Insulin yog lub suab nrov tshaj plaws los txo cov ntshav qab zib. Tsis muaj cov piam thaj hauv cov ntshav siab uas tsis tuaj yeem txo qis hauv pem hauv ntej ntawm insulin, yog vim li cas thiaj li muaj ntau cov tshuaj hypoglycemic tshiab, tab sis txoj haujlwm ntawm insulin hauv thaj tsam ntawm hypoglycemic tsis tau shaken. Insulin yog cov tshuaj hypoglycemic uas muaj zog tshaj plaws. Tsis muaj qhov tsis ntseeg tias tsis muaj tshuaj yuav hloov cov tshuaj insulin. Txawm li cas los xij, hauv lub neej niaj hnub, ntau tus phooj ywg qab zib tsis tau tswj hwm lawv cov hyperglycemia txawm tias lawv siv insulin vim lawv mob. Puas yog insulin tsis raug? Tau kawg tsis. Cov piam thaj hauv ntshav tsis poob qis tom qab siv cov tshuaj insulin. Cov phooj ywg qab zib yuav tsum nrhiav cov laj thawj los ntawm tsib yam no.
1. Txawm li cas los xij, kev npaj kho mob hypoglycemic yog siv, kev noj haus thiab kev tawm dag zog yog lub hauv paus ntawm kev kho mob. Yog tias lub hauv paus tsis ruaj khov, cov ntshav qab zib yuav co.
Cov phooj ywg qab zib teeb meem: Mr. Wang, uas tau nyob hauv qab zib rau ntau tshaj 10 xyoo, tau noj peb hom tshuaj hypoglycemic ntawm qhov ncauj, thiab kev tswj cov ntshav qab zib tsis zoo. Nws pib kho insulin nrog kev yoo mov 8.3 mmol / l thiab glycosylated hemoglobin 8.6%. Yawg Wang:" Tus kws kho mob tau hais tias insulin muaj cov nyhuv hypoglycemic. Txawm hais tias cov ntshav qab zib yuav txo qis npaum li cas, noj zaub mov qab dua. Yog tias cov piam thaj hauv ntshav siab, tsuas yog noj cov tshuaj insulin ntau dua.". Cov txiaj ntsig tom qab ib hlis, cov ntshav qabzib tseem tsis tau' tsis txhim kho.
Tus kws kho mob' cov lus hais: cov phooj ywg qab zib muaj kev tswj cov ntshav qabzib tsis zoo. Ua ntej, peb yuav tsum saib xyuas kev noj zaub mov thiab kev tawm dag zog. Puas yog lub hauv paus no tau ua tiav? Nws' qhov tseeb tias cov piam thaj hauv ntshav tuaj yeem txo qis txawm tias cov tshuaj insulin siab npaum li cas, tab sis txawm tias muaj cov tshuaj insulin, cov piam thaj hauv ntshav tuaj yeem' tsis tuaj yeem tswj tsis tau tswj kev noj zaub mov thiab kev tawm dag zog kom zoo. Tsis tas li ntawd, insulin muaj qee yam cuam tshuam rau kev qab los noj mov, uas yuav tsum tau peb" saib xyuas peb lub qhov ncauj thiab qhib peb txhais ceg". Txwv tsis pub, peb yuav tsis tsuas poob tswj ntshav qab zib, tab sis kuj rub peb qhov hnyav. Thaum peb qhov hnyav nce, nws yuav nyuaj rau tswj cov ntshav qab zib.
Cov ntsiab lus tseem ceeb: hom khoom noj ntshav qab zib tsis txwv, thiab tswj tag nrho cov khoom noj yog qhov tseem ceeb. Cov zaub mov tseem ceeb txhua hnub (raws li qhov hnyav) yog 3-4 Liang, uas yog sib npaug ntawm qhov loj ntawm ob thiab ib nrab mus rau peb lub nrig; Protein niaj hnub lav 4 1, 1 2 ntshiv nqaij, 1 qe, 1 hnab mis nyuj, 1 2 taum khoom; Zaub yog txwv tsis pub. Nws raug pom zoo kom ua kom tsawg kawg 30 feeb ntawm kev tawm dag zog txhua hnub. Koj tuaj yeem mloog zoo rau ib qho kev tawm dag zog lossis kev tawm dag zog ntau zaus. Piv txwv li, yog tias koj tawm dag zog ntau dua 10 feeb txhua zaus, nws tseem tuaj yeem ua rau ntau tshaj 30 feeb. Tsis tas li ntawd, zam sedentary, xws li zaum ntev dua 30 feeb. Nws raug nquahu kom txav, sawv thiab taug kev kom raug.
2. Txawm tias muaj zog npaum li cas, koj tuaj yeem' tsis ua nws ib leeg. Koj kuj yuav tsum muaj cov neeg pab, muab tshuaj acupuncture thiab tshuaj, kawm ntawm ib leeg' lub zog los txhawb ib leeg' qhov tsis muaj zog, thiab tswj cov ntshav qab zib.
Cov phooj ywg qab zib teeb meem: Phauj Lin, tus phooj ywg qab zib qub xav tias cov tshuaj ua rau nws lub plab. Tom qab siv cov tshuaj insulin, nws txiav txim siab tso tseg insulin. Yog li ntawd, cov ntshav qab zib tau tswj tsis tau.
Tus kws kho mob' cov lus hais: thaum siv cov tshuaj insulin ib leeg, cov ntshav qabzib hloov pauv tau zoo heev thiab cov tshuaj insulin ntau npaum li cas, uas tsis zoo rau kev tswj cov ntshav qabzib. Nws kuj tseem ua rau hypoglycemia thiab hnyav nce. Lub hauv paus ntsiab lus thiab cov txheej txheem ntawm cov nyhuv hypoglycemic ntawm insulin thiab tshuaj yog txawv. Thaum tsis muaj kev txwv ntawm kev siv tshuaj, nws raug nquahu kom muab cov tshuaj nrog cov tshuaj insulin rau kev kho mob, txhawm rau txo cov koob tshuaj insulin, txo qis cov piam thaj hauv cov ntshav thiab tswj cov ntshav qabzib zoo dua. Muaj ntau hom tshuaj noj qhov ncauj. Qee cov tshuaj yuav muaj qhov tsis xis nyob thaum pib siv, tab sis lawv feem ntau hloov tom qab siv rau lub sijhawm.
Cov ntsiab lus tseem ceeb: cov tshuaj feem ntau tsis ua mob plab. Yog tias tsis muaj contraindications ntawm kev siv tshuaj, acupuncture thiab tshuaj ua ke nrog hypoglycemia yog qhov tsim nyog rau kev tswj cov ntshav qabzib kom ruaj khov thiab tiv thaiv hypoglycemia thiab qhov hnyav ntev.
3. Muaj ntau hom insulin. Cov tshuaj insulin sib txawv muaj peev xwm hypoglycemic sib txawv. Xaiv cov tshuaj insulin tsim nyog raws li qhov xwm txheej ntawm cov ntshav qabzib.
Cov phooj ywg qab zib' cov lus nug: Ms. Li, hnub nyoog qab zib yog 15 xyoo, kev tswj cov ntshav qabzib tsis zoo, pib kho insulin, noj tshuaj thaum nruab hnub thiab txhaj tshuaj insulin glargine hmo ntuj. Kev tswj hwm cov ntshav qabzib yoo mov yog qhov zoo tagnrho, tab sis cov ntshav qabzib tom qab tseem siab, feem ntau 12-13mmol / L.
Tus kws kho mob' cov lus hais: qee qhov kev siv tshuaj insulin yog los tswj cov ntshav qabzib ceev, xws li insulin glargine, insulin dete thiab insulin degu, uas tuaj yeem muab tau ib hnub ib zaug; Qee qhov insulin' lub zog yog tswj hwm cov ntshav qabzib tom qab, xws li aspart insulin, lispro insulin thiab glutathione. Tswj cov ntshav qabzib postprandial ua ntej noj mov; Qee cov insulin tuaj yeem tswj kev yoo mov lossis noj zaub mov ua ntej thiab tom qab cov ntshav qabzib. Cov insulin no muaj cov lej hauv lawv lub npe, xws li asparagus 30 insulin, lispro 50 insulin, thiab lwm yam. Lub zog ntawm insulin glargine siv los ntawm Ms. Li yog los tswj cov ntshav qabzib ceev. Postprandial ntshav qabzib yog qhov luv luv ntawm cov tshuaj insulin. Ms. Li muaj ntshav qabzib siab. Yog tias postprandial hyperglycemia tseem tsis tuaj yeem txhim kho tom qab kho nws cov khoom noj, nws yuav tsum tau ntxiv cov tshuaj kom txo qis ntshav qabzib tom qab lossis insulin los txo cov ntshav qabzib tom qab.
Cov ntsiab lus tseem ceeb: txhua tus neeg muaj cov yam ntxwv ntawm cov ntshav qabzib sib txawv thiab qhov sib txawv ntawm cov tshuaj insulin. Peb yuav tsum xaiv cov tshuaj insulin uas haum rau peb tus kheej.
4. insulin yog cov ntshav qab zib ntau, cov ntshav qab zib muaj qhov kawg hais, qhov koob tshuaj tsis haum, kev tswj ntshav qab zib tsis zoo.
Cov phooj ywg qab zib teeb meem: Txiv ntxawm Tong, 20 xyoo, pib siv tshuaj insulin. Tam sim no, nws siv 18 units ntawm degu insulin txhua hnub. Nws cov ntshav qabzib yoo mov tseem siab, 9-10mmol / L. Txiv ntxawm Tong:" Kuv tuaj yeem siv qhov koob tshuaj insulin ntau npaum li cas? Kuv puas tuaj yeem nce kuv cov koob tshuaj insulin?"
Tus kws kho mob' cov lus pom: tsis muaj qhov ntau npaum li cas ntawm insulin. Tsuav yog tsis muaj hypoglycemia thiab cov ntshav qabzib tsis ruaj khov kom ua tau raws li qhov xav tau, cov tshuaj insulin tuaj yeem hloov maj mam mus txog thaum cov ntshav tswj cov ntshav qabzib ruaj khov kom ua tau raws li qhov xav tau. Tshwj xeeb tshaj yog thaum pib siv cov tshuaj insulin, peb feem ntau pib siv cov tshuaj insulin tsuas yog thaum cov ntshav qabzib tseem siab. Hyperglycemia yuav tsim" qab zib toxicity". Lub sijhawm no, nws feem ntau xav tau koob tshuaj insulin ntau rau" nias" cov ntshav qabzib. Nrog kev ruaj ntseg ntawm cov ntshav qabzib tswj thiab tso tawm" qab zib toxicity", cov koob tshuaj insulin feem ntau yuav raug txo.
Cov ntsiab lus tseem ceeb: tsuas yog thaum cov koob tshuaj insulin tsim nyog, cov ntshav qabzib tuaj yeem tswj tau thiab ruaj khov. Cov phooj ywg sib txawv muaj qhov hnyav thiab cov ntshav qabzib sib txawv, thiab qhov ntau npaum li cas ntawm insulin yuav txawv heev. Thaum tsis muaj cov piam thaj hauv cov ntshav, peb yuav tsum tau them sai sai rau cov ntshav qabzib ntau dua li cov tshuaj insulin.
5. Txhawm rau muab kev ua si tag nrho rau insulin thiab txo cov ntshav qab zib, txoj kev txhaj tshuaj tseem ceeb heev.
Cov phooj ywg qab zib' cov lus nug: Mr. Zhao, tam sim no, nws siv cov tshuaj insulin nrog cov lej - aspart 30 insulin los tswj cov ntshav qab zib, saib xyuas cov ntshav qab zib kom qis, thiab nws cov khoom noj tsis tu ncua. Vim li cas qhov no tshwm sim dua?
Tus kws kho mob' cov lus pom: muaj cov lus qhia hauv kev siv cov tshuaj insulin. Cov txheej txheem tsis raug yuav cuam tshuam rau kev tswj cov ntshav qabzib. Muaj ob hom insulin hauv Asparagus 30 insulin nrog tus lej. Yog tsis muaj kev co, cov tshuaj insulin yuav raug txheej. Ib txheej yog pob tshab, uas tswj cov ntshav qabzib postprandial, thiab lwm txheej yog milky dawb zoo li mis nyuj, uas tswj kev yoo mov thiab postprandial ntshav qabzib. Ua ntej siv, co lawv kom zoo, thiab tuav ob hom insulin hauv qab ntawm daim tawv nqaij hauv kev faib ua feem ua rau cov nyhuv hypoglycemic zoo, Txwv tsis pub, nws yuav ua rau muaj qhov tshwm sim ntawm cov ntshav qab zib siab thiab qis. Tsis tas li ntawd, qhov chaw txhaj tshuaj insulin yuav tsum tau hloov ntawm ib rab koob mus rau lwm qhov, thiab lub koob txhaj tshuaj yuav tsum tau hloov raws sijhawm. Cov ntsiab lus no yog qhov tseem ceeb rau kev tswj cov piam thaj kom ruaj khov.
Cov ntsiab lus tseem ceeb: co cov insulin nrog cov lej ua ntej txhaj tshuaj, hloov lub koob hauv lub sijhawm, thiab hloov qhov chaw tom qab txhaj tshuaj. Cov txuj ci no yuav tsum nco ntsoov.
