COVID-19 yuav tsis yog tsuas yog ua rau muaj teeb meem loj hauv hom 2 mob ntshav qab zib xwb, tab sis kuj tseem ua rau kev txhim kho ntshav qab zib hauv cov neeg noj qab haus huv yav dhau los, tshaj tawm cov kws tshawb fawb thoob ntiaj teb hauv New England Journal of Medicine.
- Ntawm cov neeg mob uas tuag los ntawm COVID-19, 20 txog 30 feem pua. yav tas los muaj ntshav qab zib. Mob ntshav qab zib mellitus yog ib qho ntawm feem ntau hu ua comorbidities
- Mob ntshav qab zib mellitus hauv cov neeg mob kis tus kabmob tshiab no cuam tshuam nrog kev pheej hmoo ntau dua ntawm COVID-19 hnyav thiab tuag los ntawm nws
- Ntawm qhov tod tes, cov xwm txheej tshiab ntawm ntshav qab zib tau pom nyob hauv cov neeg mob COVID-19. Cov kws tshawb fawb tseem tsis tuaj yeem piav qhia qhov tshwm sim no
Txhawm rau kom nkag siab zoo dua qhov kev sib raug zoo ntawm COVID-19 thiab ntshav qab zib, ib pab pawg thoob ntiaj teb ntawm cov kws tshawb fawb txog ntshav qab zib hauv txoj haujlwm CoviDIAB tau tsim lub npe thoob ntiaj teb ntawm cov neeg mob uas mob ntshav qab zib tom qab tsim COVID-19.
Qhov no suav nrog kev pab kom nkag siab zoo dua qhov ntsuas ntawm qhov tshwm sim, piav qhia cov tsos mob ntawm kev mob ntshav qab zib hauv cov neeg mob nrog COVID-19 thiab cov txheej txheem zoo tshaj plaws ntawm nws txoj kev kho mob thiab saib xyuas cov neeg mob tus mob. Nws kuj tseem yuav pab teb cov lus nug ntawm seb puas muaj cov piam thaj metabolism cuam tshuam dhau lub sijhawm tom qab tus kab mob kho tau.
Raws li cov kws tshawb fawb hauv New England Journal of Medicine nco qab, cov kev soj ntsuam txog tam sim no qhia tias muaj kev sib raug zoo ntawm ob txoj hauv kev ntawm COVID-19 thiab ntshav qab zib. Ntawm ib sab, qhov muaj ntshav qab zib nyob hauv tus neeg mob kis tus kabmob tshiab no cuam tshuam nrog kev pheej hmoo siab ntawm COVID-19 hnyav thiab tuag los ntawm nws. Ntawm cov neeg mob uas tuag los ntawm COVID-19, 20 txog 30 feem pua. yav tas los muaj ntshav qab zib. Cov neeg mob no kuj muaj cov teeb meem metabolic atypical ntawm cov ntshav qab zib mellitus, suav nrog ketoacidosis thiab plasma hyperosmolarity. Ntawm qhov tod tes, cov xwm txheej tshiab ntawm ntshav qab zib tau pom nyob hauv cov neeg mob COVID-19.
Nws tseem tsis tau paub meej npaum li cas tus kab mob SARS-Cov-2 uas ua rau COVID-19 cuam tshuam rau kev txhim kho ntshav qab zib, cov kws tshawb fawb hais txog. Cov kev tshawb fawb yav dhau los tau pom tias ACE2 protein, uas tus kab mob nkag mus rau hauv cov hlwb, tsis yog nyob rau hauv lub ntsws xwb, tab sis kuj nyob rau lwm yam kabmob tseem ceeb thiab cov ntaub so ntswg koom nrog cov txheej txheem metabolic, xws li pancreas, siab, ob lub raum, cov hnyuv me, cov ntaub so ntswg. rog. Cov kws tshawb fawb xav tias los ntawm kev kis cov ntaub so ntswg, tus kab mob no ua rau muaj kev cuam tshuam tsis zoo ntawm cov piam thaj metabolism, uas tuaj yeem ua rau tsis yog rau cov teeb meem ntawm cov tib neeg uas twb muaj ntshav qab zib, tab sis kuj rau kev txhim kho tus kab mob no hauv cov neeg mob uas tseem tsis tau kuaj pom. ntawm ntshav qab zib.
"Txij li thaum tib neeg raug tus kabmob tshiab no los txog niaj hnub no tau luv luv, cov txheej txheem uas tus kabmob tuaj yeem cuam tshuam rau cov metabolism hauv qabzib tseem tsis paub meej. Peb kuj tsis paub tias cov tsos mob ntawm tus mob ntshav qab zib mellitus nyob rau hauv cov neeg mob no yog hom 1, hom 2 lossis tej zaum yuav yog hom mob ntshav qab zib hom XNUMX tshiab "- commented tus co-sau ntawm cov ntaub ntawv nyob rau hauv" NEJM "prof. Francesco Rubino ntawm King's College London thiab ib qho ntawm cov kws tshawb fawb tom qab CoviDiab npe ua haujlwm.
Lwm tus kws kho mob ntshav qab zib tau koom nrog hauv qhov project, prof. Paul Zimmet ntawm Monash University hauv Melbourne tau hais tias tam sim no qhov xwm txheej ntawm ntshav qab zib los ntawm COVID-19 tsis paub; Nws tseem tsis tau paub tias cov ntshav qab zib yuav nyob li cas los yog daws tau tom qab tus kab mob no kho tau. "Los ntawm kev tsim lub npe thoob ntiaj teb, peb hu xov tooj rau cov zej zog kho mob thoob ntiaj teb kom sai sai qhia cov kev soj ntsuam soj ntsuam uas yuav pab teb cov lus nug no" - tus kws tshaj lij xaus lus.
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