Hypoglycemia vs Diabetes
Hypoglycemia thiab ntshav qab zib yog cov xwm txheej ntsig txog cov ntshav qab zib. Ntshav qab zib mellitus yog ib yam kab mob cuam tshuam nrog cov ntshav qab zib kom siab thaum hypoglycemia yog ntshav qab zib tsawg. Txawm li cas los xij, hypoglycemia yog ib qho teeb meem ntawm cov ntshav qab zib. Kab lus no yuav tham txog ob qho tib si hypoglycemia thiab ntshav qab zib kom meej meej qhia txog lawv qhov chaw kho mob, cov tsos mob, ua rau, kev tshawb nrhiav thiab kev kuaj mob, kev kuaj mob, thiab kev kho mob / kev tswj lawv xav tau.
Mob ntshav qab zib yog dab tsi?
Mob ntshav qab zib yog tus yam ntxwv los ntawm cov tsos mob classical triad; Cov tsos mob ntawm ntshav qab zib yog nqhis dej ntau dhau, tshaib plab heev, thiab tso zis ntau zaus. Tag nrho cov tsos mob no yog vim cov ntshav qab zib nce siab. Muaj ob hom ntshav qab zib; Mob ntshav qab zib mellitus (DM) thiab ntshav qab zib insipidus (DI). Mob ntshav qab zib insipidus tsis cuam tshuam nrog cov ntshav qab zib zoo li ntshav qab zib mellitus. Mob ntshav qab zib mellitus pib raws li kev tsis txaus siab ntawm cov piam thaj. Nov yog lub sijhawm kub rau kev hloov pauv lub neej. Tom qab ntawd cov tsos mob tshwm sim tom qab muaj teeb meem. Cov teeb meem ntawm ntshav qab zib muaj cov hlab ntsha me thiab loj. Cov teeb meem uas muaj cov hlab ntsha loj yog mob stroke, plawv nres, thiab kab mob peripheral avascular. Lub plawv nres yog tsib npaug ntawm cov ntshav qab zib. Ntau tus nyob ntsiag to. Cov kab mob vascular yog qhov ua rau tuag vim yog ntshav qab zib. Stroke yog ob zaug ntau dua. Cov poj niam feem ntau muaj kev pheej hmoo tsawg ntawm cov kab mob vascular dua li cov txiv neej, tab sis ntshav qab zib tshem tawm qhov zoo ntawm poj niam txiv neej. Cov teeb meem cuam tshuam nrog cov hlab ntsha me yog nephropathy, retinopathy thiab neuropathy. Nephropathy tshwm sim poob ntawm cov protein, ntshav siab ua rau lub raum tsis ua haujlwm ntev hauv cov kab mob siab. Retinopathy ua rau dig muag. Kev dig muag vim ntshav qab zib yog qhov tsawg thiab tiv thaiv tau. Kev tshuaj xyuas ophthalmological tsis tu ncua yog qhov tseem ceeb. Los ntshav hauv retina, me me aneurysms, thiab me me infarctions pom nyob rau hauv retinopathy. Neuropathy nta hnab looj tes thiab stocking hom paraesthesia, autonomic neuropathy, mononeuritis multiplex, sensory polyneuropathy, thiab motor polyneuropathy. Qhov no ua rau cov ko taw tiaj, qhov txhab, thiab mob pob qij txha.
Muaj ob hom mob ntshav qab zib mellitus; hom 1 thiab 2. Hom 1 mob ntshav qab zib mellitus tshwm sim los ntawm qhov tsis muaj lossis txo qis kev ua haujlwm ntawm insulin tsim hauv lub cev. Hom 1 DM yog qhov pib ntawm menyuam yaus tab sis tuaj yeem tshwm sim txhua lub hnub nyoog. Nws tshwm sim los ntawm qhov tsis muaj insulin. Cov neeg mob ib txwm xav tau cov tshuaj insulin thiab ua rau ketoacidosis thiab poob phaus. Nws yog txuam nrog lwm yam kab mob autoimmune. Concordance yog 30% nyob rau hauv tib tus menyuam ntxaib. Muaj 4 yam tseem ceeb. Hom 1 DM nthuav tawm ua ketoacidosis mob hnyav, lossis ua rau lub cev tsis tsaug zog ntev thiab rov ua dua. Hauv cov neeg mob ntshav qab zib ketoacidosis, tus neeg mob tsis zoo, lub cev qhuav dej, hyperventilating, polyuric, thiab nqhis dej. Cov tshuaj insulin sai sai thiab cov kua dej tso rau hauv cov hlab ntsha kho qhov mob hnyav. Kev saib xyuas cov ntshav qab zib tsis tu ncua thiab kev hloov kho tshuaj insulin yog xav tau rau normo-glycemia. Hypoglycemia yog ib qho kev mob tshwm sim ntawm kev kho tshuaj insulin.
Hom 2 DM zoo li muaj nyob rau theem kev sib kis hauv ntau qhov chaw. Ib feem ntawm qhov nce yog qhov tseeb vim qhov kev kuaj mob zoo dua thiab txhim kho lub neej ntev. Hauv qee thaj chaw ntawm Australia, 7% ntawm cov neeg laus dua 25 xyoos muaj ntshav qab zib. Kev muaj ntau dua tshwm sim hauv cov neeg Esxias, cov txiv neej thiab cov laus. Feem ntau cov neeg mob ntshav qab zib hom 2 muaj hnub nyoog tshaj 40 xyoo, tab sis cov neeg hluas tau nce ntshav qab zib. Hom 2 mob ntshav qab zib mellitus yog tshwm sim raws li qhov tshwm sim ntawm kev tshawb pom, kab mob, hypoglycemia, thiab ketoacidosis. Cov neeg mob feem ntau tsis xav tau insulin. Qhov ncauj hypoglycemic tshuaj xws li sulfonamide, biguanides, azides, thiab acarbose txo cov ntshav qab zib hauv hom 2 mob ntshav qab zib. Kev kho cov tshuaj insulin yuav tsum raug txiav txim siab thaum qhov ncauj hypoglycemic, kev noj zaub mov thiab kev tswj kev ua neej tsis ua rau pom cov txiaj ntsig zoo.
Hypoglycemia (Low Blood Sugar) yog dab tsi?
Hypoglycemia yog qis capillary ntshav qab zib, uas tsawg dua 50 mg / dl. Cov tsos mob thiab cov tsos mob ntawm hypoglycemia (los yog ntshav qab zib tsawg) yog kev ntxhov siab, tawm hws, nkees, nkees, thiab kiv taub hau. Kev kho mob rau hypoglycemia (los yog cov ntshav qab zib qis) yog kho nrog dej qab zib thiab kev tswj hwm cov kua dej hauv cov hlab ntsha lossis qhov ncauj.
Dab tsi yog qhov txawv ntawm Hypoglycemia thiab Ntshav Qab Zib?
• Hypoglycemia nta cov ntshav qab zib tsawg thaum ntshav qab zib muaj cov ntshav qab zib siab.
• Hypoglycemia ua rau kiv taub hau, qhov muag tsis pom kev, thiab nkees thaum mob ntshav qab zib ua rau polyuria, polydipsia thiab polyphagia.
• Mob ntshav qab zib yog tswj hwm nrog qhov ncauj hypoglycemic tshuaj, insulin thaum hypoglycemia yog kho nrog cov suab thaj hauv qhov ncauj lossis cov piam thaj hauv cov ntshav.
Koj kuj tseem xav nyeem:
