Koj puas cia li xav tias tshee hnyo? Hws, kiv taub hau, thiab tshaib plab heev? Cov no yuav yog cov cim qhia tias koj cov ntshav qab zib qis dua li qhov noj qab nyob zoo. Hauv kev kho mob, peb hu qhov mob no ua hypoglycemia . Qhov no feem ntau tshwm sim rau cov neeg uas muaj ntshav qab zib. Tab sis qee zaum nws kuj tshwm sim rau cov neeg uas tsis muaj ntshav qab zib thiab. Yog li, tsis txhob ntshai. Cia peb tham txog qhov no yooj yim thiab meej.
Hauv lwm lo lus, hypoglycemia yog dab tsi?
Hypoglycemia yog thaum cov glucose, lossis qab zib raws li peb feem ntau hu ua, hauv koj cov ntshav poob qis dua qib kev noj qab haus huv uas lub cev xav tau.
- Rau feem ntau cov neeg uas muaj ntshav qab zib, qib ntshav qab zib hauv qab 70 mg/dL (milligrams ib deciliter) lossis 3.9 mmol/L (millimoles ib liter) yog suav tias yog hypoglycemia.
- Rau ib tus neeg uas tsis muaj ntshav qab zib, hypoglycemia feem ntau txhais tias yog qib qis dua 55 mg / dL (3.1 mmol / L).
Thaum muaj tus mob no, yuav tsum tau kho tam sim ntawd los ntawm kev noj lossis haus ib yam dab tsi uas muaj suab thaj lossis carbohydrates. Qee zaum qhov no tuaj yeem ua rau muaj tus mob hnyav (ntshav qis heev). Yog tias qhov no tshwm sim, nws tuaj yeem ua rau tuag taus thiab yuav tsum tau kho mob tam sim ntawd.
Vim li cas glucose thiaj li tseem ceeb rau peb lub cev?
Peb lub cev tau txais glucose (qabzib) los ntawm cov carbohydrates uas peb noj. Qhov no yog peb lub cev lub zog tseem ceeb. Nws zoo li roj av rau lub tsheb. Tshwj xeeb, glucose yog qhov tseem ceeb rau peb lub hlwb ua haujlwm. Lub hlwb xav tau cov glucose tas li.
Yog koj tsis muaj ntshav qab zib, peb lub cev tswj cov ntshav qab zib kom nyob rau hauv ib qho ntau yam los ntawm ntau yam txheej txheem ntuj. Lub tshuaj hormones tseem ceeb uas pab nrog qhov no yog insulin, uas yog tsim los ntawm lub pancreas. Ib qho tshuaj hormones hu ua glucagon kuj tseem ceeb rau qhov no.
Txawm li cas los xij, rau cov neeg uas muaj ntshav qab zib, cov txheej txheem no tsis ua haujlwm zoo. Yog li ntawd, lawv yuav tsum tswj lawv cov ntshav qab zib los ntawm kev siv tshuaj (piv txwv li, txhaj tshuaj insulin) thiab hloov pauv kev ua neej. Qhov laj thawj tseem ceeb rau cov ntshav qab zib tsawg yog qhov nce ntxiv ntawm cov insulin hauv lub cev.
Cov tsos mob ntawm cov ntshav qab zib qis yog dab tsi?
Cov tsos mob ntawm hypoglycemia tuaj yeem pib sai sai. Thiab lawv tuaj yeem sib txawv ntawm ib tus neeg mus rau ib tus neeg. Txawm hais tias cov tsos mob no tuaj yeem ua rau tsis xis nyob me ntsis, lawv yog ib qho lus ceeb toom zoo uas qhia rau peb tias, "Koj cov piam thaj qis, ua ib yam dab tsi sai sai."
| Cov yam ntxwv yooj yim / dav dav | Cov tsos mob hnyav (yuav tsum tau kho mob tam sim ntawd) |
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Cov tsos mob hnyav heev ua rau tuag taus. Kev kho mob tam sim ntawd yog qhov tseem ceeb rau cov xwm txheej zoo li no. Yog tias tsis kho, yuav ua rau koj tsis nco qab lossis tuag taus.
Cov ntshav qab zib qis thaum pw tsaug zog (Nocturnal Hypoglycemia)
Qee zaum, cov ntshav qab zib tuaj yeem poob qis txawm tias thaum peb tsaug zog. Nov yog qee cov tsos mob:
- Tawm tsam nrog kev pw tsaug zog
- Tawm hws ntau heev ua rau daim ntaub ntub dej
- Qw nrov thaum koj pw tsaug zog
- Kev npau suav phem
- Xav tias nkees heev thiab tsis meej pem thaum sawv ntxov
Puas yog ntshav qab zib poob qis yam tsis muaj tsos mob? (Kev Tsis Paub Txog Hypoglycemia)
Yog lawm, qhov no yog qhov xwm txheej txaus ntshai me ntsis. Rau qee tus neeg, tshwj xeeb tshaj yog cov neeg mob ntshav qab zib uas muaj cov ntshav qab zib qis ntau zaus, dhau sijhawm, lawv cov ntshav qab zib tuaj yeem poob qis yam tsis muaj tsos mob. Lub cev tau siv rau cov ntshav qab zib qis thiab tsis muab cov cim ceeb toom. Qhov no hu ua hypoglycemia unawareness .
Cov neeg uas muaj tus mob no feem ntau yuav mob hnyav heev tam sim ntawd. Yog tias qhov no tshwm sim rau koj, nws yog ib qho tseem ceeb heev uas yuav tsum qhia rau koj tsev neeg thiab cov phooj ywg txog qhov no. Yog li ntawd lawv thiaj li pab tau koj thaum muaj xwm txheej ceev. Tsis tas li ntawd,
- Siv lub cuab yeej uas ntsuas cov piam thaj tas li (Continuous Glucose Monitoring - CGM) tuaj yeem pab koj paub thaum koj cov piam thaj hauv ntshav qis.
- Nws tseem yog lub tswv yim zoo los ntsuas koj cov ntshav qab zib ntau zaus hauv ib hnub nrog glucometer ib txwm muaj.
Cov ua rau cov ntshav qab zib qis yog dab tsi?
Cov laj thawj muaj peev xwm muab faib ua ob pawg: cov neeg uas muaj ntshav qab zib thiab cov neeg uas tsis muaj ntshav qab zib.
Cov laj thawj vim li cas ib tus neeg uas muaj ntshav qab zib thiaj li muaj cov ntshav qab zib tsawg
Qhov no tshwm sim thaum muaj kev tsis sib npaug ntawm kev noj zaub mov, kev tawm dag zog, thiab tshuaj kho mob ntshav qab zib.
- Kev txhaj tshuaj insulin ntau dhau: Kev txhaj tshuaj insulin ntau dua li qhov tsim nyog.
- Kev siv tshuaj thiab lub sijhawm noj mov yuam kev: Noj insulin thiab tsis noj mov ntev.
- Noj cov tshuaj ntshav qab zib tsis raug: Noj ntau dhau ntawm qee cov tshuaj ntshav qab zib (piv txwv li sulfonylurea) tuaj yeem ua rau cov ntshav qab zib qis.
- Ua si ntau dua li niaj zaus: Ua si ntau dua thiab tsis noj txaus los them rov qab.
- Haus cawv thaum lub plab khoob: Haus cawv yam tsis tau noj mov.
- Tsis noj mov raws sijhawm: Tsis noj mov raws sijhawm.
Vim li cas ib tug neeg uas tsis muaj ntshav qab zib thiaj li muaj cov ntshav qab zib tsawg?
Qhov no tsis tshua muaj. Muaj ob hom tseem ceeb.
1. Kev Mob Ntshav Qab Zib Tsis Zoo: Qhov no tshwm sim ob mus rau plaub teev tom qab noj mov . Tshwj xeeb tshaj yog thaum koj noj cov khoom noj uas muaj cov carbohydrates yooj yim xws li mov, mov ci, thiab qos yaj ywm, lub cev cia li tsim cov insulin ntau dua, ua rau koj cov ntshav qab zib qis dua.
2. Ntshav qab zib qis thaum yoo mov (Fasting Hypoglycemia): Qhov no tuaj yeem tshwm sim los ntawm ntau yam.
- Haus dej cawv ntau dhau: Haus dej cawv ntau dhau yam tsis tau noj mov kom zoo rau ob peb hnub.
- Cov kab mob loj: Cov mob xws li mob siab lossis mob raum tsis ua haujlwm.
- Cov teeb meem hormone: Cov mob xws li adrenal insufficiency.
- Cov qog nqaij hlav: Cov qog nqaij hlav tsis tshua muaj nyob rau hauv lub txiav, xws li insulinoma, ua rau muaj insulin ntau dhau.
Yog koj muaj cov tsos mob no yam tsis muaj ntshav qab zib, koj yuav tsum mus ntsib kws kho mob kom paub seb yog vim li cas.
Yuav ua li cas thaum qab zib qis? Cov kev kho mob
Qhov peb ua ntawm no yog muab lub cev nrog qab zib (carbohydrates) sai sai.
Hauv cov xwm txheej ib txwm muaj, "Txoj Cai 15-15"
Qhov no yog ib txoj kev yooj yim heev, yooj yim nco ntsoov.
1. Kauj Ruam 1: Noj los yog haus 15 grams ntawm cov carbohydrates uas ua haujlwm sai .
2. Kauj Ruam 2: Tos 15 feeb .
3. Kauj Ruam 3: Ntsuas koj cov ntshav qab zib dua nrog koj lub glucometer.
4. Kauj Ruam 4: Yog tias qib qab zib tseem qis dua 70 mg/dL, rov ua kauj ruam 1, 2, 3.Ua li no kom txog thaum koj cov piam thaj rov qab zoo li qub.
Cov khoom noj twg muaj 15 grams ntawm carbohydrates?
- 3-4 lub tshuaj glucose
- Ib nrab khob (1/2 khob) kua txiv hmab txiv ntoo qab zib los yog dej qab zib
- Ib diav suab thaj, zib ntab, los yog kua txiv maple
- Ib nrab ntawm ib lub txiv tsawb me me
Kev Kho Mob Hauv Cov Mob Hnyav (Hnyav Hypoglycemia)
Yog tias ib tug neeg muaj cov piam thaj hauv cov ntshav qis thiab tsis meej pem, hais lus tsis tau, lossis tsis nco qab , tsis txhob muab zaub mov lossis dej rau lawv haus! Ua li ntawd yuav ua rau lawv daig hauv txoj hlab pa.
1. Kev Txhaj Tshuaj Glucagon: Rau cov neeg uas muaj ntshav qab zib, koj tus kws kho mob yuav tau sau ntawv kom txhaj tshuaj glucagon rau thaum muaj xwm txheej ceev. Xyuas kom koj tsev neeg paub siv nws li cas.
2. Mus rau tsev kho mob tam sim ntawd!: Yog tias koj tsis muaj glucagon lossis tsis paub siv nws li cas, hu rau 1990 lub tsheb thauj neeg mob tam sim ntawd lossis coj tus neeg mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ze tshaj plaws hauv tsev kho mob.
3. Tig tus neeg mob mus rau ib sab: Tus neeg mob yuav ntuav tom qab rov qab nco qab. Yog li ntawd, tig tus neeg mob mus rau ib sab kom tsis txhob txhaws.
Yuav ua li cas thiaj tiv thaiv tau qhov teeb meem no?
Tej zaum yuav nyuaj rau ib tus neeg uas muaj tus kab mob ntshav qab zib kom tiv thaiv qhov no kom tag, tab sis nws muaj peev xwm txo qhov zaus ntawm tus mob no.
- Ua raws li cov lus qhia ntawm kws kho mob: Noj cov tshuaj uas koj tus kws kho mob sau kom raug thiab raws sijhawm.
- Ceev faj txog kev noj zaub mov thiab kev tawm dag zog: Tsis txhob hla pluas noj. Yog tias koj tawm dag zog, nrog koj tus kws kho mob tham txog qhov ntawd thiab hloov koj cov zaub mov noj yog tias tsim nyog.
- Tshawb xyuas koj cov ntshav qab zib tsis tu ncua: Nws yog ib qho tseem ceeb heev uas yuav tsum tshawb xyuas koj cov ntshav qab zib ua ntej thiab tom qab noj mov, ua ntej thiab tom qab kev tawm dag zog, thiab ua ntej yuav mus pw.
- Khaws ib daim ntawv teev cia: Txhua zaus koj cov ntshav qab zib qis, sau lub sijhawm, koj cov ntshav qab zib, koj noj dab tsi ua ntej, thiab seb koj puas tau tawm dag zog. Qhov no yuav pab koj tus kws kho mob tsim ib txoj kev npaj kho mob rau koj.
Qhov tseem ceeb tshaj plaws yog yuav tsum tau ua tib zoo saib xyuas koj lub cev. Ua sai sai thaum koj hnov cov cim qhia thawj zaug ntawm cov ntshav qab zib qis.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Hypoglycemia yog ib qho mob uas cov ntshav qab zib poob qis dhau. Qhov no tuaj yeem ua rau muaj kev phom sij yog tias tsis kho.
- Saib xyuas cov tsos mob xws li tshee hnyo, tawm hws, tsis meej pem, thiab tshaib plab heev.
- Ib txwm nqa ib yam dab tsi nrog koj, xws li cov ntsiav tshuaj glucose, ib pob suab thaj, lossis ib lub thawv me me ntawm cov kua txiv hmab txiv ntoo.
- Hauv cov xwm txheej ib txwm muaj, siv "txoj cai 15-15": noj 15 grams ntawm cov piam thaj, tos 15 feeb, thiab kuaj xyuas koj cov ntshav qab zib dua.
- Yog tias ib tug neeg tsis nco qab lawm, tsis txhob muab dab tsi rau hauv qhov ncauj. Hu rau lub tsheb thauj neeg mob tam sim ntawd lossis coj lawv mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ze tshaj plaws.
- Yog tias koj cov ntshav qab zib tsawg tas li lossis cov tsos mob ntawm cov ntshav qab zib tsawg yam tsis muaj ntshav qab zib, nco ntsoov mus ntsib koj tus kws kho mob.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus