Kuaj ntshav qab zib kuaj - tsis xeeb tub

Kev kuaj ntshav qabzib yog kuaj ntshav kuaj saib koj lub cev txav suab thaj los ntshav li cas rau cov nqaij thiab nqaij rog. Txoj kev ntsuam xyuas feem ntau yog siv los kuaj ntshav qab zib.

Kev ntsuam xyuas cov ntshav qab zib rau lub sijhawm muaj menyuam tseem zoo ib yam, tab sis nyias ua nyias.

Feem ntau kuaj ntshav qabzib feem ntau yog kuaj qhov ncauj txog cov ntshav qabzib (OGTT).

Ua ntej kuaj pib, yuav tau sim cov ntshav.

Tom qab ntawd koj yuav raug hais kom haus cov kua uas muaj qee yam ntawm cov piam thaj (feem ntau 75 grams). Koj cov ntshav yuav rov qab noj dua txhua 30 mus rau 60 feeb tom qab koj haus lub tov.

Qhov kev kuaj mob yuav siv sijhawm ntev li 3 teev.

Qhov ntsuas zoo sib xws yog tso ntshav mus kuaj (glucose tolerance test) (IGTT). Nws tsis tshua muaj siv, thiab yog ib txwm tsis siv los kuaj ntshav qab zib. Hauv ib qho ntawm IGTT, cov kua nplaum nyob hauv koj txoj hlab ntev 3 feeb. Qeb ntshav insulin yog ntsuas ua ntej txhaj tshuaj, thiab ntxiv thaum 1 thiab 3 feeb tom qab txhaj. Lub sijhawm ua haujlwm txawv yuav txawv. IGTT no yuav luag tau siv rau kev tshawb fawb xwb.

Kev ntsuam xyuas zoo sib xws yog siv nyob rau hauv kev txheeb xyuas ntawm kev loj hlob hormone tshaj (acromegaly) thaum ob qho qab zib thiab kev loj hlob hormone tau ntsuas tom qab cov dej qabzib haus dej.

Nco ntsoov tias koj noj kom nquag li ob peb hnub ua ntej kev ntsuam xyuas.

TSIS TXHOB noj lossis haus dab tsi rau tsawg kawg 8 teev ua ntej ntsuas. Koj tsis tuaj yeem noj thaum lub sijhawm kuaj.

Nug koj tus kws kho mob yog tias cov tshuaj koj noj puas cuam tshuam rau kev kuaj mob.

Haus cov dej qab zib tov yog zoo li haus cov dej qab zib zoo.

Cov kev phiv loj heev los ntawm qhov kev ntsuas no yog qhov tsis tshua muaj tshwm sim. Nrog kev ntsuam xyuas ntshav, qee cov neeg xav tias xeev siab, tawm hws, lub taub hau me ntsis, lossis nws yuav hnov ​​mob ua pa lossis tsaus muag tom qab haus cov piam thaj. Qhia koj tus kws kho mob yog tias koj muaj keeb kwm ntawm cov tsos mob no ntsig txog kev kuaj ntshav lossis cov txheej txheem kho mob.

Thaum cov koob tau tso rau hauv cov ntshav, qee cov neeg hnov ​​mob me ntsis. Lwm tus ho hnov ​​tus mob lossis ceg tawv xwb. Tom qab ntawd, tej zaum yuav muaj qee qhov thos lossis me me sib duav. Tsis ntev no ploj mus.

Cov piam thaj yog cov piam thaj hauv lub cev siv rau lub zog. Cov neeg muaj ntshav qab zib tsis tau kho nws muaj ntshav qabzib ntau ntau.

Feem ntau, qhov kev ntsuam xyuas thawj zaug tau siv los kuaj ntshav qab zib hauv cov neeg uas tsis tau xeeb tub yog:

• Kev yoo ntshav cov ntshav hauv cov ntshav siab: cov ntshav qab zib yog kuaj tau yog tias nws siab dua 126 mg / dL (7 mmol / L) ntawm 2 ntau qhov kev ntsuas
• Hemoglobin A1c test: ntsuas ntshav qab zib yog tias cov txiaj ntsig kev kuaj pom yog 6.5% lossis siab dua

Kev kuaj ntshav qabzib tseem siv los kuaj ntshav qab zib. OGTT yog siv los tshuaj ntsuam xyuas lossis ntsuas ntshav qab zib hauv cov neeg muaj ntshav siab ceev cov ntshav siab, tab sis tsis siab txaus (tshaj 125 mg / dL lossis 7 mmol / L) kom tau raws li kev kuaj mob ntshav qab zib.

Mob ntshav qab zib tsis txaus siab (cov piam thaj hauv ntshav mus dhau siab thaum muaj cov piam thaj hauv ntshav qab zib) yog qhov qhia ntxov ntawm ntshav qab zib dua li cov ntshav qabzib ntau dua.

Cov ntshav muaj nuj nqi rau 75 gram OGTT siv los kuaj mob ntshav qab zib hom 2 hauv cov uas tsis xeeb tub:

Kev yoo mov - 60 txog 100 mg / dL (3.3 txog 5.5 mmol / L)

1 teev - Tsawg dua 200 mg / dL (11.1 mmol / L)

2 teev - Qhov nqi no yog siv los ua kev kuaj mob ntshav qab zib.

• Tsawg tshaj 140 mg / dL (7.8 mmol / L).
• Nruab nrab ntawm 141mg / dL thiab 200 mg / dL (7.8 txog 11.1 mmol / L) yog suav tias yog cov tshuaj tiv thaiv tsis muaj qab zib txaus.
• Ntau tshaj 200 mg / dl (11.1mmol / L) yog kuaj ntshav qab zib.

Cov piv txwv saum toj no yog kev ntsuas dav dav rau cov txiaj ntsig ntawm cov kev ntsuas no. Cov kab ke tus nqi yuav txawv me ntsis ntawm ntau lub chaw soj nstuam. Qee qhov kuaj pom siv cov kev ntsuas sib txawv lossis kuaj cov qauv sib txawv. Tham nrog koj tus kws kho mob txog cov ntsiab lus ntawm koj cov kev kuaj sim.

Cov piam thaj uas siab dua ib txwm muaj peev xwm txhais tau tias koj muaj ntshav qab zib ua ntej lossis ntshav qab zib:

• Tus nqi 2 teev ntawm 140 thiab 200 mg / dL (7.8 thiab 11.1 mmol / L) yog hu ua kev cuam tshuam tsis muaj qab zib. Koj tus kws kho mob hu tau cov mob ntshav qab zib ua ntej no. Nws txhais tau tias koj yuav kis mob ntshav qab zib ntau dua sijhawm.
• Ib qho piam thaj twg ntawm 200 mg / dL (11.1 mmol / L) lossis siab dua yog siv los kuaj ntshav qab zib.

Kev ntxhov siab hnyav rau lub cev, xws li los ntawm kev ua kom raug mob, mob hlab ntsha tawg, plawv nres lossis phais, tuaj yeem nce koj cov ntshav qabzib. Kev qoj ib ce muaj zog tuaj yeem txo koj cov ntshav qabzib kom qis.

Qee yam tshuaj muaj peev xwm tsa tau lossis txo qis koj cov ntshav muaj piam thaj. Ua ntej yuav kuaj, qhia koj tus kws kho mob txog cov tshuaj uas koj siv.

Tej zaum koj yuav muaj qee cov tsos mob sau tseg hauv qab ntawm nqe lus hais tias "Yuav Kuaj Cas Yuav Zoo Li Cas."

Txoj kev pheej hmoo me ntsis nrog kev coj koj cov ntshav mus. Cov leeg thiab cov hlab ntsha sib txawv raws li ib tug neeg mus rau lwm qhov thiab ntawm ib sab ntawm lub cev mus rau lwm qhov. Noj ntshav los ntawm qee tus neeg yuav nyuaj dua li lwm tus.

Lwm yam kev phom sij los cuam tshuam nrog kev kos ntshav me ntsis, tab sis yuav suav nrog:

• Los ntshav ntau
• Ntau cov punctures los nrhiav cov leeg ntshav
  
• Tsaus muag lossis hnov ​​nkaus lub teeb
• Hematoma (ntshav buildup hauv qab daim tawv nqaij)
• Kev kis tus kab mob (muaj kev pheej hmoo me me txhua lub sijhawm ntawm daim tawv tawg)

Kev ntsuam xyuas qhov ncauj txog ntshav qab zib - tsis xeeb tub; OGTT - tsis cev xeeb tub; Ntshav Qab Zib - kuaj ntshav qabzib; Ntshav qab zib - kuaj ntshav qab zib ua lub siab ntev

• Kev yoo mov ntshav plasma kuaj ntshav
• Kev ntsuam xyuas cov ntshav qabzib nyob hauv qhov ncauj

Koom Haum Asmeskas Mob Ntshav Qab Zib. 2. Kev faib tawm thiab kuaj mob ntshav qab zib: cov txheej txheem kho mob hauv ntshav qab zib - 2020. Ntshav Qab Zib Kho Mob. 2020; 43 (Cov Khoom Siv 1): S14-S31. PMID: 31862745 pubmed.ncbi.nlm.nih.gov/31862745/.

Nadkarni P, Weinstock RS. Carbohydrates. Hauv: McPherson RA, Pincus MR, eds. Henry's Kev Kuaj Mob thiab Kev Tswj Xyuas los ntawm Laboratory Txoj Kev. 23rd ed. St Louis, MO: Elsevier; 2017: chap 16.

Xaj DB. Mob ntshav qab zib mellitus. Hauv: Rifai N, ed. Tietz Phau Ntawv Txheeb Txog Kev Kho Mob Chemistry thiab Molecular Diagnostics. 6 tus ed. Philadelphia, PA: Elsevier; 2018: chap 57.