Kev tu tus miv mob ntshav qab zib tuaj yeem nyuaj thiab kim. Kev noj tshuaj insulin tsis tu ncua yuav tsum ua kom lub neej ntev ntawm koj tus miv, tab sis yuav ua li cas yog tias koj tsis kho lawv? Cov lus teb rau lo lus nug no feem ntau yog nyob ntawm seb hom mob ntshav qab zib koj tus miv muaj li cas, lawv cov qib tshwj xeeb ntawm cov tshuaj insulin, thiab lawv qhov kev nkag siab ntawm insulin. Txij li tsis muaj ib qho qauv, cia peb saib cov yam tseem ceeb uas cuam tshuam rau tus miv mob ntshav qab zib kom ciaj sia thaum tsis muaj kev kho mob insulin.
Tus miv mob ntshav qab zib tuaj yeem nyob ntev npaum li cas yam tsis muaj tshuaj insulin?
Yog tias koj tus miv tau kuaj pom tias muaj ntshav qab zib mellitus uas yuav tsum tau txhaj tshuaj insulin, nws yog vim li cas koj tus kws kho tsiaj tau qhia koj kom tsis txhob plam kev txhaj tshuaj. Kev txhaj tshuaj insulin yog muab rau ntawm lub sijhawm tshwj xeeb kom ntseeg tau tias koj tus miv muaj cov khoom noj tsis tu ncua los tswj nws cov ntshav qabzib.
Muaj qee qhov tshwm sim thaum muaj xwm txheej ceev uas koj tsis tuaj yeem mus tsev los muab koj cov tshuaj insulin. Raws li txoj cai, txhua qhov txhaj tshuaj insulin yuav muab cov tshuaj insulin rau koj tus miv li ntawm 12 txog 24 teev. Thaum nws hnav, lawv cov ntshav qabzib yuav pib nce thiab ua rau muaj kev phom sij rau lub neej.
Dabetic ketoacidosis lossis DKA yog ib yam mob hnyav. Thaum txhaj tshuaj insulin tas lawm, cov piam thaj tsis tuaj yeem nkag mus rau hauv lub cell los siv lub zog, thiab lub cev yuav nrhiav lwm lub zog los ua kom lub hlwb lub plawv thiab lwm yam kabmob tseem ceeb ua haujlwm. Cov khw muag khoom rog tom qab ntawd yuav tsum tau siv rau lub zog thiab lawv yuav raug rhuav tshem los ntawm lub siab mus rau hauv cov roj hu ua ketones. Hmoov tsis zoo, qhov no tsis yog ntuj tsim, thiab nws yuav ua rau muaj sia nyob yog tias tsis kho. Ketones yog acidic thiab txo cov ntshav pH ua rau acidemia. Yog tias theem no ntev dhau lawm, ketones pib tshwm sim hauv cov zis, thiab qhov no yog theem uas tus mob ua rau muaj kev phom sij rau lub neej.
Thaum miv nyob hauv DKA, lawv yuav tsis noj lossis haus. Tom qab ib hnub lossis ob hnub, lawv yuav qhuav dej thiab qaug zog. Yog tsis muaj kev kho mob, tus miv yuav plam mus rau hauv coma thiab tom qab ntawd tuag. Lub sijhawm teem sijhawm nws yuav siv rau qhov tshwm sim tuaj yeem sib txawv ntawm ob mus rau peb hnub hauv tus menyuam miv, thaum qee tus miv laus tuaj yeem dai rau ob peb lub lis piam.
Puas Txhua Tus Mob Ntshav Qab Zib Miv Yuav Tsum Muaj Insulin?
Qee tus miv uas muaj ntshav qab zib yuav tsis xav tau txhaj tshuaj insulin tab sis tsuas yog xav tau kev npaj noj zaub mov tshwj xeeb txhawm rau txhim kho lawv txoj kev noj qab haus huv thiab lub neej zoo. Txawm hais tias nws yuav tsum tau saib xyuas mob hnyav, nws yuav pab koj tus miv kom tswj tau cov ntshav qabzib ib txwm muaj.
Lwm cov miv yuav tsum tau txhaj koob tshuaj insulin ob peb zaug raws li kev kho mob thawj zaug, tab sis tom qab ntawd lawv tuaj yeem tswj hwm lawv cov ntshav qabzib nrog kev noj zaub mov tshwj xeeb. Ntau tus miv rog rog uas muaj ntshav qab zib tau nkag mus rau hauv kev zam txim tom qab poob phaus thiab ua raws li cov zaub mov uas tsis muaj carb thiab hom khoom noj uas tsim nyog.
Txawm hais tias tus miv xav tau txhaj tshuaj insulin lossis tsis yog, yog tias koj tus miv tau kuaj pom muaj ntshav qab zib, kev kawm saib xyuas cov ntshav qabzib li cas thiab kuaj ntshav qabzib thiab ketones hauv cov zis yuav tsim nyog txhawm rau tiv thaiv qhov teeb meem. Paub txog cov txiaj ntsig no tso cai rau koj muab kev kho mob txaus. Koj tseem yuav tau sau cov qib thiab sib txuas lus tas li nrog tus kws kho tsiaj, thiab koj tus miv yuav tsum tau kuaj xyuas hauv tsev kho mob tsis tu ncua.
Cov miv mob ntshav qab zib puas tuaj yeem muaj sia nyob tsis muaj insulin?
Yog tias koj tus miv muaj peev xwm tswj tau cov ntshav qabzib li qub rau plaub lub lis piam yam tsis tau txais kev txhaj tshuaj insulin, lawv raug suav hais tias yog nyob rau hauv kev kho mob ntshav qab zib. Muaj ntau tus miv uas tuaj yeem nyob nrog ntshav qab zib thiab tsis muaj insulin rau ntau xyoo. Qee qhov rov qab los tom qab ob peb lub hlis xwb, yog li thaum tus miv tau kuaj pom tias muaj ntshav qab zib, nws yuav xav tau kev soj ntsuam ntxiv ntawm nws cov ntshav qab zib.
Ntawm 17 thiab 67% ntawm cov miv mob ntshav qab zib uas tau txais kev kho mob insulin tom qab yuav mus rau hauv kev zam txim. Qhov no yog ntau yam, yog li tsis muaj kev lees paub, txawm tias muaj kev kho mob hnyav. Tseem muaj qee yam uas koj tuaj yeem ua tau los pab txhim kho koj tus miv qhov txawv txav.
Puas yuav tsum muab tus miv mob ntshav qab zib tso?
Euthanasia yuav tsum tsuas yog tshwj tseg rau qhov phem tshaj plaws thaum txhua txoj kev kho mob tau raug txiav txim siab hauv kev sab laj nrog koj tus kws kho tsiaj.
Yog tias koj tus miv qhov kev kuaj mob tsis zoo lossis koj tus miv laus heev, koj tus kws kho tsiaj yuav qhia koj kom txiav txim siab tso koj tus miv. Yog vim li cas rau qhov no yog tias kev kho mob tsis zoo li yuav txhim kho koj tus miv tus mob, lossis nws yuav kim heev. Euthanasia raug pom zoo thaum kho koj tus miv tsuas yog ua rau nws raug kev txom nyem ntau dua.
Qee lub sij hawm, cov miv mob ntshav qab zib yog euthanized vim cov tswv tsis muaj peev xwm los txhawb lawv txoj kev saib xyuas. Txawm hais tias qhov kev txiav txim siab no ua rau mob siab, ntau tus tswv tsis muaj kev xaiv.
Summary
Mob ntshav qab zib yog ib yam mob uas tswj tau rau cov miv feem ntau. Txawm li cas los xij, lawv yuav tsum tau txhaj tshuaj insulin tsis tu ncua lossis noj zaub mov tshwj xeeb kom normalize lawv cov ntshav qabzib. Yog tias tus miv mob ntshav qab zib mus yam tsis tau kho, tus mob yuav tuag hauv 2-14 hnub. Euthanasia tsuas yog pom zoo rau qhov mob hnyav uas kev kho mob yuav ua rau muaj kev txom nyem ntxiv rau miv.
