Hyperglycemia yog qhov txawv txav ntawm cov piam thaj hauv cov ntshav. Feem ntau cuam tshuam nrog ntshav qab zib, nws tuaj yeem tshwm sim thaum kis kab mob lossis kab mob siab lossis mob inflammatory syndromes. 

Lus txhais

Ntshav qab zib yog cov piam thaj (glucose) muaj nyob hauv cov ntshav.

Hyperglycemia yog tus cwj pwm los ntawm cov ntshav qabzib ntau dua 6,1 mmol / l lossis 1,10 g / l), ntsuas ntawm lub plab khoob. Qhov no hyperglycemia tuaj yeem ua ntu zus lossis ntev. 

Thaum cov ntshav qab zib yoo mov ntau dua 7 mmol / l (1,26 g / l), kev kuaj mob ntshav qab zib tau tsim. 

Ua rau

Feem ntau ua rau mob hyperglycemia yog ntshav qab zib. Hyperglycemia tuaj yeem tshwm sim hauv cov kab mob sib kis los yog kab mob siab lossis kab mob inflammatory. Hyperglycemia feem ntau tshwm sim nyob rau theem mob hnyav. Nws yog tom qab ntawd cov tshuaj tiv thaiv rau kev ntxhov siab (hormonal thiab metabolic abnormalities). 

Cov tshuaj kuj tuaj yeem ua rau muaj kev pheej hmoo ntawm hyperglycemia, txawm tias ntshav qab zib: corticosteroids, qee yam kev kho mob rau lub paj hlwb (tshwj xeeb yog hu ua atypical neuroleptics), tshuaj tiv thaiv kab mob, qee yam tshuaj tiv thaiv kab mob, tshuaj diuretic, tshuaj tiv thaiv kab mob hormonal, thiab lwm yam.

diagnostic

Kev kuaj mob ntawm hyperglycemia yog tsim los ntawm kev ntsuas cov ntshav qab zib sai (kev kuaj ntshav). 

Cov neeg txhawj xeeb

Qhov zaus ntawm kev yoo mov hyperglycemia nce tsis tu ncua nrog lub hnub nyoog (1,5% hauv cov hnub nyoog 18-29 xyoo, 5,2% hauv cov hnub nyoog 30-54 xyoo thiab 9,5% hauv cov hnub nyoog 55-74 xyoo) thiab kwv yees li ob zaug siab hauv txiv neej dua poj niam (7,9% piv rau 3,4%).

Risk yam tseem ceeb  

Cov kev pheej hmoo rau hyperglycemia vim yog hom 1 ntshav qab zib mellitus yog cov kab mob genetic predisposition, rau hom 2 mob ntshav qab zib mellitus, genetic predisposition cuam tshuam nrog rog / rog, kev ua neej nyob tsis muaj zog, ntshav siab ....

Thaum mob me, hyperglycemia feem ntau tsis ua rau cov tsos mob. 

Tshaj li qhov pib ntawm qhov pib, hyperglycemia tuaj yeem tshwm sim los ntawm ntau yam cim: 

• nqhis dej, qhov ncauj qhuav 
• Nquag mus tso zis 
• nkees nkees, tsaug zog 
• mob taub hau 
• Qhov muag plooj tsis pom kev 

Cov tsos mob no tuaj yeem ua rau mob plab, mob plab thiab xeev siab. 

poob phaus 

Mob hyperglycemia ua rau poob ceeb thawj thaum tus neeg mob tsis qab los noj mov.

Cov tsos mob ntawm kev kho tsis tau ntev hyperglycemia 

Mob ntshav qab zib tsis kho tuaj yeem ua rau: nephropathy (kev puas tsuaj rau lub raum) ua rau lub raum tsis ua haujlwm, retinopathy (kev puas tsuaj rau retina) ua rau dig muag, neuropathy (kev puas tsuaj rau cov hlab ntsha), kev puas tsuaj rau cov hlab ntsha. 

Kev kho mob rau hyperglycemia nyob ntawm qhov ua rau. 

Kev kho mob ntawm hyperglycemia suav nrog kev noj zaub mov kom zoo, kev ua haujlwm ntawm lub cev tsis tu ncua thiab saib xyuas cov xwm txheej ntawm cov hlab plawv. 

Thaum muaj ntshav qab zib, kev kho mob yog raws li kev noj zaub mov kom huv, noj tshuaj hypoglycemic thiab txhaj tshuaj insulin (hom 1 mob ntshav qab zib, thiab qee kis mob ntshav qab zib hom 2). 

Thaum hyperglycemia txuas nrog kev noj tshuaj, txwv tsis pub lossis txo cov koob tshuaj feem ntau ua rau hyperglycemia ploj. 

Kev tshuaj ntsuam xyuas hyperglycemia, qhov tseem ceeb rau cov neeg muaj kev pheej hmoo 

Raws li thaum ntxov hyperglycemia feem ntau tsis muaj cov tsos mob, nws yog ib qho tseem ceeb uas yuav tsum tau kuaj ntshav qab zib tsis tu ncua. Kev tswj ntshav qab zib tau pom zoo los ntawm hnub nyoog 45 xyoos rau cov neeg uas muaj kev pheej hmoo (tsev neeg keeb kwm ntawm ntshav qab zib, BMI tshaj 25, thiab lwm yam). 

Kev tiv thaiv ntawm hyperglycemia txuas nrog rau hom 2 mob ntshav qab zib mellitus cuam tshuam nrog kev ua lub cev tsis tu ncua, tiv thaiv rog dhau, thiab noj zaub mov kom zoo. Qhov no yog qhov tseem ceeb tshaj yog tias koj muaj tsev neeg keeb kwm ntawm ntshav qab zib hom 2.