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Tshuaj kho tus mob Ntshav Qab Zib thiab mob rwj - Tshuaj ntsuab PY
Daim Duab: Tshuaj kho tus mob Ntshav Qab Zib thiab mob rwj - Tshuaj ntsuab PY

Zoo Siab

Ntau tshaj 100 lab tus neeg Asmeskas tau nyob nrog ntshav qab zib lossis ua ntej ntshav qab zib, raws li tsab ntawv tshaj tawm xyoo 2017 los ntawm Lub Chaw Tiv Thaiv thiab Tiv Thaiv Kab Mob. Qhov ntawd yog tus lej txaus ntshai - thiab txawm hais tias muaj cov ntaub ntawv ntau ntxiv txog kev noj qab haus huv thiab khoom noj khoom haus, tus lej ntawd tau nce. (Txog: Kev noj haus keto puas tuaj yeem pab nrog hom 2 mob ntshav qab zib?)

Nov yog lwm qhov txaus ntshai: Txawm hais tias koj xav tias koj ua txhua yam raug - noj zaub mov zoo, tawm dag zog -muaj qee yam tseem ceeb (zoo li koj tsev neeg keeb kwm) uas tseem tuaj yeem ua rau koj muaj kev pheej hmoo rau qee yam ntshav qab zib.

Nov yog yuav ua li cas paub cov tsos mob ntshav qab zib hauv poj niam, suav nrog cov cim ntawm hom 1, hom 2, thiab ntshav qab zib thaum cev xeeb tub, nrog rau cov tsos mob ua ntej ntshav qab zib.


Yam 1 Ntshav Qab Zib Cov tsos mob

Hom 1 mob ntshav qab zib yog tshwm sim los ntawm cov txheej txheem autoimmune uas cov tshuaj tiv thaiv kab mob beta hlwb ntawm tus txiav, hais tias Marilyn Tan, MD, kws kho mob endocrinologist ntawm Stanford Health Care uas yog ob-board ntawv pov thawj hauv endocrinology thiab tshuaj sab hauv. Vim tias qhov kev tawm tsam no, koj lub txiav tsis tuaj yeem tsim cov tshuaj insulin txaus rau koj lub cev. (FYI, ntawm no yog vim li cas insulin thiaj li tseem ceeb: Nws yog ib yam tshuaj uas ua kom cov piam thaj los ntawm koj cov ntshav mus rau hauv koj lub hlwb yog li lawv tuaj yeem siv lub zog rau lub luag haujlwm tseem ceeb.)

Ua yeeb yam poob phaus

Dr. Tan hais tias "Thaum ntawd [kev tawm tsam ntawm cov txiav txiav) tshwm sim, cov tsos mob tshwm sim ncaj ncees, feem ntau tsis pub dhau ob peb hnub lossis ob asthiv," "Tib neeg yuav poob phaus hnyav - qee zaum 10 lossis 20 phaus - nrog rau nqhis dej ntau ntxiv thiab tso zis, thiab qee zaum xeev siab."

Kev poob phaus tsis txhob txwm ua yog vim ntshav qab zib siab. Thaum lub raum tsis tuaj yeem rov nqus tag nrho cov piam thaj ntxiv, qhov ntawd yog qhov uas txhua lub npe cuam tshuam rau cov kab mob ntshav qab zib, mob ntshav qab zib, tuaj. "Nws yog cov piam thaj hauv cov zis," Dr. Tan hais. Yog tias koj tsis tau kuaj pom tus mob ntshav qab zib hom 1, koj cov zis kuj tseem tuaj yeem hnov ​​tsw qab, nws hais ntxiv.


Kev qaug zog heev

Lwm cov tsos mob ntawm hom 1 mob ntshav qab zib yog qhov qaug zog heev, thiab qee tus neeg muaj qhov tsis pom kev, hais tias Ruchi Bhabhra, MD, Ph.D., tus kws kho mob endocrinologist ntawm UC Health thiab tus pab xibfwb ntawm endocrinology ntawm University of Cincinnati College of Medicine.

Sijhawm Tsis Txaus

Cov tsos mob ntshav qab zib hauv poj niam rau ob hom 1 thiab hom 2 feem ntau zoo ib yam rau txiv neej. Txawm li cas los xij, poj niam muaj ib qho cim tseem ceeb uas txiv neej tsis ua, thiab nws yog qhov ntsuas zoo ntawm koj lub cev kev noj qab haus huv tag nrho: kev coj khaub ncaws. "Qee tus poj niam muaj lub sijhawm tsis tu ncua txawm tias lawv mob, tab sis rau ntau tus poj niam, lub sijhawm tsis xwm yeem yog ib qho qhia tias muaj qee yam tsis raug," Dr. Tan hais. (Nov yog ib tus poj niam hnub qub pob zeb uas khiav 100-mais kev sib tw nrog hom 1 mob ntshav qab zib.)

Thaum mus ntsib kws kho mob

Yog tias koj ntsib qhov tshwm sim sai sai ntawm cov tsos mob no - tshwj xeeb yog poob qhov hnyav thiab ua kom nqhis dej ntau ntxiv thiab tso zis (peb tab tom tham txog nce tsib lossis rau zaug ib hmo kom tso zis) - koj yuav tsum kuaj koj cov ntshav qab zib, hais tias Dr. Bhabhra. Koj tus kws kho mob tuaj yeem kuaj ntshav yooj yim lossis kuaj zis los ntsuas koj cov ntshav qab zib.


Tsis tas li, yog tias koj muaj teeb meem tshwm sim hauv koj tsev neeg, xws li cov txheeb ze ze nrog hom 1 mob ntshav qab zib, uas yuav tsum tau tsa chij liab kom mus cuag koj tus kws kho mob ASAP. "Koj yuav tsum tsis txhob zaum ntawm cov tsos mob no," hais tias Dr. Bhabhra.

Thaum Mob Ntshav Qab Zib Cov tsos mob tej zaum yuav txhais tau lwm yam

Qhov ntawd tau hais tias, qee zaum cov tsos mob zoo li nce nqhis me ntsis thiab tso zis tuaj yeem tshwm sim los ntawm lwm yam, xws li tshuaj ntshav siab lossis lwm yam tshuaj diuretics. Muaj lwm qhov (tsis txawv txav) hu ua ntshav qab zib insipidus, uas tsis yog qhov tseeb ntshav qab zib txhua qhov tab sis muaj teeb meem hormonal, hais tias Dr. Bhabhra. Nws tshwm sim los ntawm qhov tsis muaj cov tshuaj hu ua ADH uas pab tswj koj lub raum, uas tseem tuaj yeem ua rau nqhis dej ntau ntxiv thiab tso zis, ntxiv rau qaug zog los ntawm lub cev qhuav dej.

Yam 2 Ntshav Qab Zib Cov tsos mob

Hom 2 mob ntshav qab zib tau nce rau txhua tus, txawm tias menyuam yaus thiab poj niam hluas, hais tias Dr. Tan. Hom no tam sim no suav txog 90 txog 95 feem pua ​​ntawm txhua qhov kev kuaj mob ntshav qab zib.

"Yav dhau los, peb tau pom ib tus ntxhais hluas hauv nws cov hluas thiab xav tias nws yog hom 1," hais tias Dr.Tan, "tab sis vim muaj kev rog rog sib kis, peb tab tom kuaj xyuas ntau dua thiab ntau tus poj niam hluas uas muaj ntshav qab zib hom 2." Nws tau txais txiaj ntsig ntau ntxiv ntawm cov khoom noj uas tau ua tiav ntau ntxiv thiab kev ua neej nyob tsis tu ncua hauv ib feem rau qhov nce. (FYI: Txhua teev ntawm TV koj saib ua rau koj muaj kev pheej hmoo.)

Tsis muaj tsos mob hlo li

Cov tsos mob ntawm hom 2 mob ntshav qab zib mellitus yog me ntsis nyuaj dua li hom 1. Thaum lub sij hawm ib tug neeg tau kuaj pom tias muaj hom 2, lawv yuav muaj qee lub sij hawm-peb tham ntau xyoo-hais tias Dr. Tan. Thiab feem ntau, nws yog asymptomatic nyob rau hauv nws cov theem pib.

Tsis zoo li hom 1 mob ntshav qab zib, ib tus neeg uas muaj hom 2 muaj peev xwm ua insulin txaus, tab sis muaj kev tiv thaiv insulin. Qhov ntawd txhais tau tias lawv lub cev tsis teb rau cov tshuaj insulin zoo li nws xav tau, vim yog rog dhau lossis rog, muaj kev ua neej nyob tsis muaj zog lossis noj qee yam tshuaj, hais tias Dr. Tan.

Cov noob caj noob ces ua lub luag haujlwm tseem ceeb ntawm no, ib yam nkaus, thiab cov neeg uas muaj keeb kwm ntawm tsev neeg muaj ntshav qab zib hom 2 muaj kev pheej hmoo siab dua. Txawm hais tias hom 2 muaj feem cuam tshuam nrog kev rog, koj tsis tas yuav tsum hnyav los tsim nws, hais tias Dr. 24.9). "Qhov ntawd txhais tau hais tias txawm tias lub cev hnyav dua, lawv txoj kev pheej hmoo ntawm ntshav qab zib hom 2 thiab lwm yam kab mob metabolic yog siab dua," nws sau tseg.

PCOS

Cov poj niam kuj muaj ib qho kev pheej hmoo ntau dua li txiv neej: polycystic ovary syndrome, lossis PCOS. Ntau li ntawm rau lab tus poj niam hauv Teb Chaws Asmeskas muaj PCOS, thiab cov kev tshawb fawb pom tias muaj PCOS ua rau koj muaj plaub npaug ntau dua rau kev mob ntshav qab zib hom 2. Lwm yam uas ua rau koj muaj kev pheej hmoo siab dua yog keeb kwm muaj ntshav qab zib gestational (ntxiv rau hauv qab).

Feem ntau, hom 2 mob ntshav qab zib tau kuaj pom los ntawm kev kuaj mob ib txwm muaj lossis kuaj mob txhua xyoo. Txawm li cas los xij, tej zaum koj yuav ntsib cov tsos mob zoo ib yam ntawm hom 1 nrog hom 2, txawm tias lawv tuaj zuj zus ntxiv, Dr. Bhabhra hais.

Gestational Diabetes Symptoms

Txog li 10 feem pua ​​ntawm txhua tus poj niam cev xeeb tub tau cuam tshuam los ntawm ntshav qab zib thaum cev xeeb tub, raws li CDC. Thaum nws cuam tshuam rau koj lub cev zoo ib yam li ntshav qab zib hom 2, ntshav qab zib gestational feem ntau asymptomatic, hais tias Dr. Tan. Tias yog vim li cas ob-gyns yuav ua cov kev kuaj ntshav qabzib niaj hnub ntawm qee theem los kuaj ntshav qab zib gestational.

Loj-Tshaj-Li Menyuam

Kev hloov pauv hormonal thaum cev xeeb tub tuaj yeem ua rau muaj kev tiv thaiv insulin ntau ntxiv, ua rau muaj ntshav qab zib gestational. Tus me nyuam ntsuas qhov loj dua li ib txwm muaj feem ntau yog ib qho kev tshwm sim ntawm gestational diabetes, hais tias Dr. Tan.

Thaum cev xeeb tub ntshav qab zib feem ntau tsis ua teeb meem rau tus menyuam (txawm hais tias tus menyuam yug tshiab tuaj yeem nce nws cov tshuaj insulin tam sim tom qab yug menyuam, cov txiaj ntsig yog ib ntus, hais tias Dr. 2 mob ntshav qab zib tom qab, raws li CDC.

Poob hnyav nce

Dr. Tan kuj sau tseg tias qhov hnyav hnyav ntau heev thaum cev xeeb tub tuaj yeem yog lwm yam lus ceeb toom. Koj yuav tsum tau ntsib nrog koj tus kws kho mob thaum koj cev xeeb tub kom paub tseeb tias koj qhov hnyav nce nyob rau hauv qhov kev noj qab haus huv.

Cov tsos mob ua ntej ntshav qab zib

Muaj ntshav qab zib ua ntej txhais tau tias koj cov ntshav qab zib ntau dua li ib txwm. Nws feem ntau tsis muaj tsos mob, hais tias Dr. Tan, tab sis pom los ntawm kev kuaj ntshav. Nws hais tias "Qhov tseeb, nws feem ntau yog qhov qhia tau tias koj muaj kev pheej hmoo siab los tsim mob ntshav qab zib hom 2," nws hais.

Nce Ntshav Ntshav Qab Zib

Cov kws kho mob yuav ntsuas koj cov ntshav qabzib kom txiav txim siab seb koj qib siab npaum li cas, hais tias Dr. Bhabhra. Lawv ib txwm ua qhov no los ntawm kev kuaj glycated hemoglobin (lossis A1C), uas ntsuas qhov feem pua ​​​​ntawm cov ntshav qab zib txuas nrog hemoglobin, cov protein uas nqa oxygen hauv koj cov qe ntshav liab; lossis los ntawm kev kuaj ntshav qab zib yoo mov, uas tau ua tom qab yoo mov hmo ntuj. Rau qhov kawg, txhua yam hauv qab 100 mg / DL yog qhov qub; 100 txog 126 qhia tias muaj ntshav qab zib ua ntej; thiab txhua yam dhau 126 txhais tau tias koj muaj ntshav qab zib.

Yog rog dhau los yog rog; ua neej nyob sedentary; thiab noj ntau cov khoom noj kom zoo, muaj calorie ntau lossis muaj suab thaj ntau tuaj yeem yog txhua yam hauv kev txhim kho ua ntej mob ntshav qab zib. Txawm li cas los xij tseem muaj tej yam uas dhau ntawm koj txoj kev tswj hwm. "Peb pom ntau tus neeg mob uas sim lawv qhov zoo tshaj plaws, tab sis tsis tuaj yeem hloov caj ces," hais tias Dr. Tan. "Muaj ntau yam uas koj tuaj yeem hloov kho thiab qee qhov koj tsis tuaj yeem ua tau, tab sis sim ua kom ntau tshaj qhov koj hloov pauv kev ua neej kom tiv thaiv hom 2 mob ntshav qab zib."

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