Peb txhua tus tau hnov lo lus 'ntshav qab zib'. Tej zaum ib tug neeg hauv koj tsev neeg, ib tug phooj ywg, lossis koj tus kheej raug kev txom nyem los ntawm tus mob no. Tab sis koj puas paub tias ntshav qab zib tsis yog ib yam kab mob xwb, tab sis muaj ntau hom sib txawv? Hnub no, peb yuav tham txog txhua hom no, lawv cov tsos mob, thiab yuav ua li cas tswj hwm lawv hauv txoj kev yooj yim thiab ncaj qha.
Hais yooj yim xwb, mob ntshav qab zib yog lub npe dav dav rau ntau yam kab mob uas cuam tshuam rau cov txheej txheem ntawm kev hloov cov khoom noj uas peb noj mus ua lub zog. Thaum peb noj cov khoom noj uas muaj cov carbohydrates (starches), peb lub cev hloov nws mus ua ib hom qab zib hu ua glucose thiab ntxiv rau hauv cov ntshav. Tom qab ntawd peb lub pancreas tsim ib hom tshuaj hu ua insulin , uas coj cov glucose ntawd los ntawm cov ntshav thiab xa mus rau cov hlwb kom tsim lub zog. Hauv ib tus neeg uas muaj mob ntshav qab zib, cov txheej txheem insulin no tsis ua haujlwm zoo. Yog li ntawd, cov ntshav qab zib nce ntxiv. Yog tias qhov no tsis raug tswj, cov teeb meem kev noj qab haus huv loj tuaj yeem tshwm sim dhau sijhawm.
Prediabetes
Nov yog theem ceeb toom ua ntej tus kab mob ntshav qab zib pib loj hlob. Hauv qhov no, koj cov ntshav qab zib siab dua li qub, tab sis tsis siab txaus los kuaj mob ntshav qab zib tag nrho.
Feem ntau, tsis muaj tsos mob tshwm sim rau theem no ntawm "prediabetes." Yog vim li cas ntau tus neeg tsis paub tias lawv muaj tus mob no.
Txawm li cas los xij, qee zaum koj yuav pom tias daim tawv nqaij tsaus zuj zus rau ntawm qhov chaw xws li caj dab, qhov tso, thiab qhov ncauj. Tsis tshua muaj, koj kuj tseem yuav pom tias koj poob lossis nce phaus yam tsis paub vim li cas, koj tsis xav noj ntau dhau, qaug zog, tawm hws, pom kev tsis meej, thiab cov qhov txhab kho qeeb.
Yog koj hloov koj txoj kev ua neej tam sim no, koj tuaj yeem tiv thaiv lossis ncua qhov kev loj hlob ntawm tus kab mob ntshav qab zib tag nrho.
- Ua si nawv tsis tu ncua.
- Noj zaub mov zoo.
- Tswj qhov hnyav ntawm lub cev kom zoo.
- Kev tswj kev ntxhov siab.
- Tsis txhob haus luam yeeb.
Yog tias cov no nyuaj ua lossis yog tias koj muaj feem yuav mob ntshav qab zib, koj tus kws kho mob yuav sau ntawv kom koj noj tshuaj.
Kab mob ntshav qab zib hom 1
Qhov no yav tas los hu ua 'mob ntshav qab zib rau cov menyuam yaus'. Tab sis tam sim no peb paub tias nws tuaj yeem tshwm sim rau txhua lub hnub nyoog. Nws yog ib qho mob autoimmune . Hais yooj yim, qhov tshwm sim ntawm no yog tias peb lub cev lub cev tiv thaiv kab mob tawm tsam thiab rhuav tshem cov hlwb tsim insulin hauv peb lub pancreas. Tom qab ntawd lub cev tsis tuaj yeem tsim insulin ntxiv lawm.
Qhov mob no tsis tuaj yeem tiv thaiv tau. Feem ntau nws yog tshwm sim los ntawm cov yam ntxwv ntawm caj ces.
Cov tsos mob ntawm tus kab mob ntshav qab zib hom 1
Cov tsos mob no tshwm sim sai heev, tsis pub dhau ob peb lub lis piam.
- Kev xav tias nqhis dej thiab tshaib plab heev.
- Tso zis ntau zaus.
- Pom kev tsis meej.
- Qaug zog heev.
- Poob phaus yam tsis muaj laj thawj.
Qee zaum, thawj cov tsos mob tuaj yeem yog mob ntshav qab zib tsis nco qab, uas tuaj yeem ua rau muaj mob hnyav dua xws li tsis nco qab.
| Cov cim ceeb toom uas xav tau kev kho mob tam sim ntawd | |
|---|---|
| Ib qho tsw qab ntawm txiv hmab txiv ntoo ntawm qhov ua pa | Xeev siab thiab ntuav |
| Tawv nqaij qhuav los yog liab | Mob plab |
| Ua pa nyuaj | Kev tsis meej pem lossis nyuaj rau kev tsom ntsoov |
Yog tias koj lossis koj tus menyuam muaj cov tsos mob no, mus rau chav kho mob ceev (ETU) ntawm tsev kho mob tam sim ntawd.
Kab mob ntshav qab zib hom 1 tuaj yeem ua rau cov hlab ntsha hauv qhov muag puas tsuaj (diabetic retinopathy), cov hlab ntsha (diabetic neuropathy), thiab raum (diabetic nephropathy). Nws kuj tseem ua rau muaj kev pheej hmoo ntawm kab mob plawv thiab mob hlwb.
Kev kho mob suav nrog kev muab insulin rau sab nraud, siv cov cwj mem insulin, cov twj, lossis cov koob txhaj tshuaj. Tsis tas li ntawd , kev kuaj ntshav qab zib tsis tu ncua, kev tswj kev noj zaub mov, thiab kev tawm dag zog yog qhov tseem ceeb.
Kab mob ntshav qab zib hom 2
Qhov no yog hom mob uas feem ntau tshwm sim, cuam tshuam txog li 90% ntawm cov neeg uas muaj tus kab mob ntshav qab zib. Yav tas los nws hu ua 'tus kab mob ntshav qab zib uas pib tshwm sim rau cov neeg laus'. Tab sis niaj hnub no nws kuj tseem tshwm sim rau cov tub ntxhais hluas thiab cov menyuam yaus. Kev rog dhau yog ib qho ua rau muaj mob loj.
Qhov tshwm sim ntawm no yog tias lub cev cov insulin tsim tawm tsawg dua, lossis lub cev cov cell tsis teb zoo rau cov insulin uas tsim tawm ('Kev Tiv Thaiv Insulin'). Qhov no ua rau lub pancreas ua haujlwm hnyav dua thiab tsim cov insulin ntau dua. Tab sis dhau sijhawm, qhov ntawd tsis txaus thiab cov ntshav qab zib nce siab.
Cov tsos mob ntawm tus kab mob ntshav qab zib hom 2 feem ntau tshwm sim qeeb qeeb. Tej zaum lawv yuav tsis muaj tsos mob li ntau xyoo. Yog vim li ntawd ntau tus neeg thiaj li kuaj pom tias muaj tus kab mob no thaum lawv nrhiav kev kho mob rau lwm yam mob.
Yuav kom tswj tau hom kab mob no, yuav tsum tswj kom lub cev hnyav zoo, noj zaub mov zoo, thiab tawm dag zog kom tawm dag zog . Tej tus neeg kuj yuav tsum tau noj tshuaj lossis txhaj tshuaj insulin. Qhov no yog koj tus kws kho mob txiav txim siab.
Kab mob ntshav qab zib thaum cev xeeb tub
Tej zaum ib txhia niam yuav muaj tus kab mob ntshav qab zib ib ntus vim yog kev hloov pauv ntawm cov tshuaj hormones hauv lawv lub cev thaum cev xeeb tub. Qhov no hu ua "mob ntshav qab zib thaum cev xeeb tub." Feem ntau yuav kuaj tau los ntawm kev kuaj mob thaum lub sijhawm nruab nrab lossis thaum kawg ntawm cev xeeb tub.
Feem ntau, tsis muaj tsos mob loj. Tej zaum yuav muaj qee cov tsos mob me me xws li nqhis dej ntau ntxiv thiab tso zis ntau zaus. Qhov tseem ceeb tshaj plaws yog tias qhov mob no yuav ploj mus tom qab tus menyuam yug los.
Txawm li cas los xij, ib leej niam uas muaj tus mob no muaj feem yuav mob ntshav qab zib hom 2 yav tom ntej ntau dua li lwm tus. Yog li ntawd, txawm tias tom qab muaj menyuam lawm los, nws yuav tsum tau saib xyuas nws txoj kev noj qab haus huv thoob plaws nws lub neej.
Qhov kev pheej hmoo loj dua rau tus menyuam hauv plab dua li rau leej niam. Thaum leej niam cov ntshav qab zib nce ntxiv, nws kuj hla mus rau tus menyuam los ntawm lub placenta. Qhov no tuaj yeem cuam tshuam rau kev loj hlob ntawm tus menyuam. Tus menyuam yuav hnyav dhau, ua pa nyuaj thaum yug los, thiab muaj kev pheej hmoo ntau dua ntawm kev mob ntshav qab zib lossis rog dhau yav tom ntej. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum tswj tus kab mob ntshav qab zib kom zoo thaum cev xeeb tub.
Lwm hom mob ntshav qab zib tsawg tsawg
Ntxiv rau peb hom kab mob ntshav qab zib tseem ceeb saum toj no, muaj ntau lwm hom kab mob ntshav qab zib uas tsis tshua muaj.
Kab mob ntshav qab zib monogenic
Nws yog tshwm sim los ntawm kev hloov pauv ntawm ib qho noob caj noob ces. Nws tuaj yeem tau txais los ntawm noob caj noob ces. Feem ntau, cov neeg mob ntshav qab zib raug kuaj pom thaum lawv tseem yog menyuam yaus lossis thaum lawv tseem hluas thiab tsis muaj tsos mob ntawm Hom 1 lossis Hom 2, yog li cov kws kho mob xav tias qhov no.
Kab mob ntshav qab zib theem ob
Qhov no tuaj yeem tshwm sim los ntawm lwm yam mob lossis los ntawm cov tshuaj uas koj noj. Piv txwv li:
- Cov kab mob ntsig txog cov tshuaj hormones (Cushing's syndrome, Acromegaly)
- Cov kab mob ntawm lub pancreas
- Mob Cystic Fibrosis (CF)
- "Polycystic Ovarian Syndrome" (PCOS)
- Kev siv tshuaj steroid ntev ntev.
Hauv cov rooj plaub no, tus kab mob ntshav qab zib kuj tseem tuaj yeem tswj tau thaum kho tus mob tseem ceeb.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob ntshav qab zib tsis yog ib yam kab mob xwb. Muaj ntau hom kab mob uas txawv ntawm lawv qhov ua rau thiab txoj kev kho mob.
- Kab mob ntshav qab zib hom 1 yog ib yam mob uas lub cev tsis tsim cov insulin kiag li. Qhov no yuav tsum tau txhaj tshuaj insulin.
- Kab mob ntshav qab zib hom 2 yog hom kab mob uas feem ntau tshwm sim. Nws tshwm sim thaum lub cev tsis tsim cov insulin txaus lossis lub cev tsis teb rau insulin. Nws tuaj yeem tswj tau los ntawm kev hloov pauv hauv lub neej thiab tshuaj.
- Txawm hais tias tus kab mob ntshav qab zib thaum cev xeeb tub ploj mus tom qab tus menyuam yug los, muaj kev pheej hmoo ntawm kev mob ntshav qab zib hom 2 yav tom ntej.
- Yog koj muaj cov tsos mob ntawm tus kab mob ntshav qab zib lossis xav tias koj yuav muaj feem yuav mob ntshav qab zib, tsis txhob nkim sijhawm thiab mus ntsib koj tus kws kho mob kom tau lus qhia. Yog koj tswj tau zoo, koj yuav muaj lub neej noj qab nyob zoo thiab ntev nrog tus kab mob ntshav qab zib.
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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