Ntshav Qab Zib - Cov tsos mob & kuaj mob

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Cov tsos mob ntawm hom 2 mob ntshav qab zib

Ntau tshaj 6 lab tus tib neeg hauv Tebchaws Meskas muaj mob ntshav qab zib hom 2 thiab tsis paub nws. Coob leej tsis muaj cim lossis tsos mob. Cov tsos mob kuj tuaj yeem mob me heev uas koj yuav tsis pom lawv. Qee tus neeg muaj tsos mob tab sis tsis xav tias muaj ntshav qab zib.

Cov tsos mob muaj xws li:

• nce nqhis dej
• nce tshaib plab
• qaug zog
• tso zis ntau ntxiv, tshwj xeeb yog hmo ntuj
• poob phaus
• qhov muag tsis pom kev
• qhov txhab uas tsis kho

Coob leej neeg tsis pom tias lawv muaj tus kabmob mus txog thaum lawv muaj teeb meem ntshav qab zib, xws li pom kev tsis meej lossis muaj teeb meem plawv. Yog tias koj pom ntxov tias koj muaj ntshav qab zib, tom qab ntawv koj tuaj yeem tau txais kev kho mob los tiv thaiv kev puas tsuaj rau lub cev.

Kev kuaj mob

Txhua tus neeg muaj hnub nyoog 45 xyoos lossis laus dua yuav tsum txiav txim siab mus kuaj ntshav qab zib. Yog tias koj muaj hnub nyoog 45 xyoos lossis laus dua thiab rog dhau los kuaj pom zoo. Yog tias koj muaj hnub nyoog qis dua 45 xyoos, rog dhau, thiab muaj ib lossis ntau qhov kev pheej hmoo, koj yuav tsum txiav txim siab mus kuaj. Nug koj tus kws kho mob kom kuaj ntshav qabzib sai lossis kuaj ntshav qabzib hauv qhov ncauj. Koj tus kws kho mob yuav qhia koj yog tias koj muaj ntshav qab zib ib txwm muaj, ua ntej ntshav qab zib, lossis ntshav qab zib.

Cov kev ntsuas hauv qab no yog siv rau kev kuaj mob:

• A Fasting plasma glucose test (FPG). ntsuas ntshav qab zib hauv tus neeg uas tsis tau noj dab tsi tsawg kawg 8 teev. Qhov kev kuaj no yog siv los kuaj ntshav qab zib thiab ua ntej ntshav qab zib.
• Ib Qhov ncauj Glucose Tolerance Test (OGTT) ntsuas cov ntshav qabzib tom qab tus neeg yoo mov tsawg kawg 8 teev thiab 2 teev tom qab tus neeg haus cov dej qab zib. Qhov kev ntsuas no tuaj yeem siv los kuaj mob ntshav qab zib thiab ua ntej ntshav qab zib.
• A kev kuaj ntshav ntshav ntshav ntshav random, kuj tseem hu ua kev ntsuas ntshav qabzib xws li ntsuas cov ntshav qab zib yam tsis suav nrog thaum tus neeg raug sim zaum kawg. Qhov kev sim no, nrog rau kev ntsuas cov tsos mob, yog siv los kuaj ntshav qab zib tab sis tsis yog ntshav qab zib ua ntej.

Cov txiaj ntsig ntsuas uas qhia tias tus neeg muaj ntshav qab zib yuav tsum tau lees paub nrog kev sim zaum ob ntawm lwm hnub.

FPG Xeem

Kev xeem FPG yog qhov kev sim siab tshaj plaws rau kev kuaj mob ntshav qab zib vim nws yooj yim thiab raug nqi tsawg. Txawm li cas los xij, nws yuav plam qee yam ntshav qab zib lossis ua ntej ntshav qab zib uas tuaj yeem pom nrog OGTT. Kev xeem FPG yog qhov ntseeg tau tshaj plaws thaum ua tiav thaum sawv ntxov. Cov tib neeg uas muaj cov piam thaj sai sai ntawm 100 txog 125 milligrams ib deciliter (mg/dL) muaj cov tsos mob ua ntej ntshav qab zib hu ua tsis muaj piam thaj sai sai (IFG). Muaj IFG txhais tau hais tias ib tus neeg muaj kev pheej hmoo ntau ntxiv ntawm kev mob ntshav qab zib hom 2 tab sis tseem tsis tau muaj. Ib qib ntawm 126 mg/dL lossis siab dua, lees paub los ntawm kev rov kuaj dua lwm hnub, txhais tau tias tus neeg muaj ntshav qab zib.OGTT

Kev tshawb fawb tau qhia tias OGTT nkag siab ntau dua li FPG qhov kev kuaj mob ua ntej mob ntshav qab zib, tab sis nws tsis yooj yim rau kev tswj hwm. OGTT yuav tsum yoo mov tsawg kawg 8 teev ua ntej qhov kev xeem. Cov qib ntshav qabzib hauv cov ntshav tau ntsuas tam sim ua ntej thiab 2 teev tom qab tus neeg haus cov kua uas muaj 75 grams qab zib yaj hauv dej. Yog tias cov ntshav qabzib nyob nruab nrab ntawm 140 txog 199 mg/dL 2 teev tom qab haus cov kua, tus neeg muaj daim ntawv ua ntej ntshav qab zib hu ua tsis muaj piam thaj kam rau ua (IGT). Muaj IGT, zoo li muaj IFG, txhais tau hais tias ib tus neeg muaj kev pheej hmoo ntau ntxiv ntawm kev mob ntshav qab zib hom 2 tab sis tseem tsis tau muaj. 2-teev cov piam thaj hauv cov ntshav ntawm 200 mg / dL lossis siab dua, lees paub los ntawm kev rov kuaj dua rau lwm hnub, txhais tau tias tus neeg muaj ntshav qab zib.

Mob ntshav qab zib thaum cev xeeb tub kuj tseem kuaj tau los ntawm kev ntsuas ntshav qabzib ntsuas thaum lub sijhawm OGTT, nyiam dua los ntawm kev siv 100 grams qab zib hauv cov kua rau kev kuaj. Ntsuas cov ntshav qabzib ntau dua plaub zaug thaum kuaj. Yog tias cov ntshav qabzib ntau dua li ib txwm tsawg kawg ob zaug thaum kuaj, tus poj niam muaj ntshav qab zib thaum cev xeeb tub.

Random Plasma Glucose Test

Ib qho random, lossis tsis xws li, ntshav qabzib theem ntawm 200 mg / dL lossis siab dua, ntxiv rau qhov muaj cov tsos mob hauv qab no, txhais tau tias tus neeg muaj ntshav qab zib:

• nce tso zis
• nce nqhis dej
• poob ceeb thawj tsis tau

Yog tias qhov ntsuas tau zoo li qub, kev sim yuav tsum tau rov ua dua tsawg kawg txhua 3 xyoos. Cov kws kho mob tuaj yeem pom zoo kuaj ntau zaus nyob ntawm qhov tshwm sim thawj zaug thiab xwm txheej txaus ntshai. Cov tib neeg uas cov txiaj ntsig ntsuas qhia tias lawv muaj ntshav qab zib ua ntej yuav tsum tau kuaj lawv cov ntshav qab zib hauv 1 txog 2 xyoos thiab ua cov kauj ruam los tiv thaiv hom 2 mob ntshav qab zib.

Thaum tus poj niam cev xeeb tub, tus kws kho mob yuav tshuaj xyuas nws txoj kev pheej hmoo ntawm kev tsim tus kab mob ntshav qab zib thaum nws mus ntsib thawj zaug thiab txiav txim siab kuaj mob raws li xav tau thaum cev xeeb tub. Cov poj niam uas muaj tus kab mob ntshav qab zib thaum cev xeeb tub yuav tsum muaj kev kuaj mob tom qab 6 txog 12 lub lis piam tom qab yug me nyuam.

Txij li thaum mob ntshav qab zib hom 2 tau dhau los ua ntau dua hauv cov menyuam yaus thiab cov hluas dua li yav dhau los, cov neeg uas muaj kev pheej hmoo siab mob ntshav qab zib yuav tsum tau kuaj txhua 2 xyoos. Kev xeem yuav tsum pib thaum muaj hnub nyoog 10 lossis thaum pub dawb, saib qhov twg tshwm sim ua ntej. Lub Cev Mass Index (BMI)

BMI yog qhov ntsuas ntawm lub cev qhov hnyav piv rau qhov siab uas tuaj yeem pab koj txiav txim siab seb koj qhov hnyav ua rau koj raug mob ntshav qab zib. Yuav tsum nco ntsoov: BMI muaj qee yam txwv. Nws yuav ua rau lub cev rog dhau hauv cov kis las thiab lwm tus uas muaj cov leeg tsim thiab ua kom lub cev rog qis hauv cov laus thiab lwm tus uas tau poob cov leeg.

BMI rau menyuam yaus thiab hluas yuav tsum txiav txim siab raws hnub nyoog, qhov siab, qhov hnyav, thiab kev sib deev. Nrhiav koj BMI ntawm no.

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