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Mob ntshav qab zib hauv cov menyuam yaus (ntshav qab zib hauv ntshav menyuam yaus) yog qhov yooj yim, tshwj xeeb tshaj yog thaum nws pib lub hnub nyoog tseem yau. Ntshav qab zib Hom 1 yog tshwm sim hauv cov menyuam yaus, lub cev ua haujlwm autoimmune uas cov kabmob hlwb pancreatic raug rhuav tshem, uas ua rau muaj cov insulin tsis txaus thiab ua rau cov ntshav qab zib ntau ntau. Txawm hais tias hom ntshav qab zib hom 2 yuav raug rau menyuam yaus tej zaum vim yog kev rog dhau, qhov xwm txheej tsis puv tsawg dua rau cov neeg laus.
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Raws li kev tshawb fawb luam tawm xyoo 2018, cov neeg mob ntshav qab zib hom 1 tau nce hauv cov menyuam yaus thiab tub ntxhais hluas, muaj thaj tsam 22.9 tus neeg mob tshiab nyob rau ib xyoos hauv ib puas tus menyuam mus txog hnub nyoog 15 xyoo. [1]
Kev kuaj mob thaum ntxov thiab kev kho mob thaum xub thawj ntawm cov menyuam muaj ntshav qab zib yog qhov tseem ceeb. Ntshav qab zib Hom 1 qhia pom cov tsos mob sai sai nyob rau ob peb lub lis piam thaum cov tsos mob ntshav qab zib hom 2 pib qeeb qeeb thaum lub sijhawm dhau los. Cov niam txiv yuav tsum paub txog cov tsos mob ntshav qab zib hauv lawv cov menyuam, uas qee zaum nyuaj kuaj pom. Khaws qhov muag txog cov tsos mob ntshav qab zib no hauv menyuam yaus thiab sab laj tus kws kho mob sai.
1. Polydipsia lossis nqhis dej ntau dhau
Polydipsia los yog nqhis dej ntau dhau tuaj yeem tshwm sim vim cov ntshav qab zib insipidus hauv cov menyuam yaus. Hauv hom ntshav qab zib no, nws muaj ib qho tsis txaus ntawm cov kua hauv lub cev ua rau nqhis dej ntau heev, txawm tias koj haus cawv ntau dhau los. [1]
2. Cov Polyuria lossis tso zis tso zis ntau zaus
Polyuria feem ntau yog ua raws polydipsia. Thaum lub cev ua kom lub cev zoo taus, lub raum yog teeb tsa kom tshem cov piam thaj ntxiv hauv lub cev los ntawm kev tso zis. Qhov no ua rau hauv polyuria, uas nyob rau hauv lem, ua rau ntau dhau los yuav tsum tau haus dej lossis polydipsia.
3. Txaus Ntshai / Tshaj Plaws
Yog tias koj pom koj tus menyuam tshaib plab txhua lub sijhawm, thiab txawm tias muaj zaub mov ntau dhau los tsis tuaj yeem ua tiav nws, sab laj tus kws kho mob vim tias nws yuav yog qhov muaj ntshav qab zib. Yog tsis muaj cov tshuaj insulin, lub cev tsis tuaj yeem siv cov piam thaj rau lub zog, thiab qhov tsis muaj zog no ua rau muaj kev tshaib plab ntau dua. [ob]
4. Kev poob phaus ua tsis yuag
Lwm qhov tsos mob ntawm tus mob ntshav qab zib mellitus hauv cov menyuam yaus yog qhov ua kom poob phaus. Cov menyuam uas mob ntshav qab zib feem ntau yuav poob ntau yam nyob hauv lub sijhawm luv. Qhov no yog vim tias, thaum cov kua nplaum hloov mus rau lub zog tau raug txwv vim qhov ua kom tsis txaus los ntawm cov tshuaj insulin, lub cev pib hlawv cov nqaij thiab khaws cov rog rau lub zog, ua rau poob ceeb thawj uas tsis tau pom. [3]
5. ua tsis taus pa-ua pa
Fruity-ua pa tawm yog vim muaj kab mob ntshav qab zib ketoacidosis (DKA), ib qho mob uas tshwm sim vim tias tsis muaj cov tshuaj insulin hauv lub cev. Nws tuaj yeem yog cov tsos mob ntshav qab zib hnyav rau cov menyuam yaus. Ntawm no, thaum tsis muaj cov piam thaj, lub cev pib hlawv cov roj rau lub zog, thiab cov txheej txheem tsim cov ketones (cov roj ntsha). Qhov tsis hnov tsw ntawm ketones tuaj yeem paub los ntawm cov txiv ntoo uas muaj ntxhiab tsw zoo hauv kev ua pa. [4]
6. Kev coj tus cwj pwm
Raws li kev tshawb nrhiav, teeb meem cwj pwm hauv cov menyuam muaj ntshav qab zib muaj ntau dua piv rau cov menyuam tsis muaj ntshav qab zib. Nyob ib ncig ntawm 20 ntawm 80 tus menyuam yaus mob ntshav qab zib qhia tus cwj pwm phem xws li rhuav tshem kev noj haus, npau taws kub siab, qhia paub lossis tawm tsam kev qhuab qhia thiab cai. Qhov no tuaj yeem yog vim muaj ntau yam xwm txheej xws li tiv thaiv tus kab mob, kev coj ua nruj me ntsis hauv tsev, kev saib xyuas tshwj xeeb rau cov nus muag ib txwm muaj los ntawm niam txiv lossis qhov kev xav ntawm 'txawv' ntawm lwm tus. Tag nrho cov xwm txheej no tuaj yeem ua rau lub siab hloov pauv, kev ntxhov siab thiab kev poob siab. [5]
7. Qhov tsaus ntawm daim tawv nqaij
Acanthosis nigricans (AN) lossis tsaus ntawm daim tawv nqaij yog feem ntau cuam tshuam rau ntshav qab zib. Hauv cov menyuam yaus thiab tub ntxhais hluas, qhov chaw sib koom tes ntawm AN yog lub caj dab tom qab. Thickening thiab darkening ntawm daim tawv nqaij quav feem ntau yog vim hyperinsulinemia tshwm sim los ntawm insulin kuj. [6]
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8. Qaug zog ib txwm
Qaug zog lossis zoo nkaus li lub siab tawv txhua lub sijhawm tuaj yeem pom yooj yim rau cov menyuam yaus uas muaj ntshav qab zib. Tus me nyuam muaj ntshav qab zib hom 1 tsis muaj cov insulin txaus los hloov ua piam thaj mus ua lub zog. Qhov tsis muaj lub zog li no, ua rau lawv nkees yooj yim lossis tom qab ua haujlwm lub cev me. [7]
9. Cov teeb meem pom kev zoo
Qhov ntau tshaj ntawm cov mob ocular hauv cov menyuam mob ntshav qab zib yog sib piv ntau dua li qub. Cov piam thaj hauv ntshav siab ua rau cov leeg puas tsuaj ntawm lub qhov muag thiab ua rau muaj teeb meem qhov muag xws li pom kev plooj lossis tag nrho qhov muag tsis pom kev, yog tias ntshav qab zib tsis tuaj yeem tswj tau tom qab kuaj tau. Cov tsos mob ntshav qab zib no hauv cov menyuam yaus raug saib xyuas feem ntau. [8]
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10. Poov xab kis tau
Ib txoj kev tshawb nrhiav tau qhia tias kev muaj poov xab muaj ntau dua rau cov menyuam yaus uas muaj ntshav qab zib hom 1, tshwj xeeb yog cov menyuam ntxhais uas raug tus mob no. Plab microbiota yog qhov tseem ceeb uas tiv thaiv qhov tshwm sim ntawm cov kab mob autoimmune zoo li ntshav qab zib. Thaum cov ntshav qabzib hauv lub cev cuam tshuam rau cov microbiota, kev loj hlob ntawm cov kab mob me me tau txais kev coj ua, uas ua rau lawv ntau lawm ntau lawm uas ua rau cov poov xab kis tau. [9]
Qeeb tshuaj kho tsis tau zoo
Cov piam thaj hauv ntshav hauv lub cev ua rau tsis zoo rau lub cev ua haujlwm ntawm lub cev, nce o, tiv thaiv cov piam thaj hloov mus ua lub zog thiab ua rau cov ntshav qis rau lub cev. Tag nrho cov xwm txheej no ua rau lub qhov txhab kho mob qeeb qeeb hauv cov menyuam yaus, ua rau muaj kev phom sij ntau dua.
Cov FAQ
1. Tus me nyuam muaj ntshav qab zib li cas?
Qhov ua kom mob ntshav qab zib ntau hauv cov menyuam yaus tseem tsis tau paub txog tab sis yam tseem ceeb xws li tsev neeg muaj keeb kwm, kev kis ntxov thiab mob lub cev yuav ua rau mob ntshav qab zib rau menyuam yaus.
2. Peb yam tshwm sim tshaj los ntawm tus mob ntshav qab zib uas tsis tau kuaj pom yog dabtsi?
Peb qhov tsos mob feem ntau ntawm cov ntshav qab zib tsis tau kuaj pom muaj xws li polydipsia lossis nqhis dej ntau dhau, polyuria lossis tso zis ntau dhau thiab nqhis dej heev.
3. Puas yog tus menyuam muaj tus mob ntshav qab zib hom 2?
Txawm hais tias hom ntshav qab zib hom 2 yog suav tias yog neeg laus-pib mob ntshav qab zib, nws kuj tseem tuaj yeem cuam tshuam rau menyuam yaus, tshwj xeeb cov neeg rog lossis rog dhau.
Sneha KrishnanCov Tshuaj Kho MobMBBS Paub ntxiv
