Yeeb-yaj vim ntshav qab zib tsawg

Yeeb-tshuaj vim ntshav cov ntshav qab zib yog cov ntshav qabzib tsawg uas tshwm sim los ntawm kev noj tshuaj.

Cov piam thaj hauv ntshav qis (ntshav qab zib tsawg) yog ib qho muaj rau cov neeg muaj ntshav qab zib uas tseem noj tshuaj insulin lossis lwm yam tshuaj los tswj lawv cov ntshav qab zib.

Lwm yam dua li qee cov tshuaj, cov hauv qab no tuaj yeem ua rau cov ntshav qab zib kom ntshav qis dua:

• Haus cawv
• Tau txais kev ua ntau dua li niaj zaus
• Txhob txwm lossis tsis txhob txwm noj ntau tshaj ntawm cov tshuaj siv los kho mob ntshav qab zib
• Pluas mov noj mov

Txawm hais tias kev tswj ntshav qab zib tau ua tib zoo saib xyuas, cov tshuaj siv los kho ntshav qab zib tuaj yeem ua rau cov tshuaj muaj ntshav qab zib tsawg tsawg. Qhov xwm txheej kuj tseem yuav tshwm sim thaum ib tug neeg tsis muaj ntshav qab zib noj cov tshuaj uas siv los kho ntshav qab zib. Tsawg tsawg zaus, cov tshuaj tsis muaj ntshav qab zib yuav ua rau cov ntshav qab zib tsawg.

Cov tshuaj uas tuaj yeem ua rau cov tshuaj muaj ntshav qab zib qis nrog:

• Beta-blockers (xws li atenolol, lossis propanolol overdose)
• Cibenzoline thiab quinidine (mob plawv tsis zoo)
• Indomethacin (ib qho mob kho mob)
• Cov tshuaj insulin
• Metformin thaum siv nrog sulfonylureas
• SGLT2 inhibitors (xws li dapagliflozin thiab empagliflozin) nrog lossis tsis muaj sulfonylureas
• Sulfonylureas (xws li glipizide, glimepiride, glyburide)
• Thiazolidinediones (xws li pioglitazone thiab rosiglitazone) thaum siv nrog sulfonylureas
• Cov tshuaj uas tua cov kab mob (xws li gatifloxacin, pentamadine, quinine, trimethoprim-sulfamethoxazole)

Kev mob ntshav siab - yam tshwm sim hauv tshuaj; Cov piam thaj hauv ntshav tsawg - siv yeeb siv tshuaj

• Khoom noj khoom haus thiab insulin tso

Quaj PE. Glycemic cov hom phiaj nyob rau hauv cov ntshav qab zib: kev lag luam tawm ntawm glycemic tswj thiab iatrogenic hypoglycemia. Mob ntshav qab zibCov. Xyoo 2014; 63 (7): 2188-2195. PMID: 24962915 www.ncbi.nlm.nih.gov/pubmed/24962915.

Gale EAM, Anderson JV. Mob ntshav qab zib mellitus. Hauv: Kumar P, Clark M, eds. Kumar thiab Clarke Tshuaj Kho Mob. 9le ed. Philadelphia, PA: Elsevier; 2017: chap 27.