Kiem soat duong huyet va ngan chan bien chung

Benh tieu duong la gi ?

Mot phan lon thuc an duoc he tieu hoa bien che thanh duong glucose tham vao mau va duoc mau chuyen den cac mo, te bao de chuyen hoa thanh nang luong. Insulin do te bao ß tuy tiet ra la 1 hormone co vai tro quyet dinh giup te bao tiep nhan duong glucose.

O nguoi khoe manh khi luong insulin du, te bao nhay cam voi insulin thi luong duong glucose trong huyet giam, co the duoc cung cap day du nhien lieu can thiet cho su song.

Khi tuy khong con san xuat duoc insulin hoac san xuat qua it hoac khi te bao giam nhay cam voi insulin thi luong glucose duoc tiep nhan o te bao giam va duong con lai trong mau tang gay benh tieu duong.

Khi duong huyet qua cao than khong giu duoc nua, duong se theo nuoc tieu ra ngoai nen goi la dai thao duong.

Ha va on dinh duong huyet o muc an toan. Ngan ngua bien chung benh tieu duong.

Tieu duong typ 1: Vi ly do nao do (di truyen, nhiem doc, vi khuan, viru...) tuy khong san xuat duoc insulin hoac san xuat voi so luong rat it. Benh thuong xuat hien dot ngot o nguoi con tre voi cac bieu hien: tang doi, khat nuoc, di tieu nhieu, sut can nhanh, met moi.

Tieu duong typ 2: Tuy van san xuat insulin nhung voi so luong khong du hoac te bao giam nhay cam  voi insulin hoac ca 2 nguyen nhan. Benh thuong xuat hien tu tu o nguoi tren 40t, beo phi, huyet ap cao va co anh huong boi di truyen.

Chan doan can lam sang

Typ 1: Doi nhieu, khat nhieu, dai nhieu, sut can nhanh ket hop voi ngau nhien phat hien duong huyet > 200mg/dl va duong huyet > 126mg/dl sau nhin doi qua dem, nhieu cetone trong huyet, trong nuoc tieu hoac ca hai. 

Typ 2: Thuong thi tren 40 tuoi, beo phi, dai nhieu, khat nhieu, nhin doi qua dem duong huyet >126mg/dl, co benh kem theo huyet ap cao, mo mau, xo vua dong mach.

Bien chung cap tinh

Duong huyet tang hay ha qua muc deu gay ra bien chung cap nguy hiem, co the phai cap cuu.

Ha duong huyet: Khi duong huyet ha thap (dung thuoc ha duong huyet qua lieu, an uong, the duc that thuong) se bi run ray, toat mo hoi, met moi, doi, tim dap nhanh, mo mat, dau dau, lu lan, ngat xiu. Nen lap tuc an, uong thu gi do co duong.

Duong huyet cao: Do khong dung du thuoc ha duong huyet, an uong qua do....se thay khat doi bat thuong, tieu nhieu, tieu dem, da kho, mat nhin khong ro, nhiem trung noi nao do...Nen uong thuoc dung lieu, an uong van dong dieu do va den bac sy neu duong huyet van cao.     

Nhiem cetone: Xay ra o nguoi tieu duong typ 1 va so it typ 2 kem benh nang: Khi gan nhu thieu insulin hoan toan, qua trinh chuyen hoa tao nang luong cua cac te bao thai ra cac the cetone lam mau nhiem axit nang, lam mat nuoc va khoang chat tram trong.

Nguoi benh co hoi tho mui trai cay, oi mua, tho sau, cham, lu lan, hon me, truy tim mach. Neu khong dua di cap cuu (truyen nuoc va insulin) co the tu vong.

Tang ap luc tham thau mau (khong nhiem cetone) xay ra o dai thao duong typ 2 (kem benh nang). Duong huyet tang cao lam tang su tham thau mau, mau tro nen dac lam te bao mat nuoc. Nguoi benh nguy kich met moi, lo mo, lu lan, hon me. Can cap cuu bang truyen nuoc va insulin de tranh tu vong.

Bien chung lau dai

Duong huyet cao lau ngay se gay ton thuong cac mach mau nho, thuc day xo vua dong mach, anh huong xau den day than kinh. Benh vong mac: Ton thuong cac mach mau nho tren vong mac lam giam thi luc, co the dan toi mu.

Tieu duong cung lam tang kha nang duc thuy tinh the. Suy than: Ton thuong cac mach mau nho o than lam than khong con loc, thai chat can ba binh thuong nhu truoc duoc nua, lam suy giam chuc nang, suy than.

Tang huyet ap: Ton thuong o than lam giam su dieu tiet giua cac mach mau gay tang huyet ap. Xo vua dong mach, tai bien, benh mach vanh : Xo vua dong mach (do tieu duong lam tang mo mau bam vao thanh mach) lam hep dong mach, can tro luu thong mau den nuoi duong co tim, nao se gay tai bien mach mau nao, benh mach vanh, dot quy.

Te bi, lo loet, hoai tu chan tay: Ton thuong day than kinh va mach mau ngoai bien, dac biet la chan, tay gay tro ngai luu thong mau den nuoi duong gay te bi, tao dieu kien thuan loi cho nhiem trung phat trien gay lo loet chan tay kho chua, co the hoai tu phai cat. Benh o mieng, rang loi: Mieng kho, de bi sau rang, viem loi, co cam giac nong bong o mieng, luoi.

Dieu tri bang tan duoc

Muc tieu dieu tri la kiem soat duong huyet va on dinh o muc cang gan an toan cang tot de ngan ngua hoac lam cham su xuat hien, giam cuong do cac bien chung tieu duong.

Ban than benh nhan co vai tro dac biet quan trong, nguoi benh can tim hieu ve can benh cua minh (ban chat benh, nguyen nhan, trieu chung, bien chung, dieu tri ...), an uong, van dong hop ly, dung thuoc tieu duong deu, dung nhu chi dan, cham soc tot chan tay, theo doi duong huyet thuong xuyen, biet xu tri ha duong huyet.

Che do an rat quan trong, chi an du so calo can thiet, an lam nhieu bua. Van dong lam te bao nhay cam hon voi insulin, giup ha duong huyet. Phai chu y an uong, van dong, dung thuoc hai hoa de khong ha duong huyet

Cac thuoc dieu tri gom duong tiem va duong uong

Insulin tiem hang ngay. Co the co nguon goc dong vat ( tu tuy tang bo, heo), ban tong hop hoac tong hop bang cong nghe di truyen. Co loai tac dung nhanh, tac dung trung binh, tac dung dai han va hon hop pha 2 loai nhanh va trung binh.

Dung theo chi dinh cua bac sy. Cac thuoc duong uong: Nhom kich thich te bao ß tuy san sinh insulin, tu do lam ha duong huyet gom sulfamide va glinide voi co che khac nhau; Nhom lam tang nhay cam voi insulin o cac te bao, vi vay cung luong insulin se lam te bao hap thu glucose nhieu hon va dan den ha duong huyet.

Gom biguanides, thiazolidinediones, benfluorex; Nhom uc che hap thu glucose tu ruot non lam giam duong tham vao mau nen ha duong huyet gom acarbose, voglibose, miglitol... lam cham chuyen hoa carbohydrate sang glucose tu do lam giam duong huyet.

Phac do dieu tri tieu duong typ 2 : Duong huyet luc doi > 200 mg/dl thi phai dung thuoc. Duong huyet luc doi lon hon 126, nho hon 200mg/dl. Thuc hien che do an kieng va van dong chat che. Sau 3 thang neu duong huyet on dinh ( duoi 200mg/dl) thi tiep tuc an kieng van dong. Neu qua 200mg/dl thi phai dung thuoc.

Thuoc tieu duong tay y co tac dung nhanh, hieu qua nhung co nhieu tac dung phu: Ha duong huyet qua muc, dac biet vao ban dem, nhiem trung duong ho hap tren, viem xoang, dau dau, co, roi loan chuc nang gan, vang da, roi loan tieu hoa, thieu mau, met moi.

Dac biet co tinh trang nhon thuoc, benh ngay cang nang, phai dung ngay nhieu lieu hon, lieu cao hon, va roi du bi tieu duong typ 1 hay 2 thi nguoi benh cuoi cung van phai tiem insulin rat phien toai.

Insulin cung co the bi khang va nhieu nguoi benh ngay cang phai tiem voi lieu cao hon ma van khong duy tri duoc duong huyet o muc an toan de ngan chan bien chung tieu duong.

Kiem soat duong huyet, ngan ngua bien chung man tinh bang thao duoc.

Phan lon cac bac si chua man ma lam voi thuoc thao duoc vi cho rang tac dung cua chung khong ro ret nhu tan duoc va ho phan nao cung co ly.

Thuc te neu chi san xuat cac bai thuoc co phuong theo sach Dong Y thi kho ma co duoc thuoc cong dung vuot troi. Boi vi cung cong thuc nhu nhau nhung tac dung cua thuoc co the rat khac nhau, phu thuoc chu yeu vao phuong phap bao che.

Nhung cung co mot so thuoc thao duoc co cong dung vuot troi, hieu qua thuc su, trong nhieu truong hop chua benh tan goc, lam nen dieu ky dieu: Benh khoi hoan toan, ke ca nhieu truong hop benh nan y dai dang kho chua, hay tai phat ma tan duoc bo tay.

Thuong thi nhung thuoc nay duoc bao che theo phuong phap doc dao cua nha thuoc gia truyen danh tieng ma uy tin da duoc khang dinh qua nhieu the he.

Trong ho tro dieu tri tieu duong, thao duoc tac dung khong nhanh nhu tan duoc va khong the thay the hoan toan tan duoc trong giai doan dau dieu tri, nhung an toan, it bi nhon, lam tang tac dung ha duong huyet, giup giam lieu cua thuoc tay, nhieu truong hop sau mot thoi gian ket hop dung thuoc thao duoc va tan duoc co the bo han thuoc tay.

Khong hiem cac truong hop sau 1 thoi gian su dung cac bai thuoc Bac gia truyen, thuoc Nam bi truyen benh nhan bo duoc ca thuoc tay lan thuoc thao duoc trong thoi gian dai ma duong huyet van o muc an toan. Nhung truong hop nay tuy chi la don le nhung chung cho hi vong tieu duong typ 2 co the chua khoi han (hoac trong 1 thoi gian dai) bang thao duoc.

Duong huyet Nhat Nhat

Ha va on dinh duong huyet o muc an toan. Ngan ngua bien chung benh tieu duong.

Thanh phan: Hoang tinh, Kho qua, Tri mau, Dai thanh, Nhau...

Cong dung: Giup duong am, luong huyet, mat huyet.

- Giup ha va on dinh duong huyet.

- Ngan ngua bien chung do benh tieu duong gay ra nhu: Benh tim mach, duc thuy tinh the, giam thi luc mat, than kinh ngoai bien...

- Ho tro phong ngua va dieu tri benh tieu duong.

Doi tuong su dung: Nguoi co the trang duong mau cao, co nguy co mac benh tieu duong, nguoi bi tieu duong.

Cach dung:

Ngay uong 2 lan, moi lan uong 3 vien ket hop voi kiem soat che do an uong hop ly.

- Khi bi duong huyet cao tren gioi han binh thuong thi uong ket hop voi  thuoc dieu tri tieu duong  tay y de tang tac dung ha duong huyet va duy tri on dinh ham luong duong huyet trong mau o muc do an toan nham ngan ngua bien chung do benh tieu duong gay ra.

- Khi duong huyet da ha xuong muc binh thuong, on dinh thi nghi dot tu 5-7 ngay, sau do tiep tuc uong dot khac.

Cong ty TNHH Nhat Nhat

VPGD: So 79, Lac Trung, Hai Ba Trung, Ha Noi

San pham nay khong phai la thuoc, khong thay the thuoc chua benh.

So phieu tiep nhan HSTTQC: 1135/2011/TNQC- ATTP

Duoc pham Nhat Nhat chi san xuat, phan phoi thuoc thao duoc duoc bao che theo phuong phap doc dao cua nha thuoc gia truyen ma uy tin da duoc khang dinh nhieu doi, ket hop cong nghe hien dai cho cong dung vuot troi, hieu qua thuc su.