Insulin thaum cev xeeb tub: cuam tshuam rau tus menyuam hauv plab thiab qhov tshwm sim rau tus menyuam

2024 Tus sau: Priscilla Miln | [email protected]. Kawg hloov kho: 2024-02-18 01:46

Y Insulin yog ib yam tshuaj uas tsim los ntawm Langerhans hlwb hauv cov txiav. Nws yog tsim nyog los txo qis hyperglycemia, uas tau pom hauv ntshav qab zib. Thaum noj carbohydrates nrog zaub mov, qab zib ib txwm nce. Nws yuav tsum tau txhaj tshuaj insulin. Puas yog insulin nyab xeeb thaum cev xeeb tub? Koj yuav pom cov lus teb rau lo lus nug no hauv kab lus.

Txoj kev mob

Mob ntshav qab zib yog ib yam kab mob uas ua rau muaj kev pheej hmoo ntau ntxiv thaum cev xeeb tub thiab yug menyuam. Yog li ntawd, nws yog ib qho tsim nyog yuav tsum tau ua tib zoo saib xyuas qhov concentration ntawm cov piam thaj hauv cov ntshav thiab tswj nws kom nws ib txwm muaj. Lwm tus:

1. Muaj kev pheej hmoo nchuav menyuam.
2. Kev mob ntshav qab zib tuaj yeem tshwm sim.
3. Tej zaum kis tau tus kab mob tom qab yug me nyuam.
4. Polyhydramnios txhim kho.
5. Preeclampsia tshwm.

Tus me nyuam muaj kev pheej hmoo los ntawm leej niam cov ntshav qab zib:

1. Kev pheej hmoo ntawm kev tuag thaum yug menyuam.
2. Kev mob ntawm lub cev.
3. appearspheej hmoo mob ntshav qab zib.
4. Macrosomia tsim - kev loj hlob ntawm tus menyuam hauv plab ntau dhau.
5. Congenital anomalies tshwm.

Qhov kev pheej hmoo ntawm cov teeb meem yog txiav txim los ntawm lub sijhawm ntawm tus kabmob thiab nws cov tsos mob. Tsuas yog tus kws kho mob tshwj xeeb tuaj yeem ntsuas qhov ntsuas ntawm qhov kev pheej hmoo no tom qab tshuaj xyuas anamnesis.

Basic Problem

Y Nyob rau hauv cov ntshav qab zib, cov ntaub so ntswg tsis hnov tsw ntawm insulin thiab insulin accumulates hauv cov ntshav, qabzib tsis nqus, thiab metabolism qeeb. Cov mob no hu ua insulin tsis kam lossis ntshav qab zib hom 2. Hauv kev sib piv, hom 1 mob ntshav qab zib yog suav tias yog kab mob insulin-dependent.

Txhawm rau txiav txim siab seb puas tuaj yeem txhaj tshuaj insulin thaum cev xeeb tub, koj yuav tsum paub koj tus kheej nrog nws cov txiaj ntsig. Nws muaj lwm txoj haujlwm - nws muab kev tsim cov protein ntau hauv cov leeg, nrog rau kev hloov cov piam thaj rau hauv cov rog, yog li nws accumulates - thiab rog tshwm.

Lub hauv paus ntawm tus kab mob yog qhov tsis txaus ntseeg ntawm pancreatic cells. Tus kab mob no muaj qhov endocrine etiology. Tus kab mob no tshwm sim los ntawm kev ntxhov siab, ib yam kab mob tshwm sim, kev noj zaub mov tsis txaus.

Txawm hais tias muaj ntau hom kab mob, cov tsos mob tseem ceeb yog hyperglycemia. Mob ntshav qab zib tuaj yeem tshwm sim thaum muaj hnub nyoog, suav nrog thaum cev xeeb tub. Vim li no, kev saib xyuas ntawm tus poj niam yog qhov nyuaj thiab yuav tsum tau ntsuas, kev saib xyuas ntawm tus kws kho mob.

Puas muaj peev xwm txhaj tshuaj insulin thaum cev xeeb tub, tus kws kho mob yuav tsum txiav txim siab. Yog hais tias tus kab mob tshwm sim nyob rau lub lim tiam 20 ntawm lub cev xeeb tub, insulin tsis kam tshwm sim, ces nws yog hu ua gestational diabetes. Thaum kuaj pom tus kab mob ua ntej cev xeeb tub, nws raug hupregestational.

Nyob ntawm pathologies

Pregestational diabetes yog hu ua hom 1 thiab hom 2 mob ntshav qab zib hauv cov poj niam cev xeeb tub uas muaj tus kab mob no ua ntej cev xeeb tub. Muaj 1 thiab 2 degrees ntawm tus kab mob. Tus kws kho mob, raws li lub xeev ntawm kev noj qab haus huv, sau ntawv noj zaub mov, tshuaj. Mob ntshav qab zib muaj ntau yam nyuaj los ntawm kev ua haujlwm tsis zoo ntawm lub raum thiab txawm tias lub hlwb.

SD kuj muab faib ua:

• them nyiaj - suav tias yog tswj hwm;
• subcompensated - muaj cov tsos mob hnyav;
• decompensated - tus kab mob hnyav.

GDM feem ntau tshwm sim hauv 2nd ib nrab ntawm cev xeeb tub. Qhov no tau kuaj pom los ntawm kev sim, txawm hais tias cov tsos mob feem ntau tsis quav ntsej. Tus kab mob manifests nws tus kheej nyob rau hauv daim ntawv ntawm nqhis dej tas li, nquag tso zis. Txhawm rau nkag siab seb puas yuav txhaj tshuaj insulin thaum cev xeeb tub, koj yuav tsum paub koj tus kheej txog qhov tshwm sim ntawm kev siv.

Ntsia rau poj niam cev xeeb tub

Dab tsi yog qhov tshwm sim ntawm insulin thaum cev xeeb tub? Tej zaum qhov tsos ntawm kev ua xua vim hypersensitivity. Qhov no feem ntau tshwm sim los ntawm daim tawv nqaij mob, bronchospasm. Tej zaum yuav muaj teeb meem tsis pom kev. Qee zaum lub cev tsim cov tshuaj tiv thaiv rau cov tshuaj. Thaum pib noj cov tshuaj insulin, muaj qhov txaus ntshai ntawm o, uas ploj tom qab ob peb hnub. Hauv qhov no, koj yuav tsum sab laj nrog kws kho mob.

Insulin thaum cev xeeb tub yuav tsum tau muab los ntawm kws kho mob. Nrog hyperglycemia, muaj kev ua txhaum ntawm cov ntshav ncig, cov qe ntshav liab nce ntxiv hauv cov ntshav. Cov hlab ntsha ua tsis taus thiab poob lawv elasticity. Muaj kev ua txhaum cai hauvKev ua haujlwm ntawm ob lub raum, qhov pom tseeb ntawm qhov pom kev poob qis, daim ntaub thaiv zoo li ntawm lub qhov muag.

Qhov kev pheej hmoo ntawm cov kab mob coronary artery nce vim yog vascular puas tsuaj. Muaj kev hloov pauv ntawm tactile rhiab heev ntawm daim tawv nqaij ntawm ob txhais ceg: qhov mob thiab kev vibration rhiab heev yog txo, ob txhais ceg raug mob nyob rau hauv lub xeev siab. Cov tsos mob no tau tshaj tawm hauv cov ntshav qab zib pregestational. Lub xeev ntawm ketoacidosis zoo li - nrog rau nws, cov khoom lwj ntawm fatty acids nyob rau hauv cov ntshav.

Kev nyuaj siab

Insulin thaum cev xeeb tub yog kws kho mob tau sau tseg los tiv thaiv cov teeb meem. Nrog ntshav qab zib, lawv txoj kev pheej hmoo nce 10 npaug. Muaj o, eclampsia thiab preeclampsia, raum puas. Cov kab mob urinary ib ntsuj av, yug ntxov ntxov kuj yuav muaj. Puffiness yog ib qho tsos mob ntawm lig toxicosis. Ua ntej yog o ntawm ko taw, sab ceg, tom qab ntawd lub plab, caj npab thiab ntsej muag.

Cov teeb meem muaj xws li qhov hnyav nce, tso zis ntau hmo, raum puas. Nrog rau txoj kev loj hlob ntawm tus txheej txheem, cov tsos mob hnyav zuj zus. Vim li ntawd, kev ua haujlwm ua ntej yuav tshwm sim.

Nyob rau hauv fetus

Nrog ntshav qab zib pregestational, tus menyuam yuav muaj qhov hnyav ntxiv, uas suav tias yog qhov tshwm sim ntawm fetopathy (qhov no yog lub npe ntawm cov kab mob hauv plab nrog kev sib txawv thiab malformations). Los ntawm hyperglycemia hauv niam, pancreas hauv tus menyuam yuav ua haujlwm nrog lub zog hnyav. Yog li, nws tuaj yeem nkag mus rau hauv lub xeev ntawm hypoglycemia.

Lwm qhov teeb meem yog kev ua pa nyuaj rau menyuam yaus. Thaum ua pa, lub alveoli lo ua ke, vim hais tias tus me nyuam muaj me ntsis surfactant nyob rau hauv lub ntsws -ib feem uas tiv thaiv cov alveoli los ntawm kev ua ke.

Yog tias kuaj mob ntshav qab zib ua ntej, kev noj zaub mov zoo. Zam cov suab thaj yooj yim. Fractional khoom noj khoom haus, nruab nrab lub cev ua si yog tsim nyog. Tsis tu ncua ultrasounds kuj yuav tsum tau.

Yog tias noj cov tshuaj insulin thaum cev xeeb tub, yuav ua li cas rau tus menyuam? Cov menyuam yaus no mob ntau zaus thiab tiv thaiv kom tsis txhob muaj mob.

Kev qhia

Insulin thaum cev xeeb tub raug tshuaj yog tias noj zaub mov thiab tawm dag zog tsis zoo. Tab sis vim li cas thiaj yuav tsum tau txhaj tshuaj? Lawv tso cai rau koj tswj hwm lub xeev ntawm leej niam thaum lub sij hawm yug me nyuam. Cov tshuaj tsis nkag mus rau BBB. Lub cev tsis tau siv rau nws, thiab tom qab yug menyuam nws tuaj yeem tso tseg. Hauv qhov no, insulin yog qhov tseem ceeb ntawm kev kho mob. Nws tseem raug sau tseg rau kev kuaj pom ntawm fetopathy hauv fetus.

Kev tswj hwm thiab noj cov tshuaj insulin thaum cev xeeb tub yog tus kheej, tsis muaj ib txoj hauv kev. Qab zib yog ntsuas thiab sau 8 zaug hauv ib hnub - ntawm lub plab khoob thaum sawv ntxov thiab ib teev tom qab noj hmo. Yog tias koj tsis xis nyob, ntsuas nws thaum 3 teev sawv ntxov. Cov qauv rau cov poj niam cev xeeb tub yog 3, 3-6, 6 mmol / l.

Cov poj niam kuj yuav tsum muaj peev xwm tsim cov tshuaj insulin, acetone hauv cov zis uas siv cov tshuaj ntsuam xyuas, ntsuas ntshav siab hauv tsev. Txhawm rau ua qhov no, nws yog ib qho tsim nyog yuav tsum khaws daim ntawv teev npe. Yog tias tag nrho cov no nyuaj ua tom tsev, tom qab ntawd kev ua haujlwm ntawm chav kuaj yuav pab tau. Kev ntsuam xyuas yuav tsum tau ua 2 zaug hauv ib hnub.

Kuv yuav hu rau leej twg?

Insulin thaum cev xeeb tub yog muab rau kev kho mob txhawm raunormalize qab zib. Lwm tus poj niam yuav tsum tau saib xyuas tas li los ntawm kws noj zaub mov, endocrinologist, gynecologist. Nws tseem yog ib qho tseem ceeb uas yuav tau mus ntsib kws kho qhov muag, vim ntshav qab zib ua rau tsis pom kev vim muaj kev cuam tshuam rau cov hlab ntsha. Lub chaw kuaj ntshav pub ntshav rau glycated hemoglobin.

Nyob

koob tshuaj insulin thaum cev xeeb tub yog txiav txim siab raws li cov ntshav qab zib, hnub nyoog gestational, qhov hnyav. Hauv 1 lub hlis twg, tus qauv yog 0.6 U / kg, rau 14-26 lub lis piam - 0.7 U / kg, los ntawm 27 txog 40 - 08 U / kg. Cov no yog cov nqi nruab nrab. Feem ntau nws yog siv thaum sawv ntxov ua ntej noj mov, thiab so thaum yav tsaus ntuj ua ntej noj mov. Raws li kev txheeb xyuas, thaum cev xeeb tub, cov tshuaj insulin luv luv yog suav tias yog qhov tsim nyog tshaj plaws. Nws yog muab raws li kev txhaj tshuaj lossis lub twj tso kua mis. Yog tias muaj kev phais mob, tom qab hnub ua haujlwm, tsis tau txhaj tshuaj thiab tsis pub zaub mov.

Cov tshuaj insulin tsuas yog siv nrog cov ntshav siab glycemia - ntau dua 8 mmol / l. Tom qab yug me nyuam, koob tshuaj yog txo los ntawm 2-3 zaug. Tom qab 4-5 hnub tom qab ntawd, cov tshuaj insulin ntev yog siv. Nws raug tso cai siv rau kev tswj hwm hmo ntuj.

Views

Yam tshuaj insulin siv thaum cev xeeb tub? Yuav tsum tau muab tshuaj los ntawm kws kho mob. Nws muab faib los ntawm qhov pib, ncov, lub sijhawm ua haujlwm. Yog li, insulin yog ultrashort, luv, nruab nrab, ntev. Hauv ntshav qab zib thaum cev xeeb tub, ultrashort insulin yog qhov tsim nyog xaiv.

Tseem tseem yuav muaj lwm yam keeb kwm ntawm cov khoom. Insulin yog tib neeg, whale, npua, nyuj. Thaum cev xeeb tub, tsuas yog 1 txoj kev xaiv yog tsim nyog. Hauv tebchaws Russia, kev npaj raws li bovine insulin tsis siv. Raws li qib kev ua kom huv, insulin yogib txwm, monopeak, monocomponent. Muaj ntau yam tshuaj muaj, yog li tus kws kho mob yuav tsum xaiv qhov yog.

Txoj kev siv kuj yog 2 - hauv paus-bolus thiab tsoos. Ib tug neeg noj qab nyob zoo muaj yuav luag tas li insulin - qhov no yog qhov yooj yim concentration. Cov tshuaj tswj hwm qib nrog ib feem noj thiab feem ntau ntawm nws tseem nyob rau hauv cia. Qhov no yog khoom noj khoom haus bolux. Nws tau noj thaum noj:

1. ua haujlwm ntev insulin yog siv los muab basal concentration.
2. bolus concentration xav tau tom qab noj mov.

Nyob rau hauv txoj haujlwm ib txwm muaj, cov koob tshuaj thiab lub sijhawm ntawm kev tswj hwm yog tib yam. Kev hloov tsis tshua muaj. Koj yuav tsum ua raws li kev noj haus, nws cov ntsiab lus calorie yuav tsum tsis txhob hloov. Cov tswv yim no yog qhov tsis yooj yim tshaj plaws thaum tus neeg mob nyob ntawm lub sijhawm ntawm kev txhaj tshuaj thiab kev noj haus. Nyob rau tib lub sijhawm, lawv tau ua 2 zaug hauv ib hnub thiab 2 txhua - luv thiab nruab nrab ua. Cov tshuaj yog txhaj rau hauv plab, ncej puab, xub pwg, siv cov koob txhaj tshuaj tshwj xeeb. Tab sis, raws li kev txheeb xyuas, cov tshuaj insulin tsis yog ib txwm muaj thaum cev xeeb tub.

Khoom noj

Rau kev nyab xeeb ntawm kev noj qab haus huv ntawm poj niam thiab menyuam yaus uas muaj ntshav qab zib, yuav tsum ua raws li kev noj zaub mov tshwj xeeb. Nws lub hom phiaj yog tswj cov ntshav qab zib kom nyob rau theem uas tus neeg noj qab haus huv muaj. Lub hauv paus ntawm kev noj haus yog txo qis kev noj zaub mov nrog carbohydrates. Txij li nws yog qhov tseeb vim tias lawv cuam tshuam hauv glycemia tshwm sim, nws yuav tsis ua haujlwm los tshem tawm cov kab mob nrog kev kho tshuaj insulin ib leeg.

calorie ntau ntau txhua hnub yuav tsum yog 1800-2400 kcal. Cov zaub mov uas tsis muaj carbohydrate muaj xws li:

• fat – 30%;
• protein - 25%;
• carbs - 45%.

Nws yog ib qho tseem ceeb ua raws li cov cai ntawm kev noj haus:

1. Tshem tawm cov suab thaj los ntawm kev hloov nrog cov khoom qab zib lossis cov khoom qab zib uas tsis muaj calorie.
2. Yuav tsum muaj pluas mov feem me - hauv me me 6 zaug hauv ib hnub.
3. Txhaj tshuaj insulin ua ntej noj mov.
4. Yuav tsum tso cawv.
5. Xav txog zaub mov txwv thiab tso cai.
6. Tsis txhob noj zaub mov nrog tshuaj ntxiv.

Reception denied:

• sugar;
• cawv;
• pastry;
• niam, jam;
• fat mis;
• sweet soda;
• kua zaub nrog nqaij lossis ntses nqaij ntses;
• sausages;
• hmoob;
• bacon;
• pasta;
• chocolate.

Tab sis kev noj haus yuav tsum muaj:

• zaub;
• txiv hmab txiv ntoo thiab txiv hmab txiv ntoo qhuav;
• berries;
• ntsuab;
• txiv ntseej;
• legumes;
• porridge;
• dej;
• mineral tseem dej;
• kua;
• smoothies.

Tom qab yug me nyuam

Tom qab tus menyuam yug los, insulin raug tso tseg. Nws tsis txaus ntshai rau tus poj niam thiab tus menyuam. Tsis pub dhau 3 hnub, yuav tsum tau kuaj ntshav rau cov piam thaj. Tom qab 8-12 lub lis piam, kev kuaj ntshav qabzib yuav tsum tau ua.

Yuav tsum tau noj zaub mov zoo. Kev taug kev yuav tsum tau qhia maj mam. Yog tias koj rog dhau lawm, koj yuav tsum mus noj zaub mov kom poob phaus. Tus kws kho mob yuav tsum tau ceeb toom tias thaum cev xeeb tub tus poj niam tau noj tshuaj insulin raukho cov ntshav qab zib. Qhov no yuav tso cai rau nws sau tshuaj tiv thaiv rau tus menyuam.

Recommendations

Yog tias koj muaj ntshav qab zib gestational thaum cev xeeb tub thiab dhau mus, nws tseem ceeb heev kom saib xyuas tus mob. Vim tias muaj kev pheej hmoo ntawm kev mob ntshav qab zib hom 2. Lub cev xeeb tub ntawm tus kab mob yog pov thawj ntawm cov tshuaj insulin tsis zoo ntawm lub txiav.

Nws hloov tawm tias nws twb ua haujlwm ntawm qhov txwv ntawm nws lub peev xwm. Thaum lub sij hawm cev xeeb tub, lub load rau nws nce, yog li ntawd lub luag haujlwm ntawm lub qog ua tsis tau tejyam. Nws tsis tuaj yeem tsim cov tshuaj insulin uas xav tau, thiab nws cov piam thaj nce siab tshaj qhov txwv ntawm qhov qub.

Nrog hnub nyoog, muaj qhov nce hauv insulin tsis kam ntawm cov ntaub so ntswg, thiab kev ua haujlwm ntawm cov tshuaj insulin txo. Vim li no, ntshav qab zib thiab nws cov teeb meem tshwm sim. Yog tias gestational ntshav qab zib tau kuaj pom thaum cev xeeb tub, ces qhov kev pheej hmoo ntawm qhov tshwm sim no siab heev. Yog li ntawd, nws yog ib qho tseem ceeb kom ua raws li kev tiv thaiv.

Tom qab yug me nyuam, nws raug nquahu kom rov kuaj ntshav qab zib tom qab 6-12 lub lis piam. Yog tias txhua yam zoo li qub, daim tshev yuav tsum tau ua tom qab 3 xyoos. Nws raug nquahu kom kuaj ntshav rau glycated hemoglobin rau qhov no.

Txoj hauv kev zoo tshaj los tiv thaiv kab mob yog kev noj zaub mov tsis muaj carbohydrate. Qhov no txhais tau hais tias qhov tseem ceeb yuav tsum yog cov khoom noj muaj protein ntau thiab cov rog zoo li qub. Nyob rau tib lub sijhawm, nws yog qhov zoo dua tsis txhob noj cov zaub mov uas muaj carbohydrates, vim tias lawv ua rau muaj ntshav qab zib ntau ntxiv. Kev noj zaub mov tsawg-carb yog txwv tsis pub thaum cev xeeb tub, tab sis zoo tom qab pub niam mis.

Lub cevkev tawm dag zog kuj yog ib qho kev tiv thaiv kab mob ntshav qab zib hom 2. Koj tsuas yog yuav tsum xaiv qhov kev xaiv ntawm lub cev ua si uas tsim nyog dua. Kev ua luam dej, jogging, aerobics muaj txiaj ntsig zoo rau tib neeg kev noj qab haus huv.

Glycemic tus qauv

Thaum sawv ntxov ntawm lub plab khoob, qib yuav tsum yog 3, 3-5, 3 mmol / l, 2 teev tom qab noj mov - 5, 0-7, 8. glycated hemoglobin - tsis siab tshaj 6, 5 %. Yog tias cov qauv tsis raug ua txhaum cai, qhov kev pheej hmoo ntawm cov teeb meem rau tus menyuam yog tsawg.

YContraindications

Tsis muaj kev txwv tsis pub noj tshuaj, tshwj tsis yog rau tus neeg intolerance. Insulin yog ib yam tshuaj hormones uas tseem ceeb rau lub cev. Qhov tseem ceeb tshaj plaws yog qhov koob tshuaj thiab hom tshuaj raug xaiv kom raug. Txhawm rau ua qhov no, koj yuav tsum mus ntsib tus kws kho mob endocrinologist thiab saib xyuas nws tas li.

Yog li, koj tuaj yeem txhaj tshuaj insulin thaum cev xeeb tub lossis tsis yog, tus kws tshaj lij txiav txim siab. Tsuas yog tus kws kho mob tuaj yeem txiav txim siab npaum li cas thiab lub sijhawm ntawm kev kho mob.