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Kev tiv thaiv thiab cov tshuaj kho tus mob ntshav Qab zib

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Kev tiv thaiv thiab cov tshuaj kho tus mob ntshav Qab zib. Ntawm no yog tsab ntawv yuav mus qhia ib tsoom tiv thaiv tus mob ntshav qabzib. Thiab yuav mus piav txog cov tshuaj los kho tus mob no kom nws tsis hnyav ntxiv.

1. Yuav ua li cas tiv thaiv tus mob ntshav qab zib hom 2 ?

Kev tiv thaiv tus mob ntshav qab zib tsis yog yooj yim. Tab sis koj yuav tiv thaiv tus mob ntshav qab zib hom 2 tau kawg vim tias muaj cov hauv qab no:

Ntawm txoj kev noj haus

Lub Koom Haum Ntshav Qab Zib Ntiaj Teb tau sau thiab ua lus pom zoo rau kev noj zaub mov zoo kom tiv thaiv ntshav qab zib:

  • Xaiv dej, kas fes lossis tshuaj yej es tsis txhob muaj piam thaj, dej qab zib, dej qab zib lossis lwm yam dej qab zib.
  • Noj tsawg kawg 3 servings ntawm ib hnub twg.
  • Noj li 3 servings ntawm cov txiv ntoo tshiab tshiab txhua hnub.
  • Xaiv ib qho txiv ntoo lossis cov kua mis nyeem qaub tsis muaj qab zib rau khoom noj txom ncauj.
  • Txwv txiav cov dej cawv.
  • Xaiv cov nqaij dawb uas tsis muaj roj, nqaij qaib lossis nqaij nruab deg tsis txhob noj cov nqaij liab lossis cov nqaij ua noj.
  • Xaiv cov txiv laum huab xeeb tsis txhob ua chocolate lossis jam.
  • Xaiv cov qhob cij, mov lossis nplej fawm nplej es tsis txhob ua cov ncuav dawb, mov lossis nplej zom.
  • Xaiv cov rog tsis qab (roj txiv roj, canola roj, roj pob kws, lossis roj paj noob hlis) es tsis txhob muaj cov roj nyeem (avocado, txiv maj phaub roj lossis txiv maj phaub)

Kev tawm dag zog lub cev

  • Yuav tsum kuaj mob plawv, qhov muag, mob paj hlwb, ko taw tsis meej ua ntej kev kawm. Tsis txhob ua exertion thaum ntshav muaj ntshav tes yog> 250-270mg / dL thiab cov zis zoo.
  • Taug kev tag nrho 150 feeb hauv ib lub lis piam (30 feeb hauv ib hnub), yuav tsum tsis txhob nres xyaum ua 2 hnub sib law liag. Txhua lub lis piam yuav tsum xyaum yoog 2-3 zaug (nqa tes taw hnyav li, ..)
  • Cov neeg laus, cov neeg mob caj dab tuaj yeem koom kev sib deev ntau zaus hauv ib hnub. Cov tub ntxhais hluas yuav tsum xyaum li 60 feeb nyob rau ib hnub, siv kev tawm tsam tsawg kawg 3 zaug hauv ib asthiv,

Ntshav qab zib Hom 2 tsis yog kev kis kab mob tab sis nce rau hauv coob leej hauv peb lub teb chaws vim tias txoj kev ua neej muaj feem cuam tshuam nrog kev ua nroog thiab tsis muaj xov xwm ntawm tib neeg. Hauv tsab xov xwm no, Kuv vam tias cov neeg nyeem yuav muaj kev paub txog mob ntshav qab zib hom 2 thiab tau txais kev paub zoo los tiv thaiv kab mob.

2. Cov tshuaj los kho tus mob ntshav Qab zib

  • Metformin

Thaum tsis muaj contraindication, Metformin yog thawj cov tshuaj ntawm kev xaiv rau cov neeg mob uas mob ntshav qab zib. Cov nyhuv ntawm hypoglycemia ntawm metformin yog feem ntau vim qhov txo qis ntawm hepatic qabzib (hepatic gluconeogenesis), nws tsis muaj qhov cuam tshuam rau kev ua kom muaj insulin ntau dua, cov tshuaj tsis tshua muaj mob ua rau hypoglycemia, thiab tsis ua rau nce phaus ntau. Txawm li cas los xij, cov txiaj ntsig ntawm kev ua haujlwm rau cov kab mob lactic acidosis tshwj xeeb rau cov neeg mob siab lossis lub raum tsis ua haujlwm, lub plawv tsis ua haujlwm, uas yog cov mob tshwm sim hauv cov laus.

  • Cov tshuaj nyob muaj pab pawg incretin

Cov tshuaj uas muaj DPP-4 cov tshuaj tiv thaiv muaj tsawg dua kev phiv, tsis muaj ntshav qab zib tsawg, tab sis cov nqi kim yuav yog ib qho thaiv kev rau cov neeg laus.

Glucagon-zoo li receptor agonists (Glucagon-zoo li peptide 1 receptor agonists) yog cov tshuaj txhaj, xav kom muaj kev nplua zoo, lucid, muaj qhov muag pom zoo. Cov tshuaj yuav ua rau xeev siab, ntuav, mob plab zom mov, cov dej xoob. Cov txiaj ntsig ntawm kev poob phaus yuav tsis haum rau qee tus neeg laus dua, tshwj xeeb tshaj yog cov neeg yuag, tshem tawm.

  • Cov tshuaj uas inhibit piam thaj-sodium co-thauj 2

Sodium-glucose cotransporter 2 inhibitors yog qhov ncauj noj tshuaj, uas tuaj yeem muaj txiaj ntsig zoo rau cov neeg mob ntshav qab zib, tam sim no nyob hauv lub tebchaws muaj 2 tshuaj nyob rau hauv pab pawg no siv xws li Forxiga (Dapagliflozin), Jardiance (Empagliflozin). Txawm li cas los xij, qhov kev paub ntawm kev siv tsis ntau, txawm hais tias thawj zaug kev ua haujlwm thiab kev nyab xeeb tau sau tseg.

  • Sulfonylureas

Sulphonylureas thiab lwm yam tshuaj insulin feem ntau ua rau lub qog ntshav qab zib, yog li yog tias qhia, yuav tsum ceev faj. Thib ob tiam sulfonylureas xws li gliclazide thiab glipizid tsis tshua muaj peev xwm ua rau lub plawv tsis muaj ntshav qab zib, thiab tau raug xaiv los ua cov tshuaj rau cov neeg laus. Chlorpropamide tsis qhia rau cov neeg laus vim tias nws ib nrab-lub neej ntev, muaj lub zog tiv thaiv kev puas tsuaj, ua rau muaj kev puas ntsoog thiab lub siab ntev ntawm lub cev tsis xwm yeem.

  • Meglitinid

Repaglinid tau txais kev pom zoo rau kev siv tshuaj kho mob los yog sib xyaw nrog metformin los kho cov neeg mob ntshav qab zib hom 2 . Zoo li sulfonylureas, nws cov txiaj ntsig tseem ceeb yog kom nce pancreatic insulin secretion, uas sai dua thiab luv dua li ntawm sulfonylureas.

Cov tshuaj repaglinid tuaj yeem ua rau cov ntshav qog ntshav qab zib, nce ntshav hauv cov ntshav insulin ntau ntau thiab lub cev hnyav tuaj. Nws kuj tseem tuaj yeem muaj txiaj ntsig zoo rau cov neeg laus cov neeg mob ntshav qab zib nrog cov zaub mov tsis haum, lossis cov neeg uas muaj ntshav siab nyob nruab nrab ntawm cov zaub mov noj thaum kho nrog sulfonylureas thib ob.

  • Alpha glucosidase enzyme inhibitor

Alpha glucosidase enzyme inhibitors xws li acarbose (ceevfaj), alpha glucosidase enzyme yog qhov tsim nyog rau cov neeg mob hyperglycemia me me lossis pab txo qis ntshav qabzib hloov thaum sib xyaw nrog lwm cov tshuaj.

Qhov poob qis ntawm acarbose yog tias cov tsis muaj protein ntau mus rau lub plab hnyuv loj thiab fermentation ntawm no, ua rau tsam plab, tsam plab thiab raws plab, txawm li cas los xij, cov nyhuv no tsuas tshwm sim hauv lub sijhawm luv.

  • Thiazolidinedion:

Rosiglitazone thiab Pioglitazon muaj cov teebmeem mob plawv tsis txaus, lub plawv tsis ua haujlwm, dej tsis ua haujlwm, pob txha lov (tshwj xeeb yog rosiglitazone), thiab Lub Chaw Haujlwm Saib Xyuas Kev Noj Qab Haus Huv ntawm Nyab Laj tau pom zoo tsis qhia tseeb rosiglitazone los kho ntshav qab zib, yog tias qhia. Kev kho Pioglitazone rau cov neeg laus uas muaj ntshav qab zib yuav tsum ua tib zoo kawm txog kev txhaj tshuaj tiv thaiv kab mob rau cov neeg mob uas xav tau.

  • Cov tshuaj insulin

Cov neeg mob uas muaj hnub nyoog laus dua uas mob ntshav qab zib feem ntau kuj siv daim duab ntawm cov kauj ruam los ua kev kho mob rau cov tub ntxhais hluas, los ntawm kev kho mob monotherapy mus ua ke kom ua tiav cov hom phiaj kho. Yog tias cov tshuaj ua haujlwm poob, cov kua dej yuav raug hloov mus.

Txawm hais tias cov tshuaj insulin rau cov neeg laus yog qhov zoo sib xws rau cov hluas, tab sis rau cov neeg laus uas tsis tshua pom kev, tsis muaj qab hau, lucid thiab ntau yam ua rau muaj kev pheej hmoo rau hypoglycemia, thiab Kev mob hypoglycemia yog thawj qhov kev txhawj xeeb thaum kho cov tshuaj ntshav qab zib hom mob insulin. Siv cov cuab yeej los pab kom tau txais cov tshuaj insulin kom raug, siv cov tshuaj insulin sib xyaw, cov koob tshuaj txhaj, cov koob txhaj tshuaj nrog cov khoom faib me me, cov xim sib txawv rau txhua hom kev txhaj tshuaj, txawm tias cwj mem nrog Kev quaj ntawm kev hloov lub pob khawm insulin yog qhov tsim nyog los pab kho cov tshuaj insulin rau cov neeg laus laus no.

Qhov saum toj no tau hais txog kev tswj hwm ntawm cov ntshav ntshav, hais txog qhov kev pheej hmoo rau tus mob vascular loj thiab cov hlab ntsha me. Ib tug xov tooj ntawm lwm cov teeb meem tseem ceeb yuav tsum tau muaj kev txhawj xeeb tseem ceeb, xws li kev kho qhov muag thiab retina qhov muag, saib xyuas ko taw, kuaj pom lub paj hlwb cov leeg mob, …

CEEB TOOM: Cov tshuaj kho tus mob ntshav qab zib sau ntej no tsuas yog tau siv nyob hauv tsev kho mob (Hospital) xwb. Yog yuav siv nyob hauv tsev yuav tsum tau txais kev tso cai los ntawm tus thawj kho mob hauv Hospital.

Mus saib ntxiv Ntshav Qab Zib hom 2 yog mob dab tsi thiab teeb meem li cas ?

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