Momwe munganyozere kuyesedwa kwa magazi kwa insulin?

Ngati munthu amakhala ndi ludzu pafupipafupi, pakamwa pouma, amakanda pakhungu pang'onopang'ono - uwu ndi mwayi wolumikizana ndi endocrinologist ndikuyesa mayeso a insulin. Izi zikangochitika, ndibwino: kunyalanyaza zizindikirazo kumayambitsa kukula kwa matenda ashuga, chifukwa chomwe munthuyo angakhumudwe, ndipo ngati chithandizo cha chipatala sichinaperekedwe munthawi yake, zotsatira zake ndizotheka.

Makhalidwe a Hormone

Hemulini ya mahomoni imapangidwa ndi zisumbu za Langerhans (kutanthauzira kotereku kunaperekedwa ndi asayansi ku maselo a beta a kapamba). Ntchito yayikulu ya insulin ndikuwonetsetsa kuti kuchuluka kwa glucose m'magazi kumakhala koyenera kwa moyo wathupi.

Timadzi timene timapereka glucose ndi michere ina ku maselo onse amthupi, kupatsa minyewa yofunikira pazinthu zopindulitsa. Ngati zisumbu za Langerhans zikuyamba kupanga insulini pansipa, maselo sapeza chakudya chokwanira, chomwe chimawapweteka: amayamba kumva njala ndikumwalira, zomwe zimayambitsa mavuto mthupi.

Cholinga china cha insulin ndikuwunikira kagayidwe kazakudya, mafuta ndi mapuloteni, pomwe kusintha kwa mapuloteni kukhala minofu kumachitika, pomwe kumathandiza kuti minofu iwonongeke. Komanso, kudzera mu kusintha kovuta, insulini imasintha shuga wambiri yemwe amatha kuvulaza thupi kukhala glycogen.

Homoni imayika m'chiwindi ndi m'misempha, ndikupanga mtundu wa "depot" (kulemera kwa glycogen m'chiwindi cha munthu wamkulu kumatha kufika g g). Thupi likangoyamba kumva kuperewera kwa shuga, glycogen yomwe imayikiridwa m'chiwindi imasweka mchikakamizo cha michere, kusinthidwa kukhala glucose ndikulowa m'magazi.

Mlingo wa insulin m'magazi umadalira kwambiri chakudya chomwe amalandila m'thupi: kuti muyiike ndikutulutsa mphamvu, kuchuluka kwa glucose m'magazi kumawonjezeka kwambiri. Poyankha izi, kapamba amatumiza chizindikiro kuchokera ku ubongo kuti akwaniritse kaphatikizidwe ka insulin: apo ayi, shuga wowonjezera amawononga thupi.

Lamuloli silimakhudza ana okhawo omwe mahomoni ake amakhala okhazikika ngakhale atatha kudya chakudya chamtima kwambiri (pokhapokha ngati akutha msinkhu pomwe kupanga insulin kumadalira chakudya chomwe umadya).

Popeza kudalira kwa mahomoni pazakudya, mayeso onse kuti adziwe kuchuluka kwa insulini m'magazi amatengedwa pamimba yopanda kanthu. Mwa munthu wathanzi, kuchuluka kwa insulin ndi:

mwa akulu: kuyambira 3 mpaka 25 mcU / ml,
mwa ana: kuyambira 3 mpaka 20 mkU / ml,
pa mimba: kuyambira 6 mpaka 27 mk unit / ml,
patatha zaka 60: kuyambira 6 mpaka 36 mkU / ml.

Izi zimatha kusiyanasiyana pang'ono, chifukwa zimatengera momwe munthu amakonzekerera thupi lake kuti adziwe kuchuluka kwa insulini m'magazi. Tsiku lisanafike magazi a venous, muyenera kusiya kugwiritsa ntchito mankhwalawa, ngati palibe mwayi, kambiranani ndi adotolo. Magazi nthawi zambiri amaperekedwa m'mawa pamimba yopanda kanthu, nthawi pakati pa njirayi ndi chakudya chomaliza chikhala pafupifupi maola khumi ndi awiri.

Chidziwitso chotsimikizika kwambiri chazomwe chimayambitsa matenda a kapamba chitha kupezeka ngati mumapereka magazi kawiri pakadutsa maola awiri. Kuti muchite izi, mukatha njira yoyamba, muyenera kumwa njira yothetsera shuga ndipo patapita kanthawi pitilizani kusanthula.

Kufufuza kotereku kumakupatsani mwayi wolondola ndendende momwe kapamba amagwirira ntchito komanso amapanga insulin. Ngati cholembedwacho chikuwonetsa kuti kuchuluka kwa mahomoni omwe amapangidwa ndi ochepa kapena apamwamba, amawonetsa matenda ashuga omwe amapita patsogolo komanso kukula kwa mavuto omwe amayambitsidwa ndi matendawa.

Zochepera kuposa zabwinobwino

Kusowa kwa insulini kumapangitsa kuchuluka kwa glucose m'magazi, chifukwa chake ma cell amayamba kufa ndi njala, chifukwa insulin satha kupereka minofu yonse ndi kuchuluka koyenera kwa glucose ndi zinthu zina zofunikira. Kagayidwe pakati pa mapuloteni ndi mafuta kumasokonezedwanso, glycogen sakusungidwenso muyeso woyenera mu chiwindi ndi minofu.

Shuga wambiri amachititsa ludzu lalikulu, njala yosalekeza, kusokonezeka kwa mitsempha, komanso kukodza pafupipafupi. Ngati simukuzindikira izi pakanthawi kake ndipo simukuchitapo kanthu, kuchepa kwa mahomoni kungapangitse kukula kwa matenda a shuga a 1 omwe amadalira insulin.

Insulin yotsika imatha kuyambitsidwa ndi:

kumangokhala phee kapena kuchita masewera olimbitsa thupi nthawi yayitali, makamaka pamimba yopanda kanthu,
matenda a pituitary kapena hypothalamic,
kudya kwambiri zakudya zopanda pake komanso kudya kwambiri,
matenda opatsirana komanso osachiritsika,
kutopa kwamanjenje, kupsinjika.

Ngati mungazindikire kuchepa kwa insulin munthawi yake ndikuyamba kulandira chithandizo chofuna kuchepetsa kuchuluka kwa shuga m'magazi, kukula kwa shuga kungayime. Mutha kuchepetsa kuchuluka kwa shuga mothandizidwa ndi zakudya zapadera (aliyense amadziwa kuvulaza kwa shuga, mankhwala oyera a ufa), insulin mankhwala ndi mankhwala, ntchito yake yomwe ndikubwezeretsa maselo a pancreatic, kulimbitsa chitetezo chokwanira, komanso kugwiritsa ntchito mankhwala omwe amachepetsa mitsempha ya magazi.

Dongosolo la chithandizo liyenera kupangidwa ndi dokotala kuti achepetse insulin m'magazi: mankhwala omwe amadziletsa okha ndi oletsedwa, chifukwa angayambitse kuvulaza thupi.

Pankhani ya matenda ashuga, dokotala amayenera kukulemberani mankhwala ndikusankha mlingo womwe ungakhale wokwanira kudzaza insulin m'thupi. Pambuyo pa izi, ndizofunikira nthawi ndi nthawi kumayesa kuti adokotala akhale ndi mwayi wowunika kuchuluka kwa insulini m'magazi ndikuwongolera munthawi yake. Izi zokha sizingachitike mwanjira iliyonse.

Koposa zofananira

Kuchuluka kwa insulini kulinso koopsa, chifukwa kumayambitsa kusintha kosasintha kwazinthu zonse zofunika m'thupi. Zotsatira za matendawa ndi mtundu 2 wa shuga osadalira insulini. Izi zimachitika chifukwa, pakuwonjezeka kwa kuchuluka kwa insulin, kuchuluka kwa glucose m'magazi kumatsika kwambiri ndipo thupi limalephera kusintha chakudya chomwe chikubwera kukhala mphamvu.

Komanso, mahomoni ochulukirapo samalola kuti maselo amafuta azichita nawo kagayidwe. Izi zimaphatikizidwa ndi kunjenjemera, thukuta, palpitations, kugwidwa ndi njala, nseru, kukomoka.

Zomwe zimachitika mthupi zimawonedwa ngati mankhwala akukonzekera kwambiri a insulin, omwe amakhumudwitsa matenda, omwe amadziwika ndi tanthauzo la kupanikizika kwa kapamba, ikayamba kupanga insulini yambiri. Zina mwazomwe zimayambitsa kupanikizika kwa kapamba ndi izi:

kulimbitsa thupi kwambiri (makamaka kuvulaza azimayi),
kupsinjika
matenda a chiwindi
mtundu 2 shuga
kuchuluka mu thupi la kukula mahomoni,
kunenepa
kukhalapo kwa insulinoma (chotupa chomwe chimayamba pakati pa maselo a pancreatic beta, omwe amachititsa kuti insulin iphatikizidwe).
Matenda a shuga obwera chifukwa cha maselo chifukwa chakuwonongeka kwawo kwa insulin,
ovary polycystic,
kulakwitsa kwa chimbudzi
zotupa za adrenal,
khansa ya kapamba.

Malangizo a mankhwalawa zimatengera chomwe chinapangitsa kuti insulin iwonjezeke. Kuphatikiza pa mankhwala, wodwalayo ayenera kutsatira zakudya (ngati zingatheke, achotse zakudya zomwe zimavulaza thupi), zolimbitsa thupi zolimbitsa thupi, kuyenda mu mpweya watsopano kupindula.

Ndi zizindikilo ziti zomwe zikuonetsa kuti ndikofunikira kuwunikira? Ndiyenera kuyang'ana chiyani?

Nthawi zambiri, kuyezedwa kwa insulin kumatsimikiziridwa kuti kutsimikizire kapena kukana kuzindikira matenda ashuga. Komanso, chifukwa chodzipereka ndi kupezeka kapena kukayikira kwa matenda a endocrine. Iwo omwe amayang'anira zaumoyo ayenera kuyang'anira zotsatirazi zomwe zikuwoneka m'thupi la munthu:

Kusintha kwa kulemera, mmwamba ndi pansi. Ichi ndichizindikiro chododometsa ngati palibe kusintha kwa zakudya komanso kusuntha komwe kumachitika m'moyo wamunthu. Ndiye kuti, ngati munthu amasuntha ndikudya mgonero womwewo tsiku ndi tsiku, ndipo thupi lake limasintha, izi zikutanthauza kuti vuto linalake lachitika m'thupi. Kuti muzindikire izi, ndikofunikira kuchita kafukufuku.
Kufooka, kuchepa kwa ntchito yogwiritsanso ntchito ndi chizindikiro cha kusokonezeka kwa njira zilizonse. Kuti mudziwe zomwe zimayambitsa vutoli, muyenera kulumikizana ndi a chipatala kuti mumupime mayeso ofunika komanso kupititsa mayeso, kuphatikizapo insulin.
Chizindikiro china cha kuphwanya kupanga mahomoni omwe ali pamwambawa ndicho kuchiritsa kwa mabala kwakanthawi. Mwachitsanzo, mabala kapena ma abrasions amatenga nthawi yayitali kutuluka magazi komanso kutulutsa magazi. Chizindikirochi chikuwonetsanso kusintha kwa kapangidwe ka magazi a munthu.

Kodi kusanthula kumachitika bwanji? Zosankha Phunziro Kufotokozera

Chiyeso cha insulin chitha kuchitika m'njira ziwiri:

Njira yoyamba yodutsira kusanthula kwamtunduwu imatchedwa yanjala. Zimakhala m'chenicheni kuti kufunafuna kwakuthupi kumachitika pamimba yopanda kanthu. Mukamaliza kusanthula motere, chakudya chatha, maola 8 ayenera kudutsa. Pankhaniyi, kuperekera kusanthula kwakonzedwa m'maola.
Njira yachiwiri yodziwira tsogolo la munthu kudzera mu shuga ndi kugwiritsa ntchito shuga. Wodwalayo amamwa kuchuluka kwake, amadikirira maola awiri kenako ndikupereka magazi.

Pali njira inanso yoyeserera magazi kuti mupeze insulin. Muli kuphatikiza njira ziwiri. Njira iyi ndi yolondola kwambiri. Choyamba, munthu amayesa magazi a insulin pamimba yopanda kanthu, kenako kudya shuga, pambuyo pake amadikirira maola angapo ndikuperekanso magazi. Njira iyi imakuthandizani kuti muwone chithunzi cha zomwe zikuchitika m'thupi mokwanira. Komabe, pakuyezetsa matenda, ndikokwanira kupereka magazi m'mawa wokha, pamimba yopanda kanthu.

Kukonzekera phunzirolo. Kodi tiyenera kuchitanji tisanapendeketse? Madokotala malangizo

Tsopano mukudziwa kuyesa kwa insulin, momwe mungatengere. Tsopano tiyeni tikambirane momwe kukonzekera bwino. Izi ndizofunikira kuti zotsatira zake zitheke.

Asanapereke magazi pamimba yopanda kanthu, kudziletsa pazakudya kuyenera kuchitika kwa maola asanu ndi atatu. Pakadali pano, simungathe kudya ndi kumwa zakumwa. Madzi oyera okha ndi omwe amatha kuthiridwa.
Simungathe kuyeseza ngati wodwala adwala, ndiye kuti amamwa mankhwala. Chowonadi ndi chakuti amatha kusintha zotsatira zake. Mwazi wa insulini uyenera kuperekedwako chithandizo chisanachitike, kapena masiku asanu ndi awiri atamalizidwa. Wodwala amafunikiranso kudziwitsa dokotala kuti akupeza chithandizo, kapena atasiya kumwa ndalamazo. Ngati mankhwalawa atatha, ndikuwonetsetsa kuti insulini ndi yofunika kwambiri pakukonzekera mankhwalawa, ndikofunikira kugwirizanitsa ndi adotolo kuti athe kusokoneza kudya kwa mankhwalawa kuti azitha kupanga magazi.
Maola 24 asanafike phunziroli, muyenera kutsatira zakudya zinazake, monga, kukana kudya zamafuta ndi kumwa mowa. Komanso, simuyenera kuchita masewera olimbitsa thupi.
Ngati mukuwonjezera popereka magazi, wodwalayo amakupatsani mayeso amtundu wotere monga ultrasound kapena X-ray, ndiye kuti muyenera kupititsa kaye zomwe mwayesazo, kenako nkumapita kukapereka njira zina.

Kuyesa kwa insulin (kuyezetsa magazi): kusanthula kwazonse, kolemba

Monga tafotokozera pamwambapa, kuchuluka kwa insulin m'magazi a anthu kumatha kusinthasintha malinga ndi kudya. Chifukwa chake, pofuna kulondola pamimba yopanda kanthu, kuyesa kwa insulin kumachitika.

Chikhalidwe cha kukhalapo kwa chinthuchi m'magazi a anthu ndi 1.9-23 μm / ml. Izi ndi za munthu wamkulu. Chizolowezi mwa ana ndichofunikira kuyambira pa 20 mpaka 20 ma microns / ml. Kwa amayi oyembekezera, pali zizindikiro. Kwa iwo, chizolowezi chimachokera pa sikisi mpaka 27 μm / ml.

Zizindikiro zamakhalidwe a insulin m'magazi. Kodi zimatanthawuza chiyani ngati timadzi timeneti tili ochulukirapo kapena mochepera?

M'malo pamene insulin m'magazi a munthu ilipo yotsika mtengo wochepa kwambiri, izi zikuwonetsa kuti matenda amtundu woyamba 1 amapezeka m'thupi. Mosiyana, ndi mtengo wowonjezereka, titha kulankhula za kukhalapo kwa matenda osokoneza bongo omwe amadalira insulin.

Tiyeneranso kukumbukira kuti amayi oyembekezera ali ndi zizindikiro zina zamtundu, kufunika kwake ndikokwera kwambiri.

Tsopano mukudziwa kuyesedwa kwa insulin. Kutanthauzira kwa kusanthula ndi chizindikiritso cha chizindikirocho tikukambirana m'nkhaniyi.

Munthu aliyense ayenera kukumbukira kuti ndikwabwino kudziwa za matendawa kuyambira koyambirira kusiyana ndi kuchiza mitundu yake yomwe yanyalanyazidwa.

Kuyesedwa kwa magazi kwa insulin: malamulo a kuperekera, decoding ndi chizolowezi

Kuchuluka kwa insulin m'magazi kumasintha mosalekeza tsiku lonse poyankha kutuluka kwa glucose m'matumbo. M'matenda ena, kusokoneza bwino kumasokonekera, kapangidwe ka timadzi timeneti timayamba kukhala osiyana ndi chikhalidwe. Kuyesedwa kwa magazi kwa insulin kumakuthandizani kuti muwone kupatuka kwakanthawi.

Nthawi zina, mwachitsanzo, ndi metabolic syndrome, kuzindikira nthawi yake ndikofunikira, popeza wodwalayo ali ndi mwayi wochiritsa matenda omwe angayambitse komanso kupewa matenda ashuga. Kusanthula uku kumakupatsani mwayi wofufuza zochitika za kapamba, ndi gawo limodzi la maphunziro kuti mudziwe zomwe zimayambitsa hypoglycemia. Mu shuga mellitus, kuchuluka kwa insulin yofulumira m'magazi kumagwiritsidwa ntchito kuwerengera index insulin.

Insulin ndiye mahomoni ofunika kwambiri mu kayendetsedwe kazinthu zovuta za carbohydrate. Amapangidwa mu kapamba mothandizidwa ndi maselo amtundu wapadera - maselo a beta, amapezeka m'masukulu a Langerhans. Insulin imatulutsidwa m'magazi ndikuwonjezera kuchuluka kwa shuga m'magazi. Zimapangitsa kusintha kwa glucose kulowa m'matumbo, chifukwa momwe mulingo wake m'magazi umachepa, ndipo patapita kanthawi kuchuluka kwa mahomoni kumatsika. Kuti mupeze kupanga insulin, magazi amatengedwa pamimba yopanda kanthu, itatha nthawi yanjala nthawi yayitali. Pankhaniyi, kuchuluka kwake mwa anthu athanzi nthawi zonse kumakwanira muyezo, ndipo kupatuka kulikonse ndi chizindikiro cha kusokonezeka kwa kagayidwe kazakudya.

Kuwunika kochitidwa pamimba yopanda kanthu m'mabotolo osiyanasiyana kungatchulidwe immunoreactive insulin, basal insulin, IRI. Gawani m'milandu yotsatirayi:

kuchuluka kapena kuchepa thupi komwe sikungafotokozedwe ndi zakudya,
hypoglycemia mwa anthu osalandira chithandizo cha matenda ashuga. Amawonetsedwa ndikumva njala yayikulu, miyendo yanjenjemera, kugona,
ngati wodwala ali ndi zizindikiro zingapo za prediabetes: kunenepa kwambiri ndi BMI> 30, atherosclerosis, mtima ischemia, polycystic ovary,
munthawi zokayikitsa, kumveketsa mtundu wa matenda osokoneza bongo kapena kusankha mtundu wa mankhwala omwe mumakonda.

Kuyesa kwa insulin kumakupatsani mwayi:

Dziwani zotupa, zomwe zimaphatikizapo maselo omwe amatha kutulutsa insulin. Poterepa, timadzi timene timatulutsidwa m'magazi osayembekezereka, pamiyeso yambiri. Kuwunikaku sikugwiritsidwa ntchito kuti mupeze vuto lokhala ndi mankhwalawa, komanso kuti muwone bwino momwe opaleshoni yake imathandizira, kuti athe kubwereranso m'mbuyo.
Unikani minyewa yomwe ingayambitse insulin - kukana insulin. Pankhaniyi, muyenera nthawi yomweyo kuyesa shuga. Kukana kwa insulini ndi mtundu wa matenda amtundu wa 2 komanso zovuta zomwe zimayambitsa: prediabetes ndi metabolic syndrome.
Pankhani ya matenda a shuga a 2 a mtundu wautali, kuwunikaku kumawonetsa kuchuluka kwa kapamba omwe amapanga komanso ngati wodwala azikhala ndi mapiritsi ochepetsa shuga kapena jakisoni wa insulini ayenera kukhazikitsidwa. Kuwunikidwaku kumachitidwanso pambuyo pothandizidwa ndi matenda oopsa a hyperglycemic, pomwe wodwala wa matenda a shuga amamuchotsa pamankhwala othandizira kupita ku insulin.

Ndi matenda a shuga 1 amtunduwu, kuwunika kumeneku sikugwiritsidwa ntchito. Kumayambiriro kwa matendawa, ma antibodies omwe amapangidwa amasokoneza kutanthauzira kolondola kwa zotsatira zake; atayamba chithandizo, insulin yokonzekera yomwe ili yofanana ndi mahomoni awo. Njira ina yabwino kwambiri pamenepa ndi kuwunikira kwa C-peptide. Izi zimapangidwa nthawi imodzi ndi insulin. Ma antibodies samayankha, ndipo kukonzekera kwa C-peptide kulibe.

Ndi minyewa ya dystrophy, Itsenko-Cushing's syndrome, matenda a pisititary gland, matenda a chiwindi, ndikofunikira kuyang'anira magwiridwe antchito a ziwalo zonse, chifukwa chake, odwala, pamodzi ndi maphunziro ena, amafunikira kuyesedwa kawirikawiri ndi insulin.

Kuchuluka kwa insulin m'magazi sikudalira kuchuluka kwa shuga, komanso pazinthu zina zingapo: zolimbitsa thupi, mankhwala osokoneza bongo komanso mkhalidwe wamunthu wamunthu. Kuti zotsatira za kusanthula zikhale zodalirika, kukonzekera kuyenera kuthandizidwa mwachidwi:

Kwa masiku awiri, kupatula zakudya zamafuta kwambiri. Sikoyenera kukana chakudya ndi mafuta abwinobwino.
Kwa tsiku, chotsani katundu onse mopindulitsa, osangokhala zathupi zokha, komanso zamaganizidwe. Kupsinjika mtima patsiku lachiwonetserocho ndi chifukwa chochedwetsa magazi.
Tsiku silimamwa mowa komanso mphamvu, musasinthe zakudya zomwe mumadya. Lekani kwakanthawi mankhwala onse ngati izi sizikuvulaza thanzi. Ngati kuleka kusatheka, dziwitsani ogwira nawo ntchito.
Maola 12 osadya. Madzi okhaokha osatulutsidwa popanda mpweya ndi omwe amaloledwa pa nthawi ino.
3 maola osasuta.
Mphindi 15 musanatenge magazi, khalani chete kapena kugona pakama.

Nthawi yabwino yoyeserera ndi 8-11 m'mawa. Mwazi umatengedwa kuchokera mu mtsempha. Kutsogolera njirayi kwa ana aang'ono, theka la ola nthawi isanayambike ayenera kupereka kapu yamadzi kuti amwe.

Mankhwala omwe amakhudza kuchuluka kwa insulin:

Chiyeso cha insulini ndiye mayeso a mahomoni omwe amapezeka nthawi zonse, ndipo insulin ndiye mahomoni omwe amaphunziridwa kwambiri padziko lapansi. Ku Pubmed, imodzi mwazidindo zazikulu kwambiri zofalitsa zamankhwala padziko lonse lapansi, pali mitundu yoposa 300 zikwi zambiri yamafotokozedwe a timadzi iyi.

Mwachidule, insulin ndi gawo lalikulu loyendetsa kagayidwe kachakudya m'thupi lathu. Kodi timadzi timeneti timagwira bwanji?

Insulin (kuchokera ku Latin insula - islet) ndi polypeptide yopanga mapuloteni ena, imapangidwa m'maselo a pancreas. Ntchito yake yayikulu ndikugwa kwa shuga (magazi). Glucose kuchokera m'magazi motsogozedwa ndi timadzi timeneti amatengedwa kwambiri ndi minyewa yambiri, ndipo pakuchepa kwa ndende yake, insulin m'magazi imagwanso ndi makina a mayankho.

Amayendedwe a timadzi timeneti ndikuwonjezera kuchuluka kwa kupezeka kwa ma membrane am'maselo a mamolekyulu a shuga. Koma shuga, yemwe amalowa m'maselo chifukwa cha insulin, uyenera kukonzedwa pamenepo. Chifukwa chake, gawo lina lotsatira la kukopa kwa mahomoni awa pakupanga kagayidwe kazakudya ndiko kupanga kwa wowuma kwanyama, kapena glycogen kuchokera ku glucose. Glycogen ndi mtundu wamadzi wophatikiza, ndipo imadzikundikira m'chiwindi, imathandizira pakupanga mphamvu yake yopanga mphamvu ndi thupi pakati pakudya, komanso masiku awiri mpaka atatu asala kudya.

Kuwonongeka kwa wowuma kwanyama kumachitika motsogozedwa ndi mahomoni ena, omwe ndi contrinsular ("mdani") mu ntchito yake. Amatchedwa glucagon, ntchito yake ndikuwonjezera shuga m'magazi, kugwiritsa ntchito mphamvu za thupi, makamaka minofu yamatumbo. Insulin imathandizanso pakupanga mapuloteni ophatikizika ndi mafuta, ndiye kuti, ili ndi anabolic. Pamaso pa insulin, ntchito ya glucagon imayimitsidwa, motero timadzi timeneti timatha kuwonedwa ngati chinthu chotsutsa-catabolic, ndiye kuti, pawiri yomwe imalepheretsa kuwonongeka kwa mapuloteni, mafuta ndi mafuta wowuma.

Kuwongolera kagayidwe ka homoni kumakhala kovuta kwambiri ndipo kumachitika pamlingo wambiri, ndipo m'matenda monga matenda a shuga mellitus 1 (wodalira insulin) ndi mtundu 2 (wodziyimira pawokha), magawo omwe ali pamwambawa amaphwanyidwa. Nthawi zina, wodwalayo amakhala ndi chotupa chomwe chimasunga mahomoni ochuluka m'magazi, chotupacho chimatchedwa insulinoma. Zotsatira zake, wodwalayo amakumana ndi vuto lalikulu la hypoglycemia pomwe pali Magazi ochepa kwambiri m'magazi.

Kafukufuku wa insulin m'magazi, motero, amawunika kwambiri kagayidwe kazakudya ndipo, choyambirira, amathandizira kuzindikira zomwe zimayambitsa zochitika zosiyanasiyana za hypoglycemic, komanso zimathandizira pakuwunika kwa insulin. Matenda akulu omwe amaikidwa magazi poyesa insulin ndi matenda a shuga. Kusintha kwamphamvu muyezo wa mahomoni awa kwa odwala matenda ashuga kumakhala kwakukulu, ndipo, choyamba, zimatengera mtundu wamatenda ndi momwe amakhalira. Mtundu woyamba wa matenda ashuga, maselo a pancreatic samatulutsa timadzi tambiri timeneti, makamaka chifukwa cha autoimmune pathology, chifukwa chake pali kusowa kwa insulini m'magazi, komwe kulibe chilichonse chomwe chimatha kuyambiranso.

Odwala omwe ali ndi matenda a shuga a mtundu wachiwiri, vutoli limasiyana. Pali insulini yambiri mthupi, imakhala yofunikira kwambiri, ndipo maselo a kapamba omwe amapanga amayesetsa kwambiri, koma minyewa yomwe imvera ndikulowetsa glucose m'maselo awo pomwe mahomoni amatulutsidwa. Vutoli limatanthawuza kuti kukana insulini kwayambika mu minofu. Ndikofunika kwambiri kwa odwala omwe ali ndi matenda osokoneza bongo nthawi zina matendawa kuti asankhe kusintha kwa wodwalayo kuchokera pamafakisoni obayira a mahomoni kupita ku mankhwala ochepetsa shuga mu mapiritsi, komanso mosemphanitsa.

Anthu ambiri amakhulupirira kuti matenda ashuga amtundu woyamba amafunika kuwongoleredwa ndi insulin, ndipo odwala achikulire omwe ali ndi matenda amtundu wa 2 ayenera kumwa mapiritsi angapo ochepetsa shuga. Izi sizowona konse, nthawi zina odwala omwe ali ndi matenda a shuga a 2 amafunikanso maphunziro apafupipafupi a mankhwala a mahomoni.

Odwala onenepa kwambiri omwe ali ndi matenda a metabolic, ndikofunikira kupereka magazi ku timadzi timeneti kuti adziwe kuphwanya shuga, komwe nthawi zambiri kumawonetsa kukula kwa prediabetes.

Chiyeso cha insulin chimaperekedwanso machitidwe azachipatala. Ngati mayi ali ndi vuto la ovary ya polycystic, ndiye kuti amafunikanso kuphunzira pafupipafupi.

Dziwani kuti kuchuluka kwa insulin m'magazi sikungatheke nthawi zonse chifukwa chotsimikiza mwachindunji. Mwa odwalawo omwe akhala akumwa jakisoni kwa nthawi yayitali chifukwa cha matenda ashuga, ma antibodies ena amatha kupanga zomwe zingasokoneze zotsatira za mayeso. Izi zikutanthauza kuti mwa odwala oterowo ndikwabwino kusanthula mwatsatanetsatane mahomoni awa, koma kuti adziwe mosawerengera poyang'ana kuchuluka kwa zomwe zimatchedwa C-peptide m'magazi, popeza mulingo wa peptide iyi umafanana ndendende ndi insulin. Ichi ndi chiyani Kodi panganoli limachokera kuti?

C-peptide yokha ndi chidutswa cha zomwe zimayambira insulin, yomwe imamasulidwa mu molekyu iyi mwa kupangika kwa mahomoni. Kusanthula uku kudzanenedwa pansipa. Pakadali pano, muyenera kudziwa kuti C-peptide ndi "zinyalala" zopanda ntchito, koma iwo ndi mahomoni olumikizika amalumikizidwa zolimba.

Momwe mungaperekere magazi? Kupereka magazi kumaphatikizapo kubwera ku labotale pamimba yopanda kanthu. Nthawi ya kusala kudya usiku ndikupumula ikuyenera kukhala pafupifupi maola 8, ndipo mutha kudutsa molondola mosiyanitsa kuyambira maola 8 mpaka 14 mukusala kudya.

Ndikofunikira kukhala mu kupumula kwakuthupi ndi kwamalingaliro tsiku lisanafike phunziroli, lamulo la zoletsa kumwa kwathunthu limagwiranso ntchito, ndipo ngati wodwalayo amasuta, ayenera kusuta osachepera ola limodzi maphunziro asanafike, popeza nikotini wolowetsedwa m'magazi amatha kusintha zotsatira za mayeso. Zotsatira zake ndi chiyani?

Kuwunikira kuyenera kuperekedwa:

Choyamba, ngati wodwalayo ali ndi vuto la hypoglycemic, zomwe zimadabwitsa madokotala.

Zizindikirozi zimaphatikizira kuyamba kwadzidzidzi komanso kufulumira kwa kufooka, chizungulire, komanso mawonekedwe amanjenjemera thupi lonse, kapena m'manja. Wodwala amatembenuka, amakhala ndi thukuta lozizira, tachycardia imayamba. Mantha ndi nkhawa zopanda pake zimawoneka, zimadetsedwa m'maso,

Odwala omwe ali ndi matenda a metabolic syndrome,
mwa azimayi omwe amapezeka kuti ali ndi ovary ya polycystic,
kuthana ndi vuto losintha chithandizo kwa odwala matenda a shuga,
ali ndi chotupa chovomerezeka cha kapamba, yemwe ndi insulinoma yogwira ntchito m'thupi.

Ngati chotupa chija chikukayikiridwa, wodwalayo amakhalanso ndi matenda a hypoglycemia, koma amakhala opitilira pafupipafupi komanso akhazikika, ndipo nthawi zina ngakhale mwakuwonjezera, amatha kusinthika.

Mtengo wa kuyesa kwa insulini m'malo ochitira malonda ndikuchokera ku ruble 500 mpaka 1,500, nthawi zambiri kwa tsiku limodzi lokha.

Kodi zotsatira zake zikuwonetsa chiyani? Mitundu yofananira yazotsimikizika zamahomoni iyi imachokera ku 2.7 mpaka 10,4 μU / ml.

Mupezanso nkhani yathu ya Blood Insulin Rate kukhala yothandiza.

Zomwe zimasinthidwa zimatha kusintha pang'ono ndipo zimatengera luso lalembera la mayesowo, koma nthawi yomweyo, malire enieni adzawonetsedwa mu deta yomwe yaperekedwa.

Nthawi yomweyo, dotolo ayenera kukumbukira kuti mitundu yokhazikika yokhazikika itangoyesedwa ngati magazi akuyesedwa moyenera, nthawi yomwe kusala kudya kwatha ndipo wodwalayo sadzakhala wonenepa komanso mndandanda wake wamagulu osakwanira sichingadutse 30. zosintha zina, ndipo pokhapokha polemba zotsatira ndizoyenera.

Kodi kupitiliza zolemba zako kumachitika liti? Choyamba, zimalankhula za kupezeka kwa matenda a shuga a insulinoma, komanso za matenda a matenda ashuga odziyimira okha a 2 shuga.

Nthawi zina, chiwindi, chomwe sichinathe kuwononga insulini yomwe sichikhala chofunikira, "chikuyambitsa mlandu" chifukwa chowonjezera kuchuluka kwa mahomoni. Wodwala amatha kukhala ndi mahomoni oterewa monga acomegaly kapena Cushing's syndrome. Ndi kunenepa kwambiri, mtengo wake umakhalanso wokwera, ndipo, ndithu, kuyezetsa magazi kwa insulin kumakhala kokwanira ngati wodwalayo adalowetsa chinthuchi kumapeto, kuyiwala momwe angaperekere magazi molondola.

Koma adotolo ayenera kuganiziranso kuti pali mankhwala ambiri omwe wodwala angatenge, omwe angakhudze zotsatira za mayeso. Zinthu zotsatirazi zingayambitse kuchuluka kwa insulin ya m'magazi:

Glucose
Kukula kwamafuta,
Mankhwala a Levodopa odwala parkinsonism,
Kutenga njira zakulera zapakati mwa akazi,
Chithandizo cha corticosteroid timadzi timadzi tambiri,
Quinidine, amene amagwiritsidwa ntchito pochiza mtima
Potaziyamu yosunga diuretic Veroshpiron.

Pali mankhwala ena ambiri omwe amakhudza kagayidwe ka insulin.

Zinanenedwa pamwambapa kuti ngati wodwala atulutsa ma antibodies kukhala mahormoni, ndiye kuti ndizotheka kupereka kusanthula kwa C-peptide. Zinthu ziwiri izi, insulin ndi C-peptide, ndizofanana mwazomwe zimachitika. Malinga ndi kafukufuku, kuchuluka kwa C-peptide kuli pafupifupi maulendo 5 kuposa kufunika kwa insulini m'madzi a m'magazi. Ichi ndichifukwa cha kusawerengeka kwakukulu kochotsa ma metabolites awa m'magazi.

Mu endocrinology yamakono, kudziwa kuchuluka kwa C-peptide ndikofunikira kwambiri kuposa kuyesa insulin. Chowonadi ndi chakuti C-peptide imasweka pang'onopang'ono kwambiri kuposa momwe timagwirira ntchito, motero kukhazikika kwake m'magazi kumakhala kokwanira kwambiri, ndipo zotulukapo zake zimakhala zodalirika, mwakuwunika komanso "kuwongolera" kusinthasintha kwakanthawi. Kuphatikiza apo, C-peptide m'magazi am'magazi imakumana ndi kusinthasintha komwe kumazungulira ndikupanga pansi, komanso kusinthasintha kwa insulin.

Koma pali phanga limodzi. Insulin imawonongeka m'chiwindi, ndi C-peptide mu impso. Chifukwa chake, ziyenera kukumbukiridwa kuti ngati wodwalayo ali ndi matenda a chiwindi ndi impso, ndiye kuti kusintha koyenera kuyenera kuchitika kuti athe kuwunikira bwino omwe akuwunikirawo. Koma, kumbali ina, ngati wodwala yemwe ali ndi matenda ashuga ali ndi chiwindi, ndiye kuti kuyesa kwa C-peptide kumathandiza kupewa zolakwika ndikuwonetsa deta yolondola ya metabolism, yomwe siyipezeka mukamayang'ana mahomoni omwe amagwira ntchito.

Ichi ndichifukwa chake, chifukwa chodalirika kwambiri ndi kafukufukuyu, zomwe zikuwonetsa phunziroli la C - peptide ndizokulirapo. Kuphatikiza pazifukwa zomwe tafotokozazi, kusanthula kwa C-peptide ndikofunikira pa:

kuneneratu za matenda ashuga,
kuwunika ntchito ya cell ya odwala omwe ali ndi matenda ashuga ngati atenga insulin,
kuzindikira matenda obadwa nawo a shuga, ngati mayi woyembekezera nayenso ali ndi matendawa,
kuyesa kwa peptide kumathandizira kumvetsetsa momwe insulin imasungidwira ndikuwonongeka mwa odwala omwe ali ndi matenda a chiwindi, ngakhale atakhala kuti alibe shuga.

Malingaliro a metabolite osagwira ntchito mwa munthu wathanzi amasinthasintha m'malo okwera kwambiri: kuchokera pa 300 mpaka 2450 picomoles pa lita, ndipo sizimatengera jenda ndi zaka.

Mosiyana ndi insulin, kuchuluka kwa C-peptide kumatha kuwonjezeka kapena kuchepetsedwa. Poyambirira, tikulankhula za zisonyezo zomwezo pazifukwa zomwezo monga momwe mukuphunzirira insulin, koma palinso kufufuza kwina. Izi zimaphatikizapo somatotropinoma ndi kulephera kwa aimpso. Mlingo wa peptide iyi umachepa m'mikhalidwe yovuta, komanso kuwonongeka kwa chiwindi cha chidakwa.

Pomaliza, ziyenera kunenedwa kuti palinso proinsulin. Ili ndiye chiwonetsero chomwechi chomwe C-peptide ndi timadzi tokha timagwira. Ndili mu mawonekedwe awa omwe mahomoni "amtsogolo" amasungidwa. Vutoli limafanana ndi chithokomiro cha chithokomiro. Chimodzi mwazinthu zokhudzana ndi ma antibodies a thyroglobulin chinanena kuti mamolekyu akuluwa ndi maselo a mahomoni a chithokomiro, omwe mamolekyulu awo amapukutika momwe amafunikira. Molekyulu ya proinsulin ndiyofanana.

Pozindikira, phunziroli limathandizira kudziwa momwe maselo a pancreatic beta omwe amapangira mahomoni ena. Chizindikiro cha chinthuchi chimachulukitsa kakhumi pobereka, ndipo nthawi yayitali kupezekanso kwake m'magazi, kuyerekezera ndi insulin. Zikachitika kuti chotupa chowopsa cha maselo a islet chichitike, ndiye kuti chinsinsicho chidzasinthidwa pang'ono kupita ku chinthu ichi, ndipo mahomoni adzamasulidwa pang'ono, komanso insulinoma. Chifukwa chake, simuyenera kuchepetsa maphunziro a kagayidwe kabwino kumangophunzira kokha mtundu umodzi wa insulin.

Kuyesa kwa insulin: kukonzekera ndi mtengo wake, momwe ungayesere mayeso?

Kuyesedwa kwa magazi kwa insulin kumapangitsa kuzindikira kwa nthawi yayitali matenda omwe angathe kuchepetsa kwambiri moyo. Kuyesa kwa insulin, komwe kumachitika nthawi ndi nthawi, kumakupatsani mwayi wodziwa zolephera komanso kuyamba kukonza mankhwala.

Insulin ndi mahomoni a protein omwe ndi ofunikira kwambiri kuzinthu zonse komanso ziwalo zathupi. Hormoni iyi imapereka chithuzi chopita nazo ku ma cell.

Insulin imakhudzidwa ndikusunga moyenera chakudya chamafuta. Homoni imapangidwa modabwitsa, kuphatikiza kwake m'magazi kumachulukitsidwa nthawi zonse mukatha kudya.

Hormoni iyi imayang'anira zovuta zamapuloteni, komanso momwe zimagwirira ntchito chakudya, mapuloteni komanso mafuta.Hormone iyi imakhudzidwa ndi kayendedwe ka mphamvu zamagetsi chifukwa cha ma glycogens, omwe ntchito yawo ndikupanga mphamvu zamagetsi.

Zikondazo zimatulutsa insulini pogwiritsa ntchito maselo ena otchedwa islets of Langerhans. Pakakhala vuto la ntchito yawo ndikuchepa kwa insulin 20%, mtundu woyamba wa shuga umayamba kupangika m'thupi la munthu.

Nthawi zina zimachitika zinthu zikafika poti kuchuluka kwa insulini kumatulutsa sikucheperachepera, maselo sakuvomereza. Chifukwa chake, kukana insulini kumachitika. Poterepa, mtundu 2 wa shuga umapangidwa.

Ngati mukukayikira kukhalapo kwa matenda oterewa, ndiye kuti muyenera kupenda kuti muwone kuchuluka kwa mahomoni omwe amapangidwa, chifukwa shuga imakhala ndi zovuta zambiri. Miyezo yamagazi yokhala ndi insulin yambiri:

3 - 25 mcU / ml ya akulu,
3 - 20 μU / ml ya ana,
6 - 27 microns unit / ml ya kutenga pakati,
6 - 36 mcU / ml kwa anthu atatha zaka 60.

Kuchuluka kwa insulin mwa ana aang'ono sikusintha chifukwa cha kuchuluka kwa zakudya zomwe amadya. Kuzindikira kwa insulini kumawonjezeka pa nthawi yakutha. Ndiye kuchuluka kwa insulini m'magazi mwachindunji kumadalira kuchuluka kwa chakudya chomwe chimabwera ndi chakudya.

M'magazi, insulini imakwera pamene michere yambiri ilowa m'thupi. Chifukwa chake, kuti muwone kusanthula kwa insulini muyenera kuchita pamimba yopanda kanthu. Kafukufuku sachitika pambuyo pa jakisoni wa insulin.

Ngati mulingo wa insulin uli pansipa, ndiye kuti izi zikuwonetsa matenda osokoneza bongo, ngati apamwamba - pafupifupi kapangidwe kake kapamba. Kusanthula panthawi yake kumakupatsani mwayi wazomwe mukudwala.

Kusanthula kwa insulin - momwe mungayesere kukonzekera, kukonzekera

Insulin ndi timadzi tating'onoting'ono tomwe timapangidwa ndi zisumbu za Langerhans.. Ngati kuperewera kwa zinthu izi kwapezeka m'thupi, matenda a shuga a mtundu woyamba amakula. Maselo aanthu ena ali ndi mahomoni amenewa, omwe amayambitsa matenda a shuga 2.

Ngati simumayamba mankhwala munthawi yake, munthu akhoza kukumana ndi zovuta zambiri mpaka atafa. Kuyeza kwa insulin kumathandizira kuwunikira nthawi zonse kuchuluka kwa zinthu zomwe zimagwira mu magazi.

Imayang'anira kagayidwe kazachilengedwe ndi ntchito zina zingapo, monga:

Kufalikira kwa glucose mu minofu ndi mafuta minofu,
Kuchulukana kwamachulukidwe am'mimba,
Kuchuluka kwa mapuloteni m'thupi,
Kugawika kwamafuta kukhala mphamvu.

Kuchulukitsa kwa ma enzymes opangira kuwonongeka kwa shuga mu chiwindi.

Insulin ndi gawo lofunikira pazochitika zonse za metabolic m'thupi. Popanda iyo, shuga sanapangidwe ndikukhala m'magazi, zomwe zimayambitsa kuperewera kwa hyperglycemic. Ichi ndi chikhalidwe chowopsa chomwe chimafuna chisamaliro chamankhwala mwachangu. Itha kupha mosavuta.

Insulin ndi mahomoni omwe amawonetsa momwe kapamba amagwirira ntchito bwino. Ngakhale mutakhala kuti mulibe chifukwa chodera nkhawa za chiwalochi, mukupangabe kupitilizidwa kukayezetsa nthawi ndi nthawi.

Izi ziyenera kuchitidwa pazifukwa zotsatirazi:

Chifukwa cha kuchuluka kwambiri kwa thupi,
Ndi chibadwa chamunthu,

Pakadali pano pali njira ziwiri zodziwira kuchuluka kwa insulini m'magazi: kuyesa kwa njala ndi kuyesa kwa glucose. Poyamba, magazi a venous amakokedwa, omwe amawerengeredwa mu labotale.

Kachiwiri - wodwalayo amadutsa kuyezetsa magazi katatu kuchokera chala katatu:

Pamimba yopanda kanthu. Pambuyo pake, amamwa yankho la 75 mg ya shuga,
Mu ola limodzi
Ndipo ola limodzi.

Kuti mayeso a insulini awonetsetse zolondola kwambiri, muyenera kutsatira malamulo angapo osavuta musanapereke magazi.

Mulinso malingaliro otsatirawa:

Kupereka magazi ndikofunikira pamimba yopanda kanthu, pomwe tikulimbikitsidwa kuti tizitha kufa ndi njala kwa maola osachepera 8.
Tsiku lotsala mpanda, siyani kulimbitsa thupi konse.
Maola 12 musanayambe phunziroli, pewani kudya zakudya zomwe zimakhala ndi shuga.
Kwa maola 8 - kukana kudya chakudya, mutha kumwa madzi amchere.
Kwa masiku awiri, sinthani chakudya chopatsa mphamvu, chomwe chimaphatikizapo kukana kwathunthu zinthu zoyipa.
Osasuta mu 2 hours.
Siyani kumwa mankhwala patatha sabata limodzi. Komabe, musanachite izi, muyenera kufunsa dokotala kuti muwone ngati izi zikuvulazani.

Dziwani kuti mahomoni samakhudza kuchuluka kwa insulin m'magazi. Chifukwa chake, kusamba sikuyenera kukhala cholepheretsa njira iyi yodziwitsa amayi. Kuti mupeze chinthuchi m'magazi, magazi a venous amasinthidwa.

Kuphwanya kulikonse kwazowoneka bwino m'magazi kungasonyeze kuphwanya kwakukulu mthupi. Ngati owonjezera kawiri apezeka, adokotala adzazindikira kunenepa kwambiri. Ngati vuto lalikulu latsimikizika, ndiye kuti inshuwaransi ikhoza kutheka.

Ndikofunikira kudziwa chizindikiritso cha insulin kuti mutha kuwongolera njira ya chakudya komanso mafuta. Ichi ndi chizindikiritso chomwe ndizofunikira kwambiri pakuzindikira hypoglycemia, makamaka ngati ikukula pakhungu.

Chofunika kwambiri pakuwazindikira ndi kuchuluka kwa insulini yotsimikizika mu madzi a m'magazi. Nthawi zina zimayesedwa mu seramu, koma kuphunzira koteroko sikuti nthawi zonse kumakhala koona, chifukwa kumakhudzidwa kwambiri ndi mankhwala a anticoagulant. Kuti mupeze zotsatira zoyenera kwambiri, ndikulimbikitsidwa kuyesa mayeso a glucose.

Makhalidwe abwinobwino phunziroli amaperekedwa pagome.

Zero insulin m'magazi a munthu imawonetsa kukula kwa matenda ashuga amtundu wa 2. Nthawi zambiri, mapangidwe ake amakhudzidwa ndi kunenepa kwambiri, chifukwa chomwe kulolera kwa glucose kumayipa kwambiri: mutatenga njira yothetsera vutoli, kuchuluka kwa shuga m'magazi kumafikira pazotsatira zake, pambuyo pake sikusintha kwa nthawi yayitali.

Chifukwa cha kuchuluka kwa insulini m'magazi a munthu, kuchuluka kwake kwa glucose kumakwera. Izi zimadzetsa njala yamapangidwe a ma cell, chifukwa sangathe kudziunjikira zinthu zofunikira zambiri.

Njira zama metabolic zimavutikanso, kuperewera kwamapuloteni ndi mafuta kumasokonekera. Minofu ndi chiwindi sizilandira glycogen yokwanira, ndichifukwa chake metabolism yachilendo sathandizidwa.

Kuphwanya kotereku kumatha kuzindikiridwa ndi zizindikiro zotsatirazi: munthu amayamba kudandaula chifukwa cha njala yosatha, ludzu, kukodza mwachangu komanso kusokonezeka kwamanjenje - thanzi lake limakulirakulira. Anthu ambiri samazindikira kutalikiraku kwa nthawi yayitali, chifukwa cha zovuta zazikulu zomwe zimachitika.

Mwa zomwe zimapangitsa kuti insulin isakwanitse kulowa m'magazi ingadziwike kuti:

Matenda opatsirana komanso opatsirana
Khalidwe labwino
Kulimbitsa thupi kwambiri
Kuwonongeka kwa ubongo
Kupitilira pamtima,
Kugwiritsa ntchito zinthu zoyipa,
Kudya nthawi zambiri
Matenda a mtima.

Ngati mulephera kuyambitsa chithandizo chokwanira komanso chokwanira m'magawo oyamba, munthu akhoza kudwala matenda a shuga. Pazindikiritso kumayambiriro kwa chitukuko, zovuta zoterezi zimaphimbidwa mosavuta ndi chakudya chamagulu ochepa, zopatsa insulin m'mapiritsi, ndi mankhwala ena omwe amabwezeretsa kapamba.

Musaiwale za kufunika kosungira chitetezo chamthupi, komanso mankhwala omwe amachepetsa mitsempha yamagazi.

Kuchuluka kwambiri kwa insulin m'magazi a anthu kumakhalanso koopsa kwambiri. Chifukwa cha kuphwanya koteroko, ma pathologies akulu amatha kuchitika mthupi, zomwe sizidzangoyambitsa zovuta zazikulu, komanso ngakhale kufa.

Ngati simumayamba chithandizo cha kupatuka uku pakapita nthawi, munthu posachedwa adzakumana ndi chitukuko cha matenda ashuga amtundu wa 2. Zimachitika chifukwa chakuti ma cell a cellular salola kuti insulini idutsemo, chifukwa chomwe chimangokhala m'magazi. Zimakhala zopanda ntchito, chifukwa sizingathe kuyika chakudya kulowa m'thupi.

Zina mwazifukwa zomwe insulin m'magazi imatha kukwera kuposa momwe zimakhalira, pali:

Kunenepa kwambiri
Kuleza kwa insulin,
Khansa yapakansa
Ovary Polycystic,
Matenda Achilengedwe

Dokotala wokhazikika ndi amene anganene molondola zomwe zidapangitsa kuchuluka kwa insulini m'magazi. Adzakhala akufufuzira bwino kwambiri, pamomwe angamutsimikizire. Mwanjira imeneyi ndi pomwe mungapereke mankhwala othandizira odwala matenda amisempha.

Akhmanov, Matenda a Mikhail. Moyo umapitirira! Zonse zokhudza matenda anu a shuga (+ DVD-ROM) / Mikhail Akhmanov. - M: Vector, 2010 .-- 384 p.
Nikolaychuk L.V. Chithandizo cha matenda ashuga ndi zomera. Minsk, nyumba yosindikiza "Mawu Amakono", 1998, masamba 255, kufalitsa makope 11,000.
Toiler M. ndi ena. Zopatsa thanzi kwa odwala matenda ashuga: chokoma komanso chopatsa thanzi banja lonse (kutanthauzira kuchokera pamenepo.). Moscow, nyumba yosindikiza "Kristina i K °", 1996,176 p., Magawo sanatchulidwe.

Ndiloleni ndidziwitse. Dzina langa ndi Elena. Ndakhala ndikugwira ntchito ya endocrinologist kwa zaka zoposa 10. Ndikukhulupirira kuti pakadali pano ndili katswiri pantchito yanga ndipo ndikufuna kuthandiza alendo onse omwe amapezeka pamalowo kuti athetse zovuta osati ntchito. Zinthu zonse za tsambalo amazisonkhanitsa ndikuzikonza mosamala kuti athe kufotokoza zambiri zofunikira. Musanagwiritse ntchito zomwe zikufotokozedwa pa webusaitiyi, kufunsana ndi akatswiri ndizofunikira nthawi zonse.