Kodi chingachitike ndi chiyani ngati simupaka jakisoni wa shuga?

Matenda a shuga amakhala m'gulu la matenda a endocrine omwe amapezeka pamene kapamba amasiya kutulutsa insulin. Ichi ndi mahomoni ofunikira kuti thupi lonse lizigwira ntchito. Imasinthasintha kagayidwe kazigawo - gawo lomwe limakhudzidwa ndi ntchito ya ubongo ndi ziwalo zina.

Ndi chitukuko cha matenda ashuga, wodwalayo amayenera kumangotenga ma insulin. Chifukwa chake, odwala matenda ashuga ambiri akufunsa ngati angayambe kugwiritsa ntchito insulin. Kuti mumvetsetse nkhaniyi, muyenera kudziwa za matendawa ndikumvetsetsa komwe milandu ya insulin imayikidwa.

Pali mitundu iwiri yayikulu ya matenda a shuga - 1 ndi 2. Mitundu yamatendawa imasiyana. Pali mitundu ina yamatenda, koma ndiyosowa.

Mtundu woyamba wa shuga umadziwika ndi kuperewera kwa proinsulin komanso boma la hyperglycemic. Chithandizo cha matenda amtunduwu matenda a shuga chimaphatikizira mankhwala obwezeretsera m'magawo a insulin.

Ndi matenda amtundu 1, simuyenera kusiya kubaya jakisoni. Kukana kwa izo kumatha kubweretsa kukula kwa chikomokere komanso ngakhale kufa.

Mtundu wachiwiri wa matenda ndiofala. Amapezeka mwa 85-90% ya odwala azaka zopitilira 40 omwe ali onenepa kwambiri.

Ndi matenda amtunduwu, kapamba amatulutsa timadzi tating'onoting'ono, koma sitingathe kupanga shuga, chifukwa maselo amthupi satenga pang'ono kapena kutulutsa insulin kwathunthu.

Pancreas imatha pang'ono ndi pang'ono ndipo imayamba kupanga mahomoni ochepa.

Kodi insulin imalembedwa liti ndipo ndiyotheka kuikana?

Mtundu woyamba wa matenda ashuga, chithandizo cha insulin ndizofunikira, chifukwa chake mtundu wamtunduwu umatchedwanso kuti insulin. Mtundu wachiwiri wa matenda, kwanthawi yayitali, simungathe kubaya insulin, koma muthane ndi glycemia potsatira zakudya komanso kumwa othandizira a hypoglycemic. Koma ngati vuto la wodwalayo likuipiraipira ndipo malingaliro azachipatala sanatsatidwe, chithandizo cha insulin ndi njira yotheka.

Komabe, kodi ndizotheka kusiya kubayirira insulin mtsogolomo pomwe vutolo limakhala lolimba? Mwanjira yoyamba ya matenda ashuga, kubaya insulin ndikofunikira. Mosiyana ndi izi, kuchuluka kwa shuga m'magazi kumafika pazovuta, zomwe zimabweretsa zotsatira zoyipa. Chifukwa chake, ndizosatheka kusiya kubaya insulin mu mtundu woyamba wa matenda a shuga.

Koma ndi mtundu wachiwiri wa matenda, kukana insulini ndikotheka, popeza insulin nthawi zambiri imangoperekedwa kwa kanthawi kochepa kuti magazi azikhala ndi magazi.

Milandu yomwe imafunikira makonzedwe a mahomoni:

pachimake insulin,
stroko kapena myocardial infaration,
glycemia woposa 15 mmol / l kulemera kulikonse,
mimba
kuwonjezeka kwa shuga osala kudya kumaposa 7.8 mmol / l wokhala ndi thupi labwinobwino kapena kuchepetsedwa,
othandizira opaleshoni.

Zikatero, majakisoni a insulini amaperekedwa kwakanthawi mpaka zinthu zobvuta zitathetsedwa. Mwachitsanzo, mayi amasunga glycemia potsatira chakudya chapadera, koma atakhala ndi pakati amayenera kusintha zakudya zomwe amadya. Chifukwa chake, kuti asavulaze mwana ndikumupatsa zinthu zonse zofunika, dokotala amayenera kuchitapo kanthu ndikupereka mankhwala kwa insulin.

Koma chithandizo cha insulin chimawonetsedwa pokhapokha thupi likakhala lopanda mahomoni. Ndipo ngati insulin receptor siyikuyankha, chifukwa chomwe ma cell sazindikira mahomoni, ndiye kuti chithandizo sichikhala ndi tanthauzo.

Chifukwa chake, kugwiritsa ntchito insulin kumatha kuimitsidwa, koma kokha ndi matenda a shuga a 2. Ndipo ndikofunikira chiyani kukana insulini?

Siyani kuyendetsa mahomoni potengera uphungu. Pambuyo pokana, ndikofunikira kutsatira zakudya ndikuyamba kukhala ndi moyo wathanzi.

Chofunikira pakuthandizira matenda a shuga, kukulolani kuti muchepetse glycemia, ndi zochitika zolimbitsa thupi. Masewera samangowongolera mawonekedwe a thanzi komanso thanzi la wodwalayo, komanso amathandizira pakuwonjezera mphamvu kwa glucose.

Kusungitsa kuchuluka kwa glycemia mwachizolowezi, kugwiritsa ntchito njira zowonjezera wowerengeka ndizotheka. Kuti izi zitheke, amagwiritsa ntchito mankhwala osokoneza bongo komanso kumwa zakumwa zoziziritsa kukhosi.

Ndikofunikira kusiya kupatsa insulin pang'onopang'ono, ndikuchepetsa mosalekeza.

Wodwala akakana mwadzidzidzi ndiye kuti adzalumpha mwamphamvu kuchuluka kwa shuga m'magazi.

Zomwe zimachitika ngati matenda ashuga sangabayire insulin

Pali mitundu iwiri yayikulu ya matenda a shuga - 1 ndi 2. Mitundu yamatendawa imasiyana. Pali mitundu ina yamatenda, koma ndiyosowa.

Mtundu woyamba wa shuga umadziwika ndi kuperewera kwa proinsulin komanso boma la hyperglycemic. Chithandizo cha matenda amtunduwu matenda a shuga chimaphatikizira mankhwala obwezeretsera m'magawo a insulin.

Ndi matenda amtundu 1, simuyenera kusiya kubaya jakisoni. Kukana kwa izo kumatha kubweretsa kukula kwa chikomokere komanso ngakhale kufa.

Mtundu wachiwiri wa matenda ndiofala. Amapezeka mwa 85-90% ya odwala azaka zopitilira 40 omwe ali onenepa kwambiri.

Ndi matenda amtunduwu, kapamba amatulutsa timadzi tating'onoting'ono, koma sitingathe kupanga shuga, chifukwa maselo amthupi satenga pang'ono kapena kutulutsa insulin kwathunthu.

Pancreas imatha pang'ono ndi pang'ono ndipo imayamba kupanga mahomoni ochepa.

Chithandizo cha Insulin: Zabodza ndi Zenizeni

Sonyezani shuga yanu kapena sankhani jenda kuti muyimikize.

Pakati pa odwala matenda ashuga, malingaliro ambiri abwera okhudza insulin. Chifukwa chake, odwala ena amaganiza kuti mahomoniwo amathandizira kulemera, pomwe ena amakhulupirira kuti kuyambitsa kwake kumakupatsani mwayi woti musamatirire zakudya. Ndipo zinthu zilidi bwanji?

Kodi jakisoni wa insulin angachiritse matenda ashuga? Matendawa ndi osachiritsika, ndipo chithandizo chamankhwala chimangokulolani kuwongolera matendawa.

Kodi chithandizo cha insulin chimachepetsa moyo wa wodwalayo? Mukatha kusintha kanthawi kochepa ndikukazolowera ndondomeko ya jakisoni, mutha kuchita zinthu za tsiku ndi tsiku. Kuphatikiza apo, masiku ano pali mapensulo apadera a syringe ndi mapampu a insul Combo Culin a insulin omwe amathandizira kwambiri pakupanga mankhwala.

Anthu ambiri odwala matenda ashuga amakhudzidwa ndi kupweteka kwa jakisoni. Jakisoni wodziwikiratu amadzetsa zovuta, koma ngati mugwiritsa ntchito zida zatsopano, mwachitsanzo, zolembera za syringe, ndiye kuti sipadzakhala zomverera zosasangalatsa.

Zabodza zokhudzana ndi kunenepa kwambiri sizinso zowona. Insulin imatha kukulitsa chidwi cha chakudya, koma kunenepa kwambiri kumayambitsa kusowa kwa zakudya m'thupi. Kutsatira zakudya zomwe zimaphatikizidwa ndi masewera kumathandizira kuti muchepetse kunenepa.

Kodi chithandizo cha mahomoni chimawonjezera? Aliyense amene amatenga mahomoni kwa zaka zambiri amadziwa kuti kudalira insulin sikuwonekera, chifukwa ndi chilengedwe.

Pali malingaliro oti pambuyo poti ntchito ya insulini iyambike, mudzafunika kupaka jakisoni pafupipafupi. Ndi matenda a shuga 1 amtundu wa insulin, mankhwala a insulini ayenera kukhala mwadongosolo komanso mosalekeza, chifukwa kapamba sangathe kutulutsa timadzi tambiri.

Koma mu mtundu wachiwiri wa matenda, chiwalo chija chimatha kutulutsa timadzi timatenda, komabe, mwa odwala ena, maselo a beta amataya mphamvu kuti athe kubisala pakadutsa matenda.

Komabe, ngati nkotheka kukwaniritsa kukhazikika kwa msambo wa glycemia, ndiye kuti odwala amapatsidwa mankhwala otsitsa shuga a pakamwa.

Zina

Zikhulupiriro zina zokhudzana ndi mankhwala a insulin:

Pofotokoza insulin akuti munthuyu sanathe kupirira mayendedwe a shuga. Izi sizowona, chifukwa ndi mtundu woyamba wa matenda ashuga, wodwalayo alibe chisankho, ndipo amakakamizidwa kubaya mankhwalawa kwa moyo wonse, ndipo ngati pali mtundu wa 2, timadzi timene timayamwa timayendedwe toyesa magazi.
Insulin imawonjezera chiopsezo cha hypoglycemia. Nthawi zina, jakisoni amatha kukulitsa mwayi wochepetsa shuga, koma masiku ano pali mankhwala omwe amaletsa kuyambika kwa hypoglycemia.
Ziribe kanthu komwe malo oyang'anira mahomoni adzakhala. M'malo mwake, kuchuluka kwa mayiyo kumatengera malo omwe jakisoni idzapangidwire. Kuthiridwa kwambiri kumachitika ngati mankhwalawo alowetsedwa m'mimba, ndipo ngati jakisoni wachitika m'timabowo kapena ntchafu, mankhwalawo amakwiridwa pang'onopang'ono.

Ndi munjira ziti momwe insulin imayidwira ndikuchotseredwa ndi katswiri muvidiyoyi.

Sonyezani shuga yanu kapena sankhani jenda kuti muyimikize.

Mafunso okhumudwitsa okhudzana ndi matenda ashuga: Kodi ndizothekadi kudya shuga, ndipo insulin ikuyenera kuyikiridwa moyo wanu wonse? - Meduza

Kodi pali matenda ashuga pomwe simungamathe kudya maswiti ndipo muyenera kuyang'ana shuga?

Kunena zoona, izi zili choncho. Mwa njira, zakudya za odwala matenda ashuga omwe ali ndi shuga amatha kudya, koma ochepa, chinthu chachikulu ndikuwunika kuchuluka kwa shuga m'magazi. Muyenera kufufuzidwa kangapo patsiku. Ndikofunika kumvetsetsa kuti matenda a shuga si matenda a mano okoma. Chifukwa chake, kupezeka kwa matenda amtundu wa 1 sikugwirizana ndi kumwa kwambiri maswiti.

Zimayamba pamene chitetezo cha mthupi chikaukira kapamba wake, ndikupangitsa kuti chisatulutsenso insulin. Pankhani ya matenda a shuga a 2, shuga ndi amene amayambitsa matendawa m'njira yokha - sayambitsa matenda ashuga.

Monga lamulo, matenda a shuga a 2 amawonekera mwa anthu onenepa kwambiri, omwe nthawi zambiri amachititsa kuti azidya zakudya zopanda mphamvu zopatsa mphamvu zambiri, kuphatikizapo maswiti.

China china koma shuga chomwe chimayenera kukhala ndi malire? Mwachitsanzo, mutha kuyesa shuga ndi uchi - mwabwino?

Kukonzekera kadyedwe koyenera ka matenda ashuga ndikuganizira momwe thupi lanu lilili, ndibwino kufunsa katswiri wazakudya. Koma pali malingaliro onse.

Mwachitsanzo, ndikofunikira kudya katatu patsiku nthawi yomweyo ndikukana zakudya zamafuta ndi zopatsa mphamvu zambiri.

Tiyenera kusintha zakudya zopatsa thanzi zopezeka mu zipatso, nyemba (nyemba, nandolo ndi mphodza) ndi zinthu zamafuta ochepa.

"MUNGATANI KUTI IZI PANGANI KU KULETSA ANGULA, POPANDA ZONSE ZONSE ..."

Chifukwa chake, ndidaganiza zofunsa dokotala wodzipatula Valery Vasilyevich SEREGIN - kwa zaka zambiri wakhala akugwira ntchito ku dipatimenti yayikulu ya chipatala chachikulu cha odwala, ndipo ambiri mwa odwala ndi anthu omwe ali ndi matenda a shuga a 2.

- Zokhudza insulin yodwala matenda amitundu iwiri, pali malingaliro osiyanasiyana. Anthu aku America nthawi zonse amayamba kubayila insulin koyambirira. Amati: ngati munthu ali ndi matenda ashuga (ngakhale atakhala ndi mtundu wanji), zikutanthauza kuti alibe insulin yokwanira.

Insulin yotalikirana ndi kapamba ka nyama idayamba kugwiritsidwa ntchito pochiritsa anthu odwala matenda ashuga mu 1921. Mu 1959, adaphunzira kudziwa kuchuluka kwa insulini m'magazi.

Ndipo zidapezeka kuti mwa anthu omwe ali ndi matenda ashuga a 2, zomwe zili ndi insulin zitha kukhala zofanana ndi za athanzi, kapenanso kuchuluka. Izi zinali zodabwitsa. Anayamba kuphunzira njira zomwe zimachitika mthupi ndimunthu wamtunduwu.

Pofunafuna yankho la funso loti bwanji, ndi zokwanira, komanso makamaka ndi kuchuluka kwa insulini, magazi a m'magazi samalowa m'maselo a minofu, lingaliro la "insulin kukana" linakhazikitsidwa. Mawuwa amatanthauza kukana kwa minofu pazinthu za insulin. Zinapezeka kuti anali wokhudzana ndi kunenepa kwambiri.

Si onse onenepa omwe amakana insulini, koma ochulukirapo, pafupifupi 65-70%.

Koma m'mikhalidwe iyi, pomwe kapamba amapanga insulin yokwanira kapena kupitirira masiku onse, shuga wamagazi samachulukirachulukira.

Komabe, kapamba sangathe kugwira ntchito kwanthawi yayitali - posachedwa nthawiyo idzafika pomwe sichidzalipira kufunikira kwa insulini.

Ndipo kuchuluka kwa shuga m'magazi kumakhala kosalekeza.

Pali mitundu ingapo yamankhwala yomwe ilipo.

Cholimbitsa thupi kwambiri chingakhale kuchepetsa kufunikira kwa insulin. Ndipo zitha kuchitika. Komabe, njira ziwiri zoyenera kwambiri mpaka pano komanso zosakondedwa kwambiri:

- muchepetse thupi ndi zakudya zamafuta ochepa,

- kuwonjezera zolimbitsa thupi.

Kodi chakudya ndi chiani? Apa ndi pamene munthu amayenda ndi njala nthawi zonse. Pazakudya, simukumva bwino; zikadakhala choncho, aliyense angazitsatire popanda mavuto. Zakudya zilizonse sizipereka thanzi labwino komanso mawonekedwe.

Ngati munthu wanena chinthu china, ndiye kuti akunama. Margaret Thatcher sanamwe mankhwala. Amakhala ndi njala nthawi zonse, chifukwa chake amakhala ndi nkhope zoyipa.

Kodi nkhope yanu idzakhala yotani ngati muli ndi njala?

Munthawi ya nkhondo, 30-5% yokha ya anthu odwala matenda ashuga amene amakhalapo, ena onse amalipiridwa. Chifukwa simuyenera kutsatira zakudya, chakudya chokwanira, ndipo pali ntchito zambiri zolimbitsa thupi. Mwa anthu, kufunika kwa insulin kumachepa.

Yesani kulemeza munthu wathunthu - mwina amadya kwazaka zambiri ndikusuntha pang'ono. Amakhala ndi kupuma movutikira, kulumikizana, kupsinjika, kupweteka kwa minofu yosaphunzitsidwa, mafupa ...

Mwambiri, mwa odwala anga ochepa okha omwe amapeza zotsatira zenizeni ndi zakudya komanso maphunziro olimbitsa thupi.

Kuchepetsa kufunikira kwa insulin, metformin imayikidwa pa gawo loyamba la mankhwalawa. Mtolankhani wanu walemba kale za izi. Kufunika kwa chakudya kumakhalabe. Tsoka ilo, metformin sikuyenda bwino mwa odwala onse.

Ngati "ikugwira ntchito", onjezani mankhwala omwe amachititsa kuti insulini isungidwe ndi inshuwaransi, - mankhwala ochokera ku gulu la sulfonamides (shuga, glibenclamide). Ku Europe, sulfanilamides amayamba kuperekedwa nthawi yomweyo, ndipo madokotala aku America akuti: ngati chitsulo chikugwira ntchito bwino, bwanji chikukhudzidwa, zingayambitse kufooka kwachangu? Amakangana. Komabe, sulfonamides ndi amodzi mwa mankhwala omwe amadziwika kwambiri pochiza matenda ashuga, amatengedwa ndi anthu masauzande ambiri padziko lonse lapansi.

Ngati chithandizo chotere chikulephera kubwezera shuga mwachizolowezi, chinthu chotsatira chimatengedwa: kusankhidwa kwa insulin. Kwa odwala ena omwe ali ndi matenda a shuga a 2, insulin imayikidwa limodzi ndi mapiritsi ochepetsa shuga, ndipo kwa ena, insulini yokha, monga mtundu 1 wa shuga. Zimatengera chiyani? Kuchokera pamwazi wamagazi. Ntchito yofunika kwambiri: kukwaniritsa kuchepetsa kwake kukhala mulingo wamba kuti muchepetse kukula kwa zovuta m'maso, miyendo, mitsempha yamagazi, impso, mtima. Mwa odwala ambiri omwe ali ndi matenda a shuga a 2, zovuta izi zilipo kale - adayamba kale kupatula matenda a shuga omwe adapezeka. Onsewa amafunika kukhala ndi dzuwa labwino kuti achepetse kukula kwa zovuta ndikukhala ndi nthawi yayitali. Chifukwa chake amafunikira chithandizo cha insulin.

Kodi anthu omwe ali ndi matenda a shuga a 2 amawopa chiyani akapatsidwa mankhwala a insulin? Choyamba, choyamba, kuti padzakhala zovuta zambiri ndi jakisoni. Inde, nkhawa zidzachuluka.

Kafukufuku wina wamayiko ambiri adawonetsa kuti, malinga ndi odwala omwewo, kusintha kwa mankhwala a insulin kumafunikira chidwi chokha. Koma nthawi yomweyo, kuchuluka kwa shuga m'magazi kunayamba bwino, kuchuluka kwa zovuta zazikulu komanso kuvomerezedwa kuchipatala kwakatalika kumachepa.

Mtengo wa chithandizo umachepetsedwa (kuphatikizapo kuchokera m'thumba la wodwalayo), chiyembekezo cha moyo chimachulukitsidwa.

Odwala anga adavomerezanso kuti akuopa kuti insulini idzabwerenso. Chokhacho chomwe ndinganene pa izi ndikuyesa kudziletsa pazolimbitsa thupi zopatsa mphamvu ndikuwonjezera zolimbitsa thupi. Munthu ayenera kudzipatsa yekha katundu wofanana ndi kalori yemwe amadya. Aliyense amene amamvetsetsa izi osalola kudya kwambiri, samakumana ndi vuto lotere.

Mpaka pano, insulin ndiye mankhwala okhawo omwe amatha kusunga shuga m'magazi panthawi yokhazikika.

Momwe mungapangire chithandizo choyenera ndikuwonetsa hemoglobin wa glycated kapena shuga wabwino musanadye komanso pambuyo pake. Ngati munthu wayesedwa ndi glycated hemoglobin kuposa 6.5% kwa miyezi yopitilira 3, mutha kukhala otsimikiza kuti amayamba kukhala ndi zovuta za matenda ashuga.

Tsoka ilo, padziko lonse lapansi, malinga ndi kafukufuku, ndi 20-30% yokha ya anthu odwala matenda a shuga omwe adadula hemoglobin wochepera 6.5%. Koma tiyenera kuyesetsa kuchita izi. Timayesa mayesowa ku Minsk komanso m'malo a boma. Ndikofunikira komanso mothandizidwa ndi glucometer kuti mutha kudziyang'anira nokha kuti shuga m'magazi musanadye komanso pambuyo pake.

- Mumayesa bwanji kudziwa shuga kwa odwala anu?

- Ndazindikira zotere: munthu wadwala kwanthawi yayitali kapena posachedwa, kudziwa kwa aliyense kuli kofanana komanso sikokwanira.

Anthu samalimbikitsidwa kuti adziwe ndikutsatira upangiri wa dokotala pokhapokha atakhala ndi matenda ena akuluakulu. Mwachitsanzo, odwala matenda a cirrhosis sayenera kumwa mowa konse. Ndi ochepa okha omwe amakwaniritsa izi.

Ku West, anthu amalimbikitsidwa kwambiri kukhala athanzi ndikuphunzira izi. Kuyambira kalekale akhala akhazikitsa zofunikira zathanzi, banja, kupambana pantchito. Chifukwa chake lingaliro lina kwa madokotala: ngati adotolo atero, ndiye kuti wodwala amukhulupirira. Ambiri aife timachita zomwe tikufuna, mosiyana ndi upangiri wa madotolo.

Wodwala matenda a shuga amatha kudziletsa. Anadutsa pasukulu ya matenda ashuga, anaphunzitsidwa ndi dotolo, koma amasankha tsiku lililonse kuchuluka kwa insulin, zomwe adzadya ndi zomwe adzachite. Chifukwa chake, ndikofunikira kuti mumvetsetse ndikuvomereza vutoli: muyenera kuchiritsa matenda anu osachiritsika molondola komanso moyenera, pewani shuga wambiri, apo ayi mavuto angadzayambike.

Chiwopsezo cha matenda amtundu wa 2 chikuwonjezeka m'maiko onse molingana ndi kukula kwachuma. Mtundu woyamba wa matenda ashuga okha sikudalira kuchuluka kwa zakudya zomwe zimadyedwa, ndipo mtundu wa 2 shuga umadalira kwambiri izi.

Munthu wonenepa kwambiri samakhala ndi matenda ashuga amitundu iwiri. Anthu onenepa amadwala kangapo, nthawi zambiri anthu okwanira 10-15 nthawi zambiri kuposa anthu owonda.

Lyudmila MARUSHKEVICH

Ngati simukuba jakisoni wa shuga

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Kukula kwa pancreatic pancreatic pachimake ndi imfa kudzatsata. Mavuto amatha m'mawa kwambiri komanso mochedwa, kuwonongeka kwa ziwiya zazing'ono (microangiopathy) kapena zombo zazikulu (macroangiopathy).

Mavuto oyambilira akuphatikiza:

ketoacidosis (mukusowa kwathunthu insulini, matupi a ketone amapangidwa - zopangidwa ndi mafuta a metabolism, omwe pamodzi ndi shuga wambiri amatha kutsogolera ntchito zomwe zimapangitsa kuti ziwonetsero zikuluzikulu za thupi zokhala ndi vuto lakutha kuzindikira komanso kufa).

hypoglycemia (mlingo wa insulin ndi mankhwala ena opatsirana pogwiritsira ntchito shuga ndiwochulukirapo kuposa kuchuluka kwa shuga komwe kumafunika kukonzedwa, shuga yotsika kwambiri, kumakhala kumva kwanjala, thukuta, kusazindikira, kufa nkotheka).

Pambuyo pake zovuta zimayamba ndi matenda a shuga a nthawi yayitali, osaperekedwa bwino (omwe amakhala ndi shuga wambiri kapena kusinthasintha kwake). Maso amatha kukhudzidwa (kusintha kwa retinal ndi chiwopsezo chakhungu m'malo omaliza).

impso (kulephera kwa impso kumatha kukhala ndi kufunika kwa hemodialysis, i., kulumikizana ndi impso yochita kupanga, kapena kupatsirana kwa impso). Kuphatikiza apo, zotengera ndi mitsempha ya miyendo zimakhudzidwa (zomwe zingayambitse gangore ndi kufunika kopukutira miyendo).

m'mimba zimakhudzidwanso; ntchito zogonana mwa amuna (kusabala) zimatha kukhala zosokoneza.

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Matenda a shuga ndi imfa.

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Kugwera mu chikumbumtima cha hypoglycemic ndi kufa mwachangu.

Lyudmila Salnikova Master (2193) Zaka 4 zapitazo

chifukwa chiyani insulin nthawi yomweyo? choyambirira, shuga amayenera kukhala ndi mapiritsi, adotolo amawafotokozera, ndikuyesera kukhala pa iwo, kumamatira ku chakudya, osadya yokazinga, mikate yoyera, maswiti, ma pickles, chilichonse chikuyenera kukhala pang'ono, kusuntha kwambiri, koma osathamanga, koma ingoyendani kwa maola 2-3 mumsewu, fufuzani shuga kamodzi sabata iliyonse. Ngati mapilitsi satsika shuga, ndiye kuti asinthana ndi insulin, koma ndikofunikira,

irina konstantinova Zowunikiridwa (27530) zaka 4 zapitazo

Elena Shishkina Pupil (117) miyezi 7 yapitayo

Kodi ndibwino chiyani kwa shuga ndi glucovans kapena insulin?

daniil telenkov Ophunzira (162) miyezi 4 yapitayo

inde iwo @ sinditayipa matenda ashuga 1 osadwala 2 years. shuga wamkulu ndipo ndi zake. ngakhale mtundu 1 ndili ndi chiwopsezo cha moyo. Ndimatha kudula kawiri pachaka. pazokwanira

Kodi insulin imafunikira liti mtundu wa shuga wachiwiri?

woyang'anira: Aina Suleymanova | Tsiku: Novembala 1, 2013

Type 2 matenda a shuga a insulin Imagwiritsidwa ntchito nthawi zambiri posachedwapa. Tiyeni tikambirane masiku ano momwe insulin yothandizira mtundu wa 2 shuga ingafunikire.

Moni abwenzi! Pali zolemba zambiri zokhudzana ndi chithandizo cha matenda ashuga ndikukhazikitsa kwa insulin ya malondawo pamalopo, koma sizinanenedwe za milandu pomwe wodwala yemwe ali ndi mtundu wachiwiri wa matenda ayenera kusamutsidwa mwachangu ku regulen ya insulin.

Kuwongolera cholakwika, nkhani ya lero yadzipereka kuzowonetsa bwino za chithandizo cha insulin kwa odwala omwe ali ndi mtundu wachiwiri wa matenda.

Tsoka ilo, si odwala okhawo omwe ali ndi mtundu woyamba wa shuga omwe amasinthira ku insulin. Nthawi zambiri kufunikira kotere kumabuka ndi mtundu wachiwiri.

Sizowopsa kuti mawu monga shuga osadalira insulini komanso omwe amadalira insulin samachotsedwa m'gulu lamakono la matenda ashuga, chifukwa sawonetsa machitidwe a pathogenetic a kukula kwa matendawa.

Kudalira (pang'ono kapena kokwanira) kumatha kuonedwa pamitundu yonse iwiri, chifukwa chake, mitundu yokhayo ya matenda ashuga 1 ndi mtundu 2 womwe umagwiritsidwa ntchito kunena mitundu ya matendawa.

Zachisoni koma zowona!

Kupatula kupatula, odwala onse omwe palibe, sangathe kulimbikitsidwa, kapena kutulutsa kwawo kwa mahomoni sikokwanira, kwa moyo wonse komanso mwachangu insulin.

Ngakhale kuzengereza pang'ono pang'onopang'ono kwa kusintha kwa insulini kungayende limodzi ndi kupitilira kwa chizindikiro cha matenda.

Izi zikuphatikizapo: kukulitsa kwa ketoacidosis, ketosis, kuchepa thupi, zizindikiro za kusowa madzi m'thupi (madzi akumwa), adynamia.

Kukula kwa matenda ashuga ndi chimodzi mwazifukwa zosinthira mochedwa insulin mankhwala a matenda a shuga a mtundu wachiwiri.

Kuphatikiza apo, chifukwa cha kuchuluka kwa matendawa kwa nthawi yayitali, zovuta za shuga zimayamba msanga komanso kupita patsogolo, mwachitsanzo, matenda ashuga a m'mimba ndi angiopathy. Onetsetsani kuti mwawerenga nkhani yofotokoza za matenda a shuga.

Ayeneradi kuchita mantha. Pafupifupi 30% ya odwala matenda a shuga amafunikira chithandizo cha insulin masiku ano.

Zisonyezo za insulin mankhwala a mtundu 2 matenda a shuga

Aliyense endocrinologist kuyambira nthawi yomwe amadziwika kuti ali ndi matenda a shuga a 2 ayenera kudziwitsa odwala ake kuti chithandizo cha insulin masiku ano ndi njira imodzi yothandiza kwambiri. Komanso, nthawi zina, mankhwala a insulini akhoza kukhala njira yokhayo, yokwanira yokwaniritsira Normoglycemia, ndiko kuti, kubwezeretsa matenda.

Kumbukirani kuti sazolowera insulin! Musaganize kuti posinthira jakisoni wa insulin, mtsogolomo mudzalandira inshuwaransi yodalira insulin.

Monga momwe ziliri ndi matenda omwewo, momwemo mulibe, mutaye kunja kwa mutu wanu! Chinthu china, nthawi zina zovuta kapena zovuta za insulin mankhwala zimatha kuonedwa, makamaka kumayambiriro.

Za iwo, pakadali pano ndikukonzekera zofunikira, onetsetsani kuti mwalembetsa. kuti musaphonye.

Zowonjezera: Zambiri pazovuta za mankhwala a insulini zakonzeka kale pabulogu. Tsatirani ulalo ndikuwerengerani zaumoyo!

Udindo waukulu pakusankhidwa kwa mankhwala a insulini uyenera kusewera kwambiri mwa ma cell a beta. Pang'onopang'ono, mtundu wachiwiri wa matenda a shuga ukayamba, matenda a beta-cell amayamba, ndipo amafunika kuti asinthane ndi mankhwala a mahomoni nthawi yomweyo. Nthawi zambiri, pokhapokha mothandizidwa ndi insulin mankhwala amatha kukwaniritsa ndi kusunga kuchuluka kwa glycemia.

Kuphatikiza apo, insulin yothandizira mtundu wa matenda a shuga a 2 ingafunike kwakanthawi kwakanthawi kochepa kwakadwala. Pansipa ndimalongosola zomwe zimachitika ngati insulini ya mtundu wachiwiri wa shuga ikufunika.

Mimba
Zovuta za macrovascular, monga myocardial infarction ndi stroke,
Kuperewera kwa insulin, komwe kumawoneka ngati kuchepa thupi pang'onopang'ono ndi chidwi, kulimba kwa ketoacidosis,
Opaleshoni
Matenda osiyanasiyana opatsirana ndipo koposa zonse, purulent-septic m'chilengedwe,
Zizindikiro zoyipa za njira zosiyanasiyana zofufuzira matenda:

kusala kudya kwa glycemia kopitilira 7.8 mmol / l yokhala ndi thupi labwinobwino kapena losakwanira, kapena kupitirira 15 mmol / l, osatengera kulemera kwa thupi.
kusintha kwa otsika C-peptide mu plasma nthawi ya mayeso a glucagon.
mobwerezabwereza mtima hyperglycemia (7.8 mmol / l) pamene wodwala amamwa mankhwala a hypoglycemic, amawona momwe angachitire zolimbitsa thupi komanso kudya.
glycosylated hemoglobin woposa 9,0%. Ngati simukudziwa, kutsatira ulalo ndikuwerenga, pali tsamba lina patsamba la glycosylated hemoglobin.

Zinthu 1, 2, 4, ndi 5 zimafuna kusintha kosakhalitsa kwa insulin. Pambuyo pokhazikika kapena kubereka, insulin imathetsedwa. Pankhani ya hemoglobin ya glycosylated, kayendedwe kake kamayenera kubwerezedwa pambuyo pa miyezi 6.

Ngati munthawi imeneyi kuchuluka kwake kumatsika ndi 1.5%, mutha kubwezeretsa wodwala kuti atenge mapiritsi ochepetsa shuga, ndikukana insulin.

Ngati kuchepa kwa chizindikirocho sikunawonedwe, mankhwala a insulin ayenera kupitiliza.

Kugwiritsa ntchito insulin sikuli mu endocrinology

Pomaliza, ndikufuna kukuwuzani kuti insulini ingagwiritsidwe ntchito osati mu endocrinology, ngakhale, zowonadi, matenda a shuga ndiye chizindikiro chachikulu chogwiritsira ntchito. Mwachitsanzo, kuyambitsa kufupikitsa insulin kungafunike ndi kufooka kwathunthu kwa thupi.

Mu milandu iyi, imagwira ntchito ngati mankhwala a anabolic, ndipo imayikidwa muyezo wa mayunitsi 4-8 2 kawiri pa tsiku. Kuphatikiza apo, jakisoni wa insulin nthawi zina amafunikira matenda ena amisala, awa amatchedwa insulinocomatous therapy.

Insulin ikhoza kugwiritsidwa ntchito ngati furunculosis, komanso mawonekedwe a polarizing njira, zomwe nthawi zambiri zimagwiritsidwa ntchito mu mtima.

Zonse ndi za lero. Ndikuganiza kuti tsopano mukudziwa nthawi yeniyeni ya mankhwala a shuga 2 amafunika. Tikuwonani, abwenzi!

Siyani ndemanga ndikupeza MPHATSO!

Gawani ndi abwenzi:

Matenda a shuga? Insulin ingathandize!

Odwala ambiri omwe ali ndi matenda ashuga samvetsa bwino kuchuluka kwa mphamvu ya insulin. Pakumvetsetsa kwawo, ndikokwanira kuti azitsatira zakudya zamafuta ochepa ndikugwiritsa ntchito mankhwala ochepetsa shuga.

Insulin yokhudza matenda ashuga ndi kale njira yowonjezereka yomwe madokotala amatengera kuti apulumutse moyo wa wodwala. Mukayamba kutsatira malangizo ovomerezeka, ndiye kuti sipadzakhala mavuto ndi kukhazikitsidwa kwa mankhwalawa. M'malo mwake, posachedwa wodwalayo adzasangalalanso ndi moyo, osawopa zotsatira zoyipa za matenda ashuga.

Zifukwa zoperekera ndi kutenga insulin

Funso loyamba lomwe limadza mwa odwala omwe ali ndi matenda ashuga popereka mankhwala a insulin ndi chifukwa chiyani ndikufunika kumwa mankhwalawa? Pakadali pano, adotolo ayenera kufotokozera wodwalayo momveka bwino kuti izi zidachitidwa pokhapokha kuti akhalebe wathanzi m'njira yoyenera. Ndikofunikira kukhazikitsa wodwalayo kuti kuikidwa kwa insulin kungakhale kwakanthawi kochepa.

Komabe, kuphatikiza kwake kogwiritsa ntchito sikungotengera kulanga kwa wodwalayo, komanso mkhalidwe wa kapamba wake.

Ngati kupanga kwa insulin kwachilengedwe ndikosatheka, ndiye kuti popanda kutsegula kwa insulin munthawi ya chithandizo, wodwala matenda ashuga akhoza kungofa. Izi zimagwira makamaka kwa anthu omwe amapezeka ndi matenda ashuga a mtundu woyamba.

Kuti mumveke bwino, ndikofunikira kufotokozera kusiyana pakati pa matenda amtundu wa 2 ndi matenda ashuga a 2.

Poyamba, kapambayu amachepa chifukwa cha kupanga kwachilengedwe kwa insulin kotero kuti ma cell a beta omwe akuchita nawo mbali yofunika iyi akumwalira pang'onopang'ono.

Chifukwa chake, thupi la wodwalayo silingatulutse muyezo wake wa insulin. Ndi mtundu wachiwiri wa matenda ashuga, zonse ndizosavuta: kapamba amatha kupangitsanso insulini, koma ndi zosokoneza zina ndi zovuta zina. Kuphatikiza apo, njirayi ikhoza kukhala yovuta chifukwa cha kuchepa kwa minyewa ya thupi yomwe yatchulidwa kuti ipangitse insulini.

Kasitomala ndiye amachititsa kupanga insulini.

Insulin ya matenda a shuga a mtundu wachiwiri ndiyofunikira, choyambirira, kuti abwezeretse kapamba, komanso kukhazikika kwa shuga. Ngati wodwala ali ndi maselo ake a beta, izi sizitanthauza kuti chithandizo cha insulin sichitha.

Ngati simuyamba kumwa mankhwalawa panthawi, ndiye kuti mutha kuchoka pachiwonetsero popanda insulin. Inde, ndi matenda a shuga a mtundu wachiwiri, mlingo wa mankhwalawa ukhoza kutsika kwambiri, popeza ntchito yake yayikulu ndikungoteteza matenda.

Ngakhale atapezeka kuti ali ndi matendawa munapezeka kuti kulibe ma cell a beta otsalira mu prostate, izi sizitanthauza kuti shuga anali wamphamvu kuposa inu. M'malo mwake, muyenera kuyesetsa kuthana ndi matendawa ndikuyamba kumwa insulin posachedwa.

Madokotala, mwachidziwikire, sangathe kukakamiza wodwala kuti amwe izi kapena mankhwalawa, komabe, ngati mukufuna kukhala ndi moyo wautali komanso wachisangalalo, ndiye kuti muvomera kulandira insulin. Popita nthawi, simudzawonanso machitidwe ngati chinthu choopsa komanso chosasangalatsa.

Kuopa insulin

Mwinanso wodwala aliyense yemwe adalandira mankhwala a insulin amawopa zomwe zikubwera. Komabe, mantha ambiri ofala pankhaniyi alibe maziko.

Mwachitsanzo, gawo lalikulu la odwala matenda ashuga amakhala ndi nkhawa kuti akalandira chithandizo ndi insulin amatha kulemera.

Izi sizingachitike ngati muchita masewera olimbitsa thupi mwapadera ndikuyamba kusewera masewera.

Insulini ya matenda ashuga siyosokoneza bongo. Lingaliro losiyana ndi lingaliro chabe kuposa nthano chabe yomwe imawopseza anthu odwala matenda ashuga.Inde, ndizotheka kuti mudzayenera kumwa insulin moyo wanu wonse (makamaka ndi matenda a shuga 1).

Kugwiritsa ntchito mankhwalawa sikungokhala pazokonda, koma pazotsatira zomwe wodwalayo amakhala moyo wopanda zovuta zambiri.

Pali malingaliro angapo omwe angathandize odwala omwe ali ndi matenda osokoneza bongo osavuta kulekerera mankhwala a insulin:

gwiritsitsani zoyambira za chakudya chochepa kwambiri,
khalani ndi moyo wabwino kwambiri,
yang'anirani shuga yanu yamagazi,
Kusangalatsa kwa jakisoni wa insulin. Izi sizovuta kuchita, popeza kuti tsopano pali njira zingapo zoperekera mankhwala osapweteka pakhungu.
Tsatirani malangizo onse a dokotala.

Kwa odwala ena, zimakhala zovuta kwambiri kuthana ndi zomwe amati ndizowopsa zamaganizidwe m'malo mopitiliza kudziletsa komanso kuwongolera mwamphamvu. Komabe, insulin ndi mtundu wa chizolowezi chabwino, chomwe pakapita nthawi chidzakhala chinthu chachilendo kwa inu. Chifukwa chake ngati dokotala wakuuzani za kufunika kwa mankhwala a insulini, ndiye kuti simuyenera kumutenga "mwachidani".

Ganizirani mofatsa musanapange chisankho choyenera, chifukwa moyo wanu umadalira.

Palibe ndemanga pano!

Tsamba lalikulu

Atkuchipatala "Malo Ozindikira ndi Odwala a Mogilev" Ogasiti 1, 2014 ndiwonetsero wa zaka 25 zakhazikitsidwa.

Masiku ano, bungweli ndi bungwe lophatikiza mitundu yambiri, zamankhwala komanso zodzitetezera zomwe zimapereka chithandizo chodziwikiratu, chofufuza, chithandizo chachipatala komanso kukonza chithandizo kwa anthu am'derali.

Magulu ofunika kwambiri a ntchito zake ndi kufunsa ndi kupeza chithandizo chazachipatala ndi chithandizo cha odwala omwe ali ndi matenda amtima (kuphatikizapo zamankhwala) ntchito ndi njira yothandizira komanso kuthandiza mabungwe azaumoyo a m'derali, kuwaphunzitsa akatswiri azachipatala komanso akatswiri.

Kapangidwe kakeko kamaphatikizapo 13 kufunsa ndi kuzindikira, magawo 12 othandizira, kuphatikizapo nthambi Chipatala cha Cardiology makama 126 likulu la chidziwitso cha zamankhwala, yomwe ili ndi Regional Science Science Medical Library ndi Museum of Health mdera la Mogilev.

Center ili ndi antchito 615, kuphatikiza madokotala 141 ndi anamwino 231.

Pazaka zambiri, odwala opitilira 400,000 amalandila chithandizo chakuchipatala, zopitilira ma 200,000 zantchito ndi ma 1.5 miliyoni zoyezetsa, odwala oposa 4,000 amalandila chithandizo chamankhwala m'chipatala.

Kodi ndichifukwa chiyani anthu omwe ali ndi matenda a shuga amawopa kubayirira insulin?

Matenda a shuga siangokhala matenda wamba, koma mliri weniweni. Ku Russia kokha 4 miliyoni odwala matenda a shuga ndi omwe adalembetsa, koma ndi angati omwe sanaphatikizidwe mu ziwerengero? Matendawa amakumana ndi zovuta zina pomwe odwala akuyenera kusintha kuchokera pamapiritsi kupita ku insulin, yomwe aliyense amawopa ngati moto. Chifukwa chiyani izi zikuchitika?

Kuzungulira padziko lonse lapansi, odwala oposa mamiliyoni atatu amapezeka ndi matenda okoma. Chiwerengerochi sichiri chiimire. Matendawa amakula mpaka mliri, ndipo wafika kale m'malo achitatu aimfa. Ayi, safa ndi matenda ashuga, ndipo imfa imadza chifukwa cha zovuta zake zomwe zimapangitsa kuti matenda a impso alephere, matenda am'mimba, matenda amtima komanso stroko.

Matenda a shuga amapezeka chifukwa cha kubadwa, matenda opatsirana, komanso nkhawa zamavuto.

Kalelo mu 1922, insulin idayambitsidwa kwa anthu. Imapulumutsabe anthu ku imfa yomwe ili pafupi.

Munthu yemwe kapamba wake yemwe samatulutsa insulin sangakhale ndi moyo popanda kubayitsa ma hormone ena amoyo.

Kwa odwala amtundu woyamba I, insulin siyopanga konse kapena yoperewera. Ndipo odwala omwe ali ndi matenda amtundu wa II, mtundu wawo wa insulin ndi wabwinobwino, koma sangathe kuphwanya shuga moyenera.

Ukadaulo wamakono wamatenda umapereka ma insulini abwino kwambiri a anthu kuti agwiritse ntchito jakisoni. Koma, odwala matenda a shuga amawopa kubaya mankhwala ngati amenewo. Kodi zikhulupiriro zabodza za insulin ndi ziti?

Anthu amawopa kutenga jakisoni, popeza zimapweteka ndipo sizosangalatsa.

Inde, palibe amene angatsimikize kuti kulanga khungu ndi njira yopweteka. Koma, sizimapweteka kwambiri. Ngati mtsempha wa intravenous kapena mu mnofu.

Ndi kukhazikitsidwa kwa insulin kulibe vuto lililonse, chifukwa chake simuyenera kuchedwetsa kulandira chithandizo choyenera, ndikudziyambitsa nokha zovuta. Jakisoni wa insulin ndiosavuta kulekerera kuposa majekiseni ena onse. Chithandizo chamakono chikusonyeza kuti anthu odwala matenda ashuga sagwiritsa ntchito syringe wamba, koma ma insulin kapena zolembera, zomwe zimakhala ndi singano zowonda kwambiri.

Pali lingaliro pakati pa odwala kuti ngati insulin imagwiritsidwa ntchito kale, ndiye kuti sizingatheke kukana.

Inde, ngati odwala omwe ali ndi matenda a shuga a Type I amachepetsa insulin yawo, ndiye kuti sangathe kuonetsetsa kuti matenda awo awalipiridwa. Ndipo izi zimabweretsa kuwoneka kwamavuto akulu mu mawonekedwe a phazi la matenda ashuga, kulephera kwa impso, khungu, kuwonongeka m'matumbo am'munsi, kugunda kwa mtima ndi stroko.

Ndibwerezanso kuti anthu samwalira ndi matenda ashuga, koma kuchokera ku zovuta zake zovuta kwambiri.

Pali zabodza kuti kukhazikika kwa insulin tsiku ndi tsiku kumakhudza kuwoneka kambiri.

Inde, pali zoyeserera zotere, malinga ndi zotsatira zake zomwe zimatsimikiziridwa kuti anthu omwe amawotcha insulin amalemera, koma izi zimachitika chifukwa cha kuchuluka kwa chilakolako cha chakudya. Koma, odwala omwe ali ndi matenda amtundu wa II nawonso ndi onenepa kwambiri chifukwa cha msinkhu wawo komanso kusachita masewera olimbitsa thupi.

Simuyenera kusiya jakisoni wa insulin, koma ingoyang'anirani zakudya, ndipo musadye kwambiri. Popeza ndikofunikira kubaya insulini kuti isinthe kuchuluka kwa shuga, komanso pafupi kwambiri ndi kuchuluka kwa mahomoni.

Pali nthano pakati pa anthu kuti insulini imafunikira njira yeniyeni ya jakisoni ndikudya chakudya.

Munthu akapeza koyamba za matenda ake okoma, amachenjezedwa nthawi yomweyo kuti moyo sutha, koma umangosintha.

Inde, kupeza bwino kumatengera zochita za tsiku ndi tsiku. Onetsetsani kuti mumadya katatu patsiku. Osamapuma nthawi yayikulu pakati pa kadzutsa, chakudya chamadzulo komanso chakudya chamadzulo. Izi zimatha kupangitsa shuga kuchepa kwambiri komanso kukula kwa chikomokere kwa hypoglycemic.

Ndondomeko ya kayendetsedwe ka insulini ilinso ndi nthawi yake yomveka. Izi zimanenedwa ndi adotolo.

Chithandizo cha insulin sichimamangirira anthu kunyumba, amatha kugwira ntchito, kuyenda ngakhale kumayiko akutali. Mumangofunika kukhala ndi cholembera kapena syringe yapadera ndi inu, ndipo musaiwale kudya nthawi.

Insulin yofupikitsa imaperekedwa katatu musanadye, ndikukula kawiri patsiku, kapena madzulo okha.

Odwala ambiri amaganiza kuti chithandizo cha insulin chimapangitsa kukomoka kwa hypoglycemic. Koma, insulin yamakono yamunthu imapangidwa kuti isakhale ndi nsonga zake, koma imayikidwa malinga ndi malingaliro osankhidwa omwe amagwirizana ndi zochita zathupi.

Mwazi wamchere wochepa ukatha kugwira ntchito zolimbitsa thupi, kugwira ntchito m'munda. Ngati wodwala matenda ashuga akupita kuulendo wautali, ndiye kuti ayenera kukhala ndi mashuga kapena maswiti ena m'thumba mwake kuti adzithandize ngati ali ndi shuga ochepa.

Ndi matenda a shuga, mutha kukhala ndi moyo osazindikira matenda, ngati mumayang'anira kuchuluka kwa shuga m'magazi. Pakachitidwe kotere, simuyenera kuthamangira kangapo ku labotale, koma mutha kugwiritsa ntchito glucometer yanu. Ndikofunika kumayeza m'mawa m'mimba yopanda kanthu, maola awiri mutatha kudya komanso musanagone.

Ngati mutsatira malingaliro onse a madotolo, kutsatira malamulo ndi zakudya za tsiku ndi tsiku, kuwongolera mkhalidwe wanu, ndiye kuti matenda ashuga sangayambitse zotsatira zoyipa ndipo sasintha moyo wamba.

Koma, ngati endocrinologist akusinthani kuti mukhale ndi insulin, tsatirani malangizo a dokotala, ndipo musayese thupi lanu kuti mupeze mphamvu.

Matenda a shuga ndi matenda ofala kwambiri mdziko lapansi omwe angayambitse zovuta zazikulu zomwe zimayambitsa imfa.

Ndani amafunikira komanso momwe angapereke jakisoni wa matenda a shuga

Zingwe za insulin za matenda a shuga ziyenera kuchitidwa, nthawi yonse ya moyo. Pakadali pano, mankhwala sakudziwa njira inanso yopititsira patsogolo shuga m'magulu a shuga a mtundu wodalira insulin komanso osadalira insulini. Odwala ayenera kusintha momwe amawonera jakisoni ndi kusawachitira ngati themberero, koma ngati njira yothandizira moyo.

Mukabayidwa, muyenera kupeza mita yolondola ya shuga. Ndi chithandizo chake, ndizotheka kuyendetsa matendawa. Osasunga m'malire kupita ku mita, apo ayi mwina mungagwiritse ntchito ndalama zambiri mtsogolo pothana ndi zovuta zowopsa.

Ndi mitundu yanji ya insulini yomwe ili pamsika?

Mpaka 1978, insulini yochokera ku nyama imagwiritsidwa ntchito pochiza matenda a shuga a shuga. Ndipo m'chaka chowonetsedwachi, chifukwa cha zopanga zamitundu, zinali zotheka kupanga insulin pogwiritsa ntchito Escherichia coli wamba. Masiku ano, insulin ya nyama sigwiritsidwa ntchito. Matenda a shuga amathandizidwa ndi mankhwalawa.

Ultrashort insulin. Kukhazikika kwa zochita zake kumachitika pakadutsa mphindi 5-15 pambuyo pa kupangika ndipo kumatenga mpaka maola asanu. Ena mwa iwo ndi Humalog, Apidra ndi ena.
Insulin yochepa. Awa ndi Humulin, Aktrapid, Regulan, Insuran R ndi ena. Kukhazikika kwa ntchito ya insulin ndi 20-30 mphindi pambuyo jakisoni ndi nthawi ya maola 6.
Insulin yapakatikati imayatsidwa m'thupi patatha maola awiri jekeseni. Kutalika - mpaka maola 16. Izi ndi Protafan, Insuman, NPH ndi ena.
Insulin yayitali imayamba kugwira ntchito ola limodzi kapena awiri jakisoni atatha mpaka tsiku limodzi. Awa ndi mankhwala monga Lantus, Levemir.

Chifukwa chiyani insulin iyenera kuperekedwa?

Zilonda zam'mimbazi zimalola kuti ma cell a pancreatic beta ayambirenso. Ngati chithandizo cha matendawa ndi insulin chikuyambika m'nthawi yake, mavuto amabwera pambuyo pake. Koma izi zimatheka pokhapokha ngati wodwala ali pachakudya chapadera ndi chakudya chochepa kwambiri.

Odwala ambiri amawopa kuti ayamba kulandira chithandizo ndi insulin, chifukwa pambuyo pake ndizosatheka popanda icho. Zachidziwikire, ndibwino kupaka jakisoniyo m'malo moika pachiwopsezo ndikuwonetsa thupi lanu zovuta zomwe zingayambitse zovuta zazikulu.

Pali ma cell a beta mu kapamba omwe amapanga insulin. Mukawapereka katundu wolemera, ayamba kufa. Amawonongekanso ndi shuga wambiri.

Mu gawo loyamba la matenda a shuga, ena mwa ma cell sagwiranso ntchito, ena amafooka, ndipo gawo lina limagwira bwino ntchito. Jakisoni wa insulin amangothandizira kumasula ma cell a beta. Chifukwa chake ma jakisoni a insulin ndi ofunika kwa odwala omwe ali ndi matenda amtundu uliwonse wa shuga.

Kodi tchuthi chanji?

Munthu akapezeka ndi matenda a shuga omwe amadalira insulin, ndiye kuti, ngati lamulo, amakhala ndi shuga wambiri. Ichi ndichifukwa chake amakhala ndi chizolowezi cha matenda ashuga, monga kuchepa thupi, ludzu, komanso kukodza pafupipafupi. Amadutsa ngati wodwala wayamba kubaya insulin. Kufunika kwake mankhwala atangoyamba kumene kumatsika kwambiri.

Mukasiya kubaya insulin, ndiye kuti shuga ya wodwalayo imakhalabe yokhazikika komanso yopanda malire. Lingaliro labodza ndilakuti kuchiritsa kuchokera ku matenda oopsa kwabwera. Izi ndizomwe zimatchedwa tchuthi.

Ngati wodwalayo amadya zakudya zoyenera (ndipo zili ndi chakudya chambiri), ndiye kuti matendawa amatha kumapeto kwa mwezi umodzi kapena iwiri, makamaka, mchaka chimodzi. Kenako kudumpha kwa shuga kumayambira - kuchokera kutsika kwambiri mpaka kukwera kwambiri.

Ngati mungatsatire zakudya zochepa zamafuta ndipo nthawi yomweyo jakisoni wachepetsa, ndiye kuti nthawi yokondwerera holide itha kukulitsidwa. Nthawi zina amatha kupulumutsidwa moyo.

Zimakhala zowopsa ngati wodwalayo adasiya kubayitsa insulini ndikupanga zolakwika m'zakudya. Chifukwa chake amawulula zikondamoyo zambiri.

Ndikofunikira nthawi zonse komanso molondola kuyeza shuga ndi jekeseni wa insulin kuti kapamba apumule. Izi zikuyenera kuchitidwa kwa mtundu uliwonse wa matenda ashuga.

Mankhwala amafunanso ndalama kwa odwala matenda ashuga. Pali mankhwala anzeru amakono aku Europe, koma samangokhala chete. Kuti.

Momwe mungapangire insulin mopweteka

Odwala ambiri amadandaula kuti jakisoni wa insulin adzapweteka. Amawopa kubaya moyenera mahomoni ofunikirawo, podziyika pachiwopsezo chachikulu.

Ngakhale atapanda jakisoni wa insulin, amakhala mwamantha nthawi zonse kuti tsiku lina adzabaya jakisoni ndikumapweteka Komabe, izi siziri chifukwa cha insulini, koma chifukwa chakuti zimachitika molakwika.

Pali njira yothandizira ma jakisoni osapweteka, ngati achita molondola.

Odwala onse ayenera kuyamba kubayirira insulin, makamaka mtundu wosadalira insulini. Ndi chimfine, njira yotupa, mulingo wa shuga umakwera, ndipo simungathe kuchita popanda jakisoni. Kuphatikiza apo, ndi mtundu uwu wa matenda ashuga, ndikofunikira kuti muchepetse katundu pama cell a beta. Ndipo ndi matenda a shuga a mtundu woyamba, jakisoni wotere ayenera kuchitidwa kangapo patsiku.

Insulin imalowetsedwa m'mimba. Dokotalayo amawonetsa odwala ake njira ya jakisoni wotere. Magawo ena amthupi omwe muyenera kukabaya ndi:

m'mimba, m'munsi mozungulira msomali - ngati pakufunikira kunyamula mwachangu kwambiri,
ntchafu yakunja - kuyamwa pang'onopang'ono,
dera gluteal dera - kufupikitsa,
panja paphewa ndikuthiridwa mwachangu.

Madera onsewa ali ndi kuchuluka kwakukulu kwa minofu ya adipose. Khungu pa iwo ndilothandiza kwambiri kupukutira ndi chala chamanthu. Ngati tagwira minofu, timalandira jakisoni wa mu mnofu. Zimabweretsa ululu waukulu. Pankhaniyi, insulini idzachitapo kanthu mwachangu, zomwe sizofunikira nthawi zina. Zomwezi zimachitikanso ngati mupereka jakisoni m'manja ndi mwendo.

Kuti mupeze bwino, tengani khungu pakhungu. Ngati khungu limakhala ndi mafuta ambiri, ndiye kuti ndi zolondola kumadulamo mwachindunji. Syringe iyenera kugwiridwa ndi chala, ndi awiri kapena atatu. Chachikulu ndikuti muyenera kuphunzira momwe mungapangire mwachangu, ngati kuti mumataya dart.

Kukhala kosavuta kwa inu kuti mupeze jakisoni watsopano yemwe ali ndi singano yochepa. Pakadutsa nthawi yomwe singano idagwa pansi pa khungu, kanikizani pisitoni kuti ipangitse madzi. Osachotsa singano nthawi yomweyo - ndibwino kudikirira pang'ono, ndikuchichotsa mwachangu.