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Thai DM CPG 2566

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Published by OPD, 2026-01-21 02:17:32

Thai DM CPG 2566

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Thai DM CPG 2566

แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566 133•ǰ ĔĀšÙĞćĒîąîĞćâćêĉĒúąñĎšĔÖúšßĉéñĎšðśü÷đïćĀüćî ĕéšĒÖŠ đóČęĂî ÙøĎđÖĊę÷üÖĆïüĉíĊÖćøĒÖšĕ×õćüąîĞĚćêćúêĞęćĔîđúČĂéĔîđïČĚĂÜêšî øüöìĆĚÜüĉíĊÖćøêĉéêŠĂĀîŠü÷ÖĎšßĊüĉêĀøČĂìĊöñĎšéĎĒúñĎšðśü÷đïćĀüćî đóČęĂöćĔĀšÖćøßŠü÷đĀúČĂñĎšðśü÷ĔîÖøèĊìĊęöĊõćüąîĞĚćêćúêĞęćĔîđúČĂéøąéĆïøčîĒøÜđÖĉé×ċĚî•ǰ ÿĂîĒúąÿ ŠÜđÿøĉöĔĀšâćêĉĀøČĂñĎšĔÖúšßĉéñĎšð śü÷đïćĀüćîĔĀšöĊÙüćöÿćöćøëĔîÖćøÞĊéăĂøŤēöîÖúĎÙćÖĂîĔîÖćøĒÖšĕ×õćüąîĞĚćêćúêĞęćĔîđúČĂéıǰ ĔîñĎšðśü÷đïćĀüćîìĊęöĊõćüąîĞĚćêćúêĞęćĔîđúČĂéēé÷ĕöŠöĊĂćÖćøđêČĂî ÖćøÙüïÙčöđïćĀüćîēé÷ĕöŠĔĀšöĊõćüąîĞĚćêćúêĞęćĔîđúČĂéđÖĉé×ċĚîàĞĚćĂĊÖđú÷đðŨîđüúć ÿĆðéćĀŤ ÝąßŠü÷ĔĀšñĎšðśü÷ÖúĆïöćöĊĂćÖćøđêČĂîđöČęĂöĊõćüąîĞĚćêćúêĞęćĔîđúČĂéĕéš ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰıǰ ÖćøøĆÖþćõćüąîĞĚćêćúêĞęćĔîđúČĂéøąéĆïĕöŠøčîĒøÜĒúąøąéĆïðćîÖúćÜ ÿćöćøëìĞćĕéšìĆĚÜìĊęïšćîēé÷ñĎšðśü÷đĂÜĀøČĂñĎšéĎĒú ĀøČĂìĊęÿĞćîĆÖÜćîĒóì÷ŤĀøČĂìĊęēøÜó÷ćïćú ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰıǰ ÖćøÖĉîÖúĎēÙÿÖøĆö ÝąßŠü÷ĔĀšøąéĆïÖúĎēÙÿĔîđúČĂéđóĉęö×ċĚîðøąöćè öÖéú õć÷ĔîđüúćîćìĊĒúąÖćøÖĉîÖúĎēÙÿÖøĆö ÝąßŠü÷ĔĀšøąéĆïÖúĎēÙÿĔîđúČĂéđóĉęö×ċĚîðøąöćè öÖéúõć÷Ĕîđüúć îćìĊÖćøÖĉîÙćøŤēïăĆ÷đéøêĒêŠúąÙøĆĚÜĔîðøĉöćèöćÖÖüŠć ÖøĆö îĂÖÝćÖÝąĔĀšñúÖćøĒÖšĕ×õćüąîĞĚćêćúêĞęćĔîđúČĂéĕöŠĒêÖêŠćÜÝćÖÖćøøĆïðøąìćîĔîðøĉöćè ÖøĆöĒúšü÷ĆÜĂćÝìĞćĔĀšđÖĉéðŦâĀćõćüąîĞĚćêćúÿĎÜĔîđúČĂéêćööćĕéšıǰ ñĎšðśü÷đïćĀüćîìĊęöĊõćüąîĞĚćêćúêĞęćĔîđúČĂéøąéĆïøčîĒøÜÝąêšĂÜĕéšøĆïÖćøðäĉïĆêĉøĆÖþćĂ÷ŠćÜđøĘüìĊęÿčéêĆĚÜĒêŠìĊęïšćîĒúąĔîøąĀüŠćÜìćÜìĊęîĞćñĎšðśü÷ÿŠÜēøÜó÷ćïćúēé÷âćêĉñĎšĔÖúšßĉé ĀøČĂĀîŠü÷ÖĎšßĊüĉêìĊęĕðøĆïêĆüñĎšðśü÷ ĒúąìĊęēøÜó÷ćïćúēé÷ìĊöñĎšøĆÖþć ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰıǰ ÖćøĒÖšĕ×õćüąîĞĚćêćúêĞęćĔîđúČĂéøąéĆïøčîĒøÜĔîđïČĚĂÜêšîÿćöćøëìĞćĕéš üĉíĊÙČĂ ÖćøÞĊéÿćøúąúć÷ÖúĎēÙÿ đ×šćĀúĂéđúČĂééĞćǰàċęÜđðŨîüĉíĊÖćøìĊęĕéšñúéĊĒúąĒîŠîĂîìĊęÿčé ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰıǰ ĔîÖøèĊìĊęĕöŠÿćöćøëđðŗéĀúĂéđúČĂééĞćđóČęĂÞĊéÿćøúąúć÷ÖúĎēÙÿ ĕéšìĆîìĊÖćøÞĊéăĂøŤēöîÖúĎÙćÖĂîĔêšñĉüĀîĆÜĀøČĂÖúšćöđîČĚĂÿćöćøëĒÖšĕ×õćüąîĞĚćêćúêĞęćĔîđúČĂéøąéĆïøčîĒøÜĕéšéĊĒêŠöĊ×šĂÝĞćÖĆéìĊęöĊøćÙćĒóÜĒúąÝĆéĀćĕéš÷ćÖ ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰđĂÖÿćøĂšćÜĂĉÜǰǰ $SZFS 1& )ZQPHMZDFNJB GVODUJPOBM CSBJO GBJMVSF BOE CSBJO EFBUI + $MJO *OWFTU ffifl ıǰ 4FBRVJTU &3 \"OEFSTPO + $IJMET # $SZFS 1 %BHPHP+BDL 4& 'JTI - FU BM )ZQPHMZDFNJB BOEEJBCFUFTfl B SFQPSU PG B XPSLHSPVQ PG UIF \"NFSJDBO %JBCFUFT \"TTPDJBUJPO BOE UIF &OEPDSJOF4PDJFUZ %JBCFUFT $BSF ffi fl ǰ -BJOH 41 4XFSEMPX \"+ 4MBUFS 4% #PUIB +- #VSEFO \"$ 8BVHI /3 FU BM 5IF #SJUJTI %JBCFUJD\"TTPDJBUJPO $PIPSU4UVEZ **flDBVTFTQFDJųD NPSUBMJUZJO QBUJFOUT XJUIJOTVMJOUSFBUFE EJBCFUFTNFMMJUVT %JBCFU .FE ffi fl ı Previous Page Previous Chapter HOME Contents Next Chapter Next Page

134 แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566ǰ (FSTUFJO )$ .JMMFS .& #ZJOHUPO 31 (PGG +S %$ #JHHFS +5 #VTF +# FU BM &GGFDUT PG JOUFOTJWFHMVDPTF MPXFSJOH JO UZQF EJBCFUFT 5IF \"DUJPO UP $POUSPM $BSEJPWBTDVMBS 3JTL JO %JBCFUFT4UVEZ (SPVQ / &OHM + .FE ffi fl ıǰ ;PVOHBT 4 1BUFM \" $IBMNFST + EF (BMBO #& -J 2 #JMMPU - FU BM GPS UIF \"%7\"/$&$PMMBCPSBUJWF (SPVQ 4FWFSF IZQPHMZDFNJB BOE SJTLT PG WBTDVMBS FWFOUT BOE EFBUI / &OHM +.FE ffi fl ǰ %FTPV[B $7 #PMMJ (# 'POTFDB 7 )ZQPHMZDFNJB EJBCFUFT BOE DBSEJPWBTDVMBS FWFOUT%JBCFUFT $BSF ffi fl ǰ (PUP \" \"SBI 0\" (PUP . 5FSBVDIJ : /PEB . 4FWFSF IZQPHMZDBFNJB BOE DBSEJPWBTDVMBSEJTFBTFfl TZTUFNBUJD SFWJFX BOE NFUBBOBMZTJT XJUI CJBT BOBMZTJT #.+ ffi fl GEPJflCNKGǰ .D$PZ 3( 7BO )PVUFO ), ;JFHFOGVTT +: 4IBI /% 8FSNFST 3\" 4NJUI 4\" *ODSFBTFENPSUBMJUZ PG QBUJFOUT XJUI EJBCFUFT SFQPSUJOH TFWFSF IZQPHMZDFNJB %JBCFUFT $BSF ffi flǰ $SZFS1& \"YFMSPE - (SPTTNBO \"# )FMMFS 43 .POUPSJ7. 4FBRVJTU &3 4FSWJDF'+ &WBMVBUJPOBOE NBOBHFNFOU PG BEVMU IZQPHMZDFNJD EJTPSEFSTfl BO &OEPDSJOF 4PDJFUZ $MJOJDBM 1SBDUJDF(VJEFMJOF + $MJO &OEPDSJOPM .FUBC ffi fl ıǰ (PME \"& .BD-FPE ,. 'SJFS #. 'SFRVFODZ PG TFWFSF IZQPHMZDFNJB JO QBUJFOUT XJUI UZQF EJBCFUFT XJUI JNQBJSFE BXBSFOFTT PG IZQPHMZDFNJB %JBCFUFT $BSF ffi fl ǰ %BHPHP+BDL 4& $SBGU 4 $SZFS 1& )ZQPHMZDFNJBBTTPDJBUFE BVUPOPNJD GBJMVSF JO JOTVMJOEFQFOEFOU EJBCFUFT NFMMJUVT 3FDFOU BOUFDFEFOU IZQPHMZDFNJB SFEVDFT BVUPOPNJDSFTQPOTFT UP TZNQUPNT PG BOE EFGFOTF BHBJOTU TVCTFRVFOU IZQPHMZDFNJB + $MJO *OWFTUffi fl ıǰ 4FHFM 4\" 1BSBNPSF %4 $SZFS 1& )ZQPHMZDFNJBBTTPDJBUFE BVUPOPNJD GBJMVSF JO BEWBODFEUZQF EJBCFUFT %JBCFUFT ffi fl ıǰ 8IJUNFS3\",BSUFS \"+:BGGF, 2VFTFOCFSSZ $1+S 4FMCZ +7 )ZQPHMZDFNJDFQJTPEFT BOE SJTLPG EFNFOUJB JO PMEFS QBUJFOUT XJUI UZQF EJBCFUFT NFMMJUVT +\".\" ffi fl ǰ $SZFS 1& )ZQPHMZDBFNJBfl UIF MJNJUJOH GBDUPS JO UIF HMZDBFNJD NBOBHFNFOU PG UZQF * BOEUZQF ** EJBCFUFT %JBCFUPMPHJB ffi fl ǰ \"NFSJDBO %JBCFUFT \"TTPDJBUJPO 4UBOEBSET PG NFEJDBM DBSF JO EJBCFUFTfl %JBCFUFT DBSFJO UIF IPTQJUBM %JBCFUFT $BSF ffi 4VQQM fl 44ǰ \"NFSJDBO %JBCFUFT \"TTPDJBUJPO 8PSLHSPVQ PO )ZQPHMZDFNJB %FųOJOH BOE SFQPSUJOHIZQPHMZDFNJB JO EJBCFUFT %JBCFUFT $BSF ffi fl ǰ 5IF %JBCFUFT $POUSPM BOE $PNQMJDBUJPOT 5SJBM 3FTFBSDI (SPVQ 5IF FGGFDU PG JOUFOTJWFUSFBUNFOU PG EJBCFUFT PO UIF EFWFMPQNFOU BOE QSPHSFTTJPO PG MPOHUFSN DPNQMJDBUJPOT JOJOTVMJOEFQFOEFOU EJBCFUFT NFMMJUVT / &OHM + .FE ffi fl Previous Page Previous Chapter HOME Contents Next Chapter Next Page

แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566 135ǰ 6, 1SPTQFDUJWF %JBCFUFT 4UVEZ 6,1%4 (SPVQ *OUFOTJWF CMPPEHMVDPTF DPOUSPM XJUITVMQIPOZMVSFBTPS JOTVMJODPNQBSFE XJUIDPOWFOUJPOBM USFBUNFOU BOE SJTLPG DPNQMJDBUJPOTJO QBUJFOUT XJUI UZQF EJBCFUFT 6,1%4 -BODFU ffi fl ǰ %Ĵ0SB[JP 1 #VSOFUU 38 'PHI\"OEFSTFO / +BDPCT & ,VXB , 8PMG 3 ,¾MQNBOO ,, FU BM5IF *OUFSOBUJPOBM 'FEFSBUJPO PG $MJOJDBM $IFNJTUSZ 4DJFOUJųD %JWJTJPO 8PSLJOH (SPVQ POTFMFDUJWF FMFDUSPEFT BOE QPJOU PG DBSF UFTUJOH \"QQSPWFE *'$$ 3FDPNNFOEBUJPO PO SFQPSUJOH SFTVMUT GPS CMPPE HMVDPTF \"CCSFWJBUFE $MJOJDBM $IFNJTUSZ ffi fl ǰ *OUFSOBUJPOBM )ZQPHMZDFNJB 4UVEZ (SPVQ (MVDPTF DPODFOUSBUJPOT PG MFTT UIBO NNPM- NHE- TIPVME CF SFQPSUFE JO DMJOJDBM USJBMTfl B KPJOU QPTJUJPO TUBUFNFOU PG UIF \"NFSJDBO%JBCFUFT \"TTPDJBUJPOBOE UIF&VSPQFBO \"TTPDJBUJPOGPS UIF4UVEZPG %JBCFUFT %JBCFUFT $BSFffi fl ǰ \"NFSJDBO %JBCFUFT \"TTPDJBUJPO4UBOEBSETPG NFEJDBMDBSFJO EJBCFUFTfl (MZDFNJDUBSHFUT%JBCFUFT $BSF ffi 4VQQM fl 44ǰ 'BOFMMJ $( &QJGBOP - 3BNCPUUJ \". 1BNQBOFMMJ 4 %J 7JODFO[P \" .PEBSFMMJ ' FU BM.FUJDVMPVT QSFWFOUJPOPGIZQPHMZDFNJBOPSNBMJ[FT UIFHMZDFNJD UISFTIPMETBOE NBHOJUVEFPG NPTU PG OFVSPFOEPDSJOF SFTQPOTFT UP TZNQUPNT PG BOE DPHOJUJWF GVODUJPO EVSJOHIZQPHMZDFNJB JO JOUFOTJWFMZ USFBUFE QBUJFOUT XJUI TIPSUUFSN *%%. %JBCFUFT ffifl ıǰ :BMF +' #FHH * (FSTUFJO ) )PVMEFO 3 +POFT ) .FIFVY 1 1BDBVE % $BOBEJBO%JBCFUFT \"TTPDJBUJPO $MJOJDBM 1SBDUJDF (VJEFMJOFT GPS UIF QSFWFOUJPO BOE NBOBHFNFOU PGIZQPHMZDFNJB JO EJBCFUFT $BO + %JBCFUFT ffi fl ǰ \"NFSJDBO %JBCFUFT \"TTPDJBUJPO 4UBOEBSET PG NFEJDBM DBSF JO EJBCFUFTfl 0MEFS BEVMUT%JBCFUFT $BSF ffi 4VQQM fl 44ǰǰ 1VOUIBLFF ; .JMMFS .& -BVOFS -+ 8JMMJBNTPO +% -B[BS 3. $VLJFSNBO:BGGFF 5 FU BM BOEGPS UIF \"$$03% (SPVQ PG *OWFTUJHBUPST BOE UIF \"$$03%.*/% *OWFTUJHBUPST 1PPS DPHOJUJWFGVODUJPO BOE SJTL PG TFWFSF IZQPHMZDFNJB JO UZQF EJBCFUFTfl QPTU IPD FQJEFNJPMPHJDBOBMZTJT PG UIF \"$$03% USJBM %JBCFUFT $BSF ffi flǰ .D$PZ 3( -JQTLB ,+ :BP 9 3PTT +4 .POUPSJ 7. 4IBI /% *OUFOTJWF USFBUNFOU BOE TFWFSFIZQPHMZDFNJB BNPOH BEVMUT XJUI UZQF EJBCFUFT +\".\" *OUFSO .FE ffi fl EPJflKBNBJOUFSONFEǰ 6, )ZQPHMZDBFNJB 4UVEZ (SPVQ 3JTL PG IZQPHMZDBFNJB JO UZQFT BOE EJBCFUFTfl FGGFDUTPG USFBUNFOU NPEBMJUJFT BOE UIFJS EVSBUJPO %JBCFUPMPHJB ffi fl ıǰ 8JFUIPQ #7 $SZFS 1&fl \"MBOJOF BOE UFSCVUBMJOF JO USFBUNFOU PG IZQPHMZDFNJB JO *%%.%JBCFUFT $BSF ffi fl ǰ $SZFS 1& %BWJT 4/ 4IBNPPO ) )ZQPHMZDFNJB JO EJBCFUFT %JBCFUFT $BSF ffi flǰ Previous Page Previous Chapter HOME Contents Next Chapter Next Page

136 แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566ǰ 1FBSTPO 5 (MVDBHPO BT B USFBUNFOU PG TFWFSF IZQPHMZDFNJBfl TBGF BOE FGųDBDJPVT CVUVOEFSVUJMJ[FE %JBCFUFT &EVDBUPS fl ǰ 1BUSJDL \"8 $PMMJFS \" )FQCVSO \" 4UFFENBO % $MBSLF # 3PCFSUTPO $ $PNQBSJTPO PGJOUSBNVTDVMBS HMVDBHPO BOE JOUSBWFOPVT EFYUSPTF JO UIF USFBUNFOU PG IZQPHMZDFNJB DPNBJO BO BDDJEFOU BOE FNFSHFODZ EFQBSUNFOU \"SDI &NFSH .FE ffi fl ǰ 7VLNJS 3# 1BSJT 1. :FBMZ %. (MVDBHPOfl QSFIPTQJUBM UIFSBQZ GPSIZQPHMZDFNJB \"OO&NFSH.FE ffi fl ǰ 4UFFM +. \"MMXJOLMF+ .PGųBU3 $BSSJOHUPO %+ 6TFPG -VDP[BEFBOE HMVDBHPO CZ BNCVMBODFTUBGG GPS USFBUJOH IZQPHMZDFNJB #S .FE + ffi fl ǰ #PZMF1+ +VTUJDF,,SFOU[ \"+ /BHZ3+4DIBEF %4 0DUSFPUJEFSFWFSTFTIZQFSJOTVMJOFNJB BOEQSFWFOUT IZQPHMZDFNJB JOEVDFE CZ TVMGPOZMVSFB PWFSEPTFT + $MJO &OEPDSJOPM .FUBC ffifl ǰ 1BMBUOJDL 8 8FBUIFSBMM 3$ 5FOFOCFJO . $MJOJDBM TQFDUSVN PG TVMGPOZMVSFB PWFSEPTF BOEFYQFSJFODF XJUI EJB[PYJEF UIFSBQZ \"SDI *OUFSO .FE ffi fl Previous Page Previous Chapter HOME Contents Next Chapter Next Page

แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566 137บทที่ 12การวินิจฉัย ประเมิน รักษา และป้องกันภาวะฉุกเฉินของระดับน�้าตาลในเลือดสูงในผู้ป่วยเบาหวานǰ õćüąîĞĚćêćúĔîđúČĂéÿĎÜÞčÖđÞĉîđÖĉéÝćÖøŠćÜÖć÷öĊĂĉîàĎúĉîĕöŠđóĊ÷ÜóĂøŠüöÖĆïăĂøŤēöîêšćîĂĉîàĎúĉî DPVOUFSSFHVMBUPSZ IPSNPOFT đóĉęöÿĎÜ×ċĚî ĕéšĒÖŠ HMVDBHPO DBUFDIPMBNJOFT DPSUJTPM HSPXUI IPSNPOFTđðŨîñúĔĀšÖøąïüîÖćø×ĂÜÖćøÿøšćÜîĞĚćêćúÝćÖêĆïĒúąĕê HMVDPOFPHFOFTJT đóĉęö×ċĚî øŠüöÖĆïÖćøÿúć÷ÖúĆ÷ēÙđÝî HMZDPHFOPMZTJT øüöëċÜđàúúŤêŠćÜėĕöŠÿćöćøëîĞćîĞĚćêćúĕðĔßšđðŨîóúĆÜÜćî JNQBJSFE QFSJQIFSBMHMVDPTFVUJMJ[BUJPO ìĞćĔĀšîĞĚćêćúĔîđúČĂéÿĎÜ öĊĂćÖćøÖøąĀć÷îĞĚćǰðŦÿÿćüąïŠĂ÷ÿĎâđÿĊ÷îĞĚćĒúąđÖúČĂĒøŠĂĂÖìćÜðŦÿÿćüąÿŠÜñúĔĀšîĞĚćĀîĆÖúéĂŠĂîđóúĊ÷đÿĊ÷ÿöéčúđÖúČĂĒøŠĀúć÷ßîĉéÙČĂēàđéĊ÷ö ēóĒìÿđàĊ÷ö ôĂÿđôêĒöÖîĊđàĊ÷ööĊPTNPMBMJUZ ÿĎÜ×ċĚî úéÖćøĕĀúđüĊ÷îēúĀĉêĀúŠĂđúĊĚ÷ÜìĊęĕê ÙüćöéĆîēúĀĉêêĞęćǰßĘĂÙ ĒúąđÿĊ÷ßĊüĉêĕéšÖćøüĉîĉÝÞĆ÷ĀćÿćđĀêč ĔĀšøĆÖþćĒúąêĉéêćöéĎĒúĂ÷ŠćÜĔÖúšßĉéÿćöćøëìĞćĔĀšñĎšðśü÷öĊĂćÖćøéĊ×ċĚî úéÖćøđÖĉéõćüąĒìøÖàšĂîÝĞćîüîüĆîîĂîēøÜó÷ćïćú ĒúąĂĆêøćÖćøđÿĊ÷ßĊüĉêĕéšǰ ðŦÝÝĆ÷Öøąêčšî QSFDJQJUBUJOH DBVTF ìĊęìĞćĔĀšđÖĉéõćüąîĞĚćêćúÿĎÜÞčÖđÞĉî ĕéšĒÖŠ ðŦÝÝĆ÷ìĊęìĞćĔĀšđÖĉéõćüą×ćéĂĉîàĎúĉî đßŠî Öćø×ćé÷ćđïćĀüćî ĀøČĂĕöŠøĎšüŠćđðŨîđïćĀüćîöćÖŠĂî ĒúąöĊðŦÝÝĆ÷ìĊęđóĉęöăĂøŤēöîêšćîĂĉîàĎúĉîĕéšĒÖŠ öĊÖćøêĉéđßČĚĂ đÖĉéõćüąÞčÖđÞĉî đßŠî ēøÙĀúĂéđúČĂéÿöĂÜ ēøÙÖúšćöđîČĚĂĀĆüĔÝ×ćéđúČĂé êĆïĂŠĂîĂĆÖđÿïĂćÝÿĆöóĆîíŤÖĆïøĆïðøąìćîĂćĀćøÖúčŠöÙćøŤēïĕăđéøêöćÖ ĕéšøĆï÷ćđïćĀüćîÖúčŠö 4(-5*ǰ õćüąîĞĚćêćúĔîđúČĂéÿĎÜÞčÖđÞĉî ĒïŠÜđðŨî ßîĉé ĕéšĒÖŠ îĞĚćêćúĔîđúČĂéÿĎÜßîĉé EJBCFUJD LFUPBDJEPTJT %,\"ĒúąîĞĚćêćúĔîđúČĂéÿĎÜßîĉéIZQFSHMZDFNJDIZQFSPTNPMBS TUBUF ĀøČĂIZQFSPTNPMBSIZQFSHMZDFNJDTUBUF ))4 ìĆĚÜ %,\" Ēúą ))4ĂćÝđÖĉéøŠüöÖĆîĕéšĂĊÖõćüąĀîċęÜìĊęóïĕéšöćÖ×ċĚîĔîðŦÝÝčïĆîÙČĂFVHMZDFNJD %,\"น�้าตาลในเลือดสูงชนิด Diabetic ketoacidosis (DKA)1-7ǰ đðŨîõćüąìĊęđÖĉéÝćÖøŠćÜÖć÷×ćéĂĉîàĎúĉîĂ÷ŠćÜÿĉĚîđßĉÜ BCTPMVUFJOTVMJO EFųDJFODZ đöČęĂîĞĚćêćúĔîđúČĂéÿĎÜ ĒêŠøŠćÜÖć÷ĕöŠÿćöćøëîĞćîĞĚćêćúÖúĎēÙÿĕðĔßšđðŨîóúĆÜÜćîĔîÖćøéĞćøÜßĊüĉêĕéšÝċÜöĊÖćøÿúć÷ĕ×öĆî MJQPMZTJTđóČęĂîĞćöćĔßšđðŨîóúĆÜÜćîìéĒìîîĞĚćêćú Öćøÿúć÷ĕ×öĆîìĞćĔĀšđÖĉéÖøéĕ×öĆî àċęÜëĎÖđðúĊę÷îđðŨîÿćøÙĊēêî ÿŠÜñúĔĀšñĎšðśü÷öĊĂćÖćø×ĂÜõćüąđúČĂéđðŨîÖøéÝćÖÿćøÙĊēêîÙĆęÜ Ĕîøą÷ąđüúćđðŨîßĆęüēöÜëċÜđðŨîüĆîĕéšđßŠî ÙúČęîĕÿšĂćđÝĊ÷îðüéìšĂÜ úöĀć÷ĔÝöĊÖúĉęîÙúšć÷ñúĕöš GSVJUZ CSFBUI BDFUPOF PEPS đĀîČęĂ÷ Āć÷ĔÝĀĂïúċÖ ,VTTNBVMCSFBUIJOHÿĆïÿî àċö Ă÷ŠćÜĕøÖĘéĊĒöš%,\" öĊõćüą×ćéîĞĚćđîČęĂÜÝćÖÿĎâđÿĊ÷îĞĚćĒúąđÖúČĂĒøŠìćÜðŦÿÿćüąĒêŠïćÜøć÷ĂćÝóïÙüćöéĆîēúĀĉêÿĎÜĕéš øšĂ÷úą đîČęĂÜÝćÖöĊÖćøđóĉęö×ċĚî×ĂÜăĂøŤēöîêšćîĂĉîàĎúĉîĒúą BOUJEJVSFUJDIPSNPOF \"%) ÝćÖÖćøđóĉęö×ċĚî×ĂÜ PTNPMBMJUZ Ă÷ŠćÜöćÖéšü÷ õćüąîĊĚóïöćÖĔîđïćĀüćîßîĉéìĊę ēé÷öĆÖđðŨîĂćÖćøîĞćĔîÖćøüĉîĉÝÞĆ÷đïćĀüćîÙøĆĚÜĒøÖ øšĂ÷úą Ĕî÷čēøðĒúąĂđöøĉÖćđĀîČĂ Previous Page Previous Chapter HOME Contents Next Chapter Next Page

138 แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566đÖèæŤÖćøüĉîĉÝÞĆ÷ǰ%,\"ǰ øąéĆïîĞĚćêćúĔîđúČĂé œ öÖéúǰ #MPPE CFUBIZESPYZCVUZSBUF œ NNPM- ĀøČĂ VSJOF LFUPOF œ ǰ \"SUFSJBM ĀøČĂWFOPVT Q) Œ ĀøČĂTFSVN )$0– Œ NNPM-ĒúąĂćÝóï BOJPOHBQœ NNPM-×šĂöĎúđóĉęöđêĉö×ĂÜÖćøêøüÝÿćøÙĊēêîǰıǰ CMPPE CFUBIZESPYZCVUZSBUFđðŨîÖćøêøüÝüĆéÿćøÙĊēêîĀúĆÖìĊęđÖĉé×ċĚîĔîõćüą %,\" ÝċÜÿćöćøëĔĀšÖćøüĉîĉÝÞĆ÷ìĊęĒöŠî÷Ğćǰēé÷øąéĆïìĊę œ NNPM- ëČĂđðŨîđÖèæŤìĊęïŠÜßĊĚìĊęĕüÿĞćĀøĆïÖćøüĉîĉÝÞĆ÷ %,\"Ă÷ŠćÜĕøÖĘéĊøąéĆï CMPPE CFUBIZESPYZCVUZSBUF œ NNPM- ëČĂüŠćöĊÙüćöÝĞćđóćąĔîÖćøüĉîĉÝÞĆ÷öćÖ BDDVSBDZ ıǰ VSJOF LFUPOF ĔßšüĉíĊOJUSPQSVTTJEF àċęÜđðŨîÖćøêøüÝüĆéĒïï TFNJRVBOUJUBUJWF ×ĂÜÿćøÙĊēêîßîĉéBDFUPBDFUBUFđðŨîĀúĆÖĕöŠĔßŠ CFUBIZESPYZCVUZSBUFàċęÜĂćÝìĞćĔĀšÖćøüĉîĉÝÞĆ÷ĀøČĂðøąđöĉîÙüćöøčîĒøÜ×ĂÜēøÙÙúćéđÙúČęĂîĕéš VOEFS FTUJNBUF ĀćÖøĆïðøąìćî÷ć WBMQSPJD BDJE ĀøČĂ÷ćÖúčŠöìĊęöĊTVMGIZESZM đßŠî DBQUPQSJMBDFUZMDZTUFJOF QFOJDJMMBNJOFĂćÝĔĀšñúGBMTF QPTJUJWFĕéšîĂÖÝćÖîĊĚđöČęĂõćüąđúČĂéđðŨîÖøééĊ×ċĚîĒúšü CFUBIZESPYZCVUZSBUF ÝąëĎÖ PYJEJ[FE ĕðđðŨîBDFUPBDFUBUF ëšćĔßšüĉíĊÖćøêøüÝĒïï OJUSPQSVTTJEF ĔîđúČĂéĀøČĂĔîðŦÿÿćüą ÝąóïüŠćõćüąLFUPTJT ÝąéĎĒ÷ŠúÜêøÜ×šćöÖĆïõćüąđúČĂéđðŨîÖøéìĊęéĊ×ċĚî&VHMZDFNJDǰ%JBCFUJDǰLFUPBDJEPTJTǰ đðŨîõćüąìĊęöĊđúČĂéđðŨîÖøéÝćÖÿćøÙĊēêîÙĆęÜ ĒêŠøąéĆïîĞĚćêćúĔîđúČĂéÿĎÜĕöŠöćÖ øąéĆïîĞĚćêćúĔîđúČĂéîšĂ÷ÖüŠć öÖéú óïĔîøć÷ìĊęøĆïðøąìćîÙćøŤēïĕăđéøêîšĂ÷ ĀøČĂ öĊðŦÝÝĆ÷Öøąêčšî ĕéšĒÖŠêĆĚÜÙøøõŤĕéšøĆï÷ćđïćĀüćîÖúčŠö 4(-5*đÖèæŤÖćøüĉîĉÝÞĆ÷ǰ&VHMZDFNJDǰ%,\"ǰǰ ĔßšđÖèæŤđéĊ÷üÖĆï %,\" ĒêŠøąéĆïîĞĚćêćúĔîđúČĂéîšĂ÷ÖüŠć öÖéú ĒúąöĊðŦÝÝĆ÷Öøąêčšîน�้าตาลในเลือดสูงชนิด Hyperglycemic hyperosmolar state (HHS)1-7ǰ õćüąîĊĚÿŠüîĔĀâŠđÖĉéÝćÖöĊðŦÝÝĆ÷ìĊęìĞćĔĀšăĂøŤēöîêšćîĂĉîàĎúĉîÿĎÜ×ċĚî ÿŠÜñúĔĀšøŠćÜÖć÷öĊĂĉîàĎúĉîĕöŠđóĊ÷ÜóĂĔîÖćøîĞćîĞĚćêćúđ×šćÿĎŠđàúúŤĕðĔßšđðŨîóúĆÜÜćî SFMBUJWF JOTVMJO EFųDJFODZ ĒêŠ÷ĆÜóĂöĊĂĉîàĎúĉîĔîÖćø÷Ćï÷ĆĚÜÖćøÿúć÷ĕ×öĆî ÝċÜóïîĞĚćêćúĔîđúČĂéÿĎÜĒêŠĕöŠđÖĉéÖćøÿúć÷ĕ×öĆîöćĔßšđðŨîóúĆÜÜćî ĕöŠóïÿćøÙĊēêîĒúąõćüąđúČĂéđðŨîÖøé ïćÜøć÷ĂćÝóïÙĊēêîðøĉöćèđúĘÖîšĂ÷ĕéš))4 óïøąéĆïîĞĚćêćúĔîđúČĂéÿĎÜöćÖ ÖćøÿĎâđÿĊ÷îĞĚćĒúąđÖúČĂĒøŠöćÖÖüŠć %,\" ÿŠÜñúĔĀšöĊÖćøđóĉęö×ċĚî×ĂÜøąéĆï PTNPMBMJUZ ĔîđúČĂé éĆÜîĆĚîñĎšðśü÷öĊøąéĆïÖćøøĆïøĎšúéúÜ àċöÿĆïÿî ßĆÖ õćüąîĊĚöĆÖóïĔîñĎšđðŨîđïćĀüćîßîĉéìĊę Ă÷ŠćÜĕøÖĘéĊĂćÝóïĕéšĔîđïćĀüćîßîĉéìĊę DZTUJD ųCSPTJTĀøČĂ OFPOBUBM EJBCFUFT đßŠîÖĆî Previous Page Previous Chapter HOME Contents Next Chapter Next Page

แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566 139đÖèæŤÖćøüĉîĉÝÞĆ÷ǰ))4ǰ øąéĆïîĞĚćêćúĔîđúČĂé œ öÖéúǰ &GGFDUJWF TFSVN PTNPMBMJUZ œ N0TNLHǰ #MPPE CFUBIZESPYZCVUZSBUF Œ NNPM- ĀøČĂ BCTFOU UP TNBMM LFUPOVSJBǰ 7FOPVT Q) œ ĀøČĂ TFSVN )$0– œ NNPM-แนวทางการประเมินผู้ป่วยที่มีภาวะน�้าตาลในเลือดสูงฉุกเฉินǰ ÿĆââćèßĊó ÖćøĀć÷ĔÝÖćøøĎšÿêĉðøĉöćèðŦÿÿćüąÙüćöøčîĒøÜ×ĂÜÖćø×ćéîĞĚćĒúąđÖúČĂĒøŠ đßŠî ESZNVDPVT NFNCSBOFT TVOLFOFZF CBMMT QPPS TLJOUVSHPS JODSFBTFE DBQJMMBSZSFųMM UJNFßĊóÝøđïćđøĘü ðúć÷öČĂðúć÷đìšćđ÷Ęî ÙüćöéĆîēúĀĉêêĞęćǰQPTUVSBM IZQPUFOTJPOǰ ĂćÖćø×ĂÜõćüąîĞĚćêćúĔîđúČĂéÿĎÜ đßŠî ĂŠĂîđóúĊ÷ îĞĚćĀîĆÖúé ðŦÿÿćüąïŠĂ÷ ÖøąĀć÷îĞĚćǰǰ ĂćÖćø×ĂÜÿćøÙĊēêîÙĆęÜ ĕéšĒÖŠÙúČęîĕÿšĂćđÝĊ÷î ðüéìšĂÜ úöĀć÷ĔÝöĊÖúĉęî BDFUPOFǰ ĀćÿćđĀêčìĊęÿŠÜđÿøĉöÖøąêčšîĔĀšđÖĉéõćüąîĞĚćêćúĔîđúČĂéÿĎÜÞčÖđÞĉî đßŠî ÖćøêĉéđßČĚĂ ×ćé÷ćđïćĀüćîǰ õćüąĒìøÖàšĂîÝćÖõćüąîĞĚćêćúĔîđúČĂéÿĎÜĒúąÝćÖÖćøøĆÖþćĕéšĒÖŠ đÖúČĂĒøŠñĉéðÖêĉîĞĚćêćúĔîđúČĂéêĞęćǰĀĆüĔÝđêšîñĉéÝĆÜĀüą ĕêüć÷ ĀúĂéđúČĂéĂčéêĆîìĊę×ć úĉęöđúČĂéĂčéêĆîĔîðĂé ÿöĂÜïüöÖćøêøüÝìćÜĀšĂÜðäĉïĆêĉÖćøđóČęĂüĉîĉÝÞĆ÷ēøÙĒúąðøąđöĉîÙüćöøčîĒøÜǰ $BQJMMBSZ CMPPE HMVDPTF Ēúą CMPPE HMVDPTF đóČęĂðøąđöĉîøąéĆïîĞĚćêćúĔîđúČĂé è đüúćîĆĚîǰ ðøąđöĉîõćüąÿćøÙĊēêîÙĆęÜ ëšćÿćöćøëêøüÝüĆé CMPPE CFUBIZESPYZCVUZSJD BDJE ĒîąîĞćĔĀšĔßšüĉíĊîĊĚĒêŠëšćĕöŠÿćöćøëêøüÝĕéšĂćÝĔßšVSJOF LFUPOF OJUSPQSVTTJEF SFBDUJPO NFUIPE ĒìîđóČęĂÖćøüĉîĉÝÞĆ÷ǰ #MPPE HBT FMFDUSPMZUF Ēúą BOJPO HBQ đóČęĂðøąđöĉîÙüćöøčîĒøÜ×ĂÜÙüćöđðŨîÖøééŠćÜ×ĂÜøŠćÜÖć÷ ÿćöćøëĔßšWFOPVT CMPPE HBT đîČęĂÜÝćÖ WFOPVT Q) êĞęćÖüŠć BSUFSJBM Q) đóĊ÷Ü Ă÷ŠćÜĕøÖĘéĊĔîøć÷ìĊęöĊðŦâĀćøąïïÖćøĀć÷ĔÝĀøČĂÖćøĒúÖđðúĊę÷îÖŢćà ĒîąîĞćĔßšBSUFSJBM CMPPE HBT îĂÖÝćÖîĊĚõćüąđúČĂéđðŨîÖøéĂćÝđÖĉéÝćÖÖćøÙĆęÜ×ĂÜÿćø MBDUBUF øŠüöéšü÷ĕéšēé÷đÖĉéÝćÖêĉéđßČĚĂĀøČĂÖćøúéúÜ×ĂÜÖćøĕĀúđüĊ÷îēúĀĉêïøĉđüèđîČĚĂđ÷ČęĂÿŠüîðúć÷éĆÜîĆĚîóĉÝćøèćüĆéøąéĆï MBDUBUF đöČęĂöĊõćüąéĆÜÖúŠćüǰ #6/ DSFBUJOJOF DBMDJVN BMCVNJO QIPTQIBUF Ēúą NBHOFTJVN đóČęĂðøąđöĉîÖćø×ćéîĞĚćǰÖćøìĞćÜćî×ĂÜĕêĒúąÿöéčúđÖúČĂĒøŠǰ ÖćøÿŠÜêøüÝđóĉęöđêĉöđóČęĂĀćðŦÝÝĆ÷Öøąêčšîêćö×šĂïŠÜßĊĚóĉÝćøèćÝćÖðøąüĆêĉĂćÖćøĒúąĂćÖćøĒÿéÜ×ĂÜñĎšðśü÷ĒêŠúąøć÷ đßŠî $#$ IFNPDVMUVSF BNZMBTF MBDUBUF VSJOBMZTJT VSJOF DVMUVSFDIFTU YSBZ FMFDUSPDBSEJPHSBN &,(ǰ \"$ ĀøČĂøąéĆïîĞĚćêćúÿąÿö ĕöŠĕéšßŠü÷üĉîĉÝÞĆ÷õćüąîĞĚćêćúÿĎÜÞčÖđÞĉî ĒêŠöĊðøąē÷ßîŤĔîÖćøĒ÷ÖõćüąîĞĚćêćúÿĎÜÞčÖđÞĉîÝćÖõćüąîĞĚćêćúÿĎÜđøČĚĂøĆÜǰ ÖćøóĉÝćøèćêøüÝđóĉęöđêĉöêćöÙüćöđĀöćąÿöĀúĆÜÝćÖñŠćîßŠüÜüĉÖùê đßŠî MJQJE QSPųMF 54)HMVUBNJD BDJE EFDBSCPYZMBTF BOUJCPEZ BOUJ(\"% Previous Page Previous Chapter HOME Contents Next Chapter Next Page

140 แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566êćøćÜìĊęǰ ÖćøüĉîĉÝÞĆ÷ĒúąÖćøÝĞćĒîÖßîĉé×ĂÜõćüąîĞĚćêćúĔîđúČĂéÿĎÜÞčÖđÞĉîÙüćöĒêÖêŠćÜ .JMEǰ%,\" .PEFSBUFǰ%,\" 4FWFSFǰ%,\" ))4õćüą×ćéĂĉîàĎúĉîǰ ǰ ǰ ǰ ĂćÖćø×ĂÜîĞĚćêćúĔîđúČĂéÿĎÜǰ ǰ ǰ ǰ ĂćÖćøĀĂïđĀîČęĂ÷ ÙúČęîĕÿšĂćđÝĊ÷îǰ ǰ ǰ ǰ ı,VTTNBVM CSFBUIJOH BDFUPOF PEPSǰ ǰ ǰ ǰ ıÙüćöđðúĊę÷îĒðúÜ×ĂÜõćüąøĎšÿêĉǰ \"MFSUǰ \"MFSUESPXTZǰ 4UVQPSDPNBǰ 4UVQPSDPNBøąéĆïîĞĚćêćúĔîđúČĂé öÖéúǰ œ ǰ œ ǰ œ ǰ œ ÿćøÙĊēêîĔîđúČĂéðŦÿÿćüą#MPPE CFUBIZESPYZCVUZSBUF NNPM-ǰ œ NNPM-ǰ œ NNPM-ǰ œ NNPM-ǰ ffl NNPM-ÿćøÙĊēêîĔîðŦÿÿćüąǰ ǰ ǰ ǰ ıõćüąđðŨîÖøéǰQ)ǰ ǰ ǰ ffl ǰ fi )$0 N&R-ǰ ǰ ffl ǰ ffl 10 fi \"OJPO HBQ N&R-ǰ œ 10 œ ǰ œ ǰ œ 4FSVN PTNPMBMJUZ N0TNLHǰ 7BSJBCMFǰ 7BSJBCMFǰ 7BSJBCMFǰ œ ÖćøđÿĊ÷ÿöéčúđÖúČĂĒøŠǰ ǰ ǰ ǰ ÙĞćîüè &GGFDUJWF TFSVN PTNPMBMJUZ N0TNLH ff Y NFBTVSFE TFSVN /B N&R- HMVDPTF NHEMđðŜćĀöć÷ÖćøøĆÖþćõćüąîĞĚćêćúĔîđúČĂéÿĎÜÞčÖđÞĉîǰ ĒÖšĕ×õćüą×ćéîĞĚćĒúąđÖúČĂĒøŠÙüïÙčöøąéĆïēóĒìÿđàĊ÷öĔîđúČĂéĔĀšĂ÷ĎŠĔîđÖèæŤðÖêĉǰ øĆÖþćÿöéčúÖćøĕĀúđüĊ÷îēúĀĉê ÖćøĀć÷ĔÝ ĒúąÖćøĒúÖđðúĊę÷îÖŢćàǰ úéøąéĆï PTNPMBMJUZ Ă÷ŠćÜßšć ė ðøąöćè N0TNLHISǰ úéøąéĆïîĞĚćêćúĔîđúČĂéĔîÖúĆïđðŨîðÖêĉøąéĆïîĞĚćêćúĔîđúČĂéúéúÜ öÖéúßö ēé÷ĕöŠöĊðŦâĀćîĞĚćêćúêĞęćĔîđúČĂéǰ ĒÖšĕ×õćüąÙĊēêîÙĆęÜĔĀšÖúĆïöćðÖêĉēé÷ĔĀšÙĊēêî CFUBIZESPYZCVUZSBUF úéúÜĂ÷ŠćÜîšĂ÷ NNPM-IS ÙüøêøüÝ DBQJMMBSZ CFUBIZESPYZCVUZSBUF ìĊęđðŨî QPJOU PG DBSF UFTUJOH 10$5 ëšćÿćöćøëìĞćĕéšǰ ĒÖšĕ×õćüąđúČĂéđðŨîÖøé ēé÷ĔĀšĕïÙćøŤïĂđîêđóĉęö×ċĚî NNPM-ISǰ ĀćÿćđĀêčĒúąĒÖšĕ×ðŦÝÝĆ÷ìĊęđðŨîÿćđĀêč đßŠî ĔĀš÷ćðäĉßĊüîąĔîøć÷ìĊęÿÜÿĆ÷öĊÖćøêĉéđßČĚĂǰ đòŜćøąüĆÜõćüąĒìøÖàšĂîìĆĚÜÝćÖēøÙĒúąÝćÖÖćøøĆÖþć đßŠî øąéĆïîĞĚćêćúêĞęćĔîđúČĂéđÖúČĂĒøŠñĉéðÖêĉÿöĂÜïüöĀúĆÖÖćøĔĀšÿćøîĞĚćìéĒìîǰ ÖćøĔĀšÿćøîĞĚćëČĂđðŨîÿĉęÜÿĞćÙĆâĂĆîéĆïĒøÖĔîÖćøøĆÖþćõćüąîĞĚćêćúÿĎÜÞčÖđÞĉî ÖćøĔĀšÿćøîĞĚćĒÖšĕ×Öćø×ćéîĞĚćĒúąđÖúČĂĒøŠêŠćÜ ė ÙüïÙčöÙüćöéĆîēúĀĉêĔĀšðÖêĉĒÖšĕ×õćüąđúČĂéđðŨîÖøé đóĉęöÖćøìĞćÜćî×ĂÜĂĉîàĎúĉîêŠĂđîČĚĂđ÷ČęĂÿŠüîðúć÷ úéõćüąéČĚĂĂĉîàĎúĉî úéÖćøĀúĆęÜăĂøŤēöîêšćîĂĉîàĎúĉî đóĉęöÿćøîĞĚćĕðĀúŠĂđúĊĚ÷ÜìĊęĕê đóĉęöÖćø×Ćï Previous Page Previous Chapter HOME Contents Next Chapter Next Page

แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566 141îĞĚćêćúĂĂÖìćÜðŦÿÿćüą øüöëċÜÿćöćøëúéøąéĆïîĞĚćêćúĔîđúČĂéĕéšðøąöćè öÖéú Ēöš÷ĆÜĕöŠĕéšĔĀšÖćøøĆÖþćéšü÷ĂĉîàĎúĉîÖĘêćö ÖćøĔĀšÿćøîĞĚćĔîõćüą %,\" Ēúą ))4 öĊÙüćöĒêÖêŠćÜÖĆîïćÜðøąÖćøĕéšĒÖŠ ðøĉöćèÿćøîĞĚćìĊęĔĀšìéĒìî đüúćĔîÖćøđøĉęöĂĉîàĎúĉî ĒúąÖćøđòŜćêĉéêćöøąéĆïēàđéĊ÷öĔîđúČĂé ))4 öĊÖćøÿĎâđÿĊ÷îĞĚćöćÖÖüŠć%,\" ēé÷ %,\" öĊÖćøÿĎâđÿĊ÷îĞĚćēé÷đÞúĊę÷ úĉêø öúÖÖ ÿĎâđÿĊ÷ēàđéĊ÷ö NNPMÖÖ ÿŠüî ))4ÿĎâđÿĊ÷îĞĚćēé÷đÞúĊę÷ öúÖÖ ēàđéĊ÷ö NNPMÖÖ ÖćøĔĀšÿćøîĞĚćìéĒìîĒîąîĞćéĆÜîĊĚǰ ǰ ĀćÖñĎšðśü÷öĊõćüąßĘĂÙÝćÖÖćø×ćéîĞĚćøčîĒøÜ ēé÷ìĊęÖćøìĞćÜćî×ĂÜĀĆüĔÝðÖêĉĔĀšJTPUPOJD TBMJOFTPMVUJPO /B$M öúĔîđüúć îćìĊĀøČĂ öúÖÖ úĉêø Ĕî ßĆęüēöÜĒøÖǰ ǰ ĀćÖñĎšðśü÷ĕöŠöĊõćüąßĘĂÙ óĉÝćøèćßîĉé×ĂÜÿćøîĞĚćĒúąĂĆêøćÖćøĔĀšÿćøîĞĚćǰéĆÜêŠĂĕðîĊĚǰ ßîĉé×ĂÜÿćøîĞĚćǰ đøĉęöÖćøĔĀšÿćøîĞĚćéšü÷ /B$M öúÖÖßö ĀøČĂðøąöćè úĉêøĀ÷éđ×šćĀúĂéđúČĂééĞćõć÷Ĕî ßĆęüēöÜĒøÖ ÝćÖîĆĚîđúČĂÖßîĉé×ĂÜÿćøîĞĚć×üéêŠĂĕð ēé÷óĉÝćøèćÝćÖÙüćöéĆîēúĀĉê øąéĆïēàđéĊ÷öĔîđúČĂé ðøĆïĒÖšøąéĆïēàđéĊ÷öĔîđúČĂéìĊęêøüÝĕéšÝćÖĀšĂÜðäĉïĆêĉÖćøéšü÷ÿöÖćø DPSSFDUFETFSVN TPEJVN ff NFBTVSFE TPEJVN < HMVDPTFı> ĒúąðøĉöćèðŦÿÿćüą ÖćøĔĀšÿćøúąúć÷JTPUPOJD TBMJOF Ă÷ŠćÜêŠĂđîČęĂÜĔîðøĉöćèöćÖĒúąđøĘüđÖĉîĕð đÖĉéÙüćöđÿĊę÷ÜêŠĂÖćøđÖĉéÿöĂÜïüö ĀĆüĔÝüć÷îĞĚćìŠüöðĂé ĒúąđúČĂéđðŨîÖøéßîĉé OPOBOJPO HBQ IZQFSDIMPSFNJD BDJEPTJT ĕéšēé÷öĊÖćøýċÖþćøć÷ÜćîÖćøĔßšÿćøîĞĚćßîĉéĂČęîĒìî /B$M êćøćÜìĊę đóČęĂðŜĂÜÖĆîÖćøĕéšøĆï DIMPSJEF ðøĉöćèöćÖđÖĉîĕð îĂÖÝćÖîĊĚÖćøýċÖþć×ĂÜ 4\"-5&% BOE 4.\"35 5SJBMT ĔîñĎšðśü÷ øć÷ óïüŠć CBMBODFE DSZTUBMMPJET -BDUBUF3JOHFSÿćöćøëúéõćüąéČĚĂĂĉîàĎúĉî úéøą÷ąđüúćÖćøĔĀšĂĉîàĎúĉîìćÜĀúĂéđúČĂééĞćǰĒúąĒÖšĕ×õćüąđúČĂéđðŨîÖøéĕéšđøĘüÖüŠć ñĎšðśü÷Āć÷ÝćÖõćüą %,\" ĕéšđøĘüÖüŠćÖćøĔĀšÿćøîĞĚćßîĉé JTPUPOJD TBMJOFĂĆêøćÖćøĔĀšÿćøîĞĚćĀúĆÜÝćÖßĆęüēöÜĒøÖ ĀćÖÙüćöéĆîēúĀĉêêĞęćĀøČĂöĊõćüąēàđéĊ÷öêĞęćĔîđúČĂéÙüøĔĀšÿćøîĞĚćêŠĂéšü÷ JTPUPOJD TBMJOF TPMVUJPO /B$M ĔîĂĆêøć öúßö ÝîÖøąìĆęÜøąéĆïēàđéĊ÷öĔîđúČĂéÖúĆïöćðÖêĉĀøČĂÙüćöéĆîēúĀĉêđðŨîðÖêĉëšćĀćÖÙüćöéĆîēúĀĉêðÖêĉĒúąēàđéĊ÷öĔîđúČĂéðÖêĉĀøČĂÿĎÜ ÙüøĔĀšÿćøîĞĚćêŠĂéšü÷ IBMG TBMJOF TPMVUJPO /B$M ĔîĂĆêøć öúßö ēé÷ĂĆêøćÖćøĔĀšÿćøîĞĚć×ċĚîĂ÷ĎŠÖĆïĂćÖćø ÿĆââćèßĊó ðøĉöćèðŦÿÿćüąĒúąñúìćÜĀšĂÜðäĉïĆêĉÖćø×ĂÜñĎšðśü÷ĒêŠúąøć÷ ÙüøøąüĆÜÖćøĔĀšÿćøîĞĚćĔîøć÷ìĊęöĊÙüćöđÿĊę÷ÜêŠĂÖćøđÖĉéîĞĚćìŠüöðĂé đßŠî ĀĆüĔÝúšöđĀúü ĀøČĂ ĕêüć÷êćøćÜìĊęǰ ĒÿéÜÙüćöĒêÖêŠćÜ×ĂÜßîĉé×ĂÜÿćøîĞĚćßîĉéÿćøîĞĚćǰ Q) /B , $M )$0 $B 0TNPMBSJUZ /B$Mǰ ǰ ǰ ǰ ǰ ǰ ǰ /B$Mǰ ǰ ǰ ǰ ǰ ǰ ǰ -BDUBUF 3JOHFSǰ ǰ ǰ ǰ ǰ ǰ ǰ ǰ ǰ đöČęĂøąéĆïîĞĚćêćúĔîđúČĂéúéúÜëċÜ öÖéú ÙüøđðúĊę÷îđðŨîÿćøîĞĚćìĊęöĊîĞĚćêćúđðŨîÿŠüîðøąÖĂï EFYUSPTF Ĕî /B$M đóČęĂðŜĂÜÖĆîÖćøđÖĉéõćüąîĞĚćêćúêĞęćĔîđúČĂé ĔĀšĔîĂĆêøć öúßöēé÷×ċĚîÖĆïĂćÖćø ÿĆââćèßĊó ĒúąðøĉöćèðŦÿÿćüą×ĂÜñĎšðśü÷ĒêŠúąøć÷ Previous Page Previous Chapter HOME Contents Next Chapter Next Page

142 แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566ǰ ǰ ĀćÖñĎšðśü÷öĊøąéĆïîĞĚćêćúĔîđúČĂééĊ×ċĚî ĕéšøĆïÖćøđðúĊę÷îĂĉîàĎúĉîìćÜĀúĂéđúČĂééĞćđðŨîÞĊéđ×šćĔêšñĉüĀîĆÜÿćöćøëĔĀšÿćøîĞĚćìéĒìîêŠĂđîČęĂÜēé÷ĔĀšéČęöîĞĚćĕéšĒêŠĀćÖ÷ĆÜéČęöîĞĚćĀøČĂøĆïðøąìćîĂćĀćøìćÜðćÖĕéšĕöŠéĊóĉÝćøèćĔĀšĂĉîàĎúĉîĒúąÿćøîĞĚćìćÜĀúĂéđúČĂééĞćêŠĂĕðÖŠĂîǰ ǰ ĔîñĎšðśü÷ìĊęüĉîĉÝÞĆ÷&VHMZDFNJD %,\" óĉÝćøèćĔĀšÿćøîĞĚćìĊęöĊ EFYUSPTFñÿöĂ÷ĎŠêĆĚÜĒêŠđøĉęöĔĀšÖćøøĆÖþćĀúĆÖÖćøĔĀšēóĒìÿđàĊ÷öǰ ĂćÝóïøąéĆïēóĒìÿđàĊ÷öêĞęćĔîõćüąîĞĚćêćúĔîđúČĂéÿĎÜÞčÖđÞĉî đîČęĂÜÝćÖ ÖćøøĆïðøąìćîĂćĀćøĕéšîšĂ÷öĊÖćøĂćđÝĊ÷î ĒúąÖćøÿĎâđÿĊ÷ēóĒìÿđàĊ÷öĂĂÖìćÜðŦÿÿćüą ÝćÖÖúĕÖ PTNPUJD EJVSFTJT Ēúą TFDPOEBSZIZQFSBMEPTUFSPOJTN Ă÷ŠćÜĕøÖĘéĊìĆĚÜ %,\" Ēúą ))4 øąéĆïēóĒìÿđàĊ÷öĔîđúČĂéĂćÝ êĞęćǰ ðÖêĉĀøČĂÿĎÜĕéšđîČęĂÜÝćÖÖćø×ćéĂĉîàĎúĉî Öćøđóĉęö×ċĚî×ĂÜ PTNPMBMJUZ ĒúąõćüąđúČĂéđðŨîÖøé ìĞćĔĀšēóĒìÿđàĊ÷öđÙúČęĂîĂĂÖÝćÖđàúúŤđöČęĂĒÖšĕ×õćüą×ćéîĞĚćĒúąĔĀšÖćøøĆÖþćõćüąîĞĚćêćúÿĎÜéšü÷ÿćøîĞĚćĒúąĂĉîàĎúĉî ìĞćĔĀšēóĒìÿđàĊ÷öđÙúČęĂîêĆüÖúĆïđ×šćĕðĔîđàúúŤÿŠÜñúĔĀšēóĒìÿđàĊ÷öĔîđúČĂéêĞęćǰĒúąđÖĉéñúÖøąìïêŠĂÖćøìĞćÜćî×ĂÜĀĆüĔÝĕéšéĆÜîĆĚî ÖŠĂîĔĀšĂĉîàĎúĉîđóČęĂúéøąéĆïîĞĚćêćúĔîđúČĂé ÙüøĒÖšĕ×ĔĀšøąéĆïēóĒìÿđàĊ÷öĔîđúČĂéĂ÷ĎŠĔîđÖèæŤ NNPM- ÖŠĂîéĆÜîĊĚıǰ øąéĆï , Œ NNPM-ĔĀšĒÖšĕ×õćüąēóĒìÿđàĊ÷öêĞęćÖŠĂîĔĀšÖćøøĆÖþćéšü÷ĂĉîàĎúĉî ēé÷ĔĀšĔîĂĆêøć,$M NNPM êŠĂÿćøîĞĚćǰ úĉêøıǰ øąéĆï , NNPM- ĔĀšĔîĂĆêøć ,$M NNPM êŠĂÿćøîĞĚćǰ úĉêøıǰ øąéĆï , œ NNPM- Ā÷čéÖćøĔĀšēóĒìÿđàĊ÷öĒúąêøüÝêĉéêćöøąéĆïēóĒìÿđàĊ÷öìčÖ ßĆęüēöÜǰ ÙüøóĉÝćøèćĔĀšēóĒìÿđàĊ÷öĔîøć÷ìĊęöĊðŦÿÿćüąĂĂÖ ĒêŠĔîøć÷ìĊęĕêüć÷ ĀøČĂðŦÿÿćüąĂĂÖðøĉöćèîšĂ÷ÙüøđòŜćêĉéêćöøąéĆïēóĒìÿđàĊ÷öĔîđúČĂéĂ÷ŠćÜĔÖúšßĉé îĂÖÝćÖîĊĚÖćøĔĀšēóĒìÿđàĊ÷öìéĒìîìĊęđðŨîēóĒìÿđàĊ÷öÙúĂĕøéŤÙüøĀúĊÖđúĊę÷ÜĔîøć÷ìĊęöĊõćüąIZQFSDIMPSFNJD NFUBCPMJDBDJEPTJTĒîąîĞćĔĀšĔßšēóĒìÿđàĊ÷öôĂÿđôêĒìîëšćĕöŠöĊõćüąĕêüć÷ĀúĆÖÖćøĔĀšĂĉîàĎúĉîǰ ĂĉîàĎúĉî ĂĂÖùìíĉĝĔĀšđîČĚĂđ÷ČęĂÿŠüîðúć÷îĞćîĞĚćêćúđ×šćđàúúŤĕðĔßšđðŨîóúĆÜÜćî úéÖćøÿúć÷ÖúĆ÷ēÙđÝîĒúąÖćøÿøšćÜîĞĚćêćúÝćÖêĆï ÿŠÜñúĔĀšúéøąéĆïîĞĚćêćúĔîđúČĂé úéÖćøÿøšćÜÿćøÙĊēêî ĒúąõćüąđúČĂéđðŨîÖøé ÖćøĔĀšĂĉîàĎúĉî ÙüøđøĉęöĀúĆÜÝćÖĔĀšÿćøîĞĚćĒúšüđðŨîøą÷ąđüúćĕöŠîšĂ÷ÖüŠć ßĆęüēöÜ ÖćøñÿöĂĉîàĎúĉî îĉ÷öñÿöĔî /B$MĂĆêøćÿŠüî SFHVMBS JOTVMJO÷ĎîĉêêŠĂÿćøúąúć÷ /B$M öú fl đßŠî 3* VOJUñÿöĔî /B$M öú Ā÷éìćÜĀúĂéđúČĂééĞćēé÷êŠĂÖĆïđÙøČęĂÜ JOGVTJPO QVNQ ÖŠĂîĔĀšĂĉîàĎúĉîÙüøðúŠĂ÷îĞĚćìĊęñÿöĂĉîàĎúĉîìĉĚÜðøąöćè öú đîČęĂÜÝćÖĂĉîàĎúĉîÝĆïÖĆïÿć÷îĞĚćđÖúČĂĂĆêøćÖćøĔĀšĂĉîàĎúĉîßîĉéĀ÷éìćÜĀúĂéđúČĂééĞćǰöĊ üĉíĊéĆÜîĊĚıǰ 3FHVMBS JOTVMJO ÷ĎîĉêÖÖ ÞĊéđ×šćìćÜĀúĂéđúČĂééĞćǰĒúąĔĀšêŠĂéšü÷ĂĆêøć ÷ĎîĉêÖÖßöĀ÷éđ×šćìćÜĀúĂéđúČĂééĞćǰüĉíĊîĊĚđĀöćąĔîøć÷ìĊęĕöŠöĊúĆÖþèą×ĂÜõćüąéČĚĂĂĉîàĎúĉî ĒêŠöĊîĞĚćêćúĔîđúČĂéÿĎÜöćÖ Ă÷ŠćÜĕøÖĘéĊÖćøĔĀšSFHVMBS JOTVMJO ÷ĎîĉêÖÖ ÞĊéđ×šćìćÜĀúĂéđúČĂééĞćǰĂćÝìĞćĔĀš Previous Page Previous Chapter HOME Contents Next Chapter Next Page

แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566 143PTNPMBMJUZ úéúÜđøĘüđÖĉîĕð àċęÜĂćÝđÖĉéðŦâĀćÙüćöéĆîēúĀĉêêĞęćǰøąéĆïîĞĚćêćúĔîđúČĂéêĞęćǰ ĀøČĂēóĒìÿđàĊ÷öĔîđúČĂéêĞęćĕéšıǰ 3FHVMBS JOTVMJO÷ĎîĉêÖÖßö Ā÷éđ×šćìćÜĀúĂéđúČĂééĞćǰđĀöćąĔîøć÷ìĊęĂšüî öĊúĆÖþèą×ĂÜõćüąéČĚĂĂĉîàĎúĉî đîČęĂÜÝćÖêšĂÜÖćøĔßš×îćéĂĉîàĎúĉîìĊęÿĎÜıǰ 3FHVMBS JOTVMJO ÷ĎîĉêÖÖßö Ā÷éđ×šćìćÜĀúĂéđúČĂééĞćóøšĂöÖĆïĔĀšMPOHBDUJOH CBTBMJOTVMJO ×îćéđéĉöìĊęđìŠćñĎšðśü÷đÙ÷ĔßšĂ÷ĎŠ đßŠî /1) HMBSHJOF ĀøČĂ EFHMVEFD đðŨîêšî ĀøČĂ ÷ĎîĉêÖÖ ĀćÖĕöŠđÙ÷ĔßšCBTBM JOTVMJO öćÖŠĂîǰ đðŜćĀöć÷×ĂÜøąéĆïîĞĚćêćúĔîđúČĂéÙüøĂ÷ĎŠĔîßŠüÜ öÖéú ēé÷úéøąéĆïîĞĚćêćúĔîđúČĂéúÜßĆęüēöÜúą öÖéú đóČęĂøĆÖþćÿöéčú×ĂÜĂĂÿēöúćĒúąđÖúČĂĒøŠøąĀüŠćÜđúČĂéĒúąîĞĚćĕ×ÿĆîĀúĆÜĔîÿöĂÜ ÖćøúéøąéĆïîĞĚćêćúĔîđúČĂéđøĘüđÖĉîĕð ÿŠÜñúĔĀšøąéĆïîĞĚćêćúĔîđúČĂéêĞęćǰ ĀøČĂēóĒìÿđàĊ÷öĔîđúČĂéêĞęćĕéšĂ÷ŠćÜĕøÖĘêćöĀćÖøąéĆïîĞĚćêćúĔîđúČĂéúéúÜĕöŠëċÜøšĂ÷úąĔîßĆęüēöÜĒøÖĂćÝóĉÝćøèćĔĀšSFHVMBS JOTVMJO÷ĎîĉêÖÖÞĊéđ×šćìćÜĀúĂéđúČĂééĞćĔîđüúć îćìĊĂĊÖÙøĆĚÜĕéšđóČęĂĔĀšøąéĆïîĞĚćêćúúéúÜêćöđðŜćĀöć÷đøĘü×ċĚî ëšćøąéĆïîĞĚćêćúĀúĆÜÝćÖîĆĚîĕöŠĕéšúéúÜêćöđðŜćĀöć÷ îĞĚćêćúĔîđúČĂéúéúÜ Œ öÖéúßö ĀøČĂ CMPPE LFUPOF úéúÜîšĂ÷ÖüŠć NNPM-IS ĀøČĂWFOPVT CJDBSCPOBUFđóĉęö×ċĚîîšĂ÷ÖüŠć NNPM-IS ĔĀšóĉÝćøèćüŠć÷ĆÜöĊõćüą×ćéîĞĚćĀøČĂÿć÷ìĊęĔĀšĂĉîàĎúĉîöĊÖćøĂčéêĆîĀøČĂĕöŠ ëšćĕöŠöĊõćüąéĆÜÖúŠćüĔĀšđóĉęöĂĉîàĎúĉîĀ÷éđ×šćìćÜĀúĂéđúČĂééĞćìčÖßĆęüēöÜ ēé÷đóĉęöĂ÷ŠćÜîšĂ÷÷ĎîĉêßöÝîÖüŠćøąéĆïîĞĚćêćúĔîđúČĂéúéúÜĕéšêćöđðŜćĀöć÷ĒúąđöČęĂøąéĆïîĞĚćêćúĔîđúČĂéúéúÜëċÜ öÖéú Ùüøúé×îćé×ĂÜĂĉîàĎúĉîúÜđĀúČĂ ÷ĎîĉêÖÖßö đóČęĂðŜĂÜÖĆîÖćøđÖĉéøąéĆïîĞĚćêćúĀøČĂēóĒìÿđàĊ÷öĔîđúČĂéêĞęćǰ ÖćøðøĆï×îćéĂĉîàĎúĉî óĉÝćøèćÝćÖĀúć÷ðŦÝÝĆ÷ĕéšĒÖŠĂĆêøćÖćøúéúÜ×ĂÜøąéĆïîĞĚćêćú×ĂÜñĎšðśü÷ĒêŠúąøć÷ õćüąéČĚĂĂĉîàĎúĉî ÿĎÜĂć÷čöĊēøÙĕêøŠüö øüöëċÜÖćøøĆïðøąìćîĂćĀćøĀøČĂÖćøÜéĂćĀćøøć÷ìĊęöĊÖćøìĞćÜćî×ĂÜĕêïÖóøŠĂÜĀøČĂĕêüć÷đøČĚĂøĆÜ ĒîąîĞćĔĀšđøĉęö×îćéĂĉîàĎúĉîÙøċęÜĀîċęÜ×ĂÜ×îćéìĊęĒîąîĞćĔîïčÙÙúìĆęüĕð đßŠî SFHVMBSJOTVMJO Ā÷éđ×šćĀúĂéđúČĂééĞćǰ×îćé÷ĎîĉêÖÖßöĒúąĀ÷čéĂĉîàĎúĉîđöČęĂîĞĚćêćúĔîđúČĂéêĞęćÖüŠć öÖéú đóČęĂúéÙüćöđÿĊę÷ÜêŠĂÖćøđÖĉéîĞĚćêćúĔîđúČĂéêĞęćǰĀøČĂÿöĂÜïüö×šĂöĎúđóĉęöđêĉöıǰ ÖćøĔßšJOTVMJO QSPUPDPM ēé÷ EJBCFUFT NBOBHFNFOU TPGUXBSF öĊĀúĆÖåćîüŠćßŠü÷ïčÙúćÖøìćÜÖćøĒóì÷ŤĔĀšÙüïÙčöøąéĆïîĞĚćêćúĔîđúČĂé×ĂÜñĎšðśü÷ĕéšéĊ×ċĚîıǰ ÖćøĔĀšSBQJEBDUJOH JOTVMJO BOBMPH BTQBSU HMVMJTJOF MJTQSP ßîĉéÞĊéđ×šćĔêšñĉüĀîĆÜ ĂćÝĔßšĔîøć÷ìĊęđðŨî NJME ëċÜ NPEFSBUF %,\" ìĊęöĊõćüąøĎšÿêĉĒúąÙüćöéĆîēúĀĉêðÖêĉđøĉęöĔĀšĔî×îćé÷ĎîĉêÖÖÞĊéđ×šćĔêšñĉüĀîĆÜêćöéšü÷÷ĎîĉêÖÖ ìčÖßĆęüēöÜÝîÖøąìĆęÜîĞĚćêćúĔîđúČĂéúéúÜêĞęćÖüŠć öÖéúıǰ øć÷ìĊęêĉéđßČĚĂēÙüĉé ìĊęĂćÖćøĕöŠøčîĒøÜĂćÝĔĀšSBQJEBDUJOH JOTVMJOBOBMPHßîĉéÞĊéđ×šćĔêšñĉüĀîĆÜ×îćé ÷ĎîĉêÖÖ ìčÖ ßĆęüēöÜ Ēúąúé×îćéúÜđĀúČĂ ÷ĎîĉêÖÖ ìčÖ ßĆęüēöÜ đöČęĂîĞĚćêćúĔîđúČĂéúéúÜêĞęćÖüŠć öÖéúıǰ ĀćÖĕöŠÿćöćøëĔĀšĂĉîàĎúĉîìćÜĀúĂéđúČĂééĞćĕéšĔîđüúćìĊęêšĂÜÖćø óĉÝćøèćĔĀšĂĉîàĎúĉîßîĉéÞĊéđ×šćÖúšćö ÷ĎîĉêÖÖ ìĆîìĊ TUBU EPTF ĕéš Previous Page Previous Chapter HOME Contents Next Chapter Next Page

144 แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566ĀúĆÖÖćøøĆÖþćõćüąđúČĂéđðŨîÖøéǰ ÖćøĔĀšĕïÙćøŤïĂđîê Ĕîõćüą TFWFSF NFUBCPMJD BDJEPTJT ĂćÝÖŠĂĔĀšđÖĉéñúđÿĊ÷Āúć÷ðøąÖćø ĕéšĒÖŠēàđéĊ÷öĔîđúČĂéÿĎÜ ēóĒìÿđàĊ÷öĔîđúČĂéêĞęćǰÿöĂÜïüö đðŨîêšî éĆÜîĆĚî ĒîąîĞćĔĀšĕïÙćøŤïĂđîê đöČęĂöĊõćüąđúČĂéđðŨîÖøéĂ÷ŠćÜöćÖ BSUFSJBMWFOPVT Q) Œ đìŠćîĆĚî ēé÷ðäĉïĆêĉéĆÜîĊĚĔĀš/B)$0 öú Ēúą ,$M N&R ĀćÖ TFSVN , Œ N&R- ñÿöĔî TUFSJMF XBUFS ĀøČĂ %8 öú Ā÷éđ×šćĀúĂéđúČĂééĞćĔîøą÷ąđüúć ßĆęüēöÜ ĒúąóĉÝćøèćĔĀšàĞĚćĕéšÝîÖøąìĆęÜ WFOPVT Q) œ ĀúĆÖÖćøĔĀšôĂÿđôêǰ ÖćøĔĀšôĂÿđôêĔîõćüą IZQPQIPTQIBUFNJB ĂćÝÿŠÜñúĔĀšđÖĉéðŦâĀćĒÙúđàĊ÷öĔîđúČĂéêĞęćĕéšéĆÜîĆĚîĒîąîĞćĔĀšôĂÿđôêđöČęĂøąéĆï TFSVN QIPTQIBUF Œ öÖéú đóČęĂðŜĂÜÖĆîÖćøđÖĉéÙüćöúšöđĀúü×ĂÜøąïïĀć÷ĔÝĀøČĂÖćø×îÿŠÜĂĂÖàĉđÝîĕð÷ĆÜđîČĚĂđ÷ČęĂÿŠüîðúć÷ĒñîõĎöĉìĊęǰ ÿøčðĒîüìćÜĔîÖćøøĆÖþćõćüąîĞĚćêćúĔîđúČĂéÿĎÜÞčÖđÞĉîĔîñĎšðśü÷đïćĀüćîĒîüìćÜÖćøêĉéêćöÖćøøĆÖþćıǰ ĂćÖćøĒúąĂćÖćøĒÿéÜ×ĂÜîĞĚćêćúĔîđúČĂéÿĎÜÞčÖđÞĉî đßŠî ÖćøĀć÷ĔÝ ÿĆââćèßĊóıǰ ðøĉöćèðŦÿÿćüąıǰ êøüÝîĞĚćêćúðúć÷îĉĚü ìčÖ ßĆęüēöÜ ĀćÖîĞĚćêćúðúć÷îĉĚüÿĎÜÝîüĆéÙ Šćĕö ŠĕéšĔĀšđÝćąđúČĂéÝćÖĀúĂéđúČĂééĞćđóČęĂüĆéøąéĆïîĞĚćêćúĔîđúČĂé ëšćìĞćĕéšóĉÝćøèćêøüÝ DBQJMMBSZ LFUPOF Previous Page Previous Chapter HOME Contents Next Chapter Next Page

แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566 145 CFUBIZESPYZCVUZSBUF ìĊęđðŨî 10$5 ìčÖ ßĆęüēöÜıǰ êøüÝêĉéêćö WFOPVT Q) CMPPE LFUPOF FMFDUSPMZUF BOJPO HBQ ìčÖ ßĆęüēöÜ ĀøČĂ×ċĚîÖĆïĂćÖćøĒúąÙüćöøčîĒøÜ×ĂÜñĎšðśü÷ǰ ēé÷ÿŠüîĔĀâŠĀúĆÜĔĀšÖćøøĆÖþćõćüąîĞĚćêćúÿĎÜÞčÖđÞĉî øąéĆïîĞĚćêćúĔîđúČĂéÝąÖúĆïöćđðŨîðÖêĉĔîøą÷ąđüúćĕöŠđÖĉî ßĆęüēöÜ ēé÷×îćéĂĉîàĎúĉîìĊęĔßšĀ÷éìćÜĀúĂéđúČĂééĞćöĆÖĕöŠđÖĉî ÷ĎîĉêÖÖßöđÖèæŤÖćøóĉÝćøèćÖćøĀć÷ÝćÖõćüąǰ%,\"øąéĆïîĞĚćêćú Œ öÖéú øŠüöÖĆï ×šĂêŠĂĕðîĊĚıǰ ÙüćöđðŨîÖøééŠćÜðÖêĉĀøČĂ Q) œ ıǰ )$0– œ N&R-ıǰ \"OJPO HBQ Œ N&R-ǰ ëšćêøüÝøąéĆïÙĊēêîĔîđúČĂé ñúÙüøðÖêĉøąéĆï CFUBIZESPYZCVUZSBUF ffl NNPM-đÖèæŤÖćøóĉÝćøèćÖćøĀć÷ÝćÖõćüąǰ))4ǰ øąéĆïîĞĚćêćúĔîđúČĂé Œ öÖéú Ēúą PTNPMBMJUZ ðÖêĉÿŠüîøąéĆïÙüćöøĎšÿêĉÖúĆïÿĎŠõćüąðÖêĉĔîñĎšÿĎÜĂć÷čĂćÝÝąĔßšđüúćîćîÖüŠćǰ ĀúĆÜÝćÖóĉÝćøèćüŠćĀć÷ÝćÖõćüą %,\" ĀøČĂ ))4 ĒúšüÿćöćøëđðúĊę÷îĂĉîàĎúĉîìćÜĀúĂéđúČĂééĞćđðŨîÞĊéđ×šćĔêšñĉüĀîĆÜĕéšĀúĆÖÖćøđðúĊę÷îĂĉîàĎúĉîßîĉéĀ÷éìćÜĀúĂéđúČĂééĞćđðŨîĂĉîàĎúĉîßîĉéÞĊéđ×šćĔêšñĉüĀîĆÜǰıǰ đüúćìĊęđĀöćąÿöĔîÖćøđøĉęöĂĉîàĎúĉîßîĉéÞĊéđ×šćĔêšñĉüĀîĆÜ ÙČĂ ÖŠĂîöČĚĂĂćĀćøıǰ ÖćøđúČĂÖßîĉé×ĂÜĂĉîàĎúĉîÞĊéđ×šćĔêšñĉüĀîĆÜ óĉÝćøèćđðŨîøć÷ïčÙÙú ĕéšĒÖŠ CBTBM JOTVMJO ÙüïÙĎŠÖĆïSFHVMBS JOTVMJO ĀøČĂ SBQJEBDUJOH JOTVMJOıǰ ×îćé÷ćÞĊéĂĉîàĎúĉîêŠĂüĆî UPUBM EBJMZ EPTF5%% Ĕßš÷ĎîĉêÖÖüĆî ēé÷ĒïŠÜÙøċęÜĀîċęÜ×ĂÜ5%% đðŨî CBTBM JOTVMJO ĒúąĂĊÖÙøċęÜĀîċęÜ×ĂÜ 5%% ĒïŠÜĔĀšđìŠć ė ÖĆîđðŨî QSFNFBM JOTVMJOıǰ đóČęĂðŜĂÜÖĆîøąéĆïîĞĚćêćúĔîđúČĂéÖúĆïÿĎÜ×ċĚîĂĊÖ ÙüøĀ÷čéĂĉîàĎúĉîßîĉéĀ÷éđ×šćĀúĂéđúČĂééĞćĒúąÿćøîĞĚćǰĀúĆÜÝćÖÞĊéĂĉîàĎúĉîßîĉéĂĂÖùìíĉĝÿĆĚîđ×šćĔêšñĉüĀîĆÜĒúšüđðŨîøą÷ąđüúćĂ÷ŠćÜîšĂ÷ îćìĊÖŠĂîöČĚĂĂćĀćøıǰ ĀćÖđðŨîñĎšðśü÷đïćĀüćîìĊęđÙ÷øĆÖþćéšü÷ NVMUJQMF EBJMZ JOTVMJO JOKFDUJPO öćÖŠĂîĀîšć ÿćöćøëđðúĊę÷îđðŨîĂĉîàĎúĉîßîĉéĒúą×îćéđéĉöĕéšıǰ üĆéøąéĆïîĞĚćêćúðúć÷îĉĚüđðŨîøą÷ą đóČęĂđòŜćøąüĆÜîĞĚćêćúêĞęćĀøČĂÿĎÜöćÖđÖĉîÖćøðŜĂÜÖĆîÖćøđÖĉéõćüąîĞĚćêćúÿĎÜÞčÖđÞĉîǰ ÿøšćÜÙüćöêøąĀîĆÖĔîÖćøÙĆéÖøĂÜēøÙđïćĀüćî Ĕîøć÷ìĊę÷ĆÜĕöŠđÙ÷ĕéšøĆïÖćøüĉîĉÝÞĆ÷ēé÷đÞóćąĀćÖöĊĂćÖćø×ĂÜîĞĚćêćúĔîđúČĂéÿĎÜ đßŠî ðŦÿÿćüąïŠĂ÷ ðŦÿÿćüąÖúćÜÙČî ðŦÿÿćüąøéìĊęîĂî ÖøąĀć÷îĞĚćǰîĞĚćĀîĆÖúé ĂŠĂîđóúĊ÷ đóČęĂĔĀšüĉîĉÝÞĆ÷ĕéšêĆĚÜĒêŠĒøÖđøĉęö Previous Page Previous Chapter HOME Contents Next Chapter Next Page

146 แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566ǰ ĔĀšÙüćöøĎšÙüćöđ×šćĔÝĔîđøČęĂÜēøÙđïćĀüćî ÖćøéĎĒúêîđĂÜđóČęĂÙüïÙčöøąéĆïîĞĚćêćúĔîđúČĂéĔĀšĕéšêćöđðŜćĀöć÷ ēé÷đÞóćąĔîßŠüÜìĊęđÝĘïðśü÷ TJDL EBZ NBOBHFNFOU ÿćöćøëĒÖšĕ×õćüąîĞĚćêćúĔîđúČĂéÿĎÜđïČĚĂÜêšîĕéšéšü÷êĆüđĂÜ đóČęĂðŜĂÜÖĆîõćüąĒìøÖàšĂîǰ øĆïðøąìćî÷ćđïćĀüćîĒúąÞĊé÷ćĂĉîàĎúĉîÿöĞęćđÿöĂǰ ĀćÖöĊĂćÖćøÖøąĀć÷îĞĚćǰðŦÿÿćüąïŠĂ÷ĂŠĂîđóúĊ÷ îĞĚćĀîĆÖúéĒîąîĞćĔĀšéČęöîĞĚćđðúŠćđÝćąêøüÝøąéĆïîĞĚćêćúðúć÷îĉĚüêøüÝÙĊēêîĔîðŦÿÿćüą ĀćÖĂćÖćøĕöŠéĊ×ċĚî Āć÷ĔÝĀĂïđĀîČęĂ÷ĔĀšøĊïöćēøÜó÷ćïćúǰ đòŜćøąüĆÜõćüąìĊęĂćÝÖøąêčšîĔîîĞĚćêćúĔîđúČĂéÿĎÜ đßŠî ÖćøêĉéđßČĚĂđĂÖÿćøĂšćÜĂĉÜǰ ,JUBCDIJ \"& 6NQJFSSF[ (& .VSQIZ .#FUBM .BOBHFNFOUPGIZQFSHMZDFNJDDSJTFT JO QBUJFOUTXJUI EJBCFUFT %JBCFUFT $BSF ffi fl ıǰ ,JUBCDIJ \"& 6NQJFSSF[ (& .JMFT +. FU BM )ZQFSHMZDFNJD DSJTFT JO BEVMU QBUJFOUT XJUIEJBCFUFT %JBCFUFT $BSF ffi fl ıǰ 1BTRVFM '+ 6NQJFSSF[ (& )ZQFSPTNPMBS IZQFSHMZDFNJD TUBUFfl \" IJTUPSJD SFWJFX PG UIFDMJOJDBM QSFTFOUBUJPO EJBHOPTJT BOE USFBUNFOU %JBCFUFT $BSF ffi fl ıǰ (PHVFO+ (JMCFSU + )ZQFSHMZDFNJD &NFSHFODJFT JO \"EVMUT %JBCFUFT $BOBEB $MJOJDBM1SBDUJDF(VJEFMJOFT &YQFSU $PNNJUUFF $BO + %JBCFUFT ffi fl 44ǰ 8BMEIBVTM 8 ,MFJOCFSHFS ( ,PSO \" FU BM 4FWFSF IZQFSHMZDFNJBfl FGGFDUT PG SFIZESBUJPO POFOEPDSJOF EFSBOHFNFOUT BOE CMPPE HMVDPTF DPODFOUSBUJPO %JBCFUFT ffi fl ıǰ (PTNBOPW \"3 (PTNBOPWB &0 %JMMBSE$BOOPO & .BOBHFNFOU PG BEVMU EJBCFUJD LFUPBDJEPTJT %JBCFUFT .FUBC 4ZOESP 0CFT ffi fl ǰ \"MEIBFFų . \"MEBSEFFS /' \"MLIBOJ / FU BM 6QEBUFT JO UIF NBOBHFNFOU PG IZQFSHMZDFNJDDSJTJT 'SPOUJFST JO $MJO %JBCFU )FBMUIDBSF ffi fl ǰ 7BO ;ZM %( 3IFFEFS 1 %FMQPSU & 'MVJE NBOBHFNFOU JO EJBCFUJDBDJEPTJTı SJOHFSĴT MBDUBUFWFSTVT OPSNBM TBMJOF B SBOEPNJ[FE DPOUSPMMFE USJBM 2+. ffi fl ıǰ .BIMFS 4\" $POSBE 4\" 8BOH ) \"SOPME 5$ 3FTVTDJUBUJPO XJUI CBMBODFE FMFDUSPMZUF TPMVUJPOQSFWFOUT IZQFSDIMPSFNJD NFUBCPMJD BDJEPTJT JO QBUJFOUT XJUI EJBCFUJD LFUPBDJEPTJT \"N +&NFSH .FE ffi fl ı EPJfl KBKFNǰ 4FMG 8) &WBOT $4 +FOLJOT $\" #SPXO 3. $BTFZ +% $PMMJOT 41 FU BM $MJOJDBM FGGFDUT PGCBMBODFE DSZTUBMMPJET WT TBMJOF JO BEVMUT XJUI EJBCFUJD LFUPBDJEPTJTfl \" TVCHSPVQ BOBMZTJT PGDMVTUFS SBOEPNJ[FE DMJOJDBM USJBMT +\".\" /FUX 0QFO ffi fl Fǰ 5IF NBOBHFNFOUPG EJBCFUJD LFUPBDJEPTJT JOBEVMUT +PJOU#SJUJTI %JBCFUFT 4PDJFUJFT GPS JOQBUJFOU DBSF +#%4*1 .BSDI IUUQTflBCDEDBSFTJUFTBCDEDBSFųMFTTJUF@VQMPBET+#%4@(VJEFMJOFT@$VSSFOU+#%4@@%,\"@(VJEFMJOF@XJUI@23@[email protected]@QEG Previous Page Previous Chapter HOME Contents Next Chapter Next Page

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แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566 149บทที่ 13แนวทางการตรวจค้นและดูแลรักษาภาวะแทรกซ้อนจากเบาหวานที่ตาและไตǰ ñĎšðśü÷đïćĀüćîìĊęđðŨîēøÙöćîćî ĒúąĀøČĂÙüïÙčöøąéĆïîĞĚćêćúĔîđúČĂéĕöŠĕéšêćöđðŜćĀöć÷ÝąđÖĉéõćüąĒìøÖàšĂîđøČĚĂøĆÜÝćÖđïćĀüćîìĊęÝĂêć EJBCFUJDSFUJOPQBUIZĒúąìĊęĕê EJBCFUJDOFQISPQBUIZıàċęÜîĂÖÝćÖÝąîĞćĕðÿĎŠÖćøÿĎâđÿĊ÷ĂüĆ÷üąìĆĚÜÿĂÜĒúšü ÷ĆÜđóĉęöĂĆêøćÖćøđÿĊ÷ßĊüĉêĂĊÖéšü÷ éĆÜîĆĚîÝċÜÝĞćđðŨîìĊęĒóì÷ŤÙüøöĊĒîüìćÜÖćøêøüÝÙšî ÖćøðŜĂÜÖĆî ĒúąéĎĒúøĆÖþćõćüąĒìøÖàšĂîìĆĚÜÿĂÜĂ÷ŠćÜđĀöćąÿö êĆĚÜĒêŠĔîøą÷ąđøĉęöêšî đóČęĂúéÖćøÿĎâđÿĊ÷ÖćøìĞćÜćî×ĂÜĂüĆ÷üą ĒúąúéÖćøÿĎâđÿĊ÷ìćÜđýøþåÖĉÝìĊęÿĎÜöćÖĔîÖćøéĎĒúøĆÖþćēøÙøą÷ąìšć÷ øüöìĆĚÜúéÖćøđÿĊ÷ßĊüĉêÖŠĂîüĆ÷ĂĆîÙüøÝćÖõćüąĒìøÖàšĂî×ĂÜēøÙđïćĀüćîภาวะจอตาผิดปกติจากเบาหวาน (diabetic retinopathy)ǰ ÝĂêćñĉéðÖêĉÝćÖđïćĀüćîÿćöćøëĒïŠÜøą÷ą×ĂÜÙüćöñĉéðÖêĉÝćÖÖćøêøüÝìćÜÙúĉîĉÖĕéšđðŨîǰ /P EJBCFUJD SFUJOPQBUIZ êøüÝĕöŠóïõćüąÝĂêćñĉéðÖêĉÝćÖđïćĀüćîǰ /POQSPMJGFSBUJWF EJBCFUJD SFUJOPQBUIZ /1%3 ĒïŠÜĂĂÖđðŨî øą÷ą÷ŠĂ÷ ÙČĂ øą÷ąđøĉęöêšî NJME ðćîÖúćÜ NPEFSBUF ĒúąøčîĒøÜ TFWFSFǰ 1SPMJGFSBUJWF EJBCFUJD SFUJOPQBUIZ 1%3 ÝĂêćñĉéðÖêĉÝćÖđïćĀüćîìĊęöĊđÿšîđúČĂéÜĂÖĔĀöŠ OFPWBTDVMBSJ[BUJPOàċęÜÿćöćøëìĞćĔĀšđÖĉéõćüąđúČĂéĂĂÖĔîüčšîêć WJUSFPVTIFNPSSIBHF ĀøČĂđúČĂéĂĂÖĀîšćÝĂêć QSFSFUJOBMIFNPSSIBHFĒúąÖúć÷đðŨîóĆÜñČéĔîÝĂêćøŠüöÖĆïđÖĉéÝĂêćúĂÖ USBDUJPOBM SFUJOBM EFUBDINFOU àċęÜìĞćĔĀšÿĎâđÿĊ÷ÖćøöĂÜđĀĘîĕéšǰ îĂÖÝćÖÖćøøąïčøą÷ą×ĂÜÝĂêćñĉéðÖêĉÝćÖđïćĀüćîĒúšüñĎšÙĆéÖøĂÜÙüøêøüÝĀć õćüąÝčéõćóßĆéïüöÝćÖđïćĀüćî EJBCFUJD NBDVMBS FEFNB àċęÜÿćöćøëìĞćĔĀšñĎšðśü÷ÿĎâđÿĊ÷ÙüćöÙößĆéĔîïøĉđüèÿŠüîÖúćÜ×ĂÜÖćøöĂÜđĀĘîĕéšÝčéõćóßĆéïüöÝćÖđïćĀüćîĂćÝđÖĉéøŠüöÖĆïõćüąÝĂêćñĉéðÖêĉÝćÖđïćĀüćîĔîìčÖøą÷ąǰ Ĕî /1%3 ìĊęĕöŠøčîĒøÜÝąĕöŠöĊĂćÖćøĔéė ĒúąÿćöćøëĔĀšÖćøéĎĒúøĆÖþćđóČęĂßąúĂĀøČĂðŜĂÜÖĆîĕöŠĔĀšđðúĊę÷îĒðúÜđðŨîøą÷ąøčîĒøÜĕéšÖćøÙüïÙčöøąéĆïîĞĚćêćúĔîđúČĂéđðŨîðŦÝÝĆ÷ĀúĆÖìĊęÝąðŜĂÜÖĆîĒúąúéÖćøéĞćđîĉîēøÙ×ĂÜÝĂêćñĉéðÖêĉÝćÖđïćĀüćî ēé÷ÙüïÙčöøąéĆïîĞĚćêćúĔîđúČĂéìĆĚÜÖŠĂîĒúąĀúĆÜöČĚĂĂćĀćø ĀøČĂøąéĆï \"$ĔĀšĂ÷ĎŠĔîđÖèæŤìĊęĒîąîĞćǰđöČęĂêøüÝóïǰ ÖøèĊìĊęöĊ1%3 ĀøČĂöĊNBDVMBS FEFNB ĂćÝÝą÷ĆÜöĊÖćøöĂÜđĀĘîđðŨîðÖêĉĒêŠÝĞćđðŨîêšĂÜĕéšøĆïÖćøÿŠÜêŠĂĕð÷ĆÜÝĆÖþčĒóì÷ŤđóČęĂøĆïÖćøðøąđöĉîĒúąøĆÖþćìčÖøć÷ đóøćąĂćÝúčÖúćöëċÜêćïĂéĕéš Previous Page Previous Chapter HOME Contents Next Chapter Next Page

150 แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566แนวทางการตรวจค้นและการวินิจฉัยภาวะจอตาผิดปกติจากเบาหวาน6ǰ ÖćøêøüÝÙšîõćüąÝĂêćñĉéðÖêĉÝćÖđïćĀüćî öĊĒîüìćÜðäĉïĆêĉÙČĂ ĒñîõĎöĉìĊę ıǰ ëćöĂćÖćøìćÜêćĒúąÿć÷êćıǰ üĆéÖćøöĂÜđĀĘî WJTVBM BDVJUZ ÖŠĂîìĞćÖćø×÷ć÷öŠćîêćıǰ øĆïÖćøêøüÝÝĂêć ēé÷• Öćø×÷ć÷öŠćîêćĒúąêøüÝÝĂêćēé÷ÝĆÖþčĒóì÷Ť ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰĀøČĂ•ǰ ÖćøêøüÝéšü÷ÖúšĂÜëŠć÷õćóÝĂêć GVOEVT QIPUPHSBQIZ ĔîÖøèĊìĊęĕöŠöĊÝĆÖþčĒóì÷ŤĂćÝëŠć÷õćóÝĂéšü÷ EJHJUBM GVOEVT DBNFSB ēé÷×÷ć÷öŠćîêćĀøČĂĕöŠ×÷ć÷öŠćîêć ĒúąĂŠćîõćóëŠć÷ÝĂêćēé÷ñĎšßĞćîćâÖćø ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰıǰ ñĎšðśü÷đïćĀüćîßîĉéìĊę ÙüøêøüÝÝĂêćĀúĆÜđðŨîđïćĀüćî ðŘĀøČĂđöČęĂĂć÷č ðŘĒúąêøüÝÙøĆĚÜêŠĂĕðêćöĒóì÷ŤîĆéĀøČĂĂ÷ŠćÜîšĂ÷ðŘúą ÙøĆĚÜ îĞĚćĀîĆÖÙĞćĒîąîĞćǰıǰ ñĎšðśü÷đïćĀüćîßîĉéìĊę ÙüøĕéšøĆïÖćøêøüÝÝĂêćĀúĆÜÖćøüĉîĉÝÞĆ÷üŠćđðŨîēøÙđïćĀüćîēé÷ĕöŠúŠćßšćĒúąêøüÝÙøĆĚÜêŠĂĕðêćöĒóì÷ŤîĆéĀøČĂĂ÷ŠćÜîšĂ÷ðŘúą ÙøĆĚÜ îĞĚćĀîĆÖÙĞćĒîąîĞćǰıǰ ñĎšðśü÷ìĊęđðŨîđïćĀüćîĒúąöĊÙøøõŤÙüøĕéšøĆïÖćøîĆéĀöć÷đóČęĂêøüÝÝĂêćìĆîìĊìĊęìøćïüŠćöĊÖćøêĆĚÜÙøøõŤĀøČĂõć÷ĔîĕêøöćÿĒøÖ×ĂÜÖćøêĆĚÜÙøøõŤĒúąêøüÝÙøĆĚÜêŠĂĕðêćöîĆé×ĂÜÝĆÖþčĒóì÷Ťıǰ ñĎšìĊęĕöŠđÙ÷đðŨîđïćĀüćîöćÖŠĂîĒêŠöĊõćüąđïćĀüćî×èąêĆĚÜÙøøõŤÖćøêøüÝÙĆéÖøĂÜÝĂêćĕöŠöĊÙüćöÝĞćđðŨî đîČęĂÜÝćÖõćüąđïćĀüćîìĊęđÖĉé×ċĚîĔî×èąêĆĚÜÙøøõŤĕöŠĕéšđóĉęöēĂÖćÿđÿĊę÷ÜĔîÖćøđÖĉéÝĂêćñĉéðÖêĉÝćÖđïćĀüćî ÷ÖđüšîĔîÖøèĊìĊęøąéĆïîĞĚćêćúĔîđúČĂé×èąĂéĂćĀćø œ öÖéúĒÿéÜüŠćîŠćÝąđðŨîđïćĀüćîöćÖŠĂîÖćøêĆĚÜÙøøõŤĒêŠĕöŠĕéšøĆïÖćøüĉîĉÝÞĆ÷ ÙüøÿŠÜÝĆÖþčĒóì÷ŤđóČęĂêøüÝÝĂêćđßŠîđéĊ÷üÖĆïñĎšðśü÷đïćĀüćîìĊęöĊÖćøêĆĚÜÙøøõŤแนวทางการป้องกันและดูแลรักษาภาวะจอตาผิดปกติจากเบาหวาน6ıǰ ÖćøÙüïÙčöøąéĆïîĞĚćêćúĔîđúČĂéĔĀšĂ÷ĎŠĔÖúšđÙĊ÷ÜðÖêĉêúĂéđüúćÿćöćøëúéÙüćöđÿĊę÷ÜĒúąßąúĂÖćøđÖĉéõćüąÝĂêćñĉéðÖêĉÝćÖđïćĀüćî ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰ ĒîąîĞćĔĀšÙüïÙčöøąéĆïîĞĚćêćú \"$ ĔĀšĕéšêćöđðŜćĀöć÷ìĊęđĀöćąÿöĔîñĎšðśü÷đïćĀüćîĒêŠúąøć÷ıǰ ÙüøüĆéÙüćöéĆîēúĀĉêìčÖÙøĆĚÜìĊęöćóïĒóì÷ŤĒúąÙüïÙčöÙüćöéĆîēúĀĉêĔĀšĕéšêćöđðŜćĀöć÷ ÝąúéÙüćöđÿĊę÷ÜÖćøđÖĉéõćüąÝĂêćñĉéðÖêĉÝćÖđïćĀüćî îĞĚćĀîĆÖÙĞćĒîąîĞćǰıǰ ÙüïÙčöøąéĆïĕ×öĆîĔîđúČĂéĔĀšĕéšêćöđðŜćĀöć÷ îĞĚćĀîĆÖÙĞćĒîąîĞćǰıǰ ñĎšìĊęđðŨî TFWFSF /1%3 ĀøČĂ1%3 ĀøČĂ NBDVMBSFEFNBÙüøóïÝĆÖþčĒóì÷ŤĀøČĂñĎšđßĊę÷üßćâĔîÖćøøĆÖþćõćüąÝĂêćñĉéðÖêĉÝćÖđïćĀüćîìĆîìĊ îĞĚćĀîĆÖÙĞćĒîąîĞćǰıǰ ÖćøøĆÖþćéšü÷đúđàĂøŤĔîđüúćìĊęđĀöćąÿö ÿćöćøëðŜĂÜÖĆîÖćøÿĎâđÿĊ÷ÿć÷êćĔîñĎšìĊęöĊõćüąÝĂêćñĉéðÖêĉÝćÖđïćĀüćîøą÷ą 1%3 Ēúą TFWFSF /1%3 îĞĚćĀîĆÖÙĞćĒîąîĞćǰ Previous Page Previous Chapter HOME Contents Next Chapter Next Page

แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566 151ıǰ ÖćøøĆÖþćéšü÷BOUJWBTDVMBSFOEPUIFMJBM HSPXUIGBDUPS 7&('ÞĊéđ×šćîĞĚćüčšîêć đðŨîÖćøøĆÖþćìćÜđúČĂÖ BMUFSOBUJWF ÖøèĊìĊęĕöŠêšĂÜÖćøøĆÖþćéšü÷đúđàĂøŤđóČęĂøĆÖþć EJBCFUJD SFUJOPQBUIZ9,10 îĞĚćĀîĆÖÙĞćĒîąîĞćǰıǰ ÖćøøĆÖþćéšü÷ BOUJWBTDVMBS FOEPUIFMJBM HSPXUI GBDUPS 7&(' đ×šćîĞĚćüčšîêćëČĂđðŨîÖćøøĆÖþćìćÜđúČĂÖĒøÖ ųSTUMJOFUSFBUNFOUÿĞćĀøĆïÖćøøĆÖþćõćüąÝčéõćóßĆéïüöÝćÖđïćĀüćî EJBCFUJDNBDVMBS FEFNB ìĊęìĞćĔĀšÖćøöĂÜđĀĘîúéúÜ11 ÿćöćøëìĞćĔĀšÖćøöĂÜđĀĘîéĊ×ċĚîĒúąúéÙüćöÝĞćđðŨîêšĂÜĕéšøĆïÖćøøĆÖþćéšü÷đúđàĂøŤ îĞĚćĀîĆÖÙĞćĒîąîĞćǰıǰ ÖćøĔßš÷ćúéĕ×öĆî GFOPųCSBUF ĔîñĎšðśü÷ìĊęöĊõćüąÝĂêćñĉéðÖêĉÝćÖđïćĀüćî öĊĀúĆÖåćîÖćøýċÖþćÿćöćøëßąúĂÖćøéĞćđîĉîēøÙĒúąúéÖćøêšĂÜøĆÖþćéšü÷đúđàĂøŤĕéš îĞĚćĀîĆÖÙĞćĒîąîĞćǰıǰ ÷ćĒĂÿĕóøĉîÿćöćøëĔĀšĕéšĔîñĎšðśü÷ìĊęöĊõćüąÝĂêćñĉéðÖêĉÝćÖđïćĀüćî ēé÷ĕöŠđóĉęöēĂÖćÿÖćøđÖĉéđúČĂéĂĂÖĔîüčšîêćĀúĆÖÖćøĔĀšÿč×ýċÖþćđøČęĂÜÝĂêćñĉéðÖêĉÝćÖđïćĀüćîĒÖŠñĎšðśü÷ıǰ ĔĀšÙüćöøĎšđÖĊę÷üÖĆïõćüąÝĂêćñĉéðÖêĉÝćÖđïćĀüćî ÙüćöÿĞćÙĆâêŠĂÿć÷êćĒúąÙüćöÝĞćđðŨîĔîÖćøêøüÝÙĆéÖøĂÜÝĂêćđðŨîøą÷ąĒöšĕöŠöĊĂćÖćøñĉéðÖêĉıǰ ĒîąîĞćĔĀšñĎšðśü÷đïćĀüćîêĉéêŠĂĒóì÷Ťēé÷đøĘüìĊęÿčéđöČęĂđÖĉéöĊĂćÖćøñĉéðÖêĉđÖĊę÷üÖĆïÿć÷êć îĞĚćĀîĆÖÙĞćĒîąîĞćǰıǰ ñĎšðśü÷đïćĀüćîÙüøìøćïëċÜÙüćöÿĆöóĆîíŤ×ĂÜÖćøÙüïÙčöøąéĆïîĞĚćêćúĔîđúČĂéÖĆïÖćøđÖĉéÝĂêćñĉéðÖêĉÝćÖđïćĀüćî đóČęĂÖøąêčšîĔĀšöĊÙüćöêĆĚÜĔÝĒúąø ŠüööČĂĔîÖćøøĆÖþćđïćĀüćîĔĀšéĊ÷ĉęÜ×ċĚî îĞĚćĀîĆÖÙĞćĒîąîĞćǰıǰ ñĎšðśü÷đïćĀüćîÙüøìøćïëċÜÙüćöÿĞćÙĆâ×ĂÜÙüćöéĆîēúĀĉêÿĎÜ ìĊęöĊêŠĂõćüąÝĂêćñĉéðÖêĉÝćÖđïćĀüćîÙüøĕéšøĆïÖćøüĆéÙüćöéĆîēúĀĉêìčÖÙøĆĚÜìĊęóïĒóì÷ŤĒúąĕéšøĆïÖćøøĆÖþćìĊęëĎÖêšĂÜĀćÖöĊÙüćöéĆîēúĀĉêÿĎÜ îĞĚćĀîĆÖÙĞćĒîąîĞćǰıǰ ñĎšðśü÷ÙüøìøćïëċÜÙüćöÿĞćÙĆâ×ĂÜõćüąĕ×öĆîñĉéðÖêĉĔîđúČĂé ĒúąÙüïÙčöĔĀšĕéšêćöđðŜćĀöć÷ îĞĚćĀîĆÖÙĞćĒîąîĞćǰıǰ ñĎšðśü÷đïćĀüćîÖŠĂîêĆĚÜÙøøõŤÙüøìøćïüŠćĔîßŠüÜ đéČĂîĒøÖ×ĂÜÖćøêĆĚÜÙøøõŤÙüøĕéšøĆïÖćøêøüÝÝĂêćēé÷ÝĆÖþčĒóì÷ŤĒúąÙüøĕéšøĆïÖćøêĉéêćöêøüÝÝĂêćĂ÷ ŠćÜÿöĞęćđÿöĂêúĂéÖćøêĆĚÜÙøøõŤêćöéčú÷óĉîĉÝ×ĂÜÝĆÖþčĒóì÷Ť îĞĚćĀîĆÖÙĞćĒîąîĞćǰ Previous Page Previous Chapter HOME Contents Next Chapter Next Page

152 แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566ĒñîõĎöĉìĊęǰ ÖćøÙĆéÖøĂÜĒúąêĉéêćöÝĂêćñĉéðÖêĉÝćÖđïćĀüćîēé÷ÝĆÖþčĒóì÷Ť Previous Page Previous Chapter HOME Contents Next Chapter Next Page

แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566 153ēøÙĕêÝćÖđïćĀüćîǰ EJBCFUJDǰOFQISPQBUIZǰ ĂčïĆêĉÖćøèŤĒúąÖćøéĞćđîĉîēøÙ×ĂÜēøÙĕêÝćÖđïćĀüćî ÿĆöóĆîíŤÖĆïøąéĆïîĞĚćêćúĔîđúČĂé ÙüćöéĆîēúĀĉêĒúąðŦÝÝĆ÷ìćÜóĆîíčÖøøö ÙčèõćóĀúĆÖåćîøąéĆï ēøÙĕêÝćÖđïćĀüćîøą÷ąđøĉęöĒøÖêøüÝóïĕéšēé÷ÖćøêøüÝĂĆúïĎöĉîĔîðŦÿÿćüą BMCVNJOVSJB øąéĆïĂĆúïĎöĉîĔîðŦÿÿćüąìĊęëČĂüŠćñĉéðÖêĉÙČĂ ÙŠćêĆĚÜĒêŠ öÖêŠĂüĆî ĀøČĂVSJOBSZ BMCVNJO UP DSFBUJOJOF SBUJP 6\"$3 öÖêŠĂÖøĆöÙøĊĂąêĉîĊî ÖćøêøüÝðŦÿÿćüąēé÷ĔßšEJQTUJDLÝąĔĀšñúïüÖêŠĂđöČęĂÙŠćĂĆúïĎöĉîĔîðŦÿÿćüąöćÖÖüŠć öÖêŠĂüĆî ĀøČĂ 6\"$3 öÖêŠĂÖøĆöÙøĊĂąêĉîĊîéĆÜîĆĚîÖćøêøüÝðŦÿÿćüąéšü÷ EJQTUJDLÝċÜĕöŠĕüóĂÿĞćĀøĆïÖćøüĉîĉÝÞĆ÷ēøÙĕêÝćÖđïćĀüćîøą÷ąđøĉęöĒøÖøć÷úąđĂĊ÷é×ĂÜÖćøĒïŠÜøą÷ąēøÙĕêÝćÖđïćĀüćîéĎĕéšÝćÖïìÖćøøĆÖþćđïćĀüćîĔîñĎšđðŨîēøÙĕêđøČĚĂøĆÜêćøćÜìĊęǰÖćøĒïŠÜøą÷ąĒúąĒîüìćÜÖćøøĆÖþćêćöÙüćöøčîĒøÜ×ĂÜĕêÝćÖēøÙđïćĀüćî ĒïŠÜêćöðøĉöćèĂĆúïĎöĉîĔîðŦÿÿćüą ĒúąĂĆêøćÖćøÖøĂÜ×ĂÜĕê éĆéĒðúÜÝćÖ \"%\" HVJEFMJOF ðøĉöćèĂĆúïĎöĉîĔîðŦÿÿćüąǰ \"MCVNJOVSJBǰ ǰ \" \" \"ǰǰǰǰǰǰǰǰǰǰǰǰ ǰǰǰǰǰǰǰǰǰ6\"$3 6\"$3 6\"$3 6\"$3ǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰF('3ǰ ǰ ǰNHH$ ǰNHH$ œǰNHH$ĂĆêøćÖćøÖøĂÜǰ (ǰ œǰ 5SFBUNFOU \"ǰ 5SFBUNFOU #ǰ 5SFBUNFOU $×ĂÜĕê öúîćìĊǰ (ǰ ǰ ǰ PSǰ PS êøö ǰ (Bǰ ǰ 5SFBUNFOU \"ǰ 5SFBUNFOU $ǰ 3FGFSF('3 DBUFHPSJFT ǰ (Cǰ ǰ ǰ N-NJO Nǰ (ǰ ǰ 3FGFSǰ 3FGFSǰ 3FGFS(ǰ ffl ǰ 3FGFSǰ 3FGFSǰ 3FGFS5SFBUNFOU \"flǰ ÙüïÙčöøąéĆïîĞĚćêćúĒúąÙüćöéĆîēúĀĉêĔĀšĂ÷ĎŠĔîøąéĆïìĊęđĀöćąÿö5SFBUNFOU #fl ǰÙüïÙčöøąéĆïîĞĚćêćúĒúąÙüćöéĆîēúĀĉêĔĀšĂ÷ĎŠĔîøąéĆïìĊęđĀöćąÿö ĔĀš÷ćĔîÖúčŠö \"$& JOIJCJUPSĀøČĂ BOHJPUFOTJO SFDFQUPS CMPDLFS5SFBUNFOU $fl ǰÙüïÙčöøąéĆïîĞĚćêćúĒúąÙüćöéĆîēúĀĉêĔĀšĂ÷ĎŠĔîøąéĆïìĊęđĀöćąÿö Ēúą •ǰ ÷ćÖúčŠö \"$& JOIJCJUPS ĀøČĂ BOHJPUFOTJO SFDFQUPS CMPDLFS •ǰ ÷ćÖúčŠö 4(-5 JOIJCJUPS ĒúąĀøČĂ (-1 SFDFQUPS BHPOJTU •ǰ ÷ćÖúčŠö BMEPTUFSPOF SFDFQUPS BOUBHPOJTU ĕéšĒÖŠ ųOFSFOPOF3FGFSfl ǰ ÿŠÜêŠĂñĎšðśü÷đóČęĂóïĂć÷čøĒóì÷ŤēøÙĕêĒîüìćÜÖćøÙĆéÖøĂÜĒúąÖćøüĉîĉÝÞĆ÷ēøÙĕêÝćÖđïćĀüćî– ñĎšðśü÷ēøÙđïćĀüćîÙüøðøąđöĉîðøĉöćèĂĆúïĎöĉîĔîðŦÿÿćüą ÝćÖÖćøđÖĘïðŦÿÿćüąêĂîđßšćđóČęĂêøüÝüĆé VSJOBSZ BMCVNJO UP DSFBUJOJOF SBUJP 6\"$3 ĒúąêøüÝøąéĆïÙøĊđĂêĉîĉîĔîđúČĂé TFSVNDSFBUJOJOF đóČęĂðøąöćèĂĆêøćÖćøÖøĂÜ×ĂÜĕêĂ÷ŠćÜîšĂ÷ðŘúąÙøĆĚÜ ĔîñĎšðśü÷đïćĀüćîßîĉéìĊę ìĊęđðŨîöćîćîÖüŠć ðŘĒúąñĎšðśü÷đïćĀüćîßîĉéìĊę ìčÖÙî ēé÷ĕöŠÙĞćîċÜëċÜøą÷ąđüúć×ĂÜÖćøđðŨîēøÙđïćĀüćî îĞĚćĀîĆÖÙĞćĒîąîĞćǰıǰ ĀćÖêøüÝóïĂĆúïĎöĉîđóĉęöñĉéðÖêĉĔîðŦÿÿćüą ÙüøêøüÝàĞĚćĂĊÖÙøĆĚÜĔî đéČĂî đóČęĂ÷Čî÷ĆîÖćøüĉîĉÝÞĆ÷ Previous Page Previous Chapter HOME Contents Next Chapter Next Page

154 แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566ıǰ ÖćøĒïŠÜøą÷ą×ĂÜĕêÝćÖēøÙđïćĀüćîĒúąĒîüìćÜÖćøøĆÖþć×ĂÜĒêŠúąøą÷ą ĒÿéÜĔîêćøćÜìĊę ēé÷ðÖêĉĂĆúïĎöĉîĔîðŦÿÿćüą 6\"$3 îšĂ÷ÖüŠć öÖêŠĂÖøĆöÙøĊĂąêĉîĊî ÖćøêøüÝóïĂĆúïĎöĉîĔîðŦÿÿćüą öÖêŠĂÖøĆöÙøĊĂąêĉîĊî ĀøČĂöćÖÖüŠć đøĊ÷ÖüŠćöĊĒöÙēÙøĂĆúïĎöĉîĎđøĊ÷ ĀćÖĂĆúïĎöĉîĔîðŦÿÿćüą öÖêŠĂÖøĆöÙøĊĂąêĉîĊî đøĊ÷Ö ĕöēÙøĂĆúïĎöĉîĎđøĊ÷ıǰ ñĎšðśü÷ēøÙĕêÝćÖđïćĀüćî ÙüøêĉéêćöĂĆúïĎöĉîĔîðŦÿÿćüąĒúąĂĆêøćÖćøÖøĂÜ×ĂÜĕê ÙøĆĚÜêŠĂðŘ×ċĚîĂ÷ĎŠÖĆïøą÷ą×ĂÜēøÙ îĞĚćĀîĆÖÙĞćĒîąîĞćǰĒîüìćÜÖćøðŜĂÜÖĆîĒúąÖćøéĎĒúøĆÖþćēøÙĕêÝćÖđïćĀüćîıǰ ñĎšðśü÷ēøÙđïćĀüćîÙüøÙüïÙčöøąéĆïîĞĚćêćúĔĀšĂ÷ĎŠĔîđÖèìŤìĊęđĀöćąÿöđóČęĂúéÙüćöđÿĊę÷ÜĀøČĂßąúĂÖćøúčÖúćö×ĂÜēøÙĕêÝćÖēøÙđïćĀüćî îĞĚćĀîĆÖÙĞćĒîąîĞćǰıǰ ñĎšðśü÷ēøÙđïćĀüćîÙüøÙüïÙčöÙüćöéĆîēúĀĉêĔĀšĂ÷ĎŠĔîøąéĆïìĊęđĀöćąÿöĒúąúéÙüćöĒðøðøüî×ĂÜÙüćöéĆîēúĀĉê đóČęĂúéÙüćöđÿĊę÷ÜĀøČĂßąúĂÖćøúčÖúćö×ĂÜēøÙĕêÝćÖēøÙđïćĀüćî îĞĚćĀîĆÖÙĞćĒîąîĞćǰıǰ ñĎšðśü÷ēøÙđïćĀüćîĒúąÙüćöéĆîēúĀĉêÿĎÜìĊęĕöŠĕéšêĆĚÜÙøøõŤĒîąîĞćĔĀšĔßš÷ć \"$&*19 ĀøČĂBOHJPUFOTJOSFDFQUPS CMPDLFS \"3# ÿĞćĀøĆï•ǰ ñĎšìĊęöĊĂĆúïĎöĉîĔîðŦÿÿćüą 6\"$3 đóĉęö×ċĚîĔîøąéĆïðćîÖúćÜ ĕöēÙøĂĆúïĎöĉîîĎđøĊ÷ ı öÖǰ ÖøĆöÙøĊĂąêĉîĊî îĞĚćĀîĆÖÙĞćĒîąîĞćǰ•ǰ ñĎšìĊęöĊĂćÖćøøčîĒøÜ ĂĆúïĎöĉîĔîðŦÿÿćüąđóĉęö×ċĚîÿĎÜ 6\"$3 fi öÖÖøĆöÙøĊĂąêĉîĊî ĒöÙēÙøĂĆúïĎöĉîĎđøĊ÷ĒúąĀøČĂĂĆêøćÖćøÖøĂÜ×ĂÜĕê Œ öúîćìĊêøö îĞĚćĀîĆÖÙĞćĒîąîĞćǰ•ǰ ĕöŠÙüøĔßš÷ć \"$&* Ēúą \"3# øŠüöÖĆî îĞĚćĀîĆÖÙĞćĒîąîĞćǰıǰ ñĎšðśü÷ēøÙđïćĀüćîìĊęĕéšøĆïÖćøøĆÖþćéšü÷÷ć \"$& * ĀøČĂ \"3# ĀøČĂ÷ć×ĆïðŦÿÿćüą ÙüøêøüÝøąéĆïÙøĊĂąêĉîĊî TFSVN DSFBUJOJOF ĒúąēóĒìÿđàĊ÷öĔîđúČĂé TFSVN QPUBTTJVN đðŨîøą÷ąđóČęĂðøąđöĉîÖćøìĞćÜćî×ĂÜĕê Ēúą ÖćøđÖĉéõćüąēóĒìÿđàĊ÷öĔîđúČĂéÿĎÜ IZQFSLBMFNJBàċęÜĂćÝÝąđðŨîõćüąĒìøÖàšĂîÝćÖÖćøøĆÖþćéšü÷÷ć \"$&*Ēúą \"3# ĀøČĂ õćüąēóĒìÿđàĊ÷öĔîđúČĂéêĞęćǰ IZQPLBMFNJB đöČęĂĔßš÷ć×ĆïðŦÿÿćüą îĞĚćĀîĆÖÙĞćĒîąîĞćǰıǰ ñĎšðśü÷ēøÙđïćĀüćîìĊęĕéšøĆïÖćøøĆÖþćéšü÷÷ć \"$& * ĀøČĂ \"3# ĕöŠÝĞćđðŨîêšĂÜĀ÷čéÖćøĔßš÷ćéĆÜÖúŠćüëšćöĊÖćøđóĉęö×ċĚî×ĂÜøąéĆïÙøĊĂąêĉîĊîĔîđúČĂé TFSVN DSFBUJOJOF îšĂ÷ÖüŠćøšĂ÷úąēé÷ĕöŠöĊõćüąÖćø×ćéîĞĚćøŠüöéšü÷ îĞĚćĀîĆÖÙĞćĒîąîĞćǰıǰ ñĎšðśü÷ēøÙđïćĀüćîßîĉéìĊę ĒúąēøÙĕêÝćÖđïćĀüćî ĒîąîĞćĔĀšĔßš÷ć 4(-5* đóČęĂúéÖćøúčÖúćö×ĂÜēøÙĕêđøČĚĂøĆÜ ĒúąĂĆêøćÖćøđÖĉéēøÙĀúĂéđúČĂé ĔîñĎšðśü÷ìĊęöĊĂĆêøćÖćøÖøĂÜ×ĂÜĕê œ öúîćìĊ êøöı Ēúą• ĂĆúïĎöĉîĔîðŦÿÿćüą öÖÖøĆöÙøĊĂąêĉîĊî îĞĚćĀîĆÖÙĞćĒîąîĞćǰ• ĂĆúïĎöĉîĔîðŦÿÿćüą œ öÖÖøĆöÙøĊĂąêĉîĊî îĞĚćĀîĆÖÙĞćĒîąîĞćǰıǰ ñĎšðśü÷ēøÙđïćĀüćîßîĉéìĊę ĒúąēøÙĕêÝćÖđïćĀüćî ìĊęöĊ×šĂÝĞćÖĆéĔîÖćøĔßš÷ć 4(-5* ĂćÝĔßš÷ćĔîÖúčŠö (-1 SFDFQUPS BHPOJTU Ēìîĕéš îĞĚćĀîĆÖÙĞćĒîąîĞćǰ Previous Page Previous Chapter HOME Contents Next Chapter Next Page

แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566 155ıǰ öĊÖćøýċÖþćóïüŠć÷ć ųOFSFOPOF àċęÜđðŨî÷ćĔîÖúčŠö NJOFSBMPDPSUJDPJE SFDFQUPS BOUBHPOJTUTÿćöćøëßąúĂÖćøđÿČęĂö×ĂÜĕêĒúąúéÖćøđÖĉéēøÙĀĆüĔÝĒúąĀúĂéđúČĂéĔîñĎšðśü÷đïćĀüćîìĊęöĊĂĆúïĎöĉîĔîðŦÿÿćüąöćÖÖüŠćĀøČĂđìŠćÖĆï öÖÖøĆöÙøĊĂąêĉîĊî ĒúąöĊĂĆêøćÖćøÖøĂÜ×ĂÜĕê öúîćìĊ êøöıǰ ñĎšðśü÷ēøÙĕêÝćÖđïćĀüćîìĊęöĊĂĆúïĎöĉîĔîðŦÿÿćüąöćÖÖüŠć öÖÖøĆöÙøĊĂąêĉîĊî ĒîąîĞćĔĀšúéĂĆúïĎöĉîĔîðŦÿÿćüąúÜøšĂ÷úą ĀøČĂöćÖÖüŠć đóČęĂßąúĂÖćøúčÖúćö×ĂÜēøÙĕêđøČĚĂøĆÜ îĞĚćĀîĆÖÙĞćĒîąîĞćǰıǰ ñĎšðśü÷ÙüøĕéšøĆïÖćøÿŠÜêŠĂĕðóïĂć÷čøĒóì÷ŤĒóì÷ŤēøÙĕê ĀćÖñĎšðśü÷öĊ îĞĚćĀîĆÖÙĞćĒîąîĞćǰ• øąéĆïĂĆúïĎöĉîĔîðŦÿÿćüą œ öÖÖøĆöÙøĊĂąêĉîĊî• øąéĆïĂĆúïĎöĉîĔîðŦÿÿćüąđóĉęö×ċĚîĂ÷ŠćÜêŠĂđîČęĂÜ• ĂĆêøćÖćøÖøĂÜ×ĂÜĕêúéúÜĂ÷ŠćÜêŠĂđîČęĂÜ• ĂĆêøćÖćøÖøĂÜ×ĂÜĕê Œ öúîćìĊ êøö• ĕöŠìøćïÿćđĀêč×ĂÜēøÙĕêìĊęĒîŠßĆéıǰ ñĎšðśü÷ēøÙĕêđøČĚĂøĆÜÝćÖēøÙđïćĀüćîêĆĚÜĒêŠøą÷ąìĊę ĀøČĂÿĎÜÖüŠć ÙüøÝĞćÖĆéðøĉöćèēðøêĊîĔîĂćĀćøĔĀšĕöŠđÖĉî ÖøĆöÖÖ ×ĂÜîĞĚćĀîĆÖêĆüêŠĂüĆî îĞĚćĀîĆÖÙĞćĒîąîĞćǰıǰ ñĎšðśü÷ìĊęøĆÖþćéšü÷ÖćøìéĒìîĕêÙüøđóĉęöðøĉöćèēðøêĊîĔîĂćĀćøđóČęĂßéđß÷ÖćøÿĎâđÿĊ÷óúĆÜÜćîÝćÖēðøêĊîĕðÖĆïÖćøôĂÖĕê îĞĚćĀîĆÖÙĞćĒîąîĞćǰıǰ ñĎšðśü÷ēøÙĕêđøČĚĂøĆÜÝćÖēøÙđïćĀüćî•ǰ ĀúĊÖđúĊę÷ÜÖćøĔßš÷ćĀøČĂÿćøìĊęĂćÝöĊĂĆîêøć÷ê ŠĂĕê đßŠî ÷ćêšćîÖćøĂĆÖđÿïìĊęĕö ŠĔß ŠÿêĊøĂ÷éŤ÷ćðäĉßĊüîąÖúčŠö BNJOPHMZDPTJEF ÖćøÞĊéÿćøìċïøĆÜÿĊđóČęĂëŠć÷õćóøĆÜÿĊ•ǰ ÙüøÿČïÙšîĀćĒúąĔĀšÖćøøĆÖþćēøÙĀøČĂõćüąĂČęîìĊęĂćÝìĞćĔĀšĕêđÿČęĂöÿõćó đßŠî ÖćøêĉéđßČĚĂìćÜđéĉîðŦÿÿćüą õćüąĀĆüĔÝúšöđĀúü•ǰ ÙüøêøüÝĀćĒúąĔĀšÖćøéĎĒúøĆÖþć EJBCFUJD SFUJOPQBUIZ àċęÜĂćÝóïøŠüöéšü÷đĂÖÿćøĂšćÜĂĉÜ ǰ $IFUUIBLVM 5 %FFSPDIBOBXPOH $ 4VXBOXBMBJLPSO 4 ,PTBDIVOIBOVO / /HBSNVLPT $3BXEBSFF1FUBM5IBJMBOE EJBCFUFT SFHJTUSZ QSPKFDUfl QSFWBMFODFPG EJBCFUJD SFUJOPQBUIZBOEBTTPDJBUFE GBDUPST JOUZQF EJBCFUFT NFMMJUVT + .FE \"TTPD5IBJffi 4VQQMfl4ı4 ǰ /HBSNVLPT $ #VOOBH 1 ,PTBDIVOIBOVO / ,SJUUJZBXPOH 4 -FFMBXBUBOB 3 1SBUIJQBOBXBUS5 FU BM 5IBJMBOE EJBCFUFT SFHJTUSZ QSPKFDUfl QSFWBMFODF DIBSBDUFSJTUJDT BOE USFBUNFOU PGQBUJFOUT XJUI EJBCFUJD OFQISPQBUIZ + .FE \"TTPD 5IBJ ffi 4VQQM fl 4ı4 ǰ %JBCFUFT $POUSPM BOE $PNQMJDBUJPOT 5SJBM&QJEFNJPMPHZ PG %JBCFUFT *OUFSWFOUJPOT BOE$PNQMJDBUJPOT 3FTFBSDI (SPVQ -BDIJO +. (FOVUI 4 $MFBSZ 1 %BWJT .% /BUIBO %.3FUJOPQBUIZ BOE OFQISPQBUIZ JO QBUJFOUT XJUI UZQF EJBCFUFT GPVS ZFBST BGUFS B USJBM PGJOUFOTJWF UIFSBQZ / &OHM + .FE ffi fl ı Previous Page Previous Chapter HOME Contents Next Chapter Next Page

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แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566 159บทที่ 14แนวทางการป้องกันและรักษาภาวะแทรกซ้อนของหลอดเลือดหัวใจ และหลอดเลือดสมองǰ ñĎšðśü÷đïćĀüćîöĊÙüćöđÿĊę÷ÜêŠĂÖćøđÖĉéõćüąĀúĂéđúČĂéĒéÜêĊïêĆîÿĎÜÖüŠćðøąßćÖøìĆęüĕð ìĞćĔĀšđÖĉéēøÙĀúĂéđúČĂéĀĆüĔÝēÙēøîćøĊĒúąēøÙĀúĂéđúČĂéÿöĂÜ đöČęĂñĎšðśü÷đïćĀüćîđÖĉéõćüąÖúšćöđîČĚĂĀĆüĔÝêć÷ÝąöĊÖćøó÷ćÖøèŤēøÙđúüøšć÷ÖüŠćñĎšĕöŠđðŨîđïćĀüćî ðŦÝÝĆ÷ìĊęìĞćĔĀšđÖĉéõćüąĀúĂéđúČĂéĒéÜĒ×ĘÜĒúąêĊïêĆîöĊĀúćÖĀúć÷ÖćøéĎĒúøĆÖþćñĎšðśü÷đïćĀüćîđóČęĂðŜĂÜÖĆîēøÙĒìøÖàšĂîÝćÖõćüąĀúĂéđúČĂéĒéÜĒ×ĘÜĒúąêĊïêĆî ÝĞćđðŨîêšĂÜéĎĒúÿĀðŦÝÝĆ÷ ĀøČĂéĎĒúĒïïĂÜÙŤøüö ÖćøéĎĒúøĆÖþćđïćĀüćîĒúąÿĀðŦÝÝĆ÷Ă÷ŠćÜđ×šöÜüéÿćöćøëúéĂĆêøćêć÷ĕéšßĆéđÝîĒúąöĊÙüćöÙčšöÙŠćการตรวจค้นภาวะแทรกซ้อนของหลอดเลือดหัวใจและหลอดเลือดสมองǰ ÖćøÙĆéÖøĂÜēøÙĀúĂéđúČĂéĀĆüĔÝĔîñĎšðśü÷đïćĀüćîìĊęĕöŠöĊĂćÖćøĒêŠöĊðŦÝÝĆ÷đÿĊę÷Ü×ĂÜēøÙĀúĂéđúČĂéĀĆüĔÝĂ÷ŠćÜ×ċĚîĕð ĂćÝìĞćĕéšēé÷đÞóćąĔîñĎšìĊęöĊÙüćöđÿĊę÷ÜÿĎÜìĊęÙĉéüŠćÝąöĊTJMFOU NZPDBSEJBM JTDIFNJBĒêŠöĊÖćøýċÖþćĒÿéÜĔĀšđĀĘîüŠćĕöŠĕéšðøąē÷ßîŤîĆÖǰ ñĎšð śü÷đïćĀüćîìčÖøć÷ ÙüøĕéšøĆïÖćøÙĆéÖøĂÜðŦÝÝĆ÷đÿĊę÷ÜìĊęìĞćĔĀšđÖĉéēøÙĀúĂéđúČĂéĀĆüĔÝĒúąēøÙĀúĂéđúČĂéÿöĂÜìčÖðŘ ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰ ðŦÝÝĆ÷đÿĊę÷Ü ĕéšĒÖŠıǰ ÖćøÿĎïïčĀøĊęıǰ ðøąüĆêĉ×ĂÜēøÙĀúĂéđúČĂéĀĆüĔÝĔîÙøĂïÙøĆüıǰ ÙüćöéĆîēúĀĉêÿĎÜıǰ õćüąĕ×öĆîĔîđúČĂéñĉéðÖêĉıǰ õćüą QFSJQIFSBM BSUFSJBM EJTFBTFıǰ ÖćøêøüÝóïĂĆúïĎöĉîĔîðŦÿÿćüą BMCVNJOVSJBการป้องกันระดับปฐมภูมิ (Primary prevention)ǰ ÖćøĔĀšÖćøéĎĒúøĆÖþćñĎšðśü÷ìĊę÷ĆÜĕöŠðøćÖäĂćÖćøĒúąĂćÖćøĒÿéÜ×ĂÜēøÙĀúĂéđúČĂéĀĆüĔÝĒúąĀúĂéđúČĂéÿöĂÜ đðŨîÖćøðŜĂÜÖĆîÖćøđÖĉéēøÙ ÖćøøĆÖþćêšĂÜÙüïÙčöøąéĆïîĞĚćêćúĔîđúČĂéĒúąðŦÝÝĆ÷đÿĊę÷ÜĂČęîė Ă÷ŠćÜđ×šöÜüéøąéĆïÙüćöéĆîēúĀĉêıǰ ēé÷ìĆęüĕðÙüïÙčöĔĀšøąéĆïÙüćöéĆîēúĀĉêêĞęćÖüŠć ööðøĂì ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰ ĔîñĎšðśü÷ìĊęöĊÙüćöđÿĊę÷ÜÿĎÜÖćøÙüïÙčöđ×šöÜüéĔĀšÙüćöéĆîàĉÿēêúĉÙêĞęćÖüŠć ööðøĂì öĊñúêŠĂĂĆêøćêć÷ĒúąÖćøđÖĉéēøÙĀĆüĔÝĕöŠêŠćÜÝćÖÖúčŠöÙüïÙčöêćöðÖêĉĔĀšÙüćöéĆîàĉÿēêúĉÙêĞęćÖüŠć ööðøĂì ìĊęÿĞćÙĆâÙČĂöĊñúĒìøÖàšĂîÝćÖÖćøøĆÖþćöćÖÖüŠć Previous Page Previous Chapter HOME Contents Next Chapter Next Page

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แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566 161ıǰ ñĎšðśü÷đïćĀüćîĂć÷čîšĂ÷ÖüŠć ðŘìĊęöĊðŦÝÝĆ÷đÿĊę÷ÜđóĊ÷Ü×šĂđéĊ÷üĀøČĂĕöŠöĊĂćÝĕöŠÝĞćđðŨîêšĂÜđøĉęö÷ćúéøąéĆï -%-$ ĒêŠêšĂÜđîšîÖćøðøĆïđðúĊę÷îóùêĉÖøøöéĞćđîĉîßĊüĉêēé÷öĊøą÷ąđüúćĔîÖćøðøĆïđðúĊę÷îóùêĉÖøøö ı đéČĂî ĒúąëšćĀúĆÜÖćøðøĆïđðúĊę÷îóùêĉÖøøöĒúšü øąéĆï -%-$ œ öÖéúĂćÝóĉÝćøèćĔĀš÷ćÖúčŠö TUBUJO ēé÷öĊđðŜćĀöć÷ÙČĂøąéĆï -%-$ Œ öÖéú ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰ)%-$ǰĒúąǰUSJHMZDFSJEFıǰ đîšîÖćøúéîĞĚćĀîĆÖ ĂĂÖÖĞćúĆÜÖć÷ ĒúąÙüïÙčö ĂćĀćø×šćü ĒðŜÜ ĒúąîĞĚćêćúöćÖ×ċĚîıǰ ÜéÖćøéČęöđÙøČęĂÜéČęöĒĂúÖĂăĂúŤĔîñĎšìĊęöĊøąéĆï USJHMZDFSJEF ÿĎÜıǰ ĔîÖøèĊøąéĆï GBTUJOH USJHMZDFSJEF ĔîđúČĂé œ öÖéú ĔĀšóĉÝćøèćđøĉęö÷ćÖúčŠö ųCSBUFđóČęĂðŜĂÜÖĆîÖćøđÖĉéêĆïĂŠĂîĂĆÖđÿï ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰıǰ ĔîÖøèĊøąéĆï USJHMZDFSJEF ĔîđúČĂé öÖéúÖćøĔĀš÷ćÖúčŠö ųCSBUF ĀøČĂOJBDJOøŠüöÖĆïTUBUJO öĊĀúĆÖåćîđßĉÜðøąÝĆÖþŤüŠćĕöŠöĊðøąÿĉìíĉñúđóĉęöđêĉöđöČęĂđðøĊ÷ïđìĊ÷ïÖĆïÖćøĔĀš÷ć TUBUJOĂ÷ŠćÜđéĊ÷üĔîÖćøúéÙüćöđÿĊę÷ÜêŠĂÖćøđÖĉéēøÙĀĆüĔÝĒúąĀúĂéđúČĂéıǰ ÖćøĔĀš÷ć QVSF &1\" øŠüöÖĆï TUBUJO ĔîñĎšðśü÷đïćĀüćîìĊęöĊøąéĆï USJHMZDFSJEF öÖéúĂćÝúéÙüćöđÿĊę÷ÜêŠĂÖćøđÖĉéēøÙĀĆüĔÝĒúąĀúĂéđúČĂéĕéš ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰ10øąéĆïîĞĚćêćúĔîđúČĂé ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰǰ ıǰ ēé÷ìĆęüĕð ÙüøÙüïÙčöĔĀšøąéĆï \"$ êĞęćÖüŠć ĀøČĂ ǰ ıǰ øąéĆï \"$ ĂćÝÿĎÜÖüŠć ĒêŠĕöŠÙüøđÖĉî ĔîÖøèĊ•ǰ öĊðøąüĆêĉđÖĉéøąéĆïîĞĚćêćúêĞęćĔîđúČĂéĂ÷ŠćÜøčîĒøÜïŠĂ÷ė•ǰ ñĎšÿĎÜĂć÷čĕöŠÿćöćøëéĎĒúêîđĂÜĕéš•ǰ öĊēøÙđøČĚĂøĆÜøŠüöĀúć÷ēøÙ•ǰ ÙćéüŠćöĊßĊüĉêĕöŠîćî TIPSU MJGF FYQFDUBODZÖćøÿĎïïčĀøĊęıǰ đîšîĕöŠĔĀšÿĎïïčĀøĊęĒúąĀúĊÖđúĊę÷ÜÖćøĂ÷ĎŠĔîìĊęìĊęöĊÙüĆîïčĀøĊęöćÖđðŨîðøąÝĞćǰıǰ ñĎšðśü÷ìĊęÖĞćúĆÜÿĎïïčĀøĊęĒúąĕöŠÿćöćøëđúĉÖĕéšêšĂÜĀćöćêøÖćøßŠü÷ĔĀšĀ÷čéÿĎïïčĀøĊę ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰÖćøĔĀšǰBOUJQMBUFMFUıǰ ĂćÝÝąóĉÝćèćĔĀšBOUJQMBUFMFU ĔîñĎšðśü÷đïćĀüćîßć÷ìĊęĂć÷čöćÖÖüŠć ðŘĀøČĂñĎšðśü÷đïćĀüćîĀâĉÜĂć÷čöćÖÖüŠć ðŘìĊęöĊðŦÝÝĆ÷đÿĊę÷Ü×ĂÜēøÙĀĆüĔÝĒúąĀúĂéđúČĂéøŠüöéšü÷Ă÷ŠćÜîšĂ÷ĀîċęÜĂ÷ŠćÜĕéšĒÖŠ ðøąüĆêĉēøÙĀĆüĔÝĒúąĀúĂéđúČĂéĔîÙøĂïÙøĆü ÙüćöéĆîēúĀĉêÿĎÜ ÿĎïïčĀøĊę øąéĆïĕ×öĆîĔîđúČĂéñĉéðÖêĉĀøČĂöĊĂĆúïĎöĉîĔîðŦÿÿćüą ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰ Previous Page Previous Chapter HOME Contents Next Chapter Next Page

162 แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566ıǰ ×îćé×ĂÜ BOUJQMBUFMFU ÙČĂ BTQJSJO öÖüĆî úéÖćøđÖĉéēøÙĀĆüĔÝĒúąĀúĂéđúČĂéĕéšĒêŠđóĉęöÙüćöđÿĊę÷Ü×ĂÜõćüąđúČĂéĂĂÖĔîìćÜđéĉîĂćĀćøĂ÷ŠćÜßĆéđÝî éĆÜîĆĚîĂćÝÝąĔĀšĀøČĂĕöŠĔĀšÖĘĕéšการป้องกันระดับทุติยภูมิ (Secondary prevention)ǰ ÿĞćĀøĆïñĎšðśü÷ìĊęöĊðøąüĆêĉđðŨîēøÙĀúĂéđúČĂéĀĆüĔÝĒúąÿöĂÜĒúšü ÖćøÙüïÙčöøąéĆïîĞĚćêćúĔîđúČĂéĂ÷ŠćÜđ×šöÜüéêšĂÜøąüĆÜĕöŠĔĀšđÖĉéñú×šćÜđÙĊ÷Ü ÖćøÙüïÙčöðŦÝÝĆ÷đÿĊę÷ÜĂČęîė Ă÷ŠćÜđ×šöÜüéöĊÙüćöÝĞćđðŨîĒúąĕéšñúÙčšöÙŠć ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰ öĊÖćøýċÖþćóïüŠćÖćøĔßš÷ć 4(-5* (-1SFDFQUPS BHPOJTU ÿćöćøëúéÖćøđÖĉéēøÙĀĆüĔÝĒúąĀúĂéđúČĂéàĞĚćĕéšøąéĆïÙüćöéĆîēúĀĉêǰ øąéĆïÙüćöéĆîēúĀĉêìĊęđĀöćąÿöÙČĂ ffl ööðøĂì ÷ćìĊęÙüøĔĀšđßŠîđéĊ÷üÖĆïÖćøðŜĂÜÖĆîøąéĆïðåöõĎöĉÖćøĔßšCFUB CMPDLFS öĊ×šĂïŠÜßĊĚöćÖ×ċĚîøąéĆïĕ×öĆîĔîđúČĂéıǰ ñĎšðśü÷đïćĀüćîìĊęöĊēøÙĀĆüĔÝ×ćéđúČĂéøŠüöéšü÷ÙüøĔĀšIJHIJOUFOTJUZ TUBUJOēé÷ÖĞćĀîéđðŜćĀöć÷ĔĀšøąéĆï -%-$ Œ öÖéúĒúą-%-$ úéúÜÝćÖÙŠćđøĉęöĒøÖÖŠĂîĕéšøĆï÷ćĂ÷ŠćÜîšĂ÷øšĂ÷úąĔîÖøèĊìĊęĕöŠÿćöćøëìîêŠĂ÷ćĕéšĀøČĂđÙ÷öĊđúČĂéĂĂÖĔîÿöĂÜ ĀøČĂđÿĊę÷ÜêŠĂðŦâĀćðäĉÖĉøĉ÷ćøąĀüŠćÜ÷ćĂćÝóĉÝćøèćðøĆïđðŜćĀöć÷ìĊęøąéĆï -%-$ Œ öÖéú ĔîÖøèĊìĊęøąéĆï -%-$ ÷ĆÜĕöŠĕéšđðŜćĀöć÷óĉÝćøèćđóĉęö÷ćÖúčŠö OPOTUBUJO ĕéšĒÖŠF[FUJNJCF ĀøČĂ 1$4, JOIJCJUPS ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰıǰ ñĎšðśü÷đïćĀüćîìĊęđðŨîēøÙÿöĂÜ×ćéđúČĂéĀøČĂÿöĂÜ×ćéđúČĂéßĆęüÙøćüìĊęĕöŠĕéšđÖĉéÝćÖúĉęöđúČĂéÝćÖĀĆüĔÝĒúąöĊøąéĆï -%-$ œ öÖéú ÙüøĕéšøĆïÖćøøĆÖþćéšü÷ IJHI JOUFOTJUZ TUBUJO Ùčèõćó×ĂÜĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰĒúąĔĀšđðŜćĀöć÷×ĂÜøąéĆï -%-$ Œ öÖéúÿĞćĀøĆïñĎšðśü÷ÖúčŠöéĆÜÖúŠćüìĊęöĊøąéĆï -%-$ Œ öÖéú îŠćÝąĔĀšÖćøøĆÖþćéšü÷ NPEFSBUF ĀøČĂIJHIJOUFOTJUZ TUBUJO ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰıǰ ÿĞćĀøĆïøąéĆï )%-$ ĒúąUSJHMZDFSJEFđßŠîđéĊ÷üÖĆïĔîÖćøðŜĂÜÖĆîøąéĆïðåöõĎöĉ ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰÖćøĔĀšǰBOUJQMBUFMFUıǰ ×îćé×ĂÜ BOUJQMBUFMFU ÙČĂ BTQJSJO öÖüĆî đßŠîđéĊ÷üÖĆïÖćøðŜĂÜÖĆîøąéĆïðåöõĎöĉıǰ ĀćÖñĎšðśü÷ĕöŠÿćöćøëìî BTQJSJO ĕéšĔĀšóĉÝćøèć BOUJQMBUFMFU êĆüĂČęî đßŠî DMPQJEPHSFM ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰ Previous Page Previous Chapter HOME Contents Next Chapter Next Page

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แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566 165บทที่ 15แนวทางการตรวจค้น การป้องกัน และการดูแลรักษาแผลที่เท้าของผู้ป่วยเบาหวานÙĞćÝĞćÖĆéÙüćö1ǰ đìšćÙČĂÿŠüîìĊęĂ÷ĎŠúŠćÜêŠĂ×šĂđìšć đìšćđïćĀüćî EJBCFUJD GPPU đÖĉéÝćÖÖćøöĊđÿšîðøąÿćìÿŠüîðúć÷đÿČęĂöÝćÖđïćĀüćî ĒúąĀøČĂ ēøÙĀúĂéđúČĂéÿŠüîðúć÷ìĊę×ćêĊï àċęÜĀćÖöĊõćüąêĉéđßČĚĂ öĊĒñú ĀøČĂđîČĚĂđ÷ČęĂÖøąéĎÖëĎÖìĞćúć÷ ĔîñĎšðśü÷đïćĀüćîđøĊ÷ÖÝĞćđóćąüŠć ĒñúìĊęđìšćĔîñĎšðśü÷đïćĀüćî EJBCFUJD GPPU VMDFSđÿšîðøąÿćìÿŠüîðúć÷đÿČęĂöÝćÖđïćĀüćîǰ EJBCFUJDǰQFSJQIFSBMǰOFVSPQBUIZ Āöć÷ëċÜĂćÖćøĀøČĂĂćÖćøĒÿéÜđîČęĂÜÝćÖđÿšîðøąÿćìÿŠüîðúć÷đÿČęĂöÝćÖēøÙđïćĀüćîĕöŠĕéšđÖĉéÝćÖÿćđĀêčĂČęîė àċęÜđðŨîðŦÝÝĆ÷ÿĞćÙĆâ×ĂÜðŦâĀćìĊęđìšć×ĂÜñĎšðśü÷đïćĀüćî ìĊęÿĞćÙĆâÙČĂ ÖćøÿĎâđÿĊ÷ÖćøøĆïÙüćöøĎšÿċÖĔîÖćøðŜĂÜÖĆîêîđĂÜìĊęđìšć MPTT PG QSPUFDUJWF TFOTBUJPOffi -014 ÙČĂÖćøÿĎâđÿĊ÷ÖćøøĆïÙüćöøĎšÿċÖĔîøąéĆïìĊęöĊñúêŠĂÖćøðŜĂÜÖĆîÖćøđÖĉéĒñúìĊęđìšć öĊúĆÖþèąÿĞćÙĆâÙČĂÿĎâđÿĊ÷ÖćøøĆïÙüćöøĎšÿċÖĒøÜÖéĔîøąéĆïđïć MJHIU QSFTTVSFàċęÜÿćöćøëüĉîĉÝÞĆ÷ĕéšēé÷ÖćøêøüÝÖćøøĆïÙüćöøĎšÿċÖéšü÷ NPOPųMBNFOU îĞĚćĀîĆÖ ÖøĆö ÖćøêøüÝÖćøøĆïÙüćöÿĆęîÿąđìČĂî WJCSBUJPO ĀøČĂ *QTXJDI UPVDI UFTU ñĎšðśü÷ìĊęêøüÝóï -014 ïŠÜßĊĚüŠć öĊđÿšîðøąÿćìÿŠüîðúć÷đÿČęĂöÝćÖđïćĀüćîĔîøąéĆïìĊęöĊÙüćöđÿĊę÷ÜêŠĂÖćøđÖĉéĒñúìĊęđìšćđìšćñĉéøĎðǰ GPPUǰEFGPSNJUZǰĀöć÷ëċÜÖćøđðúĊę÷îĒðúÜøĎðøŠćÜđìšćìĊęÿŠÜñúĔĀšÖćøÖøąÝć÷îĞĚćĀîĆÖìĊęòśćđìšćñĉéðÖêĉđßŠî îĉĚüđìšćÜĂÝĉÖóČĚî DMBX UPFT IBNNFS UPFT NBMMFU UPFT îĉĚüĀĆüĒöŠđìšćđÖ IBMMVY WBMHVTQSPNJOFOU NFUBUBSTBMIFBETòśćđìšćēÖŠÜÜĂöćÖÖüŠćðÖêĉ QFT DBWVT đìšćĒïî ŴBU GFFU $IBSDPUGPPUđìšćñĉéøĎðÝćÖĂčïĆêĉđĀêčÖćøñŠćêĆé êĆé×ćđìšćîĉĚüđìšć ĄúĄĀîĆÜĀîćéšćîǰ DBMMVT Āöć÷ëċÜõćüą IZQFSLFSBUPTJT àċęÜđÖĉéÝćÖĒøÜÖéìĊęöćÖÖüŠćðÖêĉแผลที่เท้าในผู้ป่วยเบาหวาน (diabetic foot ulcer) ĒñúìĊęđìšćĔîñĎšðśü÷đïćĀüćî Āöć÷ëċÜĒñúìĊęđìšćĔîñĎšðśü÷đïćĀüćîìĊęúċÖĕðëċÜßĆĚî EFSNJT ĀøČĂúċÖÖüŠćîĆĚîàċęÜöĆÖóïøŠüöÖĆïõćüąđÿšîðøąÿćìÿŠüîðúć÷đÿČęĂöÝćÖđïćĀüćî ĀøČĂõćüąĀúĂéđúČĂéÿŠüîðúć÷ìĊę×ćêĊïøĂ÷ēøÙÖŠĂîÖćøđÖĉéĒñúǰ QSFVMDFSBUJWFǰ MFTJPO Āöć÷ëċÜ øĂ÷ēøÙìĊęđìšćìĊęđÿĊę÷ÜêŠĂÖćøÖúć÷đðŨîĒñúĕéšĒÖŠêčŠöîĞĚćóĂÜ CMJTUFSÝčéđúČĂéĂĂÖĔîßĆĚîñĉüĀîĆÜĀøČĂĔêšñĉüĀîĆÜ øĂ÷ĒêÖ×ĂÜñĉüĀîĆÜ ųTTVSF ĀîĆÜĀîćéšćî DBMMVTǰ ñĎšðśü÷đïćĀüćîöĊēĂÖćÿđÖĉéĒñúìĊęđìšćðøąöćèøšĂ÷úąêŠĂðŘĒêŠđöČęĂóĉÝćøèćìĆĚÜßŠüÜßĊüĉê óïüŠćñĎšðśü÷đïćĀüćîöĊēĂÖćÿđðŨîĒñúìĊęđìšćÿĎÜëċÜøšĂ÷úąĒúąĀćÖđÙ÷öĊĒñúìĊęđìšćĒúšüÝąöĊēĂÖćÿđðŨîĒñúàĞĚćĔîðŘĒøÖÿĎÜëċÜøšĂ÷úą ĔîñĎšìĊęëĎÖêĆé×ćđìšćîĉĚüđìšćöćÖÖüŠćøšĂ÷úą öĊðøąüĆêĉÖćøđðŨîĒñúîĞćöćÖŠĂî ĒÿéÜĔĀšđĀĘîüŠć ÖćøðŜĂÜÖĆîĕöŠĔĀšđÖĉéĒñúöĊÙüćöÿĞćÙĆâĂ÷ŠćÜ÷ĉęÜ đóČęĂúéÖćøêĆéĂüĆ÷üąÿŠüîúŠćÜ MPXFS FYUSFNJUZBNQVUBUJPO ĔîñĎšðśü÷đïćĀüćî Previous Page Previous Chapter HOME Contents Next Chapter Next Page

166 แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566ðŦÝÝĆ÷đÿĊę÷ÜêŠĂÖćøđÖĉéĒñúìĊęđìšćĔîñĎšðśü÷đïćĀüćî ĕéšĒÖŠǰ ēøÙ×ĂÜđÿšîðøąÿćì OFVSPQBUIZ ĕéšĒÖŠ ēøÙđÿšîðøąÿćìÿŠüîðúć÷đÿČęĂöÝćÖđïćĀüćî QFSJQIFSBMOFVSPQBUIZ ñĎšðśü÷öĊÖćøÿĎâđÿĊ÷ÖćøøĆïøĎšÙüćöøĎšÿċÖÿĆęîÿąđìČĂî WJCSBUJPO øąïïðøąÿćìÿĆęÜÖćø NPUPSOFVSPQBUIZÖćøøĆïøĎšÙüćöøĎšÿċÖ×ĂÜ×šĂêŠĂ QPTJUJPOTFOTFÖćøøĆïÙüćöøĎšÿċÖÿĆöñĆÿđïćė UPVDI ÖćøøĆïøĎšÙüćöøĎšÿċÖðüéĀøČĂĒĀúö ĀøČĂÖćøøĆïøĎšÙüćöøĎšÿċÖøšĂîđ÷Ęî ÿĎâđÿĊ÷ĕð11 îĂÖÝćÖîĊĚÙüćöñĉéðÖêĉ×ĂÜøąïïðøąÿćìĂĆêēîöĆêĉìĞćĔĀšđĀÜČęĂĂĂÖîšĂ÷ĒúąñĉüĒĀšÜ ÝċÜđÿĊę÷ÜêŠĂÖćøđÖĉéĒñúìĊęđìšćǰ ēøÙĀúĂéđúČĂéÿŠüîðúć÷ìĊę×ćêĊï QFSJQIFSBM BSUFSJBM EJTFBTFffi 1\"% ìĞćĔĀšĒñúĀć÷ßšć đÿĊę÷ÜêŠĂÖćøëĎÖêĆé×ćđìšćîĉĚüđìšć ñĎšðśü÷ÖúčŠöîĊĚöĊÙüćöđÿĊę÷ÜêŠĂēøÙĀĆüĔÝĒúąĀúĂéđúČĂé ĒúąÖćøđÿĊ÷ßĊüĉêǰ øĂ÷ēøÙÖŠĂîđÖĉéĒñú QSFVMDFSBUJWFMFTJPO ĕéšĒÖŠêčŠöîĞĚćóĂÜ CMJTUFSÝčéđúČĂéĂĂÖĔîßĆĚîñĉüĀîĆÜĀøČĂĔêšñĉüĀîĆÜ øĂ÷ĒêÖ×ĂÜñĉüĀîĆÜ ųTTVSF ĀîĆÜĀîćéšćî DBMMVTǰ ēøÙĕêđøČĚĂøĆÜÝćÖđïćĀüćî ēé÷đÞóćąĂ÷ŠćÜ÷ĉęÜñĎšìĊęöĊēøÙĕêüć÷đøČĚĂøĆÜøą÷ąÿčéìšć÷ FOETUBHFSFOBMEJTFBTF ñĎšìĊęĕéšøĆïÖćøïĞćïĆéìéĒìîĕê EJBMZTJT ĒúąñĎšìĊęĕéšøĆïÖćøðúĎÖëŠć÷ĕêǰ ñĎšìĊęöĊðøąüĆêĉđÙ÷đðŨîĒñúìĊęđìšć ĀøČĂ ëĎÖêĆé×ćđìšćîĉĚüđìšćǰ đìšćñĉéøĎð GPPU EFGPSNJUJFTǰ ðŦÝÝĆ÷đÿĊę÷ÜĔîÖćøđÖĉéĒñúĂČęî ė ĕéšĒÖŠ ÖćøĔÿŠøĂÜđìšćóùêĉÖøøöÖćøéĎĒúđìšćìĊęĕöŠëĎÖêšĂÜ ĂčïĆêĉđĀêčñĎšìĊęöĊÝĂêćñĉéðÖêĉÝćÖđïćĀüćî ĀøČĂöĊÙüćöñĉéðÖêĉ×ĂÜÿć÷êć đúĘïñĉéðÖêĉđðŨîđïćĀüćîöćîćîøąéĆïîĞĚćêćúĔîđúČĂéÿĎÜ Ăć÷čöćÖ ÿĎïïčĀøĊęÖćøðŜĂÜÖĆîĒñúìĊęđìšćĔîñĎšðśü÷đïćĀüćîǰ ÖćøðŜĂÜÖĆîĒñúìĊęđìšćĔîñĎšðśü÷đïćĀüćî ðøąÖĂïéšü÷ ÖćøÙšîĀćñĎšìĊęöĊÙüćöđÿĊę÷ÜĔîÖćøđÖĉéĒñúìĊęđìšćÖćøêøüÝđìšćĂ÷ŠćÜÿöĞęćđÿöĂ ÖćøĔĀšÙĞćĒîąîĞćĔîÖćøéĎĒúêîđĂÜ ĒúąÖćøĔĀšñĎšðśü÷ĔÿŠøĂÜđìšćìĊęđĀöćąÿöการค้นหาผู้ที่มีความเสี่ยงในการเกิดแผลที่เท้า ÙĞćĒîąîĞćìĊęǰ ǰ ñĎšðśü÷đïćĀüćîìčÖøć÷ÙüøĕéšøĆïÖćøêøüÝðøąđöĉîđìšćēé÷úąđĂĊ÷é Ă÷ŠćÜîšĂ÷ðŘúą ÙøĆĚÜ ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰǰ ÖćøêøüÝðøąđöĉîđìšćĂ÷ŠćÜúąđĂĊ÷éðøąÖĂïéšü÷ÖćøàĆÖðøąüĆêĉêøüÝøŠćÜÖć÷ÖćøêøüÝðøąđöĉîÖćøÿĎâđÿĊ÷ÖćøøĆïÙüćöøĎšÿċÖĔîÖćøðŜĂÜÖĆîêîđĂÜìĊęđìšć -014ĒúąÖćøêøüÝðøąđöĉîøąïïĀúĂéđúČĂéìĊęđìšć WBTDVMBS BTTFTTNFOU àċęÜÝąìĞćĔĀšÿćöćøëĒïŠÜñĎšðśü÷êćöøąéĆïÙüćöđÿĊę÷Ü đóČęĂéĞćđîĉîÖćøéĎĒúøĆÖþćìĊęđĀöćąÿöĔîÖćøðŜĂÜÖĆîĒñúìĊęđìšćêŠĂĕðÖćøàĆÖðøąüĆêĉðøąüĆêĉìĊęÙüøàĆÖđóČęĂðøąđöĉîÙüćöđÿĊę÷ÜĔîÖćøđÖĉéĒñúìĊęđìšć ĕéšĒÖŠǰ ĂćÖćøðŦÝÝčïĆî đßŠî ĒñúìĊęđìšćĂćÖćøßćĒÿï øšĂî ðüéĒðúïìĊęđìšć đìšćïüö ñĉüĀîĆÜđðúĊę÷îÿĊĂćÖćøđîČęĂÜÝćÖēøÙĀúĂéđúČĂéĒéÜÿŠüîðúć÷ìĊę×ćêĊï đßŠî WBTDVMBS DMBVEJDBUJPO àċęÜñĎšðśü÷ÝąöĊĂćÖćøðüéìĊęïøĉđüèîŠĂÜ DBMG QBJO ĂćÖćøðüéÝąöĊúĆÖþèąđðŨîĒïïêČĚĂė đöČęĂ÷ ðüé EVMM BDIJOH Previous Page Previous Chapter HOME Contents Next Chapter Next Page

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168 แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566ǰ ÖćøêøüÝđìšćĂ÷ŠćÜúąđĂĊ÷éìćÜøąïïðøąÿćìĒúąĀúĂéđúČĂé ÖŠĂîìĞćÖćøêøüÝìčÖÙøĆĚÜ ÙüøĔĀšñĎšðśü÷ëĂéëčÜđìšćĒúąøĂÜđìšćĂĂÖ øć÷úąđĂĊ÷éÖćøêøüÝøŠćÜÖć÷öĊéĆÜêŠĂĕðîĊĚǰ ÿĆÜđÖêúĆÖþèąìĆęüĕð×ĂÜñĎšðśü÷ đßŠî Öćøđéĉî ëčÜđìšćĒúąøĂÜđìšćìĊęĔÿŠ ÙüćöÿąĂćé×ĂÜëčÜđìšćĒúąøĂÜđìšć ÖćøöĂÜđĀĘîǰ êøüÝñĉüĀîĆÜìĊęđìšćìčÖÿŠüîēé÷úąđĂĊ÷é đßŠî ÿĊ×ĂÜñĉüĀîĆÜ ĂčèĀõĎöĉÖćøïüö Ēñú ñČęî ĒúąøĂ÷ēøÙÖŠĂîÖćøđÖĉéĒñú QSFVMDFSBUJWF MFTJPOǰ đúĘï ĒúąÜŠćöđìšć đßŠî êĆéđúĘïßĉéêĉéđîČĚĂĀøČĂĕöŠ đßČĚĂøćìĊęđúĘïĒúąÜŠćöđìšć ÙüćöÿąĂćéǰ úĆÖþèąđìšćñĉéøĎð ĕéšĒÖŠ DIBSDPU GPPU îĉĚüđìšćÜĂÝĉÖóČĚî DMBX UPFT IBNNFS UPFT NBMMFUUPFT îĉĚüĀĆüĒöŠđìšćđÖ IBMMVY WBMHVT QSPNJOFOU NFUBUBSTBM IFBET òśćđìšćēÖŠÜÜĂöćÖÖüŠćðÖêĉ QFT DBWVT đìšćĒïî ŴBU GFFU ĀøČĂÖćøëĎÖêĆéđìšć îĉĚüđìšć ĀøČĂ×ćǰ ÖćøêøüÝðøąđöĉîìćÜøąïïðøąÿćìfl ñĎšðśü÷đïćĀüćîßîĉéìĊę ìĊęđðŨîđïćĀüćîĂ÷ŠćÜîšĂ÷ ðŘĒúąñĎšðśü÷đïćĀüćîßîĉéìĊę ìčÖøć÷đöČęĂĕéšøĆïÖćøüĉîĉÝÞĆ÷ ÙüøĕéšøĆïÖćøêøüÝðøąđöĉîēøÙđÿšîðøąÿćìÿŠüîðúć÷đÿČęĂöÝćÖđïćĀüćî Ă÷ŠćÜîšĂ÷ðŘúąÙøĆĚÜÖćøêøüÝìćÜøąïïðøąÿćììĊęïŠÜßĊĚëċÜÙüćöđÿĊę÷ÜĔîÖćøđÖĉéĒñúìĊęđìšć -014 ÿćöćøëìĞćĕéšēé÷ıǰ ÖćøêøüÝ NPOPųMBNFOU îĞĚćĀîĆÖÖøĆö ĀćÖóïüŠćñĉéðÖêĉÝąÿĆöóĆîíŤÖĆïÙüćöđÿĊę÷ÜĔîÖćøđÖĉéĒñúìĊęđìšć đìŠć11ıǰ ÖćøêøüÝìéÿĂïÖćøøĆïøĎšÙüćöÿĆęîÿąđìČĂîéšü÷ ÿšĂöđÿĊ÷Ü×îćé đăĉøŤê ĀøČĂ ÖćøêøüÝéšü÷CJPUIFTJPNFUFS ÙüøìéÿĂïÖćøøĆïøĎšÙüćöÿĆęîÿąđìČĂîéšü÷ÿšĂöđÿĊ÷Ü ĀćÖñúÖćøêøüÝéšü÷NPOPųMBNFOU ðÖêĉÖćøêøüÝîĊĚÿĆöóĆîíŤÖĆïÙüćöđÿĊę÷ÜĔîÖćøđÖĉéĒñúìĊęđìšćðøąöćè đìŠć11ıǰ ĔîÖøèĊìĊęĕöŠöĊNPOPųMBNFOU ĀøČĂđÙøČęĂÜöČĂêøüÝÙüćöÿĆęîÿąđìČĂî ÿćöćøëêøüÝéšü÷*QTXJDIUPVDIUFTUàċęÜđðŨîÖćøêøüÝÙüćöøĎšÿċÖÿĆöñĆÿìĊęðúć÷îĉĚüđìšć öĊÙüćöĕüĒúąÙüćöÝĞćđóćąĔÖúšđÙĊ÷ÜÖĆïÖćøêøüÝ NPOPųMBNFOUĒúąÖćøêøüÝÙüćöøĎšÿċÖÿĆęîÿąđìČĂîĒêŠ÷ĆÜĕöŠöĊÖćøýċÖþćÙüćöÿĆöóĆîíŤÖĆïÖćøđÖĉéĒñúìĊęđìšćđîČęĂÜÝćÖÖćøêøüÝßîĉéîĊĚìĞćĕéšÜŠć÷ĕöŠÿĉĚîđðúČĂÜÝċÜĒîąîĞćĔĀšêøüÝĀćÖĕöŠöĊĂčðÖøèŤÖćøêøüÝ×šćÜêšî îĂÖÝćÖÖćøêøüÝìćÜøąïïðøąÿćì×šćÜêšî ÷ĆÜöĊÖćøêøüÝĂČęî đßŠî QJOQSJDL Ēúą ÖćøøĆïøĎšĂčèĀõĎöĉàċęÜđðŨîÖćøêøüÝÙüćöñĉéðÖêĉ×ĂÜđÿšîðøąÿćììĊęöĊ×îćéđúĘÖ TNBMM OFSWF ųCFS ĀćÖñĉéðÖêĉóïüŠć öĊÙüćöÿĆöóĆîíŤÖĆïÖćøđÖĉéĒñúìĊęđìšćđßŠîÖĆî ĒêŠđîČęĂÜÝćÖÖćøêøüÝ NPOPųMBNFOUđöČęĂîĞćöćðøąđöĉîøŠüöÖĆïÖćøÙúĞćßĊóÝøìĊęđìšć ĒúąðøąüĆêĉĒñúìĊęđìšć ÿćöćøëìĞćîć÷ÙüćöđÿĊę÷Ü×ĂÜÖćøđÖĉéĒñúĕéšéĊÝċÜđðŨîÖćøêøüÝìĊęîĉ÷ö ĒúąĂ÷ĎŠĔîÙĞćĒîąîĞć×ĂÜĒîüìćÜđüßðäĉïĆêĉĀúć÷ÿëćïĆîÖøèĊìĊęñúÖćøêøüÝìćÜøąïïðøąÿćìĂ÷ŠćÜîšĂ÷ Ă÷ŠćÜ đðŨîðÖêĉÿćöćøëĒðúñúüŠć ñĎšðśü÷ĕöŠöĊõćüąđÿšîðøąÿćìÿŠüîðúć÷đÿČęĂöÝćÖđïćĀüćîǰ êøüÝÙĆéÖøĂÜõćüąĀúĂéđúČĂéÿŠüîðúć÷ìĊę×ćêĊï ēé÷ÿĆÜđÖêĂćÖćøĒÿéÜ×ĂÜõćüą×ćéđúČĂéđøČĚĂøĆÜđßŠî ñĉüĀîĆÜöĆî ĕöŠöĊ×î ÿĊđìšćàĊéđ÷Ęî Öéðúć÷îĉĚüĒúšüöĊÿĊàĊéîćî EFMBZFE DBQJMMBSZ ųMMJOH ĀøČĂöĊîĉĚüéĞćÙúĞĚćĀøČĂĕöŠ ÙúĞćßĊóÝøìĊę EPSTBMJT QFEJT Ă÷ĎŠïøĉđüèĀúĆÜđìšćøąĀüŠćÜîĉĚüĀĆüĒöŠđìšć ÖĆïîĉĚüßĊĚĒúą QPTUFSJPS UJCJBMBSUFSZ Ă÷ĎŠïøĉđüèĀúĆÜðčśöÖøąéĎÖ×šĂđìšćéšćîĔî ìĆĚÜÿĂÜ×šćÜ ĀćÖóïüŠćßĊóÝøđïć ĀøČĂÙúĞćĕöŠĕéšĔĀšÿŠÜêøüÝüĆé BOLMF CSBDIJBM JOEFY \"#* Previous Page Previous Chapter HOME Contents Next Chapter Next Page

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170 แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566ǰ øąĀüŠćÜÖćøêøüÝÙüøĔĀšÖĞćúĆÜĔÝñĎšðśü÷ēé÷ÖćøßöđðŨîøą÷ąǰ ëšćñĎšðśü÷ÿćöćøëêĂïÖćøøĆïÙüćöøĎšÿċÖÿĆöñĆÿĕéšĂ÷ŠćÜëĎÖêšĂÜĂ÷ŠćÜîšĂ÷ ÙøĆĚÜ Ĕî ÙøĆĚÜ øüöÖćøêøüÝĀúĂÖéšü÷ÙøĆĚÜ×ĂÜÖćøêøüÝĒêŠúąêĞćĒĀîŠÜĒðúüŠćÖćøøĆïÙüćöøĎšÿċÖĔîÖćøðŜĂÜÖĆîêîđĂÜìĊęđìšć×ĂÜñĎšðśü÷÷ĆÜðÖêĉǰ ëšćñĎšðśü÷êĂïĕöŠëĎÖêšĂÜđú÷ ĀøČĂêĂïøĆïÙüćöøĎšÿċÖĕéšëĎÖêšĂÜÙøĆĚÜ Ĕî ÙøĆĚÜ ĔĀšìĞćÖćøêøüÝàĞĚćĔĀöŠìĊęêĞćĒĀîŠÜđéĉö ìĆĚÜîĊĚĔîñĎšìĊęöĊđìšćïüö ĀøČĂđìšćđ÷Ęî ĂćÝĔĀšñúÖćøêøüÝñĉéðÖêĉĕéšĀöć÷đĀêčfl ÙüøĀ÷čéÖćøĔßšÜćî NPOPųMBNFOU Ă÷ŠćÜîšĂ÷ ßĆęüēöÜ ĀúĆÜÝćÖÖćøêøüÝñĎšðśü÷ÝĞćîüî Ùî ĒúąđðúĊę÷îĂĆîĔĀö ŠĀćÖĔßšNPOPųMBNFOU ÖĆïñĎšð śü÷ÝĞćîüîðøąöćè Ùî đîČęĂÜÝćÖĒøÜÖéÝąđðúĊę÷îĕðÖćøêøüÝÖćøøĆïÙüćöøĎšÿċÖÿĆęîÿąđìČĂî êøüÝéšü÷ÿšĂöđÿĊ÷Ü đăĉøŤêǰ ìĞćÖćøêøüÝĔîĀšĂÜìĊęöĊÙüćöđÜĊ÷ïÿÜïǰ Ăíĉïć÷×ĆĚîêĂîĒúąÖøąïüîÖćøêøüÝĔĀšñĎšðśü÷đ×šćĔÝÖŠĂîìĞćÖćøêøüÝ ĒúąüćÜÿšĂöđÿĊ÷ÜìĊę×šĂöČĂ×šĂýĂÖ ĀøČĂĕĀðúćøšć×ĂÜñĎšðśü÷Ĕî×èąìĊęÿšĂöđÿĊ÷ÜÖĞćúĆÜÿĆęî ĒúąĀ÷čéÿĆęî đóČęĂĔĀšñĎšðśü÷ìøćïĒúąđ×šćĔÝëċÜÙüćöøĎšÿċÖìĊęÖĞćúĆÜÝąìĞćÖćøêøüÝǰ ĔĀšñĎšðśü÷ĀúĆïêć øąĀüŠćÜÖćøêøüÝñĎšðśü÷êšĂÜĕöŠđĀĘîïøĉđüèìĊęêøüÝǰ êĞćĒĀîŠÜìĊęêøüÝ ÙČĂ ĀúĆÜîĉĚüĀĆüĒöŠđìšć ïøĉđüèÖøąéĎÖ×šĂÿčéìšć÷×ĂÜîĉĚüēðŜÜ EJTUBM JOUFSQIBMBOHFBM KPJOU ìĆĚÜÿĂÜ×šćÜ ĀćÖîĉĚüēðŜÜĕöŠÿćöćøëêøüÝĕéšĀøČĂēéîêĆéîĉĚü ÿćöćøëêøüÝìĊęîĉĚüĂČęîĕéšǰ üćÜÿšĂöđÿĊ÷ÜàċęÜĕöŠÿĆęîêøÜêĞćĒĀîŠÜìĊęÝąêøüÝĒúąëćöñĎšðśü÷üŠć ĶøĎšÿċÖüŠćÿšĂöđÿĊ÷ÜÿĆęîĀøČĂĕöŠķ ñĎšðśü÷ÙüøêĂïĕéšëĎÖêšĂÜǰ üćÜÿšĂöđÿĊ÷ÜìĊęÿĆęîêĆĚÜÞćÖÖĆïñĉüĀîĆÜéšü÷îĞĚćĀîĆÖìĊęÙÜìĊę ëćöñĎšðśü÷üŠć ĶøĎšÿċÖüŠćÿšĂöđÿĊ÷ÜÿĆęîĀøČĂĕöŠķĒúąĔĀšñĎšðśü÷ïĂÖìĆîìĊìĊęøĎšÿċÖüŠćÿšĂöđÿĊ÷ÜĀ÷čéÿĆęî ìĆĚÜîĊĚñĎšêøüÝÿćöćøëìĞćĔĀšÿšĂöđÿĊ÷ÜĀ÷čéÿĆęîĕéšìčÖđüúćǰ Ĕî×èąìĊęñĎšêøüÝĔßšöČĂ×šćÜĀîċęÜÝĆïÿšĂöđÿĊ÷Ü ĔĀšñĎšêøüÝĔßšîĉĚüßĊĚ×ĂÜöČĂĂĊÖ×šćÜĀîċęÜĒêąìĊęĔêšîĉĚüĀĆüĒöŠđìšć×ĂÜñĎšðśü÷×šćÜìĊęÖĞćúĆÜêøüÝđóČęĂøĆïìøćïÙüćöøĎšÿċÖÿĆęîĕðóøšĂöÖĆïñĎšðśü÷àċęÜÝąßŠü÷ĔĀšñĎšêøüÝÿćöćøëðøąđöĉîÙüćöîŠćđßČęĂëČĂ×ĂÜÙĞćêĂïìĊęñĎšðśü÷êĂïĕéšǰ ĔîÖćøêøüÝ ÙøĆĚÜ Ýąĕéš ÙĞćêĂï ÙČĂ đöČęĂđøĉęöøĎšÿċÖüŠćÿšĂöđÿĊ÷ÜÿĆęî ĒúąđöČęĂøĎšÿċÖüŠć ÿšĂöđÿĊ÷ÜĀ÷čéÿĆęîǰ ìĞćÖćøêøüÝìĊęêĞćĒĀîŠÜđéĉöàĞĚćøüöÖćøêøüÝìĆĚÜĀöé ÙøĆĚÜ éĆÜîĆĚîÝąĕéš ÙĞćêĂï Ĕî êĞćĒĀîŠÜǰĀćÖñĎšðśü÷êĂïĕöŠëĎÖêšĂÜêĆĚÜĒêŠÙĞćêĂïĔîĒêŠúą×šćÜĒðúüŠć öĊÖćøøĆïÙüćöøĎšÿċÖÿĆęîÿąđìČĂîñĉéðÖêĉǰĀćÖÖćøêøüÝìĊęîĉĚüĀĆüĒöŠđìšćñĉéðÖêĉĔĀšêøüÝĔîêĞćĒĀîŠÜìĊęÿĎÜ×ċĚî đßŠî êćêčŠö ĀøČĂðčśöÖøąéĎÖìĉđïĊ÷ UJCJBM UVCFSPTJUZÖćøêøüÝǰ*QTXJDIǰ5PVDIǰ5FTU19ǰ ĔĀšñĎšðśü÷ëĂéëčÜđìšćĒúąøĂÜđìšć ĒúšüîĂîĀøČĂîĆęÜđĀ÷Ċ÷é×ćïîđêĊ÷ÜĀøČĂđÖšćĂĊĚĔîìŠćÿïć÷ǰ ĒêąìĊę×ćñĎšðśü÷ìĆĚÜÿĂÜ×šćÜ óøšĂöïøø÷ć÷üŠć ×ćìĊęĒêąÙČĂ ×ć×üć ĀøČĂ×ćàšć÷ Previous Page Previous Chapter HOME Contents Next Chapter Next Page

แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566 171ǰ ĔĀšñĎšðśü÷ĀúĆïêćìĆĚÜÿĂÜ×šćÜêúĂéÖćøêøüÝǰ ĒÝšÜñĎšðśü÷ĔĀšìøćïüŠć ĶñĎšêøüÝÝąĒêąìĊęîĉĚüđìšć ĔĀšñĎšðśü÷ĒÝšÜüŠć øĎšÿċÖìĊę×šćÜàšć÷ ĀøČĂ×üćķǰ ñĎšêøüÝĒêąđïćė MJHIU UPVDI üĉîćìĊìĊęðúć÷îĉĚüēðŜÜ îĉĚüÖúćÜ ĒúąîĉĚüÖšĂ÷đìšć ìĊúąîĉĚü ìĊęđìšćìĆĚÜÿĂÜ×šćÜ ñĎšêøüÝêšĂÜÙĂ÷øąüĆÜ ĕöŠĔĀšđðŨîÖćøđÙćą ĀøČĂñúĆÖîĉĚü×ĂÜñĎšðśü÷ ÖćøêøüÝĔĀšìĞćđóĊ÷ÜøĂïđéĊ÷ü ĀćÖñĎšðśü÷ĕöŠøĎšÿċÖ ĕöŠêšĂÜêøüÝàĞĚćǰ ĔĀšñĎšðśü÷êĂïüŠć øĎšÿċÖìĊęêĞćĒĀîŠÜĔé ĀćÖêĂïñĉéêĆĚÜĒêŠ êĞćĒĀîŠÜ ÝćÖ êĞćĒĀîŠÜ ëČĂüŠć ñĉéðÖêĉêĞćĒĀîŠÜÖćøêøüÝ ĔĀšđøĊ÷ÜúĞćéĆïéĆÜøĎðìĊę øĎðìĊęǰ ĒÿéÜúĞćéĆïÖćøêøüÝ *QTXJDI 5PVDI 5FTU19ÙĞćĒîąîĞćìĊęǰ ǰ ÙüćöëĊę×ĂÜÖćøêøüÝ ñĎšðśü÷đïćĀüćîìĊęöĊÙüćöđÿĊę÷ÜøąéĆïêĞęćĀøČĂêĞęćöćÖÙüøêøüÝðøąđöĉîàĞĚćìčÖ đéČĂî ñĎšðśü÷ìĊęöĊÙüćöđÿĊę÷ÜøąéĆïðćîÖúćÜÙüøêøüÝðøąđöĉîàĞĚćìčÖ đéČĂî ĒúąñĎšðśü÷ìĊęöĊÙüćöđÿĊę÷ÜøąéĆïÿĎÜÙüøêøüÝðøąđöĉîàĞĚćìčÖđéČĂî ÙüøéĞćđîĉîÖćøēé÷Ēóì÷ŤĀøČĂïčÙúćÖøìĊęñŠćîÖćøòřÖĂïøöüĉíĊÖćøêøüÝĒúšü ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰÖćøðøąđöĉîÙüćöđÿĊę÷ÜêŠĂÖćøđÖĉéĒñúìĊęđìšćĒúąĒîüìćÜÖćøéĎĒúøĆÖþćǰ ñĎšðśü÷đïćĀüćîìčÖøć÷ÙüøĕéšøĆïÖćøêøüÝÙĆéÖøĂÜđìšćđóČęĂðøąđöĉîÙüćöđÿĊę÷ÜêŠĂÖćøđÖĉéĒñúēé÷ÿćöćøëÝĞćĒîÖøąéĆïÙüćöđÿĊę÷ÜđðŨî øąéĆïéĆÜîĊĚ ĒñîõĎöĉìĊę ÙüćöđÿĊę÷ÜêĞęćöćÖ ÙüćöđÿĊę÷ÜøąéĆï ĕéšĒÖŠñĎšðśü÷đïćĀüćîìĊęıǰ ĕöŠöĊðøąüĆêĉÖćøöĊĒñúìĊęđìšć ĀøČĂÖćøëĎÖêĆé×ćđìšćîĉĚüđìšćıǰ ñúÖćøðøąđöĉîÖćøøĆïÙüćöøĎšÿċÖĔîÖćøðŜĂÜÖĆîêîđĂÜìĊęđìšćĒúąßĊóÝøđìšć ĀøČĂñúÖćøêøüÝ \"#*ðÖêĉ ×šĂÙüøðäĉïĆêĉĔĀšÙüćöøĎšñĎšðśü÷ĔîđøČęĂÜÖćøêøüÝĒúąÖćøéĎĒúđìšćéšü÷êîđĂÜ êĉéêćöóùêĉÖøøöÖćøéĎĒúđìšć×ĂÜñĎšðśü÷ ÙüïÙčöøąéĆïîĞĚćêćúĔîđúČĂé øąéĆïĕ×öĆîĔîđúČĂé ĒúąÙüćöéĆîēúĀĉêĔĀšĂ÷ĎŠĔîđÖèæŤìĊęđĀöćąÿö ÜéÿĎïïčĀøĊę îĆéêøüÝđìšćĂ÷ŠćÜúąđĂĊ÷é Ă÷ŠćÜîšĂ÷ðŘúą ÙøĆĚÜ ĒúąðøąđöĉîÙüćöđÿĊę÷ÜĔĀöŠëšćöĊÖćøđðúĊę÷îĒðúÜ Previous Page Previous Chapter HOME Contents Next Chapter Next Page

172 แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566 ÙüćöđÿĊę÷ÜêĞęćǰ ÙüćöđÿĊę÷ÜøąéĆïǰ ĕéšĒÖŠñĎšðśü÷đïćĀüćîìĊęıǰ ĕöŠöĊðøąüĆêĉÖćøöĊĒñúìĊęđìšćĀøČĂÖćøëĎÖêĆé×ćđìšćîĉĚüđìšćıǰ ÖćøðøąđöĉîÖćøøĆïÙüćöøĎšÿċÖĔîÖćøðŜĂÜÖĆîêîđĂÜìĊęđìšćñĉéðÖêĉĀøČĂ ßĊóÝøđìšćđïćúÜĀøČĂ \"#*Œ ĀøČĂ œ ×šĂÙüøðäĉïĆêĉĔĀšðäĉïĆêĉđĀöČĂîÖúčŠöÙüćöđÿĊę÷ÜêĞęćöćÖ ĔĀšÙüćöøĎšñĎšðśü÷đøČęĂÜüĉíĊÖćøđúČĂÖøĂÜđìšćìĊęđĀöćąÿö ĒîąîĞćñĎšðśü÷ĕöŠÙüøđéĉîđìšćđðúŠćìĆĚÜĔîĒúąîĂÖïšćî ĒúąÖćøđòŜćøąüĆÜÙüćöñĉéðÖêĉìĊęđÖĉé×ċĚîìĊęđìšćøŠüöÖĆïÿŠÜóïĒóì÷ŤđßĊę÷üßćâđóČęĂüĉîĉÝÞĆ÷đóĉęöđêĉöĔîÖøèĊìĊęêøüÝóïßĊóÝøđìšćđïćúÜ ĀøČĂñúêøüÝ \"#* Œ ĀøČĂœ ĒúąîĆéêøüÝđìšćđóČęĂðøąđöĉîõćüąĒìøÖàšĂîÝćÖđìšćđïćĀüćîĂ÷ŠćÜîšĂ÷ìčÖ đéČĂî ĕöŠÝĞćđðŨîêšĂÜêøüÝ -014 àĞĚćĀćÖóïüŠć ñĉéðÖêĉ ÙüćöđÿĊę÷ÜðćîÖúćÜǰ ÙüćöđÿĊę÷ÜøąéĆïǰ ĕéšĒÖŠñĎšðśü÷đïćĀüćîìĊęıǰ ĕöŠöĊðøąüĆêĉÖćøöĊĒñúìĊęđìšćĀøČĂÖćøëĎÖêĆé×ćđìšćîĉĚüđìšćıǰ êøüÝóïÙüćöñĉéðÖêĉĂ÷ŠćÜîšĂ÷ ×šĂ êŠĂĕðîĊĚ•ǰ ÖćøðøąđöĉîÖćøøĆïÙüćöøĎšÿċÖĔîÖćøðŜĂÜÖĆîêîđĂÜìĊęđìšćñĉéðÖêĉ•ǰ ßĊóÝøđìšćđïćúÜ ĀøČĂêøüÝ \"#* Œ ĀøČĂ œ •ǰ đìšćñĉéøĎð ×šĂÙüøðäĉïĆêĉĔĀšðäĉïĆêĉđĀöČĂîÖúčŠöÙüćöđÿĊę÷ÜêĞęćǰøŠüöÖĆïÿŠÜóïìĊöĒóì÷ŤđßĊę÷üßćâ ÙüøóĉÝćøèćĂčðÖøèŤđÿøĉöĔîøĂÜđìšćĒúąøĂÜđìšćìĊęđĀöćąÿö ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰ ĒúąîĆéêøüÝđìšćđóČęĂðøąđöĉîõćüąĒìøÖàšĂîÝćÖđìšćđïćĀüćî ìčÖ đéČĂî ÙüćöđÿĊę÷ÜÿĎÜǰ ÙüćöđÿĊę÷ÜøąéĆïǰ ĕéšĒÖŠñĎšðśü÷đïćĀüćîìĊęêøüÝóïÖćøðøąđöĉîÖćøøĆïÙüćöøĎšÿċÖĔîÖćøðŜĂÜÖĆîêîđĂÜìĊęđìšćñĉéðÖêĉĒúąĀøČĂ ßĊóÝøđìšćđïćúÜĀøČĂêøüÝ \"#* Œ ĀøČĂ œ øŠüöÖĆï×šĂĔé×šĂĀîċęÜéĆÜîĊĚıǰ öĊðøąüĆêĉöĊĒñúìĊęđìšćıǰ öĊðøąüĆêĉëĎÖêĆé×ćđìšćîĉĚüđìšćıǰ ĕéšøĆïÖćøüĉîĉÝÞĆ÷üŠćđðŨîĕêüć÷đøČĚĂøĆÜøą÷ąÿčéìšć÷ FOETUBHF SFOBM EJTFBTF ×šĂÙüøðäĉïĆêĉĔĀšðäĉïĆêĉđĀöČĂîÖúčŠöÙüćöđÿĊę÷ÜðćîÖúćÜĒúąîĆéêøüÝđìšćìčÖ đéČĂîǰ đîČęĂÜÝćÖĂćÖćø×ĂÜñĎšðśü÷öĊÖćøđðúĊę÷îĒðúÜĕéšÝċÜÙüøöĊÖćøîĆéêøüÝđìšćĂ÷ŠćÜÿöĞęćđÿöĂêćöøąéĆïÙüćöđÿĊę÷Ü×ĂÜñĎšðśü÷ ĀćÖóïüŠć ÖćøêøüÝđìšćöĊÖćøđðúĊę÷îĒðúÜìĊęđóĉęöÙüćöđÿĊę÷ÜêŠĂÖćøđÖĉéĒñúöćÖ×ċĚî đßŠî ñĎšðśü÷öĊÖćøéĎĒúđìšćêîđĂÜĕöŠëĎÖêšĂÜÖćøêøüÝóïÖćøĀîćêĆü×ĂÜñĉüĀîĆÜöćÖ×ċĚî ĀøČĂóïøĂ÷ēøÙìĊęđóĉęöÙüćöđÿĊę÷Ü×ĂÜÖćøđðŨîĒñú ĔĀšóĉÝćøèćÖćøîĆéêøüÝđøĘü×ċĚî đóČęĂðŜĂÜÖĆîĕöŠĔĀšøĂ÷ēøÙđĀúŠćîĊĚÖúć÷đðŨîĒñúìĊęđìšć Previous Page Previous Chapter HOME Contents Next Chapter Next Page

แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566 173ĒñîõĎöĉìĊęǰ ĒÿéÜĒîüìćÜÖćøêøüÝÙĆéÖøĂÜĒúąéĎĒúñĎšðśü÷đïćĀüćîìĊęöĊÙüćöđÿĊę÷ÜêŠĂÖćøđÖĉéĒñúìĊęđìšć Previous Page Previous Chapter HOME Contents Next Chapter Next Page

174 แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566ÙĞćĒîąîĞćìĊęǰǰÖćøêøüÝÙĆéÖøĂÜõćüąðüéđĀêčÝćÖó÷ćíĉÿõćó×ĂÜđÿšîðøąÿćìÝćÖēøÙđïćĀüćîǰ QBJOGVMǰEJBCFUJDǰ OFVSPQBUIZ ÿćöćøëêøüÝēé÷Ēïïðøąđöĉî %PVMFVS /FVSPQBUIJRVF %/ ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰǰ õćüąðüéđĀêčÝćÖó÷ćíĉÿõćó×ĂÜđÿšîðøąÿćìÝćÖēøÙđïćĀüćîóïĕéšøšĂ÷úąñĎšðśü÷ĂćÝöĊÙüćöðüéìĊęđÖĉéÝćÖêĆüÖøąêčšîàċęÜðÖêĉĕöŠìĞćĔĀšđÖĉéÙüćöðüé BMMPEZOJB ĀøČĂ ðüéöćÖÖüŠćðÖêĉđöČęĂÿĆöñĆÿÖĆïêĆüÖøąêčšîìĊęðÖêĉìĞćĔĀšđÝĘï IZQFSBMHFTJB ēé÷ĀćÖñĎšðśü÷öĊĂćÖćøðüéêŠĂđîČęĂÜêĆĚÜĒêŠ đéČĂî×ċĚîĕð ĒÿéÜüŠć öĊõćüąðüéđĀêčÝćÖó÷ćíĉÿõćó×ĂÜđÿšîðøąÿćìđøČĚĂøĆÜĂćÖćøìĊęđÖĉé×ċĚîđðŨîñúÝćÖđÿšîðøąÿćì×îćéđúĘÖñĉéðÖêĉàċęÜìĞćĀîšćìĊęđÖĊę÷üÖĆïÖćøøĆïøĎšÙüćöđÝĘïðüéĒúąĂčèĀõĎöĉÖćøêøüÝøŠćÜÖć÷ĂćÝóïüŠć ĕöŠøĎšÿċÖđöČęĂöĊđ×ĘöÝĉĚö QJO QSJDL ĀøČĂÖćøøĆïøĎšĂčèĀõĎöĉñĉéðÖêĉĀćÖöĊĂćÖćøðüéøčîĒøÜ ĂćÝÿŠÜñúÖøąìïêŠĂÖćøéĞćđîĉîßĊüĉêðøąÝĞćüĆî ĒïïÿĂïëćöìĊęĔßšĔîÖćøðøąđöĉîõćüąðüéđĀêčÝćÖó÷ćíĉÿõćó×ĂÜđÿšîðøąÿćìĕéšøĆïÖćøêøüÝÿĂïÙüćöëĎÖêšĂÜ WBMJEBUFĔîñĎšðśü÷đïćĀüćî ĒúąöĊÖćøÝĆéìĞćđðŨîõćþćĕì÷ìĊęÿöćÙöÖćøýċÖþćđøČęĂÜÙüćöðüéĒĀŠÜðøąđìýĕì÷ĒîąîĞćÙČĂ %PVMFVS /FVSPQBUIJRVF %/ öĊÙüćöĕüĒúąÙüćöÝĞćđóćąĔîÖćøüĉîĉÝÞĆ÷øšĂ÷úą Ēúą êćöúĞćéĆï ĀúĆÜÝćÖüĉîĉÝÞĆ÷ēøÙĒúšü ÙüøðøąđöĉîÙüćöøčîĒøÜ×ĂÜĂćÖćøðüé ĒúąñúÖøąìïĔîéšćîĂČęî ĕéšĒÖŠÿč×õćóēé÷ìĆęüĕð ĂćøöèŤ ĀÜčéĀÜĉé üĉêÖÖĆÜüú àċöđýøšć ÖĉÝÖøøöÖćøđ×šćÿĆÜÙö ÖćøéĎĒúêîđĂÜ ñúÖøąìïêŠĂÖĉÝüĆêøðøąÝĞćüĆî đóČęĂđðŨîĒîüìćÜĔîÖćøøĆÖþć ĒúąêĉéêćöñúĒïïðøąđöĉîǰ%PVMFVSǰ/FVSPQBUIJRVFǰǰ %/ ĔßŠ ff ÙąĒîî ĕöŠĔßŠ ff ÙąĒîîǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰĔßŠǰǰǰǰǰǰǰǰǰǰǰǰǰǰǰĕöŠĔßŠÙĞćëćö ÙüćöðüéöĊúĆÖþèąêŠĂĕðîĊĚĀøČĂĕöŠǰ ǰ ðüéĒÿïøšĂîǰ ǰǰ ǰ ðüéđ÷ĘîđĀöČĂîëĎÖîĞĚćĒ×ĘÜǰ ǰǰ ǰ ðüéđĀöČĂîëĎÖĕôßŢĂêǰ ǰÙĞćëćö ðüéóøšĂöÖĆïöĊĂćÖćøêŠĂĕðîĊĚĔîïøĉđüèìĊęðüéĀøČĂĕöŠǰ ǰ ÷ĉïė àŠćėǰǰǰ ǰ ĒðúïðúćïÙúšć÷đ×ĘöêĞćǰ ǰǰ ǰ ßćĕøšÙüćöøĎšÿċÖǰ ǰǰ ǰ ÙĆîǰ ǰÙĞćëćö ÝćÖÖćøêøüÝøŠćÜÖć÷óïúĆÖþèąêŠĂĕðîĊĚĔîïøĉđüèìĊęðüéĀøČĂĕöŠǰ ǰ øĆïøĎšĕéšîšĂ÷ÖüŠćðÖêĉđöČęĂëĎÖÿĆöñĆÿǰ ǰǰ ǰ øĆïøĎšĕéšîšĂ÷ÖüŠćðÖêĉđöČęĂëĎÖđ×ĘöìĉęöêĞćǰ ǰÙĞćëćö ĔîïøĉđüèìĊęðüé ĂćÖćøðüéđÖĉé×ċĚîĀøČĂđóĉęööćÖ×ċĚîēé÷ǰ ǰǰ ǰ ÖćøúĎïéšü÷ĒðøÜ×î ǰǰøüöÙąĒîî %/ǰĀćÖÙąĒîîêĆĚÜĒêŠ ×ċĚîĕðĔĀšðøąđöĉî /34 ĀćÖñĎšðśü÷ĕéšÙąĒîîøüöêĆĚÜĒêŠ ÙąĒîî×ċĚîĕð ĒÿéÜüŠćöĊõćüąðüéđĀêčÝćÖó÷ćíĉÿõćó×ĂÜđÿšîðøąÿćì OFVSPQBUIJD QBJOĔĀšðøąđöĉî OVNFSJDBM SBUJOH TDBMF /34 ff ĕöŠðüé ff ðüéđúĘÖîšĂ÷ ff ðüéðćîÖúćÜ ff ðüéöćÖ Previous Page Previous Chapter HOME Contents Next Chapter Next Page

แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566 175ÙĞćĒîąîĞćìĊęǰǰÖćøðŜĂÜÖĆîĒñúìĊęđìšćĔîñĎšðśü÷đïćĀüćîÖćøðŜĂÜÖĆîĒñúìĊęđìšćĔîñĎšðśü÷đïćĀüćî ðŜĂÜÖĆîĒúąßąúĂÖćøéĞćđîĉîēøÙđÿšîðøąÿćìÿŠüîðúć÷đÿČęĂöÝćÖđïćĀüćî ēé÷ÖćøÙüïÙčöøąéĆïîĞĚćêćúĔîñĎšðśü÷đïćĀüćîßîĉéìĊę ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰĒúąđïćĀüćîßîĉéìĊę ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰǰ ǰ ÖćøýċÖþćĒïïÿčŠöĔîñĎšðśü÷đïćĀüćîßîĉéìĊę óïüŠćÖćøÙüïÙčöøąéĆïîĞĚćêćúĔĀšĕéšêćöđðŜćĀöć÷ÿćöćøëðŜĂÜÖĆîĒúąßąúĂÖćøéĞćđîĉîēøÙđÿšîðøąÿćìÿŠüîðúć÷đÿČęĂöĕéšđöČęĂðøąđöĉîÝćÖĂćÖćøìćÜÙúĉîĉÖ Ēúą ÖćøêøüÝÖćøßĆÖîĞćðøąÿćì OFSWF DPOEVDUJPO WFMPDJUZ ÖćøêĉéêćöĔîøą÷ą÷ćüóïü ŠćÿćöćøëúéÙüćöđÿĊę÷ÜĔîÖćøđÖĉéĒñúìĊęđìšć ÿ ŠüîĔîñĎšð śü÷ïćĀüćîßîĉéìĊę óïüŠćÖćøÙüïÙčöîĞĚćêćúÿćöćøëßąúĂÖćøÿĎâđÿĊ÷ÖćøøĆïÙüćöøĎšÿċÖĒïïÿĆęîÿąđìČĂî ĀúĆÖåćîđÖĊę÷üÖĆïðøąē÷ßîŤÝċÜĕöŠðøąÝĆÖþŤßĆéđìŠćÖĆïĔîđïćĀüćîßîĉéìĊę ñĎšðśü÷đïćĀüćîìčÖøć÷ÙüøĕéšøĆïÙüćöøĎšđøČęĂÜÖćøêøüÝĒúąéĎĒúđìšćéšü÷êîđĂÜǰ ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰǰ ǰ ÖćøĔĀšÙüćöøĎšđÖĊę÷üÖĆïÖćøéĎĒúđìšćÿŠÜñúĔĀšñĎšðśü÷öĊÙüćöøĎšĒúąóùêĉÖøøöĔîÖćøéĎĒúđìšćìĊęéĊ×ċĚîĒúąÖćøĔĀšÙüćöøĎšĂ÷ŠćÜđ×šö×šîÿćöćøëúéĂčïĆêĉÖćøèŤĒñúìĊęđìšćĔîñĎšðśü÷đïćĀüćî đöČęĂđðøĊ÷ïđìĊ÷ïÖĆïÖćøĔĀšÙüćöøĎšĔîøą÷ąđüúćđóĊ÷ÜÿĆĚî ė ñĎšðśü÷đïćĀüćîìĊęĕéšøĆïÖćøðøąđöĉîüŠćǰöĊÙüćöđÿĊę÷ÜøąéĆïêĞęćĀøČĂðćîÖúćÜǰ ǰ ÙüøĕéšøĆïÙĞćĒîąîĞćĔîÖćøïøĉĀćøđìšć õć÷ĔêšÙĞćĒîąîĞćÝćÖñĎšđßĊę÷üßćâ àċęÜÝąöĊðøąē÷ßîŤĔîÖćøúéÙüćöđÿĊę÷ÜêŠĂÖćøđÖĉéĒñúìĊęđìšć úéĒøÜÖéïøĉđüèđìšć ÖøąÝć÷îĞĚćĀîĆÖ×èąđéĉî đóĉęöóĉÿĆ÷ÖćøđÙúČęĂîĕĀü×ĂÜđìšćĒúą×šĂđìšć úéĂćÖćøßć ĒúąĂćÖćøĂŠĂîĒøÜÝćÖðúć÷ðøąÿćìđÿČęĂö ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰ ÖĉÝÖøøöúÜîĞĚćĀîĆÖìĊęđìšćĕéšĒÖŠÖćøđéĉîĔîÙüćöđĀîČęĂ÷øąéĆïðćîÖúćÜ ĔîñĎšðśü÷đïćĀüćîìĊęöĊÙüćöđÿĊę÷ÜĔîøąéĆïêĞęćĒúąðćîÖúćÜ öĊÙüćöðúĂéõĆ÷ ìĆĚÜîĊĚñĎšðśü÷ÙüøÿüöĔÿŠøĂÜđìšćìĊęöĊÙüćöđĀöćąÿö ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰǰ ǰ ÖćøïøĉĀćøđìšćēé÷ÖćøÖćø÷ČéđĀ÷Ċ÷éÖúšćöđîČĚĂĒúąÖćøđéĉî ßŠü÷ĔîÖćøÖøąÝć÷ĒøÜÖé×ĂÜđìšć EZOBNJD QSFTTVSF EJTUSJCVUJPO ÖćøÖøąéÖ×šĂđìšć ÖćøëŠć÷îĞĚćĀîĆÖÝćÖÿšîđìšćëċÜðúć÷đìšćéĊ×ċĚî GPPU SPMMPWFSĒúąđóĉęöÖćøéĎéàĆïĒøÜÖøąĒìÖ×èąđéĉî TIPDLBCTPSQUJPO đÿøĉöÙüćöĒ×ĘÜĒøÜ×ĂÜÖúšćöđîČĚĂ ĄúĄ ÖúĕÖéĆÜÖúŠćüßŠü÷úéĒøÜÖøąĒìÖìĊęÿšîđìšć úéĂćÖćøßć Ēúą ĂćÖćøĂŠĂîĒøÜÝćÖðúć÷ðøąÿćìđÿČęĂöÿŠÜñúìĞćĔĀšðŦÝÝĆ÷đÿĊę÷ÜêŠĂÖćøđÖĉéĒñúđìšćđïćĀüćîúéúÜĂ÷ŠćÜĕøÖĘêćö ĔîðŦÝÝčïĆî÷ĆÜĕöŠóïĀúĆÖåćîìĊęöĊÙčèõćóéĊóĂìĊęĒÿéÜĔĀšđĀĘîüŠćÖćøïøĉĀćøđìšćßŠü÷úéĂĆêøćÖćøđÖĉéĒñúđìšćđïćĀüćî ĒêŠđîČęĂÜéšü÷ñú×šćÜđÙĊ÷ÜÝćÖÖćøïøĉĀćøđìšćđÖĉéĕöŠïŠĂ÷ĒúąĕöŠøčîĒøÜÝċÜĒîąîĞćĔĀšöĊÖćøïøĉĀćøđìšćĔîñĎšðśü÷đïćĀüćî ìĆĚÜîĊĚÙüøöĊÖćøðøąđöĉîēøÙøŠüö õćüąĒìøÖàšĂîÝćÖēøÙđïćĀüćî øąéĆïîĞĚćêćúĔîđúČĂéĒúąêøüÝðøąđöĉîđìšćđóČęĂÖćøĒîąîĞćēðøĒÖøöìĊęđĀöćąÿöêŠĂÙüćöÿćöćøëĒúąøŠćÜÖć÷×ĂÜñĎšðśü÷ĔîĒêŠúąøć÷ Previous Page Previous Chapter HOME Contents Next Chapter Next Page

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แนวทางเวชปฎิบัติส�าหรับโรคเบาหวาน 2566 177 ñĎšðśü÷đïćĀüćîìĊęĕéšøĆïÖćøðøąđöĉîüŠćǰ öĊÙüćöđÿĊę÷ÜøąéĆïÿĎÜìĊęöĊĒñúìĊęòśćđìšć êšĂÜĕéšøĆïĂčðÖøèŤó÷čÜĂčšÜđìšćĒúąòśćđìšćĒïïĀúŠĂóĉđýþđÞóćąøć÷ øŠüöÖĆïøĂÜđìšćìĊęđĀöćąÿöÖĆïøĎðđìšć ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰ ñĎšðśü÷đïćĀüćîìĊęĕéšøĆïÖćøðøąđöĉîüŠćǰöĊÙüćöđÿĊę÷ÜøąéĆïðćîÖúćÜëċÜÿĎÜ ĂćÝĒîąîĞćĔĀšñĎšðśü÷üĆéĂčèĀõĎöĉìĊęđìšćēé÷đÙøČęĂÜĂĉîôøćđøéìčÖüĆîìĊęêĞćĒĀîŠÜđéĊ÷üÖĆî×ĂÜđìšćìĆĚÜÿĂÜ×šćÜ ëšćĂčèĀõĎöĉêŠćÜÖĆîöćÖÖüŠć ĂÜýćđàúđàĊ÷ÿ Ă÷ŠćÜîšĂ÷ üĆîêĉéÖĆî ÙüøúéÖćøđéĉî ĒúąĒÝšÜïčÙúćÖøÖćøĒóì÷ŤđóČęĂêĉéêćö üĉîĉÝÞĆ÷ ĒúąøĆÖþćĀćÖđÖĉéĒñú ÙčèõćóĀúĆÖåćîøąéĆï îĞĚćĀîĆÖÙĞćĒîąîĞćǰǰ ÖćøüĉđÙøćąĀŤĂõĉöćî NFUBBOBMZTJT ×ĂÜÖćøýċÖþćĒïïÿčŠö ÖćøýċÖþćđðŨîøą÷ąđüúć đéČĂîóïüŠć ÖćøĒîąîĞćĔĀšñĎšðśü÷đïćĀüćîìĊęöĊÙüćöđÿĊę÷ÜøąéĆïðćîÖúćÜëċÜÿĎÜ ìĊęĕöŠöĊēøÙĀúĂéđúČĂéÿŠüîðúć÷ìĊę×ćêĊïüĆéĂčèĀõĎöĉìĊęđìšćēé÷đÙøČęĂÜĂĉîôøćđøéìčÖüĆî ïøĉđüèêĞćĒĀîŠÜđéĊ÷üÖĆî×ĂÜđìšćìĆĚÜÿĂÜ×šćÜ ĀćÖĂčèĀõĎöĉêŠćÜÖĆîöćÖÖüŠćĂÜýćđàúđàĊ÷ÿĂ÷ŠćÜîšĂ÷üĆîêĉéÖĆî ĔĀšñĎšðśü÷úéÖćøđéĉîÝîÖøąìĆęÜĂčèĀõĎöĉÖúĆïöćÿĎŠðÖêĉĒúąĒÝšÜïčÙúćÖøÖćøĒóì÷ŤđóČęĂêĉéêćö óïüŠć ÿćöćøëúéĂčïĆêĉÖćøèŤĒñúđìšćìĊęđìšćĕéšðøąöćèøšĂ÷úą ĒêŠĂ÷ŠćÜĕøÖĘêćö÷ĆÜĕöŠđÙ÷öĊÖćøýċÖþćëċÜÖćøîĞćöćðøą÷čÖêŤĔßšĔîßĊüĉêÝøĉÜ ÖćøêøüÝéĆÜÖúŠćüìčÖüĆîĒúąøąïïĔîÖćøéĎĒúêŠĂđîČęĂÜéĆÜÖúŠćüĂćÝđðŨîĕðĕéš÷ćÖĔîìćÜðäĉïĆêĉÙĞćĒîąîĞćĔîÖćøéĎĒúđìšćǰ ÙüïÙčöøąéĆïîĞĚćêćúĔîđúČĂéĔĀšĂ÷ĎŠĔîđÖèæŤđðŜćĀöć÷ đóČęĂðŜĂÜÖĆîõćüąĒìøÖàšĂîđÿšîðøąÿćìÿŠüîðúć÷đÿČęĂöÝćÖđïćĀüćîǰ ìĞćÙüćöÿąĂćéđìšćìčÖüĆîéšü÷îĞĚćÿąĂćéĒúąÿïĎŠĂŠĂî ĒúšüđßĘéđìšćĔĀšĒĀšÜìĆîìĊēé÷đÞóćąĂ÷ŠćÜ÷ĉęÜêćöàĂÖøąĀüŠćÜîĉĚüÙüøđßĘéĔĀšĒĀšÜÿîĉì đóČęĂðŜĂÜÖĆîÖćøĂĆïßČĚîàċęÜđðŨîÿćđĀêčìĞćĔĀšđÖĉéĒñúĕéšÜŠć÷ǰ ÿĞćøüÝđìšćĒúąđúĘïđìšćĂ÷ŠćÜúąđĂĊ÷éìčÖüĆî ēé÷ÖĞćĀîéĔĀšÖćøêøüÝđìšćđðŨîÿŠüîĀîċęÜ×ĂÜÖĉÝüĆêøðøąÝĞćüĆîđóČęĂêøüÝéĎüŠć öĊĒñú ĀîĆÜéšćîĒ×ĘÜ øĂ÷ĒéÜ øĂ÷ĒêÖ ïüö ĀøČĂöĊđúĘï×ïĀøČĂĕöŠ ēé÷đÞóćąêćöàĂÖøąĀüŠćÜîĉĚüđìšćàċęÜđðŨîÝčéĂĆïìĊęöĆÖÝąëĎÖöĂÜ×šćöǰ ÙüøÿüöëčÜđìšćĀøČĂëčÜîŠĂÜÖŠĂîĔÿŠøĂÜđìšćđÿöĂ đóČęĂðŜĂÜÖĆîÖćøđÖĉéĒñúÝćÖÖćøđÿĊ÷éÿĊëčÜđìšćìĊęĔÿŠÙüøÝąÿąĂćé îčŠö ĒúąóĂéĊĀćÖëčÜđìšćöĊêąđ×ĘïÙüøÖúĆïéšćîĔîĂĂÖđóČęĂĕöŠĔĀšêąđ×ĘïÖéñĉüĀîĆÜÝîđðŨîĒñúǰ ÙüøđðúĊę÷îëčÜđìšćìčÖüĆî ĀćÖđðŨîñĎšìĊęöĊđĀÜČęĂĂĂÖöćÖĂćÝÝĞćđðŨîêšĂÜđðúĊę÷îëčÜđìšćĔîøąĀüŠćÜüĆîéšü÷ǰ ÙüøđúČĂÖĔÿŠøĂÜđìšćìĊęóĂéĊëĎÖÿč×úĆÖþèąĒúąđĀöćąÿöÖĆïøĎðđìšćêúĂéđüúćìĆĚÜĔîïšćîĒúąîĂÖïšćîøĂÜđìšćìĊęđĀöćąÿöÙüøÖüšćÜĒúą÷ćüóĂÿĞćĀøĆïîĉĚüđìšćìčÖîĉĚü ēé÷đÞóćąëšćĔÿ ŠøĂÜđìšćÙĎ ŠĔĀö ŠĔîüĆîĒøÖêšĂÜÿĞćøüÝéĎđìšćĀúĆÜĔÿŠøĂÜđìšćÙĎŠĔĀöŠ ìčÖ ė ßĆęüēöÜüŠć öĊøĂ÷ÖéøĂ÷ëúĂÖĀøČĂĕöŠǰ êøüÝéĎøĂÜđìšćìĆĚÜõć÷ĔîĒúąõć÷îĂÖÖŠĂîÿüöĔÿŠìčÖÙøĆĚÜđóČęĂðŜĂÜÖĆîÖćøöĊÿĉęÜĒðúÖðúĂöĂ÷ĎŠ×šćÜĔîǰ ÙüøêĆéđúĘïêćöĒîü×ĂïđúĘïđìŠćîĆĚî ĒúšüĔßšêąĕï×ĆéđóČęĂúïøĂ÷ÙöĒúąðŜĂÜÖĆîÖćøđÖĉéđúĘï×ï ëšćđúĘïĀîćêĆéđĂÜĕöŠĕéšĀøČĂöĊðŦâĀćđøČęĂÜÿć÷êć ĕöŠÿćöćøëđĂČĚĂöëċÜđìšćĕéšÙüøĔĀšñĎšđßĊę÷üßćâÖćøéĎĒúđìšćêĆéđúĘïĔĀšǰ ÙüøĔÿŠëčÜđìšćÖŠĂîîĂîëšćöĊĂćÖćøđìšćđ÷ĘîĔîđüúćÖúćÜÙČî Previous Page Previous Chapter HOME Contents Next Chapter Next Page

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