Hom 2 Mob ntshav qab zib mellitus

qhov sib txawv ntawm vyvanse thiab adderall

Hom 2 Mob ntshav qab zib mellitus yog dab tsi?

Hom 2 mob ntshav qab zib mellitus yog ib hom kab mob ntev. Nws yog tus cwj pwm los ntawm qib siab ntawm cov piam thaj hauv cov ntshav. Hom 2 mob ntshav qab zib mellitus tseem hu ua hom 2 mob ntshav qab zib mellitus thiab cov neeg laus pib mob ntshav qab zib. Qhov ntawd yog vim nws tau pib yuav luag ib txwm nyob nruab nrab- thiab lig-laus laus. Txawm li cas los xij, ntau thiab ntau tus menyuam yaus thiab cov hluas tab tom tsim tus mob no. Hom 2 mob ntshav qab zib mellitus muaj ntau dua li ntshav qab zib hom 1, thiab nws yog ib qho kab mob sib txawv. Tab sis nws sib koom nrog hom 1 mob ntshav qab zib mellitus siab ntshav qab zib, thiab cov teeb meem ntawm cov ntshav qab zib siab.

Thaum lub sij hawm digestion, cov zaub mov tau tawg mus rau hauv lub hauv paus Cheebtsam. Carbohydrates tau tawg ua cov suab thaj yooj yim, feem ntau yog qabzib. Glucose yog ib qho tseem ceeb ntawm lub zog rau lub cev cov hlwb. Txhawm rau muab lub zog rau cov hlwb, cov piam thaj yuav tsum tawm hauv cov ntshav thiab nkag mus rau hauv cov hlwb.

Insulintaug kev hauv cov ntshav qhia cov hlwb kom noj qabzib. Insulin yog ib yam tshuaj uas tsim los ntawm lub txiav. Lub pancreas yog ib yam khoom hauv lub plab. Thaum cov piam thaj hauv cov ntshav nce siab (piv txwv li, tom qab noj mov), cov txiav ua rau cov tshuaj insulin ntau dua.

Hom 2 mob ntshav qab zib mellitus tshwm sim thaum koj lub cev cov hlwb tiv thaiv cov nyhuv ntawm insulin, uas yog tsav cov piam thaj hauv cov ntshav mus rau hauv cov hlwb. Cov mob no hu ua insulin resistance. Yog li ntawd, cov piam thaj pib tsim hauv cov ntshav.

Hauv cov neeg uas muaj insulin tsis kam, pancreas 'pom' cov ntshav qabzib nce siab. Pancreas teb los ntawm kev tsim cov tshuaj insulin ntxiv los tswj cov ntshav qab zib ib txwm. Nyob rau tib lub sijhawm, lub cev tsis zoo ntawm cov tshuaj insulin yuav ua rau tsis zoo. Hauv kev teb, pancreas ua rau insulin ntau dua. Thaum kawg, tus txiav tau 'shaus'. Nws tsis tuaj yeem ua raws li qhov xav tau ntawm cov tshuaj insulin ntau dua. Nws poops tawm. Yog li ntawd, cov ntshav qabzib pib nce.

Ntshav qab zib Hom 2 khiav hauv tsev neeg. Kev rog rog ua rau muaj kev pheej hmoo ntawm ntshav qab zib.

Cov tsos mob

Cov tsos mob ntawm ntshav qab zib muaj feem xyuam rau cov ntshav qabzib siab. Lawv suav nrog:

Kev tso zis ntau dhau, nqhis dej thiab tshaib plab

Poob poob

Ua rau muaj kab mob ntau ntxiv, tshwj xeeb tshaj yog cov poov xab los yog fungal kab mob

Cov ntshav qab zib ntau heev kuj tuaj yeem ua rau muaj teeb meem txaus ntshai hu ua hyperosmolar syndrome. Qhov no yog ib daim ntawv ua rau lub cev qhuav dej. Qee zaum, hyperosmolar syndrome yog thawj qhov cim qhia tias tus neeg muaj ntshav qab zib hom 2. Nws ua rau kev xav tsis meej pem, qaug zog, xeev siab thiab txawm qaug dab peg thiab coma.

Kev kho mob ntshav qab zib hom 2 kuj tuaj yeem tsim cov tsos mob. Cov tshuaj txo cov piam thaj ntau dhau, txheeb ze rau kev noj haus, tuaj yeem ua rau muaj teeb meem ntawm cov ntshav qab zib tsawg (hu ua hypoglycemia). Cov tsos mob ntawm hypoglycemia muaj xws li:

• hws
• Ntshai
• kiv taub hau
• tshaib plab
• Tsis meej pem
• qaug dab peg thiab tsis nco qab (yog tias hypoglycemia tsis paub thiab kho)

Koj tuaj yeem kho hypoglycemia los ntawm kev noj lossis haus ib yam dab tsi uas muaj carbohydrates. Qhov no nce koj cov ntshav qab zib.

Ntshav qab zib Hom 2 cuam tshuam rau txhua qhov ntawm lub cev. Nws tuaj yeem ua rau muaj teeb meem loj, ua rau muaj kev phom sij rau lub neej. Cov no suav nrog:

dab tsi yog qhov qub koob tshuaj viagra

Atherosclerosis- Atherosclerosis yog rog tsim nyob rau hauv cov hlab ntsha phab ntsa. Qhov no tuaj yeem cuam tshuam cov ntshav ntws mus rau tag nrho lub cev. Lub plawv, hlwb thiab ob txhais ceg feem ntau cuam tshuam. Retinopathy- Cov hlab ntsha me me hauv lub retina (rov qab ntawm lub qhov muag pom lub teeb) tuaj yeem ua rau cov ntshav qab zib ntau puas lawm. Kev puas tsuaj tuaj yeem thaiv cov ntshav ntws mus rau retina, thiab tuaj yeem ua rau cov ntshav mus rau retina. Ob leeg ua rau lub peev xwm ntawm retina pom lub teeb. Thaum ntxov, kev puas tsuaj rau retinopathy tuaj yeem txo qis los ntawm kev tswj cov ntshav qab zib kom nruj thiab siv laser kho. Tsis kho retinopathy tuaj yeem ua rau dig muag. Mob ntshav qab zib- Qhov no yog kev puas hlwb. Feem ntau hom yog peripheral neuropathy. Cov hlab ntsha rau ob txhais ceg raug puas tsuaj ua ntej, ua rau mob thiab loog ntawm ko taw. Qhov no tuaj yeem ua rau ua rau cov tsos mob ntawm ob txhais ceg thiab tes. Kev puas tsuaj rau cov hlab ntsha uas tswj kev zom zaub mov, kev ua haujlwm ntawm kev sib deev thiab tso zis kuj tuaj yeem tshwm sim. Teeb meem ko taw- Mob thiab pob khaus ntawm ko taw tshwm sim rau ob qho laj thawj:
• Yog tias peripheral neuropathy ua rau loog loog, tus neeg yuav tsis hnov ​​​​mob hauv ko taw. Cov tawv nqaij tuaj yeem tawg, ua rau lub plab, thiab lub plab tuaj yeem kis tau.
• Cov ntshav ncig tuaj yeem ua rau tsis zoo, ua rau mob qeeb. Sab laug tsis kho, qhov mob yooj yim tuaj yeem kis tau thiab loj heev. Yog tias kev kho mob tsis tuaj yeem kho tus mob, yuav tsum tau txiav tawm.
Nephropathy- Kev puas tsuaj rau lub raum. Qhov no yuav muaj ntau dua yog tias cov ntshav qab zib nce siab thiab ntshav siab tsis kho mob hnyav.

Kev kuaj mob

Ntshav qab zib yog kuaj los ntawm kev kuaj ntshav rau cov piam thaj. Ntshav raug kuaj thaum sawv ntxov tom qab koj tau yoo mov ib hmos.

Feem ntau, lub cev khaws cov ntshav qab zib ntawm 70 thiab 100 milligrams ib deciliter (mg / dL), txawm tias tom qab yoo mov. Yog tias ntshav qab zib tom qab yoo mov ntau dua 125 mg / dL, ntshav qab zib tau kuaj pom.

Koj tus kws kho mob yuav tshuaj xyuas koj kom nrhiav tau:

• Kev rog rog, tshwj xeeb tshaj yog plab rog-ib yam mob uas ua rau tib neeg muaj kev pheej hmoo rau hom 2 mob ntshav qab zib.
• Ntshav siab - ib qho mob feem ntau tshwm sim hauv cov neeg mob ntshav qab zib hom 2, uas ua ke nrog ntshav qab zib ua rau muaj kev pheej hmoo mob plawv thiab mob stroke.
• Kev tso ntshav, lossis cov pob daj daj nyob rau hauv retina ntawm koj ob lub qhov muag - teeb meem ntawm ob qho tib si ntshav qab zib thiab ntshav siab, uas ua rau muaj kev pheej hmoo ntawm dig muag.
• Txo qhov hnov ​​​​qab hauv ob txhais ceg - uas tuaj yeem ua rau tus neeg mob ntshav qab zib tsis pom kev mob ko taw, tshwj xeeb yog mob nyob rau hauv qab ntawm ko taw.
• Pulses tsis muaj zog hauv ko taw-ib yam mob uas tuaj yeem ua rau qeeb lossis tiv thaiv kev kho mob ntawm ko taw, thiab tejzaum nws ua rau kev txiav tawm
• Cov pob khaus, rwj lossis kab mob ntawm ko taw

Cov kev kuaj sim kuj tseem siv niaj hnub los ntsuas ntshav qab zib. Cov no suav nrog:

Fasting plasma glucose test (FPG).Ntshav tau noj thaum sawv ntxov tom qab yoo mov thaum hmo ntuj. Feem ntau, cov ntshav qab zib nyob ntawm 70 thiab 100 milligrams ib deciliter (mg / dL). Ntshav qab zib yog kuaj tau yog tias ntshav qab zib yoo mov yog 126 mg / dL lossis siab dua. Qhov ncauj Glucose tolerance Test (OGTT).Ntshav qab zib yog ntsuas ob teev tom qab haus 75 grams qabzib. Ntshav qab zib yog kuaj tau yog tias 2-teev cov ntshav qab zib theem yog 200 mg / dL lossis siab dua. Random ntshav kuaj ntshav qabzib.Cov piam thaj hauv ntshav ntawm 200 mg / dL lossis ntau dua nyob rau txhua lub sijhawm ntawm hnub ua ke nrog cov tsos mob ntawm ntshav qab zib yog txaus los ua qhov kev kuaj mob. Hemoglobin A1C (glycohemoglobin). Qhov kev ntsuas no ntsuas qhov nruab nrab cov piam thaj hauv ob mus rau peb lub hlis ua ntej. Ntshav qab zib yog kuaj tau yog tias qib hemoglobin A1C yog 6.5% feem pua ​​lossis siab dua.
• Ntshav creatinine thiab zis microalbumin. Kev ntsuam xyuas pov thawj ntawm kab mob raum.
Lipid profile.Ntsuas qib triglycerides thiab tag nrho, HDL, thiab LDL roj cholesterol. Qhov no ntsuas qhov kev pheej hmoo ntawm atherosclerosis. Cov neeg mob ntshav qab zib uas tseem muaj cov roj cholesterol tag nrho lossis LDL cov roj (cholesterol) siab yog qhov muaj feem yuav mob plawv thiab mob stroke.

Lub sijhawm xav tau

Mob ntshav qab zib yog ib yam mob tas mus li. Txawm li cas los xij, qee zaum cov neeg mob ntshav qab zib hom 2 tuaj yeem kho lawv cov ntshav qab zib kom zoo li qub los ntawm kev noj zaub mov noj qab haus huv, ua haujlwm tsis tu ncua, thiab poob phaus.

Kev laus thiab kab mob episodic tuaj yeem ua rau lub cev tiv thaiv insulin nce ntxiv. Yog li ntawd, feem ntau yuav tsum muaj kev kho mob ntxiv rau lub sijhawm.

Kev tiv thaiv

Yog tias ib tus txheeb ze ze-tshwj xeeb tshaj yog niam txiv lossis kwv tij-muaj mob ntshav qab zib hom 2, lossis yog tias koj qhov kev kuaj ntshav qabzib qhia tau tias 'pre-diabetes' - txhais tau tias cov ntshav qabzib nyob nruab nrab ntawm 100 thiab 125 mg / dL - koj yuav muaj kev pheej hmoo ntau ntxiv. mob ntshav qab zib hom 2. Koj tuaj yeem pab tiv thaiv kev mob ntshav qab zib hom 2 los ntawm:

• Tuav koj lub cev qhov hnyav.
• Kev tawm dag zog tsis tu ncua - zoo li taug kev nrawm ntawm 1-2 mais hauv 30 feeb - tsawg kawg yog tsib zaug hauv ib lub lis piam, txawm tias qhov ntawd tsis ua rau koj ua tiav qhov hnyav. Qhov ntawd yog vim kev tawm dag zog tsis tu ncua txo cov tshuaj insulin, txawm tias koj tsis poob phaus.
• Noj zaub mov zoo.
• Noj tshuaj. Cov tshuajmetformin(Glucophage) muaj qee qhov kev tiv thaiv ntxiv rau cov neeg mob ntshav qab zib ua ntej.

Yog tias koj twb muaj ntshav qab zib hom 2, koj tseem tuaj yeem ncua lossis tiv thaiv cov teeb meem:

• Ua nruj tswj koj cov ntshav qab zib. Qhov no txo ​​qhov kev pheej hmoo ntawm cov teeb meem feem ntau.
• Txo koj txoj kev pheej hmoo ntawm kev mob plawv los ntawm:
  • Noj ib hnubtshuaj aspirin-tshwj xeeb yog tias koj twb muaj qee yam cim qhia ntawm kab mob plawv.
  • Kev nruj nruj tswj hwm lwm yam kev pheej hmoo rau atherosclerosis, xws li:
    • Ntshav siab
    • Cov roj (cholesterol) siab thiab triglycerides
    • Kev haus luam yeeb
    • Kev rog rog
• Mus ntsib kws kho qhov muag thiab tus kws kho mob ko taw txhua xyoo kom txo tau qhov teeb meem ntawm qhov muag thiab ko taw.

Kev kho mob

Kev noj zaub mov thiab kev tawm dag zog

Feem ntau, kev kho mob ntshav qab zib hom 2 pib nrog txo qhov hnyav los ntawm kev noj zaub mov thiab kev tawm dag zog. Kev noj zaub mov zoo rau tus neeg mob ntshav qab zib yog:

• Tsawg cov roj saturated thiab cov roj cholesterol
• Tsis muaj cov rog trans rog
• Tsawg calories tag nrho
• Nutritionally balanced nrog ntau npaum li cas ntawm:
  • Khoom noj khoom haus tag nrho
  • Monounsaturated roj
  • Txiv hmab txiv ntoo thiab zaub

Ib hnub multivitamin yog pom zoo rau feem ntau cov neeg mob ntshav qab zib.

Rau qee tus neeg, ntshav qab zib hom 2 tuaj yeem tswj tau tsuas yog nrog kev noj zaub mov thiab tawm dag zog. Txawm hais tias yuav tsum tau noj tshuaj, kev noj haus thiab kev tawm dag zog tseem tseem ceeb rau kev tswj ntshav qab zib.

Tshuaj: ntsiav tshuaj

gentizol tshuaj pleev rau cov dev

Cov tshuaj no ua haujlwm ntau yam. Lawv suav nrog cov tshuaj uas:

• Txo cov tshuaj insulin hauv cov leeg thiab lub siab.
• Ua kom cov tshuaj insulin ntau ntxiv thiab tso tawm los ntawm pancreas.
• Ua kom tawg ntawm insulin tso tawm nrog txhua pluas noj.
• Ncua qhov nqus cov suab thaj los ntawm txoj hnyuv.
• Ua rau koj digestion qeeb.
• Txo koj txoj kev qab los noj mov loj.
• Txo qhov hloov pauv ntawm cov rog mus rau qabzib.
• Ua kom cov suab thaj uas ntws tawm ntawm lub raum mus rau hauv cov zis.

Insulins

Vim tias hom 2 mob ntshav qab zib mellitus tshwm sim thaum txiav txiav tsis tuaj yeem tsim cov tshuaj insulin txaus los kov yeej cov tshuaj insulin, kwv yees li ntawm peb tus neeg muaj tus kab mob no siv qee yam tshuaj insulin.

Hauv hom 2 mob ntshav qab zib mellitus, lossis rau cov neeg uas xav kom tswj cov piam thaj kom nruj, cov tshuaj insulin yuav xav tau ntau dua ib hnub thiab ntau dua.

Cov phiaj xwm kho mob uas suav nrog ob qho tib si insulin ntev ntev thiab ua haujlwm luv luv insulin feem ntau ua tau zoo tshaj plaws rau kev tswj cov ntshav qab zib. Cov tshuaj insulin luv luv yog siv nrog cov pluas noj, los pab tswj qhov nce siab hauv cov ntshav qab zib uas tshwm sim nrog noj mov. Yog tias tus neeg tsis noj zaub mov raws sijhawm, cov tshuaj insulin luv luv tuaj yeem pab tau tshwj xeeb.

Kev kho mob tshwm sim

Cov tshuaj siv los kho mob ntshav qab zib hom 2 tuaj yeem muaj kev phiv. Cov no txawv ntawm cov tshuaj. Kev mob tshwm sim tuaj yeem suav nrog:

• Ntshav qab zib tsawg (hypoglycemia)
• Qhov hnyav nce
• Ntshai
• Mob plab
• Taw o
• Mob plawv tsis ua hauj lwm
• Daim siab mob
• Ntshai heev thiab tsam plab
• tso zis ntau zaus

Feem ntau, cov txiaj ntsig ntawm kev kho mob tshaj qhov txaus ntshai. Cov neeg mob ntshav qab zib hom 2 uas muaj lwm yam teeb meem kho mob xws li mob raum siab yuav tsum zam qee cov tshuaj thiab cov tshuaj uas tsis yog tshuaj insulin.

Ntxiv nrog rau cov tshuaj uas pab tswj cov ntshav qab zib, cov neeg mob ntshav qab zib hom 2 feem ntau noj lwm yam tshuaj uas txo qhov kev pheej hmoo lossis txo qhov pib ntawm cov teeb meem ntshav qab zib. Cov no suav nrog cov tshuaj uas:

• Ua kom cov kab mob hauv lub raum qeeb qeeb - tshwj xeeb yog cov tshuaj hu ua angiotensin-hloov enzyme (ACE) inhibitors thiab angiotensin receptor blockers (ARBs).
• Txo cov cholesterol. Txhua tus neeg mob ntshav qab zib yuav tsum xav txog kev noj tshuaj kom txo lawv cov roj cholesterol, feem ntau yog ib qho ntawm cov tshuaj statin.
• Txo cov ntshav siab. Cov neeg mob ntshav qab zib yuav tsum tau siv tshuaj los tswj cov ntshav siab yog tias nws tsis tuaj yeem txhim kho los ntawm kev hloov pauv kev ua neej.
• Tiv thaiv lub plawv nres. Feem ntau cov neeg mob ntshav qab zib tau txais txiaj ntsig los ntawm kev noj tshuaj aspirin qis txhua hnub.

Thaum Hu Rau Tus Kws Tshaj Lij

Yog tias koj muaj ntshav qab zib, mus ntsib koj tus kws kho mob tsis tu ncua.

Cov neeg uas muaj ntshav qab zib ntau ntau muaj kev pheej hmoo ntawm lub cev qhuav dej. Hu rau koj tus kws kho mob tam sim yog tias koj ntuav lossis raws plab thiab haus dej tsis txaus.

Saib xyuas koj cov ntshav qab zib raws li qhia los ntawm koj pawg neeg saib xyuas kev noj qab haus huv. Tshaj tawm txhua qhov sib txawv tseem ceeb hauv cov ntshav qab zib.

Kev kwv yees

Koj txoj kev npaj kho mob yuav xav tau kev hloov kho raws sij hawm. Insulin tsis kam nce nrog lub hnub nyoog. Thiab cov hlwb tsim cov tshuaj insulin hauv pancreas tuaj yeem hnav thaum txiav txiav ua kom raws li lub cev xav tau cov tshuaj insulin ntxiv.

Tom qab thawj ob peb xyoos, feem ntau ntawm cov neeg mob ntshav qab zib hom 2 xav tau ntau tshaj ib cov tshuaj kom lawv cov ntshav qab zib tswj tau.

Cov kev mob tshwm sim hauv cov neeg mob ntshav qab zib hom 2 txawv. Nws nyob ntawm seb tus neeg hloov kho nws txoj kev pheej hmoo ntawm cov teeb meem zoo li cas. Lub plawv nres, mob stroke thiab mob raum tuaj yeem ua rau tuag ntxov ntxov. Kev xiam oob khab vim qhov muag tsis pom, kev txiav tawm, kab mob plawv, mob stroke thiab paj hlwb puas yuav tshwm sim. Qee cov neeg mob ntshav qab zib hom 2 tau ua raws li kev kho mob lim ntshav lossis yuav tsum tau hloov lub raum vim lub raum tsis ua haujlwm.

humalog pib thiab ncov

Cov peev txheej sab nraud

American Diabetes Association
http://www.diabetes.org/

American Dietetic Association
http://www.eatright.org/

National Diabetes Information Clearinghouse
http://diabetes.niddk.nih.gov/

National Institute of Diabetes & Digestive & Kidney Disorders
http://www.niddk.nih.gov/

Weight-Control Information Network
http://www.niddk.nih.gov/health/nutrit/win.htm

Cov ntaub ntawv ntxiv

Nco ntsoov sab laj nrog koj tus kws kho mob kom paub tseeb tias cov ntaub ntawv uas tshwm sim hauv nplooj ntawv no siv tau rau koj tus kheej.