Koj puas muaj tej lub sij hawm koj xav tias koj nkees, tshee hnyo, tawm hws, thiab kiv taub hau tag nrho ib zaug? Tej zaum koj kuj yuav xav tias koj ntxhov siab thiab tshaib plab me ntsis. Cov no feem ntau yog cov tsos mob tseem ceeb ntawm cov ntshav qab zib qis, lossis qhov peb hu ua hypoglycemia. Qhov no feem ntau tshwm sim rau cov neeg uas muaj ntshav qab zib, tab sis nws kuj tuaj yeem tshwm sim rau cov neeg uas tsis muaj ntshav qab zib. Cia peb tham txog qhov no hauv cov lus yooj yim hnub no.
Hypoglycemia yog dab tsi?
Hais yooj yim xwb, hypoglycemia yog thaum koj cov piam thaj hauv cov ntshav, lossis glucose, poob qis dua qib uas xav tau. Cov piam thaj no yog roj tseem ceeb uas muab zog rau peb lub cev, zoo li roj av rau lub tsheb.
Feem ntau tus mob no tshwm sim rau cov neeg uas muaj tus kab mob ntshav qab zib yog tias lawv hloov cov tshuaj, kev noj zaub mov, lossis kev tawm dag zog. Tab sis nws kuj tuaj yeem tshwm sim rau cov neeg uas tsis muaj tus kab mob ntshav qab zib. Nws tuaj yeem tshwm sim tau ob txoj hauv kev tseem ceeb:
- Reactive hypoglycemia: Qhov no tshwm sim ob peb teev tom qab koj noj mov.
- Kev yoo mov ntshav qab zib qis: Qhov no tshwm sim thaum koj tsis tau noj mov ib ntus. Nws kuj tseem tuaj yeem cuam tshuam nrog qee yam tshuaj lossis lwm yam mob.
Qhov sib txawv ntawm hypoglycemia thiab hyperglycemia
Txawm hais tias ob lo lus no suab zoo ib yam los, lawv lub ntsiab lus txawv kiag li.
| Xwm txheej | Lub ntsiab lus |
|---|---|
| Kev txo qis ntshav qab zib | "Hypo" txhais tau tias 'qis.' Nws txhais tau tias cov ntshav qab zib tsawg . |
| Kev mob ntshav qab zib ntau dhau | "Hyper" txhais tau tias 'siab'. Nws txhais tau tias ntshav qab zib ntau . |
Qab zib txo qis mus txog qhov twg?
Cov ntshav qab zib ntsuas ua milligrams ib deciliter (mg/dL). Feem ntau, cov ntshav qab zib ntawm ib tus neeg noj qab nyob zoo yuav nyob hauv ib qho ntau thiab tsawg. Txawm li cas los xij, yog tias koj cov ntshav qab zib poob qis dua 70 mg/dL, ces suav tias yog hypoglycemia.
Yog tias qhov no poob qis dua 54 mg / dL, nwsMuaj ntshav qab zib qis heev. Tej zaum koj yuav tsaus muag tam sim no. Tej zaum koj yuav xav tau lwm tus los muab tshuaj glucagon rau koj ua kev kho mob thaum muaj xwm txheej ceev.
Vim li cas kuv cov ntshav qab zib thiaj poob qis li no?
Thaum peb noj mov, tshwj xeeb tshaj yog thaum peb noj cov khoom noj uas muaj cov carbohydrates xws li mov ci thiab mov, nws hloov mus ua glucose hauv peb lub cev thiab ntxiv rau hauv cov ntshav. Muaj ib tug neeg uas pab cov cell hauv lub cev siv cov glucose no ua lub zog. Qhov ntawd yog ib yam tshuaj hormones hu ua insulin . Insulin yog qhov uas coj cov glucose hauv cov ntshav thiab xa mus rau cov cell.
Thaum cov ntshav qab zib pib poob qis, xws li ntawm cov pluas noj, lwm yam tshuaj hormones raug tso tawm. Nws hu ua glucagon . Nws hloov cov glucose uas khaws cia rau hauv peb lub siab thiab cov leeg (hu ua glycogen) rov qab mus ua glucose thiab tso nws mus rau hauv cov ntshav. Qhov no yog li cas peb thiaj li ua kom peb cov ntshav qab zib ruaj khov txawm tias peb tsis noj mov.
Xav txog seb, yog tias muaj qee yam tsis raug hauv cov txheej txheem no, koj cov ntshav qab zib tuaj yeem poob qis sai sai. Qhov ntawd yog qhov hypoglycemia.
Vim li cas cov neeg uas tsis muaj ntshav qab zib thiaj li muaj ntshav qab zib tsawg
Txawm hais tias qhov mob no feem ntau yog txuam nrog tus kab mob ntshav qab zib, nws kuj tuaj yeem tshwm sim rau cov neeg uas tsis muaj tus kab mob ntshav qab zib. Muaj ntau yam ua rau qhov no.
- Qee cov tshuaj: Qee cov tshuaj, xws li quinine, siv rau kev mob malaria, tuaj yeem ua rau cov ntshav qab zib qis. Qhov no kuj tuaj yeem tshwm sim yog tias koj tsis txhob txwm noj lwm tus neeg cov tshuaj ntshav qab zib.
- Qee yam mob: Cov mob xws li mob siab hnyav (mob siab hnyav, mob cirrhosis), mob raum tsis ua haujlwm, mob kis hnyav, thiab mob plawv tuaj yeem cuam tshuam rau cov ntshav qab zib.
- Kev tsis noj zaub mov zoo: Cov mob xws li anorexia tuaj yeem ua rau lub cev cov glycogen khaws cia poob qis thiab cov ntshav qab zib poob qis.
- Haus dej cawv ntau dhau: Thaum koj haus dej cawv ntau dhau yam tsis tau noj mov, lub siab yuav tsis muaj peev xwm tsim cov piam thaj los ntawm glycogen. Qhov no ua rau cov piam thaj hauv cov ntshav poob qis.
- Qee yam mob qog noj ntshav: Qee yam mob qog noj ntshav ntawm lub txiav ua rau lub cev tsim cov insulin ntau dhau, uas ua rau cov piam thaj hauv cov ntshav txav mus rau hauv cov hlwb sai sai, ua rau cov piam thaj hauv cov ntshav qis.
- Teeb meem Hormonal: Qee cov kab mob ntawm cov qog adrenal thiab cov qog pituitary tuaj yeem cuam tshuam rau cov tshuaj hormones xws li insulin thiab glucagon.
Vim li cas cov neeg mob ntshav qab zib thiaj li muaj cov ntshav qab zib tsawg
Yog koj muaj mob ntshav qab zib, koj lub cev muaj teeb meem tsim lossis siv insulin. Qhov no kho tau los ntawm kev txhaj tshuaj insulin lossis lwm yam tshuaj. Tab sis yog tias koj noj koj cov tshuaj ntau dhau , hla pluas noj, lossis tawm dag zog ntau dua li niaj zaus , koj yuav muaj feem ntau dua ntawm kev mob ntshav qab zib.Cov ntshav qab zib tuaj yeem poob qis sai sai.
Qhov tseem ceeb tshaj plaws yog kom koj noj zaub mov kom zoo, ua si kom tawm dag zog, thiab noj tshuaj kom sib npaug yog tias koj noj tshuaj kho mob ntshav qab zib. Tham nrog koj tus kws kho mob txog qhov no thiab nkag siab zoo.
Cov tsos mob ntawm qhov no yog dab tsi?
Thaum lub cev cov piam thaj poob qis, txhua tus neeg yuav muaj cov tsos mob sib txawv. Cov tsos mob no kuj sib txawv nyob ntawm seb cov piam thaj poob qis npaum li cas.
| Hom cwj pwm | Cov tsos mob uas qhia tias |
|---|---|
| Cov yam ntxwv yooj yim / mos |
|
| Thaum qhov xwm txheej loj heev (Hnyav) |
Yog koj cov ntshav qab zib poob qis thaum hmo ntuj (nocturnal hypoglycemia) , koj yuav muaj cov tsos mob xws li qw thaum koj pw tsaug zog, npau suav phem, thiab sawv los hws ntub.
Kev Tsis Paub Txog Kab Mob Ntshav Qab Zib
Qhov no yog qhov xwm txheej txaus ntshai me ntsis. Rau qee tus neeg, tshwj xeeb tshaj yog cov neeg uas tau muaj tus kab mob ntshav qab zib ntau tshaj 5-10 xyoo, thaum lawv cov ntshav qab zib poob qis tas li, lawv lub cev yuav tau siv rau nws. Tom qab ntawd, lawv lub cev tsis muab cov cim ceeb toom xws li tshee hnyo thiab tshaib plab thaum lawv cov ntshav qab zib poob qis. Qhov no ua rau lawv muaj feem yuav mob hnyav dua vim lawv tsis paub tias lawv cov ntshav qab zib qis.
Yog li ntawd, nws yog ib qho tseem ceeb heev rau cov neeg uas muaj ntshav qab zib kom lawv tsis tu ncua kuaj xyuas lawv cov piam thaj.Rau qhov no, tam sim no muaj cov khoom siv xws li glucometers, uas ntsuas ib tee ntshav los ntawm tus ntiv tes thiab kuaj nws, thiab 'Continuous Glucose Monitor (CGM),' uas tau cog rau hauv qab daim tawv nqaij thiab saib xyuas cov qib qab zib tas li.
Yuav ua li cas yog tias koj cov ntshav qab zib poob qis tam sim ntawd?
Thaum koj pib hnov cov tsos mob ntawm cov ntshav qab zib qis, koj yuav tsum ua sai sai.
1. Ua ntej, noj ib yam dab tsi qab zib: Noj lossis haus ib yam dab tsi uas yuav ua rau koj cov ntshav qab zib nce sai. 15-20 grams ntawm cov carbohydrates txaus rau qhov no.
- 3-4 lub tshuaj glucose
- Ib nrab khob dej qab zib (zoo li cola, tsis yog diet)
- Ib nrab khob kua txiv hmab txiv ntoo
- Ib diav suab thaj los yog zib ntab
- Qee cov khoom qab zib zoo li taum jelly thiab toffee
Tseem Ceeb: Tsis txhob noj cov khoom noj uas muaj roj ntau lossis fiber ntau, xws li chocolate thiab taum, thaum lub sijhawm no, vim tias lawv qeeb qhov nqus ntawm cov suab thaj rau hauv lub cev.
2. Tos 15 feeb: Tom qab noj ib yam khoom qab zib, ua siab ntev tos 15 feeb.
3. Xyuas koj cov ntshav qab zib dua: Yog tias koj ua tau, xyuas koj cov ntshav qab zib dua. Yog tias nws tseem qis dua 70 mg/dL, lossis yog tias koj tseem muaj teeb meem, rov ua kauj ruam 1 dua ib zaug.
4. Yog tias qhov xwm txheej tsis zoo dua: Yog tias koj qhov xwm txheej tsis zoo dua txawm tias muaj cov kev ntsuas no, lossis yog tias koj muaj cov tsos mob hnyav (xws li tsis meej pem), hu rau 1990 tam sim ntawd kom tau tsheb thauj neeg mob lossis mus rau Chav Kho Mob Xwm Ceev (ETU) ze tshaj plaws.
Yog tias ib tug neeg tsaus muag (Kab mob ntshav qab zib tsawg heev)
Yog tias ib tug neeg tsaus muag vim yog cov ntshav qab zib poob qis heev, qhov ntawd yog xwm txheej ceev hauv kev kho mob.
- Tsis txhob sim muab zaub mov lossis dej haus rau ib tus neeg uas tsis nco qab lawm. Nws tuaj yeem ua rau txhaws.
- Yog tias koj tab tom kho mob ntshav qab zib, tej zaum koj tus kws kho mob yuav tau muab ib lub thawv txhaj tshuaj glucagon rau koj. Qhia koj tsev neeg thiab cov phooj ywg yuav siv nws li cas thaum muaj xwm txheej ceev.
- Yog koj pom ib tug neeg tsis nco qab dab tsi, hu rau lub tsheb thauj neeg mob tam sim ntawd. Lawv xav tau kev kho mob.
Yuav ua li cas thiaj tiv thaiv tau qhov teeb meem no?
Muaj ntau yam uas koj tuaj yeem ua tau los tswj thiab tiv thaiv hypoglycemia.
- Tsis txhob hla pluas noj: Noj peb pluag mov tseem ceeb hauv ib hnub thiab noj khoom txom ncauj nruab nrab.
- Ceev faj txog kev tawm dag zog: Ua si ib nrab teev lossis ib teev tom qab noj mov. Xyuas koj cov ntshav qab zib ua ntej thiab tom qab kev tawm dag zog.
- Noj koj cov tshuaj raws li tau qhia: Noj cov tshuaj uas koj tus kws kho mob sau, raws li qhov ntau npaum li cas, thiab raws sijhawm. Xyuas ob zaug seb koj noj npaum li cas.
- Txwv kev haus dej cawv:Yog koj haus cawv, ces tsis txhob haus ntau dhau. Tsis txhob haus cawv thaum koj lub plab khoob.
- Npaj ib txwm: Thaum koj tawm mus, nqa ib yam dab tsi qab zib (ntsiav tshuaj qabzib, toffee) rau hauv koj lub hnab.
- Qhia rau lwm tus: Qhia rau koj tsev neeg, cov phooj ywg, thiab cov neeg ua haujlwm nrog koj paub tias koj muaj ntshav qab zib. Lawv tuaj yeem pab koj thaum muaj xwm txheej ceev.
- Mus ntsib kws kho mob: Yog tias koj muaj cov tsos mob ntawm cov ntshav qab zib tsawg, txawm tias koj muaj ntshav qab zib lossis tsis muaj, nco ntsoov mus ntsib koj tus kws kho mob kom nrhiav tau qhov ua rau thiab tau txais kev kho mob thiab cov lus qhia kom raug.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Hypoglycemia yog ib qho mob uas cov ntshav qab zib qis heev. Cov tsos mob feem ntau muaj xws li tshee hnyo , tawm hws, kiv taub hau, thiab tshaib plab heev.
- Txawm hais tias qhov no feem ntau tshwm sim rau cov neeg uas muaj ntshav qab zib, nws kuj tuaj yeem tshwm sim rau cov neeg uas tsis muaj ntshav qab zib vim ntau yam.
- Thaum koj hnov cov tsos mob ntawm cov ntshav qab zib qis, noj cov khoom qab zib uas ua haujlwm sai (cov ntsiav glucose, kua txiv hmab txiv ntoo, suab thaj).
- Yog tias koj muaj cov tsos mob no ntau zaus lossis yog tias lawv hnyav zuj zus (xws li tsis nco qab), nrhiav kev kho mob tam sim ntawd. Nws yog ib qho tseem ceeb uas yuav tsum nrhiav qhov ua rau thiab kho nws.
- Txoj kev tiv thaiv zoo tshaj plaws yog nrog koj tus kws kho mob tham txog koj cov zaub mov noj, kev tawm dag zog, thiab cov tshuaj, thiab kom tswj tau qhov teeb meem zoo.
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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