- Bach qua Y di me : Moi Ian nau 8 hat Bach qua bo v6, Y dl 60 gam, them ntfo'c nau chao cho
nghi luan dac sfic 6ng no i: "Tieu khat ngu khi tran vay, ten goi la benh ty nhoc met Nam v i an
vao mieng chiJa 6' v i . Ty hanh t i n h k h i de tieu no.
t r a n ra 6' t y " . Nay dung van hien dai giai thich doan van nay la :"Benh tieu k h a t la benh ciia tang ty. N a m v i an vao mieng tru'o'c qua v i , do tang ty van
h a n h cung cap chat d i n h du'o'ng di cac no'i. Ty mkc
benh, khong l a m viec, ty la no'i phan pho'i chat du'o'ng, ty ho'at dong kem, chat du'o'ng mo'i t r a n ra,
nu'd'c tieu mo'i ngot". Doan van nay giai t h i c h tii y
van CO, nhu nguyen nhan ma Tay y t i m ra.
• Tdy y noi ve nguon goc benh nay.
Benh nay khdi dau mo'i mac do chat la lach tiet bi r i i t l a i con i t , noi tiet bi ngifng. La lach tiet ra 2 chat noi tiet, mot la dich tieu hoa, du'a vao hanh ta t r a n g de tieu chat dam, chat md', chat du'o'ng hot; mot chat la chat noi t i e t c6 cong nang giam chat diJo'ng trong mau. Chat nay c6 ten la Insulin. Neu tang ty c6 benh, chat noi tiet bi giam, t h i lu'g'ng du'o'ng trong mau nhieu hon thuo'ng ngay, phai do t h a n loc, cho nen nu'd'c tieu ngot. Lu'ong nUdc tieu tang, chat du'o'ng cang dam mo'i can nu'd'c 6' ben ngoai de t h e m vao, cho nen ngu'o'i benh k h a t nirdc.
L a i do thufc du'o'ng trong thufc fin cuf vao l a i ra ngay khong tich triJ diio'c, nhu cau cua t h a n the khong giam, tru'o'c tien lay du'o'ng 6' can ( t i n h mach di qua tang can dem difdng tich triJ trong gan, trOf vao te bao, k h i dird'ng mau thieu t h i bo sung diio'ng nay goi la du'o'ng gan) phan hda ufng dung, tiep do phan hda chat dam, t a m cufu nguy. NgUcfi benh an nhieu ma gay, nguyen nhan tang tuy (tufc lach) noi phan duo'ng b i ngCfng. Gidi Tay y hieu ro ly nay, nghien cufu che t h a n h chat ciia tuyen tuy (tufc Insulin che tCf lach dong vat) de dieu tiet benh the, nay t h a n h thuo'c quan trong t r i benh tieu diio'ng.
9 8
j
Tay y goi la tuy (la lach) tufc Dong y goi la mot bo
phan tang t y , ngiTdi N h a t goi la "tuy", tieng thiTo'ng dung ciia Trung Qudc la tuy. Ty ciia heo goi la tuy
heo, CO mot so'i mo', tuc goi la mo' tuy, ngu'o'i phLfo'ng
-Qic goi la "giap can, t h i t ngot", ngu'o'i Quang Dong goi
la thuoc lo'n, lai goi "hoanh lo'i". Do chff tuy thong dung nen t r e n sach dich Tay y dich nguyen tieng A n h la Islands of Langerhans (tuy dao).
TCr k h i Tay y phat m i n h ra Insulin, cang hieu dung dan ro r a n g cong nang ciia tuy. Nhifng Dong y t r i benh tieu du'o'ng, xu'a nay cd mot bai thuoc nghiem phi/o'ng, lay lach ciia heo xat t h a n h bot nhd,
dung nu'd'c soi ma nuot. Ngi/6'i benh nuot the xong
benh khdi (ghi chep lay d sach cac nghiem phifOng, phu'o'ng phap nay cung mot ly vdi Insulin do Tay y
phat m i n h ) . N h a n g bai nghiem phufo'ng T r u n g Qudc
j l r u y e n tu" ddi nay qua do'i khac thudng bao quat nhieu phat m i n h Idn, lam cho ngiTdi ta suy n g h i , day la mot v i du.
i C A C H T R I L I E U B E N H T I E U K H A T . ^
Benh tieu k h a t do tang ty khong khoe, chat Uo'ng di vao huyet phan l a i theo nu^dc tieu bai t i e t
la ngoai. T h a n the ngu'o'i khong dLfo'c du'o'ng phan dinh dUo'ng, nen gay di r a t n h a n h , trong huyet phan chat du'o'ng qua nhieu gay chdng m a t va nga Ian ra. Lai de b i benh chufng ha tieu (viem t h a n man t i n h cung vdi tieu ra Albumin) cho nen phai gap chiJa .tieu (ngon), khoan t r i ban (goc).
Tay y khong cd phu'o'ng phap can ban t r i benh nay. N a m 1921, phat m i n h ra Insulin, tufc la thuoc tot dieu tiet tang ty va tang tuy khong che diTdng thtfc ra cung khong phai bien phap t r i goc, chi cd
t h e d i e u t i e t t a n g t y r a t h n h n g h i e m , duy t r i t h a n
t h e ngLfoi b e n h t i n h t h e k h o n g t a n g n h i J n g cung
k h o n g t r i diTo'c t a n goc. D e n n a y the' gio'i cung
k h o n g CO b i e n p h a p cSn b a n nao. N h U U o n g T i n h
V e s o n g ca cuoc deli t r o n g t i n h t r a n g b e n h t i e u
d i r d n g , thc;i c h i e n t r a n h T r u n g - N h a t m u a I n s u H n do M y s a n x u a t , thtfcfng x u y e n c h i c h thuoc de duy t r i
m a n g song. L u c b a y g i d t h a y t h u o c T r u n g Quoc va
nu'o'c n g o a i deu k h o n g c6 b i e n p h a p t r i t a n goc, cuoi c u n g U o n g c h e t ve b e n h ay.
D o n g y chufa b e n h n a y cung c6 thuoc dieu t i e t n h a t t h d i , tufc l a v i D i a h o a n g t r o n g b a i " L u c v i dia h o a n g h o a n " . T o i ( L o i V i n h Lac) n g h ! n e n d u n g b i e n p h a p trtfo'c d u n g thuoc t r i t i e u (ngon) l a m co' so', ke do d u n g thuoc t r i b a n (goc) de d i e u t r i can b a n . NgUo'i b e n h n h a t t h i e t k h o n g n e n n a n c h i , k h o n g n e n coi thu'o'ng thuoc T r u n g Quoc. T h u o c T r u n g Quoc c h i n h
xac CO k h a n a n g t r i k h o i can b a n , day k h o n g p h a i la
n o i kl\oac. T o i b i e t t a m l y t u y e t v o n g cua n h i e u ngUo'l b i b e n h t i e u dtrd'ng da l a u , cho n e n l a p l u a n k h o a hoc ve m o i dieu gio'i t h i e u deu t h i e t t h y c , h y v o n g nguoi
b e n h n a n g cao l o n g t i n , t i n rhng nhufng Icfi t o i v i e t
k h o n g p h a i l a b a i y v a n t h d i p h o n g , p h i e m r 6 n g . M 6 i t i e t m o i doan deu c6 goc ciia no, do l a m o t b a i y v a n
CO t i n h c h a t n g h i e m tiic.
1 - TrUac phai dung phuong phap tri tieu (chOa
nggn): T i e n cho ngJo'i b e n h , trUo'c k h i co* n a n g s i n h l y ciia t y v o n l a no'i go'c b e n h p h u thuoc chiia k h o i p h u c , h a y ufc che nu'o'c t i e u d u ^ n g , l a m cho t r o n g m a u k h o n g co c h a t du'o'ng c h a y r a , de giuT d i n h dao'ng do l a bud'c t h u ' n h a t .
2 - Buac thu: hai phai dung thuoc tri goc : P h a i
d i e u t r i l u o n l u o n d a t d e n mufc t a n g t y k h o i phuc
100
c o n g n a n g d i e u t i e t v a n b o a diio'ng m a u , sau do l a m
cho b e n h k h o i h o a n t o a n , d a t to'i m u c d i c h siJc k h o e .
T R I T I E U , T R I B A N T I E N H A N H T I T N G BlTdC. T I E N H A N H T I T N G BlTdC.
T r o n g 3 - 7 n g a y , p h a i d u n g I n s u l i n l a m cho t r o n g nu'o'c t i e u h e t du'o'ng. D o n g y k h o n g t h e diTa vao T a y y m a t i e m t h u o c . Cac h u y e n , cac l a n g n g h e o
no'i x a x o i heo l a n h , k h o n g cd k h a n S n g thiio'ng
x u y e n c u n g cap I n s u l i n , v a y p h a i d u n g c a n h l a c h heo. Do l a m o t n g h i e m phUo'ng cua T r u n g y. Trufd'c n a m 1923, k h i chifa p h a t m i n h r a I n s u l i n , d T r u n g Quoc da cd n g h i e m phtfcfng n a y .
* Phitotng thii nhat: C a c h l a m c a n h l a c h heo :
D u n g 1 cai l a c h heo, t h e m 20 g a m r a u ngo, n a u c a n h u o n g , con l a c h t h i a n . U o n g tCf 3 - 7 n g a y hoac
ho'n nCJa, d e n luc thiif n\i6c t i e u k h o n g cd diio'ng t h i
t h o i .
* Phitctng tha hai: N u d e D i a h o a n g . D u n g 4 0
g a m D i a h o a n g t h a i n h d sao qua, n a u vd'i ni/d'c uo'ng, n e u t h e m r a u b o n g n g o t n a u c h u n g d u n g c u n g du'o'c. C h u y u o n g t h u o c luc con n d n g . D i a h o a n g cd tac d u n g ufc che dird'ng t r o n g niidc t i e u , ufc che cac thufc a n cd c h a t h y d r a t cac-bon p h a n h u y t h a n h diTo'ng,
tcho n e n t r o n g luc u o n g ni/d'c D i a h o a n g cd t h e a n
Ico'm h a y Sn m o t c h u t du'o'ng c u n g k h o n g h a i . NgiTdi p i b e n h d a i du'o'ng t o t n h a t hoc each ttr thuf nUdc t i e u
r a t do'n g i a n , luc nao c u n g thuf diio'c. C h o n e n cd t h e
t a n g g i a m lufo'ng D i a h o a n g t h e o t i n h h i n h b e n h
n a n g n h e . L i e u lufo'ng t a n g g i a m cd t h e tijf 20 - 80 g a m cho m o t n g a y . Cd m o t b e n h n h a n t h e o phLfo'ng p h a p cua t o i l u o n l u o n thuf nifdc t i e u v a d u n g D i a