Hom mob ntshav qab zib
- Mob ntshav qab zib mellitus tsis yog kab mob xwb, nws yog qhov mob tshwj xeeb, teeb tsa cov tsos mob. Raws li txhais los ntawm World Health Organisation (WHO), ntshav qab zib mellitus yog ib qho muaj mob hyperglycemia (ntshav qabzib ntau) vim tsis muaj tseeb los yog tus txheeb ze tsis txaus insulin. Mob ntshav qab zib mellitus syndrome yuav ua mob rau qee yam kab mob lossis mob, thiab yuav tshwm sim thaum noj qee yam tshuaj. Txawm li cas los xij, feem ntau, mob ntshav qab zib mellitus yog ib tus kab mob ywj pheej. Ntau qhov tseeb, ntau cov kab mob nrog cov tsos mob tshwm sim - hyperglycemia.
Type 2 diabetes mellitus (T2DM) yog yam muaj tshaj. Nws tshwm sim los ntawm kev muaj peev xwm ntau ntxiv cov tshuaj insulin thiab txo qis thaum cov kua dej hauv lub zais cia. Tus kab mob no tau txais thiab tsim, raws li txoj cai, hauv cov neeg laus uas rog dhau. Nws kwv yees hais tias txhua txhua hom 2 mob ntshav qab zib kuaj tau thoob ntiaj teb, muaj li peb txog plaub ntawm cov mob ntshav qab zib uas tsis tau paub txog. Qhov no yog vim qhov tseeb hais tias maj mam nce rau hauv cov ntshav qab zib yuav luag pom tsis tau, thiab ntau yam tsuas yog tsis paub tias lawv muaj ntshav qab zib kom txog thaum pom thawj cov tsos mob tshwm: me ntsis tsis muaj zog thiab tsis yoog kom mus tso zis (Cov poj niam qee zaum pib txhawj txog khaus hauv lub perineum). Cov tsos mob me me no yeej tsis yuam kom tus neeg mus ntsib kws kho mob. Yees.com Ib hom kab mob sib txawv - hom 1 mob ntshav qab zib mellitus (DM1). Nws tsis yog txuam nrog kev rog thiab kev loj hlob yog qhov txiaj ntsig ntawm kev tuag ntawm beta hlwb ntawm cov txiav, uas tsim cov tshuaj insulin. Hom ntshav qab zib no feem ntau cuam tshuam rau menyuam yaus thiab tub ntxhais hluas. Nws tshwm sim ntau tsawg dua li hom thib ob, thiab suav txog kwv yees li 30-50 leej neeg nyob rau 100,000 tus pej xeem. Cov tsos mob ntawm hom 1 mob ntshav qab zib mellitus nce sai dua: twb tau nyob rau thawj xyoo, tus neeg mob tau nqhis dej, tso zis tsis zoo, tsis muaj zog, thiab poob ceeb thawj. Ntxiv rau, kev txhim kho ntawm cov ntshav qab zib hom 1 tuaj yeem ua rau kis mob thiab lwm yam kab mob sib kis.
Nws yog qhov tsis tshua muaj tshwm sim tias T1DM kev loj hlob hauv cov neeg muaj hnub nyoog 30-40 xyoo - nyob rau hauv cov xwm txheej zoo li no, peb muaj feem ntau tham txog mob ntshav qab zib LAD (mob ntshav qab zib autoimmune ntshav qab zib hauv cov neeg laus). Tus kab mob no yuav tsis tshua muaj suab (nqhis dej ntau, tso zis tsis txaus, tsis muaj qhov hnyav poob) thiab tuaj yeem kuaj pom los ntawm lub sijhawm kuaj cov ntshav qab zib. Kev kuaj mob ntshav qab zib thaum ntxov yog ua tau yog tias tus kws kho mob tau sau ib qho kev soj ntsuam tshwj xeeb rau tus neeg mob - kev kawm txog cov tshuaj tiv thaiv rau glutamate decarboxylase (AT-GAD). Yees.com Mob ntshav qab zib mellitus qee zaum pib qeeb thaum cev xeeb tub. Hom ntshav qab zib no hu ua ntshav qab zib mob hlwb. Nws xaus nrog kev xeeb tub. Cov tshuaj insulin feem ntau yog kho los kho nws.
Mob ntshav qab zib mellitus tuaj yeem tshwm sim nrog qee yam kab mob ntawm tus txiav: pob txha (amyloidosis, mob ua rau hlab ntsha), hlav uas rhuav cov hlwb. Kev siv tshuaj insulin kuj raug tsim rau kev kho mob. Hauv lwm lo lus, cov laj thawj ntawm tus kabmob no txawv, tab sis qhov txiaj ntsig yog zoo li qub - cov ntshav qab zib tau nce ntxiv.
Cov tsos mob thiab cov cim ntawm ntshav qab zib
Ntshav qab zib yog hu ua tus kabmob sib kis tsis tau. Tus naj npawb ntawm cov neeg uas raug mob los ntawm tus kab mob no tau nce ntxiv los ntawm lub xyoo. Txawm li cas los xij, nws tsis yog ntshav qab zib nws tus kheej uas txaus ntshai, tab sis nws cov teeb meem (nrog ntev hyperglycemia, txhua hom metabolism cuam tshuam, lub xeev ntawm phab ntsa ntawm cov hlab ntsha thiab cov hlab ntsha hloov, lub retina ntawm lub qhov muag thiab lub kaw lus pom ntawm lub raum muaj mob). Yog li ntawd thiaj li tseem ceeb uas yuav tau txheeb xyuas kab mob kom ntxov li ntxov tau thiab sau ntawv kho kom raug.
Hmoov tsis, tsis muaj lub ntsiab lus tshwj xeeb nyob rau theem pib ntawm kev txhim kho mob ntshav qab zib mellitus. Ib tug neeg tsis xav tias nws cov metabolism hauv kev noj haus yog "tawg" thiab tseem ua rau lub neej zoo. Thiab cov tsos mob uas pom tias yog tus yam ntxwv mob ntshav qab zib (nqhis dej heev, tso zis heev, ua rau lub cev poob ceeb thawj thiab qaug zog) qhia tau hais tias cov ntshav qab zib twb tau ua kom tiav, uas yog, cov ntshav qabzib (suab thaj) hauv cov ntshav tau nce ntau, thiab cov metabolism hauv lub cev ua neeg tsis taus. Feem ntau nws siv sijhawm ntev los ntawm kev pib ntawm tus kabmob mus rau qhov pib ntawm cov tsos mob zoo li no - qee zaum ob peb xyoos. Tib lub sijhawm, tus neeg ntawd tsis txawm xav tias qib ntawm cov piam thaj hauv nws cov ntshav yuav siab dhau. - Hmoov tsis zoo, tsis muaj leej twg tuaj yeem tiv thaiv lawv tus kheej los ntawm cov ntshav qab zib, tab sis nws muaj peev xwm los txo txoj kev pheej hmoo ntawm nws txoj kev loj hlob. Rau qhov no, nws txaus txaus kom tsis txhob muaj rog. Nrog rau lub cev hnyav li qub, qhov kev pheej hmoo ntawm kev tsim hom ntshav qab zib 2 yog qis dua nrog kev rog. Yees.com Kev rog rog lub cev yog qhov txaus ntshai tshaj plaws ntawm kev mob plawv - nws yog qhov txawv txav los ntawm cov ntau ntawm cov visceral xim av rog, uas muaj qhov tshwj xeeb tshaj yog endocrine. Kev pham ntawm hom no, raws li txoj cai, nrog kev mob ntshav ncig, nce mus sai sai cov txheej txheem ntawm atherosclerosis thiab kev cuam tshuam ntawm cov metabolism carbohydrate, mus txog rau kev txhim kho T2DM. Txhawm rau tshuaj xyuas seb koj lub plab rog rog lossis tsis, koj yuav tsum ntsuas koj lub duav raws qhov ntev. Hauv cov txiv neej, ib qho cim ntawm kev rog yog suav tias yog lub duav ib ncig ntawm 94 centimeters, hauv cov poj niam - ntawm 80 centimeters. Txoj kev loj hlob tsis tseem ceeb. Yog tias cov kev cai tshwj xeeb tau ua tiav los yog tshaj, koj yuav muaj kev pheej hmoo. Yog tias koj muaj rog dhau, tab sis tseem tsis tau muaj ntshav qab zib, tom qab ntawd koj yuav tsum tsis tu ncua (tsawg kawg ib xyoos ib zaug) kuaj mob - xyuas seb cov piam thaj thiab cov cholesterol nyob hauv ntshav, ntsuas ntshav siab. Yog tias pom muaj ntshav qab zib, kev kho yuav tsum pib tam sim.
Cov roj ntsha txhawm rau cov ntshav khov nyob hauv qhov ceev yog nyob rau qhov ntau ntawm 3.3-5.5 mmol / l; nruab hnub thiab ob teev tom qab noj mov - tsis pub dhau 3.3-7.7 mmol / l. Yog tias yoo ntshav cov ntshav qab zib ntau dua 5.5 tab sis tsawg dua 7.0 mmol / L, peb hais tias tus neeg tau "qhov tsis ua hauj lwm ceev ceev glycemia" (IFG). Yog tias ob teev tom qab noj mov, ntshav qab zib yog siab dua 7.7 tab sis qis dua 11.1 mmol / L, ces qhov no hu ua "tsis hnov qab cov ntshav qab zib" (IGT). Cov kev cuam tshuam ntawm cov metabolism hauv carbohydrate yog tau cais raws li cov mob ntshav qab zib ua ntej. Qhov tseeb hais tias ib tus neeg muaj ntshav qab zib tau raug pov thawj los ntawm theem ntawm cov piam thaj hauv cov ntshav ntshav ntawm lub plab khoob ntawm 7.0 mmol / L thiab / lossis ob teev tom qab noj 11,1 mmol / L. Muaj ib qho ntxiv qhia tias koj tuaj yeem txheeb xyuas tus mob ntshav qab zib mellitus. Qhov no yog glycosylated (glycated) hemoglobin. Nws yog tsim raws li hauv qab no: HbA1c. Qhov ntsuas pom no cuam tshuam txog cov metabolism hauv metabolism hauv peb lub hlis dhau los. HbA1 nrog 6.5% qhia tias muaj ntshav qab zib mellitus.
Yog tias koj cov piam thaj hauv ntshav tau hloov siab, koj yuav tsum mus ntsib koj tus kws kho mob tam sim ntawd - nrog kev tshawb fawb ntxiv, nws yuav txiav txim siab seb koj puas muaj ntshav qab zib lossis koj muaj feem yuav ua mob. Yees.com
Qhov muaj feem yuav ua mob ntshav qab zib hom 2
Hnub nyoog 45
T2DM feem ntau yog neeg mob ntshav qab zib. Tus neeg laus, qhov ntau dua qhov yuav muaj mob. Qhov no yog vim hais tias, tshwj xeeb, rau qhov kev tawm tsam insulin tsis kam rau cov poj niam hauv lub sijhawm perimenopausal thiab rau qhov muaj kev rog rog ntau dhau - vim yog muaj tib yam tshuaj insulin - hauv cov txiv neej tshaj 40 xyoo.
Rog dhau thiab rog dhau (BMI 25 kg / m2)
Hauv qhov no, tsis tas yuav tos 45 xyoos. Yog tias muaj kev rog dhau, ces cov tshuaj tiv thaiv insulin twb dhau los rau nws tus kheej lawm. Raws li, cov txheej txheem tau qhib lawm tias, dhau sijhawm, yuav ua rau kev txhim kho T2DM.
Tsev neeg keeb kwm: niam txiv lossis cov nus muag nrog T2DM
Qhov tshwm sim los ntawm caj ces hauv T2DM yog qhov tseem ceeb tshaj plaws. Yog tias koj ua tib zoo kawm keeb kwm lub neej ntawm tus neeg mob tsev neeg nrog T2DM, tom qab ntawd yuav muaj ib tus neeg muaj ntshav qab zib tib yam nrog lawv. Ntau cov kev tshawb fawb caj ces tsuas yog paub meej tias qhov txuas no.
Kev qoj ib ce tsawg kawg
Kev tawm dag zog ntawm lub cev ua rau txo qis kev ua haujlwm ntawm cov leeg ntshav thauj (GLUT), uas ua rau cov ntshav qabzib nce siab. Ntxiv rau, kev ua neej nyob sedentary nrog rau kev noj zaub mov tsis zoo uas ua rau lub cev rog dhau mus ua rog. Yees.com
Kev tiv thaiv thiab kho mob
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias txhua lub hom phiaj cov kabmob uas cuam tshuam los ntawm cov ntshav qab zib (cov hlab ntsha, cov hlab ntsha, qhov muag, raum, ceg) tuaj yeem tiv thaiv. Qhov tseem ceeb yog tswj cov ntshav qabzib kom ntau.
Muaj ntau lub myriad ntawm cov tshuaj uas cuam tshuam rau cov ntshav qab zib hauv cov ntshav. Zoo li ib yam tshuaj twg uas tau pom zoo, nws yuav tsum ua raws li ob qhov kev tseev kom ua: kev ua tau zoo thiab kev nyab xeeb. Ntawm chav kawm, insulin yog tus vaj ntxwv ntawm tag nrho cov tshuaj tiv thaiv kab mob. Nrog kev pab los ntawm kev xaiv cov tshuaj insulin zoo, yuav luag txhua yam ntshav qab zib tuaj yeem them rov qab. Ntawm hom 1 mob ntshav qab zib mellitus, kev kho tshuaj insulin los ntawm qhov pib ntawm tus kab mob tsuas yog txoj kev kho mob tau xaiv tau. Nrog hom 2 mob ntshav qab zib mellitus, kev kho mob zoo li no tseem siv tau, tab sis feem ntau, thaum pib ntawm tus kab mob, koj tuaj yeem ua yam tsis muaj nws. Feem ntau, rau kev mob ntshav qab zib hom 2, lwm yam tshuaj (feem ntau yog cov tshuaj noj) tau qhia kom txo cov ntshav qab zib kom qis. Nws tuaj yeem yog ib qho tshuaj lossis kev sib txuam ntawm ntau cov tshuaj (tus endocrinologist xaiv qhov kev kho mob zoo tshaj plaws).
Hauv cov ntshav qab zib mellitus, thaum tus neeg mob niaj hnub sib luag ntawm hyperglycemia (ntshav qabzib) thiab ntshav qabzib (ntshav qabzib tsawg), nws yog qhov yuav tsum tau ntsuas glycemia txhua hnub, thiab qee zaum ob peb zaug thaum nruab hnub. Qhov no tso cai rau kev cai raws sij hawm ntawm txoj kev kho antihyperglycemic. Yog vim li ntawd txhua tus neeg uas muaj ntshav qab zib yuav tsum muaj glucometer thiab yuav tsum paub siv cov txuj ci glucometry.
Txawm li cas los xij, kev kho tshuaj tsis ua hauj lwm zoo yog tias tus neeg tsis hloov pauv lawv txoj kev ua neej, kev noj haus thiab qoj ib ce.
Khoom Noj
Cov lus qhia noj haus zoo sib txawv raws li cov ntshav qab zib. Tab sis muaj ib txoj cai dav dav - tsis txhob tshaib plab. Nrog rau cov ntshav qab zib mellitus, cov mov ntawm cov piam thaj hauv lub siab yog tsawg dua li hauv cov neeg noj qab haus huv; thaum lub sijhawm yoo mov, cov peev xwm no tau ceev nrawm, thiab vim li cas, kev mob ntshav qab zib nce zuj zus - qhov tsis xis nyob thiab txaus ntshai. Yog li, nrog mob ntshav qab zib mellitus, koj yuav tsum tau noj ntau (kom txo qis kev pheej hmoo ntawm ntshav qab zib) thiab me ntsis los ntawm me (kom tsis txhob muaj cov ntshav qabzib ntau tom qab noj mov).
Ntawm hom 2 mob ntshav qab zib, nws raug nquahu kom tsis suav cov carbohydrates yooj yim los ntawm kev noj zaub mov: qab zib (suav nrog rau fructose), confectionery (khoom qab zib, khoom qab zib, ncuav pastries, qhiav qab, ice cream, ncuav qab zib), zib ntab, jam, kua txiv. Tag nrho cov khoom noj no ua rau cov ntshav qab zib ntau ntau ntxiv thiab ua rau cov rog rog. Tsis tas li ntawd, kom txo qis kev pheej hmoo ntawm atherosclerosis, nce nrawm nrawm rau cov ntshav qab zib hom 2, nws raug nquahu kom tsis suav cov tsiaj rog: nqaij rog, nqaij npuas, butter, qaub cream, rog tsev cheese, cheese. Kev nqus ntawm cov zaub ua rog thiab cov roj ntses yuav tsum tau txo qis: txawm hais tias cov rog no tsis nce ntawm kev pheej hmoo ntawm atherosclerosis, lawv pab txhawb kom yuag. Kev noj haus txhua hnub yuav tsum yog kwv yees li 1,500 calories.
Lub hauv paus ntawm cov khoom noj muaj txiaj ntsig yog cov carbohydrates uas muaj glycemic index tsawg (GI), uas yog, carbohydrates uas maj mam nce cov ntshav qabzib hauv cov ntshav. Feem ntau cov khoom tsis sib haum, cov dej qab zib, ncuav qab zib, cov khoom noj me me kom muaj GI siab; lawv yuav tsum tau muab tshem tawm lossis txo qis. Tsawg GI muaj cov khoom ua nplej, zaub, txiv hmab txiv ntoo, muaj nplua nuj nyob hauv kev noj haus. Tus nqi ntawm cov rog yuav tsum tsis pub tshaj 30% ntawm tag nrho cov caloric cov ntsiab lus ntawm kev noj haus (ntawm cov uas muaj cov roj nyeem tsawg dua 10%). - Tsis kam noj 3-6 teev lossis ntau dua ua ntej thaum tsaus ntuj yuav ua rau kom cov ntshav qab zib ntau ntau, thaum sawv ntxov tsis muaj zog, thiab dhau sijhawm - thiab cov nplooj siab rog. Txhua pluas noj yuav tsum suav cov protein kom txaus glycemia. Nws raug nquahu kom noj ntses tsawg kawg ob zaug hauv ib asthiv. Cov zaub thiab txiv hmab txiv ntoo yuav tsum muaj nyob rau hauv cov khoom noj yam tsawg tsib zaug hauv ib lim tiam. Cov txiv ntoo qab zib zoo (txiv quav ntswv nyoos, figs, txiv tsawb, hnub tim, suab paj nruag) yuav tsum tau txwv. Tsis tas li, tsis txhob noj ntsev ntau rau koj cov zaub mov. Sim khaws cov nyiaj ntawm lub rooj ntsev tsis pub ntau tshaj tsib grams hauv ib hnub (ib me nyuam diav). Cawv ua rau qhov "tsis muaj" calories, qab los txhawb lub zog, glycemic destabilizer yuav tsum tau muab tshem tawm los ntawm kev noj zaub mov noj los yog ua kom tsawg dua.
Nrog rau cov ntshav qab zib hom 1, tsis muaj kev txwv nruj heev, koj tuaj yeem noj yuav luag txhua yam zaub mov, tab sis nws yog ib qho tseem ceeb kom laij cov tshuaj insulin nyob ntawm seb tus nqi ntawm cov zaub mov muaj txiaj ntsig. Yees.com
Kev tawm dag zog lub cev
Nrog kev ua kom lub cev qis (hypodynamia), cov leeg nqaij nres siv cov suab thaj ntev, thiab nws tau muab khaws cia hauv cov rog. Thiab cov rog ua ntau dua, qhov qis qis dua ntawm insulin rhiab ntawm cov hlwb. Nws tau raug pov thawj tias muaj peev xwm tiv thaiv cov tshuaj insulin nyob hauv 25% ntawm cov tib neeg ua rau muaj kev ua neej nyob sedentary.
Kev tawm dag zog lub cev yog qhov tseem ceeb rau kev kho cov rog, txo hyperglycemia, ua kom cov ntshav siab, thiab tiv thaiv cov kab mob plawv. Ntxiv rau, cov leeg lub cev ua kom cov metabolism hloov pauv uas txo cov tshuaj insulin. Yog tias koj ua haujlwm hauv chav dhia ua si ib nrab ib teev tom qab noj mov, koj yuav pom tias koj cov ntshav qabzib hauv lub ntsej muag yuav poob sai dua yog tias koj pw ntawm lub rooj zaum lossis zaum hauv lub computer tib lub sijhawm.
Yuav kom ua tiav qhov kev kho kom zoo, nws txaus kom taug kev mob hnyav txhua hnub rau 30 feeb lossis tawm mus tawm 20-30-feeb khiav peb mus rau plaub zaug hauv ib lub lim tiam, nyiam dua 1-1.5 teev tom qab noj mov. Mob ntshav qab zib tsis yog kab mob tuag. Yog lawm, nws tseem tsis tau raug kho kom zoo tag nrho, tab sis nws kuj tsis suav hais tias yog ib tus kab mob tuag taus. Nws yog ib qhov tseem ceeb los mus npaj koj lub neej kom ntshav qab zib tsis ua kom puas hauv hlwb hauv lub cev, thiab kawm paub yuav ua kom cov ntshav qab zib kom ntshav nyob sib luag. Nws tsis yog qhov nyuaj yog tias koj ua raws li cov ntsiab lus ntawm kev kho mob ntshav qab zib: kev noj zaub mov kom zoo, kev tawm dag zog kom tawm dag zog, xaiv cov tshuaj kho kom zoo. Yees.com Koj tuaj yeem yuav phau ntawv "Ntshav Qab Zib Mellitus" los ntawm Olga Demicheva thiab kawm ntxiv txog kev kho mob thiab tiv thaiv mob ntshav qab zib HERE. Cov lus ntawm lub ncauj lus "Tshawb Xyuas" vs prophylactic kev kuaj mob: koj puas yuav tsum yauv tshuaj xyuas txhua yam Yuav ua li cas yog qib tshuaj hormones thiab nws tuaj yeem cuam tshuam Vim li cas peb tau rog: txhua yam hais txog carbohydrates Cov khoom uas txhua tus yuav tsum nyeem. Yuav ua li cas los tiv thaiv kev tiv thaiv
Qhov Tuaj Nkag Txhua Ntawm Ntshav Qab Zib: Cov paib, Kev Kho Mob thiab Kev Tiv Thaiv ua ntej tshwm sim ntawm The-Challenger.ru.