Chifukwa chiyani simungathe kubayira insulin kwa munthu wathanzi, chiwopsezo chake ndi chiani? Kodi chifukwa chiyani insulin ili yoopsa?

Kugwiritsidwa ntchito molakwa kwa mankhwala othandizira odwala matenda ashuga sikidziwika kwenikweni, koma zofananazi zilipo. Kuphatikiza apo, ndizowopsa. Chimachitika ndi chiani ngati insulini iperekedwa kwa munthu wathanzi? Mukudabwapo?

Tikufuna kukuwuzani nkhani yophunzitsa yomwe idachitikira mayi yemwe ali ndi matenda ashuga 1 ndikuyamba kudya insulin. Nthawi yomweyo adazindikira kuti botolo lomwe lili ndi insulini yake lidasowa pakhomo la firiji pomwe amasungidwa. Poyamba, sanagwirizanenso ndi izi mpaka atapeza kapu yosungika kuchokera m'botolo la mankhwala mchipinda cha mwana wake. Zitatha izi, moyo wa mayiyu udasinthiratu.

Mwana wake wamwamuna anali ndi mavuto okhudzana ndi mankhwala osokoneza bongo, omwe banja limadziwa bwino, koma palibe amene angakayikire kuti angafune kuyamwa insulin. Ma pinkiller onse ndi mankhwala opangira mankhwala adatsekedwa, koma lingaliro lobisa insulin kwa mwana wake silinalowe ngakhale m'maganizo a mayiyo.

Pambuyo pazaka zambiri zakukana ndi zabodza (ndipo mwezi womwe adakhala kumalo osungirako zachilengedwe), mwanayo pamapeto pake adauza amayi ake chowonadi. Amadziwa kuti "amakhala woledzera" ndi dontho la shuga, kotero adayesanso kukhala ndi vuto lofananalo podzibaya ndi insulin. Posazindikira malangizo a dosing, adadzaza syringe pakati ndipo amafuna kudzipatsanso jakisoni. Koma, mwamwayi, adachotsa singano m'manja mwake munthawi, osapanga jakisoni chifukwa cha kumva kuwawa ndi mantha.

Mwanayo anadziwa kuti mayi amapanga jakisoni wa66 wa insulin tsiku lililonse kuti akhale wathanzi. Koma sanazindikire kuti munthu wopanda matenda a shuga ali pachiwopsezo chachikulu cha jakisoni wa insulin.

Kodi ndi chiopsezo chiti chogwiritsira ntchito insulin kwa munthu wathanzi?

Anthu omwe ali ndi matenda amtundu wa 1 amafunika jakisoni wa insulin nthawi zonse, chifukwa kapamba wawo samapanganso kuchuluka kwa timadzi tambiri timene timayendetsa shuga m'magazi. Chifukwa chake, ngati munthu wathanzi atavulaza insulin, akhoza kukhala ndi hypoglycemia. Pakakhala chithandizo choyenera, shuga wochepa kwambiri wamagazi amatha kupangitsa kuti musataye chikumbumtima, kukula kwa kukomoka kapena kukomoka kwa hypoglycemic. Nthawi zina ngakhale imfa imatha kuchitika.

Ndikofunika kudziwa kuti si achinyamata okha omwe ali ndi vuto lokonda kugwiritsa ntchito mankhwala osokoneza bongo ndi insulin. Pali nthawi zina pamene atsikana achichepere omwe amadwala matenda a shuga amakana insulini kuwongolera kunenepa kwawo. Ochita masewera amagwiritsanso ntchito insulin kuti achulukitse minofu yambiri, nthawi zambiri kuphatikiza ndi anabolic steroids.

Kodi mungatani kuti mupewe izi?

Lankhulani ndi ana anu za insulin. Onetsetsani kuti akumvetsetsa momwe kumakhalira kosavuta kupha munthu wopanda insulin yemwe ali ndi matenda ashuga. Anthu odwala matenda ashuga amaphunzitsidwa mwanjira yapadera ntchito za insulin, ndipo ngakhale zitachitika izi amalakwitsa zina ndi zina zake. Ndikofunikanso kufotokozera kuti insulin ilibe zinthu za mankhwala a narcotic.

Nayi mfundo ziwiri zofunika kudziwa za insulin:

Insulin ndi mankhwala opulumutsa moyo kwa odwala matenda ashuga. Amawerengera Mlingo wocheperako, aliyense payekhapayekha. Insulin imachepetsa shuga m'magazi, ndipo ngati itagwiritsidwa ntchito molakwika, ngakhale mlingo wochepa ungayambitse hypoglycemia, yomwe imapha anthu.

Insulin siyibweretsa euphoria, yofanana ndi mankhwala osokoneza bongo a narcotic.Tikuyenera kunena kuti, ngakhale zizindikiro za hypoglycemia zimatha kutsata zizindikiritso za kuledzera, palibenso kumverera kwa euphoria - m'malo mwake, munthu amamva kuwawa.

Mosasamala kanthu zomwe zimayambitsa kuzunza insulin, ngozi yayikulu ya izi ndi hypoglycemia. Kuopsa kumeneku, kuphatikiza mwayi womwe munthu amabwera ndi insulin mobisa kwa abwenzi ndi abale, kumakulanso kufunikira komanso kufunikira kochezera momasuka, podziwitsa za ziwopsezo zonse zokhudzana ndi nkhanza.

Zachidziwikire, aliyense wodwala matenda ashuga amaganiza momwe thupi lake limasiyanirana ndi thupi popanda kuzindikira matenda ashuga ndipo chidzachitike ndi chiyani ngati mukulowetsa insulin mwa munthu wathanzi? Kuti muyankhe mafunso ovuta awa, muyenera kumvetsetsa zomwe timadzi timene timagwira, komanso momwe zimawonekera ndikusowa m'thupi.

Aliyense wodwala matenda ashuga amalingalira za kuthekera kwa jakisoni wa insulin, mosasamala mtundu wa shuga. Ngakhale, mwachitsanzo, mawonekedwe omwe adapezeka a matendawa, monga lamulo, safuna kuti pakhale mahomoni owonjezera, ndizotheka kugwiritsa ntchito yothandiza kukonza milingo ya shuga.

Zambiri zokhudzana ndi mahomoni ndi zotsatira zake

Aliyense endocrinologist angakuwuzeni kuti kuyambitsa kwa mahomoni ena opanga owonjezera amakhudza moyenera dongosolo la endocrine. Ichi ndichifukwa chake kudzilamulira wekha wa insulin popanda kuyang'aniridwa ndi achipatala sikutiolandilidwa kokha, komanso zoletsedwa!

Ndikofunikira Kuphwanya lamuloli kumatha kukhala koopsa osati thanzi la munthu, komanso moyo wake!

Insulin ndi mahomoni ofunikira kwambiri omwe ntchito yake yayikulu ndikuwonongeka kwa chakudya chamoto. Panthawi yakusowa mthupi, glucose amadziunjikira m'magazi, omwe amawononga thanzi labwino komanso thanzi. Nthawi yomweyo, kupezeka kamodzi kwa glucose m'mwazi sikungakhale matenda a shuga. Komabe, izi zitha kumveka ngati "belu loyamba" ndipo chizindikirocho ndi chanzeru.

Nthawi zambiri, kuchuluka kwa shuga 'kumalumpha' mwa amayi apakati, chifukwa chake amapezeka ndi omwe amatchedwa. Zofananazo zimakhudzana mwachindunji ndi kusalingana kwa mahomoni m'thupi la mayi wamtsogolo.

Nthawi yomweyo, chiwalo chilichonse chimavutika ndi katundu wowonjezereka, ndipo kapamba sangathe kuthana ndi ntchito yake yayikulu, chifukwa imasowa insulini yofunikira pakugwirira ntchito koyenera. Kutengera izi, zovuta zitha kuchitika.

Kumbukirani : Malinga ndi kafukufuku wa WHO, anthu pafupifupi mamiliyoni awiri amafa chaka chilichonse padziko lapansi chifukwa cha matenda ashuga komanso zovuta zomwe zimadza chifukwa cha matendawa! Yesetsani kukaonana ndi dokotala pafupipafupi monga momwe mungathere, Sinthani zakudya zamagulu onse ndikukhala ndi moyo wapa foni. Matenda a shuga si chiganizo!

Mwa zovuta zambiri, ndikofunikira kuwunikira:

ketoacidosis
achina,
retinopathy
odwala matenda ashuga
zilonda zam'mimba
ndi nephropathy.

Kuphatikiza apo, matenda a shuga angayambitse mapangidwe a zotupa za khansa, chifukwa chomwe odwala matenda ashuga nthawi zambiri amasintha kukhala munthu wolumala kapena wamwalira.

Koma, sikuti zonse ndizowopsa. Kutengera zakudya zoyenera ndi zolimbitsa thupi, monga lamulo, zovuta zotere sizimachitika. Koma kubwerera ku insulin.

Kuchiyika ndi matenda ashuga osavomerezeka. Zowonadi, pakupita nthawi, thupi limatha kuzolowera kuti mahomoniwo amalowa popanda kutenga nawo mbali ndipo m'tsogolo "akukana" kuti apange payokha, zomwe zingapangitse kuti pakhale shuga weniweni. Vutoli likuipiraipira ngakhale anthu athanzi.

Synthesized insulin ndi mankhwala oopsa omwe ali ndi zotsatira zoyipa zambiri. Ndiye chifukwa chake zitha kugulidwa pokhapokha mutalandira mankhwala kuchokera kwa dokotala.

Ngati mungabayire insulin mwa munthu wathanzi, zitha kuchitika, zitha kukhala zoyipa, ngakhale zonse zimatengera mlingo womwe umaperekedwa. Ndipo popeza funso lotere lidabuka, ndikofunikira kukhazikitsa chidziwitso chanu pamutuwu.Ndipo anthu ena amakonda kuyesa kaye kenako ndi kuzolowera chiphunzitsocho.

Insulin ndi mphamvu yamphamvu yomwe ntchito yake ndikupereka shuga m'maselo a thupi. Koma osati insulin yokha imapereka, chifukwa imayambitsa mapuloteni apadera mkati mwa maselo, omwe ntchito yawo ndiyo kupereka shuga kuchokera kuzinthu zamkati kupita kuzinthu zake.

Zosokoneza insulin zimachitika osati mwa anthu omwe ali ndi matenda ashuga, komanso mwa anthu athanzi lathunthu. Mulingo wa mahormone ena umadalira zinthu zambiri zakunja - kupsinjika, nkhawa, mantha, kapena kuledzera kwathunthu kwa thupi. Kuperewera kwa insulin kumawonekera ngati chilakolako chofuna kudya, zilizonse zotsekemera. Zachidziwikire kuti ngati munthu ali ndi thanzi labwino atalandira jakisoni wa insulin. Mu odwala matenda ashuga, momveka bwino pali mndandanda wazizindikiro za kuperewera kwa shuga.

Nawonso, shuga ndiyofunikira kuti thupi lipange glycogen kuchokera kwa iyo, yomwe imalimbitsa kagayidwe kazakudya ndi mphamvu. Ngati izi sizikhala m'maselo, thupi silingathe kuwononga mapuloteni ndi ma calorie mu ma amino acid ofunikira pakuchita kwake kofunikira. Njira yopanga mphamvu imatchedwa anabolism.

Ntchito za anabulin zopanga insulin zimaphatikizapo kusamutsa ma ion ndi ma amino acid mumaselo a thupi lonse. Popanda iyo, mapuloteni ophatikiza mafuta acids ndi kuyamwa kwawo kutuluka m'magazi sizimachitika.

Kuphwanya lamulo lililonse kumabweretsa zotsatirapo zoipa kapena ngakhale kufa kwa munthu. Zomwe zimapangitsa insulini ndizodziwika bwino osati kwa madokotala ndi asayansi okha, komanso kwa osewera ndi ophunzitsa awo. Chowonadi ndi chakuti othamanga omwe alibe chiyero pafupi, kuti afulumizitse njira yogwiritsira ntchito glucose ndipo, chifukwa chake, mafuta, mwadala amatenga insulin m'magulu ang'onoang'ono.

Mchitidwewu ndi woletsedwa kwathunthu ndi bungwe lapadziko lonse lapansi, ndipo osati chifukwa choti sichabwino kwa osewera ena, komanso owopsa. Malinga ndi ziwerengero, opitilira 75% othamanga omwe amagwiritsa ntchito insulini kuti achepetse kagayidwe kawo kafa kapena awonongeka mu ubongo ndi ziwalo zina zamkati.

Zizindikiro za kuchuluka kwa mahomoni

Kuperewera kwa insulin ndi matenda odziwika. Koma ngati munthu ali wathanzi ndipo pali kuchuluka mwachilengedwe m'thupi mwake, insulin imayambitsa kukhudzika kwina. Indedi, pamenepa, amadziwika kuti ndi poizoni, ndipo thupi limakhudzanso.

Choyamba, shuga onse amatuluka m'magazi, omwe amatchedwa hypoglycemia. Amawonetsedwa ndi kulumpha kowopsa m'magazi a magazi, kugwirana chanza, kupweteka mutu, nseru, manjenje, kukulitsa ana ndi kusokoneza kayendedwe ka kayendedwe.

Matenda a shuga

Pali nthenda yotsimikizika kwambiri yomwe imatsogolera ku kuchepa kwa insulin m'magazi. Amatchedwa shuga mellitus. Izi matenda amayamba pazifukwa zosiyanasiyana - kuwonongeka kwa kapamba, matenda opatsirana, kunenepa kwambiri. Pathology imatha kubereka. Matendawa ndi amtundu 1 ndi 2. Potengera mtundu wa 1. Thupi limasowa insulin ndipo, chifukwa chake, shuga. Mtundu wachiwiri wa matenda ashuga, mumakhala glucose m'magazi, koma samatengedwa ndi ma cell mwanjira iliyonse. Matendawa amatengedwa kuti ndi osachiritsika.

Matenda a shuga

Zotsatira zoyipa kwambiri za matenda a shuga m'magazi ndi kuperewera kwa shuga. Pofuna kuti asagwere, odwala matenda ashuga amadzipaka okha ndi Mlingo wa mahomoni tsiku ndi tsiku. Kuchuluka kwa ma jakisoni, ndi kuchuluka kwa mankhwalawa, zimadalira kukula kwa matendawo, zaka za wodwalayo, ndi zinthu zina zambiri.

Amakhulupirira kuti ngakhale mlingo wochepetsetsa wa insulini umatha kubweretsa munthu wathanzi kukomoka. Izi sizili choncho. Pofuna kuchititsa hypoglycemia, kwa yemwe ndi kufa, pali mitundu yambiri.

Mlingo wochepetsetsa wa insulin ndi magawo zana. Ili ndiye syringe lathunthu la insulin. Mwa njira, ndi ochepa kwambiri kuposa syringe wamba.

Kuti munthu ayambe kudwala, muyenera kupitilira muyeso uyu nthawi 30. Ngakhale izi zitachitika, mkhalidwe wa munthu umakulirakulira patangotha maola ochepa. Chifukwa zambiri, wozunzidwayo amatha kupulumutsidwa ndi madokotala azadzidzidzi.

Matenda a shuga amakhalanso ndi shuga wochepa kwambiri m'magazi. Nthawi zambiri zimakhala 2.75 mmol / l kapena pansipa. Potere, ntchito ya ubongo imachepa, chifukwa imagwira ntchito mwa mphamvu yomwe imaperekedwa ndi kuwonongeka kwa shuga. Ubongo umasiyidwa mu magawo - kotekisi, subcortex, cerebellum, medulla oblongata. Chithunzi chomwechi cha kusayenda bwino kwamanjenje chapakati chimachitika ndi njala. Chotupa choterechi chimadziwonetsera ngati chizungulire, kusalankhula, kugwedezeka, kukomoka, kusazindikira.

Zizindikiro za Insulin Coma

Kugwiritsa ntchito kwambiri kapena kusowa kwa insulin kumatha kuchitika pazifukwa zosiyanasiyana. Chachikulu kwambiri ndicho matenda a shuga. Pankhaniyi, kuphwanya malamulo a insulin kuyendetsedwa kumabweretsa zotsatira zoyipa, kuphatikizapo chikomokere.

Miyezo yambiri yomwe imakwezedwa imatha kupangika komanso kupatsa jakisoni mwadala. Mwachitsanzo, wothamanga akafuna kuthamangitsa kagayidwe kake, kapena ngati mtsikana wachinyamata motere amayesa kutentha ma cell amthupi lake.

Chopanda chifukwa chomwe munthu adamukakamiza kuyesa thanzi lake, zizindikiro za kupuma komwe kumayandikira nthawi zonse ndizofanana:

Gawo loyamba limadziwika ndi zikhalidwe zamaganizidwe. Munthu amakhala wokondwa kapena mosinthanitsa, amawonetsa mkhalidwe wopsinjika. Siyankha mafunso, kukumana ndi mantha osaneneka.
Gawo lachiwiri ndi mawonekedwe owonekera. Munthu amakhala ndi nthiti kumaso kwake, thukuta limachulukira, kulankhula kumakhala kosadziwika, miyendo imakhala yakuthwa komanso yosagwedezeka.
Gawo lachitatu limadziwika ndi ana opukusika, kukokana kwa minofu yonse, kuthamanga kwa magazi. Kuchita kwa thupi lofanana ndi khunyu.
Pomaliza, munthuyo akutsika. Kupsinjika kwa magazi kumatsikira kwambiri, kugunda kwa mtima kutsika, minofu imatsitsimuka. Thukuta limayima, kupuma kumasiya, kufa kumalowa.

Ngati munthu wathandizidwa mothandizidwa mwachangu, atangokhala ndi matendawa oyamba, izi siziteteza ku zotsatirapo za izi. Itha kuchitika nthawi yomweyo, mwachitsanzo myocardial infarction. Kapena bwerani pakatha miyezi iwiri ndi itatu. Izi zitha kukhala matenda a Parkinson, khunyu, ndipo, motero, hypoglycemia.

Mapeto ndi Mapeto

Mapeto ake kuchokera pamawu omwe apezedwa akutsatira. Ngati munthu wabayidwa ndi insulin, ndiye kuti sadzafa nthawi yomweyo. Ndipo thanzi lake silidzawonongeka. Mlingo wa metabolic umangokulira pang'ono. Koma mtsogolomo, zovuta za jakisoni wotere zimawonekera.

Komanso, adzakhala oyipa kwambiri kuposa omwe anthu omwe amadwala matenda ashuga amakakamizidwa kupirira. Insulin ndi yolimba ndipo mwanjira yake yoopsa kutsatira. Ndiowopsa kugwiritsa ntchito izi pazinthu zina.

Insulin imadziwika kuti ndi imodzi mwama hormone ofunika kwambiri pazomwe zimapangidwa m'thupi la munthu. Amapangidwa ndi kapamba ndikuwongolera kagayidwe kazakudya. Ngakhale kupatuka kofunikira kwambiri kwa hormone iyi kuchokera ku chizindikiro chodziwika bwino chomwe njira zamatenda zayamba kukula m'thupi. Koma ndikofunikira kudziwa kuti ngakhale mwa anthu athanzi lathunthu, kuchuluka kwa timadzi tambiri timeneti kumasintha pang'ono, nthawi zambiri izi zimachitika munthawi yovuta. Ndi thanzi labwino, zizindikirozi zimangobwerera mwachangu. Anthu ena amakhala ndi nkhawa kuti zimachitika bwanji ngati atabaya insulin mwa munthu wathanzi yemwe kapamba wake amagwira ntchito bwino.

Chimachitika ndi chiani mukabaya insulin mwa munthu wathanzi?

Ngati mukulowetsa insulin kwa munthu wathanzi, ndiye kuti izi zidzakhala zofanana ndi chakuti poizoni wina adalowetsa munthu. M'magazi, kuchuluka kwa mahomoni kumakwera kwambiri, komwe kumapangitsa kutsika kwa glucose ndi hypoglycemia. Izi ndi zoopsa ku thanzi la munthu komanso moyo. Nthawi zambiri, pakuwonjezeka kwa insulini m'magazi, odwala amagwa chikomokere, ndipo ngati chithandizo sichinaperekedwe pa nthawi, ndiye kuti zotsatira zake zingathe. Ndipo zonsezi zimachitika pokhapokha chifukwa timadzi timalowa m'thupi la munthu yemwe samamufuna.

Ngati jakisoni adaperekedwa kwa munthu wathanzi yemwe alibe matenda a shuga, ndiye kuti adzakhala ndi mavuto angapo azaumoyo:

kuthamanga kwa magazi kukwera
arrhasmia imayamba
kunjenjemera miyendo
migraine ndi kufooka wamba,
munthu amakhala wankhanza kwambiri
Pali kumverera kwa njala pakati pa nseru nthawi zonse,
mgwirizano wa mayendedwe onse wasokonekera,
ana amatupa kwambiri.

Kutsika kwakukulu kwa shuga m'magazi kumabweretsa amnesia, kukomoka, ndi hyperglycemic coma.

Anthu omwe ali ndi matenda ashuga ayenera kukhala ndi caramel pafupi. Pankhani yotsika kwambiri m'magazi, ndikofunikira kupukuta maswiti.

Pamene insulin ikhoza kuperekedwa kwa munthu wathanzi

Nthawi zina madokotala amapereka insulin kwa anthu athanzi opanikizika kwambiri, komanso nthawi yambiri yochita masewera olimbitsa thupi, pomwe timadzi tambiri timeneti sizokwanira m'thupi. Pankhaniyi, mahomoniwo sangatheke, komanso ofunikira, popeza kuchepa kwake kumabweretsa chikomokere cha hyperglycemic.

Ngati munthu wathanzi atabayidwa ndi insulin yochepa kwambiri, ndiye kuti thanzi lake silikhala pachiwopsezo. Kutsika kwa chizindikiritso cha glucose m'magazi kumangoyambitsa kumverera kwanjala ndi kufooka pang'ono. Koma nthawi zina, jakisoni wa ngakhale mlingo wochepa ungayambitse hyperinsulism, yomwe imawonetsedwa ndi zizindikiro zotere:

Nkhani za owerenga athu

Vladimir
Zaka 61

Khungu limatembenuka kwambiri
thukuta limachuluka
chidwi chachikulu chimachepa
ntchito ya mtima isokonekera.

Kuphatikiza apo, kunjenjemera kumawoneka m'miyendo, ndipo kufooka wamba kumamveka m'misempha.

Munthu wathanzi labwino kwambiri amatha kupatsidwa insulin kokha malinga ndi zomwe dokotala akuwonetsa komanso motsogozedwa naye.

Mlingo wowopsa wa insulin

Kumbukirani kuti kuchuluka koopsa kwa insulin kwa munthu wathanzi ndi 100 PESCES - iyi ndiye syringe yonse ya insulin. Koma pazochitika zapadera, kuchuluka kumeneku kungakhale kokulirapo, zonse zimatengera mkhalidwe wamba waumoyo wa anthu komanso chikhalidwe chake. Pali nthawi zina pamene munthu amakhalabe ndi moyo, ngakhale mlingo wake utaperekedwa nthawi 10-30. Izi zikutanthauza kuti munthu ali ndi mwayi pamoyo ngakhale ali ndi insulin yambiri. Kusekerera kumayamba kwinakwake m'maola atatu, ngati nthawi ino kuonetsetsa kuti magazi ayamba kulowa m'magazi, zimayambiranso.

Mlingo wa insulin kwa odwala omwe ali ndi matenda a shuga amawerengedwa payekhapayekha ndi endocrinologist, kutengera zotsatira za mayeso. Nthawi zambiri, odwala matenda ashuga amawerengeredwa kuchokera 20 mpaka 50 magawo a mahomoni.

Ngakhale kuwonjezeka kochepa kwambiri kwa mlingo womwe dokotala watchulidwa kungam'pangitse kudwala.

Mlingo wowopsa wa insulin kwa odwala matenda ashuga ndi oposa magawo 50. Pogwiritsa ntchito kuchuluka kwa mankhwalawa, vutoli limayamba, lomwe limafunikira chisamaliro chodzidzimutsa.

Chimachitika ndi chiyani ngati mumabayira insulini pafupipafupi mwa munthu wathanzi?

Ndi makonzedwe obwerezabwereza a horoni kwa munthu wathanzi, zotupa za pancreatic, matenda a endocrine ndi zovuta zama metabolic zimayamba. Chifukwa chake, anthu athanzi amapatsidwa mankhwalawa pokhapokha pazomwe adokotala akuwonetsa komanso mwadzidzidzi.

Ndipo zimachitika ndi chiyani mukamamwa insulini

Ngati munthu wathanzi amamwa mwangozi kapena makamaka insulin, ndiye kuti palibe chomwe chimachitika. Mankhwalawa amangogaya m'mimba popanda zotsatirapo zaumoyo. Izi zikufotokozera kuti mankhwala am'kamwa a odwala matenda ashuga sanapezebe.

Momwe mungathandizire ndi bongo

Ngati, jakisoni wa insulin, zizindikiro za mankhwala osokoneza bongo zitayamba kuonekera kwa munthu wathanzi kapena wodwala matenda a shuga, muyenera kumuthandiza nthawi yomweyo.

Kuchulukitsa chakudya chamafuta mthupi, munthu amaloledwa kudya chidutswa cha mikate yoyera, magalamu 100 okha ndi okwanira.
Ngati kuukira kumatha kupitirira mphindi 5, tikulimbikitsidwa kudya supuni zingapo za shuga kapena ma caramel angapo.
Ngati atadya mkate ndi shuga zinthu sizinakhazikika, amagwiritsa ntchito zinthu zomwezi.

Mankhwala osokoneza bongo nthawi zambiri amachitika ndi munthu aliyense wodalira insulin. Koma apa ndikofunikira kuthandizira pakapita nthawi, chifukwa ndimankhwala ambiri osokoneza bongo, ketoacidosis yacute imatha kupezeka, yomwe ingafune kugwiritsa ntchito mankhwala amphamvu. Potere, mkhalidwe wodwala umakulirakulira.

Masewera oyipa a m'badwo wachichepere

Nthawi zina achinyamata amasankha kuyesa koopsa ndi thanzi lawo, ndikudzibaya jakisoni. Mphekesera zikuzungulira pakati pa achinyamata zomwe insulin imathandizira kuti azichita bwino. Koma ndiyenera kunena kuti mphekesera zotere zilibe maziko.

Hypoglycemia imafanana kwambiri ndi kuledzera, koma imakhudzanso thupi.

Komabe, ziyenera kumvedwa kuti zakumwa zoledzeretsa zimawonedwa ngati mphamvu zochepa, zomwe thupi limalandira mosagwiritsa ntchito gawo lake. Koma pankhani yochepetsera kuchuluka kwa shuga, zinthu ndizosiyana pang'ono. M'mawu osavuta, m'malo mwa phokoso lomwe likuyembekezeredwa, munthu amapezeka wolimba kwambiri ndi mutu wovuta komanso kunjenjemera kosalozeka m'miyendo. Tisaiwale kuti kubwereza kwamankhwala mobwerezabwereza kwa munthu wathanzi labwino chifukwa cha zotsatira za kusokonekera kwa dongosolo la endocrine.

Makolo ayenera kuyang'anitsitsa ana awo akamakula ndipo nthawi zambiri amakambirana nawo za kupewa kupewa kumwa mankhwala mosagwiritsa ntchito dokotala.

Insulin ndi yofunika kwambiri kwa anthu omwe ali ndi matenda amtundu wa shuga, koma kwa munthu wathanzi mahomoniwa amatha kugwiritsidwa ntchito mwanjira zina.

Mavuto osiyanasiyana opanga mahomoni amapezeka mwa anthu ambiri. Mwachitsanzo, zidakhala zofala. Ngakhale omwe sanapezeke ndi matendawa amatha kunena mawu oyenera ndi matenda oterewa, ndipo palibe odwala matenda ashuga pakati pa abwenzi.

Ndi kuwonjezeka kwina kwa shuga m'magazi omwe samayendetsedwa ndi zakudya zochiritsira, endocrinologists amakupatsani mankhwala a mahomoni. Nthawi yomweyo, pamabuka mafunso ngati kuchuluka kwa mankhwalawo kungakhale kovulaza chifukwa cha zolakwika zomwe wodwalayo adawonetsa, kuwerengera kolakwika ndi dotolo, komanso momwe mankhwalawo angakhudzire munthu ngati sanawafunikire, chifukwa thupi linapanga zokwanira mahomoni ake omwe.

Mtengo wa insulin

Kuti muthane ndi shuga wolandila, kuonetsetsa kagayidwe kazakudya, kuchepetsa kusintha kwa mapuloteni ndi mafuta achesi m'magazi, thupi limafunikira lapadera. Zimapangidwa ndi kapamba, kusintha kuchuluka kwake ngati pakufunika.

Zotsatira za zovuta za endocrine, kupanga insulini kumachepa, kotero shuga amadziunjikira m'magazi, ndipo kudya kwa magnesium, phosphorous, ndi potaziyamu kumaselo kumachepa. Kusokonezedwa kotereku mu metabolism ya shuga kumayambitsidwa.

Pogwiritsa ntchito shuga wambiri, kuchotsa pafupipafupi madzi amtundu m'njira zosiyanasiyana (thukuta, mkodzo) ndi chikhalidwe chochotsa shuga wambiri komanso kumva ludzu lamphamvu.

Ngati munthu sakonza izi, pang'onopang'ono izi zimabweretsa zovuta zomwe zimakhudza dongosolo lamanjenje. Pali kupweteka ndi dzanzi m'm miyendo, kuchepa kwa mawonekedwe owoneka.

Kukhazikika kwa matendawa kutha kufalikira.Zimachitika kuti zimapezeka kuchokera kubadwa, koma nthawi zambiri zimawonekera ndikukula pambuyo pake.

Pa nthawi ya pakati, mothandizidwa ndi zinthu zina zothandiza kuti thupi lizipeza, zomwe zimapangitsa kuti insulini ikhale yotsekedwa pang'ono, shuga wambiri amapezeka. Zikondazo zimakakamizidwa kuti zizigwira ntchito kwambiri kuti zithane ndi vutoli. Nthawi zina, izi sizokwanira kutsika kwa shuga. Vutoli, lomwe limatchedwa kuti gestational shuga, limatha pang'onopang'ono mwana atabadwa.

Kuchita masewera olimbitsa thupi mopitirira muyeso, kupanikizika nthawi yayitali kumapangitsanso kuti insulini iyambe kwakanthawi.

Kupatuka kwazakudya za shuga kuchokera kwazomwe zimatsimikiziridwa ndi kusanthula kwa magazi a capillary, opangidwa ndi glucometer. Kupezeka kwake kambiri kumatha kuwonetsa kufooka kwa kapamba.

Zotsatira za kuperekera insulin kwa munthu wathanzi

Zakudya ndiye njira yayikulu yokonzanso kuchuluka kwa shuga m'magazi. Amalimbikitsa kuti achepetse caloric mtengo wa chakudya, kusiya zakudya zomwe zili ndi zakudya zamafuta ambiri. Chizindikiro cha kumwa mankhwala kumachitika zovuta.

Ngati munthu wathanzi atabayidwa ndi insulin kamodzi pa mlingo wocheperako, kapena wodwala yemwe ali ndi matenda osokoneza bongo pang'ono kuposa momwe zimakhalira, izi zimapangitsa kuti pakhale poizoni.

Kuthamanga kwamphamvu kwa shuga kumapangitsa kutsika kwake msanga, mawonekedwe a zosasangalatsa:

thukuta kwambiri, khungu
nseru mpaka kusanza
ludzu lalikulu, kuyanika malovu,
kuthamanga kwa magazi
mutu
manja ndi miyendo akunjenjemera,
kutayika kwa mphamvu, kusokonezeka kwa kayendedwe ka kayendedwe (zotheka kukomoka).

Kuti muchepetse vutoli, ndikofunikira kubwezeretsanso shuga. Kuledzeretsa pang'ono kumatha kuthana ndi kudya zakudya zopatsa mphamvu (gawo la shuga kapena chokoleti, 100 g mikate yoyera, maswiti atatu, supuni ya uchi). Muyenera kukhala nawo pafupi kuti muthe kuchita bwino panthawi yake ndikuthandizira thupi. Kuphatikiza apo, mumatha kumwa kapu ya tiyi wokoma, chakumwa cha kaboni.

Ngati munthu walephera kuletsa vuto lokhala ndi vuto la hypoglycemia yekha, ayenera kupita kuchipatala msanga. Nthawi zambiri, muyeso woyamba ndi kugwiritsidwa ntchito kwa mtsempha wa shuga. Kuthana ndi vuto lalikulu la vuto la poizoni limayang'aniridwa pang'onopang'ono, pogwiritsa ntchito mankhwala osokoneza bongo.

Chifukwa chake, musagwiritse ntchito insulin nokha mwa munthu wathanzi, ndipo odwala matenda ashuga sayenera kupitirira muyeso wa mankhwalawa ndi endocrinologist. Poika mankhwala oopsa ngati amenewo, kuwerengetsa kwa muyezo wofunikira kumachitika ngati mayeso angapo amachitika, mayeso amaperekedwa, kuwunika koyenera kumachitika. Dokotala amayenera kuwunika momwe wodwalayo alili.

Mavuto ndi kuchuluka kwa insulin

Ndizowopsa kwambiri kwa munthu wathanzi komanso wodwala matenda ashuga kupha jekeseni yambiri ya mahomoni.

Muyenera kufunafuna chithandizo chamankhwala mwadzidzidzi kuti muthe kuchita zinthu mwachangu kuti muchepetse kuchitapo kwa thupi (kuyambitsa njira ya shuga).

Kupanda kutero, zotulukapo zake zidzachitika: patadutsa maola 2 mpaka 2,5 jakisoni, shugayo atuluke msanga, ndipo munthuyo adzagwa.

Kuchepa kwambiri kwa glucose kumatanthauza kuperewera kwa mphamvu kumagawo onse a ziwalo zamunthu, ndipo, owopsa kwambiri, ubongo. Ntchito zamasamba payekha zikuwonongeka, zomwe zikuwonetsedwa pakuwonjezeka kwa zizindikiro:

kusinthasintha modzidzimutsa, kutha kapena kuopa kwambiri,
kuchuluka kwa madzi amadzimadzi ndi thukuta la thukuta,
mawu osalankhula, njira yoyenera yochitira,
kutayika kwa malo, kukumbukira,
kuwoneka kwa kupindika, kusuntha kwadzidzidzi.

Kenako kukokana kumayamba, kuthamanga kwa magazi kukwera, kenako ndikugwa kwambiri. Munthu amagwa osazindikira.Pang'onopang'ono ubongo umayamba kutupa, ziwalo zake zimafa. Kuwonongeka kwa mtima kapena kugunda kwa mtima, kuwunda kwa magazi, kuwonongeka kwakuopsa mumitsempha yam'mimba chifukwa chosagwirizana ndi magazi.

Kugwiritsa ntchito mankhwala osokoneza bongo ambiri kungasokoneze thupi. Hypoglycemia yolimba yomwe imayambitsidwa ndi iye, ngakhale imayima pomwe zizindikiro zoyambirira za chikomokere zimatha, pambuyo pake zimatha kudziwonekera mwa mawonekedwe a matenda a khunyu, matenda osiyanasiyana. Ziwalo zamkati zomwe zimakhala ndi shuga wochepa m'magazi zimagwira ntchito yochepa, ntchito yofunikira kwambiri yamaselo onse sitha kukhalidwa kwanthawi yayitali.

Ngati mutaba jakisoni wambiri ndipo simuyembekezera kudikirira munthawi yoyambirira, izi zimapangitsa kuti munthu afe. Mlingo wovuta ndi kumwa kwa 1 syringe yathunthu ya mankhwalawa. Zimatengera kulemera kwa thupi, thanzi lanu. Zotsatira zakupha zimachitika mwadzidzidzi pambuyo pakuwonetsedwa kwa ziwonetserozi pamwambapa ndikuwonongeka kwa chikumbumtima.

Ntchito ya insulin m'thupi

Mahomoni omwe amapanga kapamba, amagwiritsa ntchito ngati gasi yemwe amabwera kwa ife ndi chakudya.

Insulin imakhudzanso zida za intracellular, kuphatikizapo kapangidwe ka mitochondria.

Kuphatikiza polimbikitsa mphamvu zamagetsi zomwe zimapezeka m'maselo a thupi, timadzi timene timatulutsa timadzi timene timatulutsa m'mimba. Ndi kuchepa kwake, kaphatikizidwe wamafuta amchere amachepetsa. Udindo wazinthu izi pakupanga mapuloteni apangidwe ndizabwino. Hormayo imalepheretsa kuchepa kwa amino acid ku glucose, potero kusintha mawonekedwe awo am'mimba.

Mankhwalawa adapezeka kale kuchokera ku ntchito ya kapamba wa nyama. Choyamba, insulin ya ng'ombe imagwiritsidwa ntchito, ndiye zimapezeka kuti mahomoni a nkhumba ndi oyenera kwambiri kwa anthu. Kuyesera kunapangidwanso kuti apange insulin, koma monga momwe zidakhalira, mankhwalawo anali okwera mtengo mosaganizira. Pakadali pano, timadzi timeneti timapangidwa kuti tigwiritse ntchito biotechnology.

Kusokonezeka kwakanthawi kochepa pakupanga insulin kumachitika osati mwa odwala matenda ashuga. Amatha kuchitika chifukwa cha kupsinjika, kuwonetsedwa ndi zinthu zoopsa, kuchuluka kwa minofu.

Kukhazikitsidwa kwa insulin pamenepa kungakhale kofunikira pazifukwa zachipatala kuti mupewe kukula kwa hyperglycemia. Komabe, ndi dokotala yekha amene amasankhidwa. Simungathe kusankha nokha zochita.

Ngati wodwala matenda ashuga afunika kupaka jakisoni kuti akhale ndi thanzi labwino, amakhala ngati chovulaza kwa munthu wathanzi. Kukhalapo kwa kuchuluka kwa mahomoni m'thupi kumakhala ndi kuchuluka kwa shuga m'magazi, pomwe kupitilirapo kwake kumachepetsa, ndikupangitsa. Popanda kuthandizira panthawi yake, munthu akhoza kugwa. Kukula kwa zinthu kumadalira mlingo wa mankhwalawo.

Amakhulupirira kuti kuchuluka kwa insulin kwa munthu wathanzi ndi ZIWANDA 100, izi ndizomwe zili mu syringe yodzaza. Koma pochita, anthu adatha kupulumuka ngakhale voliyumuyo idapambana kakhumi. Ndikofunika kuonetsetsa kuti glucose amalowa mthupi mofulumira, chifukwa chikomokere sichimachitika nthawi yomweyo, kuyanjana pakati pakukhazikitsidwa kwa mankhwalawa ndikutha kwa chikumbumtima ndikuchokera ku maola 2 mpaka 4.

Pang'ono mankhwalawa amangoyambitsa njala, chizungulire chochepa.

Vutoli silibweretsa ngozi ndipo limadutsa mwachangu. Mankhwala osokoneza bongo a insulin ali ndi chizindikiro chowoneka bwino, chomwe chimadziwika ndi:

arrhasmia,
kuthamanga pamahatchi
kugwedezeka miyendo,
mutu
nseru
miliri yaukali
kufooka
mgwirizano wolakwika.

Popeza glucose ndi gawo lofunikira pakudya kwaubongo, kusowa kwake kumayambitsa kusokoneza, kusokoneza chidwi ndi kukumbukira, komanso kusokonezeka. Magazi olowa m'thupi la munthu amathandizira kupanga zinthu zomwe zimachepetsa mantha ndi nkhawa.Ichi ndichifukwa chake zakudya zama carb zotsika mtengo monga "Kremlin" kapena dongosolo la Montignac zimayambitsa mkhalidwe wamavuto komanso nkhawa zambiri.

Coma chitukuko

Monga tanena kale, ngati insulin imaperekedwa kwa munthu yemwe metabolism ya carbohydrate yake sing'ambike, kuchuluka kwa glucose m'magazi ake kudzachepa. Kuchepa kwa shuga kufika ku 2.7 mmol / L kumabweretsa zosokoneza mu ubongo, komanso kumayambitsa kuperewera kwa chakudya m'magazi amanjenje. Boma lomwe likupita patsogolo limatsogolera kukugwidwa, kuletsa kwa malingaliro. Gawo lotsiriza limadziwika ndi kusintha kwa morphological komwe kumatsogolera ku kufa kwa maselo kapena kukula kwa edema ya ubongo.

Chochitika china ndichotheka kuti pakuwonongeka kwamitsempha yamagazi, mapangidwe amitsempha yamagazi ndi zovuta zotsatirazi.

Ganizirani zomwe zimadziwika mu magawo onse amakula.

Pachiyambi penipeni, munthu amakhala ndi vuto la "nkhanza" la njala, kuphatikiza kusangalala kwamanjenje, kusinthana ndi kukhumudwa komanso zoletsa.
Gawo lachiwiri limadziwika ndi thukuta lalikulu, kupweteka kwa minofu ya nkhope, kuyankhula kosagwirizana, komanso kusuntha kwadzidzidzi.
Mu gawo lachitatu, kukokana kwakukulu kumakhala ngati kugwa kwa khunyu. Pali kukulira kwa ophunzirawo, kukwera kwakukulu kwa kuthamanga kwa magazi.
Kutsika kwakukulu kwa kuthamanga kwa magazi ndi kamvekedwe ka minofu, kusuntha kwamiyendo ndi miyendo, kusokonezeka kwa kugunda kwa mtima ndi chizindikiro chomwe chimakhala gawo lomaliza la njirayi.

Dziwani kuti ngati mumamwa insulini, siyikhala ndi vuto lililonse, ingoipidwa ndi m'mimba. Ichi ndichifukwa chake sanabwerebe ndi mankhwala apakamwa a odwala matenda ashuga, ndipo amakakamizidwa kuti apange jakisoni.

Pa nthawi yonyansa

Achinyamata ena amachita zoyeserera zowopsa, poganiza kuti ngati mutadzipaka nokha ndi insulin, mutha kukwanitsa kukhala osangalala. Ndiyenera kunena kuti ziyembekezo zotere zilibe maziko.

Mkhalidwe wa hypoglycemia umatikumbutsa makamaka za zizindikiro za kuledzera.

Koma mowa ndi "kuwala" mphamvu zomwe thupi lathu limalandira popanda kuchita paokha. Pankhani ya kuchepa kwa ndende ya glucose, zinthu zili chimodzimodzi. Mwachidule, m'malo mwa dziko lokondwerera, padzakhala khoma la banal lokhala ndi mutu wodziwika, ludzu lalikulu, komanso kunjenjemera kwa manja. Tisaiwale kuti kubwereza kwa insulin mobwerezabwereza kwa munthu wathanzi kumayambitsa zovuta za dongosolo la endocrine, kukulitsa kwa zotupa mu kapamba.

Homoni imapangidwa m'thupi lathu ndi kapamba. Chimodzi mwa ntchito zake zofunika kwambiri ndikukhazikitsidwa kwa kagayidwe kazakudya. Koma kagayidwe kachakudya mthupi ndi njira yolumikizirana. Ngati chimbudzi cha chakudya chimasokonekera, kagayidwe kazinthu zina amakhalanso nako. Ndi matenda ashuga, heme wodwalayo amakhala ndi shuga wambiri. Izi zili choncho chifukwa sizilowetsedwa ndi minyewa yathupi. Popeza glucose amathandizira kubwezeretsanso mphamvu ya munthu, pankhani ya matenda ashuga, mavuto amabuka ndi kayendedwe, kuzungulira, kupuma ndi zina zofunika kuchita mthupi. Pankhaniyi, adotolo amafotokozera insulin ya jakisoni. Ndipo chidzachitike ndi chiyani ngati munthu wathanzi atalowetsedwa ndi insulin? Tithana ndi izi mwatsatanetsatane.

Pafupifupi insulini

Ma hormone, mwatsoka, sangatengeke ndi chakudya. Ngati mutadya chinthu chokhala ndi insulini, chinthucho chimasungunuka m'matumbo athu ndipo sichilowa m'magazi. Chipulumutsidwe mu shuga kokha jakisoni wa mankhwala.

Insulin yaumunthu ndi chinthu cha peptide. Kuphatikiza pa shuga, iye amanyamula potaziyamu komanso ma amino acid osiyanasiyana. Gome lotsatirali likuwonetsa kuchuluka kwama mahomoni kutengera ndi zaka komanso wodwala:

Glucose omwe amapezeka ndi thupi panthawi yazakudya amakhala othandizira m'badwo wa insulin.Amino acid arginine ndi leucine, mahomoni cholecystokinin ndi estrogens, calcium, potaziyamu, ndi mafuta acids zimathandizanso pakupanga mahomoni. Imachepetsa m'badwo wa insulin.

Ntchito za insulin zimaphatikizapo:

Kulimbikitsa kuthekera kwa glucose komwe kumachitika ndi maselo kuti apangitse mphamvu zambiri,
Ma enzymero olimbikitsa
Kuchulukitsa kwa glycogen, komwe kumalimbikitsa kuyamwa kwa shuga ndi minyewa ya chiwindi ndi maselo amisempha,
Kuchepetsa mapangidwe a shuga omwe amasungidwa m'chiwindi
Kukula kwa kuthekera kwa maselo kupanga amino acid,
Kupereka kwamaselo okhala ndi potaziyamu, magnesium ndi phosphorous,
Kachitidwe ka mapuloteni,
Zimapangitsa kutembenuka kwa glucose kukhala triglycerides.

Kuphatikiza apo, mahomoniwa amachepetsa kuwonongeka kwa mapuloteni komanso amachepetsa kuyenda kwamafuta m'magazi.

Zomwe zimapangitsa kuti Insulin Iwonjezere

Chochulukitsa chomwe chimayambitsa kuphatikiza kwamankhwala ambiri ndi chosankha cholakwika cha odwala omwe ali ndi matenda a shuga. Anthu omwe akudwala matendawa amakhudzidwa makamaka ndi izi. Mitengo yonse ya mahomoni panthawi ya jakisoni imatha ndi mndandanda:

Chovuta chochitika ndi endocrinologist momwe insulin imalowetsedwera munthu yemwe safuna,
Kuwerengera molakwika kwa mankhwala kunapangidwa,
Tinayambitsa insulini yayifupi komanso yayitali pakapita kamodzi,
Kusintha mtundu wa mankhwala,
Kusankha syringe yayikulu ya mankhwala
Kulephera kubwezeretsa kwina zamagetsi pamasewera,
Kuphwanya zakudya regimen (osatenga chakudya pambuyo jakisoni wa mahomoni).

Pofuna kupewa bongo, muyenera kufunsa katswiri wokhudza mtundu wa mankhwalawa komanso mtundu wa jekeseni wa tsiku ndi tsiku.

Zizindikiro zakukhathamiritsa kwa mahomoni ambiri

Zotsatira za kuchuluka kwa insulin zikuwonetsedwa ndi zizindikiro:

Kumva kufooka thupi lonse
Mutu wosakhalitsa
Njala yopanda nzeru
Kudzaza pakamwa ndi malovu,
Khungu lotupa,
Thukuta kwambiri
Kumva dzanzi m'miyendo,
Kuwonongeka kwa diso,
Kumvetsani momveka bwino
Kuthamanga kwa mtima
Kusokonezeka m'malingaliro
Kukhumudwitsa.

Ngati zinthu sizinatengedwe panthawi yowonjezera kuchuluka kwa shuga mu heme, imfa imatha kuchitika. Mlingo wowopsa wa insulin kwa munthu wathanzi umatsimikiziridwa ndi kuchepa kwa 5 mmol / L pambuyo pobayira shuga poyerekeza ndi mulingo wabwinobwino.

Timadzi timeneti timakula ndi kusakwanira kwa impso komanso kusintha kwamafuta m'maselo a chiwindi. Kuwonjezeka kwa kupanga kwa mahomoni m'thupi kumachitika ndi matenda otupa, pomwe zotupa zokha zimapanga insulin. Voliyumu ya insulini imadzanso nthawi yapakati.

Ngati mukufuna kumwa zakumwa zoledzeretsa, mlingo wa mahomoniwo uyenera kuchepetsedwa izi zisanachitike.
Asanamwe komanso atamwa mowa, thupi liyenera kudya zakudya zamafuta ochepa,
Anthu odwala matenda ashuga samalangizidwa kumwa zakumwa zoledzeretsa,
Tsiku lotsatira, pambuyo pa kumasulidwa, wodwalayo ayenera kuyeza kuchuluka kwa shuga ndikusintha Mlingo wa mankhwalawa.

Mankhwala osokoneza bongo kwambiri a insulin ndi oopsa a hypoglycemic (okhala ndi shuga wambiri) komanso kufa . Mlingo wowopsa umatengera thanzi la munthu, kulemera kwake, kudya, kumwa, ndi zina. Kwa munthu m'modzi, imfa imatha kupezeka 100 IU ya insulin, ina pambuyo pa 300 kapena 500 IU.

Mahomoni owonjezera

Mankhwala osokoneza bongo ambiri a insulin amabweretsa kuti ma mahomoni amapanga mwachangu kwa wodwala omwe amachepetsa kuchepa kwa shuga m'thupi. Izi zimaphatikizapo adrenaline, corticosteroids, glucagon. Zizindikiro za kuchuluka kwa insulin kwambiri:

Kumva zosasangalatsa
Njala yokhazikika
Kunenepa kwambiri
Maonekedwe a ketoacidosis ndi acetonuria (kuchuluka kwa shuga mu heme ndi kuwonjezereka kwa kukhalapo kwa matupi a ketone, kupezeka kwa mamolekyulu a acetone mu mkodzo, kusowa kwamphamvu kwa asidi, kuchepa kwa madzi m'thupi),
Kusintha kwadzidzidzi kwa kuchuluka kwa shuga masana,
Kusinthasintha pafupipafupi kwa shuga ambiri,
Kutsika pafupipafupi kwa kuchuluka kwa shuga mu lymph pansipa 3.9 mmol / L (hypoglycemia).

Ndi mankhwala osokoneza bongo ambiri, zomwe zimachitika m'mawa "m'mawa" zimadziwika. Zimanenedwa kuti pambuyo poti jakisoni wamadzulo ochulukirapo kuyambira 2 mpaka 4 a.m. pali kuchepa kwa shuga. Zotsatira zake ndikuti thupi limayamba kulimbikitsa gwirisi mwachangu m'matanki osungira, ndipo pofika 5-7 am msinkhu wa shuga umakwera kwambiri.

Njira zoyambirira zothandizira bongo

Ngati wodwala ali ndi zizindikiro za kuchuluka kwa mahomoni omwe afotokozedwa pamwambapa, ndikofunikira:

Idyani mikate yoyera 100,
Ngati palibe kusintha, idyani maswiti atatu kapena supuni zochepa za shuga,
Yembekezani mphindi 5, ngati palibe kusintha, imwani zam'madzi kachiwiri.

Ngati zizindikiro za mankhwala osokoneza bongo zili zowopsa - kutaya chikumbumtima, kukomoka, ndi zina zotere, ndikofunikira kuyambitsa yankho la shuga kwa wodwalayo. Kuyambira 30 mpaka 50 ml ya 40% yankho limayendetsedwa kudzera m'mitsempha. Ngati zizindikiro zikulimbikira, bwerezani jakisoni.

Zotsatira za bongo

Pafupifupi gawo limodzi mwa magawo atatu a odwala matenda ashuga onse amakhala ndi insulin yambiri nthawi imodzi. Palibe chifukwa chochitira mantha. Mukungofunika kudya zakudya zam'kati zothamanga zomwe zimakulitsa shuga. Kulimbikitsa kwa insulin komwe kumachepetsa kuchepetsa shuga kumakhala kowopsa. Izi nthawi zina zimabweretsa chithandizo chosayenera - kuchuluka kwa jakisoni wa insulin m'malo mwa kuchepa.

Kuti mumve zambiri, muyenera kuyimba ambulansi, yomwe dokotala wake amapatsa jakisoni jakisoni wa shuga, popeza zimakhala zovuta kuti amateur apange jakisoni m'mitsempha. Mankhwala osokoneza bongo okwanira ali owopsa. Zotsatira zake ndikuphwanya magwiridwe antchito aubongo - matenda a edema, zochitika zokhudzana ndi amuna. Komanso, insulin yochulukirapo imayambitsa chiopsezo cha stroke kapena kugunda kwa mtima.

Popewa zotsatira zosasangalatsa, zimakhala zomveka kupenda kuchuluka kwa shuga ndi glucometer ndikusintha mankhwalawo kumbali pamene kuchuluka kwa glucose kumatsika. Ngati mukulowetsa insulin mwa munthu wathanzi, muyenera kuganizira izi mopitirira muyeso ndipo, ndi mlingo wochepa, tengani zomwe tafotokozazi. Ngati insulin yayikulu imaperekedwa kwa munthu wathanzi, imayambitsa zomwe zimachitika monga mankhwala oopsa. Pankhaniyi, muyenera kuyitanitsa ambulansi mwachangu.

Kodi insulin ndi chiyani
Njira yamachitidwe
Zotsatira zoyipa
Kusankha kwa Mlingo
Kuchuluka kwazonse
Zizindikiro
Fomu yovuta
Njira zopulumutsira
Thandizo loyamba
Kusamalira ana

Insulin ndi kofunikira pancreatic hormone. Kwambiri, onse omwe ali ndi matenda a shuga amadziwa. Kuti akhale ndi shuga wokwanira m'magazi, amafunika tsiku lililonse.

Njira yamachitidwe

Ndi chakudya, shuga amalowa m'thupi lathu. Imalowetsedwa ndi ziwalo ndi ma cell, ndipo zochulukazo zimadziunjikira m'thupi. Mafuta ochulukirapo amakonzedwa m'chiwindi ndikupanga chinthu china - glycogen.

Ngati kuperewera kwa mahomoni kumakhala kovuta, kuphwanya kagayidwe kazachilengedwe kamachitika. Poterepa, matenda a shuga 1 amayamba.

Muzochita zamankhwala, matenda awa amatchedwa kuperewera kwa insulin. Izi ndi zomwe zimachitika ngati pali kuwonjezeka kwa shuga m'magazi - hyperglycemia.

Ngati wodwalayo watha mankhwalawo, ndiye kuti imakhala ndi mphamvu yolimba, yomwe imadzaza ndi shuga lakuthwa mumtsempha wamagazi komanso toxemia yayikulu.

Zotsatira zoyipa

Zotsatira zake zoyipa ndi ziti? Kuwonetsera kofala kwambiri kuyambira pakuyambitsa kwa mahomoni ndi hypoglycemia. Zotsatira zina za insulin:

chifuwa
lipoatrophy (atrophy of the subcutaneous minerals in the area of jekeseni),
lipohypertrophy (kuchuluka kwa mafayilo am'deralo)
insulin edema,
ketoacidosis ndi acetonuria.

Kodi kuyambitsa insulin kwa munthu wathanzi kudzatani?

Ngakhale zovuta zoyipa zomwe zimachitika pamene mlingo wa insulin udakulitsidwa, pali magulu a anthu omwe amatenga mahomoni mosalekeza. Nthawi zambiri imayikidwa ndi endocrinologists a shuga, ngati thupi silingathe kuthana ndi malamulo a shuga.

Chithandizo chotere chimagwiritsidwa ntchito ngati phindu lake limaposa kuvulaza thanzi. Pang'onopang'ono, thupi limasinthana ndi kuchuluka kwakunja kwa mahomoni ofunikira, omwe amasokoneza momwe amadzipangira pawokha. M'tsogolomu, munthu, nthawi zambiri, sangathe kuletsa mankhwalawo ndipo adzamwa moyo wonse.

M'masewera ena, omwe akufuna kupanga minofu m'njira yothamanga amayamba kubaya insulin. Ndi chakudya chochepa chopatsa mphamvu, mphamvu yofunikira pophunzitsira imatengedwa kuchokera ku mafuta a thupi omwe amawotcha thupi.

Musanavomerezane ndi kumwa mankhwalawo, muyenera kudziwa bwino zomwe zidzachitike ngati munthu wathanzi atavulaza insulini, zoopsa zakupitilira muyeso, pochotsa zomwe zingachitike poizoni. Tengani mankhwalawa amayenera kuyang'aniridwa ndi dokotala.

Mobwerezabwereza makonzedwe a insulin pang'onopang'ono amabweretsa vuto mu metabolic process. Zowonjezera zake zazitali zimayambitsa kuchuluka kwa mahomoni ena, omwe amakhudza kwambiri thanzi lathanzi, ntchito yake ndi kapamba. Zotsatira zake zimatha kukhala: kumverera mwamphamvu kwanjala, kuchuluka kwa thupi, kusinthasintha kwakanthawi kwamasamba a shuga masana.

Zovuta za jakisoni wa insulin pakati pa achinyamata wathanzi amadziwikanso. Izi ndichifukwa chofunitsitsa kudziwa zomwe zingachitike ngati mungakhale osazindikira kuchokera ku hypoglycemia kwakanthawi. Achichepere amakopeka ndi chiopsezo, njira yosavuta yodziwirira "kudzuka", kusowa kwa uchidakwa, mosiyana ndi mankhwala.

Mulingo wololedwa

Mlingo umasankhidwa payekha ndi dokotala wopezekapo. Nthawi yomweyo, shuga m'magazi amayezedwa.

Monga tafotokozera pamwambapa za kugwiritsa ntchito mankhwalawa polimbitsa thupi, funso lachilengedwe limadza ndi zomwe zimachitika ngati mutabaya insulin mwa munthu wathanzi.

Kwa anthu athanzi, muyeso wabwino wa mankhwalawa ndi 2-4 IU. Olimbitsa thupi amabweretsa 20 IU patsiku.

Kukhazikitsidwa kwa ma hormone kungabise ngozi. Ngati mutaba jakisoni wambiri, mutha kuchepetsa kwambiri kuchuluka kwa shuga m'magazi. Nthawi zambiri osewera, omwe akufuna kupanga minofu, amapitilira muyeso. Zotsatira za insulin yochulukirapo, hypoglycemia imatha kuchitika. Zizindikiro zake zoyambirira ndizamphamvu yakufa ndi kugona komanso kugona kwambiri.

Chifukwa chake, anthu omwe amasewera masewera ayenera kutenga mahomoni moyang'aniridwa ndi wophunzitsa waluso.

Pankhani ya odwala matenda ashuga, kuchuluka kwa mankhwalawa omwe amaperekedwa masana kumasiyana magawo 20 mpaka 50.

Matenda a shuga ndi kupsinjika kudzakhala chinthu chakale

Matenda a shuga ndi omwe amayambitsa pafupifupi 80% yonse yamikwingwirima ndi kuduladula. Anthu 7 mwa anthu 10 amafa chifukwa cha mitsempha ya mtima kapena ubongo. Pafupifupi nthawi zonse, chifukwa chomaliza chomaliza ndi chimodzimodzi - shuga wamwazi.

Shuga akhoza ndipo amayenera kugwetsedwa, apo ayi. Koma izi sizichiritsa matendawa, koma zimangothandiza kulimbana ndi kufufuza, osati zomwe zimayambitsa matendawa.

Mankhwala okhawo omwe amalimbikitsidwa mwalamulo kwa odwala matenda ashuga komanso ogwiritsidwa ntchito ndi endocrinologists pantchito yawo ndi Ji Dao shuga patch.

Kugwiritsa ntchito bwino kwa mankhwalawa, kuwerengera malinga ndi njira yokhazikika (kuchuluka kwa odwala omwe achiwonjezere kuchuluka kwa odwala omwe ali pagulu la anthu 100 omwe adachitiridwa chithandizo):

Matenda a shuga - 95%
Kuthetsa kwa mitsempha thrombosis - 70%
Kuthetsa kwa kugunda kwamtima kwamphamvu - 90%
Kuthana ndi kuthamanga kwa magazi - 92%
Kuwonjezeka kwa mphamvu masana, kukonza kugona usiku - 97%

Opanga Ji Dao si bungwe lazamalonda ndipo amalipiridwa ndi boma. Chifukwa chake, tsopano wokhala aliyense ali ndi mwayi wopeza mankhwalawo kuchotsera 50%.

timapitiriza kukhathamiritsa shuga kwa zinthu zina
imayendetsa michere yomwe imakhudzidwa ndi glycolysis,
imapangitsa kupanga glycogen,
amachititsa shuga m'magazi,
matendawa mapuloteni
imathandizira kayendedwe ka potaziyamu ndi ion ya magnesium,
amachepetsa kudya kwamafuta m'magazi.

Insulin imasunga kuchuluka kwa shuga, popeza kuchepa kwake kapena kuchuluka kwake kumayambitsa kusokonekera kwa metabolic, komwe kumakhala kukuchuluka ndikukula kwa zovuta zazikulu.

Ngati munthu wathanzi atalowetsedwa ndi insulin, kuchuluka kwa shuga m'magazi ake kumatsika kwambiri, zomwe zimapangitsa kuti akule. Ndi owopsa osati thanzi, komanso moyo wa munthu. Amatha kudwala matendawa, ndipo ngati angalandire chithandizo chamankhwala osayenera, angamwalire. Kukula kwa zotsatirapo zimatengera mlingo wa mankhwalawo ndi mthupi.

Mlingo wa Lethal

Mlingo wochepa kwambiri wa insulin kwa munthu wathanzi ungakhale magawo 50-60. Ngakhale ndizokhudza munthu payekha ndipo zimatengera zinthu zina: kulemera, kuthekera kwa thupi, zaka, ndi zina zambiri.

Mlingo womwe kumwalira wodwala wodwala matenda a shuga umadaliranso pazinthu zingapo:

kulolera payekha mankhwala
kulemera kwa odwala
kudya, mowa.

Malinga ndi kafukufuku wa Dr. Kernbach Wheaton ndi ogwira nawo ntchito, ndi 100 IU (syulin yayikulu ya insulin). Ngakhale kwa ena, izi zikuwonetsa kusiyana ndi 300 mpaka 500 IU.

Mbiri idziwa milandu ya kupulumuka kwa anthu pambuyo poyambitsa 3000 IU.

Zokhudza kapangidwe ka insulin

Insulin ndi mahomoni ofunikira omwe ntchito yake yofunika ndikuphwanya chakudya. Ngati mankhwalawa sakwanira mthupi, ndiye kuti glucose amadziunjikira m'magazi, kukhala ndi zotsutsana ndi thanzi la munthu. Kupeza kamodzi kokha m'mwazi kapena mkodzo sikusonyeza kukula kwa matenda ashuga, koma munthu ayenera kusamala kale.

Nthawi zambiri, kuchuluka kwa shuga kumawonjezeka kwambiri mwa amayi apakati, shuga ya gestational imakula. Njirazi zimalumikizana ndi kusowa bwino kwa mahomoni m'thupi la mkazi wonyamula mwana.

Ziwalo zonse zamkati zimavutika ndi katundu wochititsa chidwi, kapamba samagwira ntchito zake, insulin siyipangidwe moyenera. Zizindikiro zimatha msanga mwana akangobadwa.

Gwiritsani ntchito zakudya zama carb zochepa panthawi imeneyi, osakhala ndi zotsatirapo zoyipa kwa mayi ndi mwana. Kupaka insulin yoyembekezera sikulimbikitsanso. Popita nthawi, thupi lidzazolowera kuti mahomoni amachokera kunja, sizingawapange iwo mwachilengedwe. Mwanjira imeneyi, odwala matenda a shuga amapezekadi.

Ngati munthu wathanzi akapatsidwa mlingo wa insulini, zimakhala zovuta kulosera momwe thupi lingachitire ndikulowererapo. Kuyesa sikuyenera.

Mlingo umodzi wa insulin

Ngati mahomoni opanga amalowa kamodzi, ndiye kuti thupi limazindikira kuti ndi poizoni, ndipo zizindikiro za kuledzera kwambiri zimatulukira. Mankhwala othandizira pakhungu nthawi zina amafunikira, kutsuka m'mimba ndi matumbo kuti achotse zizindikiro za poizoni.

Mawonekedwe a mkhalidwe uwu ali motere:

Kusanza, kusanza,
Zofooka zambiri
Chizungulire, kukayika kwakanthawi kochepa,
Mutu waukulu
Kuuma ndi kukoma koyipa mkamwa.

Ngakhale kuti thupi mwanjira iliyonse limapereka zizindikiritso kuti ntchito yake ndi yoperewera, insulin imayamba kugwira ntchito, imaphwanya shuga, ndipo kuchuluka kwa shuga kumatsikira pazofunikira kwambiri. Zizindikiro zofananazo zimachitika mwa ana omwe ali ndi acetonemic syndrome.

Njira imodzi yochizira ndikumagulitsa mwana ndi njira yothetsera shuga. Njirayi itha kugwiritsidwanso ntchito kubwezeretsa nyonga mwa munthu wathanzi yemwe adalowetsedwa ndi insulin.

Kubwezeretsa shuga m'magazi kumatenga masiku opitilira tsiku limodzi, koma thanzi lathunthu limasintha mwachangu.

Kukhazikitsidwa kwa mlingo waukulu wa insulin

Tsopano timvetsetsa zomwe zingachitike ngati insulini iperekedwa kwa munthu wathanzi labwino. Mankhwala osokoneza bongo a bongo amathanso kuopsa kwa odwala matenda a shuga.

Zina zofananira ndizofunikira:

Mtundu wa makonzedwe ali mu minofu kapena mafuta onunkhira,
Kulemera kwa munthu
M'badwo wake.

Gawo limodzi la insulini limachepetsa kuchuluka kwa shuga m'magazi a munthu wamba mpaka 8 mmol / L. Ngati mukulowetsa mlingo waukulu panthawi, ndiye kuti izi zimapangitsa kuti mukhale ndi vuto la kufera kwa magazi komanso kumwalira kwa wodwalayo; kuyesa motere ndi koletsedwa. Mphamvu ya insulin yokumba pathupi la munthu wamba siyikudziwika bwinobwino.

Madokotala sanadziwebe zonse zomwe zimayambitsa komanso zofunikira zoyambitsa matenda opatsirana a shuga, chifukwa chake ndizosatheka kugwiritsa ntchito insulin popanda mankhwala a dokotala.

Jekeseni wa insulin pafupipafupi mwa munthu wathanzi

Ngati insulini imaperekedwa kwa munthu wathanzi pamiyeso yaying'ono ndipo nthawi zambiri, zitha kupezeka kuti kapamba sangachite ntchito zake. Mlingo wa mahomoni m'thupi udzachulukitsidwa, ubongo umalembera kwa kapamba kuti aletse kupanga izi, koma jakisoni atasiya, gawo la dongosolo la endocrine limasokonekera.

Ndi kusowa kwa insulini, kuchuluka kwa shuga, shuga imayamba.

Nthawi zina, pakumayambitsa matenda oyamba, madokotala amathamangira kukapereka mankhwala othandizira insulin, koma izi sizingachitike mpaka matenda atatsimikiziridwa. M'mitundu ina ya matenda ashuga, jakisoni wa insulini nthawi zonse amasankha.

Mutha kuwongolera ndikusintha kuchuluka kwa glucose wanu ndi zakudya zamafuta ochepa. Zimakhala zovuta kuti wodwalayo azolowere moyo watsopano, koma samadwala chifukwa cha zovuta zoyambira ndi zotsatira za kayendetsedwe ka mahomoni kosalekeza.

Madokotala amakono amavomereza kuti kuyamba kwa mankhwala a insulini kuyenera kuchedweratu. Izi zikugwirizana ndi mtundu wachiwiri wa chitukuko cha matendawa, omwe amapezeka mwa anthu opitilira zaka 35. Matenda a shuga a Type 1 nthawi zonse amathandizidwa ndi insulin.

Osati nthawi zonse kuchuluka kwa shuga m'magazi kumawonetsa matenda a shuga. Kuti mudziwe zamtunduwu, ndikofunikira kuchita kafukufuku wambiri, kuyezetsa osati shuga wamagazi, komanso kulekerera kwa glucose, kuyang'anira kuwuka ndi kugwa kwa chizindikirocho tsiku lonse. Munthu wathanzi sayenera kubayira insulin popanda umboni wachindunji.

Masewera owopsa ndi insulin

Mkhalidwe womwe munthu agwera pambuyo poti dotolo wocheperako akhale wofanana ndi kuledzera, koma sizingatheke kudziwa kukhalapo kwa zinthu zoletsedwa m'magazi.

Masewera owopsa oterewa ndiofala padziko lonse lapansi. Mu achinyamata, jakisoni wopitilira insulin amakhala ndi zotsatirapo zoyipa. Thupi likakhala kuti likukula, ziwalo zamkati sizinapangidwe kwathunthu, ndizosatheka kwenikweni kusokoneza ntchito zawo m'njira zosiyanasiyana.

Achinyamata omwe "amachita" mwanjira imeneyi amakhala pachiwopsezo chakugwa, akumwalira. Ngakhale zitakhala kuti izi sizingachitike, achinyamata amakhala pachiwopsezo chotenga matenda osachiritsika. Ndicholinga cha makolo ndi okondedwa awo kuti afotokozere za ngozi za zosowa komanso zosangalatsa zosayenera.

Hypoglycemic chikomokere

Chimodzi mwazotsatira zoyipa zoperekera insulin kwa munthu wathanzi ndi hypoglycemic coma. Amakula motsutsana ndi maziko a dontho lakuthwa komanso lakuthamanga kwambiri mu mulingo wa shuga mthupi motsika kwambiri.

Matendawa amakula pakapita mphindi zochepa. Poyamba, munthu amatha kudandaula chifukwa cha kupweteka kwambiri kwa mutu komanso chizungulire, kenako amataya mwadzidzidzi ndipo sizotheka kumubweretsa.

Thupi lathu limafunikira chakudya, limapereka mphamvu, komanso "kudyetsa" maselo aubongo. Mu mkhalidwe wa hypoglycemic coma, shuga wamagazi ndi ochepa.

Pakukomoka, ziwalo zofunika zimagwira ntchito pazocheperako mphamvu, ndipo maselo ena a muubongo amafa kwathunthu. Wodwalayo akamachotsedwa mu vutoli, zotsatira zoyipa zomwe amakhala nazo.

Mutha kuthamangitsa munthu pakoma poyambira shuga nthawi yomweyo. Ndikofunika kuti muchite izi kudzera m'mitsempha, ngati izi sizingatheke, njira zonse zomwe zapezeka zimagwiritsidwa ntchito. Mu milandu 90%, izi zimapereka zotsatira zabwino.

Ngati wodwala sachira kapena ali ndi zododometsa zamitsempha yamagetsi - kusokonezeka m'malo, kusokonezeka kwa malingaliro, kukhudzika, ndiye kuti kuchipatala kwachangu kumafunikira.

Mobwerezabwereza makonzedwe a insulin pambuyo pa vuto la hypoglycemic amapha wodwala yemwe alibe matenda a shuga. Magazi a magazi amafunika kukhazikika. Kwa izi, kwa masiku angapo chizindikirochi chimayang'aniridwa nthawi zonse.

Ndi zoletsedwa kupereka insulin kwa munthu wathanzi, mosasamala kanthu za mtundu wake, njira yoyendetsera. Izi zili ndi zovuta komanso zotsatilapo zathanzi. kuchuluka kwa mahomoni kumabweretsa zovuta za endocrine.

Mlingo wofunikira kwambiri

Anthu ena amakhulupirira kuti ngati munthu wathanzi amalandira insulin pang'ono, ndiye kuti zomwe zimachitika mthupi zitha kuwoneka nthawi yomweyo, mpaka kugwa - Koma izi sizowona. Mkhalidwe wofananawo umachitika pamene mahomoni alowa m'magazi mu gawo linalake. Zambiri zimatengera thanzi lathunthu, zaka, kulemera, kusalolera payekha komanso zinthu zina.

Zofunika! Mlingo wowopsa wa insulin - 100 PIECES (syringe imodzi ya insulin) imakhudza aliyense m'njira yake: ngati munthu mmodzi amakhala wotsutsa, ndiye kuti kwa ena mlingo ungakhale 300 kapena 3000 PISCES. Mu shuga mellitus, kuchuluka kwa mankhwalawa amathandizira kuchuluka kwa magawo 20-50 patsiku.

Thandizo loyamba

Ngati munthu alibe matenda ashuga, koma kuchuluka kwa insulin kukalowa m'magazi ake, amakumana ndi vuto la hypoglycemia, lomwe limadziwika ndi cephalgia, chizungulire, njala, kuperewera. Chizindikiro ichi chimadutsa palokha, popanda kuvulaza thanzi. Koma ndi mankhwala osokoneza bongo, kusakhazikika kumadzayamba kutchulidwa.

Apa muyenera kuchitapo kanthu:

Idyani mkate Woyera,
ngati simukumva bwino, idyani maswiti angapo kapena kumwa tiyi wokoma,
kuukira kosalekeza kumayimitsidwa ndikugwiritsa ntchito chakudya.

Hypoglycemia imachotsedwa pakudya zakudya zopatsa mphamvu: maswiti, makeke, msuzi, uchi.

Njira yayikulu yamatenda imayamba pang'onopang'ono, kotero wovutikayo ali ndi nthawi yolankhula ndi dokotala kale:

Doctor of Medical Science, Mutu wa Institute of Diabetesology - Tatyana Yakovleva

Ndakhala ndikuphunzira matenda a shuga kwa zaka zambiri. Zimakhala zowopsa anthu ambiri akamwalira, ndipo makamaka amakhala olumala chifukwa cha matenda ashuga.

Ndithamangira kunena mbiri yabwino - Endocrinological Research Center ya Russian Academy of Medical Sayansi yakwanitsa kupanga mankhwala omwe amachiritsa odwala matenda ashuga mellitus. Pakadali pano, kugwiritsa ntchito bwino kwa mankhwalawa kuyandikira 98%.

Nkhani ina yabwino: Unduna wa Zaumoyo wateteza kukhazikitsidwa kwa pulogalamu yapadera yomwe imalipira mtengo wapamwamba wa mankhwalawa. Ku Russia, odwala matenda ashuga mpaka Marichi 19 (kuphatikiza) nditha kuipeza - Kwa ma ruble 147 okha!

edema yam'mimba,
mavuto amisala
Zizindikiro zoyipa.

Hypoglycemia ikuwopseza kukhazikika kwa vuto la mtima, stroke, matenda am'mimba. Popewa kukula kwa chizindikirocho, akatswiri amapereka shuga m'mitsempha.

Ngati insulin ikufunika kwa munthu wathanzi

Pogwiritsa ntchito mphamvu zathupi komanso mphamvu zathupi, wodwalayo amatha kupeza insulini. Popewa izi, ayenera kubaya jekeseni wa mahomoni ena.Izi zimachitika moyang'aniridwa ndi achipatala ndipo pokhapokha pazachipatala atayeza zinthu za glycosylating m'magazi.

Insulin ndi zomanga thupi

Kupanga minofu yambiri, othamanga omwe akuchita nawo masewera olimbitsa thupi amagwiritsa ntchito mahomoni osiyanasiyana, kuphatikizapo insulin, yomwe imapatsa anabolic. Koma kuopsa kwa mankhwala sikuyenera kuiwalika, chifukwa ngati mulingo wotsatira osatsatiridwa, amatha kubweretsa mavuto akulu. Kwa munthu wathanzi, kuchuluka kwa mankhwalawa omwe angagwiritsidwe ntchito ndi 2-4 IU. Ochita masewera amabaya jakisoni wokwanira 20 IU / tsiku. Pofuna kupewa kukhumudwitsa hypoglycemia, insulin iyenera kugwiritsidwa ntchito moyang'aniridwa ndi wophunzitsa kapena dokotala.

Zofunika! Mutha kuchita bwino pantchito yanu yamasewera munjira zina, mwachitsanzo, kuchita masewera olimbitsa thupi nthawi zonse, njira yoyenera ya moyo.

Euphoria kapena wolowera?

Achichepere ena atsimikiza kuti ngati muika insulin, mutha kumvanso phokoso lofanana ndi kuledzera. Ndi mpweya wochepetsedwa wa glucose m'thupi, zosintha zimachitika ndipo malingaliro osadziwika amawonekera. Koma mutha kuwafanizira osati ndi zakumwa zoledzeretsa, koma ndi vuto lotupa.

Ana omwe amatha kulandira mankhwalawa ayenera kufotokozedwa kuti:

Insulin imapulumutsa moyo wa anthu odwala matenda ashuga. Poterepa, mulingo woyenera wa aliyense amawerengedwa payekhapayekha.
Insulin sichimapereka chisangalalo, m'malo mwake, imayambitsa kudwala mwa munthu wathanzi.

Ngakhale jakisoni imodzi ya insulin ikhoza kusokoneza ntchito ya endocrine system, osanenapo za kagwiritsidwe ntchito kosakhala ndi zotsimikizira zakuchipatala. Komanso, chiopsezo cha mapangidwe otupa mu kapamba, chikomokere ndi imfa sizimachotsedwa.

Onetsetsani kuti mwaphunzira! Kodi mukuganiza kuti kuyamwa kwa mapiritsi ndi insulini kwa nthawi yonse yokhayo ndi njira yokhayo yothanirana ndi shuga? Sichowona! Mutha kutsimikizira izi nokha ndikuyamba kuzigwiritsa ntchito.

Insulin ndi amodzi mwa mahomoni ofunikira kwambiri omwe amawongolera kugwira ntchito kwa machitidwe ambiri mthupi. Makamaka, ali ndi udindo wotulutsa shuga. Insulin imapangidwa ndi kapamba, zomwe zikutanthauza kuti mkhalidwe wake wathanzi ndiwotsimikizira kuti ma horoni amayenera kugwira ntchito.

Malangizo m'thupi

Kudya kwa glucose m'thupi kumalimbikitsa kupanga magawo omwe amachepetsa nkhawa, malingaliro owopa. Malumikizowo amatchedwa opatsirana, zomwe zimapangitsa kuti pakhale bata ndi mtendere. Ngati pazifukwa zina munthu am'patsa zakudya zochepa mu chakudya, chithunzi cha chithandizo chimadziwika ndi kuchepa kwa mphamvu, mphwayi, ndi nkhawa.

Insulin amachita ngati activator. Imayambitsa kutulutsa shuga kuchokera m'magazi kupita ku maselo. Kuyendetsa kumachitika ndi mapuloteni omwe ali m'maselo. Amasunthira mkati kuchokera mkati kupita kunja kwa khungu, amalanda glucose ndikulowetsa mkatimo kuti akawotchedwe.

Kusiyanitsa kwa ma insulin ndi chizindikiro chokhazikika kumawonetsa kuti pali zosokoneza mu kayendedwe kazopatsa mphamvu, zomwe zikutanthauza kuti palinso zovuta zazikulu pakugwira ntchito kwa machitidwe a thupi. Kuchita kwa insulin kumawunikidwa poyesa kuchuluka kwa shuga m'magazi. Ngati mtengo wake umaposa zofunikira, mahomoni samatha kugwira ntchito yake, samapangidwa mokwanira.

Nthawi zina, kusinthasintha kwa kuchuluka kwa insulin kumachitika ngakhale mwa munthu wathanzi. Izi ndichifukwa cha kupsinjika, kugwedezeka, poyizoni kapena kuledzera. Pachifukwa ichi, ambiri amawona kufunika kogwiritsa ntchito zakudya zomwe zili ndi shuga. Komabe, thupi limakumana ndi zoterezi pakokha komanso pakapita nthawi, kuchuluka kwa mapangidwe a mahomoni amabwerera mwakale.

Ntchito ya insulin

Thupi limagwira ntchito zingapo zofunika potsatira kayendedwe ka ma cellular. Choyamba, insulin imalimbikitsa kuyamwa kwa shuga m'maselo, imawonjezera kaphatikizidwe ka glycogen.

Ntchito za anabolic za mahomoni zimaphatikizanso kupititsa patsogolo mayendedwe a ion, kuperekera ma amino acid ku maselo, kuwonjezera kubwereza kwa DNA, ndikupanga mapuloteni komanso mafuta acids. Nthawi yomweyo, insulin imachepetsa kudya mapuloteni komanso mafuta acids m'magazi.

Njira izi m'magawo a ma cell ndizomwe zimayang'anira nthawi yayitali yambiri m'thupi la munthu. Komabe, malamulo amachitika mwakuwononga kuchuluka kwa kufufuza, zochulukirapo zimabweretsa zosokoneza, ndipo kusokonezeka kwapang'onopang'ono kungayambitse imfa.

M'masewera ena, insulin imatengedwa mwachindunji kuti muchepetse magazi. Popeza kukonza kwa shuga kumachitika ndi thupi poyambirira, ndipo pokhapokha - kukonza ndi kuwotcha mafuta m'thupi, njira idapezeka kuti imathandizira izi. Wothamanga amatenga insulini, yomwe imagwiritsa ntchito shuga, ndipo kuwotcha mafuta kumathamanga kwambiri.

Ndizofunikira kudziwa kuti kuyesa kotereku nthawi zambiri kumatha popanda kukhumudwa. Mu 75% ya milandu, kugwiritsa ntchito molakwika timadzi timeneti kunapangitsa kuti pakhale chikomokere, ndipo m'tsogolomo - kutayika kwa kuthekera kwathunthu chifukwa chakusokonekera kwa ntchito m'malo ena a ubongo.

Zizindikiro za mahomoni owonjezera

Ngati kuchuluka kwa mahomoni sikubwereranso kwina pambuyo povutitsa kapena kusuntha kwa zinthu zina zomwe zikuwonjezera kukula kwake, izi zikuwonetsa kuphwanyidwa mthupi komwe kumafunikira kuti muzindikire mwachangu.

Ngati munthu yemwe alibe kupatuka ndipo alibe matenda a shuga, mankhwalawa amawonedwa ndi thupi ngati poyizoni, ndikukana. Kuwonjezeka kwakukulu kwa kuchuluka kwa timadzi timene kumapangitsa kuti glucose onse achotsedwe m'magazi, zomwe zimapangitsa kukula kwa hypoglycemia - shuga wotsika kwambiri.

Ngati thupi lathanzi lalandira mlingo wa insulin kuchokera kunja, pali:

kukwera kwakukulu kwa kuthamanga kwa magazi,
kunjenjemera
mutu
mantha
nseru
kukulitsa kwa ophunzira
mavuto ndi mgwirizano wamagulu.

Mlingo wovuta

Pali malingaliro olakwika ambiri akuti ngakhale atapatsidwa insulini yochepa kwambiri, munthu yemwe alibe matenda a shuga nthawi yomweyo amadwala matendawa. Izi siziri choncho. Pali mankhwala enieni omwe angayambitse kukula kwa hypoglycemia, chikomokere ndi imfa.

Mlingo wovulala wochepa kwambiri ndi magawo zana - zomwe zili mu syringe yonse ya insulin. Nthawi zina, munthu amakhalabe ndi moyo, ngakhale kuti mankhwalawa amapitilira katatu. Izi zikusonyeza kuti bongo wambiri umasiya mwayi woyimbira ambulansi asanakomoke. Zikomoka zimatha kumatha maola 3-4 ndipo zimatha kuimitsidwa ngati shuga abwera m'magazi momwe mungathere.

Zizindikiro za Coma

Pa gawo loyamba, kusinthaku kumasintha mwadzidzidzi, chisangalalo chambiri kapena mkhalidwe wokhumudwa, choletsa chikuwonekera. Pali kumverera kwa nkhawa, mantha, njala, thukuta limawonekera.
Pa gawo lachiwiri, thukuta lotukwana, mayendedwe osakwanira ndi malankhulidwe, maukonde amanjenje kumisempha yamaso, kusangalala, kusuntha kwadzidzidzi kumawonekera.
Mu gawo lachitatu, ophunzira amakula kwambiri, kamvekedwe ka minofu kamadzuka, kamene kamayambitsa kukopeka, kuwonjezeka kowopsa kwa kuthamanga kwa magazi. Mkhalidwe wa munthu ungafanane ndi kugwidwa kwa khunyu.
Pa gawo lotsiriza, kuthamanga kwa magazi kumatsika kwambiri, chikomokere kumawonjezeka, kamvekedwe ka minofu kachepa. Miyendo imayenda mosasunthika, kugunda kwa mtima sikokhazikika, thukuta limatha.

Kuwonetsedwa kwa zizindikiro za chikomokere, ngakhale ndi chithandizo champhamvu, kumatha kuvutika nthawi yayitali komanso nthawi yayitali. Kuthamanga ndikuphatikiza kulowetsedwa kwa myocardial, zosokoneza m'magazi kupita ku ubongo. Zotsatira zake zimatha kuchitika ngakhale miyezi ingapo chitukuko cha parkinsonism, khunyu, hypoglycemia.

Kugwiritsidwa ntchito molakwa kwa mankhwala othandizira odwala matenda ashuga sikidziwika kwenikweni, koma zofananazi zilipo.Kuphatikiza apo, ndizowopsa. Chimachitika ndi chiani ngati insulini iperekedwa kwa munthu wathanzi? Mukudabwapo?

Kodi ndi chiopsezo chiti chogwiritsira ntchito insulin kwa munthu wathanzi?

Kodi mungatani kuti mupewe izi?

Nayi mfundo ziwiri zofunika kudziwa za insulin:

Insulin siyibweretsa euphoria, yofanana ndi mankhwala osokoneza bongo a narcotic. Tikuyenera kunena kuti, ngakhale zizindikiro za hypoglycemia zimatha kutsata zizindikiritso za kuledzera, palibenso kumverera kwa euphoria - m'malo mwake, munthu amamva kuwawa.

Insulin ndi imodzi mwamafuta ofunika kwambiri m'thupi la munthu.Amapangidwa mu kapamba ndipo amayang'anira njira yokhazikika ya kagayidwe kazakudya. Kupatuka kulikonse kwa kuchuluka kwa insulin kuchokera ku chizolowezi kumawonetsa kuti kusintha koyipa kumachitika m'thupi.

Kuchuluka kwazonse

Insulin yochulukirapo m'thupi imabweretsa kuchepa kwa kuchuluka kwa shuga m'magazi. Zizindikiro za hypoglycemia zimayamba ndi mphamvu zosiyanasiyana. Zimatengera mtundu wa mankhwala omwe amaperekedwa. Kuchokera pakukhazikitsidwa kwa mankhwala omwe amagwira ntchito mwachangu, zizindikiro zimawonedwa pambuyo pa mphindi 15-30, ndipo kuchokera pakukhazikitsa mankhwala omwe amayamba pang'onopang'ono, zizindikiro zimayamba kwakanthawi.

Ndikotheka kulankhula za hypoglycemia ndi chidziwitso chotsika 3.3 mmol / L. Mankhwala osokoneza bongo a insulini kwambiri ndimadziwika ndi zotere:

ulesi
njala yosalekeza
kupweteka kwakanthawi
zokonda mtima.

Ngati palibe njira zomwe zidatengedwa kuti zithetsedwe, ndiye kuti matendawa amakula, ndipo poizoni wa insulin akupita patsogolo. Chowonekera:

thukuta kwambiri
kugwedezeka kwa dzanja
kuperewera kwambiri
njala yomwe ikupita patsogolo komanso ulesi,
khungu
kuchuluka kwa zala,
Kuchepetsa maonekedwe.

Njira yabwino yothetsera kuchuluka kwa insulin ndi zakudya zomwe zimapezeka m'matumbo omanga othamanga (maswiti kapena shuga). Ngati simugwiritsa ntchito panthawiyi, chizindikiro cha hypoglycemia ichulukira. Zina mwa izo ndi:

kulephera kusuntha,
thukuta kwambiri
kugunda kwa mtima komanso kugunda kwa mtima
kugwedezeka miyendo,
chisokonezo,
kuponderezedwa kwa psyche.

Pambuyo clonic ndi tonic kuukira minofu contraction ukuwonjezeka. Ngati galasi la intravenous silikuwonjezeredwa pamwambapa, ndiye kuti kuchuluka kwa insulin kumapangitsa kuti pakhale kuperewera kwa hypoglycemic.

Amadziwika ndi dziko losazindikira, kuchepa kwakukulu kwa shuga m'magazi (oposa 5 mmol / l kuchokera koyambirira), khungu, kutsika kwa mtima, komanso kusowa kwa chidwi cha ophunzira.

Anthu okhudzidwa nthawi zambiri amafa chifukwa cha kuchepa kwa ntchito zonse zofunikira - kupuma, magazi, komanso Reflex. Chifukwa chake, pazofunikira zomwe mukufuna, ndikwanira kuwerengera momwe zidzayambira.

Fomu yovuta

Choyambitsa matenda osokoneza bongo a insulini chagona mwadongosolo lawo mosiyanasiyana pochiza matenda. Poterepa, kupanga kwa mahomoni omwe amalepheretsa kuchepa kwa shuga m'magazi. Pakati pawo pali adrenaline, glucagon, corticosteroids. Poizoni wambiri wa insulin amatchedwa Somoji syndrome.

Zizindikiro za bongo wambiri:

matenda oopsa
kulakalaka kwambiri
kunenepa kwambiri ndi shuga wambiri mumtsempha wa kwamikodzo,
kusinthasintha kwakukulu kwa kuchuluka kwa shuga masana,
pafupipafupi hypoglycemia tsiku lonse.

Kuphatikiza apo, vuto la toxemia limawonetsedwa ndi zovuta zingapo:

Ketoacidosis. Ichi ndi chikhalidwe chomwe, chifukwa cha kuchepa kwa mahomoni, maselo amalephera kugwiritsa ntchito glucose monga gwero lamphamvu. Thupi la munthu limayamba kudya mafuta ake omwe amasungidwa. Mukugawa mafuta, ma ketoni amapangidwa mwamphamvu. Zochuluka zawo zikamazungulira m'magazi, impso sizingagwire ntchito yotulutsa. Chifukwa chake, acidity yamagazi imachuluka. Zofooka zambiri, nseru, kusanza, kumva ludzu kwambiri, kupuma kwa acetone kumawonekera. Kuti muthane ndi vutoli, ndikofunikira kubwezeretsa mwasungidwe mosungira madzi ndikupanga majakisoni a mahomoni.
Acetonuria. Kupezeka kwa ma ketoni mu mkodzo - zinthu zosakwanira makutidwe ndi okosijeni a mafuta ndi mapuloteni.

Nthawi zambiri, hypoglycemia imabisika. Machitidwe azachipatala amadziwa bwino "chodabwitsa cha m'bandakucha" pomwe zizindikiro zake zimakhalapo kuyambira 5 mpaka 7 m'mawa. Ichi ndi chifukwa cha kukwera kwakukulu kwa zigawo za ma contra-mahormoni komanso kuchepa kwa mphamvu ya jakisoni madzulo.

Somoji syndrome ndi yosiyana ndi chodabwitsa.Izi zimachitika chifukwa cha kupita patsogolo kwa maola 2 mpaka 4 a hypoglycemia - shuga amachepetsedwa mpaka 4 mmol / L kapena kutsikira. Zotsatira zake, thupi limayambitsa ziwembu. Ndipo m'mawa, wodwalayo amakhala ndi hypoglycemia, wokwiyitsidwa ndi jakisoni wamadzulo.

Kusamalira ana

Mchipatala, wodwalayo adzapatsidwa jakisoni ndi dontho. Ngati ndi kotheka, kulowetsedwa kubwerezedwa pambuyo pa mphindi 10.

Kenako chithandizochi chikhala ndi cholinga chothana ndi zotsatirapo zake. Ngati mankhwala osokoneza bongo ambiri apezeka, zotsatira zake zimasiyana malinga ndi kuuma.

Pankhani yokhwima koopsa, amachotsedwa chifukwa cha kulowetsedwa kwa mayankho ake.

Kuvulaza kwakukulu kwa insulin kumadziwika kwambiri. Izi zimakhudza ntchito ya mtima wamanjenje. Zotsatira:

matenda edema
kumenyedwa
dementia (matenda amisala).

Komanso, kuphwanya malamulo kumachitika mu CCC. Ichi ndi chopsinjika ndi myocardial infarction, stroke, hemorrhage.

Kodi ndi chiopsezo chiti chogwiritsira ntchito insulin kwa munthu wathanzi?

Kodi mungatani kuti mupewe izi?

Nayi mfundo ziwiri zofunika kudziwa za insulin:

- Insulin ndi mankhwala opulumutsa moyo kwa odwala matenda ashuga. Amawerengera Mlingo wocheperako, aliyense payekhapayekha. Insulin imachepetsa shuga m'magazi, ndipo ngati itagwiritsidwa ntchito molakwika, ngakhale mlingo wochepa ungayambitse hypoglycemia, yomwe imapha anthu.

- Insulin siyibweretsa euphoria, yofanana ndi mankhwala osokoneza bongo a narcotic. Tikuyenera kunena kuti, ngakhale zizindikiro za hypoglycemia zimatha kutsata zizindikiritso za kuledzera, palibenso kumverera kwa euphoria - m'malo mwake, munthu amamva kuwawa.

Zoyambitsa bongo

Insulin imagwiritsidwa ntchito makamaka ndi odwala matenda ashuga, koma zotulukapo zake zambiri zimagwiritsidwa ntchito nthawi zina. Mwachitsanzo, mphamvu ya insulin ya insulin yapeza ntchito pakulimbitsa thupi.

Mlingo wa insulin amasankhidwa payekha, moyang'aniridwa ndi dokotala. Pankhaniyi, ndikofunikira kuyeza glucose m'magazi, kudziwa njira zodziletsa pakuthana ndi matendawa.

Kwa munthu wathanzi, mankhwalawa "osavulaza" amachokera ku 2 mpaka 4 IU. Omanga a thupi amabweretsa kuchuluka kwa 20 IU patsiku. Mankhwalawa matenda a shuga, kuchuluka kwa mankhwalawa omwe amaperekedwa patsiku kumasiyana magawo 20-50.

Mankhwala osokoneza bongo amatha kuchitika pazifukwa zingapo:

Kuzindikira insulin kumawonjezera mu nthawi yayitali ya mimba, motsutsana ndi maziko a matenda aimpso kulephera, ndi mafuta a chiwindi.

Kodi insulin yowonjezera imachitika liti m'thupi? Izi zitha kuchitika, ngati pali kuphwanya kwa kupanga kwa mahomoni ndi kapamba (mwachitsanzo, ndi zotupa).

Muyenera kusamala kwambiri pakugwiritsa ntchito insulin komanso mowa. Mwakutero, zakumwa zoledzeretsa sizikulimbikitsidwa kwa odwala omwe ali ndi matenda ashuga. Koma popeza zoletsa za madokotala sizimaletsa aliyense, madokotala amalangizidwa kuti azitsatira malamulo otsatirawa kuti muchepetse chiopsezo cha mavuto.

musanamwe mowa, mankhwalawa a insulin ayenera kuchepetsedwa,
musanamwe komanso mutamwa mowa, muyenera kudya zakudya zomwe zimakhala ndi mafuta ochulukirapo,
amakonda zakumwa zoledzeretsa zochepa,
mukamamwa mowa kwambiri tsiku lotsatira, ndikofunikira kusintha mlingo wa insulin, motsogozedwa ndi miyezo ya shuga.

Imfa ya mankhwala osokoneza bongo a insulin imachitika chifukwa chokhala ndi vuto la hypoglycemic. Mlingo wa mankhwalawa, womwe umabweretsa imfa, zimatengera kulekerera kwa insulin m'thupi lililonse, kulemera kwa wodwala, zokhudzana ndi zina - kumwa chakudya, mowa ndi zina zambiri. Kwa ena, kuyambitsa kale IU ya 100 ya mankhwalawa kumakhala koopsa; kwa ena, ziwerengerozi zimachokera ku 300-500 IU. Milandu imadziwika pomwe anthu adapulumuka ngakhale jakisoni wa insulin wokwanira 3000 IU.

Zizindikiro za insulin yowonjezera

Insulin yowonjezera m'magazi imapangitsa kutsika kwa shuga. Mutha kuyankhula za hypoglycemia ndi chizindikiro chotsika 3.3 mmol / L m'magazi a capillary. Kukula kwa zizindikiro kumadalira mtundu wamankhwala omwe amagwiritsidwa ntchito. Ndi kuyambitsidwa kwa insulin yofulumira, Zizindikiro zimayamba pakapita nthawi yochepa, ndi jekeseni wa insulin yocheperako kwakanthawi.

Zizindikiro za insulin yowonjezera m'magazi ndi motere.

Pa gawo loyamba, kumakhala kumva njala, kufooka, mutu, kusokonezeka kwa mtima.

Ngati gawo loyamba palibe njira zomwe zachitika kuti muwonjezere shuga (magazi kapena maswiti), ndiye kuti: thukuta, kuthamanga ndi dzanja, kuthambalala, kumva kufooka, kumva kutukutira kwa zala, kufooka kwa zowoneka,ana opukusidwa. Pakadali pano, mutha kuletsa kukulitsa kwa hypoglycemia ngati mutadya chakudya chamafuta othamanga - maswiti, maswiti, shuga wowona.

Komanso, kufooka kumapita patsogolo ndipo munthu sangathe kudzipulumutsanso. Kulephera kusuntha, thukuta lalikulu, kuthamanga kwa mtima, miyendo yanjenjemera, kufooka kwa chikumbumtima, kupsinjika kapena kukhumudwa kwa psyche kumadziwika. Kenako kuphatikizika kwa clonic kapena tonic kumayamba. Ngati shuga sayendetsedwera m'mitsempha panthawiyi, ndiye kuti matha a hypoglycemic amatha.

Coma amadziwika ndi kutaya chikumbumtima, kutsika kwamphamvu kwa shuga m'magazi (oposa 5 mmol / l kuchokera pamlingo woyamba), kutsika, kutsika kwa mtima, komanso kusowa kwa chidwi cha ophunzira.

Imfa imachitika ndi kuchepa kwa ntchito zonse - kupuma, magazi, komanso kusowa kwa zinthu zina.

More bongo

Kugwiritsa ntchito kwambiri insulini popewa matenda a shuga kumayambitsa matenda osokoneza bongo, omwe amaphatikizidwa ndi kupanga mahomoni omwe amalepheretsa kuchepa kwa shuga m'magazi - adrenaline, corticosteroids, glucagon - ndipo amatchedwa "Somoji syndrome." Zizindikiro za odwala osokoneza bongo odwala matenda a shuga:

kwambiri matenda

kulakalaka

Kulemera kwambiri ndi shuga mkodzo,

chizolowezi cha ketoacidosis,

acetonuria

kusinthasintha kwamphamvu kwa shuga m'masana,

Nthawi zambiri kuposa masiku onse, kuchuluka kwa shuga m'magazi kumajambulidwa,

kupitiriza hypoglycemia (kangapo patsiku).

Nthawi zambiri hypoglycemia imabisika. Zodziwika bwino "zam'mawa zam'mawa zodabwitsa". Hyperglycemia imayamba m'mawa, kuyambira 5 mpaka 7 m'mawa, zomwe zimafotokozedwa ndi kuchuluka kwa mahomoni obisika komanso kufooka kwa jakisoni wa insulin yamadzulo. Matenda a Somoji amasiyana ndi zomwe zimachitika m'mawa kutacha panthawi yomwe kuchokera 2 mpaka 4 maola hypoglycemia imayamba - kuchuluka kwa shuga kumatsika ndi 4 mmol / l, chifukwa chomwe thupi limayambira njira zowumiriza. Zotsatira zake, m'mawa wodwala amakhala ndi hyperglycemia woopsa chifukwa cha mankhwala osokoneza bongo a insulin yamadzulo.

Pomaliza

Insulin yothandizira idapangidwa kuti izichirikiza moyo pamaso pa matenda ashuga. Koma kubaya mahomoni owonjezera kwa munthu wathanzi kumatha kubweretsanso mavuto ena, kuyambira poyizoni mpaka kufika pakukomoka komanso kufa. Ndizowopsa kumwa mankhwalawa popanda chifukwa chomveka, kuikidwa kwa dokotala komanso kumvetsetsa kwathunthu pazotsatira zoyipa.

Kuthandiza ndi bongo wa insulin

Zoyenera kuchita ndi bongo wa insulin? Thandizo loyamba kapena kudzithandiza ndekha ndi zizindikiro zoyambirira za boma la hypoglycemic zimakhala ndi zotsatirazi.

Idyani 50-100 magalamu a mikate yoyera.
Ngati zizindikirazo sizitha pambuyo pa mphindi 3-5, idyani maswiti angapo kapena supuni ziwiri za shuga.
Ngati pambuyo mphindi 5 zizindikiro zimapitilirabe, bwerezaninso kudya zakudya zamafuta.

Ndi kukula kwambiri hypoglycemia (kutaya chikumbumtima, kukomoka), yankho lalikulu la bongo la insulin ndi mtsempha wa magazi a glucose. Jakisoni wa 40% yankho mu kuchuluka kwa 30-50 ml amapangidwa, ngati pambuyo mphindi 10 wodwalayo sanayambenso kuzindikira, ndiye kuti kulowetsako kumachitika mobwerezabwereza.

Kugwira kwa insulin m'magazi

Insulin imagwira ntchito pakusunga mphamvu komanso kusintha kwa glucose obwera kukhala minyewa ya adipose, ndikuchita ntchito ya conduction shuga ikakalowa m'maselo a thupi. Insulin ndi chinthu chomwe chimakhudzidwa ndikupanga amino acid ndi kugwiritsa ntchito kwawo.

Pali insulin m'thupi la munthu malinga ndi kuchuluka kwake, koma kusintha kwa kuchuluka kwake kumayambitsa zovuta zingapo za metabolic, zomwe zimakhala zowopsa.

Insulin ili ndi zotsatirapo zabwino komanso zabwino m'thupi la munthu.

kusintha kwa kapangidwe ka mapuloteni,
kuteteza kapangidwe ka maselo a mapuloteni,
kuteteza amino acid mu minofu minofu, yomwe imawonjezera kukula kwawo,
kutenga nawo gawo kapangidwe ka glycogens, zomwe zimathandizira kuti shuga isungike m'misempha.

Anthu amazindikiranso zinthu zoyipa zomwe zimachitika mthupi ngati muli ndi insulin yambiri m'magazi:

zimathandiza kuteteza mafuta,
Amapangitsa kuti pakhale zotsekemera za ma cell zolandilira,
bwino mafuta acid synthesis,
kumawonjezera kuthamanga kwa magazi
amachepetsa kutanuka kwa makoma amitsempha yamagazi,
zimathandizira kuti pakhale maselo owononga chotupa.

Mu nthawi yokhazikika ya seramu yamagazi, insulin imakhala kuchokera 3 mpaka 28 mcU / ml.

Kuti phunziroli likhale lothandiza, magazi ayenera kumwedwa kokha pamimba yopanda kanthu.

Zizindikiro za mankhwala a insulin

Kwa munthu wathanzi, mlingo wabwino wa thupilo ndi 2-4 IU mu maola 24. Ngati tikulankhula za omanga thupi, ndiye 20 IU iyi. Kwa anthu odwala matenda a shuga, chizolowezi chake ndi 20-25 IU patsiku. Ngati dokotalayo ayamba kuledzera pamankhwala ake, ndiye kuti kuchuluka kwa mahomoniwo kumawonjezera bongo.

Zomwe zimayambitsa hypoglycemia ndi izi:

kusankha kolakwika kwa mankhwala,
kusintha mtundu wa syringes ndi mankhwala,
masewera opanda masewera
kudya moyenera komanso nthawi yomweyo insulin,
kuphwanya zakudya pambuyo jekeseni (kunalibe chakudya atangochita),

Munthu aliyense amene amadalira insulin, kamodzi kamodzi m'moyo wake, anali kumva zosasangalatsa zomwe zimayambitsidwa ndi mankhwala osokoneza bongo ambiri. Zizindikiro zazikulu za bongo za insulin:

kufooka kwa minofu
ludzu
thukuta lozizira
miyendo yanjenjemera
chisokonezo,
kuchuluka kwa thambo ndi lilime.

Zizindikiro zonsezi ndi zizindikiro za hypoglycemic syndrome, zomwe zimayamba chifukwa cha kuchepa msanga m'magazi a magazi. Yankho lofananalo ku funso la zomwe zimachitika ngati mutabaya insulin mwa munthu wathanzi.

Matendawa amayenera kuyimitsidwa msanga, apo ayi wodwalayo amagwa, ndipo zimakhala zovuta kwambiri kuti atuluke.

Matenda a insulin ochuluka

Mankhwala osokoneza bongo osagwiritsidwa ntchito masiku onse, omwe amatha kutsagana ndi matenda a shuga, nthawi zambiri amatsogolera ku mfundo yoti Somoji syndrome imawonekera. Mkhalidwe uwu umadziwika ndi kupanga corticosteroids, adrenaline ndi glucagon pamitundu yambiri.

Somoji syndrome ndi insulin overdose syndrome, ndiko kuti, mkhalidwe wovuta womwe umabweretsa zotsatira zosasintha ndipo umafunikira chisamaliro chapadera.

Zizindikiro zazikulu za hypoglycemia:

kulakalaka
matenda oopsa
kuchuluka kwa acetone mu mkodzo,
kuthamanga kwambiri, zomwe zimachitika chifukwa cha kuchuluka kwa shuga mumkodzo,
malingaliro amunthu pa ketoacidosis,
shuga amayamba kuchuluka tsiku lililonse,
hypoglycemia zoposa nthawi 1 patsiku,
Kulembetsa pafupipafupi kwa shuga wambiri.

Nthawi zambiri, poizoni wa insulin amakhala munthawi yayitali kwa nthawi yayitali. Koma izi nthawi zonse zimadzimva zokha. Somoji syndrome imasiyanitsidwanso ndikuti kukula kwa mkhalidwe wa hypoglycemic mwa munthu kumawonedwa pa 2-4 a.m. Ndi chifukwa cha bongo wa insulin yamadzulo.

Kuti achepetse momwe zinthu zilili, thupi liyenera kuyambitsa njira zowonjezera mphamvu. Koma, popanda kuthandizidwa mwadongosolo komanso mosasinthasintha, kufooka kwazomwe thupi limatha kuwunika. Chifukwa chake, Somoji syndrome imatha kupha.

Insulin kwambiri mwa munthu wathanzi

Dokotala akapita kutali kwambiri ndi insulin, wodwala matenda ashuga amawonetsa zina pakapita kanthawi. Ngati mukulowetsa insulin mwa munthu wathanzi, imayambitsa mawonekedwe owopsa a poizoni.

Zikakhala zotere, jakisoni wa insulin amakhala ngati poyizoni, amachepetsa msanga kuchuluka kwa shuga m'magazi.

Ngati munthu waledzera, zikuwoneka:

arrhasmia,
kukakamizidwa
migraines
nkhanza
mgwirizano wolakwika
kumva mantha akulu
njala
ambiri ofooka.

Ngati insulini idalowetsedwa mwa munthu wathanzi, chithandizo chinanso chikuyenera kuyang'aniridwa ndi madokotala okha. Anthu nthawi zina amafa chifukwa cha mankhwala osokoneza bongo otere.

Mlingo wowopsa wambiri wa insulin ndi magawo zana, i.e. syringe yathunthu ya insulin. Nthawi zina munthu amatha kukhala ndi moyo ngati mlingo wotere umakhala wokwera katatu. Chifukwa chake, pogwiritsa ntchito bongo mopitirira muyeso, mutha kukhala ndi nthawi yoyimbira dokotala musanakomoke.

Monga lamulo, chikomokere chimakula mkati mwa maola 3-4 ndipo zimatha kuimitsidwa ngati shuga alowa m'magazi.

Zotsatira ndi mawonekedwe othandizira

Pochiza matenda a shuga, pamakhala chiopsezo cha mankhwala osokoneza bongo ambiri. Munjira imeneyi, pofuna kupewa imfa, thandizo loyenerera lofunikira likufunika. Ndikofunikira kudziwa zoyenera kuchita nthawi yomweyo ndi mankhwala osokoneza bongo ambiri.

Kuti muwonjezere chakudya chamagulu ochulukirapo, muyenera kudya chofufumitsa cha mkate wa tirigu mpaka g 100. Mukapitiliza kuukira kwa mphindi 3-5 muyenera kuwonjezera shuga. Madokotala amalimbikitsa kumwa tiyi ndi supuni zochepa za shuga.

Ngati chochitikacho chitachitika, kuchuluka kwa insulini m'magazi sikumakhala kotakasuka, mukufunikirabe kudya ma protein munthawi yomweyo. Ngakhale kuti bongo wambiri ndi chinthu wamba, ngati inu kunyalanyaza zofunika kuchita, kuwonjezeka kwa Somoji syndrome kumachitika.

Kukula kwa matendawa kumasokoneza kwambiri mankhwalawa komanso kumadzetsa ketoacidosis yovuta kwambiri.

Pankhaniyi, mungafunike kusintha mankhwalawo ndikuyamba kumwa mankhwala amphamvu.

matenda edema,
Zizindikiro za meningitis,
kutha msanga kwa matenda a dementia ndimavuto amisala.

Pakati pa anthu omwe ali ndi vuto la mtima, kuchuluka kwa insulini kungayambitse:

sitiroko
vuto la mtima
retinal hemorrhage.

Mankhwala osokoneza bongo a insulini ndi omwe amafunika kuyankhidwa mwachangu kuchokera kwa wodwala. Ngati ndi kotheka, muyenera kuyitanitsa gulu la ambulansi. Ngakhale kuti hypoglycemia sikuti nthawi zonse imabweretsa imfa, chikhalidwe chowopsa sichitha kuchepetsedwa.

Ngati wodwala ali ndi vuto, ndiye kuti muyenera kuletsa kudzera jakisoni kapena podya zakudya zopepuka. Zina mwazinthu zomwe mwalimbikitsa:

ma lollipops
chokoleti
mikate yoyera
zakumwa zoziziritsa kukhosi.

NYUMBA
Glucometer
- Chofufuza
  - Accu-Chek Mobile
  - Chuma Cha Accu-Chek
  - Accu-Chek Performa Nano
  - Accu-Chek Performa
  - Accu-Chek Gow
  - Accu-Chek Aviva
- OneTouch
  - OneTouch Sankhani Zosavuta
  - OneTouch Ultra
  - OneTouch UltraEasy
  - OneTouch Select
  - OneTouch Kwambiri
- Satellite
  - Satellite Express
  - Satellite Express Mini
  - Satellite Plus
- Diacont
- Optium
  - Optium omega
  - Optium x Contin
  - Freestyle papillon
- Kutchuka IQ
  - Kutchuka LX
- Bionime
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- Ascensia
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  - Ascensia kupatsa
- Kontur-TS
- Ime-dc
  - Idia
- Ichck
- Glucocard 2
- CleverChek
  - TD-4209
  - TD-4227
- Laser Doc Plus
- Mistletoe
- Acutrend gc
  - Zowonjezera kuphatikiza
- Cheke chokomera
  - SKS-03
  - SKS-05
- Bluecare
- Glucofot
  - Glucofot Suite
  - Glucofot Plus
- B.Well
  - Wg-70
  - Wg-72
- 77 elektronika
  - Sensocard kuphatikiza
  - Autosense
  - Sensocard
  - SensoLite Nova
  - SensoLite Nova Plus
- Wellion calla kuwala
- Kuyendetsa
  - Kubwezera
  - Wosankhika
- GMate
NTHAWI
- Zakumwa zoledzeretsa
  - Vodka ndi cognac
- Zosankha holide
  - Shrovetide
  - Isitala
- Zakumwa Zofewa
  - Madzi amchere
  - Tiyi ndi Kombucha
  - Cocoa
  - Kissel
  - Compote
  - Maphawa
- Zakudya monga chimanga, chimanga, nyemba
  - Tirigu
  - Buckwheat
  - Chimanga
  - Perlovka
  - Mapira
  - Nandolo
  - Nthambi
  - Nyemba
  - Makina
  - Muesli
  - Semolina phala
- Zipatso
  - Ma grenade
  - Mapeyala
  - Maapulo
  - Nthochi
  - Persimmon
  - Chinanazi
  - Wopanda pake
  - Avocado
  - Mango
  - Amapichesi
  - Apricots
  - Plums
- Mafuta
  - Flaxseed
  - Mwala
  - Zonona
  - Maolive
- Masamba
  - Mbatata
  - Kabichi
  - Beetroot
  - Zithunzi ndi ma horseradish
  - Selari
  - Kaloti
  - Yerusalemu artichoke
  - Ginger
  - Pepper
  - Dzungu
  - Tomato
  - Selari
  - Nkhaka
  - Garlic
  - Zukini
  - Sorelo
  - Biringanya
  - Asparagus
  - Zambiri
  - Ramson
- Zipatso
  - Kalina
  - Mphesa
  - Blueberries
  - Dogrose
  - Cranberries
  - Mavwende
  - Lingonberry
  - Nyanja yakumwa
  - Mabulosi
  - Currant
  - Cherry
  - Strawberry
  - Galu
  - Chitumbuwa chokoma
  - Phulusa laphiri
  - Sitiroberi wamtchire
  - Rabulosi
  - Jamu
- Zipatso za citrus
  - Pomelo
  - Ma tangerine
  - Ndimu
  - Mphesa
  - Malalanje
- Mtedza
  - Maamondi
  - Kedari
  - Chigriki
  - Maponda
  - Hazelnuts
  - Coconut
  - Mbewu za mpendadzuwa
- Zakudya
  - Jelly
  - Saladi
  - Zakudya zophikira
  - Malumikizana
  - Casserole
  - Zakudya zoyipa
  - Okroshka ndi Botvina
- Malo ogulitsira
  - Caviar
  - Nsomba ndi nsomba
  - Pasitala
  - Soseji
  - Soseji, masoseji
  - Chiwindi
  - Maolivi akuda
  - Bowa
  - Wokoma
  - Mchere ndi mchere
  - Gelatin
  - Msuzi
- Zokoma
  - Mabisiketi
  - Amasunga
  - Chocolate
  - Pachino
  - Maswiti
  - Pangani
  - Glucose
  - Kuphika
  - Shuga ya nzimbe
  - Shuga
  - Zikondamoyo
  - The mtanda
  - Zakudya
  - Marmalade
  - Ayisikilimu
- Zipatso zouma
  - Ma apricots owuma
  - Prunes
  - Nkhuyu
  - Madeti
- Zomakoma
  - Sorbitol
  - M'malo mwa shuga
  - Stevia
  - Isomalt
  - Pangani
  - Xylitol
  - Aspartame
- Zinthu zamkaka
  - Mkaka
  - Tchizi tchizi
  - Kefir
  - Yoghur
  - Syrniki
  - Wowawasa zonona
- Njuchi
  - Propolis
  - Perga
  - Kuchulukitsa
  - Mungu
  - Wonenepa
- Njira zochizira kutentha
  - Pophika pang'onopang'ono
  - Mu boiler owirikiza
  - Mu mpweya wabwino
  - Kuyanika
  - Kuphika
  - Kuyimitsa
  - Frying
  - Kukuwotcha
ZOPHUNZITSIRA MU ...
- Mwa akazi
  - Kuyabwa kwadzaoneni
  - Kuchotsa Mimba
  - Mwezi uliwonse
  - Candidiasis
  - Chimake
  - Kuyamwitsa
  - Cystitis
  - Gynecology
  - Mahomoni
  - Kutulutsa
- Mwa amuna
  - Kulephera
  - Balanoposthitis
  - Mapangidwe
  - Potency
  - Membala, Viagra
- Mu ana
  - Mwa makanda
  - Zakudya
  - Mu achinyamata
  - Mu makanda
  - Mavuto
  - Zizindikiro, zizindikiro
  - Zifukwa
  - Zizindikiro
  - Mtundu 1
  - Mitundu iwiri
  - Kupewa
  - Chithandizo
  - Matenda a Phosphate
  - Neonatal
- Mu pakati
  - Gawo la Kaisareya
  - Kodi ndingakhale ndi pakati?
  - Zakudya
  - Mitundu 1 ndi 2
  - Chisankho cha Chipatala cha Amayi
  - Osati shuga
  - Zizindikiro
- Mu nyama
  - mu amphaka
  - mu agalu
  - wopanda shuga
- Akuluakulu
  - Zakudya
- Achikulire
MABODZA
- Miyendo
  - Nsapato
  - Kusisita
  - Zidendene
  - Kudzera
  - Gangrene
  - Kutupa ndi kutupa
  - Matenda a shuga
  - Zovuta, kugonjetsedwa
  - Misomali
  - Itchy
  - Kudula
  - Zingwe
  - Kusamalira miyendo
  - Matenda
- Maso
  - Glaucoma
  - Masomphenya
  - Retinopathy
  - Zambiri
  - Madontho
  - Mphaka
- Impso
  - Pyelonephritis
  - Nephropathy
  - Kulephera kwina
  - Nephrogenic
- Chiwindi
- Kapamba
  - Pancreatitis
- Chithokomiro
- Amitundu
KUTHENGA
- Zosagwirizana
  - Ayurveda
  - Acupressure
  - Kupumira pansi
  - Chithandizo cha ku Tibet
  - Mankhwala achi China
- Chithandizo
  - Magnetotherapy
  - phytotherapy
  - Mankhwala
  - Chithandizo cha Ozone
  - Hirudotherapy
  - Mankhwala a insulin
  - Psychotherapy
  - Kulowetsa
  - Urinotherapy
  - Physiotherapy
Muli
Njala
Kuzizira wamba
Zakudya zosaphika
Homeopathy
Chipatala
Kuyika kwa Langerhans

ANTHU

Zitsamba
- Ma ndevu agolide
- Moroznik
- Cinnamon
- Chitowe chakuda
- Stevia
- Goatskin
- Nettle
- Redhead
- Chicory
- Mpiru
- Parsley
- Katsabola
- Cuff
Mafuta
Mumiyo
Apple cider viniga
Ziphuphu
Mafuta Oipa
Yisiti
Tsamba la Bay
Khungwa la aspen
Clove
Chi Turmeric
Zhivitsa

MALO

Zodzikongoletsera

Matenda

Khungu
- Kuyabwa
- Ziphuphu
- Eczema
- Dermatitis
- Zithupsa
- Psoriasis
- Zilonda zipsinjo
- Kuchiritsa konse
- Madontho
- Chithandizo chowawa
- Kuchepetsa tsitsi
Wowayankha
- Mpweya
- Chibayo
- Mphumu
- Chibayo
- Zowawa
- Kutsokomola
- Chifuwa chachikulu
Mtima
- Matenda a mtima
- Stroko
- Atherosulinosis
- Kukakamizidwa
- Matenda oopsa
- Ischemia
- Zotengera
- Matenda a Alzheimer's
Angiopathy
Polyuria
Hyperthyroidism
Zogaya
- Kubweza
- Periodontium
- Pakamwa pakamwa
- Kutsegula m'mimba
- Mano
- Mpweya woipa
- Kudzimbidwa
- Kuchepetsa mseru
Hypoglycemia
Ketoacidosis
Neuropathy
Polyneuropathy
Mfupa
- Gout
- Zoyipa
- Maulalo
- Osteomyelitis
Zogwirizana
- Hepatitis
- Chimfine
- Kukhumudwitsa
- Khunyu
- Kutentha
- Ziwengo
- Kunenepa kwambiri
- Dyslipidemia
Zowongolera
- Mavuto
- Hyperglycemia

NKHANI

About glucometer
- Kodi mungasankhe bwanji?
- Mfundo yogwira ntchito
- Kuyerekezera kwa Glucometer
- Njira yothetsera
- Kulondola komanso kutsimikizira
- Mabatire a glucometer
- Glucometer a mibadwo yosiyanasiyana
- Laser Glucometer
- Kukonza ndi kusinthana kwa glucometer
- Kuyang'anira magazi
- Kuyeza kwa glucose
- Cholesterol Glucometer
- Mlingo wa shuga wa Glucometer
- Pezani mita ya glucose yaulere
Zamakono
- Acetone
- Kukula
- W ludzu
- Kutukwana
- Kuyesa
- Kukonzanso
- Kuchepetsa kwamitseko
- Kuyesedwa kuchipatala
- Malangizo
- Kuchepetsa thupi
- Chitetezo chokwanira
- Kodi ndingakhale bwanji ndi matenda ashuga?
- Momwe mungakulitsire / kuchepetsa thupi
- Zofooka, contraindication
- Kuwongolera
- Momwe akumenyera?
- Mawonekedwe
- Zingwe
- Zimayamba bwanji