Tus kws kho mob ntshav qab zib yog tus kws kho mob endocrinologist tshwj xeeb hauv kev kho mob ntshav qab zib thiab nws cov teeb meem. Thaum twg, vim li cas thiab ntau npaum li cas mus ntsib kws kho mob ntshav qab zib? Nws lub luag haujlwm yog dab tsi? Yuav tau txais dab tsi hauv kev sab laj? 

Tus kws kho mob ntshav qab zib yog tus kws kho mob endocrinologist tshwj xeeb hauv kev tshawb fawb, kuaj mob, saib xyuas thiab kho cov ntshav qab zib thiab nws cov teeb meem. Tus kws kho mob diabetologist ua haujlwm nrog kev sib raug zoo nrog tus neeg mob tus kws kho mob. Tus kws kho mob no ua haujlwm hauv tsev kho mob lossis hauv kev xyaum ntiag tug. Kev sab laj tau them rov qab tag nrho los ntawm kev pov hwm kev noj qab haus huv thaum nws cov nqi pom zoo.

Kev paub zoo, tus kws kho mob ntshav qab zib muab rau tus neeg mob nrog txhua yam kev kho mob tshiab ntawm kev saib xyuas tus kheej ntawm cov ntshav qabzib, kev kho mob lossis txawm tias cov khoom siv tshuaj insulin. Nws kuj tseem ua rau tus neeg mob sib cuag nrog cov koom haum kho mob ntshav qab zib thiab coj lawv mus rau ntau tus kws kho mob tshwj xeeb thaum muaj teeb meem.

Ntshav qab zib yog ib yam kab mob loj heev uas yuav tsum tau tswj xyuas tshwj xeeb. Yog tias koj muaj kev kuaj ntshav uas qhia tias muaj kev tiv thaiv insulin, prediabetes lossis tshaj tawm cov ntshav qab zib, tus kws kho mob yuav pom zoo kom koj mus ntsib tus kws kho mob endocrinologist uas tshwj xeeb hauv kev mob ntshav qab zib: tus kws kho mob ntshav qab zib.

Feem ntau, tus kws kho mob thiab tus kws kho mob diabetologist tswj kev sib pauv kom paub meej qhov zoo thiab sib xws ntawm cov kev kho mob raws li kev kho mob.

Tus kws kho mob paub txog keeb kwm, kev ua neej nyob ntawm tus neeg mob nrog rau cov ntsiab lus ntawm qhov pib ntawm tus kab mob. Nws yog tus thawj coj ntawm kev saib xyuas kev kho mob thiab coj tus neeg mob mus rau tus kws kho mob ntshav qab zib lossis rau lwm tus kws kho mob tshwj xeeb thaum muaj lus nug ntau ntxiv los ua si. Tus kws kho mob tshwj xeeb kuj yog tus kws tshaj tawm kev kuaj mob tsis tu ncua (cholesterol, triglycerides, glycated hemoglobin ...) txhawm rau saib xyuas tus neeg mob txoj kev vam meej. Tus kws kho mob dav dav muaj rau tus neeg mob rau txhua qhov kev taw qhia lossis cov lus qhia ceev.

Ntawm qhov tod tes, txhua yam teeb meem lossis kev xav tau ntawm kev hloov kho kev kho mob yuav tsum yog kev sib tham nrog tus kws kho mob ntshav qab zib uas ceeb toom nws cov kev txiav txim siab rau tus kws kho mob. Cov teeb meem feem ntau yog cutaneous, raum, ocular lossis txawm tias mob plawv. Tus kws kho mob ntshav qab zib tuaj yeem hu rau lwm tus kws kho mob tshwj xeeb thaum cov lus nug mus dhau nws qhov kev tshaj lij.

Yog muaj ntshav qab zib hom 1

Hauv cov mob ntshav qab zib hom 1 (lossis insulin-dependent diabetes): kev saib xyuas los ntawm tus kws kho mob ntshav qab zib yog qhov tseem ceeb. Tseeb tiag, tus kws tshaj lij no qhia tus neeg mob kom tau txais nws tus kheej txoj cai. Tus neeg mob tau txais kev paub txog hom insulin xav tau, kev ntsuam xyuas ntawm nws qhov ntau npaum li cas thiab qhov zaus thiab qhov ua tiav ntawm kev txhaj tshuaj.

Yog muaj ntshav qab zib hom 2

Kev sab laj tus kws kho mob diabetologist tsis yog qhov tseem ceeb. Cov kws kho mob dav dav thiab endocrinologist feem ntau muaj peev xwm. Lub hom phiaj ntawm kev sib tham yog txhawm rau sau cov kev tiv thaiv kev noj qab haus huv rau kev noj qab haus huv (kev noj zaub mov zoo nrog glycemic Performance index qis, ua haujlwm lub cev tsis tu ncua, thiab lwm yam).

Thaum kev tswj hwm ntawm cov kev txwv no tsis txaus, tus kws kho mob yuav muab tshuaj kho qhov ncauj: metformin (biguanides), sulfonylureas, glinides, gliptins (los yog dipeptidyl-peptinase 4 inhibitors), GLP 1 analogues, plab hnyuv alpha-glucosidase inhibitors, glifozins ntawm (inhibitors). ib qho enzyme muaj nyob rau hauv lub raum: SGLT2), insulins.

Nws raug nquahu kom pib kho nrog metformin (lossis yog tias muaj kev tsis haum lossis tsis pom zoo rau nws, nrog sulfonylurea). Nyob rau hauv qhov kev tshwm sim ntawm tsis kam mus rau cov molecules, tus kws kho mob ntxiv ob tug txuam nrog ntxiv antidiabetics. Qee zaum nws yog ib qho tsim nyog los muab tshuaj noj ntshav qab zib thib peb hauv qhov ncauj, lossis insulin.

Yog muaj ntshav qab zib hom 1

Cov neeg mob yuav tsum mus ntsib lawv tus kws kho mob ntshav qab zib tsawg kawg ib xyoos ib zaug. Qhov zoo tshaj plaws, tus neeg mob mus ntsib nws tus kws kho mob tshwj xeeb 4 zaug hauv ib xyoos (ntau zaus sib xws nrog cov lej ntawm glycated hemoglobin (HbA1c) kev kuaj yuav tsum tau ua txhua xyoo) txhawm rau saib xyuas kev soj ntsuam ntawm nws cov tshuaj txhaj tshuaj.

Yog muaj ntshav qab zib hom 2

Kev sab laj ntawm tus kws kho mob ntshav qab zib tsis yog qhov tseem ceeb tab sis nws tseem pom zoo rau tus nqi tsawg kawg ib xyoos ib zaug (thiab qhov zoo tshaj 4) txhawm rau kho cov lus qhia noj zaub mov thiab kev tswj hwm kev kho qhov ncauj.

Thaum thawj zaug kev sab laj, tus kws kho mob diabetologist ua qhov kev kuaj mob, kev xam phaj thiab nyeem cov ntaub ntawv uas nws pom zoo kom nqa nrog koj:

• tsab ntawv xa mus los ntawm koj tus kws kho mob;
• kev kuaj mob thiab cov ntaub ntawv ua kom paub txog keeb kwm ntawm tus kab mob;
• cov ntshav kuaj zaum kawg.

Thaum kawg ntawm kev sab laj, tus kws kho mob ntshav qab zib tuaj yeem hloov kho koj txoj kev kho mob, sau ntawv tshuaj ntsuam xyuas tshiab los yog xa koj mus rau lwm tus kws kho mob tshwj xeeb thaum muaj teeb meem.