Reactive hypoglycemia: nws yog dab tsi, cov tsos mob thiab yuav paub li cas

Zoo Siab

• Yuav kuaj li cas ntawm cov tshuaj tiv thaiv kab mob ntshav qab zib ntshav tau tsim
• Cov tseem ceeb ua
• Cov tsos mob ntawm tus mob hypoglycemia reactive

Kev rov ua lub qog ntshav qab zib, lossis tom qab lub cev tsis muaj ntshav qab zib, yog ib tug mob uas cov ntshav qabzib tsawg mus txog 4 teev tom qab noj mov tas, thiab tseem muaj cov tsos mob tshwm sim muaj ntshav qab zib tsawg, xws li mob taub hau, tshee tshee thiab kiv taub hau.

Piv txwv, tus mob no feem ntau tsis kuaj pom qhov tseeb, raug suav tias yog qee yam xwm txheej ntawm tus mob ntshav qab zib tsawg thiab uas yuav cuam tshuam nrog kev ntxhov siab, ntxhov siab, chim siab mob plab hnyuv, mob taub hau thiab zaub mov tsis haum, piv txwv. Txawm li cas los xij, kev tiv thaiv kab mob ntshav qab zib tsawg yuav tsum tau kuaj mob kom paub tseeb tias nws cov laj thawj yuav tuaj yeem tshawb xyuas thiab kev kho mob tsim nyog tuaj yeem ua, vim tias kev noj zaub mov noj kom tsis txaus los kho tus mob hypoglycemia reactive.

Yuav kuaj li cas ntawm cov tshuaj tiv thaiv kab mob ntshav qab zib ntshav tau tsim

Vim hais tias cov tsos mob ntawm tus mob hypoglycemia reactive zoo tib yam li cov neeg ntawm cov kev mob hypoglycemia, kev kuaj mob feem ntau ua rau txoj kev tsis ncaj ncees lawm.

Yog li, thiaj li yuav ua rau kev kuaj mob tom qab lub cev tsis muaj ntshav qab zib, Whipple triad yuav tsum raug txiav txim siab, nyob rau hauv uas tus neeg yuav tsum nthuav tawm cov xwm txheej hauv qab no txhawm rau kev kuaj pom tias muaj tseeb:

• Cov tsos mob hypoglycemia;
• Ntshav cov ntshav nqus ntsuas nyob hauv chav ntsuas hauv qab 50 mg / dL;
• Txhim kho cov tsos mob tom qab kev noj zaub mov carbohydrates.

Txhawm rau kom muaj kev txhais tau zoo dua ntawm cov tsos mob thiab tus nqi tau txais, nws raug nquahu tias yog muaj kev soj ntsuam rau tus mob ntshav qab zib tsawg, tus neeg qhia pom cov tsos mob yuav tsum mus rau qhov chaw kuaj thiab sib sau ntshav tom qab noj mov thiab nyob hauv muab rau txog 5 teev. Qhov no yog vim tias kev txhim kho ntawm cov kev mob hypoglycemia tom qab kev noj zaub mov carbohydrate yuav tsum tau pom, uas yuav tsum tshwm sim tom qab kev sib sau.

Yog li, yog tias ntshav qis ntau ntawm cov ntshav dhau ntawm cov ntshav qab zib tau pom nyob hauv kev kuaj ntshav thiab txhim kho cov tsos mob tom qab kev noj zaub mov carbohydrates, postprandial hypoglycemia yog qhov muaj tseeb, thiab kev tshawb nrhiav pom zoo yog li qhov kev kho mob tsim nyog tshaj tuaj yeem pib tau.

Cov tseem ceeb ua

Kev rov ua kom ntshav qab zib hauv lub cev yog qhov tshwm sim ntawm cov kab mob txawv txav thiab, yog li, kev kuaj mob ntawm tus mob no feem ntau tsis ncaj ncees lawm. Lub hauv paus tseem ceeb ntawm cov tshuaj tiv thaiv kab mob ntshav qab zib tsawg yog kab mob ntshav qab zib fructose intolerance, kev phais mob tom qab phais mob thiab insulinoma, uas yog ib qho kev mob tshwm sim los ntawm kev tsim cov tshuaj insulin ntau dhau los ntawm tus txiav, nrog qhov nrawm thiab txo qis hauv tus nqi ntawm cov ntshav qabzib ntau dhau. Kawm ntxiv ntawm insulinoma.

Cov tsos mob ntawm tus mob hypoglycemia reactive

Cov tsos mob ntawm tus mob hypoglycemia thiaj li cuam tshuam txog kev txo qis ntshav qabzib nyob rau hauv cov ntshav thiab, vim li ntawd, cov tsos mob yog tib yam li qhov ua rau tus mob ntshav qab zib tau tshwm sim los ntawm kev siv qee cov tshuaj lossis kev yoo mov ntev, qhov tseem ceeb yog:

• Mob taub hau;
• Kev tshaib plab;
• Ntsuas Hluav Taws;
• Hnov mob;
• Cov hws txias txias;
• Kiv taub hau;
• Nkees nkees;
• Kev nkees nkees lossis nyob tsis tswm;
• Palpitations;
• Nyuaj rau hauv txoj kev xav.

Txog kev tiv thaiv kab mob ntshav qab zib kom paub tseeb, nws yog qhov yuav tsum tau hais tias ntxiv rau cov tsos mob, tus neeg muaj cov ntshav qabzib nyob rau hauv cov ntshav tom qab noj mov tas thiab kev txhim kho cov tsos mob tau txheeb xyuas qhov tseeb tom qab noj cov khoom noj muaj suab thaj. Kev txheeb xyuas tus mob yog vim li cas tseem ceeb los pib kho, uas yog tsim los ntawm tus endocrinologist raws li qhov ua rau.