Kev ntsuas ntshav qab zib

Kev ntsuas ntshav qab zib ntsuas seb koj cov piam thaj hu ua cov piam thaj hauv ib qho piv txwv ntawm koj cov ntshav.

Cov kua nplaum yog lub zog tseem ceeb rau lub zog feem ntau ntawm lub cev, suav nrog cov hlwb ua haujlwm. Glucose yog ib lub tsev thaiv rau cov khoom noj carbohydrates. Carbohydrates muaj nyob hauv cov txiv hmab txiv ntoo, cereal, cij, nplej zom, thiab mov. Cov carbohydrates yog sai hloov mus ua cov piam thaj hauv koj lub cev. Qhov no tuaj yeem nce koj cov ntshav cov piam thaj.

Cov tshuaj hormones ua haujlwm hauv lub cev pab tswj cov ntshav ntshav qabzib.

Xav tau cov ntshav ntxiv.

Kev ntsuas yuav tuaj yeem ua raws li hauv qab no:

• Tom qab koj tsis tau noj dab tsi tsawg kawg yog 8 teev (yoo mov)
• Lub sijhawm twg los xij ntawm hnub (random)
• Ob teev tom qab koj haus ib qhov dej qabzib (kuaj ntshav qabzib nyob rau hauv qhov ncauj)

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 duav lossis pob me me. Tsis ntev no ploj mus.

Koj tus kws kho mob yuav xaj kom kuaj xyuas no yog tias koj muaj cim ntshav qab zib. Ntau dua li qhov ua tau, tus kws kho mob yuav xaj kuaj ntshav cov piam thaj ntau.

Kev kuaj ntshav qab zib kuj tseem siv los tshuaj xyuas tib neeg uas twb muaj ntshav qab zib lawm.

Qhov sim no kuj tseem yuav ua yog tias koj muaj:

• Kev nce rau hauv ntau npaum li cas koj xav tau tso zis
• Tsis ntev los no nws muaj ntau qhov hnyav
• Qhov muag plooj
• Tsis meej pem lossis pauv ib qho uas koj ib txwm nyiam hais lossis coj ua
• Poob ntsej muag
• Mob chua leeg (thawj zaug)
• Kev tsis nco qab los yog tsis nco qab lawm

SCREENING RAU DIABETES

Txoj kev kuaj mob no tseem siv tau los kuaj xyuas tus neeg muaj ntshav qab zib.

Mob ntshav qab zib thiab ntshav qab zib ntau ntau yuav tsis ua rau cov tsos mob tshwm sim thaum ntxov. Kev ntsuam xyuas cov ntshav qab zib kom yoo dua yuav luag txhua qhov kev soj ntsuam ntshav qab zib.

Yog koj muaj hnub nyoog tshaj 45 xyoos, yuav tsum kuaj koj txhua 3 xyoos.

Yog tias koj rog dhau (lub cev hnyav dhau ntawm lub cev, lossis BMI, ntawm 25 lossis siab dua) thiab muaj ib qho kev pheej hmoo txaus ntshai hauv qab no, nug koj tus kws khomob txog kev kuaj ntshav thaum hnub nyoog ntxov thiab ntau dua:

• Cov ntshav qab zib theem siab ntawm cov ntawv xeem dhau los
• Ntshav siab ntawm 140/90 hli Hg lossis siab dua, lossis cov qib roj cholesterol tsis zoo
• Keeb kwm ntawm kab mob plawv
• Tswvcuab ntawm cov haiv neeg muaj kev pheej hmoo siab (Neeg Asmeskas Dub, Neeg Latino, Neeg Asmeskas Dub, Neeg Asmeskas Dub, lossis Pacific Pov Txwv)
• Tus poj niam uas tau dhau los ua tus kab mob ntshav qab zib gestational
• Polycystic ovary mob (mob uas tus poj niam muaj qhov tsis txaus ntawm cov poj niam txiv neej cov tshuaj hormones ua rau cov hlwv hauv zes qe menyuam)
• Txheeb ze tus mob ntshav qab zib (xws li niam txiv, kwv tij, lossis muam)
• Tsis siv lub cev

Cov menyuam yaus hnub nyoog 10 thiab laus dua uas rog dhau thiab muaj tsawg kawg ob ntawm cov pheej hmoo pheej hmoo yuav tsum tau kuaj saum toj no yuav tsum kuaj ntshav qab zib hom 2 txhua 3 xyoos, txawm tias lawv tsis muaj tsos mob dab tsi.

Yog tias koj tau ntsuas qhov ntsuas cov ntshav qab zib sai, ib qho kev sib txuam ntawm 70 txog 100 mg / dL (3.9 thiab 5.6 mmol / L) yog suav tias yog ib txwm.

Yog tias koj ua ntsuas cov ntshav qabzib hauv lub cev, ib qho txiaj ntsig ib qho txawv yog nyob ntawm seb koj tau noj zaum kawg. Feem ntau, cov piam thaj hauv cov ntshav yuav yog 125 mg / dL (6.9 mmol / L) lossis qis dua.

Cov piv txwv saum toj no qhia cov kev ntsuas sib txawv 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 sim cov qauv sib txawv. Tham nrog koj tus kws kho mob txog cov ntsiab lus ntawm koj cov kev kuaj sim.

Ntshav cov ntshav ntsuas los ntawm ntsuas ntshav los ntawm cov leeg ntshav yog suav tias muaj tseeb dua tias cov ntshav ntsuas ntshav ntsuas los ntawm tus ntiv tes xaim nrog lub ntsuas ntshav qabzib, lossis ntshav qabzib ntsuas los ntawm ntsuas cov piam thaj tas li.

Yog tias koj tau sim cov ntshav ntsuas cov piam thaj:

• Ib theem ntawm 100 txog 125 mg / dL (5.6 txog 6.9 mmol / L) txhais tau hais tias koj tau yoo cov piam thaj, uas yog hom mob ntshav qab zib. Qhov no ua rau koj muaj feem yuav muaj ntshav qab zib hom 2.
• Ib theem ntawm 126 mg / dL (7 mmol / L) lossis siab dua feem ntau txhais tau tias koj muaj ntshav qab zib.

Yog tias koj muaj kev sim cov ntshav kuaj cov piam thaj:

• Ib theem ntawm 200 mg / dL (11 mmol / L) lossis siab dua feem ntau txhais tau tias koj muaj ntshav qab zib.
• Koj tus kws kho mob yuav xaj kom cov ntshav qabzib ntau, ntsuas A1C, lossis kuaj ntshav qabzib nyob ntawm seb koj li ntshav qabzib tau licas.
• Hauv ib tus neeg uas muaj ntshav qab zib, qhov tshwm sim txawv txav los ntawm kev kuaj ntshav qab zib kom tsis xwm yeem txhais tau tias cov ntshav qab zib tsis tau tswj tau zoo. Tham nrog koj tus kws kho mob txog koj cov ntshav qab zib cov hom phiaj yog tias koj muaj ntshav qab zib.

Lwm yam teeb meem kev kho mob kuj tseem tuaj yeem ua rau cov ntshav qabzib siab dua li cov ntshav qabzib, nrog rau:

• Txhawb nqa cov thyroid caj pas
• Pancreatic mob cancer
• O kev mob thiab o ntawm tus kab mob nqaij hlav (pancreatitis)
• Kev ntxhov siab vim yog raug mob, mob stroke, plawv nres, lossis phais
• Cov qog ua hlav, nrog rau pheochromocytoma, acromegaly, Cushing syndrome, lossis glucagonoma

Kev noj cov ntshav qabzib tsawg dua li ib txwm muaj (ntshav qabzib (hypoglycemia)) yog vim:

• Hypopituitarism (mob caj pas pituitary)
• Kev ua tsis txaus qog ua haujlwm lub qog lossis lub qog ua qog
• Mob qog nqaij hlav hauv koj lub cev (pan-insulinoma - tsawg heev)
• Khoom noj khoom haus me me heev
• Ntau dhau insulin lossis lwm yam tshuaj mob ntshav qab zib
• Mob siab lossis mob raum
• Lub cev yuag tom qab yuag yuag phais
• Lub cev muaj zog ua si

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 txhua yam tshuaj uas koj siv.

Rau qee cov poj niam hluas nyias nyias, kev yoo mov cov ntshav qab zib qis dua 70 mg / dL (3.9 mmol / L) yuav zoo li qub.

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. Mus nqa cov ntshav los ntawm ib cov neeg tej zaum yuav nyuaj tshaj li los ntawm lwm tus.

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

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

Zib ntshav qab zib; Ntshav qab zib cov ntshav theem; Yoo ntshav ntshav qab zib; Kev kuaj qabzib; Kev kuaj ntshav qab zib - kuaj ntshav qab zib; Ntshav qab zib - kuaj ntshav qab zib

• Ntshav qab zib Hom 2 - dab tsi yuav nug koj tus kws kho mob

• Kuaj ntshav

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 - 2019. Ntshav Qab Zib Kho Mob. 2019; 42 (Cov Khoom Siv 1): S13-S28. PMID: 30559228 pubmed.ncbi.nlm.nih.gov/30559228/.

Chernecky CC, Berger BJ. Cov kua nplaum, 2-teev tom qab - ntsuas kev ntshiab. Hauv: Chernecky CC, Berger BJ, eds. Kev kuaj thiab kuaj mobCov. 6 tus ed. St Louis, MO: Elsevier Saunders; Xyoo 2013: 585.

Chernecky CC, Berger BJ. Glucose kam rau kuaj (GTT, OGTT) - ntshav tau txais. Hauv: Chernecky CC, Berger BJ, eds. Kev kuaj thiab kuaj mobCov. 6 tus ed. St Louis, MO: Elsevier Saunders; Xyoo 2013: 591-593.