj hauv cov ntshav tuaj yeem yog thawj thiab theem nrab. Cov hom kab mob tseem ceeb yog suav tias yog ntshav qab zib 1 thiab 2 degrees. Ob hom yog kab mob ywj pheej.
ntshav qab zib theem nrab tshwm sim tawm tsam keeb kwm ntawm ntau yam txheej txheem pathological hauv lub cev thiab yog lawv qhov tshwm sim.
Yog vim li cas
Hom 1 mob ntshav qab zib tshwm sim thaum lub txiav ua tsis tau cov tshuaj insulin ntawm qhov xav tau zoo lossis kom muaj nuj nqis. Cov kws tshaj lij tseem tsis muaj kev xav tsis meej txog lub hauv paus ua rau qhov tshwm sim no.
Hom 2 mob ntshav qab zib muaj feem cuam tshuam rau tib neeg cov caj ces muab pov tseg rau nws. Yuav muaj ob yam kev yug me nyuam:
- cov ntaub so ntswg tsis hnov tsw rau cov teebmeem ntawm insulin;
- glucose tsis tau coj los ntawm beta hlwb.
Genetic predisposition yog tau txais los ntawm. Txawm li cas los xij, nws tsis yog ib qho kev lees paub ntawm qhov yuav tsum tau muaj kev txhim kho ntshav qab zib. Tus kab mob pib tshwm sim nws tus kheej nyob rau hauv lub xub ntiag ntawm ib tug xov tooj ntawm txaus ntshai yam. Ntawm lawv:
- laus;
- me ntsis kev tawm dag zog;
- malnutrition;
- obesity;
- yug hnyav.
Yog tias muaj kev pheej hmoo raug tshem tawm, cov neeg uas muaj caj ces muaj ntshav qab zib hom 2 tuaj yeem zam tau.
mob ntshav qab zib theem nrab tuaj yeem pom hauv cov xwm txheej hauv qab no:
- thaum cev xeeb tub;
- nrog cov kab mob ntawm endocrine system;
- rau acromegaly thiab Cushing's syndrome.
Ntau zaus tib neeg ntshai heev los ntawm kev kuaj mob: ntshav qab zib mellitus. "Tus kab mob no puas kho tau?" - Nov yog lawv thawj lo lus nug rau tus kws tshaj lij. Secondary diabetes mellitus yog kho tau zoo. Nws kis tau yog tias koj tshem tawm qhov xwm txheej lossis kab mob uas ua rau nws.
Hom 1 thiab hom 2 mob ntshav qab zib yog kho tsis tau. Raws li kev tawm tsam nws yog txhais tau tias kev siv ntau yam kev ntsuas uas tswj tus neeg mob cov ntshav qab zib hauv lub xeev ze li qub. Cov hom phiaj kho yog:
- tawm tag nrho cov tsos mob uas nrog tus kab mob;
- khaws cov metabolism hauv ib txwm muaj rau lub sijhawm ntev;
- tiv thaiv cov teeb meem tshwm sim;
- txhim kho lub neej zoo ntawm tus neeg mob.
Kev kho mob ntshav qab zib mellitus yuav tsum tsis txhob ua ntawm koj tus kheej. Ib qho kev xaiv zoo yuav yog hu rau lub koom haum ntawm Endocrinology hauv Moscow. Cov kws kho mob tshwj xeeb tau pab cov neeg mob los ntawm tus kab mob no tau ntau xyoo. Rau lub hom phiaj no, ntau yam ntsiav tshuaj rau ntshav qab zib yog siv, thiabcov txheej txheem thiab cov txheej txheem, uas tuaj yeem pom hauv qab no.
Kev kho tshuaj insulin
Hom 1 mob ntshav qab zib tsuas yog kho nrog kev txhaj tshuaj insulin nkaus xwb, qhov kev taw qhia uas ua raws li qhov tshwm sim ntawm nws cov khoom tsim tawm hauv tib neeg lub cev. Tus neeg mob tas li, ob peb zaug hauv ib hnub, noj cov tshuaj raws li tus kws kho mob tau sau tseg.
Nyob rau hauv hom 2 mob ntshav qab zib mellitus, kev txhaj tshuaj insulin tsuas yog muab los ntawm kws kho mob raws li tus kheej nruj. Lawv muaj txiaj ntsig hauv qhov tsis tshua muaj neeg:
- yog cov tshuaj ntshav qab zib tsis ua haujlwm;
- thaum cev xeeb tub;
- nrog decompensation ntawm carbohydrate metabolism uas tshwm sim tawm tsam keeb kwm ntawm kev ua haujlwm, nrog rau ntau yam kab mob;
- rau ketoacidosis;
- nrog ntau yam contraindications lossis intolerance rau cov tshuaj txo cov piam thaj.
Tshuaj
Yog tias pom muaj theem siab ntawm hom 2 mob ntshav qab zib mellitus, ces txoj hauv kev tseem ceeb ntawm kev kho tus kab mob yog kev kho tshuaj. Nws muaj cov tshuaj noj hauv qhov ncauj tsis tu ncua.
Tus kws kho mob txhim kho kev kho mob rau txhua tus neeg mob ib leeg. Feem ntau, hypoglycemic monotherapy yog siv ua ntej: kev kho mob yog nqa tawm nrog metformin lossis sulfonylurea tshuaj.
Thaum qhov ua tau zoo ntawm cov txheej txheem no tsawg, kev sib xyaw ntawm ntau yam tshuaj tau muab.
tswj qhov hnyav
Tshuaj rau ntshav qab zib yog sivmob hnyav. Qhov no tsis yog tib txoj kev los daws tus kab mob no xwb.
Yog tias hom 2 mob ntshav qab zib tau kuaj pom ntxov, kev noj haus thiab kev tawm dag zog tuaj yeem pab tswj qhov hnyav. Yog tias lub cev hnyav dhau lawm, nws yuav tsum tau txo qis kom tsis txhob ua rau cov hlab plawv puas.
Qee zaum, ntawm qhov tsis sib xws, muaj qhov hnyav poob qis. Nyob rau hauv rooj plaub no, qhov hnyav yuav tsum tau nce thiab tswj nyob rau theem ib txwm.
Khoom noj
Nrog ntshav qab zib, kev noj zaub mov kom raug yog qhov tseem ceeb heev. Nws yuav tsum tau xav heev, vim tias cov khoom noj muaj zog heev ntawm cov ntshav qab zib. Cov zaub mov hauv qab no txwv tsis pub rau cov neeg mob ntshav qab zib:
- rice, semolina, barley;
- qab zib (tshwj tsis yog cov khoom noj khoom haus tshwj xeeb uas muaj cov khoom qab zib tso cai);
- ncuav qab zib thiab qhob cij dawb;
- qos yaj ywm mashed;
- txhua yam rog thiab haus luam yeeb;
- txiv hmab txiv ntoo thiab dej qab zib;
- khoom noj khoom haus;
- butter thiab kis;
- khoom ib nrab tiav;
- -kua yeeb yaj kiab, cov txuj lom thiab cov lus qhia;
- xwb.
Yuav tsum suav nrog hauv cov ntawv qhia txhua hnub:
- oatmeal and buckwheat;
- zaub tshiab;
- cov khoom noj mis nyuj muaj roj tsawg;
- seafood;
- txiv lws suav;
- qe qe;
- nqaij npuas.
Nws yog ib qho tseem ceeb heev los npaj ib lub kefir lossis buckwheat yoo mov hnub ib hlis ib zaug.
Lub cev ua haujlwm
Tsis muaj kev txwv nruj rau kev ua kis las thiab kev tawm dag zog hauv ntshav qab zib mellitus. Kev tawm dag zog nce qib insulin hauv cov ntshav thiab txo cov suab thaj. Txawm li cas los xij, txhawm rau kom tsis txhob overdo nws thiab tsis ua mob rau lub cev, koj tseem yuav tsum ua raws li ntau txoj cai yooj yim.
- Ua ntej pib qoj ib ce, cov ntshav qab zib yuav tsum tsis pub tshaj 15 mmol / l thiab poob qis dua 5.
- Nyob rau ntawm txoj kev kho mob thiab kev noj zaub mov kom raug.
- Kho qhov tshwm sim ntawm hypoglycemia los ntawm kev noj qee lub khob cij lossis lwm yam carbohydrates yooj yim digestible ua ntej pib qoj ib ce. Nws yog qhov zoo kom paub tag nrho nws cov tsos mob.
- Tsis muaj kev tawm dag zog thaum tsis xis nyob.
kev kho neeg zoo
Ntxiv nrog rau cov txheej txheem kev kho mob ntshav qab zib, lwm txoj kev tuaj yeem siv tau. Txawm li cas los xij, kev kho neeg pej xeem yuav tsum tsis yog hloov pauv, tab sis ntxiv rau kev kho mob tseem ceeb.
Nplej stew, barley broth, chicory infusion yog qhov zoo heev. Kev siv dos, acorns thiab ntau yam tshuaj ntsuab rau ntshav qab zib kuj zoo heev thiab nrov.
Shilajit thiab sauerkraut kua txiv tau siv dav.
Kev Tiv Thaiv Mob Ntshav Qab Zib
Kev Tshawb Fawb Lub Tsev Kawm Ntawv ntawm Endocrinology yog suav tias yog txoj hauv kev zoo tshaj plaws los tiv thaiv kev tshwm sim ntawm hom 1 ntshav qab zib, yuav tsum pub niam mis rau menyuam mos thiab tiv thaiv ntau yam kab mob sib kis.
Nyob rau hauv ntshav qab zib 2hom rau kev tiv thaiv nws raug pom zoo kom ua raws li:
- kev noj zaub mov nruj thiab khoom noj tsis txaus;
- kev ua neej nyob nrog kev ua kom lub cev txaus;
- zam qhov xwm txheej ntxhov siab.
Yog tias koj ua raws li kev tiv thaiv kev tiv thaiv thiab tshem tawm cov kev pheej hmoo, koj tuaj yeem ua neej zoo siab tag nrho koj lub neej thiab tsis txhob ntsib cov lus nug: Dab tsi yog ntshav qab zib? Nws puas tuaj yeem kho tau? Txawm li cas los xij, txawm tias koj mob, koj tsis tas yuav poob rau hauv kev poob siab. Lub koom haum ntawm Endocrinology hauv Moscow nyiam lub koob npe nrov ntawm cov neeg mob ntshav qab zib. Kev nkag mus rau cov kws kho mob raws sij hawm thiab teem caij kho kom zoo los ntawm lawv yuav pab tswj kev noj qab haus huv zoo thiab txaus siab rau lub neej.
